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Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes (Privacy Law. s 15 04 t 1)(n i Permit Holder's Name city Village Township Sandra Anderson (Michael Anderson) TOWN OF EAU =GALLE CST BM Elev linsp BM Elev IBM Description TANK INFORMATION ELEVATION DATA t TANK SETBACK INFORMATION TANK TO P/L WELL BLDG vent to Air Intake ROAD Septic Dosing Aeration Holding PUMP/SIPHON INFORMATION to avll_ AMOIJ1111' I IUN SYSTEM STATION BS HI FS ELEV. Benchmark Alt SM Bldg. Sewer SIIHt Inlet SVHI Outlet Of Inlet Dt Bottom Header/Man. Dist. Pipe Not. System Final Grade St Cover SED/TRENCH DIMENSIONS Widlh Length No Cr Trenches PIT DIMENSIONS No Of Pits Inside Dia. Ligwtl Depth SETBACK INFORMATION SYSTEM TO P/L JBLDG JVVIELL LAKE/STREAM LEACHING CHAMBER OR Manufacturer type Of System UNIT Model Number HeaderiMandold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Lenplh Dia Length Dia Spacing enu nnv�n Depth Over epthrverench Center Depth Over BedlTrench Edges --.. ...__.._ _.... _. _.... xx Depth of Topsoil ..z......,� ..,.,� xx Seeded 'Sodded xx Mulched _ Yes No _ Yes 7N, vvnnu=111 0. (include code discrepencies. persons present. etc.) Inspection #1: Inspection #2. Location: 226 250TH ST 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = Plan revision Required? Yes No Use other side for additional information, SBO-6710 (R.3197) Date Insepctor's Signature Can No ,a4�ar Nr �i i �� /. Coun C"" ; Safety and Build4s Division G ,GAG a ' 2 2022 01 W. Washington Ave., P.O. Box 7162 ��y/P�/it�Number be filled in by Co.) ' _ = 3UL Madison, WI 53707-7162 (to County (P7T Croix nt ; t` ermitApplicat' State Transaction Number _0?2.201a�`_e' In accordance with SPS 383.21(2). Wis. Adm. Code, submission of this form to the appropriate units- m}Lt.00 0 - SSO is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to Project the Department of Safety and Professional Services. Personal information you provide may be used for secondary Address (if different than mailing address) purposes in accordance with the PrivacyLaw, s. 15.04(1)(in),Stats. ^ ^ k 4 (, I. Application nformation - Please Print All Informa ' n O-4 U1.mJ L Property Owne s Name s , 1_ _ n /.. �J,,I- SGtnU� 4 Parcel k IMit jO /J /WW 1 Gx> d0� Property is Mailing Address �., Prosy Location Govt. Lot DW r�i _l/4r�$eot�lOt1�2 T28 N; R � West City, State II t)eLll w� Zip Code 7� �0� Phone Number �I�.ZGZ' 1a-�o' II. Type of Building (check all that apply) Lot a 1 or 2 Family Dwelling - Number of Bedrooms -� Subdivision Public / commercial - Describe use l0a�- Block # State owned - Described use ' Na ❑ City of Village of �QL� UeQ CSM Number _�E t/ Town of 111. 7yp of Permit: (Check only one bolt on line A. Complete line B if applicable) A. New System R laament S stem Treamment(Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. ❑ Permit Renewal ❑ Permit Revision ❑Change of Plumber ❑Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration t)wner IV. Type of POWTS System/ComponeriVDevice: (Check all that apply) Non -Pressurized In -Ground ❑ Pressurized In -Ground At -Grade Mound > 24 in. of suitable soi u < in. of suitable soil Holding Tank ❑ Other Dispersal Component (expl ) ❑ nt Device (explain) 1 V. DispersaVheatment Area Information: x AUU A 1 _ , Design Flow (gpd) Design Soil Application Rat f) Dispersal Area Required (sf) -Dispersal Area pe Proposed (sq System Elevation lco'S' 98,o' VI. Tank Info Capacity N Total g of Manufacturer �+ Gallons Gallons Units p I LO 9tO'4tLl 4RI E5 _ G• New Tanks Existing Tanga q Q U ti Septic Tank loop i l�. L6'bSVL Lift Tank )t pp a t Vll. Responsibility Statement- I, the undersigned, me pomibill ins tlon of the POWTS shown on the attached as PI ber's Name (Print) ignaturc MP/MPRS Number Business Phone Number ewis Bork 253976 715-231-7375 Plumber's Address (Street, City, State, Zip Code) 14 E7818 CountyRoad E Menomonie, WI 54751 Vlll. County/Department Use Only Approved ❑ Permit Fee S Date Issued Iss g Agent Signature Given eason for Ienial 6�— ZO2� [X. Conditions Approv �\ L_ / n YSTEM / 9C LvC et vvms�a+� OWNER: Septic tank, effluent filter and SO �tepr,� u,e Q Q 1, dispersal cell must be serviced /maintained ei n as per management plan provided by plumber, i)—,Qp�S �S�eUct-� All se ackre uir rent t YYYiii us, lie mainjan,,io jas pe applicable code/ordinances8(R. /ll /� I�+ Stu �6 "4440% 4D ehP W f �co�1 �Oultrn�tLen8Mul4�td+r� a�A- N,A6 ��I ,A✓ 1 , CHECK BOX AS APRICARE. C ECK %AS APPuCAKE. ❑ SOIL EVALUATION Scale; t'=417 SYSTEM PAGE 2 OF I'o SITE MAP 0 40 60 B0 PROJECTPLOT PLAN +j NAME; 1 �IU(JC/5[1N to' oEsIclvr�ow: -aa DPD r� ^^�� / Attach deslgn flow calculations for commensal plans. PROJECT ADDnESs: ea6 9 PipeMal6dal!ASTM (Tables MM.30-33384.30-6) BM Slyrf l: *6 /GSM E WMbn: FT N SAY Sewer. am 0 npum SP (c %t4 l nl RR.i Fwm Mrn / a — .-T of fettOeeAgree s way �T" IwaDPI �awtJ: O dreOng onm , Show ground elawddonIMP� at suitable intervals. m yr ommpA. *w �fAS�CiL Pl,-I-i ffZ5 597&" --- Gr�s01,5, i 9�1 r—� 1 3 i319' too Gft�+ �atia . t �,,(.4 Ir 0 (.2/�)ae (lG>N e 48 113 j5 A/cri KFv►L�„ ►1n nc`rKC%r---r QArik X wrIS w9�S July 8, 2022 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 2024-07-08 Plan Review: PWTS-072201456-C LEWIS MORK E7818 CTH E Menomonie WI 54751 SITE: Michael Anderson 226 250" Street St. Croix County Town of Eau Galle SW Y4 - SE % - 522 — T28N — R16W FOR: DIVISION OF INDUSTRY SERVICES 10541 N RANCH RD 11AYWARD W1 548434462 Carftd TNUO MtPJAft".wi.pov0Wv j&4u�61`w�iOM www.wwwron.yov Tony Even - Oovrnor Dawn crirn - a.ersk. CONDITIONALLY APPROVED DEFT OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES CIE64ldti:ck SEE Co PONDENCE Description: Mound Component Manual for POWTS — Ver. 2 Bedroom Mound — 300 GPD — 2.1 (May 2022-2027) Replacement - 6" to limiting factor — Pressure Distribution Component Manual for Effluent Filter - Maintenance required POWTS — Ver. 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, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders • This approval Is subject to the conditions of the Interpretive Determination approved for this site — FWTS4=200070-SSO.1 dimension =14' for .3 loading rate recommended in IDR, • Maintain proper well setbacks from the toe of the mound perimeter per Table A In NR 812.08. • The existing system shall be properly abandoned per SPS 383.33 • Care must be taken to set the dose volume as approved in the plan design. If the minimum tether length of a single switch mechanical float does not allow the proper dose volume, two separate floats must be used. 0 Prior to construction of the dispersal area, check the moisture content of the soil to a depth of 8 Inches. Smearing and compacting of wet soil will result In reducing the Infiltration capacity of the soil. Proper soil moisture content can be determined by rolling a soil sample between the hands. If It rolls Into a 1/4- inch wire, the site is too wet to prepare. If it crumbles, site preparation can proceed. If the site Is too wet to prepare, do not proceed until it dries. • 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. • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 14S.19, Wis. Starts. • 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. 14S.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 insoection 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.S4(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, L'ael R CeCe (Elizabeth) Rudnicki Wastewater Specialist/POWTS Plan Reviewer, Division of Industry Services (608)400-3186 elizabeth.rudnicki(@wisconsin goy Mound Plan PAGE 1 OF 6 Index & Cover Sheet Component Manual Design References: Version 2.0, SBO-10691-P (N.01/01, R. 10/12) & Version 2.0, SBD-10706-P (N.01/01, R. 10/12) Pg 1 of 6 Pg2of6 Pg3of6 Pg4of6 Pg5of6 Pg6of6 Pump Tank Specifications Management Plan Index & Cover Page Plot Plan Mound Cross -Section & Plan View Distribution Network Specifications 0o00'I'� Attachments: Enclosures: Pump Curve POWTS Application for Review Soil Evaluation Report 8t Site Map Project Name / Description Owner Name(s): &6.0t R l; rw Phone 7js_:ZL -7Z6 Owner Address: -116 Zip:_ Project Address: _S►ky*L Govt. Lot: 1/4 of �5E .1/4, Section T_&N.RAE❑or W® Township: 6N1/{ County: Project Parcel ID M: - - CO Designer Information Designer Name: Lewis Blork Phone: 715 -231 -7375 Designer Address: E7818 County E Menomonie WI Zip: 54751 E-mail: IewisbiorkO-Yahoo.com CONDrTTONALLY License Number: 253976 APPROVED Remarks: DEPT OF SAFEn' AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SEE CORRESPONDENCE Signature: Date: ur Z$ - 2OL2- 1 spnsture required on each submitted copy CHECK WX AS APPLEA E. c CK Ae K APPLICABLE ❑ SOIL EVALUATION SM18:I"=40' SYSTEM PAGE 2 OF SITE MAP ° `0 °0 BO PLOT PLAN PROJECT NAME: 10, misp °ESiGN FLOW -A� cWD P_L�LL>1GL 1. A/a t /�c�� / Adadn now calculabons for commmdal plans. PROJECT A°ORES3 ,(1A a 6 (� J`' POO Mabeial / A8TM R,da. NW.3W a 3M.3M) BAI SNmba INEWYonaFT N sWYrY'3I� / 6 ForpM�n Main , ,p' Orad m lxl 3 Wan Brmea Ir aopuc,owr O y "0nr on u. ten. rr IMPORTANT: bura a wed Maa Show ground elevedon oonat suitable k%Mrm a. ,��. /, j ttZ5 39A7 A( & % Skr^q I 9l r 3 p, NE I rr:E C15 DI%JFLn y �/ 1!/ 3 r3 � 3 `Y rNAck�H_ SVn, v WK.) ►1n 11SPA% <r- r CAArlk Me%%wQ S 0.5• TO 2.51 WASHED AGGREGATE (rrb. 6.0' bermth dbtrbutbn pipe - min.2.0• over dietrbubon pipe and covered with approved synthetic fabric) ASTM C-33 SAND FILL 111 ... ... fin. 0ItT.5 1 p Pbwed Surface SINGLE -CELL MOUND DISPERSAL AREA FMA MIN. 6.0.OF TOPSOIL COVER mm min. 1.0 ft i-- A I Surface Contour �� _ 3 % Slope -� Elevation = It D=a•sfl E=2-Zfl System Elevation = Qp.,T ft Lateral Invert Elevation = 10L ft (Show force man, manifold, and flush valve bcations on plan view.) PLAN VIEW (No Scale) (.7 •0 Schdl 40 PVC Lateral G! 1 = T '51 It ft (typical) (tv)�) 1 - — — — — — —--------------------------------------------------.- � �'re'—►----------- W � ItI----------------------ft ------------ 8-- - ------------------- ------------� MWcw) Must be 14' for .3 Bend as �necessary to fogow contour loading rate m OPE TOE recommended W L=o Prohblt disturbance and vehicular traffb t) within 15 bet of downslope toe. Resat Puwo DISTRIBUTION NETWORK SPECIFICATIONS (No Scale) FLUSH VALVE DETAIL (No Scale) Orifice in — Valve Box Lateral Spacing Center of Threaded Cap^ (insulation optional) S ft for Head Testing / (optional) i \ \ Shield orifices for \ VXV611033 applications Bell Valve (optional) Lateral Length (P) = Iffi—R Orifices equally spaced: (der PlPes optional) �40 Schdl 40 / PVC ManUM �? '0 Schdl 40 '— PVC F (slope tc pump tank r— for drain -back) First Ortke (typal) /f Laterals to be level Schd140 PVC Lateral 0 = --� S in (typical)— 13Number of Orifices per Lateral = ( a) OR b) belowl \ a) along bottom of lalerai Orfces equally spaced Flush Valve along bottom of lateral b) n sbnp lop or lateral Assembly (typical - see detall) � with every _ th hole � faeirp down Last Orfltce h (typal) Orifice Spacing (x) _ �.�in LATERAL INVERT ELEVATION = V ( ft (typical) --- Cal (tYIH ) Orifice Diameter = t 6 in OBSERVATION PIPE DETAIL (No Scale) Screw -Type orF(rtislted Sop Cap (loose) W Grade :- ( ti seeded) 4-0 PVC Poe ; ;.. Topsol Cover Top of pipe to terminate (min. I k*t) at or above firtished grade (4) IM%l x 6' Slots ® apart Anchoring Device Infiltration Ordice Discharge Rate = " 6 6 gpm Number of Laterals = a Lateral Discharge Rate = g • 5 Ugpm TOTAL DISCHARGE RATE _ . ISO GPM (typical) First OrMce (typical) E---x--4 rv{ END MANIFOLD ma Check /5 CONNECTION applicable box. ManKoid First Odite (riser pipe optic") D (typical) G) I- x-- xrz xr2--}--- x ---� m IhP�I> (typical) CENTER MANIFOLD n M8°�o1d CONNECTION O� (riser pipe optional) PAGE 5 OF 6 SEPTIC / PUMP TANK SPECIFICATIONS 4-0Vent P" (No Scale) > 10 R from Buddrny 12' Min. or 2.0 A above Eslabirshad Flood Ellin mon (Nora') IMPORTANT: Anchor tank(s) as necessary Pursuant to SPS 383.43(8)(g) Firu~ Crada CAPACITIES Q . -,lo gaVin Depth (in) Volume (gel) A Z �. 8 2.0 (c] . D �} Approved Vent Coo . e 4 E adnca mum Comply wth SPS 316 and NEC 300 Weatherproof Junction Box *Pump Tank Liquid Level = ' i in �"mp 0 Force Main Diameter = in Force Main Length = �� ft 3'AppnwedBadd. Force Main Void Volume = 1' gal L14' 1 b [C] Total Dose Volume (TDV) = . L,?> mm gal/dose (5X total lateral void vokmte < TDV < 0.2X design flow) • If. ..I - MIN. PUMP DISCHARGE RATE = gpmm PUMP TANK: Volume = CD gal Manufacturer: Q )I t `>! Pump Manufacturer: 2ve l a. Pump Model: -_A1 15Z (s.a.uuaad wrnP tuna.) Controls/Alarm Manufacturer. -& &A.. f, Controls/Alarm Model: Float switches containing mercury are nrnhibited Avtrphr Sam Emend manlgh near as rleoeapry. Approved Locking MarWo4 will waminp Lebal Altualted (Now) rlais t _ Marm , _ On (;anCrw Block isl BensNf+ Tank or 03 + Min 4' Mm or 2 0 R above Established Food Elevation INpresl) thaearwrect 1a'Mn. .lyfrcap Approved Joints wed Apprwad Ape 3 R orao Said Ground 9 / 7 `. Jf (Noes') 1 PUMP -OFF ELEVATION = , ft INSIDE BOTTOM ELEVATION = ft Vertical Head =dommu�ft Supply Head = 2,.5- _n + FM Friction Loss = , i 5, ft + Fitting Loss* = r �7 5 ft *(min. supply head x 0.3) nommano� _TOTAL DYNAMIC HEAD = IZ1r ft SEPTIC TANK(S): Total Volume a (ow gal Manufacturer(s): tl— Install approved effluent filter at the septic tank outlet Immediately upstream of the pump fantr inlet, Filter Manufacturer: W�rNco Filter Model: _ fT- OSZ2 - �Y� PAGE 6 OF 6 Mound Management Plan IMPORTANT: The owner of this mound system shall be responsible for its perpetual operation and maintenance pursuant to requirements of SPS 382-384 Wisc. Admin. Code. Pursuant to SPS 383.52 (2), Wisc. Admin. Code. this system shall be considered a human health hazard if not maintained in accordance with this approved management plan. Furthermore, all inspection and maintenance activities shall be performed by a registered POWTS Maintainer in accordance with SPS 383 52 (3). Wisc Admin. Code. Maximum Dispersal Area Operatina Limits: Design Flow = gpd; BOD6 5 220 mgL"; TSS 5150 mgL"; FOG 5 30 mgL" Inspection Checklist INSPECT EVERY 3 YEARS c type of use o age of system c nuisance factors (i.e. odors, user complaints, etc.) mechanical malfunction (i.e., pumps, valves. switches, floats, etc.) c material fatigue (i e , leaks. breaks, corrosion, etc.) c solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (i.e , distribution / drop boxes) o neglect or improper use (r e., exceeding design capacities, prohibited activities, etc.) o extent of ponding in distribution cell prior to dosing o dosing irregulanties (i.e., pump re -cycling, float switch settings, etc.) o electrical components (i_e., wiring, connections, switches, controls, timers, alarms, etc.) o distribution lateral or lateral orifice plugging (measure lateral distal pressure — compare to design specification) o surface discharge of effluent or sewage back-up into structure served Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary) o Septic and dose tar lsl shall be pumped by a certified septage servicing operator licensed under s. 281.48 Wis. Stats. when the volume of solids In the tank(s) exceeds one-third (1/3) the liquid volume of the tank(s) or as required by local ordinance. Disposal of contents shall be pursuant to NR 11 3 Wisc Admin. Code. o Effluent filter(* t shall be inspected every, 3 years and shall be cleaned when necessary to remove any accumulated solids according to manufacturer's specifications A servicang period will always be greater than 12 months. Distribution laterals shall be flushed once every 3 years or when necessary System maintenance reports shall be submitted to the proper local government unit in accordance with SPS 383.55 Wisc. Admin. Code. Report any component failure or malfunction to: Name of individual or company: Lewis Biork Family Sei)tic sery Phone 715-231-7375 Local government unit. 64ep- ,(� I Phone' _ Local government unit address: l A ILM t ( r� c� i y�,j\i_F �,JZIP Any defective part of this system shall be repaired, replaced, or removed pursuant to SPS 383.51 (1), Wisc. Admin. Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 383, Wisc. Admin. Code. No product for chemical or physical restoration of the POWTS may be used unless approved by the department in accordance with SPS 384. Wisr; Admin Code Continuencv Plan In the event that any failed treatment component of this POWTS cannot be repaired, it shall be replaced pursuant to a plan submitted to the appropriate agency for review and approval. A failed mound dispersal component may be re -constructed within the originally approved area after removal of all failed components System Abandonment If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383 33, Wisc. Admin. Code 150 Series Lflutw pumps /.unller Pump Cumpam htlps:, www.rudkrpump, cuin'rn-naproducu vump-cMucnt-pumps cl.. �411 5 In lY Lu Lu LL 50 141 45 12 � 40 riw s 10 30 a z o $ 2s 6 2C PUMP PERFORMANCE CURVE MODEL 151/152/153 �e 0 -1--- 0 GALLONS J T 1_IER_S 0 40 O 120 60 700 240 280 320 360 FLOW PER MINUTE 2'' 1 201 a, I u:O4 AM Wisconsin Department of Corn nares SOIL EVALUATION REPORT l 3 on Dimof Safety and Buildings Page _ of in accordance with Comm 85, Wis. Adm. Code AttKh oomdete eke plan on Paper not less than 8 12 x 11 inches in size. plan must County Include. but not limited to: vertical and horizontal reference point (BM), direction and percent slope. "a or dimnorth arrow, noarrow. and location and distance to nearest road. plod I.D. Please print all Inlonnadon. Reviewed by Date Penorul •rrorrrls"on you VovW* may bs idled for •.Cend.ry Purim ply (Pnv.ry Low, a- IS. DI (1111•)1 ft"Irty DWllaf Aq lck At. ( A JvLonl Govt Lot s W 1/1 SG vt S ZZ T Z> N R (� E�(pEl ro0arb ^A.Owners Meiling Address Lot a f Block N I SUbd. Name or CSW " •� rr { f.p numoer Vil • Town Nearest Road I W1o181i1i5L2�2Z-7Z61 'r /1.1 Ii I .250 E] Ne convlmttlon UW JD R93fdWYM I NUnrber of bedrooms Code derived deefpri flow rate rpp Replacement Public or commercial - Describe: Parent mletsAd _`.'� S�� a�- i i 1 I Flood Plain devatim if appNeable Mims: 5,fE 12ta,'r i02 - L-); ( to IrZC.f f &lam' B I Boring rr ❑ an pit Ground surface elev. OA ft- rLNh N. lw"9..n F.' O oO R0�� ■�ssa MW can© MEMO" �■FMm= m - r PAM CST Name rem Pont) CST Number Lewis Bork BJork 253976 Address Dery -on Conducted Telephorm Number E7818 County E Menomonie WI 54751 ' I _ 2.02-( 715-231-7375 H - L-1 -ZP1Z Property Owner A&� t mi4 F3-3 ;t,.0 Boring PaMMIDaXQS— 1w4�70 'OC"O Z 3 Pegs of — ❑ Pit Ground surface eiev. . q7_ R. Depth to limWim factor 6 in MMO M M i�� �M� I. r . �M� �Mt11i�[J �Y ® �=Pw" -PM U Bodrig 0 BMW Hpit Ground surface elev. R. Depth to Yrn fine factor in. Fg k • Pit Ground surface elev. R. Depth to Yr)11Yrlg factor in. c.,a oa.e Effluent 41 a 8001 > 30 1220 ngii and TSS >30 1150 ngt . Ellluent 02 = BODE � 30 ngVL and TSS 130 mWL The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608.266-3151 or TTY 608-264-8777. 4BDM)IOTm (R 0100) CHECK BOX AS APPUCABIE. CHECK BOX AS APKr-*Ba. 14 SOIL EVALUATION Scale:'"=49 [,i SYSTEM PAGE %OF3 ❑ SITE MAP 0 40 80 80 PLOT PLAN PROJECT NAME: 102 DESIGN FLOW. 'A ;�o C,pp • ` H�r1� / (� c(rVr AllaCh design flow CNddatlOns Mr COrtlmsfdel Plans. PROJECT ADDRESS �016 (9 0 Pl" Maledal l ASTM tandard (Tables 31M 30-3 & 3M.3") eu Symoel $ am EWvawn FT N Santry Sewer r eM Deaa,puon Sp l u ►04p � F- Force Mon r� a" raa Anna m 3 well Syrroel IK aPpkae4l O a ny nonh orIMPORTANT m m. aepgrrW w. show ground elevadw cwftum at suitable Inl smells. #,w1_z �tz5397r-1,2 UA141 --*rd ccop z 1/3 3 ltb Df1JEwy 3� 41, Mk�rN� SN.d r chi \Eby s to (C c &3 GM�� b� * �. 1 W vA(! l3nlpow Iret too' ' 1 98 kv1 0Sp5 �r 13t* k :55w--5 Applications Standard Models OrerWa 8-inch to 15-inch Biotubee Effllent Filters are designed to remove solids from effluent leaving commercial septic tanks. They cal be used in new and wasting tanks. General Orencoe 8-inch to 15-inch 91otube" Effluent Filters- are used to improve the Quality of effluent exiting a commercial septic tank. The Biotube cartridge fits snugly in the vault and is removable for maintenance. the handle assembly snaps into the notches in the lop of the vault, and the tee hande can be endended for easy removal of the cartridge A "base inlet' model (see p. 2) is available for lo'rv-Profile tanks. An optional slide rail system, available an Carper models, simplifies installation and provides tank access for servicing. 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I F "1rw wwn Ba:ar• Aare nel Materials of Construction Vaun PVC Pipe =1 1.Ig PVC Hande camponew PVC &Ww Wupkng and two" Pvc BiAW cartridge Pdmmywm and pd0twierle *0t &NOWT =N*V ma rwoe'r &a m an alai0a on t2.OKA end IS-eam hays ww 0naca Splrasa Inc. , et 4 Alrway Am., siawft, 01197479 USA -ADD-348-OW • 541-4W4440 • wwwArenco.00m MTD-►rfT4 Art 3A O 01/19 Pwrla2 Air vents &M d1saw a armogs Air vertt O Discharge oritice(s) 00 8-n. base 8-in. 12-in. to 15-n inlet models models models Shindard modal Base inlet mode! Model FT0854-36 FT0822-148 FT1254-36 FT1254-36AR FT1554.36 A - Cartndge height, in. 36 14 36 36 36 B - Nominal diameter, in 8 8 12 12 15 C - Inlet hale height', in. 22 n/3' 22 22 22 D - Vault base to invert height, in. 38 13 38 38 38 E Vaud height 54 22 54 54 54 Number of inlet holes 8 n,'a 8 R fl Inlet hok d,ameter, in. 1.375 roa 1.375 1.375 1.375 Number of discharge ordms 2 1 1 1 1 Discharge orifice diameter. in. 1.125 1.750 2 2 2 Pipe oouping diameter, in. 4 4 4 4 4 Number of air vents 1 1 1 1 1 Au vent diameter, in. 0.75 1.150 U.15 0.75 075 Fitter surface arear. W 146 6.0 30.0 30.0 50.5 Flow area—, n' 4.4 1.8 9.0 avW Mb AYpr cal wry 0aVVxVV on ma c Awaw d me w o Rrtarrre Nde "wl a; 65- 75'i 01 eke �mmnarn eeraC kwN t Ab ral tow reeuvee, eecawe vrp,dv errors eefoben f e gar: base so fie fXdom a ft h4w cwn4v t FW& rn Is tleleNe rs ow bf o =We at" N •r vljl� Boller' WVW 01e f4gr crreepe. " fbM YSI to deb'ieC f5 the bfal gMri Yea cr'ar d Yre nyyr mw+sipy a ore fine �'iA`wla/ Boa.tve yvmn nor /Mar rrmaye 9,0 15.2 ttw. 3A o ofna 0 � lac , all Ake Aw., &dAerNA g197479 USA • NO.34a-9641 • 541-4511`444e • www onepeo.conr ►aea 2 or 2 DIVISION OF INDUSTRY SERVICES 10341 N RANCH RD HAYWARD WI 548434462 Callao! Thaph Roby httviA*". wi. WjWo W v nw*W"V y4W V K n www.wwConain.yow Tony Ewra - Gorarwor Down 8"rekov July 8, 2022 CONDITIONAL APPROVAL SOILS SATURATION DETERMINATION Plan Review Number: PWTS-072200070-SSD LEWIS BJORK E7818 CTH E Menomonie WI 54751 SITE: Michael Anderson 226 250'h Street St. Croix County Town of Eau Galle SW X - SE % - S22 — T28N — R16W CONDITIONALLY APPROVED DM OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SEE CO iESPONDENCE 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: • Approval Is hereby granted pursuant to s. SPS 385.60(2), Wis .Adm. Code, to estimate the depth of seasonal soil saturation based on an interpretive determination process completed by Lewis Sjork, Certified Soil Tester (CST) and his recommendations. • This approval Is limited to the soil characteristics within the tested area. This approval is based upon best management practices and does not warranty the functioning of the system. Water conservation, wastewater disposal practice and system maintenance will aid in the longevity of the system. • On -site visit was conducted by CeCe Rudnicki, DSPS on May 19, 2022. • The estimated highest level of prolonged soli saturation approved under this determination is 6 inches below grade. At least 30 inches of sand lift on top of 6 inches of unsaturated, in -situ soil is required for adequate treatment and dispersal. • The basal soil application rate for the mound shall be 0.3 gpd/sf, and the linear loading rate 6.0 gpd/ft. • Prior to construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. Smearing and compacting of wet soil will result in reducing the infiltration capacity of the soil. Proper soil moisture content can be determined by rolling a soil sample between the hands. it rolls into a 1/4- inch wire, the site is too wet to prepare. If it crumbles, site preparation can proceed. If the site is too wet to prepare, do not proceed until it dries. • Chisel plowing to a depth of 12 inches immediately prior to sand placement Is required to improve vertical water movement into the soil solum. • Landscaping up slope of the mound shall be incorporated into the POWTS design to prevent surface water from concentrating along the up slope edge of the mound and to divert surface water drainage away from the system. • This approval shall remain valid unless the site is altered in such a way that the depth to soil saturation would change or if saturated conditions are observed for seven consecutive days at depths less than 3 feet below the infiltrative surface of the POWTS distribution component. • This approval in no way relinquishes the use of color patterns to estimate the depth to high groundwater on any other parcels or portions of parcels. • A copy of this approval letter and attachments must accompany the mound system design for this site for purposes of plan approval and sanitary permit issuance. 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/i nsta I I ation/ope ration. 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 concernigg this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above 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, CeCel CeCe (Elizabeth) Rudnicki Wastewater Specialist/POWTS Plan Reviewer, Division of Industry Services (608) 400-3186 elizabeth.rudnicki(@wisconsin.gov Michael Anderson —June 2022 INTERPRETIVE DETERMINATION REPORT Property Owner: Michael Anderson 226 250`h street CONDITIONALLY Woodville WI 54028 APPROVED DEPT OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SW1/4 OF THE SE1/4 SEC. 22 TOWN 28N RANGE 16 WEST CIE(-� �Ck SEE COKkESPONDENCE TOWNSHIP OF EAU GALLE ST. CROIX COUNTY WISCONSIN This report prepared in accordance with Wisconsin department of Commerce Administrative Code. 385.60 (1) — (7) red by: -- =-- --------- —------ -- Lewis Bjork, CST # 253976 JUNE 28, 2022, Lewis Bjork LLC E7818 County Road E Menomonie, WI 54751 Phone: 71S-231-7375, cell 71S-308-2173 Fax: 715-231-7376, e-mail lewisbiork@vahoo.com page 1 Table of Contents Introduction..............................................................................................I ProjectInformation...................................................................................2 Methods.........................................................................................3 LocalHydrology...............................................................................4 Geomorphology.............................................................................5 Soil Disturbance and Hydraulic Modifications.................................6 Landscape Position and Local Topography.......................................7 SoilSeries..................................................................................8 Conclusions and Recommendations...............................................9 Reference materials used in this report named as referred too or may be the opinion of the author. Some statements made have a reference, but their source (sources) can't be produced at this time. 1. Introduction In October of 2022, Lewis Bjork, Certified Soil Tester #253976 was contacted to perform a soil evaluation report in the hopes that the result would be a mound system to replace a failing POWTS for Mike Anderson. After evaluating the location of the home, out buildings, the existing system Lot lines, localized topography and many other factors, Lewis Bjork established a design contour that would accommodate < 6 gallons per linier foot. Three evaluation pits where dug, examined, and recorded. The report (attached) in the opinion of Lewis Bjork on 4- 27-2022, the soil profiles examined lacks the required A horizon plus four inches to facilitate a standard channel of design, approval and installation of a mound treatment and dispersal cell for the domestic wastes water that Mike's two - bedroom residence generates. When an A plus zero (less than three inches below the A horizon) situation exists soil saturation is predetermined to be at the surface (must have six inches min. to install mound system) unless an interpretive determination report is approved along with an onsite approval. This report has been prepared to present the results of that required interpretive onsite soils evaluation. 2. Project Information Site specific information: Owner of the Property & site location. Michael Anderson 226 250'h Street Woodville WI 54028 Legal Description, site location SW 1/4 SE1/4 S22 T 28R 16WEST TOWN OF EAU GALLE ST. CROIX COUNTY WISCONSIN Historic land use: Agricultural building site, Lawn Present land use: Lawn, grasses Vegetation: Proposed mound area (basil and effective area) and near it the evaluated area is upland grasses. There was (is) not a present of hydric vegetation such as Big blue stem, canary and wetland sedge. Weather: The temperature was in the min 60s and the sky was clear. Soil pit evaluation took place between 1:00 and 3:00 pm. 3. Methods Soil color, texture, consistence and redoximorphic features have been evaluated and reported on the accompanying soil evaluation reports. The guidelines set forth by Wisconsin Administrative Code in comm. 383 and 385. Pertinent information from the soil survey of St. Croix County and the USDA was used. A laser plane was used to establish elevation and contours. In the compilation of this report information was obtained from Mr. Jansky entitled "preparing the interpretive determination report" (March 13, 2002). Information was abstracted from the publication from the Wisconsin Society of Professional Soil Scientists (WSPSS) entitled WISCONSIN FIELD INDICATORS OF SOIL SATURATION LESS THAN 6 INCHES DEEP Version 1.0 Dec. 2005. 4. Local hydrology -_movement, distribution, and management of water on our site, including the water cycle, water resources, and environmental watershed sustainability. the major local hydrology put is from annual precipitation this is estimated at from 29.57 inches to 31.5 inches. Surface runoff is an additional input more significantly during heavy precipitation. This proposed mound site is up slope land is currently on the edge of a crop land to upslope ground extends over 250 feet to the southwest of the proposed system area which will tend to absorb significant volumes during the growing season when most of the precipitation occurs. Upslope topography is mostly flat to slightly down sloping towards the northeast and our mound area larger scale upslope topography shows a gradual rise to the southwest about a quarter mile. Due to the convex nose slope orientation of the proposed site. Upslope toe landscaping to divert surface water runoff to the northeast. Dense glacial till provide significant groundwater protection from possible surface contamination water inputs consisting of hard surface runoff should not be much of a factor as they are down slope of our mound system surface runoff of generally be minimized unless frozen soils conditions in exist GEOGRAPHIC SETTING: Parent material--30 to 66 centimeters (12 to 26 inches) of loess or loamy sediments and the underlying glacial till Landform--interFluves and side slopes on dissected till plains Slopes--] to 12 percent Elevation--305 to 427 meters (1,000 to 1,400 feet) above sea level Mean annual air temperature--7 to 10 degrees C (45 to 50 degrees F) Mean annual precipitation--710 to 870 millimeters (28 to 34 inches) Frost -free period--150 to 180 days 40 •F :Ad I te, 5. Geomorphology - landforms and landform evolution. The rocks and soil that control the movement and storage of groundwater in this area of St Croix County ranges from the basement rock of pre -Cambrian age to the glacial deposits alluvium, and soils of quartile age. Bedrock is overlain by glacial drift throughout most of this part of the county the bed rock from the oldest to youngest includes pre -Cambrian, igneous, metamorphic and sedimentary rocks Cambrian sandstone and Ordovician dolomite in sandstone many of these units underlie in this part of St Croix County From my research most likely limestone bed rock under lies are system area typically, the limestone is sandwich between layers of sandstone which is over lane with glacial till forming a principal soil pattern material Rockian till — correlating with Wisconsin glaciation is the parent material Rockian till overlain by thin concurrent or post glaciation loss cap GEOGRAPHICALLY ASSOCIATED SOILS: These are Items%a, Sargrant, and tikN tnrg soils. Renova-- are on higher elevations on side slopes and shoulder slopes and do not have a frequently saturated zone within a depth of 1.8 meters (6 feet) in normal years Sargeant--are at lower elevations on interfluves and have a frequently saturated zone within a depth of 0.5 meter (1.5 feet) in normal years Skyberg--are at lower elevations in flat to concave drainageways and have a frequently saturated zone within a depth of 0.3 meter (1 foot) in normal years •il H It, W i r 1 r' p 2 4 6 M,h•s 0 2 A 6 Ktlo mou es F.XPLANA'l ION AIC's l%hcic ,Icplh to �)ahI is Ics% Illan III Irct 0 Illi:lfc%l f1 ,S /r N ly JY P I Iglilk (I ,\Ica Mit-rc the Jcpll) III )):ilcr 1% Ic+, Itiaii III IcctO Illclrc%) 6. Soil Disturbance and hydraulic Modification -of soil by any means including blading, contouring, ripping, discing, root raking, moving, ploughing, removing, cutting, and blasting. The proposed mound location is of uniform topography. The site is a grass that is surrounded agricultural lands. The structure of the silt loam in the upper horizons has greatly benefited from the absents of vehicular travel. Hydraulic conductivity of the soil solemn will be greatly improved deep chisel plowing through a 4-inch layer of ASTM 33 mound yard sand to a depth of sixteen inches. The proposed mound system is in a hey+eld. No hydraulic modifications, such as drain tile or ditches, were observed at the time of evaluation. Only the roof of the adjacent home ( to be removed ) will contribute to the surface water received from impervious surfaces. / 1 / I / / c1 / N / / / 10 / i / p�iN iAlrl1 f f) � t p 1 d b Wit-, 0 7 4 ti hJ,nnrll... t XPLANAI ION --� /l.l li ll.I Ili ir•1.111 ,I 11 li 1'I,111� t I IClli l`c.l 1. .l ll 11'1 I11.11 u'll Jllll tills I �•rn1,1111nI,.untlulil- j I I.nl,�'ni,I �rnlr.tlllr. Ian c 111 l•IIt.I ( Lluc ellll \lr'lllll SIIIII vI dl�. ,r.•r•,r„rl• � \,mJ••I,•ni, untl111i1cuIrlliJ � r $t Ili tl'1 \.Indstonl' nv .uvl do L•rPrl. a I `• I'I.Iiilr Jn l hlcu (Ilrllll. I ---- — Inlillc,l taull Hf".. r, ..,rulrl r• i 11 •�/•l/u ntin p.rlr 11 rluvv /rlhruwu .vlh• 1 I Iculi .' K.tlll'�1, ci"II'c� i 7. Landscape position — The position of our site in relation to the surrounding topography The landscape position of the proposed mount site is on the Western slope near the midpoint of the West End of a glacial ground marine.The proposed location along the 98 contour is located on attached mapping in a classic nose slope convex orientation the 98 contour is located on the south slope with small scale slightly west and south at 3 to 4% slope along the marine the marine rises to the south about a quarter mile north of 20th Ave. slope continues down slope at 3 to 4% 1600 feet to the north east to a dry tun or low point in local topography DRAINAGE AND SATURATED HYDRAULIC CONDUCTIVITY: Drainage class --moderately well drained --frequent saturation occurs within depths of 0.75 to 1 meters (2.5 to 3.5 feet) during April to June in normal years and both perched and apparent saturation can occur on this soil based on the season and intensity of rainfall during a given period of time Saturated hydraulic conductivity --moderately high in the silty or loamy sediments and low or moderately low in the glacial till Surface runoff potential --negligible to medium USE AND VEGETATION: Most areas are cultivated. The principal crops are corn, small grains, soybeans, and hay. Native vegetation was deciduous forest. 8.Soil Series VLASATY SERIES - VaB The Vlasaty series consists of very deep, moderately well drained soils that formed in 30 to 66 centimeters (12 to 26 inches) of loess or loamy sediments and the underlying glacial till. These soils are on interfluves and side slopes on dissected till plains. Slopes range from 1 to 12 percent. Mean annual precipitation is about 790 millimeters (about 31 inches). Mean annual air temperature is about 9 degrees C (about 48 degrees F). TAXONOMIC CLASS: Fine -loamy, mixed, superactive, mesic Aquic Glossudalfs TYPICAL PEDON: Vlasaty silt loam, on a southeast facing, linear slope of 2 percent, in a cultivated field, at an elevation of about 400 meters (about 1,300 feet) above sea level. (Colors are for moist soil unless otherwise stated.) Ap--O to 18 centimeters (0 to 7 inches), very dark grayish brown (I OYR 3/2) silt loam, dark grayish brown (1 OYR 4/2) dry; moderate very fine granular structure; very friable; moderately acid; abrupt wavy boundary. [15 to 23 centimeters (6 to 9 inches) thick] E--18 to 28 centimeters (7 to I I inches); grayish brown (1 OYR 5/2) silt loam, light gray (1 OYR 7/2) dry; moderate thin platy structure; friable; moderately acid; abrupt wavy boundary. [2 to 20 centimeters (I to 8 inches) thick] B/E--28 to 41 centimeters (I I to 16 inches); brown (I OYR 4/3) silty clay loam (Bt); moderate fine subangular blocky structure; friable; penetrated by tongues ol'grayish brown (I OYR 5/2) silt loam (F.); moderate very fine subangular blocky structure; friable; few fine faint yellowish brown 0OYR 5/4) masses of iron accumulations; strongly acid; abrupt irregular boundary. [The glossic horizon ranges from 13 to 25 centimeters (5 to 12 inches) thick) 2Bt1-41 to 56 centimeters (16 to 22 inches); brown (I OYR 4/3) clay loam; moderate tine subangular blocky structure; firm; few distinct clay films on faces of peds; about 3 percent gravel, few fine distinct dark grayish brown (2.5Y 4/2) masses of iron depletions; strongly acid; clear wavy boundary. 2Bt2--56 to 71 centimeters (22 to 28 inches); brown (I OYR 4/3) clay loam; moderate medium prismatic structure parting to moderate medium subangular blocky; firm; few distinct clay films on faces of pods; few prominent light gray (I OYR 7/I) sand and silt coats on faces of peels; about 3 percent gravel; common medium distinct grayish brown (2.5Y 5/2) masses of iron depletions; strongly acid; clear wavy boundary. 2Bt3--71 to 86 centimeters (28 to 34 inches); yellowish brown (I OYR 5/4) clay loam; moderate medium prismatic structure parting to moderate medium subangular blocky; firm, few distinct clay films on faces of peds; few prominent light gray (I OYR 7/ 1) sand and silt coats on faces of peels: about 3 percent gravel; common medium prominent strong brown (7.5YR 5/6) masses of iron accumulations; many medium distinct grayish brown (2.5Y 5/2) masses of iron depletions: strongly acid; clear wavy boundary. 280-46 to 127 centimeters (34 to 50 inches); yellowish brown (1 OYR 5/4) clay loam; moderate medium prismatic structure; firm; few distinct clay films on faces of peds; about 3 percent gravel; few medium prominent strong brown (7.5YR 5/6) masses of iron accumulations; many coarse distinct grayish brown (2.5Y 5/2) masses of iron depletions; strongly acid; clear wavy boundary. [Combined thickness of 213t horizons is 50 to 127 centimeters (20 to 50 inches).] 2BC--127 to 152 centimeters (42 to 60 inches); yellowish brown (IOYR 5/6) loam; moderate coarse prismatic structure; firm; about 3 percent gravel; common coarse prominent strong brown (7.5YR 5/6) masses of iron accumulatiosn; many coarse distinct grayish brown (2.5Y 5/2) masses of iron depletions; slightly effervescent; slightly alkaline. RANGE IN CHARACTERISTICS: Depth to glacial till--30 to 66 centimeters (12 to 26 inches) Depth to carbonates--102 to more than 203 centimeters (40 to more than 80 inches) Content of clay in the particle -size control section (weighted average)--20 to 28 percent Content of sand in the particle -size control section (weighted average)--25 to 45 percent Special feature --some pedons have a stone line or thin layer, 2 to 13 centimeters (I to 5 inches) thick of gravelly and sandy materials at the base of the silty or loamy sediments Ap or A (when present) horizon: Hue-- l OYR Value-3 to 5 Chroma--1 to 3 Texture --silt loam or loam Clay content--15 to 27 percent Sand content--5 to 30 percent Reaction --moderately acid to neutral Uncultivated areas have an A horizon from 1 to 5 inches in thickness. E and E part of EB (when present) or B/E horizon: Hue--1 OYR Value-4 to 6 Chroma--I to 3 Texture --silt loam or loam Clny content--15 to 25 percent Sand content--5 to 30 percent Reaction —moderately acid or slightly acid In some cultivated areas the E horizon is mixed into the Ap horizon Bt (when present) and Bt part of E/B (when present) or B/E horizon: Hue-- l OYR Value-4 or 5 Chroma--3 or 4 Texture --silt loam, silty clay loam, or loam Clay content--22 to 32 percent Sand content--5 to 30 percent Reaction --strongly acid to slightly acid 213t horizon: Hue— IOYR or 2.5Y Value-4 or 5 Chroma--3 to 6 Texture --loam or clay loam Clay content--20 to 28 percent Sand content--25 to 45 percent Reaction --strongly acid to slightly acid Rock fragment content--2 to 15 percent 213C horizon: Hue--IOYR or 2.5Y Value-4 to 6 Chroma-4 to 8 Texture --loam, clay loam. or sandy clay loam Clay content--18 to 28 percent, mean of 22 percent Sand content--35 to 50 percent, mean of 44 percent Reaction --slightly acid to moderately alkaline Rock fragment content--2 to 12 percent Moist bulk density--1.75 to 1.90 g/cc COMPETING SERIES: "This is the Sargeant series. Sargeant--have a frequently saturated zone within a depth of 0.5 meter (1.5 feet) in normal years DISTRIBUTION AND EXTENT: Physiographic Division --Interior Plains Physiographic Province --Central Lowland Physiographic section --Dissected till plains MLRA--Eastern Iowa and Minnesota Till Prairies (104) LRR M; southeast Minnesota and west central Wisconsin Extent --moderate SERIES ESTABLISHED: Dodge County, Minnesota, 1959. REMARKS: Particle -size control section --the zone from a depth of 28 to 79 centimeters (I I to 31 inches) (B/f'-. 2Btl, 2612. and 2130 horizons): series control section --the zone from the surface to a depth of 150 centimeters (0 to 59 inches) (Ap, E, B/E. 2Btl, MO. 2130, 213t4, and 213C horizons). Diagnostic horizons and features recognized in this pedon: ochric epipedon--the zone from the surface to a depth of 28 centimeters (0 to 11 inches) (Ap and E horizons); glossic horizon --the zone from a depth of 28 to 41 centimeters (I 1 to 16 inches) (B/E horizon) argillic horizon --the zone from a depth of 28 to 127 centimeters (I I to 50 inches) (B/E, 2Btl,2Bt2. 2130. and 2Bt4 horizons); udic moisture regime. Some pedons have vertical seams or wedges of sand or loamy sand about 5 to 30 centimeters (2 to 12 inches) wide and about 0.9 to 1.2 meters (3 to 4 feet) deep extending downward from the stone line into the glacial till. Cation -exchange activity class is inferred from lab data from similar soils in the surrounding area. Taxonomy version —Keys to Soil Taxonomy, ninth edition, 2003. The change to bulk density of 1.75 to 1.90 g/cc and low to moderately low saturated hydraulic conductivity was based on field and lab data and supported by the MLRA-104 steering committee. it. Croix CO.M.P.A.S. hnps://scccdd.maps.arcg i s.cum/apps/webappviewer/i ndex.html?id-893... -92.304 44.892 226 250TH ST, EAU GALLE TWI X Q a1 qj ��jj I t 1 i 4] al ;1. yy fk .1.1 tt• CHI C♦;t �y u�MiRA'i�liR!'iS.IE I`��,, ! 1 �.}ery %.S2Kffi1di�.Mu�fiQ11 ��15 6/28/2022.4:06 Pt 9. Conclusions and Recommendations 1. Existing properly functioning mound systems have been installed in relatively proximity to this proposed mound site. Sturtevant to the southeast and Burtzlaff to the North west. (Both sites paperwork —soil tests attached) 2. Seasonally saturated soil conditions do not occur in the upper 6 inches of the soil profile as indicated by the absence of redoximorphic features. 3. The A horizon in the proposed system area is Munsell color 10 YR 3/3 which indicates an organic matter content nominally of 25 g/kg in the range of 20-30 g/kg or 2.5 percent. This level of organic matter is indicative or relatively good drainage and aerobic conditions. (Tyler presentation, Reading shallow Soil Saturation, Chippewa County) 4. The relatively low level of organic matter indicated by the Munsell value of 3 would facilitate observation of high chroma redoximorphic features in the A horizon. The general lack of observation of these features in the A horizon is strengthened by the low organic matter content which lends further evidence to a conclusion that at least six inches of soil is present which is not periodically saturated for more than six days. 5. No hydric soil indicators are present in the observed system area soil pits; this conclusion is based on particularly careful review of the indicators for All Soils and Loamy and Clayey Soils. There is no hydric vegetation in our proposed area, when in lower elevation areas hydric vegetation is present. 6. System area pits demonstrated root penetration to depths of 10-18 inches; such depths are not expected in soils which remain saturated for significant time periods. 7. The small scale cross slopes of 3% is better than none for lateral movement of effluent down -slope via the more permeable upper soil horizons and away from the mound system without surface ponding or surface discharge. 8. The available length is Wallows for a lower liner loading rate and enhances the ability of the system to allow effluent to infiltrate the in situ soils along a contour without a surface discharge. 9. The site is acceptable for a mound septic system with a minimum of six inches of unsaturated soil for treatment and dispersal of treated wastewater effluent as allowed by Comm 383.44 (3)(b)1. 10. The observed 6 inches of redoximorphic-free natural soil will allow treated effluent to be assimilated into the subsurface without ponding on the ground surface. 11.Site preparation requires mowing and removal of as much vegetation as possible followed by deep chisel plowing to at least a 16 inch depth. 12. Additional fill landscaping soil shall be added to the up slope area of the mound structure filling the concave, upslope area up slope the mound. 13. Mound construction requires 4" of ASTM C-33 sand lift placed on the basal area then plowed into the grounds surface and then more sand added to 30" depth. Construction must take place under relatively dry conditions. This 30" depth of sand creates an effective sand filter and can be expected to produce a treated effluent with less than 30 mg/L of both BOD and TSS and fecal coliform concentrations of <10,000 cfu/100mL 14. The rock cell in the mound structure shall be 6'by 50' for a linear loading rate of 6 gallons per day per foot for a 2 bedroom residence. 15. The sand basal area loading must be a maximum of 0.3 gallons per day per square foot. Attachments: Soil report, report by Lewis Bjork #253976 5-27-2022 Sturtevant soil, report by Shaun Bird #226900-7-20-2015 Sturtevant soil, report By Arthur Wegerer # M0057612-11-199 Burtzlaft -report on soil by Stephen Aaby # 1406 6-19-1985 The final authority for this site's approval for the treatment and dispersal mound cell rest with the appropriate regulatory authorities, Wisconsin Department of Safety and Professional Services and St. Croix County Zoning office. This report and the soil evaluation report, their conclusions and recommendations are the professional opinion of Lewis C. Bjork, Certified soil tester # 253976 Wisconsin Depertrneril of Commerce SOIL EVALUATION REPORT pay, I - of 3 Division of safety and &A*gs In accordance with Conan 85, %Ms. Adm. Code 11 County — Attach ownpW* site plan on paper not Nis than 0112 x 11 inches in size. Plan must S T G Q a y Include, but not Iknlled b: vertical and twrtzontW rdisrance point (SM), direction ection and Parod I.D. percerit elope. scale or dkneneiona, north arrow, and location end dilgence to nearest road. Fif"se print sB Intbrms0on. Reviewed by Data Pwwnsl nk+m lion you Vovlds maybe used for seoondwy pwposes (P vecy Lew, s. 16.04 OWN). N)• Property Owrler Property Location / ❑F1[] Iok I A vJ&,,So/J GovL Lot SQ 1/4 SL 114 S ZZ T Z6 N R (€(or}W ProDeAv Owner's Mallino Address I Lot M 1 Bbdt M 1 Subd. Nome or CSMM 3" Zip Godis Number LjCjty VMsga • Town Nearest Road IW11 5001,5XI-MIa5o �n 0 Now Co utructIM UwE) Residential / Ntanbor of bedroofm Code derived detttyn lbw rate 2 - - GPD Replacement Public or wintriamial - Describe: Parent malt" 0— ,2- f l I _ Flood Plain elevation M applicable fl- Generaioorrrnents Zlj(� _ (�. r , ,t �} ftu!� 7a •U and rocornm.naations: 5 f c �E �- , r • �, t cW A7 ,(C t F0BorB_ 1 ing ❑e Pit Ground surface slew._ n. Depth to Iknhiny facto In. Sol Aooksitkin Rate Horizon Depth In. Dominant Cola M~ Redox Destxipion Qu. St. Cod. Color T=Wre Structure Gr. Sz. Sh. Consistence Boundary RootsGPOM 'F.f1M1 'EffM2 113 b H-yh SLR 571-, wx FZB.kw» L`i-emry 11,(i Z (1G� M Pit Ground surface elev. n. Depth b wnihq facto C in. Horizon Depth in. DonWwd Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPOW 'EfW1 'Elflf2 IV 3 3 - 5 i Z} 46 3 10 1 !L Hc� b �+ L 5 LU -:;IC Zr''o �4.(4c 5 c Or" ,► � _ '( �. Eftwit #1 a SOD > 30 1220 mylL. and TSS 3,30 : MWL lu • acnJ S aU myrL ano rap = au mpx. CST Name (PNen Prix) CST Number Lewis Bork Bdork 253976 Address Dab e#duWon Conducted Telephone Number E7818 County E Menomonie WI 54751 �_� Z 713-231-7375 41 -Zl -Z 2Z Property Owrw AA t `"— • � Parcel l0 x 0 6— (0) — • 0 l C,00 Ps" E❑ Pit Ground surlaoselev.._f1. Depth tolirrlit VNctor�- -- In. 2 Of3 A" PAR MM EMM. ffSTMF72A=M �© u O swing BOnnp • Pit Grand surface alev. It. Depth to Ii n*V tertor in. nBaltv011:� --------��—-- - - ' ETuerri 01 z SOD, P 301220 ntp4 and TSS >30 _ 150 r r & ' Eilluent 02 a 8O0, : 30 mg& and TSS 130 nV& The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to acecss services or need material in in alternate format, please contact the department at 608-266-3151 or TTY 608-2648777. SRDaUOrr lR •Y'MI CHECK BOX AS APPUCABIE. CHECK BOX 08 APRICABIE. ❑ SOIL EVALUATION o sale. "w40' Q2 SYSTEM PAGE tOF40 3 SITE MAP PLOT PLAN PROJECT NAME: t02 Des cN Flow. 3OIp Gm N C tY�� AOach design now calcu mbwwo for ca nerdsl plans. PROJECT ADDRESS' �a6 � J" N Pipe Meledal / ASTM (Tablas 384.303 8 36/.3D-5) BM 9yrM01- nBM EN�aUo� FT Fora Man y or"" Indbw.0"oY IMPORTANT: al Mad Ana wsu *mW i0 eopk6ble) O am" on Show ground sleveUon conburs at mAtabie inbvele an no awww ur �21A5�ElL � �d #-Z5397i/ CAW Sou=c1 cop I A 113 3 D_ 4wto.' Clap A v n Kl0 05P5 -vr ►31` k �55 =5 DEPARTMENT OF INDUSTRY, REPORT ON S(A BORINGS AND LABOR AND HUMAN RELATIONS PERCOLATION TESTS (115) Ai t- (H41E.0E11) i CA"tir 1".0d41) SAFETY A BUILDINGS DIVISION P.O. BOX 79" MADISON. WI SM? ALl V: ummlaw NAME: .� ai, o.d ,LG c w; Syo g YII•ii Verei n.wrlMA w•va ! %—�9-85 ��s�• I t11e NIMem" tw If PMwIw46 Tom we NOT Ie"ired RATEN so v PORNO of dtf / fd Mw N M Mf IM1dfr aML1.OMYIM.IoloAlf' Pw leetnt• Nwome1e floodpla n flftellen: PROFILE DESCRIPTIONG ELEVATION TOOEOPWCk IF Q2ffllIV9O sell AORRV.04 EA K tWT.p4IUIqLST 8- / y S' .3 .Na ,Z. /' 3 "a iL1.�. S' c Y i s• 2 Y.4 8.6 c t d3 1.9 .NE 3.90 SBIE. 2.5 c.7 5 BL PERCOLATION TESTS [,��' ���: ''�IIII??ii �i LIL1.1��i 1.1[•1•i�!_. LIt•1•t� KOT VLAN: pMw Iofwtonl oI oeraelwlon twN, tWI b>tnp fId dr dlttMtMWN tN fWNDM IId Ifw. Inditiff IotN w Iloanow. DfforM ",tw ti o" hoof• t t,,I and v I W Nfvwlan Ieflrfltaf efIINI wd Mtfw IheM kKmien en ttM otw pion. show dM INffeff ftewom M iN borintl end *0 dim"icm M f�l of Nnd Mop. SYSTEM ELEVATION 5 Ex Rrroc:.4 Skoxr a VVN 1N 1. the Itndf.MprrdI Itw.br •MrtAv tttw wa .oil NW r-wm tw this lam wf•f ntfA be n In weld with IM woodww and mfNfW Ipc11Md In IM WNoown AdmW Owe ive Code. end OM the deft tooadfd and Ow leewlon a(** Mu am tlwtfet w A& boo f1 wry bnffMedpl and b". ONTRIEUTION: O.q~ tmd my cent to Lcea• Autl•wAV. hoowty Oww and ten Tmw. DILNR4@0-GM IR. 07A71 —OVER - I I ,.t liz 0 I groan � roost CfGI� 1 1ai1 n ) lVq M 14 Sec 12 T?. ; i !l : r'r �, ( % O woo oj-A 1�.te QePro.xD TSo sep��c 1. k S}.tc Appr.Jso 77 5.1e p.,.. p cl....b.r B � a, I • ri ✓ -'feer Qo r S od o4 �dwt y'H-Y8— I Y: If , ,5h i Y� 31H�-7 ?So1� du`•S°t7 772f S%'ItJ ,c3 N� i MIN 7.Y s 37��( �i/3d • ST. CRO UNTY SANITARY SYSTEM FFile#: Iseonty OWNERSHIPIADDRESS FORM c�z�mr 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. OWNER/BUYER INFORMATION Owner/Buyer Michael Anderson Mailing Address 226 250th St City/State/zip Woodville, WI 54028 Phone Number (required)715-222-7261 Email Address (required) Parcel Identification Number 008-1064-90-000 (found on the property tax bill) NEW SYSTEM: LEGAL DESCRIPTION Property Location SW ,/4 , se t/4 , Sec. 22 . T 28 N R28 W, Town of Eau Galle Subdivision Plat: Lot # _ Certified Surveyy M None Volume . Page # -tEE04. pF . DC-C. agty Deed # 5 (before 2006)Volume . Page # Number of bedrooms 2 Spec house 0 yes ■ no Lot lines identifiable ■ yes O no OFFICE USE ONLY New Property Address IV%A (Verification of new address required from Community Development Department for new construction.) (Staff Initials) (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 715-245-4250 Fax cdd@sccwi.gov 1101 Carmichael Road, Hudson, WI 54016 www.sccwi.00v AL IF 11- I�couNrr NO. 644759 STATE SANITARY PERMIT OWNER PLUMBER TOWN OF_ SEC ZZ , AND/OR Li r r , BLOC SUBDIVISION NO. _ CHAPTER 145.135 (2) WISCONSIN STATUTES 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 sanitary permiL (e) Renewal of the sanitary permit will be based on regulations in force at the time renewal is sought, and that changed regulations may Impede renewal. (f) The sanitary permit is transferable. History: 1977 c. 168; 1979 c. 34,221; 1981 c. 314 Note: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. Q/W RI ED ISSUING OFFICER - DATE ?= PERMIT EXPIR S_Vllso-1261 q UNLESS RENEWED BEFORE THAT DATE POST IN PLAIN VIEW VISIBLE FROM THE ROAD FRONTING THE LOT DURING CONSTRUCTION SBD-06499 (RI1/20)