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Home My WebLink About018-1004-60-075Wisconsin 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 Cody Crouch TANK INFORMATION TOWN OF HAMMOND TYPE MANUFA TU CAPACITY Septic Dosing C + a Aeration 0k sf cM'� TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic 2 / `J \ Dosing % 1 Aeration Holding PUMP/SIPHON INFORMATION im i,--,, `DI:.J., -vd Model Number -r38 TDH Li Fncti Loss Syste HAT Ft Foroemain .Len*, r ia., r1 Dist.toweell 1l t SOIL ELEVATION DATA County: St. Croix Sanitary Permit No: 644744 State Plan ID No: Parcel Tax No: 018-1004-60-075 Sectionrrown/Range/Map No: 02.29.17.27E-20 B Width t Length t qq- N tenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIIMENSIONSNS GAY SETBACK SY Eff TO P/L LDG IWELL LAKE/STREAM LEACHING Manufacturer: INFORMATION T iSystem CHAMBER OR Model Number: 01 \ UNIT UI,1 KIt1U 1 IUN ,T51 tM Header/Maniifo Disinbution JxHoleSize x Hole Spacing Vent to Air Intake Length Dia il-engthiffA Dia dySpacing SOIL COVER x Pressure Svstems Only vy Mound Or Atlrade SVS}amVrTrtTriO., C- .. A IY Depth Bed nch Center w Depth Over Bedfrrench Edges xx Depth (� TopsoilJ�q xx Seeded/Sodded xx Mulched Yes ® No k Yes [] No COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1:9M p IlnO Inspection #2: Location: 1104 192ND ST �tIlU C{J�( V-%A.�L4YijA-0IiIaf 1Ir rl 1 1.) Alt BM Description 2.) Bldg sewer length = - amount of cover - Plan revision Required? n Yes ',; No Use other side for additional information. SSD-6710 (R3/97) Dale dots Signature Can. No. R �n 1a�� r V" S � ��C,� 5 � N� w a�� Safety and Buil �s Div' inn Couwy Cf O /J( AlKo 1 Ms p 201W.Washington Ave.,P.O.Box 7162, Madison, WI 5 3707-7162' -Sanitary Permit Number (to befilled inbyCo.) Permit Applicati �� In accordance with SPS 3 ), W' Adm. Code, submission of t the ropnate g e tal`iun t is required prim to obtaining�a permit. Note: Application f 'nod to the Department of Safety and Tonal Setvies. Personal inf v' dery purposes in accordance with die privacyLaw, s. 15.M(1 m), Scats. State Transaction Number Projeci Address (if different lhao mailing address) /1 o 4 / n d I-), 1. Application Information - Please Print All Informatio Property Owner's Name JUL 12 ZUZZ coqYz CP044tG� Parcel I 019-100+�j 0-O%�� Property Ownerress 's ailing AddCommunity Development Property 1' Govt. Lot _- a SKI r 4v yti Section � T N, R City, State // Zip Code Phone Number 8�97 IL Type of Building (c eek all that apply) V 1 or 2 Family Dwelling - Number oj't£edroemis ` \/ q1j Pptu02 /I ❑ PublictConm cr6al - Describe Use Lot I Block p Subdivision Name ❑ City of - ❑ State Owned - Describe Use - ❑ Village of Town of aa1/rscu� tiTptgp 9 � � 11�3 j �6�o"3 In. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. ew S stem > ❑ R laament S em eP Yst ❑ TreatmenE loldi Tank nB Replacement Only El Other Modification to Existing System (explain) B. ❑ Permit Renewal Before Expiration ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New Owner List Previous Permit Number and Date Issued t( w CO N- IV. Type of POWTS S stem/Com nent/Device: Check all that apply) t ri = ❑ Non -Pressurized In -Ground (7 Pressurized In-Grotmd 11 At -(rode ❑ Mound _> 24 in. of suititbte sot ound < 24 in. of suiubk soi ❑ Holding Tack El Other Dispersal Component ( lam) _ -- I -- t lkvitx ( lain) M V. Dis rsal/1'reatmeot Area Information: LL = 0f),0 Design Flow (gpd) SU Design Soil Application f) o-so Dispersal Area Required (sf) 700 Dispersal Area (s� 9e0 S Elevation /oo- 83 VI. Tank Info Capacity in Gallons Total Gnlbru N of Units Manufacturer t ow�{-�_,t /-tj ✓ t eC� t't Tom+ �+ a CE U U $ as t2T in `..s' r% E5 u Q. New Tanks Existing Tanks Septic or Holding Tank O CJ 0 0 0 Z Dosmg Chamber ,S O 6SO .1 S r j VII. Responsibility Statement- 1, the undersigned, assume responsibility for installation tithe POWI'S shown am the attached plaaa Plumber's Name (Print) Cltar(es LllPhstpr Plumbers Signature �� Pll91i®bA' 1-w2A,"oG' 73 Business Phone Number % Plumber's Address (Street, City, State, Zip Code) I VIII. Conn /Department Use Only I Approved n Di ❑ ' en for Denial�'D/ZOZ2- I4r//coin--yrFa�� Date Issued Issuing Agent Signature Approv �\ � > r /?_ a tL.rur D{. SYSTEM OW SYSTEM OW 1 (�b+rt1 �[wn"'G-' 1. Septic tank. effluent filter and s . S'� °te r �" � dispersal cell must be seryiCCd ! maintained ( e as per management plan provided by plumber.finedS D �0 lS IDrt�Xi 2. All setback requirements must be maintained _ d OV*- i as pc i aNN�,.,�...., �� _ _ to eeanplese plans f r the sysKvised sab sit to the County only on paper ,fist tas than I in t t i Tames in sin ' 6)pQ,wtlr�er nrua �vatndQ S ati. �)c a /a0 -,-. 6&rnF�'C�L - (O .e 1f�Ot83f� wok. tD $d,�.QrtTt � 1-2 SBD-639 R.III1l) I �- % p ter. 5)-�(Ce i l c LAL , osPs �qp Q Designs Ryan Beohel Cartitied Sol Tatar. MOM Deer of Engineering Systems: D 2263-7 ADVANCED draa,, ;;'�,� o Bena,mert ENVIRONMENTAL system $ Soil Boring ----------------- ' I ----------------- ` —_--------------- SCALE ------ Neighbor's Driveway OR 400 INGRESS/EGRESS EASEMENT --------- ----- 134 ��• OO I 93.05 / I Current grade r -91.75 I I' v -----� t10a jNew 2BR j son 40 Pvc �Q�� % CD �P Home I EIM2 I c � O L_r—-� I 1 I 11 \ 11 I En 1 T*210'2" Wieser 1000/650 � 40 PVC �. I `. w/ Sim/Tech STF-100 \� pressure filter Welt w EI E L VATIONS I I o 33 BM 1 = 100.00�� I Top 1" PVC pipe �` I 41-2e1"above grade) I Antis/paced �riv a I BN12 104.017+ Tree line --eW y Tob nafiin 5+Eirttreell-- �20" �b�4 grabl + + ft + +' + + + OS+ + + + + oAalaa Ratwrwn TNa ava4w As bon daatpre ewe erdtwt d In vwwwrds I ash Etds and Lased cods, Lew sot boot, ww ano tout wmdn ` Noyyirmtl• is WOE TWIT w6 Ungo wu Casing To IRLWEI1 sC61EIFLY fasten 1110 to rwworb mdtieYrd. •..� ��•' --Pwbciwa hen 6a4+r6arcs and/a oaryecelen eahrw ease weir aonaaulkn. NOTES -Mebeer 100MM gallon 2canparbmeN tot* a* deers 4' above Fnal grade -00 nbl M& dear water sautes into septic tank Pump Tank: -w g*m an'Toch SIT400 presen Ear wl alarm AM seeps' 35pm 9 25.6MH v4bve tank as receNay, memen al sabacks 4W*dale Wry Fncbm Land T0H afar fetal -Event MAW, lime meta, or water motor remmnnded Soil Tratmeat Ara: 45 k 48 GeWla Nsud (A z B) 442r 26.8 abide dinaMan (L t Mt) -100.BT dispersal cell ale atlm on t00DP mnwu -22• AST4 C31 sad [0 (12' An GwWAa conpaan ) -Oe Wnal sah u WM d; avoid digpYg .Mow arks a6mptim am ad ur"oro CIE" A w ahaaplim area b depth WG4' 4Avn a rface was arm tan tauem -Pmbd 16 awelope ebtapfm am tan mmpacpm -Do* 10 mwddon =14' (RedmdmaWrc basses) Distribution: -M44.rIn1tIM40PVC totorakwinclw ts,se RdNdabaaaeforpNbdon AAW now deva6m =101.91' .I t heeds. er6lad rtolwak h• Am R 2.6' spairg -0neend time war se&V per desq , LOCATION MAP (not to soda) SITE rn 110TH AVE PREPARED FOR: Cody aoNch 1104 192ND ST Baldwin, W1540D2 PID: 018-1004-60.075 11.69 Acres Legal: lot 04 CSM 13-3533 SW 1/4 SW 1, S02 T29N R17W Town of Hammond Scale: 1" . 40' Date: 6/8/22 June 21, 2022 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 2024-06-21 Plan Review: PWTS-062201294-C RYAN BECHEL 779 Spring Creek Road Red Wing MN 55066 SITE: Cody Crouch 1104 192nd Street St. Croix County Town of Hammond SW'/. - SW A- S2—T29N — R17W FOR: DIVZION OF INDUSTRY SERVICES 10541 N RANCH RD t1AYWARD WI 548434MV Conted Th o RWg enp:/k*KV l.aowwev.mwaWar«rv1es rww.rwacomn.gm To" Even - Oov*nw Dom Crtn - Swr twV CiOND1770NALL7 APPROVED DEPT OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES && SEE CORRESPONDENCE Description: GeoMat Mound Component Manual — Edition 3 Bedroom GeoMat Mound —450 GPD — 1, 2017 New Construction - 14" to limiting factor — Pressure Distribution Component Manual — Ver. Effluent Filter- Maintenance required 2.0, SBD-10706-P (N.01/01, R. 10/12) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders • 22" of sand shall be installed between the contour and the bottom of the GeoMat product. • Orifice shields are required on each orifice. • Maximum volume of a single dose is % gallon per linear foot of GeoMat. • All piping and components shall be protected from freezing per SPS 383.43(8)(c). • If the force main is to be installed in the downslope area, the trench for the force main may not be wider than 12 inches per the Component Manual. • 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. • 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. 145.19, Wis.Slats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec.145.20(2)(d), Wis. Stats. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter isrequired. • A copy of the approved plans specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department which may include local inspectors Owner Responsibilities • The current owner, and each subsequent owner, shall receive a copy of this letter. Owners shall also receive a copy of the appropriate operation and maintenance manual(s) and be responsible for ensuring that POWTS is operated and maintained in accordance with this chapter and the approved management plan under s. SPS 383.54(1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, CeCel R CeCe (Elizabeth) Rudnicki Wastewater Specialist/POWTS Plan Reviewer, Division of Industry Services (608)400-3186 elizabeth.rudnicki@wisconsin.Rov GeoMat MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Owner Info COIVDMONALLT Project Name: Cody Crouch APPROVED Owner's Name: Cody Crouch DEPT OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES Owner's Address: 1104 192ND ST Baldwin, WI 54002 Property Address: SAME Legal Description: SW SW S 2 Township Hammond Subdivision Name: e4jj2t�a-; SEE CO PONDENCE T 29 N R 17 County: St. Croix W Lot Number: 4 Block Number: CSM#: 13-3533 Parcel I.D. Number: 018-1004-60-075 Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 GeoMat mound drawings Page 4 Lateral and dose tank Page 5 Distribution media Page 6 System maintenance specifications Page 7 Management and contingency plan Page 8 Pump curve and specifications Ryan Bechel Date: 06/10/22 Signature: Designer Stamp: Page 9 Tank cross sections Page 10 Site Plan Page 11 Soil Test Page 12 Soil Test Page 13 Soil Test Page 14 Soil Test License Number: 132263-7 Phone Number: 651-327-0074 Sta nMN3G = it Stamp: Designed Pursuant to the it1SiIiG10 Synergy Systems L.L.C., GeoMat Mound Component Manual (Edition 1, 2017), (N. 4/17), SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01, R. 10/12) GeoMat Mound Edition 1, 2017 Page 1 of 14 Mound and Pressure Distribution Component Design Design Worksheet R Residential or Commercial Design F N I ISD Required? 300.00 Estimated Wastewater Flow (gpd) 1.50 Peaking Factor (e.g. 1.5 = 150%) Design Flow (gpd) 5.00 Site Slope (%) 100.00 Installation Contour Line Elevation (ft) 14.00 Depth to Limiting Factor (in) 0.50 In -situ Soil Application Rate (gpd/ft) 100.00 Contour Length Available (it) Cell Width (h) 3.25. 6.5 or 9,75 Only F 45.00 Designer Input Cell Length (ft) Dispersal Cell Design Loading Rate (gpd/ftz) 45.00 Dispersal Cell Length Required (ft) Influent Wastewater Quality (1 or 2) Center or End Manifold Number of Laterals Lateral Spacing (ft) Forcemain Drainback (gal) Forcemain Fitter Loss (ft) Forcemain Diameter (in) Forcemain Length (ft) Inside Pump Tank Elevation (ft) Orifice Diameter (in) (e.g. 0.25) Estimated Orifice Spacing (ft) _ System Head (ft) x 1.3 Vertical Lift (ft) Friction Loss (ft) Total Dynamic Head (ft) 5x Void Volume (gal) Minimum Dose Volume (gal) System Demand (gpm) Lateral Diameter Selection in. dia. options choice 0.75 1.00 1.25 1.50 x x 2.00 x 3.00 1 x Are the laterals the highest point in the distribution Y network? If N above, enter the elevation ft of the highest pant. Does the forcemain drain back? I Y 8.13 ft'/orifice Manifold Diameter Selection in. dia. options choice 1.25 x 1.50 x x 2.00 3.00 Treatment Tank Information Effluent Filter Information 1000.00 Septic Tank Capacity (gal) NOT APPLICABLE Filter Manufacturer (Wieser Concrete Products, Inc. Manufacturer See Tank Page Fitter Model Number Dose Tank Information GallonsAnch Calculator (optional) 646.00 Dose Tank Capacity (gal) 1 646.001 Total Tank Capacity (gal) 17.00 Dose Tank Volume in) 1 38.001 Total Working Liquid Depth (in) W laser Concrete Products, Inc. Manufacturer 1 17.00 gal/in (enter result in eel DoseTankVdume) Project: Cody Crouch Page 2 of 14 Mound Plan View —t JJ — T A —I i L Down slo a toe extension made. Al6.50 ft E 13.90 in H 1.00 ft K 9.61 ft B 45.00 ft F 14.50 in 1 13.50 ft L 64.23 ft D 10.00 in G 0.50 ft J 6.63 ft W 1 26.63 ft 292.50 (ft2) Dispersal Cell Area 900.00 (ft2) Basal Area Available 10.00 (gpd/ft) Linear Loading Rate 4.50 (ft) 1/10 B Obs. Pipe Placement GeoMat Dispersal Area Observation Pipe 12 ASTM C 33 sand as GeoMat required for Geo Mat Distribution Cell component 6 11 GeoMat + 12" ASTM C-33 sand 103.04 Finish Grade / 101.91 Lateral invert Elevation 100.83 Dispersal Cell Elevation Tilled Area Forcemain In situ soil In situ soil 1 Q Topsoil Cap 2 Q Subsoil Cap 3 Q ASTM C 33 sand (F) 4 ASTM C 33 sand (D) 5 Q Tilled Layer 6 0 Geo Mat �i Cover Material Slope 5.0 Contour Elevation 100.00 See details on page 4 for number, size, and spacing of laterals. Project: Cody Crouch Page 3 of 14 i1 .:tT RS.UI r" . - ^ �- ...� Y ....ir.. `li: let txl0ce located at Z orlikes tit down P A force main of PVC Sch 40 oer SPS Number of Laterals 2 Lateral Diameter 1.50 in Lateral Length (P) 44.60 ft Lateral End (Z) 0.40 It Lateral Spacing (S) 3.25 It Lateral Flow Rate 11.80 gpm System Flow Rate 23.59 gpm Clean out rtipc Locking n %n wish warning lat+cl. Imkin &wc and waw tight will Lkck" 6aa a. pw NEC 300 avid SPS 316S9 WAC r W irate Fmnn t:leclr'ic sounec Sim / Tech Filter STF 100 1/16 Orifice Diameter 0.188 in Orifice Spacing (X) 2.60 It Orifices per Lateral 18 Orifice Density 8.13 Manifold Length 3.25ft Manifold Diameter 1.50 in Forcernain Velocity 2.41 �a- veraN C~ Wrifi /oce optim.I .41ki Forcemgm diameter Call to Moss st..p rostra 7N rm�l.1 rid loNcr nna.e t u.o j tight it.,ket r'hd PorrMt I F.mco MygaAe � � iigh watar alarm j Pump on F I'm Pump Orr 11M Ptan P Dimension Inches Gallons A 19.60 333.19 B 2.00 34.00 C 4.40 74.81 D 12.00 204.00 Total 38.00 646.00 4 Pump off elevation (11) 85.50 f _ Dose lank elevation (it) 84.50 W leser Concrete Products, Inc. Capacity 646.00 Volume 17.00 Filter Manufacturer I Sim I Tech Filter Filter Model Number ISTF 100 1116 Alarm Manufacturer SJE Rhombus Alarm Model Number Tank Alert 1 Pump Manufacturer Zoeller C n Pump Model Number IBN152 or BN153 Pump Must Deliver 23.59 gpm at 22.77 it TDH Note: Switches containing mercury may not be used in this system. gal/inch Project: Cody Crouch Page 4 of 14 GeoMat Distribution Cell Media Layout 6.5D Cell Width (ft) 1.63 Sidewall to Lateral (ft) Distribution Cell Cross-section Arrangements o�o°oo°oo 00000�000`� aoo a 7annnnn000nc �onn00000 Component Legend Distribution Pipe With Pressure Lateral L.J Orifice Shield . Tumup Enclosure — — — — — Pressure Lateral GeoMat is covered with approved geoteldiie fabric as per the their product approval. Distribution Cell Plan View Layout - Typical 6.50 Cell Width - A (ft) 45.00 Cell Length - B (ft) End Connection Lateral Layout Diagram Pipe Dia. Typical Dispersal Cell 4mvl Fill RunmmnnAM Distribution Lateral Orifice Shield proved Infiltrative Fabric 3• . r,Iyp J` GeoMat Component 4 Infiltrative Surface/Plow layer Isilse Pattr Water Ti¢ht ` ®\ I 0 Topsoil Cap Toilet Flare 4' Min 2 r_= Subsoil Cap 3 r-= ASTM C 33 sand (F) 4 0 ASTM C 33 sand (D) t•Mln Install at l Mti 5 0 Tilled Layer 6 ,, e 6 r_=1 Geo Mat a� �_ - •Res Dfs AIIYGAaiuWWG uj. + {3 ' See details on page 4 for number. size. and spacing of laterals. Project! Cody Crouch Page 5 of 14 Service Providers Name WaftersInc Phone 715-821-5336 POW TS Regulator's Name St Croix County SPIA - Zoning Office Phone 715 386-4680 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 300 gpd Maximum BOD5 30 mg/L Septic Tank Capacity 1000 gal Maximum TSS 30 mg/L Soil Absorption Component Size 292.5 ft2 Maximum FOG 10 mg/L Type of Wastewater Domestic Maximum Fecal Colifonn 10E4 cfu/100 mL Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Other Service Frequency Inspect and/or service once every 3 years Inspect and clean as necessary at least once every 3 years Test once every 3 years Should test periodically Laterals should be flushed and pressure tested every 3 years Inspect for ponding and seepage once every 3 years 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap and are secured in as shown in the Synergy Systems GeoMat Mound Component Manual Version 1, 2017. 2. Dispersal cell media conforms to GeoMat products approved for use with the Synergy Systems GeoMat Mound Component Manual Version 1, 2017. Media is covered with an approved geotextile fabric. 3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn -up Detail 6-8" Diameter Finished Lawn Sprinkler Grade Box Lateral Ends at Last Oriffice Where Distribution Lateral Lateral Cleanout 1.3 Feet Project: Cody Crouch Threaded Cleanout Plug or Ball Valve aim Long Sweep 90 or Two ','`45 Degree Bends Same Diameter as Lateral Page 6 of 14 Mound System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General This system shall be operated in accordance with SPS 382-84 Wis, Adm. Code, and shall maintained in accordance with its' component manuals )Synergy Systems L.L.C., Geomat Mound Component Manual version 1, 2017, Pressure Distnbution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01) and SSW MP Publication 9.6 (01/81)) and boat or stale rules pertaining to system maintenance and maintenance reporting. Septic and pump tank abandonment shall be in accordance with SPS 383.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under S. 281.48, Slats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet fitter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the finer is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent fitter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume d sludge and scum in the tank exceeds 113 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the Owner as to when the nexl service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Wisconsin Department of Commerce. Pump Tank The dosing (pump) lank shall be inspected at least once every 3 yeas. All switches, alarms, and pumps shad be tested to verify proper operation. If an effluent filter is installed within the tank 0 shall be inspected and serviced as necessary. If the force main has a weep hole, it should be noted if it is functional during pump operation, and if not, it should be cleaned. " No one should over enter a septic or dose tank since dangerous gases may be present that could cause deaf."" Mound and Pressure DiUdbution System No trees or shrubs should be planted on the mound. Plantings may be made around the mounds perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since sal compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October -February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BODS, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 M91L BODS, 30 mg/L TSS, 10 mg/L FOG, and 104 cfu/100 mL for highly treated effluent. Influent flaw may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 3 years. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Corttinaenctr Plan If the septic tank or any of its components became defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component falls to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Cody Crouch Page 7 of 14 co 0` uJ LU w PUMP PERFORMANCE CURVE MODEL 151/152/153 50 14 1 45 153 12 � 40 0 = 10 35 152 0 8 30 25 151 J H g 20 15 4 10 2 5 0 10 20 30 40 50 60 GALLONS LITERS 0 40 80 120 160 200 2i FLOW PER MINUTE 1 014M WLP1000/650-MR TANK SPECIFICATIONS DIMENSIONS: 146" WALL: 3" BOTTOM: 3" COVER: 5" MANHOLE: 24" I.D. PRECAST CONCRETE RISER HEIGHT: 54 1/2" O.D. f024 LENGTH: 146" O.D. WIDTH: 84' O.D. BELOW INLET: 43" O.D. ST-A-SEAL I 4' CAST -A -SEAL LIQUID LEVEL: 38" WEIGHT: 14,940 Les. / INLET AND OUTLET: `I � GASKET40 , CASTALSEAL BOOT ORBOOT OR A EQUAL INLET AND OUTLET BAFFLE AND FILTER: FILTER OR WISCONSIN, SEE DETAIL #10 BAFFLE IN I (OTHER STATES SEE CHART) LIQUID CAPACITY: 26.32 GAL/IN (SEPTIC) 17.00 GAL/IN (PUMP) 0 w it �n INLET I I n II 3" I I LOADING DESIGN: 8' 0" UNSATURATED SOIL TANK CAN BE USED AS: SEPTIC/SEPTIC, SEPTIC/ PUMP 4" VENT OR SEPTIC/SIPHON COVER: MIX DESIGN #8 NO FIBER) TANK: MIX DESIGN #10 STRUCTURAL FIBER) CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WIESER CONCRETE a PUMP PAD DRAWINGS SUBMITTED FOR APPROVAL APPROVED BY: TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS APPROVAL DATE: _ PRODUCTS NEEDED BY: Lo g O J Q 0 Z a U 0- 9 �oF 1 DeWer Ryon Belehd Certified Sol Tooter: 13M2 Designer of Engineering Systems: D 2263-7 ADVANCED E N V I a O N M E ADVANCED 'AN Property lirw not C., BenctemeSYSTEM NOTES drawn am >10oe from Septic Tank: system SoilBonn9 Ir, Wiew1000ri50ga1m2tmrpranrrtt%* r2 P/L P/L Pik P/L _ --------------------- t ----------------------------------- ------ ----- gor's Driveway SCALE — Neihb ------ 0 20 4 . INGRESS/EGRESS EASEMENT ..—. --------'-------- ------ ---.. __ O —• B4 Ti 93.05 Current grade m O =91.75 I o / r----, ±10'4m 11� 51O jNew 2BR j sch 40 PVC 0Q�� — I — Home I 1 BM2 \ o I----� ,i Wieser 1000/650 �� 40 PVC I �. w/ Sim/Tech STF-100 i so' pressure filter m u 33' EVATIONS: `. BM 1 = 100.00 _ Top 1" PVC pipe —(12" -above grade) - _ Anaci�r Tree line Driveway - BM2 $ 104.00 + - Toth naifin 5* Elnttree (20" abov6 gravel + + �OP+ �+ i + +u + + + �S+ + + + Ca116e1 9taawr! tnlr yawn b Wan "WWIW and wdaelad In aaoadaaa aft beta and Land mlaa De aoa vaab w area wain remain pelaaal Bran aekrtiera arwar oaprtion arrow on1 arlr a Jl aIN risers 4' above frol grade I -Do rd rule dear water sources into septic tank I I I I I I I I I T� I I I I I I I I nrasatbrr. Pump Tank: 446 galas -Wem STF100 peon Rena ram flxrp needs =35gpm @ 25.6TDH 4wre tonic tie reoeseary rwhat al sebedrs Ascalelale W T Friction Loss and TDH after real -Eve t canter tome meta. a water mra mmi.no Soil Treatment Am: i .6.6 a 45 GeuNr Mond (A L ei 442 a 26.6orlsde aireaiom IL r 1Ml -160.ay depaal ON eleniim m 100.W contour .27 ASTM C33 send R 02' win GeoaW conpuant) -CuraempslmAbgmMrdewiOAgpkq -Maw &*a abwpem am and remove dDWgs -Plow absapom area b aeO of 6'-r •ONen surface wager maywrr Irom� -Probd 1S doarekpe alimpem err can mrQaotiar -Do* to reaektlon =14' (R10aenorphc teeases) Distribution: {2)44.5kng1�Kh40PVC labialswardesiculso e aprkAbr hoes kr proMsan 4awal knot deaft =101,91' .1 t heads, erd4ed netrall lk alas 0 20 sprig aamad does for now W *0 LocAnoN MAP coot to noaM1 Ln in SITE rJ 110TH AVE PREPARED FOR: Cody Gaud, Site Address: 1104 192NO ST Baklmn, Wl 54002 PID: 018-LO04-50.075 11.69 Acres Legal: Lot 04 CSM 13-3533 SW 1/4 SW 1/4 S02 T29N R17W Town of Hammond Stale: 1- 40 ONE: 6/em Wisconsin Department of Safety and Professional Services Page 1 of g Division of Industry Services SOIL EVALUATION REPORT In accordance with SPS 385, Wis. Adm. Code minty Attach complete site Ian on ST Croix ple p paper not less than 8 1/2 x 11 inches in size. Plan must irlGlxfe, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, Parcel I.D. scale or dimensions, north snow, and location and distance to nearest road. 018-1004-60-075 Please print all information. Reviewed by Date Property Owner Property Location: Cody Crouch (Buyer) GoYL Lot: SW '% SW '/. S 02 T 29 N R 17 W Property Address Lot # Block # Subd. Name or CSM# 1104 192ND ST 04 CSM 13-3533 City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road Baldwin IWI 54002 1Hammond 192ND ST/110TH AVE ® New Construction Use: M Residential I Numberof bedrooms 3 Code derived design flow rate 450 GPD ❑ Replacement ❑ Pudic or commercial - Describe: — Parent material Loess over loamy till (Vlesaty sil/Arland sl) Floodplain elevation if applicable NA ft. General comments and recommendations: Recmnmww minimum 22' sarKHM POWTS mound on 100.00 contour who 0.4gpdAt2 loading mte. LF = W (Redonmwphic fealures) 1❑ Boring # ElBoring M Pit Ground surface elev. 99.00 ft. Depth to limiting factor 14 in. can A....n....u.... o..�.. Horizon Depth In. Dominant Color MunsMI Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Fe 'Eff#1 'Eff#2 1 0-8 10YR 3/3 sit 2c-msbk mfr cs 1m-Vf 0.6 0.8 2 8-14 10YR 5/4 - sid 2mabk mfi gs 1f-Vf 0.4 0.6 3 14-20 10YR 5/4 f1d 7.5YR 5/8 & 10YR 52 Sid 2mabk mfi-mvfl gw 0.4 0.6 4 20-32 7.5YR 5/4 c2d 7.5YR 4r6 & 7.5YR 611 at 1 cabk mfi 0.4 0.7 2] Boring # ❑ Boring — Pit Ground surface elev. 100.15 ft. Depth to limiting factor 14 in. cal A..""—,;— 0- 1- Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz- Sh. Consistence Boundary Roots GPD/Fe 601#1 'Eff#2 1 0-7 10YR 3/3 sil 2c-msbk mfr cs 2m-vf 0.6 0.8 2 7-14 10YR 4/6 - sl 2f-msbk mfr-mfi gs 1 m-vf 0.6 1.0 3 14-19 10YR 4/6 f1d 7.5YR 5/8 & 10YR 6/1 sl-sd 2cabk mfi cs 1 f-vf 0.4 0.6 4 19-32 7.5YR 514 c1d 7.5YR 416 & 7.5YR 6/2 scl 2cabk mvfi 1 Vf 0.4 0.6 CST Name (Please Print) Signature CST Number Ryan Bechel 1330832 Address Date Evaluation Conducted Telephone Number T79 Spring Creek RD S, Red Wing, MN 55066 06/08/22 (651) 327-0074 bbLI-53 utRu4/1b/ ❑3 Boring # ❑ Boring ® Pit Ground surface elev. 100.90 ft. Depth to limiting factor 25 in. Sal Andiration Rate Horizon Depth In. Dominant Color Munsell Redox Description Cu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Pe 'Eff#1 'EfW2 1 0-8 10YR 313 Gil 2msbk mfr cs 2m-vf 0.6 0.8 2 8-25 1OYR 514 Gil 2mabk mfr-mfi gs 1m-vf 0.6 0.8 3 25-34 7.5YR 4/6 f2f 5YR 5/8 & 7.5YR 6/1 sl 1 csbk mvfr cw 1 m-vf 0.4 0.7 4 34-42 10YR 416 c2d 7.5YR 5/8 & 10YR 5/2 sl 1 cabk-Om mfr-mfi - 1vf 0.2 0.6 4] Boring # ❑ Boring M Pit Ground surface elev. 93.05 R. Depth to limiting factor 0 in. Sail Andinallimn Rate Horizon Depth In. Dominant Color Munsell Redox Description Ou. Az. Cont Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Fe 2011#1 'Eff#2 1 0-8 10YR 3/3 sil 20-msbk mfr gs 1m-vf 0.6 0.8 2 8-11 10YR 3/3 f1f SYR 4/6 sil 2c-msbk mfr cs 1m-vf 0.6 0.8 3 11-24 10YR 514 c2d 7.5YR 5l8 a 7.5YR 52 sd 2mabk mfi 1vf 0.4 0.6 aBoring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Sal Aoolicatlon Rate Horizon Depth In. Dominant Color Munsell Redox Description Ou. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD1W 6Eff#1 'EH#2 Effluent #1 = BOD, > 305 220 mg/L and TSS > 30 5 150 mg/L ' Effluent #2 = BOD, > 30 5 220 mg/L and TSS > 30 s 150 mg/L Desig Cotifi Ryon states CetlRFA ADVANCED ed Sae Teeter. 1330832 Designer Of Engineering System! D 2263-7 E N V I R O N M E N T A L 'AN property lines not 0° Bench ♦ SYSTEM NOTES drawn are >I00R from y+`r, Septic Tank: system qs� soil Bonng P/L P'. I I I I --------------- —------------------------------------------ -- ---- Neighbor's Drivew ---- --- ay --------" ----------- SCALE --------- 21 ` p 40 INGRESS/EGRESS EASEMENT — — ---- —------------------------------------- — 84 �� OO 93.05 O• A eM7 'y 0 r i� , � Current grade / j New 2BR j �91.�s ti / / —I— ome I� 50' �- I Well ELEVATIONS:\`.� I 8 BM 1 = 100.00 Top 1" PVC pipe -- -(12."-above grade) Anticipar - I$M2— — _ r Tree line ed DriVeWay t 104.0II +— G TO naifiin 5* Elyd-trees � ' — 00" &b 4 grabs + + + + VI�p� + _+ Call" 9taeamurC This eyatr n has been dadgwe and ,k,"d to eeewme..Rn side Rrw Locd Podec The ad indnre awe nnad r�.rdtr ``\ womow sere Ae4aearn ard/o ae. V U;, a BM2 F— 33' { I I I I I _I I I I I I F�+ Ln I I Pump Tank: -PAOmmmed meemm 27 taheal POWrs mwW on 100.00 C01*0 Rah 0.4wde awing nr 0e0 to waveem = 14- (REd7awph C isiu a) 4m" =10000 Saps = S% Distribution: s)Um will rep.. Faman dWbAm LOCATION MAP that to ends) 0 SITE at 110TH AVE PREPARED FOR: Cody Crotch Site Address: 1104 192ND ST Ba"n, WI 54002 PID: 018-ID04-60-075 11.59 Acres Legal: Lot 04 CSM 13-3533 SW 1/4 SW 1/4 S02 T29N R17W Town of Hammond Sale: 1' . mr Date: w22 CERTIFIED SURVEYMAP Located m the SW % ofthe SW V4 of Section 2, 1'29N, K17W, Town of Hammond, St Croix County, Wisconsin; being Lot 2 of that Certified Survey Map Sled in Volume 9, Page 2611 of the St. Croix County Register of Deeds. Bewmp reformwed to the South line of OR'NJrR /SUAWnWme the SW V4 orSection 2, asautned to be and CHUCK & BECKY PACE perviously recorded as S89'32'37"E ra & _LOT 1 OF ' CERTIFIED SURVEY "AP (R S8W32'37'E 56Z W) VOLUME A PAGE 2611_ S 8W 31' 17' E 552.49 - - - 380.95 I 17164 2l1 O)W . I S,ra 1 square II� I _ 1 g 21 ZI ro gi y� ^ . taa.4 488.46 21/--;r y NOTE: 1�Tian pipe tmrM e7W! Q _ vas mwwm pmtlmm 991 190 Hmmond, WL 34013 x SLED 1 ocr 1 4g1998► 8 a�r4Mi 9 Eeat it d 00 S1M 14 of the smm (R S8WdT37-E 505XY ) S8W372SE W5.67 U I,Ss �i • - - - - N 8W 3T 25' W 538.60� .. (' � ' Z LOTS �,z�_i `- 5087188 p el3 (71802 aoree) ISO�; iGG7waRO.W.8Q077mot �,�7 span ht (1 Emwmt ,� •dudrq` R.O. W. 8 Eaerrrt � .... �I .. 107 eatheak ham p aw--P: w . .iMOT 146 .......( R.N8Ma0%)M N87'54'2rE �S89 372�S.307'�E� +b - S 89',0' 00' E 827.00 ..L �� _ —110_ _ _ — — SW afiner o16aWml 2 N BW 3Z 3T W-1,06892.— — — S1 /4 amtr d SeeStn 2 Camay rut found UNPLATTED LANDS eon, an.da.eW 1K CCU* noftund NOTE Each pKad Chown on this map 4 sukiert to State, CormtY and TMMWW 4wv ndr and SCALE IN FFBi 1" - 200' regu om (i.a, wsdads• m)nim= lot sins, aooeas to 1, arc. } Before purchasing or dsr"elbpy ... D' 100' 200' 400' 600' parod comas. the St. Croix County Zoning Office and the *Mprume Town Boetd for advice. A; ' "OVED This uutrumant drafted by lomph W. Cwz berg '98 udicatas section ommr monument(asnoted) , ..r•,+vw W„ iameates ]"trap pipe round .�w :.• .o Indicates1"X24"impipeweighing1.13 WRI: IbL / lin. Pt ast . ,m ,x�ec (R)- Indicates.prsviouslyreootdediatormstim ..f�jE1}� sr,Rvspmc .,New Richmand. WL 54017 Phone( 715)246.7529 Job No 98.036 SHEET 1 OF 2 yaw Vol.13 , ,..yap Page 3533 ST. VNTY SANITARY SYSTEM File # "" "' OWNERSHIP/ADDRESS FORM offike ��y 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 ProoertyFiles Scanned weblink. OWNER/BUYER INFORMATION Owner{8uyer Cd dY C f^ a tt-C 6 Mailing Address h City/State/Zip 13 d l a/cv� y� w l -� + D O Phone Number (required) %/.� vr` 3� c9 Z 62 Email Address (required) C o d V b o C I^ o u c y� p ,' C on'] Parcel Identification Number O/8 /oo - — 6n (found on the property tax bill) NEW SYSTEM: LEGAL DESCRIPTION Property Location 55 wY4 , S IV t/4 , Sec. a. T-Z 9 N RIZW, Town of n d/ Subdivision Plat: . Lot # A. Certified Survey Map # Volume 3 Page # Warranty Deed # - L'l_s' % (before 2006)Volume . Page # Number of bedrooms Spec house O yes'Xno Lot lines identifiableX"yes O no New Property Address OFFICE WE�ONLY I ZVW - ; (Verification of new address required from Community Developmint Department for new construction.) (St In ials) (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 surrey 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.aov 1101 Carmichael Road, Hudson, WI 54016 l�nvsccwi aov DATE: 20214&14 REVISIONS: Z s � ifit W U Z w 0 w } 0 O U , ,oBNo: 1e2s SHEET NO'. 1. FLOOR PLANS rermaswv" Z CODY RESIDENCE '„ . BRUCIEPIS ,J wwrYlon.nOMl�n• y is�aiwre�.d. n. � O ~- $,OLM5 A.•,.•. .I•YT.•, MIFMGIWOI.p.W .r, ,,•1• It W „ .w..JIMI134LMClQftll'11[t1Y gSOUTH '-0' ELEVATION N.o 1I5' • 1 - _G91UNi L B MLA, _ CEILING LEVEL S-0 MAIN FLQ" 0' _________d I — _—a�S�IITaQ" -------- %21 NORTH ELEVATION AtA 11B' • 7'-0' i 'i i a•s.wa wu aa,•wswr.•� � •+ \EAST ELEVATION A70 1JB' • 1'-0' s sM.L 9-Ir {NFL U.S IJ L+ l W EST ELEVATION At-0 11� • 1'•P DATE : 2021-0904 REVISIONS: fit a�a -zi s 2 s tCe e s w U Z w 0 cn W } O U JOB NO: 16Z SHEET NO: 2. EXTERIOR ELEVATIONS tT taw. wn �rW .iwr. FRONT 30044GE .sw � I A10 b b � BEDROOM I•I .'Yn� 1.1011W M.1 I.I LA �rY00 I. M1v.Yb.I1OY1 YI.I.f CC .�. AiO.f OOL b t. BABEYEM REAR 30 IMAGE LF 1 ALL N DATE: 2021-0B-1/ REVISIONS: V to I<, ''Will yy W U Z W 0 55 NW Ix C) O U A -Pt # K'r a Wisconsin D nt of Safety nql Rr jessiona Services Page 1 of 2 Division of In stry Se j 1 SOIL EVALUATION REPORT o�oon�ynt 5t. Cr lx Devewp� ccordance with SPS 385 Wis Adm Code County Attach complete sit pl ' 1qa ntty less than 8 1/2 x 11 inches in size. Plan must include. ST Croix but not limited to: ve - horizontal reference point (BM), direction and percent slope. Parcel I,D. scale or dimensions. north arrow, and location and distance to clearest road 018-1004-60-075 Please print all information. a -wed by e Personal information you provide may be used for secondary purDOses Privacy Law. s 15 04 1 m Properly Owner Property Location: Cody Crouch (Buyer) Govt Lot SW % SW Y. S 02 T 29 N R 17 W Property Address Lol # Block # Subd. Name or CSM# 1104 192ND ST 04 CSM 13.3533 City State Zip Code Phone Number ❑ City ❑ Village ❑Q Town Nearest Road Baldwin I WI 154002 1 1 1 Hammond 192ND ST1110TH AVE O New Construction Use: [@ Residential I Number of bedrooms 3 Code derived design now rate 450 GPD ❑ Replacement ❑ Public or commercial - Describe Parent material Loess over loamy till (Vlasaty sil/Adand sl) Floodplain elevation if applicable NA ft. General comments and recommendations Recommend minimum 22' sand -lift Powys mound on 100 oa contour w th o 4gpdm2loadeq me Azt:-= _1LF = W (Redosimorphic features) J Boring # El Boring Pit Ground surface elev 99.00 ft Depth to limiting factor 14 in. Cnil Annlirolinn Ref. Horizon Depth In. Dominant Color Munsell Redox Description Ou. Az Cont Color Texture Structure Gr Sz. Sh Consistence Boundary Roots GPD/Ft' •Eff#1 -Eff#2 1 0-8 10YR 13 sit 2c-msbk mfr cs 1 m-vf 0.6 0.8 2 8-14 10YR 5/4 - Sid 2mabk mfi gs 1f-vf 0.4 0.6 3 14-20 10YR 5/4 r1d 7 SYR 5/6 a 10YR 512 Sid 2mabk mfi-mvfi gw 0.4 0.6 4 20-32 7.5YR 514 c2d 7 5YR 416 iS 7.5YR 611 sl 1 cabk mfi t 0.4 0.7 ❑❑ Boring — 2 Boring # ❑l Pit Ground surface elev. 100.15 fl. Depth to limiting factor 14 in. GII Gnnlir•.elinn Ref. Horizon Depth In. Dominant Color Munsell Redox Description Ou. Az. Cont. Color Texture Structure Gr. Sz. Sh Consistence Boundary Roots GPD/Ft' •Erf#1 'Eff#2 1 0-7 10YR 3/3 sil 2c-msbk mfr cs 2m-vf 0.6 0.8 2 7-14 10YR4/6 - sl 2f-msbk mfr-mfi gs 1m-vf 0.6 1.0 3 14-19 10YR 4/6 fld 7 SYR 518 8 10YR 6/1 sl-sd 2cabk mfi CS 1 f-vf 0.4 0.6 4 19-32 7.5YR 5/4 c1 d 7 SYR 416 & 7.5YR 612 scl 2cabk mvfi 1 of 0.4 0.6 CST Name (Please Print) Signature CST Number Ryan Rachel 1330832 Address Date Evaluation Conducted Telephone Number 779 Spring Creek RD S. Red Wing, MN 55066 06/08/22 (651) 327-0074 Boring # ❑ Boring_ _ Pit Ground elev. 1� 9D ft. Depth to limiting factor 25 in. Cnd AnnIirefim Rom Horizon Depth In. Dominant Color Munsell Redox Description Qu Az. Cont. Color Texture Structure Gr Sz Sh Consistence Boundary Roots GPD/FI2 'Eff#1 'EfT#2 1 0-8 10YR 3/3 sil 2msbk mfr cs 2m-vf 0.6 0.8 2 8-25 10YR514 sil 2mabk mfr-mfi gs 1m-vf 0.6 0.8 3 25-34 7.5YR 4/6 f2f 5YR 518 8 7.5YR 6/1 sl 1 csbk mvfr cw 1 m-vf 0.4 0.7 4 3442 1 10YR4/6 c2d7.5YR518610YR512 sl lcabkOm mfr-mfi 1vf 0.2 0.6 q❑ Boring 9 ❑ Boring 93.05 A Pit Ground surface elev. fl Depth to limiting fac14�0 I in Cnil e! N,.flm Rnla Horizon Depth In. Dominant Color Munsell Redox Description Qu Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 •Eff*1 'Eff#2 1 0-8 10YR 313 sit 2c-msbk mfr gs 1m-vf 0.6 0.8 2 8-11 10YR 3/3 f1f 5YR 416 sit 2c-msbk mfr cs tm-vf 0.6 0.8 3 11-24 10YR 5/4 c2d 7 5YR 518 6 7.5YR 512 scl 2mabk mfi 1vf 0.4 0.6 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor _ in. cnir Rofo Horizon Depth In Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh Consistence Boundary Roots GPD/FI2 'E"1 'EfF#2 Effluent #1 = BOD. > 30 5 220 mg/L and TSS > 30:5 150 mg/L ' Effluent 02 = BOD, > 30 5 220 mg/L and TSS > 30 5 150 mg/L t 11 4 Boring # ❑ Boring—,--_ — ❑■ Pit Grou^��ace elev.100-90 ft. Depth to limiting factor 25 in. Snit AnnliraKm Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft' 'Eff#1 'Eff#2 1 0-8 10YR 313 sil 2msbk mfr cs 2m-vf 0.6 0.8 2 8-25 10YR5/4 sil 2mabk mfr-mfi gs 1m-vf 0.6 0.8 3 25-34 7.5YR 4/6 12f 5YR 518 3 7.5YR 611 at 1 csbk mvfr cw 1 m-vf 0.4 0.7 4 1 34-42 t 10YR 416 c2d MYR 518 a 10YR 5/2 sl 1 cabk-Om mfr-mfi 1 of 0.2 0.6 ❑q Boring # ❑ Boring ❑■ Pit Ground surface elev. 93.05 ft. Depth to limiting factco in. Snil Annlinatinn Rate Horizon Depth In.. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft' 'Eff#1 'Eff#2 1 0-8 10YR313 sil 2c-msbk mfr gs 1m-vf 0.6 0.8 2 8-11 10YR 3/3 f1f 5YR 4/6 sil 2c-msbk mfr cs im-vf 0.6 0.8 3 11-24 10YR 514 r2d 7.5YR 518 d 7.5YR 52 scl 2mabk mfi 1vf 0.4 0.6 Fs-1 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor_ in. SMI AnMi,.fi n Detn Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft' 'Eff#1 'Eff#2 Effluent #1 = BOD, > 305 220 mg/L and TSS > 30 5 150 mg/L ' Effluent #2 = BOD, > 30 5 220 rrg/L and TSS > 305 150 mg/L Clasky . Bxh� Cartifled Soi Tatty 1330832 Designer of Engineering Syateril D 2263-7 ADVANCED 'All property lines riot (o) Benchmark %lPSTt.%1 NOTES drawn are >10Dft from Septic Tank: .. - ; •. v t system 4� Sal Boring ------------------------------------- --- -------------- Neighbor's Driveway ----------------------- SCALE ---------- 20 INGRESS/EGRESS EASEMENT 0' 40' ------ ------ —_ B4 �C (Z' 2 ISi 93.05 / m 6M�O I I f—. Current grade a 1 New 2BR I �91'S ti/ 4 m / < _ I _ Ftome 1 1��p 7 ' / B102 G) sw 1 1 1 \ 11 33' ELEVATIONS: \\ I BM 1 = 100,00 - I Top 1" PVC pipe (1.2"-above grade) h�/Fated Driveway' _ I _ Tree line -----, ___ BM2 $ 104.0II — _ _ ` .Toth nait in 5`` EIM trees I Otn bov g+ale + + + + 409 + + +� + _ + • — I OMalsd Statanant: This getia Is 6ssn ddpad and oduatsd In aocanlace aM state wW lord oadea TM son trecili oraS mat rsnah arateclie0 fan dN6r6aros wWw mrmactlar bsfara and altr mrabuctla% Soil "Treatment Area: Raammen0 n tjm 22'sal"t POWTS marl on 10000 codolr aM O 4g10T"rale Depn to testtcaon = W (Redonmorplc leaf res) {iinbi = I DO W .Skpe_5% Dkiribufion: System all Iecture Pessue Ostb LOCATION MAP (not to Scale) L SITE 110TH AVE PREPARED FOR: Cady Crouch 1104 192ND ST Baldwin, WI 54002 Pro: 018-1004-60-075 11.69 Legal: Lot D4 CSM 13-3533 SW 1/4 SW 1/4 S02 T29N R17W Town of Hammond Scale: I' = 40' Date: 6/8/22 CERTIFIED SURVEYMAP Located in the SW % of the SW '/4 of Section 2, T29N, R17W, Town of Hammond St. Croix County, Wisconsin; being Lot 2 of that Certified Survey Map filed in Volume 9, Page 2611 of the St. Croix County Register of Deeds. Bearmp referersced to the South line of 0W1VER/SUBD1V7DER the SW V4 of Section 2. assumed to be and CHUCK R BECKY PACE Previously recorded as S89'32'3T'E LOT 1 OF 991 Igo Street CERTIFIED SURVEY MAP Hamr000Q WL 54013 ( R S6W3n7E 552.50') VOLUME R, PAGE 2611. x S 89.31' 17' E 552.49 — - 380.95 171.54 (R171.SW) F' 1 iT N ^ 231.Au.. W a ' a4atetYp m 9bett�alM 9 g; r •� col 21 Zi �/ (� Ewt1.wwreSWlawe,eSwlut� a S; y� tae.4 g9. 3 ' "1T E 552.41 (R 569Td73T� 505.73' ) 486.40 too. oo' gar 37 25' E 606.67 33. I fl3 W �i N j n 74. 472.37 (R 1 p 4 P /f HW _� _ _ - 3300 Q7 _N SW37 26' W 538.60 . $ 01 ((� � -- �D�66 agsrraTidZi1.892 arras; \r •' p� =kx" RO.W. a Eawrnent W 1� AM)257 squers het ( 10 077 srrse) M r svaadlnp R.O W a Esaenere J p= r t� a NOTE lsimn ppe lame 37V 4S614 B �� ;-10V a�eecM ban R O. W.--r �?i Fie 't ,I aem o ;iulied D� .. ... (R N83911'00'E 196.93') a •• _ ter- �- N 87' 54' 26' E W9 3Z3TE _H S ti9' 40 00' E 827.00 195.89 24� _ _ — _ _ _ — — _ _ _ _ -..-0 ___� .L1�3E q�--��r- — 11_0 _ AVENUE _ 8W Win.;ofSactbn 2— — — — — N W 32- 37' W- MiSil.82 — — — 37/4 comr aT 3actlon 2 County nai round UNPlATTED LANDS Sam be of the SW 114 county nd found. NOTE. Each parcel shown on thin map is subject to State, County and Township law, rules rd SCALE IN FELrr 1" - 200' regulations ( r4., wetlands, minimum lot sim anew to I. etc. ). Before purchasing or 0' too, 200• 400'qW, 600' devalopil ny parcel contactthe St Croix County Zoning Office and the appropriate Town Board for advice. This inatrument drafted by, Joseph W, Granberg 98 - indicates section comer monument JOSEPI W (ss noted) . • ° GRAN9ESG fo's r • - indicates 1" iron pipe und S1*2 o - Indicates I"X 24" iron pipe weighing I.13 1 Ph R,f, , Ibs. / lice Ft set (R) - Indicates previously recorded udormation G SURVEYING C9 o\'irs4'•' EyOP ,_,L2.WCT.H "F' "`555 New RichmorA WI. 54017 1 q 1 Phone( 715 ) 2467529 Job No 98-036 SHFSr I OF 2 a� K � Vera Vol.13 Page 3S33 ow -ol . ........ ..... I i4 Jr. CRI) &, couNnr NOa 644744 STATE SANITARY PERMIT 4 Irov 19z sr. PTWMSFE%4ti L raEvIous NO. OWNER PLUMBE LICa# Z20(v�3 TOWN OF 1 **%"6 u SEC Z 9TN9 R IZ;� �Fo AND/OR LOT BLOCK SUBDIVISION CHAPTER 145.135 (2) WISCONSIN STATUTES (a) The purpose of the unitary 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 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. A111HWRIZED ISSUING OFFICER - DATE PERMIT EXPIRES UNLESS RENEWED BEFORE THAT DATE POST IN PLAIN VIEW VISIBLE FROM THE ROAD FRONTING THE LOT DURING CONSTRUCTION SBD-06499 (RI1/20)