Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
030-2002-71-200
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 600378 GENERAL INFORMATION State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)j. Permit Holder's Name: City Village Township Parcel Tax No: Oevering Homes Investments LLC TOWN OF SAINT JOSEPH 030-2002-71-200 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: 33.30.19.364A-20 TANK INFORMATION ELEVATION DATA p, I TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. 6eptic Benchmark Dasitig-- Alt. BM P C ( ~ •~t 1. V Aeration Bldg. Sewer Holding-- St/Ht Inlet •y bc7 St/Ht Outlet p TANK SETBACK INFORMATION 8 TANK TO P/L WELL BLDG. Vent to Air Intake ROAD nle - Septic 101, ' l U O 1 Dt Dosing - - Header/Man. Aeration Dist. Pipe Holding _ Bot. System Ate, t cam, PUMP/SIPHON INFORMATION Final Grade Manufacturer Demand St Cover GPM Model ber lU• 22, Z TDH Lift n Loss- System Head TDH Ft _ Forcemain_ Length..- Dia Dist. 1Q well SOIL ABSORPTION SYSTEM BED/TRENCH Width Len th i No. Of Trenchesn PIT DIMEN NS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS U SETBACK SYSTEM TO P/L BLDG WELL LA REAM LEACHING Manufacturer: INFORMATION Type Of System: CHAMBER OR 1 UNIT Model Number. DISTRIBUTION SYSTEM } Header/Manifold Distribution x Hole Size x Hole Spacing VAir Intak Pipe(s)-~..------ 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 q• Bed/Trench Edges Topsoil i.~ Yes Cl No Yes E] No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 1242 54TH ST 1.) Alt BM Description = C , _ C 2.) Bldg sewer length = - amount of cover Plan revision Required. ❑ Yes ❑ No '7 1 / I Use other side for additional information. Date Insepctor's Signatur Cert. No. SBD-6710 (R.3/97) t' Safety and Buildings Division cnnnty : n 8 201 W. Washington Ave.; P.O. Box 7162 Sanitary Permit Number (to be fined in by Co.} f~, 2018 Madison, Wl 53707-7162 t T~ ~ APR ' Q'~ 3 7~8 State Transaction Number oketiai~ Applica ' /J4. In accordance wit S1 (~83t s` is`Adm Code, submission of this form to the appropriate govermnental is required prior to obrdliiing a sanitary permit Note: Application forms for state-owned POWTS are submitted to Project Andress (if different than mailing address) the Department of Safety and Professional Servies_ Personal information you provide may be used for secondary purposes in accordance with the Pnvac y Law, s. 15.04(1) m), Stats. 6ZI L Application Information - Please Print All Information Property Owner's Name Parcel # i, I r"c , f 036 za~z - 7 /t Property Owners Mailing Address / Property Location s", 1 7 Govt Lot City, State Zip Code Phone Number - „ ~ Section ~J l r f 2 cle on T~N, R/ [ E W 11 Type of Building (check a hat apply) Lot # r 2 Family Dwelling-Number of Bcdroo Subdivision Name bK ~ ~t~. J~.C~ Block - ❑ Public/Commercial - Describe Use I ❑ City of Q State Owned - Describe Use ~CSM Nummber[~ ❑ Village of zZ Z2 C_~V14 Yy I Z O T' 0 5 Town of ~ / C7 Cea / III. Type of Permit: (Check only c(he boi on line A. Complete line B if applicab C~ ^ -A ew System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Onlv Q Oilier Modification to Existing System (explain) B• ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New ! List Previous Permit Number and Date Issued Before Expiration Owner ` 4L. JC!v 1 rV.Type of POWTS System/Component/Device: Check all that a 1 ' -Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil Q Mound < 24 in. of suitable soil < ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dis rsaUTreat ent Area Information: c Z4 Design Flow (gpd) Design Soil Application Rate(bdsf) Dispersal Area Required (s Dispersal Area Pro sed (s em Elevario Z7-9 A VL Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units New Tanks Existing Tan} m = ' v n Septic or Holding Tank Dosing Chamber VII. Responsibility State t- I, the undersigned, ass a esponsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Pi gnature MP/MPRS Number Business one NLrrgb er PI her's Address (Street, C :~5tate, Zip ) 0 ~ VIII ountV/De artment Use Only Approved Disappro Permit Fee DaVsu Iss uing t Signature Q(hrnei Given Reasfor-D S ~ DL Condi ' ons for Disapproval i4k 3) 4_6- q 5 _d M II be c>s'r nte_-er as p r ;~aJ' en er pi ,.n r ioeA bV plumt)e.'. ~ 2. All se'h,ck t"ktjr~-:-n,s rnIJst r.e t7z rt, it'.r as per -vOcnbL ! Attach to complete places for the system and submit to the County only on paper not less than 8 ir_ z I1 inches in siu SBD-6398 (R- 11/11) System PLOT PLAN PROJECT Oeverino Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54016 SE 114 NW 1/4s 33 /T 30 N/R 19 W TOWN St. Joseph COUNTY ST. CROIX SYSTEM ELEVATION -94-9Pj-.10F 6' below grade DATE 4/25/18 BEDROOM 4 _ CONVENTIONAL )00( E~ 16 J, _ ~ CONVENTIONAL LIFT HOLDING TANK 1255 Gallons LIFT TANK SIZE DOSE TANK SIZE MOUND SEPTIC TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 891 # of chambers 44 BENCHMARK V.R.P. Top of survey iron ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark Scale is F = 40' Vent ..i ..+1, , T~ Oiii~k4 Standard LIII1Gjs ULIIGl W-UJL~ >b'' noted of Cover Leaching Chamber with 20.0 ft2 of Area 54th St. 5.6ftA2/pair of end caps 4' Long 12" Grade at System Elevation 34" 2-3' X 90' Cells with >3' spacing 14% Slope 86, Pro 4 Bedroom 88' House 30' 90' Vents 35' 25' B-2 ST 30' 20' 80' B-1 40' 80' 494' Property Line B.M.* All piping shall be ASTM SDR 30/34, within 130' Property Line p 10' of tank, piping shall be ASTM F891 Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 4/25/18 Owner:Oevering Homes Location: SE1/4 NW1/4 S 33 T30N,R19W Lot 2 Chapman Acres St. Joseph Manuals Used: In-ground absorbtion system (version 2.0) Page# 1. Cover Page 2. Plot Plan 3. Chamber Cross S C tion 4-6. Maintanance an contingency Plan 7. Filter Cross Secti I Signature License number 26900 PROJECT Oeverina Homes System PLOT PLAN ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54016 SE 1/4 NW 1/4S 33 /T 30 N/R 19 W TOWN St. Joseph COUNTY ST. CROIX SYSTEM ELEVATION 94OPMe` 6' below grade DATE 4/25/18 BEDROOM 4 ~ CONVENTIONAL )00(' ~ CONVENTIONAL LIFT HOLDING TANK 1255 Gallons LIFT TANK SIZE DOSE TANK SIZE MOUND SEPTIC TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 891 # of chambers 44 BENCHMARK V.R.P. Top of survey iron ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark Scale is 1" = 4W vent unless otherwise >6>> Quick4 Standard noted of Cover Leaching Chamber with 20.0 ft2 of Area 54th St. 5.6ft^2/pair of end caps 4' Long 12 Grade at System Elevation 34" 2-3' X 90' Cells with >3' spacing 14% Slope 86, Pro 4 Bedroom 88' House 30 9 ' 0' Vents 35' 25' B-2 ST 30' 20' 80' B-1 40' 80' 494' Property Line B.M.* All piping shall be ASTM SDR 30/34, within 130' Property Line 10' of tank, piping shall be ASTM F891 Cross Section of Infiltrator Quick 4 Leaching Chamber Typical cross section for 2 of 2 cells Quick 4 Standard Leaching Chamber with 20.0 ft2 of Area per Chamber To be >1' above grade 5.6ft^2 pair of end plates Finish grade elevation 901.0 Typical Installation - Vent ACI Vent Grade 3 4„ 3' ,30/34 Septic Tank 5' Long 1 5 5 Lon g Grade at System Elevation 36" Grade at System Elevation Spacing 5' 2-3' X 90' Cells Same on other end Observation tubeNent At end of cell A B 22 chambers per cell System elevations: A-84.0' B-83.0' POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION SYSTEM SPECIFICATIONS Owner Permit # X Septic Tank Capacity a ❑ NA Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms l ❑ NA Effluent Filter Model ❑ NA Number of Public Facility Units NA Pump Tank Capacity al NA j Estimated flow (average) Pump Tank al/da p ark Manufacturer NA Design flow (peak), (Estimated x 1.5) aUda Pump Manufacturer 1J, NA Soil Application Rate aUda M2 Pump Model Standard Influent/Effluent Quality Monthly average* Pretreatment Unit ❑ A Fats, Oil & Grease (FOG) 530 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD5) 420 mg/L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg/L ❑ Disinfection ❑ Other. Pretreated Effluent Quality Monthly average D'ispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BODs) 530 mg/L -Ground (gravity) ❑ In-Ground (pressurized) Total Suspended Solids (TSS) 530 mg/L ❑ At-Gr de ❑ Mound Fecal Coliform (geometric mean) 6104 cfu/100m1 11 Drip-Line ❑ Other: (Maximum Effluent Particle Size Y$ in dia, p N Other. ❑ NA 110ther. Other: A ❑ NA `Values typical for domestic wastewater and septic tank effluent Other. ❑ NA IAINTENANCE SCHEDULE Service Event Service Frequency linspect condition of tank(s) At least once every' ❑ month(s) ears (Maximum 3 years) ❑ NA (Pump out contents of tank(s) When combined sludge and scum equals one-third ('fa) of tank volume ❑ NA Inspect dispersal cell(s) At least once every: ❑ onth(s) J r(s) (Maximum 3 years) ❑ NA (:,lean effluent filter ❑ month s At least once every: / { } ear(s) ❑ NP.. I nspect pump, pump controls & alarm At least once every: ❑ year{s}s) NA f=lush laterals and pressure test At least once every: ❑ month(s) NA ether. At least once every: ❑ month(s) ether: ❑ year(s) NA 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 lindude 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 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 I:he tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. INN other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, land any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority ;within 10 days of completion of any service event. Page of START UP AND OPERATION ducts or other chemicals the{t For new construction, prior to use of the POWTS check tank(s) for ~ presence are detected have the contents of the may impede the treatment process and/or damage the disperse cell(s). tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when sal 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 bye discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discheMe of effluent To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to ttVe 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 fife of the POWT$: 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 faits and/or is permanently taken out of service the following steps shall be taken to insure that the system is prope(ly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code:. e All piping to tanks and pits shall be disconnected and the abandoned pipe openings seated. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. e 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 : rep system P~suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption elm. The replacement area should be protected from disturbance and compaction and should not be infringed upon by ui►led setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the neled for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rulet in effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Bening advances in POWTS technologW a holding tank may be installed as a last resort to replace the failed POWTS. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. if no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ❑ 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 TANIf UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE 0 A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER DOWTS MAINTAINER E I Name Name f✓~ J Phone Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name Phone 6,- ' C Phone This doommit was drafted in compliance with chapter SPS 383.22(2)(b)(1)(d)&(f) and 383..54(1), (2) & (3), Wisconsin Administrative Code. I I N - h I ~t~ftll t \ - - i I J f I { ~ ~tlif~if{I i I i O ~ P i ' J I n i _ 1 t I o n ~ C' V) i ~ ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Bu er f Mailing Address Property Address (Verification required from Planning & Zoning Departmen for construction.) - City/State ` Parcel :Identification Number 076-- _ 2 - 7/ - OcC) LEGAL DESCRIPTION Property Location- '--,r- - Y' , ,U %a , Sec. 3 T i, R/ W, Town of, Subdivision Lot #11.2'. Certified Survey Map Volume , Page # Warranty Deed # Vtalwne Page # Spec house res no Lot fines identifiablo yes no SYS'm MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensee w etes. Proper the system can affect the function of the septic tank as a treatment stage in the waste disposal s stem. Owner z tenant you put into responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County y maintenance tart' Ordinance. The property owner agrees to submit to St. Croix County Planning owner and by a master plumber, journey ain plumber, restricted pluma 1 cep dDep~ent a certification form, signed by the wastewater disposal system is in proper operating condition and/or (2) after inspection and~r verifying that a the on-site less than Ill full of sludge. PPing (it' necessary}, the septic tank is 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, Uwe certify that all statements on this form are true to the best of my/our knowledge. I/we amhue the owners of the property described above, by virtue of a wan ) 1 deed recorded in Register of Deeds Office. Number of bedrooms-- ~f T IGNA OF APPLICANT(S) DATF , ***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. 48/05) 6o gat ! y a m e s~wd~ O o cp r Hsu fi_a f' ~ ° N z ~8a E~~4by3y~ ~ ~ W ' ~ ~ ! qqp ppp 4 ~4~ G^N~ N W ~ a r ~ z ~0 ~w OW O¢ Oa m J mO 80 III ~ ~ mZ I li ,l i 11 ~iJ ~ I 'IJ I I I I ~II III~II iiiihe I ~ ~ r ~I ii~l it IIII rJ ~ ~I ~ I ~l,~I~H~IIIiI I I~ I I I I I:°~ ~I w I e>~ u ~W! II ` r I jlll'~~t I ~f Ali , I ~ IIII ~ III ~ tb I I :.u ivy 8e t _ ~ z g :3 W$ pp ~ J ~ ~ ` M W ~o =tly~ggggJ~ = N LLJ j~:. 8~ H X44 3; g'~o C M ~ Q o In ~ oae H - ~E N ~ ~ s pp p 0 1st§§E§8§~3 a4 ¢ a a l 9 ea w s z~ 3 si < a °i J J 4' X 3 4 i~ U Z WZ w Z Z yEW Qa a N w c a 9 7 m rnManwe O Y ea 13X3 0 ® E!` - El s+~ o o I a I li I la g ;~~WJ1{a I I ~ °6? I I ~ ~ I 'II 3 1}S $ouinrn i p it E~ ~W ' ~ ,mn aE8 Q I ~E3 a I 7wrn3 aL r}.1TVM al>/W y~ S 8 8 b O 52 A S6 w Z m; b . ~o o X98 o p c? F w ~ye gny qs S w Q N o f 8 a s o48 fim&~ m Z Q z HE ME g ` 94§!.! him hi 3111;? .i& 0 LL ~ s a w Z 73, I Q W y I ~ 3 O y U Z y cr I39 co I ~fY i I I I k 5 I 4 6 ~83 I - I' i I I _ ~PyPy 9x I' I I i ~ I e E:~ I ~ ; i 4~ L~' - I I I s I I n3PVe n.a. aJrwan¢us I 1 1 a~ Trvmaovwmu I 1 I -----s . ° a II I D ~ 31 1 I I I I I 1 I I I I I F I 1 I 1> > 1 o I I II 1 erma ssnwawva~ ~S I I I 1 a I F---- b I I 1 0 ® I I I • I I I I I I I I I I « 1 I I I e I I I ~ !e I a.a I I e g I I I I I g A 11 1 z l I I - A i yy • 1 ~ry~ I---_ ---z 11 I _ 2i h L------ « ---------J 1 1 I I .I + 6 ~ I I I _ I I II { r I ~1 I I I~ I 1 r- - I± I 1 1 I ~ • I C_ L__J I I I L I I I I I I 1 I l «F • I I ~~~.s zr - II d I I of e~sasmwwm~m~ I I 1 a .s I 1 1 "F 1 PI II _ I I I I ~ I I I I 1 1 I 1 I I I I 1 I I - - - - - - - - - - - - - - - - - - - - - - - - - - - nn YitlNm m.'mw Qk z$~ W ws H 4 .1 1 .11 68 \M0 C C) w 1 51 NIB Wisconsin Department of Commerce SOIL EVALLIAT11j2 REPORT Page of Division of Safety and Buildings tn,Acis rice with C- ~,.,e _prclo rCounty~l` Attach complete site plan on paper not less tha^ ' ~ Plan must include, but not limited to: vertical and horizom Q~ -1W ,M), direction and parcel I.D. percent slope, scale or dimensions, north arrov -on and distance to nearest road. p ~ (f D ~ 3 ~pQ Please print all information. Review by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Z Property Owner Property Location _)e Govt. Lot-, - 1/4/,C d/4 S /T C_ N E&) W~ Property Owner Maili Address A 1 Lots # BI'# Subd. Name or-CSNW City tate Zip Code Phone Number ❑ City ❑ Village Town Nearest Road / g Construction Use: Residential / Number of bedrooms - Code derived design flow rate GPD ❑ Replacement ❑ Publi r commercial - Describe: Parent material Flood Plain elevation if gTlicable✓``~ ft. General comments and recornimendations: System Type (E C!<<? rrs System Elevation © Boring # Boring Y c it 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 / 173 11 1 .LeN F C. J.- I/,t^~✓ ti lo 1. C f -U 1 1 Boring # Boring r} t _ it Ground surface elev. 1 i" i 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 t l i .j r Y -f tfj 1 ~ t.. Effluent #1 = BOD. > 30 < 220 0 nigiL TSS >30 < 150 ' Effluent #2 = BOD, < 30 nxA and TSS < 30 mg/L CST Name (Please Print) Sig CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Co ducted Telephone Number 1432 120th St, New Richmond, WI 54017 ~c - 715-246-4516 Property Owner Parcel ID # Page of ❑ Boring ` L ~ Boring # 1:j 91 Pit Ground surface elev. f ft. Depth to limiting factor 'n Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPD/ff k~d in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Q q3 --12J, i4- CT~ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ❑ Boring 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 = BODS > 30 < 220 mg/L and TSS >30 < 150 mgA- ' Effluent #2 = BOD, < 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 (86!00) Property Owner _ Parcel ID # Page of - Boring # ❑ Boring ~ Pit Ground surface elev. r 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 _ n I(Lc, s F-1 Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ❑ Boring Boring # Ground surface elev. ft. Depth to limiting factor in. F-1 ❑ 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 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BODS < 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 (8.6/00) Soil Test Plot Pla Project Name Oevering Homes Sh n Bird Address 1433 Cernohous Ave Suite A New Richmond Wi 54017 T STM #226900 Lot 2 Subdivision Date 2/10/18 SE 1/4 NW 1/4S 33 T 30 N/R19 W Township St. Joseph ❑ Boring 0 Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of survey iron System Elevation TBD *HRpSame as Benchmark Scale is 1" = 40' unless otherwise noted 54th St. 14% Slope 86' 88' 30' 90' 35' B-2 20' 40' 80' B-1 80' 494' Property Line 130' Property Line