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HomeMy WebLinkAbout040-1260-20-000 (2) . Croix Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St Safety and Building Division INSPECTION REPORT Sanitary Permit No: 578992 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: 040-1260-20-000 Wilber, Brent & Jennifer Troy, Town of CST BM Elev: Insp. BM Elev: BM Description: ~ `7 SectionlTown/Range/Map No: 7S, -6m / 1 ! 18.28.19.1391 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER t CAPACITY STATION BS HI FS ELEV. ~`ti J Septic Benchmark •~Z -S4cZ- Z -S 7T 3 I $ y Dosing 6~ d Alt. BNP * ,57 Aeretft O Bldg. Seewer r $ ~Z • (o 16 Holding St/Ht Inlet ~r 'S .46(p 871 St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Ven o Air Intake ROAD Dt Inlet cps ,4 Septic Dt Bottom JI 7 25 A)A- Dosing 7Z5. Ito 1 t Header/Man. A7 Aeration /T 1 Dist. Pipe ' d Holding Not. System /D • O 872 -q a. 47-z Final Grade 't` • g PUMP/SIPHON INFORMATION T Manufacturer Demand St Cover * 3- 57 7• ,it GPM + v 6 7 Model Number p z/ ?Sr3 • 5 TDH Liti . Friction Loss System Head TDH I t p 1z `71 • ~3 87t0, 5 . 1~ Forcemain Le Dia.Z /I Dist. to well 14 X46oo JA- SOIL ABSORPTION SYSTEM y-MIL 9 3 `t5 BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING OR Manufacture ~ INFORMATI ON CHAMBER Type Of System: 16Z UNIT Modember: DISTRIBUTION SYSTEM Header/Manifola Distribution x Hole ze ole Spacing Ver~to Ay Pipe(s) ~1L_JV 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 M Iched Bed/Trench Center Bed/Trench Edges Topsoil`s Yes 2 No Yes No ~ V COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 394 Deer Valley ive H ds0n, WI 54016 (NE 1/4 NE 1/4 18 T28N R1 9W) Deer Valley Lot 12 Parcel No: 18.28.19.1391 > GOJ-.~. EZ Strte.,.~ 5 1.) Alt BM Description = ~ n 2.) Bldg sewer length = 244 ~ py`,~j O'D Ini> -amount of cover = ~l n (J G L id Vo~ O~~/1 _ 7 42 0.~ ~j.~L~G. o►n• t7 ~J ~~7~~_Jnivo_..v__ r~,J(-,-a Plan revision Required? Yes No ~j =Z41 oq ~ 5 Use other side for additional informationSBD-6710 (R.3/97) -L_- Date Insepcto Signatur Cert. No. ~A- ~1►O z ei9g f- ce < u O N~ I-- \ LLJ w oZ x ~ dg \ G.. cn O :00 - ~ o ,1 \ r ~ ~ 6 h~ `11 © My \ ro -111 / lz~ p _ Z; O 1 0 882. o QL- (N C6 00% lot O s J s r 1 v my .I s~ 1o~~l~ Y ary O~ m ^~w ul III , 0~ (q, 8 3ab .m a at fl ~ 1 s ~ -o i_11 Vm _ S 1 ~ 1 -I ~~i; 11 0 w Y \ v / ~ t 1C ~ 4L8 c,..e W 1 x m ~QQG~. -oL9- 5 O w 20 23 0 $31 x uz 6 N 860 _ G NWLo85Q.0 G `Dm 858 / LLJ u U- IFn - ' County Safety and Buildings Division i " JUN 12 ZQ 15 201 W. Washington P. Q. BO 16 Sanitary Permit Number (to be filled in by Co.) `p ! Madison, WI 7 62 > y k ST CROIX COUNTY 4 _,M6N'17Y DEVELOPMENT Sanitary Permit Application State Transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to Project Address (if different than mailing address) the Department of Safety and Professional Servies. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, s. 15.04 1 m , Stats. Cj y ' ~I ^ L Application Information - Plea a Print I Information P ! l ,n ` V Property Owner's Name eA4\1 Parcel # LC~4 GV_ 0t/0 26®-z a Property Owner's Mailing Address Property Location f/( Govt. Lot City, State Zip Code Phone Number , IVE /4, Section ~ i ins (circle ones II. Type of Building (check all that apply) Lot # T N; R E o V~ GT~ or 2 Family Dwelling - Number of Bedrooms (Z/~ f Z Subdivision Name El ~c.04 ea..~. Block # ~t~ A L L G.K Public/Commercial -Describe Use rut r-. do W~" : ❑ City of ❑ State Owned - Describe Use CSM Number ❑ Village of zz bra own of Z r III. Type of Permit: ( eck only one box on lil$e A. Co plete line B if applicable) A. ANew System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) List Previous Permit Number and Date Issued B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Trahsfer to New Before Expiration Owner IV. Type of POWTS System/Component/Device: Check all that apply) ,Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil AX/5 ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain )O V. Dispersal/Treat ent Area Information: Des1 n Flow (gpd) Design Soil Application Rate(gpd Dispersal Area Required (sf) Dispersal Area Proposed ( System Elevation too 0 © 74, 0 VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units o = y a~ a`i ti New Tanks Existing Tanks C IN P. U V] rn v] fy U' 0. Septic or Holding Tank 7 Dosing Chamber 106 I l VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) I L e / Plumber's Si nature MPNYRS-Number Business Phone Numbbeerr(~ 1)e!( fi2A 7 Z ~ ! T T I //,Zl~ 7 Plumb is dress (Street, City, State, Zip Code) r G G e /0 -1??- t t/ 1 1/- VIII unt /De artment Use Only Approved appro Permit Fee Date Issued Issuing ent Signat e $ x,,00 (0 Js of ~,,enReason f .al IX. Condi ' W~b_NV dReasons for Disapproval , 67,6 7 i =Septid tink, emtwant Aiwam r~ 1 5 Z. .di*rsal cell must all be s r s t maintained as per management plan provided by plumber. 2 Jkkvetbk fiaquirernenta must be maintained -ss perappllC"cdde! ordinances. Attach to complete plans for the system and submit to the County only on paper not less than 8 1/2 x 11 inches in size SBD-6398 (R. ti/11) CONVENTIONAL COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: JA / I Owner's Name: Owner's Address: lU 60( Legal Description: 1U r- /ye .5-S 29 Township: County: ,j ~ C X-0 l jl l Subdivision Name: Dt~ Lot Number: f Z Parcel ID Number: L Page 1 Index and title ®.t¢~cx Page 2 Plot Plan C~kuG,rELi~ Page 3 System Sizing & Cross-Section Page 4 Filter Specs ~(,GNIP C aiz U46 Page 5 Maintenance Information Page 6 Management Plan PA:96 12 - !4 Nfz C"$y Page 7 St. Croix Cty Septic Tank Maintenance Form 1'eG4N Page 8 Warranty Deed Page 9 CSM or Plat Attachments: Soil Test & House Plans Designer/Plumber: /l eq tvk /L) License Number: Z 2( Date: j- / Z Phone Number LY~~ Signature Designed pursuant to the In-Ground Soil Absorption Component Manual for POWTS Version 2.0 SBD-10705-P (N.01/01). Page 1 i Z e>88 \ Jo u DG " \ 6 \ W w~ Z I x Ch 0 CL M t1L\ g1~ O \ s,' ~lOp1s ~ - w Z o r I ` D \ NID ~ Q 71 i ~1b c~ ~ -er- C110, 11 X .y~► C-10 a CIO CV 82. N 00 3 - a LB m ' 154. A ~ v W CD /~i bLQ ~ W I ~ x f Q OLS. W 20 A 3 5 F- + S31o Q r1 / U 6 / _ x Q .v 860 ° NWyo85q.0 ID `A 858 ce. W ~ bSg u U- ll~ } Quick4 Plus Standard Chamber Side and End Views i 48„ (EFFECTIVE LENGTH) 12„ 6z: P m h- -34" Quick.4 Plus All-in-One 12 Encap Front, Side and End Views 5 r. 11.z" 13" 8" INVE RT 8" I4ERT 3" INVERT 5. 17 ~--18.2" 33" i Quick4 Plus All-in-One Periscope OUICK4 PLUS ALL411,01NIE PERISCOP (360'SWNEL ) 12.7" INVERT OUICK4 PLUS ONE 12 ENDCA 15 I I 9rr I NDCAP Quick4 Plus Standard, Chamber Specifications Size (WxLxH) 34" x 53" x 12"(86cmx 135cmx31 cm) Invert Height` . 0.6", 5,3", 8.0", 12,7' (1.5 cm, 8,4 cm, 18,5 cm, 22,6 cm) Effective Length 48 (122 cm) INFILTRATOR SYSTEMS, INC. STANDARD LIMITED WARRANTY (a) The structural integrity of each chamber, end plate, wedge and other accessory manufactured by Infiltrator ( "Units"), when installed and operated in a leachfield of an onsite septic system in accordance with Infiltrator's instructions, is warranted to the original purchaser ("Holder") against defective materials and workmanship for one year from the date that the septic permit is issued for the septic system containing the Units; provided, however, that if a septic permit is not required by applicable law, the warranty period will begin upon the date that installation of the septic system commences. To exercise its warranty rights, Holder must notify Infiltrator in writing at Its Corporate Headquarters in Old Saybrook, Connecticut within fifteen (15) days of the alleged defect. Infiltrator will supply replacement Units for Units determined by Infiltrator to be covered by this Limited Warranty. Infiltrator's liability specifically excludes the cost of removal and/or installation of the Units. 1 (b)THE LIMITED WARRANTY AND REMEDIES IN SUBPARAGRAPH (a) ARE EXCLUSIVE. THERE ARE NO OTHER WARRANTIES WITH RESPECT TO THE UNITS; INCLUDING NO IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE (c) This Limited Warranty shall be void if any part of the chamber system is manufactured by anyone other than Infiltrator. The Limited Warranty INFILTRATOR does not extend to incidental, consequential. special or indirect damages. Infiltrator shall not be liable for penalties or liquidated damages, including loss of production and profits, labor and materials, overhead costs, or other losses or expenses incurred by the Holder or any third party. systems I n C , Specilically excluded from Limited Warranty coverage are damage to the Units due to ordinary wear and tear, alteration, accident, misuse, abuse or neglect of the Units: the Units being subjected to vehicle traffic or other conditions which are not permitted by the installation instructions; failure to maintain the minimum ground covers set forth in the installation instructions; the placement of improper materials into the system containing 6 Business Park Road • P.O. Box 768 the Units; failure of the Units or the septic system due to improper siting or improper sizing, excessive water usage, improper grease disposal, or improper operation; or any other event not caused by Infiltrator. This Limited Warranty shall be void if the Holder fails to comply with all of the Old Saybrook, CT 06475 terms set forth in this Limited Warranty. Further, in no event shall Infiltrator be responsible for any loss or damage to the Holder, the Units, or an 3 any 860.577.7000 • FAX 860.577.7001 third party resulting from installation or shipment, or from any product liability claims of Holder or any third party. For this Limited Warranty to apply, the Units must be installed in accordance with all site conditions required by state and local codes; all other applicable laws; and Infiltrator's instauation instructions. 800.221.4436 5 (d) No representative of Infiltrator has the authority to change or extend this Limited Warranty. No warranty applies to any party other than the www.infiltratorsystems.com original Holder. The above represents the Standard Limited Warranty offered by Infiltrator. A limited number of states and counties have different warranty requirements. Any purchaser of Units should contact Infiltrator's Corporate Headquarters in Old Saybrook, Connecticut, prior to such purchase, to obtain a copy of the applicable warranty, and should carefully read that warranty prior to the purchase of Units. tai.-e~ tglis ~ te~.:.~~~~.."~~. •I~r~ti t=~~._~ s ~~ts4 s§:f~~ISR~~~~:,~~ `~i~'g:~.`a~ 's~~~ . Ica ~.~~.,a: ,v,....... .e.:..r-.,~E.:.:.,,......:,~u~-wt~•..:,.,e...,w~~-.,:..Ls.~,._c...,...,;:,_,:~.,."•"».~ta:'l.-.u.....~.....,a,...~..e...:~....r„c _ .,y tip.,. ,__.l_.. U.S. Patents: 4,759,661; 5.017,041; 5,156,488; 5,336,017; 5,401,116: 5,401,459; 5,511,903; 5,716,163; 5,588,778; 5,839,844 Canadian Patents: 1,329,959; 2,004,564 Other patents pending. Infiltrator, Equalizer, Quick4 and Quick4 Plus are registered trademarks of Infiltrator Systems Inc. Infiltrator is a registered trademark in France. Infiltrator Systems Inc. is a registered trademark in Mexico. Contour Swivel Connection is a trademark of Infiltrator Systems Inc. C 2009 Infiltrator Systems Inc. Printed in U.S.A. PLUS0510101SI-2 ~o N c c~ a 1! VD 0E Z -c o m cZ m c~ m m' W$r~r~~`+ + ~ ~ c ~ L]S r c 0 ~~e to i' ~j~ r fit Y O yC ; t N~ E vfX to c9t^o o m r °'o.0 ee g pq m m'- Am ~ c F- I lp C kj~ €}r = md~ ~mmooo vdcoo~$E w~ a; mt O 'g i ~'v~Z3 m y ~ (fj ' m m C N W' c E w E Lyn ~U o we v L o N •p w ~c m r p o ?mama Y~80 a' 1.2 s~ pp c•t~ mm cm~ C7~m_a ~ ~ ~y e N N« t m Q a p m LL tC0 I 4 ° 4 C m ` ~y( c o a Ya m -a acL~ ccmmE o- E I- ~ m c E m ` Y. eF c~ .+I - r LL C NLO W'O p bo N Q 10 C7 c p C O 4 ip c m w m- CI 0 _ ~~f m o 5. mm ~j Ta c lip L m'C g-2 LL 2 V m LL: m LAO ' m mmcca°Ern Lr~WCE~ W 1 Jill 0 j 11 E 0 '3 opt WZ m L LL ~u OD C 8 ~ w Hh Al Ail m ~ & f La a AJ I $g$ AWN& Ug i POWTS OWNER'S MANUAL MANAGEMENT PLAN FILE INFORMATION SYSTEM SPECIFICATIONS o Owner A Septic Tank Capacity / Zoo al ❑ NA Permit # Septic Tank Manufacturer W I E"S 6:,R ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model ❑ NA Number of Public Facility Units J$I NA Pump Tank Capacity 000 al ❑ NA Estimated flow (average) V60 gal/day Pump Tank Manufacturer L CLcS~(Z ❑ NA Design flow (peak), (Estimated x 1.5) (0'00 gal/day Pump Manufacturer el (A L D ❑ NA Soil Application Rate al/da /fts Pump Model /7 Z!/ ❑ NA Standard Influent/Effluent Quality Monthly average* Pretreatment Unit ❑ NA Fats, Oil & Grease (FOG) 530 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BODE) 5220 mg/L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg/L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BODE) 530 mg/L ❑ In-Ground (gravity) ❑ In-Ground (pressurized) Total Suspended Solids (TSS) 530 mg/L ❑ NA ❑ At-Grade ❑ Mound ~J Fecal Coliform (geometric mean) 510` cfu/100ml ❑ Drip-Line ❑ Other: Maximum Effluent Particle Size Ys in dia. ❑ NA Other: ❑ NA Other: ❑ NA Other: ❑ NA Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At !east once eve ❑ month(s) D ear(s) (Maximum 3 years) NA Pump out contents of tank(s) When combined sludge and scum equals one-third (Y3) of tank volume ❑ NA Inspect dispersal cell(s) At least once every: 13 month(s) ® year(s) (Maximum 3 years) ❑ NA Clean effluent filter At least once every: ❑ month(s) ® year(s) ❑ NA Inspect pump, pump controls & alarm At least once every: 3 month(s) ❑ NA ® ear(s) Flush laterals and pressure test At least once every: ❑ month(s) ❑ NA 1M year(s) Other: At least once every: ❑ month(s) ❑ NA ❑ year(s) Other: ❑ 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(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 ponding of effluent on the ground surface. The dispersal oil(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. 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 tank equals one-third (Y3) 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 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 10 days of completion of any service event. GMW (4/01) h> START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products o hemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents 1 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 be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent; To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to 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 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 POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; °-foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting productsr 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 is 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 Servicing' Operator. • 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. The replacement area should be protected from disturbance and compaction and shoulii 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 that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ❑ 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> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT 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 DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name ~ No 2 CL SoAl Name Phone -715--773 - llT Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name So!-INSo,,,J 5AAJi*,4fk0-'✓ Name 9;0 -~Phone 7%S Z 7 3 Phone '71"55 This document was drafted In compliance with chapter Comm 83.22(2)(b)(1)(d)&(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND 7 OWNERSHIP CERTIFICATION FORM Owner/Buyer Brent Wilber Mailing Address 75 Tribute Ave, Hudson WI 54016 Property Addre#394 Deer Valley, Hudson, 54016 (Verification required from Planning & Zoning Department for new cons on.) City/State Hudson Parcel Identification Number 040-12 20-000 LEGAL DESCRIPTION Property Location N E 1/4 , N E 1/4 , Sec. 18 , T 28 N R 19 W, Town of Hudson Subdivision Plat: Deer Valley Lot # 2 Certified Survey Map # , Volume , Page # Warranty Deed # T 7 V Y l (before 2007)Volume , Page # Spec house 13yesO+ no Lot lines identifiable Oyes[]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(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 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 30 da s of the three year expiration date. I/we certify that all statements on this fo 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 warran deed recorded in Register of Deeds Office. Numbe of bedrooms 4 v' ~ 5 / 311 /5" SIGNATURE OF APPLICANT(S), DATE ***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) LOCATED IN DEER VALLEY / ~7 - THE OF THE THE OF THE NE1/4H AND PART OF THE NW114POFTTHE NE114E1// OF SECTION 18,1 TZRN,A R190, TORN OF TROY, 1V weeTM.„ e,ob ST. CROIX COUNTY, WISCONSIN. ._.k ..cnnoti for ; 'T I _ cc f L0. lO,4 A£iCH r / ~ ~ I~ j ti a 19 ~r v 10 F7 r ca e T-11 119w , J r. ~ .raw-E-r:-~.T.n r - 23 VLL NEW +I tlyfa~C~ -s Hf R MATCH UN ~ YJvy _1.-.. : •s~x• uroe .u.. ,o e~; SHEET t ❑r 3 SHEETS ri.; ~►oil Absor tion S stem Gross Section 599. ft 4" Schedule 40 Final Grade PVC Vent Pipe With Vent Cap 8'7-7 ft Leaching Chamber / (D a7 ft ft to ft System Elevation Soil Absor tion S stem .Plan View $8 ft ft ft Vent Or Observation Pipe Leaching Chambers Trench 1 4n Dia. Trench 2 Header Leachin Chamber S ecifications Manufacturer Arid Model . f. EISA Rating ZD sq It per chamber Soil Application Rate gpd Design Flow T ~ -7 gpd/sq ft l Soil Application Rate + p r EISA = _ `?'5 Chambers 2 rows of~_ chambers each. `I-`"? (Page of APR-12-2005 16:26 FERGUSON ENT HUDSON 715 386 6144 P.01 RGOULDS PUMPS Submersible Effluent Pump PE 4"YA R r'UMP a~- SPECIFICATIONS MOTOR FEATURES Pump - chaGeneral; GeneraL• ■ Corrosion resistant • Disrge: 1 li4" NPT • Single phase construction. • Temperature: 104°F (400Q • 60 Hertz ■ Cast iron body, maximum, continuous when • 115 and 230 volts i• Thermoplastic impeller and fully submerged. • Built-in thermal overload pro- cover, • Solids handling: Ih• tectlon with automatic reset. ■ Upper sleeve and lower maximum sphere, • Class B insulation. heavy duty ball bearing APPLICATIONS • Automatic models Include a • Oil-filled design. construction. float switch. • High strength carbon steel ■ Motor is permanently Specially designed for the • Manual models available. shaft. lubricated for extended following uses: • Pumping range: see PE31 Motor service life. • Mound Systems performance chart or curve, • .33 HP, 3000 RPM ■ Powered for continuous • Effluent/Dosing Systems PE31 Pump: • 115 volts operation. • Low Pressure Pipe Systems • Maximum capacity: 53 GPM • Shaded pole design ■ All ratings are within the • Basement Draining • Maximum head: 25' TDH PE41 Motor working limits of the motor. • Heavy Duty Sump/ PE4.1 Pump: • ,40 HP, 3400 RPM ■ Quick disconnect power Dewatering • Maximum capacity: 61 GPM • 115 and 230 volts cord, 20' standard length, • Maximum head: 29' TDH • PSC design heavy duty 16/3 SJTw with !E 51 Pump: PE51 Motor. 115 or 230 volt grounding Maximum tapadty: 70 GPM • .50 HP, 3400 RPM plug. Maximum head: 37' TDH • 115 and 230 volts ■ Complete unit is heavy duty, METERS FEET • PSC design portable and compact. 40 ■ Mechanical seal is carbon, ceramic, BUNA and stainless PEi5ij I I I TI I I MGDELS. K31, K41, PEST steel. • 35 I I ~ I i I' •I . - I HP:,33,.40, .SO J17 10 GPM 1, f . I, I ■ Stainless steel fasteners, 30 E41" ; ' I I AGE I , KI ' I 1 FT NCY LISTINGS X I r j i I I I i i i I r I• Y a 20 r i.. I r I' I C Us c I "I ' ' I I r 1- I I Tested to UL 778 and 15 III I I I ! I . . I_ . ' I ' I CSA 222108 Standards o I ! I ~ I' I By Canadian Standards Anv-Won I r I r File #1.10" 10 Goulds Pu Mps Is ISO 9001 Reglstered. 0 00 10~ I ' I i I I I ' ZO 3 ' 40 50 60 70 GPM 8o 0 $ 10 15 m3/h Goulds Pumps *;0 04 ITT Water Technolo CAPACITY Effective June, 2004 rte' ~E3V41 ITT Industries ' . - Combination SepCjc:•Tank and • 1 PUMP CHAMBER CROSS SECTION AMD SPECIFICATIOM5 •VEIJT CAP. WEATHER PRO Ju1JCTIOIJ 5OX 4,C.1• VENT PIPC t APPROVED LOcKING jQ' FROM DOOR, MAIJHOLE COVER P-71v "sP oJ PIPE 'dIJDOW OR FRESH ~ wARNIIJG L.A.BEL., r A~IUTAKE S • co>JouI w/rYtCl~lsgr P-AP i I.~.nw• l~0-r I i Y~NI11. 18.'MIIJr ` ' IuL T PROVIDE I - AIRTIGHT SEAL APPROVED JOIJIT Zplg~ A' lid APPROYED JOIiJT tJ~C.I. PIPEaR Tank construction I I I I w/C.T. PIPEw shall comply with I II ALARM TLHR 1;3.15 and 33.20 a •I I( . I I • • ~ I o~J C II I PUMP - , --1 ` OFF 0 COIJCKETE b®, 0 5LOCK R15ER EXIT PERMITFED OQ0 IF TAWK MAIJUFACTURF-R HAS SUCH APPROVAL 718ZDOING sCPTIC r SPECIFICATIOQS DosE TAUK MAQUFACTURCR.: w1iE~SIEZ C kJC~T~ 1JUMbER OF DOSES: 0.y TA1JK PER :+IZC: GA•LLOIJS DOSE VOLUME ALARM t,AWUFACI-URCR: _S~,~-L~TCT~LO SL(~~1 IWCLUDI/JG OAGKFGOW: GAttoNs MODEL QUMBER: - 10L Hw CA CITIES: A= Z3, 9 IU SWITCH TyPL:= C8E5 OR WGALLOUS 8= Z IUCHES OR q1' O~ LLOJJS PUMP MAIJUFACTURER: C IUCHES OR ~ T r' Z - MODEL lJUMBER: CALLOUS O=- IN'LHES oR 23 ~GALLOIJS . SWITCH TYPE: C ~.4 U_ TE: PUMP AMD ALARM ARE To OL MIIJIMUM•DISCHARGE 'RATErrpM INSTALLED OW SEPARATE CIRCUITS VERTICAL DIFFERENCE DETWCEU PUMP Off AUD.DISTRIBUTIOIJ PIPE.. 1-/o h EET nIUJMUM NETWORK 5UPPLy PRESS FpE , + - A FEET OF FORCE MIN X FEET r` I I _ ~o ~CFRICT1011 FACTOR..~_ . 3 FEET TOTAL OyQAMIC HEAD 22,3 FEET As per , manUfac turer' gal/in. Wisconsin Department of Safety ~fessional Services Division of Industry Servi ¢t SOIL EVALUATION REPORT Page 1 of 2 i accordance with SPS 383, Wis. Adm. Code ~1 County ST. CROIX Attach complete site n on an 8 1/2 x 11 inches in size. Plan must include, but not limited tt orizontal reference point (BM), direction and Parcel I.D. 040 - 1260 - 20 - 000 percent slope, scaled ions, north arrow, and location and distance to nearest road. ;o Please print all information. viewed b Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).lLe~-Z4 ) ( ZO Property Owner Property Location ❑ El BRENT E. & JENNIFER A. WILBER Govt. Lot NE 1/4 NE 1/4 S 18 T 28 N R 19 E (or) W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 12 Deer Valley City State Zip Cod Phone Number ity []Vllage • Town Nearest Road ( ) NK Deer Valley Drive JE New Construction LlseE] Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement Public or commercial - Describe: Parent material _ sandy outwash Flood Plain elevation if applicable CIA ft. General comments Conventional In-ground Trenches loading rate and system elevation to be determined by licensed plumber. and recommendations: Additional borings required to move system out of construction area. Verified with Ryan Yarrington, Zoning G C7,J Specialist. Prev~-i7ous report dated 6-4-99 is attached as part of this report. -1/4 12A-- 7Lo 6 aka A 0, r7~&) Boring # 0 Boring Pit Ground surface elev. 880.20 ft. Depth to limiting factor 130 in Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-13 7.5YR2.5/2 1 3fsbk&gr mvfr cs 3vf-co 0.6 0.8 2 13-45 10YR2/2 1 2fsbk mvfr cs 2vf-co 0.6 0.8 3 45-70 7.5YR4/4 1 lfabk dh cs 2vf-m 0.4 0.6 4 70-130 7.5YR4/4 s Os dl 0.7 1.6 Horizon 4 has some gr. I% / it [-7 Boring # 11 Boring 880.40 5b 136 ❑ 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 1 0-13 7.5YR2.5/2 I 3f-ma&sbk mvfr cs 2vf-co 0.6 0.8 2 13-25 7,5YR3/3 1 2fpr mvfr cs 2vf-m 0.6 0.8 3 25-33 7,5YR3/4 - sl 2fabk ds cs Ivf-m 0.6 1.0 4 33-39 7,5YR3/4 is lmsbk ds cs lvf-M 0.7 1.6 5 39-136 7.5YR4/4 - cos Osg ml 0.7 1.6 Horizon 5 has some pockets of gr. * Effluent #1 = BOD > 30:S 220 mg/L and TSS >30:S 150 mg/L * Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) CST Number Mary Jo Hu ert Hollister's Soil Testing & Desi 224832 Address Si Date Ev I ation Conducted Telephone Number W9875 690th Avenue, River Falls, WI 54022 11-13-14 715-426-1775 SBD-9330 fR07/131 t z W NJ 0 ac *la N o 4o h ~ Lu 0 0z m \ CL .S x v Q I ~ / o % ; ! F. V`~I 47 ~ 40 ~ rte... W x - CR A"MILO 655 W Ka UP Wisconsin Department Industry, Labor and Human Relations SOIL AND SITE EVALUATION REPORT Page 1 of 3 Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but St. Croix distance to (BM);. ~ nearest road % of slope, scale or 1PARCELI.D. # not dimensioned, north arrow, and locatioreference n and point d!, 040- APPLICANT INFORMATION-PLEASE PRINT ALL INF."MATIQN°' REVIEWED BY,~ DATE ,2-/~-21X7D PROPERTY OWNER: y rl PR PERTY LOCATION Derrick Construction, Inc. i(~0 . LOT NE 1/4 NE 1/4,S18 T 28 N,R 19 1Xor) W PROPERTY OWNER':S MAILING ADDRESS L8 # BLOCK # SUBD. NAME OR CSM # 1505 H 5 sr crf,X' 9 Valle CITY, STATE na Deer ZIP CODE PHO f ITY ❑VILLAGE MOWN NEAREST ROAD New Richmond, WI. 54017 .(715)2 - Troy E. Cove Rd. ( 31 New Construction Use [X] Residential / Num ~f rbdin a [ ] Addition to existing building [ ] Replacement [ ] Public or commercial describe Code derived daily flow 600 gpd Recommended design loading rate .7 bed, gpd/ft2 •8 trench, gpd/ft2 Absorption area required 858 bed, ft2 750 trench, ft2 Maximum design loading rate .7 bed, gpd/ft2 •8 trench, gpd/ft2 Recommended infiltration surface elevation(s) A=97.6-B=96 3/95 20 ft (as referred to site plan benchmark) Additional design / site considerations na Parent material outwash Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U=Unsuitable fors stem [XS ❑U ®S ❑U ®S ❑U ~JS ❑U LAS ❑U ❑St1 SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Consistence Boundary Roots Bed Trer>ch 1 1 0-12 10yr 3/3 - none 1 2msbk mfr cs 2f e5 l .6 2 12-38 10 r 4/4 none sl lcsbk mfr if .41 .5 Ground 3 38-96 7.5 r 4/6- none cos os ml na na .7 .8 elev. 101.6ft Depth to limiting factor af-9~ ~o +Ah Sy Remarks: Boring # 1 0-10 10 r 3/3 none 1 2msbk mfr cs 2f .5 .6 2 10-26 10 r 4/4 none sil 2csbk mfr w if .51: .6 3 26-36 10 r 4 4 none 1 2 bk mvfr if .4-: - Ground elev. 4 36-90 7.5 r 4/6 none cos os ml na na .7 i 101.6 ft. ,g Depth to limiting factory +9011 Remarks: CST Name:--Please Print Gary L. Steel Phone: 715-246-6200 Address: 1554 200t v New Richm d W154017 Signature: Date: 6-4-99 CST Number: m02298 PROPERTYOWNER Derrick construction SOIL DESCRIPTION REPORT Page2 of 3 PARCEL I.D. # 040-1070-10 Boring # Horizon- Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0-8 10 r 3Z3 none 1 2msbk mfr cs 2f .5 .6 2 8-21 1 sl lcsbk mfr C1w if .4 .5 Ground 3 21-90 7.5 r 4/6 none cos os ml na na .7 .8 elev. 100.8ft. Depth to limiting o factor -10 AV(. It +90" Remarks: Boring # 1 0-10 10 r 3 3 none 1 2msbk mfr w 2f .5 .6 U 2 10-32 10 r 4 4 none sl lcsbk mvfr ~~w if .4 :.5 na na .7 .8 3 12-84 7.5yr 4/6- none COS nSQ M1 Ground elev. 98.2 ft. Depth to limiting u~ 9 S. Zti factor +84 " L Remarks: Boring # 1 0-8 10 r 3/3 none 1 2msbk mfr 9w 2f .5 .6- 2 8-20 10 r 4/4 none is os ml w if .7 .8 U 3 9.0-84 7.5yr 4Z6 none Cos s mi na na .7 .8 Ground elev. 98.2 ft. Depth to 2 limiting factor +84" Remarks: Boring # Ground elev. ft. , Depth to limiting factor Remarks: STEEL'S SOIL SERVICE Gary L. Steel Derrick Construction, Inec 1554 200th Ave. CSTM2298 NE4EN4 S18-T28N-R19w New Richmond, WI 54017 MPRSW-3254 town of Troy (715) 246-6200 lot #12-Deer Valley This soil evaluation was conducted to satisfy.a zoning requirement, it may or may not be suitable for your use. The location of the test may or may not be as shown as permanent lot lines were not established at the time the test was conducted. ~1V 1"=40' y top of 1" pvc pipe C el. 100.00' Alt. BM.= top of 111 pvc pipe C el. 97.95' , 5 ~Z 17- 00 3 ~ v /fO C ~j Gary L. Steel 6-4-99 Labor and Department of Industry, SOIL AND SITE EVALUATION REPORT Pa g 1 3 ~ Labor and Human Relations g _ Of Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but St. Croix not limited to vertical and horizontal reference point (BM), direction-•anid % of slope, scale or PARCEL I.D. # 1a6 b- .Xb dimensioned, north arrow, and location and distance to nearest road!, D40- - APPLICANT INFORMATION-PLEASE PRINT ALL INFO@MATION REVIEWED BY DATE _~t~.nx1~ a. - I 2At3D PROPERTY OWNER: Lr .PR - 9PERTY LOCATION Derrick Construction, Inc. GOVT. LOT NE 1i4 NE 1i4,S18 T 28 ,N,R 19 5(or) W PROPERTY OWNER':S MAILING ADDRESS ,9 J L0 # BLOCK# SUBD. NAME OR CSM # 1505 " Valle CITY, STATE ZIP CODE PHO -❑CITY ❑VILLAGE 91TOWN NEAREST ROAD New Richmond, WI- 54017 .0115)24 - -"_\T", Troy E. Cove Rd. [ j New Construction Use [X] Residential / Numerf ro8mm5 4 , [ ] Addition to existing building j J Replacement [ ] Public or commercial describe Code derived daily flow 600 gpd Recommended design loading rate .7 bed, gpd/ft2 .8 trench, gpd/ft2 Absorption area required 858 bed, ft2 750 trench, ft2 Maximum design loading rate .7 bed, gpd/ft2 •8 trench, gpd/ft2 Recommended infiltration surface elevation(s) A=97.6-B--96.3/95.20 ft (as referred to site plan benchmark) Additional design / site considerations na Parent material outwash Flood plain elevation, if applicable na ft rU= Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK Un suitablefors stem ®S ❑U ®S ❑U CAS ❑U 17S ❑U 13S ❑U ❑S UCU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 0-12 10yr 3/3 none 1 2msbk mfr cs 2f .5 .6 12-38 10 r 4/4 none sl lcsbk mfr Cl`W if .4 .5 Ground 3 38-96 7.5 r 4/6 none cos os ml na na .7 .8 elev. 101.6ft. Depth to limiting factor 9;' roo ~ t3y Remarks: Boring # 1 0-10 10 r 3 3 none 1 2msbk mfr cs 2f .5 .6 2 2 10-26 10 r 4/4 none sil 2csbk mfr w if .51 .6 Ground 3 26-36 10 r 4/4 none 1 2 bk mvfr if .4- -r-5- elev. 4 36-90 7.5 r 4/6 none cos os ml na na .7 .8 01.6 ft. Depth to limiting factor T_ 1 +9011 BY Remarks: CST Name:--Please Print G L. Steel Phone: 715-246-6200 Address: 1554 200 v New Richm d W154017 Signature: Date: 6-4-99 CST Number: m02298 z 3 Labo►~d ration dustry, SOIL AND SITE EVALUATION REPORT Page 1 of Division of 3atety & t3uddrgs in accord with ILHR 83.05, Wis. Adm. Code COUNTY 'Attach complete site plan on piper not less than 81/2 x 41 inches in size. Plan must include, but St. CXQj2L not limited to vertical and horinntal reference point (B" d r v4 % of slope, scale or PARCEL 1.04 ~ dimensioned, north arrow, and location and distance to nearest road; ; APPLICANT INFORMATION-PLEASE PRINT'ALL iNF"MATION` R iEWE08Y DATE j PROPERTY OWNER 4PERTY LOCATION ^ / 2dm i Derrick Construct tm, Inc. 1 . LOT NE 1/4 NE 1/4,S18 T 28 N,R 19 jaor) W PROPERTY OWNERS MAIUNG ADDRESS 9 _ # BLOCK # SUED. NAME OR CSM # CFOX [CITY, STATE ZIP CODE PHO 0VILLAGE RTOWN NEAREST ROAD ebmond WI. 54017 (715) r -l E. Cove Rd. [.J New Construction Use [X[ Residential Nu b [ [ Addition to existing building 1 1 Replacement [ ) Public or commercial desaibe Code derived daffy flow 600 _ gpd Recommended design boding rate . 7 bed, gpd4t2 .8 lr91ch, 2 Absorption area rewired 853 bed, ft2 750 trench, tt2 Maximum design bading rate .7 bed, gpd/ .18 trench, gpc* Rewnrnended iAltraon surface elevation(s) _ A7-W,6-B=96_3 / loft (as referred to site plan bendtmark) Additional design / site considerations na Parent material ou twash Flood plain elevation, K applicable na g S - Suitable for System C-DN{/ENTIONAL MOUND IN-GROUND PRESSURE AlrwMDE SYSTEM ~f FILL HOLDING TANK I U= Unsuitable for syslern [IS OU ®S ❑ U ®S ❑ U u s O U [Z S❑ U ❑ S I~tJ i SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure GPD/ftin. Munseil Ou. Sz. Cont. Color Gr. Sz. Sh. Cortsblterx~e eourtdery Roots Bed rench 1 .5 .6 bk mfr if .4 .5 (;rotxtd 3 38-96 311 na na .7 .8 el@N. 1a1.6 ' / t C 131 CSC' S Az~-r• limiting factor ~•f:o / +96" 116y Remarks: Boring # 1 0-10 10 r 3/3 none 1 2msbk r cs 2f .5 .6 E3 2 10-26 l r 4/4 none sil 2csbk mfr if .51 .6 3 26-36 10 4/4 none 1 bk mvfr if v. 101.6 fL 4 36-90 7.5 r 4/6 cal 0SCI ml na na .7 1 .8 t Deh ID `J 04 Q bnrbng it CS-7- 6'~ ~ ~ r V 11 factor +90n fiY I el 1) Remarks: ff ame:-Please Print C' L. Steel Phone: 715-246-6200 s: 1554 2 v Ne w Richmm& WT 54017 ure: Date: 6-4-99 CST Number m02298 PROPERTY OWNER Derrick Construction SOIL DESCRIPTION REPORT Pap2 pf 3 PARCEL LD. sQ40-1(}70-1(: . Boring # Horizon Depth dominant Color Maples Texture Structure Consistence Bouifty Roots BGeOPD/ft2 in. Munsell Qu.3z Cont.Odor Gr. Sz. Sh. 1 0-8 -19YE i mfr cs .5 .6 3 Ground 3 21-90 7.5 r 4/6 none cos ml na na .7 .8 elev. r 100.13ft. Depth to 16ting [vew bcw ~.n Remarks: Boring # 1 0-10 1 r 3/3 node i 2msbk mfr 2f .5 1.6 4 10' .4-1.5 Ground .7 .8 elev. I 98.2 tL Depth b limiting tam t~-9s.~ Remarks: Boring # 1 0-8 LOvr 3/3 none 1 2msbk mfr gw 2f .5 1.6 2 $-20 1 r 414 none is Ogg mi if .7 i.8 El 20-M Z.Sy-r 4/-6 nonf a- Ma na .7 .8 GGmund 98.2 ft. Depth b Z ' tact~r841, Remarks: Boring # 13 Ground elev. Depth 10 Rndtiig I Remarks: SBa8330(RASJ 4 STEEL'S SOIL SERVICE Gary L. Steel Derrick Construction, Inec1554 200th Ave. OSTM2298 MAMA S18-T28N-R19w New Richmond, WI 54017 MPRSW-3254 town of Troy (715) 246-6200 lot #12-Deer Valley This soil Wraluatiun was cMXIuc:ted to satisfy . a zoning require®eent, it may or may riot be suitable fw* your use. The location of the test may or may not be as spawn as permanent lot banes were not established at the time the test"vas conducted. 1 =-401 top of 1" pvc pipe @ el. 100.00' ,Alt. BM.= tap of 1pvc pipe 0 el. 97.95' 8° ` 5 s.; Aria t 40 Ga. L. 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