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s � Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 429930 0 GENERAL INFORMATION (ATTACH TO PERMIT) State 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 X Township Parcel Tax No: Town of Troy Troy Township 040- 1059 -10 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range/Map No: 16 � p & p SO 15.28.19.226H TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. S oZ G 1 2000 Benchm A" --I"/ / /` � /� r06' � Alt. BM s7-- ✓ I. 11 q 1 Aeration w U { Bldg. Sewer ffl- t t z sho Holding St/Ht et 'Tl/i>r�lZ qp • Z 3 S 57 -- outlet TANK SETBACK INFORMATION Z /� 0 3 g�• �� TANK TO s IP/L ` , l WELL BLDG. Vent to Air Intake ROAD Dt Inlet ( /� 7 Septic [i e / Dt m Dosing ( f Header /Man. lD I LID Tai STsevh' 1A �� Q6• S 3 Aeration Dj P * 2 ` I Z 1 5 S � � J �!• I .J'j� Holding Bot. ystem • Z• r •a inal Grade C t kfi' lSAW F �Txa4w ,(p �• PUMP /SIPHON INFORMATION � a Manufacturer Demand St Cover / q GPM 1 2 ?1 7 7? I Model Number q3 1� q9 -11 / 9 5 TDH Lift Friction Loss System He d TDH Ft /(`� 3- ,i3 Forcemaid Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM Iq C BEDITRENCH Width L Length No. Of Trenc a PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 2'f f SETBACK SYSTEM TO P/L V Q BL G WE LAKE /STREAM LEACHING Manufacturer: INFORMATION / CHAMBER O Ty Of System: / UNIT _ 4 >3 Q Model Number: DISTRIBUTION SYSTEM (j! Header /Manifold 3_K tribution � 74 0� � x Hole Size ( x ole Spacing en Air Intake 3 ra/ Length Dia Length Dia aci i SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over 7 ! Depth Over xx Depth of xx Seeded /Sodded r Mulched 1345grencb Center 017 ° Bed/Trench Edges Topsoil Yes [ No [1 Yes [ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 5 5/ 03 Inspection #2: Location: 654 Glover Road Hudson, WI 54016 (SW 114 NE 1/415 T28N R19W) NA Lot Q Parcel No: 15.28.19.226H 1.) Alt BM Description /<��� G 2.) Bldg sewer length = ��/ —{p�� K 7 r��� d' - amount of cover = p / �C-� - / P revision - -� Use other side for Yes _ No add tionall n IT U formation. i__. � - - -..I _ — - - -_ - - - - - -- _ - - -- / - - - - -I SBD -6710 (R.3/97) 7 "- 7 ate Insep ig a re /�, ��� r 1 Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7462'' r vi Madison, W 14 Sanitary Permit Number to be filled in b Co.) r:, . -' - i ( Y l?e artment of commerce 8)� �z`j 930 Sanitary Permit Applic Lion s t.U, , Mate Plan I.D. Numbe�r In accord with Comm 83.21, Wis. Adm. Code, personal info ation y` tiQ &ovide t N 6 S 5 7 g( / may be used for secondary purposes Privacy Law, s .04(1)(m) oject Address (if different than mailing address) I. Application Information — Please Print All Information Property Owner's Name Parce Lot # Iflock # Property Owner's Mailing Address Property Location 6 SW goo 3 hl 1 /0, "/,, Section , City, State Zip Code Phone Number ,1060 mil/ C✓ z 1 Sim/ 715 ` f .7.7- A1,9 T � N, R 1Q ( U. e ) LaL Type of Building check all that apply) �'P B ( PP ❑ 1 or 2 Family Dwelling — Number of Bedrooms Subdivision Name CSM Number (Public /Commercial — Describe Use Tr31,� AtIA & ❑ State Owned— Describe Use ❑City_0VillagP9Fewnship of III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A ' .New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System S B. 11 Permit Renewal El Permit Revision El Change of ❑ List Previous Permit Number and Date Issued Permit Transfer to New Before Expiration Plumber Owner IV. a of POWTS System: Check all that apply) � A 1on — Pressurized ht -Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade 11 Single Pass Sand Fil r ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Fil r ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe n V. Dispersal/Treatment Area Information: - Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed Of) I System vation a s re s. 9 VI. Tank Info Capacity in Total Number Manufacturer ab Site Steel Fiber / Plastic Gallons Gallons of Units Concrete Construc Glass New Existing Tanks Tanks Septic or Holding Tank ef�0 OrliF! +ei s�•C.t� Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume respo ibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumbe 's Si a MP/MPRS Number Business Phone Number 2• Plumber's Address eet, City, State, 2ip Code) Al IY563 VIII. County/Department Use Onl Approved ❑Disapproved Sanitary Permit Fee (includes Groundwater Date Issued I u Agent Signature Stamps) Surcharge Fee) ❑ Owner Given Reason for Denial IX Conditions of Approval/Reasons for Disapproval � t S t�vs Sys ►„u,vt t ►�11� A�tt.t�.. 36 ttach complete PLVWUUTfiFCMnftTonly) for the system on paper not less than 81 /2 X1 1 inches in size tA .A.- �e�- �e�t wl� tsz�� SBD -6398 (R. 01/03) wine - txte s _ cw` _y Sy ` 0. `"' tl�s • � eou>~. e� .�- v�n.e.�- �.�au.�` s ��g�n.. �o ��z` K 0 �O'1.62+ yhi v�ev. �Q -•z) 40uGCSQ� + 3 ;3 4-o l ; .a s J �..: 4, aa. ovo .�Q t °�k` •, k4o 4" 3 ewo . � `�^q�•lS �'' l'' � all 1 4 ( �, zZz� L IL \tro LP 1 o" kick, t l� = ��� 5 0..• o� � +0 � \\ e�, S; be _ -__ - aK _ 044 r . . . . ..... ...... � i•.11, \3 �t e�aN o+ �o,p �.�ovC�v. "d[. w �f E � `e, I ! Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 N visconsin www.commerce.state.wi.us /sb Department of Commerce www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary April 22, 2003 CUST ID No.225094 ATTN POWTS Inspector MICHAEL P ROGERS ZONING OFFICE ROGERS PLUMBING ST CROIX COUNTY SPIA N4563 320TH ST 1101 CARMICHAEL RD MENOMONIE WI 54751 HUDSON WI 54016 i CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/22/2005 Identification Numbers Transaction ID No. 861124 Site ID .6 SITE: a No 55981 Town of Troy Please refer to both identification numbers, 654 Glover Rd above, in all correspondence with the agency. Town of Troy, 54016 St Croix County SWI /4, NE1 /4, S15, T28N, R19W FOR: Description: Public (Townhall & Townshop) Non - pressurized In- ground System Object Type: POWT System Regulated Object ID No.: 899775 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Requirements: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "In- ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD- 10705 -P (N.01 /01). • This approval does not include plans for the general plumbing systems that may be required for this project. See section Comm 82.40(8)(c), Wis. Adm. Code, to determine if plan submittal and approval is required for L'onlIN6 private water main. ApprX • The leaching chambers must be installed in accordance with the manufacturer's printed instructions, the plan approval and Comm 83, Wis. Adm. Code system sizing criteria. If there is a conflict between the DEPARTMENT OF Q�! OFT manufacturer's instructions and the plan approval, the plan approval and code requirements will take EY. cd�� precedence. SEE GORRESF • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • Access to the filter for cleaning must be provided per Comm 84 product approval conditions. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required • The plumbing for this project discharges to a private sewage system. The approval covers only domestic /sanitary wastes directed into this system. The Department of Natural Resources must be contacted regarding the treatment and disposal of all industrial wastes. MICHAEL P ROGERS Page 2 4/22/03 • State and federal regulations prohibit the discharge of hazardous wastes to a private sewage system. Accidental discharge of any hazardous substance to a private sewage system must be reported to the Department of Natural Resources or the Wisconsin Division of Emergency Government. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat • Comm 83.22(7) A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. 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 Safety & Buildings 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 to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 225.00 Fee Received $ 225.00 / 2 �� �° � Balance Due $ 0.00 ( Charles L Bratz J POWTS Reviewer 11, Integrated Services WSMART code: 7633' (608)789-7893, 7:45 am - 4:30 pm Monday - Friday cbratz@commerce.state.wi.us cc: Leroy G Jansky, , Wastewater Specialist, (715) 726 -2544 Henry F Grote, Certified Soil Testing Town of Troy - Pumped Conventional System Construction Materials and Techniques All materials must comply with Comm 84 and be installed in accordance with manufacturer's specifications. Construction methods must comply with the following Component Manual: In- ground Absorption (v. 2.0) - SBD- 10705 -P Location: SW 1/4, NE 1/4, Sec. 15, T 28 N, R 19 W Town: Troy County: St. Croix Date: April 18, 2003 Owner: Town of Troy Address: 277 Townsvalley Road Hudson, WI 54016 Plumber: Mike Ro ers Signature: - License # MP 225094 Attachments: 6748 -Plan Approval Application SBD -8330 Soil Evaluation Report page 1: cover 2: sizing calculations 3: plot plan 4: system cross section, plan view V,CE 9IJ 5: pump tank exit detail 'fall 9 6:.flow splitter & friction loss detail y 7: pump curve OV ED 8: construction & final grade detail ' DINGS 9: system management 1 1 °°�`" � ONpENc page 1 of 9 Design Criteria ` { 7 5 Wastewater Contaminant Load: 30 mg /L < BOD < 220 mg /L Anticipated septic tank effluent 30 mg /L < TSS < 150mg /L Fecal Coliform > 10,000 cfu/100 mL Estimated design load = b gallons /day hydraulic load Note: paper service and occasional use of kitchen for "pot- luck" type events indicates normal strength effluent. Design incorporates space for future grease trap and /or aerobic treatment unit if use changes and effluent becomes high strength. Design Calculations In situ designed loading rate 0 .6 % gallons /sq. ft. per day Depth to estimated high ground water \T6 in. Depth to bedrock k t;G in. Cross slope at system 'L % System Elevation 56g- Final Grade Elevation Septic tank w � +�lw LC' zwb -act+ L 'JILYb -f-i 33$Z gallons Effluent filter % Zb Estimated Daily Load Assembly seats w/ kitchen 192 x 4.3 gpd = 825.6 gallons /day Floor Drains 6 x 25 to 150 to it FTE 7 x 13 to = 91 _ " " Total = 1066.6 gallons /day Design load 1.5 x 1066.6 " = 1600 gallons /day Note: These calculations include estimates for a the septic load of a potential future expansion plus the currently proposed structures. A shop trench drain requires a holding tank for the assumed industrial strength effluent. Septic Tank Sizing Septic tank sizing spreadsheet calculates a minimum required septic tank capacity of 3341 gallons for 1600 gallons /day design load at a three year servicing frequency. Install a Wieser LP2000 gallon tank followed by a Wieser L- 42-50 gallon tank with a Zabel A -100 -8 x 26 filter in the outlet. Wieser WLP2000, -MR (capacity = 2311 -2 x 56.2.7 gal.) 2-1`99.46 gallons Wieser WLPI- MR (capacity = 1253 -2 x 34.81 gal) IT&L 16" yk Combined developed capacity X91.84 gallons Adsorption Cell Sizing Medium sands (0.7 gpd /sq ft) are found at varying depths from 68 inches to 100 inches below existing grade. 1600 gallons /day loading requires 2285.71 effective square feet of adsorption field. Using Standard Infiltrator, stipulation 1099 chambers 76 chambers with an EISA of 31.1 sq ft/chamber yields 2363.6 effective square feet for a system loading rate of 0.68 gpd/sq ft at full design load. Specs.calcs.gravity Page ' Of '7^" 1..$' �'` S4h ...lc1 P j �...a.+.� �- s.vX � A w N.: 1 `►O� I ol 613 is 4 - 4k4, tlZ. o �� b��- So. vz� c„ o,., , Sw„e ca. �S` z•� �,�:n - o w : 4LA o0h, owo /L �, ( V ic— s SL _ v S} �aoN loaq c. -�¢�. 04t, �M.�C. $ y�Q4. OAF ���Q r •�� e, �. � =���� Z 13K \0� o• �� �rOVG.v , COL. tZ i • S �dtMl...`rv'K Jac: +`�►� W c �DG u+9.. -� \{ 1 ► S 7 �( K� a 3i o . \ 'k ov- I f � "� O' �.J' i�•O' � �i a �Q S X02 ,,,. �� � a.�.� i YqS � KSI IY43 ( uS �51� I ^'�' I7�; �rC ( w ' .�� � 4 �. � 2A. ?J� �IJ K. �'.� I j I I 2 I - - i I 1 4 1 - - j. I I I VEtJT CAP `i"C.Z. VENT PIPE WEATHER PROOF APPROVED LOCKING JLIUCTIOU BOX MAMHOLE COVER 25' P20M DOOR, AR \N V WWDOW OR FRESH �Z I L AtIVL- AIR INTAKE GRADE Q.�ev � •. 9'} I 4" COAJDUIT ` -- A I I � PROVIDE I TA-% to%, AIRTIGHT SEAL �24R.Z♦ G-t��s . CBS c2� LS Z7.2" I I APPROVED Jp11�TS W/ PIPE 4% (16; »ti \�, V� I I ALARM EXTEMOIUG 3' ts'S' V c¢ «.r:N a �. JC, �\L I II ONTO SOLID SOIL :� "p , I I oti PUMP —� - -, OFF 2�a-�. �?5•�S s 3Too . -x l9 BLOCK _::_yam. __ �_ _. - � - -•_ Itsi`� x O..k Gi\ J24 J l •. i� 'V `"'+ V� O Y w. h,\ t7" \o `�• d6 d FROM CERTIFIED SOIL TESTING FAX NO. : 715 233 0398 Apr. 21 2003 05:45RM P2 / o , ���F "Tj � C�+�\ `0.1 � as i. �" �L3L C�, � �!{• 7 � �hUO __ - { � '�" � ��) caw� >ALn_ �,• �VC �- �-a�e w.:�l �v:- ;-.!� S /.�•� C�vc I � i I ��w ca 3�� ° d. ;S z. i �u ywr.i Lo� �- •---� I i I i r y Engineerin - . t Pump Characteristics Performance Data Pwip libler Udt SidoewswM Avtowatk "I $81130141 Ha�ogewet .30 j � ; � FW load Asks 11.0 , .� p r ...__. _.. r .. IM1a SlwdOd }'ele l4 1 Fuse l I " , T Vok i1S Hertz 60 I t ' t ro sa UmpsrOwt 140'1 Aunt c anus 61x s 1 � ro_ —• " ., t r._- –,-- NEMIA Des4n A ktseletia, ass A Total N ooF1 ( foot) 4 i 1 i 4 1 ZO 41i Disclar She 1 -I/2' N" (JtlttW a'M M. 1 44 36 1 29 23 1 12 0 SoEds Heeling 3/4' V 92 UM W*it 306 Fewer Cad 11/3, SlTW, 44'stl. Dimensional Data r ,, ro '-Ile 1. AI A.sw+ri�s'n isf�s Materials of Co 4>� PM) 1 (oegaeau�nwdor NO& nor: Vlr� aei n 1 NC I" iws4.awn pe1.s� I,Ltrk"" 00 oWKtrk Of 9411 r" 4r r 4 hwoon ad vt.* art Moto 14"Imf Cut ken oil S. On/PN bvsl a *�cd� Cas � ram ra * a Kaki i M'Apw I, err pri w old thet ,awn writioul m>ti� Msdierrwl SW Fora: CaW /Ceradz Si►vft Sod Sed wr Aee d Staff Svtir� S"11 Siw wst how-il f r E k ss�7a (fir) GA ir" Siaw ZzJ;� z'sae lower k6w Nit" M14 f sit '(94)� .u� I ' Festean Ste�iea steel 9 1999 H dr�ornak' Purnps, Ashlrarni, (>io. AP R' n Rae ved. �� HYDROMATICw - Yo„r AwIlcr,t►d lo:d Diurburor- 840 Berner Rood AsNand, Oho 44105 14:419-780-3042 hX iM 114017 Web Site: w".pr nldrpunpctm °1 SALES OFFICES IN ALL #XOA CITIES AND COUNTIIIES 41 4em 0: W-04-8350 1201 544 Construction & Final Grade Detail Construction Detail 1. System elevations are deep at nominal nine feet below grade; tank bottoms are deep at nominal ten to twelve feet below grade; pipe elevations are deep at nominal six plus feet below grade. 2. Competent trench excavation person must be on site during trench and tank constructions. 3. Excavations must be benched or sloped appropriately to ensure personnel safety. 4. Stipulation 1099 chamber trenches are designed at nominal five feet between trenches; final two feet of excavation to system elevations of 88.0 must leave a minimum of three feet of undisturbed, natural soil between trenches. 5. Soils data indicates that system elevation of 88.0 will be in medium sands; however considerable variation was observed between 68 and 100 inches below grade to the medium sands. When system elevation is obtained, medium sands must be encountered. If medium sands are not observed at 88.0 at any point of system elevation, the heavier sandy loams must be removed until medium sands are encountered. Clean, medium sands must then be replaced and lightly compacted to reacquire system elevation of 88.0. Final Grade Detail 1. Final grade above the chamber trenches is specified at 97.0. This is maximum bury for the 1099 chamber trenches. 2. Existing surface grades in the area of the trench system vary from 97.0 to 97.3. It is important that the final grade of the system not be a topographic low spot which could collect surface runoff. 3. The final surface elevations around the system area must be slightly lower and shaped to divert surface runoff away from the adsorption system. A nominal slope of two percent to the south is suggested. Page 8 of 9 w System Management Management of this system is critical, As a condition of approval of these plans this system management section must be reviewed with the owner, and the owner must be provided with a complete set of plans including this management section. If problems develop with the adsorption system or any other system components, the installing plumber, Rogers Plumbing 715-235-1132, or the St. Croix County Zoning Office, 715- 386 -4680, should be contacted for assistance. General Proper functioning of an on -site disposal system, septic system, is significantly dependent on the volume of water which flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the better and longer the system will function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as water, a pump tank or compartment to allow a dose to be accumulated, a pump and controls, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. 1 . If the septic tank is installed prior to sheet -rock and/or painting, pump the septic tank before normal use begins to ensure adherence to contaminant load design criteria. 2 Install water - saving appliances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. 4. Never pour grease or oil down any drain or stool. 5. Garbage disposals are not recommended; if you must have one, use it sparingly. 6. No paper products other than tissue should go into the system. 7. No chemicals should go into the system. 8. Avoid surge flows of water; try to spread laundry throughout the week. 9. Septic tank effluent must be less than or equal to the design criteria specified in page 2 of these plans. 10. If septic or pump tanks are no longer used, they must be properly abandoned. 11. If construction timing and weather could create a frozen infiltration system, weather - proofing with plastic sheeting and heavy mulching may be required to maintain a functional system at start-up. 1 Maintenance fib✓ 1. The septic tank must be inspected every three years by a properly licensed person. 2. If necessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volume equals one third of the tank volume. 3. When the septic tank is pumped, any solids in the bottom of the pump tank must be pumped, and the filter must be back - washed into the septic tank to remove accumulated material. 4. Periodic observation pipe inspections should be made by the homeowner to examine the state of the in -situ soil adsorption cell. Quarterly inspections are recommended; a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell. 5. If this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany their specifications. 6, The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump. If the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. 7. Avoid compaction such as vehicle traffic within 15' down -slope of the adsorption system. 8. Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 9. Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. 10. Surface drainage must be diverted around the system; avoid landscape changes which might send surface run -off into the system area. 11. Warning: Do not enter septic, pump or other treatment tanks; death may result because they may contain lethal gases or insufficient oxygen. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for low effluent strength systems; such monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.54 (2). Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing, and/or installation of additional treatment components or conversion to a holding tank may be necessary. Page 9 of 9 r - FROM TOWN OF TROY FAX NO. 715- 425 -2551 Apr. 22 2003 10:11AM P2 2213P X37 ��� a I 6 AFFIDAVIT KATHLEEN H- NALSH REGISTER OF DEEDS Per Comm 82.22 (2)(b)2.b ST. CROIX Co., Ili RECEIVED FOR RECORD 04121/2003 10:15AN AFFIDAVIT EXEMPT # REC FEE: 13.00 Tr v• TRANS FEE: t COPY FEE: 2.00 PA 2 rr SG f� LAG` 1fi <<i., 1p - �`r C I, ShIlygn Pr-D y0 S 4 , agent for the Township of Troy, hereby certify that the Township of Troy is the owner of two structures on property owned by the Township of Troy which is responsible for maintenance to the septic system serving both structures. * e'I er IK! FvtoSurte - T r,., ,, , c� U-ty Description of Property: County: St, Croix Township: Troy Property Address: to Sq Glover Road Property Description: part of SW /4 of the NE' /4 of Section 15,T28 VA., R 19 W — .Se P The proposed PQWTS system operation and maintenance will be the Township responsibility. n Agent's signature(s): •- Shc�ru -. pr� Yvs Title: 14- lee r— Te" t R A. , Town of Troy '�: •'�� �, ? 277 Townsvalley Road P U Q - Hudson, WI 54016 Sub .icribed and sworn, to before me this — Yt-- day of D , Notary Public County, Wisconsin My commission expires �� E b y : S h u r o., Pf vva-s n Private On -Site Wastewater Treatment System (POWTS) Index and Title Sheet .� Owner: Project Name and System Type: , Location: Street A dress Legal Des on Township /County Contents: Page 1: - Page 2: Page 3: Page 4: Aw Page 5: ► C iMn �u '�— Page 6: Gvr4 rX _ e Page 7• r 1 Page 8• Page 9: Attachments: Plumber/Designen Al eag Sign : - Credential Number: ::2.25 ® Date: or I 1712 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of 5 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Certified Soil Testing Attach complete site plan on paper not less than 8'% x 11 inches in size. Plan must County St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimemsi d l ocation and distance to nearest road. Parcel I.D. 1)4,0 ,` _, , `l c� o Please ring viewed By Dat Personal information you provide ay be used for secondary purposes (Privacy aw, s. 15.04 (1) (m)). -3 Property Owner APR 1 6 2003 Property Location Town Of Troy I Govt. Lot SW 1/4 NE 1/4 S 15 T 28 N R 19 W Property Owner's Mailing Addre , GtRUX COUNTY Lot # Block # Subd. Name or CSM# 277 Townsvalley Road ZONING OFFICE City State Zip Code Phone Number Lj City Village 16 Town Nearest Road Hudson WI 1 54016 1 715 - 425 -2665 Troy I Glover ✓' New Construction Use: Residential / Number of bedrooms Code derived design flow rate 1600 GPD Replacement Public or commercial - Describe Hall & Shop Parent material sandy /loamy outwash Flood plain elevation, if applicable NA _ General comments and recommendations: install 4 - 2.83' x 118.18' (St'd - Infiltrator, 76 shells) stipulation 1099 chamber trenches @ system elevation of 88.0 FT1 Boring # .j Boring _vj Pit Ground Surface elev. 97.7 ft. Depth to limiting factor 45 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -17 7.5YR 2.5/1 - sil 2 f -m sbk mvfr gs if .5 .8 2 17 -32 7.5YR 3/3 - sil 2 m sbk mvfr cs 1 m .5 .8 3 32 -45 2.5Y 5/4 - scl 0 m mfi cs - 0 0 4 45 -49 2.5Y 5/4 c2p 7.5YR 5/8 scl 0 m mfi cs 0 0 P6 5 49 -82 7.5YR 4/4 - sl 2 f -m sbk mvfr cs .5 .9 82 -132 10YR 5/4 - s 0 sg dl - - .7 1.2 horizon 4 dips about 20 degrees to north & includes stratified 7.5YR 314 s 1 -2" thick at bottom of horizon; occasional gr & cob below 17 "; inclusions of 7.5YR 4/4 Is in horizon 5; occasional gr, cob, & st in horizon 6 a Boring # _�j Boring Pit Ground Surface elev. 98.3 ft. Depth to limiting factor > 132 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots _ GPD /ft' _ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 - Eff#2 1 0 -21 7.5YR 2.5/1 - sil 2 f -m sbk mvfr gs if .5 .8 2 21 -46 10YR 4/4 - sil 2 m sbk mvfr cs .5 .8 3 46 -58 10YR 4/4 - sl 1 m sbk mvfr gs 1 m .4 .6 4 58 -74 10YR 4/4 - sl 0 m mfr cs - .3 .5 5 74 -96 7.5YR 4/4 - s 0 sg ml cs 7 1.2 6 96 -132 10YR 5/4 - s 0 sg dl - .7 1.2 horizon 4 dips about 45 degrees to south & includes occasional inclusions 2.5Y 514 scl Effluent #1 = BOD 30 < 220 mg /L and TSS >30 150 mg /L ffluent #2 = BO < 30 mg /L and TSS _< 30 mgr CST Name (Please Print) Signatur : CST Number Henry F. Grote 222774 Address Certified Soil Testing Date Evaluation Conducted Telephone Number E. 4366 353rd Ave., Menomonie, WI 54751 4/7/2003 715- 233 -0398 Property Owner Town Of Troy Parcel ID # Page 2 2-of 5 37 Boring # jj Boring Pit Ground Surface elev. 97.2 ft. Depth to limiting factor > 156 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots ' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 'Eff#2 1 0 -20 7.5YR 2.5/1 - sil 2 f -m sbk mvfr gs if .5 .8 2 20 -30 7.5YR 3/3 - sil 2 m sbk mvfr cs - .5 .8 3 30 -46 2.5Y 5/4 - scl 0 m mfr cs - 0 0 4 46 - 84 7.5YR 4/4 - sl 2 m sbk mvfr CS - .5 .9 5 84 -156 7.5YR 4/4 - s 0 sg ml - .7 1.2 j horizon 4 has considerable inclusions Is plus occasional gr, cob & st; horizon 5 tends towards 10YR 5/4 s w/ increasing depth F Boring # Boring Pje Pit Ground Surface elev. 97.0 ft. Depth to limiting factor > 156 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots ' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -20 7.5YR 2.5/1 - sil 2 f -m sbk mvfr gs 1 f .5 8 2 20 -32 7.5YR 3/3 - sil 2 m sbk mvfr cs - .5 .8 3 32 -42 2.5Y 5/4 _ scl 0 m mfr cs 0 0 4 42 -68 7.5YR 4/4 - sl 2 m sbk mvfr cw - .5 .9 $ 5 68 -106 7.5YR 4/4 - s 0 sg ml cs - .7 1.2 a � t o 6 1 106-156 10YR 5/4 - s 0 sg dl - - .7 12 horizon 3 has occasional inclusions 7.5YR 3/4 s F5 I Boring # _j Boring ✓f Pit Ground Surface elev. 97.0 ft. Depth to limiting factor > 156 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft' _ in Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2 1 0 -20 7.5YR 2.5/1 - sil 2 f -m sbk mvfr gs 1f .5 .8 2 20 -35 10YR 4/4 - sil 2 m sbk mvfr gs - .5 8 3 35 -100 7.5YR 4/4 _ sl 1 m abk mvfr CS - 4 6 lr 4 100 - 156 10YR 4/4,5/4 _ s 0 sg ml - _7 1_2 i I horizon 3 has inclusions Is; some gr in horizon 2 Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg /L ' Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L 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. SBD -83 30 (R.07/00) Certified Soil Testing I Property Owner Town Of Troy Parcel ID # Page 3 of 5, F Boring # Boring Pit Ground Surface elev. 97.1 ft. Depth to limiting factor > 156 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff #1 'Eff#2 1 0 -25 7.5YR 2.5/1 - sl 2 f -m sbk mvfr gs 1 f .5 .9 2 25 -38 7.5YR 3/3 _ sl 2 m sbk mvfr gs - 5 9 3 38 -60 10YR 4/4 _ s 0 sg ml cw - .7 1.2 4 60 -96 7.5YR 4/4 _ sl 1 m abk mvfr cs .4 .6 t 5 '96-156 10YR 4/4 - s 0 sg ml - .7 1.2 u9 Z ��S• r e„ horizon 4 has very occasional inclusions Is F Boring # Boring ✓I Pit Ground Surface elev. 97.3 ft. Depth to limiting factor > 156 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPQj — _ -_ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. � `Eff#2 1 0 -22 1 7.5YR 2.5/1 _ sil 2 f sbk mvfr gs if .5 .8 2 22- 36 -36� 10YR 4/4 _ sl 2 m sbk mvfr gs .5 .9 3 36-53 7.5YR 4/4 - sl 2 m sbk mvfr cw 1M .5 .9 4 53 -156 7.5YR 4/4 _ s 0 sg dl - 7 1.2 n AA Boring # Boring Pit Ground Surface elev, ft. Depth to limiting factor in. F Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots _�2Q/ft?____ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff #2 I i I ' Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg /L ' Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L 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. SBD -8330 (R.07 /00) Certified Soil Testing Troy Town Hall & Shop — Sizing Sizing calculations based on information supplied by Architectural Design Group: i Hall, Phase 1 # G d Subtotal Assembly Seats 92 1.3 119.6 Assembly Kitchen 92 3 276 Floor Drains 3 25 75 FTE 3 13 39 Hall, Expansion Assembly w/ kitchen 100 4.3 430 Floor Drain 1 25 25 Sho FTE 4 13 52 Floor Drains 2 25 50 Total 1066.6 Design Flow 1.5 x 1066.6 1600 gallons/day The town shop will have a trench drain in the maintenance area which will discharge to a holding tank to contain the presumed industrial waste. The kitchen is typically used only for minor clean up as any affairs held at the hall are usually paper service with food prepared else where and served as "pot luck." Therefore normal strength effluent is anticipated. However, the kitchen sink will be plumbed separately outside and sufficient room allowed so that, if future use and effluent quality changes, an exterior grease trap could be added. If effluent quality changes to become high strength, there is sufficient room to add aerobic effluent treatment. Comment on Deep System Elevation Medium sands and loamy sands are encountered at significant depths on this site with considerable variation between 68 and 100 inches. The conceptual design is to locate stipulation 1099 chamber trenches at maximum depth with system elevation at 88.0, 9.0 feet deep at B -5 where sands commence at 100 inches below grade of 97.0. Finished surface grade above the system will be a maximum of 97.0 to comply with the maximum cover depth of 8.0 feet. Surface drainage around the system must then be configured to divert precipitation or snow melt away from the system. Page 4 of 5 r t o�.� ,►� � �� _ S'l ®fir P��.� 5�,..µti - tis Za_�4.a t OwN':1r0� 93 S -t L-1 Q -Z t O LOj oo m �.�io► t.,eAl q tr 1 /LC > 1 Q tt � z,.4, t3K ��a� e� �o,p �3lova.�► � �1. "'�f3 ��e. POWTS OWNER'S MANUAL MANAGEMENT PLAN FILE INFORMATION SYSTEM SPECIFICATIONS Owner Septic Tank Capacity gal A Permit # Septic Tank Manufacturer �_ E3 NA DESIGN P TE Effluent Filter Manufacturer El Number of Bedrooms 100gpd/bedroomi to—NA Effluent Filter Model o ❑ NA Number of Commercial`Units W Pump Tank Capacity 9, gal ❑ NA Estimated flow (average)* gal/day Pump Tank Manufacturer e { ❑ NA Design flow (peak), estimated x 1.5* al/da Pump Manufacturer ❑ NA 6mC7 g al/day Pump Soil Application Rate gal/day Model 6 a ❑ NA ffluent i AO) y age Pretreatment Unit p NA Influent/Effluent Quality (N Monthl A p Sand/Gravel Filter p Peat Filter Fats. Oil & Grease (FOG) 5 30 mg/L p Mechanical Aeration ❑ Wetland Biochemical Oxygen Demand (BODs) � 220 mgt O Disinfection M Other: Total Suspended Solids (TSS) Manufacturer: Model: S 254 mg/L Dispersal Cell(s) Pretreated Effluent Quality ❑ Monthly Average * ** Biochemical Oxygen Demand (BODs) 5 30 m , tLLa-ground � n ty) [3 In-ground (pressurized) ri At grade ❑ Mound Total Suspended Solids (TSS) Fecal Coliform (geometric mean) 5 30 mg/L C3 Drip -line [3 Other: <l0 + cfu/100m1 ❑Leaching Cham ufacturer Maximum Effluent Particle Size 1 inch diameter Model b Approval Stipulation *Wastewater Flow Verification on and calculations: Soil Application Rate , �KI &f Area Req W S (Other than bedroom based) Absorption Area Credit per '- unit 3 / fe Minimum Number of Chambers ❑ Aggregate Design Flow/Loading Rate= fe min * * Values typical for domestic (non- commercial wastewater Materials: all materials must comply with WI Adm. Code and septic tank effluent. COMM84 and be installed per manufacturers specifications ***Values typical for pretreated wastewater. and approval letters. DESIGN CRITERIA ❑ "Wisconsin At -grade Soil Absorption System, Siting, Design & Construction Manual" (Converse et.a1.1990) ❑ "Wisconsin Mound Soil Absorption System: Siting, Design & Construction Manual" Converse, J.C. and E.J. Tyler. Publication 15.22 ❑ . "Design of Pressure Distribution Networks for Septic Tank -Soil Absorption Systems" Publications 9.6 E3 "Design of Conventional Soil Absorption Trenches and Beds ". R.J. Otis – ASAE Publications 5 -77 and "Design Manual – Onsite Wastewater Treatment and Disposal Systems". EPA 625/1 -80 -012 October 1980 ❑ SBD - 10570 –P (8.6/99) "At -Grade Component Manual Using Pressure Distribution" ❑ SBD – 10567 P (8.6/99) "In Ground Absorption Component Manual" ❑ SBD – 10705 =P (N.01101) "In Ground Soil Absorption Component Manual" Version 2.0 p SBD – 10628 –P (N.6199) "Recirculating Sand Filter System Component Manual" ❑ SBD – 10656 –P (N.6199) "Split Bed Recirculating Sand Filter System Component Manual" ❑ SBD • 10572 –P (8.6/99) "Mound Component Manual" p SBD = 10691P (N.01101) "Mound Component Manual" Version 2.0 ❑ SBD - 10595 –P (86/99) "Single Pass Saud Filter Component Manual" ❑ SBD - 10657 P (8.6/99) "Drip -line Effluent Disposal Component Manual" E3 SBD - 10573 –P (R 6/99) "Pressure Distribution Component Manual" ❑ SBD - 10706 –P (N.01 101) "Pressure Distribution Component Manual" Version 2.0 D Drip -line Effluent Dispersal Component Manual for Multi-flo Onsite Wastewater Treatment Units MAINTENANCE AND MANAGEMENT MAINTENANCE MONITORING SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every p months C3 year(s) (Maximum 3 yrs.) Pump out contents of tank(s) When combined sludge and scum equals one -third (1/3) of tank volume Inspect dispersal cell($) At least once every El months 0 year(s) (Maximum 3 yrs.) Clean effluent filter At least once every O months 0 year(s) Inspect pump, pump controls & alarm At least once every M months ❑ year(s) 13 NA Flush laterals and pressure test At least once every ❑ months p year(s) [3 NA Valves At least once every .0 months 0 year(s) p NA Other: At least once every p months ; ❑ year(s) 0 NA Page of .,iTART UP For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. OPERATION The property owner is responsible for the operation and maintenance of the POWTS and submission of required reports. The quantity and quality of the wastewater stream will affect the performance and longevity of your POWTS. The installation of water - saving appliances and fixtures along with prompt repair of leaks reduces the wastewater volume. Also the brine or waste from water softeners, iron removal units, other clear water treatment devices and foundation drains should be discharged to the ground surface whenever possible. Note: this does not include laundry waste, showers, dishwater, etc. This system is designed to handle domestic strength wastewater, however the disposal of food based greases and oils, vegetable /fruit peels and seeds, bones, and food solids such as those produced by a garbage disposal should be minimized. Toilet tissue is the only paper that should be discharged into the system. Other non - biodegradable items such as baby wipes, tampons, sanitary napkins condoms, cigarette butts, dental floss, and cotton swabs should not enter the system. Chemicals such as petroleum products, paint, should not be flushed into the stem as the can serious dams disinfectants pesticides, antibiotics, solvents, etc., system Y Y a your POWTS g pests and contaminate your drinking water supply. Maintain a regular steady flow by spreading laundry washing throughout the week Avoid vehicle traffic over all system components. Compaction of snow over the dispersal unit may cause it to freeze up. ❑ Valves Valves shall be operated in the following manner: Alarms Marms should be tested on a regular basis by the home owner. If an alarm sounds, contact an individual licensed to service POWTS, There is normally a 1 day reserve under regular operating conditions, however water should be conserved until any problems with the system are corrected to prevent back -up of sewage into the dwelling or surfacing. INFECTIONS Inspection shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Maintainer or Septage Servicing Operator (per the attached Maintenance Schedule). �6c c Tanks Component ' of the tank to ident an missi Tank inspections must include a visual inspect fY Y g or broken hardware, identify any cracks or leakt, measure the volume of combined sludge and scum and to check for any backup or ponding of effluent to the ground surface. Access openings used for service or assessment shall be sealed and/or locked upon completion of service. Any defects shall be promptly corrected Exposed openings greater than 8 inches in diameter shall be secured with an effective locking device to prevent accidental or unauthorized entry into the tank. When the combination of sludge and scum in any tank exceeds one -third (1/3) "more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with Chapter NR113, Wisconsin Administrative Code. The outlet filter(s) shall be inspected and cleaned to remove any accumulated solids according to manufacturer's specification";. Provisions are to be made to retain solids in the tank. Filter cleaning may be necessary at more frequent intervals than stated in the maintenance schedule to keep the system operating. � =p Chamber/Treatment Tanks Component The inspection must include a test of all electrical equipment such as pumps, alarms and floats. A visual check must be made for leaks, backups, surfacing, missing or broken security devices and other hardware and the condition of the filter. Any service needs or repairs shall be promptly taken care of. ',0&41- Ground Gravity Component Dispersal Cells The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Ponding at depths greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. Page of I ❑ Ivlound, At-Grade. In- Ground Pressure The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection or n f an Y evidence of surface seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Ponding greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. The pressure distribution system is provided with an opening at the end of each lateral to be used for flushing. The laterals should be flushed at least once every three (3) years. Pressure checks of systems with multiple should be done to ensurc that equal distribution of effluent is occurring to promote the longevity of the system. 11EPORTS Reports for maintenance, inspection, and monitoring shall be submitted in accordance with COMM 83.55 Wisconsin Administrative Code. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to ensure that the system is properly and safely abandoned in compliance with Ch. COMM 83.33, Wisconsin Administrative Code. - All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. - The contents of all tanks and pits shall be removed and properly disposed of by a Se to a Servicing P g g OP erator. - After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or other inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system. OSP—.A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon b requ g p y setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that timi. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstruction$ of such systems must comply with the rules in effect at that time. <<WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTIAN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name ,/f7r A:e, e -e-v C Name Phone a 3 s — �� 3 - L Phone SEPTAGE SERVICING OPERATOR (Pumper) LOCAL REGULATORY AUTHORITY Name Agency Phone [ Phone T - MMATAWMPOWTS OWNER'S MANUAL.doe Page of i i RECEIVED ST CROIX Co Pr" APR 0 9 2003 SEPTIC TANK NLAMP -NANCE ACRBP1yMNT AND Architectural Design Group Inc. OWI�MRSHTP CERTTMICATION FORM ©w,wr/8uyer — ro - w ri. 6 - -�F' — 7 — r 6 Ma #ng Address w �I- 1 d u r Ica a Propany AAdross M (Votificatioareguinod from PlarsaiW Dopartmeat for new coasttuerloa) _ City/St Farool Identification 1�Tumber -¢d ) o;59 - io -- ora PwPertY Location LL T LB N-A l �JW, Town of 'fro y Subdivfsiaa .-- „..._ Trot # Certmed Survey map #� Volume Page # et s, De�'� l ✓ryB z 19.8o a lp ,t ebrt -Deed # l .5 l 8 - 3 volume 1148C page . # - 77 Spec house Cl yes 91 no Lot lines identifiable ❑ yes ❑ nc ltttpYOparvsa Md r3amtenana00f your septic system could result in its pre=xure f4uro to b uRe wtutas. Pmper =Aintenaace comsis#s of rug out tlic $Vdt tank every Was years or sootier, if nerdod by a licensed pumper. What you pest into vz system o. Afta dw A=tion of the septic UMk as a naattaeat stago in the .waato dispaoai synous. Tb'- pmpeay owner agrm to submit to St C'ro= Zoning Daputment it ceraamnou for signed by the owner and by a p , }oUrnQY=-uF , vesuimdpLu abet or liceusedpumper verifying t1 at (1) the on -site wastawaterdispaaal B system is in. mpm operating Cwdid= aud/or (2) after um in tt nocoas y � P P g (• �Y), � $spire tsa3c is less than 113 fu21 sludge. L'WO, the undeniped Dave toad the aWvo nqu irrww and egtoe to maintain tho private sewage disposal system with the standards set forth, bomii; as set by the Department of Commesae aad the Department of Natural Resou=w, State ofW Cert'if'ication stag that your septic system bas bsm malau fined must be completed and retumed to tha St. Crone County Zoning Cffiae wit iju So daps of the tie year etipL -*d= date. ` ' */ 7103 Ol tis24A OF APPLICANT DATIR I (we) t.,ettify that all state wts ou this form are true to the best of my (our) knowledge. I (we) = (are) the owner($) of the prapady des= - btd above, by virtue of a wananty deed reoorded is Register of Doody Office: C -�i 171 , 0-3 GNA 4R APPI iCANT DATE *'• **`”' Any in44=ti02 that is uais- raproseutcdMAY result in the sanitary permit being mvoked by the ZoniIIg Dqurtment. * * * * #* `# Iv4ude witk this apptieation; a stabled wattautY decd from dtAc Register of Doody office A OOFY of the certified survey asap if re€'ereace is aside in the wamaty deed I vv RECEI QE AP R 2 8 2003 ST. CROfX Cp ZONING pFFUNT fCE J 2213 P `t37 7182105 AFFIDAVIT KATHLEEN H. NALSH GISTER OF Per Comm 82.22 (2)(b)2.b ST. CROIX CO., W RECEIVED FOR RECORD 04/21/2003 10:15AM AFFIDAVIT EXEMPT # REC FEE: 13.00 1 avvn C� ( Tre TRANS FEE: COPY FEE: 2.00 (o64 G ► ,;P Rc1 CC FEE: PAGES: 2 `'/9/ 103 I, 6 h a r o n Pro VO S , agent for the Township of Troy, hereby certify that the Township of Troy is the owner of two structures on property owned by the Township of Troy which is responsible for maintenance to the septic system serving both structures. 'Jt CIPrKI r•taSUrtr • To .dr. c� TP- Description of Property: County: St. Croix Township: Troy Property Address: L S-1 Glover Road Property Description: art of SW '/4 of the NE 'A of Section 15, T 28 tA., R 19 W -- -See it The proposed POWTS system operation and maintenance will be the Township responsibility. Agent's signature(s): -. s1'1nrv Pr uYvS Title el e I 'rye `fU of Town of Troy 277 Townsvalley Road Hudson, WI 54016 Date: D Subscribed and sworn to before me this day of 94 dy J Notary Public t;at4l e H • lva s'J"• (� D V County, Wisconsin My commission expires (+ A A f*d by j -- �i _. 1.180PAu 76 `2213P 438 6 1 v9 2 KATHLEEN H. 1dALSN DOCUMENT NO. TRUSTEE'S DEED REGISTER OF DEEDS ST. cROIx co., WI RECEIVED FOR RECORD Gary J. Moelter and Brian J. Moelter, as Co- Trustees of the John J. D E � p Moelter and Georgine L. Moelter Family Trust, Grantor, for a valu 12 -27 -1999 9:30 AM able TK4 S TEE 5 consideration conveys without warranty to the Town of Troy, a EXLMY1 municipality, Grantee, the following described real estate in St. Croix CERT COPY FEE: county, State of Wisconsin: COPY FEE: TRANSFER FEE: 330.00 RECORDING FEE: 10.00 An 11 acre parcel of land in the SW4 of the NE4 and the SE4 of the NW4 PAGES: 1 of Section 15, T28N, R 19W, Town of Troy, St. Croix County, Wisconsin, more particularly described as follows: Commencing at a point on the East -West quarter section line that is 1930.3 feet West of the East 1 4 corner of said Section 15, said point being located in the center of a town road 365.3 feet West of the intersection of the centerlines of St. Hwy. t35 and said town road; thence West 869.2 feet; thence North 825 feet; thence East 292.4 feet; thence South 34048' East and parallel with the centerline of St. Hwy. N35, a distance of 1004.3 feet to the point of beginning. NAME AND RETURN ADDRESS C4Q Rodli, Beekar, Boles 6 Krueger, S.C. 219 North Main Street PO Box 13S River Falls, WI 54022 040 - 1059 -10 -000 Parcel Identification Number (PIN) This is not homestead property. Exception to warranties: All easements, restrictions and rights -of -way of record, if any. Dated this Z.,z ND day of December, 1999. JOHN 0... WELTER AND GEORGINE L. �MOELTER FAMILY TRUST (SEAL) : By: Gary J. a ter, Co- Trustee ABrian. Moelter, Co- Trustee AUTHENTICATION - ACKNOVf Signatures) STATE OF WISCONSIN I aa. COUNTY 1 authenticated this day of 19_ Personally came before me this Z - day of December, 1999 -- the above named Gary J. Moelter and Brian J. Moelter, Co- 5 of th hn . Moelter and Georgine L. Moelter b'am st to m k o n to be the persons(s) who executed the egoing ins . nt and acknowledge the same. TITLE: MEMBER STATE BAR OF WISCONSIN (If not, , authorized by 5 06.06, Wis. Stats.) THIS INSTRUMENT WAS DRAATZD BY: Notary Pu County, Wis. M Stuart J. Krueger commis Blaarent. 10f not, expiration date: it y Rodli, Beskar, Boles 6 Krueger, S.C. V 1 G • p.o. Box 138 River Falls, WI 54022 �..,�� •lti� :(, 'r6 G 159�� DOCUMENT NO. KATHLEEN H. WALSH TRUSTEE'S DEED REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD Gary J. Moelter and Brian J. Moelter, as Co Trustees of the John J. 12-27-1999 9:30 AN Moelter and Georgine L. Moelter Family Trust, Grantor, for a valuable E consideration conveys without warranty to the. Town of Troy, a - rRI& 5 TEE S municipality, Grantee, the following described rea es a e in St. Croix EXERPI $ County, State of Wisconsin: CERT COPY FEE: COPY FEE: TRANSFER FEE: 330.00 of land in the SW; of the NE, and the SEa of the NW RECORDING FEE: 10.00 of Section 15, T28N, R 19W, Town of Troy, St. Croix County, Wisconsin, PAGES. 1 more particularly described as follows: Commencing at a point on the East -West quarter section line that is 1930.3 feet West of the East corner of said Section 15, said point being located in the center of a town road 365.3 feet West of the intersection of the centerlines of St. Hwy. #35 and said town road; thence West 869.2 feet; thence North 825 feet; thence East 292.4 feet; thence South 34048' East and parallel with "the centerline of St. Hwy. #35, a distance of 1004.7 feet to the point of beginning. NAME AND RETURN ADDRESS i / /., Z / �✓ /� / 5 Q el�C r ( _ �� Rodli, Beskar, Boles & Krueger, S.C. 219 North Main Street PO Box 138 River Falls, WI 54022 5 �P 040- 1059 -10 -000 3�z T Parcel Identification Number (PIN) This is not homestead property. Exception to warranties: All easements, restrictions and rights -of -way of record, if any. Dated this 2_, A/D day of December, 1999. JOHN J. "XOELTER AND GEORGINE L. MOELTER FAMILY TRUST "� _(SEAL) (SEAL) By: Gary J. elter, Co- Trustee Brian J. Moelter, Co Trustee AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ss. 1a COUNTY ) authenticated this day of 19_ Personally came before me this Z-7 day of December, 1999 the above named Gary J.•Moelter and Brian J. Moelter, Co- s s of th hn Moelter and Georgine L. Moelter Fami ust to m k o n to be the persons(s) who executed the egoing ins nt and acknowledge the same. TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by §706.06, Wis. §tats.) THIS.INSTRUM$NT WAS DRAFTED BY:' Notary Pubi�g6tG County, Wis. Stuart B Krueger My commis ei�tn!lnlnt t Xf not, expiration date: Rodli, Beskar, Boles & Krueger, S.C. w P.O. Box 198 River Falls, WI 54022 I '- o1.148OP 77 615'93 DOCUMENT No. KATHLEEN H. WALSH QUIT CLAIM DEED REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD John J. Moelter, Georgine L. Moelter, Lyle W. Moelter and Ilene 12 -27 -1999 9;30 AM Moelter, Grantor, quit - claims to Town of Troy, a municipality, Grantee, the following described real estate in St. Croix County, State of Wisconsin: QU IT CLAIM DEED EXEMPT # 3 CERT COPY FEE: COPY FEE: An 11 acre parcel of land in the SWI-4 of the NE and the SE. of the NW. T RANSF ER FEE: 10.D4 of Section 15, T28N, R 19W, Town of Troy, St. Croix County, Wisconsin, PAGER. } more particularly described as follows: Commencing at a point on the East -West quarter section -line that is 1930.3 feet West of the East corner of said Section 15, said point being located in the center of a town road 365.3 feet West of the intersection of the centerlines of St. Hwy. #35 and said town road; thence West 869.2 feet; thence North 825 feet; thence East 292.4 feet; thence South 34°48' East and parallel with the centerline of St. Hwv. #35, a distance of 1004.7 feet to the point of beginning.- . . . . . . . . . . . . . NAME AND RETURN ADDRESS This deed is made for the purpose of Rodli Beskar, Boles & Krueger, S.C. 219 North Main Street correcting title. PO Box 138 River Falls, WI 54022 040- 1059 -10 -000 This is not homestead property. Parcel Identification Number (PIN) Exception to warranties: All easements, restrictions and rights -of -way of record, if any. Dated this '�,Z ku D day of December, 1999. ( SEAL ) ( SEAL ) John J. Po lter Georgine L. 00eiter ' �f c e _ - (SEAL) � �� �(�� (SEAL) Lyle W. :'Moelter Ilene Moelter AUTHENTICATION ACKNOWLEDGMENT Signature(s) � !*'u J MQ /_r a STATE OF WISCONSIN ) ss. COUNTY ) au hen ated t ZZ-day of 'PggmIY!� 19'" Personally came before me this day of December, 1999 the above named John J. Moelter, Georgine L. Moelter, Lyle W. Moelter and Ilene Moelter to me known to be the persons who executed the foregoing instrument and acknowledge same. • QLG TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by §706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY: Notary Public County, Wis. Stuart J. .Krueger My commission is permanent. (If not, expiration date: Rodli, Beskar, Boles & Krueger, S.C. P.O. Box 138 River Falls, WI 54022 wiscc -nsin Department of Commerce I S AND SITE EVALUATION Page __1_ __ of 3 I Dit-,aion of Safety and Buildings O R' G16 � Mith Comm 83.05, Wis. Adm. Code 41A-IOIJ =��C� ertified Soil Testing Attach complete site plan on paper not less than 8%2 x 11 inches in size. Plan must ounty include, but not limited to: vertical and horizontal reference point (BMI), direction and St. Croix percent slope, scale or dimensions, north arrow, and location and distance to nearest road. - - - - - Parcel I.D.# c, CSM Pending APPLICANT INFORMATION - Pleas *in a3ll ynformation. - - - - -- - - - Personal information you provide may be used for sgeoudary purposek(Privacy Law s. 15.04 (1) (m)). R viewed Date Propert Owner Property location - Troy Mnship Govt. Lot SW 1/4 NE 1/4 S 15 T 28 N 19 W Pro Owner's Mailin Address ? Lot # Block # Subd. Name or CSM# 277 o Road l CSM Pending City State Z C e Phone tsl Ar l___ -1 City ITroage Town Nearest Road Hudson WI 54011 7}5. -, = 5 y Glover New Construction p Residential I Number of bedrooms I_ _;Addition to existing building f Use: Replacement Public or commercial- describe Town HalI Code Derived daily flow 600 gpd Recommended design loading rate .5 bed, gpd /ft2 .6 trench, gpolft Absorption area required 1200 bed, ft 1000 trench, ft Maximum design loading rate -5 bed, gpd /ft2 .6 t rench, gpd /ft Recommended infiltration surface elevation(s) 91.3 ft (as referred to site plan benchmar Additional design I site consideration install 3 - 2.7 x 68.75' Sidewinder, Hi- capacity "turtle - shell" trenches Parent material loamy /sandy outwash Flood lain elevation, if applicable NA ft S= Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U= Unsuitable for system Q U M S❑ U X S❑ U X S L! U S V U I_, S X U Depth Dominant Color Mottles Structure Boundary' Roots - GPD /ft2 Boring# Horizon In. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh Consistenc Bed j Trench ' 1 - 0 -5 7.5YR 2.5/1 sl 2 m gr ds cs 1 lm 5 .6 2 5 -13 7.5YR 2.5/1 - sl 2 m sbk mfr gs If .5 1 .6 Ground 3 13 -51 73YR 4/4 - sl 2 m sbk dvh cs Ina 5 6 elev 94.3 ft 4 51 -80 7.5YR 4/4 - A O nn mfi ! - - .3 .4 Depth to limiting -- factor I W j Remarks: occasional gr & cob below 12" 2 1 0 -4 7.5YR 2.5/1 - sl 2 m gr ds cs If .5 .6 y 2 4 -23 J 7.5YR 2.5/1 - sl 2 m sbk mfr cw if 5 6 - -- -- - - - - .. - - -- - _ _. - -- i Ground 3 23 -35 7.5YR 4/4 - sl 2 m sbk dvh cs If .5 .6 elev-- - -- -- - - - -- - - - - -- -- -- - - - -- - - - - -- -- - I 94.9 ft 4 3 -46 10YR 4/4 - sl I 2 m sbk mfr cs - . .6 Depth to 5 46 -90 1 IOYR 4/4 - s 1 0 sg dl - - .7 .8 limiting factor Remarks: com mon gy si coats on peds in horizon 4, some stratified cos in horizon 5 - - - -- — -- - -- -- - - - -- - - - - - -- - - -- _._ _ - CST Name (Please Print) Signature: /' ��� � � Telephone No. Henry F. Grote _ 715- 665 -2681 Address Certif ed Soil'I estmg Date CST Number Ref # P.O. Box 57, Knapp, WI.54749 10/25/1999 222774 1246 I PROPERTY OWNER T roy T ownship SOIL ULSCRIPTION REPORT Page 2 ' of 3 CSM Pndin Certitied Soil resting PARCEL I.D.# -- __— e ;g ------- - Depth Dominant( Mottles Structure GPDIft= Munsell Qu. Sz, Cont. Color Gr. Sz. Sh. I H P Texture onsistence Boundary r Horizon Roots ' in. , fed � Trench - /1 - A 2 m r ds cs If j .5 .6 1 0 3 7.5YR 2.5 g 2 3 - 18 7.5YR 2.5/1 - sl 2 m sbk mfr gs if 5 6 r Ground 3 18 - 7.5YR 4/4 - sl 2 m sbk mfr i cs If .5 .6 elev 93.6 ft 4 52 -76 7.5YR 4/4 - sl I m sbk I mvfr cs - .4 .5 Depth to 5 76 -90 I0YR 5/4,4/4 - mcos 0 sg dl .7 8 limiting -- - -_ - - -- factor -- - - - - -- - -- - -- I I > 90" - - -- -- -- - - - - - -- - - -- - - 1 Remarks: - - - - -- — — — -- - - - - -- - - 4 1 0 -4 7.5YR 2.5/1 - sl 2 m gr ds cs If .5 .6 � � 2 I 4 -14 7.5YR 2.5/1 sl 2 m sbk mfr cs If .5 .6 1 elev Grou 3 14 -38 l OYR 4/4 - A 2 m sbk dh cs If .5 .6 -- - -- - - - - - - -- - - - ; sl 1 m sbk mvfr cs 4 5 93.1 ft 4 38 -72 7.5YR 4/4 - -- _ -- Depth to 5 72 -92 10YR 5/4,4/4 - I mcos 0 sg dl _ .7 .8 limiting - - - - - -- -- -- - - - - - -- - -- - - -- - factor I Remarks: _ 5 1 0 -4 7.5YR 2.5/1 - sl 2 m gr j ds cs % if .5 .6 _. 2 4 -19 7.5YR 2.5/1 - sl 2 m sbk mfr cs ]m .5 .6 3 19 -50 7.5YR 4/4 - A 2 m sbk mfr Ground cs if 5 6 elev 94.7 ft 4 50 -68 7.5YR 4/4 - sl 0 m —T mfr cs - .3 .4 Depth to 5 68 -90 i IOYR 4/4 - s 0 sg ml - - .7 .8 limitin factor 90" Remarks: -_ Ground elev Depth to limiting - -- — -- - -- - - -- - _ _ -r -- factor i i I j Remarks: s y a 1 .41 ,. N LI; M .A ° .J s d A 3 3 a ,,,_+ # to 64 s & q ci N o r r► J o s ,�, 0 9 '� UA � s f— cl N d G �i r Y Wisconsin Department of commerce SOIL EVALUATION REPORT Page of y Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM , ldirectd Parcel I.D. percent slope, scale or dimensions, north arro RR ieest road. Please print all forty oa Reviewed by Date Personal Information you provide may be used for s ondary purposes (Priva (1) (m)). Property Owner rope L S 0 i NE 1 rovl COON 'QOVL t SL 1/4 N 1d /4 S 1!5 T a8 N R 19 E (or Property Owner's Mailing Address ZONING 2 Lot Block # Subd. Name or CSM# t"5-4 G (bV Y `CZoa d 1 City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road 14 L ,.d.son ws Syv l b ( ) T G loufw New Construction Use: ❑ Residential / Number of bedrooms Code derived design flow rate GPD ❑ Replacement ® Public or commercial - Describe: PTa; ose d 5 --k o l✓ Parent material o ass Flood Plain elevation if applicable ft. General comments and recommendations: a Boring # Boring ® pit Ground surface elev. 0 (1-43 ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 'Eff#2 r 0 - 1" ioYR-Z -/1 siQ a r mEr as I' 2 s•- 14' iv Yr- Zl I S1 9 t vy� sblc m v r C L0 I . a .3 3 Ib ZZ /o ` r- 3(7- fob Si 2 M SbK 'f �z -7-q �c�Y�3 /¢ `_''c�by Si 2 M sbJ: mfr cw I� •S •Pj 5 7-9-39 ,v yx3 /4 — c� l x I m sbV- M� CcJ 39 -G ioYz3 /(. cobh a n s b s m I 1 {` .7 !.Z Boring .# ❑ Boring ® Pit Ground surface elev. /00. ft. Depth to limiting factor in. Soil ADDlIcatkin Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ff In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 1 0 -7 10YLZu Sbk ►n1Fr CS ►� •$ Z 7 -14 roYXZI t 55K Mk' CS 3 t'1-ZS /0 Y1z313 SI 1 M Sb vtiFf CS 4 zs 3z / yrz 414 �r � vh s6k 1 _ 5 5 3Z -3� 10YW -'A4 Cobb h Q a Sbk b 3 - 1 - 43 7•S -4110 gr SQ I c- Sbk W 7 " '5 IV YR 141 t. '65 c.? ✓'x w� f f L� . A/ . 4 yK - (o6 I If P - H16 �� rri s CJ h�4r • Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 150 mg/L ' Effluent #2 = BOD _< 30 mg/L and TSS < 30 mg/L v CST Name (Please Print) Hato CST Number o- ---- �-I Address D Telephone Number 0-t=DA,eCalzPorzo4 Cao'l W ;Isoei pv-le 5 7ir- z35- %o0 / 4 J Property Owner ow ^� S _T"O "� Parcel ID # Page ._ of Boring # ❑ Boring 3 Pit Ground surface elev. f 9 4lo ft. Depth to limiting factor in. - Soil Application Rate Horizon. Depth . Dominant Color Redox Description • Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont Color �I Gr. Sz. Sh. 'Eff#1 'Eff#2 1 O - 1 0 Yraz.1 I �c a � "- c `S 1F .S g Z -t� 1O41Z '5; .Q I F 5 bk mF"r CS 1 f 2 3 3 W -ZI /0YP -3 /Z =rS Sbk mF r gs I1 -1 $ 4 21 - '4Z fuL S IC SQ M Sink- n'1 fr^ gw I� . . 5 4z - I0Yrzg14 -- 3 r Fs 0 cam •W .(. l0 5a -lob M - VO n1 Q q Vy to$-75 iO Y IZ sl4 M S U Ae M Q ` E] Boring # Bori t Ground surface elev. JOG " SS ft Depth to limiting factor in. _ � J Soil Application Rate * Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 r 1 0 -6 IuYrzzlt �1 3 E` ,r egFr - s l •5 •8 2 g —q I O Y rLZI I M 3 cl-15 10 Y1z31Z c�►,t S'� M Sb IMP Y' 5 � 15 -zo 10Yrz 9 ,r s; I M sbK r ('y- s Za -z8 r� Y IZ W�� r512 1 /`''�5 K r�t iv If •�f •�i b Zti'i -'f3 1)Z 1 414( - — JgP�rS UW� ►'�'' r I •� •� K ;Yerd Boring # Boring E ®pit Ground surface elev. T .31 ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. (^ 'Eff#1 'Eff#2 f L-,-- P_ /a YM 7-1 Q 1 4' Sink �� 0.5 11 2 E -II IDYi�311 �� fob 1 S� c Pl r►?kr Cs �t+ 3 g is i Q ( M Sbl; Y 5 I ( • 3 rtir -Z� I o Y 3 3 -�— r A I M S b K r 5 s S Ly - 3 to -, 1Z y 1`f & 37 -7'f 1VYj - rF-cS r^� ► ' Effluent #1 = BOD, > 30 220 mg/L and TSS >30 150 mg/L ' Effluent #2 = BOD, < 30 mg/L and TSS 5 30 mg/L . 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. 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