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HomeMy WebLinkAbout040-1211-20-000 (3)Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s 15.04 (1)(m)]. 3ermit Holder's Name. City Village Township Richard Brion--Brion 1 LLC TOWN OF TROY ;ST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION TYPE `M/ _-10U� LJ Cie CAPACITY Septic w(ESE9— a `�Dv Dosing Hol TANK SETBACK INFORMATION 0-5 PUMP/SIPHON INFORMATION Qllll A 13QnDDTInAI CVCTGM tLtVA I IUIV L1A I A County: St. Croix Sanitary Permit No: 645481 State Plan ID No. Parcel Tax No: 040-1211-20-000 Section/Town/Range/Map No: 07.28.19.1001 STATION BS HI FS ELEV. Benchmark Z� 01�1. t. BM VtV 3• l Pe g. sewer n. 0 On S Ht Inlet ,� �O �� • � ! St/Ht Outlet Dt Inlet Dt Bottom Header/Man. / t /� l Dist. Pipe Bot. System Final Grade Cover IQ I !YI L!V ! 14A.AA hen 1, —1 BED/TRENCH Width T—T—) ng No. Of Tregches PITDIMENSIONS No. OfPits Inside Dia. Liquid DepthDIMENSIONS �� SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Ma act ✓ INFORMATION CHAMBER OR Tvae of (0i\Vefn40V1Q, �I IT I ? �L`L' Mod Nu er: UNIT n1QTDI0I ITInAI CVCTGM ( /J Distribution Pipe(s) x Hole S ze ole Spacing Vent to Air Intake rHeadt,er/Manifold 1 ngh Dia Length Dia Spacing SOIL COVER x Pressure System!- q xx Mound Or At -Grade Systems only , Depth Over I Depth Over xx Depth jxx Seeded/Sodded�N. xx Mulched Bed/Trench Center Bed/Trench Edges T � Yes i Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 12- /� y��J Inspection #2: Location: 345 W GROVE RD �Ta.r, k . / 1.) Alt BM Description 2.) Bldg sewer length amount of cover = dt IPi{ w `t ` � �C �7 4jp f�� Ch 3)4.0' Plan revision Required? Yes No Use other side for additional information. Date Insepctor's Signature Cert. No. SBD-6710 (R.3/97) Industry Services Division} County ti �P r41 NOV 17 2022 1400 E Washington P.O, Box 7162 Ave 62 Sanitary Permit Number (to be titled in by Co.) g County Madison, Wi 53707-7162 / �5���( ;M Cornmun t unit April#1Cati&i State Transaction Number In ac6ordance with SPS H3.21(2), Wis. Adm. Code, submission of this form to the app to nit is required prior to obtaining a sanitary permit. Note: Application forms for S are submitted to the Department of Safety and Professional Servies. Personal informaddii you provide maybe used for secondary Project Address (if different than mailing address) Purposes in accordance with the Privacy Law, a. 15.04 1 m Stats, �. I. Application information - Please Print All Information perry Owner's Name ` - 'by- -. Parcel # r r� vv\ pv--, LL C, DL<n - Property Owner's Mailing Address J Property Location Govt. Lot �E �jw %,, Section -- city, State Zip Code Phone Number L� CACUvh,% W l SL4145 (oo-15D. b,414 iroleon T $_ N; R E 0Q) 11. Type of Building (check all that apply) _ ❑ cc Lot # Subdivision Name 1 or 2 Family Dwelling - Number of Bedrooms L7 rhn6liGComtnerciaf —Describe Use G-Va Q '7� ES Block # ❑ City of ❑ State Owned — Describe Use ❑ Village of CSM Number LyTown of —1—y C 1I1. Type of Permit: (Check only one box on line A. Complete line B if applicable) A ❑ New Sys 1-1 Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. 11 Permit Renawal Before Patpiration 12 Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New ID "/�e'ious Permit Number and Date Issued Owner' T S � I S ?12-71? 2_ IV. TXpe of POWTS S stem/Cont onent!Device: Check all that apply) Non -Pressurized In -Ground ❑ Pressurized in -Ground ❑ At -Grade ❑ Mound > 24 in, of suitable soil ❑' Mound < 24 in. of suitable soil - ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ nt Device (explain) V. Dis raVrreatment Area Information: IF Design Flaw (grid) Design Soil Application Ra f) Disperse! Area R` wired (sf) Di ersal Area Pro sed isf) System Elevation Vi. Tank Info. Capacity in Total # of Manufactur Gallons Gallons units Ro� � New Tanks Existing Tanks v "; ` ��' 10 ' �) V ji V in rn ii t7 0. Septic or Holding Tank Dosing Chamber V1I. ResponsIbIft Statement- i, the undersigned, =qve responalbillity for Installation of the P(51vi''PS shown on the attached plans. Plumber's Name (Print) Plu a Business Phone Number Lt U IS. 1 SZ Plumber's Address (Street, City, State, Zip Code) N 102f1$ 5 -k�-Af LO S Wb VIII. Coun ide artment Use Only Approved ❑ Di" Permit Fee $ Dat Issued issuin Agent Signature ❑ ivon for Denial P.r�Zo L IX. Conditions Approv 1/Reasons for Disapproval S 5 at,n��Qeitk� raj r SYS OWNER: Septic tank, effluent filter and dispersal cell must be serviced / maintained as per Le, rvloV�q ��i �Q U ru r a eysteat an t to the County only on paper not leq thm 8 r/2 tt r 1 Inches In she 2. All setback requirements must be maintained 5� P QA.� vv<Lu pp�tV-i4 s�e-K„ W1� as per applicable code / ordinances. SBD-6398 (R0313) l41 �o�►n1u 9n '� P� r. 1 o/ 1 °1 w/ Best GF-10 1 17 y r'2018" trench system (abanalon per SPS 3183.33) Designer: Ryon Bechel Certified Soil Tester: 1330832 Designer of Eigineering Systems: D 2263-7 �SCALE I 15- I 0' 30' Current grade N 102.50 New Wieser 1.585/950 © 2022 Advanced Environmental LLC. All rights reserved. 50' well setback `Alt property lines not SYSTEiN933OM P PertY o . Benchmark drawn are >100ft from N Septic Tank: system Soil Boring -Wieser 1585/950 gallon it -Bring risers 4" above finial grade -Best GF-10 filter vil alamn V / / -Existing systems to be abandonedptr SPS 383.33 y/ 01 / 4SRAi" , M. Current grade 105.75 Proposed �\`(]. Ft3 —FO— — Fp— -- 20' x 30' _rQ� —FO family room Buried addition 1� utilities rr � �j Existing tank grade w 103.10 Filter outlet elev. = 99.05 320gal tank cover = 104.24 BM2 = 102.38 Top of bed vent (15" above grade) (3) 74' Infiltrator Quik4+ STD trenches (18 chambers/trench) o n Zhed BM �. 100.00 o`o . \ Tree Top nai in 4" tree r '�� �OJ % line (47" above grade) 9$® `00 "¢ !rtified Statement: This system has been designed and evaluated in accordance with State and Local codes. The soil treatment area must remain protected from disturbance and/or compaction before and after construction. I i I I I I 1 PVC "1987" bed system ±35' 2" sch 40 PVC Pump Tank: -950 gallons -Pump needs a 25gpm QSMH -Move tank as necessary; mast-iall Pa -Recalculate pump Friction Lossw4 TQltafter ihs!Ai -Event counter, time meter, re ua4 r rtr mmer.d Soil Treatment Area. -Inyraund"canven`�rnal'trara�su�1h1t7gpol.Y`!v� r - 3) 74' Infiltrator Quik-4+S B trem:s T1: 98.00 infiltrative sudam, If-TWO=w T2: 91.50 infiltrative surface:; Wee o.mby T3; 97.00 infiltrative sudace: 9918aardoa "Installer may alter individual trench lenyhs and elevations as necessary so long as a minimum of 222 lineal feet of trench is installed and systen depth is at Is 12' and does not exceed 68". Maintain allbuilding, well, and property line setbacks." -Depth to restriction =>104*4s*evaaonexler:tn. Distribution: -Dosed gravity sarial distribull "Feed top trench first" 4' sdt 40 PVC or SDR-35I*w'v "Installer may altematively a�t?apt r,>es,dkt3b r4m. box, or chambers as°drophazes"inlieu 0dls itwtiom header" LOCATION MP (mat tr„ scrim UV GRo rSliTE -349 PREPAI .Ell) F05L Rick & p;ady ld 345 W Grove RD Hudson, WI 54016 PID: 040-1211-20-000 2315Acres Legal: Lot 02 West Grove Esthetes SE 1/4 SW 1/4 S07 T28N R19W Town of 'fray ADVANCF4-11!' Property Owner/Client: Rick Brion (Brion 1 LLC) PIN: 040-1211-20-000 Site Address: 345 W Grove RD, Hudson, Wl 54016 FLOW INDEX Pg. 2 SITE PLAN Pg. 3 SOIL DISPERSAL COMPONENT Pg. 4 TANK SPECIFICATIONS Pg. 5 DOSING AND PUMP SELECTION Pg, 6 FILTER MAINTENANCE Pg, T MANAGEMENT PLAN Pg. 8 MANAGEMENT PLAN Pg 9 SOIL TEST DESIGN PARAMETERS Wastewater Type: Residential Estimated Wastewater Flow: 400 gpd Design Flow: 750 gpd SOIL 8r SITE EVALUATION.' County: ST Croix Pg. 10 SOIL TEST Pg.11 SOIL TEST # Bedrooms (residential) : 4 # Occupants (per capita flow) : _ Public Facility Flow: NA POWTS Type: Non -pressurized Conventional Limiting Condition Depth: 104" Treatment Level: Effluent 1 Maximum System Depth: 68.00' Code Required Separation: 36" Contour Elevation: 100.00' Soil Texture: LS Limiting Condition Elev: 91.33' In -situ Soil Application Rate: 0.7 gpd/ft2 Land Slope: 10% Dispersal Cell Loading Rate: NA POINTS DESIGNED PURSUANT TO: In -Ground Soil Absorption Component Manual (Version 2.1) Comments. ----------------------------------------------------------------------------------------------------------------------� ;Replacement system for existing 4 bedroom home. Proposed 20' x 30' family room addition to cover existing tanks and disturb existing trenches. System being up sized to 5 bedroom capacity to ,allow for additional bedroom. (2) 90' Infiltrator Quik4+ STD trenches with doses gravity parallel idistribution. **Installer may alter individual trench lengths and elevations as necessary so long as a minimum of 180 lineal feet of trench is installed and system depth is at least 24" and does not��.�`��SC 0 Al exceed 68". Maintain all building, well, and property line setbacks.** � � RYA N G. � ---------------------------------------- _ ---------------------------------------------------------------------------- BECHEL D-2263-7 - 2vRED WING SIGNED: �1/10J2422 MN ADVANCED EN 1RONMENTAL LLC .1'0 cS i C ��' 779 Spring Creek PO S, Red Wing, MN 65066 (651) 321-0014 �a1r1t111111W>�� Designer: Ryon Bechel © 2022 Advanced Certified Soil Tester: 1330832 Environmental LLC. Designer of Engineering Systems: D 2263-7 All rights reserved. �SCALE I 15' I 0' 30' Current grade N 102.50 New Wieser 1.585/950 F ! 1 rrl°I w/ BE:st G F-10 rrir l f rrr 11201811 trench system r "� � rrir (abandon per r SPS 383.33) r r°r ° ° jj a ADVANCED 50' well setback `Qs s© BM ]. 100.00 Topnai in 4" tree 1 % 1 Proposed�� \ �'20' x 30'` family room addition r I ±30' 4" sch 40 PVC "Alt property lines not o Benchmark SYSTRIIr MOM drawn are >100ft from Soil Boring tj Septic Tank: system -Wieser 15851950 gallon 2-m—warl rrnt it It S Current grade N 105.75 -- r 0 -- ; 0 __ _-_ Buried utilities -Bring risers 4 above ring made -Best GF-10 filter wl alarm -Existing systems to be abandoned pfr SPS 383.33 Pump Tank: -950 gallons -Pump needs - 25gpm @ 51D4 -Move tank as necessary; non ail seta lis -Recalculate pump Frictiur Love wr tl TTN Ow mrstak -Event counter, time meter, & waw iwv recr-imenaldi Soil Treatment Area: -In-ground"conventpnat'trz.adws vb17%4*fill {3) 74' Inrlbabr 0uik4+57B Mrar Tt: 98.00 infiltrative surface t00.W w*w T2: 9750 infiltrative surfa 99,$0,cxs'obs T3: 97,00 initrative surface, SOLD catil "Installer may alter individua tench len jhs and elevations as necessary se long as a mirmum of 222 meal feet of trench is installed and systen depth is at le 12" arld does not exceed 68 . Maintain alibuilding, well, and property line setbacks -Depth to restriction = >1W exW4 Existing tank grade w 103,10 Disiributlnno fiosad gravity serf disc n eon "1987 bed Filter outlet elev. = 99,05 "rved top trench first" 4' at 40 PVC or SDR-35 rude- s stem 320gal tank cover = 104.24 '"Installer may artemativeiy4se t s lAtirtias - Y box, ar chambers as drop bcx 1 auf disiebutiart header' BM2 = 102.38 ±35' 21,� Top of bed vent sch 40 PVC (15" above grade) (3) 74' Infiltrator Quik4+ STD trenches (18 chambers/trench) °° Tree ®p line � O LOCATION MAP (,rot to scwt� W GROV ur RD C1 SITE 349 ShPREPARED FOR �Rick & Patty 13rixan a (,4 Stta Am=- (47 above grade) 00 WOOE)(: �(:;. ertified Statement: This system has been designed and evaluated in accordance with State and focal codes. The soil treatment area must remain protected from disturbance and/or compaction before and after construction. h 1YeDDA.nV .0 1—c — — CV 1 .11 I r 11. Ie — C O. _, Llt\e[Y♦tlTel V Q...._ --. j _ wr.o._ .w.J..MI....l ._._ .. , 345 W Grove RD Hudson, WI 54016 PID: 040-1211-20-000 2.36 Acre Legal: Lot 02 West Grove Estates SE 1/4 SW 3/4 S07 T28N R19W Town of Troy Scale: 1" = 30' tom: lip/,22 Site Address: 345 W Grove RD, Hudson, WI 54016 FLOW INDEX Pg 2 SITE PLAN Pg. 3 SOIL DISPERSAL COMPONENT Pg. 4 TANK SPECIFICATIONS Pg. 5 DOSING AND PUMP SELECTION Pg. 6 FILTER MAINTENANCE Pg. 7 MANAGEMENT PLAN Pg. 8 MANAGEMENT PLAN Pg. 9 SOIL TEST Wastewater Type: Residential Estimated Wastewater Flow: 400 god SOIL & SITE EVAL UA TION.' Design Flow: 750 god POWTS Type: Non -pressurized Conventional Limiting Condition Depth: 104" Maximum System Depth: 68.00' Contour Elevation: 100.00' Limiting Condition Eiev: 91.33' Land Slope: 10% PIN: 040-1211-20-000 County: ST Croix Pg. 10 SOIL TEST Pg. 11 SOIL TEST # Bedrooms (residential) : 4 # Occupants (per capita flow) : -- Public Facility Flow: NA Treatment Level: Effluent 1 Code Required Separation: 36" Soil Texture: LS In -situ Soil Application Rate: 0.7 gpd/ft2 Dispersal Cell Loading Rate: NA POWTS DESIGNED PURSUANT TO: In -Ground Soil Absorption Component Manual (Version 2.1) Comments: ----------------------------------------------------------------------------------------------- Replacement system for existing 4 bedroom home. Proposed 20' x 30' family room addition to cover existing tanks and disturb existing trenches. System being up -sized to 5 bedroom capacity to allow for additional bedroom. (2) 90' Infiltrator Quik4+ STD trenches with doses gravity parallel stribution. **Installer may alter trench ths and evations as ary so long aminimum um of 180 lineal feet of trenchits installed n tlald and gsy system depth is at least 24` ar s d does notI �,�`���\��5�' 0 NS�''��•,,�, exceed 68°. Maintain all building, well, and property line setbacks.** 3 RYA N G. --------------------------------------------------------------------------------------------------------------------- ` BECHEL _ G--2263-7 11/10/2022 RED WING SIGNED: MN .: ADVANCED EN IRONMENTAL LLC lGN 779 Spring Creek RD S, Rea' Wing, MN 55066 (651) 327-0074 I IN -GROUND "COA(VENTIONAL " DISPERSAL AREA ____1 Plan View (no scale) Dispersal Area Product: Infiltrator Chambers Dispersal Area Model: Quik4 + STD Product EISA Rating: 20. ft2 Total Number of Components: 54 Distribution Method: Branched Manifold Minimum Required Dispersal Area: _ 1071 ft2 Proposed Dispersal ,4rea (incuding end caps): 1098 ft2 Insaection Pioe Detail Screw -type or slip -top cap w Finished Grade (mulched & seeded) 4" SCH 40 PVC pipe Top of pipe to terminate at _ Topsoil cover or above finished grade (1' minimum) 4i - J' X 6" slots spaced 90' apart Anchoring Device '" Infiltrative (Toilet flange) surface Cross -Section View (no scale) ........... .................................. ........................................................ 100.00' &eSE AIL Minimum System Depth: 12" r 99.70' Maximum System Depth: 68" ,: I ............................................................................................... 9 36" �< � '�, 9.00' - -L--_ NAT)VE 96CKFI AF 1(y (12 min. typical), NATIVE bA'CKl=ILL —'] 02 rnin..typical} x } T d NAIVE` ACKFILI_ 2" (12 -min. typical; 98 ©0' 97.5,0' 114 97.00' TAN( SPEC/FICA TONS • Minimum cover = 6 inches; Maximum cover = 8 feet (unless specified by manufacturer) - All manhole covers shall extend 4 inches above final grade • If the tank is within 2 feet of final grade, insulate the lid to an R-Value of 10 • Minimum 18" of cover required over building sewer; Insulate if greater > 30' long and < 42 "from grade or if < 60" from grade under all high traffic/snow cleared areas (driveways etc.) - If forcemain will have a "J-Hook" assembly, drill a weep hole in the "hook" • Building sewer: No 90s, keep 3 feet between 45s, maintain 1 inch in 8 feet (1%) slope, install cleanouts Watertight control box with inn nA, 9 Aa AAt separate pump and alarm circuits -----Clean Out Quick Disconnect t-- +/- 30' 97.08' 93.00' Effluent Filter a y �J a »_ Tank Manufacturer/Model: Wieser - WLP1585/950 -------------------------------------------------------------------------- Filter Manufacturer/Model: Best - GF-10 -------------------------=------------------------------------------------ Panel Manufacturer/Model: SJE Rhombus - Tank Alert 1 1l fill if 4" CAST —A —SEAL 111l4" CAST--A—SEAL it (, J I FILTER OR I f i f BAFFLE 1f fill Il ,t fill Su. TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 Sleeve forcemain in 4" SCH 40 PVC pipe across tank excavation to prevent pipe settling 1 "-1.5" PVC Float Tree 94.08' (Pump Off) :ep Hole Pump Block T WLP1585/950 TANK SPECIFICATIONS DIMENSIONS: a WALL: 3" � BOTTOM: 3" COVER: 6' MANHOLE; 24" 1.D. PRECAST CONCRETE RISER c Htt iUH is b3-3/4U.U. LENGTH: 183-3/16' O.D. WIDTH: 101-3/16" O.D. BELOW INLET; 43" O.D. LIQUID LEVEL. 38" K WEIGHT: TANK 13,010 LBS _ WEIGHT: COVER 9,3fl0 L13S INLET AND OUTLET: 4" CAST —A• -SEAL BOOT OR EQUAL INLET AND OUTLET BAFFLE AND FILTER:r WISCONSIN, SEE DETAIL jt0 (OTHER STATES SEE CHART) L10UID CAPACITY: 41.67 GAL/IN (SEPTIC) 25.00 Gat./wi (F-i mi,) m $ n w G �i n LOADING DESIGN: 8'-0" UNSATURATED SOIL W TANK CAN BE USED AS:40 SEPTIC/SEPTIC, SEPTIC/PUMP`o OR SEPTIC/SIPHON itv o I LO s Ny I� COVER: MIX DESIGN 48 (NO FIBER) 4" VENT TANK: MIX DESIGN M9 (SMALL FIBER) CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WESER CONCRETE o )UTLET I J � f Q �..�_ D � U DRAWINGS SUBMITTED in FOR APPROVAL in AFFRUV u u,: - SHEET NO. APPROVAL DATE: ,: PRoDucTS l ELDw ay: ",OF .i Panp A DOSE SEITINGScar PUMP SELECTION PUMP PERFORMANCE REQUIREMENTS. Elevation Head: 4.5' 101.00, Distribution Head: 0.00' Equipment Head Loss: 0.01 Forcernain Friction Loss: 0.5 fl. 97.67' ------ - D < TOTAL DYNAM IC, HEAD = 5.0 ft TDH PAINIMUM FLOW RATE = 25.0 gpm DOSE [REQUIREMENTS Minimum Dose: 0.0 gallons 96.421 ----------- 513.3 gals v 20.5" ----------- A (RESERVE) Maximum Dose: 150.0 gallons 94311 ---------------------------- Design Dose: 106.0 gallons - 75.0 gals 311 B (ALARM) Fcrcemain Feet: 35' 94,46 -------------------- 111.7 gals -------- .e 4.5" ----- C - (DOSE) Forcemain 0: 2.011 94.081 - --- Drainback: 5.7 gallons 250.0 gals A-- 10" D (PUMP COVER) TOTAL DOSE = 111.7 gallons 93.251 ------------------ Option 1: Option 2: Zoeller - 98 Zoeller - 151 PUMP PERFORMANCE CURVE MODEL 98 10 20 30 41 70 so PUMP PERFORMANCE CURVE MODEL '1511152/153 ou fu Z30 U 10 20 30 41 70 so PUMP PERFORMANCE CURVE MODEL '1511152/153 ou fu Z30 U ou fu Z30 U Installation Instructions for the GF10 Filter Step 1: Locate and remove the septic tank cover, on the outlet side of tank. Step 4: Glue the filter case onto the outlet pipe. Insert the filter cartridge into the case. (Make sure the filter is completely inserted into the case.) FEST TECHNOLOGY Step 2: Before installation, place the filter case on to the outlet pipe. Make sure the case is positioned so the filter can be removed from the tank for mainte- nance and service I Step 3: For installations that require or desire additional support. (If additional support is not needed, go to Step 4) Glue a section of 1"Sch. 40 pipe to the two hubs located on the bottom of the case and the hub located on the side of the case. 1? fa Step 5: For installations where it will be difficult to reach the handle, place I" Schedule 40 pipe into the tee on the handle and extend it to height that will make it easy to remove the filter. n Installation of an Same as anew system only the septic tank tw existing system. must be pumped prior to installation. ,.y yes — ,L, -, L— •v,rs •s... ,� a:� ..: aa: — iuie ea ._ -.:.: c, •-.. Maintenance of the GF10 Filter A time frame in which septic tanks are serviced is set by state and local codes. Although they may be different, most regulatory agencies suggest two to five years. We recommend the GF 10 filter be cleaned when the septic tank is normally cleaned and pumped, or as needed. WARNING: if the liquid level in the tank is above the top of the filter, pump the tank prior to removing the filter cartridge. Am CAUTION: USE RUBBER GLOVES WHEN HANDLING FILTERS! Step 1: Remove the septic tank cover and pump the tank if necessary to prevent any solids from escaping to the field when the filter is removed. Step 2: Pulp the filter handle and slide the filter out of the case. Step 3: While holding the filter cartridge over the access opening of the tank, rinse the cartridge off with fresh water. Take care to make sure all solid material falls back into the tank r j - ";7 BEST TECHNOLOGY 3 Fairfield Blvd, Wallingford, CT 06492 1-877.765-9565 Fax:203-284-8514 4, RHO: sJ:x4� T4 ': ~ Step 4: Insert the cartridge back into the case nikaking sure that it is properly aligned and completely inserted into thecase. MANAGEMENT PLAN The owner of this Private Onsite Wastewater Treatment System (POWTS) shall be responsible for its perpetual operation and maintenance pursuant to requirements of SPS 382-384, Wisc. Admin. Code. This management plan identifies operation and maintenance activities necessary to ensure long-term system performance. Tasks that should be performed by the homeowner are identified. Professional management tasks shall be performed by a registered POWTS Maintainer in accordance with SPS 383.52 (3), Wisc. Admin. Code, however, it is the homeowner's responsibility to ensure all tasks get accomplished in a timely manner. Pursuant to SPS 383.52 (2), Wisc. Admin. Code, this system shall be considered a human health hazard if not maintained in accordance with this approved management plan. ► Keep this Management Plan with your Septic System Owner's Guide. ► KPen r-.onies of all numning rer_.nrds; maintenance artivities and renair invoices with this dortiment. ► Review this plan with your POWTS Maintainer at each visit; discuss any changes in product use, activities, or water -use. MANAGEMENT FREQUENCY Design Parameters System Specifications Number of Bedrooms 4 Septic Tank Manufacturer Wieser Design Flow (gpd) 750 Septic Tank Capacity (gallons) 1583 Soil Loading Rate (gpd/ft) 0.7 Effluent Filter Manufacturer Best Standard Effluent Quality Effluent 1 Effluent Filter Model GF-10 Biological Oxygen Demand (BOD) 220 mg/l Pump Tank Manufacturer Wieser Total Suspended Solids (TSS) 150 mg/1 Pump Tank Capacity (gallons) 950 Fats, Oils, Greases (FOG) 30 mg/1 Pump Manufacturer Per Installer Treated Effluent Quality Pump Model Per Installer Binlndin.i nv%tdnfpnnl b....... ��....n Remand ......-., - r �/i fligpeYc41 r'x 11 TyNv noc�itriti- R�^n_M-no Total Suspended Solids (TSS) - mg// Conventional Fats, Oils, Greases (FOG) - mg// Pretreatment Unit Description NA Max Effluent Particle Size (in) 1/8 Homeowner Management Tasks I Professional Management Tasks Check (listen, look) for leaks in toilets and dripping faucets. Repair leaks promptly. Regularly check for wet or spongy soil around your soil treatment area. Contact service provider if issues arise. Control burrowing animals (gophers, groundhogs, etc.) Keep bikes, vehicles, snowmobiles and other traffic off treatment area. Alarms - Contact your service professional if any alarm signals. Lint Filter - check for lint buildup and clean when necessary. If you do not have one, add one after washing machine. Effluent Fi/ter - /nspect and clean twice ppryear at a minimum Caps - Make sure that all caps and lids are intact and in place. Inspect for damaged caps often. Fix or replace damaged caps. Septic system replacement area. Protect secondary. Effluent Screen - Check and clean per manufacturer recommendations. Liquid levels - Check sludge/scum/effluent levels in all system tanks. Recommend if tank(s) should be pumped. Pump all compartments every 36 months at a minimum. Inspect tank inlet and outlet baffles (if applicable) Check drainfield effluent levels (if applicable) Verify pump and alarm system functions (if applicable) insPlect Wfrinb fnr Cr'rr`nci! " vr'r.l fim,,t; r, (if nnnlir'af'le) Clean drainfield laterals (if applicable) Check event counter/elapsed time meter and evaluate water usage rate compared to system design flow. Check dissolved oxygen and effluent temperature in tank. Check for surfacing of effluent or other signs of problems. Verify inspection pipes are capped and intact. Provide homeowner with list of management results and any action to be taken. >ystem site from traffic, compaction, etc. (if applicable) ----------------............... . -.......... -................. ........... ........ ....._........................... _........ _...... ................................. ........ ..... ...........................--.............. ........... .................................... -.......................... POWTS REGULATOR.• STCroix CountyZoning Office ADDRE, • 1101 Carrnfcheel RD, Suite 1200, Hudson, W154016 PHONE: (7'.�S) 386.4680 Pane 7 START-UP & OPERA T/ON For new construction: Prior to system operation, check septic/pump tanks for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cells. If high concentrations are detected. have the contents of the tank removed by a licensed septic professional prior to use. System start-up shall not occur when soils are frozen at the infiltrative surface. During power outages: Pump tanks may fill above normal high water levels for system utilizing pumps. When power is restored, the excess wastewater will be discharged to the dispersal cell in one large dose potentially resulting in overloading of the cells. Backup or surface discharge of effluent may also result. To avoid this situation, it is highly recommended to have the contents of the pump tank removed by a licensed septic professional or have a septic professional manually dose the system to return the pump tank to normal nnerating IPvels nrinr to re tnring nnwer. Do not drive or park vehicles over any septic system components. Do not drive, park over, or otherwise disturb or compact the area within 15 feet downslope of any mound or at grade system or secondary septic system site. MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an appropriately licensed individual or business. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum, and to check for any backup or ponding of effluent on the ground surface. Access openings used for service and assessment shall be sealed watertight upon completion of service activities. Any unsound/defective access openings shall be replaced immediately. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. Ponding of effluent on the ground surface may indicate a failing condition that requires immediate attention by a licensed septic professional. Tanks must be pumped when sludge accumulation is within 12 inches of the bottom of the outlet baffle, or whenever the scum layer is within 3 inches of the bottom of the outlet baffle. In no case shall total sludge and scum volume occupy greater than 25% of the tank liquid capacity. The effluent filter shall be cleaned as necessary to ensure proper operation. The filter should not be removed unless provisions are made to retain solids in the tank that may slough off the filter during removal. If the filter 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 and should be evaluated by a licensed septic professional. Pre-treatment components shall be maintained and serviced by a licensed septic professional according to the manufacturer's recommendations. /I/1 A/T/A!/%CA//NV !3/ A A/Ll CrV/V///VV1_/Vki/ / L/d/VJ If the septic tank, or any of it's components, become defective the tank or component shall be immediately repaired or replaced according to the original system design specifications. If a dosing tank, pump, pump controls, alarms, or related wiring becomes defective, they shall be immediately repaired or replaced with components of equal performance. If the soil treatment component fails to accept wastewater or discharges wastewater to the ground surface, it shall be repaired or replaced by; increasing basal area (if toe leakage occurs), rebuilding the component at the secondary system site (if identified), or .. I Ir..c and v lo�.in�s hivi"rtil.alltl �Ir.rc rc.�.d �b�,.rl-.+i.,.. or,d uror.ov�al 1-. ..,drol �r,d associated f .t If v •-•r �'buildin.c is 1-..,t I Ion ng calla Iepla�llls ti oglically Vsst a u or,—,i n all spersaI III all associa a piping. repairs- a ng IJ no possible, a new soil and site evaluation must be performed to locate a suitable replacement area if one has not already been identified. If no replacement area is available, a holding tank may be installed as a last resort replacement POWTS. ABANDONMENT If the septic system fails and/or is permanently taken out of service, the system shall be abandoned according to SPS 382-384, Wisc. Admin. Code abandonment regulations. Requirements include: - All piping to tanks shall be disconnected and abandoned pipe openings sealed. T11-2 +cn-IL. f all t@nil s hall h.. ,d .d .disI-...scd f ht... 1;--..-....1 +i- ,F--- i..v 1 I I IL 4VfllVl ItJ VI GII tell!\J JIIUII Vt. 11.111�YVU GIIU UIJI.lVJ VU LI V�i U IIt.Li IJI.0 .�1.p UU pl V14JJIVi IG1. - Tanks shall be crushed & filled, or removed. - A septic system abandonment notification shall be submitted to the appropriate local governmental unit. WARNINGI.f SEPTIC, PUMP, AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC TANK, PUMP TANK, OR OTHER TREATMENT COMPONENT UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ALWAYS CONSULT A LICENSED SEPTIC PROFESSIONAL BEFORE DOING ANY WORK. Pane A Wisconsin! Department of Safety and Professional Services Division of Industry Services Page 1 of 2 SOIL EVALUATION REPORT In accordance with SPS 385, Wis. Adm. Code County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, ST Croix but not limited to: vertical and horizontal reference point (BM), direction and percent slope, Parcel I.D. scale or dimensions, north arrow, and location and distance to nearest road. 040-1211-20-000 Please print all information. Reviewed by Personal information you provide may be used for secondary purWposes Privac Law s. 15 040 m Date Property Owner Property Location: Brion 1 LLC (Rick & Patty Brion) Govt. Lot: SE / SW '/4 S 07 T 28 N R 19 W Property Address Lot # Block # Subd. Name or CSM# 345 W Grove RD 02 West Grove Estate's City State Zip Code Phone Number ❑ cit y ❑Village Town Nearest Road Hudson WI 154016 (612)850-3414 Troy W Grove RD ❑ New Construction Use: F011 Residential/Numberofbedrooms 4 Code derived design flow rate 600 GPD 0 Replacement ❑ Public or commercial — Describe: Parent material Loamy drift over sandy/gravelly outwash (Burkhardt-Sattre) Floodplain elevation if applicable NA ft. General comments and recommendations: Recommend in -ground "conventional" trenches at 24"-36" depth with 0.7gpdtft2/ loading rate. LF =>104" (observation extent) Boring # ❑ Boring Pit Ground surface elev. 100.00 ft. Depth to limiting factor 1104 in. Q-A AnrJ;n., l; l.., t -f- 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 0-10 7.5YR 2.5/2 - I 3mgr mfr cs 3m-vf 0.6 0.8 2 10-31 1 OYR 4/6 - Is-s Osg dl cs 2c-vf 0.7a 1.6a 3 31-50 7.5YR 6/3 - s Osg dl cw 1c-vf 0.7a 1.6a 4 50-104 7.5YR 5/3 - cos Osg dl - - 0.7a 1.6a F 2 ] Boring # ❑ Boring ❑■ Pit Ground surface efev. 95.50 ft. Depth to limiting factor >l08 in. c a n r .; o.,.,. 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 0-10 7.5YR 2.5/2 - I 3mgr mfr cs 3c-vf 0.6 0.8 2 10-18 7.5YR 3/4 - 1s 1csbk-0sg ds-dl cs 1c-vf 0.7a 1.6a 3 18-78 7.5YR 5/3 - cos Osg dl cw 1c-vf 0.7a 1.6a 4 78-92 7.5YR 514 - s Osg dl cw - 0.7a 1.6a 5 (5% rock) 92-108 7.5YR 5/4 - cos Osg ml - - 0.7a 1.6a CST Name (Please Print) Signature CST Number Ryan Bechel 1330832 Address Date Evaluation Conducted Telephone Number 779 Spring Creek RD S, Red Wing, MN 55066 11/07/22 (651) 327-0074 or; u-miju tKurttl o) p8riq 9 EBoring # ❑ Boring n Pit Ground surface elev. 100.55 ft. Depth to limiting factor '106 in. Horizon Depth In. Dominant Color Munsell Red Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots uuquul 1 Iwc GPD/FtZ *Eff#1 *Eff#2 1 017�7.5YR 2.5/2 (fill) I 1 msbk dh ???? 2f-vf 0.4 0.6 2 7-17YR 4/6-5/6 (fill) Is-s Osg dl as 1f-vf 0.7a 1.6a 3 17-21 7.5YR 2.5/2 (in -situ soil resumes) I Impl-1msbk dsh-dh cs - 0.4 0.6 4 21-49 7.5YR 6/3 - s Osg ml cw - 0.7a 1.6a 5 49-80 7.5YR 5/3 - cos Osg ml cs - 0.7a 1.6a 6 80-98 7.5YR 5/4 - s Osg ml gw - 0.7a 1.6a I I I CI Ana VV JV-II 7.5YR 5/3 .J11\ !J I I J_VV.: I Vag I ilii v �a va 4 ] Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots V V II I II .OLI V I I IdaLC GPD/Ft2 *Eff#1 *Eff#2 El Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots i ll.Ptl Vl 1 1\Q lC GPD/Ftz *Efr#i *� � * Effluent #1 = BOD, > 3015 220 mg/L and TSS > 30:5 150 mg/L * Effluent #2 = BOD, > 30 5 220 mg/L and TSS > 30 5 150 mg/L Pana.10 )esigner- Ryan Bechel �ertified Soil Tester: 1330832 designer of Engineering Systems: D 2263-7 'All property lines not o ; Benchmark 1 SYSTEM NOTES drawn are >100ft from 1. N Septic Tank: system Soil Boring \ ` , Ex sing systems to be abandoned per SP�383.33 SCALE �� 0' 30' �5 50' well Hp Current grade setback _ _ e 102.50 11201811 11 10I � cgsS% Current grade trench 1 1 I 1 L Lo lam"= rEL_ _ TES N 105.75 �q� system �,� Proposed `\ '`° -- Fc— _Fp.� __Fa— Fc,— —rn— _ 1111 ; '.t20'x30' `9� 11 1 1 ; -�-; family room \ Buried �� utilities addition ! i.l 111 0 "1987" bed Existing tank grade := 103.10 �N 1,�\ is i system fi Filter outlet elev. = 99.05 320gal tank cover = 104.24 111 \ t-_oFj \ 1 1 1 '� BM2 = 102.38 Top of bed vent \� (1511,above grade) \ `\ &7 ; S BM 1 = 100.00 o\o �� Tree �ed Top nail in 4" tree r o �00 /line \ (47" above grade) 9 O -- \ ' 00 ertified Statement: This system has been designed and evaluated in accordance with State and Local codes. The soil treatment area must remain protected from disturbance and/or compaction before and after construction. © 2022 Advanced Environmental LLC. All rights reserved. Pump Tank: Soil Treatment Area: -Recommend in -ground "conventional" trenches at 24"-36" depth with 0.7gpctf loading rate -Depth 10 restriction =>104' (observalion extent) -Contour=100.00' -Slope = 7-10% Distribution: LOCATION MAP (not to scale) I/V GRn u_ Fvt RL) S11iTE 349 PREPARED FOR: Rick & Patty Brion 345 W Grove RD Hudson, WI 54016 PID: 040-1211-20-000 2.36 Acres Legal: Lot 02 West Grove Estates SE 1 /4 SW 1 /4 S07 T28N R19W Town of Troy grnlp• 1" = 4nlm--- rmtp• 1117/77 le #: S-r C R c� UNITY SANITARY SYSTEM File #-. Use Only OWNERSHIP/ADDRESS FORM ce-atedv2o21 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 Prig M w '�` weblink_ OWNER/BUYER INFORMATION Owner/Buyer Richard Brion - Brion 1 LLC Mailing Address 29811 - 281st ST City/state/Zip Holcomb, WI 54745 Phone Number (required)612•850.3414 Email Address (requiredlpmbrion@donstevens.com Parcel Identification Number 040-1211-20-000 (found on the property tax bill) NEW SYSTEM: LEGAL DESCRIPTION Property Location SE t/a , SW t/4 , Sec. 7 , T 28 N R 1 9 W, Town of Troy Subdivision Plat: West Grove Estates Certified Survey Map # Warranty Deed # Number of bedrooms 4 New Property Address— V -�k _ (Staff IrlitiAsi Volum Page # efore 2006)Voluine , Page # Lot # 2 Spec house 0 yes ■ no Lot lines identifiable N yes 0 no OFFICE USE ONLY . n (Verification of new addreor (Date):_._.. . from 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 1101 Carnllfhael load, Hudson, WI 54016 ��4u.sa:ewi.t nv M n 4 ti-h Y- �] O /" OrvE •'f+n.Y 7'Q `- `^"r'.O+nM �11 !.'� i YWN: .. 4 y G,� c*rots =;�+:i -en rn�tdi{.rary r,0 • �n•oYIM 71 +i7i £ �i' � -wdid N. iS.oy.' `- y M (•� � -iyL10 aaS ' iaaam �ws•rnnu . � �� £. . I YV col+ r.as„ppnM .'+-i�•v.�J' n 31anz u n.L C.Ah' "'—' ,-41'— !wsG '�.�f .7X.,- i +..Y--Yws Mpi, wEM M.,., -zsazrL `b-h •2M71=nF .'ta+,�.00a �F�?,a+r�o'r �w7r�.� 'vxaWs y�y o � -� Y72 Y•j3 ro79'.2aAvr2ftim')I41�'.COD "-Cr", Jt11--1--1d£ 11�'.•, 1 JO N fig' -r•+t(r+ •7r�,yf.7rL -'rM!•,_riz. fI zi I �O TUGib,25. °- •2'SOth'V'J ')[2Jz f 1 � I i 1 cM1. 3N.]-1tT21. 1I i "�"�u +A -rx: met"taa•�i ux mM`, e.14t 21h e1 do Oki_ I 9 /1 Lobs/ ,roe.wn t S'%�vreYYe:i17 la'7 i I CP VJ'A Q'V'�It t3., -namn, , . A ZL9W ice 0 -o -Wfo a6ollru n V.-A bid' � -L-UddM -Mofqoo AQ "'.0a 4ho=H *V ./g "o-O . a•»•�vvc: m ..9 h - b b �-4 "Alvil Woo H . E. 1-. :ate c:L " -L-ow,.,A eaN. 01-- -.Aw vc.rwu C-0 V-U-d OZ. w Iq do daL cw� C--Qi nlv- �2�w 'Stor 6 xs Hall SCA�e: IKC4-0- 4-5-: 3D.AAftic 3./ co UW6VMXA.:::-- or tll� �—D LZ soo�v�'4' 'bo 0' -ra v. ey- 84I.e 4P, 111. 10 I -rp W- gad.., - 3'e Swwmz- Owe- -m'.X gL qs PO4'tv V.-L GNW12C zi= Ptbp LAwO' o T t, 80 co -Qwbr--Y-� ---.) CL-v A- 7 bqt 4 0- AQ& kAmu A103P7,o;. -r'W Wzi�IW4d0 -M- �. jam'. -..:wl M&z 7 66. 41-1- &owi-�., At'viw4s CAA . ............ .... . .. . - :cobra ru . laR. . -wr avr-. iom et— 'Vd-%-tW .4L CK-A7MiRX'U.A�oL Wisconsin D Saf'y��si nal Services Page 1 of 2 Division o l (L 42022 SOIL E N R PORT 11 NQv In ccordance with SPS 385, Wis. Adm. Code County Attach complete site Ian on a ST Croix p p p pp2�rtgbbt%i th @ 1 x 11 inches in size. Plan must include, but not limited to vertical �fadtb�iz of oint (BM), direction and percent slope, Parcel I.D. scale or dimensi s, y ocation and distance to nearest road. 040-1211-20-000 Please print all information. R iewed by Dat I rZa Personal information you provide may be used for secondary u oses Privac Law, s. 15.04 1 m . Property Owner Property Location: Brion 1 LLC (Rick & Patty Brion) Govt. Lot: SE '% SW '/4 S 07 T 28 N R 19 W Property Address Lot # Block # Subd. Name or CSM# 345 W Grove RD 02 West Grove Estates City State Zip Code Phone Number ❑ City ❑ Village ■❑ Town Nearest Road Hudson IWI 54016 (612)850-3414 1 1 Troy W Grove RD ❑ New Construction Use: M Residential/Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement ❑ Public or commercial — Describe: Parent material Loamy drift over sandy/gravelly outwash (Burkhardt-Sattre) Floodplain elevation if applicable NA ft. General comments and recommendations: Recommend in -ground "conventional" trenches at 24"-36" depth with 0.7gpd/ft2/ loading rate. LF = >104" (observation extent) C 1❑ Boring # ❑ Boring ❑■ Pit Ground surface elev. 100.00 ft. Depth to limiting factor >104 in. Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ftz *Eff#1 *Eff#2 1 0-10 7.5YR 2.5/2 - I 3mgr mfr cs 3m-vf 0.6 0.8 2 10-31 10YR 4/6 - Is-s Osg dl cs 2c-vf 0.7a 1.6a 3 31-50 7.5YR 6/3 - s Osg dl cw 1c-vf 0.7a 1.6a 4 50-104 7.5YR 5/3 - cos Osg dl - 0.7a 1.6a ❑ Boring # ,❑ Boring Pit Ground surface elev. 95.50 ft. Depth to limiting factor >108 in. c.,u o.,.,r­+ o�ro 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 0-10 7.5YR 2.5/2 - I 3mgr mfr cs 3c-vf 0.6 0.8 2 10-18 7.5YR3/4 - Is 1csbk-Osg ds-dl cs 1c-vf 0.7a 1.6a 3 18-78 7.5YR 5/3 - cos Osg dl cw 1 c-vf 0.7a 1.6a 4 78-92 7.5YR 5/4 - s Osg dl cw 0.7a 1.6a 5 (5% rock) 92-108 7.5YR 5/4 - cos Osg I ml I - I 0.7a I 1.6a CST Name (Please Print) Signature CST Number Ryan Bechel 1330832 ' Address Date Evaluation Conducted Telephone Number 779 Spring Creek RD S, Red Wing, MN 55066 11/07/22 (651) 327-0074 bbU-t JJlJ (KU4/ 15) ❑3 Boring # ❑ Boring ❑■ Pit Ground surface elev. 100.55 ft Depth to limiting factor '106 in. Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 I *Eff#2 1 0-7 7.5YR 2.5/2 (fill) I 1 msbk dh ???? 2f-vf 0.4 0.6 2 7-17 10YR 4/6-5/6 (fill) Is-s Osg dl as 1f-vf 0.7a 1.6a 3 17-21 7.5YR 2.5/2 (in -situ soil resumes) 1 1 mpl-1 msbk dsh-dh cs - 0.4 0.6 4 21�49 7.5YR 6/3 - s Osg ml cw - 0.7a 6a 5 49-80 7.5YR 5/3 - cos Osg ml cs - 0.7a 1.6a 6 8 - I 7.5YR 5/4 - s Osg ml gw - 0.7a 1.6a 7 98-106 1 7.5YR 5/3 i - s-cos Osg ml - - 0.7a 1.6a Boring # El El 4❑ ❑ Pit Ground surface elev. ft. Depth to limiting factor in. 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 5] Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 I *Eff#2 * Effluent #1 = BOD, > 30 s 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 Designer: Ryan Bechel © 2022 Advanced Certified Soil Tester. 1330832 Environmental LLC. Designer of Engineering Systems: D 2263-7 Ali rights reserved. ADVANCED 'All property lines not O Benchmark 1 SYSTEM NOTES drawn are >100ft from Septic Tank: ENVIRONMENTAL system Soil Boring -Existing systems to 6e a6andonedper SP5 383.33 SCALE /' / / �� / 15' + o' 30' r i 50' Well / setback you/�je Current grade / 102.50 /� Irr2018" \�/ �Current made trench 105.75 system r Proposed 1 I 1 j 20' x 30' Buried family room \ 'O I I� addition �\ utilities I \ \ 1 I j 'o � � rl rr III 1 1987 bed Existing tank grade z 103.10 system \ Filter outlet elev. = 99.05 L-0 I \ 320gal tank cover = 104.24 J BM2 = 102.38 U Top of bed vent \ (15" above grade) oho \ , 'so S M = 100.00 ` oho �� Tree ` hed Top nail in 4" tree r r - —� �0O - . _ line \\ (47" above grade) �+ ti: -�- -, - 0 -- -- �S I + Certified Statementr This system has been designed and evaluated in accordance with State and Local codes. The soil treatment area must remain protected from disturbance and/or compaction before and after construction. NO WARRANTY IS MODE THAT THIS SYSTEM WILL CONTINUE TO FUNCTION INDEFINITELY. System must be properly maintained. Review your system's management plan for information on proper care and maintenance. Pump Tank: Soil Treatment Area: -Recommend in -ground 'conventional' trenches at24'-36' depth with 0.7gpd/e loading rate -Depth to restriction = >104' (observation extent) -Contour=100.00' Slope = 7-10% n;ctrihnfinn- LOCATION MAP (not to scale) LL RD � • SITE 31.9 PREPARED FOR: Rick & Patty Brion 345 W Grove RD Hudson, WI 54016 PID: 040-1211-20-000 2.36 Acres Legal: Lot 02 West Grove Estates SE 1/4 SW 1/4 S07 T28N R19W Town of Troy Scale: V = 30' Date: 11/7/22 *a &AmroA goaw"rs 9r floCOU NW p, , . 645481 STA OWNER PLUMBE TOWN AND/OR LOT PERMIT EXPIRES �NIT�RY PERMIT cloq& Rn AL PREVIOUf NO. (olfrfff (�$Kx) r1 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. (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. ISSUING OFFICER —DATE tL UNLESS RENEWED BEFORE THAT DATE POST IN PLAIN VIEW VISIBLE FROM THE ROAD FRONTING THE LOT DURING CONSTRUCTION SBD-06499 (R11/20) Document Number State Bar of Wisconsin Form 1-200a WAtt ATV DEED Ooeutnent Name THIS DEED, made between Michael P. Goodman and Barbara S. Goodman, husband and wife ("Grantor," whether one or more), acid Brbmy 1, LLC a' Minnesota- limited liability company. (`Grantee," whether one or more). Grantor, for a valuable consideration, conveys to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Croix County, State of Wisconsin ("Property") (if more space is needed; please attach addendum): See attached Exhibit A 1136323 BETH PABST REGISTER OF DEEDS ST. CROIX CO:, INI RECEIVED FOR RECORD 08/05/2021 03:46 PM EXEMPT#: iREC FEE 30.00 TRANS FEE 1,620.00 PAGES: 2 **The above recording information verifies gnat this docraine-nt asr been eiectronicaft recorded & returned to the submitter Recording Area Name and Return Address Land Title, Inc. 2200 West County Road C. Suite 2205 Roseville, NIN 55113 LT File No. 642951 04 )-1211 20-000 Parcel Identification Number (PIN) 'this is bornestead property. 00 0.s not) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except: Easements, Restrictions and Covenants of record, if any. AUTHENTICATION Signat-ure(s-)- authenticated on TITLE: MEMBER STATE BAR OF WISCONSIN (If not. authorized by Wis. Stat. a .706.06) THIS INSTRUMENTDRAFTED BY: Larry S. Mountain. Attorney at taut ;SEAL) SEAL) Barbara S. Goodman (SEAL) _._.. (SEAL.) -r ACKNOWLEDGMENT J.arZ•'f. STATE OF ss. St. Croix COUNTY Personally came before me on August 2021 the above -named Michael P. Goodman and Barbara S. Goodman, husband and wife tothe known_mbe- the-,rwrson(.$). who executed the foregoing u nt and cknot e same. * Me i ee 1. E3tine Notary Public. State of Wisconsin My Commission (is permanent) (expires: 10/17,2021 (Signatures may be authenticated or acknowledged. Huth are not atcressary.) !it)"t'F :'1"1#!S 1S:t S"1':t\T)_ttti) #'t)1t11.:t\!' �lt)1)IM't(::t7'1Q�S''OT111S FOR1I SI101`Ll) HE CLEARLYIDENTIFIED, WARRANTY 0EK0 X' 2003."'XIT BAR OF WISCONSIN FOR11 NO. 1.2003 - %pC TIMM betaX, 12nnturCS. St. Croix County 1136323 Page 1 of 2 LT File No. 6429S1 EXHIBIT A Lot Two (2), West Grove Estates, and running therewith an undivided 1/12th interest in Outlots One (1) and Five (5) of said Plat, Town of Troy, St. Croix County, Wisconsin. St. Croix County 1136323 Page 2 of 2