HomeMy WebLinkAbout026-1121-07-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division Sanitary Permit No:
INSPECTION REPORT 578919 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:
Halle Builders Inc., c/o Wes Halle I Richmond, Town of 026-1121-07-000
CST BM Elev: Insp.BM Elev: BM Description: Section/Town/Range/Map No:
,r� Q 5 05.30.18.722
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic l> �`r AZ Benchmark 3• �f /asp /al �(
Alt.; L.— d . L
�I
Aeration Bldg.Sewer ► 162 . / (p
Holding St/Ht Inlet 4-. Z -J61 3
y f 10
St/Ht Outlet 5 ( 1��
TANK SETBACK INFORMATION 'T Y'
TANK TO L t WELL BLDG. entto i intake ROAD DtInlet
Septic 72— Q Z 7 Dt Bottom \
Dosing Header/Man. .(v
Dist. Pipe G' 9Aeration ?• �- ,�Holding Bot.System
Final Grade ?.Z. �d
PUMP/SIPHON INFORMATION r
Manufacturer Demand St Cover // Z•
GPM 7
Model Nu
TD Lift Friction Loss System Head TDH Ft
Forcemain Length Dia. Dist.to Well
SOIL ABSORPTION SYSTEM
BEDITRENCH Width Length No.Of Trenches 'L n IT DIMENSIONS No.Of Pits Inside Dia. Liquid Depth
DIMENSIONS � 3 Ce _e,
SETBACK SYSTEM TO P/L JBLDG IWELL LAKE/STREAM LEACHING Manufacturer, l�,Q
INFORMATION CHAMBER OR
Type Of System ^ 3 L 9 J �� UNIT ModQj N']n`Qr: _ /
Ca w eat, 'e n-csl'IL. 6 T olo Fc y
DISTRIBUTION SYSTEM /06 1741—
Header/Manifold/ Distribution \ x Hole Size ` x Hole Spacing Ve^nt�o Air Intake
L Dia P Length *,— Di a Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only kZ S
Depth Over Depth Over xx Dep of xx Seeded Sodded xx Iched
Bed/Trench Center 3 Bed/Trench Edges Topsoil Yes 0 No Yes E] No
COMMENTS: (Include code discrepencies,persons present,etc.) Inspection#1: / / Inspection#2:
Location: 1714 106th Street New Richmond,WI 54017(SW 1/4 SE 1/4 5 T30N R1 8W) Partridge Run Lot 7 f Parcel No: 05.30.18.722
1.)Alt BM Description= ` '�m GaJ�– e., 25 CA,
2.)Bldg sewer length= .-7
-amount of cover= f
3 �
_ r
Plan revision Required? Yes No
Use other side for additional information. 51 L — Cert.No.
Date Insepcto Signatur
SBD-6710(R.3/97)
PLOT PLAN
PROJECT Halle Builders ADDRESS 1113 Hiahwav 64 New Richmond Wi 54017
SW 1/4 SE 1/4S 5 /T 30 N/R 18 W TOWN Richmond COUNTY ST.CROIX
SYSTEM ELEVATION 99.5/99.1/98.7' 3' below grade DATE 4/15/15 BEDROOM 3
CONVENTIONAL XXX IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE •4 ABSORPTION AREA 1 156 # of chambers 57
IL BENCHMARK V.R.P. Top of survey pipe ASSUME ELEVATION 100' Filter BEAR Filter
❑ BOREHOLE O WELL *H.R.P. Same as Benchmark
55 107'
B.M.* 99.5' 101.5' 102.5' Scale _ 1 /4'1 = 10'
100.5'
5'
B-2 B
5' Vents
AD Ac A
35'
B
3-3' X ' cells with>3' sp ing
r
5 �
5% \\ .
IF Slope �s Z1
!
Pro 3
B-1 50 /a / Bedroom
0 f ST House 201' Property Line
Sts 25'
`Pro\~1 t Line L34"
>6„ Quick4 Standard
of Coeaching Chamber
ith 20.0 ft2 of Area
.6ft^2/pair of end caps
4' LGrade at System Elevation
171' Property Line
106th St.
All piping shall be SDR 30/34, within 10' �
of tank,piping shall be Schedule 40. Y rlC O
county
Safety and LtltviEiin ffJ�
201 W.Washington Ave.,
P 0.Box 716' 'Sanitary Permit Number(to be filled in by Co.)
Madison,W17477t6Z,
State Transaction Number
Sanitary Permit Appli="y,l11 + L��` ,.l uni
In accordance with SPS:83.21(2),Wis.Aden Code,submission of this form to the appropriate governmental unit
is required prior to obtaining 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 Servies. Personal information you provide map be used for secondary _ /
purposes in accordance with the Privac l Law,s.15.04(1)(m1,Stats.
I. Application Information-Please Print All Information i parcel#
Property Owner's Name '? 1
Property Owners ai ling Addr s Property Location ( ��
6 Govt.Lot ` +
City,State Zip Code Phone Number './., Section
(r/ /L I 1 cRCie o
T �N; RE
H.Type of Building(check all that apply) Lot#
Subdivision Name
2 Family Dwelling-Number of Bedrooms
3 SQ
Block#
I El Public/Commemal-Describe Use G �� I ❑City of
b fw ?\ CSM Number 11 T page of
❑State Owned--Describe Use j Town of
III.Ty (Check only one box on line A. Complete line B.if applicable)
A !_.' Other Modification to is-ting System(expla )
j System ❑Replacement ❑Treatment/Holding Tank Replacement Only ��
015 ! K IJ D1�( CG L�-S w (JN l,�Pc C� 3+>r
R- ❑Permit Renewal ❑Permit Revision I ❑Change of Plumber ❑Permit Transfer to New
List Previoru Permit Number and Date Issued
Before Expiration ` y 1 ty'a i U 1�`-
nr,T• stem/Com onent/Device: (Check all that apply)
Non-Pressurized In-Group ❑Pressurized In-Ground ❑At-Grade El Mound>24 in.of suitable soil ❑Mound<24 in.of suitab e soi]
5-Rolding_Tank__ Z}Other Dispersal Component(explain) [I Pretreatment Device(explain)
V.Dis ersal/Treatment Area Information:
Design Flow(gpd) esign Soil pli oa Rate(gpdsi) Dispersal Area Reed(s Dispersal Area Proposed s System Eleva on /
J
�U Z i J qi
VI.Tank Info Capacity in Total #of Manufacturer v
Gallons Gallons Units
New Tanks Existing Tanks VV p�l 0✓
Septic or Holding Tank
Dosing Chamber
VII.Responsibility Statement-1,the undersigned,assume re, s' ility for installation of the PORTS shown on the attached plans.
Plumber's.. ame(Print) Plumber's Si e MP/.MPRS Number Business Phone N er
276/ 74f'—ol
Plumber's Address Street,City,State,Zip Code) l
VIII.Countv/De artment Use Only
Permit Fee Date Issued �Issuing Agent
�Approved I ❑ a S ��.OD ' Zo l
❑ Owner iven Reason for e '
IX.Conditions of Approval/Reasons for Disapproval 0 O e Ve I DP err
SYST M OWNER; s eulpio/apoo algeoi!dde lad se I
1.Sep is tank,effluent filter and pave;ulew aq; s;uawaapibei�0 � l�d.z A-L,4j (1ew�e ot�sri� w
dis rsal cell must t�@ serviced/_maintaineclagwnld�(q papinoad d;uaula ew gad se M�•� feAAA bt P
as r management plan provided by plurnbel?awe;uleul/paaul'1as a w l 01esiadslp
2.All s tback re uirements m
as per applicable code/ordin�'°eompiete plans for the system ands i-to the Cq os a els�ss than 8 11x 11 wlhal in siu
SBD-6398(R- 11/11)
Cover Page
Shaun Bird
Bird Plumbing Inc.
1432 120th St.
New Richmond Wi 54017
715-246-4516
Date: 4/16/15
Owner: Halle Builders
Location: SW1/4 SE1/4 S5 T30 N,R18 1714 106th St. Richmond
Manuals Used: In-ground absorbtion system (version 2.0)
Page#
1. Cover Page
2. Plot Plan
3. Chamber Cross Section
4-6. Maintanance and Co tingency Plan
7. Filter Specifications S t
Signature
License numb r 226900
i
i
II
_ I
PLOT PLAN
PROJECT Halle Builders ADDRESS 1113 Hiahwav 64 New Richmond Wi 54017
SW 1/4 SE 1/4S 5 /T 30 N/R 18 W TOWN Richmond COUNTY ST.CROIX
SYSTEM ELEVATION 99.5/99.1/98.7' 3' below grade DATE BEDROOM 4/15/15 DR OM 3
CONVENTIONAL XXX IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .4 ABSORPTION AREA 1 156 # of chambers 57
BENCHMARK V.R.P. Top of survey pipe ASSUME ELEVATION 100° Filter BEAR Filter
❑ BOREHOLE O WELL *H.R.P. Sameas Benchmark
55' 107'
I
B.M.* 99.5' 101.5' 102.5' Scale = 1 /4" = 101
100.5
5'
B-2 B
5' S' Vents
35'
B-
3-3' X 78' cells with>3' spacing
5
5% t\\�
Slope
IF
Pro 3
B-1 50 Bedroom
01 ST House 201' Property Line
25'
L34"
Property Line
>6„ Quick4 Standard
of Coeaching Chamber
ith 20.0 ft2 of Area
.6ft^2/pair of end caps
4' L
Grade at System Elevation
171' Property Line
106th St.
All piping shall be SDR 30/34,within 10'
of tank,piping shall be Schedule 40.
Cross Section of Quick 4 Standard Leaching Chamber
Typical cross section for 2 of 3 cells
Quick 4 Standard
Leaching Chamber with
20.0 ft2 of Area per
Chamber 5.6ft^2 pair of end plates To be >1' above grade
Finish grade elevation
Typical Installation x/ 102'
Vent Atel Grade Vent
4' 4"
A�30/34 Septic Tank 4
4' Long 1 5' 4' Long 199 '
34" Grade at System Elevation 34„ Grade at System Elevation
Spacing 5'
3-3' X 78' Cells
Observation tubeNent
Same on other end To be located on end of Cells
%A
B
System elevations: C
A_99.5'
B 99.1 ' 19 chambers per cell
C-98.7'
ST. CROUX COUNTf
SEPTICTNN,KMA[N1EN ANCT /�GRFTMI'17NT
AND
OWN ENS811' CJ/0T1-0C&1'l--'N FORM
()noDerfBUycr
�
Mailing Address,--///-'3
� "
~
� PrnnodV
(Verification required fromPlannitig&Zoning.Drpartd1011t Jot Ilewo/uml nctioll)
Ci ty/State �~� |�un��c�uo �oz��mr L— I7\
LEGAL DESCRIPTION
Property ' /|''-------- ------ ------------' — '--- ---'
Location (�' ) 11/1" '5F 1/4 ^ Soo, ]� ls� » VV, I0oYoO[
Subdim— '
Certified Survey Map #_---------
___
Warranty Deed #_______
uyn }»,Uoc idmxiOuhlo / vou/ nu
SYSTEM MAINTENANCE AND OWNER CERTIFICA110N
�
�
Irriproper use and maintenance of>ourxeptic systemmLild result m its�.�rmittire failure m�ndle wastes. Propm-
uaintenaucxuvuoistsvfpuopingoot the septic tank evvzv three ycarsor,"mux. J needed,hyu licensed ru`up,". What you put i^m
the system call affect the ffinction ofthe septic tank as a treatment stage lit tile wasie disposal SyStellL Owner maintenance
responsibilities are^yocifindivgC0000. 83-52(l) and mC|iuvux 12 3t, C",ix County Sanitary u,di,anc,. �
� �
Tb property owner agrees to Submit to St. Cmi^C'nuvtyYlmuu`i2 &Joom&uvpm`oco`it ccz,dimdoofnuii, signed hythe �
owner and by a master plumber, journeyman plurnl)ei,iestiicie(l plumbL-l-or a licertsed purripei yet ityltig that(1)the 011-SiTe
wastewater disposal system ioinpcnyoroperating coudiiiuuuud/nr(2)after ioxpcc,iouuudpmoipog(if'iecessury). the septic tanl� io
less than {B full oisludge.
1/we'the undersigned have read dio above requirements uud ux,�c x, ��iu�u,o/l�vzv/vuto o`wag,dixp./oal,yot"/uwid`U^`
o�oumruvomhnub'b�e/o`^xx�u»ydmI)upu/��o`o�CoonuxzcxuudUiel/qpurtu`nu^v[Nutvna] Koxooueu, Smtuo[Yvjscouoiu /
Ce,d§cu6omnmdug that yoar septic system has been inainiained must be C0n1j)1et0-I and.I.-etUrned to the St. Croix Comity I'lallill1q, &
Zvowig Department vrid^h/30 days of-tile three year expiration date.
]hp:certify that all statements uodixboouu^^ truvmd`, h^nto[u0/oo,buvwhdgu. l/n/eaovaro the uvmuz(s) ofthe
property described above, by virtue ofunmoanoydovdrucoo|ednzkvgmwrofDoo.isUUIuo
' ~~ '{�(x ------------------'
�1`u~��TlT�|� ()� ��]»T.ICAN]-(S) 1)A'TI-'
***Aoy information that uu`ierupzcverted may result ill the sanitary puouithuiugowvobcJhy the nhoovg, 8 Zoning Uepu/bliow. ^*^
Include with this application u recorded waoao{y deed from file.Ke&iozc' uf])ood;"'ifi ouriJucepyufthu"mtiflrdoon'rymxyif-
reference is made in the warranty deed.
POWTS OWNER'S MANUAL 8t MANAGEMENT PLAN Page of
FILE INFORMATION SYSTEM SPECIFICATIONS
Owner
IE Tank Manufacturer: ❑ NA
Permit# *6eptic ❑ Dose ❑ Holding Volume: o-o-v (gal)
DESIGN PARAMETERS Tank Manufacturer: -XNA
Number of Bedrooms: 3 ❑ NA ❑ Septic ❑ Dose ❑ Holding Volume: (gal)
Number of Public Facility Units: NA Vertical Distance Tank Bottom(s)to Service Pad:
Estimated(average)Flow: 3oz?(gaUday) Horizontal Distance Tank(s)to Service Pad:
Specific servicing mechanics must be provided if vertical is>15 feet or
Design (peak)Flow=(estimated x 1.5): Jv (gal/day) If horizontal is>150 feet. Specific instructions to be provided on back.
In Situ Soil Application Rate: (gal/daytW) Effluent Filter Manufacturer./ 142 ❑ NA
Standard(Domestic)Influent/Effluent Monthly average Effluent Filter Model:
Fats,Oil&Grease (FOG) 530 mg/L Pump Manufacturer: ] NA
Biochemical Oxygen Demand (BOD5) x220 mg/L ❑ NA
Total Suspended Solids(TSS) 5150 mg/L Pump Model:
High Strength Influent/Effluent Monthly average Pretreatment Unit
(FOG) >30 mg/L' - Manufacturer. NA
(BODS) >220 mg/L NA ❑Mechanical Aeration ❑Peat Filter
(TSS) >150 mg/L \ ❑Disinfection ❑Wetland
Pretreated Effluent Monthly average ❑Sand/Gravel Filter ❑Other.
(BODS) 530 mg/L �/ Soil Absorption System
(TSS) 530 Fecal Coliform(geometric mean) ric' /L A Ground(gravity) ❑In-Ground(pressure) [I NA
'`❑'At-Grade ❑Mound
Maximum Effluent Particle Size tX in dia. ❑ NA ❑Drip-Line ❑Other:
Other: NA Other: ❑ NA
MAINTENANCE SCHEDULE
Service Event Service Frequency
Pump out contents of tank(s) hen combined sludge and scum equals one-third(%)of tank volume
❑When the high water alarm is activated
Inspect condition of tanks At least once eve ❑month(s) (Maximum 3 years) ❑ NA
p ( ) n'� ear(s)
Inspect dispersal cell(s) At least once every: J�ea�(sjs) (Maximum 3 years) ❑ NA
Clean effluent filter At least once eve ❑month(s) ❑ NA
every: � � 9-year(s)
Inspect um ❑month(s) ❑ A
p pump,pump controls&alarm At least once every: ❑year(s)
❑month(s)
A
and pressure test At least once every. ❑
Flush laterals p ❑year(s)
Other: At least once every ❑month(s) ❑ A
❑year(s)
Other: ❑ A
MAINTENANCE INSTRUCTIONS
Inspections of tanks and soil absorption systems shall be made by an individual carrying one of the following licenses or certifications:
Master Plumber, Master Plumber Restricted Sewer, POWTS Inspector, POWTS Maintainer or Septage Servicing Operator (pumper).
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 a check for any back up or ponding of effluent on the ground surface. The soil
absorption system 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 treatment tank equals one-third (1f3)or more of the tank volume,the entire
contents of the tank shall be removed by a Septage Servicing Operator (pumper) 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<_12 months,shall be performed by a certified POWTS Maintainer.
A service report shall be provided to the local regulatory authority within 30 days of completion of any service event.
GMW-005(02/05)
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, solvents or other
chemicals or sediment that may impede the treatment process and/or damage the soil absorption system. If high concentrations are
detected have the contents of the tank(s)removed by a Septage Servicing Operator(pumper)prior to use.
Pump tanks may fill above normal highwater levels prior to startup or due to pump failures. Start up or restoration of power under these
conditions is not recommended, as the excess wastewater will be4scharged to the soil absorption system in one large dose causing an
overload that may result in the backup or surface discharge of effluent and damage to the system. To avoid this situation have the
contents of the pump tank removed by a Septage Servicing Operator(pumper)prior to restoring power to the pump or contact a Plumber
or POWTS Maintainer to assist in manually operating the pump controls until normal effluent levels are restored within the pump tank.
System start up shall not occur when soil conditions are frozen at the infiltrative surface.
Do not drive or park vehicles over tanks or the soil absorption system. Do not drive or park over, or otherwise disturb or compact, the
area within 15 feet down slope of any mound or at-grade sal absorption area.
Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the treatment
tanks and soil absorption system: acids, antibiotics, baby wipes, cigarette butts, condoms, cotton swabs, degreasers, dental floss,
diapers, disinfectants, fats, foundation drain (sump pump) discharge, fruit and vegetable peelings, gasoline, greases, herbicides, meat
scraps,medications,oils,painting products, pesticides,sanitary napkins,solvents,tampons, and water softener brine discharge.
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 s. Comm 83.33,Wisconsin Administrative Code:
• All piping to tanks,pits and other soil absorption systems 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(pumper).
• 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;
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 replacement 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 the time of their permit issuance.
❑ A suitable replacement area is not available due to setback and/or soil limitations. If the soil absorption system cannot be
rehabilitated and barring advances in POWTS technology, a holding tank may be installed as a last resort.
❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation
must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a
last resort to replace the failed POWTS.
❑ 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 TREATMENT TANKS, PUMP TANKS, AND HOLDING TANKS MAY CONTAIN POISONOUS GASSES OR LACK
SUFFICIENT OXYGEN TO SUSTAIN LIFE. NEVER ENTER ANY TANK UNDER ANY CIRCUMSTANCE. DEATH MAY
RESULT. ESCAPE OR RESCUE FROM THE INTERIOR OF A TANK MAY NOT BE POSSIBLE.
ADDITIONAL INSTRUCTIONS:
POWTS INSTALLER POWTS MAINTAINER.
Name Name
Phone J — J Phone
SEPTAGE SERVICING OPERATOR PUMPER LOCAL REGULATORY AUTHORITY
Name yyj Name
Phone
—72-f— l�� Phone 7 JJ; --
This document was drafted by the staffs of the Green Lake, Marquette and Waushara County POWTS regulatory agencies in compliance with sections
Comm 83.22(2)(b)(1)(d)&(f)and 83.54(1),(2)&(3),Wisconsin Administrative Code.
FILTER CARTRIDGE INSTRUCTIONS
m
Installation
STEP I Dry fit the filter case onto the end of the outlet pipe to ensure it is
centered under the access opening. If not, then either insert more pipe into the
tank tnrough the outlet or solvent weld (glue) additional pipe onto the outlet
pipe.
STEP 2 While the case is still dry fitted on the outlet pipe, measure the length
of 314-inch pipe needed to brace the filter to the tank end wall if utilizing the
optional supplemental side support. If side support method is not utilized,
proceed to step four.
STEP 3 For installations utilizing the optional supplemental side support:
solvent weld the 3/4-inch pipe onto the filter case. If side support method is not
Utilized, proceed to step four.
STEP 4 Solvent weld the filter case onto the outlet pipe. Insert the filter
cartridge into the case, pressing down until the filter locks into the bottom of
the case.
STEP 5 If a VRS switch is utilized: insert into the filter and lock by turning
clockwise 90°.
Maintenance
1. The effluent filter should be cleaned every time the septic tank is # ""
serviced.
2. Open the outlet access opening to inspect the tank and filter.
3. Pump the septic tank completely, making sure to remove the sludgeJ;*
layer on the bottom of the tank and not just the scum and effluent. A '
4. Once the effluent level has been lowered below the invert of the
outlet pipe, firmly pull up on the filter handle to dislodge the {;
cartridge from the case. u ��
5. Slide the cartridge up and out of the case for cleaning. '
6. If a VRS switch connected to an alarm is present, the switch _
should be removed by turning counterclockwise 901 and cleaned
with water only.
7. While holding the cartridge on its side (large flat surface facing
down) over the access opening, rinse off the cartridge with water -;
only, making sure all septage material is rinsed back into the tank. '
8. If VRS switch is utilized, replace by inserting into filter and
turning clockwise 90 1. N
91 Insert the filter cartridge back into the case, pressing down until :
the filter locks into the bottom of the case.
10.Replace and secure the access opening on the tank.
BEAR ONSITE"FILTER CARTRIDGE-FIVE-YEAR L METED wA RRANTY
" 'te,I'
SEAR ONSITF-Filter Case-Lifetime LimiteC war�arr v
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w ,
18
UNFLATTED LANDS 1.090 ACRES
-- ------------------------------------ Q 47,496 SO. FT.
to N89'55'31"E 339.53'
S 89ro6'47" w 660.00' 1 ;
162,19 323.3
I 220.00' 627,00 1.024 ACRES
S89•Q8'47 W 705.56' 44,582 SO.:FT.
I 1. J � N '
j T M WA T& ~\ y �` r
RETENTION AREA t w 0� °' N89'S5`31"E 2 0.2
N. 1.014 ACRES ti
I MINI t N Ic 44,147 SQ. FT. k.
I ELEV. 978.7 ,ib ) R r, I
0 -- a !— —
N 1.017 ACRES , yrb�O
4Av- fn
f/ .v 44,277 SO. FT. e? 2� $ :
C, ;. 16
0 1.004 ACRES
Ln
ty7728'p 43.714 SQ.,FT,
1.617 ACRES ! /
70 430 SO. FT. ! y 9. N89'55,31"E 260.21
' 80' 15
1 I ! 1.009 ACRES ;
\\ /f 1.061 ACRES 6 43,948 SQ. FT:
N89'55' "E 220.02" �' 9
I 2 12 .00 b+ / 46,217 SO. FT. 10 6`1,-'•K,
1 SEPTIC SYSTEM- cv / 0) `. Op•
I d1 EASEMENT '� 1,028 ACRES \` I ' ,! � Z
TO LOT t N 44,779 SQ. FT,
i r S89-55'31"W 204.54' n 1� ;
EP�TIC SYSTE Tr
I : +-------- s 50" 50'+ EASEMENT 1$"i r
S89'32'S7"W v W in TO LOT 10 I t
100" 100,00' 'd W r) 0+ -
r °� cv CC, CV I N 9` 1 E 2 . t
kn
2 N S89.55'31"W 208.68' N V) ��" 1 a w L -
1.019 ACRES I " 3 a,
I— — — — — .-�44,389 SQ. FT. w L C-4 � N d O 0 14
M y < 1.047 ACRES P
I : I o O P I 45,612 SO. FT. g N �`
T— 5 I 0 $ I 1.034 ACRES
45,033 SO. FT.
i BENCHMARK USGS N 1.127 ACRES
i DATUM 1$29
vi 49,112 SQ. FT. 1 ' 204,54' N89'55'31"E 261).20
1 Ei_EVAT1061 a 982.34 ,ts
N
1 w�
Property Owner HA lk ayi l aces Parcel ID# Page 9;C of
F31Boring# ❑ Boring
pit Ground surface elev. G a.17 ft. Depth to limiting factor /DD 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 lo-►R'la SL- al-&R ash, as d .s -9
a q-so -I.svR yl SL a i:n lay, d aW i F .5 .9
3
so-)00 FSa K 6sl,\
Boring# ❑ Boring
Pit Ground surface elev. ft. Depth to limiting factor /00 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
0-9 ►oyr}/a L F&R cts a .5 .g
a 9-4 ►oyg414 CL a msaik dsh cw I F .14 . 6
3 a3- -1,5`19 41q SL IFSa k ds� aw J jr
3a-Ia 5 4R 414 �- SL Irstl4lAsk
IS YR 111
❑ Boring# ❑ Pori
S 19 Pit �Ground surface elev. 101.Uft. Depth to limiting factor /00 in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description iture Structure Consistence Boundary Roots GPD/ft2
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2
d-
100/2 a (0- S F
.a�
101010 alMs�. s�• I F
W— ots G 1A.� OF a
Ig V14
o\16,
.
J
*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)
RECEIVED
Wisconsin[epartmentofCommer a SOIL EVALUATION REPORT Page--Lof�
6ivision of Safety and Buildings FEB 1 3 (�
in accordance�with4Com 85,Wis. Adm. Code c
Attach complete site plan on pap Pr notVsM",8(i) b IIThnche County in size.Plan must `��• C— rd
include,but not limited to:vertic ),direction and Parcel I.D.
percent slope,scale or dimensions,north arrow,and location and distance to nearest road. 01q/0— 1 l;d 1 -0-7
Please print all information. Reviewed b Date
Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). "� 6
Property Owne Property Location
G►le eull a Govt.Lot sw 1/4 S 1/4 S 'S T 3Q N R j E(o
Property Owner's Mailing Address Lot# Block# Subd.Name or CSM#
I I I I qw4 6y -7 1 1 Par�rIA9Q Ru'"
City State Zip Code Phone Number ❑City ❑'Village ®Town Nearest Road
New l�A ,o.,d w 54011 (-t%5 )a146- 813 k►c vv\OVN� I I b to",k S+.
[X New Construction use:®, Residential/Number of bedrooms .3 Code derived design flow rate q50 GPD
❑Replacement ❑1 Public or commercial-Describe:
Parent material A 0.G i�►«1 T o Flood Plain elevation if applicable ft.
General comment n,, u�cJt Fo �' e&C LN � 11*je
and recommendations: 7.3 ( 97.7'
-r. 1 ���•Sib � .� '�
T.3 97, L T.S ?(0.321) hee «.
Boring# ❑ Boring
Pit Ground surface elev. , ft. Depth to limiting factor D 0 in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. *Eff#1 I *Eff#2
I 4-1 104R 3la L ) ):& k JS O-S F ,b
-1- 13 10IR31`1 - L IFPL 6sk C F
3 13-19 io 2 sl q L 13,rSag 65k CvJ NF .s ,
5 X-S6 `7.54R yjq ail. 13K 5k aw
h loo Y Iq
Boring# ❑ Boring Leo
I? Pit Ground surface elev. /O 3a ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2
o�$ 1oy�31a L a ter dst as a •s
1%-love '7•-SA 414 SL IF58K lisle% C vi -- ,,q .6
s �R ylq SL Il:Sri d�� *y .6
4z..
14 Ew
�IqT LS
*Effluent#1 =BODS> _ T > < * 5<30 mg/L and TSS<30 mg/L
CST Name(Please Print) Signature CST Number
�orVN� -: s tkc\< U��L L dal-N6
Address Date Evaluation Conducted Telephone Number
o??(a Z004\ S.+ S+Ckr* prA;tie° w( sgoz(o 10-Z4-0 2442-3ST9
SBD-8330(R07/00)
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