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012-1056-30-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 648439 GENERAL INFORMATION State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village Township Parcel Tax No: Dennis & Jane Soderberg I TOWN OF ERIN PRAIRIE 012-1056-30-000 CST BM Elev: Insp. BM Elev: BM Description: Sectionfrown/Range/Map No: f so .a �oo.� mI — r��-F r%r,i- 1 25.30.17.395 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER �`� Pe k 52S • IiRf CAPACITY Septic WtESEe / 7 Dosing r r 7D tt Aeratio Holdin TANK SETBACK INFORMATION I,eptic I '> 1 113 f 1( 1— Dosing I Lf I U I PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Number *-73 2G q0 TDH Lift 4•S� Friction Loss D,IS System Head f TDH Ft Forcemain Length I Dia. fl Dist. to Well SOIL ABSORPTION SYSTEM STATION BS HI FS ELEV. Benchmark $� 102•S r f 1oo.0 Alt. BM Bldg. Sewer 7,0 St/Ht Inlet St/Ht Outlet Dt Inlet ` Dt Bottom 93.55� Header/Man. I e2. z` Dist. Pipe 1 Bot. System Final Grade V—JPWi l[ 6¢ K.Cft qr -4 St Cover / /;1\ 3, p 0.1, 210 1 ED ENSIGNS Width I $ Length 2�' TT No. Of Taeocbas z L_aLs PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth SETBACK SYSTEM TO P/L IBLDG IVVELL LAKE/STREAM LEACHING Manufa er: INFORMATION 0 CHAMBER OR UNIT Type Of System: _ rA 'IODf 3,2 /P3 Model tuber: DISTRIBUTION SYSTEM , Header/Manifold 'Vf q .1 /i' Distributi �j s) I� 2• i �.C) Vent to Air Intake Len th Dia g Lang Dia Len th S acin p g SOIL COVER x Pressure Svstems Only xx Mound Or At -Grade Svstems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bedfrrench Edges Topsoil 0 Yes 0 No 0 Yes 0 No COMMENTS: (Include code discrepencies, persons present, etc.) Location: 2080 130TH AVE 1.) Alt BM Description = 2.) Bldg sewer length = - 9D -amount of cover= `�Z rfF�`l e'v`f' 3> � sT W : a 6e > 6Q� ��I��I Plan revision Required? [* Yes XNo Use other side for additional information. Date SBD-6710 (R.3/97) Inspection #1: leITIZOZ3 Inspection ` 7oL 3 3• FrfvAL> Insepctor's Signature Cert. No. _.n Al. �,�„ Department of Safety County h� APR 21 2023 1 & Professional Services, ST CROIX Sanitary Permit Number (to be filled in by Co.) Industry Services Division St. SAN-2023-049 o m m u i -Sanitary Permit Application State Transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit �s — 0 Z 00 3 — Project Address (if ditlerent than mailing address) is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to the Department of Safety and Professional Services. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, s. 15.04(1)(m), Slats. 1. Application Information — Please Print All information Property Owner's Name Parcel # Dennis Soderberg 012-1056-30-000 Property Owner's Mailing Addre s Property Location 2080 130th ave Govt. Lot City, State Zip Code Phone Number BALDWI N WI 54002 S W y,, se '�,, Section 25 T 30 N R 17 E or V1 11. Type of Building (check all that apply) Lot # Subdivision Name t 0 1 or 2 Family Dwelling — Number ofBedrooms 4 D a-cX�s Block # ❑ Public/Commercial — Describe Use ❑ City of ❑ State Owned — Describe Use ❑ Village of CSM Numbe�__ 0 Town of ERIN PRAIRE III. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C i applicable.) A. ❑ New System 'W Replacement System ❑ Other Modification to Existing System (explain) ❑ Additional Pretreatment Unit (explain) B. ❑ Holding Tank ❑ In -Ground ❑ At -Grade ® Mound ❑ Individual Site Design ❑ Other Type (explain) (conventional) 4 2 I C • ❑ Renewal Before ElRevision ElChange of Plumber ElTransfer to New Owner List Previous Permit Number and Date Issued Expiration IV. Dispersal/Treatment Area and Tank Information: 5 _X •?5 lYle UJ-P- E?- FLOW v=tP 54 I;evm1,0 a Design Flow (gpd) Design Soil Application Rate(gpd/sf) Dispersal Area Required (st) Dispersal Area Proposed (sf) System Elevation 6M+& ,,r = 600 .6 1000 1498 101.E 1001c) Capacity in Total # of Manufacturer , Tank Information Gallons Gallons Units F�(,_� Sl' OF —! o o� ° �„ U � �.rA V1, New Tanks Existing Tanks Pe[ Zs «< e aU Y �y 0En � Septic or Holding Tank x 1 I E S E R Dosing Chamber x ----------- 800 WI ES E R x V. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. . Plumber's Name (Print) Plumber's Signature MP/MPRS Number Business Phone Number PAUL R KOEHLER 225410 715 246 2660 Plumber's Address (Street, City, State, Zip Code) 321 WISCONSIN DR NEW RICHMOND 54017 VI. County/Department Use Only X Approved ❑ Disa Permit Fee $ 15_-- Date Issued Y12 Issuin Agent Signature e ❑ eason f'or � `j C3 212DZ3 Conditions of prov 1 31 S#e4,,,_ � m " perS� • 33 �,;,,� M Q„' /'- _ U SYSTEM OWNER: LAI - 1.Septic tank, effluent filter and dispersal cell ff) � �� �'�tMs c. ;� DSPS � Ft� must be serviced / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code / ordinances. .attach to complete plans for the system and submit to the County only on paper not less than 8 1/2 x 11 inches in size SBD-6398 (R. 03/22) Designer: Ryan Bechel © 2022 Advanced All property lines not o Benchmark SYSTEM NOTES Certified Soil Tester: 1330832 Environmental TLC. drawn are >100ft from Septic Tank: ADVANCED Designer of Engineering Systems: D 2263-7 All rights reserved. E N V I R O N M E N T A L system + Soil Boring -Wieser 1200/800 gallon 2-compartment tank SCALE -- -. �. I NOTE: east property line I Bung risers 4' above final grade I -Best GF-10 filter wl alarm/,. PaIY% g follows fence line per owner �" -Do not route clear water sources into septic tank 20' t �� ` a -Existing "gray water system shall be plumbed into COPY0'- - 40 \ .._ r- - - ! new system I -Existing system to be abandoned per SPS 3K33 50r �- -.- I I \ I Pump Tank: + 1 i Welt r----- f I j I I -800 galbns + _ ; \ I ! -Pump needs = 27gpm @ 13TDH Desk -Move tank as necessary; maintain all setbacks -Recalculate pump Friction Loss and TDH after install \ I I -Event counter, lime meter, or water meter recommended + + +�� �- f� ,� 4BR Home Garage Soil Treatment Area: + +y , I I a 8' x 75' Aggregate Mound (A x B) V / Deck' �f /� I -96.2' x 27.1' outside dimensions (L x M +— — I �.1 101.50' system elevation on 100.00' contour + + + — — I _ -18' ASTM C-33 sand lift (D) '�- I - ev - - I -U stumps flush to ground; avoid digging -Mow entire absorption area and remove clippings + + -- T - - �` ' -` 1_ - - - - I -Plow absorption area to depth of 6'-8' -Divert surface water away from system E I -Protect 15' downsbpe absorption area from compaction + f 140' 4" �'�� F_ J �\ I during construction sch 40 PVC E XI Stl rig \\ i -Depth to restriction =18' (Redoximorphic features) septic tank + Clean ; -- Dry r\ Buried ) ; Distribution: B M 2 -� 107.45 I I 42) 7r long 1 ' sch 40 PVC laterals with deanouls-use out � well \ utilities �` >.I � + Top of existing tank I sprinkler boxes for protection �� I fo I I -Lateral top elevation=102.13' I -1 � header, end -fed network, J' orifices @ 3.0' spacing manhole cover \ 1 ' t \�, ` ^ I N I . � -Laterals to be spaced 18' from end of bed 3 24' to sides -Demand dose float settings per design I \ House grade N ' 107.50 + I ng st x�\ Tr Br h Septic tank grade ~_:-106.I LOCATION MAP (not to scale) t Existing ee/ line ._ -i ! 45 + a bed system \�� , + , a + B.S. inlet N 98.95 - + + i ,` +- ' + New Wieser f ' + ; SITE _ + rt +-1200/800ga \ i g1 �+ i I Z) + + w/ Best GF-10 ; ; �Y.--1��'� + + + + + 130TH AVE + + + t - / L _ c 98. — \ -99 .00 I I J PREPARED FOR: J B2 \ +� a Dennis Soderberg + + + V�+ + t I I Site Address: ��+ � j 2080 130TH AVE + + `�i' + + 120' 2"+ + — - -- - _ - + �4+ sch 40 C - I I Baldwin, WI 54002 + +\ COPY + BM1 � 100.Qb � I � PID: 012-1056-30-000 40.00 Acre + + + + + - - - + -Top nail in 1W hardwood -�� + + \ Legal: S251T ONERI7 ---W +- _ 4- }_ + tree (33" above grade + r� + + Town of Erin Prairie � I t Certified Staternerk This system has been designed and evaluated in accordance with State and Local codes. The soA treatment area must remain protected from disturbonce and/or compaction before and after conrtn ction. Scale: 1" = 40' Date: 11/1/22 NO WARRANTY IS MADE THAT THIS SYSTEM WILL CONTINUE To FUNCTION INDEFINTI&Y. System must be property maintained. Review your system's monoaement Dian for Information on proper care and maintenance. ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■!!!!!!!!!!!!!!!!!!!!!!!!!!!!!ll�.�lgee:==:GGiii�!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!■ ■!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!n!!!!!!!!!!!!■!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!■ ■!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!11!!!!!!!■�!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!■ ■!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!11■11�■A!!7■II!!!!■!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!■ ■!!!!!■!!!!!!!!!!!!!!!!!!!!!!!�i!!11■IlltlrlF/►ll�!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!■ ■!!!!!!!!!!!!!!!!!!!!!!!!!!!!!11!■11■DIY"!!!!!!!!!!!■!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!■ ■!!!!!!!!!!!!!!!!!!!!!!!!!!!!!�I!!!!!!!!!!!!!!!!!■!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!■ ■!!!!!!!!!!!!■!!!!!!!!!!!!!!!!!!!!!!!5�.a... �����J!!!!!!!!!!!!!!!!!!!!!!!!!!!!■ ■!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!e!!!!!!!!!!!!!!■!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!■ ■!!!!!!!!!!!!!!!!!!!!!!!!llr�!l..�!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!■ ■!!!!!!!!!!!!!!!!!!!l1.lu!!!!6�!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!■ ■!!!!!!!!!!!!!!!!!!l111!!!■��!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!■ ■!!!!!!!!!!!!!!!!n!!■11u!!!!!!!!!!!!!!!!!!!!!!!!!■!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!■ ■!!!!!!!!!!!!!!!!�!t•��r.�!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!■ ■!!!!!!!!!!!!!!!l1111!!y!!!!!!!!!!!!!!!!!!!!!!!!!!■!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!■ ■!!!!!!!!!!!Alli!lfa1:!!!■11!!!!!!!!!!!!!!!!!!!!!!!!■!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!■ !!!!!!!!!!!!!!l �lil!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! 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CROIX COUNTY SITE: DEWS SODERBERG 2080 130TH AVE BALDWIN, WI 54002 SW1/4SEl/4SEC 25T30R17W FOR: Design Wastewater Flow Value: 600 Bedrooms: 4 Limiting Factor(s): 18" Maintenance Required: Effluent Filter Phone: 608-266-2112 Web: http://dMs.wi.p-ov Email: dsps�wisconsin.gov Tony Evers, Governor Dan Hereth, Secretary Identification Numbers Plan Review No.: PWTS-042300531-C Application No.: DIS-042316384 Site ID No.: SIT-114422 Please refer to all identification numbers in each correspondence with the Department. Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SEE CORRESPONDENCE EZflow Mound Component Manual - (December 15, 2017) Pressure Distribution Component Manual - Version 2.1 (May 2022-2027) SITE REQUIREMENTS • A full size 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. A Department electronic stamp and signature shall be on the plans which are used at the job site for construction. The following conditions shall be met during construction or installation and prior to occupancy or use: • Preserve dispersal area prior and during construction to avoid disturbance, compaction and use of the site. • Any tall grasses, leaves and shrubs shall be cut short and removed prior to tilling the surface for installation to prevent matting under the dispersal area. All loose organic material to be removed from POWTS Dispersal Area. • Prior to construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. Smearing and compacting of wet soil will result in reducing the infiltration capacity of the soil. Proper soil moisture content can be determined by rolling a soil sample between the hands. If it rolls into a 1 /4- inch wire, the site is too wet to prepare. If it crumbles, site preparation can proceed. If the site is too wet to prepare, do not proceed until it dries. • Abandon Existing System per SPS 383.33 • Pump Floats to be set and verified per approved plan. Anv changes may result in pump resizing to meet TDH and GPM Specifications. • Divert surface water from POWTS Area. • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building sewer beyond 30 feet per SPS 382.30 (11)(c) • Tank Installation to follow all manufacture's recommendations. 0 Verify property line(s) prior to installation. • Well setbacks to meet chs. NR 811 & 812. Areas that are occupied with rock fragments, tree roots, stumps and boulders reduce the amount of soil available for proper treatment. If no other site is available, trees in the basal area of the POWTS Dispersal Area must be cut off at ground level. A larger till area is necessary when any of the above conditions are encountered, to provide sufficient infiltrative area. Owner Responsibilities • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval SPS 383.54(1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. OWNER RESPONSIBILITIES • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval and Wis. Admin. Code § 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 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. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval, the Division of Industry Services reserves the right to require changes or additions, should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. The Division does not take responsibility for the design or construction of the reviewed items. Inquiries concerning this correspondence may be made to me at the contact information listed below, or at the address on this letterhead. Sincerely, Fee Required: $250.00 Fee Received: $250.00 cZr%/�,� �,, Balance Due: $0.00 Tim Vander Leest Refund Expected: $0.00 POWTS Plan Reviewer Division of Industry Services Phone: 608-516-6134 Email: tim.vanderleest@wisconsin.gov ADVANCED ENVIRONMENTAL Property Owner/Client: Dennis Soderberg PIN: 012-1056-30-000 Site Address: 2080130TH AVE, Baldwin, WI 54002 FLOW.• INDEX Pg. 2 SITE PLAN Pg. 3 SOIL DISPERSAL COMPONENT Pg. 4 EFFLUENT DISTRIBUTION LATERALS Pg. 5 TANK SPECIFICATIONS Pg. 6 DOSING AND PUMP SELECTION Pg. 7 FILTER MAINTENANCE Pg. 8 MANAGEMENT PLAN Pg. 9 MANAGEMENT PLAN DESIGN PARAMETERS Wastewater Type: Residential Estimated Wastewater Flow: 400 gpd Design Flow: 600 gpd SOIL & SITE EVALUAT/ON.' POWTS Type: Mound Limiting Condition Depth: 18" Maximum System Depth: Above Grade Contour Elevation: 100.00' Limiting Condition Elev: 98.50' Land Slope: 6% Comments. - County: ST Croix Pg. 10 MATERIALS ESTIMATE Pg. 11 SOIL TEST Pg. 12 SOIL TEST Pg. 13 SOIL TEST # Bedrooms (residential) : 4 # Occupants (per capita flow) : - Public Facility Flow: NA Treatment Level: Effluent 1 Code Required Separation: 36" Soil Texture: SIL In -situ Soil Application Rate: 0.6 gpd/ft2 Dispersal Cell Loading Rate: 1.0 gpd/ft2 POWTS DESIGNED PURSUANT TO: Mound Component Manual (Version 2.1) Pressure Distribution Component Manual (Version 2.1) Existing 4 bedroom home. No home business. No sewage ejector/grinder. Existing system to be abandoned per SPS 383.33. SIGNED: ]�A W%, �-.,, 0, " 11/10/2022 ADVANCED ENVIRONMENTAL LLC 779 Spring Creek RD S, Red Wing, MN 55066 (651) 327-0074 C 0 NS�,�, RYAN G. BECHEL D-2263-7 = s RED WING MN 16 •.,,,��S �N0���. Designer: Ryan Bechel © 2022 Advanced All property lines not o Benchmark SYSTEM NOTES Certified Soil Tester: 1330832 Environmental TLC. drawn are >100ft from Septic Tank: ADVANCED Designer of Engineering Systems: D 2263-7 All rights reserved. E N V I R O N M E N T A L system Soil Boring -Wieser 1200/800 gallon 2-compartment tank SCALE -- -. I NOTE: east property line I Bung risers 4' above final grade follows fence line per owner -Best 9-10 fifter wl alarm \ _ P I " -Do not route clear water sources into septic tank + 20' ' I a Existing "gray water system shall be plumbed into 0 - 40 /_ \ .. -�-_ r--- �� �� I new system -Existing system to be abandoned per SPS 3K33 50' Pump Tank: + 1' Welt r----- f I j 1 I -800 gallons Desk \ I I -Pump needs = 27gpm @ 13TDH + I -- ' \ I I -Move tank as necessary; maintain all setbacks -Recalculate pump Friction Loss and TDH after install + +\ g \ -Event counter, lime meter, or water meter recommended Gara e � ' 4BR Home � l TSoil Treatment Area: J + �� +y , I I a 8' x 75' Aggregate Mound (A x B) V / ' Dec�f /� 1 I -96.2' x 27.1' outside dimensions (L x M + — — k' I �:1 1 I-101.50' system elevation on 100.00' contour + + + — — -18' ASTM C-33 sand lift (D) i I -- i - I - �� - - I -U stumps flush to ground; avoid digging > / I -Mow entire absorption area and remove clippings + + -� T L -` L - - - - \ I -Plow absorption area to depth of 6'-8' + — T ~ f ` , �� \\ I -Divert surface water away from system E _ I -Protect 15' downslope absorption area from compaction + f 140' 4" '�� — E J �\ during construction �� Existing \\ I -Depth to restriction =18' (Redoximorphic features) + sch 40 PVC \\ septic tank I \ T ,� I a + Clean ; --- Dry \ Buried Distribution: ), ��� B M 2 -= 10 7. 45 1 wel I \ utilities ~\ 42) 72' long 1 ? sch 40 PVC laterals with deanouls-use Out 1 �� I sprinkler boxes for protection + Top of existing tank + \ I Lateral top elevation=102.13' -1 ? header, end -fed network, 7' orifices @ 3.0' spacing manhole cover }- I� 11 \� - I �` *R:� - Laterals to be spaced 18" from end of bed 3 24' to sides ` 'e -Demand dose float settings per desgn I Q I 1i V I I House grade N � 10 7.5 0 LOCATION MAP (not to scale) tank fade ~ 106.45 Existing �\ Tree/Brush �� i a M Septic9 ^' - a r 1_ ,� bed system '�� line / — + I + B.S. inlet N 98.95. - ,! ; `- + New Wieser J o ` ^ + ; SITE _ I Ln 1200/800gaf ' g� �+ i Z) + + w/ Best GF-10 , �Y100 00 +I + + + + — — ' �= ; 130TH AVE 1 _ 1 + + + J11 \ 98. PREPARED FOR: 99 00 o B2 \ + a Dennis Soderberg + + + 1 V + + __ I Site Address: + + 1 + + \ �� _ I I 2080 130TH AVE +20' 2rr+ + — - _ - — — -- _ �j I Baldwin, WI 54002 + + �4+ + + sch 40 PIVC / I + BM 1 Hf- 100. Q +\ + + I I PID: 012-1056-30-000 40.00 Acre + + + + + - - — + ----Top nail in 1W hardwood + + + i Legal: S 51T 0NER14 I7W +. _ 4- }_ + tree (33' above graded + + + r\ + + 1 � Town of Erin Prairie � ! I Certified Staternerk This system has been designed and evaluated in accordance with State and Local codes. The soA treatment area must remain protected from disturbance and/or compaction before and after conrtn rtion. Scale: 1" = 40' Date: 11/1/22 NO WARRANTY IS MADE THAT THIS SYSTEM WILL CONTINUE To FUNCTION INDEFINTI&Y. System must be property maintained. Review your systerri s mon0aement Dian for Informetion on proper care and maintenance. MOUND DISPERSAL AREA Obs. pipes J �T �/�'- AV I A 8.0' F 9.5" J 7.1' B 75.0' G 6.0" K 10.6' Cp- 18.0" 1� H 12.0" L 96.2' 23.8" 1 12.0' W 27.1' Observation Pipes (1/10th of B) 7.5' Dispersal Area Required: 1000 ft2 Absorption Width (A+I) 20.0' Dispersal Area Proposed: 1498 ft2 Dispersal Cell Media: 112" - 2-112" Aggregate .. : Y _. _ - 100.00, J 6/ OBSERVATION PIPES Screw -type or slip -top cap W y • 4" SCH 40 PVC pipe Top of pipe to terminate at or above finished grade J" - J" x 6" slots spaced 90` apart Anchoring Device (Toilet flange) 102.13' 101.50' Plow 6"- 8" deep (min.) prior to placing sand Finished Grade (mulched & seeded) Topsoil cover (1' minimum) Infiltrative surface Page 3 D/STR/BUT/ON NETWORf(SPEC/F/CAT/ONS ----------------------------------------------------- Manifold Detail Detail 1 I 7 Al �1 91 02 1 1 , , --------------------------------- Pipe Selection Forcemain Diameter: 2" ; Header Diameter: 11/2" Lateral Diameter: 1 1/2" 1 M 1 I Pj ---------------- "All pressure piping to be Schedule 40 PVC unless otherwise specified" Cleanout Detail /Sprinkler box \ ° Threaded cap BaII vsllve 1 (recommended 1 1 I Sweep 90' / 1 or (2) 45'/ ------------------------------------------------------------------------------------------------ Lateral Discharge Rate (Orifices Per Latera/X Orifice Discharge Rate) Orifices Lateral 25 X 0.54 gpm Orifice Discharge Rate = 13.5 gpm ---------------- ------- Flow Rate (Orifices Per LateraiX # Laterals X Orifice Discharge Rate) --- Orifices/ Late ral 25 X----------- 2 Laterals X 0.54 gpm Orifice Discharge Rate = 26.9 gpm ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Orifice Density (Bed Area . Total Number of Orifices) = 12.0 ft2,(orifice Page 4 TANK SPEC/FICA T/DNS • 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 90's, keep 3 feet between 45's, maintain 1 inch in 8 feet (1%) slope, install cleanouts 107.50' . 100.00, -----�Clean Out Watertight control box with separate pump and alarm circuits 99.0096.75' 4' SCH 40 Bldg. ewer Effluent Filter 1401 93.00' —� -------------------------------------------------------------------------------------------------------------------------- Tank Manufacturer/Model: Wieser - WLP1200/800-MR ------------------------------------------------------------------------------------------------------------------------- Fllter Manufacturer Model: � � �" ----------------------------nufa------- �-------- -y 4 � --- Zf,'`��------12------------------------------ Panel Manufacturer/Model: SJE Rhombus - Tank Alert 1 164" 4' CAST —A —SEAL IIII *24 I I C)t I I I FILTER OR BAFFLE II I II I M V ITANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS Quicc Disconnect 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) Weep Hole 4" Pump Block ---------------------------- --------------- --------------- - WLP1200/800—MR TANK SPECIFICATIONS DIMENSIONS: ` 4 WALL- 3' BOTTOM: 3' COVER: 6' 16 MANHOLE: 24' I.D. PRECAST CONCRETE RISER HEIGHT: 53' O.D. LENGTH: 164' O.D. WIDTH: 96" O.D. BELOW INLET: 41' O.D. I' CAST —A —SEAL UQUID LEVEL: 36' Cr Cal WEIGHT: BOTTOM 12.000 LOS. COVER e.170 LBS. INLET AND OUTLET: 8 4' CAST —A —SEAL BOOT OR EQUAL GASKET. CAST —A —SEAL BOOT OR EQUAL 8 INLET AND OUTLET BAFFLE AND FILTER: m 8 WISCONSIN. SEE DETAIL 010 (OTHER STATES SEE CHART) c LIQUID CAPACITY: 33.46 GAL/IN (SEPTIC) 22.24 GAL AN (PUMP) LOADING DESIGN: 8' 0' UNSATURATED SOIL W 4" VENT to 00 ®00 TANK CAN BE USED AS: SEPTIC/SEPTIC. SEPTIC/PUMP N ' OR SEPTIC/SIPHON W o COVER: MIX DESIGN /8 (NO FIBER) � 0 TANK: MIX DESIGN /9 (SMALL FIBER) CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WIESER CONCRETE FZ ,,, It c J Q 1Y� Z V 0 Q S U N F DRAWINGS SUBMITTED a d ;9 FOR APPROVAL APPROVED BY: SHEET NO. APPROVAL DATE: 1 PRODUCTS NEEDED BY: /OF 1 Page 5 DOSE SETTINGS & PUMP SELECT/ON PUMP PERFORMANCE REQUIREMENTS Elevation Head: 8.5' Distribution Head: 4.55' Equipment Head Loss: 0.0' Forcemain Friction Loss: 0.3 ft TOTAL DYNAMIC HEAD = 13.4 ft TDH MINIMUM FLOW RATE = 26.9 gpm DOSE REQUIREMENTS Minimum Dose: 66.2 gallons Maximum Dose: 120.0 gallons Design Dose: 108.0 gallons Forcemain Feet: 20' Forcemain 0: 2.0" Drainback: 3.3 gallons TOTAL DOSE = 111.3 gallons 1: Zoeller - 98 U- PUMP PERFORMANCE CURVE w MODEL 98 MON.- 100.00' 97.42' 96.25' ------ ----- 400.3 gals 18.0" 94.75' ------------------ 66.7 gals 3 ' 94.50' ----- -- - 111.3 gals 5.0" 94.08' -- ------ --- 222.4 gals 1.:.1 10" 93.25' ------------Y-jl. ...T 10 20 30 40 s0 60 70 80 A ['.] (RESERVE) B ;. (ALARM) C (DOSE) D (PUMP COVER) Option 2: TANK INSTALLER MA TER/AL EST/MATES THEFOLLOWING PARML MA TERML LIST IS INTENDED FOR ROUGH BID PURPOSES ONLY. INSTALLER IS RESPONSNBLEFOR ALL FINAL MATERNAL CALCULATIONS. Tank 1: Wieser - WLP1200/800-MR Tank 2: Effluent Filter 1: Best - GF-10 Effluent Filter 2: PIPING: Diameter Building Sewer: t 140' 4" SCH 40 PVC Forcemain: t 20' 2" SCH 40 PVC Header: t 4' 1 1/2" SCH 40 PVC Laterals: 1 144' 11.1/2" SCH 40 PVC PUMP(Sl: IMPORTANT. Piping estimates are exact. A Material waste allowance has NOT been added. Minimum Flow Minimum Head Effluent Pump 1: 26.9 gpm 13.4 ft TDH Pump 1 Model: Zoeller - 98 Minimum Flow Minimum Head Effluent Pump 2: - - Pump 2 Model: Goulds - PE-31 SOIL TREATMENT AREA: Washed Rock: Mound Sand: Top Soil: YARDS TONS 23 yd3 32 TONS 147 yd3 206 TONS 140 yd3 196 TONS (112" - 2 V2" Aggregate) (ASTM C 33 Specification) IMPORTANT. A 30% MATERIAL WASTE ALLOWANCE HAS BEEN ADDED to all the above soil treatment area materials estimates to allow for constructibility. Page 10 POWTS OWNER'S MANUAL & MANAGEMENT PLAN . Page I of Z FILE INFORMATION Owner Dennis Soderberg Permit # DESIGN PARAMETERS Number of Bedrooms 4 ❑ NA Number of Public Facility Units ❑ NA Estimated flow (average) 400 al/day Design flow (peak), (Estimated x 1.5) 600 al/day Soil Application Rate .6 al/da /ft2 Standard Influent/Effluent Quality Monthly average* Fats, Oil & Grease (FOG) S30 mg/L Biochemical Oxygen Demand (BODE) 5220 mg/L ❑ NA Total Suspended Solids (TSS) 5150 mg/L Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand (BODE) 530 mg/L Total Suspended Solids (TSS) 530 mg/L ❑ NA Fecal Coliform (geometric mean) 510' cfu/100ml Maximum Effluent Particle Size Ye in dia. ❑ NA Other: ❑ NA *Values typical for domestic wastewater and septic tank effluent. 11A A 1111TCI11 A 111f%C Cf%U=nl 11 C SYSTEM SPECIFICATIONS Septic Tank Capacity 1200 gal ❑ NA Septic Tank Manufacturer WIESER ❑ NA Effluent Filter Manufacturer POLY LOCK ❑ NA Effluent Filter Model 525 ❑ NA Pump Tank Capacity 800 gal 0 NA Pump Tank Manufacturer WIESER ❑ NA Pump Manufacturer GOULDS ❑ NA Pump Model pe 31 ❑ NA Pretreatment Unit ❑ Sand/Gravel Filter ❑ Mechanical Aeration ❑ Disinfection ❑ Peat Filter ❑ Wetland ❑ Other: 54 NA Dispersal Cell(s) ❑ In -Ground (gravity) ❑ At -Grade ❑ Drip -Line ❑ NA ❑ In -Ground (pressurized) [R Mound ❑ Other: Other: ❑ NA Other: ❑ NA Other: ❑ NA Service Event Service Frequency Inspect condition of tank(s) At least once every: 3 ❑ month(s) (Maximum 3 years) ❑ ear(s) ❑ NA Pump out contents of tank(s) When combined sludge and scum equals one-third %) of tank volume ❑ NA InsInspect dispersal cell(s) P P every: At least once eve ❑ month(s) (Maximum 3 ears) 3 Q year(s) y ❑ NA Clean effluent filter At least once every: ❑ month(s) 1-1 9 year(s) ❑ NA Inspect pump, pump controls & alarm At least once every: 3 ❑ month(s) [R year(s) ❑ NA Flush laterals and pressure test At least once every: ' ❑ month(s) AS NEEDED ❑ year(s) ❑ NA Other: At least once every: ❑ month(s) ❑ year(s) ❑ NA Other: ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector, POWTS Maintainer; Septage Servicing Operator. 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 back up or ponding of effluent on the ground surface. 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. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third (Y3) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. Page _Z__ of START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safety abandoned in compliance with chapter Comm 63.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or: must be taken, to provide a code compliant replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback andlor soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. r T . h/ aluati a o ding�ank be i e a� e �� D}� f 8 TT;✓� � 2- /�%� �N5772 v�l D ❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < < WARNING > > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER Name COUNTRYSIDE PLUMBING Phone 715 246 2660 POWTS MAINTAINER Name PAUL R KOEHLER Phone 715 246 2660 SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name MARCO SEPTIC Phone 715 246 5600 Name ST. �tW (7g o U N -2--oAJ1xj Phone This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d)&(f) and 83.540 ), (2) & (3), Wisconsin Administrative Code. Wisconsin Department of Safety and Professional Services Page 1 of 2 Division of Industry Services SOIL EVALUATION REPORT In accordance with SPS 385, Wis. Adm. Code County Attach complete site Ian on ST Croix pl p paper not less than 8 1/2 x 11 inches in size. Plan must include, 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. 012-1056-30-000 Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacv Law. s. 15.040)(m)). Property Owner Property Location: Dennis Soderberg Govt. Lot: SW '/4 SE Y/4 S 25 T 30 N R 17 W Property Address Lot # Block # Subd. Name or CSM# 2080 130TH AVE City State Zip Code Phone Number ❑ City ❑ Village ❑■ Town Nearest Road Baldwin WI 154002 1 (715) 308-8005 1 1 1 Erin Prairie 130TH AVE ❑ New Construction Use: M Residential / Numberof bedrooms 4 Code derived design flow rate 600 GPD 9 Replacement ❑ Public or commercial — Describe: Parent material Loess/silty deposits over dense sandy loam till (Freeon sil) Floodplain elevation if applicable NA ft. General comments and recommendations: Recommend minimum 18" sand -lift POWTS mound on 100.00 contour with 0.6gpdffQ loading rate. LF = 18" (Redoximorphic features) Boring # ❑ Boring ❑� Pit Ground surface elev. 100.00 ft. Depth to limiting factor 18 in. Cn:1 A-nlinti�n Dot - 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 0-6 1 OYR 3/2 - sil 3mgr mfr cs 3m-vf 0.6 0.8 2 6-12 1OYR 5/3 - sil 21'abk mfr gs 2m-vf 0.6 0.8 3 12-18 1 OYR 4/4 - I 2mabk mfr-mfi gw 1 m-vf 0.6 0.8 4 18-26 7.5YR 4/4 f1f 7.5YR 4/6 & 7.5YR 6/1 sl 1 mabk mfr-mfi gw, 1 m-vf 0.4 0.7 5 26-44 7.5YR 4/4 c1d 5YR 5/8 & 7.5YR 5/2 sl 1 cabk mfi - - 0.4 0.7 2a Boring # ❑ Boring ❑■ Pit Ground surface elev. 98.85 ft. Depth to limiting factor 19 in. Cnil Annli.-o inn Rots Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 1 0-8 1 OYR 3/2 - sil 2mgr mfr cs 3m-vf 0.6 0.8 2 8-15 1OYR 5/3 - sil 2fabk mfr gs 2m-vf 0.6 0.8 3 15-19 1 OYR 5/4 - I 2mabk mfr gw 1 f-vf 0.6 0.8 4 19-32 7.5YR 4/6 f2f 7.5YR 5/8 & 7.5YR 6/1 sl 1 csbk mfr-mfi gw 1 f-vf 0.4 0.7 5 32-45 7.5YR 4/4 Of 7.5YR 4/6 & 7.5YR 5/2 sl 1 mabk-Om mfi - - 0.2 0.6 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 11/01/22 (651) 327-0074 bbL)-ttssu (KU4110) Page 11 aBoring # ❑ Boring ❑■ Pit Ground surface elev. 100.00 ft Depth to limiting factor 23 in. Cnil Annlinniinn Onto Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Fe *Eff#1 *Eff#2 1 0-8 10YR 3/3 - I-sil 2mgr mfr cs 2m-vf 0.6 0.8 2 8-16 1OYR 5/4 - sil 2fabk mfr gs 1c-vf 0.6 0.8 3 16-23 1 OYR 4/4 - I 2mabk mfr-mfi gs 1 c-vf 0.6 0.8 4 23-40 7.5YR 4/4 c1 f 7.5YR 5/8 & 7.5YR 6/1 sl 1 msbk mvfr gw 1 c-vf 0.4 0.7 5 40-46 7.5YR 4/4 c2f 7.5YR 518 & 7.5YR 5/2 sl 1 csbk-Om mfr-mfi - - 0.2 0.6 aBoring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Cnil Annlirofinn Onta Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Fe *Eff#1 *Eff#2 aBoring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Cnil Annlirntinn Onto 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 * Effluent #1 = BOD, > 30 5 220 mg/L and TSS > 30 s 150 mg/L * Effluent #2 = BOD, > 30 s 220 mg/L and TSS > 30 s 150 mg/L Page 12 Designer. Ryan Bechel © 2022 Advanced Certified Soil Tester. 1330832 Environmental LLC. Designer of Engineering Systems: D 2263-7 All rights reserved. ADVANCED *All roPe� Q Benchmark 1 lines not ♦ SYSTEM NOTES P drawn are >100ft from N Septic Tank: ENV 1 R O N M E N T A L system Soil Boring I -Existing system to be abandoned per SPS 383.33 + SCE { + + • + +� i NOTE: east property line t + +-F + + + : / + + follows fence line per owner 0+ + ID + 4 + + + + + Well + + + + + + --- = Desk \ + + + +� + -== 4BR Horne Garage + + + \ + \ ��\ / �E F— —j E + + + + + +� _` .. _ —:_ Decker + + + + + + + Septic + + + + + + tank i \, � —e-_. —E_ I + + + + + + + +� + + + + + + + (o) \, Buried �� t + + + + + + + +� Dry well �\ utilities ' W2 T 107.45 + + + + INN, �� a ' .D•r I (6 I + Top of existing tank + + + \� N rh+ + + -anhble cover+ + + + + + + + + + { + + + + + House grade z 1�7.50 + 1- . + + + -I- i \ Tree/Brush eptic tan gra e - 106 4 - Existing T + 'f + a � bed system \?�� line+— + B.S, inlgt N 98.95F + + + l \\ + + + + + + + + t lea —.._ + I t + + + + + + +\-- g2 ` + i i a- + + + + + + + + + + +BM1-1-100.0'0 Q + + + + + + + + + + + + +Top npil in 1#' hardwood + + � �- + + + + + + + + + + _tree (33 aboT grada� +. .+ + \ + t � I Certified 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. NO WARRANTY IS MADE TNAT THIS SYSTEM WILL CONTINUE TO FUNCTION INDEFINMY. System must be properly maintained Review your system's management plan for information on proper care and maintenance. Pump Tank Soil Treatment Area: -Recommend minimum 18'sand4ft POWTS mound on 100.00 contour with 0.6gpd/tiz loading rate -Depth to restriction =18' (Redoximorphic features) -Contour =100.00' Slope = 6% Distribution: System will require pressure distribution LOCATION MAP (not to stole) M l>7 SITE _ 130TH AVE PREPARED FOR: Dennis Soderberg 2080 130TH AVE Baldwin, WI 54002 PID: 012-1056-30-000 40.00 Legal: SW 1/4 SE 1/4 S25 T30N R17W Town of Erin Prairie Scale: 1" = 40' Date: 11/1/22 ST. C RO NTY SANITARY SYSTEM File #:Office Use Only I tg rt.r OWNERSHIP/ADDRESS FORM created2/2o21 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 DENNIS SODERBERG Mailing Address 2080 130TH AVE City/State/Zip BALDWIN WI Phone Number (required) 715-684-3643 Email Address (required) DRS1945H2HOTMAIL.COM Parcel Identification Number 012-1056-30-000 (found on the property tax bill) NEW SYSTEM: LEGAL DESCRIPTION Property Location SW IA , SE 1/4 , Sec. 25 IT 30 N R 17 W, Town of ERIN PRAIRE Subdivision Plat: qeaz4z5 , Lot # Certified Survey Map # , Volume , Page # Warranty Deed # 5 1K35 (before 2006)Volume )D?3 , Page # (oDY Number of bedrooms 4 Spec house 0 yes ■ no Lot lines identifiable 0 yes O no OFFICE USE ONLY New Property Address C� (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 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 cdd@sccwi.aov 1101 Carmichael Road, Hudson, Wl 54016 www.sccwi.gov wT�.. .I[ •t=''�T z�C• $T_,'VE IS_1I; OF WISCONSiN FORM :) — 19t32 THIS SPACE RESERVED FOR RECOROAUG DATA QUIT CLAIM DEED �� r n tr•,r.7+ VOL- - - Dennis s R . Soderberg. And Jane Soderberg , a/k/a ST C�`O Y. CO.* N ----Jane -_-----Soderb.... ]�u -- and _...zfe_ ____________ _ I� Rtc`•d rbr RF+aotd ------. --- -' ------ -------.................................................. ------ �� APR 1 4 1994 quit-cinirrr3 to -Dennis :? . Soderberg and Jane S . g • 30 A. .._.Soc3Pr.kierg...._hu5band__a_nd- wife, bolding as urvivors'hi.P..narital pr�}�erty the following described real estate in ---- Str. , Croix _------- County, StFite of VY `sconsin IIR ETUI7 �, TO Tax Parcel No . .............................. l . The South Half of the Northeast Quarter (S-32 of NE 4) , the Northwest Quarter of the Southeast Quarter (NV74 of SEA), and the Southwest Quarter of the Southeast Quarter (SW of SEF4) of Section Tvienty-five (25) , Township Thirty North (T30N), Range Seventeen West (u17w1, "•a __a.. c• �. �_.LL.. i- ra...-....L.� r c f taT.rv.i-in.+�.s /1.�r.7-ter / C`T.'i r,F Tli: 1 r1� QC/�� i r'lri i�i _ TCILJTIIR�'11 i� t • %1 LJAl 1.. V I. JV lA a."" \fir u.:a V u•A V.L Vim... vl. i.w...r �..�..wv v 2.9 North, Range 17 West described as follows: (;Commencing at East a corner of. Section 36, Township 29 Nortki, Range 17 West; thence on an assumed bearing o-L South 890431 5311 West, al$ng the South lire of Northeast Quarter (NEa) of Section 36, 13.0 feet; thence North 00 0613711 East_ parallel with the East line of said Section 36, 566.00 feet to the point of begirning of parcel herein described; thence continuing North 080061371, �- . 805812911 West, 502,56feet; thence Soutb 00 00' 3111 n3n.�� Et, t�n�E1:Sa. : East, 431.65 feet; thence South 8904315311 East, 501.67 feet to the point of begirming. Village of. Baldwin, St. Croix County. M i i This .......... S .............. homestead property. Dated this ... /J� .�.... ... . ........... ......... day of ... Q,¢�/.4.�....... , ........ 19. 9.4 _.. ...... I .... (SEAL) .� ,�x.f. ......C$ " ......... �^..(SEAL) • Denpa-_.R R. Seder er I .. ....... . ..... (SEAL) �[. . Ce+'rYce� . ......... ...... ..... - (SEAL) 1i.ane.5.....S.c�d�rbeag....................... AUTHIENTICATION Signature(s)-------------------------•-------- ------------------------ authenticated this ........day of ........................... 19...... TITLE: MEMBER STATE BAR OF WISCONSIN (If not, .... . ................. authorized by § 706.06, ibis. Stats.) T"IS INSTRUMENT WAS DRAFTED By Thomas A. McCormack Baldwin, 141 54002 ACHNG W L13DGMENT STATE OF WISCONSIN ss: S .t . Croix County. ` ).'ersonally came before me this _.1�---------- day of ----------------------------- _ 19.9.4--- the above named ---QLX1d---Jane---____-- S.cz�l.e_zbe�9----/_l�la---J-ane•--S-=---Soderberg ....... .............. _----------•------------•-- -- - - _ ............... ------------ •'�P;� to me known' be the person S._-_-.__,1 � te4 th .) fore•�oin ipRt meat al:d acknowledge � NOtarN Public 9"awCy. Wis. lIt C0111110SSinn is permanent.I I: not. state- ex0ration (Inte : 19--------- ) `s QUIT CLAIM rf.Fr► �'f \'r r lc L1: 1,1- �4T�1 r7X=r\ t'• ,c •. , T.�¢n1 r'nnk (-.a. !nr•. 1�: , U v t - t� N 0 V 21 2022 Wisconsin Department of Sjafety and Professional Services St. Croix County Division of InOLAtry Seivice%,, SOIL''IL tt)vRvelo ment 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. 012-1056-30-000 Please print all information. Rev Personal information you rovide ma be used for seconds u oses Privac Law s. 15.04 1 m C-S - ab-aa _ a-73— Page 1 of 2 Date Property Owner Property Location: Dennis Soderberg Govt. Lot: SW Y4 SE '/4 S 25 T 30 N R 17 W Property Address Lot # Block # Subd. Name or CSM# 2080 130TH AVE — V___ City State Zip Code Phone Number ❑ City ❑ Village F01 Town Nearest Road Baldwin I WI 154002 I (715) 308-8005 1 I Erin Prairie 130TH AVE ] New Construction Use: ❑E Residential/Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement ❑ Public or commercial — Describe: parent material Loess/silty deposits over dense sandy loam till (Freeon sil) Floodplain elevation if applicable NA ft. 3eneral comments and recommendations: Recommend minimum 18" sand -lift POWTS mound on 100.00 contour with 0.6gpd/ft2 loading rate. -2gC �/ LF = 18" (Redoximorphic features) rV /\ 1❑ Boring # ❑ Boring ❑■ Pit Ground surface elev. 100.00 ft. Depth to limiting facto 1�_ in Anil Annliratinn Rat'. 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 0-6 1OYR 3/2 - sil 3mgr mfr cs 3m-vf 0.6 0.8 2 6-12 1 OYR 5/3 - sil 2fabk mfr gs 2m-vf 0.6 0.8 3 12-18 1 OYR 4/4 - I 2mabk mfr-mfi gw 1 m-vf 0.6 0.8 4 18-26 7.5YR 4/4 f1f 7.5YR 4/6 & 7.5YR 6/1 sl 1 mabk mfr-mfi gw 1 m-vf 0.4 0.7 5 26-44 7.5YR 4/4 c1d 5YR 5/8 & 7.5YR 5/2 sl 1cabk mfi - - 0.4 0.7 2❑ Boring # ❑ Boring ❑� Pit Ground surface elev. 98.85 ft. Depth to limiting factor 19 in. gnil Annliratinn Rat'. Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 "Eff#1 "Eff#2 1 0-8 1OYR 3/2 - sil 2mgr mfr cs 3m-vf 0.6 0.8 2 8-15 1 OYR 5/3 - sil 2fabk mfr gs 2m-vf 0.6 0.8 3 15-19 1OYR 5/4 - I 2mabk mfr gw 1f-vf 0.6 0.8 4 19- 2 7.5YR 4/6 f2f 7.5YR 5/8 & 7.5YR 6/1 sl 1 csbk mfr-mfi gw 1 f-vf 0.4 0.7 5 32-45 7.5YR 4/4 c1f 7.5YR 4/6 & 7.5YR 5/2 sl 1 mabk-Om mfi - - 0.2 0.6 3�mr � �e:w��s�cue�►rur:ra��T��.x��cue��.v AMA minrUA CST Name (Please Print) Signature CST Number Ryan Bechel4,*4-1330832 Address Date Evaluation Conducted Telephone Number 779 Spring Creek RD S, Red Wing, MN 55066 11/01/22 (651) 327-0074 JtSU-6'i'jU (KU4/10) jr aBoring # ❑ Boring 0 Pit Ground surface elev. 100.00 ft Depth to limiting factor 23 in. Qnil Annlir�+inn R�4c Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 1 0-8 1OYR 3/3 - I-sil 2mgr mfr cs 2m-vf 0.6 0.8 2 8-16 1OYR 5/4 - sil 2fabk mfr gs 1c-vf 0.6 0.8 3 16-23 1 OYR 4/4 - I 2mabk mfr-mfi gs 1 c-vf 0.6 0.8 4 23-40 7.5YR 4/4 c1f 7.5YR 5/8 7.5YR 6/1 sl 1 msbk mvfr gw 1 c-vf 0.4 0.7 5 40-46 7.5YR 4/4 c2f 7.5YR 5/8 & 7.5YR 5/2 sl 1 csbk-Om mfr-mfi - - 0.2 0.6 4❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Cnil Annlin�+inn D�+n 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 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Cnil Onnlirn+inn Rn+c 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 * Effluent #1 = BOD, > 30 s 220 mg/L and TSS > 30 s 150 mg/L * Effluent #2 = BOD, > 30 s 220 mg/L and TSS > 30 :5 150 mg/L Designer: Ryan Bechel © 2022 Advanced 'All property lines not SN'STENI NOTES ADVANCED �Benchmark Certified Soil Tester. 1330832 Environmental LLC. drawn are >100ft from � Septic Tank: Designer of Engineering Systems: D 2263-7 All rights reserved. " ' system T Soil Boring Existing system to be abandoned per SPS 383.33 SCALE � � � NOTE: east property line i I / follows fence line per owner 0 40 I 1 \\ I + 50' 1 1 1 \ 1 1 Pump Tank: + + ` 4- Well r----- — + + + + + + +� �Dek + + + + + < Garage \\\ 4BR Home 9 Soil Treatment Area: -Recommend minimum 18' sand4ft POWTS mound on ,b�• I l \ 1 I 100.00 contour with 0.6gpdM2 loading rate + + + + + } — �g I Deck; j �\ 1 I -Depth to restriction =18' (Redoximorphic features) `� -Contour=100.00' + + + + + + + I ( i I I -Slope = 6°% ff i + + + + + + + t Septic �;o; \ `\ + + + + + + + tan ; k + + + + I + + + Dry well `r% �� Buried utilities I � I i Distribution: BM 2 = 10 7.4 5 I � I � i -System will require pressure distribution To of existing tank � 9 i manhole cover ' > House grade N 107.50 , I Existing Tree/Brush I I \ Septic tank grade ^j 106.45 ' bed system line 1 LOCATION MAP (not to scale) B.S. inlet N 98.95 - I + + T e3 0 I SITE lip + + + + + _ B:r100.0 + + + / L_ it 98.85 — .. _ ..�Y__g9.00 �V 82 I I a 130TH AVE PREPARED FOR: Dennis Soderberg Site Address: M l!7 UO D + + + + + + + + i— — — - - — — \�' _ Bald in, WI AVE _ Baldwin, WI 54002 L + �4��7 + + + + + + + + BM1 = 100.06 + 0 + +\ + j PID: 012-10S6-30-000 40.00 Acres + + + + + + + + + 4- Top nail in 10" hardwood Legal: SW 1 /4 SE 1 /4 S25 T30N R17W + + + + + i- -i- tree (33" above grade) +_ Town of Erin Prairie Certified 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 conetni-lion. Scale: 1° = 40' Date: 11/1/22 NO WARRANTY Is MADE THAT THIS SYSTEM wILL CONTINUE TO FUNCTION INDEFINITELY. System must be property maintained. Review your system's manogement plan for information on proper care and maintenance. kq"azt- sv�� �c.Raik -COUNTY No. (oq?413? STATE SANITARY PERMIT F-1 13�� -k PREVIOUS NO. OWNER b6AXIS, i 1 ; ! LIC.# 2-254ID AND/OR LOT BLOCK SUBDIVISION THIS PERMIT EXPIRES ML SBD-06499 (R11/20) EX 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. - DATE �1���2F