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HomeMy WebLinkAbout030-2141-00-017 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: GENERAL INFORMATION (ATTACH TO PERMIT) 582041 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 SAINT JOSEPH 030-2141-00-017 CST BM Elev: Insp. BM Elev: IBM Description: Section/Town/Range/Map No: 9 F. z 5 I GS"r 36.30.19.2067 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER ~a,3S CAPACITY STATION BS HI FS ELEV. Septic W^. 4 Benchmark 14 U z5 D-9 Alt. BM I GO 6 . 5 7 5 Aeration Bldg. Sewer rr Holding St/Ht Inlet Y • Z D S 7. 3 1~ g S TANK SETBACK INFORMATION St/Ht Outlet 7. S 7 6. 7 TANK TO P/L WELL BLDG. Vent o Air Intake ROAD Dt Inlet Septic 33 A J4- 3n 1 114 _ Dt Bottom Dosing Header/Man. Aeration Dist. Pipe -7, 9i•~5 Holding Bot. System S'. S ~JO. 5C cn~ PUMP/SIPHON INFORMATION Final Grade 3, b 9!v• Z$ Manufacturer Demand St Cover I GPM 7s Model Number TDH Li Friction Loss System Head TDH Ft Forcemain Leng Dist. to well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length ( JNo. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 7 ,J 1Fi cs1.~' SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR .;IFr~~/aP Type 6 .1 j ;~~6 A-4 41 System: G ^ / ^ / UNIT Model Number: 41 n DISTRIBUTION SYSTEM So _ 3 Z !v Header/Manifold ID istpe(s) ribution x Hole Size x Hole cing Vent to Air I take r \ Length /2 Dia P i Length \ Dia Spacing\~ sew I .✓~S - _ i I SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only N aQs Depth Over p Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes R No Yes R No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 1252 84TH ST 1.) Alt BM Description = I 2.) Bldg sewer length = 36, - amount of cover = i d. 5 a~ Plan revision Required? a9 Yes No 17- Use other side for additional information. ~ 4= Date Insepcto Signatu Cert. No. SBD-6710 (R.3/97) 6 RECEIVES V I I ZM Safety and Buildings Division u 201 W. Washington Ave.; P.O. 7162 Sanitary Permit Number (t) be filled in by Co.) 1 ROIX COUNTY Madison, W1 53707-7 ETY DEVELOPMENT 7 $ Z D ~ 1 Sanitary Permit Application T= On la accordance with SPS 38321(2), Wis. Adm. Code, submission of this form to the is regnired prior to obtaining a sanitary permit Now appropriate gm'~e°tst unit Aeon fo Emrms f eta 4 POWTS b be e used submitted to Project Address (if different than mailing address) the Department of Safety and Professional Stxvies. Personal l information you you provide may used for secondary ism in accordance with the Law, s. 15. 1 Yin), Stats. J L Application Information -Please Print All Information 1 a S Z. Property Owner's Name Parcel # Q ~n l Property Owner's Mailing Address -z. 3 Ce f 11,4j ' GOVLriyLocation ~~,36. v~7 City, State Govt Lot " Zip Code Phone Number ) 36 pe of Banding (check all that aPP1Y) Lot # T N, R E w y Dwelling -Number of Bedrooms 1 Subdivision Name t t tale Block ❑ Public/Commercial -Describe Use J YN ❑ City of D State Owned - Descn'be Use a.~ CSM Number D Village of Z atj }.l of 0 1 .4. )II. Type of Permit: (Check only ne box on line A. Complete line B if applicable) ew system D Replacement System D Treaunent/Hoiding Tank Replacement Only D Other Modification to Existing System (axplam) B• D Permit Renewal D Permit Revision ❑ Change ofPlumber D Permit Tmmfer to New L,st Previous Permit Number and Date Issued Before Expiration Owner of POW'I S S stem/Com on nt/Device: Check all that a I 412 w+r Pnesstaized In-Ground D Pressurized in-Ground D At-Grade D Mound > 24 is of suitable soil ❑ Mound <24 is, of suitable soil ❑ Holding Tank Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dis rsal/Treat ent Area InfOr ration: Design Flow (gFd) Design Soil Application dsf) Dis al Required (sf) Dis Area o J r 74;- (sfl S VI. Tank Info. Capacity in Total # of ' _ Gallons Gallons Units Manufacturer New Tanks Existing Tanks r w 0 U Septic or Holding Talc ~ 1 Y l) ~ v is 0 p^~ Dosing member IiVTI Respoosibitity State nt- I, the undersigned, possibility for installation of the POVM shown on the attached plans. s Name (Print} Plumber' e + MP/lvtPRS Number Business Phone N d)~) Ph;mber'saAddress ~t City, State, / 0 Zip ) ~1r-~ /De eat Use Onl eta :Permit Fee Date sued Issuing Signature ❑ en Reason for Decual $ ,g7je • tD /1 1 Z. 15 IX. Con fi'asons for Disapproval 1. Septic hank, effluent filter and 3, 9-1 / e.*(, Q V' n , dispersal cell must aA t e services /maintained r or, per management plan provided 4Y plumber. W t > Ma.~ <<,~,~ 1 000rewtlifeme>1ritS must 4e maintained ~ts °✓1 . as Per OPPIcllbht t / ordinance3. Attach to eompleh pyas for the ays,. a W submit thXAa~ M' r ty o as paper net less than 8 Ia t 1 iaehes in / Sb& rQ: ca le SBD-6398 (R 11/11) " PLOT PLAN PROJECT Oeverino Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017 SE 1/4 NW 1/4S 36 /T 30 N/R 19 W TOWN St. Joseph COUNTY POLK SYSTEM ELEVATION 93.5/93.3' 5' below grade DATE 11/10/15 BEDROOM 3 CONVENTIONAL )00( IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK 1000 gallons LIFT TANK SIZE DOSE TANK SIZE MOUND SEPTIC TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 651 # of chambers 32 BENCHMARK V.R.P. Top of 2" pipe ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark All piping shall be ASTM SDR 30/34, within 10' of tank, piping shall be ASTM F891 Scale 1/4 10' 44 475' Property Line Pro 3 Bedroom 84th st. House 20' ST 20' B-3 2-3' X 66' Cells with >3' spacing B-2 Vents B.M.* 1 18' 0% Slope 55' 32' B-1 Vent 21' 44, >6" Quick4 Standard of Cover Leaching Chamber with 20.0 ft2 of Area 5.6ft^2/pair of end caps Long 12" 3 4" Grade at System Elevation Property Line Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 11 /10/15 Owner:Oevering Homes Location: SE 1/4 NW 1/4 S36 T30 N,R19W 1252 84th st. St. Joseph Manuals Used: In-ground absorbtion system (version 2.0) Page# 1. Cover Page 2. Plot Plan 3. Chamber Cross Section 4-6. Maintanance and Conti ncy Ian 7. Filter Cross Section Signature License number #22 9 0 PLOT PLAN PROJECT Oeverina Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017 SE 1/4 NW 1/4S 36 /T 30 N/R 19 W TOWN St. Joseph COUNTY POLK SYSTEM ELEVATION 93.5/93.3' 5' below grade 11 /10/15 BEDROOM 3 DATE CONVENTIONAL )00( 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 2" pipe ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark All piping shall be ASTM SDR 30/34, within 10' of tank, piping shall be ASTM F891 Scale = 1/4" _ 10' 475' Property Line Pro 3 Bedroom 84th st. House 20' ST 20' B-3 2-3' X 66' Cells with >3' spacing B-2 Vents B.M.* 130' 18' 0% Slope 55' 32' B-1 Vent 21' >6" Quick4 Standard 44' Leaching Chamber of Cover with 20.0 ft2 of Area 1219 5.6ft^2/pair of end caps 4' Long 3 4" Grade at System Elevation 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 5.6ft^2 pair of end plates To be >1' above grade Finish grade elevation Vent / Typical Installation 98.5' /CGrade ~ Vent 3' 4„ .*~30/34 Septic Tank 3' 1" 5' Long 5' S' Long 1 " 3619 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_93.5' B_93.3' POWTS OWNER'S MANUAL $ MANAGEMENT PLAN Page of FILE INFORMATION SYSTEM SPECIFICATIONS Owner O eoe r fg Septic Tank Capacity /)25ro al ❑ NA Permit # Septic Tank Manufacturer NA 3ESIGN PARAMETERS Effluent Filter Manufacturer / ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model j ❑ NA Number of Public Facility Units NA Pump Tank Capacity al ❑ NA Estimated flow (average) gal/day Pump Tank Manufacturer NA i Design flow (peak), (Estimated x 1.5) -71 JZ~;' avda Pump Manufacturer NA Soil Application Rate gal/day 1fl2 Rump Model NA Standard Influent/Effluent Quality Monthly average' Pretreatment Unit NA Fats, Oil & Grease (FOG) 530 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BODs) 6220 mg/L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg/L ❑ Disinfection ❑ Other. ! Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BODs) 530 mg/L ><-Ground (gravity) ❑ In-Ground (pressurized) Total Suspended Solids (TSS) 530 mg/L ❑ NA ❑ At-Grade ❑ Mound Fecal Coliform (geometric mean) 5104 cfu/100ml ❑ Drip-Line ❑ Other: iMaximum Effluent Particle Size X in dia. ❑ NA Other ❑ NA !Other: ❑ NA Other: ❑ NA 'Values typical for domestic wastewater and septic tank effluent Other ❑ NA AINTENANCE SCHEDULE Service Event Service Frequency linspect condition of tank(s) At least once every: ❑ mar s(s) (Maximum 3 years) 13 NA (Pump out contents of tank(s) When combined sludge and scum equals one-third (X) of tank volume ❑ NA Ilnspect dispersal oell(s) At least once every: ❑ oath(s) (Maximum 3 years) ❑ NA ear(s) Clean effluent filter At least once every: ❑ ar(s) ❑ NA Inspect pump, pump controis S alarm At least once every: ❑ month(s) NA ❑ year(s) I:lush laterals and pressure test At least once every: ❑ month(s) NA ❑ year(s) ether. At 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 iinclude a visual inspection of the tank(s) to identify any missing or broken hardware, Identify any cracks or leaks, measure the volume of cDombined 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 Igulatory authority. I,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 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, land any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. I4 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 nting or othe For new construction, prior to use of the POWTS check treatment tank(s) if higthe h prey entrad'ons {are de roduc have thercontents chemicals tthp may impede the treatment pe~icinand/or g operator prior to use cell(s). tank(s) removed by a septg System start up shall not occur when soil conditions are frozen at the infiltrative surface. is restored During power outages pump tanks may fill above normal high water er levelsand . mWhen ay result power the mockup oh surexcess face discharge of writ waterew ll be discharged to the dispersal cell(s) in one large dose, overloading Operator prior to restoring power to the To ion have the of the pump tank ffluent this sor contact a Plumbertor POWTS Maintainer to assistdinymanualy operating the pump controls to restore normal levels pump e within the pump tank. compact, the area within Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or comps 15 feet down slope of any mound or at-grade soil absorption area. ; fat; foundation drain Reduction or elimination of the following from the wastewater stream ayimprtl n~~ fl~sotl{apers, disinfectants", prolong the life of the POWT:3: antibiotics; baby wipes; cigarette butts; condoms; cotton swab degreasers; roduci>s; (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting p pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT is properly steps When the POWTS fails and/or ispermanently tp eh Comm 83 33 service W{sconsin Admin strative Code: ken to insure that the system and safely abandoned in compliance • All P{Pin9 to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with stUil, 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 compliipnt replacement system: E( r the location of a soil on systelm. suitable replacement area has been evaluated from disturbance and utilized compaction and shouldenot be infringed uporn~by requhl d h replacement area should be protected setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will resulltr iehe led for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technologV a holding tank may be installed as a last resort to replace the failed POWTS. re of the P and soil VVTS site ❑ The site has not been ovatate suitable replacement area. replacement If o eplacementarea isuavailable aOho d ng t nk may be insal edNas must be performed to locate a last resort to replace the failed POWTS. in effect follow time moval of the biomat at the infiltrative comply with the rules surface. Reconstruction ❑ Mound and at-grade soil s of sorrpfi{systems must may be reconstructed «WARNING>> SEPTIC, PUMP AND OTHER TREATMENT EATMENT TANK UND R ANY C RCUMSTAN ES. DEATH MAY RESULT. RESCUE OO ENTER A SEPTIC, PUMP OR OTHER OTHER TREATMENT A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS ME/,/j POWTS MAINTAINER Name C Phone JJ' , - SEPTAGE STMM4Zj LOCAL REGULATOR AUTHORj;N Name ~I Name Phone Phone This documen t was drafted in compliance with chapter SPS 383.22(2)()()(d)&(f) and 383.54(1), (2) & (3), Wisconsin Administrative Code. i ' I i i I 1~ E ! i ! i o ~ I D a s / O -G O i i 00 A # i ~ - s i i • co o ! a i f I I i M a ~ £~"ltl6~ ~ 1 U '0 i t. 71 t jl ~ i ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT " . AND OW'NERaM CERTIFICATION FORM Owner/Bu er Y Mailing Address Property Address d S Z 1~! _ (Verification required from Planning & Zoning D forty constnrction.) City/State Parcel Identi-ficatiOn Number LIE AT DESCRIPTION Properly Location , V , Sec. 3 0 , T ~ ON R ' W, Town of J O Subdivision eV I L I . Lot # 1 ~7 Certitled Survey Map Volume Page # Warranty Deed # Volume Page # Spec house(5 no Lot lines identiftab Ye no sYS~I►~r ~~xT~N c 0-"'~R M.TINCCATION "proper use and maintenance of your maintenance consists of pumpinlg out the septic system could result in its premature failure to the system can affect the septic tank every three ears or handle 'wastes. the sy8 ibiliAm are function of the septic tank as a treatment y sooner, if needed, by a licensed pumper. What Proper put into respons specified in §Camru. 83.52(1) and is ~a in the waste disposal system, Owner maintenance Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St Croix Counts, pkMin & Zoning owner and by a master plumber, Journeyman plumber, drsposal tem is restricted plumber or a liceed Department a certification form , signed b y the less n ~fun of s in proper operating condition and/or (2) after ' p verifying that (1) the on-site inspection and pun3ping (if necessary), the septic tank is "we. the undersigned have read the shave re4uireMestandards set forth, herein, as set by the nts and agree to maintain the private sewage disposal, systeWisc m with onsinthe Certification stating that your tic s beParltib of Coerce and the D Lo eparttnsm of N ~P Yam has,een maintained must be completed and returned to the St. Croix County planning & ar exp' anon date. Uwe certify that all statements on this form true to the Property described above, by virtue of a warranty recorded st of my/our knowledge. Uwe am/are the owner(s) of the egiater of Duds Office. Number of bedrooms TGNA F APPLICANT(S) I'~~l T - DATE *Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning ' D Inclttde with this application a recorded ePartunent. reference is made in the warranty deed, warranty deed from the Register of Deeds Office and a copy of the certified survey map if (REV. 08/05) t t d 25f . ~ ` ttt In t per, (40 k . ~ y fft IW) ~Q A poi fn , vul 3 soo4oWoooW 1145.70` ae f 500.28` K15 C E N ~r cl N£'wr •4, T I I J W ~ > ~ W ow 103 tDW I i 4 ~S .4r k~ •l_ I d ^ :I kl J~iJ s~~J all r f I L. I w4 wrluxall.a . - -----j? I I 1 it.. I I I I i II I It i 1 1 I ' : I t I g I' ' 1 I ? I I ~ I I ' 1 I Y 'I I $ I I I p I I N I ~ I 8~~ II I E } i 1 I 1 II I , 5 1 I I I t vwoopmuMa Ur 5tt t 1 y.~y 1 I I'm 1 ' t - 5~ ~ l rtl I t { ' I I I ' I 1 ' S I L i ' ~ R i O----- - Y I i 1 r 4 i. BOA 01 1~ I~ I i Y I I~ e~ 1 I 99 j I -j~•' 1 ~,Y~~ Ss~ 1 1 E Y i 1 I I 'O ~ ' ~ I , i I 1 ° I I s < I'i i n I I c 1 . I I I 1 I r° I I I I I SYY Y4 i - 3 86 1 e~ W 4 Q ~ ~ W 30 gg 'a I ; I I ~ I I lpgp3 I I I ° i I I t I ~56 ~ I I , a I i ' I wwwa l wane -41 I x I , 1 $ n I 8 ° - ~ O E0 f--- - - - aY EI i I -----------'J-- t I tt+- o o I t ~ ow~eu,w,. riaw.w,..awr.w.n i ~ aai^inw01~'o.7.wi I - I L I I -F-----------i s ° ~g I aanw, ~ ~ awmamnma i \ ,yam ; B6 = R. ` 1334 Wisconsin Department of Commerce rnome OIL EVALUATION EPORT P~ 1 of 3 Division of Safety and Buildings _ ad A 1 s>i~rR 89, V2@06dm, C )de County Tom Schmitt Attach complete site plan on paper not less thc4h 8'/z x 11 inch i ' g,~~li~t TY St. Croix include, but not limited to: vertical and horizontal refer nee d h Percent slope, scale or dimemsions, north arrow, and kcafign t road. Parcel I.D. f, (1- ~ ~ ~ ^ ) Please print all Information. Revie By Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location Grand Properties, LP Govt. Lot SE 1/4 NW 1/4 S 36 T 30 N R 19 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 712 Rivard Streeet, Suite 300 17 Natalie's Ridge City State Zip Code Phone Number City Village ✓ Town Nearest Road Somerset WI 54025 715-247-5900 St.Joseph Cty. Rd. A 1/ New Construction Use: 1/ Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement Public or commercial - Describe: Parent material Outwash (stream terrace) Flood plain elevation, if applicable na General comments and recommendations: Area is suitable for a conventional system with a 0.7gpd/sqft rating. Possible system elevation for Area 1 is 95.25'. Area is flat. Boring # Boring Pit Ground Surface elev. 98.25 ft. Depth to limiting factor 108+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff' 'Eff#1 'Eff#2 1 0-13 1Oyr3/3 none sl 2fsbk mfr as 2vf .6 1.0 2 13-22 1Oyr414 none sl 2msbk mfr 9W 1vf .6 1.0 3 22-31 1 Oyr4/6 none Is 1 csbk mvfr cs 1 of .7 1.6 4 31-50 7.5yr5/4 none grcos Osg ml cs .7 1.6 5 50-108 1Oyr5/4 none grms Osg ml .7 1.6 q 1 of Boring # Boring Ile Pit Ground Surface elev. 98.65 ft. Depth to limiting factor 100 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz 'Eff#1 'Eff#2 1 0-14 1Oyr3/2 none I 2fsbk mfr as 2vf .6 .8 2 14-27 1Oyr3/4 none sil 2msbk mfr gw 1vf .6 .8 3 27-37 7.5yr4/6 none grls Osg ml 9w .7 1.6 4 37-67 1Oyr5/6 none grs Osg ml cs .7 1.6 5 67-84 1Oyr5/4 none grcos Osg ml cs .7 1.6 ml .7 1.6 6 84-100 10yr6/4 t none s Osg ffh = OD <30 mglL and TSS 30 mg/L ' Effluent #1 = SOD y> 30 < 220 mg/L and ISS >30 < 150 mg/L ' E CST Name (Please Print) Signature: CST Number Thomas J. Schmitt 227429 Address Tom Schmitt Date Evaluation Conducted Telephone Number 1595 72nd St., New Richmond, WI 54017 4/18/05 715-247-2941 Property owner Grand Properties, LP Parcel ID # Page 2 of 3 3 ] Boring # Boring y' Pit Ground Surface elev. 98.45 ft. Depth to limiting factor 100+ in. Soil Application Rate F Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots 2 *Eff#1 *Eff#2 1 0-12 10yr3/2 none I 2fsbk mfr as 2f,1vf .6 .8 2 12-22 10yr4/4 none scl 2msbk mfr cs 1vf .4 .6 3 22-28 7.5yr5/4 none s Osg ml gw .7 1.6 4 28-78 10yr5/4 none grcos Osg ml cs .7 1.6 5 78-100 1Oyr6/4 none s Osg ml .7 1.6 i i '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 *Eff#1 *Eff#2 ❑ 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 QPD *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 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. Page 3 of 3 Conducted by: Conducted For: Schmitt Soil Testing, Inc. Name: Grand Properties, LP Thomas J. Schmitt, CST 227429 Address: 712 Rivard Street 1595 72nd St. City, State, Zip: Somerset, W1.54025 New Richmond, Wl. 54017 Phone: 715-247-294 Subd.Name: Natalies Ridge Lot No.. 17 - ~ Legal Description: .de-114 /MA14 S36 T30N R19W Township of: St. Joseph, St Cobc County ® Soil Boring A Bench Mark El. 100.00' Top of 2" pvc pipe © Alternate Bench Mark El. Top of 2" pvc pipe Slope= ®x +'/a Contour Line EL W4 Scale 1" = 40' goad /t c&4 o,r L+Wts I o~-# Zo 4 oo' lot X his report was done to fulfill a zoning requirement. It may or may not be in a location suitable for your use. RAD = 8a N 003 4751 ~N 918.8 x 918,4 / LOT 17 918.2 .011 AC 917.7 x916.6 ( 1 A L.8.0.= 16.5 / Cl) V N UOT 6 x 918,3 3.013 AC. / (2.63 C.) x L.8.0.= 16.5 H.W.L.=914.5 R / 917.8 914.4 914.5 .4 916,7 I~ I 915.6 'x J`" 915.7 " r 915.6 i { x { 89 x 898,2 x 896.7 . [