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020-1147-90-000 (2)
s4k Wisconsin Department of Commerce Safety and Budding Division GENERAL INFORMATION Personal information you provide may be used for Permit Holders Name Kenneth Nortman TANK INFORMATION PRIVATE SEWAGE SYSTEM INSPECTION REPORT (ATTACH TO PERMIT) [Privacy Law, s 15 04 (1)(ni TYPE MANUFACTURER CAPACITY Septic LVi Ik ✓ �`rb Holding TANK SETBACK INFORMATION TANK TO PT WELL BLDG Vent to Air Intake ROAD Septic T" Y, v 5e, 7�S Ae tion Holding PUMP/SIPHON INFORMATION M nufacturer Demand GPM Me el Nu er 7 r TD Li Fn ion ss S stem dead TD Ft Force Length Dia Di t to We SOIL ABSORPTION SYSTEM BEDrTRENCH Width 1 Lengt DIMENSIONS SETBACK SYSTEM TO INFORMATION— _. - 1 71:� 1 '7 50 a TOWN OF HUDSON I ELEVATION DATA County St. CFOIX Sanitary Permit No 633399 State Plan ID No. Parcel Tax No 020-1147-90-000 Section/town/Range/Map No, 33.29.19.787 CHAMBER OR UNIT Header/Manifold I$ Length Dia Distnbution x Hole Sze x Hole Spacing Vent to Air Intake Plpe(s) Length Dia Spacing SOIL COVER x Pressure Svstems Onlv xx Mound Or At -Grade Svstems Onlv Depth Over I Depth Over , ' xx Depth of xx SeededlSodded xx Mulched Bedrrrench Center ,s- 1 Bedrrrench Edges �; - j' Topsoil — — — No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #111 Inspection #2 71 Location: 640 COUNTRYSIDE LA �Isl (1�{ o 074 1.) Alt BM Description = }1 $404l t fi . S 7 (• AS 2.) Bldg sewer length =� x16�i1�Vt 1-3 l,. (�o • i - amount of cover = Plan revision ❑ Required Yes [ ] No Use other side for additional information. 'h/V�I�,I'^q\ J �It 0 ItAHL SBD-6710 (R 3/97) ' Da[� /psSignature - — — Cert No. L ✓��':�!/)_� {t/5 r I� afety and Buildings Division County �J , Sanitary Permit Number (to be filled in by Co.) •' `=P I�l 201 W.IWashington Ave., P.O. Box 7162 `'�\_ MAY 2 S 2021 (rladison, WI 53707-7162 333q SC�q n[Fde, 'cation 2g12 State Transsctwn Number In accordance with SPS 363 21( m Code, submission of this form to the appropr smental unit Is required prior to obtaining a sanitary permit Note Application forms for state-owned POWTS are submitted to Project Address (if different than mailing address) the Department of Safety and Professional Servies. Personal information you provide may be used for secondary purposes in accordance with the PrivacyLaw, s. 15.04(I)(m), Slats. / • - lf/�Q COV (F YI S/� 1. Application Information - Please Print All Information Properly Own Name Parcel 4 ' Is j ( ) �i —7 q �L/ Pro crly O ner's Mailing;AQdress f r Property Location �--s 2-,7 �0 1 r • `' •� /...i .35, Govt. Lot 1� City State Zip Code Phone Number y, A Section J /cucle v on Tee REoV �. 1. ype of Building (check all that apply) 1 Lot 4 r —N. I or 2 Family Dwelling - Number of Bedrooms I Subdivision Name ^ f V1 /rl ��tl CCew Block4 ❑ Public/Commercial - Describe Use ] City of El Stale Owned -Describe Use �] Vil loge of CSM Number .� III. Type of Permit: (Check only one box on line A. Complete line B if applicable) J A Ll New System Replacement System ❑Treatment/Holding Tank Replacement Only ❑Other Modification to Existing System (explain) B. B Permit Renewal Before Expiration I ❑Permit Revision ❑ Change of Plumber O Perin Transfer to New List Previous Permit Number and Da Iss d I 1 p J 1 05 (O Owner IV, e of POWTS System /Cona onent/Device: A S Non -Pressurized In- roan —' Pressurized In -Ground :_l At -Grade :1 Mound > 24 in of suitable soil ❑ Mound 124 in. of suitable soil Cilolding Tank ❑ Other Dispersal Component x lam) Pretreatment Device (explain) V. g Dispersal/Treatment Area Information 89.33, 8 %S. 8g, Design Flow (gpd) i Design Sod pphcelion Rate gpdsf) Dispersal Area equire sf) Dts rsel Area Pr sad (s System tieve o, VI. Tank Info Capacity in Total 4 of Manufacturerj 6� Gallons Gallons Units L��t�iw.r- Ti 1, ✓ A = New Tanks Existing Tanks i! 1 Septic or Holding Tank s ,r Dosing Clamber VI 1. Responsibility Statement- I, the undersigned, assume responsibility for installs don of the POWTS shown on the attached plans. Plumber's Name Plurt� r (Print) Signature MP/MPRS Number Business Phone Number ? c l t iit(z � SIC,_ �.r-, / � �1G37 5� e3�� 3. i Plumber's Address (Street, City Stale, Tip Code) t 9 i t 7a 7 C CJ IF. CounOnl a Approved El Disapproved Pcrmu Fee OD Date ssu � / Issuing Agent nature ❑ Owner Given Reason for Dc Ma -"- IX. C. jppgq�akpproval/Reasons for Disapproval-` d (/`f. •f p n.({ C�✓l�a t.y �C / xf 1. Septic tank, effluent filter a/maintained J la lumber. r'e�I all to 1•trv.�H�' plan provided try P asper Waralmuuh as l se management must be maimainad r,(,v j� i all C�/�71'I'h �'U+l 1'1lYHi'I G Vli•Q �� P�VWs //-- 2. All setback r �- �- al5le tode/o ��aPPllcable codelordlnarKes. /�� / /'NRN �On 4 r» yr Owvler /\ S r �� A s to complete Isns for the s s em and submit to the Couah only on pa er not than la s I I inches in size coQJµ t-s� I°1�uw VV1,6/,,. � wt.�r^-, C4 yy'r 6,A, lvlta Jve-�-o ✓'i a��;s e '^Jy' 50�1 �efs � LCC)OX I t\ !P1 l— �SBD-698(R.1t/11) 3 �GsJr, . aZ YKV64- 3(, " aboK. Redox )- tea. WSME=o--LANE - IEDDRDED AS SO-&30 w §€wAnq AMIl9N TRUE BEARING RULE N FEET 1-1111101100 0 BO IGO BOO 600 ,• LOCI BE I/ THE NOTE - THE SETBAC GlB ROAD SHAL Ci MJNE OF THI THE NIGHT OF WAY THIS PLAT CONT ROADWAY AND 66 ROADWAY. Designer'. Ryan Bschel Certified Soil Tester. SP-111500001 Designer of Engineering Systems: D 2263-7 SCALE 20, 0' 40' (3) 70' Infiltrator Qulk-4+ STD trenches (17 chambers/trench) ±295, > T ±30' 4" sch 40 PVC to west P. L. PIN: 020-1098-70-000 N W BM2 = 97.05 Top of bed vent m I (24" above grade) � / 7 o 0 / J y / / D / / $ / -O l i w° ~gymQ4C C11 I 71::15' BM1 = 100.00 Top of septic tank inlet cover 4" Diverter sch 40 PVC valve ADVANCED ENVIRONMENTAL JUN 212021 St i:7D1F <'(_,ilRiJ CD ) O� `0 it —__ 4BR Home Garage I Well � I . I 3 \ I � � i \ I I \ I 'All property Imes not drawn are >100ft from system Q Benchmark SYSTEM NOTES Septic Took: Soil Boring I .Existing Weser 1000 gallon tank, appears waledght and functioning, to be verified by plumber -New Infiltrator IM-W septic tank B ' 4' fi ADDITIONAL ELEVATIONS: j - nngnser above nal grade d-Lilefime filter Septic Tank Grade 100.00 =Bull' valveldlverter valve to be Installed to bypass Septic Tank Inlet — 97.85 existing system trenches and allow future use asa Bed system grade z 99.85 backup draini(if elevations permit) i M Pump Tank: a-ground'mm murar POWTS wN 06gpoll Bad rate {3) 70' InfiNator quik4,STD trenches at W depN T1'. 93.00 mnrour; 89331nfiltrawe wrtace T2 9240 contour; 88,73 m6ltrabve audace T3.91.80 contour, 88.13 infoaave surface -Depth tu resWcdon - 80' (Redmlimorphic features) Distribution: -GraHty renal disbfbWan .Use chambers as *drop boxes' a may use 4'sch 40 PVC orSDR-351eader LOCATION MAP (not to seals) PREPARED FOR: Kenneth Norman 640 Countryside LN Hudson, WI 54016 PID: 020-1147-90-000 2.29 Acres Legal: Lot 01 Countryside Village S33 T29N R19W Town of Hudson CerIHIM SWOsnenG Thus system hoe haerl dwlprwE and svduotad In occardonce eeh Seals and I-oml codes. iM soil treabrsnt ono and nmpin protelsd from ine niarwe ardor wrr,Ei Mon ore after mrsdthoot . No WARRANTY IS WOE THAT THIS SYSIF)4 WEI. C0N1911E M FLINTION INIlFF1NIi $yetam Rost bx properly molintai Wee your syslrn'. RosroperrerR Plan for IrdanrMbn on paper pore and malnlevro. Sole: 1" = 40' Date: 6119/21 RE: Advanced Septic Installation 715-703-3235 To whom it may Concern, The Following property is an Emergency Replacement due to Back up and Excess Water in the Drainfield This may pose a Health and Safety Hazard to the occupants or neighbors and needs to be replaced right away.. Kenneth Nortman 640 Countryside Lane Thank You, Lori Grace 715-235-0935 Advanced Septic Installation 715-703-3235 ,4ADVANCED E N V I R O N M E N T A L JUN 2U21 Property Owner. Kenneth Nortman Site Address. 640 Countryside LN, Hudson, WI 54016 Page: 2 Page: 3 Page: 4 Page: 5 Page: 6 Page: 7 Page: 8 Page: 9 Page: 10 Page: 11 Page: 12 Page: 13 Page: 14 Page: 15 Page: 16 Page: 17 Component Manuals: INDEX Site Plan Management Plan Management Plan System Design Summary In -Ground Conventional Trench Design In -Ground Conventional Trench Design In -Ground Conventional Trench Design Tank Specifications Soil Test Soil Test Soil Test Permit �����uunnup \SCONS RYAN G. \ BECHEL Existing System Permit = D-2263-7 RED WING Existing System Permit MN Existing System Permit %�7IFS I G tk Existing System Permit """11 %j%0% SBD-10705-PIn-Ground Soil Absorption (N.01/01; R.10/12) Designer Signature: Date: 6/19/2021 ADVANCED ENVIRONMENTAL LLC 779 Spring Creek RD S - Red Wing MN 55066 (651)327-0074 Designer. Ryon Backed Certified Soil Tester: SP-11150DO01 Designer of Engineering Systems: _ D 2263-7 SCALE 20' 0' 40' 0 ADVANCED c N V I R O N II E N T A L t PIN: 020-1098-70-000 JUN 212021 (3) 70' Infiltrator Quik-4+ STD trenches (17 chambers/trench) p N W 0 o BM2 = 97.05 Top of bed vent I (24" above grade) OOO�O a - F to,/ P�� o to oc wy moo/ ky A�pQ 1G Cn(n SC`11 cD,'i r ti6�e k t +295' J o .00 +30' 4" op = sept ic tic sch 40 PVC Top of sep tank inlet cover +15' 4" to west P.L. Diverter sch 40 PVC valve _ 'All property lines not O Benchmark T SVS I E_Sf NOTES drawn are >100ft from 8 Soil Boring Septic Tank: system -Existing Wieser 1000 gallon lank, appears watertight and functioning, to be vented by plumber -New Infiltrator IM-540 septic tank ADDITIONAL ELEVATIONS' -Bnng riser 4' above final grade -LAetima filter 'Bull'valvefdwedervalve tobeinstalled tobypass Septic Tank Grade 100.00 Septic Tank Inlet — 97.85 existing system trenches and allow future use asa Bed system grade z 99.85 backup dralnaem (if elevations remit) Q) `O� / 4BR Home Garage 50' IF weu a � I \ v I \ o t � I \ 1 I I I Esrened 9abm2 The elel. has Gwn dslrred ad eduabd In acarft with state ord tad mtlre. The sol tna4n rtt aces cost . Probcfid /corn deWrevw and/or W q oatlon Before ad afar aostrur:uon. ties iiii0t IY 6 W TMT T16 S15T1014 WILL (CNMIE To nmlGnlatl IW110`11 LY. System nut W Patiently rIM bAwd. RSAes Your ystern's oncei wll War for Marrrntlon on Vapsr Cae o d mom. Pump Innk. STA: Jngrourtl'wm ,Wnal' POWTS 1wN D 6gpdTl bad rare �3) 70InfilUalor ci STD trenches at 44' dapth T1. 9300 contour', 89 33mfiloame surface T2 9240 contour', 88 73 infileame surface T3 91.80 contour, 88.13 infiltrative surface -Depth to reshii - 80'(Redoomorphic teabired Distribution: -Gravely renal distributor, Use chambers as "drop boxes' or may use 4' ach 40 PVC or SDR-35 header LOCATION MAP not to care) li 1'N1.r AKLU MUK: Kenneth Norman Site Address. 640 Countryside LN Hudson, WI 54016 PID: 020-1147-90-000 2.29 Acres Legal: Lot 01 Countryside Village S33 T29N R19W Town of Hudson Scale 1" = 40' Date: 6/19/21 JUN 21 ?WI '1 Management Plan This management plan identifies operation and maintenance activities necessary to ensure long-term performance of your septic system Tasks that should be performed by the homeowner are identified Professional management tasks must be performed by a licensed septic maintainer or service provider, however, d Is the homeowner's responsibility to ensure all tasks get accomplished in a timely manner ► Keep this Management Plan with your Septic System Owner's Guide. ► Keep copies of all pumping records, maintenance activities and repair invoices with this document. ► Review this document with your maintenance professional at each visit; discuss any changes in product use, activities, or water -use appliances. My system needs to be checked every 36 months. Design Parameters Management Frequency Designer Required Frequency: Check every 36 State/Local Gov't Req Frequency: Check every 36 1 System Specifications months months Number of Bedrooms 4 Septic Tank Manufacturer Wieserllnfiltrator Design Flow (gpd) 600 Septic Tank Capacity 1000 + 540 Soil Loading Rate (gpd/ftZ) 0.6 Effluent Filter Manufacturer & Model Lifetime Standard Effluent Quality Effluent 1 Biological Oxygen Demand (BOD) 220 mg/1 Pump Tank Manufacturer NA Total Suspended Solids (TSS) 150 mg/I Pump Tank Capacity NA Fats, Oils, Greases (FOG) 30 mg// Pump Manufacturer & Model Per Installer Treated Effluent Quality Biological Oxygen Demand (BOD) - mg/l Dispersal Cell Type Non -Pressurized Conventional Total Suspended Solids (TSS) - mg/I Fats, Oils, Greases (FOG) - mg/I Pretreatment Unit Description NA Max Effluent Particle Size in 118 Homeowner Manaaement Tasks Check (listen, look) to Repair leaks promptly Regularly check for wet or spongy soil around your sod treatment area Contact service provider if Issues arse Control burrowing animals (gophers, groundhogs, etc) Keep bikes, vehicles, snowmobiles and other traffic off treatment area Alarms - Contact your service professional if any alarm signals. Lint Fitter - check for lint buildup and clean when necessary If you do not have one, add one after washing machine Effluent Filter - Inspect and dean twice per year at a minimum Caps - Make sure that all caps and lids are intact and In place Inspect for damaged caps often. Fa or replace system replacement area: Professional Manaaement Tasks per Liquid levels - Check sludge/scum/effluent levels in all system tanks Recommend If tank(s) should be pumped Pump all compartments every 36 months at a minimum. Inspect tank inlet and outlet baffles (if applicable) Check dralnfield effluent levels (if applicable) Verify pump and alarm system functions (if applicable) Inspect wiring for corrosion and function (if applicable) Clean dralnfield laterals (if applicable) Check event counterlelapsed time meter and evaluate water rate compared to system design Bow. Check dissolved oxygen and effluent temperature in tank Check for surfacing of effluent or other signs of problems Verify inspection pipes are capped and intact Provide homeowner with list of management results and any action to be taken. secondary system site from traffic, compaction, etc. Page 3 JUN 2121121 MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an appropriately licensed individual or business. 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 backup or ponding of effluent on the ground surface. Access openings used for service and assessment shall be sealed watertight upon completion of service activities. Any unsound/defective access openings must be replaced immediately. 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. Ponding of effluent on the ground surface may indicate a failing condition that requires immediate attention by a licensed septic professional. Tanks must be pumped when sludge accumulation is within 12 inches of the bottom of the outlet baffle, or whenever the scum layer is within 3 inches of the bottom of the outlet baffle In no case shall total sludge and scum volume occupy greater than 25% of the tanks liquid capacity The effluent filter shall be cleaned as necessary to ensure proper operation. The filter should not be removed unless provisions are made to retain solids in the tank that may slough off the filter during removal 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. Pre-treatment components shall be maintained and serviced by a licensed septic professional according to the manufacturer's recommendations. START-UP & OPERATION For new construction, prior to system operation, check septic/pump tanks for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cells. If high concentrations are detected, have the contents of the tank removed by a licensed septic professional prior to use. System start-up shall not occur when soils are frozen at the infiltrative surface. During power outages, pump tanks may fill above normal high water levels for system utilizing pumps. When power is restored, the excess wastewater will be discharged to the dispersal cell in one large dose potentially resulting in overloading the cells. It may also result in backup or surface discharge of effluent To avoid this situation, it is highly recommended to have the contents of the pump tank removed by a licensed septic professional or have a septic professional manually dose the system to return the pump tank to normal operating levels prior to restoring power Do not drive or park vehicles over any septic system components. Do not drive, park over, or otherwise disturb or compact the area within 15 feet downslope of any mound or at grade system or secondary septic system site. CONTINGENCY PLAN If the septic tank, or any of it's components, become defective the tank or component shall be immediately repaired or replaced according to the original system design specifications. If a dosing tank, pump, pump controls, alarms, or related wiring becomes defective, they shall be immediately repaired or replaced with components of the same or equal performance. If the soil treatment component fails to accept wastewater or discharges wastewater to the ground surface, it shall be repaired or replaced by, increasing basal area (if toe leakage occurs), rebuilding the component at the secondary system site, or removing and replacing biologically clogged absorption and dispersal media and associated piping. ABANDONMENT If the septic system fails and/or is permanently taken out of service, the system shall be abandoned according to approved abandonment regulations These include - All piping to tanks shall be disconnected and abandoned pipe openings sealed. - The contents of all tanks shall be removed and disposed of by a licensed septic professional. - Tanks shall be crushed & filled, or removed. - A septic system abandonment notification shall be submitted to the appropriate local governmental unit. WARNING!! SEPTIC, PUMP, AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC TANK, PUMP TANK, OR OTHER TREATMENT COMPONENT UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ALWAYS CONSULT A LICENSED SEPTIC PROFESSIONAL BEFORE DOING ANY WORK. Page 4 JUN 212 M System Design Summary Property Owner/Client: Kenneth Nortman Parcel ID: 020 1147-90-000 Site Address: 64D Countryside LN, Hudson, WI 54016 DESIGN FLOW, WASTE STRENGTH, TANKS A. Type of Wastewater: Residential Treatment Level: Effluent 1 Residential Design Flow = N of Bedrooms 4 X 100 GPD X 150% = 600 GPO Commercial Design Flow (data/calculations attached): ❑ Measwre GPD ❑ Emmated GPD Design Flow: 600 GPD Comments: Existing 4BR home; No home business; no sewage ejector/grinder B. Septic Tank(s): Minimum Capacity = Design Flow X 2.088 Wastewater received by Gravity Cade Minimum Septic Tank Capacity 1253 Gallons, in 1 Tanks / Compartment(s) Designer Recommended Tank Model(s) Existing Wieser 1000; New Infiltrator IM-540 Effluent Filter & Alarm: E] Fite, Fi tw Aimm Effluent Filter Model: Lifetime C. Pump Tank Code Minimum Capacity: Gallons Pump Tank 2(Code Minimum): NA Gallons Designer Recommended Min. Capacity: Gallons Pump Tank 2 (Designer Req). NA Gallons Pump GPM Total Head it Pump 2 NA GPM Total Head NA it Holding Tank Only: ❑ Minimum Capacity: Residential = 2000 gallons, or 5x estimated daily wastewater flow; whichever is greater Minimum Code Required Capacity: Gallons, in Tanks Holding Tank High Level Alarm Type: Designer Recommended Capacity. Gallons, in Tanks DISTRIBUTION AREA Sad Treatment Area Type Non -Pressurized Conventional Distribution Type. Gravity Distribution Benchmark 1 Elevation: 100.00 it Benchmark Location SEE SITE PLAN Component Manual 1. SBD 10705-P In Ground Soft Absorption (N.01 /01; R.IC Distribution Media: ❑ Doxiffl id Hock 0 Anwoval Product Component Manual 2 Inf ltraMr Qmk-4 + STD SITE EVALUATION DATA Depth to Limiting Layer: 80 in 6.7 it Sod Texture Loamy Sand Contour Elevation: 93.00 SHLR: 0.60 GPD/it' Elevation of Limiting Layer 86.33 Perc Rate. - MPI Minimum Required Separation 36 in 3 0 it Sods with >60%Rock Fragments Present7 ❑ Yes 0 No If yes, describe %rack and layer thickness, depth of sad treatment needed per Maximum Depth of System 44 in SPS 383.44 3 and any additional information for addressing the rock fragments Measured Land Slope 6.0 } in this design SOIL ORGANIC LOADING RATE 1. Organic Loading to STA/Pretreatment Unit = Design Flow X Estimated BOO in mg/L in the effluent X 8.34 . 1,000,000 600 gpd X 220 mg/L X 8.34 . 1,000,000 = 1.10 Has BOD/day a. Pretreatment Unit Information lit apphcable); Not Applicable b. Organic Loading After Pretreatment (if applicable) = Design Flow X BOD in mill in the pretreated effluent X 8.34 - 1,000,000 - gpd X mg/LX 8.34 - 1,000,000 = - Ibs BOD/day 2. Organic Loading Rate to Soil Treatment Area (Ibs/day/ft 1 Soil Treatment Bottom Area ft' = Ibs/day/ft' 1.10 Ibs BOD/day; 1038.0 fti= 0.00106 lbs/day/ft' > __........_... _ _........__ _.. ... .. ..... ._. ._.... ._. .. _. .... . .., sdicwai^BPate Puun&O Comments.: Gravity "renal' distribution to (3) 70long Infiltrator Qmk-4+STD trenches (15 chambers/trench). T1: � _ ItP4/e'1 aooJrt /eay 93.00 contour; 89.33 infiltrative surface. T2. 92.40 contour; 88 73 infiltrative surface T3: 91.80 i contour; 88 13 infiltrative surface. 'Bull' valve/diverter valve to be installed to bypass existing bed n a oarz system and allow future use as a backup dramfietd. Note: system was revised from ongnal a r 000v i design. Leading rate was lowered to 0 6gpd/sq it, system depth was lowered to 44' and the trenches n s omm were relocated to be lower in elevation per recommendation of ST Croix County Land Use following site o a 0000v consultation on 6117/21 (Ben Hetzel). Page 5 A. JUN 21 In -Ground Conventional Trench Design DESIGN PARAMETERS: ParcellD: 020-1147-90-000 Design Flow. 600 GPD Code Maximum Depth. 44 inches Designers Maximum Depth: 44.0 inches Soil Loading Rate: 0.60 GPD/ft2 Linear Loading Rate: 12.0 gal/ft Code Required Minimum Bottom Area = Design Flow - Loading Rate 600 GPD= 0.60 GPD/ft2 = 1000 ft2 Dispersal Media: Approved Product Distribution Method: Gravity -Serial Distribution For distribution media installed in contact with a Grade 1 Platy Silt Loam or systems using effluent #1 in any Sandy soil with >60% rock fragments, indicate distribution method: Not Applicable TRENCH CONFIGURATION: AGGREGATE Code Minimum Sidewall Bottom Area Design Trench bottom area Absorption Reduction Bottom Area trench (ft') (inches) Credit Multiplier bottom area 61nches NA 1 Indiv Site Design B. Sidewall Height: inches = it C. Designed Bottom Area: ft2 D. Trench Width: ft E. Total Designed Feet of Trench = Bottom Area , Trench Width ft2 - it = Lineal it F. Minimum system length based on Linear Loading Rate = Design Flow a LLR gpd a gal/ft = ft G. LLR Maxim # of Trenches: Designed # of Trenches: H. Length Per Trench = Total Trench Lineal Feet , Number of Trenches ft = ft Recommended to be F above Cover Q Distribution Sidewall Width J. Select Trench Spacing: ft (5 - 12 it from center to center typical) K. Lawn Area = Trench Length X Trench Spacing ft X ft = ft' lawn area L. Select Depth Required to Cover Distribution Pipe: ft (0.33 ft for pressure, 0.5 it for gravity) M. Rock Volume = Sidewa(l Height + Depth to Cover Pipe X Bottom Area = cubic feet _ 27 = cubic yards ( ft + ft ) X ft2 = ft3 ' 27 = ydt Page 6 A. TRENCH CONFIGURATION: APPROVED PRODUCTS - CHAMBERS AND EZFLOW Code Minimum # Of Trench bottom area Product EISA Rating Products Total # for (ft2) (ft2) Needed Construction 10EZ Flow 50 20.0 20 T EZ Flow 25 40.0 40 1000 QUIK4 + STD 20 50.0 50 QUIK4 + LP 20 50.0 50 B. Registered Product: C. Product EISA Rating. D. Design Bottom Area: E. Product Width: r buhon ewah Infiltrator Quik-4 + STD width ft2 Additional Absorption Area for Chamber Endcaps ft2 Endcap EISA Rating per Pair: 6 ft2 ft Total Number of Endcap Pairs: 3 F. Product Length: 4 ft Chamber Design Bottom Area = Bottom Area + Endcap Bottom Area C. Product Height: 12 in 1020 ft2 + 18.0 ft2 - 1038 G. Number of Components = Design Bottom Area divided by Component EISA Rating (Round up) 1010 ft2 + 20 ft2 = 51 components H. Minimum Design Trench Length = Minimum # Products x Product Length 51 x 4.0 ft = 204 ft ?n 1010 3 J. Minimum trench length based on Linear Loading Rate = Design Flow : LLR = 600.0 gpd r 12.0 gal/ft = 50.0 ft K. LLR Maximum # of Trenches: 4 Designed # of Trenches: 3 L. Length Per Trench = Actual Trench Length + Number of Trenches + 2ft 204.0 ft a 3 trenches = 70.0 ft Recommended to be >_ F above M. Select Trench Spacing: 6 ft (5 - 12 ft from center to center typical) N. Lawn Area = Trench Length X Trench Spacing 204 ft X 6 ft = 1224 0t2 lawn area JUNK Page 7 4. In -Ground Conventional Cross -Section a Layout SYSTEM CROSS-SECTION 93.00 Np9vE BA✓FILI SEED 5$00 JUN 212021 92.40 91.86 cram M 89 33 i 88.73 88 13 SYSTEM LAYOUT Observation PipeNent r 0 36_T_ o — — 70 e o J 70' 0 0 — — - 70' OBSERVATION PIPE DETAIL Screw -type or Finished grade slip cap --: Topsoil cover (1' min ) 4" SCH 4o PVC pipe Top of pipe to terminate at or above finished grade _ 4 a" -2' x 6" slots spaced --- - --- 90 degrees apart aY Infiltration Toilet _ -- surface Flange - - ---. Page 8 TANK SPECIFICATIONS • Minimum cover= 6 inches; Maximum cover= 8 feet (unless specified by manufacturer) • All manhole covers shall extend 4 inches above final grade • If the tank is within 2 feet of final grade, insulate the lid to an R-Value of 10 • Quick disconnect (Cam -Lock) reachable from final grade (24 inches max) required for pump installations • If forcemain will have a "J-Hook" assembly, drill a weep hole in the "hook" • Building sewer: No 90's, keep 3 feet between 45's, maintain 1 inch in 8 feet (1%) slope, install cleanouts at the building connection and every 100 feet at a minimum Insulate building sewer if less than 2 feet from final grade and under all high traffic areas (driveways etc.) III, 7j., °n��w-• .n..,�e.e�Lsr•w' j i 95.ro7597.85 97.60I 96.00 nm-u>x�cuw�n The IM-540 is an Injactlon molded two piece mud -seam plastic tank_ The injection molded plastic design alki, s for a mid -seam joint that has precise dimensions for accepting an engineered EPOM gasket Infiltrator's gasket design utilizes technology from the water industry to deliver proven means of maintaining a watertight seal. The two -place design is permanently fastened ushg a sores of non -corrosive plastic alignment dowels and locking seam clips. The IM-540 is assembled and sold through a network of certified Infiltrator distributors. Must be backfflled and Installed In accordance with infiltrator Water Technologies, Infiltrator IM-Series Septic Tank General Installation Instructlons and for shallow ground water conditions reference the Infiltrator IM-Series Tank Buoyancy Control Guidance. Please vfsltww.krfNvatorwatencomAmages7pdt/ManualsGuklesl TANKOt.pdf for the latest itformation. 1 Working Capacity Total Capacity 475 gal (1794 L1 552 gal (2069 L) Airspace 162% — Length 54.9" (1648 mn) Width 61.7' (1567 ri Height 54.6" (1387 mn) Liquid Level 44- (1118 mn) Compartments 1 Maximum Burial Depth 48- (1219 mn) Mirwnum Burial Depth 6- (152 nlrn) Maximum Pipe Diameter 4" (100 mm) Weight 169 Ibs (77 kg) ' - 4 ernes auk R.d oe save7a GIOri.'S .. �•. �.-..mow.-.. eSc.Z:x�-IaK &"A 57>.]001 92.00 [WJdfMlk TOP NEW . 11 �l DCrERI6 rarrcdMrE curl !rxv;i ENO NEW SECTION A. A' Page 9 ,,4ADVANCED Property Owner: Kenneth Nortman Site Address: 640 Countryside LN, Hudson, W 1 54016 INDEX 2 1 Site Plan V Page: Page: 3 Management Plan Page: 4 Management Plan Page: 5 System Design Summary Page: 6 In round Conventional Tr ch Design Page: 7 In-G nd Convention Trench Design Page: 8 In -Grown Conven onal Trench Design Page: 9 Tank Specifl Eons Page: 10 Page: 11 1xisting Page: 12 Page: 13 Permit ,� RYAN = BECHEL = Page: 14 Existing System Permit - D-2263-7 = RED WING Page: 15 Existing System Permit % MN Page: 16 Existing System Permit �'' S NF� Page: 17 Existing System Permit I G ""f floW O Component Manuals: SBD-10705-P In -Ground Soil Absorption (N.01/01; R.10/12) ' lI� _ r ✓V v -il�� 1. Designer Signature: // Date: 5/26/2021 ADVANCED ENVIRONMENTAL. L.0 4 ififl0(]'..i Wek RD S - RWJ W IP,q. NIN 55066 (C_t' .71 uplar. Ryan Seth® ti0ed So9 Test,.. SP-111500001 War of En,F."g Spteme D 2263-7 S('ALE 20' —P/L (3) 62' Infiltrator k-4+ STD trenches 5 chambers/trench) PIN: 020-1098-70-000 P/L — P/L oLti6g0 r < t295 � t25' 4" 1 sch 40 PVC to west P.L. wlp oeet Oam nmakA feED lwnfom ' syslam e Sal aam ADDITIONAL ELEVATIONS: Septic Tank Grade a 100.00 Septic Tank Inlet = 97,85 Bed system grade = 99.85 Sawle T.nk: 4a6p W%R1*n%to1be sW oy weWly4rAUnsosp, b b rtfa0 by plvlber .8nngmo r above Arid psk -IM la Rw 'Our vaftWW value Is be n W 9 wl b Vess svmlg rrom, huctes W aloe Nero uaxa tedob 68I tll eleaWeDw* Pump T.nk: Q STA: Q JngwE'mIw1RIYY PJHT5 sm 01Rg1'mrW N W T 16?U®aatr4AA•51D MdIna YrdgUl it 9J i'maw, 9120 Penske w" BM2 = 97.05 T293W mlltur,9050sdAeMsabre 8 8 nmaomm::®90 MPne euiam Top of bed vent O P� •MwWwer,R.vaawe.a.sW O � V mass reuwyweN ua.srundtBO u � (24" above grade) p" > Itr *s eet sewer W SYaon 0* eut rO I rf 1'7 2g'Wma:deW 3r RSYaal euieg'Pe > ' c ' sa psRwl6aee0eb" ° �i �— � .JµennMum'90'lRzosm@o Messsi LNreyvalasvMAm / / :' �' --� L'RdmTaaaN•aptam•ul,erlaeracwwc eswasall.e. �C 4BR Home ! I Garage I 50' —_ 1 LounoN MAP w., r..m.1 BM1 = 100.00 Top of septic tank Inlet cover �+15'4" / `Diverter sch 40 PVC - valve i/L ri COu PREPARED FOR: --- Nmleth Norman ___ ---- — _ — C-OC�.ITY� 7 RT S1 V E�` _— _ _ --_ — _ _ _ _ — — - i f:wAriJ 51.1nn.t alas ry.lwn M. Wr. OUYyb ..% e.tluMaE N ¢car6im MM1 alma oM lcml [vM TM 3 bam.M pohcr.a 1e0m Qauv[o'.c. mq/u, (Mp.iU- Mpa . unu .os..Lu>, w rrAawar a Ruac awAr m9 sxrtu xu canvas ro atoaalav wcmD1¢. sp.m � a Prryvl/ ^�^udla P.xw w mlvm s m...y...m p.. re, xr�ou.. a PTPe na ."a 640 counoyslde W Hudson, M W16 i0-1147-90 2.29 Auer Lot 01 Comntrys'lde YI1.9s S33 T29N R19W Town or Hudson a 4D Date: r. Klan decnel sd Sod Tesler. SP-111500001 .a of Engineering S,elems. 0 2263-7 SCALE 20' 40' (3) 62' Infiltrator 9+ STD trenches \ hambers/trench) 0 ti6�0 — t295' —� t25' 4" 5ch 40 PVC to West P.L. , PIN: 020-1098-70-000 BM2 = 97.1 Top of bed / (24" above o r r � rr r r r ANr p r r r II Y \ BMl = 100.00 Top of septic tank Inlet cover 315' 4" Diverter sch 40 PVC valve W„°°e�",'ins. ,not QBarnme ADVANCED sla .,m 16, Sol Boring Garage L Septic Tank Grade a 1 Septic Tank Inlet = .85 Bed system g a 99.85 ° �A, P��l �/ Py 4BR Nome 50, ---� Watt � ----------- gOVIY'I\1S1 VE-LN-_—_—_—_— — M19MWnK Ma aplin ba Wn 4,WrnC wp a.MmIM M awMrw MN SfaM oM LrN mNa, Aa aol bad,rSM vw mse ninon pW'a1N Irem 6tiveoe otl/v vwrq[Ilm 4on m1 dw Ms4m M MVMAMY 6 WEE IINI T6 MiDI NYl CCMIMF 10 NCIOV K6MIM11. SyYon and G nMa:b iNMum1. RauMa w Mon'. msgnnnt M� b Narmeo, m Proo aan aM demo SeEk T.nk: a,bN WsRsI=9t Milk.4Rsn wafWYdkPKft bbowledby Ortm, JbRk4b B45W s9kbrk aiRgnserrma.►Rlyme {Biro Yb .� abaUwllr Yfw b be ke W 0 b bYVa. bKhqbli,I trasRnk lVtlsaamofoe Lesswus dd aisv pmif Pomp Tank mmonbi W2 11 1 eR ma msisr. Om:ie.be RAeo PREPARED FOR: (ellllaL 1♦,imW SRE m W Canbyd* LN Hudson, Wi 61016 sTD:12 1197-90-= L290ues .498L Lot 01 countrpide Villoge S33 T29N R19W Town of Hudson icak: 1*-V Dale: 5R1l1 System Design Summary Property Owner/Client: Kenneth Nortman Parcet ID: 020.1147-90.DDO Site Address: 640 Countryside UN, Hudson, WI W16 DESIGN FLOW, WASTE STRENGTH, TANKS A. Type of Wastewater: Residential Treatment Level: Effluent 1 Rmidentiat Design Flow • p of Bedrooms 4 X 100 GPD X 1 SO% = 600 GPO Commercial Design Flo ata/calculatfons attached): ❑Nemu•ed GPD ❑rabmated GPD Design Flaw; 60 GPD Comments: Existing 48R home; me business; no sewage e3ec /grinder B. Septic Tank(s); Minimum Capacity = ign Flow X 2.088 Wastewa e e y: Gravity Code Minimum Septic Tank Cap 'ty: 1253 all s, .' Tanks / Camper nt(s) Designer Recommended Tank Model(sI g Jeser 1001000--New Infiltrat M-540 Effluent Filter B Alarm: © Rke ❑ F.1tw Aare• Effluent Fitter Model: Lifetime C. Pump Tank Code Minimum Capacity: Ga ns P Tank 2 (Code Minimum): NA Gallons Designer Recommended Min. Capacity: Gallons Pump Tank 2 (Designer Req): NA Gallons Pump GPM Total Head it Pum NA GPM Total Head NA it Holding Tank Only; ❑ Minimum Capacity: Residential - 2000 gall or 5x estimated daily wastewater flow; whichever is greater Minimum Code Required Capacity: Gallons, in Tanks Holding Tank High Level Alarm Type: Designer Recommended Capacity: Gallo , in Tanks DISTRIBUTION AREA Soil Treatment Area Type: Non-Pressunzed C.50entional Distribution Type: Gravity Distribution Benchmark 1 Elevation: 100.00 it Benchmark Location: SEE SITE PLAN Component Manual l: SBD-10705-P -Ground Soil Absorption (N.01 101; RAC Distribution MedH,eld Ro ❑Appraad Pro Component Manual 2: Infit1ratulk-4+STD SITE EVALUATION DATA /eq.wred iti Layer 80 m 6.7 it Soil Texture: Sand rElevation 93.00 SHLR: 0.70 GPD/ft' iting Layer: 86.33 Perc Rate: - MPI Separation: 36 m 3.0 fl Soils with .60% Rock Fragments Present ❑ses ©Ha of System: 44 m If yes, describe % rack and layer thickness, depth of soil treatment needed per SPS 383.44.3 and any additional information for addressing the rock fragments Land Slope: 6.0 % in this design. IL ORGANIC LOADING RATE . 013anic Loading to STA/Pretfeotment Unit = Design Flow X Estimated BCD In mg/L in the effluent X 8.34 + 1,000,000 600 gpd X 220 mg/L X 8.34+1,000,000= 1.10 ibs B00/day a. Pretreatment Unit Information (if applicable): Not Applicable Is. Organic Loading After Pretreatment (if appi cable) = Design Flow X BOD in mg/L in the pretreated effluent X 8.34 + 1,000,000 gpd X mg/L X 8,34 + 1,000,000 = - Its BOD/day 2. Organic Loading Rate to Soil Treatment Area (lbal day/It ) + Soft Treatment Bottom Area ft' - ibs/day/ft' 1.10 ibs BOD/day + 918.0 ftl, 0.00120 Ibs/day/ft' .. ............ ....., ... ... . -. . . Comments:' Gravity 'serial" distribution to (3) 62long Infiltrator Quik-4+ STD trenches (15 chambers/trench). T1: 93.70 contour; 91.20 infiltrative surface. T2; 93.00 contour; 90.50 infiltrative surface. T3: 92.40 contour; 89.90 infiltrative surface 'Installer may alter individual trench lengths and elevations as necessary so long as a minimum of 180 i lineal feet of trench is mstatled and system depth is at least 38' and does not exceed 48'. Maintain ad building, well, and property line setbacks." ' 30'valve/drverter valve to be installed to bypass existing bed system and allow future use as a backup drainfield. ................ ...................... ........................... ....................................... ........ ...... ............... ......i I' sin 1016w Pv4 IaaA/n') ODJW/ Iloo,/RH coats 9 o.ol ,.8 r L Gll ul: 1 oev 15 i LCM r�1 ca accw _ Page 5 A. In -Ground Conventional Trench Design DESIGN PARAMETERS: Parcet ID: 020-1147-90-000 Design Flow: 600 GPD Code Maximum Depth: 44 inches Designers Maximum Depth: 30.0 inches Soil Loading Rate: 0.70 GPD/ft2 Linear Loading Rate: 12.0 gal/ft Code Required Minimum Bottom Area - Design Flow + Loading Rate 600 GPD + 0.70 GPD/ftN 1 857 ftz i y Dispersal Media: Approved Product Distribution Method: Gravity -Serial Distribution For distribution media installed in contact with a Grade 1 Platy Sitt Loam or systems using effluent #1 in any Sandy soil with >60% rock fragments, indicate distribution method: Not Applicable TRENCH CONFIGURATION: AGGREGATE Code Minimum Sidewatt Bottom Area Design Trench bottom area Absorption Reduction Bottom Area trench IMultiplier (ft') (inches) Credit bottom area 6Inches NA 1 Indiv Site Design B. Sidewall Height: C. Designed Bottom Area: D. Trench Width: inches = ft ft2 ft E. Total Designed Feet of Trench = Bottom Area + Trench Width ftz + ft = Lineal ft F. Minimum system length based on Linear Loading Rate = Design Flow + LLR gpd + gal/ft = ft G. LLR Maxim # of Trenches: Designed # of Trenches: H. Length Per Trench = Total Trench Lineal Feet + Number of Trenches ft . = ft Recommended to be a F above J. Select Trench Spacing: ft K. Lawn Area = Trench Length X Trench Spacing ft X ft = (5 - 12 ft from center to center typical) ft' lawn area L. Select Depth Required to Cover Distribution Pipe: ft (0.33 ft for pressure, 0.5 ft for gravity) M. Rock Volume = Sidewall Height + Depth to Cover Pipe X Bottom Area = cubic feet + 27 - cubic yards ( it + ft ) X ft2 = ft3 + 27 = yd3 Page 6 A. Code Required Minimum Bottom Area = Design Flow + Loading Rate 600 GPD+ 0.70 GPD/ft2 = 857 ftz Dispers'at,Media: Approved Product Distribution Met Gravil For distribution media ' st: Sandy soil with >60% rock TRENCH CONFIGURATION: rial Distribution in contact with a Grade 1 ants, indicate distributior In -Ground Conventional Trench Design DESIGN PARAMETERS: Parcel ID: 020-1147-90-000 Design Flow: 600 GPD Code Maximum Depth: 44 Inches Designers Maximum Depth: Soil Loading Rate: 0.70 GPD/ftz Linear Loading RatV 12.0 It 1Xcz inches gal/ft Loam or systems using effluent #1 in any Not Applicable Code Minimum Trench bottom area Sidewall Absorption ttom Area R uctio ottom Area Design trench (ft') (inches) Cr i Multiplier bottom area 6 Inches 1 IndN Site Design 8. Sidewall Height:fa inches C. Designed Bottom Areit D. Trench Width:ft E. Total Designed Feet rea + Tft2F. Minimum syste engoading F gpd + = G. LLR Maxi # of Trenches: Designed # of Trenches: H. Lengt er Trench = Total Trench Lineal Feet + Number of Trenches it + = ft Recommended to be a F above J. lect Trench Spacing: ft IS - 12 ft from center to center typical) Lawn Area = Trench Length X Trench Spacing It X ft = ft' lawn area L. Select Depth Required to Cover Distribution Pipe: ft (0.33 ft for pressure, 0.5 ft for gravity) M. Rock Volume = Sidewall Height + Depth to Cover Pipe X Bottom Area = cubic feet + 27 = cubic yards ( ft + ft ) X ft2 = ft3 + 27 = yd3 Page 6 TRENCH CONFIGURATION: APPROVED PRODUCTS - CHAMBERS AND EZFLOW A. Code Minimum # Of Trench bottom area Product EISA Rating Products Total # for (ft2 z (ft) Needed Construction 10' EZ Flow 50 17.1 18 5' EZ Flow 25 34.3 35 857 QUIK4 + STD 20 42.9 43 QUIK4+LP 20 42.9 43 B. Registered Product: C. Product El Rating: D. Design Bottom a: E. Product Width: F. Product Length: C. Product Height: G. Number of Components - Design 900 ftz 20 H. Minimum Design Trench Length = 45 x 4.0 J. Minimum trench length based on 600.0 gpd + 12.0 Cover I Infiltrator Quik-4 + STD width 20 ft2/�ekrea al Absorpt' Area for Chamber Endcaps 900 fti Rat' per Pair: 6 ftz 3 ftof Endcap Pairs: 3 q ft Bottom Area = Bottom Area +Endcap Bottom Area 12 inft2 + 18.0 ftz 918 Bott Area diveEISA Rating (Round up) _ ftZ = components Minimum Pro is x Product Length ft 180 ft Lar Loading Rate = Desi Flow : LLR = gal/ft = 50.0 f K. LLR Max/rench enche 4 Desi d # of Trenches: 3 L. Length al Trench Length + Number of Trenches + 2ft 1803 trenches = 62.0 ft Recommende o be z F above M. Select Tg: 6 ft (5 - 12 ft from center to center typic N. Lawn Aength X Trench Spacing 186 ft = 1080 ft' lawn area Page 7 4. In -Ground Conventional Cross -Section 8 Layout SYSTEM CROSS-SECTION 93.70 NNTNEa KFILL SEED d SW 93� _ 92.40 V J_ �\\ 12 69.90 SYSTEM LAYOUT Observation PipeNent o � o e r o 1 36" - 62' 0 0 62' 0 0 62' OBSERVATION PIPE DETAIL Screw-ryps or Finished grade slip cap Topsoil cover _ 4" SCH 40 PVC pipe Top of pipe to terminate at or above finished grade ', _ a' }" z 6" slots spaced I{ �- 90 degrees apart infiltration Toilet surface Flange Page 8 4. In -Ground Conventional Cross -Section 8 Layout SYSTEM CROSS-SECTION 93.70 g TN BR WLL S SD&600,�' 93.00 - - 92.40 L� sac .s 91.20 90.50 - 4 89.90 SYSTEM LAYOUT Obs ation P' eNent 1' a 0 36' II 6' o 0 I 62' 0 —0 62' OBSERVATION PIPE DETAIL screw -type or Finished grade slip cap IITopsoil cover :4 4" SCH 40 PVC pipe —(1'mn.) Top of pipe to terminate at or, - r above finished grade - t a • }" x 6" slots epaced - - 90 degrees apart Infiltration Toilet Flange Page 8 ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF EXISTING SEPTIC TANK(S) This is to certify that I have inspected the existing septic and/or dose tank presently serving the followi residence: (Street address) /, yL� � � rc/ </ r - 6A) located at: ''/a, `'/4, Section .33 ownQ9 _N, RangeW, Town ofSt. Croix County Wisconsin. Upon inspection, I certify that I have found the tank(s), to the best of my knowledge, will conform to the requirements of SPS. 384.25, and it (they) appear(s) to be functioning properly. Most recent date of inspection or service Did flow back occur from absorption system? Yes No (if no, skip next line.) Approximate volume or length of time gallons minutes Tank Capacity: %GC'O v Construction: Prefab Concrete /t Steel Other Manufacturer (if known): Age of Tank (if known): _ Permit number (if known) (Used lu�r Sig ature) M s5 6�- 2(WI I b E2 (Title) (Date) 6 i 7-H 1ifi12, (Print Name) 3`1 (License Number) MP/MPRS Form to be completed by licensed plumber (Dept of Safety and Professional Services Chapter 305 and s. 145.06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin Administrative Code) Rev. 2/2012 ST. CRO IUNTY SANITARY SYSTEM File #: ii.ccv�rnrOffice Use Only OWNERSHIP/ADDRESS FORM Created 212021 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 Kenneth Nortman Mailing Address 640 Countryside Lane City/State/zip Hudson WI 54016 Phone Number (required) 715-781-2444 Email Address (required) N/A Parcel Identification Number 020-1147-90-000 (found on the property tax bill) NEW SYSTEM: LEGAL DESCRIPTION Property Location t/4 , t/4 , Sec. 39 T 29 N R 19 W, Town of Hudson Subdivision Plat: (aidwwc I%' %i,;yC Lot # J—. Certified Survey Map # , Volume Page # Warranty Deed # S% 16 Z (before 2006)Volume Page # Number of bedrooms 4 Spec house ❑ yes ■ no Lot lines identifiable ■ yes ❑ no OFFICE USE ONLY New Property Address IV Pr I-AIS (Verification of new a ss required from Community Development Department for new construction ) (Staff Initials) (Date) This form must be submitted with all Private Onsite Water Treatment System (POINTS) 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 cddCo)sccwi.gov 1101 Carmichael Road, Hudson, WI 54016 www.sccwi.00v DEPARTMENT OF INDUSTRY. INSPECTION REPORT FOR LABOR &,HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS ?,O. 9M 7989 - MAO1SON., Will 53707 (p�r� _ '—MtONVENTIONAL i .ALTERNATIVE 1 Holding Tank �__I In -Ground Pressure r . 'Mound SAFETY & BUILDINGS DIVISION BUREAU OF PLUMBING IIn:,I nr'al NE ea erold & Audrey Alwell R. R. 1, Hudson, WI 54016 -' ' �' M E' James 0!N NM_A%F(}.•.narera Tl+rrnrxM+IlnReflrAE IF I'll FFNLNt [NOM OI Mt � -�— Nlf PY ELfV '�•�a"R Dt Ft., Section 33, T29H-R19W, Town of Hudson, #l, Countryside Vill. N.... •.I Y....b.. MV;MPIiSW M, � l�__ Lot 1. William Schumaker L — ` 6382 St._Croix _ - _ 69693T SEPTIC TANK/HOLDING TANK: __ _ 'ln VV4c:1 V11[F 11Ub hC>Vnl'•Y Ta_Y�t ln.l !.14 A1. ni,ll• II(. �1'r.Ma'.•Ld T_ IOr.krpL CUVER J�iU3a lyaSz7 ?9a L� xYES l_,NO _YES (No vFv+uln vN•MTN IAI, Pal Wauh uiti OF �NtinO I�,.u:n LtTL:— r. u;nr, v ro N, r. A, noel FEET FROM 'a •.I {_ _ xg{Nln :... IVES'NOC,�--INES +i _INO NEAREST ='� _(_/ _ Cl�.��___... DOSING CHAMBER: •_,____, •-nn•R •,.1 Yi.P XFI)I11N'.in. lit__,__ __-I IT-":..:9':•• .•. •. n� tea. 'IA :4• a uip LINO 1 __ _ .v VET �•._ ____ GALLONS PER CYCLE: r.lMr nad ;.COl:nN ua11„n'ul—II ta. NUMBER OF iDIFFERENCE BETWEEN FEET FROM PUMP ON AND OFF. I _IYES LINO _ �NEAREST---►1 SOIL ABSORPTION SYSTEM. Check the soil moisture at ilia depth nt plowing .' of l"Milvul'on. (If Foil can he rolled into a we. Cnnstruchnn shall CY;HP Jnhl fOgCE the soil a dtv ehough to conom)e.l MAIN ..1-- CO VENTIONAL SYSTEM: annN :in:.?.• 1..-.'•a-�—Lur-:P .n. .. a—iwl� BEDITRENCH PIT DIMENSIONS ;4) _ I �_ ' �'l:,ir j±Il'n :lllfPp. IP`II I•.I+T+y-�Tp1y TR /IPF MNtLIUM /'tiv:•l�Y pjIjMBROFi.�11j1� Nil{ X.IILL•.y<V4f/VrPkb11 '"r 1..R Plr1•. ' Oua�LilvlN u/�: v�:M1l .jl f�:Q. �l vpl ol, FEET FROM 1,1 nlgyv,iC ' "t '— J-LL6=1-11n, rO L.__._ -._ ��_NEAREST -� �:.r '•tu•.__ MOUND SYSTEM: Moundsite, plowedperpendiculartoslope Check the texture of the till rnatrrial lot PROVIDE A DIAGRAM OF SYSTEM ,rid FUrtOW3 thrown upslope: mound systems to make ccrta IF that it ON REVERSE SIDE. SHOW ELEVA- j I meats the criteria for medium ,at••d I TIONS MEASURED. (_?YES :i.INO —_ -_1_ __. -`_ _ _—. '� -J — Il%n ^.Jli, ••----- I OI COVER •"�•'�' T- _YES _ NO _ .,YES !JNO �li "'r%.La IY•'YP I•�P 11 (,lPtll •Il.11 lllf l•I II X:.•" —'�-" � i• • it i.l l•pl :• i. ... 1. .IYES I -,NO_ i YES C�NO 1 !!YES C_NO 551r)Iry IF .' Nrr -TNV hNLnr.Nlxl 7n 7linl [V AiN.. ItIPI'i 4• f: 1'Ir_ rl 1 :)1^ rr •tll•)L'I :'141N BED/TRENCH IT DIMENSIONS T isf MnNIf JLU� -__.••1 AYIri:11.-- :UISIM VIrr FlnVhrirl Virlli<:L. 1. LI'1•. ELEVATION AND f ,V fit, i.3 Ili"I rI, r.r DIS I• I I _` INFORIS MATION — L_.�VES—._ —_ {I lTa.,l"•,. FEET FROM �.,`'`v •r s�ru•.LP'r •,Pet-avF•r•:•f� INFORMATION nou vn {'� I '.r n::rvl + ur T:—; 1�: _-- T _ _ ___ — — -..rr _NO_'YES LINO COMMENT$: [RrnnN�rRnnnes 4llA5vIW gt,nN Y:1115 rNUMBER OF j 01'FTrn Tn nL;n rwc I - � L.' DYES -IN _YES �_INO _ INEAgEST-- Skoch System on_, -,He i in county file for audit. Fluvll Stop. .—.y.'=� -- .— --- Tr� Pa0a 13 Vl�NA'1.11b ♦ � n/ " DILIIRSSD6710 tH. 01/82) AS BUILT SANITARY SYMEM REPORT t - _ TOWNSHIP r. Form -S T 71(). SEC. ;SS ST. CROIX COINTY, WISCONSIN :VISION /,� ;. LOT I LOT SIZE a„ •�. v - PLAN VIEW _ .aces and dimensinna to meet requirements cf H 63 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM BENCHMARK: Describe the vertical reference point used q- Elevation of vertical reference point: - Proposed slope at site: fg .�, SEPTIC TANK: Manufacturer. Vy^i •' Liquid Capacity: —1y Number of rings used: ,� _ Tank manhole cover elevation: Tank Inlet Elevation: 9Q 6-B, Tank Outlet Elevation: Number of feet from nearest Road: Front, O Side Rear,& ! feet From nearest property line Front 10 Side 0 Rear, O ., feet Number of feet fr•mi: v.•11 _, building: pap 14 (Include this information, of the a6nve plot plan)( •� �e �.. AS BUILT SANITARY SrrTEM REPORT Form -S T C- 7[r ti OWNER ;, A ' ' ' TOWNSHIP 0., ., SEC. _T :'-1 N-R;`W ADDRESS !.'. ST. CROIX COINTY, WISCONSIN i SUBDIVISION i' , (Ar 9'- . LOT i PLAN VIEW LOT SIZE 21:➢� -ram r Distances and dlmenaiana to meet requirements of H 63 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM z I \ �eLt_ /I, 'JC ' r N U INDICATE NORkARROW BENCHMARK: Describe the vertical reference point used $; •�;: AT :._� -x Elevation of vertical reference point: Proposed elope at site: SEPTIC TANK: Manufacturer: yV7[.;;. t Liquid Capacity: J ut''.tA � Number of rings used: eve c' Tank manhole cover elevation: 938. Tank Inlet Elevation:253k. A, Tank Outlet Elevation: !795-leb Number of feet from nearest Road: Front,© Side Rear, ON lotG 7 feat From nearest property line Front,O Sid. ,O Rear,( L;:o feet Number of feet from: well , building: Page 14 (Include this information of the above plot plan)( 7 �..--- APPLICATION FOR SANITARY PERMIT D' L H R COUNTY 11e11� {PLB 67) UNIFORM SANITARY PERMIT # ,nOVST W.LRBOO6MRrlNrigEIRTIOfIi � �� �� —Attach complete plans in accord with s. H 63.05, Wis. Adm. Code for the system, on paper not less than 8'/:x 11 inches in size. —See reverse side for instructions for completing this application. PLEASE PRINT PROPERTY OWNER MAILING ADDRESS PROPERTY LOCATION - ��4 '.' ��4, $ :. , T �, N, R .' f:-{b*) W TOWN OF: .• ... LOT NUMBER BLOCK NUMBER SUBDIVISION NAME NEAREST ROAD, LAKE OR LANDMARK STATE PLAN I.D. NUMBER TYPE OF BUILDING OR USE SERVED 1 or 2 Family Number of Bedrooms. 7pullic (Specify): THPERMIT IS FOR A: New System '❑ Tank Replacement ❑ Repair Replacement Soil Absorption System E_ Revision ❑ Privy Alternate System L. Reconnection ❑ Petition for Modification IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK. E3 Seepage Bed ❑ Seepage Trench ❑ Seepage Pit , Holding Tank r I System -In -Fill ❑ In -Ground Pressure Vault Privy J Pit Privy ❑ Existing, For Which A Previous Permit Is On File, Permit # issued ❑ An Existing System That Has Been Inspected And Is Compliant As Far As Soil Conditions. Total Gallons #of Tanks Prefab. Concrete Site Constructed Steel Fiberglass Plastic Septic Tank Capacity Lift Pump Tank/Siphon Chamber Holding Tank capacity Manufacturer. :1^L':'",E' r"r' ).- _J , IF THIS IS AN ALTERNATIVE SYSTEM COMPLETE THIS BLOCK: ',`� Mound ❑ In -Ground Pressure Total #of Prefab. Srte Steel Fiberglass Plastic Gal:ons Tanks Concrete Constructed Septic Tank Capacity Lift Pump/Siphon Chamber Manufacturer, PERCOLATION RATE ABSORPTION AREA ABSORPTION AREA WATER SUPPLY: (Minutes per inch): REQUIRED (Square Faet). PROPOSED (Square Feet). Private ❑ Joint ❑ Public I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Name of Plumber (Print) Signature: MP/MPRSw No,: Phone Number: Plumber's Address: Name of Designer: COUNTY/DEPARTMENT USE ONLY Signature of Issuing Agent: Fee: Date: ❑ Disapproved _ t / 61 `. (� (i t LJ Owner Given Initial }.� s . ,�) — A; 2'J�'S Approved Adverse Determination Reason for Disapproval: Alternate courses) of Action Available: DiLHR-SBD 6398 IF, 5182) DISTRIBUTION. Original to County, One Copy To; Bureau of Plumbing, Owner, Plumber Page 15 U_-_ --�-- I A sAr -LcV DFFEET.-_.fZ-2fi�GGREGATE t?Y_;� ' ✓IS-R i!'.'Ui li)IJ HPL -,Cl 9L AT LEAST __ -9— lur-jjLS. 6CLC'—' CCf(.R 24L t.=. DE: cQ= !-T LEES; ZO 1Q'-' HES 5UT IJO MORE TY.P.LI 4'_ OSN � If -!AL GR�,EL H Di" EXCAV7,T70A: 7 F(.r. _.. — !tJCNES :'JiJ I!'. L'!•'. D_r H Dr EY. CAVA7IDU FROI, IUAL ... F,, LrZ •..rl! L q•' Page 16 . CROSS SECTt01! J` 5 - '�-•� -" �ZaGF �GREG qTC F ILL SP:.IT HETIC COVL __ '�G.�• - I-�.vf�3 �_ Mn: _ °.iL! OF, ca OF ST P. 7.'w IQPOFf2_2`/zY`%�C OF'_ -- FEET. DISy fi7P UT10U PtFL TO 9C RT LC6ST 2-9 _ UJCHES 2.CLOy✓ ORS;.1V44L [.R x,DE t A3C kT LEI.ST ZO I1JILHES BUT UD MORC THgIJ ` 2t :1JLGTi1''O'- f14X1."ll tl Ul LXCAVhTIOU "r nuYC}F.tG'•:J=.L G'r =. = l _ ..: - "— DLPTH OF CXCA.VATIOU YnOK, ORIGIUAL GFr.nE vJl:,t FEE _-'--'�--IYJC;-SES }BCD' Page 16 . Page 17 i, ..1L1_ Wisconsin Department of Safety and Professional Services JUN 212021 Division of Industry Services SOIL EVALUATION REPORT In accordance with BPS 385, Ws Adm. Code County ST Croix Attach complete site plan on paper not less than 8 1/2 z 11 Inches 1n size Plan must Include, but not limited to vertical and horizontal reference point (BM), direction and percent slope, Parcel I D. scale or dimensions, north arrow, and location and distance to nearest road 020-1147-90-000 Please print all information. Revietl by Page 1 of 2 Property Owner Property Location r Kenneth Nortman Govt Lot '/. Y. S 33 T 29 N R 19 W Property Address Lot # Block # Subd. Name or CSM# 640 Countryside LN 01 Countryside Village City State Zip Code Phone Number ❑ city ❑ village ❑� Town Nearest Road Hudson WI 54016 Hudson Countryside LN/Gilbert RD ❑ New Construction UseResidential/ Numberof bedrooms 4 Code derived design flow rate 600 GPD ❑E1 Replacement ❑ Public or commercial — Describe Parent material Gravelly outwash [�yyt^,y� ri �' Floodplam elevation if applicable NA ft z.O(%J1 General comments and recommendations Recommend in ground "converionar' trenches at 44' depth between borings B2-B4 with 0 6gpd/B2 loading rate LF = 80" (Redoximorphic features) 1❑ Boring # [IBoring IN Pit Ground surface elev 93,55 If Depth to limiting factor 82 in Soil Aoolication Rate Horizon Depth In Dominant Color Munsell Redoz Description Qu Az Cont Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDIFt' 'Eff#1 I 'Eff#2 1 0-11 10YR 2/2 - Is lfgr mvfr cis 2c-vf 0 7a 1.6a 2 11-39 10YR 2/1 - Is lfsbk mvfr gw 2c-vf 0.7a 1.6a 3 39-50 10YR 2/2 - Is 1 msbk-Osg mvfr cw 1 c-vf 0 7a 1.6a 4 50-67 7.5YR 2.513 - sl 1 msbk mvfr cw 1 m-vf 0.4 07 5 67-74 7.5YR 4/4 - sl if-mabk mfr-mfi gs - 04 0.7 6 74-82 7.5YR 4/4 - scl 1 fabk mfi gw - 02 0.3 7 82-88 7.5YR 5/4 flu 7.5YR 5r8 a 10YR 5/2 sl-scl Om mfr-mfi cw - 0.0 0.0 ❑ Boring # ❑ Boring ❑� Pit Ground surface elev. 92 70 ft Depth to limiting factor 94 in Soil Aoolication Rate Horizon Depth In Dominant Color Munsell Redoz Descrption Du Az. Cont Color Texture Structure Gr Sz Sh Consistence Boundary Roots GPD/Ft' •Eff#1 I -Eff#2 1 0-15 1OYR 2/1 - Is lmgr mvfr cis 3c-vf 0.7a 1.6a 2 15-33 1 OYR 3/6 - IS Osg loose cvv 2c-vf 0.7a 1.6a 3 33-58 10YR 7/4 - s Osg loose cw 1 c-vf 0 7a 1.6a 4 58-69 1OYR 6/6 - cos Osg loose cw tm-vf 0.7a 1.6a 5 69-94 1 OYR 6/4 - s Osg loose cw - 0.7a 1 6a 6 94-108 1OYR 8/3 ct s-fs Osg loose - - 0.5 1 0 'Horizon 4 h 5-10% roc , Sand in horizon 6 as saturated ' 6ttluent #1 = Rnn > 30 < 22n moll and TSS > n0 G 150 moll . Phi l 89 = Rnn > 3n < 990 inn/l and rSS > 3f1 5 1.90 moll CST Name (Please Print) Signature CST Number Ryan Bechel SP-111500001 Atldress Date Evaluat on Conducted Telephone Number 779 Spring Creek RD S, Red Wing, MN 55066 05/03/21 (651) 327-0074 H9 0 ( 1b w Jtl F J3U (KU4/l5) y�i 8v Boring # ❑ Boring ❑9 Pit Ground surface elev 91A0 If Depth to limiting factor 80 in Snit Gnnlirahnn Pntp 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 0-11 1OYR 212 - Is lfgr mvfr cs 3c-vf 0.7a 1.6a 2 11-30 10YR 211 - Is lfsbk mvfr cw 2c-vf 0.7a 1.6a 3 7(1-Rn 7.5YR 4/4 - s Osg loose gw tm-vf 0.7a 1.6a 4 80-86 7.5YR 4/4 f1f 7.5YR 5/8 s Osg loose cw - 0.7a 1.6a 5 86-90 7.5YR 3/4 - s-cos Osg loose - - 0.7a 1.6a 1t 'Sand becam saturated at 1161. 4] Boring# "�/ C50 ❑ Boring 9080 A Pit Ground surface elev. It Depth to limiting factor 102 in. Sod ADDlicatlon 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 I `Eff#2 0-9 10YR 2/2 (fill) I ifgr ds cw 3c-vf 0.4 0.6 9-16 10YR 3/4 (fit) Is-s Osg loose gw 2c-vf 0.7a 1.6a 16-44 1OYR 2/1 - 1 if-msbk mfr-mfi its 1c-vf 0.4 0.6 - 1OYR 4/6 - s Osg loose cw 1f-vf 0.7a 1.6a 62-102 10YR 7/4 - s Osg loose cw - 0.7a 1.6a 102-110 10YR 8/3 f1d 7.5YR 5/8 fs Osg loose - - 0.5 1.0 NOTE. B4 was evaluated 611 /21 by Ryan Bechel kith ST Croix County Land Use Techni ian Ben Hetzel fi ❑5 Boring # l q 11 G�- ❑ Boring ❑ Pit Ground surface elev It Depth to limiting factor_ in. Soil Aoolicaoon Rate Horizon Depth In Dominant Color Munsell Redox Description Qu. Az Cont Color Texture Structure Gr Sz Sh Consistence Boundary Roots GPD/Ft2 'Eff#1 I 'EfF#2 Effluent #1 = BOD, > 30 s 220 mg/L and TSS > 30 s 150 mg/L ' Effluent #2 = BOD, > 30 s 220 mg/L and TSS > 30 5 150 mg/L JUN 212021 Designer:Ryon Bechel Certified Soil Teeter. SP-111500001 Designer of Engineering Systems: D 2263-7 SCALL 20' 0' 40' Note: B4 evaluated 6/17/21 by Ryan Bechel with ST Croix County Land Use Technician Ben Hetzel N W o BM2 = 97.05 /// Top of bed vent m I (24" above grade) e / � o / / p60 / O�ti6 p 9 ±29'5' to west P.L. ADVANCED drawn perryhnesno" O Benchmark EM NOTES drawn are >10Mt from F'7 EN v I R O N M e N T Ae system Soil Boring albn lank,apparlplumber ng, to be vented b -Existing bed system Is pondmg ADDITIONAL ELEVATIONS: Septic Tank Grade z100.00 Septic Tank Inlet = 97.85 PIN: 020-1098-70-000 Bed system grade = 99.85 Pump I'ri my// % / rn/ BM1 = 100.00 Top of septic tank inlet cover L Z r `O 4BR Home r Garage L STA: Recommend inyround'6onventionar Benches at 44' �O depth beMeen borings 32A4 with 0 6gpd1t12 coding rate Cop -Depth In restriction = W (Redoeimorphc feat res) �Q- -Contour = 92 00 -Slope =6% P 9 Pam\' r Dr<ln bnlium \ -Garry distribution possible LOCATION MAP (not to sect.) I a I . > I o I I \ / ,A I � / P/L 4 50' Well ---------------- I I P/L —P/L II PREPARED FOR: Kenneth Norman 1^^y1�1 1r.�EL1 �T�µ. r}.�-�{►�{�r� y1�1L�— — 640 Countryside Site Address: _ _ _ — _ _ _ _ _ — — � RYS ✓E `� — _ _ — — _ — _ — _ _ Hudson, W1 54016N PID020-1147-90-000 2.29 Acres Legal: Lot 01 Countryside village �I S33 T29N R19W Town of Hudson Celired 9ubrrwk Thi. Morn nw rear 14S S`1d erd ILL 001aecorR*C N I sbl. M LW eves.. Tr Boll h.ahrrR om met rarrrdn Probrn'. from daWrEarc. ortl/or mrrVeeM1.n e.l.n .rd am me4ucllon tq wVOWLfT b MtDE TlMT THS MtE11 WILL caNINUE N FlIk4cIlON INOEFINIELT. Syslan mat M wuPeN mdM.IM Rr.le. Yov Mien'. manapaneR Pon for Morrrr.tbn an eroPsr m..na r rmrneve.. Scale 1" = 40' Date. 5/3/21 i Ja3- Vdisconsin Department of Sa Division of Industry Seances Profes011 Slu�02, St. Croix Cs , Coto�ewith SPS385,Ws Adm Code Cnty SouT Croix 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, Parcel I.D. scale or dimensions, north arrow, and location and distance to nearest road 020-1147-90-000 Please print all information. Reviewed by Page 1 of 2 Date Property Owner Property Location Kenneth Nortman Govt Lot % % S 33 T 29 N R 19 W Property Address Lot # Block # Subd. Name or CSM# 640 Countryside LN 01 Countryside Village City S e Zip Code Phone Number ❑ Village ❑� Town earest Road Hudson WI 54016 a Hudson Countryside LN/Gilbert RD ❑ New Construction Use ❑I Resid teal IN umber of bedrooms 4 Code denved design flow rate 600 ❑ Replacement ❑ Public o ommercial — Describe - Parent material Gravelly outwash Floodplaln elevationX7� NA ft General comments and recommendations RNIT mmend inground-convenbonar trarMes at 24-36-depth wiloading rate I P (Redoximoiph,. feature.) ❑ Bit 1 Boring # oring Pit GroundXfcv-95 ft Depth to limiting factor 82�in Soil Aooll ication Rate Horizon Depth In Dominant Color Munsell Redox D cnpfon Ou Az Co Color Te a Structure Gr Sz Sh Consistence Boundary Roots GPD/Ft7 'Eff#1 'Eff#2 1 0-11 10YR212 - Is lfgr mvfr cs 2c-vf 0.7a 1.6a 2 11-39 10YR 2/1 - Is lfsbk mvfr gw 2c-vf 0.7a 1.6a 3 39-50 10YR 2/2 Is 1msbk-Osg mvfr cw 1c-vf 0.7a 1.6a 4 50-R7 7.5YR 2.5/3 - slImsok mvfr cw 1 m-vf 0.4 07 5 67-74 7.5YR 414 - 7VI if-mabk mfr-mf gs - 0.4 0.7 6 74-82 7.5YR 414 - lfabk mf gw - 0.2 0.3 7 82-88 7.SYR 5 f1d 7.5YR 5/8 810YR 5/2 Om mfr-mfi Cw - 0.0 0.0 Boring # ❑ Boring 92.70 94 in Q Pit Grounds ace elev _ ft Depth to limiting factor Coil Annlil ration Rate Horizon De Dominant Color Munsell Redox Description Ou Az. Cont. Color Texture Stru re Gr Sz Consistence Bountlary Roots GPDlFt2 'Eff#1 'Eff#2 1 0-15 10YR2/1 - Is lmgr mvfr es 3c-vf 0.7a 1.6a 2 15-33 10YR 3/6 - s Osg loose cw 2c-vf 0.7a 1.6a 33-58 10YR 714 - s Osg loose CA' 1c-vf 0.7a 1.6a 4 58-69 10YR616 - cos Osg loose cw 1m-vf 0.7a 1.6a 5 69-94 10YR 6/4 - s Osg loose rev - 0.7a 1.6a 6 94-108 10YR 8!3 If 10YR 5/8 810YR 7/2 s-fs osg loose - - 0.5 1 0 'Horizon 4 h 5-10Yo ro Sand in horizon 6 as saturated _ w CST Name (Please Print) Signature CST Number Ryan Bechel SP-111500001 Address Date Evaluation Conducted Telephone Number 779 Spring Creek RD S, Red Wing, MN 55066 05/03/21 (651) 327-0074 t a► L� Boring Boring # n n,�_rGrountl surface elev 91 40 If Depth to limiting factor 80 in. Cml Annli--inn Rntc Horizon Depth In Dominant Color Munsell Redox Description Qu Az Cent Color Texture Structure Gr Sz Sh Consistence Boundary Roots GPD/Ft' `Eff#1 I 'Etf#2 1 0-11 10YR 212 - Is lfgr mvfr cs 3c-vf 0.7a 1.681 2 11-30 10YR 2/1 - Is lfsbk mvfr cw 2c-vf 0.7a 1.681 3 30-60 7.5YR 414 - s Osg look gw 1 m-vf 0.7a 1.6a 4 80-86 7.5YR 4/4 f1f 7 5YR 5/8 s Osg cw 0 7a 1.6a 5 86-90 7.5YR 3/4 - s-cos Osg ' loose ' - - 0.7a 1.6a "Sand becam saturated at 6" It Fq Boring # ❑ Boring ❑ Pit Ground surface elev -ft. Depth to limiting factor_ in Soil ADOIICation Rate Horizon Depth In Dominant Color Munsell Redox Description Qu Az Cent Color Texture Structure Gr Sz Sh Consistence Boundary Roots GPD/Ft' 'Eff#1 'Eff#2 7 Boring # ❑ Boring ❑ Pit Ground surface elev ft 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 I -Eff#2 Effluent #1 = BOD, > 30 5 220 mg/L and TSS > 30 5 150 mg,/L ` Effluent #2 = BOD, > 30 5 220 rnWL and TSS > 30 s 150 mg/L Bonn # LJ 9onn9 g 11 Pit Ground surface elev. 91.40 ft Depth to limiting factor 80 in Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu Az Cent Color Texture Structure Gr Sz. Sh. Consistence Boundary Roots GPD/Ft' •Eff#1 'ER#2 1 0-11 1OYR 2/2 - Is lfgr mvfr cs 3c-vf 0.7a 1.6a 2 111-An 10YR 211 - Is tfsbk mvfr aw 2c-vf 0.7a 1.6a 3 30-80 7.5YR 4/4 - s Osg loose gw 1m-vf 0.7a 1.6a 4 80-86 7.5YR 4/4 ftf 7.5YR 5/8 s Osg loose cw - 0.7a 1.6a 5 86-90 7.5YR 3/4 - s-cos Osg loose - - 0.7a 1.6a Z•5 c «.�e 'Sand becam sat ted at is- 4 Horizon Depth In Domin t Color Mun II Redoz Description Qu Az. Cent Color Texture Structure Gr Sz Sh. Consistence XOundary Roots GPD/Ft' 'Eff#1 •Eff#2 F 5-1Boring # ❑Boring ❑ B, ound surface elev ft Depth to limiting factor _ in Soil Application Rate Horizon Depth In. Dominant Color Munsell Red scnption Qu . Cont. Color Texture Structure Sz Sh. Consistence Boundary Roots GPD/Ft' 'Eff#1 I -Eff#2 EPouent #1 t BOD, > 30 <_ 220 mg/L and TSS > 30 <_ 150 mg/L ' Effluent #2 = BOD, > 30 5 220 mg/L \..dS > 30 5 150 mg/L Designer. Ryon Bechel Certified Soil Tester. SP-111500001 Designer of Engineering Systems: D 2263-7 So ALI, 20' 0' 40' 020-1098-70-000 ADVANCED 'All o Imes not Al S)STF%1 No IFS property Benchmark JN. drawn are »OOtt from Septic Tank system Sod Boring I Enslmg Wieser 1000 galon tank appears wa infight and furthering, to be vended by plumber fxrsimg bed system is pending ADDITIONAL ELEVATIONS: Septic Tank Grade z100.00 Septic Tank Inlet = 97.85 Bed system grade 99.W Pump Tank Sit Recommend in grand %cmemonal' benches at 24 36' _ 10 depth w001.gW loadmgrale OUepN to rei 6P umem nmarphc teaiuree) BM2 = 97.05 Top of bed vent SkpaugSW w (24" above grade) O 60 Distribution: (areuiry distribution passible Icip, �' / BR Home arage c/ nit), MAP loot to cal Vp OL1'6Well, I ±295' � / C \ w \ 7 to west P.L. BM1 = 100.00 ,'' a Top of septic C7 tank inlet cove I I P/L _7r.—.. __....rr,� LN L_—P/L II I PREPARED FOR _ — Kenneth Norman _ See Address 40 --------C RYSIMD —LW-------- 6udso, WI tryside LN 1 [J[� '�( Mudsan, WI 54016 PID: 020-1147 90 000 2 29 Acres Legal: Lot 01 Countryside Village S33 —. M---A/e Tow T29N Hudson Town of Hudson CommandStrrtemenL Ma Mtenf bin been aaelgne0 and evalumea in arsormnce Ntl1 Slate and Intact odds The, act treatment area muM nmoin probcGa tmn eWWrborlce arW/« camWctlan oAore ana odor ceneNkohnn. No WAAIWnY IS WaE TNT 11115 SY51eat WILL 00NI'll To fUnc'rpN 11431111e1F1.r. %, darn nut ba prapady rrnlMnha. Rnd.r your ayawm'. nnooeamara plan for Infommtlon on post inn oral Scale: 1" = 40' Date: 5/3/21 mall tencroms. Croy x COUNTY '0;' lam{ XUVIf NO. 633399 STATE SANITARY PERMIT OWNER KZrW% eNL9 lVo PLUMBER kr; f kr� TOWN OF AfdJbs, SEC 3 3 9T 2,9 N, AND/OR LOT -� 0 PREVIOUS NO. & %9T LIC.# 2-2-&/U37 BLOCK SUBDIVISION ZoAJE 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. (e) The sanitary permit is valid and may be renewed for a specified period. in) Changed regulations will not impair the validity of a sanitary permit. (e) 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. (t) 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 (01Z11 Z/ THIS PERMIT EXPIRES 21 �+Z3 UNLESS RENEWED 4FV(RE THAT DATE POS4IN PLAIN VIEW VISIBLE FROM THE ROAD FRONTING THE LOT DURING CONSTRUCTION SBD-06499 (RI1/20)