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038-1129-80-000 (4)
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 644743 GENERAL INFORMATION Stale Plan ID No: Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)l 1.-.......-- Permit Holder's Name: City Village Township Parcel Tax No: MICHAEL J & DANA M BLUE TOWN OF STAR PRAIRIE 038-1129-80-000 CST BM Elev: Insp.BM Elev. BM Description: , Section/Town/Range/Map No: Jab .o 1 OC.O' ' -r-.P� s!-. . doh 'v ve tid— >� 31.31.18.528C TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI I FS ELEV. Septic b` Benchmark ,/r4C 1 '/.64 J 60•0 Alt.BM 1--7 w(Pip ye(� 5-2S ) Bldg.Sewer i Hold SVHt Inlet , l St/Ht Outlet v j TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD DI Inlet Septic i Dt Bottom ' EVI '- J 1 ' Iv 4 Header/Man. AeratidF •� Dist.Pipe Hold' ><,,_..-------------___ Sot.System /54.e. Final Grade 1 PUMP/SIPHON INFORMATION L•Zo cis-.ifs- Manufacturer Demand St CoverGPA s� 120 46-r Model Number I,, 7 TDH Lift Fricti.• - System Head IT H Ft -3 4J Os- '1.2.0 Forcemain ILengt• Di . Dist.to well/Jl i D` .3 '•cel (n 1.07 r !T I SOIL ABS* -PTION SYSTEM 0:4-. 6,..t7f 4680, 94 A- BED/TRENCH Width / Length No.Of ^�es PIT DIMENSIONS No.Of Pits Inside Di . Liquid epth DIMENSIONS 3 �•.t ,L� 3 SETBACK SYSTEM TO "L� P/Lw BLDG WELL LAKE/STREAM LEACHING Manufa urer ( INFORMATION T S lam: sAA t CHAMBER OR YP�1 Ys y� '1.�I ...1...la , eo / UNIT Model Num. j DISTRIBUTION SYSTEM Header/Manifolp F Disbibutbn x Hole 1 !__________.__ HOle Spacing Vent to Air Intake LengtfQjZt Dia Length Dia Spacing 1P(47 SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of ,o Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil is Yes O No AYes U No COMMENTS: (Include code discrepancies, rsons present,etc.) r Inspection#1: , /3(LdZ Z. Inspection#2: ajg a_ w.. (.O eta S.T. (ac k Location: 1847 RALEIGH RD �� 1 1.)Alt BM Description=��It;� .4!• Cr C�V� s 7 p 2.)Bldg sewer length= '>, ,. n Qp�•n3n( ( 3•Q3 I amount of cover M �� NI�+�► ../� 0. or q.2. O 5/ 3) Ot� o� 'r3 q.28 g,/. Plan reHstb equired7 N Yes ANo 6/3/Z.02.2_ -•rt/ Use other side for additional Information. / ' Date Insepctor's Signature Cert.No. 710(R.317) (, 50 Mite srw y4-11t w.et...telkt. C.tv.:42).- 1 isc,ied, NCQ t 5 -t,AaitJccS) c 4 e. alt . ode© an-1)n4-- SnN -aa� --aJD w, ��� twnry Industry Services Division St.Croix 8 1 n 1400 E Washington Ave Sanitary Permit Number(to be called in by Co.) _'• _ ,UL 1`2022 P.O. Box 7162 Madison,WI 53707-7162 /Q LT I2(7L+3 .ix coot!.,ant t ,. State Transaction Numbcr :,t ��.'�ermit Applicati, 1t1t �C� In accordance with S'` . . 121.Wis.Adm.Code.submission of this form to the appropr anal unit -'��� is required prior to obtaining a sanitary permit Note:Application forms for state • -• ' -S are submitted to the Department of Safety and Professional Services. Personal intbrmatigp you provide may be used for secondary Project Address of different than mailing address) purposes in accordance with the Privacy Law,a. 15.04(1 gm),Slats. _ 1847 Raleigh Road 1. Application Information-Please Print All Information Property Owner's Name Parcel a Michael&Dana Blue 038-1129-80-000 Property Owner's Mailing Address Property Location 1847 Raleigh Road Govt.Lot City.State Zip Code Phone Number NW'4,NE'G, Section 31 New Richmond,WI 54017 rce one) T31N . R18E:o II.Type of Building(check all that apply) // Lot s - ® I or 2 Family Dwelling-Number of Bedrooms `7 1 Subdivision Name ❑ PubliciCommercial-Describe Use Block a O City of 0 state Owned-Describe Use __________ -,fi z 0 Village of ��y `y/ CSM Number , -LL.f Ve.xi :timber or0 ® Town of Star Prairie — III.Type of Permit: (Check only one box on 'no A. Complete line B if applicable) A. ❑ New System eplaccmcn System 0 Treatmentfllolding Tank Replacement Only El Other Modification to Existing System(explain) B. 0 Permit Renewal COs.❑ Permit Revision 0 Change of 0 Permit Transfer to New List Previous Permit Number and Dale Issued Before Expiration Plumber Owner 289455; 09/24/1997 I 6.. • t o . Sm/Component/Device: (Check all that apply) Non-Pressurized I yste ❑ Pressurized In-Ground 0 At-Grade ❑ Mound>24 in.of suitable soil 0 Mound<24 in of suitable soil Holding'tank L Other Dispersal Component(explain) 0 Pretreatment Device(explain) Rt� V.DIspersal/l'ratment Area Information: C .F &�l ' .o i Ni"--- Design Pow(geed) Design Soil Application Dispersal Area Required of) Dispersal Area Proposed(sf) System Elevation 600 Ratc(gpdsl) 1000 1000 93.5'. 92.5', 91.5' 0.6 VI.Tank Info Capacity in 1 - I Gallons ) E ` Ttxal M of New Tanks Existing Tanks Gallons Unib mintiest] r g g v 1"i LS v Septic or Holding Tank 320 1000 1320 2 Wieser Concrete: ® ❑2 ❑ ❑ D Dosing Chamber 0 0 ❑ . ❑ VII.Responsibility Statement- I.the undersigned.assume responsibility For inuallatlon of the POWJS show,on the MHO(bed plans. Plumber's Name(Print) Plpfure �/`/ // MPiMPRS Number Business Phone Number John Schmin 7 'r�711✓'�16;17 223760 713-760-0486 Plumber's Address(Street,City,Seale.Zip Code) 586 Valley Vicw Trail,Somerset,WI 54025 VIII.County/Department Use Only pproved O Di SPe 52S— U' l Is 1 i AgcrESignatu _. 0 Own van Retson r Denial IX.Conditions of6;prov f. D:..r.r,..,,• SYSTEM OWNER: L 1.Septic tank,effluent filter and 3) s(a,��. vp �` s kLi% s dispersal cell must be serviced/maintained a, adt�- x-reS- tI aQtrt-c- �� as per management plan provided by plumber. 1 2.All dctbaek req.,.reme..ts"'Ake t4 41.01 A41‘ns for Ire Bets.and. wll to tar CoaetyQaty as paper, 1 less than 8 x I I leean is sir ire �C� as per applicable code/ordinances. �'IL/)1p t .4.44. Q I Wv4efx+t— W!,a--`^s,`•' SDD-6398(R031I4) Mar - t ", SYSTEM PLOT PLAN Project Name: Blue 4 Bedroom Design Flow: 600 gallonslday �M, Attach design flow Calculations for `�J Project Address: 1847 Raliegh Road commercial plans: BM1 Symbol: A BM Elevation:100.00' Pipe Materials/ASTM Standard Scale: 1"=60' ,� BM Deaolptbn: Top of existing drain Mid vent pipe Tables 364.30-3 d 364.30-5 BM2 Symbol: 0 BM Elevation: 99.63' 4^SCH 40 PVC ASTM D2666 0 �J f//Z0 //20 BM Description: Top of existing septic lank manhole cover 4^SCH 3034 PVC ASTM D3034 ///////////4,. •//i' Slope Gradient or Tested Area. (14%) 152 V� Well Symbol(d applicable) Notes:See CSM for complete Map \ICO pY T1-Proposed 3'x70' EZ Flow trends EI.=93.50' T2-Proposed 3'x70' EZ Flow trench El.=92.50' T3-Proposed 3'x70'EZ Flow trench El=91.50' Property Line Q Existing 12'x52' Qm ® Rock 8 Pipe Bed ® 101' 99' Proposed Ta k W( MRr� // :97 95' Septic Tank W/ Al�•�„� _�bjy'�1T1 \ Pol sole 525 En / / T2 Driveway � _ T� I / 4��Bi BM2 •4 // Existing / �•0� — -'_ 4 Bedroom / -2 Stoic House / 14% /�Qe� L- Existing 1000 gallon i rViA� Septic Tank Existing Well o�7y(y�e f Property Line ��'CpFY Page 2 CONVENTIONAL COMPONENT DESIGN INDEX AND TITLE PAGE Project Name: Blue 4 bedroom Septic System Owners Name: Michael & Dana Blue Owner's Address 1847 Raleigh Road New Richmond, WI 54017 Legal Description: NW 1/4, NE 1/4,S31,T31N, R18W Township Star Prairie County: St. Croix Subdivision Name: N/A Lot Number: 1 Block Number N/A Parcel I.D. Number 038-1129-80-000 Plan Transaction No. Page 1 Index and title Page 2 Plot Plan Page 3 Septic Tank Specifications Page 4 Existing Tank Certification Page 5 Proposed Tank Specifications Page 6 Effluent Filter Information Page 7 System Sizing&Cross Section Page 8 EZ Flow Information Page 9 Management and contingency plan Page 10 Sanitary System Ownership/Address Form Page 11 Warranty Deed Page 12 CSM or Plat Attachment 1 Soil Evaluation Report Designer: John Schmitt Licnese Number: MPRS 223760 Date: 7/10/2022 Phone Number: 715-760-0486 di.--1Signature: / l/41.4 In-Ground Soil Absorption Component Manual Version 2.0 SBD-10705-P (N. 01/01) Page 1 SYSTEM PLOT PLAN Project Name: Blue 4 Bedroom Design Flow: 600pallonerdey eaM►1C Attach design flow calculations for `J Protect Address: 1847 Raliegh Road commercial plans. BM1 Symbol: A BM Elevation 100.00' Pipe Materials/ASTM Standard Scale: 1"= 60' ..,, BM Description Top of exump dram held vent poe Tables 384 30-3 8 384.30-5 0 60 90 120 BM2 Symbol: 0 BM Elevation. 99.83' 4-SCH 40 PVC ASTM 02685 J////j '/�, BM Description: Top of exerting septic lank manhole cover 4"SCH 3034 PVC ASTM 03034 //ff/lflf//�' ��� / Slope Gradient of Tested Area. (14%) 15'1/ Well Symbol(If applicable) Notes: See CSM for complete Map T1•Proposed 3'x70'EZ Flow trench El=9350' T2-Proposed 3'x70' EZ Flow trench EL=92.50 T3-Proposed 3'x70'EZ Flow trench El=91 50' Property Line / Shed Existing 12'x52' Rock 8 Pipe Bed ® I 101' 99• Proposed W320-MR / I 97 95' Septic Tank WI / leilfA \T1 1 Polylok 525 Valve I'S:, T21 Driveway T3 BM2 •10 � 7 / /.• r Existing 4 Bedroom / :2 House 4�k Existing 1000 gallon Septic Tank Existing Well 1 7yL.'e Property Line Page 2 SAFETY AND BUILDINGS DIVISION Plumbing Product Review commerce.wi.gov i sco n s i n P.O.Box 2658 Madison,Wisconsin 53701.2658 TTY:Contact Through Relay Department of Commerce Jim Doyle,Governor Richard J.Lelnenkugel,Secretary February 16, 2010 WEEKS CONCRETE PRODUCTS RAY WEEKS 1832 215TH STREET NEW RICHMOND WI 54017 Re: Description: SEWAGE TANKS, CONCRETE Manufacturer: WEEKS CONCRETE PRODUCTS Product Name: SEPTIC, HOLDING, OR PUMP Model Number(s): 1000 (49 IN. L.L., 21.76 GAL'IN., 84 IN .MAX. DEPTH OF BURY 511 G.P.D. WHEN USED AS A SEPTIC TANK BASED ON A 3 YR. SERVICE INTERVAL FOR RESIDENTIAL WASTEWATER;. TANK DIMENSIONS = 84 IN. L X IN. W X 49 IN. H ) Product File No: 20100040 The specifications and/or plans for this plumbing product have been reviewed and determined to be in compliance with chapters Comm 82 through 84. Wisconsin Administrative Code. and Chapters 145 and 160, Wisconsin Statutes. The Department hereby issues an approval based on the Wisconsin Statutes and the Wisconsin Administrative Code. This approval Is valid until the end of JUNE 2015. This approval is contingent upon compliance with the following stipulation(s): • This tank must be designed to withstand the pressures to which it will be subjected. • The manufacturer must keep at the manufacturing plant a set of plans and specifications bearing the department's stamp of approval. The plans and specifications must be open to inspection by an authorized representative of the department. • When this product receives wastewater from dwellings and is used as a septic tank, it will produce an effluent quality with a maximum monthly average value for BOD5 of greater than 30 mg/L and less than or equal to 220 mg/L TSS, or greater than 30 mg/L or less than or equal to 150 mg/L TSS, and F.O.G. of less than 30 mg/L. • Approval is issued for this product as being equivalent to a floor outlet water closet when the fixture drain is installed in the vertical position. The design meets the intent of s. Comm 82.32 (5) (c) and 84.20 (5) (n), Wis. Adm. Code, which requires water closets to discharge through a minimum diameter 3"drain pipe or fitting and the bowl to conform to ANSI Standard A112.19.2M. The intent of the code is met since this product provides the same functional performance as water closets that meet ANSI Standard A112.19.2M. • BEDDING; Bedding material shall be used to provide a uniform bearing surface. A min. of 4-inch base of sand or granular bed on top of a form and uniform base is recommended. The tank should not bear on rocks. Sites with high ground water tables should have specially designed bedding. Soils should be compacted under the tank. This approval supersedes the approval issued on 4/21/2005 under product file number 20050106. This approval letter shall be incorporated with your previously approved plans and/or specifications approved under product file number 20050106. As of May 15, 2008, a copy of a successful water tightness test report for this product must be AVAILABLE FOR INSPECTION AT THE MANUFACTURER'S PLANT prior to this product being used as a POWTS holding or treatment tank in Wisconsin. The department is in no way endorsing this product or any advertising. and is not responsible for any situation which may result from its use. Sincerely, Jean M. MacCubbin, CST Engineering Consultant--Plumbing Product Reviewer Commerce; Safety& Buildings Div.; PO Box 2658; 201 W Washington Ave.; Madison WI 53703-2658 Phone: 808-288-0955; Fax: 808.283.7456; E-mail: Jean.MacCubbinOwisconsin.gov SBD-10564-E(N.10r97) File Rel. tell nDOC ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF EXISTING SEPTIC TANK(S) This is to certify that I have inspected the existing septic and/or dose tank presently serving the following residence: (Street address)1847 Raleigh Road located at: NW '/4, NE '/, Section 31 , Town 31 N, Range 18 W, Town of Star Prairie , St. Croix County Wisconsin. Upon inspection, I certify that 1 have found the tank(s), to the best of my knowledge, will conform to the requirements of SPS. 384.25, and it (they) appear(s) to be functioning properly. Most recent date of inspection or service . Did flow back occur from absorption system? Yes No (if no, skip next line.) Approximate volume or length of time: gallons minutes Tank Capacity: woo Construction: Prefab Concrete x Steel Other Manufacturer (if known): weeks Age of Tank (if known): 8/6/1997 Permit number (if known) 289455 Zilli John Schmitt (L. sed Plumber Signature) (Print Name) MPRS 223760 (Title) (License Number) MP/MPRS (Date) Form to be completed by licensed plumber (Dept of Safety and Professional Services Chapter 305 and s. 145.06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin Administrative Code) Rev. 2/2012 Page 4 Jw-OZf•v. :3114 95t8-S Z -008 •an0d-1SOd 00/00/00 :31va 0SL/S NA ')OOa N301'01 'CO A. H SO 91LcM lyf1NVW OLLd3S Z \N ,anOd-38e dOM 'ABov Na° 313Houna u3s3im aw-Oz£M _ �5 �'�. :31V0 'A3a .0-.1 - _f/1 3id�5 W p x W 1.1.1 V) KU Li J Z a o m Q p W 0 1r X > � Z J o O. I/1 CO O �. Q O < < N r < N a cU ILI W � } W a m [] 0] U 0] F l/1 Q o Ivo <;I• 0 Z 0 I- O o m Ce ON w i N I- <cxi C a 0 v U W 1.400g2 In CI_ c \ vi m Cw o < � o N z a 1 LL i 0 -• v 2 m J m g• 1 Y O. N•m I NJ§ r 11 NI F - jd LJ H < z • Mr .. N;,.MZIJ� 81 8iN < 0 m\ Op I- cir Q AZna ,. Or � : _ Oin 0ZCe 0 xx 00 I— O .. x 0 O -5 Z < ZOX OO < F 5 -U G z� i7.10 < < Z Ua 3o W coo2x7 * MW � Y J o 2 < `N § Z yo 2o i i 7 0 < V I- 8 (/1 z IW I -I .94 CC 0 u �SVO „I, cr v e .9 dfl N. I M „V-.1 ii N 1 IAgi I- I I •T , -,/ I 1 1 I—„ t, I q OW If/5 w L _ _ _ J -LJ x L __ = J 1 n - w f Li 11 L _ SVO „0 "� w J << '• c do 2 Li ,.Z-,b 0: w Li O CA o z- ..f9f I- 00321 ,BS a- U, J se < a U U < 6. `l2 N 1 Page 5 Pp]. l • Int hnonnan V P,RAS: Dr inpr Zaher PL:525 Effluent Filter Wntnvnn Product A p„,,,,,,„i p,,M,,i.. P1:525 Filter The PL-525 Filter is rated for 10,000 GPI)(gallons per day) making it one of the largest filters in its class. It has 525 linear feet of 1/16"filtration slots. Like the Polylok PL-122,the Polylok PL-525 has an automatic shut-off ball installed with every filter. When the filter is removed for cleaning,the ball will float up and temporarily shut off the system so the effluent won't leave the tank. Features: I/]h" Filtration Sluts I • Rated for 10,000 GPD(gallons per day). Alarm Switch • 525 linear feet of 1/16" filtration. 10,000 GPD1Tal (Optional) • Accepts 4"and 6"SCHD 40 pipe. Ex e Accepts t" PVC Extension Handle • Built in gas deflector. • Automatic shut-off ball when filter is removed. r - • Alarm accessibility. -- Rated for tO,Wll c:PU • Accepts PVC extension handle. t ' PI.-S25 Installation: Ideal for residential and commercial waste flows up to 4— 525 Linear Ft. of 1/16" 10,000 gallons per day(GPD). Filtration Slots 1.Locate the outlet of the septic tank. 2.Remove the tank cover and pump tank if necessary. Accepts 4"&h" 3.Glue the filter housing to the 4" or 6" outlet pipe. If SCHD 40 pipe the filter is not centered under the access opening use a Polylok Extend & Lok or piece of pipe to center filter. 4.Insert the PL-525 filter into its housing. Certified to 5.Replace and secure the septic tank cover. NSF/ANSI Standard 46 PL-525 Maintenance: The PL-525 Effluent Filters will operate efficiently for several years under normal conditions before requiring cleaning. It is recommended that the filter be cleaned every time the tank is pumped, or at least every three years. If the installed filter contains an optional alarm, the owner will be notified by an alarm when the filter needs servicing.Servicing should be done by a certified Ga`Denet"'r septic tank pumper or installer. nutomatic Shut-Oft Ball 1. Locate the outlet of the septic tank. 2. Remove tank cover and pump tank if necessary. 3. Do not use plumbing when filter is removed. aTh 4. Pull PL-525 cartridge out of the housing. -•- 5. Hose off filter over the septic tank. Make sure all r !. • solids fall back into septic tank. \� 6.Insert the filter cartridge beck into the housing making sure the filter is I and core 1 inserted. lyk kdillZabel a,u, r ...relit •a . ., „ll Pro y P`""7 PolyL,k,ZaMI h Prcr fillet accept Faaily installs 7. Replace and secure septic tank cover. the SmartFilter®switch and alarm. into existing tanks. Polylok,Inc. 3 Fairfield Blvd. Wallingford,CT 06492 Toll Free: 877.765.9565 Fax:203.284.8514 www.polylok.com Page 6 1 1 A El 1 to 2� mi Lo -1 LL g E a t a) elm w 2 O fi 1a, ji za o y Y u a)1. w v I- yG ` c, £ coCL N n ! i L. M a n C% N La u d m (� us5 og c 1 z to M $ o O 00. i • x m 0 Q N a m N �a % e • fi �� E °' 4r s' �c x g ` c al O •_ .6 _ m c� "' O O a) cilw i ? ,-c=) w8 s N i s n � > ca o ? w a cW (I) WZ " o RI- N O CO d O 0 -J c Q O 1- Ufl Iii fc o 11 CO o rimN d J M ` U t ii $ O d II V Q U !r C\I O m C W N •N .•. lA .a a. w _ u.u. L C =•;pp•,�iiiiii c O i Q +_' _ ^ In 3 3 ■J11fi• :: A:' M O M O _..:_.II\...... _ o •�.• �' II 11 II X II Q V ,� ., I 5 _1ia• frj T CO Ill U :... to 8 l4 u w w IL N �...... csi C " O 1n (n Uf LL 1— ii i i�ii T f - • ••••••J L tLl7 O = N 11J t U @. Ud v iii a a a vrrn U a II = o 0w a) z g �. C _1T Q1 " a II w Z — ` o+Z as m 1-- > v d o -1 Z d s a) U Z c al _ a `. (. ya11 1,1� Ill6ii rn 1. Page 7 Installation Instructions for EZ 17 EZ/luu' Systems in Wisconsinate OWnd by INFILTRATOR Wisconsin Department of Commerce, Safety and Buildings 5. The Absorption area (SF) necessary for a given site shall Division, has reviewed the specifications and/or plans for this be sized based on maximum daily sewage flow(GPD)and product and determined it to be in compliance with chapters the Permeability for the site. If certain criteria is met, the Comm 82 through 84, Wisconsin Admin. Code, and Chapters EISA sizing can be used in Wisconsin, resulting in a 40% 145 and 160, Wisconsin Statutes. All sites must meet the,Site smaller drainfield. &Soil Conditions&Locations&Isolation distances as noted in local regulations. 6. Place EZflow bundle(s) in the EZflow configuration ap- proved by system design permit specified for the particu- The approved products are 1203H (3-12'bundles with pipe in tar site. The top or center-most bundles containing pipe center bundle in 5' or 10'lengths)and 1203HP(3-12'bundles are joined end to end with an internal pipe coupler. Any with pipe in each bundle in 5' or 10'lengths. additional aggregate only bundles that may be required, should be butted against the other aggregate-only bun- A single pipe bundle contains a four inch perforated pipe sur- dies and do not require any type of connection. rounded by EPS aggregate and Is held together with poly- ehtylene netting.A single aggregate bundle contains aggregate 7. The top of each GEO cylinder contains a filter fabric pre- only and is held together with polyethylene netting. manufactured in between the netting and aggregate. The fabric is inserted to prevent soil intrusion. The installer Materials and Equipment Needed shall make sure the the GEO is positiioned upward and is • EZflow Bundles in contact with the fabric contained in the adjacent cylin- • EZflow Geotextile Fabric der before backflling. • EZflow Internal Pipe Couplers • Pipe for Header and Inlet 8. The EZflow Drainfield Systems should be installed in a • 8ackhoe/Excavator level trench in all directions (both across and along the trench bottom)and should follow the contour of the ground Installation Instructions surface elevation (uniform depth), with all continuous The instructions for installation of EZflow products are given adjoining 10-foot cylindrical bundles placed end to end, below. This product must be installed in accordance with state with central bundle distribution pipe interconnected, rules defined in chapters Comm 82 through 84, Wisconsin Ad- without any dams, stepdowns or other water stops. ministrative Code, and Chapters 145 and 160, Wisconsin Stat- utes, as well as the local health department's current design 9. The trench top shall be graded such that water will not manual. pond. Backfill should be seeded ui sodded immediately after completion to reduce erosion. 1, After the local health department has determined sizing, configuration, and layout for the EZflow systems, stake 10. EZflow EPS bundles are flexible and can fit in curved or mark with paint the location of trenches and lines. Be trenches as may be necessary to avoid trees, boulders, or careful to set correct tank, invert pipe, header line or dis- other obstacles. tribution box and trench bottom elevations before instal- lation of pipe bundles. 11.EPS aggregate is lighter than water. therefore, it might be expected that natural buoyancy forces would tend to 2. Remove plastic EZflow shipping bags prior to placing cause EZflow assemblies to float out of ground when bundles in the trench(es). Remove any plastic bags in the ponding occurs. Field experience has shown, however, trench before system is covered. that this is not a problem when systems have a minimum of 6'of soil cover as recommended by manufacturer. 3. This product must have geotextile fabric that meets re- quirements of s. Comm 84.30(6) (g), Wis. Adm. Code, installed directly on top of the product and extending 1203H-GEO down along the sides of the product to a point at least six inches from the bottom of product. - Geotextile Bamer Material 4. When installed in a trench, the trench should be dug to -" a width of 36 Inches. This not only saves labor in excava _ _y-—I II I ::• • • tit;'7t�ZRII�KII,f�; ton, but also provides better load-bearing capacity after backfilling is complete. - 35' ---► Page 8 In-ground Gravity Management Plan IMPORTANT: The owner of this in-ground gravity system shall be responsible for its perpetual operation and maintenance pursuant to requirements of SPS 382-384,Wisc. Admin. Code. 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. Furthermore, all inspection and maintenance activities shall be performed by a registered POWTS Maintainer in accordance with SPS 383.52 (3), Wisc. Admin. Code. Maximum Dispersal Area Operating Limits: Design Flow= 600 gpd; BODE 5 220 mgL''; TSS 5150 mgL''; FOG 5 30 mgL'' Inspection Checklist INSPECT EVERY 3 YEARS o type of use o age of system o nuisance factors(i.e. odors, user complaints, etc.) o mechanical malfunction (i.e., pumps. valves. switches, floats, etc.) o matenal fatigue (i.e., leaks, breaks, corrosion, etc.) o solids volume in anaerobic treatment tank(s)and any distribution appurtenance(s)(i.e., distnbution /drop boxes) o neglect or improper use (i.e., exceeding design capacities, prohibited activities, etc.) o extent of ponding in distnbution cell prior to dosing o dosing irregularities- if applicable (i.e., pump re-cycling, float switch settings, etc.) o electrical components - if applicable(i.e.,wiring, connections. switches. controls, timers, alarms, etc.) o distribution lateral or lateral orifice plugging (measure lateral distal pressure—compare to design specification) • surface discharge of effluent or sewage back-up into structure served Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary) c Septic and dose tank(s)shall be pumped by a certified septage servicing operator licensed under s. 281.48 Wis. Stats. when the volume of solids in the tank(s)exceeds one-third (1/3)the liquid volume of the tank(s) or as required by local ordinance. Disposal of contents shall be pursuant to NR 113,Wisc. Admin. Code. c Effluent Marts) shall be Inspected every 3 years and shall be cleaned when necessary to remove any accumulated solids according to manufacturer's specifications. A servicing period will always be greater than 12 months. System maintenance reports shall be submitted to the proper local government unit In accordance with SPS 383.55 Wisc.Admin. Code. Report any component failure or malfunction to: Name of individual or company: Schmitt and Sons Excavating, Inc. Phone: 715-760-0486 Local government unit: St. Croix County Community Developement Phone: 715-386-468 Local government unit address: 1101 Carmichael Road, Hudson ZIP: 54016 Any defective part of this system shall be repaired, replaced, or removed pursuant to SPS 383.51 (1), Wisc. Admin. Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 383,Wisc. Admin. Code. No product for chemical or physical restoration of the POWTS may be used unless approved by the department in accordance with SPS 384,Wisc. Admin. Code. Contingency Plan In the event that any failed treatment component of this POWTS cannot be repaired, it shall be replaced pursuant to a plan submitted to the appropriate agency for review and approval. A failed in-ground dispersal component may be abandoned and replaced by a Code-complying dispersal component in a pre-determined area of suitable soils. System Abandonment If use of this POWTS Is discontinued, it shall be abandoned In accordance with SPS 383.33,Wisc. Admin. Code. Page 9 S-i. CliOI- " LINTY SANITARY SYSTEM File #: l Office Use Only OWNERSHIP/ADDRESS FORM Created2/2021 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 car, do so by using the Property Files weblink. OWNER/BUYER INFORMATION Owner/Buyer Michael & Dana Blue Mailing Address 1847 Raleigh Road City/state/zip New Richmond, WI 54017 Phone Number(required)715-760-1743 Email Address (required) Parcel Identification Number 038-1129-80-000 (found on the property tax bill) NEW SYSTEM: LEGAL DESCRIPTION Property Location NW 1/4 , NE 14, , Sec. 31 T 31 N R 18 w, Town of Star Prairie Subdivision Plat: NA _ Lot # 1 Certified Survey Map #807 , Volume807 , Page #807 Warranty Deed # 522715 .(before 2006)Volume 1 100 Page #109 Number of bedrooms 4 Spec house 0 yes ■ no Lot lines identifiable ■ yes 0 no OFFICE USE ONLY New Property Address (Verification of new address required from Community Development Department for new construction.) (Staff Initials) (Date) This form must be submitted with all Private Onsite Water Treatment System (POWTS) applications. New System: Include with this form a recorded warranty deed(torn the Register of Deeds Office and o copy of the certified survey map if reference is mode in the warranty deed. Community Development Department - Lard Use Division 715-386-4680 St.Croix County Government Center 715-245-4250 Fax g_dd@sccwi.gov 1101 Carmichael Road, Hudson, WI 54016 S; Page 10 r'OCUMFIVT NO WARRANTY DEED — .. •.. .. .. ._ - . ,STATE BAR OF WlSt•ONAIN f'IRM 2- UM 5227as . VOL iinnol;r109 . — ---• Joan M. Plane, a single person, Rset: isr6:alaoid ,j . i OCT 2 1' ]994 ) • ...,,„,„,,, and warrants to Michael J. -Blue and .Dan&.. E.lue, :i \ 11 Q �j' �1/: husband and wife, a+•+—V ` .n.'+xJC i the following described real ealata In .. . ... .St., C,rPi.x,_ _ . (.;uunty, L. - - i, :;Lola of W•eo:eosin Tex Parcel No: .. .. .. .... Part of NW 1/4 of SE 1/4 of Section 31, Township 31 North, Range 18 West, St. Cr• ix County, Wisconsin. described as follows: Lot 1 of Certified 1 suLvey mar, ft1 d M..y 75 1979 1n Vnl . ta'1" oaee 807. Doc. No. 357065. li I ptNSFF.� Ii 33p,0.. :i EED !I It V I' II This ..ir$ Iwmasty:ad prorerty. li (fa) Q¢OODO( II Exception to warranties: Easements, restrictions and rights-of-way or record, jl if any. is bey . ,n 94 II 1! Untold thin .. ��. !:;o .. tiny ofII 1 1 . . (SEAL) \ 00.1,1 v(7'l • f-- ke l ALA I. il • J M. Place II II 11 II ' . .. . . . .. 11 Ili AUTHENTICATION A C Ii NO W L EDO M E N T {I Signature(a) s19ElR r aS:. .. �. ST A't'.!: Ui• WISCOti51\ . '1 ii I' :,utLan Gaatad this a:02..!;day of 00l-n y la 94 Per,onnlly ranee before on a Urid .. above tlo' of . II II 144;1(44.4044. • Kristin acid ) ... .. .. . . 1I 't TITLE: MEMBER STATE BAR OP' NIR('ONSIN __ _ __ ' . ._ .• II .... • .... .... .. .. .. . . .. . .. aulhnr:>ad by y Tan.D6. Wis. Santa.) to to,. knots.. to ho (be aernnn . .rl•.. e:•. .,:cd for ,nrec•,i,n: in.1r and at-knowledge Ii.e $1u.'.. T,•.11 •NETRIMENT WAS O.t*ITKO a,' . ._.Kristine.OAlend _.. • Attorney at law .. Not:,,... 1•,aLnr It i. •8iafontbre., only hr lost hood tented •••• ben•1•.,L'i.-,i,,••t. 1:n0i. %1 1. .a.n i• ne r tnn: •'.••. • II ant. .;.0• , •n',..n M An/ n.•ceyory.t •Venn... .4' p.r...n. uen•na .n •n: •••..n.,•le .1...•.1 1. 1,•.. • • I. I. ••.. . r• .. •. w a nnnVT1 nrin ASATI. MAII or •.%1•.....%.1•: H•1PM NoI .. I• ... . Page 11 35'7065 - - CERTIFIED SURVEY MAP 807 _ --� Part of the Northwest 1/4 of the Southeast 1/4 of Section 31 , Town 31 North, Range 18 West, Town of Star Prairie, County of St. Croix, State of Wisconsin, described in Volume 3 of Certified Survey Maps, page 607 as 40—8 Certified Survey No. 807 1 " FILED V- MYE AY 0 1979 IA 0'CONNILL bgYlr . Deed. M Oats Oay, Whoa°i UNPLATTED LANDS 4i-._ w� CENTER SEC 31 • • NORTH LINE OF SE I/4 SEC 31 ��'�Jia Y 20 r944 _1 / • - N 89 0.4 9 17' W - Ne9o49',7"W 867 • 66 /q c 52 5.0 0. A 1888.47 • O. / .y C o / a;o _ I. n ♦ gL O n � ' LOT I /BUlA8LE NOT c * d O•• y 1 •v oO •• h„�` 134,251 SO. FT ,y3 0 z r ,• ./ opA 3.08 ACRES t 4o• CI / dj• eO •O� BO., N • ° /a6 o3A ° 510.06' ' • $700 8 �4 6 0 :� E • °9'4 j..e a N 85 24'18 UNPLATTED /tAPJQS, rl,, GOlysLEGEND O 5/4 " a 24" ROUND IRON ROD .44" WEIGHING 1. 502 L85/ LF. {' Q y �� n"r;. ,le, ti BEARINGNESREF TO THE EAST +.� C., , V LINE SE V4, SEC 31 ..°� ••• j° SCALE A$N 01 tD 06g ARIVNG I 100' 1bo SO 0 1do I . LEON R. IIERRICK, Registered Land Surveyor, hereby certify that I have surveyed, divided and mapped a part of the Northwest 1/4 of the Southeast 1/4 of Section 31 , T31N, R18W, Town of Star Prairie, County of St. Croix, State of Wisconsin, more particularly described as follows : Commencing at the East 1/4 corner of said Section 31 ; Thence N. 89° 49' 17" W. 1 ,888.47 feet, the point of beginning; Thence continuing N. 89° 49' 17" W. , 525.00 feet; Thence S. 25° 05' 20" W. , 231 .48 feet; Thence S. 700 09' 47" E. , 126.18 feet; Thence N. 85° 24' 18" E. , 510.06 feet; Thence N. 01° 04' 52" W. , 210.00 feet, to the point of beginning Said parcel contains 3.08 acres, more or less, 134,251 square feet, plus or minus. That I have made such survey, land division and plat by the direction of Larry Chadwick. That such plat is a correct representation of all exterior boundaries of the land surveyed and the subdivision thereof made. That I have fully complied with the provisions of Chapter 236 of the Wisconsin Statutes and the subdivision regulations of the Town of Star Prairie and the County of St. Croix in surveying, dividing and mapping the same. • DATED THIS 7/ •7 DAY OF,WAyea/ 1979. -- / 1 APPROVED Surveyor I eg`�sfered'Len� APPROVAL OF THIS MINOR SUBDIVISION MAY 17 'f9 DOES NOT MEAN APPROVAL POR BUILDING SITE OR SEPTIC SY;,TEM. Page 12 c, r..,,,.r`n4.,.n.'i57nNc. Don. +N rsnw r^r+,,,,Tv REFER TO H62.20. u'..T,,.... a v.,,. iin7 °''" T" SOIL EVALUATION,RP;POR �sr =_' a,' _.fie :mner 1. :cC..3 2 ..-r':4 ••i'_..-a 7,: .. Please print all rntormahcn. , . , IC .nP r!V :n-� _-- ------- --- -- ------ -- - ----- I 'ue Mrchae . :Pr 3 - _ • .. 1 -rx.e"-, ,,.wra ;V., t:..,. ., 1?e ero 7 Raln Fcad . r I 'Jew RIChrnCr: ,\- • ._ _ _. _ ' Sew r',orstr.,-'. . .59 -S.:Pr a _ ----------.--_ > _ ------ - ------- Paronl .ra:e•.aP _uP:/3bh zinfrn.:: C. . C-eeeral Comn.e^'; ..: a - -. . • ._ I1 ?Jr'r� =• - D 3 :J r..: 3 r-„1. ,- L+--"; _rJr _ - . ..1.2 _ . - I - 13 33 - . _ SP - , 4 4;-a,' - r :S' bane Peae- _ _ 'lamas . SCrtn, i^ - . r.lr.3A , ""It. -- -pc. . - - ... Property Owner Blue, Michael& Dana__ ParceliC e 038-1129-80-000 Rage 2 or 4 Boring 3 Bon,9 k Pit Ground surface eiev 7 — 96.80 Cepth tc:r c n^'ar,r q SOi..4p3hcatton Pate Horizon Depth Dominant Color Redox Descno;:on Texture Structure Corstsle-•ce Bo.mdars Roots GPD h' in Munsell au Sz Corr ,olor Sr Sz Sr pit.' •ElzZ 1 0-18 10yr3,:3 none sl 2rgr nn•fr ds 21,2v1 C.6 1.,. 2 18-33 10yr44 none sl 2nsbk mfr gv. :vf 0.5 : . 3 33-39 1005/6 none Is lcsbk mvfr qv. :vf 0.7 1.6 4 39-80 10yr5i4 none grcos Osg ml cs --- 0.7 1.6 5 80-97 10yr6!a none grs Osg m' ---- 0 7 : 6 Boring Boring* Pit Ground surface elev Depth to Thlmg'act:• .r Soi; =,ppl,Caron Rate Horizon Depth Dominant Color Redox Descr.oton Texture Structure Cors ste^se Bot.ndary Roots GOD rr- in. Munsel' Cu.Sz Cont Color Sr Sz Sh E'er• 4 Ewv1 • Boring Bor,n I Pit Ground surface eev h C01h t0 rn?-g'3Ct:• S u .:ppl:catron Rate r F,oc's GPO tt' i Horizon Depth Dominant Color Redox Descnobon Tex+.re Structure :o-s ste-:e B,unaan i in Munsel. Cu Sz Go•rt C3'cr ✓ "= Sz Sh . ' . 'P'v_ 1 •Effluent#1 =BOD,'3C<220 mg'L and TSS -3C< 150 mg_ Eifi_ert 42 -SOD, <'30 ray... an;!TS., < 3C^c.'_ I he l) Partin.nt al•Conana cc is an.uual onj.'--:1 nit. •cn need m;rl:ri:J in XI aitrrn.rt: forrtd I'I:.t.,•..r<r.i,I iii. ,..,,, tn,;nl n ',i,5-'r:.,-.I• :•r ' I 1 r i,S.`,,1_S--- •:1.1.... P. - - _ 3 -J - ;_.1'_,'C _::::_.:- :: c 1 Q v � �g LL 0.1.. -4-> me - Y CJ C .3ti a-1- - wY V W'J N c Q Y _ N N 00 \ 4 6'4 _ 1., VIM. a)a) —., 8,--- - As: ' • '� �•� ��. • (7 N _ ti - i •"•\4\ a, o: tD O cc � ` U �g c�a z = v ,_ 2 ONE R, a 1 a,; xsJ c ,cowv> > \p N� _ z— (1 a'•-OQ O U7 'O ti U �. U � 0 2a �oUZI-- r blot' ate,' •.,, • - C i 0 7 - . . - 1: -' - 0 1 = -... f - • , 7 —-• ---• . _- . X '0 ..t . . - - - •— C ..! -• t !,- . r . . - .• - 0 4Il i z 4 :i • - 2 i.. .. .: _ . • (....) CU J — ' - (75 . • _ . # . ?• r •\ ea• 411 4. . - 4:11• a ilt •• ..... •• ••••; . ' .41. . V*0 - .1t- -• -..." . P.'.•.. ... ..W., 5 14t., .i• -'..r • :. ,•-,•.S-0•''(17,,i1t•,_ - i •A - 1 I r .. .....1, .,Is7•_ , i. • ' - • tp• - r a. •:.,. .N i• - • l'1. •'' ...- ...r t . ' 1 tjgq.' .1 r, -V1•4 -4 if' • 40. . s.,;2 1 te , ,... , f,.- . • 1% .4. - .,1 - , . • -. ._• _ . • . . , ._ . . . . . JO .. • 4.11 V`4 - • ••• • , • . -it -411'• ). , 4'..s. - . .• . 4. '7.34k...•••• ,. . ... :, 1 -.--, .. •. • -..• • , . . -.: .iti.1 .... . :.• ...• ,., 7 r- 20 • . I - -4010111E ' ''. . • , .4.'4- „, ••• • ' 4-4' , 4'. r. ..• - -• - al. . •••2.‘ r 4.; • I „„ , 1•.1: -c "'' ' t % , •. .,. :: ;. '•:' i.. --e• i 4.4 . • t . - • • .0 . ,, .,.f • A .. , ..': .N • • . . ' ..f . .., . •i,.-• . -- . , .;,• • k ' ..... ' - 1.,.4- .. lac. . _ .. k - - - : • ‘_ P-1..),,•4 -' • - ii. 44-i. t . S.,;,wit'''•‘ 111'*rt.' D. • .- • • .... t , . .. ''.*:4.'.4' ; •••-••;I, •• . • . 4 4 ••..1'i • ''''.41*. . 45 ... .. . • 1 •.. - rt.. - • • . •• t•I RI?. Q • _ ,:et. . . . ., -.... "-.. . . • . -.r•4 : .:' ' - i • " ` .. ' ; Air 4,111.•• ' .,,V,.. I • -. k, : , .!r • t,. .. - 8.4%. • • C• • • .... . .. I ?I . --- - am s ... . .4- . . • • . , tititmlit 'witilili hot. 't.'-• . • .,t•r_ op.; 411,Mtlialh".0,-..._/s1.1 141 . , • ....... • •Jr•.• ;• • , ,, •. ti JO 17 e•eri De'3 `P. ' SOIL EVALUATION,RF�PO S - - ;a,r...r,mt..P:e. i 1. ..a _ Nett -_. - - •, ._:utle 1.o -.•1r 'e•' ' .- _3 a- . - .. - ., • .-- . - . - , - Please print a!!rnformat%cn. - . I Sue M!chae!e. "Dani.-: - - i ?rpper(r Owr;e,s ida.i,n,7 •:.,•;.e.y : - I 184- ?ale,ah Pcad - •- NewRcr'mcr.?. •. _ - _ ____._ _—_ .__ I I..,, ._,jllsln - . Dec a:e-" --• - I "a•<-.'rates'_ _ ,::'asn „-r,er ' I r:annral..a;-p•Crrc .�c.- - - r:.: - . la.•a :C7f.m171e-Ja1:C _ - - .. - 1 1 3Jnr' ii C3 ?orng G :Tr: 13--33 Ili,•4.4 r ;'': . 4 4:..ip i'..e,..: 4 r.Pr? . . _ , ' ` .r,..,a -- — .^;-name �.ease ; _ --- — --- ._ -nomaa,. Sohn ,,. - Property Owner Blue, Michael& Dana Parcel;t s 038-1125-80.000 Page 2 o' -3 3 Boring - ---- Bonnq a Pit Ground surface ere. 96.30 '! C'epth to •r- : -Z ra c:Dr 97... r Sci LopiCat Cn R9L Horizon Depth Dominant Co.or Rector Description 7e•tu•e Sri„-:,r. Onnststerce ac„-tdary P.'o•s GP,'t in Munsell Cu Sz Con, Color -3r Sz Sr E- •Ff•=: 1 0-18 10vr313 none s, 2nqr •nvir as 2f,2vf (.6 l - 2 18-33 10yr4/4 none s, 2msbk mfr gu%. iv' C.6 1.3 3 33-39 10yr5/6 none Is lcsbk n)vfr iv. ;vf G." 1 5 4 39-80 10yr5/4 none grc3s Osg mil cs -- • C 7 - 5 80-97 10yr6i4 none ors Osg r.' -•- C 7 - Boring Boring a Pit Ground surface eie:• ft Dope to m,br•g faCt•zr — —Seil L,DpllCattOn Pate Horizon Deptn Dommarl Color Redox Descnpt,on Texture Structure Censiste-ce Eounoary Roots GPDih' in. Munsell Cu Sz Cont Color G• Sz Sh -.+I -E"•_ Boring Boring* Pit Gro.rno surface e et • ..enlr 'o ^1? r3G'Y Sn 1;.p,icatror .+a:e Horizon Depth Dominant Color Redax Desclot Jn 'e rt.:re Cc 1x star za C Cunna:y =DO'S :CPC'1' .n Munsell Cu.Sz Cunt Con;:- 3r C: Si- `_ E`m: Effluent if =BOD,>30< 220 mg&and TES>3:- 'EC n-g I. • =tfl•:ern r2- ;OD, . 33 n•3 l enc TSB = 3 •mg _ IhcI)canm.ntot Comncrcit<art:qua'opts,r.r•r..t •,r .;r:• ..Li .:n,i :m;`.r, L: • , ❑ic.1 m:Ncrl.,l 111 IV :lllcrnaiC LT'll It I•I. PJ..•:: 1,1 I,,, a.,•l'..:' 11." " r,.r.- ,•. .I. • f I , ..IN. 1-S--- t . . : ---: . ...; G . 'Z , x o . _ U , ... . k f .:. .... : -- .: ..:. z --...... - ..... . . - . •mm• C . - - . 2 07 _ : U a) t-r) ... D c:, ... > ....: ...,.• 7.. -3.5 :S E L0 > 0 = < D ✓ CL L- '17. - - W 0 w•ct x 1-..:-: _ '' x• ii ".:1 .....•m'''•••••••,,, c.) a, "a'5 ,9.a .:-.: o ._ I-- - • ), ..... .-- ,.. o`c. .- c 0-. -_- " . -- .... CO CO '.... •••e. N - •.. e, g - - V 1%? ts....\......................i CO I.-. Z 2 ,...: (.4, -,.„,• •• ;. 1,--n.) '0 N • (3) . ,,-7 w V) t% j'• • N 0 .g 7,-, ,, E 11,-,1•1 1;,-).... 0 ,.= 7 I- 5 W 0 agio .s 0 2J —ouzo- ; t7 10 cs 9berl C —. 0 C = _ - • _ E • 2y - - - - _ - - _ U -aA r. y 441.• A ..1 Y w a. -. IS v' • ak r` 'My: A P • ' •*' 1. t a - • r ti 11041 I 1 4 v ... • yy. • 1 •. r I a- , .w • ' , .^'� -^ '5 r 1_ T 3 . } 2 1 1 i . 1 ♦:' ,4 I'[(try • _...e QQ � r • "A. ♦ 1 I+v w y • 1 0 lit > `c • tillkitib y,. „,.‘. ' .y.,• b io b a ed • CSr�Ca l - S 1/ • $ '4 Depa ' SOIL EV LiUATI a ' - - a -T #2178 _' - Safety nd i ance 'i Comm 85,Wis.Adm.Code Page 1 of 4 $ ; Professional .•rvicesQCT 01)r Schmitt Soil Testing,Inc. e �, County Attach complete site plan on pa• r not le* • a'ifA4# • ._ in ize. Plan must St.Croix include,but not limited to:ve and hold. rl , ••..%,,.1L - ),direction and percent slope,scale or dimensio s. • 111 • ion and distance to nearest road. Parcel I.D. 038-1129-80-000 Please print all Information. By Date / Personal information you provide may be used for secondary purposes(Privacy Law,S.15.04(1)(m)). R� �/1 if 7/it ! ZZ Property Owner Property Location !Y�Tr / I{ If Blue, Michael&Dana Govt.Lot NW1/4, NE1/4,S31,T3118N,R18W Property Owner's Mailing Address Lott I Block# Subd.Name or CSM# 1847 Raleigh Road 1 CSM Vol 03 Page 807 City State Zip Code Phone Number ❑ City r 1 Village 7 Town Nearest Road New Richmond 1 WI 1 54017 1 715-760-1743 Star Prairie 1 Raleigh Road ❑New Construction Use: ❑ Residential/Number of bedrooms 4 Code derived design flow rate 800 GPO Replacement Public or commercial-Describe: /��[[— ZtV Parent material Outwash(Plainfield loamy sand) Flood plain elevation,if applicableµe ha ft. General comments Replacement area is suitable for a conventional system with a 0.6 gpolsgft rate, Possible system eleveation for replacement are is and recommendations: 93.5'(high trench)92.5'(mid trench)91.5'(low trench). Slope of area is 14%. 1 Boring I Boring . pit Ground surface elev. 96.70 ft. Depth to limiting factor 102+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/It' in. Munsell Qu.Sz.Cord.Color Gr Sz.Sh. 'Ee#1 'ERN 1 0-8 10yr3/3 none sl 2mgr mvfr _ as 2c,2m 0.6 1.0 2 8-38 10yr6/4 none s Osg ml 6 lm,lf 0.7 1.6 3 38-102 10yr6/4 none groos Osg ml — — 0.7 1.6 9/•30r # Q Pa Ground surface elev. 95.0 R. Depth to limiting factor 98+ in. Soil Application Rob H01112011 Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' In. Munsell Qu.Sz.Cont.Color Gr.Sz. Sh. 'ERt1 TRIM 1 0-13 10yr3/3 none sl 2mgr mvfr as 2f,2vf 0.6 1.0 2 13-38 10yr4/4 none Is Osg ml gw m lm,1f 0.7 1.6 3 38-47 10yr5/6 none Is/sl 2msbk mvfr gw lvf 0.6 _ 1.0 4 47-98 10yr6/4 none s Osg ml — — 0.7 1.6 I --..------ %SO — - s ITr�� , 38-4T is mainly my sand with some bands of sandy loam,horizon Is rated for the sandy loam. •Effluent#1 =BODS>30<220 mg/L and TSS>30<_150 mg/L 'Effluent#2=BODS<30 mg/L and TSS<30 mg/L CST Name(Please Print) Signatu CST Number Thomas J.Schmitt 227429 Address Schmitt Soil Testing,Inc. Date Evaluation Conducted Telephone Number 1595 72nd St.New Richmond,WI 54017 8/30/2021 715-760-1978 SBW310(11.07A0) Property Owner Blue,Michael&Dana Parcel Ds 038-1129-80-000 Page 2 of 4 []Boring 3 Boring* Pit Ground surface elev. %.80 R. Depth to limiting factor 97+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure 'Consistence Boundary Roots GPDI1t' In. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *OM 'En#2 1 0-18 10yr3/3 none sl 2ngr mvfr as 2f,2vf 0.6 1.0 2 18-33 10yr4/4 none sl 2msbk mfr gw lvf 0.6 1.0 3 33-39 10yr5/6 none Is lcsbk mvfr gw lvf 0.7 1.6 4 39-80 1Oyr5/4 none grcos Osg ml cs — 0.7 1.6 4- 5 80-97 1Oyr6/4 none grs 0sg ml — — 0.7 1.6 —93.sof ?VP 775-49 Boring Boring# •Pit Ground surface elev. It Depth to limiting factor In. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure 'Consistence Boundary Roots GPD/M in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *EMI 'EItI2 Boring Boring# Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon ` Depth . Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPO/ft' in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *El1It 'Efft2 'Effluent 01=8t3Os>30 s 220 mg&and TSS>30<_150 mg&L 'Effluent#2=BODS<30 mg/L and TSS<30 mg& The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format,please contact the department at 608-266-3151 or TTY 608-264-8777. SBD1330(R07A0) SdnYa Sal Tasting,Inc. Pa3of4 • 2 ..„ ID� C) �2 / azG� Ili i � 2 . (orncoe� -�® 0. �§ a � {®9 kw2 a c CA ') J2 \o a , \ s5 cn �\ @ I E. \ } - ~ ) ca 7. k 44 is,t co i B( 2 � $ 447 CD - I . �'• �• $ �� .. en (0-. IV Illffliik ��` k %% CA x wVI — « 2§ � %\ \ /0 .,_._._.' m f f ƒ7 cora� k a. 2 ! ® k qm \ƒ i\ g '\ 2a <A 17 2k 23 0� \ \ S. w i: 2o I m r n ill I WWI'I' f I | | es -I -- - z I � � � | | / | | II | � % % o. o | ! §iii ; |t| * Pa.e4of4 ,..--.-..i. • ii : s . ifit li 6 • adr ;' ti .IF fir- . F I 41% f Y. A. i. ID-�•.. Ivy . .. - i •'toy 4. ♦� : « • , IP • s � A �Y sue, ' • i - 0 4. *, . . . _ Y: 0 a 4.00I r.. I.: • ,.• 0, r . ; Wes[ y. e • '• • 0 N 1 f31 ? 12 i i i I 1 0 i. fpyQpy� Np aaZ I m • " 0 Ili c c ° ` ' 4-+ i d o p� p � Y � F..� • i 4 12 L( L) a g v rn ,,,g .. > ■ .�` .� ''sib,, .. 9 ..J �V{ rU°N-ft \!...,, ! o f 11 ju a ry ,!" �� Hj - ` o vi . .. e 7 « e r 0 li & vY b ;4620 . Wil &lilliik W as4m C7 s � o A3 0 z o 1._ d A 0 4 o c4 * wo VD a Qra w � w g c ;.4 4t Z E-I Cel C. �" - 4 i 1-4 1 tl V ANJ 4.4 Z w e �N 4 ,;_i z � 4 o 0 4t 0 w .4 j i — , i cA w 4 .1 t..4 1.1 0 H g .tc .11 4 E..1 . es W " - X pi. ,: , • E-1 IP4 1 1 Eml C4 c:11 ° C4 a. IN a4 V1 wz710 , PI i.4 . a 0 a H07