HomeMy WebLinkAbout026-1306-00-001
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No. 600368
A
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. (lll
Permit Holder's Name: City Village Township Parcel Tax No:
Andrea Simon TOWN OF RICHMOND 026-1306-00-001
CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No:
a0 Igor,, c g 18.30.18.1608
TANK INFORMATION ► ELEVATION DATA
TYPE MANUFACTURER L J'S < L, A ITY
Septic STATION BS HI FS ELEV.
V~~ I~~ a I Benchmark ~•Q/_ ' ~ Q .
olbsill~j'_ L F (l-~e . ~ d~ ~ Alt. BM U(/ -1 J
Peer=Vi Bldg. Sewer 4 -7
FJ S Ht Inlet /D`, 1/
TANK SETBACK INFORMATION St/ t outlet
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet 7
6
Dt Bottom
Septic NO I
10
Dosing ead n.
l.t 9 .07
eration Dist. Pipe
H ing BIM. System
IZ.~8g3.63
PUMP/SIPHON INFORMATION Final Grade
S.z ldo. bl
Man rer Demand St Cover of
GPM
Model Number
{ lE 1.3 * /02.9
,,.y~
T Lift Friction L System Head TD Ft /tOy~l~
Forcemain Length Dia. Dist. to Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length^ of No. Of Trenches PIT DIMENSIONS No. O its Inside Dia. Liquid Depth
DIMENSIONS ~•/1 1 / .1-11,
SETBACK SYSTEM TO P/L BLDG WELL LAKE/STRE LEACHING Map ufa
cty►er~
INFORMATION CHAMBER OR e Of IN TypuN Syst mON~ UNIT Model Numb Irc
~U*J
DISTRIBUTION SYSTEM
Heade ifold ID istribution x Hole Size x Hole Spacing Vent to Air Intake
Pipe(s) I!J/ m Length Dia Length is
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over ry~ Depth Over xx Depth of xx Seeded/Sodded xx Mulched
Bed/Trench Center
06 - Bed/Trench Edges ~ Topsoil -Ttlr Yes E No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: *weu (ice ilAS`k, ction #2:
Location: 996 154TH AVE ~h .r[ Lf, I I 6v,/~.~- (1(~h on IV jAS~G►111d
1. Alt BM Description = 'I~ I te( ( aver W rf ' cps-kilud
2.) Bldg sewer length = t-, UPP~ ~ 1b Q`I,~.QC ~
P1
- amount of cover = Sa-~ tb 4' ' &I ~
N'61 0~ fever on 4111:1 1-
Plan revision Required? ❑ Yes 4No ~O Q Q"0,tL-- I t ~7863~ Us
e other side for additional information. L Date i in or's signature Cert. No.
9SBD-6710 (R.3/97) Wal 64 b ~ ~ CST
'I Gov lc~ Ind Ix loca-~I ~ ~ J
County
P~t Safety and Buildings Division ST CROIX
4, DS v 01 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.)
Pg II APR 2 0 2018 Madison, WI 53707-7162
3 lv~
1_,f I co i Applic State Transaction Number
In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit
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
u ses in accordance with the Privacy Law, s. 15.04(1)(m), Stats. xle
1. Application Informati Please Print All Information ~~~111
Property Owner's Name 2 Parcel #
xA, -P*Bf SIM0N 026-1306-00-001
Ah~(
Property Owner's Mailing Address / Property Location 17
l
/2! 119 46 / 1 f~rL~ K/ Govt. Lot 1
City, State Zip Code Phone Number NE y. SE y., Section 18
NEW RICHMOND WI 54017 (~trcle Eorone)Wx
II. Type of Building (check all that apply) Lot # T 30 N; R 1ti
COQ or 2 Family Dwelling - Number of Bedrooms 1 Subdivision Name
OIK- B oc # THE GLENS OF WILLOW RIVER
❑ Public/Commercial - Describe Use
❑ City of
❑ State Ined - Describe Use CSM Number ❑ Village of
❑(Townof RICHMOND
III. Type of Permit: (Check only one box( online A. Complete line B if applicable)
A. IX New System
❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain)
List Previous Permit Number and Date Issued
B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New
Before Expiration Owner
R
IV. Type of POWTS System/Component/Device: Check all that a 1
[)(Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil
❑ Holding Tank Other ispersal Component (explain) ❑ Pretreatment Device (explain)
V. Dispersal/Treatment Area Information:
Design Flow (gpd) Design Soil Application Rat gpdsf) Dispersal Area Requir (sf) Dispersal Area Propos (sf) System Elevation
bb .7 857 900 95.2
VI. Tank Info Capacity in Total # of Manufacturer
Gallons Gallons Units o o
New Tanks Existing Tanks n a~ ~a o ~ D y
lY a U v n C7 a
4-111 .7
Septic or Holding Tank X 1250 I E S E R X
Dosing Chamber
VII. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans.
Plumber's Name (Print) Plumber's Signature MP/MPRS Number Business Phone Number
PAUL R KOEHLER 225410 715-246-2660
Plumber's Address (Street, City, State, Zip Code)
321 WISCONSIN DRIVE NEW RICHMOND WI
VIII. Count-v/ evartment Use Only
Approved isappro Permit Fee Dat Issue Issuin ent Signature
6wner Given Reason D
IX. Condi Ilea sor forl~isapproval
en: l c t n ? M
ttl3~er':o Cell MU:, dil he ft: 3 Qc¢., . lee lLisel c
as per „iar:ayeme ' pli, 1)y`}>f(ti
2. -AG f~k sect;:. it
Attach to complete plans for the system and submit to the County only on paper not less than 8 I/2 x I I inches in size
SBD-6398 (R. 11/11)
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CONVENTIONAL COMPONENT DESIGN
Residential Application
INDEX AND TITLE PAGE
Project Name: 10 mile Constrution ?Audi Simon
Owner's Name: Andi Simon
Owner's Address:
Legal Description: Ne 1/4 Sel/4 section 18 t 30 r 18 w
Township: Richmond
County: St Croix
Subdivision Name: The Glens of Willow River
Lot Number: 1
Parcel ID Number: 026-1306-00-001
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 _ Mana ement 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: Paul R Koehler License Number: Mp 225410
Date: 04/19/2018 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.01/01).
Page 1
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SOIL ABSORPTION SYSTEM DETAIL/ GRAVELLESS LEACHING UNIT Page of 1
Project Name: 10 MILE / SIMON SEPTIC SYSTEM
2 No. of Cells 9 Per Cell
3 ft Cell Width 18 Total No of
90 ft Cell Length 50 sq ft EISA Per Cell
3 ft Cell Spacing 900 sq ft Total EISA
Manufacturer Model Laying Length EISA Rating
Infiltrator EZ1203H-5ft 5.0' 25.0
EZ1203H-loft 10.0' 50.0
Graveliess Leaching Unit Manufacturer: INFILTRATOR
Gravelless Leaching Unit Model: EZ1203H-10FT.
Finished Grade 99 ft Typical Cross Section
Observation Pipe with
approved cap or vent
~~r:~:iSiSii;i'i•iiii'c;C:iri:`Ci.: i>Cc<. .
--Soil Backfill
361 in >`:s
Geotextile Fabric
O
12 in ft Infiltrative Surface
~ I
Limiting Factor
__in
Slotted and Anchored Vent/
Observation Pipe with Cap
Plumber/Designer Signature: /
License 225410 Date: 4/18/2018
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POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page I of IL-
FILE INFORMATION SYSTEM SPECIFICATIONS
Owner Andi Simon Septic Tank Capacity 1250 gal ❑ NA
Permit # Septic Tank Manufacturer Wieser ❑ NA
DESIGN PARAMETERS Effluent Filter Manufacturer poly IOCk ❑ NA
Number of Bedrooms 4 ❑ NA Effluent Filter Model 525 ❑ NA
Number of Public Facility Units qNA Pump Tank Capacity gal CjNA
Estimated flow (average) 450 al/da Pump Tank Manufacturer EkNA
Design flow (peak), (Estimated x 1.5) 600 al/day Pump Manufacturer lj NA
Soil Application Rate .7 al/da /ft2 Pump Model C3XNA
Standard Influent/Effluent Quality Monthly average` Pretreatment Unit NA
Fats, Oil & Grease (FOG) 530 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter
Biochemical Oxygen Demand (BOD,) 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 (BOD,) 530 mg/L 0 In-Ground (gravity) ❑ In-Ground (pressurized)
Total Suspended Solids (TSS) 530 mg/L ❑ NA ❑ At-Grade ❑ Mound
Fecal Coiiform (geometric mean) <_10' cfu/100m1 ❑ Drip-Line ❑ Other:
Other: ❑ NA
Maximum Effluent Particle Size Ye in dia. ❑ NA
Other: ❑ NA Other: ❑ NA
Other: ❑ NA
*Values typical for domestic wastewater and septic tank effluent.
MAINTENANCE SCHEDULE
Service Event Service Frequency
Inspect condition of tank(s) At least once every: 13 month(s) (Maximum 3 years) ❑ NA
3 0(year(s)
Pump out contents of tank(s) When combined sludge and scum equals one-third (Y3) of tank volume ❑ NA
❑ month(s) (Maximum 3 years) ❑ NA
Inspect dispersal cell(s) At least once every: 3 D(year(s)
13 month(s) ❑ NA
Clean effluent filter At least once every: 1, I CX year(s)
❑ month(s► l~ NA
Inspect pump, pump controls & alarm At least once every: ❑ year(s)
' ❑ month(s1 ~ NA
Flush laterals and pressure test At least once every: ❑ year(s)
Other: ❑ month(s) U NA
At least once every: ❑ year(s)
Other: q NA
MAINTENANCE INSTRUCTIONS
Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications:
Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank
inspections must 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 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 regulatory authority.
When the combined accumulation of sludge and scum in any tank equals one-third (Y3) 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 <_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.
START UP AND OPERATION Page Z of
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.
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.
T
aluat tn ank
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be ' e ai e T'Rr. It rmnE ' ~R- I~lr0e'JSTX(JCTI
❑ 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 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 countryside plumbing and heating Name paul koehler
Phone 715-246-2660 Phone 715-246-2660
SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY
Name Darrels septic service ame < -t ( UN -D/f 14J
Phone 715-4251025
This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d)&(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code.
ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
OwnerBuyer Andi Simon
Mailing Address /Q 8 'e et Gl //a
Property Address XXXX 154th ave gyp/ ~Sy ~v~
(verification required from Planning dt Zoning Department for new construction)
City/State New Richmond parcel Identification NumberO26-1306-00-00'1~
LEGAL DESCRIPTION
Property Location NE V., SE , See 189 T 30 N R 18 W, Town of Richmond
Subdivision Plat: The Glens of Willow River
Lot # 1
Certified Survey Map # Volume , Page #
Warranty Deed # (before 2007)Volume . Page #
Spec house DyesMio I.ot lines identifiable pyespno
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 yetars or sooner, if needed, by a licensed puunper. What you put into
the system can affect the firnetion of the septic tank as a treatment stage in the waste disposal system. Owner maintenance
responsibilities arc specified in §SPS. 383.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance.
The property owner agrees tD submit to St. Croix County Planning et Zoning Department a certification foam, signed by the
owns and by a master plumber, journeyman plumber., restricted plumber or a licensed pumpa verifying that (1) the on-site
w
astewater
than I/3 is in proper operating condition and/or (2) after inspection and pumping (if necessary). the septic tank is
less fiffl of sludge.
Uwe, 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 Profnsional Services and the Department ofNatural Resources,
State of Wisconsin. Certification stating fli~ your septic system has been mabitained must be completed and returned to the St. Croix
County Planning & Zoning Deparhnent 30 days of the three year expiration date.
Uwe certify that all statements o this form are true to the best of my/our knowledge. I/we am/me the owner(s) of the
property described about, by virtue of a deed recorded in Register of Deeds Office.
Number of bedrooms 4
419/18
-4NLWM- OF APPLICANT(S) DATE
***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. ss»
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)
EAST 1 /4 LSO` I C .SJ
FENCE IN POOR CORNER VOL. BgPd i
coNoanON SECTION 18
185.88 309.92 3100
$ 6 6
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LOT 1 i rq
N ~ 1.568 ACRES
68.290 S0. FT.' -
LOT Z SIGN EASEMENT -
1.634 ACRES SEE EASEMENT
S9 ~a
71.191 SQ. FT. TABLE "S" FOR
. D/MENSIANS ' ` I
589'35 40 W I
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N 89*35'40'E I
C41 113.83' ~r
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SEE EASEMENT
TABLE S FOR I =
--G4~ DIME/YS'IONS I
Misconsin SOIL
Department of Commerce in accordEV~ALwith UAComm 85, !is. EP 02T #1486
Division of Safety and Buildings W J) Page 1 of 3
Schmitt Soil Testing, Inc.
Attach
ncl de, butpnote mited lan to: vertitical and tholess than 8% x 11 inches in size. Plan must rizontal reference point (BM), direction and
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. St. Croix
Parcel t.D.
Please print
Personal information you provide may be us for sec Review By Date
cy La s. 15.04 (1) (m)).
Property Owner 14 d
Sienna Corporation Pr perty Location
Property Owner's Mailing Address E P 2 6 2006 G Lot NE1/4, SE1/4, S18, T30N, R18W
4940 Viking Drive Suite 608 ST. CROIX COUNTY Lo # I Block # Subd. Name or CSM#
Ciry 1 The Glens Of Willow River
late Zip ode Ph
S
Minneapolis MN 55435 aty Village j Town Nearest Road
Richmond 100Th St.
U ~ ,i New Construction use: ~ j Residential / Number of bedrooms 3 C
j Replacement _ ode derived design flow rate 450 7nft.
- Public or commercial - Describe: Parent material Outwash
General commenFlood plain elevation, if applicable and recommendations: Area is suitable for a conventional system with a 0.7~gft rating. Possible system elevation for Area
1 is 95.2'.
Boring #
El F Boring
Pit Ground surface elev. 99.17 ft. Depth to limiting factor 115+ in.
Horizon Depth Dominant Color Redox Description Texture Structure Soil Application Rate
in. Munsell Qu. Sz. Cont. Color Consistenc Boundary Roots GPD/f
Gr. Sz. Sh. *Eff#1 *
Eff#2
1 0-9 10yr3/2 none
l 2fsbk/impl mfr as im,2f .6
2 9-24 10yr4/4 none scl 8
3msbk mfr cs lvf 4 6
3 24-45 10yr5/6
none grs Osg ml
4 45-115 10yr5/4 none cos
Osg ml .7 1.6
a!
yD,
Boring # - Boring
Pit Ground surface elev. 99.35
Depth to limiting factor 113+ in.
Horizon Depth Dominant Color ft.
Redox Description Texture I Structure Soil Application Rate
in• Munsell Qu. Sz. Cont. Color Consistenc Boundary Roots GPD/ft
2
Gr. Sz. Sh.
1 0-11 10yr3/2 none *Eff#1 *Eff#2
sil 2fsbk mfr as 1m,2f .6
2 11-20 10yr4/4 none •8
sl 2msbk mfr cs lvf
3 20-38 •6 1.0
10yr4/6 none grcos Osg ml
9s .7 1.6
4 38-113 10yr5/6 none cos
0
- i/ .00
* Effluent #1 = BOD? 30 < 220 mg/L and TSS >30 < 150 m /L
9 * Effluent #2 = BODS < 30 mg1L and TSS <-30 mg/L
CST Name (Please Print) Signature: CS T Number Thomas J. Schmitt
Address Schmitt Soil 'I Testing, Inc. 227429
Date Evaluation Conducted Telephone Number
1595 72nd Street New Richmond, WI 54017
9/15/2006 715-247-2941
SBD-8330 (R.07/00)
Property Owner Sienna Corporation Parcel ID # 1 Page 2 oFil Boring # Boring Pit Ground surface elev. 98.22 ft. Depth to limiting factor 117+
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#t 'Eff#2
1 0-9 10yr3/2 _ none sil 2msbk mfr as 2f .6 .8
2 9-20 10yr4/4 none sicl 2msbk mfr cs 1vf .4 .6
3 20-26 10yr4/6 none grls icsbk mvfr a 1vf .7 1.6
4 26-42 10yr5/4 none grcos Osg ml cs 7 1.6
5 42-88 10yr5/6 none cos Osg ml as 7 1.6
6 88-117 10yr6/4 none s
Os9 ml .7 1.6
115.2
Boring # Boring 3~p
Pit Ground surface elev. ft. Depth to limiting factor in
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots Soil Application Rate
in. Munsell Qu. Sz. CO t. Color I Gr. Sz. Sh.
'Eff#1 'Eff#2
❑ Boring # Boring
Pit Ground surface elev. ft. Depth to limiting factor in.
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots Soil Application Rate
in. Munsell Qu. Sz. Cont. Color GPD/ftz
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
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SBD-8330 (R.07/00)
Schmitt Soil Testing, Inc,
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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: Lot No.:
Date: ` i /i CMG Legal Description: X/r 1/4 SE1/4 S18 T30N R18W
Backhoe pit Township, County: Richmond, St. Croix
Bench Mark El. 100.00' Top of c:-,el &x' Alternate Bench Mark El. Top of
Slope= ,29, Contour Line El. /✓ri~ Contour Line Length ,off
Scale 1 40'
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This Soil and St a Evaluation w• p eted to Jblfill a zoning requirement. It may or may not be in a location suitable for you use.
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