HomeMy WebLinkAbout022-1048-30-100 (2)
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
GENERAL INFORMATION (ATTACH TO PERMIT) 597395
Personal information you provide may be used for secondary purposes [Privacy Law, 5.15.04 (1)(m)]. State Plan ID No:
Permit Holder's Name: City Village Township Parcel Tax No
Kevin Humphrey TOWN OF KINNICKINNIC 022-1048-30-100
CST BM Elev: Insp. BM Elev: BM Description: Section/T n/Range/Map No:
l~ F lz ~ ~,N+ 17.28.18.259B
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic e
41.
166:~ Benchmark 0.0 /46 p1p40
J Alt. BMO~.4
Aeration 6AA- w Bldg. Sewer
Holding Len
SUHt Inlet
TANK SETBACK INFORMATION St/Ht Outlet 94, (o
TANK TO WELL BLDG. ent Air Intake ROAD S! 1 et
_
Septic
'256 S7 /19 F't L a 4 S• 9'9~ s
osin Header/Man.
Fr 750" N 3 V 'A,It• i
Aeration Dist. Pipe ' . L
Holding O Z
Bot. System
PUMP/SIPHON INFORMATION Final Grade
Z•~ 9$
Manufacturer Demand St Coverer L pp J
GPM F~ ~7~ pJ~,, ~P / /•T
Model Num r
TDH Lift F-Iclon Loss System L[jead TDH Ft
Forcemain Length Dia. Dist. to Well
SOIL ABSORPTIO SYSTEM L•0 7,
BED/TRENCH Width Len No. Of Trent4_U-ke_W L
PIT DIMENSIONS No. Of P_ it= Inside Di` iquid Depth
DIMENSIONS 3 796 Z
SET BACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer:
INFORMATION
Type f System: CHAMBER OR
76 '9Z, Q UNIT Model Number:
D UJ,, %
DISTRIBUTION SYSTEM A)af4L- p Z Z* Z 3
rLength- ader/ManifolDistribution r Jx Hole Size x Hole Spacing Ve t to Air ntakePipe(s) Dia Lengthy Dia \ Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
FDeplh Over 57.
' Depth Over Depxx Seeded/Sodded xx Mulched
ed/Trench Center Bed/Trench Edges Topsoil
es ~ No es F-1 No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2:
Location: 1054 TOWN HALLL D Pf0~I 6CJ
1.) Alt BM Description
2.) Bldg sewer length = t p
-amount of cover = ~~(\a~l
Plan revision Required? ❑ Yes No L7L/,51/ 7
Use other side for additional information.
SBD-6710 (R.3/97) Date Insepc s Sign re Cert. No.
-C?01- _ aO
z r
sOr CIS`
Safety and Buildings Division County
z DAP K 201 W. Washington Ave.; P.O. Box 7162 Sanitary permit umber (to be filled in by Co-)
Madison 53 7-7
ju
55 73<=):5
^ MUNV rmit A QJTB2WXV92MTC -Transco K
in accordii!nce with SPS 383.21(2), Wis. Ad- Code, submission of this foam to the appropriate gover,,rta' unit
is required prior to obtaining a sanitary permit Note: Application forms for state-owned pOWTS aze, submitted to Project Address (if differem thaw malting address
the Department of Safety and Professional Servies. Personal information you provide may be used for secondary
oses in accordance with the Privacy Law, s. 15. 1 m, Stats.
L Application Information - Please Print All Information -,~ts~-~~ Ivry
Property Owner' e
( Parcel # '
Property Owner's Mailing Address C~
Property Location
a 0 . ~ as•~
05'
City, State Zip Code Phone Num I Govt Lot
ber
-
i i
Section
-A/ , C / ✓ o j~ (circlc o
IL Type of Budd ng (thee all that apply) t # T U N; r-S W
Aof 2 Family Dwelling - Number of Bedrooms Subdivision Name
❑ Public/Commercial - Describe Use a Block
❑ City of
❑ State Ow ed - Describe Use CSM Number ❑ Village of
Li Z3 jo /Sown of
W. Type of Permit: (Cbeck only one box n line A. Complete me cabl
A. IVew system actment System ❑ Treatment/Holding Tank Replacement Only
❑ Other Modification to Existing System (explain)
B. ❑ Permit Renewal ❑ Permit Revision Change of Plmunber 11 List Previous Permit Number and Date Issued
❑ permit Transfer to New
Before Expiration Owner `
IV. T ofPO Svstem/Com onenf/Device: 'Check all that apply)
essurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soilQ
❑ Holding Tank Dispersal Component (explain) -
❑ Pretreatment Device (explain)
V. Dis rsal/Treat ent Area Information:
Design Flow (gpd) Design Soil Application Rate(a f) Dispersal Area Required (sf) Dis f
al Area Propo (sf) System E,le7vati
Z/
VLL Tank Info C ac'
~ nY in Total # of
Gallons an
Gallons UnitsJ,~ L c
New Tanks Existing Tanks
a m
Septic or Holding
Tank o V - C7
Dosing Chamber
Cot. 0
VII. Responsibility Sta ment- I, the undersigned, assn esponsibility for installation of the POR l o shown on the attached p ans.
Pl 's Name (Print) Plumb gnature
~M7PRviPRS Number Business Phone N ber /
G~- /t~.~►-~ 4~ ~~J 1 G
Pltmt 's s fiddress VStt city: state, zip Code)
ounty/De artment Use Only 1
Approved Per~m[it,Fjeee Date Iss ed Issuing eat Signature
v eason for Denial S (/eJ 7 17
IX Conditi9ns pprovai
[iltipett*.% Cell MUS1 A -,I
es per,maragement plan p!r, ilae7 Ov piu.nbe ~
2. AN,iltelbai;k cect,;imlem mwg,bu m4: rrl, g,s
So Pw RV5 tai J o,rdiRAll ol.
Attach to complete P for the system and submit to the Coup only oa
. ty' paper not Mss than 8 12 z Il ioe~es in siu
SBD-6398 (R. 11/11)
System PLOT PLAN
PROJECT Kevin Humorev ADDRESS 1054 Town Hall Road River Falls Wi 54022
SW 1/4 NE 1/4S 17 /T 28 N/R 18 W TOWN Kinnickinic COUNTY ST. CROIX
SYSTEM ELEVATION 96.0/94.5 3' below grade DATE 6/28/17 BEDROOM 3
CONVENTIONAL XXX CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 931 # of chambers 46
BENCHMARK V.R.P. Top of inspection pipe ASSUME ELEVATION 100' Filter Lifetime Filter
❑ BOREHOLE O WELL *H.R.P. same as benchmark
Property Line
Vents 40' 97'
2-3' x 94' cells 5' -25
r with >3' spacing Scale is 1" = 40';
vent unless otherwise
45' noted
B-3
65'
16% Slope 12' X 52' bed
System is to be installed >3'
from existing system
0'
B-1
250'
B.M.*
5'
5'
Valve
99' ST
Filter Tank 15 5'
60' Wel
Existing 3
Bedroom
House
jL- Quick4 Standard
eaching Chamber
ith 20.0 ft2 of Area
Town Hall Road .ft^2/pair of end caps
11 P~ng shall be ASTM SDR 30/34, within 3 4Grade at System Elevation
piping
10' of tank, piping shall be ASTM F891
Cover Page
Shaun Bird
Bird Plumbing Inc.
1432 120th St.
New Richmond Wi 54017
715-246-4516
Date: 6/28/17
Owner:Kevin Humphrey
Location: SW1/4 NE1/4 S17 T28 N,R18W 1054 Town Hall Road Rd Kinnickinic
Manuals Used: In-ground absorbtion system (version 2.0)
Page#
1. Cover Page
2. Plot Plan
3. Leaching Chamber Cross Section
4-6. Maintanance and Contingency Plan
7. Filter Cross Section
8. Existing Septic Tank r
Signature
License numbe # 26900
System PLOT PLAN
PROJECT Kevin Humorev ADDRESS 1054 Town Hall Road River Falls Wi 54022
SW 1/4 NE 1/4S 17 /T 28 N/R 18 W TOWN Kinnickinic COUNTY ST. CROIX
SYSTEM ELEVATION 96.0/94.5 3' below grade 6/28/17 BEDROOM 3
DATE
CONVENTIONAL XXX CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 931 # of chambers 46
BENCHMARK V.R.P. Top of inspection pipe ASSUME ELEVATION 100' Filter Lifetime Filter
❑ BOREHOLE WELL *H.R.P. same as benchmark
Property
Vents 40 97
2-3' x 94' cells ,
with >3' spacing 5 251 Scale is 1" = 40'
Vent unless otherwise
45' noted
B-3
65'
16% Slope 12' X 52' bed
System is to be installed >3'
from existing system
0'
B-1
250'
B.M.*
5'
15 5' Valve
99' 20' ST
Filter Tank 1 5'
- 60' Well
Existing 3
Bedroom
House
Vent
Leaching Chamber
A4~ong Quick4 Standard
with 20.0 ft2 of Area
Town Hall Road 5.6ft^2/pair of end caps
2
11 piping sha ll be ASTM SDR 30/34, within 34" Grade at System Elevation
IPi
- 10' of tank, piping shall be ASTM F891
Cross Section of Infiltrator Quick 4 Leaching Chamber
Typical cross section for 2 of 2 cells
Quick 4 Standard Leaching Chamber
with 20.0 ft2 of Area per Chamber
5.6ft^2 pair of end plates To be >1' above grade
Finish grade elevation
Typical Installation 98.0'
Vent A9,11, Grade Vent
3' 4" 3°
,A~~30/34 Septic Tank
1"
5 Long 5 5' Long Grade at System Elevation
3611 Grade at System Elevation
Spacing- 5'
2-3' X 94' Cells
Same on other end Observation tubeNent
At end of cell
A
23 chambers per cell B
System elevations:
A-96.0'
B-94.5'
POWTS OWNER'S MANUAL $ MANAGEMENT PLAN Page of
FILE INFORMATION SYSTEM SPECIFICATIONS
Owner J
Nti- Septic Tank Capacity al ❑ NA
Permit #
L7 Septic Tank Manufacturer ❑ NA
3ESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA
Number of Bedrooms ❑ NA Effluent Filter Model
❑ NA
i Number of Public Facility Units -?jAA Pump Tank Capacity gal NA
j Estimated flow (average) iT aUda Pump Tank Manufacturer I Design flow (peak), (Estimated x 1.5) , avda Pump Manufacturer Soil Application Rate
57 g
aUda lftz Pump Model Standard Influent/Effluent Quality Monthly average" Pretreatment Unit p NA
Fats, Oil & Grease (FOG) 530 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter
Biochemical Oxygen Demand (BOD5) <220 mg/L ❑ NA ❑ Mechanical Aeration ❑ Wetland
Total Suspended Solids (TSS) 5150 mg/L ❑ Disinfection ❑ Other.
Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA
Biochemical Oxygen Demand (BODs) 530 mg/L In-Ground (gravity) ❑ In-Ground (pressurized)
Total Suspended Solids (TSS) 530 mglL ✓~rVA ❑ At- race ❑ Mound
Fecal Colifotm (geometric mean) 5104 cfu/100ml \ ❑ Drip-Line ❑ Other:
Maximum Effluent Particle Size 36 in dia. ❑ NA Other. ❑ NA
Other.
NA Other:
❑ NA
*Values typical for domestic wastewater and septic tank effluent Other ❑ NA
IAINTENANCE SCHEDULE
Service Event Service Frequency
linspect condition of tank(s) At least once eve O month(s)
ry: ears (illfaximum 3 years) ❑ NA
(Pump out contents of tank(s) When combined sludge and scum equals one-third (X) of tank volume ❑ NA
Inspect dispersal cells month(s)
At least once every: year(s) (Maximum 3 years) ❑ NA
Clean effluent filter At least once every: ❑ month(s) ❑ NA
Z I jXyear(s) Inspect pump, pump controls & alarm At least once every: Month(s)
❑ NA
❑ year(s)
19ush laterals and pressure test At least once every: ❑ month(s) ❑ NA
❑ year(s)
5ther. D month(s)
At least once every: ❑ year(s) ❑ NA
ether:
NA
MAINTENANCE INSTRUCTIONS
!Inspections of tanks and dispersal cells shall be made 'by an individual carrying one of the following licenses or certifications: aster
(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
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
-egulatory authority.
When the combined accumulation of sludge and scum in any tank equals one-third ('f3) or more of the tank volume, the entire contents of
j:he tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin
Administrative Code.
IAll other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units,
land any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer.
A service report shall be provided to the local regulatory authority within 10 days of completion of any service event.
I
Page of
START UP AND OPERATION duds or other ctnemic~is thalt
For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting have the contents of ft
may impede the treatment process and/or damage the .dispersal cell(s). If high concentrations are detected
tank(s) removed by a septage servicing operator prior to use.
System start up shall not occur when sod 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
discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge
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 soli absorption area.
Reduction or elimination of the fol nft from the wastewater stream may improve the performance and prolong the We of the POWM
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 producNs;
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 propetiy
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 OperatDr.
• After pumping, all tanks and pits shag be excavated and removed or their covers removed and the void space fined with nail,
. 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:
13 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 requirled
setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the aged
for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rudest in
effect at that time.
• _ suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWfS technologN a
holding tank may be installed as a last resort to replace the failed POWTS.
ID The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a sal and site evaluation
must be performed to locale 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 rued in place following removal of the biomet 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 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 Name
ph" 71 J-_ Phone
SEPTAGE SERVICING OPERATOR UM ER LOCAL REGULATORY AUTHORITY
Name Name
Phone l Phone I j
This doatment was drafted in compliance with chapter SPS 383.22(2)(b)(1)(d)8,(f) and 393.. WI), (2) & (3), Wisconsin AdminWative Code.
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ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
lu"
Owner/Buyer K,,P'
Marling Address
Property Address
(Verification required from Planning & Zoning Department for new construction.)
City/State Parcel Identification Number
LEGAL DESCRIPTION
Property Locatiouj-<--)) 1/4 , 1/a , Sec. T UN R/ JW, Town of
Subdivision Lot #
Certified Survey Map # ' , Volume ,Page # 5
Deed # Volume f, Page #
Warranty
Spec louse yes Ono Lot line . identifiable yes o
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 Pte. What you put into
the system can affect the function of the septic tank as a treatment stage in the was to 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
site
owner and by a master plumber, journeyman plumber, restricted plumber or a acer►sed 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 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.
I/we certify that all statements on this Arm are true to the best of my/our knowledge. Uwe am/are the owner(s) of the
deed recorded in Register of Deeds Office.
property described above, by virtue of a
W716Y
Number of bedrooms
`
- SIG&~ It W O 1. ) DATE
***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department.
Inchuie with this application a recorded warranty deed from the Register of Deeds 0f5ce and a copy of the certified survey map if
reference is made in the warranty deed.
(REV. 08/05)
ST. CROT}{ COUNTY ZONING OFFICE
CERTIFIcATSON STATEMENT
FOR UTILIZATION OF AN EXISTING SEpTTC TANK
t'lri.s is to certify that T ha
serving the 61,
r ve inspected the septic tank preseiltiy
Section residen e lacateci <t:
mot, R 11W, r,
t.
7
the tank and baffles to Upon inspection,, `'owrj
be I certify that I have forlnd
functioning prnperly. ~n good condition, and it appears to he
o
"aSt time serviced:
I?id flow back occur rom -
Yes absorption system?
No (If
Approximate no, skip next line).
vol Wtte ar length
of time: gallons
'apacity: /
- minut:c~:;
Construction: Prefab Concrete
Ste el Other
Mallufacturer: If known):
If known) :
A'je of T It known
t
(C ~ a ture)
(Name,) Please pri
print
r~ (License Number)
Da to
[•'c3rm to be completed by licensed
Plumber or Licensed Disposer NR s.T45.06, Wisconsin
Code
~ ( 123 Wisconsin Administrative
Plumber (applying for sanitary permit) Certificat _
- - - - - - - - - - - - -
ion:
In accepting the above statement regarding existing septic tank
condition, I certify that the t
conform to the requir ents o tank to the st of my knowledge will
inspection opening o,e outlet baffle
' Adm. Code (except for
N d At C c Czc..-c_ /
Signat MP/MPRS~~
CS r- ~ 1~ ~1 y
NE
N 2 9 261i 8+~V i
Page of
Q J'~ 1P N
Wisconsin Deparownt of Commerce
Division of Saf&.T"'GoUNTY ccorda . os. Adm. Code
count
;,0MMUN17Y DEVE1-OPMEO ~ X
Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must
include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. P rJ
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. 30 Date
Please print all information. Review by
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). /
Property Owner Property Location
S Govt. Lot CJ2 114Af, /4 S T N R E ( )
Property Owner's Mailing Address Lot Block # Subd. Name or M#
city State Zip Code Phone Number C3 City ❑ Village Town Nearest Road
p
0 Al
GPD
New Construction Use: esidential / Number of bedrooms ...5 Code derived design flow rate _
Replacement ❑ Public r commercial - Describe: , it
Parent material Flood Plain elevation if applicable
C><.,a '
General comments i/V2✓~G>f ~lF~'i ~ ~ , nC
and recommendations:
s.0
Syste levation -9 ~A 0 ~ ~n1 500'
System Type ' li L M ~ a wJ(~G+ r
Boring q L
a Boring # 1 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
Gr
M~ unsell Qu. Sz. Cont. Color
in.
+-10
r o
~
ell,
Boring ❑ # Boring- ll~
~ Soil lication Rate
4 ` Pit Ground surface elev. 2~-ft• Depth to limiting factor in.
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots •Et GPD/ffEff#2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.
b r ~ ~
t
Effluent #1 = BOD. > 30 < 220 mgr- and TSS >30:_< 150 mg/L ' Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) Sign CST T Number
Numb
Bird Plumbing, Inc. Shaun Bird Te226900
lephone Number
Address E~luation Conductip d
c~pr /,r 715-246-4516
1432 120th St, New Richmond, WI 54017
Property Owner- Parcel iD #
❑ Boring 37. Page of
F-31 Boring # 1
pit Ground surface eleft. Depth to limiting factor f f"
in.
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots Soil GPD~ n Rate
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.
'Eff#1 'Eff#2
Z L ' f d
o
U r
J
U ❑ o5
r
Boring
Boring # ❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Bounda Roots Soil lication Rate
in. Munsell Qu. Sz. Cont. Color ry GPD/fF
Gr. Sz. Sh. 'Eff#1 'Eff#2
❑ Boring # ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
GPD/ff Application Rate
Horizon ')epth Dominant Color Redox Description. Texture Structure Consistence Boundary Soil
on. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Roots
'Eff#2
Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD5 < 30 rnA 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 (RAM)
Property Owner _ Parcel ID # Page of
❑ Boring
F-31 Boring # n pit Ground surface elev. 01 12
ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
r
CU
1AJ
❑ Boring # ❑ Boring
❑ pit Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
F-1 Boring # ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate
Horizon ')epth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mgA- ' Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777.
SBD-8330 (8.6/00)
Soil Test Plot Plan
Project Name Kevin Humprey Shau r
Address 1054 Town Hall Road
r River Falls Wi 54022 C #226900
Lot 3 Subdivision Date /28/17
SW 1/4 NE 1/4S 17 T 28 N/R18 W
Township Kinnickinic
❑ Boring Q Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of septic tank inspection pipe
System Elevation 96.0/94.5' *HRpSame as Benchmark
Property Line
40' 97'
5 -2
s Scale is 1" = 40'
Vent unless otherwise
45' noted
B-3
65'
16% Slope 12' X 52' bed
IF 1
20'
250'
B.M.*
5'
B-1
15'
99' T
15'
v 60' Well 10.0 Existing 3
Bedroom
House
Town Hall Road