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HomeMy WebLinkAbout026-1306-00-043 v~ ca-a.nOEpanre ;crocrtrt~erce PRIVATE SEWAGE SYSTEM Coun • S7. CFOIX Sa`et; a"d P,uf•'iir? On'isic^ Sarila,j Permr No INSPECTION REPORT 600394 GENERAL INFORMATION (ATTACI I I() PERPAIT) sate Plan ID No Pcrsnnel m'ntmat on y'~~ o~OV 7c r^gy dE u52:1 for secantla'Y 9uron9e~ rnri•:acy Law. S.'.i C411',im,ij Perin I HolUer'S Name' City Village Tv/r'islt p Parcel ox NCr Kelsey Rea TOWN OF RICHMOND 026-1306-00-043 CST Btd Ele'o. nesp '1.' i Fill Descr phy~:.I Sec:ion,TOwn Range~Llae No V 415 ll 9 N1 18.30.18.1650 TANK INFORMATION ELEVATION DATA TYPE MANUFAC TtJRLR CAPACITY STATION BS HI FS ELEV Septic _ J•O /z~ Bonchmarx ~J > I z~ V II f ~ Alt HM Aerator Bldg. Se'.vei 9 7. 14l H7g SUHt lnlel ill 35 3r y ` f 5 TANK SETBACK INFORMATION sVHt Wife! LANK TO I Pi~ 1:'ELL HI DG 5 Veit ' A.r Irtxke ROAD DI Inlet c SF-e, Septic Dt Bottom IZ(_ Ff 7z5 Dosil ^-i J) Ileader.Nlar Z5 Aeration Dis: Pipe a6e Ho cin~ Bot. System Final Grade Z ! PUMPISIPHON INFORMATION Mt r &,L .5 J C/7'1J Manufacturer Dem:+r r: St Cover - b 1 19.35 GPM 7 Pdodcl Nambe TDH 11rric:ion Loss System Head TDH Ft 5 7 q, f Q S U,( Fcrcemarn Length _ l------ I SOIL ABSORPTION SYSTEM BED/TRENCH %Vdill 1.111-0 Nc. CI ie•nirFs PIT DIMENSIONS Nx O' P IS 'ne~sE n%Ver1WAtln _ DIMENSIONS L 'ZS I SETBACK SYSTER4 10 181 BLDG l"JELL I AK[tSTREAM LEACHING INFORMATION c CNAMBER OR ,E!'/C ~'i ~ 7 UNIT NDISTRIBUTION SYSTEM 5 S HeaderMam_Ij Gs L-i tic e SV, Hole SpaolAg i` ~er'n:h Da D:r Spaom~- SOIL COVER X Pressure Systems Only xx Mound Or At-Grade Systems Only CeFq,. OIo-r .f Depth Over xx Del of ~ S: dedrSOJOE~; xx Me cneo ItedITfE11CF (:VO1C' Iie:7~•P.r:"n QC~CS Iip~'C'' \ Yr5 1 NO Vfl$ NO COMMENTS: dirclude code discrepancies, persons present ote> Inspection art Insoecuon k2 Location: 152,3 9(i I ST ~ l l JQ~ C I 4; 1 ~ S At Bl Description = 2. i Bldg sewer length = 3.5 - amount of cover = r I ~ q Z Plan revision Required' I Yes *flo ra ' , Q ~j37 Use other side for additional information. f _ _ - O - - - - Ced No Date Inseoclore . gnalurc 6 Safety anc Buildings Division j e7 xr< 2J1 ''A'. Vfashin on Ave., P.U. box 711,2 Smi n 0 - ~Q gt tart' ermi: Number (LL be filed m by Co.) ~.1$p I 'q,flP~Wad{w 5 7- '4 'fit 3 11 .(iwcT •uo iSUmbc PUMA Application LL urendap c w1Tl U S 39 1 _ L k i. ?d-a. Go;:, wb:ns:ion of 1:, lob, to 'Lc apprtmtal: govern a ;.a :mn u rtyui;ul prix [p ;.b:auanr, a saal::uv pclmC Sot .4pptt:auon ['vr10:. for sLUe-owned NJ0.'f5.ee sulrmr_ed to Yn!:ecl Adolcr. (if diffucn: inar. maihng addr¢s) tIM Tlepmnnv_ of Safety and ?roicssiuttu: Sc.'lc. Yaanal i:dcrtra:iuu you ry„vide utay be ¢std :or seconds} r~avue m acardance witb M P:tva,y taw s. 15.0.:] 1 m; Stays. [ Application Information Please Print All loformatioo fvpa[y')wvl's Nsmt C 1 pw:ca 624o - /3oto 6-6 - 6143 Yloper:y fhx's Mailing AdGesS Papery .ecwon Govt Lot Cm', Star hp Code Phone. Nwnbcr t" Section w 1 ~ ~ v cm 1~.- k T Y: R ( tlL R' 11-'lype of Building (check all that -Apply) L Luc ^.p'tw2Fs milv lh`e~i!uz-NUmbra of BcBrnnc:a S~ubdEvismn Kame . 6K esa Ulm a ~se0 C~/I /IPU✓/7fuC~✓ L i'ubiiuY.onvncr av - Ikscnlx Ilse ~O JSL- J lily of l ia-ge of Smteo-wcd-DesenbcCu ~ ( i;S1f Ntantxr ~T' nic own of 7- l ZZt-Z G , c5_ M.'l'ype of PermiC (Check only a boa tin fine A. Complere line B if applicablel 76 Q t - '!i - Sys-.uu Rcplaccu r1-:xlrn: - '[irmmrn: l~:fb dui. F.q.fur..rn1(Aly _71hu MOdWcs;:On 10 Exl5lm9 SySrco ltzp!:ms B. C Permit Renmat _ Pemmrt Rcvisn:n ! CL n - Lin Previous Paten Numl:a and Dale Ix ued - p' ' 1'{.I:.hC! J PCCIn ::a-telC n hCW 1 I ret le[%ptlll:Jn ~ ~t~WfIG of POAM, SyaemK. omponeno'Des'ice: (Check all that apply) ~`-afnp-Nas'l..-ted ln-:iround I - ltesswsnJ In-(kowod ❑ %i-sra c C Mwnsd 14 cr of avuablc so:l L 2.5r,u:ut <24 in. of sur&ic sod G Haldmv ank r (iUC aspazal rcn(.,nwn: (rxpla>rl Pnrwmal Ix ;:c ezyLUC) ----{//l-~ V. Dis maVrreat eat Area Information - T~ C }p<✓ S A.JC..~-' . Lhsign .^.alga Flow!gpd': . 1,4pphtaum R'gilds Dispersal Area Ruuvcd i:,t' lspezal .4sca Proposed (sf7 Sslcm Flc' atsoo F_- ~7 r V1. Tank Info tiaGacay in 7oml X tit_ - h!msufavur. ♦ I t1>Jas .ailune Unit r. I 5 i \cw Tanln _u+tag'aWc. , It' r l a u 0 N y 'AaQ„ F, -V .r i VI 7. Responsibility Statement- L the uadersipned, a respo0s,Nh y for J_W a11anno of The PO"71, shown on the attached plans. P.untuu s Nxm M c c l4l"IAPKS Numo Bu ' llriotis i+•Js I'hoC-7 h Fl.unber/'s 4ddrees (Sbr'[ to Smte, Ltp cog pp ~ i Vo/ VIA ouutr;De aliment lise Only _ Tis'non, Pemmit Fee Uate ' /18 PP . r5:paalmc oved C . r. I 5 ' /no-4 I la.t li na; tat al II IX. Coudi 'eason~~ jjnr Dissapproval Ut° - C~ t:on: Id10- i'nl 3T I acR.. ! oitipe`u„ciell oust ell be >^_IC>x 3s per oar3yemenl plan p•o'ioei by plwnbe.'. 2. AO sethark reC.L.W-"en,5 MITIA LC,red:Git as per+pFderbl _ .4rtua k c.maicte Hans (n: the :stem and ,.limit to the C nuatY ..Ip oa wpe"ot less rasa S",. 11 iocbn a sae SVStem PLOT PLAN PRO,ILC7 Ke:scv Rea ADDRESS 4 BirKMose Park Lane Hudson wi 54016 NVV 1 r 4 SE I; 4s 18 IT 30 NI R 18 m 'rows Richmond COL NT's' ST. CROIX SYSTEM ELEVATION 93.5193.6 4' below grade at 3-1 5/9.'18 HATE 4 BEDROOM CON'VEN'TIONAL XXX CONVENTIONAL LIFT HOLDING TANK \IOPND SEPTIC 'TANK SIZE '255 gallons LIFT 'TANK SIZE DOSE TANK SIZE HOLDING TANK SIZF. LOAD RA'11' .7 ABSORPTION AREA 891 g of chambers 44 RENCHVI.Iii(~K F'.R.1'. Top of 2" pvc pipe Assirxt: ELF:vA'ru1N unr kilter Lifetime Filter ❑ ROZ' O "11J, , 11.R.11. Same as benchma* Scale = 1 /4" = 10' I'mpcct Lim: B"~ 42' 40' 5 ~ I ` P,pI ents I, _ \ B-1 \ 96' (z 9S. ST Pro 4 99(~~V Bedroom llouse 12_' X 90' cells with >3' snacine 96th ,,t All piping sisal! be ASTM SDR 30,:4, within 10' of tank, piping shall be AS'I'm FS91 Vent >6.. 'Quick-4 Standw'd ?4' ve I zncbin< Chamber with 20.0 ft2 of Area ~.btr^=..'pair of end caps ~ Lon_I - Grade at System Elevation 34.. Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 5/8/18 Owner:Kelsey Rea Location: NW1/4 SE1/4 S 18 T30N,R18W 1523 96th St. Richmond Manuals Used: In-ground absorbtion system (version 2.0) Page# 1. Cover Page 2. Plot Plan 3. Chamber Cross Section 4-6. Maintanance and tingency Phan 7. Filter Cross Sectio Signature License number~26900 System PLOT PLAN PROJECT Kelsev Rea ADDRESS 4 Birkmose Park Lane Hudson Wi 54016 NW 1/4 SE vas 18 T 30 NCR 18 w'row'N Richmond UOUN-rr'ST.CROIX SYSTEM ITEVA'rION 93.5!93.6 4' below grace at B-1 5/9;18 BEDROOM 4 D:1TF. CONVENTIONAL XXX ('ONVEN9'IONAI. LIFT IIOLDING'IANK MOUND SF.191C TANK SIZE 1255 gallons [AFT TANK SIZE DOSE 'IANK SIZE HOLDING 'TANK SIZE LOAD RATE. .7 ABSORPTION AREA 891 # of chambers 44 RENCDNtARK V.R.P. Top of 2" pvc pipe ASSUME ELEVATION too' Filter Lifetime Filter ❑ IsORI;Iw4.E O "I"LI. +D.R.P. same as benchmark Scale = 1/4 " = 10' 50' Property Line B.N 42' S9' 0. 58' 5 B-. 'cnts 5' 13 1 96' B_' 99' ST Pro 4 99' 30' Bedroom Ilouse X 9o' cells with >3' spacing 96th st All piping shall be ASTN1 SDR 30/34, within 10' Of tank, piping shall be ASTM F891 Vent >6" Quick4 Standard of Cuvcr Leaching Chamber with 20.0 112 of Arca 5001/pair of end caps 4' Long 12.. Grade at System Elevation 3 1.. 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 5.6tt^2 pair of end plates To be >1' above grade / Finish grade elevation Typical Installation X/ 97.5 Vent Grade Vent ]13' =4:' 3 I 3 GGrade al Sy51em Elevation Grade at System Elevation Spacing 5 2-3' X 90' Cells Same on other end Observation tube/Vent At end of cell A 22 chambers per cell B System elevations: A-93.5' B-93.6' ST. CROIA COUNTY SEPTIC. TANK MAINTENANCE AGRFFMLNT AND OWNERSHIP CE?RTIFIC.A'1'1(-~N FORM Ow~ncrfRtt}'cr_ Mailing Address I n Property AddicJs L--> V - (Verification required from Planning & Zoning Depait_ nenr of new construction.) - ('ay/state Parcel Ident. ication Nur ber- -0-3 LEGAL DESCRIPTION 7 r Properly Location/I- ViSea f 3 > T N It W "town of SubdMsion Lot # Certified Survey Map # Page # Warranty Deed # !I l.! f-S r, Volume Page # Spec house yes 410I of line... identifiable ~yos/ no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system couid insult in its pr.:malurr failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, d needed, ova licensrd pumper. what you put into the system can affect the function of the septic unlL as a treaturrret stage in die wale disposal system Owner maintenance responsibilities are specified iu §Comm. 83.52(1) and in Chapter 12 - St. Croix Co,mty Swittaty thdinancc. I he property owner agrees to submit to St. Croix County Phuuiing & Zon ap, Depa-tmcrt a cet tification for ill, signet( by tire owner and by a master plumber, journeyman plumbrt, rc,u Iciee pir:mbrr or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operamig condinon aoc:%or (2) after insl:L::,on and p:impnq; (if necessary), the septic tank i, less than Ir-l full of sludge. I1wc, the undersigned have lead the above tap;Ircuu•ns anei .grcc :r. man. taus the privao- :swage disposal system with the swudwds set forth, hercmiu as set by the Dcparnac!u nt i_otnn;ecce .tint Ihe. Jcpartrocut ul' Vuunai ltcsomces, State of \Viscolrs in. Cei-.ilicatiou stattnr that your septic system has been rwnitalecd must fie complea:,l and returned to the St. Croix County Planum.g & Zoning Department within 30 clays of the three year expiration date. - liwe certify, that all statements nr this form are Lrue to tie best of myiow knowledge li•,vr airvatc the owner(s) ofthe property described above, by virtue ofa rranty died recorded in Register of Deeds office. Number of bedrooms e0iNAT(7RE01'.APPI.ICANT(S) -DATE, ' "Any information that is inisrepiescrted triay result in the sanitary puma being n•voked by the planning & Zoning Department. w:w Inciudc with This application a recorded warranty deed fiom the Reeistvi of Dccas i-. fftcc and at copy of the certified suavey map if reference is made in the warranty deed (REV. 08/05) POWTS OWNER'S MANUAL $ MANAGEMENT PLAN Page_ ol_ 'FILE INFORMATION SYSTEM SPECIFICATIONS Owner i ✓ _ r~ _ Septic Tanis Capacity a~ ❑ NA Permit # 1 J~ Septic Tank Manufacturer ~10 /Nq DESIGN PARAMETERS Effluent Fitter Manufacturer _~-1-7'm,L, 0 NA i Number of Bedrooms 0 NA Effluent Fitter Model 0 NA Number of Public Facility Units It NA Pump Tank Capacity Nq Estimated flow (average) 1 I r Pump Tank Manufacturer NA C. u_q@Vday - - i Design flow (peak), (Estimated x 1.5) aVda Pump Manufacturer NA Soil Application Rate _ gal/day/fF Pump Model NA Standard InfluentlEffluont Quality Monthly average' Pretreatment Unit NA Fats: Oil & Grease (FOG) 530 mg/L a Sand/Gravel Filter 0 Peat Filter Biochemical Oxygen Demand (BODs) C220 mg/L 0 NA 0 Mechanical Aeration 0 Wedand Total Suspended Solids (TSS) <150 ri C Disinfection J Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) 0 NA Biochemical Oxygen Demand (BODS) s30 mg/L Ground (gravity) ❑ In-Ground (pressurized) Total Suspended Solids (TSS) 530 ri _R41 0 At-Grade 0 Mound Fecal Cofiform (geometric mean) ;10° cfu/t00m1 0 Drip-Line v 0 Other: _ iMaximum Effluent Particle Size to dia. 0 NA Other. 0 NA 'Other: - - - Other NA rJ NA 'Values typical for domestic wastewater and septic tank effluent Other C NA IAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once eve ; _ 0 month(s) ry' _ F3,year(s) (Maximum 3 years) ;..r NA (Pump out contents of tank(s) -When combined sludge and scum equals one-third OS) of tank volume 0 NA Inspect dispersal ceY() At least once eve 0 month(s) ry. year(s) (Maximum 3 years) 0 NA Clean effluent filter At least once every: i C month(s) ® - - - / % year s)- U NA 1 aspect pump, pump controls & alarm At least once every: 0 month(s) NA C year(s) lush laterals and pressure test At least once every: C month(s) NA 0 year(s) lather - - At least once every 12 ' 0 month(s) NA - - - year(s) - r IRhec NA MAINTENANCE INSTRUCTIONS 'inspoctions of tanks and dispersal cells snail 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 identity any missing or broken hardware, identity any cracks or leaks, measure the volume of combined sludge and scum and to check for any back uo or ponding of effluent on the ground surface. The dispersal cell(s) shat be visually inspected to check the effluent levels in the observation pipes and to cri 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 (Y6) or more of the tank volume, the entire contents of he tank shay be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsm. Administrative Code. 'Ail other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of X12 months, shat' be pertormed by a certified POAri Maintainer A service report shall be provided to the local regulatory aut'.nonty Mthin 10 days of completion of any service event. pas•-of START UP AND OPERATION painting uproducts or other cttemicale d" For new construction, prior to use of the pOVdrS check treatment tank(s) for the presence of are detected have the contents of the may impede the treatment process and/or damage the dispersal cell(s). If high concentrations tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when sod conditions are frozen at the infiltrative surface. is restored the excess wastewater will b e During power outages pump tanks may fill r above normal highwater the cell((s and may result ni the backup or surface discharge of effluent. To dis avoid ged this is situation the ion raei have the have the contents one large ar of ge the dose, pump p tank cd n9 o removed by a Septage Servicing Operator prior to restoring power to the tan normal fires affluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore within the pump tank. disturb or compact, the area within Do not drive or pant 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. Reduction or elimination of the following from the wastewater stream may improve the perfomrance and prolong the life of the POW M, hubs; condoms; cotton swabs; degreasers; dental floss; dlapers: disntecta^te; fat' foundation drain (sun*tl pump)baby water, wipes; frail and vegetable peelings; gasoline; grease; herbicides; meat scraps: medications; oil; pair" producls; (sump pu , pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT shall be taken to insure that the system is prope(ty When the POWTS We 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 Ser A&V Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space fined with soil, gravel or anotfter inert solid material. CONTINGENCY PLAN If the POWTS falls and cannot be repaired the following measures have been, or mutt be taken, to provide a coda compliant reptacentent system: `I3 -A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption systern. The replacement area should be protected from disturbance and compaction and should not be infringed upon by requitled setbacks from wasting and proposed structure, lot lines and wells. Failure to protect the replacements will result comply in the nee'rdd for a new soil and Site evaluation to establish a suitable replacement area. Repleoemant systerns with the rules n effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS tschnologV a holding tank may be installed as a last resort to replace the tailed POWTS. ❑ The site has not been evaluated to identity a suitable replacement area. Upon failure of the POWTS a sal and site evaluation must be performed to locale 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 infirawive surface. Reconstructions of such systems must comply with the rules in effect at that time. <4WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES ANDIOR INSUFFICIENT OXYGEN. DO T SEPTIC, IUMP ROR OTHER iOR OF A TAN MAY TANK UNDER ANY CIRCUMSTANCES. MAY RESULT. RESCUE OF A ENTER PERSON FROM THE DfPFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTSINSTALLER S MAINTAIN Name Name ~ Phone ~7, A Phone / F , - / - SEPTAGE SERVICING OPERATOR PUMPER LOCAL REGULATORY AUTHORITY Name Name 7 7 ; - ~7---- - Phone Phone Thu document was drafted in conpliance with chapter SP8 383.22(2)(b)(1)(d)d.(f) and 383.54(1), (2) 8 (3), Wlscormn Pdmin'strative Code. i W.. I ~ I-1- 11 % N q i i - 4 ~ e- U:' T7-- 7 ~ 3j 4 w I 1 f q~ .JJIY O a Q Q ~I J B I f` . I I Z II'.: I Illi~ t.l ~ I 1 W ~ f~ r* ~I 'r 'I ff i `.'r I LOT 49 . <<~ ~ ~~o as LOT 19 0 m LOT 44 I \ \ a~ sa \ s~ 1.696 1.525 ACRES \ ACRES \ Yi z 68,420 SO. FT. z! V. 133.,87 878 50. FT. i° - L80-939.0 BM ( 95.28 \ 9.507' ~y0 ~<D \ a► lb s. ! \ m~ \ 271?? E 60 34 N81-4015 E 379.24 1 LOT 43 1 65.612 SO- FT. LOT 20 1 i 1 Leo-937.0 \1 1.789 ACRES e7-LOT 50 77.936 SO. FT. I i r \ , Z 11'I u• 1 1 3N377'S815 E Y;.. 1 HWi o I - .i _ -sszoa'- I ,I I OT 44AREA 2 P\'\ ~r \ Esc - - • - li 1.728 ACRES (75.252 S0. FT.) fL20' (NAIL AND UTILITY n _ AREA TO CHWM \ V II I t 1.72 ACRES EASEMN 1 i 1 LBO-9320 4Sj, q \ LOT 23 1 ! 275.21. 379.ir- :/~M1b° ^h^•h J - 't - I y \ 1.8Q ACRES 80.442 SO. FT. I I 1 AT di847645 E 498 1.0o 96' h 1 19 .22' r 5 c 1 1 sft ''s O I. ° i a il'i m v 4 N e ~ - +s;Fli {li,t 1,lf,t ~j~{a ~2's :I~a M ft { .1 a 'r V ! W i Ea j d: I ::1 C a II I I . I / ~ tll III y• ~ ' i ~ e <El I r ! i ~ ,a _ r I i I IT n ~ ~ 1 ] 1 G e y ~ ~I~ Y, 7}a3 ' - I - m Q r~ f 1 ~lli }I ¢ ~ ~ I { Ski iii:! {121! yt llSii" ~ I ) } ! i ! I t I I 'I I t pp~ kk~ = ~ I x - ~1 0 k I ac vi..aaa [._e - ~n I f~. !f I I _ I I-It 2 3 I I ~L I I i I 8 I ``Vlsco sin SOIL EVALUATION REPORT #1516 Department of Commerce in accordance with Comm 85. Wls Arlin Code Page 1 of 3 Division of Safely 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 mUude, but riot limited lo. 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 43 Please print all information. Re By Date Persenal inftxmaiion you provide may be u. -14 for ~~I~ary La s. 15 04 (1) (m)) /p / Z e r,c Property Owner roperty Location Sienna Corporation I A Lot NW 14, SF 1/4, S18, T30N, R18W E (i i;lJa Property Owner's Mailing Address ) L I # Block # Subd. Name or CSM# 4940 Viking Drive Suite 608 43 The Glens Of Willow River City Stale Zi Code phone Number city Village Town Nearest Road Minneapolis MN 5 Richmond 95Th St. New Construction Use Residential! Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement Public or commercial - Descnbe: Parent material Outwash rood plain elevation. if applicable na ry. General comments and recommendations Area is suitable for a conventional system with a 0.7 gpd/ sgft rating. Possible system elevation for Area 1 is 94.50'. ❑ Boring # Bonnet Pit Ground surface elev. 9/.22 ft Depth to limiting factor 84 in soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD!ft' in Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. •F1ra1 ' -Lanz 1 08 10yr3/2 none sit i 2fst)k mfr as 2m,2f .6 .8 2 8-15 10yr4/4 none I sicl 2msbk mfr Cs lf,lvf .4 .6 I i 3 15-23 10yr5/4 none I grcos Osg ml a 1vf .7 1.6 4 23-64 10yr5/6 none s Osg ml cs .7 1.6 5 64-84 10yr5/4 none I cos Osg ml as .7 1.6 6 84-96 weathered sandstone bU 11- 3Z.v ❑ q0A Bonng # Boring a5 Pit Ground surface elev- 98. 88 fl. Depth to limiting fadbr 115+ in. Soil Application Rate Horizon 1 Depth Dominant Color Redox Descrip!ion Texture Structure Consistence Boundarv Roots GPD'ft' in. Mansell Ou. Sz. Cont. Colof Gr. Sz. Sh. •FII#1 •e1ar2 1 0-8 10yr3/2 none sit 2fsbk mfr as 2m, If .6 .8 2 8-22 I 1Oyr4/4 none sicl 2fsbk mfr gw 2vf .4 .6 3 22-30 I 10yr4/6 none grlcos lcsbk mvfr 1! cs .7 1.6 q 30-42 1. 10yr5/4 none grcos Osg U11 Cs .7 1.6 5 42-11S 10yr6/4 none s Osg ml .7 1.6 5I 5° N ht' ~j' 1 Effluent #1 = ROD,> 30 < 220 mgtL and TSS >30 < 150 mg. L ' Fffluent #2 = BO s <3 mgll. and TSS < 30 mg/L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt 227429 Address Schmitt Sod Testing. Inc. / Date Evaluation Conducted I elephone Number 1595 72nd Street New Richmond, WI 54011 911912006 715-247-2941 Property owner Sienna Corporation Parcel ID # 43 Page of 3 Boring # Boring Pit Ground surface elev 97.65 ft. Depth to limiting factor 115+ in. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDrft' in. Munsell Ou. Sz- Cont. Color Gr. Sz. Sh. 'Efn#i 'Ena2 1 0-8 10yr3/3 none sil 2fsbk/lmpl mfr as 2f .6 .8 2 8-15 i 10yr4/4 none Sid 3m5bk mfr gw lvf .4 .6 i 3 15-22 10yr4/6 none sl 2msbk mfr cs ------.6 1.0 4 22-35 10yr5/4 none grlcos Osg ml is - i 7 1.6 5 35-115 10yr6/4 none s Osg ml .7 1.6 ❑ Boning # Boring 3 h~ Pit Ground surface elev. ft Depth to limiting fact r in. Soil Application Rate Horizon Depth Dominant Colo, Redox Description Texture Structure Consistence Boundary Roots GPDAI in Mansell Ou. Sz. Cont. Color Gr. Sz. Sh. •Effat •Etr#2 Boring ❑ Boring # Pit Ground surface elev. Depth to limiting factor In Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure !Consistences Boundary Roots GPD!tt' in. Munsell Ou. Sz. Cont. Color Gr Sz. Sh. •ER#- •Eff#z I F`.fvent #1 - BDD, % 30 220 rngr 1. and TSS 30 < 150 mg,l ' Efflcen: #2 = GOD 30 n-dIL and TSS = 30 rngr_ I he Depanment of Commerce is :m equal opportunity service provider and employer, I f you need a„istanec to access services or need material in an allcmatc lortnat. plcau contact thr. drpanmenl at 611X-26fi-31 S I nr I"I Y GOX-?G4-X?"' \HU-x:a k[:glxl Stinm Sil Tw 9, 1, Page -7 of t'onducted by Conducted I-or: Schmitt Soil Testing Inc. 'vane: Sicnna Cl'rporation I honors .l. Schmitt. CS 1?17429 Address: 4040 Vik aw.. (hive Suile 008 1 ~9i 72nd tit. City. Stale, zip: Nliuncapolis. VIN 554 I's vew Richnxxud, W1. 54017 Phone: 715-247-'941 SuNI.Name: 'I he Glens oI' Willow River i.ol No.: Lrgal Description: St J 1 A ST! f4 S 18 T30N R i MV ISackhoc pit 1'0XV11ship, County: Richmond. St. Croix ail. 13e11ch .Mark F.I. 100.00' 7'op oft" pvc pipe Allcrnatc Bench Mark 1:1. ~3. YS Top of s -7;l c fc tcK...«~-a GhrJ SlooIle- S=1 Contour Line L l. 11/4 Contour Line Length All, ale 1 ° -10, ~r 5 L / y 1 ~ p; 1 \ n J 1.J r~3~1 I,..ud.uidAi. i. ,-il i.: u.u: a. .aird:.cJ~ Jlb.v•n n; :~~KaMn,l.nr;.,~n~.nr.l ln;n .'.v n"., .nddri -V',~•