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040-1045-60-100 (3)
I Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law. s.15 04 (1)(m)j. Permit Holder's Name'. Cary Village Township Brummel, David TOWN OF TROY CST BM EIev: In sp 2-16lev BM Description� Oar 7^� BG � Vewl— TANK INFORMATION INS4&// ,TV541- ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic J 7�J ' Z C O Dosing o IV 10HolK 5Z5 j3dl p, kI� 6 215 TANK SETBACK INFORMATION Lnct_3 4- G�attw TANK TO P!L WELL BLDG. Vent to Air Intake ROAD Septic i/00 x 180, 1 �� >toV 160. 2—&4. Aer Lion Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model mber TDH Li F�on L s S I He TD t Forcemai Length Dia. I Derto Well SOIL ABSORPTION SYSTEM STATION BS HI FS ELEV. Benchmark L.9 I�.a r�•p� ) 1 AIL BM IT Cw« Bldg. Sewer /o. Vt 103. (0 5 SUHt Inlet �!\ 8. Z.1 101 . 14 SUHt Outlet (D 9.47 / d 1. 5T TAI `t.07 100. 6 ,S -r QZ `�. 2 100. (P I Header/Man. Dist. Pipe Bot. System Final Grade � r O S.o1 /0�• �% P;5f 115oxo�T Icxl 99.7 BEDITRENCH DIMENSIONS Width, /�1/;S Length r7„ Y l No. Of Trenches � PIT DIMENSIONS No. Of Pits I Inside Dia ILiquid Depth SETBACK INFORMATION SYSTEM TO P/L BLDG WELL LAKEISTREAM I LEACHING CHAMBER OR UNIT Manufacturer. Ty a Of System: Model Number: � DISTRIBUTION SYSTEM He er7M nifold i5 xjs Length Dia I�i� Distribution Pipe(s) Length Dia Spacing x Hole Size x Hole Spacing Vent to Air Intake SOIL COVER x Pressure Svstems Onlv xx Mound Or At -Grade Svstems Only Depth Over Bedr-rench Center y.' ` Depth Over Bed/Trench Edges xx Depth of xx Seeded/Sodded xx Mulched COMMENTS: (Include code'dlscrepencles, persons present, etc.) Location: 455 HWY 35 1.) Alt BM Description =opv 7 (b V't,'i 2.) Bldg sewer length = I 1 - amount of cover Plan revision Required? ` Yes l• No Use other side for additional information. SBD 6710 (R.3/97) Q Talk dwes+- 4-o ®IanK �?�esf ftb On Date Inseoctor's Sianatur Inspection #2. =©;�9� =ts : 3.5 �i— I 0 O�= 3 &+ Can. No CAt 1- J.,'1 n — n II r s1a'r _ .. i.?,!I_'i' ` ' D Industry Services Division Canty " stCroix Sanitary Permit Number Oro be filled in by Co.) s = - � 1400 E Washington Ave P.0.,Sox7162 , FEB 2 $ 2020 Madison, VVI 537 7-7162 / 13-93 ( rt efF it Applicatapn 73 D tat, Transaction Number✓ In accordance 'tILYPB� Is. Adm. Code, submission of this form ro the appropn ental unit W1'S-022000247-C is required pri obtaining a sanitary permit. Note: Application forms for state-owned POWTS are su the Department of Safety and Professional Services. Personal information you provide may he used for secondary Roles Address (if different than mailing address) purposes in accordance with the Privacy Law, s. 15.04 1 m , Slats. - 455 H%y 35 I. Application Information - Please Print All Information Property owner's Name Parcel H David Brume/ Aves Design Studio Clay Warehouse 040-104560-100 ' Ca .J V Property Owner's Mailing Address Property Location P.O. Box 433 Govt. Lot SW %, NW V.., Section 10 City, State Zip Code Phone Number River Falls, WI 54022 circle one) T 28N R19Eor'K) Q. Type of Building (check all that apply) Lot # Subdivision Name 1 ar7L:}R•-"'-8_ "'--._•2l''"-'leemo I ® Pubhe/Commercial - Describe Use 11i A ii? If 14 0 u S e LIZ Ze,4 NA Block # ❑ City of ❑ State Owned - Describe Use ❑ Village of CSM Number ® Town of Tmy III. Tpe of Permit: Check oniv one box on line A. Complete line B if applicable) A. 144ie" systcil eplacement System reatment/Holding Tank Rglacement Only Other Modification to Existing System (explain) i etc aw1AGAdm. B. ❑ Permit Renewal Before Expiration ❑ Permit Revision ❑ Change of ❑ Permit Tramvfa to New vlous Permit N berandDidelssuediIi Plumber Owner IV. Type ofPOWTS System/Component/Device: Check all that apply) on -Pressurized In -Ground ❑ Pressurized In -Ground ❑ At -Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. DispersaV117reatment Area Information: X Design Flow (gpd) Design Soil Application ispersaDillrea Required (st4Dispersal ro�pj�t��d (SO System Elevation 420 Rate(gpds0 600 98.00 0.7VI. TankInfo Capacity in Gallons Teal IExisting ranksGallats units m x o a Septic or Holding Tank 1250, 1250 2500 2 Wieser Concrete ® El El ❑ Dosing Chamber I 0❑ VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached Plans. Plumber's Name (Print) PI s S' MP/MPRS Number Business Phone Number John Schmitt % 223760 715-760-0486 Plumber's Address (Street, City, State, Zip Code) 596 Valley View Trail, Somerset, WI 54025 County/Department Use Only kkkVIIII. ty Approved ❑Disapproved Permit Fce Dane 1 tied "ng Agent Si Owner Given Reason forikniat S Z 3l3;20 _ IX. Conditions of Approval/Reasons for Disapproval Z Paco-ut tS 2S D SYSTEM OWNER: "A-:s L3 (out f lH 1. Septic tank, effluent filter and - r ` tL dispersal cell must b /D' egg gerviced / maintained p_ I\y )} f f to van as per managementplan provided by plumber, l I (� JA+A All ea A b F® IYdA'itlf`IlkYikhm aq�wi�Cou MsroToo' per v less f an 8 I I1 inrkes in size '�(�%� ae per applicable a ordin n s. 1 p( CLs- 5 5 rww l vtta i/�# SHD6398 (R03/14) � �r `{ S� J4f( ee•+�. ens i".. �.>� SYSTEM PLOT PLAN Project Name: Aves Design Studio Design Flow: 420 gellonsMay Attach design flow calculations for Project Address: 455 State Highway 35 commercial plans: BM2 Symbol A BM Elevation: 104.28' Pipe Materials I ASTM Standard BM Description: Top of existing dlstnbubon box oonr / Tables 384.30.3 6 394.305 _ Scale: 1 „ — �' BM3 Symbol: 0 BM Elevation. 102 95' 0 SO 80 120 4" SCH 40 PVC I ASTM 02M BM Description: Top of vent tap on existing drain field 4" 3034 PVC ASTM 03034 152 Slope Gradient of Tested Area: (%) Well Symbol (it applicable) Notes: Existing AV" Design Studio building septic system will be another separate plan 8 pemat O ` Property Line See Previous I'mrt on existing in field Gravel Parking Lot BM3 F nat/� r- tlrx1M 924. 491br ' (Proposed tanks) 2 WLP1250-MR 11 Septic tanks B 2 State App ved Effluent F Iter Proposed Clay e Existing Well Warehouse Building Gravel c Parking Lot at Gravel o Parking Lot a Gravel Parking Lot d o BMI Q. Gravel Exuding Aves Design Parking L c t\ Studio Building o y, HA r BM 3 Existing 1000 gallon 1.7 / Septic tanks T2 Driveway Driveway to Highway 35 arty Line DIVISION OF INDUSTRY SERVICES �y`�ofrART '0.vTge 2331 SAN LUIS PL GREEN BAY WI 54304-5211 m Contact Through Relay hap://dsps.Y i.goviprogmmsriindustry-services S q www.wisoonsin.gov s�oN��' Tony Evers - Governor Dawn Crim - Secretary February 28, 2020 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 2022-02-28 Plan Review: PWTS-022000247-C IOHN F SCHMITT 616 150th Ave Somerset WI 54025 SITE: Clay Warehouse (Aves Design Studio) 455 Hwy 35 Town of Troy Saint Croix County Total Amount: $250.00 FOR: (Tank Replacement) Description: 420 GPD (Replacement — Employees and Poor Drains) Maintenance Required The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • Abandon Existing System per SPS 383.33 • Divert surface water from POWTS Area. • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building sewer beyond 30 feet per SPS 382.30 (1 l)(c) • Tank Installation to follow all manufacture's recommendations. • Verify property Une(s) prior to installation. • Well setbacks to meet chs. NR 811 & 812. Owner Responsibilities • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval SPS 383.54(i). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state scats lot. 12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Thanks, OO r/.exr &. � &e POWTS Plan Reviewer— Wastewater Specialist Department of safety & Professional Services I Division of Industry Services email: tim vanderleest@wisconsin.aov Cell: 608-516-6134 CONVENTIONAL COMPONENT DESIGN INDEX AND TITLE PAGE Project Name: Aves Design Studio ( Clay Warehouse) Owners Name: David Brummel Owner's Address P.O. Box 433 River Falis, WI 4022 Legal Description: SWl/4, NW1/4, S10, T28N, R19W �a � Township Troy County: St. Croix Subdivision Name: NA Lot Number: 1 Block Number Parcel I.D. Number 040 1045 60 100 Plan Transaction No. Page 1 Index and title Page 2 Gallons per Day Calculations Page 3 Plot Plan Page 4 Septic Tanks Specifications Page 5 Effluent Filters Information Page 6 Soil Absorption Area Evaluation Page 7 Management and contingency plan Page 8 Septic Tank Maintenance Agreement Page 9 Warranty Deed Page 10 CSM or Plat Attachment 1 Soil Evaluation Report Attachment 2 1987 Sanitary Permit Attachment 3 Building Plan Designer: John Schmitt MPRS 223760 Date: 2/24/2020 Phone Number: 715-760-0486 Signature: =%(1//LC In -Ground Soil Absorption Component Manual Version 2.0 SBD-10705-P IN. 01/01) Page 1 Gallons per Day Calculation MR Clay Warehouse Building; (Aver Design Studio) The Clay Warehouse Building is a new building that will be constructed on the Aves Design Studio property. The warehouse building will employ 10 employees and have 6 floor drains. Two new 1250 gallon septic tanks will be installed and be connected to a 24' x 52' rock & pipe soil absorption area that exists on the property and had served the existing Aves Design Studio building. The soil absorption area was evaluated and that evaluation is contained elsewhere in this plan. The existing Aves Design Studio building will have a new Soil absorption area installed. Only residential strength wastewater will enter the septic system. 10 employees 6 Floor Drains Estimated Wastewater Flow Design Wastewater Flow x 13 gallons/day= 130gpd x 25 gallons/day = 150gpd 280gpd 280gpd X 1.5 = 420gpd ExistinLy Drain field Existing drain field capacity available=(24'X52')Ft2*0.7gpd/Ft2=873.6gpd Septic Tank Capacity 420gpd X 2.088 = 877 Gallons Two 1250 gallon tanks will be installed, the first with a Polylok 525 effluent filter, the second with a Polylok 625. Page 2 SYSTEM PLOT PLAN Project Name: Aves Design Studio Design Flow 42C gailonsvday Project Address: 455 State Highway 35 Attach design sow calculations for commercial plans BM2 Symbol - BM Elevation 104 28' Pipe Materials I ASTM Standard Scale 1" a 60, BM Description Top of existing disinbvton box cover Tables 384 30.3 8 384 30-5 0 60 90 120 BM3 Symbol Q BM Elevation 102 95 4SCH 4 PVC 4S'M 02665 BM Description Top of vent "Pon exNtirg drain sold 4" 3031 PVC ASTM D3034 Slope Gradient o1 Tested Area. 1%) 15; Well Symbol (it applicable) Notes Existing Aves Design Stwo bUioing septic system unit be another separate plan S perme.. See Previous existing dram held Gravel Parking Lot BM3 6 xigliq orate �'?O#5? B 2 6 Proposed Clay Warehouse Budding Gravel Parking Lot Gravel Parking Lot 99. , Driveway to Highway 35 ,, gig Driveway (Proposed tank; 2 WLP1250-MR Septic tanks / --� ■ / Tt© State Al Effluent Property Line Gravel Parking Lot Existing Aves Design Studio Budding / _-----Property Line ��92 e Existing Well Gravel Parking 1000 gallon Septic tank! A 1201" 4':ASIA-SEAL 4' CAST -A SEAL FILTER Of BAFFLE fut4WAM TANI(5 ARE MANUFACTURED TO MEET OR EXCEED ASTM WLP1250-MR TANK SPECIFICATIONS DIMENSIONS: WALL: 2 1/2' BOTTOM SEPTIC 3' COVER: 5' MANHOLE: 24' LD. PRECAST CONCRETE RISER HEIGHT 52 1/2- O.D. LENGTH: 120 1/4' O.D. VA01VI: 84' O.D. BELOW INLET: 41' O.D. UOUID LEVEL: 36' WEIGHT 8,810 LBS. INLET AND OUTLET: 4' CAST -A -SEAL BOOT OR EQUAL GASKET, CAST -A -SEAL BOOT OR EQUAL INLET AND OUTLET BAFFLE AND FILTER WISCONSIN. SEE DETAIL 010 (OTHER STATES SEE CHART) UQUID CAPACITY: 34.81 GAL/IN HOLDING TANK: OUTLE- HOLE PLUGGED ACTUA_ CAPACITY: 1.323 GALLONS LOADING DESIGN: 8' 0' UNSATURATED SOL TANK CAN BE USED AS: SEPTIC/ HOLDING/ PUMP OR 51PHON COVER: MIX CESIGN 00 NO FIBER) TANK: MIX DESIGN #10 STRUCTURA'_ FIBER) CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT MESER CONCRETE J C 7 � Z i N_ F DRAWINGS SUBMITTEDI tH FOR APPROVAL Apl K fu M. SHEET APPROVAI GATE pIKIXKTS HEEDED DW: __ /� INSTALLATION INSTRUCTIONS :•-a 7 PL-525/PL-625 FILTER INSTALLATION INSTRUCTIONS Step 1: (A) Locate the outlet of the septic lank. (B) Remove tank cover and pump tank if necessary. MAINTENANCE INSTRUCTIONS Step 1: Locate the outlet of the septic lank. Center ruler w,W o{,,emnq CZ � N J7 LLO Z e Additional prpe - PnTylnk cxtenrl8 Luk fm renlenng Step 2: (A) Before installation, place the filter housing on to the outlet pipe. (B) Make sure that the housing Is positioned so the filler can be removed from the tank for maintenance and service, Step 2: IA) Remove tank cover and pump if necessary. (B) Pull the filter out of the housing. IC) Hose oft the fitter over the septic tank. Make sure all solids fall back into the septic tank. Step 3: (A) Glue the.filler housing on the outlet pipe. (B) Insert the filter cartridge in the huusing, making sure the filter cartridge is properly aligned and completely inserted in the housing. Step 3: (A) Insert the filter cartridge back into the the housing making sure the filter is property alighed and completely inserted. (B) Replace septic tank cover Page 5 CHMITT & SONS CAVATrNG . 58866 Valley View Trail Somerset, WI 54025 (715)549-6651 Aves Studio LLC 455 Hwy 35 Hudson, W 154022 To Whom it may concern: 09/27/2019 On September 27, 2019,1 Thomas Schmitt CST, POWTS Maintainer 227429, dug a soil evaluation pit (described as B I on soil report for David Brummel 9/27/2019) along side and into the existing drainfield at Aves Studio LLC. There was no ponding or bio-mat. The drainfield appeared to be functioning properly. The aggregate used in the drainfield was clean. See picture attached. According to the inspection report on file with St. Croix County Community Development Department the drainfield is 24' X 52'. Thank You! Tom Schmitt Page 6 In -ground Gravity Management Plan IMPORTANT: PAGE 4 OF 4 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 Admin Code, this system shall be considered a human health hazard 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 = 420 gpd; BOD6 <- 220 mgL'; TSS <- 150 mgL"; FOGS 30 mgL" Inspection Checklist INSPECT EVERY 3 YEARS type of use age of system nuisance factors (i a odors, user complaints, etc ) mechanical malfunction (r e pumpsvalves, switchesfloats, etc.) material fatigue It e . leaks, breaks corrosion. etc ) solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (i a distribution / drop boxes) neglect or improper use (i a exceeding design capacities prohibited activities. etc ) extent of ponding in distribution cell prior to dosing dosing Irregularities - if applicable It 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 l shall be pumped by a certified septage servicing operator licensed under s 281,48 Wis Slats when the volume of solids in the tank(s) exceeds one-third (113) 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 manufacturers specifications A servicing 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 Schmitt & Sons Excavating, Inc. Phone 715-760-0486 Local government unit. St. Croix County Community Developement Phone 715-386-4680 Local government unit address 1101 Carmichael Road, Hudson ZIP 54016 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 review and approval. A failed in -ground dispersal component may be 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 Page 7 Owner/Buyer ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM David Brummel / Aves Design Studio Clay Warehouse Mailing Address P.O. Box 344, River Falls, WI 54016 Property Address 455 Hwy 35 (Verification required from Planning & Zoning Department for new construction.) City/State Hudson, W Parcel Identification Number 040-1045-60-100 LEGAL DESCRIPTION Property Location SW '/4 , NW '/. , Sec. 10 , T 28 N R 19 W, Town of Troy Subdivision Plat: , Lot # 1 Certified Survey Map # tp(O O 3q3 , Volume 10 Page # (. 0 (o Warranty Deed # 4U-54 1 (before 2007)Volume 31 $ Page # ZZO Spec house ❑yes Ono Lot lines identifiable Ayes[3no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every 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. Owner maintenance responsibilities are specified in §SPS. 383.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, 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 Safety And Professional Services 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 Planning & Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on this form are true to the best of my/our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms 420g pd SIGNATURE OF APPLICANTS) 111;2x ad DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. •** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 04/12) Departmen•tot SOIL EVALUATION REPORT SP Safelr nnC a=:c•oance with Comm M As +din Code Profess., #1999 Page 1 or 4 Schmitt Son Testing Inc =tiacr compete sae oar C' pao?r not less tr dr KP r I! Inches r sQe Plan must l - St Croix moude but rot limited to vertical and hCrzortal •eference point BMl a recticn and percent si0pe scale or dimensions none avow and location and distance to nea,est •nap ( Parcel i D 040-1045.60-100 Please print all information Rev.ewed 6y Date vrs;ra :^'v^•arr .>u P", cE —a, tie s 15 .4 Brummel, David 8 Sandra Gout Loi SW1/4 NW114 S10 T28N R19W Property Owners Ma Iinp Address -tit a Block Or Subd Name or CSMa 455 Hwy 35 1 CSM 6,1606 City State Zip Code Phone Number City : --lage 'oa, Nearest Road Hudson Ni 54C36 715-386.9097 Troy HWY 35 New Construction Use Resident,al Number of bedrooms Cooe oenved design !low rate GRID Replacement PLbI•c or Commeroai - Descnbe Aves Studio 7arent mate,.@, Outwash IBurkhardt- Satire Complex) =i000 Na^ elevators �! apebcabie NA ff Genera, corrnen!s .. .,:, ..� _-.__,_. ..,.,_.. ;_... _.F. ,.:: -:•:r :>f'ne mac?i^i TanflP�a and 'ecomn,enda!jc-a I y ' Boring 4 BQnrQ _ _—__. _ �_J Pit Ground sur!ace eiev 10C.63 1DEui � •..�•9 factor 123+ :n Son Applicarron Rate r,or¢on DWI` Dom nan! Color Redox Description *eeu,e Svuctre ; orrsterce Bourda,y Roots GRID R' ,n Munser. G, Sz Cont C-or �r Sz Sr 'E"' 'Et4: 1 0-10 10yr4i3 FILL grsl 2mgr mvfr as 3vf 0.6 1.0 2 10-29 10i r3/2 none sl 2msbk mvtr gw 2vf 0.6 1.0 3 29-45 7.5yr4;6 none Is I-sbk mfr gw lvf 07 16 4 45-55 10yr4:4 none gris 1csbk mfr qw lvf 0.7 1.6 5 55-61 10yr4.'6 none gricos 0sg mfr g.v ------ 07 lb 6 61.66 10yr5,'6 none S 0sg ml Cs --- 0.7 16 ' 66-123 :0yr6'4 none grs Osg ml 0.7 1.6 Boring a Bo-ing 98.68 ,: — _..__—._. P.I Ground surface ele, Depth :o'imamg facto' 96+ :r Son ApptiCaJmm Rate H;;nzor Deptr Dominant Color Reaox Descrption Tee re S,ructure Ccnssterce Bouraary Boon GPDdf m Munsea C,. Sz Cont Color ]r Sz Son •Eft' 'E"; 1 0-11 10yr413 FILL grsl 2mgr mvtr as 3vf 0.6 1.0 2 11-23 10yr3�2 none SI 2fsbk nlvfr q.v 2vf 0.6 1.0 3 23-42 10yr14 none grsi 2msbk mvfr g.v 3vf 0.6 10 4 42-96 10yr6,4 none s 0sg ml --- ------ 07 1.6 ' Effluent*' r BCC 1 30 - 220 mg L and T 55 130 < 150mg L " Enluen: ez = FiUD, < 3U m9r, and ' DL _av mg: CST Name Please Pro! Sgrau,e �� CST Number Thomas J Schmitt ,�� �.v /�.�. - Date 227429 Address Schmitt 5cr 'esti,g Inc Evaluation Conducted Telephone'anmbe, 1595 72nd S! New Richr`ora r.. 54C1 9;272C19 715-760 1978 oropeny C:vner Brummel, David & Sandra Parcel ,C . :AD-1045-60.100 Page 2 o, 4 3 Bdnng a ao"ng i Ground surface ele. 98 �3 in �eotn!e imng taco' I! b,. ,r — Sod ApphcaUon Rate Hor,zoi Daptn Dominant Corot Pedox Cescnpt.on Texture crunule Cocs,slence Boundary Rocts GPO k' ,n Munsel Ou 5z Cc-t CO -of Gr Sz Sn • ft. E"a• 1 0-11 10yr3:4 FILL s! 2mgt mvfr n :: 06 1.0 2 11-27 10yr3;2 none sl 2fsbk nwfr as 2vf 0.6 1.0 3 27-41 10yr4f4 none sd 2msbk mfr q.v 1vf 06 08 4 41-54 /.5yr416 none qrs OSq ml a ----- 0.7 1.6 5 54-100 10yr614 none s Osg ml ---- ------ 0.7 1.6 Bonn_ Bonne a P't -,ro„no surface a+v 'r Cecm •a .rmlrrg ratter 50,1 nppecd' c._ ', aie HOr20n Devil, Ddrnmaw C01o, Redox Descnp!,on 'eldVe StfuclLre Cc^s,sten(e Bourda�y 2an!s GPD m Munsel! Ow E won! Color Gr Sz Sn 'Er•• E'x. Boning r BOrng P,t Ground surface elev ft Ceptr -c -nn,ng facto,_ -- Soil Appncatton Pale Honor Deptn Dommant Color Redo. Descnoecr 'exlure Structure zonsalence 8oundarr, Rocts GPD'ft' ,r vu^.se-! Ou Sz Ccm Color S, Sz Sn •Ell. •Ent. Effluent at = BC--., 3v , .20 mg and TSS 10 , ' 5C n+g L ' Eff,uent a2 = BCD < 3C `tg L and TSS < 30 mO u I6. .t..,.p„r!, np.,. ,. .i,., i.:� ...�..:!,,,,I,;r. 1• .a:i.....r.,.l............ .•t,.. uC:d •n ncn ,. .: at ,7: at.ni '.•, '',.n PI-n.•.�,nt ,.. .. � ., ,V ..� .��\-`M..:!<I ni I11 h,.C-`r, J-�___ 41. 4" „_ ♦'• —•� t1 1 David R Sandra Brummel i U2 Wl54016 .. — \ — — —.�•— �.— _ i �• i I IT 040-tli4 ti-FiU-100 � f -�•— — .i. _ _ — HM. J ♦ J St Croix County, WI Legend A -49 � 1 0 44 41 Ap If State of Wisconsin \ Department of Industry, Labor and Human Relations SAFETY a BUILDINGS DIVISION PRIVATE SEWAGE PLAN APPROVAL PAUL STEINER ROUTE 1 BOX 138 BAY CITY WI 54723 RE- Plan Number: 87-06000-5 Gallons Per Day: 300 Project Some; AVES STUDIO Town of TROY Office of Division Codes and Application 201 East Washington Avenue P.O. Box 7969 Madison, Wisconsin 53707 Owner: DAVE BRUMMEL ROUTE 3 RIVER FALLS WI 54022 Date Approved: October 2, 1987 Date Received: October 1, 1987 Location: SW,NW,10,28,19W County: ST CROIX The plumbing plans and specifications for this project have been reviewed for compliance with applicable code requirements. This approval is based on Chapter 145, Wisconsin Statutes and the Wisconsin Administrative Code. The plans are stamped 'conditionally approved' This approval is contingent upon compliance with any stipulations shown on the plans. All items that are noted must be corrected. All permits required by the city, village, township or county shall be obtained prior to construction. The licensed plumber responsible for this installation shall keep one set of plans with the department's approval stamp at the construction site. The installer shall notify the appropriate inspector when inspections can be made. This approval will expire two years from the date approved or if a sanitary permit is obtained, it will expire the day the initial sanitary permit expires. The Section of Private Sewage has reviewed these plans for private sewage system code requirements only. These plans have not been reviewed for the code requirements set forth in Section ILHR 82 for general plumbing or in Chapters 50-64 of the Wisconsin Administrative code. This approval is for the following components only - NEW CONVFNTTONAL Inquiries concerning this approval may be made by calling (608) 266-8230. Sin erely, KE ETH STIEMKE Section of Private Sewage Division of Safety and Buildings PPP016/0009n/23 cc: DAVE BRUMMEL Private Sewage Consultant _County -- Owner _UW-SSWMP _Plumbing Consultant Plumber Environmental Health D I L M R 4 5 O-6423 I N. 04/011 10 SANITARY PERMIT APPLICATION Z.D1LHR In accord with ILHR 83.05. Wis. Adm. Code COUNTY �1 .��el PERMIT Y .��.� SAE SANITARY loa y8 -Attach complete plans (to the county copy only) for the System, on paper not less than STATE PLAN I D NUMBER 8% x 11 inches in size. plydow -See reverse side for instructions for completing this application. PETITION ❑ 5a L APPLICANT INFORMATION - PLEASE PRINT ALL !FORMATION. FOR VARIANCE YES NO ER TV OWfI PROPERTY LOCATION I '/. 'k,S T� ,N,R OWNER'S MAILING, ADDRESS LOT NuMatR BLOCK NUMBER SUBDIVISION NAME CITY. STATE ZIP CODE PHONE NUMBER NEAREST ROAD. LAKE OR LANDMARK r itrinfaii II. TYPE OF BUILDING OR USE SERVED: (� -- ❑ Public A �ES J TLi00l0 Number of Bedrooms it 1 or 2 Family OR (Specify): M. PURPOSE OF APPLICATION: (Cheek only one in #1. Cheek N 2, 3 or 4, ifapphciii 1. a ONew b. Replacement c ❑ Replacement of d f1 Reconnection of a F_' Repair of an System System Septic Tank Only an Existing System Existing System II----tt 2. ld A Sanitary Permit was previously issued. Permit # Date Issued 3 An Existing System has been inspected and soil conditions meet minimum requirements. 4. ❑ The System is shared by more than one owner/building. Attach Common Ownership Agreement to County Copy. IV. TYPE OF SYSTEM: (Check only one In #1 and only one in 112) 1 a DACOnventional b n Alternative D. ❑ Experimental 2. a. ❑ System- b. 0 Holding c.0 Pit Privy d. ❑ Vault Privy e. Mound f. 0 IGP In -Fill Tank V. ABSORPTION SYSTEM INFORMATION: (Check one) 1. a. X Seepage Bed b. ❑ Seepage Trench c. ❑ Seepage Pit 2. PERCOLATION RATE 3 ABSORPTION AREA 4 ABSORPTION AREA 5. SYSTEM ELEVATION 6. WATER SUPPLY: (Minutes per Inch): REQUIRED (Square Feat): PROPOSED(Spu "a Feet): r y �2 0 9 Feet Private ❑Joint ❑ PUDItc VI. TANKIr INFORMATION CAPACITY in allDns Total kot QNlorts Tanks Manulecturer'a Name Site PrefabCorf ncretstrutlW Sleet Fiber- Blast Plastic Exper. �. New MB Tanks Tanks Septic Tank or MOW In Tank e Lin PumpTank/Siphon Chamber VII. RESPONSIBILITY STATEMENT 1, the undersigned, assume responsibility for installation of the private sewage system shown on the attached plans. Plumber s Name (Print) Plumb ynelur/e INo3 mps) MPi/MWtieMylb Buaineas Phone Number Pair C 4' Iva Name of Designer PlumMr'. '9 Addreaa eat, city, , Zip I % C VII. SOIL TEST INFORMATION can .4 sal CST 'a ADDR (Street. City, State. Zip ) Phone NumOer f IX. COUNTY/DEPAR USE LY �yI 01upProved Sanitary Permit Fee Gro ndwater =harge 81e Isaul Agent ignature INo LT! Approved ❑ Owner Given Initial X. COMMENTSIREASONS FOR DISAPPROVAL: SBD409e (formerly Plb-67) tR QW96) DISTRIBUTION. Original to County. One Copy To Bureau of Numbing, Owner, Numbef AVES STUDIO Hwy 35 Hudson, WI Master Plumber Paul C.J. Steiner #6780 Table of Contents Title Page ....................Page 1 of 5 Table of Contents..............Page 2 of 5 Calculations ...................Page 3 of 5 Plot Plan......................Page 4 of 5 Cross Section..................Page 5 of 3 t4r� V 60 0 V Project Name: Aves Studio Master Plumber: �}Parlul C.J. Steiner #6780 siy;,uture: ,/�.( C .1 ` C��i'� --Pate % page 2 of 5 JZ;-Zze ���iOL .r .p y, V,jp • .rm ! 1 M�3lc F° a�JNFI`�J NaC F� +Jyd 1 y M'3 MnpMsp j� 1nr s�3 ex iT YJ G o -Q6 : i rv..a... �:• wa w PI =„T : 4,d-s U,a >�S idAV (7 biq ,Lo., .5£ i"p FAG[ OF CROSS SECTIOM OF A BED SYSTEM - _ Fr..► " IM.t. AM 0►ew"lll.l ►Ip /.I�—�pr«N veal CcatYM.1. 12•..... TI 20. 42" Above ►Ip Ti FIh.1 Brad@ WW.h may Or Sy I"Im Cavw+,e wU 2' •,propel* O.w oya Olu r,wlwn e' All, epos• beneath Pip• 4- C.M woo Vaal /be — lea Pwlwetae Plot Below —C-Vmg Terhl,hatlhp AI �� -, U w.nN wh Of Srew ��/'1 Av; t101L FILL 013TKIDUTIOLI PIPE, ., be OF t" A4ErKE(.ATE ELEK OF FEET -YOF A04REOATL APPROVED SIWTMETIC COVER MATERIAL OR r OF GTRAW OR MAKi11 K" DESARTMEhT OF INDUSTRY, LABOR B HUMAN RELATInNS P U. BUK /9661 MADISON, Will 53707 SWk, NA, S10,T28N—R19W Town of Troy HWY 35 INSPECTION REPORT FOR PRIVATE SEWAGE SYSTEMS CONVENTIONAL 0ALTERNATIVE ❑ Holding Tank O In -Ground Pressure ❑ Mound SAFETY B BUILDINGS DIVISION C: REAU OF PLUMBING s«. n... 0 r.n« «•wl NAME DI rERMI OLDER A 1 L wYf TON D\If U /0000 s 4 « • Rr rmrwn •Inlx•ennrl D! N�+[1 Olrf R YI RFI 11 \LfY sL Rfa ft<Y i�'� \v+:.� I.....n•. (( YI�YIR{w Ne Ciwn�v SL. Croix 102788 SEPTIC TANK/MOLDING TANK: Y\Y.1r AC u« n L+OVaO t... IPY r+'Wus to. t+rR fWgli f.tv 1411,ft.0wo I ABE l l aING Dv#" C S£ DDO CUES ONO ❑I ES L:N of DOS vIYT DMA YfY Y+L NUMBER DF Ron. Y LL L f Y Y ❑YES '_NO FEET FROM L'Nr •InNLtr LY S N EAREST I a• excavation, III son Can Ise roIICC Into a WRe. eM.,,.Ctgn shell ctow the soul n ory enough to continue 1 CONVENTIONAL SYSTFM- ; .a .r.. ., V.a �afr .n.a FORCE MAIN FEET FROM wl BED/TRENCH ^ I' / L�� NS PIT�«f NCXss u � • INI. —TIr lu s fn ueri�t DIMENSIONS YL'r IT%e1TlO�'�QN� '"T'T'T.l..�" D'!r«•.ITa I 1•YJE• 1 a• I1 TiM1— wf n at.. UMBERdf �.�.I Nf X..I EET FROM D SYSTEM Mound site plowed perpendicular to slope Check the texture of the flu materul for PROVIDE A DIAGRAM OFSVSTEM and furrows thrown upslope. mound systems to make certain that It ON REVERSE SIDE. SNOW ELEVA- meets the crilerla for medium sand. TIONS MEASURED. 7��vE5 ONO ' hYES -'NO +OV .1".Nlr.� 'JI/•'«YIX F\Y.n YI. - CFxTER f.N.fE .,1.• V1:1'2.L _ �Jl:. >ftLli a..G••IJ ❑YES GNO r7yps 1l ❑N PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH " LlNor« s«aNc«\3 `A ftlL •AYe. sun nuTX ,tLnw nr. NL X v v « DIMENSIONS 4AN I0.] FLiDF LAY i;t�: ELty nfv oA IS II I Ir Rr'\I�t{!1 trlfY Rs « [I.• A�YIAL I.JN. I M1 4A IInAL"NA ELEVATION AN I I DISTRIBUTION INFORMATION I YLS I iW DIEDCOMMENTS: tTg.�+EilYdl¢IKS - _ vA s ON wfLL -- NMBER OF or v IL N UNEARFBT OYES CNO FEET FROM LAM DYES L�.,'N- _ J AArl") I JL �7 ✓'PX° SN.Ich Svsian On Du HR SHD 671C !R. 01,821 S� A 7 *���ky� ' '� Retain I nt O S Z is Zoning Admire,.,,, , z.�_ DEPARTMENT OF INQQUSTRY, HUMAN RELATIONS HUMAN REPORT ON SOIL BORINGS AND PERCOLATION TESTS (115) IHS3.0BI11III CMPON 145.0461 VMNE"aa"�IRMIN 3 �Nwv �R.IINa SAFETY & BUILDINGS DIVISION P.O. SOX 7969 MADISON. WI $3707 II PemMl�.n 1M,. n. NOT lgt,on.a ESIGNMAT �— Il My panml al lM l.." Sr. u rn M. •• � /^� .MI.LNNW,I,wuM ( µlN, __ � cIWmMM nteaal. Flyvepin.l.IWnen !V I� . GynlL ly�o(a_ 7b PROFILEDESCRIPTIONS 'aVQ,ILH,P►RCT Soyl.S 1 I ELEVATION iom.7 NoAIG T I pCKARACTFA > $O" OF SOIL WITH A p COLOR. , "D DEPTH T Elf THICKNESS. B� � &1 � gr.L,rY `;9�5-•LI; �e s� ',tom B- �8 /oa,n f A/G >Ise & 3 &2 i or. o N2 > aV 4 j.• try wo 5, 47 � �, i2"� D� L r� �c�9 14'� d+LS •./buy .J, moo Q� Q �, L. � ., y,.., ,.]"� 4u ., bI •t , 6+ 5� v bA, y"� L., PERCOLATION TESTS ias,�•nrr��■srcf��� 40T PLAN: SMN McMbu of awookm1011 Y . WN ONMyE aEf NM bSINEO IE al .WNII. Wil E,aES IINas .aM a, OiElE11N. DISKS,, WISH A tlr hol. ,WEk W wnt NNIMR TE - pints Ytl /I(Y INS, M011q, dl INS OMI Mmm. fhfe 111E 4✓I00 *wwK 11 IS ff IIUIM/ a11f "&,clam ow INNIM ANn7Mw.. ® Pj.A H Wol V-9- jr*S-E SYSTEM ELEVATION 98.0 ors r:1se Ey.cd °!60 06 Igo r rrr tN 7- sloo- sq, IPT , SV LT*wi IF, I �. I I I lNa.— 1ls4C T't ST ' ��,AIi.N TTI �IN1in'RiL, i I I t I • ubfMlll. I,NaOY srt11Y MaI M .vll iU ,afM1N1 an II,M b,m w.,. n,Y W M. �n s[cO,E w11t 1M PwxNa.nE matRel lP>I,b M,IIa WM[OnY1 1tlYM,IIi1I C,OY. EM INI IM YY,EmfOEP W 1M bbl Wn of 1M Wb En eMHCI b 1N byl al my ItnYwlllf. EnG MIN. G )OITpILUT10N 0,,.�.,. y; ., n n�r.m• •r. � m: 4uuinrq, P..•Iv WEST 4Or 4 I NE■l\Y EAITIFY TNT }yt6 heawl W. � &,. PAEPAec a Bye mt Aft TNeT THE c Kr-w. aum.&I" ANC Sa, As LacA.E& gY MYSALO AK Acca*AT&c4 4596w J T14EKQr4 To SCAcE 1%N�v ft�,el_swzr CST 3444 o! - V-T EyTE.hi� O. op Fµ.E °F � --3t'— Serf • ONES Rack I EA�Te -L air 4A+S Vy0 i09.S3 iNb �TWT David Brummel New Building w..�wcxe .+rcw.uolei 000e �c•!c c.5 M1'CVu(.. ML. ! SY013' l.11 YOR !+1a fPrtOr4 Area Legend ;�;;wN,; W5741 ti 'J °�avm^�erwe B.1'f9.1J n+ irrtrlcw a1�L � o-5nrct �..vyfan r • YYR"d-.o. r1Ka Yla iF+ :+F w snnJ! 4(M+V ji QFSIGN CONTACT rnnr'r u.a!•rM GENEBAL CONTHACTOH cuar lY+nlr w4f MaRM� p�Apj1M1 � Y+Y W !YalYl� CUIIKP !f•MOn= MIL +wAerP.f.. w..s �. u+• M HALF SCALE IF PRINTED ON 11 X 17 oth ZW ao It J j �m r �4RYYYM M.y� alor ••••,•• 4v10ralaE s 9 r - 7- 2I I Y{� DURANO '=• M.:' U BUILDERS -' •••� �— DaysdB111 X4 I 11101.e9 +_ 4 ILI 10V1&t9 Z � r• Q W _ Y ilwa • ❑W L '�'• -' i ti E[e si _`_. _ � --c —Min�O.\. F.s • 1aTr. aw�wr ! iia. ___. '-'" _. � _ _ _. i .. 1 T 1 �-•� 4w-i � M u Y. i �i 1 p 1 �1 � MF 4 nlllf IG :r W `Tnli 3•T YL NWrfrlN\M11 �qN iiaV 4v�. ; _ �4IJ�>. �(��f' - � ' n--_ � ��r V�i-T•lu. -<T_ _.- - �w,TS. ___._ �-- -�•• $io ii�f .�na\ •L+�iGrTG MTC on - _'15�ni .i3����_.. ' C _ le�ti :ae4—O(•ro alA_F J T" \T4• ^ rt \F �61-[..\{'!f __ u- _ IYY•jp��l�_ '\' S' LL M�) �IYF } •fM �'i/ L'OIaAO= .i - � •a��urNpm'Y��.Y•i!• YY� •. uiu•� _ 1VN_ _• i4I�C.J.^.�1 )M—`�•rq.\iT. _ Ma ^_�a.r.�.. .... So I I^•�>�.::••.. .:..•=. «^� db.DURAND 'BUILDERS. I I ... �„•� ( —T •- David HrLnrwrw4 'q P° 4IT;f il 1diB'19