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HomeMy WebLinkAbout032-2018-95-040 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No 592192 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village Township Parcel Tax No: Oevering Homes TOWN OF SOMERSET 032-2018-95-040 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: ct; ( 05.30.19.539A-40 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic 72:n 2 p~ Benchmark ~lw Alt. BM /'.,.~nn. -72 .~j Aeration Bldg. Sewer Holding St/Ht Inlet •p / Q' ~7 TANK SETBACK INFORMATION SUHtOutlet , Or $VGOgr TANK TO UP/L WELL BLDG. / kyaaiwAir ptake ROAD Dt Inlet ft Septic 4,44- / Dt Bottom Dosing 8 Header/Man. 7. / ~L 7 Aeration Dist. Pipe ^ / D Holding Bot. System t /a Final Grade (G~•/ PUMP/SIPHON INFORMATION $G7•S Manufacturer Demand St Cover +t v GPM 77Z, Model Nu TDH L Friction Loss Syste TDH Ft Forcemain Length Dia. Dist. to well 71,3 SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ° YZ. ►''~iC~C' * SETBACK SYSTEM TO P/L BLDG( WELL 1 LAKE/STREAM LEACHING Manufactur r: r INFORMATION CHAMBER OR A ti Type f System: nn / UNIT Mode~.~{umber o w.J e.X7 o ytaX- 3 /I A ~ CY ✓~C.~ S DISTRIBUTION SYSTEM G~JC i~ j./ ! S[j ✓S Header/Manifold 10 Distribution Ix Hole Siz x Hole Spacing Vent to it Intak ~PiPe(s)~"~ Q~ Length Dia Length Dia acing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded rulched Bed/Trench Center ~t s Bed/Trench Edges Topsoil 'Yes No Yes [ No . COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 457 180TH AVE Il 1.) Alt BM Description = 2.) Bldg sewer length = Z4 - amount of cover = 3 ow Plan revision Required? ❑ Yes No ' Use other side for additional information. [to - Date Insepctor's gnature Cert. No. SBD-6710 (R.3/97) County i l Safety and Buildings Division r S NO 201 W. Washington Ave., P.O. Box 7162 l r ' Sanitary Permit Number (to be fined in by Co.) Madison, Wl 53707 716F ;T COUNTY Z. l 9Z Sanitary Permit A Tra sactionNumber In accordance with SPS 383.21(2is. Adm. Code submission of this form t t the appropriate S are g azY Permit Note: 4pplication forms for state-owned POWT are the Department of Safety and Professional Servies. Personal information you provide may be used for seconds J subr +ress (if different than 1~ga address) 7 ores in accordance with the Priv - Law, s. 15.04(1) m), Stats. L Application Information - Please Print All Informatio ~ ' ~ Property Owner's Name T Pazcel # Property Owner's Mailing Address !Property Location Cit;:' 1 Govt Lot . I - -Phone Nuutber I I ~ i,, Section H. Type of Building (check a a) e(vrrcle out PP Lot T_ C J N, R E r W or 2 Family Dwelling - Number of Bedroo t~ T- Subdivision Name ❑ Public)Cornmercial -Describe Use ' • j ~ Bloc. _ %L~ ❑ City of ❑ State Owned - Describe Use CSM Number y _ ❑ Village of Jb QTown of IIL Type of Permit: (Check only o e box on line A. Complete line B if applicable) Q 71;!A A! A., System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B- ❑ Permit Renewal ❑ Permit Revision Before Expiration I ❑ Change of Plumber El Permit Transfer to New List Previous Permit Number and Date Issued Owner . 77A 1A1. ~ ofPOW-TS S stem/Com onent/Device: (Check all that apply) QN~Y(jC//G -Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ -Mound 24 in. of suitable soil ❑ Mound <24 in. of suitable soil 11 Holding Tank ❑ Other Dispersal Component (explain) V. Dis rsaUTreatment Area Information: ❑ P`1C"t Device (explain) ign Flow (gpd) Design Soi]~pPvcaiion Raze ds r~ , f f •al Area Required (sf) Dis~ersal Ar Proposed (sf) levation ~ ~ ~C.✓ ' Tank Info Capacity in Total it of `fa l i , Gallons Manufacturer Gallons Units New Tanks Existing Tanks I .n 2 2 42 U m J Seppc or Holding Tank $ALI. 't U L I Dosing GLamber I VII. Responsibility Statement- undersigned, _assu onsibility for installation of the PORTS shown on the attached plans. Plumber's Name (Print} Plumber' r > t ure MP/IvfPRS Number Business one N el r Plumber's dress Street, City: Stare, Code) ✓ ~J ~I 01, , - III ounty/De artment Use Only Approved ❑ Permit Fee Date sued Issuing . t Signature - even 7 f-, enial 4~ IX Condi& asons for Disapproval 1. Septic tank, effluent tilt- m,i 7t 13j; dfsper._,i cell rust all be . _c,s!'ma' I - e5 t' n ` P~~ as per i'maragement plan p o -ivied by plumber. 2. All sSeUck reawrPrtents must be tma'm iced as pa appiiCabli! colt, I rd;nawSe 4~ lam ~J- Attach I. complete places for the system and submit to the Co /9'~ tF only oe paper not less than 8 in_ z I1 inches in slat ~ SBD-6398 (R- 11/11) System PLOT PLAN PROJECT Oeverina Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017 NW 1/ 4 NW 1/4S 5 /T 30 N/R 19 W TOWN Somerset COUNTY ST. CROIX SYSTEM ELEVATION 865.5/865.0 3.5' below grade 11 /14/16 3 DATE BEDROOM CONVENTIONAL CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 933 # of chambers 46 BENCHMARK V.R.P. Top of iron pipe ASSUME ELEVATION 858.6' Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark 180th Ave 4' 48' B-3 Scale = 1/4" = 10' 25, 5% Slope r,,.G„ B-2 867' 2 Vent X 94' cells with >3' spacing 128' 869' B-1 0• S 30' Pro 3 Bedroom House All piping shall be ASTM SDR 30/34, within 10' of tank, piping shall be ASTM F891 600' Property Line Vent >6„ Quick4 Standard of Cover Leaching Chamber with 20.0 ft2 of Area 5.6ft^2/pair of end caps 12 4' Long j h- 34" Grade at System Elevation Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 11/14/16 Owner:Overing Homes Location: NW1/4 NW1/4 S5 T30 N,R19W Lot 3 180th Ave Somerset Manuals Used: In-ground absorbtion system (version 2.0) Page# 1. Cover Page 2. Plot Plan 3. Chamber Cross Section 4-6. Maintanance and fCogency Plan 7.Filter Cross Section Signature License number # 6900 I System PLOT PLAN PROJECT Oeverina Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017 NW 1/ 4 NW 1/4s 5 /T 30 N/R 19 W TOWN Somerset COUNTY ST. CROIX SYSTEM ELEVATION 865.5/865.0 3.5' below grade DATE 11/14/16 BEDROOM 3 CONVENTIONAL CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 933 # of chambers 46 BENCHMARK V.R.P. Top of iron pipe ASSUME ELEVATION 858.6' Filter Lifetime Filter ❑ BOREHOLE 0 WELL -H.R.P. same as benchmark 180th Ave 4' Scale = 1/4" = 10' 48' B-3 2 5% Slope 5' ' B-2 AL- 867' 2' Vents 2-3' X 94' cells with >3' spacing 128' 869' B-1 30' S 30' Pro 3 Bedroom House All piping shall be ASTM SDR 30/34, within 10' of tank, piping shall be ASTM F891 600' Property Line Vent >6„ Quick4 Standard of Cover Leaching Chamber with 20.0 ft2 of Area 5.6ft^2/pair of end caps 4' Long 12 34" Grade at System Elevation Cross Section of Infiltrator Quick 4 Leaching Chamber Typical cross section for 2 of 2 cells Quick 4 Standard Leaching Chamber with 20.0 ft2 of Area per Chamber 5.6ftA2 pair of end plates To be >1' above grade Finish grade elevation Typical Installation 869' Vent Al G rade Vent 3' 4" ,A~30/34 Septic Tank 5' Long 5' ;:3' ong 1 36" Grade at System Elevation Grade at System Elevation Spacing- 5' 2-3' X 94' Cells Same on other end Observation tube/Vent At end of cell A B 23 chambers per cell System elevations: A-865.5' B -865..O' i POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of ILE INFORMATION SYSTEM SPECIFICATIONS Owner Permit # Septic Tank Capacity ❑ NA Septic Tank Manufacturer ❑ NA 3ESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model ❑ NA Number of Public Facility Units jt~NA Pump Tank Capacity j Estimated flow (average) al HNA aVda Pump Tank Manufacturer I Design flow (peak), (Estimated x 1.5) gal/day Pump Manufacturer ❑ NA Soil Application Rate `4 al/da /fe Pump Model NA Standard Influent/Effluent Quality Monthly average` Pretreatment Unit NA Fats, Oil & Grease (FOG) s30 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD5) !1' 20 mg/L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg/L ❑ Disinfection ❑ Other. Pretreated Effluent Quality Monthly average Dis ersal Cell(s) 13 NA Biochemical Oxygen Demand (BODs) 530 mg/L -Ground (gravity) 0 In-Ground Y) (pressurized) Total Suspended Solids (TSS) 530 mg/L ❑ At- rade ❑ Mound Fecal Coliform (geometric mean) 5104 cfu/100m1 ❑ Drip-Line ❑ Other: Maximum Effluent Particle Size 36 in dia. ❑ A Other. ❑ NA Other Other: NA ❑ NA "Values typical for domestic wastewater and septic tank effluent Other: ❑ NA IAINTENANCE SCHEDULE Service Event Service Frequency !inspect condition of tank(s) At least once every' ❑ month(s) ears (Maximum 3 years) ❑ NA (Pump out contents of tank(s) When combined sludge and scum equals one-third of tank volume ❑ NA !Inspect dispersal cell(s) At feast once eve ❑ month(s) ry: 6*ear(s) (Maximum 3 years) ❑ NA Olean effluent filter At least once every: f month s) ❑ NA inspect pump, pump controls & alarm At least once every: ❑ month(s) ❑ NA ❑ year(s) 19ush laterals and pressure test At least once every: ❑ month(s) ether. 11 year(s) NA At least once every: ❑ month(s) ether. ❑ year(s) NA 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; POWT'S 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 immbined 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 Iegulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third (X) or more of the tank volume, the entire contents of I.he tank shah be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. IN[ other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, land 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 of , START UP AND OPERATION or other chemicals the}t For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of thO 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 ble discharged to the dispersal cell(s) in one large dose, overloading the ceii(s) and may result in the backup or surface discharge of effluenlt. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to this 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. the area withln Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, 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 POWr.G= antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disirrfectants; 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 property and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code:. • AN 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 property 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 fined with 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 complilont replacement system: suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption systelm. 16 The replacement area should be protected from disturbance and compaction and should not be infringed upon by requirled 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 ndeo in effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technologW a holding 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 sal 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 h fiitmiive surface. Reconstruction of such systems must comply with the rules in effect at that time. <<WARN1NG>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TAN UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE 0 A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name ~~c.~ l Name 5 `~c; `s . Phone 1 .I^,['1 Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name -J a El - Phone This doamw t was drafted in compliance with chapter SPS 383.22(2)(b)(%d)&(f) and 3a3.54(1), (2) & (3). Wisconsin Adminwra ive Code. ~ M ' r W~, y P + ~ I ' + h t I I I j P - O ` cc N-_..-..- P P ~ O ~ er ~l r ST. CROIX CO"TY SEPTIC TANK MA NTENANCE AGREEMB AND NT OWNERS W CERTIFICATION FORM Ovener/Buyer Q~ t Mailing Address Property Address ('Verification re 9wred from Planning City/State & Toning Department for new cons tructton Parcel Identification Neer ) LEGAL DESCRTp`f'rON d ~3Z Z d l Property Locatio,, V4, Sec. Subdivision W. Town of Cerd fled Survey map # 1?S 9 (o37 - - Lot # 'Warranty Deed # Volume (00 ~3 g - - Pape # _S g 5 Spec hous no e yes , Page # Lot lines identabl yes no SYSTEM 1►7 TENANCE AND OWNER CE~.C Improper use and ATIYQN maintenance consists and maintenance of pumping out the r "pt" septic system could result in its the system can affect the function of the y ePhc tank every three premature failure teSPonsrbilrfzes are specified in Years or sooner, ifnee to handle wastes. Proper ephc tank as a treatment mod' by a licensed The §Comm. 83.52(I) and in Chapter l2~-g St. m the Croixwaste disposal system , P~nper_ What You put into property owner agrees to sub Court Owner Mamtenance owner and b mit to St, ty Sanitary Ordinance. Y a master plumber, journey Croix County Planain wastewater disposal system is Plumber, restricted g a ZO~b De less than 1 /3 frill of sludge. Proper operating conditi plumber or a licensed p Pant a certification foryn, On and/or (2) after inspection and Per verifying that 1 signed by the the on-site I/we, the undersi PirTMmg (if necessary), the se standards set forth gored have read the Pfic tar>k is sotin i)M, herein, as set b above requirements and agree to y the bepa~ent of maintain the g g that your septic system has been Commerce and the Department Private sewn e P Zorti~ bePaninent within 30 days maintained of Natural Reso dis osaI system with the of the three Year ex must be completed and re tamed to races, State of Wisconsin. Uwe certi Pir'ation date, the St. Croix prope f3' that all statements on County Planning & rty described above, by virtue of a w form are true to arty the best deed recorded in Re of mylour knowledge. I/we am/are the o Number of bedrooms-~ gister of Deeds Office wn_r(s) of the TGNAT OF X PLICANT S ( ) / WT--7 AnY information that is misrepresented rrra D y result in the sanita Include with this application a recorded warran Pe~rit being revoked 6 reference is by the planning 8t Toning Department made in the Warranty deed, deed from. the Register of Deeds office and a copy of the certified surrey nap if (PIEv. osros) 9 iq a a n aRe Y I 3$ W-L I _ SS I_.I I I p`~ gc~ ~°D ' I I I < I I, I I I I I I anunoau orvr.,vty xu b em vn trx. wovea ' I I 1 - I I . L i I II I i~ I-i xW I,:I _ I i ~ I ~ ~ ba I I ' n I O Y ' I I i V II P ' ` j Ili 1 ~ I I I p I 15 - I I vv// I 1~/ I I I I ' W II I I a.,r I 1 I I ~ i i .r~..s a-.. II a. 4a\ I ..F<x I i I I $ I I b m 17 ~ w $ I F+-t ___J L. - I r y 8 I I h I II JI I ' I O I f-"-T fry I I I e I I L J L J all I ~ I - I I°~ s I I I 4i i i 3 1 I I ~3g i I I I m l i ~ I I I I i l ~~4 ~o I I I 3K9 I' II ~ $~w I I I I A I I I~ E ~'e I III ~ I ° i I I b I I ° j - - 4 K 8 8 ~b O~ W ~ f JJ n ~ aW cc~ ~ ~j tt UZ 2 ~Q Da as ~ ~ I I j I I j 0~ I I I 1 i j - _ I I j I ~n I x F Y - I ryl ® '~+3 I III ~yn,nv, aaaw I ~ I I an.3~oaz,rnn 0 3 MIR I I I ~ I _ I III Y _ ssi €8 ui ,~y` - 3l0 ~I YI o' r-- _ a~ rnn ~~~o~„rnn I ~~`s I y~. X30 ~ I iY' u `s'7 iYo IR g py a li' Wisconsin Department of Co~ SOIL EVALUATION REPORT Page I of 3 Division of Safety and j?n accordance with Comm 85, Wis. Adm. Code County ST. CROIX Attach complete 2 pl paper not less than 8 112 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. 3 (PENDING) percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Revie by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 4 / -)1(3 Property Owner Prope tion RICHARD HENRY JONK Govt. t ---W~ NW1/ S 5 T 30 N R 19 ©r))W Property Owner's Mailing Address Lot # ~k # Name or CSM# P.O. Box 480 3 :XC CS ending city State Zip Code Phone Number lly ~ V, II • Town oad Somerset, WI 54025 ( 651) 210 - 3521 S_ OMER-SET 180th Avenue New Construction Use[Residential / Number of bedrooms NK Code derived design flow rate NK GPD Replacement Public or commercial - Describe: Parent material sandy loam till Flood Plain elevation if applicable 41A ft. General comments Conventional in-ground trenches - loading rate to be determined by designer or installer at time of construction. and recommendations: PUtpip~n roniryr FT] n- Boring # ® Boring Pit Ground surface elev. `di,49. 0r, ft. Depth to limiting factor 108 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 0-8 7.5YR2.5/2 - sl 2f-cabk ds cs 2vf-co 0.6 1.0 2 8-55 7 5YR3/4 - is Osg ml cs Ivf--m 0.7 1.6 3 55-108 7.5YR4/4 Is lfsb mvfr Ivf-m. 0.7 1.6 Some gr.; few cobs. F 2 Boring # ® Boring Z 80 Q Pit Gro und surtaceele . KIT. or 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 0-23 7.5YR2.5/2 sl 2fa&sbk ds as 3vf-co 0.6 1.0 2 23-41 7.5YR3/3 - sil 2f-mabk dsh cs 2vf-co 0.6 0.8 3 41-54 7.5YR4/6 - is Osg dl cs 2vf-m 0.7 1.6 4 54-80 7.5YR3/4 is Osg ml aw lvf-f 0.7 1.6 5 80-85 10YR7/3 f71 if IOYR6/2 sil Om mfr - 0.0 0.2 Some gr; few cobs & stones; 2 boulders. Horizon 5 almost saturated. * Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L. CST Name (Please Print) Si CST Number MARY JO HUPPERT Hollister's Soil Testin & Desi 224832 Address Date Evalu r Conducted Telephone Number W9875 690th Avenue, River Falls, WI 54022 08 - 28 - 13 715-426-1755 Property Owner IONK Richard Henry Parcel ID # (Pending) Lot 3 Page 2 of 3 F21 Boring # Boring 85 E] Pit Ground surface elev. w.. Co 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 0-5 7.5YR2.5/2 - 1 3f-mabk ds cs 2vf-m 0.6 0.8 2 5-19 7.5YR3/3 - sl 2f-mabk dsh cw lvf-co 0.6 1.0 3 19-85 7.5YR4/6 Is Osg ml - lvf-f 0.7 1.6 Some gr; few stones, cobs & boulders. ❑ Boring # Boring Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 Boring F-1 Boring # Ground surface elev. ft. Depth to limiting factor in. Pit 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 * Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD, < 30 mglL and TSS < 30 mg/L Ili 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-8330rest (R.07/00) ONK 180TH AVENUE TOP OF IRON PIPE ELV 858.60 TOP OF IRON PIPE = = ELV 863.80 242-.W d' 48' N 134' ELV=867 ~ 9 n! 1Tt~t ~.)i~ ~ Ct 12 p~ C M,_ ~T ? 00 128' E =869 SCALE: 1" = 50' ~$1 \ m 50 25 0 50 N LOT 3 m u2 v r~ ~o co .'1 0 O O ti Lo 989637 BETH PABST REGISTER OF DEEDS ST. CROIX CO., WI CERVIFNEED V AF) RECEIVED FOR RECORD 11/26/2013 11:37 AM LOCATED IN PART OF THE NW1/4 OF THE NW114 OF SECTION 5, T30N, EXEMPT At- R19W, TOWN OF SOMERSET, ST. CROIX COUNTY, WISCONSIN. REC FEE: 30.00 - COPY FEE: 3.00 LEGEND PREPARED FOG;: PAGES: 2 RICHARD JONK ® FOUND ALUMINUM COUNTY P.O. BOX 480 SECTION CORNER MONUMENT SOMERSET, WI 54025 ® FOUND 1" OUTSIDE SURVEYOR: NOTE: DIAMETER IRON PIPE THESE LOTS FALL WITHIN THE 1200-FOOT DOUG ZAHLER LANDFILL SETBACK REQUIREMENT FOR WELL ® FOUND 2" OUTSIDE AUTH CONSULTING & ASSOCIATES CONSTRUCTION. A VARIANCE WAS REQUIRED DIAMETER IRON PIPE S & N LAND SURVEYING BY THE DEPT. OF NATURAL. RESOURCES TO 2920 ENLOE ST. SUITE 101 CONSTRUCT A WELL ON THESE LOTS. SEE 0 SET 1" OUTSIDE DIAMETER BY HUDSON, WI 54016 AFFIDAVIT FILED AS DOCUMENT NO. 986648, 18" LONG IRON PIPE, WEIGHING ST. CROIX COUNTY REGISTER OF DEEDS, FOR 1.13 LBS. PER LINEAR FOOT A COPY OF SAID VARIANCE. PROPOSED DRIVEWAYS NOTE: WELLS CONSTRUCTED ON THESE LOTS MUST BE LOCATED SOUTH OF THE WELL SETBACK LINE SHOWN HEREON. NW COR. SEC. 5 _ N 1/4 COR. SECS `TI-I LINE OF THE NW 1/4 N89°33'35'E S89°12'40"W 292.43' 2681.85' _24269'_ 49.74 \ 177.38' 17.21' 65.31'- Cy) tis8e I zg ~z \ ~q~oS C7 LOT ~3 13I,q ~L 63~ TOTAL AREA MT I]630' CF C4 C] 3.066 ACRES o° / NTFR 133,546 SO FT TOTAL AREA = \ I I AREA EXCLUDING R/W - 3.29 ACRES C I 3.054 ACRES 143,184 SO FT 300, > 133,018 SO_ FT. Z m AREA EXCLUDING R/W I o° o^ 3.005 ACRES 1O 130914 SO. FT. I ~ a 1p m_o - - - a, WELL SETBACK LINE WELL SETBACK LINE U I Q I °0 0 i I J Q) DOS 'Pti ~ ~ Pe A-~ ti z a z pF WISCp ~ jP" DOUGLAS J %ry z D 0 j ZAHLER ~ i °°r7 a S-2145 zk F-- o x HUDS N, z w u u vin S89°30'44"E 200.00' 884°5 m w a 4'40"E 116.18' S I = z UNPLATTED LANDS 13 ° z ol jo N =w°o rv SCALE: 1" = 100' 0 0 W 1/4 COR. SEC. 5 100 50 0 100 IlRlfF2FEDBY: DOUGZAII7.FRUANEELLIS PROJECT: #6503-004 DATE: 10/1/13, REVISED' 10/15/13 SHEET 1 OF 2 Vol. 26 Page 5985