HomeMy WebLinkAbout008-1027-90-280Wisconsin Department of Commerce
Safety and Building Division
PRIVATE SEWAGE SYSTEM
INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT)
Personal information you provide may be used for secondary purposes [Privacy Law, s. 15.04 (1)(m)].
TANK INFORMATION
TYPE
MANUFACTURER
CAPACITY
Septic
w
Sao
Dosing
1
V* C$rv1.
Aera'
W
Holdi
TANK SETBACK INFORMATION
TANK TO P/L WELL I BLDG. Vent to Air I/ntakee ROAD
Septic �'` / c-7� 7 `
si uJ 4 u 3R?s0
PUMPISIPHON INFORMATION
F U-EdL
1 s!
i un a `O- rncilon Loss system Head I UH Ft
o . le ,too a .30
Forcemain Lengt 0 Dia. tt Dist. to Well IF
SOIL ABSORPTION SYSTEM
ELEVATION DATA
STATION
BS
HI
FS
ELEV.
Benchmark
S,s
OS
s
ISO O .
Alt. BM
Bldg. Sewer
St/Ht Inlet
Il.o
'
StlHt Outlet
Dt Inlet
Dt Bottom N
B r
Header/Man
6�S
Dist. Pipe
Bot. System
�(oD
Mal Grade
ty Vf W
�+nw
t Co e
lUr
�18, of
66CRIENCtP
Width
Length
No. Of Trenches
PIT DIMENSIONS
No. Of Pits
Inside Dia.
Liquid Depth
DIMEITSMRS
I
SETBACK
SYSTEM TO
P/L
BLDG
WELL
LAKE/STREAM
LEACHING
Manufac
INFORMATION
CHAMBER OR
UNIT
Type Of System: /t
.2 (
l /
umber.
, IDI
y
DISTRIBUTION AYSTEM IL-7 r"AXALl)
HeaderiManifQ�
_ a.6L
Distribution
ttSpacing _^94
Pipes) I
x HoleSizex
Hole/Spacing
t `
Vent to Air Intake
Length fY' _ Dia
Length Dia it
Jl3Z
36
SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only
Depth Over
Depth Over
xx Depth of
xx Seeded/Sodded
xx Mulched
Bed/Trench Center
BediTrench Edges
Topsoil
C Yes [_ No
C Yes ❑ No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: 7'12-1
2/
Location: 2449 50TH AVE
1.) Alt BM Description
2.) Bldg sewer length = 2 ^er`1 k
amount of cover
3) Wroyg 4rre ell 72��F�l
Plan revis onll�4equired? ❑Yes No dZl
U ther side f r additional
information
wo
sepct�or's(S�ignatl 70 N
2.0� r�S+.re,.ST��Ie w►Q 6_bsA�edO
� 3.0' Ir-iseir .,..�Lie� � D T �w►�ekrac —�. o,o... a0.at� � log—keaQ
at- k: � �.�'►('�
`%' - Services Division
County
q+Intittstry
1400 E Washington Ave
G
T, Cifo /X
P.O. Box,
Sanitary Permit Number (to be filled in by Co.)
— 'A' CO tym t Madison, 3707-7162
°°
33 3a-B
„, ,•., foie
cc, ermit Applicati
State TramactionNumber
In accordance with S 3.21(2), Wis. Adm. Code, submission ofthis form to the app I unit
� 015%,1 eC$%i--C
is required prior to obtaining a sanitary permit. Note: Application forts for statc-olpoied POWTS ed to
the Department of Safety and Professional Services. Personal information you ide may he r secondary
Project Address (if different than moiling address)
purposes in accordance with the Privacy law, s. 15.04(1)(m). StatL vt
a Sa roes d
Parcel err
_
1. Application Information - Please Print All Information
Property Owner's Name
o2 8�
Z7- 90-
Property Owner's Mailing Address Z* Q
- '� 0 =� ✓E. c+ '
---
Property Location
Govt. Lot
/VE'!� NW /w Section
City. State
Zip Code
Phone Number,
,)
L✓ 040u/ctE Gti
SY ,?8
7/S 977- 07oS
_16
T�$ N; R /ep Forte
-
If. Type of Building (check all that apply)
Lot #
Subdivision Name
®t or 2 Family Dwelling - Numbe of Bedrooms .7
O
_
Z //J�
❑Public/Canmercial-Desb0.al0�th7n'1St,pt
Block #
Use
❑ City Of
`
❑ State Owned - Describe Use
❑ village of _
CSkt Number ,r
3e —(0off'
® Town of EAv G4tt6
Ills Type of Permit: (Check only one box on line A. Complete line
^---
B if applicable)
A.
�
New System
yst
ep ys
❑ R lacemcnt System
_----
❑ TsatmerrUHolding Tank Replacement Only
— -
❑ Outer Modification to Existing System (explain)
B.
❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued
Before Expiration Owner
of POWTS S stetn/Cem onent/Device: Check all that a 1L
1V. Type
❑ Non -Pressurized In -Ground ❑ Pressurized In -Ground ❑ At -Grade ❑ MmW ?:24 in. of suitable sailIF Mound < 24 is of suitable soil 1
❑ Holding Tank ❑ Other Dispersal Component plain)_ Pretreatment Device (explain)
V. Div rsal/Preatment Area Information:( ff A ffe'lls MA
a
Design Flow (gpd) Design Soil Application Res gpdst) Dispersal Area Required (sf) Dispersal Area P oposed (sf) SystemElevationr
300 3o Jam' 97.7 a.r 94.4c..r r.r c
V1. Tank Info Capacity in idol # of Manufae Tr-r-
Gallons Gallons Units rDTt tom^ 't k/.�� ,f'tC-{` 3 rS v
i
New Tanks '
Fatisting Tooke _ - r • -"' "O ` ` - 2 _
a93
U vt r Q.. 0 a
f
i Dosing Chamber
SOS
— --
-
e4 AA00
---
r'
VII. Responsibility Statement 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans.
Plumber's Name (Print) Plumber's ' a MP/M09 Number Business Phone Number
J dHN /r-ELKE w23/3V4 7/S G72_4',?66
Plumber's Addrets (Street, City, Stale, Zip Code) ---
Sr. �f%rr, ,QucB,,a, r.JI SY73L
Vill. Conn / rtment Use Only
a/tt Issued I sui Agent Sgrnaturc
XApproved ❑ Disa roved Per/mitt FF'+rces�
S
—
❑ rvem for Denial (� ( J- �/ 2��
IX. Conditions A ros ,p
'�) !V►tS 3 wtZ1� 064%
Lefe,Septic
STEM OWNER:
tank, effluent filter and C� (tit t w Ej2
be serviced I malntalned
dispersal cell must ate rot
by Gt ale-f'Ob"tA �2� R�t^�SI 1
as per management plan provided plumber.
Ali qpthack uirements must be maintained_�Sa+ ��
as per appiicabie code/oratltensrmvpww Finn 1w ma
tom- ,( . 08/14)
r6
men erne "Man to the gouty aaly p or not to mon>f th x t t intae• ir�.eiar
CCS a_4T_5;l arP4y-.e,
5) & c tQ i (, ASPS AVA_ s'ret'Q
(�„„�.-t•G,,�� �Y�J2M� •l�- � /� gat
�¢> I tu^'`'��.¢r -}� proV`c�-•� s�2,tnn /Wa'� t�-2- I/�t'atr�
PLar PLAN
%s%//CE .foJes- SD 'te x,,
Nt; NtJ, 14, 0?a/v, le41
i?�oF ERu LgA[[Er !o,
z T W ,
N / : To
` 4 ds So
Q` PrTf, X= 6R4OE .SAorr
IR[t $15 383 r/3 SEr/6AC4S ,yEr
(Q4A# ,I i
dL Pr.E rAEEf —
rYWA4 wow
CI'4a.Cc.)
�/ r ,
/ X %•• 404X G6LL ` 9(a OFfceC i/aJ� d,!7rx,/LOpr
(> YA .bE
6aAOF � X'�OL.a
r!
`i Puc
sn / puc S u.Yo 3eJ� o5E0
�/ES Ea Syo�Sao
LO Kbo yA.�K
Autrea
uruirr
YlLofoSE�
® J
5-0-2�r
rrrlE,
A..2 ojr 2
O
04
May 12, 2021
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 2023-5-12
Plan Review: PWTS- 052100871-C
John Pelke
N6298 State Hwy 25
Durand, WI
SITE:
Mike Jones
50'h Ave
Town of Eau Claire
St Croix County
NWY4NWY4510T28NR16W
FOR:
Description:
2 Bedroom Mound — 300 GPD —
New-16- to limiting factor — Effluent Filter -
Maintenance required
DIVISION OF INDUSTRY SERVICES
10541 N RANCH RD
HAYWARD WI 54843-6462
hContact Through Relay
ttp:lld3 ps.wi. govIvogramyfndustry-services
www.wiaconsin.gov
Tony Even - Governor
Gown Crlm - Secret&"
Mound Component Manual — Ver. 2.0, SBD-
10691-P (N-01/01, R 10/12)
Pressure Distribution Component Manual — Ver.
2.0, SBD-10706-P (N.01/01, R. 10/12)
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
• The 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.
• Components and soil removed from an existing drain field shall be properly disposed of so that
there is no risk to public or environmental health.
• A sanitary permit must be obtained from the county where this project is located in accordance with
the requirements of Sec. 145.19, Wis. Stats.
• Inspection of the private sewage system installation is required. Arrangements for inspection shall be
made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis.
Stats.
• A state approved effluent filter is required. Maintenance information must be given to the owner of
the tank explaining that periodic cleaning of the filter is required.
• A copy of the approved plans, specifications and this letter shall be on -site during construction and
open to inspection by authorized representatives of the Department, which may include local
inspectors.
Owner Responsibilities
• The current owner, and each subsequent owner, shall receive a copy of this letter. Owners shall also
receive a copy of the appropriate operation and maintenance manual(s) and be responsible for
ensuring that POWTS is operated and maintained in accordance with this chapter and the approved
management plan under s. SPS 383.54(1).
• In the event this soil absorption system or any of its component parts malfunctions so as to create a
health hazard, the property owner must follow the contingency plan as described in the approved
plans.
• The owner is responsible for submitting a maintenance verification report acceptable to the county
for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the
component(s) utilized in the POWTS.
In granting this approval the Division of Industry Services reserves the right to require changes or
additions should conditions arise making them necessary for code compliance. As per state stats
101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe
building, structure, or component.
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or
at the address on this letterhead.
The above left addressee shall provide a copy of this letter and the POWTS management plan to the
owner and any others who are responsible for the installation, operation or maintenance of the POWTS.
Sincerely,
jo�zol,rley
Joshua Rowley
POWTS Plan Reviewer, Division of Industry Services
(715) 813-9111
Joshua.rowlev@wisconsin.gov
?a2c I nj .')
1.%N ilia! � .�iQCi:.?i:
q1 j' J •!" %Q "� /ti:iE'.
It
L
.t�lli7(t:
T'�i. olx
nJ
Conditionally
APPROVED
; ' ;,.
DEPT. OF SAFETY AND PROFESSIONAL
SERVICES
DIVISION OF INDUSTRY SERVICES
'�C
�i.
ix'�1�'L .;t[?F: ti It111 � �.l i'7C[ �. ".>'.� uc� :iNi -
--sir .__ •R6RiCI
SEE CORRESPONDENCE
E
/ � f
,
]ij FIi�4 � � A ' 1 ( ( I• il(( �. 1!K �( "!,.. ( _I �I F '
..id•ii161C i1:. ."oil ,'niGa'li:f*
PUT PLAN
1,111ce Jojrj - So r''! wu r,
/V E NLI! /D, e?ON, /6 LJ
P'oF EAU 4.7.4tc6/ Sr LAC/x e'o.
/ ? a !
Q WS! fog
p" /lii, %^ <aAIF SHer! /2ALIf LeT
/411 S/S 383, y3 sEr� tcrs /.lFr
\ Jai
\` ! Ale rATE$
-A
QQo.o/
\ /yAaO A
CI AQ.CA.)
x %L.8 ,Iocx
c E`t i9% QFftF[ IieJ�
s dY.7 z /oo` /YO,IJO Pour
To v SYs. Ei. - 97, 7! S
Lo v reot
a
T � /
t r LadIE
a - At /
�.73� !✓/fS Ea 8S'o/Sdo �dLE .S/fFQ // /
LO wf6u iR.J.r
Ulnirl
D = /7 ft
E = / ?B ft
F = 9 ft
G = S- ft
H = /. / ft
A
= q
ft
B
= 7L. 8
ft
ft
J
= 79
ft
K
= //d
ft
L=eft
W =
Wf.7
ft
4" sch. 40 PVC
observation pipe
w�
d0� �
bg— i
0 0� 1.5ft I
w Y:
Y � CO
0 3 T05ft
N� nO-'
W a 0
S/ TOP SOIL
GEOTEXTILE FABRIC COVERING
ASTM C-33 SAND FILL
s/ TOPSOIL
CROSS-SECTION OF MOUND
Page 3 of 4
UPTURNED LATERAL & ACCESS BOX
OBSERVATION PIPE & WATERTIGHT CAP
,,- DISTRIBUTION LATERAL ( A in. sch. 40 PVC D2665;
Lateral Invert EI.= 8-7 f#
iG
TOE F System El.= 977 ft
3 E• � D
%, Contour El.= 'k6 ft
PLOWED SURFACE.-
%SLOPE J ' - FORCE MAIN (2" sch. 40 PVC D2665)
/✓/ 9 �o ,cOacA✓E a,cFc�cria.r DISTRIBUTION CELL = _! ft x 7,/,8 ft = .ioo ft2 ('/,"-2'/v" aggregate)(Erf Aoorfcr)
%x.0o2ej),/%x7S' Min.Required= 3o0 + /.o = 36b ft2
/o278Y 71-= 718�
i'
a y,7 W
PLAN VIEW OF MOUND
r I Observation pipe
7.9 j 749
B
y' A OX
116E = Distribution Cell
Observation pipe
114
-t--- K
Man'doldFitting
(_ A. sch.
40 PVC D2665)
�.�• 8 ft (Y2"-2'�" aggregate) Distribution pipe
I/ 'K 74.B' ( lyz in. sch.40)
OX= Upturned Lateral
with Access Box
_ I 116E =
1?.2 ft
Prohibit disturbance and vehicle traffic within 15 ft of downslope toe.
L/� ,
Basal Area = /L.9 ft x 75 ft = /1L7 ft2 Min. Required = 3oa + , G = Sa6 ft2
2' Force
Win
HOLE DIANETER
LATERAL DIA.
MANIFOLD DIA.
FORCE MAIN DIA.
P = 73ft.
x = 3 ft.
Y = 3 ft.
PIPE LATERAL LAYOUT OF MOUND
(End Manifold with Aggregate)
_ -5�3z in.
At in. Upturned Lateral w/Threaded
/Xx in. (sch. 40 PVC pu
Plug with 4" PVC Sleeve
pipe 02665)
/Y2 in.
Last Hole 1' yll
3r
Access Box
LATERAL
( In. sch. 40 PVC D2665)
3
Hole P - 75'
HOLES LOCATED EVENLY ON THE BOTTOM OF THE PIPE.
Minimum Number of Holes = 307. 2 ft2 + 12 = &76 Holes
First
Page Y of 4
Permanent Marker
( /%a in. sch. 40 PVC 026654
FORCE MAIN
sch. 40 PVC D2665)
- 4 Holes/Lateral x / Laterals = .4 Holes x 0Sf gpm / (513a') Hole = /yak GPM = SYSTEM FLOW RATE
PIPE VOLUME = _Z.5' ft. Laterals (total) x , 09,? gal/ft. = d, 9 x 5 = 3V S GAL = MINIMUM DOSE VOLUME
PIPE INVERT ELEVATION = ?2-2 ft.
Page .S of 9
COMBINATION SEPTICIDOSE TANK CROSS-SECTION
(DRAWING NOT TO SCALE)
FINAL GRADE MANHOLE RISER & COVER
(per SPS 384.25(7) & (8), approved
% (slope ground surface away from locidng device, & v+oming Zabel; Extend
mantw{a($) for proper tl2inage} manhole riser rs necasary.)
4' Nut. Sch. 40 PVC Tank Vent
ELECTRICAL locatedITabovegradeor24-
4' tut. 12'Schb ve g Tank Vent JUNCTION BOX above Regional Rood Elevation
BU1LDlNGSEWER locatedt2'abovegradelx24-
(Per SPS 382.30(t'I)} above Regional Rood Elevation (comply376
andnd NECNE300 30g) /
_ FORCE
MAIN
OPTIONS
II
I s 6"cover j
i t � � >te'
II
__23'rrtn •i '� _
�YB, MANHOLE ,� yyy __
...... Fare
BOTTOM OFINLET(invetelmalion)1 r _ �tTm-(� Weapl t
{vraSieraler level}--_�__ � --
Q na>¢mme P.�pdraatl
NEsr - GVMC_R_Y 1M1nOt®E
01
yg G f-/o Ficre� Ata m NMI
On Float
<' INLET ApPtaved Elauern Flier
(ke al aatbel `%= Partltl_ Size B t
Required On Outlet Off Float
. . . .' Elev.+
-. .... ...... ....'.......'.'.'.'.. A ....'. ....-...-.-.. ...... 8psd
MINIMUM OF 3" OF SUITABLE BEDDING BENEATH TANK i£ MAXIMUM BURY DEPTH OF 9(r
Anchoring of tank may be required per SPS 303.43(ft)
Tank Manufacturer. Z161/E SC..t 4f`o.�a,r.ErF Daily Wastewater Flow (DWF): .200 GPD
Septic/Pump Size: 8 Yo /S00 gallons Number of daily doses: 53 ( /8. 9 fe)
Alarm Manufacturer. S.T. E- QYe.vQas
Model Number. .4eaa.7" I
Switch Type: /T%6Gh'A ✓/c 4.
Force main volume: 41.S ft x , 09.2 gallft = a, 3 gal
Actual dose volume: 59. I gal - .43 gal = 51.8 gal
(total dose volume - volume of force main)
Effluent Pump Manufacturer. Zo Ects (
Model Number. /5/
DOSE TANK CAPACITIES:
Reserve above alarm
d?S in = 3,74, 4 gal (D)
Minimum Discharge Rate: /Y.o y
GpM
Alarm float above on float
o? in = of 3. G gal (C)
OrdOff float measurement
S in = 59 / gal (B)
Vertical lift (pump off to lateral invert)............
8.7 ft
Off above tank bottom
8 in = 95! G gat (A)
System head (distal pressure 3.S x 1.3 ft):
Y.G ft
a?S ft Force main x /. 9.? 1100 friction factor
. S ft
DOSE TANK, DIMENSIONS -
Filter friction loss.. ------- ........... ................ _�
ft
Length //`/ in
Width 93 in
Total Dynamic Head (TDH): ft
Outlet height "� in
Gallons/inch //. R a2
3
PUMP PERFORMANCE CURVE
MODEL 15111521153
so
45
IS3 '
I
40
35
1
,52
I
---
-- -
I
l
25
151
_
I
20-
_
m
-
1LLONe
0
20 w 4 w eb >o eo ae 10
b GP'^"
/+act.••} •W PER MIN
I i'I (/I' m.5ne.
CONSULT I T Af�' RY FOR
• Tinted dosing panels available.
• Eleddcal alternators, for duplex systems, are available and
supplied with an alarm.
• Variable level control switches are available for controlling
single phase systems.
• Double piggyback variable level float switches are availaable
for variable level long and short cycle controls.
• Sealed Qwik-Box available for outdoor installations. See
FM1420.
• Over 130°F (54°C) special quotation required.
151tIMM53
MODELS
- Coww selection_
Modell Voks-Ph
Mode
simplex
Duphs
N151 115
1
Non1_
6.0_ _
6.0
- 1
kxidw I
2or3
2 a 3
_BN151 115 1
Auto
E751 06
1
Non-
Aub
Non
32
32
1
llrylded :
2a3_
2or3
BEi51 , 230 1
N152 . 115 1
8.5
_
1
_
200
BN1521
115
1
Auto
—Non
Aub
_ _ 8 5
� 4 3
- 43 T
hiduded _
I 1 _
kiduded
2 or 3
2 or 3
2or3--
E152
230 1
9E1521
230
1
Non
1
N153�_
115 1
BN153
715
1
Aub
--705
105
Induded IE153
1 230
1
Non
5.3
1
tor-3
. --.---
8Et531
230
t
i Auk)-
5.3
7Nckded
1. Single piggyback variable level float switch or double piggyback variable level
float switch. Refer to FM0477.
2. See FM0712 for correct model of Electrical ARemator E-Pak,
3. Variable level control switch 10-0743 used as a control activator, specify duplex
(3) or (4) float system.
A CAUTION
TOTAL DYNAMIC HEADlFLOW /G ` of 4
PER MINUTE
EFFLUENT AND DEWATERING
MODEL
151
152
153
FeW
WhimGW.
L-Aes
Gel.
Lin
C7eL
Ulm
6
1"50
189
w
261
n -
281
10
3.0
5
-(38T
170
81
231
70
295
4b
144
53
201
61
231
-
8.1
- -
29
110
4 4
167
52
197
25
TA
1s
51
34
129
42
159
30
9.1
-
-
23
87
33
125
33
10.7
-
_
-
-
22
85
40
12.2
-
-
-
-
11
42
sk"Heat
1 30 e.(9.tm)
I 381(11.6m)
44 R. il&4m)
Model-1 51
3M 45e
1
3719
374
I
I
eR2"
o14s
Models 152 / 153
aim
37M---__T ieR-��
I
� • t
a
I 3711
370
b I 1
� I
I
LE
"Easy assembly"
(pump 8 discharge pipe
�- nol nrcludetl.)
� r �
1
Reduces potential dogging by debris.
Replaces rocks or bricks under the pump.
Made of durable, noncorrosive ABS.
Raises pump 2• off bottom of basin.
Provides Ov ability to raise intake by adding sections of 11/7"
or 2" PVC piping.
Attaches securely to pump.
Accommodates sump, dewatering and efBtlerd applications.
NOTE: Make sure float is free from obstilletion.
For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump.
Copyright 2008 Zoeller Co. All nghts reserved
Page 7 of 9
POWTS OWNER'S MANUAL AND MANAGEMENT PLAN
FILE INFORMATION
i Owner /%/KE .%T041ES
1 Permit
DESIGN PARaD1ETERS
Number of Bedrooms (100 gpd/bedroom)
a
NumberotCommercial Unite
Estimated [low (average)
Op gal/day
Design flow (DWF) =estimated x 1.5
.3pa gal/day
Soil Application Rate
/Q gal/day/ft'- ;
InfluentiEffluent Quality (❑ NA)
I
Monthly Average
Fats. Oil & Grease (FOG)
<_ 30 mJL
Biochemical Oxygen Demand (SODS)
5220 me/L
I
Total Suspended Solids (TSS)
< 150 mgil-
Pretreated Effluent Quality IN NA)
Monthly Avcrage
Biochemical Oxygen Demand (BODS)
530 melt.
Total Suspended Solids (TSS)
; <_ 30 mg'L
Fecal Coliform (geometric mean)
< 10 cfu/100mL `
Maximum Effluent Particle Size
I US inch diameter
Dispersal Unit Mfg./Model Number:
SYSTEM SPECIFICATIONS
Septic Tank Capacity
O gal
O NA
Septic Tank Manufacturer
/ 6,e e&iKA re O NA'
Effluent Filter Manufacturer
bE T
O NA
j Effluent Filter Modcl
6F--110
17 NA
� Pump Tangy Capacig --T
SOO
gal 0 NAj
Pump Tank Manufacturer
Allesa.t: 4aa A.
❑ NA
Pump Manufacturer
Zd "4ek
O NA
?umModel
157
O NA•
Pretreatment Unit (ZNA)
Cl Sand/Gravel Filter
O PeatFilter
Q Mechanical Aeration
O Wetland
O Disinfection
❑ Other:
Manufacturer.
Model:
Soil Absorption Component (O NA)
OIn-ground (gravity)
OIn-ground(pressurized)
0 At -grade
29 Mound
O Drip -line
❑ Other:
Verticai Distance Tank Bottom to Service Pad: /J li
Horizontal Distance Tank(s) to Service Pad: /60
ft I
NA
Calculations:
Soil Dispersal End Cap (Dispersal Unit EISA)
D1VF — Application Rate AreaRequire - EISA - or (Trench Width) = Units or Total Length ofTrench(s)
7.d.3
O "Design of Pressure Distribution Nenvorls for Septic Tank -Soil Absorption Systems" Publication 9.6 (SSWlvfP Manual)
"ICC Flowtech Mound Component Manual" Version 12
❑ "E7 Flow Mound Component Manual" Version 8/20i2007
❑ SBD - 10854-P (R.1 / 12) "At -Grade Component Manual Using Pressure Distribution" Version 2.0
O SBD- 10705-P (N.01 iOl)"In Ground Soil Absorption Component Manual" Version 2.0
❑ SBD - 10691-P (N.01101) "Mound Component Manual" Version 2.0
Q SBD - 10657-P (R.6/99) "Drip -line Effluent Disposal Component Llanual"
O SBD - M706-P (N.01/01) "Pressure Distribution Component Manual" Version 2.0
MAINTENANCE MONITORING SCHEDULE - MAINTENANCE AND R4ANAGLINIEN t
Service Evcnt I Service Frequency
Pump/inspect dispersal cell(s), clean filter 1 At least once every: ® 13 months 9 3 years O Other:
1nsoeet pump 8c gum m controls, alarretreatment unit At least once every: ❑ months DI years ❑ NA
m,.�t ?cat tatrratc I At least once event M months M 3 years ❑ NA
START UP AND OPERATION: For new construction, prior to using the POWTS check treatment tank(s) for the presence of painting
products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have
the contents of the tank(s) removed by a septage servicing operator prior to use. System startup shall not occur when soil conditions are frozen
at the infiltrative surface.
The property owner is responsible for the operation and maintenance of the POWTS and submission of required reports The quantity and
quality of the wastewater stream will affect the performance and longevity of your POWTS. The installation of water -saving appliances and
fixtures alone with prompt repair of leaks reduces the wastewater volume. Also the brine or waste from water softeners, iron removal units,
other clear water treatment devices and foundation drains should be discharged to the ground surface whenever possible. Note: this does not
include laundry waste. showers, dishwater. etc.
This system is designed to handle domestic strength wastewater; however, the disposal of rood based greases, oils, vegetablelfruit peels,
seeds, bones; and food solids, such as those produced by a garbage disposal should be minimized. Toilet tissue is the only paper that should
he discharged into the system. Other non -biodegradable items, such as baby wipes, tampons, sanitary napkins condoms, cigarette bulls,
dental floss, and cotton swabs, should not enter the system. Chemicals, such as petroleum products, paint, disinfectants, pesticides,
antibiotics, solvents, etc., should not be flushed into the system b=usethey can seriously damage your POWTS and contaminate your
drinking Water supply. Maintain a regular steady now by spreading laundry washing throughout the week. Avoid vehicle traffic over
all system components. Compaction Of snow over thed ispersal unkmay cause it to freeze up.
INSPECTIONS & MAINTFN4NCE: Inspection shall be made by an individual carrying one of the following licenses or
certifications: Master Plumber, Master Plumber Restricted Sewer. POWTS Maintainer, or Septage Servicing Operator (per the attached
Maintenance Schedule). Tank inspections must include a visual inspection of the tank to identify any missing or broken hardware,
identify any cracks or leaks, measure the volume of combined sludge and scum and cheek for any backup or ponding of effluent to the
ground surface and test all electrical equipment such as pumps and alarms. Any defects shall be promptly corrected. Exposed openings
greater than 8 inches in diameter shall be secured with effective locking devices to prevent accidental or unauthorized entry the tanks.
When the combination of sludge and scum in any tank exceeds one-third (I i,) or more of the tank volume, the entire contents of the
rank shall be removed by a Septage Servicing Operator and disposed of in accordance with Ch. NR 113, Wisconsin Admin. Code.
Specific servicing mechanics must be provided i7 vertical is >15 feet or if horizontal is>I50 feet and instructions to be provided below.
the outlet filter(s) shall be inspected and cleaned to remove any accumulated solids according to manutacturer'sspecifications. Solids
washed from the filter shall be retained in the tank. Filter cleaning may be necessary at more frequent intervals than stated in the
maintenance schedule to keep the system operating.
Alarm, should be tested on a regular basis by the home owner. If an alarm sounds, contact an individual licensed to service POWTS_
There is normally a 1 day reserve under regular operating conditions, however water should be conserved until any problems with the
system are corrected to prevent back-up of sewage into the dwelling or surfacing.
ABANDONMENT: When the POWTS fails andior-is permanently taken out of service the following steps shall be taken to ensure that
the system is property and safely abandoned in compliance with Ch. SPS 383.33, Wisconsin Admin. Codc:
All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed.
The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator.
After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil,
gravel, or other inert solid material.
CONTINGENCY PLAN: if the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a
code compliant replacement system:
A suitable replacement area has boon evaluated and may be utilized Cur the IOeation of a replacement soil absorption system. The
replacement area should be protected flnm disturbance and compaction and should not he infringed upon by required setbacks
from existing and proposed structure, lot lines and weAs. Failure to protect the replacement area renders it unusable. Replacement
systems must comply with the rides in effect at the time orreplacement.
A suitable replacement area is not available due to setback andtor soil limitations. Barring advances in POWTS technoiog;, a
holding tank may be installed as a last resort to replace the failed PO�YTS.
if The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must
be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a Iasi
resor to replace the failed POWTS.
00 Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative
surface. Reconstructions ofsuch systems must comply with the rules in effect at that time.
WARNINGM! SEPTIC, PUMP, AND OTHER TREATMENT TANKS 13AY CONTIAN LETHU, GASSES AND/OR INSUFFICIENT
OXYGEN. DO NOT ENTER A SEPTIC, PUiVIP. OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH
MAY RESULT. RESCUE OFA PERSON FROh1 THE INTERIOR OFA TA N K MAY BE DIFFICU LT OR IMPOSSIBLE.
ADDITIONAL CONIMENTS:
POWTS INSTALLER POWTS MAINTAINER�
Name: Jow.� lEc.KE /V/- .t3/3Vir Name: 'W'r 1AW&O
Phone: 715- G72- .id CC I Phone: 715' f72- S�CL
SEPTAGE SERVICINTG OPERATOR (Pumper) ? LOCAL REGULATORY AUTHORITY nn
Name: j Name: j' CA-0/X Zp,0*1ow oJ/!Y N6ti tw/�l rT
Phone:-.- ��
hone: 7/S JBL- '1G80
�I
0
�Installation Instructions for the GF10 Filter
0
Step 1: Locate and remove
the septic tank cover, on
the outlet side of tank.
Step 4: Glue the filtercase onto
the outlet pipe. Insert the filter
cartridge into the case. (Make
sure the filter Is completely
inserted Into the case.)
o, Tdew
HNOLOGY
�i
7
Step 2: Before installation,
place the filter case on to
the outlet pipe. Make sure
the case is positioned so
the filter can be removed
front the tank for mainte-
nance and service
Step 3: For installations that
require or desire additional
support. (If additional support Is
not needed, go to Step 4) Glue a
section of 1"Sch.40 pipe to the
two hubs located on the bottom
of the case and the hub located
on the side of the case.
Mf t�
Step S: For installations where it will
be difficult to reach the handle, piace
1 •' Schedule 40 pipe into the tee on the
handle and extend it to height that will
make it easy to remove the filter.
.c. � rs r r r r na � m vy reu •w aw yr ur r w r w �
I Installation of an Some as anew system only the septic tank
! existing system. must be pumped prior to installation. g
Z w 1010 — — car ur r rw a rx, mr e M car. un am mu ea M sw &A
Maintenance of the GF10 Filter
A time frame in which septic tanks are serviced is set by state and local codes.
Although they" be different, most regulatnty agencies suggest two to five
years. We recommend the GF10 filter be cleaned when the septic tank is normally
cleaned and pumped, or as needed.
WARNING: If the liquid level in the tank is above the top of the
filter, pump the tank prior to removing the filter cartridge.
rsaamhazeas�aa:N t<� n
0 CAUTION: USE RUBBER GLOVES WHEN HANDLING FILTERSI
Step 1: Remove the septic tank cover
and pump the tank if necessary to
prevent any solids from escaping to the
field when the filter is removed.
h2t
ww'U ta,w
Stop 2: Pull the filter Stop 3: While holding the
Step 4: Insert the cartridge
handle and slide the filter filter cartridge over the
back into the case making
out of the case. access opening of the tank,
sure that It Is properly
rinse the cartridge off with
aligned and completely
freshwater. Take care to
inserted into thecase.
make sure all solid material
falls back into the tank
f.'b&:_9??�t4nR�t�'�,'�c4ns2Rr?aef'i!:tRCitt]titi�'k?n�:y;;tfi.Uid'tt�°tM/n. .fs�l, : '.>,#+� . h:
r:!1Sii;ThR?�1W[^W+,i9+u",%'M.Ili,EiifiR5�?.dlpSfiiL
TBEST
3 Fairfield Blvd, Wallingford, CT 06492
14877J65-SM Fax: 203-284.8514
Wisconsin Department of Safety and Professional Services
Division of Industry Services
SOIL EVALUATION REPORT
In accordance with SPS 385, Wis. Adm. Code
COumy
ST Cratit
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.
008 1027-9Cr360
Please print all information.
I Reviewed by
rsnn Pwat information vnu nmwde may be used for secondary Purposes (Privacy Law. s. 1,5A4(1)(m))
Property Owner
Mike Jones
I Property Owner's Mailing Address
12439 50TH AVE
City State Zip Code
,Woodville 'WI 54028
Page 1 of 2
Date
iProperty Location:
GovL Lot: NE '/. NW '% S 10 T 28 N R 16 W
Lot # Block # Subo. Name or CSM#
'6 28-6367
Phone Number ❑ City ❑ village ® Town Nearest Road
I I Eau Galle SOTH AVE
® New Construction Use: Q Residential/ Numberof bedrooms 2 Code denved design flow rate 300 GPD
❑ Replacement ❑ Public or commercial — Descnbe: (shop with bathroom and sink: sizing for potential 2BR residential use) i
Parent material Loamy and sandy drift (Renova L) Fioodplein elevation if applicable PIA ft.
General comments and recommendations: Recommend m-mmum 20• and on Powys mo�nc on 96.00 m1tour wm, 0.69pdYt2 ;oady,y rate.
LF = 16-(Redommorph,c satures)
1— Boring #
❑ Boning
0 Pit Ground surface elev. 94.00 ft. Depth to limiting factor 16 in.
Soil Application Rate
Horizon
Depth
In. i
Dominant Color Redox Description
Munsell Qu. Az. Cont. Color
Texture StructureConsistence
Gr. Sz. Sh.
Boundary
Roots
GPD/Ft'
•Eff#1
•Etf#2
0-5
1 OYR 3(3
sl 2mgr mfr
cs
2f-vf
0.6
1.0
i 2
5-20
1OYR4/6
s
Osg loose
gs
1vf
0.7a
1.6a
3
20-24
10YR 416 f2d 7.5YR 4/6
s
Csg loose
aw
0.7a
1.68
4
24-27
1OYR 5/3 mid 7.5YR 518
Ivfs Osg I loose
aw
-
0.4
0.6
5
27-48
10YR 3/6 m2d 75YR416 s tCYR 612
1 cos Osg loose
0.7a
1.Ba
'Horizons 2 8
4 also had 4YR
404 at lemellae ands
I, 2 I, Boring #
❑ Boring
® Pit Ground surface stay. 96.50 ft. Depth to limiting factor 26 in.
Soil Application Rate
Horizon
Depth
In.
Dominant Color Redox Description i Texture Structure
Munsell Qu. Az. Cont. Color i Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/Ft2
Eft#1
Eff#2
� 1
0-9
10YR 313 1
si T If-mgr I
mvfr
cs
2m-vf
0.6
1.0
2
9-26
10YR 5/6
i s 0sg — I
loose
cw
1vf
0.7e
1.6a
3
26-36
1 OYR 416
f2d 7.5YR 416
fS Osg
loose
Cw
OS
1.0
4
36-50
1OYR 416
m2d 7.5YR 4i6 d 10YR 6,1'
COS Osg
loose
0.7a
1.6a
Effluent #1 = BOD. > 30 5 220 /L and TSS > 30 5 150 mg1L Effluent #2 = BOO. > 30 5 220 mglL and TSS > 30 s 150 m
L
CST Name (Please Print) Signature CST Number
Ryan Bethel 1 SP-1 11500001
Address Date Evaluation nductetl I Telephone Number
1779 spring Creek RD S. Red Wing. MN 56066 09130120 _ _ 1(651) 327-0074
StSU-sasu tHuan bI
Boring #
❑ Boring
Q Pit Grounc surface elev. 96.00 ft. Depth to limiting factor 18 in.
Soil Application Rate
Horizon
Depth Dominant Color
In. Munsell
Redox Description
Qu. Az. Cont. Color
Texture Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/Ft'
Ert#1 '
'Eff#2
1
0-9
1OYR 313
-
sl 2mgr
mfr
cs
2f-vf
0.6
1.0
2
9-18
10YR 5/6
s Osg
loose
cw
1vf
0.7a
1.52
3
18-22
10YR 5/6
f 1 d 7.5YR 418
s Osg
loose
cw
0.7a
1.6a
4
22-25
7.6YR 414
ftf 7.5YR 4/6
Ivfs Osg
loose
cw
0.4
0.6
5
25.44
1 OYR 416
Qd 7.5YR"& 10YR 512
s-fs osg
loose
0.5
1.0
I
i
i
.Horizons 3 3
also had 7
414 sl lemellae
ds
I� Boring #
❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor _ in.
Soil Application Rate
Horizon
Depth
In.
Dominant Color Redox Description
Munsell Qu. Az. Cont. Color
Texture I Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/Ftz
'Eff#1
'E4#2 i
I
I
I
i
,
i
I
(
'
I
751
1 Boring #
❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor _ in.
Sal Application Rate
Horizon
Depth
In. j
Dominant Color Redox Description Texture Stmcture
Munsell Qu. Az. Cont. Color Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/Ft'
'EW
'Eff#2
I
i
I
i
1
Effluent #1 = BOO. > 30 9 220 mg/L and TSS > 30 s 150 mglL ' Effluent 02 - BOD. � 30 s 220 mg/L and TSS > 30 s 150 mg/L
)esigner. Ryon Bechel
:e(tified Sol Tesler. SP-111500001
)esigner of Engineering Systems: D 2263-7
*479ADVA.NCED
**Well to be located >50ft
from system components**
'AN property lines not U Renchmark
drawn are > 1000 from
system 4�, Soil Boring
WALF
25'
0' s0'
Septic T'aak:
sysreu NFTF-41
--P/L -
\ i grade at ---- —Pn—_
11 l V, PVC - —t
pipe \
t t ` A/a S'FA:
m^ --A/>t- Re;mnd nidT Y srdAt F134TS wow
TREES - f ' G,iWw-9G.09
BN2 \ � /, -Sow =l%
Tree line
Edge of 66'
BMl = 100.00 driveway
y / / Distribufiaa:
Top nail in deciduous easement `, / / xemwai / / SY . tepnre Pressure A,4v,xr
70lo
'
hardwood iabove grade
-; to west \\
P.L.
\I-
\\ +, \ $
Top of
shed pad —
\ y \
\ +
B3
E ge of 66'
+ i
)+
Buried
I
d vewe
\+\
// S. \ \
\\\ \ \\\
utility
f /
easement
\ c/
I
N.
O(A71014 MAP (not to=a*)
m (94
BOTH AVE
—T
PRF.PARF:P FOR:
Mike lanes
Site Address:
2439 50TH AVE
f h 1
Woodville, Wt 54028
/ F• \ \ \ l \
/ f %, \ \ PIN' 008-1m, \ \ PID: 020.01014.08I0
12419 Acres
\ \
i j \ \\a \ \ legal: Lot 6 CSM 28-6367
/ i \\ \\ \ \\ NE NW S10 T28N RIGW
_ Town of Eau Galls
Certifi,d StntM»nL• 7Ns quern has boon dm+gnee «�d Ir.oluot,d in amardona with State and Local enM, The wd VeabrAnt ona mwt mmoin Prosected from 6,torbones aM/« wmpomon bef" one oftr /J Wi.n W Wei .. I ". l .l . CK ltl, .,, ' . io , .YA/'MW YNS\IltCl V ( -._ — y � O .— .-- — —. — ti
. ST. CRO PJNTy SANITARY SYSTEM File #:
Office Use Only
" OWNERSHIP/ADDRESS FORM CreateG2/2021
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.
OWNER/BUYER INFORMATION
Owner/Buyer
Mailing Addr(
City/State/Zip a)ncyi Lli! l-i 60_z_- -5-40 Z 8
Phone Number
Email Address (r
Parcel Identifica
(found on the property tax bill)
NEW SYSTEM: LEGAL DESCRIPTION
Property Location N E 1/4 , l�l 1/4 , Sec. 16, T '7N RjW, Town of e-44 c[ (Da IV Ch
Subdivision Plat: , Lot #
Certified Survey Map # (V Volume 30 Page #
Warranty Deed # �2- �� �O (before 2006)Volume . Page #
Number of bedrooms Spec house 13 yes O no Lot lines identifiable ❑ yes 0 no
New Property Address
(Staff Initials)
OFFICE USE ONLY
(Verification of new a(yess required frorn Community Development Department for new construction.)
(Date)
This form must be submitted with all Private Onsite Water Treatment System (POWTS) applications.
New System: Include with this form a recorded warranty deed from the Register of Deeds Office and a copy of the certified
survey mop if reference is made in the worranty deed.
Community Development Department — Land Use Division
715-386-4680 St. Croix County Government Center
cdd@sccwi.aov 1101 Carmichael Road, Hudson, WI 54016
715-245-4250 Fax
wwv✓Sccwt.gov
/U a k%v v.q cS —Will �aF be..� azdZ ,r�s�
Cal �11��
�Ou
Document
St. Croix County
Accessory Structure Affidavit
Name — ( ner) Typed or printed
He/she is the legal owner of the following parcel of land located in St.
Croix County, Wisconsin with their deed or document of ownership interest
recorded as Document Number \Q44 -) (o St. Croix County Register
of Deeds Office.
This property is described as follows (include lot no. and subdivision/CSM
or detailed legal description):
IiQ7 8RIu1 4YIIY
1129922
BETH PABST
REGISTER OF DEEDS
ST. CROIX CO., WI
RECEIVED FOR RECORD
05/12/2021 03:05 PM
EXEMPT #:
REC FEE 30.00
PAGES: 2
Name aad Return Address
�. c):70c5X o20U
�o e
OR:
Parcel Identification Number (PIN)
See attached deed copy for legal description.
As owner of the above described property, I acknowledge that there are two Private Onsite Wastewater Treatment 01
Systems (POWTS). One serves the existing principal dwelling and one will serve an accessory building on this lot.
This accessory building may not be used as a second residence on this parcel. I also acknowledge that I will disclose
this information and stipulation to any future parties interested in purchasing this property.
Dated this —AQ,_— day of�.
rk
—dW3AEJ4TICATION
Signature(s) {
r
authenticated this day of,
TITLE: MEMBER STATE BAR OF WISCONSIN
(1 f not,
authorized by § 706.06, Wis. Scats.)
THIS INSTRUMENT WAS DRAFTED BY:
St. Croix County Community Development
(Signatures may be authenticated or acknowledged. Both are not
necessary.)
St. Croix County 1129922 Page 1 of 2
ACKNOWLEDGMENT
STATE OF WISCONSIN )
)ss.
St. Croix County. )
Personallythe abovetccamme before me this l� day of _
P'MkU l_ed I�i�CZ�Yi
to me known to be the
person(s) who executed the foregoing instrument and acknowledge the
same.
* �iwu�u fir .r� or ti
Notary Public, State of Wisconsin
My Commission .s ermanent. If not, state expiration date:
Date: ^ �\tdiN lIIIB r.. / e/[
a
Wiscon
� r��I��pp
ri gpn[a( r� Mi�
ional Services
Page 1 of 2
Division
}InHJs r �er4k� Lr
DEC 2 3 2020
SOIL EVALUATION REPORT
In accordance with SPS 385, Ms. Adm. Code
County
ST Croix
Attach coml late site IM, �Lfl4lt ass tha
8 1/2 x 11 inches in size. Plan must include,
but not limit
�o en
point (BM), direction and percent slope,
Parcel I.D.
_�
w 022 C/o . ?0
t h+—Ld
scale or di
distance to nearest road.
D
Please print all
Information.
Rgvie�lfred by
` A ^ Da e/
Personal informabon you provide may be used for secondarNy ourDoses Privac Law, s. 15 04 1 m or.Al. I - It V
Property Owner Property Location:
Mike Jones Govt. Lot: NE Y. NW '% S 10 T 28 N R 16 W
CSM#
Property Owner's Mailing Address Lot # Block # Subd. Name or
243950THAVE �8636�- 30,e�9T�p
City State Zip Code Phone Number ❑ City ❑Village I] Town Nearest Road
Woodville IWI 154028 L I I I Eau Galle 50TH AVE
Q New Construction Use: X Residential /Numberof bedrooms 2 Code derived design flow rate 300 GPD
❑ Replacement ❑ Public or commercial - Describe: (shop with bathroom and sink; sizing for potential 2BR residential use)
Parent material Loamy and sandy drift (Renova L) Floodplain elevation if applicable NA ft.
General comments and recommendations: Recommend minimum 26" sanddift POWTS mound on 96.00 mowur with 0.6gpdtft2 wading rate.
LF = 16" (Redoximorphic features)
❑ Boring
1 Boring # 0 Pit Ground surface elev. 94.00 ft. Depth to limiting facto 16 in.
Cnil ennlirnlinn Rain
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/Ft2
•Eff#1
`Eff#2
1
0-5
10YR 3/3
sl
2mgr
mfr
Cs
2f-vf
0.6
1.0
2
5-20
1OYR4/6
s
Osg
loose
gs
1vf
0.7a
1.6a
3
2>24
10YR 4/6
f2tj.5YR
s
Osg
loose
aw
0.7a
1.6a
4
24-27
10YR 513
m1d 7.5YR 5/8
Ivfs
Osg
loose
aw
0.4
0.6
5
27-48
1 OYR 316
12d 7.5YR 416 & 10YR 612
cos
Osg
loose
0.7a
1.68
'Horizons 2
4 also had 7
YR 4/4 sl lemellae
ands
2 I Boring #
❑ Boring
Pit Ground surface elev. 96•50 ft. Depth to limiting factor26
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/Ft2
'Eft#1
-Eff#2
1
0-9
10YR 3/3
sl
2f-mgr
mvfr
cs
2m-vf
0.6
1.0
2
9-26
1OYR5/6
s
Osg
loose
cw
1vf
0.7a
1.6a
3
2 6
10YR 4/6
f2d 7.5 4/6
fs
Osg
loose
cw
0.5
1.0
4
36-50
10YR 416
m2d 7.5YR 416 & 10YR 6/2
cos
Osg
I loose
I
L 0.7a
1.6a
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
09/30/20
(651) 327-0074
3
f
❑3 Boring #
onng
a Pit Ground surface elev. 96.00 ft.
Depth to limiting factor
1. 8 in.
Snil AnnlirafiM Rat&
Horizon
Depth
In.
Dominant Color
Murrell
Redox Description
Qu. Az. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/Ft2
'Eff#1
'Eff#2
1
0-9
10YR 313
sl
2mgr
mfr
cs
2f-vf
0.6
1.0
2
9-16
10YR 516
s
Osg
loose
cw
1vf
0.7a
1.6a
3
1 22
10YR 5/6
fl d 7.5YR 4/8
s
Osg
loose
cw
0.7a
1.6a
4
22-25
7.5YR 414
f1f 7.5YR 4/6
Ivfs
Osg
loose
cw
0.4
0.6
5
25-44
10YR 4/6
m2d 7.5YR 416 & 10YR 512
s-fs
Osg
loose
0.5
1.0
'Horizons 3 &
5 also had 7.5
R 4/4 sl lemellae b
ds
❑ Boring #
❑ Boring
❑ Ph Ground surface elev. ft. Depth to limiting factor _ in.
Roil Annlirefmn 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
'Eff#2
Boring #
❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor _ in.
Rnil Annlirafinn Rafa
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/Fe
'Eff#1
'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 s 150 mg/L
Boring #
EM'Mri
❑� Pit Ground surface elev. 96.00 ft. Depth to limiting factor 18 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/Ft2
'Eff#1
,Eff#2
1
0-9
10YR 3/3
sl
2mgr
mfr
cs
2f-vf
0.6
1.0
2
9-18
10YR 516
s
Osg
loose
av
1vf
0.7a
1.6a
3
1 -22
10YR 516
fl d 7.5YR 4/8
s
Osg
loose
cw
0.7a
1.6a
4
22-25
7.5YR 414
f1f 7.5YR 416
Ivfs
Osg
loose
cw
0.4
0.6
5
25-44
1 OYR 4/6
m2d 7.5YR 416 & 1OYR 512
S-fS
Dag
loose
0.5
1.0
*Horizons 3 &
5 also had 7.
R 4/4 sl lemellae b
ds
❑4 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/Ftz
•Eff#1
•Eff#2
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/Fe
Eff#1
'Eff#2
' Effluent #1 = BOD, > 30:5 220 mg/L and TSS > 30 5 150 mg/L ' Effluent #2 = BOD, > 305 220 mg/L and TSS > 30 5 150 mg/L
Designer. Ryon Bechel
Certified Soil Tester: SP-111500001
Designer of Engineering Systems: D 2263-7
1\
\
\ + to west
\.\ P.L. \ \ \
ADVANCED
L N v l RON M E N'AL
**Well to be located >50ft
from system components**
-----�P/L E
grade at
In PVC
pipe
BM:
;L
10/0 1 hardwood 1above grade
o Top of
I shed pad r
3 =106.00
Dl
o�
Edge of 66' Buried z
driveway \ / / `\ \\ \ \ utility
easement
\ \ l l
\\ \\ \\ PIN: 008-1027-90-100
Cenaled Slalenenl: This geWn has been duWwd and waludst! In aaamdanae with Stale and Lard codes The soil treatment am must rennin protected from disturbanos and/or `compoetlon before and after
carwtnxilon. NO WARRANTY IS WOE TMMT 714S SYSTEM WILL CONTHK TO FUHM N INOEFlMTElY. Syelwn nut be propwy mdnlaled. Rw/tew your sye*wn•e monogwrw d pan fw irdomwtlon on proper core and
malnlwnnoe.
`All property lines not O Benchmark
drawn are >100f1 from
system Soil Boring
SCALE
25'
0' 50' '
/ r i
Tree line
Edge of 66' /
driveway l i
easement
Tank:
Pump Tank:
STA:
Aecammend minimum 20" sardM POWs mound on
96.00 contour with 0.6gpd0f loading rate
-Depth to res"n = W (Redoximorpix teakres)
Contour = 96.00
Slope = 7%
Distribution:
,Syspm aimWh pressure detibution
LOCATION MAP (not to scale)
m I-94
50TH AVE
PREPARED FOR:
Mike Jones
2439 50TH AVE
Woodville, WI 54028
PID: 020-01014-0810 12.018 AC
ge , 69%
Legal: Lot I CSM A--83i7
NE NW S10 T28N R16W
Town of Eau Galle
Scale: V= 50' Date: 9130/20
ti.
F Co
/ Jj
FILED �a
FEB 2 vA
12Aw ► I{v
om
iLcm
IU69mcl r1ets11 Il
NR CORNER
lEr. ro CEP T I F'
atuw,Nuw I ED SLIP VE Y MA P
CAP FOOD Located in the NEI/4 of the NW IA of Section 10, T28N, R16W, Town
T of Eau GaLlet St. Croix County, Wisconsin, including Lot 1
+ Soo^OO'Oer Owners: Mike & Debbie Jones of that CSM reengAded in
Ilt:.e' 2447 50th Avenue Vo1.8, X.
2 09•
q Woodville, WI 54028 lBearings ref enced to the
— — North line the NW 1 J4 of
DETAIL .y Nor TOSCAL Con airing (and being a replat) Section 30 assumed to be
: of th Certified Survey Map S 00'00"E.
recor d in Vol. 8, page 2209.
UNPLATT LANDS
T _ — "Zr-aW1 nX0 e•- 7.4W r`A r — - -.T •� �.
_1—slTei* — — — — ,
N,RrH LINE OFTHE NWr/a
.....-. IP.O' srteAtw...-ultf _................. s '
Note: this private road ease-�
meet will service Lots 2 and 4
(L®71- a
N Z
1,256,178 Sq. ft. (28,84 Ac.)
OE i
including right-of-way.
N _
1,222,799 Sq,ft.(28.07Ac.)
144 Z
excluding right-of-way.
A
", `
Note: Easement recorded
mm o
on CSM in Volume 8, page
..�
2209 • This will be a
lf1
joint driveway easement for
u7
Lots L and 3.
0IU
APPROVED
Z11
P1wJ.. - l:RO1X COUNTY
_wp
FEB 2 4 2000
J
�
11 not mcorded wWsn 30 days
� w
6CptOV1l
m; a
nul and vea�ehftl
rwlvad
o: l
Note: Rock pile at SW
j1
corner, witness corner
I
found SOZ'55'33"W 8.55'
ZI
from corner.
vi'
V1
SOUTH L,
NOO.00
3l.00'
I
N✓4 CORNER
RlN00140"£ r�
,
SEC. I04I-/6
dry.
.. ... ....._. ell r'.......,-. �+i . .... ....... ..........
.00140,E _
....
'`•
COUNTY
SURVEY
sr.., r'
q •((UU
RAIL
'
FOURO.
N9iL 07r
0•
3
:21a.as,
' •'Al
90.A' Mai J 4 'T,
6
SLAY'
A' a11' ,1'IM,.N/,YC
L 0
0 SO. F.r•
r ! ACRE! I
/ 1
I
I
I
I
I
Ilo,sel saFrl
UW
3.00 ACRES'
1
N
m,
N
G
O
!L 1
ID
I
.... _. inn. nrl. _.
.....
r I Ni
,YII <
101E x
LOT 3 ACREAGE
140,097 Sq.ft.(3.22 A°A
including right-of-way,
129,835 Sq.ft (Z.98 A)"
excluding right-of-walo
WI
sO£•55'!!1R
S 89'58' 190W 1320.74'
1'1D
UNPLATTSD L.LAN DES
LEGEND
;
5.•
Sr CRO/N COUNTY SECTION CORNER !AS 'VOTED).
o°
„0
O
I"X24",,ROM PIPE WEIGHING Ase Las. /LIN. FT. SET.
N 0
0
I"/ROM PIPE FOUND.
Ow
2
IRl
PREVIOUSLY RECORDED INFORMATION.
S114 CORNER
Q
CURVE NUMBER.
SCCr,oa ,o.11-,1
I P' PROM PIPE FOU NOI.
OLD LOT I LOT C INC /C.S.M. V.0, P. Z209A
SCALE /N FEET I 200'
f� O 200 400 600
This instrument drafted by,-�Q�1t 4992656
Vol. 14 Page 3815
fic"AW60 *tUclum
. 00MCOUNTY
NO, 633378
STATE SANITARY PERMIT
OWNER
PLUMBE 1.f
TOWN OF
SEC0 ,T N, R.
AND/OR LOT
C
PREVIOU
LICX 29104
BLOCK
SUBDIVISION
NO 3533IS'"'>
;6wn
CHAPTER 145.135 (2) 4CONSIN STATUTES
In
(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.
(f) The sanitary permit is transferable.
History: 1977 c.168; 1979 c. 34,221; 1981 c. 314
Note: If you wish to renew the permit, or transfer ownership of
the permit, please contact the county authority.
L �yU HOPZED ISSUING OFFICER - DATE 14'( *OW46 f
PERMIT EXPIRES (� UNLESS RENEWED BEFORE THAT DATE
POST IN PLAIN VIEW
VISIBLE FROM THE ROAD FRONTING THE LOT DURING CONSTRUCTION
SBD-06499 (R11/20)