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Home My WebLink About030-2141-00-015 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 578970 ^-9-~ 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: Oeverin Homes LLC, aka Oeverin TPropertie St. Jose h, Town of 030-2141-00-015 CST BM Elev: Insp. BM Elev: Description: Section/Town/Range/Map No: /6/.33 A14-- 36.30.19.2065 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER ~Al S CAPACITY STATION BS HI FS ELEV. Septic 2• i Benchmark 1 6CO 2 . Le 113.,F 16t- 3 -pesi ~ l i Alt. B , C.o ~l L-11 Z•7 /61-2-3 Aeration Bldg. Sewer -5 7. a,3 19 Holding St/Ht Inlet 2 5 • 7 TANK SETBACK INFORMATION St/Ht Outlet TANK TO , P/ WELL BLDG. ent Air Intake ROAD Dt Inlet Septic 79 43 Dt Bottom 7 7 Dosing Header/Man. g . 9 CX V3 Aeration Dist. Pipe 175,t>:3 9 .9'3 Holding Bot. System 9 • IV, X>3 413,173 PUMP/SIPHON INFORMATION Final Grade , Z 94• Manufacturer Demand St Cove/ ! Cam GPM Z -7 r b I Z , t•••~. Model Number TDH Li Friction Loss 1 System Head Ft Forcemain Length la. Dist. to Well SOIL ABSORPTION SYSTEM BEDITRENCH Width Length No. Of Trenches + PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS r ?6 SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufactulgr- I i~ct INFORMATION CHAMBER OR fti Pq Type Of System: UNIT Mocj~l Numbef: CEO ~ G vt,T'~ b 44 .!r4 C~ J i Lot- ~7 5~a DISTRIBUTION SYSTEM C-W -)5 Z Z >eZ Z- Header/Manifol51 it Distribution x Hole Size x Hole Spacing Vent to Aire Length /b Dia Le gth Dia` Spacing t5*0 •s 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 -7 Bed/Trench Edges Topsoil • / ~ Yes M No Yes z31 No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: Location: 1255 84th Street Nqw.,RRichmond, WI 54017 (NE 1/4 NW 1/4 36 T3 N R1 9W) Natalie's Ridge Lot 15 Parcel No: 36.30.19.2065 1.) Alt BM Description = '•t ` - _ ~`I'~~' G ~ % 4- L tSL , a e, G 2.) Bldg sewer length - amount of cover 14Z a~ Plan revision Required? ® Yes No 75 Use other side for additional information. SBD-6710 (R.3/97) Dat Insepctor's nature Cert. No. RECEIVED county /J fety d B gs Division [ ro 1 2S t P.O. 8oX 7162 Sanitary Permit Number (to be filled in by Co.j ' X COUNTY Madison, W1 53707-7162 ~a DEVELOPMENT 1 -4 g I ~ J 1ONA~ ' -7TO -11 0111 Sanitary Permit Application State fransacti°nNp7e' In accordance with SPS 38:.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 stale-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. /12 -i-s- 91/// i 1. Application Information - Please Print All Information Property Owner's Name Parcel # Property Owner's MP~hg/ t ~ Property Location 17- Q / C O J`L/ ✓7 Gvt.Lot ( l0/ City, State lip Code Phone Number y., Section ~b ctrcle o N; R E VJ U. Type of Building (check a at apply) Lot Family Dwelling -Number of edrooms I Subdivision Name ~Block# 1 ❑ Public/Commercial - Describe Use ❑ City of ID State Owned Describe Use CSM Number T~I ❑ y- il`l'a~ge of _ ^ _ 22- 2 - of III. Type Permit: (Check only one box line A. C mplete line B if applicable) A_ r System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only Other Modific io o Existing System (explain) e X 9ot i List Prev ous Permit Number and Date Issued B. ❑ Perrnit Ren -al vision ❑ Change of Plumber ❑ Permit Transfer to New Before Expiratio Owner i IV. Type of POW'CS System/Component/Device; Check all that apply) all I essurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade El Mound > 24 in. of suitable soil 01 M. 7d < ?4 in of suitab e soil ❑ Holding Tank ❑ Other Dispersal Component (explain)- ❑ Pretreatment Device (explain] V. Dis ersaVTreatment Area Information: Design Flow (gpd) Design S 'I Applica Rate(gpdsf) Dispersal Area Require sf) CDC persal Area Propos (si) stem El au co s~ a q . Z ✓ S ~573 VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units / . J New Tanks Existing Tanks 2e m 2 / U Septic or Holding Tank f Dosing Chamber J VII. Responsibility Stateme - 1, the undersigned, ass esponsibility for installation of the POWTS shown on the attached plans. r Plumber's Name (Print) Plum r' gnature MP/MPRS Number Business Phone Nw9b Co Plumnber Adaress (Street City; late, Zip VIII. County/Department Use Only Approved ❑ Disap Permit Fee Date Is ed ~j $ Issuing .Ag t e ❑ Owner n Reason for Dent IX. Con"ff easons for Disapproval r✓ 1. Septic tank, effluent filter and 39 6,' i Id~I i eve lower 7) dispersal cell must g@_6~Cv'l~ed_I rnelntalne~l fa~~ y~a~~ as per management plan provided by plumber. n n Dc ?G , 2. All setback requirements must be maintained e/ordinances. Attach to complete plans for the system and submit to the County only on paper not less thou fi is i 11 inches in size SBD-6398 (R I1/11) PLOT PLAN PROJECT Oeverina Homes ADDRESS 1433 Cernohouse Ave Suite A New Richmond Wi 54017 1/4 NW 1/4s 36 /T 30 N/R 19 4~NVENTIONAL N St. Joseph COUNTY ST. CROIX SYSTEM ELEVATION 95.6/95.3 4' below qradeDATE /11/15 BEDROOM 4 CONVENTIONAL XXXX IN-GROUND PRESSURE LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 891 # of chambers 44 BENCHMARK V.R.P. Top of 2" pvc pipe ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE (D WELL * H. R. P. same as benchmark All piping shall be ASTM SDR 30/34, within Scale = 1 4 '1 = 10" 10' of tank, piping shall be ASTM F891 84th st. \P) t Pro 3 Bedroom House 290' Vent 30 B.M.* ~I 2-3'X 90 cells >6" Quick4 Standard S with >3' spacing Leaching Chamber 7 of Cover with 20.0 ft2 of Area 1211 5.6ft^2/pair of end caps 30' 138' 6' 4' Long 3 4" Grade at System Elevation B 2 - 23' 99.5' 50' Vents 98.5' 98' 147' B-3 3% Slope 97.5' 454' (ec.0 370-7.qS o>IIr~~~ ✓b I ~ 1 Safety and Buildings Division 201 W. Washington Av tary Permit Number (to be filled in by Co.) Madison, WI 53707-7162 r,~ ~ ; 5rV1 COUNTY State Transaction Numbs' J anstary Permit Application overnmental unit N In accordance with SPS 38321(2), Wis.. Adm. Code, submission of this form to the appropriate go, is required prior to obtaining a sanitary pctmiL Note: Application forms for stazo-owned POWTS are submitted to Project s (if different than mailin ress) the Departmart of Safety the privacy Professional wervies. Person i ormation you provide may be used for secondary 64 oses in accordan L A lication Information - Please Print All Information Parcel # property pwnc's Name e p J 2 -a L G f EO Property ty 0I ocaLon opefty Owner's Mailing Address / 2 t7 L4 `~Govt. Lot c/~ C r Zip Code Phone Number /V= '/a Section City, State _i is o LkJ T30_ N; R E W Lot # II Type of Building (check 211 that apply) \ Subdivision Name 2 Family Dwelling-Number of Bedrooms p~~?b3t Block# " ❑ Public/Commercial - Describe Use 0 - ❑ City Village CSM Number ❑ of ❑ State Owned - Describe Use Town o LFL~S PQ 11I Typ t: (Check only one box on i e A. Complete line B if applicable) A. S tem ❑ Replacement system 11 Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) Z- 3 `x u List Previous Permit Number and Date Issued B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New ' 1 J Before Expiration 6 Com onent/Device: Check all that apply) 0 -Pressurized In-Ground Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in of suitable so D ) ❑ Pretreatment Device (explain) er Component (explain) V. Dis rsaVl reat nt Area Information Dispersal Area Pro d (sf) Systan Elev o Desi~ Flow (gpd) Design Soil Applicati dsfl Dis al Area Rc (s \ I ~rJtfJ) VJ`~ S Capacity in Total # of Manufacturer H VL Tank Info cg Gallons Gallons Units m = New Tanks F1 8 T w L a` U in ~n a Ci G Septic or Holding Tank Dosing Chamber the attached plans VII. Responsibility Statement- 1, the undersigned, ass ponsibility for installation of the PORTS shown OR Plumber' aturc MP/MPRS Number Business Phone Number! Plumber's Name (Print) Plumber's Address (Street City, State, Zip Code) VIII. Countv/De artment Use Only a em Si azure Permit Fee Date sue ~I Issuing Ag n PPzoved ~ O b I „ /J ❑ er Given on for Den" (U~IJ DL Conditions -for D* a ro al J ~NdDgel/ COA4yaL y / 1. eptic tank, a uent fiJJe~~na wl kffv , dispersal cell must~V_@eryl;;*d/LeMQl1Mt*11_gd w hp~tLOw as per management plan provided by plumb@f. 2. All setback requirements must be msinWilvd S , I as per applicable code/ordinan• Ateaeh to cumpk plans for the system and submit to the County only on paper not less than 81n 111 inches in size SBD-6398 (R. 11/11) Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 5/28/15 Owner: Oevering Homes Location: SE /4 SW1/4 S36 T30 N,R19 1255 84th st. St. Joseph Manuals Used: In-ground absorbtion system (version 2.0) Page# 1. Cover Page 2. Plot Plan 3. Chamber Cross Section 4-6. Maintanance and Contingency Plan 7. Filter Specifications Shee Signature License number 900 PLOT PLAN PROJECT Oeverino Homes ADDRESS 1433 Cernohouse Ave Suite A New Richmond Wi 54017 SE 1/4 NW 1/4S 36 /T 30 N/R 19 W TOWN St. Joseph COUNTY ST. CROIX SYSTEM ELEVATION 95.6/95.3 4' below grade 5/28/15 BEDROOM 3 DATE 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 .7 ABSORPTION AREA 651 # of chambers 32 , BENCHMARK V.R.P. Top of 2" pvc pipe ASSUME ELEVATION( 1' o01 I Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. sameasbenchmark All piping shall be ASTM SDR 30/34, within Scale _ 1 4 '1 = 10' 10' of tank, piping shall be ASTM F891 84th st. R~ Pro 3 Bedroom House 290' Vent 30 B.M.* >6" Quick4 Standard of Cover Leaching Chamber S 7' with 20.0 ft2 of Area 12" 5.6ft^2/pair of end caps 30' 138' Long Grade at System Elevation B-2 B-123' 10 3 4" 99.5' 50' Vents 98.5' 98' 147' B-3 3% Slope 97.5' 454' Cross Section of Infiltrator Quick 4 Leaching Chamber Typical cross section for 2 of 2 cells Quick 4 Standard Leaching Chamber with 20.0 ft2 of Area per Chamber To be >1' above grade 5.6ft 2 pair of end plates Finish grade elevation Typical Installation 99.6' Vent 01 Grade Vent 3' 4" 3' X30/34 Septic Tank 5' Long 119 5' S' Long 199 3619 Grade at System Elevation Grade at System Elevation Spacing 5' 2-3' X 66' Cells Same on other end Observation tubeNent At end of cell A B 16 chambers per cell System elevations: A-95.6' B 95.3' ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address adz Property Address4 a S 5- (Verification required from Plan~nin ZO1,- l C~~ - - g nng Department for clew construction.) City/State .-..~_t-Vlf'~~(1 t1 S~Lo~ ~arcel. Identification -7- Num~er LEGAL DESCRIPTION Property Location I ~ Sb , T2.'U1 N x t~w Yq, Sec. c J -~_-W, Town of t7 Subdivision Lot # Certified Surve MaP # Volume Page # - Warranty Deed # Volume Page # Spec house yes no Lot lines identifiabl o yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATfQN Improper use and maintenance of your septic system could result in its premature failure to handle wastes Proper consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper- . What roper you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner responsibilities are specified in §Comm. 83.52(1) and in Chapter-12 - St. Croix County Sanitary h' tart' Ordinance. maintenance The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed b owner and by a master plumber, journa r wastewater disposal system is in proper operating onditioniand/or (2) after insplicensed pumper verifying tt (1) ection and pur p n (if'neces a the le septic y the on-site less than 1/3 full of sludge, g sry), the septic tank is 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 b the De y partment of Go r e Certification stating that your mmerce and the Department of Natural Resources, State of Wisconsin. septic system has been maintained must be completed and returned to the St_ Croix County planning & Zoning Department within 30 days of the three year expiration date, I/we certify that,abll s en on this form are true to the best of my/our knowledge. I/we atn/are the owner(s) property described above ue of • Warranty deed recorded in Register of Deeds Office. of the number of bedrooms _ a IGNAT OP APPLICANT(S) `S DAT.F. ***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. 08/05) POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION SYSTEM SPECIFICA710NS Owner Tank Manufacturer: ❑ NA Permit # Septic ❑ Dose ❑ Holding Volume: (gal) Tank Manufacturer: l f ❑ NA DESIGN PARAMETERS f~ Number of Bedrooms: ❑ NA [I Septic ❑ Dose [I Holding Volume: (gal) Number of Public Facility Units: NA Vertical Distance Tank Bottom(s) to Service Pad: (ft) Estimated (average) Flow : (galiday) Horizontal Distance Tank(s) to Service Pad: / (ft) Specific servicing mechanics must be provided if vertical is >15 feet or Design (peak) Flow = (estimated x 1.5): J (gal/day) if horizontal is >150 feet. specMc Instructions to be provided on back. In Situ Soil Application Rate: `7 (gaudaytW) Effluent Filter Manufacturer. 6 ❑ NA C r/ Standard (Domestic) Influent/Effluent Monthly average Effluent Filter Model: Fats, Oil & Grease (FOG) 530 mg/L Pump Manufacturer: Biochemical Oxygen Demand (BODS) x220 mg/L ❑ NA Pump Model: Total Suspended Solids (TSS) 5150 mg/L High Strength Influent(Effluent Monthly average Pretreatment Unit (FOG) >30 mg/L` Manufacturer. rS NA (BODO >220 mg/L ~ El Mechanical Aeration C1 Peat Filter -7 (TSS) >150 mgtt ❑ bisinfection ❑ Wetland Pretreated Effluent Monthly average ❑ Sand/Gravel Filter ❑ Other. (BODS) 530 mg/L / Soil Abso .on System (TSS) _30mg/L /~-'N`A Ground (gravity) ❑ In-Ground (pressure) ❑ NA Fecal Coliform (geometric mean) -"101 At- de ❑ Mound Maximum Effluent Particle Size in dia. ❑ NA ❑ Drip-Line ❑ Other: Other: NA Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Pump out contents of tank(s) When combined sludge and scum equals one-third ()S) of tank volume ❑ When the high water alarm is activated ❑ o Inspect condition of tank(s) At least once every: nth(s) (Maximum 3 years) ❑ NA ls'!ear(s) o ❑nth(s) (Maximum 3 years) El NA Inspect dispersal cell(s) At least once every: n ear(s) ❑ month(s) ❑ NA Clean effluent filter At least once every: ,,ear(s) [I month(s) NA Inspect pump, pump controls & alarm At (east once 'every: ❑ year(s) C1 month(s) NA Flush laterals and pressure test At least once every:. ❑ year(s) Other: At least once every: ❑ month(s) NA ❑ year(s) Other: NA MAINTENANCE INSTRUCTIONS Inspections of tanks and soil absorption systems shall be made by an individual carrying one of the following licenses or certifi lions: 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 (h) 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 (02105) I 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 be=discharged 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 soil 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, cigarefte butts, condoms, cotton swabs, degreasers, dental floss, diapers, disinfectants, fats, foundation drain (sump pump) discharge, fruit and vegetable peelings, gasoline, greases, herbicides, meat pesticides, san' 'rY napkins, solvents, tampons, and water softener brine discharge. scraps, products, medications oilspainting 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: A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. e 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 res th the the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply 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 *-_,Z RESULT. ESCAPE OR RESCUE FROM THE INTERIOR OF A TANK MAY NOT BE POSSIBLE. ADDITIONAL INSTRUCTIONS: POWTS INSTALLER POWTS MAINTAINER , Name Names U Phone Phone f j - SEPTAGE SERVICING OPERATOR PUMPER CAL REGULATORY AUT ORITY Name Names _61 yr6l_11~ Phone l~ L Phone-;;)) j 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. r 1 .d.a i m o n ° Z rn , Q J o e a a °O o a .p A 3 elk yi 9 i - N i~ p a. 8 1 I i 11 1 vg I I q€ IIS ~ z ~ t I F~ • IBC ~ m3 Z ~ I a _ it ~a I 2 r~ a t ~ I I hF I I I 6 +X Y a - _ O q W _ ma w in I i I i i - I I I 9 i I r- s l mz I 5 m z y aF a'a: a- Im. 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Plan must St. Croix include, but not limited to: vertical and horizontal reference int (Bij direr M Q0UNI percent slope, scale or dimemsions, north arrow, and locat' and dis lp,, Parcel I.D. O 30 / D~ Please print all information. Revie By Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location Grand Properties, LP Govt. Lot SE 1/4 N 114 S 36 T 30 N R 19 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 712 Rivard Streeet, Suite 300 15 Natalie's Ridge City State Zip Code Phone Number City Village ✓ Town Nearest Road Somerset WI 54025 715-247-5900 St.Joseph Cty. Rd. A ✓ New Construction Use: ✓ Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement Public or commercial - Describe: Parent material Outwash (stream terrace) Flood plain elevation, if applicable na General comments and recommendations: Area is suitable for a conventional system with a 0.7gpd/sgft rating. Possible system elevation for Area 1 is 96.0'. Slope is 3%. Boring # Boring ✓ Pit Ground Surface elev. 99.06 ft. Depth to limiting factor 98+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 *Eff#1 *Eff#2 1 0-8 1Oyr3/2 none sl 2fsbk mfr as 3vf .6 1.0 2 8-26 1Oyr4/6 none girls 1csbk mvfr 9w lvf .7 1.6 3 26-88 1Oyr5/4 none grs Osg ml cs .7 1.6 4 88-98 10yr6/4 none s Osg ml .7 1.6 II h 3 ❑ Boring # Boring ✓ Pit Ground Surface elev. 99.66 ft. Depth to limiting factor 96+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 *Eff#1 *Eff#2 1 0-10 1Oyr3/3 none I 2mgr mfr as 2vf .6 .8 2 10-15 1Oyr4/4 none sl 2msbk mfr 9w 2vf .6 1.0 3 15-31 1Oyr4/6 none vgrls 1csbk mvfr cs lvf .7 1.6 4 31-75 1Oyr5/4 none vgrs Osg ml cs .7 1.6 5 75-88 1Oyr5/6 none grs Osg ml cs .7 1.6 6 88-96 1Oyr6/4 none s Osg ml .7 1.6 a lip u ~6 L * Effluent #1 = BOD? 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD <30 mg/L and TSS <_.,V mg/L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt 227429 Address Tom Schmitt Date Evaluation Conducted Telephone Number 1595 72nd St., New Richmond, WI 54017 4/18/05 715-247-2941 Property Owner Grand Properties, LP Parcel ID # Page 2 of 3 F3 ] Boring # Boring ✓ Pit Ground Surface elev. 98.06 ft. Depth to limiting factor 105+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 1 0-11 1Oyr3/3 none sl 2fsbk mfr cs 2vf,1f, .6 1.0 2 11-28 7.5yr4/6 none grvsl 2msbk mfr 9w 1vf,1f .6 1.0 3 28-54 7.4yr5/6 none grvss Osg ml cs .7 1.6 4 54-105 1Oyr5/6 none grms Osg ml - .7 1.6 ❑ 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 *Eff#1 *Eff#2 ❑ 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 *Eff#1 *Eff#2 * Effluent #1 = BOD ? 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. ' Page 3 of 3 Conducted by: Conducted For: Schmitt Soil Testing, Inc. Name: Grand Properties, LP Thomas J. Schmitt, CST 227429 Address: 712 Rivard Street 1595 72nd St. City, State, Zip: Somerset, WI. 54025 New Richmond, WI. 54017 Phone: 715-247-2941 _ Subd.Name: Natalies Ridge d Lot No.. /:S-- Legal Description: X1/4 N0114 S36 T30N R19W Township of St. Joseph, St Coix County Ml Soil Boring ® Bench Mark EL 100.x' Top of 2" pvc pipe Q Alternate Bench Mark El. lo l.33 Top of 2" pvc pipe Slope=__33P o Contour Line El. /Y17_ Scale V = 40' i i n9 This sail report was done to fulfill a zoning requirement. It may or may not be in a location suitable for your use. I i i A 75' L LOT I a~ 3.0 A I ® .95 Aft. I L.B.O.= 923.1 X 920.8 I ; ~ I I x 921.2 \ \ \ / H.W.L.=921.1 918.8 / `1` \ x 918.7 • ~ RAD = sa . 918.8 - -3rN 918.2 Q ('po d~~ ~ 61 L.e.o.= 917.7 x LOT 1 / 3.00 AC. y (2.7 AC.) ~ r L.B.O. 910.0 , z WT 6 x 918.3 - ' • ' 3.013 AC. 913.2 x (2.63 C.) , . _ x L.B.O.= 16.5 917.8 i