HomeMy WebLinkAbout026-1306-00-048
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
(ATTACH TO PERMIT) 600274
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:
JESSY & ALICIA RIVARD TOWN OF RICHMOND 026-1306-00-048
CST BM Elev: Insp. BM Elev: IBM Description: Section/Town/Range/Map No:
q g' Z G w 18.30.18.1655
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark
z s Zaa 2 $ q9. 17 96.9 7
+
Alt. BM (P ldb,57
Bldg. Sewer 74 el 7, YZ
Holding St/Ht Inlet c! O It~/~}y 2.9,5 C (O. 5Z
TANK SETBACK INFORMATION St/Ht Outlet D Iv7 ~G
TANK TO / IF G/I,, WELL BLDG. a Air ntake ROAD Dt Inlet \
Septic V7 Dt Bottom
Dosing Header/Man. g
Aeration Dist. Pipe 74, 17
S Tdf, 3-7
Holding Tot. System T3 , e11
`3 3.37
PUMP/SIPHON INFORMATION Final Grade
q4-lob
Manufacturer Demand St Cover r ( Jt~ r~ 3 7
GPM
Model ber f'
TDH Lift Friction Loss S TDH Ft
Forcemain Length Dia. Dist. to Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length lNo.OfTrenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS 3 (76 Z ( rem
SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacture ~~11
INFORMATION /p CHAMBER OR , %A ~ L
TV O e Of - - System: r 6(~ UNIT M0vdNuTb . C V
DISTRIBUTION SYSTEM eC /Z,3 da rep tAeOl.S zz,+-zz = '64 He
ader/Manifod 4/ Distribution x Hole Size x Hole Spacing Ve o [ it I Pipe(s)
4k.
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 3-3 Bed/Trench Edges Topsoil PC r No ~X?` U No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: a Inspection #2:
Location: 1538 97TH ST / _ .
1.) Alt BM Description = / C~o.JC/t~ /r~~~,~,
2.) Bldg sewer length = 36
- amount of cover
7 ~Z e
~o
P
lan revision Required? Yes No 17~
Use other side for additional information. _7= Z v
SBD-671 0 (R. 3/97) Date Insepctor's Si ture Cert. No.
County -
C-
Q^ Safety and Buildings Division
2<' 201 W. Was hington Ave P.C. Box 7162 Sanitary Permit Number (to be filled M by Co.)
a Madison, W1 53707•-7162
T4
7
[l`yp -
t~ State Transacti umber
ST. CF7fl rmlt H1GFN13JGFQ1T
In actor is. dc, submissic
is required prior to obtaining a sanitary permit Note: Application roriw r~i ~u . - Project Address (if different than mailing address)
the Department of Safety and Professional Servies. Personal information you provide may be used for secon
purposes in accordance with the Privacy Law, s. 15. 1 m ,Stets. _ / J
L Application Information -Please Print Nlilnforjnation
Property Owner's Name Parcel
,41, -13ol .0o 043
Property Owner`s Mailing Address Property Location 0. 3c J ( Govt Lot
City State Zip Code I Phone Number WJ 1/. Section I
C , (circ le o W~
T--
A,r~ . ~ -7 T`~C~ N' Rt~ E~✓
II.,Type of Building (check all the ply) Lot #
Subdivision Name
2 Family Dwelling - Number of Bedrooms / 1 ~y
Block # [C / J ( (1 C { ~''C~► '
❑ Public/Commercial - Describe Use
❑ City of
CSM Number ❑ illage of
❑ State Owned - Describe Use of C
III. Type of Permit: (Check only one ox on line A. Complete line B if applicable)
A' ew System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain)
Number and Date Issued
Permit Transfer w New List Previous Permit
B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber
Before Expiration Owner
W. T of POWTS S stem/Com onent(Device: Check all that a I )
_ *ion-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound ? 24 in. of suitable soil ❑ Mound < 24 in. of suitable noel
l~s
❑ Holding auk El er Dispersal Component( plain)- El Pretreatment Device (explain)
V. Dis rsaVrrea ent Area Informatio
Design Flow (gpd) Design Soil Applicati (gpdsf) Dispersal Area Required (s D Area oposed (s S ern Ellevan
VL Tank Info Capacity in Total # of Manufacturer
Gallons Gallons Units
New Tanks Existing Tan15 0 o d u
in ( z y L
1
Septic or Holding Tank
Dosing Cbamber
VII. Responsibility State a t- I, the undersigned, as/Aig responsibility for installation of the POWTS shown on the attached plans.
P bet's Name (Print) Pl Signature MP/MP Number Business Phone bet
Plumber's Address (Street, City, State, Zip Is
VIM unty/De artment Use Only _ _
ed ❑ --T permit Fee Date ued Issuing ent Signature
PProv ve
S
canon for Dcniat 7~ ~ j
DL Conditigns; r Jik 'ppr-a1 ` ~O 6,
tiiWer•-s i Gen r.'lust aU be s r tc _s ! r. n~ _ ec ~ 1 CLLQ. Ctrl' • `
gg per Talr3gmen• plan p'o nae.ri by plumbe,.. J ~
2. 'A1W1** ►aSa»gnud.cw.riaiT~rir,E+i 1 A ,
W Pw rP k" cads / ,:f&A3 W, `T / vc D~ 5 ~r
Attach to cam laps for the system and submit to the Coun only paper not less than 8 t/! z' inch in size
P p 1 3b e.
SBD-6398(8 11/11)
I r
System PLOT PLAN
PROJECT Jessv Rivard ADDRESS 1194 Norwav Pine Circle Hudson Wi 54016
NW 1/4 SE 1/4S 18 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX
SYSTEM ELEVATION 93.0/92.0 4'below qrade 11 /10/17 4
DATE BEDROOM
CONVENTIONAL XXX CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 891 # of chambers 44
BENCHMARK V.R.P. Top of survey iron 1" ASSUME ELEVATION 88.31' Filter Lifetime Filter
❑ BOREHOLE O WELL *H.R.P. same as benchmark
u
Property Line :.ca e = 1 ~4 = i Oi
B-4
15'
ST 30'
2-3' X 90' cells 97th ST.
with >3' spacing Pro 4
Bedroom
House
12% Slope 60'
B-1
All piping shall be ASTM SDR
30/34, within 10' of tank, piping
shall be ASTM F891
B-3 90,
51' 97'
95'
22'
Vent
17' B-2
B.M.* 60' >6" Quick4 Standard
of Cover Leaching Chamber
with 20.0 ft2 of Area
50' 2 /pair of end caps
4' Long ;::_5.6ftA
34" Grade at System Elevation
Cover Page
Shaun Bird
Bird Plumbing Inc.
1432 120th St.
New Richmond Wi 54017
715-246-4516
Date: 11/10/17
Owner:Jessy Rivard
Location: NW1/4 SE1/4 S18 T30N,R18W 1538 97th st. Richmond
Manuals Used: In-ground absorbtion system (version 2.0)
Page#
1. Cover Page
2. Plot Plan
3. Leaching Chamber Cross Section
4-6. Maintanance a Contingency Plan
7. Filter Cross Sec, n
Signature- r'
License numb 26900
System PLOT PLAN
PROJECT Jessv Rivard ADDRESS 1194 Norwav Pine Circle Hudson Wi 54016
NW 1/4 SE 1/4S 18 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX
SYSTEM ELEVATION 93.0/92.0 4'below grade 11 /10/17 4
DATE BEDROOM
CONVENTIONAL XXX CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 891 # of chambers 44
BENCHMARK V.R.P. Top of survey iron 1" ASSUME ELEVATION 88.31' Filter Lifetime Filter
❑ BOREHOLE O WELL *H.R.P. same as benchmark
Property Line Scale 1/4" = 10'
r
B-4 e
15'
ST 30
2-3' 0' cells 97th ST.
ith >3' spacing Pro 4
Bedroom
House
12% Slope 60'
B-1
All piping shall be ASTM SDR
30/34, within 10' of tank, piping
shall be ASTM F891
B-3 90'
51' 97'
95'
22'
Vent
17' B-2
B.M.* 60' >6„ Quick4 Standard
of Cover Leaching Chamber
with 20.0 112 of Area
50 4' Lon 1 5.6f A2/pair of end caps
g
34" Grade at System Elevation
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
5.6ftA2 pair of end plates To be >1' above grade
Finish grade elevation
Typical Installation A(l 97.0'
Vent ACI Grade Vent
3' 4" 3'
A~30/34 Septic Tank
✓ 1"
5' Long 5' S' Long 1
Grade at System Elevation
3611 Grade at System Elevation
Spacing 5'
2-3' X 90' Cells
Same on other end Observation tube/Vent
At end of cell
A
B
22 chambers per cell
System elevations:
A-93.0'
B-92.0'
ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OVnI ERSHIP CERTIFICATION FORM
Owner/Buyer
Mailing Address SVI)' 7
' a r
Property Addres`s S ti
{Verification required from Pb ming & ton ' epartment for new construction.)
City/State Parcel Identification Number y h - 13 r' 46 f
LEGAL DESCRIPTION
Property Location /t/,J 1/a Sec. T s i7 N Rjj_W Town of d"4 1'j
Subdivision r~l l1 " S c9-1 CA )A' , Lot # 11 ~ .
Certified Survey Map # , Volume , Page #
Warranty Deed # f , Volume , Page #
Spec house yes Lot lines identifiable yes
SYSTEM ~NANCE AND OWNER CERTIFICATION
Improper use and maintenance of your septic system could result in its premature faihure to handle wastes. Proper
maintenance consists of pumping out the septic tank every three years or sooner, it 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 1/3 full of sludge.
Vwe, the undersigned have read tbz 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 mai=ned 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 thi-Oform are true tm the best of my/our knowledge. Uwe am/are the owner(s) of the
property described above, by virtue of a deed recorded in Register of Reeds Office.
Numbe of bedrooms _
-7 7 SIGNATURE OF APPLICANT(S) DATE
"14, - -
***Any information that is misrepresenFed may result in the sanitary permit being revoked by the Planning & Zoning Department.
Iwlude with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if
rc&Tc ix is made in the warranty deed
WV, ate)
POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of
FILE INFORMATION SYSTEM SPECIFICATIONS
Owner Septic Tank Capacity al NA
Permit # Septic Tank Manufacturer NA
3ESIGN PARAMETERS Effluent Filter Manufacturer i ❑ NA
Number of Bedrooms T ❑ NA Effluent Filter Model ~f ❑ NA
i Number of Public Facility Units ONA Pump Tank Capacity al NA
j Estimated flow (average) aVda Pump Tank Manufacturer NA
i
i Design flow (peak), (Estimated x 1.5) gal/day Pump Manufacturer NA
Soil Application Rate aUda lft2 Pump Model 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 (BODs) 5220 mg/L ❑ NA ❑ Mechanical Aeration ❑ Wetland
Total Suspended Solids (TSS) <150 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) <30 mg/L ❑ At-Grade ❑ Mound
Fecal Coliform (geometric mean) 5104 cfu/100ml / ❑ Drip-Line ❑ Other:
iMaximum Effluent Particle Size la in dia. ❑ NA Other ❑ NA
10ther. Other: ❑ NA
"Values typical for domestic wastewater and septic tank effluent Other. p NA
IAINTENANCE SCHEDULE
Service Event Service Frequency
linspect condition of tank(s) At least once every: eant(s) (Maximum 3 years) ❑ NA
(Pump out contents of tank(s) When combined sludge and scum equals one-third ('Ya) of tank volume 0 NA
Inspect dispersal cell(s) At least once everY < ❑ month(s) (Maximum 3 years) ❑ NA
'year(s)
Clean effluent filter At least once every: month(s) ❑ NA
l~ '4year(s)
NA
nspect pump, pump controls & alarm At least once every: ❑ nth(s)
❑ year(s)
1=lush laterals and pressure test At least once every: ❑ month(s)
❑ year(s)
Pther. At least once every: ❑ month(s) NA
❑ year(s)
ether: Nq
MAINTENANCE INSTRUCTIONS
!Inspections of tanks and dispersal cells shall be made 'by an individual carrying one of the following licenses or certifications: Lester
!Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must
iinclude a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of
icembined 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
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 shah be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin
Administrative Code.
loll other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units,
land any servicing at intervals of <12 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 tank the presence of painting ~ or other ctrernicals th*t
For new construction, prior to use of the POWTS check treatment s) for if high concentrations are pr detected have the contents of thmay impede the treatment process and/or
damage the - Ispersal cell(s)- 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. the excess wastewater will by
or surface discharge of eftluerrlt
During power outages pump tanks may fdl above normal highwater levels. When power is restored
discharged to the dispersal eeA(s) in one large dose, overloading the oeli(s) and may result inth backup p to resisdhar paver to thde
levels
To avoid this situation have the contents of the pump tank removed by a Septage the pump controls to restore no power
effluent pump or contact a Plumber or POWTS Maintainer to assist r 'n manually operating
within the pump tank. disturb or compact, the area within
Do not drive or park Vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise
15 feet down slope of any mound or at-grade soil absorption area. the POWf :
Reduction or elimination of the following from the wastewater stream may improve the perfomiance and disxr profactan d the life ;fat: fo of thaflon drain und antibiotics; baby
wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; ; painting products;
(sump pump) water, fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps'
pesticides; sanitary napkins; tampons; and water softener brine.
ABANDONMENT shall be taken to insure that the system is propettY
When the POWTS fails and/or is permanently taken out of service the following steps
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 property disposed of by a Septage Servicing Operator.
• After pumping, all tanks and puts shall be excavated and removed or their covers removed and the void space fined with soil,
gravel or another inert solid material.
CONTINGENCY PLAN code cornpGant
If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a
replacement stem' replacement soil absorption system.
suitable replacement area has been evaluated and may be utilized for the location of a rep
The replacement area should be protected from disturbance and companion and should not be infringed upon by re4ui4ed
setbacks from existing and proposed structure, lot lines and wells. Failure to prated the replacement area will result in the noW for a new soil and site evaluation to establish
a suitable replacement area. Replacement systems must comply with the rule:i in
effect at that time.
❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technologlr a
holding tank may be installed as a last resort to replace the failed POWTS. 0on ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure
of the POWTS a sal and site
nstalledf as
must be performed to kx:ste a suitable replacement area. If no replacement area is available a holding tank may
a last resort to replace the failed POWTS.
❑ 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 ANDIOR INSUFFICIENT OXYGEN. DO NOT
ENTER A SEPTIC, PUMP R OTHER OF A TANK ME BE ~~ff DIFFICUNDER ANY ULT O IMPOSSIBLE. MCIRCUMSTANCES. DEATH MAY RESULT. RESCUE 01= A
PERSON FROM THE INTERIOR
ADDITIONAL COMMENTS
POWTS INSTALLER POWTS MAINTAINER
Name Names
Phone
Phone 1 _ :
j C2
(PUMP REGULATORY AUTHORITY
LOCAL
ER _
SERVICING OPERATOR
r_
SEPTAGE
~/1' Name / 7 l / n -c-
Phone
Phone
~ ~ This docurnerrtwas drafted in compliance with chapter SPS 383.22(2)(b)(%d)&(f) and 383..54(1), (2) & (3),1Atlsconsm Administra five Coke.
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6~T 47 2.776 ACRES H1s - `
d+ y 120,902 SQ. FT. DRAINAGE £ASEM
1 ,145 SQ. FT. ACRES
\
70,145 L130-943.0 LBO=935.0 # - SE£ EASEM£
TABLE H' FDA
- • - - DIMENSIONS
Nzgti,~`\ I ~Py~~a 173.06' 9B0 16974'
342.80'
LOT 46 ~1~"' cfl~" °f ~P ~P~ / /
\ A
f. -
r 3 ti LOT 6
LOTA$. 1.506 ACI
1.558 ACRES \ / O 65,589 SQ.
67,885 SO. FT. C3 lop Iti 1`r ! e~ AO~~ LBO-93S
w 1 LBO-941.0-
N. , o~ mo I ~IW 6S
J U 1a ti' "~I I N85"57'37" E 1134.49' LOT 63
LOT 45 ry6~ m~. I •-_H ,H51_ 1.573 ACRES
p' S`1 BM - 85 56 68,500 SQ. FT.
1f~ 7 ~6~ 959.T LBO-934.0
LOT 49 I
1.601 ACRES cP'/j'` Iti 1 I t X69,
69,721 SQ. FT.. why /j 1 I o 7?
I Z ws1 o
u bcn io LB0-938.0 n G' F Z?? ' {
ELI I LOT 64
LOT 44 `\.!800 N q°^ ! ! I 1.509 ACRES
I \ \ Ni 30 ! / I 65,727 SO. FT.
w \„o LOT 50 --r \ LBO-934.0
\ `Sr)• AREA TO THREAD I / BY
BM OF RIVER 3.91 113.97' 44.1' 290.84'
ACRES ~q
950.7'I 9g \ g0 m # AREA M OF{yr►A/'"K / N8916'04-W 414.81'
\ ~o , ?H 3.81 ACRES r1 / r~~ 1 I '
50, LOT 65
~j 1.538 ACRES
N \ \ r / ; h 67,012 SO. FT.
75' SETBACK / O I I I LBO-934.0
z FROM / 0 2
LOT 43
/ j 32 25
O.H.W.M.
s7w
N l W6° o\ 11+ j/ ~ ? °I 31 :w s~~"' LOT 66
'i g9 ! AREA TO THREAD CF RIVER
1\~ m~ \ / Q•~ 2.31 ACRES
'Ti o\\ AREA TO OHWM
SEE SHEET 1 LBO-934.0
S
ti AR
LOT 42
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Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of
Division of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must county~t
include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I x~
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. ~t0 -66 -64
Please print all information. Revie by Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).
Property Owner Property Location
S a 1/ Govt. Lot 1 /4 < 1 /4 S T i ID N R E (o W
Property Owners ng Address Lot # Block #ubd. Name or M#
City State Code Phone Number ❑ City ❑ illage To Nearest Road
U ~Y0 ( ) - c 7 7
0-New Construction Llse3lResidential / Number of bedrooms Code derived design flow rate y GPD
❑ Replacement ❑ Publi- or commercial - Describe:
Parent material ® = c Zip ^ Flood Plain elevation if applicable ,n/ ft.
General comments
and recommendations:
System Type t_i c1✓iJ /~,~/t..1 System Elevation
Boring # ❑ Boring rs
a Pit Ground surface elev. ft. Depth to limiting factor f/ 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
Cl- l) I: , W
c
0 -2
F-1 Boring # C3 Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Soil lication 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
Effluent #1 = BOD. > 30 < 220 mtVL and TSS >30 < 150 mg/L ' Effluent #2 = BOD. < 30 mg/L and TSS < 30 m91L
CST Name (Please Print) Si CST Number
Bird Plumbing, Inc. Shaun Bird ' 226900
Address ate Evaluation Conducted Telephone Number
1432 120th St, New Richmond, WI 54017 a 7 j' 715-246-4516
Property Owner _ Parcel ID # Page of
F-1 ❑ Boring
Boring #
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Soil Ap~Flcation Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2
)
Boring # ❑ Boring
F-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
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2
❑ Boring
F-1 Boring # Ground surface elev. ft. Depth to limiting factor in.
❑ Pit
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 = BOD5 > 30 < 220 mg/L and TSS >30 < 150 mg/_ ' Effluent #2 = BOD, < 30 mg/_ 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)
` SOIL EVALUATION REPORT uw #1519
aDepartment of Commerce in accordance with Comm 85, Wis. Adm. Code Page 1 of 3-
Division of Safety and Buildings Schmitt Soil Testing, Inc.
County
Attach complete site plan on paper not less than 8'% x 11 inches in size. Plan must St. Croix
include, but not limited to: vertical and horizontal reference point (BM), direction and
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D.
Please print all infanzwfian- Reviewe y 48
Date
nda6~t w, s. 1 .04 (1) (m)).
Personal information you provide may be used for
leco
Property Owner Prope Location
Sienna Corporation SEP 2 6 2006 Govt. of NW114, E11/4418, T30N, R18W
Property Owner's Mailing Address Lot # Block # Subd. Name or CSM#
4940 Viking Drive Suite 608 ST. CROIX COUNT 4 The Glens Of Willow River
City State Zip C Phone Number City Village Town Nearest Road
Minneapolis MN 55435 Richmond 95Th St.
L New Construction Use. Residential/ Number of bedrooms 3 Code derived design flow rate 450 GPD
Replacement Public or commercial -Describe:
Parent material Outwash Flood plain elevation, if applicable na
General comments
and recommendations: Area is suitable for a conventional system with a O.7 gpd/ sqft rating. Possible system elevation for Area
1 is (step trenches) high trench 93.5', low trench 92.0'. /~1bgm-
Boring # Boring
Pit Ground surface elev. 96.97 ft. Depth to limiting factor 115+ 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 0-7 10yr3/2 none sl 2fsbk mfr as 2vf .6 1.0
2 7-15 10yr4/6 none sl 2fsbk mfr cs lvf .6 1.0
3 15-43 10yr5/4 none grcos Osg ml as .7 1.6
4 43-115 10yr6/4 none s Osg ml .7 1.6
Boring
F2 ]Boring#
1 Pit Ground surface elev. 96.97 ft. Depth to limiting factor 115+ in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistenc Boundary Roots GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
1 0-8 10yr3/3 none sl 2fsbk mfr as 2vf .6 1.0
2 8-15 10yr5/6 none grcos Osg ml gw lvf .7 1.6
3 15-47 10yr5/4 none cos Osg ml cs .7 1.6
4 47-115 10yr6/4 none 5 Osg ml .7 1.6
/ I
1
-
Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >3o e 150 mglL ' Effluent #2 = BODS --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 9/18/2006 715-247-2941
SBD-8330 (R.07/00)
• Property Owner Sienna Corporation Parcel ID # 48 Page -2 of __3
F3 Boring
]Boring # Ground surface elev. _ 93.56 ft. Depth to limiting factor 114+ in. Soil Application Rate
Pit
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 0-10 10yr3/3 none sl 2fsbk mfr as 2vf .6 1.0
2 10-18 10yr5/4 none grcos Osg ml gw 1vf .7 1.6
3 18-58 10yr5/6 none Cos Osg ml Cs .7 1.6
4 58-114 10yr6/4 none s Osg ml .7 1.6
F-1 Boring # Boring
g 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. 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 = 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.
SBD-8330 (11.07/00) Schmitt Soil Testing, Inc.
Page -31 of -s
Conducted by: Conducted For:
Schmitt Soil Testing Inc. Name: Sienna Corporation
Thomas J. Schmitt, CST 227429 Address: 4940 Viking Drive Suite 608
1595 72nd St. City, State, Zip: Minneapolis, MN 55435
New Richmond, WL 54017
Phone: 715-247-2941 Subd.Name: The Glens of Willow River
Signature: -II/-/ru~ Lot No.:
Date, & Legal Description: 4,icvt 1/4 SEl/4 S18 T30N R1 8W
WA Backhoe pit Township, County: Richmond, St. Croix
Bench Mark El. 100.00' Top of 2" pvc pipe
A Alternate Bench Mark El. Top of
Slope= 2 Contour Line El. r'Y« Contour Line Length
1
LL&i -de
Scale 1 40'
t
40-
9
61- Li
\J U
D" k;
This Soil and Site Evaluation was completed to lulfill a zoning requirement. It may or may not be in a location suitable for you use.