Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
018-2007-33-000
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 04 (1)(m)] Permit Holder's Name City Village Township Paul & Yvonne Roselle TOWN OF HAMMOND CST BM Elev Insp. BM Elev BM Description TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO P1L WELL BLDG. Vent to Air Intake ROAD Septic Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist to Well SOIL ABSORPTION SYSTEM STATION BS HI FS ELEV. Benchmark Alt. BM Bldg Sewer SUM Inlet St/Ht Outlet Dt Inlet Dt Bottom Header/Man. Dist. Pipe Bot System Final Grade St Cover BED/TRENCH Width Length No Of Trenches PIT DIMENSIONS No Of Pits Inside Dia Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BL DG WELL LAKE/STREAM LEACHING Manufacturer. INFORMATION CHAMBER OR UNIT Type Of System Model Number DISTRIBUTION SYSTEM HeaderlMamfold Distnbution x Hole Size x Hole Spacing Vent to Air Intake Pipes) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Svstems Only Depth Over Depth Over xx Depth of xx SeededlSodded xx Mulched Bed/Trench Center BedrTrench Edges Topsoil Yes E] No COMMENTS: (Include code discrepancies, persons present, etc) Inspection #1 Inspection #2: Location: 1167 167TH ST 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = Plan revision Required? . Yes [— No Use other side for additional information. _ SBD-6710 (R 3/97) Date inrsepctoes Signature Can. No. 5nvo-vied ( — Safety and Buildings Division County G f'ZO Sanitary Permit Number (to be filled in by Co ) t 201 W. Washington Ave, P O. Box / 162 Madison, WI 3707-7162 33 .. -roaac - anitary Pe it Applicatif5 �--L. State Transaction Number -3 .; Z 0 Z 30 In accordance wi SPS 38 21(7J, �V' u mission of this form to the appropriate goverruA2dlal urm Note. Application forms for State- S are submitted to Project Address (if different than mailing address) is required prior t obtalnin�- Safi it the Department of of esstonal Servles. Personal inac information you provide may be use o-rM=dary purposes actor with the PrivLaw, a. 15.04 1 m , Slats /� /� (// YY I. Application Information - Please Print All Information Property Owner s Name • b(,u./iC �L�E PO H �l1-206-33-0�0 Property Owner's Mali Address - prty gD� Prope Loca,(ton bt..t . !i. 97Z it P9� Govt. Lot 5 /, ev t '4, Section S Toone City, State Zip Code Phone Number //( t�.It)di W( ✓ 7'���� - Te N; R E o II. Type of fluilding (check all that apply) Lot # Subdivision Name ] or 2 Family Dwelling- Number of Bedrooms BlockN ❑ City of ❑ Public/Commercial -Describe Use ❑ State Owned - Describe Use ❑ Village of ,,^ . n Town of /4-/!"N/�/ CSM Number Z D�- III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A New System ❑ Replacemment System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Exrsbng System (explain) B. ❑ Permit Renewal ElPermit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Dale Issued Before Expiration Owner IV. Type of POWTS S stem/Com onent/Device: Check all that apply) ❑ Non-Pressur¢cd In -Ground ❑ Pressurized In -Ground ❑ At -Grade ound> 24 in ofsuitable sod ❑ Mound <24 in of su cable sgil •x G I 8 ❑ Holding Tank Elther Oispersal Component (explain) ❑ Pretreatment Device (explain) r� V. Dispersab"Treating6t Area Information: On d - Design Flow (gpd) Design Soil Application e s Dispersal Area Required t) Dispersal Area Proposed System Elevglion 5no v1 .67 VI. Tank Info CapaciTy m Gallons Total Gallons q of Units/(' n Manier /�% v $ ew NTanks Existing Teaks ! ! /.UL y(7r7 o U y 2 vi G N yr z t7 a Septic or Holdmg Took Desog Chamber VIL Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's 50me (Print) Plumber's Signature bfP umber Business Phone Number z7,41 71-f 273 Plumbars dd s (Street, City, State, Zip Code) IV I e--LL w&A-.-J1- VIII. County/Department Use Only Approved ❑ Disapproved Permit Fee a(o7S oo Date sue $ Z 1 Issuing Agent St e Q Owner Given Reason For DetuaL-_ - /v IX. CgpSdEigtOWN9ipproval/Reasons for Disapproval3 d J �,� ttaysoyC,s jy� -�.v�_ $`fe, Ck s 7-r 1. Septic tank, effluent filter and t . t �I dispersal Cell must be serviced/maintained le-4, QM "Yvj -G l I,dI�"� ��TI as per management plan p(m ded by plumber 2. All setback rablecoe/omuskbemalydeirkd (,,,f�elV Is._ ,A. e�Zyy„rIp�a �_/f k� � V1 kk1hK its per eppbcebb cotle/nrdinertwwrA44` Y_"-" (`�o n�c- (�`j' )n fix• O+,J Attach to complete plain for the system and suhmit to the Coaa ty oily oa paper ooil. thjfa 8 in x I l)41hes iu si. SBD-6398 (R 11/11) Deeigtw.. Ryan Bxhd Certified S Teets: SP-111500001 Designar of Engineering Systems: D 2263-7 SCALE 20' 0' 40' 'COPY I 1 I --T New 413R Home I Wieser Garage I (— - I� 1200/800 I I I --L__j-__ JF—l��n ±10r 4" sch 40 PVC ADVANCE 'All property lines not o o e°nchma k SYSTEM NQt'EN s N 44 - v i R o 14 ne E N T A c dravm are >t001ttrom system h 4 Soil Boring Septic Tank: .Wieser 12001800 gallon 2compartment tank -Bring nsers 4' above final grade _-- - -- -Best GF-10 hltawl alarm -Do rot route c1mrwatw sources into septc tank based on Contour adjusted plan VVV 3 andSplot CC (noted contoursling t as 6% on Soil testt) Pump Tank: -Pump needs = 40(pm @ 21TDH -B)Dgellons — 7/d -Movetank as necessary, maintain all sebadrs -Recalculate pump Proton Lass and TDH after install vd -Event muriter, time mete, xwWer mew rewmneded LOT vd STA: 33 -10z60'MouM -25 absorption wdh -8' dean sand III (ASTM C33 sand) CM stumps flush to ground, avad digging c � Q? -New entre ebsordi see and range dipprgs -Roughen absci arse to depth of 6'-0' 00 �.9 -Divan sudacewater a tram wstem \380 -Deoh to resticbm=2B' (RadoRimomMcfeatured) \, Contour=9500 -Slope =4% \ Ql Distribution; 9 '\ S00 93: g0 -letedslobespeced 17 homend of bed s 24'to spas -latee invert eievaton=9627' a {3)1 �J' mh 40 pvc laterals wth deanoutsuse spnnkle boxes for aotachon -t i' header, endfed ndw* + orifices @ &0'speong I Protect 15' darndope adsorption area (rain conpadan f155' 2" Q3 dunngcwsWcoon sch 40 PVC -Demand case float sehngs par design \ a LOCATION MAP (not to mods) ' **Well to be located >50ft from system components** BMl = 100.00 Top of survey iron Alt. BM = 100.20 Top Z" pipe LOT 34 y o a ��)_P/L P/L P/L r..eaw sa�r.,n.ra� are...e.'^ nom b.cn a.da.d eb ei aluuted In addetdoe m we, Slid, are Local coda 7M nor tnehnaa ama out ra ph Probated f m d turton s, aal/a compaction Edam and alter VLOT 31 LOT 32 S17-E345 PREPARED FOR: Paul & Yvonne Roselle Site Address: 1167 167TH ST Hammond, WI 54015 PIO: 018-2007-33-000 5.35 Acres Legal: Lot 33 FonmAew Ridge SW 1/4 NE 1/4 S05 T29N R17W Town of Hammond /trranis;r��-. 0 September 14, 2021 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES 2023-09-14 Plan Review: PWTS-092102303-C RYAN GARY BECHEL 779 Spring Creek RD S Red Wing MN 55066 SITE: Paul & Yvonne Roselle 1 167 167TH ST Town of HAMMOND St. Croix County Total Amount: $250.00 FOR: Description: 600 GPD (4 Bedrooms — New Construction) Maintenance Required DIVISION OF INDUSTRY SERVICES 2331 SAN LUIS PL GREEN BAY WI 54304-5211 Contact Through Relay http lldsps.vvi.goviprogmmslindustry-services www.wsconsin.gov Tony Evers - Governor Dawn Crim - Secretary Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SEE CORRESPONDENCE Mound Component Manual — Ver 2 0, SBD-10691-P IN 01/01, R 10/12) Pressure Distribution Component Manual — Ver 2 0, SBD-10706-P (N.O1/01, R 10/12) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes The submittal has been CONDITIONALLY APPROVED This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101 01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s 145 06, stats The following conditions shall be met during construction or installation and pnor to occupancy or use. • Preserve dispersal area prior and during construction to avoid disturbance, compaction and use of the site. • With new construction; it is recommended not to activate the pump in the dose tank until the tanks are pumped prior to homeowner occupancy • Wastewater generated from contractors cleaning of equipment and tools and/or left over construction products shall not be discharged into the drains discharging to the private onsite wastewater treatment system (POWTS) Waste generated shall be properly disposed of on -site or off site • Any tall grasses, leaves and shrubs shall be cut short and removed prior to tilling the surface for installation to prevent matting under the dispersal area All loose organic material to be removed from POWTS Dispersal Area Divert surface water from all POWTS Areas. • Prior to construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches Smearing and compacting of wet soil will result in reducing the infiltration capacity of the soil Proper soil moisture content can be determined by rolling a soil sample between the hands If it rolls into a 1/4- inch wire, the site is too wet to prepare If it crumbles, site preparation can proceed If the site is too wet to prepare, do not proceed until it dries • All piping shall conform to SPS Table 384 30-3 and SPS Table 384 30-5 • Insulate building sewer beyond 30 feet per SPS 382 30 (11)(c) • Well setbacks to meet chs. NR 811 & 812 • Tank Installation to follow all manufacture's recommendations. • Verify property line(s) prior to installation • Pump Floats to beset and verified per approved plan. Any changes may result in pump resizing to meet TDH and GPM Specifications. • Areas that are occupied with rock fragments, tree roots, stumps and boulders reduce the amount of soil available for proper treatment If no other site is available, trees in the basal area of the mound must be cut off at ground level A larger fill area is necessary when any of the above conditions ate encountered, to provide sufficient infiltrative area Owner Responsibilities The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system Owners shall receive a copy of the appropriate operation and maintenance manual and/or owners manual for the POWTS described in this approval SPS 383.54(t). 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 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 tight to require changes or additions should conditions arise making them necessary for code compliance As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS Thanks, U-un I/a,2�r oc cPz� POWTS Plan Reviewer — Wastewater Specialist Department of Safety & Professional Services I Division of Industry Services email Cell 608-516-6134 ADVANC."ED Property Owner Paul & Yvonne Roselle Site Address 1167 167TH ST, Hammond, WI 54015 INDEX Page: 2 Site Plan Page: 3 Management Plan Wfy APPRIO ED Page: 4 Management Plan DEPT. OF SAFETY AND PROFESSIONAL SERVICES T°V SERVICES Page: 5 System Design Summary Page: 6 Mound Design Worksheet ^ NDENCE Page: 7 Mound Design Worksheet Page: 8 Mound Design Worksheet Page: 9 Pressure Distribution Design Page: 10 Pressure Distribution Design Page: 11 Pump Design O N$�N Page: 12 Dose Tank ��` Page: 13 Tank Specifications RYAN G. = BECHEL = Page: 14 Soil Test = D-2263-7 RED WING Page: 15 Soil Test MN Page: 16 Soil Test Page: 17 Plat Component Manuals: SBD- 10691-P Mound (N.01/01; R.10112) SSD-10706-P Pressure Distribution (N.01101; R.10/12) Designer Signature: Date: 8/26/2021 el 0eslgner. 1 al e, Sp_1115000011 2263-7 9'er of Engineering Systems: SCA7.1 z0' 40' 0' � L� New 4BR Home Garage III I 0 0 C t10' 4 \J\1 sch 40 PVC Wieser J� lzoolBoo ADVANCED, LOT 32 LOT 33 ±155 2e sch 40 PVC --- ---- --_-- SYSTEM NOTES Imas not O° Benchmark - Sepdc Tank: Ibn 2�Pafbnenttanl. .All I"PeRy J drawn era>100rytrom Soil Bonng_- '-Wingone4" ae final grade -- — Bring none system ..West CaF.lOfiller wl alarm bclanl` .po not tWle Clear Vrdkt SWfCeS Into SBP Contour adjusted based on plot plan scaling and SCC Contour data (noted as 6% on soil test) By 94.00 'S g3.go 95.00 **Well to be located >50ft* from system Components Alt. BM = Top If, pipe OR P B) AS, 93.90 BMl = 100.00 Top of survey iron 100.20 LOT 34 P TM.n""y"b� P„fKUd �„ m. t�taa�lon in..an Sol.r a I e.d R.+�r^�" •rn�^'. n,.,dv,^.a Y. bean &OVW ondv E TO 1111c n r�F3°ald to nk 11A so , WOE "I n05 g''S'1°" pump ,4V,@217Db -9p0 getlms mantanellsebads -M,etec&esnecessa" Liss andTDHdtemstdl it -Recsbdde Dune .E"t "'or, lime male.0 aster meta recamn STA:�� -1Qa@7 Mound .n. lbWron wdih -9' don sendM11A5T Wno mod d"N -CL101 Illuotog ed Mve onee SWKPbon areeeMrerna Wpa� -Rw9ban abeaP6o^ sea to win of 6' 9' Onerl swlasawae awe hen s slen ' .pgshtotesmdbOn - 2F IR�a,myph¢teeuial i t"'A"-9503 ado -'% Distribution: 171,un end d bed -2a' tosdas .Lateristobe waved detaa'rnen eWebon' 962' nk19 {311j'SCb 40 pc!eleals wlhtleanWlS-u%a sPn duxes la protec9on 1 3Q cpemg qhow enoleo new on g' mfion en a Pro1ecl 15' ddmdope absopb°n area moorPedon dwn900nd"""n des9n '.Damenddoseloil sel"M Pe h - - LOCATION MAP in*' o a�g SITE PREPARED FOR: Paul & Yvonne Roselle site Address: 1167 167TH ST Hammond, W 1 54015 _ - _ — 5.35 Aces P1D: 018-2007-33-000 legal: Lot 33 FarmY{ew Ridge 51 TE29NR17W Town of Hommond Management Plan This management plan identifies operation and maintenance activities necessary to ensure long-term performance of your septic system Tasks that should be performed by the homeowner are identified Professional management tasks must be performed by a licensed septic maintainer or service provider, however, t is the homeowner's responsibility to ensure all tasks get accomplished in a timely manner ► Keep this Management Plan with your Septic System Owner's Guide. ► Keep copies of all pumping records, maintenance activities and repair invoices with this document ► Review this document with your maintenance professional at each visit; discuss any changes in product use, activities, or water -use appliances. Management Frequency My system needs to be checked Designer Required Frequency: Check every 36 months every 36 months. State/Local Gov`t Req Frequency: Check every 36 months Desiqn Parameters I System Specifications Number of Bedrooms 4 Septic Tank Manufacturer Wieser Design Flow (gpd) 600 Septic Tank Capacity 1200 Soil Loading Rate (gpd/ft2) 0.4 Effluent Filter Manufacturer & Model Best GF-10 Standard Effluent Quality Effluent 1 Biological Oxygen Demand (BOD) 220 mgrl Pump Tank Manufacturer Wieser Total suspended Solids (TSS) 150 mgrl Pump Tank Capacity 800 Fats, Oils, Greases (FOG) 30 mgrl Pump Manufacturer & Model per Installer Treated Effluent Quality Biological Oxygen Demand (BOD) - mgrl Dispersal Cell Type Mound Total suspended Solids (TSS) - mgrl Fats, Oils, Greases (FOG) - mgrl Pretreatment Unit Description NA Max Effluent Particle Size in 1/8 look) for leaks in toilets and dripping faucets Repair leaks promptly. Regularly check for wet or spongy soil around your soil treatment area. Contact service provider if issues arise. Control burrowing animals (gophers, groundhogs, etc.) Keep bikes, vehicles, snowmobiles and other traffic off treatment area Alarms - Contact your service professional if any alarm signals. Lint Fitter - check for lint buildup and clean when necessary. If you do not have one, add one after washing machine. Effluent Filter - Inspect and clean twice per vear at a minimum. Caps - Make sure that all caps and lids are intact and in place. Inspect for damaged caps often Fix or replace damaged caps Septic system replacement area: and clean per recommendations. Tasks Liquid levels - Check sludgelscum/efNuent levels in all system tanks. Recommend if tank(s) should be pumped. Pump aN compartments every 36 months at a minimum. Inspect tank inlet and outlet baffles (if applicable) Check drainfield effluent levels (if applicable) Verify pump and alarm system functions (if applicable) Inspect wiring for corrosion and function (if applicable) Clean drainfield laterals (if applicable) Check event counter/elapsed time meter and evaluate water rate compared to system design flow. Check dissolved oxygen and effluent temperature in tank Check for surfacing of effluent or other signs of problems. Verify inspection pipes are capped and intact. Provide homeowner with list of management results and any action to be taken. from traffic, compaction, etc. Page 3 an aooroonately ticensea inarvidual or must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum, and to check for any backup or ponding of effluent on the ground surface Access openings used for service and assessment shall be sealed watertight upon completion of service activities. Any unsound/defective access openings must be replaced immediately The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. Ponding of effluent on the ground surface may indicate a failing condition that requires immediate attention by a licensed septic professional. Tanks must be pumped when sludge accumulation is within 12 inches of the bottom of the outlet baffle, or whenever the scum layer is within 3 inches of the bottom of the outlet baffle. In no case shall total sludge and scum volume occupy greater than 25% of the tanks liquid capacity. The effluent filter shall be cleaned as necessary to ensure proper operation The filter should not be removed unless provisions are made to retain solids in the tank that may slough off the filter during removal If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm Pre-treatment components shall be maintained and serviced by a licensed septic professional according to the manufacturer's recommendations For new construction: pnor to system operation, check septic/pump tanks for the presence of painting proaucts or otner chemicals that may impede the treatment process and/or damage the dispersal cells If high concentrations are detected, have the contents of the tank removed by a licensed septic professional prior to use. System start-up shall not occur when soils are frozen at the infiltrative surface During power outages, pump tanks may fill above normal high water levels for system utilizing pumps. When power is restored, the excess wastewater will be discharged to the dispersal cell in one large dose potentially resulting in overloading the cells It may also result in backup or surface discharge of effluent. To avoid this situation, it is highly recommended to have the contents of the pump tank removed by a licensed septic professional or have a septic professional manually dose the system to return the pump tank to normal operating levels prior to restoring power. Do not drive or park vehicles over any septic system components. Do not drive, park over, or otherwise disturb or compact the area within 15 feet dovmslope of any mound or at grade system or secondary septic system site. CONTINGENCY PLAN If the septic tank, or any of it's components, become defective the tank or component shall be immediately repaired or replaced according to the original system design specifications. If a dosing tank, pump, pump controls, alarms, or related wiring becomes defective, they shall be immediately repaired or replaced with components of the same or equal performance If the soil treatment component fails to accept wastewater or discharges wastewater to the ground surface, it shall be repaired or replaced by; increasing basal area (if toe leakage occurs), rebuilding the component at the secondary system site, or removing and replacing biologically clogged absorption and dispersal media and associated piping. If the septic system fails and/or is permanently taken out of service, the system shall be abandoned according to approved abandonment regulations. These include - All piping to tanks shall be disconnected and abandoned pipe openings sealed. - The contents of all tanks shall be removed and disposed of by a licensed septic professional. - Tanks shall be crushed & filled, or removed. - A septic system abandonment notification shall be submitted to the appropriate local governmental unit. WARNING!! SEPTIC, PUMP, AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC TANK, PUMP TANK, OR OTHER TREATMENT COMPONENT UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ALWAYS CONSULT A LICENSED SEPTIC PROFESSIONAL BEFORE DOING ANY WORK. Page 4 System Design Summary Property Owner/Client: Paul B Yvonne Rosette Parcel ID: 018-2007.33-000 Site Address: 1167 16TTH ST, Hammond, WI 54015 DESIGN FLOW, WASTE STRENGTH, TANKS A. Type of Wastewater: Residential Treatment Level: Effluent 1 Residential Design Flow = p of Bedrooms 4 X 100 GPD X 150% = 600 GPD Commercial Design Flow (data/calculations attached): ❑ Naecured GPD ❑ Estimated GPD Design Flow:600 GPD Comments: New 4BR Home; No home business; No sewage ejector/grinder B. Septic Tank(s): Minimum Capacity = Design Flow X 2.088 Wastewater received by: Gravity Code Minimum Septic Tank Capacity: 1253 Gallons, in 1 Tanks / Compartment(s) Designer Recommended Tank Modetlsl: Wieser WLP1200/800-MR Effluent FI [ter B. Alarm: ❑i Fitter Q Haer Merm Effluent Filter Model: Best OF-10 C. Pump Tank Code Minimum Capacity: 667 Gallons Pump Tank 2(Code Mimmuml: NA Gallons Designer Recommended Min. Capacity: 800 Gallons Pump Tank 2 (Designer Req l: NA Gallons Pump 40.0 GPM Total Head 21.0 ft Pump 2 NA GPM Total Head NA ft Holding Tank only: ❑ Minimum Capacty: Residential - 2000 gallons- or 5x estimated daily wastewater flow; whichever is greater Minimum Code Required Capacity: Gallons, in Tanks Holding Tank High Levet Alarm Type: Designer Recommended Capacity: Gallons, in Tanks DISTRIBUTION AREA Soil Treatment Area Type: Mound Distribution Type: Pressure Distribution -Level Benchmark 1 Elevation: 100.00 ft Benchmark Location: SEE SITE PLAN Component Manual 1: SBD-10691-P Mound IN.01101; R.10112) Distribution Media: QDrainfield Rock ❑ Approved Product Component Manual 2: S8D-10706-P Pressure Distribution (N.01 /01; R.10/12) 1/2'- 1 1 /2' Aggregate SITE EVALUATION DATA Depth to Limiting Layer: 28 in 2.3 ft Sod Texture: Clay Loam Contour Elevation: 95.00 SHLR: 0.40 GPD/ft' Elevation of Limiting Layer; 92.67 Perc Rate: - MPI Minimum Required Separation: 36 in 3.0 ft Soils with >60% Rack Fragments Present? ❑ yes ❑ No Maximum Depth of System: Mound in if yes, describe %rock and layer thickness, depth of soil treatment needed per SPS 383.44-3 and any additional information for addressing the rock fragments Measured Land Slope: 4.0 % in this design. SOIL ORGANIC LOADING RATE 1. Organic Loodrilg to STA/Pretreatment Unit = Design Flow X Estimated BOD in mg/L in the effluent X 8.34 > 1,000,OD0 600 gpd X 220 mg/L X 8.34 a 1,000,000 = 1.10 lbs BOD/day a. Pretreatment Unit Information Of applicablel: Not Applicable b. Organic Loading After Pretreatment (if applicable) = Design Raw X Boo in mg/L in the pretreated effluent X 8.34: 1,000,000 gpd X mg/L X 8.34 a 1,000,000 = - lbs BOD/day 1 Solltwdrng pMe Pou,Ms of 2. Organic Loading Rate to Sod Treatment Area (Ibs/day/ ft) > Soil Treatment Bottom Area ft lbs/day/ft' 16vdPo'1 eop,/n'/a,y 1.10 Ibs BOO/day r 1500.0 ft, = 0.00073 Ibs/day/ft' ..._.._.._..._..._.._.._........_..._..._.._..._.._..._.._..._.._.._._.._._..._.._.—.._.M._..___._.._._.._.._.._.._..._.._.._.._. Comments:; i - i i -- i i i i.._.......... _.._.._............... _.._.._.._._..------- .._..__.._.._.._.._.._..._.._.._.._.......... ....._..._......._. _.._ ._.. .... _.. Page 5 Mound Design Worksheet SYSTEM SIZING: Parcel ID: 018-2007-33-000 Design Flow: 600 GPD Soil Loading Rate: 0.40 GPD/ft2 X Depth to Limiting Condition: 2.3 ft :+ - Percent Land Slope: 4 dij,c" , Design Media Loading Rate: 1.0 GPD/ft2 DISPERSAL MEDIA SIZING Dispersal Bed Area (A x B) = Design Flow a Design Media Loading Rate 600 GPD = 1.0 GPD/ft2 = 600 ft2 If a larger dispersal media area is desired, enter size: ft2 A. Select Dispersal Bed Width (A): 10.0 ft Can't exceed 10 feet Linear Loading Rate = Bed Width X Design Media Loading Rate 10 ft X 1.0 GPD/ft2 = 10.0 gal/ft Cant exceed Tables B. Minimum Dispersal Bed Length (B) = Dispersal Bed Area , Bed Width 600 ft2 10.0 ft = 60.0 ft DISTRIBUTION MEDIA: ROCK Rock Media Depth Below Distribution Pipe 0.50 ft (Estimated material quantities found on Mound Materials page) DISTRIBUTION MEDIA: APPROVED TREATMENT PRODUCTS: CHAMBERS AND EZFLOW I. Select Dispersal Media: ii. Enter the Component Length: ft Width: ft Depth: ft iii. Number of Components Per Row = Bed Length a Component Length (Round up) ft - ft = - components per row iv. Actual Bed Length = Number of Components per row X Component Length - per row X - ft = ft v. Number of Rows = Bed Width = Component Width ft . - ft = - rows Adjust width so this is a whole #. vi. Total Number of Components = Components Per Row X Number of Rows x = Components Page 6 MOUND SIZING D. Fill Depth Below Upslope Edge (D) = 3 feet - Depth to Limiting Condition (6" Min.) 3.0 ft - 2.3 ft = 0.7 ft Design Sand Lift (optional): in E. Fill Depth Below Downslope Edge (E) _ [Bed Width X Land Slope + 1001 + "D- 10.0 ft x 4.0 % : 100+ 8.00 in = 12.8 in F. Distribution Cell Depth (F) = 8" + Nominal pipe size of distribution lateral (12'for approved products) 8.00 in + 1.25 in = 9.25 in (Nominal Pipe Size adjusted on Laterals sheet) G. Cover Material Depth at Cell Edges (G): 6.00 in z 6' Min.) H. Cover Material Depth at Cell Center (H): 12.00 in > 12`Min.) I. Downslope Width (1) _ (E + F + G) x (horizontal gradient) x Downslope Correction Factor 2.34 ft x 3.00 x 1.14 = 7.97 ft Or 15 ft J. Upslope Width (J) _ (D + F + G) x (honzontal gradient) x Upslope Correction Factor 1.94 ft x 3.00 ft x 0.89 ft = 5.19 ft Downstope Correction Factor: 1.14 Upslope Correction Factor: 0.89 EndslopeHorizontal Gradient: 3.00 (usually 3.0 or 4.0) K. Endslope Width (K) _ [(D + E) = 2] + F + H x Endslope Horizontal Gradient 20.80 in : 2 + 9.25 in + 12.00 in : 12 x 3.0 ft = 7.9 ft L. Mound Length (L) = Endslope Berm Width + Bed Length + Endslope Berm Width 7.9 ft + 60.0 ft + 7.9 ft = 75.8 ft W. Mound Width (W) = Downslope Berm Width + Bed Width + Upslope Berm Width 15.0 ft + 10.0 ft + 5.2 ft = 30.2 ft Verification of Minimum Required Basal Area ................................................................ _............. _..................... I " Slooin2 Sites = B x ( A + I ) MINIMUM = 60.0 ft X ( 10.0 ft + 15.0 ft) _ Level Sites = B x W MINIMUM = ftz ft x - ft = ftz 1500 ftz (Min. = GPD + Loading Rate) 1500 ft' (Min. = GPD + Loading Rate) Page 7 MOUND DIMENSIONS Obs. pipes -------------- 0 A' ----------- B ------ A 10.0 ft F 9.3 in 1 5.2 ft B 60.0 ft G 6.0 in K 7.9 ft D 8.0 in H 12.0 in L 75.8 ft E 12.8 in 1 15.0 ft W 30.2 ft Obs. Pipes (1 /1 Oth of B) 6.0 ft Absorption Width (A+I) 25.0 ft DISTRIBUTION AREA CROSS-SECTION 97.44 Geotextile Fabric 96.27 Topsoil & Seed --95.67:. fG r ir, F 2 j"Aggregate (Typ D E f ASTM C3 SAND Plow 6"- 8" deep (min 95.00 4% prior to placing sand OBSERVATION PIPE DETAIL Screw -type or slip -top cap 4" SCH 40 PVC pipe Top of pipe to terminate a or above finished grade 4 x 6" slots spaced 90' apart Anchoring Device (Toilet flange) Finished Grade (mulched & seeded) Topsoil cover (1' minimum) filtrative 5urface Page 8 Pressure Distribution Design Parce[ID: 018-2007-33-000 Bed Width: 10 ft Manifold Connection: End Preferred Orifice Spacing: 3.0 Minimum Number of Laterals in system/zone={[lMedia Bed Width - 4) _ 3] + 1) X # of zones (Round up) [( 10 - 4 1 , 31 + 1 = 3 1 zone(s) = 3 laterals Designer Selected # of Laterals Iop ,onal): laterals 'Can't be less than 2 (except In at -grades) Min. Lateral Spacing: 3.5 ft Designer Lateral Spacing Icptionap: ft Min. Manifold Length: 7.0 ft Designer Manifold Diameter (see table 5): 1 1/4 in Selected Orifice Diameter Size: 3/16 in !orifice, must be z 6' 6 s 2' from ce(1 edge) Lateral Length = (Media Bed Length - 3 Peet) r # of zones 60 - aft - 1 = 57.0 ft Orifices Per Lateral = Lateral Length a Preferred Orifice Spacing +1 (0.5 for center feed manifolds) 57.0 ft 3 ft + 1 ft = 20 Orifices Orifice Spacing = Lateral Length a # Orifices Per Lateral -1 (0.5 for center feed manifolds) 57.0 ft b 19 Spaces = 3.0 ft 12Max Orifice Spacing for At -Grades) Total Number of Orifices = Number of Orifices per Lateral x Number of Laterals 20 Orifices Per Lateral X 3 Laterals = 60 Total Orifices Recommended Orifice Density is 4-11 ftr per orifice; can't exceed 12 ftz Orifice Density = Bed Area + Total Number of Orifices (Does not apply to At -Grades) 600 W 60 Orifices = 10.0 ftz/Orifice Lateral Diameter ISee Table 6): 1 1/4 in Minimum Average Head: 2.5 ft Orifice Discharge Rate: 0.66 GPM per Orifice (eased an Table a) VP 0c I I, La I 0 0" 128_—NP 'J 56___ __0_'_E_ 13E VP_ _OS9_ _ 04K3 156 _ _ 5 _ _ _ _ O ac _0__ _ _ 1 02 1 00 _ e5___ O<. 073 ]3 11A 165 52 45_-- --- 001 _ 2C8 J au aa< 1zT 215 9 cS ".36 114 _21 I 5 ---9- II nV— _C09 —� 120 2D 10 ___CcP_ \,4. Lll.l. 1. l..r..l ill FJu_ mul'\I=II ".\ul li .'D..u¢e o rw A.iYr..er nlal,' Page 9 Pressure Distribution Design Lateral Discharge Rate (GPM) = Orifices per Lateral x Orifice Discharge Rate Check Table 5 to make sure maximum header length is not exceeded. 20 Orifices Per Lateral x 0.66 GPM per Orifice = 13.1 GPM per Lateral System Flow Rate = Total Number of Orifices X Orifice Discharge Rate 60 Orifices X 0.66 GPM per Orifice = 40 GPM Distribution Piping Liquid Volume Per Foot (Table 71: 0.064 Gallons/ft Volume of Distribution Piping = [# of Laterals X Lateral Length X Liquid Volume Per Foot of Piping] 3 X 57.0 ft X 0.064 gal/ft = 10.9 Gallons Minimum Delivered Volume = Volume of Distribution Piping X 5 10.9 gals X 5 = 54.7 Gallons PRESSURE DISTRIBUTION LATERAL LAYOUT P 57.00 ft X 3.00 ft 5 3.50 ft P/2 ft X/2 ft Y 3/16 in Manifold Length 7.00 ft Manifold Diameter 1 1 /4 in Lateral Diameter 1 1 /4 in Y S x Cleanout Detail 1 \ Page 10 Pump Selection PUMP CAPACITY (GPM) Parcel ID. 018-2007-33-000 Distribution Method: Pressure If pumping to gravity enter the Sailor, per minute of the pump: GPM (10 - 45 Spin) Minimum system Now rate: 40.0 GPM Dosing method: Demand Dosing Soil Treatment TOTAL DYNAMIC HEAD (TDH) Elevation Difference: 12.6 ft e romi of er.ny. (between PymF and hghesi dlscharpe point) Distribution Head Loss: 3.25 ft tin PR fkvatron Additional Head Loss: f[ !due to specal enuiPment, etc.) — GHemre Forcemam Diameter: 2.0 in -- Forcemam Length: 155 ft Forcemain Friction Loss = Friction Loss in Plastic Pipe per FT of Forcemain (from Table 6:) X Forcemain Length Forcemain Friction Loss = 5.12 ft Add Equivalent Pipe Length from pump discharge to soil dispersal area discharge to account for fitting loss if needed. (Estimate by adding 25% to supply pipe length for fitting loss if desired. Forcemain Length X 1.25 = Equivalent Pipe Length). Use 1.0 for standard systems. 5.12 it X 1 = 5.12 ft Elevation Difference + Distribution Head Loss . Additional Head Loss + Forcemain Friction Loss = Total Dynamic Head (TDH) 12 60 ft + 3.25 ft . It + 5A2 ft = 21.0 ft TDH PUMP SELECTION A pump must be selected to deliver a minimum 40.0 GPM at a minimum 21.0 TDH Pump Model Option 1: Goulds PE51 Performance Curve wasie,va,e1 - MMRS FEET PESS Q PE is iPE31 I IT Pump Model Option 2: Goulds EP05 Performance Curve YEFFpSLFE[r gy� t y � EPOE s tea. warm wacm Page 11 Demand Dose Pump Tank TANK CAPACITY AND DIMENSIONS Parcel ID: 018-2007-33-000 Design Flow 600 GPD Code Minimum Pump Tank Capacity: 667 Gal Designers Minimum Capacity: 800 Gal Tank Manufacturer. Wieser Tank Model WLP1200/800-MR Capacity from manufacturer. 800 Gallons Important!: Dose design calculanms are based on this specific tank Substituting a different tank model may alter the pump flcat settings. Contact designer rf changes are aecessary- Gallons per inch from manufacturer: 22.2 Gallons Per Inch Liquid depth of tank from manufacturer: 36.0 inches DETERMINE DOSE VOLUME Calculate Volume to Cover Pump (The inlet of the pump must be at least 4-inches from the bottom of the pump tank & 2 inches of water covering the pump is recommended Pump and block height + 2 inches X Tank Gallons Per Inch 'Mduig 2inch. insures pumpls covered bit eIfl.,t dunrig operatwo 1 7 in + 2 inched X 22.2 Gallons Per Inch = 200 Gallons Minimum Delivered Volume = 5 X Volume of Distribution Piping (From Pressure Distribution warksheet) = 55 Gallons Imimmum dose) Maximum Pumpout Volume = Design Flow x 20% 600 GPD X 20% = 120 Gallons (maximum dose) Select a pumpout volume that meets both Minimum and Maximum: 108 Gallons Doses Per Day = Design Flow ' Delivered Volume 600 gpd - 108 gal = 5 Doses Per Day Dminback Diameter of Forcemain = 2 inches Length of Forcemam - 155 feet Volume of Liquid Per Lineal Foot of Pipe - 0.163 Gallons/ft Drainback = Forcemam Length X Volume of Liquid Per Lineal Foot of Pipe 155 ft X 0.163 gallft = 25.3 Gallons Total Dosing Volume = Delivered Volume + Drainback 108 gal + 25.3 gal = 133 Gallons Minimum Alarm Volume = Depth of alarm (2 or 3 inches) X gallons per inch of tank •3 inch alarm depth recomnierded to prevent 3 in X 22.2 gal/in = 667 Gallons turbulence reminng umecess vPump cycling FLOAT SETTINGS Float Separation Distance for Dose - Total Dosing Volume + Gallons Per Inch 133 gal 22.2 gal/in = 6.0 Inches Float Distance Settings (measured from bottom of tank): Distance to set Pump Off Float = Pump + black height + 2 inches 7 in 2 in = 9.0 Inches Reserve Cog 18.0 in A 400.5 Distance to set Pump On Float - Distance to Set Pump -Off Float + Dose Separation Distance Alarm Distance 3.0 in 0 66.7 9 in + 6.0 in = 15.0 Inches Pump On Distance 6.0 in - C- 133.3 Distance to set Alarm Float = Distance to set Pump -On Float + Alarm Depth pump Off Distance 9.00 in D 200.2 15 in + 3.0 in = 18.0 Inches Pump Off Elev. 83.8 it Page 12 TANK SPECIFICATIONS Minimum cover= 6 inches, Maximum cover = 8 feet (unless specified by manufacturer) • All manhole covers shall extend 4 inches above final grade • If the tank is within 2 feet of final grade, insulate the lid to an R-Value of 10 • Quick disconnect (Cam -Lock) reachable from final grade (24 inches max) required for pump installations • If forcemain will have a "J-Hook" assembly, drill a weep hole in the "hook" • Building sewer: No 90's, keep 3 feet between 45s, maintain 11nch in 8 feet (1%) slope, install cleanouts at the building connection and every 100 feet at a minimum • Insulate building sewer if less than 2 feet from final grade and under all high traffic areas (driveways etc.) —Clean Out 87.00 96.50 +/- 10' 82.75 '64- Y� 4' CPS -A -SEAL ♦2f1 / j FILTER OR BAFFLE INLET -E— i .1 3— TOP VIEW Watertight control bo. mib sepal are ywnp a,d alarm o -4, Effluent Filter \ Quick Disconnect Sleeve forre naln in 4" SCH 40 PVC pipe across tank vauon to prevent Pipe settling 1'-1 5" PVC Float Tree 83.75 I Pump Off) aep Hole Pump Block WLP1200/800-MR TANK SPECIFICATIONS DIMENSIONS WALL: 3 BOTTOM 3- COVER 6- MANHOLE 24' ID. PRECAST CONCRETE RISER HEIGHT. 53" OD. LENGTH 164' O.D. WDTH 96. OD BELOW INLET 41" O.D 4' CAST -A —SEAL LIQUID LEVEL 36- WEIGHT BOTTOM 12,000 LBS. COVER 8.170 LBS INLET AND OUTLET 4CAST-A-SEAL BOOT OR EQUAL GASKET, CAST -A -SEAL BOOT OR EQUAL INLET AND OUTLET BAFFLE AND FILTER: WISCONSIN, SEE DETAIL 010 (OTHER STATES SEE CHART) LIQUID CAPACITY, 3346 GAL/IN SEPTIC) 22 24 GAL/IN PUMP) LOADING DESIGN 8' 0- UNSATURATED SOIL TANK CAN BE USED AS SEPTIC/SEPTIC. SEPTIC/PUMP OR SEPTIC/SIPHON 4 VEN* COVER' MIX DESIGN ►8 (NO FIBER) TANK. MIX DESIGN 09 (SMALL FIBER) CUSTOMIZED TANKS FOR CUSTOM TANKS CONTACT WESER CONCRETE — J. t- PUMP PAD DRAWINGS SUBMIT SIDE VIEW FOR APPROVAL AP RFiPm 3r APPRJVAL ^4'C OR EXCEED ASTM C-1227 REQUIREMENTS PRJJL IS nLLCUJ Sv: I _. i I Page 13 I�'AR v� V'E W R DG I I CCATED IN PART Cr M- SCU116.EST I/: V ME tICRTH:/,SI 1/4 ATM IN PART OF ME SCJMEAST 1/4 CF ME NCRMEAST I/4 AND 1N PART OF ME NORt1Oi£ST I/4 OF THE SOUTHEAST 1/4 AND IN PAR/ OF THE NORTHEAST 1/4 CP ME SOUTHEAST 1/4 OF SECTION 5. 70NN911P 29 NORTH, RANGE 17 LSEST, TORN OF HA`JOOND, Si CR01II COUNTY, W5C0NRN LEGEND, `1m HK DRAINAGE EASEMENT NOTE: LXATN I=TN LI`iE Ci I,F FRACFWAL SU 1/4 U Of 14 1/4 UIPLAITEO IAI105 M 40.rN a6ar J" a 32 M 7 ":.'a, ifl, iI ,yy 1 N 41101r -----J D q 1 a 9 if Q /t IS S M16.33- W 2%'23' UST -WEST 1/4 SECTION ONE DRAFTED By aEHN WIVEL SHEET 1 OF 3 SEE SHEET 2 HUAIPHREr ENGNEERNG Page 17 l.'r\ l"/1 UI•I,':�alll��l��l .. � �N�e C 99 / �D® 88 FORM C.reodt d2/2o27Use aliy Community Development Department will utilize this information to provide the property owner with information regarding operation and maintenance of yo6r 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 Nok 4- yV041J6 RDSISW£ Mailing Address ( (Sofa I 1pi City/State/Zip 14Att-imoND uwGy01S Phone Number (required) to S l - J?Q ` 5 '^ _I Email Address (required) P,•POse- IIP-9-0mCl Parcel Identification Number -. ©/ S 24-" -7 3 3 -ODD (found on the property tax bill) NEW SYSTEM: LEGAL DESCRIPTION Property LocationSW 'A , NE 1/4 , Sec. 0,�-, T RtN RAW, Town of NAW%M eN� Subdivision Plat: -FARM V`IeUJ 'i?, (oC Lot#.U. Certified Survey Map # Volume Page # Warranty Deed # / 3 6' 3 77(before 2006)Volume Page # Number of bedrooms 4_ Spec house Q yes)' 1 no Lot lines identifiable yes 0 no OFFICE USE ONLY New Property Address) I V7 I( - (Verification of new address required from Community Development Department for new construction ) le Z S I (Staff Initials) (Date) - This form must be submitted with ail 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.00v 1101 Carmichael Road, Hudson, WI 54016 waw✓Cwi oov I FAUL 4 YVONNE � k: I ll� I ROSELLE I ; , N,)BLjj, IJ 0 r wr �� E I � I f j 4 9 Preliminmy Mein Floor Plan j ... A3 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page—Lof rrivWnn of Safety and Buildings in accordance with l:omm Bb, wisngm, was Attach complete site plan on paper not less than 8 112 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 prinf all information. Pmsorol inform, n you provide may Ee used for secondary purpos (Pr . a. 15 ei CounNJ � � Parcel I Reviewed Date c)' / (� //J�/{-- Property P Owner n, CO/ O . I1—Ma�ilingC'Address /� y Location Property Location Govt Lot -J lh% t!4 �rv4 S T � 9 N R E (or W property Loi # Block # Subd. or CSM# City State Zip one Number ❑ City O Village NTown Nearest Roft 70i f New Construction Us Residen -ef Code derived design flow rate y GPD ❑ Replacement ❑ Public or commercial - Describe: i------------ ft Parent material /' G , �� � Flood Plan elevabon if applicable General comments and recommendations: -W4e. e (0-✓w�-Wv �J �. . ifBoring Ell # El Boring Pit Ground surface elev. R. Depth to limiting fa in. Soil cation Rate Horizmn Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDM -Ef#r1 -ER#2 �i -m- M �; �i� a © Boring " ❑Boring yn r fy—�^ pit Ground surface elev. / 3. % fl Depth to limiting factor �. /j_ M. Solliratlon Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz- Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/IF -Eff#1 •Efi#2 rrlC4V, Cj,) L f rJ Z 1$-3o S/ _ c t 3 "0 ✓ i — n � , c�- EfRlrertt#1= SOD, >30<22Zo MWL and I55>Jv 11ou rWY _w...a.. -.... ..�_ CST Name (Please Print) Si ture CST Number Bird Plumbing, Inc. Shaun Bird Zj ✓ 226900 Address Date Evaluation Conducted Telephone Nurrber 1008 192nd Ave, New Richmond, WI 540 �_ �--J �� 715.246-4516 3� Property owner Parcel ID # Page Or of poriM O Bonrg / GH.I..p# ��L Z �\ ..Pit Ground surface elev. J J ft. Depth to limiting factor Q in. Shc Application Rate Honzon Depth in. Dominant Color Munsell Redox Description Ou. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPOM 'Eff#1 •Ef1#2 -lq /3Ir — Si a m 4, -0 Z !y-}0 — C m IG W (r � � — Y d � S i — — a a •:Z . � ■Boring Af 0 Boring ■pit Ground surface elev. ft. Depth to limiting factor in. Boring ❑ Boring # Ground surface elev. R. Depth to limiting factor in.❑ Pit Soll Application Rate ©®� a `.. .:.. ®®®m EfMtent #1 = BGD� > 30 < 220 ngtL and TSS >30 < 150 ng& • Effluent #2 = BOD, < 30 axpt and TSS 130 mgrL The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. Soil Test Plot Plan Project Name P.C. Collova Bldrs. Inc. Shaun Address P.O. Box 489 Somerset Wi 54025 CS 1 #226900 Lot 33 Subdivision Farm View Ridge Date 5/8/04 S W 1/4 NE 1/4S 5 T 29 N/R1 7 W Township Hammond ❑ Boring 0 Well PL Property Line � BM or VRP Assume Elevation 100 ft. System Elevation 95.9' County ST. CROIX Top of Survey Iron *HR pSame as Benchmark Alternate Benchmark Top of 1/2" Pipe @ 100.2' N IIM S . Ct�o1 COUNTY NO. 633949 STATE SANITARY PERMIT OWNER pay 1 4- YV0m)%t L9*St I If. PLUM] TOWN SEC AND/OR LOT 3 BLOCK SUBDIVISION Na, Zoku. CHAPTER 145.135 (2) WISCONSIN STATUTES (a) The purpose of the sanitary permit is to allow installation of the private sewage system described in the permit. (b) The approval of the sanitary permit is based on regulations in force on the date of approval. (c) The sanitary permit is valid and may be renewed for a specified period. (d) Changed regulations will not impair the validity of a sanitary permit. (e) Renewal of the sanitary permit will be based on regulations in force at the time renewal is sought, and that changed regulations may impede renewal. (f) The sanitary permit is transferable. History: 1977 c. 168; 1979 c. 34,221; 1981 c. 314 Note: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. AUT$ORJZED ISSUING OFFICER - DATE /o / 9 / 2 i THIS PERMIT EXPIRES O JHJ C.6e.5UNLESS RENEWED BEFORE THAT DATE POS15 IN PLAIN VIEW VISIBLE FROM THE ROAD FRONTING THE LOT DURING CONSTRUCTION SBD-06499 (RI1/20)