Loading...
HomeMy WebLinkAbout008-1080-70-000 (2)Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide maybe used for secondary purposes [Privacy Law, s.15 04 (1)(m)I. TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic WtESE2 Ic?�6Ja Dosing c,e,M, pal ar- Aeration s Holding TANK SETBACK INFORMATION TANKTO P/L WELL BLDG. Vent to Air Intake ROAD Septic ` „/i �� / 2 l Dosing i t u I 3 Aeration Holding .PUMP/SIPHON INFORMATION L katox) Manufacturer D 'GPM - Model Number ERIC) J ,i ZA TDH Lift 3o Friction Loss 0-1k7- System Head 4-5S - TDH Ft I't•?�% Forcemain Length I Dia.Z a Dist. to Well >/ SOIL ABSORPTIG"'X'STEM STATION BS HI FS ELEV Benchmark d l OI l O f Alt. BM Bldg. Sewer •8 q .00' SUHt Inlet 8• gs. s SUHt Outlet Dt Inlet Dt Bottom l�•l0 set ( Header/Man. / Dist. Pipe GyC� L System 3. CX. FinalGrade y.Ll a !lt Cover OWer'�.l 3.b g.2o/ % RRENCH Width / Length I -q6 No Of Trenches 0 PIT DIMENSIONS No Of Ras Inside DaLiquid Depth DIMENSIONS (O •sO _/�/ -Z SETBACK SYSTEM TO P/L JBLDG IWELL LAKE/STREAM LEACHING ManufaClu@.a INFORMATION CHAMBER OR C4G.—r/ M� Type OfS stem / UNIT ModeJ.N^mb r _s 01 5I DISTRIBUTION SYSTEM — i Will --7- Header/Mamf Distn tion I l r Hole Size x Hole Spacing Vent to ` e R3 pe ) Z � �3zrr -3 Length3 Dia Length is ' Spacing • SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over zx Depth of xx SeededlSetlded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes F] Na I ] Yes No saI ( 1 I COMMENTS: (Include code discrepancies. persons present, etc) /1S}nspecbon #1J �:��/" /�yl L Inspection #2. 11 .2O Location: 2332 10TH AVE ' 11 ` QIWJ��p(�7tpr�� 1---� O rL �.. [[[��,r,�/ S 1.) Alt BM Description = ST- yw..%►�L'pyYLOus(�'� (f-i Z ,� r:5,s � . ' +teY "•' u 2.) Bldg sewer length = ., ZAt �r'�$atr, „ f.�t 1 _ ��i_ 1 _ _ ^�„•n! -amount of covfer = � �tL r' � �-i -#:t�� •1/tc3 �/ _ 4other Dr.'Akf-"r'es 0 2� d24 side for additional in Triation / S -67 0 (R 3197) ( Dat€ ���•`4 S.T. w•� �"'---F� a�a�e*Q•Q--ai Insepctafs : 74 ?2 ,�AN—]O-11 — I TA' SY 1. i 2. ra t �9 1400 E VYaabvtgldd Ave Boz 7I62 S C- FCL (jC. Saainry Paaut Number (m be�mbl'Cm) P.O. Madison � Nasber Permit Applicati Stem Tmctim �= w �S - eS zt o t obi- In arsatdatoe wnh SPS 3d321 fl), m Adm. Cage. submission ofdtis fmm m ft VP rate t e a4cmd PM m ObWOM a SNOWY PamiL Note APPNos ion Toms for smmoanM POWIS as sui m Mosel Addte�(dd�ieertr tlm neilirg addrtaa) do Depraaent of Safety and P M - ' S� Plrsaal vdumavm You Provide soy, be used for smsrdYY \ in amrd,,, with the Privacy Inv s. 15. t XMX Stets / ` SFV11E J Pavel 1. tiw IeHrmfioa-Pfmse Print An Lformits" s Nowe - CfKJ'�> tvI QU �/Jfc 1 -7� (�QU DOS - lm i_ - � Ooov,s b1ohng,� Property lootim 5�L IC (,�a vui CoLLnt - _% �'k SaOom��1,�Zg C8y, Stan, Zip code Phom Nun)" � M9 -QbD � P W I:V lU1 64D ZZ � T 28 N. R_�(�EmLPJ Q. Type of Boll (eiedr aR tM apply) A Suhdiri)k Nary I or P®1yD ening-Number ofBedcooms � j� Block A ❑ City of ❑ Pb1iNC_ — • - DnnmLe Use ❑ Sts Owned -Desezibe Use ❑ woe of 9Toanof EAu e;SfyL' CSM Number .r- UL Type of Permit (CbjellkenslyoneboxmillneA. Casrpkae line R itapph"bk)a M 'L ❑ Non, system Silt® ❑ Trmtlamth-Idmg Task R O—rjy ❑ Odw Mobfiraean to 6 SyIIn (egdw) IL ❑Permit Rmi ❑Pkrmit Reviom ❑Chngccomanbe ❑PtsmHTrasfrm Neu IN Mevimn ksud D Before 6qu'u's' Owner q 1/0 Iv adrowrs cbmi,andent r _ ❑ Non-Pr®aea le-0ru.�d ❑ P.mwmad,a-craond ❑ Atrame ❑ ► omd> 20 - woo< ❑ Hddmg Tank god. DUPsssl c4mporm ) ' iAA- rtelA Ft Ljt Donee!� V. reaaneat Area INAraatlac � yu,E- t 1.1.1' _. Daigr tyow (Blid) Dmigo Sal Appliranm R+a4 Dispersal Am Re[p®ed (st) Dispersal Am (st) System E•kvmbm ysX �_,a ZZ ys i b8 VL Tank fee Capsity n Callas TOW Gallons ! or Units872 MastaWeer 'lK u Nn�2CJr, 1 4e 6b:-FC o 2 Ns Tale r Tsir X3 a` U w rs, O fi. look Dc0 uvE Alt f� VQ. RiornissibRityStaiewt- 4 tks odergaed, arras Its b wuniles of 6e P'OWIS stews w The asaekd plea Piatrers Nwee(Print) Swab- Nastier Busoea Pbme PSmbv -r-�,f�7y77) ,s t Antilles (mot. City. Sis. zip Code) Wgk�74 VptIIL Coo rmsene lion r`-'�AWfO''ed ❑ - PFinitfm DSPOON,>mtsd SPo ❑ farm mi 6 TEMOWN ER. 3� I 1e pca�il S l e dSP�; eptic tankeffluent fifer and r spersal cell must be serviced i maintained GG0AAWr Ma s per management plan provided by plumber. ) �- "� p- �te' '` ` P svAl-+ sr-e VA must be maintained d r� M4L 'irPLjaecode jormustrts+w'•at..r�t�—d—•-�-�•—� -- - as pe pp. I� R..6i t4a° pk.r(�oasL t :. 1 i rye ; N hbvt Plot Plan PROPERTY OWNER: '?A LF-E leenpiDescription:_SE1 OF -ft SW/4SEC. 79, TZSN RII.W, -TbWAi VE Ebtl 6ALLE 5rCR41X i1kkm-rV WkSCOPSIN Ln8—IOW-70-000 / Z537. 104u AYBNuE 0 qSio bl ���1 $11�L:7iPDF :ccic 1!07 f � L� °F N /�° / 6EpRo0M LANK � OVAL FLM *-nae A&tADMIBA pgit 5GS Wls, fieM Cone ? /o+A EVE, R-O- w Site location: �i tl ro +h Ava. -;,- M M 1" = 40 FT. (except where noted) 1� = backhoe pit kar)4 baRl, North �TJU(- {z' ;` ;ice i L p L� 1S0.st1e1940 DF CDNCRM -75� ABOVE CAURAD kSsuMrn /CO3 ' 92 Ltav�N� LiNt c GOPI Fes: /o of Iy May 20, 2021 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES:2023-05-20 Plan Review: PWTS-052101063-C MARY JO HUPPERT 28497 King Arthur's Court Danbury WI 54830 SITE: Paul Lee 2332 10`h Avenue St. Croix County Town of Eau Galle SE Y4 - SW Y4 - S28 — T28N — R16W FOR: DIVISIDN OF INDUSTRY SERVICES 10541 N RANCH RD HAYWARO WI 54843-6462 Contact Through Relay hill, IrOcps.wi.gov/progmmsMtlustry- erA s www.wiewnsin.gov Tony Even - Governor Da" Crlm - leerelary CONDITIONALLY APPROVED DEPT OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES _ LiGI.Y I Ftt'(Ak& SEE COFMESPONDENCE Description: GeoMat Mound Component Manual — Edition 3 Bedroom GeoMat Mound — 450 GPD— 1, 2017 Replacement - 8" 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 • 28" of sand shall be installed between the contour and the bottom of the GeoMat product. • Orifice shields are required on each orifice. • This approval is subject to the conditions of the Interpretive Determination approved for this site on May 20, 2021 • Avoid installing the mound on disturbed soil along the west edge of the mound. • The building sewer shall be installed/insulated per SPS 382.30(11)(c) • The existing system shall be properly abandoned per SPS 383.33 • Care must be taken to set the dose volume as approved in the plan design. If the minimum tether length of a single switch mechanical float does not allow the proper dose volume, two separate floats must be used. • Prior to construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. Smearing and compacting of wet soil will result in reducing the infiltration capacity of the soil. Proper soil moisture content can be determined by rolling a soil sample between the hands. If it rolls into a 1/4- inch wire, the site is too wet to prepare. If it crumbles, site preparation can proceed. If the site is too wet to prepare, do not proceed until it dries. • The mound site shall be properly prepared prior to plowing. Any grasses longer than 6" shall be cut short and removed. To avoid matting, any leaves or loose organic matter shall be raked up and removed. Cut trees and shrubs flush to the ground and leave stumps. Avoid operating equipment on the mound site. If necessary, use only tracked equipment, during dry conditions, with minimal passes, to avoid compaction. • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter isrequired. • A copy of the approved plans specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department which may include local inspectors. Owner Responsibilities • The current owner, and each subsequent owner, shall receive a copy of this letter. Owners shall also receive a copy of the appropriate operation and maintenance manual(s) and be responsible for ensuring that POWTS is operated and maintained in accordance with this chapter and the approved management plan under s. SPS 383.54(1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, C2CP� /iGtGLkiL .-� CeCe (Elizabeth) Rudnicki Wastewater Specialist/POWTS Plan Reviewer, Division of Industry Services (608)400-3186 elizabeth.rudnicki @wisconsin.gov GeoMat MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN INDEX AND TITLE PAGE Owner Info Project Name: PAUL LEE Owners Name: (SAME) _ Owners Address: 2332 1DTH AVENUE BALDWIN, WI 54002 Property Info Property Address: 2332 10TH AVENUE Legal Description: SE SW S 28 T 28 N R 16 W Township Eau Galle County. St. Croix Subdivision Name: NA Lot Number. NA Block Number. NA CSM#: NA Parcel I.D. Number. 008 - 1080 - 70 - 000 Plan Transaction No.: Index Pages Page 1 Index and title Page 9 Tank cross sections Page 2 Data entry Page 10 Plot plan Page 3 GeoMat mound drawings Page 11 Soil test Page 4 Lateral and dose tank Page 12 " " Page 5 Distribution media Page 13 " " Page 6 System maintenance specifications Page 14 Aerial Page 7 Management and contingency plan Page 8 Pump curve and specifications «tl'AAMW HUPPERT License Number: 1859-007 Date,�'�-v . 2>t+. 1h� Phone Number. 715-426-1775 S nailk�` L CONDITIONALLY ;e �. APPROVED FVr .:,:R _ DEFT OF SAFETY AND PROFESSIONAL SERVICES .s 16d3 - DIVISION OF INDUSTRY SERVICES tS %NV€R FA=S ' Designed Pursuant to lh SEE CO ESPONDENCE Synergy q `, GeoMat Mound Component Manual (Edition 1, 2017), (N. 4117), SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-W (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01101, R. 10/12) GeoMat Mound Edition 1, 2017 Page 1 of 14 Mound and Pressure Distribution Component Design Site Information R Residential or Commercial Design N ISO Required? ;...._ 360.00 Estimated Wastewater Flow (gpd) — �1.50. Peaking Factor (e.g 1 5 = 150%) Design Flow (gpd) 4.00 Site Slope (%) 96.35 Installation Contour Line Elevation (ft) 8.00 Depth to Limiting Factor (in) 0.40 In -situ Sod Application Rate (gpd/ft) 93.00' Contour Length Available (ft) DistrIbutlon Cell Information 60,, Cell Wirth (ft) 70.00 Designer Input Cell Length (ft) t00, Dispersal Cell Design Loading Rate (gpolfe) 45.00 Dispersal Cell Length Required (ft) Influent Wastewater Quality (1 or2) Pressure Distribution Information Center or End Manifold Number of Laterals Lateral Spacing (ft) Forcemain Drambadc (gal) Forcemain Filter Loss (it) Forcemain Diameter (in) Forcemain Length (ft) Inside Pump Tactic Elevation (ft) Orifice Diameter (in) (e.g 0.25) Orifice Spacing (ft) _ System Head (It) x 1.3 Vertical lift (ft) Friction Loss (ft) Total Dynamic Head (ft) 5x Void Volume (gal) Minimum Dose Volume (gal) System Demand (gpm) Diameter Selection Lateral Diameter Selection in. die. options choice 0.75 1.00 1.25 1.50 : x 2.00 x 3.00 It Are the laterals the highest point in the distribution I y _ network? If N above, enter the elevation (ft) of the highest point. [� Does the forcemain drain back?� 9.89 ft'/orifice Manifold Diameter Selection in diaoptions I choice 1.25 x 1.50 x x 2 00 300 nufacturer Information Treatment Tank Information Effluent Flitter Mormttlon 1000.00 Septic Tank Capacity(gal) NA Filter Manufacturer (4 Wieser Concrete Products, Inc. 'MantAacturar [NA Filter Model Number Does Tank Information Gallone/lnch Calculator 350.00 Dose Tani, Capacity (gal) Total Tank Capacity (gal) 17.00 Dane Tank Volume (gaUn) Total Working Liquid Depth (in) Wilder Concrete Products Inc. Manufacturer gallm (enter result in cell DosseTankVolume) Project PAUL LEE Page 2 of 13 r Mound Plan View B 3 ::-:•:-:-?:i:ii is _ I L Mound Component Dimensions Observation Pipe D 16. On G 10.50ft J 18?5lift w 2590ft 455.00 (ftz) Dispersal Cell Area 1242.90 (ft2) Basal Area Available 6 43 (gpd/ft) Linear Loading Rate 7.00 (ft) 1110 B Obs. Pipe Placement Mound Cross Section View Geotlllat Dispersal Area ObffGeoMat ion Pipe 12" ASTM C 33 sand as required for Geo Mat Distribution Cell component GeoMat + 12"ASTM C-33 sand 99.89 Finish Grade --� 98.76 Lateral Invert Elevation f' W.68 Dispersa Cel Elevation Tilled Area 1 Forcemain In situ soil f In situ soil Shading ey "` I 0 Topsoil Cap 1 0 Subsoil Cap J 0 ASTM C 33 sand (F) 4 0 ASTM C 33 sand (D) s Tilled Layer 6 0 Geo Mat Cover Material Slope 4.0 Contour Elevation 96.35 See details on page 4 for number, size, and spacing of laterals Project: PAUL LEE Page 3 of 13 1st Mike hated at Z Mikes point down Number of Laterals 2 Lateral Diameter 1.50 in Lateral Length (P) 69.10 R Lateral End (Z) 0.90 It Lateral Spacing (S) 3.25 ft Lateral Flow Raga 12.39 gpm System Flow Rate 24.77 gpm Dose Tank Information Orifice Diameter 0.156 in Orifice Spacing {X) 3.10 it Orifices per Lateral 23 Orifice Density 9.89 Iizlonfi Manifold Length 3.25 a Manifold Diameter 1.50 in Faraemain Velocity 2.53 ce fftec 1rv�Aing cln Fr xilh \.aminy; luhaal. � kw�Aing hvi.Y•arN x:xa�r liC.hl rnl S I ha�brAl A•. J' YMN Croat '' UiaawnlYl' ' (kun wn Pipe gniewal WII \aloe �f-1 M'rr>Fmm I.IMric xwrca• � xrcomnd .A;df ' [Iptwtul.wnM FOIIYIM WYIMMr 2 in. Ar 11'hl yS+ACI wtld Fr,vnJ F �.xwT 6Aen Sim /Tech Filter STF 100 1/16 1{iFh .\Jur alenna� Pnmp(M Fh. aI e .l 1'xmp Ori 1 krnin.� D Ina.r Derlension738.24 Gatons A 380.81 B 34.00 C 65.19 D 170.00 Toted 850 00 {NIKIr 3� Pum ar elavabon tt1) 87.83 DeFa twl.lawl oin (a) 87.00 Wieser Concrete Products, Inc. capacity fi50.00 Volume 1 17.0o gaVmch Fiter Manufacturer Sin / Tech Fite Filter Model Number ISTF 100 1116 Alarm Manufacturer !SJE Rhombus Alarm Model Number AS TANK ALERT Pump Manufacturer Goulds Water Technoiow, a xylem band Pump Model Number PE 41 Pump Must Deliver 24.77 gpm at 18.2(1 8 TDH ..,e'cal i .,,�i I._! r<_�P,a Project. PAIR LEE Page 4 of 13 GeoMat Distributlon Cell Media Layout 6.50 Cell Width (ft) L 1-63 Sldewall to Lateral ift) Distribution Cell Cross-section Arrangements Q Q Component Legend O Dislnbution Pipe With Pressure Lateral L_J Orifice Shield • -Fwnup FrICIOSOre — — — — — Pressure Lateral GacfAat is covered with approved geoteRNe fS&iC ae Per IM their product approval - Distribution Cell Plan View Layout - Typical 6.50 Cell Width - A ift) 70.00 Cell LMpth - 8 (n) Typical Dispersal Cell Distribution Lateral Sand Fill Recommended Orifice Shield Plce Dfa Approved Infiltrative Fabric -: 1rAMU335oi.:: :. GeoMat congionent Infll[1alrve Surface/Plow layer Pm Observation Pipes .Z—Wcce. t.n<�4. To FWi{e �/ a'M.n !IIK78. Cix:".Li �JiJ�: - Shading Key Topsoil Cap I Subsoil Cap ? ASTM C 33 sand (F) 4 0 ASTM C 33 sand (D) 5 0 Tilled Layer 0 0 Geo Mat See IlBtallt on papa 4 fbr number, size, and sraong of laterals Project PAUL LEE Page 5 of 14 Mound System Maintenance and Operatlon Specifications Service Providers Name. JOHNSON SANITATION - Phone17154273-5811 POWTS Regulators Name, St Croix County SPIA --Zoning Office Phone (715) 38rr4880 1 System Flow and Load Parameters Desgn Flow -Peak 450 gpd Maximum ln8uent Partkie Size 1 /8 in Estimated Flow -Average 300 gpd Maximum 005 30 mg/L Septic Tank Capacity 1000 gal Maximum TSS 30 mg/L Soil Absorption Component Size 422.5 ft Maximum FOG 10 mglL Type of Wastewater Domeslie Maximum Fecal CoWorm 1DE4 cfu/1D0 mL Septic and Pump Tank Effluent Fitter Pump and Controls Alarm Pressure System Mound Service Frequency Inspect and/or service once every 3 years Inspect and dean as necessary at least once every 3 years Test once every 3 years Should test periodically Laterals should be Bushed and pressure tested every 3 years Inspect for polling 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 Synergy Systems GeoMat Mound Component Manual Version 1, 2017. 2. Dispersal cell media conforms to GeoMat products approved for use with the Synergy Systems GeoMat Mound Component Manual Version 1, 2017. 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 sod erosion and help reduce frost penetration. Lateral Turn -up Detail 6-8" Diameter Finished Threaded Cleanout Lawn Sprinkler Grade \ Plug or Ball Valve Box \\�I Lateral Ells at Lan Ori&e where Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Distribution Lateral Lateral Cleanout i 2.5 Feet Project- Page 6 of 13 Mound System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General This system shall be operated in accordance with SPS 382-84 We. Adm. Code, and shall maintained in accordance with its' component manuals [Synergy Systems L.L.C., Geomat Mound Component Manual version 1, 2017, Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01A1) and SSWMP Publication 9.6 (01/81)) and local or state rules pertaining to system maintenance and maintenance reporting. Septic and pump tank abandonment shag be in accordance with SPS 383.33, Wes. Adm. Core when the tanks are no longer used as POWTS components. Septic or purrflr tank k manhole risers, access rears and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than &Inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or cortponent. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stets. The contents of the septic tank shag be disposed of in accordance with NR 113. Wrs. Adm. Code- The operating condition of the septic tank and outlet fitter shag be assessed at least once every 3 years by inspection. The outlet titer shall be cleared as necessary to ensure proper operation. The tiger cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the tiger when removed from its enclosure. If the finer is equipped with an alarm, the fitter shall be serviced it the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shag 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 no removed at the time of a triennial assessment. maintenance personnel shag advise the owner as to when the next service meads 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. it 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 tasted to verify proper operation. If an effluent fitter is installed within the tank it stag be inspected and serviced as necessary. If the force main has a weep fade, it should be rated g 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 OW could cause dent r."" 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 shag be seeded and mulched as necessary to prevent erosion and to provide some protection from frost peretratan. Traffic (other than for vegetative maintenance) of 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-Febnary) 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 mgll FOG for septic tank eflhtent or 30 mglL BODs, 30 mg/L TSS, 10 mWL FOG, and 104du/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for the 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 lest is performed g should be compared to the initial test when the system was installed to determine it orifice clogging has occurred and it orifice cleaning is required to maintain equal distribution within the dispersal keg. Observation pipes within the dispersal call shall be checked for effluent ponding. Ponding bkrois shag be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Continency Plan tithe septic tank or any of its components become defective the tank or component shag be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component talk to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired of replaced in its' present location by increasing basal area 9 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. Project "-7k'A L e�5 Page 7 of 14 2rg',�,GOULDS PUMPS APPLICATIONS Specifically designed for the following uses: • Effluent systems • Homes • Farms • Heavy duty sump • Watertransfer • Dewatenng SPECIFICATIONS • Solids handling capability: 1/4" maximum. • Capacities: up to 60 GPM. • Total heads: up to 31 feet •D'ch 1y"NPT • Fully submerged in high grade turbine oil for lubrication and effident heat trainer. Available for automatic and manual operation. Automatic models include Mechanical Float Switch assembled and preset at the factory. FEATURES ■ EP04 Impeller. Thermo- plastic semi -open design wnh pump out vanes for mechanical seal protection. a arge s¢e. z • Mechanical seal: carbon- rotary/ceramic-stationary, BUNA-N elastomers. • Temperature: METERS 1040 F (400 Q continuous 1 1400 F (600 Q intermittent • Fasteners: 300 series stainless steel. • Capable of running dry without damage to components. x Motor. • EP04 Single phase: 0.4 HP, z 115 or 230 V, 60 Hz, 1550 RPM, built in overload with automatic reset I • 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,16/3 SJTW with three prong grounding plug. Optional 20 foot length,16/3 SJTW with three prong grounding plug (standard on EP05). Submersible Effluent Pump EP04 & EP05 Series ■ EP05 Impeller. Thermo- plastic enclosed design for Improved performance. 0 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 30' 25-- --- - -- — - -- - 6 20 5 - - 4 3 10�--_— —_—�--_ 2 0 0 - -ia _ -- _ �— o zo 3 a 0 2 4 1 6 8 ■ Bearings: Upper and lower heavy duty ball bearing con- struction. AGENCY LISTING ccCanadian Standards Association us File # LR38549 Goulds Pumps is I50 9001 Registered. I, EP05 EP04 40 50 _.—_- - GPM. 10 12 MVh Goulds Pumps 02005 P-TWater Technology, Inc 2 (_ �— ITT Industries Effective January, 2005 lii flu 03971 Wastewater METERS FEET 40 \ PE51 35 10 30 PE411e Q or» 25 \ V_ z 20 0 .._ Q 15 O r 10 5 0 00 /10 20 0 5 PERFORMANCE RATINGS PE31 Total Head (feet of water) GPM 5 52 42 F-101 15 29 20 6 25 0 PE41 10 CAPACITY Total Head (feet of water) GPM 8 6i 10 57 5 46 20 33 25 16 MODELS: PE31, PE41, PE51 HP:.33, .40, .50 S 70 GPM 80 M31b PE51 Total Head (feet of water) GPM 10 I 20 67 Si 50 25 39 30 26 35 8 LfE, PAt.LL PAt'X- F "V 1 a 4' 1. 1 or1,M 0 )14 FILTER OR BAFFLE n N =3 4" VENT _ - -EPUMP 4"OUTLET r WLP1000 650— MR TANK SPECIFICATIONS DIMENSIONS: WALL: 3" BOTTOM: 3" COVER: 5" MANHOLE: 24' I.D. PRECAST CONCRETE RISER HEIGHT: 54' 2" O.D. LENGTH: 148 O.D. WIDTH: 04" O.D. BELOW INLET: 43" O.D. LIQUID LEVEL: 38" WEIGHT: BOTTOM 14,940 LBS. INLET AND OUTLET: 4" CAST —A —SEAL BOOT OR EQUAL GASKET, CAST -A -SEAL BOOT OR EQUAL INLET AND OUTLET BAFFLE AND FILTER: WISCONSIN, SEE DETAIL 010 (OTHER STATES SEE CHART) LIQUID CAPACITY: 26.32 6AL�N �PEPTI ) 17.00 LOADING DESIGN: 8' 0" UNSATURATED SOIL MN TANKS: WILL HAVE ONE VENT OVER OUTLET AND WILL HAVE TWO VENTS IN COVER OVER INLET TANK CAN BE USED AS: SEPTIC/ HOLDING/ PUMP OR SIPHON OR SEPTIC/SIPHION CUSTOMIZED TANKS: TANKS CAN BE CUSTOMIZED CONTACT WIESER CONCRETE TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS a U :3 Plot Plan PROPERTY OWNER: r 4 (A L LE6 LeplOesuipthn: 5F-'A OF TK 544 SEC. Zq, TzgN. RU.�J� RrWAi DF EAU &A1L61_Sr- Cadix cokrJTy,, W 4se uslfJ 'YANK w 0" Rp-d * -4 be ABAPWJEXI rpA 5Ps Wu. +�M COCA v Site location: f ya�/ Ip i Yc!?ZTiPOF �i oNGtElf imi So i 40 vq 101' b i. 'SSM fr AVE, F-O- h) E0 3 1" = 40 FT. (except where noted) a = bad pit hart[ batlw- yo.iz AeOs ` B*.ej.Ti DF OACK57L' .Y5f ABOVE C4WR D A-S.SWAZZ 1W,Q7 .Q 1i �S 9yItn L INF- it I:I M PA": /0 0l ly Wisconsin Department of Safety and Professional Services Division of Industry Services SOIL EVALUATION REPORT Page I of J'y In accoraank wim ore .wo, vvp. rwm '. - County ST. CROIX Attach complete site plan on paper not less man 8 12 x 11 inches in size Plan must Parcel 10 008 - 1080 - 70 - 000 include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road Please print all information. Reviewed by Date Personal mformwmn Yoe prwde may be wed for secondary purposes (Privacy Law, s. 15 04 (11(m)) Property Owner PAU- Property Location MAI:h1 LEE (CHONG MOUA) Govt. Lot --- SE IM SW 114 S 28 T 28 N R 16 E (or) W Property Owners Mailing Address Lot Block i Subd Name or CSMV 2332 IOTH AVENUE -- - I - Ay State Zip Code Phone Number _ ity [:] Village own Nearest Road BALDWIN, WI 1 54002 ( 651) 308-0207 IOTHAVENUE New Construction UseQ Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD aReplacement Public or commercial - Describe� Parent material LOESS OVER TILL flood Plain elevation d applicable NA ft. General cormients PRELIMINARY TEST CONDUCTED AS NO A+4 CONDITIONS ON SITE. STATE OF WISCONSIN WILL and recommendab". NEED TO COMPLETE AN ON -SITE TO PROCEED WITH AN INTERPRETIVE DETERMINATION REPORT. Ok)- -S-M' W CeCr- =NM--k-gftT&_W,,s RWATqt. Sr'Et'iN,f5T l0.W'*V NVGL- F71Boring e ❑ Bum ElPit Ground surface elev. ", /C R Depth to IrrWrg factor 13 in. Sod Appbcabon Rate Horizon Depth in Dominant Color Munsel Redox Description Du Sz. Cont Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDfff 'Eff01 'Ef112 1 0-10 IOYR2/2 sil 3fsbk&gr mfr as 3vf-co 0.6 0.8 2 10-13 IOYR4iI - sil 2fabk mfr as 2vf-co 0.6 0.8 3 13-20 I0YR4%I midluYRwe sill Ifabk mfr __ _ 0,4c 0.6 2 Boring 0 ❑ Boring 8 Q Pit Ground surfaceelev ri'{. bs- it Depth to lirnitng factor in Sod Application Ram Horizon Depth in. Dominant Color Munsel Redox Description Ou. Sz. Corn Cob, Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDRR 'Eff01 'E1f02 1 0-8 IOYR2i2 -- sil 3fabk&gr mfr as 3vf-co 0.6 0.8 2 8-16 L IOYR4f1 I mid10YR46 sil Ifabk mfr - I 7vf-co 0.4c 0.6 anoint ei - ciao > Ju < LGu mg/L and i UU >d0 < 150 nxyL ' Effluent 02 = BCD 130 mg& and TSS < 30 mg& CST Name (Please Print) _ _ Sign CST Number MARY JO IIUPPERT Hollister s Soil Tcstin & Design) C 224832 Address Data Eviluifilibn Concluded Telephone Number 28497 King Artbues Court, Danbury, WI 54830 11 - 27, 2020 ¢ 715-026-1775 04-06'ZcZ1 Stll" 30(R07113) Property Q+'^er LEE, Paul Parcel ID # 008 - 1080 - 70 - 000 2 4 Page —Of 3min. i Boring Boring # ❑ Pit Ground surface elevto 96.35 ft. Depth N+wMg factor 10 Sod icaeon Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu, Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDRF -Ef1#1 -Eff#2 1 0-10 10YR2/2 - Sil 3fabk&.Sr mfr — — 0.6 0.8 2 10-14 IOYR4/1 mid IOYR4/6 Sil Ifabk mfr -- -- 0.4c 0.6 ❑ Boring # Boring pit Groundsurfaceelev. ft. Depth to timHirg factor lo. Soil Appkabon Rate Horizon Depth in. Dornnant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Cons"sterim Boundary Roots GPD#P 'EB#1 'Eff#2 Boring #ng Pit Ground surface elev. ft. Depth to Yrribng Factor N. SM Horizon Depth In. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr Sz. Sh. Consistence Boundary Roots GPOM 'Eff#1 'Eff#2 Effluent #1 = SOD, > 30 < 220 mg/L and TSS >30 < 150 mglL 500.931C IRC]. III ' Effluent #2 = SOD, < 30 mglL and TSS < 30 mft Plot Plan PROPERTYOWNER: r AuL LaE i Legal Description: 5r- cF IK 'Sw 4, SEC. ZBr TZSN, Ru.w -r"QAi OF EAU CALF, Sr.CRNX CCuniTVr WtSCO/6nI,14, 1" _= 40 Fr. (except where noted) a = badchoe pit harrl bau, y0.65 AcxCS zu�Z—aP o� r G.zou ND ' (LAvu' ov�ra� , ti * 7D F,E � �o •,, t Site location: c i c� Ale: Y RECEIVED 06-14,2021 Memo To ST CROIX COUNTY COMMUNITY DEVELOPMENT From MARYJO HUPPERT CST #224832 Re REPLACEMENT POWTS AT 2332 10TH AVENUE [Company] Comments: JUN 14 2021 ST. CROIX COUNTY CDD THIS IS IN REGARD TO A FAILING POWTS AT 2332 10TH AVENUE, BALDWIN.. THIS SYSTEM HAS BEEN FAILING FOR A LONG PERIOD OF TIME THE OVERFLOW OBSERVED MAKES THAT EVIDENT. THE INTERPRETIVE DETERMINATION AND DESIGN HAS BEEN APPROVED BY THE STATE OF WISCONSIN- THE COUNTY PERSONNEL WAS ON SITE APRIL 5, 2021 IT IS EVIDENT THERE ARE CHILDREN THAT PLAY IN THE AREA BASED ON PLAYGROUND EQUIPMENT IN THE BACK YARD. THIS PERMIT SHOULD BE ISSUED AS SOON AS POSSIBLE RESPECTFULLY SUBMITTED, MARYJO HUPPERT CST #224832 DESIGNER 1859-007 Tel [Telephone) [Street Address] [Website] Fax [Fax] [City, ST ZIP] [Email] replace with LOGO RECEIVED Wsconsm Department of Safety and Professional Servrces JU N 14 2021 Dmsron of Industry Services SOIL EVALUATION REPORT Page! pt�11 aL C ROD( COUNTY CDD in acconianoe wdh SPS 383, WM Aden Code County ST, C'ROiX Attach camptee site plan on paper not less than 8 12 x t I inches in size Plan must Include, but not lorded to vertrrai and horizontal remrence point (SM). direction and Parcel I D O(18 - 1081) - (l - CKIO percent slope, scale or dmensions, north anow, and location and distance to nearest road. Please print all information. Reviewed by Date Personal rrCormaWn you woxae may be uses fur se ary purposes tPrivacy Law s 15 61 f 11 imt) zrepeny Ow PAU4- Property Location 110 AIAFFA LEE iCHONG WfOU.A) Govt. Lot ---- SE 114 SW 1/4 S 28 T 28 N R 16 E (or) W aroperty Owner's Marling Address Lot # Block # Subd Name or G.SNRY ,332 WTH AVENUE - — BALDWIN, 1 151 1 54002 j 1 651 ) 308 - 0207 + LIB M I E I I OTH AVENUE I New Construction UseEI Resdentia / Number of bedrooms 3 Code demed design flow rate 450 GPD F. Replacen(erit El Pubic or -Desrnbe Parent natenal LOESS OVER TILL Flood Plan elevaWn if applicable pyA fl General comments PRELIMINAR1" TEST CONDUCTED AS NO A-4 CONDITIONS ON SITE. STATE OF WISC'ONSIN WILL and recornrtrendatwns NEED TO COMPLETE AN ON -SITE TO PROCEED WITH AN INTERPRETIVE DETERMINATION REPORT _ - --- "tr W CcCF "unNr _.___Wts StviT 51CJ L15T - ,ti --- Nc'l" r-i 1 1 - Q Ground surface efev 5'6 IC ft Depth to hm----factor 13 Pn Sod Appkal" Ram Horizon Depth m Dommant Color Munse" Redox Description Qu. Sz ConL Color Texture Structure Gr Sz Sh Consistence Boundary Roots GPD1fF •Eff#i •EfW I 0-10 JOYR2.2 -- sd 3tsbk&er Intl as 3rf-co O6 OS _' 10-13 I0YR41 __ sil Zfabk mtr as 2vt-co 0.6 0.8 3 13.20 1OYR4,1 n)III 10YR46 511 Ifabk mfr ._ -- 0.4c 0-6 0 Bonrg &zing # El Pit Ground surfac-eiev 9'f. LS 8 it Depth to funding factor In Sod Application Rate Depth Dominant Color Redox Desenpnon Texture SWcture Consistence Boundary Roots GPDNF in. MunseO Qu Sz. Cont Odor Gr. Sz. Sh 'E{f#1 •E E-on 3 lOYii?-'Z sll 31abk& mfr3%f--cu 06 08 11-16 1 IOYR4,1 _mid 105R40 sil lrabk r mrr - 2cf-co 04c 0.6 • Effluent #1 = BOD, > 30 1220 mogul and TSS >30 , 150 rtg/L ' Effluent #2 = BOD. < 30 myL and TSS < 30 mg& CST Nave ;'Please Print) Sgn CST Nurrit er V9AN,Y )0 HGPP6RT (H0lhsler'. Still Tesuna & DL'�lyn) 214832 Address Date Evidu#ti5n Conducted Telephone Number 2&497 King Anhur's (bun. Danbury. LYI 54830 I 1 -?7. 201_0 $ 715-4261775 04-05,zcal Wl)S33(i(R07 I_ Plot Plan RECEIVED Page 3 of JUN 14 2021 )-� PROPERTY OWNER: PAUL LEE ST. CROV COUNTY CDD 1" _= 40 FT. (except where noted) Legal Description: S+`ll`1 cF -ttt6 5w/4- Ste" N. TZYN R16t,,: Tcl,;h: G=backhoepit v : hapcl bcxac tryF EALA 6-N L>..E., Si. �"uIX [��t>,U 1Y1 L��SCC:/u_`.7y. �i�.C�'�•�S GG4'ICSC%� 7C—C'cG Z�i1 i0'iiiE-1v�NuE i North a &. J i_ �l-viN i � Y Site location: STr CR0IX 0LJN-rY SANITARY SYSTEM Fite Office Use Only OWNERSHIPIADDRESS FORM Created 2/2021 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 PropeM Files Scanned weblink. Owner/iwer Mailing Address OWNER/BUYER INFORMATION rAUL LE L ( itY1 vC :'� ,`0 Z33? I'b�A +EVE i� a Akre-S S City/State/Zip-'Nic-D Val ry Phone Number (required) Email Address Parcel Identification Number (found on the property tax bill) - r 70— OC) NEW SYSTEM: LEGAL DESCRIPTION Property Location St 1/4 , S w 1/4 , Sec � T zh N R I �c W, Town of Subdivision Plat: F='�iC4 C���•4LCC Lot # Certified Survey Map # 1V 71( Volume Page # Warranty Deed # i l D %`l L'j (before 2006)Volume Page # Number of bedrooms z� Spec house O yes12!(no Lot lines identifiable yes O no New Property (verification (Staff)niUals) (Date) fvM USE ONLY from Community Developr t Deparumm for new c tnjction.) This form must be submitted with all Private Onsite Water Treatment System (POINTS) applications. New Sysk4w Include with this form a recorded warranty deed %ram the Register of Deeds Office and a copy of the certified survey map if reference is made to the warranty deed. Community Development Department — Land Use Division 715-386-4680 St Croix County Government Center 715-245-4250 Fax 1101 Carmichael Road, Hudson, WI 54016 Parcel #: 008-1080-70-000 Valid as of 06/15/2021 08 57 AM Alt. Parcel #: 28.28.16.428 Owner and Mailing Address: PAUL LEE 1069 STINSON ST ST. PAUL MN 55103 Districts: Dist# Description 5586 ISCH DIST SPRING VALLEY 0106 CHIP VALLEY VOTECH Abbreviated Description: Acres: 40.00D SEC 28 T28N R16W 40A SE S TOWN OF EAU GALLE ST. CROIX COUNTY, WISCONSIN Co-Owner(s): Physical Property Address(es): * 2332 LOTH AVE Parcel History: Date D Vo_IlPage _- _ Type 07/20/2020 110 LC more . Plat Tract (S-T-R 40% 1601A GL) Block/Condo Bldg * N/A -NOT AVAILABLE 128-28N-16W 1 2021 Valuations: Values Last Changed on 06105/2019 Class and Description Acres Land Improvement Total _G4-AGRICULTURAL _ 3,400.001 0.00, 3,400.00 G5-UNDEVELOPED _17.000 13.000 22,000.00 0.00 22,000.00 G6-PRODUCTIVE FORST LANDS 1 7.000 24,600.001 _ 0.00 24,600.00 G7-OTHER 3.0001 15,000.001 94,300.60 109,300.00 for 2021 300.00 159,300.00 0.00,. 0.00 Totals for 2020 2021 Taxes Taxes have not yet been calculated. Key *- Primary ��x•TW,/ DIVISION OF INDUSTRY SERVICES 10541 N RANCH RD _ _ HAYWARDW 548I7-0462 " 0 $ Canted Through Relay P hnp://deg•.x9.goWpN rWomndstryaarvicas S w .wpm Mgm May 20, 2021 CONDITIONAL APPROVAL SOILS SATURATION DETERMINATION Plan Review Number: PWTS-052101063-C MARY JO HUPPERT 28497 King Arthur's Court Danbury Wl54830 SITE: Paul Lee 2332 101h Avenue St. Croix County Town of Eau Galle SE X - SW X - S28 —T28N — R16W Tony Evers - Oor•mor CONDITIONALLY APPROVED DEPT OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SEE COKRESPONDENCE The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • Approval is hereby granted pursuant to s. SPS 385.60(2), Wis .Adnn. Code, to estimate the depth of seasonal soil saturation based on an interpretive determination process completed by Mary Jo Huppert Certified Soil Tester (CST) and her recommendations. • This approval is limited to the soil characteristics within the tested area. This approval is basec upon best management practices and does not warranty the functioning of the system. Water conservation, wastewater disposal practice and system maintenance will aid in the longevity of the system. • On -site visit was conducted by CeCe Rudnicki, DSPS on April 5, 2021 • The estimated highest level of prolonged soil saturation approved under this determination is 8 inches below grade. At least 28 inches of sand lift on top of 8 inches of unsaturated, in -situ soil is required for adequate treatment and dispersal. • The basal soil application rate for the mound shall be 0.4 gpd/sf, and the linear loading rate 7.0 gpd/ft. • Prior to construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. Smearing and compacting of wet soil will result in reducing the infiltration capacity of the soil. Proper soil moisture content can be determined by rolling a soil sample between the hands. If it rolls into a 1/4- inch wire, the site is too wet to prepare. If it crumbles, site preparation can proceed. If the site is too wet to prepare, do not proceed until it dries. • Chisel plowing to a depth of 12 inches immediately prior to sand placement is required to improve vertical water movement into the soil solum. • Landscaping up slope of the mound shall be incorporated into the POWTS design to prevent surface water from concentrating along the up slope edge of the mound and to divert surface water drainage away from the system. • This approval shall remain valid unless the site is altered in such away that the depth to soil saturation would change or if saturated conditions are observed for seven consecutive days at depths less than 3 feet below the infiltrative surface of the POWTS distribution component. • This approval in no way relinquishes the use of color patterns to estimate the depth to high groundwater on any other parcels or portions of parcels. • A copy of this approval letter and attachments must accompany the mound system design for this site for purposes of plan approval and sanitary permit issuance. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, CeC� g ' CeCe (Elizabeth) Rudnicki Wastewater Specialist/POWTS Plan Reviewer, Division of Industry Services (608)400-3186 elizabeth.rudnicki@wisconsin.gov Mulm,a `0: PROPERTY PAULLEE OWNER: 233210TH AVENUE BALDWIN, WI 54002 SE'M4 of the SWX, Section 16, T87N, R16W Site Location: Town of EAU GALLE ST.CROM COUNTY CONDITIONALLY APPROVED DEFT OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES Structure To Be Served: 3 bedroom dwelling a I mac: SEE CO ESPONDENCE Prepared by: t b MarT, _ o Huppert, ST 9224832 Designer WIWYO-b?iy Date HOLLISTER'S SOIL TESTING & DESIGN 28497 King Arthurs Court Danbury, W 54830 715-4z.,- 07S INTRODUCTION In October 2020 this soil tester was contacted by the owner's brother to complete a soil evaluation for a septic system. The soils did not have A+4 conditions that is required per the State of Wisconsin, Department of Safety and Professional Services regulations. This report is required to determine the suitability or the installation of a private on -site wastewater treatment system (POWTS) in lieu of groundwater monitoring. This property has an existing dwelling and with numerous out buildings and has been an operating farm for many years. The owner currently rents the farm land for cropping. Numerous backhoe pits were evaluated and it was determined that an Interpretive Determination Report (IDR) would be required for an approval of the POWTS. The property is located two and a half miles south of 1-94 and near County Road BB and on 10th Avenue in the Town of Eau Galle. II. PREPARATION OF REPORT This report is being prepared according to the standards set forth by DSPS 385.60(2) of the Wisconsin Administrative Code and a guideline prepared by Leroy lansky called "Preparing the Interpretive Determination Report." III. REQUIRED INFORMATION A. The Soil Evaluation Report has been conducted according to DSPS 385.40 and is attached as part of this report. PAGE 2 -- LEEITOWN OF EAU GALLE B. Local Hydrology 1. Surface water: no ponding appears to take place on the site based on the vegetation. Below is a map from the St. Croix County website showing wetland areas which shows this area is not in a wetland or a wet meadow thou some is located to the west. The site has a 1 percent slope to the south/south west. SCC ArcGIS Web Map 5/312021, 4:44:47 PM Public ROW Wetland Areas EmergenVwet meadow, Aquatic bed Tax Parcels Aquatic bed Emergent/wet meadow, Flatsrunvegetated wet soil Subdivislon/CSM Boundaries Emergenb'wet meadow EmergentN+et meadow, Open Water SCC CDD I R, SCC Coo I SCC coo jxe SCC R,gM1 yDpl IFEM , 9CC Coo i CDD r,d NP I To vv n of Eau Valle t a„ [MI PAGE 3 — LEE/TOWN OF EAU GALLE 2. Subsurface water: some rainfall leaves the site and some is absorbed into the A horizon. The silt loam texture within the A horizon has good structure with root and worm action taking place. The subsoil has a weaker structure which tends to hold more water due to the evidence of redoximorphic features which varies from 8 to 20 inches. 3. Soil Saturation: soil appears to become saturated due to the heavier sandy loam and sandy clay loam. No water was observed in the twelve pits that were excavated. One pit 50 feet west of proposed POWTS site had redoximorphic features in the A horizon in Skyberg soils which is a hydric soil. 4. Surface Water Elevations: this area is within the St. Croix Rivefway Basin. There are no surface waters near the proposed site. See the attached "Surface Water Data Viewer Map" from the WI DNR website. The St. Croix River is location approximately 15 miles to the west. Carr Creek flows into the Eau Galle River 2 Y2 miles east and flows at a southern direction. See map from St. Croix County website. 2" Z 22 zt !J t y •� to C` pp ti 14 is JD ?' PAGE 4 - LEE/TOWN OF EAU GALLE AQSurface Water Data Viewer Map W Legend ti Li 14cigtHUCS(Watershads) MunicipaIrty State Boundaries County Boundaries Major Roads suu.Hpm.ay 4 US Hql�, 4 ifs County and Local Roads Lone RUC R211roads Tribal Lands Rivers and Streams of Intermittent Streams Lakes and Open water Index to EN_Imags_8ssemap_LeaL Off 't 7_ Ail 4, imp 15 0 075 1 5M1145 NAD-1983—HARN—aswinmr—TIA 1: 47,520 10 IL 19111111p,�, PAGE 5 — LEE/TOWN OF EAU GALLE C. Geomorphology: 1. Parent material: the parent material is silty sediments. 2. Landform Type: ground moraines; usually deep silty to firm clay loam. D. Landscape Position and Local Topography: See the elevation map below. PAGE 6— lee/TOWN OF EAU GALLE E. Soil Series and Mapping Units: The United States Department of Agriculture (USDA) has the area mapped as a VlasitySeries and near Skyberg Series in which redoximorphic features were in the A horizon. This soil tester encountered the soils similar except finding redoximorphic feathers in the subsoil instead of the clay films on faces of the peds. The series is described as moderately well drained and permeability is moderately slow. SOIL MAP Wisconsin Department of Safety and Professional Services Division of Industry Services SOIL EVALUATION REPORT Pape I of $y in accordance with SPS 383, Ws. Adm Code Canty ST. CROIX — Attach complete site plan on paper not less than 8 12 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and Parcel I D. 008 - 1080 - 70 - 000 percent slope, scale or dimensions, north arrow, and location and distance to nearest road Reviewed by Date Please print all information. Personal mfornWron you proade may be used fm s Wwy purpmm (Pnx y Law, a. 15 04 (1) (m)) Property Owner P414- Properly Location e 41•AFF LEE (CHONG MOUA) Govt. Lot — SE Im SW 114 S 28 T 28 N R 16 E (or) Property Owners Mailing Address Lott Block t I Subd Name or CSMt 2332 IOTH AVENUE -- -- - city State Zip Code Phone Number ity -- Village ElTown Nearest Road BALDWIN, W1 1 54002 ( 651 ) 308-0207 IOTHAVENUE Q New Construction UseQ Residential! Number of bedrooms 3 Code derived design flow rate 450 GPD E] Replacement Public or commercial - Describe Parent material LOESS OVER TILL Flood Plain elevation N applicable 14A It General comments PRELIMINARY TEST CONDUCTED AS NO A+4 CONDITIONS ON SITE. STATE OF WISCONSIN WILL and recommendations. NEED TO COMPLETE AN ON -SITE TO PROCEED WITH AN INTERPRETIVE DETERMINATION REPORT. ON- sxc W C642e AUMN 04 50C Wks-,V WATff, sp�ii"S'r stWVlj NEt.- I❑ Boring t ❑ Boring Q Pit Ground surface elev ", 10 R. Depth to limiting factor 13 in Sod Rate Horizon Depth n Dominant Color Munsell Redox Description Qu. Sz- Cont. Color Texture Structure Gr. Sz Sh Consistence Boundary Root GPDNF 'Efft1 'Efft2 1 0-10 IOYR2i2 -- Sri 3fsbk&gr mfr as 3vf-co 0.6 0.8 2 10-13 I0YR4il - sil 2fabk mfr 2vf-co 0.6 0.8 3 13-20 10YR4.(I midIOYR4t6 sil Ifabk mfr 0.4c 0.6 2 Boring t U Boring 8 QPit Ground surface elev it Depth to limdmg factor m. Sd Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Com. Color Texture Structure Gr S7- Sh Consistence Boundary Roes I GPDAR -Efftt -092 1 0-8 I0YR2i2 - sil 3fsbk&gr mfr as 3vf-co 0.6 0.8 2 8-16 I0YR4!1 mid 10YR4:6 sil Ifabk mfr - 2vf-co 0.4c 0.6 �nluaA ■ I = r - Jv <C[u mg(L and I5S -Jp < I W mg(L ' Ef&mnt a2 =BOOT < 30 m9& any TSS < 30 rry/L CST Name (Please Print) SgnOO -f / / CSi Number 28497 King Arthur s Court, Danbury, WI 54830 11 - 27, 2020 f, 715-426-1775 04-O5'zc2t SHIM330(R0713) Property Owner LEE, Paul Parcel ID # 008 - 1080 - 70 - 000 page 2 Of 4 3 �rlo9 # U Boring ❑ PA Ground surface elev. 96.35 ft. DaPth loti l lb bcfor 10 in Sol Appkmbm Rate Horizon Depth in. Domllwrt Coor Munses Radox Desaption ou. Sz. Cord. Color Texture Struck" Gr. Sz. Sh. Consistence Boundary Roots GPDAF 'Ef l 'Ef1s'2 1 0-10 IOYR2/2 — sil 3fabk&gr mfr — — 0.6 0.8 2 10-14 10YR4/l mod 10YR4/6 sil Ifabk mfr -- — 0.4c 0.6 ❑ing # [_] Bo Pit Ground surfaces elm. ft Depth ro YnfYlg factor in. SW Applicabon Rate Horizon Depth in. Dorranent Co6or Munsee Radox Description Ou. Sz. Cont. Color Texture Structure Gr Sz. Sh. Consistence Boundary Roots GPDAF 'Eff#t 'EfW Effluent #1 = BOD, > 30 < 220 axA and TSS >30 < 150 r glL Sit63i301R0'nlq Effluent #2 = BOD. < 30 mgfL and TSS < 30 mgA- Plot Plan Page 3ofy PROPERTY OWNER: f .AuL LF-E Legal Description: 5C of ittE SW /y, src. zr� TZSN , fzn.� Te4tiA OF EA Q,AWC, Sr.CRcix eeit rV WtsCyV,:Sy3. uE 1" = 40 FT. (except where noted) I ' zp �2: "-ef o� � 3 I ,� . �/nsi_T�! 1R "N�v='£.ySAHD�E G2nurJD f w, OYEx Ftc>rl ` � * 1e DE I ,,•i' Mr Site location: TY C� a = badchoe pit d = hand baruAr. yo. M ,Ac c�rs r All re • �\ fJ r y r PAGE 7 — LEE/TOWN OF EAU GALLE F. Field Observations: the proposed site is partly in a wooded area and partly in the lawn. The landscape and all soil pits had some moist conditions. There has been no cutting or filling in the area and no drain tile or drainage ditches were observed. G. Comparative Analysis: all soil borings had high and low redoximorphic conditions under the A horizon that were few, fine, faint and then progressed to many, medium, distinctive. One pit located approximately 75 feet had redoximorphic features in the A horizon which verifies that prolonged saturation does occur at the site but not in the location of the proposed site being evaluated for the POWTS. Therefore, I believe that no prolonged saturation occurs in the top inches for more than 7 consecutive days. H. Government Reports and Comments: this soil tester had an approved IN approved on property located 21/2 miles north in Section 16. There are a few new POWTS within the area. 1. Conclusion and Recommendations: The site is suitable for a POWTS as evidenced by the redoximorphic conditions described above and on the soil report. There appears to be no evidence of hydric soils or PAGE 8— LEE/TOWN OF EAU GALLE hydrophytic vegetation. Most of the water is absorbed into the site and moves southernly to the road. There is a slight slope to the site and no surface ponding anywhere. No prolonged saturation occurs within the top 8 inches as evidenced by lack of the redoximorphic features in the A horizon. 1. The sand fill shall be 2.34 feet of ASTM C-33 code required material. 2. The system loading rate to be 0.4 GPO/ft2. The linear loading rate is 6.43 gpd/ft. 3. Plow depth to be at least 12 inches during dry conditions so there is no chance of soil smearing. 4. Construct the toe area of the system at a 1.4 ratio instead of the required 1:3 to increase absorption area. S. Recommended system contour elevation Is 96.35 feet and system elevation 97.68 feet. The State of Wisconsin, Department of Safety and Professional Services Wastewater Specialist will review the site and report to make a final approval. Submitted by, Mary Jo Huppert Certified Soil Tester #224832/Designer #1859-007 REFERENCES: 1.) Martin L (1965). The Physical Geology of Wisconsin. University of Wisconsin press. Madison, Wisconsin. 2 ) Soil Survey of St. Croix County (1978) United States Department of Agricult,ire, Soil Conservation Service, with the Research Division of the College of Agriculture and Life Sciences, University of Wisconsin 4) State cf Wisconsin. Department of Safety and Professional Services Code, Chapters 383 and 385 5 St. Croix County. Downloaded from htto://co.st.croix wi.us com 6.) Soils Series. Downloaded from htto.//usda ctov.com 7.) WI DNR web page. hup://widnr.com 58 SOIL SUBM flood waters. This sediment has been deposied too recently for distinct horizons to form. Native vegeta- tion was mostly wetland grasses and sedges; some shrubs, such as alder and willow; and a few scattered trees such as elm. These soils have a seasonal high water table at a depth of 2 to 5 feet. Included with Udifluvents in mapping are small areas of Fluvaquents, Fluvaquents, wet, and Saprists and Aquents, and Gotham, Hubbard, and Seelyevlile soils. Runoff is slow, and the hazard of erosion is slight. Available water capacity is low, and permeability is variable but is mostly rapid. Natural fertility and the organic matter content of the surface layer are low. Most areas of these soils are flooded frequently for brief periods, especially in spring. Flesh sandy sedi- ment is deposited during each flood. Some places are dissected by streams, sloughs, and old stream channels. Streambank erosion is a hazard in some places. Most areas of these soils are in trees and brush. A few areas are cultivated. These soils are suited to wild- life habitat. Capability unit VIIs-9; woodland group Sol. Vlasaty Snries The Vlasaty series consists of gently sloping and sloping, moderately well drained soils on low ndgea and knolls of ground moraines. These soils formed to silty sediment and in the underlying clay loam till. Native vegetation was mainly sugar maple, red oak, and white water for long periods during subsoil year.saturated with In a representative profile the surface layer is very dark grayish brown silt loam about 8 inches thick. The subsurface layer is about 8 inches of pale brown silt loam. The subsoil is about 31 inches thick. In the upper part it is dark yellowish brown, friable, heavy silt loam, and in the lower part it is brown and dark grayish brown, very firm, mottled clay loam. The substratum, to a depth of 60 inches, is olive brown, very firm, mottled, clay loam. Available water capacity is high, and permeability is moderately slow. Natural fertility is high. The organic matter content of the surface layer is moderate. Tillage is delayed for relatively long periods in spring and after heavy rain. Most areas of this soil are cultivated. The soils are used to grow c(rn, Date, and alfalfa. Representative profile of Vlasaty alit loam, 2 to 6 percent slopes in a cultivated area 200 yards east and 75 yards north of center of 3E�/�, sec. 23, T. ZS N., R. 16 W.: AP-0 to 8 inches; very dark grayish brown (10YR 3/2) silt loam, light brownish gray UOYR 6/2) dry; weak fine subangular blocky structure parting to weak fine granular; friable; common roots; neutral; abrupt smooth boundary. A2-8 to 11 inches; pale brown (10YR 6/8) silt loam; moderate medium and thick platy structure; very friable; common roots; medium acid; abrupt irregular boundary. B&A-11 to 16 inches; dark yellowish brown (10YR 4A) heavy silt loam (112t) ; mod- erate medium subs➢gular blocky struc- ture; friable; inter$ngerings and a few tongues of pale brown UOYR 9/8) silt loam (A2); friable; very strop y acid; common roots; clear wavy boun IIB21t-16 to 25 inches; brown (10YR 5/clay loam; few fine distinct yellowish brown (10YR 5/6) and faint grayish brown (10YR 5/2) mottles; moderate medium subangular blocky structure; very firm; few thin pale brown (10YR 6/8) silt and fine sand coatings on ped faces; common thin dark brown (10 3/8) clay films on faces of peds; cobbly and gravelly ban d; common roots; very strongly acid; clear wavy boundary. UB22t-25 to 80 inches; dark grayish brown (10YR 4/2) clay loam; common medium prominent yellowish brown (IOYR 5/6) mottles; moderate medium subangular band; common roots; very strongly acid; blocky structure; very firm; thick nearly continuous dark brown (10YR 8/8) clay films on faces of peels; about 5 percent coarse fragments by volume; few roots; very strongly acid; dear wavy boundary. IMSt—W to 42 inches; brown (IOYR 5/S) clay loam; many coarse prominent yellowish brown (10YR 5/6) and few fine distinct dark grayish brown (10YR 4/2) mottles; moderate coarse medium prismatic struc- ture parting to moderate coarse sub - angular blocky; very firm; about 6 percent coarse fragments by volume; very strongly acid; few roots; clear wavy boundary. EC-42 to 60 inches; olive brown (25Y 4/4) clay loam • many medium and coarse prominent yellowish brown (10YR 5/6) grayish brown (10YR 5/2) and light brownish gray (10YR 6/2) mottles; massive; very firm; about 5 percent coarse fragments by volume; moderately alkaline. The solum ranges from 40 to 50 inches in thickness. The silty mantle is 12 to 24 inches thick. The Ap hori- zon is very dark grayish brown or dark grayish brown and 6 to 10 inches thick. The B horizon is clay loam or heavy loam. Thin, gravelly and coyly hands or stone lines are commonly in the B horizon. The C horizon is heavy loam or clay loam. The B and C horizons are 0 to 5 percent coarse fragments. The B horizon is strongly acid to very strongly acid, and the C horizon is mildly alkaline to moderately alkaline. Vlasaty soils are near Clyde and Skyberg soils. They are better drained than the somewhat poorly drained Skyberg soils. They have a thinner, lighter colored A horizon and are better drained than the poorly drained Clyde soils. Vail --Mast silt loam, 2 to 6 Rercent dopes. This soil is on low of ground moralises. Most areas are oblong or irregular in shape and range from 5 to 100 acres in size. This soil has the profile described as representative of the series. Included with this soil in mapping are some areas VASATY • 01_T- ST. CROIX COUNTY, WISCONSIN 59 where the surface layer is sandy loam. Also included are a few areas of moderately well drained soils that have a gray subsoil and a few small areas of Clyde, Floyd, and Skyberg soils. Also, in some areas near Arland soils, Vlasaty soils are underlain by sand at a depth of slightly more than 4 feet. Runoff is slow, and the hazard of erosion is slight. Tillage is delayed because this soil remains saturated for relatively long periods in spring and after heavy rains. This soil is well suited to corn, oats, and alfalfa. It is frequently used for corn. Controlling erosion, especially on long slopes, is an important factor of good manage- ment. Capability unit Ile-1; woodland group 2o1. VaC2—Vlasaty silt loam, 6 to 12 percent slopes, eroded. This soil is on low ridges and knolls of ground moraines. Most areas are oblong or irregular in shape and range from 5 to 80 acres in size. This soil has a profile similar to the one described as representative of the series, but the surface layer is thinner and lighter colored. Included with this soil in mapping are a few small areas where the surface layer is sandy loam. Also included are a few small areas of Clay, Floyd, and Sky - berg soils and a few small areas where slopes are slightly less than 6 percent or more than 12 percent. In a few areas near Arland soils, Vlasaty soils are under- lain by sand at a depth of slightly more than 4 feet. Runoff is medium, and the hazard of erosion is mod- erate. Tillage is delayed because this soil remains saturated for relatively long periods in spring and after heavy rains. In most places, erosion has caused tilth to deteriorate and has reduced the content of organic matter in the surface layer. This soil is well suited to oats and alfalfa, and is suited to a limited amount of corn. Controlling erosion and maintaining tilth are important factors of good management. Capability unit IHe-I; woodland group 201. Whelan Series The Whalan series consists of gently sloping to steep, well drained soils on ridges, valleys, and knolls of lime- stone uplands that are covered by a thin mantle of glacial till. These soils formed in silty sediment, loamy glacial till, and clayey dolomitic limestone residuum. They are underlain by dolomitic limestone. Native vegetation was sugar maple, red oak, basswood, and elm. In a representative profile the surface layer is dark grayish brown silt loam about 8 Inches thick. The sub- soil is about 26 inches thick. It is dark brown, friable silt loam in the upper part; yellowish red, firm loam in the middle part; and reddish brown, firm clay loam in the lower part. Fractured dolomitic limestone bedrock is at a depth of about 34 inches. Available water capacity is moderate, and permeabil- ity is moderate in the upper part and moderately slow in the clay loam dolomitic limestone residuum. Natural fertility is medium. The organic matter content of the surface layer is moderate. Most gently sloping and sloping soils are used to grow corn, oats, alfalfa, and other crops commonly grown in the county. Most steeper soils are used for hay and pasture and some are in woods. Representative profile of Whalan silt loam, 2 to 6 per- cent slopes, in a cultivated area, 200 yards south and 200 yards east of center of sec. 16, T. 28 N., R. 19 W.: Ap-0 to 8 inches; dark grayish brown (10YR 4/2) silt loam; weak fine and very fine subangular blocky structure; friable; common roots; slightly acid; abrupt smooth boundary. Bl-8 to 12 inches; dark brown (7.6YR 4/4) silt loam; moderate medium subangular blocky structure; friable; common roots; medium acid; clear wavy bound�aarryy B21t-12 to 16 inches; dark brown (7.SYR 4/4) silt loam; moderate medium subangular blocky structure; friable; thin patchy clay films; common roots; medium acid; dear wavy boundary. B22t-16 to 20 inches; dark brown (7.5YR 4/4) gritty silt loam; moderate medium sub - angular blocky structure; friable; thin patchy clay films; common roots; strongly acid; clear wavy boundary. IIB28"O to 80 inches; yellowish red (5YR 4/6) loam; strong coarse subangular blocky structure; firm; thin patchy reddish brown (5YR 4/4) clay films; about 15 percent coarse fragments by volume; few roots; very strongly acid; abrupt wavy boundary. IIIB3t-0 to 34 inches; reddish brown (5YR 4/4) clay loam; strong medium subangular blocky structure; firm, plastic; thick nearly continuous dark reddish brown (5YR 8/8) day films and yellowish red (5YR 4/8) coatings of silt grains; few roots; medium acid; abrupt smooth boundary. IIIR-- inches; very pale brown (10YR 8/8) fragmented dolomitic limestone bedrock. The solum thickness and depth to limestone bedrock range from 20 to 40 inches. The silty mantle is 15 to 25 inches thick. The Ap horizon is dark grayish brown or very darts grayish brown and 6 to 10 inches thick. The B horizon is sandy clay loam or clay loam in the lower park The B horizon that formed in the till is 5 to 25 percent coarse fragments. The B horizon is medium acid to very strongly acid in the upper part and medium acid in the lower part. Whalan soils are near Ritchey and Santiago soils. They are deeper to dolomitic bedrock than Ritchey soils. They formed in a thinner till deposit than Santiago soils. WhB—Whalan elk lwm, 2 to 6 pereent slopes. This soil is on ridges of limestone uplands that are covered by a thin mantle of silty sediment and glacial till. Most areas are irregular in shape and range from 5 to 80 acres in size. This soil has the profile described as representative of the series. Included with this soil in mapping are a few small areas of Ritchey, Rockton, and Santiago soils. Also included are a few small areas where the depth to lime- stone bedrock ranges from 40 to 60 inches and a few Wisconsin Department of Safety and Professional Seances ' O / /-7 Dwsion of Industry Services &. PA" 10 ZW SOIL EVA Page! or i in accordance with SPS 383, WIe. Adm Code County - Attach complete site plan on paper not less than 8 V2 x 1 f inches in size Plan must include but not limited to vadicat and horizontal reference point (BM) direction ana Parcel I D - 000 percent slope. scale or dimensions north arrow and location antl distance to nearest roan.Please L(R( Reviewed byDate print all information. Pelsc^al normal Z- rc.. r':..e -iay De _sec for sect^nary o:..rpcses zr vacy Law s ' 5 7e I, r, ' Property Owner } Au` "MAH 4 LLI' I( HONCr \IOU \) Property Location El a Govt Lot --- SE 14 SU 114 S T '-� N R If, E (on W Property Owner's Mailing Address Lot# Block# Subd Name or CSM# 2332l01lIAVFN(IP -- -- -- City State Zip Code Phone Number rty Village • Town Nearest Road 71 BALDVIIN. q l I 54002 1 ( (r l ) 301X - 02(I' 10-I ft Al A UE New Construction UseQ Residential i Number of bedrooms ; Code denied design flow rate 450 GPD Replacement Public or commercial - Descnbe _ Parent material LOESS OVFR 111 1 _ Food Plain elevation if appbcable T It General comments PRI 11111 NARY TFST('ONDLCTLDAS NOA-4CONDITIONSON SITl% STATE OF W ISC'ONSIN WILL and recommendations NFFD TO ('O\1PLPTF AN ONSITF. TO PROUFFD WITH AN INI I RPRETIVE DE-TH"INATION l,t]PORT C.V' '�iT$ W CECe %1lsDn rC % Wk-ASWATEI; 5rTc9 uSi w;.T ft w'Nc'L" I❑ Boring # 11 Boring O " Pit Ground surface elev `trl. IL` R Depth to Lnniting factor I' :n Son Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDff 'Eff#i 'Eff#2 m. Mansell Qu. Sz Com Color Gr Sz Sh I 0-10 IO1'kI 2 - at lfshk& rt � nrti ;ts . _�I-co 016 if n j _ IO-t3 i IOYR4 1 - Nil ' uhk nun to 2�1,Co O.n it.a' 3 13.20 JOYR41 ritd loN R. i• .if Ifd,k Lj Boring LBoring# 8 J El Pit Ground surface elev. DIY lie ft. Depth to limiting factor in Sail Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDtft in Munsell Ou Sz Cont Color Gr Sz. Sh. -Eff#1 'Eff#2 1 0-8 I(11'R_' Z -- �tl 3tidlkiker mti ;n 3et"o U,G (1 k - 5-16 I0YR4 I niid:u�K-1 ,il It�hk ntfi -- 21f-co 0,4C 0.fi -,•--, ,,•. ..�_�w ny�ou�i oo-ov_,;.c rig,L t1^0evt32- tSUU I3) mg'L and rSS<30 rngL �CST Name (Please Pnnt) Sign t CST Number MARY JO 11UPPER I (I follislcr's Soil Testing & Dc,iKn) /% 224832 Address i n_.-- r i. _ n ._I . .. 28497 King Arthur'a Court, Danbury, U 1 54830 it - 27, 202II 715-426-1775 C`f-G'S, zcoi tiRn-nrinfitii-ci 01 � 3—geeP,rvart).-�y REP�NIE'�U'� OIJCCOUNTY NO. 63313950STD� % STATE SANITARY PERMIT OWNER rAUL- PLUMBER_0 TOWN OF JF SEC AND/OR LOT N, R B PREVIO S NO. Ca IDIVISION yzoy WISCONSIN STATUTES (a) The purpose of the sanitary permit is to allow installation of the private sewage system described in the permit (b) The approval of the sanitary permit is based on regulations in force on the date of approval. (c) The sanitary permit is valid and may be renewed for a specified period. (d) Changed regulations will not impair the validity of a sanitary permit. (e) Renewal of the sanitary permit will be based on regulations in force at the time renewal is sought, and that changed regulations may impede renewal. (1) The sanitary permit is transferable. History: 1977 c. 168; 1979 C. 34,221; 1981 c. 314 Note: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. DING OFFICER - DATE UNLESS RENEWED BE POST IN PLAIN VIEW THA DATE VISIBLE FROM THE ROAD FRONTING THE LOT DURING CONSTRUCTION SBD-06499 (RI 1/20) MGOULDS PUMPS APPLICA71ONS Specifically designed for the following uses: • Homes • Fanns • Trader courts • Motels • Schools • Hospitals • industry • Effluent systems SPECIFICATIONS Pump • Solids handling capabRides: %, maximum. • Discharge size: 2' NPL • Capacities: up to 140 GPM. • Total heads: up to 128 feet TDH. -Temperature: 1047(40°C) continuous 140•F IWO intermittent • See order numbers on reverse side far specific HP, voltage, phase and RPM's available. FEATURES ■ Impeller: Cast iron, semi - open, non -clog with pump - out vanes for mechanical seal protection. Balanced for smooth operation. Silicon bronze impeller available as an option. ■ Casing: Cart iron volute type for maximum efficiency. 2' NPT disdlarge. ■ Mechanical Seal: SILICON CARBIDE VS. SILICON CARBIDE sealing faces. Stainless steel metal parts, BUNA-N elastomers. o row rr7 w. ,hdn qy Ins etfecllve DenmWr. 20" Ross ■ Shaft: Cortosiorhwstant, stainless steel. Threaded design. Locknut on a8 models to guard against component damage on accidental reverse rotation. ■ Fasteners: 300 series stainless steed. at Capable of running dry without damage to components. ■ Designed for continuous operation when fully submerged. MOTORS ■ fully submerged In high-grade turbine oil for lubrication and efficient head trartsfer. ■ Class B insulation on '1-1'h HP models. ■ Class F insulation on 2 HP models. mmm IEE 40- ,a 30 Submersible Effluent Pump WE Series PROSURANCE AVAILABLE FOR RESIDENTIAL APPLICATIONS. Slugle phase (60 Hz): • Capacitor start motors for maximum starting torque. • Built-in overload with automatic reset. •SITOW or STOW severe duty oil and water resistant power cards. •'h — 1 HP models have NEMA three prong grounding dugs • 1'A HP and larger units have bare lead cord ends. Three phase (60 Hx): • Class 10 overload protection must be prowl 'm separately ordered starter unit. • STOW power cords all have bare lead card ends. a Designed for Colkhbtous Operation: P rnp ratings are within the motor manufactorris recommended working Imits, can be operated continuously wid out damage when fuAy submerged. ■ Bearings: Upper and lower heavy duty ba8 bearing construction. ■ Power Cable: Severe duty rated, oil and water resistant. Epoxy seal on motor end provides secondary moisture barrier in case of outer jacket damage and to prevent of wicking. Standard card is 29. Optional lengths are available. ■ O-ring: Assures positive sealing against contaminants and oil leakage. AGENCY LISTINGS GO• u C5A] IN S_6 TA ar c..bm. 9%.m1n.CkDS fie ♦1A33SO Go1Mh K. h ISO 3001 Rarkttaed. 30 a0 s0 60 70 e0 7 100 110 12Y 13e fa0 156 1600Mx _.L.— � ._ . ry � 10 15 � 75 30 35 mylw 1'1 Gloou�lds Pumps ITT Industries www.gonidsurn W