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016-1018-70-100
Wsconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safely and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)I TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Au Intake ROAD Septic Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist to Well JVIL A130VKY I11UN .7TJ I LM STATION BS HI FS ELEV. Benchmark Alt, BM Bldg. Sewer SI/HI Inlet St/Ht Outlet Dt Inlet Dt Bottom Header/Man. Dist. Pipe Bot. System Final Grade St Cover BEDlTRENCH DIMENSIONS Width Length No. Of Trenches PIT DIMENSIONS No Of Pits Inside Dia. Liquid Depth SETBACK INFORMATION SYSTEM TO PIL JBLDG WELL LAKEISTREAM LEACHING CHAMBER OR UNIT Manufacturer Type Of System. Model Number LI 11 1•i 111 Akar•i nJlla-1C, HeadertMandold x Hide S¢e x Hole Spacing Vent to Air Intake JDipsln(lution Ps) Length Die Length Dia Spacing JVIL V Wv Gn x P...uro n.h. as--. n... n—A- �_.. Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center BedfTrench Edges Topsoil E] Yes [] No E Yes ®No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection it Location: 1661 290TH ST 1.) All BM Description = 2.) Bldg sewer length = - amount of cover = Inspection #2: Plan revision Required? [? Yes No Use other side for additional information. SBD-6710 (R.0/97) Date Insepciofs Signature Cart. No. /1.- I • 1 nil L�J FE-D)��L�� U Safety and Buildings Division 01 W. Washington Ave., P.O. Box 7162 St. Croix DEC 3 0 Zp Madison, WI 53707-7162 Sanitary Permit Number (to be filled in by Co.) l03l21 T oState Transaction Number mitt pplication In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this forth to the appropriate governmental unit �S - 122 Op Z 81 3- 0- is required prior to obtaining a sanitary permit Note: Application forms for state-owned POWTS arc submitted to the Department of Safety and Professional Services. Personal information you provide may be used for secondary project Address (if ditfetmt than wiling address) purposes in accordance with the Privacy Law, s. 15.04(l)(ml Stats. Same I. Application Information -Please Print All Information Property Owner's Name Parcel M Beverly Frantz 1�Tt 016-1018-70-100 Property Owner's Meiling Address Property Location 1661 290d St. GovL Lot NW %., NW /., Section 09 City, State Zip Code Ptnone Number Glenwood City,WI 54013 715 505-2906 T EmW (circle one) 3�N; R_ 15 H. Type of Building (check all that apply) Lot p ® 1 or 2 Family Dwelling - Number of corns 3 Subdivision Name 01 Block 4 I ❑ PubliclComm ercud - Describe use Na ❑ City of Na ❑ State Owned - Describe Use ❑ Village of CSM Number Doc,. 53 t fi T-f \ ®Town of Glenwood Vol. 10 Pg. 2963 ) III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. ❑ New System accent Treatmcnt/Holdirag Tank Replacement Only ❑Other Modification to Foisting System (explain) Move existing holding tank B. ❑ permit Raw" ❑ permit Revision ❑ Change of Plumber ❑Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner IV. Type of POWTS S f/ rem/Corn neat/Device: Check all that a r ❑ Non-Pressurimd In -Ground ❑ Pressurized In -Ground ❑ At -Grade ❑ Mound > 24 in. of suitable soil I SiMound < 24 in. of suitable ❑ Holding Tarok ❑ Other Dispersal Component (explain) ❑ Prelreatnwrt Device (explain) V. Dls l/Trentment Area Information: SymTech STF-100A effluent filter Design Flow (gpd) Design Soil Application Ra[e(g;xM Area Required (sf) Area s S stem Elevation �� (0 y 450 Gpd 0.4 ft 1 125.00 gpd/sq. ft �� s1 r, 606.7 i sq. R 104.00' at 24" above 102.00' contour VL Tank Info Capacity N Totd A of Manufacturer Gallons Gallons Unit New Tanks IWsbn —Tanks I 4 ) 0. Septic or Holding Tank 1,000 1,000 I Unknown X D0sing giniher 750 750 1 Wieser Concrete X VIL Respo sibillity Statem sat- I, the nadenaigned, assume asibil ty for iostellatioa of the POWTS shown os the atbtchM to Plumber's Name (Prim) Plumber' ignatttuure MPIMPRS Number Business Phone Number Dale Hudson �� ,,, MP 220853 715 684-3378 Plumber's Address (Street, City, State, Zip Code) 820 Main St.,Mdwin, WI 54002 VUL County/Department Use Only Approved ❑ red Permit Fa Date Issued ui t �Sngoet` n ❑ n for Denial S ��� I�� 202/ I� DL Conditions o pprov da. fe. twirappreival 3)A MkA-`'`^ w` YSTEMOWNER: -4" Septic tank, filter and 44 tt4. + effluent , An dispersal cell must be serviced / maintained �� 6-44. p��4a ��Cl/ W-ud.,r 64?� r„rap, ,(�, qI/ � "!'�'(�/J as per management plan provided by plumber. he Al! get6ask —uo maintained •. AM.& b .N A... 6 a5 pea appuuci"I'::.UUcia ul11,111 . s �ytr j Prot/t� l�il{ar ►atd ��t SBD-6398 (R. 11/I l) "Ce (�pP c9a> run._ f.�r� i3srt a Z,•P� ��� � �� �� � �r��� Swb� �- �` � . M I � � � �� c� pt.pv ! At 9/ x tt4.l3,w s`xA00.dpd(�4a1F ar(4) OQ ,d1r/,fX�; 6K Errb� ,(s 1�e✓a�(s alb 1%�fyr y1.73' G^Y MO zss! Se�� eAs//a6yn�r • .Exrxd•� .�,rdc �k� •tir'.ts'9� Awl A:A" �s ka&kvWX64MIXd%OA t to/ cxm �,.. i(0'' ✓.C._�" ^�, ■ �r,Y l�sa' ISC�SO'+(4.�f6aC.n'� '� i ��••I /��� // ice= 0 Wco d 4w �y 4hA5Tw-3aJ4 R✓c. EfY�f.%y /N�cl,:nC .SAW f'w�eewutiw j�ra f�estgi W.Yssi wcP-13a�tQ o � ✓ Q, 9 f . Pro estd �srdure ,F'prl�p�1�s' K+xc. 'E—fs z9G $s EXi3�: �-evt/ d�;dtwwy /O.•'l�• Co.tflActi/ GAP Residential Mound POWTS Index & Title Sheet Project Name: Fremz 3 Bedroom Residential Mound Owners Name: Beverly Frentz Owner's address: 1661 290th St., Glenwood City, WI 54013 Site address: Same Project Location: Subdivision: Lot 01, CSM Vol. 10, Pg. 2963 Legal Description: NW IiaNWv4, Sec. 09, T.30N., R 15 W., Town of Glenwood, St. Croix Co., WI. Parcel ID #: 016-1018-70-100 Page 1 Index and Title Sheet Page 2 State Approved Mound Design Page 3 Filter Specifications Page 4 Septic/Pump Tank Cross Section Page 5 Septic Tank Maintenance Agreement Page 6 Existing Septic Tank Certification Page 7 CSM Page 8 Warranty Deed Attachments: House Plans Mater Plumber Restricted Service: Dale Hudson, DSPS Credential #220853 Signature: t—�>L J \ :ir� Ul Date: � � - I L - 2- Ozci Page 1 of 8 Design pu u mt to In -Cm d Soil Absorption Component Manual for POW S version 2.0 SBD-10705-P (N.OMI) December 7, 2020 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 2022-12-07 Plan Review: PWTS-122002813-C DALE HUDSON 820 Main St. PO Box 78 Baldwin, WI 54002 SITE: phlift 1661 290th Street Town of GLENWOOD St. Croix County Total Amount: $250.00 Description: 450 GPD (3 Bedrooms — Replacement) Maintenance Required DIVISION OF INDUSTRY SERVICES 2331 SAN LUIS PL GREEN BAY WI 54304-5211 Contact Through Relay http://dsps.wi.gov/programsArvdustry-servkm www.wisconsin.gov Tony Evers - Governor Dawn Crlm - Secretary Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES ;!:� 11�� ZC. SEE CORRESPONDENCE Pressure Distribution Component Manual — Ver. 2.0, SBD-10706-p (N.01/01, R 10/12) Mound Component Manual — Ver. 2.0, SBD-10691-P (N.01/01, R 10/12) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • Preserve dispersal area prior and during construction to avoid disturbance, compaction and use of the site. • Any tall grasses, leaves and shrubs shall be cut short and removed prior to tilling the surface for installation to prevent matting under the dispersal area. All loose organic material to be removed from POWTS Dispersal Area. • Prior to construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. Smearing and compacting of wet soil will result in reducing the infiltration capacity of the soil. Proper soil moisture content can be determined by rolling a soil sample between the hands. If it rolls into a 1 /4- inch wire. the site is too wet to prepare. If it crumbles, site preparation can proceed. If the site is too wet to prepare, do not proceed until it dries. • Abandon Existing System per SPS 383.33 • Pump Floats to be set and verified per approved plan Any changes may result in pump resizing to meet TDH and GPM Soeciffcations. • Divert surface water from POWTS Area. • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building sewer beyond 30 feet per SPS 382.30 (11)(c) • Tank Installation to follow all manufacture's recommendations. • Verify property line(s) prior to installation. • Well setbacks to meet chs. NR 811 & 812. • Areas that are occupied with rock fragments, tree roots, stumps and boulders reduce the amount of soil available for proper treatment. If no other site is available, trees in the basal area of the POWTS Dispersal Area must be cut off at ground level. A larger fill area is necessary when any of the above conditions are encountered, to provide sufficient infiltrative area. Owner Responsibilities • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owners manual for the POWTS described in this approval SPS 383.54(1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/instal lation/opemtion. 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 the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Thanks, POWTS Plan Reviewer — Wastewater Specialist Department of Safety & Professional Services I Division of Industry Services email: tim.vanderleest(h).wisconsin.gov Cell: 608-516-6134 MOWND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Frentz 3 bedroom residential mound Owns aNwne: Beverly Frantz OwWsMdreea: 1661 290th St Conditionally APPROVED ' T. OF SAFETY AND PROFESSIONAL SERVICES Glenwood City, Wl 54013 DIVISION OF INDUSTRY SERVICES Site Address: Same L..1., C...t Legal Description: NW1/4 NW1/4, Sec. 09, T.30N., R.15W. SEE CORRESPONDENCE Township: Glenwood County. St. Croix Subdivision Name: CSM Vol. 10, Pa. 2963 Lol'Number. 1 Block Number. Na Parcel I.O. Number. 016-1018-70-100 Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page B Management and contingency plan Page 7 Pump curare and specifications Page B Site Plan Page B Concave Dispersal Cell Calculaums Page 10 _Attached Soil Evaluation Report Page 11 State Application for Review Designer. Dale Hudson License Number. 220853 Date: 11/10/20 Phone Number. (715) 684-3378 swan: n: Designed Pursuant to the • .Mound C0R4)onont Manual for POWTS Version 2.0 SBD-10691-P (N. 0U31, R. I W2), and both St3�NMP PubNceffon 9.6 Design of Pressure Distribution NeWmft for ST-SAS (01/81) and Prwwre Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01, R. 10/12) Version 7.0 (R. 11112) Page 1 of 11 APPLICATION FOR REVIEW -Complete all pages - ye NOTE: Personal Information You Provide may be used for secondary purposes [Privacy Laws. 15.04(1)(m), State.] Private Onsite Wastewater Treatment Systems Division of Industry Services ❑ Plans to be E-filed. Provide SharePoint User name below: For plan status, check our website at http://dsps.v i.gov Several counties have been delegated certain authority to review plans in lieu of Division of Industry services. For a current list of those counties and their des' nation check our websfte at httJ/ds .wi. v 1. Project IMormadon - Fill In all known Inforntat► m. Confimhatlon of esslgrarerd to a reviewer. Project/Slte Name: Frentz 3 Bedroom Residential Mound Transaction ID: Location, Number & Street of proiect (If unknown, indicated nearest road) Previous Related Trans. ID: 1 C tellOT i w1 i Estimated Completion Date: ( J11U Legal Description: 114 1 N. Glenwood Assigned Reviewer County St. Crook Assigned Office: Mall to your office of choice below: City ❑ Village 0 Town of Hayward, LaCrosse, Waukesha NOTE: We reserve the right to no -distribute plans to another office if 2. After plans are reviewed, pieaeek (check all that apply) ❑ Call customer 1, 2 (circle number)' needed to reasonably balance tumaround times. Check ❑ Requesting party well pick up http://dspa.wi,Aoy for office availability and next evalleble review lots ® Mail plans to customer 1, 2 (circle number)* 'Refers to customer number from below. 3. Complete the following deslgner/owrradrequesting Informsdon. Utilize the check boxes when designer, owner or requesting party Is the same to avoid repeating information. Designer Intonnation (Customer 1) DSPS First Name Other Pleass Specify Below (Customer 2) DSPS Last Name Customer Number Dab Hudson Last First Name Last Name Customer Number Company Name Thompson James K. 3D021 Company Name Boats Plumbkxl & FloatingA.C.E. Address SON & Site Evaluations LLC 820 Main St Address 340 Paulson Lake Ln. City State Zip+4 (9 digits) Baldwin WI city State Z" (9 digke) 54002 Phone Number E-mail address Cell phone (area code) Osceola WI 54020-5413 Phone Number E-mall address Cell phone unec 884J378 Check applicable (area code) (715) 248-7767 acesNd0frontbmet.net El Owner Check If applicable or spec fy relationship Owner Z Other- specify relationship Design Consultant Information and Plan Submittal Checklists. POWTS pre -scheduling is not available. Plans will be assigned to a reviewer after receipt at a DSPS office. Submittals received may be assigned to offices other than the receiving office depending on reviewer availability. Submittal checklists can be found in each applicable component manual appearing on the POWTS Publications page, http://depe,wi oov/DhD/Bb-Dnalopp/prodopde result Dho/POWTSM/POWTS uestions to QSPS3BPowtsTechQvWjiov. COMPONENT MANUAL. You may email technical code Hayward DSPS 10541N Ranch Rd LaCrosse Area DSPS Waukesha DSPS Hayward W154843 3824 N Cmakside Holmen WI 54636 141 NW Barstow St 41 Floor 715-634-4870 Fax: 715-6345150 (NOTE CHANGQ Waukesha Wl 531W3789 Email: DsosSbPlanSchedub®wi 608-785-9334 262-548-8600 aov Fax: W&785-9330 Fax: 262.548-8614 Email: bPlanScmedule®wi aov Email: DeosSbPlanSchedulellkwi oov Make Checks Payable to: Division of Industry Services OR ❑ Check box to invoice designer and sign below TOTAL AMOUNT DUE i jam) QQ Designer signature Review Cods 7933 SPS-105T7 (R 10115) S. Powr3 SUBMITTAL (check all that apply — Incomplete forms may result In processing delays) ❑ NEW ❑ Aerobic Treatment Unit(s) ❑ Chlorinator ❑ Tank Replacement Only ® REPLACEMENT ❑ Commercial System ❑ UV DisiMactlon Unit ❑ Add Effluent Filter SYSTEM TYPE(S) NOTE: Submit separate sheets for each system tt submitting multiple systems on the same eke Enter Foe Q Revision to prtvlotuly approved plan El IAleeila ensous Review 0.0. rsplaprtmert pretreatment deice to an existing system, etc.) i80JFmr of a septic tank, addition of an effluent fitter or $Mr ❑ Component Manual Design AN treatment components are previously approved ElAt-GradeComponent Manual -Ver. 2.0, SBD-10854 (N.031O7, R. 1/12) Wastewater Flow in under a. SPS 384.10 (2) or (3): ❑ In -ground Component Manual - Ver. 2.0, SBD-10705-P (N.O1/01, R 10112) Geilons Per day ® Mound Component Manual — Ver. 2.0, SBD-10691-P (N.01/01, R 10/12) Design wastewater flow of the proposed system: ❑ Pressure Distribution Component Manual — Ver. 2 0, SBD-10706-P (N.01101. R 10112) AN 1,000 gpd or less $ 250.00 250'00 ❑ Other - Please specty GPD 1,D01 — 2.000 gpd $325.00 2,001 — 5,000 a $400.00 ❑ SoH Based Individual Site Design' One or more treatment components are not ❑ At Grade previously approved under s. SPS 384.10 (2) or (3): (Individual site design/deviation from component ❑ Non -Pressurized In -ground Design manuals and use of components without product ❑ Pressuri-ed In -ground Wastewater Flow in approvaq: ❑ Mound ❑ Drip -line Gallons Per day Design wastewater flow of the proposed system: ❑ Constructed Wetlands GPD 1,D00 gpd or less $450.00 ' Documentation must be provided to support P PPS treatment and dispersal Gamma. In a separate 1,D01 — 2,000 gpd di600.00 statement, Provide rationale for the project and attach supporting documents (code sections, test 2,001 — 5,000 gpd $750.00 reports, technical papers, research articles, eta) greater than 5,000 gpd $900.00 plus $0.08 for each gallon over 5000 gpd State-owned facilities: Design Holding tanks previously approved under a. SPS ❑ Holding Tank Component Manual, Ver. 2.0, SBD-10855-P (N.03107, R1/12)• Wastewater Flew In 384.10 (2)(3). Design wastewater flow of the proposed system: Gallons Per day Non -state owned Commercial and Residential Holding tanks that completely utilize this manual 5,0D0 gpd or less $90.00 and have an estimated daily flow of less then 3000 gallons per day must be submitted to the GPD 5,001—10„000 gpd $150.00 appropriate governmental unit for review instead of the Department. [am SPS 383.32(3)(a)] greater than 10,000 gpd $225.00 ❑ Holding Tank Individual Site Design*, (i.e. site constructed, <5 day holding capacity, Co- Bolding tanks Including site constructed tanks NOT mingled wastewater, oft.) Design Wastewater Flow in previously approved under s. SPS 384.10 (2) or (3). Planes specify: _ Gallons Per day Design wastewater flow of the proposed system: Documentation must be provided to support the rationale for the project. In a separate statement, 5,000 god or less $180.00 please include all code sections, test reports, technical papers, research articles, etc.) 5,001 — 10,000 gpd $300.00 GPD greater than 10,000 gpd $450.00 ❑ Sol Saturation Determination Report (using observation pipse) Cl Interpretive, Determination $240.00 ❑ EXPKhertal System (Ons time additional fee). Submit fee for Indivlduel system as par appropriate above system type) Expert mein Number _ $400.00 rrror app� rrum a owmia" Gmw m fequtreg Torn priority nwiew. If approval ts granted, the priority will be reviewed within 5 days of receipt. Priority Review (enter same amount as normal review fee listed above) Enter Total (rounded to the nearest dolter) S250.00 SPS-10577 (R 10/15) MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Frentz 3 bedroom residential mound Owner's Name: Beverly Frentz Owner's Address: 1661 290th St. Glenwood City, WI 54013 Site Address: Same Legal Description: NW1/4 NW1/4, Sec. 09, T.30N., R.15W Township- Glenwood County: St. Croix Subdivision Name: CSM Vol. 10, P . 2963 Lot Number: 1 Block Number: Na Parcel I.D. Number: 016-1018-70-100 Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Site Plan Page 9 Concave Dispersal Cell Calculations Page 10 Attached Soil Evaluation Report Page 11 State Application for Review Designer: Dale Hudson License Number: 220853 Date: 11/10/20 Phone Number: (715) 684-3378 Signature: Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SBD-10691-P (N. 01/01, R. 11/12), and both SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01, R. 10/12) Version 7.0 (R. 11112) Page 1 of 11 Mound and Pressure Distribution Component Design Design Worksheet (R or C) Site Information Residential or Commercial Design Estimated Wastewater Flow (gpd) Peaking Factor (e.g. 1.5 = 150%) Design Flow (gpd) Site Slope (%) Contour Line Elevation (ft) Depth to Limiting Factor (in) In -situ Soil Application Rate (gpd/ft2) R 300.00 1.60 450.00 20.00 102.00 12.00 0.40 Distribution Cell Information 100.80 Dispersal Cell Length Along Contour (ft) _ 0.99 Dispersal Cell Design Loading Rate (gpd/ftz) 1 Influent Wastewater Quality (1 or 2) (C or E) Pressure Distribution Information Center or End Manifold Lateral Spacing (ft) Number of Laterals Orifice Diameter (in) Estimated Orifice Spacing (ft) _ Forcemain Diameter (in) Forcemain Length (ft) Pump Tank Elevation (ft) System Head (ft) x 1.3 Vertical Lift (ft) Friction Loss (ft) In -line Filter Loss (ft) Total Dynamic Head (ft) c 2.25 4 0.125 2.50 2.00 140.00 96.00 6.50 7.67 3.23 0.50 17.90 Lateral Diameter Selection in. dia. options I choice 0.75 1.00 x 1.25 x x 1.50 x 2.00 x 3.00 x Treatment Tank Information 1000.00 Septic Tank Capacity (gal) Weiser Concrete Imanufacturer Note: Sand fill (D) calculations assume a Table 38344-3 in -situ soil treatment for fecal coliform of <= 36 inches. 4.50 Cell Width (ft) Are the laterals the highest point in the distribution Y network? Enter Y or N If N above, enter the elevation ft of the highest point. 5.67 ft'/orifice Does the forcemain drain back? OY Enter Y or N Forcemain Drainback (gal) 5x Void Volume (gal) A Minimum Dose Volume (gal) System Demand (gpm) Manifold Diameter Selection in. dia. options choice 1.25 x 1.50 x x 2.00 3.00 Gallons/Inch Calculator (optional) 750.381 Total Tank Capacity (gal) 37.00 Total Working Liquid Depth (in) 20.28 gallin (enter result in cell B49) Dose Tank Information Effluent Filter Information 750.38 Dose Tank Capacity (gal) JPoIyLok Filter Manufacturer 2,281 Dose Tank Volume (gal/in) PL-525 Filter Model Number Weiser Concrete IManufacturer Project. Frentz 3 bedroom residential mound ESTIMATED DESIGN Page 2 of 11 CL o' m h �. Y• y J m E rn CVc`Ovv Qa �a 0 o ao in ao q O N M � il- O C M m O chi H c • c CT u co N LLW) C O O C m 7 U J 0 � m C W LL () �i aoo o coo `� amo r n n LO 0 ICI ci 8 O ILLI t E 0 A W 3 0 c� \r tL m Q C � edld uopamosgo Mole 'RIP VI f v UUco E Y iiiS J cm 1I EH®© 0 M rn a Z C9 W O 0 QW i H W V C 7 O E m E M LL P a Center Connection Lateral Layout Diagram r oroe mrn corneodon via tae or cross to nwrfoid at Wq print. 0 i-Ture-upudbellwlwor IEX—?IE olsanoAplua HaWs &Wd on the bottom of a» latarat LsarafsamI' ',ai LeterWa MorcemaYl Sch 4o PYc par SPS Tebb 39430-6 Number of Laterals 4 Orifice Diameter 0.125 in Lateral Diameter 1.25 in Orifice Spacing (X) 2.55 ft Lateral Length (P) 49.73 ft Orifices per Lateral 20 Lateral Spacing (S) 2.25 ft Orifice Density 5.67 f 2forifice Lateral Flow Rate 8.24 gpm Manifold Length 2.25 ft System Flow Rate 32.95 gpm Manifold Diameter 1.50 in Total Dynamic Head -17-9-01 ft Forcemain Velocity 3.37 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and ► SPS 316.300 WAC 4 in. Disconnect min. Tank component is property vented Weiser Concrete Manufacturer Capacity 750.381 Gallons Volume 1 2.28 gal/inch Dimension Inches Gallons A 279.31 636.82 B 2.00 4.56 C 37.81 86.20 D 10.00 22.80 Total 329.11 750.38 3" A —1B C D tank. Alarm Manuafacturer Alarm Model Number Pump Manufacturer Pump Model Number JSJE Rhombus SJE 1011421 Goulds —� 13871 EP05 Pump Must Deliver 32.95 gpm at 17.90 ft TDH Alternate outlet location Forcemain diameter --- 1 2 in. Weep hole or anti - siphon device P� ump off elevation ft 96.83 Dose tank elevation (ft) 96.00 Note: Switches containing mercury may not be used in this system. Project: Frentz 3 bedroom residential mound ESTIMATED DESIGN Page 4 of 11 Mound System Maintenance and Operation Specifications Service Provider's Name I Dale Hudson PhoneM715 V386810 POWTS Regulator's Name St. Croix Coun Zonin De 'tPhone System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow -Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 453.6 ftz Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Other Service Frequency Inspect and/or service once every 3 years Should inspect and clean at least once every 3 years Test once every 3 years Should test month) Laterals should be flushed and pressure tested every 1.5 years Inspect for ponding and seepage once every 3 years Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to SPS 384.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Finished •.••••,••,,,.. G d ra e 6-8" Diameter Lawn Sprinkler Valve Box Distribution Lateral Turn -up Detail ................ Project: Frentz 3 bedroom residential mound ESTIMATED DESIGN Threaded Cleanout Plug or Ball Valve Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Page 5 of 11 Mound System Management Plan Pursuant to SPS 383.64, Ms. Adm. Code This system shall be operated In accordance with SPS 382-84Gerleral Wis. Adm. Code, and shall maintained in accordance with its' component manuals )SBD-10891-P (N.01/01, R. 11/12), SSWMP Publication 9.6 (01/81), and Pressure Distribution Component Manual Ver. 2.0 SBD- 10706-P (N. 01101, R. 10/12)) and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with SPS 383.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole 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. Arty opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8indre3 in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an Individual certified to service septic tanks under a. 281.48, Stats. The contents of the septic: tank shall be disposed of in accordance with NR 113. Wis. Adm. Code. The operating condition of the septic tank and outlet fitter 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 fitter is equipped with an alarm, the fifer shall be serviced If the alarm is activated continuously. Intermittent filter alarms may Indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 113 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less then maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, If such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be Inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent fitter is Installed within the tank It shall be Inspected and serviced as necessary. Found and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound'& perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the Infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather Installations (October -February) dictate that the mound be heavily mulched as protection from freezing. Influent quality Into the mound system may not exceed 220 mg/L BODS, 150 mg/L TSS, and 30 rtg& FOG for septic; tank effluent or 30 mg/L BOD6, 30 mg/L TSS, 10 mg/L FOG, and 104 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this Installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed 0 should be compared to the Initial teat when the system was Installed to determine If orifice dogging has occurred and If orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to fib owner, and any levels above 6 inches considered as an Impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its, components become defective the tank or component shall be repaired or replaced to keep the system In proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shell be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in Its' present location by Increasing basal area if toe leakage occurs or by removing biologically dogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. P rrlk Units The Information and schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment units or disinfection units are attached as separate documents and are considered part of the overall management plan for this system. Project. Page 6 of 11 (q GOULDS PUMPS APPLICATIONS Spedfically designed for the following uses: • Effluent systems • Homes • Farms • Heavy duty sump • Water transfer • Dewatering SPECIFICATIONS • Solids handling capability: '/4' maximum. • Capacities: up to 60 GPM. • Total heads: up to 31 feet. U • Discharge size:11/2" NPT. • Mechanical seal: carbon- rotary/ceram Ic-stationary, BUNA-N elastomers. • Temperature: 104°F (4000 continuous 140`F (6000 intermittent. • Fasteners: 300 series stainless steel. • capable of running dry without damage to components. Manor. • EP04 Single phase: 0.4 HP, 115 or 230 V, 60 Hz, 1550 1 RPM, built in overload with automatic reset. • EP05 Single phase: 0.5 HP, 115 V or 230V, 60 Hz, 1550 RPM, bulk in overload with automatic reset. • Power cord: 10 foot standard length,16/3 S1TOW with three prong grounding plug. Optional 20 foot length, 16i/3 S1TW with three prong grounding plug (standard on EP05). 0 2002 Goulds Pumps Effective September, 2002 OM71 • Fully submerged in high grade turbine oil for lubrication and efficient heat transfer. Available for automatic and manual operation. Auto- matic models include Mechanical Float Switch assembled and preset at the factory. FEATURES ■ EP04 Impeller. Thermoplas- tic Semi -open design with pump out vanes for mechanical seal protection. METERS i for Submersible Effluent Pump 3871 EP05 ■ EP05 Impeller. Thermoplas- tic enclosed design for improved performance. ■ Casing and Base: Rugged thermoplastic design provides superior strength and corrosion resistance. ■ Motor Housing: Cast iron for efficient heat transfer, strength, and durability. ■ Motor Cover. Thermoplastic cover with integral handle and float switch attachment points. ■ Power Cable: Severe duty rated oil and water resistant. ■ Bearings: Upper and lower heavy duty ball bearing construction. AGENCY LISTING @' Canadian standards Association Goulds Pumps Is ISO 9001 Registered. Now , I —■ mom 0000001 Lmom 'MOMMENE iu 2u 30 s40 3.2.lsa•A4. Miry;M&moPUS4�o/ap'cI.GPM 0 2 4 6 8 10 12 MI/h CAPACITY Goulds Pumps <& ITT Ind -S AfS(, Propo scd Me ".,da,-4 -li 9/ x 126, /3' wy S' x /oo.W C(4�v rda/ CG//. moo. (4) W14"oljoCeCts Spa 2..s,Sl Ye,Sariea ekv.%beIoYeb .ZS< NR.boo t /02. Q7'lin flaw sa,% [✓a/awdyn p+t elev V. , coil • 8e�✓r//yy �.y�s /cc/rjo�st. Set of,, r3oa;,40.1S V ?a. aor 6Ar.,u.�a� St.CrorXG, c [.0 o/ esM ✓.P s943 /A*J''"a/40-/,P d"7V -AV � � ems»' � f8. ✓6 a urS L4.)d= d Ir tl : stiy ,g2 �tirsbr^ iT .ca'b Piapestxf "J.-ewCwKrcfc �/",tsr�n-3op9R✓� Wa-IOAfePwry• ^.A?w/ eEf(u.�•6,o;pe. ?do IyLK, /--,rzseAftlot t ,C,/jxia.&,Awn o.�s 4*Asrn-Drrr,ri:7 ✓, e. i.,6 owL 0006••4e /+7ec�.nC C/ecN6! rile s� Pro pes"d �rrbb�'• ' b �d i7w.:Ia. 6e A•rC /irxc. fy,990 Sr.• g- ps&4 a � Exi.SEi' CJt!(inS,u�( Concave Dispersal Cell Calculation: 1. Percent deflection: (3'deflection/100' down slope effective cell length)(100) = 3.00% 2. Adjusted cell length: [(3.00% x 0.00265) + 11 x 100' contour effective cell length = 100.795 3. Actual minimum cell length along contour = 100.80' Pg. 9 of 11 ,iM1i�lr�iy bf . *aid P1 � SOIL EVALUA71ON REPORT bpA y�{r�'� ,�71,�,y � ��trNa'X" � 1� .,N w�r�Y''.M/tYLI tlfiii� pMM stale or. 70 illb Propertypwner;,:,. �k�% ,fix. �t' . r r... u�. •� a 18 Cr r '1r BeVefhf Frank .. : rc 7 Property0lNffl/ Sil i�i'.dOf w t' 1881 29d� Sub0 City a .Smb dra.r , ..y-. Vity \� YvT.%'p'M11 - 110A1 ffR IV' '�Wl " i9in1 Glenwood �Vtfrlwr'. 0 { i o '" ' 1�ahest Rob ��.rr+«a'eadroa+■3codsdeliirrd ® Rye{pla Pare�j,rS.OiIMv `pomrneeoyl Daaabes ,r :ry r, 1�, r ,adx y 4r eofrlax. upmtw7C a SUM IM may he rm";* b r i�S1W`1b� DfFy 1rt ! ply 1 goring i ❑ BarNp t , Horizon ' IJ, C�At k !or C�rafstq�sL +>Rnrahre COrrsipsrros z: u.Color Gr. 8i�81i 1 04 10pr3� none 2 8-16.' 10yr4/4 none > 3 1th2!! 1 0yr4/4 f2d 21Y6k ne'mcffd Cw 4 '2fl'.10 7.6yr4/4 f2d T.0yr6/g �p.�-.�:c_: i'id�hzr .pM. ,t'-;-x._ • fig, . :.`: 8 8yrI%D.T 30.49 tiyr4J4 c2d 7. '� �� Boring • I7 ® pR Ground surface eisv. ]4a.91 R DeptfT to I'miNing factor 14" In. Norbm D"M DopMrrnt Color RedoX Description Texture SON AWIkat on RateRaba IM --::**Wbl ..: Qu. Az. Cont. Cobr fe SON Boundary Root GPt1✓Ft' 1 Gr. Sz- Sh. 0-7 10y!m none all *E1#1 *EfAl2 2 7-14 1pyry4 none an delca 2vf,1m 0.8 0.8 3 s0 Ithlnpl do c 2vf,f 0.4 0.6 14 20 10yry/, f2rT. t0yrti16 fall 1 msbk 4 20-2ti 7:OynV4 c2d 7.5yr5/8 ds 9w 1 of 0:2 0.6 sl 1 rabic 6 23- 40 -. &jmm mfr cw OA 0.7 m2d 7.6yr6/8 sd lc sbk m8 0.2 10.3 CST Name (Plan" print) > 30 s 220 VIMand > 30 s 180 Jaynes K Thompson \._ L`I CST Nmrbsr AddressDate Evatuaflon Coed �— �1 340 pI"on Lake 0400010 VA64020 15413 TeMphone Nuraw October 19. 2020 --- - 3 I Boring 0 � Boring13J ® Pit Ground surface elev. 100.83 ft. Depth to Ymrting factor ]!t in. Horizon Depth, .. Mr. Disn"nrdColor . �AfIINeN , . Redox Deso"on Qrr.Az. Cad. Cobr Texture Strucim Gr. Sz. Sh. CornWWM ' Boundary Roots aar MQUO111TIOn KM GPDfFti 'EflM2 1 0-5fOyrJ/9' u I 2fgr de ca 2vff 0.0 0.8 2 6-14 'y%OM4 rlone I 2fW* de cw 2vff 0.8 0,8 3 14;23", ;78yt4F4 .-... f2f7.t5yr518 eI lnubk do cw lvf Oct 0.7 4 22�1 -..; .7f5yr4F1 m2d.5yrM ad lmsbk mtr aw lvf -0.2 0.3 5 l-aO ' :. eymm m307.tip" ad tosbk MR G2 0.3 4] Bo" # Boring J ® PH Ground surface elev. 95.60 ft. Depth to limiting factor I r In. ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. _ ft. Depth to knift factor Q! In Effkmmt #1 m BOD, > 30 s 220 rnyL and TSS > 30 S 150 mgll ' Effluent 02 = BOD, > 30 s 220 mg/L and TSS > 30 S 150 rnp/L BN�ri�..�ds G/Ojtoi d Cty,W.. SYPA3 ,� Aw�rd!✓l/,r3ie;ol, t�,� ••Colts f�tP i 00 .01 Of ��� ram• � � f .�00` Ak Mow 1410 G�v� ,Sdc✓ Tiff d7ce exal %/ b00-n (irS/�i(r /s FILTER B❑DY 23 61 C. �� FILTER SCREEN: PERF❑RATED METAL 22 GA, STAINLESS STEEL TYPE 347 WITH 0,062 H❑LES 4" CAST-A-Sl INLET - . to Q U I a 7 j 2 }" t Lo a 10 n a tn i7 SIDE VIEW 4" CAST -A -SEAL � aNV) I a I � U O I a5tt It � PUMP PAD ASTM C-1227 WLP750- MR TANK SPECIFICATIONS a DIMENSIONS WALL' 2 1/2' BOTTOM: 3' COVER: 5' MANHOLE: 24' I.D. PRECAST CONCRETE RISER HEIGHT: 54' c OUTSIDE DIAMETER: 'r-0' BELOW INLET: 42' LIQUID LEVEL: 37' WEIGHT: 5,150 LBS. o INLET AND OUTLET: 8 E 4' CAST -A -SEAL BOOT OR EQUAL GASKET 8p MET ET AND OUTLET BAFFLE AND FILTER: _ m p n G j WISCONSIN, SEE DETAIL #10 W (OTHER STATES SEE CHART) Lu LIQUID CAPACITY: 20.28 GAL/IN HOLDING TANK: Y.1 OUTLET HOLE PLUGGED ACTUAL CAPACITY: 790 GALLONS S�a LOADING DESIGN: 8'-0' UNSATURATED SOIL Y °p TANK CAN BE USED AS: i N SEPTIC / HOLDING / PUMP OR SIPHON d o COVER MIX DESIGN /8 (NO FIBER) x W TANK: MIX DESIGN #10 (STRUCTURAL FIBER) CUSTOMIZED TANKS FOR CUSTOM TANKS CONTACT WIESER CONCRETE j 0: U REVIEWED BY REVIEW DATE DRAWINGS SUBMITTED FOR APPROVAL APPROVED BY: SHEET N0. APPROVAL DATE: j 1 PRODUCTS NEEDED BY: OF MMY MMM A PHI uc■ ■■■ '' luc■ - I�il Ilil ' — see II REAR VIEW RIGHT 61MM IiNM IiNli —:; — M�sMAeM�e M�e�eNN�e 7 jimW FRONT�NsNAeM�e VIEW LEFT VIEW I NOTE: This is an artistic .building optimal .. �. bons NOTE: This home may require wall bracing tie -downs depending on wlndlseW*desgn, please relerio the permit set for tie -down loads and locations N applicable. Some areas of the aftior wall sheathing may be shipped loose to allow access for tie -down installation. Ad fie -down designs are by ohn. 4/' 5'-8" 61-8" 1 13' 514' 91-4" DROP W2 30pg 3868 Ba 1 ii d R Uti W Kitchen R Bdrrr �3 lilt Ba 2 Nook 30 N O Flat Ceding h Throughout Master Living 24 Bedroom Room Bd 12 3WO erg _ 1 r 16' 12' • = Std can right R = SW. MW staggered overhead 3WM1001-P-VENER 2840 A ox. 1067 S . Ft q a'°°` homes 23+o rwre. bare tie'-'W o�mobvErIg. °'n'rz°Z° 01 To"^a�' ra 3WM1001-P-VENER Literature °i"� R«..� sre . iW 3~001-P rti.: LIT ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Beverly Frentz Mailing Address 1661 290th St., Glenwood City, WI 54013 Property Address Same (Verification required from Planning & Zoning Department for new construction.) City/State Parcel Identification Number 016-1018-70-100 LEGAL DESCRIPTION Property Location NW 1/4, NW '/4 , Sec. 09 , T 30 nN R 15 W, Town of Glenwood Subdivision Plat Na s �� Lot # O 1 Certified Survey Map # 531(a - Volume 10 'Page # 2963 Warranty Deed # 637830 (before 2007)Volume 1582 Page # 619 Spec house Oyeslho Lot lines identifiable ©yes[]no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §SPS. 383.52(I) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Safety And Professional Services and the Department ofNatural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my/our knowledge. I/we am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. ;Sl ZAt0APP 3 ,,711 /09/20.ICAiVT(S) DATE •••Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. ••• Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 04/12) ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF EXISTING SEPTIC TANK(S) This is to certify that I have inspected the existing septic and/or dose tank presently serving the following residence: (Street address) 1661 290th St., Glenwood city, WI 54013 located at: NW '/., NW '/4, Section 09 , Town 30 N, Range 15 W, Town of Glenwood St. Croix County Wisconsin. Upon inspection, I certify that I have found the tank(s), to the best of my knowledge, will conform to the requirements of SPS. 384.25, and it (they) appear(s) to be functioning properly. Most recent date of inspection or service Na Did flow back occur from absorption system? (if no, skip next line.) Approximate volume or length of time: Na Tank Capacity: 1,000 get. Construction: Prefab Concrete x Steel Manufacturer (if known): unknown Age of Tank (if known): unknown Permit number (if known) unknown Yes No x gallons Na minutes Other (Licensed PlumberSignature) (Print Name) Master Plumber (Title) (Date) 22003 (License Number) MP/MPRS Form to be completed by licensed plumber (Dept of Safety and Professional Services Chapter 305 and s. 145.06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin Administrative Code) Rev. 2/2012 P�,(oo�RFl k V I Ilk -Zo26 - 3 Wisconsin Depa Division of Industry I oes it vqs I Page 1 of 3 NOV 25 2020 SOIL EVALUATION REPORT In 8= rdence with SPS 385, Wis. Adm. Code County Attach complete site an on PSpe"Ot4es thIM 8 1/2 x 11 inches in size. Plan must include, St. Croix but not limited to: ve l�aodriuorlMN,*q�yp� nt BM), direction and percent slope, Parcel I.D. scale or dimenslons, no arrow, an location and distance to nearest road. 016-1018-70-100 Ref #2599 please print all Information. e ' bey Date Personal irifonnation You provide may be used for seconds Pnva Law, s. 15. 1 m Property Owner - Beverly Frantz Property Property Location ❑ Lot NW % NW % S 09 T 30 N R 15 E (or) W Property Owner's Mailing Address Lot # Bkxdc # Subd. Name or CSM# 1661 290P St. 01 Na CSM Vol. 10 Pa. 2963 City State Zip Code Phone Number ❑ city ❑ Village ® Town Nearest Road Glenwood C' WI 54013 715 505-2906 Glenwood 1700 Ave. LJ r*"w wnam=0n Use: 29 Residential/Number of bedrooms 3 Code derived design flow rate 4,jQ GPD ® Replacement ❑ Public or co erclal - Describe: iM Parent material Glacial till Q S 4An �Z� Flood Plan elevation if applicable na ft. General comments and recommendations: Site suitable for mound POWTS. Recommended infiltrative surface elevation to be 104. '' at 24" above 102.00' contour. Contour is irregular & inconsistant. Additional sand fill may be required to maintain consista4ystem elevation across sy er;7� area. -4n&1F V ) Boring # ❑ Boring ® Plt Ground surface elev. 99.10 ft. Depth to limiting factor 16" in- E26-16 4 26-30 Dominant Color Munsell 10yf3J3 10yr4/4 1Oyr4/4 7.5yr4/4 Redox Description Ou. Az. Cont. Color none none f2d 10yr5/6 f2d 7.5yr5/8 Texture sil sil sI sl Structure Gr. Sz. Sh. 2fgr 2fsbk 1msbk 1csbk Consistence cis ds dsh mfi Boundary cW rw cw gw Roots 3vf,fm 2vffm 1vf,f lvf,f Soil Application Rate GPD/Ft2 'E1f#1 'Eff#2 0.6 0.6 0.4 0.4 0.8 0.8 0.7 0.7 5 30-49 5yr4/4 c2d 7.5yr5/8 sd lcsbk mfi 0.2 0.3 Boring # ❑ Boring -- - pit Gmunii e.,.tes ems.. inn n� a a.Pm w nnnuny Itlgpr m in. Horizon 1 2 Depth In. 0-7 7-14 Dominant Color Munsell 10yr3/3 10yr5/4 Redox Description Qu. Az. Cont. Color none none Texture sil sil Structure Gr. Sz. Sh. 2fgr 1thin 1 Consistence ds cis Boundary cs cw Roots 2vf,fm 2vf,f Soil lication Rate GPD/Ft2 'Efl#1 - •EN#2 0.6 0.41c- 0.8 0.6 3 1 20 10yr4/4 W.1 r5/6 fsl Imsbk ds gw lvf 0.2 0.6 4 20.26 7.5yr4/4 c2d 7.5yr5/8 sl lcsbk mfr cw 0.4 0.7 5 26-40 5yr4/4 m2d 7.5yr5/8 sd lcabk mfi 0.2 0.3 Effluent #1 = BOD > 30 5 220 nd TSS > 5 1 ffluent #2 = BOD > 30:5 220 malt. and TSS > 30 5 150 MOIL CST Name (Please Print) Signa CST Number James K. Thom ` 30021 Address 340 Paulson Lake Lane Osceola WI 54020-5413 Date Evaluation Conduct October 19 2020 Telephone Number 174C% 248 7767 J stlu-WW (RO4/15) Real Estate Burnett County Property Listing Today's Date: 10/20/2020 Property Status: Current Created On: 7/27/2018 3:15:52 PM A Description Updated: 1/13/2020 Tex ID: 34969 PIN: 07-034.2-37-18-21-5 15-439-014000 Lea PIN: Map ID: Municipality; (034) TOWN OF TRADF LAKF STIR: S21 T37N R18W LAKE ESTATES LOT 4 Recorded Acres: 2.220 Calculated Acres: 0.000 Lottery Claims: 0 First Dollar: No ESN: "I Tax Districts Updated: 7/27/2018 1 STATE 07 COUNTY 034 TOWN OF TRADE LAKE 072233 SCHL-GRANTSBURG 001700 TECH COLLEGE 079030 GRANTSBURG FIRE w 3 Recorded Documents Updated: 10/31/2017 O WARRANTY DEED Date Recorded: 12/30/2019 459970 O WARRANTY DEED Date Recorded: 12/30/2019 459969 O LAND CONTRACT Date Recorded: 7l3/2018 451773 SUBDIVISION PLAT Date Recorded: 6/12/2018 451344 6/327 WARRANTY DEED Date Recorded: 912/1997 309465 583/33 U Ownership Updated: 1/13/2020 GREGORY C & JENIFER LYN FRANZEN ANDOVER MN Billina Address: Mailina Address: GREGORY C & JENIFER LYN GREGORY C & JENIFER LYN FRANZEN FRANZEN 16241 MAKAH STREET NW 16241 MAKAH STREET NW ANDOVER MN 55304 ANDOVER MN 55304 91 She Address ' indicates Private Road 21128 DEER LN CIR GRANTSBURG 54840 ® Property Assessment Updated: 4/29/2019 2020 Assessment Detail Code Acres Land Imp. Gl-RESIDENTIAL 2.220 35,000 0 2-Year Comparison 2019 2020 Change Land: 35,000 0.0% Improved: "eJ` _:' 0 0.0% Total: .... _ _ . 35,000 0.0% a Property History Parent Properties Tax ID 07-034-2-37-18-21-5 05-001-011000 23744 07-034-2-37-18-21-5 05-002-027000 23755 07-03a-2-37-18-21-5 05.002.028000 23756 HISTORY O Exoand All History White=Current Parcels Pink=Retired Parcels 34969 This Parcel T Parents i Children 3 ] Boring # ❑ Boring ® Pit Ground surface elev. 100 93 ft. Depth to limiting factor 14" in. r�t`1 Snii Annliratinn Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ftz 60101 'E1f#2 1 0-5 10yr3/3 none I 2fgr ds cs 2vf,f 0.6 0.8 2 5-14 10yr414 none I 2fsbk do cw 2vf,f 0.6 0.8 3 14-22 7.5yr4/4 f2f 7.5yr5/8 sl 1 msbk do cw 1 of 0.4 0.7 4 2241 7.5yr4/4 m2d.5yr5/8 scl lmsbk mfr cw 1vf 0.2 0.3 5 41-50 5yr4/4 m3d7.5yr4/6 scl lcst* mfi 0.2 0.3 4 ] Boring # ❑ Boring ® Pit Ground surface elev. 95.60 ft. Depth to limiting factor I in. Soil Acolication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 'EfkR1 •Etfx2 1 D-6 10yr3/3 none sil 2fgr do cs 2vf,fm 0.6 0.8 2 6-17 10yr414 none sil 2tsbk ds cw 2vf,f 0.6 0.8 3 17-25 10yr4/4 d7.5 r5/8 sl 1msbk mvfr tvf 0.4 0.7 1-1 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor 0" in. Sal Aooliration Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 'Eff11 'EfF*2 Effluent #1 = BOD, > 30 s 220 mg/L and TSS > 30 s 150 mg/L ' Effluent #2 = BOD, > 30 s 220 mg/L and TSS > 30 s 150 mg/L wdmd4/ Ar ' arx� n Cornc/4d( � J�Zz�t� O� .rf.c�;nC .SAW Se.% t✓d/4al�Yn� --lr� C./sn aoacr c y � ss�0/3 ' 0a1lW4W* Sac Of r.3" ,P I.S i _ _ _q� Ts. a!' 6knukod, st • �ror�rGS c C co - �� ?� u►6 D � E,r.�£` aJe/linS.ol �aw��ItFkS�• {,(�0,490 SE• EXr3�:n� sd.-�rtl a�/iJt�.J4y ej. &f3