The URL can be used to link to this page

Home My WebLink About040-1146-90-000Wisconsin 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)] Permit Holders Name: City Village Township Daniel Marzolf I TOWN OF TROY CST BM Elev: linsip. BM Elev: IBM Description: TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER ` 1 CAPACITY Septic ��,,�11� L 7� 0'T 3 oaa Dosing Aeration TANK SETBACK INFORMATION M®M®® •.• M mm® i ®MI M_�- - PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Nu tber TDH Lift Fn tion as Syste ead TDH Forcemai Length Dia. ist. tc Well SOIL ABSORPTION SYSTEM (p 4 F3 IL 6 -f-q STATION BS HI FS ELEV. Benchmark Alt. ? 14r 4,s 6.7 Cr •3 Bldg. Sewer I• SUHt Inlet 9• L 1 t •-75 1� SVHt Outlet �' A 1 •� Dt Inlet Dt Bottom Header/Man. -v IQ• Dist. Pipe T (i •. Bot. System St ; �r/ L o men 56.7 15. 3 7 1 ✓Ip / 6rqcjt cl1qc*fs BEDITRENCH DIMENSIONS Width , Length 3 No. Of Tres PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth SETBACK INFORMATION SYSTEM TO Type Of System: i r / O . D AQ / �'INL /1 P/L BLDG 1 r 1 WELL ` LAKE/STREAM I . _ t �/—�—� / r v LEACHING CHAMBER OR UNIT Manufacturer, TTII f Model Number /1 r Lw r G DISTRIBUTION SYSTEM � Header/Manifold ) Length-23t Dia istributi Pipes) Length Dia Spacing x Hole Size x Hole Spacing Vent to Air Intake SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Bedrirench Center I ( 1 _ / C Depth Over Bedrrrench Edges > 1 'Z t xx Depth of Topsoil xx Seeded/Sodded Mulched s ■ No COMMENTS: (Include code discrrIepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 266 SALISHAN DR M 0 L<i d— a %'vI 1.) Alt BM Description = � LOyr,C JGy�'� 0 V-1 fOV 2.) Bldg sewer length = -amount of cover= >ie\ �� rov) ,..fy " ✓V-W Plan revision Required? XYess *No Use other side for additional information. ' SBD-6710 (R.3/97) Date Insepcioes Signature Car. No. 5AK-202D-oqq >'- C� Safety and Buildings Division C� ` S - I i(- US 2�20 201 W Wasttington Ave., P.O. Box 7162 Madison, WI 53767-7162 Smeary Permit Number(m be sued m by Co.) MAR RA I (p(�f1'3 nt eommuni 2mitApplication -A sr�er�a�on Number In 3932112)• Avis. Adm Code, submission of this f® to the appropriate governmental unit Project Address (if diform then mailing address) is retim d prior to obrainmg a sanitary permit. Noon: Application beams for state-owned PO WI'S arc.+.tin,men to the Department of Safety ad Professional Servies Personal int'ormaaion you provide may be used for secondary aocmma dwild the I" s. 15.04(1 m Suss. Min L Bcation Information— Please Print All information Property Owners Name Pared a Property Owners Minting Aedres Property Imam �� .'� . Zo . yr 7(0 3 L6 � -5� � • �tLa / y4 _ y/, Secum 1 3 Zip Code Phom Number 1, (snuck T Z N; R � P `-' II, Building that 11 ai (check all apply) S bdmsion Name �1 c..Q nF re ro+x Family Dwelling -Number of �— lock x S. ❑ Pttblir.Commoeial-Dernbc Use Can' of ❑ State OwneA- Describe Use CSM ❑ V'Bege of Number Tosm of i0 III. Type of Permit (Chet only one box online A. Complete line D if applkable) A- System Systm ❑ TrearmmdHolding Task Replw=m Only ❑ Odsa Modification to Existing System (explain) B. ❑ Permit Renewal ❑ Permit Revision ❑ Cbarige of Plumber ❑ Permit Trmsfar m New List Previous Person Number andDak based Bdorc Expression Owver of POWIS S lem/Com nent/Device: Check aB that apply) - In-Omuad ❑ Prettuved ln-Crgsod ❑ M-Grade ❑ Momd> 24 M Msugabk soil ❑ Mond <24 rt of seubk soil ❑ Holding Talc ❑ other Disposal Component Isio) ❑ t Device (explain) V. D'u aVlrestment Area Information: Deign Fhm (gpd) Deaigis Soil Application RAcNilto Dispose] Aace Regrmad (sf) Area fit) Elev a 4 �'� C7 VL Tanklafo Capaeitym Gallows until Ge]lom aof Unie Man LL� •�p� $ o New Aob Fiiroug iamb a3 A. se ti h Septic or Nnldmt Tads Dosing Clsaba VIL Responsibility Statemen the vadersigsed, asaA responsibility for installed. of the PORTS shown on the attached plus. Phmber's Nome (Print) Pl gonunc lie tvM Number Business Phone Number 'a Address (Street. (:ap. StZk zip _ VIIL Coaaty rtmeat Use Only 1nt Appeased ❑ DiWW d Perim sit FM Agent Sigpstue S 14suiedu' ❑ Owar Given Reason for IX Conditions of ApprovaVReasons for DisapprovalttL SYSTEM OWNER: ( QAP—'1PZ0" COS) 1. Septic tank, effluent filter and dispersal cell must bgserviced / m ingained ef) as per management plan provided by plumber. -' Wt3 "- -- -3di tine" ands• the tom o dF as per applicab.a c e o in noes. ; " r�w n" ma° g nx SBD-6398(R.11/11) �// -tta , Sys�.a mt,.s tom-! t4>� - '-Reb4 7t u 6- r b-o A- b i s 6g210 System PLOT PLAN PROJECT Dan Marzolf ADDRESS 266 Sallshan Drive Hudson WI 54016 1/4 1/4S 13 /T 28 N/R 20 W TOWN Troy COUNTY ST. CROIX SYSTEM ELEVATION 89.0/88.0187.0 3' below grade 2/29/20 3 DATE BEDROOM CONVENTIONAL XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 642 _ # of chambers 31 BENCHMARK V.R.P. Top of Well ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark I St -Croix River l�'�'�� Scale = 1/4" = 10' vent All piping shall be ASTM SDR 30/34, within >6" Quick4 Standard10' of tank, piping shall be ASTM F891 of Cover Leaching Chamber with 20.0 ft2 of Area lrntUni�t,, 12„ 5.6fM2/pair of end caps�{l�4' Long �`'34" Grade at System ElevationJUL 06st 0,i^County lower cell has 9 chambers, next 2 cells has 8 chambers each, upper most cell has 6 chambers, 31 chambers total B.M.* W FH o 3 10' End of cells 10' fromedroomdeck footing ouse I B 3 ',\ I If 13% Slope JX A r b4WILAIRILI -&MM 160' Property Line r,45' To be >5' from Property line 94' 92' Old tank is to be pumped and buried Property Line System PLOT PLAN PROJECT Dan Marzolf ADDRESS 266 Salishan Drive Hudson Wi 54016 1/4 114S 13 /T 28 N/R 20 W TOWN Troy COUNTY ST. CROIX SYSTEM ELEVATION 89.0/88.0/87.0 4' below qrade 2/29/20 BEDROOM 3 DATE CONVENTIONAL XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 676 # of chambers 33 ,% BENCHMARK V.R.P. Top of well ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark St.Croix River To be >5' from Property line Scale = 1 /4" = 10' All piping shall be ASTM SDR 30/34, within 19' of tank, piping shall be ASTM F891 Property Line A 92' Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 2/29/20 Owner:Dan Marzolf Location: Govt Lot 2 S13 T28 N,R20W 266 Salishan Drive Troy Manuals Used: In -ground absorbtion system (version 2.0) Page# 1. Cover Page 2. Plot Plan 3. Chamber Cross Section 4-6. Maintance and Co ti ency Plan 7. Filter Cross Sectio Signature License nuraKe/#226900 Governor Tony Evers Dawn Crim, Secretary May 27, 2020 Revised Department of Safety and Professional Services Division of Industry Services Plumbing Product Review 4822 Madison Yards Way P.O. Box 7162 Madison, Wisconsin 53707-7162 Phone 608-266-2112 Web htto:l/dsos.vAoov Email dsps@wisconsin.gov TTY: Contact Through Relay Infiltrator Water Technologies Jonathan Kaiser 4 Business Park Road P.O. Box 768 Old Saybrook CT 06475 Re: Description: Leaching Chambers Manufacturer: Infiltrator Water Technologies Product Name: Quick 4 Plus Model Number(s): Standard Chamber Using "All -In -One 12 End Caps' Low Profile Chamber Using "8 End Caps" and "All -In -One 8 End Caps" eSLA ID: PP-052000063-PTOPHTC The specifications and/or plans for these devices have been reviewed and determined to be in compliance with chapters SPS 382 through 384, Wisconsin Administrative Code, and Chapters 145 and 160, Wisconsin Statutes. The Department hereby issues an approval based on the Wisconsin Statutes and the Wisconsin Administrative Code. This approval is valid until the end of March 2025, This approval supersedes the approval issued on May 8, 2015 under product file number 20150111. This approval is contingent upon compliance with the following stipulation(s): ➢ These devices shall be installed, maintained and used in strict accordance with the manufacturer's published instructions, Chapters 381-387 Wis. Adm. Code and this product approval. If there is a conflict between the manufacturer's instructions and the Wis. Adm. Code or this Plumbing Product Approval, then the Wis. Adm. Code and this Plumbing Product Approval shall take precedence. Complete installation and maintenance instructions shall be provided to each system owner and remain onsite. See attached documentation. ➢ These devices shall be installed by Wisconsin licensed plumbers. ➢ Plumbing systems designed for subsurface infiltration of stormwater and Clearwater shall conform to s. SPS 382.365 Wis. Adm. Code. ➢ Sand used as a filtration media in a subsurface infiltration system shall conform to ASTM C33 for fine aggregate. ➢ Drain, waste and vent piping used to install these devices shall conform to s. SPS 384.30 (1), (2) and (3) Wis. Adm. Code. ➢ Cleanouts shall be installed in drain piping associated with the installation of these devices. accordance with s. SPS 382.35 Wis. Adm. Code. ➢ Commercial food processing, food production, food service, restaurants, taverns and similar establishments which may generate greases, fats, oils or similar substances; shall have state -approved grease interceptors installed upstream of these devices in accordance with s. SPS 382.34 Wis. Adm. Code. SBD-10564-E (N.10/97) File Ref. 20190125.DOC Infiltrator Water Technologies May 27, 2020 Page 2 of 3 eSLA ID: PP-052000063-PTOPHTC ➢ DSPS POWTS plan approval shall be obtained from the department's Private Sewage Section, or the appropriate agent county, for. 1. each installation of these devices; and 2. high -strength and/or commercial applications of these devices. ➢ A sanitary permit shall be obtained, in accordance with s. SPS 383.21 Wis. Adm. Code, from the county, or other local authority having jurisdiction, for each proposed installation of these devices. ➢ A complete and acceptable soil evaluation report, conforming to s. SPS 385.40 Wis. Adm. Code, shall be performed for all proposed installation sites of these devices. ➢ These devices may be installed with, or without, geotextile fabric. If a geotextile fabric is used, then it shall conform to s. SPS 384.30 (6) (g) Wis. Adm. Code. ➢ Influent water to these devices shall conform to the parameters in Table 1: Table 1 Minimum Influent Water Quallty Standardsz Parameter 30 Day Average m A Fats, Oils and Grease FOG 5 30 Biochemical Oxygen Demand -Five Da BOD 5 220 Total Suspended Solids (TSS) 5 150 Substances known to be Harmful to Groundwater' Absent 1 - ea. heMcWes, p«ikid«, pmalmm defteWee. 2-s. SPS W3M RI M. Adm. Code ➢ Effluent water from these devices shall conform to the parameters in Table 2: Table 2 Minimum Effluent Water Quality Reauirements for Subsurface Infiltration• and Irrigation Source 1 FOG m A d BOD m /I ° TSS m /l r E. Coll cfu/100 ml 4g Reuse water I < 15 1 5 30 1 5 35 5 200 Stornwater 1 515 5 80 a -s SPS 302.70 (4) M. Adm. Cade le= Meee reWrcmenb don et a U, wsahweb, daNe,gs subjml b LWRR VePOES prMNnp c-a 1N, eepv"''f' M(MManr ine abem No grm,Mnalsa be*ock d-Fab,0 6(i,eme e=&aNemcs Orypen Cemen650ry I=TOW 3uepeMed StlNs p=4al ceNo,m ➢ EISA credits shall be permitted in accordance with Table 3: Table 3 Infiltrator Quick 4 Plus EISA Credit by Component Model' Dimensions L x W x H in. EI tt = s Laying Length ft. Open Bottom Area fL2 Standard 53 x 34 x 12 4.0 9.72 Standard, Low -Profile LP 52 x 34 x 8 4.0 9.77 8 End Ca end of chambers a b 7 x 18 x 8 1.9 0.4 0.4 All -In -One 8 End Ca end of chambers-.3•d 15 x 18 x 8 2.1 1.1 1.4 All -In -One 8 End Ca between chambers)--3-5 15 x 18 x 8 2 0.9 1.2 All -In -One 12 End Ca end of chambers a.4.3 20'h x 33 x 13 3.9 1.5 3.1 All -In -One 12 End Ca between chambers ) -AS 20'% x 33 x 13 3.9 0.9 2.2 I - a n. merino. rasp. .1 W, .•end eeps uft W. We. an" rap wm k cmnedom raw be Wedai*-m pas m Ne end* M Me es. be«em ch.l 3•tw u«w..e Sbndeed. l.omP ft")ch.b 4- Im us. a. the S4Mmd 0.n s • me analdve nlAative suNm abe a.tl.pe r,pvbn i,aWad «wn olNe in9beEro euMn rm sine YervA, meppe Md, m4M a e1paY ayclem orYymw M,apiroe 4Maw arbn rm n,ml be mwnaNpeYirod wn ndakaml membm em.iy n. evbmed by Vie DWTs P M. Soap. Sedon, m lee ...d.b spa. cwnl Infiltrator Water Technologies May 27, 2020 Page 3 of 3 eSLA ID: PP-052000063-PTOPHTC The department is in no way endorsing this product or any advertising and is not responsible for any situation which may result from its use. Sincerely, Glen W. Schlueter Plumbing Product Reviewer Department of Safety and Professional Services Division of Industry Services Bureau of Technical Services (608) 267-1401 Phone glen.schlueter@wi.gov E-mail 7:45AM-4:30PM CDT M-F Work Hours System PLOT PLAN PROJECT Dan Marzolf ADDRESS 266 Salishan Drive Hudson Wi 54016 1/4 1/4S 13 /T 28 N/R 20 W TOWN Troy COUNTY ST.CROIX SYSTEM ELEVATION 89.0/88.0/87.0 4' below grade 2/29/20 BEDROOM 3 DATE CONVENTIONAL %00( CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE •7 ABSORPTION AREA 676 # of chambers 33 BENCHMARK V.R.P. Top of well ASSUME ELEVATION too' Filter Lifetime Filter ❑ BOREHOLE O WELL •H.R.P. Same as benchmark St.Croix River Scale = 1 /4" = 10' Vent All piping shall be ASTM SDR 30/34, within 10' of tank, piping shall be ASTM F891 >6„ Quick4 Standard of Cover Leaching Chamber with 20.0 ft2 of Area 5.6ftA2/pair of end caps 4' Long 12 Grade at System Elevation 34" Pro 3 Bedroom House 8' ell 3' X 3' X 46' 0 cells with >3' spacing 5 B.M Old tank is to be pumped and buried 80' B-3 13% Slope B-1 160' Property Line To be >5' from Property line 45' Fri Property Line 92' Cross Section of Quick 4 Standard Leaching Chamber Typical cross section for 2 of 3 cells Quick 4 Standard Leaching Chamber with 20.0 ft2 of Area per Chamber 5.6f A )pair of end plates Typical Installation Vent Grade 4" 4 .A�30/34 Septic Tank To be >1' above grade Finish grade elevation 94.0' Vent 4' Long 1 Long;'" 34" Grade at System Elevation 34" Grade at System Elevation Spaci 34 X 46' Cells Observation tubeNent Same on other end To be located on end of Cells 11 chambers per cell A B System elevations: C A 89.0' B 88.0' C 87.0' ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Addr, Property Addi City/State 7 Parcel Identification Number 1040 — i T CIO —B60 LEGAL DESCRIPTION (,00 L.o -� Property Location 1/4, 1/4, Sec. S, T Z'� N R ( QW, Town of Subdivision &-r re- C'64 Certified Survey Map # -- Volume Page # CZ.�- CI n;.w.. p, q q y ".+ Deed ##T p� I f ! 0 (before 2007)Volume Page # Spec house Oyes Lot lines identifiabl a uno 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 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 Planting & 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. 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 Safety And Professional Services and the Department of Natural Resources, State of Wisconsin. Certificationstating 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. Uwe 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 property described above, by virtue of a warranty deed recorded in Register of Deeds Office. jtoms ratis OF APPLICANT(S) A E ***A i/Armmiatiisrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. *** Include with this ap lieation 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) POWTS OWNER'S MANUAL & MANAGEMENT PLAN Pege_of_ ILI �1LE INFORMATION Owner O p r��I Permit # o S DESIGN PARAMETERS Number of Bedrooms 3 ❑ NA Number of Public Facility Units -AiNA Estimated flaw (average) ? alfda i Design flow (peak), (Eshmarted x 1-5) 32--' gal/day Soil Application Rate aVda /ftz I I Standard Influent/Effluent Quality Monthly average• Fats, Oil & Grease (FOG) 530 mg/L Biochemical Oxygen Demand (SOD,) 5220 mg/L ❑ NA Total Suspended Solids (TSS) <150 mg/L Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand (BODs) 530 mg/L Total Suspended Solids (TSS) 530 mg/L NA Fecal CaHform (geometric mean) 510° cfu/t00m1 iMaximum Effluent Particle Size X in dia. ❑ Other A 'values typical for domestic wastewater and septic tank effluent MAINTENANCE SCHEDULE SYSTEM SPECIFICATIONS Septic Tank Capacity l ❑ NA Septic Tank Manufacturer NA Effluent Filler Manufacturer .� , ❑ NA Effluent Filter Model ❑ NA Pump Tank Capacity al ❑ NA Pump Tank Manufacturer ❑ NA Pump Manufacturer NA Pump Model NA Pretreatment Unit Sand/Gravel Filter ❑ Mechw cal Aeration 17 Disinfection ❑ Peat Flier ❑ Welland o other: lb NA Dispersal Cell(s) ound (gravity) ❑ At -Grade ❑ Drip -Line ❑ NA ❑ In -Ground (pressurized) ❑ Mound ❑ Other Other. ❑ NA Other: ❑ NA Other. ❑ NA Service Event Service Frequency linsped condition of tank(s) At least once every: ' moMls(s) (Maximum 3 years) ❑ NA (Pump out contents of tank(s) When combined sludgeand scum equals one-third ()6) of tank volume ❑ NA ilnsped dispersal cell(s) At least once every: ❑ s)s) (Maxbnum 3 years) ❑ NA Clean effluent fitter At least once every: / month(s) NA Inspect pump, pump controls S alarm At least once every: ❑ month(s) ❑ year(s) ItI NA 1-lush laterals and pressure test At least once every: ❑ month(s) ❑ year(s) NA Other. At least once every: ❑ YeKs)s) ❑ A ether. MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master (Plumber, Master Plumber Restricted Sewer, POWTS Inspector; POWTS Maintainer, Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identity any missing or broken hardware, identity any cracks or leaks, measure the volume of !oombined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shag 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 ratification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third (Y,k) or more of the tank volume, the entire contents of the tank shag be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. INI 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 POWTS Maintainer. IN service report shall be provided to the local regulatory authoiA within 10 days of completion of any service event. Page _ of __, START UP AND OPERATION Products or other chemicals than For new construction, prior to use of the POWTS ciheclk treatment tank(s) for the presence of Painting detected have the contents Of the may impede the treatment process and/or damage the dispersal cell(s). If high concentrations 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. will be During power outages pump tanks may fit above normal highwater levels. When power is restored the excess wastewater discharged to the dispersal cel(s) in one large dose, overloading the cell(s) and may result In the backup or surface discharge of effluent To avoid this situation have the contents of the pump tank removed by a Septage Senrkang Operator Prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump cult oIS to reshxe normal levels within the pump tank. the area wit}tln Do not drive or park Vehicles over tanks and dispersal ceds. Do not drive or park over, or otherwise disturb or compact 15 feet dorm slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance ant prolong the ife of the POWfS' antibiotics; baby wrpes; cigarette butts; r ondoms; cotton swabs; degreasers; denial floss; diapers; disinfectants; fat: foundation drain (sump pump) water, fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; Oil; peirt§ng products; pesticides; 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 Propeily and safety abandoned to 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. a 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 a code compliant the POWfS falls and cannot be repaired the following measures have been, or must be taken, to provide replacement system: A suitable replacement area has been evaluated and may be utilized for the location of a replacement sod absorption system. The replacemo rt area should be protected from disturbance and compaction and should not be infringed upon by requh{ed setbacks from existing and Proposed structure, lot lines and wells. Failure to protect the replacement area will result in the neled for a new soli and site evaluation to establish a suitable replacement area. Replacement systems must 00m* with the rul" in effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Bamvg advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a sod and site evaluation must be perfomhed to locate a suitable repiacement area. If no replacement area is avaYable a holding tank may be installed as a last resort to replace the failed POWTS. ❑ Mound and at -grade soil absorption systems may be reconsVuxed in place following removal of the biomat at the Infiltrative surface. Reconstructions of such systems must comply with the rules in effect 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 4 i / Phone / j - y r POYVTS MAINTAINER Name cc �. Phone SEPTAGE SERVICING OPEPATOR(PUNIP11M REGULATORY AUTFIORITY Name �yy v Name 5 - 129 / .)LJAA_ Phone / S— � Prone This docranent was drafted in compliance with chapter SPS 383.22(2xb)(1)(d),(t) and 383.54(1), (2) d (3). Wlsconwn Administ86Ye Code. FT- 2014G048A OAS= 19 000 I&M i i I A 1921 9AT9.4356 9.3759 0. 9.4356 .OlGap beNveen Case and Se�penline oO i�'d9 Je SECTION A -A _ 1 wa 1 mTlLJLJlaI m f a Al i i ------------ .F- — I ...,d yy ww r� � .6 •IJ".� oe� h�v am mw TT 74 r T 9 I' uaxa ' 1. v R I,I�—jlll M �A• Cpi14x01� -. -� r��w nwxm, _ Qe P,YR. m— mnw� wsr e�i,we,wn a.m — II � qs ��,�w„¢mmuiv..nmu.— R fMX "m�ss.sms Q' q6a� e—w.A.....v..w a -- c—..w.w.ay.w. 0 A2 11 nwF}®nrn �.4 ).�0Xm_ "z\ axms�ux N F 11wu! �1111[ - 8 r� � - _ �1 ,9 gl_ Ill NO .�I WER ��s �17�iawl ��II�I�oEro.l�r��/aneemr �' i � noarnwmm oiu q.. Y are p ru �p - el wueaax�m. i i Wry:_ __- LL�� REVIYpY ��• �, N eu .a e LEIM f—�oamogRexu C r _�. .1 .w.nxnn � M �. f M1 IFfM.lFMI61KMWVINHI�CIp! Y M I" ......... '� mow:.^' ._... �m mow_ s A4 r- - -- -- - -- --1 .bg,�T � 4AYd Designer: Ryan Bechel Certified Soil Tester. /1330832 Designer of Engineering Systems D 2263-7 -1/d W U U~i ADVANCED ENVIRONMENTAL i 'All property lines not *rSeptic SYSTEM NOTES drawn am>100A from (F Benchmark tlsystem � Soil Boring ank: yskm appears to be a cesspodody(no dbebcatedlwihmin*aWesurfaceanll' in depth.SCALE ystem to be abandoned per SPS 303.33 1 0' 20r 30' i� i 100.00 Top of well A 3 / nq \ W Roof line �e Existing e( 91. s , (Cesspool) 81 — ail I�� W9 .80 erg Ors / 89.38 e ok��eo699.2 Pump Tank: STA: RannnwW IWoud'mwenbonar PO'MS wh 0.Ta gp(W baling raw -K'N sm amenswbbe needed due tos W"of cmMu 1)eok, msinom=120' C 794.00 Shm=13% Distribution: {irwRy diumbWon appEas posebb pendN building sews• trial depth. MAP (net to RWM) RD PREPARED FOR: Dan Marzolf 266 Salishan DR Hudson, WI 54016 'ID: 040.1146.90.000 y.13 Acres Legal: Gov Lot 2 I S13 T28N R20W cadnwd srabwrwrc 11iR RyR1w11 ns to n dRRl- and ewested In aaadeav Ran SMM ab tom salsa The Rae aawrnErf wren mua m0 pmmMd Iron dw.bww• r O."Reak, bRIwR and a/<r Town of Hudson mrwlra>Uan. W W W WW B WOE iRlf 116 S1'51111 WILL CMME la RAICIIOH AOERAIRY. WaN muRt be pmpwy naeiAebra A sow "AN'. mRNRvRR wf PMn fan Wen en paper R,E old Sole: 1'=30' Dabs: v 1_ 'D Wisconsin Departmen�ILAJLD 0.d;Professidnal Services • V Division of Industry 9e" FEB 2 0 TO SO L EVALUATION REPORT t( Inca, o ance SPS385,Wis. Adm. Code County Attach complete site plan on aper not.tess thaq-a, 1'Volt ent in size. Plan must include, St Croix but not limited to: vertical and orizor)tal,refeienFep nt (BM), direction and percent slope, Parcel LD. scale or dimensions, north art Mon and distance to nearest road. 040.1146.90.000 Please prim all information. ewctlbY CS -F-oQb — did Page I of 2 Property Owner Property Location: Daniel Marzolf Govt. Lot: 2 % % S 13 T 28 N R 20 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1 266 Salishan DR City State Zip Code Phone Number ❑ City ❑ Village ■ Town �./� Nearest Road Hudson 1W 154016 n 47 , Salishan DR Q New Construction Use: ❑M Residential/ Numberof bedrooms 3 Code derived design flow rate 450 GIRD ❑ Replacement ❑ Public or commercial — Describe: Parent material Sandy drift over sandylgravelly outwash (Emmert LS) Floodplain elevation if applicable NA R. General comments and recommendations: Remm i grand'mrnentl0nar Powrs ath 0.7a GPM 108dap rw. LF • 120' 1❑ Boring # ❑ Boring ❑I• Pit Ground surface elev. 95.80 R. Depth to limiting �factor r1120 in. Soil Aooll ication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az.-Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft'ff# •E1 •0102 1 0-7 1OYR 2/1 - sl 2mgr mfr cw 2c-vf 0.6 1.0 2 7-16 7.5YR 3/4 - Is-s 1csbk-0sg loose gw 1m-vf 0.7a 1.6a 3 16-120 7.5YR 4/4 - s Osg loose - 1m-vf 0.7a 1.6a Boris # ❑ Boring ❑M Pit Ground surface elev. 89-38 R. Depth to limiting factor 120 in. Soil Aoolicatlon Rate Honzon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 •ER#1 '002 1 0-8 1 OYR 2/1 - sl 2mgr mfr cw 2c-vf 0.6 1.0 2 8-34 7.5YR 4/4 - s Osg loose gw 2c-vf 0.7a 1.68 3 34-51 10YR 5/6 - s Osg loose gw 1f-vf 0.7a 1.6a 4 51-94 10YR 5/4 - s Osg loose gw - 0.7a 1.6a 5 94-120 7.SYR 4/4 - s Osg loose - - 0.7a 1.6a 0 r tmnent 91 = RnrT > in s 22a mnn antl TCC > ar1 s 1 Sri m n ' F1Porarrt Y = Ron > Rn s 22n mn/L and 1 SS > 313 s 15 MWL CST Name (Please Print) Signature , n a¢C/L¢G CST Number Ryan Bechel 1330832 Address Date Evaluation Conducted Telephone Number 371 Cannon View DR, Red Wing, MN 55066 12/04119 (651) 327-0074 Jt$L'W1U (KU4/10) Boring # ❑ Pit Ground surface elev. 91.86 ft. Depth to limiting factor 120 in. Soil Aooll ication Rate Horizon Depth In. I Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/FP •E11#1 •Efr#2 1 f 0-8 1OYR 2/1 - $l 2mgr mfr cw 2m-vf 0.6 1.0 2 8-26 7.SYR3/4 - IS-s lcsbk-Osg mvfr-loose gw 1m-vf 0.7a 1.68 3 2§-50 7.5YR4/4 - s Osg loose gw 1m-vf 0.7a 1.6a 4 50-81 10YR 4/4 - s Osg loose gw - 0.7a 1.6a 5 81-120 7.5YR 4/4 s Osg loose - - 0.7a 1.6a ka 4 ] Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to liming factor_ in. 5❑ Boring # ❑ Boring Cl Pit Ground surface elev. ft. Depth to limning factor _ In. Sal Aool lication Rate EM 1 = BOD, > 30 5 220 mg/L and TSS > 30 s 150 mg/L ' Effluent #2 = BOD, > 30 s 220 mg/L and TSS > 30 s 150 mg/L