HomeMy WebLinkAbout026-1302-04-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division Sanitary Permit No:
INSPECTION REPORT 578908 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:
Oeverin Homes LLC, aka Oeverin Pro ertie Richmond, Town of 026-1302-04-000
CST BM Elev: Insp. BM Elev: BM Description: q Sectionrrown/Range/Map No:
C -7. - 07.30.18.1581
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
f
Se tic 1-11 n f , daO Benchmark y , 6 +~P
, / _ 7 7.
p 140 J 6- IT'' ✓
Alt. BM
i fy ~ 1 ~'~f 1i C"' f b J
Aeration Bldg. S wer tl
Holding St/Ht Inlet %5.7 9' 5 • O
TANK SETBACK INFORMATION St/Ht Outlet
.7
TANK TO P/L WELL BLDG. Vent t Air Intake ROAD Dt Inlet \
+%t sfeoA~
Septic ->jra' AA / Dt Bottom
Dosing Header/Man. 7• b 4 5f•
7, 9y.
Aeration Dist. Pipe -7- 9S/• 2r
T
Holding Bot. System 3 '
Final Grade
PUMP/SIPHON INFORMATION 3' (P
Manufacturer Demand St Cover
GPM des J 4A_ /
Model Number
TDH Friction Loss System Head Ft
Force ma Dist. to Well
SOIL ABSORPTION SYSTEM
BEDITRENCH Width ength No. 4 Of Trenches 'f PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS 37 N tevlAvt
SETBACK SYSTEM TO P/L 1 BLDG WELL LAKE/STREAM LEACHING Mar*ptupr~
INFORMATION CHAMBER OR A a GZ.
Ty&~ Jstem:, r n ~Z ItJA-- n 1 UNIT Model Nu u mberj~' 44
1 _
DISTRIBUTION SYSTEM V I k`jj = :r4 to _
Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake
(~444ew _ Pipe(s) So J ~
Length Dia Length Dia Spacing C
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over Depth Over xx Depth f xx Seeded/Sodded xx Mulched
Bed/Trench Center 4.4 Bedfrrench Edges 11_~ Topsoil _"~s ® No es No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2:
Location: 943 165th Ave rNew Richm/pd~, WI 54017 (NW 1/4 SE 1/4 7 T30N R1 8W) Ninety Fifth Street Site Lot 4 f //--Parcel No: 07.30.18.1581
1.) Alt BM Description = 4;'.. r 1 t d
2.) Bldg sewer length qlnsepc - amount of cover 4-
A
Plan revision Required? ~ Yes No Use other side for additional informationDate a Cert. No.
SBD-6710 (R.3/97)
r sow wr ~ County
r i
Safety and Buildings Division
7
' < 27 M.Nashington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.)
_ dison, W1 53707-7162
phAF_NT
10 is tion 'umber
Sanitary Permit Application State Transac~ ~
in accordance with SPS 383.7.1(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 PQVN7S are submitted to Project Address (if different than mailing address) n
the Department of Safery 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.
1. Application Information - Please Print All Information
Property Owner's Frame Parcel #
I- I k-1 (
Property Owner's (Mailing Address y i Property Location /
C -s -E~, I Govt. Lot C
City, State lip Code Phone Number t9 y., Section
N~ J W'l I -k ; circle n
T 3l~ N; R1E rW
II. Type of Building (check all that apply Lot
1 or 2 Family Dwelling - Number of Bedrooms _ i Subdivision Name
9 L)
6k Block #
11 Public/Commercial - Describe Use
IL I
❑ Cite of j
J
❑ star O CSM Number ❑ 'illage of
Awned _ . Describe Use y, of A
III. Type of Permit: (Check only on box on line A. Complete line B if applicable)
New System El Replacement System ❑ Treatment/Holding Tank Replacement Only L. Other Modification to Existing System (explain)
i
B. Permit Renewal Permit Revision ❑ Change of Plumber El Permit Transfer to New List Previous Permit Number and Date Issued
❑ ❑
Before Expiration Owner 4
1 r7 G l~[ GJ~+
TV. Ty e Of.-&4 rS Svsiem /Cornonent/Device: (Check all that apply)
on-Pressurized In-Ground 11 Pressurized In-Ground ❑ At-Grade ❑ Mound 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil {
El Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain]
V. Dispersal/Tr ea ent Area Information:
Design Flow (gpd) Desigrt Soil Application Rate (b si) D spersal Area Required Di rsal Area Proposed (sf) System Elevation
K we
VI Tank Info Capacity in Total # of Manufacturer ryev~
Gallons Gallons Units a v ~ v
New Tanks T ExuMng Tanks
` ~U cz v
Septic or Holding Tank
i
Dosing Chamber
!
VII. Responsibility Statement- I, the undersigned, assume re-4 hility for installation of the POWTS shown on the attached plans.
Plum N e (Print) ` Pltmtber's Si MP/MPRSS Num~beeri Business Phone Number
Plumber's Address (Street, City; State, Zip Code)
Z '
VI ountv/De artment Use Only
Approved ❑ Permit Fee Date sued Issuing A ignature
Iw5 S J /
Own n Reason for Denial ! /
IX. Condi Wasons for Disapproval 0 J r~ J
1. glepbetank, efflt.lentfdterand' . 3 bQ1
dispersal cell must all be services I maintained `
P ".i4f
`tom
as per management plant provided by plumber.LA)
2. fit setbidck tagi*ements must be,ffi lM lned, !
a$ per a ppfio" code / ordinances.
Attacb to complete plans for the system and submit To the ounty only on paper not less than R v2 z I inches m s e
bra,,
SBD-6398 (R. 11/11)
PLOT PLAN
PROJECT Oeverina Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017
NW 1/4 SE 1/4S 7 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX
SYSTEM ELEVATION 95.3/94.8/94.3 5' below grade DATE 4/14/15 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 .5 ABSORPTION AREA 933 # of chambers 45
Ilk BENCHMARK V.R.P. Top of 1/2" pipe ASSUME ELEVATION 100' Filter BEAR Filter
❑ BOREHOLE O WELL *H.R.P. Same as Benchmark
All piping shall be SDR 30/34, within 10' Scale = 1/4" = 10'
of tank, piping shall be Schedule 40.
Property Line
150'
3- X 3' X 62' cells with 3' Spacing
I 35' Vents
20' 25'
S Arv
Pro 3
Bedroom I \J.
House r
10'
P
77
~J
Scale is 1" 40'
unless otherwise
noted
383'
Vent Property
>6„ Quick4 Standard Line
of Cover Leaching Chamber
with 20.0 ft2 of Area
5.6ft^2/pair of end caps
4' Long 12"
Grade at System Elevation
3 4"
Cover Page
Shaun Bird
Bird Plumbing Inc.
1432 120th St.
New Richmond Wi 54017
715-246-4516
Date: 4/13/15
Owner: Oevering Homes
Location: NW1/4 SE1/4 S7 T30 N,R18 943 165th Ave 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 Contingency Plan
7. Filter Specification heet
Signature
License nu b r 226900
I
PLOT PLAN
PROJECT Oeverina Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017
NW 1/4 SE 1/4S 7 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX
SYSTEM ELEVATION 95.3/94.8/94.3 5' below grade DATE 4/14/15 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 .5 ABSORPTION AREA 933 # of chambers 45
BENCHMARK V.R.P. Top of 1/2" pipe ASSUME ELEVATION 100' Filter BEAR Filter
❑BOREHOLE O WELL *H.R.P. Same as Benchmark
All piping shall be SDR 30/34, within 10' Scale = 1/4" _ 1 0i
of tank, piping shall be Schedule 40.
Property Line
Xv
150'
426 2' cells with >3' Spacing
B-3 35' Vents
20' 5'
'
X00
Pro 3
Bedroom
House
g rr
10'
' B-1 -2
Z B-2
6% Slope
ab :5 ~
G
Scale is 1" = 40' 6_4
unless otherwise
noted r
383'
Vent Property
>6" Quick4 Standard Line
of Cover Leaching Chamber
with 20.0 ft2 of Area
1 2" 5.6ft^2/pair of end caps
4' Long
3 4" Grade at System Elevation
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 100.3'
Vent Grade Vent
4' 4" 4'
X30/34 Septic Tank
4' Long V9 5' 4' Long 1
Grade at System Elevation
34" Grade at System Elevation 3451
Spacing 5'
3-3' X 62' Cells
Observation tube/Vent
Same on other end To be located on end of Cells
~%A
B
System elevations: C
A-95.3'
B 94.8' 15 chambers per cell
C-94.3'
ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFIC.ATfON FORM
Owner/Buyer ~;~c
Mailing Address
-,.:5-'. wilttf1~~ l
Property Addresi J Ll _
(Veificatton required from Planning & .Zoning Department f new constriction.}~~ - -
City/State Parcel Identification Number
LEGAL DESCRIPTION
Property Location Y4, ~ T 3 ~ 14
~
l4, Sec. _ N R_,__ 10 W. Town o1' T c\d
Subdivision
Lot #
Certified Survey Map #
Volume _ Page
Warranty Deed # _
Volume page #
Spec house yes na - - Lot lines ideutifiabl Yes no
SYSTEM MATNTENANCE AND OWNER CERTIFICATION
Improper use and maintenance of your septic s
maintenance consists ystem could result in its premature failure to handle wastes. Propyeor
of'pumpin out the s ttc. u put into
g ep ' tank every three years or sooner, if needed, by a licensed pumper- What
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 t2 - St. Croix County Sanitary ty tary Ordinance.
The property owner agrees to submit to St. Croix county planning & Zoning Departement a certification fon
owner and by a master plumber, journe
wastewater disposal system is in rope yman plumber, restricted plumber or a licensed pumper verifying that (1) the n site ed by the
less than U-I full of sludge. p operating condition and/or (2) after inspection and pumping (i#'necessa
ry), 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 by the -Department of Commerce 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 30 days of the three year expiration date.
I/we, certify that all statements on this orrn are true to the best of my/our knowledge. I/we am/are the owners of the
property described above, by virtue of a Warr deed recorded in Register of Deeds Office. ( )
Number of bedrooms
~IGNNAATU~ OF AP LL Cip ANTS --t / [
I ~AT.F-,
***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department.
fnclade 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.
(RT+,V. 08/05)
POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of
FILE INFORMATION SYSTEM SPECIFICATIONS
Owner ~Q e Je it Tank Manufacturer. i ❑ NA
Permit # v tic ❑ Dose ❑ Holding Volume: (gal)
DESIGN PARAMETERS Tank Manufacturer: -;16NA
Number of Bedrooms: ❑ NA ❑ Septic ❑ Dose ❑ Holding Volume: (gal)
Number of Public Facility Units: Vertical Distance Tank Bottom(s) to Service Pad: (n)
Estimated (average) Flow : J po (gal/day) Horizontal Distance Tank(s) to Service Pad: (ft)
Speck servicing mechanics must be provided if vertical is 5,15 feet or
Design (peak) Flow = (estimated x 1.5): (gal/day) If horizontal is >150 feet. Specific instructions to be provided on back.
In Situ Soil Application Rate: S^ (gaUday/fe) Effluent Filter Manufacturer: f}
❑ NA
Standard (Domestic) Influent/Effluent Monthly average Effluent Filter Model:
Fats, Oil & Grease (FOG) s30 mg/L Pump Manufacturer:
Biochemical Oxygen Demand (GODS) s220 mg/L ❑ NA NA
Total Suspended Solids (TSS) s150 mg/L Pump Model:
High Strength Influent/Effluent Monthly average Pretreatment Unit
(FOG) >30 mg/L • Manufacturer. ~J
(BODO >220 mg/t NA ❑ Mechanical Aeration ❑ Peat Filter
(TSS) >150 mg/L
Pretreated Effluent Monthly average e ❑ Disinfection ❑ Wetland
Y 9 ❑ Sand/Gravel Filter ❑ Other:
(GODS) 530 mg/L Soil A rption System
(TSS) s30 mg/L -21
A
Fecal Coliform (geometric mean) 510' n- nd (gravity) ❑ In-Ground (pressure) ❑ NA
Maximum Effluent Particle Size in dia. ❑ A El At-Grade ❑ Mound
❑ 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 (X) of tank volume
❑ When the high water alarm is activated
Inspect condition of tank(s) At least once every: ❑ month(s) (Maximum 3 years) ❑ NA
year(s)
Inspect dispersal cell(s) At least once every: ❑ month(s) (Maximum 3 years) ❑ NA
ear(s)
onth(s)
Clean effluent filter At least once every: year(s) ❑ NA
Inspect pump, pump controls & alarm At least once every: ❑ th(s) NA
❑ year(s)
Flush laterals and pressure test At least once every:. ❑ month(s) p NA
❑ 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 carving one of the following licenses or certificati ns:
Master Plumber, Master Plumber Restricted Sewer, POWTS Inspector, POWTS Maintainer or Septage Servicing Operator (pump r).
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 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 !512 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 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 sal 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 sat absorption system' acids antibiotics baby rette'butts, condoms cotton swabs degreasers, dental floss,
a wipes, ug
diapers, disinfectants, fats, foundation drain (sump pump) discharge, fruit and vegetable peelings, gasoline, greases, herbicides, meat
scraps, medications, oils, painting products, pesticides, sanit4ry 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 said 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.
he 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 u Name~~, ~pj
Phone ~-~a sl PhonefJ~ J
SEPTAGE SERVICING OPERATOR (PUMPER)_ LOCAL REGULATORY AUTHORITY
Name Name< $ r
7- 10
Phone Phone rz
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
' ~ 2uo
Installation
e to ensure it is
of the outlet PP
STEP 1 Dry fit the filter case onto the end o
centered under the access opening. If not, then either insert more pipe into the
tank through the outlet or solvent weld (glue) additional pipe onto the outlet t
pipe.
STEP 2 While the case is still dry fitted on the outlet pipe, measure the length
of 3i4-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: ~xr
solvent weld the 3A-inch pipe onto the filter case. If side support method is not l
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 L y
serviced.
2. Open the outlet access opening to inspect the tank and filter. n I
3. Pump the septic tank completely, making sure to remove the sludge
layer on the bottom of the tank and not just the scum and effluent.
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.
5. Slide the cartridge up and out of the case for cleaning.-
Y
6. If a VRS switch connected to an alarm is present, the switch #
should be removed by turning counterclockwise 90° and cleaned
with water only.
7. While holding the cartridge on its side (large flat surface facing I
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 900. L
9. 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.
SEAR ONSITEFILTER CARTRIDGE - FIVE-YEAR LIMITED WARRANTY
SEAR ONSITE" Filter Case -Lifetime L mited wa arz- y
E ~ E 1
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Wisconsin Department of Corn rce ATION REPORT Page r of
Division of Safety and Buildings
i~n~?accooda:D rr~ln 5;s( Code County r
Attach complete site plan on pa r not Ids''s t;an(u~8 1/2 x 1 in es i ize. Pian mlust -
include, but not limited to: vertical nd horizont f& mt (BM direction and Parcel I.D. -CYI~1
percent slope, scale or dimension northc~` (stance to nearest road. /
Please rin ® ormation. RQNiewed y Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m))- f/T V
Property Owner Property Location
j Govt. Lot 1 /4,jj61 /4 S/ T3 -oN R E (o W
Property Owner's Mailing Address o P Iodic # Subd. Na or CSIv ) _
Road
City State, Zip Code Phone Number C%Vy ❑ V6 age To Nearest
New Construction Useesidential / Number of bedrooms Code derived design flow rate GPD
❑ Replacement ❑ Public or commercial - Describe:
Parent material c is cJcc!l~--~ Flood Plain elevation if applicaablle~/ C"-y ft.
General and recommendations: -5/ e)w ~izl ivala~ 7~
Boring F 1-1 Boring
# Pit Ground surface elev. ft. Depth to limiting factor J in. Boil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDtfF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Etf#1 `Eff#2
171L If G /I
Boring # E]jBoring
Pit Ground surface elev. ft. Depth to limiting factor Z' in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIfF
in. Munsell Qu. Sz. Cont_ Color Gr. Sz, Sh. `Eff#1 `Eff#2
s tN L
3 0 s
A/ 44 ^1
• Effluent #1 = BOD > 30 < 220 mglL and TSS >30 1150 ` Effluent #2 = BOD 30 mg/L and TSS < 30 mg1L
CST Nam (Please Print) Sig re CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address Date Evaluation Conducted Telephone Number
1008192nd Ave, New Richmond, WI 54017 l 11 / v 715-246-4516
Property Owner _ Parcel ID # Page of
Boring
it # it Ground surface elev. AO t fi. Depth to limiting factor Z ® in.I ADDlication 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
ink
t
D
Boring # ❑ Boring
F'4_1 V-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/fF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
O ate-
. >
C7 S r~ 5~ ► YJ l 1~ t
Boring
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 = BOD; > 30:< 220 mg/L and TSS >30 < 150 mglL ` Effluent #2 = BODS < 30 mg/L and TSS < 30 rmgIL
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SSD-8330 (8.6=)
Soil Test Plot Plan
Project Name P.C. Collova Builders Inc. Shau
Address P.O. Box 489
Somerset Wi 54025 CS #226900
Lot 4 Subdivision Date 4/21/05
NW 1/4 SE 1/4S 7 T 30 N/R18 W Township Richmond
❑ Boring Q Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of 1 /2" Pipe
System Elevation 95.3/95.1/94.9 *HRpSame as Benchmark
Scale is 1" = 40'
unless otherwise i~J
noted
B-3 35' 150'
~
d
0'
M.
B-1 60' B-21
6% Slope
L383'
rt
y
95th St.
Parcel 026-1302-04-000 03/05/2008 10:28 AM
PAGE 1OF1
Alt. Parcel 07.30.18.1581 026 - TOWN OF RICHMOND
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
02/21/2006 00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner
O - PC COLLOVA BUILDERS INC
PC COLLOVA BUILDERS INC
PO BOX 489
SOMERSET WI 54025
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description 943 165TH AVE
SC 3962 NEW RICHMOND
SP 8020 UPPER WILLOW REHAB DIST
SP 1700 WITC
Legal Description: Acres: 2.000 Plat: 10-098-NINETY FIFTH ST SITE 026-06 LOTS 4/12
SEC 7 T30N R1 8W PT NW SE; FKA LOT 4 CSM Block/Condo Bldg: LOT 04
19-4992 NKA LOT 4 CSM 19-4993; NKA 95TH
STREET SITE LOT 4 (2.000AC) Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
07-30N-18W NW SE
Notes: Parcel History:
Date Doc # Vol/Page Type
02/21/2006 819000 10/0098 PLAT
06/16/2005 797821 2824/120 WD
06/06/2005 796820 19/4992 CSM
06/06/2005 796819 2816/111 EZ-1
more...
2008 SUMMARY Bill M Fair Market Value: Assessed with:
0
Valuations: Last Changed: 08/09/2007
Description Class Acres Land Improve Total State Reason
UNDEVELOPED G5 2.000 14,500 0 14,500 NO
Totals for 2008:
General Property 2.000 14,500 0 14,500
Woodland 0.000 0 0
Totals for 2007:
General Property 2.000 14,500 0 14,500
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00