HomeMy WebLinkAbout020-1481-09-160
.Vis=,-^s- pcnenrn+nt M Commce County
er PRIVATE SEWAGE SYSTEM St. Croix
id'ety anc 3oildiru;; ~iivi:ainn
INSPECTION REPORT
(ATTACH t o P_RMI I I 607026
GENERAL INFORMATION ::,.'EI'lan'L NJ
l'E•+c •'a 111 ri Xw vx orcvidc raj tc uwc `ur rtiwndx, Oerooxs IPuca::, Law f. 11 a< 11::11:1
F'!r..'.rk:c, Narnc City .~ugc tv."Wp Farce Tax ra:
Todd and Angela Seigel TOWN OF HUDSON 020-1481-09-160
.:ST 6M E o•: Inca ❑Id I Irv IiN :)e:.n~Iybon SecbJNTJx'^:,a-nu0.1:: Nc
5 U` " Z G c5T 07.29.19, 3067A
TANK INFORMATION ELEVATION DATA
TYPL MAN'JFA,:TURl-= CAPACI IY STATION BS HI
srok,: . n- L'.5 Fi- V Z .~senalma'M. , q I~• 1 5
W tL G o4} -
P of l D C,4, 57-S Ail 13pli r%- ce to3.53
4nrahon vog. sever H5 100. G S
'roldlrg Sv-tt Inge: 7.q Z 1 p
Do. Lib
TANK SETBACK INFORMATION 14 WO -i(p
IANK IU F'~L WEHI -h; An In I., RDAD 171 I1110
t \
ti::pllc 1 N P , / 6. 5 - CI betlar
~wing ^cndcrtt.1an.
cy I•L`a
.Aeration .itsf. Plpc_, j 4 t, Al
Holding 30: System 1 10• IZ (,f 8 Z8
"final Grade -
9. 5 c
PUMPlSIPHON INFORMATION CA 1 ..0 51 k 43
Man.1W:
17 ua Dernanc S!':ove
Pr, ~•pq 4~3.J3
, F 1 U 11 1 JJ
Mode Imner
10.51 TDH iN Fncho-I °.4em ileao T Pt 11•b Q1-Wf
T3 I b
Forcemaln I enyll' 116 iisl t: :Nc
SOIL ABSORPTION SYSTEM S e r
BED.TRENCH ':aidlh l ^?;1;; O I N-~ cv - ",t, PIT DIME SIONS N" plat, Ira~Oe G.d. Lipu< enfh
DIMENSIONS (
SETBACK SYSTEM P. Iva HI l73 VJLLL LAKUSTREAM 1 FACHING Van..':¢eun:- e
INFORMATION Tyx DI >y51cn f t I CHAMBER OR r OVJ.J
(-OIW{,~I'I A S ~ ~ N A' ~ umr tn,dE raunec ,tdtlf3
DISTRIBUTION SYSTEM Anrm k r
1-eaoeN tandod 11 C: ~YihuLn- x Ho$e Size x Ilse Huecmg Jenl to 1, Intake
.ngrn Ox ea lengtn~ 7te ` 4.oaanq\ ` O1'% .~q,~ttl CI1Cl$
SOIL COVER x Pressure Systems Only xx Mound or At-Grade Systems Only
e 1h [T;ef DnF:h (11.11 x.. 7ePtn of xx $onec:NSnJdca a'. LhJChev'
ueae-h ECDe, Tpp;O. YCS Np
COMMENTS: gndude code dlscrepenoies. oersons present. etc;: Inspectian a, ntspecllnn 742.
Location: ti:(i(; A,; I Utv r T K 1 t0""lY` W _
F, C.o (,dal d- 'J arm
p
L1 Alt RFA t7esc1lphan = ~px ~ bFOp ~>-x
81c9 sewer length = rS w
10 .I
amoanl o' coven =
:'.ar tev:xloc Required? Ye No 5 l ~~///-IyL JL
M olttcl side for addnional Information fir _ _I tp _-_7'.I✓
l:3te p•;eo:r,in'e. .m p3tulE ::en No
T- %;="d
Safety and Buildings Division
I,=' i 201 W, Washington Ave., P.O. Box mit Number (to be filled in by Co)
S M icon, W1.~537 71
Sanitary Permit Applilcatio s`m Tta tyre`"°n Number
In accotdailce wish SPS 333:211?), Wis. Adm. C,dr, submission of this fmtn to the apJnoln ialr govcmtnrnml unit ~~`'J1~
is required pour to nFruinong a sanitary licimit Note: Application forms for state owned POW IS are cuhmilled to Project Address (if different than mailing address)
the DcpaMrenl of Sarctv and Professional Sen;cs. Perwnal infnmialiun you provide niay he used for secondary
,,cs in accotduncc with do Pnvicv law, s. 15.0411)Im), Suus _
I. Application Information - Ill pint All Information - 1066 Autumn Oak Lane
Propcy Owners sou me I Parccl k /
Todd & Angela Seigel 020-1481-09-160 ✓
Properly Owrca's Mailing Address Property Location rT7. t Lj. i i . 0(a 7_
1120 10th St N. Hudson WI 54016 Govt I of 16 V
1 cay, .rare lip C'ude Phone Number NE •G, SW 'A, Scefou 7
Hudson WI 54016 (circle me)
29 IS E or %V
If. Type of Ruildin>; (check all that apply)/, Qk G>D a N4 R
560 or 2 Family Dwelling - Number of licdroomt/ ^ J' - - v,- LI 16 Subdlyrsinn \arrc /
Irmo- ^ 'S Block a Whispering Oaks Phase #3
'LJ Puhbc+('.ommercial - Describe Use
- D City of
❑ Suite Owned - DescnbeUsse~ G) n "M Number ❑ Village of
J S down of Hudson 3
III. Type of C MR: (Check only o e box on line A. Complete line B if applicable) ,
New System ) ❑ Replacement System ❑ Treatmrnt'Holding Tank Replacement Only ❑ Other Modification to Existing System (explain)
B. ❑ Pamly Renewal r7 Pomiil Revision 11 Change of Plumber O Permit n iwtsfcr in New List Preyium Permit Number and Dale Issued
Herrnc Expiration Ow.ncr Z G'_C-r-'~
- 2 4 I O~
1Y.'Iy of /Coin - -t: -t: Check all that a Iv ✓C'.
xii] Nun-Pressunral In-Ground -1 P sslniud In-C'nound L At-Crode
~ Li Mound > 24 in of suim6k and ❑ Mound - 24 in. o(wiphle soil r
❑ l lolding'I'ank Other Dispersal Component (explam)_. - ❑Prcaeaaoent lhvix (explain) g' 1
V. Dispersalff'rea'sitent Area Information: K.~..
rXsign Flow (grid / Design Sod Applicati Di
on I~atKgpdsn spersal Area Reyuimtl (s Dispersal ma Prop, on )skin Llevauon 92 -r '5
~af>11-
97• ~o
VI. Tank info Capacity in Tout N of Manufacturer c 8 u
Gallons Gallons Onus Polylod( 525 a ; 1v
New links P.xining Tanks v ~ ~ u u'
e g _ ~ ~ ~ d
serl;_.a n,Iamg Talk 1250 1250 1 Wieser xxx
IA.ii,Chamber
VlII. Responsibillq' Statement- 1, the undenigoed, assume responsibility for installation of the PON'1 S shown on the attached plans
Pumber's Name (Prinl) Plumber's Signatwc NIP SIMS Number Business Phone Number
Countryside Plumbing & Heati g 664713 715-246-2660
Plm,71,- :lddmss(Stiver,City, Stine-Zrp
321 Wisconsin Drive New Richmond WI 54017
VIl County; Department Use Only _
Appm...I Ll cd- _ Pcmitt Icc Date ssu Issui Agent Signauue
S 66 '00 L. t)w nG cn Reason for Ocmal ✓ l
IX. C'ondil canoppys for isspproyal \
1. ,a m IIRa" t`n~ 3J t aCe~ eA C tirzntea~
U1iapll:':n Cell MUM 411 ??i}IC.'S " - _ J 111
as par oaf emen i-r r,< - n ;A.
2. Ag a~,it reruw91.. n,s mu t L O aY ' 7`~ e``- ~ ~ /
ant per itpFikarbli c,)(..-: ':rd
Aaarh m totepkrc fix. for rat avgein and aahnnu to Ih<Coaaty oey o.-Paapper taut lean thu a 12 x 11 tail", in %in
SBD 6395 (R. 1111)
CONVENTIONAL COMPONENT DESIGN
Residential Application
INDEX AND TITLE PAGE
Project Name: Todd & Angela Seigel
Owners Name Todd A. Seigel and Angela K. Seigel
Owners Address: 1 120 10th St. North
North Iludson WI 54016
Legal Description: NE 1/4, SW 1/4, S7'1'29NR19W
Township. Hudson
County: St Croix
Subdivision Name: Whispering Oaks PH #3
Lot Number: Lot 16
Parcel ID Number: 020-1480-09-160
Page 1 Index and title
Page 2 Plot Plan
Page 3 System Sizing & 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 WarrantyDeed
Page 9 CSM or Plat
Attachments: Soil Test & House Plans
Designer/Plumber. Countryside Plumbing License Number: 664713
Date: 03'01,'2019 Phone Number (715) 246-2660
Signature
Designed pursuant to the in-Ground Soil Absorption Component Manual for POWTS Version 2.0 SBD-10705-P (N.01/01).
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SOIL ABSORPTION SYSTEM DETAIL / GRAVELLESS LEACHING UNIT Pago_ot
Project Name: Todd & Angela Seigel p
No. of Cells p Per Cell
ft Cell Width Total No of / z~Jy `/i',(
LE!/ r, Cell Length ; 0 sy fl EISA Per Cell
ft Cell Spacing t so ft Total EISA
Manufectum Model Laid- Len N EISA Ratln
Inflltrala EZ12031-1-5fl I I 5.0' 25.0
EZ12031+10ft 10.0' 50.0
Gravelless Leaching Unit Manufacturer. Z-70 1_703 hl_ left
Gravelless Leaching Unit Model:
Finished Grade It Typical Cross Section
- Observation Pipe with
approved cap or vent
in Soil Backfill
y~Geotextile Fabric
.....E
12 in fl Infiltrative Surface
~ Q II
I it Limiting Factor
Slotted and Anchored Vent/
_ Observation Pipe with Cap
Plumber/Designer Signature: Countryside Plumbing and Heating
License 664713 Date: 03/1/19
PDLYMgK
aP,nat mr,,g, zane,. PL-525 Effluent Filter
dI4'as(n,oler Pooacn ~ n.;'.:be o~rGtkh h:.
PL-525 Filter
The PI. 525 Filter is rated for 10,000 GPD (gallons per day) making it one of the largest filters in its class. It has
525 linear feet of 1/16" filtration slots. Like the Polylok PL: 122, the Polylok PL-525 has an automatic shut-off ball
installed with every filter. When the filter is removed for cleaning, the ball will float up and temporarily shut off
the system so the effluent won't leave the tank.
Features: 1/16" Filtration Slots
Rated for I0,000 GPD (gallons per day). Harm Switch
ZOr000 GPD (Optlortalf
• 525 linear feet of 1/16" filtration.
Accepts 1" PVC
• Accepts 4" anti 6" SCHD 40 pipe. EArnsiunr Handle
• Built in gas deflector.
• Automatic shut-off ball when filter is removed -
• Alarm accessibility. - tinted for
10,000 GPD
• Accepts PVC extension handle.
PL. 525 Installation:
5?; l.i near Fl
Ideal or residential and commercial waste flows up to
of 1; ih"
10,000 gallons per day (G'D ) -
Pillralion Slott'
1. Locate the outlet of the septic lank.
2. Remove the lank cover and pump tank if necessary.
Accepts 4" &
3. Glue the filler housing to the 4" or 6' outlet pipe. If SCHD 40 pip,. `
the filter is riot centered under the access opening use a
Polylok Extend & Lok or piece of pipe to center filter. "
4. Insert the Pl: 525 filter into its housing.
5. Replace and secure the septic tank cover. Certified to
® NSF!ANSI Standard 46
PL-525 )Maintenance: i
The PL-525 Effluent Filters will operate efficiently for
several years under normal conditions before requiring
cleaning. It is recommended that the filter be cleaned t
Vitt"
every time Iho tank is pumped, or at least everv three
years. If the installed filler contains an optional alarm,
the owner will be notified by an alarm when the filter
needs servicing. Servicing should be done by a certified G Dcfhctnr
~
septic tank purnper or installer. Automatic
1. 1 oc ate the outlet of the septic tank. shut-UffBall
2. Remove tank cover and pump tank if necessary.
3. Do not use plumbing when filter is removed.
4. Pull PL-525 cartridge out of the housing.
5. Hose off filter over the septic tank. Make sure all
solids fall back into septic tank.
& Insert the filler cartridge back into the housing making
Outdoor Smartpillei Alarm Fatend & Lok"'
slue the filter is properly aligned and completely inserted- p ,lyh+k Zabel & Brst f ltrrs:raccpt Easily installs
Replace and secure septic tank cover. the Smarr Filter-'switch and alarm into existing tanks
Polylok, Inc. 3 Fairfield Blvd. \4'allingford, Cr 06492 '1611 Free: 877.765.9565 Fax: 203.284.851.; wPR .polylok.colrr
X13 ' 99178-57.£ -008
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POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page I Of 2
FILE INFORMATION SYSTEM SPECIFICATIONS
Owner Todd & Angel Seigel Septic Tank Capacity 11250 al C NA
Permit t Septic Tank Manufacturer Wieser 0 NA
DESIGN PARAMETERS Effluent Filter Manufacturer Pol Lock 525 C NA
Number of Bedrooms 4 0 NA Effluent Filter Model 525 0 NA
Number of Public Facility Units NA Pump Tank Capacity al DNA
Estimated flow (average) 450 gal/day Pump Tank Manufacturer RM X
Design flow (peakl, (Estimated x 1.5) 600 gal/day Pump Manufacturer )DNA '
Soil Application Rate gal/day/ft"! Pump Model 49
Standard Influent/Effluent Quality Monthly average' Pretreatment Unit NA
Fats, Oil & Grease (FOG) 530 mg/L 0 Send/Gravel Filter 0 Peat Fitter
Biochemical Oxygen Demand IBOD,I 5220 mg/L YI NA 0 Mechanical Aeration 0 Wetland
Total Suspended Solids (TSS) 5150 mg/L 0 Disinfection 0 Other:
Pretreated Effluent Quality Monthly average Dispersal Ce(lls) 0 NA
Biochemical Oxygen Demand (BO0,1 530 mg/L )JkIn-Ground (gravity) O In-Ground (pressurized)
Total Suspended Solids (TSS) 530 mg/L )ER NA O At-Grade 0 Mound
Fecal Coliform (geometric mean) 5104 cfu11OOml 0 Drip-Line 0 Other:
Maximum Effluent Particle Size Y. in dia. 2)(NA Other: Xj] PIA
Other: Other.
Dt)CIA )p(NA
' Values typical for domestic wastewater and septic tank effluent. Other. )t(9 NA
MAINTENANCE SCHEDULE
Service Event Service Frequency
Inspect condition of tank(s) At least once ev 0 monthlsl
3 yearlsl (Maximum 3 years) 0 NA
Pump our contents of tank(sl When combined sludge and scum equals one-third (yrl of tank volume 0 NA
Inspect dispersal cellist At least once ev 0 month(s)
ery: 3 0 moat year(s) (Maximum 3 Years) ❑ NA
Clean effluent filter At least once every: 0 monthlsl 0 NA
1.1 0 year(s)
Inspect pump, pump controls & alarm At least once every: 0 month(s) Xpp NA
0 yearlsl
Flush laterals and pressure test At least once every: 00 years ls) )3 NA
Other: 0 month(s) -
At least once every: 0 yearls) )(R NA
Other:
I NA
MAINTENANCE INSTRUCTIONS
inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications:
Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector, POWTS Maintainer; Septage Servicing Operator. Tank
inspections must 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 pending of effluent on the ground surface.
The dispersal ce(lls) shall be visually inspected to check the effluent levels in the observation pipes and to check for any pending
of effluent on the ground surface. The pending 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 013) or more of the tank volume, the emirs
contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113,
Wisconsin Administrative Code.
All other services, including but not limited to the servicing of effluent fitters, mechanical or pressurized components, pretreatment
units, and any servicing at intervals of 512 months, shall be performed by a certified PDWTS Maintainer.
A service report shall be provided to the ices! regulatory authority within 10 days of completion of any service event.
START UP AND OPERATION Page of '7,-
For new construction, prior to use of the POW T S check treatment tank(s) for the presence of painting products or other chenAcals
that 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 olimination of the following from the wastewater stream may improve the performance and pro)ong the life of the
POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat,
foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil;
painting products; pesticides; sanitary napkins; tampons; and water softener brine.
ABANDONMENT
When the F'OWTS fails and/or 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 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 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 linos 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 effect at that time.
❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS
technology a holding tank may be installed as a last resort to replace the failed POWTS.
alua'
`ank
b e g
all . ?RDNt13rrrra R, P_ ,J6W afj57'2(Jc-7' oun//
❑ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the
infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time.
< <WARNING> >
SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT
ENTER A SEPTIC, PUMP OR OTHER TREATMENT 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 Countryside Plumbing & Heatin Name Paul Koehler
Phone Z35 246-76150 Phone
71 5-946-2RAQ
SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY
Name Darrels Septic F Name s-I- I l 20Avit
Phone 715-425-1025 Phone -7/S-
This document was drafted ¢ compliance war chapter Comm 82.22;201b)fti(d!&(t and 83.540). (2) & (3). Wisconsin Administrative Code.
ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner,'Buyer 7~ODD x AN(Et_a SF,GEL
Mai ling Address 112 /0 S N ~/✓Dsol~ w/ sjo/(a
Property Address 1066 Autumn Oak Lane
(Verification required from Planning & Zoning Depamnent for new construction.)
U 9 - /~O
City/State Hudson, WI 54016 Parcel Identification Number. 02 0 b l
LEGAL DESCRIPTION
Property Location NE %4 - , Sec. 7 T _ 29 N R 19 W, Town of Hudson
Subdivision Plat: Whispering Oaks Phase 3 Lot # 16
Certified Survey Map N Volume Page 4
Warranty Deed # (before 2007)Volume Page P
Spec house❑yesWo Lot lines identifiableRyes0no
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 thin 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. 393.52(l) and in Chapter 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 road the above requirements and agree to maintain the private sewage disposal system with the
standards act forth, herein, as set by the Department of Safety And Professional Services and the Department of Natural Resources,
Sate 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.
l/we certify that all statemenon this form are true to the best of mytour knowledge. Uwe am/are the owner(s) of the
property described above, by virtue oft9 warranty deed recorded in Register of Deeds Office.
\umber f/
~/L 26 /~3/ 20/ j
Sl A1URE tr P CA T(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 dead from the Register of Deeds Office and a copy of the certified survey map if
reference is made in the warranty deed.
(REV. 04112)
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ffisconsinDepartment of Commerce CEVALUATION REPORT Page_TOf_
Division of Safety and Buildings 07-99 A. q . 3C47 A
in accordance with Comm &5. Wis. Adm. Code
COY
Attach complete site plan on parr not leas than 8 12 x 11 inches in size. Plan must
include, but not landed to: vertical and horizontal reference point (BM), directors and Parcel LD.7 r
Percent slope, scale or dimensions, north arrow, and location and distance to nearest road. m v i ~G O
Please print all information. Reviewed by Date
PvwnN in/orrrution Yaa Mavid! mry Oe afed tar wrnrWWw7 WrDar~s (Rnsq 4w. r 15.ar f i) (m)).
Property Owner Property Location
W T '1 Govt. Lot of 114 J~ E ( ) w
Property Owner's "Bing Address Lot g Block 0 Stbd Name or ~SMw
8 i y `►Z;
A-I
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City State Lp Godq Phone Number O CM O go own Nearest Road /
16 b c > I f 66
-ILI
w Corlsbucaon Use. li&Zesidenbal /Number of bedroormssiXr Code derived design flaw rate
❑ Replacement ,,/~1//) C] P;iplc,: or commercial - Despitie
_
Parent material!tta ~GroX,~};~ Flood Plain elevation it applicable
General comments 1 ~v~^D , j> / .JtJ S ~,1~~ ✓
and reoxnmsndabo * `
System Type~' V o s" System Elovabon. 1 ~
1 Boring 0 Boring
J9,pit Ground surface elev.) ft. Depth to Nmifing factor - ~ in. Sol 'cadon Rate
hlorizorrl Depth Dtxmrent Collor Redox Desorption 7extixe structure Coitsistenoe Boundary Roots GPDAF
in. Mtnsel Ou. Sz. Cont. Color Gr. Sz. Sh. •Efdt1 'Eft#2
7/7- V1 44)
Boring a f~ 0 Sexing
fd Pit Ground surface elev. ft . Depth to limiting factor ;II J
_ Sol Application Rate
Horizon Depth Dominall Color Redox Description Texture Structure Consistence Boundary Roots GPON
in. Mutsell Ou. Sz. Cont. Color Gr Sz. Sh. I 'Emit •Efft2
17 J
Nor}-
"JCa r7' ` wj
• Effluent a1 = BOO" > 30 < 220 nWL and TSS >,,0 1 " • Effuem 1Y2 = DOD. 30 mgh- and TSS < 30 moll.
CST Name (Please Print) CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address Date Evaluation Conducted Telephone Number
1432 120th St, New Richmond, WI 5 7 -/n 715-246.4516
Property Owner Parcel ID # _ Page _ of
E Soong Boring
# Pit Ground surlaw elev. 1_l~d I ft. Depth to tinvtng factor Sod ration Rate
Hadmn Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDMf
in hlunsell Ou. Sz. Cent, Color Gr. Sz. Sh- 'Eff#1 'Eff#2
T-- )Ir rd
~ r1
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pit Ground surface elev- tt. Depth to limiting factor _ i^- Soil Application Rate
Horizon Depth Dornnant Color Redox Description Texture Structure ConsLstence Boundary Roots GPDMf
in. Munseft Cu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
Boeing F1 # Boring
pit Ground surface elev. It. Depth to Imitirg factor n,
Soil Kaliort Rate
Horizon '1ep1h Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPOMP
rn. Munsoll Do. Sz. Cont Color Gr Sz. Sh. 'Ef#tt 'EM#2
EMuent #1 = BODE >30 < 220 m9l. and TSS >30 1150 rrKA ' Effluent #2 = BOD, < 30 nxA and TSS 130 mWL
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 forma please contact the department at 608.266-3151 or TTY 608-264-8777.
seo-eswta eenu ICI
Soil Test Plot Plan
(project Name NWP Holdings Shay ` u'd
Address 1844 River Ridge Rd.
Hudson Wi 54016
STVI #?26900
Lot 16 Subdivision Whispering Oaks III Date 12/10/17
NE 1/4 SW 1/4S 7 T 29 N/R19 W Township Hudson
Boring Q Well Pl. Property Line County ST. CROIX
BN1 or VRP Assume Elevation 100 ft.. Top of 3/4" pipe
System Elevation TBD *HRpSameasBenchmark
Scale is F = 40'
unless otherwise
noted
Autumn Oak Lake
B_,
0
101'i slope
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Li-1 0_3
5' 35' 20'
99.5' Area of poor soils
100.5'
101.5'
102.J's0'
1 5 s'
Future Town Road
WHISPERING OAKS - PHASE III CAL LOT OFTAILFOR OBACALCULAnax
!SCILS AND C6A. MAP) ! ~a
CONTIGUOUS
BUILDABLE AREA
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