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HomeMy WebLinkAbout040-1326-01-000 Wisconsin Department of Commet PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division Sanitary Permit No: INSPECTION REPORT 578965 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: DCCI Investments LLC Troy, Town of 040-1326-01-000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: '~V • 17.28.19.2193 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER ~ APACITY STATION BS HI FS ELEV. Septic Benchmark '2 -79 ZI1 J'-_ P07 --y . In Alt. BM L { Aeration Bldg. Sewer ( _ • J Y 1 1~0 ll~olding St44tinlet C ~rwJ 1~ i#&tlet 5 TANK SETBACK INFORMATION TANK TO P/L% WELL BLDG. Vent to Air Intake ROAD 134 + ei ^ Septic rill Elt eattIIm- Lid g-,=s Dosing eader an. Q . ~ ~(Ji C Aerati Dist. Pipe lJ G7~I CJ Holding Bot. System Y3 Final Grad PUMP/SIPHON INFORMATION <J ~(J F Manufacturer Demand St Cover GPM tot > Model Nu TDH Lift Friction Loss *-Dist. TDH Ft Force in Length Dia. to well SOIL ABSORPTION SYSTEM BEDITRENCH Width ~1 Lengt , No. Of Trenches ^ PIT DIMEN NS No. Of Pit Inside Dia Liquid De DIMENSIONS LEACHING SETBACK SYSTEM TO P/ BLDG WELL LAKE/STREAM CHAMBER OR Manufacturer: INFORMATION Typ 6 & Z.~' UNIT Model Number: I~l I um DISTRIBUTION SYSTEM Header if i' Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) A__" r Length Dia Length Dia 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 [?-'~es [fl No Yes No COMMENTS: (Include code discrepencies, perstins present, etc.) Inspection #1: Inspection #2: / / Location: 370 Meadow Valley Trail Hudson, WI 54016 (NW 1/4 NW 11/44~117G T28N R1 9W) 40 acres Lot 1 /t f /~O,Parcel No:~f17.7.28.19.293 c A NO '~j R`_" 6 1.) Alt BM Description = *hc t 4 C 2.) Bldg sewer length I~ -amount of cover = ,1Q~' ~/i ((/)3 V V ~l ~~/~5~\(~' V Plan revision Required?❑ Yes /No (n I I I ~~~I/p j Use other side for additional information. ) t ~~~YYY """LL EV~ekpctos Cert. No. SBD-6710 (R.3197) Date ~ I M a x13 5z co r f 1 v z N cfi N _i S \v~ CA F I D :f^county y," t q(y Safet and Buildings Division ST. CROIX M~~ G 2p W ing n A .O. Box 7162 Sanitary Permit Number (to be filled in by Co.) -7162 t~ :P fK ` ST OROiX COUNTY PE T I V6 5 B IMMUNITY ©EVELO State Transaction Nurpbg~ Sanitary Permit Application NN 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 U eAdQh~ purposes in accordance with the Privacy Law, s. 15.04 1 m , Stats. V 1. Application Information - Please Print All Information Property Owner's Name Parcel # DCCI INVESTMENTS (D(l C.)-/ a - 3 2~ O oU Property Owner's Mailing Address Property Location q P.O. BOX 445 Govt. Lot 1 < 2 ! City, State Zip Code Phone Number NW NW V.., Section 17 NEW RICHMOND, WI 54730 715-246-2320 (circle one) R 19 EorW II. Type of Building (check all that apply) 4 1 or 2 Family Dwelling - Number of Bedrooms 4 eY NIA Subdivision Name _6 y/O y _I _ JBlock MEADOW VALLEY qidftT* ❑ Public/Commercial - Describe Use 6Y ~ ❑ City of CSM Number ❑ Village of ❑ State Owned - Describe Use 2 As+r b ,Ot1 Cells A t each V Town of TROY III. Ty eck only one boa on line A. Complete line B if applicable) ❑ Treatment/Holding Tank Replacement Only Other Modification to Existing yytem (explain) A' Q(New System Replacement System List Previous Permit Number and Date Issued B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber FEI mit Transfer to New Before Expiration r EL0k) IV. T S s Com onent(Device: Check all that a t Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dispersal/Tr tment Area Information: LI Design Flow ( Design Soil Application te(gpdsf) Dispersal Area Req ' (sf) Dispersal Area Propose p System Elevation ~OS~ be 600 .7 857 900 ° P VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units 0 d u u q y New Tanks Existing Tanks ck ^ v 2 U blylb Septic or Holding Tank 1250 0 1250 1 V`+ ESER G X Dosing Chamber N A VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Iggnature MP/MPRS Number Bne ss Phone Number PAUL KOEHLER /225410 5-246-2660 Plumber's Address (Street, City, State, Zip Code) 21 WISCONSIN DRIVE, VIII. Coun /De artment Use Only Approved ❑ D roved Permit Fee Wlue Issuing Agent Si re ❑ O e en Re i IX. Conditions of Approval/Reasons for Disapproval /l oI~IAC r ~lD ✓f SYSTEM OWNER: J ol veloPe 1. 1. Septic tank, effluent filter and dispersal cell must be serviced / m. aintained as per management plan provided by plumber. u t1 o-j-E w ~usf be q5' be/ 2 All spilhark requirements must be maintained (opj ✓A lf-\~ oa papery ^ ssrthan 8 1/2 x to -hes iaft Z~ l as per applica9fV1&tlW9Plfhl1lltr the system and submit a the Cgpaty ogly 1aL1_t_ -CC-1. SBD-6398(R. II/11) 5 Nom • S~s+ern tLlvctti(~-) L -tt, °13 . y ,11 CONVENTIONAL COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: MEADOW VALLEY MODEL #1 Owner's Name: DCCI INVESTMENTS Owner's Address: P.O. BOX 445 NEW RICHMOND, WI 54017 Legal Description: NW 1/4 NW 1/4 SEC 17 T 20 N R 19 W Township: TROY County: ST. CROIX Subdivision Name: -MEADOW VALLEY TRAIL Lot Number. Parcel ID Number: T D ' 1 ✓Z " Dv~ 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 Cry Septic Tank Maintenance Form Page 8 Warranty Deed Page 9 CSM or Plat Attachments: Soil Test & House Plans Designer/Plumber: PAUL KOEHLER License Number. 225410 Date: 05/27/15 Phone Number 715-246-2660 Signature Designed pursuant to the In-Ground Soil Absorption Component Manual for POWTS Version 2.0 SBD-10705-P (N.01101). Page t M ® (W) ~I 1l ~ ; /I l/ / V? oo i / V \ rr ~ Y \ l Q ~ ~ ~S [ SOIL ABSORPTION SYSTEM DETAIL/ GRAVELLESS LEACHING UNIT Page_of Project Name: DC y r I' e-K ~~1 & n t31 No. of Cells Per Cell _ ft Cell Width $ Total No of ft Cell Length] sq ft EISA Per Cell it Cell Spacing g o o sq it Total EISA Manufacturer Model Laying Length EISA Rating infiltrator EZ1203H-5ft 5.0' 25.0 EZ1203H-10ft 10.0' 50.0 Gravelless Leaching Unit Manufacturer: Gravelless Leaching Unit Model: e:, Typical Cross Section Finished Grade Observation Pipe with approved cap or vent a••aasar. t!___ r • • a ■ Soil Backfill a in ~a a Geotextile Fabric • t Infiltrative Surface 12 in ft Limiting Factor a Slotted and Anchored Vent/ in Observation Pipe with Cap aaraa■arar■■raaaaa■aaaa~i~■■aaa.a.....■■........... aaaa..aaraaa. a. a..■■.■ Plumber/Designer Signature: License /~i°Z Z SYd Date: / 27 _2 al5 lop, *Mtnc. INSTRUCTIONS PMVI INSTALLATION F A mrrma bw Zabel* a PL-525/PL-625 FILTER 3rWa>ewa:eProCics - 0r*ionof. u+_ PL-525/PL-625 FEATURES & BENEFITS Features & Benefits: e Rated for 10,000 GPD • PL-525 = 525 Linear Feet of 1/18" Filtration PL-625 = 625 Linear Feet of 1/32" Filtration >r PL.-525 PL 625 *Accepts 4" and 6" SCHD. 40 pipe - The PL-525/625 Effluent Filter should operate efficiently « Built in Gas Deflector for several years under normal conditions before *Automatic Shut-Off Ball when Filter is Removed requiring cleaning. It is recommended that the filter be cleaned every time the tank is pumped or at least every *Alarm Accessibility three years. If the installed filter contains an optional alarm,. the owner will be notified by an alarm when the *Accepts PVC Extension Handle filter needs servicing. Servicing should be done by a certified septic tank pumper or installer. RECOMMENDED PRODUCTS Polylok PVC Fitter Extension Handle Risers & Riser Covers Extend & LokTm Riser Safety Screens Filter Alaffn Panel and Polylok risers bring your Polylok Extend & LokT6" Polylok safety screens SmartFllterTm Control septic tank cover to grade. is a simple, easy to use prevent tragic accidents Switch This allows locating and solution that can extend from happening by children Polylok filter alarm panels servicing your filter easier the inlet or outlet pipe and and pets falling into open and sMtchs provid a visual and time saving by elimi- make filter and/or baffle septic tank entrances. and audible notification of nating digging to find tank installation a snap. impending filter and tank entrance. Fits 3" and 4" pipe. servicing. For a full fist of Polylok products please visit our web site at: www.polylok.com F- Y w U a 0 0- i U) 2-j an Q'v =Q N McV qg~~ F O U LLJ [n 3: r n' T N ~W V m Z M 9l~b~QgQe pSo iii p Lci C') 0'-~t Z~cT Z O O 0 o f LI F- 9 of F- M F- L U) w O O Q ~ Q 0 0 Q M U ON U t w V) Cl) to u > u O C+1 J Ul U U 0 M U ~p N ch 5- 06 U'~ U, ch -CO N u J N U-j O ti N u U U r ~ N u CIO H O VO Q w ~ fn U Cl S M Q 0 0cX Zto ~O w S otf F- F-J =Cl U u1 Z F- 0 Ct w V O J N U ¢ w M J 0 C7 W m Z W N co i v p a. > S = N 0 CL W N (7 ® UtiQ I- J Z a z J o 0=0 Z W U- LL M Hw0 M Lo 1. CV m W d le L. cfl Q Q Z F- J LO ui Q N H WC/) J m LO F-=) E-_ _I Q Q O ~ 4 ~~~=Ocfl ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer f.t&.q- is, (t~s Mailing Address bE v- C-4-4 enc-s W-6 -54-c~ l Property Address' ~ .4~€7 k--t, c-=- ~f~A I L-. 60 (Verification required from Planning & Zoning Department for new construction.) City/State OS~ *--I, \44 Parcel Identification Numbe - p 1 O v LEGAL DESCRIPTION 14W t> C2-- Property Location V4, 14*4 V4, Sec. 1'1 , T I*V N R 1~1 W, Town of Subdivision-~1.~.~ , Lot # Certified Survey Map # , Volume , Page # Warranty Deed # ` % $ G J a ~ , Volume 'Z Z 3 i--~ , Page # S'`~ I Spec hoW~e yes, o Lot lines identifiable` yes ~)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 §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition andior (2) after inspection and pumping (if necessary), the septic tank is less than 113 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 Commerce W 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 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my/our knowledge. Uwe am/are the owner(s) of the property descri above, by ntrre a warranty deed recorded in Register of Deeds Office. Numbe dr o s 1 s A JRE OF AP LICANT(S) DATE ***Aay in ormation 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. 08105) • /o POWTS OWNER'S MANUAL Se MANAGEMENT PLAN Page I of 2, FILE INFORMATION SYSTEM SPECIFICATIONS Owner DCCI INVESTMENTS Septic Yank Capacity 1250 al ❑ Ni Permit # Septic Tank Manufacturer WIESER OW DESIGN PARAMETERS Effluent Filter Manufacturer ❑ N4 POLYLQK Number of Bedrooms 4 0 NA Effluent Filter Model 525 ❑ NA Number of Public Facility Units NA Pump Tank Capacity gal fE7 N a Estimated flow (average) 450 Pump Tank Manufacturer a N.4 gal/day Design flow (peak), (Estimated x 1.5) 600 qal Pump Manufacturer IXNA /da Soil Application Rate .7 al/daY/ft2 Pump Model Ki NA Standard Influent/Effluent Quality Monthly average' Pretreatment Unit R] NA Fats, Oil & Grease (FOG) 530 mg/L Sand/Gravel Filter ❑ Peat Fester Biochemical Oxygen Demand (800.1 5220 my/L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg/L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) 0 NA Biochemical Oxygen Demand (BOD.) S30 mg/L 0 in-Ground (gravity) ❑ In-Ground (pressurized) Total Suspended Solids (TSS) 530 mg/L Q NA ❑ At-Grade ❑ Mound Fecal Coliform (geometric mean)' S10" ofu/100ml O Drip-Line 0 Other: Maximum Effluent Particle Size Y in dia. ❑ NA Other: ❑ NA Other: ❑ NA Other: ❑ No% *Values typical for domestic wastewater and septic tank effluent, Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: 3 month(s) (Maximum 3 years) Nil Pump out contents of tank(s) When combined sludge and scum equals one-third (Y1 of tank volume ❑ NA Inspect dispersal cell(s) At least once every: ❑ month(s) (Maxkmm 3 years) ❑ Nil 3 Exyeads) Clean effluent filter At least once every: 0 month(s) Q N<~ 1• ~ J0 .ear(s) Inspect pump, pump controls & alarm At least once every. 0 month(s) 12 N/i ❑ year(s) Flush laterals and pressure test At least once every: '0 month(s) (21 W. ❑ year(s) Other: ❑ month(s) ❑ NFL At least once every: ❑ year(s) Other: 0 NA MAINTENANCE INSTRUCTIONS 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 Servicing Operator. Tank inspections must include a visual inspection of the tank(.) to identify any missing or broken hardware, identify any cracks or leaks, iineasure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground' surfac s. The dispersal cell(s) 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. Ths 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 tank equals one-third (Y1 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 11:1, 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 S12 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. l?agc 71 of START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other ehemit that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the conte of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restori power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the of 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 tl POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants, fa foundation drain (sump pump) water, fruit. and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; a painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system i properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits 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 Servloing Operator. After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled will 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 compliarr replacement system: 13 A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorptkir system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from ex"ng and proposed structure, lot limes and wells- Failure to protect the replacement area % ill 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 that time. 0 A suitable replacement area is not available due to setback and/or soil limitations.- Barring advances in POWTS A' technology a holding tank may be installed as a last resort to replace the failed POWTS. 'te alua. ~ e e ~tZi7f~18)rii~• ~0~ ~NS`TRtl~-~ta►k ❑ Mound and at-grade sod absorption systems may be reconstructed in place following removal of the blomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC. PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NC T ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFIRCULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTAURA POWTS MAINTAINER Name COUNTRYSIDE PLUMBING & HEATING INC Name PAUL KOEHLER Phone 715-246-2660 Phone 715-246-2660 SEPTAGE SERVICING OPERATOR (PUMPERi L L REGULATORY AUTHORITY Name DARRELLS SEPTIC SERVCE Name s'T . Cr,IJ f 2.0/Jl~ , 1Z Phone 715-425-1025 Phone -7 f a5 - (p This document was drafted in compliance with chapter Comm 83.22(2)(b)(1 )(d)&(0 and 83.54(11. (21 & (3), wi=onsin Administrative Code. Depa"p SSSrrr h 5 SOIL4 EPORT #1738 f 1 r in accordance with Comm 85, Wis. Adm. Code Page 1 of 3 Professional SAWoes Schmitt Soil Testing, Inc. p.. II'' cool County Attach complete site plan on PonA,jnorth .4tr owfilkhes in size. Plan must St. Croix include, but not limited to oHH22oo~Cal_reference point (BM), direction and percent slope, scale or d arrow, and location and distance to nearest road. Parcel l.D. _ b - JZ~O 1 Q6 Please print all information. 0 R - Dat Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). D Z Property Owner Property Location DCCI Land Planners Govt. Lot NW1/4, NW1/4, S17, T28N, R19W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1505 Hwy 65 P.O. Box 445 1 Meadow Valley Of Troy City State Zip Code Phone Number City Village L] [j ❑ Town Nearest Road New Richmond WI 54017 Troy East Cove Rd New Construction Use: ❑ Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Outwash Sand Flood plain elevation, if applicable NA ft. General comments Area is suitable for a conventional system with a 0.7 gpd/sgftJra-te.. Possible system elevation for Area ' 1 is ( Step trenches) 95.0' - and recommendations: High trench, 94.4 Low T~ ()peis8%' /w _ n ❑ I ] I Boring # Boring (,_J ❑ Pit Ground surface elev. 98.23 ft. Depth to limiting factor 98+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 "Eff#2 1 0-14 10yr3/3 none sl 2mgr mvfr as 1Vf 0.6 1.0 2 14-23 10yr4/4 none sl 2fsbk mfr as 1Vf 0.6 1.0 3 23-79 10yr5/6 none grcos Osg ml cw 0.7 1.6 4 79-98 10yr6/4 none s Osg ml 0.7 1.6 ❑ Boring 2 Boring # Pit Ground surface elev. 96.88 ft. Depth to limiting factor 115+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 1 0-18 10yr3/2 none I 2msbk mfr cs 1Vf 0.6 0.8 2 18-46 10yr4/3 none sl 2msbk mfr gw ivf 0.6 1.0 3 46-53 10yr4/4 10 yi-6/2 r6/2 c2d 6 sl 2fsbk mfr gw ivf 0.6 1.0 4 53-77 10yr5/4 none Vgrcos Osg ml gw 0.7 1.6 5 77-115 10yr6/4 none s Osg ml 0.7 1.6 Horizon 3 meets the soil color pattem exemption as stated in 385.30(3 a 1 foot Rule Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L Effluent #2 = BOD5 <_30 mg/L and TSS <_30 mg/L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt 227429 Address Schmitt Soil Testing, Inc. Date Evaluation Conducted Telephone Number 1595 72nd Street New Richmond, WI 54017 5/5/2014 715-760-1978 SBD-8330 (R.07/00) Prgpeq Owner DCCI Land Planners Parcel ID # Page 2 of 3 ❑ Boring Boring # Pit Ground surface elev. 99.4 ft. Depth to limiting factor 110+ 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 0-10 10yr3/3 none sl 2mgr mvfr Cs ivf 0.6 1.0 2 10-14 7.5yr5/4 none is lcsbk mvfr gw ivf 0.7 1.6 3 14-35 10yr5/6 none s Osg ml gw 0.7 1.6 4 35-74 10yr6/4 none s Osg mi Cs 0.7 1.6 5 74-96 10yr5/6 e grcos Osg MI Cs 0. 1.6 6 96-110 10yr6/4 Q~ ne s Osg mi 0.7 1.6 F4] Boring Boring # i Ground surface elev. 98.18 ft. Depth to limiting factor 96+ 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 0-12 10yr3/3 none sl 2mgr mvfr as lvf 0.6 1.0 2 14-23 10yr4/4 none sl 2fsbk mfr as 1vf 0.6 1.0 3 23-46 10yr4/6 no sl 2msbk ml CW 0.6 1.0 4 46-76 10yr5/6 a grcos Osg ml 0.7 1.6 W \.4 5 76-96 10yr6/4 o s Osg ml 0.7 1.6 ❑ Boring F-1 D 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/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *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. SBD-8330 (&07/00) Schmitt SoN Testlng, Inc. Page 3 of 3 - - I- Condueted-by. - - - - - - onductezt`~ro _ - - - _ - - - • 'SchmittSoil Testing Inc: _ Name: DCCI Land Planners Thomas J. Schmitt, CST 227429 Address: 1505 Hwy 65 15%-72nd 5%- - - -Cjty, ~tatLx Zip: It'ichmo~~- 14QI7 - - New Richmond,_WI 54017 Phone: 715-760-1978 Subdivision Meadow Valle Of Troy 41 - -tot mo.: - sigiwlum _ ----legal-L2escription* _NWI/4NW114517 T28N-R19W ■ Backhoe Pit Township, County: Troy Township, St. Croix Count! ----f-"BencffNlarkA-EFIN.O0-Top of2'PVC pipe. - - - - - - ABench_Mark2EL_92.38.'-Tnp_of e Slope- 89'0 - s 113 ` ` 1` /4SE/1?CN7' n=d' mod' 0:4 VA" 5-I I/2". 6-7 I/2" AW4U A52Nlb Q - A MT. ASZAU URN O 1 Sl s. ~ 2Abs ~ . i i w-& vt °5-7 I/ti 1 j O y ....Mat.. ~s i i N n i. 1 I----- UNEN ~IcR Ra61I. C Le 1 I b! 248 L , ?Ji68 GD. - - - - - , 3o6E I Mot O ) na,O ~ ~ 1~ I 1 1 j . ~ i 4-O" 1 id-8 I/k" 9c'--- a o 71 ?rF68 GD. - w 0-0 ve Z6&~i TH ltI - I UPPERS 42" fi6T. WALL W/WOCD GAP p .2 I/k 3=10" - a s~ 43W ilk i i ~ 19-3 I/A" 8-I0 I/2" 13~ 8 I/k" 1 1 i- j I I i 1 1 j i 1 i i g~ - 18-d' ---aJ a • v I , J II 7/S" I-.JA5T5 ®IG' OL. 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