HomeMy WebLinkAbout032-2172-02-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. CCOIX
Safety and Building Division
INSPECTION REPORT Sanitary Permit No
(ATTACH TO PERMIT) 597331
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:
PAUL BALFANZ TOWN OF SOMERSET 032-2172-02-000
CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No:
0__ It 18.30.19.1442
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic ) Benchmark v1
using Alt. BM
Aeration Bldg. Sewer
O
Holding St/H Inlet m
St/Ht Outlet
TANK SETBACK INFORMATION TANK TO P/L 1 , WELL BLDG. Vent to Air Intake ROAD Dt Inlet
Septic Dt Bottom
Dosing Header/Man.
Aeration Dist. Pipe
Holding Bot. System
Final Grade
PUMP/SIPHON INFORMATION
Manufacturer Demand St Cover ~Q PM
Model Number
TDH Lift Friction Loss System Head TDH Ft
/ i
Forcemain Length Dia. Dist. to weu
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length r No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS
J~y;yy)
SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer:
INFORMATION CHAMBER OR ✓ I~LYC
Type Of System: P j? UNIT Model Number:
JA
DISTRIBUTION SYSTEM
Header/Manifold Distribution Ix Hole Size ix Hole Spacing Vent to Air Intake
f 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 _ -1 Yes L~ No Yes No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2:
jVq - -
Location: 338 153RD AVE wi e 4 1 r ' ,'v\ l J~_1 C
1.) Alt BM Description k0c
2.) Bldg sewer length = f ` e{\c~ ~nb 1 n ( r' 0A Q~
amount of cover / y d5w Plan revision Required? Yes k No L49#7
Use other side for additional information' Cert.
(R.3/97) "Date Insepctors Signature No.
4
ec:'.<Fa w.. Coun
' Safety and Buildings Division C
v MAY 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.)
P ! I Madison, WI 53707-7162 -7
Sr
ST CROIX COUN ~ - 1.Z
Off p State Transaction Number
anitary er Application '
In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit T•
is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to Project Ad ress (if different than mailing address)
the Department of Safety and Professional Servies. Personal information you provide may be used for secondary
ur poses in accordance with the Privacy Law, s. 15.04(1)(m), Stats. 338 153 rd ave
I. lication Information - Please Print All Information
01roperty Owner's Name Parcel #
3X Paul Balfanz 032-2172-02-000
Property Owner's Mailing Address Property Location
-,k 7041 43rd St. N. Govt. Lot #2
City, State Zip Code Phone Number NF y,, ~qW y<, Section 18
s
Oakdale MN 55128 (circle one)
II. Type of Building (check all that apply) 03 a Lot #
I or 2 Family Dwelling - Number of Bedrooms 4 1~+ r#2) Subdivision Name
~f Block St. Croix National South rn
❑ Public/Commercial - Describe Use ❑ City of
❑ State Owned - Describe Use CSM Number ❑ Village of
❑ Townof Somerset
_2 1)L4 V
III. Type of Permit: (Check only one box on line A. Complete line B if applicable) 0 -e ti
A.
® New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain)
List Previous Permit Number and Date Issued
B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New
Before Expiration Owner
IV. Type of POWTS System/Component/Device: Check all that apply)
Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soi
❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain)
V. Dis ersaUTreatment Area Information:
Design Flow (gpd) Design Soil Application Ratesgpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System ElevationU" of
w
600 .7 1
VI. Tank Info Capacity in otal # of Manufacturer
Gallons Gallons Units 4 0 o
New Tanks xisting Tanks c v ~
w1Polylock 525 a w
614 Y
Septic or Holding Tank
XX
Dosing Chamber
VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans.
Plumber's Name (Print) Plumber's Signature__,.- MP/MPRS Number Business Phone Number
Countryside Plumbing 664713 715-246-2660
Plumber's Address (Street, City, State, Zip Code) 321 Wisconsin Drive New Richmond WI 54017
VIIL-Count epartment Use Only
Permit Fee Date (ssued ! Issuing Agent Signature
I Approved Disapproved' $
,e
❑ Owner Given Reason for Denial
r
IX. Condit&6104Ri~Reasons for Disapproval 1
J A
1. .$epti!% tank, erfhx n; lilte- a+n.1
Cie-
alspllr.:at Cell must dll ¢S?O,' . s ! rile inter; :ec d p
e$,per qgr>e►6emen'• plan pta sided by pltsnbey. P
Z. >)li,~eth~it alts ~nl;be tM~d
M PW oodlts / admIlW".
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)
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CONVENTIONAL COMPONENT DESIGN
Residential Application
INDEX AND TITLE PAGE
Project Name: Paul Balfanz
Owner's Name: Paul Balfanz
Owner's Address: 7041 43rd St North
Oakdale MN 55128
Legal Description: NE 1/4, SW 1/4, See 18, T30N R19W
Township: Somerset
County: St. Croix
Subdivision Name: St. Croix National Southern Estates
Lot Number: 12
Parcel ID Number: 032-2172~-0022-000
"Page 1 Index and title
Page 2 Plot Plan
"gage 3 System Sizing & Cross-Section
Page 4 Filter Specs
''Page 5 Maintenance Information
vPage 6 Management Plan
Wage 7 St. Croix Cty Septic Tank Maintenance Form
''Page 8 Warranty Deed
Page 9 CSM or Plat
Attachments: Soil Test & House Plans
Designer/Plumber: Countryside Plumbing License Number: 664713~~' ~ld
Date: 05/10/2017 Phone Number (715) 246-2660
Signature
Designed pursuant to the In-Ground Soil Absorption Component Manual for POWTS Version 2.0 SBD-10705-P (N.01/01).
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SOIL ABSORPTION SYSTEM DETAIL/ GRAVELLESS LEACHING UNIT Page-of
Project Name: Paul Balfanz
No. of Cells Per Cell
-2 ft Cell Width Total No of
it Cell Length sq ft EISA Per Cell
ft Cell Spacing sq ft Total EISA
Manufacturer Model Laying Length EISA Rating
E ltrator EZ1203H-5ft 5.0' 25.0
EZ1203H-10ft 10.0' 50.0
Gravelless Leaching Unit Manufacturer:
Gravelless Leaching Unit Model:
_7 Typical Cross Section
Finished Grade ft
Observation Pipe with
approved cap or vent
!7_
<:.:'><<> . -Soil Backfiil
■iii"ii_?att'ii'i:r:'ii[<:;>i>i;i:iii;;5:
Geotextile Fabric
G~ ft Infiltrative Surface
12 in
t Limiting Factor
i
/ys i
n Slotted and Anchored Vent/
Observation Pipe with Cap
•■■■.e...ri...ra,■..... e~,e....■.....r „ r.■ r.... i..■■.■ e.■.■■■■Is ■■.6
Plumber/Designer Signature: Countryside Plumbing
License 664713 /r 2 2 ~yl Date: 05/10/17
MOX Inc PL-525 Effluent Filter
Innovations in Precast, Brafnage Zabel'
& Wastewater Products A Division of Polylok Inc.
PL-525 Filter
The PL-525 Filter is rated for 10,000 GPD (gallons per day) making it one of the largest filters in its class. It has
525 linear feet of 1/16" filtration slots. Like the Polylok PL-122, the Polylok PL-525 has an automatic shut-off ball
installed with every filter. When the filter is removed for cleaning, the ball will float up and temporarily shut off
the system so the effluent won't leave the tank.
Features 1116" Filtration Slots
• Rated for 10,000 GPD (gallons per day). Alarm switch
[10"000 (Optional)
• 525 linear feet of 1/16" filtration. Accepts 1" PVC
• Accepts 4" and 6" SCHD 40 pipe. Extension Handle
• Built in gas deflector.
• Automatic shut-off ball when filter is removed.
• Alarm accessibility. Rated for
10,000 GPD
• Accepts PVC extension handle. ,
PL-525 Installation:
Ideal for residential and commercial waste flows up to 525 Linear Ft.
"
10,000 gallons per day (GPD). of1/16 Filtration slots
1. Locate the outlet of the septic tank.
2. Remove the tank cover and pump tank if necessary.
Accepts 4" & 6
3. Glue the filter housing to the 4" or 6" outlet pipe. If SCHD 40 pipe
the filter is not centered under the access opening use a
Polylok Extend & Lok or piece of pipe to center filter.
4. Insert the PL-525 filter into its housing. "
Certified to
5. Replace and secure the septic tank cover. NSF/ANSI Standard 46
PL-525 Maintenance:
The PL-525 Effluent Filters will operate efficiently for
several years under normal conditions before requiring
cleaning. It is recommended that the filter be cleaned
every time the tank is pumped, or at least every three ;
years. If the installed filter contains an optional alarm,
the owner will. be notified by an alarm when the filter
Gas Deflector
needs servicing. Servicing should be done by a certified
septic tank pumper or installer. Automatic
Shut-Off Ball
1. Locate the outlet of the septic tank.
2. Remove tank cover and pump tank if necessary.
3. Do not use plumbing when filter is removed.
4. Pull PL-525 cartridge out of the housing.
5. Hose off filter over the septic tank. Make sure all
solids fall back into septic tank. '
6. Insert the filter cartridge back into the housing making
sure the filter is properly aligned and completely inserted. Polylokylok, Zabel l & Best f filtilt>ers Alarm accept Extend Easily installs
Ll7. Replace and secure septic tank cover. the SmartFilter® switch and alarm. into existing tanks.
Polylok, Inc. 3 Fairfield Blvd. Wallingford, CT 06492 Toll Free: 877.765.9565 Fax: 203.284.8514 www.polylok.com
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POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of 2
FILE INFORMATION SYSTEM SPECIFICATIONS
Owner Ire, Z Septic Tank Capacity jav,J gal ❑ NA
Permit # Septic Tank Manufacturer ❑ NA
DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA
Number of Bedrooms ❑ NA Effluent Filter Model ❑ NA
Number of Public Facility Units XNA Pump Tank Capacity gal q NA
Estimated flow (average) 60~ gal/day Pump Tank Manufacturer aNA
Design flow (peak), (Estimated x 1,5) gal/day Pump Manufacturer rt NA
Soil Application Rate gal/day/ftz Pump Model E~ NA
Standard Influent/Effluent Quality Monthly average* Pretreatment Unit RNA
Fats, Oil & Grease (FOG) 530 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter
Biochemical Oxygen Demand (BOD5) 5220 mg/L 3LNA ❑ Mechanical Aeration ❑ Wetland
Total Suspended Solids (TSS) 5150 mg/L ❑ Disinfection ❑ Other:
Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA
Biochemical Oxygen Demand (BOD5) <_30 mg/L 11rIn-Ground (gravity) ❑ In-Ground (pressurized)
Total Suspended Solids (TSS) 530 mg/L PQ NA ❑ At-Grade ❑ Mound
Fecal Coliform (geometric mean) <_104 cfu/100ml ❑ Drip-Line ❑ Other:
Maximum Effluent Particle Size Ye in dia. E NA Other: ❑ NA
Other: NA Other: ❑ NA
*Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA
MAINTENANCE SCHEDULE
Service Event Service Frequency
Inspect condition of tank(s) At least once every: 0 month(s) (Maximum 3 ears) ❑ NA
ry: year(s) y
Pump out contents of tank(s) When combined sludge and scum equals one-third (Y,) of tank volume ❑ NA
Inspect dis ersal cell(s) At least once eve ❑ month(s) (Maximum 3 years) ❑ NA
P ry.'~ Aa year(s)
Clean effluent filter At least once every: 1 ❑ month(s) a[I NA
year(s)
Inspect pump, pump controls & alarm At least once every: S ❑ month(s) NA
P year(s)
IN ❑ month(s)
Flush laterals and pressure test At least once every: . \ year(s) J'-NA
Other: At least once every: ❑ month(s) ❑ NA
❑ year(s)
Other:
❑ 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 combined sludge and scum and to check for any back up or ponding of effluent on the ground surface.
The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding
of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the
immediate notification of the local regulatory authority.
When the combined accumulation of sludge and scum in any tank equals one-third (Y3) or more of the tank volume, the entire
contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113,
Wisconsin Administrative Code.
All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment
units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer.
A service report shall be provided to the local regulatory authority within 10 days of completion of any service event.
Page of
START UP AND OPERATION
For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals
that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents
of the 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 nominal highwater levels. When power is restored the excess wastewater will be
discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of
effluent. 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 life of the
POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat;
foundation drain (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
properly and safely 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 properly 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 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 that time.
❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS
technology a holding tank may be installed as a last resort to replace the failed POWTS.
r T
aluati a o ing ank
be ' e a. e 'PfZ pf 1181T~T~ 9~:D 2- IJO" Ca(1J 7W UC: l 0^J
❑ 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> >
SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT
ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A
PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE.
ADDITIONAL COMMENTS
POWTS INSTALLER/~ l POWTS MAINTAINER
Name /
~u~snTr ' 41 Name YI"
Phone Z~llla Phone vs=-
SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY
Name s I -e /C, Name `_6 ~l oUN 2Dll~l
Phone ~"Vs' - 77 e- 'I 'a Z 'F Phone 3e(&- ('O SCD
This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d)&(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code.
ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer PA,,A A e... -z'
Mailing Address t;c~--f 1 `fir
Property Address 4 ~ --.17
(Verification required from Planning & Zoning department for new construction.) -
City/State Parcel Identification Number LEGAL DESCRIPTION
Property Location V4 , ~
~ '/a , Sec. , T`~ NR l~ W, Town of L
Subdivision
71.
Lot #
Certified Survey Map # , Volume , Page #
Warranty Deed , Volume , Page #
Spec house y no Lot lines identifiable CYI-s 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 §Comm. 83.52(1) and in Chapter 12 - St Croix County Sanitary Ordinance.
The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the
owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site
wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is
less than 113 full of sludge.
Uwe, the undersigned have mad 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 this form are true to the best of my/our knowledge. Uwe am/are the owner(s) of the
property described above, by virtue of a warranty decd recorded in Register of Deeds Office.
Number a ao
r
SIGNATURE 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. 09105)
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SOMERSET W1 54025 1 \03~-21 =0 y jr F 3 i' _I
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® =WOOD HUB SET AT 10' OFFSET
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• FOUND 1-0l4' IRON PIPE
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T.O.H: TOP OF WOOD HUB ELEVATION E i ~ r 4' - ~
- - 25% AND GREATER SLOPES / t L. (NO DISTURBANCE ON
LENGTHS OVER 50 FEET) - \
. . . . . . . . . SETBACK LINE: - ` {1 53 R O A E E
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ELEVATIONS SHOWN ARE
NAVD 1988 DATUM.
I, Ty R- Dodge, Wisconsin Professional Land Surveyor,
hereby certify that this Stake-out Plan was prepared
by me or under my direct supervision and is correct to _
the best of my knowledge and belief.
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Page 1 of 3
Wi,onsiri Department of Commerce SOIL EVALUATION REPORT
Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Steel's Soil Service 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 ll
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D.
6 3d- Q Y~~
Please print all information. iewed Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). - U11--.- - 6 4
Property Owner Property Location
Residential Development, Inc. Govt. Lot na NE 1/4 SW 1/4 S 18 T 30 N R_ Iq W
Property Owner's Mailing Address r Lot # Block # Subd. Name or CSM#
8929 Aztec Dr.2 na St. Croix National Southern Estates
City State Zip Code Phone Number City Village ✓ Town Nearest Road 4~3 Kcl
Eden Prairie MN 55347 952-934-6238 Somerset 7
✓ New Construction Use: ✓ Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD
Replacement Public or commercial - Describe:
Parent material Knolls of pifted outwash Flood plain elevation, if applicable na
General comments
and recommendations: Conventional system, system elevation 96.45ft. Trenches spaced and depth to code 6.25ft below grade.
❑ Boring # Boring
✓ Pit Ground Surface elev. 102.70 ft. Depth to limiting factor - 120 _ in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftl
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 -Eff#2
1 0-8 10yr3/1 none sit 2msbk mfr cs 2c .6 .8
2 8-64 10yr4/4 none sicl 2msbk mfr cs na .4 .6
3 64-12 7.5yr4/4 none ms osg ml na na .7 1.6
Boring # Boring
❑
✓ Pit Ground Surface elev. 102.70 ft. Depth to limiting factor 102 in: Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 _
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 "Eff#2
1 0--5 10yr3/1 none sil 2msbk mfr cs 1 c .6 .8
2 5-10 10yr5/4 none sil 2msbk mfr cs 1 c .6 .8
3 10724 10yr4/4 none sicl 2msbk mfr gw na .6
4 24-67 7.5yr4/4 none Is/sl 2msbk mfr gw na .6 1.0
5 67-120 7.5yr4/6 none ms osg ml na na .7 1.6
--rr
Effluent #1 = BOD? 30 < 220 mg/L and TSS >30 < 150 mg/L Effluent #2 = BOD5 < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) Signature: CST Number
David J. Steel 248956
a` -
Address Steel's Soil Service Inc. T Date Evaluation Conducted Telephone Number
y 2 oofh :S f- lei, WI540OZ- 7/14/2004 715-(n~'~F-SE~'e
Property Owner Residential Development, Inc. Parcel ID # Pending Page 2 of _ 3
F3 ]Boring # Boring -
✓ Pit Ground Surface elev. 98.90 ft. Depth to limiting factor 120 in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 ~Eff#2
1 0--5 10yr3/1 none sil 2msbk mfr cs 2c .6 .8
2 5-19 10yr5/4 none sil 2msbk mfr cs na .6 .8
3 19-36 7.5yr4/4 none sl 2msbk mfr gw na .6 1.0
4 36-120 7.5yr4/6 none ms osg ml na na .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 Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
" Effluent #1 = BOD? 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.
Page 3 of 3
STEEL'S SOIL SERVICE INC.
David J. Steel 994 200t" St.
CST-POWTSM Residential Development, Inc. Baldwin, WI 54002 I~
Lic. #248956 NF- 1/4,SW 1/4,s18,T30N,R1q W Bus.(715) 684-5680
Town of Somerset, St. Croix Co. Fax.(715) 684-3449
St. Croix National Southern Estates, Lot 2 I
This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your
use. The location of this test may or may not be as shown, as permanent lot lines were not established at
the time the soil test was conducted. Legend
I"=40'
♦ = Benchmark Ele. 100.OOFt
Top of 3/4" pvc pipe
• = Alt Benchmark Ele. 99.OOFt
Top of 3/4" pvc pipe
I = Borings
Boring Elevations
B I = 102.70Ft
B2 = 102.70Ft
B3 = 98.90Ft
B4 = OO.OOFt
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