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HomeMy WebLinkAbout020-1025-40-000 (2)Wisconsin Department of Commerce Safety and Building Division PRIVATE SEWAGE SYSTEM INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)] Anthony Dabruzzi I TOWN OF HUDSON 11 020-1025-40-000 CST BM Elev: Insp. Elev: WeWC),%� BM Description: y 4-leo o/r Sy`j, rti Section/Town/Range/Map No: 11 15.29.19.110A3 TANK INFORMATION TYPE MANUFACTURER H� t CAPACITY Septic Iat Z�ona� f 06c) Dosing Aeration Ft o 122- TANK SETBACKIINFORMATION COV-as 6CPw•-4j o9) ®MW�A �A I� ®.,..,-„-I,.-.' PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model on e TDH Li 'ction L ss Syste Head TD Ft Forcemaln L th is Dis to ell DATA STATION BS HI FS ELEV. Benchmark Alter 1 CG1/-t.f I✓ to. 8 p�� 15. q5 Bldg. Sewer 5 Z 7 46 SVHt Inlet 9. 0 93. z5 SVHt Outlet q,3 92.95 Dt Inlet Dt Bottom Header/Man. Dist. Pipe Bot. System 17.9 pp. 35 Final Grade 1 r 3 9 Z .95 SOIL ABSORPTION SYSTEM S p..�S BED/TRENCH DIMENSIONS Width t Length 5 No. Of Trench (/ PR DIMENSIONS No. Of Pits Inside Dia. Liquid Depth SETBACK INFORMATION SYSTEM TO P/LW JBLDG IWELL LA"E/STREAM LEACHING CHAMBER OR UNIT Manufa r: r Ir t'14 r Ty System: ..11 VLYI N b„d ' /r rJ / LIZ ♦ I(/ 71DO I Model Number. O L') DISTRIBUTION SYSTEM Header/Manifold �1 Length Dia Distribution Pipe(s) 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 Bed/Trench Center --7 �r, t Depth Over Bed/Trench Edges �) � t xr Depth of Topsoil xz Seeded/Sodded es o xx Mulched 0 COMMENTS: (Include code discrepancies, persons present, `etc.) Inspection �#1: Inspection#2: Location: 954 BAKKEN RD %,, J �a � 'j--0-r � ��y1 1.) Alt BM Description=��7� W�/�: if N.((' (��ed ©k�g B—` * 13-2 - QO` L 2.) Bldg sewer length = !ice _ / -amount of cover = 71 0•� 1 er r �� _/ / 5 / 7fle)j ,uo ,�u)ar w• p- Plan revision Required? Yes No % I l b Use other side for additions information. _ /_ _ _! SBD-6710 (R.3/97) Date z� - �- 33 5' Insepct ignature Cart. No. hAlwy Services Division t4OO E Wokn000 Aw COWY 4 -r (A ^r 1! J N.. i MAY 12 202 P.O. Box 71Q Mndi WI 33707-7162 Pewit Number (to be filled n by Co.) . \, we Satu �PPlication rasme xt. be .. ,, � NA h avonLox wdh de;-sMe�o-Ef Ctdpsfirm to de unit hwgmed pnum obamWS a=MWY Pam& ?kW Apphmm funs fR SOMI amd PON'7S ae 06-med b d Seeim Pam ffAMUdm toy be sd bra Wwy Rojed Addles (ifABeml lho xdm6sddr—) the Deprmmt ofSoft tod P roferrio nY ym pawde m eoowdws:owdb the rnywy (aw s_ 15,040 W, Sm �E\ 7 L AfpSeefim Istwu ifim- Phas Print AN lar w=nd m Pmpe Owur'sfl®e Pxcdf nco A mN m I --, LtZ OA,— PmpetyOw ,UwbngAd*W Pmp"L� IS.29.14.►)OA3 5y 'Fro DKtuir Cortlol r� �E y,,�L y4 sectio�ny.,L city, 9se zipCde name Nasbor — �{e1b -715-yyl-I 30 T zq )k ItJ� ' O. Type of owwwj (dmmk as am apply) la f stddieiom Noce l or2 Faody Dwelling -Nrobe d.m of 1 3 Rio* -- a ❑PuwkCMowrCw-Devoe Use "' ❑Cayof ❑Stse Duoed- Desetbe the ❑ Vilhped tl c(�irl CSM Nmabe V l —t 7 Town Of UL Type of PenWe (Ckek Md9 tom box M Hoe A. CongAde Fioe B if ) A. syr oixghoemebsyw ❑T d eVHWdigTot Repieamea away ❑Ode MdifmafmmEUVWgSyAM(erPV) e. ❑Ptrsi Reawd BlueCim ❑Perini Revum ❑ChwWofPIM be ❑Rama T=www New Owoe lie ft. aatA eaN whin ad DsePaed IV. TAW Of IS • Cheek on am 7m-Pimu®d bCaad ❑ Pn:mw :d bGomd o MGade o Mou d> 24 m. of=wbk ail ❑ Mead <24 in. orambk sal /❑_H kh gTask ❑ Oder Depesl Caepomx( ) ❑P V. roe•srt Are fnbr fisw: D=V Flow(Wd) D.W Sod AW=bm Rww*drf) Am (af) DAm (d) Sy>t�E]eesum ! 1 y 25o 2.90 IP VL Tank fo% Capaoly in CrBaa Tad Gems a of Uom IOL f-- ��j'�(Z''7� a H TII N Tab PmImT� I U�! J U aa 6 Sqp wHWMT.16vol / �.s VLL FlesponsPATNtySfalearat-I, the Oder ael, aatooe eeRNMEA yforhseielha tide PORIS W6. mthe suadd pbm Pbanbu's Name (Pnnt) Phcbe's sqp s MP/MPRS Nie6e B�Pbme Nmnber I j1PEDROWS Add, (Sbe.L City, Us �VU pk Apposed ❑Diwpprwed 14fsit fee hood Sipmtre ❑ Owwe ('iieto Ranson fewDe®1 $ ' Z� W IX. Cwdidren of ApprowaVIReamm for Diappnral cL94aP.No (1 i STEM OWNER: I. eptic tank, effluent filter and ispersal cell must be serviced / maintained y) DI�- 2. All setback requirementSSteDtlRN�"Iff�e-`' ��.77 `D`s as per applicable code/ordinances. �e 4e- a-dz ' P14V 1 l}i6 im s s cis 9_1 1%3 SBD-6398(R 09114) I s (� - re-C Fit is � fl fin l� mot Nian nE i JUN 22 2020 St. Croix County Legal Description: f.ISt 3; CsM 1-ZI-7 LM%ATs-�p /A -ME SF-AOFR-HE ',copy Site C t 3 1Y%15 �'Z& /� lti=�XgA.�FGOuJ. r�tEn+w Dl`+SuvgE.P F{Zo.u� Eeps SHED sysso ," L-pt where noted) a badhoe pit 14.27 #'R6S -J : 5-0. W Sy0 3NF1LTPATOR TANK k%/F�Ltef2 OFH",jErM I BMoZ. -Wf 8F f1ELTRK'_:W �Di9s5.sCN.� ® 4L YO ` 3_ Ocov* OF S7K n'F7€ A :6/4 -2D -2-0 .J/� PAGE 1 OF 4 In -Ground Gravity Plan Index & Cover Sheet Cw*onWAferrodOmpe R&Vwwee: version 2.0. SBD-10706-P (N.01101, R. 10f12) Pg 1 of 4 Index & Cover Sheet Pg 2 of 4 Plot Plan Pg 3 of 4 Dispersal Area Cross -Section & Plan View Pg 4 of 4 Management Plan for Review )rt & Site N sE4�1-ltc Project Name 1 Description owner mamas): Ttn4V G• DA'5f v-z -% Phone: 715 - ` ` 1- X30 OenrerAddrelm `i54 13AKK" Dt-w&n 44%bsoNr WS 23p: 9VD/!o GOVL Lan: — E 114 of. NE :114, Seder /-S . Township: ) u L-6M cow*: Sr. C AUX Project Parcel ID 4: nzD- JoLS'J{o-000 Designer Information Designer Name: 1V 1 ARV -1 +I keeuu Phone: DesignerAmnas: zico7 Kw&AKTHu25 C+. 6mgunt,/0 Wi Eanaii: �10II;4,cfJe5iqn r uAlpoK. eovx nrn, License Number Remarks: '215 2b _1-77.6 zip: -6MM ,71� ....,, -J �•MARYdp ! HUPPeRr ' D 1� mA�;ZLS, W1 �. 17 - ��7�1%O Not Nian RE PROPERTY JUN 2 2 2020 St. Croix County Legal Desorption: f1%? 3, CsAr\ 7 0C•ATtD /a -MLC --uE�4 of-r-Hr a3.sn' 3' y Site location: "4v-us- —� ¢ 1 s = 40 FT. where noted) a = backhoe pit 4.27 AalrsS C t)? rrd c2 FWW /IFW SIM U jFILTgATGR TAN K W,) FLT%IZ r �0i of 4'I-Asm BMA =Top 8F FAFLTRK_ ma ZDi=3u9yE.P DIiS5.5CN.4D OF SIC pL,f(E tco'co I IN -GROUND GRAVITY DISPERSAL AREA Uniform Elevation Trenches with EZ1203HP Bundles 3-ft Trench (down -sizing credit) I O Cover Cover 12' min, trench System Elevation •,�1 (typical) (74 �3' min, 12' (typical) Septic Tenk(s)Volume(s): `-5AYO gal gal gel � 901 EfAuet Ir MarTsVrsr. Effluent Filler ModalPl; LT 7 TYPICAL TRENCH CROSS SECTION VIEW (No Scale) Provide minimum 3 ft separation between trenches, TYPICAL TRENCH (Show location of Inlet 1 outlet pipe Connection on plan New,) PLAN VIEW 4„ obnmeon pbs shall be Nmted (NO Scale) ell°"°r°"saa>°nnw vnn. Perforated Lateral observation Pipe (typical) (typical) —� ----//1--------- —--'I/i—— --.---- B >e _67' ft 0.6 y5 INSTALL PER TRENCH; 5 10•ft bundles a 601 EISAlunit m Z— f + _ 6-ft bundles C 25 1P EISAlunit a ft' of Proposed EISA per trench ■` ft° OBSERVATION PIPE DETAIL (No emb) awew.TYPew plde etlp 0e9goon) • • + fmulxe Tapeoll Caw Tap ol�plto 4rmineb �'• i{„ (ndn. 7loaQ etoretwwerhhed pnftle fy Andmrep D&V� '+•,'d: Ir tam Jt : I IAss 3.0 ft (typical) / a EZ1203H Bundle Z14' SO F•z7I5 wjlrr (typical) ,1 , (rnldbyltlliftioreystems,trlc.) 4 29 u,vrrs 09 instep pursuard to menufactumes instruetlans. Required Infiltration Area a ft' Distribution Method; ZSO x -.•_ I trenches so Proposed Total EISA Go ,254 ft' N-A 't1 W I� I •V� • BY• rggc g% a i PROPERTY OWNER: AAmUQL4 G_ Da3Ruzz1 lest Dptioro Ld t 3? CsM r- ar7 [DMTE11 iv me 5e� of "Fi1F Site �I Ji �i F♦{i NilRe 3' y (ot_rtuQF FRO u. 0 on: sqS4I- O. 7a p- / pL1WtED PIN65 / .�.. '9J SdI TEAIEW Si{D 1n/y icn oN D198 3d �' --T 1' = 40 Fr. (eso" t where rated) = baddae pit 4.zr AMM5 North ATpfj TANK u4F«TFI2 &AXq_ =-rW OF EAE-TFW— MW [e) gb.io COO -Ole ) n _. 11 V3E LL Am A • IN -GROUND GRAVITY DISPERSAL AREA Uniform Elevation Trenches with EZ1203HP Bundles 3-ft Trench (down -sizing credit) Soptle Ti✓Fr(T�7u W. sepdc Tank($) Volume(s): G pal pal pal 90I Effluent Filter M W. TDF- 7-t - 41 effluent Filter Modallh _ CALTRENCH SECTION VIEW (No Scale) Provide minimum 3 ft separation between trenches. OBSERVATION PIPE DETAIL (No Bob) 99a.w•typ. a O.Tp..al lye w0 M" — 'I"of pipr ro 1.nNn.. .I.r�C.afNYMepi■1. (4)111 %e°eb AnChW" 0000 A■3.0 ft ( 00111) ---� ( ) fci - 7 = 2a EZ1203H Bundle an ft I 0 aaa■' �� 50 tf EISAtunit ■ ^�fe ■ Proposed EISA pejjOsasleMmiiikL n, 714 N' 50Fi.z E"' WdtT- d) (mid b! IrtAllroWtretar 8yegme, Ina.) 4, Z9 Gt ,VT(_5 W, Install pursuant to msnuftewmes instruoll"" FT, -3 A5D TXQ'y-H —MMIYela.d. (%b Mea.Ea1: 1(rn.t c.) foot m 0 u Re4uired Inilllretrdon Atrae 4 2 Diett�ution Method; Req' x trenches ■ Proposed Total EISA 0 �.-1 PAGE 4OF4 In -ground Gravity Management Plan IMPORTANT: The owner of this "round gravity system shall be responsible for its perpetual operation and maintenance pursuant to requirements of SPS 382-384, Wisc. Admin. Code. Pursuant to SPS 383.52 (2), Wrsc Admin. Code, this system shall be considered a human health hazard if not nauntaered in accordance with this approved management plan. Furthermore, all inspection and maintenance activities shall be performed by a registered POWTS Maintainer in accordance with SPS 383.52 (3), Wisc. Adrrmin. lode. Maximum Dispersal Area Operating Lirnft Design Flow = %SD gpd; B0135 5 220 mgL'; TSS <-150 mg0; FOG 5 30 rngC Inspection Checklist INSPECT EVERY 3 YEARS o type of use o age of system o nuisance factors (ke. odors, user complaints, etc.) o mechanical malfunction (i.e_ pumps, valves, switches, floats, etc.) o material fatigue (i.e., leaks, breaks, corrosion, etc.) o solids volume in anaerobic heabnerx tank(s) and any distribution aippudenance(s) (i.e-, distribution I drop boxes) o neglect or improper use (i a-, exceeding design capacities, prohibited activities: etc.) o extent of ponding in distribution cell prior to dosing o dosing irregularities - if applicable (Le., pump recycling, float switch settings, etc.) o electrical components - if applicable (i.e., wiring, connections, switches, controls, timers, alarms, etc.) o distribution lateral or lateral orifice plugging (measure lateral distal pressure —compare to design specification) o surface discharge of effluent or sewage back-up into structure served Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary) o Septic and dose tank(S) shall be pumped by a certified septage servicing operator licensed under s. 281.48 Ws Slats. when the volume of solids in the tanlgs) exceeds one-third (113) the Liquid volute, of the tank(s) Or as required by local ordinance. L4sposal of contents shall be pursuant to NR 113, Wisc. Admin. Code. o Effluent filferfs) shall be inspected every 3 years and shall be cleared when necessary to remove any accumulated solids according to manufacturers specifications. A servicing period will always be greater than 12 months. System maintenance reports shall be submitted to the proper local government unit in accordance with SPS 383.55 Wisc. Admin. Code. Report any component failure or malfunction to: Name of individual or company: - - _ Plane: LOW gwemment unit 5-T CCOIX e0ry m u a try_ 1JLV %,IL0e M1: NT Phone: .-- 38G-4G80 Local government unit address: Htd-'J&hr WZ ZIP: >4%••I Any defective part of this system shall be repaired, replaced, or removed pursuant to SPS 383.51 (1), Wise. Admin. Code. Repair or replacement of failed or malfunctioning Components shall comply with SPS 383, Wisc. Admin. Code. No product for chemical or physical restoration of the POWTS may be used unless approved by the department in accordance with SPS 384, Wisc. Admin. Code. Contingency Plan In the event that any failed treatment component of this POWTS cannot be repaired, a shall be replaced pursuant to a plan submitted to the appropriate agency for review and approval. A failed in -ground dispersal component may be abandoned and replaced by a code-comptrng dispersal component in a pre -determined area of suitable soils. System Abandonment If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wisc. Admin. Code. EZflow by INFILTRATOR Available in 7% 8', 9% 10', 12 13- and 14' "_iameter bundles. Single Pipe Systems 0701P-GEO 1201P-GEO 0801P-GE0 1201LPP-GEO 1001P-GEO 1401P-GE0 1001LPP-GEO Horizontal Systems 0705H-GEO 1003H-GEO 1203H-GEO 0904H-GEO 1006H-GEO 12MHP-GEO 1002H-GE0 1202H-GEO 1206H-GEO Vertical Systems 1002V-GEO 1006V-GEO 1204V-GEO 1003V-GEO 1202V-GEO 1206V-GEO 1004V-GEO 1203V-GEO 1402V-GEO 1209H-GEO 1303H-GEO 1402H-GEO Triangular Systems 1003T-GE0 1403T-GE0 1203T-GE0 1303T-GEO Notw: 1. Odler systems MkAe 17 SgMT and Wand IT had systems. Bed we wig drtate the numtwr of burdlas. 2. System d momions are dependerd upon huddle diameter and corf uralipn. 3. L P is for'Lo Pressure RPe' w which a Pre>suaeo asblouaon pipe is haw mstailed wiihm fhe wnugated pipe. A. In1cmW pipe and couplings meet dte regwm is of r STM FdM. 5 9unows are aLw -.4aWe wft a geMeek• ti iif . x,o ..citr �: br.r �,nar-b, aMpgrale. _ +f9 K[➢.tr I e.v � _. -. r- •:C- aM=•YN.Me(w't ✓•+rrrYv ¢>aW cues ns"n mr1n o: a:.svw.•YVLIT aYswf :+'au'. ray.. o b rY •nmrw v .as br+Y w .. e:mam,�..-w:r ramrsr.m.arma MYY. u. rv.rswaYwry.,ac. •ar resat ( a+c - SwarY aKrq.y la aysrsrob �� �•s fwa.wib.at sEyma '-aev s we 9< K.g arrRl"aYae'Y. Web Y:eOM:moAQMp W. le 7:rxbr f s1/W l'u:.h HFaN mMSvs WS <a'-»/ d4r vwe.vrx am-'.Ln� ✓v. Y:1! �aa a»arr.•.� .rsya :.�. ._, »�.a„� M �.Y .,,..ate» INFILTRATOR' wac+arr..wr ax o tcaow.rra: �- ro • ,tee a» a n.aln„ua a pa:.5 Kam._ �..-.,.�._..,•_:_.....� ., rtT�:ar�a�...��_ ,_�_,_:"� „a NwavaY•vYY �•T2b� awl :wrpv. N-s>cv '..lv 4v.a�4- -. •� »-.c•.>� Y 4c Os via u..pna.m.anr:SMOY.ai r_ra Mw' vv v.-usn _. aala�alY y� Buswkss I'afl: Road + P.Q. Boa 76E 'a�bs/u.s...aC'Y• •�'•-a•a•� �.- :. - - w+.:c.r.-x.-,ova.r:.+r•-:'e-.�-..r:.-,.....m.a.mn.rwa:.s<ec �•.a..�n.me.....rn+u� ww..-lex��+�,<.zar�,mr:...r -.<_-b>-: mor -a.:a.z ..na-. ree:Yary ur bwanw. Old Saybw*, CT W75 x..w:+e...Y.'.:e>•pe.e.v..r.a.:.s..-,a.,-a:.��-<r�:.-.,b.e.o-.,., y::....,'....e<H... :I.Ym v...•:..r K.'a` •-...m.. a....•:n,. . ry.... a.... wa...,r �mv,..rx r.+v..'..:...:..afa�: e. MD.5777000• FAX 950.577.7001 wr.:mY�u:.>. 6naW brvabn.�4+.vrr./r.a +l•'ata�M .:Y'..i :"am.• � K.aY bSus!'6W'v'alMpb b'ivrUnet A -la. arW rvle.LmraY.ln4ary-..✓.:...evi-e vc a..tAs.a_u awe am-r✓.t x..m ra R.a..WYn AWts Ibis mlatV rtYMy TI. aAm.. >. vA"v7'-.p is lrly W..ro lbaa.:M�cY.ba-v sfx xv-:r.fYa4'm:bb pry��pp •��/� WO.689.7f59 ..«......<..,,...-(..Mtr,,,....,.,,,:,-. .. _.... �,,.,..... a:.r =M,�„__. www.ezflowlp.com fx.,..,tr. e...x..... ,._ .� .�,a•wa, �... .�-,,...r.�....,�.�a,.,.a, ,:,..,„�,a.,,,, www.intiltratorsystems.com For technical assistance, insWletion instructions or customer service, call Infiltrator Systems at 800.689.7759 Wilralo• is a rs sib IraWMW13 d' hf.*ww syv" Y WE wv s a eg:'A. i eda�.a:.In Ran.n. w4iv,u syeb'n Inc �s a raystsrad o-aaernae -I a -.C2 wranr gvcns rc a In a SA Qpst10a4N.1 Governor Tony Evers Dawn Crim, Secretary April 22, 2020 Tuf-Tite Ted Meyers 1200 Flex Ct. Lake Zurich IL 60047-1570 Re: Description: Sewage Treatment Apparatus Manufacturer: Tuf-Tite Product Name: Effluent Filter Model Number(s): EF-4 eSLA ID: PP-042000007-PTOWWTD 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:ddsos.wi.00v Email dsps@wisconsin.gov TTY: Contact Through Relay The specifications and/or plans for this plumbing product 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 April 2025. This approval supersedes the approval issued on March 5, 2014 under product file number 20140003. This approval is contingent upon compliance with the following stipulation(s): ➢ This device shall be installed within the outlet tee of a sewage tank with a wastewater flow rate 5 800 gallons per day (gpd). ➢ A 1 %-inch hole shall be drilled in the top of the filter, within 1-inch of the venting slots, prior to being installed in an outlet tee. ➢ An access opening, of sufficient size to allow removal of the filter, shall be provided over the outlet tee baffle in which this device is installed. The access opening shall terminate at, or above, grade. ➢ Complete installation and maintenance instructions shall be provided to the owner and remain onsite. ➢ This device shall be cleaned when the tank is pumped, the finer becomes occluded or a minimum of every three years. 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 SBD-10564-E (N.10197) File Ref: 2019XXXX.DOC DIVISION OF INDUSTRY SERVICES Pkanbirg Product Review P.O. Box 7302 IGi 1 $ J Madiwn, Wisconsin 53701-2658 .'� P $ TTY: Contact Through Relay Governor Scott Walker Laura Gutierrez, Secretary q`Fsy�prye� June 1, 2018 INFILTRATOR WATER TECHNOLOGIES LLC JONATHAN KAISER 4 BUSINESS PARK RD PO BOX 768 OLD SAYBROOK CT 06475 Re: Description: SEWAGE TANKS, POLYETHYLENE Manufacturer. INFILTRATOR WATER TECHNOLOGIES LLC Product Name: is id 3088759) SEPTIC, PUMP, OR HOLDING Model Number(s) - (INJECTION MOLDED POLYPROPYENE RESIN, 2-SECTION TANK WITH MID -LEVEL SEAM; 44.0 IN. L.L.; 552 GAL ACTUAL CAPACITY WHEN USED AS A HOLDING TANK; 475 GAL ACTUAL CAPACITY WHEN USED AS A SEPTIC TANK; 227 GPD WHEN USED AS A SEPTIC TANK BASED ON A 3 YR. SERVICE INTERVAL FOR RESIDENTIAL WASTEWATER; TANK DIMENSIONS (OD) = 61.7 IN. L X 61.7IN. W X 54.6 IN. HJ Product File No: 20180103 The specifications and/or plans for this plumbing product 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 June 2023. This approval supersedes the approval issued on August 28, 2013 under product file number 20130192, This approval is contingent upon compliance With the following stipulation(s): • This tank must be designed to withstand the pressures to which it will be subjected. • The manufacturer must keep at the manufacturing plant a set of plans and specifications bearing the department's stamp of approval. The plans and specifications must be open to inspection by an authorized representative of the department • installation and servicing of this product must be in accordance with the manufacturer's instructions. A copy of the manufacturer's installation and servicing instructions must be given to the owner of the system. • When this product receives wastewater from dwellings and is used as a septic tank, it will produce an effluent quality with a maximum monthly average value for GODS greater than 30 mg/L but less than or equal to 220 mg/L, TSS greater than 30 mg/L but less than or equal to 150 mg/L and F.O.G. less than or equal to 30 mg/L. • Before this product is installed a warning tabel meeting the requirement of SPS s. 384.25 (8) (b), Wis. Admin. Code must be securely attached to the manhole cover. • This tank shall be installed and backfilied in accordance with the manufacturer's published instructions: httpY/wwty infiltratorwatercom/downloads-videcs/manuals-guides SBO-10564-E (NAMT) File Ref: 18010304.DOC Infiltrator Systems Inc. June 1, 2018 Page 2 of 2 Product File No.: 20180103 • This product is approved to use the following: - The tank provides one inlet and one outlet port. - Inlet and outlet pipe diameter is 4 inches for the inlet and outlet. The pipe can be Schedule 40 or SDR 35. - Inlet/outlet pipe water tightness is provided through the use of a rubber gasket Serco Septic -Tice gasket. A detail of the tank wall penetration is provided in the installation instructions - Mechanisms for pump electrical connections from riser lid or other locations through the riser must be completed in conformance with the riser manufacturer's installation instructions- - Compatible risers include 24-inch-diameter riser products such as the Infiltrator TW-Riser, EZset by r, o yLo , Inc., an u -Tde@ Corporation, in addition to 24-inch lame corrugated HDPE and IPEX Ultra Rib@ PVC pipe. Maximum riser height is per the riser manufacturer's installation instructions. • These tanks shall be fitted with locking manhole covers in accordance with s. SPS 384.25 (7) (h) Wis. Adm. Code. The manhole cover mus a secure o me riser using screws which are not standard or Philips head to be considered an effective locking device. -- • These tanks shall bear warning labels, that are visible after installation, that conform to s. SPS 384.25 (8), • The tank is not recommended to be installed where saturated soil or seasonal high ground water tables are indicated between the bottom of the tank and the ground surface. 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. 41en Plumbing Product Reviewer Department of Safety and Professional Services Division of Industry Services Bureau of Technical Services (608)267.1401 Phone (608) 267-9723 Fax glen.schlueter@wi.gov E-mail IM-540 *,a;,,:_: 1 Features & Benefits _ • Strong injection molded polypropylene construction • Ughtweght plastic construction and inboard I'Ifting lugs allow for easy delivery and handling • Integral heavy-duty green lids that interconnect with TW" risers and pipe riser solutions • Structurally reinforced access ports eliminate distortion during installation and pump -outs • Reinfor structural ribbing off tional strength •/Cbe installed with 6" to cover Can be pumped dry during pump -outs • Suitable for use as a pump tank or rainwater (non -potable) tank The Infiltrator IM-540 is a lightweight strong and table septidp p tank. - No special installation, tmckfill This watertight tank design is offered with Infiltrator' 'ne of cus -fit or water filling procedures risers and heavy-duty lids. Infiltrator injection molded ks vide a are required revolution improvement in plastic tank design, offeri �Y P P 9 9 term • No special water filling exceptional strength and Watertightness. requirements are necessary • The tank may be backfilled with suitable native soil. See installation instructions for guidance. Reinforced 24" Custom fit structural TVU Riser access port I Reinforced III watertight mid -seam gasketed connection Protecting the Environment with Innovative Wastewater Treatment Solutions INFILTRATOR l 4riNFILTRATOR, septic tanks The Infiltrator IM-1060 is a lightweight strong and durable septic tank. This watertight tank design is offered with Infiltrator's line of custom -fit risers and heavy-duty lids. Infiltrator injection molded tanks provide a revolutionary improvement in plastic septic tank design, offering long-term exceptional strength and watertightness. TANK CUTAWAY IM-1060 Features & Benefits Strong injection molded polypropylene construction • Lightweight plastic construction and inboard lifting lugs allow for easy delivery and handling • Integral heavy-duty green lids that interconnect with TWr"' risers and pipe riser solutions • Structurally reinforced access ports eliminate distortion during installation and pump -outs • Reinforced structural ribbing and fiberglass bulkheads offer additional strength • Can be installed with 6" to 48" of cover Can be pumped dry during pump -outs Suitable for use as a septic tank, pump tank, or rainwater (non -potable) tank • No special water filling requirements Inlet Side are necessary The tank may be backfilled with suitable native soil. See installation instructions for guidance. Reinforced water tight mid -seam gasketed connection HEAVY DUTY LID CUTAWAY Reinforced 24" structural access port the Environment with Innovative Wastewater Treatment Solutions INFILTRATOR" water technologies IM-1060 General Specifications and Illustrations The IM-1060 is an injection molded two piece mid -seam plastic tank. The IM-1060 injection molded plastic design allows for a mid -seam joint that has precise dimensions for accepting an engineered EPDM gasket. Infiiltrator's gasket design utilizes technology from the water industry to deliver proven means of maintaining a watertight seal. The two-piece design is permanently fastened using a series of non -corrosive plastic alignment dowels and locking seam clips. The IM-1060 is assembled and sold through a network of certified Infiltrator distributors. Must be backfilled and installed in accordance with Infiltrator Water Technologies, Infiltrator IM-Series Septic Tank General Installation Instructions and for shallow ground water conditions reference the Infiltrator IM- Series Tank Buoyancy Control Guidance. Please visit www.infiltratorwater.com/images/pdf/ ManualsGuides/TANK01.pdf for the latest information. I,I Working Capacity 1094 gal (4141 L) Total Capacity 1287 gal (4872 L) Airspace 16.5% Length 127"(3226 mm) Width 62.2"(1580 mm) Length -to -Width Ratio 2.3 to 1 Height 54.7" (1389 mm) Liquid Level 44" (1118 mm) Invert Drop 3" (76 mm) Fiberglass Supports 2 Compartments 1 or2 Maximum Burial Depth 48" (1219 mm) Minimum Burial Depth 6" (152 mm) Maximum Pipe Diameter 6" (152 mm) Weight 320 Ibs (145 kg) INFILTRATOR° water technologies 4 Business, Park Road P.O. Box 768 old Saybrook, CT 06475 860-577-7000 • Fax 860577-7001 14WG-221-4436 wwEvinfifiratorslNater.com 0411021 024(6101 AEC OPENNGSW WEMNG UDSQ) W ORABS INIETTEE tN 26a1 iRFFBWRD O411m1 PBC OR ABSOUTLETTEE INLET 65% AIRSP OUTLET PER 3A 1761 Pm COPE [ODE � �— aA FEIERGIASi 111181 F@ERGV55 SUrNORr MUD SUPNRf ITTPKAU OEPrH ITYRIOAU N1INBAFFIE IRFD REQUIRED VIEW j�SIDE TAN J CONTINUOUS HALF HALF j/�J GASKET TANK INTERIOR SEAM CLIP ALIGNMENT tl DOWEL TANK BOTTOM HALF MID -HEIGHT SEAM SECTION U.S. Patella; 4,759,661; 5,017,041; 5.156,488; 5,336,017; 5,401,1IS: 5,401,459; 5,511,903; 5,716,163, 5,588,778; 5,839,844 Canadian Patent; 1,329,959; 2,004,56t ogle patent Pealing. Misste, rxlusl., t71iW4, and SkteWiincer are registered tradenarks of Infiltrator Water TedlltolVes. Infiltrate a a registered eademark in France. Infiltrator Water Technologies is a registered trademark in Maxim. Contour, Mlcrol-eaching, PdyTue, Chembespacer, MuhiPat, Posil-ock, OulokCut, oulckPlay, SnapLAck and StralghtLock are trademarks of Infiltrator Water Technologies. PoryLok is a trademark of Polyl ok, Inc. TUF-TfrE is a registered trademark of TUF-TITE, INC. UBra-Rib is a trademark of IPa Inc. 0 20161nfiltrator Water Technologies, LLC. All nght reserved. Printed in U.S.A. IM02 1116 EZflow by INFILTRATOR • Always clean and free of fines • Bundles are quick to install, saving cosis on heavy machinery and labor • Modular construction allows configurations to match trench dimensions for most system shapes and sizes • Engineered for optimal storage and absorption efficiencies • Ability to contour along sloped siies and around trees or landscaping • Lightweight system is perfect for repairs and tight job sites • Easily hard-c& iit:d inio position reducing time and labor • 5' or 10' lengths with simple snap, internal couplers • Easier cleanup at the job site with the elimination of stone • Manufactured from recycled materials rather than a mined natural resource • A wide variety of diameters and configurations to meet any installation professional's needs • Approved in many jurisdictions with an increased efficiency rating, reducing drainfield s¢e • Backed by the leader in the onsite wastewater industry EZ i:; .:A i.4 _. br INFILTRATOR For technical assistance, installation instructions or customer service, call Infiltrator Systems at 800.689.7759. LATWok bzit a "I" zaw- OL-1221PL-525,1PL-625 FIVTER INSTALLATION INSTRUCTIONS MAINTENANCE INSTRUCTIONS .".Ti In FIT,+ DO NOT USE PLUMBING tlt-r i� rn-,,r11*v qltjh�Ill L- WHEN FILTER IS REMOVED MR WMz lhp qpft-; tw* ; _q } f 20.35151.7 cm ] -- 20.35151.7 cm] 19.60 149.8 an] 1324 (33.6 cm] 4.90 112.4 cm] 122 LINEAR FEET(37.18 METERS) 6.00 [15.2 an] OF 1116'(.158CM) SLOTS — -- WATER LINE TYR FRONT VIEW OPTIONAL FLOAT SWITCH PART NO. 3014B 12INDENTS FOR ULTRASONIC WELDING � �;ga�0��900���0�0@I�OQ900��60�9����9&BBU0�6��0���9��8�09�BBOBB�� 09��U0�99s0��OB9�91061�96��908900�(—ll SIDE VIEW PL-122 FILTER CARTRIDGE PART NO. - 30141 MATERIAL - POLYPROPYLENE COLOR - BLUE 2' X 3 318' HANDLE (5.08CM z 8.57CM) 4.18 110.6 cm] HOLE TO ACCEPT 112' SCHD, 40 PIPE FOR HANDLE. R 1.09 2 RIBS TO KEEP BALL IN POSITION TOTAL FILTER AREA - 2.52 SQ. FT. (2341 SQ CM) LINEAR FT. OF 1116" SLOT -122 FT LINEAR METERS OF .158 CM SLOTS - 37.18 METERS 4Z [10.7 an] 4.00 [10.2 cm] 2.97 17.6 an] TOP VIEW 3.32 18.4 cm) 25' TYP. t 25 TYP. .S. cm] INLET OPENING 41 CP DIA POLYETHYLENE HERMETIC BALL BALL CAGE TO ALLOW FOR I Z6Y TRAVEL OF BALL 2&50 2275 1a00 • 12.00 FRONT VIEW 13 6.00 WATER UNE 1.25 4.50 4 CLIPS TO RECEIVE PART NO. 30145 (PIPE ADAPTER) 30144(B.R. ADAPTER) 30142 (HOUSING) ULTA SONIC WELDED J00 gr Ai TOP MEW 3.80 - 4.51 - BACK MEW PL-122 HOUSING BOTTOM MEW PART NO. - 30142 MATERIAL - POLYPROPYLENE A Public Lookup 06/25/2020 03:33 PM POLYLOK INC./ZABEL Status Sub -Status Application Type Credential/Permit Type Credential, Plan Review or PTO Number Issue Date Expiration Date Customer ID Product Description Manufacturer Model Number Product Name Contaminant Zipcode City State Country Current date & time: 06/25/2020 03:33 PM Active Permit to Operate Wastewater Treatment Device PP-031701216-PTO W W TD 03/09/2017 03/31/2022 PP_2425 SEWAGE TREATMENT APPARATUS, EFFLUENT FILTER POLYLOK INC./ZABEL 3014, 3014-525, 3014-625, Al00-8X18-VC, A100-8X32-VC, A100-12X20-VC, A100-12X20-VC-BALL, Al I1-12X28-VC, A100-12X36-VC, A300-8X18-VC, A300-8X26-VC, A300-8X32-VC, A300-12X20-VC, A300-12X20-VC-BALL, A300-12X28-VC, ,A300-12X36-VC, A600-8X18-VC, A600-8X26-VC, (trans id 2918888) POLYLOK/ZABEL/BEST EFFLUENT FILTERS Disclaimer: Public lookup using eSLA reflects an accurate representation of information maintained by DSPS. Information accessed through this website is provided as a public service. No user may claim detrimental reliance thereon. ST. CROIX COUNTY SEPTIC TANK MAMUMNCE ACKEE ENT 0 AND FE8 lti ��� OWNTERSH P CERTHFICATION FORM x eoe^v eft G' DA13ku-ZZ1 Mpg Ad&m 954/ &KKEa L_11Fb Property Address ( -sin 11 d from Planning it Zoning Department for new City/State fl �( , CAJ I. b2T Parcel Identification Nutnbtz Q 7Q —/ 02S, y0 — 006) LEGAL DESCRIPTION Property Location '/. , _L1_'/. , Sec_ ) 5 . T -_N R-_ /EW, Town of Pj l t D_5tf / Subdivision Plat Lot # -3 Certified Survey Map # OZ17 Volume / Page # Z 1 7 Warranty Deed # `f 19P -3 0 (before 2007)Volume 7! Page # 32--5:- Spa houaElSans�o Lot lines identifiable)4yes0no SYSTEM MAINTENANCE AND OWNKR CERTIFICATION Improper we and maintenance of your septic system could result in its premature hiltae to handle wasks. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper What you pup into the system can affect the f nictioo of the septic tank as a treatment stage in the waste disposal system Owner maintenance responsibilities are specified in M. 38352(l) and in Chapter 12 - St Gnat County Sanitary Ordinance. The Property owner agrees to suland to St Crony County Planning & Zoning Department a certification form, signed by the owner and by a masmr Plumber. Joumeynim plumbs, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in maw opening condium and/or (2) after inspection and pumping (if necessary), the septic tank is Len than t/3 hill of sludge. Uwe, the undersigned have end the above regcorranents and agree to nu,"ft n the private sewage disposal system with the standards set forth, heron, as set by the Department of Safety And Professional Services and the Department of Natural Reaoureest State of V"Mcoesro- Certificanm stating that yorr septic system has been nuu-b nod retst be completed and renrned to the St Crom County Planning & Zoning Department within 30 days of the three year ezpulbou date. Uwe certify that all statements on this form arc true to the best of my/our knowledge. Uwe am(are the owner(s) of the Property deem above, by virtue of a warranty deed recorded in Register of Deeds Office. Number adds Ili OF APPLICANT(S) DATE '*`Any information that is miaeges sited may result M the sanitary permit bang revoked by The Planning & Zoning Department radode with this application a Mwrded ww" deed Sam die Register of Dceda Office aud a copy of the certified survey map if refaeace is name in the wartanty deed. (REV. tw12) tie • i 1 d r• :�:+. la u ownerA T01JX G �ABKuZZI Mailing Ad&=9s9 lfaAMA) jL A6 Property Ad&ns El City/State -0 U iLcItil � LAY Parcel ldmtification Numbta Q 7D -10Z-5' `/y -DOLE LEGAL DESCRIPTION Property Location �'/. , 4 `/. , Sae. 15 . T �N R�W, Town of PPDEC Lot # 3 Certified Survey Map# OZl7 , Volume / Page # Z17 Warranty Deed # y1% J 0 (before 2007)Voltnne 7')` Page # 3Z3 Spec house Oyec(9a Lot Imes identifiablaHyesOno SYSTEM MAINTENANCE AND OWNER CERTIFICATION improper use and of your septic system cold 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 pod inb the system cm affect the function of the septic tank as a treatment stage in the waste disposal system Owner maintenance responsibihtim are specked in §SPS. 393 32(1) and in (tapes 12 - St Croat Cotmty Sanitary Ordinance. The property owner ageet to stbmit to St Croix County Planning k Zoning Department a certification form, sgned by the owner and by a inter plumber. journeyman plumber. nsticlad plumber or a licensed pumper verifying than (1) the o c wastewater disposal system rs to proper operating condition and/or (2) after demon and pamprmg (if mcCeOx[Y� the septic taut is less than 113 full of sludge. Uwe, the tmdasgned have read the aoowe requirements and agree to maintain the pnvac sewage deposal system with the standards set fmtn, herein, as cot by the Department of Safety And Profrsional Services and the Department of Nanaal Resources, StateofWriscocam Catificnioa atmag dan yourseptic sysarm has been mambe-A rust be mnqAeftd and returned to the St Croix County Planning t Zoning Dtpatarent witbm 30 days of the three year expuatim date. Uwe catty that all statements on this farm are true m the bet of my/ma mowiedge. Vwc ante rn the owner(s) of the property dincrykd above k3i,vime of a warranty deed recorded in Register of Deeds Office. Number J//47?-IV DATE "*My information that is miaepreseded may result at do sanitary permit being rcwked by the Planning t Zmots Da/mrlt ~' Include with this application a recorded warranty deed Gam the Register of heeds Office and a copy of the ratified swwW tiny if reference is mark in the warranty deed (REV. YY111 SAK-2020- 10a CTMD SOIL EVALUATION REPORT Page I or 4 in accordance with SPS 383, Ws. Adm. Code AJm4 j 7020 County ST. CROIX Alta ''2�dd tt�� site plan on pa r not less than 812 x 11 � es in e Plan must include, but not limited to: vertica and horizontal reference (B i ire an Parcel I.D. 020 - 1025 - 40 - 000 pert�016k�01% K;Wpefounensio s, north arrow, and locaU Community Develop print all information. Personal infonm ion you provide may be Us for secorAmr, purposes (Privacy Law. •15 Oa ( mn. LEl Property Owner TONY G. DABRUZZI Properly Location �W GovL Lot — SE im NE V4 S 15 T 29 N R 19 � a Property Owner's Mailing Address 954 BAKKEN DRIVE Lot t1 3 BlockM - Subd. Name or C.ShW 1-217 CRY Sees T-iP Code Phone Number HUDSON, WI 1 54016 ( 715) 441 - 1730 L]YYege a own Nearest Road BAKKEN DRIVE ElNew Con n UseE Residential / Number of bedrooms I Code derived design 8av rate 150 GPD rml Replacement Pubbc or coercial- Describe: Parent material sandy Flood Plain elevation rf applicable General comments Conventional In -ground Trenches - 0.7 loading rate - system elevation 90.33 R. and recommendations. $ystcm for bathroom in shed w/possible future owe es--a 1 BonBonng M ❑ �. Pit Grounds elev. 93.50 ft. Depth to lanitlrg > 78 Sofl Application Rate Hatmrl Depth in. Derrlina d Color Munsell Rftx Descrption Qu. Cart. Color Texture Sbucfi Gr. Sz. rre onsistence Boundary Roots GPDMF -EM1 'FJfY2 1 0-16 IOYR2/2 I 2f,4bk mvfr cs 3vfco 0.6 0.8 2 16-28 I0YR3/4 - I 2fabk mfir cs 2vfco 0.6 0.8 3 28-37 I0YR4/4 mlf10YRa16M LYN sil Ifsbk ds cs Ivf-m 0.4c 0.6 4 37-78 I0YR5/6 - Os d1 - 0.7 1.6 l� Horizon 4 has some gr. 3' 2 ❑ B%hV # ❑ Boring .10 >80 El pit Ground surtxe ft. D, factor it. Soil Applirabon Rate Horizon Depth in Dominant Color MunseY god= Descmgmoon u. Sz. Cont. Color Texture Struchk Sz. Sh. Consistence Boundary Roots GPD/ff 'Eff#1 `Eff#2 1 0-13 IOYR2/2 oOOF I -Cr. 2f-ma&sbk v& cs 3vfco 0.6 0.8 2 13-34 10YR3 -- 1 2f-msbk m cs 2vf� 0.6 0.8 3 3 10 /6 - s Osg dl - _ 0.7 1.6 lzon 3 has mme V. ej0.33 9/. s.t4 zK 33.zy 2 3�.z .Z 1 = BDl1 > 30 <7111 MWL WM 44A— < 1W M9rL / - tllllrem Wr = r>W <,1u rrWL ar1G 1 as .w r*91c CST Name tPtease qMSig CSi Number MARY JO HUPP T Hollister's Soil Testin&&Desip 224832 Address Dale EftvW Conducted Telephone Number 28497144ues Court, Danbury, WI 54830 09 - 14, 2019 715-426-1775 SBD-8310(R07/13) 7 Property Owner DABRUZZI, Tony Parcel ID # 020 - 1025 - 40 - 000 Page z 01 4 Borxg # U Bomg Pit Ground surface elev. 92.00 ft. Depth to Imiting factor >80 m Soil Application Rate Horizon Depth n. Dominant Color Munsell Redox Description Ou. Sz. ConL Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDAF •ER#1 'Eft#2 1 0-14 IOYR2J2 -- I 2f-ma&sbk ds cs 3vf-co 0.6 0.8 2 14-24 IOYR3l4 I 2f-msbk ds cs 2vf-co 0.6 0.8 3 24-36 IfVR4,4 sil 2f-mabk dsh cs Ivf_m 0.6 &8 4 36-80 10 16 — cos Osg dl — 0.7 1.6 onzon 4 s some gr. O. k.11 Mt ■ ®®� .. ® ®®®��'' mm— M,__---_I ■Boring Boring . -.. _—_—___ Effluent #1 = BOD, > 30 < MO "V& and TSS -30 < 150 nVL saounn IkVr a Effluent 92 = BODE *7& and TSS < 30 mg& 'lf faalp avat s�c"t=w,.� tndsearlsrr Oepartrnent of Safety and Pmlessiwul Services Division of industry Services SOIL EVALUATION REPORT Page 1 at 4 m a4W10a1riE wQI JrJ .IOJ. W1]. mum. I.WY Attach conglCb site plan on paper not loss than a 12 x 11 inches in sze. Plan must include, but not fsmitlod to: vertical and hormontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distanceto nearest road. Please print alf information. Personal udamWm y. per• may be ued far secandwy P•Pa••• (Pnvecy law, s. 15.04 (1) (m)). county ST.CROIX Parcel LD. 020 - 1025 - 40 - 000 Revwxed by Date Properly Owner TONY G. DABRUZZI Property Location Gout. Lot — SE 114 NE 114 S 15 T 29 N R 19 E( W Property Owners Makg Address 954 BAKKEN DRIVE Lot• 3 I Block♦ - Snbd Name or CSkV 1-217 City Stab Z4 Code Plane Number HUDSON, WI 1 54016 1 ( 715 ) 441 - 1730 ❑ Viitage EiTow,, Nearest Road BAKKEN DRIVE FINew Construction UseQ Residential 1 Number of bedrooms I Code denwed design flow rate 150 GPD ElReplacement Pubic or commercial - Describe: parent material sandy Flood Plan elewaewr d applicable Alp tl. General mRf Aen Conventional In -ground Trenches - 0.7 loading rate - system elevation 90.33 fL and remrmradabomi: System for ballroom in shed w/possble future one bedroom. ❑ Barg 0 ❑ RaM d01,0 0 pit Ground surface elov. 93.50 ft. Depth to inlb bK:br in- Sol Rate Horaon Depth in. Dominant Color Mused Redox Description Qu. Sz Cord. Color ToMne Structure Gr. Sz Sh. Consistence Boundary Rods GPD)IF -r=W I •MM 1 0-16 10YR2/2 I 2f-msbk mvfr Cs 3vf-co 0.6 0.8 2 16-28 10YR3/4 - I 2fabk mfr cs 2vf<o 0.6 0.8 3 28-37 10YR4/4 mifloyRa6&IOYR6ll sit Ifsbk ds cs Ivf-m 0.4c 0.6 4 37_ 10YR5/6 - s Os dl _ -- 0.7 1.6 u Horizon 4 � �� �. a,or.• o� 94.10 • Pit Ground surface e1ev. R Depth to knbrg factor in. Sod Rate Horbnn Depth in. DmwuntCGIDF Munsed Redox Desorption Qu. Sz. Cont Color Texkm Structure Gr. Sz. Sh. Consstunce Boundary Roots GPDIIF 'EM I 'Effi'2 1 0-13 IOYR2/2 1 2f-ma&sbk mvfr cs 3vfco 0.6 0.8 2 13-34 1OYR3/4 - I 2(msbk mfr cs 2vf-co 0.6 0.8 3 34;OK 10YR5/6 - s Osg dl - _ 0.7 1.6 �p on zon 3 has some gr. ' Effluent a1 = BOD > 30 < ZM mg& and TSS >30 1150 mg/L i2 = BODa 304rgrL and TSS < 30 MWL CST Name (Please Prim) t CST Number MARY 70 HUPPERT ollister's Soil Testin &Desi 224832 Address E Telephone Number 29497 King Arthur's Court, Danbury, W 1 54830 09 - 14, 2019 715-426-1775 SBQ8330(RO7/13) Property Owner DABRUZZL Tony Parcel ID! 020 - 1025 - 40 - 000 Pago 2 of 4 3 Bon ng g U Boring Q Pit Ground surface elev. 92.00 ft. Depth to linilig ball >80 Soi Ram Honm Depth Im I Dominant Color Munsel Redox Description Om Sz Cord. Color Texture 8tinucture Gr. Sz Sh. Consistence Boundary Roots GPDff 'EIM -EfW2 1 0-14 IOYR212 I 2f-ma&sbk ds cs 3vfco 0.6 0.8 2 14-24 IOYR314 -- I 2f-msbk ds cs 2vfco 0.6 0.8 3 24-36 10YR414 _ sil 2f-mabk dsh cs lvf-m 06 0.9 4 36-80 10YR5/6 cos Osg dl — 0.7 1.6 onzon 4 has some gr- Jill s= ' Effluent #1 = BOD, > 30 <220 mi and TSS >30 < 150 ngrL SBQA3VM7/13) ' Effluent 82 = SOD, < 30 ngxL and TSS < 30 rtg& ' Effluent #1 = BOD, > 30 <220 mi and TSS >30 < 150 ngrL SBQA3VM7/13) ' Effluent 82 = SOD, < 30 ngxL and TSS < 30 rtg& Niot Tian Pie J of 7 PROPERTYOWNER: kn+ia,4 �- Dr�FSRuzz-1 Legal Description: l.Cr 3i CSM 1-2I-71 LOCATED /N Tt1E $EI/4 0* TIE /j 3 L Site location: -s1C' 1s 9Z.00 P l yt)OCq V?I WCD 41NF3 O 9 ��93 Sd (DA1Tu0.Y,EP �TION� FGLD u. PDU snzu SYB.,Sa 1' == 40 FT. (except where notedl p = backhoe pit 4.27 4(-Iwr,5 BMiti :TDP tw &u-t RIC MDY or- sic FLfTe f 00. Lb'