HomeMy WebLinkAbout036-1081-60-300
an:.ln DLpannlen[ of Gc ~tn'arca
PRIVATE SEWAGE SYSTEM St. Croix
.3 "".1y a - d Em10^pCuaC
INSPECTION REPORT Sa^d ay Pe-, tl_
iATTACII TO PER4AIT1 615421
GENERAL INFORMATION S:a;c Flan IU rid
P •r5 onal in'or^1a0on ymr pulvidr."a c dd`a'seoonda,, F-•rPUSne IPno.my La I, 515 04T tl!'nil
terns lia.:lm*. •Ja-v' ;'iry ,.t Tn,,'.ip Pa<al It, ',C
Bill Knutson TOWN OF STANTON 036-1081-60-300
RV Elsv
I 1 Insp i114 1Jcv eV Dascdptcn SaCL'vrv'1o~~mF,Ige:Vac Ne
32.31.17.501 D
TANK INFORMATION ELEVATION DATA
TYPE Rle'1NJrA:aUREH STit-IDN 3S HI =S FI hV
Sept C GenChrnark
Dosing AII. LIM
Ae'alion Uldq Sw.vcl
Holding St.) II 1.1 CI
suHl :Llnt
TANK SETBACK INFORMATION
'ANKT" R:L VVLLL B_L;G ','am lc s. m,tn RC4r,D Dt Mel
Septic D: 3o::om
Losing Header.-Man.
Aeration Dist Pipe
Holding Bot. Sys:em
PUMP/SIPHON INFORMATION Final Grade
tetanufacture' Cemaid St Cover
GPta
Modcl NuinbCr
T~II Lifl Friction Loss "y%I 'II -eeid TDH I
romcrlai9 Lenolh Um. Uist wa
SOIL ABSORPTION SYSTEM
BED:TRENCH s%id:n 1an36. No Cf'r --h,: PIT DIMENSIONS No quip _ep:n
DIMENSIONS
SETBACK SVS-CIA TO Hfl NI DU 'ELL AC=~STRFAM LEACHING L'anuract..fer
INFORMATION CHAMBER OR
-.1:e C'::y^:Ofn UNIT Mc del NUrrnm.
DISTRIBUTION SYSTEM
-ca:cr'Man'olo UipL :;ut.;n i,olo Size x Ile r Spmsny eM IC A.• ntaxe
I' pel5i
ro•h 7.a Lan^tr D,a 5pacin~.
SOIL COVER if Pressure Systems Only xx Mound Or At-Grado Systems Only
Joa1h Cve- Depth ever inp:h ul x.. :nlaa: Snncr:N$ sx I.I.:- ed
3.-d'"rcncn Cc^ta• Sed+ re,,- t.".dam
Yes `•a I Ve:: No
COMMENTS: dnhide code discrepencies. oe'sons o,cscnt cle Insperllon N•. Irsife0di 02
Location: 15151 INN (i
1.) All BM Desonphon =
2) Bldg sever length =
- amount of cover =
an revis on Required? vcs N::
Lsa other sid±t for a:ldidonal infcrrnffii,,7
Cnrr in,_a.:ars Sgnaurc ...-1 N::
ST. CROIX COIIN'1'Y ZONING OFFICE.
CERTIFICA'T'ION STATEMENT
FOR UTILIZATION OF EXISTING Sf;P7'IC'I'ANK(S)
This is to certifv that I have inspected the existing septic and! or dose lank
presently serving the 1611owing residence:
(Street address) located
at: _ /1, I, Section _ Town N, Range W,
Town of St. Croix County Wisconsin.
L,pon inspection, I eertiry that I have found the tank(s), to the best of my
knowledge, will conform to the requirements ot'SPS. 384.25, and it (thev)
appear(s) to be functioning properly.
Most recent date of inspection or service
Did 17ow back occur from absorption system? Yes No
(if no, skip next line.)
Approximate volume or length of time: gallons minutes
"tank Capacity:
Construction: Prefab Concrete Steel Other
Manufacturer (if known):
Age of'Fank (if known): - -
Permit number (ii-known) - -
(Licensed Plumber Signature) (Print Name)
(Title) (LicenseMumber) MI?'MPRS
( Date )
Form to be completed by licensed plumber (Dept of Safety and Professional
Services Chapter 305 and s. 14.5.06, Wisconsin Statutes) or licensed disposer
(NR 113 Wisconsin Administrative Code)
Rev. 2;3(11?
- _-ZGr~ - 7 mh • r', TAT 7"~ l aunty
fCKUIx
Industry Services Div on 4 p (119 1400 E Wast)inglon Ave ti rnil:up Permit Number (h> be tilled in by Co.)
\ S p - I P.A. Box 7162
Madison, L 537 7-71.62n
SanitaPV Permit A}IPVc La ion State I raniaclo",s,nrlber
In aeeordance ssah SI S h? b_ Nis 1dm i 1 nhmi:. o -lac I Ibe q.peu ii ar ecrnmullal unit /14ii fl'Qlnfed p1101 lJ a hl ll III a callll I\ I!eI n)n. \
0. \L1 .,ea l I, t r " Iur sI tie ,.11❑Ca I l l\\ l,lre se11» IIM:Ii,
the Ihp:nlutcm .d Salas .L tJ Ih,Je>vura: ?cn nso. I u.,.•n'el mlu. nl.nm.:: Sou praslde may he used liv ss nndan. I n+1':7 \ddrcss lit- Jiilcrcm th:m undine address'
11. At) .I in t eonnr c sti:h Ibc 1 t ley I :m. t? L\i li, Seat. ' I ~
hcatmn Information Please Print 411 Information Pminm lh,,w, Ns:nno - ~
lilll LV 'SOS i! f l(1%I-6G-?p0
~tnJ~'3.~ ~ 3~.31,1-7.1
iScputs O\sncr s Mating Wile", I riled) I "Callon
I SJ. SI KD!a Govt tat
('cc, ti /,p ('ode PbanNolllbcr Nk% S Sc nun
VL\k huc
KCIiVU\n. PI\ _<~ul' inrdc talci
11 N R I- F to N%
I1. Type or Building (check all that applyl Lot'
I or 1 I anal( )sse L:~ - NoinK, of lirdrnonu 1 SuNintslon Name
U I'ublu:4on)mcrcial - Descnhe Ilse Block ~ - - - -
❑ Cit., oI'
Stale Owncd - I)csenhc I lse _ - - ❑ Vdlacc ul
..S\I Nllmla /6
2- -bk- ~ s 1 ~9a /5 c1~, /l G3 ¢ tr,,. n,,, Si As, , ON
J le Ill. 'f~ ILdPero)it: (Check only d)e bo\ on linr_ A Complete line B Inapplicable)
❑ \cw ly>IUII ❑ ,t p-vuvrcnt Sytem J I (nmeu:I 1. tim_ I:cl. kcpl l<cmcm ibis U OIhl'r Modification to L\I ling >yslcm lu\pl:uni
B. D Pcu»u RLnessal ❑ I ct It:e ❑ ( harre tit ❑ Permit Transter to \cx I Lisi lice "'us Puma NurnNi id Dal, Issued
Ii tore l.\puauon i mother (h\rcr I -1176 IV. Tvpc of POW TS Svstein Component )cvicc (Check al I that apply)
Q n r sm ii. In Groune E I rcssunnd In < r mnd ❑ At-(oa&r~ n motor 1 !-i In. of _tivaDic aa1 ❑ Mound - ul. al\uil/ahla soil 'y/
trot a, InltU 1)PpsA.a'. t'ulll)IDeal e'Splrlln. LJ Pq`If.atlee I :X, We ie\pla,aI 3.n-
Diver rfp~a ~Jr
V. caV'I rent tit Area Information: _ (VJ IN.,w-71 , , 1,,ogll ' Dean soil \ o,Gcau.rn ITs ers:d \reu Re: ull:d I I D~IA.y'~',,•r+I :\rca I opoed
isl) Sysrnl tom~. llseealion
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4,:t 750 7 VL Tank Info t q r ns o I FI ~
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ar llnt~~~) 11 I Snot +r k. l asln, 1. i~.T: r• v r f-
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V'11 Responsibdih Statement- h the unfit r. ikned, asuum responsibility for installation on the PU\\ IS shossn on the attached plans.
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1. ':Sepik tack, etlhxrr•. I 1)1? Jyv✓'-`'"-~A•
u4wvu Co null all !?e xt 1_s yr II 4r~' d a wA, s `C~
as per;narayemen' plan "chill try plume;. ~1I d Idl
2. N eldber* n rw WP--% + mutt LID C eullak t ! 1
as per ppratabh Cori! I afluw sr. 31 Z.e- Get;LP i GqZ. , ' A r A, 1 ' e f
\R.nh m complrp Pl:w. lur the •,.t.,., anti ubmil Iu th,('oun to....1 ~nm Ire. Ihan I:> , I inrhee in .ir<
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Lj SOIL EVALUATION Scaly: 4C=40 9t SYSTEM PAGE 2 OF
SITE MAP ~7%
is n r PLOT PLAN
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Ka t 1 ([V G _L LL At aM daF ipr 'low ca cJ ations for ; ornmer^ial plans
VR... F A.,-!P=.SSr a b icy Pipe Matenai ASTN1 Standard f7ables 384.3-s f: 3fl4 3~".-:+`
' JJ SeltYCl~ $CN'ff'.
diJ Sy,nhr 4 61J E9evar on l r•
n a Force Man
BN Dr_¢cnsly; IT7H ~~E. ~c L+1r ~~}IL + FID~~~'
Slone Lyadlenl r", ItvWOR7AN7
4V5'I Sym:N ;II aDGf;,aple'. Q oraN n, a-nr:w ,
at Testw Ava SiiuN• ground ete•s.lon contour. a: su fable intervals.
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CONVENTIONAL COMPONENT DESIGN
Residential Application
INDEX AND TITLE PAGE
Praect Name KNUTSON
Owner's Name BILL KNUTSON
Owners Address. 1523 ST. RD. 64
NEW RICHMOND WI 54017
Legai Description- NW.NW,32.31 N-R17W
Township STANTON
County ST.CROIX
Subdivision Name:
Lot Number:
Parcel ID Number 036-1081-60-300
Page 1 Index and title
Page 2 Plat Plan
Page 3 System Sizing & Cross-Section
Page 4 Filter Specs
uane 5 F,4ai~lecaoc° Intormalior
Page 6 Management Plan
Page 7 St. Croix Cty Septic Tank Mairtenance Form
Page 8 Warranty Deed
Page 9 CSM or Plat
Attachments: Soil Test 8 House Plans
DeS1g1'enPiumber. ROBF.R 11lARDINA License Number. 824825
Date. 8-3-19 Phone Number (715) 491-5039
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Signa!u•c r _
Lcs3reJ rcr ~~drl L_I -Gr.;.rr~.,.l 1:n~~1-'si td+'; ,I'.rf.. 'iini atiLL;I CIu I
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❑ SOIL EVALUATION Scala 40 40 cu sc ❑ SYSTEM PAGE 2 OF
SITE MAP PLOT PLAN
PROJEC- Nn'✓E.
JFSIGNa LDA' _ d Gpv
10'
Kli r ye/~ t Attach design 9erv calculations for commercial plans.
PROJECT AUDRF." 1!~3 /Pipe Material r ASTM Standard (Taoles 384.30-3 & 384.365)
N Cam!n-y SCMCr
B1.1 SYntbuP. 4 Bbt Fleram;n: -lbn FT
'~t -
BMDescnMm T> L?~r r41 i Q.lU9~"~ Faix Main: )
Slope 3radiont i-' I v,ecew mnn r IMPORTAN7:
of lesled A•ea Wen Symbol Oappl'~.cabe: Q cawing areww Show ground elevation contours at suitable intervals.
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= PAGE 3 OF 5
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Installation and Maintenance Instructions
Installation
Step t Dry fit the filter case onto the outlet pipe going to the drain field. Ensure it is centered directly under the
access opening. (if outlet pipe is already in a fixed position, additional pipe may need to be added)
Step 2 If utilizing the additional single side support and the two bottom supports: While the case
is st' ll dry fit to the outlet pipe, measure and cut 1'schedule 40 pvc.pipe to the length deeded to extend from the
hubs that are pre-molded into the case to the side wall and the inside floor of tank. solvent weld pipe into the
hubs that are pre-molded onto the case.
Step 3 Solvent weld the case to the outlet pipe. Insert the filter cartridge into the case pressing down on the
cartridge until it locks into place at the bottom of case.
Step 4 d ul(llzing a vertical read switch: Ins-sect switch into the hole pre-molded into the top of the filter. Press
straight down until it locks into place
Maintenance
1) Remove the access slit of the tank. Note To ensure undesirable solids do not exit the tank and into the
drain held, the tank should be pumped out until the level of effluent is below the outlet level of the tank.
2) To remove the filter cartridge from the filter case, pull up firmly on the handle of the cartridge dislodginp,
it from the case. (if utilizinp, a vertical read switch, removal of switch is optional)
3) Using an ordinary garden hose, rinse the filter cartridge ensuring afl visible septage material is removed.
4) Place the filter cartridge back into the filter case pressing down on the cartridge until it locks into place.
5) Place the access lid back onto the tank ensuring it is secure.
Lifeurno tIhcr has a lifMinr ranitcd warranty:
lifetime idler LLC warrants the filter will be free of manufacturing and workmanship defects during normal use for the period of
time the original purchaser owns the produd. lifetime filler unt provide a replacement filter it the event that the original filter was
not damaged during the installation or mWournance process. namanp to tM%product caused by atodent, misuse or abuse wig not
be covered under this warranty. improper sate w +nagurttliats revdlmg from Iwnducl not (wing Installed, operated or maintained
properly wig void this war+anty . lifetime fitter assumes no responvbgily for labor charges, removal charges, installation or other
1
mutkmtal w wnscqu+:nl'wl cots. I
Contact mAeFa.aebmeiltedk. rnm Phone-502-7242231
PAGE 4OF4
In-ground Gravity Management Plan
IMPORTANT:
The owner of this in-ground gravity system shall be responsible for its perpetual operation and maintenance pursuant to
requirements of SPS 382-384 Wisc. Admin. Code Pursuant to SPS 383.52 (2). Wisc. Adm n Code. this system shall
be considered a human health nazard if not maintained in accordance with this approved management plan.
Furthermore all inspection and maintenance activities shall be performed by a registered POWTS Maintainer in
accordance with SPS 383 52 (3), Wisc Admin. Code.
Maximum Dispersal Area Operating Limits:
Design Flow= `I7 gpd; BODS 220 rri TSS 150 mgL'; FOGS 30 mgL"
Inspection Checklist INSPECT EVERY 3 YEARS
type of use
age of system
nuisance factors ;Le odors, user complaints, eta?
mechanical malfunction (i e pumps, valves. switches. floats. etc.)
material fatigue (i.e.. leaks, breaks corrosion, etc )
solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (i e., distribution ! drop boxes)
neglect or improper use 0 e exceeding design capacities, prohibited activities etc.)
extent of ponding in distribution cell prior to dosing
dosing irregularities - if applicable (i.e , pump re-cycling, float switch settings. etc )
electrical components - if applicable (i.e. wiring, connections, switches, controls, timers, alarms. etc )
distribution lateral or lateral orifice plugging (measure lateral distal pressure - compare to design specification)
surface discharge of effluent or sewage back-up into structure served
Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary)
Septic and dose tank(s) shall be pumped by a certified septage servicing operator licensed under s. 281.48 Wis.
Stats. when the volume of solids in the tank(s) exceeds one-third (1/3) the liquid volume of the tank(s) or
as required by local ordinance. Disposal of contents shall be pursuant to NR 113 Wisc. Admin. Code.
Effluent filter(s) shall be inspected every 3 years and shall be cleaned when necessary to remove any
accumulated solids according to manufacturer s specifications A serviong period will always be greater than 12
months.
System maintenance reports shall be submitted to the proper local government unit in accordance with
SPS 383.55 Wisc. Admin. Code. Report any component failure or malfunction to:
Name of individual or company ROBERT HARDINA Phone: 715-491-5039
t, r rr''
Local government unit 5-T. C 12 c Vv- CC 7-CjJ II. 6 Phone: -11 r2
Local government and address: ZIP
Any defective part of this system shall be repaired, replaced, or removed pursuant to SPS 383 51 (1), Wisc Admin.
Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 383, Wisc. Admin. Code
No product for chemical or physical restoration of the POWTS may be used unless approved by the department in
accordance with SPS 384, Wisc Admin Code.
Contingency Plan
In the event that any failed treatment component of this POWTS cannot be repaired, it shall be replaced pursuant to
a plan submitted to the appropriate agency for rev ew and approval A failed in-ground dispersal component maybe
abandoned and replaced by a code-complying dispersal component in a pre-determined area of suitable soils.
System Abandonment
If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wisc. Admin. Code.
niyac5 ipe
ST. CROIX COUNTY
SHPIIC TANK MAINTENANCE AGKEENIEN'r
AND
041: NERSfffP CERTf K A T (ON FORM
O+vnc;Ii-.ryer
Mailing Address
cL3
" cry hfE+,) .~kMo2 t~ W ( 6 4 o1~t
Propu ty Address _
(Verifcanon roquirec from phlowng 3r Zoning Deparlin"i for new construction.)
Ultyistate f- - l Parcel Identification Number LOc3 to - (Ob! - w0 ~)'L)6
LFGAL DESCRIPTION -t
Property Location jJe 1 jqt,J ''A , Scc. a , T 3 L N R~W, Town of 67,4A,'rd
Subdivision Plat: Lot if
Certified Survey Nlap ii Volcnnc Page
11'arranry Deed tt _ (before 2007)Vollune Page
tips; house ycs'. no Lot lines Acntitiabic' yes no
STSTENI n1:11NTFNANCI? ANl) (riVNFH CF'K'PIFIC4'11 )N
Ingeurpe use and r.•,::m!enancc of vont septu- svucm. could xndt in vs per-mature failure to Mndie waUCeS Proper
mamlcnancc consgb of pumping out :he septic lank evny three years or sooner, it needed, by a :,ccmcd pumper What you put into
the syskm can affect the tim,;lion ofthe septic tank t.s a :rcatment stage in the waste disposal system. Owner maintenance
rcaponsib lines are spccthcd in §Comm. 3352(1) and in Chapler 12 - St. Croix County Sanitary Ordinance.
'1'hc pmpeny owner ag:ecs to submit to St. Canx County Pwmtog dr Zoning Department a certifca:ivn form, signed by the
owner and by a master plumber, journey lean plumber, restricted plumber or a licensed pumper verifying that (1) the on-site
u aslcsvutcr drsposnl system is in proper operalbtg condition and'o: (2) ater inspection ad pumping (:f necessary), the septic tank is
Icss than 113 full u(sludgc.
Uwe, Ire under srgrrn) (rave rrad the Demme rrouhe,mrvrt" vwl a~'trr e 1" ~rarnnon the nrwve cnvstr drst,oui cyst,m uw) r'•,
alandards se: forth, herein, as set by the Dcpa mwnt of Commerce and the Department of Natural Resources, Slate Of Wisconsin
Certt (cation stating thin your xepec systern has been maintained must be completed and remni to the St. Croix County Planning R
Zoning Department within 30 days of the three ear expuanun dale.
I1wc certify that ail siotanents on t Joint are rite to the best of myiour knowledge. Ilwu am/aw tin owner(s) of the
property described ahove, by vinuc of.1 wr. 'arty deed recorded in Register of Deeds Office.
rlsiumb ro'b -dru ors___, _
SIGN (L: OF APPLICANT(S) DATE
"•:\np intvrwabon that a misrepresented may, result in the sanitary penrot being revoked by the Planning Re Zoning Depananen:
Iedude wall 11,1% :pphoahor, a recorded warrarty dyed lcov, the Regiser of Deeds Mike and a copy of the certified anve) nap it*
reWence is nude tit Ilu u=a::a[LY decd
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t§TMO nN 32.31.17.502 NW NW HWY. 64
'T~ par en o n us -pl ATI! SELVAGE SYSTEM ounty~
Labor and Human Relations INSPECTION REPORT
Safety andBuildmgsDivision ST. CROIX
(ATTACH TO PERMIT) an,tary Perron NO:
GENERAL INFORMATION 171504
Permit Holder's Name: City . Village Town o : State Plan ID No.:
OOK GARY STANTON
CST BM E ev-: Insp. BM E ev.: BM Dexriptiorc Peirce
/G~.(1~ /~.Ca .~1irlC QS - 1-7 -000
TANK INFORMATION ELEVATION DATA A920027 /
ZZAZ
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic S C' 0 G~ Benchmark („e~ GCI GiJ
oo:i 03.9
Aeration Bldg. Sewer
Holding St/O Inlet t j r
TANK SETBACK INFORMATION St/ vOutlet p- .0/ _RT
TANKTO P/L WELL BLDG. Vent to ROAD aflnksE-
Air Intake
Septic NA Otero
HeadertMwc
I Dosing NA 0038 r
Aeration A Dist. Pipe 29
y
I Holding Bot, System
PUMP/ SIPHON INFORMATION Final Grade-& I 13s5 lo 2. 33
Manufacture Demand ST_ InI 3'0( 1O.Z..2
Model Number GPM
TDH Lift Friction S stem TDH Loss Forcemain Length Dia. Dist. To Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Widt % Lengti%_, r No. Of Trenches T Inside Dia. Liquid Depth
SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING nuacturer.
SETBACK
INFORMATION Type o k"' I CHAMBER ppe m r: S stem: ->/A' OR UNIT
DISTRIBUTION SYSTEM
v Dislri ulion Pipe s R I X Ho ae I x Ho eSDacing I Vent To Art Inta e
Hewer! Memfokk
Length Length *6~_/ Dia. Spacing A6_
_
SOIL COVER x Pressure Systems only xx Mound Or At-Grade Systems Only
Depth Over Depth Over „ ,1 03 'r xx Depth Of xx Seeded I Sodded xx Mulched
Bed/Trench Center W Bed/Trench Edges 76' Topsoil ❑ yes 13 No D Yes ❑ No
COMMENTS: (Includes~dediscrep cies, personesent, etc.) yE ems'
gaaa~.. Elrr/- = /03.
d..TOU.7Z~ ctrl~~a~S"1 a'piye
00
Plan revision required? p Yes @'tvo 9~ ,t pt
Use other side for additional information. Y I
SBD 6710(R 0"I) Date Inspector's Signature Cen No.
AS BUILT SANITARY SYSTEM REPORT /
OWNER TOWNSHIP
SECTION~;LT 3/1 N-R-4Z-W
ADDRESS A2a' , /~JHd4 ST. CROIX COUNTY, WISCONSIN
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SUBDIVISION LOT~-ZLOT SIZE
PLAN VIEW
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
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,iII®/INDICATE NORTH ARROW
BENCHMARK: Elevation and description: Zg c' yy fl ( Q
Alternate benchmark
SEPTIC TANK:Nanufacturer:z al( Liquid Cap.
luvSLa~
Rings used:2:_Manhole cover elev: Final grade elev_____: JJJJJJ
Tank inlet elev.: Tank outlet elev.:
No, of feet from nearest road:Front_,~- Side-, Rear-Ft.-.--'.
From nearest prop. line:Front_, Side, Rear ie Ft. s ~/ao
No. of feet from: Well , Building: (J
(Include this information in the above plot plan)
(2 reference dimensions to septic tank)
SEE REVERSE SIDE
Wisconsin Department of Cumrnnrco SOIL EVALUATION REPORT of
Division of Safety and Buildings
n accordance with Comm 85. r:Fis Mar. Code Corry ST CROIX
Attach ccngtlete sire plan on paper not less than 8 112 x 11 inches in size, Plan must
include. tut riot funded to vortical and horzonial reference point tBNI). directiun and Parcxtl 1 ' 036-1081-60-300
percent slope scale or dimensions, north arrow and location and distance to nearest road.
Please print all information. Review r. w oat lD 1 1
P:rbona inbr-nallon yr.u prr:Idr rnny 0n useA fe•secom~sry P,,poses, urP:arj l av. a i50c tf)i,nq; 1
Property Owner Property, !.ocaliotl
BILL KNUTSON NW NW 32 31 17 ❑
Co+a. l of 't4 1:4 T N R E (or) W
Property Owner's Mailing Address lo: 4 Blmk # f Subc. Nowe or CSM4
1523 ST RD 64
Ofy State Zip Code Phone Number itv Wage • Tovm Nearest Read
NEW RICHMON r,Vl I 54017 gTANTON ST. RD. 64
I+ )
A~U
Ne•.v Cnns!rucl'un 'Jsc~ Residr.~fal ! Nr.mher nl ber'n::;ms C:.de der n:d drsryn 9uo; •ate _ ^P7
Replacement El F &AAc or rommeroal - Describe:
Parent material ( UTWASH Flood Plain Weval. on if applicable fl.
General comments
and recommendations:
.~e f 5~a((ot.✓
i
I Boring # Borirg 93.35 ft 99-
O Pit Ground surface elev . Depth to limiting factor in
Soil A ('.cation Rate
Horizon Depth Drnntnanl Colors Redox Descnp;icn Texture Structure Consistence I Boundary Roots GPDiff
in. Mansell _ Oc. Sz. Cant Color Gr. Sz. Sh. ` 'Eff41 'E"2
-tom--
l 0-12 10YR313 SIL _.\ISLIK MFR ('W 2\f .6 .8
12-313 10YR4;5 -G- SL \ISBK Nf FR CW IIr 6 LO
E48-99 0-48 1CYR514 2MSBK %jFR 11 NIA f 1.0
10YR5i5 SL 2M K MIL N!A 6 1.0
Ni.4
6
Barmy #
7j El ❑ D ing
Pit Ground surface elev. Deptn to limiting factor in. Soil A°c.icaton Rate
Herizrm Depth DorlGnaltt Color Redox Description Texture Structure Consistence Boundary Roots GPC1P
in. Munsell Ou. Sz Con:. Color Gr. Sz. Sh 'Eff#1 'Eff92
I
Effluent 01 = BOD, > 3rl 22^ mJL ar d TS5 '=30 1" mL;tL ' %ent 42 = BOD, < K myrl and I SS < 30 MI
CST Name Wiease PtiiM na• e CST Number
R(ORFR'r HAROI\A s2482>
Address Date E:•a ~.lati,:n CenductM Te!epl:orw Nurcber
71
477 170111 A\'I.. Il 811.1 L:\KF. \1'1 48St) '-15-19 5-491-5039
Crex°0AA'sAP11H ARL- :Asoxrsw,'uc.~cu-.
Q SOIL EVALUATION Scale: t' =40' ~ SYSTEM PAGE 2 OF
SITE MAP ° 4Q e0__ so
PLOT PLAN
to ft 9-4; _ 1o*, DrSIGNFLOvv. 7t5n GPU
_.KLJ t.r IJ Attach design flow calculations for commercial plans.
PROJECT 4GDRrss ~.3 .S7r 2 J__~l ~ Pipe Material + ASTM Standard (Tablos 384.3G,38 384.345)
. N
81.1 SymocP. 61n Eorr. FT San 1.1"i 4~, l ri Scwor. _ t
ald C~crlolan ,t[]j(_T ~E.F (.a~ QlD_+X~ Force btaie.
~tJrAf( +
Slope G!arllnnt °pl Inal<tte n~rtn uy IMPORTANT
of Tested Area 'ecll Symbol rn a9''feL e; rawing .rr arms Show efowid elevafion contodrs at Stlifeble intervals.
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