HomeMy WebLinkAbout022-1030-80-262
v0swnsin CcOa~'merc of Scmmcme PRIVATE SEWAGE SYSTEM Ir St. Croix
Safer;andlBu IangC r s c-
INSPECTION REPORT Sanitary =0111 F1:
GENERAL INFORMATION iATTACH TO PERMIT; SMe Pla- c615348
pe"nilaI A, r sLe _ { y tr, , ll la•I -icy o,nl _raCq uv v 15 04 f' j'r^ S
P,n-tI•rld.-r; Harr v. t' "11'4e , .",h
Steven Heath TOWN OF KINNICKINNIC 022-1030-80-262
~5T 2M E e:'. F77-77777 °_L• c'er pLp¢ ceeLG^:TcWn'Ri"" V; P No
100- le V~-- 11.28.18.1668-18
TANK INFORMATION ELEVATION DATA
"(PC MANUFAC'URCR CAPACITY SIA'ION 6S HI -S ELIEv''
.n 4 a
Sep: r; ~eye►- OLAr d 100 Henchrrrok PYC. 100 IM-CP
oo.co
cos rg All P."
P o Z in%& ~ 0, 1.0 M'
Ae'atlcn HIJg se'..rj5 V .(7G 1(-l,l •~G
F44n 1 D✓ s/ t J
•bid rg S;:1Ht lnle! .95 1036
IO , b5
TANK SETBACK INFORMATION svHt o.mel
TANK _0 Ptl VFL I. RI DG %,0 Ar l"ra~e g(,-A:) JI Intel
W
Dt Bottom
Septic I er
Doslny 1" I"r `7 V 1 Hoaderildan. ~O I b p
Aerat on \ D'st Rlpc }0.'ta L'Q,~11
Holci,d Dot. System &I F so.,d ~~U• ~"1
to 11.80 Z
F!ualG'adc .~d ~D0. 46
PUMP/SIPHON INFORMATION
Varni °.ucr Bernard SI C:evur LL
3 ~I InICF cede ~•V®
Model Number
TDH I if' Fia: 1 ciss sysu:r, I Ica" C n
Force m Leogin r. -!w rem,~ll /
SOIL ABSORPTION SYSTEM
BEDITRENCH 8. dr I : ng4i N, Of r - PII DIMENSIONS cl Pas Ins In P.- Lea rpr
DIMENSIONS a• Z
SETBACK SYSTEM 10 °'1 HI ITL7 'dJcLL '_AKUSTFAV LEACHING N:uw rC:.rer 1~
INFORMATION P
. _.IZ r I r C14A UHER OR hC dr' VwnLe- Y • a
( v~viii l 35 14D' N A NA
DISTRIBUTION SYSTEM
r t ro r rta •:c
ica c !t - :'cls -i L vU:m - 'cl. 42c "pia "A
e1 l.h_ 1: ~ _e ym Ua Sca: •Q
SOIL COVER x Pressure Systems Only xx Mound Or Al-Grado Systems Only
"Ie t Bell I 'be T Dear c/ teo<_: :~dee / blulchrc
S-4 1 RudTo 'h Cmrh:r / ISnVnu:hi Id", ToDSail
COMMENTS: ','.re I.:ic rode discrepaices persons presenl. etc i 'nspectlon pt' Inspeclmn N2.
Location: 482 OLD C-e4=7LRY RD
I. i Alt um Cewci or- ,1'y14 ~ Co`l-& r
2 i Rldg se•.vei Ierglll = GO
- aII of cover - If
7'il
P,an revis on Requred? Yes No V,
Use other s Je for additions Informs lob
Cert
SBC-6'10(R 39'1 Date AuSepao ,519^al-re . NO.
c-'
hwushY Sc vices Ihviswn County
1400 E Wiwdiinpm Ave jT CIS
101L MW 0.B, x 7162 7162 Sartry Phmit Nrmba (so be mind m by Co.)
mod
/ 538
Sanitary Permit Applicati Soo;TtrmctionNumber
In awudrxe wrh SPS 38i 2t(2),iVis. Adm. Code, smdnzsvat of the fmrm m the appropruk Ln ttquircd prig ro obWrnrg a saomry permit. Note Appllcabm (or
b
uccoweed POW1the Doprtmea ofG Pwyea Ad6m(ifdiWtea Ihot oddtoe)
fay vd Profesaioml Savtma Pkrs-W infumriun you p,,& m y be used fir srcondwy
PwP- m acrarttu rvnh the Prnacv liw• s I $ 1 m~5bu _ G.~
1, APDfKafioa lnfwmatioa_-Phslat All lebrwtioa [~f(ETSIZy /7,
Properly Ovma's Nana Pared Al
IE_o) l . f+~-,4E7tt - 022- io o -Flo- ~/oz ✓
"-TY 5;-w l•S Mailing Addreffi
23z 57-KICKt_RtiD PapotyLocaet I1,A~ , _ IK
aty. Sate zip Code Plmw Numb= Govt. Lot
_ y_~!. Section
L[SwOl.Tfl. lt~! 54/GiI &IZ-N91-oZy3 cvcie
II. 'typedBei4iq (eieeh a9 NM appy) Lqp T..~ N. R F.aW
I or 2 F-dy Dwdlag - Number of Badroas Sebdivi ion Nac
❑ PublirlComntacitd -Describe (hc ❑ CKY of_-Block # VA
-
❑StreOwned -fm=*,ethe, ( CSMNmIIw ❑ ValhwOf
2 CGI~S 3 Z5 ~S 5~ co fr/wT V T `J ~iff 7.7 Town of INN
III. Type of P ' (Cberk only one be% w list A_ Cemplak tine R i(applieable)
A. New Sysoeo ❑ Replaccme t Systan ❑ T
twMrdflOldrmg Tank RWlacmes ady ❑ Odv Modifa:aCm m E,mlmg Slam (cspuin)
B. ❑ Pamr Raawl ❑ Permit Revisim ❑ Cbalf¢ of Pbmlbe ❑ p.," rn u ger to Plow tm Pmvious Pane Nmberad Pare hsud
Befrc Expo tton
IV. - eleell all that amalvi
-
N fjl i arimd In- G XW ❑ &'Clound ❑ Atlaade ❑ Mou d > 24 m. of arahle sod ❑ Mad <24 n of suitable soil
❑ Holding To* o od,a D&Vc W CmRaomt (esplam) ❑ PtieoeWnat lacria (e~laiw) L` X171 1
V. Mrs la(ormatiaa: - -
DOW Flow (gPd) Dmgl Soil Applimtim Dispesd Area Repined Disposal Area st) Synm Ekvffimn z z
610
V1. Tads lafa Cap" in TOW # Of
Marrfaaurer
Gallons Gallons lhtiu ~ G e p, f
M1lra r.d n h%T d ~ is 2 Y p a
rf) ~dz- G~ w U » u' O s
SGPW Oiidioa.Tst
r. r wi ~ X
tla~('arr.bw
VII. Stahttaeet- L she wedoagnd, a warm maposobjUly 4r ImtaWtiae ofd ro*-M Hewn on tie aaaried plaaa
Number's Name (14oa) I ASWAk- - #M'MMS Numba Briars Phone Number
TH~,tih►-~ - G1.~b1/ ~ ,,UI7' - ~ ~ f~f ~ z- ~ ~ -NHS- 995
Plumber's Add- (Sneq City. sale, Lip Code) 5 - $'L I - O`fZ
Gv'9c,7L 70/h f vt . 'G'F1Z LL S 71
'era lice Oat
Apprmed ❑ 1lrma Fee )mad 1 6,31111 Sipnuae
WBQg Bastin aI f Str~ m b 111
Ov,
IX. C for Dimpproval
1 !n tank
Cell w MU 1 et all tlltb
fdypee:2n be i,:. s ' tt
sa per mar3gement plin o u fue l Lr ,lu nbe~.
2 All ar!blrk rKurt-:^m s m JA LO., rt, if t
M per #pp7 abh call',; . ;rd:-.1nr
Arer<i m cn~clc p4u k pr qrd ad u We Cary ady m pap r.A is V a Ut a i l sis 6 crier
SBD-6398 (R_ 08114)
Plot Plan pfte 8 of
P, i4K-cr,~4
40 Fr.
mime Imboo
legalOss~~Hp« G5n1 V7sStm75` SWtr` /Uhf'~q oP Otis NW~i~I Q=baddioePR
!X-d- l~ T.tS R IT W~ lOwn1 of la~Ui ~cKuMf ~c sT cc u wNr rS.'7 5~( s
M SCDALs7At ' f l- out eemE1~ "*4 azz 1030 ko- z~z
North
3 t
~a
4-weu- -p
2s, FfPA
TA MK F1LlfIt 3 5 T'+
I
r 9F Ipt'
y r SO
'7cP sF Art P?,b
FTP£- A
71,201b
J L fi8~, 7~ ~}wus
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y
S Location.
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GeoMat IN GROUND AND DOSING DISTRIBUTION COMPONENT DESIGN
Resi~cn;ia: Applic:aion
INDEX AND TITLE PAGE
Owner Info
Project Name: STEVEN R. HEATH
Owner's Name: (SAME)
Owner's Address: 960 11TH AVENUE
BALDWIN, WI 54002
Property Info
Property Address: 462 OLD CEMETERY ROAD
ROBERTS, WI
Legal Description: NW NW S 11 T 28 N R 18 W
Township KINNICKINNIC County: ST. CROIX
Subdivision Name: NA
Lot Number: 3 Block Number: NA CSM#: 28; 6475
Parcel I.D. Number: 022 - 1030 - 80 - 262
Plan Transaction No.:
Index Pages
Page 1 Index and title Page 9 Filter specifications
Page 2 Data entry Page 10 Soil test
Page 3 GeoMat dist. cell drawings & calculations Page 11 Soil test
Page 4 Lateral and cell cross section Page 12 Soil test
Page 5 Management & contingency Page 13 ISD Page
Page 6 Maintenance & specifications Page 14 Soil test
Page 7 Distribution media Page 15 Aerial
Page8 Plot plan 41-I/,roiJEW5L "AX h6RGE4fEA,1
tU>4IZK!W7Y 9Ee.D
MARY JO HUPPERT License Number. 1859-007
Date: O6/11/ 10 r one Number: 715-426-1775
~ J•, b
Signature 'rt~C/_ ~
Designer Stamp: -~+~RY'!0 • ti~ late of Wisconsin A
pproval Stamp:
E11;i53 if}
LLB lir
Designed Pula) ftpi~
GeoMat In Ground Component Martial Ver. March 20, 2017,
SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (0181) and
Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P IN. 01101, R. 10112)
GeoMat In Ground Version 1.0 (R. 3/20/17) Page 1 of 15
In Ground and Dosing DisMbutlon Component Design
Design Worksheet
Site I ation
R Residential or Commercial Design N ISD Required?
300.00 Estimated Wastewater Flow (gpd)
1.50 Peaking Factor (e.g. 1.5 = 150%)
450.00 Design Flow (gpd)
2.00 Site Slope
97.17 Prop. System Elevation (ft)
46.00 Depth to Limiting Factor (in) Reason For ISD
0.80 In-situ Sal Application Rate (gpd/ft)
98.75 Lowest Original Grade Lie. In System Area (ft)
99.20 Highest Original Grade Ele. In System Area (ft)
3.83 Limiting Factor Elevation (ft)
0.53 Depth Below Grade
Distributwn Cell information
3.25 Cell Width (ft) Number of Cells
2.00 Dispersal Cell Design Loading Rate (gpd/ft) v
2 Influent Wastewater Quality (1 or 2)
Pressure Distribution Information
Center or End Manifold, Dist. Box or Drop Box
2 Number of Laterals System dosed N
6.00 Lateral Spacing (ft)
System not dosed
Manufacturer Information
Treatment Tank Information Effluent Filter Information
1000.00 Septic Tank Capaaty (gal) POLYLOK Fitter Manufacturer
Wieser Concrete Products, Inc. Manufacturer 122 Fitter Model Number
Project: STFVFN R. HEATH Page 2 of 15
In Ground Plan View
2 cell Cimmat
_ __3
-0 r'j
t .-J. . . . . . . . . ( cony C _
J..poO~
< 0 n ,2 O nJ'o c 000 0 O- o o~O000 )00
C'y _ O ~o OOGr'U v ( OH O O 0O0 O oD00C~+
~,~L r'y _ 0000 OOCC0~000r ~L7.,
.-~J_Si~~C7 r 1
Calculations
I 1 ft A 3.25 It / Basal Area Required 562.5 ft'
K 1 ft B 50 ft Basal Area Proposed 562.5 tt`
S PE 2.75 ft L 52 It
W 11.25 ft
Basal Area Calculation GeoMat Dispersal Cell Basal Area Calculation
GPD Loading Rate GPD Loadin Rate
0.8 9QYsq ft/day 450 2.00 9avs4 fVday
Total 562.5 f~ Total 225 IF
Proposed 325 fe
umber of Cells 2~ GeoMat Width 3.25 It
Cell Length 50.00 If Lineal Feet of GeoMat Required 69.2
Min. Cell L h 34.6 ft Lineal Feet of GeoMat Proposed 100
Cell S acin 2.75 It NOTF_; Min S dimension - V
System Elevation 97.17 ft
[ Limitin Factor 3.831111
Separation 93.34 ft T OAm
ert,~
Plaq with cell lenyth to Get desired cell spaunrl. length and width_ Remember syslnm. SHOULD be '(Myer Than t is
::'de It must also Satisf basal loadin rate and GeoMat cell loading rate.
Project- STEVEN R. HEATH Page 3 of 15
end Cmnocnen LatwW I.alronl DieWr
Lateral Lrn9th 49.01! X OXs_ rq~, I'LnGO A Ertl of cHl
Lmt m'soacmg 6 00 X P.pn fhamotp x•00 m
Distribution ell emss ge-dimm
~'x~l, n..n fynl_rp
0. e3 X _ ~~-ml C.^.ver v .c.n.]b/ •.L, r
4 in ".-►=)y Iii
l NATIVE Still.
Observation Pipes
as
49 2 n
60- Maz
ss
..tip - r_
vwR
97.1/"
1`14ct-. Sl LVF:NR.HLATH PaW4 of IS
Notes/ Maintenance Requirements
MANAGEMENT PLAN
This private onsite wastewater (POW TS) has been designed, and is to be installed and maintained in accordance with SPS 383, Wis- Admin
Corte. the in-Ground Sail Absorption Component Manual for Private Onsite Wastewater Treatment Systems Version 2.0 SPS-10705-P
IN.01/01)_ GenMat in ground Component manual_ ~UI;,'.~ y~b('C}t lam
1. This POW TS has been designed to accommodate a maximum daily flow of yens of wastewater per day. The quality of
influent discharge into ft POWTS treatment or dispersal component shall be equal to or less than all of the following -
A monthly average of 30 mglL fats, of and grease
A monthly average of 220 mg/t B005
A monthly average of 150 mq/L TSS
Wastewater shall not discharge to the POWTS in quantities or qualities that exceed these limits or that result in exceeding tlw~ enforcement
standards and preventative action limits specified in ch. NR 140Tables 1 8 2 at a point of standards application, except as provided in DSPS
383.03 (4), Wis Admin. Code.
2. The owner of this POWTS is res. ponsrble for system operation and maintenance.
3. Detects or malfunctions identified during maintenance described above shall be repaired in conformance with SPS383 Wis. Admin. Code,
and the pertaining county Private Sewage Systems Ordinance. The user's manual, provided to the owner of the POWTS includes the names
and tnkephone numbers of the property licensed individuals to contact for such repairs.
5. No product for chemical or physical restoration ox chemical or physical procedures for POWTS may be used un ess approved by the Dept
of Commerce in acaxdance with SPS. 384, Wis. Admin. Code.
6. If the. POINTS is replaced, or its use discontinued, it shall be abandoned in accordance with SPS 383 33. Wis. Admin. Code.
NOTES
Two Effluent Filters to he installed where possible 1 to be installed in ST, and or 1 in pump tank in
order to insure particle size less than or equal to 1l8*. Filters should be cleaned once in spring. and once in fall Also, strainers in sinks in
the building shall be maintained, so that solids and fats are minimized to Ilow into system,
A minimum of 2 obso."alwn pipes per call shelf to installed. Those pipes shall be located approximately at the end of each cell.
The plumber, or county shall see to it that a ropy of these plans including this page. maintenance folder, and maintenance agreement is
given to the homeowner.
This system may crwtarn a dose chamber 11 a pump, float electrical outage causes the dose tank to fill, the home should see to it that
lhd effluent level in the tank is brought down gradually and not all dosed to the system at once, One large doze could cause damage.
Contact a pumper or your installer if this problem occurs
The homeowner is reslxnsible for fort ulatxg a watm conservation plan that will ensure the system is rarely overloaded. I.E. spread laundry
out over lime, net 6 loads in 2 hours, while everybody showers, and uses the toilet, ETC.
CONTINGENCY PLAN FOR COMPONENT FAILURE
A. Septic Tank. Any structural failure resulting in trades or leaks in the lank must be connected by replacemont of the saplic tank Component
Leaks in the joints between manhole risers or covers shall be repaired by mplac ing faulty seals with approved materials to make jams water-
tight
B- Outlet Filter. The outlet fitter shall be replaced or repaired when it is either no longer capable of preventing the discharge of particles larger
than 118 inch or when it ties become permanently degraded by clogging so as to interfere with the design flow out of the septic tank.
C. Dosing chamber and pump. The dosng chamber shall be mplaced if any structural failure is found- Leaks in joints between manhole
risors or coves shall be repaired by replacing faulty seals with approved maters to make joints water-tight the pump and controls shall be
replaced when they are no lager capable of functioning according to the design plan.
D. Pressure Distribution Piping, Partial dogging of the distribution network may result in unduly long dosing cycles. The ends of the
distribution laterals may he exposod and the threaded end caps removed. The piping can be disconnected on the ei end of the pump.
The distribution piping may then to back flushed to cleanse any accumulated matter from the piping. It is recommended that the dosing
chamber then be pumped by a licensed plumber.
E. Sal Absorption Cell. The discharge of sewage or wastewater to the ground surface is strictly prohibited due to the human health hazard
created by the effluent. All failure created by surface discharge shall immediately be reported to the appropriate county. The pump shall
then be immediately disconnected to prevent further discharge to the ground surface via the sat absorption coll_ The existing septic tank and
dosing clamber shall be used as a temporary holding tank until the necessary repairs to the. soil absorption cell can be. achieved. The.
replacement shall be initiated only after any necessary plan approvals have been obtained from the
appropriate plan mview authority and the "Itured sanitary permit is obtained from the county.
Project: STEVEN R. I1EATH Page 5 of 15
In Ground System Maintenance and Operation SpecHkAdons
Service: Providers Name DARRELL'S SEPTIC Phone 71525-1025
POWTS Regulators Name St Crax County SPIA -Zoning Office Phone 715-3864680
System Flow and Load Parameters
in
Design Flow Peak 450 gpd Maximum Influent Particle Size Mcfu/100mL
Esti mated Flow - Average 300 gpd Maximum BOD5 mg/L
Septic Tank Capacity 1000 gal Maximum TSS mg/L
Sod Absorption Component Size 162.5 ft' Maximum FOG mg/L
Type of Wastewater Domestic Maximum Fecal Coldorn Service Freauencv
Septic and Pump Tank Inspect and/or service once every 3 years
Effluent rilter Inspect and dean as necessary at least once 3 years
Pump and Controls Test once every 3 years
Alarm Should test periodical)
Pressure System Laterals should be flushed and pressure tested every 3 years
In Ground Ins t for ndin and seepage once ever 3 years
Misceflaneous Construction and Materials Standards
1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap
and are secured in as shown in the GeoMat In Ground Component Manual Var. March 20, 2017.
2. Dispersal cell media conforms to GeoMat products approved for use with the GeoMat In Ground Component
Manual Ver. March 20, 2017. Media is covered with an approved geotextile fabric.
1 All gravity and pressure piping materials conform to the requirements in SPS 384, Wis. Adm. Corte.
4. Scarification of basal area is accomplished with a rake or other tool.
5. All disturbed areas will be. seeded and mulched to prevent soil erosion and help reduce frost penetration.
Renan Hail
vcwcgw
- -
12' Mm
Finiahai rude _
Dirt Lateral -
':_'112'AS1M C33 Send:- i:-:-:-:-:•:•:•:
Syrtem elevm® -
97.17 Feet
Project: STEVEN R. HEATH Page 6 of 15
Gs~ Distribution Cell Mo&a Layout
3 25 Cell Width (e) 2.3 Sidm an to Lateral (n)
Distribution Cell Cross-section Arrangements
Component Le"nd
O LnaUibulion ripe
(-'Mat iS mverM with app cd gaoMxh$e fabric aS per the euoir product approval
Distribution Cell Plan View Layout - Typical
3.25 Cell Width - A (n) :A.(N7~Cw11 Ungth - B (n)
r _r r
i - . . ter
- - - - - - - -
Typical Dispersal Call
I
r
\A11\l SOIL
Obsemalion Plpea
See deUd un isepr d';+ nvntw, 5 z. aW s:,.u_✓y N Lr!¢a..
Pmar! SILVENR HI -A111 Pace 7 ot 15
Plot Plan i pfte 8 ~ /!!D,
1
PROPERTY OWNER: ST iZ- l;S.ETff ( 1' = 40 FT.
~ ~ (acept~rHaenooed~
Yj,~~~ Qalaei~0l pit
Imo Desu d ow C` VX-* YL N
4j!5. Sw j oy W'/84 or -1
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7 NMC wf PIL7Efts r 13"
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INSTALLATION INSTRUCTIONS
IfK
z1bir
PL-422/RL-,~25L-625 IFIL'R
f INSTALLATION INSTRUCTIONS
f
cent" filler
1
1
w_
e i
ppe or
polMlak E7datta R Lod<- ~p;e---
hx cans -V
Step 1: Step 2: Step 3:
lA) Locate the outlet of the septic tank. (A) Before installation, place the (A) Glue the filter housing on the
(s) Remove tank cover and pump tank filter housing on to the outlet pipe. outlet pipe.
if ne< essat y. (8) Make sure that the housing (B) Insert the filter cartridge in the
Is positioned so the filler can be housing, making sure the filter
tnrrrur~ w removed from the tank for
cartridge is properly aligned and
maintenance and service, completely inserted in the housing.
MAINTENANCE INSTRUCTIONS
1
Jk
Step 1: Step 2: Step 3:
i a:aie the outlet of the septic tank. (A) Remove tank corer and pump (A) Insert the filter cartridge back
if necessary, into the the housing making sure
DO ' fitter is
REMOVE WHEN FILTER 19 `(B) Pull the filter out of the housing. the property alIghed
(C) Hose off the Mar o the septic tank. and completely inserted.
it- -
u s i- R vE:tif: :;t_Cky t=5 Make sure all solids fail back into the (B) Replace septic tank cover
WW;'-NN Pt EAN44i, ;H TER I septic tank.
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iresi~ ~r~~1!eaa4i4trta~yr~d DtATB
mamma sa m&_ ' nya4mOe"d 'rraa4+idlj*1%, rra[~~d~lrielira~ttZaa~APai1raat'~
REV. 44g2) a a4inq!l4ere aaaifdarb rw it
Ws;zml ',r:pa9~cnt n';;ylet ~o~~£er+iczs _--~---_l
L ("Ary ,i~rl~'g SOIL YZN04BJJ4AZEJ _PORT #~1ly
Page I of 3
U u i-`' 1 in accordance with SPS 385. iVs Adm. Code Keith Stoner CS
County
. -k n fl•, x t inrnes n sae. wan must 't. Croix
r aortal reterem_e point IBM), dwection and
rr r r sG~q~ 111 'is nortl Grow and location and distance to nearest road Parcel I D
IIJJ~r~~ Part of 0 ?-10 080-25C
Please print all information. Reese d By uate
Pw song uibxmnt ar yo.~ pro~im n c y o.:.,.un :or serx~ndary rurpnse-s V.. v;lry t aw. s ! G C4 (r) r,rnjl
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F,i operty Owner Property Location i,, 1
Joshua Ieisen (Fdwin Ross) Gov! Lot Jti4. YNA,4 S 11. 728N. R1F'J!
Pr Sperry Cwners Mailing Address Lot a Block $ulx; Name Ma
452 Old Cemetery Rd 3 "SM amending 0r (~t
Oily Slate Zip Code Phone %mber city village -own Nearest Road 1IA~
Roberts W 54023 715-307-9811 l Kinnickinnic Cemetery R_d
New Construction Jse. Residential i Number of bedrooms 4 Code derived design Now rate 600 'D
Replacement Public or commercial - Describe
Na rent material Loess over loamy till ovel sandy iesidium Flcod p.an elevatior. I applcable NA ft
j5..lerdl comments l~opcsea1C0'nxx.nccell oGdled arong if* lnb4 Snl~Jrwilt 35.' iC.vaL". r. 1 a'1:G51 "ou`rJ V. i.~.,r slak?C
j:,nt racommendahons . onsite 'NOIe sat test,eguir@i; `rir subdivision pure°s. q- - -
Bonng GOf~
Boring a
Pt Ground su Kate elev 104.90 N. Depth to IimRing factor 32 i$eil APpbcd!refl Par,
.
11 nzon Depth Dominant Cotor Redox Descnotien Texture Structure Consistence Boundary Roots _ GPDM
m Munsell Cu. Sz. Cool Color Or Sz. Sh 'Eett E'rnt
1 At) 7-9 10YR3/2 - 5Il 2msbk nlvfr cs 3f-m 0.6 0.8
2 915 10YR3/4 - sit 2msbk n r gs 31' 0.6 0.8
3 15-27 10YR4/4 - Sid 2msbk mvfr gs 2f 0.4 0.6
li 4 27-32 10YR4/4 - 51 1msLk mvfr g5 1t 0.4 0.7
32-35 IOYR516 :2d I0YR6/8 Is 05g ml 95 if 0.7 1.6
6 35-71. 10YR7/4+5114 m2d_OYR6/8 Ifs/fs 0s rnl - - 0.5 1.0
#6 bodro:k resid.um
Bony _
2 Boring a
pd Groord surface elev 106.90 it Depth to IlmiGng factor SO ;n Soil App) cation Hale
-onzon Depth Dominart Color Redox Descopl,on Texture Structure Consistence Boundary Roots GPD/h'
in. Mansell Cu Sz Cont. Color Or Sz. Sh. •ern 'ERM2
1 A~ 012 10YR3/2 - sit 2m5bk mvfr cs 3f m 0.6 0.8
2 12-21 10YR3/4 - sit 2msbk mvfr gs 2f 0.6 0.8
~ I
3 21-32 ~1.. 10YR414 sic( 2msbk mvfr gs 2f 0.4 0.6
l
4 32-48 10YR4l4 - sl lf-msbk mvfr g5 2f 0.4 0.7
5 48-50 10YR5/6+7/4 Ifs 05g ml gs if 0.5 1.0
6 50-72 10YR5/617J4 c2d10YR618 ifs Osg ml - - 0.5 1.0
kb - bedrock resalium
• Effluent ♦1 = 8011 s> 30 < 220 mgrL and TSS >30 < 150 ml Effluent Y2 = BOOS c 30 nV& and TSS <30 n41L
CST Name (Please Print) Signature. CST NU be
Keith Stoner ,;;~c{1 ~V 224059
411'ess KeMStorer!,..` J _a Lvaluallon Conducted Telephone Number
I to
G'AwA oeR Rd .`p ro.. '1548'2 ~''?Bi'20 r,6 15. 56R-0400
Prcperty Owner Joshua Lei sen Parcel ID s Part of 022-1030-80-250 Page 2 or
Poring
I ~h~ # /
I~"7 JI P;I 6roune surface elev IQ5.20 it Depth to limiting factw 38
In iSml APP ¢alrm
H In7on Depth Continent Color Redox Description Texture Structure Consrslerro Boundary Roots GPD Yt' i
in Muroll Du S> Corn Color Gr Sz Sh E" l 1-112
F -I AC 0-12 10YR312 - sit 2msbk mvfr Cs 3f-m 0.5 0.8
2 12-20 10YR3/4 sit 2msbk mvfr gs 2f O.G 0,8
3 20-38 10YR4/4 stcl 2msbk nivfr gs 2f 0.4 0.6
4 38-42 IOYR4/4 f2d5YR5/8 sid 2msbk ntvrr gs 2f 0.4 0.6
5 42-57 IOYR4/4 1`26YR518 sl Imsbk mvfr gs if 0.4 0.7
G 5/-87 10YR5/6+//4 C2d10Yk6/8 Ifs Osg ml - - 0.5 1.0
06 bedrock resdium
Bourg
Boring N it Ground surface elev. If. Depth to iimding factor .n Sod Applrcauon Rate
orrzoo Depth Doni Color Redox Descrryaor Texture Structure tionslstence , Boundary Hoots GPDmr
or Mursell Ou Sr Con! Color Gr S<. St; "EfMt 1"2
{
Boring
F-I °ng # Pit Ground su9ace elev. if Depth to itmring factor in
Solt AppllcaUOn Role
Horizon Depth Dominant Color Hedox Description Texture Structure Consistence Boundary' Roots GPDrIf'
in Munsell Cu. Sc. Con! CI!or (-;r S7 Sri 'P'rat •E"a2
I
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I
" HFUen! # t - B017). ?0 220M1,1 and TSS ! ~0 mml • Lf luont #2 BOG, 30 mWI- and -SS 30 mga
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Wisconsin Department of Safety and Professional Services
Division of Industry Services
SOIL EVALUATION REPORT Page_ ~ a ;
in accordance with SPS 383. Wis. Adm. Code
County ST. CROIX
Attach complete site plan on paper rho less than 812 x 11 inches in size. Plan must
include. but not Invited to, vertical and horizontal reference point (BM), direction and Parcel I.D. 022 - 1030 80 - 262
percent slope. scale or dimensions. north amrwr. and location and distance to nearest road. _
Pfease prbrt alt information. Reid 'Date p
Personal information you pruvrdc may be used for accwnary xvr w z (P vwy Lew, s. 15 04 (1) (m)) V f
Properly Owner Property Location
STEVEN R. HEATH Govt, Lot NW 1/4 N W 114 S01 I T 28 N R 18 E (or)W
Property Owner's MMinq Address Lot # Block # Subd. Name or CSM#
232 Strickland Street 3 - V28, PG475
City State 74) Code ph". Number E Vraage ElTovin Nearest Road
Ellsworth, WT 54011 ( 612) 499 - 0293 Old Cemetery Road
-
E] New Construction UseEj Residential / Number of txdrooms _ 3 Code derived design Bow rate 450 - GPD
Replacement ~ Pubkc or mmhercial-Desc>iibe'.
Parent material sanlisto is Flood Blain elevation rf appkrable NA ft
General Comments Conventional In-gound G,: Mat - 2.0 loading rate - test added to original test date 07-28-2016.
and IeODRN11eI1dalxxhS'
❑ Baring # Boring -
Q Pit Ground sudace elev 99.20 fl. Depth be kmbng hour _50 in.
Soil Application Rate
1-kxlzon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Rods GPDM
in. MrnsdB Qu. Sz. Cent Color Gr. Sz. Sh. 'Eff#1 'EB#2
1 0-12 I0YR3/3 sit 2fsbk (Is cs 30"-m 0.6 0.8
2 12-25 10YR4,14 - sic) 21'ahk mfr cs Ivf-m 0.4 0.6
3 25-36 7.5YR4/3 Is Ifsbk ml cs Ivf--f 0.7 1.6
4 36-44 IOYR5/4 -Y--- s Os ml as Ivf-f 0.7 1.6
5 44-50 IOYR7/3 - l fs (kg nil as Ivf=C 0.5 LO
50-till 64
11
# Bing 99.01 46
2 Bonrv
El Pit Ground surface elev 0. Depth Ie helf" factor in.
Sal - tm Rate
Horzon Depth Dominant Color Redox Description Tedure Stru Lure ConsistenceBoundary Rods GPDltf
in. Mrnsell ou. Sz. Cont. Color Gr. Sz. Sh. 'Efl/t1 -EBp2
1 0-13 I0YR313 - sit 2fsbk ds cs 3vf-m 0.6 0.8
2 13-24 IOYR414 scot 21'abk mfr cs Ivf-m 0.4 0.6
3 24-36 7.5YR4/3 sl 2fsbk mvfr cs Ivf-f 0.6 1.0
4 36-46 10YR713 - l's Osg ml as lvf-f 0.5 1.0
1 fori/An 4 has rock fraymcnec_
i
EfGuent #1 = BOD, > 30 < 720 mgft and TSS130 < 150 m9k ' EMu #2 = BOD < 30 mg& and TSS < 30 mgil-
CST Name (Please Pmt) CST Nrxwtx-
MARY JO IIUPPERT(ilolliater's Soil Testing&Design) 224832
Address Date Fvafi n nduded Telephone Number
28497 King Arilon s Court. Danbury. W1 54830 05 - 30, '_019 715-426-1775
ti1 3111ti i(1(It117/11)
3
Plot Plan Page 0-of
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PROPERTY OWNER: 5rEV&J tZ. HEATH 1' = 40 FT.
(apt wt em noted)
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~ t~a..~NSil~ y1,,L puj CENIET'ERY RoitD~ 02Z-1030-jSl}-LLz
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