The URL can be used to link to this page

Home My WebLink About026-1158-00-065 (2) Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 579059 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: Haffner Construction LLC, Robin Haffner Richmond, Town of 026-1158-00-065 CST BM Elev: Insp. BM Elev: BM Description: Sectionrrown/Range/Map No: 25.30.18.1200 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt. BM Aeration Bldg. Sewer Holding St/Ht Inlet St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt Bottom Dosing Header/Man. Aeration Dist. Pipe Holding Bot. System Final Grade PUMP/SIPHON INFORMATION Manufacturer Demand St Cover GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to well SOIL ABSORPTION SYSTEM BED/TRENCH 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 Manufacturer: INFORMATION CHAMBER OR Type Of System: UNIT Model Number: DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) 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 d/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil xx Seede F Yes ❑ No ❑ Yes ® No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: Location: 1363 144th Street New Richmond, WI 54017 (SE 1/4 NW 1/4 25 T30N RI 8W) Red Pine Corner 2nd Add Lot Parcel No: 25.30.18.1200 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = Plan revision Required? ❑ Yes ❑ No Use other side for additional information. Date Insepctor's Signature Cert. No. SBD-6710 (R.3/97) County Safety and Buildings Division y eft l 201 W. Washington Ave., P.O. Box 7162 sari it Number (to be filled in by CoJ D$I;~ Madison, WI 53707-7162 6- p 514, Stale Transaction Number 00 anitary erm~ plication In accordance with SPS 38321(2), Wis. Adm Code, submission of this form to the appropriate govemtnenta] 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 sewn G ' ores in accordance with the Pr' Law, s. 15. 1 m , Stats. am/ L A lication Information - Please Print All Information Parcel It Property owns s e 4 t7 ' ,A, e) 6~ p Property Location Property Owner's Mail¢ng eSS , Lot f 111 Zip Code Phone Number Section a _ City, state cle CLJ / T N; RE W II. pe of Building (check all that apply) Subdivision Name amily Dwelling-Number of ) Block# ❑ Public/Commercial - Describe Use ❑ City of ~ ❑ CSM Number Village of -Describe Use own of ❑ State of ' S Cc, i..) 23 -t-Z3 C~a III. Type Permit: (Check only o box on line A. Complete line B if applicable) A. g ❑ Replacement system ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) Previous Permit Number and Date issued List B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber 11 Permit Transfer to New Owner f Before Expiration IV, of POWTS S stem/Com nent/Device: Check all that apply) Tn Ground ❑ Pressurized ln-Ground ❑ At-Grade ❑ Mound ? 24 in. of suitable soil ❑ Mound <24 in. of suitable soil Pl✓ 5 61.t ❑ Holding Tank ❑ Other Dispeasal Component (explain) ❑ pretreatment Device (explain) V. Dis rsaV rrea nt Area Information: pro (sf) system Elev ' Design Flow (gpd) Design Soil Application f) Dispersal Area Required Dispersal sl ! ~10 O VL Tank Info Capacity in Total # of Manufacturer $ S Gallons Gallons Units a U 1 . r " u °d New Tacks Existing Tams 'v, y ~ C7 a Septic or Holding Tank Dosing Chamber VII Responsibility Statemen the undersigned, responsibility for installation of the POWTS~sshowwn on the attached plans. Plumber's ame pl Signature MP/MPRSNurn B~✓~mess N~ (Print) r , Plumber's Address (Street, City, State, Zip r VIII. un /13eipartment Use Only Permit Fee Da Issued L~ Issuing t Signature APPr'm'ed isapproved ~ $ q! 5 2-t 1J ven Reason for Denial IX Condit it8Y81 kZasous for Disapproval 3 17 E . 1. Septic tank; effiulent filter and v dispersal c4A must all s t a k,~ ' beP, as per, management plan provi by plum DO! i , l4~ wee ca-e",_ fro Attach to complete plans for the system and submit the mty only on paper not less than 8 to ill ioehesinsift a SBD-6398 (R. 11111) PLOT PLAN PROJECT Haffner Construction ADDRESS 404 S. Green Ave New Richmond Wi 54017 SE 1/4 NW 1/4s 25 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX SYSTEM ELEVATION 95.1/95.0 4' below grade DATE 8/19/15 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 46 BENCHMARK V.R.P. Top of 1.5" pipe ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark Scale = 1/4 _ 10' 144th St. All piping shall be ASTM SDR 30/34, within 10' of tank, piping shall be ASTM F891 Vent >6„ Quick4 Standard of Cover Leaching Chamber with 20.0 ft2 of Area 5.6ft^2/pair of end caps 4' Long 12 Grade at System Elevation 34" Pro 3 Bedroom 30' 99' House B-1 100' 101' 3 0' 30' ST Flood Plain 7% Slope 30' B-3 30' B M * 2-3' X 94' cells with >3'spacing 20' B-2 15 v 30' ' 138th Ave y Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 8/19/15 Owner: Haffner Construction Location: SE 1 /4 NW 1 /4 S25 T30 N, R1 8W 1363 144th st. 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 Contingen Plan 7. Filter Cross Section f Signature License number #22690 PLOT PLAN Haffner Construction 404 S. Green Ave New Richmond Wi 5401 PROJECT ADDRESS 7 SE 1/4 NW 1/4S 25 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX SYSTEM ELEVATION 95.1/95.0 4' below grade DATE 8/19/15 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 46 BENCHMARK V.R.P. Top of 1.5" pipe ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark Scale = 1 4° _ 10' 144th St. All piping shall be ASTM SDR 30/34, within 10' of tank, piping shall be ASTM F891 Vent >6" Quick4 Standard of Cover Leaching Chamber with 20.0 ft2 of Area 1291 5.6ft^2/pair of end caps 4' Long Grade at System Elevation 34" Pro 3 Bedroom 30 99' House B-1 100' 101' 30' 30' ST Flood Plain 7% Slope 30' B-3 30' B.M.* 2-3' X 94' cells with >3'spacing 20' B-2 1 30 aw 138th Ave Cross Section of Infiltrator Quick 4 Leaching Chamber Typical cross section for 2 of 2 cells Quick 4 Standard Leaching Chamber with 20.0 ft2 of Area per Chamber 5.6ft^2 pair of end plates To be >1' above grade Finish grade elevation Typical Installation 99.3' Vent Grade Vent X30/34 Septic Tank A5Long 4" 3' 1 5' S' Long 1 3 6" Grade at System Elevation Grade at System Elevation Spacing 5' 2-3' X 94' Cells Same on other end Observation tubeNent At end of cell A B 23 chambers per cell System elevations: A-95. 1' B-95.0' POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of ;FILE INFORMATION SYSTEM SPECIFICATIONS Owner/ Septic Tank Capacity al ❑ NA 7- 1/111~ # Septic Tank Manufacturer ❑ NA Permit DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms 3 ❑ NA Effluent Filter Model ❑ NA Number of Public Facility Units ANA Pump Tank Capacity al -,NA Estimated flow (average) al/da Pump Tank Manufacturer 76,NA Design flow (peak), (Estimated x 1.5) gal/day Pump Manufacturer Soil Application Rate al/da /ft2 Pump Model KNA Standard Influent/Effluent Quality TtMonthly average Pretreatment Unit `IA Fats, Oil & Grease (FOG) <_30 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD5) I <_220 mg/L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) <_150 mg/L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BOD5) 1530 mg/L in-Ground (gravity) ❑ In-Ground (pressurized) Total Suspended Solids (TSS) 530 mg/L ❑ At-Grade ❑ Mound Fecal Coliform (geometric mean) <_104 efu/100m1 ❑ Drip-Line ❑ Other: Maximum Effluent Particle Size % in dia. ❑ NA Other: ❑ NA Other: NA Other: C1 NA Other: 'Values typical for domestic wastewater and septic tank effluent. ❑ NA IAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: ❑ month(s) (Maximum 3 years) 1:1 NA ear s iPump out contents of tank(s) When combined sludge and scum equals one-third ('t) of tank volume ❑ NA ❑ onth(s) ilnspect dispersal cell(s) I At least once every: ayear(s) (Maximum 3 years) 11 NA At least once every: ❑ onth(s) 11 NA lean effluent filter ear(s) inspect pump, pump controls & alarm At least once every: ❑ month(s) NA ❑ year(s) =lush laterals and pressure test At least once every: ❑ month(s) NA ❑ year(s) Other: At least once eve ❑ month(s) NA ❑ year(s) tither: 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 cell(s) shall be Asually 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. ashen the combined accumulation of sludge and scum in any tank equals one-third ('X) or more of the tank volume, the entire contents of he 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. service report shall be provided to the local regulatory authority within 10 days of completion of any service event. Page of START UP AND OPERATION presence of painting products or other chemicals thE.t For new construction, prior to use of the POWTS check treatment tank(s) for the may impede the treatment process and/or damage the dispersal cells). If high concentrations are detected have the contents 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. tanks may fill above normal highwater levels. When power is restored the excess wastewater will be During power outages pump the backup or surface discharge of effluent. power to tnt discharged the dispersal cell(s) in one large dose, overloading the cell(s) and may result inbYmanuap y o eperatingcith Opump Operator prior to restoring controls to restore normal levels To avoid this is situation have the er t or POWTS Mpump tank a nttainer to ass stremoved effluent pump or contact a Plumbb 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 wit ,n 15 feet down slope of any mound or at-grade soil absorption area, elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWT dental floss; diapers; d'+ prof tants; fat; foundation products; Reduction or i. antibiotics; baby wipes; cigarette butts; condoms; cotton sneb greaseesirs; herbicides; meat scraps; medications; oil; painting pump) water; fruit and vegetable peelings; gaso pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWT5 fails and/or is permanently taken out of service W Wthe isconsin Administat vealCode:l be to insure that the system is prope^ y and safely abandoned in compliance with chapter Comm 83. , sealed. • All piping to tanks and pits shall be disconnected and the abandoned pipe openings disposed of by a Septage Servicing Operator. • The contents of all tanks and pits shall be removed and properly • After pumping, ail 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. fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant CONTINGENCY PLAN If the P CONTINGENCY replace ent system: placement ed absorp A suitable replacement area has been evaluated ed from disturbance and compaction and shouldenot be infringed upontby requited T-Ke replacement area should be protect with the the nEe I in replacement setbacks from existing and proposed structure, lot lines nd t area.t Replacement systems muste comply suit in the need for a new soil and site evaluation to establish a sutable effect at that time. replace sand/POSWTSmitations. Barring advances in POWTS techno og4 a ❑ A suitable replacement area is nota to lablrt due to sit soil and holding tank may be installed as a ment WTS the suitable evaluai ❑ The site has not been evaluated toidentify ar apt fono eplacementparea isuavail ble aOho d ngatank may beeins alled'as must be performed to locate a suitable le replacement a last resort to replace the failed POWTS. must comply with the ctees in eplace ffect following removal of the biomat at the infiltrative ❑ Mound and at-grade soil absorption systems surface. Reconstructions of such systems rul in at that time. RESCUE Or- A <<WARNING>> INSUFFICIENT SEPTIC, PUMP AND OTHER TREATMENT TANKS TANK UNDER ANY C RCUMSTANCES., DEA H MAY RESULTYGEN. ENTER A SEPTIC, PUMP OR OTHER TREAT PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER - - Name , Phone nnmae LOCAL REGULATORY AUTHORITY _ SEPT AGE- SERVICING OPERATpff.UMPER Name EPho me Phone ne71 This document was drafted in compliance with chapter SPS 383.22(2)(b)(1)(d)&(f; and 383.54(1), (2) & (3), Wisconsin Administrative Code. i 9~z \A :G `j t ) ~i~.~ef)') chi ' ~ ~ try ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM a- OwnerBuyer. ~!1 S N Mailing Address / / Q,AA h ~ c C Lal Property Address/3 G 5 ~ (Verification required from Planning & Zoning Department new construction.) City/State Parcel Identification Number iW? _115s_ ov - 0 bs- LEGAL DESCRIPTION Property Location t__ i/4 ,1W'/4 , sec .,;2 S-, T .50 N RZZ W, Town of Subdivision Lot # Certified Survey Map # , Volume _ , Page # 'Warranty Deed # Volume Page # 01-7~- 0--3 Spec house (s no Lot line, identifiable a no SYSTEM MAINTENANCE AND OWNER CERTMCATION 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, it 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 was to disposal system Owner maintenance responsibilities are specified in §Cormn. 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 and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1 /3 full of sludge. 1/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 Departrnent 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 thi form are true to the best of my/our knowledge. Uwe am(are the owner(s) of the property described above, by virtue of a r deed recorded in Register of Deeds Office. Number of bedro p SIGNA F 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. 08/05) L V m 6 0 O NRU U (O Cam c `mac m d E T o rn~ a ~ > m T a 3 N a° o°uNi m m m a _ O W N N N O C N ; m 'O N of _.S H N L U N E = m y J V 9 N L m O NYs..~p O G N m J O C C O N O = _ « L m I O ~ 21 V m J m J = Z N m N 0 >7 N N N C K U m m « _Ol = T U m U ° E° W m Y m aEi Q o. c N rn .4 Q d m 2 _ « 5 E °m O N N~c O O E N m ; N U U L_ Y > m (n m p J m O A K L m 3 Q LA m ILL D O W LL J fA F U > f~ O J K - N U K D_' d' ~ ~ g ~t r' a re • w r ~ b ~Lfa ~ x y f tiY b lip r n k x. s ~~?sy' ~ ` ~ _ i~~ ` x ill, I k~~ ~ . r. ~I r-m k r i a I 4 st z 'i+ t 7. jr 1S kfJ.2~4l. 4 r ~ ~ 62 84 738 Sa Fr. r M 58. z 204 AO4ES BENC~M11 • . g Aft F.F.E. Wd5 ~ TOP F W7 • i7,94t~, sa +'l~ d WIPE= 2 ! 1.d3 AL~PArS 4~7,t4• I S as 42 E .6 o ` , N10'SD'13~ ' i C3 8% 497 so FT. • .t.99 ACRES s t•'! l - • . -32 row k-3 .36' rn 1 R _ cn cis 47. AO SO cxlk 1.54 ACAFS rompon Q J~ d7,V*V Ecsn»r S em 2r E 442.01r 1 t54 A[MS . I (TO be AAW FF.f. fOOaJ • . SENCF MAW: exti►►~u~ TOP OF IRON extens PIPE ~.400 SCR FT. 1.31 AOWS ; N Ub'J6'~+ E ! •b' 6 a \ 41 . aR 7" sa n. • .~r44r 91 IM AGES AM F.FE. 10p1.0 s 89'S2'2e E ® Amp x Fr, 70 7.S2 AORES BENCHMARK: T. B AM?~i FF.E. 10003 TOP OF IRON 5~33O Sa F P1PE•9~.' 1.31 AGyPlE3 us, 414 344.3W "llar 4 I S UU26' E i ~s r • xiar S 86•52W [ - ! : 67 m ItE Z0 E BARM sia Fr Ura~ O Sn ~ Fa snt ®71 X330 SIx F7, f.d1 ACR1E5 I 2E MAR kF.E. 1OO'f.0 ® 8 ~ ~ 1.81 AORfS I I N89' 432.01' 30. f 7 Oq' y 2 T$ Y$ W-r ,Y-3• r-C CXW,3 k} T c Pse,s,+R MASTER BATH 24 KRGNEN b Sf i ( I &"TER 8EOROOM 1 ( J. q 6px Ohl 2$ 3.0 F KALL 1S$ T4 N r~ -2-8 TI RY ~r EMILY ROOM A'O G ~ CL4 at? MICE !BEDROOM d 2 t { t cm C34 3-0 ~t S-0' 2w• !5•T 5'$ T$ 7-2' 8'-2" S-T 3,1'4' 52'$ r FLOOR PLAN 3 . , SCAM IM" a T-0" ,M ~ Y _ X2`4 57`t AUG 21 `l.U Wisconsin Department of Commerce SOIL EVALUATION REPORT ,ge Division of Safety and Buildings sT, CROIX COUN 11' of in accordance with Comm 85, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must gY41, include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. ac~- b - ~i S Please print all information. Revie by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). I I Z r / Property Owner Property Location kg6Q:::1Z ~0 (I Govt. Lot 5~^ 1114 T 3 L) N R ! E (o W Property Owner's Mailing Address Lot # Block # Subd. Nam L or CSM# City Ste Zip Code Phone Number ❑ City ❑ Village oir Nearest Roa Construction Userdential /Number of bedrooms Code derived design flow rate ~ SID GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material ~2 Its ! fct ec a- Flood Plain elevation if applicable A/ I A ft_ .V < e General comments S and reoorunendatinmendations: a ~1 ,/~®~8elnw y System Type C oyl 3 et'~ System Elevation F-1 1 54 Boring # Boring pit Ground surface elev. 7(y I L ! ft. Depth to limiting factor CQ 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 D-b Ur lz C-5- - `0 A-//,-~- -7 /~Ox tl ® # a Boring ER 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. 'Ef//f#1 •Eff#2 o ' 41-YI.- 2 f Effluent #1 = BOD. > 30 < 220 mg1L and TSS >30 < 150 • Effluent #2 = BOD. < 30 mg/L and TSS < 30 ndL CST Name (Please Print) ure CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1432 120th St, New Richmond, WI 54017 / j' 715-246-4516 Property Owner _ Parcel ID # Page of ® Boring # ❑ Boring Pit Ground surface elev. SZ ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eft#2 r 7j1L X51 ^ I.li r r r Z. r A -7 ll) -z Boring # ❑ Boring E-1 ❑ 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 Boring # F-I ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Iepth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mgll. ' Effluent #2 = BODE < 30 mgll- 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. SOD-8330 (8.6100) Property Owner Parcel ID # Page of Boring # ❑ Boring 171 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 C ail Z_ 5 a Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff ' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff42 Boring Boring # Ground surface elev. ft. Depth to limiting factor in. F-1 ❑ Pit Soil ication Rate Horizon ')epth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mgA- ' Effluent #2 = BOD, 130 mg/L and TSS < 30 mg1L 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. SOD-6330 (RAM) Soil Test Plot Plan Project Name Haffner Construction Shaun Address 404 S. Green Ave New Richmond Wi 54017 C Svf/4 #226900 Lot 65 Subdivision Red Pine Corner 2nd Date 840/15 SE 1/4 N W 1/4S 25 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 1.5" pipe System Elevation 95.1/95.0 *HRpSame as Benchmark Scale is 1" = 40' unless otherwise 144th St. noted 30' 99' B-1 100' 101' Flood Plain 0' 7% Slop 30 B-3 30' 45 B.M.* 20' B-2 15 30' ' 138th Ave 1027 Wisconsin Department of Commerce SOIL EVALUATION REPORT page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Steel Soil Service Attach complete site plan on paper not less than 8%: x 11 inches in size. Plan must County St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Parcel I.D. b Z i0 / -~~j S Please print all information. ~O By Date Persona; info^rat&. you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). t, :R9 . I ~ 24OD Property Owner Property Location Oakwood Land Development Govt. Lot SE 19 NW 19 S 25 T 30 N R 18 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# Spring Lake Park 65 na Red Pine Comer Second Addition City State Zip Code Phone Number j City Village ✓ Town Nearest Road MN 55432 743-780-4996 Richmond 136Th Ave ✓ New Construction Use: ✓ Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD, Replacement Pubic or commercial -Describe: Parent material Pitted Glacial Drift RECEIVED Flood plain elevation, if plicaofe na General comments and recommendations: M nd Design,system elev tion100..55ft based on contour line elevation99.55ft JUN 1 1 2002 ~9. er -C~~a ~2 ST. c, . ONING OFFICE i f # Borin Boring u ✓ Pit Ground Surface elev. 99.65 ft. Depth to limiting Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz *Eff#1 i *Eff#2 1 0-28 10yr3/3 none sit 2msbk mfr gw 1f 5 .8 2 29-49 7.5yr3/4 none sicl 2msbk mfr gw if .4 .6 • ` f 3 49-75 7.54/6 none ms osg ml gw na .7 1.2 •3, 4 75-96 10yr7/4 fractured limestone na na na na na np np 1 1 i Boring # Boring ✓ Pit Ground Surface elev. 99.65 ft. Depth to limiting factor 75 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ffz *Eff#1 *Eff#2 1 0-12 10yr3/3 none sit 2msbk mfr gw 1f .5 .8 .4° 2 12-34 7.5yr3/4 none sicl 2msbk mfr gw if .4 .6 3 34-44 7.54/4 none Is osg ml cs na .7 1.2 4 44-75 7.5yr4/6 none ms osg ml gw na .7 1.2 5 75-96 10yr7/4 fracturedlimestone na na na na na np np l „ * Effluent #1 = BOD 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD5< 30 mg/L and TSS < 30 mg -71 CST Name (Please Print) SignaF e' CST Number David J. Steel 248956 Address Steel Soil Service Date Evaluation Conducted Telephone Number 1564 CR GG, New Richmond, W 154017 6/8/2002 175-246-5085 Property Owner Oakwood Land Development Parcel lD # pending rage 2 of 3 I-1 3 1 Boring # Boring L_I ✓ Pit Ground Surface elev. 99.05 ft. Depth to limiting factor 56 in. Soil Application Rate Horizon Depth Dominant Color Redox Descnphon Texture Structure Consistence Boundary Roots GPD/fit' *Eff#1 *Eff#2 1 0-16 10yr3/3 none sil 2msbk mfr gw 1f .5 .8 •~p 2 16-24 7.5yr3/4 none sicl 2msbk mfr gw 1f .4 .6 3 24-34 7.54/4 none Is osg ml cs na .7 1.2 4 34-56 7.5yr4/6 none ms osg ml gw na .7 1.2 , 5 56-96 10yr7/4 fractured limestone na na na na na np np l F-I Boring # Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/112 *Eff#1 *Eff#2 Baring # 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 GPDW *Eff#1 *Eff#2 * Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD5- 30 mg/L and TSS < 30 mg/L The D parrxnent of Commerce is an equal opportunity service provider and employer. If ; ou need asst ance to access services or Page 3 of 3 STEEL'S SOIL SERVICE David J. Steel 1564 Cty Rd GG CST-POWTSM New Richmond W154017 Lic. # 248956 ~k"~d`'°~ ~✓e~ ~`c'~~ ' S~y~F Nw>~ 5-¢c 25.,1-3~ N , 18~ (715) 246-6200 or,sn 8 (~'c~t~narr cQ ~f • Gf~a; C~ , (715) 246-5085 It r~ X04, yl j`pw--('`pe- 0070y, ee4 Ito f ie~ ,doss ` CC~T ,4--e5 v- / % fllerj.L62 ilea. fir, 76-C b It pvc- ,2 rev or/ , p( C-r (37 = C6-- 153r cam, a, r3` 32,36' - • . . 4OW -~me .Ara _ 10 ~ f -Mgw %ftft min t 54 ACWS ■ TOP OF I 11 PHA= IM A i 6*22 Sit Ft •5` A CMS W* F.A.f. 100425 TOP OF i PIPEmoW. • 4. o 4 R i uw t i 33st E :67 iE MBE. 9l~z i 6.0w Fr. Qrvi age t.61 ACRES AM Y.F.E. YXI.D r ~ i • i .r- ~539.394- - f M OO 6"w 1041,401 2`26"W 5263-58- - 38