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HomeMy WebLinkAbout012-2007-12-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division Sanitary Permit No INSPECTION REPORT 592163 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: Robin Haffner TOWN OF ERIN PRAIRIE 012-2007-12-000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: to Q _ ( C 15r 06.30.17.612 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. q~ Septic / - Z /2 OO Benchmark t ~O F. ~1.~... J /it it e,8~ C~lO Alt. BM D . ~0 y 4 G3d~ 3 Aeration Bldg. Sewer 7-j Holding St/Ht Inlet 4.7 1th I TANK SETBACK INFORMATION St/Ht Outlet 7 TANK TO WELL BLDG Ven it Intake ROAD Dt Inlet L1~11~` / ~ Y11~. Septic, I Dt Bottom Dosing Header/Man. Aeration Dist. Pipe Y~ • 4 Holding Bot. System 910 4'7 • (o / , dS Via. J4 1 Z • Z PUMP/SIPHON INFORMATION Final Grade ~bl,f~r Manufacturer Demand St Cover GPM 3~ Model Number TDH Lift Friction Loss Syste Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of P_ its Inside Dia. Liquid Depth DIMENSIONS C10 T~ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacttuu'rer/~ INFORMATION CHAMBER OR y/~i~i i Type Of System: /1 e UNIT Model Nu~~pper: ~d ><~.~evUt"7 o to .5 ) 7 /02S G✓v~' 5 DISTRIBUTION SYSTEM L,NZZ ~y Header/Manifol~ Distribution x Hole Size x Hole Spacing Venyjp Air In ke ~y Pipe(s) Length P 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 jxx Mulched Bed/Trench Center G ` Bed/Trench Edges Topsoil f No No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: L J Inspection #2: Location: 1712 156TH ST 47( J.- 60644..",_ G~• a: _ a v~ 1.) Alt BM Description = ff~~ 2.) Bldg sewer length = 7 - amount of cover = 7 -7Z_ /Dr` Plan revision Required? ❑ Yes 1+, No Use other side for additional information. s S#ure Cert. No. Date Insepctor' SBD-6710 (R.3/97) S'>~ w e>2~ l 6 . ~ss County`' y-- I r r Safety and Buildings Division i < B 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.) P'- ECEIVED Madison, Wl 53707-7162 T on Numbarl~ " , .ate r N~~1,Jj~ ~ R ,.,~ermit Application appiop SYNC mission of this form to the Z96 is required pri lfi~ihlir ( - t bphe on forms for state-owned POWTS arc YA6C6A dress (if different than mailing address) the Department of Safety and Professional Servies. Personal information you provide may be used for secondary oses in accordance with the Privacy Law, s. 15.04(1) m), Scats. L A lication Information - Please Print All Information Property Owner's Name Parcel # c;-0 Property Owners Mailing Address 4 Property Location 0 L = / r w r Govt Lot City State Zip Code Pfione Number Section c J l0 D L(, TAN, R or W II. Type of Building (check all at apply) ' Lot # Subdivision Name JI j / - 3 or 2 Family Dwelling -Number of Bedrooms B c i A ❑ Public/Commercial - Describe Use ❑ City of A~ CSM kNumber ❑ Village of ❑ State Owned - Describe Use Town of 2Z+ Z Z III. Type of Permit: (Check only one b on line A. Complete line B if applicable) A' l ew System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) List Previous Permit Number and Date Issued B. ❑ permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New Before Expiration Owner kAm IV of POWTS System/Component/Device: (Check all that apply) 77T 6hog on-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of su' le o- ~f ❑ Holding Tank ❑ Otber Dispersal Component (explain) ❑ Pretreatment Device (explain) c t~ V. Dis rsaVrreat ut Area Information: Deign Flow (gpd) Design Soil Application Rate(p Dispersal Area Required (st1 Dispersal Area Proposed (s stem Elevation VL Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units ° v U New Tanks rExigmg Tanks / / ► ~p ~ o a m Septic or Holding Tank Dosing Chamber VII. Responsibility Statement- I, the undersigned, a e responsibility for installation of the POWTS shown on the attached plans Pl 's Name (Print) Pi imature MP/MPRS Number Business Phone Number 16 Plumber's Address (Street, City: State, Zip Code) ~Im County/De artmentUse n] V' proved Permits Fee Date sued Issuing. t Signature Ap $ 15 ~V 17 en Reason for Denial IX Conditl ' o s or D' pproval ank, a ifrrnznliter and 'j Q t3isper»-tai cetl must all be seiaces ! mz ntair. +1, ~K as per management plan provided by plumber, Z 2. AV sefbjKk regWrertenls must be maintz ined g►Ap. ss per sKiicabla w6? / ordinancea. Attach to complete plans for the system and submit to the Coun only paper not 1 an 8 is z 11 inches in sue SBD-6398 (R 11/11) U 6 [''W/VL System PLOT PLAN PROJECT Robin Haffner ADDRESS 404 South Green Ave New Richmond Wi 54017 SW 1/ 4 SW 1/4s 6 /T 30 N/R 17 W TOWN Erin Prairie COUNTY ST. CROIX SYSTEM ELEVATION 89.0/87.5' 6.1' below grade DATE 10/18/16 BEDROOM 4 CONVENTIONAL XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE ABSORPTION AREA 891 # of chambers 44 Ilk BENCHMARK V.R.P. Top of 3/4" pipe ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark Scale = 1/4" = 10' 5' 213' Property Line B-1 5' B-2 105' 16°Io Slope 32' Vents 2-3' X 90' cells with >3' spacing 50' 11' B.M.* B-3 30' S 370' Property Line 30' I Pro 4 Vent Bedroom House >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 All piping shall be ASTM SDR 30/34, within 10' of tank, piping shall be ASTM F891 156th Ave 4 °'~ly Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 10/18/16 Owner:Robin Haffner Location: SW1/4 SW1/4 S6 T30 N,R17W Lot 12 Po Folk Erin Prairie Manuals Used: In-ground absorbtion system (version 2.0) Page# 1. Cover Page 2. Plot Plan 3. Chamber Cross Section 4-6. Maintanance and Co i gency Plan 7.Filter Cross Section Signature _6 - - License number 900 System PLOT PLAN PROJECT Robin Haffner ADDRESS 404 South Green Ave New Richmond Wi 54017 SW 1/4 SW 1/4S 6 /T 30 N/R 17 W TOWN Erin Prairie COUNTY ST. CROIX SYSTEM ELEVATION 89.0/87.5' 6.1' below grade 10/18/16 4 DATE BEDROOM CONVENTIONAL XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE ABSORPTION AREA 891 # of chambers 44 BENCHMARK V.R.P. Top of 3/4" pipe ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark Scale = 1/4" = 10' q b e V-~ A( 5' Qyw 213' Property Line B-1 5' Lj~IJ i B-2 , 32' 2-3' X 90' cells wi > ' ing s 50' 11' B.M.' B-3 370' Property 30' Line Vent Be o use >6„ Quick4 Standard of Cover Leaching Chamber with 20.0 ft2 of Area 12 5.6ft^2/pair of end caps Long 34" Grade at System Elevation All piping shall be ASTM SDR 30/34, within 10' of tank, piping shall be ASTM F891 156th Ave 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 ~ 95.0' Vent Vent Grade 3' 4" 3' A~30/34 Septic Tank " 5' Long V, 6 S' Long l Grade at System Elevation 36" Grade at System Elevation Spacing 5' 2-3' X 90' Cells Same on other end Observation tube/Vent At end of cell A B 22 chambers per cell System elevations: A-89.0' B-87.5' POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of IFILE INFORMATION SYSTEM SPECIFICATIONS Owner Septic Tank Capacity lor al El NA Permit # Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model ❑ NA Number of Public Facility Units NA Pump Tank Capacity al ❑ NA Estimated flow (average) al/da Pump Tank Manufacturer ❑ NA i Design flow (peak), (Estimated x 1.5) ~r gal/day Pump Manufacturer ❑ NA Soil Application Rate ailda /ft2 Pump Model NA Standard Influent/Effluent Quality Monthly average" Pretreatment Unit NA Fats, Oil & Grease (FOG) 530 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BODS) <_220 mg/L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg/L ❑ Disinfection ❑ Other: !Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BOD5) :530 mg/L n-Ground (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: Maximum Effluent Particle Size 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 ❑ onth(s) IInspect condition of tank(s) At least once every: ar s (Maximum 3 years) ❑ NA IPump out contents of tank(s) When combined sludge and scum equals one-third (X) of tank volume ❑ NA I (Inspect dispersal cell(s) At least once eve ❑ month(s) ry' ear(s) (Maximum 3 years) ❑ NA ❑ onth s) ❑ NA Olean effluent filter At least once every: C / ear(s) inspect pump, pump controls & alarm At least once every: ❑ month(s) NA ❑ year(s) 1=lush laterals and pressure test At least once every: ❑ month(s) ❑ NA ❑ year(s) ether. At least once eve ❑ month(s) every: ❑ year(s) ❑ NA ether: ❑ A 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. 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. All 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. 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 th*t 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 by discharged to the dispersal cell(s) in one large dose, overlong the cell(s) and may result in the backup or surface discharge of eftluenit. 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. Do not drive or park Vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWT$: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disc tfedants; fat; foundation drain (sump pump) water, fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting productls; 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 chapfer 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 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 c ompGbnt replacement system: A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption systelrn. The replacement area should be protected from disturbance and compaction and should not be infringed upon by requhled setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the noed for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the njtesi in effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technologN 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 infiltralive surface. Rec onsbUctions of such systems must comply with the rules in effect at that time. <<WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES ANDIOR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TAN 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 ~lck~ Phone Phone SEPTAGE SERVICING OPERATOR (PUMPER LOCAL REGULATORY AUTHORATY Name. FNFame Phone Plane j This doommu twas drafted in compliance with chapter SPS 383.22(2)(b)(1)(d)&(t) and 383.54(1), (2) & (3), Wisconsin Administrabw Code. i Y~Y ~ ''t Itl'. F ~ r r I _ } f P O I P I O I i 4 11 IT I r/ a ' 1 M i err o ti \ 2!a~~~`\ cx~ f F~f c15 sq, TOP U-5.5 / T~,~ Or i " 91 acres !€~GU TO t9,E_ cL7Y~7"78°v"E v 0711 F-p OF L OTS ~ 213.91' a= 70- 77- 72-1,3--.74 ~ ~ kT~o W ~ 6 U ' 17 ' 43, 525 f 10 r a 7. 00 ~ cre s ~ c7 r~ ~p ?0 031 ~o 12 p 0_92 aCres C) --DRAINAGE 43X15 n_~ r~ E A SE PJ1 ENT :acres U1 v j o" c 13 }fD l'~ G S7 871 s. 40, 48 f L 9.0. _ 7005 4' ~ ~ i 07 98 acres 0 9? acres 0. 7 005. 14 r, 7 / Cl C 0, 85 acres' 1 s Co ~ - t~ ! w r -C!,3 C, f ti81"57'.CC}"E l 259.42` 81 ate„- l V 2E?,.`3 c 2rC17~ cq, 0.60 acres . 69 f Eel r~ ~n t~. ter ~c9~ , 42, _344 0.97 25,05-9 f ! f 0 58 of reS rt CCr'~S ST. CROIX COUNYY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM ~ Owner/Buyer P,--4 _tiC" f{ -.r t~ - Mailing Address Property Address !5f ee,~ (Verification required from Planning & Zoning Department for new construction.) City/State Parcel Identification Number/rf LEGAL DESCRIPTION ll Property Location T ~~C7 N RZ ,7W, Town of Subdivision Lot # Certified Survey Map # , Volume , Page # ~ Warranty Deed , Volume , Page # T F-'~- Spec house ces no Lot lines identifiable O no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result m 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. Wbat you put into the system can affect the function of the septic tank as a treatment stage in the was to 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. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Dgmt mnt of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on this form are true to the best of mylour knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a deed recorded in Register of Deeds Office. Number of bedrooms i~ SIGNA 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 I (RED'. 08/05 I DEED RESTRICTION This Deed Restriction is made by Robin J. Haffner and Colleen M. Haffner, hereinafter referred to as the Declarant, owners of the following described real property: Being a part of the Southeast Quarter of the Southeast Quarter and the Southwest Quarter of the Southeast Quarter of the fractional Section 6, Township 30 North, Range 17 West, and part of the Northeast Quarter of the Northeast Quarter and the Northwest Quarter of the Northeast Quarter of the fractional section 7, Township 30 North, Range 17 West, being Lot 2 of a Certified Survey Map as recorded in Volume 21, page 5189, at the Register of Deeds Office of St. Croix County, Wisconsin. The Declarant, for the benefit of the of the above-described land, and its present and future owners, hereby imposes the following restrictions and covenants which shall run with the land and be binding upon and inure to the benefit of the owners thereof, their heirs, successors and assigns. 1. Lot Combinations. The subject property is being platted by the Declarant as Pofolk Ridge. As a condition of plat approval, the Declarant has combined the subdivision lots together in various combinations. These lot combinations may not be split or individual lots sold, mortgaged or conveyed. The lot combinations are as follows: Lots 1 and 2 Lots 3 and 4 Lots 5, 6 and 7 Lots 8 and 9 Lots 10, 11, 12, 13, 14 and Outlot 2. Term of Restriction. This restriction against splitting the lot combinations shall be effective until such time as the entire Pofolk Ridge subdivision is served by public sewer and water and when the applicable zoning ordinances allow the lot sizes as shown on the Pofolk Ridge plat. 3. Driveways and Septic Systems. This restriction does not prohibit driveways and septic 2 of 3 systems from crossing lot lines as long as they remain within the lot combinations. 4. Amendment. This restriction may not be amended or modified without the prior approval from the City of New Richmond. Dated this day of Oda , 2007. 4o~ " _ , obW . affner Colleen M. Haffner Subscribed and sworn to before me this g day of 2007. r a N• RF,c~14 Al r , N tary Public My Commission Expires: iyok #OTARy , j~ PU8L1G 1 , 3 of 3 ~So w'3~b€H~ 3; ~ p d F 'ally O z~ a„£~'g T C o Z "I r- O _ _ F a ta~aq s = ¢ Q 06 e y J (if Lu „aa~w¢ baa~o~ ~3a~g; gaa~ge ~ ~ p< ; I I t~ ~ ~ r~l I liI,I ji~ II ~ p I 1, e i I~. III I ; ; I i I I R 71 ill I rv e III III 3 ~ d i3 I III 111 Il,i~I I ~ J r ~ I fI 1 I ~i w `I lall I, L, I _ .m I I ry II 4 III ' I ~ i is 7 F: III ICI ~I ~,I IIIIr~I I ~gw d~l°~~7e 3p F FI Vii- wok W. 7: °5 cwi° 3~i~ja° m N ¢ N ' ~ Sc - ~ ~ ~W9: add ~ ~ 5 a a is sah§, gaag°€ Aga tll a 7~~ ag°a e a a aw ~ 3o a Ua d ~a ¥ m e Y lot' e a n~ a a~R aau ~oae o., o.w s; / / 2 f I ~~1° I m s° a a a x o _ I ~ I c I / I I 't I I S I - ,tl 5 I ~ i R l ~ olm sas~n. uo°,x ~I 'I I / e I / i a- / a I I / I I g I w I I ;.I - I I I I I I I I A RI` I . I I I' I I I - I I I, - - - - - - - - - - - - - - - - - - - - - - - - I' I ~ I I' s ~oz e, r3.cmn.nm,a a. 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Code Page 1 -of-3- Division of Safety and Buildings Steel's Soil Service Attach complete site plan on paper not less th.~^y 11 inr~;, Plan must County St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and - 'ti percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel LD. Please print all inRevJB'y Date Personal information you provide m y be uRE & ses IT ivacy Law, s. 15.04 (1) (m)). J-4)0-7 Property Owner Property Location Haffner, Robin AUG 2 4 2007 Govt. Lot na W1/4, S 1/4, S6, T30N, R17W - Property Owner's Mailing Addre Lot # Block # Subd. Name or CSM#-)~ 404 South Green Ave. ST. CROIX COUNTY /11 12 na Po Folk Ridge 1 CvVi ` - - - - City ate Zip Code Phone Village Town Nearest Road New Richmond WI 540171 715-246-3921 Erin Prairie Cty Rd GG New Construction Use: Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement Public or commercial - Describe: na Flood plain elevation, if applicable 985.50 ft. Parent material outwash General comments Conventional system, system elevation 92.00ft. Trenches s saced and depth to code 3.00ft below grade. and recommendations: ❑ Boring # Ground surface elev. 90.10 ft. Depth to limiting factor 110 in. Soil Application Rate Horizon 1 Depth I Dominant Color Redox Description 'Texture Structure Consistence Boundary Roots n - _ GPD/ft~ III Munsell Qu. Sz. Cont. Color I Gr. Sz. Sh. Eff#1 *Eff#2 t .6 1.0 1 ' 0-24 ~ 10yr3/3 none sl 2msbk mfr cs 1vf --II 2 24-67 7.5yr4/4 none Is/SI 2msbk mfr Cs na 6 1.0 3 67-110 7.5yr4/4 none Cos osg ml na na .7 1.6 << L 11 Boring # Ground surface elev. 90.10 ft. Depth to limiting factor _ 110 - 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 0-8 1 10yr3/3 none sl 2msbk mfr Cs 1vf .6 1.0 2 8-20 7.5yr4/4 none sicl 2msbk mfr CS na 4 .6 3 20-110 7.5yr4/4 none Cos osg ml na na 7 1.6 * Effluent #1 = BOD5> 30 < 220 mg/L and TSS >30 < 1150 mg/L * Effluent #2 = BODS <_30 mg/L and TSS <130 mg/L CST Name (Please Print) SignatyFe: CST Number David J. Steel r 248956 Address Steel's Soil Service Date Evaluation Conducted Telephone Number 1699 150th St New Richmond, WI 54017 8/22/2007 715-760-0347 SHD-83 ,0 (R.07/00) Property Owner Haffner, Robin Parcel ID # Pending - Page _ 2 of 3 ❑ Boring # - - Ground surface elev. _ .1 _ ft. Depth to limiting factor 110 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 0-10 10yr3/3 none sl 2msbk l mfr cs i 1vf~ .6 1.0 - - - - 2 10-40 7.5yr4/4 none is 2msbk mfr cs na 7 1.6 3 - 40-66 7.5yr4/4 none sl/Is 2csbk mfr cs na .6 1.0 - - - 4 7.5yr4/6 none cos osg ml na na 7 ~1.6 66-110 / ~ I - - I I 1 ❑ Boring # 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#l -Eff#2 1 - - ❑ Boring # 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. i "Eff#1 `Eff#2 - - - - I'- - I Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 <_150 mg/L ' Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L The Department ol'Commerce is an equal opportunity Service provider and employer. II'%ou need assistance to acccsS Services or need material in an alternate format. please contact the department at 608-266-31 1 or TTY 608-264-8777. SBID-83 30 (R 07/00) Steel's Soil Service STEEL'S SOIL SERVICE 3 of 3 David J. Steel Robin Haffner 1699 150th St. CST-POWTSM SW1/4,SW1/4,S6,T30N,R17W New Richmond, WI 54017 I_,ic. X248956 Town of Erin Prairie St. Croix Co. Direct 715-760-0347 Pofolk Ridge Lot 5 Sub Lot 11/12 Fax 715-246-0318 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of this test may or may not be as shown. as permanent lot lines were not established at the time the soil test was conducted. Legend N 1" = 40' ♦ = Benchmark Ele. 100.00 ft Top of 3/4" pvc pipe • = Alt Benchmark El 99.70 ft Top of 3/4" pvc pipe Borings Boring Elevations B1= 90.1Oft B2= 90.10 ft zz:z- 0 B3 = 95.10 ft B4 = /`Afl ft~ ~jc.i r3 f; i I ~ y z +4 y s s a 5 ~ z I ow i r dry ~V ~r.•'~ \ti" a ~3 j ty- w _ r ITIr p r I 1=1 filul`n11 / 7 s I ~ 3R r~ Icy'. i III :.I a9r , y - ~ I dI m s ES ` m W V ~ r ><< oz' 8 ~ _ I l I pr9 ~ ~ ~ ""g § F" u ~ d R ul 5 o a, i ti w sconsin SOIL EVALUATION REPORT #1839 Department of Commerce in accordance with Comm 85, Wis. Adm. Code Page 1-of- 3 Division of Safety and Buildings Steel's Soil Service Attach complete site plan on paper not less than 8'/z x 11 inches in e. P must County St. Croix include, but not limited to: vertical and horizontal reference poi (BM), ion and - - f, , - percent slope, scale or dimensions, north arrow, and location an istan o n est road. Parcel Please print all infct►~~atrop.'V Revie d By DatT Personal information you provide may be use for secondary purposes (Privacy Law 15.04 V-~ 1 41 l Property Owner P pert cation Haffner, Robin MAR 3 12006 G vt. na S 1/4, SW1/4, S6, T30N, R17W Property Owner's Mailing Address ST. CROIX COUNTY t # Block # Subd. ame or CSM# , 404 South Green Ave. City f, State Zip Cit~ Villa Town Nearest Road 9a New Richmond WI 54017 715-246-3921 V Erin Prairie Cty Rd GG ` l New Construction Use: Residential / Number of bedrooms 4 Code derived design flow rate n . 600 GPD Replacement Public or commercial - Describe: na 1 ✓1 . . - , j - Parent material outwash Flood plain elevation, if applicable 985.50 ft. General comments Conventional system, system elevation 19 ~ft. Trenches spsaced and-depth to de 6.75ft b low grade. Tr~ and recommendations: 1 Boring # Ground surface elev. 108.00 ft. Depth to limiting factor 120 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#2 1 0-22 10yr3/2 none sl 2msbk mfr cs if .6 1.0 2 22-120 7.5yr4/4 none ms osg ml na na .7 1.6 ~l ❑ Boring # Ground surface elev. 108.00 ft. Depth to limiting factor 120 in. Soil Application Rate Horizon Depth Dominant Color Redox Description ! Texture I Structure Consistenc Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-24 10yr3/2 none SI 2msbk mfr cs 1f .6 1.0 2 24-120 7.5yr4/4 none ms osg ml na na .7 1.6 ~l - * Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD5 < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signatyre: CST Number David J. Steel - -z__ - 248956 Address Steel's Soil Service - Date Evaluation Conducted Telephone Number 994 200th St. Baldwin, WI 54002 3/25/2006 715-760-0347 SBD-8330 (R.07/00) r, ~5 ~~a Property Owner Haffner, Robin Parcel ID # _ Pending - Page 2 of 3 Boring # Ground surface elev. 103.40 ft. Depth to limiting factor 120 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 0-28 10yr3/1 none sil 2msbk mfr gw 1f 6 .8 2 28-72 10yr4/4 none rsild 2msbk mfr Cs na .4 .6 3 72-120 7.5yr4/4 none s osg ml na na .7 1.6 ❑ Boring # 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 ❑ Boring # 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 = 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. SBD-8330 (R.07/00) Steel's Soil Service 3 of 3 STEEL'S SOIL SERVICE David J. Steel Robin Haffner 994 200t" St. CST-POWTSM Swt/4,Sw1/4,S6,T30N,R17w Baldwin, WI 54002 Lic. #248956 Town of Erin Prairie, St. Croix Co. Direct 715- 760-0347 Lot, 2 Fax 715-684-3449 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. Legend N 1" = 40' = Benchmark Ele. 100.00 ft Top of 3/4" pvc pipe • = Alt Benchmark Ele. 101.20 ft Top of 3/4" pvc pipe ❑ = Borings Boring Elevations B I = 108.00 ft ` B2 = 108.00 ft B3 = 103.40 ft G B4 - 0:00 ft 1 f~ ( , 1 r f L Thursday, March 30, 2006 b;02 AM Gran0erg 5urveying 1-715-246-45YU p,01 Z l0 ? J3WS m~ W sin GjaY7dian j W 9S 70-ZOZ M•OL•Ltr.90N M,T0.00.DON v" r Z 0 Am m n a - m cr r; a~ m ? = ~iq o F L ~at~yyJJ q Q OI© LL¢ J ,Lyy,, 1 v J ~y ¢p LL'OEY 3 ZE•L5 L05~4i I v" U r bL$ M e9. OS. e w H}c C3 mft, H d a u'~} L7B9E• U. CL in l'i I.S.L,lat'cu J ®I H0 N ~ v o ~ CCq r,~ ~ a- ! J I g F. CU Z ajgg~} \ ~FF- I O O 0~fiSr r~ I L I LO CZ $4- mmW I ~I Lit gas ~i~ - H J~rn~~~ ~~W l R7 m ~ ~yy~~~~ ~ ~ z•• E6'6L09 ~ Y•I a 3. E5 LO. oos 69Z 3.E40. 00 I age ~ -+.66 9 T T , OS I ( '600 Ol '95 M.E9•LO.OON ~ r . ESL E tr/S885) (L1Ni 103 3Xlds avoti vb 5 NOIIMS 'U3NUM 9/L S r