HomeMy WebLinkAbout012-1076-80-120
County: St. Croix
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM c°u"
Safgty p id Buiding Division INSPECTION REPORT Sanitary Permit No:
572861 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 A Township Parcel Tax No:
012-1076-80-120
Voorhees, Geoffrey Erin Prairie, Town of
CST BM Elev: Insp. BM Elev: BM Description: SectionlTown/Range/Map No:
f ~J +AVI / v Y~\ J+- 36.30.17.556A20
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark l
Dosing Alt. BM
i
Aeration Bldg. Sewer CZ
1-11-5 St/Ht Inlet 5
1111.4- Holding
SUHt Outlet i
TANK SETBACK INFORMATION )N f3`J;
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet
Septic Bottom
Dosing Header/Man.
Aeration Dist. Pipe
Holding Ula, Bot. System j
'~(p 1 1Q lit "I Final Grade i
PUMP/SIPHON INFORMATION
Manufacturer and St Cover
GPM /t
Model N tuber I d JV l ~~n J`~Y17
Fric
tion Lo System TDH Ft 4- d tP
2L~
Forcemain Dia. Dist. to Well j h ha-f` 5S )03
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS
SETB K SYSTEM TO P/L WELL LAKE/STREAM LEACHING Ma rer:
INFORM ION CHAMBER
Type Of System: Model Number:
DISTRIBUTION SYSTEM
x Hole Size x Hole Spacing Vent to Air Intake
Header/Manifold Distribution
Pi e s
Le Dia Length
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only ,a Mulched
Depth Over Depth Over xx Depth of xx Seeded/Sodded
Ce"to[_._ Bed/Trench Edges Topsoil Yes No Yes ~ No 71
Bed such Fa [wt
red/ Trench
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #02- /fig / 1 Z Inspection #2: / /
Location: 1246 Hwy 63 Baldwin, WI 54002 (NE 1/4 SE 1/4 36 T30N R17W) NA Lot 1 { j Parcel No: 36.30.17.556A20
1.) Alt BM Description =V/P( I"u - I, ,'Jylrnth ~ ~ n k- Py C_ -D ev
~(K
= ` Ck. @ "a"n dov-w PC,,,
t 1
2.) Bldg sewer length RS U
-amount of cover = ~ ~ I
Plan revision Required? FE Yes No
Use other side for additional information. C/ sepctor's Sign ture ~~JJ Cert. No.
Date
SBD-6710 (R.3/97)
o~"aT'set County
Safety and Buildings Division ED 201 W. Washington Ave., P.O. Box 7162 St. Croix
P ~ V,;. Mad' I 7 7162 Sanitary Permit Number (to be filled in by Co.)
a
°~sarotisati~ ' ' 4 A+-H 672qept
L
0 ~fc,rmit Application State Transaction Number
In accordance wi M6Oksubmission of this form to the appropriate governmental unit Na
is required prep M`oNt ing a sanitary permit. Note: Application forms for state-owned POWTS are submitted to Project Address (if different than mailing address)
the Department of Safety and Professional Services. Personal information you provide may be used for secondary
purposes in accordance with the Privacy Law, s. 15.04 1 m Stats. Same
I. Application Information - Please Print All Information
Property Owner's Nam Parcel # 01Z _ 7(d Vf Q -/Z
GeoffreVoorhees ,Ql')-l2ZG-59'900
Property Owner's Mailing Address Property Location
1246H 63 `
City, state Zip Code Phone Number Govt. Lot
NE '%4, SE ''/4, section 36
Baldwin, WI 54002 (715 928-1238 (circle one)
I~11 TTY of Building (check all that apply) Lot # T N; R 1 E or W
ICJ 1 or 2 Family Dwelling -Number of Bedrooms Subdivision Name
. ~ c.~L ~y~ Block # 1 Na 11 ❑ Public/Commercial - Describe Use
Na ❑ City of
❑ State Owned - Describe Use CSM Number ❑ Vill f
! Vol. 12, Pg. 3493 ` Of Erin Prairie
III. Type of Permit: (Check on one boa on line A. Complete line B if applicable)
A. ❑ New System PIG-placement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain)
Move existing holding tank
B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued
Before Expiration Owner
IV. Type of POWTS System/Component/Device: Check all that apply)
❑ d In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil
olding Tank Other Dispersal Component (explain) ❑ Pretreatment Device (explain)
reatm nt Area Information:
Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation
450 Gpd Na Na Na Na
VI. Tank Info Capacity in Total # of Manufacturer
Gallons Gallons Units
New Tanks Existing Tanks c
01 u w~
Septic or Holding Talc 3,000 Na 3,000 1 Wieser Concrete X
Dosing Chamber
VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans.
Plumber's Name (Print) Plumber's Si a MP/MPRS Number Business Phone Number
OO
Dale Hudson MP 220853 715 684-3378
Plumber's Address (Street, City, State, Zip Code)
820 Main St., Baldwin, WI 54002
VI oun /De artment Use Only
proved ❑ i p d Permit Fee Date I sue Issuing t Signature
❑ ivcn Reason for Denial $ C Q ' UC3 r Z l
Ix Conditions of Approval/Reasons for Disapproval
iAGi _ Lk- usi 6-A Sic 1'~_5"Ae
Attach to complete plans for the system and submit to the County only on paper not less than 8 1/2a 11 inches in size
SBD-6398 (R. 11/1 1)
t
CONCRETE HOLDING TANK DESIGN
Single Tank Option
INDEX AND TITLE SHEET
Project Voorhees 3 bedroom Residential Holding Tank
Owner Geoffrey Voorhees
Address 1246 Hwy. 63, Baldwin, WI 547002
Site Address: Same
Legal Description NE1/4 SE1/4, Sec. 36, T. 30 N., R. 17 W.
Township Erin Prairie County St. Croix
Subdivision Name Na Lot No. 1
Parcel ID Number 012-1276-80-000
Plan Transaction ID Number
Index and title sheet Page 1
Holding tank specifications Page 2
Site plan Page 3
Maintenance and contingency plan Page 4
Holding Tank Servicing Contract Page 5
Holding Tank Agreement Page 6
Waranty Deed Page 7
Attached Soil Evaluation Report Page 8
Designer Dale Hudson t~
Signature _ Cal,., G t Wa-~~ Phone No. (715) 684-3378
License Number Dep't of SPS Credential #220853 Date 11/17/14
Designed pursuant to:
Holding Tank Component Manual For POWTS
SBD-10571-P (R.6/99)
Version 4.0 (04/03) Pagel of 8
HOLDING TANK SPECIFICATIONS
3 w ;Number of bedrooms
OA ;Non-residential estimated flow (gpd)
2000.0 Minimum holding tank volume required (gal)
3000.0 ;Proposed holding tank capacity (gal)
;Wieser Concrete Tank Manufacturer
W3000-MR - F~ _ Tank model number
JH Rhombus Alarm manufacturer
'SJE 1011421 Alarm model number
Tank Dimensions and Data Tank Anchor Calculations
?X for round tank :24827~Ibs Weight of tank and cover
53.0 Liquid depth below inlet invert In 1.50 Safety factor 11 20611.0 ,Maximum de th of soil cover (ft) s Weight of anchor required
71.0 Height (in) Outside tOT 56.3 Soil cover req. for anchor or
186.0_ `Length (in) Dimensions yd' Concrete counter weight
u 93.0 lWidth (in) Only
HOLDING TANK CROSS SECTION
manhole cover with
- locking device and finished vent cap
junction warning label grade
box ~
7- a!" min. 12" min.
24 in.
Manhole and vent locations vent pipe
conduit
18" min.
inlet
building sewer
service ~ 12.0 in.
blind plug alarm on Note: All tank joints, and
to seal joints between tank
outlet openings and piping are
Electrical as per 41.0 in. sealed watertight. All
NEC 300 pipe and vent materials
and Comm 16 comply with Comm 84.
3 in. bedding under tank. Tank is anchored as necessary to negate buoyancy.
Project: Voorhees 3 bedroom Residential Holding Tank
Transaction Number: Page 2 of 8
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P9.3 0{8
HOLDING TANK MANAGEMENT PLAN
This Private Onsite Wastewater Treatment System (POWTS) has been designed, and is to be installed and
maintained according to Comm 83, Wis. Admin. Code, the Holding Tank Component Manual (SBD-10571-P
6/11/1999), and the St. Croix County Sanitary Ordinance.
1. This POWTS is designed to accommodate an estimated domestic wastewater flow of 600.0 gpd.
2. The owner of this POWTS is responsible for system operation and maintenance, including all provisions in
the attached Holding Tank Servicing Contract and Maintenance Agreements.
3. Each time the wastewater in the tank reaches 90% of the tank(s) capacity or a level of 12" below the inlet
(at which time the alarm will activate), the pumper listed in the current Servicing Contract must be called to
empty the tank's contents and dispose of them in accordance with NR 113, Wis. Adm. Code.
4. At each service event, the service provider should visually inspect the condition of the tank, risers and
manhole cover(s) and verify that the alarm system functions and manhole locking devices are present.
Discrepancies are reported to the owner in a timely manner for corrective action. All corrective actions
shall comply with the county sanitary ordinance and Comm 83 and 84 Wis. Adm. Code.
5. All service events or inspections of this POWTS shall be reported to the county within 10 business days.
6. The owner may not remove any of the wastes from the holding tank(s), or cause such wastes to be
removed by any person not authorized to do so under Ch. 281, Wis. Statutes. The discharge of wastes
tank to the ground surface, including intentional discharges and discharges caused by neglect, constitutes
a failing POWTS and may result in issuance of correction orders or a citation by the county or state.
7. No one should enter a holding tank for any reason without being in full compliance with OSHA standards
for entering a confined space. The atmosphere within these tanks may contain lethal gases, and rescue
of a person from the interior of the tank may be difficult or impossible.
8. In the event that this POWTS fails and cannot be repaired, a code compliant replacement holding tank
may be installed in the same location (a new sanitary permit is required for such a replacement). Con-
nection to municipal services would also be considered at this time if they are deemed available to the
property.
9. If this POWTS is replaced, or its use discontinued, components no longer in use it shall be abandoned in
accordance with Comm 83.33 Wis. Adm. Code.
10. If there is a problem with, or question about this installation, the following persons should be contacted:
a. Installer Dale Hudson Phone: (715) 684-3378
b. Service Provider Darell's Septic Service Phone: (715) 425-1025
c. Co. Zoning or Health Dept. St. Croix Co. Zoning Dep't. Phone: (715) 386-4680
11.
Project: Voorhees 3 bedroom Residential Holding Tank
Transaction Number: Page 4 of 8
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\ m W3000-MR MIENER COOCAETE DRAWN BY: WCP RCALE: 1/4"= 1'-0" PRE-POUR:
Om m SEPTIC MANUAL DATE: 00/00/00 DATE: POST-POUR:
W3716 US HWY 10 MAIDEN ROCK, WI 54750
\ Z° 800-325-8456 FILE: VWMR
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SEPTIC or HOLDING TANK SERVICING CONTRACT
Contract Date
i
/430 /f~ This contract is made between the
Tank Owner(s) Name(s) and Pumpers Name
j We acknowledge the installation of (a) septictholding tank(s) on the following property:
! (Provide legal description):
1-de ~ C 5183 17".5f& Sec,. G 7-344. %r%
I . The owner agrees to file a copy of this contract with the local governmental unit (St. Croix County
Planning & Zoning Department) to document maintenance by a certified septage servicing operator as
required in Comm 83.52(1 Xc)2. Wis. Adm. Code and the approved Component Manual.
2. The owner agrees to have the septic/holding tank(s) serviced by the undersigned pumper and guarantees to I
permit the pumper to have access and to enter upon the property for the purpose of servicing the
septic/holding tank(s). The owner agrees to maintain the access road or drive so that the pumper can
service the septic/holding tank(s) with the pumping equipment. The owner further agrees to pay the
pumper for all charges incurred in servicing the septic/holding tank(s) as mutually agreed upon by the
owner and pumper.
3. The pumper agrees to submit to the local governmental unit (St. Croix County) a report for the servicing of
the septic/holding tank(s) on a monthly basis. The pumper further agrees to include the following in the
i
monthly report:
a. The name and address of the person responsible for servicing the septic/holding tank;
b. The name of the owner of the septictholding tank;
c. The location of the property on which the septic/holding tank is installed;
d. The sanitary permit number issued for the septic/holding tank (if known);
e. The dates on which the septic/holding tank was serviced;
f. The volume in gallons of the contents pumped from the septic/holding tank for each servicing;
g. The disposal sites to which the contents from the septic/holding tank were delivered.
4. This agreement will remain in effect until the owner or pumper terminates this contract. In the event of a
change in this contract, the owner agrees to file a copy of any changes to this service contract or a copy of a
new service contract with the local governmental unit named above within ten (10) business days from the
date of change to this service contract.
I
Owner(s) Name(s) (Print) Owner's Signature s) Subscribed and sworn to me on this date:
o,►,! ,~Ps..~ ay's Date i
1
P mper's Nam ( Print) Pu per's Signature otary Public Signature
VIM
Pumpers Registration Number Commission Expiration
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P S o >cB
II IIIIIIINIIIIllll111111111111
8 2 6 9 7 9 7
Tx:4220916
Document Number Document Title
1004620
St. Croix County BETH PABST
Holding Tank Agreement REGISTER OF DEEDS
9 ST. CROIX CO., WI
RECEIVED FOR RECORD
Permit Number - 11/21/2014 2:21 PM
i'ev r~CcaS EXEMPT 0
REC FEE: 30.00
/h
Name - ( vner) Typed or printed PAGES: 1
being duly sworn , states, under oath, that.
1. He/she is the owner/part owner of the following parcel of land
located in St. Croix County, Wisconsin, recorded in Volume
Page Document Number A58666 St. Croix County Register
of Deeds Office: Rooordi Area
A parcel of land located in the~~ 3/4 of the SC '/4 of Section Name and Return Address
3 P T 3v N-R 1-7 W, Town of
F r i i~ict~ r; , St. Croix County, Wisconsin, being 1'Z `'4 Py /03
duly described as follows (include lot no. and subdivision/CSM or
detailed legal description): Lo >r / C.SM 3 flPJ3 O / - Lz7G - - /J.o
F roc .'f 3~8 ' Parcel Identification Number (PIN)
Agreement Date-
We acknowledge that application is being made for the installation of (a) holding tank(s) on the above described property or that continued use of
the existing premises requires that a holding tank be installed on the property for the purpose of proper containment of sewage. Also, the property
cannot now be served by a municipal sewer, or any other type of private onaite wastewater treatment system as permitted under Ch. SPS 383, Wis.
Adm. Code, or Ch. 145, Wis. Slats.
As an inducement to the county to Issue a sanitary permit for the above-described property, we agree to do the following:
1 , Owner agrees to conform to all applicable requirements of Ch_ SPS 383, Wis. Adm. Code relating to holding tanks. If the owner fails to have
the holding tank property serviced in response to orders issued by the governmental unit or the Department of Commerce to prevent or abate
a human health hazard as described in s. 254.59, Slats., the governmental unit (Town) may enter upon the property and service the tank or
cause to have. the tank to be serviced and charge the owner by placing the charges on the tax bill as a special assessment for current
services rendered. The charges will be assessed as prescribed by s. 66.070, State.
2. The owner agrees, pursuant to s. SPS 383.54 (2). and SPS 382.40(3)(e),'Wis. Adm. Code, to-have a water meter Installed in the structure.
The water mater shall be Installed by a plumber authorized by the Department to make such installations, with said installation complying
with State regulations and manufacturers specifications. The owner agrees to be financially responsible for the purchase, installation,
maintenance, and repair of the water meter, and agrees to allow the governmental unit or the Department of Commerce to enter the above-
described property on a regular basis to road and/or inspect the water meter.
3_ Owner agrees to pay all charges and costs Incurred by the governmental unit or county for Inspection, pumping, hauling, or otherwise
servicing and maintaining the holding tank in such a manner as to prevent or abate any human health hazard caused by the holding tank.
The governmental unit shall notify the owner of any costs which shall be paid by the owner within thirty (30) days from the date of notice. In
the event the owner does not pay the costs within thirty (30) days, the owner specifically agrees that all the coats and charges may be placed
on the tax roll as a special assessment for the abatement of a human health hazard, and the tax shall be collected as provided by law.
4. The owner agrees to contract with a person who is licensed under Ch. NR 113, Wis. Adm. Code, to have the holding tank serviced and to file
a copy of the contract with the governmental unit. The owner further agrees to fib a copy of any changes to the service contract, or a copy of
a new service contract, with the governmental unit within ten (10) business days from the date of change to the service contract.
5. The owner agrees to contract with a person licensed under Ch. NR 113, Wis. Adm. Code, who shall submit to the county on a semiannual
basis a report detailing the servicing of the holding tank. The governmental unit or county may enter upon the property to investigate the
condition of the holding tank when pumping reports and meter readings may indicate that the holding tank is not being properly maintained.
6. This agreement will remain in effect only until the county office responsible for the regulation of private omits wastewater treatment systems
certifies that the property is served by either a municipal sewer or a private onsits wastewater treatment system that complies with Ch: Comm
83, Wis. Adm. Code. in addition, this agreement may be cancelled by executing and recording said certification with reference to this
agreement in such manner which will permit the existence of the certification to be determined by reference to the property.
7. This agreement shall be binding upon the owner, the heirs of the owner, and assignees of the owner. The owner shall submit this agreement
to the register of deeds, and the agreement shall be recorded by the register of deeds in a manner which will permit the existence of the
agreement to be determined by reference to the property where the holding tank Is Installed.
Owner(s) Name(s) - Please Print Subscribed and sworn to before me on this date:
6 e oF~ ~2 aOr 3 0 20/f!
No rized Owner Sign re(s) otary Publ K!1..•
ise
Governmental Unit Official Name, Title - Please Priinnt -My-Commission Expires ! rr : 3
ntal Unit Official S' Drafted by: ~.~Sr, ,
Perso 1 information you provide may be used for secondary purposes [Privacy Low s. 15.04(ti)(m)]
"THIS PAGE IS PART OF THIS LEGAL DOCUMENT - DO NOT REMOVE"
This Information must be completed by submifter document title. name 6 return address. and P1NCrf required}. l&Iari xbm?e1kn such as the
dgrantiinn~g clauses, lleaaagaolddesc dphon, etc. may be placed on this first pegs of lire document or may be placed on ackWanal pages of the
St. Croix n11. 004620 Page I r 0 adds one page to your- documerrt and S2, 00 to Me raoorrffno flee. Wlacons n Statutes. 59.43.
I Illill 11111 11111 11111 11111 IIIII Ilil 111111 1111 1111
* 8 5 8 5 6 6 1
858566
State Bar of Wisconsin Form 6-?003 KATHLEEN H. WALSH
REGISTER OF DEEDS
SPECIAL WARRANTY DEED ST. CROIX CO., WI
i I RECEIVED FOR RECORD
r
i~cuinr:u ~umocr u~~c.ancr,; lann" 08/24/2007 10:00AH
A_-------- WARRANTY DEED
THIS DEF.n, matte between Centex Home Equity Companv, LLC, n/ kia EXEMPT I
Nutionstar Mortgage, LLC REC FEE: 11.00
("Grantor," whether one or more), and TRANS FEE: 438.00
Geoffrey L. Voorhees X3{44X9~f(X474I1i3~ PAGES: -I
("Grantee," whether one or more).
Grantor for a vatuable consideration, conveys to Grantee the following described real
estate, together with the rents, profits, fixtures and other appurtenant interests, in
St. Croix County, State of Wisconsin ("Property") (if more space is Recording Area
needed, please attach addendum): a married man _
'RETURN TO:
Lot 1 of Certified Map recorded in Volume 12 of Certified Wisconsin Assured Title, LLC
Survey Maps, Page 3493, as Docurnent 4584368, being a part of I ' 1810 Crest View Dr, 91B
the NE S/, of the SE t/{ of Section 36, Township 30 North, Range i
17 West, Town of Erin Prairie, St. Croix County, State of Hudson, WI 54016
Wisconsin.
_ otz-lo~~-so-lzo
Parcel Identification Number (PIN)
This is riot homestead property
(is) (is nol.)
ran:nr warrants that the title to the Property is socti, indefeasible, in fee snr.plt ano free and clear of encumbrances arising uy
t,wou,.h, or under Grantor, except:
I)a:ed_ i X601
,AQ
for a Ionstar 1 ~t
- A n
" - for Natlonstar t~l'orlga~e LL ~.f
AUTITEN'r1CATION ACKNOWLEDGMENT
Signature(s) ,,,,+,,u,n,,'',`,
ST'A'TE:' OF W+5e6N-11tN`r&XA 5 )
dllthenlicatod On ) Ss.
- - ( P~T O,y COUNTY
Personally came before nit: oil
u 4 o
Li;: NIEIVISHR STATE 13AR OF WISCONSIN the above-name(l , , rg -~~5~-L-v-7 _
0 M,-A4, o~
01' 1101,
authorized by Wis. -Stat. 706.06) to me known to be the person(s) w the lorepolnu
tns,rument and acknow tie sa n ,a
I'f iIS I\'S'I'Itl_!Ml N l WRAF"1'ED BY: o"• C!a''. ANGIIIA WALLACE
Notary Public, State of Texas
Scnrad(;i Law Office, Tony R. Schrader ty-C6rttmisston Expires
Notary Public, Sta+&t4~41c~ce i t- 6, 2010
My Cotmntssion (is permanent) (expires:
(Signatures may oc authenticated or aekna}rredged. Bath are not necessarv.)
N077:: THIS IS A STANDARD FORM. ANY MODIFIC.rFIONS TO 4HIS FORM SHOULD BF, CLEARLY IDfi\"CLFSEll.
SPECIAL, wARR.tNTY DEEM ~L 2003 STATE BAR Oh WISCONSIN FOR,V1 NO. (,2003
T,;pc name oolow sra;naU.nes.
„it
Pg. 7aTG
` u A 17)
2375
SOIL EVq~EPORT
Page 1 of 3 %
Wisconsin Departments _0'v loo
Commerce accordance with Comm 85, Wis. Adm. Code A.C.E. Soil 8 Site Evaluations
County
Attach complete "a14!i ati on paper not less than 8'/Z x 11 inches in size. Pla St. Croix
include, but *kiia~ d to: vertical and horizontal reference point (BM), directio parcel I.D. percent slope, scale or dimemsions, north arrow, and location and distance tc
12-1976-80-120
Please print all information. Reviewed Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. ` Y tLL y~. i~ Z y
Property Ownei Property Location /
Geoffery Voorhees Govt. Lol NE 1/4 SE 1/4 S 36 T 30 N R 17 W
Property Owner's Mailing Address Lot # Block # Subd. Name or CSM#
1246 Hwy. 63 1 na CSM Vol. 12, Pg. 3493
City State Zip Code Phone Number City Village V% Town Nearest Road
Baldwin WI 54002 (715) 928-1238 Erin Prairie Co. Rd. DD
New Constructior use: Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD
V1 Replacement Public or commercial - Describe:
Parent material Glacial Till Flood plain elevation, if applicable na
General comment:
and recommendations: Site unsuitable for POWTS dispersal component. Holding tank is only code compliant option.
❑ Boring # Boring
Pit Ground Surface elev na ft. Depth to limiting factor 0" in. Soil Application Rat
Horizon Depth Dominant Redox Description Texture Structure Consistence Boundar Roots GP /ft=
in. Color Qu. Sz. Cont. Colo Gr. Sz. Sh *Eff#1
1 0-5 10yr3/2 none sil 2fgr mvfr cs 2vf,f 0.6 0.8
2 5-8 10yr3/2 c1p 10yr5/6 sil lthin pl mvfr as 2vf,f 0.4 0.6
3 8-17 10yr5/2 m2p 10yr5/8 sil 2mpl dsh - - 0.0 0.2
a Boring # Boring
V Pit Ground Surface elev na ft. Depth to limiting factor 0" in. Soil Application Rat
Horizon Depth Dominant Redox Description Texture Structure Consistence Boundar Roots GPD/ft;
in. Color Qu. Sz. Cont. Colo Gr. Sz. Sh *Eff#1 ff#2
1 0-8 10yr3/2 none sil 2fgr mvfr as 2vf,f 0.6 0.8
2 8-11 10yr5/2 c1p 10yr5/6 sil 1thin pl mvfr as 2vf,f 0.4 0.6
3 11-17 10yr512 m2p 10yr5/8 sil 2mpl dsh - - 0.0 0.2
* Effluent #1 = BOD 30 <220 mg/L and SS >30 < 1 mg * Effluent #2 = BOD5<30 mg/L and TSS < 30 mg,
CST Name (Please Print) natur : CST Number
James K. Thompson /JWW y- "02- 300.2/
Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number
340 Paulson Lake Lane, Osceola, WI 54020 10/5/2014 715-248-7767
M
Property owner Geoffery Voorhees Parcel ID # 012-1276-80-120 Page 2 of 3
3] F Boring # Boring
✓4 Pit Ground Surface elev na ft. Depth to limiting factor 0" in. Soil Application Rat
Horizon Depth Dominant Redox Desc ription exture Structure Consistence Bounder Roots GPD/fN
in. Color Qu. Sz. Cont. Colo Gr. Sz. Sh *Eff#1 *Eff#2
1 0-7 10yr3/2 none sill 2fgr mvfr cs 2vf,f 0.6 0.8
2 7-12 10yr3/2 c1p 10yr5/6 SO 1thin pl mvfr as 2vf,f 0.4 0.6
3 12-19 10yr5/2 m2p 10yr5/8 sil 2mpl dsh - - 0.0 0.2
4] F fe' Pit Boring # Boring
Ground Surface elev na ft. Depth to limiting factor 0" in. Soil Application Rat
Horizon Depth Dominant Redox Description Texture Structure Consistence Boundar Roots GPD/ '
in. Color Qu. Sz. Cont. Colo Gr. Sz. Sh *Eff#1 *Eff#2
1 0-7 10yr211 none sil 1fsbk mvfr cs 2vf,f 0.4 0.6
2 7-12 10yr2/1 c1 p 5yr4/4 sil 1 msbk mvfr as 2vf,f 0.4 0.6
3 12-19 10yr5/2 cl p 5ye414 sil 1 msbk dsh - - 0.4 0.6
❑ Boring # Boring
Pit Ground Surface elev ft. Depth to limiting factor in. Soil Application Rat
Horizon Depth Dominant Redox Description Texture Structure Consistence Boundar Roots GPD/ft'
in. Color Qu. Sz. Cont. Colo Gr. Sz. Sh *Eff#1 *Eff#2
* Effluent #1 = BOD ? 30 <220 mg/L and TSS >30 < 150 mg * Effluent #2 = BOD g< 30 mg/L and TSS < 30 mg.
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.07l00) A.C.E. Soil & Site Evaluations
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