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Home My WebLink About018-2019-46-000Wisconsin Department or 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 Rollinq Hills Farm Owners Associatiorn I TOWN OF HAMMON CST BM Elev: Insp. By Elev: BM Description I o6e . 2 � ®ed ,� TANK INFORMATION ELEVATION DATA TYPE MANUFACTUREF KK ,LC. CAPACITY Septic Dosing C ' L G y.�(- Lr•J a�+ a� l W7 7 I [_� U Aeration •;acr Z Sir,�c1L i TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Ventto Airintake ROAD Septic Dosing Z-7 /V of Na Aeration Holding PUMPISIPHON INFORMATION Per 01t, ir, 75.g2 Manufacturer G bu I J� Demand GPM Tqj Model Number (9 6q TDH Lif� Friction Loy 1 System HgadC L '1 J l T H • ��Ft Forcemain Length 8 t Dia. r . Distto well AA SOIL ABSORPTION SYSTEM I,..,ly St. Croix Tax No: 018-2019-46-000 ioe/Mao No: b8.75 If 17,124�6j 9 e."ZQ Z STATION 5 B�L 107. 1 J FS l 'E� g Benchmark Q� O•c('�P .�' y� f�.Z93 Alt. BM Bldg. Sewer owa�„ r �. I •i St/Ht Inlet SVHt Outlet Dt Inlet Dt Bottom I3 rO ba ' Header/Man. -7 -7 ' Dist. Pipe few Bot. System 3. Final Grade St Dgyer WOW BED/TRENCH DIMENSIONS Width )n•'), C Len th 1 H , tie.OEi Ches q f%4 (-/ PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth SETBACK SYSTEM TO JPIL JBLDG IWELL LAKE/STR LEAC NG Ma rer: INFORMATION Type Of System J /1 AA V C AM R OR IT octal NurMer DISTRIBUTION SYSTEM _ Header/Manifold , r �) t I -1 Distribution s , ' t ` Pipe(s)��(� t?� (9 0 -• x Hole Size „ x Hole Spacing ` �' Vent to Air Intake '1'1 rvi Ii -z•� Length Dia Length •V Cis Spacing I 1 SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only rg, )') u IiIi n a BedRrerlcf(Center J Depth Over `� Bed/Trench Edges 7) Z xx Depth of �� Topsoil I '2 m Seeded/Sodded i'�I Yes ❑ No xx Mulched $'Yes rr No `O COMMENTS: (include code discrepancies, persons present, etc.) Location: 740 161ST STcL 0�,�5 4 Ck 4',h`j 1.) Alt BMIDescription - yq j -� L i � 2.) Bldg sewer length = C por 4mvri� / 5.P7 C1- - amount of cover = l,2VLF' / Q9 t yts yCC4-1 tg+q Plan revision Required? ❑ Yes No Use other side for additional informatio . SBD-6710 (R.3/97) Inspection s#1.:2`sf`Z,O I� Inspection #2: 3i.��P•( b(a� L w pAJ&) (� Ib K l Doi S Date Insepctor' igna ure Cen. No. �U1 —=% rF-11 rF— SflVV-ao11— 01-1 S Safety and Buildings Division County/ St.Croix 75 - I AUG 27 2019 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.) sf ;•,_� Madison, W 707 16 •/ /�/7 5r.. r.rcix Coun[y -- eYlTtlt Applimion Sate Trmemetian Number 061901466-C In accordance with SPS 35321(2), Wis. Adm. Code, submission of this form to the appropriate govenmntd eit Address (jdff ing address) is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to the Department of Safety and Professional Se ws. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, a. 15. L A tioa foformation - Please Print A Property Owner's Name Parcel a Rolling Hills Farm Owners Association Inc 018-2019-401:000 Property Owner's Mailing Address Property Location dj, R 1. 17. 3435 Labore Rd.STE 150 Gott. Lot ray 6 A SW '/., Section 29 City, State ZiPCode Phone Number Vadnais Heights Mn 29 (c le One) T Ni R 77 F orrt4 11. Type of Building (check all that ap Lot # Subdivision Name ❑ 1 or 2 Family Dwelling -Number of 12 t, Z. 3, apWA Block Rolling Hills Farm ❑ Public/Commerctat - Describe Use ❑City of ❑ Sate Owned Describe Use/ / CSM ❑ Village of Ig Town of 1lalnmorld - Number S � ID. T it only one box on line A. Complete line B if applicable) iQ New System Replacement System ❑ Tremment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. ❑ permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer tc New List Previous Permit Number and Date Issued Before Expiation Owner TV. Type of POWTS m/Com Chwk aY that a ❑ Non -Pressurized hec oumd ❑ Pressurized hrGround ❑ At )❑ Mound>_ 24 m. of suitable soil ❑ <24 in of suitable soil ❑ Holding Tadr ❑ Dispersal Compoumt (explaw) Pretreatment Devi« (explain) V. Dispersis VI'ra ant Ara Iaforma ' R r Deign Flow (gpd) Design Sod Appl Rme(MM Aspensel wnlrr� (sf) Duspersal Meer s0 %i System Elevation 1800 1.6 1000 1'2101 1128 1464:.28'106j, .�� VL Tank Info Capacity in Gallons Tout Gallons N of Units mmufachmr Sim Tec Filters p ,2 a g g p $$ 2 New Task. Fyimag Tads Septic or Folding Task o°ongChamber 1250 1250 WipaserConcrete x VD. Reaponsibi&y Statemeot- L lie madereigned, ante Si far . m of the POWTS Aamne on the attached plain Plmlices Name (Print) 's Si . MP/MPRS Number Business Phone Number Keith Knudtson , 648443 651470-1737 Plumber's Addrea (Street, City, Stele, Zip Code) 927 150th St. Roberts Wi 54023 VUL County/Department Use Only pproved ❑ D' Permit Fee i fw �6 Date a Issu ing Sigoanne ` 13 van Rcason for / IX. Cond' ea sons for Dsapproval BCvl. 3 Geik ep is nka ,I r r ttLMl) _ �,�r„ic I wai ull �vaJf,:§1ia:7i: e'Sn t�r1)fVK_t�f— fwJ 0 - s per-tarayaman' plan p to IIt16H'4M Nlu,nbp;. 2. All ae!ba k ncUrA nhA Pn�il lu Tr„ tidf €a n Y r b. per ttppkillbll C161 4J`&"AiMf 4 o d5' Attach to complete plans for the system and subddl b the Comy only on paper Bel lei 7 Mx SBD-6398 (IL 11/11) 1 San&ary Slte Plan i Fob^: `7yme Pe'pertfss,�LC 4ing.0411s :Farm C tjot 2 ,iidi`'a' 46,4 Part oj, the 3W1/4 Town of 1 mmO,, YSt. Croix County rS SSgs N87°08'43"E 180.52'a� <O 6r8F Page 2af9�y \° so �0l NSgssreR9 fro,: Sr 0� 75r5g40"C ` 8M ELEV. N 1075.8E • WELL DWF = 600 gpd Hoot 1-14 0 Bw/septic FH8744 LOT 48 �. 21,781 SQ. FT. 4" Sch. 40 PVC Z "" . WELL DWF = 600 gpd 161 t St FH4742 LOT 47 21.781 SQ, FT. • WELL 740 DWF = 600 gpd it 15 6 LOT Q4. 8FT8121,7S C35-39.Vq 243.89. I II 45 1072.48' Hoot H-B00 Bfo/Sepiw Sch 4040 PVC , in lr Hoot "-am V Blo/Septic Bch. 40 PVC Proposed Wieser Concrete �P" WLP1250-MR w/ Duplex Pump w/ Sumach STF-100 Filters P1'82082 Top of Wood Hub q Elm - 1000' Is==1073.64' ` of pipe - 1067.64' J� 0 30 50 Graphic Inch —p' li') I OUTLOT 2 42.71 ACRES 1,860,369 SQ. FT. DWF of 1800 gala. /1.60 = 1126 sq. 8- /88. = 141 8.N Lots 46-48 Typical of each lot will be 4• Sch. 40 PVC Bldg. Sewer 4" Sch. 40 PVC or Astm D-3034 PVC Conveyance Pipe. 8 Proposed Duplex 2" Sch. 40 PVC F.M,'s 1[1 PTB 2084 op of Wood Hub :;A ofAnt Elev.-1069,53' B2-L46 1067.28' 1�1065.28' 1064.28' l066 ,2 1 1062,28' OAD02 U Site is an open slope w/a few small trees. Proposed 6.0' x 141' Mound Dispersal Cell located along the 1084.28 contour w/a System Elev. of 1065.1 V August 15, 2019 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 2021-08-15 Plan Review: PWTS-081901486-C KEITH E STONER 23220 Woodcreek Rd Siren WI 54872 SITE: 1111141gmbjWWW"6 0. 740-744 161st St. Town of Hammond Saint Croix County Total Amount: $325.00 DIVISION OF INDUSTRY SERVICES 2331 SAN LUIS PL GREEN BAY WI 54304-5211 Contact Through Relay http:lldsps.YA.gov/pWranrAridustry-serAoes www.wisconsin.gov Tony Evers - Governor Dawn Crim - Secretary Pressure Distribution Component Manual — Ver 2.0, SBD-107606-P (N.01/01, R 10/12) Mound Component Manual — Ver. 2.0, SBD-10691-P (NA1/01, R 10/12) Descr4o0on: 1800 GPD (12 Bedrooms — New Construction - Predeannent) 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: • SPS 383.54(I)(e) The management plan for a POWTS shall specifically address the servicing mechanics of an aerobic or anaerobic treatment tank or a holding tank where either of the following conditions exist: 1. The bottom of the tank is located more than 15 feet below the elevation where the servicing pad is located. 2. The bottom of the tank is located more than 150 feet horizontally from where the servicing tad is located. • Preserve dispersal area prior and during construction to avoid disturbance, compaction and use of the site. • With new construction; it is recommended not to activate the pump in the dose tank until the tanks are pumped prior to homeowner occupancy. • Wastewater generated from contractors cleaning of equipment and tools and/or left over construction products shall not be discharged into the drains discharging to the private onsite wastewater treatment system (POWTS). Waste generated shall be properly disposed of on -site or off site. • Any tall grasses, leaves and shrubs shall be cut short and removed prior to tilling the surface for installation to prevent matting under the dispersal area. All loose organic material to be removed from mound area. • Divert surface water from POWTS Area. • Prior to construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. Smearing and compacting of wet soil will result in reducing the infiltration capacity of the soil. Proper soil moisture content can be determined by rolling a soil sample between the hands. If it rolls into a 1/4- inch wire, the site is too wet to prepare. If it crumbles, site preparation can proceed. If the site is too wet to prepare, do not proceed until it dries. • 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 (11)(c) • Well setbacks to meet chs. NR 811 & 812 • Tank Installation to follow all manufacture's recommendations. • SPS 383.54(I)(e) The management plan for a POWTS shall specifically address the servicing mechanics of an aerobic or anaerobic treatment tank or a holding tank where either of the following conditions exist: 1. The bottom of the tank is located more than 15 feet below the elevation where the servicing pad is located. 2. The bottom of the tank is located more than 150 feet horizontally from where the servicing pad is located. • Verify property line(s) prior to installation. • Pump Floats to be set and verified per approved plan. Any changes may result in pump resmng to meet TDH and GPM Specifications. • Areas that are occupied with rock fragments, tree roots, stumps and boulders reduce the amount of soil available for proper treatment. If no other site is available, trees in the basal area of the mound must be cut off at ground level. A larger fill area is necessary when any of the above conditions are encountered, to provide sufficient infiltrative area. 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(1). • 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 stats I01. 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. Sincerely, �/nc�,e n 7/.aw✓.tA o� Tim Vander Leest Private Sewage Plan Reviewer, Division of Industry Services (920)I92-2214 , Mon- Fri, 6:00 a.m. - 3:30 p.m. tim.vandericest@wi.gov Index and Title Sheet Project Name: Rolling Hills Farm Shared Sanitary System for Lots 46-48 Ur Property Owner: Tyme Properties LLC Address: 3435 Labore Rd. Vadnais Heights MN 55110 t., t —t Legal Description: Part of the SW 'A Section 29T29N-R17W Township: Hammond County: St. Croix Subdivision Name: Rolling Hills Farm Outlot 2 Lots: Sanitary System Serving Lots 46-47 and 48 Comp. #/Parcel ID: 018-201946-000 — 018-2019-48-000 CONTENTS Page: I Plan Narrative Page: 2 Plot Plan Page: 3 Mound Plan View and Cross Section Page: 4 Lateral Layout Page: 5 Dose Chamber Cross -Section Page: 6 Pump Curve Page: 7 a+b Duplex Pump Panel Specifications Page: 8 Hoot Systems H-600A Tank Specs. and Hoot Service and Inspection Form Page: 9 Management and Contingency Plan Attachments: Soil and Site Evaluation Reports, Sample ATU Servicing Agreement and Hoot Systems LLC Product Approval with maintenance requirements. Mound Component Manual Used = Version 2.0 SBD-10691-P (N.01/01R. 10/12) Pressure Distribution Component Manual Version 2.0 SBD-10706-P (N 01/01 R. 10/12) "�tUUtHt11lIIi Designer: Keith E. StoROi�ONNN� License # Designer 157-007 Signature: at 7-18-19 Phone # (715) 653-2324 W5. (J' Sankary Site Plan \\�U For; Tyme Properties„4LC Rolling Hills Farm OuClot 2 Lots 46-48 Part of the SW114 o Sec. 29 T29N-R17W o Town of Hammond - St. Croix County Z \ '34 N75°58401E23261 BM ELEV. '1 � 1075.88 • WELLSp " t DWF = 600 gpd Hoot H-e00 1 Biolsepdc p , Am W FN# 744 LOT 48 � 21,761 $Q. FT. 4" Soh. 40 PVCit \wj 072.80' Nyd O_ 9.77 34'D2 M123' wp WW • WELL 1072.48 DWF = 600 gpd Hoot H-600 Bolseptic St. I'M742 LOT 47 1161�t 4" Sch, 40 PVC 21,781 SQ. FT. • WELL r. 740 Hoot H-600 DWF = 600 gpd Blo/Sept 1 LOT 48 4"6oh PVC 1064.3 21,781 SO. FT. Proposed Wieser Concrete 3919W243-89 WLP1250-MRw/Duplex Pumps w/ Simtech STF-100 Filters OT 45 06. N 7008ATE 160.52' b� 7S�0 S6rtQ' Page 2 of 9 h� T F 0 NSyS6 �g9 S� 000, moo, �O`1O 7g$7 0 3D 80 b 1 lnM - 1r 0f . q� 5 PIN 2082 Top ofWoud Hub 'R Elev 1061.69' n OUTLOT 2 42.71 ACRES Is =1073.B4' 1,860,359 SO. FT. of pipe = 1067.64' 4f DWF of 1800 gals. /1.60 = 1125 sq. ft. /8ft. = 141 ft.N Lots 46-48 Typical of each lot will be 4" Sch. 40 PVC Bldg. Sewer 4" Sch. 40 PVC or Astm D-3034 PVC Conveyance Pipe. t Proposed Duplex 2" Sch. 40 PVC F.M.'s tri PT# 2084 Top of Wood Hub Top of Wood Hub w Elev. = 1068.53' B2-L48 Elev.=1068.28 Bi-L48 O 1067.28' 1 1 1065.28' 1064.28' B3-L48 11062 1066.34' I •� 1062.28' --.. Site is an open slope w/a few small trees. Proposed 8.0' x 141' Mound Dispersal Cell located along the 1 D64.28 contour w/a System Elev. of 1065.1 V Mound Plan View L Mound component Dimensions A 8.1Y E 20.5 " B 1 1' F D 10" G 6" 1128 (ft sq.) Dispersal Cell Area 12.76 (MxVft) Li— Loading Bsr[ Page 3 of-9 H 12" K 920' 1 L 159.40' J 4.78' W 26.21' 3 ((t•) Basal Area Available 14.1 (ft) 1110 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area i)� �� — i as • _ � Cell Elevation Shading Key ® Topsoil Cap ® Subsoil Cap ASTM C33 Sand ® Tilled Layer ® Aare8ate 11 % Site Slope observation Pipe to be constricted of 4" diam. pipe w/ water tight cap, a minimum 6" slot anchored with 3/8" rebar or a water closet collar. Detail of . Typical Dispersal Cell 4 A G _IH OL65 1 Invert Lateral Invert (lt) Contour Elevation %tile Fabric Cover Page 4 of 9 Center Connection Duplex Manifold Lateral Layout Diagram ft. X "I t.94 ft. P F P Note: F.M. attached to Laterals and Force Main of PVC Sch. 40 center of the manifold. per SPS Table 384.30-5 S 5% ft� 1 — -.94 ft.— Turn-up w/ball valve or clean out plug Number of Laterals Lateral Diameter Lateral Length (P) Lateral Spacing (S) Lateral Flow Rate 1/2 Cell Flow Rate System Flow Rate Total Dynamic Head X X Holes equally spaced on bottom of lateral Duplex Force Main Note: Forcemains coming into the center of cell, 1 st hole approx. 1.25' from the manifolds maintaining 14 the 3.00' hole spacing. Northwest manifold + F.M. .25 ft. feed north 1/2 of cell and same for the southeast F.M. 2 per F.M. +manifold. 1 1/2 68.08 4.00 12.96 25.92 51.84 14.54 in. fL M orifice ft. in. ft. Lateral Turn -up Detail in. Orfice Diameter ft. Orifice Spacing (X) ft. Orifices per Lateral gpm Orifice Density gpm Manifold Length gpm Manifold Diameter ft Forcemain Diameter and Length 5/32 or 0.156 2.96 24 11.75 4.00 1.5 2"/80' per F.M. Finished Grade Threaded Cleanout Plug or Ball 6" to R" diameter Lawn Sprinkler Box � Valve � V Note: Lateral ends at last orifice where variable length to cleanout begins. Long Sweep 90 or Two 45' Bends Same Diameter as Lateral Distribution Lateral Page 5 of 9 Duplex Pump DoseTank Component Cross Section Approved Manhole Covers With Warning Labels and Locking Device / 4" Min. Above Final Grade Weather Proof Junction Box Electric per NEC 300 dt SPS 4" Sch. 40 Vent 316.012 WAC > or = to 12" Above Final Grade n Note: SJE Rhombus Type 122Duplex I I I L Alternate Outlet Location Demand Dose f W/A roved 4" Sleeve Top of inlet=1060.34' 1 11 1 1 1 Force Main Diam. = 2 " or Anti Siphon Device Note: Pump switch and alarm to be A uplex Force Mains wired to separate circuits. r �� B pump Off Elev. 1057.67 WLP1250-MR Gallon C Duplex Pumps Tank Mfr. Wiesert Concrete L r ----'ll Dose Tank Elev. 1056.84' Vertical Difference Between Pump Off and Distribution Pipe = 7.94' Per 1/2 Minimum Required Supply Pressure ...................................... = 4_55 of cell 80' FT. of Force Main x 1.94 Friction Factor/100FT.... = 1.55' per dose Note: Maximum dose per Pressure Loss Through Filter ................... _ .50' F.M. or 1/2 cell equals 180 gals. Total Dynamic Head ............. _..... = 14.54' • 55 Min. dose per 1/2 cell = 62.63 gals. Number of Doses...— 965 Per Day Gal. Per Day/ #of Doses = 121.OlGal. (Duplex Volume of Backflow.......................................................... _... _... = 13.04 Gal. PumpsAltemaling Total Dose Volume..................................................................... = 134.05Gal. between 112 of cell) Pump Tank Capacity 1260.07 Gallons Dimensions Inches Gallons Pump Tank Volune 26_81 Gal/loch A 30 804.30 Note: Tank to have B 2 53.62 two outlets. Pump Mfr. Goulds C 5 134.05 Note: Force main Pump Model EP04 D 10 268. 00 lengths should be Minimum Discharge Rate = 25.92 GPM per pump nearly the same length. Alarm Mfr. S.J.E. Rhombus Total— 47.00 1260.07 Alarm Model Tank Alert I Bed Tank per SPS. 383.45(5) N Anchor Tank as necessary to negate buoyant forces per SPS 383.43(8xg). ewate r METERS FEEL 10 9 31 8 2! 7 x U 6 21 2 5 0 1' J 4 H Q 3 11 2 1 0 Pace 6 of 9 __. -____ I _.�...__ SGPM t—_. ! t I 1 i i I 1 I 3 -- -- -?--- - - --- - a- EPOS -- ' ! I 0� 10 ZO 30 40 W "I'M 0 2 4 WT7-T--A-kl 10 12 Order Minimum Float Cord Discharge Minimum Minimum Mhrimum Maxhnum Shipping Number RP V.W Amps Crcuit Phase SVvI" On Level OffLevel Basel solids Weight Break. styleConnection Diameter Size lbs.kg EP0411 .4 115 12 20 1 No Switch 10' 1W Manual Manual 15" Y." 20/9.1 EP0411A Piggyback/ Wide -Angle. 10, 12' 6. 21 /9.5 EMN11F Nolug/ 20' Manual Manual 20/9.1 EP0411AC Piggyback/ Wide -Angle 20, 12" 6' 21 /9.5 EP0412 230 6 f0 Plug t Switch Sv 10, Manual Manual 20/9.1 EP0412F Plus / No Switch 20' Manual Manual 20 / 9.1 EP0511F .5 11S 13 20 No 20 Manual Manual 22/10 EP0511AC Piggyback / Wide -Angle 20' 12" 6- 23 / 10.4 EP0512F 230 6.5 10 No Plug Swi 20-1-Manual Manual 22/10 PAGE 3 Single phase, duplex alternating pump control with override. Fria 7 a+D of 9 The Model 122 control panel is designed to alternately control two 120, 208, or 240 VAC single phase pumps in water and sewage installations. The alternating action equalizes pump wear. In addition to the alternating pump control, this system provides override control should either pump fail. If an alarm condition occurs, an alarm switch activates the audiovisual alarm system. Common applications include pump chambers, sump pump basins, irrigation systems and lift stations. 1. Enclosure measures 10 X 10 X 6 inches (25A X 25A X 15.24 cm). Choice of NEMA 1 (steel for indoor use), or NEMA 4X (ultraviolet stabilized thermoplastic with removable mounting feet for outdoor or indoor use). Note: Options selected may increase enclosure size and change component layout. 2. Magnetic Motor Contactors control pumps by switching electrical lines. 3. HOA Switches for manual pump control (mounted on circuit board). 4. Control Circuit Board provides pump control and ahemation. 5. Green pump Run Indicator Lights (mounted on circuit board). 6. Circuit Breakers (optional) provide pump disconnect and branch circuit protection. 7. Ground Lugs 8. Float Status Indicator Lights (mounted on circuit board). 9. Control and Alarm Power Indicator Lights (mounted on circuit board) 10. Auxiliary Alarm Contact, form C (mounted on circuit board). NOTE: Schematic is located inside the panel on enclosure cover. STANDARD ALARM PACKAGE 11. Red Alarm Beacon provides 360' visual check of alarm condition. Note: NEMA 1 style utilizes a door mounted indicator in lieu of a beacon. 12. Alarm Horn provides audio warning of alarm condition (83 to 85 decibel rating). Note: NEMA 1 style utilizes an internally mounted buzzer in lieu of hom. 13. Exterior Alarm TesUNormal/Silence Switch allows hom and light to be tested and hom to be silenced in an alarm condition. Alarm automatically resets once alarm condition is cleared. 14. Horn Silence Relay (mounted on circuit board). NOTE: other options available. Entire control system (panel and switches) is UL Listed to meet and/or exceed industry safety standards AF Dual safety certification for the United States and Canada AF Standard package includes three 20' SJE SignalMaster® control switches AF Complete with step-by-step installation instructions Ar Five-year limited warranty SEE BACKSIDE FOR COMPLETE LISTING OF AVAILABLE OPTIONS. SEE PRICE BOOK FOR LIST PRICE. Model Shown 1221 W114X6A C®us LISTED Rh us. PO Box 1708, Detroit Lakes, MN 56502 1-888-DIAL-SJE•1-218-847-1317 1-218-847-4617 Fax email: customer service@sjerhombus.com www.slerhombus.com 122 C MODEL 12Tno ALARM PACKAG 0 = select options or alarm package T T = alarm package (includes tesdnornallsilence switch, fuse, red light, & ham) ENCLOSURE RATING r I = Indoor, NEMA 1 (metal) = Weatherproof, NEMA 4X (engineered thermoplastic) STARTING DEVICE B1 = magnetic motor contactor 120/20a/240V 9 = magnetic motor contactor 120V only PUMP FULL LOAD AMPS 0 = 0-7 FLA 1 = 7-15 FLA 2 = 15-20 FLA 3 = 20-30 FLA PUMP DISCONNECTS 0 = no pump disconnect 4 = circuit breaker 120V (select STARTING DEVICE option 9 above) 120208240V (select STARTING DEVICE option 1 above) 2215 FLOAT SWITCH APPLICATION H or L = pump down or pump up (select 17 option) X = no floats OPTIONS LiSfMbelow 6A vv\�� ENCLOSURE UPSIZE - If you selected one or more of the * options, or two ** options, a one-time enclosure upsize fee would apply. cone ossmuvrnmt IA Red beacon onhr I no audio (must select 'O' for alarm package) Q 1 C Horn only / no visual (must select 17' for alarm package) ** 3A Alarm flasher O * 30 Manual alarm reset o * 4A Redundant off (select Obtain 41) if (bats included) Q 48 Red redundant oft indicator & alarm (must salad Option 4A also) Q 4D Redundant off float (must select 4A option) (select 17 option) (] * 5A Thermal wtou9heal sensor auto reset (for pumps wMermal switch leads) * 5E Sea[ failure coact & red indicator (2 wire) (� 6A Auxiliary alarm contact, form C (included as standard) * 8A Elapsed time meter (] * 8C Event (cycle) counter Q * 9_A Pump overload specify amperage after number 9 followed by leder'A'. Example: 912A = 12 amp pump. *� 0-25 FLA * 25-30 FLA 10E Lockable latch -NEMA 4X t0E Lockable Latch - NEMA 1 * 1 OF U"Ing arrestor (select pump drevd breaker) k"� COOS DESCfePTgN ** 10K Anti -condensation heater 11 C NEMA 1 alarm panel 0 110 NEMA 4X alarm panel F--J* 14B Main disconnect (rotary style mounted through door, nori-ly H) (must select Wcvil breaker) * 0-20 FLA (total of both pumps) * 20-60 FLA (total of both pumps) 16A 10' cord in lieu of 20' (per float) 16B 15' oord in lieu of 20' (per floa0 Q 16C 30' cord in lieu of 20' (per float) Q 18D 4T cord in lieu of 20' (per float) 17A SJE SignalMaster• I pipe damp 0 (per Hoar) 17B SJE SignalMastei- I externally weighted • (per float) Q 17C Sensor Foal• l intemally weighted ♦ (per float) Q 17D Sensor Fooal' I externally weighted A (per float) 17E Sensor Float` Mini / pipe camp ♦ (per Hoar) 0 17F Sensor Float' Mini / externally weighted A (per goat) 0 17J Sensor Floats l pipe damp ♦(per float) 0 19B Lead lag selector switch Q 19F Fouts float to separate alarm hnclion from lag 19T TOA (TestlOH/Aulomatic) switches and pump nun lights through door mounted 19U HOA (Hand/Of0Aulomatic) switches and pump run Lights through door mounted 19X Door mounted pump run indicator Mechanicaayactrvated A Memuryactivated JM/ArLG MODEL 122� W 9 0 T Alarm Package Endosure Rating Starting Device Pump Full Load Amps Pump Disconnect Float Switch Application Options: Auxiliary alarm contact, form C, Elapsed time meter, event (cycle) counter, SJE SigmiMastefO / pipe clamp 6A 8AC 17A OSJE-Rhvhidu =14 0. A, 0 p 3174}" rr=-11 Fr 1111 V �� 4" CAS o2A LL r-JL 41" t 40" TOP VIEW r 4" CAS POLYLOK 12" ACCESS LID (TYP) �Z SET RISER (TYP) TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS 600 GPD GRAVITY DISCHARGE SYSTEM H-600 A H-600 A TANK SPECIFICATIONS DIMENSIONS: WALL: 3" BOTTOM: 3" a COVER: 4' 8 MANHOLE: 12' & 24' I.D. PLASTIC RISER HEIGHT: 70" O.D. S 'm LENGTH 106" O.D. g WIDTH: 74 1/2" O.D. BELOW INLET: 57° O.D. `o LIQUID LEVEL: 51° WEIGHT: 11,135 LBS. Lu x W INLET AND OUTLET: !. § 4" CAST -A -SEAL (CAS) BOOT OR EQUAL ® N COVER: MIX DESIGN #8 (NO FIBER) 't CO TANK: MIX DESIGN #9 (SMALL FIBER) =z CUSTOMIZED TANKS: N FOR CUSTOM TANKS CONTACT WIESER CONCRETE r� W� I DO W DO 0 a z g Q U $ a DRAWINGS SUBMITTED = w FOR APPROVAL APPROVED BY: SHEET NO. APPROVAL DATE: g PRODUCTS NEEDED BY: Hoot Service and Inspection Form This testing and reporting shall be completed, signed and dated after each inspection. One copy shall be retained by the maintenance company. The second copy is sent to the local permitting authority and the third copy is sent to the system owner along with an invoice for services by the maintenance company. 1. Actual Date of Visit: 2. System Inspection of Owner: Address: City, St., Zip: Inspected Items: Operational Inoperative Not Applicable Aerator. .............. ...... ............ Aeration Plumbing ................. C 0 0 Air Filter ................................. 0 Effluent Pump (if applicable) Chlorinator ............................. o 0 OK System Light .................... 0 Alarm., ................................... o 0 D-Box .............................. o 0 Air Filter must be cleaned each service visit. Operation of effluent disposal system must be made each visit (if pumped). A system with greater than 70% Settleable Solids in the aeration chamber must be pumped to avoid solids leaving the tank for the drainfield. 3. Repairs to system (list all components replaced): 4. Tests Required and Results: Test BOD (Grab) TSS (Grab) Fecal Coliform 5.Comments Required Results Test Method I1 1 Signature of Inspector: Installer 11 or WW Lic # Private Onsite Wastewater Treatment System Mound Management Plan Pursuant to SPS 383.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWTS) Shall Include information and procedures for maintaining the system within the parameters of SPS 383 and 384, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for the system will be filed with the county zoning or health department. This management plan complics with SPS 383.54, Wis Adm. Code, the Mound Component Manual for Private Onsite Wastewater Treatment Systems (Version 2.0) SBD-10691-P (N.01/01) R. 10/12 and the Pressure Distribution Component Manual (Version 2.0) SBD-10706-P (N 01-01) R. 10/12 Table 1: System Design Specifications Sanitary Permit Number Number of Bedrooms 12 Design Flow GPD 1800 Soil Absorption Component Size . ft. 1000 (Pretreated Effluent Trash Tank Capacity Gal. 400 Pump Chamber Capacity Gal. 1250 gallons Type of Wastewater I Pretreated Domestic Pre -Treatment Unit installed per structure HOOT SYSTEMS H 600 A Table 2: Soil Absorption Component — Limits of Reliable Operation Septic Tank Component Soil Absorption Component Design Flow -Peak GPD) 600 per structure 1800 Max. Influent Particle size NA <_ 1A Inch Maximum BOD 5 (mg/1) NA <_ 30 mg/1 Maximum TSS (mg/1) NA s 30mg/ 1 Maximum FOG NA NA Table 3: Maintenance Schedule Septic Tank Inspect and/or service once every 3 years Dose Tank In- Line Filter Should inspect once a year and clean every 3 years Pump Chamber Inspect once every 3 years Soil Abso lion Com t Flush laterals every 18 months. HCOT SYSTEMS H-6W A Service every 6 months for first 2 years. Then annually there after per maintenance agreement. See attached. Page 9 of 9 a, b + c Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under sec. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, W is. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of the septic tank and outlet fiber shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of scum and sludge in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of an assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. Ptunp Chamber The pump chamber also requires monitoring once every three years or the time of problem, complaint or failure. Inspection should include checking the dose rate, volume and frequency. Warning: The dose chamber may fill due to flow continuing during pump malfunction or power outages. One large dose when the power comes on or when the pump is repaired may cause the dispersal system to have problems. In this situation, the pump chamber should be pumped by a licensed pumper before pump cycling begins or other measures shall be used to dose the component with only the proper amount of influent. This may include manual operation of the pump controls until such time the pump chamber has reached its normal level. Note: A Simtech STF-100 effluent filter will be installed in the dose tank for each force main to provide the filtering of the effluent to the dispersal cell. Septic tank and Pump chamber risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry to the tank Warning: No one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment or holding tank may contain lethal gases, and rescue of a person from the interior of the tank may be difficult or impossible. Tank abandonment shall be accordance with SPS 383.33, Wis Adm. Code when the tank is no longer used as a POWTS component - Page 9 of 9 a, b + c Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must he assessed by inspection at least once every 3 years. Lateral turn ups are provided at the ends of the laterals for the purpose of flushing the lines of any solids. Flushing these lines should be done every 18 months. The inspection shall include recording levels of ponding, if any, in the observation pipes, and visual inspection for any evidence of surface discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, clogging of the soil. Planting of deep rooted trees and shrubs directly over or within 10 feet of the component should he avoided since root intrusion into the component may obstruct wastewater flow. Continaency Plan In the case of septic or dose tank component damage, measures shall be taken to repair or replace the tanks to there original operating condition. Problems with the pretreatment unit should be addressed to the POWTS Maintainer. Bi-annual/ annual inspections should prevent any complete failure. Should failure of the distribution cell component happen, the system shall be inspected to determine the cause of failure, effluent quality testing and wastewater flows. Steps taken to repair or replace the dispersal cell may involve the removal of a bio-mat which would require cleaning or replacement of the distribution network as well as replacing the aggregate system and clogged portions of the sand fill. Component Owners Contact List Keith Knudtson Plumber/ATU Maintainer (651) 470-1737 St. Croix County Zoning (715) 386-4680 Wieser Concrete Products Maiden Rock WI (800) 336-3416 Septic Pumper Powers Sanitation (715) 249-5738 HOOT SYSTEMS LLC H-600 A 888) 878-4668 Page 9 of9ab+c f �inoonn/n Department of Comrrlenm Division of SAO and Buildings P A SOIL EVALUATION REPORT #1862 in accordance with Comm 85. WG, Adm. Code Page 1 of 3 _ Steels Sol Service Attach complete site plan on paper not less than 8'% x 11 inches in sote. Plan must County St Cl include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D_ Please print all informad - Personal information You pwioe may be used br ( vary Lan, s. 1504 (1) (m)). R O Property Owner RIro Property Location Rolling Hills Of Hammond C. Govt Lot na NWt/4, SW1M, S29, T29N, R17W Property Owners Mailing Add So- Lot 4 BlOclli Subd. Name or CSAits 400 2ntl no 1 Rollin Hills Farm ^ city ZP GR ❑ City ❑ Vdlage Z Twm Noorep Road gg Hudson WI 54016 386-0230 Hammond 160Th St M New Construction Use: idential / Number of bedrooms 4 Code derived design flow rate 6W GPD Replacement ❑ Public or commercial - Descntle_ na Parent material Silty sediment and underlying reddish sandy loam fill Flood plain elevation, N applicable no ft. General comments Mound design, system elevation 100.4811 based on confolw ire elevation 99.401L hiiwman 13 inches of and recommendations: ASTM C-33 Mound sand. E. g N Pit Ground surface elev. 100.10 ft. Depth to lanlvg factor 62 in. Soil Appecalon Rate Horizon Depth lo. Dominant Color Munsel Redox Description Qu. Sz. Cont. Color j Texture Structure Gr. Sz. Sh. Consistam Boundary Roots GPD_A_ l' -EI1n -Eea2 1 0-21 10vr3/2 clone I 2msbk mfr CS 21' .6 .8 2 21r40 1""/4 cache old 2msbk mfr gw 1vf A .6 3 40-50 10yr4/4 none Is 2msbk mvfr gw 1vf .7 1.6 4 SG-62 10yr5/8 rgne Is OS9 I mfr Cs no .7 1.6 5 62-80 10vr5/8 c2d 7.5yr5/6 sill am ml cs no .0 .2 6 BD-90 710 gley+c2�d-IyrS/67. sc om mfr no no .0 .0 Boring a ❑ Bormg - ® pit Ground surface elev. 100.10 _ ft. Depth to Inning factor 37 In. Soil Appiuial Rile Horizon Depth in. Dominant Color Munsd Redox Description Qu. Sz Cont. Color Texture Structure Gr. Sz. Sh. Consislism Boundary Raab GPD/R 'Eftat '01112 1 0-12 10yr3/2 clone sil 2msbk mfr Cs if .6 .8 -25 10yr l/4 none Sid 2msbk mfr CS lvf .4 .6-37 5WV4 none sl om no gw no .2 .6 4-3V74-84 1005/8 CM 7.5yr5/6 ski om fro no re .0 .0 I cmiuem e1 = r ? ,1u < z2o mg/L and TSS >30 < 1 W mg/L ' Effluent a2 = BODs < 30 m & and TSS < 30 mg/L CST Name (Please Prim) Signature' - CST Number David J. Steel 248956 Address Steers Soil Service Date Evaluation Conducted Telephwne Number 994 200th St. Bakhvin, WI 54002 5/5/2006 715-760-0347 mnow(Kwm) Property Owner Rolhng Hills Of Hammond LLC Parcel ID i Pending_. Page 2 of 3 Boring 9 ❑Boring _ ® Ps Ground surface elev. 97.60.— R Depth to Imtitirg factor 23 _ in. Sd MI*gin Rate Horizon Depth in. Dominant Color Munsell Redox Description Ou. Sz. Cont- Color Texture Stmdure Gr. Sz- Sh. Consistence Boundary Rods GPDW 'ER1 'EI/2 1 0-10 10yr3/1 none skit 2mSbk mfr CS lvf .6 .8 2 10-18 10yr4/4 rode Sid sd 2nlsblt mfr CS na .4 .6 3 18-23 SOyr4/4 —none — 2msbk rnfr gw na .4 .6 4 23-55 10yr5/8 map 7.5yr5/6 sit Om na na na 0 .2 ng Boring s Bo" Pit Grouts surface elev. R Depth to Innitirg tailor ki. Application Rals Horizon Depth in. Daninanl Color Munsell Redoz Description Qu. Sz. Copt Color Texture Structure Gr. Sz Sh. nsisterrce Boundary Rods GPDIIR -EM I i Boring 0 Boring J Pit Ground surface elev. ft. Depth to limiting factor in- Sill Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Gont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDIR' 'Efls1 'Etf{2 Effluent s1 = BOD? 30 - 220 mg/L and TSS >30 < 150 mg/L ' Effluent a2 = BODS <_90 nV& and TSS 1-90 MgA- T'he Deparunent of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need mistaial in an alternate formal, please contact the deparunent at 608-266-3151 or M 606-264-8777. sa6r3" ( vM) skids Sol sadx r STEEL'S SOIL SERVICE David J. Steel Rolling Hills Of Hammond LLC 994 20e St. CST-POWTSM NWl/4,SWl/4,S29,128N,R17W Baldwin, W154002 Lic. #248956 Town of Hammond, St Croix Co. Direct 715-760-0347 Rolling Hills Farm Lot 45 Fax 715-684-3449 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of this test may or may not be as shown, as permanent lot Imes were not established at the time the soil test was conducted. Legend P = 40' ♦ = Benchmark Ele. 100.00 ft Top of 3/4" pvc pipe • = Alt Benchmark Ele. 99.65 ft Top of 3/4" pvc pipe ❑ = Borings Boring Elevations Bl = 100.10 ft B2= 100.10 ft B3 = 97.60 It B4 = 0.00 ft N 3of3 v %p/win SOIL EVALUATION REPORT #1861 Deparbnenl of Commerce in accordance with Comm 85, Wis. Ad, Code Page 1 of 3 Division of Safety and Buildings Skits sod County AttachcompleteSib plan on paper not less than 8'r4 x 11 inches in size. Plan must St. Crobt include, but not limited to: vertical and horizontal reference point (BM), direction and — percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. Please print all r R -/• (/ PeraarW irdormaion YOU Pohde may be used for _ (Privacy taw, s_ 15.04(1) (m)). Rolling Hills Of Hammt n _ CA - �QQ_6Gwt. Lai na NWim. swim, S29, T20K R17W Property Owners Mrirrg Add s '0 - Lo1 i Blodt • subd. Nama or GSIa" 400 2rd st V�- N� 46 no Rolling Hills Farm City Coda.p\ r L] Csyy vaaga ® Town Neared RoadC.ode.p\� r L] city ❑ Ysaps ® Town Nsarad Road Hudson 5��6 5-388-0230 Hammond 160Th St New Construction Dse: ® I I Number of bedrooms 4 Coda derived design flow tale 600 GPD Replacement ❑ Pubic or commercial - Describe: na Parent material Sft sedkrtard and�reddishbam iFlood plain elevation, if appicable .. n9 ft. General comments Mound design, system elevation 101.05ft based on contour line elevation 99.45ft. Minimum 19 inches of and recommendelipw: ASTM C-33 Mound sand. ❑ Borrge El Bill l ® PH Ground surface elev. 100.55 ft. Depth to limiting factor 17 in. Soil Application Raft Horl Depth in. DormantColor ReclM Descriptom Murlself Qu. Sz Cont. Color Taidlee Structure Gr. Sz. Sh. Corawaterioil Boundary Roots C44W 'an •E�a 1 0-8 10yr3/2 none I 2nisbk I mfr a if .6 .8 2 3 8-17 5yt4/4 Role Sid 2MSbk rr* a is lvf .4 .6 17-36 10111r5/8 t2d 7.5yr5/6 Sid an na na •0 .0 4 36-120 Will none. Is asp col rla na .7 1.6 2] Boring e ❑ Boring ® Pd Ground surface elev. 1W.55 it Depth to limiting factor 17 in. Soy Application Ri is Horton Depth n. Dominant Color Reddy Description Munsell Qu. Sz. Cont. Cola TeMure Stnrcrure Gr. Sz. Sh. Cores I Boundary Roob GPD)R 'Flit 'EM 1 0-6 10yr3/2 none I 2msbk 111f1' Ill is is if na .6 A .8 .6 2 8-17 SW4/4 noire sd 2msbk 3 17-36 101115/8 f2d 7.5yr5/6 Sr am na is its .0 .2 4 WIN 10111/6 � flf 7.5yr5/6 is clap rm* no to .7 1.6 - trmbrr e1 = BOD 5> 30 < 220 m9ti _ • Eftiralt e2 = BODs < 30 mgA- and 1 SS < 3tr mWL CST Name (Please Print) " "Signature' CST Number David J. Steel _ 248956 Address Steers Sal Service Data Evaluation Concluded Telephone Number 994 2001h St. Baldwin, WI 54002 5/5/2006 715-760-0347 Property Owner Rolling Hills Of Hammond LLC. Parcel ID a _ Pending _ Page 2 of 3 Boring Win ® p p Ground surface elev. _ _ 97.55 _ R. Depth to limiting factor _ 18_ in. Sail Application Rate Horizon Depth in. Dormant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz Sh. Consistence Boundary Roofs GPDAP -Eaa1 'EIM 1 0-8 10yr3/2 none I 2msbk mfr cs if .6 .8 2 618 10yr4/4 none sd 2msbk mfr gw na .q .6 3 18 56 10yr5/8 f2d 7.Syr5/6 is ON mvfr fs no .7 L6 q 56 80 10yr6/6 t2d 7.Syr5/6 Is am ar& na rta .7 1.6 i Ibliaon M has 7.Syr5/6 smtlhg in IL Boring a L Ong Pk Ground surface elev. ft Depth to gniting factor in. 't AW*MMon Rals Horizon Depth in. Dominant Color Redox ()ascription Munsell Qu. Sz. Cont. Color i Texture Structure Gr. Sz Sh. Consistence Boundary Rods GPDff ❑ Bong / __j Boring --, pitGround surface elay. fL Depth fe IYaftlr 9 factor in. Sail Application Rose Horizon Depth in. Dominant Color . Redox Description Munsell Qu. Sz. Cont. Color Texkxe Shudure Gr. Sz Sh. 0onsislioncet Boundary Roots GPDM TIM -EW2 Effluent at = B0135> 30 < 220 ng& and TSS >30 < 150 m & ' Effluent art - BOOS < 30 mglL and TSS -c30 rtg& The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate fortnat, please contact the department al 608-266.3151 or TTY 608-264-8777. sa"]"(R.07M) SRd's so Seim 4 STEEL'S SOIL SERVICE David J. Steel Rolling Hills Of Hammond LLC 994 20e St CST-POWTSM NWl/4,SWl/4,S29,T28NR17W Baldwin, W154002 Lic. #248956 Town of Hammond, St Croix Co. Direct 715-760-0347 Rolling Hills Farm Lot 46 Fax 715-684-3449 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of this test may or may not be as shown, as permanent lot lines were not established at the time the soil test was conducted / Legend 1" = 40' ♦ = Benchmark Ele. 100.00 It Top of 3/4" pvc pipe • = Alt Benchmark Ele. 99.75 It Top of 3/4" pvc pipe ❑ = Borings Boring Elevations Bl = 100.55 ft B2 = 100.55 ft B3 = 97.55 ft 84 = 0.00 ft 3of3 I eyaeH••a• S / it § a l, _ ng qA qQ 9� % g 9>v •4:4 . � ' g . �y.r �k wig a , — ,__ .....,�...... � •-■fit--,uTNRi3-;m`z----- 1 •--- I � I i� I I re v Visconan Department of Commerce Division of Safety and Buildings SOIL EVALUATION REPORT PJL"#188t in accordance with Comm 85, Wis. Adm. Code Page 1 of 3 Steers Soil Service Attach complete site Ian on paper not less than 8% x 11 inches in size. Plan must P P P Pe County St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. _�- percent .100 Please print all inform Re id Dat purpo Personal information you provide may be used for se (Privacy Law, s. 15.04 (1) (m)). � Mb� Property Owner ` Property Location Rolling Hills Of Hammon Govt. Lot na NW1/4, SW1/4, S29, T29N, R17W Property Owner's Mailing Add ss A, lot* Block # Subd. Name or CSM# 400 2nd at \S�- �N� 46 na Rolling Hills Farm city to Zip C�(or�O\ one r ❑ City ❑ Village E Town Nearest Road Hudson 5A.6 5 386-0230 Hammond I 160Th St New Construction Use: ential / Number of bedrooms 4 Code derived design flow rate 600 GPD r- Replacement i Public or commercial -Describe: na Parent material Silty sediment and underlying reddish sandy loam till Flood plain elevation, if applicable na ft. General comments Mound design, system elevation 101.05ft based on contour line elevation 99.45ft. Minimum 19 inches of and recommendations: ASTM C-33 Mound sand. ❑ Boring #� Boring Pit Ground surface elev. 100.55 ft. Depth to limiting factor 17 in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Cu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ff -Enst -Eff#2 1 0-8 10yr3/2 none I 2msbk mfr cs if .6 .8 2 8-17 5yr4/4 none sid 2msbk mfr cs 1vf .4 .6 3 17-36 10yr5/8 c2d 7.5yr5/6 ski om na CS na .0 .0 4 -26-120 10yr6/6 none Is osg ml na na .7 1.6 21 Boring # C Boring FC Pit Ground surface elev. 100.55 ft. Depth to limiting factor 17 in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure ConsistenceBoundary Gr. Sz. Sh. Roots GPD/fe •Ee#f -Effs2 1 0-8 10yr3/2 none I 2msbk mfr cs ifF.6 .82 8-17 5yr4/4 none sd 2msbk mfr cs na .63 17-36 10yr5/8 f2d 7.5yr5/6 sit om na Is na .2 4 36-120 10yr6/6 flf 7.5yr5/6 Is osg mvfr na na 1.6 _ L - t_ wenr sz = uuu51 ou mgrc ana i as a.av ngrL CST Name (Please Prim) �"" ""Signature: CST Number David J. Steel Cc- 248956 Address Steel's Soil Service Date Evaluation Conducted Telephone Number 994 200th St. Baldwin, WI 54002 5/5/2006 715-760-0347 SRD 030 (a 47M) Property Owner Rolling Hills Of Hammond LLC. Parcel ID # Pending Page 2 of 3 Boring # ❑ Boring ❑'. pit Ground surface elev. 97.55 ft. Depth to limiting factor 18 in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Texture Cu. Sz. Cont. Color Structure Gr. Sz. Sh. Consistence Boundary Roots GPDM •Eff#1 *Eff#2 1 0-8 10yr3/2 none I 2msbk mfr a if .6 .8 2 8-18 10yr4/4 none scl 2msbk mfr gw na .4 .6 3 18-56 10yr5/8 f2d 7.5yr5/6 Is osg rn* CS na .7 1.6 4 56 80 10yr6/6 c2d 7.5yr5/6 Is osg mvfr na na 7 1.6 Horizon #4 has 7.5yr515 staining in it. ❑ Boring# ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Cu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/fp 'Elf#1 'Elf#2 ❑ Boring # ❑ Boring pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDflP •E1f#1 'E1182 Effluent #1 = BOD? 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BODs -S 30 mg/L and TSS -30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. s111>4330(rt01i00) sexes soa smite 3of3 STEEL'S SOIL SERVICE David J. Steel Rolling Hills Of Hammond LLC 994 200' St. CST-POWTSM NWl/4,SWl/4,S29,T28N,R17W Baldwin, W154002 Lic. #248956 Town of Hammond, St Croix Co. Direct 715-760-0347 Rolling Hills Farm Lot 46 Fax 715-684-3449 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of this test may or may not be as shown, as permanent lot lines were not established at the time the soil test was conducted. Legend 1" = 40' ♦ = Benchmark Ele. 100.00 ft Top of 3/4" pvc pipe • = Alt Benchmark Ele. 99.75 ft Top of 3/4" pvc pipe ❑ = Borings Boring Elevations Bl = 100.55 ft B2 = 100.55 ft B3 = 97.55 ft B4 = 0.00 ft