Loading...
HomeMy WebLinkAbout026-1126-09-000 Vvis Gorisin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Saletyand Building Division INSPECTION REPORT Sanitary Permit No: 399542 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. QO( z Permit Holder's Name: City Village X Township Parcel Tax No: Stevens, Michael Richmond Township 026- 1126 -09 -000 CST BM Elev: Insp. BM Elev: BM Description: CO- 10 c7o • N �e S46- TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark / ,�- 2 S ZZ Ion• zz Lp.o Dosing Alt. BM 3 Ylo �• / Aeration Bldg. Sewer �� • / Holding St/Ht Inlet L '80 ��•`fZ� TANK SETBACK INFORMATION St/Ht Outlet O° Ct 7. 221 TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic f 3 r Dt Bottom Dosing Header /Man. �; $ 4 1 4 - 2 i Aeration Dist. Pipe . 2 0 Holding Bot. System ° Q •�� Final Grade I PUMP /SIPHON INFORMATION Manufacturer Demand St Cover �L Z C/I c� 1 I c l T Model N z TDH Lift riction Loss System Head TDH Force in Length D SOIL AB RPTION SYSTEM NCH Pidth Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DI I I •Z5 � 3 SETBACK SYSTEM TO P/L JBL 7WE LL LAKE/STREAM LEACHING Man INFORMATION CHA OR Type Of System: H br ' 1 U N I T Mo I Numb r. ` �~ 4 (� 6 1 i DISTRIBUTION SYSTEM Header /Manifold U F x Hole Size x Hole Spacing Vent to Air Intake p s) 7 )157, Length Dia ength Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched ethr Center Bed Trench Edges Topsoil [js] Yes ❑ No ❑ Yes M No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 0 03 / 02 Inspection #2: c% - - - Location: 1640 Waters Edge Drive New Richmond, WI 54017 (NE 1/4 SW 1/412 T30N R18W W Parcel No: 12.30.18.770 1.) Alt BM Description = i 2.) Bldg sewer length = 3 3 - amount of cover = a Plan revision Required? ] Yes No Use other side for additional information. • b 2'�Co - -- Date Insepctor's Signature Cert. No. SBD -6710 (R.3/97) = t � r C �� � � • Safe and Buildings Division County n N VIrsconsin , 201 W. Washington Ave., P.O. Box 7162 . �-+t` Madison, WI 53707 - 7162 Site Address Department of Commerce L OU O �04 N= 4 Sanitary Permit Application sanitary Permit Number In accord with Comm 83.21, Wis. Adm. Code, personal information you provide "ChemckRevision may be used for secondary purposes Privacy Law, s15. 1 m Application Information - Please Print All Information 5ta, I.D. Number I. A PP� �• �* .. r' r Property Owner's Name Parse ber �Sr ►. hog �a r Property O is Mailing Address t- ST COX ro r lion 1 ` C.'t UN ?Y s S W Si ; S T N, R City, State Zip Code Pho "Number ber Block Nurriber -1 0 iAsion Name CSM Number ot7 ?ts Q Q3 Wa H. Type of Building (check all that apply) ❑City or 2 Family Dwelling - Number of Bedrooms []village ❑ Public./Commercial - Describe Use ownship pA ❑ State Owned S� PW PY Nearest Road M. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B if ap 'cable) A For County use 1 New 2 ❑Replacement System 3 ❑Replacement of 6 ❑Addition to m Tank Only Exis ' System B. X Check if Sanitary Permit Previously Issued Permit Number Date Is� e 1 IV. Type of Permit: (Check all that apply)(numbering scheme is fo internal use) 44 � Non - Pressurized In- Ground 210 Mound 47 ❑ Sand Filter 50 ❑ Constructed Wetland 22 ❑ Pressurized In- Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line 45 ❑ At -Grade 46 ❑ Aerobic Treatment Unit 49 ❑ Recirculating 30 ❑ Other V. Dispe rsal/Treatment Area Information: Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required Proposed / Rate(Gals./Daa (Mi ys /Sq.Ft.) n.Mch) e Elevation � 0 ✓ ( o ✓ 15(q r,J A AV� el { q 5 1 9,( 99,E ✓ VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank _ 1 Dosing Chamber Oa7 VII. Responsibility Statement - ly the undersigned, ass>_� responsibility for insta4tion of the POWTS shown on the attached plans. Plumber's Name (Print) P ber's Si MP/MPRS Number Business Phone Number 11 O - 7 15 a (0 513S Plumber's Address (Street, City, State, Zip Code) VIII. Count /De artment Use Onl Approved 11 Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) Surcharge Fee) / ❑ Owner Given Initial Adverse X71 QO (Z Z Determination V IX. Conditions of Approval/Reasons for Disapproval 1. Effluent filter to be installed and maintained per manufacturer's recommendations. 2. This revision was submitted to reflect a change in system location. 3. All setbacks to system and residential structure must meet applicable code requirements. Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size SBD -6398 (R. 05101) 1 - r7RA +� y mound - t'c�r ►�.�s /m C �1 �'yc�S co �c� S a r30N R c� 9.5 �co;O' n k) =T� / � �( Q \QC• TYar�5�or�w�.0 F'�C. � b Sea.Qe _ (.(O a Z 2 r� 0 3p� , G S [ a T30 A.) )QjS: Aso Q X. s e�4'�c�Z�a,Q _A A t OD --e- t ebb � 1. e , r»0s e-1 95 D r �d -A Aif 8W) �=- S oo& t 1 ` o g.a o .�;37 7p a i 0 0 �G c V - - R9 . W C tE t`D "0 G r c x CD in c V U CO wc � �co mLE c ` 0 U� r 10 CL 2 U! � �� t� x lip Ml CL.9 Qa 78 JoY N N in t 1 t f • i Y i cc y � . U) : 1 a� d O p 4 Lkj U J_ 1 16 4 4 L v f Wisconsin Department of Commerce SOIL EVALUATION REPORT Page _ 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Ws. Adm. Code County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must 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 road. 026 - 1126 -09 -000 Please print all information. Re ' ed by Date Personal information you provide maybe used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Z Property Owner kProperty Location Derr k ot NE 1/4 SW 114 S 12 T 30 N R 18 H(or) W Property Owner's Mailing Address Block # Subd. Name or CSM# na Waters Ed e City State Zip Code Phone Number ❑ Village ® Town Nearest Road New Richmond WI 54017 (715 )246 -2320 Richmond i Waters Ede DR [a New Construction Use: I2 Residential / Number of bedrooms 4 Code dereddasigeflow rate 600 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material pitted gl a cial drift FI Plq if applicable ft• General comments ♦► 4 t and recommendations: ' w �'"t�l± trenches @ el. 95.00' j b� " FT] Boring (-,� Boring # Ground surface elev. 99.00 ft. Depth to IimiWT' Pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture StFut yte 0TjstV4e oundary Roots GPD /fF in. Munsell Qu. Sz. Cont. Color Gr. S . Eff#1 'Eff#2 1 -0 -12 10yr3/3 none L 2msbk mfr cs 2f .5 .8 2 °12 -22 10yr4/4 none sil 2msbk mfr qw if 5 3 •22 -96 7.5yr4/6 none ms 0sq mvfr na na Boring # Boring 2 ® pit Ground surface elev. 99.00 ft. Depth to limiting factor 96 in. Soil A Iicetion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'E11#2 1 1 -9 10yr3/3 none L 2msbk mfr cs 2f .5 2 "9-26 10yr4/4 none sil 2msbk mfr aw if .5 .8 3 �26 -96 7.5 4/6 none ms sl 2msbk S 0' Effluent #1 = BOD > 30 220 mg/L and TSS >30 < 150 mg/L 2 = BOD < 39 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature - -- CST Number Gary L. Steel 2298 Address ate Evalu on Con . cte Telephon Number 1554 200th. Ave., New Richmond, WI. 54017 11 -26 =2001 715 - 246 -6200 Property Owner Derrick Const. ,I nc. Parcel ID # 026- 1126 -09 -000 Page 2 of 3 F Boring # ❑ Boring 3 ® pit Ground surface elev. 97.80 ft. Depth to limiting factor 9— in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fE in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'EM2 1 0 -10 10 3 mfr Cs 2f .5 ✓ .8 V 2 - 10 -21 10yr4/4 none sil 2msbk mfr CAAZ if .5 .8 3 21 -90 7.5yr4/6 none .7 1.2 I I ❑ Boring # Boring ❑ 4 ® pit Ground surface elev. 98, 0 ft. Depth to limiting factor 90 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -11 10 3 3 nicingn Sil 2msbk mfr qw 2f 2 11 -21 10yr4/4 none scl if .4 .6 3 21 -90 7.5ry4/6 none ms /sl 2msbk mvfr nA n.4 • • SQ 3 � r Zv F-1 Boring # rl Boring 1:1 pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIfF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L 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 format, please contact the department at 608- 266 -3151 or TTY 608- 264 -8777. SBD -8330 (860)) STEEL'S SOIL SERVICE Gary L. Steel Derrick, Const. , Inc. 1554 200th Ave. CSTM2298 NE4SW4 S12 T30N -R18W New Richmond, WI 54017 MPRSW -3254 town of Richmond (715) 246 -6200 lot O- Waters Edge N 1 " =40' BM.= top of NW lot stake @ el. 100.00' alt. BM.= top of elec. transformer @ el. 102.70' C _ � �OD� � B a7 Gary L. S eel 11 -21 -2001 f • ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM (2NSf�t ov t/ t OOwner/Buyer 3 /u O Mailing Address !) K 1/f/ 5 Property Address 1 V< Ten-S ED ( Q/Li v< (Verification required from Planning Department for new construction) P& - V4 Ao " City/State S V017 Parcel Identification Number ® J LEGAL DESCRIPTION Property Location dk %., 5 .Aj '/4, Sec. / L . T 7h N -R �°} W, Town of /`t Subdivision 604 0 Ca c Lot # Certified Survey Map # . Volume . Page # Warranty Deed # G Q 4 2 - 7 Volume /� 3 / . Page # `6 Spec house fidyes ❑ no Lot lines identifiable ,yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and' by a master plumber, journeymanpl*ber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of 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 Zoning Office within 30 days o e three year expira ' n te. Age SIGNATURE OF APPLICA& DATE OWNER CERTIFICATION I e) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the prope described above, vi a of a warranty deed recorded in Register of Deeds Office. SI ATURE OF APPI:ICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department.****** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed PNvste 4nsite Wa*WvaW Treatment System Manag"IMA Plan Septic Tank And Gravity In- Ground Soil AbsorpUon Component Pursuant to Comm 83.54 Wis. Adm. Code each Prlyaft Onslte Wastewater Treatment System (POWrs) stall Include k*wretlon end proandures for maintaining the sYsbsm wom the PWWIO%M of Comm 83 and 84, and the cwxgdona of approval by the fit, agasrnt. unit The appnov*d Piers and permits for system are on file at the county zoning Or health department. This maw pray with Comm 83.54, Ms. Adm. Code, and the in -Ground Sol Absorption Component MWRAW for Privaste Ong" Wastewater Treatment Syshwa 881). 10567-P (8.6199). Table 1: sysitern P Nimber Design f=low Paddc ( Efat fttt mu rvvw - A O Think Soil woe Type of wissiewsw TWO Z: Soil • LtlrNiis of Reioble Oparalftn Tank Component Soh �k=t Shia (in) Mttaclmum 220 } 1513 Table 3: Unkdonance Sche dtille sapfic Tarp ardibr service once 3 4udet Flier fra once a yew and dean at beat once swry 3 yews Sol C @my 3 years SMOc Tgnk The septic tank shell be maWftned by an individual certilled to service septic tents under s. 281.48. Stab. The content of the septic tank shall be deposed of in. accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, pig Gera, Grease �j. Soft, Seepage Pits, Seepage Trenches, Privies. or Portable The operating condition of the septic W* and outlet flier stall be assessed at least once every 3 Yan+s by inspection. The outbt f w std be cleaned as necessary to ensure proper opWat ion. Th* MW GWVXhP should not be rye TKwed unless provisions one merle to retatrin solids in the tank that may slough off the Mer when removed from ifs enclosure. if the Management Plan for a Septic Tank and Sot Absorption Component MW is equipped wide an alarm the MW steel be serviced If the Mann is activated cOnftoou*- Inteerrritternt fidt alarms may ndicete sine flews or an impending continuous alarm. The septic tank shoe have 1118 cordents removed when the volume of scum send sludge in the tank exceeds 113 the kgvid voWm of the tank. If the dents of the tarn are not removed at the tire, of an asssssmw% meirttenence personnel sham advise the awner of when the next service need to be Performed to meinteein less than maximum scum and sludge acmamdebon in the tarn. Manhole risers. access rgers and covers should be 1111SPOCIOd for **tear tightness and soundrmw Access openings used or service and as sessment be seated watertight upon the completion of service. Any oper" deemed unsound• deetectiv e• or subject to failure must be nepfacead. Exposed access cpeniruls greater, hirer & b ftmeW sham be segued by an effective locking device to proverit accidental of unauthorized ej'y w to the tank. No one Shoo rails► a septic or o0w fnabeeed or haildling Am* � Onft g a corMbeed spe ce. The aM It M 0 0 and rescue of a b of ho"IS M* Ma oowloft ft" person *am do lowlor of as to* mW he di #FNW or Tank abandonment sham be in accordance with Gomm 133.33, WIS. Adm- Code when the tank is no WW used sea a POWTS component. Anil ahs2MUR t'Rmnent The soil absorption component serving this structure Is designed W accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The bngevity of a soil absorption component depends greatly on proper and t imely n1"Awmnros. and wigurn use vin or bebw the bnft of - Good wasr oonaw Vation practices by +ed oowparets and the iresteltation d VOW cwwsrvaeg plumbing fbdur s aim key factors in extending the useful We of this component. The soil absorption component's operation must be assessed by inspection at kept once every nitre, years. The inspection Mug bawd* nacre V the few of ponf9. if any, in V* obaer,alion pipe% and a visual inspection wr any evidence of surface seepage or discharge from the aaMonw& on steeply sbpitp sites. areas of erasion should be id� and reported to the owner for repair. The surfM doge of domestic Waeslereraror or swmge from the system is prah'bited and c onskWed a human health hazard. Taft around or over the so# absorption Component should be avoided dY during wiMar months. The compaction or removal of snow COVW aver the OOnpon*nt may load to hydraulic taaikrr+e by fre**V. This type of failure is usueNy teropomiry. but is diffiO* or impose to repair until westheir conditions Improve. in general. soil compaction over tttis ececrwonent via reduce dftsion of escygen M the SON and dieperaad roil. which may Mad to more intense. and earlier. organic clogpireg of the "I- 2 pin for S Sqpvc To* and 508 API 'I' o f d to and shshams di over W VA VO n ten *W of the =nponvg pMM*V$ should be avoldW 911" am$ W*UBW MyWW MW obSVW WWOW*a now. 3T. CROI 586-4680 plumber = Cal Powers - 246-5135 Replaceme t site will be that soil tested area by Replacement site must be left undistarbed, Dr management/ contingency plan must be modified and filed with the zoning office, outlining the steps to be taken in event of septic system, failure. 3 ' " 1 169 STATE BAR OF WISCONSIN FORM 2 -1998 6042'.57 KATHLEEN H. WALSH REGISTER STER OF DEEDS ST. CROIX CO., WI d Brush Grantor, an n David L. Naser, Gran made between er This Deed, Y RECEIVED FOR RECORD Mound Partners LLP a Wisconsin limited liabili p artnership, Grantee. , � YP Grantor, for a valuable consideration, conveys and warrants to Grantee 06- 03-1999 9:30 AM the following described real estate in St. Croix County, State of Wisconsin (The WARRANTY DEED "Property "): EXEMPT M CERT COPY FEE: See attached Exhibit "A" COPY FEE: TRANSFER FEE: 1047.60 RECORDING FEE: 12.00 PAGES: Recordinz Area Name and Return Address Hendrick W. Van Dyk VAN DYK, O'BO YLE & SILER, S.C. Post Office Box 127 New Richmond, WI 54017 - part of 026-1037 -30 -000. 026- 1037 - 95-000 and 0 n3j,, R- 10-000 Parcel Identification Number (PIN) This is not homestead property. Exceptions to warranties: Subject to all easements, restrictions and covenants of record. Dated this 28th day of May , 1999. *David L. Naser I' * * AUTHENTICATION ACKNOWLEDGMENT Signatures) David L. Naser STATE OF WISCONSIN• ) ss. fj County ) authenticat d this 28 hday of Ma 1999 Personally came before me this day of 19_ the above named W to me known to be the person(s) who executed the foregoing * Hendrik W. Van Dyk instrument and acknowledge the same. TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stats.) * THIS INSTRUMENT WAS DRAFTED BY Notary Public, State of Wisconsin Hendrik W. Van Dyk My Commission is permanent. VAN DYK, O'BOYLE & SILER, S.C. (If not, state expiration date: Post Office Box 127 . ................ J. New Richmond. WI 54017 (Signatures may be authenticated or acknowledged. Both are not necessary.) i • . 11 COW ER FO C UA 8 FOL AW" 1 f COWrr AAaWA&%7' I / � t ® W Mesurae7r �1�er:T P C Lors AREA ro CL FT. 9 '. 0.6151 xi Fr. M+ ACRES /,�. .i j� 93.3,5 xi Fr. � 214 ACRES ' ?^ �� N597431 52270' S ' I � o�ooAU L O T O , C M�7r WW567 =&O7' - -- AREA r0 Sam -,58934'S0'E 3gM25' -- 77.667 so. Fr. 1 • 1 ,/ / /� ��, `. 1.79 ACES ; a Z'-- `� ! ,/ � ; \ '\� ` - ,___"� 37244 * , — — ? II�•a EAST 114 Ca MR WOM 12-JO aaNO 1' deav PIPE) AREA TO SFO= �g o A*' t� x779 70. r011FF910EA •�; I 1.81.9A a xi Fr. ` \ a i 1 141 11 A CRES S , � +�` � tR� �I P } �R / • ' L o r ig 1 36636'99'W 35+.69' ` , 1 . 036 SM Fr. 2.02 • . ��.{ a( 2.02 ACRES i Lora d m t AMU 0 WEA 1 " �A to rEUmm u+E: 73.106 SCL Fr. 1.68 ACRES Lor 91%157 SM FT -Y ® 221 ACRES i 'a 's •� Lora h '� M49 ! ; AREA 10 11KM- 8 N 0 TH F � 2.041 ACId:S C 1 , I � AR1RJ1 10 RAEA1fDE1l LRRFs .. ` V 1.61 A E Fr. �z ,.61 ACR 6 9 LOT 47 TO AFk U779 SM Fr. Zia ACRES \7 \\♦ ••f ....... / / / \ G •/ d LOT 10 MWA i m a+aM \ 4 x. e429e* sa Fr. 1.95* ACES AREA IQ MEA� UND `\ �, �` / /J /' 1.55 . io Lor ARRRiA To 9 iaE: 64,5!* xi Fr. •• '• a s �> to2t ACRES ....... .... • ' �,, A11EA 70 IENfDE1! p11p H • S� 1:52 FT L or to FFE 10024 4 P\ ' b ALFA ro s,MM r L Or 18 22.1`ft Ass F7. 103.671 xi Fr. A 70.754 xi Fr. •r I ` y { _ 239 ACRES , 162 AGES , `•. J S • W N ' SW fi4 >E AL 114 ,� 1` I i \ - A HE 1� . 349L64'' - - -N6i 24'MI -1306 - -- J . r � ' •` F r SCUM 114 Ca VD? uNPUrrm LANDS a .SECTOV 1T -la-18 �(FaM 1' AM PFE) SHEET 3 OF 4 SHEETS � c I f 0848 4104 L MW o V " p 00 w L s C3 'd ° '4 � bA m u G �� w ° v v m cn c� o J4u" w C14 v Iz (13 ca ca 1� b =@"" wf t a a3st I � mt W. om f Sim mw= db fbr nw iww hamd s PO Am . ' ' ibt ao�oaasp M 600. vMt STAM of )tm)I ( +coed JW= to ONOW Waa tis w aot x j s awned. � � a ' • pkaaa hl »t ait an iwcatls�: � � ` ✓ PropeKjr Loeacie. ri 5,9 M vy$( g �aT3C� R r w um &' 3 4 NA 7Gp Cede 5 D l ..""weresi— Of sundi ° ! or 2 brie,, 8edeaas . �/ � ✓ .� ©� '�'-- opt �,.. ✓ a 30 E JIL A} Z Oft Riue A. Chock ewe „A r1 o a fit 8j ? S' 0 A4dWoii b an Wt aDP�7►) 0 0 &W Far O Co aped Wsd and O ?aide 0 pas 0 Drip, tine V Area 3laweeac tii� O 0 odw. 1'eepeeed W Ekvdim Y4 4r i. Toed s of pesia sAAe sand pii plada weft caw sun 0 13 'TAM I ro w fv oe�,► ° eico..ri..A. i>�iesa a ice ° ' ° ar. ae.pl '^ sue",.,_ A m J Pao_ - �aI a�Sa ✓Pf 16NI &t.,cw . !"c ,OJtk"z Kv5j �jQ SC�7�jst,Gl(� w t�w�n l� '�� ��" �/dk l �( ll���'l { e ViI4 tflvv+. -� PI © — T Pcl (;\- R. Stet/ p. N E'l sw ` S i a T30N �l9 N W 5 of 1,� , e rs LOT q -�.w .c� rnanL �{ 7 —Ooc� q_3, 75 A em Q 3S' o= � a"1 q 4� U uJ .'F + r J► h, Ul IR t N � d 1 x S f i i ,fib• 6�1 121Q 3�a� Saa.�..�tM Wiscons�in of Industry SOIL AND SITE E V A L U i ' Page 1 of 3 Labor a��d Human Relations / Division of Safety & Buildings in accord with ILHR 83.0 Adnl�C �, . NTY - R EcF�v�� Attach complete site plan on paper not less than 8 1/2 x 11 inches in siz .�I n must include, bye St . Croix not limited to vertical and horizontal reference point (BM), direction and a lope,"leps L�44 a8tEL I.D. # dimensioned, north arrow, and location and distance to nearest road. 0 1 CR U%x L I endin APPLICANT INFORMATION— PLEASE PRINT ALL INFORMATI S ED Y DATE r ,tN��F F ' OE t PROPERTY OWNER: LOC Derrick GO L & 1/4,S T30 ,N,R 18 f{(or)W PROPERTY OWNER':S MAILING ADDRESS LOT # ED. NAME OR CSM # 15 0 5 H# 6 5 na Brush Mound Lake CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE :TOWN NEAREST ROAD New Richmond,Wl. 54017 ( 7A 946-2120 R ( New Construction Use ] Residential / Number of bedrooms 4 ( ] Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow 600 gpd Recommended design loading rate .7 bed, gpd /ft .8 trench, gpd /ft Absorption area required 858 bed, ft 750 trench, ft Maximum design loading rate __L bed, gpd /ft _ trench, gpd /ft Recommended infiltration surface elevation(s) 96.45 ft (as referred to site plan benchmark) Additional design / site considerations trenches spaced to code 4.00' below grade Parent material outwash Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable for stem C2 S ❑ U fR S ❑ U CRS ❑ U as ❑ U C2 S ❑ U El C*U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft .................. in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench ................. .................. ................. .................. 1 0 -10 10 r 3/3 2 10 -24 7.5 r 4/4 none scl 2Msbk mfr rTW if -4 -9 Ground 3 24 -92 7.5 r 4/6 none elev. 1 Depth to limiting factor Remarks: Boring # 1 0 -9 10 r 3/3 none 2msbk 9W 2 2 9 -25 7.5r44 nn Ground 25 elev. 99 ft. Depth to limiting factor Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 Address: 1554 200th. Aypi, New RichnaoncY WI 5401 Signature: Date: 6 -1 -2000 CST Number: m02298 PROPERTY OWNER T)P-rr;r,k rc)nst. Inc SOIL DESCRIPTION REPORT Page 2 of 3. PARCEL I.D. # Pending Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Tmrch ..gx >' 1 0 -9 10 r 3/3 none 1 2msbk mfr gw 2f .5 .6 2 .9 10yr 4/4 none sil 2msbk mfr crw if .5 .6 Ground 3 17 -26 7.5 r4 4 none scl 2msbk mfr na na .4 .5 elev. 1 01.1 fit. 26 7 . 5 yr 4/6 none Ms osci ml na na . 7 .8 Depth to limiting factor + 9011 Remarks: Boring # 1 0 -10 10 r 3/3 none 1 2msbk mfr gw 2f .51 .6 2 10 -25 10 r 4/4 none sil 2msbk mfr qw if .5 .6 ............... Ground 3 25 -33 7.5 r 4/4 none sl 2msbk mfr if .5 .6 elev. 4 33 -86 7.5 r 4/6 none ms 0SQ mvfr na na 1 .7 .8 10 Depth to limiting factor +86" Remarks: Boring # > - -> 1 0 -9 10 r 2/2 none 1 2msbk mfr gw 2f . 5 .6 2 9 -26 7.5 r 4/4 none sil 2msbk mfr gw if .5 .6 Ground 3 26 -36 7.5 r 4/4 none scl 2msbk mmfr gw if .4 .5 elev. 4 36 -90 7.5 r 4 6 none ms osq mvfr na na r8 t/ 1 Depth to limiting S-y� factor +90" Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Ill SBD- 8330(8.05/92) P. STEEL'S SOIL SERVICE Gar Steel �' Derrick Construction, Inc. 1554 2 0th Ave. 0 CSTM2298 NE4Sw4 S12- T30N -R18w New Richmond, WI 54017 MPRSW -3254 town of Richmond (715) 246 -6200 lot #9- Brushy Mound Lake This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of the test may or may not be as shown as permanent lot lines were not established at the time the test was conducted. N 1 =40' BM. =top of 1" pvc pipe C el. 100.00 Al-t BM.= top of 1" pvc pipe C el. 99.35 5 u 5� ftA A Gary L. Steel 6 -1 -2000 I _