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Home My WebLink About016-1018-70-100 (2)Wisconsin Department of Commerce Safety and Budding Division PRIVATE SEWAGE SYSTEM INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes (Privacy Law, s 15 04 11)(m ij Permit Holder's Name Beverly Frentz City Village Township CST BM Rev�_-_ �.. -,_ __ _ _ TOWN OF GL ENWOOD TANK INFORMATION TANK SETBACK INFORMATION Intake PUMPISIPHON INFORMATION i s -. i Jot . i -?z GPM SOIL ABSOR TION SYSTEM BEDITRENCH Width I I Length DIMENSIONS ELEVATION DATA M St. CroixNo.645423016-1018-70-100nge/Map No 09.30.15.147E e 67d:�r A_1Mim • i •MEM Jil��. � ♦ • :. r mm� � � IMP_ e PI1 DIMENSIONS No Or I linside Die Liouid Deetn CHAMBER OR UNIT / Lengt Die ` Pipes) 1 Length 1— t ( x Hole Si e r r 3 1 x Hole Spacing V 1 Dia SPaang G SOIL COVER x Pressure Systems Only Depth Ova XX Mound Or At -Grade Systems O* Bed/Tre Canter d Depm Over Bed/Trench Edges zz De Ih of To Topsoil , P xx SeededSotlded zx X, Yes No COMMENTS: (Include code dlscrepencies, persons present, etc.) Inspection #1 P � Inspection #2 Location: 1661 290TH ST i fin„ - �,�Q,✓ rQ y }I �� aIS� 1.) All BM Description =PT ivv`t_✓ �Wtrw V 2.) Bldg sewer length = - amount of cover = ��1/� Plan revision Required? Yes No Use other side for additional information. SBO-6710 (R 3197) Date ep or's Signature to Air RYes No /5/4fd Cert iIc Uklushy oe s Division 48n Madison Yards Way Madison, W153705 P.O. Berl 7162 :>„Mn q WI 707 16 1co 0&t Applicatio in ecoordance 21 Wi< Gode, wbmi=oa of this ferm m tde-7�2mmentsl Wait is regwced Poor to obamuhg a wmit petmt Now Vpb,,6= farms far aMeorraod PO WTS rep wbmitmd to the Depacbmmt of Safety and Ptokadoml Serviem. PersooW information you provide may be used Hx sowodary proposer in wcwdame with dm PrivatV 1iw. L 15.041 xml StwL EoroccY / Occoorz ddrem 1/11 29A Its L 471E ✓JooO Llrr. wI 1 SYo✓3 U. T w of BaNdvL (&eek aWdw ap *) 101 or PmilyDwdYmg- Number ofBedrooms ^3 aubliuCommacid - Describe Use 71SW, Owned - Deam-be Use AEJNCW sywm B. C]iol&gTank C. ❑ ReoewW Before Expiation IV. Design Flow (@td) De y3o Tank Informerm Jr. CAOIX Permit Nentber (to be filled i 6 L}5�23 's - D ?2,701 /?S- Addtm f+f diffiimt im mail 5a KA"-t 4/6-/618- 76-/6o 'M'J • ,5. ty-7d Govt. Phone Number 9 715 SaS-d 966sat°°^ Lot# / T 3a W a /S a.,/t7 amhar 1,a/a S31(o*:T (carets attoer -War^ or-Replaeenvar crud edw alpile:abie as Raplacmt mt System ❑Dtber M0&fica M to EmstMi system (esp4m) ftWAousd E]M43M& (eooventitmel) o of Plumber Ir}f ratufer m Nea On linageor rownof G"SA) do0Li CYeek a box ae a s IL C..paea lbw C Wddmal PrateYmept UrA (mrpleot) smDww I I0dwTyPe*9*M) et rrCVw II rerma rvumoer JAM / G314:� Vgha24�, O. 5 1 r/f6 Del V54 1�i7Z, g97.(rar 93,Sla rs�u yEdrtiaaT� Gallom lhhhs sMdGmusla"40A I — I /Oao 1146o G% 6sE.& Lo.u•. 'd goo Sd0 J1 / SKAw ,trcosr r Q V. RapeadMW Statenaw-1, the ua&wdgacd, aseeme respeadWHW far inWadea of tk d wwa m the nded wd pins. Phmtbds Name (Print) Phmaber s /7 MP/MM Number Btanaess Ph000 Nmbes /%/ice J'ufw4w �1� J /073IQ4 7/s J77-J4too P.b. 64ne /03r 44m WX 3y76,2 VL Cue Use only AAmmved I ❑ Permit P = &7 r Intrcd Agent neaial izozz ConditionsVff A I Cow r' at Septic tank, effluent filter and dispersal cell �,.Q must be serviced I maintained as per �� lvK .ner vs'� d �'0� 5 ji5k� � /4turklltfh' e { management plan provided by plumber. 1ti4,AA�� o �no�fr,C,� dw�{� All setback requirements must maintained n l as War aDelicable code 1 ordinances, SBD 6398 X 03I21) (�_ ) lb -w Aroxx i y F.c r v rz - /Ll / ,?90 rN Sr. NtJ.4 NtJ, 91 361q, /S t✓ 93.0` � nF blEwlwoo0r ST. CiwX t'a. 41.5� C x75 ADZX Lett 3'0.7`a /ol.,t` /mail ,EowrJ SYs. EL.- 976 " 9sS coarauc r r [a..rL,tErt Stdd r � SKew Bop r. 6AAs'J flEtG C� O Ot 4 4. ?o<9 - -- a r O 1,S` 50 [�= firs, /B.SrIc.cE LoT ALL SPS ,38j, '!3 JEr~s M!r Exisr�ri Powrs AireA. 3.r ra eE R6AJoodEe� 14e.r/r4 our" F/igyo it 9rrlot. h14u Ldt$rE j i 30311 '�- J Ad ILAOL saEa LA.rJ Ex. AuEsrR x= /ez.o` r. Existing tank(s) shall conform to WAC § SPS 384.25 or be abandoned per SPS 383.33 .T9a r''r Sr. PL. September 6, 2022 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 2024-09-06 Plan Review: PWTS-092202125-C MICHAEL J HASSETT 1503 Fairway St Eau Claire WI 54701 SITE: Frent26 Beverly 1661 290th St Town of GLENWOOD St. Croix County Total Amount: $250.00 Division of Industry Services 2331 San Luis PI Green Bay, WI 64304 www.dsos.wi.00v Tony Evers - Governor Dan Hereth - Secretary Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES FOR: 450 gpd — 3 BRs — Replacement I I" Limiting Factor— Effluent Filter— Maintenance Required Mound Component Manual — Ver. 2.1 (May 2022 - 2027) Pressure Distribution Component Manual — Ver. 2.1 (May 2022 - 2027) SEE CORRESPONDENCE The above submittal has been reviewed for conformance with Wis. Admin. Code (WAC) & Wis. Stat., and has been CONDITIONALLY APPROVED. This private onsite wastewater treatment system (POWT31 shall be installed in accordance with the enclosed approved plans and any above referenced component manual(s) and specifications. The owner, defined in Wis. Stat. § 101.01(10), is responsible for compliance with all code requirements. Prior to install, a somillm permit shall be obtained from the county where located and inspection shall be arranged per Wis. Stat. § 145.19 and 145.20(2)(d). No person may engage in or work at plumbing unless licensed to do so per Wis. Stat. § 145.06. A copy of the approved plans, specifications, and this letter shall be onsite during install and open to inspection by authorized representatives of the Department. All permits required by the state, county, and local municipality shall be obtained prior to commencement of any construction/install/operation. This approval shall be subject to the following conditions: size soil sample shall be kneaded & rolled into a ball If it can then be rolled into a wire down to 1/4-inch thick the site is too wet to proceed: if it crumbles before reaching 1/4-inch thick the site is dry enough to proceed. Prior to plowing POWTS dispersal component area, tall grasses and shrubs shall be cut short and this and all loose organic material shall be removed from the area to prevent matting. Areas occupied by rock fragments, tree roots, stumps and boulders reduce the amount of soil available for proper treatment. If no other site is available, in the POWTS dispersal component area, trees shall be cut off at around level and removed, along with boulders; stumps and roots shall remain in place. A larger infiltrative area is necessary when any of the above conditions are encountered. Page 1 of 2 • POWTS component areas & horizontal setbacks shall be preserved prior to and during construction — prevent disturbance, compaction, fill or use of areas. • Horizontal setbacks of all POWTS components and lines, especially from buildings, OHWM of navigable waters, and wells, shall be verified prior to install to conform to WAC § SPS Table 383.43-1. • Wastewater from contractor equipment & tool use & cleaning and leftover products shall not be discharged to POWTS but shall be otherwise properly disposed of on or off site. • Tank install shall conform to all manufacturer's requirements. • All piping shall conform to WAC § SPS Tables 384.30-3 and 384.30-5. • Insulation of building sewer length beyond 30 feet shall conform to WAC § SPS 382.30 (11Xc). • Existing, unused POWTS components shall be abandoned per WAC § SPS 383.33. • Surface water diversion/drainage away from all POWTS component areas shall be provided. • Changes impacting dosing require state verification of TDH & GPM specifications. • For new construction, it is recommended to not activate dose pump(s) until all tanks are pumped by a DNR certified septage servicing operator after conclusion of all significant construction and interior finishing. • Submitter shall provide owner a copy of this letter, the owner's manual & management plan, and all instructions for proper operation & maintenance of this POWTS, for which the owner shall be responsible, per WAC § SPS 383.54(1). Owner shall provide this information to any subsequent owners. • Owner shall report each inspection, evaluation, maintenance, or servicing to county per WAC § SPS 383.55. • If any POWTS component malfunctions so as to create a health hazard, the owner must follow the contingency plan described in this approval. 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. Nothing in this approval shall relieve the designer of the responsibility for designing a safe building, structure, or component, per Wis. Stat. § 101.12(2). Inquiries concerning this correspondence may be made to me at the telephone number or email listed below. Best Regards, Jake Shedivy I POWTS Plan Reviewer iacob.shedivyAwi.gov 1608-261-7932 Page 2 of 2 Pagel of Q Private Onsite Wastewater Treatment System Index and Title Page Project Name: .v E VEt cY Aceno rt - �- 15A. /yo,,.# /soars �.«.✓s wct�,r��r) Owner's Name: Owner's Address: GLEN�,/oa0 LirY 4JI Sf'a�3 %/S SaS- .79oL Legal Description: _ Ntl, Nui 9 3otV /S!J Municipality: To awn, Wllege, Gity of /J1E,da400 County: ,Sr. C,raix Lot Number ---I_ Block Number. CSM Number. /a/,79L 3 it ona Subdivision Name: /L6� .790 r"` sCond , A P PROVED- Parcel 1.D. Number. a/l - /0/8 - 70 - /ac DEPT. OF SAFETY AND PROFESSIONAL ER! '9! E6 Page I Index and Title Page DIVISION OF INDUSTRY SERVICES Page 2 Plot Plan Page 3 Cross -Section & Plan View Page 4 Pipe Lateral Layout Ila 4 Page 5 SePhc Tank / Pump Chamber Cross -Section & Specil3cattons ORRESPONDENCE Page 6 Pump Performance Information Michael J. Hasse t Page POVM Owner's Manual & Management Plan Wisconsin Designer Page 8 POWTS Owner's Manual & Management Plan D-1152 Page 9 Filter Information Eau Claire,, W Name of Designer. /%/41�rc X 114ss e rr Signature: Date: 8-d3-,M,72 12wimned pursuant to the following POV1r1 S Qgn=ent Manual and DSPS 381 385: Mound Component Manual for POWTS" Version 2.1 (May 20222027) "Pressure Distribution Component Manual for POWTS" Version 2.1 (May 2022-2027) Attachment: Soil Evaluation Report PT�ar Pc, z es 9 rvEdLtLr AArm rt - /YLJ� NL✓, 9, 3eN, /s L✓ , �� r r 93.0' roc LSLEAwad'o, Sr. ewrx Le. O .731 .to r 91.5 G- �Prrsr /$.SAtaE 'Car L .Q cc Sis 3BJ. y! SEr.OALrs Wfr C z 73 AocK Z AC L 3o.-l'r% /o1.,2' /You'd, /erlrS Ex1srr.r4 Pours Airrn. S.r re sE ' wAdwU'Ap Ouil/!e ear 10 de/AL10 �•J Si'J. E[. - 97. G ad 9S. S' co.J ra...c If4. FiFro t" LAr. /vj. Ec. - ?J. / r r 8JL �./l. - /Ao.er loop Co.rL Af r[ SLAB r I d a Card Am J'CN. ya r S tA.d Ban P,. Y�rla� N-� G,Maf 6Ae�+ I f/fL0 POLO `A�cf` SNfO .14A //St. [A.rr Ex. LJIeSIA X2 /aa.e' I a.. s r. Existing tank(s) shall conform to WAC § SPS 384.25 or be abandoned per SPS 383.33 J9o'—"r Sr. D = J, / ft E _ A41 ft F = .9 ft G=5_`ft S=/ft A=_ 6 ft B=75ft I = /6.3 ft in s y ft R = /J. / ft L d/.1r ft N = 30.7 ft 4" sch. 40 PVC obowmdon pipe �1.s ft iT O.bft Page 3 of 9 CROB34ECTION OF MOUND UPTURNED LATERAL A ACCESS Sox S/ TOP WIL OESERVATION PIPE A WATER71OW CAP GEOTEXTM E FABRIC COVERING DISTRIBUTION LATERAL ( / s in. @ch. 40 PVC D2666) ASTM C42 sANDD FILL Lateral Imrert EI.= 98. ! ft � / TOP SOIL H G TOE ®t F 4.' ,.• .• System EL= 97.6 ft ;• 3 E, '' D �. Contour EI.= 9J S ft • • • • • • �•: PLOWED SURFACE: 8..s % SLOPE • r FORCE MAIN (2" ach. 40 PVC D2666) D98TRIBUTION CELL = �_ ft x Y.f 1t = Va ft2 (w-2w aggregate) Mn. Required = 4SQ + Z0 = 4fS0 ft PLAN VIEW OF MOUND Observation pipe r Obswmdw pipe 3.1 FftOX 7J K 6 A DistribAlon Cell /l3 I / . ft (%*-2'A" aggregate)/is It ! 7S (L in. schAV) OX= Upturned LshvW with Access Box IJ Prohibit disturbenoe anto d vehicle trafic within 16 ft ci downslops e. _ I I` L /a/.,? r Kasai Am = .7.t 3 ft x —21:_ft m ALJ f fe W. peq„ink! = f-fO + , L = 7.SO fe 2• Force Main Mar" (A In. seh. 40 PVC D2666) PIPE LATERAL LAYOUT OF MOUND (End Manifold with Aggregate) HOLE DIAMETER= �/ in. LATERAL DIA. _ YA in. MANIFOLD DIA. — I (�• 40 PVC ded _� in. Pipe 02665) �rt4eg� FORCE MAIN DIA.- in. 'Alb, S� P = 7J ft. 0 ' SA P s = 3 ft. / e x ft. .!, yi ae yxi F�< ro y x" �c MANIFOLD---5/ (I-1 In. sch. 40 r PVC D2665) �Y �w FORCE MAIN (2•sch.40 PVC D2665) Page of Access rBox Y� \fix 40 ' Y�' Y � SS33 �X /P7.2� HOLES LOCATED EVENLY ON BOTTOM OF PIPE. Minimum Number of Holes = �/.fd ft' + 12 = JS Holes 1? Holes/Lateral x 2 Laterals = 38 (3/160) Holes x 0.66 gpm / (3/16') Hole = o? 08 GPM = SYSTEM FLOW RATE PIPE VOLUME _ /Yy ft. Laterals (total) x 0.092 gal/ft. _ 1,75 x 5 = G4/• aS GAL = MINIMUM DOSE VOLUME PIPE INVERT ELEVATION = 98. ! ft. MANHOLE RISER 3 COVER Page S of 9 r WL SdL 40 PVC Trek Vem WNW h2'aborrrpub or24" e. M R.y.v l Rood Or"m MINIMUM OF 3- OF SUITABLE BEDDING BENEATH TANK a MA>OMUM BURY DEPTH OF W ArKhori g of tank may be required per BPS 383A3(8)(gl F)dsting Septic Tank Manufacturer. l✓115,eA Stze: /aoo aailons Dose Tank Manufacturer: 5"AJ Sae: Pao aalions Alarm Manufacturer. r4 4,J/4 s Model Number /YJT/ Switch Type: /yecwwiswr Effluent Pump Manufacturer. // ME /J/A.+Y Model Number. /O Ee Minimum Discharge Rate: 0?5.08 GPM Vertical Oft (pump off to lateral invert)............ 9, o ft System tread (distal pressu 5 x 1.3 ft): 3.3 ft 30 ft Force main x /. ,/ 1 friction factor_,' ft Filter friction lose ...................................... S ft XTotal Dynamo Head (I DH): /3 J. It Daily Wastewater Flow (DWF): 4/5'a GPD Number of daily doses: S: 3 our f ) Force main volume: 30 It x , /l3 gallft c N. 9 90 Actual dole volume: 9o. I gal - y 7 gal ■ 8s 1 gal Reserve above alarm o?7 in = 5/7.9 gal (D) Alarm float above on float I_ in = 38. f gal (C) On/Off float measurement 1/ 7 in = 96. / gal (B) Off above lank bottom S in = /.ff.9 gal (A) DOSE TANK DIMENWONS: Length /Oct In Liquid depth V1. 7 in Width 4(a in Gallons/inch /9. /8 10EC SERIES -1/2 HP lac -aim -ate (Qg rm vaw aK-OM-U* Wft buc) oi. Caf 9 EFFLUENT PUNPS WK-(LEsls cast im Vd*) IaEc-OA-srs WIME vd*) race-aASFS nn�aabs �asraAa ur fist tray 11.OT(ffi)aan) Ip66'(ZAIn»U airR -s"wo m[ca*W a+rawmo nnr a� &Wuwffmo hatrm ID9'R76.2 ur MrVWa" ue o so m va ® Prwnktln iNotric NMIWUKNLVN 1 rwMboulm 7 0 11 CUM EPMY-Opftd cast han Molar 09 km darMatatil � rn _ VOW E aatN cast ion _ Medw" Shaft Seal tares wpn carbon and axamic fxes Fastaaus Stai*z steel Suit Cold-ro led sled and lower bat Wwiw P Page — 7 of 9 POWTS OWNER'S MANUAL AND MANAGEMENT PLAN FILE INFORMATION Owner [u .t c BEN ri Permit S DESIGN PARAME"MR.4 Number of Bedrooms 3 Number of Commercial Units -- Estimated flow (Ave) (100 ) 3640 gpd Design flow (DWF) = estimated x 1.5 J15'0 gpd- Soil Application Rate /p ftt Influent/Effluent Quality (O NA) Monthly Average Fats. Oil A Grease (FOG) 5 30 mg/L Biochemical Oxygen Demand (BOD2) 5 220 mg/L Total Suspended Solids (TSS) <_ 150 mg/L Pretreated Effluent Quality (® NA) Monthly Average Biochemical Oxygen Demand (BODs) <_ 30 mg/L Toni Suspended Solids (TSS) < 30 mg/L Facal Coliform (geometric mean) < 10 cfu/100mL Maximum Effluent Particle Size 1/9 inch diameter Septic Tank Capacity o0WON Septic Tank Manufacturer /�s[o,c O N Effluent Filter Manufacturer 5jyrjr4W Effluent Filter Model —(3NAJ Tf- /oo Al O N Pump Tank oo O N Pump Tank Manu&cturer SkAsJ O N Pump MaaDficww L/ MCS is r O N Pump Model /O EL O N Pretreatment Unit (H NA) O Sand/Gravel Filter O PeatFilter O Mechanical Aetati on O wetland O Disinfection Cl Other Manufactutx Model: Soil Absorption Component (O NA) O In -ground (gravity) O In-grotud(prewurized) O At -grade 0 Mound O Drip -line O Other. Vertical Distance Tank Bottom to Service Pad: ft Horizontal Distance T s to Service Pad: ft Dispersal Unit M%JModei Number: O NA Cakuhstloas: Soil Dispersal End Cap (Dispersal Unit EISA) 2M + ARRhMion Rate = Area Reouired - ILIA + or ffrench Width) - k Units or Total Lem¢th of Trench(s) ySo + /. o - YSO 6 j - 7S O "At -Grade Component MataW forPOWIS' (Pressure or Gravity. Version 3.0 (May 2022-2027) O "Design of Pressure Distribution Networks for Septic Tads -Soil Absorption System" publication 9.6 (SSWMP Manual) O "EZ Flow Mound Component Manual" Version 12/152017 (April 2019-2023) O "In -Ground Soil Absorption Component Mental for POWTS" Version 2.1 (May 2022-2027) to "Mound Component Manual for POWTS" Version 2.1 (May 2022-2027) ® "Pressure Distribution Component Manual for POWTS." Version 2.1 (May 2022-2027) O Other. START UP AND OPERATION: For new construction, prior to using the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment proem and/or damage the dispersal celks). If high concentrations ate detected have the contents of the taak(s) removed by a mptage servicing operator prior to use. System startup shall notoccur when soil cendtions are frozen at the infiltrative surfaea- The property owner is teVonable for the operation and maintenance of the POWTS and submission of required reports. The quantity and quality of the wastewater stream will affect the performance and longevity of your POWTS. The installation of water -saving appliances and futtmes along with Prompt repair of leads reduces the wastewater volume. Also the brine or waste from water softeners. iron removal units, other clear wow treatment devices and foundation drains should be discharged to the ground surface whenever possible. Note: this does not include laundry waste, showers, dishwater, etc. This system is designed to handle domestic strength wastewater, however, the disposal of food based greases, oils, vegetable/fruit peels, seeds, bones, and food solids, such as those produced by a garbage disposal should be minimized. Toilet tissue is the only paper that should be discharged into the system. Other non -biodegradable items, such as baby wipes, tampons, sanitary napkins condoms, cigarette butts, dental floss, and cotton swabs. should Dot enter the system. Chemicals, such as petroleum products, paint, disinfectants, pesticides, antibiotics, solvents, etc., should not be flushed into the system becis they an seriously damage yourPOW'IS and contaminate your drinking water supply. Maintain a regular steady flow by spreading laundry washing throughout the week. Avoid vehicle traffic over all system components. Compaction of snow over the dispersal unit may cause it to freeze up. Page 8_ of 9 drinking water supply. Maintain a regularsteady (low by spreading laundry washing throughout the week. Avoid vehicle traffic over all system components. Compaction of snow over the dispersal unit may cause it to freeze up. INSPECTIONS & MAINTENANCE: Inspection shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Maintainer, or Septage Servicing Operator (per the attached Maintenance Schedule). Tank inspections must include a visual inspection of the tank to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and check for any backup or ponding of effluent to the ground surface and test all electrical equipment such as pumps and alarms. Any defects shall be promptly corrected. Exposed openings greater than 8 inches in diameter shall be secured with effective locking devices to prevent accidental or unauthorized entry the tanks. When the combination of sludge and scum in any tank exceeds one-third (Ir) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with Ch. NR 113. Wisconsin Admin. Code. Specific wm icing mechanics must be provided if vertical is > 15 feet or if horizontal is > 150 feet and instructions to be provided belotr. The outlet filter(s) shall be inspected and cleaned to remove any accumulated solids accord ingto manufacturers specifications. Solids washed from the filter shall be retained in the tank. Filter cleaning may be necessary at more frequent intervals than stated in the maintenance schedule to kecpthe system operating. Alarms should be tested on a regular basis by the home owner. If an alarm sounds, contact an individual licensed to service POWTS. There is normally a I day reserve under regular operating conditions, however water should be conserved until any problems with the system are corrected to prevent back-up of sewage into the dwelling or surfacing. ABANDONMENT: When the POWTS fails and/or is pemmnendy taken out ofservicc the following steps shall he taken to ensure that the system is properly and safely abandoned in compliance with Ch. SPS 383.33, Wisconsin Admin. Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel, or other inert solid material. CONTINGENCY PLAN: If the POWTS fails and cannot be rcpaircd the following measures have been, or must be taken, to provide a code compliant replacement system: O A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorpt ion system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure. lot lines and wells. Failure to protect the replacement area renders it unusable_ Replacement systems must comply with the rules in clfect at the time of replacement. O A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology u holding tank may be installed us a last resort to replace the failed POWTS. ® The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last reson to replace the failed POWTS. 0 Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstruclions ofsuch systems must comply with the rules in effectal that time. WARNING!!!! SEPTIC, PUMP, AND OTHER TREATMENT TANKS iMAY CONTIAN LETIIAL GASSFS AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP, OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAYRFSULT. RESCUF,OFA PERSON FROM THE INTERIOR OFATANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS: POWTS INSTALLER POWTS MAINTAINER Name: EO .[ / fi/RS- aT,7/889 _ �Phonc.ame: [�tA Phone: �1��1S/S 1-.5-.?aa SEPTAGE SERVICING OPERATOR (Pumper) ? LOCAL REGULATORY AUTHORITY Name: Name: S1' Lse/ �o Co iI6 ft•/�y[.rr Phone: I'honc: 7i ' 386 - yes-0 . Si ,11//TEC Mailing Address 06599 Horton Hay North Rod. Boyne City. hit 49712 Plrysnrol Address 14551.exaner Ikty- Boyce City. W 49712 FILTER MAINTENANCE STFA DO, STF-10OA2, STF-10OA3 SERVICE FREQUENCY: Toll Free US-999-3290 Off" 231-592-1020 Fox 231-592-7324 Enact .i . J, : i W H'eb Service of the fitter screen is dependent on usage, as every system is unique. If the fitter has been installed without the benefit of our Service Alarm Switch, it will be more difficult to determine the frequency of service. It should be inspected every time the septic tank and pump chamber are serviced. Check your local Health Department for those recommendations. SERVICE: STEP 1: Remove tank cover. Unscrew 4' cap from OW caskp and remove from tank. STEP 3: Mft holding the raer screen over the access openkv. rive off the wean wah hash water. being urehd not to rinse any $wage mi ieriw into the Nor caskV. tit STEP 2: The talar screw wW be vWble and can be removed from the NOW ca"V STEP 4: Reinsert the rnaer screen and replace the 4- cap onto die filer casirq. Rapt" tank cover twin carehsl not to contemina tank with surisoe debins. H During fiker service ear* should be taken not to contaminate any exposed surface area with septage (yard, grass, etc.). i7 VNedorlm Oepertrt,ent of Safety and Professgnd Serv10e3 Divides, of Mdusuy Services SOIL EVALUATION REPORT pays I of 4 09ft a d Comm B5, & A*. Code r.....ry y I , I;HUtX ft*''41 f*P.f-jLft.2aWPU Mfg JU xj 1 hdm in sb. Plan met �. psrogM etopa, =We or drnaMiona. north arrow. and bcotion and distance to nearest road. 016•11019-m l oo pfaase p►fnt au frtowmadon. Reviewed by Dad ftrq j e/Orr &ta you prova,a nay be used fa secondary p►pawa (A"'a-'/ Laws. 15 04 (1)(m)1 property Loopoon BEVERLYFRENTZ Govt Lot NW 1/4 NW 114 S 9 T 30 N R 15 E W �perty Owuar't MWAnp Addresses Lot 0 Blocks I S,bd Mn*s Or CSw 1 2983 1881290TH 8T. 49amst Road 3 Nsw ConWucton UseEj Rsaidenbel / Nurnber of bedrooms 3 Cods derived demM flow MIND 450 GPD aReplacement ❑ Pubic or owvmniW - Describe: fL Parent matedel Flood Plan elevation If applicable Oenerd conmenta and rea rnmendationa: RECOMMEND 25' MOUND POWTS..6 I.R. 8.5'!t SLOPE. 750SOFT BASAL AREA V X 75, MOUND ON 95.5' CONTOUR, SYS. EL. = 97.6' QPit Ground wrlaoe elev. 95.5 R. Depth to lirn"4uGor ti. SW Aloptiolljon RaM Horizon I Depth I In Domirrnt cobj Mu,adl Redox Deemption Qu. Sz. Cont Color Textue stuct n Gr. Sz. Sh. Conahbras BolnderY R00ta IaPDAE 'EIa1 -Etle2 1+!Vl 10YR 3r3 -SL 2MSBK dsh Cs 3u f .6 1.02 75YR 4 al4 SL 2 M ASK dsh-hce tut .6 1.0 3 11.19 7.5YR 614 did SYR 612+516 6L 2 M ARK dh a tuf a ,.0 4 19-32 7.5YR 414 c2d 5YR 512+5f6 SCL 2 C ASK dh cs .4 .6 5 32AO t OYR 5/4 S SG do C3 - .7 1.6 6 40-67 1 7.5YR 4/4 c2d 5YR 62+5/6 SC 2 F OR mvh - 1 .3 LJ I z 1 1u.9 p 93.0 a Dadh to 1 .16 fa0br 12 bL c� wra...s.... 13.6. Horizon Depth in. Dor1*>ont Muadl Radox Description Ou Sz Cont Color TO"" Stnxbre Gr. Sz. Sh. Canwbnoe emidary Roost ,3PDAf -m 1 0.4 1" 313 - SL 2 F GR des rx Wd .6 1.0 2 4-12 7.5YR 44Y4 SL 2 M ABK deh ca 2uf .6 1.0 3 12-20 L5YR 44114 c1d 5YR 52+576 SL 2 M ASK dh cs - .6 1.0 4 2041 7.5YR 414 12d 5YR 52+516 SCL 2 M•C ASK dh - - 4 .8 E[E Ej - Ffaulara el = tlU17 7 AUK l rrprL ace i — -- Z ': cry. CST Names (Pleases P" Ark Muck ate CST Ni~ Addlecc Eau Claire. W . 54703 ate Evakn6on C xfucied Tdep mm Nullber (715) 225-19M 7/z+/z02z 0ri.-I ;0 (R07,13) Property Owner BE ERLY •NT Parcel ID0016-1016-70-100 Page 2 0} 4 Boring 1 U Boring pit Ground surface elev. 95.5 P,. Depth to limiting factor 13 in. Sol Apobcaiion Rate Horizon Depth Dort.nant CIIII Redox Description Texture SrUM" Conimterxa Boundary Roots GPDRt in Munson Ou Sz Cont Color Gr. Sz cSh 'ErtCt 'EfW2 1 04 10YR 313 SL 2 M SBK dsh cs 3uf 6 10 2 4-13 7.5YR 4-&4 SL 2 M ABK dh cs 2ul .6 1 0 3 13-30 7.5YR 4-M c1d 5YR 5/2+576 SL 2 M ABK dh ra - .6 1.0 4 30-49 7.5YR 414 f2d 5YR 512+5/6 SCL 2 C ABK-GR mvfr - 4 g U Boning P Boring Pit Ground surface elev. ft Depth to Gmibno factor in J , Boring Prt 9 GifDund surfaceate' ft. Depth t0 limiting factor in . Effluent Pi = BOD. > 30 < 220 MWL and TSS >30 < 150 mglL \N))-III NIR��) III ' Efhxnt #2 = BODE < 30 ng1L and TSS < 30 rng& PLOT PLAN PAOj mc=NAMiuBE(ERLY FRENTZ (1661290TH ST.) - T. of OLENWOOD ST CROIX CO. � CRT L/CP.NRR +• )S (� nwrs. 71Zg LezZ an.�cc Fmn Adk ••nick 1518 Glenn PI. Eau Claire, M, 54703 (715) 225A WS CST - 092000015 i i I N a l'�SIY T APPROVED By Glen Schlueter at 1:49 pm, Apr 16, 2021 WARNING DEATH MAY OCCUR /F TANK IS ENTERED I O 1 WITHOUT PROPER EQUIPMENT 1 p I 1 I TOP VIEW OF MANHOLE COVER ii 27. 00 — 27.00 — 5.00 24.00 — 24.00 — �16.00_1 1.00 2.00 INL� 4 INCH PRESS 2.00 SEAL GASKET INSTALLED WHEN POURED I I i BAFFLE 41 70 � OUTLET \V 4 /NCH PRESS SEAL GASKET FILTER TOP VIEW OF TANK (TAPERED) 59.23 300-1 SECTION VIEW OF TANK AND COVER —1 [—s00 OUTLET END VIEW OF TANK Model Number: 800 Approved for. SEPTIC, SIPHON, HOLDING, OR PUMP SKAW PRE -CAST Phone: (715) 967-2277 Weight n e Im. Outlet Dim 26255 105th Street, New Auburn Toll Free: 1-800-924-8625 9 Liq. Depth Gal. /In. Max. Cap. Wisconsin 54757 Fax: (715) 967-2707 7930lbs. 45.7" 44.7" 41.70" 19.18 1 800gal. www.skawprecast.com Sim/Tech Filter MI�/J Wmaite: ales@gag-simtech.com 1455 Lexamar Drive SUIR .I Email: sales@gag-simtech.com Boyne City, MI 49712 ^ Fax: 231-582-7324 Office: 231-582-1020 Toll Free: 888-999-3290 Sim/Tech Filter's Last Line of Defense The 100 Series Pressure Filter Vortex Action The Sim/Tech pressure filter, with its unique design For more info and to p + q g see videos, visit and mounting location, allows the filtering screen to www.simtechfilter.com be scrubbed during pump operation, providing maximum maintenance intervals with unmatched performance capabilities. The filter screen is a type 316L stainless steel with .062" (1/16") diameter holes. Optional socks are available for finer filtration. The screen is 3 inches in diameter and 18 inches long, with 41% open area. This large open area (69.52 square inch- es) allows the filter to operate at up to 83.8 gallons per minute at 1 psi. With features like these even a 95% plugged screen will keep your pressurized sys- tem well protected and working properly. This performance product assures quality effluent with lower TSS levels, keeping your pressurized systems functioning at 100% efficiency. Engineers and designers can specify the Sim/Tech pressure filter to safeguard and assure systems will function as designed now and in the future. The Sim/Tech pressure filter is perfect for both residential and commercial applications. High flow -rate manifold. Multiple filters can be assembled into a manifold to accommodate high flow -rate or high strength effluent systems. At the max flow -rate of 83.8 gpm, headloss for a clean filter is .21 psi or 1/2 foot and head - loss for a 95% plugged filter is .85 psi or 2 feet. Far rhm proescri in ems/ bu Mailing Address 1455 Lexamar Drive, Boyne City, M149712 Tnil Free 898-999-3290 Office 231-582-1020 Fax 231-582-7324 Email simtech@Leeway. NET Web %ti,%vsac-simtech tom INSTALLATION: INSTALLATION & SERVICE INSTRUCTIONS When installing an STF-100, screw filter into discharge port of any pump that has a 2" National Pipe Thread. Pumps with a smaller discharge port may be adapted to fit. When installing an STF-100A2 a tailpiece and male adapter will need to be added to the inlet end of the filter to the desired height and a 2" union will need to be added to the outlet end of the filter. Always install the filters in a position where they can be easily serviced. "Always use caution when starting threads to avoid cross threading". Plumb force main into the 2" sch 80 PVC union. "We recommend that the union remain together during gluing to insure that glue or cleaner does not ruin O-ring or sealing surface". DO NOT REMOVE FILTER IF WATER LEVEL IS ABOVE FILTER CANISTER Service of filter screen is dependent on usage as every system is unique. For most residential systems we recommend inspecting the filter within the0oOp to determine the necessary service intervals for the filter. In high volume systems we recommend inspection within the first 6 months to determine necessary service intervals for the filter. Once the service interval is determined it should be consistent unless something changes in the system. Always inspect the filter screen for any j9fj and replace if necessary. If our STF-101 service alarm switch has been installed and adjusted property it will alarm when the filter requires service. It should be serviced$91W.. ' ,�f the septic tank and pump chamber is performed. Servicing will be more frequent if using any one of our optional filter socks (600 micron, 150-190 micron, and 100 micro systemrvicing recommendations. MBING DO NOT USE PLUWHILE FILTER IS REMOVED If the screen becomes clogged a ore the periodic pumping requirements, a nigh level alarm or light will indicate the need for service. If system is equipped with a "pump on light" that stays on longer than normal, this also may indicate a need to servire filter .-� uitactCw ute w cap. run inter screen trom canister and washout thoroughly in appropriate location with proper protection. In some cases an additional filter screen allows quicker service allowing the dirty filter to be washed later at the shop. Note that in cold conditfons the firltercap maybe difficult to remove. Keep the fitter in a warm area or pour warm water over the cap before removing. Once the filler is installed in the tank it maintains a stable temperature and removing the cap will not be a problem. If the system is equipped with our Service Alarm Switch, the filter screen does not need service until the Service Alarm Switch activates a light or audio alann. We still recommend that the filter be inspected once a year for damage or corrosion. NOTE: The total dynamic head loss of the system must be increased by 0.5 feet of head to overcome friction loss through the filter. SERVICE ALARM SWITCH The alarm switch is available in three pressure ranges, low head, medium head, and high head. Installation is simple, on SIMlTECH FILTER systems, remove'/4" plug from base of filter chamber and connect tube fitting. Next, run the tube up into the tank riser and connect to service alarm switch. The alarm switch is fastened to the side of the riser via the nylon strap provided. Run alarm wire to alarm box. The service alarm switch can be wired with its own alarm or with the high water alarm. Pressure adjustment is made by removing the end plug, and inserting the 7/32 alien. Clockwise increases pressure. One turn equals approximately 3 PSI. The low head alarm switch comes factory preset at 8 PSI and is completely field adjustable within it's range (3 to 24 PSI). We recommend the use of a ball valve when using an alarm switch. Once you have installed the filter and alarm switch, the ball valve can be closed off to simulate a plugged filter so that you can make sure the alarm switch is working correctly. "TRY OUR LID/SCREEN REMOVAL WRENCH. Our wrench holds filter lid firmly and hooks screen for easy removal and installation. Made of PVC plastic. Installation Smicc Instructions.doc wiae-angie pump switches directly control pumps up to 3 HP at 250 VAC. Each switch features an adjustable pumping range. Pump Switch ASJE PumpMaster• WPS Mechanically 1/2 HP,120V 13A 120V B5A 120V dT • 36 in I Activated I 1 HP, 230V 13A, 230V 85A 230V (18 - 91 cm) s - SJE PumpMaster• SJE PumpMaster' Plus WE PumpMastera SPDT (single Pole, Double Throw) Double Float' Master MUST use if do, WE AmpMaster' WE VerticalMoster• OWdW Soaa.,fpaot;mai SJE MicroMaster•AC/DC Mechanically I V2 HIP. 120V Activated 1 HP. 230V Mechanically 3/4 HP, 120V Activated 2 HP, 230V Mechanically I 1/2 HP,120V Activated 1 HP, 230V IMechanically 115 FLA, 90LRA Activated 120 or 240V < 7" unless using Vertical6 Mechanically 11/2 HP.126V Activated 3 HP. 250V BJE MkmMaster• Plus WS Mechanically I 1/2 HP, 120V Activated 1 HP. 230V Mechenio@IV Use Pump Activated run and start current Mechanically Use pump run and Activated start current 13A. 120V 13A, 230V 15A, 120V 15A, 230V 13A. 120V 13A, 230V 15A, 120V 85A, 120V I 7 - 36 in 85A, 230V (18 - 91 cm)i 85A. 120V I tj - 36 in 85A, 230V 08.91 cm) 85A,120V 17- 361n 85A, 230V (18 - 91 cm) 90A.120V a . 48 in 90A, 240V (7.6.122 cm) 20A. 125V 120A, 125V 8 -24 in 20A,250V 120A,250V (23-61cm) 13A, 120V 12A, 230V 10A,12VDC 10A,12VDC 8A.250VAC 13A, 125V 12A. 250V 60A,120V 60A,230V 100A,12VDC 60A, 125V 60A, 250V 78A, 125V 72A,250V .75 - 6.5 in (2 -17 cm) Ill -36in (20-91cm) 0.36 in (20 - 91 cm) Mechanically Use pump 13A. 125V 78A,125V 8.36 in SJE HlTempMaater- run and ted 91 cm) Activa start current 12A 250V 72A 250V (20 - California Prop 65 requires the following: ®WARNING Cancer and Reproductive Harm - www.P65Wamings.ca.gov 888-0IALSJE (888-342-5753) customer.service@sjeinc.com www.alerhombus.com SJE RHOMBUS. �° 9600� 07120 O so,e SJE nc All aghu, R"&vW. SJE RHOMBUS is a tradenwk of SJE. ft. ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF EXISTING SEPTIC TANK(S) This is to certify that I have inspected the exis ' se�cd/or dose tank presently serving the following residence: (Street address) c.�� located at: �(.l '/a, AV '/,, Section !3 Town_3Q_N, Range I -§� W, Town of 45e�4 , St. Croix County Wisconsin. Upon inspection, I certify that I have found the tank(s), to the best of my knowledge, will conform to the requirements of Comm. 84.25, and it (they) appear(s) to be functioning properly. Most recent date of inspection or service Did flow back occur from absorption system? Yes No (if no, skip next line.) Approximate volume or length of time: gallons minutes Tank Capacity: I ooy Construction: Prefab Concrete_ Steel Other Manufacturer (if known): 0,�J�,�(a,��„�— Age of Tank (if known): o Permit number (if kn 4MV�- (Licensed Plumber Signature) (Print Name) (Title) (Date) o (License Number) NZnLRS Form to be completed by licensed plumber (Dept of Commerce Chapter 5 and s. 145.06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin Administrative Code) Rev. 9/2008 ST. CFt NTY SANITARY SYSTEM File #: [ s airs„r Office Use Only OWNERSHIP/ADDRESS FORM Crwted212021 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 Property Files Scanned weblink. OWNER/BUYER INFORMATION wne /Buyer q6•1TZ Mailing Address /i�J :�'70'`j- ST- City/State/Zip e/4k1L k_'64 Cl I t'{tx Phone Number (required) -%Z<� Co �, - M 7 1 Email Address Parcel Identification Number C /(�. - /0 7o -- (found on the property tax bill) NEW SYSTEM: LEGAL DESCRIPTION Property Location .Mkk/a , ALLJ 1/4 , Sec. c�i9 , T jQN Rjy`W, Town of ( LddkjL..) a+b Subdivision Plat: zx/s4jK�_�C-L Lot #. Certified Survey Map # &)C 531 GT-7 Volume 10 Page # 29�3 Warranty Deed # 6;3% 636 (before 2006)Volume /582 Page # 419 Number of bedrooms —? Spec house 0 yes O'no Lot lines identifiable Eroy'es 0 no OFFICE USE ONLY New Property Address'-lrYl� (Verification 9,tAew 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.aov VNEconsin Department of S Division of Industry Servi ORIGIN Attach complete site plan include, but not limited to: percent slope, scale or dir L E 4T tm 85, 1Ns. Adm. Code CST—aaaa— ;�� Page 1 of 4 es in size. Plan must County ST. CROIX t (BM), direction and Parcel I.D. �, . id distance to nearest road. 016-1010-70-100 easel a print all informadon. Reviewed by Date Personal information you provide may be used for secundary purposes (Privacy Law, a 15 D4 (1) (m)) 9� /Zo?-42 Property Owner Property Location ❑ ❑ BEVERLY FRENTZ GovL Lot NW 1/4 NW 114 S 9 T 30 N R 15 E or W Property Owner's Mailing Address Lot k Block k Subd. Name or CSMk 1661 290TH ST. 1 2963 City State Zip Code Phone Number ity ❑ Village [aTown Nearest Road AUG irga with aper not less than 8 _ x 11 ml ago horitdrrLdttjle GLENWOOD CITY I WI 54013 1 ( 715 ) 505-2906 GLENWOOD 290TH ST ❑ New Constn&--ion UseE] Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement ❑ Public or oommercial - Describe: Parent material Flood Plain elevation ifapplicable n/a ft General comments and recommendations: RECOMMEND 25" MOUND POWTS, .6 LR, 8.5% SLOPE, 750SQFT BASAL AREA 6' X 75' MOUND ON 95.5' CONTOUR. SYS. EL. = 97.6' / Pet- Bonng k ❑ Boring v Q pit Ground surface elev 95.5 Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont Color 1 0-4 10YR 3/3 2 4-11 7.SYR 4-&4 - 3 1 -19 7.5YR 614 cld SYR 512+5/6 4 19-32 7.5YR 414 c2d SYR 5/2+516 5 3240 10YR 5/4 - 6 40�7 7.5YR 414 c2d SYR 5/2+5f6 0 ft. Depth to limiting factor 11 Texture Structure Gr. Sz. Sh. Consistence SL 2 M SBK dsh SL 2 M ABK dsh-h SL 2 M ABK dh SCL 2 C ABK dh S SG ds SC 2 F GR mvfr in. Soil Application Ra Boundary Roots GPDRf T1101 'Eff#2 Cal 3uf .6 1.0 cs 2uf .6 1.0 cs luf 6 1.0 cs 4 .6 cs 7 1.6 .2 .3 a Borng k U Boring V❑ Pit Ground surface elev. 93.0 ft. Depth tD limong factor 12 in. Horizon Depth in. Dominant Color Munsell Redox Description Ou. Sz Cont Color Texture Structure Gr. Sz, Sh. Consistence Boundary Roots GPD/ft "Effkt 'Effk2 1 04 10YR 3/3 SL 2 F GR ds cs 3uf .6 1.0 2 4-12 7.5YR 4.6/4 SL 2 M ABK dsh cs 2uf .6 1.0 3 12-20 7.5YR 4-/4 cid SYR 5/2+5/6 SL 2 M ABK dh cs 6 1.0 4 20-41 Z5YR 4/4 f2d SYR 5/2+5/6 SCL 2 M-C ABK dh .4 .6 - tmuem irl = L"U - - - Z^, mgrL ana l JJ IJU � IOU nlgrL - LMuem ir1 7 tSVU 151 rrgrL aria I -ib < :iU ngn- CST Name (Please Print) Arik Muck Signature CST Number w Address Eau Claire, Wi, 54703 Date Evaluation Conducted Teleptnone Number (715) 225-1906 -7/2 ?/ 20-47 CST - 092000015 SRTM116(11207.13) MA Zj ORIGINAL Property Owner BEVE5LY FRENTZParcel ID 0 016-1018-70-100 Pape 2 of 4 Boring 0 ❑ Boring Pit Ground surface elev. 95.5 R Depth to lirnifing factor 13 in. �� Horizon Depth in. Dominant Color Munsell Redox Description Qu Sz Cont Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/M •Efft1 'Eff#2 1 04 10YR 313 SL 2 M SBK dsh cs 3uf .6 1.0 2 4-13 7.5YR 4-&4 SL 2 M ABK dh cs 2uf .6 1.0 3 j:�-30 7.5YR 4-&4 ctd 5YR ,�2+516 SL 2 M ABK dh cs .6 1.0 4 30-49 7.5YR 414 f2d 5YR 52+5/6 SCL 2 C ABK-GR mvfr .4 .6 Boring # Boring Pit Ground surface elev. ft. Depth to limiting factor in. ®® a S-z -Cont Description®®®®® 9❑ Boring Boring Pit Ground surface elev, ft. Depth to limitng factor in. Soil Application Refs Qu Sz Cont Color + Effluent N1 = BOO, > 30 < 220 mgfL and TSS >30 < 150 mg/L Effluent Art = BOD, < 30 rng/L and TSS < 30 nV& SBW7NIR07 171 PLOT PLAN pROJBcr r4Amj&. BEVERLY FRENTZ (1661 290TH ST. ) W pltoJB.C'r Locwrioiv. N)!Y , NW, 9 , 30N, 15W 0 T. of GLENWOOD ST. CROIX , CO. CST LiCENSE� � ORIGINAL aSIGNATVRB._ nwrE. ___�29�zezZ ' GRASS FWLD - T �n Arik Wruck 1518 Glenn PI. Eau Claire, WI, 54703 (715) 225-1906 CST - 092000015 I I � I N \ al 1 "=50' m 1 �`W404 � .�Ik COUNTY NO. 645423 STATE SANITARY PERMIT PREVIOUS NO. 012:V PLUMBERS SGNLIC.#-IP33199 TOWN OF SEC,T N, R IS AND/OR LOT BLOCK - X%%) col.: n%(01T SUBDIVISION 145.135 M WISCONSIN STATUTES (a) The purpose of the sanitary permit Is to allow installation of the private sewage system described in the permit. (b) The approval of the sanitary permit Is based on regulations in force on the date of approval. (c) The sanitary permit is valid and may be renewed for a specified period. (d) 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. (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. HORIZED ISSUING OFFICER - DATE fi r THIS PERMIT EXPIRES UNLESS RENEWED BEFORE THAT DATE POST IN PLAIN VIEW VISIBLE FROM THE ROAD FRONTING THE LOT DURING CONSTRUCTION SBD-06499 (R11/20)