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040-1163-40-000
County: St. Croix Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT sanitary Permit No: 579058 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)]. Parcel Tax No: Permit Holder's Name: City village X Township 040-1163-40-000 Hauschildt, Todd Troy, Town of jjj::::o Description: Section/Town/Range/Map No: cs CsT BM Elev: 25.28.20.633A TANK INFORM ATION ELEVATION DATA TYPE MANUFACTURER S CAPACITY STATION BS HI FS ELEV. Septic y Benchmark 6.3 J41,.3 /ood es e-1- 61" 3.5 Alt. BM tit 3, 5 $ Z •7 ~a f t7 ~4 Ga J , / ation !Ho Bldg. Sewer 7,T ding St/Ht Inlet Z y St/Ht Outlet V 7, 7 TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. en to Air Intake ROAD Dt Inlet 4 it ~ Septic 7 16b ► AJ 36 / 75 Dt Bottom Dosing Header/Man. 6/'7-3 Aeration Dist. Pipe 9' a qt 5 Bot. System io 5 9 6 Holding 41-4 - Final Grade 9s. 3 PUMPISIPHON INFORMATION ' L* V Bjr 7 Manufacturer Demand St Cover r~ 3.5 8 /t Z .7 GPM r'.'~ LoJ Model Number TDH Lift Friction Loss System Head 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 3 7B (C..~ LEACHING SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM CHAMBER OR Manufa~c-tuurre INFORMATION Type Of System: UNIT Model Nu ber: DISTRIBUTION SYSTEM All 57 d-ad-aQ x Hole Size x Hole pacing IVeit tp Intake Header/Manifold Distribution j f gyp„. /~,J~:~ P ngih Dia `Spacing\` Length 7 Dia SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Mulched Depth Over Depth Over =Depth xx Seeded/Sodded BedlTrench Center n Bed/Trench Edges s No Yes ~ ]No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Parcel No: 25.28.20.633A Location: 166 Skyline Drive ~River Fall/s, WI 54022 (SE 1/4 NE 1/4 25 T28N R20W) NA Lot 2 611, 1 1.) Alt BM Description = 2.) Bldg sewer length = 36 - amount of cover = y o~ //Q2 Plan revision Required? 0 Yes No c~ I p rj- l/ J J Use other side for additional information. Date Insepctor's Si ature Cert. No. SBD-6710 (R.3/97) RECEIVED _ gap Safety and Bui m ivisiolt County .y~ 20! V*au11 the P.O. Box 7162 ;5-70-eve s Madismi, W1 33I'1 `7162 SanitAry Permit Number (to be filled in by Co.) S7 5 2 016 5- ~ State Transaction Number Sanitary Permit Application Nr fn accordance with s, Comm. 83.21(2), VAR. Adm. Code, submission of ft form to the appropriata governmental unit is regntWA prior to obtaining a Sanitary permit, Note: Application forms for state-owned POWTS are Prgitzt Address (if difih iat than tnalYng address) submitted to the Department of Commerce. Personal information you provide may be used for secondary u oses in accordance with the Priyae Law s. 15.04(D on Slats L Application Information - Please Print All lttiorfnatiort Property Owner's Name Parcel # Td CPr1 / c h < 4d r a' D l16.3- ,yd - dod Prop iti wnW. Mailing ddteas Prop ertyLocation 'Al e- 0MJ0!-T1 - ('('334) -City, State, Zip Cod4 Phone Number S y,, V4, section (circle ~ a~ l G(J t( YLS ~2 7 s ' U •t T N; R94 EokV-VJ 1t1. "l'ype of Building (cheek all that apply) Lot # si PAmity DWeiling Number of Bedrooms Subdivion Name IeF~ nr /S i- A n, Block # C_l i?uhlic/Cnmmerciai UeserIba Use____, (~//~~"'R' q, ❑ City of CSM Number / e~ 3 ❑ Village of State Owned - Describe ilea ~Town tri'~ _3 LOO i,✓ q ~-15-# l~- 57 Va I I ~P -6 111. Type of Permit; (Check a ly one tax on line A, Complete line 19 if applicable p A. kNew System ❑ Replacement System 0 Trestmentlklolding Tankiteplamment Only ❑ Other Modification to Existing System (explain) - List Previous R• Permit Renewal El Permit Revision Change of Plumber ❑ Permit Transfer to New Pnrrttit Number and Dam issued Before Expiration Own= :7 z~ 12 IV. 't'ype of PON"$ System/Component/Device; (Cheek all ttttat apply) v { Non-Preisarized In-Ground ❑ PreasuTived in-Ground 0 At-Grade Q Mound > 24 in. of suitable soil ❑ Mound t 24 in, of suitable soil Hn1dmg 7'nnk ❑ Ck r Aispersat Cnrrgtonant (ercpiain) r - n Pretreatment Bevies (explain) _ V. Dispersaffreat ntArea>(nlbrtnation; rJeaSgtr Flow (gpd) Drsign Soil Application Rate( s it) Dispersal Area Required (of) / Dispersal Area Pupas System 131evsdon ~"V Y Ni. Tantt Itifn Capacity in Total # of Manufacturer o _ Gallons (3ailons unit. I L p r. M ¢ New Tanks ExistingTanlcR ~1 Dl~ U ~ m ~ p4 C7 P, Le, 1vlI7- J e Srptic or Holding Tank 6 6Q GV ! t -t)osingChAmharu _ Vll• Responsibility Statement 1, the 111till igned, assume res asiblUsy forhistalbtlon of the POWYS "M on the attached plans. Plumber's Name (Print) Plimiher's Signature Number Business Phone Number Li/r ~ ll ~ -4- eft ,SG h o o~la1 ? 4~~ ^ $~G - 2 Piumher'i Address (Street, City, Stata, Zip Code) - IV, ~l sots 1<J~' ~'~®!G VIII. Coun /De at tnlbut Use Only ppmvetl _ Permit Fee ;7; lasuitig t n Reason Denial $ JP5. ob r /S 1X. C'.ond a for isaPproval n tJis ( pOr.myst all be services 1 miiritsifled as per ilain 6M plan providod by plumber, hatt"Mairtd as per appl 6di ornos, Atiach to tompicic pleas for the syttAm and Submit to the iCouaty only on paper not tan than a is x r t inches in slxe 5131]-6398 (R.. U2i09) 'V e lef F/-z- y /d y d ~ f ZZ t 5 a p 0 a a .S - 3 X ~k a v e a t7 0 p CONVENTIONAL COMPONENT DESIGN Residential Application A INDEX AND TITLE PAGE Project Name: Td ~ d c-ce, Owner's Name: Ss >*-L Owner's Address: Zg5~47 S 2/1- ; ,A e- A i U v e Y, Legal Description: S L= % c a S- r 2d Township: PI C~ County: Yl3 t eX Subdivision Name: Lot Number --2- Parcel ID Number: G y!~ - 1 t ~O`- G' Page 1 Index and title Page 2 Plot Plan Page 3 System Sizing & Cross-Section Page 4 Filter Specs Page 5 Maintenance Information Page 6 Management Plan Page 7 St. Croix Cty Septic Tank Maintenance Form Page 8 Warranty Deed Page 9 CSM or Plat Attachments: Soil Test & House Plans Designer/Plumber: License Number: 2 2' ~a Date: Phone Number ~iS -fig G ~i ~J Y Signature Designed pursuant to the in-Ground Soil Absorption component manual for POVVTS version 2.0 SBD-10705-P (N.01/01). Page 1 a l ~ • W' 0 13 I 82I1 Absorption System Cross Section .I---- ft ° ft 4" Schedule 40 Final Grade VV PVC Vent Pipe Nlth Vent Cap ft Leaching Chamber ~F- - ft L - --r- System Elevation _3 _ ft J ft ft Soil Absomtion Sys, tem Pign VIAW ft ft i ft Leaching Trench 1 Chambers 4" Dia. Trench 2 j Heater Vent Or Observation Pipe f Trench 3 Leaching Chamber SpectfMcatlvns Manufacturer And Model a a- ~c k t-lx EISA Rating V D sq ft per chamber Soil Application Rate gpd/5q ft 5~0 gpd Design Flow x , 4" Soil Application Rate : --10 EISA = _ S~7 Chambers 3 rows of , chambers each. Page of I POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FiLE INFORMATION SYSTEM SPECIFICATIONS Owner *Jd " L 0d E Septic Tank Capacity /6crC~ al ❑ NA Permit # Septic Tank Manufacturer ,rte ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer d j L-, Cc 13 NA [Estimated umber of Bedrooms E] NA Effluent Filter Model C-g- - ❑ NA umber of Public Facility Units ❑ NA Pump Tank Capacity al ❑ NA flow (average) ai/da Pump Tank Manufacturer ❑ NA Design flow (peak), (Estimated x 1.5) gal/day Pump Manufacturer ❑ NA Soil Application Rate al/da /W Pump Model ❑ NA Standard Influent/Effluent Quality Monthly average* Pretreatment Unit ❑ NA Fats, oil & Grease (FOG) 530 mg/L 13 Sand/Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BODS) 5220 mg/L ❑ NA Q Mechanical Aeration ❑ Watland Total Suspended Solids (TSS) 51 SO mg/L ❑ Disinfection L7 Other: Pretreated Effluent Quality Monthly average Dispersal Call(s) ❑ NA Biochemical Oxygen Demand (BODJ 530 mg/L Q In-Ground (gravity) ❑ in-Ground (pressurized) Total Suspended Solids (TSS) 530 mg/L q NA ❑ At-Grade ❑ Mound Fecal Coliform (geometric mean) 5104 cfu/100ml ❑ Drip-Line ❑ Other: Maximum Effluent Particle Size ye 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 least once every: saris} Q month( r(al ) (Maximum 3 years) ❑ NA C] Pump out contents of tank(s) When combined sludge and scum equals one-third (Y9) of tank volume ❑ NA Inspect dispersal cell(s) At least once every: 13 month(s) (Maximum 3 years) ❑ NA ❑ year(s) Clean effluent filter At least once every: ❑ month(s) ❑ NA IQ ear(s) Inspect pump, pump controls & alarm At least once every; ❑ month(s) ❑ NA - - ❑ ear(s) Flush laterals and pressure test At least once every: month(s) ❑ NA ❑ year(s) Omer: At least once every: ❑ month(s) 13 year(s) ❑ NA 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 cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. 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. of START UP AND OPERATION Page For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal call(s). 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. 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 eelf(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 products; pesticides; sanitary napkins; tampons, and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system 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. • i"he 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 falls 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 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 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 Cif f'ij'ac y» S;s:, a o& j, _ Name Phone 38~~~1 Phone SEPTAGE SERVICING OPERATOR PUMPER) LOCAL REGULATORY AUTHORITY Name Name i C Phone Phone This document was drafted in compliance with chapter Comm 83,22(2)(b)(1)(d)&(f) and 83.5411), (2) & (3), Wisconsin Administrative Code. ST. CROIX COUNTY SEPTIC TAN M.A..INTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Omier/Buyer a Gl C Mme- w x' Maililtg Address__ ilr"4 S',z~. ~A-T 41 Property Address _ (vcrifi tiott required fron lanning & Zoning Deparment for new c nsuu ion.) City/State Parcel Identification Number 6~ LEGAL DESCRIPTION Property Location 5Y '/q , X16- %a , Sec. _2.5', T :2,IF'N F. ad W, Town of v... Subdivision S m . - - .~m. Lot # Certified Survey Map # V oltlme Page # . J Warranty Deed # Volume.-..--- Page Spec house yes no Lot luxes identifiable ye no SYSTEM MAINTENANCE AND QWNER CER, ZIUCATION Improper use and maintenance of your septic system could result in its premature failure to handle waste's. Proper triaintenance 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 treatrmnt stage in the waste disposal systein, Owner maintenance responsibilities are specified in. SCom m. $3.52(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, foiw, 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. [Uwe, the undersigned have read the above requirements and agree to mainteur the private sewage disposal system with the standards set forth, herein, as set by the Department of Cotnrnerce 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. l/we certifv that all statements on this fortn ax-, true. to the best of my/our knowledge. Uwe am/am the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms 3 T X ?L/11/11- m ~ SIGN <T ;E O' APPLICANT(S)) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Plaraung & Zonine, Departrnew. 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) 9f•37 W 'n p~:~y~8ffgoma 1 a v $ 1Ci-11HoSnb`H QQO1sg mp 5 bb GS am: E T, 30 A ~ ° 0 6~ ~3 ~ °oa ~ n s s 4 a~ a~ rc i~ 9 '.0 oc ° 1 63 a ~rc n P 539 Og! o n zg~ p°6 'm c r alloy Wwa wi a+¢ Fld L ~ 3 w io 5 y i mt 9 5 J v 8 mrc ~ ~ ~ tl 9 yy 4 Q§% d ~ a ~ _ ~ Q rc 3 um H 9 9 9 r U ° r 'a IL l9l „U 6 "fi1d L ® o 4 ,I h 01 G P ~'~nt ~B u 1133xT~ x~ 33 I dw Q Y R ~ I ,~Of nL~ N 9 U ~ m fi`"m a9m? I al _ ~U ~ ly ~u bxrl I Y° ~4 -4rl I 4 II II ~ II x n 4 I audn I _ I y O ,I x .Ni ,.w.o O m ~ ~ql ~ I m 1 u ix lb ~ml O 4 ~ N ~ Im I ~ c 4 .8-9 Q Q Q ~ „4L s 9 a! OIll4 I-W O- ~ 2 d Q 0 LL 31 ® b ~ ~ R Q 4 „o-,t x o-,L uPl I xoe iw.le~ rc ~ „o-,os a ' N n d ~LLx 9Y g 9 m.g2 >~2g N : g g sg 1Q~i1~t~Sn'`H QQO1Qa 99 a,~ off S ~.roao~gag~' ~m~~~~om m~ s ~z z m$ ~3 a r pog o z~ R= rc= Jg$ rc oa no LU 3 „o-,o£ o-.L .o-,L x Hp I I I I I I I I I ' I 1 I ' I I I I 1 I I I I I I ' I € 1 I I i ka 1 ' nya I ``op I I T Y I I ~ ' I - I ,,pp I I I 9 Q U31 ~ I I I L S m ' ~ ul I I SI~ I I LLlm I I I I I I I 1 I I I I I I l_ O 1 '49 .9fi..ev r l I I R I I 1 ~ I r I V U ~ C I I I C I 1 I I T I m u ~ t I I ~ I I I i I ~ ~ I I I~ t I I ~ LL I i lava poefn I N I I I ~ ~ ~ I 1 I \F ~ I I I I I I I I O I I„8-,4 ~*.EI-,4 „91L-,L I 1 I I I ' O I I~ I ~ I I ~i c 4 I q I QI I 0 dr I - ' IA 4 I On I I I 1 ~ - I I 1 I I i I ~ u t I I I I I I ,o-,a =.mz .o-,a • .rz ~iHUS~ 'ivua~ „O-,O£ RECEIVED SOIL EVALUATION REPORT 2404 Wisconsin Departure U65 2 ",b SP5 AAK O( a 61 Page 1 of 3 ~e accordance with C FRfm 5, Wis. Adm. Code A.C.E. Soil & Site Evaluations Attach 30M0 X1P9MV19WR '1N than 8'/ x 11 inches in size. Pla County St. Croix include, but not limited to: vertical and horizontal reference point (BM), directio percent slope, scale or dimemsions, north arrow, and location and distance t( Parcel 1. 040- 163-4 000 Please print all information. Revi ed By Dat Personal information you provide may be used for secondary purposes (Privacy Law, s. p Z~ 4" 1 Property (?caner Property Location O ` Todd Hauschildt Govt. Lot SE 1/4 NE /4 S 25 T 28 N R 20 W Property Owner's Mailing Address Lot # Block # Subd. Na or CSM# 166 Skyline Dr. 2 na CSM Nol 11, Pg. 302 City State Zip Code Phone Numbei City Village ✓ Town Nearest Road River Falls WI 54022 715-222-0928 Troy DeLander Dr. New Constructior Use: ie Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement Public or commercial - Describe: Accessory building/future residence Parent material Glacial Outwash Flood plain elevation, if applicable na General commente and recommendations: Soil suitable for conventional'POWTS, 0.4 gpd loading rate. Recommended infiltrative surface at approx. 36" berlow grade at elevs = 98.5', 9775'& 97.0'. a Boring # Boring Pit Ground Surface elev 99.02 ft. Depth to limiting factor >88" in. Soil Application Rat Horizon Depth Dominant Redox Description Texture Structure Consistence Boundar Roots GPOF in. Color Qu. Sz. Cont. Colo Gr. Sz. Sh *Eff#1 ff#2 1 0-16 10yr3/3 none sl 2fgr ds gw 2fm1c 0.6 1.0 2 16-23 10yr4/6 none gr sl 2fsbk ds cw 1vf,fm 0.6 1.0 3 23-35 7.5yr4/6 none gr sl 2msbk mfr gw lvf,f 0.6 1.0 4 35-44 7.5yr4/4 none gr scl 2msbk mfr cw 1vf 0.4 0.6 5 44-70 10yr3/6 none r Icos& Osg ml ci 1vf 0.5 1.0 6 70-88 10yr5/4 none s Osg dl - 0.7 1.6 Horizon #5 consists of an undiferentiated mixture of Osg Is & Icos with a high clay content & Osg s. Loading rate pf H#5 adjusted to reflect reduced permia of horizon associated with intermixing of Is, Icos & s. F 2 ] " id Boring # Boring K ' (lam Pit Ground Surface elev 98.37 ft. Depth to limiting factor 82 in. oil App ication Rat Horizon Depth Dominant Redox Description Texture Structure Consistence Boundar Roots GPD/ft' in. Color Qu. Sz. Cont. Colo Gr. Sz. Sh *Eff#1 *Eff#2 1 0-11 10yr3/3 none sl 2fgr ds gw 2fm1c 0.6 1.0 2 11-24 10yr4/4 none grsl 2fsbk ds cw 1vf,fm 0.6 1.0 3 24-39 7.5yr4/6 none girls 1 msbk mfr gw 1vf,f 0.7 1.6 4 39-82 10yr3/6 none grls 1 msbk mfr cw 1 of 0.5 1.0 5 72-82 7.5yr5/4 none Ivfs Osg ml - - 0.4 0.6 r Horizon #4 consists Is with a high cl ntent & 1" - 3" irregular bands of 7.5yr 4/4 Ifs. Loading rate of H# a t re ect reduced permiabilty of hori associated with clay content and banding. * Effluent #1 = BOD 5> 30 < 22 mg/L and T S >30 < 150 mg * Effluent #2 = BOD5- 30 mg/L and TSS < 30 mg, CST Name (Please Print) Signature: CST Number James K. Thompson 3962 3CV2/ Address A.C.E. Soil & Site Evaluators Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, WI 54020 7/30/2015 715-248-7767 Property Owner Todd Hauschildt Parcel ID # 040-1163-40-000 Page 2 of 3 3] Boring # Boring fie Pit Ground Surface elev 101.84 ft. Depth to limiting factor >88" in. Soil Application Rat Horizon Depth Dominant Redox Description Texture Structure Consistence Boundar Roots GPD/ft' in. Color Qu. Sz. Cont. Colo Gr. Sz. Sh *Eff#1 *Eff#2 1 0-10 1Oyr3/3 none Is Osg dl gs 2vf,f1 0.7 1.6 2 10-28 7.5yr4/4 none gr sl 2fmbk mfr Ci 2vf,f1 0.6 1.0 3 28-49 1Oyr4/6 none gr Ifs Osg dl Ci 1vf,f 0.5 1.0 4 49-88 10yr6/3 none Is & gr Osg dl - - nasodated Horizon #4 consists Is with V - 3" irregular bands of 7.5yr 4/4 Ifs. Loading rate of H#4 adjusted to reflect reduced permiabifty of hori❑ Boring # B oring Pit Ground Surface elev ft. Depth to limiting factor in. Soil Application Rat Horizon Depth Dominant Redox Description Texture Structure Consistence Boundar Roots GPD/ft, in. Color Qu. Sz. Cont. Colo Gr. Sz. Sh *Eff#1 *Eff#2 ❑ Boring # Boring Pit Ground Surface elev ft. Depth to limiting factor in. Soil Application Rat Horizon Depth Dominant Redox Description Texture Structure Consistence Boundar Roots GPD/ft2 in. Color Qu. Sz. Cont. Colo Gr. Sz. Sh *Eff#1 *Eff#2 * Effluent #1 = BOD s 30 <220 mg/L and TSS >30 < 150 mg * Effluent #2 = BOD <-30 mg/L and TSS < 30 mg, The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an altemate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (R.07/00) A.C.E. Soil & Site Evaluations ;JC • So.l ~ ¢ da Auc.t~, /0, •~x, sE;~ J v r--de e 1-e 6&C *ai(OY .o.lc~ Q f art/,ite Tom f~uusclt;ld~raF. Aj lady CSat /o% ~.3021, 1 ~~l ~E~SEYS; stC..27-8~f-, T. o,0 7rvy, sE .Gro;X . _ .A fQX•.~_° F6 -~~eaiK 6as~v.,ot/.xe. -110-,w- ~ (~,,5 30, syacr~s \ \ (oY f as \ ~'oposed V~aioz' v~A~ ~ • strKCfunc \ , ~ \ ~ \ 9~a' 142 =9 ~ X01.0 ~ XsSumed Giev` _/oo.cb. P~. 3 ~f3