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032-2076-60-000 (4)
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes (Pnvacy Law, s 15 04 (1)(m)I Permit Holdees Name City Village Township NICHOLAS E HENNE TOWN OF SOMERSET CST BM Elev + Insp BM Elev + BM Description TANK INFORMATION LEVATION DATA TYPE AN F TURER -1 0 Zr CAPACITY elNt..J w �5 E� 198p 6Sa Dosing Aera t ► Holding TANK SETBACK INFORMATION ebb > 1 61 + I '� kin a H 163 + ►I YUMYf51F•KUN INI-UKMA I IUN CIL 7"1 Manufacturer Demand Model Number z 7 32.3 1 TDH 1- 6� Friction Loss System HeadTDH Ft ' O Forcemain Lengt O Dia. It Dist to Well ' �-s SOIL ABSORPTION SYSTEM STATION BS HI FS ELEV. Benchmark Alt BM Bldg. Sewer St/Ht Inlet .161, 938s' St/Ht Outle Dt Inlet Dt Bottom R.r} i0.3r Header/Man. / 4 Dist. Pipe q3 B t System inal Grade u St Cover 4y r8,ZD IM u2 -q job, E) B 'DIAENSIONS Width / Length ' No PIT DIMENSIONS No Of Pits Inside Dia Liquid Depth SETBACK INFORMATION SYSTEM TO fAi BLDG IWELL LAKE/STREAM LEACHING CHAMBER U NI uf acturer Type Of System: �oo+ + b Mode tuber I el t•7■C41=PJI19�i71719id Header/Mondpld I //3,0 L Length Dia \ Iv Distribution ► jr Pipes) y/ 4' I/ 3 O Length�.l� Dia—L Spacing x Hole Sae +' S 32 x Hole Spacing r Z • S Vent to Au Intake JUIL VUVIzK Y Prasaurn RuntafnS Only xx Mnund nr At -Gad. Sv.tami nnly Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes No Yes No COMMENTS: (Include code discrepencies. persons present, etc) Inspection #1 1/241ZoLi Inspection #2 g/ZZ/2BZ. Z Location: 173 ANDERSEN SCOUT CAMP TRL / il�.T� &L 1[ Ffhoil 1.) Alt BM Description = / 2.) Bldg sewer length ai, Q Plan revision Required? i Yes No �2_ 1J. 71 Use other side for additional informal n. w rtr �Y/ SB �J, Date Insepctor's Signature, J' _ / _ - n C�ert No l / f(R.J ) (1� &" /T� bt0_ G�W KEN �pCKLY• p r e41L wuw d.a' ►ao�(► S p ST�OT' ^n_1:.t� SA!U-3n71 r ;:)lqQ /\ ���� � � /ltdeh ro nopkMt plain for the squeal aed� aharjr,lo me l:ouen Only w paper son less than a I/1 s I lacna In afse /) / use �o '-qW jV.0 A �)n 7/-Q'_//—T�'_AA"eyJfJ„�1 W/ r "�nnf�en y Cl % l'�MC�Y1398( 14) / GL �jCj� t 7 K(Vn�[Y yt1i67 GGF i-/ eJJ((SY-IsI� �CPI�L 5yfkj4t .1 /ai pt�rad County p �� Industry Services Division St Croix 0 =l 1400 E Washington Ave P.O. Box 7162 $�h�v. Permit Number ((o he fillet in by co,) _ pU6112022 Madison, W1 33707 716 (9 y 7 86 ntiY mlt Application �WisAdm. State Transasion Number Code. submissIn accordance withion of this fora, to the appro cmmental unit 0a?jz0 ` is required prior to obtaining a sanitary permit- Note: Application forms for stereo WTS art submitted to the Department of Safety and Professional Saviors. Personal information ydt provide may be used for secondary Project Address 0f different than mailing address) purposes in accordance with the Privacy Law, s. 15.0411 m , Stau. 173 Andersen Scout Camp Trail 1. Appilication Information - Please Print All Informstion Property Owner's Name Parcel e Nicholas E Hennc 032.2076-60-000 Property Owner's Mailing Address 173 Anderson Seoul Camp Trail P�p(wny,Lncali �� // `�. Ss d . Govt. Lot SE'A, NE 'G, Seaton 14 City, Slate Zip Code Phone Number Houlton, WI W92 cic one) T3oN R20EorNr H. Type of Building (check all that apply) Lol a Subdivision Name ® 1 or 2 Family Dwelling - Number of Bedrooms 1 NA A ❑ PublicACommercial - Describe Use Block ❑ City of ❑ State Owned - Describe Use _ _ _ ❑Village of CSM N r 7q® Town of Somerset III. Type of Permit: Check only one bolt on line A. Complete line B if applicable) A. ❑ New System ® Replacement System ❑ TrcaurcnUHoldin Tank Replacement Only g " ep y E] Other Modification to Existing System (explain) B. ❑ Permit Rmwal ❑ Permit Revision ❑ Change of ❑ Permit I rensfer to New List Previtws Permit Number and Date Issued Before Expiration Plumber Owner 16167; 8/18/3"1 IV. Type of POWTS S stem/Com nent/Device: Check all that apply) _ ❑ Non-Pmwurized In -(Ground ❑ Pressurized In-Gmund ❑ Al- Grade Mound _>_ 24 inof wnahlc snit ❑ Mound 24 m. of suitable d ❑ Holding Tank ❑ Other Dispersal Component lexpl, in) ❑ tine t vice tax r t _ V. Dit rsallPrestme Area Information: �` Design Flow (gpd) Design Soil Application _ Dispersal Area equired (s11 Dispersal Area Proposed (s) System Elevation 450 Rate(gpdsf) 730 1222.5 97.20' 0.6 _ VL Task Info Capacity in Li SZS Y Gallons Total,A Ualbns of Units Martufaelurtr V 2 x y V New Tanks Existing Tanks 1000 2 Weeks/ Wieser C'oncrctc Uv: 1;; - Septic or Holding Tank 1000 1000 Dosing Chamber 1650 650 1 Wieser Concrctc VII. Responsibility Statement- h the undersigned, assume responsibility for installation or the POW" shown on the amcbed ant Plumber's Name (Print) Pl=sgnre MI'/MI'RSNumber BusinessPhoneNumber John Schmitt �Ice(/j f L4-, 223760 715-760-0486 Plumber's Address (.Street, City, State, Zip Code) 586 Valley View Trail. Somerset. W154025 ill. County/Department Use Only -----_ jVApproved El Disapproved P i Date Issuing Aged ' Wrr C>'O ZZ Owner Given Rectum for Dent* IX. Confor Disapproval 3 I �d / ;*Il�f ds(xnsalcell moat pagp( /GyZt�S As per management plan provided by plumber 2. All setback requirtments roust be malydeinad ,J .,./� as per applicable coda/ordlnerKe3. —1 luwe ✓I'� Fv.— ' xpl4e e-, i2Yvrh �{rwKC-e 4n�- SYSTEM PLOT PLAN Henne 3 Bedroom Mound Design Flow: 450GPD Attach design flow calculations for N Project Address: 173 Andersen Scout Camp Trail commercial plans: BMt Symbol:A SM Elevation: 100.00' Pipe Materials / ASTM Standard BM Description: Top of Inspection Pipe on existing septc tank Tables 364.30.3 8 384.30-5 SCale: 1" = 69 0 BM2 Symbol: Q BM Elevation: 97.10' 4• SCH 40 PVC pips ASTM- D2665 60 90 120 BM Description: Top of outlet pipe on the existing septic lank 2- SCH 40 PVC pipe ASTM-DV95 Slope Gradient of Tested Area: (51k( 1 1r2- SCH 40 PVC pi ASTM-D1785 15, MR Symbol (If applicable) Notes: See CSM for complete lot (;0Py RAN Andersen Smut Camp Tres 22'x93' Mound wl S'x75' Rods a Pipe call 83 t 95' 83 / /96, 1 59k Slope / /9T Contour Line El. -I* 20' B2 / / 5 65 / 100' 2' SCH 40 I / / Force Main 4 Proposed WLP1000M50-MR M9 • Septio(Dose Tank wt Polylok 525 EMuenl Filter VaAa BM1 Driveway BM Existing Weeks 1000 gallon Sapac Tank Garage House 0 E)daflng Well k �A fCIr.*OPY Wisconsin Department of Safety and Professional Services Division of Industry Services 4822 Madison Yards Way PO Box 7302 Madison, W153707 August 11, 2022 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 2024-08.1 1 Plan Review: PWTS-082201949-C JOHN F SCHMITT 616 150th Ave Somerset WI 54025 SITE: Henne 3 Bedroom Mound 173 Andersen Scout Camp Road Town of SOMERSET St. Croix County Total Amount: $250.00 FOR: Description: 450 GPD (3 ArIlrooms — Replacement) Maintenance Required '.� Phone 608-266-2112 fig Web hnD /ldsos %i 2ov . _ • . "' Email dsos(Ru%isconsm aov d Tony Evers, Governor „ Dan Hereth, Secretary Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SEE CORRESPONDENCE Mound Component Manual - Version 2.1 (Ma) 2022- 2027) Pressure Distribution Component Manual - Version 2.1 (May 2022-2027) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10). Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, slats. The following conditions shall be met during construction or installation and prior to occupancy or use: • Preserve dispersal area prior and during construction to avoid disturbance, compaction and use of the site. • Any tall grosses, leaves and shrubs shall be cut short and removed prior to tilling the surface for installation to prevent matting under the dispersal area. All loose organic material to be removed from POWTS Dispersal Area. • Prior to construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. Smearine and compactinc of wet soil will result in reducine the infiltration capacity of the soil. Proper soil moisture content can be determined by rolling a soil sample between the hands. If it rolls into a 1/4- inch wire, the site is too wet to prepare. If it crumbles, site preparation can Droceed. If the site is too wet to prepare, do not proceed until it dries. • Abandon Existing System per SPS 383.33 • Pump Floats to beset and verified per approved plan. Any chances may result in pump resizing to meet TDII and GPM Specifications. • Divert surface water from POWTS Area. • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building sewer beyond 30 feet per SPS 382.30 (11)(c) • Tank Installation to follow all manufacture's recommendations. • Verify property line(s) prior to installation. • Well setbacks to meet chs. NR 81 1 & 812. • Areas that are occupied with rock fragments, tree roots, stumps and boulders reduce the amount of soil available for proper treatment. If no other site is available, trees in the basal area of the POWTS Dispersal Area must be cut off at ground level. A larger fill area is necessary when any of the above conditions are encountered, to provide sufficient infiltrative area. Owner Responsibilities The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval 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. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state scats 101.12(2). nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Thanks, dim T0%&dZu Aetsi POWTS Plan Reviewer— Wastewater Specialist Department of Safety & Professional Services I Division of Industry Services Email: tim.vanderleest( wisconsin.gov Cell: 608-516-6134 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN INDEX AND TITLE PAGE Project Name: Henne 3 Bedroom Mound Conditionally Owners Name. Nicholas Henne APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES Owners Address 173 Andersen Scout Camp Trail DIVISION OF INDUSTRY SERVICES Legal Description Township County. Houlton, WI 54082 SE1/4, NE1/4, S14, T30N, R20W Somerset St. Croix Subdivision Name: NA Lot Number: 1 Block Number Parcell.D Number 032-2076-60-000 Plan Transaction No. Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Existing Tank Specifications Page 8 Existing Tank Certification Page 9 Valve Diagram Page 10 Septic and Dose tank specifications Page 11 Effluent filter information Page 12 Pump specifications and curve Page 13 Plot plan Page 14 Sanitatary System Ownership/Address Form Page 15 Warranty deed Page 16 CSM Attachment Soil evaluation report SEE CORRESPONDENCE Designer: John Schmitt License Number. 223760 Date. 7/31/2022 Phone Number: 715-760-0486 Signature Designed Pursuant to the Mound Component Manual for POWTS Version 2 1 May 2022 SBD•10691 ano Pressure Distribution Component Manual Ver 2.1 May 2022 SBD- 10706 Version 2.1 May 2022 Page 1 Mound and Pressure Distribution Component Design Design Worksheet Site Information (R or C) � R Residential or Commercial Design 300.0_0 Estimated Wastewater Flow (gpd) 1.60� Peaking Factor (e.g. 1.5 = 150%) 450.00 Design Flow (gpd) 7.00 Site Slope (%) 96.20i Contour Line Elevation (ft) _ 24.00 Depth to Limiting Factor (in) 0.601 In -situ Soil Application Rate (gpd/ft) Distribution Cell Information _75: 01 Dispersal Cell Length Along Contour (ft) _ 1.00; Dispersal Cell Design Loading Rate (gpd/ft2) 1' Influent Wastewater Quality (1 or 2) Pressure Disribution Information (C or E) I C. Center or End Manifold 3.00 Lateral Spacing (ft) 4 Number of Laterals 0.156� Orifice Diameter (in) 2.50 Estimated Orifice Spacing (ft) _ 2.00 Forcemain Diameter (in) e� 100.00 Forcemain Length (ft) 88.00 Pump Tank Elevation (ft) 4,55 System Head (ft) x 1.3 8.78 Vertical Lift (ft) 2.22 Friction Loss (ft) _ 0.00 In -line Filter Loss (ft) 1556 Total Dynamic Head (ft) mil" 1.00 x 1.25 x - —; 1.50 x -- — x - --� 2.00 x Treatment Tank Information i000.001 Septic Tank Capacity (gal) Wieser Concrete Manufacturer Note- Sand fill (D) calculations assume a Table 383-44-3 in -situ soil treatment for fecal coliform of — 36 inches. 6.00 Cell Width (ft) Are the laterals the highest point in the distribution Y network? Ente, Y cr N If N above, enter the elev_a_tion (ft) of the highest point. 7.50 f0orifice Does the forcemain drain back? CY= Enter Y or N 16.31 Forcemain Drainback (gal) 67.32 5x Void Volume (gal) 83.61 imum Dose Volume (gal) 32.31 S tem Demand (gpm) G_allo_ns_ll_nch Calculator (optional Total Tank Capacity (gal) Total Working Liquid Depth (in) gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 6, 00 Dose Tank Capacity (gal) POLYLOK Filter Manufacturer 20.281 Dose Tank Volume (gallin) 525 'Filter Model Number Wieser Concrete IManufacturer Project: Henne 3 Bedroom Mound Page 2 Mound Plan and Cross Section Views Mound Component Dimensions Al6.00 ft E I 17.04 in H 1.00 ft K 9.01 ft R B 75.00 F 9.50 in 10.30 ft L 93.01 Ift DI 12.00 in G 0.50 ft J I 5.68 ft W L 21.98 ft 450.00 (ftZ) Dispersal Cell Area 1 1222.31 (W) Basal Area Available 6.00 (gpd/ft) Linear Loading Rate 7.50 (ft) 1110 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished I 1 Grade 98.99 (ft) G t H F ,,.,,.,,,, DiapeBil Cell 97 70 (ft) Lateral 97.20 (ft) —► — Invert Dispersal Cell D Q Elevation { 4 96.20 (ft) Contour Elevation 7.0 % Site Slope Geotextile Fabric Cover Shading Key $ T Dispersal Cell See lateral details on 1Q _ Topsoil Cap 1.5 ft © Page 4 for number, size, Subsoil Cap W 0 /'►Q and spacing of laterals. 8 ASTM C33 Sand '= 10 / F Laterals are equally � Z spaced from the y [ ]Tilled Layer d xo 0 ft 7oical Lateral distribution cell's ©0 Aggregate + >" © centerline in the A ♦ distribution cell (AxB). Project: Henne 3 Bedroom Mound Page 3 Center Connection Lateral Layout Diagram Force mart corrtwc t ton lot I" Jt C,G3: to ni NW VN of yr,gpo,nr 19 •=Turn -up wlballval-9 or I- X —J-J_' ..I *an out plug Hol+, -11dIM or, the ttounrt, M rh..lt�, BI L.,+I MY of t9.rJ n: al 5 l,atpr dl c `: f� v c errvirt '.c n 40 P',: IXxr "PS Tattle 3eA 30 Number of Laterals 4 Orifice Diameter Lateral Diameter 1.50 in Orifice Spacing (X) Lateral Length (P) 36.69 ft Orifices per Lateral Lateral Spacing (S) 3.00 ft Orifice Density Lateral Flow Rate 8.08 gpm Manifold Length System Flow Rate 32.31 gpm Manifold Diameter Total Dynamic Head 15.56 ft Forcemain Velocity Dose Tank Information Electrical as per NEC 300 and —i SPS 316.300 WAC Tank component is property vented Wieser Concrete Capacityl 650.00 Volume 1 20.28 Manufacturer Gallons gal/inch Dimension Inches Gallons A 1493 302.73 B 200 40.56 C 4.12 83.63 D _ 11,00 223.08 Total 32.05 650.00 Alarm Manuafacturer SJE m Rhob_us__ Alarm Model Number 1036378 Pump Manufacturer Zoeller Pump Model Number,; 152 A R C tank. Pump Must Deliver F---3-2-3-11 gpm at 15.56 ft TDH 0.156 in 2.53 ft 15 7,50 ftZlorifice 3.00 ft 1 50 in 3.30 ft/sec Locking cover with warning label and locking device and sealed watertight 4 in. min E-- ARernate outlet location Forcemain diameter 2 in. Weep hole or anti - siphon device Pump off elevation (it) 88921 Dose tank elevation (R) 88 00 Note Switches containing mercury may not be used in this system Project: Henne 3 Bedroom Mound Page Mound System Maintenance and Operation Specifications Service Provider's Name John Schmitt Phone _ 715-760-0486 POWTS Regulators Name ESt Croix County Zoning Phone 715-386-4680 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 118 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 Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Service Freauencv Inspect and/or service once every 3 years Should inspect and clean at least once every 3 years Test once every 3 years Should test month) Laterals should be flushed and pressure tested every 3 years Inspect for ponding and seeR e once ever�3_ears eous 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 mound component manual. 2- Dispersal cell aggregate conforms to SPS 384.30 (6)(i), Wis. Adm. Code 3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The 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 v1 6-8" Diameter Lawn 10 Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution �► Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Herne 3 Bedroom Mound Page 5 Mound System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General This system shall be operated in accordance wnh SPS 382-84 Wis. Adm Code, and shall maintained in accordance with its component manuals (SBD-10691-P (N,01/01, R. 10/12). SSWMP Publication 9 6 (01181), and Pressure D stnbution Component Manual Ver 2A SBD- 10706-P (N. 01101, R. 10/12)j and local or state rubs pertaining to system maintenance and maintenance reporting No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death Septic and pump tank abandonment shell ben 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, Stals. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis Adm Code The operating condition of the septic lank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet fifter 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 lifter shall be serviced 0 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 lank. If the Contents of the lank are not removed at the time of a triennial assessment. maintenance Personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be Inspected at least once every 3 years All switches. alarms. and pumps shall be tested to verity proper operation. If an effluent filter is installed within the lank it shall be inspected and serviced as necessary 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 BOD,. 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BODY, 30 mg/L TSS, 10 mg/L FOG. and 104 clu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system Is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months When a pressure test is performed It Should be compared to the initial lest 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 evels shall be reported to the owner and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan lithe 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 lank, 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 ff 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 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Pretreatment Units The information and schedule of mananagemenl and maintenance for pretreatment devices such as aerobic treatment units or disinfection units are attached as separate documents and are considered part of the overall management plan for this system Project: Page 6 commerce.wLgov isconsin Department of Commerce February 16, 2010 WEEKS CONCRETE PRODUCTS RAY WEEKS 1832 215TH STREET NEW RICHMOND WI 54017 SAFETY AND BUILDINGS DIVISION Plumbing Product Review P O. Box 2658 Madison, Wisconsin 53701-2658 TTY: Contact Through Relay Jim Doyle, Governor Richard J. Lelnenkugel, Secretary Re: Description: SEWAGE TANKS, CONCRETE Manufacturer: WEEKS CONCRETE PRODUCTS Product Name: SEPTIC, HOLDING, OR PUMP Model Number(s): 1000 (49 IN. L.L., 21.76 GAL/IN.. 84 IN .MAX. DEPTH OF BURY 511 G.P.D. WHEN USED AS A SEPTIC TANK BASED ON A 3 YR. SERVICE INTERVAL FOR RESIDENTIAL WASTEWATER;. TANK DIMENSIONS = 84 IN, L X IN. W X 49 IN. H ) Product File No: 20100040 The specifications and/or plans for this plumbing product have been reviewed and determined to be in compliance with chapters Comm 82 through 84, Wisconsin Administrative Code, and Chapters 145 and 160, Wisconsin Statutes. The Department hereby issues an approval based on the Wisconsin Statutes and the Wisconsin Administrative Code. This approval Is valid until the end of JUNE 2015. This approval is contingent upon compliance with the following stipulation(s): • This tank must be designed to withstand the pressures to which it will be subjected. • The manufacturer must keep at the manufacturing plant a set of plans and specifications bearing the department's stamp of approval. The plans and specifications must be open to inspection by an authorized representative of the department. • When this product receives wastewater from dwellings and is used as a septic tank. it will produce an effluent quality with a maximum monthly average value for BOD5 of greater than 30 ni and less than or equal to 220 mq/L TSS, or greater than 30 mg/L or less than or equal to 150 mg/L TSS, and F.O.G. of less than 30 mg/L. • Approval is issued for this product as being equivalent to a floor outlet water closet when the fixture drain is installed in the vertical position. The design meets the intent of s. Comm 82.32 (5) (c) and 84.20 (5) (n), W is. Adm. Code, which requires water closets to discharge through a minimum diameter 3" drain pipe or fitting and the bowl to conform to ANSI Standard At 12.19.2M. The intent of the code is met since this product provides the same functional performance as water closets that meet ANSI Standard At 12.19.2M. • BEDDING: Bedding material shall be used to provide a uniform bearing surface. A min. of 4-Inch base of sand or granular bed on top of a form and uniform base is recommended. The tank should not bear on rocks. Sites with high ground water tables should have specially designed bedding. Solis should be compacted under the tank. This approval supersedes the approval issued on 4/21/2005 under product file number 20050106. This approval letter shall be incorporated with your previously approved plans and/or specifications approved under product file number 20050106. As of May 15, 2008, a copy of a successful water tightness test report for this product must be AVAILABLE FOR INSPECTION AT THE MANUFACTURER'S PLANT prior to this product being used as a POWTS holding or treatment tank In Wlsconsln. The department is in no way endorsing this product or any advertising, and is not responsible for any situation which may result from its use. Sincerely, Jean M. MacCubbin, CST Engineering Consultant --Plumbing Product Reviewer Commerce; Safety & Buildings Div.; PO Box 2658; 201 W Washington Ave.; Madison Wit 53703.2658 Phone: 608-266-0955; Fax: 608.283.7456; E-mail: Jean.MacCubbin®wisconsin.gov SBD-10564E (N.10/97) File Ref: 10ptirp9DOC ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF EXISTING SEPTIC TANK(S) This is to certify that I have inspected the existing septic and/or dose tank presently serving the following residence: (Street address)173 Andersen Scout camp Trail located at: SE 1/49 NE �/4, Section 14 , Town 30 N, Range 20 W, Town of Somerset , St. Croix County Wisconsin. Upon inspection, I certify that I have found the tank(s), to the best of my knowledge, will conform to the requirements of SPS. 384.25, and it (they) appear(s) to be functioning properly. Most recent date of inspection or service q — Z D — Z —Z- Did flow back occur from absorption system? (if no, skip next line.) Approximate volume or length of time: Tank Capacity: 1000 Construction: Prefab Concrete x Steel Manufacturer (if known): Weeks Age of Tank (if known): 8/18/1981 Permit number (if known) 16167 John Schmitt (Lie sed Plumber Signature) (Print Name) MPRS (Title) q-z2-Z2 (Date) 223760 Yes Nox gallons Other minutes (License Number) MP/MPRS Form to be completed by licensed plumber (Dept of Safety and Professional Services Chapter 305 and s. 145.06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin Administrative Code) Rev. 2/2012 Page 8 Home About Site Map S Order Info videos & Literature Ins i Contact Drip Systems Treatti Controls Products Downloads Design Guidance 4W : The Bull Run Valve' is designed to split Flows to septic fields or systems. In addition to the advantages of longer life and easier installation it is the most public health safe alternating device available for wastewater disposal applications. The use has absolutely no contact with wastewater due to the valve's leak -proof and external operating characteristics. The change over from one drainage field to another can be accomplished in less than a minute by simply turning the valve without digging or contact with wastewater. ed 2 ars ITEM DESCRIPTION BRV4 BULL RUN VALVE 4" BRVBULK BULL RUN VALVE B KEY ONLY BRVCIRISER BULL RUN VALVE RISER W/ CAST COVER BRVKEY28 BULL RUN VALVE KEY 28' BRVKEY36 BULL RUN VALVE KEY 36" BRVKEY48 BULL RUN VALVE KEY 48' �( I 'WATER -TIGHT ACCESS CAP RISERCAP ADAPTER RISER TUBE 4. OUT PORT VALVE DIRECTION HANDLE 4' OUT PORT 4" IN PORT The Bull Run Valve is available in 4" sch 40 pvc and is suitable wherever septic disposal systems are used - in commercial, industrial, and residential applications. OPERATING THE VALVE The direction control handle should be rotated periodically to direct effluent to one or the other of two septic fields. After removing the screw cap at the top of the riser tube, the valve handle can be turned with the valve key furnished. BULL RUN VALVE Complete Valve Kit Contains 1. Bull Run Valve body 2. 28" Valve Key 3. Riser Cap Adapter 4. Watertight Access Cap BRWIRISER - 4" ADJUSTABLE- TO 28" HIGH Page 9 d A c c 12'-2' 4' CAST -A -SEAL 1111 Q 1 1 II II II U II II11 e 1. it -�\ q'L4 �-� Ini I 1 � I a T I I ' i'I I I I I 1-IL IER OR I I I BAFFLE 0 W N D Q0 W INLET T� �- - - —� - - zo< 'I !0 Il�d vi n I CD v I U 1 I` I1�a I .J—J�--- ` ------ ILL _ WLP1000/650—MR TANK SPECIFICATIONS DIMENSIONS: WALL: 3' CAST -A -SEAL BOTTOM: 3' COVER: 5' MANHOLE: 24' I.D. PRECAST CONCRETE RISER HEIGHT: 54 1 /2' LENGTH: 12'-2" WIDTH: 7'-0* BELOW INLET. 43' LIQUID LEVEL: 38' WEIGHT: 14,940 LBS. INLET AND OUTLET: 4' CAST -A -SEAL BOOT OR EQUAL GASKET INLET AND OUTLET BAFFLE AND FILTER: WISCONSIN, SEE DETAIL /10 (OTHER STATES SEE CHART) LIQUID CAPACITY: 26.32 GAL/IN (SEPTIC) 17.00 GALAN (PUMP) LOADING DESIGN: 8'-0' UNSATURATED SOIL TANK CAN BE USED AS: SEPTIC/SEPTIC. SEPTIC/PUMP, OR SEPTIC/SIPHON 4- VENT GiJTLET U a PUMP PAD COVER: MIX DESIGN /8 (NO FIBER) TANK: MIX DESIGN #10 (STRUCTURAL FIBER) CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WIESER CONCRETE REVIEWED BY REVIEW DATE IIDRAFORGAPPROVALTEDII APPROVED BY: 'PROJAL DATE: PRODUCTS HEEDED BY: W 11— r L" " C, x tD ul O R 00 v c <N 3 CV � I H T00 W_ '^ �e 3 OF MANUFACTURED TO OR EXCEED ASTM C-1 REQUIREMENTS No Innprrfnrtsm Prr4+f Oranara Zabel' PL-525 Effluent Filter 6 il'ulrwalet Rodu, rs A Onuu� ut P„y�. � ..�. IJL-525 Filter The PL-525 Filter is rated for 10,000 GPD (gallons per day) making it one of the largest filters in its class. It has 525 linear feet of 1/16" filtration slots. Like the Polylok PL-122, the Polylok PL-525 has an automatic shut-off ball installed with every filter. When the filter is removed for cleaning, the ball will float up and temporarily shut off the system so the effluent won't leave the tank. Features: • Rated for 10,000 GPD (gallons per day). • 525 linear feet of 1/16" filtration. • Accepts 4" and 6" SCHD 40 pipe. • Built in gas deflector. • Automatic shut-off ball when filter is removed. • Alarm accessibility. • Accepts PVC extension handle. PI -525 Instal!ation: Ideal for residential and commercial waste flows up to 10,000 gallons per day (GPD). Locate the outlet of the septic tank. 2. Remove the tank cover and pump tank if necessay. 3. Clue the filter housing to the 4" or 6" outlet pipe. If the filter is not centered under the access opening use a Polylok Extend 6r Lok or piece of pipe to center filter. 4. Insert the PL-525 filter into its housing. 5. Replace and secure the septic tank cover. PL-525 \tainlenance: The IIL-525 Effluent Filters will operate efficiently for several years under normal conditions before requiring cleaning. It is recommended that the filter be cleaned every time the tank is pumped, or at least every three years. If the installed filter contains an optional alarm, the owner will be notified by an alarm when the filter needs servicing. Servicing should be done by a certified septic tank pumper or installer. 1. Locate the outlet of the septic tank 2. Remove tank cover and pump tank if necessary. 3. Do not use plumbing when filter is removed. 4. Pull PL-525 cartridge out of the housing. 5. Hose off filter over the septic tank. Make sure all solids fall back into septic tank. 6. Insert the filter cartridge back into the housing making sure the filter is properly aligned and completely inserted. 7. Replace and secure septic tank cover. 1/16" Filtration Yot, ,- `{ Alarm Switch 1O,WO GPD I*� (Optional) vim- Accepts 1" PVC ri Extension Handle Rated for 10,0011 GPD 525 Linear Ft. of t / 16" Filtration Slots Accepts 40 & e " C:C4 SCHD 4pipe Gorian to NSF/ANSI1 SStandd to ard 48 l :as Deflector Automatic Shut -Off Ball lWAnur �n:.utl Itr� ^ \lann I it nC & I.16 Polvink, 7ahel & Best filters accept Fasily installs the SmartFilietXi switch and alarm. into existing tanks. Polylok, Inc. 3 Fairfield Blvd. Wallingford, CT 06492 Toll Free: 877.765.9565 Fax: 203.284.8514 www.polylok.com Page 11 TOTAL DYNAMIC HEAD FLOW PER MINUTE MODEL 151 152 153 Feel IMOW3 cal. Liters Gal. tiers 261 cal. 77 Leers 241 s I s so 139 69 t0 30 45 170 61 231 70 255 15 46 36 1" 53 201 6f 231 20 61 29 110 44 167 52 197 16 e1 34 129 42 159 - - 23 a7 33 125 E — - 22 e5 - - - 11 12 30 fL (9.1m) ]8 R. 11.6m /4 R. (13 4rr so- 14 45_ 12 40 35 � fo U 3a 'o a 25 - Fo E 2C t5- 1Q. 2 5 PUMP PERFORMANCE CURVE J■■■ 0 !■ C- - 2;J3 I 4rD 50 50 70 K 9D 1VJ GALLONS ALLO it 160 203 24O 280 320 3a0 "LOW PER MINUTE o"asne �41 •V t MODEL COMPARISON Model Seel Mode Vohs Ph Amps HP H2 Lbs Kg Simplex Duplex N 151 Single Non 115 1 6.0 1;3 60 32 15 1 2 or 3 E161 Single Non 230 1 3.0 13 60 32 15 1 2 or 3 BN151 Single Auto 115 1 6.0 13 60 33 15 2 or 3 BE151 Single Auto 230 1 3.3 1/3 60 33 15 2o,3 N 152 Single Non 1 115 1 8.5 4/10 60 1 37 17 1 1 2 or 3 E152 Single Non 230 1 4.3 4/10 60 37 17 1 2 or 3 BN162 Single Auto 115 1 8.5 4110 60 39 18 20, 3 BE 152 Single Non 230 1 4.3 4110 50 33 18 2 or 3 N153 Single Non 115 1 10.5 1Q 60 37 17 BN153 Single Auto 115 1 10.5 112 50 39 18 2 or 3 E753 Single Non 230 1 6.3 v2 60 37 17 1 2 or 3 BE153 Single Non 230 1 5.3 1f21 60 1 39 1 18 2 or 3 •BN and BE models include a 20' (6 m) piggyback variable level pump switch, Additional Card lenglhs are available In 254 18 m) and 35(11 mi. 50' 115 m) cords are available for 230 V units only. NOTE- Model 151 has a plastic base. Models 152 & 153 have a cast iron base. SELECTION GUIDE 1. For automatic, use single piggyback variable level float switch or double piggyback variable level float switch. Refer to FM0477. 2. See FM1228 for correct model of simplex control panel. 3. See FM0712 for correct model of duplex control panel. "Easy assembly" OPTIONAL PUMP STAND P/N 10-2421 ° Pa°nrL a`Pr°' ulu i • Reduces potential clogging by debris • Replaces rocks or bricks under the pump \� i • Made of durable, noncorrosive ASS • Raises pump 2" (5 cm) off bottom of basin • Provides the ability to raise intake by adding sections of 11A" or 2" (DN40 or DN50) PVC piping • Attaches sew rely to pump • Accommodates sump, dewatering and effluent applications �.. NOTE: Make sure float is free from obstruction. fvAUTION All installation of controls, aruluctiun devices and winng should be done by a Rualdied Imanaad alactrinan All elecvval and alerly codit Mould be followed including the most .scent National Elaetnul C.U. [NEC) and the Occupational Safety and Health Act I0SHA1. 1 Copyright 2017 Zoeller° Co. All rights reserved. 602-779.2731 1800-928.7867 1 3649 Cane Run Road 1 Louisville, KY 40211-1961 1 zoellerpulPBilif=ZI SYSTEM PLOT PLAN Henne 3 Bedroom Mound ProjectAddress 173 Andersen Scout Camp Trail BM1 Symbol AL BM Elevation 100.00' BM Description: Top of Inspection pope on exiling septic tank SM2 Symbol. A BM Elevation, 97 10' SM Description: Top of outlet pipe on the existing septic tank Slope Gradient of Tested Area: (5%) Well Symbol (If applicable) Notes. See CSM for complete tit Design Flow 450 GPD Attach design flow calculations for commercial plans: Pipe Materials r ASTM Standard Tables 384.30-3 & 384.30.5 4' SCH 40 PVC pipe ASTM- 02665 2- SCH 40 PVC pipe ASTM-Dt7a5 t/7 SCH 40 PVC pp ASTM-Dt795 IN3 .1 t .1 •1 t ®% S-r. C f- - I1N-I-Y SANITARY SYSTEM Office Office Use Only 00 OWNERSHIP/ADDRESS FORM Created21?a21 Community Development Department will utilize this information to provide the property owner with information regarding operation and maintenance of your new or replacement sanitary system! This information will be provided as part of our ongoing efforts to protect public health, your well, groundwater, surface water, property values, and county resources. Once approved, this completed form and educational information will be sent to you by email. If you would like to view your issued sanitary permit online, you can do so by using the Probet Files Scanned weblink. OWNER/BUYER INFORMATION Owner/Buyer Nicholas E Henne Mailing Address 173 Andersen Scout Camp Trail City/State/Zip Houlton, WI 54082 Phone Number (required) 715-441-6584 Email Address (required) nehenne@gmail.com Parcel Identification Number 032-2076-60-000 (found on the property tax bill) NEW SYSTEM: LEGAL DESCRIPTION Property Location SE 1,14 NE 114 , Sec. 1 4 T 30 N R20 W, Town of Somerset Subdivision Plat: NA Lot # 1 Certified Survey Map #365851 Warranty Deed # 365990 Number of bedrooms 3 New Property Address (Staff Initials) Volume4 Page #974 (before 2006)Volume 616 page #258 Spec house 0 yes ■ no Lot lines identifiable ■ yes O no OFFICE USE ONLY W new address required from Community Development Department for new construction.) (Date) This form must be submitted with all Private Onsite Water Treatment System (POWTS) applications. New System: Include with this form a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. Community Development Department - Land Use Division 715-386-4680 St Croix County Government Center cddLNs.ccwi,(Io_ 1101 Carmichael Road, Hudson, WI 54016 715-24S-4250 Fax .vv.'.t tr<.v'.-P . Page 14 V,fNlyt r ' Department of �3P Safety and r _ Professional Services SOIL EVALUATION REPORT in accordance with Comm 85, Wis. Adm. Code #2221 Page 1 of 4 - Schmitt Soil Testing, Inc County Attach complete site plan an paper not less than BY. x 11 inches In size. Plan must St. Croix Include, but not limited to: vertical and horizontal reference point (OM), direction and - - Parcel I.D. percent slope. Seale or dimensions, north arrow, and location and distance to nearest road. 032-20784ia000 Please print all krformation. ___ Reviewed By ---ate - - Personal tna(msbon you provide may be used for secondary oarpooes (Privacy Law. B. 15.04 (11 ord) Property Owner Property Location Henne, Nicholas E. Govt. Lot SE1/4, NE1/4, S14, T30N, R20W Property Owner's Msifi Address_ Lot S Block p Subd. Name or CSMs 173 Andersen Scout Camp Trail 1 CSM 41974 Cry State Zip Code Phone Number City Wlage ' Town Neared Road Houllon I WI 1 54082 715.441-8584 Somerset I Andersen S0oqLq!Tp Trail New Construction Use: Residential / Number of bedrooms 3 Code derived design flow rate _ 450 GPD . Rep(soemem .- Pubic or commercial . Describe: Parent material _ _ --_ flood plain elevation. it applicable NA tt. General comments Replacement area is suitable for a mound system. System elevation is 97.20 based off the contour line established at 96.20. Slope and recommendations: of the area Is 5%. Bodng e Boring pit (around surface elev. 96.40 ft. Depth to limning factor 24 in. Soil Rat Noncom Depth Dominant Color Redox Description Texlurs Stnrdure Consistence Boundary Root GPDW I in. MunseO err. Sz ContColor Or. Sz. Sh. nest -con 1 0-10 10yr3/2 none I s8 2mgr myfr as 2m2f 0.6 0.8 2 10.15 10yr5/3 none sil 2fsbk mvfr i 9w i 2m,2f 0.6 0.8 3 15-24 10yr4/4 none ell 2msbk mvh 9w 2vf 0.6 0.8 4 24-32 LOyr4/6 0 2 sl lrtlsbk tuff, 9w Ivf 0.4 0.7 5 32-46 7.5yr4/6 1 10yr6/6 m� 1 r S1 Om mfr as - 0.2 0.6 6 46+ FRACMED UME - - - -- - l - 0.0 0.0 STONE ; Borings Bow Pit Ground surface alev. 96.40 ft. Depth to limning factor 28 in. Soil Application Rate Horizon Depth in, Dominant Color mtmeii Redox Description Ou. Sz. Coco. Color Texdute j Structure I Consistence Boundary I Gr. Sz. Sh I Root GPD/R' 'EIM1 'EfI92 1 0-5 10yr3/3 none Sit 2mgr I Invfr 1 as 2m2f 0.6 ' 0.8 2 5-14 10yr5/3 _ none SH _ 2fsbk Mfr 9W 2m,2f 0.6 0.8 3 14.28 10yr4/6 none sid 2msbk mfr 9w M 0.4 0.6 4 2941 7.5yr4/6 "l jd 7' 8 gra Om mfr CS lvf 0.2 0.6 5 41-76 10yr5/6 c2d 1 2 Us 0S9 col -- ---- 0.5 1.0 Effluent 01 ■ DOD? 30,5 220 mg/L ant TSS 3-30 4 150 m9/L Effluent a2 - BODO =3o mg/L and T39 1.30 mg& COT Name (Please Print) Signature: _ CST Number Thomas I Schmitt 227429 Address Schmid Sod Testing, Inc, Onto Evatustlon Conducted Telephone Number 1595 72nd SL Now RWmwnd, WI 54017 7/=022 715.780-1978 raWIH (a rdar Property ownw Henne, Nkiiolas E. Parcel ID • 032-2076-60-000 Page 2 of 4 3 [] Wng D PR Ground surface elev. 95.0 R. Depth to limiting factor 26 in. Sol[ Application Rate Horizon Depth in. DorninaM Color Munson Redox Description Qu. Sz. Cont. Color Texture Structure Or. Sz. Sh. Consistence Boundary I Roots GPDAt' 'EAat 'ERa2 1 0-9 10yr3/3 none Sil 2mgr mvfr as 2m2f 0.6 0.8 2 9-12 10yr5/3 none sit. 2fsbk mfr mfr gw gw 2m,21F 0.6 0.8 3 12-26 10yr4/4 none sll 2msbk lvf 0.6 0.8 4 26-36 10yr4/4 mm lorzlB sid 2msbk mfr gw - 0.4 0.6 5 36-52 10yr4/6 m2d iDyr6/a sl Om mfr as - 0.2 0.6 6 52+ 10yr6/6 FRACTURED LIME - - - - 0.0 0.0 STONE DBoring 0 L Boring [] PR Ground surface elev. 97.0 R. Depth to limiting factor 36 in. ISof Application Rate Horizon Depth In. Dominant Color IAuruell Redox Description Qu. Sz. Cont. Color Texture Structure 'Consistence Or. Sx. Sh. Boundary Roots GPDAt' 'EIM1 -EfW2 1 0-12 10yr3/3 none sil 2fsbk mfr as lm,lf 0.6 0.8 2 12-36 1Dyr4/4 rwne sit 2msbk mfr gw lvf 0.6 0.8 3 3643 1Oyr4/4 S.Syr216 sit 2msbk mfr gw lvf 0.6 0.8 4 43-61 LOyr4/6 m� 7 sl - Om mfr gw 0.2` 0.6 5 61-72 7.5yr5/6 m2d 7Sy2 Is Osg ml a 0.7 1.6 6 72-96 10yr6/4 none dos Osg ml - 0.7 1.6 Boring * Ll B � Pit Ground surface elev. 0 10A R. Depth to l miring Fedor 23 in. Soil Apptkatlon Rate Horizon Depth In. Dominard Color Munson Redox Descrplon Qu. Sz. Cont. Color Texture Structure Or. Sz. Sh. Consistence Boundary Roots GPOMS 'fit I -m 1 0-5 10yr3/3 none A2mgr mvfr as 2m2f 0.6 0.8 2 5-13 10yr5/3 none SII 2fabk mfr gw 2m,21F 0.6 0.8 3 13-23 10yr4/4 none Sid 2msbk mfr gw 2vf 4 23-43 7.5yr4/6 m2d 7.SyrWB 7. grs, lmsbk mfr gw - 0.4 0.7 5 43-72 7.5yr5/6 5= fsl Om mfr - 0.2 0.5 ' Effluent 01 c BWSp 30 s 220 mg& and TSS 3,30 <-150 mg& ' Effluent 62 - BOOS <- 30 mg& and TSS - 30 mall The Departrnwrt of Commerce is an equal opportunity service provider and employer. If you need assistance to so== wrvka or need material in an sdtwnmds formal please contact the deperunent at 609-266-31 S 1 or TTY 608-2644777. ssnans0.arAm s, wwsoTwore, uc. 1'=60 Conducted for 352 30' PM ANDERSEN SCOUT CAMP TRAIL 95' r 209 t 1rr1 1% or t`l— Sloua —__Shy n1 IS a�sdxle f Y R 52' Dram ela HM 1 \ r. 0G'j HM 1 1 n00 yal acplLc lank O WELL Nicholas E Henne 173 Andersen Scout Camp Trail Houlton. WI 54082 032-2076-00-000 Lot 1 CSM 41974 SE1/4 NE1/4 S14 T30N R20W Town of Somerset 2a0 Conducted By: Tho s J. ScW 2CST27 :w2 es' 7.22-2022 w' St Croix County, WI Legend e.w. a.+s.n..-. us.�+.M1n c+.w lya.aa FaM va.a. v,� near nwe. aNan+ C.+rwY-O.wa-� Sn.Irw..n ��n'rr NI { I 0 10 'a wn UOGIWFH lna np.wxyrr+.r L. avr.r. s.ri r_oa o a..s+rs.n fprtMav daw.w a. M1Ywa[.M/�! fn M1 1 , i ! . `1 +�►�, yJ'_.iY J. i _.. i.• .. 1. ,.,:iir _ r� _:..,f • :1...-r ECOVED :t Of ii■ �` fety ands II 2 a 2022SOIL EVALUATION REPORT • ..,w�. r`,... _ nc Wr ew.., r�. L/_5T a� - ► 73 #M1 Pane 1 of 4 sr Profess aionai S8f19088 vwV Schmitt Soil Testing, Inc. 11 St. Croix County t CountySt. Attach complete site plan n si]hak i e. 41u Croix include. but not limited to: reference point torlW�l am percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. 032-2078430000 Please print al/ informallion. _ - Re ' Date / Personal information you provide may be used for secondary purposes (Privacy Law. s 15 D4 (1) (m)). !!! Property Owner Property Location Henne, Nicholas E. Govt. Lot SEIM, NE1/4, S14, T30N, R20W Properly Owners Mailing Address Lol # Blodr # Subd. Name or CSM# 173 Andersen Scout Camp Trail 1 CSM 4/974 City Stale Zip Code Phone Number City r 1 Village . Town Nearest Road Houlton WI 1 54082 1 715-441-6584 Somerset 1 Andersen Scout Camp Trail New Construction Use: Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement Public or commercial - Describe: Parent material _ l/l h p SA!C0Flood plain elevation, if applicable NA ft. General comments Rellat area is suitable for a round system. System elevation is 97.20 based of the contour line established at 96.W. Slope and recommendations: of the area is 5%. 1 Boring # Boring Pit Ground surface elev. 96.40 ft. Depth to limiting fads 4 in. Soil Rate APPke Mormon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM* 'ER#1 'EtAe2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 0-10 10yr3/2 none none sit 2mgr mvfr as 2m2f 0.6 0.8 2 10-15 10yr5/3 sil 2fsbk mvfr gw 2m,2f 0.6 0.8 3 15-24 10yr4/4 node sit 2msbk mvfr gW 2vf 0.6 0.8 4 2+32 10yr4/6 mid2 sl lmsbk mfr gw lvf 0.4 0.7 5 32-46 7.5yr4/6 rn2d 1Wr6/8 sl Om mfr as — 0.2 0.6 6 46+ 10yr6/6 FRACRIRED UME — — — 0.0 0.0 STONE Z Boring # ❑ Boring Pit Ground surface elev. 96.40 fL Depth to limiting factor 28 in. Soil Application Rate Horizon 1 Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDff *M1 •EtT#2 in. Munsell Qu. Sz. Cord. Color Gr. Sz. Sh 1 0-5 10yr3/3 none sil 2mgr mvfr as 2m2f 0.6 0.8 none sit gw 2m,21F 2 5-14 10yr5/3 2fsbk mfr 0.6 0.8 10yr4/6 3 1+28 none Sid 2msbk mfr gW 2vf 0.4 0.6 q 2841 7.5yr4/f. m2.7'SYY2//8 grsl Om mfr cs lvf 0.2 0.6 5 41-76 10yr5/6 1p12 Ifs Osg ml — 0.5 1.0 Effluent #1 = BOO 5> 30 < 220 mgA- and TSS >30 < 150 mg/L ' Effluent #2 = BOD5 < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt /e/� 227429 Address Schmitt Soil Testing, Inc. Data Evaluation Conducted Telephone Number 1595 72nd St. New Richmond, WI 54017 7/22/2022 715-760-1978 snuaJwlrcurnml Property Owner Henne, Nkholas E. _--- Parcel ID # 032-2076-60-000 Page 2 of 4 Boring Boring # Pit Ground surface elev. 95.0 R Depth to limiting factor 26 in. _ Soil Application Rate Horizon Depth Dominant Color in. Murmell Redox Description Qu. Sz. Cont. Color Texture Structure Consistence Gr. Sz- Sh Boundary Roots GPDAt' 9M *082 1 0-9 10yr3/3 note sil 2mgr mvfr as 2m2f 0.6 0.8 2 9-12 10yr5/3 note sll 2fsbk mfr gw 2m,2f 0.6 0.8 3 12-26 10yr4/4 none sil 2msbk mfr gw lvf 0.6 0.8 4 26-36 10yr4/4 m2d 10rG/8 ski 2msbk mfr gw 0.4 0.6 5 36-52 10yr4/6 � 1� sl Om mfr as 0.2 0.6 6 52+ 10yr6/6 FRACTURED UME - - - 0.0 0.0 STONE a Boring # El Boring _ Z Pit Ground surface elev. _ 97.0 ft. Depth to limiting factor 36 in, SW Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Textim Structure Gr. Sz. Sh. sistence Boundary Roots GPDIIP 'ER#1 'EtT02 1 G-12 10yr3/3 none sit 2fsbk mfr as 1m,1f 0.6 0.8 2 12-36 10yr4/4 none sil 2msbk mfr gw lvf 0.6 0.8 3 36-43 10yr4/4 c2d 5.5yr6/6 sN 2ntsbk n* gw lvf 0.6 0.8 4 43-61 10yr4/6 m� 7'5r" sl Om mfr gw - 0.2 0.6 5 61-72 7.5yr5/6 m2d 7.5yrWg Is Osg ml 6 0.7 1.6 6 72-96 10yr6/4 none cbs Osg mill - 0.7 1.6 Boring 5 Boring # ' . ' Pit Ground surface elev. 100.0 ft. Depth to I miling factor 23 in. Soil Application Rate Horizon Depth Dominant Color in. Munsell Redox Description Qu. Sz. Cont. Color Tw&m Stn chine Gr. Sz. Sh. Consistence Boundary Roots GPDM' 'EW -EW2 1 0-5 10yr3/3 none sil 2mgr Milt as 2m2f 0.6 0.8 2 5-13 10yr5/3 note sil 2fsbk mfr gw 2m,2f 0.6 0.8 3 13-23 10yr4/4 none sid 2msbk rnfr gw 2vf 0.4 0.6 4 23-43 7.5yr4/6 m2d5'5yr" grsl lmsbk mfr gw 0.4 0.7 5 43-72 7.5yr5/6 r2d 7.5yrWS fsl Om mfr - 0.2 0.5 Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/1- ' Effluent #2 = BODs < 30 mglL and TSS < 30 mg/L 1be lk:partment 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 608-266-31 S 1 or M 608-264-8777. SBD-9330 (R 07M) Sftnitt SN Tesing. In[. St Croix County, WI 352W ANDERSENSCOUT tJkmr 1-- — Legend Lakaa and PAa P." ANDERSEN SCOUT CAMP TRAIL MMS and Saaaar 118' lS HW%M 1" = 60' ss — WAN!OOM Y 1 B3 095. C-/aYHWW'aYa 1 . z � 209 Loral Roach 1 1% 5% �/� � 97' �' � Bulk; Roach Slope Slope � I �—---�--� / Ramp 82 172' 11' Road RigN or way 160, 80' yvywe aaer B1 ��� B5 gZ 240' ... Exisitinng 12 x sr � fiekl �. R.rc.aa BM 1 comaync. olw.w" Exlsbng SM 2 sknUtan Conveyu 1000 gal sep' tank cvr anq rr GARAGE GEHOUSE WELL N Conducted for: Nicholas E Henne 173 Andersen Scout Camp Trail Houlton, WI 54082 Conducted By: o® DISCLAWER: Th* ma is 032-2076-60-000 Thomas J. S i , ID " Lot 1 CSM 4/974 '°""" ,.., °""' SE1/4 NE1/4 S14 T30N R20W Town of Somerset CST 429 342.89' 7-22-2022 "Gtlt 11:.1 Y r i l l I St Croix County, WI Legend w . I lakes and R"m - _ _......T_. Riven and Streams m LL _ " Intenbbs US H9nways QSbb Hlplrwsys .... Court HUhwwA Ya O Loral Rwde Rustic Roads Raeps •`'� L Road R9h1 Of Wsry Lo Radroade Conveyance Dry n Sine tan Comeyence N o ao too tsort ONrLANAM: This nm is oat 9wrwaeea to be OWNW. aaHald. GAM. Orow"b and cone wWo dnsn aA On reaponSUrty of me wsr. arOlO nrrr S1, (ram couN tzt f faCt� fi No. 644786 STATE SANITARY PE IT n44erse-s s,�-�Qy rrr- DTV�N6P�WREftEN41L PREVIOUS NO. &I(At:Z OWNER PLUMBER It TOWN OF So xo c.m SEC 9T 3o N, AND/OR LOT_ CS Nil Ala- 4u7a l LIC.# ZZ 3 76 O R ZG E/D BLOCK SUBDIVISION CHAPTER 145.135 (2) WISCONSIN STATUTES (a) The purpose of the sanitary permit Is to allow Installation of the private sewage system described in the permit. (b) The approval of the sanitary permit Is based on regulations in force on the date of approval. (c) The sanitary permit is valid and maybe renewed for a specified period. (d) Changed regulations will not impair the validity of a unitary permit. (e) Renewal of the unitary permit will be based on regulations in force at the time renewal is sought, and that ehattged regulations may impede renewal. (f) The sanitary permit is transferable. History: 1977 c.168; 1979 c. 34,221; 1981 c. 314 Note: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. AUT OYIZED ISSUING OFFICER - DATE / ZZ THIS PERMIT EXPIRES 9 / ZQ Z UNLESS RENEWED B64RE THAT DATE POST IN PLAIN VIEW VISIBLE FROM THE ROAD FRONTING THE LOT DURING CONSTRUCTION SBD-06499 (RI1/20)