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HomeMy WebLinkAbout042-1084-70-800 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: 592149 Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)I AW . Permit Holder's Name: T City Village Township Parcel Tax No, Kelly & Heather Yule TOWN OF WARREN 042-1084-70-800 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: ` , *J~`l V " 30.29.18.475 E-80 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER i~ IN CAPACITY STATION BS HI FS ELEV. (L ~ Septic HHIV Benchmark c. I PJLt IW I/ ir)'LZ Alt. BM At'> ion Bldg. Sewer 5 Ho ing S Ht Inlet 1-4 2- /0 Z TANK SETBACK INFORMATION Ht Outlet r TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet t_ Septic -70 Dt Bo tam Dosing Header/Mah. ! Aeration Dist. Pipe , , 1 7,310 Holding Bot. System 7 11 ~ /}I PUMP/SIPHON INFORMATION Final Grade .~J 6 1 Manufacturer GPM Demand St Cover /67,5-- Model Number j TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to well SOIL ABSORPTION SYSTEM A& 74-1k BED/TRENCH Width of 7 Length, , No. Of Trenches PIT DIMENSIONS No. Of Pits nside Dia. Liquid Depth DIMENSIONS ) q SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer:f INFORMATION Type Of System: CHAMBER OR Y 0 UNIT Model Numb ISYRIBUTION SYSTEM 01- 140 fo~d 1, Distribution x Hole-Size._~Vent to Air Intake Pipe(s) _ - reader./M ength Dia Length _ Dia Spacing - Z ; SO OVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over I , xx Depth of xx Seeded/Sodded xx Mulched B rench enter Bed/Trench Edges Topsoil r n yes Pie- COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection Location: 714 99TH STS r %.f % t j ✓ ! % 1.) Alt BM Description P. ovq,4, 2.) Bldg sewer length = - amount of cover = / t 11/f ' / L t Il Plan revision Required? F] Yes [IkNo q i Use other side for additional information. ~o. Date InsCert. SBD-6710 (R.3/97) >L SAN -'3101b - / y~ raj County <'D p Safety and Buildings Division _S 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be tilled in by Co.) Madison, N 53707-7162 ~e ~Iz ~oMMUrvirY flEvEa~ay Permit Applical M Stale Transact In ter In accordance with SPS 383.21(2), is re Wis. Adtn Code, submission of this fom 99Q84 c required prior to obtaining a sanitary permit Note: Application forms for state-,,.._ Fg the Department of Safety and Professional Servies. Personal information you provide may , '\SSBFG Project Address (if different than mailing address) oses in accordance with the Priv Law, s. 15.04 1) m), Stats, I. Application Information - Please Pr' t All I formation 71q ` Property UWner's Name L Parcel Property Owner's Mai ing Address t, c , I Property Locarion~ Oi ~ ~ 16• -175L city, state Zi Code I Govt Lot p Phone Number Section L al, H. Type of uiiding (check all at apply ^ r C e) ) ~ Lot # T2 N; R or W 2 Family Dwelling -Number of Bedroo ~~'yy O Su~vis on aj 'p~ [/lam G(d - ' ❑ Public/Commercial -Describe Use ~ Block # -za~~ ❑ City of D State Owned - Describe Use CSM Number L , / QQ ❑ Village of 2 0 i '47 w -Town of/ / /C1 f c 'e_"_ ~7II. T of Permit: (Check oul one box on tine A. Complete line B if applieab e) J A. ew system ❑ Replacement System ❑ Treatment(Holding Tank Replacement Only ~r ❑ Other Modification to Existing System (explain) B• ❑ Permit Renewal ❑ Permit Revision Before Expiration Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued Owner IV. IZTYPe ofPOWTS System/Component/Device: Check all that apply) Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 4 in. of sun 1l soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ~I V. Dis rsal/Treat ent Area Information: Pretreatment Device (explain) ign Plow (gpd) Design Soil Application (gPdsf) Dispersal Area Required Dispersal Area rPr~osed {s System Elevation VL Tank Info / Capacity in nus C > Total # Of Manufacnrer Gallons Gallons Units New Tanks Existing Tanl6 e U U o v Septic or Holding Tank 1 ~Y r~ ` U in m Dosing Chamber VII. Responsibility undersigned, ass e r pousibility for installation of the POWTS shown on the attached plans. Pi 's Name (Print) Plum s i afore MP/IviPRS Number -a Business Phone N bcr i Plu is 'dress (Street, City: State, Zip e untv/De artment Use Only s Approved Permit Fee Date sued Issuing ent Signature tven Reason for Denial ~f $jr /a 17 IMP DL ConditiW51 wppOw $masons for Disapproval 1 84tir, tank, eiflucmt filter Lind 8 - S r ti disper.:ai cell must all te 2 ;r lc;'s ! ma lnte're5 / as per management plan pro sided by plumber. In 0 2. 0*63 k,ktaecmrerlenks must t* rwnte lr ed as appk*Wg code / ordina ray. R 1 Attach to eoonPkte places for the system and submit to Coun only on paper not less n R in z I1 inches in size SBD-6398 (R. 11/11) System PLOT PLAN PROJECT Kellv Yule ADDRESS 714 99th St. Roberts Wi 54005 SE 1/4 SE 1/4S 30 /T 29 N/R 18 W TOWN Warren COUNTY ST. CROIX SYSTEM ELEVATION 100.7/100.0 4.5' below qrade 10/6/16 DATE 3 BEDROOM CONVENTIONAL XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 651 # of chambers 32 BENCHMARK V.R.P. Top of steel fence post ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark Alternate Benchmark Top of Survey Iron @ 96.9' Scale is 1„ = 40, unless otherwise jL Quick4 Standard noted eaching Chamber ith 20.0 ft2 of Area .6ft^2/pair of end caps Grade at System Elevation 34Future Rd/99th St. Pro 3 - Bedroom House i 30' 20 , 105' B-1 40, 2- 3' X 66' Cells with >3' spacing Ve s -2 103' 95' 25' 9% Slope B-3 40 All piping shall be ASTM SDR 30/34, within 277' Property Line 10' of tank, piping shall be ASTM F891 338' Property Line 25' M. Copp Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 10/7/16 Owner:Kelly Yule Location: SE1/4 SE1/4 S30 T29 N,R18W714 99th St. Warren Manuals Used: In-ground absorbtion system (version 2.0) Page# 1. Cover Page 2. Plot Plan 3. Chamber Cro s Section 4-6. Maintananc nd Contingency Plan 7.Filter Cross tion Signature, ` ,v License r} ber #226900 I I I i System PLOT PLAN PROJECT Kellv Yule ADDRESS 714 99th St. Roberts Wi 54005 SE 1/4 SE 1/4S 30 /T 29 N/R 18 W TOWN Warren COUNTY ST. CROIX SYSTEM ELEVATION 100.7/100.0 4.5' below grade 10/6/16 BEDROOM 3 DATE CONVENTIONAL X00C CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 651 # of chambers 32 BENCHMARK V.R.P. Top of steel fence post ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark Alternate Benchmark Top of Survey Iron C 96.9' Scale 1S 1" = 40' vent unless otherwise >6" Quick4 Standard noted of Cover Leaching Chamber with 20.0 ft2 of Area 5.6f "2/pair of end caps 12" 4' Long Grade at System Elevation 34" Future Rd/99th St. Pro 3 Bedroom House 30' S 20' B-1 105' 40' 2- 3' X 66' Cells with >3' spacing Vents _2 103' 95' 25' 9% Slope B-3 40' All piping shall be ASTM SDR 30/34, within 277' Pro ertLine 10' of tank, piping shall be ASTM F891 P Y M. S.iI 338' Property Line 25' M. 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 5.6ft^2 pair of end plates To be >1' above grade Finish grade elevation Typical Installation ~ 105.0' A=: Vent Grade Vent 3 5' Long 3 6Grade at System Elevation Grade at System Elevation Spacing 5' 2-3' X 66' Cells Same on other end Observation tube/Vent At end of cell A 16 chambers per cell B System elevations: A 100.7' B 100.0' ST. CROIX COUNT-fe SEPTIC TANK MAINTENANCE -AGREEMENT AND OWNERSHIP CERTIFICATION FORM D Owner/Buyer r Mailing Address ? y J j Property Addr ► C'( 4& S 1, (Verification required from Plarming & Zo ~ epartinent for new construction.) City/State Parcel Identification Nuinbero Zj 3 4/`--7 P -&7D LEGAL DESCRIPTION Property Location 4 V., sec. 3 0 T f j N R _.~l~W, Town of (419 Subdivision . Lot # "4_. Certified Survey Map # Volume Page # Warranty Deed # _ 0 j ~ 3) Volume , Page # Spec house yes nor Lot lines identifiabl yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result m its premature failure to handle wastes. Proper mamtm=e consists of pumping out the septic tank every three years or sooner, ii= 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 was in disposal system Owner maintenance responsibilities are specified in §Comm 83.52(l) 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, signet} 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. Vwe, 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 staling 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 form are true to the best of my/our k:aowledge. Uwe am/are the owner(s) of the property described above, by virtue of a deed recorded in Register of Deeds Office. N m er edrooiiis t t ATURE " ICANT(S) DATE ***Any information that is misrepresented may result in the sanitary pmTrAt being revoked by the Planning & Zoning Department. Include with this application a recorded wanranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of ILE INFORMATION SYSTEM SPECIFICATIONS Owner Septic Tank Capacity al ❑ NA Permit # Septic Tank Manufacturer ' ❑ NA ESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model 13 NA Number of Public Facility Units ;&NA Pump Tank Capacity al NA j Estimated flow (average) Pump Tank i C5 aVda p ark Manufacturer NA i Design flow (peak), (Estimated x 1.5) avda Pump Manufacturer NA Soil Application Rate f avda /f? Pump Model NA i Standard Influent/Effluent Quali « h' Monthly average Pretreatment Unit ~ Fats,'Oil & Grease (FOG) 530 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BODs) 5220 mg/L ❑ NA O Mechanical Aeration ❑ Weiland Total Suspended Solids (TSS) 5150 m g/L ❑ Disinfection ❑ Other. !Pretreated Effluent Quality Monthly average Dispersal Cell(s) Biochemical Oxygen Demand (BODs) 530 mg/L In-Ground ❑ NA Total Suspended Solids (gravity) 13 In-Ground (pressurized) (TSS) 530 mg ❑ At-Grade ❑ Mound Fecal Coliform (geometric mean) 5104 cfu/100mi ❑ Drip-Line ❑ Other: iMaximum Effluent Particle Size ❑ NA Other. 3f3 in dia. Other. ❑ NA A Other: ❑ NA `Values typical for domestic wastewater and septic tank effluent Other. ❑ NA IAINTENANCE SCHEDULE *P Service Event Service Frequency Inspect condition of tank(s) At least once every: O month S) ears (Maximum 3 years) 103 NA !Pump out contents of tank(s) When combined sludge and scum equals one-third of tank volume ❑ NA (Inspect dispersal cell(s) At least once every: _ ❑ month(s) year(s) (Maximum 3 years) 13 NA (Clean effluent filter At least once every: ❑ yeaffsjs) ❑ NA Inspect pump, pump controls & alarm At least once every: month(s) 1=1ush laterals and 171 year(s) DNA pressure test At least once every: ❑ month(s) ether. 13 year(s) NA At least once every: 13 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; POWTS Maintainer; Septage Servicing Operator. Tank inspections lincude a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure ttholume of ic:ombined 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 r the NR 113, entire contents of j:he tank shag be removed by a Septage Servicing Operator and disposed of noaccordanceewiitthk chaAteme, Administrative Code. ter , Wisconsin INII other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, Iind any servicing at intervals of s12 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 For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals theft may 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 bie 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 withln 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 tife of the POWT$' antibiotics; baby wipes; cgarette butts; -condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation dretn (sump pump) water, fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting producNs; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS faits 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 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 filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fags and cannot be repaired the following measures have been, or must be taken, to provide a code compGont replacement system: 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 requirled setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the raged for a new soil and site evaluation to establish a suable replacement area. Replacement systems must comply with the rulers in effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWfTS technologW a homing tank may be installed as a last resort to replace the failed POWTS. ❑ The site has riot 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 infittralive 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 TANIf UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE O~ A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name Name c z Phone I/J_X ! J° Phone L 1 7V/ ✓ ~7`~ J SEPTAGE SERVICING OPERATOR JEUMPEM LOCAL REGULATORY AUTHORITY Name Name 1 Phone I t? Phone 1 This document was drafted in compliance with chapter WS 383.22(2)(b)(%d)&(f and 383.54(1), (2) & (3), Wisconsin AdminWistive Code. I U li I a ~ 1 ~ 1 I{Il ' P p~ a ~ f 1 - II I~ i! ~i11 h{~ I I I i O V P i ~ d i O - e - cc? P p P m I i 1 i ,I ~al. (/P 1 I II i - i - } C ~ a , ` Z 0 f v' l~ y i I E g A m~ E wpb H€yq ~ o Z e lip MUM N o Los _ ~ ~ag~at ~~H~A, sfa~A€ saa~A~ ~ww 7~~~agoa B s ~N 7 asst a ill HIM I I [II1I1a I~~II !nEl F uuIL , -load 111 ULL w§ fi 1-;nn 1,71 ~L1L m b , .I I[ 1[.7 f a ❑❑r -t 4 Ii II n 0 o II ~ I I r. I I I ICI ~ I II' I I i~ - ~I[ d, III , I \ I b II - I ~o LL_ I i I ~ I 4 {j I ! t. II va, 4 h III I II ~ ! 1 kill. r~ r n s w@ ;5 „ o p ~ sgzy~~oy? ~ 0 w ~ _ l o $ s a~ E o~ g d N Z~to~g > T D Q LL E sa§~A~ ~aa~a~ ~a$~a€ baaga~ ~NQ a~~r~$°a t s- s` 'a a I I I I I/ I 1 I I:I I :I I II I I 1 I 1 I; I I I I I I I I I I I; 1 I I I I I I I. I R I I I I I I,I I I I I ~ I i,l II I I I aa, I, I I 1 s s, x l e I a I I I:, II 6 I I I I I I I eroms^ I I I I I I I 1 I I I I 1 I I I I ".x ~ II I II 1 I ~8 i ~ II I ~ I N Cl 1 IR I I I I I I I ~ {..___F 1 - .rns a i J___ I I ' ~ 1 I I I I - I/ I ~ ~ I w o II I I I I I I I 1 I I I I I I I I I nn ~e o s og €"s' aj E o h LLI s z w ~a~3 wa o d w Ch d .aHq e i. Z see. - l~r• _ ;re. 3 ~ww ;~~3¢gy3 LL an, ax LL W at a+, ~J o 2 i A A B C FJ : T+ a A I yF+s Wd Olp, B A f- I I I I I I I I A q Cl I R - - - - - - - O pd = 8x g Y i i uR ne w e 7 G L.~ fag € ~ Q' Q # i95~o[ s99~o€ g99~e~ 6fiF~e~ ~y'z y~k~g'~°a € LL = d b 6 a nc ~ u n LL > w nn a O~ n n~ vii e b W a ~a I I ~ I II I ' I I I I I I I I I I I I I I I I I I 'i I I I I I I I I', i I I li I I I ~ I I e I I~ I I IN Cl R° ° - R k--------------- S I o=. ~o e Wisconsin Department ommerEPORT Page ( of Div?•cion of Safety and dings ,r a~dan with Comm 85, Wis. Adm. Code n County Attach complete site plan on paper not less than 8 1/2 11 ino_slih s zegPl?flDt st include, but not limited to: vertical and horizontal refer nce point BM), direction and Parcel I D percent slope, scale or dimensions, north arrow, and I cation and distance to nearest ro J. W ST. CROIX COUNTY Please print all infor ation. Reviewe Date Personal information you provide may be used for secondary purposes (Privacy law, s. 15.04 (1) (m)). /G L 7 Property Owner Property Location © ✓ t~~ Govt. Lot 1/4 > 4 SS T C N R Property Ownrgr's Mailing Address Lot # Block # Subd. Name M# City State Zip Code Phone Number ❑ City ❑ Village own Nearest Roams ew Construction Us sidential / Number of bedrooms _ Code derived design flow rated G~ GPD ❑ Replacement ❑ Public or mmercial - Describe: Parent material Flood Plain elevation if applicable General comments n~ and recommendations: -7 ng # ❑ ,Boring dj F T1 Bod it Ground surface eley 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 jGr. Sz. Sh. 'Eff/#1 'Eff#2 (~1 t6 1✓ 0 74~ j I Boring # ❑ Boring / Pit Ground surface elew J"/_ 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 y lr~ i ~-ate,-.~.,,...-.-...-+ L. _T- '~x n.~~ 2- VO-q 6 J4/1-1 ll1 Effluent 41 = BOD > 30:< 220 mg/L and TSS >30 < 150 ' Effluent #2 = BOD < 30 mg/L and TSS < 30 nVL CST Name (Please Print) S' a re CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address ~f Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 715-246-4516 Property Owner _ Parcel ID # _ Page of Boring # ❑ Boring ~ Pit Ground surface elevl ft. Depth to limiting factor in• Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Z~ ❑ Boring i ❑ Boring # ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ❑ ❑ Boring # Boring Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil lication Rate Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BODE > 30 < 220 mg/L and TSS >30:s 150 mg/L ' Effluent #2 = BOD, < 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 (8.6/00) s ~oLJ Property Owner _ Parcel ID # Page of Boring # ❑ Boring 0 J D ft Ground surface elevl ft. Depth to limiting factor in. ❑ ~ Pit .1 1 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 y -Z~-7 Ile Ls_ XIZILI r JV/i r t v~ Boring # ❑ Boring F-1 ❑ Pit Ground surface elev. ft. epth 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 a 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 Effluent #1 = BOD5 > 30 < 220 mg/L and TSS >30 < 150 mgA- ` Effluent #2 = BOD, < 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 (RAW) I Soil Test Plot Plan Project Name John Pearson Shaun ' d ' Address 992 70th Ave Roberts Wi 54023 Q #226900 Lot 8 Subdivision Date /17/05 SE 1/4 SE 1/4S 30 T 29 N/R18 W Township Warren Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of STeel Fence Post System Elevation 100.7/100.0 *HRpSameasBenchmark Alternate Benchmark Top of Survey Iron CC 96.9' Scale is 1" = 40' unless otherwise noted Future Rd/99th St. rQ' 7 V B-1 105 x_40, -2 30' 103' 95' 9% Slope 5' B-3 40' 277' roperty Line M. E[ 338' roperty Line 25' B.M. Parcel 042-1084-70-800 03/14/2014 11:26 AM PAGE 1 OF 1 Alt. Parcel 30.29.18.475E-80 042 - TOWN OF WARREN Current X! ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 06/17/2009 00 09 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - KRAMER, LESLIE L LESLIE L KRAMER 4404 REGALWOOD TERR BURTONSVILLE MD 20866 Property Address(es): = Primary * 714 99TH ST Districts: SC = School SP = Special Type Dist # Description SC 2422 SCH D ST CROIX CENTRAL SP 1700 WITC Notes: NEW PARCEL FOR 2010; FKA (475E-50) 042-1084-70-700 Legal Description: Acres: 3.500 SEC 30 T29N R18W PT SE SE FKA CSM 14/3991 LOT 4 (33.215AC) FKA CSM 17-4441 Parcel History: LOT 4 (32.966 AC) FKA CSM 19-4901 LOT 4 Date Doc # Vol/Page Type (33.150AC)FKA CSM 20-5035 OUTLOT 08/28/2013 984887 WD 1(22.660AC) NKA CSM 24-5634 LOT 8 07/20/2009 900470 WD (3.500AC) 06/17/2009 898321 24/5634 CSM 08/03/2005 802224 20/5035 CSM more... Plat: Primary Tract: (S-T-R 401/41601/4) Block/Condo Bldg: * 5634-CSM 24-5634 042-2009 30-29N-18W SE SE LOT 08 2014 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 09/30/2013 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.500 44,500 0 44,500 NO Totals for 2014: General Property 3.500 44,500 0 44,500 Woodland 0.000 0 0 Totals for 2013: General Property 3.500 44,500 0 44,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00