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HomeMy WebLinkAbout034-1006-40-100 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 589786 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 arcel Tax Jeremy Hawkins / Sylvia Keisow TOWN OF SPRINGFIELD`' 34-1006-40- CST BM Elev: Insp. BM Elev: Description: ection/ own/Ra ge/Map No: f /pO BM 1 GS 03.29.15.*841 TANK INFORMATION ELEVATION DATA 91 TYPE MANUFACTURER ~3s CAPACITY STATION BS HI FS ELEV. Septic 'z" Benchmark Alt. BM Dosing 1-114" 1 ~ Cow 65d Ve ov- .L, /$•s Bldg. Sewer F•! LA& a l a Z 17• Z df-415 Holding SUHt Inlet Z • 7 7 TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Cent Air Intake ROAD Dt Inlet Septic (OU 5/ Dt Bottom Zp 05'M 73 Dosing Hea lei / an. ~o • J/• ~O • Aeration Dist. Pie //Z• ~9 •'1 /3•z ~t7 ~ Holding Bot. System 14• $7.447 r d S PUMP/SIPHON INFORMATION Final G G d Manufacturer a J1 (A- Demand .w.l GPM Y _ /eA- l ~ ~ • ~ Model Number 17 TDH Lift' 4 Friction Loos System Hea A TDH a• Forcemain LengthQ Dia. Z Dist. to Well f /u SOIL ABSORPTION SYSTEM 'I' 11 , BED/TRENCH Width ROb th No. Of Tr ches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 2 64-- G SETBACK SYSTEM TO P/L BLDG I WELL ( LAKE/STREAM LEACHING Manufact er, ' INFORMATION Q~ CHAMBER OR . 33 123 UNIT ModelWmber. S~-~lK Typ Dj 1 o'. CA- q DISTRIBUTION SYSTEM SOJlh'~' ZT4-71 S(a Header/Manifol9 / Distribution x Hole Size x Hole Spacing Veto Air ntalyr / Pipe(s) ✓ 17 Length Dia Length Dia pacing z Sp.. -4-1 i SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over /i Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center 1 Bed/Trench Edges Topsoil Yes No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: J# Pcw/ A Location: U*t ~gRUSTICR~qg R3 AS 0^ 1.) Alt BM Description V = 2.) Bldg sewer length 15 e O ..3 /O3 }.~,~,~d! - amount of cover = 47, 1 Plan Use other revision side for Required? additional Yes information. No Date rinsepctor's S' nature Cert. No. SBD-6710 (R.3197) A -1-D 0 TM G C County RE EIVEDstryServices Division S I . Cro ~dt: 1400 E Washington Ave Sanitary Permit Number (to be filled in by Co.) P.O. Box 7162 BPS 4 AU 10 201, JMadison, W1 53707-7162 { /CJ _ V ~ I f t,. ST. CR IX COON umber Sanit:-A iT0vAWKMion State Tran;V~* In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit is requi red 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, 15.04(i)(m), Stats. //44 / t I. Application Information -Please Print All Information ` PJ - 3 Property Owner's Name r Parcel # 03A., ~Gtbfv - Property Owner's Mailing Address Property Location ~ 1S yD 13 1( 0'? t, s K d Govt. Lot City, State Zip Code Phone Number 5 1/a, Section 3_ G(~nt~wod~. lt, `1~/3 -7 15- 77-0707 T ZC/ N R~lEon.1 II. Type of Building (check all that apply) Lot # 1 or 2 Family Dwelling - Number of Bedrooms Subdivision Name 61C. Block# Public/Commercial - Describe Use p City of law State Owned - Describe Use CSM Number Veit 2 Village of Z ~;-6i- WL6 z.., 1,1*-Z O CkA m" Da k Z Lf Town of III. Type of Permit: (Check only ne box on line A. Complete line B if app i e) A. 1/9-ew System Replacement System Treatment/Holding Tank Replacement Only Other Modification to Existing System (explain) B. Permit Renewal Permit Revision Change of Plumber Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner IV Type of POWTS System/Component/Device: (Check all that apply) on-Pressurized In-Ground rd At-Grade Mound > 24 in. of suitable soil Mound < 24 in. of suitable soil ! Holding an ersal Component (explain) Pretreatment Device (explain) V. Dis rsal/Treat ent Area Information: Design Flow (gpd) Design Soil Application Rate(gpd Dispersal Area Required (s Dispersal Area Proposed System Elevation ld L~'f3~ 12 la Y3~ d• ~D.27 VI. Tank Info Capacity in Total # of Manufacturer y Gallons Gallons Units a E U° y New Tanks Existing Tanks P 14 5;z, s U y o o 8 iL Septic or Holding Tank v/ QDO 411 t S~e D'/! 1-^4 Dosing Chamber - ki A VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. PI AZmberJww-('s Name (Print) MP/MPRS Number Business Phone Number t •ers X=:=~ rs 2&79Y 5 (5-265 /(5 Plumber's Address (Street, City, State, Zip Code) 2 `I f~T 1,3,g 74 /f Glen4AJ~1 u/ / S of VIII. Coun epartment Use Only Permit Fee Date sued Issuing ent Signature PProved D• ~V,,DeniaI ~j h Ow en Rasn l $ (J ✓ v / `f' IX. Contli a e? ns Igdr Disapproval Pt f dispersal cell must all be seryIcs !nt!int~lneq ' As per management plan provided by plumber. 2. AU setf)ack rec;uii'ermts must,be rlaiMG iryed as per aKkable code / ordinaom& Attach to complete plans for the system and submit to the County only on paper not less than 8112 x 11 inches in size SBD-6398 (R0313) CHECK BOX AS APPLICABLE. CHECK BOX AS APPLICABLE. SOIL EVALUATION 0 Scale: ~yfb' 0 SYSTEM PAGE 2 OF5 SITE MAP 4 ///1 1A F7- 7 PLOT PLAN PROJECT NAME: 5Z DESIGN FLOW: 450 GPD Jeremy Hawkins Attach design flow calculations for commercial plans. PROJECT ADDRESS: Rustic Road 3, Glenwood--C#, WI Pipe Material / ASTM Standard (Tables 384.30-3 & 384.345) 100.0 Sanitary Sewer. PVC / ASTM D3034 BM Symbol: $ BM Elevation: FT PVC ASTM D2665 to of 3/4" , Force Main: / BM Description: P 9 "Indicate north by IMPORTANT: Slope Gradient 11% Well Symbol (if applicable): _ ( drawing an arrow Show ground elevation contours at suitable intervals. of Tested Area: on the approprite line. I ~r C ~O St 0 rl v L w R `7 G 4 Qtr o r Q J (~O o4so -r-- k ~$a f i . 3 3 5i' ~ .I a 33 p s. W 11 ofi'~ Avg PAGE 1 OF 5 In-Ground Dosed-Gravity Plan Index & Cover Sheet Component Manual Design References: Version 2.0, SBD-10705-P (N.01/01, R. 10/12) Pg 1 of 5 Index & Cover Sheet Pg 2 of 5 Plot Plan Pg 3 of 5 Dispersal Area Cross-Section & Plan View Pg 4 of 5 Pump Tank Specifications Pg 5 of 5 Management Plan Attachments: Enclosures: Pump Curve POWTS Application for Review Soil Evaluation Report & Site Map Project Name / Description Jeremy Hawkins Owner Name(s): Jeremy Hawkins Phone: 715 _977 _0707 Owner Address: 1108 Rustic Road 3,Glenwood City,Wl Zip: 54013 Project Address: Govt. Lot: SE 1/4 of SE 1/4, Section 3 , T 29 N-R 15 E ❑or Wk/ Township: Springfield County: St Croix Project Parcel ID Designer Information Designer Name: Michael Myers Phone: 715 -265 _4115 Designer Address: 2943 130th Ave,Glenwood City,Wl Zip: 54013 E-mail: License Number: MP267985 Remarks: Signature: Date: $=k'- Z°/~ Original signature required each submitted copy. C-ECK BOX AS APPLICABLE. CHECK BOX AS APPLICABLE. Scale: 1" 20 7V SYSTEM PAGE 2 OF5 SOIL EVALUATION ~9 ❑ o IW SITE MAP PLOT PLAN PROJECT NAME: 5Z DESIGN FLOW: 450 GFD Jeremy Hawkins Attach design flow calculations for commercial plans. PROJECT ADDRESS: Rustic Road 3, Glenwood City, WI Pipe Material / ASTM Standard (Tables 384.30-3 & 384.30-5) Sanitary Sewer: PVC / ASTM D3034 N PVC / ASTM D2665 BM Symoof: ~ BM Elevation: 100.0 FT Force Main: BM Description: top of 3/4" galv. pipe Indicate nortn by IMPORTANT: Slope Gradient 110o Well Symbol (if applicable): drawing an arrow Show ground elevation contours at suitable intervals. of Tested Area: on the approprite line. ~rcpoS~d rtvcw• c I~ J i N a M ~v0o~,$oTaKK I Bz ~ B5' ~ X- I _/_/_'f_% ~Sa, I I f3 l 3'oL 7, 92 ~9p 3r I i I C)fk- AN F- 76 PAGE 3 OF 5 U ~ Z Q W W T U) L) Q Z Q g o o -co M~, U¢Z m ? c d " c v ~ E m ~ W N N O .a co cc in +cn H U c Lo -Q C w M 2` c fA '5 LD -0 d O > m a N t QQ U la- 6 _a U ~,J j _ T U -°1o a) C d r. ? c I - - I 2 -p cp to O U U Q co m - _ m a A 2 o Y d N~ Q~ r a~ Q = W IrI (n T N (n C) > U> m " ~f m N co CD a W ZZ j C I~ U Lr) V J = w O U o iI Q It I I I ` I Cl) Q W Q 3 I• a cn UCD ? I. :I a w i` U) e 5 e w } CQ Q I: :I E ~Tf o i n) co C-) -0 Q U N C) o w I sZ U) I W ° _ a) o W 0') o s. II II c a a) J t6 ~ Q U) (n Y IL fn U m CD m Q I I co o N CO U N cQ o I JI 11 II X Q o I I w Q U U L^ I C~ 13' g -o c'~o I I Z Q L Q I I N m 0- W U U Irt..;; ~,I C to G a I I W II 0 (Y) U LLJ s x' ° a d (n _ Y 3 r a l UI e U, e ° ~I f- W Ir a ~ r it Z F 9 ~E C O C PAGE Y JF 5 SEPTIC / PUMP TANK SPECIFICATIONS 4"0 Vent Pipe (No Scale) > 10 ft from Building Electrical must comply with 12" Min. or 2.0 ft above SPS 316 and NEC 300 Established Flood Elevation Weatherproof Extend manhole riser as necessary. (typical) Junction Box Approved Approved Locking Manhole IMPORTANT: Vent Cap with Warning Label Attached (typical) Anchor tank(s) as necessary ----Conduit pursuant to SPS 383.43(8)(g) 4" Min. or 2.0 ft above Established Flood Elevation (typical) Airtight Seal Finished Grade Quick Disconnect a. 18" Min. CAPACITIES @ 17 gal/in e (typical) a Depth (in) Volume (gal) ` A 20.9 355.3 * Weep Approved Joints with Hole Approved Pipe 3 ft onto B 2.0 34 A it Solid Ground (typical) [C] 5 85 -Alarm D 10 175.7 B -on f [C] PUMP-OFF ~k 3$ + Pump _off e ELEVATION = 83.8 ft Pump Tank Liquid Level = in ° Force Main Diameter = 2 in Concrete INSIDE BOTTOM Block ELEVATION = 82.5 ft Force Main Length = Oft 3" Approved Bedding Material Beneath Tank 5.75 Vertical Head =ft Force Main Void Volume = 15.6 gal + Min. Supply Head = ~ft [C] Total Dose Volume TDV = gal/dose + FM Friction Loss = 2.59 ft (5X total lateral void volume < TDV < 0.2X design flow) + (force main drainback volume) + Fitting Loss" = ft *(min. supply head x 0.3) MIN. PUMP DISCHARGE RATE = 37.1 gpm = TOTAL DYNAMIC HEAD = 8.34 ft PUMP TANK: SEPTIC TANK(S): Volume = 650 gal Total Volume = 1000 gal Manufacturer: Wieser Conctrete Manufacturer(s): Wieser Concrete Pump Manufacturer: Goulds Install approved effluent filter at the septic tank outlet Pump Model: PE41 P1 immediately upstream of the pump tank inlet. (See attached pump curve.) Controls/Alarm Manufacturer: SJE Rhombus Filter Manufacturer: Polylok Controls/Alarm Model: PSP120V6H150P17A Filter Model: 525 Float switches containing Float switches containing mercuare prohibited prohibited. PAGE 5' OF 5 In-ground Gravity Management Plan IMPORTANT: The owner of this in-ground gravity system shall be responsible for its perpetual operation and maintenance pursuant to requirements of SPS 382-384, Wisc. Admin. Code. Pursuant to SPS 383.52 (2), Wisc. Admin. Code, this system shall be considered a human health hazard if not maintained in accordance with this approved management plan. Furthermore, all inspection and maintenance activities shall be performed by a registered POWTS Maintainer in accordance with SPS 383.52 (3), Wisc. Admin. Code. Maximum Dispersal Area Operating Limits: Design Flow = 450 gpd; 11301135 5 220 mgL-1; TSS 150 mgL"'; FOG :5 30 mgL"' Inspection Checklist INSPECT EVERY 3 YEARS o type of use o age of system o nuisance factors (i.e. odors, user complaints, etc.) o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.) o material fatigue (i.e., leaks, breaks, corrosion, etc.) o solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (i.e., distribution / drop boxes) o neglect or improper use (i.e., exceeding design capacities, prohibited activities, etc.) o extent of ponding in distribution cell prior to dosing o dosing irregularities - if applicable (i.e., pump re-cycling, float switch settings, etc.) o electrical components - if applicable (i.e., wiring, connections, switches, controls, timers, alarms, etc.) o distribution lateral or lateral orifice plugging (measure lateral distal pressure - compare to design specification) o surface discharge of effluent or sewage back-up into structure served Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary) o Septic and dose tank(s) shall be pumped by a certified septage servicing operator licensed under s. 281.48 Wis. Stats. when the volume of solids in the tank(s) exceeds one-third (1/3) the liquid volume of the tank(s) or as required by local ordinance. Disposal of contents shall be pursuant to NR 113, Wisc. Admin. Code. o Effluent filter(s) shall be inspected every 3 years and shall be cleaned when necessary to remove any accumulated solids according to manufacturer's specifications. A servicing period will always be greater than 12 months. System maintenance reports shall be submitted to the proper local government unit in accordance with SPS 383.55 Wisc. Admin. Code. Report any component failure or malfunction to: Name of individual or company: Northland Plumbing Inc Phone: 715-265-4115 Local government unit: St. Croix County Phone: 715-386-4680 Local government unit address: 1 101 Carmichael Road Hudson,Wl ZIP: 54016 Any defective part of this system shall be repaired, replaced, or removed pursuant to SPS 383.51 (1), Wisc. Admin. Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 383, Wisc. Admin. Code. No product for chemical or physical restoration of the POWTS may be used unless approved by the department in accordance with SPS 384, Wisc. Admin. Code. Contingency Plan In the event that any failed treatment component of this POWTS cannot be repaired, it shall be replaced pursuant to a plan submitted to the appropriate agency for review and approval. A failed in-ground dispersal component may be abandoned and replaced by a code-complying dispersal component in a pre-determined area of suitable soils. System Abandonment If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wisc. Admin. Code. ITT GOULDS PUMPS Residential Water Systems APPLICATIONS MOTOR Specially designed for the following uses: General: • Mound Systems • Single phase • Effluent/Dosing Systems • 60 Hertz • Low Pressure Pipe Systems • 115 and 230 volts • Basement Draining • Built-in thermal overload protection with automatic reset. • Heavy Duty Sump/ • Class B insulation. Dewatering • Oil-filled design. • High strength carbon steel shaft. SPECIFICATIONS PE31 Motor: Pump - General: • .33 HP 3000 RPM • Discharge: 1'/z" NPT • 115 volts • Temperature: 1040F (40DC) maximum, continuous when • Shaded pole design fully submerged. PE41 Motor: • Solids handling: '12" maximum sphere. • .40 HP 3400 RPM • Automatic models include a float switch. • 115 and 230 volts • Manual models available. • PSC design • Pumping range: see performance chart or curve. PES1 Motor: PE31 Pump: • .50 HP 3400 RPM • Maximum capacity: 53 GPM • 115 and 230 volts • Maximum head: 25' TDH • PSC design PE41 Pump: • Maximum capacity: 61 GPM AGENCY LISTINGS • Maximum head: 29' TDH PE51 Pump: C~p Maximum capacity: 70 GPM Maximum head: 37' TDH us Tested to UL 778 and CSA 22.2108 Standards By Canadian Standards Association METERS FEET File #LR38549 40 PE51 MODELS: PE31, PE41, PE51 HP:33,.40_50 35 10 2 GPM Goulds Pumps is ISO 9001 Registered. 30 PE41 ~_,Fr O W PE31 = 25 U 2 Z 20 0 } 0 1< 15 O F< 10 -4 i~~ 5 0 00 10 20 30 • 40 50 60 70 GPM 80 0 5 10 15 m3/h CAPACITY 1 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERS= CERTIFICATION FORM OwnerBuyer J4 r f14- (`l ~ ~ `~-ms` s Mailing Address Property Address (Verification required from Planning Department for new construction) City/State 41U / Parcel Identification Number LEGAL DESCRIPTION AL Sec. T ?-f N-R1.5 W, Town of: ~ Locate Property Lot # Subdivision Z , ~2y`r Certified Survey Map # Page # Warranty Deed # Volume Page # Spec house ❑ yes ;t no Lot lines identifiable )?-yes El no SYSTEM MAIN'T'ENANCE 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, if 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. The property owner agrees to submit to St. Croix 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. Uwc, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards nn set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. mnCertification stating that your septic system has been maintained must be completed and returned to the St. Croix County days of the~three ~year expiration date. Q SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the ov,'ncr{s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. 16 1_5 k/ .5 ~ X DATE SIGN TURE OF APPLICANT • • • • • • Any information that is mis-represented may result in the sanitary pcrmit being revoked by the Zoning Department. Include with this application: a stamped warranty de6d from the Register of Deeds office a copy of the certified sbrvey map if reference is made in the warranty deed I ~t J '1 ~ ~ ~ yL ~j o C~ o © c~ o ~ ~ ~ ~ c~ 3 ~P C'~ nc~, ~ ` N SOIL EVALUATION REPORT #102 ® p Department of Safety and Professional Services Page 1 of 3 Division of Safety and Buildings Northland Plumbing, Inc. in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8'h x 11 inches in size. Plan must St. Croix D include, but not limited to vertical and horizontal reference point (BM), direction and - percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. Please print all information. RevAwe Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). / Property Owner Property Location Jeremy Hawkins Govt. Lot SE1/4, E1/4, S3, T29N, R15W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1108 Rustic Road 3 City State Zip Code Phone Number City Village Town Nearest Road Glenwood City WI 54013 715-977-0707 Springfield i Rustic Road 3 New Construction Use: Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement Public or commercial - Describe: Parent material Glacial Till Flood plain elevation, if applicable ft. General comments and recommendations: ❑ Boring # Boring Pit Ground surface elev. _ 98.31 ft. Depth to limiting factor 30 __in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure I Consistence, Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-12 10YR3/2 sll 3sbk mvfr cs 2f 6 11 8 - c - 2 12-14 10YR4/4 sl 3sbk mvfr cs if .6 1.0 3 14-30 10YR5/8 s Osg ml cs 1f .7 1.6 4 30-53 7.5YR5/8 7.5YR6/8fld spots fs Osg ml cs .5 1.0 5 53-62 7.5YR5/3 fs Osg ml cs .5 1.0 i ❑ Boring # Boring _ Pit Ground surface elev. 96.14 ft. Depth to limiting factor >70 in. Soil Application Rate Horizon Depth j Dominant Color Redox Description Texture Structure Consistenc Boundary Roots G_PD_/_ft2 in. Munsell j Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-8 10YR3/2 sil 3sbk mvfr cs 2f .6 .8 2 8-18 10YR4/4 cos Osg ml cs if .7 1.6 3 18-20 10YR5/8 sc Om mfr cs if 0.0 0.0 20-32 10YR5/6 s Osg I - cs 7 1.6 5 32-58 10YR5/8 sc 2sbk mfr cs .2 .3 6 58-70 10YR5/6 s Osg ml cs .7 1.6 I * Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD5 < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signatu CST Number Michael J. Myers 267985 Address Northland Plumbing, Inc. Date Evaluation Conducted Telephone Number 2943 130th Ave Glenwood City, WI 54013 6/24/2016 715-265-4115 SB D-8330 (R.11,111) Property Owner Jeremy Hawkins - Parcel ID # Page __2 of 3 Boring # Boring Pit Ground surface elev. 93.52 ft. Depth to limiting factor >75 in. - - Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence! Boundary Roots GPD/ftZ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Eff#t 'Eff#2 1 0-12 10YR3/2 sil 3sbk mvfr cs 2f .6 .8 2 12-27 10YR5/6 s Osg mvfr Cs if .7 1.6 3 27-33 10YR3/6 SC 2sbk mfr Cs .2 .3 4 33-75 10YR5/6 fs Osg mfr cs .5 1.0 7U ~f A 00. Boring 4 Boring # Pit Ground surface elev. ____92.04 ft. Depth to limiting factor >76 in. -----Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Eff#t I `Eff#2 1 0-13 10YR3/2 sil 3sbk mvfr Cs 2f .6 .8 2 13-36 10YR4/4 sil 3sbk mvfr cs if .6 .8 3 36-48 10YR5/8 cos Osg ml cs .7 1.6 4 48-76 10YR5/6 s Osg ml cs 7 1.6 Boring 5 Boring # Pit Ground surface elev. -_90.71 ft. Depth to limiting factor >80 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftZ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Eff#1 'Eff#2 1 0-11 10YR3/2 sil 3sbk mvfr cs 2f .6 .8 2 11-14 10YR4/4 sil 2sbk mvfr cs if 6 8 3 14-25 10YR5/6 s Osg ml cs if 7 1.6 4 25-38 10YR3/6 scl 2sbk mvfr Cs .4 .6 5 38-80 10YR5/6 „ AP S Osg ml cs 7 16 * Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L " Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L The Department of Safety and Professional Servicese is an equal opportunity service provider and employer. If you need assistance to access scrvices or need material in an alternate format.. contact the department at 608-266-31 1 or TTY through Relay. SBD-S.3(!rect Ill 1111) Northland Plumbing, Inc. Property Owner Jeremy Hawkins Parcel ID # Page 2 of 3 Boring 3 Boring # Pit Ground surface elev. 93.52 ft. Depth to limiting factor >75 in. - Soil Application Rate Horizon Depth Dominant Color Redox Description Texture j Structure (Consistence! Boundary i Roots I GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 -Eff#2 1 0-12 10YR3/2 sil 3sbk mvfr cs 2f .6 .8 I I I ~ 2 12-27 10YR5/6 s Osg mvfr cs if 7 1.6 I 3 27-33 10YR3/6 sc 2sbk j mfr cs .2 .3 4 33-)( 10YR5/6 fs C Osg mfr cs .5 1.0 rot- U . 07 i Boring 4 ]Boring # Pit Ground surface elev. 92.04 ft. Depth to limiting factor >76 in. Soil Application Rate Horizon ! Depth ! Dominant Color j Redox Description, ! Text ure Structure Consistence; Boundary I Roots j GPG/ftZ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#t *Eff#2 1 0-13 10YR3/2 j sil 3sbk mvfr cs 2f ! 6 8 i I 2 13-36 10YR4/4 sil ; 3sbk mvfr cs 1f 6 I 8 3 36-48 10YR5/8 cos Osg ml cs .7 1.6 4 % 48-76 ; 10YR5/6 s Osg ml cs .7 1.6 I F-l Boring 5 Bonin 9 # factor Plt Ground surface elev. 90.71 ft. Depth to limiting >80 in. Soil Application Rate Horizon Depth ; Dominant Color Redox Description Texture I Structure iConsistencej Boundary Roots GPD/ftZ in. Munsell Qu_ Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-11 10YR3/2 sil 3sbk mvfr i cs 2f I 6 I .8 2 11-14 10YR4/4 I sil 2sbk j mvfr j cs 1f .6 .8 3 14-25 10YR5/6 ! s Osg ml cs if 7 1.6 4 25-38 10YR3/6 scl 2sbk mvfr cs 4 6 5 38-80 10YR5/6 i s Osg i ml cs .7 1.6 I * Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L The Department of Safety and Professional Servicese is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, contact the department at 608-266-3151 or TTY through Relay. SBD-833oTest (R 11/11) Northland Plumbing, Inc. TV V\l (A v) w z N b Q C p N r~ h SCAVE ~T i 9°•7/' i ~oy•~g3..2' ~ i gs aZi 4 y $ 3 S/P I . I IU4 I 2 > soo ~ I A'V 1-~