HomeMy WebLinkAbout006-1039-50-400
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No
592224
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:
Corey & Mary Johnson TOWN OF CYLON 006-1039-50-400
CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No:
/ od k aS- P~,>rPb`p ; op 18.31.16.265A-40
I
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
-11-00
Septic 5 4 ~oc>o Benchmark ~0 `
p6mmg L + Alt. BM ~J U
Aeration Bldg. Sewer ?I& to
- SUHt Inlet Q -3~ 'So TANK SETBACK INFORMATION St/Ht Outlet Q~ t
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD
w
Septic ( + DtBoUQ6;n
Dosing Header/Man.
Aeration r Dist. Pipe
Holdi Bot. System
Final Grade
PUMP/SIPHON INFORMATION 3,5 5
nufacturer Demand St Cover lY
, wa /o(.3
GPM
Model Num
tion Loss stem Head TDH Ft
TDH Lift 6c
Force mai~ Length Dia. Dist. to well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length No. Of Trenches PIT DI o.Of P-ds side Dia. Li uid Depth
DIMENSIONS M, -
1~(a
SETBACK SYSTEM TO 8 P/L~,.) BLDG WELL /ST M LEACHING Manufacturer
INFORMATION CHAMBER OR
Type Of System: ~
fL4 (L (PI ~~i /UNIT Model Number: DISTRIBUTION SYSTEM
Header/Manifold Distribution ix Hole Size X Hole Spacing it Intake
I Pipe(s) -
Length Dia ~ LDia Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over t Depth Over xx Depth of xx Seeded/S dded xx Mulched
Bed/Trench Center - Bed/Trench Edges Topsoil`` Yes No Yes ❑ No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2:
Location: 2096 215TH AVE
1.) Alt BM Description C
2.) Bldg sewer length
- amount of cove -
Plan revision Required? ❑ Yes No
5 _ ~J
Use other side for additional information.
SBD-6710 (R.3/97) Date Insepctor's nature Cert. No.
_ ~ -ao 1-7 -01
+ ~.tica<< RECEIVED County
Safety and Buildings Division
X ' ® 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.)
r3 ti PS .-r JAN 17 Z017 Madison, WI 53707-7162
ST. CROIX COUNTY L 1~9 'z
;OMM h aM ermi MN 1. t Appl State Tratisactio
ty *tuber
L
In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the aNY.
is required prior to obtaining a sanitary permit. Note: Application forms for stale-owned POWTS are submuteu - roject Address (if different than mailing address)
the Department of Safely and Professional Servies. Personal information you provide may be used for secondary p~E I~ th Aje.
put oses in accordance with the Privacy Law, s. 15.04(1)(m), Slats. L ,.,T--
1. Application Information - Please Print All Informati 01-C, P, k- i ~y0~
Property Owner's Name Parcel 4
Property Owner's 1 ailing Address Property Location
PA&W-r 14A. Govt. Lot 1 J V l
City, StateZ,ip Code Phone Number 4. 8
Section
circle one
TT. Type of Building (check all that apply) Lot #
J4 1 or' Fancily Dwelling -Number of Bedrooms Subdivision Name
0 1~
L1 Public/Commercial -Describe Use Block
of
❑ City
❑ State Owned-Describe Use y. / CSA1 Numiiber / ❑ Village of
KTown of
61- LII~S k7 oe
TTi, Type of Permit: (Check only one box on line A. Complete line B if applicable)
A. K New System ❑ Replacement System ❑ Treatment/Hold ng Tank Replacement Only ❑ Other Modification to Existing System (explain)
B. ❑ Permit Renewal ❑l Permit Revision ❑ Change of Plumber List Previous Permit Number and Dale Issued
❑ Permit Transfer to New
Before Expiration Owner
IV. Type of POWTS System/Component/Device: (Check all that apply)
9 Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 2 m. of suitable soil
❑ Holding Tank ❑ Other Dispersal Component (explain) Pretreatment Device (explain)
V. Dis ersal/Tr tment Area Information:
Design Flow (gpd Design Soil Application Rate(gp ) Dispersal Area Required (sf) Dispersa rea P' sed s System Elevation 1
11 .7 6q3 40
VI. Tank Info Capacity in Total of Manufacturer
Gallons Gallon; units v o
New Tanks Existing Tanks u y
y y v
a
p E!
t% )
U rn ~ cn iz, C7 G.
Septic or Holding Tank U e..'' x
r.5' -rl Ifs .>i'
a
Dosing Chamber
VIi. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans.
Plumber's Name (Print) ; I tor Plumber's nam MP/MPRS Number Business Phone Number
Chi 111 J ►(-,qzGy 7cs- s~;~Z
Plumber's Address (Street, City, State, Zip Code)
_ ,q077 Aoi _ Scram-1 L--r S_yg I J
VIII. Coun /De artment Use Only
Permit Fee Dale issue 7
proved issuing it Signature
vcn Reason t r Denial e
IX. Conditi$Yi'i Q tlIN18RIcasons for Disapproval C~ 5
32
l3iepib~'tark, eaX.I:111w tit d r n t Aw AA,, a
d'lsl?er:z,i call !rust all Mites a rn0l L&, eg n 1
as per mar.3gemen! plan pra-ride,i uv plu,nber. 1 F)
2.. AN,ftfl *reGttl"r.wn;S MUSUAl1-aitttcired
Attach to complete plans for the spstem and submi v n the Cy er nut less than 8 11 x 11 inches in size 67:2A I --►d A4~ ~0 ~~S / G eta
STiD-6398 fR. I 111'
1
Conventional In-Ground POWTS Design
Page 1---Index/Title Page
Page 2---Plot Plan
Page 3---System Specifications
Page 4---Management & Contingency Plan
Page 5---Filter Specifications
Page 6---Tank Specifications
3 Bedroom Septic System
OWNER: Corey & Mary Johnson
2096 215th. Ave.
Deer Park, WI 5_gc0_7
SE 1/4, NE % of Sect. 18 T31N, R16W
Town Of Cylon
St. Croix County
Subdivision Plat 5206-CSM 21-5206 006-06
Block # Lot 005
Parcel Id 0067039-50-400
Designed Pursuant to:
In-Ground Soil Absorption Man al for OW~TSrVe~rssiion 2.0 SBD-10704-P (N.01/01)
Signed:
Address: 2077 29 Ave.
Sarona, WI 54870
Phone: 715-790-5802
ID#1042644
Date: 10/31/16
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PAGE 3 OF
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POWTS OWNER'S MANUAL & MANAGEMENT PLAN PageLf of Vi
FILE INFORMATION SYSTEM SPECIFICATIONS
Owner r i Tank Manufacturer: W,-Se„' El NA
Permit # 91 Septic ❑ Dose ❑ Holding Volume: l~ Cc4) (gal)
DESIGN PARAMETERS Tank Manufacturer: XLNA
Number of Bedrooms: 3 ❑ NA ❑ Septic ❑ Dose ❑ Holding Volume: (gal)
Number of Public Facility Units: k-NA Vertical Distance Tank Bottom(s) to Service Pad: (ft)
Estimated (average) Flow : _ `3100 (gal/day) Horizontal Distance Tank(s) to Service Pad: ~d (ft)
Specific servicing mechanics must be provided if vertical is >15 feet or
Design (peak) Flow = (estimated x 1.5): 4is-U (gal/day) if horizontal is >150 feet Specific instructions to be provided on back.
In Situ Soil Application Rate: a 1 (gal/day/ft2) Effluent Filter Manufacturer: y 1"Ck ❑ NA
Standard (Domestic) Influent/Effluent Monthly average Effluent Filter Model: S ~S
Fats, Oil & Grease (FOG) <_30 mg/L Pump Manufacturer:
Biochemical Oxygen Demand (BOD5) X20 mg/L ❑ NA &NA
Total Suspended Solids (TSS) <150 mg/L Pump Model:
High Strength Influent/Effluent Monthly average Pretreatment Unit
(FOG) >30 mg/L Manufacturer:
(BOD5) >220 mg/L 9 NA Ad NA
(TSS) >150 mg/L ❑ Mechanical Aeration ❑ Peat Filter
El Pretreated Effluent Monthly average e Disinfection El Wetland
Y 9 ❑ Sand/Gravel Filter ❑ Other:
(BOD5) <_30 mg/L Soil Absorption System
(TSS) s30 mg/L RNA
Fecal Coliform (geometric mean) <_10° (&In-Ground (gravity) ❑ In-Ground (pressure) ❑ NA
Maximum Effluent Particle Size in dia. ❑ NA [I At-Grade El Mound
El Drip-Line ❑ Other:
Other: ❑ NA Other: 9 NA
MAINTENANCE SCHEDULE
Service Event Service Frequency
Pump out contents of tank(s) '0 When combined sludge and scum equals one-third (3~) of tank volume
❑ When the high water alarm is activated
Inspect condition of tank(s) At least once every: ❑ month(s) (Maximum 3 years) ❑ NA
3 ayear(s)
Inspect dispersal cell(s) At least once every: ❑ month(s) (Maximum 3 years) ❑ NA
3 l&year(s)
Clean effluent filter At least once every: month(s) ❑ NA
3 year(s)
Inspect pump, pump controls & alarm At least once every: ❑ month(s) ANA
❑ year(s)
Flush laterals and pressure test At least once every: ❑ month(s) KNA
❑ year(s)
Other: At least once every: ❑ month(s) ❑ NA
❑ year(s)
Other:
❑ NA
MAINTENANCE INSTRUCTIONS
Inspections of tanks and soil absorption systems shall be made by an individual carrying one of the following licenses or certifications:
Master Plumber, Master Plumber Restricted Sewer, POWTS Inspector, POWTS Maintainer or Septage Servicing Operator (pumper).
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 a check for any back up or ponding of effluent on the ground surface. The soil
absorption system shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent
on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate
notification of the local regulatory authority.
When the combined accumulation of sludge and scum in any treatment tank equals one-third (Y) or more of the tank volume, the entire
contents of the tank shall be removed by a Septage Servicing Operator (pumper) and disposed of in accordance with chapter NR 113,
Wisconsin Administrative Code.
All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units,
and any servicing at intervals of <12 months, shall be performed by a certified POWTS Maintainer.
A service report shall be provided to the local regulatory authority within 30 days of completion of any service event.
GMW-005 (02/05)
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, solvents or other
chemicals or sediment that may impede the treatment process and/or damage the soil absorption system. If high concentrations are
detected have the contents of the tank(s) removed by a Septage Servicing Operator (pumper) prior to use.
Pump tanks may fill above normal highwater levels prior to startup or due to pump failures. Start up or restoration of power under these
conditions is not recommended, as the excess wastewater will be discharged to the soil absorption system in one large dose causing an
overload that may result in the backup or surface discharge of effluent and damage to the system. To avoid this situation have the
contents of the pump tank removed by a Septage Servicing Operator (pumper) prior to restoring power to the pump or contact a Plumber
or POWTS Maintainer to assist in manually operating the pump controls until normal effluent levels are restored within the pump tank.
System start up shall not occur when soil conditions are frozen at the infiltrative surface.
Do not drive or park vehicles over tanks or the soil absorption system. 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 treatment
tanks and soil absorption system: acids, antibiotics, baby wipes, cigarette butts, condoms, cotton swabs, degreasers, dental floss,
diapers, disinfectants, fats, foundation drain (sump pump) discharge, fruit and vegetable peelings, gasoline, greases, herbicides, meat
scraps, medications, oils, painting products, pesticides, sanitary napkins, solvents, tampons, and water softener brine discharge.
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 properly
and safely abandoned in compliance with s. Comm 83.33, Wisconsin Administrative Code:
• All piping to tanks, pits and other soil absorption systems shall be disconnected and the abandoned pipe openings sealed.
• The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator (pumper).
• 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 fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant
replacement system:
❑ A 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 required
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 rules in
effect at the time of their permit issuance.
A suitable replacement area is not available due to setback and/or soil limitations. If the soil absorption system cannot be
rehabilitated and barring advances in POWTS technology, a holding tank may be installed as a last resort.
1he sit" h., not luated to identify a suitable re on ai ure o e
tea suitable re ep acement area is av
r p ace
❑ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative
surface. Reconstructions of such systems must comply with the rules in effect at that time.
WARNING TREATMENT TANKS, PUMP TANKS, AND HOLDING TANKS MAY CONTAIN POISONOUS GASSES OR LACK
SUFFICIENT OXYGEN TO SUSTAIN LIFE. NEVER ENTER ANY TANK UNDER ANY CIRCUMSTANCE. DEATH MAY
j ` RESULT. ESCAPE OR RESCUE FROM THE INTERIOR OF A TANK MAY NOT BE POSSIBLE.
ADDITIONAL INSTRUCTIONS:
POWTS INSTALLER POWTS MAINTAINER
Name b.A Name 20 l ~;P_ e-e-
Phone '?1 _ YO 5~04 Phone '
SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY
Name pS'~ •C ~~C L Name S Cfo;;c 26 ;
Phone _ l _ S ' Phone - 2- % t."
-715- L
This document was drafted by the staffs of the Green Lake, Marquette and Waushara County POWTS regulatory agencies in compliance with sections
Comm 83.22(2)(b)(1)(d)&(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code.
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, solvents or other
chemicals or sediment that may impede the treatment process and/or damage the soil absorption system. If high concentrations are
detected have the contents of the tank(s) removed by a Septage Servicing Operator (pumper) prior to use.
Pump tanks may fill above normal highwater levels prior to startup or due to pump failures. Start up or restoration of power under these
conditions is not recommended, as the excess wastewater will be discharged to the soil absorption system in one large dose causing an
overload that may result in the backup or surface discharge of effluent and damage to the system. To avoid this situation have the
contents of the pump tank removed by a Septage Servicing Operator (pumper) prior to restoring power to the pump or contact a Plumber
or POWTS Maintainer to assist in manually operating the pump controls until normal effluent levels are restored within the pump tank.
System start up shall not occur when soil conditions are frozen at the infiltrative surface.
Do not drive or park vehicles over tanks or the soil absorption system. 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 treatment
tanks and soil absorption system: acids, antibiotics, baby wipes, cigarette butts, condoms, cotton swabs, degreasers, dental floss,
diapers, disinfectants, fats, foundation drain (sump pump) discharge, fruit and vegetable peelings, gasoline, greases, herbicides, meat
scraps, medications, oils, painting products, pesticides, sanitary napkins, solvents, tampons, and water softener brine discharge.
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 properly
and safely abandoned in compliance with s. Comm 83.33, Wisconsin Administrative Code:
• All piping to tanks, pits and other soil absorption systems shall be disconnected and the abandoned pipe openings sealed.
• The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator (pumper).
• 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 fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant
replacement system:
❑ A 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 required
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 rules in
effect at the time of their permit issuance.
A suitable replacement area is not available due to setback and/or soil limitations. If the soil absorption system cannot be
rehabilitated and barring advances in POWTS technology, a holding tank may be installed as a last resort.
luated to identi a suitable re on ai ure o e
to a suitable re ep acement area Is av
rep ace
❑ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative
surface. Reconstructions of such systems must comply with the rules in effect at that time.
WARNING
TREATMENT TANKS, PUMP TANKS, AND HOLDING TANKS MAY CONTAIN POISONOUS GASSES OR LACK
SUFFICIENT OXYGEN TO SUSTAIN LIFE. NEVER ENTER ANY TANK UNDER ANY CIRCUMSTANCE. DEATH MAY
RESULT. ESCAPE OR RESCUE FROM THE INTERIOR OF A TANK MAY NOT BE POSSIBLE.
ADDITIONAL INSTRUCTIONS:
POWTS INSTALLER POWTS MAINTAINER
Name Name S ,Ivy C
Phone '7157_ 7tlo -S-180'2 Phone
SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY
Name .C. t Name S4. 6f o';< <
Phone L ' _ 12 ' , Phone L - -2, 6 - y6 Pk J
This document was drafted by the staffs of the Green Lake, Marquette and Waushara County POWTS regulatory agencies in compliance with sections
Comm 83.22(2)(b)(1)(d)&(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code.
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ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer CD (e 4- /o VaL%,n-5o^_
, ~rn.~ fTJ
Mailing Address .
13" /
Property Address Z0
(Verification required from Planning & Zoning Dep t for new construction.)
City/State Parcel Identification Number 40(o 103 9 - 5d - 5-00
LEGAL DESCRIPTION
Property Location 5 , 1/4 , 144 1/4 , Sec. $ , T 31 N R A,P W, Town of dYt
Subdivision Plat: , Lot # 5
Certified Survey Map # 27 O Volume Page # '5Z6(o.
Warranty Deed # 6J~ 9 (before 2007)Volume i , Page #
Spec house ❑ yes ❑ no Lot lines identifiable ❑ yes ❑ no
SYSTEM MAINTENANCE AND OWNER CERTIFICATION
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 §SPS. 383.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance.
The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the
owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) 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 Safety And Professional Services and the Department of Natural Resources,
State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix
County Planning & Zoning Department within 30 d s of the three year expiration date.
I/we certify that all statements on this orm are true to the best of my/our knowledge. I/we am/are the owner(s) of the
property described above, by virtue of a w my deed recorded in Register of Deeds Office.
Number of bedrooms
S N5 OF APPLICANT(S) DATE
***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department.
Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if
reference is made in the warranty deed.
(REV. 04/12)
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RECEIVED
Wisconsin,Departmentof Commerce MAR 3ga~ EVALUATION REPORT Page of
~
Division of Safety and Buildings 1
in accordance with CommiAb is. Adm. Code
County
Attach complete site plan on paper nit less ~hTanC ~-P" Yin sl n must
include, but not limited to: vertical an horizontal reference point d r! eon a
Parcel 1. D. percent slope, scale or dimensions, noFffi arrow, an ovation an is ce to est r yd.
Please print all information. Revi d by Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 1 . (1) (m)). ~1716
Property Owner Property Location
0 Govt. Lot . ,6 1/4/1 X1/4 S ~ N R Z i E (o W
Property Owner's Mailing Address , Lot # Block # Subd. Name CSM#
City Mate Zip Code Phone Number ❑ C Village Town Nearest Road
fall,
New Construction Use: Residential / Number of bedrooms Code derived design flow rate sLJ~ r! GPD
❑ Replacement ❑ Public or commercial - Describe:
Parent material ~Lc'~ t~ Flood Plain elevation if applicable ft.
General comments
and recamrnendations:
System System Elevations
M 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
T
i?Cl 015-C, 2 /1
Boring # ❑ Boring
, Pit Ground surface eld, 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
~IZ
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V J,
Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg1L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) Si CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address v Date Evaluation Conducted Telephone Number
1008 192nd Ave, New Richmond, WI 54017 715-246-4516
i~~
Property Owner _ Parcel ID # Page of
Boring #
.
a
Kt' ng
Ground surface elev. 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 44-
IV) 4
I
El 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 ')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 = BOD5 > 30 < 220 mg/L and TSS >30 < 150 mgA_ ' Effluent #2 = BOD5 < 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.
SBD-8330 (8.6/00)
Property Owner _ Parcel ID # Page of
Bonn # ❑ g
` g t n Ground surface elev~ft. Depth to limiting factor r/ 0 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
S sib
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7~ 741-,l 1'1'f
-777 A,
n/2-4 -7
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a
F-I Boring # U Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure I Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
Boring # 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
Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BODS 130 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.
SBD-8330 (8.6/00)
1
Soil Test Plot Pla
Project Name Rob Stafsholt hati Bir¢'
Address
1402 160th St.
New Richmond Wi 54017STM #226900
Lot 5 Subdivision Date 3/28/06
SE 1/4 NE 1/4S 18 T 31 N/R16 W Township Cylon
Boring 0 Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 10o ft. Top of 1/2" pipe
System Elevation 95.2/95.1 *HRpSameasBenchmark
215th Ave KB.M.
Scale is 1" = 40' AItB.M. is Base of
power pole @ 99.6'
unless otherwise
noted
B-2 70'
30 80'
<1 % Slo110WIr 3 0'
40' B-1
B-3
01
35'
Area of a slight sway, different
vegitation and >5' to sands, a thicker E
horizon
Property
Line
e
Homes, Inc. (mtonviliny Tlir Home of Your Dream,
Ryan,
Please see the plans for Corey and Mary Johnson, Town of Cylon Deer Park. She will be returning the
signed maintenance agreement. Once you have and are able to issue a sanitary number, could you
please forward that to me ASAP so I may proceed with land use and UDC permits. You may simply email
that to me as ready when you have it.
Thank you much,
Chris Holman
Al Homes, Inc.