Loading...
HomeMy WebLinkAbout032-2181-02-000 I Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 589712 GENERAL INFORMATION 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: Jeffery & Betty Harmon TOWN OF SOMERSET 032-2181-02-000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: 01.31.19.1526 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURE IN CAPACITY STATION BS HI FS ELEV. Septic IN Dosing * V 1 !A Alt. BM C, 17b V;5 b - Aer~lieTr v1 Bldg. Sewer c~ C?3 tJ2 + S t Inlet V / ~ v r r Jam. St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet f( Septic 2/~ 1 Dt Bottom edn ~z a Dosing {Yl t Hea I I ICU •V Aeration Dist. Pipe Holding Bot. System Ib /Yn PUMP/SIPHON INFORMATION Final Grade v 1 V • IIJJ 77'-'"" Manufacturer ` S De n St Cover FI L UL GPM~"~77 Model Number EN I ✓ J I bj5j. V/X 8,0 a' 18. TDH Li I Friction s System Head_, TD ' ~V -J J _ 1 tV V ~J/.~ Forcemain Length t Dia. Dist. to well 0 . -7 J-/ 0,S 1617 SOIL ABSORPTION SYSTEM BED/TRENCH Width t Len h / No. Of Trenches PIT DIMENSIONS No. Of its Inside Di~ Liquid De DIMENSIONS SETBACK SYSTEM TO P/L BLDG DVE LL LAKE/STREAM LEACHING Manufacturer " INFORMATION CHAMBER OR Type Of System. , ,L 1 r) I / UNIT Model NuWber) FtW DISTRIBUTION SYSTEM {'~J L Head nif ri tion x Hole Size Ix Hole Spacing Vent to Air I take I ' II Length../ th Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or ,#t-Grade Systems Only / Depth Over Depth Over xx xx lched Bed/Trench C jrjU to Bed/Trench Edges Yes No Yes No COMMENTS: (Includ code discrepencies, persons present, etc.) Inspection #1: 1 pect n 2: Cove V D4f,-/ akti ~iSpt trs 0%1 C f IIS C i rW ~ru Location: 2303 76TH ST 1.) Alt BM Description= Lim COY N" 2.) Bldg sewer length = . ~ 5.y*4 1/w`i` tln, ~w amount of cover = I V f Yt ~A ~~1L~~ Plan revis Required? Yes No Use other side for additional informatip i. Date Insepctor's Signature Cert. No. L SBD-6710 (R.3/97) gy~ fY1'ea. ,~5 a. ~a r 7oui P,_9 dl ,IAI C~-C - It- C4, V, Stj 1 3 9 Y'om'- . ;i+ tr - r-; i, i I' Ib 4 (4 p L7 1 y ✓ f E' t t r3ID 12 1 ' INW &ov f { Qty" P r'~ / ECEIVED Safety and Buildings Div'sion county C,l-U / r 201 W. Washington Ave., P. x 7162 Sanitary Permit Number (to be filled in by Co.) JUN 13 20,16 Madison, WI 53707- . x" '7 ROIX COUNTY 543 771 COMMUNITY 1 ary ermit Application teTransactionmber In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental uni N is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWT5 are submitted to Project Address (if different than mailing address) the Department of Safety and Professional Servics. Personal information you provide may be used for seconda purposes in accordance with the Privacy Law, s. 15.04(1)(rn , Stats. 03 sS 1. Application Informatio - Please Print nformation Property Owner's Name,. ' Parcel # ( -3~ it l 'C' Z-Oc~ Property Owner's Mailing Address Property Location 0 i I eta Govt. Lot City, State 10).dc Phone Number L( Section ircle one) 1 rc .~2J 1 (c T J N; R /I E cnicW II. Type of Building (check all that apply) Lot # r 1 ~rl`or 2 Family Dwelling - Number of Bedrooms Subdivision Name 6K. Block# //la. U ~//Ir/f,~•raz ❑ Public/Commercial - Describe Use ❑ City of ❑ State Owned - Describe Use CSM Number ❑ Village of ~ (P 4 i ,Town of ~ dF~l C,/ <6, III. Type of Permit: (Check only one lox on line A. Complete line B if applicable) A. LS~New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) R. El Permit Renewal El Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner IV. T e of POWTS System/Component/Device: (Check all that apply) Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank W05 ther Dispersal Component (explain) f-) (rrt bi p~ ❑ Pretreatment Device (explain) V. Dis ersal/Trea ent Area Information: D Design Flow (gpd) Design Soil Application Rate(gpdst Dispersal Area Required (st) Dispersal Area Proposed ( System Elevation q3, 1, 7 75-.1 VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units P. y New Tanks Existing Tanks Septic or Holding Tank moo I00 ~I L Dosing Chamber r 1 VII. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumbe~sn tur MP/MPRS Number Business Phone Number 4/lJr~4e.6-L i2a1e,''Fe-1~ e ~ 313e 7(5 -10r-& -zoo Plumber's Address (Street, City, State, Zip Code) f VIII. Coun /De artment Use Only Approved ❑ Disapprov Permit Fee Date Issued Issuing ent Signauu $ 5. co (o Zo / ❑ O iven anon for Denial T U IX. Condi VIRP50ky"IeR. i;? FSRA Disapproval /a~tL4 3, GCQ. /Y ~b Se~' aispe sper;-.:i cell mint all 4g_j~el~is~!,_utiunt-ay'(t~C YL ` as per mMnagement plan p1`9041 l4y plum4Ar. 2. `-All sldblidk MgWWWN MUM. 0111'IIi40€;IFi 4 ee per ppicnble oodtt / adMA , Attach to complete plans for the system and submit to the County only on paper not less than 81/2 x 11 inches in size SBD-6398 (R. 11/11) EZFLOW IN-GROLND SOIL ABSORPTION COMPONENT DESIGN FOR A NEW THREE BEDROOM RESIDENCE Owner's Name Jeffery Harmon 0 _ i 61h t 233 New Richmond WI 54017 Located in the SW'/4 of the SE'/4 of Section 1, T31N, R19W. TOWN OF SOMERSET ST CROIX COITNTY WI Parcel#v032-2181-02-000 Lot 2 Woodland Meadows - cot,,, %4~ t,(-bn cq 114,1 Slme INDEX Page I Index & Title Page 2 Plot Plan Page 3 Soil Absorption System Detail Page 4 Dose Tank Cross Section Page 5 Pump Performance Curve Page 6-7 Manual and Management Plan, Page 8 Septic tank Maintenance Form , Page 9 Warranty Deed 1~)tu;c v C 14 "dal Page 10 Survey Attachments - Additional information; Soil Test, Aerial Photo, Septic tank detail. Distribution box detail, and House plans. Prepared By Michael Rodewald 285 County Road SS River Falls WI, 54022 715-821-6229 MPRS 931384 /13/2016 Signature; . Design Pursuant to In-Ground Soil Absorption Component Manual Version 2.0 SBD-10705-P (N.01/01; R10/12) l uku Vi ti 9°~ {~v A 4 R e r. wr 6 J Y &J ~ i t /V C3 rQ ,."mss' ~ ~ t+` n a a ' f~ O i ~s +X 7 s~ ~ r U u sA ° ° M y . ° v l1 '43 ° m I i _yr . ° e . ° . m . r a a - " I F-- I E~ 1 -j 0 V ~ T L C f m \ 2 Q h; o . 46 o CSI , A, 'JJ v l yi: ~ yR' 1 9 V a 4 _ I b_ CV k ' All SCp is-Dose i ank Cross Section And Pump Perforniatice Specifications 'l'ank Manufacturer Pump Manufacturer Wank Model Number r':)6,1el Pump Model Number Total 'l'ank Capacity - Alarm Manufacturer i. LMax. Bury Depth Alarm Model Number Switch Type 1 filter Manufacturer 1 Total Dynamic Head (TDH) -Feet Filter Model Number-_ Elevation Head Distal Pressure Network Loss Minimum Pump Performance Required Force Main Loss t- GPM 9=L , ^ Ft TDH Total Outlet &lanho e Min. 4" Above Grade With Locking Device. Inlet Manhole rMlfe Min. 4" Above Grade < 6" Below Grade Sealed Watertight Securely Mounted With Locking Device Weather-proof Junction Box I' !1 ~ " " Finished Grade ~ Depth of I Vent Min. 12" Coyyer Disconnect Ft Above Grade Means With Vent Cap Outlet r{ Outlet Filter Inlet Inlet Baffle t>s - - <>< } , A _ 1 <s< i/4}) Swttch Settings and Reserve Capa;ay - _w >Tank Volume j`t uV GPI Weep -1 P- air - < Hole > r Dimension Inches Volume Gal. <>t B (reserve) A L < < < yi> (alarm) B 2 4'4 Off Elevation C >t (dose) C Ft t> 4 - - Bottom (dcTd) 1) r _ <>< D Elevation i' Total8 >ir > } r > > > > r : a r > > > r } r > r > > r } r r r r > > > > r t t t t <<< t t<< t t i t i t<< S<< t t 4 4 t i t<< t<<< i< t t t< i< t< S i<< t t i t t<<< ) s s S Y Y s } ) ) a > S S a } ) } > > s } > > } Y ) > s a } Y ) > ) r } } Y > > > > > ) } > } > > r > > > > > GENERAL INSTALLATION: The septic/dose tank is bedded and back filled in accordance with the manufact, irer's product approved specifications. k aximurn depth of bury as specified by the manufacturer may not be exceeded without prior approval. Manhole covers exposed to grade have an effective locking device (padlock) installed. Piping at the inlet and outlet is of approved material, connected to the tank with watertight fittings, and laid on stable soil to prevent settling or sagging. The force main is sleeved with 4" Sch. 40 PVC to bridge the tank excavation and the sleeve is sealed watertight. Electrical service complies with NEC 300 and Comm 16.28 WAC. 02/05 1 ,3 Page.--N of Wastewater ,,WETERS FEET 40 MODELS: PE51 PE31, PE41, PE51 35 HP:.33-40-50 GpIll, 3 PE41 1 FT Q = 25 P E31 Q z 20 ~ C 0 J~5 s a 10 i 01 0 0 10 20 3 40 50 60 70 GPM 80 J i CAPACITY r-~rer~vrid+draatv+~.ic tdti Y`ri+t~ PE31 PE41 PE51 Total Head Total Head Total Head (feet of water) GPM (feet of water) GPM (feet of water) GPM 5 52 8 `61 10 67 15 29 15 46 20 50 I j- -20 - - 16 20 33--- 25 39 75 - -25 16 30 - 26 - 35 - I POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page r : of - / G' FILE INFORMATION SYSTEM SPECIFICATIONS Owner Septic Tank Capacity div gal ❑ NA P?rlr,it : Septic Tank N1,gnufacturer tvti I DESIGN PARAMETERS Effluent Filter Manufacturer Ej.,NA Number of Bedrooms ❑ NA Effluent Filter Model J'25- ❑ NA a Number of Public Facility Units ❑ NA Pump Tank Capacity gal ❑ NA t'.Stltl?rt?i1 fln., (r3Vf,ra~c) t` rI gaiiday Fun-;p Tank Manufacturer Design flow (peak), (Estimated x 1.5) gal/day Pump Manufacturer _ t oc~(~S ❑ NA Soil Application Rate 0i al/da /ft2 Pump Model ~i ❑ NA Standard Influent/Effluent Quality Monthly average* Pretreatment Unit `K-NA Fat,, Oil g., Grr=nss ?F0GI '30 rn9!L ❑ Sand%Oravel Filter ❑ Peat Filter Biochemical Oxygen Dernand (BODS) <_220 mg/L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) <150 mg/L ❑ Disinfection ❑ Other: retreated Effluent Quality Monthly average Dispersal Cell(s) FA NA Biochemical Oxygen Demand (BOD.) <30 mg/L Kin-Ground (gravity) ❑ In-Ground (pressurized) Total Suspended Solids (TS'-,) <30 rng'L ❑ "JA 11 At-Grade ❑ Mound - Fecal Coliform (geometric mean) <-10° ofu/100ml ❑ Drip-Line ❑ Other: Maximum Effluent Particle Size Y. 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: E3 month(s) 3 .Kyear(s) (Maximum 3 years) ❑ NA Pump out contents of tank(s) When combined sludge and scum equals one-third (Y,) of tank volume ❑-NA_ Inspect dispersal cell(s) At least once every: 7 ❑ month(s) (Maximum 3 years) ❑ NA &Z-year(s) Clean effluent filter ❑ month(s) _.4,x16.ra At least once every: ear(s) El NA Inspect pump, pump controls &.aF nT7 At least once every: ❑ month(s) gi❑ NA -year(s) ❑ month(s'+ - Flush latera!3 and pressure test At least once ever',/: ❑ year(s) Other: ❑ month(s) At least once every: NA ~if~L~rr1 y' f'• wear(s) Other: ❑ NA MAINTENANCE INSTRUCTIONS Insp --).bons of tanks and dispersal cells, shall be made by an individrlai carrying one of the follovving 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 immnr late notiflc8tinn of the local regulator,' a{lth?ritV. 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 <-12 months, shall be performed by a certified POWTS Maintainer. service report shall be provided to the local regulatory author,ty v;ilthin 10 days of completion of any service event. Page ~of START UP AND OPERATION 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 cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start ups .all nit 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 cell(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. Du not drive ur park, vehiclc5 over Milks end dispersal tells. Do riot 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. • 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 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 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 bolding 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. Re^onstrurt;ons n=f such systE.-ms must comply with the miles 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 jjdeJ , rj- t xe POWTS MAINTAINER Name Kci De"! Name Phone Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name , Name __'v- Phone /L" a A Phone 7/' - T is document was draftee in camptian e ,vith chapter Comm 33.22421 (bl!11(d)&!f? and 83.5(1), & (3), `•,"Jisconsin Administrative Cede. ST. CROIX COUNTY SEPTIC TANK_ MAINT NANCE AGREF,MENT AND OWNERSHIP CERTIFICATION FORM OWncr/13uycr.Jeffery Harmon Mailing; Addr*2363 76th St Propert} Address (Verification required from Plannii g & ning Department for new construction.) City/state New Richmond,wi Parcel laentilieation Number 032-2181-02-000 LEGAL. DESCRIPTION Property Location Sw /4 SE , 1 r 31 N R W, To Somerset /4 , Sec. of Subdivision Plat: Woodland Meadows Lot 2 Certified Survey Man # Volume . Pave # Warranty Deed # 796865 (before 2007)Volumc 2816 Page # 402 Spec house ❑yesMno Lot lines identifiable Dyes❑no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance ofyour 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, if needed, by a licensed pumper. What you put into the s}stem can affect the function ofthe septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §SPS. 383.52(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 oWlIcr and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that ( I ) the on-site v\astcwater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than I i3 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 o1'Safety And Professional Services 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 ('ounty Plannin," & Zoning Department within 30 days of the three year expiration date. I'we certify that all statements his form are true to the best of my/our knowledge. l/we am/are the owner(s) of the property described above, by virtue of a/arranty deed recorded in Register of Deeds Office. Number of bedroo s 3 Sfi,~IJR &1APP1,1CANT(S) DATE ""`;'\n} information that is misrepresented may result in the sanitary permit being revolved 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 i1' reference is made in the warranty deed. (REV. Oa/12) ro r. v °j ~ 777 East fine of the K712 of the SE114 60 c~'? 566.80' 60.02' v ti 04' - 60' 45 CC,4 r LIJ cn Q 0ry L l 00`1253E 564.35D r w 258.83' p O ua 3(35.52' v as N i{1 L 0- 0 / 0 i Ljj r- tnl~ E C _,j Q ~ C1^ Cl w.. ~ 00 00 L.., I co 1--- 1 Qr~ CN,4 IL Z I sa0 "18'10 "W ro l . 02' - { co co g 1- 30° 40' 45 ~ LrI 6g ~ C w I 2J 65,02' Q try C2 S0018*10"W 234.85' ~ f 0 • z ~1 ~ - _ C7° 00'18'1U "E 233.05` 00 50, o e Ca K'i 40' 45, rY ~ r~ €.aJ ~ ~ 1 o M1 S0078`1O'bY.. 685 64` CO 232.24_ 212.46' 218.81' ac's! Drcinag, co 00 H. AYE = 98-q.0' I Easement n r~ 234, 8?'..T._. ~ f 224.99` S88 t~ ~ 50 ~ ~ ` ~y CY) N00 °18'10 E" 6*8 z 19' 00 p , /sp a LO °i r^. f f1 aw-oSS/oooidim ;IILd CJ 9.~ i/P --q-~4' _ 008 6\ ~wo,I Iso i 11 VC] 00/00/00 :I-INCI osct~ IM 'NOON NJUIVN N l.Mli sn su.sM ivnNVW OIld3S I 1VOS dOM El NMVNCI 21nOci :12Id ° 'V „0 ,l „b l 3 313HOUID 13531M T bW-OS9/OOO IdIM 0\ M w w E~-• J a HQ U ~F > N Z Q_ J Do O a ::D D~ :D w 3 C J In d W w W o (r N d > U N p F= i m 3 In w z a W W O C3 W U > n 0.: ° n- U W ~0. Fw J ~ m ui z F. fY U Li. Q i- Q a Q Q H Q a Q Om °Q zz a n- LL w~ 0 3> n O U Z J= Q U NFU Q n > Q 4 Q ° m N Lil a Lil 0 C7 z O_ o~ V) Q a Q O ~j ~ww w Z Y a a. co < 00 CD I~ ~Non~r) ~ F- mww ° o Q Ua 000 vir o J m (n V) F- N 00 ° F- V) 7th y \ U N [O F-- F- I Q F-- Q W 0.\ Z Z o 11J M` N ~~-I> ` r Fes- I ~ZV) Fes-- z j V) P ~(.~U QV) Q co ILD z W F- V) C7 \ - W LJ W V) ° o Q ~ r7 w T w ~ (o H ~ Z x U w U fl W U i Vi o fY o~ f o Q Y o o'-'-' Q w mP: cn ,W„ z F~->zSU' C7 H ZU' Z~'Q QvC..)i Fes- a ° z LLd x xx ~o a z ~3m° z~ m03 <~ca a3o o z ~ No oW LLJ o z z o o a oQ I- F-• U F a it cn a - hl- . C] Q Q v > ° a V) F- z o_ w w /O 0 0 W «ov (in N U W W V) Q 5 j q LL1 W (il Q CY lad Q ° X ~ I m Q r 9.b ~ r- cn w Q SV3 „b ~r ~N I „lt do a w a v a I ~ z - - a w - Q „b8 SV z a 9l P NS A1iA 9g f q--Sl 003 0 fino,i i.so,i 3.i-va 00/00/00 :1i.va osr.t IM 'Aooa N 3aivw o Mi1 sn s~rsM ~vnNbW OIld3S \o NnOd a21ci „0- Cj iv 313HOUDD 13531M '1VOS dOM .l8 NMV21a i. X08 Wiinoidisia 310H 9 in o _I cN I- m z ° Q - l (.0 F= C)l D m C~ ° o fY ° / w m U) C~ Q Q ci \ r ~i vi o / z o f== W n i,J o i a w - ' vi a - z l C9 7 n Cl .J „ O Icl n . W _J m a CO ~ t- ~ l,l 7 a I J n m F_ Li w O C- N - N t n Q~ a 's r .s a Y a ' 44" Ya l'^ E 305 f, f 8 8 3 _ 7 C: 3i. Sg gr`• r y i ~pw+~ ~i 441) C"> co 1 a A Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County St.Croix Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. Pending percent slope, scale or dimensions, north arrow, and location and distance to nearest road. 3 -v Please print all information, eviewed D311 Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ;~l Property Owner Property Location AHRH Properties LLC Govt. Lot SW 1/4 SE 1/4 S I T 31 N R 19 E❑(or)❑W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 404 SGreen Avenue 2 - Woodland Meadows City State Zip Code Phone Number ity village L~JT Nearest Road r New Richmond WI 54017 ( 7J5-222-0169 CTH 2 New Construction Use[] Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD ❑ ❑ Replacement Public or commercial - Describe: Parent material Loess over glacial till Flood Plain elevation if applicable N A ft. General comments This site is suitable for a shallow conventional below grade system, recommending that a pressurized system with and recommendations: equal distribution be used so as to distribute the effluent over the entire available area due to the massive(Om) fsl. This is not a code requireme ra er a su eshon. g A g t'' Z tlog--o - C/ 11 F7]Boring # ❑ Boring ea '~^~lr ~L9; yet R Pit Ground surface elev. 101.06 ft. Depth to limiting factor 65-86 in. r~ 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 1 0-10 10yr3/2 sil 2msbk mfr as lm .6 .8 2 10-36 10 4/4 sil lmsbk mfr cw - .4 .6 3 36-65 7.5yr4/4 fsl - dh cw - .2 .5 4 65-86 7.5yr4/4 f3f5yr5/8 vfsl Om dvh .2 .5 r 2 Boring # ❑ Boring 71 98.66 >86 Q 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 1 0-10 10yr3/2 sil 2msbk mfr as lm .6 .8 2 10-30 1 Oyr4/4 sil 2msbk mfr cw - .6 .8 3 30-64 7.5yr4/4 f dvh cw _ .2 .5 4 -86 7.5yr4/4 vfsl Om g - - .2 .5 Effluent #1 = BOD > 30:S 220 mg/L and TSS >30 < 150 mg/L " Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature CST Number Thomas C. Nelson 227387 Address Date Evaluation Conducted Telephone Number 1432 120th Street, New Richmond, WI 11/17/04 715-246-2454 l Property Owner AHRH Properties LLC Parcel ID # pending Page 2 of 3 F3 Boring # Boring E Pit Ground surface elev. 100.26 ft Depth to limiting factor >90 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. *€ff#1 *Eff#2 1 0-10 10yr3/2 - sil 2msbk mfr as lm .6 .8 2 10-19 1 Oyr4/4 - sil Imsbk mfr cw - 4 6 3 19-56 7.5yr4/4 - sl lmsbk mfr cw - .4 .6 4 56-90 7.5yr4/4 _ s Osg ml - - .7 1.6 -14 t~ 1 "000- 17 11 El Boring # Boring J pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 Boring Boring # Ground surface elev. ft. Depth to limiting factor in. Spit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDAF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 - < • Effluent #1 BOD > 30:E 220 mg/L and TSS >30:E _ 150 m L "Effluent #2 - BOD _ 30 mg/L and TSS < 30 mg/L I 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-8330Tegt (R.07/00) Scale 1" 301 Wood land Meadows BM1 Top of conduit 100.00' Lot BM2 Top of conduit 97.71' B1101.06, B298.661 B3100.26' Nort $f IA a~ s 11 ! ~I ~nb ld8' 0 °I • Thomas Nelson 227387 Wisconsin Department of Safety and Professional Services Division of Industry Services SOIL EVALUATION REPORT Page I of 2 in accordance with SPS 383, Wis. Adm. Code County ST. CRO1X Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. 032 - 2/1 't2 - 000 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Reviewed Date /Q Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location JEFFREY & BETTY HARMON Govt. Lot SW 1/4 SE 114 S T 31 N R 19 E (or) Property Owner's Mailing Address Lot # Block # Subd. Name or M# 2303 76th Street 2 Woodland Meadows City State Zip Code Phone Number ity [jMIlage • Town Nearest Road New Richmond, Wl 54017 ( ) 76th Street El New Construction UseE] Residential 1 Number of bedrooms 3 Code derived design flow rate 450 GPD Q Replacement Public or commercial - Describe: Parent material sandy loam till Flood Plain elevation if applicable ft• General comments Con - oun renc es and recommendations: Additional boring required to extend system area. O d F1 Boring # u Boring 80 a Pit Ground surface elev. 101.00 ft. Depth to limiting factor in. Soil lication 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 1 0-9 10YR3/2 1 2fsbk&gr mvfr as 2vf-m 0.6 0.8 2 9-18 10YR3/3 sil 3fabk mfr es lvf-m 0.6 0.8 7.5YR4/3 - sl 2fsbk mvfr cs lvf-f 0.6 1.0 3 18-30 4 30-80 7.5YR4/3 $1 intsbk nifr 0.4 0.7 Horizon 4 has some we areas. /17 I -A t ~ G . ei h F2 Boring # © Boring G Q pit Ground surface elev. ft. Depth to limiting factor in. Soil ication 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 Effluent #1 = BOD > 30 220 rrg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 ng/L and TSS < 30 mg/L CST Name (Please Print) Sign t e CST Number MARY JO HUPPERT Hollister's Soil Testin &Desi n / 224832 Address Date Evalu n Conducted Telephone Number 28497 King Arthur's Court, Danbury, Wl 54830 09 - 08 - 2016 715-821-1440 SBD-8330 (1107/13) .•_r 23 -3 74 - ' _ . , : ; • .Sts _ ~J~' - - . l~odi.~•~~r: /~~~.;«:--mow La~' 2 _ 16 00 • t ~ `mss ~ : : i. ~ .ion ~ . • ~ . - K-A -Tv Irt A5 496- -47 US Cs R ~ ortsin DepstY~~ 60Y and Professional Services Division of Indu ervices iAN Z 7 2~1 SOIL EVALUATION REPORT Page 1 of 2 r{ NT`( in accordance with SPS 383, Wis. Adm. Code "2~ C J (y~~~ County ST. CROIX At,av ~ l G~'} QT not less titan a° iiL x e i inG°ieu irl siZtl. P18f 1 rtlust K not lilTUled to: vertical and horizontal reference point (SM), direction and Pal I U - 21 - 02 - 000 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Revi d by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location JEFFREY & BETTY HARMON Govt. Lot SW 1/4 [E 1/4 1 T 31 N R 19 r) Property Owner's Mailing Address Lot # Block # Subd. Na or CSM# 2303 76th Street 2 Woodland Meadows City State Zip Code Phone Number ity ® Village ■ Town Nearest Road New Richmond, WI 54017 ( ) 76th Street E] New Construction UseE] Residential ! Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement Public or mercial - Describe: Parent material sand till Flood Plain elevation if applicable NA g General comments Conventional In-ground Trenches 0.4 loading rate and recommendations: Additional boring required to extend system area. F~] Boring # p❑~ Boring L:.I Pit Ground surface elev. 101.00 ft. Depth to limiting factor 80 in. Sal Application Rate 1 Horizon Depth Dorrunant Color Redox Description Texture Structure Consistence Boundary Roots GPD/f1 in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2 1 0-9 10YR3/2 1 2fsbk&gr mvfr as 2vf-m 0.6 0.8 2 9-18 10YR3/3 - sil 3fabk mfr cs lvf-m 0.6 0.8 3 18-30 7.5YR4/3 sl 2fsbk mvfr cs lvf-f 0.6 1.0 4 30-80 7.5YR4/3 1 lmsbk mfr 0.7 HOrizo has some areas. 1* 0, 0°Iq trl 2 Boring # Boring F 0 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. 'Ef1#1 'EfT#2 Effluent #1 = BOD > 30 < 220 mg1L and TSS >30 < 150 mg/L • Effluent #2 = BOD < 30 mg/- and TSS < 30 rtg/L CSfTName (Please Print) Sign T Nurnber MARY JO HUPPERT Hollister's Soil Testin &Desi n l` 224832 Address Date Evalua o Conducted Telephone Number 28497 King Arthur's Court, Danbury, WI 54830 09 - 08 - 2016 715-821-1440 Y..-YISM. 01-tL/-1r7 SBD-8330(807/13)