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HomeMy WebLinkAbout014-1012-80-000 PRIVATE SEWAGE SYSTEM Couni Wisconsin Department of Commerce St. Croix safety and Building Division INSPECTION REPORT Sanitary Permit No 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Pian ID No Personal information you provide may be used for secondary purposes [Privacy Law, s. ^ 5.04 mo)j Permit Holder's Name: City Village X Township Parcel Tax Nc: BM Elev: BM Description Section/Town/Range/Map No: CST BM Elev. 71 TANK INFORMATION ELEVATION DA A TYPE MANUFACTURER j<:^-) CAPACITY STATION BS HI FS ELEV. Septic Z~ ~C Benchmark a~ L. A. J a~ F, Ladd l~ Alt BM I ~ / <-D j 4 Z. S 9 ~s. 5 Aeration Bldg. Sewer 9L 13 ` 7" Holding St/Ht Inlet s r, 7~ o TANK SETBACK INFORMATION St/Ht Outlet S e75•5 D TANK TO P/1 WELL BLDG. entto it Intake ROAD D'. Inlet Septic Dt Bottom 117 Dosing - Header/Man. 7 9 4 Aeration Dist. Pipe ( a13 Hold g Bot. System ef 2.- 1 dt'a Final Grade PUMP/SIPHON INFORMATION' 9 Z `I (o Manufacturer Demand St Cover GPM `'i i c.o z' S sg Model Nu TDH Lift iction Loss System Head H Ft - Forcemain Length ID ia. Dist. to Well SOIL ABSORPTION YSTEM BED/TRENCH Width Length No. Of Trenches ' A PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 Z ) r 1 (0(4 e T, SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: 0. dZ INFORMATION CHAMBER OR _-1W Type Of System: UNIT Mod ! Num r. 4 6e,n.J ~ "e^ N DISTRIBUTION SYSTEM a( / (o4- 3 Z Header/Manipid t Distribution x Hole Size x Hole S ocinc Vent tp Ai~ nta e Pipe(s) LDia Length Dia Spacino SOIL COVER 1 x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx De th of xx Seeded/Soddec xx Mulched - Bed'Trench Center 2 Z _q Bed/Trench Edoes Topsoil l, No Yes No d? 5 COMMENTS: (Include code discrepencies.. persons present., etc.) inspection #1: . q % inspection #2: r 1 Location: Parcel N 1 ! 12~ S JAG few 1.) Alt SM Description = ~r ~n ~"e/ 2.) Bidg sewer length P(s - amount of cover Plan revision Required? J Yes' No Use other side for additional information. Date Insepcto's Signature Cert. No. G ~ ~ , s u SBG-6710 (R.3/97) ~V RECEIVED Ins t 4-c e County ~.~.~aiety.aad.iwgs Division 7 t p X'lk Ds A COUNTY 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co ) P 1w1?~~t~1 ~Y Madison, WI 53707-7162 u~~I 1 x : 5796(o7 Sanitary Permit Application State Transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit /cb 4- is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to Project Address (if different than mailing address) the Department of Safety and Professional Servies. Personal information you provide may be used for secondary ur poses in accordance with the Privacy Law, s. 15.04(1)(m), Stats. 1. Application Information -Pleas r All Information ~i✓ Property Owner's Name / Parcel # aralit}.. ItJJe- ti E~ t 01q- iv/) - ~1► -opt Prope a3 -5-9 rty Owner's Mailing Address Property Location / ?-7 / c, t Govt. Lot City, State Zip Code Phone Number /f J _ ~ Section ~ le one) T ,31 N; R~I rc F,oe 11. Type of Building (check all that applOL~ Lot# )rI or 2 Family Dwelling - Number of BedroSubdivision Name Block # ❑ Public/Commercial - Describe Use ❑ Cit y of ❑ State Owned - Describe Use CSM Number ❑ Village of Z Ce" L--.)/ I L t Town of y- Le-! III. Type of Permit: (Check only o box on line A. Complete line B if applicable) A. ❑ New System Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber El Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner IV. T e of POWTS S stem/Com onent/Device: Check all that apply) IrNon-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil P"(145 ❑ Bolding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain)- V. Dis ersal/Treat nt Area Information: Design Flow (gpd) Design Soil Application Rate( dst) Dispersal Area Required (st) Dispersal Area P(sf) i System Elevation VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units o New Tanks Existing Tanks G 'w 1 AA. Septic or Holding Tank ~ ~ L> /bon I i c-ra-f t,h 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 SSSiign re MP/MPRtS~ Number Business P'h'one Number CS 3e d , g-blil a► ~L' i e^ -f> e 'C O 1t~ `T j -5 . Plumber's Address (Street, City, State, Zip Code) VIII. ' unt /De artment Use Only Approved isapproved Permit Fee Date sued ` ' Issuing t Signature 40 r Given Reason for Denial $ ~75 ~V IX. Condi easo s for Disapproval 1. epti ank, effluent ilterand dispersal cell must all be services / maintained as per management plan provided by plumber. 2. A l sstbpcyt. equiraemw is must l?e' msirttsirtid as per applicable tode / ordinances. Attach to complete plans for the system and submit to the County only on paper not less than S 1/2 x I I inches in size SBD-6398 (R. 1 I/11) HARDINA SEPTIC SYSTEMS MPRS/CST 824825 5-1 i yy e I z 1 EJ r j C i ` l 11 1 i co \ tt" z l/+ z Co 5 a 14 \ _ int_ G " F N y w5 } i CONVENTIONAL COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name:( Owner's Name: Owner's Address: 35~ f iL~ J C LC,A 4Z L_0. I(-c- u3 l :y y ck%' Legal Description: Township: i County: 5 _J. k ~l Subdivision Name: Lot Number: Parcel ID Number: C:l y -/l71c2 ' ~3~~' ~ZkA'' 4-- rJL/o1-~rn-U2q~ Page 1 Index and title Page 2 Plot Plan Page 3 System Sizing & Cross-Section Page 4 Filter Specs Page 5 Maintenance Information Page 6 Management Plan Page 7 St. Croix Cty Septic Tank Maintenance Form Page 8 Warranty Deed Page 9 CSM or Plat Attachments: Soil Test & House Plans Designer/Plumber: e% X- -3 1A)<L License Number: ,~~a c S I Date: ~G i-5- Phone Number -1 1.- ~ LS s Signature Utz ✓ C~ Designed pursuant to the In-Ground Soil Absorption Component Manual for POWTS Version 2.0 SBD-10705-P (N.01/01). Page 1 i I HARDINA SEPTIC SYSTEMS MPRS/CST 824825 0 EA7 y 8 ~i z d I t:l o ,n O ~ (rr to NNNJJJ C 5 )~A. `j l Soil Absorption System Cross Section Final Grade k4" edule 40 ent Pipe ent Cap ft Leaching <<._ Chamber ♦ _ ✓ ' ft System Elevation ft 5 ft Soil Absorption System Plan View ft 17 Leaching Trench 1 Vent Or Observation Pipe Chambers 4" Dia. Trench 2 Header Leaching Chamber Specifications Manufacturer And Model-//,) r/C / 9-AZ@V- LJL.Lt K_ EISA Rating 4D sq ft per chamber Soil Application Rate gpd/sq ft gpd Design Flow T Soil Application Rate : C-k) EISA = Chambers 2 rows of f chambers each. j Page of Wo I t • 0 0 t :fi I -e r Installation and Maintenance Instructions installation Step 1 Dry fit the filter rase onto the outlet pipe going to the drain field. Ensure It is centered directly under the access opening- (if outlet pipe is already in a fixed position, addite'onal pipe may need to be aged) Step 2 fF trtil'i dM the additional single side support and the two bottom supports: While the case is still dry fit to the outlet pipe, measure and cut Ysdredule 40 pvc pipe to the length needed to extend from the hubs that are pre-molded into the case to the side wag and the inside floor oftank. solvent weld pipe into the hubs that are pre-molded onto the case, Step 3 Solvent weld the case to the outlet pipe. Insert the ftRier cartridge into the case pressing down on the cartridge until it locks into place at the bottom of case. Step 4 if utilizing a vertical read switch: insert switch into the hole pre-molded into the top of the filter. Press straight down until It locks into place Mantenance 1) Remove the access lid of the tank Note: To ensure undesirable solids do not exit the tank and into, the drain field, the tank should be pumped out until the level of effluent is below the outlet level of the tank. 2) To. remove the filter cartridge from the Ow case, pull up firmly on the handle of the cartricke clock ft it from the case. (if utilizing a vertical read switch, removal of switch is optional) 3) Using an ordinary garden hose, rinse the filter cartridge ensuring all vim septage material is removed. 4) Place the filter cartridge back into the fitter case pressing dawn on the cartridge until it cocks into place. 5) Place the access lid back onto the tank ensuring it is segue. Lifetime tier has a Wom mimed warranty: Dime tier UC wranardst#te. VWvA be free of row4kwingavW waWmislip detects during normal use for die period of time the or%PnW poser awes the product. Lifetime twrx wo provide a r epbmwm* fftm in the event drattM ad*W faker was not damaged dunna die bn Ulation or a process. OaMme tb this product caused by acddnnt, manse c r abuse wits not be covered w dw ous warranty, Improper care armalfunctions res *ft from product not being unumed, operated or mamftned properly wM void dus warranty. L*ftm fdterasgmws no respo y for lobar dwrges, remoras threw, scion ar other inddentW or axwenueatW costs. Phone 502.724-2B1 POINTS OWNER'S MANUAL & MANAGEMENT PLAN ► :l_E t.=F4~f taTtot: SYSM4 SPECIFICATIONS 9 Septic Tani; Capacity gat ❑ NA Septic Tank Manufacturer ~ ❑ NA ; i7 NA' T lG,l F.lR~P1ET'RS Effluent Filter Manufacturer r 3 p NA Effluent Filter Model r> NA ~ o Units 0 tNA Pump Tani: Capacity ~ gal 0 ^A_ Pump- Tank manufacturer D 1,:;1. ta_~j fl,~v (atarage} 1 ost.daY - Pump l=4anufacturer ter- 1:1 NA Vd 1.5) ve :fin ftw (peak). (-s 'n2-: l t;8{~l'~ay ❑ NIA Scil pi:1~4:eaticn Hata , . ~ gattc'ay/ft2 Pump Model Pretreatment Unit = r:el~:zj In ffuenJcffluent Quality Monthly averega* ll fi=ats, 03 .°s Grease (FOG) y0 mgfL ❑ Sand;Gravel Filter rJ Peat Filter i_.c eawi=a1 Oxygen Demand (EOD_l <220 m9/L ❑ NA 0 Mechapical Aeration © Wat(and ❑ Disinfection ❑ Other: Total Suspended Solids {i SS} 51 50 mg/_ :scad Cuali.r Monthly aversi3~ ' Dispersal Celt(s) ❑ NA E •e.-st ercche,nical Oxygen Demand (BOO.) 530 mg/L _ In-Greund (gravity) U In-Ground (pressurized) • 11 Mound To-Fl Suspended Solids (TSS) 53{3 mgiL El NA ❑ At-Grad3 x,21 Colifcrrn (g2cmatric mean) 5104 cfu/100m1 ❑ Drip-Line ❑ Other: %,axi:srurr, Effluent Particla Size Y. in dia. 0 NA Other: 0 t 1. ❑ NA other: LJ :!A ±j as ;rFic~l for dorniis::c wastawater and septic tank efilusnt- Other. ❑ NA-, k1AINTFNANCE SCHEDULE f 's l Sen4ce Even! Service Frequency r!ns-act ❑ nth(s) ({:$aXlnu:m 3 years) ❑ idA condition of tani:ts! At feast once every: Wrear(s) =um ,p out contents o tankts) When combined sludge, and scum equals one third (Y3) of tank volume ❑ t4A _ At least once every: ❑ yaar(1(s) (Maximum 3 years) 13 NA Inspect crispersaf call(s) -1 11 month(s) 0 NA ' Clean effluent filter At least once avert: _ L~ Vearts} U months} U 1,1H s;szt-t oump, pump controls & atzrm At (east once every: ,year(s) ❑ month(s)_l`NA r-lesis laterals and pressure test At le3st once every' ❑ year(s) _ D month(s) un .?rte : At least once every: ❑ year(s) tlr_=r- mAwTwANGE (USTRUCTIONS It1spactions of tanks and dispersal cells shall be made by an individual carrying ong of the follw&gng licenses or certifications. :,aster Plumber; Nilasiet Plumber Restricted Sewer; POWfS Inspector; POydTS Maintainer; Sept-age Servicing Operator. TEni inspections must include a visual inspection of the tank(s) to identify xny missing or broken hardware, identify any craund ss:rfzee-and for check d to scum ack up or The dise the voaumell v! suallyt inspe ted to check the effluent levels bin the observa ton pipes and toocheck for any pondint of dispersal C ( ) sha of effluent an the ground surface. The ponding o( effluent on the around surface may indicate a {ai(infl condition and requires thf immediate notification of the loCal regulatory amhority. third more tank volume, the When the combined accumulation of sludge and scum in antank oe~aia ~ a°a dip sed)ofrin a cord nce w"~tlt ch Peat NR 11r3 contents of the tank shall be removed by a Septage .'Jisconsin Ad{nipirratrve code. a ~atrtsen A(1 other services, including o 5 2 months, shall be perfott>'ted bfilters, y a certified nPOyv-r5 Ma6S,n}ta ~componaiitsr pretr units, and any servicing at intervals _ A service report shall be provided to *,a local regulatory authority wlt{lln 10 days of completion of any service ovent_ GhNV (atoj) ST.'_r;T UP A14D OPEPATION roc!ucts cr other ci_ :1ici)i3 r tour constnc en. Frier to use of the POW T S check treatment i_ni (s) for the pra_enLe of peintirg p d°tcci3d ha.s the cof.ter.ts .ms•,' j;rpe a the trea'_n'ent process and/or damage the dispersal e311(s). If high concentrations ar3 tl-,a t•^_~k!s) rerno'•'ad by a s3ptaga servicing operatcr prior to use. 1e;.t st_:rt up shall not occur v:hefil soil conditions are frozen at th-3 infiltrativ: si,r,-ca- r C•uto~es rum tans m3y fill cbove normal higil% rter le:zls. V,•'zen pcv~_.r is rastc;ad ,he exceS~':rosic'::ar ;t-d rna,result n the backup c.r sur=a,-e •ji i7 U.a C cch: rt ~ ispersai ..-i'(s) in c; s large dose, overtoadjna the cell(s) - / -c ,..i ,:r tc res:^rr:; • ing Oper 3t:r ' :cid this situation have the contents of the pump lark remcvtd by a Scp: age Ser'v'icing r,..., ii i C 1•]= all•✓ f.p fgt.-.',j ..e r4.::p pumft ct contact a Plumber or !'O\^1TS laeint=ir•,er to assist, in r:anu t st'~~s nc:r,.:zl levels :viihjn the pump tenk- .z 1•] not drivo or park vahicles over tanks and dispersal cells. Do not drive or park over, or ail'~_•rj;sa d_!stJro r,;- cornpa!-,t, the U-:a 15 down sloe of any mound or at-grada soil absorption area. ,.-ducticn cr eli-mination of tha fellov✓ing from the v:aste•✓✓ater stream may improve the performance and prolong the tif3 of tl;c _ rJWreasers; dental loss; diapers: disinf._Ct?nts: -i. aniini7tjp$;- itv ':;iDBS; Cj3?Cott9 butts: COndomS; COtiOn swabs; deQ rl'?dG]~i:~ 'S. TS• f} ii ud3ticn drain (sump pump) v afar; fruit and veg-tab19 peelings; gesolina; grease; herbicides; Ir1Eat scrap s: ticides; sanitary napkins, tampons; and wat5r softener brine. ?;nt;ng pradL'cLS; pas AE'. k,NDOi4MEN T ;•;it ;z the POW T S fails and/or is permanently taken out of service the following steps shall be taken to insure that tie s,,-stem s roc°ri`+ and safely abandoned in compliance with chapter Comm 33.33, Wisconsin Administrative Cods: 6 All piping to tarts and pits shall be disconnected and the abandoned pipe openings sealed. o The conients of all tanks and pits shall ba removed and properly disposed of by a Septage Servicing Operator. n -Izt6r pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filler) `v"h sail, gravel or another inert solid material. GON'ilNGENCY PLAN <o~,:r =nt if the t OWTS fails and cannot be repaired the following treasures have been, or must be taken, to previ dF a coda rcplacement system: A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil at-a pti•: n system- Tha replacement area should bet protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and walls. Failure to protect the,replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Peplacernent 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. Earring advznces in PO~`TrS technology a holding tank may be installed as a last resort to replace the failed POWTS. EJ The sits has not been evaluated to identify a suitable replacement area. Upon failure of the POW T S a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is availaHa a hcldirg tar.:: may be installed as a fast rasort to replace the failed POWTS. p Mound and at-grada soil absorption. systems may be reconstructed in place following removal of tha biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in elfeCt at that Time. RES ~T. RESCUOPOF A < < <'YARNING> > NOT SEPTIC, PuntC,PUMP OR OTN RMTREATMENT TANK UNDER ANY CIRCUMSTANCES AL GASSES / DEATH MAYIENT ENTER A SEPTIC, PERSON FEWM THE INTERIOR OF A TANK MAY 131= DIFFICULT OR IMPOSS161-E. ADDMOIJa'1L COMMENTS POYITS INSTAL I FR POWT$ MAINTAINER N Name arn-a Phony Phone -ATORY AUTEIORiTY REG13'I SEPTAGE SERVICING OPERATOR (PUMPER) Namo "7 /5 •3b~lY - 7Pohono Phone i nis documerfi was drsf:ad in cornplianca with chapter Ce =gym 83.22(2I(b)(1)(d)&(f) and 83.5411), (2) & (3), GVlscomin Adrizinistrativa Code. ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address 2355 > (0 1 Property Address (Verification required from Planning & Zoning Department for new construction.) City/State Parcel Identification Number o -10 12 - & - CX G LEGAL DESCRIPTION Property Location S~ 1/4 ~ '/4 , Sec. 4e , T 3N R /,S_ W, Town of Subdivision Plat: Lot # Certified Survey Map # Volume Page # Warranty Deed # (before 2007)Volume , Page # Spec house yes I no Lot lines identifiable yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 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 f in are true to the best of my/our knowledge. I/we am/are the owner(s) of the property described above, by virtue of a warra deed recorded in Register of Deeds Office. Number of bedrooms 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. 09/07) RECEIVED NOG ? Z61, Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Sgrldw X COUNT' 0 1m* Ns-~'`( C?~1Ir-L.QPa Jnce with Comm 85, Wis. Adm. Code ST.CROIX County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I. 014-1012-80-000 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. "f I Please print all information. Revi d by Date Pers onal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Ash Property Owner Property Location NORMAN REED SW, 31 15 Govt. Lot 1/4 1/4 T N R E (or) W Property Owner's Mailing Address Lot # Block # Subd. Nam or CSM# 2359 HWY 63 N/A NA City State Zip Code Phone Number City ©Village Town Nearest Road CLEAR LAKE WI 54005 ( ) -FOREST U.S. HWY 63 0 New Construction Use Residential / Number of bedrooms Code derived design flow rate 4blJ GPD Replacement F~ Public or commercial - Describe: Parent material Flood Plain elevation if applicable ft. General comments RECOMMENDED ELEV. 92.92 and recommendations: 6 ~ nn a ~ X ❑ Boring # F1 Boring 96.5 98 Q 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/fg in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-12 10YR3/3 -0- SIL 2MSBK MFR CW 2M .6 .8 2 12-34 10YR5/5 _0_ SIL 2MSBK MFR GW 1F 6 8 34-45 7.5YR4/4 _0_ LS OSG ML GW IF .7 1.6 3 4 45-98 7.5YR5/6 - LS OSG N/A NA .7 1.6 ~I 3 E Boring # Boring 96.08 98 Q 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 0-12 10YR3/3 -0- SIL 2MSBK MFR CW 2M .6 .8 2 - 10YR5/5 p_ SIL 2MSBK MFR GW 1F 6 g 3 35-44 7.5YR4/4 LS OSG ML GW N/A .7 1.6 4 44-9b 7.5YR5/6 -0- LS OSG ML N/A N/A .7 1.6 A 7, It 300 * Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signatur CST Number ROBERT HARDINA 4,,"; 824825 Address Da valuation Conducted Telephone Number 477 170th AVE TURTLE LAKE WI 54889 6-10-15 715-491-5039 REED 014-1012-80-000 Property Owner Parcel ID # Page of F31 Boring # Boring 95.92 98 Q pit Ground surface elev. ft. Depth to limiting factor in. 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 1 0-10 IOYR3/3 -0- SIL 2MSBK MFR CW 2M .6 .8 2 1OYR5/5 -0- SIL 2MSBK MFR GW 1F .6 .8 3 35-45 7.5YR4/4 0 LS OSG ML GW N/A .7 1.6 4 45-98 7.5YR5/6 -0- LS OSG ML N/A N/A .7 1.6 1 Boring # Boring 96.75 100 Pit Ground surface elev. ft. Depth to limiting factor in. Soil A 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 1 0-12 1OYR3/3 -0- SIL 2MSBK MFR CW 2M 6 .8 2 12-33 1 OYR5/3 -0- SIL 2MSBK MFR GW 1 F 6 .8 3 33-44 7.5YR4/4 -0- LS OSG ML GW N/A .7 1.6 4 44-100 7.5YR5/6 -0- LS OSG ML N/A N/A .7 1.6 I Boring# Boring Opt Ground surface elev. Ift. Depth to limiting factor in. F-1 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 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 altemate format, please contact the department at 608-266-3151 or TTY 608-264-8777. S6 -9330Test (R.07/00) 1 HARDINA SEPTIC SYSTEMS MPRS/CST 824825 ~ o o ~Z b s Ek/S%i,JEi S7" L '7A I co ..3 a GO z o n ~7