HomeMy WebLinkAbout038-1049-30-070
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Crc,.
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
(ATTACH TO PERMIT) 592263
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:
Tood & Kristin Solberg TOWN OF STAR PRAIRIE 038-1049-30-070
CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No:
c.5T 11.31.18.208A-70
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic
7r b
1400 C Benchmark 1. L 74-7
Alt. BM Aeration Bldg. Sewer 7a -7
Holding St/Ht Inlet
TANK SETBACK INFORMATION St/Ht Outlet . ~ T7.7
TANK TO P/L WELL BLDG. Vent t Air I take ROAD Dt Inlet
Septic / Dt Bottom
Dosing Header/Man.
Aeration Dist. Pipe ~j • . ~p
Holding Bot. System ' l S • 9.
O
PUMP/SIPHON INFORMATION Final Grade b
Z. 92.7
Manufacturer GePlm~and St Cove
Model Number 7
TDH Lift Friction Loss System Head DH Ft
25 SAS , SI
Forcemain L Dia_ D en
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Qza. LicLd Depth
DIMENSIONS _ f _
SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer:
INFORMATION CHAMBER OR
Typ Of System UNIT
P,rr Mo Num r:
/ Lily,
DISTRIBUTION SYSTEM =33 as
Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Inta e
Pipe(s) CO
Length Dia Length Dia Spacing a-
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Bed/Tren Over Center Depth BedfTrench pth O epth Over Edges xx Depth of xx Seede 'd/Sodded'Yes No xx Mulched No4.4 Topsoil
Yes
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2:
Location: 2210 127TH ST C L
1.) Alt BM Description = I~
/
2.) Bldg sewer length
- amount of cover = ~ ^
3n,
Plan revision Required? ❑ Yes'/~f No Q ~
/ se other side for additional informs on. , " J, -1 ~ & (J ~J
SBD-6710 (R.3/97) Date Insepctor's Si ature Cert. No.
sroer4. Safety and Buildings Division ounty
e l9 ) 201 W. Washington Ave,, P.O. Box 7162 Sanitary Permit Number o be(filled in by Co-)
~ < Madtsan Wl 53707-7162 'OUNTY
~T- (,ODly, State Transaction N ber
st' t
anitary Permit A I
In accordance with SPS 383.21(2), Wis. Aden Code, submission of this form to the aPP-Priatz governmental unit
is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to Project Address (if different than mailing address)
the Department of Safety and Professional Servies. Personal information you provide may be used for secondary C C1
Law, s. 15.04 1) m), Stats. a 1 f
2a
ores in accordance with the Priv
L Application Information - Please Print All Information Parcel # '7 L)
Property Owner's Name % ti q~'" 1
Property Locatron it
Property Owners Mailing Address
n ' 1,1% C c? Govt. Lot
- > y Phone Number r!, Section
City, State Zip Code 1 I t'V_-l cle
or W
~',T T N RI -
Lot#
11. Type of Building (check al hat apps 4 Subdivision Name
or 2 Family Dwelling-Number of Bedroo
Ok ..1 Bloc
1` GV
❑ City of
❑ Public/Commercial - Describe Use
CSM Numbe~ ❑ Village of
❑ State Owned - Describe Use tot ~1 own of -
.2 ~ +.I G~ .c V ;J `
III. T of Permit: (Check only o 4e box on line A. Complete line B if applicable
E] Other modification to Existing System (.explain)
System ❑ Replacement System 11 Treatment/Holdrng Tank Replacement Only
List Previous Permit Number and Date Issued
B. ❑ Permit Renewal ❑ Permit Revision I ❑ Change of Plumber ❑ Permit Transfer to New
Owner
Before Expiration ,
IV. T of POWTS SYStemJCom onentlDevice: Check all that a 1 ` le soil
Ion_pressuriyed In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil ❑ o
❑ Pretreatment Device (explain)
Holaing Tank ❑ Otber Dispersal Component (explain) Design rsal/Treat nt Area Information:
Flow (gPd) Desi~r Soil Application Rate fj Dispersal Area Requir sf) Dispersal 'Qna pose sf) _ S e
D
V_ Total # of Manufacturer
VL Tank Info Capacity Gallons in Gall ons Units J o a m
=
Dasting Tanks v~
U v~ v"
New Tanks
{
7
Septic or Holding Tank
Dosing (;baml>u
VH. ItesponsibiliTy Statement a undersigned, ass ponsibility for installation of the POR' MP/MPRSOn~ the attached lanns.
P1 s Name (Print) Plumb afore Business Phone Number
~ C l ! ✓ ~t~
Plumber's Address (Street, City: S Zip e) I
"1
ouatv/De ar. eat Use Only Permit Fee Da Issued Issuing . t Signature
Approved v 7 ( .
rven Reason for Denial /Q
IX Condi on for D' pproval III
1. tank, ar ubn: iiRe' s~rn 3
srfl :fie; s ! m it,ts'-ec ►ro_N,_`R1J ~C-`JW~
asper,m;r>et'3,cellyHer^osten. all
plan ~ p:---
~ o~ritleri Lv oltiroe=.
as per
2. Ali stelb9* Mabirer:lenX% mast Jl a r V ir. e d
as per wlienblte c 4W. / rdinanrV.7,
gaych to complete plans for the 11M. and submit to the County only on paper not less n 8 irz z it inches
SBD-6398 (R. 11/11)
System PLOT PLAN
PROJECT Todd Solbera ADDRESS 1339 144th St. New Richmond Wi 54017
SW 1/4 SE 1/4S 11 /T 31 N/R 18 W TOWN Star Prarie COUNTY ST. CROIX
SYSTEM ELEVATION 96.4/96.2 4.4' Below grade DATE 4/11 /17 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 fence post ASSUME ELEVATION 100' Filter Lifetime Filter
❑ BOREHOLE O WELL *H.R.P. same as benchmark
Scale is 1" = 40' t
unless otherwise
noted Property Line
B.M.*
60'
Id 1 % Slope
B-
5 0'
s
30'
S 70' ,
1
B-1 / 1,64a.
Pro 3 25 f 04-A.
Bedroom 2-3' X 66' cells with >3' spacing
House 350'
A
Apple River
Cover Page
Shaun Bird
Bird Plumbing Inc.
1432 120th St.
New Richmond Wi 54017
715-246-4516
Date: 1/17/17
Owner:Todd Solberg
Location: SW1/4 SE1/4 S11 T31 N,R18W Lot 4 127th St. Star Prairie
Manuals Used: In-ground absorbtion system (version 2.0)
Page#
1. Cover Page
2. Plot Plan
3. Chamber Cros4ndntingencyy 4-6. Maintanance Plan
7.Filter Cross SedSignature---
License number #226900
System PLOT PLAN
PROJECT Todd Solbera ADDRESS 1339 144th St. New Richmond Wi 54017
r SW 1/4 SE 1/4S 11 /T 31 N/R 18 W TOWN Star Prarie COUNTY ST. CROIX
SYSTEM ELEVATION 96.4/96.2 4.4' Below grade DATE 4/11/17 BEDROOM 3
CONVENTIONAL )OOC 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 fence post ASSUME ELEVATION 100' Filter Lifetime Filter
❑ BOREHOLE (DWELL *H.R.P. same as benchmark
Scale is F = 40'
unless otherwise
noted Property Line
B.M.*
60'
B-3 1% Slope
50'
Vents
3 0'
25'
r 70
B-1 B-210'
Pro 3 25'
Bedroom 2-3' X 66' cells with >3' spacing
House 350'
Apple River
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 To be >1' above grade
5.6ft^2 pair of end plates Finish grade elevation
92.4'
Typical Installation
Vent At/ Vent
Grade
3' 4„ 3
A/30/34 Septic Tank
5' Long 1 11 5 5 Long Grade at System Elevation
36" Grade at System Elevation
Spacing 5'
2-3' X 66' Cells
Same on other end Observation tube/Vent
At end of cell
A
B
16 chambers per cell
System elevations:
A-88.4'
B-88.3'
ST. CROIX COUNYY
SEPTIC TANK MAINTENANCE .I~GREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer
1
Mailing Address °
Property Address 2 2.1 n 12-x. ntt
a-.--
(Verification required from Planning & Zoning Department (lue-W construction.)
City/State Parcel Identification Number
LEGAL DESCRIPTION
Property Location '/4 '/a , Sec. I , T N R1, W, Town of J _ ~ t f f ' r Z
Subdivision , Lot # I
Certified Survey Map # , Volume' , Page #
Warranty Deed # ) , Volume ,Page # _
Spec house yes Lot lines identifiabl 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, 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 wasir 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 Platuiing & 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.
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 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.
Uwe certify that all statements on form 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 deed recorded in Register of Deeds Office.
Number of bedrooms
SiGNATLA?k O LICANT(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 -~-b r.. / Septic Tank Capacity a ❑ NA
Permit # Septic Tank Manufacturer ❑ NA
3ESIGN PARAMETERS Effluent Filter Manufacturer m ❑ NA
Number of Bedrooms ❑ NA Effluent Filter Model ❑ NA
Number of Public Facility Units NA Pump Tank Capacity al NA
j Estimated flow (average) aVda Pump Tank Manufacturer NA
-'5 0"D g
I Design flow (peak), (Estimated x 1.5) gal/day Pump Manufacturer NA
Soil Application Rate , aUda /ft2 Pump Model NA
Standard Influent/Effluent Quality Monthly average" Pretreatment Unit I~NA
Fats, Oil & Grease (FOG) 530 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter
Biochemical Oxygen Demand (BOD5) <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 (BODs) 530 mg/L In-Ground (gravity) ❑ In-Ground (pressurized)
Total Suspended Solids (TSS) 530 mg/L ❑ At-Grade ❑ Mound
Fecal Coliform (geometric mean) 5104 cfu/100m1 ❑ Drip-Line ❑ Other:
iMaximum Effluent Particle Size 3k in dia. ❑ NA Other. ❑ NA
IOther. A Other: ❑ NA
"Values typical for domestic wastewater and septic tank effluent Other ❑ NA
IAINTENANCE SCHEDULE
Service Event Service Frequency
linspect condition of tank(s) At least once every: ❑.month(s} (Maximum 3 years) ❑ NA
year(s)
(Pump out contents of tank(s) When combined sludge and scum equals one-third (36) of tank volume ❑ NA
Ilnspect dispersal cell(s) At least once every: ❑ month(s) > year(s) (Maximum 3 years) ❑ NA
more El NA
Olean effluent filter At least once every: ear((ss) )
~
inspect pump, pump controls & alarm At least once every: ❑ month(s) NA
❑ year(s)
l=lush laterals and pressure test At least once every: 11 ❑ month( year(s) )
NA
Dther. ❑ month(s)
At least once every: ❑ year(s) NA
I?ther:
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 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
icembined 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
Pegulatory authority.
When the combined accumulation of sludge and scum in any tank equals one-third (X) or more of the tank volume, the entire contents of
I:he tank shall be removed by a Septage Servicing operator and disposed of in accordance with chapter NR 113, Wisconsin
Administrative Code.
III 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.
i!k service report shall be provided to the local regulatory authority within 10 days of completion of any service event.
pop of
for the presence of painting products or other chemicals that
START UP AND OPERATION check treatment tank(s) ns are deter have the contents of thO
For new construction, Prior to use of the pO ma the dispersal cell(s). If high concentratio
may impede the treatment Process andlor to use.
tank(s) removed by a septage servicing operator
System start up shall not occur when soil conditions are frozen at the infiltrative surface. the excess wastewater will ble
hwater levels. When power is restored
or surface discharge of effluent.
outages pump tanks may fill above normal hig in the backup
Ming Pte' to the
During Power ca(s) in one large dose, overloading the cell(s) and may result O ator prior to rests
discharged to the diispersal to Servicing p to restore normal levels of the pump tank removed To avoid this ~~d have a Pt the contents or POWTS Maintainer to
assist iny manually operating the pump cOntvb
effluent pump the area within
within the pump tank. park over, or otherwise disturb or compact,
Do not drive or Park Vehicles over tanks and dispersal
absorption cells area not drive or 15 feet down slope of any and o at-grade o perfonnancs and Prolong the life of the POWT'$:
from the wastewater stream may improve the disinfecarrts; fat; foundation drain
Reduction or elimination of the following iBasers; dental floss; diapers; s OR; painting produ0s;
(sumppump) wate butts; -condoms; cotton swabs; deg medi~on ;
antrbiotia' baby ~ cigarette ble PeiIngs; gasoline; grease; herbicides; meat scraps',
r, fruit and vegetable
pesticides; sanitary napkins; tampons; and water softener brine.
W the system is PrapetlY
ABANDONMENT taken out of service the following steps shall betaken to insure
and When the safely POWTS fail abandoned s in c and/or nomom is pliance with chpermanentlyapter Comm 83.33, Wisconsin Administrative Code:.
• All piping to tanks and pits shall be disconnected and the abandoned Ptpe openings sealed.
di of by a Septage Servicing Operator
• The contents of all tanks and pits shall be removed and property > filled with sip
• After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space
gravel or another inert solid material.
aired the following measures have been, or must be taken, to Provide a code Compliant
CONTINGENCY FLAN
If the POWTS falls and cannot be rep
replacement system: replacement soil absorption systelm. Of a -A_A suitable replacement area has been evaluated and may be utilized for the to should not be
infringed upon by requiiled
The replacement area should be protected f< lod sturbe andnts Fa;~lure Protect the replacement area will result in the need
setbacks from existing and proposed structure, ot ems must comply with the rule: in
for a new soil and site evaluation to establish a suitable rec table replacement area. Replacement system
effect at that time. in pOWTS technologK a advances ❑ A suitable replac wwt area is not available due to setback and/or soil limitations. Barring
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
to locate a suitable replacement area. if no replacement area is available a holding tank may be installedi as
must be performed
a last resort to replace the failed POWTS. removal of the btomet at the infiltrative
[3 Mound and at-grade soil absorption systems may be reconstructed in place following
with the rules in effed at that time.
surface. Reconstructions of such systems must comply
<<WARNING» R INSUFFICIENT OXYGEN. DO NOT
SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/0
ENTER A SEPTIC, PUMP OR OTHER TREATMENT TAN UNDER ANY CIRCU T CF~• Dom` Y RESULT. RESCUE O~ A
PERSON FROM THE INTERIOR OF A TANK MAY BE DI#FiCULT O IMPOSSIBLE. _
ADDITIONAL COMMENTS.--
POWTS MAINTAINER
S INSTALLER i Name
Name f~
f Phone J
Phone _ 1 t ( 3 ( r
LOCAL REGULATORY AUTHORITY
SEPTAGE SERVICING OPERATOR PUM R
Name
Name Ts f
Phone
P 7
hone o
(1)(d)&(f) and 383.,54(1), (2) & {3}, vYtscxx►sia Administr ive Code.
compliance with ChWar SPS 383.22(2)(b)
in
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RECEIVE
n~Wisconsin Department of C AVg rtie Page of
~
Division of Safety and Buildn'n~~,s
e con ,,e County cr
St, CROIX c MLPncENT
DE . Attach complete sit'as mam noot less than 8 / 11 Inches in size. Plan must
~a r 6
include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I. 49_
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. OO
Revi ed by Date
Please print all information.
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).
Property Owner Property Location
Govt. Lot 1 /4 J'=1 /4 S T N R E r)
property Owner's Mailing Address g t / Lot # Block # Subd. Name or M#
city s State p Code Phone Number ❑ City ❑ Village Mown Nearest Roa4
Code derived design flow rate GPD
'New Construction UseoResidential /Number of bedrooms
❑ Replacement ❑ Public or commercial - Describe: -
Parent material ~r;,''~~' Flood Plain elevation if applicable ft
General corrvnents /
and reconxnendations:
System Type System Elevation
F Boring # E] Boring
Pit Ground surface elev. ft. Depth to limiting factor in g Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary GPD/fF
in. Munsell Clu. Sz. Cont. Color Gr. Sz. Sh. ff#1 `Eff#2
I
!
in.
Boring # Boring g t e, /
El Pit Ground surface elev. ft. Depth to limiting factorf Soil lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDKf
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2
t
• Effluent #1 = BOD. > 30 < 220 mg& and TSS >30 < 150 moll ` Eflluent #2 = BOD, _ 30 mg/l and TSS 30 mg/L
CST Name (Please Print) Signat CST Number
226900
Bird Plumbing, Inc. Shaun Bird
Date Evaluation Conducted Telephone Number
Address - 715-246-4516
1432 1 20th St, New Richmond, WI 54017
Property Owner _ Parcel ID #
r Page of
Boring # ❑ Boring 3
` -pit Ground surface elev7i, ° ft. Depth tolimitingfactor ~//cam in.
Soil lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fg
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 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
F] Boring # ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate
Horizon 7epth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff
on. 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.
SB0.8330 (8.6100)
Property Owner _ Parcel ID # Page of
131 Boring # ❑ Boring ,
Q pit Ground surface elevj~ 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
❑ 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
❑ 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.
SOD-9330 (8.6/00)
Soil Test Plot Plan
Project Name Todd Solberg Shau ird
Address 1339 144th St.
New Richmond Wi 54017 TM #226900
Lot 4 Subdivision Date 4/11/17
SW 1/4 SE 1/4S 11 T 31 N/R18 W Township Star Prairie
Boring 0 Well PL Property Line County ST. CROIX
, BM or VRP Assume Elevation 100 ft. Top of steel fence post
System Elevation 88.4/88.3 *HRPSame as Benchmark
Scale is 1" = 40'
unless otherwise Property Line
noted
B.M.*
60'
B-3 1% Slope
50'
3 0'
70'
B-1 B-210'
350'
Apple River
#1589
Wisconsin SOIL EVALUATION REPORT page 1 of 4
Department of Commerce in accordance with Comm 85, Wis. Adm. Code
Division of Safety and Buildings Schmitt Soil Testing, Inc.
Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must County St. Croix
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. Part of:038-1049-30--e99 v
Please print all information. - Review By Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ;Z 6
Property Owner KECEI1VF r- Up Property Location
Edin, Clay Govt. Lot LW /4, S/1 /4, 11, T31 N, R18W
Property Owner's Mailing Addres HC Q 2007 Lot # Block # Subd. Na q( T7*'? S Z
2220 127th St 4~/
City S to Z~rCeft,X PCt TpIgmbe City Village Town Nearest Road
New Richmond I 5~ G OFFICE Star Prairie 77 1 T~ 127Th St.
New Construction Use: ' Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD
Replacement Public or commercial - Describe:
Parent material Outwash Sand and Gravel/,it~k/.a.'`Sry r' Flood plain elevation, if applicable na ft.
General comments
and recommendations: Area is suitable for a conventional system with a 0.7 gpd/sgft rating. Possible system elevation for Area
1 is 97.80'. Slope of area is 3%• 7 3S Gad <st GS
1 Boring #
F-1 j Boring
Pit Ground surface elev. _ 100.81 ft. Depth to limiting fact r 89 in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistent Boundaryoots GPD/ftz
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
1 0-8 10yr3/2 none sl 2fsbk mfr as 2vf .6 1.0
2 8-16 10yr3/4 none Is lcsbk mfr gw 1vf .7 1.6
3 16-33 7.5yr5/6 none cos Osg ml Cs .7 1.6
4 33-89 10yr6/4 none grs Osg ml Cs .7 1.6
10yr6/6
5 89-115 7.5yr4/6 LZ i r6/2 vfsl lmsbk mfr .2 .6
[Y] Boring # Boring -
Pit Ground surface elev. 100.81 ft. Depth to limiting factor 110+ in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistent Boundary Roots GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
1 0-10 10yr3/4 none sl 2fsbk mfr as 1vf .6 1.0
2 10-20 7.5yr5/6 none cos Osg ml Cs .7 1.6
3 20-45 10yr5/4 none cos Osg ml cs .7 1.6
4 45-63 10yr6/4 none s Osg ml cs .7 1.6
5 63-110 10yr5/4 none vgrcos Osg ml .7 1.6
rt
r
Pop
Effluent #1 = BOD? 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS s30 mg/L and TSS < 30 mg/L
CST Name (Please Print) Signature: CST Number
227429
Thomas J. Schmitt
Address Schmitt Soil Testing, Inc. Date Evaluation Conducted Telephone Number
1595 72nd Street New Richmond, WI 54017 11/30/2007 715-247-2941
SBD-8330 (R 07/00)
Property Owner Edln, Clay _ _ Parcel ID # Part of:038-1049-30-000 Page 2 of 4
F3] Boring # Boring
Pit Ground surface elev. 99.26 ft. Depth to limiting factor 110+ in. Soil Application Rate
Horizon Depth Dominant Color I Redox Description Texture Structure Consistence Boundary Roots GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 ,Eff#2
1 0-7 10yr3/3 none sl 2msbk mfr as 2vf .6 1.0
2 7-37 10yr5/6 none grcos Osg ml a .7 1.6
3 37-78 10yr6/4 none s Osg ml cs .7 1.6
4 78-110 10yr5/4 none cbcos Osg ml 7 1.6
❑ 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/ft2
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 Application Rate
Horizon Depth
in. Dominant Color Redox Description I Texture Structure Consistence Boundary Roots GPD/ft2
Munsell Qu. Sz. Cont. Color I 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
SBD-8330 (R.07/00) need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777.
Schmitt Soil Testing, Inc.
Page 3 of 4
Conducted by: Conducted For:
Schmitt Soil Testing Inc. Name: Clay Edin
Thomas J. Schmitt, CST 227429 Address: 2220 127th St.
1595 72nd St. City, State, Zip: New Richmond, WI 54017
New Richmond, WI. 54017
Phone: 715-247-2941 r Subd.Name: CSM Pending
Lot No.: 4
Sigtrature~~2-C~2.~ua,~-
Date Legal Description: SW1/4 SE 1/4 SI I T3 IN RI 8W
■ Backhoe pit Township, County: Star Prairie, St Croix County
® Bench Mark El. 100.00' Top of 1 1/4" Steel pipe,
Alternate Bench Mark El.102.41' top of 1 1/4" steel pipe,
Slope= 3%
Scale 1 =40
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