HomeMy WebLinkAbout026-1126-18-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
(ATTACH TO PERMIT) 589770
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:
Brushy Mound Partners TOWN OF RICHMOND 026-1126-18-000
CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No:
/063 Cu 1 J-4-~ 12.30.18.779
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER Xi'^911 CAPACITY STATION BS HI FS ELEV.
I
Septic Benchmark
_ 1,J%i I / Z 5a 3- /A34 /61!~N
F.• a k 5;Z _-s Alt. BM A%, ,7 Ad • 2
Aeration Bldg. Sewer
Holding St/Ht Inlet ( C,7. 2
TANK SETBACK INFORMATION "§t/Ht Outlet ` J
G. 5 qrr • 47
TANK TO P/L® WELL BLDG. Vent to Intake ROAD Dt Inlet \
Septic NA- Dt Bottom
56 3
Dosing Header/Man. 6,7 No 1
Aeration Dist. Pipe
l,, 7 9G b$
Holding Bot. System
7•sz 95.8
PUMP/SIPHON INFORMATION Final Grade t
3 ~OZ 99 7S
Manufacturer GP Demand St Cover, 7Z /d
Model Number 7
TDH Lift Friction Loss System ]115R Ft
Dist. to Well
Forcemain L
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS y~ trt
1
SETBACK SYSTEM TO U Ti6 BLDG WELL LAKE/STREAM LEACHING Manufacturer: ~L r,~
INFORMATION Type Of System: CHAMBER OR N / W
AA UNIT Model Number:
Co,n,ae,.lra - 1 do-
DISTRIBUTION SYSTEM N 7*- g / T
Header/Manifol Distribution x Hole Size Ix Hole Spacing Vent to Air Inta e
Pipe(s) we
Length .5 Dia Length Dia Spacing Gj 0'
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched
Bed/Trench Center Bed/Trench Edges Topsoil dd No Yes No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2:
Location: 1629 WATERS EDGE DR 6-a_ Q
1.) Alt BM Description = GdjcA, yn~ r1V1 ~vA-,%- ~QO►-~~^
2.) Bldg sewer length = Z4
- amount of cover = n O C~~~~~G
Plan revis
Yes
Required? °l 19 IMP
Use otherlside for additional information. o _ V✓ t. " '7
SBD-6710 (R.3/97) Date Insepctor's Si Vtture Cert. No.
r•!4~~~ Count
AECOVED Safety and Buildings Division
1) 201 W. Washington Ave., P.O. Box 7162
4 ~ ~ Sanitary Permit Number (to be tilled in by Co.)
JUL 26 2016 Madison, wl s ~7-7162
r , 4
5'99 770
gr CRC)lx col IN 84
11
COMMUNP'~4 4{,gyp;p it Application 98)-- State Transaction ' ugiber
W In accordance with SPS 383.21(2)!, Wis. Adm. Code, submission of this form to the appropriate b .I unit
is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are to Project Address (if different than mailing address)
the Department of Safety and Professional Servics. Personal information you provide may be used for s", Lary,
u purposes in accordance with the Privacy Law, s. 15.04(1)(m), Stats.
1. Application Information - Please Print All Information
Property Owner's Name Parcel #
Property Owner's Mailing Address Property Location a 1 Y, I
Govt. Lot / 9
City, State Zi Code Phone Number
P Ifliv ''/a, :C l(/' 1/4, Section
p~~ trclc one)
II. Type of Building (check all that apply) Lo T Sz' N; R E of
1 or 2 Family Dwelling- Number of Bedroom Subdiivissio/n Name / Block 4C X.
❑ Public/Commercial - Describe Use 1_V
❑ City of
❑ State Owned - Describe Use CSM Number El Village of
_ ~ /
2 1~~ ('2S w } EZ rj~a s/``~Town of
III. Type of Permit: (Check or one box on line A. Complete line B if applicable)
A. New System ❑ Replacement System ❑ Treat mentlHolding 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. T e of POWTS System/Component/Device: (Check all that apply) 10
C•~/
on-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil
❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain)
V. Dispersal/Treat ent Area Information:
Design Flow (gpd) Design Soil Ap lication Rate(gp f) Dispersal Area Required (s Dispersal Area Proposed f) System Elevation )
oo l~~ 0?
z . 7
VI. Tank Info Capacity in Total # of Manufacturer
Gallons Gallons Units
hcw'I'anks Existing Tanks w = y
Q ~J yr " to i.L C7 F,
Septic or Holding Tank
/Z1 L' _ /ZS tt 17:Sty,
Dosing Chamber
VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans.
Plumber' `amc (Print) Plumber's Signature M MPRS Number Business Phone Number
Plumber's Address (Street, City, State, Zip Code)
VIII. untv/De artment Use Onlv
pproved ❑ Permit Fee Date I sued Issuing nt Signature
YfK -too
~~~tven Reason for Denial
IX. Condi ' Reasons for Disapproval ~Q~
.
f . .Ssptlr~''tartit, efht~t filt•.► and
dlsperxai cell must all ktEft,3L
as per atiagerrtent plan provided a plumber.
Z ~1:"k ~tls must,be rnalntzined t1 r d ( 1/ ~ dG~,
89 PW AC" Code / ordiflamea.
Attach to complete plans for the system and submit to the Coyr~y only o e not les than S I/1 x 1 ine sin size
1 hJ~ 1r►11/~
5/ ~np!>ua G~hI~ I~e~ F~lL.~1 ~Z
SBD-6398 (R. 11/11)
1-6 lat,
SCALE 1 " EQUAL 40 FT
SYTEM ELEVATION 96.7 _1__1c O p y
LOT 18
/ DRIVE WAY ;
WIE ER1250 SEPTICTANK
PO LOCK 525 FILTE
TW TRENCHES 90 F LON PROPOSED
EZ LOWS HOUSE
N
t
a ;
l
i '
BENCH MARK 10
\
TOP OF CPLVERT 0 5 '
WATERS EDGE
ALT BM 2 1"PVC w~ ~o
/
PIa EL 19.70 / DRIVE '
BOAEIyIG 1 /
1
132'
/
B3 f/
,
B4 -
B ;
Z_.
z '
L
i
CONVENTIONAL COMPONENT DESIGN
Residential Application
INDEX AND TITLE PAGE
Project Name: Mathews 1629 Waters Edge Drive, New Richmond
Owner's Name: Brushy Mound Partners / Micheal Stevens
Owner's Address: PO Box 445, New Richmond, WI 54016
I
I
Legal Description: NE 1 /4 SW 1/4, Sec. 12, T30N R 18 W
i
Township: Richmond
County: St Croix
Subdivision Name: Water's Edge
Lot Number: 18
Parcel ID Number: 026-1 126-18-000
Page 1 Index and title
Page 2 Plot Plan
Page 3 System Sizing & Cross-Section
Page 4 Filter Specs
Page 5 Maintenance Information
Page 6 Management Plan
Page 7 St. Croix Cty Septic Tank Maintenance Form
Page 8 Warranty Deed
Page 9 CSM or Plat
i
Attachments: Soil Test & House Plans
Designer/Plumber: Tim DeYoung License Number: 664713
Date: 07/16/2016 Phone Number (715) 246-2660
Signature
Designed pursuant to the In-Ground Soil Absorption Component Manual for POWTS Version 2.0 SBD-10705-P (N.01/01).
Page 1
SCALE 1 " EQUAL 40 FT
SYTEM ELEVATION 96.7
LOT 18
/ DRIVE WAY ;
,
WIE ER 1250 SEPTIC TANK /
PO LOCK 525 FILTE
TW TRENCHES 90 F LON PROPOSED
EZ LOWS HOUSE
,
l
1
BENCH MARK 10 \
TOP OF CpLVERT 0 5 '
`
J ~ ;EDGE
ALT BM 2 1"PVC WATERS
PIq EL X9.70 DRIVE
BOE EIYG 1
B2 I
1 '
B3 li
B4......~..:.~
B
7-
LL
Z '
L Z ,
SOIL ABSORPTION SYSTEM DETAIL/ GRAVELLESS LEACHING UNIT Page_of_
Project Name: 172.4 AC e.JC A./Z S le+14,t
~d No. of Cells _ -Per Cell
ft Cell Width Total No of
It Cell Length sq ft EISA Per Cell
ft Cell Spacing sq ft Total EISA
Manufacturer Model Laying Length EISA Rating
Infiltrator EZ1203H-5ft 5.0' 25.0
EZ1203H-10ft 10.0' 50.0
Gravelless Leaching Unit Manufacturer: F2_ lZ0 2 -10-Pz
Gravelless Leaching Unit Model:
Typical Cross Section
Finished Grade ft
Observation Pipe with
approved cap or vent
' Soil Backfill
in
Geotextile Fabric
■
ft Infiltrative Surface
12 in 0 All 74
A le I it Limiting Factor
in q Slotted and Anchored Vent!
JD Observation Pipe with Cap
e.■.re.................. r■.
Plumber/Designer Signature:
License: Date:
Amr
TM
UYA tnc
innovations in Precast, drainage Zabel PL-52 Effluent Pilfer
& Wastewater Products A Di0sion of PoVok Inc.
PL-525 Filter
The PL-525 Filter is rated for 10,000 GPD (gallons per day) making it one of the largest filters in its class. It has
525 linear feet of 1/16" filtration slots. Like the Polylok PL-122, the Polylok PL-525 has an automatic shut-off ball
installed with every filter. When the filter is removed for cleaning, the ball will float up and temporarily shut off
the system so the effluent won't leave the tank.
F
Features: 1 1/16'' Filtration Slots
• Rated for 10,000 GPD (gallons per day). Alarm Switch
D41Q (Optional)
• 525 linear feet of 1/16" filtration.
. Accepts 4" and 6" SCHD 40 pipe. Accepts 1" PVC
Extension Handle
• Built in gas deflector.
• Automatic shut-off ball when filter is removed.
• Alarn'i accessibih-t Rated for
( 10,000 GPD
• Accepts PVC extension handle.
}
PL-525 Installation:
Ideal for residential and commercial waste flows up to - 525 Linear Ft.
10,000 gallons per day (GPD). of 1/15"
t Filtration Slots
1. Locate the outlet of the septic tank.
2. Remove the tank cover and pump tank if necessary.
Accepts
3. Glue the filter housing to the 4" or 6" outlet pipe. If 4" & 6"
P SCHD 40 pipe `
the filter is not centered under the access opening use a j s
Polylok Extend & Lok or piece of pipe to center filter.
4. Insert the PL-525 filter into its housing.
5. Replace and secure the septic tank cover. Certified to
i NSF/ANSI Standard 46
PL-525 Maintenance:
The PL-525 Effluent Filters will operate efficiently for ((t
several years under normal conditions before requiring j
cleaning. It is recommended that the filter be cleaned
every time the tank is pumped, or at least every three t
years. If the installed filter contains an optional alarm,
the owner will be notified by an alarm when the filter
needs servicing. Servicing should be done by a certified M Gas Deflector
septic tank pumper or installer. Automatic
1. Locate the outlet of the septic tank. € shut-Off Bali
2. Remove tank cover and pump tank if necessary.
3. Do not use plumbing when filter is removed.
4. Pull PL-525 cartridge out of the housing.
5. Hose off filter over the septic tank. Make sure all j
solids fall back into septic tank.
6. Insert the filter cartridge back into the housing making
sure the filter is properly aligned and completely insetted. Outdoor smartFilter& Alarm Extend & Lok
I Polylok, Zabel & Best filters accept Easily installs
7. Replace and secure septic tank cover. the SmartFilter V switch and alarm. into existing tanks.
Polylok, Inc. 3 Fairfield Blvd. Wallingford, CI' 06492 Toll Free: 877.765.9565 Fax: 203284.8514 www.polylok.com
1
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F-
ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
c~
Owner/Buyer ; L4~ i y u ~-►z i I-}.~i~ (~/l fL,,~-Ids C~1/~-3,~
Mailing Address
vc~
Property Addres~ tv 4 f2-C'- Co'
(Verification required from Planning & Zoning Department for new constru tion
City/State ~l wtKfl.~~ Parcel Identification Number a I L l..a l
LEGAL DESCRIPTION
Property Location '/4 , j `/a , Sec./ T~ N R ` CI W, Town of I < /w a Subdivision Lot # 6
Certified Survey Map # , Volume , Page #
Warranty Deed # q - , Volume J , Page #
Spec house yes jno Lot lines identifiable y~ 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, 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. 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 113 full of sludge.
]Uwe, 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.
Uwe certify that all statements on this arm are true to the best of mylour knowledge. Uwe am/are the owner(s) of the
property described above, by virtue of warra ty deed recorded in Register of Deeds Office.
Number of droo
N TUBE OF 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. 08105)
POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page I of 71,
FILE INFORMATION SYSTEM SPECIFICATIONS
Owner ~~Th! Septic Tank Capacity 1250 gal ❑ NA
?O.'>1
Permit # Septic Tank Manufacturer tVie_SP/b ❑ NA
DESIGN PARAMETERS Effluent Filter Manufacturer 4 /"cl ❑ NA
❑ NA Effluent Filter Model ~ZS✓ 11 NA
Number of Bedrooms V
Number of Public Facility Units ❑ NA Pump Tank Capacity gal A NA
Estimated flow (average) y.5"D gal/day Pump Tank Manufacturer J$ NA
Design flow (peak), (Estimated x 1.5) I ~p 6 gal/day Pump Manufacturer E NA
Soil Application Rate gal/day/fts Pump Model Ssl NA
Standard Influent/Effluent Quality Monthly average* Pretreatment Unit ,f9 NA
Fats, Oil & Grease (FOG) 530 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter
Biochemical Oxygen Demand (BODS) 5220 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) <_30 mg/L JWIn-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:
Maximum Effluent Particle Size YB 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
- ❑ % year(s) month(s)
Inspect condition of tank(s) At least once every: 3 (Maximum 3 years) ❑ NA
Pump out contents of tank(s) When combined sludge and scum equals one-third (Y3) of tank volume ❑ NA
rY~ ❑ 419 year(s) monthls) (Maximum 3 years) ❑ NA
Inspect dispersal cell(s) At least once eve
~
/ ❑ month(s)
Clean effluent filter At least once every: /i ! year(s) ❑ NA
Inspect pump, pump controls & alarm At least once every: ❑ year(s)month(s) 0 NA
Flush laterals and ressure test At least once eve ❑ month(s) NA
p n ❑ year(s)
Other: At least once every: El year(s)
Other: 4 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 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
immediate notification of the local regulatory authority.
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.
A service report shall be provided to the local regulatory authority within 10 days of completion of any service event.
Page Z 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 up shall not 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.
Do not drive or park vehicles over tanks and dispersal cells. Do not 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:
0 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 holding tank may be installed as a last resort to replace the failed POWTS.
0 T aluati a o ding~ank
be " e ai e f p}{If3 Tfe~ ~D~ /~/~lA ~A~l57RCJ~TI l~
0 Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the
infiltrative surface. Reconstructions of such systems must comply with the rules 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 J POWTS MAINTAINER ,rte
Name Name
Phone . Phone ?/J ti 21ZL Ci~p D
SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY
Name ~/✓Q t /t SCIY/«'f Name ST. C~DI (~C/N ~llff~
Phone ! 7/f _ YZ lam- Z3 Phone f S- 3 lP- (O 8~
This document was drafted in compiiance with chapter Comm 83.22(2)(b)(1)(d)&(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code.
tf
s
D L
~
114, of the, NW 1/4,
1
JW 1/4, the NC 1/4
f the W 1/4 of the
;rrix County, Wisconsin.
3 1
I ~°1
N60 i
do,
N60 y
5,56»W 262.43 _ °g W
ry c~' ~ , *9 584
1308,82' EAST-WEST 114 LINE /
i •
M rCf-,►- I N 1~ r
L D T 1 L or 1.8 1 1
a~ ° N.W.E. 996.0TOTAL AREA. TOTAL AREA: /
92,691 SO. FT. 94,358 30. FT.
ni 2.13 ACRES <v 2.17 ACRES
Li F.F.E. 1000,0 pA
; 1 t j cy rIV
CL
~ 1 c~ t / c
77025
S>5 03.56 190.87' 1'OTA
1
461 88, 0:
~i
5g•
LOT 17 ~ N1 5
0) 1 ~9
TOTAL AREA: lb* / • /
83,452 SO. FT.
1.92 ACRES
! t~ L 0 T
'M TO' AL ARf
Wisccfisin Oepartnient of Industry, SOIL AND SITE E V A L U AT I Qaf~~ 1~ Page 1 of 3
Labor and Human Relations
Divisio f Safety & Buildings in accord with ILHR 83.05 W' 'A CO*'
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Pla t include, but k roix
not limited to vertical and horizontal reference point (BM), direction and % of scale o Z RC .t LD. # Z
dimensioned, north arrow, and location and distance to nearest road. ~~t4. y Z
r v REVIEW 0 DATE
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION
PROPERTY OWNER: PRO CATION
Derrick Const. Inc. GOVT. L E 1114 SW 1i4,S 12 T 30 N,R 18 k(or) W
PROPERTY OWNER':S MAILING ADDRESS LOT # BLO 0. NAME OR CSM # PFV-, 5
1505 Hy. #65 18 na CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE SOWN NEAREST ROAD
New Richmond, WI. 54017 b15) 246-2320 Richmond 140th St.
New Construction Use [ Residential / Number of bedrooms 4 [ ] Addition to existing building
Replacement [ ] Public or commercial describe
Code derived daily flow 600 gpd Recommended design loading rate .7 bed, gpd/ft2 .8 trench, gpd/ft2
Absorption area required 858 bed, ft2 750 trench, ft2 Maximum design loading rate .7 bed, gpd/ft2 _8 trench, gpd/ft2
Recommended infiltration surface elevation(s) 96.70 ft (as referred to site plan benchmark)
Additional design / site considerations na
Parent material outwash Flood plain elevation, if applicable na ft
S =Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK
U =Unsuitable fors stem .91 S❑ U K] S❑ U [2S El U K] S ❑ U ❑ S E U ❑ S ® U
SOIL DESCRIPTION REPORT Cb&O- .lk (i -14M
Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft
Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ~Y Bed Trench
1 0-12 10 r 3 3 none 1 2ms S
if .5 .6 S
Ground 3 22-84 7.5 r 4/6 none ms is
elev.
100.5ft.
Depth to
limiting
factor
+841,
Remarks:
Boring # 1 0-12 10yr3/3 none 1 2msbk mfr if .5 .6
-
2 2 12-3Q 10 r4/4 none sil 2msbk mfr gw if .5 .6
3 30-90 7.5yr4/6 none cos Osg ml na na .7 .8
Ground - -
S _ -
elev. LO Lgl~ Ur
99.9 ft.
Depth to
limiting
factor
+901,
Remarks:
CST Name:--Please Print Gar L. Steel Phone: 715-246-6200
Address: 1554 200th. Aye., New Richmo WI 54017
Signature: Date: 6-15-2000 CST Number: m02298
PROPERTYOWNER Derrick Const. Inc. SOIL DESCRIPTION REPORT Page 2 oi 3
PARCEL I.D. # pending
Depth Dominant Color Mottles Texture Structure Consistence GPD/ft2'
Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.Y Roots
Bed Trench
:....3... 1 0-12 10 r V3 none 1 2msbk mfr cs if .5 .6 •5^
2 12-26 10yr 4/4 none sicl msb ?i mfr gw if .5 .6
Ground 3 26-84 7.5 r 4/6 none is os mvfr na na .7 .8
elev. c---- - - -
100.7 ft.
Depth to
limiting
factor
+84
7
:3 L40
Remarks:
Boring # ?
1 0-12 10 r 3/3 none 1 2 n .2
4 2 12-18 10yr 4/4 none sicl sbk mfr gw if .5 .6 ?
3 18-84 7.5yr 4/6 none is osg mvfr na na .7 .8
Ground
elev.
100.7 ft.
Depth to
limiting
factor
+84
I
Remarks: _
Boring #
1 0-12 10 r 3/3 none 1 2msbk mfr cs if .5 .6 S^
5 2 12-25 10 r 4/4 none Sicl msbk mfr CTW if .5 i.6
3 25-84 7.5 r 4/6 none is osg mvfr na na .7 .8
Ground -
elev.
100.8ft. -
1 47, 7
Depth to
limiting
factor
+8411
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD-8330(8.05/92) -
PROPERTYOWNER Derrick Const. Inc. SOIL DESCRIPTION REPORT Page 2 of 3
PARCEL I.D. # pending
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trer&
3 1 0-12 10 r 3Z3 none 1 2msbk mfr cs if .5 .6 S~
2 12-26 10yr 4/4 none sicl msbk ? mfr gw if .5 .6
Ground 3 26-84 7.5 r 4/6 none is os mvfr na na .7 .8
elev. -
00.7 ft.
Depth to
limiting
factor fg c
+84"
F-T-
Remarks:
Boring # ?
1 0-12 10 r 3 3 none 1 2 1 n 2
4 2 12-18 10yr 4/4 none sici f sbk mfr yw if .5 .6 ?
3 18-84 7.5yr 4/6 none is osg mvfr na na .7 .8
Ground
elev.
00.7 ft.
Depth to
limiting 1
factor
+84"
Remarks:
Boring # _
1 0-12 10 r 3/3 none 1 2msbk mfr cs if .5 .6 S
5 2 12-25 10 r 4/4 none sicl msbk mfr if .5 .6
Ground 3 25-84 7.5 r 4 6 none is osg mvfr na na .7 .8
elev.
100.8ft. -7
Depth to /
limiting
factor 1 -7 2 7 1
+84"
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD-8330(8.05/92)
r STEEL'S SOIL SERVICE
Gary L. Steel Derrick Construction, Inc. 1554 200th Ave.
CSTM2298 NE4SW4 S12-T30N-R18W New Richmond, WI 54017
MPRSW-3254 town of Richmond (715) 246-6200
lot #18-Brushy Mound Lake
This soil evaluation was conducted to satisfy a zoning requirement, it may or may
not be suitable for your use. The location of the test may or may not be as shown
as permanent lot lines were not established at the time the test was conducted.
--N
,,-1"=40'
of 1" culvert C el. 100.00
An-BM = top of 1" pvc pipe C el. 99.70'
3
r
Gary L. Steel
6-15-2000
Rr'LIMINARY PLAT OF B!
\ 12' Utilit Ea`i~en=--~
TOWN P\0 AD
pROpOSE~
LOT/19
.91675 SQ..FT. /
2.10 ACRES /
4-j f~ o~ ~ B --~1 ,~0 T 18 /
Cn I + ~o„ B-5 - 1 558 SQ.T.
B~3 2.17 ACRES
,oo,.
B-2
01 o \-4
x
Q' 996.0 Q B-5 a O/
ZQZ
B-2 QQ /
O / O
1002 . \ 20 Dra~~a9e B _ 1 p
O~ casement
h
.-a99.,Y 1001.3
r n 100,4
-7 o0
-1008\ L 0 T
83452-- Q Q B- X
CRE -E~O
1010
o oo
+ C\l
Q B-3 o: 1000.9 X
B-1 ' 96
B_ 2 s. 2
T~6~ 1 002.4
-886 SQ. T.\ x
2. 3 ACRE%
x JOJCp I x
~J N
1021.8 V O~~l \ \ ` ` 1005.0
V
1
1022.7
x
V~ \ ~O
B-2 O \
^ look ~A
/ i 1