HomeMy WebLinkAbout020-1054-70-101 (2)
ansin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
aty and Building Division INSPECTION REPORT Sanitary Permit No:
597488
(ATTACH TO PERMIT) State Plan ID No:
GENERAL INFORMATION l!
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: CLC REAL ESTATE LLC TOWN OF HUDSON 020_1054-70-101
:
CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No
it h f1 21.29.19.201 A-51
TANK INFORMATION ELEV N DATA
TYPE MANUFACTURER INA 1 CAPACITY ATION BS HI FS ELEV.
Septic j O Benchmark
V r
Dosin
AQIaLn l' Bldg. ewer
oldin rHtlet
!~r(P
(~r~C Ht Outlet C
TANK SETBACK INFORMATION L J _I
TANK TO P/L WELL LDG. V n to Air Intake O D Dt Inlet
R `
Septic Dt Bottom
Dosing v n.
. ' i
Aeration Dist P e
S •
Holdin Bot. Syste ~G'^
Final Grade J1f~ oo`
PUMP/SIPHON IN ION
Manufacturer Demand St Cover
V
GPM L I
Model N ber
TDH ft Friction Loss System He TDH Ft
Forcema Length Dia. Dist. to Well
r
SOIL ABSORPTION SYSTEM
PIT DIMENSIONS No. Of P s inside Diq Liquid Depth
BED/TRENCH Width n ( Length n f1 No. Of Trenches /
DIMENSIONS /J1 yV~V
SETBACK SYSTEM TO P/L WELL LAKE/STR LEACHING Manufacturer:
CHAMBER OR
INFORMATION Ty Of NSystem: ON i I' V I I UNIT Model Nu
y LaW - !D
DISTRIBUTION SYSTEM Vent to Air ntalie
x Hole Size x Hole Spacing `Q S
Header/ if Id Distribution
Pipe(s)
Length Length Dia Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Mulched 11 Depth Over t f xx Depth of xx Seeded/Sodded
Depth Over Yes No
Bed/Trench Center Bed/Trench Yes No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2:
Location: 576 HERMES RD Ifoom Sur-6u-
1.) Alt BM Description = F) u-I V" q) 10 " ,•y~~,,-~~t)~ J v I t
2.) Bldg sewer length =,y~ At~ e%~/`~V ~i
amount of cover sfT+2~ C"' - r
b '
n l ~3,an ea~1 vql +b
Plan revision Required? [ ] Yes / -J No 1 S /
Use other side for additional informalton. L 76
J-I- -~-J~ - nsepctor's i nat Cert. No.
Date / f
SBD-6710 (R.3/97) ` dw el s/ ' ~ ,1/J~ oll
County
Safety and Buildings Division St. Croix
201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.)
Madison, WI 53707-7162
BYO a
Sanitary Permit Application ate Transaction Number
j~ accordance with SPS 383.21(2), Wis. Adm. Code, submission ofthis form to the appr gntal unit 2988935
lzl~ is required prior to obtaining a sanitary permit. Note: Application forms for state-owned are submltte j ct Address (if different than mailing address)
the Department of Safety and Professional Servies. Personal information you provid "de used f r c~d
57 u ses in accordance with the Privacy Law, s. 15.04(1)(m), Stats. HerIAeS=RD HlldSOri WI 5 016
lication Information - Please Print All I formation ~r V~?
roperty Owner's Name
VW - Consolidated Lumber Company, LLCM MuN' 020-1054-70-101
roperty Owner's Mailing Address Property Location
808 N 4th Street Still water MN 55082 Govt. Lot 1
ity, State Zip Code Phone Number SE y, NE ya, Section 21
(circle one)
T 29 N, R 19 L or W
11. Type of Building (check all that apply) Lot #
❑ 1 or 2 Family Dwelling - Number of Bedrooms 1 Subdivision Name
Blo
Office
Public/Commercial - Describe Use
❑ City of
❑ Stat Owned - Describe Use CSM Number (~Q 3 ❑ Village of
Q IQ(Q XZTown of Hudson
%0✓ EL o
III. Type of Permit: (Check onl one box on line A. Complete line B if applicable) d
❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain)
New System El Replacement System
B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber El Permit Transfer to New List Previous Permit Number and Date Issued
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 soil
❑ Holding Tank they Dispersal Component (explain) ❑ Pretreatment Device (explain)
V. Dis ersaVrre meet Area Information:
Design F 12w (gpd) Design Soil Application Rate( dsf) Dispersal Area Required (sf) Dispersal Area Proposed ( System Elevation
VI. Tan Info Capacity in To al # of Manufactwer
Gallons Gallons Units U
New Tanks Existing Tanks /z o y ~ M c
a
f✓"~ a U v) v: w C7 Ci
Pic
Septic or Holding Tank 1 2250 1 ieser 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 Sign at a MP/MPRS Number Business Phone Number
Plumber's Address (Street, City, State, Zip Code)
321 Wisconsin Drive, New Richmond WI 54017
VIII. C unt epartment Use Only
Permit Fee Date ssued Issuing ent Signature j
Approved
17
Reason for Denial q//7& 1
IX. Condign oAWrMisapproval n
WUPWI
.tu cell ruig 4111 b b(1111c:i . 3) aldL b J 4
as per managerttent plan pro/id-
2. AU netbet:k rec;ore^ ms mu:,t &6
art PWcode l atdhAW S, r
Attach to complete plans for the system and submit to the County only on paper not less than 8 1/2 x I I inches in size
SBD-6398 (R. 11/11)
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YaR7sTE~\ DIVISION OF INDUSTRY SERVICES
10541 N RANCH RD
HAYWARD WI 54843-6462
Contact Through Relay
y http://dsps.wi.gov/programs/industry-services
w,
www.wisconsin.gov
Scott Walker, Governor
Laura Gutierrez, Secretary
September 08, 2017
CUST ID No. 225410 ATTN POWTS Inspector
PAUL R KOEHLER ZONING OFFICE
COUNTRYSIDE PLUMBING & HEATING INC ST CROIX COUNTY SPIA
321 WISCONSIN DR 1101 CARMICHAEL RD
NEW RICHMOND WI 54017 HUDSON WI 54016-7708
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 09/08/2019 Identification Numbers
Transaction ID No. 2988935
SITE: Site ID No. 841803
Consolidated Lumber Co LLC Please refer to both identification numbers,
808 N 4TH St above, in all correspondence with the agency.
City of Hudson St Croix County
SE1/4, NE1/4, S21, T29N, RI 9W
FOR: COAT
Object Type: POWTS Individual Site Design Regulated Object ID No.: 1722737
Maintenance required; 1,080 GPD Flow rate; System(s): Non-Pressurized In-ground; Commercial System APB
DEPT OF SAFETY ANC
The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative CISION OF I.
and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed
and located in accordance with the enclosed approved plans and with any component manual(s) referenced above.
The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code
requirements.
A copy of the approved plans, specifications and this letter shall be on-site during construction and open to
inspection by authorized representatives of the Department, which may include local inspectors. All permits SEE Ceria.
required by the state or the local municipality shall be obtained prior to commencement of
construction/installation/operation.
In granting this approval the Division of Industry Services reserves the right to require changes or additions should
conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review
shall relieve the designer of the responsibility for designing a safe building, structure, or component.
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address
on this letterhead.
The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any
others who are responsible for the installation, operation or maintenance of the POWTS.
Sincerely, Fee Required S 325.00
This Amount Will Be Invoiced.
i
' When You Receive That Invoice,
Edwin A Taylor Please Include a Copy With Your
Wastewater Specialist , Division "dustry Services Payment Submittal.
(715)634-3484 , Monday - Friday 8:00 am To 4:30 pm WiSMART code: 7633
edwin.taylor@wisconsin.gov
RECEINI, I_,
AUG 1 4r 201r
CONVENTIONAL COMPONENT DESIGN INDUSTRY SE,
Residential Application
INDEX AND TITLE PAGE
Project Name: CONSOLIDATED LUMBER COMPANT LLC
Owner's Name:
Owner's Address: 808 N 4TH ST STILLWATER MN 55082
Legal Description: SE1/4 NE 1/4 SEC 21 T29N R19W
Township: HUDSON
County: ST CROIX
70NALL
Subdivision Name: OVED
Lot Number: 1 ZOFESSIONAL Sr LVIC,
)USTRY SERVICES
Parcel ID Number: 020-1054-70-101
Page 1 Index and title
Paget 4L1 Ze7ky
Page 3 - PIA1,
Page 4 ~ c: C.__ Sccf oh:1.)P" E
Page 5 T 7 h~. s~~~,
Page 6
Page 7
Page 8
Page 9 CSM or Plat
Attachments: Soil Test & House Plans
Designer/Plumber: PAUL R KOEHLER License Number: 225410
Date: 08/07/2017 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.01101).
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SOIL ABSORPTION SYSTEM DETAIL/ GRAVELLESS LEACHING UNIT Pagel of 1
Project Name: CONSOLIDATED LUMBER COMPANY LLC
4 No. of Cells 8 Per Cell
3 ft Cell Width 32 Total No of 10
80 ft Cell Length 50 sq ft EISA Per Cell
3 ft Cell Spacing 1600 sq ft Total EISA
Manufacturer Model Laying Length EISA Rating
Infiltrator EZ1203H-5ft 5.0' 25.0
17712031-1-10ft 10.0' 50.0
Gravel less Leaching Unit Manufacturer: INFILTRATOR
Gravelless Leaching Unit Model: EZ1203H-10FT.
Typical Cross Section ,
Finished Grade 99 ft
Observation Pipe with
approved cap or vent
~e ■
•;::;':.>:;;:a:.:;:::'::<':;a>>:>: Soil Backfill
■ i:. . Geotextile Fabric
6.58 ft Infiltrative Surface
12 in I
- 11 ft Limiting Factor
65 in Slotted and Anchored Vent/
Observation Pipe with Cap
■■•.■re■■use■r■e■■e■■r■e■■s■■e■■r■■weaa■ae■ers■■ss■.■■■■■■e■■e■e■■■■e■r■e
Plumber/Designer Signature:
License m 225410 Date: 8/10/2017
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4
POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of 2
FILE INFORMATION SYSTEM SPECIFICATIONS
owner Consolidated Lumber-Company LLC Septic Tank Capacity 2250 gal ❑ NA
Permit Septic Tank Manufacturer Wieser ❑ NA
DESIGN PARAMETERS Effluent Filter Manufacturer polylock ❑ NA
Number of Bedrooms of NA Effluent Filter Model 525 ❑ NA
Number of Public Facility Units 7 NA Pump Tank Capacity gal (A
Estimated flow (average) gal/day Pump Tank Manufacturer ANA
Design flow (peak), (Estimated x 1.5) gal/day Pump Manufacturer $L NA
Sail Application Rate i gal/day/ft2 Pump Model 4 NA
Standard Influent/Effluent Quality Monthly average` Pretreatment Unit NA
Fats, Oil & Grease (FOG) 530 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter
Biochemical Oxygen Demand (BOD5) 5220 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 XIn-Ground (gravity) ❑ In-Ground (pressurized)
Total Suspended Solids (TSS) 530 mg/L ❑ NA ❑ At-Grade ❑ Mound
Fecal Coliform (geometric mean) <10, cfu/100ml ❑ Drip-Line ❑ Other:
Maximum Effluent Particle Size )e in dia. ❑ NA Other: ❑ NA
Other: ❑ NA Other: ❑ NA
'Values typical for do(nestic wastewater and septic tank effluent. Other: i' ❑ NA E'
MAINTENANCE SCHEDULE
Service Event I Service Frequency
Inspect condition of tank(s) I At least once every: ❑ month(s) (Maximum 3 years) ❑ NA
3 yrs Wyear(s)
Pump out contents of tank(s) When combined sludge and scum equals one-third (Y31 of tank volume ❑ NA
❑ month(s)
Inspect dispersal cell(s) At least once every: 3yrsr j4; year (Maximum 3 years) ❑ NA
manth(s):
Clean effluent" filter At least once every: O' NA:
yyear(s)•,
inonth(sl
Ihpect p ump
; pump controls alarm A
s t least`oneer every
year(s).
t , ~'smonth(s)
Flush laterals and pressure test At least once every: p year(s)- t
3 •::r $ f • 4
Other: At least once eve U month(s) " d
ry' C3 year(s) Y( NA .
Other:
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 orponding 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 (~).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.
i '
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E
Page Z of
START UP AND OPERATION
1 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.
t
i System start up shall not occur when soil conditions are frozen at the infiltrative surface.
During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will 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.
aluati i a o dingtank
Iv~ T
be e Tai e t~fZD) f1 Tfc~ b2 JJ GatJ57-W c~.
LE Mound, and., of grade;,soii a6sorpti0n, ;systems may be, reconstructed; in place following rerngyal of the biomat at, the
infiltrative'nsucfaci;. R'econsti uctions ofKsuchi systems: must comply with th® rule`in"effect as that time:
< < WARNING > >
SEPTIC, PUMP AND OT14ER 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 POWTS MAINTAINER
Name G " v Name
~~t dY
Phone 7/J- 2 y~- Phone 7IS-
SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY
Name Jair r f Name s^r.
Phone 7 ,f~ yz~~ ~Oz Phone 71S-
This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d)&(fl and 83.54(l), (2) & (3), Wisconsin Administrative Code.
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ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer Consolidated Lumber Company LLC
Mailing Address 808 N 4th Street Stillwater, MN 55082
Property Address 576 Hermes Road Hudson, WI 54016
(Verification required from Planning & Zoning Department for new construction.)
City/State "101 sp 3a Parcel Identification Number Q2,b jbs 1 "'7~ ^ flf
LEGAL DESCRIPTION
Property Locatiol %4 , NE % , Sec. 21 , T 29 N R 19 W, Town of Hudson
Subdivision Plat: , Lot #
1
Certified Survey Map # CSM 981663 , Volume 26 , Page # 5936
Warranty Deed # (before 2007)Volume , Page #
Spec house Oyes[71no Lot lines identifiable OyesE]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. 353.52(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 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 th your septic system has been maintained must be completed and returned to the St. Croix
County Planning & Zoning Department w' in 30 days of the three year expiration date.
I/we certify that all statementjaat.~ranty form are true to the best of my/our knowledge. I/we am/are the owner(s) of the
property described above, by virtue of deed recorded in Register of Deeds Office.
N ber of bed ooms
7 /26/17
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. 04/12)
1-7
RECEIVED 5
f1q
Wis. pl{ f ttzgl lprofessional Services MRK60GPS
.wIL LVALUATION REPORT Page 1 of 2
Divisi afety and Bu_ildjngs
. in accordance with SPS 385, Wis. Adm. Code
ST CROIX C,QUN l x
,Q a Oplan on PME paper not less than 8 1/2 x 11 inches in size. Plan must County ST CROIX
~g include,, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. U4-1.654-- 7O
Please print all information. Revi d by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).I L ' / q /
Property Owner Property Location
CONSOLIDATED LUMBER COMPANY LLC
Govt. Lot 114 1/4 S T N R E (or) W
Property Owner's Mailing Address Lot # Block # Subd. Name O SM#
808 N 4TH STREET 1 CSM 981663
City State Zip Code Phone Number City Village Drown Nearest Road
STILLWATER MN 55082
( ) city rd u
New Construction LlseC] Residential / Number of bedrooms 0 Code derived design flow rate GPD
Replacement Public or commercial - Describe:
Parent material Flood Plain elevation if applicable ft.
General comments the fill layer should be removed and not reused where drain field is going and a more sutible top soil brought in.
and recommendations: possible a loam sand loam type soil.
a
Boring # Boring
a Pit Ground surface elev. 98.75 ft. Depth to limiting factor 132+ in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft 2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ff#1 * ff#2
fill 38" GLEY I/3/10 REDOX 32-39" cnd streaks MIXED MSV COMPAC a 0 0
Ab 38"47 10yr2/1 loam msv mvfl a 0 ,0 .0
Btl 47"-67" 10yr4/4 sicl 2csbk mfi gw 0 .4 6
2cl 67-71" 10yr4/4 cs Osg ml gw 0 .7 1.6
2c 71 "-132 2.5yr6/3 cs osg ml c 0 .7 1.6
F-1 Boring # F]Boring 98.95 132+
0 pit Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate
z
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. * ff#l ff#2
fill 32 10yr5/3 cs osg compacted c 0 0 0
fi11 32"-41 10 yr 4/4 cl msv compacted c 0 0 0
fill 41"-49" gleyl/3/10y c msv compacted c 0 0 0
fill 49"-50" 7.5yr5/8 I" think ribbon cs msv compacted c 0 0 0
Btl 50"-66" 10yr4/4 sicl 2csbk in fi gw 0 .4 .6
C 1 66"70° 10yr4/4 cs osg ml gw 0 .7 1.6
C2 70"-80" 10yr4/4 coed osg ml c 0 .7
1.6
* Effluent #1 = BOD 5 > 30:< 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD 5 < 30 mg/L and TSS < 30 mg/L
CST Na e ease Print) Signature,,,- ~ CST Number
Address Date Evaluation Conducted Telephone Number
ipv -11
SBD-9330 (RI 1 /1 I )
2 2
Property Owner Parcel ID # Page of
❑ Boring # Boring 98.95 132
Pit Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate
z
Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ff#1 ff#2
C3 80"-132 2.5yr 6/3 cs osg c 0 0 .7 1.6
Boring # E ]Boring 99.25 132
• Pit Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure onsistence oundary Roots GPD/ft z
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ff#1 ff#2
fill layer 0-16" 10yr3/2 4/4 grsl/grsil msv compacted a 0 0 0
Ab 16"-23" 10YR3/2 SIL MSV compacted a 0 0 0
Btl 23"-43" 10yr4/4 sicl 2csbk mfi a 0 .4 .6
2Bt2 43"-49" 10yr4/4 gricosow Icbk mvfi- gw 0 .7 1.6
2c 49"-132 7.5yr6/4 cos Osg ml gw 0 .7 1.6
F Boring# ID Boring 98.85 132
Ground surface elev. ft. Depth to limiting factor in.
E Pit
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure onsistence oundary Roots GPD/ft 2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ff#1 ff#2
fill layer 0-21" IOyr5/3 c2d mixed 2mpl compacted a 0 0 0
Ab 21"-34" 10yr2/1 sil msv compacted a 0 0 0
Bt2 34"-50" 1Oyr4/4 sicl 2csbk mfi a 0 .4 .6
2c 50-132" 10yr4/4 cos Osg ml gw 0 .7 1.6
T
` Effluent #1 = BOD s > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD 5 < 30 mg/L and TSS < 30 mg/L
The Dept. of Safety and Professional Services is an equal opportunity service provider and employer. If you need assistance to
access services or need material in an alternate format, contact the department at 608-266-3151 or TTY through Relay.
SBD-8330Tc,t W I I i i)
i
i
2 2
Property Owner Parcel ID # Page of
F Boring # Boring 98.95 132
pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate
Z
Horizon Depth Dominant Color Redox Description Texture Structure onsistence oundary Roots GPD/ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ff#1 ` ff#2
C3 80"-132 2.5yr 6/3 cs osg c 0 0 .7 1.6
E Boring # _I Boring 99.25 132
a pit Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft z
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ff#1 ff#2
filllayer 0-16" 10yr3/2 4/4 grsl/grsil msv compacted a 0 0 0
Ab 16"-23" 10YR3/2 SIL MSV compacted a 0 0 0
Btl 23"-43" 10yr4/4 sicl 2csbk mfi a 0 .4 .6
2Bt2 43"-49" 1Oyr4/4 - grlcosow lcbk mvfr gw 0 .7 1.6
2c 49"-132 7.5yr6/4 cos i osg ml gw 0 .7 1.6
1 `
Boring # ED Boring5 132
Z Pit Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft 2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. " ff#1 ff#2
fill layer 0-21 10yr5/3 c2d mixed 2mpl compacted a 0 0 0
Ab 21"-34" 10yr2/1 sit msv compacted a 0 0 0
Bt2 34"-50" 10yr4/4 sicl 2csbk mfi a 0 .4 .6
cos Osg ml gw 0 .7 1.6
2c 50-132" oyr4/17-
a w
EfAd nt ll \5 > 30 < 220 mg/L and TSS >30 < 150 mg/L ` Effluent #2 = BOD 5 < 30 mg/L and TSS < 30 mg/L
The Dept. of Safety and Professional Services is an equal opportunity set-vice provider and employer. If you need assistance to
access services or need material in an alternate format, contact the department at 608-266-3151 or TTY through Relay.
SBD-8330Test (RI 1111)
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