The URL can be used to link to this page

Home My WebLink About002-1050-10-000 (2)Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County St, Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No GENERAL INFORMATION (ATTACH TO PERMIT) 633320 State Plan ID No Personal mformahon you provide may be used for secondary purposes [Privacy Law, s 15 04 (1)(m)] Pe nolt Holder's Name Rolland Smith city Village Toanshi g P 1 Parcel Tar No TOWN OF BALDWIN 002-1050-10-000 TANK INFORMA TYPE MANUFACTURER CAPACITY Septic Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO PIL WELL BLDG Vent to Air Intake ROAD Septic Dosing Aeration Holding PUMP/SIPHON INFORMATION Head i to Well SVIL AbbVKPrIVN SYSTEM ELEVATION DATA Bldg Outlet Pipe BS BEDITRENCH DIMENSIONS '✓Ydth Length No Of Trenches pIT DIMENSIONS No Of Pits Inside Dia Liquid Depth SETBACK INFORMATION SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING CHAMBER OR UNIT Manufacturer Type Of System Model Number NW I RIDV I IVIv 0T21I CNI HeadedMandold Distribution a Hole Sae . Hole Spacing `ient to Air Intake Pipe(s) Length Dia Length Dia Spacing OVIL �vv ER Y Pressure Svstema llniv vv Ni n. af_G.a An cocfnrnc ni 1h, Depth Over Depth Cver xx Depth of xx Seeded Sodded ne Mulched Bed/Trench Center Bed/Trench Edges Topsoil Ej, Yes r , No _� Yes r No COMMENTS: (Include code discrepencies, persons present etc I Inspection #1 Location: 2324 85TH AVE 1) Alt BM Description = 2) Bldg sewer length = - amount of cover = Plan revision Required LJ Yes ri No Use other side for additional Information SBD-e710 (R 3197) Data Insepctor's Inspection #2 Carl No 00 3,q Safety and Buildings Division County ST CROIX g-PR 201 W. Washington Ave., P.O. Box 7162 Madison, WI 53707-716203320 Sanitary Permit Number (to be filled in by Co.) 12 2021 � ja lac IeT tion Dlumber St. roix `, enmmen�cv o a�Permit Application 1 In accordance with SPS 383.21(2), Wis. Adm Code, subndssion of Ihts form to the appropriate gov a unit R is required prior to obtaining a sanitary permit Note Application forms for stateowned POWTS are submitted to Project Address (if different than marling address) the Department of Safety and Professional Servies. Personal information you provide may be used for secondary purposes in accordance with the Privacy law, s. 15 04(l)(m , Stats a4A I. Application Information - Please Print All Information Property Owner's Name Parcel 4 ROLAND SMITH 002-1050-10-000 Property Owner's Mailing Address Property Location 2324 85th ave Govt. Lot SW NW :� 21 /, Section City, State Zip Code Phone Number BALDWIN 54002 (circle one) T 29 N; R 16 E or VX IL Type of Building (check all that apply) lot 4 P9 I or 2 Family Dwelling - Number of Bedrooms 4 Subdivision Name r •�► q0 t Block 4 ElPublic/Commermal -Describe Use __ ❑ Ciry of ❑ State Owned - Describe Use ❑ Village of CSM Number ❑ Town of BALDWIN 111. Type of Permit: (Check only one box on line A. Complete line B if applicable) A ❑ New System R ]acemrnt S stem ❑ Treatment Holding Tank Replacement Only ❑Other Modification in Existing System (explain) B. ❑Permit Renewal ❑Permit Revision El change of Plumber ❑Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner f� 1 IV. Type of POWTS S stem/Coin onent(Device: Check all that apply) ! ❑ Non-Pressunzed In -Ground ❑ Pressurized In -Ground ❑ At -Grade ❑ Mound> 24 In. of suitable soil FYMound < 24 in of suitable soil ❑ Holding Tank ❑ Other Dispersal Component zplain) ❑ Pretreatment Device (explain) V. Dispersal/Treatment Area Information: our, Design Flow (gpd) Design Sod Application Ra f) Dispersal Area egmfed esK Dispersal Ar posed (sf) S stem Elevation 600 .6 600 jW 600 ?5-5--37— 96.55—� VI. Tank Info Capacity in Total 4 of Manufacturer Gallons Gallons Units II r((( 15 '$ o ..{(.}� �`k�� is V iO ei V C P o tc = ii� N 1.. I�!' b a U V n G New Tanks Existing Tanks g a U y rn ii. Septic or Holding Tank X 11200 WIESER X Dosing Chamber X 1800 WIESER X V 11. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Pent) Plumber's S�r alure MRMPRS Number Business Phone Number PAUL KOEHLER / 10 715-246-2660 Plumber's Address (Street, City, State, Zip Code) 321 WISCONSIN DRIVE NEW RICHMOND WI 54017 VIII. County/ eartment Use Only 1d Approved 1°l ❑ Disa��edPermit Fee Datnlssued Issum Agent Signature $ �jZ/� C ❑ Owat IX. Conditions o A prov Reaaenafer 3himpprml r I SYSTEM OW 13)Ext S`+tn. 40 G6cQQ 1. Septic tank, effluent flier endy� ,! dispersal cell must I rnaintaineds MT f- _ .... n /l) _,_ /) I - q "�D, 1(, d by � � IDLfuX.d[rQ-E1C (jWrac- QLVIaY Al_ tbe plan plumb r. as per management plan provide 2. All setback requirements must be maintained C 1 D, / dYyss Jo • comp etee plans for the systemand submit to the Cou�n�onty on paper not lees than 8 In x 11 inchesInsize rw W`. A�9m�//[�Q-+•�-1�- SB�. 1 V11) �QI f.T "u'7 4e-d.1d u Y-fS8 pi 3° dal aa,` d rt p a h� s k 7 Oiw V. � 4= l)''" Z Y0 a 4 a/ate �alS ✓alb au'� dro�lta� .3b zW 0Qt kw. G April 8, 2021 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 2023-04-08 Plan Review: PWTS-042100484-C PAULKOEHLER 321 Wisconsin Drive New Richmond WI 54017 SITE: Rolland Smith 2324 851h Avenue St. Croix County Town of Baldwin SW Y. - NW Y-S21—T29N — R16W FOR: DIVISION OF INDUSTRY SERVICES 10541 N RANCH RD HAYWARD WI 54843-602 Coraact Through Relay hxpYldsps.m gov/programs/iMustry-sero;es ..wrsC W gov Tony Eves - Governor Dawn Crim - Secretary CONDITIONALLY APPROVED DEPr OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SEE COFMESPONDENCIE Description: EZFIow Mound Component Manual — December 4 Bedroom EZFIow Mound — 600 GPD — 2017 Version Replacement - 12" 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 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. a The existing system shall be properly abandoned per SPS 383.33 a 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. • 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. • 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 unders. SP5383.54(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, CeC�, ll?udnkkiei CeCe (Elizabeth) Rudnicki Wastewater Specialist/POWTS Plan Reviewer, Division of Industry Services (608)400-3186 EZflow® MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: MEYER / SMITH JOB Owners Name: ROLAND SMITH Owner's Address: 2324 85TH AVE BALDWIN WI CONDITIONALLY APPROVED DEFT OF SAFETY AND PROFESSIONAL SERVICES DMSION OF INDUSTRY SERVICES CIC t Ck. SEE CO ESPONDENCE Legal Description: SW 1/4 NW 1/4 SEC 21 T 29N RANGE 16 W Township: BALDWIN County: Subdivision Name: Lot Number: Parcel I.D. Number: Plan Transaction No.: ST CROIX Block Number: 002-1050-10-000 Page 1 Index and title Page 2 Data entry Page 3 EZflow mound drawings Page 4 Lateral and dose tank Page 5 Distribution media Page 6 System maintenance specifications Page 7 Management and contingency plan Page 8 Pump curve and specifications Page 9 PLOT PLAN Page 10 SOIL TEST Designer: PAUL KOEHLER License Number: MP 225410 Date: 01/27/21 Phone Number: 715-246-2660 Signature.-o��=�G_ Designed Pursuant to the EZflow Mound Component Manual Ver. August 20, 2007, SSW MP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P IN. 01/01, R. 10/12) EZflow Mound Version 3.0 (R. 3/1/12) Page 1 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 (%) Installation Contour Line Elevation (ft) Depth to Limiting Factor (in) In -situ Soil Application Rate (gpd/ft2) r 400.06 1.50 600.00 2.00 96.55 12.00 0.60 (c or e) Distribution Cell Information 6.001 Cell Width (ft) 3, 4, 5, 6. 7, 8. 9 or 10 Only 1.00 Dispersal Cell Design Loading Rate (gpd/ft2) 1 Influent Wastewater Quality (1 or 2) Pressure Disribution Information Center or End Manifold Lateral Spacing (ft) Number of Laterals Orifice Diameter (in) (e.g. 0.25) Estimated Orifice Spacing (ft) _ Forcemain Diameter (in) Forcemain Length (ft) Inside Pump Tank Elevation (ft) Forcemain Filter Loss (ft) System Head (ft) x 1.3 Vertical Lift (ft) Friction Loss (ft) Total Dynamic Head (ft) Lateral Diameter Selection in. dia. options choice 0.75 1.00 1,25 x 1.50 x x 2.00 x 3.00 x Mound length is too long for contour 120.00 Contour Length Available (ft) 100.00 = Dispersal Cell Length (ft) Are the laterals the highest point in the distribution 0 network? Enter Y or N If N above, enter the elevation ft of the highest point. 4.55 0orifice Does the forcemain drain back? Enter Y or N 13.05 Forcemain Drainback (gal) 90.65 5x Void Volume (gal) 103.70 Minimum Dose Volume (gal) 54. 7 tern Demand (gpm) Manifold Diameter Selection in, dia. options choice 1.25 x 1.50 x 2.00 x x 3.00 Gallons/inch Calculator (optional) Treatment Tank Information 120000 Total Tank Capacity (gal) 1200.00 Septic Tank Capacity (gal) 41.001 Total Working Liquid Depth (in) Weiser Concrete IManufacturer 1 29.27 gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Info ation 800.00 Dose Tank Capacity (gal) 1polyfock Filter Manufacturer 22.241 Dose Tank Volume (gal/in) 1525 Filter Model Number Weiser Concrete Manufacturer Project: MEYER / SMITH JOB Page 2 of 10 Mound Plan View 11 observation Pipe❑ ':M1: :................. 1 fy tS4 •M1J4\ t . • r • • Mr •1 4M1 J:.i• i:r .1..• }••}. •J+!}5.44J. ••.`.:.5}i.'\.41•YY y44• r}\: • p I Mound Component Dimensions Al6.00 ft E 25.44 in H ft K 12.0in 1.0 B ft F 5ft L 121423168 ft D 200 in G 0 50ft ft J 9.91 ft W 27.46 ft 600.00 (ft 2) Dispersal Cell Area 1 1755.32 (ft) Basal Area Available 6.00 (gpd/ft) Linear Loading Rate 1 10.00 (ft) 1110 B Obs. Pipe Placement Mound Cross Section View EZflow Dispersal Area Finished Grade 100.55 (ft) —� t H F t^- • Dispersal Celli I 99.05 (ft) Lateral Invert Elevation Dispersal Cell D ,,;,;,;,;,;,;, 3 :•.:•::•: Elevation : i .. i i'•i::•i .... i;:,. 96.55 ) Contour Elevation 2.0 % Site Slope Typical Dispersal Cell Q® Shading Key Topsoil Cap CL > o See Page 5 2 Subsoil Cap a Approved Geotextile Fabric Cover 3 LIJ I ASTM C33 Sand Tilled Layer a o o A Z 2.0 ft .. j ;,: 5 0 EZflow Media 'DID t s _ j_ A See details on page 4 for number, size, and spacing of laterals. Laterals are located in the 4" gravity distribution pipes as shown on page 5. Project: MEYER / SMITH JOB Page 3 of 10 Center Connection Lateral Layout Diagram Place Appropriate Lateral Diagram From Right Below Foroe main conneodon Wa tee or Dross to maNfold at any paint, Laterals are Wend" =Orlftpoirtept every Sth one P ege. $ •- Tum+rp Wbailvalvom IEX--+14 ' d2� Laterals R for. main OF PVC Sch 40 oleanoutptup per SPS Table 384.30.6 Number of Laterals Lateral Diameter Lateral Length (P) Lateral End (Z) Lateral Spacing (S) Lateral Flow Rate System Flow Rate 4 1.50 in 49.40 ft NA ft 3.00 ft 13.59 gpm 54.37 gpm Orifice Diameter Orifice Spacing (X) Orifices per Lateral Orifice Density Manifold Length Manifold Diameter Forcemain Velocity Dose Tank Information Electrical as per NEC 300 and —1 SPS 316.300 WAC Dlsconnect Tank component Is properly vented Weiser Concrete Capaci 800.00 Volume 22.24 Manufacturer Gallons gal/inch Dimension Inches Gallons A 18.31 407.18 B 2.00 44.48 C 4.66 103.70 D 11.00 244.64 Total 35.97 800.00 And Alarm Manufacturer Isj rombus Alarm Model Number ps patrol Pump Manufacturer 19oulds Pump Model Number 1epo5 T A :�B C D As Per Pump Must Deliver 54.37 gpm at 1 5-2-91 ft T D H Note: Switches containing mercury may not be used in this system. Looking cover with wammg label and locking device and sealed watertight 4 in. min. F— Altemate outlet location Forcemain diameter 2 in. Weep hole or anb- siphon device Pump off elevation (ft) 94.92 Dose tank elevation (R) 94.00 Project: MEYER / SMITH JOB Page 4 of 10 EUlowe Distribution Cell Media Layout 6.00 Cell Width (ft) 1.50 Sidewall to Lateral (ft) Distribution Cell Cross-section Arrangements iYYYY iY •�1 iYN� iYYYY it •�Y ►YYVV • • - ►YYY1• ►YYiY' ►YYYY! ►YYY1 sYY.Y ►1YYV 111? i11}" 111} i.11> 111?' 11y>' Component Legend ® SR1-7A Bundle - 5 ft or 10 ft lengths SR1-12A or EZ 1201 A in 5 ft or 10 ft lengths SR3-12H or EZ 1201 P or SR3-12H in 5 ft or 10 ft lengths 0 4" Perforated Distribution Pipe With Pressure Lateral Inside • Turnup Enclosure — — — — — Pressure Lateral Bundles are covered with approved geotextile fabric as per the their product approval. Distribution Cell Plan View Layout - Typical 6.00 Cell Width - A (ft) 100.00 Cell Length - B (ft) Center Connection Lateral Layout Diagram Project: MEYER / SMITH JOB Page 5 of 10 Mound System Maintenance and Operation Specifications Service Provider's Name Icountryside plumbing Phone 1 715-246-2660 POWTS Regulators Name LpLawl koehler Phone 715-246-2660 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flaw - Average 400 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1200 gal Maximum TSS 150 mg/L Soil Absorption Component Size 60O ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Other Service Frequency Inspect and/or service once every 3 years Inspect and clean as necessary at least once every 3 years Test once every 3 years Should test periodical) Laterals should be flushed and pressure tested every 3 years Inspect for pondinc and seepage once every 3 years Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap and are secured in as shown in the EZflow Mound Component Manual Ver. August 20, 2007. 2. Dispersal cell media conforms to EZflow products approved for use with the EZflow Mound Component Manual Ver. August 20, 2007. Media is covered with an approved geotextile fabric. 3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Tum-up Detail Finished Grade 6-8" Diameter Lawn —� Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Lateral Ends at Last Orifice Where Variable Length Cleanout Begins ; Long Sweep 90 or Two 45 De ree Bends Same 0 iameller as Lateral EZflow Synthetic Media 1.10 Feet Distribution Lateral ► Lateral Cleanout Project: MEYER / SMITH JOB Page 6 of 10 Mound System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General This system shall be operated in accordance with SPS 382-84 Wis Adm. Code, and shall maintained in accordance wth its' component manuals [EZtlow Mound Component Manual 8/20/07, Pressure Distribution Component Manual Ver. 2 0 SBD-10706-P (N. 01101) and SSWMP Publication 9.6 (01/81)) and local or state rules pertaining to system maintenance and maintenance reporting. Septic and pump tank abandonment shall be in accordance with SPS 383 33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessmentshall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches In diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stars. The contentsof the septic tank shall be disposed of in accordancewith NR 113, Wis. Adm, Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an Impending continuous alarm. The septic tank shall have Its contents removed when the volume of sludge and scum In the tank exceeds 113 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner as to when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Wisconsin Department of Commerce. Pump Tank The dosing (pump) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter Is Installed within the tank it shall be inspected and serviced as necessary. If the force main has a weep hole, it should be noted if it is functional during pump operation, and if not, it should be cleaned. No one should ever enter a septic or dose tank since dangerous gases may be present that could cause death."" Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October -February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BODS, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BODs, 30 mg/L TSS, 10 mg1L FOG, and 10` cfu1100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permitfor this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 3 years When a pressure testis performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Pondng levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitonng. contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper opemhng condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective components) shall be immediately repaired or replaced with a component of the same or equal perforrnance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically dogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: MEYER I SMITH JOB Page 7 of 10 4�y,u �s.ri i (9b is h 1p _ma 3 Ob j %Z "sdo�S ✓S i oat 1W► Wr- a� f N GOULDS PUMPS APPLICATIONS Specifically designed for the following uses: • Effluent systems • Homes • Farms • Heavy duty sump • Water transfer • Dewatering SPECIFICATIONS • Solids handling capability: '/<' maximum. • Capacities: up to 60 GPM. • Total heads: up to 31 feet. • Discharge size: 11/2" NPT. • Mechanical seal: carbon- rotary/ceramic-stationary, BUNA-N elastomers. • Temperature: 104`F (4VC) continuous 140OF (600C) intermittent. • Fasteners: 300 series stainless steel. • Capable of running dry without damage to components. Motor. • EP04 Single phase: 0.4 HP, 115 or 230 V, 60 Hz, 1550 RPM, built in overload with automatic reset. EP05 Single phase: 0.5 HP, 115 V or 230V, 60 Hz, 1550 RPM, built in overload with automatic reset. • Power cord: 10 foot standard length, 1613 SJTW with three prong grounding plug. Optional20 foot length, 16/3 S1TW with three prong grounding plug (standard on EP05). 0 2003 Goulds Pumps EffMiue July, 2003 B3871 • Fully submerged in high grade turbine oil for lubrication and efficient heat transfer. Available for automatic and manual operation. Auto- matic models include Mechanical Float Switch assembled and preset at the factory. FEATURES ■ EP04 Impeller: Thermoplas. tic semi -open design with Pump out vanes for mechanical seal protection. METERS —1 Submersible Effluent Pump EP04 & EP05 Series ■ EPOS Impeller: Thermoplas- tic enclosed design for improved performance. ■ Casing and Base: Rugged thermoplastic design provides superior strength and corrosion resistance. ■ Motor Housing: Cast iron for efficient heat transfer, strength, and durability. ■ Motor Cover. Thermoplastic Cover with integral handle and float switch attachment points. ■ Power Cable: Severe duty rated oil and water resistant. CAPACm ■ Bearings: Upper and lower heavy duty ball bearing construction. AGENCY LISTING CM3&m SwAards Asodafion Fie F l MSO Goulds Hnys Is rso spot REgtmed 10 12 o+�l ms/A / Goulds Pumps ITT Industries ---------- _----_-�� 11 K "ST-A-SEAL bCA�l -i,IT „'i III FILTER OR I D l l i BAFFLE 14' CAST -A -SEAL VENT i - -__ _- OET n ---- I} �� na U n 1 {I IgaU I a_ m -•�----y--y- L I= a I a M PUMP PAD SIDE VIEW WLP1200/800—MR TANK SPECIFICATIONS DIMENSIONS aN WALL: 3' BOTTOM: 3' COVER: 6' MANHOLE 24" I.D. PRECAST CONCRETE RISER HEIGHT: 53" LENGTH: 13'-8" WIDTH: 8'-0' BELOW INLET: 41" LIQUID LEVEL 36' WEIGHT: BOTTOM 14,800 LB& a COVER 8,170 LBS. e INLET AND OUTLET: m o S 4" CAST -A -SEAL BOOT OR EQUAL GASKET INLET AND OUTLET BAFFLE AND FILTER: vVi o a WISCONSIN, SEE DETAIL #10 (OTHER STATES SEE CHART) !W $ LIQUID CAPACITY: 33.46 GALAN (SEPTIC) C 22.24 GAL/IN (PUMP) v LOADING DESIGN: 8'-0' UNSATURATED SOIL 0 ® i TANK CAN BE USED AS an w a SEPTIC / HOLDING / PUMP OR SIPHON COVER: MIX DESIGN RB (NO FIBER) TANK: MIX DESIGN #9 (SMALL FIBER) � W m CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WIESER CONCRETE � m J b Z 1 RENEWED BY REVIEW DATE DRAWINGS SUBMITTED FOR APPROVAL APPROVED BY: SHEET Nf APPROVAL DATE: PRODUCTS NEEDED BY: OF - A 41 �A 6.5'(16.51cm) SEALED BALL MATERIAL - HOPE 33.02183.9cm7 - — —_ 20.71 152.6 cm I -- 4" (10.16 cm) & L HOUSING TRAVEL FILTER CARTRIDGE MATERIAL -POLYPROPYLENE 5.78L14.7cm] — MATERIAL -FILLED POLYPROPYLENE POLYLOK PL- 525 - 625 CUTAWAY BALL PUSH ROD FACTORY INSTALLED SECTION A -A MATERIAL - FILLED POLYPROPYLENE 4" AND 6" FACTORY OPTIONAL BUSHING INTALLED PIPE OUTLET (FOR 4" THIN WALL PIPE) MATERIAL - PVC PART NO.30142-R OR OPTIONAL FLOAT SWITCH - (FOR 110 MM. PIPE) PART NO.30142-EUR POWTS OWNER'S MANUAL & MANAGEMENT PLAN I Page i of_L FILE INFORMATION Owner ROLAND SMITH Permit 1 DESIGN PARAMETERS Number of Bedrooms 4 ❑ NA Number of Public Facility Units ❑ NA Estimated flow (average) 400 galtday Design flow (peak), (Estimated x 1.5) 600 al/day Soil Application Rate gal/der tft' Standard Influent/Effluent Quality Monthly average" Fats, Oil & Grease (FOG) 530 mg/L Biochemical Oxygen Demand (BOD6) 5220 mg/L C NA Total Suspended Solids (TSS) 51 50 mg/L Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand IBODs) 530 mg/L Total Suspended Solids (TSS) :930 mg/L ❑ NA Fecal Coliform (geometric mean) 5104 efu/100m1 Maximum Effluent Particle Size Y. in dia. ❑ NA Other: ❑ NA `Values typical for domestic wastewater and septic tank effluem. MAINTENANCE SCHEDULE SYSTEM SPECIFICATIONS Septic Tank Capacity 1200 gal 0 NA Septic Tank Manufacturer WIESER ❑ NA Effluent Filter Manufacturer POLY LOCK ❑ NA Effluent Filter Model 525 ❑ NA Pump Tank Capacity 800 al ❑ NA Pump Tank Manufacturer WIESER ❑ NA Pump Manufacturer GOULDS ❑ NA Pump Model EP05 ❑ NA Pretreatment Unit ❑ NA ❑ Sand/Gravel Filter ❑ Peat Filter ❑ Mechanical Aeration ❑ Wetland 0 Disinfection ❑ Other: Dispersal Cell(s) ❑ NA ❑ In -Ground (gravity) ❑ In -Ground (pressurized) 0 At -Grade ❑ Mound ❑ Drip -Line ❑ Other: Other. ❑ NA Other. ❑ NA Other. 0 NA Service Event Service Frequency Inspect condition of tank(s) At least once every; 3 month( sl 3 years) El NA Pump out contents of tank(s) When combined sludge and scum equals one-third (Ye) of tank volume ❑ NA Inspect dispersal cell(s) At least once every: 3 ❑ month(s) EX year(g)(Maximum 3 years) ElNA Clean effluent fitter At least once every: R months) year(s) NA Inspect pump, pump controls & alarm I At least once every: 3 Pmanth(s) 1� year(s) 0 NA Flush laterals and pressure test At least once every: '0 month(s) ❑ year(s) AS NEEDED ❑ NA Other: At least once every: ❑ month(s) ❑ year(sl G(NA Other: JQ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector, POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third %) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event Page Z of v Name DARRLES SEPTIC START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tankls) for the presence of painting products or other chernicals that may impede the treatment process and/or damage the dispersal call(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cells) in one large dose, overloading the cells) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fads and cannot be repaired the following measures have been, or.must be taken, to provide a code compliant replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations; Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. M ter. ❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL POINTS INSTALLER POWTS MAINTAINER Name COUNTRYSIDE PLUMBING AND H TI G Name Phone 715 426 1025 1 Phone 715-246-2660 SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name --r cktl l U 2DA IIJ Phone 71S- 3Wfo- (o SD m This docuant was drafted in compliance with chapter Comm 83.22(2)(b)(1)M&M and 83.54(t), i2l & (3), Wisconsin Administrative Cade. Wis Dept. of Safety and Professional Services SOIL EVALUATION REPORT Division of Safety and Buildings with SPS 385 Nos Adm C d Page 1 of 3 ... ................... . o e Attach complete site plan on paper not less than 8 1/2 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 avow, and location and distance to nearest road. Please print all information. Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). County ST CROIX Parcel I D. 002-1050-10-000 Reviewed by Date Property Owner ROLLAND SMITH Property Location 11 El Govt. Lot SW 114 NW114 S 2 1 T 29N R 16E (or) W Property Owner's Mailing Address 2324 85TH AVE Lot # Block # I Subd. Name or CSM# I City Zip p Code Phone Number BALDWIN WI I I ( ) ity Village own Nearest Road 1. 2 ® New Construction UseQ Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement ❑ Pubic or commercial - Desrnbe: Parent material LOESSAND OR SILTY LACUSTRINE Flood Plain elevation if applicable fL General comments MOUND SYSTEM 24" 96.54 USE. 6 LOADING RATE and recommendations' ❑1 Boring* 11 Boring ElPit Ground surface elev. 96.2 ft. Depth to limiting factor 24 in. Soil Aiyolication Rate Horizon Depth i1. Dominant Color Munsell Redox Description Ou. Sz. Cont Color Texture Structure Gr. Sz. Sh. onsistence Boundary Roots GPD/R ' fl#1 1111112 A 0-10 10YR 3/3 L 2 MBK MVFR GW 2M .6 LO B 10-20 10 YR 6/3 - --- ------- SIL 2 MBK MFR GW IM .6 1.0 Bl 20-24 7.5 YR 4/3 ------------------- SICL 3 MBK MFI GW IF .4 .6 132 2448 7.5 YR 4/3 7.5 TR 5/8 (72D SC 3 MABK MFI GW 2M .2 .3 ❑2 Boring# Boring 96.95 24 0 Pit Ground surface elev. fl. Depth to limiting factor in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Ou. Sz. Cont Color Texture Structure Gr. Sz. Sh. cnsistence Boundary Roots GPDIR ##1 fW A 0-11 10 YR 3/4 -------------- L 2 M BK MVFR GW 1 F .6 1.0 B 11-20 10 YR 6/3 ------------------- SIL 2 M BK MFR GW I F .6 1.0 111 20-24 7.5 YR4/3 — SICL 3 MABK MFR GW I F .4 .6 B2 2448 7.5 YR 4/6 75 YR 5/8 C2D SICL 3MABK WI GW 1.F .2 .3 -Llllaenj fI=rsuu > eu< zzu mga ano i ss>:Su<ipu ni 'Emuent#2=BO0 ,<30mgfLand TSS<30mgL CST Name (Please Prim) Signature �� CST Number PAUL R KOEHLER 225410 Address Date Evaluation Conducted Telephone Number 321 WISCONSIN DRIVE NEW RICHMOND WI DEC 2ND 2020 715-246-2660 SBD-8330 (RI1/11) Property Owner ROLLIE SMITH Parcel ID# 002-1050-10-000 Page 2 of 3 Boring# U Boring �' 95.55 pit Ground surface elev. ft. Depth to limning factor 12 in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Ou. Sm Cont. Color Texture Structure Gr. Sz. Sh. onsistence Boundary Roots GPDM ' 11#1 ff#2 A 0-12 10 YR 3/3 ----------- -------------- L 2 MBK MVFR GW 2M .6 1.0 B 12-24 10 YR 6/3 7.5 YR 5/6 C21? SIL 2MBK MVFR CW 2M .6 1.0 Bl 24-48 7.54/3 7.5YR5/8 C2D Sc 3 MABK MFl CW 1F .4 .6 Soils verift 3d by CeCe Rudni ki on 4 /2021 - +4" existj in this I catio . ❑ Boring# Boring Pit Ground surface elev. ft. Depth to limiting factor in. Soil Apolication Rate Horizon Depth in. Dominant Color Munsell Redox Description Ou. Sz. Cont. Color Texture Structure Gr. Sz. Sh. onsistence Boundary Roots GPDflt ' ff#1 ft#2 Boring ❑ Boring # Ground surface elev. ft. pit Depth to limiting factor in. .,a e...r-cc.. Horizon Depth in. Dominant Color Munsell Redox Description Do. Sz Cont. Color Texture Structure Gr. Sz. Sh. onsistence Boundary Roots GPDIJI 11#1 f#f2 Effluent #1 = BOD r> 30< 220 mg/L and TSS>30<150 mg/L • Effluent #2=BOD 3<30mAand TSS<30mgA- The Dept. of Safety and Professional Services is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, contact the department at 608-266-3151 or TTY through Relay. S1MW330T.(R11111) N T S`o i 1 Sc-s�cp Q'nv 1 Katl,1�,-g Govr?-lb5��t��1� Roilo.,J D-3 III 8 5 +1, AVE A Q In 1 0 o 6. am z `e,00 Ccnta/r Llnc- %'gS CT�P'+1 al 4 8 S+h AYE P;} i IL Is P; t 3 qs, SS S I op- Z°�o S'ce'L {y0 ML ood�Pr of s,k,,b lop S4 a �rb wl� CV!'PLr�� I r- I Q� , I , M Properly Owner ROLLIE SMirH Parcel to 002-1050-10-000 Pape 2.. of 3 3 Boring A U Boring '0 Pit Groundsurfamelov. 95.55 R. DeA to lmPong factor 12 in. Sol pmBorr Rate Horizon DePth In. Dominant Color Munsel Redox Description Qu. Sz CanL Color Texture Strta:hpe Gr. Sz Sh. orWetanm oUndary Roots GPO.g IGt1 1R2 A 0.12 10 YR 313 ----------•-- L 2 MBK MVFR GW 2M .6 1.0 B 12-24 10 yR 6/3 7.5 YR 5/6 C2P SIL 2MBK MVFR CW 2M .6 1.0 Bl 24-48 7.54/3 7.5YR5/8 C2D SC 3MABK MFI CW IF .4 .6 Soils venfi d by CeCe Rudni ki on 4 /2021 - +4" exist in this I Dcatioi i. PAGE 17 rudniejenz —'pr a Soils verified by CeCe Rudnicki on 4/5/2021 - A+4" exist in this location. a 1M4f 3 I 1tl4f �' I OrvGNefrii -^• soas..anm ey c.ce u��n��m o� 4/5/0p21 . Doi' EXii[ i0 mis lo[alion WGE�[ F ONamyev ®Prn� ST. CRo LINTY SANITARY SYSTEM File #: I �.,<�..n IN OffceUse Only I OWNERSHIP/ADDRESS FORM Created2/2027 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. If you would like to view your issued sanitary permit online, you can do so by using the Property Files Scanned weblink. OWNER/BUYER INFORMATION Owner/Buyer ROLAND SMITH Mailing Address 2324 85TH AVE City/State/Zip BALDWIN WI Phone Number (required) DOES NOT WISH TO SHARE Email Address (required)DOES NOT WISH TO SHARE Parcel Identification Number 002-1050-10-000 (found on the property tax bill) NEW SYSTEM: LEGAL DESCRIPTION Property Location SW t/, , NW %, Sec. 21 T 29 N R16 W, Town of BALDWIN Subdivision Plat: Certified Survey Map # Volu Page # Lot # Warranty Deed # (before 2006)Volume . Page # Number of bedrooms 4 Spec house O yes ■ no Lot lines identifiable O yes ■ no OFFICE USE ONLY New Property Address (Verification of new address required from Community Development Department for new construction.) (Staff Initials) (Date) 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 Office 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 cdd@sccwi.gov 1101 Carmichael Road, Hudson, WI 54016 www.sccwi.aov GEC <<j,� p A I » L is sr-2,oz1--o-7(e APR 12 2021 jby) rk VYs. Dept. of Saferty and Professional Services SOIL EVALUATION REPORT Page 3 or 3 Division of S sty and llifiildpl¢Sx L� i , Commumty D-.,e'!oprliy®9 ancewilh SPS385, Wis. Adm. Code County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must ST CROIX include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. 002-1050-10-000 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please Print all information. rj�- Personal in/orrnalion may be for Date you provide used secontlary purposes tPnvaty law, a. 15 O! tp )m)). ✓� Property Owner Property Location ❑ ❑' ROLLAND SMITH Govt Lot SW 1/4 NWt/4 S 21T 29N R 16E (or) W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 2324 85TH AVE I City State Zip Code Phone Number dy Village own Nearest Road BALDWIN WI ( ) 1 .2 3ft— New Construction UseO Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD ElReplacement ❑ Public or commeroal - Describe: Parent material LOESSAND OR SILTY LACUSTRINE P Plain elevation f applicable and re omomemenda p1��sEw� L MO SYS 24" 6 4 SE .6 LOADING RATE 04- -a+J/41t l t r /� l� us ae- f�@O�ucrCN�,on�'S..I ri_ n �Aif J � n 7 Sai/5 VPI, h�X rM#z 'tx f}�fi' 4L F71Boring # 0 Boring .• FJAXw . — r OPit Ground surface elev. 96.2 R. Depth to limiting factor 24 in. Sol Bon Rate Horizon Depth in. Dominant Color Munsell Redox Description Ou. Sz. Cont. Color Texture Structure Gr. Sz. Sh. onsstence boundary Roots GPD/It fl#1 02 A 0-10 IOYR 3/3 -- -- -- -- L 2 MBK MVFR GW 2M B 10-20 10 YR 6/3 ---------------- SIL 2 MBK MFR GW I Bl 20-24 7.5YR4/3 ---------------- SICL _jMBK MFI GW IF 4 6 B2 2 -48 7.5 YR 4/3 7.5 TR 5/8 C2D SC 3 MARK MFI GW 2M .2 .3 a Boring # Li Boring 96.95 24 EDPit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Ou. Sz. Cont. Color Texture Structure Gr. Sz. Sh. onsistence Boundary Roots GPD/ft ' Milt ff#2 A 0-11 10 YR 3/4 -------------------- L 2 M BK MVFR GW I F .6 B 11-20 10 YR 6/3 -- — — — -- SIL 2 M BK MFR GW I F .6 BI 20-24 7.5 YR4/3 -------- — -------------- - SICL 3 MABK MFR GW I F .4 .6 B2 2 8 7.5 YR 4/6 7.5 YR 5/8 C2D SICL 3MABK MFI GW LF .2 .3 onuemr a I = ovu uu I ecu myL ano i as >uu < iw mg/L - tmuent We = MW <,tu mgfL ana i 55 I x mgn- CST Name (Please Print) Signature CST Number F� PAUL R KOEHLER Jr�/ �— 22541 n N 321 WISCONSIN DRIVE NEW RICHMOND WI DEC 2ND 2020 715-246-2660 Property Owner ROLLIE SMITH Parcel ID # 002-1050-10-000 2 3 Page of_ V Boring 3 Boring # Pit Ground surface elev. g5.55 ft. Depth to limiting factor 12 in. Soil Aoplication Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. onsistence Boundary Roots GPD/ft 2 ff#1 lfrn A 0-I 10 YR 3/ --------- ---------- L 2 MBK MVFR GW 2M .6 B I -24 10 YR 6/3 7.5 YR 5/6 C2P SIL 2MBK MVFR CW 2M .6 1.0 Bl 24-48 7.54/3 7.5YR5/8 C2D SC 3 MABK MFI CW 1F .4 .6 ,� os�s zou ❑ Boring # Boring Pit Ground surface elev. ft. Depth to limiting factor in. Sod Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. onsistence Boundary Roots GPD/ft ' Zff#1 ff#2 Bofing 17 # g Boring Pit Ground surface elev. ft. Depth to Ixnrting factor In. spa n�a� Effluent #1 = BOD , > 30 < 220 mglL and TSS >30 < 150 mg/L ' Effluent #2 = BOD 3 < 30 ri and TSS < 30 mWI The Dept. of Safety and Professional Services is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, contact the department at 608-266-3151 or TTY through Relay. SBD8330TM(RI VII) N T so i l Tc s-,cc.r oas �11 D co�n'Crbsld�6'1� Rolla�,�l SM+�, 13 11 85+iN AVE am SOS Cr L nc. 94ASS P;t l °I6,2 P;} z gL,Is P;t 3 99,55 sIOp, 10/0 ScaLk. l' _ �o , 40 A c rn. No M<- o.t�.n Gf s1ki-6 ioo Sc.Rt� c c u �.,., s� r - -, Rom( P„ i l; �� S S+J AYE Property Owner ROLLIE SMITH Parcel 10l 002-1050-10-000 Pane 2 of IE Bonng s Q' PS t Ground surface elev. 95.55 t. Depth to lmNrp to"12 In. Sal Rate Horizon Depth Dominam Color Reeoz Desor"m Tent m Structuro llteroe Boundary I Route GPD/h In. Munsel Qu. Sz Cons Color Gr. Sz. Sh. f *' W2 A 0.12 10 YR 3/3-------------- L 2 MBK MVFR GW 2M .6 1.0 B 12-24 10 YR 6/3 7.5 YR 5/6 C2P SIL 2MBK MVFR CW 2M .6 1.0 Bl 2448 7.54/3 7.5YR5/8 C2D SC 3MABK MFl CW IF .4 .6 Soils verifi d by CeCe Rudnic ki on 4 /2021 - A +4" exist in this I catio I . n RAGE 17 OrudniejeRz Apr s Soils verified by CeCe Rudnicki on 4/5/2021 - A+4" exist in this location. a Q NeaNa , 0 ryeMN.ss n RAGE 17 OrudniejeRz Apr s Soils verified by CeCe Rudnicki on 4/5/2021 - A+4" exist in this location. a Q NeaNa , 0 ryeMN.ss ( V#"4"Cr %1�) -�COUNTY 633320 STATE SANITARY PERMIT OWNER PLUMBER TOWN OF dp T7 0 Mr., M d , - 4� PREVIO c.# 2Zswo SUBDIVISION NO. w"' !vm rr X F::: 7 CHAPTER 145.135 (2) WISANSIN 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 may be renewed for a specified period. (d) Changed regulations will not impair the validity of a sanitary permit. (c) Renewal of the sanitary permit will be based on regulations in force at the time renewal is sought, and that changed regulations may impede renewal. (f) 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 county authority. ISSUING OFFICER - DATE OT120 UNLESS RENEWED BEFORE THAT DATE POST IN PLAIN VIEW VISIBLE FROM THE ROAD FRONTING THE LOT DURING CONSTRUCTION SBD-06499 (R11/20)