HomeMy WebLinkAbout020-1016-06-000 (2)
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
(ATTACH TO PERMIT) 597320
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:
BRANDON & KRIS STRAIN TOWN OF HUDSON 020-1016-06-000
CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No:
gy q~ I ro I 6b 12.29.19.71 F-10
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark ' 6
` ar
Dosing Alt. BM
Aeration Bldg. Sewer 51 in
Holding St/Ht Inlet
St/Ht Outlet
TANK SETBACK INFORMATION
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet
Septic Dt Bottom
Dosing` y Header/Man.
Aeration Dist. Pipe
Holding Bot. System I 79 4ft C
7 41:
PUMP/SIPHON INFORMATION Final Grade
3.7 ~y
Manufacturer Demand St Cover
GPM
Model Number °
TDH Lift FtietieffLcus-. ead TDH Ft
C
Forcemain Length Dia. Dist. to Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length No. Of n es PIT15 {dIIENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS
SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer.
INFORMATION Type Of System: CHAMBER OR
GO & J _ l c 0,,Q,17 30 ~Q A)4-' UNIT Model Number: 41 v u ~s
DISTRIBUTION SYSTEM-
Header/Manifold) Distribution Ix Hole Size x Hole Spacing Vent Air I_ nyake
7 Pipe(s)
Length Dia Length Dia Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched
Bed Trench Center Bed/Trench Edges Topsoil
No -°j Yes N.
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2:
Location: 1020 MOONBEAM Gt d r
1.) Alt BM Description = i Z: 2.) Bldg sewer length = ~x1
- amount of cover -
Plan revision Required? C Yes No I
1 - s
Use other side for additional information. t
SBD-6710 (R.3/97) Date Insepctor's Signatur Cert. No.
County
RECEIVED Safety and Buildings Division St. Croix
201 W. Washl ton Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.)
MAY 112017 Madis I 707-7162 Gj 'f
/ ST. CROIX COUNTY .
Sanitary ernllt Application State Transaction Number
In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate gov mental unit Na
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 Services. Personal information you provide may be used for secondary
purposes in accordance with the Privacy Law, s. 15.04(1)(m), Stats. Same
I. Application Info rmatio Please Print All Information
Property Owner's Name ' Parcel #
Brandon & Kris Strain 020-1016-06-000
Property Owner's Mailing Address Property Location 01 rF-- IV
1020 Moonbeam Rd. Govt. Lot
City, State Zip Code Phone Number SW SE 'A, Section 12
(circle one)
Hudson, WI 54016 (336) 423-2689 T 29 N; R 19 W
II. Type of Building (check all that apply) Lot #
El 1 or 2 Family Dwelling - Number of Bedrooms CO Subdivision Name
by,- Block # CSM Vol. 15, Pg. 4040
❑ Public/Commercial -Describe Use . Na
154- T dL WIN ❑ City of
❑ State Owned - Describe Use CSM Number ❑ Village of
639453 Town of Hudson
III. Type of Permit: (Check only one box on line A. Complete line B if applicable)
A.
❑ New System eplacement System ❑ Treatment/Holding Tank Replacement Only 01 ther Modification to Existing System (explain)
Replacement of failed trench
❑ Permit Transfer to New List Previous Permit Number and Date Issued
B• ❑ P it Renewal ❑ Permit Revision ❑ Change of Plumber
Be re Expiration Owner
569514 issued June 6, 2014
IV. Ty e of POWTS System/Component/Device: (Check all that apply)
on-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil
❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain)
V. Dispersal/Treatment Area Information: 14 Infiltrat Quick 4 Standard Plus chambers & 1 air end caps
Design Flow (gpd) Design Soil lication Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation
199r6b}~(l 6,5 Gpd/Sq. Ft. 285.20 sq. ft. 285.20 sq. ft.. 88.50'
VI. Tank Info Capacity in Total # of Manufacturer
Gallons Gallons Units „ o
New Tanks Existing Tanks /j o
V p 2 co
2 E!
W16 .&-f ~j aU in ti Cis wC7 G1
Septic or Holding Tank Na 1,000 1,000 1 Huffcutt Concrete X
Dosing Chamber
VII. Responsibility Statement- I, the and signed, assu a responsibility for installation of the POWTS shown on the attached plans.
Plumber's Name (Print) Plumber's i nature 7 MP/MPRS Number Business Phone Number .
James K. Thompson MPRS 30021 (715) 248-7767
Plumber's Address (Street, City, State, Zip Cod")
340 Paulson Lake Lane, Osceola, WI 54020
V11"ounty/Department Use Only
INZ
pproved ❑ L~isarvvec} Permit Fee Date [sued Issuing ent Signature
❑ Owner Give eason Dnial
IX. Condit `M Reasons for, Disapproval
1: ` r +ept!rs tdlrk, eftltfcnt Aor rh+i
t►j%. W:Su cell must all e~s~r ices ~t °r_
a1K pK ~ttdr.3lyemen! plan pt0 ncleo by piualbe:.
Z c p gq mtkrt tie ma;nt, it e 7
40 per ropowbm 006f v4imms-%.
Attach to complete plans for the system and submit to the County only on paper not less than 8 1/2 x 11 inches in size
SBD-6398 (R. 11/11)
~ EX,s~•.fy ~.~e e/e~
fit/e. / gyp,
Bra n a ,j 9 e,- iS-ler) .5&- r7
lo;z /tteer, hga," .E:
W,w o5ool, (,J/
%n.ol'fkcds~m S~. CroirCo; c~/.
/LCoon 6 e4 en dal
EYi 5~in A/, 6:ncrek
Cguu ekcwr~ 6
1►
DT, ~llEc~a Eouf(r 3
3 b~m
0
N
C~r S~ot/Sa,/ Gt/~ nc~ ~D O E,Y/S tai ~1~ GJC~~
max:
41 e V
~iojoeseol/~e7o/kCt,.cant E/av~ = 96.90'a3N`r'
Sur ~o ~ e /c% to be 88. Sa
i
Conventional POWTS Index & Title Sheet
Project Name: Strain SingleTrench Replacement - Conventional Dispersal Cell
Owners Name: Brandon & Kristen Strain
Owner's address: 1020 Moonbeam Rd., Hudson, WI 54017
Site address: Same
Project Location:
Subdivision: lot 06, CSM Vol. 15, Pg. 4040
Legal Description: SWI/4 SE/4, Sec. 12, T.29N., R. 19W., Tn. Of Hudson, St. Croix Co., WI.
Parcel ID 020-1016-06-000
Page 1 Index and Title Sheet
Page 2 Site Plan
Page 3 Dispersal Cell Sizing Calculations
Page 4 Infiltrator "Q-4" Standard Plus Chamber Cross section
Page 5 System Cross Section
Page 6 Septic Tank Maintenance Agreement
Page 7 Certification for Utilization of Existing Septic Tank
Page 8 System Management Plan
Page 9 Parcel Map
Page 10 Warranty Deed
Attachments: Soil Evaluation Report
Mater Plu estricted Service: James K. Thompson, DSPS Credential #30021
1
Signature: s-~ Date: 17
Page 1 Of 10
Design pursuant to In-Ground Soil Absorption Component Manual for POWTS, version 2.0 SBD-10705-P (N.O1/O1)
Locaz cd,J o'w. S-LAc
61*4ol &tj y K,-/:5~lr~ 5L~/'Rir7
/O,Z4 e~ltao» bea,",&..
Wu dsool, C-9/. SW17
~6 CSrh ✓~/S~. S/Oi/O
677
0 ,oc% ~o~-/o/6-ob-ctao
4600 eQ 1-1
/G.S, 63
Fi /tcrc.f auf(~. 3
Q.
y
l~ydrau.flca.tly
(ed g a ~4 y~.
3 ~7M
o
N
EX~Jfir,q f3 7,4'
°o
d,'s,oysa/ cc// n~ : To c EXi3~ ~ y cJe!/ Z
/o~oo3Ccl /`t~0/tC.fnten~ E/av~ = 98. ~O'a S/4+r'
du,-,. ee e !u/, to be 88.5'0.
l'~ 2W16
Sizing Calculations - Strain Single trench Replacement for Existing 3 Bedroom Dispersal Cell
1. (3bedrooms)(100 gallons estimated flow)(1.5 design factor) = 450.00 Gpd design flow
2. Infiltrative capacity of native soil at or within 3' of system elevation = Odd/sq. ft.
3. Absorption area required: 900.00 sq. ft.
4. Existing absorption area: 915.60 total existing sq. ft. - 285.20 non-functioning sq. ft.
4. Absorption area proposed: 285.20 sq. ft. (14 chambers + 1 pair end caps)
Infiltrator "Quick 4" = 20.00 sq.ft. EISA per chamber, Infiltrator "Quick 4" end caps = 5.20 sq.ft, EISA/pair
285.20 sq. ft. - (1 pair endcaps)(5.20) = 280.00 sq. ft.
280.00 sq. ft./20.00 = 14.00 chambers required
Number of trenches: I @ 14 chambers (/J(chambers total)
Trench width: 2.83'
Trench length: 59.00'
Trench spacing: 9.00' on center from existing trench
Pg. 3 of 10
SKI, "I
The Quick4® Plus
INFILTRATOR"' Standard Chamber
water technologies
Epp,-_- rMS
Iuic III
The Quick4 Plus Standard Chamber
offers maximum strength through
t`t
its two center structural columns.
This chamber can be installed inQ
a 36-inch-wide trench. Like the
original line of Quick4 chambers,
it offers advanced contouring
capability with its Contour Swivel
Connection T11 which permits turns
up to 15-degrees, right or left. It is
also available in four-foot lengths to
provide optimal installation flexibility.
The Quick4 Plus All-in-One 12 Quick4 Plus Standard Chamber Benefits:
Endcap, and the Quick4 Periscope • Two center structural columns offer increased stability and superior strength
are available with this chamber, • Advanced contouring connections
providing increased flexibility in • Latching mechanism allows for quick installation
system configurations.
• Four-foot chamber lengths are easy to handle and install
• Supports wheel loads of 16,000 Ibs/axle with 12" of cover
Maximum Strength
Quick4 Plus Standard Chamber
Specifications
size Quick4 Plus All-in-One 12 Endcap Quick4 Plus All-in-One Periscope
34"W x 53"L x 12"H Benefits: Benefits:
(864 mm x 1346 mm x 305 mm)
• May be used at the end of chamber • Allows for raised invert installations
Effective Length row for an inlet/outlet or can be • 180° directional inletting
48" (1219 mm) installed mid-trench
• 12„ raised invert is ideal for serial
• Mid-trench connection feature allows applications
Louver Height construction of chamber rows with
8" (203 mm) center feed, as an alternative to
inletting at the ends of chamber rows
Storage Capacity • Center-feed connection allows for
47 gal (178 L) easy installation of serial distribution
Invert Height systems Certified by the international
0.6" (15 mm), 5.3" (135 mm), • Pipe connection options include Association of Plumbing
8.0" (203 mm), 12.7" (323 mm) sides, ends or top and Mechanical
Officials (IAPMO) OW)
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ST. CROI.X COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer Brandon & Kristen Strain
Mailing Address 1020 Moonbeam Rd.
Property Address Same
(Verification required from Planning & Zoning Department for new construction.)
City/State Hudson, WI Parcel Identification Number 020-1016-06-000
LEGAL DESCRIPTION
Property Location SW '/4 , `SE 'A , Sec. 12 , T 29 N R 19 W, Town of Hudson
Subdivision Plat: Na Lot # 06
Certified Survey Map # , Volume Vol. 15 Page # 4040
Warranty Deed it 1003270 (before 2007)Volume Na Na
Spec house ❑yes0no Lot lines identifiable 0yes[]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 &7..oniug Department a certification torte, 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 days of the three year expiration date.
I/we certify that all statements on his form are true to the best of my/our knowledge. Vwe am/ace the owner(s) of the
property described above, by virtue of a rranty deed recorded in Register of Deeds Office.
Number of bedrooms _ 3
05/02/17
SIGNATURE OF APPLICANT(S) DA'Z'E
***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)
ST. CROIX COUNTY ZONING OFFICE
CERTIFICATION STATEMENT
FOR UTILIZATION OF EXISTING SEPTIC TANK(S)
This is to certify that I have inspected the existing septic and/or dose tank
presently serving the following residence:
(Street address) 1020 Moonbeam Rd., Hudson, WI 54016 located
at: SW '/4, SE '/4, Section. 12 Town 29 _N, Range 19 _ _W,
Town of Hudson , St. Croix County Wisconsin.
Upon inspection, I certify that I have found the tank(s), to the best of my
knowledge, will conform to the requirements of SPS. 384.25, and it (they)
appear(s) to be functioning properly.
Most recent date of inspection or service March 21, 2017
:Did flow back occur from absorption system? Yes No x
(if no, skip next line.)
Approximate volume or length of time: Na gallons Na minutes
Tank Capacity: 1,000 gallon
Construction: Prefab Concrete X Steel Other
Manufacturer (if known): Huffcutt concrete
of Tank (if known): 2 Years, installed 07/13/14
Perms number (if kno 569514
James K. Thompson
icensed Plumber tgnature) (Print Name)
MPRS MPRS #30021
(Title) (License Number) MP/MPRS
April 28, 2017
(Date)
Form to be completed by licensed plumber (Dept of Safety and Professional
Services Chapter 305 and. s. 145.06, Wisconsin. Statutes) or licensed disposer
(NR 113 Wisconsin Administrative Code)
Rev. 2/2012
P~. ~6~16
Conventional POWTS Management Plan
Pursuant to SPS 383.54, Wis. Adm. Code
General
The conventional septic system shall be operated in accordance with SPS 382-384 Wis. Adm. Code, and shall be maintained
in accordance with component manual SBD-10705-P (N.01/01). All local and/or state rules pertaining to system
maintenance and maintenance reporting shall be complied with. Questions on the operation or maintenance of the system
should be directed to the installing plumber, Jim Thompson at (715) 248-7767 or the St. Croix County Zoning Department at
(715) 386-4680.
Septic Tank
Septic tank servicing mechanics comply with SPS 383.54(1)(e). Septic tank to be located within 150' of service pad, with
bottom of tank to be 15' below service pad elevation. The operating condition of the septic tank and outlet filter shall be
assessed at least once every two years by inspection. The septic tank contents shall be removed when the sludge and scum in
the tank exceed 1/3 the liquid volume of the tank. The contents of the septic tank shall be disposed of in accordance with NR
113, Wis. Adm. Code, by an individual certified to service septic tanks under s. 281.48, Stats. If the contents of the tank are
not removed at the time of a biannual assessment, maintenance personnel shall advise the owner of when service will be
needed to maintain less than 1/3 scum and sludge accumulation in the tank. The outlet filter shall be cleaned as necessary to
ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank
that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be
serviced if the alarm is activated. Septic tank manholes risers, access risers, and covers should be inspected for water
tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of
service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater
than 8 inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank.
No individual should ever enter the septic tank as dangerous gases may be present that could cause death. Septic tank
abandonment shall be in accordance with Comm83.33, Wis. Adm. Code when the tank is no longer used as a POWTS
component. The addition of biological or chemical additives to enhance septic tank performance is generally not required. If
such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings
Division.
Soil Absorption Cell
Trees or shrubs should not be planted directly on the soil absorption system. The area above and around the system should
be seeded and mulched as necessary to prevent erosion and provide some degree of frost protection. Traffic (other than for
vegetative maintenance) over the system is to be avoided. Soil compaction may hinder aeration of the infiltrative surface
within and above the system and will promote frost penetration during cold weather months. Cold weather installations
(October-March) dictate that the system be heavily mulched for frost protection.
Influent quality into the system may not exceed 220mg/L BOD5, 150 MG/L TSS, and 30 mg/L FOG. Influent flow may not
exceed maximum design flow specified in the permit for the installation.
Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the
owner. Levels above 4 inches indicate an impending hydraulic failure requiring additional, more frequent monitoring.
Continuency Plan
If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the
system in proper operating condition. Excessive ponding within the dispersal cell will be eliminated by installing a new soil
absorption cell to bring the system into proper operating condition.
Pg.8of10
Wiscon-in Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No
569514
GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No
ersonal information you provide may be used for secondary purposes [Privacy Law, S.15.04 (1)(m)].
Permit Holders Name: City Village X Township Parcel Tax No
Oeverin Homes LLC, aka Oeverin Pro ertie Hudson, Town of 020-1016-06-000
CST BM Elev: Insp. BM Elev: SM Description: DD Section/Town/Range/Map No
gfy~ G5, Pr < 12.29.19.71F10
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
10
Septic,.
/ 6D Benchmark Z
oZ• ZS
Alt. BM
Aeration Bldg. Sewer
Holding St/Ht Inlet
-7.7 -,Y. c)
TANK SETBACK INFORMATION St/Ht Outlet
TANK TO P/ WELL BLDG. Vent to 'r Intake ROAD Dt Inlet
no N~ S she Dt Bottom ~
Septic ~1" z /
rT
Dosing lD Header/Man.
Aeration Dist. Pipe
Holding .1Z, 3 °/,D
Bot. System
Final Grade
UMP/SIPHON INFORMATION ~•~r~ 6.6 AM7 9 1
*V_,n,facturer Demand St Cover c)o~q
GPM rJ v `~~7 /D !
Model Nu er _
/64 °fz-
TDH Li Friction Loss System Head TDH Ft tJ~
< '76 . Co
Forcemain Length Dia. Dist to Well
/-3.3 ~l 7. 3
SOIL ABSORPTION SYSTEM l•o~ ~vC.
BED/TRENCH Width Leng t No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS (,Z
SETBACK SYSTEM TO JA. IV'- I P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer:
INFORMATION CHAMBER OR L.~ f
Type O1, j 0 e ` d 1 310 UNIT ModeJlJumber. /
DISTRIBUTION SYSTEM of3(„ o t.)PQ~ d-15 0'_/(0 /0 6
r
Header/Manifold r r DisUib ition x Hole Size x Hole Spacing Vent o Air Intake
Pipe(s) I t~~ lJ4 S
Length 7'~~ Dia_ Length N___1 Dia Spacing_1
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over Depth Over xx Depth q[ xx Seeded/Sodded jxx M ched
Bed/Trench Centers. Bed/Trench Edges Topsoil
l Yes No Yes No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: /
Location: 1020 Moonbeam(., d. Hudson, WI 54016 (SW 1/4 SE 1/4 12 T29N R1 9W) NA Lot 6 Parcel No: 12.29.19.71 F10
1.) Alt BM Description = / Ca,J ei•__ G 1,~ c~c~ a v~
2.) Bldg sewer length
n«
amount of cover = /1 15
7 ~Z
Plan revision Required? ~ Yes (i,No
Use other side for additional information. L-7~
SBD-6710 (R.3/97) Date Insepctor's ignatur Cert No.
PA
Wisconsin Department of Comrrt@r OA OIL EVALUATION REPORT Page of
Division o1 Safety and Buildings GO
GRO\~vr-aiirdance with Comm 85, Wis. Adm. Code Coun
ty
,
Attach complete site plan on,taAeFl~~t less than 8 112 x 11 inches in size. Plan must ~
include, but not limited to: ~Yand horizontal reference point (BM), direction and Parcel I.D,
percent slope, scale or drga nslons, north arrow, and location and distance to nearest road. r' , -Ind-ol,
. Please print all information. Review by Date
Personal information you provide may be used for secondary purposes (Privacy Lew, s. 15.04 (1) (m)). V1-_Z
Property Owner Property Location
Oeo Q Govt. LotJ0 1/4S 114 S 1 T N R E (or)
Property Owner's Mailing Addre Lot Block # S . Name or CSM#
f}
3 Ce r 11.1
City State Zip Code Phone Number ❑ city i Villa a Town Nearest Road
N 2► 4.) S c )
Construction Use: esidenlial / Number of bedrooms Code derived design flow rate Jv GPD
❑ Replacement ,~rrqq. ❑ Public r commercial - Describe:
Parent material ~4.( rY~4 ~ Flood Plain elevation if applicable nn/~/, ft.
General rewrtxnendatkxls: G ~t3~lt~ yrr,.~J~-Q--
System Type System Elevation
IE Boring # ❑ Boring
pit Ground surface elev9 ft. Depth to limiting factor j y in. Soil Applicallion Rate
horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fr=
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2
Z z- 6o , s' - I s61--- /17
3 60~l3 io, L
# ❑ Boring j- ~ 4t - a pit Ground surface elev. - Depth to limiting factor 1 a ~ in.
Soil Application Rate
horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP
In. Munsell Qu. Sz. Cont: Color Gr. Sz. Sh. kP1 #•Eff#2
1 - 3A- ---r
Z - :5 2- 1d,, s t rV)
b
• Effluent #1 - BOD > 30 < 220 mg/L and SS 1,30 150 mg/L uent #2 = BOD < 30 mg/L and TSS < 30 mg/L
CST Name (Plain Print) Sig CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address Date Evaluation Condu ed Telephone Number
1008 192nd Ave, New Richmond, WI 54017 ~~~1 L 715-246-4516
Property Owner- Parcel ID # Page of
D Boring # ❑ Boring S
pit Ground surface elev. nl ft. Depth to limiting factor /0 U in.
Soil ication Rate
Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPDM
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2
S1 -
2 s C C
-77 /0
a 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. Cora. Color Gr. Sz. Sh. •Efl#1 •Eff#2
Boring # ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
EWApplication Rate
Horizon Iepth 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 = BOD6 > 30 < 220 rng/L and TSS >30 1150 nV& ' Effluent #2 a BOD5 < 30 mg/L and TSS < 30 mg/L
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S813-1330(R.60))
Soil Test and System PLOT PLAN
PROJECT Oeverina Names ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017
SW '1/4 SE 1/4S 12 /T 29 /R 19 W TOWN Hudson
- COUNTY ST. CROIX
MPRS Shaun Bird 226900 6/26/14
BEDROOM 3
DATE
CONVENTIONAL )00C IN-GR PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 916 # of chambers 45
BENCHMARK V.R.P. Top of wood post ASSUME ELEVATION 100' Filter BEAR Filter
❑ BOREHOLE O WELL *H.R.P. Same as Benchmark
SYSTEM ELEVATION 92.8/91.8190.8 6' below qrade
Moonbeam
All piping shall be SDR 30/34, within 10'
of tank, piping shall be Schedule 40.
Scale is 1" = 40'
unless otherwise
noted
3-3' X 62' cells
with >3' spacing
175'
30, B-3 0,
15' ST Pro 3 Bedroom
60' House
98'
Vents
96' B-2
.M.*
0'
0' 85'
94'B-1 12% Slope
Id Fence and marked by surveyor Vent
>6" Quick4 Standard
of Cover Leaching Chamber
Property Line with 20.0 ft2 of Area
12" 5.6ft^2/pair of end caps
4' Long
34" Grade at System Elevation