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HomeMy WebLinkAbout018-2001-01-000 (2)Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)]. permit Holder's Name: City Village Township Bob & Nan McMurrin TTOWN OF HAMMOND ,ST BM Elev: Insp. BM Elev: BM Description: z 1 log , D �' ST Q vLl 1 I.tARdC S fir/ f arc ��,� G I-ANK INFORMATION ELEVATION DATA TYPE INU 11 TURE II CAPACITY Septic w igs4r--E 000 6S� Dosing Aer HoI> TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic Dosing k f t f Aerati wl Holdi PUMP/SIPHON INFORMATION 6*P1^ .� Manufacturer Deman �ELL�e2 GPM 19 Model Number TDH Lift Friction Loss System Head TDH Ft 1' 1 ° 1 q.57� 1 2,4r' Forcemain Length ( Dia. Dist. to Well �n 501L ABSORPTION SYSTEM County: St. Croix Sanitary Permit No: 645453 State Plan ID No: Parcel Tax No: 018-2001-01-000 Section/Town/Range/Map No: 14.29.17.865 STATION BS HI FS ELEV. Benchmark O /� Alt. BM Bldg. Sewer 7.r 7 J `F St/Ht Inlet St/Ht Outlet Dt Inlet Dt Bottom Header/Ma Dist. Pipe t4 1 I Bot. System _ 3 r S $ 3 Sg final Grade �a St Cover . CC lt�T 1 3, 'fq d) r�y,o� BE WTREfrCH uiMENSIONS Width r / _ Length �iD1 b No. Of Tseashes Z j S PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth SETBACK INFORMATION SYSTEM TO P/ k9 B G °� °L ELL LAKE/STREAM LEACHING CHAMBER OR UNIT Manufacture Type Of S stem: i" ` D tA/t/V1G tiz i `T S fo5� / Model Number: UIJ I KI6U I IU1V J T J 1 CIVI / t ' ^ r A —,P 1 ..^t— . _ 47a _ Header/Manifold f �7 �� Distributio I 1 ff f Pipe(s) x Hole Size Hole Spacing Vent to Air Intakes D f Length 3 ` Dia q r Length Dia I /2 Spacing 3 ` 1-b Z . Ix r D Z JUIL t L)V CK x Pressure Svgtemq r)nly vy Mnnnrl nr et-r:rnrin c—t— r1ni., Depth Over Depth Over xx Depth of xx Seeded/Sodded Mulched Bed/Trench Center Bed/Trench Edges Topsoil ❑ Yes �N7. ❑ Yes ❑ No COMM NTS' Qnclude de discrepencies, persons present, etc.) Inspection #1: t� K Inspection #2: 0�23/X7-3 —ce,, Lai vJ� ►4193RD ��f�� �1231ao23 Location: gg4 193RD 1.) Alt BM Description 8pt'�+u'N 14y� 2.) Bldg sewer length = 1q, amount of cover = W to ( &,+'g+ L*'. I (--�' 3) 0.6.e% - r�2, Plan revision Required? ❑Yes Y Na Use other side for additional information. Date Insepctor's Signature Cart. No. t i0 So Ar i — 24 zZr32,4:) a""- \, EN A � � ((v., e l REC Industry Division 4822 Madison Yards Way comfy comfyServices St. Croix Madison, WI 53705 Sanitary Permit Number (to be filled in by Co.) Q�� 112022 P.O. Box 7302 Madison, WI 5 C,% 6 L45 ` 5 S Sari' ft it Application te Transaction Number � ��unit In accordance with P i ev a mission of this fors to the appropri eWTS — 102202501-C is required prior to obtaining a sanitary permit. Now Application forts for stateoWned PWWTS are submitted to Project Address (if different than mailing address) 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(l )(m), Slats 994 193rd St., Hammond, WI 54015 10 11"- - _„� Parcel H Proper% Omner's Name Bob & Nan McMurrin 018-2001-01-000 Property (boner's Mailing Address Pro rtyZ� ion - 1-7 8 S G W2858 776�' Ave. vt. Lac NE y. NW 1A, Section 14 City, state Zip Code Phone Number Spring Valley, W1 54767 (651) 324-9380 T 29 N R 17 W . Lot Subdivision Name I 'r ''amily Dwelling —Number of Bedrooms 3 D Forest Ridge Estates. Block i< = I .Ih!it i'c�mmercial- DesctibeUse ❑ City of ❑ State Owned — Describe Use CSM Numhcr ❑ Village of ® Town of Hammond Type of POWTS Permit: (Cheek either "NtEi 'a ts►sikeoUcemenC and other applicable on tine A. Check one box on lint B. Complete line C: i livable. ,ti Neu System ❑ Replacement System ❑ Other Modification to Existing System (explain) ❑ Additional Pretreatment Unit (explain) g' ❑ Holding Tank ❑ In-GroundJVlUA!;Qradc 19 Mound ❑ Individual Site Design ElOther Type (explain) (conventional) _J e ? �! C. ❑ Renewal Before ❑ Revision ❑ Change of Plumber isI Previous Permit Number and Date Issued g ❑Transfer to New (honer Expiration IV. Dis Design Flow (gpd) Desi Soil A plication RateS�sn Dispersal Area Required (sf) Dispersal Area Proposed (sl) System Elevation r0 ASVIM-C33 sand fill 45 ft. 99.00' at 6" above 450.00 na ve basal area 1090.91 98.50' contour Tank Information1� aci in ty Gallons o Gallons 4 of Units anu ac urer i � D� sZ E o , .. // z New Tanks Existing Tanks a U in Septic or Efolding Tank 1,000 1,000 1 Wieser Concrete X i)ostne Chamber 650 650 1 Triple X V KA Plumber's Name (Print) Plumber s Signature MP/MPRS Number Business Phone Number James K. Thompson sr 30021 (715) 248-7767 Plumber's Address (Street, City, State, 'Lip Code) 340 Paulsen Lake Lane, Osceola, Wl 54020 any X.ure +np•oied ❑Disapproved Permit Fee S Dale issued �0 Z3 Issuing Agent Given Reason for Denial v ov Z�r❑Owner Conditions of Approval/Reasons for Disapproval 3 j 1 L�ylv�l1AA s Ip� L Vwl- SYSTEM OWNEk qI(/Y- i h C�'1` C L� + 1. Septic tank etRuertt finer and 51/3 Itia t • ►2[ vt4 �l dispersal coil must per management plan prowled pltxttpft �rr1 ^H'ia �`r �D e�'b�►^� dl,.�?^e{'. 2. All setbatk ra9uktrnmustents wat be n14tairrttagat.d t% W eopltcable e006/ordlttittee3 t A tow plans for system sod submit to the County only on paper not than 8 in s 11 inches in sire �S -0.4, K-t use tic - ' S .ojBD 398 .,02t22) 7;h9Xd I ewwr' n .,o- A A • 1 _ -,• -- - -- . _ ...�__. - fir. ���•�' • i I � a {{ I Ix, fV1 ' - I Q i FF I pe R aq doatP. ' . b l I I U. Lk V Project Name Owners Name: Owner's address Site address: Fr.)ject Location Subdivision Residential Mound POWTS Index & Title Sheet McMurrin 3 Bedroom Residential Mound Bob & Nan McMurrin W2858 776th Ave., Spring Valley, WI 54767 911 193rd St., Hammond, WI 54015 994 193rd St., Hammond, WI 54015 Lot 01, Plat of Forest Ridge Estates Legal Description: NE1/4 NW IA See. 14, T.29N., R.17W., Town of Hammond, St. Croix Co., WI. Parcel I #: 018-2001-01-000 Page 1 Index and Title Sheet Page 2 - 18 State Approved Mound Design Plans Page 19 Septic/Pump Tank Cross Section Page 20 Filter Specifications Page 21 Ezflow 1203H Distribuution Media Cut -Sheet Page 22 Sanitary System Ownership & Address Form Page 23 Parcel Map Page 24 Warranty Deed Attachments: None Mater Plun, r Restric d Service: James K. Thompson, DSPS Credential #30021 Signature: Date. zCiZz- Page I of 24 Design pursuant to In -Ground Soil Absorption Component Manual for POWTS. version 2.0 SBD-10705•P (N 01/01) Wisconsin Department of Safety and Professional Services Division of Indusm Services 4822 Madison Yards Way PO Box 7302 Madison. W153707 October 10, 2022 GIST ID NO.: 30021 AMES h THOMPSON ,4o PALTSEN LAKE LN OSCEOLA. WI 54020 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/10/2024 MUNICIPALITY: TOWN OF HAMMOND ST. CROIX COUNTY SITE: MCMURRIN 3 BEDROOM RESIDENTIAL MOUND 994 193RD ST, HAMMOND, WI 54015 LOT 01. PLAT OF FOREST RIDGE ESTATES, NEI/4NW I/4, SEC. 14, T.29N., R.17W. FOR: Design Wastewater Flow Value: 450 Bedrooms: 3 Limiting Factor(s): 43" Maintenance Required: Effluent Filter Phone 608-266-2112 Web hum /ldsms w Lox Email dsps'a.wisconsin o% Tony Evers, Governor Dan Hereth, Secretary Identification Numbers Plan Review No.: PWTS-102702501-C Application No.: DIS-092247799 Site ID No.: SIT-107625 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 Mound Component Manual - Version 2.1 (May 2022-2027) 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. + With new construction; it is recommended not to activate the pump in the dose tank until the tanks are pumped prior to homeowner occupancy. • Wastewater generated from contractors cleaning of equipment and tools and/or left over construction products shall not be discharged into the drains discharging to the private onsite wastewater treatment system (POWTS). Waste generated shall be properly disposed of on -site or off 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. • Divert surface water from all POWTS Areas. • 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 sampte between the hands. If it rolls into a 1i4- 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, • 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 (1 1)(c) • Well setbacks to meet chs. NR 811 & 812 • Tank Installation to follow all manufacture's recommendations. • Verify property line(s) prior to installation. • Pump Floats to beset and verified per approved plan. Any changes may result in pump resizing to meet TDH and GPM Specifications. • %reas that are occupied with rock fragments. tree roots, stumps and boulders reduce the amount of soil available for proper reaunent. If no other site is available, trees in the basal area of the mound must he cutoff at around level. A larger till area is necessary when any of the above conditions are encountered, to provide sufficient intiltrative 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(I). • 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 owners 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 manuals) 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/instal l at ion/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 r�- Fee Received: $250.00 r/ ria � Balance Due: $0.00 Tim ander Leest Refund Expected: $0.00 110N"fS Plan Reviewer Division of Industry Services Phone: 608-516-6134 Email: tim.vanderleest@wisconsin.gov EZflow® MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name Owners Name Owner's Address Conditionally APPROVED McMurrin 3 bedroom replacement mound DEPT OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES Bob & Nan McMurrin W2858 776th Ave., Spring Valley, WI 54767 Lt SEE CORRESPONDENCE Property Address: 994 193rd St., Hammond, WI 54015 Legal Description: NE1/4 NW1/4, Sec. 14, T29N., R.17W. Township: Hammond County: St. Croix Subdivision Name: Forest Ridge Estates Lot Number. 1 Block Number: Na Parcel I.D. Number: 018-2001-01-000 Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 EZflow mound drawings Page 4 Lateral and dose tank Page 5 Distribution media Page 6 System maintenance specifications Page 7 Management and contingency plan Page 8 Pump curve and specifications Page 9 Site Plan Page 10 Attached Soil Evaluation Report Designer: ames . Thompson License Number: 30021 Date: 09121/ Phone Number: 715 248-7767 Signature: 4 Designed Pursuant to the EZflow Mound Component Manual Ver. August 20, 2007, SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01, R. 10112) EZflow Mound Version 3.0 (R. 3l1/12) Pagel of 10 Mound and Pressure Distribution Component Design Design Worksheet (r or c) Site Information Residential or Commercial Design Estimated Wastewater Flow (gpd) Peaking Factor (e.g, 1.5 = 150%) Design Flow (gpd) Site Slope (%) Installation Contour Line Elevation (ft) Depth to Limiting Factor (in) In -situ Soil Application Rate (gpd/ft) R 300.00 1.50 450,001 4.00 98.50 43.00 0.60 (c or e) Distribution Cell Information L� q Cell Width (ft) 3 4 5 6 7 8 9or 10 Onl Dispersal Cell Design Loading Rate (gpdtft?) Influent Wastewater Quality (1 or 2) Pressure Disribution Information Center or End Manifold Lateral Spacing (ft) Number of Laterals Orifice Diameter (in) (e.g. 0.25) Estimated Orifice Spacing (ft) Forcemain Diameter (in) Forcemain Length (ft) Inside Pump Tank Elevation (ft) Forcemain Filter Loss (ft) System Head (ft) x 1.3 Vertical Lift (ft) Friction Loss (ft) Total Dynamic Head (ft) Lateral Diameter Selection in, dia, options choice 0.75 1.00 1.25 1.50 x x 2.00 x 3.00 x Treatment Tank Information 1000.0-01 Se tic Tank Capacity (gal) Wieser Concrete Manufacturer Dose Tank Information 653.131 Dose Tank Capacity (gal) 15-931 Dose Tank Volume (gal/in) Wieser Concrete Manufacturer 110.00 Contour Length Available (ft) 80.00 = Dispersal Cell Length (ft) Are the laterals the highest point in the distribution I Y network? Enter Y or N If N above, enter the elevation ft of the highest point. 8.89 felorifice Does the forcemain drain back? I Y Enter Y or N 16.31 Forcemain Drainback (gal) 72.04 5x Void Volume (gal) 88.36 Minimum Dose Volume (gal) 29.08 System Demand (gpm) Manifold iameter Selection in, dia. options choice 1.25 x 1.50 x x 2.00 3A0 Gallons/inch Calculator (optional) 653.13 Total Tank Capacity (gal) 41.00 Total Working Liquid Depth (in) 15.93 gal/in (enter result in cell B49) Effluent Filter Information Pol Lok Filter Manufacturer PL 525 Filter Model Number i;ject McMurrin 3 bedroom replacement mound Page 2 of 10 Mound Plan View 1l""� .Observation Pipe• .'.' K 5 B L i Mound Component Dimensions A 6.00 ft E 8.88 in H 1.00 ft KQlft ft B 80.00 ft F 12.00 in _ 7.64 ft Lft D 6.00 in G 0.50 ft J 5.3fi ft W 480.00 (ft) Dispersal Cell Area 1090.91 (ft2) Basal Area Available 5,63 (gpd/ft) Linear Loading Rate 8.00 (ft) 1/10 B Obs. Pipe Placement Finished Grade Mound Cross Section View EZflow Dispersal Area 101.00 (ft) F 99.00 (ft) --► — Dispersal Cell Elevation . _.. . 4.0 % Site Slope Shading Key © _ Topsoil Cap 2 Subsoil Cap _o a a c 2.0 ASTM C33 Sand 4 Tilled Layer ti ft L61 EZflow Media 9 0 0.5 ft 99.50 (ft) Lateral Invert Elevation 50 (ft) Contour Elevation Typical Dispersal Cell See Page 5 Approved Geotextile Fabric Cover See details on page 4 for number, size, and spacing of laterals. Laterals are located in the 4" gravity distribution pipes as shown on page 5. Project: McMurrin 3 bedroom replacement mound Page 3 of 10 Project: End Connection Lateral Layout Diagram Place Appropriate Lateral Diagram From Right Below f P •Turn-ulovd llvoIworalrwnoutpluo z 1 at Witim loc a et z IF x --a I orttica3 pant UP tsxc ao evs y sth one P" down for drdnvW. s FOW nab amwoom tit, tw aI sots to mall M at j" poklt gals 6 fame main of PVC Soh 40 AN le WdS I I Nrtticel with orifices eqw* SP80ed. pw SPS T" 364—V4 Number of Laterals Lateral Diameter Lateral Length (P) Lateral End (Z) Lateral Spacing (S) Lateral Flow Rate System Flow Rate 2 1.50 in 79.26 ft 0.74 ft 3.00 ft 14.54 gpm 29.08 gpm Orifice Diameter Orifice Spacing (X) Orifices per Lateral Orifice Density Manifold Length Manifold Diameter Forcemain Velocity D.156 in 3.02 ft 27 8.89 ft2/orifice 3.00 ft 1.50 in 2.97 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and SPS 316.300 WAC Jrmin. nect ------- - Tank component is property vented Wieser Concrete Manufacturer Capacity 653.13 Gallons Volume 15.93 gaVinch Dimension Inches Gallons A 21.45 341.75 B 2.00 31.86 C 5.55 88.36 D 12.00 191.16 Total 41-001 653.13 T A e C -t Bedding And BaWu As Per Manufacturer Alarm Manufacturer JSJ Rhombus Alarm Model Number JJB Plugger XL Pump Manufacturer JZoeller Pump Model Number IBN151 Pump Must Deliver I 29.08 gpm at 14.88 ft TDH Note: Switches containing mercury may not be used in this system. McMurrin 3 bedroom replacement mound Alternate outlet location Forcemain diameter 2 in. Weep hole or anti - siphon device Pump off elevation (ft) 91.00 Close tank elevation (ft) 90.00 Page 4 of 10 3z Uf owo Distribution Cell Media Layout 6,00 Cell Width {ft) 1.50 Sidewall to Lateral (ft) Distribution Cell Cross-section Arrangements �5►ti� 11�ti `Y�; r1�ti Component Legend SR1-7A Bundle - 5 ft or 10 ft lengths SR1-12A or EZ 1201A in 5 ft or 10 ft lengths SR3-12H or EZ 1201P or SR3-12H in 5 ft or 10 ft lengths 0 4" Perforated Distribution Pipe With Pressure Lateral Inside • Tumup Enclosure — — •— — — Pressure Lateral Bundles are covered with approved geotextile fabric as per the their product approval. Distribution Cell Plan View Layout - Typical 6.00 Cell Width - A (1t) 80.00 Cell Length - B (ft) LWide nifold Center Connection Lateral Layout Diagram Force Main rr Y.i°r. °r-. --:�• rti r.Y-.�'n •r. >r :�,t Y, <r.�'rs �. Y r �'rs Ii.�.l•`•`Fya IS.<.'.'. .�.•. . .a.i . < r.rK,a {r. r.r•. r< <r <r.r<r< .r.rr r`ra .SI<1<. 1'� f1,,r<r{f{f.'. < •r.r<flr,rtr.r •r. 1 < T •'f�. •' TI�� •'r Protect McMurrin 3 bedroom replacement mound Page 5 of 10 Mound System Maintenance and Operation Specifications Service Provider's Name JJmaes K. Thompson Phone 715 248-7767 POWTS Regulator's Name St. Croix Coun ZoningDe 't Phone 715 386-4680 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 480 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Other Service Frequency Inspect and/or service once every 3 years Inspect and clean as necessary at least once every 3 years Test once every 3 years Should test periodicaily Laterals should be flushed and pressure tested every 3 years Inspect for ponding and seepage once every 3 years Miscellaneous Construction and Materials Standards I. Observation pipes are slotted and materials conform to Table SPS 3B4.30-1, have a watertight cap and are secured in as shown in the EZflow Mound Component Manual Ver. August 20, 2007. 2. Dispersal cell media conforms to EZflow products approved for use with the EZflow Mound Component Manual Ver. August 20, 2007. Media is covered with an approved geotextile fabric. 3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn -up Detail Finished Grade . 6 8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Bail Valve Lateral Ends at Last Orifice Where Variable Length Cleanout Begins , Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral EZflow S nthebc Media 1-98 Feet �--- Distribution Lateral i Lateral Cleanout 01 Project: McMurrin 3 bedroom replacement mound Page 6 of 10 Mound System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General This system shall be operated in accordance with SPS 382-84 Wis, Adm. Code, and shall maintained in accordance with its' component ^za~uals (EZf/owMound Component Manual 820/07, Pressure Distribution Component Manual Ver. 2.0 SOD-10706-P (N. 01/01) and 35. IMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. Septic and pump tank abandonment shall be in accordance with SPS 383.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Sufic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48. Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids In the tank that may slough off the filter when removed from Its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may Indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 113 the liquid volume of the tank If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner as to when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Wisconsin Department of Commerce. Pump Tank The dosing (pump) tank shall be inspected at least once every 3 years All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent fitter is installed within the tank it shall be inspected and serviced as necessary. If the force main has a weep hole, it should be noted If It is functional during pump operation, and if not, it should be cleaned. No one should ever enter a sapNc or dose tank since dangerous sass may be present that could cause death.— Mound and Pressure Distribution Svstsm No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the Infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October -February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BODS, 150 mg/L TSS,.and 30 mg1L FOG for septic tank effluent or 30 mg& BODs, 30 mg1L TSS, 10 mg/L FOG, and 104 cfu1100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system Is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 3 years. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice deaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Continency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, h will be repaired or replaced in its' present location by Increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. McMurrin 3 bedroom replacement mound Page 7 of 10 PUMP PERFORMANCE CURVE MODEL 151/152/153 TOTAL DYNAMIC HEADJFLOW PER MINUTE C 14 45 &FFLUENT AND DEWATERING n I FLOW V9t lalRRE e1144•,A U�IySGLT FACTORY FOR a SPECIAL APPLICATIONS • Ttmed doming petrels SmAtle. • Electricalallxnebots, for duplmr rpiti ni, sre tew wwAs and supplied Y4 an aierm. . • Variable level oontrd s6rl6dw are evabim fa, a * a trig single phase systems. Double piggyback variable taint fh* W&hes as asvaiebis for vanable level long and Nrort cycle conids. Sealed Qwlk-Box web big for outdoor inslldsio ls, See FM1420. • Over 13(rF. (54'C.) special quotsion ra**W. 151/1521153 Series 1611167N61r rOGELa CoeMtl eredae meet vol�rPh roe. N151 115 1 Non 1"1 2a3 BN151 15 1 Aub to �ede0 2 a 3 E151 230 i Fien 9.2 1 2 or 3 BE161 2�0 1 Alb 3 2 kadrrdad 2 ar 3 N152 115 1 Ns,' U 1 203 BN152 115 1 Aub U Irtduded 2 ar 3 E152 1 Non 4.3 1 2 ar3 BE152 t211 1; 4.3 WaF6d 2or3 N153 1 Nanlob9N153 1 Aub fob Irc udad 2 a 3 Et13 23D 1 Net 5.3 1 2a3 8E153 30 1 Aub 6-3 Indi,bd 2a3 All incteiiation or contrde, pr010ctl011 devlon end rpriN should be dons by a quatlriad kensed atactriclan. All dectries and alley oodN should be followed indudinp this most rectn'National Electric Coda (NEC) end the Occupa60nd 14PW and Health Ad (OSHA). MODEL 151 152 153 Feat wets. or. LAM or u1Ra Gd. tAea 5 1s so in 00 211 77 2YI 10 3.0 45 170 B1 231 70 2� 15 4b 3e 1" 6i 2" 61 231 20 6.1 29 110 44 /A 62 101 25 76 16 e1 34 120 42 in 30 iio - - 23 g 33 125 36 10.7 - - 22 66 40 122 - 11 42 ffiueo Hwd 300. 1•tt 3611-11 4411.(131e Mode! 151 Models 152 / 153 SELECTION GUIDE 1 Single pggybQck +arable level IOat in*och or doable pwybeck varwbie IWyel float witch Refer to FWN77. 2. Sae FMD712 for oared model of 13echoal AAwrieiar i_•Pak. 3. VarmbM iml (F11111)l VA*I,1641225 U9ed as a oonird atdlwh3r. sp" duplet (3 ) or (4) W rfel n. RESERVE POWERED DESIGN --- - -- - For unusual conditions a reserve safety faetor is engineered info the design of every coder pimp. tilAY TO: PO. 0OX16347 L*W mk W 4mza711 IM,r+Arfews d . WM, 3649la1111OReAoed 6 • Lace^ KY 41 211-1t161 �rm�1+e+.wm.serrorrl PU/%1P La (SR)7M273i.1(SM12SP1AW ,(�iivrrf34lr+r,ir4�/93a9" F" (say 771. M O COpyripht 2004 Zo•q•r Co. AN rWft reserved 9 0,C is �raAiy� y APPLICATION FOR REVIEW Private Onsite -Complete all Pages- Wastewater Treatment NOTE: Personal information you provide may be used for secondary purposes �•'a+,�, [Privacy Laws. 15.04(1)(m), Stats.) Systems Division of Industry Services ❑ Plans to be E-filed. Provide SharePoint User name below: For plan status, check our website at http://dsps.vA.go_ Several counties have been delegated certain authority to review plans in lieu of Division of Industry services. For a current list of those counties and their designation check our website at http•I/dsnR wi nnv Project Information - Fill In all known Information. Project/Sda Name: MWunin 3 Bedroom Residential Mound Lcca,;or, Number & Street of project (if unknown, Indicated nearest road) 994 193ni St Hammond WI 54015 Legal Description: Lot 1 Mat of Forest Ridge Estates NE1/4 NW1/4. c.14 T29N.. R. 17W - County Tn. of Hammond, St. Croix Co., W. of Confirmation of assignment to a reviewer. Transaction ID: Previous Related Trans. ID: Estimated Completion Date: Assigned Reviewer: Assigned Office: Mail to your office of choice below: Hayward, LaCrosse, Waukesha 2. After plans are reviewed, please: (check all that apply) NOTE: we reserve the right to redistribute plans to another office if _ Call customer 1, 2 (circle number)' needed to reasonably balance turnaround times. Check Requesting h�:110spe.wi.00v for office availability and next available review date _. q g Party will pick up Mail plans to customer 1, 2 (circle number)' 'Refers to customer number from below. 3. Complete the following deslgnerlownedrequesting Information. Utilize the check boxes rihen designer, owner or requesting party Is the same to avoid repeating information. Designer Information (Customer 1) DSPS First Name Last Name Customer Number James Thompson 30021 Company Name A.C.E. Soil & Site Evaluations LLC Address 340 Paulsen Lake Lane City State Zip+4 (9 digits) Osceola WI 54020 Phone Number E-mail address Cell phone rarea Code) f 15j 248-7767 a0esoi0frontiemet.net Check if applicable ❑ Owner Other Please Specify Below (Customer 2) DSPS First Name Last Name Customer Number Company Name Address State Zip+4 (9 digits) Phone Number E-mail address Cell phone (area code) Check if applicable or specify relationship Owner U Other — Wecify relationship Information and Plan Submiital Checklists. POWTS pre -scheduling is not available. Plans will be assigned to a reviewer after receipt at a DSPS office. Submittals received may be assigned to offices other than the receiving office depending on reviewer availability. Submittal checklists can be found in each applicable component manual appearing on the P01NTS Publications page, h :1/ds s.wi. ov/ h /sb to / code result. h IPOWTSM/POWTS COMPONENT MANUAL. You may email technical code auastion* fn nSR.qCRPo%,.AoT-_J.&V...1 Hayward DSPS 10541 N Ranch Rd Hayward WI54843 716-634-4870 Fax: 715-634-5150 Email: DSpsSbPlanSchedu _,wi.qov LaCrosse Area DSPS 3824 N Creekside Hoimen WI54636 (NOTE CHANGE) 608-785-9334 Fax: 608-785-9330 Email: DspsSbPIanScheduJedwj.gov Make Checks Payable to: Division of Industry Services OR ❑ Check box to invoice designer and sign below Designer signature SPS 0577 (R 10/15) Waukesha DSPS 141 NW Barstow St 0 Floor Waukesha NA 53188-3789 262-548-Moo Fax: 262-5"14 Email: Dsos$bPlanSchedukhQwi oov TOTAL AMOUNT DUE $ 230.p0 Review Code 7633 i I r Itt L wye Jliu,Y r, IV .. ,� _ .. t ' � i • . �.�-.:_.;..�.. . � +r �. ���==cry , i ropbsedl �t � x i / -04 1 Cud: -7T w Gt edt1�', 6minZ+i�'s i7i. z G' _.�± I�� s sle✓ 15 cJli! d►fkl�pct�'G'�bd+9 l AMC.�st. t�►,ht of •/�AO.�. r � F � Aq i AID i f ; r17�1' , , I r Ye RECEI vNaoortNn oeperfrrant a Cummme SOIL EV LIN REPORT P,o. L ea Of Asten of SW*ty and oft Aftch comWeM sm than an paper not fps sr 7 In dw. Pl irscfud., bw nw llnitsd b: vafrpl and Parent 1. D��_ p0� Per�Cent slow. sale or dnwrwWm. rrorfit n road. pf"as Pdm an lrIA:wmvorf. _ Deft P�rfon�l YNontiPpq yw �tOrIM tK/ tr --WNW Moe.�6'r aRpOp� (fMwty Lew. . PrwortiGmw PmposyLQCMM .y A '�-� julw lid #Jd1H -S T .19 N R I i Y O~s MMft Address LQI I BlacM or &kd. Wang or C" 114 y W. o,IJts%W3 -Sr j — o"-� ITW-C ��5 pry Stft Cods Number Q city.g ❑ ywe KI Town nearest Road ��1�iCfQ FALtsI 1Or I 540Z i i5 %jZ b—Ljj0 NAM�MQ Grp: E N-ccnst Cd- ua. {Tarapwal r Nunb.► a h.emonw _q_ Cade dwkvd esalgn navy, ruM i oo -- --- GPD 0 R.pbcww t ❑ PLOC or aorrwwcW - Dewr9m: Parent mama! _ 10A�U�FL S1-� _ Flood Wale awwon if eppacobq , R. Gerar* corrxrtenfs and reconrnandaaom: if utApE 945TE.t^ a5 LOAOfP{G RATE Boring p ❑ &wing Ph CxOtxW nafaw elev. _• ,? n. Dept to lirnlsnp fader Grt d,rir�rin itdt, I— L�J � 9 P11 am-W -.*" elm _ %9C4 _ tt, pepw b bnMv Ldor _Z� In. Raw v� �IM�MM , ..: ©ems � y ENAMEMn.MM � ©• �r �Qo��e �i ..a.., .no . c6z, s.a, c „r, rngti MOM 1t2 w &M 5 30 mg0L and TW 130 mgR csr Name (Wepe PrhQ - ,f„ra t� Nun*,tr AdAa b I•i l L S F °f °SS �Evs*Ww4m d Tehgnn. Nwrbn c.40'�`'AVE, v FAL.LS WT 5402z 6V- -oz- U7%6. L42.6-1-17S Cam%) p,vpwtyowne, N S,4LI A — r— l - . - n saw z-O'3 Gmun0 aurlaoa siay. —_ b WL f. OMth b 1146 p bM »�_— 3a� i/le �yt O"th Don*vi+! And=Das, to, Teatve SYudum Car,tistartoa Bwu,dary fiae� GPORr In. Munsei flu. Sz. Cora. cdw 431. Sz. Sh. 'FINS -ENO I— o- to =% r L xt- 0.5 .3 , �i � v z — L - m SbIC ✓rC Z y -ri 104A4l. — slt S 3 5C! -m5w r et4 -rn W-3t 3Y rorR s��r o .,•� ant 4h? a.� I.tt 3 U0 01 w PM Gtotstd aurhas atev. _ �" it Dow to bn" bew / Flolimn in OkmV arJAW" RWoa Ottatalp M Ou. U C,ort cow Text" M_jws Gr. Sr- SA. GoraisMnov Baudety Rwl I �g L 111 Z p 4 Sl 2v4 US D 3 to cy ; r 5 ,s O, If -maw" S -ta 0.2- c 10 z.I�-+n 0.2 t 1_ z__S7 -r_�S t 3�I d Z5 ,4 �5 4 { r f Z -In 1 fivant rt r WD. � 301220 nVL end TSS 1-30 j 150 mplL ' E1tLwd r2 - SM. 13M and TSS < 30 "Ot The Dcpanmcm of Commerce is an equal opponunity scrvicc provider and employer. if YOU need assistance to access Services or need material in on aitcmate format, please conssct the depatunwt at 604-266.3151 or TiY 605-2644777. frW I111s �eo1 a 4l, �l CRTs� aptt rn ki W ILa I I I I I O OOpp 000 H OpOO S C pppp y M CL 0 Ln 99 q paHVj n. 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E - °C oSm n =Q E mpo �s a^ aN = W 00 O 10 W E E Eq > m 0 LU W u`f 0. m m E <° `'U Eop�W E � �$ .8� gI ,� m ,� � m Eat a � m m E H g 7i a h �v �a E m g L �a c 2 2� a ai E m v, vo C mE. w cn e1 LU rn m _a H Za tip+ dZaOU �'� ®❑ v�l ❑❑ ( ❑❑®®❑ ❑❑❑❑❑❑ 4 ❑ D m W S U ❑ ❑ CI Cm_ ❑ v1 m a E p��' a Z c a m o m p m m d S w a z X 4 In > 57" A5 REQUIRED 6 q m N 46" � � m q � I Z UP 45" N u 4" CAS r 0 r O A 41"�-I I I II p I I1 49" 5" f j c rn �� p ► 1 L m m 1 1D� 1� 17 N Ire i'-�, r, I a � 1 i t II�O � � (n I 11m;0 I I II I ,1 I\ it A .I I ti I , N I UP 41" I 11 �CPLR A v �4" CPLRrq � �I I 1 II - ll m I.� I I Il I II r1 z rl I I I, �\ O II _u v UP 43" Z a v 4" CA5 0 c N 44" r D r c D p y p r ngr-m coca m a 0 0 D z _ Z g Va�ma,m .. o� . to v x rmZm\r,n Fn �;�1(L; x � �Z \0 A $j =nmN� 0O1, Avm r v' �m +x zv m W -J rn ca m VOnVi n 0 5 v "t p m NrD ;r m m ;0 Z n D LA Cl? n IMPt Z Z z .�. 0 21m rn W m v T� � � m v 0 53 — D m O -� H n vm.0 r to M Z r- m cn v m \ f m wLP1000-650 TRIPLE FDL MISER CDIiCRETE SCALE: 1/4" 1'-0" REV. DATE: PRE -POUR. y DRAWN BY: WCP \Z SEPTIC MANUAL W3716 US HWY 10, MAIDEN ROCK, WI 54750 DATE: 00/00/00 05T-POUR: 800-325-8456 FILE: wIP1000-650 triple idl 6. t 9 6Fz Pal lnL lnnorartanslnPreast,Draiw Zabel* PL-525 Effluent Filter 9 Watewafu Producn A DneYon of Pofybw fnc. PL-525 Filter The PL-525 Filter is rated for 10,000 GPD (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. i Features: • Rated for 10,000 GPD (gallons per day). • 525 linear feet of 1/ 16" filtration. • Accepts 4" and 6" SCHD 40 pipe. • Built in gas deflector. • Automatic shut-off ball when filter is removed. • Alarm accessibility. • Accepts PVC extension handle. P .-525 Installation: I deAl for residential and commercial waste flows up to 10,000 gallons per day (GPD). 1. Locate the outlet of the septic tank. 2. Remove the tank cover and pump tank if necessary. 3. Glue the filter housing to the 4" or 6" outlet pipe. if the filter is not centered under the access opening use a Polvlok Extend & Lok or piece of pipe to center filter. 4. Insert the PL-525 filter into its housing. 5. Replace and secure the septic tank cover. 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 c\ ur%, time the tank is pumped, or at least every three rears. 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 septic tank pumper or installer. 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. 4. Pull PL-525 cartridge out of the housing. 5. Hose off filter over the septic tank. Make sure all solids fall back into septic tank. 6. Insert the filter cartridge back into the housing making sure the filter is properly aligned and completely inserted. 7. Replace and secure septic tank cover. 1/16" Filtration Slots Alarm Switch 10pM GPD 1V (optional) Accepts 4" & 6" SCHD 40 pipe Accepts 1" PVC Extension Handie Rated for 10,000 GPD 525 Linear Ft. of 1/16" Filtration Slots Certified to NSFIANSI Standard 46 Gas Deflector Automatic Shut -Off Hall Outdoor SmartFilterR Alarm Extend & l.okr" Polylniti, Zabcl & BCS1 filters,u4ept FAsily installs the SmartFilterT 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 r r EZflow 1203H - GEO ESTABLISH NATIVE BACKFILL VEGETATIVE COVER O MIN COVER OR PER CODE FILTER FABRIC 4" PERFORATED PIPE 12" EZflow BUNDLE (TYP.) 36" MIN TRENCH WIDTH iLollT3 PRODUCT CONFIGURATION AND INSTALLATION ���('[� DEPTH MUST COMPLY WITH APPLICABLE J � REGULATORY REQUIREMENTS. INFILTRATOR SYSTEMS INC 4 SU*nm Park Rd Old Saybrook. CT 0$475 (9M)221-4436 EZflow 1203H - GED q EMS I Der OW712 .c* ro rx� Graao q OF H I ShW 1 01 1 P9,zroF2V S-T. CRo NTY SANITARY SYSTEM File#: ruo�ks�f Office Use Only OWNERSHIP/ADDRESS FORM Created212027 Community Development Department will utilize this information to provide the property owner with information regarding operation and maintenance of your new or replacement sanitary systems 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. Owner/Buyer _ Mailing Address City/State/Zip OWNER/BUYER INFORMA71ON Bob & Nan McMurrin W2858 776th Ave. Spring Valley, WI 54767 Phone Number (requi Email Address (required (651) 324-9380 mbcsports@svtel.net Parcel Identification Number 0 18-2001 -01 -000 (found on the property tax bill) NEW SYSTEM: LEGAL DESCRIPTION Property Location NE 14, NW 1A , Sec. � 4J T 29 N R 17 W, Town of Hammond Subdivision Plat: Forest Ridge Estates Certified Survey Map # Warranty Deed # 1156827 Volume . Page # (before 2006)Volume . Page # Nurnuer of bedrooms 3 Spec house ❑ yes ■ no ' Lot lines identifiable ■ yes ❑ no Lot # 01 OFRCE LISEE LY q q((" , New Property Address ` l � ', . (Verification of new address required from Community Development'-Departrrtnt for new const ction.) /C>17,_ALZ_ 5 itf I 'tials) (oat ) 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 cdd@sccwi.gov 1101 Carmichael Road, Hudson, WI 54016 715-245-4250Fax www. sccwi. go v L BL Lmn si— RECEIVED OCT 1 12021 sr, CMX COUNTY CDD ri ,a C 1 ge Wisconsin Department of Safety and Professional Services Division of Industry Services SOIL EVALUATION REPORT In accordance with SPS 385,1Ms. 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 (13M), direction and percent slope, Parcel I.D. scale or dimensions, north arrow, and location and distance to nearest road. 0 1 &200 1 -01 -000 Please print all Information. Reviewed by Property Owner Bob 8 Nan McMurrin Property Owner's Mailing Address City State Zip Code WI 154767 Page 1 of 1 Ref #2690 Date Priv Law, s. 15. 1 m Property Location ❑ Govt. Lot NE % NW '% S 14 T 29 N R 17 E (or) W Lot * Block # Subd. Name or CSM# 01 Na Plat of Forest Ride Estates Phone Number ❑ City ❑ Village ® Town Nearest Road 651 324-9380 1 Hammond Co. Hwy E 8 193- St ® Now Construction Use: ® Residential/ Numberof bedroorns.Z Code derived design flow rate 450 GPD ❑ Replacement ❑ Public or commercial _ Describe: Parent material Glacial till _ Flood Plan etavation if applicable na ft. Genera! comments and recommendations: Site does not comply with A+4" requirement as specified in DSPS 335.30(2(b)l and is unsuitable for mound PO TS DSPS interprative approval is unlikely. F 1-1Boring # ❑ Boring ® Pit Ground surface elev. 98,02 ft. Depth to limiting factor 4T in. e..ii AW.ILw-&L-.. M-6- Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/FO 'Eff#1 'Ef #2 1 0-6 1Oyr3/2 none I 2fgr mvfr aw 3fmc 0.6 0.8 2 B-21 10yr416 none sl 2fsbk mvfr cw 2fmc 0.6 1.0 3 2140 10yr4/6 none Is Osg ml cw ifm 0.7 1.6 4 40-59 7.5yr4/4 f2d 7.5yr5/8 is Osg ml 0.5 1.0 F-1 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Qnil AnniL—kinn DMe 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 F•milAni 91 = KIN ) > .ins 77n mnn Yrr1 TSS ? "in r 1 Sn mn/i f• Fffh mnllra = Rnn ni- Zn < 77n mn11 nnA TSS > 7n < 11in mnfl CST Narhe (Please Print) ignatu �-4;p CST Number James K. Thom n 30021 Address Evaluation Conducted Telephone Number 340 Paulson Lake Lane Oamia WI 54020-5413 June 30 2020 715 248-7767 5BD-8330 (RO4115) RECEIVE t�ATI N REPORT Page 1_ or � wlsoonsin Department of Gommarea SOIL EV _ Divwm or Safety and Bulldlnos In a n Go�r1�5�WIsr Adrn. ode Attach complole. site plan an paper not leis n 8 1 1 os In size. Plan I Co1�ry r' include. W not limited to: vertical and horizon I ref �Q(j�(�ton Parcel 1 oT- .7 W/ Percent slope. scale or dim•nstons, north art (o n t road �7 R b Oats Please print all Informa(lon. - OK- Per7ona, rnler,natbn rw prwNa ,nay W uead for e•canew purpo�ef {!'rrra[r Law. a 1! Os f r1 IM)i- �+ Property Owner — Property Location A jag 114 Ajy11/ 1N S l`f T Zq N R )7 w Property Owner's Ma$ling Address Lot fN Block 0 Srrbd. Name or CSNW 111 t-( pry Stale Zip Code Phone Number [] City ❑ Village ] Town Nearest Road AWEA PAu3 I WI 1 5402 (-115 y210-48IV i al.ff. E 54Nevr Cons5wilon User R*skhw tlal 1 Number of bedrooms _ --- Code derived design now rate .-- ❑ Replacement ❑ Public or ccrcv wwoal • Describe. _ - --- Parent matenal _IlI1 5 _ Fiood Hain elwaUon �! appecanfr,--- -_� --- n. General comments and racarnmeruiattoos. AT CV -AO[ SVST E Alt O.b t-.OAO W Co RATF- C isJK- pitBoring Ground surfaos 91ev.. qg.] it. Depth to Iinwal q factor � (vi7 in - Horizon Depth Dominant Calm Redo: Descriptlai Texture Struclurs Consts{ence Boundary ,n. Munsel Ou. Sz- Cont. Color Gr. Sz Sh _ l 0- 0 t1 3 Z L- m-M d s L+r sod RMs Roots GP fllll 'EM 3 - Z 14- r _ 5 ds 1101 3 1 tq Age-7.5 A C3&5 1- 0 . Z r - ft BOr1rg IF Pit Ground surface elev. _ ' k qq _ ft. Depth to *nWrwg feGcor _Z"_ In. Sol Aoolkation Rate is �'� M rya © ' 1�M\!M1�� ■WMM r ..ONE ' E?N"u #1 - DWI > 30 5 220 rrV(L and TSS >30 < 150 mg& � Effluent 02 ■ 13OD ! 30 mg& and TSS < 30 mgn. CST Name (Please Print) - attire CST Hhrrber /AA D 1�29ZZ 32- Address D& Evsklaloon ComWed Trilepltone Ntrttber W9175 1.4OAVE,, R(UEI�FAts-S} WT_ 5`f02Z Q'i- -02- -7 y2� 11-1ls uPnATE� � : Dy-i6-c� ev gyring A ❑ Bmim (Lwv t v Pit i^-.., —A oulerw wlwv. iYA'iL tt Al = BODE' 301 2Z0 rngrL NMIbb'JU = �+ •w� DaW.h to Ilrnfty taM -_Z__— in. zOF3 PaDe '�' and TSS ! 30 mgA. The Department of Commerce is an equal opporsumly service provider and employer. if you need assistance to access servrces or need material in an allema►c format, plessc contact the department at 608-266.31 S 1 or "T TY 608-264-8777. ANm 1t1(a 6io01 It rv� �o �. Loll .CAM «rani ■ , q�. x UNPILATTED LANDS45.8 x �� �''i x ;3SrMaE, x 1145.6 ZONED AG_ —RESIDENTIAL / J ��� NORTH GENE OF /1HE NW 1 -- - --- - - - - -- - wT ----- v - — -- —�� -r-- =�- -,,,_ ----- r - f ag :ST SECTION / '288.84' o I 1 \� o J, R17W, O i 0 \0 i" COUNfy p 3� _ \ lRS � � c' 0 NT 1 r 1470 i -j- — — — m 2.23 Ac. l / N.B. 51308 S.F. \ t f N.B. 1.17\�'c. r` x , \ 1142.2 X1 E - 1146.5N ^ 1146.8 j II 1 11 121097 x 2.78 At ` B. 53993 � � ll ,.• \ N1 6a5J.24 x I 89'5322" W LFE = 1146.5 1143.1 A y x 1141.3 jl� S ki, �) .4(11 rn W ;u Im m 0 i I� D m6. rn m N ;G o .23' L 111d5.3 i / 8,72 Ac. LFE = 11,44.00' N.B. \151636 S.F� — N.B. Z.48 Ac/ r — — 1 — -N 06"-€, — —j— --- — ' $3 '� — -� --- — — / LFE — 11 A4,00' i 2170 7 4. 8 Au I 1141.; x { t I 4 ' �L----------------------a.eTM,s_---- — — — —— — — — tio NORTH LINE OF N '33' 8.88' N 89'5222' E 1178.8S N89' ---------------------------------- ---------------- 148. j� N 28885 j I = '� 365,52' 95!)Q' is1258'- _.o0' -- g 1n •4 �,, LOT 28 ----- I 98226 S—F. / /----------�� I i I I 2.25i c. �4, I II\ 4 -N* / ! I I IDT 29 � I LOT 3rS.F4 $� < I 1118933 S.F. I N137528 r I ,\ k \ _ / �� LOT 27 0 2.73 Ac. I 3.16 Ac. I a J 1 \ I I►� _„ I UZ _ ,lsaoar 1 MA. r NWE 130024 S.F. I t 1 1 N 89 i \1144.50' 2.98 Ac. I I ' L — - 1 u "4 OCr S 0933 x2 MI NK w 1144.50' LOT 1 ,\ 294113 S.F. 5.75 AC. 254.2-V 223.5W 31&50' UK. 1144.00r .' � s / \� N 89'38'33' E 796.23' N 89'M'060 E 634.03' _ _ — ��+ . ` ' ���� \ ,a... - — — — --- — -- — —_ —— — �, Nomm LOT 28 '�• JLW 251982 S.F. m \ \�� \ \ 5.78 Ac. 5� v p LOT 2 `\ 1 rn *4 .217087 S.F.— j 4.98 Ac. , l N VE-1144AW t ---------------------- ' R 1 - 3 8o7d`W w 48MAr TO 5 89'20'18' w 760.60' — — — — — — • �i N 1!9" W57' E 479.2r r--------------------- �\ I F- — i jll'� April 25, 2005 Ms. Mary Jo Hollister, CST #224832 Hollister's Soil Testing W9875 690" Ave. River Falls, WI 54022 ST. CROIX COUNTY WISCONSIN PLANNING & ZONING DEPT. ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016-7710 (715) 386-4680 FAX (715) 386-4684 Re: Revisions for Soil Evaluation Reports - Forest Ridge Estates, Hammond Twp. Dear Ms. Hollister: On April 21'4 I performed on -site verifications of data reported for lots 27, 28, 29 and 30 to determine the cause of discrepancies between the engineer's preliminary plat elevations and those on the soil reports. There was an error in your method for calculating the benchmark elevations in relation to mean sea level contours, which resulted in the contours not matching the elevations described for soil borings and test pits. While on the site, I walked all four lots and found that some of the distances between test pits and hand borings did not match measurements represented the scale used for their associated plot plans. In order for mound systems to be designed, corrections need to be made. To summarize my findings: 1. All lots whose reports used mean sea level elevations need to be revised so that the benchmarks are based on an assumed 100.0 ft elevation. This will require using your field notes and, starting with every BM #1, add the back -sight rod reading to 100' to give a new height of instrument. Then re -calculate (subtract from HI) all the foresight rod readings to obtain test pit and/or boring elevations related to the BM #1 and draw u neva�plot plans to correspond with the new contours. Lots reported using mean sea level re i, a, 3, 4, 6, 8, 10, 17, 21, 24, 26, 27, 28, and 29. 2. Do not exclude any previously reported test pits. They must be included in revised evaluations and shown on the plot plans. This will help avoid confusion when locations for mound contours are being established. The distances between test pits within tested areas need to be updated from the original 2002 plot plans. 3. Original signed and dated revised reports must be submitted to our office so that they can be attached to the previous submittals to track changes made. 4. I evaluated a hand boring on lot 28 that was next to a test pit that had been marked with a lathe labeled "29A" (from the original lot numbering). It was approx. 95' southwest of the corner benchmarks and 20 ft. west of the test pit you now show as "A". The original site was an excavated pit, not a hand boring, as evidenced by backfill. Regardless, both test pits were Hollister — Page 2 described as having redox features within 3 inches of the A -horizon. I found mottling in the sample I examined just below the A -horizon boundary, so am requiring that any mound design be restricted to the northerly test pits B, C, and E. S. Based on the soil evaluation for lot 28, all four lots fronting on Cty. Rd. E appear to have serious limitations for POWTS installation other than the tested areas already documented. This means that any damage to existing tested areas may eliminate the possibility of POWTS installation, unless an A+0" mound design is approved by the Dept. of Commerce after the requisite on -site evaluation by Leroy Jansky. I will send a copy of this letter to the current owner of the lot to forewarn him of this situation. Would you please re-establish the marking tape to indicate the locations of these areas, since you are more familiar with the terrain? Sanitary permits cannot be issued for the lots referenced above until the soil reports in question have been corrected and/or completed. If you have any questions regarding the above requested changes and/or additions to the soil reports, please feel free to contact me at the Zoning office number and schedule a meeting to discuss the soil data for Forest Ridge Estates. Sin G ' Pamela Quinn,qCST665054 Zoning Specialist Cc: Mark Sylla, Developer Kernon Bast, Edina Realty Leroy Jansky, Dept. of Commerce POWTS Wastewater Specialist Subdivision file 1N1smnaln Departrnent of Commerce SOIL EVALUATION REPORT Pegs _-(— of DuvWW of safety and Buildings Attach cornplole site plan on paper not less than A 112 ■ h' Inches kh site. flan must rnctudo, Out not Ilmlted to. veRk�1 end hOrlZOntal Fels/enCe 001M (BM), dlredlon and Paroet i p portent slope, scats or dtmenslons, north arrow, and boalion and distance to nearest road. r I 0 Q 011Yo� Pleaaa print all Information. owed Date P■now■i u�lo.w�.rloe rw era.N• m•r W w•p fOr te4on0ary Or+rou�■s 1P.•.•er l■.r, • I S Oa ��Ylryf .L'l. 1rJ, ON-J f St OM to . State Zip Code PrrOne Number JER FALLs-; WI I S`(0ZZ4 1715 ) `t2b-if t-1 V MC 114 4;,J114 S li 7 zq N R 17 a - . 0106 it Sued Name or C.SM* i ; — orbs-rJq I rx..€ �.srA'CE s C+� via@go $) Town Nearest Road - HA,M&w�u4 -- _-- i Q-Tff E New Construction Use's Rettldenlial J Nuonber of bedrooms Code derived design flow role ❑ Repiacomery ,- `❑. �Pu�b1�iC W Oomnwrrlel • Oeacrtbe _ ___ _ _ Parenl malenal _ �U�MIA[1 lf'1 — Rood Hain elaval" d apodcattte -T A General oommerAs v ` f VE fl and ►aConurlendadf7nf: AT GKAOG SX5'TENk a& "AOWC, RATE D c� rpvx;� �3y �� SEP l r � ^ Boring �. Lpd o �' Ph Ground surface elev t�gL Doolh ;o limldng factor � Lb_ ar Horizon D or% Dominant Color Redoe Descrioon I Torture ' Structure � Consistence Boundary Roots Sal GP _ Rate m- Munsel Cu. St. Cont Cooler ' Gr. 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Soil Ilontlon Bala {L v Pit Horizon Deptft porrnant Cdtx Retiox Oear/tplion Texture SUVeture Canfiflmee Boundary Roots ' GPOKf }n, Munsell Qu. Sz. Cont. Color Gr Sz. Sh, 'EtTlt1 'Etttt2 — L z i irab 0.5 y 10-1 v�t3/i L b 31 4.16 2 — L m seK +*� A 5Z .y y IVZ4 10uR46 31) 1. d n4rr C5 2W- s O S O Y8 3 — SCl m %1A 0 ,'4 (0 y 7,3 VA 3 f 3I r �{ m I ap) 1v� -m O, 0. 3X, s.lr VA o.Q', All 0•1 112- Doom to Ilm" or L_._ N. {tin z4) Pn G t+ __ ._-__� n Sod A krtian Rue Horizon Room G porttlnant Color RetSox Oest7tpgon Texture Structure To:wCa Boundary 'ERe1 'E in, MunsaW Ou. Sz. Cont. Color Gr. Sz. Sh- 00 3 -11 10,1a10 vJq4l r r S , S tl g I�- rndloj� S m O.L 0 Q.ZO � V s m W Z+I�.r1 6b.-7 1 .Zb 10 104 I 441U Is �m 1( mnJ�r -� ZV - O 1z 7 NA S v Ga Jiilw tN /•tCQt�tt. HS �-1.. Mugu xi . $00. s 30 < 220 mplt. and TSS �,30 1150 mD& EMuem 02 t300, : end TSS ! 30 mg& The Department of Commerce is an equal opportunity service provider end employer. if you need assistance to access services or need material in an alternate formal, please contact the department e1 608.266-31 S 1 or TYY 601-264-8777 9au.rrlleta.&0M ` � .• � ESTP1Te5 • ,.•:. 4 Sri Yoe L--oT I = 12-�1 S+EC , 14 v"�► 0 � f rw, K Yl awl h� ` i � ..-a 3�.f3'1.1aFNW, V ` E - Bm z = fvc' P►p� !.2 �ABOU E f p 1<L 10444 gun A v , 1 , �r I ,I I o, A I I kimkk--- Ilk 4 ON &P-1-0.20, LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF HAMMOND COMPUTER NUMBER 018-2001-01-000 Parcel Number 14.29.17.865 OWNER NAME: First CHARLES R & REBECCA J Last PACE PROPERTY ADDRESS: Hse # 1/2 PD --Street Name-- Type SD Apartment 994 193RD ST SECTION 14 TOWN 29N RANGE 17W '/.160 NW '/440 NE Line Description Line Description TOTAL ACREAGE 6.750 PLAT FOREST RIDGE EST 1/30 018/03 LOT01 BLK 01 SEC 14 T29N R17W PT NE NW 15 02 FOREST RIDGE ESTATES LOT 1 16 03 (6.750AC) 17 04 18 05 19 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1-General, F4-Prey. Parcel, F5-Next Parcel, F7-Valuations, F8-History, F10-Exit M Ln �Mt L J qt e W M� Z 0 U I I� 8 U .p 4 H O a