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HomeMy WebLinkAbout040-1282-00-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 578930 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)j. 252--7 680 Permit Holder's Name: City Village X Township Parcel Tax No: O'Neill, John Troy, Town of 040-1282-00-000 CST BM Elev: Insp qVO BM Description: v: ~n Section/Town/Range/Map No: TANK INFORMATION ►V 1 4' CST 19.28.19.1591 F~. ' ELEVATION DATA AA) th TYPE MANUFACTURE ,a • R)CAPACITY STATION BS HI FS ELEV. ~J Septic Benchmark J 13•Eq7- 3. r oo . a Dosing OM / It. BM #I 001'" I , S. °t. 3 W3.81 AvratIloff- F IL ~o ( Lb C IL 525 Bld .Sewer 2 Holding !y pt inlet TANK SETBACK INFORMATION St/Ht Outlet TANK TO ` 9/* WELL BLDG. Vent to Air I ke ROAD Dt Inlet Septic Cj 1 a t Dt Bottom Dosing , • ~ ~ r, Q „ Head /Man. Aeration Dist. Pipe k 75 ///.(o9 Holding Bot. Syste s~ X2.3 llr.l~ PUMP/SIPHON INFORMATION Final Grade D I ' 12 . Manufacturer Demand St Cover 'T 2- Co. / Model Number (J U 1`O EP6 5 3.1$' lao, Z TDH Lift . ~G~ Friction Los System Heat' TD Ft p Forcemain Length Dia.► Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length N renches PIT DIMEN S No. Of Pits Inside Dia Liquid Depth DIMENSIONS EZ L ri, ( U~ SETBACK SYSTEM TO %ILr BLDG WELL LAKE/ TREAM LEACHING Manufacturer: INFORMATION Type Of Syst m: ^ I CHAMBER OR UNIT Model Number: 1) 0 NO DIS TION SYSTEM Hea /Manifold I% Distribution y7 1 x Hole Size Ix Hole Spacing Vent to Air Intake Z Pipe(i 1 `i f(t O' S t' 1' Length Dia IL.ngs) th~5 Dia 1 J Spacing V SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only AC*Rth Over t% Depth Over xx Depth of 7d/Soddef Be rench Center I Depth Edges Topsoil "r""" to , 2S A Yes No Yes 0 No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:-L_/W//5 In ection #2:- 6 A I ffftd 9W) Shook in @ p121 ;n ch'o Q p OK Location: 22p4 Muir Id Trail Hudso WI 54016 (SW 1/4 SW 1/4 19 T28N R1 IC 9W) Troy Village 4th Addition Lot 1 arcel No. 19.28.19. 5 1.) Alt BMIDestriptlo %M~Vj ~O \ CO ~nS eC,fi~~~l ~~ppc~To h, 2.) Bldg sewer length = I sst 0 4 - amount of cover = o n 1~ ,,o ~v \rSO*-) G ( ~YI 1' Plan revision Required? t Yes No Use other side for additional inform /on. f D G SBD-6710 (R.3/97) Date Insepctor's Signature Cert. No. i DERRICK/QUINN 224 MUIRFIELD TRAIL, HUDSON, WI 54016 SW 1/4 SW 1/4 SEC 19 T 28 R 19 LOT 128 TOWN OF TROY PARCEL I.D. 040-1282-00-000 SYSTEM ELEVATION 110 A BENCHMARK #1 TOP OF STAKE 100 b BENCHMARK #2 TOP OF TELEPHONE PED 102.5 T 1 1 4 - jc ~ _G t (/T Vv% I r ti a i i County v/A ~y ,nu C IVED' Safety and Buildings Division ST. CROIX y~ S ?Q15 201 W. Washington Ave., P.O. BOX 7162 Sanitary Permit Number (to be filled in by Co.) s T, A adii~son,, W l 53707-7162 093D i, p f.~ X COUN :01MMUNI m1t AppFicatlOri State Transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are Project Address (if different than mailing address) submitted to the Department of Safety and Professional Servies. Personal information you provide may be used 24 for secondary purposes in accordance with the Privacy Law, s. 15.04(1)(m), Slats. 1. Application Information - Please Print All Information M -T-VGA Opertt y~wfei r ems 1 O Parcel N ~l,{1CC ►►1~ 040-1282-00-000 N/A Property Owner's Mailing Address Property Location Govt. Lot 128 City, State Zip Code Phone Number SW 1/4, SW 1/4, Section 19 N/A N/A N/A (circle one) T 28 N; R 19 Eor NO II. Type of Building (check all that apply) Lot 1f ~f 1$1 or 2 Family Dwelling - Number of Bedrooms 3 \N/A L 8 Subdivision Name Blockk ROY VILLAGE FOURTH ADDITION ❑ Public/Commercial - Describe Use N/A ❑ City of 11 State Owned - Describe Use AM \p X/\0 - CSM Number 11 Village of ~Vv X1 Town of TROY lfJ x S Mb0N% L flfL C L III. Type of Permit: (Check only one box on line A. Complete line B if applicable) AC ITNew System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) li List Previous Permit Number and Date Issued ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New Before Expiration Plumber Owner / ✓ h G f ~/Z~0 ?j IV. Type of POWTS S stem/Com vent/Device: (Check all that apply) ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade Mound > 24 in. of suitable soi ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) / V. Dispersal/Treatment Area Information: Design Flow 7(g) Design Soil pplication Rate(gpdsf) Disper l Area Required (sf) ~Dlsp7 al Area Proposed (sf) -System Elevation SM•IIb' 450 ~•U .4 NSU 1125 5D 1125 C010vf'110t 511 VI. Tank Info Capacity in Total if of Manufacturer Gallons Gallons Units o b New Tanks Existing Tanks Y / ~D (~/IOG 52 5 v ° 2 ~ 2 J o wC7 fi wU y on Septic or Holding Tank 1000 1 WIESE NA 6b Dosing Chamber 600 0 60 0 WIESER VIL Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Signature MP/MPRS Number Business Phone Number PAUL KOEHLER 225410 715-246-2660 Plumber's Address (Street, City, State, Zip Code) 321 WISCONSIN DRIVE, NEW RICHMOND, WI 54017 VIII. Count /Department Use Only Permit Fee Date Issued Issuing ent 'gnatu YApproved n yed $ / M 00 I I L iven Reas al ►Vn IX. Conditions of Approval/Reasons for Disapproval SYSTEM OWNER; C ~n (~1~7DR S vT 1. Septic tank, effluent filter and i dispersal cell must bts ryied./maintained ,i~~rO VGt as per management plan provided by plumber. Wl 7 v~' S 2. All setback requirements must be maintained Attach to complete plans for the system and sub rt to a oun than 8 112 x 11 inches in size g Of V t 1 Upef- t, ~ro v~ MCP w~ "JA) ho tKtt)w,-,1"S VCL"11 It'na ee P 1" f~/ SBD-6398 (R. 11/11) PAUL R KOEHLER Page 2 3/31/2015 y 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 owner's manual for the POWTS described in this approval. • 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. SPS 383.54(1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county,for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be. made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 This Amount Will Be Invoiced. ®ra%M Swan When You Receive That Invoice, POWTS Plan Reviewer, Division of Industry Services Please Include a Copy With Your (608)789=7892, Mon - Fri, 7:15 am - 4:00 pm Payment Submittal. jerry.swim@wisconsin.gov WiSMART code: 7633 cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm I ART,V1pfVr DIVISION OF INDUSTRY SERVICES _ ~4) o~ 3824 N CREEKSIDE LA i y~ HOLMEN WI 54636 3 j s K Contact Through Relay P http:l/dsps.wi.gov/programs/industry-services www.wisconsin.gov ~ossroNAtiS~ Scott Walker, Governor Dave Ross, Secretary March 31, 2015 CUST ID No. 225410 ATTN: POWTS Inspector PAUL R KOEHLER ZONING OFFICE COUNTRYSIDE PLUMBING & HEATING INC ST CROIX COUNTY SPIA 321 WISCONSIN DR 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 03/31/2017 SITE: Identification Numbers Derrick / Quinn Transaction ID No. 2527888 224 Muifield Tr Site ID No. 811293 Town of Troy, 54016 Please refer to both identification numbers, St Croix County above, in all correspondence with the agency. SW1/4, SWIA, S19, T28N, R19W FOR: Description: Three Bedroom Mound System/ 5% slope Object Type: POWTS Component Manual Regulated Object ID No.: 1529988 Maintenance required; 450 GPD Flow rate; 27 in Soil minimum depth to limiting factor from original grade System(s): EZflow Mound Component Manual, (R. 7/12), Pressure Distribution Component Manual - Ver. 2.0, SBD- 10706-P (N.0 1/01, R. 10/12); Effluent Filter 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. OON,p No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, DEP API OF I stats. PROFFSSO~ The following conditions shall be met during construction or installation and prior to occupancy or use: DIVjS/ON OF AND Reminders • 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 wi EE CC)RRESI the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per SPS 384 product approval conditions. • All POWTS component piping material shall be SPS 384, Wis. Adm. Code compliant. • The area within 15' downslope of the dispersal cell shall remain undisturbed. Vehicular traffic, excavation or soil compaction is prohibited in this area. • 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. EZflow® MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE RECE Project Name: DERRICK / QUINN MAR 2 7 2015 Owner's Name: CATHERINA QUINN INDUSTRY SL; V;C!--S Owner's Address: Legal Description: SW 1/4 SW 1/4 SEC19T 28 R19 Township: TROY County: ST CROIX Subdivision Name: TROY VILLAGE FOURTH ADDITION Lot Number: 128 Block Number: _ o-/0'V-444 Parcel I.D. Number: 040-1282-00-000O~F~ Y - • FT Plan Transaction No.: SST SFR~NO Pagel Index and title Ry`SFRV `S Page 2 Data entry cFs Page 3 EZflow mound drawings Page 4 Lateral and dose tank Page 5 Distribution media ~NCF Page 6 System maintenance specifications Page 7 Management and contingency plan Page 8 Pump curve and specifications Page 9 PLOT PLAN Page 10 FILTER SPECS Page 11 SEPTIC TANK CROSS SECTION 10 lL .Sii~ TSf Designer: PAUL KOEHLER License Number: MP 225410 Date: 03/25/15 Phone Number: 7152462660 Signature: Designed Pursuant to the EZflow Mound Component Manual Ver. August 20, 2007, SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01, R. 10/12) EZflow Mound Version 3.0 (R. 3/1/12) Page 1 of 1A I Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) r Residential or Commercial Design 300.00 Estimated Wastewater Flow (gpd) . 1.50 Peaking Factor (e.g. 1.5 =150%) 450.00 Design Flow (gpd) 5.00 Site Slope 110.00 Installation Contour Line Elevation (ft) 100.00 Contour Length Available (ft) 27.00 Depth to Limiting Factor (in) 0.40 In-situ Soil Application Rate (gpd/ft2) Distribution Cell Information 6.00 Cell Width (ft) 3, 4. 5, 6. 7, 8, 9 or 10 Only 75.00 = Dispersal Cell Length (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ft2) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? Enter Y or N (c ore) a Center or End Manifold 3 Lateral Spacing (ft) If N above, enter the elevation (ft) 2 Number of Laterals of the highest point. 0.125 Orifice Diameter (in) (e.g. 0.25) 1.50 Estimated Orifice Spacing (ft) = 4.50 ft2/orifice 2.00 Forcemain Diameter (in) 25.00 Forcemain Length (ft) Does the_forcemain drain back? Y 98.00 Inside Pump Tank Elevation (ft) Enter Y or N 0.00 Forcemain Filter Loss (ft) 6.50 System Head (ft) x 1.3 4.08 Forcemain.Drainback (gal) 121Vertical Lift (ft) 67.44 5x Void Volume (gal) 0.87 Friction Loss (ft) 71.52 Minimum Dose Volume (gal) 19.62 Total Dynamic Head (ft) 41.19 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 x 1.00 1.50 x x 1.25 2.00 x 1.50 x x 3.00 2.00 x 3.00 x Gallons/Inch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 1000.00 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Weiser Concrete Manufacturer gal/in (enter result in cell -649) Dose Tank Information Effluent Filter Information 600.00 Dose Tank Capacity (gal) POLY LOCK Filter Manufacturer 16.76 Dose Tank Volume (gal/in) 525 Filter Model Number Weiser Concrete Manufacturer Project: DERRICK / QUINN Page 2 of 1) Mound Plan View T 1/10 B ' 3 J Observation Pipe - .xrxrxlxrxl=sxxr•Jxrx. +xJxrxa°xr:lxrxrxjxo+ 'xr 11 +=r•l• xl•r•l•r•l•rx Jxr•r-e• . e J• r.` x1x1xx1 . xx~x1x1x1 x1x1.Sx1x .x4x1.1x 1°xx .xb+1x1+Sx1.1x1x1x1x1.1xe~x1.1x1xtx1xlx. x1x1x1x1. xlxyxlxy R.exlxlxx5„ . 1=1~1x1x.~x..1x1x1x1xyx1.1x1.1x1x1x1xe.x1=1x t 1x..x1x1 A •rxl.rxJxrxrxr r r r . r,r _ "•8.. xtxrxr•r, r•r•txtxJ•JxrxlxJ=rx.'xl; t=r x•+`xr'rx•'x 5: • .x1x1x1x1xYx1xLx1xtix1K1 x;`--` .xy ~lx4x..T1=Sxb'x1x1K1.1.ixlxy=4:i'x: :..Po.xx x.•y'.':'x.'.' Vrx. xrxrxrxrxrxrxlxJxrxlxrxr r J r r . •rx. xJTMJ• .rx: xrxr+: +rx: xrxr..•xr• r•.~`:- W :.r ..............:k' l B - 2 :3..... a............................................... L Mound Component Dimensions ft A 6.00 ft E 12.60 in H 1.00 ft K Aft B 75.00 ft F 12.00 in z 9.00 ft L ft D 9.00 in G 0.50 ft J 5.87 ft W 450.00 (ft2) Dispersal Cell Area 1125.00 (ft2) Basal Area Available 6.00 (gpd/ft) Linear Loading Rate 7.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View EZflow Dispersal Area Finished Grade 112.75 (ft) ► H G F Dispersal Cell 111.25 (ft) Lateral 110.75 (ft)--* - 6" Invert Elevation Dispersal Cell ? - Elevation D K : . i . . . . . . . : 1 l3 e A~?'/~G < . a~/ si {.(ti1. „xA `4.t.(,~ A`4 `4 A ~1 .i Ati{ ~f { { { { { A. y,ti1 {=i,<L •1i. { ~.y%1v. .sA Aw'.l. A. fi ~,.A~. A=. rS..s~.,,.1 .L.A. A. 110.00 (ft) Contour Elevation 5.0 % Site Slope Typical Dispersal Cell Shading Key See Page 5 Q Topsoil Cap a 2. © Subsoil Cap 2 c 2.0 7 ft Approved Geotextile Fabric Cover e .ll/ff.. 14 0 ASTM C33 Sand 4 Tilled Layer 75 c 1x1 R.1 1+°+ ,c, 1 xyflrl ti:°.l ti..L 1r1r1 r+r•r rx 5 .xrxr+ r. r+r 5 F r+r x:+r• m d %x l+rxr•l P+t•r t•J.r l+r+r+: a `i1x`i1 EZflow Media t C 1~1 ~1Y a; 1''.,+ 1f1r1+1+1+1• :1.1 ~1+4+1+1• rxr+rxr+ r r+rxr +r+. r.r.r.r 1~1x1x1.1x 1xti.1+1x1+ i+1+1+1+1 U) O 0.5 ft •rlrxr+. =:1r+:+r r;. {1ex.r -11b- 0 A See details on page 4 for number, size, and spacing of laterals. Laterals are located in the 4" gravity distribution pipes as shown on page 5. Project: DERRICK / QUINN Page 3 of 11 i 03/31/2015 TUE 14:00 FAX 1002/002 i End Connection Lateral Layout Diagram Place Appropriate Lateral Diagram From Right Below TSl 1 L at k-x:-mil OrHfc pact`upS=Wi c : Pobts d4`a m for dt e. l9i ~~(~3t~ Vii; ~!t~ 4P rrtTi i~ Gf3~d.~E•: - L.a4esi. ~ ~tt~e e~t~:~ F'~'tnC aa}~ #F~ AN W"s Wrftol Wil Yt + f`I i%W sWedw per T- #>344 Number of Laterals 2 Orifice Diameter 0.125 in Lateral Diameter 1.50 in Orifice Spacing (X) 1.50 ft Lateral Length (P) 74.25 ft Orifices per Lateral 50 Lateral End (Z) 0.75 ft Orifice Density 4.50 ft2/orifice Lateral Spacing (S) 3.00 ft Manifold Length 3.00 ft Lateral Flow Rate 20.60 gpm Manifold Diameter 1.50 in System Flow Rate 41.19 gpm Forcemain Velocity 4.21 ft/sec Dose Tank Information Locking cover vAth warning label and locking device and sealed watertight Electrical as per NEC 300 and SPS 316.300 WAC 4 in. min. Disconnect y Alternate outlet J L. Tank component is properly vented location Forcemain diameter Manufaurer 2 in. Weiser Concrete ct Capacity 600.00 Gallons Volume 16.76 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 18.03 302.22 B 2.00 33.52 C P♦ ump off elevation (ft) C 4.27 71.52 F--9787976] D 11.50 192.74 D Total 35.80 600.00 Dom se tank elevation (ft) Bedding And Backfill As Per Manufacturer 98.00 Alarm Manufacturer SJ RHOMBUS Alarm Model Number PS PATROL Pump Manufacturer GOULDS Pump Model Number EPOS Pump Must Deliver 41.19 gpm at 19.66 ft TDH Note: Switches containing mercury may not be used in this system. Project: DERRICK / QUINN Page 4 of 11 EZflow® Distribution Cell Media Layout 6.00 Cell Width (ft) 1.50 Sidewall to Lateral (ft) Distribution Cell Cross-section Arrangements 6 ft Wide I'I Component Legend ® SR1-7A Bundle - 5 ft or 10 ft lengths SR1-12A or EZ 1201 A in 5 ft or 10 ft lengths SR3-12H or EZ 1201 P or SR3-12H in 5 ft or 10 ft lengths O 4" Perforated Distribution Pipe With Pressure Lateral Inside • Turnup Enclosure - - - - - Pressure Lateral Bundles are covered with approved geotextile fabric as per the their product approval. Distribution Cell Plan View Layout - Typical 6.00 Cell Width - A (ft) 75.00 Cell Length - B (ft) Center Connection Lateral Layout Diagram Force Main 6 ft W ide Center Manifold Project: DERRICK / QUINN Page 5 of 11 Mound System Maintenance and Operation Specifications Service Provider's Name DARRELS SEPTIC Phone 7154251025 POWTS Regulator's Name PAUL KOEHLER I Phone 7152462660 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Inspect and/or service once eve 3 ears Effluent Filter Inspect and clean as necessary at least once eve 3 ears Pump and Controls Test once eve 3 ears Alarm Should test periodically Pressure System Laterals should be flushed and pressure tested eve 3 ears Mound Inspect for pondin and seepage once eve 3 ears Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap and are secured in as shown in the EZflow Mound Component Manual Ver. August 20, 2007. 2. Dispersal cell media conforms to EZflow products approved for use with the EZflow Mound Component Manual Ver. August 20, 2007. Media is covered with an approved geotextile fabric. 3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished Grade 00*00..0000000000 6-8" Diameter Lawn/ Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Lateral Ends at Last Orifice Where Variable Length Cleanout Begins / L ` Long Sweep 90 or Two - 45 Degree Bends Same EZflow Synthetic Media Diameter as Lateral 2.00 Feet - Distribution Lateral Lateral Cleanout Project: DERRICK / QUINN Page 6 of 1 J, Mound System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General This system shall be operated in accordance with SPS 382-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [EZf/ow Mound Component Manual 8/20/07, Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. Septic and pump tank abandonment shall be in accordance with SPS 383.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. 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. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner as to when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Wisconsin Department of Commerce. Pump Tank The dosing (pump) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. If the force main has a weep hole, it should be noted if it is functional during pump operation, and if not, it should be cleaned. 'No one should ever enter a septic or dose tank since dangerous gases may be present that could cause death. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BODS, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD5, 30 mg/L TSS, 10 mg/L FOG, and 104 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 3 years. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: DERRICK / QUINN Page 7 of 13, GOULDS PUMPS Submersible Effluent Pump MODEL 3871 EP04 & EP05 j, Series APPLICATIONS • Fully submerged in high ■ EP05 Impeller: Thermoplas- ■ Bearings: Upper and lower grade turbine oil for tic enclosed design for heavy duty ball bearing Specifically designed for the lubrication and efficient improved performance. construction. following uses: • Effluent systems heat transfer. ■ Casing and Base: Rugged • Homes Available for automatic and thermoplastic design provides AGENCY LISTING • Farms manual operation. Auto- superior strength and corrosion Canadian Standards Association' • Heavy duty sump matic models include resistance. S A' File # U38549 • Water transfer Mechanical Float Switch ■ Motor Housing: Cast iron • Dewatering assembled and preset at the for efficient heat transfer, Goulds Pumps is ISO 9001 Registered. factory. strength, and durability. SPECIFICATIONS ■ Motor Cover: Thermoplastic FEATURES cover with integral handle and • Solids handling capability: float switch attachment points. 3/4" maximum. ■ EP04 Impeller: Thermoplas- 0 Power Cable: Severe duty • Capacities: up to 60 GPM. tic semi-open design with rated oil and water resistant. r" • Total heads: up to 31 feet. pump out vanes for mechanical t • Discharge size: 11/2" NPT. seal protection. • Mechanical seal: carbon- rotary/ceramic-stationary, BUNA-N elastomers. • Temperature: 104°F (40°C) continuous 140°F (600C) Intermittent. METERS FEET 7 - - - r- - • Fasteners: 300 series t ° } _ - - - stainless steel. 9 30 I I 5GPM • Capable of running - dry without damage to 8 zs Fr components. 25 °a + - r - , - - - - Motor: _ • EP04 Single phase: 0.4 HP, 6 2 115 or 230 V, 60 Hz, 1550 a - - - - - - t RPM, built in overload with 5 _ i automatic reset. ° 15 • EP05 Single phase: 0.5 HP, 0 4 - - - - ---------i--- - - - --r - - EP05 115 V or 230V, 60 Hz; 1550 3 t o - - RPM, built in overload with ---------I EP04 ----------t - - automatic reset. 2- • Power cord: 10 foot 5 standard length, 16/3 t T - - - S1TW with three prong grounding plug. Optional 20 ° °o to Zo 30 ao 50 GPM foot length, 16/3 S1TW with three prong grounding plug L0 2 a s 8 to tz m'/h (standard on EP05). CAPACITY Goulds Pumps © 2003 Goulds Pumps Effective July, 2003 ITT Industries 63871 DERRICK/QUINN 224 MUIRFIELD TRAIL, HUDSON, WI 54016 SW 1/4 SW 1/4 SEC 19 T 28 R 19 LOT 128 TOWN OF TROY PARCEL I.D. 040-1282-00-000 SYSTEM ELEVATION 110 BENCHMARK #1 TOP OF STAKE 100 L~ BENCHMARK #2 TOP OF TELEPHONE PED 102.5 . North d ®mm 7 ~7 a j ® ec, a 83 i c~fr~ 11 ` r/ y~ r. i ' INSTALLATION INSTRUCTIONS Minc. I &wasr~" sex ~f° PL-525/PL-625 FILTER W2srewa!sr FroE~cY A Q+isian o: ?dy)ok!"c PL-525/PL-625 FEATURES & BENEFITS Features & Benefits. . Rated for 10,000 GPD • PL-525 = 525 Linear Feet of 1/18" Filtration PL-625 = 625 Linear Feet of 1/32" Filtration PL-525- PL-625 *Accepts 4" and 6" SCHD. 40 pipe The PL-525/625 Effluent Filter should operate efficiently • Built in Gas Deflector for several years under normal conditions before *Automatic Shut-Off Ball when Filter is Removed i requiring cleaning. It is recommended that the filter be cleaned every time the tank is pumped or at least every *Alarm Accessibility three years. If the installed filter contains an optional alarm, the owner will be notified by an alarm when the .Accepts PVC Extension Handle filter- needs servicing. Servicing should be done by a certified septic tank pumper or installer. RECOMMENDED PRODUCTS Polylok PVC Fitter Extension Handle fq, Risers & Riser Covers Extend & Lok- Riser Safety Screens Fitter Alarm Panel and Polylok risers bring your Polylok Extend & LokTM Polylok safety screens SmartFilterTM' Control septic tank cover to grade. is a simple, easy io use prevent tragic accidents Switch This allows locating and solution that can extend from happening by children Polylok fitter alarm panels servicing your filter easier the inlet or outlet pipe and and pets falling into open and switchs provid a visual and time saving by etimi- make filter and/or baffle septic tank entrances. and audible notification of nating digging to find tank installation a snap. impending filter and tank entrance. 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TI v C) m C) c N O N C a NOD N C7 D r J N 0 n O n< z m in N z z m-0 Oz Z mmi m ci100 ° v D O r v m z 0 O --1 N nD D m0 v ° I. v v D3 3 z cal ° rr c) - D >0 O m > < o m a H a 0m -0 z m c ZZ to 0 00o r N ;0 CE) N n OA Z 3 X m om N 0 r ;u m D ;u o m 'I ; c M H z O Z m m M ;u z r - m \ N WLP1000/600-MR ° m MIEBER C011CAETE DRAWN 8Y: SME SREV. 1 4"=1'-0" PRE-POUR: rn SEPTIC MANUAL DATE: JANUARY 2010 DATE:. POST-POUR: \ Z W3716 US HWY 10 MAIDEN ROCK, N 54750 ° REVISED JAN. 2010 800-325-8456 FILE:WLP1000/600-MR u~ '"~~'O°iMn O~+" d SOIL EVALUATION REPORT pop a arNlonotedq.,,d,,~„~ a ~oooidirw..Mn QMww Sk w@. OAUL COft Mon..pywa~rprnaewwMw~ta:/~i~drs~.y.Prwwa~t ~'rpt ~.+~wcw~ew.~r~c~.wwawiM~wwtw~.i..w~cpy.~wrow~na A.oM ~a Peso"dwa +~•rra■et ws+r~o.r - I -co O P&MM PAM M/ kd mrea p C t'C w.e ~,,~5(u WSW IN 9) T d N R I 604g) Ira INN*@ area H~ caw 1 W9A y7h All ca .o" N....r wa.a l*A6W6FW*r~n •-'3 o.daM+4}~.v.nr aPo ~e (7 AYs~raw~welr-ommew w.~.awr.rr _ Lo-.4> s a.~. -t , \ t w~w+..~.aw~ra ei. 7ZT M„Y.. t Id•~ usl; soft m3di ou~ird: r ChL W OWL Crs OL SL OL 'fit f s cS s ,s f r C Alin a / S r 7.S .t t R s me~► y--- aim owoiw_ ftm%fts Team 7 0-10 9 f0 /b /o .r sit S -I`1 - / a n, SDK ~ r C-5 5~ c .S f Mk mAir 5 0- S s%Y B -r~-- n►e -4-- - m o '~uwtH~ s~0;?i~t.aitlAS~_100w11 •Ei~t~~ wOYiB~iO Topme"Waw - I T L or Ut / 0 oa 3 7 rs asil'as po ,O©'o ++•e•rorM•o Mkk QAS-fC6 %Od% Co S"c os Goo - s a •_r 0 pR OL c pi, O (tams MIOr Amoobw WON?- 6L law" QIL aL i OML C dor or. OL sk 16 -5 Z - a Sb . pnkt- O soft pit ❑ iac Qwedeetleoeeler. R O~~ b i~inY ~x i" Iwo fRlm k iAY~eie/ ChL UL CWML Odor Q. Q ~ ❑ pe Awa/snww R OWS4rftbdw k IlodrM a Iwllinli ANIM ONO wL Tift1M awan it iYuOi u.aL CoLa Or ' ' i~1MM in • e00~ > ~0:?20 MipR, end TSS ~!0 < t'JO wpR • ~t R2 ~ BOg, JO MAIL end TiiS t,0 ObL Tf0 OopoeertOMt dfO oe is m e1Ni opp, onatr a= wit- pie Mw and wpisye - tf you Heed MONatrwoe N •oews i n s ar Me/.alnfol b a el~enws iiM~ }M000 QaMOCt 6e depetanee0 at 6p~,?r66,yiSi ar TIY 60~-X61-t'T17. I i /2 oflZ b _N•.e.~..- JN.monwl Sy o~ si- r S 4 `i l p 1aaf/2 c ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM wnerlBuyer CD Mailing A.ddxess ~ A-*x,, V-k^,r 4A Q S4x...1 Property Address - 1 u 1(L, t t{ t (Verification required from lamiing & Zoning epartmant for new construction.) City/State p °5at4-, Y t Parcel Identification Number 0 4- - - CCs LEGAL DESCRIPTION Property Location tAfV V., Sec. I ft-, T 7-XN R W, Town of Subdivision_- _~~f1~E3 Lot# 1~-G? Certified Survey Map # , Volume , Page # Warranty Deed Volume , Page # Spec horse yes no Lot lines identi yes .no r SYSTEM MAINTENANCE AND OWNER CERTIFICAITON Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Camm. 83.52(1) and in Chapter 12 - St Croix County Sanitary CWinauce. The property owner agrees to submit to St Croix County Planning & Zoning Department a certification form, signed by the own= and by a mailer phnrbe, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 113 full of sludge. Uwe, the undersigned have read the ahotre requiremetrts aidagree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Depastmew of Cwnmerce atld the Department of Natural Resoumes, State of Wisconsin. Certification staling that your 'septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three ys year expiration date. Uwe certify that all statements err this forth are true to the best of my/our knowledge. Uwe am/are the owner(s) of the property described above; by virtue of a ty deed recorded in Register of Deeds Office. SIGNNAT URE OF APPLICANT(S) DATE ***Aay information that is misrepresented may result in the sanitary permit being revoked by the Planning do Zoning Department Include with this application a recorded warranty deed from the Register of Deeds office and it copy of the certified survey map if reference is made in the warranty deed- (REV. 18/05) f 'J Jun 05 14 09:38a Patrick O'Neill 715-377-0692 P.2 O'NEILL, JOHN P & MARY K STATE OF WISCONSIN BILL NUMBER: 290634 REAL. ESTATE PROPERTY TAX BILL FOR 2014 IMPORTANT: • Cotreapendenee should rervb~ Pareal number. Sss rcvsrcs sfds for kwwu nt Mtomse.6on. TOWN OF TROY • as sure this daecrtplrert coven yotr This dsscrtp6on ie ST. CRQIX COUNTY I., property. bl oNy and may not be t! tepei d«aipl[en. 760073 682102 ACRES: 1.037 JOHN P-& MARY K O'NEILL SEC 19, T 28 N, R 19 W SEC 19 T28N R19W PT OL 9 LOT 128 TROY 282 ST ANNE'S PKY VILLAGE FOURTH ADDITION HUDSON WI 54016 Parcel 9: 040-1282-00-000 PropwWAddress: 224 MUIRFIELD TRL Alt.Parceltt: 19.28. 19.1591 Aesscsed Valw land As" YekN Improvements T°W Aoeseed Yatus Ave. Assort Rape 75, 000 75, 000 1.0770 Nat Assessed V" Rate (Do" HOT nrf act credits) 0.013781366 i et Per INkt lead Est Fair MK hnproverrtwNa Top Est Fetr 16ect A ahr In Yria box 69, 600 69, 600 moaa.umP.wPrtor Sehewtta><eareduced by r■a: Taxes school Itwy tax credit $ 102. 9 4 Taxt.k np,d Clolon OWLSttateAt* E,t 2SMbAids 2013 2014 xt TOe AOcemad Tax 01st Allocated Tax Dist Net Tax Net Tax STATE OF WISCONSIN 11.20 11.82 5.5% ST. CROIX COUNTY 198,448 209 498 282.11 294.17 4.3E Ttiii'iv' Or 3ROF 232,,776 239673 92.4.0 52.11 -0.36 SCH DIST RIVER FALLS 3,331,281 3,704,',783 606.22 573.57 -5.4% CHIP VALLEY VOTECH 100,837 132,083 ~L14.77 61.93 -46.01 Total 3,863,342 4,286,037 1,106.70 1,033.60 -6.6% First Dollar Credit LatIm Net Property & Ga ing Credit 1,106.70 1,D33.60 -6.64 Make Check Payable to-, r rl PaymenR Due on or aatore.lamary 31,:W9 Net Property Tax 1,033.60 ST CROIX CTY TREASURER $1033.60 LAURIE A. NOBLE ' 1101 CARMZCHAEL ROAD Or First kielalfmM Dip On or aetore Jarwuy 31, 2015 HUDSON WI 54016 ,715-386-4645 $516.00 And Second InaWlmona Payment Payable To ST CROIX CTY TREASURER AM 6eGOrdeois^t °1f On or aHeN 0 AttY n, tot l LAURIE A. NOBLE $516.80 1101 CARMICHAFL RDAs HUDSON WI 54016 FOR TREASURERS USE ONLY • e FOR FULL PAYM Pay Sy Jwvxry It, 2016 PAYMENT M $ 1,033.60 PLEASE RETURN LOWER SALOME wwrjoF 9 nol paid by due dp°e, inetakount option Is cost PORTION WITH RENUTTANCE 7 DATe pone'. f" ~ Is deY Faaun to to per pay re a on li mo. 'merest See arxt revrm. p o_ I r s POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page I of FILE INFORMATION SYSTEM SPECIFICATIONS Owner J 0 hn b 11.t ; l Septic Tank Capacity 1000 qal ❑ NA Permit # A Septic Tank Manufacturer WIESER El NA DESIGN PARAMETERS Effluent Filter Manufacturer 13 NA POLYLOK Number of Bedrooms 3 q NA Effluent Filter Model 525 ❑ NA Number of Public Facility Units 91 NA Pump Tank Capacity 600 gal ❑ N%' Estimated flow (average) E30 gal/day Pump Tank Manufacturer WIESER ❑ NA Design flow (peak), (Estimated x 1.5) 450 qal/da Pump Manufacturer GOULDS ❑ NA Soil Application Rate .4 al/day/ft2 Pump Model EP05 ❑ NA Standard Influent/Effluent Quality Monthly average: Pretreatment Unit El NA Fats, Oil & Grease (FOG) 530 mg/L 0 Sand/Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BODS) 5220 mg/L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg/L ❑ Disinfection ❑ Other. Pretreated Effluent Quality Monthly average Dispersal Cell(s) O NA Biochemical Oxygen Demand (BODS) 530 mg/L E3 In-Ground (gravity) ❑ In-Ground (pressurized) Total Suspended Solids (TSS) 530 mg/L ❑ NA ❑ At-Grade 37 Mound Fecal Coliform (geometric mean? 510' ofu/100ml 0 Drip-Line ❑ Other: Maximum Effluent Particle Size Ya in dia. ❑ NA Other: ❑ NA Other. ❑ NA Other. O NA *Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service !Frequency inspect condition of tanks! At least once every: 3 ❑ month(s) (Maximum 3 years) 13 Nei f year(s) Pump out contents of tank(s) When combined sludge and scum equals one-third (Y3) of tank volume 3 ❑ NA Inspect dispersal cell(s) At (east once every. ❑ month(s) (Maximum 3 years) ❑ NEB 3 X year(s) Clean effluent filter At least once every: O month(s) la NA 1.1 a ear(s) Inspect pump, pump controls & alarm At least once every: month(s) ❑ W, year(s) Plush laterals and pressure test At least once every: ❑ month(s) ❑ W. ❑ year(s) AS NEEDED Other: At least once every: ❑ month(s) ❑ NA Other: O year(s) ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections 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 back up or ponding of effluent on the ground surface. 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. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third (Y3) or 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 NR 11:1, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. wi UL START UP AND OPERATION Page Z of -Z' For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other ohem103 that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the conterr 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. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will b discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge c effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing operator prior to restorin power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls t restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the are within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or.elimination of the following from the wastewater stream may improve the performance and prolong the life of th4 POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat foundation drain (sump pump) water, fruit, and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; ail painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to Insure that the system is properly and safely abandoned in compliance with chapter 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 Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another 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: El A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorptkm system. The replacement area should' be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot fines and wells- failure to protect the replacement area v )II 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 time. ❑ 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. • 1►v alua ' be o mg ;k- 11 - ~lea}.(i'13f7~ Jul ~Na^77~C1C-~~ at the ltrative surface, Reconstructions of such systems. must comply with the rules in effect at that tktle. Fy < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NC T PNTER 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 PAUL KOEHLER Name OUNTRYSIDE PLUMBING & HEATING INC Phone 715-246-2660 Phone 15-246-2660 SEPTAGE SERVICING OPERATOR (PUMPER( LOCAL REGULATORY AUTHORITY Name OWERS LIQUID WASTE MANAGEMENT Name S'1`. GRD 2 AIIAJ Phone 715-246-5736 Phone '~/S-~(O, rp O This document was drafted in compliance with chapter Comm 83.22(2)4b)(1)(d)&(0 and 83.54(11, (21 & (3), Wisconsin Administrative Code. OUTLOT 2` PLAT OF TROY-VILLAGE S MfJS YROAO Ar"i N o' 00' 24G.3;1 bc 1' 119 0 ~ IAP ACID! s OUTLOT 9 43AM PLAT OF TROY VILLAGE 8 N ~,.ar pp E PLAT OF TROY VLLAGE \ • 243 o \ z b ~ e. I 120. t.oee ~cas _,~1IILv' \ - - - - - - - - - - $s1T I - - ry► m 121 \ o 1 I -SWT; -T -►,I~ - e'p'-- , I, Sg T74 A 71;-1-I - N 69'40' 20" M.. 1 9 .......3iB d1:........... I SOT 5 40T ¢ _ I CAM ° 122 I Q I VOL. 12 I PA v' 01: I I PACE Jg-71 CE 3 _ 4W, SP. S 3 71 1=1 ACM 44.M DO_C. ,560168_ I Q04. ~5~6Q1 N 40' 0" W I I g z 1 123 1 2 ' 26" E I 44,774 IF. W 3 w o v - _ - - - - _ - - 331.17' n ^ 89"BY 19" E oua oT 5 37.22' tA1624 Acm PLAT OF-TROY VILLAGE 44016 SJr' I y ~~Y 'g S 69'55' 19" w 6 W 1 V 1 I w W 3 43M' f t \ 0 SC 125 IZN Yb N 1N~ACM 0 YOL. j &F. PAGEAWL N 69.40' 2 " w W~ tV ~ In W g' 331.40' tAX7 ACM 44.743 u. 0 N 40'2 W Io4Jll 0 27ACM I I ~1I OIJ~T~o OTT 13 yt ACM 4.67= SF. V I ZW4 SF. F L01 I W 3 r 71 $ SCALE 45.173 SP. / 3 YOL. S P. 84.GF- 11222 129 / 100 1mw . ASf. PLAT OF-TROY MLAG46.130 I rn S 69'26' 14 E Gy yJ \ ~G SW CORNER SECTION 19 K1ift~i~ may'; T(BERI4TSEN NAIL) -=w soisrww ,4- w s7N ~p 6.62'14" E SOUTH LIE OF THE SW 615.21• LAINVIEWmir DRIVE 129656' PLALYI /EW $ N Iaw4a 23• w 2506.9 _ I N DRIVE ljOT 1 T 40T 1 R TO BE DEDICATED To PU BUq) A~ PL4#V EW OAYW PLAT OF TROY GLEN I LOT 2 6Or . F UNP - - - LAND C.S.M~ VOL._12 PAGE .26_4, DOC. 56 073 THIS INSTRUMENT DRAFTED BY DANIEL P. KUGEL o o 0 °vi c eo a+ 0 ~ I H o I O tl i tl I a Z C LL C O 3 a I a I v i ~ `Y' z ~ N o c ~ v ~ Q o 00 d m a3i F- U) c ^ ~o 0) O N O Z a a m o V ~ .,fir w c6 O Z c y ~~ww ° o a J C, w 3 c ~ C N O O Q Q O N C Q _ Z 2 N <O Q F- v E rn C U ,vww N G C a n 3 3 3 a s • 2aaa. a d M 7 O N o !A J U L N Z O O V a- '7 N [O c azin C o O U N C $ _ ` O O O O N C O aNO ~ o ~ ~ I ' Q N N a v~ H N C -Op • ,q m O M O Oi N O o 1- 0 v o Z Y Z 0 ~ = I r~ 0 #a = E z m @ a v s ~ a rr`w1V E ` 'c c °.t 0 -W- . 1 .................N.. 7 LOT o ► VOL. r N 1.0 2 MS v ► Q , PAGE - 44.461 S.F. _ It cl:~ I ► QQ W N 89040' zo" w ► w 335.03' - ► U o m ~ N ► It io t°• 23 ' W t S 89°33' 2( O M 1.028 ACRES 24.04 2 r L - 44'774 SF. - c W 3 - - - - - - N 89°40' 20" W . o, /S, c~ Kv- t~, CD CD 331.17' i~ - - - h O~~ fq W ~ 1n i ^ N 89°5: 124 37. )UTL_O T_ 5 M 1.010 S c a c, 10. , c 0 £x~srNw N' M va IF TRO Y VIL L A GE _ " i (o S 89°5 I M co N 89040' 20" W IN Q i W 3 3 43. 330.26 I _ uy 125 t z u' _ c o ~ u3i N► 1.012 ACRES coo O° 44.065 S.F. , n O W e0 I 0 0 = O N 89°40' 20" W ON N N 2 J O 0 331.40' N - .r W 126 N, f N 1.027 ACRES 4~ t 44.743 SF. _ { _ .t N 89°40' 20" W i N {Ji., J► I 334.37' t cy tl- ~o _ _ _ i i t 127 OU 1.022 ACRES U t i ( t 44.532 S.F. 2: W 3 _ - N89°28'54" W 325.00' M Mop 11 N q M Moo 128 ° 60 t0. O IO 1.037 ACRES Z r v) XyO 45.173 S.F. j / 3N 1 oozt 129 w 1UTL O T 9 N M 1 1.036 ACRES W o 45.130 S.F. \ N TR_O Y VILLAGE to I L Q °o S 89°28' 14" E G1a I W i z 57.89 , / G > POINT OF ~0 BEGINNING a0 cv O ` ~ g C~6 ~~-~t,,~ S pOt~ .fit' o N "ttVt ~iVt -6 CD 89'28' 14" W 57.89' Z 3 66. - 1210_.3_3' N 89028' 14 W 395_17' t _ { r~ PL AINVIEW N 40' 23" W 2506.9 1' DRI OT 1- I LOT 1 co t T crvn ' Wisconsin Department of Commerce ~ PRIVATE SEWAGE SYSTEM County: St. Croix ~ Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 430557 0 GENERAL INFORMATION 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: Derrick Construction Inc. Troy Township 040-1282-00-000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: 19.28.19.1591 TANK INFORMATION ELEVATION DATA ldaoftk TYPE MANUFACTURER CAPACITY STATION HI ELEV. Septic Benchmark Dosing Alt. BM AOP% V Aeration Bldg. S er Holding St/Ht t TANK SETBACK INFORMATION St/Ht et TANK TO P/L WELL BLDG. Vent to Air I e AD Dt Inlet Septic t Botto Dosing eader/Man. Aeration ist. Pipe Holding ot. System PUMP/SIPHON INFO ATI N Final Gra Manufacturer Dem d St er PM C' '00 OF Model Number TDH Lift Frictio L s System H;_7 I TDH Forcemain Length AL Di o Well SOIL ABSORPTION S BEDITRENCH Width Length No. Of Tren PIT DIMENSIONS No. Of Pits Inside Dia. T uid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: UNIT Model Number: DISTRIBUTION SYSTEM Header/Manifold Distribution Ix Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil 1 ~ Yes J~ No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 224 Muirfield Trail Hudson, WI 54016 (SW 1/4 SW 114 19 T28N R1 9W) Troy Village 4th Lot 128 Parcel No: 19.28.19.1591 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = Plan revision Required? E] Yes K No Use other side for additional information. SBD-6710 (R.3/97) Date Insepctor's Signature Cert. No. Parcel 040-1282-00-000 07i25/2007 10:58 AM PAGE 1 OF 1 Alt. Parcel 19.28.19.1591 040 - TOWN OF TROY Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - O'NEILL, JOHN P & MARY K JOHN P & MARY K O'NEILL 282 ST ANNE'S PKY HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 224 MUIRFIELD TRL SC 4893 RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 1.037 Plat: 08/029-TROY VILLAGE 4TH ADD'N LTS 119/129 040. SEC 19 T28N R1 9W PT OL 9 LOT 128 TROY Block/Condo Bldg: LOT 128 VILLAGE FOURTH ADDITION Tract(s): (Sec-Twn-Rng 401/4 1601/4) 19-28N-19W Notes: Parcel History: Date Doc # Vol/Page Type 04/19/2004 760073 2552/160 WD 06/19/2002 682102 1912/615 WD 2007 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 09/06/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.037 80,000 0 80,000 NO Totals for 2007: General Property 1.037 80,000 0 80,000 Woodland 0.000 0 0 Totals for 2006: General Property 1.037 80,000 0 80,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 12/04/1998 Batch M. PRGRM Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 ST CRX CO ZONING 0 001 and vv.JY rn 8~ED 1~E cE ;Mk-y D~aVie. 07 201 W. Avg, T.O. D= 7OW CaF (),UNf . W1 53707- 702 y (1hbGwMdi%byCw) Y teMplt Of Co ~1PNG FFtCF f91~ 2iIi3M1 L-3o S5- Sanitary Permit jQ#Aadon be" wadwil~ caewao i111.1VIs w+. ~ d~ w...w.. x• FI~ my he wind A.r aeaaeerypwta~s arb.ry laW, sl s.01(Ixa~ Aee~ (de~a.► ~M....~:,e I. r I#drwrtier - nerds rl" Au g - ft . ee . , ZZ h"" OWN" Novae taros! a laF R I dieak R 'f /lydalN t1~1lld Z* CN& now *M" N 5 omits rr R L~``i~ IL TM ++'c wM r) ~ , oe h ww ""~'A WNW o F*"r'QMUwaw -Daoenle IAAJd...- O s~dwi Dawn! Dnrtls the M = (2 • ° ~«.Mw ~t o tit. T}rir d ttrw h { Ne cos dirt w. C kae five fl i< A-- Nay S9ydNdt O s O *s Taal Rart only Cl vier J+lsdiiuea~ w e+~agl 5as~ IL ❑ FRaait Rawc~ral O tawwio Reridiee ❑ QwW lop" T"Offt-OtAw t P%WAW 04MW IV. of POWYS SYMM, CMdr Q Mlau id~iOarnd XRNwid; 2i *&of WA%W zW1 O weave -CN W of WAVAW SW ❑ Al Glade O SW* twa saved FR W O C WWft d'I MWM o F~mar d Ml4WA%e ❑ H*Wft Te t O hW FHW D AW0WC TWMW tka O 1tftWMbaR SWd %bW O waer Fwr O Cbw*wR ❑ Lae 0 Gwr&)w D ) v Afq DW3p Hon W4 Doi" S63 AppRanka Raw( Dios A mw Ragriaad ( Aran Pd"WW (A sYM- Dw-k- Lti S U y~~v ti ri. TIUA take cww~y in Tad vow*" ftw* US swd F31w Thole Gomm C3dt" Glue R (*Wms Co anraod Oka va. ~Ri. ulrtdrnt 1 +d a .aegsi led. for d "M tOW M do" wM on UwAs" CtkuOW& aDePa HMO Badia~n C. AftW CM #W. Sw^ Vp Ceft) vm. Ilse ~.Ar/R+~ d D'arpFrrrwd saiwly taewH fas(iacfad~o ~ ~e ) fl o•e.r c« Rww+o F. Dwarf saRl.Rr tar) 350 kov. I 2ca IX. C Kai ire~awd for Dkap"vA 1 Septic tank, effluent filter and dispersal cell must all be serviced / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable codelordinances. ' +►wd►arpleMrwi«dr ,.y/urrnw+~~rwwos+wa>;Da1 Nit SBD-6398 (R. 08102) 4)f bt l`t u PLO kc, ~:crn~nc4.,w~yo t)' ~ro~ sCro ~x Pik) BOO _ to ova, s X- 4 4L a'' !oX~ /6 Z .f=/o~us ~-1 ~l/ - $ EZ FLowS~RQw o p Loy- sk.R. @ f loO _ _ r 4 Alt gM rt-a p ~ f~~ p.Qd ca q t b sew.. I Sa _ Q 10 • Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 fA TDD (608) 264-8777 sconsin www.commerce.statemi.us/sb www.wiscon isconsin.gov .gov Department of Commerce Jim Doyle, Governor Cory L. Nettles, Secretary November 11, 2003 CUST ID No.220537 ATTN.• POWTS Inspector CALVIN W POWERS JR ZONING OFFICE POWERS EXCAVATING, INC ST CROIX COUNTY SPIA 1969 185TH AVE 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 11/11/2005 Identification Numbers Transaction ID No. 938904 SITE: Site ID No. 667920 Derrick Construction Co. Please refer to both identification numbers, Muirfield Trail above, in all correspondence with the agency. Town of Troy St Croix County SW1/4, SWI/4, S19, T28N, R19W Subdivision: Troy Village - 4th Addition - lot 128 FOR: Description: Proposed Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 929326 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: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD-10691-P (N.01/01) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD-10706-P (N.01101). • The EZFIow units 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 manufacturer's instructions and the plan approval, the plan approval and code requirements will take precedence. • One out of every five orifices in each distribution pipe shall be installed at the six o'clock position to allow for thorough drainage of the distribution laterals following each dose. The remaining four orifices shall be installed in the 12 o'clock position. All nines must drain after dosing. • The mound observation pipes shall be located at a junction point between two units so as not to create separation of the bundles with in a product. • Limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • 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. Condidonah~v ADO Lonvirn ' CALVIN W POWERS JR Page 2 11/11/03 w Conditions of Approval Continued: • 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 See. 145.20(2)(d), Wis. Stats. • Comm 83 22(7) - A co2y 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(1)(a) - 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. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report per Comm 83.55, that is acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of 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 $ 175.00 Fee Received $ 175.00 Gerard M. Swim Balance Due $ 0.00 POWTS Plan Reviewer - Integrated Services (608)-789-7892, Mon. - Fri. 7:30 am to 4:15 pm jswim@commerce.state.wi.us WiSMART code: 7633 cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 TITLE SHEET PAGE ~OF DATE:- MOUND SYSTEM FOR A_-a- BEDROOM RESIDENCE This plan has been prepared in accordance with the Mound Component Manual SBD- 10572-P and the Pressure Distribution Manual SBD- I 6 99) C~R~ OR~~5Q0 CR. 6/99) (CR- LOCATED IN THESU=~ 1/4 OF THESE 114 OF SECTION I q ,Tg~W R_aW, TOWN OF ST. CROIX COUNTY, WISCONSIN. ~ ~II DEX PAGE I OF 8 TITLE SHEET PAGE 2 OF 8 PLOT PLAN PAGE 3 OF 8 PLANVIEW CROSS SECTION PAGE 4 OF 8 DISTRIBUTION PIPE LAYOUT PAGE 5 OF 8 PUMP CHAMBER CROSS SECTION PAGE 6 OF 8 SYSTEM MANAGEMENT PLAN PAGE 7 OF 8 PUMP CURVE PAGE 8 OF 8 CROSS SECTION OF E Z FLOW PREPARED FOR flo~k~~~~ 1 ►Vtc~z. Jk/©17 PREPARED BY #~j0S37 POWERS EXCAVATING INC. 1969 .185"" AVE. NEW RICHMOND, WIS. 54017 PHONE: 715-246-5135 FAX: 715-246-5135 CELL: 715-381-9920 RECEIVED OCT 2 7 2003 y w,, SAFETY & BLDGS DIV. DEPARTMENT OF COMMERCE DIVIs►ON SAFETY AND BUILDINGS SEE CORRES NDEN CE b~ 1~ Skv"y IENO, 17 s'W-4 LT0 f lo a All, r 0~ r - r Page 0f; w Synthetic Cor :ring AOm- C.33 Distribution Pipe Medium Sand Topsoil - F 11 ` 3 t E . D % Slope Ded Of _ Force main Plowed Fltl Layer Z- D I E Cross Section Of A Mound System Using A Bed For The Absorption Area F -/L2 iC G (o A Ft. H B Ft. K Ft. L Ft. J • b Ft. position I Ft. of Force Main W ad` -5 Ft. L Observation Pipe ~r E3 K _.-s Distribution. Of Pipe 1 Observption Pipe Einctw r- ev ~n.1~, Plan View Of Mound Using A Bed For The Absorption Area Distribution Pipe Layout pate Place the holes at the bottom of the discributjan pipes at equal spacing. Remove all burrs from time pipe and holes. IE=Md tore and of each kftal up v6 dr ww of leas am or ♦50 0=9 to a pa®c wftm Sac Odw Of** AW VS& Tie®uomis the mode of *s kmab w 9h a wive.Snabd cop or d p1t~. ~Ovide oca~ ttoim lied padre far doe wig. t~eamded asp oe l~ . z-~ • ~c~, ~ ~ ttras ~ s . •+u~ 9,r~is• _Pu~j C. w+ T.0 9- P Mcrew S" r+rru ~vb~ ` ta¢c~' r+Rw P Mole aiammter Inch S ,,3 Ft. Lateral ' Inch(es) X Inches Manifold Indm Force loin oZ Inches # of holes/piPa,jq Invert Elevation of Latera73 //I 5 Ft. _ ws.a./\ u 1 V/11 L11t11iNLt\ 411VVV VA.r4 nwv - - 4" Cl VENT PIPE 12" MIN. ABOVE GRADE ~ WEATHER PROOF' 251 FROM.DOOR, WINDOW OR JUNCTION BOX APPROVED FRESH AIR INTAKE WITH CONDUIT MANHOLE COVER W1 PADLOCK 6 4" Cl RISER WARNING LABEL 6" MIN IN . 4 M ABOVE GRADE AAL INLET ~\WATER TIGHT SEALS GAS- TIGHT t i{ „ AA SEAL APPROVED ^L JOINTS W/ CI 3' PIPE PIPE 3' ONTO v4 - SOLID _ f ~ , ON SOLID SOI L SOIL C RISER EXIT PUMP OFF EGEv. lof .5 FT. o~'F PERMITTED ONL°x D IF . TANK MANUFACTURER HAS APPROVAL 3" APPROVED BEDDING UNDER TANK CONCRETE PAD SPECIFICATIONS SEPTIC / DOSE TANK MANUFACTURER: W`,,esP r-5 NUMBER DOSES PER DAY : TANK SIZES: SEPTIC 1000 GAL. DOSE VOLUME INCLUDI'NG DOSE GAL. FLOWBACK ? GAL. ALARM MANUFACTURER: CAPACITIES: A = d4_ INCHES = `GAL MODEL NUMBER: SWITCH TYPE: B = 2 INCHES = 335 GAL. PUMP MANUFACTURER: Cpt1,~~.S C = GINCHES = / GAL MODEL NUMBER: ~ L SWITCH TYPE: D = INCHES = GAL . REQUIRED DISCHARGE RATE &GPt PUMP S ALARM WIRING AS PER ILHR 16. 23 WA( VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE /D FEET + MINIMUM NETWORK SUPPLY PRESSURE .S FEET # FEET FORCEMAIN X ._FTIIOtI FT. FRICTION FACTOR FEET TOTAL DYNAMIC HEAD FEET INTERNAL DIMENSIONS OF PUMP TANK: LENGTH ; WIDTH ; DIAMETER LIQUID DEPTH I MANAGEMENT PLAN y OWNER'S MANUAL & POWTS (11 lo, jr," 13 MA Ell To* C)C) ow Owner 13 0400 G Holding VOL # aw►...' Uj i,2z~ rS ~oMbp© NA TW* Morwhoturs' t_ 0 vol. tt1 ~ 111 d NA El S"Ifft ' ji os a "atom ❑ NA der of C] WA E"luent Pbor La W nn6wor of P&fic Pa y Units Elam* Few Nile C, O NA Eltirnsted laMeNIGIOl fOw 3 ~jr c i e~ Purap fbwr a x 1.51 5 V Q [Iee tfse pump Modd n NA ~ ' UrA D Past Mar FftW Fats, oil & emawse (FOW 530 Mg NA E3 M*dWjcd ASMOOO ❑ Wed" WOCIM"ical Oxygen Derand MODO 5228 "OlL a DWOlf"don 0 oote : Total wed Solids ffm S manuf actum-f D NA p"Kreated Efl Y rrisadl gjochsmicj~ OxV9sn Demand OX)DO 530 rnO& 0 NA p ~ w woo 0 1T~ 530 ~ l~MOMW TOW Suef►evdad SoOft 13 A &D& E 0t?>ee- Peatsef ~ ~ me" g,,W a*NXirN ❑ NA ❑ Qrip " O Maxknurn Effluent paatide Size Y. in d+a. NA ❑ _ ❑ NA {ydaarc -VaMm typical for daa ~ end C ~ MAINNAN61c Sash ❑ NA 3 service Event At YOUM) of tsrrkts) least Once tx~ pine_third (V of to* volume p NA PUOW out COP*Bnu of tank(s) D When *A high A"AW U,400 is Wovifad M 3 vows) p NA Al least onc e Q 0 NA COW ~ C#rien e"kW* Mar At kost once aVWW-• Cl NA rnot+~►~s} tPip & alarm, At least once awerry I[] NA owd"As Rush late aft and Pressure test At feast once OVWT 13 as fs) 13 NA At least once evarY: Q NA * ~ahons: t~erd~ one of the following ficenses or Carte tQr (pumper) Remncted ' Sewer f'OVR►TS WaVectar kwpectkwo of tank: end dwersal POWTS ~ Taken OPearaany cracks o septsge Servicing 1 ank inspections, a vii OW to uP or i wndkM9 of ef#sokWA d an the or gmf vWurne of ~ ski t levab in to obswv**m f>' an leeks. rneSm" the ~ guM be ureitli ~ to dock the Offrsasn may surface surface The ~ the tip surface The ~ of Wfkwa an the ii~~ ping of won of the local ~ or more of the tank. volurr~n, ~ "Muires the sludge ind scam any t tank aqLWs one-third of with chapter NR 11: When the a Sum In Swet~ricin8 entire contents of the tank she be ran>tWW by cents, Pretrsatme Wisconsin Adrt*dstrad" Gods, of filters, dw Al other serVVCGs. Wm*"dM but not Wrilted to the by a ~ pOWTS Ma of - units. and any servidmg at I of 512 nxwdhs, shay be P~mod ~y- within 10 days of ~ GMW 12A), '4 regulotwV service avers A service FOPOrt shGO be W*VKW to * ko' • Goulds` ak Effluent Pump 3885 APPt.LIfCanfi~ls A •O rload Protection must smooth operation Silicon can be operated continuously Specifically designed for the Provided in starter unit bronze knP eW available as without damage. following uses: • Shat threaded, 400 series an option. u z.. • Homes stainless steel. ■ Bearings: Upper and • Farms • Bearings: ball hearings • Casing: fast iron volute low heavy duty bag bearing • Trailer courts uPPer and lower. Mm for maxknnum efficiency. construction. • hotels • Power cord: 20 loot 2N PT rWharp adaptable . power Cable: Severe duty • Schools standard length (optional for slide rail systems, rated, of and water resistant. • Hospitals lengths available). ■ Mechanical Seah SKEOR Epoxy seal on motor end • industry Single phase: CAlli VS. SUMN provides secondary moisture Effluent systems ' % and 14 HP -1613 SJTO CA sia" faces, barrier in case of outer jacket with 115 V or 230 V three SWOM steel metal parts, damage and to prevent oil SPECtFft:ATIM Prong AM. BMA-N ab*ffw& wictdng- • P.-1'A HP -1413 STO with is SAalk Calon-res€stant ■ 0-ft Assures positive Pump bare leads- sbd s steel. Threaded sealing ,against contaminants • Solids handling capabilities. Three phase: design. t-ocknut on three and OR leakage. 'Y; maximum. - 34.1 % HP - 14/4 sTo phase models to guard • Owtarge size: 2' NPT. with bare leads. On GSA against component damage AGENCY LISTINGS Ca es: up to 128 GlIRK listed models - 20 foot on accidental reverse rotation. Tot#. heads: up to 123 feet length SJTW and STW ■ War. Fully submerged in ~ c a ~oc>iuo~ are standard. high-grade turbfne on for Mechanical seat: silicon h~lcatio n and efficient heat ~s tastes carbide-rotary s"WlicOn FEA s transfer. carbide-stationary sea, 300 B stainless steel ■ 8er: Cast iron, semi- • Desired for continuous Darts, BUNG-N etastomers. W, non-clog with pump- operatim Pump ratings are • 'temperature: out vanes for meda" seal wit the motor mantdamirws 104-F (40°C) continuous Pry.. Baaiced for recommended world" limits, • Fasteners:~300 ~ttent. aaerrrsts FEET stainless steel. 90 • Capable of mmning dry 25 sirs: 3M without damage to am components. M ~ %VJNM Motor 201 " 5FT Single phase: • % Hf? 115 V. 200 V. 230 V. 60 Hz. 1750 RPM; % HP, 'S so 115 V, lift HZ. 3500 RpK.. S 40 34 HP -1141, 230 V, 60 Hz, 3500 RPM. 10 a° "-in Overload with automatic reset- 20 Class 8 insulation. 5 Three phase: 10 • Va HP - i'A HP 200/230/ 460 V, 60 Hz. 3500 RPM. 0 00 10 30 ~o so 60 70 eo 90 100 110 120 i 130GPM • glass 8 Insulation. 0 10 2 LO- mNn ~sss c vs CAPYlC11Y Ellecdve May. 1995 l pf i EZ1203H EZ1203H ' r _ r t Pei►re t, r!T!r-w ~ ..-.ew. I 12 24 t A. 511 .'►P w. wvv .e. $ w.. , y --.w..r v -rlw..- T .P► t rie~ • w.►e. P ♦!w!-. w .i. Y► -wPP--r-► v*w** ww.♦ . r~ --►..w. ►.-PP.. .e...w. w..ei.► PwwMiP.--..wi. ww►er-.V ewP.....w.w..w e. 24" 24#1 I,-,' Bottom 80ftm 364, 36" 12-1/2" UTA. (typ.) void Vrlaeaae §P-M 1iterf Arta j& 32 EL ~R L Void CocfTrcirna in Aggregate -Ktrrn 41 57.4%, Sidtatali (2 Sideryafis) ~ ~ 18.84in Q.D. of 4" pipe = 4.625 iucheS ift Void volume Per linear ft. - 3.14 • (2J 12Sw • tti = U.117 EY Bottom 1~ l2iotft 1 =.00 0, D- Of«tgerc_ylioder - r2.5 inches Total Suit Interface Are* 5.14 S(Q.FTj e Void molunw in awcsak of odua cytindcr = 3.1: 3125. } 1,2maft.f t:whtF ) 4- 52a= 422 1Y }y I O.U. ofoutside cylinders - 12 inches Projected Trench Area Void volume in outside tylirrders tin 2 •3.r '-574: y0i ft Sidewall Height = 12 itt. •2 = 2.00 Sq.Fi, ]Za t tl , f Bottom = 36 in = 100 Sq_Ft. ~afl. e~ ' f Vold volume a, bottom between r a lzinsft s2the,ft, 3 t 1:h,a6 =0.2i5 P' Projected Trench Area 5.005q.Ft. k I bared volume at uutstde bottom eu-aTs 0 r0, of void voiumc between cy utftfs) 0.215 2 = 0 108 ft, Tout void volume - 0.1 17 + 0.422 0.901 + 0.215 - 0. t Oa 1 ib3 cubic ft ft Gallons per If = 1.763 X 7.49 = I3._' t!atioas ncr tiacar ft I ~xfa sv EPS Aggregate 3H Trench System EZ1 20 lpz W Ring .industrial Group 1 ~65 tnduSirial Park Rd. Ookland, TN 18060 SCAU FU NAMLI EZI:'Lt i +at 9#fT: 1 at t ! >+-2 I i, of ft** SOIL EVALUATION REPORT pop of ~n 6000dWi M► 00mm es. Wft Adw COO Aaa~p+tsp.~iwanMpw"Cab wafts wxltir*stookwpow mm ` po; rrJiO!*idtwR #x w~io~E..a~aiie tr.la.w.PM#W dkn*aod P~uod LCK cow `""1"""'r""~""~"~"'*'r'Mw*~Ir9►M~1~~+M~sua s. ~s1+1 to a~i. N o~! . 1 9 3 p"i Film no, N 6e 0 L ov, aot4a[5W akScj+M s 1 t q R 1 E w 1011F 006*0 OA~L ~hrw 70a.0 AP 11 Al A %AV Y av awn "W"W R od c~Oaa"'abn twnx #ftmb" on .eroe.w ~ C0dx**Add0riynsa~rai. ISO ppO 011 igh woet Q PA&erawwNwm-owwft iftma 1m i L crz~s S ~v~. t l9leatPlOi~~MuOitoDpap~to~OdR 4 em"Mcommi use u'~~°Y~ 13 GWWA.,.b-..6, coq • sti WIN Teen smmdm l~ Mfwo Cit. &L Copt odd GL XAL eR 0~8 "ovo. Vat s c5 /s s Mir 42 Shk -I8 a cs--/ S! 14 qAt r CS v !e R S te-- mom ; a.~► El ftft ..rr. ANON" ftwoom Two= mmage 11 6L CAL SL OWL caw SL OIL qm 010/r L x~3 G J _ ,9 ~ fo I,b ,o sr S - ~ , -l7 / Am shk r -S rn Air C t; , .S 0_1 S s% -fs ti^ Me • e~w~c si ` ~ ar •o~. •Ae r8s ~a_ 16Q x~t • l3..t i~ - < ~ +rAd 78s ~ so iapR. o` r9 ` ( !5V01 Ur c d Da 3 7 is /as~ , 0 /407 r , g ld a ~sbk c s lor Of -,)7 C- to Sb mkt' 8,ft 0 ❑ we Gmw d Wftm lsa. & ovolh b 60*0 boot in. Sd i~a1. ft by a Off& 'mow RMrcDr n ltrwta St s eosu~l► 1rea~ to +aL St OWL dolor oe. Se. SL soft$ Q ttroneearOwir >L [l~ue~rl~lnt>tiabr +i limier mom mmwmwcom l~+eec owod~. Taeem Smw ONWA l" l4aas in iYrMOi OL Se. Goof. i for 8c slh. Enmt • E~u.rM ar • eoo~ ao = xao trat..a rss >an tso n mt - 02 - SCq 130 am& mW rss 130 dgL 7~ Dgr~Aesoat dime as 1 1' t+ervioe pe~anri~et aed e~agpbyer. tf yon and assistmw to soon so pion or goad waft" in m ObOU a WMW. *m aoM t dee &VWMW it+60926W1,51 at T1Y 608-2W-BTJ7. .awN I i f 4 - rE ns'Frur t ~'o rt'r.G sLogy SW Y14 S[ 111 IQ.. q.W_ (4 W6 i A A fl6l 47- -JA ~,,v f i I I I I I i I I I I ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND . OWNERSHIP CERTIFICATION FORM Owner/Buyer CJ~R'R-t v't- e~-CS~r~c! ES`~ C.~ Mailing Address ~J7 Property Address S2-%)/ /#419- J tS L J1 7,-z4-/ ✓ (Verification required from Planning Department for new construction) Gv_L City/State //Uosof-f Parcel Identification Number J sy~- LEGAL DESCRIPTION Property Location 5`-J%,, s`j Sec. !4 N-R W, Town of 7 Subdivision Lot # Z~ Certified Survey Map # Volume , Page # Warranty Deed # 6O 2' f L Volume Page it Spec house yes ❑ no Lot lines identifiable es ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and' by a master plumber, journeymanplgmber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set fo herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification. stating t your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 da a ee ar a da Ct 3 IGNATURE OF APPLICANT DATE OWNE R CERTIFICATION (we) celli& that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the p ri dab , b i f a warranty deed recorded in Register of Deeds Office. GNA OF APPLICANT DATE Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed f 4%),/=N ,r. ; Jt 1/4 Ur i ................:R:~a" i........ LOT _ t Xi ~o F - ~ t _C.SM W col ° 122 , " I VOL. PAGE c*4 m 1.021 ACRES - V~ 44.461 S.F. DO_C. W N 89°40' 20" W ~a ~ v 0 335.03' I v t I t 123 ° c .t ► 1.0 ACRES i S 89 33 2( 24.04 2 ~ _ 44.774 SF. _ "t W 3 N 89°40' 20" W 331.17' i~ 0, OD m IQ ' N 89°5° w )U_TL_O T 5 t 1.01ACRES c~ 37. 'F TROY VILLAGE L - 44,016 S.F. - v I ' 10;' E so ( N 89040. 20 W M m IN U W^ 3 43. 330.26' i~ I 3 ^ m~ I J 125 I z ' w ~ 3 N t 1.012 ACRES t COD coo M °O - to • 44.065 S.F. v'. 0, ° 10% o O w2 t O J O Z L _ - _ ~ ,pN N. ~ 1- 0 N 89 40 20 W - ON t N' 1 0 331.40' 3 N % W 126 NI ' N 1.027 ACRES V~I II 44 _ .743 S.F. + I N 89°40. 20 W I I W C-4 ' I tr 334.37' v I l.i 127 ,...I I of 1.022 ACRES U I t ( • _ 44,532 SF. - r - W 3 _ _ _ _ _ _ _ N 89°28' 54" W - - - - 325.00' - to III n Ina) N - - ol! M iotGO uO bto C-4 o ° y 128 ,o 1.037 ACRES 2 (n~ Xo 4'3.173 S.F. use. 1, `N ll~ . o 6, o co C4 m 129 ? M 1.036 ACRES ci )UTL O T 9 o )U _ W 45.130 S.F. \ _ f N J TROY VILLAGE a ' ` t I COS o , a ~ i 89 28 4 E C,*% p W ill Z 57.89 / . G POINT OF ;.KIWI ~0BEGIt~VING N c? .620 o N 00 3 89028' 14" W 57.89' ~,~~SA \ rn\ 2 66. 1_210_.3_3_' N 89028' 14" W 395.17' t _ I _PLA/NV/EW I N 89-40'23" W 2506.91' I _DRI OT T 1 I LOT 1 o I It /1r cFvr, Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of 3 Div" on of Safety and Buildings DLag - in accordance with Comm 8 i`1s.\Ailti. ' Code ~ County 1 Attach complete site plan on paper not less than 8 1/2 x 11 inche &gte Pli mu S~" C 1 X include, but not limited to: vertical and horizontal reference poin Wk directi; Parcel I.D. C~~-A) D1 i~ ~o percent slope, scale or dimensions, north arrow, and location a i lance to ~ _ - 00_ Zg l~• / Please print all information. by Date Personal information you provide may be used for secondary purposes~(1?gv~cy Law, s. J~ 04 1 m~j). 7j Property Owner Frj T•N : w S Ca0k Prd~Bdyfkgcatian ` . 1.1 / OryIN i UFF ~ " ' C1`f~~l~vTPsf`-v~CjPl~lri CoR-P c 41k) 1/4 S {14ryy Property Owner's Mailing Address # 61 "c ubd. Name or CSM# 5 Lot 11 ap ~N12D~ Ste. N E S U t t u a l -T'1Z0V V L,I A G L ~.1t~ Flo , City State Zip Code Phone Number. ❑ City ❑ Village ® Town Nearest Road .,-.,.VJ. MN _SS qq 9 6 3) ~ s ~ - ~ s 6 ib -C1Z U ~I' CR New Construction Use: ® Residential / Number of bedrooms Code derived design flow rate GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material LOEss Oy I;Lzl~ -M LL Flood Plain elevation if applicable I3 A ft. General comments and recommendations: Y-'1 w / q 'x 6'7 D L~t'~t8v/~1()aJ Q-LZ.t_ V--**' q..~►,JtwivM 6 of S7 Ktj> ~LL-, ZLE`r fail D~_Ptpll I -T- Boring # ❑ Boring A ® pit Ground surface elev. v~• g ft. Depth to limiting factor 3 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 In. Munsell Qu. Sz: " Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 I_ 0-9 ►a-jQ- 312 - Si I 2-+-n k `Fi- ~s 1 of . 5 Z -Z~ loK~31` - sl t Z~Sb►r ~ eS - , S _8 3 z7 a8 •SLf R-Vy G is les~k m v~F~- cg - t. 2 38 =~tS ~7 . S Y rZ31 S Li ft S 18 ~ I oyn cel,ehhk- CS - - D • O S Fall yS-C 2 ! Oy 2 S /g~ - `FS p ,,,1 . _ _ 3 S Boring # ❑ Boring ® pit Ground surface elev. Q O $ • 0 ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 - •Eff#2 z q-ZO 1~~~3lb - si I •Z sbk GS - •5 .g 3 -Z0 30 I..SK231(f o S9 Y l c S 3o-t[~ )0`2lz 616 elf=5L12 Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD, < 30 mg/L and TSS 30 mg/L CST Name (Please Print) Signature CST Number Arthur Legerer - 00~31~ tZS' 220254 Address W e g e r e r Soil Testing &.Design Service Date Evaluation Conducted Telephone Number 421 N. Bain St. River Falls, WI 54022 ~p_ ~3 715-425-0165 1 R ' Property Owner Cbhl`1"11UQTAJftU . ~ORp• Parcel ID # V V- b)w C Page Z of 1Zg Boring # ❑ Boring C E• pit Ground surface elev. CL U 6.5 ft. Depth to limiting factor 3$ In. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/f12. In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 o-ln lo,tR 7-(2 - si l -ZJ%S k of S Z )f3 2rj C) VV- 31 3 - sit ~`FSDk ►vl`f►- ctv - -s 3 2~ 38 10~lZ 34 - si ? l esblz Yri'f~- es . Z .3 38-s8 toy►~ 3/~ ~1'F 7.S~tR S/$ si 1 O~^~. - •o .o • ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD1ft2 In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Etf#2 ❑ Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor In. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD1ft2 In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 • Effluent #1 = BOD6 > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BODE < 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, M-WO (R6J00) r , PLOT PLAN Page 3 of 3 Scale 1'_SO ELL ~ti'' - . Qoo,oo Lur \Z43 c~n1 Z'P - - - 6 qq9 qo6 9nl e.~z,0~ 11 1 \ 1 ~zs c 1 Lo r \.-g ~b ~o~' em-►~~P,tr - - - _ o ort Dls`~wt 11 `f?y-lS pt'sl"A J 11 ti -51 g' ~zS ~ fob 909 Ul III--Crymuq- d. 408.0' a°~f l C7F aE-L ML s N J ~!G r~ lo- 715-425-0165 220254 y - t , l2 2.3 -a• _ ~3~ s CST Signature Date Telephone No. CST No. Job NO. Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must 1 X Include, but not limited to: vertical and horizontal reference point (BM), direction and parcel I.D P~-1~.1 Ol lV <; percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Reviewed by Date Personal Information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Fi1_C17N C t-t' Lea S . C° oO z property Location CL-,Kj, Qe -JT`Prt_ ~ELO'pi✓1Cn./1 LOe:. !3 IQ 1/4 S W 1/4 S T Z-8 N R 1 q E (or W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# \I80p FMi2D(~~ _)E SULtE- LOO 1Z8 11Z0`~ VLU-KE L411~- FLED City State Zip Code Phone Number . ❑ City ❑ Village ® Town Nearest Road ~l..~PrL{UE MN S,3ggq (~61)-157-IS 6? -T-1Z•oLf 1"1UIIZF10-Lb New Construction Use: ® Residential / Number of bedrooms Code derived design flow rate 0 0 GPD ❑ Replacement ❑ Public or commercial Describe: Parent material L.OFaS Ov t-. Z TILL Flood Plain elevation if applicable A R General comments and recommendations: 1--,rJQ>vj w/ q'x b D18t11z1g~,`r1p~J o~-l_ 1"~ W LMUh i 6 4 OF Sft1jt) R LL-, 1 ZY Boring # ❑ Boring A ® pit Ground surface elev. n-7.9 ft Depth to limiting factor 3 ~J in. - Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. • Cont. Color Gr. Sz. Sh. '091 •Eff#2 T 0-9 la~~ 3lz - Si 1 z.~f-sb~C >~`~i- cg 1 of . s .8 -Z~ 10K~31` - si 1 Z'~Sbk eS - . S :g 3. 27 3$ 7S`t23ly Gr I,s 1es~k ~n v"~F>,- C3 - . ~ 1. Z 2sa=uS ~,S tZ,3! s R s l8 s 1 c~ c~w►e„ cS - - . C) ) Z S Boring # ❑ Boring ® pit Ground surface elev. q CH • Qi ft, Depth to limiting factor O In. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 - in. Munsell Qu. Sz. Cant Color Gr. Sz. Sh. •Eff#1 - 'Eff#2 o,q. Cp~ 2 31 z z- °1-ZO 10~1~31b - sl'I -Z~sbk cS - •5 .g 3 ~ 30 1..S'-1231Y - - 1s• o s9 I cs _ ~_2 3~-x-12 lo`ZIZ 6/4 0j&-7):5y2 s/Q ' Effluent #1 = BOD, > 30 220 mg/L and TSS >30 150 mg/L • Effluent #2 = SODS < 30 mglL and TSS 30 mg/L CST Name (Please Print) - Signature CST Number Arthur L"I" egerer ~d~`31g'"1ZS" 224254 Address . W e e r e r Soil L C Date Evaluation Conducted Te! hon g Testino & .Design Service ep eNumber 421 N. Main St. River Falls, WI 54022 [p_ 23.-4W 715-425-0165 - s . 1 Property Owner (::bhJ`T11ULTtl1~ , CORP. Parcel ID # 1 b) W G Page Z of 3 \Z pi Boring # ❑ Boring C ® Pit Ground surface elev. a 0 6 • S ft. Depth to limiting factor 3 g 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 (3-10 to~tQ 2 t2 - st l 2`(~sdk m-1Fv 0-1-,j l of •S .,B Z ) b 2 t 1C) y1?- 311 - s i t Z'~ Sbk tvt`fF- c (,v ' S - 8 3 A -38 10`12 3/6 - si 1 l eSbk V Io- e.g - . Z- 10 3$_S8 0/P- 3/6 `FI'F `)•SLIR S/s si I Ow,• r4 .o F-1 Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor 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 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Solt Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Ef1#1 •Eff#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. sea.8330 lawooi PLOT PLAIT Page 3 of 3 • Scale 1' = Sp' \.oT tZ-to otJ =p - - - ' 6 qV , CIA Aol e.~a0t~ 11 ` a- izs c Lo r kZq ~b NuT or ~ ~i-ts Pnz.~aa 1 J ~ r "!a At rjob qo7 909 t --cly MVIL a .408.0 ' ~ N J l~- - OO 715-425-0165 220254 up _31 _ l2g ~3 CST Signature Date Telephone No. CST No. Job PTO. mur.wrB-4~ - _ LOT 4 C.S.M. 1 ^ ' - VOL. 4 12 tt' Oh -1- t I I . , PAGE 9S , B-406 B-40 \ B-350 0 /g06 / ~ ~ i 0 B-405 1 / PT 68+d 04J '00" t 0 1 n t, I ~ I~~ L 1 1 / ~ I I ~ I ~ / 11 I I I 894.6 / / _ ' l ! t`g~p tgl\ LOT 3 / 7 B-349 ..•,,.~A%G 993 N-92. i ♦ , , //~t 911.1 I / ( FT/ 2589 ► r 9 s. 5.Q ~ All v` ' • I 8-1403 \ t , 11'\\913.1 G`L\9\I s I_/ /,'g7 -4A4 I P,~ 0 B-348 1' 1 I 1 I (~i0 63+64.09 )~o 903 t/ PT 9 63 , 0E).~0 ~4D0 y I~ I1~9--4q1 LOT 1 C .M. I I I 1 (Z t VOL. 6 1 O I I I _ PAGE 1627 B-I1347 ! \ \ fit' \ C'~ 91.3 1 y' i , - - 90.9 - -K- 891.4 T '1~T \ V i t \ \I.~ I Ii.. ~ I I I OUTLOT 2, PLAT OF TROY-VKLAGE N 00" -T 1 1c, 1 \ n~ 119 \ o ~ s _OUTLOT 9 43~A ~ \ PLAT OF TROY VILLAGE 8 N ag ar oo . F \ PLAT OF TROY VLLAGE - \ ` i z \ I a 120. 1 aN ~q9 - - - - - - 44UIM SF. \ 121 a ' ~ I N 89.40' 20" w . 3ico...... I LOT 5 I LOT 6 _C.SM_ ^ b 122 I VOL. -12 VOA. 1~ 1.x21 ACM Q. dl PA33771 I PAOE 3771 -CC 44iN1 u. I I I g DOG. #56016- I DOS. J5601 N 40' 0" W ~ i ~ I I 1M[! 33'26" E 44,774 u. 24.04' 133 I co a. ^ am, 19" E Ol/TLOT 5 1.010iaas PLAT Of TROY VKLAGE 44,015 SF' I = rn Io $ j 3722' l Lf'd~l~dY W I S am, 19" W I I W 3 4385' I Y R LOI IT k 125 I z b ~ ZM- N 1x12 ACMM $ yOl. .epee u. y $ PA~r9~3_ z ~ N 89'40' " W a ~ ~ ~ yyyj777 o 126 f 1 a V. l - - - - - - - - - - 1.027 AOKe 44.743 S.F. 0 2"W Iolll ~I r 1 27 I l E O TLOTT 13 "An IF. 1 2W4 SF. W 3 - - - - - - - - - - N 8 54" W I ar~- y x SCALE $ LOI 1 " 45,1~i3 &F I / V Z I YOLm- $ o~ PAS_ 11t2Z OUTL~~I1T 9 1•alie29o 100 Y _ _ 40.130 SF. PLAT OF TROY MLAGE S a9'26' 14" r, J~ 'Q sEC 19 :ill i p1e ~ g T2aK R19W a' 14" E (BEIalTSEN NAIL) 10 20 14 w e7M oWaW 8.62' SOUTN L!E OF THE SW a1s.21' LAINVIEW DRIVE 129e5e' PLA/NV/E Nla9.40'23_-W 250641' _DRIVE LiOT 1 LOT 1 R To BE DEDICATED TO PUBLIC) OF PLMA" AaNE PLAT OF TROY GLEN I I, OT 2 ~ ~60~ ~ UNRATTED LAND _C.-S.M. VOL._12 PAGE 326-4, OOC 56 60 Thai MSTAUNT DRAFTED BY OANEL P. KUGEL