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HomeMy WebLinkAbout038-1131-40-000 1^: sconsn Deponment or COrnrncroe PRIVATE SEWAGE SYSTEM Cow`l' St. Croix Sah^.Y and 6. Id •ry Jro s m INSPECTION REPORT Sa^ tar; Permit Na GENERAL INFORMATION (A FTACH TO PERMIT) Slate pan IL' NU 605160 Persona wc•nla:tcn you proame may be _Svc 'o. Sete-nary pu•poses r?rivacy Law s.'5 C4 ;tit m;Q Permit hr, de"s Name Cry Village Tawnsrip Paul Ia^ No. Ralph & Mary Mondor TOWN OF STAR PRAIRIE 038-1131-40-000 CST RM Rev Isp BY Lei, B10 Descrier m Q c:icr"ownl Ranne^dap NC DU U 1 ON a~ r 32.31.18.534 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER tom. CAPACITY STATION BS HI FS ELEV. Septic_ Benchmark Al: Qai 13M r I i i z. B 9~' 3 Aeration Bldg. Sewer O 17r He aing SUHt Inle: 1 5.~ 95'5 TANK SETBACK INFORMATION StIHt Uunel 'ANK TO a j Ili Vs LI.!. 13'-DG VentI 4Airie ni. ROAD Ul Isle! G ti Septi;, SAj %7 Dt BO:tam + Uosrng y Heater+P.9a•r 7,9 93- z Aeration Dist. Pipe 93. 2-- Ho Bo:. Systen ,9 9Z•L 17- PUMP/SIPHON INFORMATION Tina Grady ,3 , J ~ Maru'acture' Demand S: Cove, GPFA Z.% 9 telpde Numcer TDH LI Ficticr Loss Syste d TDH Ft - Forcers 1, Lorcth Dia C Sit to t')e I SOIL ABSORPTION SYSTEM BEWIFRENCH itlcll' Len I• No O'Tre.-rrhes PITDIMENSIONS No O'Pis Insicu UP Indic Denih DIMENSIONS 'S 7 1 SETBACK SYSrTTEEA9 TO P(L BLDG YVELL LAKEtSTREAM LEACHING Ma•ru'actu' INFORMATION _ •u Cfys:e° CHAMBER OR ^ t Mcde Wmhe Ge..~.. IN 43 24 4.3 4 DISTRIBUTION SYSTEM A)i M, /6 t(o = 3Z ~JS I I lcadu•!Var 4. t Uisrlt. Uur x kde Sre xHolc Spacn, V:-Pt Air ! 1' e Pioelsi , 1~ 401 Ie';gth Cm_ Dia_ SptCirg I!QV SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only CeFT- O.M. UepR' O':u' c! n Seetleu Socdcd xx I& chec Be7'T .e-sh Ce•rt_r 5 -7 BcJTe•'ch Er.ges iccg5rl No Yes No COMMENTS: (•InclideLcode c'screpencies persons present, etc.) Inspection #1 Inspection 42 Location: 11354100TH STS did 5J40i - ) AL BM Description = l"r 1~ I_ 2.) Bldg se•,ver length= dr - amount of cover = I y~ Plan rev,s on Regwred9 Yes No Q Z7 Use other er side to additional mforma: on I C J Date Inseppc:C's Sigr.atu•e Cer.. No. SBU-5710 1H i~a:l _ s_~_ ao►s - aSy ,err? yi~ 1`I~J Sa:eN aid n~i~tngs Irv sae VV`` n _ f tE1 I j u 201 'IN,'. •Nasp n0ton Ave., P.p. Box 7Is-, Samar} ?emit t:umbce /n. he fiiec m by Co ' - Mads:m 'Yd' 53'107-7152 Sacut~l~ 1 eribit Application Lau' dac..~wtltS 4 r.r'niNLk-j(h1r.+*^R~uhmi rI tusi ywin u rcgn v:J nnpr l'Gv~tD- ')>a,tsatt r1' o l khan 1-rnc fo SIC wet , C alt;ubt turd t ~m.^.-t 1QQQum, (a(lflcrn: n:m~ rwlin~ avr~csi the fk. cln'1ani 'r,Cr• i. .~~e• I Pr c:mJtntonnanea loop uvide ma xm:d :orsnndaR~' / Ipun _m a..orian cwstt Jt l ,aa_ i t liimi Scuc_ - 7 rL 1Uplicahon Information Pleaac nt All NX11c lnf_orm riou JC 101", Alt Z' 1. nc;/~'as 1.lailt .Add:-_s5 70 - Pn,pc; ty L:>;'auon 2 .3) • i $ • N Cry, St - C'vc 1 Phux Nw;.b:I widm ~ _I-acic -1 w ~ 11. jJ'P k'eofS that a Jlchetk all rim l..Xc zz'. at__' F: l) D e;,:w P omocr,.t tkat •or:~ - SuMrvi: un, .'.ncnc Bixk" AaMtc':'.:nrtcraal-I'rr.M Se It 'If I Jla js(~~Oanc! Dez~a• i:l>c~I Inc i Yc y 111. 'Yvpc of f et mitt (Check(nnh' o hnx on fine :1 Complete hue B tI applimblc) ~ - Vcv srrn: epiwrrac..ly.. c.~ I~"Ircem en'.~-i n,_'I:_, i; r"tc r.^t~i,`ala Qhcr sioaiti-i:2 to L wnne Cy,t-n icXp:ain`. j- B i 1',-m h wa; , -nu: hai r'n 6 xec •-a !`Iun'+ x _ Permit t-dnsiu e 4rw I _st Prceiou: Patna Nwmba eiA G.ue saved klat 1 n t12,t~ A_, C` aPe of I GN I5 tivctem L ompoueuLDLp ue_f(hed. all that ap~ls l - - ///XXX/yyy___ Frra to ;a un El .c:>cr t li r:; ! 3:nde m'Ma ?s m. f.nitahlr v!il I ma:'-,~ Prarcu:ncnt lhal✓. :Xpltigl _ _F_~ 1 Unpet'saLTreat eur Area Iuformauon !w yI.? a I:r..,/ acm o R pdst' I I r ,.rn:a vc, 2egcncl (t: I Cr ~rc. i'rn ed Icta / Tank Into (-apa.In it I C/Tnx of V_/ L a 1 r I :rsl nu. Unfs Sew Tmhs I - ~ - u¢agCanip r i c _ _ _ VMr 1 ~fI►y~ v. ~ a m 111 R"Pemilulin' Star me - L the- underst nqd, - e mpao+ibdit) for insullaaon or the PGR t'S vl ewn on the attached plans _I Iu h -a'S \av. :'I' St ma.tae . _ MP ;16'.{ Yata'.,ca R so.>' Phonc N' m 1 n taI; Lip i. dr. - ll - ° - tmo.~cr's AJdrc• 'Svcs, ;]n 1 III unn% Dvpanmcnt I sr Unh_ - ear e. Tlatc >x2 -Tli:um t)i-•a:nmr 1pp .s:u iii, andi 4. fApet:':a cell "Res: dl: be r.'.11C. eC y!•~'//~~, is per mar 3yemenl pl=n p,. -w ,m. rht. 3) ' 2. M ee!o .k rrc.Obin~m s mast ce. PLA- ahpeflppiiMlWecrvSt?:M'.1a'r;-= C..~a~~ ~ .1:m:b a compWr Piau> lur LSr q~srcm and euomit m the Gnmf}~goly m pge„r oat laz Waq 8 r: s J l i~rho w vu - - System PLOT PLAN PRo.juvi Ralnh lAondor [rust ADDRESS 1854 100th St. New Richmond Wi 54017 SE I 4 NE I : a S 32 IT 31 N! R 18 R' T'OWN' Star Prairie couNTy ST. CROIX SYSTEM E141 ATION 91.51191.z' 5' nelow U'aae 9'5'1 8 3 DATE BEDROOM CONVENTIONAL XXX. CONVENTIONAL LIFT HOLDIM; TANK 1000 gallons LIFT TANK SIZE DOSE TANK SIZE _ A40IIND SI11'1'IC TANK SI/.I: DOLDING TANK SIZE LOAD RATE .7 ABSORPTIM AREA 651 # of chambers 32 BENCHMARK V.R.P. Bottom & siding ASSUME. ELEVA'UJON IOB' Filter Lifetime Filter ❑ BOREHOLL O WFLI" -H.R.P. same as benchmark 100th St. Scale is 1" = 40' unless otherwise noted 90, Future Property Line old system is to be pumped and buried D`,V ST L~istin_, Bedroom House Not enough slope to establish eontours S'I 20** B.M.' B-? 1(I' 30, (),5, B-I 'W 04 Well Vents .,0• B - 3l/c Slope X 66' Cells with >3' spacin1> Vent All piping .,hall lie ASTM SDR .10,'34, within 10' o tank. piping shaE be AST?vt F8()l >6" Quick4 Standard of Cover Leaching ChW11bcr with 20.0 ft_ of Ayea 5.6ft^-lpair of end caps 4' Lorw 1 - G.<tdc at Systern Elevation Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 9/5/18 Owner:Ralph Mondor Trust Location: SE1/4 NE1/4 S 32 T31 N,R18W 1854 100th st. Star Prairie Manuals Used: In-ground absorbtion system (version 2.0) Pagel, 1. Cover Page 2. Plot Plan 3. Chamber Cros ction 4. 6. Maintance a d C ntigency Plan 7. Filter Cross S n / Signature r License num r 226900 System PLOT PLAN PROJEc'i Ralph MondorTrust ADDRESS 1854 100th St. New Richmond Wi 54017 SF 114 NC 1r4S 32 /T 31 NrR 18 11 TOWN S1arPrairie COUNTY ST. CROIX SYSTEM ELEVATION 91.5.'91.4'5' below grade 915,118 BEDROOM 3 DATE. CONVEN"PIONAL CONVENTIONAL LIP'I' 1101,DINC TANK A10UND SN:1''11(' 1'.1NK SIZE 1000 gallons LINT •fANK SIZE DOS; 'T'ANK SIZE HOLDING TANK SIZE LOAD RAPE .7 ABSORPTION AREA 651 it of chambers 32 BENCIV11 4RK Bottom of siding ASSUME ELEVATION too' Filter Lifetime Filter ❑ RORI:uOLH. 0 WE' , =If.R.11. same as benchmark 100th St. Scale is 1" = 40' unless otherwise noted Future Property Line Old wstem is to he pumped and buried T )W 20. ST 4 Existing 3 Bedroom House Vol Cnaugh slope to establish contours ST 10, B.\L 10' 13 2 30 IO' B-1 20' 25' 15' ~~'CII Vents )0• N3B- 39- ' Slope 2-3' X 66' CClls with >3' spacing Vent All piping shall be ASTM SDR :30/34, evithin 10' of tank, piping shall he ASTNI F891 >6- Quick4 Standard of Cover Leaching Chamber with 20.0 ft2 of Area Iir 5.6ft^2lpair of end caps 4' Lone Grade at Svsten) 1:lc\°ation Cross Section of Infiltrator Quick 4 Leaching Chamber Typical cross section for 2 of 2 cells Quick 4 Standard Leaching Chamber with 20.0 1'12 of Area per Chamber 5.6fr^2 pair of cnd plates To be >1' above grade / Finish grade elevation / Typical Installation 96.7' V`nt /4Grade Vent 31 4" I~30/34 Septic Tank 3 Lon; 1 „ 5' Long f 36" Grade at System Elevation Grade at Systcm Elevation Spacing 5 2-3' X 66' Cells Same on other end Observation tube/Vent At end of cell A 16 chambers per cell B System elevations: A 91.5' B-91.4' POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page _;,t_ -ILE INFORMATION / SYSTEM SPECIFICATIONS all _.I,J!~h(, t eptic Tank Capacty - ) ❑ NA yLt - Permit# -Septic Iank Manufacturer U NA DESIGN PARAMETERS Effluent Filter Manufacturer _CZ 0 NA -4-4 A~T, Number of Bedrooms rJ NA EfflUert Filter Model J C NA Number of Public Facility Units ;4 AA Pump Tani Capacity NA Estimated flow (average) -gal Pump Tank Manufacturer L f~oaUda NA Design flow (peak), (Estimated x 1.5) gaVday Pump Manufacturer NA Soil Application Rate - - - f _yal/day/ft Pump Model NA Standard InfluenUEffluent Quality Monthly average- P etreatment Unit J NA Fats, Qii & Grease (FOG; -c3C lny;t. ❑ Sand/Gravel ~ilter C Peat Filler Biochemical Oxygen Demand (BODS) 1120 mgiL J NA. C Mechanical Aeration O Wetland _ Total Suspended Solids (TSS) =150 mgrL _ 7: Disinfection O Other- _ j Pretreated Effluent Quality Monthly average Dispersal Cell(s) Ll NA I+ Biochemical Oxygen Demand (BOD') ~30.m 9n m-(;round (gravity) ❑ In-Ground (pressurized) Total Suspended Solids (TSS) s30 mgiL NA. :J At-Grade ❑ Mound Fecal Coliform (geometric mean) j -.10" cftJ1toorrl 7 Drip-Line ❑ Other Maximum Effluent Particle Size in dia G NA Other- 171 , lotne - - - - - (A Other. - NA _ J 'Values typical for domestic wastewater and septic tank eeluein Uthec ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency inspect condition of lark(s) At least once ever/: O month(s) - - J -6 year(s) (Maximum 3 years) J hA Pump out contents of tank(s) _ When combined s.udge and srum equals one-third of tank volume ❑ NA 'inspect dispersai cell(s) At l- months ea5 once every: (Maximum 3 years) 'glean effluent filter At leas) once every : _q month(s) ❑ NA -year(s) 'Inspect pump, pump controls S alarm At least once every: 'I month(s) NA 'lush laterals and pressure test At least once every: O month(s) NA - - - - - - C year(s) Jther - _ At least once every. 'J month(s) ~Aher - ❑year(s) NA. MAINTENANCE INSTRUCTIONS ~I nspections of tanks and dispersal cells ship be made by an maividual carrying one of the following I:censos or certifications: Master !Plumber: Master Plumber Restricted Sewer: POW£S Inspector POI Maintainer. Septage Servicing Uperator. Tank inspections must 'include a visual inspection of the tank(s) to identify any missing or broken hardware, identity any cracks or leaks, measure the volume of ;ombined sludge and scum and to check for any back up or ponding of eHlueni on the around surface. The dis ersal visually inspected to check the effluent evels i ~ _ P eel(s) surf n the obsarvafion p,pa., aria to ,.hecrc for any pending of effluent on the ground surface. e. 'he pond'r,g of effluent on the ground surface n:ay ineicate a failing condition and requires the immediate notification of the local -egulatory authority. When the combined accumu ation of sludge and scum in any tank equals one th rd or more of the tank volume, the entire contents of he tank shall be removed by a Septage Servicing Operator and disposed of in accordarce wdh chapter NR 113. Wisconsin Administrative Code. ,411 other services, including but not limited to the se" cing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of <12 mont'rs, shal' be performed by a certified POWTS Mainta.rer. 4 service report shall be provided to the local regulatory authority•mlhln 10 days of completion of any service event. Page _ of START UP AND OPERATION duds or olher chemicals th4t For now construction, prior to use Of the POVNTS check treatment tank(s) for the presence of painting pro 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 POWT6- 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 product's; 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 prope(ty 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 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 fags 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 requitied setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the nr(ed for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rule-{ in effect at that time. O A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a homing tank may be installed as a last resort to replace the tailed 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 infiltralive 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 , -V r_. Name - _o Phone S Phone J-,- SEPTAGE SERVICING OPERATOR PUM R LOCAL REGULATORY AUTHORITY Name Name ` - Phone Phone J v This document was drafted in compliance with chapter SPS 383.22(2)(b)(t)(d)&(t) and 393.54(1), (2) & (3), Wisconsin Administrative Cade. I~. !l I I I S CC 4 it. OA,- o - I I ~ y1; -J ~ GAV, Va V~J t W 4 Z t t \'a T. CROIA_ COUNTY SEP'l1C7,VNK NIALNI* SN_AN('l ,IGRPYA,1LNI ANI) OWNI_RSLiIp CJ:!MF1CA77i-N PORM 0lsitet:'}3uVcr c3 i~ fro t9--P v~ f -U -1 J ! 1 - ' L .C( /yip T - - MailinuAddross AA- < Property Address crt:tcatfort required (toms pianrrrni 8". Luniu;~ 11upa:n:~u( liunzw umstuurnlnr.)-- - - {_•ily;State Parcel Idecti (icatroh Nmrber n!'L) LEGM, DESCRII''I'lON Property f icafion,j ~r-- '-t ,N. y" , Sue S _ N R Towu ofd Subdivision - - Lot t Certified Stu-vev Aiap H - Vrlulm: Page ti - -Warranty Deed k U _ I ~ , \'clunt.. Mahe Spec house vzs( Ir1 / - Lol tin,;. ideuhliable yc•s no SYSTEM NIAINTENANCE ANll Obi:NI;R CER7'IFIC:17'ION tngttoncr rise and u ahrirumuz of vow plc cyst m ould nsult ut its pt.+matnte tarbi to handle wastes. Proper nraintcrrance wnsists rd puntputg Dill the scpti .mt, cvvi i l. rays or,omit. ii n:cded, by a liccused pumper What you pm sun, the system can ttt et the ftmctin't of-Ihe septic Tank as a naalmt:ut. stage iri tic waste ttsposal sysa;m_ Owner:-,mu(enaucc ;esponsitnlmes arc specified in womm. 83. X2(1) and u; t'Irapt.u 12 SI- c, 'nx Co nr:y Camtsry Ordinance. The property owner agrees to s'ubrrtit to i;t cioix Couni, Planning Zon a:l• Ucpai naenr a ccjdication !brm" aigned by fire owner artd boa imste-r plumber, i,,arneyman plumb i, resn t.:(ed Paurnbci or a licerscd pmtypcr vcrityrng that (1) the on-site wastewater disposal system is in proper opctaimf: condition axu: )i aticr iasprciion and pumphg (t'-necessaryl, Itte sep5c tarrk Is Icss than 1;'3 full] of studgc_ i~,e_ eh,- tmdei! gacd nuvc read dre a: ,oc n-<_u ut-nr nl' and a;ace to tnain'arn rtic puvale sewage disposal system wrtlr the , taudnt i eel h, a, he:cin. a.. ct by the Dcpar-ment of ( o.;mmucc ana die Depamreut of Natural Rcsotuc"es, State of Wiscon in- (-crtificabon slanng that Your Sept: system has been rrramtamcd must be compicted and rennned to the St. Croix County Plam:ing d; /,orung Department wt!hri 30 trays of tlic three year e:xptraLon date. I: we cerl that all swtcmonts on s ioun arc uric co -hv heal till in a, a. 1 `•.vr andarc the owau:I (s) of the property described anovc, by viral of a w; !ant} r decd ux'mded m Rrr_,tsm tit Dec. n n Is Offic fftcc. :Number of bedrooitti.-_``~~ J S[GNA"FURL"OF. - J- DA'CI: ***Any intormauort that is misrepicse.Wwd may result at the sauil penal beutg nrvul by Ihe Planning: & Zoning Depanucut. Include with this app.icatl n n rmnrdrd vartanr; deed '-om dr krgi•-i,-r ,,t I-t"eh: hie- .red a coma O the crrirhed anr;rv map it reference Is rmidi: ur t[e, tear rr Iv d::ed. (Riev (18,[)5) Wisco n~De to II _ IIOWATION REPORT Page of P Q~ Divisi of Safety'and &II ~ngs I n accordance with Comm 85. W'is Adm Code l ~,rr County Anarli complete alto plaP pp,Ftaparrrot'le;y than tl 112 x 11 inches in size. Plan must indud~.b6 andTonzontal reference point (BM). direction and Parcel 1.0 percent slope. scale or dimensions, nordt avow, and location and distance to nearest road te Please print all information. Revie by Da7//0//45 Pmonal woymslIen you govide may" used for sacoedary Purposes(Privacy liar, s 15W(t)(m)). Properly Owner , Property Location - ~ r ti/ f / 'Y? ^,~J f j.^ Govt. Lot t +14/ j` 1:4 S -T } ( N R 3 E (,o W Property Owner's Mailing dre`s,'s',,// Lota Block Is Subd. Narne CSMK State Zip Code Phone Number O City ❑ Village `fa Town Nearest Road,,, C~~' VAS` 171 1 `-lr 7/~ r C~'~lrc ❑ New Constnlcbon Ilse' esidenual l Number of bedrooms Code derived design flow rate _ -1~--- GPD placement 'L] Public commercial - Describe Parent material Flood Plain elevation if applicable / ff ralcomments s: and r9 yster Typrr (.4Jy-.. System Elevation t 5 1 Boring p E3 Boring ¢7• pit Ground surface elev.? ft Depth to limiting factor - / L) in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDRP In. Munsell Qu. Sz. Com Color Gr. Sz Sh. 'Eff#1 •EHk2 -I t 7j " / ( v lej all l~ (l Bering 1 a pit Ground surface elev. L I ft Depth to limiting factor in. Soil nation Rate Horizon Depth Dominant Cola Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Effort 'Ett#2 r## • r Effluent p1 = SOD. > 30 < 220 moil. and TSS >30 < 150 • E ueni H2 = BOO, < 30 mgL and TSS < 30 myL _ CST Name (Please Print) CST Number Bird Plumbing, Inc. Shaun Bird / 226900 Address barn Lvaluallo~ Cunduobld 1c'oononc N.muur 1432 120th St. New Richmond. WI 5401 j 715-246-4516 Property Owner Parcel ID Page . of Boni C] Boring / 3 ~ # -pit Ground surface elev(, ' L ft Depth to limiting factor m. Sail Application Rate GPDJff Structure Consistence Boundary VRoom Honzon Depth Dominant Color Redox Description Texture 117) in. 6luruell Do Sz. Cont. Color Gr. Sz. Sh. *E"1 'E##2 Z - r /z _J I Boring # Boring ❑ pit Ground surface elev fl. Depth to imiting factor an. Soil AppLcation Ra:c Horizon Depth Dominant Color Rudox Description Texture Structure Co vdence Boundary Routs GPDAf in. Munsell Do Sz. Cont. Cobr Gr. Sz. Sh. 'Eff#1 'EfW2 _I a Boring # Boring Grouts surface elev. fl. Depth to Imi6ng factor in. Pit Soil Application Rate Horizon ')epth Dominant Color Redox Descnptlon Texture Structure Consistence Boundary Roots GPD#f n Munsell Ou. Sz, Cont. color Gr. Sz. Sh- 'Eff#1 •Eff#2 Ef9uent 41 = BODE > 30 < 220 ng2 and TSS >30 < 150 mg.2 ' Effluent #2 = BODs < 30 rrvg,'L and TSS < 30 m91- 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 furmat, please contact the department at 608-266-3151 or TTY 608-261-8777. sou eJlu ix naq it it Property Owner _ Parce! ID # Page _ o` ~jj Boring # Sonng pit Ground surface elay/~~ v(_~~' R Depth to limiting factor / 1 .r. - Sell liphon Rate Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPDRf in. Munsell Ou Sz Cont Color G. Sz. Sh. 'E 1 'Eff#2 ' ~~i ~ .~~L -err ~ ~ KI) ~ 'fJ . lL i j r Bonng # ❑ Bonng - pit Ground surface elev ft. Depth to uniting factor in. Sa' Appfiouon Rate Horizon Depth I Dominant Color Redox Description I Texture Structure consistence i Boundary Roots GPDtff in. ( Munsell Ou. Sz. Cott Color Gr. Sz Sh. '041 'Eff#2 I Bonrg # ❑ Boring ❑ Pit Ground surface elev. ft, Depth to limiting factor in. Sail Applacabon Rate Hdnzon ')epth Dominant Color Redox Desatpeon. Texture Stiv=re Consistence Boundary Roots GPDM m. Munsell Ou. Sz. Cont. Color G. Sz Sh- •Eff#' 'Eff#2 I Effluent #1 = BOO, > 30 < 220 mgrs and TSS >30 < 150 mg& ' Effluent #2 = BODE < 30 mgrL and TSS < 30 ng1L The Department of Commerce is an equal opportunity scrvice 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 608-264-877 7. 4eR010O AM, Soil Test Plot Plan Project Name Ralph Mondor Trust Shawn rd Address 1854 100th st. New Richmond Wi 54017 C~fS M #226900 Lot Subdivision Date9/5/18 SE 1/4 NE 1/4S 32 T 31 N/R18 W Township Star Prairie ❑ Boring Q Well Pl. Property Line County ST. CROIX BVf or VRY Assume Elevation 100 ft. Bottom of siding System Elevation 91.5/91.4 =HRpSame as Benchmark 1001h St. Scale is 1" = 40' 411 unless otherwise noted 90* Future Property Line 1)w ')0. ST Existin<u3 Bedroom House ' Not enough slope to establish cUntOL11-S I 13. M. 10 ' 13 2 10 30, 65' B-1 20' M.d 25' 15' Well 20' B_2 35' 3%~ Slope I - -