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HomeMy WebLinkAbout042-1016-10-700 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: GENERAL INFORMATION IV (ATTACH TO PERMIT) 592288 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: ANNE HOLLAND TOWN OF WARREN 042-1016-10-700 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: 7? r J I 0_t_ / C~ ~e r 07.29.18.97H TANK INFORMATION ELEVATION DATA TYPE MANUFACTUR R CAPACITY STATION BS HI FS ELEV. 11 Septic I (U( 1 y, 3~~ Benchmark L G ~Od~ c , FT ~e t mfg i A"M Aeration Bldg. Sewer Holding ^SUHt Inlet 1z TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt Bottom-X ~ Header/Man. n- Aeration Dist. Pipe Holding ot. System r PUMP/SIPHON INFORMATION Final Grade Manufacturer - < Demand St Cover GPM Model Number 4~ A, TDH Lift Friction Loss System Head TDH Ft r- Forcemain Length Dia. A Dist. to Well SOIL ABSORPTION SYSTEM '5 BED/TRENCH Width Length No. Of Trenches PIF QIMEN-Sf0NS No_OfPits Inside Dia. Liquid Depth (J DIMENSIONS ( - , _ _ SETBACK SYSTEM TO P/L BLDG WELL LAKE/ST M LEACHING Manufacturer: INFORMATION Type Of System CHAMBER OR 7 UNIT Model bec LS iii U L DISTRIBUTION SYSTEM Header/Manifold Distribution Hoe' Size x Hole Spacing Vgnt to Air Intake 1 1 Pipe(s) J ix Length ~ Dia Length '~-QLa .Spacing ~ SOIL COVER X Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over 'e. xx Depth f xx Seeded/Sodded xx Bed/Trench Center _ Bed/Trench Ed s Topsoil ~es No ryYes ~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 1088 100TH ST 1.) Alt BM Description = ~-T al - Co uc-~✓ f / ~f''~tr 2.) Bldg sewer length = o,- C - amount of cover = 7,~ ~q _ Plan revision Required? ❑ Yes ❑ No Use other side for additional information. SBD-6710 (R.3197) Date Insepc 55 Cert. No. 17 / c - ) A n,' County ~t2r~ P 1 j Safety and Buildings Division K 201 W, Washington Ave., P.O. BOX 7162 _ RpIX COUNTY Madison, 53707-7162 Sanitary Permit Number (to be filled in by Co ) - s S~ZzSg s i t""> Permit A Stale Transaction Number In accordance wtith SPS 383.21(2), Wis. Adm. Code, submis is required prior to obtaining a sanitary permit sion. Note: Application 116- ovmea the Department of Safety and Professional Servies. Pers nal for Zal provide mY~ W lJ are submrtiea to oses in a yo P Project -Address (if di$erent than mailing address ccordancewith the Pri Law, s. 15.04 1) m), Stars, aY be used for secondary ) L A lication Information - Please Print Ati Property Owner's Name - lion Parcel ii Property Owner's Mailing Address r r e-1 o 6 -/0- ~oPenY Location 71, Crty,State 117t 671. Zip Code Phone Number r Lot Alt- -7 II. Type of Building (check all that apply) T L 9 / clc on Lot # N; jL g -or 2 Family Dwelling -Number of Bcdroo Subdivision Name e ❑Public/Commercial-DescribeUs 01COPA11Ct~ Block# A Vi 10 City of ❑ State Owned - Describe Use _ CSM Nmnber ❑ Village of p L qg~Town of t-1 gI• Type of Permit: (Chec only one box on 1} r Complete l Varf ap cabi 77-4 - `r ~r9L A 1Vecv System ❑ Replacement System ❑ T rearment/I-iolding Tank Replacement Only ❑ Other Modification to Existing System (explain) B ❑ Permit Renewal ❑ Permit Revision Before E El Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued ~ r OfPOWTS Sy Owner onent/Device: (Check all that apply) 4 pion-Presst¢ized In-Ground 111 Pressurized In-Ground ❑ At-Grade ❑ Mound > ❑ Holding Tank Other D 24 in. of suitable soil El Mound < 24 in. of suitable soil Lspersal Component (ex am)_ etr Devi V. Dis ersaUTrea ent Area Information: Prea°T1°111ce (explain) J Flow (gpd) Design Soil Application R ds Dispersal Area Required (sf) Dispersal Area propose (,f) S'~'~ ystem Elevation VL Tank Info Capacity in Gallons Tnon # of Manufacliner ` New Tanks Gallons Units Existing Tanks AT W ~C/11Y►~ J Septic or Holding Tank/' v v 7n Dosing Chamber' ~S+S U P L VII. Responsibility Statem ~ - l the undersigned assume P1ntl~er's Name(Prin~ Plumbers S Pensibility for installation of the POW TS shown on the attached pleas. MP/MPRS Number Phone N • umber P ddress (Street City: state, code) / J County/De artment Use Onl d 0 proved ❑ i Permit Fee Date 5 Issuing ent Signature I ~on for Denial 17 IX. Cond as ons m n MgR sfpprova) an ,er Ue e- ~~i2 iL ~ 614W..::i cell must J11 he k J N 04K `i ft b' hat I mt per mansyemenr plan )er. e~ L _ 1 . "It 2. All rJt r0q,0er.wms mu5t tie is 4 .riAr`¢CI ft Per 1VPkA61q mde 1 zKnax F, 1 Attach to com P>~ pleas for the system and submit tot be Coup ~ \ ry oa paper not less a 81rz x 1I inches in S1313-6398(K 11/11) !D (JC/V Z Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 r Date: 4/11/17 Owner: Anne Holland Location: NE 1/4 NE 1/4 S 7 T29 N,R18W 1088 100th St. Warren System type: In-ground absorbtion system (conventional) Manuals Used: In-ground absorbtion system (version 2.0) Pressure Distribution Manual (version 2.0) Page# 1. Cover Page 2. Plot Plan 3. Chamber Cross Section 4-6. Maintanance and Contingency Plan 7. Filter Specifications Sheet 8. Dose Tank Cross Se n 9. Pump Curve 10.-12. Soil Test ~ Signature / License number 6900 System PLOT PLAN PROJECT Anne Holland ADDRESS 551 Gilbert Road Hudson Wi 54016 NE 1/4 NE 1/4s 7 /T 29 N/R 18 W TOWN Warren COUNTY ST. CROIX SYSTEM ELEVATION 91.5/91.1/90.7 3.5' below grade 4/11/17 4 DATE BEDROOM CONVENTIONAL CONVENTIONAL LIFT XXX HOLDING TANK MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE765 DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 1216 # of chambers 60 r, BENCHMARK V.R.P. Top of 3/4" pipe ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark 96' B M * gents 94' 2 Scale = 1/4" = 10' 30' 3-3' X 82' cells with >3' spacing B-1 6°Io Slope Each cell is to be >5' from property line 100th St. 10' 85' 20 B-3 Pro 4 Bedroom Huffcutt Combo Tank House I f 30' \ Vent Quick4 Standard of Co r Leaching Chamber with 20.0 ft2 of Area 1251 5.6ft^2/pair of end caps 4' Long 34" Grade at System Elevation All piping shall be ASTM SDR 30/34, within 10' of tank, piping shall be ASTM F891 Cross Section of Quick 4 Standard Leaching Chamber Typical cross section for 2 of 3 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' Avent Grade Vent 4„ .~`30/34 S eptic Tank 4' 5 4' Long 1 '3457 Grade at System Elevation Grade at System Elevation 34" Spacing 5' 3-3' X 82' Cells Observation tube/Vent Same on other end To be located on end of Cells A B System elevations: C A_91.5' B_91.1' C_90.7' 20 chambers per cell 1 _ I P ( Y- f I - I I ,I I cl~ v , i P Op I , POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION Owner SYSTEM SPECIFICATIONS Permit # - 71 Septic Tank Capacty I 1:1 NA Septic Tank Manufacturer O NA DESIGN PARAMETERS Effluent Flter Manufacturer Number of Bedrooms ❑ NA ❑ NA Effluent Filter Model Number of Public Facility Units ❑ NA NA Pump Tank Capacity j Estimated flow (average) al ❑ NA i Design flow (peak), (Estimated x 1.5) jal/da Uda Pump Tank Manufacturer - ❑ NA 6 Pump Manufacturer Soil Application Rate ❑ NA al/da /ft2 Pump Model Standard Influent/Effluent Quality Monthly avers9e* / ❑ Pretreatment Unit Fats, Oil & Grease (FOG) 53o mg/L ❑ Sand/Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD5) 5220 mg/L ❑ NA Total Suspended Solids (TSS) 5150 m ❑ Mechanical Aeration ❑ Wetland Pretreated Effluent Quality ❑ Disinfection ❑ Other. Monthly average Dispersal Cell(s) Biochemical Oxygen Demand (HODS) 530 mg/l. ❑ NA Total Sus / -Ground {gravity} ❑ ound -Ground (pressurized) pended Solids (1'SS) 530 mglL ~A ❑ At-Grade Fecal Coliform (geometric mean) 5104 efu/100MI ❑ Mound !Maximum Effluent Particle Size Drip Line ❑ Other. Other. X in dia. ❑ NA Other. ❑ NA NA Other: "Values ❑ NA 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) 2~- ears (Maximum 3 years) ❑ NA (Pump out contents of tank(s) When combined sludge and scum equals one-third {'fa} of tank volume !Inspect dispersal cell(s) ❑ NA At least once every: month(s) (Maximum 3 years) ❑ NA s) year( Clean effluent filter At least once every: I or(s) ❑ NA inspect ear(s) pump, pump controls & alarm At least once every; r month(s) =lush laterals and pressure test ear(s) 11 NA At least once every: ❑ month(s) ether. ❑ year(s) ❑ NA At least once every: ❑ month(s) ~7ther: ❑ year(s) NA MAINTENANCE INSTRUCTIONS NA !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 lxmbined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be ivisualiy 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 I'egulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third I:he tank shall be removed by a Septage Servicing Operator and disposed of noacco dancee with chapter tNRe113, Wiscons of Administrative Code. d INN other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, land 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 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 diemicais tht{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 ble discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface disc"e of eftluenL To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area 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 We of the POW"' antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disirthictants; fat; foundation dralin (sump pump) water, fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; 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 propetlY and safety abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code:. • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and property disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil. gravel or another inert solid material. CONTINGENCY PLAN If the POWTS falls and cannot be repaired the following measures have been, or must be taken, to provide a code crompGiont rep 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 requirled setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area Will result in the ri {ed for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWfS technology 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 evalualon 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 foliwing removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effed at that time. <<WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES ANWOR 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 ~c . / Name fCru Phone f /~i f J Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATOR AUTHORITY Name Nei Phone Phone This document was drafted in compliance with chapter SPS 383.22(2)(b)(1)(d)&(f) and 383.54(1), (2) & (3), Wisconsin Admin " Code. i Septic-Dose Wank Cross Section And Pump Performance Specifications Tank Manufacturer Pump Manufacturer _z Tank Modes Number Crt;1 ' 7 j'13 Pump Model Number 1J' > L Total Tank Capacity ! Alarm Manufacturer l'c', t ti Max. Bury Depth Alarm Model Number _ j Switch Type !I1 ~ vy Filter Manufacturer Total Dynamic Head (TDH) -Feet Filter Model Number Elevation Head Distal Pressure Network Loss Minimum Pump Perforn=ce Required Force Main Loss S' ,,L GPM: ' , s -Ft TDH Total i Outlet Manhole Min. 4" Above Grade With Manhole Min. 4" Above Grade Locking Deice. inlet Manhole With Locking Device < 6" Below Grade Sealed Watertight Securely Mounted Weather-proof Finished - Junction Box Vent Min. 12" Disconnect Above Grade Means With vent cap Outlet Filter Inlet Inlet Bale ; ; - A y6>, Switch Settngs and Reserve Capacity Weep Tank Volume = < Hole B i' Dimension Inches Volume Gal. (reserve) A s , B Off Elevation C 2 Ft C Bottom (dose) (dam) D D Elevation Ft {,a,.,i,f' : ; , > > > Y Y > Y > Y > f>t ; :.>t>~ a ><>t> < a { a < < { • < < < < < < i < < t a i f t < i < < i t>< a i GENERAL INSTALLATION: The septic/dose tank is bedded and back filled in accordance with the manufacturer's product approval specifications. Maximum depth of buryas specified by the manufacturer may not be exceeded without oor approval. Manhole covers exposed to grade have an. effective locking device (padlock) installed. Piping at the inlet and outlet is of approved material, connected to the tank with watertight fittings, and laid on stable soil to prevent settling or sagging. The force main is sleeved with C Sch. 40 PVC to bridge the tank excavation and the siemve is seated watertight. Electrical.service complies with NBC 300 and Comm 16.2:3. Page - 02/05 L7 J TOTAL DYNAMIC HEAD/CAPACITY HEAD CAPACITY CURVE PER MINUTE EFFLUENT AND DEWATERING MODEL 152/153 r---- W w j MODEL i 152 T 153 50 Feel I Meters Go!. i Liters I GoL , Liters 153 5 1.5 _ i 251 I 77 291 12 40- 69 ' 15 10 -1 3.; 61 I 231 ' 70 265 0 15 4.6 53 I 201 61 231 a L) 30 20 .1 6.1 44 167 52 197 z 8 25 1 7 6 34 129 1 42 159 C-) 30 1 9.1 1 23 87 i 33 125 i 20 35 - - 22 85 4 40 12.2 i 11 42 10 LxK Voive.: j33.0 i. (11.6,1144.0 Ft. ('14r)j 01-4503 0 2 40 60 80 100 GALLONS LITERS 0 80 160 240 320 5 1/4 3 27/32-1 -----.-j.-4 FLOW PER MINUTE h I 1 i 3 27/32 CONSULT FACTORY FOR SPECIAL APPLICATIONS ; • Timed dosing panels available. I e © 3 2i/3z - an al cal alternators, for duplex systems, are available and supplied with an alarm. e } • Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable level long and short cycle controls. • Sealed Qwik-Box available for outdoor installations. See FM1420, • Over 130°F. (54°C.) special quotation required 152!153 Series 12 I1 /8 I h 1521153 MODELS Control Selection 171, Model Volts Ph Mode Amps Simplex 1 Du lex 1 N152 115 1 Non 8.5 t 22r3 5 1/5 BN152 115 1 Auto 8.5 included 2 or 3 E752 230 1 Non 4.3 1 2 or 3 1 _ L samosa Bli 2 230 Auto 41 Included 2 or 3 N153 115 1 JWcluied 1 2 or 3 BN753 115 1 fj2 or3 SELECTION GUIDE E 153 230 1 1 or 3 BE153 230 1 cluded or 3 1. Single piggyback variable level float switch or double piggyback variable level float switch. Refer to FM0477. o CAUTION 2. See FM0712 for correct model of Electrical Alternator E-Pak. All installation of controls, protection devices and wiring should be done by a qualified 3. Variable level control switch 10-0225 used as a control activator, specify duplex (3) licensed electrician. Ail electrical and safety codes should be followed including the most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). or (4) float system. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL r0: P.O. BOX 16347 Louisville, KY 40256-0347 SHIP r0: 3649 Cane Run Road ~~77 ~7 Louisville, 40211-1961 (502) 778-2731 - . 1 1 (600) 800) 928-PUMP ra4urY/-OMP9 SwcF 917 httpYlwww.zoeller.com I-Olff") L~. FAX(502)774-3624 © Copyright 2000 Zoeller Co. All rights reserved. ST. CROIX COUNT y SEPTIC TANK MAINTENANCE -AGREEMENT AND OWNERSHIP CERTIFICATICiN FORM Owner/Buyer M - g Address SS ( L, Property Addr~ ~ t (Verification required from planning Zoning Dep t for new construction.) City/State Parcel Identification Number LEGAL DESCRIPTION Property Location ~ -~L /a , Sec. TN RW, Town of Subdivision Certified Survey Map # _ 6 -232 i Q / Volume U , Page # Warranty Deed # / 36~ Volume r , page # r Spec house yes no Lot lines identifiable yes no SYSTEM IVZA,IN'I'E,NANCE AND OWNER CERTIFICATION per use and maintenance of your septic system could result in its pr"ature failure to handle wastes. Proper maintenance consists ofpumpmg out the septic tank every y the system can affect the three ears or sooner, ii~ needed, by a licensed pumper. What you put into function of the tic tank as a treatment stage in the wasin disposal system, Owner mamitenance responsibilities are specified in §Coman_ 83 52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. own" and The Property owner agrees to submit to St by Croix County Planning Zonse wastewater a master plumber, journeyman plum, restricted plumber or a licertsed~ a ng that (1) farm. signed by the less than 113 fdisposal system in ull is proper operating condition and/or (2) after ins pumper verifying that (1) the ou-site of Sludge. pection and pumping (if necessary,), the septic tank is Uwe, the undersigned have reed the above r standards set forth, herein, as set by the D e9Co amer m es and agree to maintain the private sewage disposal system with the Certification tatfng that your septic and the Department of Natiaal Resources, State 's Wisconsin g System bas ~m maintained ce ZOOS impartment within 30 days of the three year expiration n d date- must be completed and returned to the St. Croix County Planning & Uwe certify that all statements on . form are true to the best of m / knowledge- Uwe am/are the o wner(s) of the property described above, by virtue of a deed recorded in Register k D is Office, Number of Pedro SIGNATURE OF APPLICANT(S) ***Any information that is misrepresented may result in the sanitary Permit being revoked by the Planning & DATE Zoning Include with this ~ ~Partment reference is madein the warranty deed ~V`liIi}nty deed from the Register of Deeds Office and a copy of the certified survey map if (REV. 08/05) 54M-7 C~ ~ ~o ~ a le i L ~~soa S~.~-+ i r ky I U-ht~-t1 l,oooo . 0 v loo.od,. (v x 3a LLI i i -o, Culver I I 5o.ce ~ , 100 54yec.+ Ryan Yarrin ton From: Anne Holland <aeholl25@gmail.com> Sent: Friday, April 21, 2017 1:34 PM To: Ryan Yarrington Subject: Re: Fw: 1088 100th Street Attachments: 20170421132236317.pdf Ryan, Sorry I forgot to attached the site plan on the previous email. Anne Holland On Fri, Apr 21, 2017 at 1:33 PM, Anne Holland <'IciloI I k: >m> wrote: Hello Ryan, I have attached a sample site plan that I had for the seller of the property. We should only be disturbing a max of 9,800 sqft of property for the house, driveway, utilities and septic. The driveway will be filled with gravel and the rest of the disturbed ground around the house and septic will be graded with black dirt after it is backfilled and grass will be replaced. Let me know if you need a better site plan, our house plan or if you have any questions. Thank you, Anne Holland Forwarded message From: sbird'a fro!itier°~~et,nct <shirt1 =r i :i..iri t { > Date: Wed, Apr 19, 2017 at 4:32 PM Subject: Fw: 1088 100th Street To: Anne Holland <,whO1121~ tr Mara ~~1. On Wednesday, April 19, 2017 12:26 PM, Ryan Yarrington <Idy n Ya,; rC„X_w s> wrote: Shaun, This is the one you had the occupancy recorded. I just need the builder to come up with filling and grading numbers for septic, house, and driveway. This is shoreland so if more than 10k are going to be disturbed then we need a Land Use permit. Thanks Ryan Y rw ington Land Use Specialist i s~s-G*M, "ava I i a i~~ae wM wiea,~ aaa o<°` b~ o, ~f@ ggpp a s@ °e°E g@' 3! ~A S R IM TuowyocN mail Q ualae,y ;o UAO'l e = fe~9 ~ ~ 3gf III tl31N3~JN/071118 RR f 09 a Zaaa1S MOOT BBOT Moaad ~8d y~pepgggg°gIgp@p385°~gp~2R~3fy ~gll a z)u a p t s a H P U L 110H 93§9d~9~4@5 Q1~~~0~ e9~~9~ f 3 c g f y z ~ III ~ ~ I ~ ~ ~ ° pQ'ga4 \ ` l7 3' ~ ~ SSS 't I ~ ~ / J .a.a . 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Q > V_ ° J JJ i - N Q iL~'C8\3P\(~T~MF ua',ve.leul ad Nalae~pd 4am Paleeia JOtl a.°` a ew~'°° fps ° pp ° ° 4 p! 4 p IM P uouiqo[n .HaN pp §gg gp 55 g(({ p g a~ 4 tl31N33 Maws ^ B ~ 9 •pf~ i~p °04 ;a u a.Ia1TS MOOT jo VA& 00T umoy 8B0T MOaad MIPHIiIgli aDuaptsaZl pueIjoH se 4 1\ 5A U o v k NN ~ ~ II o z ~A =1 - ~o I i f gg$ r 1$ 7 Yre - ;X&n L4 aS Ymn Ij I F-' v i@~a"g ck~ ~.&4E9~3~ v',n f: b fi \G~ I `1 F4 ~ i Y F, r. II ~ J d' ~ ~k I ggg - ` F ~~g~1~$~~ r ICI ~r ~ cc ~ ~ nL I IJ' I - 11 d ~ Z € III ~ ~i U 9 E o.. J 9 11 s 2 E ~ ~ g@p KEGEIVED DEC ~ 11 1813 Wisconsin Department of Comm rce SOIL EVALUATION REPORT Page I of 3 Division of Safety and Buildings CR01" hn1!~~~~Pce with Comm 85, Wis. Adm. Code Gustum Septic Service County Attach complete site plan on paper not less than 8'/2 x 11 inches in size. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and - - percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel p--`"7~ Please print all information. - tt /RDate Personal information you provide may be used for secondary purposes (Privacy Law; s. 15.04 (1) (m)). z~ a7 Property Owner Property Location Francis Land LLC Govt. Lot n/a NE 1/4 NE kS_~~ 29 N R 18 W Property Owner's Mailing Address Lot # I Block # ; Subd. Name or CSM# 332 Minnesota Street E-1404 7 n/a -7-7r - - - - - City State Zip Code Phone Number City Village ✓ Town Nearest Road Saint Paul MN 155101 651-222-5555 Warren 100Th Street ✓ New Construction Use: ✓ Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement Public or commercial -Describe: Parent material outwash plains - - Flood plain elevation, if applicable n/a General comments and recommendations: Part of 2.30 acres. Recommend system el. 92.4' along 94.95' contour. Class 2 sizing. 1.55 ro ~r a~ Boring # Boring L eve e ✓ Pit Ground Surface elev. 96.2 ft. Depth to limiting factor >86- in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft _ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 *Eff#2 1 0-5 10yr3/2 none sil 2m0 mvfr as 3f,1m t ( 0.8 2 5-13 10 r3/2 none j sit 2msbk mvfr cw if 0.8 3 13-18 10 r4/4 none sil 1 2msbk mfr cw 1f 0 0.8 I - - - 4 118 31 10yr4/6 none sil 2msbk mfr cw 0.8 - - - 5 31-38 10 r4/6 none r. sil 2msbk mfr cw i - Y-- - 0.8 6 , 38-86 10 r5/6 none , s, gr. s 0 s9 ml i 0.7 I 1.2 Boring # Boring F~l 31 ✓ Pit Ground Surface elev. __'937 ft. Depth to limiting factor >80 in. Soil Application Rate - Horizon ! Depth Dominant Color Redox Description Texture ! Structure Consistence Boundary Roots GP_D/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. j `Eff#1 `Eff#2 1 0-4 10yr3/2 none . sil 2n1on mvfr as 2f,1m 0.8 2 4-12 10yr3/3 none stl 2msbk mvfr cw - 1f 0 0.8 3 112-17 10yr4/6 none sill 2msbk mfr cw 1f 0,&- 0.9 4 17-24 7.5yr4/6 none I gr.sl 2msbk mvfr cwt- if 0'1~'. ~(0 0.9 5 24-68 10Yr5/6 _ none s I gr. s 0 sg ml cw - 0.7 1.2 ~ 6 68-80 5yr4/4 none I scl i 2msbk mfi - i - 0.4 0.6 Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg/L .~t• Effluent #2 = BODE < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature: CST Number Tom Gustum 227618 Address Gustum Septic Service Date Evaluation Conducted Telephone Number N13450937th St., New Auburn, WI 54757 11/11/2003 715-658-1344 Property Owner Francis Land LLC Parcel ID # __pending___ Page - 2---of 3 ❑ Boring # Boring - Pit Ground Surface elev. - 94.4 ft. Depth to limiting factor > 100 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/W in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1Eff#2 1 0-5 ! 10yr3/2 none sil 2mcr mvfr as 3f,1m %N 0.8 - 2 5-12 10yr3/2 none sil 2msbk mvfr cw 1f 9"81 0.8 3 12-20 10yr4/4 none sil 2msbk mfr CW 1f 0 0.8 4 20-35 10yr4/6 none sil 2msbk mfr cw - g'loi~ 0.8 5 35-55 10yr4/6 none gr. sil 2msbk mfr Cw - 0.e 0.8 6 55-100 10yr5/6 none / s, gr. s 0 sg ml - - 0.7 1.2 ql, ~5 ' I ; F-1 Boring # Boring ool- 31 - - - - Pit Ground Surface elev. _ ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots _---BPD/ft2- in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 I ; i ❑ Boring # Boring Pit Ground Surface elev. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots _ _ GPD/ftz - in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. " Eff#1 " Eff#2 - - - - - - - - - - - - i i I~ I 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 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. Property Owner Francis Land LLC Parcel ID # Pending Page 2 of 3 3] Boring # Boring ✓ Pit Ground Surface elev. 94.4 ft. Depth to limiting factor >100 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD ft~ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-5 10yr3/2 none sil 2mcr mvfr as 3f,1 m 0.8 2 5-12 10yr312 none sil 2msbk mvfr Cw 1f 0 0.8 3 12-20 10yr4/4 none sil 2msbk mfr Cw 1f 0.,&' 0.8 4 20-35 10yr4/6 none sil 2msbk mfr cw - 0 0.8 5 35-55 10yr4/6 none gr. sil 2msbk mfr cw - 0 0.8 6 55-100 10yr5/6 none s, gr. s 0 sg ml - - 0.7 1.2 Gf. ~l .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/ftI in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ❑ Boring # 2 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! in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 Eff#2 * Effluent #1 = BOD$> 30 < 220 mg/L and TSS >30 < 150 mg/L Effluent #2 = BOD$ < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format please contact the department at 608-266-3151 or TTY 608-264-8777_ M O M (D 0) (0 d IMIS WOO ~ i Of a z _ a ~ a a W O Y Y E U J m p CL = a 0 H $ a ~ o (n J (4 ~ W J Z W _II O Q' CO O 8 1 J m Q J > > U W W U7 W W u II u d c J N c a m m 0 JT a L O a J `09i 'no~uo~ mm m0) ~n curl Apadoid Ss b6 N m co z z 0 J U 'm m J z Ir __j z p mw N Z JW F Z R g °U) U) ozoZ. o~ JU) W 2~9w O V m~z~ zU Z ~wzZ x »~a o 0 0 d°Na3w o wr~tn~zv~ LL cw~