HomeMy WebLinkAbout030-2153-10-000
',b1s; ~nstn ue:ennem r,' Comr._¢e PRIVATE SEWAGE SYSTEM "°t' SL Croix
uarey anc.. n:LnS; Tlroi~ion
INSPECTION REPORT
GENERAL INFORMATION ynlcnv=crm4 no
;'ATTACH 10 PFRMI-I 5c,t: 61)7014
Plan D na
'ersonal mMrt-ratio- yeti GrOVicc 'nay Le ma:n far sso~Na:y ours^= IPn': aoy I ax t`, Oe ~ "Irc'i
Pc-rttl llo'IIII %a'ne 'v Ali xje T,:.,h'.: L T:n nn
Roger and Kathy Carlson TOWN OF SAINT JOSEPH 030-2153-10-000
In::G oil Etclim Dc,mptor ilcwru'RynpaMaf: no
DU LrtCa 20.30.19.3080
TANK INFORMATION ELEVATION DATA
TYD;- NV,NUFAC I:1RFR CAPACI I" STk1 KJN RS HI F S Fl F_ k'
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Sepllc G f 3 /Z 5,v nenenmark: p
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TANK SETBACK INFORMATION Stoll 1101w -7. 5 Q '
~?INY, TT :S'[LL 3!.:)C: c-t to Au Intaxr RO!>_i Dt Inle! \
Sepllc. 1 44 77~J0 )t Bottom
12J`l 99.7
Vera D•s: -1ipe
i blduly Bnt Syslcm
lAf,18 y7r7
r`n)al CAade
PUMPlSIPHON INFORMATION
Manufaclurer Demand St Cover
-PP. I ~ Ca 3, /,643,
model Number
TOII 1 III -nctlon I oss Sy-lem I lead U~ Ft
i orcmatl I ength :iii is:. to ev-i
SOIL ABSORPTION SYSTEM
BEDfTRENCH 'Ada9h 1 tooth Nc 'v( Trr:- -c Plr DIMENSIONS N, of F'Itr nstic 't
DIMENSIONS -1, iquuo JcpM
3 9a z ~e,,.~~
SFTBACK SYS iEM T.^. P't Li_7G i,F~KFJSTREAIA LEACHING Man:3,l _lu:c:
INFORMATION _
CHAMBER OR 6- r^^/A
O!''.y51ta~Qh r}
ArWcl N,rrnhrr
DISTRIBUTION SYSTEM /N~
F-eacm Adanifol / De:mbuean x Hale 5¢e x Hor Ica t u l 'lac
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I e:-_tlr D CndT I nnctn Dm tp:acn_SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only .'s r
❑cPP. O. - De,tr D.." _,e~In u' x} SeFtlee.'S4ttlea u: M. G^et
Beal lnm:h Ccmor beta reach Cd9cs Tcnsai
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COMMENTS: !Inolude e:xle discrepencles. pensons present cb:. I Ins"iorl p1 ulsaechor pY
Location: 14744P,T-ST F.t1
1. i r11t F3n^ lXSCnptror - 1
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- wumint of covet Iz
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Plan revision Regwred? Yes v No
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e oVlor sdc for additional n)fonrwhor.. M ~I', (J'am'
Date I",c 1=rs nature :;e't Ne
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J County
Safety and Buildings Division st.crolx
2 1 W. Washington Ave.. P. O. Box 7162 Sanitary Permit Numher no he filled Ili by (70
Y iDS 29 Z~~9
'O P rl JaN Madison. WI 53707-7162
`°1lAM~>' ~ ~ (0 6701'-
Suns Tians,cumt Numbs
-5ani ' Application
In aocnni:'n.c .10. NP', th' i 1.1117. Adr 1 t do cuhm 111111 of flu: Gmn to dm apinnpr iam ¢o.cnuncnul ana AI
is rc u,al d pr t, "Irlnini+:r r .:nul:uv Imnnn \taa. AppLC UO.,n tom,c by smlc-rrw ncd F'O14'1S me ilbinjued to project Address (if drfibrent than mailing addressi
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1 4 i dicafion Information Please 1 All Infonnaliun """IIIIII 71
R Ipt-m OI n, N:pu. 1 r 1'mrol n
n roger and kathy Carlson 030-2153-10-000
Roomy Owna'. Madmr Address Property 1o"n4.n lo. 30,t1. 301%o
1474 48th street ("ot I „I
Pity, Slate /.p( ode Ph "w \lmdVT SE NE Swint,
_2.O
houlton Wl Icirdeoncl
I 30 N: R f.,rt \v
11.'1'ypc of BuildinL (cht'ck all that appiy) Ok pI . I.
.R I or ? Fundy Iiw cll:no \umtnr of litdr<wnr~ 1 Q Suhdn'ISron Namc
~julr,a;~4^alIywe- tsln,k PIONEER NR19t6E ESTATES
PubliNt'nnunanaal ly"nte liac - dam r Cny' nt
l'SNI Numte, t.: \'dlage of
.J SIa/tA,e (lw ned /Ik;/c/nle the
n of ST JOESPH
.~~la'.~T f~`(~J / EL {'-~O r,./5 Ldsluw
111. Ty i' it: (Chec only one box on line A. Complete line B if applicable)
A X Ncw System Replaccmtnn Sy stern ._I l rcaunatvHnldmc lank Replacement Only J Other Modification to hxlsung System (cxplainl
,J Panul R .:n.:w ;d El ! 'c n"❑ R" "'o, I ( 'hancc of Pl Pe ntit Transfer to New' List Previous Permit Number and Dale lawicd
B. ~ unihn n
Bdo"fspb anon Owncr rld-Ii
GY`~'a✓x.-
stem'Component;Device: Check all I at apply)
(~\omlyc..mvcJ :n-hound .I'mssunx.i lnairound N( (,,ad, ❑\lound. 24 in, ursudnblcw'd EIII nuIII 24 i,. ofsrdLyble soil
(1 Holdmc Tank ulbcr Ifiynv.al Um;ponrnl Sexplmnl _ r Preucannenl Device (cxplainl _
~l/C711r~Ll;Afnlent Area Information: - - /
D, "Y" Ho. Ippdi M,,Irl Sod Apph;atron Ratcteld. Dispersal Alva Recp,i,ed I) Di,pcu:d Ara, Pmpx,wd 6"t*
600 .7 185, 900 z•
f.Tiffi Info Iapa:rly in lwal dof \1;nmfachor,
(tattoos Gallons Units 3 c ra
0
\;'s 1 ono: _ 6vsri:rg tanks 1~ SZS _ j ? L
SCI v~ F. _o a
W fo 4
srpn mmu"wrnp.I"ilk WIESER 1250 WI SER X
Ik+.ieR C 1amh,"
VII. Responsibility Statement- 1, the undersigned. assume responsibility, for intallation of the POP7S shown on the attached plans.
Plumhcl's Nana 111111111 I'lumhci s Srpnature - MP:\IPRS \umbel liuaincsN Phone Number
PAUL R KOEHELR 225410 715-246-2660
Plunih;,'. \ddre.. rat„r t 11, \::uc. Ap 1 Td. i
321 WISCONSIN DRIVE NEW RICHMOND WI J 1,/ 11
\'IIL< ountsi Dupartment [ Ne Onh
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as per PKIcrbl c w:*. :rd 11
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CONVENTIONAL COMPONENT DESIGN
Residential Application
INDEX AND TITLE PAGE
Project Name DERRICK i CARISON
Owner's Name. ROGER AND KAKI IY CARLSON
Owner's Address: 1474 48TH S I' l IOU A'ON NVI
Legal Description: SE 1 i4 NE U4 SEC 20 -f 30 R 19 W
Township. ST JOSEPH
County: ST CROIX
Subdivision Name PIONEER RIDGES ESTATES
Lot Number, 10
Parcel ID Number: 030-2153-10-000
Page 1 Index and title
Page 2 Plot Plan
Page 3 System Sizirg & Cross-Section
Page 4 Filter Specs
Page 5 Maintenance Information
Page 6 Management Plan
Page 7 St. Croix Cty Septic Tank Maintenance Form
Page 8 Warranty Deed
Page 9 CSM or Plat
Attachments: Soil Tes: & House Plans
Designer/Plumber: PAC I. R KOEHLER License Number 225410
Date 1207,2018 Phone Number (715) 246-2660
Signature Designed pursuant to the In-Ground Soil Absorption Component manual for POWTS Verson 2 0 SBD-10705 P (N.01101)
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SOIL ABSORPTION SYSTEM DETAIL/ GRAVELLESS LEACHING UNIT Page_ot_
Project Name: ROGER AND KATHY CARLSON
2 No. of Cells 9 Per Cell
3 r Cell Width 18 Total No of EZ12031
90 t Cell Length 450 sQ n EISA Per Cell
3 r Cell Spacing 900 sn h Total EISA
Manufacturor Model La ing Length FJSA Ratin
InlilUals -Z1203H-5h 5.0' 25.0
LZ12c3H-10n ic.o' 50.C
Gravelless Leaching Unit Manufacturer: INFILTRATOR
Gravelless Leaching Unit Model: EZ 1203H-10FT
Typical Cross Section
Finished Grade ft
---Observation Pipe with
• \ approved cap or vent
Soil Backfill
if/) n
_GeoteMile Fabric
YVIw~ ~
C
12 in s Infiltrative Surface
J ~ _
n Limiting Factor G
J~ ^C in Slotted and Anchored Ventl
J1
Observation Pipe with Cap
aPlumber/Designer Signature:
-
Liicense#: MP225410 Date: 12107/2018
POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page I of 2
FILE INFORMATION SYSTEM SPECIFICATIONS
Owner ROGER AND KATHY CARLSON Septic Tank Capacity 1250 al C NA
Permrt A Scotto lank Manufacturer WIESER n NA
DESIGN PARAMETERS Effluent Filter Manufacturer POLY LOCKC NA
Number of Bedrooms 4 C NA Effluent Fiher Model 525 C NA
Number of Public Facility Units C NA Pump Tank Capacity gal X NA
estimated flow laveragel 450 aliday Pump Tank Manufacturer NA
Design flow (peak), (Estimated x 1.5) aliday Pump Manufacturer 1XNA
Soil Application Rate .7 al/day/ft' Pump Model EXNA
Standard Influent/Effluent Quality Monthly average' Pretreatment Unit C NA
Fats, Oil & Grease (FOG) 533 mg!L C Sand/Gravel Filter ❑ Peat Filter
Biochemical Oxygen Demand (BO D,) 5220 mgiL C NA C Mechanical Aeration O Wetland
Total Suspended Solids (TSS) 1 5150 mg/L Q Disinfection ❑ Other:
?retreated Effluent Quality Monthly average Dispersal Cellist ❑ NA
Biochemical Oxyger. Demand IBOD'I <30 mg1L L/vn-Ground Igravity) C In-Ground [pressurized)
Total Suspended Solids (TSSI 630 mg/L C NA C At-Grade ❑ Mound
Fecal Coliform (geometric mean) s10` cfui100ml C Drip-Line ❑ Other:
Maximum Effluent Particle Size I', in die. G NA Other:
Q NA
Other Other C NA ❑ NA
"Values typical for dornesuc wastewater and suoLC tank effluent. Other: ❑ NA
MAINTENANCE SCHEDULE
Service Event Service Frequency
Inspect condition of tank(s) At least once ev monthlsl
ery: 3 ~yoar(sj nth (Maximum 3 years) ❑ NA
Pump out contents of tanklsl When combined sludge and scum equals one-third (Y,i of tank volume O NA
Inspect dispersal cell(s) At least once every: 3 ❑monthls) (Maximum 3 years) C NA -
_ yearls'~
0 month(
Clean effluent filter At least once every: 1.1 ID year(sl s) C NA
Inspect pump, pump controls & alarm At least once every: C monthlsl 13 NA
year(s)
Flush laterals and pressure test I At least once every: Cj yea this) EXNA
n' :1 month(sl ❑ NA
Other: At least once eve
: 1C yeads)
otira C NA
MAINTENANCE INSTRUCTIONS
inspections of -ranks and dispersal cells shall be made- by an inalvidual carrying one of the following licenses or certifications:
Master Plumber; Master Plumber Restricted Seven POVVTS Inspector; POWTS Maintainer; Suptage Servicing Operator. Tank
inspections must include a visual inspection of the tank(s) to identry any missing or broken hardware, identify, any cracks or teaks,
measure the volume of combined sludge and scum. and to check for any back up or oonding of effluent on the ground surface.
The dispersal cell(sj shall be visually inspected to check the effluent leve's in the observation pipes and to check for any pending
o' effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the
immediate notification of %he local regulatory authority.
When the combined accumulation of sludge and scum in any tank equals one-third (Y,) or more of the tank volume, the entire
contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR i3,
Wisconsin Administrative Code.
All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment
units, and any servicing at intervais of 512 momhs, shall be porformed by a certified POWTS Maintainer.
A service report shall be provided to the local regulatory authority within 1C days of completion o? any service event.
Page _ Z e<
START UP AND OPERATION
For new construction, prior tc use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals
that may impede the treatment process andior damage the dispersa! celllsl. It high concentrations are detected have the contents
of the tank(s) removed by a saptage 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 call(s) in one large dose, overioading 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 Oporator 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
withir 15 feet down slope of any mound or at-grade soil absorption area.
Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the
POWTS: antibiotics; baby wipes; cigarette burs; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; tat;
foundation drain Isump pump] water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil;
painting products; pesticides; sanitary napkins; Tampons; and water softener brine.
ABANDONMENT
Wrion the PONrS fails andior is permanently taken out of service the following steps shall be taken to insure that the system is
properly and safely abandoned in compliance with chapter Comm 53.33, Wisconsin Administrative Code:
• All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed.
• The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator.
• After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with
soil, gravel or another inert solid material.
CONTINGENCY PLAN
If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant
replacement system:
❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption
system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by
required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will
result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must
comply with the rules in affect at that time.
❑ A suitable replacement area is not available due to setback andor soil limitations. Barring advances in POINTS
technology a holding tank may be installed as a last resort to replace the `ailed POWTS.
T
^ Ir
I'v~ ak:a' c a o ing Sank -11 V he i- a al so ~ . FpDldfj5 nSjN ~ r45 l5777_0(-:710
❑ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the
infihrative surface. Reconstructions of such systems mus: comply with the rules ir. 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 Dli--FICULT OR IMPOSSIBLE.
ADDITIONAL COMMENTS
POWTS INSTALLER POWTS MAINTAINER
Name Oll1SLTRYSInF P H _Na111e PAUL KOEHLERext
Pnona Phone 715-246-2660
7~ 5_~dR_ORR(1
SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY
Name DA_RRELS SEPTIC Na"ie ~'i
Phone 715-425-1025 Phone -71S- 3g'_ cl(o
-his documem was Ur•ned r, compliance •wrin chapter Cemm 817.2Zf2)mli! Ifd1141fi and 85.5401, f21 a (31. w'iseonsin Administmtivc CUOe.
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer Roger P Carlson, Kathleen M Carlson
Mailing Address 1016 North Star Ridge N, Hudson, WI 54016
Property Addre s 1474 48th Street
(Verification required from Planning & Zoning Department for new construction.)
City/StateSomerset9 WI Parcel Identi 030-2153-10-000, 030-2153-10-001
Identification Number
LEGAL DESCRIPTION
Property Location Sec. , T N R W, Town of St. Joseph
Subdivision Plat: Pioneer Ridge 10
Certified Survey Map # _ Volume Page #
Warranty Deed # 1072777 (before 2007)Volume Page #
Spec house ClyesIBM Lot lines identifiable OyesQno
SYSTEM MAINTENANCE AND OWNER CERTIFICATION
Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper
maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into
the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance
responsibilities are specified in §SPS. 383.52(1) and in Chaptcr 12 - St. Croix County Sanitary Ordinance.
The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the
owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site
wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is
less than 1 /3 full of sludge.
Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the
standards set forth, herein, as set by the Department of Safety And Professional Services 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.
I/we certify that all statements on this form are true to the best of my/our knowledge. I/we amlare the owner(s) of the
property described above, by virtue of~ warranty deed recorded in Register of Deeds Office.
Number of bedrooms 3 /
SIGNATU : OF APPLICANT(S) DATE
"'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.
V
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382'470 434.66- 48.99E j
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` isconsin SOIL EVALUATION REPORT #1431
Department of Commerce in accordance with Comm 85, Wis. Adm. Code Page 1 of 3
Schmitt Soil testing, Inc.
Division of Safety and Buildings
County
Attach complete site plan on paper not less than 8%: x 11 inches hi Plan must St. Croix
include, but riot limited to. vertical and horizontal reference point (BNy, erect n and
percent slope. scale or dimensions, north arrow, and location aTd dista earest road Parcel I. - to ~-t-4
Pleasep 11 f, I n Rev By Date
Personal inbrmabon you provide may used 1 p(Pnva l t 5.04 (1) (m)j. jl~d /z / g o
Property Owner Prope Location
Golden Harvest Capital. LLC OE 1 3 C(] Govt. Lot SEIIK F1/4, S20, T30N, R19W
Property Owners Mailing Address Lot # Block # Subd. Name or CSM#
14906 Blakeney Road I F j 10 Pioneer Ridge
City Stat( Zip Code Phone Number City Village Town Nearest Road
Eden Prairie MN 55347 (612)202-3234 St Joseph 50Th St.
New Construction Use Residential / Number of bedrooms _ 3_ Code derived design flow rate 450 GPD
Replacement Public or commercial - Describe
Parent material Glacial till Flood plain elevation, if applicable na ft
General comments
and recommendations. Area is suitable for a mound system. System elevation is 99.37' based off of contour line established at
98.37'. Slope is 11%.
❑ Boring # Boring J -
Pit Ground surface elev. 99.27 It Depth to limning factor 26 in. oil I Application Rate
Horizon Depth Dominant Color Redox Descnption Texture Structure Consistence Boundary Roots _ G_PD_HN _
in. Munsell Ou Sz. Cont. Color Gr. Sz. Sh. 'Eff#l -EfW
1 0-7 10yr3/3 none sit 2fsbk mvfr as 2m,2f .6 .8
2 7-11 1011 none sit 2msbk mfr gw 2f .6 .8
- I
3 11-17 1011 none sit 2msbk mfr gw if 6 8
4 17-26 5yr4/6 none si I 2msbk mfr gw .6 1.0
5 2644 -
5yr4/4 m2d A,6 2 sl lfsbk mfr gw .4 .7
r6 7 -
6 44-76 7.5yr5/6 m2d /.'.,yr6/8 I Orr) mfr 2 5
- L5yr6i2 I .
❑ Boring # Bonnq
Pit Ground surface elev. 99.37 _ ft. Depth to limiting factor _ 30 in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistent Boundary Roots _ GPDAe _
in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. •EfIA1 •Efrrt2
1 0-8 10yr3/3 none sit 2fsbk mfr as 2f .6 .8
2 8-22 10yr5/3 none, sit 2fsbk mfr cw if .6 .8
3 22-30 10yr5/4 none sl Irri mfr gw .4 .7
q 30-39 5yr4/6 flf 5yr6/6
5yr5/2 scl lmsbk mfr gw .2 .3
t - - . -
5 39-60 5yr4/4 flf 5yr5/6
7 5yr6/2 sicl lfsbk mfi - 0.2 0.3
I
i
Effluent #1 = BODi> 30 < 220 mg7l and TSS >30 < 150 mi ' Effluent #2 - BOD5 <_30 mgiL and TSS <_30 mgil.
CST Name (Please Print) Signature CST Number
Thomas J. Schmitt <c+co- - 227429
Address Schmitt Soil Testing, Inc Date Fvaluation Conducted Telephone Number
1595 72nd Street New Richmond. WI 54017 7YL212006 715-247-2941
1, oil
Prop2rty owner Golden Harvest Capital, LLC Parcel ID # 10 Page 2 of 3
Borng # Boring 1
Pit Ground surface elev. 96.84 fl. Depth to limiting factor 24 in. Soil Application Ratei
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDlN'
in. Munsell Qu- Sz. Cont. Color Gr. Sz. Sh , 'Emil •ER#2
1 0-8 10yr3/3 none I 2mgr mvfr as 2m,2f .6 .8
2 8-13 10yr7/3 none sil 2fsbk mvfr qw 2f .6 .8
3 13-24 10yr5/6 none sl 21sbk mfr i gw if .6 1.0
4 24-36 10yr4/6 c1d 10yr6/8 SI 2fsbk mfr gw .6 1.0
10yr6 2
5 36-51 10yr5/4 m2d 7.5yr6/6 sl lmsbk mfr err 4 7
7.5yr6/8
6 51-69 5yr4/4 c2d 7.Syr6/8 scl lrnsbk mfr .2 .3
7.5yr5/2
i
Boring # Boring
Pit Ground surface elev. N. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence, Boundary Roots GPDifV
in. Munsell Qu. Sz. Cont. Color Gr. Sz- Sh. 'Etf#1 •EHa2
i
i
❑ Boring # Boring _
Pit Ground surface elev. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Descnption Texture Structure Consistence Boundary Roots GPDItl
in. Munsell Qu. Sz- Cont. Color Gr Sz. Sh. •Ehnt •rr#z
Efflucm #1 800, 30 <;W mgr_ arc 1SS >30.= 150 rig r. ' Effluc-n u:%= HOD. 3^ mgr,. arc TSS 3O mgr L
The Department of Commerce is an equal opportunity service provider mid employer. If you need assistance to access services or
need malerial in an alternate format, plcaic cxnuact the depulmcut al 608-266-3151 or TfY 608-261-8?7-.
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4iimR; Sal IMtlry, L>,:.
Pagey3 of ~3
Conducted by: Conducted For:
Schmitt Soil Testing Inc. Name: Golden Harvest Capital, LLC
Thomas I Schmitt, CST 227429 Address: 1440 Arcade St. N
1595 72nd St. City, State, Zip: St. Paul, MN. 55106
New Richmond, VA. 54017
Phone: 715-247-2941 Subd.Name: Pioneer Ridge
Lot No.:
Dade: 7 C9, Legal Description: sc, 1/4 NEIM S20 T30N R1 9W
Backhoe pit Township, County: St. Joseph, St. Croix
A Bench Mark El. 100.00' Top of 2" pvc pipe.
ZN Alternate Bench Mark EL 99.33 ' Top of 2" pvc pipe
Slope= 0, Contour Line El. %L~ 3 7 Contour Line Length -
Scale 1" = 40'
c oz ~iNE
~Iyl - - Gr
- - 63 _ V
The Sal isdSs Erah~u~wv~m"gldcdbfiiBl~meiE is ery M M" so[ be is a bdion metrLk fXYMUM t
s. ept.ofSafety andProfessional Services -r, SOIL EVALUATION REPORT Page of
is n of Safety and Buildings 13
in accordance v ith SPS 385, Wis. Acni. Code County S'1' CROIX
o A ch complete site plan on pak 6olI@ Tg than 8 112 x 1 inches in size. Plan rnusl
de, but not limited to ve" AndIjbKzontal r e point (BM), direction and Parcel 10 30-2153-10-000
I -d J ent slope. scale or dimensions, north arrow, and location and distance to nearest road.
Please print all information. Revie by Date
Persona';.nrw.alion •i m,: Nrcv.du -u y De used ror Sewncan' paposos,Privacy law, 15,03 ltt f:,:. 11, 1 j ~q
Property Owner Prop" Location ISl1'
ROGER AND K-NI IIN' (ARLSON L]
Govt. Lot 5~~ 1!4 14 S ZO T 31) N R I 7E (or) W
Properly Owner's Mailing Address Lot # Block # Subd. Name/or CSM#
1474 49111 S"1' 10 P:6^eA, ; ;
Ciry Slate Zip Code Phone Number ,ity ❑Village ow•n N rest Road
HOULTON 1V1 ( ) STJOSL'PII k- ;
New Construction UsoC] Residential Number of bedrooms Code derived design flow rate GPD
11 Replacement ri Public or commercial - Describe:
Parent material Flood Plain elevation if applicable
General comments
and recommendations. Zer++-
PIT 11 Boring
Boring 4 96.89 N6
1 ❑ Pit Ground surface elev. it. Depth to limiting factor in.
Soil A lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure onsislence Boundary Roots GPD?R
in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. ff#1 fHt2
A 0-9 10 YR 3.'3 - CL ZNIBK N11 1 AS FI' .4 .6
B 9-18 7 5 YR.1 4 CL ^MI1K MF] AS VF 4 .G
BI 18-32 75YR4I LS ()SG \1L AS VF .7 1.6
C 12-49 -.5\'R5!4 Sc, (ISG ML AS L6
CI 45-54 7.5YR53 - SG OS(i NIL AS 7 1.6
(2 54-96 7SY'R4; 4 S(i OSO Ml. AS ? t.6
I~
-111 it rl g 86
PIT Boring N ❑ Boring 98.9
2
Pit Ground surface elev. _ ft. lh to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure bnsistence oundary Roots GPDIft
in. Munsell Qu Sz. Cont. Color Gr. Sz, Sh, ff41 I1`112
A (124 I0 YR3;3 CL 2NIBK MFI C\\' FF .4 6
B 24-48 7,5YR 4;a ONISG 3CSG NiVF1 C\V FF .2 .6
C 48-5'- 7 SYR3 4 - 0\1SG 3CSG NIVF1 AS .2 .6
CI 52--68 7.5YR34 RIBONLIYERS ON1SG 110,16 MV'F1 AS 2 .6
C2 63-56 7.5YR3r':I He(col`r OMSG 3C'SG N1N'I'I AS 6
Effluent #1 = BOD , > 30 < 220 mgtL and TSS >30 < 150 mg,*L ' Effluent #2 - BOD , < 30 mg1L and TSS <30 M91
CST Name (Please Print) gnat re CST Number
PAI1L It KOEIILER 225410
Address Date Evaluation Conducted Telephone Number
321 WISC(_)NSIN DRIN'F. OC'I' 182(IIN 715-246-2660
SBD-8310111 I+I 1)
~N
ROGER ANI) KA'I HY (ARI SON 030-21 i3-If1-000 2 31
Property Ov+nm - Parcel ID# - J Page of ` ~.Y.•~
Boring o 11 Boring
F-9 El i
pit Ground surface elev. gS- 1 ft. Depth to limiting factor •'t_in Soil A Keaton Rate ;
Horizon Depth Dominant Color Redox Description Texture Slmcture onsistence Boundary Roots GPD+Yt -
in. Munsell Du Sz.. Cont. Color Gr. Sz. Sh. • -ol ff#2
A 0-12 IO YR 3 L_MBK MFI CW FV .6
13 12-24 7.5YR-14 (L 2MBK MFI CW \'F 4
131 24-33 7.5YR-I -1 SG OSG ML AS VIN .7
C 38-86 75}'R5 l4 SG OSG Nil. AS 7
7jj
ti f
Boring is ❑ Boring r 3 I
n Pit Ground surface elev. fl. Depth to Umiting factor in.
Soil -Application Rate
Horizon Depth Dominanl Color Redox Description Texture Structure onsistence Boundary Roots GPD:'fl '
in. Munsell On. Sz. Cent- Color Gr. Sz. Sh. ft#1 • ff#2
A 0-15 IOYR3;4 S11. 2MBK MFI CP' VF .6
H 15.39 ..5YRi 4 CL 2MBK MFI C\V \'F A
C 39-59 7.5YR4/ 3 SG OSO MI. AS .7
C'1 59-86 7.5YR54 SG OSG ML AS
Boring
F 1 Boring # Pit Ground surface elev. ft. Depth to limiting factor in.
Soil A lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft =
in. Munsell Du. Sz. Cont. Color Gr. Sz, Sh. ff#1 ff#2
' Effluerl - BOO - 30 : 220 marl and TSS X30 150 mgrL ' Fffluenl #2 - BOD < 30 mgI and TSS <30 mg4.
The Dept. of Safen and Pill I •s;umal Scn ice. a nn ecu;d opportuntly un'iuC pr0cider and CMPIoyet, II you need a>sistance n,
access set ices 01 need material in an alternate formal, contact the department at 60N 266-31 i I cr TTY Through Rc•lav_
s
1 r.
KOGF;R AND KATHY CARLSON 030-21511-10-000 'I
Property Owner Parcel ID Page of 1
Z ~ Boring ✓Boring # ❑ _ :-y
• Pit Ground surface elev S
. It Depth to limiting factor D 4 T in Soil plicatirrn Rafe
Horizon Depth Dominan: Color Retlox Description Texture Structure onsistence oundary Roots GPDM '
in. Munsell Cu. Se. Cont. Color Gr. Sz. Sh- H#' iF#2
A 0-12 10 YR 3----------------------- 1. _NIBK Nom CW FV 6
B 12-24 '.511(44 CL : NIBK 64FI (AN' VF A
BI 24-38 '.5)'1(44 - - - SG USG ML AS VI:
1(6 75YK5 4 S(i 0SCi ML AS
4 r r 9
❑
I Bonny # Boring
U O Pit Ground sur(ac:e elec. It JePth to bmihnp facto, g b ~ ir`.- Soil .4pptication Rate
r Tr
Ho~rDeplh ~Uommant Color Retlox Ues::nption texture structure -onsstence oundary Roots GPJat
in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. - -W ff42
A 6-15 10YR34 -----Sz--------- SIL. 2MBK NIL] CW VF .6
B I5-39 '.51'1CS:4 CL 2MM MF] CW VF .4
C 39-59 ..SYR4r3 SC; USG NIL AS
-
C1 59-86 ' 5YK5:4 SG OSG NIL AS
i
t -
❑ Boring
❑ Boring # Ground sur'a::e elev. it Depth to limia•ig factor in.
❑ Pit Soil Auplication Rate
Horizon Depth Dominam Color Redox Description -exture Structure consistence Boundary Roots GPDt
in. Munsell Ou. Sz. Cont. Color Cr Sz. Sri. P#1 IfM2
Ffpue^.t - BOD 3P. 2YU mu1 and TSS 3, Effluent 42 = HOD 30 mg•4 arr. TSS < 30 mg.-1-
I he Dept of Safety and ho essional Services is an equal opportunity scn ice Provider and employer. If you need assistance to
ar'i es:e services or [iced material in au alternate format, contact the department at 60S-266-3 'S I or TTY through Rela}'_
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