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HomeMy WebLinkAbout030-2085-60-010 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 578961 0 GENERAL INFORMATION 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: Wainion aa, Marc & Christin St. Joseph, Town of 030-2085-60-010 CST BM Elev: Insp. BM Elev: IBM Description: Section/Town/Range/Map No: t SST •$'!o - b 32.30.19.726A TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Z' jr Benchmark W" C9., 1 3•z, ~~3 • `1 S/~b BeoRg P. I b6G c7~. Alt. BM C'i6~rt,~ L6.~ •$c0 7 !J Aeration Bldg. Sewer Holding St/Ht Inlet Z -7$ V 49 J, 3 7 TANK SETBACK INFORMATION St/Ht Outlet Z cl $G f Z TANK TO P/L WELL BLDG. Vent t Air Intake ROAD Dt Inlet R I I ,k ~ \ Septic 756 / 14 96 ' Dt Bottom Dosing Header/Man. g $g .'7 e .1 14 Sr .7$ Aeration Dist. Pipe 7>; $s t 1 ~ Holding Bot. System a3 4" x$57,, PUMP/SIPHON INFORMATION Final Grade ,-3 'k 3.5 459.7 Manufacturer Demand St Cover 5 GPM 6 1.- i • 7 Model Number / TDH Li Friction Loss System Head TDH Ft Forcem ' Length Dist. to Well SOIL ABSORPTION SYSTEM g 3-5(- T-S t . 7 3 BED/TRENCH Width Length No. Of Trenches PIT DIME I NS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 vG J [ ` CvVGv~Snt► SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufahufgr! INFORMATION CHAMBER OR dd Type Of System y UNIT `f N Model Num er: 27 .2 GD•AJ 2w b~ d u i J~' a t DISTRIBUTION SYSTEM A). C' 0,, -76 W3 'j_'5 Header/Manifold f/ Distribution x Hole Size Ix Hole Spacing Vent ttIirr ll takeC Pipe(s) ` ~ /V Length 7 Dia Length Dial Spacing 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 Yes FQ No Yes L No z ~P COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: Location: 407 Johnson Drive Hudson, WI 54016 (NW 1/4 SW 1/4 32 T30N R19W) NA Lot 14 Parcel No: 32.30.19.726A 1.) Alt BM Description 2.) Bldg sewer length = - amount of cover = / R4CQi•lJ~ x W 3 d 4_0 0 b gl ~o ~a Plan revision Required? ®Y ~ '7 Use other side for additional information. . i _ SBD-6710 (R.3/97) Date Insepctor's Sign a Cert. No. ;zFCF1%JF_1D County , Z(~15 Safety and Buildings Division rp ® t ri 1 201 aS gtO ve. . Box 7162 Sanitary Permit Number (to be filled in by Co.) +3 $p$'"(.,F,0% ~ sT* :IdT, ~1 162 Sanitary Permit Application State Transaction ber In accordance with SPS 383.21(2), Wis. Adm. 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 may be used for secondary purposes in accordance with the Privacy Law, s. 15.04 1 m , Stats. I. Application Information - Please Print All Information tJ d ~/1 Property Owner's Name Parcel # e ..o V- 'd 'P " OR at 413:5 Prope Owner's Mailing Address Property Location / Jt, G L Govt. Lot City, State Zip Code Phone Number y,, Section 3.~2 circle one) 10012 'C/_ T C3 0 N; R E or W H. Type of Building (check all that apply) Lot # i or 2 Family Dwelling -Number of Bedrooms Subdivision Name Block # El Public/Commercial -Describe Use Y/j~~ ❑ City of Q tCa.t/`_ ❑ State Owned - Describe Use 1 CSM Number ~D Z L❑ Village of Uo( Z2- f 41 ✓ *g LTTown of ? /~17+`~' A 5~" G rho r~ III. Type of Permit: (Check only one box on line A. Complete line B if applicable) Z6 -P- X, ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) A' ew System El Replacement System B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner J IV. Type of POWTS System/Component/Device: Check all that a 1 rA 0a -J Eon-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil G~q,aC'VOG ❑ Holding Tank ❑ Other Dispersal Component (explain ❑ treatment Device (explain) V. Dis ersaIlTreat ent Area Information: Design Flow (gpd) Design Soil Application Rate dsf) Dispersal ArRequired (sf) Dispersal Area oposed (sf) S m Elevation 0 ,J I Dt> / ,III VI. Tank Info Capacity in Total # of Man actur 01 Gallons Gallons Units U New Tanks Existing Tanks U U N N ` U vi rn w C7 P. Sep ' or Holding Tank O / Dosing Chamber VII. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) / Plum s ~ignnaa MP/MPRS Number Business Phone Number LT` K~L ~ a h .EGG ~ S'~~ t!S~~ ~D ~3 Plumber's Address (Street, City, State, Zip Code) 2 .r 6a,~' ! ' GS VIII. Coun epaitifient Use Only pproved Permit Fee Date ssuueed G Issui ent Signature $ 9 75- 60 A r ven Reason for al IX. Condl eas s for~,,Disapproval / a /a r 1z; nk,effluentt Ts 3~ No ..a- 605 ,dispersal cell must all be services / maintalned , a3 per management plan provided by plumber. Z' Akv$*cremeMerke;must Mair"IrIt4 • a.s per applic" coft/ ordinatloes. Attach to complete plans for the system and submit to the County only on paper not less than 8 1/2 x I I inches in size SBD-6398 (R. 11/11) f-13 16 e/JKW r _ 4-- 3 f ~a b l ,1 CONVENTIONAL COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Wainionpaa sewer Owners Name: Marc & Christy Wainionpaa Owner's Address: N 6232 Little Valley Rd. Spooner Wi. Legal Description: NW 1/4 SW 1/4 S32 T30N R19W Township: St. Joseph County: St. Croix Subdivision Name: Lot Number: 14 Parcel ID Number: 030-2085-60-010 Page 1 Index and title Page 2 Plot Plan Page 3 System Sizing & Cross-Section Page 4 Filter Specs Page 5 Maintenance Information Page 6 Management Plan Page 7 St. Croix Cty Septic Tank Maintenance Form Page S Warranty Deed Page 9 CSM or Plat Attachments: Soil Test & House Plans Designer/Plumber. Keith Knudtson License Number: 648443 Date: 05/15/2015 Phone Number (651) 470-1737 Signature Designed pursuant to the In-Ground Soil Absorption Component Manual for POWTS Version 2.0 SBD-10705-P (N.01/01). Page 1 • fo kr1e~ L-o f`Ca~'~+e,~ ` rr cr A .--rte eS ctl) 5 yy . 1 57: f-3 C, c i `r oo' 1 tit i Soil Absowdon SwUm Cis Section f--- ft ~L ft 4' SdnduW 40 $ 4 Final Grade 19V5 Pvc vent WM Vent Cap ft Leaching Chamer ft Systwn EWRMW V ft ft J, ft p~ D. O Soil Aiso_ or tlon &atem Plan View ft _ ft ~ft Leaching Trench 1 Chambers 4- Dia. Trench 2 Header Vent Or Observation Pipe Trench 3 Leachlna Chamber Specifications Manuflacturer And Model .Lh ;6 ~re~ sit EISA Rating _ sq it per chamber Soil Application Rate 6- gpd/sq ft gpd Design Flow + - J' Son Application Rate ~e)_ EISA Chambers 3 rows of.~ chambers each. i Page of POWTS OWNER'S MANUAL & MANAGEMENT PLAN Pape?! FILE INFORIUATRW SYSTEM SPECWCATIONS Ov ner fj Septic Tank Capacity Z~ al ❑ NA Permit ` Sepik: -Tank ManufacUmw 0 NA DESIGN PARAMETERS Effluent alter Manufacturer tat.. 13 NA Number of Bedrooms ❑ NA Effluent Fitter Mode( 3~Z 0 NA AA Number of Public Facility Units .(JA Pump Tank Capacity al )6714A Estimated flow (average) 1160 gal/day Pump Tank Manufacturer ,~~lQ!A Design flow (peal), (Estimated x 1.5) ' gaVday Pump Manufacturer 14 VA Soil Application Rate . S al/day/ft2 Pump Model Standard Mfluent/Effiuent Quality Monthly average` Pretreatment Unit Fats, OU & Crease (FOG)- 530 mg/L 0 SarWGrevel Filter 17 Pest Etter Biochemical Oxygen Demand (BODJ 5220 Mg/L. E3 NA 0 Mechanical Aeration 0 Wetland Total Suspended Solids (TSS) 5150 mg/L 0 Disinfection O Other. Pretreated Effluent Quality Monthly average Call(s) _ 0 NA Biochemicad Oxygen Demand (sODj 530 mg/L Vin-Gnund (gravity) ❑ In-Ground (pressurized) Toted Suspended Solids (TSS) 530 mg/L ❑ NA 0 At-Grade 0 Mound Fecal Coiform (geometric mom) _<1W cfu/i00nrd ❑ Drip-Line a Other. Maximum Effluent Particle Size sin ilia 0 NA Othen ❑ NA Other. 0 NA Other. 0 NA ,K'Vakm typical for domestic wastewater and septic tank effluent. Other 0 NA MAINTENANCE SCHEDULE Sammie Event Service Frequency 13 s) inspect condition of tank(s) At least once every: Yearfs) (Mw&mun 3 years) 0 NA Pump out contents of tank(s) When combined sludge and scum equals one-third (Y$) of tank volume ❑ NA Inspect dispersal cell(s) At least once every: 3 ❑ Yes! s) (Madmtnn 3 years) 0 NA Clean effluent filter At least once every: yesi s) ❑ NA ❑ month(s) inspect lip. Pump controls & alarm At least once every: ❑ year(s) '0 month(s) Flush IaEerais and pressure test At least once every: ❑ year(s) Other. At least once every: 0 y~ month(s) 0 NA Other. ~ ❑ NA MAINTENANCE WSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Inspector, POWTS` Maintainer; Septage Servrcie►g Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or pondeng of effluent on the ground surface. The dispersal cell(s) shall ' be visually ink to check the effluent levels in the observation pipes and to cdecle-for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a fading condition i requires the date notification of the loco regulatory a dumty. When the mined' aeration of sludge and scum in any tank equals one-third or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Adff*fmi wale Code. All other services, including but not limited to the servicing of effluent fitters, mechanical or pressurized components. pretreatment units, and any servicing at intervals of S12 months, shall be performed by a certified POWTS Mairytifner. A service report shall be provided to the local regulatory authority whhin 10 days of completion of any service svarnt. rita~iiessiea- omdft . S~ ko:omd Q=oeauti~ae~ i16cPic t)aa~~ TWM* L *MfficW'' cuss Plan S-L Im, Non POW Jon - DDS(WAM T3_ INJIMP .Taskc~e~ieee~es ail call Ik t Oat ~~eaa:asre+~e#erl. aaa~ 3 if POFs for _ YnTv7 Filters PL-525 EFFLUENT FILTER t PL-525 Filter is rated for r 10,000 GPD (gallons per day) 1116' Filtration Slots AWM T_ng it one of the largest filters a AC-dft .lass. It has 525 linear feet ' 6" filtration slots. Like the ! g uk PL-122, the Polylok i~ ..-525 has an automatic shut off ball installed with every filter. -,Wien the filter is removed for +d+ea~zing, the ball will float up and 1wrnporarily shut off the system so Oe effluent won't leave the tank 525Unwh0finc other filter on the market can s ke that claim. ~afo►~. w,ooo c,~o 011 1W PL-525 Maintenance: SM. 40Pka The PL-525 Effluent Filter should operate efficiently for several years under normal conditions before . requiring cleaning. It is recom- mended that the filter be cleaned every time the tank is pumped or at least every three years. If the installed filter contains an optional ` alarm, the owner will be notified by an alarm when the filter needs servicing. Servicing should be clone by a certified septic tank, aumper or installer. 1. Locate the outlet of the U.S. Patent No# 6,015,488 BdVA F3W is septic tank- 5.871,640 2. Remove tank cover and pump tank if necessary. PL-525 nstallao: 3. Glue the filter housing to 3. Do not use plumbing when the 4" or 6" outlet pipe. If filter is removed. Ideal for residential and com- the filter is not centered 4. Pull PL-525 out of the housing. mercial waste flows up to under the access opening 10,000 Gallons Per Day (GPD). use a Polylok Extend & 5. Hose off filter over the septic Lok or piece of pipe to tank. Make sure all solids fall 1. Locate the outlet of the center filter. See page back into septic tank. septic tank. 19-21 for Extend & Lok 6. Insert the filter cartridge back 2. Remove the tank cover and information. into the housing making sure pump tank if necessary. 4. Insert the PL-525 filter the filter is properly aligned into its housing. and completely inserted. 5. Replace and secure the 7. Replace septic tank cover. septic tank cover. ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer Marc & C~risty Wainionpaa Mailing Address N 6232 Little Valley Rd. Spooner Wi. 54801 Property Addr04 ' 07 Johnson Dr. La-- (Verification required from Planning & n g Department for new construction.) City/State Hudson Wi. Parcel Identification Number 030-2085-60-010 LEGAL DESCRIPTION Property Location NW r/' SW '/4 , Sec. 32 , T 30 N R " W, Town of St. Joseph Subdivision Plat: , Lot # Certified Survey Map # , Volume Page # Warranty Deed # (before 2007)Volume , Page # Spec house Oyesdto Lot lines identifiable 0yes[] no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §SPS. 383.52(l) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit toISt. 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 undersigned 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 Safety And Professional Services and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 3 days of the three year expiration date. I/we certify that all statements on t s form are true to the best of my/our knowledge. I/we am/are the owner(s) of the property described above, by virtue of a anty deed recorded in Register of Deeds Office. Number of bedroo 4 GNA URE OF A LICANT(S) &TV6 ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. Include with this 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. 04/12) '0 percent slope, scale ordimensions, north arrow, and location and distance to nearest road. v v Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location E( Marc D. & Connie S. Smith Govt. Lot 1`'W 114 SW 1/4 S 32 T 30 N R 19 E(or® Property Owner's Mailing Address Lot # Block # Subd. Name or CSW 418 Rolling Hills Lane NA NA CSM Pending City State Zip Code Phone Number []City Ovllage ■ Town Nearest Road Hudson WI 54016 ( 715) 549-5758 St Joseph Rolling Hills Lane New Construction Used Residential / Number of bedrooms Unknown Code derived design flow rate Unknown GPD El Replacement Public or commercial - Describe: - t- Parent material Glacial outwash Flood Plain elevation if applicable ? R E C f F Y CSC.} General comments ` and recommendations: R 0 2 ?007 51. CROIX COUNT`' { F 3T 1 Boring# Boring Pit Ground surface elev. 866.4 ft. Depth to limiting factor >84 in. Soil Application Rate Horton Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDAf in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. '08191 "Eff#2 1 0-4 1 OYR 4/2 sil 2mgr mvfr cs 3vf-m 0.6 0.8 2 4-8 1 OYR 4/2 sit 2fabk mvfr cs 3vf-m 0.6 0.8 3 8-20 1 OYR 4/6 scl 2mabk mfr cs 2vf 0.4 0.6 4 20-28 7.5YR 5/6 s Osg ml 1 of 0.7 1.6 5 28-47 10YR 4/6 grcos Osg ml gs 1 of 0.5 0.5 0.5 0.5 6 47-84 l OYR 513 grcos Ogg ml - - 32 Boring # Boring 860.7 -90 pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/W in. Munsell Qu. Sz- Cord. Color Gr. Sz. Sh. 'Eff#1 -Eff#2 1 0-5 1 OYR 4,2 sil 2mgr mAfr Cs 3-,-f 0.6 0.8 2 5-8 10YR 4/2 sil 2fabk mvfr cs 3vf 0.6 0.8 i 8-18 l 10YR 5/8 - - 3tnebk fr cs 2ti.f 0.4 0.6 4 18-28 7.5YR 5/6 Js Osg ml 9W lvf-f 0.7 1.6 5 28-62 10YR 4/6 grcos Osg ml gs 1 vf-f 0.5 0.5 6 62-90 1 OYR 5/3 grcos Osg ml 0-5 0.5 i * Effluent #1 = BOD. > 30 < 220 mg/L and TSS >30:s 150 mgA- " Effluent #2 = BOD,_ < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signatur CST Number Daniel P. Kum] ucf` 250693 Address Ogden Engineering Company Date Evaluation Conducted Telephone Number 1234 S. Wasson Lane. River Falls, 'Wl 54022 / (r j,/April 2, 2007 (71 S) 425-7631 I I I I n I N Il 1 p Hl$ N ~ B I N I jj w u , 1111 I I ~ I ~ N I N I Q N I ~ryI O III ~ I N u IIfI I _ I I I N u•ae I 1 ® e t 1 5 1 zr I I - II 1 t I I 44 I 1 a I - trr~tp - - 9 eg I t I T= I R~~ 0 a x a I wa wa _ $ 4 I I I o 1 s _ t .r _ t e I x - I R r t a m x ,,,a, - - - II I 4 I t I _ zr 1 ~ 9 I r I 4 arem~ I _ >r ea ra ra 4 5a e e a _ $ I 4 1 D I I C I - I o I 2F g I ;1 E 4 $ 3 i+$§QQy$f$ v EHi$s~{~ aise NOKENESSCONSiRUCTgN 21 112,121 _ $ E y$ €FF3 1 MARC & CRISTY WAINIONPAA s HIM 6g F, IIJ.si11,$$,9i 1 I I ; ; I I I 1 gp AWN I ~ ~~F ~ a a~~~ fl I I 1 I y 1 ~ I ~ ~~Ii1!g~ s'sR 7 a¢ 7 t grog lqlyl I I I; I I ~ p' - - - z a tY I ` ~ Y rcs I I .n /Y 1 ~ .vg l3 4 I a "a ENO, ;112! I It, i Of P I I ~ g a s I - Jni s rumwNl 9 9 1 77 I 1 1 ti 4 ~ k ~-emu I - I 1 I I k 4 R - I 4 I ? I C ~ I 4 C; 4 I I I I I - - mmr 1 I I m y I ; 1 { i 'v 1 a ! NOKENESS CONSTRUCTION y g Y all g g# bbl of §3, ~ MARC & CRISTY WAINIONPAA # 5 W § 3~I94' [ 011, p 1111k t WISCONSIN-USA ¢18g - I _ • zDo~72 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County St. Croix Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. 030-2085-60-,0 to percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Reviewed by ` Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). N Properly Owner Property Location Marc D. & Connie S. Smith Govt. Lot NW 1/4 SW 1/4 S .32 T 30 N R 19 E(r)® Property Owner's Mailing Address Lot #/q Blodc # Subd. Name or CSM# 418 Rolling Hills Lane NA 05114 Z2-5%f City State Zip Code Phone Number ity ® Village Town Nearest Road Hudson WI 54016 ( 715 ) 549-5758 St. Joseph Rolling Hills Lane El New Construction Use Residential / Number of bedrooms Unknown Code derived design flow rate Unknown GPD ® Replacement Public or commercial - Describe: Parent material Glacial outwash Flood Plain elevation if applicable RECWVED ft. General comments !>l~qli? 61) yv 41622- kJ 1774/4) AV or / and recommendations: ~ p,~-d I~GIr APR 0 2 2007 It, It : Sot. -1651- f4mofn walA GSM it 4a/R y FK.ED tJ G.S✓r! ST. CROIX COUNTY /NRL&j y paAM &Jt4V fiVf ' B 1 Boring # 13 Boring Pit Ground surface elev. 866.4 ft. Depth to limiting factor >84 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 1 0-4 I OYR 4/2 - - - sil 2mgr mvfr cs 3vf-m 0.6 0.8 2 4-8 10YR 4/2 - - sfl 2fabk mvfr cs 3vf-m 0.6 0.8 3 8-20 l OYR 4/6 - scl 2mabk mfr cs 2vf 0.4 0.6 4 20-28 7.5YR 5/6 s Os ml s lvf 0.7 1.6 5 28-47 l OYR 4/6 - grcos Osg ml gs lvf 0.5 0.5 6 47-84 10YR 5/3 - - grcos Osg ml 0.5 0.5 ~5g• B2 Boring # Boring 860.7 >90 pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDfIf in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-5 l OYR 4/2 sil 2mgr mvfr cs 3vf 0.6 0.8 2 5-8 10YR 4/2 sit 2fabk mvfr cs 3vf 0.6 0.8 3 8-18 10YR 5/8 sic., 3mabk mfr es 2vf 0.4 0.6 4 18-28 7.5YR 5/6 s Osg ml gw lvf-f 0.7 1.6 5 28-62 10YR 4/6 grcos Osg ml gs lvf-f 0.5 0.5 6 62-90 10YR 5/3 grcos Osg ml 0.5 0.5 r~ * Effluent #1 = BOD > 30:5 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD < 30 mg/L and TSS 5 30 mg/L ~W CST Name (Please Print) Signatur CST Number Daniel P. Kugel ?Sd~~ 250693" Address Ogden Engineering Company Date Evaluation Conducted Telephone Number 1234 S. Wasson Lane, River Falls, WI 54022 April 2, 2007 (715) 425-7631 Property Owner Marc D. & Connie S. Smith Parcel ID # 030-2085-60-o/O Page 2 of 3 F31 Boring # Boring 0 Pit Ground surface elev. 857'9 ft. Depth to limiting factor >90 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 1 0-5 10YR 4/2 sil 2mgr mvfr cs 3vf-m 0.6 0.8 2 5-9 IOYR 4/2 sil 2fabk mvfr cs 3vf-m 0.6 0.8 3 9-19 10YR 4/6 sicl 3f-mabk mfr cs 2vf-f 0.4 0.6 4 19-36 IOYR 6/6 scl lcabk mfr cs lvf 0.2 0.3 5 36-42 7.5YR 5/6 s Osg ml gs lvf 0.7 1.6 6 42-69 10YR 4/6 grcos Osg ml gs lvf 0.5 0.5 7 69-90 10YR 5/3 grcos Osg ml 0.5 0.5 El Boring # Boring Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 -Eff#2 Boring F-1 Boring # Ground surface elev. ft. Depth to limiting factor in. Pit 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 " Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BODS < 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. M-8330Test (R.07/00) Property Owner Marc D. & Connie S. Smith 030-2085-60-6fp Parcel ID # Page 3 of 3 SITE PLAN Ar, Ce \ `d ®B2 \ E~ 67 10 BI B3, s. Y;P LLJ /0`~ Z PROPOSED L f J DRAINAGE I Cl) EASEMENT Z I ~ J I O SCALE IN FEET 1 0 25 50 100 PROPOSED LOT 14. C.S.M. Z Z -Syog CONTOUR INTERVAL=2' 'C arw~.p /~-,4~~ Qps ' QUO OGDEN ENGINEERING DANIEL P. KUGEL C #250693 CO. Civil Engineering S Land Surveying ! Lam, DD 1234 S. Wasson Lane, River Falls, WI 54022 DATE: _ dr, (716)425 -7631 SOIL PROFILE DESCRIPTION Owner: /Y1a~~ COn1A)IC 5/n(TN CST: System Elev. Proposed: ft Syst. Range ft to ft Ld Rate: # Elevation: gib y # Z Elevation: # 3 Elevation: 8S 7• o Boring o Boring o Boring Pit Pit 1zl Pit s6Z - - g~o ss - sa r S $Sa - - $~B F