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HomeMy WebLinkAbout032-1038-10-001 Y1lsc,ne,In cePanmen: ar PRIVATE SEWAGE SYSTEM St. Croix Salcly and B.I Icing Cr: 5 Cn Smeary Permil No INSPECTION REPORT 605041 GENERAL INFORMATION (ATTACII TO PERMIT) 513te-an 1:5 PO Pe's"^A vYnmtnbnn ) nu prC'aidt ma': JV ._s-d IL' ;ecnnaary DufpC9c5 :nq S.I S .C4 on I I N 1+ Permi: He `Imrn. •y Vlllaue To.-,-- p I'sve Tax N. Robert Belisle TOWN OF SOMERSET 032-1038-10-001 ,:ST 01.1 Flrv I-5G ISM Elnr i161 Descrlptlon cc:wnlT..v, RangeMap No'. it 14.31.19.192A TANK INFORMATION ` ELEVATION DATA LA A-) 1. '>'PE MANLF , tPACITY STAIK:N BS HI FS ELEV. s'cl4ic '~V BGI'Chrnafk .•-t IIVV 1 V p,; i+l. BId A n IV% L I" BICg. Sewer O +Ht Inlet / /o-/ S!• t Octlet TANK SETBACK INFORMATION ' TANK TO P''- '.IfCLL Bl Ve'l0 Air lntaI H::AU Cllnlet Septic + n r A r~ D' D! R w!o:n Dosing v Headodlvla st. Pipe er ^ S2A Hclcing _ Bo:. System I Final Grade /T (0 PUMPISIPHON INFORMATION V Manafaciwer 'cnrand St G_wer 1 I GPL4 Ir1c ~I-Ncr .er TO, Litt Fria on I oss om Hea ICH PI I` -orcemar) Length iA D151. lolvr•u \ ~O[L ABSORPTION SYSTEM BED-TRENCH :lidth r I IN., O'AInnclle' VII DIMENSION No. Cl Fie. I-,co Ui igma Uid DIMFNSIONS SETBACK SY,S'TF.A TO P!'•- RLUG 'dOELI -AKEi STRBA1- ACHING Man_1aetu er. INFORMATION CHAMBER OR , T\t" UNIT Slucel Ntec~ DISTRIBUTION SYSTEM ll !\\!V7 I N/ Y H'ede'rb1 - d Tstribu9ur. x hate Si:e x hob Spa'z~~'? 'Je'.t to l.Ir Intake T( Flps;^,i I cncl- Dia ;:P SPaciny SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Dep:h Vvur 7el::h Over n I r x. Ucpl' c1 rx Seed..:i 9o ;1d7 x '.L :`:ed Ue9"r:ncn Cc-de• N '!o:U"encn EUga~r G_ Tap+sA Ys; '.o Yes No COMMENTS: (1rUade rude dlscrepone, es, persons/ presort, etc.) Inspection II': C Inspector, 92: Location: (;g722::T11 AVE I 6!J Dvt un tp p S~ ~i 14er r cs~ e ser`r,: 1.J AI: Blat Descnpllon = 2.1 Bldg sewer length = amoa'1!Of cover =e~~ 12 PGe % 1 1 ar roves on Reywrcd? Vev 2y L ..Se Cthe' S de fe' aCCi:1-pal in-or m >r'. Ua:o IusepctoYS ;pnutur° Cc•I. Nu. S-Rr. fi;'! 3 1g'} - 5fl~-~1~~~- !yy - 'v_i _ J Safety and Buildings Urvlsan J f ~,:'1 r - s 201 W. Wa n,ngton Ave., P.O. Box 7162 Sar, a ✓ N,.., - 1 itar}' , e•nu: Numoer ;te be fiacd it b) S{ 'vtad~son, V4. 53707-716.2 -_s.~~~ 2p~BjJrU~-( f III S4hftdruPCrmit ^'lppltcatlt) Sa Tram&xiouNaJ ~m ~wrdaoce a'(W SPS:SI?t^i tv s. A.M<ndc , ma sf: -rt :<i tit aw ' e;: :cs, rryn g~v-r cc fait l - t reyai;p(~torttrn C.fSmmry:.y aid a ft.ft ss paints Vae .pelt att.- frltt 1<c state:.vmcd Y'tK?S are b b cd to PT11= Address ;if different tb®-~matiinS addtcss) tnenF'kpmlm.m .f Pnvwma sins. a.r_ sal :ntom.aLUO you p:oe.de mm be mtd for seconday X11. 07 p •7 ~'1 ,rvTT Lt pplm accordaou'+tth the Ynv~v i„r%, s 1} -(lam 111 r,i ~ta15 _ C1 d"U LA icanou Information - Pl ease print All Information Pf'I CAt c N=,- Pmal A . . Prrpaty (hvoWI; Madmg:Adtkcss - - f I RVpCri\' LUt:Oilaa 1 t~ . ) i . I y a ~ i. i UO1t LJt Cm. Sratc ~ 7-I9 Gee _ Pbca t.uaraz II. Type of Building (check all that apple) _ - Loa :Y - T N, k lr lam- ' ~ l ~m 2 Tai'J:y Dwc(l:aL Num`+u of ticdon,ru Subdivision Na:¢ v rn*r~rnmmda:d- I7a.rbc i _ _ ~J state Chsnal Btsutbe I. ,e ~'SM V;:t VillI of III. Type of Permit (Check only opt box op Iine A. Complete line Rif applicable), A~ - F Rcpiu: 5 - t1 i./tr ys n Tfeam,.w_lo:c:ox Tack Rc➢la,,,m w CmW l 1 :1th:z MWUicxtiop Z= em b Lxs[ino System plairi R C, P.mi Kctenyl P 01 WofYlunha List Pmvt Peemit Vaoher and fhlc Issued - _ Pxnrt "ans:c :o New iA j p A. 1ype 0(1 OW"fS SyBtefu,'ComponcntlDevice: ((-heck all that apples F4astrr v C LesurrN L IJ •tira.lc I_. Mc~md I Ifsuilillc sod ❑ Mouad--?A in. ore,' I sod h ldins 'mk L. (At.. l {Kraal -nz n tit czF 1 : _ n FfcTCC-xn, i~cvi:c lexp.air:j_ Otspersal f reetment Area Information - i_ trs:gn Ficw typd) Des:bn Srnl /~yh:a.r.ru Ruiefsfdsfi I Dts~pcrvl area Reouued (sl'~Ds w-" Ina Prof-ed 5sstein Elevauoa u LC~ --ti5imu:aaum f 17a pk lafo L. }+a ry iu __.I 'Cxal a of ualk n. Cia A. Cmcs u c a_ ~ m - V T t p'rcNol¢nF Tank ` / - SBA f}yye~y ~ ~ • - / ~ I V ~ II Rcspnrtgbthl} statemem- I, the uudersigoc_d. me respoavMl:rv for installation of IM PORTS tbow•o on the attacbed plans, r L: -air's \arne (Prwt} - i'lt ssirt:ttmc - !v K.WVRSNrwba BwuTw YhoneN T7 Pv.uxriAJdrtss 'Sacn.CmSc rc Cud i . VIII. Count e~Depat'tmtot If Oply _ ~ - - i -craw Fe: llatc 65acd Lssum2 SI-acme p>ro•cd ,J Disaf+f coed Ag i\ Conditions of Approval RraTOn<-f6r Disapproval k'(tiTEM' OWNER: J / Septic lank, eiCuenl f Itei dispersal t,e I nt 61 -"e r gad + ri a u•e_+ -as per ma•tagMc"nt PI"~k 4lIII4,l>Wry{f7(~f.s im and <ubmn w II Cuaon Daly on _ . 2 All Wa>vn:In<mau at:a ti iI mere setback r@[,uiror189t5 n rl t:,,-. rial Iaire;; as per applicable codeiordrianr, , SRa6;9R (R. t t 11 i Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 6/11/18 Owner:Robert Belisle Location: NE 114 NE 1/4 S 14 T31 N,R19W 220th Ave Somerset Manuals Used: In-ground absorbtion system (version 2.0) Page# 1. Cover Page 2. Plot Plan 3. Chamber Cross Section 4. 6. Maintance and ontigency Plan 7. Filter Cross Sect Signature _ License numb r 226900 System PLOT PLAN PRo.IFC'r Robert Belisle immu.,ss 600 Ravmond St. Somerset Wi 54025 NE 1/4 NE 1145 14 It, 31 N/R 19 11'TOWN Somerset ('Ot N'rY ST. CROIX SYSTEM ELEVATION 96.0/95.7/95.4 4' below grade 6/11/18 3 Ua'1'E BEDROOM CONVENTIONAL XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC 'TANK SIZE 1000 gallons LIFT TANK SIZE DOSE 'TANK SIZE HOLDING 'TANK SIZE LOAD RATE .5 ABSORPTION AREA 916 # of chambers 45 BENCHMARK V.R.P. Top of 3/4" pipe ASSUME. IsLEVATION too' Filter Lifetime Filter ❑ BORE110LE O WELL "II.R.P. sameasbonchmark Ihvv 35 Vent Scale = 1/4" = 10' >G' Quick4 Standard of Cover Leaching Charnber with 20.0 ft2 of Area 5.6ftA2/Pair of end caps 500' 1' Lone I Grade at System Elevation 3.1' 3-3' X 62' cells with >3' spacing 13-2 Vents Poor soils Poor soils B.M.* 300' B-3 0' 3 ` B-I )(99' o ti 10' ~b n All piping shall be AS'I'M SDR 30134, within 1101' 10' of tank, piping shall he AS"1'M F891 S7 N 0 S 50' 220th Ave Pro .3 Bedroom I'louse d ~0 Cross Section of Quick 4 Standard Leaching Chamber Typical cross section for 2 of 3 cells Quick 4 Standard Leaching Chamber with 20.0 ft'-' of Area per Chamber 5.6ftA2 pair of end plates To be >1' above grade Finish grade elevation Typical Installation 100.0' Vent ACI Vent Grade 4 X30/34 Septic Tank 4 4' Lung 5' 4' Long t 3.1 Gradc at System Elcvahon 3;1„ Grade at System Elevation Spacing 5' _ 3-3' X 62' Cells Observation tubeNent Same on other end To be located on end of Cells %A B System elevations: C A-96.0' B-95.7' C-95.4 15 chambers per cell ST. CROIX COUNTY SLPI K''I':1N'K MALNTENANCL,tURI?)~MEN'I- AND OWNFRS11111 CER I IF1CATI GN FORM Owrler•'Ruyer -~<-i?f }---r J Mailing Address _ LO Q- _ ~c~- / ti' = - - - - - Property Addicss (Verification required finPin ing & yuume, Ucpatt ent for new constntction.} City; :State _ _ - - _ - I ;reel ldcntificxtion Nm-thee 5 t LEGAI, DESCRIP'T'ION Property Lunation /'U~ .1 . sec. I' < f ( 1~ , r Subdivision Lot 9 Certified Survey map # - Vt fume Warranty Deed # _ - CA~C~ vchtme j - - - - Page # Spec house yes a° L -I line identifiable yes no - SYSTEM NLAINTENANCT AND OWNER CERTIFICA'T'ION Impioper use acid maiutcnance of vour septic system couid result in ns premature failure to harnlle wastes. Proper rirauitenacice consists of pumping out the septic :oink cvei y three years or sooner, ii needed, by a Ircensrd puniprr. Rlim you put info the systern can affect tine function of the septic tank as it treatment stage in the waste disposal systurn. Owner maintenance responsibilities are specified in SComin 8352(1) and or Chapter 12 St Croix County Sanitary Ordinance-. The property owner agrees to submit to St. Croix Cnunry Nwini rg & Zoning Department a certification tortn, signrd b_y the owner mid by a master plmnbe.r. Journeyman plumber, restarted plumber or a licensed pumper verifying that (1) the on site wastewater disposal system is in proper oocraling condition audcor (2) after nispcmion and pumping (it neccssmy), the septic tank is less than 113 frill irf sludge.. tiwc, the undersigjwd have read the ahove rngnaemrnis and avicc to rnaintenr the private sewage, disposal syortu with the standards set forth, herein, as set by die Departnrnt ot-Cotmneicc and die Dcparimmi of Natural Resom-ccs, State et' W isconsin. Certification stinting that voru septic system fms been maintained roust he completed and fehumd to the St. Croix County Planning & Zorting Dcparouent within 30 days of the three year expiration date. iiwe certify that all s mcnts on dus form air trur to the first of mytou t knowledge.. Uwe aiii-are the uw•tret(s) ol'the property described above, • vin t of a warranty decd rcco;'dcd in Register of Deems Office. Number of bedroo SIGNA•1'ORI. OF APPLI WNT(S) ll:'1"C1s ***Auy intorrnauon drat is misrepresented may result in the saiminy perrtut bring t,voked by the Planning & Zoning Deparhnent. Include with this application a recorded warranty deed (roar the Register et Devils t rfficc and a copy of the certified iaiivey niep if reference is tirade in the warranty deed. (RF.V. 08/05) POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page _ of FILE INFORMATION SYSTEM SPECIFICATIONS Owner Septic 'Iank Capacity ❑ NA Permit # r gal Septic Tank Manufacturer - C ,NA DESIGN PARAMETERS Effluent Fitter Manufacturer ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model ❑ NA Number of Public Facility Units 1 11 NA Pump Tank Capacity NA _gal Estimated flow (average) ) al/da Pump Tank Manufacturer NA Design now (peak), (Estimated x 1_5) La 7 9ahda Pump.Manufacturer NA Soil Application Rate --•L>s= ati .~r Pump Model NA y-_. - Standard Influent/Effluent Quality Monthly average' Pretreatment Unit NA Fats, Oil & Grease (FOG) 530 mg/L C Sand/Gravel Fitter C Peat Filter Biochemical Oxygen Demand (BOD.5) <220 mgil C NA ❑ Mechanical Aeration ❑ Weiland Total Suspended Solids (TSS) <1-50 mg/L Disinfection ❑ Other Pretreated Effluent Quality Monthly average Dispersal Cell(s) p NA Biochemical Oxygen Demand (BODs) 530 m9/L -Ground (gravity) ❑ In-Ground (pressurized) Total Suspended Solids (TSS) 1~30 mg/L -4A U At-Grade 0 Mound Fecal Colifonn (geometric mean) X104 CV t00m1 O Orip Line ❑ Other. 'Maximum Effluent Particle Size in dia. ❑ NA Othe~ CI NA Other _ . NA Other-- - - _ ❑ *Values typical for domestic wastewater and septic tank effluent Other C NA MAINTENANCE SCHEDULE Service Event Service Frequency inspect condition of tank(s) At least once every. O month(s) _(Maximum 3 years) U NA Pump out contents of tank(s) When combined sludge and scum equals one-third (7e) of tank volume O NA aspect dispersal cell(s) At least once every: O onth(s) - _ -youyr(s) (Maximum 3 years) 11 NA ,In Clean effluent filter - At l e / month(s) - At least once every: year(s) aspect pump, pump controls & alarm. At least once eve Cl month(s) - -Fry- _ ❑ year(s) ❑ NA :lush laterals and pressure test At least once every: U month(s) NA ❑year(s) A; least once every. ❑ month(s) - hner _ - - C 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: Ma3tar '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 evols in the observation pipes aria to check for any pending of effluent on the ground surface. the pending of effluent on the ground surface may inaicate a failing condition and requires the immediate notification of the local -egulatory authority. When the combined accumulation of sludge and scum in any lank equals one-third (Y) or more of the tank volume, the entire contents of I:he tank shall be removed by a Septage Servicing Operator and disoosed of in accordance with chapter NR 113, Wisconsin Administrative Code. INI other services, including but not limited to the servicing of effluent filters, mechanical o, pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. ~ service report shall be provided to the local regulatory authority vdtt:in 10 days of completion of any service event. pop _ of START UP AND OPERATION or other chemicals that For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products 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 sod 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 cad(s) in one large dose, overloading the oll(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 Sep" Servi ing 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 laves within the pump tank. Do not drive or park yehides over tanks and dispersal cads. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet doom 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 POWT$: antib>oriu; baby wipes: cigarette butts; condoms; cotton swabs; degreasers; dental floes; diapers; disinfectants; fat: foundation dra[n (sump pump) water, fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; rnedicatlons; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS tails andfor is permanently taken out of service the following steps shall be taken to insure that to system is propefly and safely abandoned in compliance with chapter Comm 133.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and property disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filed with soil. gravel or another inert solid material. CONTINGENCY PLAN It the POW, S falls and cannot be repaired the following measures have been, or must be taken, to provide a code compliant rep system: suitable replacement area has been evaluated and may be utilized for the location of a replacement sod absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by requhied setbacks from existing and proposed structure, lot lines and welts. Failure to protect the replacement area will result in the need for a row soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the ruled in effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Baring advances in POWTS technology 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 POINTS. ❑ 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 complywith the rules in effect at that time. <4WARNING» SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANKS 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 PONRS MAINTAINER / Name Name Phone Phone SEPTAGE SERVICING OPERATOR PU PER LOCAL REGULATORY AUTHORITY Name Zy , I n~ Name i~ IG; X ) Plane Plane ,~JJ This docunenl was drafted in oontxianoe with chapter SPS 3a3.22(2)(b)(1)(d)8,(f) and 383.54(1), (2) 8 (3). Wlsconsm Administrative Code. Oi ii i t I II j i i G I P , r 11 S~ 111h,XJvlp 1 ./f. llo~l III v ~ ~ _ G 5 1 Q CID n\ - T R " T -n i ~ I III i I I T } I _ II i I ,rn I i 4 ~ ooc ti i y coc I _uuI ~'uu'-1 a B F] -7 I I ~I 1 GL7MA\~ G_5v _ 7nieoz ue. acia nwu v r ram 06/- LGLH P;` Aa20 G - c cor ~tv asp=_ axizrroN A l 0652 x.A-F ns sroo.v P F f 11N F v t'.N $<Q y 1 i 1 0 ~I l - - - - - - - - - - - - - - - - - - - - - - - - 1 ~ R I vpgqpp~ I Ta ZVAV Pt 51GN vFr-_ r .aK, as C 1~ LIO ',P Fr A-a l a l rnv N I r W QL. 1 nli. & AI STtiT fi'sVY - - a t~ Sri ri F,. F pig ARF ~ (T. F2 A 7vl r>3!%'G rIc: if P i ~ F< r n I Z 71 ~I VIII II O, I L II ,.y III ~ i ~ I r 1 ~ _ a 2 ~u II . N b 17 7 d M ~ • Cj r I l 9 ti I % D-' f-I' I I l . ' ~ 1 ~ full I I I I = y 4 f6: !C tl 3 ~ L R I I I I AMA. 1 O-Zlv'A\! D II DFx a or.14~z vL R°IrV Al r. I/I_I~ l n ,ILL ~L Ll 6 LL PI JJ? SL F} L rY°/Yc 35 rL-I.~L~- -I fH' A, 'rte Irii~s r~R AK -5/LO-A. vYl 54,'M/4o W~,JJ-LI ~1J AYII~ .JJ IfU'.I iJ!~ i F T 1 pyY 1~ " T~ i _ z ~~~r 7 ~ Z di ? t I f fi' R 11 < ` 1 I ~ I 4 II S2~p ~ i 'IiC ' + rr I ~ A ~17..LrJ~f N ~/E~7I~7N PATEM ,1),F-, YOI.r` ni <R t r r< r,l I t--fir - r_uT rr F R1 4 SST C I E , a s v i.) l a 4 l,- A> - r IsRr[ Jr.tr- fpsTR.rTIA~ li5 . .i 461Zo IDENGE ecxr Ae, W6N ;,E AILS ~ t~ H l) c~r_7~I~ -a 72 liaDB' nt6(com me SOIL EVALUATION REPORT Page of ysddpoff 'A"ty and Buildings in accordance with Comm 85. Ws. Adm. Code Attacgtl6lin e e site Oplan on pa r not less than 8 112 if 11 inches in size. Plan must County irldu~'bN not lirnjigd,{br vert~EaI nd horizontal reference point (BM), direction and Parcel I.D peroont slop0~ss~tu'dfy north arrow. and location and distance to nearest road p_ Please print all information. Reviewed by Date P$YerrifMOnn~POn you Moviee maY 1M use4ler re fi, Ourpores (Pr,,-cY taw. s. 15 Ol (1) (m): . Property Owner Property location Govt. Lot 1t4/)' 1!4 S I/ T N R E( ) W CShW Property Owners Maikng Address Lot k Block b >ubd. 7 1c, City tale Zip Code Phone Number ❑ city ❑ Village Town Nearest Road„ Code derived design flow rate GPD O~Naw Construction Use E3-Be, cideotial l Number of bedrooms - ❑ Replacemem ❑ Publa: or commercial - Describe Parent material Flood Plain elevation it applicable - - ft General comments and recarmlendations: System Type ~'t, ,JC;iluy-r S i,;.;lern Ctrr;at,un ~il~G-c M 14L Boring p ❑ So ing '1 C7 / Pit Ground surface etev/ / y Depth to limiting factor in - Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD1fP In. Munsell Ou. Sz. ContL Color Gr. Sz. Sh. 'E"I 'ER82 I / n Boring fr ❑ Borng Pit Ground surface elev Depth to limiting factor ? m. Soil lication Rate Honzon Depth Dominant Color Redox Desorption Texture Structure Consistence Boundary Roots GPWl' in. Munsell / Qu. Sz. Cont. Color Gr. Sz. Sh 'EPN1 'Eff42 , It D EMuent p 1 = BOD. > 30 < 220 mot and TSS >30 < 150 1 ' Effluent N2 = SOD. < 30 m41L and TSS < 30 rtxyt 1-C -ST Name (Please Print) azure _ CST Number Bird Plumbing. Inc. Shaun Bird 226900 Address _ Dale F~aln:'ian C::nducted Telephone Number 1432 120th St, Ncv,r Richmond, W1 ,1Jy7 ` 715-246-4516 Propeny Owner Parcel ID k Page - -Of- rig Boring it ~ poriGround sufaceelev. _ ~ Depth to limiting factor, -LL- rn. Soil liglion Rate Horizon Depth Dominant Cola Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz Cons Odor Gr. Sr Sh. •Eff//g1 'Elf#2l j Le ❑ Boring It ❑ Boring - ❑ pit Ground surface elev. - - H. Depth to limiting factor in. Soil 'iratxn Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDRf in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh •Effnl 'Eff#2 El Boring Bori# ❑ng ❑ Pit Ground surface elev. _ ft. Depth to limiting factor in Soil ication Rate Horizon 'lepth Dominant Color Redox Descipton Texture Structure Consistence Boundary Roots GPD11f ina Munsell Du. Sz. Cont. Color Gr. Sz. Sh 'Etfp1 •Etfp2 Effluent pt = 800r > 30 < 22C rrWL and TSS >30 < 150 mgll ' Merit n2 = BODr < 30 mgrL and TSS < 30 mg4 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. $ORI710 fn NMI Project Name Robert Belisle Soil Test Plot lan Shaun Bird Address 600 Raymond St. Somerset Wi 54025 CSTM #226900 Lot Subdivision bate 5/28/18 NE 1/4 NE 1/4S 14 T 31 N/R19 W Township Somerset Boring Q Well PL Property Line County ST. CROIX IINI or VRP Assume Elevation 100 ft. Top of 3/4" pipe System Elevation 4' below grade •HRpSame as Benchmark Hwv 35 Scale is 1" = 40' unless otherwise noted 500' a_? 10• Poor soils Poor soils B.M. 30' H-3 300' 0' 10' 35' B-I 99' 101' 101 220th Ave