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HomeMy WebLinkAbout040-1326-08-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 597345 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)J. Permit Holder's Name: City illage Township Parcel Tax No: DCCI LAND PLANNERS INC TOWN OF TROY 040-1326-08-000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: 6-eo- ' 17.28.19.2200 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER f CAPACITY STATION BS HI FS ELEV. Septic J J `I Z y►. Z,a Benchmark G Est /6 J Dosing Alt. BM~ ` Ir IS Y, 7 ` Bldg. Sewer / Z- =ing St/Ht Inlet 3t 1,6'9 St/Ht Outlet TANK SETBACK INFORMATION * • U 1,6 Z TANK TO P/L~ WELL BLDG. vent to take ROAD Dt Inlet Septic /JA- Dt Bottom Dosing e; er'b Header/Man #3 -7.1 Aeration Dist. Pipe 44 03 Co Holding Bot. System , e is~J nn PUMP/SIPHON INFORMATION Final Grade 3. 3 42• Manufacturer GPImNand St Cover y A dl. -7 Model Number 0 , ` 17• TDH Lift Friction Loss Syste TDH Ft I 7 ~5 9'7 Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS • 1Aj - SETBACK SYSTEM TO P/L BLDG WELL a1v LAKE/STREAM LEACHING Manufacturer: INFORMATION Type Of SYstem: CHAMBER OR / a Ce / ~,y 7~ UNIT Model Number. 'r L DISTRIBUTION SYSTEM >761 /►r,~! If X 5 ~4 Header/Manifol Distribution x Hole Size x Hole Spacing Ven o Air ntake LL Pipe(s) Length Dia 7 Length Dia `Spacing C~ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded r Iched Bed/Trench Center Bed/Trench Edges \ Topsoil Yes No Yes 0 No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 386 MEADOW VA LEY TR G s ~O ~p O 1.) Alt BM Description = t1. 2.) Bldg sewer length = pry; `/tNQ~ b 5 ~cJe a f - amount of cover = ♦ nn nn okC- Plan revision Required? I€ll Yes No 7 1-7 Use other side for additional information. Date Insepctor' Signatur Cert. No. SBD-6710 (R.3/97) 4 doi?`- 1"17 O&V YT Joe- Safety and Buildings Division Co-'y5 J0 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.) aison, W , 707-7162 Sanitary Permit Applicatik_ StateTransacnon2vnmber In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the apprta.. unit 14 is required prior to obtaining a sanitary permit Note: Application forms for state-owned POW i Project Address (if different than mailing address the Department of Safety and Professional Servies. Personal information you provide may be used tw .purposes in accordance with the Privacy Law, s. 15. 1 m , Stats. Q L Application Information - Please Print All Information j v Property Owner's Namef-~ q n ~11' Parcel fi 0q0_ I "3A- 08-(30d • Property ailing Address Property Location a a a' l l~ ll I Govt Lot city, state Zip Code Phone Number r1 ~j y4; Section L,~V 119itclri~) QU (.,',,A 4 -~_-t W 1 pe of Building (check all tba pply) Lot # T N; R E / r 2 Family Dwelling - Number of Bedrooms Subdivision N Ole 1]p~-S J~ / ~ Block# ❑ Public/Commercial-Describe Use f ~~~111 zz z J/0' ^1 ❑ City of s ❑ State Owned - Describe Use (Q~ CSM Number ❑ Village of 3 ~ S t t) w U + 4- wn of 10 IId. T t (Check only one box on line A. Complete line B ifapplicable) A. New SY stem El Replacement system ❑ TreatmentlHolding Tank Replacement Only ❑ Qtlmcr Modification to Existing System (explain) List Previous Permit Number and Date Issued i Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New Before Expiration Owner /V L V / S stem/Com onent/Device: Check all that apply) -Pressurized In-Gm ❑ Pressurized In-Ground ❑ At-Garde ❑ Mound > 24 in of suitable soil ❑ Mound <24 in. of suitable soft L~ _O-R-ordm- g ank ❑ Other Dispersal Component (explain) ❑ Pretreamnent Device (explain) V. Dispersal/Treatment Area Information: f J5 Design Flow (gpd) Desk Soil Application gate(gpdsf) Dispersal equired~ Dispersal Area proposed (sf) System Elev 'on `a ' I'll V~' I b . r / 1?61 VL Tank Info Capacity in Total # of anufacuuer Gallons Gallons Units / f~ ✓ r, o -Z o New Tanks Existing Tanks iw/ L 1.7T ~~P ac 2 m a Cg rn ~ h is C7 Septic or Holding Tank lye'o Dosing Chamber t Z6 ~r~ IV VII. Responsibility Stater t 1, the undersigned, r possibility for installation of the PORTS shown on the attached plans. bet s Name (Pn~ntt Pl e MP/NT Number Business Ph vrber V U one P pey' (Street City, to zip / , t / VIII. County/Department Use Only Permit Fee Date 1. ued lssuin en i afore VC4p2.v.d Disap d J5A2G /7 er iven Reason J / IX. Conditions of Approval/Reasons for Disapproval mu,~- 1V0_812 S e4--bov ks. SYST orr ~/1/ 'v n end 1, ptic stained MUSE ' Q J ~INft~ 09$tJtill_/~/ E FL dis t ` ~u • by plu er Pc e m ' ain .~l 4./ea /BUS dC I All ` A fo~eJOeim .system an subm' the county on on paperof Im than 8 M ml l ioeLa/'1° as p pe w a ~I-eieMe SBD-6398 (R. 11/11) SYSTEM OWNER: + 1. Septic tank, effluent fitter and q ' dispersal'ceu must b~ SQIYI!Y!.~!int~in lf~l~ ~o C~nac, I' l as per management plan provided by plumber. 2. All setback requirements Mot be maintained ~ ON(20W11e S as per appricabie codetord nances. f System PLOT PLAN PROJECT DCCI Investments ADDRESS P.O. Box 445 New Richmond Wi 54017 NW 1/4 NW 1/4S 17 IT 28 N/R 19 W TOWN Troy COUNTY ST. CROIX SYSTEM ELEVATION 97.5/96.8/96.1 5.5' below grade DATE 5/24/17 BEDROOM 5 CONVENTIONAL XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000/630 LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 1096 # of chambers 54 r, BENCHMARK V.R.P. Top of 1" steel pipe ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark 100' 102' Scale i (DO-56 ~ 'Property Line = 1/4" 10 11' 67' B-2 Vents 38' c I ~ 3-3' X 74' cells with >3' spacing 8' Pro 5 46' , Bedroom House n ~ Combo ST ank 72' I B1 ~ 30' 48 a 3d Meadow Valley Trail ,a Vent >6" Quick4 Standard 104 Leaching Chamber 311' Property Line of Cover with 20.0 ft2 of Area Long 12 " 5'Y'Ift ^2/pair of end caps 34" Fade at System Elevation All piping shall be ASTM SDR 30/34, within 10' of tank, piping shall be ASTM F891 Cover Page i Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 5/22/17 Owner:DCCI Location: NW1/4 NW1/4 S17 T28 N,R19W 386 Meadow Valley Trail Troy Manuals Used: In-ground absorbtion system (version 2.0) Page# 1. Cover Page 2. Plot Plan 3. Chamber Cross Section 4-6. Maintanance and Conti cy Plan 7.Filter Cross Section Signature License number #2 WO System PLOT PLAN PROJECT DCCI Investments ADDRESS P.O. Box 445 New Richmond Wi 54017 NW 1/4 NW 1/4S 17 /T 28 N/R 19 W TOWN Troy COUNTY ST. CROIX SYSTEM ELEVATION 97.5/96.8/96.1 5.5' below grade 5/24/17 BEDROOM 5 DATE CONVENTIONAL )00( CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000/630 LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 1096 # of chambers 54 r, BENCHMARK V.R.P. Top of 1" steel pipe ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark 100' 102' Scale = 1/4" = 10' U0. b 309' Property Line 11' 67 B-2 Vents 38' ~ 0 u ( 3-3' X 74' cells with >3' spacing 8' B-3 46' Pro 5 Bedroom ' House 4 tV ~ Combo ST Tank 1 72 BI M1~ 20' 30' 48' Meadow Valley Trail Vent >6„ Quick4 Standard 104' Leaching Chamber 311' Property Line of Cover with 20.0 ft2 of Area S 4' Long 1 ~ft^2/pair of end caps 34 " Fade 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 103' Len Grade Vent 4' Septic Tank 4' L5' 4' Long 1 Grade at System Elevation 34Grade at System Elevation 34" Spacing 5' 3-3' X 7 r' Cells Observation tubeNent Same on other end To be located on end of Cells %A B System elevations: C A-97.5' B-96.8' C_96.1' y~chambers per cell ff. ~ U l i .TM AXE AND a zrg=ATPWPMM Land Plot , I n P"kty A"=-4'3 6 b 0 Or- CrnN er TZ-910&W, TOM Of.2~ Div 6 wta ~ 1 vab2?3-1, pop Ism i~rsrd~bat8o + Lima #aowa~r 0oee~ ~ia~pt~*o+r ~ ~~a► Bt, t'~o~c Gar~+ d4 ~ ~ ~ttaa , Veit b~riha a+rE ~tia~#'~~,~,p~~a#~p~aboraers$~rcwd'r~t~'i?~s~a•~ts ~~~•qwi°"p`i~r~p~perd~a,fe~ta~'{~~e#~,~p, '~~,~~1P~a# l13~itaf. swt,~~bgl~trtomrar~'++u~ro~d~r~awtaf' ~~~r,, be mupkod to *0 ft. +oee t 4ad z. oaE kJocaim t s rec{ ~t~ ~daiur~ad~rbo r ~►rbdasaf d"xwom&d$x*a1v"& calm :zo' JDAU '''yi~rt,~t~r,w,,t,e~„►tf ~ate,aewarr+. P1e~ -jaw + ~oo~adir, e s l~ - ft r of 1 oft* ad s of*& ONAM4 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of ILE INFORMATION SYSTEM SPECIFICATIONS Owner Septic Tank Capacity , al ❑ NA Permit # Septic Tank Manufacturer ❑ NA ESIGN PARAMETERS Effluent Filter Manufacturer j ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model ❑ NA i Number of Public Facility Units 71§, VA Pump Tank Capacity al NA j Estimated flow (average) gal/day Pump Tank Manufacturer NA Design flow (peak), (Estimated x 1.5) V,2-,7 gal/day Pump Manufacturer 13 NA Soil Application Rate Pump Model i ' aUda /ftz p del NA i Standard Influent/Effluent Quality Monthly average* Pretreatment Unit NA Fats,' Oil & Grease (FOG) s30 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BODs) 120 mg/L ❑ NA D Mechanical Aeration ❑ Welland Total Suspended Solids (TSS) 5150 mg/L ❑ Disinfection ❑ Other. Pretreated Effluent Quality Monthly average Dis ersal Cell(s) ❑ NA Biochemical Oxygen Demand (BODs) 530 mg/L - round (gravity) ❑ In-Ground (pressurized) Total Suspended Solids (TSS) 530 mg/L ❑ At-Grade ❑ Mound Fecal Cofiform (geometric mean) 5104 cfu/100ml ❑ Drip-Line ❑ Other: (Maximum Effluent Particle Size le in dia. ❑ NA Other. ❑ NA other A Other: ❑ NA *Values typical for domestic wastewater and septic tank effluent Other ❑ NA IAINTENANCE SCHEDULE Service Event Service Frequency Ifnspect condition of tank(s) At least once eve C3 month(s) ry' ears (Maximum 3 years) ❑ NA (Pump out contents of tank(s) When combined sludge and scum equals one-third (X) of tank volume ❑ NA linspect dispersal cell(s) At least once eve ❑ month(s) ry' -jKyear(s) (Maximum 3 years) ❑ NA Clean effluent filter At least once every: m ar(sjs) 11 NA inspect pump, pump controls & alarm At least once every: ❑ month(s) El NA . year(s) l9ush laterals and pressure test At least once every: 0 yeoar(sjs) NA ether. At least once every: ❑ ❑ year(s) month(s) ❑ NA )ther: 4 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 lincude a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of ioombined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shag 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 I,egulatory 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 {:he tank shag be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. lafl 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. .IN service report shall be provided to the local regulatory authority within 10 days of completion of any service event. POP of START UP AND OPERATION other c~herrhicals thi jt For new construction, prior to use of the pOWTS check treatment to (s) ibr the presence products or or the c of thin may impede the treatment process and/or damage the dispersal (s). i high tank(s) removed by a septage servicing operator prior m use. System start up shall not occur when soil conditions are frozen at the infiltrative surf'ace. tanks may fill above normal highwater levels. When power is testog-ed the excess wastewater will ble During power outages pump discharged to the dispersal cell(s) in one large dose, overloading the call(s) and may rest>It in the backup or surface discharge Of effluent to the To avoid this situation have the contents of the pump tank removed by a Septage Servicing Ol~tor prior rho wen levels effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the Pump controls to restore within the pump tank., Do not drive or park Vehicles over tanks and dispersal axis. Do not drive or park over, or otherwise disturb or Compact, the area within 15 feet down slope of any mound or at-grade snit absorption area. Reduction or elimination of the following from the wastewater stream may improve the perforrhance and prolong the life of the POW antibiotics; baby wipes; dWSft buts; -condoms; coon swabs; degreasers; dental floss; diapers; disinfectants. fat; foundation drain (sunup pump) water, fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; Painting produdos; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the PUWTS faits and/or is permanently taken out of service to following steps shall be taken to insure that the system is property 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 properly disposed of by a Septage Servk*V Operator. • Attu pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with sail, 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 replacq1nent system: suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. Th rePlacernent area should be prolected from disturbance and compaction and should not be infringed upon by requiried setlmrcks from existing and proposed structure, lot lines and wells. Failure to protect the replaoemerit arm will result in the rWW for a new soli and site evaluation to establish a suitable replacement area. Replacement systems must comply with the nil in effect at that time. 13 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. 0 The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaiuatjion 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. 0 Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomai at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. -c<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 O~ A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER A Name L Name Phone ~--1 ° Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY . 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I 11 t I .+,w I I II II II II ~L ~I Did i IREC E IV Departn E& IL EL PORT #1747 S' Safe and Page 1 of 3 = 1 ty in accordance with dm. Code M Professional S r~e' s1 12014 Schmitt Soil Testing, Inc. County Attach complete site plan on ' 11 inches in size. Plan must St. Croix include, but not limited tc1,~@ ce oint (BM), direction and percent slope, scale or dt~~1C trt+riffvJ ibn and distance to nearest road. Parce l I.D.D Ay 2 $ - DOCK Please print all information. NY Dat Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). t2 UAl Z,//9e Property Owner Property Location DCCI Land Planners Govt. Lot NW1/4, NW1/4, S17, T28N, R19W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1505 Hwy 65 P.O. Box 445 8 Meadow Valley Of Troy City State Zip Code Phone Number L] City Village ❑ Town Nearest Road New Richmond WI 54017 Troy East Cove Rd ❑ New Construction Use: ❑ Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Outwash Sand Flood plain elevation, if applicable NA ft. General comments Area is suitable for a conventional system with a 0.7 gpd/sgft rate. Possible system elevation for Area 1 is (Step Trenches) 97.4' & and recommendations: 961. Slope is 100. 44 1 Boring # F--1 ❑ Boring Pit Ground surface elev. 100.74 ft. Depth to limiting factor 114+ 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 0-12 10yr3/1 none sl 2mgr mvfr gw if,2vf 0.6 1.0 2 12-21 10yr4/6 none vgrlcos Osg ml gw 2vf 0.7 1.6 3 21-38 10yr5/4 none vgrcos Osg ml gw ivf 0.7 1.6 4 38-69 10yr5/6 none Cos Osg ml Cs 0.7 1.6 5 69-114 10yr6/4 none s Osg ml 0.7 1.6 a Boring # ❑ Boring Pit Ground surface elev. 101.33 ft. Depth to limiting factor 115+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consisten Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-17 10yr3/1 none sl 2mgr mvfr as 2vf 0.6 1.0 2 17-30 10yr4/4 none Is icsbk mvfr gw 2vf 0.7 1.6 3 30-36 10yr4/6 none sl 2fsbk mvfr gw 2vf 0.6 1.0 4 36-61 10yr5/6 none Cos Osg ml as 0.7 1.6 5 61-115 10yr6/4 none s Osg ml 0.7 1.6 I *Effluent #1 = BOD5> 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 Thomas J. Schmitt 227429 Address Schmitt Soil Testing, Inc. Date Evaluation Conducted Telephone Number 1595 72nd Street New Richmond, WI 54017 5/5/2014 715-760-1978 SBD-8330 (&07/00) Property Owner DCa Land Planners Parcel ID # Page 2 of 3 ❑ Boring Boring # Pit Ground surface elev. 102.89 ft. Depth to limiting factor 115+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 -Eff#2 1 0-15 10yr3/3 none sl 2mgr mvfr gw 3vf 0.6 1.0 2 15-40 10yr3/1 none I 2fsbk mvfr gw ivf 0.6 0.8 3 40-54 10yr3/2 none s1 2fsbk mvfr gw lvf 0.6 1.0 4 54-90 10yr5/6 none vgrcos Osg m1 as 0.7 1.6 5 90-115 10yr6/4 one s 0sq. ml 0.7 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 GPDtft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#t "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 = 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 need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (R.07/00) Schmitt Soil Testing, Inc. F Page 3 of 3 -Scbrnitt_-Soll_Testing_ Inc.------ DCCi i.nnd Pianneri__ Thomas J. Schmitt, CST 227429 Address: 1505 Hwy 6 City, State, Zip.--- New -18 6maad, W- 54017- New.Rwhmond, WI-5-017----- Phone: 715-16071978 Subdivision: Meadow Valley Of Troy Signstur Lot No. -__8 Backhoe Pit Township, County: Troy Township, St. Croy County____ j Bench Mark 1 t 100.00' Top of 7" Steel Pipe. SW Lot corner pipe. - A$eneb-Mary'-2-ElAW:i3'-Top-of-4 "SteeFRtpe. -KW-Lot-comer pipe. Slope= 10Q/o Scale 1"= 40' , I~ of - - J - - - - - - - - - - - - - - - / - SAP - - 7-` 6- _ L - - - - - . _ - ,o-- !oy' ~o T7 - - _