HomeMy WebLinkAbout026-1175-15-000
Wisconsin Department of Commerce (PRIVATE SEWAGE SYSTEM County:
Safety and Building Division St. Croix
INSPECTION REPORT Sanitary Permit No:
GENERAL INFORMATION (ATTACH TO PERMIT) 582004
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 Township Parcel Tax No:
Oevering Homes TOWN OF RICHMOND 026-1175-15-000
CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No:
` ' 3 657 31.30.18.1415
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER ~•~y5 CAPACITY STATION BS HI FS ELEV.
Septic Benchmark
Alt. BM-,
Aeration v'= ~ ~ ~ ✓ ~ •g3
Bldg. Sewer 7 -7
9T. 33
Holding St/Ht Inlet -P 7. Y3
TANK SETBACK INFORMATION St/Ht Outlet J/
TANK TO P/L WELL BLDG. ent Air ntake ROAD Dt Inlet
Septic Dt Bottom
7 Sa' /Il Za' 14Z,
Dosing Header/Man.
Aeration - Dist. Pipe 7 tr - o
5• 3
5•Lp 4S•93
Holding
Bot. System • S 9e$ 'e 3
• . to q y 9 3
PUMP/SIPHON INFORMATION Final Grade Z, 99. yC~
Manufacturer Demand St Cove~'
GPM is' ; I (~0 C.t . 5p /A7 . 93
7odel Number
EFO,cet. lift Friction Loss System Head TDH Ft
ain ist. to Well
SOIL ABSORPTION SYSTEM
TBED( FRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DING%ENSIONS ? / _ 1 ;7- -{~e -r
SETBACK SYSTEM TO tQ P/L BLDG WELL LAKE/STREAM LEACHING Manufacture
J~
INFORMATION Type Of System` 7J~ 33 CHAMBER
UNIT R OR Nu
A) Mode I Numbgr: 14 C7L.
DISTRIBUTION SYSTEM f 6 /b 3Z /v 5
Header/Manifold Distribution ` x Hole Size x Hole Spacing Vent to Air Itntake
L~
LE I Leng(h) ~ ` P g saJ 4-~. ~ e
L ngth Dia Length \ Dia S acin\
SOIL COVER X Pressure Systems Only xx Mound Or At-Grade Systems Only
FBed/epthT ver D epth Over xx Depth of xx Seeded/Sodded xx Mulched
rench Center I z/ T2 Bed/Trench Edges Topsoil
J Yes 0 No rv Yes Q No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2:
Location: 905 131 ST AVE~
1.) Alt BM Description = r/ 1~. " k,..,
2.) Bldg sewer length = Za ,
- amount of cover
3 a~
Plan revision Required? Yes No 15 S
Use other side for additional information. 1
SBD-6710 (R.3/97) Date Insep is Sign ure Cert. No.
PLOT PLAN
PROJECT Oeverina Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017
NW 1/4 NW 1/4S 31 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX
SYSTEM ELEVATION 95.0/94.9' 5' below qrade 10/7/15 BEDROOM 3
DATE
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 .7 ABSORPTION AREA 651 # of chambers 32
BENCHMARK V.R.P. Top of lot stake ASSUME ELEVATION 100' Filter Lifetime Filter
❑ BOREHOLE O WELL *H.R.P. same as benchmark to 131st. Ave
All piping shall be ASTM SDR 30/34, within
10' of tank, piping shall be ASTM F891 tp
b Keo
H 0
Scale _ 14" = 10'
S
30'
101' 100'
B-1 -4
3% Slope
Ven 0'
100'
IF V~7 B-3
2-3' X 66' Cells with >3' spacing 20
40'
B-2
80'
~ t
599' Property Line
M.
~ t
d
347' Property Line
. ti'
y S Safety and Buildings ' ision
s D 201 W. Washington Ave., P.O. 716521? Permit Number (to be filled in by o.)
Madison, Wl 53707-7162 `f
ROIX COUNTY h
NITY DEVELOPMENT
Sanitary Permit Application State TransactionNumb;r
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. 1 m , Stats.
L Application Information - Please Print All Information #906 3
Property Owner's Name Parcel #
5-_
Property Owner's Mailing Address Property Location 31,30- Govt Lot
/C(ity~State Zip Code TSTDC Number Section I
cle on
loool
~lJ J T 23 0 N> R - E
t/j
IL T)We of Building (check all that apply) Lot #
uly Dwelling-Number of Bedroon) Subdivision Name 00
Block #
11 Public/Commercial -Describe Use
5r` M ovf t / ❑ City
13 State Owned - Describe Use V . M Number ❑ Village
ge of
r ! Town of
in. T of Permit: (Cbeek only on box on 1' a A. Complete line B if applicable)
A. New S ❑ Replacement System ❑ Treatment/I-Iolding Tanis Replacement Only ❑ Other Modifi catigp to Exi~tipg System (explain)
B. ❑ Permit Renewal ❑ Permit Revision 11 Change of Plumber 11 Permit Transfer to New List Previous Permit Number and Date Issued
'
Before Expiration Owner 14 IV T of POWTS System/Component/Device: Check all that apply)
Non-Pressurized In-(sound ❑ PIrssurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 k of suitable soil
oldie Tank El Other Dispersal Component (explain) ❑ Pretreatment Device (explain)
V. Dispersal/Treatment Area Informatio
Desi FIB w((gpd) Design Soil Appli cati dsf) Dispersal Area R
/ (sf) Dispersal Area Pro p (sf) SyBgn~ ovation
(7"l 6s- /y
VL Tank Info Capacity in Total # of Manufacturer I 11F9
Gallons Gallons Units _
New Tacks Existin
Septic or Holding Tank ° V w G p,
Dosing Chamber
VII, Responsibility Stateme the nadersigt►ed, assam nsibility for installation of the POWTS shown on the attached plans.
Pi 's Name (Print)C Plumber's MNumbet Business Phone Number
25) ;71
Plumber's Address (Street, City, State, Zip Code) + ,
z, ! J
Coln /De artment Use On
Approved r $e w~ Date so Issuing Ag
err Given Reason for Denial W Q S
DL ConcWbUW*J*A810 easoos for Disapproval t
1. Septic tank, effluent filter and elopee -16 rp✓10.e
dispersal cell must be serviced / maintained
as per management plan provided by plumber. kj ID pW~Q~ W/ "#,A aAC-t-1 e6A-h e j
2. A
ll setback re
quirements must be maintained O 1
as per applar
,able code/ordinancps..
Attach to complete plans f- fl- and submit to ~the~
o
o■ raer not less than 812 z 11
SBD-6398 (R. 11/11)
Cover Page
Shaun Bird
Bird Plumbing Inc.
1432 120th St.
New Richmond Wi 54017
715-246-4516
Date: 10/7/15
Owner:Oevering Homes
Location: NW 1 /4 NW 1 /4 S31 T30 N, R18W 905 131st. Ave Richmond
Manuals Used: In-ground absorbtion system (version 2.0)
Page#
1. Cover Page
2. Plot Plan
3. Chamber Cross Section
4-6. Maintanance and Con ' ncy Plan
7. Filter Cross Section
Signature
License nu #226900
PLOT PLAN
PROJECT Oeverina Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017
NW 1/4 NW 1/4s 31 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX
SYSTEM ELEVATION 95.0/94.9'5' below grade 10/7/15 BEDROOM 3
DATE
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 .7 ABSORPTION AREA 651 # of chambers 32
BENCHMARK V.R.P. Top of lot stake ASSUME ELEVATION 100' Filter Lifetime Filter
❑ BOREHOLE O WELL *H.R.P. same as benchmark
to 131 st. Ave
All piping shall be ASTM SDR 30/34, within
10' of tank, piping shall be ASTM F891 Pro 3
Bedroom
House
Scale _ 1/4" = 10'
S
30'
101' 100'
B-1 -4
3% Slope
' Vents
100 p'
B-3
2-3' X 66' Cells with >3' spacing 20'
40'
B-2-
80'
t
599' Property Line
~'C t M.*
347' Property Line
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.Lft^2 pair of end plates To be >1' above grade
Finish grade elevation
Typical Installation 100.0'
Vent ACI Grade Vent
3' 4"
A~30/34 Septic Tank 3
5' Long 199 5' S' Long 197
36 - Grade at System Elevation Grade at System Elevation
Spacing 5'
2-3' X 66' Cells
Same on other end Observation tubeNent
At end of cell
A
16 chambers per cell B
System elevations:
A_95.0'
B_94.9'
POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of
!FILE INFORMATION SYSTEM SPECIFICATIONS
I Owner Qe~ Septic Tank Capacity al ❑ NA
~I Permit # Septic Tank Manufacturer ❑ NA
1
{3ESIGN PARAMETERS Effluent Filter Manufacturer X )4V ❑ NA
Number of Bedrooms ❑ NA Effluent Filter Model ❑ NA
Number of Public Facility Units NA Pump Tank Capacity al NA
I
Estimated flow (average) gal/day Pump Tank Manufacturer NA
Design flow (peak), (Estimated x 1.5) Ja2 gal/day Pump Manufacturer NA
Soil Application Rate 0 __)l gal/day/ft' /ft' Pump Model NA
Standard Influent/Effluent Quality Monthly average" Pretreatment Unit NA
Fats, Oil & Grease (FOG) _<30 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter
Biochemical Oxygen Demand (BOD5) I :9220 mg1L ❑ 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 (BOD5) 15_30 mg/L n-Ground (gravity) El In-Ground (pressurized)
Total Suspended Solids (TSS} 530 mg1L ❑ At-Grade ❑ Mound
Fecal Coliform (geometric mean) :_104 cfu/100m1 ❑ Drip-Line ❑ Other:
!Maximum Effluent Particle Size A in dia. ❑ N Other: ❑ NA
Other: NA Other: ❑ NA
"Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA
IAINTENANCE SCHEDULE
Service Event Service Frequency
!inspect condition of tank(s) At least once every: ❑onth(s) ears (Maximum 3 years) ❑ NA
!Pump out contents of tank(s) When combined sludge and scum equals one-third (X) of tank volume ❑ NA
!Inspect dispersal cell(s) At least once every: ❑ months) (Maximum 3 years) ❑ NA
year(s)
Clean effluent filter At least once every: ❑ onth(s) ❑ NA
ear(s)
inspect pump, pump controls & alarm At least once every: ❑ onth(s) E3 NA
year(s)
!=lush laterals and pressure test i At least once every: ❑ month(s) NA
❑ year(s)
tither: jAt least once every: ❑ month(s) NA
❑ year(s)
ether: 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
linclude a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of
.ombined 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
egulatory authority.
When the combined accumulation of sludge and scum in any tank equals one-third (f) or more of the tank volume, the entire contents of
I: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.
A 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 for the presence of painting products or other chemicals th',t
For new construction, prior to use of the POWTS check treatment tanks}
may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the
tank(s) removed by a septage servicing operator prior to
System start up shall not occur when soil conditions are frozen at the infiltrative surface. s. When powr is restored the excess During power outages pump tanks may fill above
Wore oad ng thwar e cell(s)land may resu ten the b ckup or surface discha ge ofrefflulent .
perator mp c prior to restoring power to the
discharged the dispersal cell(s) in one large dose, o g controls to restore normal levels
e avoid this is situation have contents the POWTS Ma nttainer to assist inbymaa Septa nua y operating theOpu
effluent pump or contact a Plumber or
within the pump tank.
Do not drive or park vehicles over tanks and dispersal cellls D 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,
Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWT3
antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation draiin
(sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting producll's;
pesticides; sanitary napkins; tampons; and water softener brine.
ABANDONMENT
When the POWTS fails and/or is permanently taken out of 83 33, service the follow Aing steps shall/ be aken to insure that the system is properly
and safely abandoned in compliance with chapter Comm Wisconsin ative 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 property 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 compli,pn
replacement system: eme
should replacement
be infringed upon absorption by quired
has uitable reel nt area hould be peen evaluated and may be utilized for the rotected from disturbance and compaction location
result
setbacks frome acement
area. t Replacement sylstems m ste comply with theh rue
in t The r from existing and proposed structure, evaluation to establish lines
for a new soil and site effect at that time.
❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technologrl a
holding tank may be installed as a last resort to replace the failed POWTS. re of the
soil and
WTS
area. replacement
areaaisuavailable aOho d ng tank may beef stalled': as
sit ❑ The site has ormedbeen
no eplacementUpon
to locate a su table rep/ cemsuitable
must be per f
a last resort to replace the failed POWTS. lowin ❑ Mound a at-grade ofsuch tisystems must comply with the Cuees in effect aelthat t me,moval of the biomat at the
infiltrafive
surface. Reconstructions
<<WARNING>>
SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT
BE DIFFICULT OR CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A
ENTER A SEPTIC, PUMP OR OTHER
OR OF A T TREATMENT
PERSON FROM T INTER IMPOSSIBLE.
ADDITIONAL COMMENTS
POWTS INSTALLER POWTS MAINTAINER
Name cw Z '
Name
Phone Phone r--,27_~/
r~
SEPTAGE SERVICING OPERATOR PU ER LOCAL REGULATORY IJTHORITY 01
Name Name S-
Phone e Phone
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.
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ST. CROIX COUN'rY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OW NERSHT CERTIFICATION FORM
Owner/Buyer_
Mailing Address
-property Address I l ~P
(Verification re
qutred from planning & Zo Department for new construction.}
City/State Parcel Identification Number
LEGAL DESCRIPTION
Property Location y~ ,Sec.
T N R )4W, Town of
~ • PLC
Subdivision
Certified Survey Map #
Volume
- - , Page
Warranty Deed ~.V~j-:~_
t.
Volume page #
Spec house
yes tto Lot lines identifiahl
SYSTEM MAINTENANCE yes no
AND OWNER CERTIFICAT.
Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Propel-
Maintenance consists of Pumping out the s
the system can affect the -function of the sepeptic tank tic tank as aevery three years or sooner, if needed, by a licensed pumper. What you responsibilities are specified in
§Comm, g3 .52(l) Y put into
and in Chapter .12 - St. Croix p ystem. Owner maintenance
county Sanitary Ordinance.
The property owner agrees to submit to St. Croix County planning owner and by $ master plumber, oty arming & Zoning Department a certification form, signed by the
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 pum in if n
less than 1 /3 full of sludge.
P g ( eeessary), the septic tank is
I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with
standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin,
the
Certification stating that your septic system has been maintained must be completed and returned to the St_ Croix County th planning &
Zoning Department within 30 days of the three year expiration date.
I/we certify that all statements on this form are true to the best of my/our knowledge. I/we an/are the owner(s) of the
property described above, by virtue of a w arty deed recorded in Register of Deeds Office.
Number of bedrooms -
~ _
~IGNAT OF APPLICAN (S}__-_ n_ATF
***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning De artment,
p **x:
nclude 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/OS)
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16
Wisconsin Department of Commerce SOIL EVALUATION REPORT 23
Division of Safety and Buildings page 1 of 3
in accordance with Comm 85, Wis. Adm. Code A.C.E. Soil & Site Evaluations
Attach complete site plan on paper not less than 8'% x 11 inches in size. Plan must County
include, bid not limited to; vertical and horizontal reference point (BM), direction and St. Croix
percent slope, scale or dimemslons, north arrow, and location and distance to rise Parcel I. D.
Please print all information. 02 1175-15-000 • / ~/5
Personal informallon you provide may Rev' By Date
Law, s. 15.04
Property Owner y S
Miller Homes Of Hudson, LLC Property L n 3 /
lot. W 1/4 NW 30 NR 18 W
Property Owner's Mailing Address 2008 of # Block # Subd. Name or CSM#
P.O. Box 10 15
Willow River East
City St e Z, IN frlo er 1 City Village a Town Nearest Road
Hudson + W I G, Richmond
905131 St Ave.
✓1 New Construction Use: 0 Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD
Replacement Public or commercial - Describe;
Parent material Glacial outwash
Flood plain elevation, if applicable Na
General comments
and recommendations: Site suitable for conventional dispersal cell at 0.7 gpd loading rate. Recommended installing 44 Q-4
chambers in 2 trenches at elevation 96.50'.
1 7 1 Boring # -I Boring
Pd Ground Surface elev. 100.72 ft. Depth to limiting factor > 109' in.
Horizon Depth Dominant Colo r Redox Desert Soil APPI~ori Rate
in. M ption Texture Structure Consistence Boundary Roots PD/fe
unseh Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 "Eff#2
1 0-11 1OyrM none sit 2fsbk mvfr cs 2fm,1c 0.6 0.8
2 11-30 1Oyr4/4 none sic[ 2fsbk mv{r
gw 2fm,1c 0.4 0.6
3 30-36 7.5yr4/6 none gr Is 2msbk mfr cw 2vflfm 0.7 1.6
4 36-52 1 Oyr4/4 none gs 0 sg ml cw _
0.7 1.6
5 52-84 1Oyr4/6 none s Osg ml aw
0.7 1.6
6 84-109 10yr5/4 none IS Osg ml - _
0.7 1.6
E Horizons #3 & 4 cents n approx.
30 ~6 gravel.
1 Boring # I Boring
l l r► Pit Ground Surface elev. 99.36 H. Depth to limiting factor >115" in,
Horizon Depth Dominant Cokx Redox Description Texture g~ Soil Application Rate
In. Munseli Qu. Sz. Cont. Color re Consistence Boundary Roots GPD/fl°
Gr. Sz. Sh. 'Eff#1 'Eff#2
1 0-16 1 Oyr3/2 none sit 2fsbk mvfr cs 2fm,1 c 0.6 0.8
2 16-30 1Oyr4/4 none Sid 2fsbk mvfr
gw 2fm,1 c 0.4 0.6
3 30-38 7.5yr4/6 none gr Is 2msbk mfr cw 2vfl fm 0.7 1.6
4 38-50 1 Oyr4/4 none gs 0 sg ml cw - 0.7 1.6
5 50-68 1Oyr4/6 none s Osg ml aw 0.7 1.6
6 68-115 10yr5/4 none s Osg ml _
0.7 1.6
zons #3 4 contain approx. 20 % grave. Effluent #1 = BOD? 30 < 220 mg/- nd TSS >30 < 0
ma/L Effluent #2 = SOD < 30 mg/L and TSS <.30 mglL
CST Name (Please Print) Signet
James K. Thompson CST Number
3602
Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number
340 Paulson Lake Lane, Osceola WI 54020 4/14/2008 715-248-7767
r
Property Owner Miller Homes Of Hudson, LLC Parcel ID # 026-1175-15-000
Page 2 of 3
],Boring # J Boring
V1 Pit Ground Surface elev. 100.04 ft. Depth to limiting factor >115" in. Soil Application Rate
Horizon Depth Dominant Color Redox Description T re Structure Consistence Boundary Roots
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
1 0-14 1Oyr3/2 none sil 2fsbk mvfr cs 2fm,1c 0.6 0.8
2 14-28 1Oyr4/4 none Sid 2fsbk mvfr gw 2fmc 0.4 0.6
3 28-38 7.5yr4/6 none is 2msbk mfr CW 2vf1 fm 0.7 1.6
4 38-59 10yr4/4 no gs 0 sg ml cw - 0.7 1.6
5 59-75 1Oyr4/6 ' s Osg ml aw - 0.7 1.6
6 75-115 1Oyr5/4 n ne s Osg ml - - 0 1.6
orizons #3 contains approx. 20 % gravel.
a Boring # Boring
Pit Ground Surface elev. 100.67 ft. Depth to limiting factor >107" in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/W
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. "Eff#1 *Eff#2
1 0-! 1 1 Oyr3/2 none sil 2fsbk mvfr cs 2fm,1 c 0.6 0.8
2 11-25 10yr4/4 none Sid 2fsbk mvfr gw 2fm,1c 0.4 0.6
3 25-32 7.5yr4/6 none gr is 2msbk mfr cw 2vf1 fm 0.7 1.6
4 32-62 1Oyr4/4 none gs 0 sg ml cw - 0.7 1.6
5 62-89 1Oyr4/6 none s Osg ml aw - 0.7 1.6
6 89-107 10yr514
I none s Osg ml - - 0.7 1.6
Horizons #3 & 4 contain approx. 10;6 gravel.
L
❑ Boring # -j Boring
Pit Ground Surface elev. ft. Depth to limiting factor in
Horizon De Sal Application Rate
pth Dominant Color Redox Description Texture Structure Consistence Boundary Roots
in. Munsell Qu. Sz. CoM. Color Gr. Sz. Sh. *Eff#1 *Eff#2
* Effluent #1 = BODS> 30< 220 mg/L and TSS >30 < 150 /L
- ~ * Effluent #2 = BODS < 30 mg/L and TSS <_30 mg/L
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777.
SBD-8330 (8.07100)
A.C.E. Soil a Site Evakebms
■ So~% e dalua -t/,'o. ~/a 6
yr xcle a le t/.`
• ~~o~oorfy sreaec
f> c a /,e
/Y/,-// r Ave s
/of iS cxW/~r") ~?dcr F s
IAA eJc.>y~hwY~/ Sec.3/,T. 3o/f
Pitt
37
8/ 611
L3 3
99 ~3" • ~~0 • ■
(~nG/, ii'/ar~Y• 7ei„oof' o~ Sfa,(i
\ I
/ \'eas6L "Me ?
~ p/iane~d~'s~•
3 4-3
EVALUATION REPORT Page of
SOIL
Wsoornsin Department of Commerce
Division of Safety and Buildings
in accordance with Comm 85. Wis. Adm. Code
Y~C
Attach complete site plan on paper not less than 8112 x 11 inches in size. Plan must
include. but not lindted 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.
Please print all i form i Reviewed by Date
Persona mvift "my to used for PWP~es s. 15. (I) fm))•
Prop"Own~/ Location
t 114 S T b N R 40 E( W
` a~1'6 1 5 200 Govt. wLj 11 :5-0 30
,Y
Owner's Mad Address lot # Bb # Stied. Na" or CSW PAY T. CROIX COUNT S'' " d! ~ L44
r NI
city pas 2:p Code phone WfMW- Q We T Neare t Road
a ( ) G_~/~
' l
A4 l 21
New Const action use: % Residential / Number of bedrooms Code derived design flow rate GPD
❑ Replacement ❑ Public or commercial - Describe:
Parent material Oa-tz.c.l rtEsp`-J Flood Plain elevation if appli = tt.
General comments 41
/
16,0
and rawrrtrr►en~fions: SY ~ e lam' ~ ` ?--1 r-~
M BofhV # Ground surface eW. ft. Depot 1o t Wft factor in. Sod Applicabon Rate
Horimn Depth Dominant Color Redox Description Texture Struc kxe Consistence Boundary Roots GPD1f?
In. Murnsetl tlu. Sz. Co t. Color Gr. Sz. Sh. *E f#1 'Eff#2
-JZ al, 312, Ca" -S ,
1-3
''y A Z
Pit Ground surface elev&-'L/,-~tt. Depth to rxnitin8 factor/ IM Sod ioaticn Rate
Hor mn Depth Dominant Color Redox Descr"o► Texture Structure Consistence Boundary Roots GPDW
In. Munsell Qu. Sz. Cott. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
i01 3/ 5C M CS 2rn S f
C0' i0
tG '1 S D S G n a a 7 . Z
' Efikmtt #1 = BOD > 30:5 220 mWL and TSS >30 155'r'. 410 ' Etikxmrt #2 = BOD < 30 m%& and TSS 30 mWL
CST Number
Name
CST
Add Date Evaluation Conducted Telephon?e Number
Property Owner Parcel ID # Page of
F75-1 Bo" # . Ground surface elev. I 001 V it. Depth to limitirg factor / in.
Pit t Son nation Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIff°
t In. Munsell Ou. Sz. Cord. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
11D '/Z-
2 a-.2 0 rr I rn w C Z 3
3 ~o /6 S o 7 i.Z
o fladng # ❑ Eloft
Ground surface elev. ft. Depth to W Ming factor in.
❑ Pit ~ , Ram
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roofs GPDM
IM Munsell Ou. Sz. Cont. color Gr. SL Sh. 'Eff#1 'Eff#2
Boring # ❑ Boft F-1 ❑ Pit Ground surface elev. ft Depth to flmiting iactor in.
Soft AppIcation Rate
Horizon Depth Dominant Color Redox Description. Texture Sh ch" Consistence Boundary Roots GPDM
in. Munsafl Ou. Sz. Court. Color Gr. SL Sh. 'Eff#1 'Eff#2
Effluent #1 = BOD, > 30 < 220 ngA. and TSS >30:< 150 mg1l. ' Effluent #2 = SODS < 30 mgA. and TSS < 30 mglL
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.
ssoaawtasmo)
ry
Soil Test Plot Plan
Project Name David Railsback Sha
Address 845 133rd Ave
New Richmond Wi 54017 #226900
Lot 15 Subdivision Date 12/12/02
SW/NW 1 /4SW/N W 1 /4S 30/31 T 30 N/R 18 W Township Richmond
Boring 0 Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of Survey Iron
System Elevation 97.4/96.0 *HRpSame as Benchmark
Alt. BM Top of Steel Fence Post Qa 104.0'
Please Note: Tested area may not be
suitable for desired building area.
Check system location before v
376' Property Line excavating. Soil test was done to satisfy
Zoning Requirement.
cty Rd A
d
99' 2%
Slope
B-1 55' B-2 M
~
100'
30' ,J
CB-3
75'
`9 V IA
77' Property Lin 80' M.El M.El
Marcel 026-1175-15-000 01/06/2014 09:02 AM
PAGE 1 OF 1
Alt. Parcel 31.30.18.1415 026 - TOWN OF RICHMOND
Current ❑X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units
10/29/2004 00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner
% KIM MCCANN O - ASSOCIATED BANK
ASSOCIATED BANK
330 E KILBOURN AVE STE 200
MILWAUKEE WI 53202
Property Address(es): Primary
* 905 131 ST AVE
Districts: SC = School SP = Special
Type Dist # Description
SC 3962 SCH DIST NEW RICHMOND
SP 8020 UPPER WILLOW REHAB DIST Notes:
SP 1700 WITC
Legal Description: Acres: 2.210
SEC 31 T30N R18 PT NW NW BEING WILLOW
RIVER EAST ('04) LOT 15 (2.210AC) Parcel History:
Date Doc # Vol/Page Type
10/28/2013 988205 SD
11/17/2006 838999 WD
10/29/2004 778374 10/40 PLAT
Plat: * = Primary Tract: (S-T-R 401 /41601/4) Block/Condo Bldg:
10-040-WILLOW RIVER EAST 026-04 LOTS 31-30N-18W NW NW LOT 15
2013 SUMMARY Bill M Fair Market Value: Assessed with:
251771 22,700
Valuations: Last Changed: 09/27/2011
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.210 23,500 0 23,500 NO
Totals for 2013:
General Property 2.210 23,500 0 23,500
Woodland 0.000 0 0
Totals for 2012:
General Property 2.210 23,500 0 23,500
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00