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018-2019-79-000 (7)
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County. St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No (ATTACH TO PERMIT) 630301 GENERAL INFORMATION State Plan ID No Personal information you provide may be used for secondary purposes [Privacy Law, s 15 04 (1)(m)] Permit Holder's Name City Village Township Parcel Tax No Rolling Hills Farm Owners Assn Inc I TOWN OF HAMMOND 018-2019-79-000 CST BM Elev. In o o 6BM Description. SectionlTowNRange/Map Noe• �D,rAII % 29.29.17.1279 TANK INFORMATION / ELEVATION DATA TYPE MANUFACT HER t`n�S*CAPACSepticDosing �.t•! /rZ52 r 64en�}- t,r Holding TANK SETBACK INFORMATION Loaz5 L c.l�totlrHs ( TANK TO P/L WELIr BLDG Vent to Air Intake ROAD Septic Dosing Aeration Holding PUMP/SIPHON INFORMATION Z Fir^Ce '$14 "" 5 f Manufacturer r,� Demon OiC 7 t) d GPM Model Number tf TDH Lift rictlpq Loss SysterrLFjeL zDkiSZ _. j' w Forcemain i Lengt�ZI�• Diiaa z .• Dist lowellJ>��Sr"� SOIL ABSORPTION SYSTEM 4-!t!/5 1" 1i; l STATION I _ jiJ Qql ZFS ELEV /OJO, �{ Benchmark lo't1• a . Alt BM V%: OV2r_ Z`i 1079• Z Bldg. Sewer \ r7hwp u vtk' in$ St/Ht Inlet SUHt Outlet Dt Inlet— 1 07 2 b Dt Bottom Z I D& 8 Header/Man. u 'r 3_ 8 1a86 -z Dist. Pipe U L FL? k vw c- • -7 Lf 3 . (o 1084. j 0 Bot. System Yirer N .3/0 D 10 87, 6 Final Grade St Cover Vt oVLr' Z Z`% 107p7 `,1 r �•3 '� O�O• S p %✓rn,i, 1oi>r 3.57 1081.E 14 1077• BED/TRENCH DIMENSIONS Width Length x Z S N,LOCFrenclres / (-/ -(/-(t PIT DIMENSIONS No Of Pits Inside Dia Liquid Depth SETBACK INFORMATION SYSTEM TO P!L BL G WELL LAKEIS REA LEAC III CHAMB R O UN anufactu r Ty p Of Syste A�� t 7rQ^J > /Vo Model Nurrrder DISTRIBUTION SYSTEM '30v7111 161 12,Ak Header/Manifold �� 3 Z Distnbunon I 1 d t Pipe(s) ) 1 1 �� x Hole Size ,• x Hole Spacing O� �' • Vent to Air Intake L �d Length Dia Length Do__) Spacing 2 — -0 L1 IA SOIL COVER , 7 7 • x Pressure Svstems Only xx Mound Or At -Grade Svstems Only J9i IL , f! AI A4r ' Depth Over xx Depth f xx SeededlSodded xx Mulched B�r / I •� Bed/Trench Edge, Topsoil 12 --� Yes No Ves No TL Owt`_ COMMENTS: (Include co screpencies, persons present, etc.) Inspection #1: Location: No Address Available z21 • Fo0-ce,. C;I. C�I� 1.) Alt BM Description = 90 w'� V" th'— cow, 1' 2.) Bldg sewer length = 2 30 PAS � i L 5c,.v{.v- P I^( - amount of cover = �> N Z n Inspection #2: L F""a, )-4,j L. o W t i— I ! • `7 10.610 L', �5 Plan revision Required? _] Yes i� No 7 i3o / 2 1, � / Use other side for additional information SBD-6710 (R 3/97) Date Insepctois Signature Can No. sTAO- Pao — oil. 6 ` Safety and Buildings Division ly St. Croix r ` ` 201 W Washington Ave, P O. Box 7162 Salnlary Permit Number (to be filled m by Co ) �= l If '_ �/ SEP 17 ZO20 Madison, WI 53707-7162 �3D3©/ O I_x_ up _rimy it Applicati COMMU Smlc Transaction Number 7:1`A�]�'43AL�_I nor 082001894-C In accordance xn is m o ubimsvon of the, form to the appropnatc governmental unit Project Address (if different than ntading address) is required prior to obtaining a summary permit Note Application limns lot state-owned POW 1 d the Department of Safety and Professional Servms Personal information you prove a may hcJ us�l lur s�uodnry Purposes inry accordance with the Pra Law, s 15 (W(I m), Stars 1. triplication Information - Please Print All Information w Property Owner's Name Parcel Rolling Hills Farm Owners Association Inc. K 018-2019-79-000 Property Owner's Mailing Address Propenv Location 3435 Labore Rd. Ste 150 ciovt I.ot NE y, SW / Section 29 City, Slate Zip Code Phone Number Vadnais Heights, ME. 55110 (circle am) 29 I N, R tr E oA v D. Type of Ruildin � (check all that apply) � p Lot �+ o Subdrs' islon Name Rolling Hills Farm �1 or2 Family Dwelling -Number of Bedroom _ ) � l"' 4 &aAV*1A jof. 62-64 � "P lock a D, ❑ PubliGCommercial - Describe Use ❑ ('try of ❑ State Owned- Describe Use ❑ Village of CSM Number [A lownof Hammond In. Type of Permit: (Check only one hox on line A. Complete line B if applicable) A New System y El Replacement System ❑ l reatment/Holdmg "lank Replacement Only El Other Modification to Existing System (explain) B. ❑ Permit Renewal ❑ Permit Re, ision ❑ Change of Plumber ❑ Perrtnt Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner 1N'. Tvpe of POM, TS System/Component/Din ice: Check all that a I ❑ Non -Pressurized In -Ground ❑ Pressurized In -Ground ❑ At -Grade j(1 Mound _> 24 in of xtinahle xnl ❑ Mound < 24 in of suitable smI Q ❑ Holding Tank ❑ Other Dispersal Component xplam) ❑ Pretreatment Device (explain) Hoot pe hOUSe / / B V. Dispersalirfreatment Area Information: X. I LS MOU4UT. 40 Design Flow (gpd) Design Soil Application Ra pdst) I Dispersal Ar owned tat) Dispervl Area Propose St) +stem Fle+ on 1800 1.26 0.4 900 150OPretreaed `! 088.4 1087.60 N9. Tank Info Capacity in otal r7 of Manufacturer Gallons Gallons Units 2 Simtec filters 9 'o u v Z "� New Tanks Existing Tanks Septic or Holding Tank singClserober1250 1250 Wieser X NTD. Responsibility Statement- L the undersigned, assume lie,proixibility to, b afirm of the OM'TS show. tie the attached plans. Plumbers Name (Print) Plumbe s S nature MPMIPRS Number Business Phone Number Keith Knudtson _ � 648443 651 470 1737 Plumber's Address (Street, City, State, Zip Code) 927 150th St. Roberts,Wi. 54023 Va�rID. County/De artment lase Only XApproxed ❑ sappror Perron fee �D Dare 1 +ucd O 6swn Agcm Somalure r, < ❑ Owner n'en Reaso for Denial �i/ZdZp IX. Conditions rov I 2 \ A , L . _ /1is Fyn ,x-re�.� �ty� tM STEM OWNER: > f/`rht/,� Septic tank, effluent filter and W t t k �� ,� n r d t,Q` t,Vl di/ / dispersal cell must t plan irovid maintained I) Afu W i r, r _ l (vl `(� N orr- by as per management plan provided plumber. All gpihark ents must be maintained L as per applicable code/orl}"h".mpkle plans for the system and submit to the County only on paper not Im tha. a in r Ij inches in sbe �j ,$) P(tNM.�1- re ✓ fJ1� Se/s ✓I� A ft a- C SBD-6398 (R. 11/11) 1/ rvYtwnM 'SS Al yB Rolling Hills Farm Residential Property Owners Association INC. Outlot 2 21,781 So f SW1/4 of Sec 29 T29N-R17W Township of Hammond - St. Croix County LOT 21,781so. Fr. riy oeuroom no Tuuroot— e2 9 h Proposed 4" Sch. 40 �* Bldg. Sewer Pipe 7ri`'F LOT = 21,783 SO. FT 747� e0 30 r, FN# 16U 21,783 S0. FT. LOT 2� r22 61 Sizing Calculations: �, 3� Three Four Bedroom Homes 97ga, 1076.15' 600 gpd x 3 structures = DWF of 1800 gallons. E20,7 � 00 Proposed Wieser Concrete WLP1250-MR Dose Tank q£Z w/ Duplex Pumps and Simtech STF-100 Filters \ 1 \ Proposed Duplex 2" Sch. 40 PVC F.M.'s OUTLOT 2 N89"08W aaiw sw 6..0 73.34' yBM = Top of We P den Hub Pt.#4073 * EIRP — Same ASSUMED ELEV.J 1090" LOT 36 21,782 SO. Fr. a LOT 35 O u 75TH AVENUE Driveway Entrances FN# 1641 1 9 WELL °" ' \ • WELLProposed O 62 21,782 SO. FT. 87,V B#2 Top of Iron \ `18433 Page 2of9 2� Pro d • WEL Typical for lots 62-63 will be Four Bedroom Homes w/4" Sch. 40 PVC Bldg. Sewer Pipe. ;n A Hoot H-600 Bio/Septic Tank PP...dWO connected to the private main interceptor w/ 4" Sch. 40 PVC 3 or 4" Astm D-3034 PVC Bw/Septic Typud d13Iao Zy 21,781 $0. FT. ZProposed 4" Sch. 40 PVC h�P or Astor D-3034 PVC Iry Conveyance Pipe "r OI �3J LO Qq-, Ong�nel tao�e 1091.80, 113.28' IB 1098.56' P 85.18' N87.10 0"E 198.47' Top of Re -bar Elev.—1091.80' t - Near original D. Steel PVC BM's w/an J-h assummed elevation of 100.00' 42.71 ACRES �Open Field Site 1,860,359 SO. FT. ❑ 6a3 L-63 Proposed Two 6' x 125' Mound Dispersal Cells w/ the Upslope Cell located along the 1087.40' contour w/a S.E. of 1088.40'. The Down slope call will be located along the 1086,60' contour / w/a S.E. of 1087.60' 1089.00' 8#2 L-63 1087.40' August 25, 2020 CONDITIONAL APPROVAL PLAN APPROVAL, EXPIRES. 2022-08-25 Plan Review: PWTS-082001894-C KEITH E SIONER 23220 Woodcreek Rd Siren WI 54872 SITE: Rolling Hills Farms Lots 62-64 1639 7�)th Ave. I lanunond N I Town of I lammond St. Croix County Total Amount: $325.00 DIVISION OF INDUSTRY SERVICES 2331 SAN LUIS PL GREEN BAY VVI 54304-5211 Contact Through Relay http!ldsps w govlprogramslindustry-services wwwmisconsm goy Tony Evers - Governor Dawn Crim - Secretary Condbonatly APPROVED DEPT OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES Pressure Distribution Component Manual — Ver. 2 O. SBD-10706-p (N.01J01. R 1012) Mound Component Manual - Ver 2.0, SBD-10691-P (N 01 01. R 10+12) Description: 1800 GPD (12 Bedrooms — Pretreatment — .Yew Construc82n1 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 amcomponent manual(s) referenced above. The owner, as defined in chapter 101.0i(10), NN isconsrn Statutes, is responsible for compliance with all code requirements. do person may engage in or work at plumbing in the state unless licensed to do so b< the Department per s 145.06. stats. The following conditions shall be met during construction or installation and prior to occupancy or use, • 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 • NNastewater 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 onsne wastewater treatment system (POWTS). Waste venerated 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 present mattinv under the dispersal area All loose organic material to be removed from PON'"fS Dispersal Area • Divert surface water from all POW IS Areas. • Prior to construction of the dispersal area, check the moisture content of the sod to a depth of 8 inches. Smearing and compacting of wet soil will result in reducing the infiltration capacity of the soil. Proper sod moisture content can he 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 1 I I )(c) • Nell setbacks to meet chs. AR 81 1 & 812 • Tank Installation to follow at] manufacture's recommendations • Verify properth line(s) prior to installation. • Pump Floats to be set and verified per approved plan. Any changes may result in pump resizing to meet TDII and GPAI Specifications. • Areas that are occupied with rock Iiagntent,, Tice TOOTS, Stumps and boulders ieduce the amount of soil as ailohle tor proper tie:unicnt It no ether .ite n a odable. tree, m the halal area of the nunmd mull he rut off at around les el. � lat,et till aiea i, ntLe1Sal'v s+hen ❑its of the nhos e cond Won, are encountered. to pros ide sufficient mliltrquse coca Owner Responsibilities • "[he current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to propel use and maintenance of the sN stem Owners shall receive a copy of the appropriate operation and maintenance manual an&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 mallit net tons so as to create a health hazard. the property owner must follow the contingency plan as described m 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 municipalih shall be obtained prior to commencement of constructioninstallation. 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 101.12(2). nothing in this review shall relieve the designer of responsibility for designing a sate 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 POW IS. Thanks.. d /� %m' V111111 _ re111 POWTS Plan Reviewer— Wastewater Specialist Department of Safety & Prole sionaI Services: Division of Industry Services email: Cell 608-516-6134 Index and Title Sheet Project Name: Rolling l [ills Farm Shared Sanitary System for Lots 62-64 PropertyOwner: Rolling Hills Farm Residential Property Owners Association LLC Address: CIO of'l yme Properties 3435 Lahore Rd. STE.150 Vadnais I Ieights MN 55110 Legal Description: Part of the NE `/< of the SW Section 29129N-R17W Township: Hammond County: St. Croix Subdivision Name: Rolling Hills Farm Outlot 2 Comp.#/Parcel ID: 018-2019-79-000 CONTEN I'S Page: I Plan Narrative Page: 2 Plot Plan cooemooany APPROVED of T Of SAFETY wW PROFE55gMRL SERVICES omsgRo IRDUSM SERVICES SEE CORRESPOND E Lots: Sanitary System Serving Lots 62-64 Page: 3 Mound Plan View and Cross Sections a +b (Upslopc + Doan slope Cells) Page: 4 Lateral Layout (Typical) 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 l loot Service and Inspection Form Page: 9 Management and Contingency Plan Attachments: Soil and Site Evaluation Reports, Sample A'I U Servicing Agreement and Hoot Systems LLC Product Approval with maintenance requirements. Mound Component Manual Used = Version 2.0 SBD-10691-P (N.01/01R. 10112) Pressure Distribution Component Manual Version 2.0 SBD-10706-P IN 01/01R. 10/12) Designer: I Signature: .ham=a>6C"�i License # Designer 157-007 Phone # (715) 653-2324 Rolling Hills Farm Residential Property Owners Association INC. Outiot 2 SW1/4 of Sec 29 T29N-R17W FNM 1639 Township of Hammond - St. Croix County LOT 21,781 SO. FT rt, wurwni r>W uuo Typical Prc 82 9 h Proposed 4" Sch. 40 PVC Ssse,�` Bldg. Sewer Pipe 'r,� LOT 21,763 SO. FT 60 CV 21,793 50. FT ni- 75TH AVENUE Driveway EMranoes ` FNM 1641 I 0 WELL a ' • WELLProposed LOT IN Siang Calculations: S 2 Three Four Bedroom Homes 6947g8, 1076.15' 62 21,782 SO. FT 600 gpd x 3 structures = DWF of 1800 gallons. F?03 Q7 •fib' 1078.52' Proposed Wieser Concrete 6730, 1084.08' W LP1250-MR Dose Tank 87h 31.03, w/ Duplex Pumps and Sinnech 1q 46'E STF•100 Filters 8M1 Lffi Proposed Duplex 2" I Sch. 40 PVC F.M's 1\ OUTLOT 2 o W as +w,-ao rt .1 �T� 4 �/BM - Top of P * HRP — Same ASSUMED ELEV. 73.34' LOT 36 21.782 SLI. FT. Hub Pt.#4073 LOT 35 Onynel 65.1 B' N87"1 6M Top of Iron �� Page 2 9 FNM 1843 of O f.for ProposI ed • WEL Typical lots 62-63 will be Four Bedroom Homes w/4" Sch. 40 PVC Bldg, Sewer Pipe. ;n A Hool H-600 Bio/Septic Tank kkyy connected to the private main 40 PVC interceptor w/ 4" Sch))IA�j 3 or 4" Astm D-3034 Prapared Hoot H-600 iv BtolSepac Typical ell?W, 21,79+so Fi Proposed 4"Sch. 40 Por Astm D-3034 PVCConveyance Pipe LO 11.80' l 1098 56' 113.28' ! 198.471 Top of Re -bar Elev. = 1091.80' #1 L-st , Near original D. Steel PVC BM's w/an �D essummed elevation of 100.00' 42.71 ACRES Open Field Site 1,860,359 SO. FT. ❑ BM3 L-63 Proposed Two 6' x 125' Mound Dispersal Cells w/ the Upslope Cell located along the 1087.400 contour w/a S.E. of 1088 40'. The Down slope cell will be located along the 1086.60' contour / tw/a S.E. of 1087.60' 1089.00, O BM2 LE3 1087.40' Page 1 of 9 Plan Narrative The following shared sanitary system design discussion focuses on the proposed 12 Bedroom/ 1800 gallon per day sanitary system to serve Lots 62 thru 64 of the Rolling Hills Farm Subdivision. This plan complies with the St. Croix Count), Land Ilse and Development Ordinances. A "Conservation Development", Rolling Hills Farm is designed for 77 lots serviced by 22 dispersal components located on common ground. Appropriate easements and maintenance language were required prior to final approval. The St. Croix County subdivision ordinance requires that each buildable lot has a soil and site evaluation completed. For these 3 lots the mound dispersal area will he located within the existing tested area for lots 62 and 63 within the common area known as Out lot 2. The sanitary easement for these three lots is designated as drain field easement area 19. A four bedroom maximum design flow has been established for each lot. The county will require a sanitary permit for each lot prior to construction for setting the septic/treatment components verifying the design flow for each lot. These lots will required to set an aerobic treatment tank with built in trash capacity that will be connected to a 4" conveyance pipe that will gravity flow to a common duplex dose tank located just south of Lot 62's south lot line, that will alternately distribute the highly treated effluent to a common mound dispersal system consisting of two 6 ft. x 125 ft .dispersal cells. The soil tests completed by David Steel are provided. The BM for the soil test for Lot 63 equals 100.00' or 1091.80 and the BM for Lot 62 equals 100.00' or approximately 1084.08' using NAVD 88 Datum. A surveyor was hired to locate the existing irons and staked the easement area as the agricultural fields within the subdivision had continued to be cropped and some of the t- posts marking the lot comers had been disturbed. A wooded hub (BM) was set on the northeast sanitary easement area comer with the perimeter staked as well as shots taken on the existing lot irons, as it has been 16 years since the original soil tests. w Cross Section of a Mound System Using Two Cells for the Absorption Area �mJy 1/10 Observation Pipe A B�� E B A 6 ft. E 18.4 " B 125 ft. F 1 9.5 C 4' C D 12" l (ft sy ) Dispersal Ccll .Area total 7.20(gpd/ft) Lmear Loadmg Rate Note: C dimension = cell separation. I F, Shading Key ® Topsoil Cap ® Subsoil Cap ASTM C33 Sand L Page 3a of 9 K l t/10 nobs Pipe Plaxmen[ H I K 9.]9' L 143.3R' J 5.43' W 33. T 3455 MI) Bmal Area Available 12.5' Ift Mound Cross Section View for the Upslope Cell Aggregate Dispersal Area Finished Grade 1090.20' Dispersal (ells' ®!-_-108 , 9.0 /. Site Slope Detail of Typical Dispersal Cell Tilled Layer o0-0-0- 00000 ®0 0 0 0 Aggregate o 0 ate o000000 0-010000 0 o- A a Note: Prepare Mound Site per Component Manual Constuction Procedures. I 7.40' (ft) Contour Elevation 1 8.40' - System Elev. 5eotextile Fabric Cover 4" Obsem aeon Pipe w,'waterproof cap and anchored securely w/3/8" re -rod or altemate method 6" slots Page 3b of 9 Cross Section of a Mound System Using Two Cells for the Absorption Area 1/10 Observation Pipe O K O O B --- L A 6 L 1 8" H I K 19' B 125 ft. F' 9.5" 1 11.64' L Milk C 4' G J 5.43' W 33.07' D 12" 750 Ift sq ) Dispersal Cell Area I oral 3455 1 (ft.') Basal Area Available iN li l0 B Ohs Pipe Placement 00 (gpd/ft) Linear I oading Ratc .5' Note: C dimension — cell separation Mound Cross Section View for the Down Slope Cell Aggregate Dispersal Area Finished Grade 1089.40' 108 0 (ft) Lateral Invert I C 1086.60 (ft) Contour Elevation 1087.60' = System Elev, Shading Key ® Topsoil Cap ® Subsoil Cap ASTM C33 Sand Tilled Layer ® Aggregate GH G 1 Dispersal Cells10 ° I D .07 Detail Typical Dispersal Cell (3cotexti I c Fabric Cover w1waterptrof cap and anchored F securely w/3/8" re -rod or slots i�ar`i ®=�cic�a A Note: Prepare Mound Site per Component Manual C onstuction Procedures. S ft--+ Turn -up w/ball valve or clean out plug Number of Laterals Lateral Diameter Lateral Length (P) Lateral Spacing (S) Lateral Flow Rate Cell Flow Rate System Flow Rate Total Dynamic Head Page 4 of 9 Center Connection Lateral Layout Diagram Force Main P Laterals and Farce 30 of PVC Sch 40 Per SPS Table 384 30-5 4 1 1 /2 61.60 3.00 11.34 45.36 90.72 33.94-35.00 X in. ft. ft. gpm gpm gpm ft. Alternate Force Main I[ll Position o .go X Holes equally spaced on X12 X/2 bottom of lateral Orfice Diameter Orifice Spacing (X) Orifices per Lateral Orifice Density Manifold Length Manifold Diameter Forcemain Diameter and Length Lateral Turn -up Detail 5/32 or 0.156 in 3.08 ft. 21 8.92 fi°I onf 3 ft. 2 in. TV 204-210' ft. Finished Grade Threaded Cleanout Plug or Ball 6" to 8" diameter Lawn Sprinkler Box Valve Note: Lateral ends at last orifice where variable length to ceanout 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 & SPS 4" Sch.40 Vent 316.012 WAC > or = to 12" Above Final Grade Disco ect Note: SJE Rhombus Type I22Duplex (Demand Dose) Top of inlet = - 1070.71 (Set by Installer) Note: Pump switch and alarm to be A wired to separate circuits. 0 W LP 1250-M R Gallon C Tank Mfr. W iesert Concrete p Alternate Outlet Location W/Approved 4" Sleeve Force Main Diam. = 2 " ;cp Hole or Anti Siphon Device Duplex Force Mains Pump Off Elev. 1068.04' Duplex Pumps Dose Tank Elev. Vertical Difference Between Pump Off and Distribution Pipe= 20.86' — 1067.21' Minimum Required Supply Pressure ...................................... = 4.55 Note: Force main of 210' FT. of Force Main x 4.33 Friction Factor/ 100FT.... = 9.09' down slope cell is Note: Maximum dose per Pressure Loss Through Filter .................... _ ;50' approx. 6 ft. shorter F.M. or 1 /2 system equals 180 gals. Total Dynamic [lead ........ .......... - = 35'- and will receive —approx..98 gals. per Min. dose per 1/2 cell - 113.34 gals. dose. Number of Doses ...= 6 44 Per Day Volume of Backflow ......................... Total Dose Volume ....... ..__............. Gal. Per Day/ #of Doses = 139.820al. (Duplex ............... .......... ... ....... ..... = 34.23 Gal. PumpsAltemating ................._........------- = 174.05Gal. between 1/2of cell ) Pump tank capacity — Gallons Dimensions Inches Gallons Pump Tank Volune 34.81 Gal/Inch A 19 66139 B 2 69.62 Pump Mfr. Goulds C 5 174.05 Pump Model _ WE07 D 10 348.10 Minimum Discharge Rate - 5.36 M per pump Alarm Mfr. S.J.E. Rhombus Total= 36.00 1253.16 Alarm Model "fank Alen 1 3Y.5Sz 3t01 Bed Tank per SPS. 383.45(5) ro Anchor Tank as necessary to negate buoyant forces per SPS 383.43(8xg). Note: Tank to have two outlets. 9. 09 Wastewater METERS FEET 40 130 120 35 110 30 100 G 90 25 80 u i 70 20 60 O S 15 50 40 10 30 20 5 10 0 L 0 0 L 0 COMPONENTS 10 20 30 40 50 60 70 80 90 100 110 120 130 140 150 160 GPM _ I I I I I I I I I I I I 1 1 5 10 15 20 25 30 35 m'/hr CAPACITY @em No. Description 1 Impeller 2 Casing 3 Mechanical Seal 4 Motor Shah 5 Motor 6 Ball Bearings 7 Power Cable 8 Casing O-Ring 7 5 D 1 - —" 2 6 4 3 PAGE 3 Page 6 of 9 PERFORMANCE RATINGS I, ,......t Order wc- v . wE. wE9we we- wE WE -- No. 03L ' 03M � 05H 07H ION 115H OSHN 15HH 20H nrr.1 7S0 1750 3500 3500 1 3500 351H1! 311W 350G 3500 86 I iD 70 63 �78 94 �- t >8 95 5 52 32 771 103 128 S3 93 13N i; L 3S I 60 83 98 123 49 90 t 3e, 5 .5 48 76 ,4 717 45 87 734 31 67 88 ilo 40_ --A7 1"iu-� '4 1 40 - 45 1 74 9, 30 ]'° 121 r LL ,; sn I a6 zs 74 un lil S i0 t _ I oc 5 1- - 1-__ -7n ' 10 h6 63-I 60 —� _ _ 30 S; - + 63 90 I 1 103 - 20 45 58 8Y - ty-�y� _ Rt -r =k-5, -4 47 -i -- r I+l� ' � I �7 1 I 4/ - � _- 1 1100 DIMENSIONS IA I rtimenmois me ir. Ilches f %c rv�t use 4.. crrl. stn.cnon Furoose.: I I r C)TATICIN n r' KICK-34CK xylem Let's Solve Water M ": COMPONENTS Item No. Dezof tlon _1 — __- - - Impeller __ _- 2 _ -3 3 - met -haw" Merham: al Sea______ 4 - Motor Shaft Motor Ball Beanngs I_able_ 7 5 - 7 2 — Xylem, Inc - 2881 61st Rayard Stre-ef E Kt , Aote A ...... a Falls, NY 1 .14B Phone (b66)325-4210 fax (888) 322-5877 www-xylemmc com/h r.rta3s7yo'.Ild swatertcchnoloyy .n•nld+�areyr•,nvwltradrrn,uF ul OrrrJIl. Fuupn, Im nrlr Irua vl JlrLw�nm .,c9P 4 Single phase, duplex alternating pump control with override. Page % a;b 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, imgaton systems and lift stations 1. Enclosure measures 10 X 10 X 6 inches (25 4 X 25 4 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 Imes 3. HOA Switches for manual pump control (mounted on circuit board) 4. Control Circuit Board provides pump control and alternation 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 ALUM 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 Hom provides audio warning of alarm condition (83 to 85 decibel rating)_ Note: NEMA 1 style utilizes an internally mounted buzzer in lieu of horn 13. Exterior Alarm Test/Normal/Silence Switch allows hom and light to be tested and horn to be silenced in an alarm condition Alarm automatically resets once alarm condition is cleared. 14. Hom Silence Relay (mounted on circuit board) NOTE: other options available AF Entire control system (panel and switches) n UL Listed to meet and/or exceed industry safety standards IF Dual safety certification for the United States and Canada AW Standard package includes three 20' SJE SignaiMaster" control switches AF Complete with step-by-step installation instructions AV Five-year limited warranty SEE BACKSIDE FOR COMPLETE LISTING OF AVAILABLE OPTIONS SEE PRICE BOOK FOR LIST PRICE. Model Shown 1221W114X6A Rh us. PO Box 1708, Detroit Lakes, MN 56502 1-888-DIAL-SJE • 1-218-847-1317 1-218-847-4617 Fax email customecservlce@sjerhombus.com www.slerhombus.com 722 C MODEL 122 ALARM PACKAGE T Y 0 = select options or no alarm package T T 1 = alarm package (includes tesUnormal/silence switch, fuse. red light, & ham) ENCLOSURE RATING l = Indoor, NEMA 1 (metal) W = Weatherproof. NEMA4X (engineered thermoplastic) STARTING DEVICE 1 = magnetic motor contactor 120208/240V 9 = magnetic motor contactor 120V only PUMP FULL LOAD AMPS L..! 0 = D-7 FLA 7 1 = -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 opbon 1 above) FLOAT SWITCH APPLICATION H or L = pump down or pump up (select 17 option) EffX = no floats OPTIONS listed below ENCLOSURE UPSIZE - It you selected one or more of the* options. or two** options, a one-time enclosure ups¢e fee would apply. ends DESCRIeT10N M. 1A Red beacon only / no audio coDE cescawraN (must select '0' for alarm package) ** 10K Ards -condensation heater 1C Hom only / no msual 11C NEMA 1 alerts panel (must select'0'W alarm package) Q 11D NEMA 4X alarm panel O ## 3A Alarm flasher Q * 14B Main disconnect (rotary style, mounted through door, non fused) * 36 Manual alarm reset (must select circuit breaker) # 4A Redundant oft * Q 0-20 FLA (total of both pumps) (select Option 4D it floats included) * 0 20-60 FLA (total of both pumps) ED 4B Red redundant off indicator & alarm ® 16A 19 cord in lieu of 20' (per float) (must select Option 4A also) 16B 15' cord ul lieu of 20' (per float) (� 40 Red indent off float 16C 30' cord in lieu of 20' (per Rost) (must select 4A option) (select 17 option) O 16D 40' cord in lieu of 20' (per Roar) # SA Thernal cutWt/neat senses auto reset 17A SJE SgnalMasler' / pipe damp 0 (per Baal) (for pumps wAhemnal switch leads) Q 17B SJE &gnalMaster° / externally weighted 0 (per float) * 5E Seal failure arcua & red indicator (2 wire) 17C Sensor Float' / internally weighted ♦ (per goat) 6A Auxiliary alarm contact form C 17D Sensor Float- /externally weighted A (per float) (included as standard) (] 17F Sensor Ficalm Mini / pipe damp ♦ (per float) Q * 8A Elapsed Lmc meter Q 17F Sensor Float' Mini / externally weighted A (per float) Q * 8C Event (cycle) counter Q 17J Sensor Float' / pipe damp ♦ (per float) (� # 9_A Pump overload 19B Lead lag selector switch specify amperage after number 9 followed by lefler"A'• Q 19F Fourth float to separate alarm function from lag Example 912A = 12 amp pump 19T TOA (Test/Off/Automatic) swtches and pump run lights # 0-25 FLA through door mounted * Q 25-30 FLA 19U HOA (Hand/OIt/Automatic) swtches and pump run lights Q 10E Lockable latch - NEMA4X through door mounted 10E Lockable latch - NEMA 1 19X Door mounted pump run indicator * 10F Lightning arrestor (select pump crzcurt breaker) 0 Mechanically- ctva ed ♦ Mercury-achvaled ITaddlttonat lleaWras are requked =X On 11rcDgryAcre gwft an an EngilinemW Custom control panel. n w ur�r r— �r•rMODEL 122� W 9 0 4 H -6A BAC 17A Alarm Package Enclosure Rating Starting Device Pump Full Load Amps Pump Disconnect Float Switch Application Options Auxiliary alarm contact, torn C, Elapsed time meter, event (cycle) counter, SJE SignalMaster• I pipe clamp OSIF-HN tnb 'NIU O, 44 0 p OD v LET 0 n Inc" SIDE VIEW L s4 413 4 600 GPO GRAVITY DISCHARGE SYSTEM H-600 A 4" CAS POLYLOK 12" ACCESS LID (TYP) �Z SET RISER (TYP) TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS H-600 A TANK SPECIFICATIONS DIMENSIONS: WALL: 3" BOTTOM: 3" T N > a COVER: 4" 4 0 MANHOLE: 12" k 24' I.D. PLASTIC RISER i lo HEIGHT: 70' O.D. 8 LENGTH 106" O.D. m' 8 WIDTH: 74 1/2" O.D. BELOW INLET: 57" O.D. a LIQUID LEVEL: 51" o o LL o WEIGHT: 11,135 LES. W INLET AND OUTLET: 4" CAST -A -SEAL (CAS) BOOT OR EQUAL COVER: MIX DESIGN N6 (NO FIBER) C z 00 TANK: MIX DESIGN #9 (SMALL FIBER) CA� tI CUSTOMIZED TANKS: N FOR CUS70M TANKS CONTACT WIESER CONCRETE rT We I H o W�Do 0 Q3 o Z z f a U g F o_ DRAWINGS SUBMITTED O N FOR APPROVAL = APPROVED BY: SHEET NO. APPROVAL DATE: PRODUCTS NEEDED BY: / F 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 ................................... U G U Aeration Plumbing... .... . ....... U L Air Filter ................................. U [l C Effluent Pump (if applicable)....... D H Cl Chlorinator ........ ...... ._ ._..... U LI U OK System Light... ................. U l Alarm ..................................... U fl U D-Box . . .......................... J U 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. 1 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 Signature of Inspector: Installer II 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 complies 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 Com onent Size Is . ft.) 1500 (Pretreated Effluent) Trash Tank Capacity Gal. 400 gal. 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) 600per structure 1800 Max. Influent Particle size NA <1/8 Inch Maximum BOD 5 (mg/1) NA <_ 30 mg/I Maximum TSS (mg/1) NA_ <— 30mg/ 1 Maximum FOG NA NA Table 3: Maintenance Schedule service once Dose Tank In- Line Filter Should inspect once a year and clean every 3 years Pumn Chamber Insnect once every 3 vears Soil Absorption Component HOOT SYSTEMS H-600 A Page 9 of 9 a. b + c Flush laterals every 18 months. Service every 6 months for first 2 years. Then annually there after per maintenance agreement. See attached. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under sec. 281 All, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding'I'anks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of the septic tank and outlet filter 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 he 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. Pump 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: 'I he dose chamber may till 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 AbsoWtion 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 components operation must be assessed by inspection at least once every 3 Nears. 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 pending, 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 be avoided since root intrusion into the component may obstruct wastewater flow. Contingencv 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 Zonin (715) 386-4680 Wieser Concrete Products _ _ _ _ Maiden Rock WI (800) 336-3416 Septic Pumper Powers Sanitation (715) 249-5738 HOOT SYSTEMS LLC II-600 A (888) 878-4668 Page9of9a,b+c 111101111 PA" iscoa n SOIL EVALUATION REPORT Department of Commerce in accordance with Comm 55, Wis. Adm. Code Division of Safety and Buildings Attach compote site plan on paper not Was than 8% x 11 inches to size. Plan must Count' S<- tnOIX percent but not limited to, vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions,. north arrow, and to ' and distance to nearest road. Psrcel_� t'tr Please print {{ don. R Para al rtmi labm Ya Pmv b r!tlary Pur IPmraoY law, a i5.D1 (1) (m)). //1 #1894 Page 1 of 3 Beliefs Soil Service 7 � Date v Hills Of Hammo 11C.,`\` �. aJ Govt. Lot not NE114, SW114, S29, T29N, R17W Ownets Mailing Lot S Bloch # Subd. Name or CSM# — - — 400 end at RQIXCDU _ 63_ not Rolling Hills Farm &J711i,f 'Vk�l City tale zip Cad one Number City `_I village ; j Town Nearest Road Hudson 54016 715-386-0230 Hammond 160Th St New Construction Use: VSI Residential / Number of bedrooms _ 4 _ Code derived design Now rate 60 _GPD L.i Replacement L: Public or commercial - Describe: not ._ Parent material SiNy aedinrdrd err underlying reddish sandy loam till Flood plain elevation, 'd applicable — not _ft. General comments Mound design, system elevation WDA 1ft based on contour line elevation 99.70ft. Minimum of 17 inches and recommendations- of ASTM C33 mound sail. FilBorg # Boring Pit Ground surface elev. _ 10D.40 ft. Depth to Nmi6ng factor 19 in. Soil Appkation Rate Horizon I Depth in. Dominant Color Munsell Redox Descriptton - Qu. Sz. Cont. Color Teldu to . I Structure IConeationu Gr, Sz. Sh. Boundary I Rocks GPDffF 'Flit 'Etr+r[ 1 0-10 iDyr3/1 sl 2msbk I ftlfr 6 gw if na .6 .4 .8 .6 2 1D-19 . 10yr4/4 _crone none lid 2msbk mfr 3 19-45 10yr6/4 cld 7.5yr5/6 si/lid i ore not 9w not •0 .0 4 45-75 I 7.5yr4/4 { c2d 7.5yr5/6 sl/sd om not not na .0 .0 s ❑ Boring E Pit Ground surface elev. 100.40 ft. Depth to WrAng factor 31 in. Soil Application Rate Honwri I Depth in. I Dominant Color Munsell Redox Description Qu. Sz. Cord. Color Texhrre Structure : Consistent Gr. Sz. Sh. 1 Boundary Roots GPDfN' 'EMt "E"2 1 2 0-9 9-22 10yr3/1 10yr4/4 none none sil sid� 2rnsbk 2msbk— mfr I mfr j mfr gw 9w 9w lvf .6 .8 na na .4 .4 .6 .6 3 22-31 10yr4/4 none-2msbk 4 31-SD I 1Dyr5/8 f2d 7.Syr5/6 slJls om na na na 2 .6 Effluent #1 = BOD? 30 < 220 mg/L and TSS >30 < 160 ngn- ' Effluent 02 = BODs < 30 mWL and TSS <_30 mg& CST Nance (Please Print) Sign ureCST Number David J. Steel u _ _ 248956 _ Address Steel's Soil Service Hate Evaluation Conducted Telephone Number 994 200th St. Baldwin, W 154002 6/12/2008 715-760-0347 Property Owner Rolling Hills Of Hammond LLC. _ parcel ID # Pending Page 2 of 3 ❑Boring Boring # = 98.10 ft Depth to limiting Pit Ground surface elev_ ___ - 9 factor 20 in, Soil Application Rate Horizon Depth Dominant Color inMunsell Redox Description Texture Qu. Sz. Cont Color Structure ,Consistence Boundary Roots G_PDM Gr. Sz Sh. I •Ee#t I •619192 1 1 0-10-111 10yr3/1 rune sl 2msbk mfr s Ivf 6 .8 2 11-20 -- I 320-65 1 4/4 10yt6/6 none gr[os 7.Syr5/6 2msbk I mfr is na .7 I_na 0 1.6 c2d sl/std om na na .0 ❑ Bonng # Boring __ _ Pit Ground surface elev- ft Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Dexdption Texture Structure Consistence Boundary Roots m. Mansell Qu. Sz. Cont. Color Gr. Sz. Sh. -44 7 - } GPDW Tfw •Ett#2 1 Boring # —j Bonng _ l Pit Ground surfaceelev fl Depth to limiting factor —in Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistences Boundary Roots GPD/W in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'E##1 •EIg2 Ili I -- - - - - - - - --- -- - - - — - i i Ef(luerd #1 = BODS> 30 < 220 mg/L and TSS >30 <_150 mg/L . Effluent #2 = 8005 < 30 mgA- and TSS < 30 ri The Department of Commerce is an equal opportunity service provider and employer. I1 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. sBo-smw (a )7M) star, Sol sC STEEL'S SOIL SERVICE David J. Steel Rolling Hills Of Hammond LLC 994 200' St. CST-POWTSM NEl/4,SW1/4,S29,T28N,R17W Baldwin, W154002 Lie. #248956 Town of Hammond, St Croix Co. Direct 715-760-0347 Rolling Hills Farm Lot 63 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. 5ti M Legend 1" = 40' = Benchmark Ele. Top of 3/4" pvc pipe = Alt Benchmark Lie. Top of 3/4" pvc pipe = Borings 100.00 ft 100.10 ft Boring Elevations 131 = 100.40 ft B2 = 100.40 ft B3 = 98.10 ft B4 = 0,00 ft -5-6k N 3of3 isoo sin SOIL EVALUATION REPORT Department of Commerce in accordance with Comm 05, Wis. Adm. Cafe Division of Safety and Buildmga Attach complete site plan on paper not less than BY, x 11 inches in size. Plan must Counq include, but not limited to: vertical and horizontal reference point (BM), direction and -- iflatie percent slope, scale or dimensions, north arrow, and location and d ance to nearest road. parcel Please print oil�IMor Personal Information you provide may be& s6iiQ— u*"' (PmacY M. A 15.04 (1) (m)). #1893 —Rage 1 of 3_ Seel's Soil Service St. Croix : /Y / :W _ rroperry �ner ation - Rolling Hills Of Hammond LLC. 1 9 2�p5 Kr� na NE1/4, SW1/4, S29, T29N, R17W Properly Owner's MaJ' Address—..... - .. .--- -'.—. --- — m9 � Y81adr # Subd. Name or CSW400 2nd at 'Oo(C —na Roiling Hills Farm �/o �/L(/rS ---- .—.SfMe Zi code���Pho f -- .— . _1 Hudson F-11Boringa J _ �]; Ground surface elev. _ 96.30 _ ft. Depth to limiting factor —in. in. Soil Application Rate Horizon Depth ' Dominant color Redox Description Tanture j Structure ,Consisteaosi Boundary in. Munaeil li Ou. Sz. Cont Color Gr. Sz. Sh, i Roots GPDIR' _ 'Enf1 'EW2 1 2 3 q 0-16 10yr3/1 crone i sit 2msbk mfr Cs if 16-36 10yr4/4 none SKI i 2msbk n* cs na 36-54 7.5yr4/4 none osg rmrrr CS 0a 54-75 t-101111`5/8 C2d 7.Syr5/6 9rfs/sd rxn nor na na ~ .6 .4 .7 .0 .8 .6 1.6 .0 a r- Boring* Ground surface elev. 96.30 fl _ _ . _ Depth to limiting factor _ 40 in. Soil Application Rate Horizon Depth I Dominant Color in ' Munsell Redox Description i Texture structure i Ou. Sr., Cont. Color Or Sz. Sh. Consistencl Boundary Roots GPDM2 -Efsr1 'EiM 1 - 3 0-16 1Dyr3/1 -� 10yr4/4 - j -- Ii 40-60 I 10yr5/8 none sil 2msbk none sicl 2msMc --� -t —om c2d 7.Syr5/6 I scl �_- mfr mfr nor Cs if 6 .8 cs I �re ... nor 4 6 nor �_ _. 0 0 Effluent #1 = BOO,> 30 < 220 mg/L and TSS >30 < ISO mglL ' Effluent #2 = BOD. <30 mart and TSS <30 ma CST Name (Please Print) Signature: CST Number David J. Steel 248956 Address Steel's Soil Service - Date Evaluation Conducted Telephone Number .^ 994 2001h St. Baldwin. WI 54002 6112/2006 715-760-0347 >iBPOJD IR mrooj Property Owner Rolling_Hills OF Hammond LLC. Patel ID # Pending Page _ 2 of 3 3] 9onng # ;j Ground surface elev 101.40 ft. Depth to limiting factor 27 in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu Sr. Cont Color Texture Sirudure Gr. ut Sh. icnsertenoe Boundary Roots GPDXF •E/fat `Eff#2 1 0-9 10yr3/2 none sl 2msbk mfr scl 2msbk mfr Cs if .6 .8 2 9-16 10yr4/4 none i cs na .4 .6 3 16-27 10yr6/6 none Is osg mvfr gw na .7 1.6 4 27-65 10yr6/6 cld 7.5yr5/6 ! Is osg mvfr I na j na I .7 1.6 i Ground surfaceelev. —ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description . Texture Structure Consistence Boundary Roots GPDAte in. Munsell Qu. Sz. Cont. Color Gr Sz. Sh I `Hf#i •EM2 i I i li Boring# ..- i] Ground surface elev. -ft. Depth to limiting factor _ in. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Texture S1ruGure Du. S2. Cont. Color Gr SZ Sh. Consistence Boundary I Rods GPDM 'Eft#1 •Eftm — I i I, i Efflueid #t = BODS> 30 < 220 mg1L and TSS >30 < 150 mg/L ' Effluent #2 = BODE < 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 fomlat, please contact the department at 608-266-3151 or TTY 608-264-8777, sae-tsxl(&W/at) sktl's Sot sews STEEL'S SOIL SERVICE David J. Steel Rolling Hills Of Hammond LLC 994 200'° St CST-POWTSM NE1/4,SWl/4,S29,T28NR17W Baldwin, W154002 Lic. #248956 Town of Hammond, St Croix Co. Direct 715-760-0347 Rolling Hills Faun Lot 62 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. -r— t.egend I"=40' ♦ = Benchmark Ele. 100.00 ft 'Fop of 3/4" pvc pipe • = Alt Benchmark Ele. 99.95 It Top of 3/4" pvc pipe = Borings Boring Elevations B1= 96.30ft B2 = 96.30 ft B3 = 101.40 ft B4 = 0.00 ft /Z1W1qQ-L 7.5 N 3of3 ; t , i r 13C Tip c�fr ;Lor �1y' •' 1058.7 / �/ /)L girl A/1 f I \ ( I i ' I' / ' X \ ' ' �' . •J, 21 7yE SU DT ! yti,7$i Ssi. F� 1� i i 7P7 0f) M. LO LOT f•f r 1 21 1 - �2 I,781 $U Ff.l 81.791 I . FT, Vv 1~- i` 111 I ^^� 21,781 SST t BO 7.5I 0 1 LPT /l21,7t1S FT / rF1 21,781./' ,/ 1 •�• ,).' 17 1 ' J.. i.. �.. — 1,783 4Q U. I ft 21 Yl / / /�.•�, 1 rll �l p �,$�, .i , '',. 21,7 SU. OT, {u 44 ./ j�l 1 i� I, ,-.c�• Z /' I 21,7�5 .FT Ii1 Ptf91 tF'G! �I III I 110 X pff ruis _.ram ad'i/' ?aY X f al yh / l { ,t t� H.W.L.�.26 t 4'OT4/ /rOT 5 , 1 ', ?1.782 $C FT Fi P1.791 S . FT r/ ! -.1•� . X� .>> ; Oj 3 21.78 SQ. - . % •'� / 1,7� AEROBIC TREATMENT UNIT (ATU) SERVICING AGREEMENT this agreement its made pursuant to 4PS 381 2I(2Nc) (5), lAis Adm Code Property Ownerls) Parcel Legal Description of Property i Auach cap} of deed if necessan') Manufacturer and Modef Sanitary Wastewater Aerobic I Hoot Systems LLC Treatment Unit Hoot H-600 A Recording Area Remm To St Croix County Community Ikvclopmcnt Ikpt As an inducement to the County o(St. Croix to issue a sanitary permit for a POWTS equipped with an aerobic treatment unit on the aMtve described property, we agree to it, the follow'mg. 1 The owner agrees to confirm to all applicable requirements of Ch. SPS.3 83, Wis. Adm Code relating to aerobic treatment and the maintenance requirements for the proposed POWTS (Private Onnitc Wastewater Treatment Svstem) technology. 2 The owner agrees to maintain a contract with a licensed POWTS Maintainer for the life of the system. "rhe POWTS Mamtamer will perform periodic inspections and maintenance is required by the manufacturer and the department, including, but not limited to the blower, electrical controls, treatment unit operation and sludge depth. These inspections are to be scheduled every 6 months for the first two years of operation and vearly thereafter. 3 The ownct agrees to contact the N )W I Maintainer immediately upon any malfunction of the treatment unit and to maintain the unit so as to not create a human health hazard as described in s 254 59, Stats. 4 The owner recognizes that the ")only department or POWTS Maintainer may make periodic inspections of the components to complete performance monitoring of the unit. 5 I he owner or the owner's agent agrees to report to the department or designated agent at the completion of each inspection, maintenance or servicing event in a manner specified by the department or designated agent within 30 calendar days from the date of inspection, maintenance or servicing 6 This agreement will remain in effrrt only until the county office responsible for the regulation of private onsite wastewater treatment systems certifies that the property is no longer served by the aerobic treatment unit. in addition, this agreement may be cancelled by executing and recording said certification with reference to this agreement in such manner which will permit the existence of the certification to be determined by reference to the property. y This agreement shall be binding upon the owner, the hers of the owner, and assignees of the owner. The owner shall submit this agreement to the Register of Deeds, and the agreement shall be recorded by the Register of Deeds in a manner, which will permit the existence of the agreement to be determined by refcreme to the property where the aerobic treatment unit is installed. (Ise BLACK Ink Only) _ Ownerlst Names(s) (Print) Notarized Owneos) Sienaturels) Be f cirh F,. Sinner 23220 Ifnal C,,, Rd Sven, {t7 44872 swom to before me on this date Rotary Public (Print) NuUrx Public (Signature) My commission expires: 3AnrerF,.�, U� DIVISION OF INDUSTRY SERVICES Plumbing Product Review X P.O. Box 7302 Madism, Wisconsin 53701-2668 p / TTY: Contact Through Relay Governor Scott Walker Laura Gutierrez, Secretary � 510NN May 10, 2018 HOOT SYSTEMS, LLC RON SUCHECKI 2885 HWY 14E LAKE CHARLES LA 70607 Re: Description: SEWAGE TREATMENT APPARATUS Manufacturer. HOOT SYSTEMS, LLC Product Name: (trans id 3097849) H-SERIES HOOT Model Number(s): H-500-A (MAX. DWF 600 GPD) Product File No: 20180134 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 May 2023. This approval supersedes the approval issued on March 12, 2013 under product file number 20120398 This approval Is contingent upon compliance with the follovrng 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 • This product may not receive backwash discharge from a water softener. Water softener backwash discharge must be discharged in another method acceptable to chs. SPS 382 and 383 (formerly Comm 82 and 83), Wis. Admin. Code. • The maximum daily wastewater flow, which may discharge through this product, is 600 gallons per day. • When this product receives wastewater from dwellings, it will produce an effluent quality with a maximum monthly average value for BOD5 of less than or equal to 30 mgtL, TSS of less than or equal to 30 tri TSS and F.O.G. of less than 30 mgfL and fecal coliform of less than or equal to 10,000 du/100ml. • Plan review for the installation of this product must be obtained from the department in accordance with SPS 382.20 (1) of the Wis. Adm. Code. • This product must have installed a department -approved effluent fitter capable of filtering particles of 118 inch in size or larger. SBD-10564•E (N.10I97) Fite RiA 19013403.DOC Hoot Systems LLC May 10, 2018 Page 2 of 2 Product File No.: 20180134 Tphip 1 Maintpnnnno inanartinn Prrmnino Requirements PRODUCT/ Models H-5W 600 alkfa Initial/Startup Inspection/ Maintenance 2-yr, service agreement w/manufacturer Ongoing Pumping Cycle And/Or Requirements 2-W Pumping (trash tank only), unless more restrictive by local or state regulation; for aeration chamber, see ins on reautts Back -Wash Cycle N/A Effluent Performance Levels NSF40 Class I BODE Credit For Downsizing Distribution Area YES Fecal Credit For Reduction Of Vertical Se aration YES Additional Comments none • These tanks shall be fitted with locking manhole covers in accordance with s. SPS 384.25 (7) (h) Wis. Adm. Code. The manhole cover must be secured to the riser using screws which are not standard or Philips head to be considered an eftectivve 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 groundwater tables are indicated between the bottom of the tank and the ground surface. • BEDDING: 3-inches of compacted bedding shall be provided The bedding material shall be dry, sandy loam material, or coarser 5'Y2 diameter in the largest dimension. • BACKFILLING: must be compacted at 5 6-inch intervals. Backfill material shall be free -flowing soil or gravel 5 4 inches in diameter in the largest dimension. 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, �9j an W. Schlueter 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 gien.schlueter@wi.gov E-mail 500 GPD GRAVITY DISCHARGE SYSTEM H-500 A lw 74 5" S 69.E 574 2.M' Avg. 1 wO 5,6W' AY9, VVM 0 �-i e6.s m wmre. 65 S. Line Rev, 02 9124/02 ZAP". f. ¢ ;7ials-4/ u wasN p / b Al dap rw J' I I � I AMU IN OfddiAl-AAEii6�AN'At� itiNJ I I OWNGR •�oNe•• ROLLING HILLS FAgM w�u.pgpw�^•u« ..•. �•- � IOOATHp IN T1f4 OR NW1H OR TNH HW'./4. THC NHl/C OF Ti.G BW1M. 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Z / I rsi5.sC-V .Fs� 4,•Bo, z I1.2q' - 748�Z SB G& Jvd, L69•sJ2�`'� 6"� S 30'J 31.o3'_8s.1B' 11328' u�98.3, N87.10'30'E 1B8.4J i7111Y _ j3.y6�YE1'i � / ,3 ' N Rom/c /, pe NO2°5400•E \ 65.BT g6'14 1a I �'�3q' 7fig OUTLOT 2 r �; y 4271 ACHES rl' i 1,860,359 SO. FT. r r ,big O `/9"•'� `� LOT 36I ' � �64 - — - i i � y a I I �e 21.7e2 so. Fr. LOT 35 u 21,781 80. FT. / � `%.' 04' � --�b d`J' i'i / eV i L�,soFT is Z ?, 21 L,70N e+s,,lz L.8.D=1057.5o'\ L/�• / h�¢T g � 4} DEDICATED TO LOT 33 LOT 38 _ THE PUBLIC 135" 21,781 s Fr. y 21,781 SO. Fr. .B.O=10s7.so 4'26'E 22B•5 M ELEV BD2 0Tt rt ` LOT 32�o �� - .21.701 SO. Fr. _ , Nvisconsin Department of Commerce Division of Safety and Buildings SOIL EVALUATION REPORT in accordance with Comm 85, Wis. Adm Code #1893 1 of 3 Steel's Soil Service County Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must St Croix include, but not limited to vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and di tance to nearest road - — Parcel I D " �/ T _ 62 //- n CJ Please print all info leg R sewed Date f, Personal information you provide may be �pu oses (Privacy aw, s 15 04 (1) (m)) tl� Property Owner roperty Location 2p0� Rolling Hills Of Hammond LLC. qovt. of na NE1/4, SW1/4, S29, T29N, R17W Property Owner's Mailing Address COUNT( L t # Block # Subd Name or CSM# /� p 400 2nd st CFO 62 na Rolling Hills Farm (�K/1.tP l dk'17s City State Zi Code Phon er City village _ Town Nearest Road Hudson WI 5 715-386-0230 Hammond 160Th St �I New Construction Use. Residential / Number of bedrooms 4 _ _ Code derived design flow rate 600 GPD Replacement 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 100.10ft based on contour line elevation 99.60ft. Minimum of 6 inches of and recommendations ASTM C33 mound sand. Boring # ❑ Ground surface elev 96.30 ft. Depth to limiting factor 54 in Soil Application Rate Horizon _ Depth Dominant Color in Munsell Redox Description I Qu Sz Cont. Color Texture Structure Gr. Sz. Sh. Consistenc Boundary Rootsr.6 D/fN `Eff#2 1 0-16 10yr3/1 none sll 2msbk mfr cs if .8 2 16-36 10yr4/4 none Sid 2msbk mfr cs na .6 3 36-54 7.5yr4/4 none grls osg mvfr cs na 1.6 4 54-75 10yr5/8 c2d 7.Syr5/6 grls/scl om na na na .0 Boring # --- Ground surface elev 96.30 ft Depth to limiting factor 40 in Soil Application Rate Horizon Depth in Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz Sh. Consistence Boundary Roots GPD/ft' `Eff#1 `Eff#2 1 0-16 10yr3/1 none sit 2msbk mfr cs if .6 .8 2 16-40 10yr4/4 none Sid 2msbk mfr cs na .4 .6 3 40-60 10yr5/8 c2d 7.5yr5/6 scl om na na na .0 .0 * Effluent #1 = BOD> 30 < 220 malt. and TSS >30 < 150 mq/L * Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature CST Number David J. Steel 248956 Address Steel's Soil Service Date Evaluation Conducted Telephone Number 994 200th St Baldwin, WI 54002 6/12/2006 715-760-0347 Property Owner Rolling Hills Of Hammond LLC. Parcel ID # PendIN -- Page 2 of_3- ]Boring # _ Ground surface elev - 101.40 ft Depth to limiting factor 27 in _ -- Soil Application Rate Horizon Depth in Dominant Color Munsell Redox Description Texture Structure Qu Sz. Cont Color Gr Sz Sh Consistence Boundary Roots GPD/ft' Eff#t 'Eff#2 1 0-9 10yr3/2 none sl 2msbk mfr cs if .6 .8 2 9-16 10yr4/4 none scl 2msbk mfr cs na 4 6 3 16-27 10yr6/6 none Is 0sg mvfr gw na 4- 27-66- 10yr6/6 old 7.5yr6/6 Is osg mvfr_ na na .7 16- ❑ Boring # — Ground surfaceelev It Depth to limiting factor - in Soil Application Rate Horizon Depth in Dominant Color Redox Description Texture Structure Consistence Munsell Qu Sz Cent Color Gr Sz Sh Boundary Roots iGPD/ft' -Eff#1 •Eff#z ❑ Boring # -- Ground surface elev _ It Depth to limiting factor in it Apphca4on Rate Horizon Depth Dominant Color Redox Description in Munsell Qu Sz. Cont Color Texture Structure Consistence) Gr Sz Sh. Boundary Roots GPD/ft'ff#t - 'E'Eff#2 i �— ' Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOOS < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity sore ice provider and emploN er If 7ou need assistance to access Services or need material in an alternate format. please contact the department at 608-266-3151 or FTY 608=264-8777. Sun -833n (R 07/U0) Steel's Soil Serve STEEL'S SOIL SERVICE 3 of 3 David J. Steel Rolling Hills Of Hammond LLC 994 200th St. CST-POWTSM NEI/4,SWl/4,S29,T28N,R17W Baldwin, WI54002 Lic. #248956 Town of Hammond, St Croix Co. Direct 715-760-0347 Rolling Hills Farm Lot 62 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 I"-40' ♦ = Benchmark Ele. 100 00 ft Top of 3i4- pvc pipe ��' "�� . = Alt Benchmark Ele. 99 95 ft ' Top of 34- pvc pipe ❑ = Borings c-G Boring Elevations B1 = 9630 ft 1 B2 - 96.30 ft B3 = 101.30 ft B4 = 0.00 ft i N � SS' g ��/SCOt1S//► SOIL EVALUATION REPORT #1894 Department of Commerce in accordance with Comm 85, Wis Adm Code -- Page 1 of 3 Division of Safety and Buildings Steel's Soil Service Attach complete site plan on paper not less than 8% x 11 Inches In size Plan must County St. Croix include, but not limited to vertical and horizontal reference point (BM), direction and - --- - - percent slope, scale or dimensions, north arrow, and to n and distance to nearest road Parcel I D eIp L6 �. 0 31 Please print Lion. c-Rgg�rgg— flu G R Iewe Date Personal information you pro EC� ntlary purpos s (Privacy Law, s 15 04 (1) (m)) GCC rti,.- Property Owner �006 Property Location Rolling Hills Of HarltState 1 9 Govt Lot na NE1/4, SW1/4, S29, T29N, R17W Property Owner's Mailing AUNSY Lot # Block # Subic! Name or CSM# 4002ndstpy,CO C Rk� _ 63 na Rolling Hills Farm City od one Number City Village Town Nearest Road Hudson 16 715-386-0230 Hammond 160Th St New Construction Use Residential / Number of bedrooms _ 4 Code derived design flow rate 600 GPD Replacement -. 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 100.11ft based on contour line elevation 99.70ft. Minimum of 17 inches and recommendations of ASTM C33 mound sand. ❑ Boring # Boring 100.40 Pit Ground surface elev — ft Depth to limiting factor 19 in Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistency Boundary Roots G_P_OMP in. Munsell Qu, Sz Cont Color Or Sz Sh. •Eff#t -Ef#F2 1 0-10 10yr3/1 none sl 2msbk mfr Cs if .6 .8 2 10-19 10yr4/4 none scl 2msbk mfr gw na .4 .6 3 19-45 10yr6/4 cld 7.5yr5/6 sl/scl om na gw na .0 .0 4 45 75 7.5yr4/4 c2d 7.5yr5/6 sl/scl - -- om na na na 4 0 .0 Boring # Boring 100.40 Pit Ground surface elev - ft Depth to limiting factor 31 in Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 In. Munsell Qu. Sz. Cont Color Gr Sz Sh 'Eff#1 Eff#2 1 0 9 10yr3/1 none sit 2msbk mfr gw lvf .6 .8 2 9-22 10yr4/4 none sicl 2msbk mfr gw na .4 .6 3 22-31 10yr4/4 none scl 2msbk mfr gw na .4 .6 4 31-80 10yr5/8 f2d 7.5yr5/6 sl/Is om na na na .2 .6 ` Effluent #1 = BOD 5> 30 < 220 ni and TSS >30 < 150 mg/L ' Effluent #2 = BOD5 < 30 mg1L and TSS < 30 mg/L CST Name (Please Print) Sign3 ure. CST Number David J. Steel 248956 _ Address Steel's Soil Service DatialEvaluation Conducted Telephone Number 994 200th St Baldwin, WI 54002 6/12/2006 715-760-0347 MM 8330 (R 07100) Property Owner Rolling Hills Of Hammond ll _- Parcel lD# Pending Page 2 of 3 Boring # _ Boring _ Pit Ground surface elev 98.10 If Depth to limiting factor 20 _ in Soil Application Rate Horizon Depth in. Dominant Color Mansell Redox Description Qu Sz. Cont. Color Texture Structure Gr Sz- Sh Consistencel Boundary Roots GPD/R' 'Effltt 'Eff#z 1 2 0-11 11-20 10yr3/1 10yr4/4 none none sl grcos sl/sicl 2msbk 2msbk om mfr mfr na cs cs lvf na na .6 .8 .7 1.6 3 20-65 10yr6/6 c2d 7.5yr5/6 na .0 .0 Bonn # g Boring Pit Ground surface elev ft Depth to limiting factor __- -- in Soil A PPlication Rate Horizon Depth in Dominant Color Munsell Redox Description Qu. Sz Cent Color Texture Structure Consistence, Boundary Gr Sz Sh Roots GPD/ft2 'Eff#1 'Eff#2 ❑ Boring # Boring Pit Ground surface elev - - - ft Depth to limiting factor --- in ,Sail Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu Sz Cent Color Texture Structure Consistence Boundary Gr Sz Sh. Roots ��_ GP_ D_/ft2 'Eff#1 `Eff#2 Effluent #1 = SOD? 30 < 220 mg/L and TSS >30 <-150 mg1L ' Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opponunity service provider and emploN er. If ynu need assistance to access services or need material in an altemate format, please contact the department at 608-266-3 151 or I'TY 608-264-8777. SBD-8330 (R 07/001 Steels Sod Service STEEL'S SOIL SERVICE David J. Steel Rolling Hills Of Hammond LLC 994 200`h St. CST-POWTSM NEI4,SW1'4,S29.T28N,R17W Baldwin. WI 54002 Lic. #248956 Town of Hammond, St Croix Co. Direct 715-760-0347 Rolling Hills Farm Lot 63 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. 5 u� N 3 of 3 Legend 1" = 40' ♦ = Benchmark Ele. Top of 3/4" pvc pipe = Alt Benchmark Ele. by of 3/4" pvc pipe = Borings 100.00 ft 100.10 ft BormQ Elevations B 1 = 100.40 ft B2 = 100.40 ft B3 = 98.10 ft B4 = 0.00 ft `Mscansin SOIL EVALUATION REPORT #1895 Department of Commerce in accordance with Comm 85, Wis Adm Code----Ps9e 1 of 3 Division of Safety and Buildings Steel's Soil Service County Attach complete site plan on paper not less than 8%: x 11 inches in size Plan must St. Croix 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 D Q/ kL —N� y p Please print all lnfor � Rey wed By ./ Date ,CYl1 Personal information you provide may be used for rposes rrvacy Laws 15 04 (1) (m)) Rolling Hills Of Hammond v LC. QQ6 Govt Lot na NE1/4, SW1/4, S29, T29N, R17W Property Owner's Mailing Addre Lot # Block # Subd Name or CSM# 6JZ/1/p 400 2nd st ��%�' OVNt 64 na Rolling Hills Farm -'12 (k y City Sta Zip od hone er City Village Town Nearest Road Hudson I WI 54016 i 15-386-0230 Hammond 160Th St New Construction Use l4gridential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement Public or commercial - Describes na Parent material Silty sediment and underlying reddish sandy loam till Flood plain elevation, if applicable _ na ft General comments Conventional system, system elevation 96 89ft Trenches spaced and depth to code based 3 16ft below and recommendations grade. ❑ Boring # - Boring 100.05 Pit Ground surface elev ft Depth to limiting factor 100 in ISoil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots— GPD/ft' inMunsell Qu Sz Cont Color Gr Sz Sh 'Eff#1 'Eff#2 1 0-12 10yr3/2 none sl 2msbk mfr Cs if .6 1.0 2 12-29 10yr4/4 none sl 2msbk mfr gw na .6 1.0 3 29-100 10y 6/6 none mssg Till na na .6 2 Boring # -- Boring 100.05 Pit Ground surface elev. - ft Depth to limiting factor 110 in Soil Application Rate Horizon 1 Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots G_PD/ft' 'Eff#t `Eff#2 in. Munsell Qu Sz Cont Color Gr Sz Sh 1 0-11 10yr3/2 none I 2msbk mfr Cs if .6 1.0 2 11-20 10yr4/4 none scl 2msbk mfr gw na .4 .6 3 20-110 10yr6/6 none ins osg ml na na .7 1.6 -- 1 �— Effluent #1 = BOD s> 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) ignature CST Number David J Steel 248956 Address Steel's Soil Service Date Evaluation Conducted Telephone Number 994 20Dth St. Baldwin, WI 54002 6/12/2006 715-760-0347 1nu-bs.. rx V vvui Property Owner Rolling Hills Of Hammond LLC. ParcellD# Pending Page 2 of 3 FYIBoring # Boring Pit Ground surface elev 98.15 ft Depth to limiting factor 110 __ in. ISoil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff' In, Munsell Qu Sz Cont. Color Gr Sz Sh. `Eff#1 `Eff#2 1 0-10 10yr3/2''none 2 10-19 10yr4/4 none sl 2msbk mfr Cs if .6 1.0 grls osg mvfr gw na .4 .6 3 19-110 10yr6/6 none ins osg ml na na 7 Fl.6 ❑ Boring # Boring factor Pit Ground surface elev ft Depth to limiting in Soil Application Rate - — -- Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDRt' in. Munsell Qu. Sz Cent Color Gr Sz Sh. `Eff#t •Eff#z ❑ Boring# Boring limiting factor Pit Ground surface elev. ft Depth to in. Soil Application Rate -- — Horizon Depth Dominant Color Redox Description Texture Structure Consistence) Boundary! Roots GPD/ft' in Munsell Qu Sz Cont. Color Gr Sz Sh. `Eff#t •erfnz ` EfFluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD5 < 30 mgA- 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 I I 608-264-9777. SUD-81 uI I 371w� steel's Soil ServKe STEEL'S SOIL SERVICE 3 of 3 David J. Steel Rolling Hills Of Hammond LLC 994 200" St. CST-POWTSM NEl/4,SW1/4,S29,T28N,RI7W Baldwin, W154002 Lie. #248956 Town of Hammond, St Croix Co. Direct 715-760-0347 Rolling Hills Farm Lot 64 Fax 715-684-3449 This soil evaluation was conducted to satisfy a zoning requirement, it may or ma) 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 F = 40' ♦ = Benchmark Ele. 100.00 ft Top of3/4" pvc pipe • = Alt Benchmark Ele. 100.00 ft Top of 3/4" pvc pipe ❑ = Borings Boring Elevations B I = 100.05 ft B2 = 100.05 ft B3 = 98.15 ft B4 = 0.00 ft