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Home My WebLink About002-1031-95-000Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you Provide may be used for secondary purposes [Privacy Law, s 15 04 (1)(ri Shawn L. and Kathy E. Lafavor TOWN OF BALDWIN CST SM Elev linsp BM Elev IBM DescrW,on /or" TANK INFORMATION TYPE MANUFACTURER;s CAPACITY Septic 3<01.0 r,! 3.5 >I Oo a Dosing (oµ160 �bAr-3•,5 Holding TANK SETBACK INFORMATION CrMeCc Sf M r ]►rJ TANK TO 3/1- J WELL BLDG. Vent to Air Intake ROAD Septic --? .Z 5 t 750 %J , Dosing '? yJ:JJ' , 7b ' iW Aeration Holding PUMP/SIPHON INFORMATION /• k,0 DePvc ZO, 5 Manufacturer Z��IC� ✓ Deman GPM Model Number J 57— TDH Lij�,. 77 Friction LO�s� ) � Sysie! easy fjrj T 6 _5Ft !(I tOs Forcemain Lenyjh C , Dla. Z,r Dist to well SUIL At35UKP I IUN SYSTEM DATA STATION BS HI FS ELEV Benchmark Alt i (.orcr Bldg Sewe p o O SVHt Inlet 9.8 lro5 SUHt Outlet Dt Inlet Of Bottom Header/Man. `7 Dist. Pipe �. z 96.6s Bot System Final Grade St CevPV 57 (onJ101+r J /.75 -73. $ BED7TRENCH DIMENSIONS width f / r (/� +f' Length t Ito f+la.,C6T-"has 1 J PIT DIMENSIONS N Pits - Dia Liquid th SETBACK INFORMATION SYSTEM TO P/L N BLDG WELL LAKE/S7RVM I LAC G C A R OR NIT Man cture Ty Of System1 11Y , Zj ,21 MocWN.mber uv nvn Jr O i Conn / ( -W#P Header/Manifold J Z Distnbuton 1 r y Pies , 1—/ p �j'' "Spacing x Hole Size Ixx Hole c ' V�� Air Intake Length . Dia gO !1 Len th / Dia �% p g T/'R svr� vv r �n x Prwseurn Rvefnme rinia ..., ftdl- ..w n. n. r__..w e.._..-_ "I.. , L 0I OM'� BEdt.ec.", Cgn er �� x k- Depth Over Bed/Trench Edge= - To, , ,s xx Depth of12 xx Seeded/Sodded Ves No xz Mulc ed Yes No GUMMENTS: (Include code discrepancies, persons1 present, etc Inspection #1' Plow /Vf ?I r Inspection #2 Location: 973 240TH ST /I % 1) Alt BM Description = �f#'r IDS I G f. `0 �� D y1 �r �{( RJQhl'le `Cf I 2 ) Bldg sewer length = (y Z ` J 'Ft r' s /- - amount of cover = 7y -Z 010I i d -f- - it.,(19 Plan other Required? Yes Iy��, No 3� Use other side for additional mforma4oh ` t7 I v SBD-6710 (R 3197) Date I Insepc or'a ignature Cen No c+ l '. 30 PM dC' —- i• C.- -A t+aA ., '•n �� _ __ ._11 Safety and Buildings Division County S} r' 201 W.Washington Ave., P O. Box 7162 Sanitary Permit Number (to be filled inby Cot 0 $ P Madison, WI 53707-7162 JAN 2 0 2021 631 2 3 Sanitary Permit Applicatio p __* -aW 0,2'�3R-c (,mat ef) In accordance with $PS383:214' Wis-Aden. Cbde:3(lBmTs"sion of this form [o the approp -me it - 12oaz --e( Sot 15) is required prior to obtaining a sanitary permit. Note. Application forms for state.owned POWTS miffed to Project the Department of Safety and Professional Services Personal information you Provide may be used for se ary Address (if different than mailing address) purposes in accordance with the Privacy Law, s. 15 04 I m Stars AAW-- 1. Application Information- Please Print All Information Property Owner's Name y ` AA Wt J L-A FA 04L I Cl Parcel 4 Oo0 Property Owner's Mailing Address Property Location ` "13 014C)4n. (.22-23 ) Govt Lot /. t_4w 1/4 Section City, State !_i Code p Phone Number 9AII114W ws 154C061 116-U-068 (circleo T IS NZgR,�_ West 11. Type of Building (check all that apply) 3 Lot N I or 2 Family Dwelling —Number of Bedrooms ` Subdivision Public / commercial — Describe use Block u State owned —Described use Na ❑ City of )eVillage of CSM NumbeV,efP9S't) Town of 3ra,ld,al,� III. Type of Permit: (Check only one box on line A. Complete line B if applicable) .A New Svstem ement S) stem Treatment'llolding Tank Replacement Only ❑ <Alier Modification to Existing System (explain) B. ❑ Permit Renewal ❑Permit Revision El Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Dale Issued Before Expiration Owner IV. Type of POWTS System/Component/Device: (Check all that apply) _ -57) Non -Pressurized In -Ground ❑ Pressurized In-0round At -Grade Mound > 24 in of suitable soil Mound - 24 in of suitable soil Holding Tart. ❑ Odier Dispersal Component (explaum. ❑ Pretreatment Device (explain) V. Dispersal/TreatmentArea Information: . SD X 0 e q 3.571 J Q3• Design Flow (gpd) Design Soil Apphcahon ate(g sf) Dispersal Area Reyuir sf) Dispersal Area Pro sed is t) System Elevation Lisa �. o.'f Aso (zs 44 4 0 9G VI. Tank Info Caoacrty in Total 4 f Manufacture Gallons Gallons Units ti U � OMAAW 13 �, e.x 14,e,- Li New Tanks Exisuna Tanks m i U L L Septic Tank loco 4. (3A(V Lift Tank 42 1 " r VII. Responsibility Statement- 1, the undersigned, ume nsibil for falls n of the POw'TS shown on the attached plane. Plumber's Name (Print) i 's S MP/MPRS Number Business Phone Number Lewis Bork 253976 715-231-7375 Plumber's Address (Street, City, Slate, Zip Codc E7818 Courity Road E Menomonie, 154751 Vill. County/Department Use Only Approved ❑ Perm FFee � $ P Dale Issued 2f /?OZ Issm Agen(Signatur Eleven Reason for Denial ` 1 IX. Conditions Approv u4k-*s9*&4@r4Ws*ppFava� YSTEM OWNER: Septic tank, effluent filter and µ1Cln&�l�Yi S•S.p- �e / w��u3P¢Fwa}fi� Lk dispersal cell must be serviced / maintained j Tar as per management plan provided by plumber. �p ota9 +-'� "Ai+ .All setback requirements must be maintained i ��, 1 was rya coaeio; c,n^ s� p� "A QtLLAf ! _.� 40 J �g r (�IRi�� P 1 t`��"^°�, , auj or.Q�D f Gott. ++t,�-Naz, 5WNW ar- CM E CKeOX AS APPtJ Ll, CHECK aOX AS APPIl Vim% PAGE 2 OF SOIL EVALUATION Scale; V = 30' SYSTEM SITE MAP D 30 45 so PLOT PLAN VIIZIA PROJECT NAME: y DESIGN FLOW: o GPD �Lro �� 3A�1� 7.Y � Attach design flow calculations for commerael plans. PROJECT ADDRESS. LE %&W A UiDd. Pipe Material! ASTM Standard (Tables 384.303 & 384.30-5) BM Synw:+ am Elevation; ly.�/b�,FT N Smearywe Ser/_ OAUM Fwca MNn: / SAQjv BM CBecdPtbn'. RhA`C 71� i' �xh�l— A� Slope GredVerx (ti) of Tested Arad' Wall Synod (IIapPllcoolay 0 i'�W. r,w^ er drenlrq A,.r iM Iippropr to l IMPORTANT: Show ground elevation Contours at suitable Intervals. IQ PSPSSEt PIS `? G5 ` 56W(( 13"'1 1kbi- DIVISION OF INDUSTRY SERVICES 10541 N RANCH RD HAYWARDWI 54843- W2 Contact Through Relay NIP Hdsps va.gov/plogmrnsllnouSay- N"s wvnv.wtwonsln gov 0\ Tony Evere - Dovemor Dawn Crim - Secretary November 12, 2020 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 2022-11-12 Plan Review: PWTS-112002739-C LEWIS WORK E7818 County E Menomonie WI 54751 SITE: Shawn Lafavor 973 240`h Street St. Croix County Town of Baldwin SW'/, - NW Y4 - 515 —T29N — R13W FOR: C0:�'DIT10,V.4LLY APPROVED DEPT OF SAFETY AND PROF ESSIONAL SERVICES DIVISION OF 1N-1JSrRY SERVICES I C -L ck' SEE CO RaSPGNDENCE Description: Mound Component Manual — Ver. 2.0, SBD- 3 Bedroom Mound —450 GPD — 10691-P (N.01/01, R 10/12) Replacement - 6" to limiting factor— Pressure Distribution Component Manual — Ver. Effluent Filter - Maintenance required 2.0, SBD-10706-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: Reminders • This approval is subject to the conditions of the Interpretive Determination approved for this site on November 12, 2020. • Ensure upslope diversion is done around the mound to prevent surface water from concentrating along the upslope edge of the mound and to divert surface water drainage away from the system. • The building sewer shall be Instalied/insulated per SPS 382.30(11)(c) • The existing system shall be properly abandoned per SIPS 383.33 • Verify property line prior to installation. • The orifice spacing of this design Is 48" on each lateral. • Care must be taken to set the dose volume as approved In the plan design. If the minimum tether length of a single switch mechanical float does not allow the proper dose volume, two separate floats must be used. • 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. • The mound site shall be properly prepared prior to plowing. Any grasses longer than 6" shall be cut short and removed. To avoid matting, any leaves or loose organic matter shall be raked up and removed. Cut trees and shrubs flush to the ground and leave stumps. Avoid operating equipment on the mound site. If necessary, use only tracked equipment, during dry conditions, with minimal passes, to avoid compaction. • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec.145.20(2)(d), Wis. Stats. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. • 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 Owner Responsibilities • The current owner, and each subsequent owner, shall receive a copy of this letter. Owners shall also receive a copy of the appropriate operation and maintenance manual(s) and be responsible for ensuring that POWTS is operated and maintained in accordance with this chapter and the approved management plan under s. 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. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. 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. Sincerely, C" /? CeCe (Elizabeth) Rudnicki Wastewater Specialist/POWTS Plan Reviewer, Division of Industry Services (608)400-3186 elizabeth.rudnicki wisconsin.eov PAGE 1 OF 6 Mound Plan Index & Cover Sheet Ccmponent Manual Design References: Version 2.0, SBD-10691-P (N.01/01, R. 10/12) & Version 2.0, SBD-10706-P (N.01/01, R. 10/12) Pg 1 of 6 Index & Cover Page Pg 2 of 6 Plot Plan Pg 3 of 6 Mound Cross -Section & Plan View Pg 4 of 6 Distribution Network Specifications Pg 5 of 6 Pump Tank Specifications Pg 6 of 6 Management Plan Attachments: Pump Curve Tank sheet Effluent filter sheet POWTS Applic Soil Evaluation Project Name / Description n for Review )ort & Site M Owner Name(s): :!�XAWr-J L V;%V 2 Phone:? 6�_-7O - 0681 Owner Address: 003 24U4h Zip: b'tooOZ. Project Address: SAMAV, Govt. Lot: .5 ,.J 1 /4 of I%AW 1 /4, Section., T_21_N-R_ I (E ❑ or W 19 Township: 8,Aii& #J County: _ tA. C!r � Project Parcel ID #: QOQ — 103i -q5* — — Designer Information Designer Name: Lewis Bjork Phone: 715 -231 _7375 Designer Address: E7818 County E Menomonie WI _ Zip: 54751 E-mail: lewisbjork@yahoo.com CO.M1'DITIOV.9LLY License Number: 253976 APPROVED DEPrr OF SAFETY AND PROFESSIONAL SERVICES Remarks: DIVISION OF INDUSTRY SERVICES I 1 SEE CO ESPONDENCE Signature: \ Date: �' S' ZO ZO Original signature required on each submitted copy ,5l,jNW 15L9N 1�1�11d.,JNO�ID�1�N.��" G�O�xCu�,l ar- C nE CN 9US-.S IVK ,,LIc. �hFCK HCv 45 DPP-C*6'_e. vim• ��' SOIL EVALUATION Scale ' '3D SYSTEM PAGE 2 OF(o SITE MAP D 4J LOT PLAN PROJECT NAME: DESicNFiow 1'i�J0 GPO 7.5' KAI_%3�� % r�� 12. EAU J Attach design flow calculations for commercial plans. PROJECT ADDRESS _n"AL- i Lf A UD. Plpe Material , ASTM Standard (Tables 384 3W 8 3M 3A5) tooN Smeary Sewer / tKIm am syroal. +il;, am Elevatbq. Fi Force Main �y SMDescrlpton' ._L4JC. V ^W" w IMPORTANT: Shope GradlerM %i ^'�'°�• 2, wen Synod to epPnude)- 0 it'll um+r Stow ground elevation contours at suitable Intervals. or Tested AMa �.tY sew". M i 0 a5347 6 .sue y�5 k o tt 4 Cat °►� � (3) U I Kon+� LA wq _ S II ` rC�1�' U ,' oo �"`" 5VINA 0 C Zoo &-CL44P.44 sif.wy l PI. ,0D5PS5r&-V ck1T-s9.e Ply -?6S't�loi- W= 0.5' TO 2.5' WASHED AGGREGATE (min. 6.0' beneath distribution pipe - min.2.0' over distribution pipe and covered with approved synthetic fabric) ASTM C-33 SAND FILL mar. 0.5 It T— r SINGLE -CELL MOUND DISPERSAL AREA M1MIN. 6 0' OF TOPSOIL COVER min- 1.0 ft A = 4.6- ft - -i I Surface Contour Elevation= gars ft (Show force main manifold and flush valve locations on plan view) M [E E= System Elevation = Lateral Invert Elevation = iwlllc ; _ - • ll1ts.. 2•SS It Z.6 ft 96 It 14.5 It % slope LSD Z-W i t • 8 J./ PLAN VIEW 3. $ (No Scale) 4.3 S s 0 Schdl40 I ,^ \ ft •PVC Lateral 3 = ft (typical) I trrW�) 1 a -Pip° lgp�i)-�---•—•-- � L— — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — J It It 2.6 4- 1.3 3M += 2L'� ft f< 13• ft INoicw) Bend as necessary to follow contour 11 OOWNSLOPE TOE L= uk--4 It Prohibit disturbance and vehicular traffic within 15 feet of downslope toe. Reset Page G) m W O n 0) DISTRIBUTION NETWORK SPECIFICATIONS FLUSH VALVE DETAIL (No Scale) Orifice in — — Valve Box Center of Threaded Cap (insulation optional) for Head Testing (optional) \ \ r 1 \ Ball Valve I \ (optional) / \ (No Scale) Lateral Spacing S= LrS Shield onfices for graveness appl c tb s \ �11 i Lateral Length (P) _ OA ft Onfices equally spaced _ [ OR b) below) \_ a) along bottom of lateral Flush Valve b) along lop of lateral Assen,"y with every th hob (typical - see detail) faang down Last Orifice LATERAL INVERT ELEVATION = 5� (typical) (bPlca0 Orifice Spacing (X) OBSERVATION PIPE DETAIL (No Scale) Screw -Type or -;r. o _ SNP Cap dooms) Finished Grade (rnulched & seeded) 4.0 PVC Pipe Topsol Cover Top of pipe to temritate (nYn. t toot) at or above finished grade (4)1/4-1 X 6' Slots @ 9 apart Anchoring Device infiltration Surface (riser pipes optional) r chd140 PVC Manlold 2 -0 Schd140 PVC Force Man (slope to pump tank for drain -back) First Orifice (typical) // Laterals to be level C ' Schdi 40 PVC Lateral 0 = . 2 in (typical) Number of Orifices per Lateral =_ Orfrfces equally spaced along bottom of lateral �in (YWca ) t$ Orifice Diameter = in Gi Orifice Discharge Rate = •411 gpm Number of Laterals = Lateral Discharge Rete = prr 10.2 / �— 20.5 TOTAL DISCHARGE RATE =7. 8 GPM (typical) First Orifice (typal) x END MANIFOLD Check (typical) C CONNECTION applicable box. Mangold First Orifice (riser pipe optional) (typical) D �ii (-- x— F—xn x12 X— I A (typic (tYPlca1) CENTER MANIFOLD Manifold CONNECTION (riser pipe optional) PAGE 5 OF 6 SEPTIC / PUMP TANK SPECIFICATIONS (No Scale) n0 Vanl Ppe ,1n n iron D (/_ Building Electrical nusl mmply»4n O 12' Mn or 2 0 Aabove SPS 316 and NEC 300 ll Established Flood Elevation Weatherproof I ryp"l) Juncbun Box Approved IMPORTANT: Vent iCap Anchor tank(s) as necessary t —Cond„ll pursuant to SPS 383.43(8)(g) \Ttl Finished Gnde CAPACITIES @ � gal/in i o�j� *Pump Tank Liquid Level = in Force Main Diameter = Z in Ile= Force Main Length = Zo ft 3' Approved Beddl gt. Force Main Void Volume = 3 Z(r gal ��• [C] Total Dose Volume (TDV) GS$$ gal/dose (5X total lateral void volume < TDV <D.2X design flow) + (force main drainback volume) MIN. PUMP DISCHARGE RATE _ 17" 20.5 gpm o Seal ExWd manhole haw as rl l scary Approved Loaing Manhole 1 5' wllh Warning Label Attaaleo OYw�al) Q. N e' W. w 2 0 0 shave l / Eeleblished Food Ebvebon mplmo l}J( q o.x* oisco nod I te'Mm. PYPIceU ��[[[JJJ Waep `-Approved JoiraMth HOW APPn>red Pipe 3 ft onto SONd Ground (IYoiml Tanv PUMP -OFF - 89 ELEVATION - O ft INSIDE BOTTOM ELEVATION = 15- ft Vertical Head = 6.1 It t/ + Min. Supply Head = S ft l� + FM Friction Loss .3 ft Zip + Fitting Loss' = t S ft '(min. supply head x 0,3) = TOTAL DYNAMIC HEAD = 12.9 ft PUMP TANK: SEPTIC TANK(S): Volume = H--2 Total Volume = I WO gal +1.��n�,�gale1' V �"`> Manufacturer(s). 5Acv,- 6VAJ Manufacturer: _ Pump Manufacturer: Z00IL 2 Install approved effluent filter at the septic tank outlet Pump Model: 15L immediately upstream of the pump tank inlet Filter Manufacturer: OzFA)[ 20 d a rTpd 9.) Controls/Alarm Manufacturer: ST��IS� Controls/Alarm Model: M Filter Model: T- -0.5 Float switches containing mercury are prohibited. PAGE 6 OF 6 Mound Management Plan IMPORTANT: The owner of this mound system shall be responsible for its perpetual operation and maintenance pursuant to requirements of SPS 382-384, Wisc. Admin. Code. Pursuant to SPS 383.52 (2), Wisc. Admin. Code, this system shall be considered a human health hazard if not maintained in accordance with this approved management plan. Furthermore, all inspection and maintenance activities shall be performed by a registered POWTS Malntalner in accordance with SPS 383.52 (3), Wisc. Admin. Code. Maximum Dispersal Area Operatina Limits: Design Flow = L150 gpd; BOD5 5 220 mgU% TSS 5150 mgL-'; FOG 5 30 mgL" Inspection Checklist INSPECT EVERY 3 YEARS o type of use o age of system o nuisance factors (i.e. odors, user complaints, etc.) c mechanical malfunction (i.e.. pumps, valves, switches, floats, etc.) o material fatigue (i.e., leaks, breaks, corrosion, etc ) o solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (i.e., distribution / drop boxes) o neglect or improper use (i.e., exceeding design capacities, prohibited activities, etc.) o extent of ponding in distribution cell prior to dosing o dosing irregularities (i.e, pump re -cycling, float switch settings, etc.) o electrical components (i.e., wiring, connections, switches, controls, timers, alarms, etc.) o distribution lateral or lateral orifice plugging (measure lateral distal pressure - compare to design specification) o surface discharge of effluent or sewage back-up into structure served Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary) o Septic and dose tank(s) shall be pumped by a certified septage servicing operator licensed under s. 281.48 Wis. Stats. when the volume of solids In the tank(s) exceeds one-third (113) the liquid volume of the tank(s) or as required by local ordinance. Disposal of contents shall be pursuant to NR 113, Wisc. Admin. Code. o Effluent flaterlsl shall be inspected every 3 years and shall be cleaned when necessary to remove any accumulated solids according to manufacturer's specifications. A servicing period will always be greater than 12 months. o Distribution laterals shall be flushed once every 3 years or when necessary. System maintenance reports shall be submitted to the proper local government unit in accordance with SPS 383.55 Wisc. Admin. Code. Report any component failure or malfunction to: Name of individual or company: Lewis �Bjjork Familyseptic service _ Phone: 715-231-7375 Local government unit: CrX Phone: � 4fley) Local government unit address: l•a&M: a 6 A j Et 066k) _ ZIP: Any defective part of this system shall be repaired, replaced, or removed pursuant to SPS 383.51 (1), Wisc. Admin. Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 383, Wisc. Admin. Code. No product for chemical or physical restoration of the POWTS may be used unless approved by the department in accordance with SPS 384, Wisc. Admin. Code. Continaencv Plan In the event that any failed treatment component of this POWTS cannot be repaired, it shall be replaced pursuant to a plan submitted to the appropriate agency for review and approval. A failed mound dispersal component may be re -constructed within the originally approved area after removal of all failed components. System Abandonment If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33. Wisc. Admin. Code. '•.r,cs talluem Pum .tiller Pump Cumpa �%w".Zoe llerpump , :r-naproducts sun - Iccni-pumps cl. W w 'JMP PER RMANCE IRVE MOD[ 151/152/1E 14 - - 153 7" 12- - 1-- d = 10- 152 :,0- 2 Q y 8 - 151 J 6_ ?0 - 15 - 4- nn I'J 2 10 0 30 4 50 60 80 9( --1-- -�I_ _ -- 40 .30 120 200 24( 280 320 !' FL PER MINUTE 2018. 10 Oi A K1 U NOTE: SEE INNER WALL PHOTO ON THE 'EXCLUSNELY AT SKAWS PAGE T-30C 1 � 0fi 17.00 2700 27.00 f— 70 00 i i r !_______________________________Jr OUTLET END VIEW OF TANK IMET ! ry rifei ""L OUT_ U 2.00 18D0 I PRESS 4 NCH PRESS SEAL G45IfE-T SEAL Mode` Number 1000 / 600 SKAW PRE -CAST Phone: (715) 967-2277 Approved for. SEPTMJSEPnC SEPTCAItW,SEPTIOWPHON OR MOLDWG Tol Free: 14WO-924-8625 Weight bq_ Depth GaL / in- Nom. Cap. 26255 1051h Street, New Auburn E } Wsocwmn S4757 Fax: (715) 967-2707 B-in. to 15-in. Dia. Biotube Effluent Filters Applications Orenco° 8-inch to 15-inch Biobubem EfOuent Filters are designed to remove solids from effluent leaving commera septic tanks. They can be used in new and existing tanks. General Orenooe 8-Inch to 15-inch Blotubes Ettluenl Filters- are used to Improve the quality of effluent exiting a commercial septic tank. The Biotube cartridge fits snugly in the vault and is removable for maintenance, the handle assembly snaps Into the notches in the top of the vault, and the tee handle can be extended for easy removal of the cartridge. A •base Infer model (see p' 2) Is available for low -profile tanks. An optional slide roll system, available on larger rmodels, simplifies iastagation and provides tank access for servicing. P cut way Wew Handle assembly �iAnm" a63mntily7 Side Wow -(.W-at"e fawn!FA .O\.V'.d Ya'M-m pS"#*-*, Me Standard Models FT0854.36,FT1254-36,FT1554-36,FT0822-14B,FT1254-36AS Product Code Diagrams � I{,III.,� � � I ftlaP.Vbib�le�Y�xl�xx�n { eW . MbM bxn.1 R • tab M11Y�YI Kam. ]I Ih9.RM.J Raa+e W-.mart +e - a nxYt N. NOW m . eonsxn nm 0001 nYtM a• -tams ix- IxpW m•Isp� I n...wtom. taw. tir+n.{FmIR� aRa�.Il,n�'b Wnn.iLu .tab fL'J •+e•+om 4b.Iteta:.rl i4bgbent M9l+en I,M! abS Sean nsn++Pu sndxx b VLLN x1�4 Y.It �N-fennna inx nu.�e+naR b W I, dN-N n �M1421]e alY N+, nlxfn„q R.eq 41e1✓Lst Ix n. mlxNS.N h Ix� aY te:A'.I(<i Yq RSwn1 �x R 1w IY.4Rt.' bb'A �ei�YNW bRaY d..V R u-148 I� r �nnw w rnta. RM ob. 9xM • gaYa a�dlo A . as rid, aMn naMS 14) xbs pR Y,a1x.0 ew � finer 4r.W' VR n J+n't i � . tR psm ura Rb 14Lxa Neµn. V^^e: n - nD�e.Rmx rararr.. P...r a • epao I r7 •upon ee.n - lw.6n•i rKK rxR� P -'LM tY LmU VIRM aAb�. ib Materials of Construction va fir PVC _ Pipe ODUOIM PVC Fondle compwwls P Support =Oing and bracket PVC e W- rn Fdaa --- PWyprowlex�e and pulvoUrytene Abr&WO m oft" XOW"m en eeraebM 12-M)W 1e'4/N"WW/ orawo 9/m2emeb Nw. , 814 Akvleq Ave. setluram, OR f24n usA • pgy ollso • 54i4a*444Y • rwuarvu"m NtD-Fr2 Mv. 2q O my17 fame 1 el 2 ti ca Maintenance Instructions Biotubem Effluent Filter How to Clean Your Effluent Filter To ensure your effluent fitter is functioning properly, it should be inspected every year. Under normal conditions, your effluent filter will function for several years before cleaning is necessary. The fitter should be cleaned when it becomes clogged enough to restrict normal flows out of the septic tank. At a minimum, the filter should be cleaned whenever the tank is pumped. Most people prefer to have a septic tank service provider take care of fiber maintenance and cleaning_ You can find e septic tank service provider in the Yellow Pages, under'Septic Tanks & Systems' Or you can contact your county health department for a list It you wish to inspect and/or clean your effluentfitter yourself, be sure to dress properly. Wear full-length pants and shirt, shoes, gloves, and goggles or glasses. Then follow these instructions: Remove the access lid to your septic tank by unscrew- ing the stainless steel lid bolts with hex head wrench provided. If your lid is above ground, it will be easy to find. If it is buried below ground, find the marker that indicates its location. 2 Remove the fiber cartridge by grasping the tee handle and lifting it out of its housing (see photo V. 3. Spray the cartridge tubes with a hose to remove any material sticking to them (see photo 2).. Ensure the three orifices in the optional flow modulation plate inside the fitter are clear of any debris. Make sure the rinse water nhns back into the tank, but do not allow solids material to fall into the open filter housing. 4. Firmly place the cartridge back into the housing. 5. Some effluent filters come with an alarm that activates when the filter needs cleaning. If you have an alarm, check to make sure it is working by lifting the float with a suck An audible horn should sound. The alarm panel is normally mounted on the side of the house or in the garage. NOW If your effluent filter doesn't have an alarm system and you would like one, call your local septic system installer B. Record the data thetyou inspected and/or cleaned yourfilter on the font that follows. If you checked the alarm or made arty other observations aboutthe tank or system, include that information under Notes' 7. Attach access lid by placing it on the riser, matching the openings in the lid with the bolt catches. Insert lid bolts into catches and tighten with hex head wrench provided. photo 1. Remove the filter cartridge by lifting it out of Its housing. phaw 2 Spray the cartridge tubas with a hose. Me4R-ms Rev.. u. tint Pw3er4 Page I of 3 Wisconsin Department of Commerce SOIL EVALUATION REPORT Division of Safety and Buildings .. ua'l WIZl. iVi'i.II 0j, ". '.'i. L Attach complete site plan on paper not less than 8 112 >< 11 inches in size. Plan must 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. Please print et! information. Personal information you Provide may "used ter secondary purposes (Pgvscy Law s ' 5 04 11I (m)l County , CfLO� X Patel 10. 002-1031-95-000 Reviewed by Date Property Owner Shawn Lafavor Property Location 9 GovL Lot 114 WA S IS T Z9 N R Ila E❑(or)W Property Owner's Mailing Address 973 240th street Lot # 1 Block # Subd. Name or C" City State Zip Code Phone Number Baldwin wl 5400' ( 715-760-0681 lty Village • own Nearest Road +"% `i,- New Construction Used Residential i Number of bedrooms 3 Code derived design Mow rate - 450 GPD lReplacement Public or commercial - Descnbe _ Parent material loess Cap ovet till Flood Plain elevation ifappllcable ,NSA M. General comments Install 30" D , .2 basil loading min. mound design , w ill need IDR , sods are A+0 and recommendations: s 11ty� l 13 Boring N� � IZ't H-11 Boring # a s ll Ground surface elev r ft. Depth to limiting factor , in. Sal ication Rate Horizon Depth in. Dominant Color Munsell Redox Desenoton Ou. Sz Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDRP 'Ef1#1 'Efl#2 AP o i z r4 z ,, k r-s zF ti e 0 q-ri IOUS i Z4a6k. M •q 1-I4 z44 Mn� ety- - ❑B'2 Boring # Bonn IZN 14 c- Pa Ground surface elev 43 ` V fl. Depth to limiting fonder �_ inSal tcaton Rate Horizon Depth in Dominant Color Munsell Redox Description Ou Sz Cont. Color Texture Structure Gr. Sz Sh Consistence Boundary Roots GPD/ff •Efl#1 'Elf#2 I 0- l0 3 o.0 Si L+ z . - •� _1 zF 6 e • Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 t 150 m t #2 - dui < ;w mglL and 1 Z)b < su mgrL CST Name (Please Print) S to CST Number I _ ewis Blork Lsc Ba r 253970 Address Date Evaluators Conducted Telephone Number E7818 County I,' Menomonie WI 54751 -1—IS- LO / 5 46-20 715-231-7375 Lafavor Property Owner Al Parcel ID # 73 Bonng # El G�Bori— pit Groundsurfaceelev q3h. 002-1031-95-000 Depth to Iirniting factor _� in. 2 3 Page _of_ cr,a er,,,if ��u�r, aorol Redox Description orm � MVM� M MM�IIIf MOMMM RM M = 0 M Wn Bonng # Boring pit Ground surface elev h. Depth to limiting facto — m. Sod Application Rate Horizon Depth in. Dominant Color Munsell Redox Desaiptlon OU. Sz Cont, Color Texture Structure Gr. Sz Sh. Consistence Boundary Roots GPD/ft 'Eff#1 'Eff#2 Bing # Bonng --- Pit Ground surface elev h Depth to limiting factor in E Sod ADdlcalwn Rate Horizon Depth In. Dominant Color Munsell Redox Descriptwn Ou Sz. Cont Color Texture Structure Gr. Sz Sh. Consistence Boundary Roots GPDW 'Eff#1 'Eff#2 Effluent #1 = BOO, > 30 < 220 mg/L and TSS >30 1150 mg/L ' Effluent 02 = BOD, < 30 mg/L and TSS 130 mg4 The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. fep NriOTmi ( R 0- W) Ni,,j lSL9N I�t�JTG.�JNO�,�AIpI,JIN.s�'•GI�� (/•_� CHECK BUX AS AP ,ICASLE CHECK 80X AS APPLICABLE C-5� r'kSOIL EVALUATION D Scale: " 30' 45 ❑ SYSTEM PAGE 2 OF6 SITE MAP 1 VZY411PLOT PLAN PROJECT NAME: `_` ' DESIGNFLOW `i50 GPD _ 3 �`Z' 'p-.._4'+_v1 '4• 3A�A/K,�3�� Attach design flow calculations for commercial plans. PROJECT ADDRESSg:iWAk N SA QQrL Pipe Matelot i ASTM Standard (Tables 384 30.9 & 394 30-5) BM Symbol BM Elevation 100 FT N Sanitary QASewer / Force Main. / U1110v BM Dex�lptbn NV D IMPORTANT Slope Gradient(%% Z Well Symod(eappll"oo) Q afe vgg alShow neno : of Teslea Area . t1e a croprae line ground eleva4on contoirs at suitable Intervals, 5 101 Zoo, M p C 0 qJr 0 3-'L 0 93 F.k; tit Taal.• d � 0 6� -10'--- CIO P5 P.SSEfi �►a ��c Ply 7 65' 5Lww+J ac� �kb — (3)(Z ROME ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address 011 ,1)o.XG e /l� G1 l k V V 1 5 100 ol-- Property Address 91 4 JT �--L'wl h V\j I v _ ` 1)b X (Verification required from Planning & Zoning Department for new construction.) (� City/State Q Ain r W k Parcel Identification Number � 11() a � Q- j1- qS:- QQQ LEGAL DESCRIPTION Property Location �)UJ Y4 , t4W %4 , Sec. , T ]_,5_N R21-1�4V, Town of Ba/e2�. /) Subdivision Certified Survey Map # 3 , Volume Page # Warranty Deed # Ll � 615 a (before 2007)Volume 9Z Page #_ Spec house Oyes Elo Lot lines identifiable [I yes❑no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Lot # f i ! 3- 2 Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §SPS. 383.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County 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 of Natural 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. I/we certify that all statements on this form are true to the best of my/our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms_ o AA; SIGNATURE OF APPLICANT(S) /E / E-12yZJ 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) r-_-. ��; SST a oa _ 0a3 i ) Wisconsin Department of Commerce QIL EVALUATIQRiR€F'6 Page 1 of 3 Division of Safety and Buildings JAN 2 ZO 1n accoraance wan Gomm V, vv1s. Aom uoae Attach complete site plan on pap$r riot Was than 8-1/2 x 11 inches i size Plan must include, but not limited to: vertical andFiorizontaireference), direction and percent slope, scale or dimensions, north arrow and location and distance to nearest road Please print all information. y p y secondary purposes (Pnvac Law, s. 15 D4 1 m Personal information you provide may be used for seconds y () ( )) .,f County ' �••�•� X Parcel I.D. 002-1031-95-000 Reviewed by (y�p Date X (1 rl /12 07.0 Property Owner Shawn Lafavor Property Location _r�SD FW-irs— 1(200243 •1I El Govl Lot W 114 MA/4 S 1S T L9 N R 16 E (or) W Property Owners Mailing Address 973 240th street Lot # Block # Subd. Name or CSM# City State Zip Code Phone Number Baldwin Wl 54002 71 5-760-0681 ( ity ❑ Village Town Nearest Road lC+h , New Construction UseQ Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement Public or commercial - Describe Parent material loess cap over till Flood Plain elevation if applicable AIA. ft. General comments Install 30" D , .2 basil loading min. mound design , will need IDR , soils are A+0 and recommendations: B-I Boring# 13 Boring N� 46 IZ•l it Ground surface elev. _41-57 ft. Depth to limiting factor in Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz, Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ft 'Eff#1 I -Eff#2 At O I a. a Z.}s;1 Z41 e li es zr •ti Is D 1 ou 31L to i Z-4s6tc &%-L c 9.12 IOSS� MLP7 ��li t,l,., w�l c ❑B-2 Boring # El Borin A Pit Ground surface elev. T3' s ft. Depth to limiting factor in. SalApplication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/fF 'Eff#1 -EfHt2 l0 3�Z w.Vk c S - V S l sf 7 ° 6 t s; 'Z c z r 6 8 ' Effluent #1 = BUD, > 30 < 220 mglL and i Sti >30 < 1W mqf[ xn t 42,f CUus < 3U mg/L and 1 Z)b 5 au mg1L CST Name (Please Print) Lewis E7818 County E Menomonie WI 54751 715-231-7375 Lafavor 002-1031-95-000 2 3 Property Owner Parcel ID# Page _of_ B-3 Boring # !:I Borin E{rAnGk Pit Ground surface elev. _g3 ft Depth to limiting factor in. Soil App4iration Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz Sh Consistence Boundary Roots GPDM "Eff#1 'Eff#2 LO S ►l%J/L. es .7 4�; 9-17- IN 51 4 C- — log�2 1-1Boring # 1.2.J Boring Pit Ground surface elev. ft. Depth to limiting factor in. Soil APPIZWtion Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz Sh Consistence Boundary Roots GPDhT `Eff#1 'Eff#2 • ❑ Boring # Boring Pit Ground surface elev. k Depth to limiting factor in. Soil ADDlleatl0n Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDN 'Eff#1 `Eff#2 ' Effluent 41 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mgfL ' Effluent #2 = BOD, < 30 mg/L and TSS < 30 rnglL The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD8330Tc t fR O'6001 JN�J lSL9N16W S`-•Gttn�uaL;14 0-r- CHECK BOX AS APPLICABLE. CHECK BOX AS APPLICABLE. v r1 , — PAGE 2 OF�o SOIL EVALUATION Scale: 1" =30' SYSTEM SITE MAP i 30 45 60 PLOT PLAN PROJECT NAME: IZllzlzzll DESIGN FLOW'. 450 GPD 57.' 913 1A Si. EA�(�tn isjAttach design flow Calculations for commercial plans. PROJECT ADDRESS: , LFA UD✓L.+11 Pipe Material / ASTM Standard (Tables 384.30-3 & 384.30.5) San" Sewe r BM Symbol. - BM Elevatbn: FT ForceMaln: (SJ �r� BM DescdPaon: Bab. � bL Slo eGradleM (%) P Z well Symbol (Nappllcable): Q Tested Area: Ind"to nonhty draMN an anov IMPORTANT: Show ground elevation Contours at suitable intervals. of -tpa eppromta Ana. PIL.T 6:' 01404 ) 3-1. O�U►ry �, �iN� ,y as3�i6 N 0 0 k : job C33 U ROME Sle�o& l2L_ Zoo I kptwy E,Fy L, TA,a• Pl. r.4,L F6, D5PS5F-T,NA ULITS94c PIL 7651 5614"J 0PJ Att- WE" RECEIVED FEB 0 12021 4`. T I ST.CROIXCOUNTY CDD �1ht��1m�� aF DIVISION OF INDUSTRY SERVICES 10541 N RANCH RD HAYWARD WI 548434$462 Contact Through Relay hnp./lases wi.govlpmgramKindu by-aennce8 vrww.wamnein goy — Tony Evers - Gowmor Dawn Crap - Secretary November 12, 2020 CONDITIONAL APPROVAL SOILS SATURATION DETERMINATION Plan Review Number: PWTS-112002739-C LEWIS MORK E7818 County E Menomonie WI 54751 SITE: Shawn Lafavor 973 240`h Street St. Croix County Town of Baldwin SW % - NVJ Y4 - S15 — T29N — R13W CONDITIONALLY APPROVED DEFT OF SAFETY AND PROFESSIONAL SERVICES DMSION OF INDUSTRY SERVICES C ou SEE COFMESPONDENCE 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: • Approval is hereby granted pursuant to s. SPS 385.60(2), W is .Adm. Code, to estimate the depth of seasonal soil saturation based on an interpretive determination process completed by Lewis Bjork, Certified Soil Tester (CST) and his recommendations. • This approval is limited to the soil characteristics within the tested area. This approval is basec upon best management practices and does not warranty the functioning of the system. Water conservation, wastewater disposal practice and system maintenance will aid in the longevity of the system. • On -site visit was conducted by CeCe Rudnicki, DSPS on November 9, 2020. • The estimated highest level of prolonged soil saturation approved under this determination is 6 inches below grade. At least 30 inches of sand lift on top of 6 inches of unsaturated, in -situ soil is required for adequate treatment and dispersal. • The basal soil application rate for the mound shall be 0.4 gpd/sf, and the linear loading rate 4.5 gpd/ft. • 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. • Chisel plowing to a depth of 12 inches immediately prior to sand placement is required to improve vertical water movement into the soil solum. • Landscaping up slope of the mound shall be incorporated into the POWTS design to prevent surface water from concentrating along the up slope edge of the mound and to divert surface water drainage away from the system. • This approval shall remain valid unless the site is altered in such away that the depth to soil saturation would change or if saturated conditions are observed for seven consecutive days at depths less than 3 feet below the infiltrative surface of the POWTS distribution component. • This approval in no way relinquishes the use of color patterns to estimate the depth to high groundwater on any other parcels or portions of parcels. • A copy of this approval letter and attachments must accompany the mound system design forthis site for purposes of plan approval and sanitary permit issuance. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 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 addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, CeC�l /2ud!'bidf CeCe (Elizabeth) Rudnicki Wastewater Specialist/POWTS Plan Reviewer, Division of Industry Services (608)400-3186 eliza beth. rud nickiC)wisconsin.gov INTERPRETIVE DETERMINATION REPORT CONDITIONALLY APPROVED Owner: Shawn Lafavor— 973 2401" Street Baldwin, WI 54002 DEPT OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SW NW 15 T29 R13 Town of Baldwin , St.Croix County WI CEO )2t& ^j, SEE CORRESPONDENCE This report prepared in accordance with Wisconsin department of Commerce Administrative Code. 385.60 (1) — (7) Prepared by: - Lewis Bjork, CST # 25397 Lewis Bjork LLC E7818 County Road E Menomonie, WI 54751 Phone: 715-231-7375, cell 715-308-2173 Fax: 715-231-7376,e-mail i isbjcl �cL;ahn� .�<m Conclusions and Recommendations 1. Existing properly functioning mound systems have been installed in relatively close proximity ( next door ) to this proposed mound site. Seasonally saturated soil conditions do not occur in the upper 7-9 inches of the soil profile as indicated by the absence of redoximorphic features. 2. The A horizon in the proposed system area is Munsell color 10 YR 1/3 to 10 YR 3/4 which indicates an organic matter content nominally of 25 g/kg in the range of 20-30 g/kg or 2.5 percent. This level of organic matter is indicative or relatively good drainage and aerobic conditions. 4. The relatively low level of organic matter indicated by the Munsell value of 3 would facilitate observation of high chroma redoximorphic features in the A horizon. The general lack of observation of these features in the A horizon is strengthened by the low organic matter content which lends further evidence to a conclusion that at least six inches of soil is present which is not periodically saturated for more than six days. 5. No hydric soil indicators are present in the observed system area soil pits; this conclusion is based on particularly careful review of the indicators for All Soils and Loamy and till Soils. There is no hydric vegetation in our proposed area, when in lower elevation areas hydric vegetation is present. Site is productive crop land — Photos available 6. System area pits demonstrated root penetration to depths of 10-16inches; such depths are not expected in soils which remain saturated for significant time periods. 7. The small scale cross slopes of 2% is better than none for lateral movement of effluent down -slope via the more permeable upper soil horizons and away from the mound system without surface ponding or surface discharge. 8. The available length is 100 'allows for a lower liner loading rate and enhances the ability of the system to allow effluent to infiltrate the in situ soils along a contour without a surface discharge. 9. The site is acceptable for a mound septic system with a minimum of six inches of unsaturated soil for treatment and dispersal of treated wastewater effluent as allowed by Comm 83.44 (3)(b)1. 10. The observed 7-9 inches of redoximorphic-free natural soil will allow treated effluent to be assimilated into the subsurface without ponding on the ground surface. 11. Site preparation requires mowing and removal of as much vegetation as possible followed by deep chisel plowing to at least a 16 inch depth. 12. Additional fill landscaping soil shall be added to the up slope area of the mound structure filling the concave behind mound. 13. Mound construction requires 4" of ASTM C-33 sand lift placed on the basal area then plowed into the grounds surface and then more sand added to 30" depth. Construction must take place under relatively dry conditions. This 30" depth of sand creates an effective sand filter and can be expected to produce a treated effluent with less than 30 mg/L of both BOD and TSS and fecal coliform concentrations of <I0,000 cf i/100mL 14. The rock cell in the mound structure shall be 4.5 `by 100' for a linear loading rate of 4.5 gallons per day per foot for a three bedroom residence. 170, eons difr 1 :j i I i r r i 1 i % I NJ r zzz r, 1 M �j nM J cv Ln LO rr� �8 c Va ZEZ L� Hlu g 2645.8 6 b r Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of 3 Division of Safety and Buildings m auxnuarxx+wnm Oucrim oil, Wis. Turn. •.wv Attach complete site plan on paper not less then 8 112 x 11 inches in size. Plan must 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. Please print all iOformatlo0. Personal information you provide may be used for secondary purposes (Pnvacy Law. a. 15 04 (1) (m)l. rf Cow ' �'•`� ` X Parcel I.D. 002-1031-95-D00 Reviewed by Date Property Owner Shawn Lafavor Property Location CovL Lot 0 1A�,j.}114 S 1$ T Lq N R 16 EE((aa Property Owanees Mailing Address 973 240th street Lot # Block # I Subd. Name or CSM# City state zip Code Phone Number Baldwin WI 54002 ( 715-760-0681 Ity ❑Ndtage EjTovm Nearest Road #i. ❑ New Construction UseO Residential I Number of bedrooms Code derived design lbw rate 450 GPO ❑. Replacement ❑ Pudic or commerdal - Describe: Parent material loess cap over till Flood Plain elevation d applicable ALA n. General comments Install 30" D , .2 basil loading min. mound design, will need IDR , soils are A+0 and recommendations: !` 01R IUii&ta. F❑ Boring HA"'A .40 It" + B-I BoringN d d Ground surface elev. qa rs R Depth to limiting factor 1 in. Soil Application Bale Horizon I Depth I In. Dominant Color Munsell Redox Description Qu. Sz. Cont Color Texture Structure Gr. Sz Sh. Consistence I Boundary Roots GPD/fP •Eff#1 •Eff#2 At aq 1 z. c t.�s' Z e- .0 e 0 Yam/ p{rt 3 ti P 61C #6%%L •o 1-IL 1045 Hit iol q4 $76 Ziftalliii4 B-2 Spring# El Boni IZµ �rtL c- It Ground surface elev.T3' �7 fl. Depth to limiting facto i— in. Sop ADplication Rate Horizon Depth in. Dominant Color Munseli Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPOAf •E1101 •Eff#2 l0 3 v►�v�t. C $ • Effluent #1 = BOO, > 30 <220 mg/L and TSS >30 < thv - t e - ow _ .rr npy� a. •. ,.y. CST Name (Please Print) Si t CST Number Lewis Bork Let�ljs B 253976 Address Date Evaluation Conducted Telephone Number E7818 County E Menomonie WI 54751 �15_ jA S -1.6- 20 715-231-7375 Lafavor Prooenv Owner 002-1031-95-000 2 3 Parcel ID M Page Of c' n7M7 b"MElm ■ r�� pit Ground surface elev. ft. Depthtolimitingfactor_in ❑ • Borng Bc ing Ground surface elev. ft. Depth to limiting factor in. Shc Aodica6on Pd Rale EMuenl pt = BODE > 30 < 220 mgrL and TSS >30 < t 50 nV& ' EfRuent #2 = BODI < 30 mg4- and TSS < 30 nQ1 The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608.264-8777. SaDIn30Td I 0' W) ❑ • Borng Bc ing Ground surface elev. ft. Depth to limiting factor in. Shc Aodica6on Pd Rale EMuenl pt = BODE > 30 < 220 mgrL and TSS >30 < t 50 nV& ' EfRuent #2 = BODI < 30 mg4- and TSS < 30 nQ1 The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608.264-8777. SaDIn30Td I 0' W) 6W NW l S Z.9 N 1(�UJ jWW0:F Ss-r Go¢otu cb,� Or - CHECK BOX AS APKICABLE. ✓ CHECK BOX kSAPPIICABl "'�—• ^- PAGE 2 OF!i SOIL EVALUATION Scale:'" =30• SYSTEM SITE MAP 45 PLOT PLAN i PROJECT NAME: DESIGN FLOW. 11150 GPD Zed- .�,.+% 9AUINJ 7.5' ✓ Attach design Bow calculations for oommercial plans. PROJECT ADDRESS: 5WiI LFA QQeL N Pipe Material / ASTM Standard (Tables 384.3a0�-33 & 384.30.5) Sorlary Sewerf ouv- BM SymSol. � FT BM E1le1v_at,loa�:�� Force Main: BM Descrfptb n _-i `� �� ((LL 65C WMY 4W T*j % Slope Gmdlent I%) Z Well Byn of (a appllcapk) 0 i,K�, hg, o'.mnp an 0 r IMPORTANT: Show ground elevatim Contours at suitable Intervals. or Testae Area: on In. appopnu aw. 43� aL-T6:' F&I - Still 0 rilwW6. -�-- O (,33 U how — s� 0 111a„► W.bt O a, PL. 7G5 pSPSS�r�� c Ply S1wwn1 a� d