HomeMy WebLinkAbout032-2051-40-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
(ATTACH TO PERMIT) 592162
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:
Dave Ross T TOWN OF SOMERSET 032-2051-40-000
CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No:
/ ~v EV;t, ~-;f. S Goy 14.30.19.688L
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic 0x:6J krr 0000 Benchmark
~ 2- Ar,
Bas", j Alt. BM
Bldg. Sewer
Holding St/Ht Inlet d
TANK SETBACK INFORMATION St/Ht Outlet
S 9 'J
TANK TO / P(L WELL BLDG. en ROAD 1114-.
Septic ~O ► 5~ $ Dt ~Dttt3tn~, 6 t.0 / 5
,
jg 'I b 3 t03 Header/Man. c vy C7 I, k/
o
Aeration Dist. Pipe 9 41t.4/
/O. Z- - q1
Holding Bot. System / 40
/ 9~
G 5 . ~~f S. l7
PUMP/SIPHON INFORMATION Final Grade
P
Manufacturer Demand St Cover
Model Number R r e~~ e. J r 5 75 ~9 S 7
TDH bft , Friction Loss System Head - TDH Ft V/
Forcemain Length Dia. Dist. to Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length n No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS - 6 1 C
SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer~,,,a.
INFORMATION CHAMBER OR Yti t'-
TL' System: ^ /'Z IV q5 a / S x.10 ,
d /l✓CW d UNIT Model Number:
DISTRIBUTION SYSTEM a ar 14 4-t to 3 iJ 11Z:1
Header/Manifold 1 Distribution x Hole Size Ix Hole Spacing Ventttto Air make
Pipe(s) J
Length Dia Length Dia Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over Depth Over xx Depth of xx Seeded/Sodded rUIched
Bed/Trench Center 15 Bed/Trench Edges Topsoil -Yes No \ Yes No
h
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: - Inspection #2:
Location: 758150THAVE
1.) Alt BM Description
2.) Bldg sewer length (If~~ Go
- amount of cover = ~z ` b✓~t w
Plan revision Required? ❑ Yes 79.No I 1 31
Use other side for additional information.
SBD-6710 (R.3/97) Date Insepctor's Signature Cert. No.
o~ Countyi
raj ` Safety and Buildings Division
8 Sari Permit Number to be filled in by Co.
i I Y 201 W. Washington Ave.; P.O. Box 7162
5' ( )
P Madison, Wi 53701 2
za Mug 5~z ~lvz-
y~,i• t Y G
S' Cr` OIX (-S 'Wry Permit Application 2KTXAAVZKV3pw msaction Number
, Code, submission of this form to the apprupnaw
In ascQMM-AWTYS08VRW;¢1M
is required prior to obtaining a sanitary permit Note: Application forms for state-owned POWTS are submitted to Project Address (if di~ft~rent than ling address)
the Department of Safety and Professional Servies. Personal information you provide may be used for secondary
purposes in accordance with the Privacy Lace, s. Stats. ".7> L Application Information - Please Prin 1 In oration :-J
Property Owner's Name ! Parcel 4
r
Property Owner's Mailing Address / Property Location 7 E • + '1
S Y O `t"' ( Y I Govt- Lot
City, State Zip Code Phone Number Section 1
l~ L ,r J I circle e)
1 v -F N; or W
11. Type of Building (check all that app) Lot k
2 Family Dwelling - Number of Bedroo Subdivision Name
WAZM Block # ~
❑ Public/Commercial - Describe Use -J~ ❑ City of
CSM Number ❑ Village of
❑ State Owned -Describe Use
J J 3 - Town of
14-
III. Type of Permit: (Check only ne box on line A. Complete line B if pplica le)
A' E~0Iew System went System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain)
B List Previous Permit Number and Date Issued
❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New
Before Expiration Owner
W. TvDe ofPOWTS System/Component/Device: Check all that apply)
Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil ❑ Mound-,147. of suitable sojlr
❑ Holding Tank ❑ Other Dispersal Component (explain) _ ❑ Pretreatment Device (explain)-
V. Dis ersal(Treat ent Area Information:
igo Flow (gpd) Design
Soil Application Rate(gp f) Dispersal Area Required (si Dispersal Area Pro Ted (sf) System Elevati~~ ~/S rv
1-7
VL Tan Info Capacity in Total #of Manufacturer
Gallons Gallons Units o
New Tanks Existing Tan}5 I r a~i V p m r
IYA` o
Septic or Holding Tank
c
Dosing Chamber I -
VII. Responsibility Statement-, 1, the undersigned, . responsibility for installation of the POWTS shown on the attached plans.
Plumber's Name (Print) PI s ignature MP(MPRS Number Business Phone Number
Plumber's Address (Street, City, ttate:, Zip e
2-
' I~ _ _ (J
VIII. oun /De artment Use Only
pproved ❑ rov Permit Fee late jued L^suin ent Signature
❑ roan R n for Deni ] I 1(/
DL Condi a ons for Disapproval
1. Se* tank, eff9twrtiilter MW
diaper-a! cell must all be swvk os ! mdint re4
8e per tnaragement plan provided by plumber.
2. 'AN etc taqWrernents must_t be mainti iried
as per applicable code / erdinalices.
Attach to complete plans for the system and submit to the County only oa paper not less than 8 irz x 11 ides in size
SBD-6398 (R. 11/11)
System PLOT PLAN
PROJECT Dave Ross ADDRESS 758 150th Ave New Richmond Wi 54017
1/4 1/4S 14 /T 30 N/R 19 W TOWN Somerset COUNTY ST. CROIX
SYSTEM ELEVATION 91.5/91.0 5' below grade DATE 10/20/16 BEDROOM 3
CONVENTIONAL )00( 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 ST cover ASSUME ELEVATION 100' Filter Lifetime Filter
❑ BOREHOLE O WELL *H.R.P. same as benchmark
150th Ave
Scale is 1" = 40'
unless otherwise
noted
ic, Quick4 Standard
eaching Chamber
ith 20.0 ft2 of Area
.6ft^2/pair of end caps 150'
Grade at System Eleva tion
3435' Well
150'
Existing 3
Bedroom House 5'
All piping shall be ASTM SDR 30/34, within
10' of tank, piping shall be ASTM F891 15'
T B- M. * Diverter Valve
Vent '
15' ~ I
r.. B-2 30' ' /o
uffcutt Filter Container
Vents r
10' 20 j0
Property Line
98'
8% Slope 10 B-1
2-3' X 66' cells with >3' spacing B-3
Cover Page
Shaun Bird
Bird Plumbing Inc.
1432 120th St.
New Richmond Wi 54017
715-246-4516
Date: 10/18/16
Owner:Dave Ross
Location: Govt lot'_ S14 T30 N,R19W 758 150th 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 Contingency Plan
7
7.Filter Cross Section
8. Existing Septic Tank For
Signature
License number # ~ 69 0
System PLOT PLAN
PROJECT Dave Ross ADDRESS 758 150th Ave New Richmond Wi 54017
1/4 1/4S 14 /T 30 N/R 19 W TOWN Somerset COUNTY ST. CROIX
SYSTEM ELEVATION 91.5/91.0 5' below grade DATE 10/20/16 BEDROOM 3
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 ST cover ASSUME ELEVATION 100' Filter Lifetime Filter
❑ BOREHOLE O WELL *H.R.P. same as benchmark
150th Ave
Scale is 1" = 40'
unless otherwise
noted
jL1 Quick4 Standard
eaching Chamber
ith 20.0 ft2 of Area
.6ft^2/pair of end caps 150'
34Grade at System Elevatio n
35' well
150'
Existing 3
Bedroom House 25'
All piping shall be ASTM SDR 30/34, within
10' of tank, piping shall be ASTM F891 15'
1 B M. * Diverter Valve
Vent ~ i
15'
B-2 8 Huffcutt Filter Container
Vents
10' 20
20' Property Line
98'
8% Slope 10 B-1
2-3' X 66' cells with >3' spacing B-3
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 96.5'
Vent ACI G rade Vent
3' 4" 3'
I~30/34 Septic Tank
"
5' Long V, 57 5' Long 1
Grade at System Elevation
36" Grade at System Elevation
Spacing 5'
2-3' X 66' Cells
Same on other end Observation tubeNent
At end of cell
A
B
16 chambers per cell
System elevations:
A-91.5'
B-91.0'
ST. CROIX COUNI'Y
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer
Mailing Address Property Address~,~~- _
(Verification required from Planning & Zoning Department for new construction-)
City/State Parcel Identification Number
LEGAL DESCRIPTION ~y
G~,-) 1-r
Property Location 1/4 , r/4 , Sec. A, T2-~U N R~ W, Town of .Sn';
Subdivision Lot #
Certified Survey Map # { , Volume L_ , Page
l" <
olum % , Page # J~
Warranty Deed # V
Spec house yes no Lot line, identifiable yes no
SYSTEM MAINTENANCE AND OWNER CERTMCATION
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 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 Commerce and the Department of Natural Resources, State of Wisconsin.
Certification stating that your septic system bas been maintained must be completed and retuned to the St. Croix County Planning &
Zoning Department within 30 days of the three year expiration date.
Uwe certify that all statements on this orm are true to the best of my/our knowledge. Uwe am/are the owner(s) of the
property described above, by virtxa-gf a deed recorded in Register of Deeds Office.
NuMber of bedroo
X
S A I"t7RE O PLICANT(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. 08/05)
POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of
FILE INFORMATION SYSTEM SPECIFICATIONS
Owner Septic Tank Capacity al ❑ NA
Permit # Septic Tank Manufacturer / ❑ A
t
3ESIGN PARAMETERS Effluent Fitter Manufacturer
❑ NA
4
Number of Bedrooms j ❑ NA Effluent Filter Model ❑ NA
i Number of Public Facility Units )ZLNA Pump Tank Capacity al NA
Estimated flow (average) al/day Pump Tank Manufacturer NA
I Design flow (peak), (Estimated x 1.5) gal/day Pump Manufacturer NA
i
Soil Application Rate al/da /fe Pump Model NA
i
Standard Influent/Effluent Quality Monthly average" Pretreatment Unit NA
Fats, Oil & Grease (FOG) 530 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter
Biochemical Oxygen Demand (BOD5) C120 mg/L ❑ NA ❑ Mechanical Aeration ❑ Wetland
Total Suspended Solids (TSS) 5150 mgJL ❑ Disinfection ❑ Other.
!Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA
Biochemical Oxygen Demand (BODs) 530 mg/L round (gravity) ❑ In-Ground (pressurized)
Total Suspended Solids (TSS) 530 mg/L ❑ NA ❑ At-Grade ❑ Mound
Fecal Coliform (geometric mean) 5104 cfu/100m1 ❑ Drip-Line ❑ Other:
iMaximum Effluent Particle Size Ya in dia. ❑ NA Other. ❑ NA
Other: Other:
❑ NA ❑ NA
*Values typical for domestic wastewater and septic tank effluent. Other ❑ NA
IAINTENANCE SCHEDULE
Service Event Service Frequency
1-13 month(s)
IInspect condition of tank(s) At least once every: ear s (Maximum 3 years) ❑ NA
(.Pump out contents of tank(s) When combined sludge and scum equals one-third ('fa) of tank volume ❑ NA
Ilnspect dispersal cell(s) At least once every' 5 ❑ month(s)
194ear(s) (Maximum 3 years) ❑ NA
Clean effluent filter At least once every: ~ ❑ month(s) ❑ NA
r ear(s)
Inspect pump, pump controls & alarm At least once every: ❑ month(s) NA
❑ year(s)
f=lush laterals and pressure test At least once every: ❑ month(s) ❑ A
❑ year(s)
)ther. At least once every: ❑ month(s) A
ether: ❑ year(s)
❑ A
NdAINTENANCE 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
linclude a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of
iDombined 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
-egulatory authority.
I,Nhen the combined accumulation of sludge and scum in any tank equals one-third (X) or more of the tank volume, the entire contents of
j:he tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin
(Administrative Code.
10611 other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units,
land any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer.
IA 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 POWTS check treatment tank(s) for the presence of painting products or other chemicals th~{t
For new construction, Prior to use of the lama the, dispersal cell(s). if high Concentrations are detected have the contents of the
may impede the treatment Process and/or r damage
tank(s) removed by a sePtage servicing operator prior to use.
at the infiltrative surface.
System start up shall not occur when sod conditions are frozen levels. When power is restored the excess wastewater will ble
tanks may fill above normal ding th ter result in the backup or surface discharge of effluenlt
During Power outages cell(s) in one large dose, overloading the Cell(s) and may operator prior to restoring power to tide
discharged to the dispersal contents of the pump tank removed by a Septage Servicing normal levels
To avoid this sduation have the in manually operating the pump controls to restore
effluent pump or contact a Plumber or POWTS Maintainer to assist the area within
within the pump tank. Do not drive or park over, or otherwise disturb 01 impact'
Do not drive or park vehicles over tanks and dispersal cells.
15 feet down slope of any mound or at-grade soil absorption area. the life of the POWT$'
improve. the penance and prolong fat foundation drain
Reduction or elimination of the following from the wastewater stream may d~~fedants; '
dgsrete butts; -condoms; cotton swabs; degreasers; dental fibs; diapers;
antibiotics; baby wipes-, oline' grease; herbiades; meat scrasaps; medications; oil; Painting Prod
(SUMP Pump) water; fruit and vegetable peelings; 9as '
pesticides; san'+tary napkins; tampons; and water softener brine.
ABANDONMENT out of service the following steps shall be taken to insure that the system is PrapefiY
When the POWTS fails and/or is pe anen* taken ter Comm 83.33, Wisconsin Administrative Code:
and safety abandoned in compliance with chap
tanks and its shall be disconnected and the abandoned pipe openings sealed
• All piping to pits e Servicing OPeratw.
• The contents of all tanks and pits shall be removed and property disposed of by a Sepfag
excavated and removed or their covers removed and the void space filled with s~pil,
. all tanks and pits shall be
• After pumping
gravel or another inert solid material.
st be taken, to provide a code corrtPfrrt
CONTINGENCY PLAN or mu
If the POWTS falls and cannot be repaired the following measures 'nave been,
replacement system: replacement soil absorption systelm-
0 A suitable replacement area has been evaluated and may be utilized fok and should not be infringed upon by requUjed
The replacement area should be protected from disturbance and compaction the replarcement area will result in the nged
setbacks from existing and proposed structure, lot lines and wells. Failure to p~~ment systems must comply with the rule:l in
for a new soil and site evaluation to establish a suitable replacement area. Replace
.effect at that time. advances in POWTS technologK a
A suitable replacement area is not available due to setback and/or soil limitations. 8aning
holding tank may be installed as a last resort to replace the failed POWTS. failure of the pOWTS a sal and site evaluation
j3 The site has not been evaluated to identify a suitable replacement area. Upon be instaaltedl as
must be performed to locate a suitable replacement area. If no replacement area Is available a holding tank may
a last resort to replace the failed POWTS.
-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltra~#ive
❑ Mound and at
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 ANY CI GR UMSTAt+{GES. DEATH MAY INSUFFICIRESULENT RESCUE OI A
ENTER A SEPTIC, PUMP OR OTHER TREATMENT TAN UNDER
PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. _
ADDITIONAL COMMENTS
POWTS MAINTAINER
POWTS INSTALLER '
Name
Name SX
Phone
Phone
LOCAL REGULATORY AUTHORITY
SEPTAGE SERVICING OPERATOR UMPER
W01 Name
Name ~
-7 hone l S - 1
T7 1 P
Phone
ance with chapter SPS 383.22(2)(b)(1)(d)&(f) and 383,54(1), (2) & (3), Wfsoonsin Administrative Code.
This doccnnentwats dratted in compli
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ST' CROIX COUNTY ZONING OPFICP
CERTIFICATION STATEMENT
FOR UTILIZATION OF AN EXISTINc SEPTIC TANK to certify that I have inspected the septic tank
-,ei:ving the r=~
-
: presen(.!-Y
residence
Section located at::
the tank and upon inspection, T cart' R-C w T'owa
baffles to be ~fY that Z have rr3ztnd
funrtionin in good condition, and it g properly. appears to be
i..last time service T
d: t_
!)id flow back
occur `fom absorption system?
Yes No
(If no, skip next line).
Approximate volume or length of time,
gallons - 1ri-i.rrutc~
C'onstruct.ion: Prefab Concrete
ll.rnufacturer: Steel Other
(If known)
Age of a
(If known),: ( nature)
(Name) Please p'r
nt -
/ra G> ~l - (License Number-
t~,r t o
VQrm to be completed
Statutes} or Licensed by licensed plumber (x.145.06
Code poser r SViSCC~JISj-n
} (NR 113 Wisconsin Administrative
Plumber (applying for sanitary permit) Certification: u -
[ti acceptin the condition 9 above statement regarding existing septic tank
con.for':tt to the re
I certify that the tank to the best of my knowledge will
inspection openinquaver outl t battle)' . Adm. Code (except f_or
Nc1T11e~~~i~_ ~ . S gnat??
MP
/MPRS Zz. KXr-o
IVED -11,J27) CST - --D, `j
OCT 6 GYEDEWIMODZZM
Wisconsin Departm MnUNTY SOIL EVALUATION REPORT Page of
Division of Safe b , 1 DEVELOtJ RMEAIrBance with Comm 85, Wis. Adm. Code
County
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must F.
include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D.
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. w, - t/) -tr"'r ,
Please print all information. Revi Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).
Property Owner Property Location
_ S Govt. Lot 1 /4 1 /4 T N R r` E (o
_3 C) Property Owner's Mailing Address Lot # Block # Subd. Name or CSM#
City r State Zip Code Phone Number ❑ City ❑ Village Town earest Road
(Csi
❑ New Construction Use: /
(5Residentiai Number of bedrooms Code derived design flow rated GPD
fig-Replacement ❑ Public or commercial - Describe:
Parent material /7 C_ f (1 . cy; a Flood Plain elevation if applicable /1~ 1 i ft.
General continents ~r
and recommendations:
System Type System Elevation
Boring F/-1 # 0 Boling
Q 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
^r(~ t 1 G~/ l~ ij~ Y
14 4?
0- 1A I In
Boring # Boring
0Pit Ground surface elev. r k ft. Depth to limiting factor in.
Soli 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
-E
r
1
t~ 1
A) 4
Effluent #1 = BOD" > 30 < 220 mg/L and TSS >30 < (fluent = BOD. < 30 mg& and TSS < 30 mg/L
CST Name (Please Print) Ign CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address Date Evaluation Conducted Telephone Number
1432 120th St, New Richmond, WI 54017 f 715-246-4516
Property Owner Parcel ID # Page of
Boring # Boring
Ground surface elev. y ft. Depth to limiting factor ~ in.
F-31 Pit Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
G-/1- /0 - -;"/z- f s
L'~to ° ~/1 94(
Ft all-
1
❑ Boring # F] 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 GPDM
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
Boring
F-1 Boring # 11 Ground surface elev. ft. Depth to limiting factor in.
pit Soil Application Rate
Horizon ')epth 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 < 150 mg/L ' Effluent #2 = BODS < 30 mg/- 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.
ssD-8330 (R.6ro0)
Property Owner _ Parcel ID # Page of
1-31 Boring # ❑ Boring
'9-Pit Ground surface elev. r_ 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
I0,3/ L- - "
i r
t
❑ 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 # ❑ Boring
F-1 ❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate
Horizon ')epth 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 mgA- • Effluent #2 = BODS < 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.
SBD4330 (8.6/00)
Soil Test Plot Pan
Project Name Dave Ross Bj d
Address 758 150th Ave
New Richmond Wi 54017 CSTM #226900
Lot Subdivision Date 10/18/16
1/4 1/4S 14 T 30 N/R19 W Township Somerset
❑ Boring Q Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of septic tank cover
System Elevation 91.5/91.0 *HRpSame as Benchmark
150th Ave
Scale is 1" = 40'
unless otherwise
noted
150'
35' well
150'
Existing 3
Bedroom House 25'
15'
T B.M.*
Vent
15'
B-2 30'
20'
0'
40' 25 B-1 Property Line
98'
8% Slope 10
96'
B-3