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Home My WebLink About018-1051-30-100Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM -ouny St. Croix Safely and Building Division INSPECTION REPORT Sanitary Permit No. GENERAL INFORMATION (ATTACH TO PERMIT) 633901 Slate Plan ID No: Personal information you provide may be used for secondary purposes (Privacy Law, s 15 04 (1)(m)) Permit Holder's Name City Village Township Parcel Tax No: Rosa and Sigcho Contento I TOWN OF HAMMOND 018-1051-30-100 CST BM Elev Insqq BM Elev BM Descnption I Section(rown/Range/Map No (OO m 23.29.17.357A TANK INFORMATION ELEVATION DATA TYPE MANUFACTUR R ;"S CAPACITY Septic Dosing iexr Mill! 3.S Sd o� Z Holding TANK SETBACK INFORMATION TANKTO P/L )' WELL BLDG. Vent to Air Intake ROAD Septic Dosing %Z5� J isOt /I t 00 r Aeration Holding PUMP/SIPHON INFORMATION MuS t Q I.-L4 3zZ Manufacturer Demand GD0I,1 S GPM Model Number 0014 0 1 F q3 TDH l- � Friction l ob TSystem J.a�� TO q F1, Forcemain Len gt ^ t _JDia . r Dist -. ]to well > G SOIL ABSORPTION SYSTEM STATION Z B q tOHZ S loELEEVV. Benchmark l l o fit- y-5� Bldg. Sewer 7 36 oo. Z7 St/Ht Inlet 47 p l 7 St/Ht Outlet 9.5 `j-'b (z. Of Inlet .� j 3 Q� 7' Of Bottom ( Z Q FI �7 Gamq �j ! Header/Man Dist Pipe Ci Bot. System Final Grade St Cover 5.1 I�Op ovL L v r .� 7-von1 '�'l 107.b I.C)61 loll 5 `e � -7 7 Z5 /ao. 37 BED/TRENCH DIMENSIONS Width / D Length /q6 r J /4 PIT DIMENSIONS No Of Pits Insi a. Li Depth SETBACK INFORMATION SYSTEM TO I P!L BLDG IWELL LAKEI THE ACHIN C AMB OR IT Manuf cturer Tyq¢ O�Syste& lr � I , 1 t i )b . > /O r Mad ber DISTRIBUTION SYSTEM Header/Manifold Ds �, x Hale Size , x x Hole Spacing Vent to Air Intake Piptributa(ion s) 8 -Z / r D e( Length Dia Length Cis Spacing 3 • Q s,,— f SOIL COVER x Pressure Svstems Only xx Mound Or At -Grade Svstems Only Zi r U). ,..., L— r B enter �, / !I bA `' Depth Over BedrTrench Edges`- xx Depth of Topsoil 7 xx Seeded/Sodded xx Mu ched t)e (O it Yes ❑ No AYes No COMMENTS: (Ind ude code discrepancies, persons present, etc) Inspecho #1:, NOW / / 7/ y Inspection#2. Location: 865190TH ST � I 1.) Alt BM Descnption -t- � �r (war t 2.) Bldg sewer length = IA Z -amount of cover =)14V, J /N Jd) Plan revision Required? [Yes No for ad Use other side for additional informatro SBDE710 (R.3197) Dale Insepctofs Signature Cert. No. ipfN -a,- ai — 3 a q , ) Cotmty, Safety and Buildings Division 201 W Washington Ave, P.O. Box 7162 St. Croix Sanitary Permit Number (to be filled in by Co ) Madison, WI 53707-7162 330/a �, t a[yApplica State Transaction Number \�e2�1 In accordance wi SPS 383.21(2), W(� � mission of this the appro gave ntal um[ 082101963-C Project Address (if different than mailing address) is required prior to naming Me Application forms for stub ed PO mitred t9 the Department o£, few and Servies Personal inforrmhon you provide used for secondary u in accordan w I vacv Law, s 15 (Af I Nm ), Stars GY Qrs 5T-. 1. A cat liion Inf tion — Please Print All Information Property Owner's Name ( n Parcel It Maximo Sarango t 018-1051-30-100 Property Owner's Mailing AddV Property Location 865 190th St. Go4t Lot SW ip NW Section 23 City, Stale Zip Code Phone Number Hammond ,Wi. 129 zW (circle O njl— N, R _ 11. Type of Building (check all that apply) Lot N Subdivision Name I or 2 Family Dwelling - Number of Bedrooms 3 Block 4 ❑ Public/Commercial - Describe Use ❑ City of ❑Sate Owned - Desenbe Use CSM ❑ Village of Number/y;9/p „gyp! ` LJO / ® Town of Hammond POC,t LN3 2 2-- Ill. Type of Permit: (Check only one box on line A. Complete line B if applicable) A ❑ New System ❑ Treatment/Holdmg Tank Replacement Only ❑ Other Modification to Existin g System (explain) R. ❑ Permit Renewal "Rev�ion ❑ Changc of Plumber ❑ Perinit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner IV. Type of POWTS System/Component/Device: Check all that apply) ❑ Non-Pressurtzed In -Ground ❑ Pressurized In -Ground At -Grade ❑ Mound > 24 in of suitable sod ❑ Mound 124 in of sutable sod ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device V. Dispersal/Treatment Area Information: Design Flow (gpd) eQ Design Sod Application Rate(gpdst Dispersal Arri rred (sf) Dispersal Area Proposed (sf) System Elevation 450 .50 900 900 r5 9S0 VI. Tank Info Capacity in Gallons Total Gallons 4 of Units Manufacturer✓ Poly-lok 525 o 'o u a Z3 U _ Yew Tanis Pv>rng Tanks `� o u � }� rn 4 v 6. Septic or Hnldmg Tank 1000 1 Wieser x Dosing CTarnber 750 1 Wieser x V II. Responsibility Statement- 1, the andenigned, assimO res si ih mstallatio of t POWTS shown on the attached plam. Plumber's Name (Print) Plu -r Sfgmd-. MP/MPRS Number Business Phone Number Keith Knudtson 648443 137 Plumbers Address (Street, City. Stale, /ip Code 927 150th St. Roberts,Wi. 54023 V III. Coin rtment Use Only KApproved 11 D owed Permit Iss /i A Iss rig enl S�na4ir-/ ` v On for Denial Ei�� IX. Conditions 0 Appro 13�� t SYSTEM OWNE . 1_ 1. Septic tank, effluent filter and tad t�actL dispersal cell must be serviced !maintained a.�SL.tM as per management plan provided by plumber.�4ps� 2. All setback requirements must be maintained as per applicable codelVit"arrotaetiete ptanx Jior the syauon and sabmn to the canary only on weer aot Iry than s is s 11 mehes m.e }cQz 5 PVt SBD-6398(R. II/11) W �� =ae, Page 3 of 3 190th St. Lou, Area �c% I FN#865 Ir. Frontage of 290 ft P/L 133,03.49' `4it.s' `ewlt' ?Q`1 Grass Pasture Three Bedroom Home D.R Q EProposed Septic — I Proposed Dose Tank Field Edge 1 - 40 Cropped as Corn 2021 Elevation Data B#1 — 94.45' B#2 = 94.52' B#3 = 95.54' Dose Tank Grade = 95,00' BM#2 = Bottom of House Siding = 104.83' Top of Bldg. Sewer@ Basement Wall = 100.07' a >r� 3.5 BM Nall wiFink Ribbon in 4" DBH Fence Post Same ASSUMED ELEV. = 100.00' = Backhae Pit 94. 00' 95.00, #2 Garage I out buildings consisting of Machine Sheds and a Barn Soil Test Site Plan For: Maximo Sarango Sarango Lot I of CSM Vol. 9 Pg. 2581 SWI/4 - NWY4 Sec. 23 T29N-R17W Town of Hammond - St. Croix County Cropped as Corn 2021 K 320.86' June 17th, 2021 Keith E. Stoner CST# 224059 RECEIVED AUG 3 0 2021 /./ SL CROIX COUNTY CDD cS�crt �lD2l— �1�� Q 7� r Gt h o -7� 7'L— %v / l �1� k-9� Cl C14 Kevin Grabau From: Keith Knudtson <keithknud@centurytel net> Sent: Monday, August 30, 2021 8:23 AM To: Kevin Grabau RECEIVED Subject: Maximo failed system Attachments: Maximo failed system.pdf AUG 3 0 2021 Follow Up Flag: Follow up ST CROIXCOUNTYCDD Flag Status: Flagged This email originated from an external source. Verify the legitimacy before clicking links or opening attachments. Kevin this system has failed. Can you expedite this one S =. lPs%, August 17, 2021 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 2023-08-17 Plan Review: PWTS-082101963-C KEITH E STONER 23220 Woodcreek Rd Siren WI 54872 SITE: Sarango At -Grade Mound 865 190th Street St. Croix HAMMOND FOR: Object Type Description: 450 end GPD Maitenance Required DIVISION OF INDUSTRY SERVICES 2331 SAN LUIS PL GREEN BAY WI 54304-5211 Contact Through Relay http.//dsps w.gov/programs(ndustry-services www.wisconsin.gov Tony Evers - Governor Dawn Crim - Secretary cwd ', APPROVED DEPT OF SAFETY AND PROFESSIONAL SERVICES DMSION OF INDUSTRY SERVICES SEE CORRESPONDENCE At -Grade Component Manual - Ver. 2.0, SBD-10854 (N.03/07, R. 1 /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: • This system is to be constructed and located in accordance with the approved plans, and the "At -Grade Component Manual for Private Onsite Wastewater Systems" • The pressure network is to be constructed in accordance with publications SBD-10706-P(N01/01) "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems - Version 2.0" and/or the sizing methods of publication "SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81)" A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries conceming 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 PO WTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, ///.a&/,w 9fWw it&,�,ea Matthew Allen Janzen Wastewater Specialist, Division of Industry Services (715)340-0407 matthew.ianzenam i.Eox Project cendttanaq APPROVED DEPT of SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SEE CORRESPONDENCE RESIDENTIAL AT -GRADE DESIGN Pressurized - Sloping Site INDEX AND TITLE SHEET Sarango Replacement Sanitary System Owner Maximo Sarango Sarango Address 865 190th Street Address Same Phone Legal Description Parcel in the SW1/4 - NW1/4 Sec. 23 T29N-R17W Township Hammond County St Croix Subdivision Name CSM# Vol. 9 Pg 2581 Lot No 1 Parcel ID Number 018-1051-30-100 Plan Transaction Number Index sheet Page 1 Calculations Page 2 At -grade drawings Page 3 Laterals and dose tank Page 4 Specifications Page 5 Management & contingency plan Page 6 Pump curve & specifications Page 7 Sanitary Site Plan Page 8 Alternate Pump Control Settin s Page 9 ---lg - Designer Keith E. Stoner License Number Designer 1575-007 Signature 6 Phone Number 715-653-2324 Date 7121121 Designedpursuant to: At -grade Component Manual Vac 20 for POWTS SBD-10854-P (N 03107), and both SSWMP Publication 9 6 Design of Pressure Distribution Networks for ST - SAS (01181) and Pressure Distribution Component Manual Ver 2 0 SBD-10706-P (N 01/01) Version 7.0 (03l12) Page 1 of 9 PRESSURIZED AT -GRADE DESIGN At -grade Design Worksheet - Sloping Site Flows and Site Data Entry. (r or c) F. r Residential or commercial? 300.0 Estimated wastewater flow (gpd) 450 0 Design wastewater flow (gpd) AA ° Site slope 95.00 ntour elev. below lateral (ft) .00 Depth to limiting factor (in) 0.50 In -situ soil application rate (gpd/ft^2) Distribution Cell Information (1 or 2) 1 Influent wastewater quality 10.00 Linear loading rate gpd/ft 10.00 Effective absorption width (ft) 10 00 Max. effective width permitted (ft) 90.00 Aggregate length (ft) Pressure (c or e) Not a final c Icuiatw Designer must select one lateral diameter 3ta Entry Center or end lateral connection Number of laterals Orifice diameter (in) e g 0.25 Estimated orifice spacing (ft) Forcemain diameter (in) Forcemain flow velocity (fUsec) Forcemain length (ft) Pump tank elevation (ft) System head (it) x 1 3 Vertical lift (ft) Friction loss (ft) In -line Filter Loss (ft) Total dynamic head (ft) Lateral Diameter Selection Pipe diameter Design options Design choice 1 in 1 25 in 1 5 in 2 in x X 3m X y or n y Does forcemain drain back? y or n y Are laterals at highest point? NA 33 Forcemain drainback (gal) 725 5x Lateral void volume (gal) 758 Minimum dose volume (gal) 32.2 System demand (gpm) Gallons/Inch Calculator (optional) Total Tank Capacity ( De Total Working Liquid Depth (in) Gal/in (enter result in cell G46) Treatment Tank Information 1000 Septic tank capacity (gal) Wieser Concrete Manufacturer Effluent Filter Information Dose Tank Information JPoly Lok Filter manufacturer 750.4 Dose tank capacity (gal) PL-525 Filter model number 20.3 Dose tank volume (gal/in) Wieser Concrete Manufacturer Protect Sarango Replacement Sanitary System Transaction Number Page 2 of 9 AT -GRADE PLAN VIEW I D �1 1/6 B Observation pipes (2 typical)B 90 00 ft —T 1/6 B 15.00 ft C 12.00 ft We D 5.00 ft E 2.00 ft L 100.00 It B W 22.00 ft A x B 900 00 ft^2 T L Cap = Total aggregate cell A x B Typical in the pipe Slotted m the lower 6", and O= Plowed area L x W anchored securely 6" T Synthetic fabric cover Lateral invert elev. 95.50 ft Surface contour 95 00 ft and system elevation AT -GRADE CROSS SECTION C = 12 in topsoil and subsoil over aggregate and tapered to toes. = 6 in. aggregate below pipe(s), and 2 In above pipe Project: Sarango Replacement Sanitary System Transaction Number: Finished grade elevation Observation pipe at aggregate toe =% Slope D Plowed layer below LxW Page 3 of 9 PRESSURE DISTRIBUTION AND DOSE TANK Lateral Diagram - Center Connection L.st ho+e d4ied neat to erd cap I,(- x—s I Lateealt a $M« main «PVC soh 40 Holes ckM d an the bottom of the I.F«at 6f+ SPS Table 304-3" equally spaced • -Tura-apviballvahraoeclauna Lpiug Lateral Specifications 0.156 Orifice diameter (in) X 1.49 Orifice spacing (ft) 60 Orifices/lateral 32 2 Lat. discharge rate (gpm) 32 2 Sys discharge rate (gpm) 12.74 TDH (ft) Final grade --- Weather-proof junction box Tank component is property vented Electrical as per NEC 300 and SPS 316 300 WAC e o A w B Lam! Totals Inches Gallons 21.2 431 0 20 406 3.7 758 10.0 203.0 36.9 750A Center Lateral connection point 1 Number laterals P 88.66 Lateral length (ft) 2.00 Lateral diameter (in) 2 00 Forcemain diameter (in) 20 00 Forcemain Length (ft) Typical Pump Chamber Layout Tank full JA Ala Pumpon B 87.75 ftt C 0 Goulds Pump manufacturer EP04 Pump model number disconnect Approved manhole cover with warning label and locking device 4" Alternate 1 outlet location 18" min Approved_ � outlet joint Provide 1/4" weep hole or antisiphon device. 4 86.92 ft SJE Rhombus Alarm manufacturer Tank Alert 1 Alarm model number Project: Sarango Replacement Sanitary System Transaction Number: Page 4 of 9 At -grade System Maintenance and Operation Specifications Service Provider's Name Powers Sanitation Phone 715-246-5738 POWTS Regulator's Name ISt. Croix County Land Services Phone 715-386 4680 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 900.0 ft Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Colrtorm >10E4 cfu/100 mL Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Other Service Frequency Inspect and/or service once every 3 years Inspect and clean at least once every 3 years Test once every 3 years Should test month) Laterals should be flushed and pressure tested every 1.5 years Inspect for ponding and seepage once every 3 years Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384 30-1, have a watertight cap, and are secured in as shown in the at -grade component manual. 2. Dispersal cell aggregate conforms to SPS 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 at -grade structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration 6. Areas within 15 feet of the downslope toe will be protected from compaction. 7. All other construction details are as per the at -grade component manual SBD-10854-P (N. 03107). Lateral Turn -up Detail Finished ............... Grade �i 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution \ 95.50 ft y Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Sarango Replacement Sanitary System Transaction Number: Page 5 of 9 At -grade System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General This system shall be operated in accordance with SPS 382-384 Wis Adm Code, and shall maintained in accordance with its' component manuals tSBD-10854-P (N_ 03/07), SSWMP Pub 9.6 (01181), and Pressure Distribution Component Manual Ver. 2.0 SBD-10706 (N 01/01)] and local or state rules pertaining to system maintenance and maintenance reporting No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death Septic and pump tank abandonment shall be in accordance with SPS 383 33, Wis Adm Code when the tanks are no longer used as POWTS components Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness Access openings used for service and assessment shall be sealed watertight upon the completion of service Any opening deemed unsound, defective, or subject to failure must be replaced Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s 281 48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm Code The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the fitter when removed from its enclosure. If the fitter is equipped with an alarm, the fitter shall be serviced it the alarm is activated continuously Intermittent fitter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds V3 the liquid volume of the tank If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank The addition of biological or chemical additives to enhance septic tank performance Is generally not required However, if such products are used they shall be approved for septic tank use by the Department of Commerce Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent fitter is installed within the tank it shall be inspected and serviced as necessary At -tirade and Pressure Distribution Svstem No trees or shrubs should be planted on the at -grade Plantings may be made around the at -grade's perimeter, and the at -grade shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the at -grade is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration Cold weather installations (October -February) dictate that the at - grade be heavily mulched as protection from freezing Influent quality into the at -grade system may not exceed 220 mg/L BOD5 150 mg/L TSS, and 30 mg/L FOG for septic lank effluent or 30 mg/L BOD5 30 mg/L TSS, 10 mg/L FOG, and 1W cfu/100 mL for highly treated effluent Influent Flow may not exceed maximum design flow specified in the permit for this installation The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months When a pressure test is performed it should be compared to the initial test when the system was installed to determine if once clogging has occurred and If orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an Impending hydraulic failure requiring additional, more frequent monitoring Continency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wining becomes defective the defective components) shall be immediately repaired or replaced with a component of the same or equal performance If the at -grade component falls to accept wastewater or begins to discharge wastewater to the ground surface, rt will be repaired or replaced in its' present location by Increasing basal area if toe leakage occurs or by renovating the biologically clogged absorption and dispersal media, installing new piping, and replacing other components as deemed necessary to bring the system into proper operating condition See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider Project. Sarango Replacement Sanitary Transaction Number: Page 6 of 9 Page 9 of 9 KEITH E. STONER LAND USE CONSULTANT, CERTIFIED SOIL TESTER AND DESIGNER OF SANITARY SYSTEMS \\ oud Ureek Rd Siren N\ i,con,m 5487' Nhone i'ISIM1i:-'',24 Adventurersa Centtm to I.net Optional Float Settings i Dimension Inches Gallons A 20.50 415.74 B _ 2.00 40.56 C — - 450 9126 D 10.00 202.80 Total 37.00 750.36 37 inch liquid level 20.28 gals./inch Min. Dose = 72.25 gals. Max Dose = 90.00 gals. 91.26 gallons - 1.26 drain back = 88.00 gallons Optional Pump Na Note: Double float pump switch maybe required. Page 8 of 9 Page 3 of'3 P 1. 1303.49' ��++^^yy,, }Bq V Grass Pasture D F Three Bedroom Home 190th St. Lou Area • WELL Proposed Septic Tank F— FVn 865 ',K3M 12 Proposed Dafe lank held Edge Frontage of290 Q. 1 ` BM ,9 # J% x Cropped as Co,n 2021 Elevation Data 13 B# I = 94.45 a B#2 - 9.52' B#3 = 95.54' � Dose Tank Grade = 95.00' BM92 = Bottom of House Siding — 104.83' \ Top of Bldg. SewerCa Basement Wall — 100.07' 3.5L/ _P/L L95.50' % ) BM Nail wtPink Ribbon in 4" DOB Fence Post Same 94.00' ASSUMED ELEV. - 100.00, ' m Backhoe Pit 95 00' I- 0 25 50 I Sic6 . 50 It Out buildings consisting of ,Machine .Sheds and a Rarn Soil Test Site Plan For: Maximo Sarango .Sarango Lot 1 of CSM Vol. 9 Pg. 2581 SW114 - NW1/4 Sec. 23 T29N-R17W Town of Hammond - St. Croix County a Cropped as Corn 2021 320.86' 4�k June 1 7th, 2021 Keith E. Stoner CST# 224059 Wwonsit Otpaitm rd of Safely and Prdessional Services I>nsion of h>t *y services SOIL EVALUATION REPORT #3631 Page 1 of 3 in accordance with SPS 385, W is. Adm. Code Keith Stoner CST Attach complete site plot plan on paper rat less onto x inches in size. Plan must County St. GIOIX include, but not limited to: vedical and horizontal reference point (BM), direction and ref n percent Mope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. 018-1051-30-100 Please print 8N fnlonnatlon. Reviewed By Date Personal rtnlomm raeon you provide may be used for secondary pwp� (Privacy Law, s. 15 04 ill (m)). Property Owner Property Location )aft J Maxinw Sarango Sarango GovL Lot SWIM, NWi/4, S23, T29N, R17W Properly Owner's Mabrng Address Lot # I Block # Subd. Name or CSM# 865 19M Street 1 GSM 9/2581 City State Zip Code Phone Number — 0— ._® Town -_____ ❑ ny ❑ Yliage Nearest Road Hammond j WI 1 54015 1 Hammond Same ❑ New Constriction Use: ® Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD _ ® Replacement ❑ Public or commeroal - Describe: -- — Parentmaterial Wind or water laid Loamy Deposits over dense Loamy Till _ Flood plain elevation, if applicable NA____ it -- _ - General comments- Propose a 10 x 9U' At -Grade mound dispersal od with a pipe contour/system elevation = 95.00'. Pipe omkw staked onsite. and recommendations: Boring # ❑ Boring ® Pit Ground surface elev. 94_ .45 - - _ R Depth to limiting factor 59_in. Soil Application Rate Horizon Depth Dominant Color Re" Description Texture Structure { Boundary Roots in. Munsell 0u. Sz. Con. Color Gr. Sz. Sh. _GPDRP 'Ef lu -- •EW 1 0-8 10YR3/2 - sir 2msbk mvfr [s i 3f-m 0.6 0.8 2msbk ------ _ nwfr _ _gs 2f-m t ---0.6 2 - -- R`_ ----- - 10YR4/3 --------------- - --- - ----- ----- I --- -- -- 0.8 3 4 12 22 22-33 10YR4/3 10YR4/4 d sI 2msbk 2f-msbk mvfr mvfr gs lf-m gs i if 0.4 0.6 0.6 1.0 5 33-59 10YR5/4+5/6 - srs Osg ml gs 1f 0.7 1.6 -- - 6 -- 59-64 -------- - - 10YR5/4+5/6 H2O at 59" - - kn prt bottom- Shc saturated srs at Osg rN - - 0.7 1.6 54". #5 + 6 - 1/4 - 3/4" bards of dense Is ❑ Boring # ❑ Boring Grand 94.52 ® Pit surface elev- fL Depth to linidng factor _ 68 _in. Soil Application Rate Flonron Depth Dom nent Color Redox Description Texture Structure Cons[ Boundary Roots GPDRP in. Murnsee 0u. Sz. Cont. Color ' Gr. Sz. Sh. •Fitt _ 'Eon 1 0-9 10YR3/2 - s0 2msbk mvfr is 3f-m 0.6 0.8 2 3 917 17-25 10YR4/3 I 10YR4/3 d 2msbk mvfr 2msbk mvfr gs gs 2f-m if-m 0.6 0.4 0.8 0 - -- 4 5 - 25-36 i, 36-68 1UYR4/4 51 1OYR5/4+5/6 - srs 2f-msbk mvfr I Dsg ml gs if i if 0.6 0.7 1.0 1.6 N20 at 68" in pit bottom. Soil sattaated at 63". tmuent #t = u()DS> 30 < 220 mg/L and TSS >30 < 150 mg/L ' EtOuent #2 = 9005 s30 mg/L and TSS S30 Mg& CST Name (Please Print) Signature: CST Number Keith Stoner 224059 Address Keith Stotler CST -- — - Date Evaluation Conducted Telephone Number-- 23220 Wood Creek Rd Siren, W l 54872 6/17/2021 715-566-09GO SBD1330o.07/13) Ma)drno SaYqW Saran PwcOID# 018-1051-311-100 page —2—Of _3 Properly Owever AID a 0aw" Ground surface elev. 95.54 N. Depth to WIMM factor 42 In. son Appitxatlon Rate M Ptt — - Horizon Depth in. Domilmant Color VAOMM Redox Description Ou- sz. Cont. Color Textuns struckme Gr. Sz- Sh. r!- I Bounds" Roots GPD/W 1 0-6 10YR3P so I d S, sr fS 2ffksbk 2rnsbk msbk If-msbk nwfr CS 3f-m 0.6 0' 6- 0.8 2 3 4 6-10 IG-17 17 -42 I0YR4/3 10YR4/3 lOYR4/4 10)(114/4 11, rAr ffvvfT ITTIAT' T::: CIS CIS CIS 2f-rn 2f-m if-M 0.6 0' 6 0.4 0. 0.4 0.8 -- 0.6 0.7 f2d5YR5/8 Dsg ffd gs if O.S 1.0 1.6 I0YR5/4+5/6 srs - sus I 099 (TO gs 0.7 I0YR5/4+516 c2d5YR5/874' H20 pit wall Osg ffd I I - 0.7 1.6 F-1 Boft Ej Boring M Depth ID liont" factor In. El Ph Grated surface alev. Soll —ApMosdon Ralls Horizon Depth IrL Dominant Calm Mu sea Radox Description Ou. Sz. CUnt. Color Texture Shuchrre Cu. SZ. Sh. Consistence Bourdery Roots GINO" FIBorbv # El Borim Depth 03 lnzdkv ftdw El Pit Ground surface elev. in. SW Applicadon Hake Horton Depth In- Dominant Color klurallall Rodox Description Cu sz_ COOL color Tindurs, Structural Gr. Sz. Sh. COMWN"l fturldlery ROM GPD-MP--- I 'EM * Eflkamt #1 - 8001> 30 4220 mg& and TSS >30 -,150 mgil- * Effluent 42 = BMS s 30 mgOL and TBS -q-30 roWL SN"C"Ot.0twill) rAft so" CSF Page 8 of 9 P L 1'2303,49' elm Grass Pasture Proposed 4"Sch. 40 P)'C Replacement Bldg. Sewer Pipe 190th St. /.ow 4rea DR O /` Proposed Meseer Concrete WI.P11700-41R .Septic lank a,'a Polv-Lok PI. 52.5 Garage PV# 865 Proposed 4".Sch. 40 P4 Cor Asbn D-3034 PI C C'onvevance Pipe L 7hree Bedroom Home Proposed Wieser Concrete IVLP750-WR Dose lank Fi ontage of290f[ Proposed loft 90ft At -Grade Afovnd Dispersal C'e/( w'a Pipe Contain ' SYstent Elev. of 95.00' (Topped as Corn 2021 Elevation Data \ Dose Tank Grade = 95.00' BM42 = Bottom of House Siding = 104.83' \ Top of Bldg. Sewer@. Basement Wall = 100.07' BM = Nail w/Pink Ribbon in 4" DBH Fence Post * HRP-Same ASSUMED ELEV. - 100.00' Field Edge BMBM `trt s' x 9s.5r1' z 94.00' 95,00' 0 25 50 i Gnyhic &.1. (Pbat) 3 l - 50 tt On/ huddnsgs consisting of 1fachme Sheds and a Barn • WELL Sanitary Site Plan For: Maximo Sarango Sarango Lot I of CSM Vol. 9 Pg. 2581 SWI/4 - NW1/4 Sec. 23 T29N-R17W Town of Hammond - St. Croix County x Cropped as Corn 2021 3:0.86' Wastewater 0 2 4 6 --8 10 12 CAPACITY MODEL INFORMATION Order RP11. olts Amps Minimum Circuit Phase FloatShipping switch Cord Discharge Minimum Minimum Minimum Manimum Number Breaker style Length Connection On Level Off Level Basin Solids Weight Diameter Size Ibs.kg EP041 1 4 115 12 1 20 N Plug / 10, 1 Manual Manual 20 / 9 1 EP0411A Piggyback/ Wide -Angle 10' 12" 6' -21/95 EP0411 F N Plug h 20' Manual Manual 20 / 9 1 EP0411 AC Piguyback i 20' 12' 6' 1 W,de-Angle 1/11 151, Y., 21 / 9 5 EP0412 230 b 10 NolSg 10, Manual Manual 20/91 EP0412F Plug / No Swrtcr 20' Ma nual Manual 20 / 9.1 EP0511 F 5 1 115 13 20 Plug / No Switch 20' Manual Manual 22110 EP0511 AC , gyyback 20' 12" 6' de -Angle 23 / 10 4 EP0512F 230 6 5 10 Plcg i No Switch 20' Manual Manual 221 10 PAGE 3 Sr CRO LINTY SANITARY SYSTEM File #: I- n,nr Office Use Only OWNERSHIP/ADDRESS FORM createe212o2r 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 Maximo Sarang0 f R054 514(At 0 CONTEArD Mailing Address 865 190th St. City/State/zip Hammond Wi Phone Number (required) �245 2- /% Email Address (required) 114114 Of Parcel Identification Number 018-10 (found on the property tax bill) NEW SYSTEM: LEGAL DESCRIPTION Property Location SW 1/4 , NW 114 , SeF.3 T29 N R117 W, Town of Hammond Subdivision Plat: , Lot # Certified Survey Map # 32,102 Volume Page # 2581 Warranty Deed # 16 3(before 2006)Volume Number of bedrooms 3 New Property Address (Staff Initials) Spec house O yes 0 no OFFICE USE ONLY Page # Lot lines identifiable dyes 0 no (Venfiratmn of new address required from 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 map if reference is made in the warranty deed. Community Development Department - Land Use Division 715-386-4680 St. Croix County Government Center 715-245-4250 Fax cdd@sccwi.aov 1101 Carmichael Road, Hudson, WI 54016 www.sccwi.00v WisconsinOepartritent ¢f)zidPmfess�� iJ07ORIGINAL _ Dfr�nOfI 12p2 SOIL EVALUATION REPORT 1 ot#3631 1Page in rdance with SPS 385, W is. Adm. Code CST "ao �,1 33 Keith Stoner CST c�cv nt Coin Attach com ete site Ian x inches in size. Plan must p Lgopg 00 n $I. Croix include, but t IimiteS�o: � onzontal reference point (BM), direction and ref n - -- Parcel I.D. percent slo sc�lg ons, north arrow, and location and distance to nearest road. 018-1051-30.1(!0 Please print all Information. - - - - Mewed Re 8y e Personal information you provide may be used la semMary pwm., pes (privacy Law, s. 15 04 (1) (m)) ' 3r Zoz� Property Owner Property Location i-t Maximo Sarango Sarango Govt. Lot SW1/4, NV/1/4, S23, T29N, R17W r's M Property Owneailing Address Lot # Block # Subd. Name or CSM# 865 190th Street 1 CSM 912581 City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road Hammond I WI 1 54015 j Hammond I Same ❑ New Construction 0se: ® Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD ® Replacement ❑ Public or commercial - Describe: Parent material _Wind or water laid Loamy Deposits over dense Loamy Till _. Flood plain elevation, if applicable NA ft. General comments Propose a 10 x 90' Al-0rade mound dispersal cell with a pipe contour/system elevation = 95.00'. Pipe contour staked onsite. and recommendations: ❑ Boring ❑ Boring # ® Pit Ground surface elev. _ 94.45 ft. Depth to limiting factor _ _ 59 _m. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consiste Boundary Roots GPD/W in. Munsell Ou. Sz. Cont Color Gr. Sz. Sh. •Efgt •E##2 1 0-8 10YR3/2 - sit 2msbk mvfr CS 3f-m 0.6 0.8 8-12 10YR4/3 1 2msbk mvfr gs 2f-m 0.6 0.8 2 3 12-22 10YR4/3 d 2msbk Fri gs if-m 0.4 0.6 4 22-33 10YR4/4 - s1 2f-msbk mvfr gs if 0.6 1.0 5 33-59 10YR5/4+5/6 - srs Osg ml gs if 0.7 1.6 6 59�i4 10YR5/4+5/6 - srs Osg ml 0.7 1.6 6TS9 H2O at 59- m pit bot)nm. Sal saturated at 5V. #5 + 6 - 1/4 - 3/4' bands of dense Is ❑ Boring Boring # ® Pit Ground surface elev. _ 94.52 ft. Depth to limiting factor 68 __in. Soil Application Rate Horizon Depth Dominant Color Redox Description I Texture Structure Consiste Boundary Roots in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. _ _G_PD/W _ •Eft#1 •Ett#2 1 0-9 IOYR3/2 sit 2msbk mvfr Is 3f-m 0.6 0.8 2 9-17 10YR4/3 I 2msbk mvfr gs 2f-m 0.6 0.8 3 17-25 10YR4/3 d 2msbk mvfr gs if-m 0.4 0.6 4 25-36 SOYR4/4 sl 2f-msbk mvfr gs if 0.6 1.0 5 36-68 10YR5/4+5/6 srs Osg ml if 0.7 1.6 H2O at 68" in pit bottom. S6I saturated at 6Y. Effluent #1 = BOD? 30 < 220 mg/L and TSS >30 < 15o mg/L. ' Effluent #2 = BOD5 _30 mg/L and TSS 430 mgA_ CST Name (Please Print) Signature: CST Number Keith Stoner 224059 fAddress Keith Stoner CST Date Evaluation Conducted Telephone Number 23220 Wood Creek Rd Siren, W 154872 6/17/2021 715-566-0900 5669330(Rm/13) Property Owner MEDU Sar O Sarang0 pares lD # 018-1051-30-100 Page . 2 of 3 3] Boring# ❑ Boring ® Pit Ground surface elev. 95.54 ft. Depth to limiting factor 42 in. Sal Application Rate Horizon Dr Depth Dominant Cob, Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence ry Roots GPD/fr� 'EMI 'EfW2 1 0-6 10YR3/2 - sir 2msbk mvfr a 3f-m 0.6 0.8 2 3 q 5 6 6-10 10-17 17-42 42-52 52 68 SOYR4/3 10YR4/3 - 10YR4/4 - lOYR4/4 df 5YR 10YR5/4+5/6 I + d sl- sr fs srs 2msbk 2msbk 1f-msbk mvfr mvfr mvfr - gs gs gs 2f-m 2f-m 0.6 0.4 0.8 0.6 0.7 Sf-m 0.4 Osg Osg ml ml gs gs if 0.5 0.7 1 1.0 1.6 7 68-74 10YR5/4+5/6 c2d5YR5�8 H2O pit wall 74" srs Osg ml 0.7 1.6 ❑ Boring Boring # pit ❑ Ground surface elev. _ ft. Depth to limiting factor in. Sal Application Rate Horizon Depth m. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ft' -ER/1 •Elf#2 ❑ Boring Boring # ❑ Pit Ground surface elev. _ ft. Depth to limiting factor in. Sal Application Rate Horizon Depth on. Dominant color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Consistence Gr. Sz. Sh. Boundary Roots GPD/ t' 'Etfsi - -Ed#2 Effluent #1 = B005> 30 < 220 mg/L and TSS >30 < 150 mg/L Effluent #2 = BOO < 30 mg/L and TSS < 30 mg/L S11D-83Wr.(R.07/13) xexe Stp CST Page 3 of 3 P L 1303 49' e(�'y7,�� siL,ttii'� ?`r.`ti� �t•l� D 25 50 Graphic (Feat)1 inch— 5 S O tl Crass 1'a5'b/Ye I hree Bedroom flame DF. 190111S( lox 4rea • WELL C,arage Out hudautgs rnnsrsnng of ,Nnchmr Sheds and a Barn Proposed Septic /mrk F $M 1= 320M' F\=565 LLL�� Proposed Pose 7anA Field rage f1. BM SO[[ TCSZ Site Plan 1•iondage o/ 290 � e u \ For: Maximo Sarango Sarango 4; ai t� Lot I of CSM Vol. 9 Pg. 2581 Cropped as Corn2nz1 SWY4 - NW1/4 Sec. 23 T29N-R17W Elevation Data s " Town o Hammond - St. Croix County Ba 1 94.4s f B42 94.52' \ Lis B93 95.54' DoseTank Grade = 95.00'BM82 = Bottom of House Siding - 104.83' 35, Top of Bldg. Sewer(u) Basement Wall = 100,07' X D_ 4 95.50' 1307,35' l� Nail w(Pink Ribbon in 4" DBH Fence Post EIRP - Same ASSUMED ELEV. - 100.00' ' = Backhoe Pit 94 00' 9500, ('rapped as ('m'n 2021 6k tot June 17th, 2021 Keith E. Stoner CST# 224059 (Kefkeew",00r 4*� 49L.CKPIXcouNry NO._ 633901 STATE SANITARY PERMIT ENEW�i'� PREVIOU NO. E OWNER&X1 M64 119MA J t � AA CHAPTER 145.135 (2) TSCONSIN STATUTES PLUMBER TOWN SEC Z BLOCK SUBDIVISION 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 maybe 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 contgt the countyAuuthority. ISSUING OFFICER - DATE (&t/ UNLESS RENEWED BEFORE THAT DATE POST IN PLAIN VIEW VISIBLE FROM THE ROAD FRONTING THE LOT DURING CONSTRUCTION SBD-06499(RI 1/20)