Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
026-1306-00-028
Wisconsin Department of Commerce County: St. Croix PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 592146 GENERAL INFORMATION State Plan ID No Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. NA Permit Holder's Name: City Village Township Parcel Tax No: Kyle & Logan Wettig TOWN OF RICHMOND 026-1306-00-028 CST BM Elev: Insp. BM Elev: BM Descriptio Section/Town/Range/Map No: ~(!1 rllzte 19.30.18.1635 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic IIV:.1, c , ^ 50 i~ Benchmark ~ 0 /(/(O^/ ' 0/9 L Alt. BIM eratlon NL ~ Bldg. Sewer ~ •rtie.. ~ 1, Ht Inlet TANK SETBACK INFORMATION Ht Outlet 5lo o a TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet 0~ r 1 Septic ( 1 Dt Bottom Dosing N Bader an. ~j , V Ae Ion Dist. Pipe !Or 11 & 96.05" 2- Holding Bot. System ' 7- 17- PUMP/SIPHON INFORMATION Final Grade ~.j S' l0 r '7 Manufactur Demand St Cover Model umber / (O I TDH Li Friction Loss Syst ead TDH Ft Forcemain Len la. Dist. to Well SOIL ABSORPTION SYSTEM a' BED/TRENCH Width IL e the No. Of Trenches ~J PIT DIMENSIONS No. O)P Pits Inside Di~ Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: •1 (i{ INFORMATION CHAMBER OR TNmom / ',.v ( A- UNIT Model Number: anifold Distribution x Hole Size x Hole Spacing Ve Io Air Int~ q;ength BUTI N SYSTEM / Pipe(s) 1 Dia Length Dia Spacing VER 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 Y~ Bed/Trench Edges/~ Topsoil --g -I No COMMENTS: (Include code discre~enciess persons `resent ptc.) Inspection #1: Inspection #2: Location: 955 0TH~AV ~l I~S 1 v~~~U @ ( 5~~ W~~ ~Al / 1.) Alt BM Description = `t^C? C ` ~ 3 h (C- o n~ 2J Bldg seiner length = -fi, 1%f;J0r~ -amount of cover = t 1' -7 1 o CWrtr On 0111 Plan revision Required? ❑ Yes No Use other side for additional informat Date 0rl'sSignature pctoCert. o. SBD-6710 (R.3/97) RECEIVED ~ C~ 6 42C~r cc~tmmert .livl.gtau Safcry amd Buildi ' ivision county ~ - lX i✓OUNTY 291 W. Wasbingtolr .F1 .o. x 71 O y7 Madismi, W) Sanitary permit Number (too ba filled in by Cn.) nsp~tl l of rlltt>mr+:~ yZ/~/Ey Z ~*atc Transaction I , r Sanitary Permit Application to accordancm with s, Comm. 93.21(2), Wis, Adm. Code, submission of ibis form to the appropriate govern... unit is required prior to obtaining a sanitaty permit, Now Application forms for state-owned POWTS are rgject Address (if different than mailing addreaa) vtbinitted to the Department of Comtnereo. Personal information you provide may be used for secondary ^ /G arcs in accordance with the Privacy Laws R. 15.040)(m), Stars. 7 1._ Application Information - Please Print All InformatiqW~ - Proper" Owner's Nam v. Parcel It 00 flropeny (7wnar's Mailing AddvK~ property lwrcetion Q 20 j 3 QaVt. l of Stair, Zip Colo Phone Number Section C1rClC 0t 5 1 xl _9 i~ 1 Li N, R. -4n g lI. '1 ype of 18t ild4nt tt (cheep n11 That apply) Lot ~ or 21'amily Dwelling Number of Aedrooms Subdiviaion Narnc Block / iGJ_C/4 J /r' t9i1^ I_-I Pnhlir,/Commercial -Describe Use-_~(J/C~ fpv"v-~~~ -f- ❑City of r f...G I# ~~a✓` CSMNtanher fl Villageof State Owned 13esedbo Ilse _ G h Town nP•./ ' IIi. Type of Permit; (Check only one finx on lime A. Complete line A if applicable) A. ~"ew stem ❑ Replacement S stem 5y y ❑ '1'reatmenY/Hnlding TankReplaeemant Only FA tJthcr Modifl4atintt to Existing Sytttem (explain} _Ift'_- ❑ Chan List Previous Permit Number and Date issued Pennit Renewal 11 Permit Revision ge of Plumber Permit Tranafer to New `~4 Before Expiration Owner 3 t F 4 I'V. 'I C of PoWI S S,ysteln/Corm onent/Aevicer (Check all that app1Y) Non-Pressurized In-Oround n Pressurized 1n-ground E.J At4iradc El Mound 24 in. of suitable soil ❑ Mound < 24 in, of suitable soil I 1 Nnlding Tnnk Qthe Dr ispersolComponent (explain) Pretreatment Device (explain),- G•/-Y~----, V. Diiersal/Treat entArea Information: ol e cx. -r, ~3 7 - I)crign Flow (gpd) Design Soil Application Irate{ sp Dlspe !a Required (af) Dispersal Ares Prop (sf) System i3levado VI. Tanis Infra Capacity in Total 0 of Manufactu _ Gallons Gallons Units o New Tanks - Existing Tanks Septic or Holding Tank Dosing Chamhet V11. ReSPnns11i11tty Statement- k the undersigned, assume rest nalbtilty for installation of the POWTS tx n on the attached plans. Plutnhrr's Name (Print) Plumber's .Signatllro~ PRS Number Business phone Number dC,.i rt S frc _7"&%4er PH nmher's Address (Street, City, State, !ip Coda) - - _ 1111rAppmvml 1. Countym "artin nt use oniv Permit Fee Date Pssn Naming nt Signature en Reason for Denial $ V r~ ~L// Y IX. < ontliti_ 71glWi4teasolis for Disapproval i. tank, aft ow flftF kint17 disiOOMN cell mutt All pit icy ! rnG nta'rec' per Management plan prf,iigd by plumber. 2. `Ah10016lib k'rrgbi(rar1enks mW (e rnaintc`ineJ Atirch to complele prras thr the iryttatn and anhmlt to the county only an paper notion torn a 102 r 11 inches In elxe RND-61911 (R.. 09109) e Jz I N j ~~iuN "lJt a u a ICI CONVENTIONAL COMPONENT DESIGN Residentiai Application INDEX ANp TITLE PAGE Proiect Naln : Owner's Name: Owner's Andress: L Pgal [)ascription Coljoty: I of, Numherr, 1'are~l fl-} Nurnber° Page 9 Index and title page 2 _ Plot Plan Page 3 _ System! Sizing & Cros Se oct n Rage a - F_(Iter Spece Page r _ Maintenance Information Page Management Plan Page 7 St. Croix Qy 5epfic Tank Maintenance Form Page 8 - Warranty Deed Page 9 CISM or, Plat Attachments: Soil TPSt & House Plans 1-►eslgn~rli'►~ amber. Ltr"'ll<<<~~~ ~~h "t ? !._icense Number: Dal(- Phone Number Sigriairifr~a i - I)r~a(i~J~ptt pmst~eJ~t to khe In-ornmid Solt Absorptfon Campon~nt Manua! for i OWP,s Varsion 2_D S8o-107g9_P Page 1 a " Pu /,o 94- g H3 ~l izSv Sepr,` c z Oc ~ r Jr P y Soli Abearption S+~tem Gross section 1n) 2, G k4'V'Grade Schedule 40 C Vent Pipe ith Vent Cap Leaching Chamber system Elevation 3 ft ft Soil ALMS009ion System Pian View GE ft ft Trench 1 Veni Or Observation Pipe Chambers 4" Die. Trench 2 Header eachina Ghambar 9 socationa Manufacturer And MDdei EI A Rating sq ft per chamber Soil Application Rate 7 gpdh q ft y"3 Sail Application Rate -"C' E#SA = Chambers god Design 1;1ovu , 2 rows of l~ chambers each. Page of f i W Y W U a- SQL dw Q i !1 ~ O - - L~LJ m _Z O O y ~r I~ L6 I U Cl) W' M (9 pu u ¢ Q p p ZZ . i v Z O~O p to W C,) O LZ P- Clf 0CL 0 0 Q OQ E75 LL, p~CL ~a F- U O Q C'~ U U 6 O W Cl) M M co O E W O U M U - E O LO M 06 u I I~ i N n n GO iJ 1 i u N u O U L, or) N i Cl) 1- / Z ~ O Z z 0 C-) LIJ CO ~ W Z / co S q'S / F~- C,) O J V- \ Y W Z MD ~V L w C J= W U U W QO S _ W co z z ::D U O= a- W N O ~ d Z L) LJJ 77~ C W Q J Z w ZOO J r CL ZwW LLm a- co \A < wN 0 -I m ~ c0 O Q U' J z Z W r- _j Q N►- WC/DJm / ~QQO~Cn a- ri 20co soog. F i~_~~p~ll~ V911pR.VId~~VV16V~~11 - e I I. I~ I I,~ I I I I I L I I I I I I ~ I I III III l I ,1111 'i ul I I I,~ II'I I I I ~I IIII Ills ~ II II I~ I II I I I T1 I I I I O ~ ~'~I o I IIII I' 1 I'I~{ II I IdI I if ~LI~ I I ~ I 'i C~ ' jr ' 11 I IIII I I I' 111 I ~I y I lI III IIII I II II I o N, ill ill I H 11 11::_ - 'L Lit ~`v II11 I I ~~~II IIII 11 III II III IIIIII I I~ I T:, 1 a IIII III I i I!~illl' 'lll I ~ 111111'1 I I I II II II 'V'III 1'11111 III I 1 'III ~II II IIII ~ 'VGDIdIV IC9~06CdI~uuVV9 ~ ~ ~V~I ujllu~' ~VVIV~~~V~V V~~VI~d~IuV~Vu~VVVV~G~I~IV~~I~VI ~ V~~V~~uVV~V~~~~J~i ~ I ,rr ,rrr cc U U _ O O ~ N N ~ CJI ~ O U - I ch U O N O CD N O U N v r J In N U co . ~ III I~ o"I d, VII ~ I I/'I I~ I I IIII I III IL.',h III hI I ~.II III 4VI 1II ~+111 1I' ~~I ~Ilg' ~ ~ I uI I ' I I II ~ 11 X11 I I II r I i I I IIII I IIII 1 ~ PI IIIIII III I 11111, r-,1/rI IIII r , I'I I ~ \ j ~ r~ c.~ I II I I III I I ' I I I II I I I ~I IIII I i1 I I. LI. I I I li L' , r II I IIIIII p tfJ M II III I' I I.I 111111 III III llu I I I I I ' I I I III. I ~2 III QJ ~ II~ ~I I I VIII ~ V I III I ' I ' tl ~~~~I I ~ ~ ~ ~ ~ III I II~~IIIIIII IIlr,lll I'~ IJII~ ~.,,I I I ~~I~ II~~~1 ~ IJ I✓V1L V t N I I I I I I I / ~i~a~~ ~ ~ cn c~.~ I i ~I, ,~~.~,~_rlr'L_~,r.kn•~~~I~~;~,~ r... r ~ ~~"...III .I~l'~,I ~r~ ~11 4 - P" -~-r r~ ','irlr ICI I III I i~ I";!:!I I r II e r r r I f I ~ r o t~R ~dn16~ ~ V~ ~ ~ h1 I~.~II~ I IIII VIII III III ~ ~'r ' I ~ III II' I I ~ it I I ~ ✓ i 1 I T l Q ~ ~ c0 a I I I I I I - I I I III IIIIII I' I I I r :PM ~I _ _ ~III'I III y ~ II I I pII I III III IIIIIII III. II III i--- I I I 111~w,IL~ p{{ III 11 I I ~ II a/~'~ , I III I I ~rI~ 14II III ` ul' I ~ III I IIL I I ` r111 n 11 I~~~ III III ` II III L_ ~I'. II ~.Jl:.fr_~ I I III ~ ~I I_.,~I I 1 ICI III III I f~ O U N _ p ^ O H N r I p ~ R p u W O I P I~\ I 1 cf) \ Y a J y rl l I m m r e ~ If I~ B~.I'I Mar \vPI I ri~~ ~I II ~ / \ I 1 I u lr vI I~~r ~IIIIIIIIr-~ l ~N~~FC/f~ ,P / N Lf) Z n o " co o cn p N < z o CO " J O ~f 12 12 a cn ° w - z d d C l/+r ~lr~ k~~ w L W U' Y a LL q~ ra /li / .S~ 17 " ri '~l{ ! rr, l r~ r , t F-i , U- Cn W o co CD LU C/D Q ° L ai W r I lg ~~'r~Y~l I "l la ~ U J ~n ~ ~ v = , ,6~ hf llly f~~<ar -f ~'u ~lll l v ~ / ~ ~ w W d U LL- r lCl ar~0 a d LL 0 ::D L? C=) CD Lu < CID CL. M -j ~g j Z J J J LU OJ Q < O Q Q O O O a CL L) F- ST. CROIX COUNTY SEPTIC TANK MAINTF_.NANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer e 4 l~ Tai. Mailing Address y Property Address construction.} (Verification required from Planning & Zoning Department for new OZ(o --130Co - ao -6 z$ City/State _ Parcel Identification Number LEGAL DESCRIPTION Property Location "/4 /4., c. T N RAW, Town of ~i Lot # 2 F" _ Subdivision Plat:__--~ ~ e,v, , a) t l e z-& 91 0 r Volume Page # Certified Survey Map (before 2007)Volume Page # Warranty Deed # Spec house Clyes[310 Lot lines identifiabledyes[]no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Proper Improper use and maintenance of your septic system could result in its premature failure icensed handle wastes. What you put into maintenance consists of pumping out the septic tank every three years or sooner, if needed, by pumper. 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 §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 owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) on-site tic tank is wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the P less than 1 /3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of 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 County Planning & Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on form are true to the best of my/our knowledge. I/we am/are the owner(s) of the property described above, by virtue of a w anty deed recorded in Register of Deeds Office. Number of bedrooms to SI ATURE 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. 04/12) POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION SYSTEM SPECIFICATIONS . Capacity gal 0 NA Septic T EP er it # Septic Tank Manufacturer Lic E3 NA DESIGN PARAMETERS Effluent Filter Manufacturer p~Q NA Number of Bedrooms ❑ NA Effluent Filter Model ❑ NA Number of Public Facility Units, ❑ NA Pump Tank Capacity al ❑ NA Estimated flow (average) 411 gal/lay Pump Tank Manufacturer ❑ NA Design flow (peak), (Estimated x 1.5) ~LJ Q al/day Pump Manufacturer W27 71. 0 NA Soil Application Rate ai/da /ftx Pump Model ❑ NA Standard Influent/Effluent Quality Monthly average" Pretreatment Unit ❑ NA Fats, Oil & Grease (FOG)' 530 mg/L P Sand/Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD$) 5220 mg/L ❑ NA Q Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg/L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Call(s) ❑ NA Biochemical Oxygen Demand (BOD&) 530 mg/L Q In-Ground (gravity) ❑ In-Ground (pressurized) Total Suspended Solids (TSS) 530 mg/L Q NA ❑ At-Grade ❑ Mound Fecal Coliform (geometric mean) 5104 cfu/1OOMI M Drip-Line ❑ Other: Maximum Effluent Particle Size Ys in dia, © NA Other: ❑ NA Other: ❑ NA Other: ❑ NA *Values typical for domestic wastewater and septic tank effluent. Other: C] NA MAINTENANCE SCHEDULE Service Event Service Frequency inspect condition of tank(s) At least once every: 3 13 earls) (Maximum 3 years) ❑ NA Pump out contents of tank(s) When combined sludge and scum equals one-third (Y3) of tank volume ❑ NA Inspect dispersal cell(s) At least once every: ❑ eajls) {Maximum 3 years) 13 NA Clean effluent filter At least once every: ©month(s) p NA ♦ earls) Inspect pump, pump controls & alarm At least once every: L1 month(s) ❑ NA p ear(s) Flush laterals and pressure test At least once every: ❑ month(s) ❑ NA ❑ year(s) Other.. At least once every: C3 ymon ear sj(s) ❑ NA Other: ❑ 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 (Ys) 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 s12 months, shall be performed by a certified POWTS Maintalner. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. Page of - START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemical that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the content 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 b discharged to the dispersal cell(s) in one large dose, overloading the call(s) and may result in the backup or surface discharge a effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restorirn power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls t 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 are 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 tit POWTS; antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fa foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; 6 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 i 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 wit soil, gravel or another inert solid material, CONTINGENCY PLAN If the POWTS falls and cannot be repaired the following measures have been, or must be taken, to provide a code compkan replacement system: O A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil abscrptio system. The replacement area should be protected from disturbance and compaction and should not be infringed upon b required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area wi result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems mus comply with the rules in effect at that time. CI A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWT~ technology a holding tank may be installed as a last resort to replace the failed POWTS. Al T sit h d sit tan nran If e Q Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at t h infiltrative surface. Reconstructions of such sysiams must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES ANDIOR INSUFFICIE14T OXYGEN. DO NO' ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF, PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name f.✓r`lr'~'u : Name Phone Phone SEPTAGE SERVICING OPERATOR IPUMPER) LOCAL REGULATORY AUTHORITY Name Name : Phone Phone (5 - ~d This document was drafted in Compliance with chapter Comm 83.22(2)(b)(i)(d)&(f) and 83.5411), (2) & (3), Wisconsin Administrative Code. EASCUEN~ SIGN CASEMENT EE EAsEMt-Nr rABLE »s- F-O DIMENSIONS , • i '~147-31'M-W Cj -.#o,~ _ 10 - - IJ2.28L- G 12. ss' S$8'0 52 W 183.38 -1SOTH AVENUE lb a 54.74, 1 N88'07'52'E 172.51' , N88V7520E ,3.79.19, Jay PIOR 077LITY 6 8' EASEMENT lax 3T 1 LOT 28 I DRAINA GE ~ !J 2.264 ACRES 00 # EASEMENT 98,601 SQ. FT. j v LBO-928-2 , HWE=923.3 20" DRAINAGE, 75. LE -A SEMEN T- z - 302 97' yLi r N85-50'56-E 364.79' / aQ► 1 /SOLD ~ z LOT 9 5:t { - / AAA TO T*qw LOT 29 I A_ A A 3.033 ACWS W { i I- 4zL- A4 v ! 132,121 SO- FT. Ig LBO-928.2 1 r _ I IAL le LOT 33 S39'1735'W,- AREA TO A~ JF Ait" B- 1.3* ACRES LBO- 9-3Z t~ N90-00'007- L 1 9.3. !6 - I C~+ ~ r" II LOT 32 UATION REPORT 4 #1527 Nvisconsin SOIL EVAL Department of Commerce in accordance with Comm 85, Wis. Adm. Code Page 1 of 3 Division of Safety and Buildings Schmitt Soil Testing, Inc. County Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distan nearest road. Parcel I.D. 2 Please print all information. g- Revie d By Date Personal information you provide may be used for secondaryr Law, s" 15 (1) (m))" ~lj p b Property Owner operty ocation Sienna Corporation , fo ovt. Lot NW1/4 NE1/4, S19, T30N, R18W Property Owner's Mailing Address lock # Subd. Name or CSM# 4940 Viking Drive Suite 608 ~XG 28 The Glens Of Willow River City State Zip Code hone er City Village ' Town Nearest Road Minneapolis MN 55435 Richmond 95Th St. New Construction Use: 7 Residential/ Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement _ yl Public or commercial - Describe: Parent material Outwash Flood plain elevation, if applicable na ft. General comments and recommendations: Area is suitable for a conventional system with a Q_7 d/ sqft rating. Possible system elevation for Area 1 is (step trenches) high trench 97.75', low trench 96.75'. Boring # Boring Pit Ground surface elev. 101.75 ft. Depth to limiting factor 105+ 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#1 *Eff#2 1 0-14 10yr3/3 none sl 2fsbk mfr as 2vf .6 1.0 2 14-28 10yr4/3 none sl 2msbk mfr gw 1vf .6 1.0 3 28-34 10yr4/6 none sl 2msbk mvfr gs .6 1.0 4 34-41 7.5yr5/6 none Is Osg ml cs .7 1.6 5 41-67 10yr6/4 none s Osg ml as .7 1.6 6 67-105 10yr5/6 none grs Osg ml .7 1.6 u F2 ] r/ Boring # Boring Pit Ground surface elev. 101.75 ft. Depth to limiting factor 108+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistenc Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#z 1 0-11 10yr3/3 none sl 2msbk mvfr gs 2vf .6 1.0 2 11-22 10yr3/4 none sl 2msbk mfr gw 1vf .6 1.0 3 22-31 10yr4/4 none sl 2msbk mvfr gw lvf .6 1.0 4 31-46 10yr4/6 none Is lcsbk mvfr as .7 1.6 5 46-108 10yr6/4 none s Osg ml .7 1.6 41•x` *Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt ~r1 ~y ,may4z--- 227429 Address Schmitt Soil Testing, Inc. Date Evaluation Conducted Telephone Number 1595 72nd Street New Richmond, WI 54017 9/20/2006 715-247-2941 SBD-8330 (K07/00) Property Owner Sienna Corporation Parcel ID # 28 Page 2 of 3 Boring # Boring Pit Ground surface elev. 98.70 ft. Depth to limiting factor 105+ 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#1 *Eff#2 1 0-12 10yr3/3 none sl 2fsbk mfr as 2vf .6 1.0 2 12-26 10yr4/4 none sl 2msbk mfr gw 2vf .6 1.0 3 26-35 10yr4/6 none scl 2msbk mfr gw ivf .4 .6 4 35-44 10yr4/6 none sl 2msbk mfr gw .6 1.0 5 44-50 1 r5/6 none Is lcsbk mvfr .7 1.6 6 50-10 10yr6/4 none s Osg .7 1.6 ❑ Boring # Boring Pit Ground surface elev. ft. , Aepthi ng factor 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#1 *Eff#2 ❑ Boring # Boring l pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BODS> 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. SBD-8330 (K07/00) Schmitt Soil Testing, Inc. Page--7 of Conducted by: Conducted For: • Schmitt Soil Testing Inc. Name: Sienna Corporation Thomas J. Schmitt, CST 227429 Address: 4940 Viking Drive Suite 608 1595 72nd St. City, State, Zip: Minneapolis, MN 55435 New Richmond, WI. 54017 Phone: 715-247-2941 Subd.Name: The Glens of Willow River Signature: ~Ll-te - Lot No.: Date: C1 I Legal Description: &tsZ 1 /4/vF 1 /4 S 19 T3 ON R 18 W Backhoe pit Township, County: Richmond, St. Croix . Bench Mark El. 100.00' Top of 2" pvc pipe f Alternate Bench Mark El. W---'-&Y-'Top of Slope= Contour Line El. ^4 Contour Line Length /1//.V _ Scale 1 40' i AR W 1 C, .J'~V~U LO e t - ' a ~ ' ~ ~ ~ 133`3 1 3 Lj This Soil and Site Evaluation was completed to fulfill a zoning requirement. It may or may not be in a location suitable for you use.