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Home My WebLink About020-1094-70-110Wisconsin 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 ( 1)(m)I Permit Hdder's Nama City Village Township Jojon Commercial LLC TOWN OF HUDSON TANK INFORMATION TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic Dosing Aeration Holding PUMP/SIPHON INFORMATION to Well OUIL At3AUK1' I IUN JYSTEM ELEVATION DATA STATION BS HI FS ELEV. Benchmark All BM Bldg. Sewer StIHt Inlet StIHt Outlet DI Inlet Dt Bottom Header/Man. Dist. Pipe Bel System Final Grade St Cover BEDlTRENCH Width Length No Of Trenches PIT DIMENSIONS No Of Pits Inside Dia Liquid Depth DIMENSIONS SETBACK SYSTEM TO JPIL BLDG WELL LAKE/STREAM LEACHING Manafauurer INFORMATION CHAMBER OR Type Of System UNIT Model Number: Header/Mandold joistribulion x Hole Size x Hole Spacing Vent to Air Intake Pipes) Length Dia Length D,a Spacing enu nnvrr� Depth Over Bed/Trench Center Depth Over Bed/Trench Edges xx Depth of roc Seeded;Sodded >a Mulched Topsoil ._ Yes NO ,_. _ _ ,Yes No ;.Ummen 1 a: (Include code discrepencies. persons present. elc.) Location: 584 CTY RD N 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = Plan revision Required? Yes , No Use other side for additional information. SBD-6710 (R.3197) Date Inspection #1. Inspection 02: Inse iclor's Signature l Geri No. s&J,0102L4- -396 M Department of Safety & Professional Services, County Sanitary P n Number (to be filled in by Co. ) _' - ` 15 2022 Industry Services D22 iv' i ��S 3 T 4/ SEP t Applicati State TranssactionNumber lo' In accordance with iW ission of this form to tt� a (bvernmen it PWTS-072101592-C Project Address (if different than mailing address) is required poor to - a sanitary permit. Note. Application formskr state-owned POWTS are subinnted to the Department of Safety and Professional Services. Personal in formatio you provide may be used for secondary purposes in accordance with the Privacy Law, s 15.04(1 xm), Stats. 584 Cty Rd N, Hudson, WI 54016 1. Application Information - Please Print All Information Property Owner's Name Parcel N Jojon Commercial, LLC 020-1094-70-110 Property Owner's Mailing Address Pro y L ion 1Cr' 3X-Z-0 245 Red Pine Circle ovt. La ' City, State Zip Code Phone Number Hudson, Wl 1 54016 651 707-2722 NE y., NE v., Section 33 T 29 N R 19 E 20 11. Type of Building (check all that apply) Lot N Subdivision Name ❑ 1 or 2 Family Dwelling - Number of Bedrooms 10 Asphalt Contractor Facility 0 Public/Commercial -Describe Use lY N.A. Block N N.A. O City of O State Owned - Describe Use O Village of CSM Number Z(,- o a5 #1007877 O Tit,,of Hudson Ill. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on But A. Check one box on line B. Complete line C i applicable.) A_ 0 New System ❑ Replacement System pl El Other Modification to Existing System (explain) ❑Additional Pretreatment Unit (explain) B. ❑ Holding Tank 0 In Ground ❑ At -Grade ❑ Mound ❑ Individual Site Design ❑ Oder Type (explain) (conventional ) C. ❑ Renewal Before ❑ Revision ❑ C e of Plumber ❑ Transfer to New Owner List Previous Permit Number aridDateIssued Expiration IV. Dis maVrrea at Area and Tank Informatkojir Design Flow (gpd Design Sod Application Rate( 960Dispersal Area Required (sf) Dispersal Area Proposed (s System Elevation 600 0.7 858 S.F. 900 S.F. 97.50, 96.50, 95.50 Capacity in Total N of Manufacturer Tank Information Gallons Gallons Units 'm "!+' G U 2 �y New Tanks Existing Tanks 6 0 Septic or Holding Tank 1250 1250 1 Polylok PL-525.wba« Conaeb Dosing Chamber V. Responsibility Statement- 1, the vo dersfped, assame respoasihaity for iutallatiou of the POWTS shows on the attached pisas. Plumber's Name (Pnnt) Plumber's Signature MPIMPRS Number Business Phone Number Gary Zappa 222373 715 386-2850 Plumber's Address (Street, City, State. Zip Code) 715 Sixth Street N, Hudson, WI 54016 V1. county/De artment Use Only Approved ❑ Disapproved Permit Fee S Date psued `Z 2 Issuing Agent tune ❑ Owner Given Reason for Denial 7 J . Conditions of Approval/Reasons for Disapproval 3 COh t� t_� j >Ot(1DL&4 7 %i'�� SYSTEM OWNER: 1. Septic tank, efnuent filter and r n { I ^ C ��, �� dispersal cell muit t'� by plum y V�l_- v��- /a �„VI 1;4 Sp/ ep4i ^�t Y � t�`C as per management plan provided by plumber. � / !i" piarvicetlded I 2.Allsetbackrequirementsrust bemaintained 7%il�ikV�a% ,! 1Q(tr,ap) ( Oivl'�Clr' . 7 + `�� ` u par appueabla eoda/ordinarK/>, i� 1T /7 5 luc{ ArVC kvS/ Aeaca so compkk plan fer the systems sad namit to ale Coaary only w Payer sat leaa taaa a [a a a r mcaea m MV SBD-6399 (R. 03122) � .r c ` ``��_�� SYSTEM PLOT PLAN Jojon 600GPD Septic System Project Address 584 County Road N SMt Symbol, A BM Elevation tD0.t10' SM Description Top of 2 PVC Pipe BM2 Symbol Q BM Elevation 105.70' BM Description Top of 2" PVC Pipe Slope Gradient of Tested Area. Ito 4i Well Symbol (i1 applicable, Notes. See CSM for complete lot WLP1250-MR Septic Tank wi Polylok 525 Filter , I r I r 7 ! t 1 2 JP�I T3 T2rTt B4I Bf I — IBM2 ` I I r too' I 90' 92' 94' 96' 98' T7- 3'40' EZ Flow trench El = 97 5' i T2- 3'x60' EZ Flow trench El = 96 5' I T3. 3'40' EZ Flow trench El = 95 5' / Design Flow 600GPO Attach design now calcWatlons for commerclal plans Pipe Materials i ASTM Standard Tables 384 30.3 8 384 30-5 a- SCH 40 PVC Droe ASTM- D2065 4' 3034 PVC pipe ASTM-03OU Property Line 200' 4" SCH 40 PVC Building Sewer (Clesnouts and insulation as per coder n- Shop Conference i ,Room i Asphalted Area i •Proposed Well II �I al )I I I i I Coun Road N PJVv {C\G Y ;aeaaruF�. r a t July 12,2021 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 2023-07-12 Plan Review: PW'TS-072101592-C JOHN F SCHMITT 616 150th Ave Somerset WI 54025 SITE: Jojon Commercial LLC Shop S84 CounIN Road \ Town of HUDSON St. Croix County Total Amount: $250.00 FOR: DIVISION OF INDUSTRY SERVICES 2331 SAN LUIS PL GREEN BAY WI 54304-5211 Conrad Through Relay hnp ndsps m.gov/prNrarrs/industry-services YA" Imsconsin gov Tony Evens - Governor Dawn Cnm - Secretary CondlUornally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SEE CORRESPONDENCE In -ground Component Manual - Ver. 2.0. SEID-10705- P (N.01101, R 10/12) Descriodon: 600 GPD (Employees A Floor Drains —New Construction) Maintenance Required The submittal described above has been reviewed for contomtance 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) rcfercnced above. The owner, as defined in chapter 101.01(10). Wisconsin Statutes, is responsible for compliance with all code requirement,;. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, staLs. The following conditions shall be met during construction or installation and prior to occupancy or use: • Preserve dispersal area prior and during construction to avoid disturbance, compaction and use of the site. • With new construction, it is recommended not to activate the pump in the dose tank until the tanks are pumped prior to homeowner occupancy. • Wastewater generated from contractors cleaning of equipment and tools and/or left over construction products shall not be discharged into the drains discharging to the private onsitc wastewater treatment system (POWTS). Waste generated shall be properly disposed of on -site or off site. • Divert surface water from POWTS Area. • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building sewer beyond 30 feet per SPS 392.30 (1 11(c) • Tank Installation to follow all manufacture's recommendations. • Verify property line(s) prior to installation. Owner Responsibilities The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval SPS 383.54(1). In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of constructiottlinstal lation/operation. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state slats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Thanks,, 9 rTwr ?/V r e4l �c .t POWTS Plan Reviewer — Wastewater Specialist Department of Safety & Professional Services I Division of Industry Services email: .i i i Cell: 608-516-6134 CONVENTIONAL COMPONENT DESIGN INDEX AND TITLE PAGE Project Name. JoJon 600 GPD Septic System Conditionally Owners Name: Jo)on Commercial LLC APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES Owner's Address 245 Red Pine Cir DIVISION OF INDUSTRY SERVICES Hudson, WI 54016 Legal Description NE 1/4, NE 1/4, 533, T28N, R19W SEE CORRESPONDENCE Township Hudson County: St. Croix Subdivision Name: NA Lot Number. 10 Block Number Parcel i.D Number 020-1094-70-110 Plan Transaction No. Page 1 Index and title Page 2 Plot Plan 1:50 Page 3 Plot Plan 1:80 Page 4 GPD Calculations Page 5 Septic Tank Specifications Page 6 Effluent Filter Information Page 7 System Sizing & Cross Section Page 8 EZ Flow Information Page 9 Management and contingency plan Page 10 Sanitary System Ownership/Address Form Page 11 Warranty Deed Page 12 CSM or Plat Attachment 1 Soil Evaluation Report Designer: John Schmitt Licnese Number: MPRS 223760 Date: 6/22/2021 Phone Number: 715-760-0486 Signature: 4,21 % �i ,J'/( L Z/ In -Ground Soil Absorption Component Manual Version 2.0 SBD-10705-P (N. 01/01) Palo 1 SYSTEM PLOT PLAN Joion 600GPD Septic System Sin `"'" "'"'' N . - -- I Attach design no. calculations for Project Address 58d County Ro8o N I rzmmertlal plans BM1 Symbol - BM Elevation t0C 05 PRpe Materials AST,' Standard Scale 1u 50 BM Description 'cc or 2 z. _ ape Tables 384 303 8 364 30.5 0 50 t` 100 BM2 Symbol 0 BM Elerapon 1.157C 4 Sr- C P i'_ Gpe AS-M. -_2W l �,, BM Description Top of 2• PVC Pipe 4- 3034 P'vr pip* A1,1 M.U3434 !I Slope Gradient 31 Tested Area z'u I tz s Wan Symbol iif applo hle Notes See :SM for compete Wt Pruperiy Line 20: 4' SCN 40 PVC Budding Sewer Cleanoub and �sulatron as per code Srop cc^fere^x Room WLPf250-MR Septic Tans. w Polylok 525 Fitter 1Y/ Aaohaited Area s3 ■ t T3 T2?t Bd ■F. _ �- BM2 Roan N R W �ow•t 96 l 9d' 90 92 gE �r Tf- 3 Y60' EZ Flow trench El • 9' 5 T2- 3 Y60EZ Flow trench El • 96 5 T3. 3 Y60 EZ Flow trench E� = 95 5 Pr000eedI Nye ll :I s SYSTEM PLOT PLAN Jojon 600GPD Septic System Design F dw AY ''` Attach design now calculatlons for Protect Address 584 County Road N wmmerua� t.lans BM! Symoot • BRr E evabon !00 Of, P,pe r!aw,a'.s AST' Stanoaro BM Description Trio or 7' p..'_ ° De A �N Scale 1" = 80' Taties 384 30 0 8 ?M 30-5 J 80 120 !8C BM2 Symbol Q BM EleVatlOn 105 70' 4 5,-� a: a:C h0e ASTM C2W BM Desuipbon Top of 2- PVC Pipe a 1034 P: _ mne ASTM Cso'a Slope Grad*nt of Tested Area I 20 i 0411 Symbol (if appi catle Notes See CSM for complete lot t r Gallons per Day Calculation FOR Jo jon Commercial LLC Shop & Office Building The building will be designed to accommodate a shop and office for an Asphalt Contractor. l p to 25 employees will use the building with most coming in the morning and then leaving for the day and returning at the end of the day. Onh residential strength wastewater will enter the septic system. 25 Employees x 13 gallons/day= 325gpd 3 Floor Drains x 25 gallons/day = 75gpd Estimated Wastewater Flow = 400gpd Design Wastewater Flow 400gpd X I.; = 600gpd Septic Tank Capacity 6(K)pd X 2.088 = 1252.8 Gallons Page 4 L. TANKS ARE U 'QI, v_1LW 10 MLET OR EXCLLD ASIM C-1221 I WLP1250-MR TANK SPECIFICATIONS DIMENSIONS: WALL 2 1/2' BOTTOM 3' COVER: 5' MANHOLE: 24- ID PRECAST CONCRETE RISER HEIGHT 52 1/2' LENGTH 10'-0 1/4- WAD TH 7*-0' BELOW INLET 41- LIOUID IiVEL. 36 WEIGHT: 8,810 LBS. INLET AND OUTLFT- 4- CAST -A -SEAL BOOT OR EOUAL GASKET INLET AND OUTLET BAFFLE AND FILTER I `- WISCONSIN. SFF DFTAII #10 (OTHER STATES SEE CHART) `y LIOUID CAPACITY 34.81 GAL/IN ~ W Q� HOLDING TANK v OUTLET HOLE PLUGGED C ACTUAL CAPACITY: 1.323 GALLONS O P� LOADING DESIGN 8'--0' UNSATURATED SOIL TANK CAN BE USED AS SEPTIC / HOLDING / PUMP OR SIPHON ` COVER: MIX DLSIGN /8 (NO IIBER) TANK MIX DESIGN /1O (STRUCTURAL FIBER) CUSTOMIZED TANKS - FOR CUSTOM TANKS CONTACT WIESER CONCRETE c J a � 1 Z 1 O � Q REVIEWED BY N REVIEW DATE W to DRAWINGS SUBMITTED FOR APPROVAL APPROVED 51. APPROVA, DATI� PWXXKTS NEEDED BV: PAIL64PX_I'I -�� I Illurnt I illrr I'I -;'1 I I I I v I I he 1tl_-;2c Ellter is rated tl,r If',,ItitI (.I'U tgallon, per daci making It one, kit the largest filler, In Its e1,1,s It has ;2; lincar feet tit I, It-," hltratnm ,I,'', I ]kv tilt- Pok look, PI -122, tilt- f id\ lol. PI - Im..ln viio vatic .hut -tin IiAll nlst.11lyd frith eten tllltI l\lun tIi, Ifilet r, rumil r.l lilt . Inuring, :hc h,111 \\ Ili tl, ,1t ill' and iumporarlh slut tilt tilt' ,\,tem So till' l•ttllll'llt \\, 111*t Ie.l\,ill.. t.1111, I r.ow, Rated 1 tr :I?.uUul,Pil .gallons llrr,ia\ 1 ?_'� lineal feel Of I t In 1111r.111,m A, cepl, 4 ind h" k( IM 4.1 pipe Built Ill ,;a- JO'v, ter • \utonl.,l,t ,hut-ol1 ball %%non Wit I, rtme\cd \farm ar.v„Ihlllt\ • L-topts P\( a\Il'11,1 .11 it llldir Ideal for re,idt-nual and k orni lcrt 1.1 1\',l tt Ili,%l', ill, It i ll,l llNl l;a llom per d.a II ,Nli I lKatc thv,ulllt ,I tilt, optu tanl, hcnitI\ r tilt' tans, , ,\ or and pit ill l` tans. It tic, t-„an (,lilt'the filler hou,ml.:it- tilt- 3' ,n t,' ,utlrf plpt- It Ihr liltrr I, Plot , cwcitil und,'r 1iu a„ t, t,pcnul„ u., .1 PoI\ ok I \tt-nd t I tits tit pit't,* of p'", It„rlltrl 111•,•I a Insert Ihl• Ili- llllvr twit It, aUll,lll� ;. Rcplmr and ,o, tit tnt ,vj,t it lank „t\rr 1'1 - ',1., , , . lilt PI -�i2� Effluent I lilt r, %%ill ,wIlcr.it, I tit, wilih 1"r ,t'\eral r,u, under r„tnna' „nldal„c, la•t„n rotluirm-4 Jcamn It I, rot immit'ntltd that Ili, filler ill than,,. dell tillic fill tan1, 1, pumpt-d ,a ,u !re ,'t,•rt fill co teal. If tilt, nlslellc,l Itht1 tont,lirl,,,n t•i`l,„r•,ll al„rnl. tilt- of\tier 11Ill be nr'uticd b\ an alar:n \\ hen tilt IIli need, cr% li n' swr\ ii nl.c should be hone h\ ,I tertu'ed s,`ptli tank pumper or u',talltr I I ovate tilt „ullrt of tilt' ,till,, lank I:r'rno\ e ;an is i,'\ or 11n4: pit 11111 tank II th Yc,,.lI tin not u,l' p1,1111h111t" ,\ hell II.It'r 1-- r, f!',+\ rtl 4 full 111-;_'h.artri,ii,�r out „! fill ho,j,mf,; 111"t- UIt Illlt I , \ I fill „'ilt1, Link Mall ,ur, ,Ij. solid, tall lu, k into .,'f,t,4 :anti !+. 111wrt tilt, lilttel t.it 11I ly'l' hat k Into :III- housing maklllL: sure flit• filter I. prolvrh IIigtit\I Ili, I „+mpit•Ieh ❑Nerd\I t\epla, v .end It -,life ,t•pl,i t.1111, t ll\ tr I lit I1111a1wil shdI 10,000 GPD; - n0ptiol[,4 Kdtr,! 11•1 I ,iht l,i`r1 I , II1.1 W •n ylt,t. •-t III ` 1 1-. i,, ®Crr[AirdSt.nto NSF AN51 dald 46 aw r11.,. /r•,'lr.. 'a�. ,..•.I., 1.1.11c .n-t.tlb , ^f, tnl ., r- .,.^,. .1 1 ,'..rn ,a,. .-tint,'.,•?. Puhlok Ills " f'.ufflcid 111k.I ('I ur1`I. loll I rct .i"'ham N tr I .,\ 2111, _.,si %;14 \l\\w.pul%iuk.ium Palo 6 IN -GROUND GRAVITY DISPERSAL AREA Stepped Elevation Trenches with EZ1203HP Bundles 3-ft Trench (down -sizing credit) 9 y 4 FEE WA rw •i «nJ. Highest Trench - - - - - - System Elevations = 97.5 n 96.5 n 95 5 Septic Trnk,sl MtYy N:KhrPf Wieser Concrete Srphr Taric(s i\'r,k,mgs) 1250 F"oont Filter M.vrd;ry,Nrr Polvlok rin.„.„1a.r Mdri�525 TYPICAL TRENCH CROSS SLCTION VIEW (No Scale) - Lowes: Trench (as appl"ble) n ft Provide minimum 3 rt separation hetwpen Irew hes OBSERVA-ION PIPF DFTAII ft T A,•Iw. Y•F�n✓,.�M• TYPICAL TRENCH Fh(nv lu alnn n1 N1M . (edict nrrM f(N1nP,JMN1 iMt (1{7,i YI(N l """''""" PLAN VIEW 4' 010 �...A.. , (No Scale) Perforated Lateral CN w•rvalKn Rrr ft /_- (typical) Ityrr«.r, I ur .. - -- - --- — B - 60 ItyIN'.YI INSTALL PER TRENCH - EZ1203H Bundle -- pyaI:al, 6 10-n bundles @ 5o It EISA/und = 300 ry (mid t,v Ir/itrahr sytiwnc Ir. I InntaM rritviant In ma awhiw%,nstnr Mns + 5 8 bundles @ 25 it EISkunll = 4 ---- = Proposed EISA per trern.h = 300 n Required Infiltrabnrl Area = 858 n x 3 trenches = Proposed Total EISA = 900 n RESET Distribution Method distribution box G) m W O n A Installation Instructions for low EZ,(,,, Systems in Wisconsin doEZf .......................................................................................... •y INFILTRATOR ',V.c_•,,.I' C'Ci'.. _ � ... e'_(' S,�S•,, J'�..i �_ � � - ,[+•A!"..'L'I� .11C3 jh 1'_'. f•$�3'/'�'.]_:[.. -If. .. .. ;,. _ _ �a'_ 'e; PV.eC B r' ,,,. •, -'E' .Gel _� _ ,� G� .•an r.- r� rP 7., ��' ...-.,�.,,: t.i ... �_ ^3, ',t•r..i.,. 3 r'�(J''-f in(! ja.•n.•,I..p. ._ I�r•-r,.,lr ..T -o •'r'i•' ..-�.1r tP' •.p PP- ...oa(•,0 :_. ..P 'P Ir-elt;pr-rltPr'A i`. r-P' '"P ' ft/'�' -. ilJrlil ^r. .{r L['.1: •h' I�u .. ..1' .'. n:; r „r raC '^ q 4i - �•1J 3"u •til,. ri i__ -'1 C. .r..'t_ •` ..._ ..�. 'rc. '1'"�r. .'.3i.,.- 1'd.,.r,eL: Cl"Gh CJ'CrE•1:., n the Ez4tJ'l. CG^+C.IJ av Jr SL ' �'n'P^ Cv �.r-.,. ,. r._ 7r .'E"� It Sy',-treO ^•e,ra' Dt)r ....L C.'' 4' .,. r-1 '_1- Oil'7Py;,•_. r,,l!:F..r..i'T�,t'E. Pr! rF r .rP rtner aggrecate-nnrti D {')- EFL .i•1. 1'e:: dlr ,r.: r = ... .[ _ i'4. I.. .. _ '. 1•' r T'• '.L iE .dw i'llte7 fjur'. ur"_ a re.thy a.,d 3 c'ecate T"c �ef'r,. 'nor".' �. P:.. ,. "w ": ��c ,.'a..p• Materials and Equipment Needed __ _ Lc urr• ,,pa,3 ::r J We Installation Instructions T -"r- r .Nrr „ ,•, .......................................................................................... Page 8 In -ground Gravity Management Plan IMPORTANT: PAGE 4 OF 4 The owner of this in -ground gravity system shall be responsible for its perpetual operation and maintenance pursuant to requirements of SPS 382-384. Wisc. Admen, Code Pursuant to SPS 383 52 12). Wisc. Adman. 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 13 Wisc Admen Code. Maximum Dispersal Area Operating Limits: Design Flow = 600 gpd: BOD5 5 220 mgL': TSS <_ 150 mgL': FOG 5 30 mgL" Inspection Checklist INSPECT EVERY 3 YEARS type of use age of system nuisance factors u e odors. user complaints etc mechanical malfunction (i a pumps valves switches, floats. etc l material fatigue (1 e leaks breaks corrosion etc.) solids volume m anaerobic treatment lank(s) and any distribution appurtenances! (i.e. distribution ! drop boxest neglect or improper use Ir e . "reeding design capacities prohibited activities etc 1 extent of pondmg in distrbution cell prior to dosing dosing irregularities - if applicable (i a pump re -cycling float switch settings. etc electrical components - if applicable fir a wvrng Connections. switches controls timers ala•ms etc.) distribution lateral or lateral onfice plugging (measure lateral distal pressure - compare to design specification) surface discharge of effluent or sewage back-up into structure served Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary) Septic and dose tanklsl shall oe pumped by a certified septage servicing ope•ator ucensec under s. 281.48 Wis. Slats when the volume of solids in the tank(s) exceeds one-third (113) the liquid volume of the tank(s) or as required by local urdinance. Disposal of corterts shall be pursuant to NR 1 13 Wisc Admen. Code. Effluent filter{s) shall be inspected every 3 years and shall be cleared when necessary to remove any accumulated solids according to manufacturers specifications A servicing period will always be greater than 12 months 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 Schmitt & Sons Excavating, Inc. Phone 715-760-0486 Local government unit St. Croix County Community Developement Phn�e Local government unit address 1101 Carmichael Road, Hudson 715-386-4680 zip 54016 Any defective pan of this system shall be repaired replaced or removed pursuant to SPS 383 51 (11. Wisc Admin Code. Repair or replacement of fadec or malfunctioning components shall comply with SPS 383 Wisc Admen. Code. No product for chemical or physical restoration or the POWTS may be used unless approved by the department in accordance with SPS 384. Wisc. Admen. Code Continuency Plan Ir the event that any faded treatment cor+ ponent of tris POWTS cannot be repaired it shall be replaced pursuant to a plan submitted :o the appropriate agency for review and approval. A faded m-grourd dispersal component may be abandoned and replaced by a code -complying dispersal component in a pre-delermmeC area of suitable soils. System Abandonment If use of this PO'l:TS is discontinued, it shall be abandoned it accordance Ann SPS 383.33. Wisc. Admen Code. Page 9 File S r. C!R! al IN I w: SANITARY SYSTEM Fi1@8: use only OWNERSHIP/ADDRESS FORM Ce"W dZem7 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 it , . . , . r•.; , I ,.ra , :)errr-• mlwe ,c - crin . ° it Prooertry Files Scanned webllnk OWNER/BUYER INFORMATION Owner/Buyer Jojon Commercial LLC Mailing Address 245 Red Pine Cir City/State/Zip Hudson, WI 54016 Phone Number iregwren,651-707-2722 Email Address rtiurred doe@blacktopconcepts.com _ Parcel Identrficauon Number 020-1094-70-11 ,fount on the grope-tv tar bd! NEW SYSTEM: LEGAL DESCRIPTION Property Location NE „ NE •;, Subdivision Plat NA Certified Survey Map a 1007877 Warranty Deed n 1 127534 Number of bedinoms 600gpd Sec 33 T 29 N R 19 W, Town of Hudson , Lot u 110 Volume 26_ Page b 6085 - -(before 2006)Volume Spec house O yes ■ no - - - - -. Page Lot lines identifiable ■ yes G no OFFICE USE ONLY New property Address r, 8 /// 4�) 'inri'ii•a/ f.'. '.)I .1 .iddi P1i'P,;, ' P,: i";rr - 1T^•,11 :tr .-P IPi�)1In-Pr•f 7lp,wv,Pni r('., rPN7rttrurlicr, stalf Inibah, ^a•P This form must be submitted with all Private Onsite Water Treatment System (POWTS) applications. New System: fnaude with this form a recorded torronty deed from the Register of Deeds Office and o copy of the certified survey mop if reference is mode in the warranty deer Community Development Department - Land Lw Divlsiun; 715 - 386-4680 St Croix CuwKy Go✓einrnent Centel 7IS-245-4250 Fax 1C1 Carmichael Roao Hudson. WI 54016 . .s Page 10 a r IM L'f yg..M w�ra I. tns►� n ,�r 1 +.,... knrn••.rw, w�•. ,M s. ti � l'�Tc�- • e Ues�gnu dGdy:,;2lytb� Elevation vlows Post Frame Building Estimate D.-k!u Vi,. 2 2021 9 02 30 PM 3e3ign it: 308957225167 FLGOP PLAN T +�I I >y 1 . -9 ! -7-1 111 ------------ --+ C&44aCc tLcw, �`I :L _ _ I "! ze •�I,y, tr 4Serv"� RT tyin acoorda with Comm 85, Wis. A m C,:6 Professi a,� Q 'n,)n Csr- less than 8'h x 11 in sin size. Plan must include, but not limited to:hgF4 rota rp( nos po nt (BM), direction and Attach complete site plan Ln____, percent slope, scale or dim en' nd distance to nearest road. Please print all Informon. rm Personal information you provide may be used for secondary purposes (Privacy Law, S. 15.04 (1) (m))• County �• Cfobt - POO I•D•020-1094-70-110 R By Date - 12- Property Owner Expert Tree Service, LLC Property Location Govt. Lot NE1/4, NE1/4, S33, T29N, R1 Properly Owner's Mailing Address - 1562 89th Street Lot # 10 Block • Subd. Name or C,SM# CSM 26.8085 City State Zip Code Phone Number Nre Richmond WI 1 54017 i 715-309-8352 City r '. Village ' Town Nearest Road Hudson I Cty Rd N E. New Construction use: L] Residential / Number of bedrooms Code derived design flow rate 450 GPD U Replacement �] Public or commercial - Describe: Uncertain at this time Parent material Outwash Sand (Burkhardt-Sattre Series) Flood plain elevation, if applicable - NA it. General comments Area is suitable for a conventional system with a 0.7 gpolsgfl rate. Possible system elevation for Area 1 is 97.5' High trench, 96.6 and recommendations: Mid trench, 95.5' Low trench. Slope of area is 20%. Boring F-1 # _ Boring - Pit Ground surface elev. - 105.70 R. Depth to limiting factor 96+ in. Soil Application Rate Horizon Deprh in. Dominant Color Munsell Redox Description Ou. Sz. Cont. Color Texture Structure Consistenot Gr. Sz Sh Boundary Roots GPD/W 'M 'E1f#2 1 0-8 10yr3/3 none grsl grls 2mgr lcsbk mvfr mvrr as as 2m,21F 2m,2vf 0.6 0.7 1.0 1.6 2 8-23 7.5yr4/6 none 3 23-30 7.5yr4/4 none sl 2msbk mfr gw -- 0.6 1.0 4 30-56 10yr4/4 none fs1 2msbk mfr gw - 0.4 0.8 5 56-96 10yr4/4 none IvfS 099 ml - -- 0.4 0.6 Z oring # Boring Pit Ground surface elev. 101.50 ft. Depth to limiting factor _100+ in. Sojl Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Ou. Sz. Cont. Color Texture Structure Consistence Gr. Sz. Sh. I Boundary Rods GPDV 'East -FJW 1 0-15 10yr3/3 none sl 2mgr mfr as 2m,2vf 0.6 1.0 2 15-42 10yr4/4 none sl 2msbk mfr 9w 2m,2f 0.6 1.0 3 42-51 7.5yr5/6 none Is 099 ml a 1vf 0.7 1.6 4 51-100 10yr6/4 none s 099 ml - 0.7 1.6 r� Effluent #1 = BODs> 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BODs <30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt 227429 Address Schmitt Soil Testing, Inc. Date Evaluation Conducted Telephone Number 1595 72nd St. New Richmond. WI 5.4017 7/22/2020 715-780-1978 smho4330OL07N01 D.,...e , r,.. ., Fvnart Trap Sprvirp_ I i r n2n-in"-7n-11n P. 2 of 4 Br, Boring Boring # Pit Ground surface elev. 94.5 ft. Depth to limiting factor 98+ in. Soil Application Rate 3 Horizon Depth Dominant Color Redox Description in. Munsell Qu Sz. Cont. Color Texture Structure Gr. Sz. Sh. swwce Boundary Roofs GPD/W 'EM1 •EM2 1 0-9 10yr3/2 none sl 2mgr mvfr as 2m,2f 0.6 1.0 2 9-18 7.5yr4/6 none grsl 2msbk mfr as 2m,2vf 0.6 1.0 3 18-27 7.5yr4/6 none sl 2msbk mfr gw lvf 0.6 1.0 4 27-40 7.5yr5/6 none gds Osg ml CS -- 0.7 1.6 5 40- IOyrS/4 none groos OSg ml as 0.7 1.6 6 56-98 10vr6/4 none s Osg ml — 0.7 1.6 4 Boring Boring # Pit Ground surface elev. _ 105.55 ft. Depth to limiting factor 100+ in. Soil Application Rift Horizon Depth Dominant Color ' Redox Description Texture in. Munsell Qu. Sz. Cont. Color Structure Consistence Gr Sz. Sh, Boundary Roots GPDIft' 'EM7 'EM2 1 0-9 1Oyr3/3 none rtorte si 2mgr mfr as 2m,2vf 0.6 1.0 2 9-21 10yr4/4 sl 2msbk mfr gw 2m,2f 0.6 1.0 3 21-31 7.5yr5/6 none Is OSg ml CS lvf 0.7 1.6 4 31-100 10yr6/4 none s Osg ml — 0.7 1.6 3 Boring Boring # pd Ground surface elev ft. Depth to limiting factor in. — Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/W 'EM1 •EM2 Effluent #1 = B005> 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BOD5 -S 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-31 S 1 or TTY 608-264-8777. Sa0.6330 pe oraot SdwnPtt Sol Testing, tnc. eon Conducted for: Expert Tree Service, LLC 1562 89th Street New Richmond, WI 54017 586 Cty Rd N Lot 10 CSM 26-6085 PID: 020-1094-70-110 NE1/4 NE1/4 S33 T29N R19W Town of Hudson LOT 10 Conducted by: Thomas J c mitt 7/i2/2oio29 et' 96, ,0 . . 62� j I IR I BM 1 100.00' Top of 2" PVC Pipe 2 I so. BM 2 105.70' Top of 2" PVC Pipe by power 2C%SLID B3. pole at road RNV. �(yy 1 I ,-=eo' ' .1' i'SM I � •�' 4 2 '1 • PIM CTY RD N • �' , 5' •?b2' 245' 6T .BM, B 3W 25Z St Croix County, WI Legend Lawns artd Rtwa Rhan and SOa.ms rwr IrArTiffles US Hglvays Sw.ts Highways Cow" HQN-" Lod Road. Rtuoc Roads _Romps Road Rqd of way as Railroads Comayance Division i 0 20 40 60R DISCLAIMER: TMs map M not gun bwd to be satS*W' oorract. current, or co plate and canchai is drawn ate me responabRy of Ae naar. y1Mp]�1M i sl 5• Ctbi x COUNTY NO. 645413 STATE SANITARY PERMIT m 59LI I� Rd N u2f.R�A�SFERft1C1VEWAL OWNER �o' env► 'al LL PLUMBER, TOWN OF LICa# •zzz373 SEC ? 3 9T Z°I N, R11E/69 AND/OR LOT 10 BLOCK SUBDIVISION CHAPTER 145.135 (2) WISCONSIN STATUTES (a) The purpose of the sanitary permit is to allow Installation of the private sewage system described in the permit. (b) The approval of the sanitary permit is based on regulations in force on the date of approval. (c) The sanitary permit is valid and may be renewed for a specified period. to) Changed regulations will not impair the validity of a sanitary permit. (e) Renewal of the unitary 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. AU T ORVED ISSUING OFFICER - DATE F ZZ EXPIRES ZZ ZO UNLESS RENEWED B O THAT DATE POST IN PLAIN VIEW VISIBLE FROM THE ROAD FRONTING THE LOT DURING CONSTRUCTION SBD-06499 (RI 1120)