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HomeMy WebLinkAbout030-2111-10-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 561047 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Holter, Todd & Anna St. Joseph, Town of 030-2111-10-000 CST BM Elev: Insp. BM Elev: BM Description: Q Section/Town/Range/Map No: / V M C J f 06.29.19.914 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURE yeN.yS CAPACITY STATION N. 6 i HI FS ELEV. fl! Septic Benchmark S Z Alt. BM Aeration i•~ Bldg. Sewer J - 121 Holding St/Ht Inlet L 4 ~ / 7*~ / TANK SETBACK INFORMATION St/Ht Outlet 47 169e TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic / 7 90 Dt Bottom Dosing Header/Man. 9(~ 1.7- Aeration Dist. Pipe y • 'Z 1 W ic•5 Holdin Bot. System Final Grade • 9 PUMP/SIPHON INFORMATION fZ•8 q Manufacturer Demand St Cover 7 GPM 9% Model Nu ber TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 3 re,4, d,_0 SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: _ INFORMATION Typ 7 ~j~ JJA' CHAMBER OR • (~~a► Model Nu ber: e S3 N~ UNIT a DISTRIBUTION SYSTEM f : S ~S Distribution x Hole Sx Hole Spacing Vent Intake Header/Manifold (140 11 Pipe(s) Length Dia 1Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sooddded xx Mulched Bed/Trench CentepAd ? 3 Bedrrrench Edges \ Topsoil T Yes No es No COMMENTS: (include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: / / Location: 311 Buck Run Hudson, WI 54016 (SW 1/4 SW 1/4 6 T29N R1 9W) Deer Haven Lot 13 Parcel No: 06.29.19.914 1.) Alt BM Description 2.) Bldg sewer length = Z7 - amount of cover = i n n Ors. d[x--- Plan revision Required? ❑ Yes No '74f Use other side for additional information. SBD-6710 (R.3/97) Date Insepctor's ignatur Cert. No, d %=~al y s T.z g %flgGd S°s~ PSG y-d r 17';e If scj y, 41 3 ,t 1 Q5 ~ ti a a qo 7-1 commerce.~1►i4~v ' Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 ~G✓O! ' C cO n s, ^ Madison, WI 5 3 70 7-7 1 62 Sanitary Permit Number (to be filled in by Co.) Department of Corn ` 0 5 (ol 0 4 / SanitamNfi ht Application State Transaction Number In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this fo a appropriate governmental unit is required prior to obtaining a sanitary permit. Note: Application fPOWTS are Project Address (if different than mailing address) `In► n\W submitted to the Department of Commerce. Personal information you prd for secondary purposes in accordance with the Privacy Law, s. 15.04 1 m , Stats. Il J Q~ 1. Application Information - Please Print All Information "'«<JJJ Property Owner's Name Parcel # 7dd Y- '.rrf~ac- l 72- v D 3 r i ~e soe Property Owner's Mailing Address Property Location 9' < C lp/,4 5 Govt. Lot 7 -T City, State Zip Code Phone Number .5GtJ 67AJ Section ~t? tY, Sta (circle one) 8 O .cl J'~ S ~aZ i' ~14 o ~ To?9_N, REorW H. Type of Building (check all that apply) Lot # 1 or 2 Family Dwelling - Number of Bedrooms 3 Subdivision Name of L Block # ❑ Public/Commercial - Describe Use `aty of CSM Number ❑ Village of ❑ State Owned - Describe Use (,Town of s-1' 3 / III. Type of Permit: (Check onl one box online A. Complete line B if applicable) A. 9 New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber El Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner IV. Type of POWTS S stem/Com onent(Device: Check all that a 1 on-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dis ersal/Treat nt Area Information: k s Q J / Design Flow (gpd) Design Soil Application Rate( sf) (sf) Dispersal Area Proposed System Elevation a2 Lv Ct) G d 7 / 7"pilm0/ ? I S, 0,?C1 VI. Tank Info Capacity in Total # of Manufacturer y Gallons Gallons Units fl iv V B y ° New Tanks Existing Tanks L d o a Al O 5L 5 J. v in B v, w c7 w Septic or Holding Tank e- S V Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS s wn on the attached plans. Plumber's Name (Print) Plumber's Signature PRS Number Business Phone Number lU<ll~u-r•t Schurn~~let~ ~J o,~,..~~-' aa'7~9U 7~5- 3cf'4-,~l6it Plumber's Address (Street, City, State, Zip Code) /d 741 Gu % ~Sydl' VIII oun epartment Use Only Approved El Permit Fee Date ssued/Issuing nt Signatur $ /3 ❑ er tven Reas or Denial IX. Condit~>~ygeasons for Disapproval Al a01- o !ua t f Septic tank, effluent toter and J7 dispersal cell must all be.sefvtces I maintained as per management plan provided by plumber, ck requirements mustbe maireaif ! Attach to complete plans for the system and submit to the County only on paper not less than 8 1n x 11 inches in size SBD-6398 (R. 02/09) CONVENTIONAL COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: oa :r -d- Owner's Name: ~d of 1:z( eh 4 yf.1 Owner's Address: /-Xa J g nJ j Legal Description: S Township: seV /7 County: Subdivision Name: ~T .e y- Ufa ,V Lot Number: 115F, Parcel ID Number: O a o" Z V If /6 _ Qob Page 1 index and title Page 2 Plot Plan Page 3 SystemSizing & Cross-Section _ Page 4 -Filter Specs Page 5 Maintenance Information Page 6 Management Plan Page 7 St. Croix Cty Septic Tank Maintenance Form Page 8 Warranty Deed Page 9 CSM or Plat P~,G / IS w- At~zre ments: Soil Test & House Plans Designer/Plumber: License Number: a2 7 aq~ Date: yf/7J J~ Phone Number Signature Designed pursuant to the In-Ground Soil Absorption Component Manual for POWTS Version 2.0 SBI)-10705-P (N.01/01). Page 1 ~r sccs i s~~' sGTa lflq,vd tPh s~a~~ Av 3 Q Ald la6- S rra ~ far fv~rD r r ~y ~t 9 9 § 3 0 0 N O Ci ~ M t9 CO N C'7 co L27 r co GO - O Z o O CO ' Z LL X X Z u! W U uj Lq Z T C.~ j W Z cn 0 J W O m J LL f~ _ 7 f " cUn Z LLB d v O d a- Cn _ _Z I cn N C7 m ® O N Z w C:) LO ~11 c° O C6 ~O~ LO Z tN ~ J ~ Q II o o © o 0 0 III I O O ~ u N t 7 co U N U O O O N u C-li N U u 0 GJ ci ch N O CO ~ U] u IS E U wl O N C.0 U O ~ U O r I~YtlAWI ~ ~ I co c0 CO U N ti c6 ~ u W O U Q N W d J cn C/J m U Q lffllmmgw~um N co N O N O Qp ~ N U U Rill ~ O LL- c V) °ir Z ~ N ~ O 1 W O ti c~ cn w LO m LL- - O cn J h0- a- to ~ W F- p Q _ L) CL U W LL Y ¢ii LLWU) C/3 Z O co Q LU Cl) rn In co ~ v U LL, ~ N p LL d Z J p LO c= L Y Q m J J p LL LL OHW0Q Q OQ¢00 0 Goll A§§ormtlon System Cross Sectlon ft e Schedule 40 Final Grade PVC Vent Pipe With Vent Cap It Leaching _ ~Z Qa 1p✓ c a,v~ Chamber i ~ System Elevation 3 ft _-ft Soil Al sorption System Plan View ft ft Trench 1 s-~ft Leaching Chambers 4" Dia. Trench 2 Pleader Vent Or Observation Pipe 11111 imp- I Trench 3 Leaching Chamber Snecii catlvns D Manufacturer And Model EISA Rating _ 0 sq ft per chamber Soil Application Rate ~ 7 gpd/sq ft 76 gpd Design Flow + v7 Soil Application Rate + 2© EISA = Chambers 3 rows of~ chambers each. Page of POWTS OWNER'S MANUAL St MANAGEMENT PLAN Page of FILE INFORMATION SYSTEM SPECIFICATIONS Owner Septic Tank Capacity al ❑ NA Permit # Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer 10dj .4 e#19-1' ❑ NA Number of Bedrooms O NA Effluent Filter Model 0 NA Number of Public Facility Units IA Pump Tank Capacity Z57 al ❑ NA Estimated flow (average) ~'d27► a!/day Pump Tank Manufacturer ~J .'c s4 a r.- CI NA Design flow (peak), (Estimated x 1.5) 7S0 allda Pump Manufacturer 13 NA Soil Application Rate al/da /ft2 Pump Model ❑ NA Standard Influent/Effluent Quality Monthly average* Pretreatment Unit ❑ NA Fats, Oil & Grease (FOG) 530 mg/L ❑ Send/Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD5) 5220 mg/L d NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg/L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dioper#sal Cell(s) 0 NA Biochemical Oxygen Demand (BOD,) 530 mg/L 0 In-Ground (gravity) ❑ In-Ground (pressurized) Total Suspended Solids (TSS) 530 mg/L 11 NA ❑ At-Grade ❑ Mound Fecal Coliform (geometric mean) :5104 efu/100m1 Q Drip-Line ❑ Other: Maximum Effluent Particle Size Y,, in dia. ❑ NA Other: ❑ NA ether: n NA Other: 0 NA *Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once emery: month(s) (Maximum 3 years) ❑ NA ear(s) Pump out contents of tank(s) When combined sludge and scum equals one-third 0) of tank volume ❑ NA y' X years (s) Inspect dispersal cell(s) At least once ever 3 year (s) (Maximum 3 years) 13 NA Clean effluent filter At least once every: / ❑ month(s) ❑ NA - ! • ear(s) - Inspect pump, pump controls & alarm At least once every: ❑ month(s) ❑ NA ❑ year(s) Flush laterals and pressure test At least once every: ❑ month(s) ❑ NA ❑ year(s) _ Other: ❑ month(s) At least once every; ❑ NA ❑ year(s) Other: ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any hack up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third (%3) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. Page of START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or. must be taken, to provide a code compliant replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the reolacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ❑ T site h d site Al ---I If nn rani -1-hin a hniding e tank ❑ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name W& I If ate.. E Name Phone 3g(y . ~L Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name 4-, Phone J Phone This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d)&(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. ST. CROIX COUNTY SEPTIC, TANK MA.INTENA:NCE AGREEMENT AND oWNMI41P CERTIFICATION FORM Chvr er/Buyer Ile/ Y Mauling Address— tA,~e_k _ Property Address ---YETI-- (Verificatirni required from Planning Zoning Deputment for new cotrsttur-60111.) City/Stag parcel Identification Number LE ,AL, DESCRIPTIQN Property location ~ '!q , , V4 , Sec. T 2 N R. I 67'w, Town of Subdivision Lot 'IT V+allune Page # . _ Certified Survey Map # 9C, 3 ~5/ w, volume, Page # Warranty Deed Spec house yea no Lot luxes identifiable yes no SYSTEM AINT NANCE Q N R CER T QN Improper use and maintenance of your septic system could result in its premature failure to handle waste's. Proper maintenance consists of pumping out the septic tank every three ,years or sooner, if needed, by a licensed pumper. What you put into the system can affcmt the function of the septic tattle us a treatowat stage in the waste disposal system, owner maintenance responsibilities are spetifded in. Komni. 83,52(1) and in Chapter 12 -St. C:xaix County Sanitary Ordinance. 'The property owner agrees to submit to St. Croix County Planning & Zoning Department a ccrtificatian forth, signed by the owner and by a master plumber, journeym8n plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 113 full of sludge. t/we, the undersigned have road the above requirements and agree to maintsm the private sewage disposal system with the standards sec forth, herein, as set by the Department of Commerce and the Department of Natural Resources, state of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County placminP & Zoning Department within 30 days of the three year expiration date. 1/we certify that all statement.5 on tiii orin are trite to the'best of my/our knowledge, Iiwe amlart the owiler(s) of the property described above, by virtue of a wa my deed recorded in Register of Deeds Office. Number of bedrooms y I DATE SX NATIJRE QF .AYP.LICANT{S) ***Any information that is misrepresented may result in dic sanitary permit being revoked by the platuling & %•oniriS Department. ti►clude with this application a recordrAf warranty deed frorn the Register of Deeds Office and a copy of the certified survey mar if reference is made in the warranty deed. (RV,V. 08105) 963443 State Bar of Wisconsin Form 7-2003 BETH PABST TRUSTEE'S DEED REGISTER OF DEEDS Document Number Document Name ST. CROIX CO., WI RECEIVED FOR RECORD 09/14/2012 08:00 AM EXEMPT # NA THIS DEED, made between Daniel C. Davis REC FEE: 30.00 as the Trustee of the Daniel C. Davis Trust TRANS FEE: 246.00 ("Grantor," whether one or more), PAGES: 1 and Todd J. Holter and Anna K. Holter, husband and wife ("Grantee," whether one or more). **The above recording information Grantor conveys to Grantee, without warranty, the following described real estate, verifies that this document has together with the rents, profits, fixtures and other appurtenant interests, in St. Croix Recording ArVeen electronically recorded County, State of Wisconsin ("Property") (if more space is needed, please attach addendum): Name and Return Address David J. Estreen Estreen & Ogland Lot 13, Deer Haven in the Town of St. Joseph, St. Croix County, Wisconsin. 304 Locust Street Hudson, WI 54016 (,lt(VIQ,' (;22ZCI 030-2111-10-000 Parcel Identification Number (PIN) Dated a ZfTI v Q/LaQ1A11.d (SEAL) (SEAL) 'Daniel C. Davis, Trustee (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) Daniel C. Davis authenticated o STATE OF ) ) ss. COUNTY ) *Kristina OF-land TITLE: MEMBER S ATE BAR OF WISCONSIN Personally came before me on , (If not, the above-named to me known to be authorized by Wis. Stat. § 706.06) the person(s) who executed the foregoing instrument and acknowledged the same. THIS INSTRUMENT DRAFTED BY: Kristina Oaland, Estreen & Oeland 304 Locust Street, Hudson, WI 54016 Notary Public, State of My Commission (is permanent) (expires: ) (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. TRUSTEE'S DEED ® 2003 STATE BAR OF WISCONSIN FORM NO. 7-2003 * Type name below signatures. INFO-PRO"" Legal Forms 800-855-2021 www.infoprofbrms.com 1 of 1 I - 43.29+ - 4 NT "L33' .j 12 3VE • 3.460 ACRES • 150,736 SQ. FT, r t 13 4.254 ACRES,, C FES 185,887 SQ. 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P OZJ0- z Z~-JDU Zs ¢ V) 0 ZNO U UOU (9 YJZ Q w IV N3m°mi-§m~-J' ¢aU pZOQ Z z¢§¢ ° I~~Y moo :7 z F- R 0 Z Z M _ U~ U p ¢ t D Z a W r4 2 W cr I 5 J Or Q W M U) W $Vo b J Of Q I „ot, do N J I U ¢ w 5 ~ ui N 0 5 ug£ p CL p W Li O „94 £ N W I I M O F- F w L U $do „b m 0 xN „Z* do p W I Of I~ U x ¢ M W W J Q m 003?J a $d V) Y Z F- r .`~pwa.rwulj`* y Department of SOIL EVALUATION REPORT; #1702 s.. S P Safety and il} accordance with Comm 85, Wis. Adm. Code 4°_, Page 1 of 3 Professional Services k ±1 - ` Schmitt Soil Testing, Inc. County Attach complete site plan on paper not W. ik titan 8% x,,11 inches in size. Plan must St. Croix include, but not limited to: vertical angrrzontal r point (BM), direction and Par percent slope, scale or dimensions, ndtth arroyr, en cation,a/td distance to nearest road. (4 0-2111-10-000 Please prints kin ormaawk Revie Date Personal information you provide may be used for seoopctyily purposes (Privacy Law, s. 15.04 (1) (m)). Property OwnerR Property Location Holter, Todd J & Anna K Govt. Lot SW1/4, SW1/4, S6, T29N, R19W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# _F ~ 919 9th St. 13 Deer Haven City State Zip Code Phone Number City Village M Town Nearest Road Hudson WI 54016 651-325-7951 St.Joseph Buck Run F] New Construction Use: ~ Residential / Number of bedrooms 5 Code derived design flow rate 750 GPD E] Replacement ❑ Public or commercial - Describe: Parent material Outwash Sand (Onamia-Antigo Series) Flood plain elevation, if applicable NA ft. General comments Area Is suitable for a conventional system with a 0.7 /sgft rate. Possible system elevation for Area 1 is T1=96.70', T2=95.10', and recommendations: T3=93.50', T4=91.2', T5=89.6', T6=88.1'. Slope of area is 17%. F 1-1 Lx] Boring # ❑ Boring Pit Ground surface elev. 99.68 ft. Depth to limiting factor 96+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-10 10yr3/3 none grsl 2mgr mvfr as 2vf 0.6 1.0 2 10-15 10yr4/6 none vgrsl 2msbk mvfr gw lvf 0.6 1.0 3 15-29 10yr5/4 none girls Osg ml gw ivf 0.7 1.6 4 29-45 10yr5/6 none s Osg ml Cs 0.7 1.6 5 45-96 10yr6/4 none s Osg ml 0.7 1.6 ❑ Boring # r oring Pit Ground surface elev. 99.68 ft. Depth to limiting factor 95+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-7 10yr3/2 none sl 2msbk mvfr as 2vf 0.6 1.0 2 7-17 7.5yr4/6 none grsl 2msbk mfr gw im,ivf 0.6 1.0 3 17-39 10yr5/6 none grcos Osg ml Cs 0.7 1.6 4 39-95 10yr6/4 none s Osg ml 0.7 1.6 L * Effluent #1 = BOD5> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS < 30 mg/L and TSS S30 mg/L CST Name (Please Print) Signatur : CST Number Thomas J. Schmitt - , 227429 Address Schmitt Soil Testing, Inc. Date Evaluation Conducted Telephone Number 1595 72nd Street New Richmond, WI 54017 11/21/2012 715-760-1978 SBD-8330 (R.07/00) r Property Owner Holter Todd J & Anna K Parcel ID # 030-2111-10-000 Page 2 of 3 Boring F3 ]Boring # Pit Ground surface elev. 96.48 ft. Depth to limiting factor 96+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-9 10yr3/3 none sl 2mgr mvfr as 2vf 0.6 1.0 2 9-18 10yr4/4 none grsl 2msbk mfr gw 1Vf 0.6 1.0 3 18-27 7.5yr5/6 none grls Osg ml gw 0.7 1.6 4 27-50 10yr6/4 none cos Osg Ml Cs 0.7 1.6 5 50-96 10yr6/4 none s Osg ml 0.7 1.6 014 ❑ Boring Boring # E~ Pit Ground surface elev. 91.48 ft. Depth to limiting factor 98+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft-' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-9 10yr3/2 none grsl 2mgr mvfr as 2m,2vf 0.6 1.0 2 9-20 10yr4/4 none sicl 2msbk mfr gw lm,2f 0.4 0.6 3 20-30 10yr4/6 none grsl 2msbk mfr gw 1Vf 0.6 1.0 4 30-46 10yr5/6 none grls Osg ml cs 0.7 1.6 5 46-98 10yr6/4 none s Osg ml 0.7 1.6 Boring F-s]Boring Pit Ground surface elev. 93.38 ft. Depth to limiting factor 98+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-7 10yr3/3 none sl 2mgr mvfr as lm,2f 0.6 1.0 2 7-20 10yr4/4 none sil 2msbk mfr gw ivf 0.6 0.8 3 20-31 7.5yr5/6 none gris Osg ml gw ivf 0.7 1.6 4 31-98 10yr5/6 none grCos Osg ml 0.7 1.6 * Effluent #1 = BOD5> 30 < 220 mg/L and TSS >30 <150 mg/L * Effluent #2 = BOD5 < 30 mg/L and TSS - 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (R.07/00) Schmitt Soil Testing, Inc. Page 3 of 3 Conducted by: Conducted For: • Schmitt Soil Testing, Inc. Name: Todd J & Anna K Holter Thomas J. Schmitt, CST 227429 Address: 919 9th St. 1595 72nd St. City, State, Zip: Hudson, WI 54016 New Richmond, WI 54017 Phone: 715-7 0-1978 PID: 030-2111-10-000 Signatm u- Lot No. 13 Deer Haven Dace `19?1-Legal Description: SWI/4 SWI/4 S6 T29N R19W ■ Backhoe Pit Township, County: St. Joseph, St. Croix County A Bench Mark 1 El. 100.00' Top of 2' pvc pipe. Bench Mark 2 El. 101.34' Top of 2" pvc pipe G~ ,QG(~ Slope= 17% 6t 1"=40' B1=99.68' ~0 B2=99.68' B3=96.48' B4=91.48' B5=93.38' Z Primary Area T1=96.7' T2=95.1' T3=93.5' e Alternate Area T4=912' i T5=89.6' T6=88.1' d ~1 ~i Wisc~zWn Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and Human Relations Division,Zfr'Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but St. Croix not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # 2 ~4 :/o dimensioned, north arrow, and location and distance to nearest road. 030- APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION T ~ BY DATE ' PROPERTY OWNER: ` PROPERTY LOCATION } K~(, GOVT. LOT SW 1/4 SW 1/4,S 6 T 29 N ,R 19 (or) W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # 1129 30th. St. 13 na Deer Haven CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE MOWN NEAREST ROAD Hudson, WI. 54016 (715) 381-5264 St. Joseph I 30th. St. [x] New Construction Use [ x] Residential / Number of bedrooms 4 [ ] Addition to existing building Replacement ( ] Public or commercial describe 4, Co 6t- Code derived daily flow 600 gpd Recommended design loading rate • 7 bed, gpd/ft 8 rench, gpd/ft2 7- Absorption area required 857 bed, ft2 750 trench, ft2 Maximum design loading rate -7 bed, gpd/ ench, gpd/ft2 Recommended infiltration surface elevation(s) 93.30 ft (as referred to site plan ben hmark) Additional design / site considerations trenches 3.5' below surface spaced to code Parent material outwash Flood plain elevation, if applicable na ft S = Suitable for System CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable for s stem [2S ❑ U ❑ S ®U as ❑ U ❑ S ® U C$S ❑ U ❑ S O u SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trends 1 0-12 10yr4/3 none sil 2msbk mfr cs 2f .5 .6 1 2 12-24 10yr4/4 none sil lcsbk mfr gw if .2 .3 Ground 3 24-84 7.5yr4/6 none ms sOg mvfr na na .7 .8 elev. 9h-R ft. Depth to limiting factor +84,, ~t/l•ea~i°h Remarks: 36, Boring # 1 0-10 10yr3/3 none sil 2msbk mfr gw 2f .5 .6 <2 2 10-29 10yr4/4 none sil lcsbk mfr gw if .2 .3 3 29-84 7.5yr4/4 none is Osg mvfr na na .7 .8 Ground , elev. _t__-~ ' 96.8 It. Depth to f limiting ~)7 factor +84" C~viH Nr; Remarks: Gva CST Name:--Please Print Gary L. Steel Phone: 715-246-6200 \ J - Address: 1554 200th. Ave., New Rich and WI 54017 Signature: Date: 7-25-98 CST Number: m02298 PROPERTYOWNER Daniel C. Davis SOIL DESCRIPTION REPORT Page 2 ' of 3 PARCEL I.D. # 030-1024-70 Depth Dominant Color Mottles Texture Structure Consistence BoundEry Roots GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0-12 10yr3/3 none sil 2msbk mfr gw 2f .5 .6 2 12-22 10yr4/4 none sil lcsbk mfr 9w if .2 .3 Ground 3 22-42 10yr4/ 4 none sicl lcsbk mfr gw if .2 .3 elev. 94.5 ft. 4 42-84 7.5yr4/4 none ms Osg mvfr na na .7 .8 i i Depth to limiting factor +84" Remarks: Boring # 1 0-9 10yr4/3 none sil 2msbk mfr cs 2f .5 .6 2 9-18 10yr4/4 none s icl 1 csbk mfr gw 1f .2 .3 3 18-84 7.5yr4/4 none ms Osg ml na na .7 .8 Ground elev. 91--7- ft. Depth to limiting factor Remarks: Boring # 1 0-12 10yr4/3 none sil 2msbk mfr cs 2f .5 .6 n.:. 5 2 12-30 10yr4/4 none sil lcsbk mfr gw if .2 .3 3 30-80 7.5yr4/4 none is Osg mvfr na na .7 1..8 Ground elev. 90.8 ft. Depth to limiting factor +Fto Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) PROPERTY OWNER Daniel C. Davis SOIL DESCRIPTION REPORT Page 2 of 3 =R , PARCEL I.D. # 030-1024-70 Depth Dominant Color Mottles Structure GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Trench 1 0-12 10yr3/3 none sil 2msbk mfr gw 2f .5 .6 3 2 12-22 10yr4/4 none sil lcsbk mfr gw if .2 .3 Ground 3 22-42 10yr4/ 4 none sicl lcsbk mfr gw if .2 .3 elev. 94.5 ft. 4 42-84 7.5yr4/4 none ms Osg mvfr na na .7 .8 Depth to limiting factor +84" Remarks: Boring # 1 0-9 10yr4/3 none sil 2msbk mfr cs 2f .5 .6 € 4 2 9-18 10yr4/4 none sicl lcsbk mfr gw if .2 .3 3 18-84 7.5yr4/4 none ms Osg ml na na .7 .8 Ground elev. 91-7- ft. Depth to limiting factor +841, FT Remarks: Boring # 1 0-12 10yr4/3 none sil 2msbk mfr cs 2f .5 .6 2 12-30 10yr4/4 none sil lcsbk mfr gw if .2 .3 3 30-80 7.5yr4/4 none is Osg mvfr na na .7 1.8 Ground elev. 90.8 ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(R.05/92) y STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. CSTM2298 Daniel C. Davis New Richmond, WI 54017 MPRSW-3254 sw4Sw4 S6-T29N-x19w (715) 246-6200 town of St. Jospeh lot #13-Deer Haven This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of the test may or may not be as shown as permanent lot lines were not established at the time the test was conducted. N 1"=40' BM.= nail in Boxelder tree @ el. 100' Alt. BM.= top of 2" pvc pipe el. 90.20' 9 ~wY' D r3 10- YYI 1a8' 30 l3 0' a- ~ off C'10 VC- Gary L. Steel 7-25-98 L NUU-2 J U4 -E 1 .50.00 - - 131,03( 253 " S00'27'Q4" W 50.00 ~p i 7, 9 8 -2(}760 420.26' 310.48' 674.98' '32'56"W 674.98' IAINA 43.29' :TENSN W.L. 914,0 + /u°` u4-l" 12 . 3.460 ACRES I 150,736 .SQ. FT. 13 06 Ln Lo 14.254 ACRES CSI i 185,287 SQ. T. 0 3.010 ACRES I- 131,113 SQ. FT, ~ . mss, 0 0 V) NCRES SQ, FT: /DRAINAG DETENSION L W.L. 888,0 X4.94' 222.68' 529.22' S8 *5211D//C 1226'92 SOUTH LINE OF THE SW1/4 UNPLA T T.ED LANDS