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Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Budding Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes IPnvacy Law. s.15.0a (1)(m)l Permit Holder's Name Cuy Village Township CRTH Properties LLC VILLAGE OF HAMMOND 'CST BM Elev Inap BM Elev: BM Description ^-� OD . � 6b •a ua..Q w. ct e = C ST �T TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic W IeSEf2 Dosing G v.A. -- TANK SETBACK INFORMATION TANK TO I PIL I WELL I BLDG. Vent to Au Intake nnnn Irwmriy I It 1 4 1 fij I/ %l I I PUMPISIPHON INFORMATION l44 (4 2:j r uia. 11 v�ar. ro rvmi SOIL ABSORPTION SYSTEM Lengm ( NO Vr Irenche so `t5' a) t4 % ccj S INFORMATION type Of System. Gl�enptTrlrfowy,�-- I �' _ DISTRIBUTION SYSTEM ` �r Header/Manrroly of Distnbut 3 5 Pipe(sl Length •y Oia Lenglh Dia Z Spai SOIL COVER nnt.. STATION BS HI FS ELEV Benchmark ,�63 Ifl I°p.o Alt. BM Bldg. Sewer St/HI Inlet �z.b SUHt Outlet Dt Inlet DI Bottom `J•�S ti• = lee .33 r Header/Man. •�3 B r Dist. Pipe dp 01. 0 Bolt Sy em L� , � f Final Grade s L-7 %oXIL St Cover a , s3c3 42 (au y,-3 101. PO S 160.6 Inside LEACHING CHAMBER OR UNIT ZS Ix Hole $Ize f 1 Ix HGe �pO ipg (Vent to Air Intake � /4 3 Depth Over Depth Omr xx Depth of m Seeded/Sodded xx Mulched Bed(Trench Center BedfTrench Edges Topsoil - Yes No Yes No (IV-)'C'ONMEN, TS_•�(Inclu c[o/�Fp�e dl crepenci�s, persons resent. etc) Inspection fy1A` L7�, 1 Inspection 92 f 10A—bo Z LL-occaill)o_n:;No�Addres 3bfe (/ ( •'lAT h► ( ) /4 f?ojd .['M�- -Z^� , 0I 1.) Alt BM Description = 2.) Bldg sewer length = ,�{� - amount of cover = > Al ` t 3) 2.0` e�r�erf e•• ST.,,r1e:P� kaa�1 �tt iowr� S� /J� s� -CIS-Qr �Tt�s,�.ItvCt 4e�1t Plan revision Rfor ad tl i L Yes No I ]J �' / ` _�� Use other side for additional information. "7 F�-y�i ,'II. - fq S D• 10 (R.3197) Date Insepctor's Signature Cert No �� �6c -Je J.� 8u CZ eye. - fi�Z�Itizz -� . — ID4 , mm. �pr,A„p SY 1. 4ra►r � f (ice• 'r and Buildings Sanitay Permit Number (to be Sllcd m by Co.) M j" no CE V 201 W. Washington Ave., Pam. Box 7162 Madison, WI 53707-7162 l�u 2 A IL ant Applicati StaeTtaasactiomNombu uDrml In aecordanoe with S 3g3 519XW Qm ' ono f this formm to unit Pus rs— o 421 oaFff 9 — C- Address (if different than mailing address) is required prior to I tcation farms for stattaowned P6wTS bmittod to the Department of amat Sent m Pasooal information you provide may be used for secondary d r4SC purposes to arxxvdance with the Law, s. 15. 1 m , Sets. o O/W V i 0 1. Application Infermatiomo — Please Print All Information Property Owner's Name %► M y Parcel A 1 O a C'RTH /ra eFtr'es�,L�C ray �r/l 134S Property Owner's Mailing Address Property Location /Sher P 9 7-ti s7 . Govt. Lot dVW S W y4 3 City, State Zip Code Phone Number�j / �v�K.R,ria ocircle %1Jr-3Ot7 '�4 3� py T .� / N_ R q � II. Type of Building (cheek all that pl Lot a Subdivision Nane�_ ElI or 2 Family Dwelling -Number oP Block g PubliclConunercial —Describe se * h e T r i Or+�rj/ I r} K1r"/� rSS _ City of ❑ State Owned — Describe Use CSM Numbs p 710 g gkinar of ❑ Town of--- E v DDIC III. Type of Permit: (Cheek only one boa oa line A. Complete liar: B if a"I"ble) A- New Sys ❑ Replacement System ❑ TreatrnaNHolding Tank RMIsocunemt Only ❑ Other Modification to Existing Sysson (explain) B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and y� Before Expiration Owns it IV. Type of POWTS S Com ment/Deviee: Cheek all that apply) ❑ Non-Preswrind in -Ground ❑ Pressurized In -Ground ❑ At -Grade ❑ Mound >_ 24 m. of wiuble soil < 24 'von. of suitable ❑ Holding Tank ❑ Other Dispersal Camponant lain) t t Device (explain V. Dispemnireatment Area lnformatiiom m D U K LAZ 0 IMauaa Design Flow (gpd) -�so Design Soil Applicmamu 0 Dispersal Area Requ' (sf) Dia"Ara (sf) 90o z,�sr� 90o zqz System Elevation o-.s-o .o V . Tank Info Capacity in Gallons Total Gallons of nits Mmuhieumer jr.. y/�; �L� u� D.�-1 �'"'t/ t `' ^� . 3 0 $ New Tadn Exabag Tanks e u y C7 a 5 `y uE"i Sepoe or Holding Tarim O O DamgCbmubw KS-0 Se w rs �r VII. Responsibility Statement- b the undersigned, aasame responsibility for installation of the POWIB shown our &e attached plum. Plumber's Name (Prim) Plumber's Signature I Business Phone Number C,4ott-1rt w,-Arte— 22(�673 /S--9.21--3f30 Plumber's Address (Surat, City, State, Zip Code) NS Sr. tli w—Z' S t Ol1 is` 77orA ,E/�sa.o F Vlll. Covng/Department Use Only Approved ❑ Per/mil Foe Issu' Agee Signature ❑ Ven for Dem al v/ � 2 pjy err and / n nk, effluent (�� y 1 cell must be serv1Ced I malntei then. r(�� ��`''`S t^^ d` `f� JI plan provided by P p `pa5 Lrset�back anagement �� t►n�ptrz T- I must be maintained requirements ��DD-- �) codelord,nances. 6�a�rW�Br e-r dam° y d" Vu�b46�A to car pYr or the ryalea and svbair to C avlf r pperPC rmaW 11 i. a ... Ja1.Cn � Q- �IosPo mere. ' ^ r (BPS HAa� , ett,.fte. `ems psrtA.0 � r ) s/ mr Designer. Ryan Be" Certified Sol Tatar 133OB32 Designer of Engineering Systems D 2263-7 4.ALE 2U' 40 ADVANCED E N V I A ON MENTAL / / / / / / / / / 'All properly Una rat O Benchmark SYSTEM NOTES drawn are >100fi from sale TWL: system $ SollBodng *wr10MMgdm24mp ftotat -8"tm 4'aforefddlglade 4o not mule deer velar awdaainb wpk fWr Pump Tan i Wroch STF-100 Pmm Fa«.et abrm 2 / uAxwAo 4lom I I reemoda — — — — — — — — — — —, abmlbade peep them Lnw ad TDH d ff ksW �-- r remmnendee --------------/{rerllm�a�, arm mer,awdernale ------------------ ----1 Tree Trimming Business : Commercial Shop 41.4ZYmbldederelar(LsW) g tOf A7 eyebmebafm mlloo.oD ambu 3-5 employees/ �+%,A4,11ci3eadfiti,2 dhcemlldaomPa ( adlpelefmpwlaawldapplg 1 Floor drain 1 er -Plow abeff0maw 10doo d,a°Y(, ---L — — — — — — — — — — J , Wieser .—ftW I °a.m ° ao ° ankm°°"pa�A t 10' 4" 2-to 1000/650 4)00Io,� m z lir Fadmfta* bwrw) i QO sch 40 PVC $'o t talmu=loom OS O DletAbudlba: O O to east P.L. -P442bVItem10pvCWW*wmMWAPM iptalubmasM # Field ,* �" O 4,re�raewao,so Q to be located > 50ft 00 •1 t,eledw. eldbd n@W* tallow ® 3.r vemp Edge 4arebmba* and IT kmWW dbls 2C b Wo from soil treatment area & T-f >25ft from tanks** t1070 -0w.laaawlodeetegePrawgn sch 40 PVC v� 1 3% 'BM1 = 100.00 �\ Top nail in 4" wooden fence \ post (33 above grade) / T,J ON BM2 = 101.00 Top nail in 4" wooden fence post (12" above grade) LOCATION MAP (not to a=de) o � SITE 60TH AVE PREPARED FOR. - Tony Hayden TBD CTY RD T Hammond, WI 5401S PM: 136-1063-30•OW 40.0 Aces UVW: NW 1/4 SW 1/4 S34 T29N R17W village of Hammond bun ea *- and ardudad In aooadorp 90 some aW Looal mdw as .all h"b wd one nwA protooWd from Adubatoe ardor atmpadkn bake wW order owabue l� Stork: 1" - 40' Date: 410122 Mewnwe pan 1=r bdorrrnow on prgw daa and mast sm DIVISION of IN()UF RY SERVIC" 10541 N RANCH AD HAYWARD WI 548434M C *W Thmuo RWor ha Aiftp.W. www.wl.0ov µ Tmy Kvm - Oovwaw Down DAM . borelwy April 21, 2022 Conditionally APPROVED CONDITIONAL APPROVAL DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES PLAN APPROVAL EXPIRES: 2024-4-21 Plan Review: PWTS-042200689-C Ryan Bechel SEE CORRESPONDENCE 779 Spring Creek Rd 5 Red Wing, MN SITE: Tony Hayden Xxx Cty Road T St Croix County Town of Hammond NW'%SW %S34T29 R17W FOR: Description: GeoMat Mound Component Manual — Edition 1, 5 employees-1 floor Drain — 450 GPD —19" 2017 to limiting factor —Effluent Filter - Pressure Distribution Component Manual — Ver. Maintenance required 2.0, SBD-10706-P (N.01/01, R. 10/12) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders • If using the existing septic tank, it must be inspected for watertightness and structural soundness, size and baffles, and must be brought into conformance with the requirements of ch. SPS 383, Wis. Adm. Code. • The mound site shall be properly prepared prior to plowing. Any grasses longer than 6" shall be cut short and removed. To avoid matting, any leaves or loose organic matter shall be raked up and removed. Cut trees and shrubs flush to the ground and leave stumps. Avoid operating equipment on the mound site. If necessary, use only tracked equipment, during dry conditions, with minimal passes, to avoid compaction. • 12" of sand shall be installed between the contour and the bottom of the GeoMat product. • Orifice Shields are required. • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec.145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. 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. • A copy of the approved plans specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department which may include local inspectors. Owner Responsibilities The current owner, and each subsequent owner, shall receive a copy of this letter. Owners shall also receive a copy of the appropriate operation and maintenance manual(s) and be responsible for ensuring that POWTS is operated and maintained 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, 503 Joshua Rowley POWTS Plan Reviewer, Division of Industry Services MOUND AND Project Name: Owner's Name: Owner's Address: Residential Application INDEX AND TITLE PAGE Conditionally Expert Tree Service & Science ARRRnyEn Tony Hayden DEPT. OF SAFETY AND PROFESSIONAL tiERVIeE9 TBD CTY RD T DIVISION OF INDUSTRY SERVICES Hammond WI 54015 Property Address: SAME Legal Description: Township Subdivision Name: Lot Number: Parcel I.D. Number: Plan Transaction No.: NW SW S 34 Hammond T 29 N R 17 W County: St. Croix Block Number: 136-1063-30-000 CSM#: Page 1 Index and title Page 9 Tank cross sections Page 2 Data entry Page 10 Site Plan Page 3 GeoMat mound drawings Page 11 Commercial Flow Est. Page 4 Lateral and dose tank Page 12 Soil Test Page 5 Distribution media Page 13 Soil Test Page 6 System maintenance specifications Page 14 Soil Test Page 7 Management and contingency plan Page 8 Pump curve and specifications Ryan Bechel License Number: 132263-7 Date: 04/18/22 Phone Number: 651-327-0074 `�rpwuuunni 0 NS7�'�,'-�, Signature: Designer Sta `���.y�\5C State RYAH G. �'. Stamp: = BECHEL D-2263-7 RED WING MN , Designed Pursuant to ft '''q��J11l 111100"`` Synergy Systems L.L.C., GeoMat Mound Component Manual (Edition 1, 2017), (N. 4/17), SSWMP Publication 9.6 Design of Pressure Distribution Networks for STSAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01101, R. 10/12) GeoMat Mound Edition 1, 2017 Page 1 of 14 R Residential or Commercial Design 300.00 Estimated Wastewater Flow (gpd) 1.50 Peaking Factor (e.g. 1.5 = 150%) Design Flow (gpd) 3.00 Site Slope (%) 100.00 Installation Contour Line Elevation (ft) 19.00 Depth to Limiting Factor (in) 0.50 In -situ Soil Application Rate (gpolW) 100.00 Contour Length Available (ft) ISD Required? atlOn Cell Width (ft) 3.25, 6.5 or 9.75 Only 1 45.001 Designer Input Cell Length (ft) Dispersal Cell Design Loading Rate (gpd/ft) 45.00 Dispersal Cell Length Required (it) 2 Influent Wastewater Quality (1 or 2) Center or End Manifold Number of Laterals Lateral Spacing (ft) Forcemain Drainback (gal) Forcemain Filter Loss (ft) 92 Inside Pump Tank Elevation (ft) O.M Orifice Diameter (in) (e.g. 0.25) 3.00 Estimated Orifice Spacing (ft) _ 3.25 System Head (ft) x 1.3 8.50 Vertical Lift (ft) 3.21 Friction Loss (ft) 15.46 Total Dynamic Head (ft) 39.82 Sx Void Volume (gal) 60.21 Minimum Dose Volume (gal) 34.95 System Demand (gpm) Diameter Selection Lateral Diameter Selection in. dia. options choice 0.75 1.00 1.25 1.50 x x 2.00 x 3.00 x Are the laterals the highest point in the distribution Y network? K N above, enter the elevation ft of the highest pant. Does the forcemain drain back?i Y 9.75 ftz/orifice Manifold Diameter Selection in. dia. options choice 1.25 x 1.50 x x 2.00 3.00 1111111nufacturer n Treatment Tank Information Effluent Filter Information 1000.00 Septic Tank Ca ecl ) INOTAPPLICABLE Filter Manufacturer Wieser Concrete Products, Inc. Manufacturer I See Tank Page Filter Model Number Dose Tank Information Gallonsllnch Calculator (optional) 646.00 Dose Tank Capacity (gal) 646.00 Total Tank Capacity (gal) 17.00 Dose Tank Volume al/in) 1 38.001 Total Working Liquid Depth (in) Wieser Concrete Products, Inc. Manufacturer 17.00 gal/'in (enter result in cal DoseTankVolume) Project: E)ert Tree Servlce & Science Page 2 of 14 Mound Plan View ................. nation ... 3 K ..J. ob�e�«, Poe ....... . .t.•..1.•. • t.1.-.:4.L.:..L:•....t.1:1:L:L:1:ti.:.:ti.1:t:•�.•�.1�1: •.t.•..t ..t.1.4.t. .L.1.......1.1.1. L. L.1....t.1.1........ ..1.4.1.t.•.. •..t. t.L.1. • f:J.:.J.: .: .J. J.J.:.: � .J.l.J.J.f.:.:.J.: .J.: .:.J. J.J.::J :J.: .J.J.J.: .: .J.: .J.: ' . `.:t..•..•:t:.�:1: t:.•:4: .� t.L:L.1:L:L:L:t:1.1.1:.•.t....1:t:t..•:t:t:t..� t: .'.. L: B 3.................. fl. J A I I I L Doom slope toe extension made. Al6.50 ft E I 7.34 in H I 1.00 ft K 1 8.17 ft B 45.00 ft F 14.50 in I 1 13.50 ft L 1 61.34 ft DI 5.00 in G 1 0.50 ft J 1 5.85 ft W 1 25.85 ft 292.50 (f1z) Dispersal Cell Area 1 900.00 (ftz) Basal Area Available 10.00 (gpd/ft) Linear Loading Rate 1 4.50 (ft) 1/10 B Obs. Pipe Placement GeoMat Dispersal Area Lervatn Pipe 12" ASTM C 33 sand astrequired for Geo MatDistribution Cell component 6GeoMat + 12" ASTM C-33 sand 102.63 Finish Grade Cover Material 101.50 Lateral invert Elevation X :'n' f�•.'. 100.42 Dispersal Cell : 4 : Slope 3.0 Elevation ' i ���. Contour Elevation 100.00 Tilled Area Forcemain In situ soil In situ soil 1 Topsoil Cap 2 Q Subsoil Cap 3 117--m"M ASTIR C 33 sand (F) 4 C'—= ASTM C 33 sand (D) S Ill Tilled Layer 6 Goo Mat See details on page 4 for number, size, and spacing of laterals. Project: Expert Tree Service & Science Page 3 of 14 End Connlml 1st orifice located at Z All orifices point down P tatarakr►fnrcemdnofPVC 5ch40per SPSTabk .30-51 Number of Laterals 2 Orifice Diameter 025 in Lateral Diameter 1.50 in Orifice Spacing (X) 3.10 ft Lateral Length (P) 44.20 ft Orifices per Lateral 15 Lateral End (Z) 0.80 ft Orifice Density 9.75 fie/ori lm Lateral Spacing (S) 3.25 ft Manifold Length 325 ft Lateral Flow Rate 17.48 gpm Manifold Diameter 1.50 in System Flow Rate 34.95 gpm Forcemain Velocity 3.57 ftlsec Dose Tank Information 4• Inlna Locking Cott wdh .caning label, locking device and water tighl �l BecVical M1m r Par M:C M ad SP53163l A' C OKJ Crade__.....H Clean out Wpe Sim / Tech Filter STF 100 1/16 nor shop mid wow n tight gadrl PuuW On Roar Dimension Inches Gallons A 19.00 322.99 B 2.00 34.00 C 5,00 85.01 D 12.00 204.00 Total 38.00 646.00 Venad Coves Oars w or erllawr lord Optional 4t Fore ream dwmetw f 2 In. ASIM pipe-` a.. rWWill Frnco Pump off elevation (ft) Prtp F 93.00 Irhad �_ Dose tank elevaton (it) 92.00 Wieser Concrete Products, Inc. Capecipir 1 646.00 Vokime 17.00 Filter Manufacturer I Sim I Tech Fifter Filter Model Number ISTF 100 1116 Alarm Manufacturer I SJE Rhombus Alarm Model Number I Tank Alert 1 Pump Manufacturer lZoallerComparly Pump Model Number 198 or 152 Pump Must Deliver 34.95 wn at 15.48 It TDH Note: Switches containing mercury may not be used in this system. gallinch Project: Expert Tree Service & Science Page 4 of 14 • 'JN 6.10 Con width (ft) 1.63 Sidewall to Lateral (ft) Distribution Cell Cross-section Arrangements .......... 90 ................. . ... Componen C Distribution Pipe With Pressure Lateral L�J Orifice Shield • Turnup Enclosure — — — — — Pressure Lateral GeoMat is covered with approved geote4le fabric as per the their product approval. Distribution Cell Plan View Layout - Typical 8.50 Cell Width -A (ft) 45.00 Coll Length - B (ft) End Connection Lateral Layout Diagram Pipe Oia. Send FYI Re meteded Distribution Lateral Orifice Shield proved Infiltrative Fabric 3 D Iti Geoti '. —1 ` Component '• { - Infiltrative Surface/Plow Layer line Parser Water Ti¢ht� l Topsoil Cap Todet flange 4" MI. i Q Subsoil Cap ? ASTM C 33 sand (F) "" 4 ASTM C 33 sand (D) r Mtn i^:tan at 1 Mwe 5 ® Tilled Layer 6 ® Cslo Mat r CLM iiA) Utei + + 3 + See details on page 4 for number, size, and spacing of laterals. Project: F)giert Tree Service 3 Science Page 5 of 14 Service Providers Name Wafters Inc Phone 715 821-5336 POWTS Regulators Name St Crobc County SPIA - Zoning Office Phone 715 3864680 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1!8 in Estimated Flow -Average 300 gpd Maximum BOD5 30 mg/L Septic Tank Capacity 1000 gal Maximum TSS 30 mglL Soil Absorption Component Size 292.5 ft2 Maximum FOG 10 mgfL Type of Wastewater Domestic Maximum Fecal Coliform 10E4 Ou1100 mL Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Other Service Freauencv Inspect and/or service once every 3 years Insped and clean as necessary at least once every 3 years Test once every 3 years Should test Periodically Laterals should be flushed and pressure tested every 3 years Inspect for ponding and seepage once every 3 years Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 394.30-1, have a watertight cap and are secured in as shown in the Synergy Systems GeoNlat Mound Component Manual Version 1, 2017, 2. Dispersal cell media conforms to GeoMat products approved for use with the Synergy Systems GeoMat Mound Component Manual Version 1, 2017. 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 0 6-8" Diameter o°o°o°o°o�°�o,, o°cFinlshed ��oo `` Threaded Cleanout °mac Lawn Sprinkler ��°no0R44Gradeo°°o o Plug or Ball Valve Lateral Ends at Last Orifice Where Lateral Cleanout 2.1 Feet s Long Sweep 90 or Two '*`45 Degree Bends Same Diameter as Lateral Project: Expert Tree Service & Science Page 6 of 14 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 [Synergy Systems L.L.C., Geomat Mound Component Manual version 1, 2017. 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 then 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Sti Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. 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 fitter 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 n of 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 fitter 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 113 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 that maximum scum and sludge accumulation in the tank. The addition of biological or chaff" 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 face main has a weep hole, h should be noted if it is functional during pump operation, and it 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 rot 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 nglL FOG for septic tank effluent or 30 mg/L BOD5. 30 mg/L TSS, 10 mg/L FOG, ad 10' cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow speeded in the permit for this installation. The pressure distribution system is provided with a flushing pant 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 call shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an inpading hydraulic failure requiring additional, more frequent monitoring. Continency Plan If the septic tank or any of its components became defective the talk or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing talk 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 it toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to !ring 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: Expert Tree Service S Science Page 7 of 14 12 w 10 152 30- c 8 25 1 TD/ o20- 15 4 2 10 5 0 1— GALLONS uIw 2 LL FT� 0 6 20 U_ 15 4 J i5 10 O H 2 5 0 PUMP PERFORMANCE CURVE MODEL 151/152/153 l FLOW PER II 014508 PUMP PERFORMANCE CURVE MODEL 98 10 20 30 40 50 60 70 GALLONS UTERS 0 e0 160 240 FLOW PER MINUTE om" a C 00 INLET v , ul n 146" I�4" CAST -A -SEAL IIII I IIII I I 024' 1 I FILTER OR IIII I i I BAFFLE IIII — 11 to _TT--__] LI v M II - II �— ——�L__s-_ M 4" CAST -A -SEAL 4" VENT OUTLET a PUMP PAD TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS WLP1000/650-MR TANK SPECIFICATIONS DIMENSIONS: WALL:- 3" BOTTOM: 3" COVER: 5" MANHOLE: 24" I.D. PRECAST CONCRETE RISER HEIGHT. 54 1/2" O.D. LENGTH: 146" O.D. WIDTH: 84" O.D. BELOW INLET: 43" O.D. LIQUID LEVEL: 38" WEIGHT: 14,940 LBS. INLET AND OUTLET: 4" CAST -A -SEAL BOOT OR EQUAL GASKET, CAST -A -SEAL BOOT OR EQUAL INLET AND OUTLET BAFFLE AND FILTER: WISCONSIN, SEE DETAIL #10 (OTHER STATES SEE CHART) LIQUID CAPACITY. 26.32 GAL/IN SEPTIC) 17.00 GAL/IN PUMP) m 8 Kw W W LOADING DESIGN: 8' 0" UNSATURATED SOIL �3cc �bU-) z 00 �o TANK CAN BE USED AS: �U) �' cv SEPTIC/SEPTIC, SEPTIC/ PUMP W o r? OR SEPTIC/SIPHON pQ COVER: MIX DESIGN /8 NO FIBER) (STRUCTURAL W = DO TANK: MIX DESIGN i10 FIBER) o CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WIESER CONCRETE 1 z z U F a. DRAWINGS SUBMITTED FOR APPROVAL APPROVED BY; I SHEET APPROVAL DATE: PRODUCTS NEEDED BY: /OF q U Spl Tatar:epdMl 1330832 Designr or Engbarlag systems: 0 22E3-7 / ALE / 2Or / ADVANCED ENV I ION M E NTAL / / / / / / / / -All vopdwly Mate not 0 Betxlwasrk SYSTEM NOTLS drawn are > 100R from dollic Task: eyeball Spa Boding .seas IMM50 gallon 2-o moartrnert tank -Dung trout 4' above feral grade -0o not mule dear water sauces into septic tank j j / / r — — — — — — — — — — — -------------/------------------- 1 Tree Trimming Businessl --�--l'�------------- I I Commercial Shop j 1 3-5 employees I 1 floor drain / / J I�� — — — — — — — — — — — Wieser f10' 4" 1000/650 sch 40 we 0 to east P.L. Field **Well to be located >50ft 0%% /I Edge from soil treatment area & � '~ rF t1070' >25ft from tanks** t70' r' sch 40 PVC 3% 0 m PC ad BM 1 = 100.00 Ln Top nail in 4" wooden fence -., U post (33" above grade) / BM2 = 101.00 Top nail in 4" wooden fence post or above grade) Pump Tank -Mgddn -Wetlm STF-100 Presase Filer mt^ alarm 4iwm reedy = Xglim Q 15.5TD I Man tank as remMry, nrlsn IN Mmede 4bialclne pop Farm lose and IN altar ON 4:vrsWXW mNrseer,mMWmewhh100110I01dM Soil Tratesest Area: 4 5x45 De*m Maud (A s M) 41.0M.4 Mode dnmllliaw (L L WI •101AZeyeernOrman mt00.0 W*ur .1rASTMcaldad1n0ra11e0eorh mhripons .CuMapMehbgmndwaddpptlq l 41sew aaEe lEserDam"ad eero a dppnpr -Plow absorption area to depth al 10-12' fDew pawl -0IMlnetacewawa wkomewem -awns., Mpestopeonaelrromoipaction d,kq aaeeldkn ao10INK10-OrpemhlhwpnclMcan) tow =10000 slop.• 3% Distribution: I114471aq 1 ? see 40 plc ldlydtaeil aeaehseiee Ra:idr erns br pmwem 4�menelevslm=101.50 •1 � herder, ereLtad Mkrak �' slime a A+' dpailM {riNb to be spaced lr kin ad of bed s W 10 fides Zenwhd am em1 N&V per dWph ION MAP (net to see.) SITE L 60TH AVE PREPARED FOR: �- - - Tony Hayden Teo cur RD T Hammond, WI 54015 PM: 136-1063-313-000 40.0 Acres Ldi NW 1/4 SW 1/4 S34 T29N R17W Village of Hammond him bees aM eadnded ti osswslwwe so stone aM Lose "" 1M ed Ywaerm eeM rrad eroMeded ham dAubwwe We/W esneseaen kedaw and Oder CW*bu d wL Scale: 1• - 40' Dote: 4J18/22 — _��� Public Facility Wastewater "PEAK" Flow Estimation Estimated Estimated Daily Source Unit # of Units Flow GPD Flow 1 Employees (total all shifts) Employee 5 13 65 2 Floor drain (not discharging to Drain 1 25 25 catch -basin) 3 4 5 6 Total Estimated Daily Wastewater Flow (GPD) 90 'Maybe high -strength waste Design Wastewater Flow (150% of Estimated Flow) GPD 135 Comments: Commercial shop for Expert Tree Service and Science tree trimming service with 3-5 employees and 1 floor drain in the proposed shop. System is being up -sized to 450gpd to accommodate future growth and increase system longevity. Toilet/sink waste ly. NO GREASE, PAINT, OIL, FUEL OR OTHER NON -BIODEGRADABLE FLUIDS SHALL BE PERMITTED INTO THE POWTS TEM. IT IS THE RESPONSIBILITY OF THE EMPLOYER AND EMPLOYEES TO TAKE EXTRA CARE TO REMOVE AS MUCH NON - BIODEGRADABLE FLUIDS/MATERIALS AS POSSIBLE USING OTHER APPROPRIATE MEANS PRIOR TO USING WATER THAT WILL BE DRAINED INTO THE POWTS SYSTEM. FAILURE TO KEEP GREASES, PAINTS, OILS, FUELS OR OTHER NON -BIODEGRADABLE FLUIDS OUT OF THE POWTS SYSTEM MAY CAUSE PREMATURE SYSTEM FAILURE. Wisconsin Department of Safety and Professional Services Page 1 of Z Division of Industry Services SOIL EVALUATION REPORT In accordance with SPS 385, Wis. Adm. Code minty Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, ST Croix but riot limited to: vertical and horizontal reference point (BM), direction and percent slope, Parcel I.D. scale or dimensions, north arrow, and location and distance to nearest road. 136-1063-30-ON Please print all information. Reviewed by Date Property Owner Property Location: ,S LV Tony Hagen (Buyer) Govt. Lot: NW '114 CW % S 34 T 29 N R 17 W Property Address Lot # Block # Subd. Name or CSM# TBD CTY RD T City State Zip Code Phone Number ❑ City ® Village ❑ Town Nearest Road Hammond IM 154015 1 1 Hammond I I CTY RD T ® NewConstnxiion Use: ❑ Residential/Number of bedrooms _ Code derived design flow rate 135 GPD ❑ Replacement ® Public or commercial — Describe: Shop for tree trimming business w/ 3-5 employees and 1 floor drain. Parent material Loess over loamy till (Vlasaty sil) Floodplain elevation if applicable NA ft. General Comments and recommendations: Recwvnww rmimum 17' w" Powrs mkwnd m 100.00 conlow wrU 0.49pdNQ badn0 rate. LF = 19- (Redodrtgrpr* fe@tur e) "Deep pkev (10.12') rekommerMed to peek up week-pletey solks in Sr' o Boqing El Boring ® Pit Ground surface elev. 100.00 ft. Depth to limiting factor 20 in. Gtil Arw-A"tLr Rwto Horizon Depth In. Dominant Color Munsell Redox Description Cu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 40#1 4Eff#2 1 0-11 10YR 313 I-sil 2f-msbk mfr cs 2m-vf 0.6 0.8 2 11-20 1OYR414 - I 2mabk mtr gs 1m-vf 0.6 0.8 3 20-33 7.5YR 4/4 f2f 10YR 518 a 10YR 52 Is-sl 1 csbk mvfr cw 1 m-vf 0.4 0.7 4 33-M 10YR 5/6 c1d 7.5YR era a 10YR W21 sl Om I mfr 0.2 0.6 Boring # ❑ Boring ® Pit Ground surface elev. 100.00 ft. Depth to limiting factor 19 in. C.vl A,"ir�ti. Rana Horizon Depth In. Dominant Color Munsell Redox Description Ou. Az. Cont. Color Texture Structure Gr. Sz Sh. Consistence Boundary Roots GPD/Ft2 4Eff#11 4Eff#2 1 0-11 10YR3/3 sil lmsbk-lmpl mfr Cs 2m-vf 0.4c 0.6 2 11-19 10YR 4/4 - sicl 2mabk mill gs 1m-vf 0.4 0.6 3 19-30 7.5YR 4/4 ill 10YR 5/8 a 10YR 512 sl 2c-msbk mfr-mfi cs 1 m-vf 0.6 1.0 4 30-36 10YR 4/4 c2d 7.5YR 5M d 10YR 5r2 sl 1 cabk-Om mfi 0.2 0.6 CST Name (Please Prim) Signature CST Number Ryan Bechel gj�1330832 Address Date EvaluatiorYConducted Telephone Number 779 Spring Creek RD S, Red Wing, MN 55066 04/04/22 (651) 327-0074 aBoring # ❑ Boring ® Pit Ground surface elev. 100.00 ft. Depth to limiting factor 19 in. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont Color Texture Structure Gr. Sz- Sh. Consistence Boundary Roots GPD/Ft' •Eft#1 •ER#2 1 0-10 10YR 3/3 - sit 2f-msbk mfr cs 2m-vf 0.6 0.8 2 10-19 10YR 4/4 - Sid 2mabk mfi gs 1 m-vf 0.4 0.6 3 19-33 10YR 414 f2f 10YR 5/8 8 1oYR 6/1 sl 1 csbk mvfr cs 1 m-vf 0.4 0.7 4 33-38 10YR 414 c2d 7.5YR Us 6 10YR W SI lcabk-Om mfi - 0.2 0.6 q❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor_ in. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Stricture Gr. Sz. Sh. Consistence Boundary Roots GPDUFe •Eff#1 DEW Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor _ in. Sal Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDIFe •Eff#1 -Eff#2 Effluent #1 = BOD, > 30 s 220 mg/L and TSS > 30 5 150 mg/L ' Effluent #2 = BOD, > 30 s 220 mg/L and TSS > 30 6 150 mg/L Designer. Ryan Bedtd Certifmd Sol Tester. 1330832 Designer o1 Engbeering Systems: D 2263-7 j ALE / 20' , 40 ADVANCED EN V I AO N N E N 7 A L •AA ProM Nnes not (2) BendwnMC t dress) we >Mft ham TB eydwn 9 so Borkv z/ z z z z// z z // /// z z—Z. 1 .L/ Pump Task: (------------� Tree Trimming Business Sod Trestmast Arm:) ' aeodNned asiN,a 1r w" pOhTS name an Commercial Shop p I 100.00MMrMb0.4,�N1°babglsta "DWpbs(10-Inmonmenaadbdae"ac "�,eta,,a (approx. location I 1 .1 i-0sOhblwYkem*1Y(RadmsllephkieAam) -0 subject to change) MW � 3% L-------------� to Bask P.L 4lowUS"As vnm,edaeblaoo O O I • o � **Well to be located >50ft 6qO from soil treatment area & / "t ,� t1070' >25ft from tanks** ¢yN LOCATION NAP (not to soda) 1. \ CCD3% �� � `'1 A\ 1 U 0 BM 1 = 100.00 Top nail in 4" wooden fence \ post (33 above grade) 60TN AVE BM2 = 101.00 PREPARED FOR: \ $CD Top nail in 4" wooden fence Tony Hagen post (12" above grade) SMAddlew: — — — — - — - — - — - — Helnmottd, W1 54015 PID: 136.1053-30-000 40.0 Acres LeDW: NW 1/4 SW 1/4 Z S34 T29N R17W a Wloge of Hammond IT Sldalnallt llda aydam hw Owl Owl74d and VMkW ad In a000rdaw WM Stop and food oodaa. The al bmbnalll ono must 'a 4 Ora'taatad ham d4babo and/or aompalbn bahna and alto cansblWAM scale: 1• MY Dube: 4/4j22 non' IS WOE 7tW M S M au 00rr HA 10 FW CnM PMU*a1ELY. m,M to awards& Rw"a. 'a 4 WwraUen an o and ,,,ssianana Box 220 A� Y V Verona, W3593-0220 er WI 53S�.d..` BUILDING CORP. Phone: (608) 845-9700 teamry u� Fax: (608) 845-7070 Building Specification For. HAYDEN, TONY CTY RD T HAMMOND, WISCONSIN 54015 Work Phone: (715) 308-2432 Email: tonyhayden96@gmail.com West End Wall 1 on Building 1 Elevations & Floor Plan Building Site Location: Location: N/A Tenant: N/A CTY RD T HAMMOND, WISCONSIN 54015 County: SAINT CROIX 4/14/2022 HAYDEN, TONY Doc ID:2648520220414093653 Note: These colors are as dose to the actual colors as permitted by printing. Actual metal samples must be reviewed with your Sales Specialist Colors vary depending upon position and angles. v1.0 built with pride before the 0 is applied k 1 of 9 dfik BUILDING CORP. lea ul ng om P.O Box 930220 Verona, WI 53S93-0220 Phone: (608) 845-9700 Fax: (608) 845-7070 East End Wall 2 on Building 1 Elevations & Floor Plan 4/14/2022 HAYDEN, TONY Doc ID:2648S20220414093653 Note: These colors are as close to the actual colors as permitted by printing. Actual metal samples must be reviewed with your Sales Specialist. Colors vary depending upon position and angles. North Side Wall 1 on Building 1 Note: These colors are as dose to the actual colors as permitted by printing. Actual metal samples must be reviewed with your Sales Specialist. Colors vary depending upon position and angles. v1.0 built with pride before the is applied " 2 of 9 dfARY BUILDING CORP. ClearyBuilding.com P.O Box 930220 Verona, WI 53593-0220 Phone: (608) 845-9700 Fax: (608) 845-7070 South Side Wall 2 on Building 1 Elevations & Floor Plan 4/14/2022 HAYDEN, TONY Doc ID:2648520220414093653 Note: These colors are as close to the actual colors as permitted by printing. Actual metal samples must be reviewed with your Sales Specialist Colors vary depending upon position and angles. V1.0 built with pride before the ® is applied 3 of 9 dfARY BUILDING CORP. lea uilding.eom P.O Box 930220 Verona, WI 53593-0220 Phone: (608) 845-9700 Fax: (608) 845-7070 Elevations & Floor Plan 4/14/2022 HAYDEN, TONY Doc ID:2648520220414093653 is applied R Y1.0 built with pride before the A 4 of 9 dfAk BUILDING CORP. Clearysuilding.00m P.O Box 930220 Verona, WI 53593-0220 Phone: (608) 845-9700 Fax: (608) 845-7070 East End Wall 1 on Connected Building 1 Elevations & Floor Plan 4/14/2022 HAYDEN, TONY Doc ID:2648520220414093653 Note: These colors are as dose to the actual colors as permitted by printing. Actual metal samples must be reviewed with your Sales Specialist Colors vary depending upon position and angles. West End Wall 2 on Connected Building 1 Note: These colors are as dose to the actual colors as permitted by printing. Actual metal samples must be reviewed with your Sales Specialist Colors vary depending upon position and angles. v1.0 built with pride before the 4 is applied 5 of 9 LLLA l 1. BUILDING CORP. lea uilding.com P.O Box 930220 Verona, WI 53593-0220 Phone: (608) 845-9700 Fax: (608) 845-7070 South Sida Wall 1 on Connected Building 1 Elevations & Floor Plan 4/14/2022 HAYDEN, TONY Doc ID:2648520220414093653 Note: These colors are as close to the actual colors as permitted by printing. Actual metal samples must be reviewed with your Sales Specialist Colors vary depending upon position and angles. v1.0 built with pride before the ® is applied' 6of9 GIA l 1. BUILDING CORP. Clea uildinp.com P.O Box 930220 Verona, WI 53593-0220 Phone: (608) 845-9700 Fax: (608) 845-7070 North Side Wall 2 on Con. cdd Building t Elevations & Floor Plan 4/14/2022 HAYDEN, TONY Doc ID:2648520220414093653 Note: These colors are as dose to the actual colors as permitted by printing. Actual metal samples must be reviewed with your Sales Specialist Colors vary depending upon position and angles. v1.0 built with pride before the 0 is applied' 7 of 9 dfik BUILDING CORP. Clearyu .c m P.O Box 930220 Verona, WI 53593-0220 Phone: (608) 845-9700 Fax: (608) 845-7070 Elevations & Floor Plan End wan 2 -36'0'- End MWI 1 4/14/2022 HAYDEN, TONY Doc ID:2648520220414093653 II c T I N N T T Q I V1.0 built with pride before the ® is applied 8of9 dfARY BUILDING CORP. Cleary u� Ildl P.O Box 930220 Verona, WI 53593-0220 Phone: (608) 845-9700 Fax: (608) 845-7070 Elevations & Floor Plan 4/142022 HAYDEN, TONY Doc ID:2648520220414093653 Note: Clearance may be reduced by finished Floor height. Roof Pitch: 4/12 \ Roof Peak Height: 27' 8" "A" = Actual Eave Height 17' 8" "B" = Truss clearance at heel and center. 16' 0" (Truss clearance = V-0" less than nominal eave height, in most cases. __— 1 41100W If nested purlins are used, truss clearance will be increased by 4".) SWndWd Lower Chad Truss (SLC) t m m 10ow Starldend Lower Chord Truss (SLC) Roof Pitch: 4/12 Roof Peak Height: 15' 4" "A" = Actual Eave Height 9' 4" "B" = Truss clearance at heel and center. 8' 0" (Truss clearance = V-0" less than nominal eave height, in most cases. If nested purlins are used, truss clearance will be increased by 4".) V1.0 built with pride before the ® is applied 9 of 9 ST. C R NTY SANITARY SYSTEM Rile #- *"'1" OWNERSHIP/ADDRESS FORM Office u��* 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 PropeM Files Scanned weblink. Owner/BWw c RT OWNER/BUYER INFORMATION L. L C ( Thy 11cey gLeh Mailing Address b' 9-/X %° City/State/Zip Wr-�w /�•'cii nio✓� OVA &-;' S-* O 1 T Phone Number (required) Zj S— - 208 - ,;z 4 3 2, Email Address (required) 7'40 h v 6V e '��42 e Parcel Identification Number / 36v — / O 6 3' — 3 0 - C70 C7 (found on the property tax bill) NEW SYSTEM: LEGAL DESCRIPTION Property Location N I'll1/4 , S W114 , Sec 3 4 T� 9N R�W, Te;ii� day ire o h aG Subdivision Plat: — . Lot # a Certified Survey Map # 117r 24 C D Volume 3 0; Page # ZL O � . Warranty Deed i# //S.S'- f'7 C7 (before 2006)Volume . Page # Number of bedreom C"f'"cn'r'd / Spec house O yes)d no Lot lines identifiable)Kyes O no ode�.-trs-, yo/oz�7� aPd OFFICE USE ONLY New Property Address __-V t"` (Verification of new address (Staff Initials) (Date) 0% Department for new construction.) 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 mode in the warranty deed. Community Development Department - Land Use Division 715-386-4680 St Croix County Government Center cdd sccwi_aov 1101 Carmichael Road, Hudson, WI 54016 715-245-4250 Fax www.sccwi.00v Parcel #: 136-1063-30-200 0712812022 10:42 AM PAGE 1 OF 1 Alt. Parcel #: 34.29.17.675B 136 - VILLAGE OF HAMMOND Current U ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 04/26/2022 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner MARIS INVESTMENTS GROUP INC O - MARIS INVESTMENTS GROUP INC 1145 QUENTIN AVE S LAKELAND MN 55043 Property Address(es): ' = Primary Districts: SC = School SP = Special Type Dist # Description SC 2422 SCH D ST CROIX CENTRAL SP 1700 NORTHWOOD TECH Notes: NEW FOR 2023 AFTER CSM SPLITS 136-1063-30-000 TO 2 LOTS. Legal Description: Acres: 19.798 SEC 34 T29N R17W PT NW SW CSM 32-7108 LOT 2 Parcel History: Date Doc # Vol/Page 06/17/2022 1154789 04/26/2022 1152120 32l7108 06/23/2006 828106 04/04/2005 791207 2776/332 Plat: • = Primary Tract: (S-T-R 40% 160%GL) Block/Condo Bldg: • 7108-CSM 32-7108 136-2022 34-29N-17W NW SW LOT 2 2023 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Type CA CSM WD ANNEX Valuations: Last Changed: 05/31/2022 Description Class Acres Land Improve Total State Reason Totals for 2023: General Property 0.000 0 0 0 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 cc o „ Wisconsin Department of Safety and Professional Division of Industry Services LAVC I ROM[F=D APR 11 2022 AL EVA-(QA3T)1Q1dLRW0RT In accordan °VC" County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, ST Croix but not limited to: vertical and horizontal reference point (BM), direction and percent slope, Parcei LD. scale or dimensions, north arrow, and location and distance to nearest road 176-teem Please print all Information. iRqviewed, Page 1 of 2 - /0(,3 -3o-u0 Property Owner Property Location: Tony Hagen (Buyer) Govt. Lot. NW % CW Y. S34 T 29 N R 17 W Property Address Lot * Block R Subd N e or CSMB TODCTYRDT y 00 tbc120 City State Zip Code Phone Number ❑ City 0 Village ❑ Town Nearest Road Hammond WI 154015 1 Hammond I CTY RD T M New Construction Use: ❑ Residential/ Number of bedrooms_ Code derived design flow rate 135 GPD ❑ Replacement © Public or commercial — Describe. Shop for tree trimming business wl 3-5 employees and 1 floor drain. Parent material Loess over loamy fill (Vlassty all) Floodplain elevation if applicable NA fl General comments and recommendations: Recommend minimum 17'send-if POINTS mound on 100.00 oonlour.nM 0.49pdM loading Mr. LF = 19' (Rsdoximorphlc f"tum) "Deep plow (10-12-) mmnimsiWsd m Weak up week-piNy "sin B2" Boring * ❑ Boring spit Ground surface elev 100.00 It, Depth to limiting factor 20 in. Snil Annliratim Rale Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz, Sh. Consistence Boundary Roots GPD1Ft2 'Effa1 'Effrr2 1 0-11 10YR 3/3 I-sil 2f-msbk mfr cs 2m-vf 0.6 0.8 2 11-20 1OYR 414 1 2mabk mfr gs 1m-vf 0.6 0.8 3 -33 7.5YR 4/4 Rf 10YR 518 d 10YR 514 Is-sl lcsbk mvfr cw 1m-vf 0.4 0.7 4 33-38 1 OYR 5/6 cl it 7.5YR 518 it 10YR 512 at Om mfr 0.2 0.6 B❑ Boring Boring A pit Ground surface elev. 100.00 fl. Depth to limiting factor 19 i Cnil Annlicnfim Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu Az. Cont Color Texture Structure Gr Sz. Sh Consistence Boundary Roots GPD/Ft' 'EfNr1 -Effff2 1 0-11 10YR3/3 sil lmsbk-lmpl mfr cs 2m-vf 0.4c 0.6 2 11-19 1OYR 414 - sicl 2mabk mfi gs 1m-vf 0.4 0.6 3 19-30 7.5YR 4/4 fit 10YR 5/8 a 10YR 5/2 sl 2c-msbk mfr-mfi cs 1 m-vf 0.6 1.0 4 30-36 1 1 OYR 414 c2d 7.5YR 518 a 10YR 512 sl 1 cabk-0m mfi 0.2 0.6 �..4TCC''81<19 Mnll 1=111M1n Or ry rv...- -- —,- CST Name (Please Print) Signature CST Number Ryan Bechel 1330832 Address Date EvaluatioffiCunducted Telephone Number 779 Spring Creak RD S. Red Wing, MN 55M 04J0422 (651) 327-0074 RRf).R:iAO /R041151 M ❑3 Boring # ❑ Boring M Pit Ground surface elev. 100.00 It Depth to limiting factor tin_ Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr Sz. Sh Consistence Boundary Roots GPD/Ft' 'Eff#1 'Eff#2 1 0-10 10YR 313 sit 2f-msbk mfr cs 2m-vf 0.6 0.8 2 10-19 10YR4/4 - sicl 2mabk mfi gs 1m-vf 0.4 0.6 3 1 3 10YR 4/4 2f 10YR 518 6 10YR 611 st 1 csbk mvfr cs 1 m-vf 0.4 0.7 4 33-38 10YR 4/4 c2d 7.5YR 518 d 10YR 6/1 at 1 cabk-0m mfi q❑ Boring # ❑ Boring ❑ Pit Ground surface elev. It Depth to limiting factor _ in Q. ii enNfrminn a.m Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 •Eff#1 'Eff#2 ❑5 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor _ in. Snd ennlirnlinn Rnfn Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Con[. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft' 'Eff#1 'Eff#2 ' Effluent #1 = BOD. > 30 5 220 mg/L and TSS > 30 5 150 mg/L ' Effluent #2 = BOD, > 30 s 220 mg/L and TSS > 30 s 150 mg/L A" ❑3 Boring # ❑Boring E Pit Ground surface elev. 100.00 ft. Depth to limiting factor 19 in. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Fl2 •Eff#1 •Eff#2 1 0-10 10YR 313 all 2f-msbk mfr cs 2rn-vf 0.6 0.8 2 10-19 10YR4/4 Sid 2mabk mfl gs Im-vf 0.4 0.6 3 1 3 10YR 4/4 f2f 10YR 5r8 pYR 6/1 all l csbk mvfr cs 1 m of 0.4 0.7 4 33-M 10YR 4/4 c2d 7.M US a 1M Oil sl 1 cab*Om mfi 0.2 0.6 aBoring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor _ in. Soil Application Rate =MW I MWOM-FIMM MMO �ei:ipjia ❑5 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor _ in. Soil A Ication Rate Effluent #1 = BOD, > 30 5 220 ng/L and TSS > 30 s 150 mg/L ' Effluent #2 = BOD, > 30 5 220 rng/L and TSS > 30 5 150 mg/L Dm r. R Sachet •A" o 'V not O Benchmark ° Certified Sol Tate 1330832 Dwlgner of Engineering Systemic D 2263-7 FADVANCED E N V . R O N v E 4 T n L dr w, ae 100R I om system 1$� Sol Boring s ALE / / / / / / / J(] 20. /40r/ ------------ /� O Tree Trimming Business Commercial Shop i i (approx.location i subject to change) '1 L---------J �I to east P.L. i O O Edge /*`Well to be located >50ft C 0 from soil treatment area & �.< ±1070' >25ft from tanks** /1 l �Q Saracit 100.00 �\ Top nail in 4" wooden �e post (33" above grade) \ BM2 = 101.00 1�m Top nail in 4" wooden fence post (12" above grade) SYSTEM NOTES Soil Treatmeml Am: Aemmwd mm to 17'smd111 PONTS mould on 100 00 cor i= arl 0. kVd7t 4edrq rate -Deep pin (10-121 ecamerrded m had W aed plaery sod m 82- Doto reskim = Ir Qtedoorwp c leearer) tordowzioow .SI,R_3% LOCATION MAP (not to soda) 60TH AVE PREPARED FOR: Tony Hagen TBD CTY RD T . - . — . — . — . — . —/ Harmtond, wl 54015 PID: 136-1063-30-000 40.0 Acres Legal: NW 1/4 SW 1/4 534 T29N R17W village of Hammond out1w si rw . WwWrV R . 1 has been deeklned ad wdaamd In occordaoe eM 9hb and tmd codm ih edl tech; w °n° mrot roman petected fan debrbaoe wWw aerps , bdo, °ed Ater 0-0-1— I Scale: I- = 49 Date: 414122 a SM[le Mel acrmaE m FUNCn0N PCUVMr. Sown mat be popsy rroraabod. 11Mw rar oyaWn's nnoewera Plan for Inknrodon w pupa °an see mdnlavow u m �R� �cvrc SkoP / t couNrr NO. 644748 :9MIA a awl I J PLUMBE14 EXPIRES CRY PE I ixe Is PREVIOU 3 SUBDIVISION 00 CHAPTER 145.135 (2)4VISCONSIN STATUTES (a) The purpose of the sanitary permit is to allow Installation of the private sewage system described in the permit. (b) The approval of the sanitary permit is based on regulations in force on the date of approval. (c) The sanitary permit is valid and may be renewed for a specified period. (4) Changed regulations will not impair the validity of a sanitary permit (e) Renewal of the sanitary permit will be based on regulations in force at the time renewal is sought, and that changed regulations may Impede renewal. (i) The sanitary permit Is transferable. History: 1977 c.168; 1979 c. 34,221; 1981 c. 314 Note: Ifyou wish to renew the permit, or transfer ownership of the permit, please contact the county authority. G OFFICER - DATE '2 UNLESS RENEWED BEFO POST IN PLAIN VIEW THAT DATE VISIBLE FROM THE ROAD FRONTING THE LOT DURING CONSTRUCTION SBD-06499 (R11/20)