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HomeMy WebLinkAbout026-1296-17-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 563806 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: f~-` Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. I J G L Permit Holder's Name: City Village X Township Parcel Tax No: 3 71~ Z-1111 Oeverin , Kenneth J. & Am aro Richmond, Town of 026-1296-17-000 CST BM Elev: Insp. BM Elev: BM Description: 22 Section/Town/Range/Map No: I~ ly !~5 07.30.18.1548 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic A ooofii if rr Z I /tea Benchmark r Z . 9 /6L. Dosing J 1 Alt. BM 1066 F) ~ 11 Aa;aftn Bldg. Sewer r.- I a.~ 6^t'5'. 4_c. 26.1 72-77 Holding St/Ht Inlet 20,41. V.?. VIP TANK SETBACK INFORMATION St/Ht Outlet TANK TO , 1P/L WELL BLDG. Vent to it Intake ROAD Dt Inlet W ~ Septic -56 . Dt Bottom I 7 Dosing G D / A JA- / 321 Header/Man. Aeration Dist. Pipe Holding Bot. System 5. ~ c7- 7- S r ? 9/,5 PUMP/SIPHON INFORMATION Final Grade 3.L.~ Ric Manufacturer ZW.. / ` GP Aand St Cover) /t C S7 Model Number 6 ~7L,J 'Z7 .L, 3 r J4 =1 7 TDH Lift Frio` System He d TDH Ft z3.~ F 6m~ X_ P&, ia, gz ,~3 Forcemain Length Dia. Dist. to Well IVA_ 34 SOIL ABSORPTION SYSTEM BEDITRENCH Width Length NPIT DIMENSIONS No. Of Pits Inside Dia. quid De t_p h DIMENSIONS SETBACK SYSTEM TO C~ P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of s m: ~G q5 UNIT Model Number: DISTRIBUTION SYSTEM ~Je6 Header/Manifold Distributions / f x Hole Size x Hole Spacing Ve Air I e Pipe(s) O O Z U Length Dia Length Dia Spacing 32" 7- r SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over / Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil I s FE] No s 0 No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: B / 23/)_3 Inspection #2: / / _ Location: 1638 98th Street Wvj Richmond, WI 54017 (NE 1/4 SE 1/4 7 T30N R1 8W) Country View Ridge Lot 17 a Parcel No: 007.3018.1548 1.) Alt BM Description = h' U44, A S &U.J (./'~.a-~ - 2.) Bldg sewer length 3% D1~6 4,j 6k- amount of cover - / / ,3 d r.. a.QQ. ~ a v a Plan revision Required? Yes No d ~3 I Use other side for additional information. 1 ~j 3 SBD-6710 (R.3/97) Date In pctor's ature ~~11 Cert. No. PLOT PLAN PROJECT Oeverina Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017 NE 1/4 SE 1/4S 7 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX SYSTEM ELEVATION 99.0 BEDROOM 3 CONVENTIONAL AT-GRADE XXX CONVENTIONAL LIFT HOLDING TANK 1000 gallons DOSE TANK SIZE 630 MOUND SEPTIC TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 900 # of chambers none BENCHMARK V.R.P. Top of survey iron ASSUME ELEVATION 100' ❑ BOREHOLE WELL *H.R.P. same as benchmark ~EB. M. 97.5' Town Road 99.5' 95.5' B-2 2 acre parcel Scale = 1/4" = 10' B-3 14% Slope Grading is to be area 15' below done to divert system is to remai in run-off away undisturbed from sy3tem 98th St B-1 'del I is to meet al I WDNR set bac ks 98.5' tJ'' Tank is to be properly Pro 3 bedded and provided Bed roo m with lockdown covers House with approved warning I labels 50 Hu ffcutt Comb Tan 339' Property Line PUMP PERFORMANCE CURVE w PUMP PERFORMANCE CURVE PUMP PERFORMANCE CURVE SUMP 1 EFFLUENT MODELS LL 318", 112' & E FFLUEND MODELS CAPACITY 3/8", 1/2" & 314" SOLIDS PASSING CAPACITY 3/4' SOLI PASSING 1 az 1 MODEL 48 57159 72 76 98 1371139 140/4140 151 152 153 e1 Feet Meters Gal. Liters Gal. Liters Gal. Liters Gal. Liters Gal. Liters Gal. Liters Gal. Liters Gal. Liters Gal. Lters Gal. Liters 40- 1 5 1.5 29 110 43 163 38 144 50 189 72 273 93 352 8fi 326 50 189 69 261 77 291- 10 3.1 22 83 34 129 30 114 40 151 61 231 79 299 80 303 45 170 61 231 70 265 3 1z 15 4.6 10 38 19 72 14 53 30 114 45 170 64 242 73 276 38 144 53 201 K12 231 20 6.1 17 64 25 95 36 136 66 250 29 110 44 167 197 120 25 7.6 8 30 59 223 6 661 34 129 159 186 3 11 4186 30 9.1 - - - - - - - - - - - - 49 185 - - 23 87 125 _ _ _ 28 106 _ 42 40 12.2 _ 3 1 50 15.2 - 60 18.3 32 t70 21.3 10 90 27.4 - - - - - - - - - - - - - - - - - 3 100 30.5 80 24.4 13. - - - 110 33.5 - 2 120 36.6 - - - - 130 39.6 - - - z Shtff Hd: 18 ft. 5m 19.25 R. 5.9m 25 ft. 7.6m 23 fL7.0m 26 It7950 ft 152m ft 9.1 m 36 fl 11.6- 44 ft. 13.4m s 2 165 4165 i 7 22 a 161/4161 16314163 165/4165 18514185 186/4186 188/4188 189/4189 191 70 0 4183 Gel. Liters Gal. Liters Gal. Liters Gal. Liters Gal. Liters Gat Liters Gel. Liters Gal. Liters 2 100 379 61 231 . 61 231 58 220 145 549 145 549 45 170 93 352 61 231 61 231 58 220 140 530 140 530 45 170 1 161 189 85 322 60 227 61 231 - - 58 220 134 507 135 511 45 170 4161 4189 79 299 59 223 60 227 58 220 128 484 131 496 45 170 55- %N 70 265 57 218 59 223 58 220 122 462 125 473 45 170 i 140 414 62 235 55 .208 58 220 85 322 58 220 116 439 120 454 45 170 188 45 170 46 172 55 206 70 285 58 220 104 391 109 413 45 170 1 4188 20 76 33 125 50 189 51 193 58 220 90 341 97 367 45 170 4 15 57 39 148 32 121 58 220 71 269 85 322 45 170 - - 23 87 9 34 52 191 51 193 69 261 45 170 12 152 10 38 - _ 45 170 26 106 51 193 45 170 1 3 - - _ - 31 117 2 8 34 129 45 1To- 10- - - - - - - - - 16 80 - - 17 64 40 151 3 151 - - - - - - - - 4 15 - - - - 30 114 185 _ _ _ 20 76 4185 _ _ _ 10 38 2 56 fl.(17.im) fib fl.(20.1 m) 89 ft.(26.4m( 73 122 3m) 114 R(34.7m( 91 1I27.7m( 110 ft(33.Sm) 1378 41.Bm) 2 98 6- 4- 15 009922 10- 2 A CAUTION Model 185/4185 should not be subjected to 7 53.55 76 13~ less than 30 feet TDH. 57,59 139 NOTE: For Pump Performance on Model 112, Industrial column 0 10 zo 30 ao so so 70 ao so 100 no tzo 130 140 150 explosion proof pump, see FM0219. GALLONS LITERS 0 Bo 160 240 320 400 460 560 FLOW PER MINUTE SEWAGE AND MODEL 211 264 266 267 268 27014270 282/4282 284/4284 29214292 29314293 29414294 295/4295 F- w MM Gr Gel. DaL GY GL. G4 Ga. GeL Ilhn GY IYwa GY L'Yn Gl Gel g LL DEWATERING o v m° T! fg 1!, N2 p 1d ere 1! ut tRl !t! 1M we 80 la fro la see 24- 11 lo D _ _ _ _ D fb 1°! Y9 f21 e!! NO SGO 20 is7 22 ° m m ! ss 70 °p W 5! 20 65 slo,na.c~ _ _ fe alml_ _ l.1 21 -1.1 0 18 60 009904 = 55 ~ 16 50 z 0 14 45 293 2 40 PUMP PERFORMANCE CURVE 35 10 30 SEWAGE MODELS 3 25 2" SOLIDS PASSING CAPACITY "14 1, 282 6- 20 266.267, 270 4 5 10 2 5 A CAUTION 211 264 292 284 294 295 0 Model 293/4293 should not be 0 subjected to less than 15 feet TDH. 10 20 30 40 50 60 70 80 90 100 110 120 130 140 150 160 170 180 190 200 210 220 23 GALLON LITERS 0 80 16,0 240 320 400 480 560 640 720 800 FLOW PER MINUTE © Copyright 2003 Zoeller Co. All rights reserved. 6 tj . County f Industry Services Division Oro x 0 1400 E Washington Ave Sanitary Permit Number (to be filled in by Co.) P.Q. Box 7162 N." 4ti:._ ,X Madison, WI 53707-7162 60 ar rmlt Application _ StateTranssaction Number In accordance with S 21(: Adm. Code, submission of this form to the appropriate governmental unit ZZ 5 75 3~ is required prior to obtaTnShg a ssnitary permit, Noce: Application forms for state-owned POWTS are submittr•,d to Prn ss (if different than mailing address)- the Department of Safety and Professional Servies. Personal information you provide may be used for secondary or ores in accordance with the Privacy Law, s. 15.04(I)(m), Stats. J 1. _Application information -Please Print All Information Property Owner's Name ST ],arc #1✓ tile L2 &7 el~ Property Owner's Mailing /Ad - s PtDp ~(tcation ! / n o X o Govt. Lot YY City, State Zip Code Phone Number /VI y^ J 1A Section J 1?41 ) • ~ ( le on II, Type of Building (checli all that apply) Lot # - T N; R E o- I or 2 Family Dwel ling - Number of Bedroom ` Subdivision Bloc Name 6 Ia. V%- ❑ Public/Commercial -Describe Use ❑ City of-_--~ ❑ State Owned - Describe Use CSM Number ❑ Viik ge of 2. ! ~ >7_ ~ Town ur- - Ill. Type of Permit: (Check only one box on line A, Complete line B if applicable) T A. wS stem y Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. El Permit Renewal L~ Permit Revision ❑ Change of Plumber List Previous Permit Number and Date issued ❑ Permit "Transfer to New / Before Expiration Owrier IV. Type of POW TS System/Component/Device: (Chec all that apply) _ ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground At-Grade ❑ Mound > 24 in of suitable soil ❑ Mound , 24 in. of suitable soil ❑ Holding Tank ❑ 1 er Dispersal Component (explain) ❑ Pretreatment Device (explain)- - V. Dis ersal/Trea entArea Information: 1-1 Design Flow (gpd) Desi ~ Soil Application Rate(gpdsf Dispersal Area Required/- f) Dispe -sal Area Prop os (0) SysteL7K_Eleyatioju,- Vl. 'T'ank Info Capacity in Total # of Manufacturer Gallons _ Gallons Units 5 o b New Tanks Existing Tanks U 0 - - a U n n- i L7 a. W _~C r! c P n Septic aHolding Tank LY, ;ffiA Dosing Chamber 34) / VII. Responsibility Statement- 1, the undersigned, asst responsibility for installation of the PO'NTS shown on the attached plans. Plumbe 's Name (Print) Plumbe gnature MP/MPRS Number Business Phone Number t.,- a)t ~j YV-i 7 PI be ',QddStreet, City, State, Zip Code) r-Z 1, Zt-j, ~-~49 1 7 VIII. C of /De partmenc Use only pproved ❑ Per/m_it Fee D/ate 1 sued Issu,ng A t Signature ❑ Own en Reason for Denial f0~~' 45 IX. Condit~Irl easons for Disapproval 3> AJI ne4 ~m~ ptlo tank, Imubnt,MW arid UCtJ~(o ° dispersal cell must all be servtcea l maintat'ned at* Per management plan provided by plumber. 2. AN smock requirements must betf tteiw 4 / n , as PK code A- 4,te_ PA Attach to complete plans for the system and submit u the County only on paper no; less than 8 U2 x I I inches in I Gt.l'e. i n. e w j d'1~u3 Q ~'r SBD-6398 (80313) / PARTkgTQA DIVISION OF INDUSTRY SERVICES 141 NW BARSTOW ST FL 4TH s0 , WAUKESHA WI 53188-3789 Contact Through Relay www.dsps.wi.gov/sb/ www.wisconsin.gov o sgION Scott Walker, Governor Dave Ross, Secretary June 14, 2013 CUST ID No. 226900 ATTN: POWTS Inspector SHAUN R BIRD ZONING OFFICE BIRD PLUMBING INC ST CROIX COUNTY SPIA 1432 120TH ST 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06114/2015 Identification Numbers Transaction ID No. 2257535 SITE: Site ID No. 791678 Oevering Homes Please refer to both identification numbers, Country View Ridge Lot 17 above, in all correspondence with the Town of Richmond agency. St Croix County NE1/4, SE1/4, S7, T30N, R18W Lot: 17, Subdivision: Country View Ridge FOR: Description: At-Grade, 3 bedroom Object Type: POWTS Component Manual Regulated Object ID No.: 1432672 Maintenance required; 450 GPD Flow rate; 43 in Soil minimum depth to limiting factor from original grade; System(s): At-grade Component Manual, Version 2.0, SBD-10854-P (N.03/07, R. 1/12), Pressure Distribution Component Manual - Ver. 2.0, SBD-10706-P (N.01/01, R. 10/12); Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s. 145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: This system is to be constructed and located in accordance with the enclosed approved plans and with the At-grade Component Manual, Version 2.0, SBD-10854 (N.03/07), and the Pressure Distribution Companent Manual - Version 2.0, SBD-10706-P (N.01/01) oNoIT/ n Pp otVI In the event this soil absorption system or any of its component parts malfunctions sq~s AP 2®PpIIpA zard, the property owner must follow the contingency plan as described in the appro ~1; ~1 owner must comply with the operation, maintenance and monitoring duties as describpe gat-grade component manual. A copy of this information must be given to the owner upon co ono throject. Maintenance information must be given to the owner of the tank explaining 'ng of the filter is required. Access to the filter for cleaning must be provided per SPS 384 product a conditions. S~ A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. SHAUN R BIRD Page 2 6/14/2013 Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. Owner Responsibilities: • SPS 383.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. SPS 383.54(1). • SPS 383.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. SPS 383.54(4) shall be considered a human health hazard. • SPS 383.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sin y, Fee Required $ 250.00 This Amount Will Be Invoiced. When You Receive That Invoice, Julia Lewis-Osborne Please Include a Copy With Your POWTS Reviewer 2, Integrated Services Payment Submittal. (262) 397-6005, Fax: (608) 283-7481 WiSMART code: 7633 julia.lewis@wisconsin. gov Note: Effective January 1, 2012, all codes under the jurisdiction of the Division of Industry Services (formerly Safety & Buildings) will be modified. Code references with prefixes starting with "Comm" have been replaced with "SPS" to recognize the relocation of the Division of Industry Services from the former Department of Commerce to the Department of Safety & Professional Services. Additionally, all IS (formerly S&B) codes have been renumbered and addressed in a "300" series. For future reference, the Wisconsin Commercial Building Code will be addressed by SPS Chapters 360-366. RECEIVED Cover Page iN MAY 292013 QU67-Ry SERVjCE$ Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 5/25/13 Owner: Oevering Homes Location:NE1/4 SE1/4 S7 T30 N,R18W Lot 17 Country View Ridge Richmond System type: At-Grade Manuals Used: At-Grade Component Manual version 2.0 SBD 10854 (N. 03/07) Pressure Distribution Manual version 2.0 SBD 10706-P(N. 01 /01) Page# 1. Cover Page 2. At-Grade Plot Plan 3. At-Grade Cross Section 4. Pipe Cross Section/Pipe Layout 5. Pump Chamber Cross Section 6. Pump Curve 7-8. Maintance and Contigency plan 9-11. Soil test 12. Filter Specifications _ y yAIVD Shaun Bird j~ ,tly-S" V/CcS Signature l'f R Y S~RV/CE S License number 2269 7)R ESPOND ENCE PLOT PLAN PROJECT Oeverina Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017 NE 1/4 SE 1/4S 7 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX SYSTEM ELEVATION 99.0' BEDROOM 3 CONVENTIONAL AT-GRADE XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 900 # of chambers none BENCHMARK V.R.P. Top of Survey Iron ASSUME ELEVATION 100' ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark Pro Town Road Scale = 1/4" = 10' 2 acre lot 339' Property Line Pro 3 Bedroom House Tank is to be properly bedded and provided with lockdown covers with approved warning Huffcutt Combo Tank labels B-1 Grading is to be done to divert run-off away from system B-2 100.5' 14% Slope 99, B-3 Area 15' below system is 96.5' B.M.* to remain undisturbed 237' Property Line 1110. At-grade Sys-tt-m Sloping Site Cros,,,-, Sect'on and Plan View ~)irrrcrtsiot~ ft;a.~~ Yw.wY'LMw"LYw"w+"Y"w•'4"'W"`L•"Y•w•w•L"w•L"w"L"w•'L«w"w"w"w ~'L•'L~""•w°uti~'M""»•4.•"u"L S '1. w w•L"L« y f`. 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With Cap Fabric ~ - w•w• rtlrw r l t lateral lnv.'It Topsoil t,C wY,Y•w•w•w•wtlw•w•wtl tlwYwtlwYwYw»L+w»wtlw w Cap r.rYrtlrtlr•.r•r»r J~».r.rYrYJ'Yr.rY.rYrYrwr ,r. •~.r~,`.•,•w•w"w•w•w "Y ,w„wYwtlw.w»wtlw»~tlw w w w ~.f;~P•J';~r■J'Y~■,■YrY, , ~J' d`"Yr~J',Yr~r~r~J'„J',l Y" ~7' r J' r _ ,f ~r ; rwrwrwrw~ : 1. b~ rwru ' r~~ l t off tool L: w L w tl , ~~j'~~y`- ~.•w ~,w~ rwY YL ~ v+~j J i J' J' J' r ,rY,rtlJ•Y ~ ya:r ,r r r J r r•J r r P r r r ~"r•r *r ~.z„e.'j' <.c' - ~z~<. wow; ~•w w w » w Ltltl( ~C4G~~y'• 4k~~ 4 C"~c'~,~+`~ta.(k-4~`~~ <~`d~R~a 7~5l7l`iC-7[y"~-=~'~[<c?q 1 - ~l ✓titf~ K. Gk''l ~c s' y v i J i 1 l s.- - T l lcl In e(l ,LIT ldt < <k , < l) - - ' f ,..c~~.~ : pct ~~+,,C ti~~,i ~ ~.i+:~•~ Slope; Direction GENERAL tlh1STA]L,Y.,ATION., The at-grade area is staked oui along the design contour. F,xisling r egetation is snowed and raked off the site. The basal area (l, W) is, staked out and plowed with a moldboard or chisel plow. Plowing may not proceed il'the sod is wet enough at the plow depth to form a IA inch soil wire when a sample is rolled between the pax] _ns ofthe hands. The A_ x B area is covered by clean aggregate deposited overhead by a baclchol' Special dire musi be used When placing the aggregate to rninirnize compaction ol'the plowed sup Eace. After the topsoil crap is placed, the entire at-grade is seeded and tnulched to promote: vegetate , growth, limit erosion and protect front freezing. The observation pipes are perforated in the lower 6 inches and secured in place. 03/05 lgi Page___ of. Pressure .Lateral -,ayolit On.c Lateral .u~ L.nd Mani-hold I` ~4 -+L_...... Threaded CACEMOUt 1,ateral ~hn~~ ~up -----Ire 1'lu~ Force Mairl J-J `;weep 90 Bend - Presso-um Systo"rrt CrrrrstriuctiOn Y~isttrtkttttt~rn Irlt tvvar°flc S~~ec tit~a~tiotus )1z I atcral(1rih, ,-s strrr.cted ot'~ychf,dr.ile 401'VC are - are drilled 1wrperidict, lar to lateral Diarrleter -t the• pipe with,- i sharp drill b,i and Face down. ()rifice Diameter ltt. l t X (Urrl~ce acrrr - 1.~tteral iurn•.,kf)s terrrArntttc with a threaded - cleanow.. plr:dt and are enclosed ill a 6-8 im a L (Lateral 1,Lr th~ - Iri. _ Main Diamett,r__.-._ diameter la+ i a sprinkler valve box accessible Force Force, IVlairr from tinislico grade (wade 6-8 lrich Lawn ~ -I --A _ Sprinkler Valve 130): Page 03105 lgj Septic-Dose 'I"ank. Cross Se,(- Sp m-dicatio.tv; lank tvltamufat tracer a , 11rrrnicy 1V[etarrlrrr~ttYtr~r r( 1. aaugp Mltufel t`Jtartbr,r I rytdY TtlrkYC O1,pr4Crty y r+' fgi[~YYlr May, Y lky C.iE' ttl Alum "k r lblcrtlel NYtwrrhr,r Fillet linrrf u;ttrrer r, ' _ . Total Dyttatnic Reed (l 141) lec t Filter Model Number tAmVion [lead i }istwl Yyrr~e:3rtr~a , - K41nrr rtr.rrrrr frump r di )rrr uywe YYel r uir ed _ l'rrrr.e Nttttrr fJoNs TDH ToW, OYrtgarr I.VYaYrlaole l4irr. 4" Above Grarltt 'iiU iiir Ml [:ackirrg.l~lerticrw.. Inlet Manhole :rrtiYtrle lVlirr, 4y" A.t,orrk; Grade 6" Below G ade Sealed Wateitigytit Sei:rtrrfiy mounted With h r l:tlori[cirr~ Device, `'r t'"irrishurl Grracitk 4 J YYau L 6'[ww JJWJ •ea,i yv:/ !by L$Y1 1... , rJrrYlt l'ifrrY 12" ~ T A.ifm trradc - - - l)rvc ottrtt:c is with 1,"mrt t".ulr - meiakys vL Y.• + v~/'; WJt"H'V"Vy'I'6`Y"'HtYV'pe- VLi}v 1~• > f D } Y 4 n D~6V LH~ 4 'Y~i~ ' } i d I tl L IvD b 0 4Dr~ v"d°•V•'M°Y'•V"Il'Y~v"YV' ° vltl J.$.Y~Sa.J 6N.»JI.LL vY • I D v} b t l 4'b /V Y I ~ V L V 1 L Y L -H- ±L/ rL ° ,bile, B Me orb. ~ ~ , Y. tl' 1 1o i~ 1 IL S' witc lr Sutt u s wid tl v i 1 let,er yr Catur;rt - - . tll+ a 1 un Volumv C1.141 D ~!y weep iitltensirrY •11 ti' Yl➢.kJ11VLS tl CllMlilrJ H ~~(e~-l y In I JL > 1. (r eservr;) P41 l Z i :e ~ rDtr. .y ` I (alai `I Y ,1 X. +w..-.a_..•N a~..~>..~ L IND. {..l j1.4 YRVLb~'~r~Z 'a L° y >Y vL (dose) Cl; 1,. (dead) D Bottom Vidioll 1 V> .-}.y l' /1~ L-Y-L iK 'T 1 YT b IJY~7~Fiy-IdIT'1~1-Y-b u 4'T bL.G L'L ~'''h~'1 Lid 1 / / 6 / 1J> MLr.•'t. 1 1 t'tl'1~1 11 0 > 'a 1 1} tl Jn!'YYJV! V D i f 1 htli Y 4 Y Y n I Y 1 V D V L i l Y k l V D' 'V• a v ~ "•"'_""i 4. 4 • u C V t V d V V V G V f it lVi~l V'JY{YVI LLR-L ~k ~i !-1 - }~T`4{ 4 Y'{""J.II~d) I°V~ L,Ll..Y_ _-L-4_L..L_L. I- 1 J{ d1i-L3»LY.Y.3.1_1.5.1 ~ . L 1 1 V L'Y . D i Yi LPL i Y L V L> L L e r> 1 1•> v>w..i..1,11.1.L.Y.J_ .k:1.1+Y ~Y~k.JC.2.Y_f..tl..k:L_L.°1.1J`Y JLV f < LYJ>' 't'J ' 1 J i V 1 . '"VY' ' ' ° D I'L" , , I..Lk-Ui. Ay„k_~~•+++wYrL GIEN')ER.At, INSTALLATION, Tht, suptio/dum ttrn&: is trucide and back trllod irk accurduisce witl rnwnutacttjrar°s product upprc-)vrtl 61mcifirlOtiarrh, MtLKhrrtirrr dainth of bul) as Ispboifi+etl try tine Yaaartt timtrtrer may 1k tit be exceeded without trt"ior Aplwovat° 1VCunhole COvu •ki Vxpcrsred to grade 1,1uve an Offoctivu g dovice (lyrr(llat;lr.) imtallecl. :'Pipings tit the inlet aattt Outlet is of approved trrutedul, uonne(jtrft to the tarrlt With watertight i ttirtg s, anoII laaid off stAlo soil to prevent; settliarg Or Raggitrgy, Thu t4rue rrtairr is sleev-i-cl with 4" L` ch. 40 PVC, to blidp, tale tank O"dva"c"k Hard the slve" is sa Oud 'wutc tig ht, Electrical service (trrrtplim with 1 EC, 300 and comm 1 6.24, 02/05 L.) PAW of- i _ I W=st WW" 1. SEN-40 Series 44/10 hp Submersible Effluent Puttipy 3/4" Solids Flow -Liters/lUtirxrty 0 50 -100 150 200 ~s9 300 Govul Lpoxy-coated cast iron 35 - - M6to Hcrosih Epoxy-cOateri°cast'Iror1 31) U Inipr::i er Material 'Thennopiastic F:lastorner Z5 Xrnpr~l ~r ijre 11Un tog ~ 20 •r w VolUrc Epoxy-coated cast iron :i -!pwr~irdlS~ SJTW 10 4 Mau'), finical Shaft Nitrilo with carbrxi and ' Goal cer'an"ic faces ' •l E St j! r®r„ Stai iluss steal . `steel 0 20 40 6tl g0 Fl Gaibns/Minute Uppar;sint rc~d 14ear r gs laevea . and 10Wer mall bearing 1 ~ IISS.~~ _ _ _ 1 I SV:iN--4(1 specifications e e • • e e •i e • .1 fool SEN-4o 569211 411 1115 I 1 1/2r~ 1 NPr g/020 eo 7d so 4~ 2s 52 '4 zo 2b 5 1750 SER-40 c~5{Is27~ :quo` its F1 i/~,~~N~.- ~ 9/~~i1 sp ~rlk ' 60 a sz 5092,13 4/-1() 11 1 -1/2": rNp 1 91990 80 70 60 4b, 14 20 ~ull"Ir~t1 1F 50 u14 }'41d 1750 , 115 I ,1 1/2 MNPT 9/92Q 10 6) 45 ti 32 14 SUa 28.5 1750 L%50 1A Franklin F-Jectpic 400 East Spring Street, Bluffton, IN 467'14 Form: 956199 7-11 7eI: 260.824.1900 u Pax: 260.024.2909 vvwvu.trarrklin-electric.coin N'`OV41t` S OVU'NEWs PAA NO AL & M AKAGEMIEIV°r!' PLAN 1,. ~rL~ ltvrrol~npArlOnr " t~nol Ucf Owner, - pC z 'Ik dpdclty dye - oj . VI ti e r, r' c r d~.w ' 'rte c NA Septic 1 rok MarodactlOHr 3ESIGIV t~At2AWI T~t3> l d-!,_z' _r Cc"c `r`" ! f N/1 Effluent l filter 1Vlanutaetiur3r Number of Dedrooms IJ NA C:1 NA ! fflr.lenr I alter iUlodel Number of Public f=au;ility Units - ] NA - NA turn f, l i k Capacity i Estimated flow (average) t t NA ! urnp f rrrk Jvlariufactui@r ' Design flow (freak), (tstirnated x 1.5) ,fe - t~ ! 1 Nfi i 7 I rurri - r. aUda 13 lUldi iufacfurr3r ~ y - Soil Application Rate r 1 I NA Purrrp Model _ Standard intluerrt/=ffuent CualltY Monthly avcara F VA de I',E3treatrrFant Unit T~ Fats, Oil & grease (FOG) 5Z-jo rng/t.. NA C3iachernical Oxygen Demand 1:1 5andlr; duel Filter t:J feat Filter (14006) :220 rrrg/L. ❑IVA 1-1 IVlechar ical Aeration 0 Wetland I-otal Suspended Solids (F°SS) :s'1 bC) me /l._ Pretreated Effluent c7ualit IJ Disintec loo ll Other: Y iUlorrthYy - average Dispersal (,ell(a) _ Biochemical Oxygen Demand ~C~Opb) s3F) hi /i•, g 1.7 ln-Grorrir171 NN 1 otal Suspended Solids {1 ASS (gravity) CJ Iri C3rotirrd (pr'essurlied) ;iC)rng/L °IVA ~t-GrarIi Focal Ccliforrri (geometric mean)~ Clt rfu/'I UI)nrl C.f iVlound - IJ [lrip l lnar - IVtaximurri !(fluent Particle Size U Other: %fi in di~i. 1 Other. C~thc~r: _ _ f 11Vk LP NA othdr: _ "Values typical for domestic wastewater acrid septic tank affluent C J NA Other, l V/IAINTENANGE SCHEDULE ' Service Event TAI5 i vlce Frequency dnspect condition of tank(s) orIn0 ce evE'ry ( __Ay s IUl~rxirrruni urn's) ! 1 NA Pump out contents of tank(s) mbined sludge and 6c urn r, duals one-third of tank vr~lUrne F 7 NA iinspecl dispersal cell(s) once every (Maxirrrurn ~3 yvar-.) l I IVA can effluent filter ce ry i,is ect um LJ i p p p pump controls alanvr VA nce cavery I nrontlr(s) year (s) l NA Mush laterals acrd pressure test At Feast Once every C:J month(s) _ ar s -1 NA At least once every 17 mor7th(s) 7ther: =1 NA i--k El NA MAINTENANCE- INSTRUCTION$ Inspections of tanks and dispersal celis shall be made by an individual carrying ono cf the following IiGenso,,i or certlticatiolts Master riter IPlUmber; Master Plumber Restricted Sewer; POVV'rS 111spector, POWTS Mall-itainer, Soptage Servicing) Operator. "l"ank inspections rn1 ` iinclude a visual inspection: of the tank(s) to identify any nrissirig or broken hardware, deritify any cracks or leaks, measure the volurne of G101"bined sludge and scunn and to cl-ieck for any flack up or panning of effluert on I tai ground surface. Tht, dlaperrial cell(s) shall be visually inspected to check the effluent levels in the Observation pipes and to ubeck tai any porrding of effluent on the ground ::urfric:u. The ponding of effluent on the ground surface may indicate a failinU condition anc requires the immediate notification of the local I'aqulatory authority. When the combined accumulation of sludge and sctrrn in any tank equals one-third (Y() or more of the tank volurne, the entire contents of ►he tank sliall be removed by a Septdge Servicing Operator, and disposed of idi accordance with chatter NR 113, VViscorisin )administrative Gudo. INI other services, including but not limited to the servicing of effluent filters, mectianlc rl or preatMdZcicl comporients, pratreatinent units, rand any servicing at intervals of 512 months, shall be pertorrried by a certified POWTS Iln,rintainer. A service report shall be provided to the local regulatory authority within 10 drays of coinptation of any service event. 3'rA3RT UP AND OPERATION Page.__-..__, of__ . For new constnrctfan, prior to USO Of the POWT-S check treatment tank(s) for the Inasence of painting products or, other chemicals thElt may impede the treatment process and/or dam ig;e the dispersal cell(s). If high concentrations are detected have the contents of thy: 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 surlFae;e.. During power outages pump tanks may fill above normal highwater levels, Wher i power is restored the excess wastewater will Elie discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluenlt, l'o avoid (kits situation have the contents of the pump, tank removed by a Septage Servicing Operator prior to restoring power to thie effluent pump or contact a Plti nber or POWT5 lWaintafner 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 riot drive or park over, or othennrise disturb or compact, the area within 15 feet down slope of any mound or at-grade soi absorption area. Deduction or elimination of the following from the wastewater strearn may improve the performance and prolong the life of the POWT:13: antibiotics; baby wipes; cigarette butts; rondon rs; cotton swabs; degreasers; deri(O floss; diapers; disinfectants; fat; foundation dralin (sump purnp) water; fruit and vegetable peelirtgs; gasoline; grease; herbicides; meat scraps; medications; oil; painting productls; pestirldes; sanitary napkins; tampons; and watt:, sof enei- urine. ABANDONMENT When the POWTS fails and/or is permanently takon out of service the following stepF shall be talcen to insure that the system is properly and safely abandoned in cornpliance with chapter Convo 8 3.33, Wisconsin Administrrtive Godw Fro All piping to tanks and pits; shall be disc-3nnected and the abandoned pipe openings sealed. The contents of all tanks and pits shall he removed and properly disposed of by a Septage Servicing Operator. After purnping, all tanks and pits shall be excavated and removed of their rovers removed acid the void space filled with s(i il, gravel or another inert solid material. t: ONTiNGENCY PLAN If the POWTS fails and cannot he repaired the following measures have beer, or must be taken, to provide a code c;ompliViat replacement system: 6-1 A suitable replacement area has beeii evaluated and may be utilized for titsa location of ;I replacement soil absorption syste.Irn. i tie replacement area should be protected frorn disturbance and compar;lion and should not be infringed upon by requiiled setbacks from existing and proposed st,'Mture, lot limes and wells. Failure to protect the replacement area will result in the ricled for ra new soil and site evaluation to establish a suitable replacement area. iteplacement systems must comply with the rule:l in effect at that tine, rl A suitable replacement area is not available dire to setback andlor soil limitations. Barring advances in PO1fWrS tec.hnulogv a holding tank may be installed as a last resort to replace the failed POWT& The site has riot been evaluated to ide4ify a suitable replacement area, (.II on failure of the POWTS a soil and site evaiuallion must be performed to locate a suitable eplaceirtent area. If no replacement area is avaiiable a holding tank may he installed) as a last resort to replace the failed NOWI'S. Mound and at-grade soil absorption systems may be t'econstructed in plac . following removal of the hiomat at the infiltralive surface. Reconstructions of such systems most comply with the rifles In efftwl at that firrio. <<WARNI NG;>,>, SEPTIC, PUMP AND [OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASHIES ANt:)/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEp"f Ic., DUMP OR OTHER TREATMENT 'TANK UNDER ANY OiRcum t-ANC ES. DEATH MAY RESULT. RESCUE OP= A PERSON FROM THE INTERIOR OF A TANK WAY BI-- DIl`FIGULT OR IMPOSSIBLE"' ADDITIONAL COMMENTS - Pow"rS iNS`fALLER POWTS MAINIAINER Name /d c v`im' ✓ Mama Phone t'hnne~ ~ej Sr:PTAGE SERVICING OPERATOR p~ UMPEFt LOCAL. REGULATORY AuTnORITY ames r', ~~..e.._.A....,.....,...~,~ i.,_.,... Jl t_ Y r G t Nanie N - -c Ph rip c flue. document was drafted in compliance w) e~ J Phone " ith chanter S:3S 383.22(2)(1,)(1)(d)&(f) and 383.540), rs (3), Wiseonsin Administrative ("ode. i Fn,.,T.ER Installation `T v ill x br'y fit the rllea' ca-o, nptil the ealrd o i y e:C'lTtel'HA of tllr AAtIt1A.k Ripe t'el wrer:ure it' is l under thrtt c8xz5 of►enfrYfp fy ligt, Ciur~n rail:her irltiwrt rrlgrw Ilirae tank (ilri)Yitih the into thre Olrtitat: rir sgiueM A,lAefd X41 Pipe- etlgl lal pore tlntn then nutfel z::•E_r- While tile case is still dry fitted on the nut:let-. ilipr, meaasur'c the lenclt.h of 'Iri-inch pier neestir_al ira bY'ac:e the flker to th•s, t ill, Aend wall if utilizing the utltional supplemental sid* support, If side. s;lllpttrt Medi vj is hat utilized, proceed tq Step foils" ' i':P 'x For installations utilk in solvent weld the 3/ -inch pi Iae n q flle trptkrnR 1 sUpplr?A»r•ntal :vide supparl e oiver)t proceed Vtrk . stert Four. I onto tile filter if r.icle; Support enrr.Ftcx1 is not F Solvent WW() IJIQ filter cars: utltu file ei.tftfet pipe. tnt<lrtt the: filter ('art:ridgrt inf:u they EaSe, pl'es,ing dawn WAR tit'? filler locks: into the hottmtn of the casa. 7f it AS switch is e.ttilized_ insert iutc dl, fitter ziixl lorh hy turning Clockwise 90 mal"teraanuce 1. The effluent filter s1.1(juld be clealled every tittle the septic tarn( hS sAarvh:ecl.. F. Opcq tale outiet ;ice-ess opertdmi to inspnct the tank arid tFh'er, i. iltimp the septic: tank comfilutc!ty, making to r'cqnAove the :Audgta a layer un the hgttatil of 11m. tank and not jusl: the scum) and effluent. ti. onl:e the efflw-rlt level har t)Rpq lowered hulnw the inve.rl oatiek pipe, tlrml y Plill tit, -it the filter hander. to dislnrf9e the Cartridge fror» tire ra:tS e*.. S. Slide: the cattridcle lip mid tort of the r:ar:e far' clealiincl. ii- if a 1/RS switch cutlne cte'd to ins dial, 1.11 Is pruseall, ~*Y} tihcluid tie removed fly tilrnRrul r-gUR'Itere:learkt'Jisr: !lparid cleaned e~ • h with waiver only. a'• i'. While huldiog file cart iclue nn its side (Iaiu&, ifat srrrfaA e f,ar.ing down) over the acress upening, ritise tiff 1:110 i,al • :!1:• only, makitig sure all seplage material is link -eat bark Itlto the. lkcs k. R.. If VR5 switch is Rltiiized Iepface by inserting into filter and turning clockwise 90 - i, 111sett the title? cartl-itlpw hacfc into the case,. plessirty dawn until ej, file filial docks into 11m hold,ni of th,s case, i.0. nernarn and secure the. acres:; weninri an tfvS tarn(.. are 'lA1`iA W 1)AyiAlfllil Aj.1iNlt.(''xflxKA $17` -,MF1.`CTC'P_% (653- 112.4-4 g,3 5. 306- 1 3 M a~xA ~ ~ " 56.0 Vt ti gryn. ~ ~ Sp i 'f 4 ;n Setbock v p i S 4 M~ x f. 4 t P f l 4 i 4 16 t 21 sq. f L 00 )D ocres 7s 1 3 sq. ft. t Y 2.000 ocres 16 ° s 0 -00 I 700'(D cv o; > 23° 4 56 R pi *3~ 30.80 17 @2 Y~ .Clq A . +w. nn.as ...vn ...i 0 19 371.E ST. CRO.IX COUNT' SEPTIC TANK MAINTENANCE AGREE EMENT AND OWNERSHIP CER.TIVICATIQNFOR1V1 Owner/Buyer g__._. r Mailing Address -Property Address 3 L ('Verification required from Planning & Zoning Department, .far new construction.) City/State Parcel.1denti:Ccation Number Qo2 LEGAL DESCRIPTION Property Location r/4 , Sec.77--, C' N Ct_1 9%,, Town oJ' - Subdivision Lot # Certified Survey Map # Volunt Page Warranty # _____---------------------------------------____-_9 Volumc; Page # . Spec house (±D-1to Lot lines identifiable Ono SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic systern could result in its premature failure to handle wastes. Proper maintenance consists of purnping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the firn.ction of the septic tank as a treatment stage in the waste di; posal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter :l2 St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed. by the owner and by a master plumber, journeyman 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 1 /3 full of sludge. I/we, the undersign d have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Departmert of Natural Resources, State of Wisconsin. Certification stating that yorir septic system has been maintained must be completed and returned to the St. Croix County Planning & Toning Department within 31) days of the three year expiration date. I/we certify that all statements on this form are true to the best of mylour know1c.dge. I/we ant/are the owner(s) of the property described above, b.j virtue of a warranty deed recorded in. Register of Deeds Office. Number of bedrooms----- _ 14113 - A1GNATU?!, OFAPPLICANT(S) DATE ***.Any information that is tnisrepresented inay result in the sanitary permit being revoked by the Planning & forting Department. Include with t1lis application. a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) 119111101111111111111111 lll 1111 Ni11111111111 * 0 5 7 1 2 900571 STATE BAR OF WISCONSIN FORM 2- 2000 BETH PABST WARRANTY DEED REGISTER OF DEEDS Document Number ST. CROIX CO., WI RECEIVED FOR RECORD THIS DEED, made between Country View 07(22/2009 08:00AM Wisconsin limited liability company, Grantor, and =Oeverin WARRANTY DEED and Amparo K. Oevering, husband and wife, Grantee. EXEMPT I Grantor, for a valuable consideration, conveys to Grantee the following REC FEE: 13.00 described real estate in St. Croix County, State of Wisconsin: TRANS FEE: 541.80 PAGES: 2 Lots 3, 4, 11, 15, 17 18, 22, 25, and 26, Country View Ridge in the Town of Richmon t. Croix County, Wisconsin. Recording Area Name and Rqtum Address: Oranzo O Bring PO Bo 79 New ichmond, W154016 See attached addendum Parcel Identification Number (P" This is not homestead property. Dated this 6l"Y"day of ~`b 12009. Country View Ridge, LLC, a Wisconsin limited liability company * BY: (fZlto jZ47) DEj)EjQhA-- * By: AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) COUNTY OF ST. CROIX ) ss. authenticated this Personally came before me this day of the above named Country * View Ridge, LLC, a Wisconsin limited liability company to TITLE: MEMBER STATE BAR OF WISCONSIN me known to be the person(s) who executed the foregoing (If not, in nt acknowledged the same. authorized by § 706.06, Wis. Stats.) klu THIS INSTRUMENT WAS DRAFTED BY Robert L. Lober Notary Public, Stake of Wisconsin Loberg Law Office sw/ SFA7235 MY commission is permanent. (If not, station dv . (Signatures may be authenticated or acknowledged. Both are not necessary.) `JJ 'Names of persons signing in an ca city be ~f y Pa typed or printed below their signature `r)►~TE WARRANTY DEED STATE BAR OF WISCONSIN FORM No.2-2000 1 of 2 f ~ phh o o 2L7S £ ~ $ a> cn g5pp p p! {t Oo~ ~9S-n1E J III ~ _ how Il~~l.lil r~=_ l mo=w N y J C, NZZ I '1 t I I" ' ~ II Ll. li f I L ~I ~1 I III I~~ I I ll I ~ ' ~}itm t J~I [ I~ 1 I 111 ~I I = IIIj~ li~~ll~l I~ ~'I I~b~lll it q I ~ _ ~ I it li` hI'I I!~ 1 ~ LLLI~ 4=? f'~li ~ _ I - ion I I i rrtl• Ililll lid. f I" ~ t IIU'~lIiII ~ I i I I~L .LI~ ILu1 - ~ I k i rr Q~ IATI I II ;j f~ - - - Ld ~I I I sits I I ~ ~ I j tl I _ I I •I I I 1 I I F I I ~ I ' I e i I I I I I I ti I 1 I gggn~ I s„< s-mil 04 1 I b I I I I _J I H, 8 3F`6 E J y g s ii r. 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X include, but not limited to: vertical and horizontal reference point ( M), di lv ct. Pa LD. ~J2&- Please percent slope, scale or dimensions, north arrow, and location and istance to nearest road. G' print all information. s,.oQ , Revi wed by Date 1i 15 r Personal iMortnaGon you provide may be used for secondary purposes (Pri cy Law, s. 95.04 (1) (m)). Property Owner p, ev a /1 7(/ j A -e_ ~ rNI G 1A S 71 T 36 N R/d E (o W Propegy er's Mailing AddrKs Lot # Block # Subd. Name or CSM# Box City State Zip Cade p C' ❑ iiliage To Nearest Ro d New Construction Use: esidential /Number of bedrooms Code derived design flow rate J^ZJ GPD ❑ Replacement ❑ Public or eraal - DD scribe: Parent material Floo r~-ele on if applicable r7/~ ft. General an recommendations: 5' ' Sie A 49-v M Boring # Boring Pit Ground surface elev. Al I ft- Depth to limiting factor Z in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell / Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 •Eff#2 / Z 7- 3 S Os "7 Boring # ❑ Boring / ® J~ojt Pit Ground surface elev. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. •Eff#1 `Eff#2 61- -c2 C Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 -Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) rtytce~- CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54 17 _ (;;o 715-246-4516 I 1 Property Owner _ Parcel ID # Page of ® Boring # Boring ^ V' Pit Ground surface elev. ft. Depth to limiting factor rn Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ~Z-3 o s/ k c 70 7.5 r - S,4 v M 1 r►-r - n-, t'-- F-1 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil igtion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil ication Rate Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPDAf in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BODE > 30 < 220 rng/L and TSS >30 < 150 mg& ' Effluent #2 = BOD, < 30 mg& and TSS < 30 mg1L 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. SOD4330 (8.60) r , ` Soil Test Plot Va Project Name Country View Ridge LLC Address P.O. Box 176 New Richmond Wi 54017 00 Lot 15 _ Subdivision Country View Ridge Date 5/20/05 NE 1/4 SE 1/4S 7 T 30 N/R18 W Township Richmond r-J Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Survey Iron/Nail System Elevation 100.5' *HRPSame as Benchmark 339' Property Line 50' B-1 35' 100' 100' B-2 10' 100.5' 14% Slope 50' -3 Scale is 1" = 40' unless otherwise noted * 6.5' B.M. 237' Property Line