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002-1021-40-075
Wisconsin 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 oumi Permit Holder's Name Crty Village Township Aaron Doornink TOWN OF BALDWIN CST BM Elev Insp BM Rev IBM Description TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG Vent to Air Intake ROAD Septic Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Number TDH Lift Friction Loss System Head TDH Ft For"",n Length Dia. Dist to Well SOIL ABSORPTION SYSTEM STATION BS HI FS ELEV Benchmark Alt BM Bldg, Sewer SUHt Inlet St/Ht Outlet Dt Inlet Dt Bottom Header/Man. Dist Pipe Fort. System Final Grade St Cover BED/TRENCH Width Length No Of Trenches PIT DIMENSIONS No Of Pits Inside Dia Liquid Depth DIMENSIONS SETBACK YSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer INFORMATION CHAMBER OR [TypeOf System Model Number UNIT U15TRI13UTION SYSTEM Header/Manifold IDistribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing bUIL UUVEK x Pressure Svst2ms Only xx Mmmd Or At.rradc Rvefome Ori Depth Over Depth Over xx Depth of +x See ledrSodded xx Mulched BedlTrench Center BedrTrench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ Nc COMMENTS: (Include code discrepancies, persons present. etc) Inspection #1. Location: No Address Available 1 ) Alt BM Description = 2 ) Bldg sewer length = - amount of cover = Plan revision Required? ❑ Yes ❑ No Use other side for additional information _ _ _ L� SBD-6710 (R.3/97) Date Insepotor's Signature Inspection #2 _— Cart No. �y1,J`r yr V\ Indust Services i j sion 1400 E Washington Ave County st Cron r D be filled ' P 0 Box 7162 Permit in by Co ) Samtary Peut Number (to MAR 15 202 Madison, WI 53707-7162 • 6312Z, i peY+mit pplication , Pun a ction lumber s 'IS-022100182-C m ni evel �.meent In accordance with SPS > Era n of this form to the appropriate gove unit is required prior to obtaining a sam Lary permit Note App] cat ton forms for state-owned POW, I S ar sub ed to the Department of Safety and Professional Services Personal information you pro ay use r s an Project Address (tf ddTerent than madme address) purposes in accordance with the Pm acv Law, s, 15 040 )(m), Suits C'fy Rd L 24fZv G•T 2dc. 1. Application lnformation- Please Print All Information Property Owner's Name 5 3199Parccl Aaron Doomick 8 ► a a ! - `1 - _ Property Owner's Mailing Address �7 \ / Property Location 2215 Holt} Curve �y r / x -CYrv+C ' A Gott Lot Sv r %, SW A. Section 10 Cots. State /ip Code Phone Number Hudson, lVl 54016 715-7814137 (circle one) T 29N R16 E or�' 11. Type of Building (check all that a I)) Lot 4 Subdivision Name ®Ior2Famtly Dwelling-Numberof;d000ms 7 G--- Al ❑Public/Commercial-Describe Use V k Block ❑ C uy of ❑ State Owned - Describe Use ❑ Village of / CS11 Number( {f • � Q 68s{2- 7I l own of Baldwin oCt IV III. Tv a of Permit: Check only one box on line A. Coin plete line B if applicable) A ®New System ❑ Replacement System ❑ 'l reatmendHoldmg'I ank Replacement CmIy ❑ Other Modification to Existing System (explain) B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner 1 IV. Tv e of POWTS S stem ;Com onenvDevice. Check all that a ppIxEi ElNon-Pressurized In -Ground E] Pressurized In -Ground ❑ : V-Grade ® Mound > 24 n of smtable soil ❑ Mound < 24 m of sunable soil ❑ I lulduae Tank ❑ Other Dispersal Component ( [arm ❑ Pretreatment Dev ce (explain) f V. Dispersal/Treatment Area Information:( c Design Plow (gpd) 3(x1 Design Soil Application - Ratc(gpdst) J%� Dispersal Area Requ' cd (st) 300 Dispersal Area Proposed (sl) 1500 System Elevation 99.75 � 111 �r0 - Q f� 20 V I. Tank Info Capacity, in �s Q'tg Gallons Total d of -Manufacturer > 2 d No, Tanks Existing lrinks Gallons nib p t $ $ z Septic or Holding Tank 1 840 Wieser Dosing Chamber I 1 50 1 ❑ ❑ V II- Responsibility Statement- 1, the undersigned, assu espo 'tv installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber v.'i_n MPIMPRS Number Business Phone Number Iodd Sinz 139462 715-235-2644 Plumber's Address (Street, Cm. State. Zip Code) LIU E5609 70811 Ave Menomonie WI 54751 Vlll. County/Department Use Only PP �` Approved PcrmGi[��Pee// Date sued s Age tt Signaattruu(y�(, r'1r,�, € -✓�`r ❑ner(iis en Reason or [knial S 6T,- 3/3l 7iz( . IX. Conditions Conditions o rov RreaeactuKDis ftl S SYSTEM OWNS J _ ,,,, _ t •C—� `, l 1 Septic tank, effluent flier and a�9.-- vim• �-L t✓ti b�. T ` dispersal cell must be serviced I maintained „ n Nkt-' 4;r so;� as per management plan provided by plumber. I ✓`ram 1.�` setback2 All requirements must be maintained R,.-TS •- Ob 7_0UD�"'SSA pdQ iw• lete la - - - as per applicable codeRadsh&r1a®et p ns for the s}stem an sir m't ro n aunty a , on t r qot less than a to x ll inches io s¢e�- SBD-6398 (R03)14) T-) ?Lw J /l ?trued 5 Mik_t <.Q.,, Z;v'U)A1j117 4 IV � ti�qs, rc.LAA , . (t,75 z91'LY•Y/�y� ground contour = 97.25' �q 3 97.33"� f /Dl p `_��1CpPY q• B$ fps,.. February 11, 2021 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 2023-02-11 Plan Review: PWTS-022100182-C TODD L SINZ E5609 708th Ave Menomonie WI54751 SITE: Aaron Doornink County Road E Town of Baldwin St. Croix County SW, SW, S10, T29N, R16W Total Amount: $250.00 DIVISION OF INDUSTRY SERVICES 2850 MIDWEST DR STE 104 ONALASKA WI 54650 Contact Through Relay http lldspsmi.gov/programs/Default aspx w .vnsconsin.gov Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES 0 i SEE CORRESPONDENCE Tony Evers - Governor Dawn Crim - Secretary FOR: Description: Two Bedroom Mound System \ Sloping site Mound Component Manual — Ver. 2.0, SBD-10691-P (N.01/01, R 10/12), Pressure Distribution Component Manual — Ver. 2.0, SBD-10706-P(N.01/01, R.10/12), 300 GPD, 8" depth to limiting factor, Maintenance required, Effluent filter, New construction 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 • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of See. 145.19, Wis. Stats. • Prior to construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. t 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. • 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. 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. 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. 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. Gerard M Swim POWTS Plan Reviewer, Division of Industry Services (608)789-7892 — voice \ (608)785-9330 — fax MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Res demlal Apphcatlon INDEX AND TITLE PAGE Project Name Owners Name Owners Address Legal Description Township County Subdivision Name Lot Number le-'li7 - ZY1z //A,-l{ TZ`iAJ reie, ul �f2Dc J %ti/ Condreonalfy APPROVED DEPT OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES q `-i'�L'Bll�ock Number ✓ " WO Parcel I D Number (�%L' z- - 14�� / — mC% SEE CORRESPONDENCE 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 Septic Tank/Pump tank Page 9 Effluent fixer Page 10 Plot Plan Designer. Todd L Sinz License Number MP139462 Date 0126f21 _\I Phone Number 715-235-2644 Signature. / Deeigned Pursuant to the Mound Component Manual for POWTS Version 2.0 SBD-1D691-P IN 01/01, R. 10112), and both SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) and Pressure Distribution Component Manual Vet. 2 0 SBD-10706-P IN. 01101, R 10/12) Version 7.0 (R 11/12) Pagel of 10 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/fe) R 200.00 1.50 300.00 4.00 97.25 6.00 020 (C or E) Distribution Cell Information 75.00 Dispersal Cell Length Along Contour (ft) _ 1.00 Dispersal Cell Design Loading Rate (gpde) 1 I Influent Wastewater Quality (1 or 2) sure Disribution 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) E 0.00 1 0. 556 3.00 1.50 50.00 90.00 Note: Sand fill (0) calculations assume a Table 383-44-3 in-snu soil usatment for lepl colrfaan of o- 38 inches. 4.00 Cell Width (ft) Are the laterals the high)-e-st Point in the distribution L� network? Enter Y or N If N above. enter the elevation ft of the highest point. 12.00 ft'/orifice Does the forcemain drain back? 0 Enter Y or N 4.55 System Head (ft) x 1.3 A13.46 Forcemain Drainback (gal) 9.25 Vertical Lift (ft) 5x Void Volume (gal) 0.89 Fiction Loss (ft) Minimum Dose Volume (gal) 0.00 In -line Filter Loss (ft) System Demand (gpm) 14.69 Total Dynamic Head (ft) Lateral Diameter Selection in, dW options choice 0.75 1.00 . 1.25 1.50 x x 2.00 x 3.00 x Manifold Diameter Selection in. dia. options I choice 1.25 1.50 2.00 3.00 Gallonsllnch Cal (optional) Treatment Tank Information Total Tank Capacity (gal) 840.00 Se tic Tank Capacity (gal) Total Working Liquid Depth (in) Wieser concrete IManufacturor gallin (enter result in call B49) Dose Tank Information Effluent Filter Information 50-0 00 Dose Tank Capacity (gal) Lifetime Filter Manufacturer 611.82 Dose Tank Volume (gai(n) LT1/8 Filter Model Number Wleserconcrete Manufacturer Project: Page 2 of 10 Mound Plan and Cross Section Views ------------------------- L Mound Component Dimensions Down I toe extension made. A 4.00 ft E 321010.16 1.00 ft K I? ft a! 1, 16.00 ft L 130.16 D ft D 5, 60 11 'In G 0.50 It J 1 10.161ft W EU ft El 30.16 1 300.001(ft) Dispersal Call Area 1500.00 (ft) Basal Area Available 4.DO (gpd(ft) Linear Loading Rate 7.50 (ft) 1/10 8 Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 101.54 (ft) N. 2 G F 1GO.25 (ft) D �persawl Icall ral 99.75 Dispersal Gallr,......... ......... Elevation D 4 97.25 (ft) Contour Elevation 4.0 % Site Slope Shading 1(61� I Disperse Geotextile Fabric Cover 'CO See lateral details on ps a( To 0111 Cap 15 ft Page 4 fo, number, size, T and spacing of laterals, Subsoil Cap a ASTM C33 Sand 11i E Laterals are equally :6 9 T ,W! F spaced from the Tilled Layer 6 1 Lat.111 ' Aggregate 0 distribution call's ri oentedine in the A distribution cell (AxB). Project: Page3of 10 End Connection Lateral Layout Diagram Laterals owgwed ova a a A e B Amrvlen •- Tuwaup atbaeveive or alwnoutplua 4 P tacherdweaa«kwand cap �x--il taltwala aPorcemdn Seh 40 PVC Noieper SPS Table 364.30.6 Number of Laterals Lateral Diameter Lateral Length (P) Lateral Spacing (S) Lateral Flow Rate System Flow Rate Total Dynamic Head 1 1.50 in 73.44 it 0.00 ft 13.46 gpm 13.46 gpm 14.69 ft Orifice Diameter Orifice Spacing (X) Orifices per Lateral Orifice Density Manifold Length Manifold Diameter Forcemain Velocity Dose Tank Information Eleddcal ae per NEC 300 and —� SPS 310.300 WAC Disconnect Tank component is properly vented Wieser concrete Ca ci 500.00 Volume 11.82 Manufacturer Gallons gall'inch Dimension Inches Gallons A 25.06 296.24 B 2.00 23.64 C 3.24 38.28 D 12.00 141.84 Total 42.30 500.00 A i B C Alarm Manuafacturer JSJE Rhombus -� Alarm Model Number Tank Alert Pump Manufacturer JZoeller Pump Model Number 18N151 Pump Must Deliver 13.46 gpm at I 14.69 ft TDH Locking cover with warning label and locking device and sealed watertight 4 in. min. APternate outlet location Forcemain diameter —11 1.5 in. Weep tole or anti- Siphon device Pump off elevation (ft) 91.00 Dose tank elevation (ft) 90.00 Note: Switches containing mercury may not be used in this system. Project: Page 4 of 10 Mound System Maintenance and Operation Specifications Service Providers Name T L Sinz Plumbing Inc. Phone 715 235-2644 POWTS Regulators Name St Croix County Zoning Phone 715-386-4680 System Flow and Load Parameters Design Flow - Peak 300 gpd Maximum Influent Particle Size 1/8 In Estimated Flow- Average 200 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 840 gal Maximum TSS 150 mg/L Soil Absorption Component Size 300 ftz Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Col'rform >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 monthly Laterals should be flushed and pressure tested every 3 years Inspect for ponding and seepage once every 3 years Call T L Sinz Plumbing for your service needs. 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 call 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 wilf be seeded and mulched to prevent soil erosion and help reduce frost penetration. Finished ...... Grade \>1 6-8" Diameter Lawn Sprinkler Valve Box Distribution Lateral Turn -up Detail ............... Threaded Cleanout Plug or Ball Valve Lo Sweep 90 or Two 45 ree Bends Same Diam . r as Lateral Project: Page 5 of 10 Mound System Management Plan Pursuant to SPS 363.54, Yga. Adm. Code The system shall M operated In accordance with SPS 3112-64 We. eon. Code. and Mel mastered In aponesne Meal rat corrportant 1070" [Se610 , R. (N.01/0n lo al or s, es rude, P launinon B.6 (O1/61), and Prseami Distribution Component Manual Ver 2.0 SB0. 10706E s ould ever 1 rder and boll w stela tank pesanigB to s gam may be p e end rt that old cal re death . No one should p to altar a septic o pump tads once ante with gases maybe Freund Co a When ease death. Septic and pump lank aberdonnreM shad be m ecoomarrm who SPS 363 33, Wls. NNn. Cole When the arks ere ne anger used as POWTS mmPonerib. Septic r service icepurnip and nit menuole ann rs a shall accessled art and rover Mould co mwacted ter rater opening and red unsound, , CONS dONCO pemngs scale for sarvlce end t b element sMN be waled mix openi upon me completion Sqn of service Inda Any shansg seamed unsound, deledhe, or device to allure must er replaced E�oeds aaaw openings tank Brewer Olen e-Irlrlba In sweeter shall be secured by an eAecbw locking device to prevent acodeMa or unauthorized any into a tank w component Seoul Tank The septictank stall be malydalned by an hldNldual certlfled to service septic tank. under a. 281A6, Stab. The contents of the septic ank seal be dlspowd of it eccwdanm wfth NR 113, Nits Ntm. Code. The operating condition of the septic tank and oWet filter shall be asso=W at etas one every 3 years by impatllom The a" filter shalt be dermas as necessary to ensure proper operation. The Aker cadrkge should not as remand votes, provisions are made tenreWnrotasatens tankdW meY epugh of the Pear Wantfflwadmsasendmure.Ifthe Akerranuippedwhoan nuoue,e Poor siaN he eevaa0 tithe sham n stlHelnd contlnuousy IMermMentiAar alsrma meY vkiea surge }lows or an mpendag mMinuom earth TM repacbnk eAaU have ke W re removes When tins vohe e of siWge elk scum a lee tonic amendtr3Oro visa voles er fire tank than conwMofee tankers rotto winadamofanmaxilauusmann shudgeeoc perunn I shag fro ownerof Wan The and of lei nends lo be Performed additives m maintain en tees se maximum scum and siu en aeemuahon In the Wit The whey shall ll baapir over cheeped rank use b she De septic tank commerce arm ro generally not required. Havener, f such products are ales they shall be approved for septic tank use y the Oeperbnent d Commerce Pump Tenk The WmP (daahg) %hi shatl be enpedetl w lave won way 3 Yeere NI sadtlae, alarms, and pumps shallbe bated to verify proper operwan. tt an affluent far Is seemed aiAa the tactic It sell be aepedee and sarvoe as necessary. Mound and Promise, DWbom Systiftin No bees w ahrvba shouldits pamse w 0e mound Plamnpa maybe made around the mound', ammeter, and the melt shaft be WOW and naklatl as recently to prevent sros on and to poovde some protection from frost perebaam. Traffic (afar than for vegetable menstrual an the mound Is not recommended since sold compaction my hinder aeration of the aebwne surface wdhm the mood and snow compaction in the tamer *01 Promote mat perababon. Cold steamer aetagtiom (O0.darFaMuay) drdale that the mound be heavy mulched m protedbn from freeing, Influent angry Into the mound system may not exceed 220 mgtL BOD, 150 mglL TSS, and 30 mgA. FOG for sepac and eflkam or 30 mg/L SOD, 30 mgA- TSS, 10 mgtL FOG, and 10r cfW100 mL ter hghy treated eM"M IrMuem flow may noteared mavnan dmgn flow spedMd In the permit for thisimallatan The pressure distribution system is Provided with a flushing pow at the and of each bare, and e Is recommended that each Ismail be fluaheb of accumulated Solids a see once every 18 months. When a pressure sell performed d should be compared to the initial tat When the system was Installed a deanmrre f orifla dogging has owned and If clone des" Is required to maintain equal distribution Wain tin dbperwl mlt Observallon pipes within the depetaal col she# be decked for effluent peeling, Poling levels "be nporad a the,war, and dry levels above 6 gNas considered as an krpendi g hydraulic allure rpuimg additional, mom frequent monita0g. Conttrerenev Plan If the septic tank or any of its components become deacon, the tank or component shall be repaned or replaced W keep the system in proper operating condition felt timing tank. PUMP. Pump controls, alarm or rstae0 Wring becomes detective he defective danponem(s) shall be immediately Walked w M*C*d who 9 component 0 the am or equal performance. If the mound emPonent falls to exact wutawater or begun to indents wesbwear a the ground surface, A WII be milmined or replaced in tie' present location by increasing bawl area If ton leakage occurs or by removing biologically dogged obaepdw and dispersal made, and rallied Piping, and replacing raid ornaments as dammed necessary a bang the system Into Proper open" condition See Page 5 of this pan for the name end telephone number of your krel POWTS regulator and service provider. The information and schedule of meunegemnd and mekMmnnM PMbBIWMM devices such as Gamble Inerrant units or dainrectbn units am attached as,,pares, documents and are xpewmd pan offs overall management plan brae system. Project Page 6 0f 10 cc Lu W PUMP PERFORMANCE CURVE 0 141 45 12 � `0 = 10 35 152 30 a 0 8 151 25 g 20 4 10- 2 5- 0 GALLONS MODEL 151/152/153 FLOW PER MINUTE m %�d W840/500-MR 9'-51* TANK SPECIFICATIONS DIMENSIONS 4" CAST —A —SEAL 4" CAST —A —SEAL WALL: 2 9/16' BOTTOM: Y Ii 11 MANHOLE 24' I.D. PRECAST CONCRETE RISER `c HEIGHT: 59 1/2' i' a N ck� i11i u \ LENGTH: B'-5 3/4' 11i1 r WIDTH: 7'—B• •j _ ` �i ' l BELOW INLET: 48• I q LIQUID LEVEl: 43' ' i- WEIGHT: 11,150 LBS INLET AND OUTLET: FILTER OR J� I��I ��� V CAST —A —SEAL BOOT OR EQUAL CASKET II I BAFFLE Hi INLET AND OUTLET BAFFLE AND FILTER: 1WSCONSIN. SEE DETAIL /10 & (OTHER STATES SEE CHART) LIQUID CAPACITY: 10.61 GAL/IN (SEPTIC) TOP NEW 11.82 GALAN (PUMP) LOADING DESIGN: 8'-0' UNSATURATED SOIL TANK CAN BE USED AS: SEPTIC/SEPTIC, SEPTIC/PUMP, OR SEPTIC/SIPHON COVER: MIX DESIGN jB (NO FIBER) TANK: MIX DESIGN #10 (STRUCTURAL FIBER) CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WESER CONCRETE DATE FOR APPROVAL APROYED BY: APP AL LUTE: PRODUCTS NEWEO BY: 4 The Best Just Got Better The most efficient, the lowest maintenance, the most economical effluent filter! • Nearly Twice the Filtering Capacity Estimated to go 3 Times • Longer Between Cleanings • Cleaning Made Easy • • Does Not Retain Solids Between Plates • Lowest Price 0 - Eliminates the collection of solids inside the cartridge. - Nearly twice the filtering capacity of any other filter. - By eliminating solids between plates drastically reduces the need to clean. - Cleaning - LT Filtration 1 LT - 1 /16: Filtration 1 LT - 1 /32: Strength - - LT -1 /64: Strength - - 2700 Inchi 7-Z4'x/ 2�6i✓ .5rK*jw- GJi,CAOW- o Las'�TarG 4r-�Pi Alpvc� /vL.s3 y Ao,14 Ov04h 15(gs. IFLOV, 99,75 r fZ��95.9' '�c�, L,7TcceerrA 97 29' PVL . h R4 ground contour = 9725' ' i ' 1 i 97 33" —oFoF 1".5e, A+a FW. ?i PL' , 1149 6,7 usse WBOARWO MM talat a W=40 Its WM M400l rtet•at�at�r �' raa.�-anna.r atrwease.aigalaa- June 10, 2020 CONDITIONAL APPROVAL SOILS SATURATION DETERMINATION plan Revlew Number: PWTSD62000040-M 11M THOMPSON 340 Paulson lake Road Osceola WI 54020 WE. David From County ROW E SC Cola County Town of Baldwin SW X - SW X-510-T29N-R16W CgtCdnQVALLIr APPROM WT OP INIPM AND PAMMUMMAL MPW= OR IRM OF RAMMIIY OMM The submittal described above has been reviewed for rorHorm wtVA applicable Wisconsin Administrathre Lades and Wisconsin Statutes. The submittal has been CONDRIONALLY APPROVED. This system is to be constructed and located In accordance with the enclosed approved plans and with any component manuals l rtfenenced above. The owner, as defined in chapter 101.01(10), wiscoruln Statutes, Is rasponsgak for compganee with all code requIA MA s. No parson MY engage In or work at plumbing In the state unless licensed to do so by the Department pit s.145.06, stets. The following conditions shall be met during construction or Installation and prior to occupancy, or use: • APWeval is berebe Smutted pursuant to X. SPS 385.60(2), VAs.Adm. Coda, to atlmete the depth Of seasonal soil saturation bead on an interpretve detemninadon process completed by ske Tttmpearn, C.artlRed Soll Teals (CST) and his recommendaOmK. • This approve l la gmkW to the soil chencterist cs within the tested ones. This approval is based upon bast management Practices end does trot warranty the functioning of the system. Water consatvNWn, wastewater disposal practice and system maimenanrn wit aid In the ImgevlV of the system, • Omses A* was conducted by CeCd Ru4tkkl. DV5 on May La, W= ' The mtlrnaled highest level of prolonged soil saturation approved under this datemdnedon is a inchee below graft. At least 30 Inches of sand gh on top of B inches of unsaturated, Miltu soil b requited for adequate traatment and dispersal. • The bwl tell appModan rate for the mound shall be 0.2 gprl/sf, and the (near loading rate 4.0 gpd/h. ' Puler to coshuctlon of the dispersal area, check the mohnue torterd of the soil to a depth of 8 inches. Smeadrg and compacting of wet soil will rerun in radudrg the iellhmlon rapec¢y of the soll. ProPersog moisture content an be determined by raging a sog sample between the Iu ds. H it rails into a 1/4- Inch wire, the the is too wet to prepare. R it Crumbles, site Preparation rare proceed. R the site fa too wet to prepare, do not proceed un i It aides. Chisel pkm4r, to a depth of 16 Inches Immediately prior to send placement ls required to Improve vertical water movement Into the sell solum. • Landscaping up slope of the mound shall be Incorporated Into the POWiS design — as erglahred on the Interpretive report - to prevent surfaca 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 aitered In such a way that the depth to $oh saturation would change or if saturated conditions arc observed for seven consecutive drys at depths less than 3 feet below the Irtflkrative surface of the POWfS distribution component • This approval in no way relinquishes the we of color patterns to estimate the depth to high groundwater on any other parcels OF portions of parcels. • Acopy of this approval letter and attachments most a mparry the mound system design for this site for purposes of plan approval and sanitary permit Itsuari A copy of the approved plans, spaciScatsons and this letter shall be on -We during constrw2bn and open to Inspection by authortted representatives of the Department, which may Include local aspectaL AN Pertness required by the state or the local munidpalfty shall be obtained prior to Commencement of Coratructlon/inshgation/operatlon. In granting this approval the Division of Industry Service, reserves the right to require dwryes or edditbns should conditions arise malting them necessary for code compliance. As per state seen 101. 12(2), nothing in this review shall ralleve the designer of the responsibilitv for designing a safe bulldbng, stnKWM, or WMPorram. Inquirlp com emling this cor epondeno e may be made to me at the telephone number listed belbw, or at the address on this letterhead. The above addressee shag provldr a copy of this letter and the PO`N1S management plan to the owner and any others who are responsible for the installation, operation or maimensrse of the POWIS. Sincerely, CeCe, 9"4444e. Ce[e (E4taheth) Rudnkb wastewater Specialist/POWiS Plan Reviewer, Dhdsion of Industry SMIM (fO6) e00-3166 4lWbtth.rud kaiq non f ov cou Rudnidd Wastewater Spedahst Depxbnant of Safety" Professional 5ervicns Division of Indu.Vy Services 60e-400-31e6 Phone elizabeth.rodnirldtheiscordin Emall Mr INSPECf1ON � M zm SL REPORT Town ofbawwin meaaera® tumauatesw trommaas Cty Rd E 002-1021J0O00 ihn 7honwam4 SoN Tops Sw-Sw-w29-uw owrearrese nraaroagre swuaucnon Reasons DWM Fern Solk wrlflotlon OIS4)52017714 aartLTRR genet CeCe Rudoickl noes arson JNn Thompson and Re -An Grobau Itherpr lve Determinatlpn Report recsMed from Jim Thompson. Dra to to verily soil and site conditions. Mound site Is cropped field. Hod been Planted at time of impaction. Jan had due holes as Morn on she Plan I observed high and low rhroma redoa at Y In the and. This site is suhable for an A+U' mound system Installed when the sons am dry with at feast 3w of ASTM C33 sand Installed between the system elevation and the contour. The site must be protected from "hide tmfW=mPactlon at ON tines. The conditions in the soil saturatim ntport approval must be followed. Contact me with any questions. 016 LLtp"• Cafe Rudnkkt wast~erSpedalht PAGE 1 of 1 I ja t f ie on 0 Hi It Do i i WINE, OL 0 no Af 0 pr pr my `AD 1109178 METH PABST REGISTER OF DEEDS CERTIFIED SURVEY MAP ST. CRO FORFOR K CO Wx RECEIVED RECORD ART OF THE SOUTHWEST QUARTER OF THE SOUTHWEST OUARTER OF SECTION DO/ 12/2020 01:33 PM O. TOWNSHIP 29 NORTH. RANGE 16 WEST, TOWN OF BALDWIN. ST. CROIX CERTIFIED SURVEY MAP COUNTY. WISCONSIN. VOLUME: 30 `xxoxxvnunuprar r xM SCONS` ar" 4 PAGE: 662 /�a'ry L A / A,• / `�f6 REC PER: 30.06 PAGES: 2 r 6fQndOn W. Revised 8-06-2020 King - WE ds AR[ RORRDK.4D W R 9011111 l)NE 6 TIK 5-2632 sounmcsi QUARWR OF mcuom 10. r2R1. Maw. au Galle O e SET 3/4• % 78- IRON ROO W1101 M NDRTN 6r '24' WEST W rHE ST. LRDIR Q' r WEIGHING 1.50 Lb S/L.F. �1MTM ODDRONAIE SYSl01 (N.A0. 1%SX1ee1) :3 O 200 400 ayry' O E- B •• FOUND MAG NAIL '�aaarannn mluxRoo••• GOVT CORNER, AS NOTED SCALE: 1 INCH - 200 FEET WEST WARTER CORNER SECTION 10. T29N. R16W MOIE 111g YAP COM TAMag AREwS TWAT ARE LIeSCT •a1Ro ylKY MAl ® a WELL m TIE SMaREsI pYDR/1Y ZONNO TACT CT: r _ ADDITIONAL REgrR1CT10NT APPLY. CONTACT 11E = IM1 cD•awwRtt DEraDvrNr oEPMTYwT rOR fURTHER ii ® SEPTIC TANKLi ProRMATwM. f 1 - APFwolfYwlE WF/IwRO eawl0wrtr FOt 1RE SEPTIC RISER MSCOIAN DEPMIYDIT Of NATURAL RESOURCES (pat) 9lRFAGF WAMR DATA J WE11FJ1. 111E ONR ROTES SAID WETLARDg AS . N W45'M' w BiF111G Zlcm GUNTAIET MEA00�, e' 1.11 z.ee' EILANM UNPLATTED LANDS ocoMs v%=A MM� WE 0. A � I - I � use n•—___-__ _ NDRn UNE of T1NE sw / 1/4 Dr tNE sw 1/4 / AREA EXCLUDING AREA INCLUDING � h , ROAD RIGHT OF WAY: ROAD RIGHT OF WAY: e57.OW S9. FWWt 914.7e1 Sq. FRM -_-- 19.675 ADtw 21.000 AcTea / 3 `` �) LEIITNJRANE a PDTE•InAur I �q{a>.aY wAAW .DAouYy SSTTAµi S� j 1 sT a a. cwN r xaNe c S �I ti?�AJI aAtaNc ars.cE. n' screA« �r �• i' H - o I I al ® \ m NwncAAI wATots i .N N 118'21'30' W i 104.02' � 5 LOT 1 i S'�ti�� SW 1/4-SW 1/4 ui SEC. 10-T29N-R16W _ iI I; = I; w[TIAND i 250.29 UNPLATTED LANDS 1p �Bd1W1MY ;n I / i 395-37' PREPARED FOR: b I� / S 89'14'13- E o z / MAN MADE POND OAVID FERN zNl z I / AP MMAM r 1019 BALD W24 ST AREA INCLUDINE3 0 LDW IN, W 54W7 002 ROAD RIOffT OF WAY: 271.746 Sq. Feet 8236 Ar x' LOT 2 �s W f r N aP30'1 T• w 4j p ' 1 `.•fl�i 1 u p I A $ • AREA EXCLUDING JJ'33 j ^8 ROAD RIGIfT OF WAY :ti N ' j r $ = d'Cd 253,301 Sq. Faet H arz6'z4 '^' 5.616 Acma Lu' S NNi P • w 99..6e' .... c •ee.er _gga,er n n - __ N 8T26'24' W 1027.48' .o SOUTHWEST CORNER COUNTY TRUNK HIGH WAN'—E i •rCTION rn10. .woR�R16W .._ - - N 8T NPLATIED LANDS 137z6 •• W '... 26'24- W 1s7za4' 2600.12' BRANDON KING LAND SURVEYING, LLC PHONE: 715-639-5243 EMAIL: bklsllcl�.. ail.com o�1mE air usT1 e2e OAT[ OF YAP n/14/2D1a �""'11 /W/Z020 •1ll MAME: FN�n 1010.aAy OF 2 SHEETS Document Number THIS DEED, made between State Bar of Wisconsin Form 1-2003 WARRANTY DEED Document Name ("Grantor," whether one or more), and Aaron J. Dooruiuk a single person ("Grantee," whether one or more)_, Grantor, for a valuable consideration, conveys to grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Croix County, State of Wisconsin ("Property") (if more space is needed, please attach addendum): Lot Two (2) of Certified Survey Map, as recorded in Volume 30 Certified Survey Maps, Page 6842, as Document No. 1109178; Part of the Southwest Quarter (SW/) of the Southwest Quarter (SW V4) of Section Ten (10), Township Twenty-nine (29) North, Range Sixteen (16) West, Town of Baldwin, St. Croix County, Wisconsin. Area Name and Return Address Aaron Doornink 2215 Holly Curve Hudson WI54016 Number This is not homestead property. (is) (is not) Grantor warrants that the title to the Property is good, indefeasible in fee supple and free and clear of encumbrances except: Zoning ordinances, rights -of -way, all easements, covenants, conditions, reservations and restrictions, and general real estate taxes and assessments levied in the year of conveyance. Dated (SEAL) "Da H. ern Signature(s) authenticated on AUTHENTICATION 0i MEMBER STATE BAR OF WISCONSIN (If not, authorized by Wis.Stat § 706.06) THIS INSTRUMENT DRAFTED BY: Tony R Seer Attom� (15) 235 3493. a No ST 1 04237�03 File No ST 1 04237 t (SEAL) °C tal L. Fern ACKNOWLEDGMENT STATE OF WISCONSIN ) ss. COUNTY OF ST. CROIX Personally came before me on the above -named David H. Fein and Crystal L. Fern tome known to be the person(s) who executed the foregoing w p�t and acknos. [he same. !Morxan Beve�� Notary Public. State of Wisconsin My Commission expires. 8/19121 (Signatures mar be sutbeancated or acknowledged. Both arc not oeeessaq.) NOTE. THIS 1S A STANDARD FOR711. ANY NARRANTY DEED MODIFICATIONS To THIS F011i SHOULD BE CLEARLY IDENTIFIED. 'Type name below signabnp. 02003 STATE BAR OF WISCONSIN FORM NO.1-2W3 SANITARY SYSTEM File tt. ST. C RO LJNTY office Use Only OWNERSHIP/ADDRESS FORM C��a2' Community Development Department will utilize this information to provide the property owner with information regarding operation and maintenance of your new or replacement sanitary system! This information will be provided as part of our ongoing efforts to protect public health, your well, groundwater, surface water, property values, and county resources. Once approved, this completed form and educational information will be sent to you by email. //�� OWNER/BUYER INFORMATION Owner/Buyer Ack-'cv n oo /-^ 1^ r Mailing Address a a ��S i �+ Qa.v'yt City/State/Zip�� Phone Number Email Address 7 rS 7f�/ Lf13-1 Qax-c) .--N 000✓n,nrL I Parcel Identification Number UO I O - y �% , C' 1 (found on the property tax bill) NEW SYSTEM: LEGAL DESCRIPTION Property Location •- 1A , S �^ 1A , Sec I T _,)q N R_L_(- W, Town of 1?> CK (l] VJ Subdivision Plat: Lot # Certified Survey Map # 1 0 Volume 30 Page #_c�g. Warranty Deed # r I lZ IL-4 ( efore 2006)Volume 19;i Page # � Number of bedrooms - �Spec house ❑ yes Ano Lot lines identifiable Xyes ❑ no New Property Address 2f.20._.G (Verification of new address 5 13 I , 2-t (Staff Initials) (Date) OFFICE USE ONLY from Community Development Department for new construction) This form must be submitted with all Private Onsite Water Treatment System (POWTS) applications. New System: Include with this form a recorded warranty deed from the Register of Deeds ice and a copy of the certified survey map if reference is made in the warranty deed. Community Development Department- Land Use Division 715-386-4680 St Croix County Government Center 715-245-4250 Fax DIVISION OF INDUSTRY SERVICES 10541 N RANCH RD HAYWARD WI 548434462 Contact TIYo\gh Relay Mtp //dsps.w.gm/PMWSMSArWusby-sen W .w'IStAnLn gov Jw. / Tony Ever, -3 o Do"*Ury CrINn-BecrN•ry June 10, 2020 CONDITIONAL APPROVAL SOILS SATURATION DETERMINATION Plan Review Number: PWTS-062000040-SSD JIM THOMPSON 340 Paulson Lake Road Osceola WI 54020 SITE: David Fern County Road E St. Croix County Town of Baldwin SW Y - SW X- S10—T29N — R16W COND177ONALLY APPROVED DEP1" OF SAFETY AND PROFESSIONAL SERVICES DMSION OF INDUSTRY SERVICES && I ck, SEE CORRESPONDENCE 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), Wis .Adm. Code, to estimate the depth of seasonal soil saturation based on an interpretive determination process completed by Jim Thompson, Certified Soil Tester (CST) and his recommendations. • This approval is limited to the soil characteristics within the tested area. This approval is based 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 May 13, 2020. • The estimated highest level of prolonged soil saturation approved under this determination is 8 inches below grade. At least 30 inches of sand Ikon top of 8 inches of unsaturated, in -situ soil is required for adequate treatment and dispersal. • The basal soil application rate for the mound shall be 0.2 gpd/sf, and the linear loading rate 4.0 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. 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 16 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 —as explained on the Interpretive report - 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 a way 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 for this 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 orthe 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�,2, /il. dtu:Gkt CeCe (Elizabeth) Rudnicki Wastewater Specialist/POWTS Plan Reviewer, Division of Industry Services (608)400-3186 elizabeth.rudnicki@wisconsin.gov Project Name: Owners Name: Owner's address: Site address: Project Location: Subdivision: Interprative Determination Report Fero Intertative Soil Determination David & Crystal Fern 1019 240th St.., Baldwin, WI 54002 24xx Co. Rd. E., Baldwin, WI 54002 lot I of proposed CSM CONDITIONALLY APPROVED DEPi OF SAFETY AND PROFESSIONAL SERVICES DMSION OF INDUSTRY SERVICES SEE CO ESPONDENCE Legal Description: SWY.SWY., Sec. 10, T.29N., R.16W., Town of Baldwin, St. Croix Co., Wl. Parcel ID #: From 002-I02140-000 Page 1 Introduction, Project information & Geomorphology Page 2 Local Hydrollogy & Field observations Page 3 Supporting Data Page 4 Aerial photo of subject property with Topographic Overlay Page 5 USDA SCS Soil Series Map Page 6 USDA SCS Soil Series Description Page 7 Wetland Deliniation Map Page 8 National Weather Service Average Annual Precipitation Map Attachments: Soil Evaluation Report Mater Pldmber Restridted Service: /9 2ozo Page 1 of 8 Design pursuant to In -Ground Soil Absorption Component Manual for POWTS, version 2 0 SBD-10705-P (N.01/01) A+O" Interpreti ve Determination Report David & Chrystal Fern Property Introduction A Soil & Site Evaluation of this site was completed by James K. Thompson, Dep't. of Safety & Professional Services Credential #30021 on April 23'd 2020, for the purpose of determining the suitability of the site to accommodate an Onsite Wastewater Treatment System (POWTS) to serve a future residence on the property. The proposed 6.238 acre parcel consists of productive and fallow agricultural land. The results of the evaluation indicated that soil suitability is uniform throughout the site, with suitable depths of soil ranging from 9" - I I" (A+0" to A+3"). An onsite soils verification was performed on May 201s, 2020. Present were Elizabeth Rudnicki, DSPS District 1 Wastewater Specialist, Kevin Grabow, Land Use Specialist with the St. Croix County Community Development Office and Jim Thompson, CSTM with A.C.E. Soil & Site Evaluations. Proiect information: The proposed mound site is located in the northwest corner of the SW'/4SW'/4, Sec. 10, T.29N. R16W., Tn. of Baldwin, St. Croix County, WI., lying approximately 450' north of the center line of Co. Hwy E and 745' east of the center line of 240's St. (150' east of proposed west property line). The site has been in agricultural production for several years. Methods Soil color, texture, consistence, and Redoximorphic features have been evaluated and recorded on the attached Soil & Site Evaluation Report in accordance with Chapter SPS 385.60(2), Wisc. Administrative Code. The initial field investigation of the site included evaluation of 4 soil pits. One -foot contour intervals were determined within and surrounding the proposed system location by collecting rod and transit elevations at all soil pits and at 10' grid intervals throughout the proposed system area Additional elevations and horizontal measurements were taken as needed to identify landscape position and determine separation distances from dominant landscape forms. Local Geolmry St. Croix County is underlain by Prairie du Chien limestone and St Peter sandstone, which is overlain with glacial till, forming the principal soil parent material. A search of Department of Natural Resources Well Drilling Reports filed for wells constructed within the geographic region indicated soil depths of 49' —164' overlying sand stone and Dolomitic limestone. Static ground water aquifer levels were found at 145'- 200' below grade. Geomoroholoev Parent Material: the U.S.G.S. Soil Survey Manual maps the site as Freon silt loam, consisting of silty sediment over reddish brownsandy loam till subsoil. Freon soils are moderately well drained and are located on gently sloping foot slopes of ground moraines. Landscape position: The tested area is positioned on the footslope slope of a glacial ground moraine at a nominal Mean Sea Level (MSL) elevation of 1225'. The moraine extends upslope in an easterly direction for a distance of approximately 1750' to a nominal elevation of 1250' MSL. The moraine extends downslope from the tested area in a westerly direction approximately 220' to a forested wetland area and continues another 190' to a toe slope and intermittent drainage way having a nominal elevation of 1210' MSL Slope and Aspect: The contour within and adjacent to the proposed system area has a slope shape that is convex along the vertical contour and convex along the horizontal contour. The ground slope is consistent at 3'/4% - 4% with a westerly aspect of 280°. Local Hydrology: Surface Water Drainage: Surface water drainage is uniform throughout the proposed system footprint and the surrounding area within 150' of the system area. The convex, convex slope throughout the tested area disperses surface water flow away from the proposed system area. Subsurface Water Drainage: The A and B horizons consist of weakly structured silt loam providing adequate infiltration potential. When combined with the uniform 31% slope across the proposed system area, this site should provide good lateral subsurface water flow. Soil Saturation: Soil pits were evaluated throughout this property during the months of April and May, 2020. Soil pits were evaluated to depths ranging from 16" — 40" with redoximorphic concentrations observed from 8" — I P. No saturated flows were encountered in any of the soil pits evaluated. Field Observations: Soil Morphology_ The soils within the proposed system area were found to be consistent with the Freesia mapping unit as shown in the U.S.G.S. Soil Survey of St. Croix County, Wisconsin. Moderately structured silt loams were observed ranging to a depth of 8"— 11" with weakly structured silt, silty clay loam and sandy loam below ranging from 8" —40". RedoximoMWc Features: Redoximorphic features were not observed within the A horizon of any of the soil profiles, with all profiles displaying redoximorphic features at greater than or equal to A+0". No evidence of prolonged saturation was observed within the upper 6" of the A horizon. Redoximorphic concentrations were observed as high chroma Fe oxide masses within the upper portion of the B horizon and throughout the C horizon. Redoximorphic depletions were observed throughout the C horizon. Hydric Soils: The soils at this site do not meet the necessary criteria to be categorized as hydric soils. Government Reports: Elizabeth Rudnicki, DSPS District I Wastewater Specialist and Kevin Grabow, Land Use Specialist with the St. Croix County Community Development Office preformed an onsite verification of the site on May 14, 202, Conclusions and Recommendations: Conclusion: No redoximorphic features were observed within the A horizon of any of the evaluated soil profiles, and indicate that the highest level of saturation is found at greater than 6" below surface elevation. The lack of hydric soils indicate that the site is likely saturated for less than 5% of the growing season. This, coupled with the lack of redoximorphic depletions in the upper horizons and the strong matrix colors displayed throughout the soil profiles, indicate limited saturation within these soils. The redoximorphic features observed are likely a result of short-term seasonal saturation. The moderately and weakly structured silt loam soils in the A horizon and upper part of the B horizon will accommodate the infiltration and dispersal of applied wastewater from the POWTS and will allow treated effluent to be assimilated into the subsurface soils. The convex, convex slope will accommodate uniform dispersal of both naturally occurring surface water and applied wastewater away from the site. Seasonally saturated conditions do not occur within the upper 8" of the soil profile as evidenced by the lack of redoximorphic features. The site has a minimum of 6" of unsaturated in situ soil for treatment and dispersal of treated wastewater effluent and is therefore suitable for a mound POWTS as allowed by SPS 383.44(3)(b)I. 2 Recommendations: 1.) The mound dispersal cell should be constructed on the 97.25' contour in a convex linear shape as indicated on the Soil & Site Evaluation Report. The dispersal cell should be designed and installed using as much of the available contour length as possible - approximately 150.0'. 2.) The site should be chisel plowed to a minimum depth of 16". 3.) Thirty inches (30") of ASTM-C33 sand fill shall be placed beneath the upper edge of the dispersal cell. 3.) The linear loading rate for application of septic tank effluent should be 4.0 gpd/linear ft. or less and the basal area application rate should not exceed 0.20 gpd/sq. ft. 4.) The mound shall be constructed to divert surface water around and away from the mound. A surface water diversion trench should be constructed at approximately 10' wide extending between 10' — 20' upslope of the mound site. Additional fill should also be added directly upslope of the upper toe of the mound and tapered into the diversion trench and graded to direct surface water around and away from the mound area. 5.) The mound shall be constructed in accordance with Dep't. of Safety & Professional Services regulations and recommendations including the removal of all vegetation from the site prior to site preparation. Final authority for approval of a POWTS mound on this site lies with the appropriate regulatory authorities, the Wisconsin Dep't of Safety & Professional Services and the St. Croix County Zoning Dep't. This report and its observations, recommendations and conclusions are the professional opinion of James K. Thompson, Dep't of Safety & Professional Services Credential #30021. References: Soil Survey of St. Croix County, Wisconsin. July 1978. United States Department of Agricultural Soil Conservation Service in cooperation with Research Division of the College of Agriculture and Life Sciences University of Wisconsin. Department of Safety & Professional Services Chapters SPS 383 and 385, Wisconsin Administrative Code. Field Indicators of Hydric Soils in the United States. 1996. G.W. Hurt, Whited, P.M., and Pringle, R.F. United States Department of Agricultural, Natural Resources Conservation Service, Fort Worth Texas. Hydric Soil List for St. Croix County, Wisconsin. United States Department of Agricultural, Natural Resources Conservation Service. https://www.nres.usda.gov/lntemet/FSE_DOCUMENTS/nreseprd1316620.html Field Book for Describing and Sampling Soils, Version 2.0. 2002. Schoenberger, P.J., Wysocki, D., Benham, E.C., and Broderson, W.D. (editors) 2002. Natural Resources Conservation Service, National Soil Survey Center, Lincoln, NE. U.S. Geological Survey. Topographic Map download, hM://www.termaserver.microsoft.com Wisconsin Department of Natural Resources. Well Construction Information System. https:/Idnr.wi.gov/WellConstructionSearch/#!/PublicSearch/Index Ground Water Resources and Geology of St. Croix County, Wisconsin. 1976. Baran, R.G. & Trotta, L.0 iediateContours o 0.1 y INTERMEDIATE DEPRESSION = PLSS Townships 1 5 INDEX Control Corners o a •--.- PLSS Sixteenths Sections J © irs Vl SCC ArcGIS Web Map 5/19/2020, 7:31:51 AM 1:4,514 0 0.03 0.05 0.1 mi ® Shoreland Zoning © ZONE AE Base Flood Elevation Flood Hamrd Areas ©ZONE AE-FLOODWAY PLSS Sixteenths Se iom 0 0OC 0.09 0.17 km EM ZONE w R SCC coo SCC Coo w Sc Hijw o , SM Coo. OZONE X-0.2PCTANNUAL CHANCEFLOODHAZARD-.�PLSSpuederSelon ww ppewn ru wms SW Coo I woNR$CC Coo I SM MD s C Ngrwr NV l FEMA$CC coo I rYlim+ GemE M ftsmeA (N I: ow Sun U, iy. EM l E�v SM MD -� lklmir, mil alyn. II RIMMIEW 1 11 N' 30.1 1 30 YearAverage Precipitation. MKE 3436' EAU 30.98- ®IT 31-66" AISH34A8- AUw32Ar DBQ3629 GRB 2952" RH731A0" OLH 30.96" ` l5E 33.06" PKF' MAX: 38.08"Dodgerite(kwmCo.) k- MIN: 28.32"Washington Islmd (Doo Aniount(bx:hm) — 2833 - 29 - 29.01 - 30 — 30 01 - 31 31.01 - 32 ® 32-01 - 33 ®3301-34 34.01 - 35 - 35.01 - 36 — 36.01 - 37 - 37.01 - 38 - 38.01 - 39 33.12 - all 3367 S y �L f �3 i I �229 3 i y { 334 ',j -- nar .wdr .ed by a H tm.w.m-ebyAMlyw. Wisconsin Department of Safety and Professional Services Division of Industry Services SOIL EVALUATION REPORT Page 1 of 4 In accordance with SPS 385, Wis. Adm. Code County 8 12 x 11 inches in size- Plan must include, St. Croix l I D 00 Ref;'#2572 Reviewed by I Date secondary rwroose_s (Privary Laws 1S.n4l11fm11 Attach complete site plan on paper not less than ersonal information you orovide may be used far Property Owner Property Location ❑ David & Crystal Fern Govt. Lot SW % SW 'G S 10 T 29 N R 16 E (or) W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1019 240" St. 02 Na Proposed CSM City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road Baldwin I WI 54002 (715) 781-2864 I Baldwin Co. Hwy E & 2401" St New Construction Use: ®Residential/ Number of bedrooms 3 Code derived desig n flow rate 450 G PD ❑ Replacement ❑ Public or commercial — Describe: Parent material Glacial till Flood Plan elevation if applicable na ft General comments and recommendations Site does not comply with A+4" requirement as specltied in DSPS 335.30(2(b)l and is unsuitable for mound POWTS. DSPS interprative approvals for mound may be possible if further Interpretive evaluation is completed in accordance with SPS 385.60. EBoring # ❑ Boring ® Pit Ground surface elev. 97.33 ft. Depth to limiting factor 11" in. S..il ennlir�l'v.n Raro Horizon Depth In. Dominant Color Munsell Redox Description Qu Az. Cont Color Texture Structure Gr Sz. Sh Consistence Boundary Roots GPD/Ft' •Eff#1 'Eff#2 1 0-8 10yr3/4 none sil 2fgr mvfr aw 2vf,fm 0.6 0.8 2 8-11 10yr4/6 none sil 2fsbk mvfr ow 1vf,frn 0.6 0.8 3 11-14 10yr4/6 2d 7.5yr4/6 sit lfsbk mvfr cw - 0.4 0.6 4 14-19 7.5yr4/4 2d 7.5yr4/6 sl 1msbk mvfr gw 0.4 0.7 5 19-36 7.5yr4/4 m2d 7 5yr5/8 sl 1csbk mfr - 0.4 0.7 2❑ Boring # ❑ Boring ® Pit Ground surface elev. 95 90IL Depth to limiting factor <8" in. Rail ennliralinn Rafu Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Fi' 'Eff#1 'Eff#2 1 0-8 10yr3/4 none sit 21gr mvfr a 2vf,fm 0.6 1.0 2 8-14 10yr4/6 cid 7.5yr4/6 sit 1fsbk mvfr cs 1vf,fm 0.4 0.6 3 14-19 11 c2d 7.5yr4/6 slcl lfsbk mvfr gw - 0.2 0.3 4 19-30 7.5yr4/4 cap 7.5yr5/8 & 10 r6/2 sl 1 csbk mfr cw - 0.4 0.6 - Lmuent Sl n GUU. > 9 s 2 U ma/L and 1 SS > 3e 5 15n and/L - FIIlrfnol'#9 = Hon > 3n 5 9913 mall and TSS > 3n 5 1.J inn/r CST Name (Please Print) na CST Number James K. Thompson 11telEvraluation 30021 Address Conducted V Telephone Number 340 Paulson Lake Lane Osceola, WI 54020-5413 Aril 23 2020 15 248-7767 SBD-8330 (R04/15) ❑3 Boring # El Baring ®pit Ground surface elev. 9729 It Depth to limiting factor !&! in. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft' 'Eff#1 •Eif#2 1 0-8 10yr3/4 none sil 2fgr mvfr ce 2vf,f 0.6 0.8 2 8-13 10yr4/6 m1f 7.5yr4/6 sil lfsbk mvfr cw 2vf,f 0.4 0.6 3 13-17 10yr4/6 m2d 7.5yr4/6 Sid lfsbk mvfr cw 1vf 0.2 0.3 4 17-26 7.5yr4/4 m2d 7.5yr4/6 sl 1msbk mvfr gw - 0.4 0.7 5 26-40 7.5yr4/4 '3d�7.5yr4/6 & ad Om mti - - 00 0.0 4❑ Boring # ❑ Boring ® Pi Ground surface elev. 9815 ft- Depth to limiting factor 14" in. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont Color Texture Structure Gr. Sz. Sh Consistence Boundary Roots GPD/Ftr 'Eff#1 •Eff#2 1 0-8 10yr3/2 none sil 2fgr mvfr cs 2fm1c 06 0.8 2 8-14 10yr414 none sil 2fsbk mvfr cs lfmc 0.6 0.8 3 14-20 10yr5/4 f2f 10yr4/6 all 1mbk mvft w lfmc 0.4 0.6 4 20-25 7.5yr4/4 cmd7.5yr4/6 sl 0m mfr - 1f 02 0.6 ❑ Boring # ElBoring ❑ Pk Ground surface elev. ft. Depth to limiting factor in. Soil Aoolication Rate Horizon Depth In. Dominant Color Munsell Redox Description Cu. Az. Cont Collor Texture Structure Gr Sz. Sh Consistence Boundary Roots GPD/Ft' 'Eff#1 'ER#2 ' Effluent #1 = BOD, > 30 5 220 rig/L and TSS > 30 5 150 mg/L • Effluent #2 = BOD, > 30 5 220 mg/L and TSS > 30 5 150 mg/L ��,/ 9GoC�� ff.:�.N1. TjooroES e- / 660'i/Q/4/ua rl 97.0£en 34. / / / ,� ,I � � swYfswyf5ec./oTz9�f•, 5t. Cro;x do., mil. l I I r l 3/ 6= 1 1 3 I 1 � � �C t I 1 � w,ao•1¢ 1 1 t t i /bta l 1 1 1 I I 1 I ` \ �� 6r • I;y/r1i-rfilp i 3of3 CeCe Rudnicki Wastewater Specialist 0 Department of Safety and Professional Services S Division of Industry Services P=\ 608-400-3186 Phone elizabeth.rudnicki(a)wisconsin.Rov Email DATE INSPECTION COUNTY May 13, 2020 St. Croix REPORT Town of Baldwin SITE ADDRESS PARCEL NUMBER PROFESSIONAL Cty Rd E 002-1021-40-000 Jim Thompson, Soil Tester SW-SW-10-29-16W OWNER NAME TYPE OF ONSITE TRANSACTION NUMBER David Fern Soils verification DIS-052017714 INSPECTOR NAME OTHERS ONSITE CeCe Rudnicki Jim Thompson and Kevin Grabau COMMENTS Interpretive Determination Report received from Jim Thompson. Onsite to verify soil and site conditions. Mound site is cropped field. Had been planted at time of inspection. Jim had dug holes as shown on site plan. I observed high and low chroma redox at 8" in the soil. This site is suitable for an A+O" mound system installed when the soils are dry with at least 30" of ASTM C33 sand installed between the system elevation and the contour. The site must be protected from vehicle traffic/compaction at all times. The conditions in the soil saturation report approval must be followed. Contact me with any questions. CeCe Rudnicki, Wastewater Specialist PAGE 1 of 1 Ak APPLICATION FOR REVIEW -Complete all pages - NOTE, Personal information you provide may be used for secondary purposes [Privacy Law s. 15.04(1)(m), Stats.j 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 htto:Udsps.wi.aov 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 designation check our website at htt://ds s.wi. ov 1. Project Information -Fill In all known Information. Confirmation of assignment to a reviewer. Project/Site Name: Fern Interpretive Determination Soil Evaluation Transaction ID: Location, Number & Street of project (if unknown, indicated nearest road) Previous Related Trans. ID: 24xx Co. Rd. E., Baldwin, WI Estimated Completion Date: Legal Description: SWIM SW1/4. Sec.10, T.29N., R.16W. Assigned Reviewer County St. Croix Assigned Office: ❑ City ❑ Village ® Town of Baldwin Mail to your office of choice below: Hayward, LaCrosse, Green Bay 2. After plans are reviewed, please: (check all that apply) ❑ Call customer 1, 2 (circle number)' NOTE: We reserve the right to redistribute plans to another office it ❑ Requesting party will pick up needed to reasonably balance turnaround times. Check httoJ/dsw.wi.00v for officer availability and next available review date El Mail plans to customer 1, 2 (circa number)' 'Refers to customer number from below. 3. Complete the following designer/ownedrequeuting information. Utilize the check boxes when designer, owner or requesting party Is the same to avoid repeating Information. Designer Information (Customer 1) DSPS Other Please Specify Below (Customer 2) DSPS First Name Last Nam Customer Number First Name Last Name Customer Number James K Thompson 30021 Company Name Company Name A.C.E. Soll&Site Evaluations LLC Address Address 340 Paulosn lake Ln. City State Zip+4 (9 digits) City State Zap+4 (9 digits) Osceola WI 54020-5413 ' Phone Number E-mail address Cell phone Phone Number E-mail address Cell phone (area code) (area code) (715) 248-7767 acesoil(Mfrontiemet.net Check If applicable Check if applicable or specify relationship ❑ Owner 1 ❑ Owner ❑ Other — specify relationship 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, httn://dsos.wl.00v/ohWstrooalopD/orodcode result.ph0/POWTSWPOWTS COMPONENT MANUAL. You may email technical code questions to DSPSSBPowtsTech0)wi.nov. Hayward DSPS LaCrosse Area DSPS Green Bay DSPS 10541 N Ranch Rd 3824 Creekside Ln 2331 San Luis Place Hayward WI 54843 Holman WI 54636 Green Bay, WI 54304 715-634-4870 608-785-9334 920-492-5601 Fax: 715-634-5150 Fax: 608-785-9330 Fax 920492-5604 Email: DsDsSbPlanSeheduIe94vA.Qoy Email: DsosSbPlanSchedule0wi.eov Email: DsosSbPlanSchedUlq&Dwi.aoy Make Checks Payable to: Division of Industry Services OR ❑ Check box to invoice designer and sign below TOTAL AMOUNT DUE $240.00 Review Code 7633 Designer signature SPS-10577 (R 5116) 5. POWrS SUBMITTAL. (check all that apply — Incomplete fors may result In processing delays) ® NEW ❑ Aerobic Treatment Unit(s) ❑ Chlorinator ❑ Tank Replacement Only ❑ REPLACEMENT ❑ Commercial System ❑ UV Disinfection Unit ❑ Add Effluent Filter SYSTEM TYPE(S) NOTE: Submit separate sheets for each system if submitting multiple systems on the same site Enter Fee ❑ Revision to previously approved plan $85.00 ❑ Miscellaneous Review (i.e. replacement of a septic tank, addition of an e}fluentfllter or pretreatment device to an existing system, etc.) $801hr ❑ Component Manual Design All treatment components are previously approved ❑ At -Grade Component Manual - Ver. 2.0, SBD-10864 (N.03/07, R. 1/12) Wastewater Flow in under s. SPS 384.10 (2) or (3): ❑ In -ground Component Manual - Ver. 2.0, SBD-10705-P (N.01/01, R 10112) Gallons Per day Design wastewater flow of the proposed system: ❑ Mound Component Manual —Ver. 2.0, SBD-10691-P (N.01/01, R 10112) ❑ Pressure Distribution Component Manual — Ver. 2.0, SBD-10706-P IN 01101, R 10/12) 1,000 gpd or less $ 250.00 ❑ Other - Please specify GPO 1,001 — 2,000 gpd $ 325.00 2,001 — 5,000 gpd $ 400.00 ❑ Soil Based Individual Site Design' One or more treatment components are not previously approved under s. SPS 384.10 (2) or (3): El At Grade (Individual site desigNdeviation from component ❑ Non -Pressurized In -ground _ Design manuals and use of components without product ❑ Pressurized In -ground - Wastewater Flow in approval): ❑ Mound ❑ Drip -line Gallons Per day Design wastewater flow of the proposed system: ❑ Constructed Wetlands - GPD 1,000 gpd or less $450.00 ` Documentation must be provided to support treatment and dispersal claims. In a separate 1,001 2,000 gpd $600 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, etc.) 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 s. SPS ❑ Holding Tank Component Manual, Ver. 2.0, SBD-10055-P (N.03/07, R1/12)• - Wastewater Flow 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 5,000 gpd or less $ 90.00 and have an estimated daily flow of less than 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 [see 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- Design Holding tanks including site constructed tanks NOT mingled wastewater, etc.) Wastewater Flaw in previously approved under s. SPS 384.10 (2) or (3). Please specify: _ Gallons Per day Design wastewater flow of the proposed system: g p p Ya ' Documentation must be provided to support the rationale for the project. In a separate statement, 5,000 gpd or less $180.005,001 — 10,000 gpd $300.00 _ please include all code sections, lest reports, technical papers, research articles, etc.) GPD greater than 10,000 gpd $450.00 ❑ Sal Saturation Determination Report (using observation pipes) ® Interpretive Determination $240.00 240.00 ❑ Experimental System (One erne additional fee). Submit fee for Individual system as per appropriate above system type) Experiment Number _ $400.00 Prior approval from a section chief Is required for a priority review. If approval is granted, the priority will be reviewed within 5 days of receipt. Priority review fee Is double the normal review fee. Priority Review (enter same amount as normal review fee listed above) Enter Total (rounded to the nearest dollar) $ 240.00 SPS-10577 (R 4116) C S T- aoaU —151 VMsconsm Department of Safety and Professional Services Division of Industry Services Attach complete site plan but not limited to: vertical E scale or dimensions. north In accorda paper not less t ��1 z 11 I horizontal re� 6C'0int (Bh 'row, and focahon and distance Please urinfa11i15�'nimet8 1 h r Pagel of 4 IIL EVALUA ' 16I `� e with SPS 385. Ws Adm. Code County has in size Plan must include, St Croix Parcel I D direction and percent slope, nearest road. From 002-102140-000 Ref #2572 Reviewed by Date Property Owner 1_ Property Location ❑ David & Crystal Fern Govt Lot SW % SW Y. S 10 T 29 N R 16 E (or) W Property Owners Mailing Address Lot # Block # I Subd Name or CSM# City State Zip Code Phone Number ❑ City El Village ®Town Nearest Road Baldwin Wit 54002 (715) 781-2864 1 I Baldwin Co Hwy E & 240 St ® New Construction Use ® Residential/ Number of bedrooms 3 Code derived design flow rate 450 GPD ❑Replacement ❑ Public or commercial -Describe Parent material Glacial till Flood Plan elevation if applicable na ft. General comments and recommendations: Site does not comply with A+4" requirement as specked in DSPS 335.30(2(b)l and is unsuitable for mound POWTS DSPS interpretive approvals for mound may be possible if further interpretive evaluation is completed in accordance with SPS 385.60 nBoring # El Boring I_ I ®Pit Ground surface elev 97_33 ft. Depth to mding factor 11" in Horizon Depth In Dominant Color Munsell Redox Description Qu. Az Cont. Color Texture Structure Gr Sz Sh. Consistence Boundary Roots GPD/Ft2 •Eff#1 •Eff#2 1 0-8 10yr3/4 none sit 2fgr mvfr aw 2vf,fm 0 6 0.8 2 8-11 10yr4/6 none sil 2fsbk mvft av lvf,fm 0 6 0 8 3 11-14 10yr4/6 f2d 7.5yr4/6 sit 1fsbk mvfr Cw - 0 4 0 6 4 14-19 7.5yr4/4 f2d 7 5yr4/6 sl 1msbk mvfr gw 0 4 0 7 5 19-36 7.5yr4/4 m2d 7 5yr5/8 sl 1csbk mfr - 0 4 0 7 f L� j1 Boring # ❑ Boring ® Prt Ground surface elev. 9590 ft Depth to limiting factor <8" in. e..z e...a.,-......., .-.- Horizon Depth In Dominant Color Munsell Redox Description Qu Az. Cont Color Texture Structure Gr Sz Sh. Consistence Boundary Roots GPD/Ft� •Eff#1 •Eff#2_ 1 0-8 10yr3/4 none sit 2fgr mvfr cs 2vf,fm 06 1.0 2 8-14 10yr4/6 c1d 75yr4/6 sit 1fsbk mVfT cs 1vf,fm 04 06 3 14-19 10yr4/6 c2d 7.5yr4/6 slcl 1f5bk mvfr gw - 02 0.3 4 19-30 7.5yr4/4 c3p 7 5yr5/8 & 10 r6/2 sl tcsbk mfr cvr 0.4 0.6 CST Name (Please Print) i9na re CST Number James K Thompson 30021 Address ate Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, WI 54020-5413 Aril 23 2020 715 248-7767 SBD-8330 (R04/15) F-13—'I Boring # ❑ Boring �J ® Pit Ground surface elev. 97_29 ft. Depth to limiting factor <8" in SnJ Annhrahnn Rafe Horizon ! Depth In Dominant Color Munsell Redox Description Qu, Az Cont Color Texture Structure Gr. Sz Sh Consistence Boundary Roots GPD/Pt' 'Eff#1 `Eff#2 1 0-8 10yr3/4 none sil 2fgr mvfr cs 2vf,f 06 08 2 8-13 10yr4/6 ml175yr4/6 sit 1fsbk mvfr cw 2vf,f 04 06 3 13-17 10yr4/6 m2d 7.5yr4/6 slcl lfsbk mvfr cw 1vf 0.2 0.3 4 17-26 7 5yr4/4 m2d 7.5yr4/6 sl 1 msbk mvfr gw - OA 0.7 5 26-40 7 5yr4/4 c3d 7 5yr4/6 & 10 r6/2 scl Om mfi - - 00 00 D Boring # ❑ Boring ® Pit Ground surface ell 98.15 ft. Depth to limiting factor 14" in. Soil AODllcalion Rate Horizon Depth In Dominant Color Munsell Redox Description Qu Az. Cont Color Texture Structure Gr Sz Sh Consistence Boundary Roots GPD/Pt' 'Efl I 'Eff#2 1 0-8 10yr312 none sil 2fgr mvfr cs 2fmtc 0.6 0.8 2 8-14 10yr4/4 none sil 2fsbk mvfr es lfmc 06 08 3 14-20 10yr5/4 f2f 10yr4/6 sil 1mbk mvfr cw 1fmc 0.4 0.6 4 20-25 7.5yr4/4 cmd7.5yr4/6 sl Om mfr - if 0.2 0.6 U Boring # ElBoring ❑ Pit Ground surface elev ft Depth to limiting factor in. Snil Annlicatinn Rate Horizon Depth In Dominant Color Munsell Redox Description Qu Az. Cont. Color Texture Structure Gr. Sz. Sh Consistence Boundary Roots GPD/R` `Eff#1 _ `Eff#2 ` Effluent #1 = BOD, > 305 220 mg/L and TSS > 30 s 150 mg/L ` Effluent #2 = BOD, > 30 s 220 mg/L and TSS > 30 5 150 mg/L I 7I 9G4 °'e-16ou/• i ■ S°i% 2/a/a° fi'•n /11E • �Xi7�n� q/wall elf✓. •,e.°ca.�dprq. srxr� cn/ - La ICI $ C./`xS%./�� p/%�• 4,Z 02ntFl i�OSet/CSw1, swy{sw1� Sea, /D r. z9�f., �E-CroixCo.,.Jl• k?G dv. 1 —m &nckmate: rp /'sd-'Flo I!✓. C. ?%w. ,4ssm•td elu.' -gym cwn.gmu i O P• 3oF3 ( 2 -&Ar0rA) _ RnIX COUNTY STAT 21120 OWNER NO. 631286 TAR PERMIT +N Ro E PREVIOU,S'N4. PLUMBER�pODS/1J2 LIC.# 139'f6L TOWN OF_I SEC- p , T Z AND/OR LOT THIS PERMIT EXPIRES N, R� BLOCK 1041 *8 SUBDIVISION cF-% CHAPTER 145.135 (2)WISCONSIN STATUTES (a) The purpose of the sanitary permit is to allow installation of the private sewage system described in the permit (b) The approval of the sanitary permit is based on regulations in force on the date of approval. (c) The sanitary permit is valid and maybe renewed for a specified period. (d) Changed regulations will not impair the validity of a sanitary permit (e) Renewal of the sanitary permit will be based on regulations m furce at the time renl is sought, and that changed regulations may impede reewanewal. (1) The sanitary permit is transferable. History: 1977 c. 168; 1979 c. 34,221; 1981 c. 314 Note: If you wish to renew the permit, or transfer ownership of the permit, please contact the coWty authority. AUTHORIZED ISSUING OFFICER - DATE UNLESS RENEWED BEFORE THAT DATE POST IN PLAIN VIEW VISIBLE FROM THE ROAD FRONTING THE LOT DURING CONSTRUCTION SBD-06499 (R. 10/11)