HomeMy WebLinkAbout022-1042-20-000 (2)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)l
Lisa L Christensen
INFORMATION
TOWN OF KINNICKINNIC
TYPE
MANUFACTURER
CAPACITY
Septic
Dosing
Aeration
Holding
TANK SETBACK INFORMATION
TANK TO
P/L
WELL
BLDG.
Vent to Air Intake
ROAD
Septic
Dosing
Aeration
Holding
PUMPISIPHON INFORMATION
Manufacturer
Demand
GPM
Model Number
TDH
LiR
Friction Loss
System Head
TDH Ft
Force In
Length
Dia
Dist. to Well
SUIL AtSbUKF I WIN SYSTEM
ELEVATION DATA
STATION
BS
HI
FS
ELEV.
Benchmark
Alt. BM
Bldg. Sewer
SUHt Inlet
StJHt Outlet
Dt Inlet
Dt Bottom
Header/Man.
Dist, Pipe
Bot. System
Final Grade
St Cover
BED/TRENCH
Width
Length
No Of Trenches
PIT DIMENSIONS
No Of Pits
Inside Dia
Liquid Depth
DIMENSIONS
SETBACK
SYSTEM TO
P/L
BLDG
WELL LAKE/STREAM
LEACHING
Manufacturer.
INFORMATION
CHAMBER OR
Type Of System:
Model Number.
UNIT
UIS 1 KIFSU I WIN SYSTEM
Header/Manifold
IDistribution
x Hole Size
x Hole Sparing
Vent to Air Intake
Pipes)
Length Dia
Length Dia Spacmg
SUIL COVER x Pressure Svsteme nriw . Mn..nd nr At-nr=a= s..ae.n= (1..1.
Depth Over
Depth Over
xx Depth of
xz Seeded/Sodded
xx Mulched
BedfTrench Center
Bed/Trench Edges
Topsoil
Q Yes ® No
Q Yes ® No
COMMENTS: (Include code discrepancies, persons present, etc.)
Location: 1280 CTY RD J
1.) Aft BM Description =
2.) Bldg sewer length =
- amount of cover =
Plan revision Required? ® Yes ® No
Use other side for additional information
SBD-9710 (R.3/97) Date
Inspection #1:
Insepetor's Signature
Inspection #2:
Cart No
Al- Zoze - d5 2
Industry Services Division
1400 E Washittglon Ave
ounty
Ct
P.O. Box %2
Sanitary Peitnit Number (to be filled in by Co.)
b �, R O 9'iplp Madisoq WI 5370 -71
4? l 3-g ?
Ito` ermit Application
glBfe Transaction "amber
In acco a with 811 is. Adm. Code, submission of this form to the WP govemmenral unit
—�
Project Address (if different than mailing address)
is requi tg a sanitary permit Note: Application forms for suteoVed POWTS are submitted to
the Dep afety and Professional Services. Personal infomtetion you provide may be used for secondary
Purposes in accordance with the Privacy law, s. 15.04(1 m , Stars.
�f� n
x�
L Application Information - Please Print All Information
Property Owner's N [
S �
Parcel a
, e ` ,
aaa-o� a, _
Property Owner's Mailing Address
piwerty LocatiafS. 28 . 0 Z28 $
p
_
Govt. Lot
y yti Section
City. to
Zip Code
Phone Number
/rye•, -,le onit
TZEN; E rW R/
!!/-4!1
!I. ype of Building (check all that apply)
I.m X
r 2 Family Dwelling - Number of Bedrooms
SuhdwxeienA7ame
reial
Block
ElPubliNCommerc- Describe Use
❑ Crty of
❑ State Owned - Describe Use
❑ Village of
SM Number
F
Town of
III. Type of Permit: (Cheek only one box on line A. Complete line B if applicable) AJ
A' ❑ New System
ement System
❑ TrearmentlHolding Tank Replacement Only
❑ Other Modification to Existing System (explain)
B. ❑ Permit Renewal
❑ Permit Revision
❑ Chan of Plumber
Change ❑Permit Transfer to New
List Previous Permit Number and Date Issued
Before Expiration
Owner
of POW TS S stem/Com nent/Device: Check all that apply)
unzed In -Ground ❑ Pressurized In -Ground ❑ At -Grade ❑ Mound > 24 in. of suitable soil ❑ Mound <24 in. of suitable snit
Holding Tank ❑ Other Dispersal Component (cxpl )n) PremeaWnent Device (ezpl in) it Al
V. Db rsal/Treatment Area Information:
Des gn Flow (gpd) Design Soil Application Rat s
spersal Area Requ d (so
mal A (s System Eleve "on
f/! ' —�
4;4,D S'S. S �f 3 S
VI. Tank Info
Capacity in
Total
s of
Manufacturer
Gallons
Gallons
I Units
L/r/'y _
F/T
$
u
New Tanks
g 7W
��l-Cam
5j
Septic or Holding Tardy
DwingCWmber
i
jundmiga-4ed,:m.3
VIL Res Onsibility Statement- L thespomibalty for instaWtion of the POINTS shown on the attached plainPlum
is Name(Print)
ature
MP/MPRS Number
Business Phone Nwn`,/`
j_
Plumber's Address (Street, C" te, Zi e r
3Z
,
VIII. County/DepartmAtIse—Only
�P`oved ❑ Disapproved
permit FFyeee
Issues 1 uin Agem Signat
❑ Owner Given Reason for Denial
S J w
�3 �yZQ
IX. Conditions of Approval/Reasons for Disapproval '3
SYSTEM OWNER: S
1. Septic tank, effluent filter and 011,aA / ` G
dispersal cell must be serviced / maintained
by
as per management plan provided plumber, Vr
maintained
as per appheab*endwlyrdffywMS r me sysren ana suonn re me,aunty Dory on piper not Ices raga in x rl inetypt it.
SBD-6398 (IL 08/14)
PROJECT Thomas Christensen
System PLOT PLAN
ADDRESS 1280 Ctv Rd J River Falls Wi 54022
SE 1/4 NE 1/4S
15 /T 28 N/R 18
W TOWN kinnickinic
COUNTY ST.CROIX
SYSTEM ELEVATION
95.5/95.3/95.1 2' below grade 3/9/20
4
DATE
BEDROOM
—
CONVENTIONAL
CONVENTIONAL LIFT
XXX HOLDING TANK
1255 gallons
LIFT TANK SIZE765
DOSE TANK SIZE
MOUND SEPTIC
TANK SIZE
HOLDING TANK SIZE
LOAD RATE .5
ABSORPTION AREA
1200 # of EZ Flows24
Ilk
BENCHMARK V.R.P. TOP of concrete porch ASSUME ELEVATION loo, Filter Lifetime Filter
❑ BOREHOLE O WELL *H.R.P. Same as benchmark
Scale = 1 /4" = 10'
>61, Quick4 Standard
of Cover Leaching Chamber
with 20.0 ft2 of Area
4' Lon
12" 5.6ft^2/pair of end caps
g
Grade at System Elevation
Q �C O PY Property Line
Well
3-3' X 80' Cells with >3' spacing
Existing 4
Bedroom
House
20'
All piping shall be ASTM SDR 30/34, within
10' of tank, piping shall be ASTM F891
Q� Huffcutt Combo Tank
�c\Go County Road J
B-1
55' r
3% Slope to be >5'
B-3
50, 95'
30' i
Cover Page
Shaun Bird
Bird Plumbing Inc.
1432 120th St.
New Richmond Wi 54017
715-246-4516
Date: 3/9/20
Owner: Thomas Christensen
Location: SE1/4 NE 1/4 S15 T28 N,R18W 1280 Cty Rd J Kinnickinic
System type: In -ground absorbtion system(conventional)
Manuals Used: In -ground absorbtion system (version 2.0)
Pressure Distribution Manual (version 2.0)
Page#
1. Cover Page
2. Plot Plan
3. Chamber Cross Section
4-6. Maintanance and Contingency Plan
7. Filter Specifications Sheet
8. Dose Tank Cross Sectio
9. Pump Curve
Signature
License nu
PROJECT Thomas Christensen
SE 1/4 NE 1/4S 15
/T 28
System PLOT PLAN
_ ADDRESS 1280 Ctv Rd J River Falls Wi 54022
N/R 18 W TOWN kinnickinic COUNTY ST. CROIX
SYSTEM ELEVATION 95.5/95.3/95.1 2' below qrade 3/9/20 BEDROOM 4
DATE
CONVENTIONAL CONVENTIONAL LIFT XXX HOLDING TANK
MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE765 DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 1200 # of EZ Flows24
BENCHMARK V.R.P. Top of concrete porch ASSUME ELEVATION im, Filter Lifetime Filter
❑ BOREHOLE O WELL sH.R.P. same as benchmark 4
ALong
Quick4 Standard
Leaching Chamber
with 20.0 ft2 of Area
7:�5.6ft^2/pair of end caps
Grade at System Elevation
Existing 4
Bedroom
House
B. M.�&- :
All piping shall be ASTM SDR 30/34, within
10' of tank, piping shall be ASTM F891
Well
Scale = 1 /4" = 10'
Property Line
3-3' X 80' Cells with >3' spacing
5' \60,5
20'
Huffcutt Combo Tank
5 5'
3% Slope to be >5'
B-3
95
Road J
30'
Cross Section of a Three Cell EZ Flow In -Ground Dispersal Component
Design Flow 6L6 = Loading Rate = Required dispersal area OW Sq Ft
Required dispersal area 1.7oV + 50 (EISA) = 2V (number of units)
Cell #1
System Elevation: r-5 Ft
Final Grader .,-�_ Ft
Geotextile fabric to meet Comm 84.30(6)(g) Wis. Adm. Code
Minimum of 12" of cover over top of cell
Two observation/vent pipes to be provided per cell
Not to scale
Cell #2
System Elevation: Y—U Ft
Final Gradejz,7> Ft
Cell#3 �jj
System Elevation:: _4E/Ft
Final Grade: ?Z/ Ft
ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
ownerBayv Ti-1OA S V1 i L1SfI L. e-+1kl5TVW,<W
Mailing Address
I. mat :G ��1 —i�
1 z,D 6-T.-M. -' Z�rd
(Verification required from
'9 ;--
Department for new construction)
City/State Rt V&K TA / / St W1- Parcel Identification Number 02Z- /042—,�t) —00l)
LEGAL DESCRIPTION
Property Location 5E '/. , )\J t '/. , Sx.
Subdivision Plat:
Certified Survey Map #
T Lg NR 18' W,Townef K1N,#(MNN/C
Vohtme , Page #
Warranty Deed # g2q 10A3 (before 2007)Vol me . Page #
Spec house 0yespato
Ina tines idmdifiu6ta�yo❑oo
SYSTEM MAINTENANCE AND OWNER CERTIFICATION
Lot #
Improper use and maintenance of your septic system could result in its premature failure to handle wastes Proper
maintenance consists of pumping our the septic tank every three years or sooner, if n a licensed ceded, by pumper- What you put inb
the system car. affect the function of the septic tank as a treatment stage in the waste disposal system_ Owner maintenance
responsibilities are specified in §SPS. 393.52(1) and in Chapter 12 - St Croix County Sanitary Ordinance.
7be property owner agrees to submit in St Croix County Plarming & Zoning Department a ceatifiration form, signed by the
owner and by a matter plumber, journey® 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 lion and pumping (if necessary), the septic t ink is
less than V3 full of sludge.
Uwe, the undersigned have read the above requirements and agree to rnaustain the private sewage, disposal system with the
standards set forth, he n, as set by the Department of Safety And Ptofessu mat Services and the Department of Natural Resources,
State of Warna9a Certification stating that your septic system has been maintained mutt be completed and returned to the St Croix
County Planning & Zoning Department within 30 days of the three year expiration date.
the certify that all statements on this form are true to the best of my/our knowledge. I/we amtare the owners) of the
PmPcq dwCoW above, by virtue of a warranty deed recorded in Register of Deeds Office.
Number of bedrWaiii; /
i
SIGNATURE OF APPLICANT(S)
.3
DATE
*'*Any information that is misreptesented may result in the sanitary Permit being revoked by the Planning & Zoninrg Departmet —
Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if
re fuenee is made to the warranty deed.
(REV. M/12)
POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page _of_
"1LE INFORMATION
Owner
Permit # G1
O
DESIGN PARAMETERS
Number of Bedrooms
_
0 NA
Number of Public Facility Units
Estimated flow (average)
(] aYda
Design flow (peak), (Estimated x 1.5)
6G suds
Soil Application Rate
'�� avda /filz
Standard Influent/Effluent Quality
Fats, Oil & Grease (FOG)
Biochemical Oxygen Demand (BODE)
Total Suspended Solids (TSS)
Monthly average*
530 mg/L
420 mg/L ❑ NA
5150 mg/L
Pretreated Effluent Quality
Biochemical Oxygen Demand (BODs)
Total Suspended Solids (TSS)
Fecal Colifomt (geometric mean)
Monthly average
530 mg/L
530 mg/L 7'j�NA
510° cfu/t 00ml
Maximum Effluent Particle Size
36 in dia. ❑ NA
Other.
NA
"Values typical for domestic wastewater and septic tank effluent
MAINTENANCE SCHEDULE
SYSTEM SPECIFICATIONS
Septic Tank Capacity
l
❑ NA
Septic Tank Manufacturer
Cl NA
Effluent Fitter Manufacturer
❑ NA
Effluent Filter Model
❑ NA
Pump Tank Capacity
l
❑ NA
Pump Tank Manufacturer
❑ NA
Pump Manufacturer
—
❑ NA
Pump Model";,4
❑ NA
Pretreatment Unit
❑ Sand/Gravel Filter
0 Peat Filler
❑ Mechanical Aeration
❑ Wetland
Cl Disinfection
0 Other.
Dispersal Cell(s)
❑ NA
Ground (gravity)
0 In -Ground (pressurized)
El At -Grade
❑ Mound
❑ Drip -Line
❑ Other.
Other.
0 NA
Other:
13 NA
Other.
❑ NA
Service Event
Service Frequency
(Inspect condition of tank(s)
At least once every:
2 m a s(a) (Maximum 3 years)
0 NA
(Pump out contents of tank(s)
When combined sludge
and scum equals one-third (Ys) of tank volume
❑ NA
Inspect dispersal cell(s)
At least once every:
S Er 0 orirt(Fsi,a) (Maxknum 3 years)
❑ NA
Clean effluent filter
At least once every:
mordh(s)
year(s)
0 NA
inspect pump, pump controls & alarm
At least once every:
S 0 month(a)
NA
Flush laterals and pressure test
At least once every.
❑ month(s)
❑ year(s)
NA
At least once every:
0 year(s)
NA
�Iher.
NP.
MAINTENANCE INSTRUCTIONS
!Inspections of tanks and dispersal calls shall be made by an individual carrying one of the following licenses or certifications: ster
Plumber, Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer, Septage Servicing Operator. Tank inspection must
bnude a visual inspection of the tank(s) to identify any missing or broken hardware, identify arty cracks or leaks, measure the vol m oir�e of
combined sludge and scum and to check for any back up or ponding of effluent on tine ground surface. The dispersal cell(s) s all be
visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface.
The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local
regulatory authority.
When the combined accumulation of sludge and scum in any tank equals one-third (%) or more of the tank volume, the entire contents of
!:he tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin
Administrative Code.
1411 other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, Pretreatment units,
and any servicing at intervals of 512 months, shall be performed by a certified POW $ Maintainer.
A service report shall be provided to the local regulatory authority within 10 days of completion of any service event.
Page _ of _,
START UP AND OPERATION
For new construction, prior to use of fhe POWTS check treatment tank(s) for the presence of painting products or other chemicals that
may impede the treatment process and/or damage the dispersal cell(s). If high Concentrations are detected have the contents of the
tank(s) removed by a septage servicing operator prior to use.
System start up shall not occur when soil conditions are frozen at the infiltrative surface.
During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be
discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of affluent.
To avoid this situation have the contents of the pump tank removed by a Septa" Sending Operator prior to restoring power to the
effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump centrals to restore normal levels
within the pump tank.
Do not drive or park yeh6das over tanks and dispersal calls. Do not drive or park over, or otherwise disturb or compact, the area wdhln
15 feet down slope of any mound or at -grade soil absorption area.
Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWT$:
antibiotics; baby wipes; cigarette buts: -condoms; cotton swabs; degreasers; dental floss diapers: disinfectants:. fat: foundation drain
(sump pump) water, fruit and vegetable peelings; gasoline; grease: herbicides; meat scraps; medicsitbths; OR; painting products;
pesbades; sanitary napkins; tampons; and water softener brine.
ABANDONMENT
When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is propefiy
and safety abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code:
• All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed.
• The contents of all tanks and pits shall be removed and property disposed of by a Septage Servicing Operator.
• After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil,
gravel or another inert solid material.
CONTINGENCY PLAN
If the POWTS falls and cannot be repaired the following measures have been, or must be taken, to provide a code compliaant
replacement system:
❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soli absorption systelm.
The replacement area should be protected from dWwbance and compaction and should not be infringed upon by requited
setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need
for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must campy with the ride in
effect at that time,
❑ A suitable replant area is not available due to setback and/or soil limitations. Baring advances in POWTS technology a
homing tank may be installed as a last resort to replace fhe failed POWTS.
2", site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a sal and site evaluation
must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as
a last resort to replace the failed POWTS.
❑ Mound and at -grade soil absorption systems may be recorwhuGed in place following removal of the biomat at the infiltrative
surface. Reconstructions of such systems must comply with the rules in affect at that time.
«WARNING>>
SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT
ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK' UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE O� A
PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE
ADDITIONAL COMMENTS
POWTS INSTALLER
Name
—"
Phone
POWTS MAINTAINER
Name
Phone 71 i—
SEPTAGE SERVICING OPERATOR PUMPER LOCAL REGULATORY AUTHORITY
Name Name
Phone 72
L Phoner jG—L`
This document was drafted in corOa wkh dwpfer SPS 383.22(2)(b)(1)(d)&(8 and 383.wi), (2) 3 (3), Wlamnsim Ad inMalive Coro.
2 0 1 4 0 0 4 8 A
SA l+il:%1?rUJ
SECTION A -A
1.1921
Septic -Dose Tank Cross Section And Pump Performance Specifications
Tank Manufacturer
Tank Model Number
Total Tank Capacity
/ -
Max. Bury Depth
Filter Manufacturer
Filter Model Number
Minimum Pump Performance Required
GPM' (a3 p,_�FtTDH
Outlet Manhole Min 4" Above Grade With
Locking Dac ice. Inlet Manhole
< 6" Below Grade Sealed Watertight
-� . — — -i — Finished Grade
Outlet Filter
r -- - Inlet Baffle
Inlet
IX
IX
Switch Sett}ngs and Reserve Capacity
Tank Volume = GPI
Distension.
Inches
Volume Gal.
(reserve) A
6 - S
z� 5
(alarm) B
2
(dead) D
Total
S
1 7,4 i
Pump Manufacturer
1
Pump Model Number
Alarm Manufacturer
(/
Alarm Model Number
Switch Type
/h ec `e
Total Dynamic
Head (TDH) - Feet —�
Elevation Head
(�
Distal Preeaure
-
Network Loss
^
Force Main Loss
�•
Total
/O
Manhole Min. 4" Above Grade
Securely Mounted
With Locking Device -
Weather -proof
I
Junction Box
•
��
Vent Min 12"
Disconnect
Above Grade
Means
With Vent Cap
1w,
_ Weep
B44 Hole
Qff Elevation C
Bottom
D Elevation
�57 Ft
GENERAL INSTALLATION: The septic/dose tank is bedded and back filled in accordance with the
manufacturer's product approval specifications. Maximum depth of bury as specified by the manufacturer may not
be exceeded without prior approval. Manhole covers exposed to grade have an effective locking device (padlock)
installed. Piping at the inlet and outlet is of approved material, connected to the tank with watertight fittings, and
laid on stable soil to prevent settling or sagging. The force main is sleeved with 4" Sch. 40 PVC to bridge the tank
excavation and the sleeve is sealed watertight. Electrical service complies with NEC 300 and Comm 16.28.
02/05 U Page of
250=SERIES
113 hp Sump/Effluent Pumps for Professionals!
ALL MODELS FEATURE:
• Rugged 1/3 hp motor, oil filled with
thermal overload protection.
• 1/2" solids handling.
• 1-1/2" discharge.
• Hermetically sealed motor and switch cavities,
and permanently lubricated bearings.
• Liberty's UNI-BODY casting -a solid, one-
piece housing that eliminates the lower motor
seal ring found on other pumps.
• Epoxy powder coat finish
• Vortex style impeller for superior
solids -handling. Made of high temperature
engineering polymer.
• Fasteners - all non -corrosive stainless steel.
• 416 stainless steel rotor shaft.
250-series Cord Lengths
Model 101 251(-2) 351(-3)
501(-5)
250 Standard Optional Optional
Optional
251 Standard Optional Optional
Optional
253 Standard Optional Optional
N/A
257 Standard Optional N/A
N/A
10' cord length standard on all models. For optional lengths,
add "-2, -3 or -5" suffix to model number.
Example: for model 250 with 35' cord, order 250-3
Model 250
Manual, no switch.
EFFLUENT MODELS
Model251
Quick -disconnect
wide-angle float,
mercury -free.
G.
Certified Dual safety certification fw
�nFRD C US the United Statesand Canada
Specifications ere wbiect to charge without notice.
MOTOR SPECIFICATIONS:
1/3 hp 115V 5.2 amps 60Hz
Thermally Protected & Permanently Lubricated
(PSC) Permanent Split Capacitor
Maximum Fluid Temperature:140"F
DIMENSIONAL DATA:
Weight: Model 257: 20lbs.
Height 10.5"
Major Width:9.6" (manual model 250)
PERFORMANCE CURVE
25
20
PERFORMANCE CURVE
Iq
U.S. Gallons Per Minute
38 78 114 156 192
Liters Per Minute
Model 253
Wide-angle float with
series (piggy -back)
plug, allows manual
operation of pump.
m
m
m
y
Model 257 VMF
VMF switch, magnetically
operated vertical float -
operates in a 10"
diameter sump.
Liberty Pumps • 7000 Apple Tree Avenue • Bergen, New York 14416 • Phone 800-543-2550 Fax (585) 494-1839
www.libertypumps.com copyright® Uberty Pumps, Inc. 2017
All rights reserved. LLrr2500-R5/l7
SCC ArcGIS Web Map
'.� 1286 CIFY RD )
lot
1280 CIY RD ) ;fir
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3/13/2020 1:05:52 PM 1:1,128
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Percent Grade Classes 20 - 25% Public ROW Unit Limited Common Element i1 1 � . t , r 1 .
.0-12'/u 0 0.01 0.02 0.04 km
----- > 2ga/a Lot and Units Park General Common Element
,'.12 - 20%' Outlot WDNR, SCC CDD, SCC CDD, Eaglevi. and SCC CDD, FEMA, SCC COD
Site Address Points Lot QTax Parcels
Web Appeuilder for ArcGIS
SCC CDD I WDNR, SCC CDD I SCC Coo and SCC Highway Dept I FEMA, SCC CDD I National Geospalial-Intelligence Agency (NGA); Delta State University; Earl I Eagleview and SCC COD I
0
Wisconsin Department of Sa - off Mims IP
Division of lndu �-r •:,A I�_—L.'�, V�
o SAIL OR .
w )nib
CS T acau - O q i
Page 1 of 4
p V Nwires Utll wmr Ora . J' vrra rwm. u uu iA
' Attach complete to plan on paper nqt n 81 x 11 inches in size. Plan must
include, but not li ited to: nefe nce point (BM), direction and
percent slope, o�700
Coirlg, , and location and distance to nearest road.
Please print all information.
Personalmrm mlatiun you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (in)).✓
County ST. CROIX
Parcel I.D. 022 - 1042 - 20 - 000
Re by D e
w 37,3 21020
Property Owner
THOMAS W. & LISA L. CHRISTENSEN
Property Location ❑ El
Govt. Lot --- SE 1!4 NE 114 s 15 T 28 N R 18 E (or) W
Property Owners Mailing Address
1280 C.T.H.I
Lot #
—
Block #
—
Subd. Name a CSW
-
City State Zip Code Phone Number
RIVER FALLS, I WI 1 54022 ( 715 ) 307 - 0728
ity []vllage own Nearest Road
XWNIOUNNIC I C.T.H. J
New Construction UseEJ Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD
eplamment ❑ Public or commercial - Describe:
Parent material silty sediments over sand and gravel Flood Plain elevation if applicable NA ft.
General recommendations, comments
recommendations,and reConventional In -ground trenches -- 0.6 loading rate — pumping required
1❑
Boring # ❑ Boring
El Pit Ground surface elev. 97.53 ft. Depth to limiting factor 70 in.
Soil Application Rate
Horizon
Depth
in.
Dominant Color
Munsell
Redox Description
Clu. Sz. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD#f
'EfF#1
I -Eff#2
1
0-13
10YR2/2
1
3fa&sbk
mvfr
es
3vf-co
0.6
0.8
2
13-31
IOYR3/3
--
I
3fabk
&sh
cs
2vf-m
0.6
0.8
3
31-49
IOYR3/4
-
is
lmsbk
ds
cs
Ivf-m
0.7
1.6
4
49-70
IOYR4/6
-
s
Osg
ill
-
Ivf-m
0.7
1.6
2
Boring # Boring
97.68 66
El Pit Ground surface elev. ft. Depth to hinting factor /' in.
Shc icafion Rate
Horizon
Depth
in.
Dominant Color
Munsell
Redox Description
Ou. Sz- Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Rods
GPDIfff
'Eff#1
I 'Eff#2
1
0-14
IOYR2/2
--
1
2f-msbk
mvfr
cs
3vf-co
0.6
0.8
2
14-26
10YR3/3
-
I
3fabk
dsh
cs
2vf-m
0.6
0.8
3
26-40
IOYR3/4
Is
lmsbk
ds
Cs
lvf-f
0.7
1.6
4
40-66
10YR4/6
--
s
Osg
dl
--
-
0.7
1.6
6 -
fractured Isbr
Effluent 41 = BUU > 3U < "ZM rtxyL and TSS >30 < 150 mglL 'Effluent #2 = BOD, < 30 rtngrL and TSS < :io rtxyL
CST Name (Please Print) Sig thw Q CST Nurriber
MARY JO HUPPERT (Hollisters Soil Testing&Design) / t 224832
Address Date Eva ation Telephone Number
28497 King Arthur's Court, Danbury, WI 54830 08 - 22, 2019 715-426-1775
SBD-8330 (R07/13)
Property Owner CMSTENSEN, Thomas & Lisa Parcel ID #
022 - 1042 - 20 - 000
Page of
3
V Baring
� # 0 Pit Ground surface elev. 96.35 ft-Depth to luriting factor 6. Soft Application Rate
horizon
Depth
in.
Dominant Color
Munsed
Redox Desaiption
Qu. Sz. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPDM
'Eff#1
I 'EfF#2
1
0-14
I0YR2/2
sil
2f-msbk
mvfr
cs
2vf-co
0.6
0.8
2
14-24
7 5YR3/4
sil
2fabk
dsh
cs
Ivf-56
0.6
0.8
3
24-36
7.5YR3/4
--
sl
2fsbk
dsh
cs
lvf--m
0.6
1.0
4
36-56
10YR4/6
--
s
Osg
dI
cs
Ivf-f
0.7
1.6
5
56-62
IOYR4/6
—
Is
Osg
df
as
—
0.7
1.6
6
6 66
IOYR4/6
f1f7.5YR4/6
Is
Osg
dl
—
—
0.7
1.6
1-1 Boring # Baring
Pit Ground surface elev. ft. Depth to limiting factor in.
Sal Application Rate
Horizon
Depth
in.
Dominant Color
Munsell
Redox Description
Qu. Sz. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPDM
'Eff#1
I 'EW2
-4-4
Bonng # Boring
Pit Ground surface elev. ft. Depth to limiting factor in.
Sal APoiiration Rafe
��Redox
®®®®®®
D..
Color
.. ..Cont.
Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 < 150 rngiL
Effluent #2 = BOD, < 30 nxyL and TSS < 30 m g/L
SB042)0(ROM i)
Plot Plan
Page 3 of y
PROPERTY OWNER: T4i0/A&5 IA)4 /-s L= 6*KIST&4.S&4
Legal Description: FM-- I�J lnff- 4��A OF-I-tiE Nle jj% SEC...Ia,yzg4
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in == 40 FT.
(except where noted)
M== backhoe pit
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Site location:
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North