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018-1066-70-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safely 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)(ml) Permit Holder's Name City Village Township HEINBUCH TRUST (JENNA MYER) I TOWN OF HAMMOND CST SM Elev. Insp BM Elev IBM Description TANK INFORMATION ELEVATION DATA TYPE TANK SETBACK INFORMATION TANK TO PIL WELL BLDG. Vent to Au Intake ROAD Septic Dosing Aeration Holding PUMP/SIPHON INFORMATION Number Loss to JUIL At3ZIUKM I IUN bY51 tM Dem GPM STATION BS HI FS ELEV. Benchmark Alt BM Bldg. Sewer St/HI Inlet St/HI Outlet Dt Inlet Dt Bottom Header/Man, Dist. Pipe Bot System Final Grade St Cover BED/TRENCH DIMENSIONS Width Length No Of Trerches PIT DIMENSIONS No Of Pns Inside Dia 77d Depth SETBACK INFORMATION SYSTEM TO P/L JBILOG WELL LAKE/STREAM LEACHING CHAMBER OR UNIT Manufacturer. Type Of System Model Number VIV 11%1Vw I IVI\ J I J I CIeI Header/Mangold IDistribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Die Spacing Depth Over Depth Over xx Depth of xx Seeded'Sodded xx Mulched Bed/Trench Center BedlTrench Edges Topsoil .- � _ __ Yes No Yes No cUlvlmtN 15: (Include code discrepencies, persons present, etc ) Location: No Address Available 1) Alt BM Description = 2.) Bldg sewer length = - amount of cover = Plan revision Required? Yes - No Use other side for additional information. SBD-6710 IF 3197) Date Inspection #1: Insepctor's Signature Inspection #2 Geri No ✓� County lI Z Z Industry Services Division ST CROIX C 1400P Xngt62 Ave io anitary Permit Nw. r (to be filled in by Co.) P coi,71 nty�eetR S Madison, vul 53707-71W Willlh ea Croix X.veto r Goat Sanitary Permit Applicatio �/ State Transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the a governmental unit _ OQ22 0 is required prior to obtaining a sanitary permit. Note: Application forms fql state-owned POW'TS are submitted to Project Address (if different than mailing address) the Department of Safety and Professional Services. Personal information you provide may he used for secondary DS7TM ST Purposes in accordance with the Privacy Law, s. 15.04 I m , Stats. �Op L ISM - 1. Application Information - Please Print All Information /Property Owner' Name Parcel N (!MA MYER 018-1066-70-0000 Property Owner's Mailing Address Property Location 1624 CTY RD Z Govt. Lot City, State Zip Code Phone Number SW %, NE'/., Section 30 HAMMOND, WI 54015 (circle one) T29N R17EorW 11. Type of Building (check all that apply) Lot p Subdivision Name Drr+90 ® 1 or 2 Family Dwelling - Number of Bedr s -� y ❑ Public/Commercial - Describe Use Block q ` ❑ City of ❑ State Owned - Describe Use ❑ Village of � CSM Number Town of HAMMOND i III. pe of Permit: Check onl oneNos on line A. Complete line B if applicable) P A. New System ❑ Replacement System ❑ Treatment/1folding Tank Replacement Only ❑ Other Modification to Existing System (explain) ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued B. Before Expiration Plumber Owner X IV. Type of POWTS System/Component/Device: Check all that apply) ❑ Non -Pressurized In -Ground ❑ Pressurized In -Ground M At -Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil Ir ❑ Holding Tank ❑ Other Dispersal Component (expl U Pretreatment Device (explain) oV. DisperseItTreatment Area Information: Design Flow (gpd) Design Soil Application Dispersal Area Required (sQ DispersarArea Proposed (sq System Elevation t Izz 600 Rate(gpdsf) low 1000 91.4 CONTOUR .6 �— VI. Tank Info Capacity in Gallons p (.SrL16 �11T+■T u Total Gallons of Units Manufacturer $ L 8 New Tanks Existing Tanks � (] in 4 rn ti Cp iY � Septic or Holding Tank 1250 1250 1 SKAW Dosing Chamber 754 754 COMHO VII. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plan& In Plumber's Name (Print) Plu s S MP/MPRS Number Business Phone Number ROBERT HARDINA 824825 715491-5039 -j31I1 Plumber's Address (Street City, State, Zip Code) F 477 170TH AVE TURTLE LAKE WI 54889 a Vill. County/Department Use Only Approved ❑Dis ov Permit Fee Date Iss 41 Issui Agent Signat re ❑ Own iven on for Denial 0ued 2� Z $ b i IX. Conditions % �) 19k 2T 1,0Z,>_ leffluent 1. Septic tank, filter and dispersal cell must be serviced / maintained as per • 1 .:J-J L.. -1.. L Attach t mplete plain ror the system yt� sub it to Me ouety only on paper not less Man 8 IR a 11 iae ea is sine 2. All setback requirements must be ma'Int.kis d /1/ P�1 0,� � S as�Cr apppplicable code / ordinances. SBD-6398 (RU3/14) ,Zol;eer CHECK BOX AS AMICNXE. ❑ SOIL EVALUATION SITE MAP PROJECT NAME: HEINBUCHWER CHECK BOX AS APPUCIBLE. Scale: 1• = 4a D SYSTEM PAGE 2 OF D 40 BO 8 0 PLOT PLAN (10 it TW) 10' DESIGN FLOW: 600 GPD Attach design flow calculations for commerdel plans. PROJECT ADDRESS: 157TH Si Plpo ftferfal ! ASTM Sfaida d (Tables W30-3 A 384.31M) _ N Sanitary Sower. Y ! soil BM Symbol: !}F ,�00 BM Elevellac FT Face Main: ! le-0 ya BM oeanPm• TOP OF FENCE PO T N. P!L kKknia IMPORTANT: S Ixl woo �mq� (sapprcauel: ID "ft W � Show ground elevation contours at srila6le Intervals. of Tested —z A V aPlxw� �C, I P!t ®- 1z,S'o17SD Cr.w-go 3 j 51A60 M:- a--c,aP.bc. Aec-A GL 3z q` .4 IN COP .� Wisconsin Deparnnent of Safety and Professional Services Division of Industry Services 4822 Madison Yards Way PO Box 7302 Madison, WI53707 September 21, 2022 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 2024-9-20 Plan Review: PWTS-092202275-C Bob Hardina 477 170th Ave Turtle Lake, WI SITE: Heinbuch 1062 751h St Hammond Township St Croix County SW'/. NE t/. S30—T29N — R17W FOR: a�raat 4tsr a o Phone: 608-266.2112 Web: him /dtos.wi.uot Email: dscisawiscorem.iioN Tony Evers, Governor Dan Hereth, Secretary CWKWWWy APPROVED DEPT. OF SAFETY AM PROFESSIONAL SERVICES DIVISION OF W WSTRY SERVICES SEE CORRESPONDENCE Description: At -Grade Component Manual—Ver. 3.0 (May At -Grade 4 Bedroom— 600 GPD —46" to 2022-2027 limiting factor — Effluent Filter - Pressure Distribution Component Manual —Ver. Maintenance required 2.1(May2022-2025) **Manuals Have Been UPDATEDII** 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 • The 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 At -Grade site. If necessary, use only tracked equipment, during dry conditions, with minimal passes, to avoid compaction. • Components and soil removed from an existing drainfield shall be properly disposed of so that there is no risk to public or environmental health. • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.19, Wis.Stats. Wisconsin Department of Safety and Professional Services Division of Industry Services 4822 Madison Yards Way PO Box 7302 Madison, WI33707 NF 1, . Os�Mn .a 4 Phone: 608-266-2112 X s 1, Web'. haw ',dim wi aos Email: dspsY;wiscum in.¢ov •,,\ ` :- Tony Evers, Governor Dan Ifereth, Secretary • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. • A copy of the approved plans. specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department which may include local inspectors. Owner Responsibilities • The current owner, and each subsequent owner, shall receive a copy of this letter. Owners shall also receive a copy of the appropriate operation and maintenance manual(s) and be responsible for ensuring that POWTS is operated and maintained in accordance with this chapter and the approved management plan under s. SPS 383.54(1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, ,j�gowl Joshua Rowley POWTS Plan Reviewer, Division of Industry Services (715)634-5124 Joshua. rowlev@wisconsin.ttov Wisconsin Dgwrummt of Sakry and Professional Services Division of Industry Services 4922 Madison Yards Way PO Boa 7302 Madison, WI537o7 �*Mssss4.� C _ 4 Phone. 609-266.2112 Web: him /idsoawi my }! Email'. fTony Evers, Governor ���` Dan Heret6, Secretary "W ,. APPLICATION FOR REVIEW '�• : i' complete all pages- 1, _ - NOTE: Personal information you provide may be used for secondary purposes (Privacy, Laws. 15.04(1)(m), Stals.) ❑ Plan to be E-riled. Provide SharePoint User name below: Private Onsite Wastewater Treatment Systems Division of Industry Services For plan status, check our webske at Email technical code questions to Several cottrttfes have been delegaled certain authority to review plans in lieu of Division of hxkn&y tsatvicea. For a carrartt Yet of those ootxlde , and their designation check our websne at 1. Project Information • Fill In all known Information. Project/Site Name: Mee A ac R Location, Number & Street of project (if unknown, indicated nearest road) Legal Deauptbr SAlE�3p, ZF+ /J- c 1740 County -5% - . C k ❑ City ❑ Village ® Town of i f,14:.'s 2. After plans are reviewed, please: (check all that apply) ❑ Call customer 1, 2 (circle number)' ❑ Requesting party will pick up ® Mail plans to customer 1, 2 (circle number)' 'Refers to customer number from below. Confirmation of aselgrenant to a rwlew si Transaction 10: Previous Related Trans. to: Estimated Completion Date: Assigned Reviewer: Assigned Office: _ Mail to your office of choke below: LaCrosse. Green Bay NOTE: We reserve the right to re -distribute plans to another office if needed to reasonably balance turnaround times. Check for next available review date 3. Complete the following designorlowmwhequeetlng Information. titillate the chock boxes when designer. owner or requesting party Is ate vans to avoid repeating Information. Designer Information (Customer 1) DSPS First Name Last Name Customer Number ROBERT HARDINA 824825 Company Name HARDINA SEPTIC SYS. Address 4T7 170TM City State ZW4 (9 digits) TURTLE LAKE Wl 54889 Phone Number E-mail address CON phone (area code) HARDINASEPTIC90GMAIL.COM 715-491-5039 Check N applicable Otter Please Specify Below (Customer 2) DSPS First Name Last Name Customer Number Company Nara Cry Stan Z" (9 digits) Phone Number E-mail address Call phone (area code) applicable or speay relationship Information and Plan Submittal Checklists. To request electronic plan review complete the appropriate application form and e-mail it, along with your registered SharePoint usemame to I If plans are being submitled via paper, they will be assigned to a reviewer after receipt at a DSPS office. Submittal checklists can be found in each applicable component manual somarina on to POWrS grogram pane under Publications HolmeNOrWasks Ares DSPS Green Bay DSPS 2850 Midwest or Ste 104 2331 San Luis Place Onalaska. W 54650 Green Bay, hM 54304 608-785-9334 920.492-5WI Fax: 608-785.9330 Fax 920.492-5604 Email: Ems& Make Checks Payable to: Division of Industry Services OR ❑ Check box to invoice designer and sign below 1 Designer Signature SBD-10577 (R 3119) TOTAL AMOUNT DUE $ Review Code 7533 5. POWTS SUBMITTAL (check all that a00h - irwonnplete forms may result In pretessleg dalatrs) ® NEW ❑ Aerobic T.*A. ant UnIll(s) ❑ Chbrk*W ❑ Tank Replaument Orly ❑ REPLACEMENT ❑ Commercial System ❑ UV WeinNetlon Unit ❑ Add Effkwd Filar SYSTEM TYPES) NOTE: Submit "parses shahs for aach system If submitNrq multiple systems on the same site Enter Fee ❑ Rwfsion to previously approved plan $85.00 ❑ Mlseeltaneous Review (Le. replacement of a septic lank, addition of an effluent filar or pretreatrnerd device to an existing system, 010 $Wffir ® Component Manual AN treatment components are previously approved ® At -Grade Component Manual - Ver. 2.0. SBO-10854 (N.03(07, R. 1112) DOW Wastewater Floor In under s. SPS 384,10 (2) or (3): ❑ In -ground Component Manual - Ver. 2.0. SBO-10705-P (N.01/01, R 10(12) Gskins Per day Design wastewater flaw of the proposed system: ❑ Mound Component Manual- Ver, 2.0. SBQ70691-P (N.01/01, R 10(12) ❑ Pressure Dlstrit»Afon Component Manual - Ver. 2.0, SSO-10706-P (N.01/01, R 10/12) go 1.000 gpd or less $250.00 ❑ Other - Please specify 1.001 - 2.0W go S 325.00 2.001 - 5.000 400.00 ❑ Soil Based Individual Site Design- One of more treatment components are not previously approved under s. SPS 384.10 (2) or (3): ❑ At Grade (Individual site designkevistion from component ❑ Non -Pressurized In -ground Deep„ manuals and use of components without product f ❑ Pressurized In -ground Was*a*w Flow in al>DrovaO: ❑ Mound Gallons Per day Design wastewater lbw of the proposed system: ❑ Drip -line ❑ Const sided wetlands Gap 1.000 gpd or less $450.00 Documentation mug be provided to support treatment and dispersal claims. In a separate 1.001 - 2,000 gpd S800.00 statement provide rationale for the project and attach supporting documents (code sections, test 2,001 - 5,000 gpd S750.00 reports. technical papers. research articles, etc.) greater Oran 5.000 gpd $900.00 phis S0.08 for each gallon over 5000 gpd State-owned facisies: esign Holding tanks previously approved under s. SPS 384.10 (2)(3). Design wastewater flow of the ❑ Holding Tank Component Manual, Ver. 2.0, SEW- 10855-P (N.03/07, Rt/12)' yVfasiDelar Flowin w system: Perproposed Gallons' day Non -state owned Commercial and Residential Holding tanks tinat completely utiltze this manual 5.000 gpd or less $90.00 and have an estimated daily flow of less than 3000 gallons par day must be submitted to the GPD 5,001-10.•000 gpd $/50.00 appropriate governmental unit for review instead of the Department. (ace SPS 383.32(3xa)) greater than 10.000 gpd $225.00 ❑ Holding Tantc Individual Side Design'. (i.e. fit constructed. <S day hoklMr9 capacity. Co- tanks including ails constructed teaks NOT mingled wastewater. etc.) Design YVptawsbr Flow in previHolding d under 10 (3). �� Gallons Per day hs. pro o e st m Design wastewater 5onu of Una proposed system: � S.t700 gpd or less 5180.00 orless • Documentation must be provided to support the rationale for the project In a separate statement. 5.001-10,000 gpd $300.00 _ please include all rode sections. teat reports, tecMiral papers. research articles, etc.) GPD greater than 10.000 gpd $450.00 ❑ Soo Saturation Detsiminatlon Report (using observation pilm) ❑ Interpretive De1tirmhallon $240.00 ❑ Experimental System (One time additionel fee). Submit foe for Individual system a per app WWo above sygen type) brpeleunt Number _ $400.00 Priority Review (enter same amount as normal review fee listed above) S Ens► Total (rerardsd to the rtasrast door) 5 nR SSD-10577 (R 3/19) RESIDENTIAL AT -GRADE DESIGN ;awvcd 4opilly Sile INDEX AND TITLE SHEET Conditionally Project MYER APPROVED Owner JENNA MYER OFsERVICES NDUSTR -- nIVISInN F INDUSTRY S RVI . S Address 1624 CTY RD Z lv"LdA " HAMMOND WI 54015 SEE CORRESPONDENCE Legal Description SW,NE,30,29N-R17W Township HAMMON Subdivision Name Parcel ID Number 018-1066-70-000 Plan Transaction Number County ST.CROIX Lot No. Index sheet Page 1 Calculations Page 2 At -grade drawings Page 3 Laterals and dose tank Page 4 Specifications Page 5 Management 8 contingency plan Page 6 Pump curve & specifications Page 7 PLOT PLAN Page 8 FILTER MAINT. Page 9 SOIL TEST Page 10 Designer ROBERT HARDINA Signature Date 08/15/22 License Number 824825 Phone Number 715-491-5039 Designed pursuant to. At -grade Component Manual for POWTS SBD-10570-P (R.6/99), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST - SAS (01181) Version 4.0 (04103) Page 1 of 10 PRESSURIZED AT -GRADE DESIGN At -grade Design Worksheet - Sloping Sit, Flows and Site Data Entry. r Residential or commercial? 400.0, Estimated wastewater flow (gpd) 600.0 Design wastewater flow (gpd) 11,40'% Site slope 91.40 Contour elev. below lateral (ft) 46.00 Depth to limiting factor (in) 0.60 In -situ soil application rate (gpdMA2) Distribution Cell Information 1 Influent wastewater quality 10.00 Linear loading rate gpd/ft 10.00 Effective absorption width (ft) 10.00 Max. effective width permitted (n) 100.001 Aggregate length (ft) Pressure Distribution Data Entry E Center or end lateral connection O Number of laterals 0.156 Orifice diameter (in) e.g. 0.188 2.00 Estimated orifice spacing (ft) 2.00 Forcemain diameter (in) Forcemain flow velocity (ft/sec) — 60.00 Forcemain length (ft) 64.00 Pump tank elevation (ft) 4.55 System head (ft) x 1.3 6.90 Vertical lift (ft) 1-1— 0.98 Friction loss (ft) l 12.43 Total dynamic head (ft) Lateral Diameter r disneter Desw optic 1 in 125 in 1.5 in y Does forcemain drain back? y Are laterals at highest point? NA Forcemain drawback (gal) A 5x Lateral void volume (gal) Minimum dose volume (gal) System demand (gpm) etion Gallom Onch Calculator Des" ,- , 754 Total Tank Capacity (gal) 47 Total Working Liquid Depth (in) 16.0 Gatlin (enter result in cell G46) 2 in X x 3 in X Treatment Tank Information 1250 Septic tank oapacity (gal) skaw Manufacturer Effluent Fitter Information Dose Tank Information LIFETIME Filter manufacturer 754.0 Dose tank capacity (gal) LT 118 Fitter model number 16.0 Dose tank volume (gaUw) skaw Manufacturer Project: MYER Transaction Number: Page 2 of 10 AT -GRADE PLAN VIEW D —t 1/6 B Observation pipes (2 typical) D W t C I D B L = Total aggregate cell A x B = Plowed area L x W Svnthetic fabric cover A 10.00 ft B 100.00 ft 1/6 B 16.67 ft C 12.00 ft D 5.00 ft E 2.00 ft L 110.00 ft W 22.00 ft A x B I 1000.00 ft"2 *— Cap Typical abs. pipe. Slotted in the lower 6", and anchored securely It 6" T AT -GRADE CROSS SECTION 93.23 Lateral invert elev. 91.90 ft Surface contour 9 -1-4-61 ft and system elevation 12 in. topsoil and subsoil over aggregate and tapered to toes. 0 = 6 in. aggregate below pipe(s), and 2 in. above pipe. Finished grade elevation Observation pipe at aggregate toe ' 11t 4 °1/. Slope D -� Plowed layer below L x W Project: MYER Transaction Number: Page 3 of 10 PRESSURE DISTRIBUTION AND DOSE TANK Lateral Diagram - End Connection L.1rr J-... I•:•r•.rr, .,r.._a pvr;... 1. 4" FX—' IrJl.:.1 Ca, I I., t. _.re:.m •:1 nw I.",.I I r•4r L GMM I A4-::4:(r.S1 -�,:va • ruin-upwit•�I/..,rl•.»••nNe�n�•utplu9 tt �3z � 0.156 Orifice diameter (in) End Lateral connection point X 1.96 Orifice spacing (R) 51 Orificestlateral 27.4 Lat. discharge rate (gpm) (gp►m) Typical Pump Chamber Layout 27.4 Sys. discharge rate 12.43 TDH (ft) Final grade Weather-proof junction box Tali owrponerd is prop" vented Lateral Specifications EledricN as per NEC 300 and Comm 16.26 WAC Tank ka/ C Inches Gallons JA r A 27.5 440.2 alarm an icn 8 2.0 32.0 B E C 5.6 89.8 G D 12ff 192.0 86.00 R C Totals 47.1 754.0 Pip � D zoeller Pump manufacturer bn 1il52 Pump model number Project MYER Transaction Number. sje rhombus tank alert 1 Number laterals — P 98.00 Lateral length (ft) 2.1K) Lateral diameter (in) 2.00 Forcemain diameter (in) 60.00 Forcemain Length (R) Approved manhole cover with waming Iabel and locking device 4- T 1op00r 18' min. Provide ir4' weep hole or ant so*n device. [•Ltfl'.IL'i Alarm manufacturer Alarm model number Page 4 of 10 At -grade System Maintenance and Operation Specifications Service Provider's Name Robert Hardina Phone715491-5039 POWTS Regulator's Name St.croix Co wi Phonef 7153864680 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 118 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1250 gal Maximum TSS 150 mg/L Sal Absorption Component Size 1000.0 111:2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Service Frequency Inspect and/or service once every 3 years Inspect and clean at least once every 3 years Test once every 3 years Should test monthly Laterals should be flushed and pressure tested every 1.5 years Inspect for ponding and seepage once every 3 years Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30-1, have a watertight cap, and are secured in as shown in the at -grade component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The at -grade structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. 6. Areas within 15 feet of the downslope toe will be protected from compaction 7. All other construction details are as per the at -grade component manual SBD-10570-P (R. 6/99). Lateral Turn -up Detail Finished •.. Grade 6-8" Diameter Lawn Sprinkler Valve Box Distribution 91.90 ft No Project. MYER Transaction Number: Threaded Cleanout Plug or Ball Valve �eSgreee Bends Same Diameter as Lateral Page 5 of 10 At -grade System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals (SBD-10570-P (R. 06199) and SSWMP Pub. 9.6 (Ot181)] and local or stale rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risen, access risers and covers should be inspected for watertightness 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 lockup 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, Stats. 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 fitter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filler when removed from its enclosure. If the fitter is equipped with an alarm. the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic lank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1 /3 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 of when the next 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, R such products are used they shall be approved for septic lank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent fitter is installed within the lank R shall be inspected and serviced as necessary. At -grade and Pressure Distribution System No trees or shrubs should be planted on the at -grade. Plantings may be made around the at -grade's perimeter, and the at -grade 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 at -grade is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October -February) dictate that the at - grade be heavily mulched as protection from freezing. Influent quality into the at -grade system may not exosed 220 mg1L BOD5 150 mi TSS, and 30 mg1L FOG for septic lank effluent or 30 mi BODS 30 mi TSS, 10 ni FOG, and 104 cfu1100 mL for highly treated effluent. Influent flow 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 18 months. When a pressure lost is performed R should be compared to the initial lest when the system was installed to determine R 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 polling. Podding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring Continency Plan If the septic tank or any of its components become 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 at -grade component fails to accept wastewater or begins to discharge wastewater to the ground surface. it will be repaired or replaced in its' present location by increasing basal area if too leakage occurs or by renovating the biologically clogged absorption and dispersal media, installing new piping, and replacing other components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider Project: MYER Transaction Number. Page 6 of 10 PUMP PERFORMANCE CURVE 15IM521153 2oP'o-cl CHECK BOX AS APPIICJ&E. ❑ SOIL EVALUATION SITE MAP PROJECT NAME: HEINBUCHIMYER 4QiN/A114 NI CHECK BOX AS APPLIC.Q LE. Sca1o:1" = 4U' N SYSTEM PAGE 2 OF 0 40 60 00 PLOT PLAN (10 n 9 d) 10+ DESIGN FI(NY 6W GPD Attach design flow colcuWws for aonrnwciel plane. PROJECT ADDRESS. 157TH ST _ Poe Material IASTM Standard (Tablos 384.30.4 A 384.31MI - N Sa ury Sewer: N ) S103 It BM Jle I�r BM Elevatbn. OO F T Fo Main 7 I -o ;D S Demodo, TOP OF FENCE POST N. P/L WA I%) won Symw is �caae) O a .ry mom lKAPORTANTmimapproge.OF Show glwnd eleva Wlals al sble inlwva. S Fly `�1 B = IISIPIysa cC AS CAM! 1111= ar6a^J6, ARLA to -o W je-a ti PA !U � � r-1 Installation 20140048A Lo X' •J w�ct..�' , Installation and Maintenance Instructions Step 1 Dry /It the flltercase onto the outletpipe 6 rg to the droirr field. Ensure h b a4, WCd dtrectty access opemtng. (If Outlet POO Is eel alrencly In o fh baton, addklonal pipe may need to be added) under the Step 2 If UMft the addttioruji single sklo support and the two bottom slrpperty rs stiU cry ftt to the outlet ON, measura zod cut ] asd)echde 4n whnc the case hubs that ore Ptc•mokkx) Into tha case m Uee sldu w.fi end ii1N f)►()o t0 Nee t needed to extend from the. hubs that am pre•mokfed onto the Ce5& los►de (lour of L7rdc, sulvevt yypld pfyt 6,� U1c Stop B Solvent weld the case to the outlet pipe, hiswt the rater Qvtrldge Into dto case presshg down On the carvidoA a" It looks Into plain et the bottom of case. Sttp 4 K utrhdng a vertkal rCrd stvltch: (n� swi! i into true h Ole plc-mofdLdWD the top of the I&W. (�mss strlll�n ,inwn rmtlF k trxi Inter ptaca Iteokttenenco 1) kenrove the access lid of the tanl,. Nato: To dtsvre undes►raMe solids do not oxlt (ho Link and unto the t1rN1 field, the tank should be pumpod out ueNl the kvd of effluent Is below the outlet level of the tank, 2) To remove tho 1Hter cartridge from tho filter case, puff up ffitttly on the handle J1 of the cxtrk)gO dislodging it from the awe. elf tttY12►ng a verUcal read svAld#. ren)oyal of Votdt b opHortal) (Islas, nil orillwil y j arl:l'1, :111::V, lino Ilift nnfw ca. (jr:d4.; yutnjl7H Nk vwbl6 S2ltial;l: tiN1 slat h ft4l10Yt tl, 41 vtaou the filter mru ldgo bed► IMu the fyfg ysa pr� down 00 We cartridge u 11tU it lofts hht p8soe 5) Place the Access Rd back assty the tank ermilrog It is searrA FED g 18Ji� urotlmcrtswtw,trcu.otuueolt,,;o,�y; + I Y i4AC• IBler Ill' 1rJffdlf9 ltrr low VAbl' ktc n(lnaDxfICIN y a ijUt r !t}•,J UAW the o"ahNtwfdaticrown the >wC��°r„rA++onhlt,�,r a.u,1 „x„ tnsrr�ttsp«tnalr vordsma&d rawka.LVel'C'" ow goo +raWlwollacmmtautthe drrIllbwluAntr.in ornwhrtenanapnreftpp�tmi ftl eMO ar�lru>INtt+ras br rnvacd unJcr lhk wxr�MP. InymoDcr crc a,mlhMt m reslfttrt k"pliaMlt ad araftwoff"I InrhkaN lorcc0000seglan,~itl Hu fetlrArfAMrasaultesaorestx11sa1YQrfahlOa Lall 0Yi1dlare kWAbdua elker Coll" " getl(r.Umcfl( *S- Mi 14twerS92•729.2281 Waconsin Department of Safety and Professional Services Division of Industry Services SOIL EVALUATION REPORT In accordance with SPS 385, Wle. Adm. Code County ST CROIX Attach complete site plan on paper not less than B 12 z 11 irichsa in size. Plan must Include. but not srrided to. vertical and horizontal reference point (BM), diredion and percent slope. Parcel I.D. scab of dimensions, north arrow, and location and distance to nearest road. 0f 8 1066 70 000 Please print all Information. Revxlwed by Pegs — of — Pmpe fy Owner Property Locatim ❑ HEINSUCH TRUST/JENNA MYER Govt, Lot SW Y. NE Y. S 30 T 24 N R 17 E (or) W Property Owners Mailing Address Lot a Block 11 Subd. Nance or CSMa 1624 CTY RD Z City State Zip Code Phone Number ❑ City ❑ village ® Town Nearest Road HAMMOND VVI 54015 It I HAMMOND 157 TH ST © New Construction Use: ❑ Residenaal / Number of bedrooms A Code derived design flow rate %& GPD ❑ Replacement ❑ Public or commercial — Describe: Parent material OUTWASH Flood Plan elevation if applicable &A R General comments and recommendations: AT GRADE F Boring ❑ Boring El Pt Ground surface elev. JU fL Depth to Nr *ft factor ¢Q in. Horizon Depth In. Dominant Color Murrell Redox Description Ou. Az. Cont Color Texture Structure Gr. Sr. Sh. Consistence Boundary Roots GPOIF12 'E11/1 'E1I112 1 0.18 10YR3f3 -0- SIL 2MSBK MFR GW 2M .6 .6 2 16-36 10YR4/4 -0- SIL 2MSBK MFR CW 1M .5 1.0 3 315-W 7.5YR4/6 -0- LS OSG ML GW WA .7 1.6 4 W75 10YR8/4 F2DSYR4/4 VFS OSG ML CW WA .7 1.6 E Boring* ❑ Boring ® PA Ground surface elev. JIU it Depth to Whiting factor 4M in. Sod ApQYeadon Rate Horizon Depth In. Dominant Color Munsell Redox Description Ou. Az. Cool. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPWe •EfMt'I •EffJ2 1 0.18 10YR314 •0• SIL 2MSBK MFR GW 2M A .6 2 18-34 10YR4/4 -0- SIL 2MSBK MFR CW 1M 5 1.0 3 3448 10YR8/4 -0- LS OSG ML WA WA 7 1.6 4 48-60 10YR8/4 F2D5YR4/4 VFS OSG ML WA WA 7 1.0 Finarnr ■i a wren > - < 7� rrv.rr arvr Tcc � in < i Rn wren > " < 77n rw.n eM TRQ � 'fin < 1 Rn wren CST Name (Please Print) / (f CST Number ROBERT HARDINA -tom X svz 824825 Address Date EvaluVison Conducted Telephone Number 477170111 AVE TURTLE LAKE VA 7-8-22 715-491-5039 Stll)-63400 (K0411 D) 3] Bonng 0 ❑ Boring ® Pit Ground surface elev. 91.4 R. Depth to Wilting (actor 40 M. Rnil ArWNtation Rate Horizon Depth In. Dominant Color Munselt Redox Description Ou. Az. Cord Color Texture Structure Gr. Sz, Sh. Consistence Boundary Roots GPD/Ft' 'E1fi11 'EBa2 1 0.18 t0YR3/4 -0- SIL 2MSBK MFR GW 2M .8 .8 2 18,30 f0YR414 -0- SIL 2MSSK MFR CW /M 8 1.0 3 30.46 10YR8/4 -0- LS OSG MIL WA WA .7 1.8 4 48.85 1 10YR814 LF2D5YR414 VFS OSG MIL WA WA .7 1.5 ❑ Boring ® Pit Ground surface elev. _ It. Depth to WnktM factor _ in. .Rna AmFilinn Rate ❑ Boring 0 ❑ Boring ❑ Pit Ground surface esev. _ ft. Depth to Wilting factor _ in. Anil Anniirtarinn Rate E1flueM 01 a BOD. > 30 s 220 rtg& and TSS > 30 5 150 mWL ' Effluent •2 a 800. > 30 s 220 mg& and TSS > 30 S 150 mg/L CHICK BOX AS APPLCABLE, CHOCK BOX AS AMM CABLE, SOIL EVALUATION Scale: ,0 4a SYSTEM PAGE 2 OF ° SITE MAP 60 00 PLOT PLAN PROJECT NAME: 10 DEMNFLOW 600 GPD j1 7wl HEINBUCH/MYER Attach design flow calculations for commercial pans. PROJECT ADDRESS 157TH ST Pk)L WMdal i ASTM Standard (Tables 384.30.3 d 384.9M) SM Symbol. i/ BM Ele atbn 100 F T Fay Mr�n ) BM Descripflan. TOP OF FENCE POST N. P/L slope c dss+txt d 7ei1M Area Wall 5>mdeol t+apph� ble) kfi�� n by m.n..y,e. e. w IMPORTAbNT: Show ground olovation conurs at suilao i lorrab. d on Fe..vPw" ww Q�`p�� �h S-'s; WARNING DEATH,%t4Y OCCUR w TANK IS ENTERED WITHOUT PROPER EOUIPMENT NOTE: SEE INNER WALL PHOTO ON THE 'EXCLUSIVELY AT SKAWS- PAGE. 300 J.00 17.00 27.00 2T 00 24.00 24.00 24.00 Soo I 16.00 1.00, F 2.00 2.00 9. COT OUTLC7. 111111 �— INL"rL--,AFFLE 4—INCH /8 00 PRESS 4 INCH PRESS I SEAL SEAL GASKET GASKET INSTALLED WHEN POURED FILTER 4700 3 00 J— SECTION VIEW OF TANK AND COVER _ - �_ 3 cc, Model Number 1200 / 750 ADDroved for. SEPTIC/SEPTIC.SEPTIC/PUMP.SEPTIC/SIPHON OR HOLDING 100 Ibs. Liq. Depth Gal. / In. Nom. Cap. 47' 1 16.05 754.35 gal. OUTLET END VIEW OF TANK SKAW PRE -CAST 26255 105th Street, New Auburn Wisconsin 54757 www.skewprecast.com Phone: (715) 967-2277 Toll Free: 1-800-924-8625 Fax: (715) 967-2707 File #: iT. CRO LINTY SANITARY SYSTEM Office Use Only OWNERSHIP/ADDRESS FORM Creoted212021 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 Owner/Buyer .t E ti tJ A M V Mailing Address lam &-ry c� Z. I City/State/Zip AMMDnyb Lc> i Phone Number (required) -1 1s- - lay II • 1 JL y 9S Email Address (requi Parcel Identification Number 0l f - ib" - 7'D-0CX15-') (found on the property tax bill) NEW SYSTEM: LEGAL DESCRIPTION. / Property Location�1/4uJ '/a , t4 ', Sec. , T N R�W, Town of d)911d by !J Subdivision Plat: Lot # Certified Syrvey�Ma r�st�e.eDeed # # �a�nG�� , Volume (before 2006)Volume Page # Page # ) ei���i 30 Number of bedrooms J/ Spec house O yes-t no Lot lines identifiable 0 yes 0 no KIJRI►Fj�ue 17M New Property Address (Verification of new address required L 27, 26) 2 (Staff Initials) (Date) Community Development Department for new construction.) This form must be submitted with all Private Onsite Water Treatment System (POWTS) applications. New System: Include with this form a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. Community Development Department - Land Use Division 715-386-4680 St. Croix County Government Center 715-245-4250 Fax cddC5)sccwi.gov 1101 Carmichael Road, Hudson, WI 54016 wwwsccwi.00v I (715)2I8-3010 I l i I I I Y imp _ uLmY�Y� I � — 4 NOTICE[ �— � •u.m ro.x�rv.0 orr.m 41 1 4 _ 1T - i 1AUUN LEVEL • • •- • •- • •.• Jenna �------��_....• �— Myer Pro" NIiew --- A ------ --� MAIN LEVEL �• r �� A3 30 OEfION LLC n . 15J218.3010 IL NOTICES i ��� .OKT Yt OYfM4� ms xo uraruaiuoeera. [+ian.eo• orrou.ew �. ---- --, , 714 M FT. -- - UPPER LEVEL Jenne Myer _.----------- ----------- ---.._..— — -- ------PMOO N. UPPER LEVEL A4 ..I. CERTIFIED SURVEY MAP PART OF THE SOUTHWEST QUARTER OF THE NORTHEAST QUARTER OF SECTION 30, TOWNSHIP 29 NORTH, RANGE 17 WEST, TOWN OF HAMMOND, ST. CROIX COUNTY, WISCONSIN PREPARED FOR. Heinbuch Trust 1624 County Road 'Z' NortheastCo Northeast Corner Hammond City, WI 54015 Section 17 Survey Mark Nail EMERALD ACRESn) - et- 1ST ADDITION o = 1 r, l 3 I I LOi 73 I LOT 72 LOT 71 I r I I LOT 70 h —lo (NU-26.14'E) i I I S89'26.13"W I i N89'26.13"E 1 442.30' ----- 66' 1798.05• 1732.05' w 14 LOT 1 UNPLATTED rn o/ o ,,'A8P C I g LANDS p ft 5� 133,000 sq.. (n �i 3.053 ,' �n i528 I= 9"�`TTE2 1 8 acres i V) ,�,n uwos East V4 Comer ' . Section 30-29-17 Survey Mark Nail S89'26'13"W 444.36' 66' wide access easement to serve Lot 1 and unplatted uNaLArrED lands, recorded in LANDS Document* Each parcel on this map is subject to State and County laws, rules and regulations(.e. wetlands, minimum lot size, access to parcels, density limitations, etc.). Before purchasing or \g0000 : •,'�' developing any parcel, contact the Community Development roe« * ? Ot Department and Town Board for advice. 1a irllllomORi SCALE: 1- = 150' 0' 150, 300' North is referenced to the East Line of the Northeast Quarter of Section 30-29-17, which bears N00'14'22•W (St. Croix County Grid System) LEGEND 0.. Found Government Comer (Government Comer verified) U....., Set 3/4' x 18' Iron Rebar weighing 1.502 Ibs./foot .__ Found 3/4' Iron Rebar •... Found 2.38• o.d Iron Pipe (o.Do')__ Recorded Data T` DRAFTE D 1ID BY: Joel A Brandt JB Surveying LLC Completion Date July 2022 Sheet 1 of 2 Sheets CERTIFIED SURVEY MAP PART OF THE SOUTHWEST QUARTER OF THE NORTHEAST QUARTER OF SECTION 30, TOWNSHIP 29 NORTH, RANGE 17 WEST, TOWN OF HAMMOND, ST. CROIX COUNTY, WISCONSIN DESCRIPTION A parcel of land located in part of the Southwest quarter of the Northeast quarter of Section 30, Township 29 North, Range 17 West, Town of Hammond, St. Croix County, Wisconsin; more particularly described as follows: Commencing at the East quarter comer of said Section 30, thence NW414220W, along the east line of the Northeast quarter of said section, a distance of 1323.97 feet thence S89°26'13'W, a distance of 1798.05 feet to the pant of beginning; thence S00'31'07'E, a distance of 300.00 feet thence S89'26'13'W, a distance of 444.36 feet thence N00.07'34'W, a distance of 300.01 feet to the south line of the Plat of Emerald Acres list Addition; thence N8902613'E, along said south line, a distance of 442.30 feet to the point of beginning. The described parcel contains 133,000 square feet (3.053 acres), and is subject to easements of record and as shown. SURVEYOR'S CERTIFICATE I, Joel A. Brandt Professional Land Surveyor, hereby certify That I have Surveyed, Divided, and Mapped the above described parcel of land in full compliance with the provisions of Chapter 236.34 of the Wisconsin State Statutes, and Chapter A-E 7 of the Wisconsin Administrative Code 'Minimum Standards for Property Surveys' in surveying, dividing and mapping the same. That such map is a correct representation of the exterior boundaries of the land surveyed and the subdivision thereof made, and was done by the direction of Scott Heinbuch. a Joel A. Brandt, P.L.S. S-2603 JB SURVEYING LLC STATE OF WISCONSIN)COUNTY OF ST. CROIX) SS I, . the duly elected, qualified and acting treasurer of the county of St Croix, do hereby certify that the records in my office show no unredeemed tax sales and no unpaid taxes or special assessments as of affecting the lands of this Certified Survey Map. Date Treasurer Sheet 2 of 2 Sheets I�d� J �'- Wisconsin �rvices Page of Division of IndOSOIL Attach complete site not limited to: ve or dimensions, SEPrdanoe Ian on pap�c I and �IbntBM), rt� unce ION REPORT with SIPS 385. Wis. Adm. Code p*11 inches in size. Plan must iny(u�e,but directioggn �t1 ��y�. :aandto nearest r�e7' County ST CROIX Parcel I.Dscale 018-1066 0-000 Please print all information. iill�j by '!%Wd Personal information you provide may be used for secondspurposes Priv Law. s 15.04 1 m . Property Owner Property Location ❑ HEINBUCH TRUST/JENNA MYER Govt, Lot SW Yd NE % S 30 T 29 N R 17 E (or) W Property Owners Mailing Address Lot 01 Block N Subd. Name or CSMN %/ 1624 CTY RD Z City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road HAMMOND WI 54015 HAMMOND 157 TH ST ® New Construction Use: ❑ Residential / Numberof bedrooms 4 Code derived design flow rate M GPD ❑ Replacement ublic or�°m�m� ercial — Describe: Parent material OUTWASH �1��iAri1 ,,NlES 1 Flood Plan elevation if applicable / R. 7t1Z� General comments and recommendations: AT GRADE Oy li 1❑ Boring A ❑ Boring ® Pit Ground surface elev 88 0 ft. Depth to limning factor 60 in. c..;i e. a n oef. Horizon Depth In. Dominant Color Munsell Radox Description Cu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/FF *Eff#1 •Efflf2 1 0-18 10YR3/3 -0- SIL 2MSBK MFR GW 2M .6 .8 2 18-36 10YR4/4 -0- SIL 2MSBK MFR CW I .6 1.0 3 36-60 7.5YR4/6 -0- LS OSG ML GW N/A .7 1.6 4 80-75 10YR814 F2D5YR4/4 VFS OSG ML CW WA .7 1.6 2 ] Boring #r ❑ Boring Spit Ground surface elev. 88.0 ft. Depth to limiting factor 48 in. I c. 4 n.,..i- w:.... asr. I Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft° •Etf81 •Efflr2 1 0-18 10YR3/4 .0' SIL 2MSBK MFR GW 2M .6 .8 2 18-34 10YR4/4 -0- SIL 2MSBK MFR CW I .6 1.0 3 3"8 10YR8/4 -0- LS OSG ML NIA NIA .7 1.6 4 48.80 10YR8/4 F2D5YR4/4 VFS OSG ML WA NIA .7 1.6 CST Name (Please Print) r QQ�� CST Number ROBERT HARDINA 824825 Address Date Evaluation Conducted Telephone Number 477 1701' AVE TURTLE LAKE WI 748-22 715491-5039 , I �? p 6 Bonng # 3❑ ❑ Boring ® Pit Ground surface elev 91 4 ft Depth to limiting fal;6in. Soil ADDlication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 •E"ll 'Eff#2 1 0-18 10YR3/4 -0- SIL 2MSBK MFR GW 2M .6 .8 2 18-30 10YR4/4 -0- SIL 2MS8K MFR CW 1M 6 1.0 3 30-46 10YR8/4 -0- LS OSG ML WA WA .7 1.6 4 46-65 10YR8/4 F2135YR4/4 VFS OSG ML WA WA .7 1.6 ❑ Boring # ❑ Boring ® Pit Ground surface elev. _ ft. Depth to limiting factor _ in. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 •Eff#1 -Etl#2 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. _ ft. Depth to limiting factor in. Soil Application Rate 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 Effluent #1 = BOD. > 30 5 220 mg/L and TSS > 30:; 150 mg/L ' Effluent #2 = BOD. > 30 s 220 mg/L and TSS > 30 5 150 mg/L tv i IL UT 75 LOT 74 LOT 73 e,�(� 211.70 36 TA�`i 172.94 ? 21 1_ 9' J y t ??44.01,. J a r "OP 1,7 proposed 3 acres , ! •10 k i I sa'I--rV AQFa 4 n f 30 . y �E AV . � •i f r 6 ✓ . � Yi � 4!a'e :'�itT7ti.�s. 441/441 easement �7 1 / . r Im HEINBUCH Proposed Lot Legend Sits Address Tax Parcels Towns Cities Vllaoes Sections Cl St Croix Co Other Counties Lakes end Rivers Rivers and Streams Inlerststes US Highways State Highways County Highways Local Roads Rwtic Roads Ramps Road Right of Way .wmn e..m w.w eo.a ero.e M.a v.uea ace Relroade Conveyance Division Nl 4 1 0 100 200 300ft DISCLAIMER. This map is not guawleed to be accurate. coned, current, or complete a nd conclusions drawn are Oro responsbilty, of the user. M2a 1m. STA*: 779E r-1011 OWNER .4 40 No. 645429 N �TA Y PERMIT ST L VIOUS NO. MWQ 'A Lic.# 82y&50`a LOCK Lim) 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. (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. (t) 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. ` 7 t AU RI ISSUING OFFICER - DATE 22, PERMIT EXPIRES :UNLESS RENEWED BEFORE THAT DATE POST IN PLAIN VIEW VISIBLE FROM THE ROAD FRONTING THE LOT DURING CONSTRUCTION SBD-06499 (RI1/20)