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HomeMy WebLinkAbout026-1158-00-065 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: Safety and Building Division St. Croix INSPECTION REPORT Sanitary Permit No: GENERAL INFORMATION (ATTACH TO PERMIT) 579059 0 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: Section/Town/Range/Map No: Ior- 8 vik G 25.30.18.1200 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER ?tiy S CAPACITY STATION BS HI FS ELEV. Septic Benchmark ~ o ~ 3 Jed Alt. BM 4,AITI ~S~c.~ Gay 2 '2. 16Z Aeration Bldg. Sewer Holding St/Ht Inlet gc=t TANK SETBACK INFORMATION St/Ht Outlet TANK TO t419' WELL BLDG. Vent to it Intake ROAD Dt Inlet Septic JC 7 Dt Bottom A)4- J e_ Dosing Header/Man. Aeration Dist. Pipe Holding Bot. System 9( -6 6.3 PUMP/SIPHON INFORMATION Final Grade Manufacturer Demand ~O St Cover GPM I (,O z Z 162-1 Model ber TD Lift Friction Loss System Hea Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BEDITRENCH Width Lengt No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufactu~ret INFORMATION I Type Of System: ~ c ln1 ' I CHAMBER OR 3 L a. Go ~vQ,.~S„Gw sx. ~ Z7 N UNIT ModelNum~er. ~S 'L w w DISTRIBUTION SYSTEM a(~(,,- / tJ$ ~-/(o 67 4p 5 Header/Manifold ! Distribution x Hole Size x Hole Spacing Vent o Air Intake Pipe(s) Our LengthDia Length Dia Spacing e- ` S SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth xx Seeded/ ded rxxched Bed/Trench Center Bed/Trench Edges Topsoil es ® 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 R1 8W) Red Pine Corner 2nd Add Lot Parcel No: 25.30.18.1200 1.) Alt BM Description = r( (r" GDJ.,, _ 2.) Bldg sewer length = Z( a C[~ " ~G~ O - amount of cover = ~i1 / Plan revision Required? ❑ Yes No Use other side for additional information. lP SBD-6710 (R.3/97) Date Insepct Signature Cert. No. QaT county IV 0 s?" Safety and Buildings Division 201 W. Washington Ave., P.O. Box 7162 Sanitary e` it um er (to be filled in by Co.) Madison, WI 53707-7162 YPIX 0Or r 5 d 5 amtary ermi p"plieation StateTraasaetionNumber In accordance with SPS 38321(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit ('Q is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to Project Address (if didcrcnt than mailing address) the Department of Safety and Professional Servies. Personal information you provide may be used for secondaj purposes in accordance with the ivacy law, s. 15.04 /y 1 m ,Stets. ~~4 L Application Information - Please Print All Information Property Owner's a Parcel # ~q h Property Owner's Mailing s Property Location yo 5, G vt Lot ~111~) City, State Zip Code Phone Number Section LA~J 7 cle o~n Y T -70 N; R E o F II pe of Building (check all that apply) Lot ll// amily Dwelling-Number of Bede Subdivision Name i3k- Block # ❑ PublidCoalmercial-Describe Use keg D City of D State owned - Describe Use tt CSM Number D Village of 2. ` 5 Gr_ L,) Z3 x'-23 6-4" own of III. Type Permit: (Check only-o+ box on line A. Complete line B if applicable) A S ten D Replacement System D Treahment/Holdmg Tank Replacement Only ❑ Other Modification to Existing System (explain) R List Previous Permit Number and Date Issued ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New Before Expiration Owner t- ( IV. )Kpe of POWTS System/Component/Device: Check all that apply) In-Ground D Pressurized In-Ground 0 At-Grade D Mound 2:24 in. of suitable soil ❑ Mound < 24 in. of suitable soil p`d6 ~ D Holding Tank D Oth. Dispersal Component (explain) ❑ entment Device (explain) V. Dis rsal/Trea t Area Information: Design Flow (gpd) Design Soil Application f) Dispersal Area Required Dispersal Pro (st) Systean Ellev r ~ Sl ! J e VL Tank Info Capacity in Total # of Manufacturer c Gallons Gallons Units c _ New Tanks Existing Tanks n«~ ; ri L CL Septic or Holding Tank Dosing Chamber VII. Responsibility Statemen)dl the undersigned, responsibility for installation of the POWTS shown on the attached plans Plumber's ame (Print) Pl Signature MP/MPRS Number B mess Phone Nulrrber r Plumber's Address (Street, City, State, Zip ) r VIII. un epartment Use Only N__// Approved ~e2 isapproved Permit Fee jIssued Issuing t Signature s 475 it for Denial DL ConditidWBT.SVpIeVW 1$ bswns for Disapproval f. 1+eptictank, effluent filler and 3 dispersal cell must all be se as I WjIl }ainet3 k v as'r management plan provided by plumber, Q ~crety~►t~r►tairild L as t;soeM / an~ltanow. ' j~ ~4tQ vKC~ ~.~'P..r.~,.. Attach to complete plans for the system and submit the unty only oa paper not less than a in z 11 imbes in sac SBD-6398 (RR 11/11) 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 8/19/15 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 .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 cafe _ 1/4'1 _ 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 12 4' Long 3 4" Grade at System Elevation Pro 3 Bedroo 30' 99' io B-1 100' 101, r 30' ST Flood Plain y 7% Slo n 30' B-3 30' n ~B.M i 2-3' X 94' cells with >3'spacing 20' B-2 1 30' ' 138th Ave 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,R18W 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 Signature License number #22690 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 8/19/15 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 .5 ABSORPTION AREA 933 # of chambers 46 66 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 44 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' R' 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 Al Grade Vent 3' 4" 3' X30/34 Septic Tank 5' Long 159 5' 5' 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 .S Septic Tank Capacity al ❑ NA Permit # Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model ❑ NA i Number of Public Facility Units JNA Pump Tank Capacity al JNA i Estimated flow (average) 3jin gal/day Pump Tank Manufacturer 4NA Design flow (peak), (Estimated x 1.5) gal/day Pump Manufacturer ;*<NA Soil Application Rate . 6~ allda /ft, Pump Model ANA Standard Influent/Effluent Quality -Monthly average" Pretreatment Unit `IA Fats, Oil & Grease (FOG) 530 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD5) I <_220 mg/L ❑ NA O 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) 1 530 mg/L In-Ground (gravity) ❑ In-Ground (pressurized) Total Suspended Solids (TSS) 1530 mg/L ❑ At-Grade ❑ Mound Fecal Coliform (geometric mean) <_104 cfu/100m1 ❑ Drip-Line ❑ Other: Maximum Effluent Particle Size 7~6 in dia, ❑ NA Other: ❑ NA 'Other: >4NA Other: ❑ NA Other: 'Values typical for domestic wastewater and septic tank effluent. ❑ NA IAINTENANCE SCHEDULE Service Event Service Frequency ❑ month(s) ,inspect condition of tank(s) At least once every: ears (Maximum 3 years) ❑ NA iPump out contents of tank(s) When combined sludge and scum equals one-third ('f) of tank volume ❑ NA -1 0 Inspect dispersal cell(s) At least once every: a ear(s)s) (Maximum 3 years) 11 NA Clean effluent filter At least once every: ~ ❑ onth(s) p NA Ii~year(s) inspect pump, pump controls & alarm At least once every: ❑ month(s) NA ❑ year(s) =lush laterals and pressure test At least once every: p year(s)s) NA Other: At least once every: ❑ month(s) NA ❑ year(s) tither: NA MAINTENANCE INSTRUCTIONS iInspections 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 iinclude 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. !Nhen 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. 0,11 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. 4 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 tank(s) if hi h concentrations are detected have the contents of the may impede the treatment process s servicing prior to use.ersal cell(s). 9 tank(s) removed by a septag 9 operator the backup the excess wastewater will be System start up shall not occur when soil conditions are frozen at the infiltrative surface. avoid this or surface discharge effluent. is restored outages pump tanks may fill above normal highwaeece1esels. mWhen ay result power During power he overloading tank removed by a Septage Servicing Operator prior controls to to restore restoring power normal to lev the effldischarged is the situation dispersal have cell(the s) in one contents of large the dose, pump effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump 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 with ,n 15 feet down slope of any mound or at-grade soil absorption area. the performance and prolong the life of the POWT is foundation rain Reduction or elimination of the following from the wastewater stream may improve p antibiotics, nra• baby wipes; cigarette butts; condoms; cotton swabs; degreasers; egreasers; herbicides; dental meat floss; scraps; diapers; disinfectan medications; ts; oil; fat; painting products; (sump pump) water; fruit and vegetable peelings; gasoline', g pesticides; sanitary napkins; tampons; and water softener brine. POWTS fails and/or is permanently taken out of seai a the following Asteps shall) be taken to insure that the system is prope y ABANDONMENT and When the safely abandoned in compliance with chapter Comm 83.3 3, Wisconsin nin s sealed, • All piping to tanks and pits shall be disconnected and the abandoned pipe ope 9 erator. • The contents of all tanks and pits shall be removed and properly disposed ofvoaseemovedServicing and the void space filled with soil, • After pumping, all tanks and pits shall be excavated and removed or their 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 complli;in absorp lacement replace ent system: on of system A suitable replacement area has been evaluated and may be ilized for the from disturbance and compaction an'd shoe ldenot be infringed upontby quiz d T replacement area should protects with the rule: in setbacks from existing and proposed structure, lot lines Replacement protect ms m st comply with t the need for a new soil and site evaluation to establish a effect at that time. ❑ A suitable replacement area is no'aavaresort to ilable du replace set heck land ed/POWTSlimitations. Barring advances in POWTS techno og4 a holding tank may be installed as a fa. the soil and WTS evaluat ❑ The site has not been evaluated lar area. if no eplacementparea isuavail ble aOho d ng tank may be instal edias must be performed to locate a suitable replacement a last resort to replace the failed POWTS. n place ❑ Mound and at-grade soil absorption systems must comply with the rt esi in effect ae1lothat W time.moval of the biomat at the infiltrative surface. Reconstructions of such systems NOT <<WARNING>> INSUFFICIENT RESCUE O - A SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES TANK UNDER ANY CIRCUMSTANCES.. MAY RESULTYGEN, ENTER A SEPTIC, PUMP OR OTHER TREATMENT PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS - - POWTS INSTALLER ✓ Name , Phone lJ nM--e,_2 ✓ LOCAL REGULATORY AUTHORITY SEPTAGE SERVICING OPERATOR PUMPER Name Name Phone Phone and 383.54(1), (2) & {3), Wisconsin Administrative Code. This document was drafted in compliance with chapter SPS 383.22(2)(b)(1)(d)&(t) 3, _ I...... ~ ' l~`~ j i / ~r,~.~1\ / ~ /'•--r t - _ ~ i { t+, ~ ~ ; 0 v n - _ N._..._.____ . r_.... _ o _c ' ~ v k t 4i 1 > ~1 f, , i ~ . I r, \ - ~1 ~ ~ . b 1 *}t\ 1.~ ~ ~ ~ ~ y ~ ~ / ~ ,\l~` tit ~jt Li. Y ~ ~l _ a~, ~ ~ `a: i' y~~ ST. CROIX COUNTY SEPTIC TANK MAINTENANCE i!kGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer /7t~f'll•~ [ ~/15C,~-~ Mailing Address 69-, A44 Lt-t,~ w Property Addre /.5 6 J '5 (Verification required from Planning & Zoning Department new construction.) Do?~//S~~ G City/State Parcel Identification Number. LEGAL DESCRIPTION Property Location -Q-'-'-_ 1/4 , /W'/4 , Sec Ste, T 30 N RZ W, Town of Subdivision 744%ne~ Lot # Certified Survey Map # , Volume , Page # Warranty Deed # , Volume , Page # Spec house 6 no Lot line., identifiable 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, 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 waste disposal system Owner maintenance responsibilities are specified in §Comm 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. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on 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 ty deed recorded in Register of Deeds Office. Number of bedro 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 ~C« a A O = co tO 1Ey E m a ~ 0 ppc N Q y i. T O O N V E c m m o c a m 3 'o ~o!~ ~5 ycd O c U a N L aL ~ `y ~ LL = Z 'y m d O ~ ~ y C K C.1 ~ ~ N L O, I O a. O N~ d j C v aci m Q a c y N .4 Q y rn= y n 10 U o E'~ •Q N E m u; 3 i> U a~ y y L~' 2 a; !!qq a Q O N y L V/ m LL m ° ~ W IL J (n F FO U S V1 fn V J d' C ~ fn U J R R' > 71 7 -7, El Wit N N QC v fm 3Yq 5' eL ~ CT` ~ y LLJ _ M I2 Y W S JF S, h- r =s. y' I • I I I lot !n u N 62 s~ AK 738 sal Fr, 1 ry • , • 204 ACRES 9ENClIAII © • ' • . tti Q yY AAA f fX M5 ~ TOP OF T.QS AC*S ? I 437 t4• gas 42' AXWSd FT. O O 97 C~ SIG'50'157Mf F,f:•E.'99~3` ~T 4r U1 0 32.30' - ~ ~ ~ W r Q P. i I W r _r ± CIS L54 AOWS 07.M X Fr. Eassrfr~ s sm 2g' E "2.air • 1.54 AdWS . j (TO b. extInqui ~ AAR FFE. IOOdJ • ' KNCHMANC: 69 ~r • TROP OF IRON extrmsdl 1.51 ACAS 64 dR 777 SCR FT. • s1 i I W ACOES 66 s 49"32'28" E ; 1 ® 4227 SIR fl, \ AM AU: 10M.0 70 j 1.32 AOWS 9 MDOWMML ~3s0 FT. A4M4 FFE. 10~ 41 TOP OF' IRON AIPE••~.1ltl' 1.51 ACTPJE,S t : . 2f, n • I S SM23' E , • , S Sf'52'W [ 1 ! : 67 ~ ~ NlE. 9tg7.~ ~ E SAM sa Fr. Qra, Pyle J 1 Eo Mt 71 %&W SOd FT 1.31 ACi41ES 1.51 ApPfS 1 AiVA~ kFF 11:0 ® 8 N89' 4 I ~ ; ~ -534.39' - f 7 QQ' 1' ' sz-r S r F r4P as -r ,r-r ar T CXW,3 p: 4NEN~ _ MASTER BATN 2$ KR ti t i VASTER BEDROOM DWM M--J, 2$ 3-0 1I L r W-W U _2.8 1R~TR_ ~t ~AMX.Y ROOM ~ D CtuatT QFpiCElBEDROOM .Y_._.._ C34 C34 ` &o s S-M Ze S•r; 51-V 2W r-r S-r S r 4 p 4 ,S8" 32'4' - - ' FLOOR PLM SCALE: Ur a i'D" sr; v- a. C Wisconsin Department of Commerce SOIL EVALUATION REPORT AUG 21 Pa of Division of Safety and Buildings sT. CROM COUN 17 in accordance with Comm 85, Wis. Adm. Code '~rt~I• Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must - ` County include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. OR-6 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. R-6 5-. Please print all information. Revie by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). z / Property Owner Property Location 1 Govt. Lot S^ 1/ /4 Z, T N R E (o w Property Owner's Mailing Ad ess Lot # Block # Subd. Name or CSM# n a / erg,,.. ~ P` 2,~x ~ Cily State Zip Code Phone Number ❑ City ❑ V lage )SZir Nearest Roa Construction Use:A-R-e~dential / Number of bedrooms Code derived design flow rate GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material ~ t~ ti ! ret 0 - Flood Plain elevation if applicable /y / A ft. General comments and recommendations: Type [ (~1/ System Elevation f ` y J~ System Boring # p❑ Boring ~y 5g pit Ground surface elev. 7 ft. Depth to limiting factor ® 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 ' 0- 3 - os S ~ f ,~J l✓/~ o - u Zo 49 ,Z ng # ❑ Boring pit Ground surtace elev. A L ft. Depth to limiting factor ZIQ_ 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 0--2 16 3 f M f Effluent #1 = SOD. > 30 < 220 mglL and TSS >30 < 150 • Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L 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 715-246-4516 Property Owner _ Parcel ID # Page of ® Boring # ❑ Boring Pit Ground surface elev. ft. Depth to limiting factor -i 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 0-/0 . IdIVz- e J' 0~- Z g El 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 'Eff#2 H ❑ Boring Boring # Ground surface elev. ft. Depth to limiting factor in. F-1 ❑ Pit Soil ication Rate Horizon 7epth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mgA- ' Effluent #2 = BODS < 30 mg/_ 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-83M (8.6/00) Property Owner _ Parcel ID # Page of Boring # ❑ Boring ® M Pit Ground surface elev. ft. Depth to limiting factor in. Soil ligtion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDiff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 -ly -z~ F-1 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 •Eff#2 a Boring Boring # Ground surface elev. ft. Depth to limiting factor pit in. ❑ Soil Application Rate Horizon ')epth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 J Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mgA- ` Effluent #2 = BOD, < 30 mg/- 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 (8.6100) Soil Test Plot Plan Project Name Haffner Construction Shaun Address 404 S. Green Ave New Richmond Wi 54017 C #226900 Lot 65 Subdivision Red Pine Corner 2nd Date 2115 SE 1/4 NW 1/4S 25 T 30 N/R18 W Township Richmond F-I 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 *HRpSameasBenchmark 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 EVALUATIOR! REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Steel Sal Service Attach complete site plan on paper not less than 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 LD. b Z&-;~ / C•~~ll/ 5 Please print all information. a By ~O Date Persona; information you provide may be used for secondary purposes (Privacy Lew, s. 15.04 (1) (m)). 2Q D Property Owner Property Location Oakwood Land Development Govt. Lot SE 1/4 NW 19 S 25 T 30 N R 18 W Property Owner's Mailing Address 1v k Lot # Block # Subd. Name or CSM# Spring Lake Park 65 na Red Pine Comer Second Addition City State Zip Code Phone Number City Village a Town Nearest Road MN 55432 76-780-4996 Richmond 136Th Nve ✓ New Construction Use: ✓ Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement Public or commercial - Describe: Parent material Pitted Glacial Drift RECEIVED Flood plain elevation, if plicable na General comments and recommendations: M nd Design,system elev tion100..55ft based on contour line elevation99.55ft JUN 1 1 2002 n„ FT'i Boring # Bonn CNING OFFICE u ✓ Pit Ground Surface elev. 99.65 ft. Depth to limiting factor 75 in. Soil Application Rate `v Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD1ft2 *Eff#1 "Eff#2"` 1 0-28 10yr3/3 none sil 2msbk mfr gw 1 f .5 .8 2 29-49 7.5yr3/4 none sicl 2msbk mfr gw if .4 .6 I 3 49-75 7.54/6 none ms osg ml gw na .7 1-2 4 7,5--96 10yr7/4 fracturedlimestone na na na na na np np L Boring # Boring LL--~1 ✓ Pit Ground Surface elev. 99.65 ft. Depth to limiting factor 75 in. Solt Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDAV -Eff#1 *Eff#2 1 0-12 10yr313 none sit 2msbk mfr gw 1 f .5 .8 . 2 12-34 7.5yt3/4 none sicl 2msbk mfr gw 1f .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 fractured limestone na na na na na np np l" „ * Effluent #1 = BOD? 30 < 220 mg/L and TSS >30 < 150 mg/L Effluent #2 = BOD5a 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Sign e- CST Number David J- Steel 248956 Address Steel Soil Service Date Evaluation Conducted Telephone Number 1564 CR GG, New Richmond, WI 54017 6/8/2002 175-246-5085 Property owner Oakwood Land Development Parcel 1D # pending Page 2 of 3 { 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 Description Texture Structure Consistence Boundary Roots GPD/W *Eff#1 *Eff#2 1 0-16 10yr3/3 none sil 2msbk mfr gw 1f .5 .8 2 16-24 7.5yr3/4 none siel 2msbk mfr gw 1 f .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 1Oyr7/4 fracturedlimestone na na na na na np np l { 1 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/ft2 *Eff#1 *Eff#2 r-~ 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/ t2 *Eff#1 *Eff#2 * Effluent #1 = BOD s> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD5 - 30 mg/ L and TSS < 30 mg/L The Departrnent of Oo_*nmerce is an equal opportunity service provider and emp?o; er. If; eu need assistance to access services or I Page 3 of 3 ST'EEL'S SOIL SERVICE David J. Steel 1564 Cty Rd GG CST-POWTSM Lic. # 248956 New Richmond, WI 54017 Sy-F N~~j~ S.¢c 2~, T3~ 18~ (715) 246-6200 down a GPO. v Ca , (715) 246-5085 nh, , vv% -2,d- Ito roy~u~ the r zd 5o~~h 1.6k Or/ 133 = ~rr, 06- 1 Am mwvjo r. e. C. ?Ao 32.30• - r . . . 1 910, f ~r • I w ~ 'ti •4~r m ~ 4W X54 AdUS KNCHir+lA ' TOP OF I POEM IN A 1 UK AFE AM $4 Fl 9 IV 52 J4MSBoxm ~ wk F,r:E. rAdI i TOP OF i wV.~ . . f PlPEwW. M . . W4 ! r • 364.3W 4 rM I • S ~~■4~Rw ~ ~ rr. 3Ar :67 HE WE zo iF w sa rT. prop ape Mont 3 i ~ .r- -x.3941 - 175600 12'26"W 5263.58'.... 38 r r.r