HomeMy WebLinkAbout038-1090-30-000
s;r; v:;an ,e +e C; -,c :c PRIVATE SEWAGE SYSTEM St. CrolX
e,fcr; s :n:r an
INSPECTION REPORT ianrwrvP"fieNo 607089
GENERAL INFORMATION :.Al IACG l TO PERIAl; S+a+e Pea- Ic Nc
(•''r
r'e:sonaI iwc-~J! c- yuo pmodt'nay :re ,soj for seconcarp : _rpcscs'c- sari .:ar. s I!, U4
Pe-n'.I HJide's Na'C. t} vJla yc ~Can:h o F':urnI !a. No
Roger Olson TOWN OF STAR PRAIRIE 038-1090-30-000
C5T?1.1 E lev I-sp. 3"' 1 Inv Me besMpoon nn Sidon, Tae,;Ra,gc:`.1ao •.o
1~ (e J~ 1.~CQL- 21.31.18.370A
TANK INFORMATION ELEVATION DATA
'YPL IAAN:EACIURER j CAPACI IY STA.I ON BS HI rS ELEV.
Sepllc Ben:;hmalk 6.5 /o`• /4b
J u.~cJJ J 7
AI: RM
le)
Aerallon Hldy. S!^mcr
-7'3 5Y•L
Holding S7..t IPlei Svut Oullel S. .
TANK SETBACK INFORMATION y
TAN,< -p P x lS'LLL BLL'C ':'en: tc A1i• Intake ROAD Dt file:
S s7"AA.
Septic Bl B"11 m
0 -OF Axe
Dosing Headerth•an.
Aeiatrrl Dist. Pipe I_ 7- 5, q
uoldmg P.pl. System 7•'S 7 J
7. 3 ,
PUMP/SIPHON INFORMATION renal Grade (~.lp 16I.1to Z •7 9$.9
Manufacturer )vlnard StCover . /V /d
GrLI F'lL~ Lo
".iooel Number
-CH Lilt Fnctlen-oss Syslcrn II ^ JT'_?H =1
FOR;e1IlAl'I LCnCth ~?ia
SOIL ABSORPTION SYSTEM
SEDiTRENCH -:th I- en n Nr. 01 Tmncne' / PIT DIMENSIONS No (:r 15ts qmd Qq:.h
DIMENSIONS ~
Z
SETBACK SYSTEM TO PiL DLOG .41 1 LAKES ST4r AA' LEACHING 6rano'aU.n-
INFORMATION ' CHAMBER OR
p 5y5:om r n 7L_~ l / 99 UNIT odr Nufnb
e4 571
AtIO..1d~ W
DISTRIBUTION SYSTEM }-I(m=3 vS
He"dc•'Aa n;f / Ds:ribuLC- xfloo 5rta +Hoe Spaoing Vont~gJu_I lakes
I er 2+•~/ r I engln DV `=nanny-
SOIL COVER x Pressure Systems Only xx Mound Or At-Grado Systems Only
7ep:n Cer' ~cath C'ver )",A), cr xx seeeed: Sodcvd xx Mulched
3cd1-r"n~:h crier ( i!ed,l -encn Edges ~,epsc"I vec - 1 Plo Ves No
COMMENTS: :Inctuiee code drscropenc es persons preser:l, clc j nspecrwn p1: Inspection #2
Location: 2Cr'l CTY RB C
1 .Alt UM Description=
2 i Hldg sclvur length = S SA.~••
amount of cover = L ► I /~J O~ y v
] AFL e~v~. a](J~. <q ol✓ u,(,•e.~, 0`11161`4L 'F5 Aj.-*4r~j
Plan re•nsipn ReGUired'~ Yes ~elVo ! 2A~ /5 ~3
7~
Use other side'oradd honalinlc•nra on 7 b !
Cane I^ .iers Sigrr re Cert. N.
$32-r'tn
,r.k~ - - - - -~N-ao~g 093
c.,I. o ,
Safeq an 3t;ilgings Uihsan
19 at 23W. v~rashingtor: Ave., N.J. I3~z 7162 _
Isi $ P SI :ai[.roy Perron Numb-r Ito be til:c,1 m by Co.:~
~ "utadis 2707
`WI 762
Sanitary Permit Appllc, sa<t ar acdcof/,~mhc
In a:uxoyi:,s With SPS V i:2:' Tv A.au ("Or, n : f ,h s 1 : h aFprc7vun so,•anmrn:.:l t¢rt A)i -
tiw I - lY t(npart.ft t . r.. r w:t a a,mt,.¢y Frltm 7rw- tpplt an n .-n[[u, nr -tve-s.w-ieJ A~t6Tc me tinmiae;. fu ; nJe .Add :;s iu` C(lTarnr rtro: [o:u=ire ad:irc>si
r v` I Saferv r 1 Pr, ssi n r S-ys nd : rcrtior y.,u p:..y idr: may bt U>eC la sel,ndan~y't{r
t~c.,es' li a ..vdan wi[ i Li< tlva, Iv y s WI ytt S 'S.
f ApP6cetmo lnfortasunn-F'Ira>e Prml Ail mafinn G
F>~ (wMttr s 1. r:i: Par«I a
J15 -Orr-
}'rop-r[y (hears ,u.g Xmas ETtyenv Luwttoo ~eiyy
1~ _ )nc L ;Govt L>t ti"~-~I
Crty, S(ue ~ Zip Code Hmne Number Sm6on
TI Type of Building (check all [hat apply -J' -T~rt ^ T 3 N: k _ F Wi
' Im`=aniil5';,»cllm:•.-Number of iioxtn. ~ Subdrvurnn Kan. -
~ uCIL{ H-Im:: u -
- ..m.~~ t L* of
Sele Owned CS%f 4
JeS:+Jrt,K-- mrber
:11. Type off ermit: (Check only un oyn A. Complete line R it applicable) 1
A V Mw Sysla Rcaly<o,etl yyZ~t L Treaunrnt
~S
U H-+uiou i11 ' Wantr H'•IJin_^_':a:ilrP.ry>Isceneot OUIy L❑ rsl JPdr:ts vrNouI,a vPif eurzaon oVn
-3 Pcmt Renewal Mol Picber - uto m.h:xe ecantiad ~llSaz}>: w'xn cuiemx- p
Penn nayfc to Kew -
fit.` n Eqi : +Can I Check alltht Owner
P' t}ye of I QR?3 Svsttm Com~uent 1)eNce: la apples
\on-i'rcssvasd lc Grc ana t'trsv i U Cr.:ua i :de C momJ - m of mltvbie snil ❑ M1iound h!. of su.-rai:ic w8 ~6
nalR m L ❑ .m.: p:t -1 a n 's:Ia (1 prGrc rcn: C>ni;c lexplain; _
V Uu rr>aL Lea ent Arta Information: - r- y
% :7n:lo"tgpd, Uc:,: 1.d Apph.
\f -'P /F•`:-al rc Ii :quvu typ,`ri rv-ea Pfa( v.eJ Sysibn--7~nL V
V I. Tank lafo 'smc•ry to
'Cxal ot-----blmmfanurer ♦ '-T -
6alko; 11"I. -F nim ° o
v
=
Px x Hnt.4t :nn. (._LS1 GJ_ I. i 0i .n .-vr- J
FV II. Respmurbilih tita(rmeol:~k tlv aadersiyne ume rrspopsitxliry fur instal(aGun of rue POR Ib showy na thr almched plant. -
llm 's !.arse Prrn[i
Sf}+T~`RS Numbs Liusmeic t'hcrte Kmnhc
Pnanba's .AJorcc':SVat uv S1zte, LF~ i _ r +i''Y-"-V -Y-l.-i/
-A
TVIII Cuunn Drlrartment (,,e Ouly _
!C. pp'ovc ~ Strout II rc nahr 7QS_uo $sum F.M Sigrat - 19
IX. Cwdl anoua for Disapproval
1.. arfhx~. dtte tr*t 3 d n n.~. aA
'!s px ntacayemen' plan o „does W ylwntlp:.
2. AS meet" mi;L n .w%41 mlctl w r.Rr,1, n I.j
rprapiicAbHcx* ( rd:r•A•'IOtR
\ru.b to :vmpira piam fer the }stem anal .vbmir tM r=.amp ..h, o. pnytr nor lest thrv At_: I I inches m snx '
SF?,L%-0193 {R i 1,'::( /0
Sv tcm PLOT PL,A\
PROJECT R002r O:sJn ADDRESs 2051 Ctv Rd C SomersetW,25
SW I?a NE t;4s 21 r1' 31 N!R 18 w TORN Star Prairie couv Y S' CROIX
SYSTEM ELI NATION 95.5195.4 3.5' bel0av grade 5?310
3
BEDROOM
F CONVENTIONAL XXX CONVENTIONAL LIF'r IMLDUG I'ANK
MOLNU SEPTIC TANK SIZE 1000 gallons I1111"I TANK SIZE D011F I ASk SIZE
HOLDING TANK SIZE- LOAD RATE. ABSORPTION AREA 65 k of chambers 32
R F.]CITDIARK Y.R.I'. Top of sv01I ASSUME ELEVATION IOU' Filter Lifetime I91C;1
❑ BOREHOLE ~ %ITI.1. j<. I). a^~e as benchmark
c'I,. RdC Seale is F = 40
UnleSS otherwise
1 noted
1
Appic R:ver
Quicx4 Standard
Leaching Chamber
with 20.0 ft_' of Area
600' S6ftAI J)air o' end caps
AL(mL,
Ciradc at Svaer: Elevation > S 1 F) w
,1
'txistieg
Bedroom.
I IOUs,-
20'
X 66' cells with >3' spacin« 6~
ST
t r~Cl, 33 25
1% Slope '
'
0 0
60' B.M.'
30'
Vcnts B-; r ~'0
Propery LIM R
T
All pi;ar.<_ shall be AS'['M Sll1L 30.-34, within
10' of tank. piping shat' he ASI M FS()!
Cover Page
Shaun Bird
Bird Plumbing Inc.
1432 120th St.
New Richmond Wi 54017
715-246-4516
Date: 5/4/19
Owner: Roger Olson
Location: SW1/4 NE1/4 S21 T31N,R18W 2061 Cty Rd C Star Prairie
Manuals Used: In-ground absorbtion system (version 2.0)
Page4
1. Cover Page
2. Plot Plan
3. Chamber Cross Section
4-6. Maintance and Contigency Plan
7. Filter Cross SecOon
T,
Signature-
License num br #226900
System PLOT PLAN
PROJECT Honer Olsor ADDRIiss 2061 Ctv Rd C Somerset Wi 54025
SW 1/4 NE I14s 21 /T 31 N/It 18 \1' TOWN Star Prairie COUNTY ST. CROIX
SVS'I'EM ELEVATION 95.5/95.4 3.5' below grade 5/3/19 BEDROOM 3
U,\TF.
CONVEN'l lON'AL XXX CONVP:N'1'I0NAL LIP"f HOLDING TANK
MOUND SE171C TANK SIZE 1000 gallons LINT' 'TANK SIZE DOSI•: TANK sUF
110LDING TANK SIZE,. LOAD RATE,. .7 ABSORPTION AREA 651 # of chamber, 32
ItL:NC1IALARK V.R.P. Top of well ASSUME: ELEVATION 100' Filter Lifetime Film-
❑BOREII01.I.: O WELL rI1.It.P, sameasbenchmark
cty Rd C Scale i s F = 40'
unless otherwise
noted
Apple River
Vent
>6" Qmckd Standard
of Cover I Aaching Chamber
with 20.0 It2 el' Arca
600' 5.611^2/pair of end caps
4' Loner 1'..
Grade at System Elevation FS'1 my
3-l
xisting 3
edi oom A k---00
House
20'
7
30'
2-3' X 66' cells with >3' spacing /5' A 14
SI
% Slope
20'
BI
60' 50'
60' 10' B.M.
B-?
30'
Vents B-3
Property Line
All piping shall be ASTM SDR 30/34, within
10' of tank, piping shall he ASTM F891
Cross Section of Infiltrator Quick 4 Leaching Chamber
Typical cross section for 2 of 2 cells
(,wick 4 Standard Leaching Chamber
with 20.0 ft2 of Area per Chamber
5.6ft^2 pair of end plates To be >1' above grade
Finish grade elevation
Typical Installation 99.0
Vent JAO(l Grade Vent
3 X30/34 Septic Tank 3
5' Lon- t 5' 5' I.nn t
Gradc at System Elevation
3(i" Gradc at SVstcm Elevation
Spacing
2-3 X 66' Cells
Same on other end Observation tube/Vent
At end of cell
A
B
16 chambers per cell
System elevations:
A-95.5'
B 95.4'
POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page `_of_
FILE INFORMATION SYSTEM SPECIFICATIONS
owner ~
Permit # ? c7-v- Septic Ial capacity C' NA
_g n-
I~ Septic lank Manufacturer
_ ( K - 17 NA
DESIGN PARAMETERS Effluent Filter Manufacturer
❑ NA
Number of Bedrooms ❑ NA Effluent Filter Model /T- ❑ NA
Number of Public Facility Units NA Pump Tank Capacity
II Estimated flow (average)
- at
( ~c al/da Pump Tank Manufacturer NA
Design flow (peak), (Estimated x 1.5) (1,)_'2_:'
_ gal/dd Pump Manufacturer NA
Soil Application Rate
2- gaUday/ftZ Pump Model _ NA
Standard Influent/Effluent Quality tvtonthly average' Pretreatment Unit
Fats, Oil & Grease FOG, ` C NA
(FOG) t= mg1L ❑ Sand/Gravel Fitter ❑ Peat Filter
Biochemical Oxygen Demand (BOD,) <220 mgll- a NA CI Mechanical Aeration ❑ Welland
_ Total Suspended Solids (TSS) <150 mgiL ❑ Dis,nfearon
❑ Other
Pretreated Effluent Quality Monthly average t)ispeaal Cell(s)
Biochemical Oxygen Demand (BOD5) <30 mgiL -Ground (gravity) O In-Ground (pressurized)
Total Suspended Solids (TSS) <'30 mgiL -JNA A- Grade
Mound
Fecal Coliform (geometric mean)) ' <_104 efullooml ❑ Drip-Line ❑ Other
Maximum Effluent Particle Size in dia. ❑ Othe' 171 -
aver - - - - - - NA
NA Other - -
❑ NA
"Values typical for domestic wastewater and septic tank offlaenc Other. -
:i MA
IS(IAINTENANCE SCHEDULE
Service Event Service Frequency
inspect condition of tack(s) At luasl once eve: 1.1 month(s)
- y _ Year(s) (Maximum 3 years) L VA
PurnP out contents of tank(s) - When combined sludge and scum equals one-third Q;) of tank volume A]
'Inspect dispersal cell(s) At least once eve7. O month(s)
> (Maximum 3 years) ❑ NA
Clean effluent filler ~Ymcnth)
_ - - I TAl least once every: ~j ❑ month(s) ❑ NA
inspect pump, pump controls & alarm - - months
At least once every: NA
- _ ❑ year(s)
'lush laterals and pressure test At least once every: O ril NA
9ther - - - _Yea. O _
At least once every '3 . D month(s)
IJther. - - - - - year(s) - - - NA
❑ NP.
MAINTENANCE INSTRUCTIONS
inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: M ater
Plumber; Master Plumber Restricted Sewer; POWTS Inspector, P01ATS Maintainer, Septage Servicing Operator. Tank inspections:mast
include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks. measure the volume of
:ombined sludge and scum and to check for any pack up or pending of effluent on the ground surface. The dispersal cell(s) shall be
visually inspected to check the effluent evels in the observation pipes and to check for any pool of effluent or the ground surface.
The pending of effluent on the ground surface may indicate a failing condition, and requires the immediate notification of the local
egulatory authority.
When the combined accumulation of sludge and scum in any tang equals one-third (i5_) or more of the tank volume, the entire contents of
he 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 611",Q filters, rnechan:cal or pressurized components, pretreatment un", ,
and any servicing at intervals of 512 months, shall be performed by a certified POl Maintainer.
A service report sha'I be provided to the local regulatory autnonly •xilhin 10 gays of completion of any service event.
Page _ of
START UP AND OPERATION
For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals theft
may impede the treatment process and/or damage the dispersal cell(s). If high ooncentiallons are detected have the convents of the
tank(s) removed by a septage servicing operator prior to use.
System start up shall not occur when sal 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 diispersel 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 riot 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 We of the POWTS'
antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; dlapers; disinfectants; tat; foundation drain
(sump Pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting produc*;
pesticides; sanitary napkins; tampons; and water softener brine.
ABANDONMENT
When the POWTS fails and/or is permanency taken out of service the following steps shall be taken to insure that the system is propefiy
and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code:
• Ail 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 fined with soil,
gravel or another inert solid material.
CONTINGENCY PLAN
If the POWTS falls 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 systelm.
The replacement area should be protected from disturbance and compaction and should not be infringed upon by requi0ed
setbacks from existing and proposed structure, lot lines and wells. Failure to prated the replacement area will result in the neled
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.
A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technolog4 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 sal and site evaluatpon
must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installedi as
a last resort to replace the failed POWTS.
❑ Mound and at-grade sal 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 r~-:, , Z _ Name
Phone J r 7 - Phone
SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY 1
Name
Phone j - - - C Phone <7 l l 7
TMs doarnen Pima drafted in oonnplianre with chapter SPS 383.22(2)(b)(%d)&(f, and 38354(1), (2) & (3), Wfseonsm Administrative Code.
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ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE iGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Ownm/Buyer -...1
Mailing Address C S Vo d-
Property Address _
(Verification requtired from Planning & Zoning Department for new constinetiom)
City/State Parcel ldentification Nunber.,,2-3 S - j~ -(IjJy
LEGAL DESCRIPTION
Property Location Ste'/<,/✓= Sm.71
T3 / N R1b _W, Town Of~r-
Subdivision Lot #
Certified Survey Map # _ - - - - - _ , V c dume Page # _
Warranty Deed # , - - Voluune Page # _ -7~ 1
Spec house yeti i,ut line: identifiable j es no
SYSTEM MAINTENANCE AND O /Wl/ER CFRTMCATION
Improper use and maintenance of your septic system could result in its prLmiature failure to handle wastes. Proper
maintenance consists of pumping out the septic tank every three years or sooner, it needed, by a licensed pu=pcr. What you put into
the system can affect the function of the septic tank as a treatmcut stage in the waste disposal system. Owner maintenance
responsibilities are specified in §Coamt. 83.52(1) and in Chapter 12 - St Croix County Sanitary Ordinance.
The property owner agrees to submit to St Croix County Planning & Zonng Department a certification form, signed by the
owner and by a master plumber, journeyman plumber, restricted plumber or a licenesod pumper verifying that (1) the on-site
wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (ifnecessary), the septic tank is
less than 113 full of sludge.
I/we, the undersigned have read the above roquircaucuts and agree to maintain the private sewage disposal system with the
standards set forth, herein, as set by the Deparxient of Commerce 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 Planting &
Zoning Department within 30 days of the three year expiration date.
Uwe certify that all statements on this form are true to the best of mylour knowledge. I/we atrdare the owner(s) of the
prey described above, by virtue of a wsr`~ ty deed recorded m Register of Dcads Office.
Number of bedroo.--3
- ~11 L
SIGNATURE OF APPLICANT(S) DALE
***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 cettified survey map if
rcfercnoe is made in the warranty deed.
(REV. 08/05)
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Wscons,n Department of commerce SOIL EVALUATION REPORT Page _ of
Division of Safety and Buildings
in accordance with Comm 85. Wis. Adm Code
^
Match complete site plan on paper not 1855 than tl 12 x 11 inches in size Plan must County
include, but not limited to. vertical and horizontal reference point (BM). direction and Parcel I.D./
percent slope, scale or dimensions, north arrow, and location and distance to nearest read. -CT, fjj
Please print all information. Revie by Date
Personal irda seon you wmvda may fro used for secondary purposes fPrivscY Law. s. 15.W (1) Wm
Properly Owner Property Location 1
Q L'lrY-, Govt Lds,,,J 114 fr 1i4 S Z I T j [ N R E 40 l4'
Property Owners Maihrty Address Lot 0 Block b Slbd. Name or CSh"
u ~j ( C. i" A 0- C- _
City to Zip Code Phole Number ❑ City Ii ❑ Village Town Nowesl Road
5,J P , f -~,?i t V S' ( r, ' C t 2 '
❑ New Construction Use;aResidential l Number of bedrooms Code derived design flow rate GPD
4-Replacement ❑ Public commercial - Describe. _
Parentmatedal Flood Plain elevation if applicable it
General comments 7
and remrvnendatiions: v S 9S '»it Loc..J C.
(}71/U~ LL (,T System Elevaion System Type `J
F-1 I Boni ~f1 Boring
ICI. pit Ground surface elev. (r 0 fl. Depth to Omding facia ,7 _ m.
Sal IiceUOn Rate
Horizon Depth constraint Color Room Description Texture Structure Consistence Boundary Roots GPOM
in. Mtnsel Ou Sz. Cont. Color Gr Sz Sh -Effut -ERp2
u `IZ ~Z. r^ C 5- ~i L2
Z L 1 1~1C 7 L Z
~o 5 s, m
1
l/
~k
F-al Hoeing n Bong
pl pit Ground surface elev. Depth to limiting facto in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Ruots GPD."P
in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. •Effln 'E11#2
j 3 A,/4
1✓
r l
It I
• Effluent #1 = Boo. > 30 < 220 mA4- and T >30 < 150 'Effluent k2 = BOD, < 30 rrtgrL and TSS < 30 rng-t
CST Name (Please Print) k~n•.`_ CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address Deb Evaluation Conducted lobpnnno Numtru
1432 120th St, New Richmond, WI 54017 J - - 715-246-4516
Property Owner_Parcel lD#_- Page of
Boring 0 Boring
13 @-pit Ground surface elev?ll 4?-ft . Depth to limiting factor in,
Sod Application Rate
Horizon Depth Dominant CWor Redox Des piion Texture Structure Consistence Boundary Roots GPDMf
in. hlunsell Ou. Sz. Cont. Color Gr. Sz. Sh. •Ef#!1 'Eff#2
L ~"^r t
2` C S ` } l
-1C O S 'It
3
❑ Boring# ❑ Boring
❑ pit Ground surface elev.-------- _!t Depth to limiting faota in.
Soil Applicator, Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD4
in. hlunsell Ou. Sz- Cent Color Gr Sz. Sh. 'ER#1 'EfF#2
❑ Borng
a Borng #
Pit Ground surface elev. ft. Depth to limiting factor ____in.
❑
Shc ication Rate
Horzon 'lopth Dominant Color Redox Destxipaon- Texture Structure Consistence Boundary Roots GPD#F
.n Munsell CW. Sz. Cont. Cola Gr. Sz. Sh- •Efl#1 'Efl#2
' Fflluenl #1 = BOD, > 30 < 220 nxy4. and TSS >30 1150 rrg4 ' Effluent #2 = BOD, 130 mg,'~L and TSS < 30 mglL
The Deparrinent of Commerce is an equal opportunity service 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 608-264.8777.
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Property Ovener Parcel ID# Pace --o$-
# 3U Boring C
121 Boning
- '7Ipit Ground surface ele r &7 ft Depth to limiting facto
Sou liptim Rate
Horizon Depth Dominant Color Reoox Description Textwe Structure Consistence Boundary Roots GPD/lf
in Munsell Ou Sz Cont. Caa Gr Sz Sh. •Eff#1 'Eff#2
-27 L C r
J 0.
10-2 570 C!
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❑ Boning # ❑ Boring -
❑ pit Ground surtax a elect'. R. Depth to lirnihng factor _ in.
- Soif A:xrir.ahor Ra'c
..•..,..ve m•.rrv.~ °^,..ow nn-.
m. V Murl M Ou. Sz. Conl. Colo• ! Gr. Sz. Sh. w. 'Eff#1 i 'Eff#2
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Boring 0 ❑ Boning
❑ pit Ground surface elev- ft. Depth to limiting factor _ n.
Sop' Application Rale
Horizon 'lepth Dominanl Cola Redox Description. Texture Structure Consistence Boundary Roofs GPD1q
in Mutsell Ou. Sz. Corti. Cck r I Gr Sz St.. 'Eff#1 'Eff#2
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• Effluent #1 = BOD, > 30 < 220 mg: and TSS >30 < 150 rl ' Effluent #2 = BODE < 30 rrgrL and -SS < 30 mgt
-f he Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an altematc format, please contact the departmen: at 608-266-3! 51 or M' 608-264-8?777.
SHINAMMIM,
Soil Test Plot Plane
Project Name Roger Olson
Sln Bird
Address 2061 Cty Rd C
Somerset Wi 54025
f'. I'M #226900
Lot Subdivision
S W 1/4 NE Dat 5/3/19
1/4S 21 T 31 N/R1 g W
_ Township Star Prairie
Boring O Well Pf. Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of well
System Elevation 95.5/95.4 *HRPSame as Benchmark
C'? adc Scale is I"= 40'
unless otherwise
noted
Apple. River
600'
`
Existing .1 ST DNV
Bedroom
house
'5'
50'
l.;,n Slopc
60' B 1 50'
10'
GO' 20' 13. \1.
13
30'
B-3
Property Line