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002-1021-40-075 (2)
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) personal information you provide may be used for secondary purposes [Privacy Law, s 15 Da (1)(m)j TOWN OF BALDWIN csi HM tiev Insp BM Elev BM Description rr BD.O Ioo.Or '� p o4�- l PVC (-XPe- TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ` . iE �.n �/V �A rJ V Dosing �l..C1`� Aer % Z �� �t e Ho TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic 'SD f > !Ofl` Dosing ,k H w J13$ ` f � ton Aerz Holdi PUMP/SIPHON INFORMATION Manufacturer e n GP Model Number �2 5-0 j; TDH Lift p-5�fj tem atli TDH rT` Forcemain L um1 Dist to Well SO111RPTION SYSTEM RENC Width 1 Lengll DIM IS L!{ SETBACK SYSTEM TO INFORMATION Type Of System lYlountip DISTRIBUTION SYSTEM >Sor1'�'I2.o1>190 DATA Bench M W `AIM ua M'�=lrA i lti:l CHAMBER — UNIT HeaderfManifold Distributtiioon7 �[I t II •Y4 I �2" � zHole Size ' xHole Spacing t Vent to AAirlpntake Length Do L ngth T 7 Dia Spacing 32— 3 • 0-� SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth of xz SeededlSodded xx Mulched BedlTrench Center Bed/Trench Edges Topsoil El L No —1 Yes ❑ No COMMENTS: (Include code discrepencies, persons present, etc.) Location: No Address Available 1 ) Alt BM Description = 2 ) Bldg sewer IengI Aw - amount of cover = u SD t Cooed',3)q to 10 �yr. a Plan revision RYes x No �other side for additional information.6"iJ (C.. I� tSignature ,[ l/ JT.1•{•��A�Kr- D �51 �Yc4. (9\ r C C AU ��A.AS��.rnsac� Inspect' n #1 { spa on #2 `(_w 12,021 pUMTztayT P� °F County ' r l �I�%/�I�jn/7 I E D Industry Services ision St Croix Sannary Permu Number (to be Filled m by C'o ) / �Ijj��]] a S . lllCJii 1400 E Washington Ave P= P.O. Box 7162 MAR 1 5 2�2 Madison, WI 53707-7162 / p 63� Z86 o"Ritonn>• lm tot pr�pplCation t't' coon qumber �l m e e��m �t� ae In accordance rash SPS _rtr-Mi�yuYrter» n of this form to the appropriate gove umt I S-022100182-C is required prior to obtaining a san Lary permit Note. Application forms for state-owned POW TS a • sub ed to the Department of Safely and Professional Services Personal information you pr ray use ors at), Project Address (ddifferetn than madme address) purposes in accordance with the Pin ac y Law, s 15 04 11 m , Slats Cis Rd E 1. Application Information — Please Print All Information 2ii GT ie L Property Owner's Nanie 3 s3 lip 11 Amon Daimick ,� Parcel 4 •'1 d a _ y 0 _ O% S <t� „ %o Proper} Owner's Mailing Address e Property Location 2215 Holly Curve /� C /// ��� Govt Lot SW 1/.,SW A Section 10 Cits. State ` Zip Code PhoneAumber Hudson, WI 54016 715-781-4137 (circle are) 729N R16EorO If. Type of Building (check all that a ly) Lot N ®1 or 21 amdq Dwelling — Number of edruams� QJ. Subdisnion Name ❑ Public/Commercial— Describe Ilse Block N ❑ Cav of ❑ State Owned— Describe Use CSM Numbe - E] Village of 041 own of Baldwin Ow 1541 17 Ill. Typeof Permit: Check only one box on line A. Complete line B if applicable) A. ® New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Onh ❑ Other Modification to Existing System (explain) B. ❑ Permit Rcoewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to Now List Previous Permit Number and Date Issued Before Expiration Plumber Owner i 1V. Type of POWTS System/Component/Device: Check all that apply) ❑ Non -Pressurized In -Ground ❑ Pressurized In -Ground ❑ At -Grade d ' r.& ab i f Mound < 24 in of suitable soil ❑ Holding Tank ❑ Other Dispersal Component ( lam) El treatment De% ce rexpl am) r V. Dispersal/Treatment Area Information: 6 = Design Flow (gpd) 300 Design Sod Application I- Ratc(gpdsf) K� Dispersal Area Requ ed (sf) 300 Dispersal Area Proposed (so System Elevation 1500 99 75 ��-� 20 V1. Tank Info Capacity in ` Gallons Total Nof z Z; o' 5 Gallons nits Manufacturer •? 2 e Netr Tanks Exisunp I arks d ;� 'v; Septic or [folding Fank I 840 ! il Wieser Z ❑ ❑ Dosing Chamber I 50 1 0❑ ❑ V11. Responsibility Statement- 1, the undersigned, assu espo 'ty installation of the POWTS shown on the attached plans. Plumbers Name (Print) Plumber s•.. ign MP/NfPRS Number Business Phone Number Todd Sinz 139462 715-235-2644 Plumber's Address (street, C1ty, State. Lip Code) LIU E5609 70811 Ave Menomonie W 1 54751 Count /De ailment Use Only tV��rrlrrrll. I�1 Approved _ ❑ Permit Fee Date sued s g Age�it Signatr e , ❑ ner Cin en Reason or Denial S 6� K, 3l �i1� IX. Conditions o rov ( we. S 13) fil MA" -we _ SYSTEM OWNE . �/ 1 Septic tank effluent filter and an9— tM• �� w p4.f-µt4T � dispersal cell must be serviced / maintained t-t,/ f „- n �+-- 1�,,�-�_Q ,;,r sp� yVtµ ' ramM" im as per management plan provided by plumber. / ✓ r� lY `I. 2 All setback requirements must be maintained {LtrTS - ob ZooiWi✓Y btu i aS per applicable code" althsaxavallete plans for the stem enW mjt to MFTou n oliiy on r lot less than Bin ill inches in size �tL-SfAsrl J\1 _• z, t�,�� ""Ill SBD-6398 (R03/14) ro� ll/i 9 6 r� 4w & Z Jmlll t ip /jvxw-e � $4 ground contour = 97.29 ; 97 33"L l' �fi��` copy J 4• P February 11, 2021 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 2023-02-11 Plan Review: PWTS-022100182-C TODD L SINZ E5609 708th Ave Menomonie WI 54751 SITE: Aaron Doomink County Road E Town of Baldwin St. Croix County SW, SW, S10, T29N, R16W Total Amount $250.00 DIVISION OF INDUSTRY SERVICES 2850 MIDWEST DR STE 104 ONALASKA WI 54650 Contact Through Relay http://dsps w.gov/progmnm /Default.aspx www.wisconsm.gov Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES =-, SEE CORRESPONDENCE Tony Evers - Governor Dawn Crim - Secretary FOR: Description: Two Bedroom Mound System \ Sloping site Mound Component Manual — Ver. 2.0, SBD-10691-P (N.01/01, R 10/12), Pressure Distribution Component Manual — Ver. 2.0, SBD-10706-P(N.01/01, R.10/12), 300 GPD, 8" depth to limiting factor, Maintenance required, Effluent filter, New construction The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.19, Wis. Stats. • Prior to construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. i Proper soil moisture content can be determined by rolling a soil sample between the hands. If it rolls into a 1/4- inch wire, the site is too wet to prepare. If it crumbles, site preparation can proceed. If the site is too wet to prepare, do not proceed until it dries. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. V. 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 POINTS. A copy of the approved glans specifications and this letter shall be on -site during construction and oven to inspection by authorized representatives of the Department which may include local inspectors. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POINTS. Sincerely, Gerard M Swim POINTS Plan Reviewer, Division of Industry Services (608)789-7892 — voice \ (608)785-9330 — fax MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Protect Name. Owners Name Owners Address Legal Oescnption Township County Subdivision Name Lot Number INDEX AND TITLE PAGE Cunddionslfy APPROVED DEPT OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES Block Number 01a;-� Parcel I D Number C%�Z" _ %C%"�"/� '1�'� Cw SEE CORRESPONDENCE Plan Transaction No Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 6 Septic Tank/Pump tank Page 9 Effluent fitter Page 10 Plot Plan i I Designer Todd L Sinz License Number. MP139462 Date 0126121 k Phone Number. 715-235-2644 Signature Ij to Designed Pursuant to the Mound Component Manual for POWTS Version 2 0 SBD-10691-P IN 01/01, R 10112), and both SSWMP Pub ication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N 01/01, R 10/12) Version TO (R. 11/12) Pagel of 10 Mound and Pressure Distribution Component Design Design Worksheet (R or C) Site Information Residential or Commercial Design Estimated Wastewater Flow (gpd) Peaking Factor (e.g. 1.5 = 150%) Design Flow (gpd) Site Slope (%) Contour Line Elevation (ft) Depth to Limiting Factor (in) in -situ Soil Application Rate (gpdi R 200.00 1.50 300.00 4.00 97.25 6.00 0.20 Distribution Cell Information 75.00 Dispersal Cell Length Along Contour (Ii _ 1.001 Dispersal CeII Design Loading Rate (gpolftz) 1 Influent Wastewater Quality (1 or 2) (C or E) Pressure Dlsributlon Information Center or End Manifold Lateral Spacing (ft) Number of Laterals Orifice Diameter (In) Estimated Orifice Spacing (ft) _ Forcemain Diameter (in) Forcemain Length (ft) Pump Tank Elevation (ft) E 0.00 1 0A S6 3.00 1.50 50.00 90.00 Note: Sand fill (i calmlefione assume e Table 383-44-3 in-aftu will treatment for fecal collfom of <- 38 incMa. 4.00 Cell Width (ft) Are the laterals the highest point in the distribution network? Enter Y or N If N above, enter the elevation ft of the highest point. 12.00 ft'/orifice Does the forcemain drain back? 0 Enter Y or N A System Head (ft) x 1.3 4.59 Forcemain Drainback (gal) Vertical Lift (ft) 33.69 5x Void Volume (gal) .Friction Loss (ft) 38.28 Minimum Dose Volume (gal) In4ine Filter Loss (ft) 13.46 System Demand (gpm) Total Dynamic Head (ft) Lateral Diameter Selection In. dis. options choice 0.75 1.00, 1.25 1.50 x x 2.00 x 3.00 x Manifold Diameter Selection in. dia. options choice 1.25 1.50 2.00 3.00 Gallonxi Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 840.00 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Wieser concrete Manufacturer galln (enter result in cell 1349) Dose Tank Information Effluent Filter Information 500.001 Dose Tank Capacity (gal) Lifetime Filter Manufacturer 11.82ncrete Dose Tank Volume (gal/in) LT1/8 Filter Model Number er WlescoManufacturer Project: Page 2 of 10 r 1. Mound Plan and Cross Section Views L Mound Component Dimensions Down slo toe extension made. D 30.00 n G 30.50 ft J 10.6 ft W 130.16 ft 300.00 (ft') Dispersal Cell Area 1500.00 (fe) Basal Area Available 4.00 (gpd/R) Linear Loading Rate 1 7.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 101.54 (ft) F 99.75 (it) ► — Dispersal Cell Elevation Dispersal Ceil G I I H 100.25 (ft) Lateral iiiis Invert 97.25 (it) Contour Elevation 4.0 % Site Slope Geotextile Fabric Cover Shading Kay a Dispersal Cell See lateral details on f _ Topsoil Cap 1.5 ft Page 4 for number, size, Subsoil Cap a a° T and spacing of laterals. ASTM C33 Sand :1 F Laterals are equally ® Tilled Layer d 0.¢ ft T kal Lsterel F spaced from the © Aggregate Y IT distributioncell's centerline in the +---- A —=—� distribution cell (AxB). Project: Page 3 of 10 End Connection Lateral Layout Diagram Lawala oentxed scot"A a e tamrnsion 0 P • e Turrt-up Vibes wlw a alsom Aptue t.aa ka4 tYaednpa to snd tap Wx-1J Littorals sforcansh Sch 40 PVC HOW '- 'onarauaonaftlet"at pa SIPS T"3e43D-6 Number of Laterals Lateral Diameter Lateral Length (P) Lateral Spacing (S) Lateral Flow Rate System Flow Rate Total Dynamic Head 1 1.50 in 73.44 ft 0.D0 ft 13.46 gpm 13.46 gpm 14.69 ft Orifice Diameter Orifice Spacing (X) Orifices per Lateral Orifice Density Manifold Length Manifold Diameter Forcemain Velocity Dose Tank Information Electrical as per NEC 300 and —0 SPS 316.300 WAC Disconnect Tank component is property vented Wieser concrete Ca eci 500.00 V01ume i 11.82 Manufacturer Gallons gaVinch Dimension Inches Gallons A 25.06 296.24 B 2.00 23.64 C 3.24 38.26 D 12.00 141.84 Total 42.30 500.00 Alarm Manuafacturer JSJE Rhombus Alarm Model Number ITank Alert Pump Manufacturer JZoeller Pump Model Number BN151 T A i a C Pump Must Deliver 13.46 gpm at 14.69 ftTDH Locking cover with worming label and locking device and sealed watertight 4In. min. Alternate outlet location Forcemain diameter =3 1.5 in. Weep tole ar anti - siphon device ration (ft) 91.00 Dose tank elevation (ft) 90.00 Note: Switches containing mercury may not be used in this system. Project: Page 4 of 10 Mound System Maintenance and Operation Specifications Service Provider's Name I T L Sinz Plumbin Inc. Phone 715-235-2644 POWTS Regulator's Name L St Croix C ity Zoning Phone 715-386-4680 System Flow and Load Parameters Design Flow - Peak 300 gpd Maximum influent Particle Size 1/8 in Estimated Flow - Average 200 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 840 gal Maximum TSS 150 mg/L Soil Absorption Component Size 1 300 It' Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Conform >t0E4 cfu/100 mL Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound 1611iTTi Service Freauencv Inspect and/or service once every 3 years Should inspect and clean at least once every 3 years Test once every 3 years Should test monthly Laterals should be flushed and pressure tested every 3 years Inspect for ponding and seepage once every 3 years Call T L Sinz Plumbing for your service needs. Miscellaneous Construction and Matertals Standards 1. Observation pipes are slotted and materials conform to Table BPS 384.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal call aggregate conforms to BPS 384.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration Finished ......... Grade ��r 6-8" Diameter Lawn Sprinkler Valve Box Distribution Project: Lateral Tum-up Detail ............... Threaded Cieanout Plug or Ball Valve Long Sweep 90 or Two 45 Dearee Bends Same Diame rasLateral Page 5 of 10 Mound System Management Plan Pursuant to SPS 383.54, IhYb. Adm. Code This system shah be Operated in accordance with SPS 38284 WCade, and shall maintained In accordance with b' component mawab (SBQ10881.P (N.O1,01, R. 10112), SSWMP Publka w g.S (01/81), end Pressum DW®uhon Conporwd WAnual Vw. 2.0 SBO- tOT08-P (N Otg1, R. 10/12)1 end leml or slab rub perlaninp to sye0en mairena� ant mantelaMa repeting No one should ewer enter a septic or pump lank sires dangerous passe may a present that could cause deamt. Septic and pump tank abandonment shall be in @ccordence with SPS 383 33, Wb Adm. Code when the tanks am no longer insides POWTS components Septic or pump tank manhole deem, acmes fears and wren should he inspected for water tghNess and soundness. Access openlrgs used for servios and mwwhpment shall be sealed wslertighl upon the completion of service. Any opening deemed unsound, debdye, or subl d to fagum must be replaced. Espased acme openings greater than 8indme In diameter shall be secured by an effedwe brlurg device to prevent accidental or unautlomiad entry into a tank or component so= Tank The asplle tank shall M mairnaeed by an IndNldual carolled to service aspic taro under a 28148, Slab. The contents of the septic tank shah be disposed of in sccordance with NR 113, Wls Adm Code. The operahnp cmd rem of the septic tank and Cuba fihe shall be assessed at *mat Once every 3 yearn by inspection. The oudet filler shed be ciea lad as necessary to ensure proper operation. The RW ramidge should not be lamed unbse provlNons ere made b relaln sdlde In Ind lank that meY shegn oR the Sae Wean rwnwetl fmn b andaum Htia filer w spupped withw ahem, the filer stag be serviced Oft alarm is activated continuously Intermittent filter alarms may indicate surge flow, Oran impending continuous alarm The septic lank Irish have he contents; removed woen his rekame of sludge and scum in the tank euaeda 113 the lquld volune of the tank. timeco1mR&of the tank am rot removed at the time M a Warmed asumsement, maintenance personnel shall advb the owner of when the red service needs m W performed to maintain has than madmman scum and skdge accumulation In the tans The wWbw of bologhcel or chancel addRives toenhance septic lank perfomaua w generally not required Hovever, if such products am used May shag be approved for septietenk use by the Depemment of Commerce Piano Tank The pump (dosbg) tank Mail be inspected at least once every 3 years. All souldos, alarms, and pumps shall be tested to verify proper wwation Han elfWenflbr b ateblled watwn the tank [ anal he nepeded and snrvioed es neussary. Mound anti pressure Distributlon Svsbm No bass a ahwhe should lea pWibtl on Ind neound Plantings maybe made around the moandk Wenster, and the mound shag his seeded and mrkted set necessary to Prevent motion ant to Woods some Protection tom host penetralon. Traffic (atlw than for vegetative makesnance) on the mound is not remrpanded sine aw compaction may hinder aemtlon of the Want" surface within the mound and mine compaction In the Whew vial promote hat penetration. Cold weeder Nmbhafiorw (Odotwrfa trusry) dklata that the mound be heavily muWwd ea protection Rom freezing. Influent quality into the mound system may rot woeed 220 men- SOD, 150 mg(L TSS, and 30 mg4 FOG for septic lank eMwd or 30 mg/L BODe, 30 ng/L TW. 10 mpti. FOG, and iO4 cW100 mL W hlghy beaten eMuemt Influent Row hey not ameed maximum design Sow specified In the permit for this installation The pressure distribution system is provided with a flushing poem M the and of each awed, and it is recommended but each faleml he flushed a4 accumUWM sol le a loam Once every 18 months. When a possum the a performed it should be compared to the hnda test when the system was Installed to datamkm tl orfo clogging has occimad and d orace cleaning b rpuned to maataln equal detibWon within the dispersal oat. Observation plpea within the dispersal cell shall be ctmciked for emuanl pondig. PoMirg levels sties W reputed to tie never. and any levels above 81nches considered Is an Impending hydraulic bhum Whining additional, owe frequent monitoring. c011tlrwwKy Plan If the septictank or any of b components become detach" the lank or component Mall her repamd or reVaced to keep the system In proper Operating conol If the dOWV link. p l pump On Ud Wm or mlabd wring becomes defective the mbdrve component(s) Male be rmadisbly happened Or replaced with a component of the awe or equal Performance. r the mound Mrllpenerm Tale to accept wasbwebr or begins to dMduarge weabwetar to the ground surface, it we W spurred or mpemd M b' present kication by increasing hasel am dta baksge amen or by removing biologically clogged absorption and dbpemal mMie, and Mead piping, ant replacing said components as deemed necessary to bring the system Into proper operating condition Sea Pape 5 at this plan for the name and telephone number of your kcal POWTS regulator and service Mind r Prouesbnem Unto The m(Mm n ant schedule of manampeant ant ma ntermnm RN pm1rm nent devims aunt as serabo treatment unb or damiecbn unto arm attached Is aepeMe documents and am considered pert of the ovamh management plan for this system Project Page a of 10 14 1S a F GI Lu . PERFORMANCE CURVE MODEL 151/152/153 . ®mmm0MEN 40-00 MEMEMEME ,, BE .■■■■■■■ We 30 25 MENEM ■",o.■■.■ NEEL OMENS 1 m q, W W mommilko lo 01 Ilk MEN ■■■■, 014 ■■ ■■■■■.om■■ 0 40 80 120 160 260 2410 FLOW PER MINUTE vo -) `fin/ l c�;/ f .we 260 320 360 4" CAST -A w N� MEET OR W840/500-MR TANK SPECIFICATIONS DIMENSIONS S 4" CAST -A -SEAL WALL' 2 9/18' BOTTOM: 3' COVER: 5' MANHOLE: 24' 1.0, PRECAST CONCRETE RISER < HEIGHT: 59 1/2' LENGTH: 9'-5 3/4" MOTH: 7'-9' BELOW INLET: 48' LIQUID LEVEL 43' 10 WEIGHT: 11,150 LOS. 8 INLET AND OUTLET: 4' CAST -A -SEAL BOOT OR EQUAL CASKET INLET AND OUTLET BAFFLE AND FILTER: WISCONSIN, SEE DETAIL 010 $ o (OTHER STATES SEE CHART) W q UOUID CAPACITY: 19.61 GALAN (SEPTIC) Il-- x Lu fl.82 GAL./IN (PUMP) LOADING DESIGN: 8'-0" UNSATURATED SOIL Y TANK CAN BE USED AS: Y SEPTIC/SEPTIC, SEPTIC/PUMP, OR SEPTIC/SIPHON NT COVER: MIX DESIGN /B (NO FIBER) TANK: MIX DESIGN #10 (STRUCTURAL FIBER) �' ? 1 CUSTOM12FD TANKS: FOR CUSTOM TANKS CONTACT WIESER CONCRETE WTLET n U d 7 p p �OIp Q N REVIEWED BY kD RENEW DATE F DRAWINGS SUBMITTED FOR APPROVAL APPROVED BY: y T I APPROVAL DATE: TUTS PKO S NEEDED BY: �� 77te Best Just Got Bettor 04ft 0 O- Eliminates the - Nearly twice t - By elimina drastically - Cleaning r O �1- LT-1 /8: 3500 G Filtration 1/8" LT —1 /16: 335 Filtration 1/16" - IT — 1 /32: 300 Strength - Filtra - IT —1 /64: 2500 Strength - Filtration - 2700 Inches of Linear the lowest ,t economical ring Capacity • 3 Times leanings e Easy • Between Plates • ra • fth Residential with Residential q110 A¢7 o klmlexwk I, 1, A -" Pp at% asp+- WiES� �yojwm �,00 - -- 'max;fk-+— N"y-7r! „ � 4 1,01 1 Y A9,OF& aVO4AVL. 99.75 / ��n' L,7,�Gt.EmY.hil 29' wL- 0�97 ,f,4 l ground contour=97.25' S + , S i �i 97 33 r�r AL �i'oFOF IrtSG1f 4p FVL �r prY' June 10, 2020 CONDrfIONALAPPROVAL SOILS SATURATION DETERMINATION PM Review Number: PW71,M000040-M JIM THOMPSON 340 Paulson fake Road Osceola WI W20 Vm: DaMd fern faunty Road E St Crols County Town of galdWn SW X-SW 34-$10—T29N—R18W srravwstwruwnag than ■ona 4m a�mitr�iaiMe r..+rr.rw goAm1dTA "Ur APPRO41311 De" OF WMY AND PROP6ppIML SURRIa GlWti OF vmxw RYiIVIQg The submiltM described above has been reviewed fw mrdurrnance with appgraMe Wisconsin Administrative Codes and Wisconsin Salutes. The submittal has been CONDMONALLY APPROVED. This system Is to be constructed and located In accordanm with the enclosed approved plain and with any component manusl(s) ref"nced above. The owner, as defined in chapter IOI.Dlli0}, Wisconsin Statutes, Is responsible for mmpilanee with an code requirements. No person may engage In or work at plumbing in the state unless honed to do so by the Department par s.14SDfi, stab The following conditkxv shall be met during construction or W"latlon and prier to occupancy were: • APprtwel I. harsh, are- pursuant to a. SPS 385.SD(2), WIs Adm. Code, to astimate the depth Of saaspnel still saturation based on an Interpretive determbIatkm process mm~ by Arn Thompson, Certiffad son Tester (CSTI and hb recommendation. • Thal ePraevat Is gnAW to the soli duncteretics within the tested area. This approval Is baled upon bawl management practknand does not warranty the functioning of the system. Water comwvation, wastewater disposal practice and system melntenanm wW aid In the Jmweway of the systan. • 00-31011 Mae was conducted by 6Ce audnickL Dvs on May 13, Z= • The "dirra ted In glee m level of prolonged sell saturation approved under this determination is 8 Inches below grade. At least 30 Inches of sand lit on top of 9 Inches of unsaturated, hi -sat spa is required for adequate treatment and dispersal. • The basal =8 application rate for the motnd shall be 0.2 gpd/sf, and the linear loading rah 4A gpd/ft. • Mar to mtrtrudtiorr eF the dispersal area, check the moh w e content of the soil to a depth of If I ncnlw. Smoe rug are min patt lng of cot soil wis reach In e,,,,Ong the infiltration MaacJty of the "L proper sou moisture content can be determined by rolling a soli sample between the hands. If It milt Into a 1/4- Inch wire, the site is too wet to prepare. if it wmbla, site preparation an Proceed. If the she is too wetto prepare, do not proceed until it dries. • ddsel phwabig to a depth of 16 indaa Immediately prior to sand placement is required to Improve vertical water movement into the soil solum. • tamping up slope of the mound shall be incorporated Into the POWTS design —as explained on the Interpretive report - to prevent surface water from concentrating along the up slope edge Of the mound and to divert surface water drainage away from the system. • This approval shall remain wild unless the site is altered In such a way that the depth to soil saturation would change or If saturated conditions are observed for seven consecutive days at depths toss than 3 feet below the InflltrmNe surface of the pown 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 accomparw the mound system design for this she for Purposes of plan approval and sanitary permit Issuance. A copy of the approved plans, sperihcatWn and this letter shall be on -site during construction and open to Impaction by authorked representatives of the Department, which may Intiude loci fmpectois. All Permits required by the state or the local municipality shall be obtained VW to commencement of constructkmAnstallation/operation. In gnnfing this approval the Division of Industry Services reserves the right to require flanges or additWm should condltlum mile making them necessary for code complbnre. As per state stets 101.12(2h nothing in this review shall relieve the designer of the responsibility for deagmnga safe bugling, structure, orccmponent. ""It" ia concerning this Correspondence may be made to me at the telephone number listed below, aat the address on this klterhead. The above addressee shall pm b e a copy of this letter and the pOWTS management plan to the owner and any others who are respomkble for the installation, operation or maintenance of the POWIi Sincerely, COCA iz�- Cece (Eumbeth) Rudnkid WasW* tin Wclg st/POWrS Plan Reviewer, Division of Industry Services ( 8) 4OD-3186 elite n 4xgyr CeCe Rudnkld Wastewater Sped" Department of Safety and Professional Services Denton of Indutby SeMwa 6011400.311116 Phone eriz,bWh.rudnicldM1WscorWnjvwE.afl Case m.r13%2M INSPECTIONcram oMMWrf REPORT Town of 9aldrin araasosue aaa®atrraml awrerwrt Cty Rd E 002-1021.40-000 ibrt ThOMP ry SON Tarr SW-SW-W29-16W ofasa■asa: sasaooune sunasnea raarsa DnW Frn Will Vedf esum 01S41152017714 MaasnOtl nests COCA MadeWJd Ours arras JWn Thompson and Ratan Gnbau InWKEtKv Determination Report received from Jim Thompson. onsite to verify soil and slit romlRlons. Mound site Is Mpped field. Had been planted at time of hmpKWn. JWn had due holes at shown on site Wan. 1 obsarved high and low chrorna red" it N' In the foil. Thb site Is suitable for an MO' mound system installed when the tolls all dry with at least 30--of ASTM C33 sand InstaNed between the system elevation and the contour. The site must be proected from WhMe tnfRcJmmputlon at all times. The conditions in the =0 saWralion report approttal must be fogowed. Cornet me with any questions. CeCe RudnkkL Wastewater Specialist PAGE 1 of 1 i 0 mo If Ij no Al 1 s a x T A r 4 {� \ \\ ♦'`�� by �����_��� _+_' ' +�', my `MD p9l" t 1109178 RUTH PABSY REGIS ept OP DEEDS CERTIFIED SURVEY MAP CEIVEDT. XRRECO RECEIVED FOR RECORD OF THE SOUTHWEST QUARTER OF THE SOUTHWEST QUARTER OF SECTION 08/12/2020 01:33 ►M TOWNSHIP 29 NORTH. RANGE 16 WEST. TOWN OF SALOWIN. ST. CROI% CERTIFIED SURVEY MAP COUNTY. WISCONSIN. VOLUME:30 A SCON Sr� ••. �1 PAGE: 6642 dt-0� /�"'�� �Oy� / I uI , / 143 R!C FEE::30.00 2 1 •IiV"<SEJI/\ J PAGES: 2 '* Brandon W. s Revised 8-06-2020 King _ eENUNCS ARE RO'ERENCED TO THE SOUTH UNE OF T16 S-2632 sourk'NEST QUARTET OF SECTION I% T29N. MOO. u Golle Ea' O SET 3/4- % 18' IRON ROD %M#OR M �TM er24'24' WEST IN THE ST. Rxox CauNTv OOOROMAT[ i^ISTEr (N.A.D. 1IMMIXI 91) x a, +{ WEIGHING 1.50 LBS/LF- O 200 400 FOUND MAG NAIL y0iy 5 u 0. till 11111111111111111\NM""r` GOVT CORNER, AS NOTED SCALE: 1 INCH - 200 FEET TEST OVARTER CORNER SECTION 10, T29N, RIBW ® e WELL OTT T45 NAP CONTNN6 AREAS THAT ARE SUe,ECT ro THE SHORELARD p4E1R,AY ZOHCRO OSIRICT FaAo sA1KY 1RAA N%1Hi101RAL RESTRDFME s APPLY. MENT FO nA rvATON.OP�T DEPARTMENT FOR rwmEA SEPTIC TANK WORM 14 APPRODMATE MEILAND 9011NDNRY PER THE = SEPTIC RISER wscoHVH DEPARIYDRT OF NATURAL RESOUIHrf3 (OAR) S1DATA SI WET WEWER. THE DRn NOTES TES $E AID WETLANDS AS N ov45'26- . 1312.ee' UNPLATTED LANDS eE1HRc 'EMEnmIr T MEADOW. F caesTRICTwQ MAPPED WETLANDS, A WETLAND DRJNEATION MAY BE REOORED. N 0 -/-NORTH LNRE Q< THE Sw/F* Ri 1/T Cl THE�/1AREA EXCLUDING ARG ROAD RXiH7 OF WAY: ROADWAY: 857,OS5 3Q. FPPt 91M 19.675 AnWP 2 / ❑ J N1/ NAvlcwsuTr srntu-�� sT, URdx COUNTY zo1SE B MPLto HwvwAnLE WArvR4 N 88'21'30' W l 104.02' ;ry LOT 1 i y'��� SW 1/4 - SW 1/4 S SEC. 1G-T29N-R16W 00'58'19- W 250.29' 9EnANo i UNPLATTED LANDS l-DanRowav — 395.37' APHMpxIYAIE I IDrJ1110N j AREA INCLUDING i W ROAD RIGHT OF WAY: S 8 271,746 Sq. FeM % ^g p 6238 Anse ' LOT 2 � N eP50'1>- W 139.50' u R S ♦ AREA E XCLUDIING $g ROAD RIGKr OF WAY: 1� N 253.301 Sq. FHxe4 $ g N er26.24- W 99 5.819 AVWP 87 WEEST CORNER ON 10. T29N, R78W _ 1- 9e ReN PPE PHONE: 715-639-5243 EMAIL: w PREPARED FOR: DAVIO FERN 1019 240TH ST BALDWIN. WI 54002 -Ap j 1 W 1027 48 - .T.T a1 _ m-TL COUNTY TRUNK HIGHWAY-E" - -x-- UNPLATTEO LANDS -1' a 26u w N 87'26'24• W ISM". DATE OF nE1D WQeR: 11/12/2019 DATE OF YAP. T,/,4/2019 1 DATE OF LAST REN151nt e/De/2Q20 FWE NAM[: I. 2019.Ye9I _OF 2 Document Number THIS DEED, made between State Bar of Wisconsin Form 1-2003 WARRANTY DEED Document Nate ("Grantor," whether one or more), and An J Doornink a single person ("Grantee; 'whether one or more), Grantor, for a valuable consideration, conveys to grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Croix County, State of Wisconsin ("Property") (if more space is needed, please attach addendum): / Lot Two (2) of Certified Survey Map, as recorded in Volume 30 Certified Survey Maps, Page 6842, as Document No. 1109178; Part of the Southwest Quarter (SW ''%) of the Southwest Quarter (SW'/4) of Section Ten (10), Township Twenty-nine (29) North, Range Sixteen (16) West, Town of Baldwin, St. Croix County, Wisconsin. AMR,., ,i me and Return Address ron Doomink 15 Holly Curve dson WI54016 002-102140-000 (Part of) (New No. 002-1021.40-075) Parccl Identification Number (PDT This is not homestead property. (is) (is not) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except: Zoning ordinances, rights -of -way, all easements, covenants, conditions, reservations and restrictions, and general real estate taxes and assessments levied in the year of conveyance. Dated (SEAL) *Da H. ern Signature(s) on TITLE: MEMI (If not, _ authorized AUTHENTICATION of Wisc_ _ :st.n. STATE BAR OF WISCONSIN Wis.Stat § 706.06) THIS INSTRUMENT DRAFTED BY: Tony R. Schrader Attomev (2151235-3493 File No ST 1042 7 (SEAL) *Cr3tgtal L. Fern ACKNOWLEDGMENT STATE OF WISCONSIN ) ss. COUNTY OF ST. CROIX Personally came before me on the above -named David H. Fern and Crystal L Fern to me known to be the person(s) who executed the foregoing i tru t and acknow.le the same. % "Moran Beve 'A w4v " Notary Public. State of Wisconsin My Commission expires: 8119/21 (Signatures may be ambenticaled or acknowledged. Both are not necessary.) NARRANI'Y DE NOTE: THIS IS A STANDARD FORED It1. ANY afODIFICATIONS TO THIS FMNI SHOULD BE CLEARLY IDENTIFIED. 'Type name blow signaturep, 02003 STATE BAR OF WISCONSIN FORM NO.1-2M3 SANITARY SYSTEM ST. GR �U IM(MA01 OWNERSHIP/ADDRESS FORM File r►: Office Use Only Created Z/2o2r 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 00 Mailing Address a a t %� n l N-1 -Ay'L City/State/Zip t a Sa5-2./D / fb - Phone Number Email Address 1) 71S 78/ c//3-7 Parcel Identification Number (found on the property tax bill) NEW SYSTEM: LEGAL DESCRIPTION I Property Location 1/a , S W y< , Sec. 1.0 T 1N R-&-,-W, Town of -12� eA Subdivision Plat: Lot # Certified Survey Map #_tj Volume 30 Page #_���. Warranty Deed # r �I2 I`*d, ( efore 2006)Volume ' Page # Number of bedrooms Spec house ❑ yes Ano Lot lines identifiable Myes ❑ no OFFICE USE ONLY New Property Address _ !2 0_ GT (Verification of new address req fired from Community Development Department for new construction.) (Staff Initials) (Date) This form must be submitted with all Private Onsite Water Treatment System (POWTS) applications. New System: Include with this form a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. Community Development Department - Land Use Division 715-386-4680 St. Croix County Government Center 715-245-4250 Fax 7% June 10, 2020 CONDITIONAL APPROVAL DWOON OF INDUSTRY SERVICES 1D541 N RANCH RD HAYWARD WI 54843E462 Cwtad Though Relay h8pi/dsps w.Sov/programsrtndusoy-services v .wiswnwn.8ov SOILS SATURATION DETERMINATION Plan Review Number: PWTS-062000040-SSD JIM THOMPSON 340 Paulson Lake Road Osceola WI 54020 SITE: David Fern County Road E St. Croix County Town of Baldwin SW Y.-SW Y, - SIC — T29N — R16W Tory Even - Govrnor Deem Cne - Secretary CONDITIONALLY APPROVED DEPr OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES (& C: SEE CORRESPONDENCE The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • Approval is hereby granted pursuant to s. SPS 385.60(2), Wis .Adm. Code, to estimate the depth of seasonal soil saturation based on an interpretive determination process completed by Jim Thompson, Certified Soil Tester (CST) and his recommendations. • This approval is limited to the soil characteristics within the tested area. This approval is 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 May 13, 2020. • The estimated highest level of prolonged soil saturation approved under this determination is 8 inches below grade. At least 30 inches of sand lift on too of 8 inches of unsaturated, in -situ soil is required for adequate treatment and dispersal. • The basal soil application rate for the mound shall be 0.2 gpd/sf, and the linear loading rate 4.0 gpd/ft. • Prior to construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. Smearing and compacting of wet soil will result in reducing the infiltration capacity of the soil. Proper soil moisture content can be determined by rolling a soil sample between the hands. it rolls into a 1/4- inch wire, the site is too wet to prepare. If it crumbles, site preparation can proceed. If the site is too wet to prepare, do not proceed until it dries. • Chisel plowing to a depth of 16 inches immediately priorto sand placement is required to improve vertical water movement into the soil solum. • Landscaping up slope of the mound shall be incorporated into the POWTS design — as explained on the Interpretive report -to prevent surface water from concentrating along the up slope edge of the mound and to divert surface water drainage away from the system. • This approval shall remain valid unless the site is altered in such a way that the depth to soil saturation would change or if saturated conditions are observed for seven consecutive days at depths less than 3 feet below the infiltrative surface of the POWTS distribution component. • This approval in no way relinquishes the use of color patterns to estimate the depth to high groundwater on any other parcels or portions of parcels. • A copy of this approval letter and attachments must accompany the mound system design for this site for purposes of plan approval and sanitary permit issuance. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/insta Ilation/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. Asper 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�?, /? CeCe (Elizabeth) Rudnicki Wastewater Specialist/POWTS Plan Reviewer, Division of Industry Services (608)400-3186 elizabeth.rudnicki@wisconsin.gov Interprative Determination Report Project Name: Fern Intertative Soil Determination Owners Name: David & Crvstal Fem Owner's address: 1019 240th St.., Baldwin, WI 54002 Site address: 24xx Co. Rd. E., Baldwin, WI 54002 Project Location: Subdivision: lot I of proposed CSM CONDITIONALLY APPROVED DEFT OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES Ct&Ck SEE COFMESPONOENCE Legal Description: SWY.SWY,, Sec. 10, T.29N., R.16W., Town of Baldwin, St_ Croix Co., WI. Parcel ID #: From 002-102140-000 Page 1 Introduction, Project information & Geomorphology Page 2 Local Hydroltogy & Field observations Page 3 Supporting Data Page 4 Aerial photo of subject property with Topographic Overlay Page 5 USDA SCS Soil Series Map Page 6 USDA SCS Soil Series Description Page 7 Wetland Deliniation Map Page 8 National Weather Service Average Annual Precipitation Map Attachments: Soil Evaluation Report Mater PJ&mber RestriQted Service: Page I of 8 Design pursuant to In -Ground Soil Absorption Component Manual for POWTS, version 2 0 SBD-10705-P (N.OM I) A+0" Interpretive Determination Report David & Chrystal Fern Property Introduction A Soil & Site Evaluation of this site was completed by lames K. Thompson, Dep't. of Safety & Professional Services Credential #30021 on April 23`d, 2020, for the purpose of determining the suitability of the site to accommodate an Onsite Wastewater Treatment System (POWTS) to serve a future residence on the property. The proposed 6.238 acre parcel consists of productive and fallow agricultural land. The results of the evaluation indicated that soil suitability is uniform throughout the site, with suitable depths of soil ranging from 9" - 1 I" (A+0" to A+3"). An onsite soils verification was performed on May 20', 2020. Present were Elizabeth Rudnicki, DSPS District 1 Wastewater Specialist, Kevin Grabow, Land Use Specialist with the St. Croix County Community Development Office and Jim Thompson, CSTM with A.C.E. Soil & Site Evaluations. Proiect information: The proposed mound site is located in the northwest corner of the S W'/.SW %., Sec. 10, T.29N. R.16 W., Tn. of Baldwin, St. Croix County, Wi., lying approximately 450' north of the center line of Co. Hwy E and 745' east of the center line of 240a, St. (150' east of proposed west property line). The site has been in agricultural production for several years. Methods Soil color, texture, consistence, and Redoximorphic features have been evaluated and recorded on the attached Soil & Site Evaluation Report in accordance with Chapter SPS 385.60(2), Wisc. Administrative Code. The initial field investigation of the site included evaluation of 4 soil pits. One -foot contour intervals were determined within and surrounding the proposed system location by collecting rod and transit elevations at all soil pits and at 10' grid intervals throughout the proposed system area Additional elevations and horizontal measurements were taken as needed to identify landscape position and determine separation distances from dominant landscape forms. Local Geoloev St. Croix County is underlain by Prairie du Chien limestone and St. Peter sandstone, which is overlain with glacial till, forming the principal sod parent material. A search of Department of Natural Resources Well Drilling Reports filed for wells constructed within the geographic region indicated soil depths of 49' — 164' overlying sand stone and Dolomitic limestone. Static ground water aquifer levels were found at 145% 200' below grade. Geomorpholoev Parent Material: the U.S.G.S. Soil Survey Manual maps the site as Freon silt loam, consisting of silty sediment over reddish brown sandy loam till subsoil. Freon soils are moderately well drained and are located on gently sloping foot slopes of ground moraines. Landscape position: The tested area is positioned on the footslope slope of a glacial ground moraine at a nominal Mean Sea Level (MSL) elevation of 1225'. The moraine extends upslope in an easterly direction for a distance of approximately 1750' to a nominal elevation of 1250' MSL. The moraine extends downslope from the tested area in a westerly direction approximately 220' to a forested wetland area and continues another 190' to a toe slope and intermittent drainage way having a nominal elevation of 1210' MSL Slope and Aspect: The contour within and adjacent to the proposed system area has a slope shape that is convex along the vertical contour and convex along the horizontal contour. The ground slope is consistent at 3%% - 4% with a westerly aspect of 280°. Local Hvdroloev: Surface Water Drainage: Surface water drainage is uniform throughout the proposed system footprint and the surrounding area within 150' of the system area. The convex, convex slope throughout the tested area disperses surface water flow away from the proposed system area. Subsurface Water Drainage: The A and B horizons consist of weakly structured silt loam providing adequate infiltration potential. When combined with the uniform 34% slope across the proposed system area, this site should provide good lateral subsurface water flow. Soil Saturation: Soil pits were evaluated throughout this property during the months of April and May, 2020. Soil pits were evaluated to depths ranging from 16" — 40" with redoximorphic concentrations observed from 8" — I P. No saturated flows were encountered in any of the soil pits evaluated. Field Observations: Soil Momhologv: The soils within the proposed system area were found to be consistent with the Freeon mapping unit as shown in the U.S.G.S. Soil Survey of St. Croix County, Wisconsin. Moderately structured silt loams were observed ranging to a depth of 8" — I I" with weakly structured silt, silty clay loam and sandy loam below ranging from 8" — 40". Redoximorphic Features: Redoximorphic features were not observed within the A horizon of any of the soil profiles, with all profiles displaying redoximorphic features at greater than or equal to A+0". No evidence of prolonged saturation was observed within the upper 6" of the A horizon. Redoximorphic concentrations were observed as high chroma Fe oxide masses within the upper portion of the B horizon and throughout the C horizon. Redoximorphic depletions were observed throughout the C horizon. Hvdric Soils: The soils at this site do not meet the necessary criteria to be categorized as hydric soils Government Reports: Elizabeth Rudnicki, DSPS District I Wastewater Specialist and Kevin Grabow, Land Use Specialist with the St. Croix County Community Development Office preformed an onsite verification of the site on May 14, 202. Conclusions and Recommendations: Conclusion: No redoximorphic features were observed within the A horizon of any of the evaluated soil profiles, and indicate that the highest level of saturation is found at greater than 6" below surface elevation. The lack of hydric soils indicate that the site is likely saturated for less than 5% of the growing season. This, coupled with the lack of redoximorphic depletions in the upper horizons and the strong matrix colors displayed throughout the soil profiles, indicate limited saturation within these soils. The redoximorphic features observed are likely a result of short-term seasonal saturation. The moderately and weakly structured silt loam soils in the A horizon and upper part of the B horizon will accommodate the infiltration and dispersal of applied wastewater from the POWTS and will allow treated effluent to be assimilated into the subsurface soils. The convex, convex slope will accommodate uniform dispersal of both naturally occurring surface water and applied wastewater away from the site. Seasonally saturated conditions do not occur within the upper 8" of the soil profile as evidenced by the lack of redoximorphic features. The site has a minimum of 6" of unsaturated in situ soil for treatment and dispersal of treated wastewater effluent and is therefore suitable for a mound POWTS as allowed by SPS 383.44(3)(b)l. Recommendations: 1.) 'Ihe mound dispersal cell should be constructed on the 97.25' contour in a convex linear shape as indicated on the Soil & Site Evaluation Report. The dispersal cell should be designed and installed using as much of the available contour length as possible - approximately 150.0'. 2.) The site should be chisel plowed to a minimum depth of 16". 3.) Thirty inches (30") of ASTM-C31sand fill shall be placed beneath the upper edge of the dispersal cell. 3.) The linear loading rate for application of septic tank effluent should be 4.0 gpd/linear ft. or less and the basal area application rate should not exceed 0.20 gpd/sq. ft. 4.) The mound shall be constructed to divert surface water around and away from the mound. A surface water diversion trench should be constructed at approximately 10' wide extending between 10' — 20' upslope of the mound site. Additional fill should also be added directly upslope of the upper toe of the mound and tapered into the diversion trench and graded to direct surface water around and away from the mound area. 5.) The mound shall be constructed in accordance with Dep't. of Safety & Professional Services regulations and recommendations including the removal of all vegetation from the site prior to site preparation. Final authority for approval of a POWTS mound on this site lies with the appropriate regulatory authorities, the Wisconsin Dep't of Safety & Professional Services and the St. Croix County Zoning Dep't. This report and its observations, recommendations and conclusions are the professional opinion of James K. Thompson, Dep't of Safety & Professional Services Credential #30021. References: Soil Survey of St. Croix County, Wisconsin. July 1978. United States Department of Agricultural Soil Conservation Service in cooperation with Research Division of the College of Agriculture and Life Sciences University of Wisconsin. Department of Safety & Professional Services Chapters SPS 383 and 385, Wisconsin Administrative Code. Field Indicators of Hydric Soils in the United States 1996. G.W. Hurt, Whited, P.M., and Pringle, R.F. United States Department of Agricultural, Natural Resources Conservation Service, Fort Worth Texas. Hydric Soil List for St. Croix County, Wisconsin. United States Department of Agricultural, Natural Resources Conservation Service. https://www,nres.usda.gov/lntemet/FSE—DOCUMENTS/nreseprd1316620.html Field Book for Describing and Sampling Soils, Version 2.0. 2002. Schoeneberger, P.J., Wysocki, D., Benham, E.C., and Broderson, W.D. (editors) 2002. Natural Resources Conservation Service, National Soil Survey Center, Lincoln, NE. U.S. Geological Survey. Topographic Map download, hMi//www.terraserver.microsoft.com Wisconsin Department of Natural Resources. Well Construction Information System. https://dnr.wi.gov/WeliConstructionSearch/#!/PublicSe=h/Index Ground Water Resources and Geology of St. Croix County, Wisconsin. 1976. Barman, R.G. & Trotta, L.0 iediateContours 0 0' INTERMEDIATE DEPRESSION = PLSS Townships INDEX __' PLSS Sixteenths Sections Control Corners 0 0 N( SCC ArcGIS Web Map 5/19/2020, 7:31:51 AM 1:4,514 0 003 0.05 0.1 ml 1s Shoreland Zonllg © ZONE AE N Base Food Ekvahon — --i BoW Hamrd Areas ZONE AE- FLOODWAV .: PLSS Slze .hs Sa I m 0 0.0E 0.08 017 km ZONE A wovR SCC coo, sCC coo .d Scc Ngl✓ry o.N, SLL coo �ZONE X-0.2 PCT ANNUAL CHANCE FLOOD HAZARD C1 PLSS Ouartar Sedbns wee Mcaie.ro<ams SCC GDD wDNR, SLCCDD SLL CDD W SGC XgMey apt FEMA, 9CC CAD � Ne1wW Oms�asiNWlge„eaPynry (NM), Celle Sitla UnHeniry, Exl eeWMewN SCC LDU Amount () ®28-33-29 -2901-30 — 30-01 - 31 31.01 - 32 ® 32-04 - 33 ® 33.01 - 34 ® 34.01 - 35 - 35-01 - 36 - 36-01 - 37 - 37.01 - 38 - 38.01 - 39 vice Milwaukee/Sullivan .cipitation 1981-2010 40 MAVIS :Veether Observers -- - �:� .; Dodgeville 0a �Ma + Mb po hyA Wyyftk Wisconsin Department of Safety and Professional Services Division of Industry Services SOIL EVALUATION REPORT In accordance with SPS 385, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size- Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road Please print all information. ersonal information you orovide may be used for secrmdary uumm a rPrivary Law. s. 15 r14r1Nm11 Page 1 of 4 county St. Croix Parcel I.D. From 002-1021-40-000 Ref#2572 Reviewed by Date Property Owner Property Location ❑ David & Crystal Fern Govt. Lot SW '/4 SW % S 10 T 29 N R 16 E (or) W Property Owner's Mailing Address Lot # Block # Subd Name or CSM# 1019 240° St. 02 Na I Proposed CSM City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road Baldwin WI 54002 715 781-2864 Baldwin Co. Hwy E & 240" St ® New Constmction Use: ® Residential/ Number of bedrooms 3 Code derived design flow rate 450 GPD ❑ Replacement ❑ Public or commercial— Describe Parent material Glacial till Flood Plan elevation if applicable na ft. General comments and recommendations: Site does not comply with A+4" requirement as specified in DSPS 335.30(2(b)l and is unsuitable for mound POWTS. DSPS interpretive approvals for mound may be possible If further interpretive evaluation is completed in accordance with SPS 385.60. EBoring # ElBoring ® Pit Ground surface elev. 97.33 ft. Depth to limiting factor 11" in. RM Gnnlifaenn Ra1a Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 'Eff#1 ,Etf#2 1 0-8 t0yr3/4 none sit 2fgr mvfr aw 2vffm 0.6 0.8 2 B-11 10yr4/6 none sit 2fsbk mvfr cw 1vf,fm 06 0.8 3 11-14 10yr4/6 f2d 7.5yr4/6 sit lfsbk mvfr cw 04 06 4 14-19 7.5yr4/4 f2d 7.5yr4/6 sl 1msbk mvfr gw - 0.4 0.7 5 19-36 7.5yr4/4 m2d 7.5yr5/8 sl 1csbk mfr - - 0.4 07 ElBoring # ElBoring ® Pit Ground surface elev. 95_90 ft. Depth to limning factor <8" in. Snit Annlirafinn Rarn Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/FF 'Eff#1 'E8#2 1 0-8 10yr3/4 none sit 2fgr mvfr cs 2vf,fm 0.6 1.0 2 8-14 10yr4/6 cld 7.5yr4/6 sit lfsbk mvfr a 1vf,fm 0.4 0.6 3 14-19 10yr4/6 c2d 7.5yr4/6 sic] lfsbk mvfr gw - 0.2 0.3 4 19-30 7.5yr4/4 cap 7.5yr&8& 10 r612 sl 1csbk mfr M - 04 0.6 - ttfluent Al = bOU. > 30 5 720 ma/L And TSS > M < 1 Sn man " Ffarranril7 = ann > In < 77n .11 and TCR > An < 15n mnrl CST Name (Please Print) igna re CST Number James K Thompson 30021 Address Afate Evaluation Conducted V Telephone Number 340 Paulson Lake Lane Osceola, WI 54020-5413 Aril 23 2020 15 248-7767 StIO-WW (KU4/15) 3❑ Boring # ❑ Boring ®pit Ground surface elev. 97_29 ft. Depth to limning factor <8" in. Soil Application Rate Horizon Depth In. Dominant Color Murrell Redox Description Qu. Az Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 ,Eff#1 'EfI*2 1 0-8 10yr3/4 none sil 2fgr mvfr cs 2vr,f 06 0.8 2 8-13 10yr4/6 m1f 7.5yr4/6 ell Ifsbk mvfr cw 2vf,f 0.4 0.6 3 13-17 10yr4/6 m2d75yr4/6 Sid Ifsbk mvfr aw 1vf 0.2 0.3 4 17-26 7.5yr4/4 m2d 7 5yr4/6 sl 1 msbk mvfr gw - 0.4 0.7 5 2640 7.5yr4/4 ,3d%.5yr4/6 & sd Om mfi - - 0.0 0.0 4❑ Boring # ❑ Boring ® Pit Ground surface elev 98_15 ft. Depth to limiting factor 14' in. Soil Application Rate Horizon Depth In Dominant Color Munsell Redox Description Qu. Az Cant Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/FF •Eff#1 -Ef#f2 1 0-8 10yr3/2 none sil 2fgr mvfr ce 2fmlc 0.6 0.8 2 8-14 10yr4/4 none sil 2fsbk mvfr cs lfmc 0.6 0.8 3 14-20 10yr5/4 f2f 10yr4/6 sil 1mbk mvfr M lfmc 0.4 0.6 4 20-25 7.5yr4/4 cmd7.5yr4/6 sl Om n* - 1f 0.2 0.6 ❑ 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/Ft2 'Eff#1 'Etf#2 ' Effluent #1 = BOD, > 30 5 220 mg/L and TSS > 30 5 150 mg/L ' Effluent #2 = BOD, > 30 5 220 mg/L and TSS > 30 5 150 mg/L 71 ■So,%e/4/aa$anPE kraclt 1s72. Qar�d4f ceyS6t/i:i—I ?roro• l-oE o2o+P'rQaSreJCSM, swY{swif 5tc• /a T. .1.94., Q. /G @1 ,SE•CroiX Co., mil• m *fr- cy/n"Id O i 3of3 CeCe Rudnickiry,Wastewater SpecialistDepartment of Safety and Professional Services , l! Division of Industry Services ' �'�r 608-400-3186 Phone M elizabeth.rudnicki@wisconsin Qov Email `` DATE INSPECTION COUNTY May 13, 2020 St. Croix REPORT Town of Baldwin SITE ADDRESS PARCEL NUMBER PROFESSIONAL Cty Rd E 002-1021-40-000 Jim Thompson, Soil Tester SW-SW-10-29-16W OWNER NAME TYPE OF ONSITE TRANSACTION NUMBER David Fern Soils verification DIS-052017714 INSPECTOR NAME OTHERS ONSITE CeCe Rudnicki Jim Thompson and Kevin Grabau COMMENTS Interpretive Determination Report received from Jim Thompson. Onsite to verify soil and site conditions. Mound site is cropped field. Had been planted at time of inspection. Jim had dug holes as shown on site plan. I observed high and low chroma redox at 8" in the soil. This site is suitable for an A+0" mound system installed when the soils are dry with at least 30" of ASTM C33 sand installed between the system elevation and the contour. The site must be protected from vehicle traffic/compaction at all times. The conditions in the soil saturation report approval must be followed. Contact me with any questions. II �t I CeCe Rudnicki, Wastewater Specialist PAGE 1 of 1 APPLICATION FOR REVIEW }() -Complete all pages - NOTE: Personal information you provide may be used for secondary purposes [Privacy Law s 15.04(1)(m), Stats ) Private Onsite Wastewater Treatment Systems Division of Industry Services ® Plans to be E-filed. Provide SharePoint User name below: For plan status, check our website at hftp://dsps.vvi.gov Several counties have been delegated certain authority to review plans in lieu of Division of Industry services. For a current list of those counties and their designation check our website at htt ://ds s.wi. ov 1. Project Information -Fill In all known Information. Confirmation of assignment to a reviewer. Project/Site Name: Fern Interpretive Determination Soil Evaluation Transaction ID: Location, Number & Street of project (if unknown, indicated nearest road) Previous Related Trans. ID: 24xx Co. Rd. E., Baldwin, WI Estimated Completion Date: Legal Description: SW1/4 SW114. Sec.10, T.29N., R.16W Assigned Reviewer County St. Croix Assigned Office: ❑ City ❑ Village ® Town of Baldwin Mail to your office of choice below: Hayward, LaCrosse, Green Bay 2. After plans are reviewed, please: (check all that apply) ❑ Call customer 1, 2 (circle number)' NOTE: We reserve the right to redistribute plans to another office if ❑ Requesting party will pick up needed to reasonably balance turnaround times. Check ❑ Mail plans to customer 1, 2 (circle number)' httoJ/dsos.wLaov for office availability and next available review date 'Refers to customer number from below. 3. Complete the following designerlownedrequesting information. Utilize the check boxes when designer, owner or requesting party Is the same to avoid repeating Information. Designer Information (Customer 1) DSPS Other Please Specify Below (Customer 2) DSPS First Name Last Name Customer Number First Name Last Name Customer Number James K. Thompson 30021 Company Name Company Name - A.C.E. Sol & Site Evaluations LLC Address Address 340 Paulosn Lake Ln. City State Zip+4 (9 digits) CRY State Zip+4 (9 digits) Osceola WI 54020-5413 Phone Number E-mail address Cell phone Phone Number E-mail address Cell phone (area code) (area code) (715) 248-7767 acesollQtrontiemet net Check If applicable Chedk'd applicable or specify relationship ❑ Owner Owner ❑ ❑Other — sped relationship Information and Plan Submittal Checklists. POINTS pre -scheduling is not available. Plans will be assigned to a reviewer after receipt at a DSPS office. Submittals received may be assigned to offices other than the receiving office depending on reviewer availability Submittal checklists can be found in each applicable component manual appearing on the POWTS Publications page, http://dsps.v i.gov/phi)/sb-ppalopp/i)rodrode result.ohp/POVVTW SM/POTS COMPONENT MANUAL. You may email technical code questions to DSPSSBPowtsTech '. ov. Hayward DSPS LaCrosse Area DSPS Green Bay DSPS 10541 N Ranch Rd 3824 Creekside Ln 2331 San Luis Place Hayward WI 54843 Holman WI 54636 Green Bay, Wi 54304 715-634-4870 6DB-785-9334 920-492-5601 Fax: 715-634-5150 Fax. 608-785-9330 Fax 920-492-56D4 Email: DsosSbPlanSchsduW0wi.cov Email, DspsSbPlanScheduleO-wi.00v Email: DSPSSbPlanScheduleidwi aov Make Checks Payable to: Division of Industry Services OR ❑ Check box to invoice designer and sign below TOTAL AMOUNT DUE $ 240,00 Review Code 7633 Designer signature SPS-10577 (R 5/16) S. PONTS SUBMITTAL (check all that apply - Incomplete forms may result In processing delays) NEW ❑ Aerobic Treatment Units) ❑ Chlorinator ❑ Tank Replacement Orgy ❑ REPLACEMENT ❑ Commercial System ❑ UV Disinfection Unit ❑ Add Effluent Filter SYSTEM TYPES) NOTE: Submit separate sheets for each system if submitting multiple systems on the same alto Enter Fee ❑ Revision to previously approved plan $85.00 ❑ Miscellaneous Review (i.e. replacement of a septic tank, addition of an effluent filter or pretreatment device to an existing system, etc.) $80/hr —� ❑ Component Manual Design 9 All treatment components are previously approved ❑ At -Grade Component Manual - Ver. 2.0, SBD-10854 (N.03/07, R. 1/12) Wastewater Flow in under s. SPS 384.10 (2) or (3): ❑ In -ground Component Manual - Ver. 2.0, SBD-10705-P (N.01/01, R 10/12) Gallons Per day Design wastewater flow of the proposed system: ❑ Mound Component Manual - Ver. 2.0, SBD-10691-P (14.01/01, R 10112) ❑ Pressure Distribution Component Manual - Ver. 2.0, SBD-10706-P (N.01/01, R 10112) 1,000 gpd or less $ 250.00 — ❑ Other - Please specify, GPD 1,001 - 2,000 gpd $ 325.00 2,001 - 5,000 gad $ 400.00 ❑ Soil Based Individual Site Design* One or more treatment components are not previously approved under s. SPS 384.10 (2) or (3): ❑ Al Grade (Individual site desigNdeviation from component ❑ Non -Pressurized In -ground _ Design manuals and use of components without product ❑ Pressurized In -ground - Wastewater Flow In approval): ❑ Mound ❑ Drip -line Gallons Per day Design wastewater flow of the proposed system: ❑ Constructed Wetlands GPD 1,000 gpd or less $450.00 — ' Documentation must be provided to support treatment and dispersal claims. Ina separate 1,001 - 2,000 gpd $600.00 statement, provide rationale for the project and attach supporting documents (code sections, test 2,001 - 5,000 gpd $750.00 reports, technical papers, research articles, etc.) greater than 5,000 gpd $9D0.00 plus $0.08 for each gallon over 5000 gpd State-owned facilities: Design Holding tanks previously approved under s. SPS ❑ Holding Tank Component Manual, Ver. 2.0, SBD-10855-P (N.03107, R1/12r - Wastewater Flow in 384.10 (2)(3). Design wastewater flow of the proposed system: Gallons Per day • Non -state owned Commercial and Residential Holding tanks that completely utilize this manual 5,000 gpd or less $ 90.00 and have an estimated daily flow of less than 3000 gallons per day must be submitted to the GPD 5,001 - 10„000 gpd $150.00 '-- appropriate governmental unit for review instead of the Department. [see SPS 383.32(3)(s)] greater than 10,000 gpd $225.00 ❑ Holding Tank Individual Site Design', (is, site constructed, <5 day holding capacity, Co- Design Holding tanks including site constructed tanks NOT mingled wastewater, etc.) Wastewater Flow in previously approved under s. SPS 384.10 (2) or (3). Pleases Pec'y�— ' Gallons Per day Design wastewater flow of the proposed system: ' Documentation must be provided to support the rationale for the project. In a separate statement, 5 000 gpd or less E18180.00 5,000 - 10or le gpd $0.00 _ please include all code sections, test reports, technical papers, research articles, etc.) GPD greater than 10,000 gpd $450-00 ❑ $0 Saturation Determination Report (using observation pipes) ® Interpretive Delemninalion $240.00 240:00 ❑ Experimental System (One are additional tee). Submit fee for indh4dual system as per appropriate above system type) Experiment Number _ $400-00 Prior approval from a section chief Is required for a priority review. If approval is granted, the priority will be reviewed within 5 days of receipt. Priority review fee Is double the normal review fee. Priority Review (enter same amount as normal review fee listed above) Enter Total (rounded to the nearest dollar) $ 240.00 SPS-10577 (R 4/16) Wisconsin Department of Safety and Professional Services Division of Industry Services I �jInaccorda Attach complete site plan bM paper not less tF�r�1�1$�, � x 11 i but not limited to vertical And horizontal'je 4e %t (BN scale or dimensions, north alnow, and location and distance 1 Please pnir+kMiSYiqMaQi 1 y� r Page 1 of 4 !R )IL EVALUA I a1 e with SPS 385, Ws Adm Code County has in sae Plan must include, St. Croix Parcel I D. direction and percent slope, nearest road. From 002-1021 AO-000 Ref #2572 Reviewed by Date Property Owner X-" Property Location ❑ David & Crystal Fern Govt Lot SW % SW % S 10 T 29 N R 16 E (or) W Property Owner's Mailing Address Lot # Blodc # Subd. Name or CSM# 1019 240" St, 02 Na Pro osed CSM City State Zip Code Phone Number ❑ City ❑ Village ®Town Nearest Road Baldwin I WI 154002 (715) 781-2W4 1 Baldwin Co. Hwv E & 2401" St N New Construction Use Z Residential /Number of bedrooms 3 Code derived design flow rate 450 GPD El Replacement ❑ Public or commercial — Describe. _ Parent material Glacial till Flood Plan elevation if applicable na ft. General comments and recommendations. Site does not comply with A+4" requirement as specified in DSPS 335.30(2(b)l and is unsuitable for mound POWTS OSPS interpratve approvals for mound maybe possible iffurther interpretive evaluation is completed in accordance with SPS 385 60 711 Boring # ❑ Boring ®pit Ground surface elev 9733 ft Depth to limiting factor 11" in Horizon Depth In. Dominant Color Munsell Redox Description Qu Az Cont Color Texture Structure Gr. Sz Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 1 0-8 10yr3/4 none sit 2fgr mvfr aw 2vf,fm 0.6 08 2 8-11 10yr4/6 none sil 2fsbk mvfr M 1vf,fm 0.6 08 3 11-14 10yr4/6 f2d 75yr4/6 sit lfsbk mvfr cw - 0.4 06 4 14-19 7.5yr4/4 f2d 7 5yr4/6 sl 1 msbk mvfr gw 04 07 5 19-36 7 5yr4/4 m2d 7.5yr5/8 sl icsbk mfr - - 0.4 0.7 j7 Boring # ❑ Boring ® Pit Ground surface elev. 95 90 ft Depth to limiting factor <8" in Horizon Depth In Dominant Color Munsell Redox Description Qu Az Cont. Color Texture Structure Gr. Sz Sh Consistence Boundary Roots GPD/Ft' *Eff#1 I *Eff#2 1 0-8 10yr3/4 none sit 2fgr mvfr cs 2vf,fm 0.6 10 2 8-14 10yr4/6 cld75yr4/6 sil ifsbk mvfr cs lvf,fm 04 06 3 14-19 10yr4/6 c2d 7 5yr4/6 slcl ifsbk mvfr gw - 0.2 03 4 19-30 7 5yr4/4 cap 7 5yr5/8 & 1 r6/2 sl 1csbk mfr cw - 0.4 06 CST Name (Please Print) igna re CST Number James K. Thompson 30021 Address ate Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, WI 54020-5413 Aril 23, 2020 715 248-7767 SBD-8330 (R04/15) �3�II Bonng # El Boring L—J ® Prt Ground surface elev 97 29 ft Depth to limiting factor <8" in. Snil Annhrahnn Rat. Horizon Depth In Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr Sz_ Sh. Consistence Boundary Roots GPD/Ft' 'Eff#1 'Eff#2 1 0-8 10yr3/4 none all 2fgr mvfr cs 2vf,f 0.6 0.8 2 8-13 1Oyr4/6 mif 7.5yr4/6 sil ifsbk mvfr M 2vf,f 0.4 06 3 13-17 1Oyr4/6 m2d 7.5yr4/6 slot ifsbk mvfr cw 1vf 02 03 4 17-26 7 5yr4/4 m2d 7.5yr4/6 sl lmsbk mvfr gw 04 0.7 5 26-40 7 5yr4/4 cad 7.5yr4/6 & 10 r6/2 Sol Om mfi - 0.0 00 L 4 Borng # El Boring L J ® Pd Ground surface elev- 9815 ft. Depth to limiting factor 14" in Snit Annh,.tmn Rat. Horizon Depth In Dominant Color Munsell Redox Description Qu Az Cont Color Texture Structure Gr Sz Sh Consistence Boundary Roots GPD/Ft2 •Eff#1 'Eff#2 1 0-8 1Oyr3/2 none sit 2fgr mvfr cs 2fm1c 06 0.8 2 8-14 1Oyr4/4 none sil 2fsbk mvfr cs 1fmc 0.6 0-8 3 14-20 1Oyr5/4 f2f 10yr4/6 sil 1mbk mvfr Cw Ifmc 0.4 06 4 20-25 75yr4/4 cmd7.5yr4/6 sl Om mfr 1f 0.2 06 F ❑ Boring 1 Boring # . _ El pit Ground surface elev Depth to limiting factor in Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Descripton Qu. Az Gont Color Texture Structure Gr Sz Sh Consistence Boundary Roots GPD/Ft2 'Eff#1 'Eff#2 L Effluent #1 = BOO, > 30 5 220 mg/L and TSS > 305 150 mg/L • Effluent #2 = BOD, > 305 220 mg/L and TSS > 305 150 mg/L IAf b.A,:'r.,WIW-i�+�i elm - 9z.9r' J c l 9a. o'Coe6-kr r 1 �50%/2/4/uoti"�npE It • �, dP .�. s6c ee /�/•91r1' Pv� h571 i 4,0E0i20fp'iPOS�cI 6,Ji'f SWA 6ec. /o 77.7•94, Q. /b nJ, # o e&AA-v,'a, SE. Croix Co.,OA D Gt"el.-=-/od/-fv-� 2 r>p of/"sc.%Io i IN 6. 3 of3 ( 2 —&Arvvo^) ROIX COUNTY NO. 631286 TATt SANITAR PERMIT �- OWNER r PLUMBER�ppDSf►J7. LIC.# 139'N.L TOWN OF IZJUL SEC 10 T VT. AND/OR LOT THIS PERMIT EXPIRES N, R�� BLOCK 1041 T8 SUBDIVISION CHAPTER 145.135 UAVISCONSIN 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. (t) The sanitary permit is transferable. History: 1977 c. 168; 1979 c. 34,221; 1981 c. 314 Note: If you wish to renew the permit, or transfer ownership of the permit. please contact the coypty authority. AUTHORIZED ISSUING OFFICER - DATE '13 UNLESS RENEWED BEFORE THAT DATE POST IN PLAIN VIEW VISIBLE FROM THE ROAD FRONTING THE LOT DURING CONSTRUCTION SBD-06499 (R. 10/11)