HomeMy WebLinkAbout018-2011-88-000 (2)Wisconsin Department of Commerce
Safety and Building Division
GENERAL INFORMATION
PRIVATE SEWAGE SYSTEM
INSPECTION REPORT
(ATTACH TO PERMIT)
lersonal intormation you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m
Permit Holder's Name: City Village awusl*
o0SENS I -�92 15r -,;I-
SST BM Elev: Insp. BM Elev: BM Description:
I wi MfbZ, , 6--P W of sysrFt
TANK INFORMATION
TYPE
MANUFAC U'1R-E-R
CAPACITY
Septic
Dosing
_
M-D
1 t
Aerat;on
Holdi
TANK SETBACK INFORMATION
TANK TO
P/L
WELL
BLDG.
Vent to Air Intake
ROAD
Septic
2 1
' S 0 I
, /� /)
o aI
Dosing
�t
It
It
s
Aeration
Holding
PUMP/SIPHON INFORMATION G!� Lie
Manufacturer Demand
�LOCLLEP- GPM 0
Model Number
TDH Lift Friction Loss ISystem Head TDH Ft
}-10 n .-- 3.25 o.9S
Forcemain Length Dia. Dist. to Well I
2, > L Sa
SOIL ABSORPTION SYSTEM
ELEVATION DATA
County: St. Croix
anitary Permit No:
s��- 2023 - Icy Sl2
fate Plan ID No:
uJTS- 01424-6
Parcel Tax No:
—20t I —w-000
Section/Town/Range/Map No:
30. 29. Q
STATION
BS
HI
FS
ELEV.
Benchmark
&.(a
Alt. BM
so,", 8� Lnsr t
(p.�5
10(,•1S
Bldg. Sewer
St/Ht Inlet
SUHt Outlet
Dt Inlet
Dt Bottom
Header/Man.
(D00
100 -5
Dist. Pipe
L.oa A0(
100. 5 00.�4
Bot. System Q
lP �� �`
•r`o � 6.
�
�D0 .0 /
Final Grade
U-(( be « lz'+
IL&
St'Cover
p; c�
3•6 �'
loz•9y�
iiD3
BED/TRENCH
Width
Length
No. Of Trenches
PIT DIME IONS
No. Of Pits
Inside Dia.
Liquid Depth
DIMENSIONS
13' � °
"
131 b
1
SETBACK
INFORMATION
SYSTEM TO
I P/L
JBLDG
WELL
LAKE/STREAM
LEACHING
CHAMBER OR
Manufacturer:�/ y(�
Type Of System:
Lack \iP�
Model Number:
I
n
UNIT
UIS IRIBUT ION SYSTEM
Header/Manifold
n tL
Length e iDie
Distribution
Pipe(s)
Length Dia Z Spacing
x Hole Size
1 1
x Hole Spacing
Vent to Air Intake
SOIL COVER x Pressure Svstems Only xx Mound Or At -Grade Svstems Only
Depth Over IJ
BedRrench Center 7 ✓\uc� aK
Depth Over
Bed/Trench Edges
xx Depth of
Topsoil
xx Seeded/Sod ded
xx Mulched
1:1 Yes No
Yes No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 91142123 - Inspection #2: 1'ILNO-L
Location: 1595 32ND ST ®h (r
1.) Alt BM Description��y2� �(JtW S�
2.) Bldg sewer length=Xrsa�/I SpT 9
- amount of cover = 6) S7 CeA e Z t
Pi h� - �,S �t.�, �. �-2 s (( ��- k . z 5i /3
Plan revision Required? 0 Yes M No02,
�/
Use other side for additional information. __
SBD-6710 (R.3/97) Date Insepctor's Signature Cart. No.
Y)ScH-40 P�pcpc �'*�• S,r: IIIIsr�(n I10- 20 of wc. (�Ne. P t.h.�c/ s1 44-'Qt44 fs t�5+��-t'r.
W-V j� -� C.k2oa8 we?M-("o 5 Y1o+ '(nS�alte
`WecWe I�
- Ll
Safety and Buildings Division
County
• .'
P
201 W. Washington Ave., P.O. Box 7162
9
Madison, WI 53707-7162
Sanitary Permit Number (to be filled in by Co.)
t � AUG 2 8 2023
Alow
`airF - it Application
State Transaction Number
In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit
Project Address (if diffeTrenethan 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 Servies. Personal information you provide may be used for secondary
purposes in accordance with the Privacy Law, s. 15. 1 m , Stats.
/,AA'
I. Application Information - Please Print All Information
t/`�" _,,
Property Owner's Name
G CPO .s s it 14 S. `.
Parcel #
` O ^
1 8$ - W
D! 8 2RO ^
Property Owner's Mailing Address
Property Location
7 Te:Z 5- 7
Govt. Lot is
w /.,
� , ll r ,Q
/., Section
City, State
Zip Code Phone
Number
L
0 LE• I" +S
� Y0�3 7
F►�r
� S % At Y 1' 2 7J /
iY�-
c,trcle one
T �� N; R E or&
II TT pe of Building (check all that apply) Lot
#
Subdivision Name s
CJ 1 or 2 Family Dwelling - Number of Bedrooms S
%
Block
VA "It l e� a C
#
❑ Public/Commercial - Describe Use
❑ City of
CSM
❑ State Owned -Describe Use
❑ Village of
��
Number
3
II Town of M e[sNd
III. Type of Permit: (Check only one boa on line A. Complete line B if applicable)
A.
❑ New System
Repl ern nt Syste
[ITreatment/Holding Tank Replacement Only
❑ Other Modification to Existing System (explain)
B.
❑ Permit Renewal
❑ Permit Revision
❑ Change of Plumber
[IPermit Transfer to New
List Previous Permit Number and Date Issued
Before ExpirationP
Owner
SjJ `B
IV. Type of POWTS System/Component/Device: Check 1 that apply)
❑ Non -Pressurized In -Ground ❑ Pressurized In -Ground At -Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil
❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain)
V. Dis ersal/Treatment Area Information:
Design Flow (gpd)
Design Soil Application Rate(gpdsf)
Dispersal Area Required (sf)
Dispersal Area Proposed (sf)
System Elevation /
. 4 P.t s-g
1 :X "Cre
l �X50
VI. Tank Info
Capacity in
Total
# of
Manufacture
Gallons
Gallons
Units
d
Z
o
o
New Tanks
Existing Tanks
!ice
a U
v"
.2
n
z 7
Septic or Holding Tank
w
/
Qi G
Dosing Chamber
VII. Responsibility Statement- L the undersigned, assume responsibility for installation of the POM"TS shown on the attached plans.
Plumber's Name (Print)
k � �.
Plumber's Signature
MP/MPRS Number
Business Phone Number
=74r9 332�-
F N F' 4PR C ve
��
7 �•� IS/
71 S
Plumber's Address (Street, City, State, Zip Code)
fc� T sy�3
«II. CountyTe artment Use unly
Approved
❑Disapproved
Permit Fee Date
Issued
Issuing A ent Signature
El Owner Given Reason for Denial
�j
IX. Conditions of Approval/Reasons for Disapproval
SYSTEM OWNER:
1. Septic tank, effluent filter and dispersal cell
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 in % I inches in size
SBD-6398 (R. 11/11)
m 1S y
o ° N r m
c D C
T d ID ID w N
W Y N � '� N
x €� I� Q t7
f LA S M o '°
/ ,Y c Q o W o
Q N N ob C) Z Q) w
O 00 04
e b d a o Y T O
�
�F
s c
0 0 °' ° x� 03C)3u
V) KV 3zv)�o
O
(o ui
n L
i GE
O M ��
ri
ru to
p II
f J _N < o`
p 4-,
Q a`m p 22 '—' � $
/ E O O 22 O T
CI� O Ln a)N L 3~ru
O O 'v b
L a N � � a
_ 0 "
L o O V O� rn
/ V) 0 N a D '
Q) O O O
�0 0��2(n(n
m� / boa � �.
O
o >
O a \
y a +I vim) oM �\ U
°;
N O
U
`{I o
Q Q) i
p c Q _ Off' CM v
O 34-
O /
�° LL B
Cl) 4,1
Ln`�° n' °'
rNi n II N> OCL
3 0
co 1 ,i 'i O / // N
co CL
L) '-' , t \ -11�", C:
N U) N Z /1-1
/
m — C
? lJ l
a) Ei
N O I �_
N '0 N yl
m w p) n
V5 r 'FA
NOON
NOON
NOON
NOON
■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
■N!E::MMMUEOMMMMMM■■■■■■■■■■■■■■■■
■I■■■■■■■■■■■■\rgI■■■■■■■■■■■■■■■■■
r,■■■■■■■m■nnmmmwugn■■■■■■■■■■■■■■■
n■■■■■■wMEM■■■■■O■■■a■■■■■■■■■■■■
==----MNMMMM■■■■■■■■■■■■■■■■■■■■■■
■■■■■■■■m:n■■■■■■■■■■■i■■■■■■■■■■■■
■■■■■■■■■E■EEMMMMM■■■n■■■■■■■■■■■■
■■■■■■■■■■■■■■■.•■■■■n■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■E:s■n■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■mm■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■i■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■il.►�■■■■■■■■■■■■■■■■■
■■■■■■■■■pi■��■■■■■■■■■■■■■■■■■
■■■■■■■■monmal■■■■■■■■■■■■■■■■
■■■■■■■■►�■nn■►�■■■■■■■■■■■■■■■■
■■■■■■■■��■E■■��■■■■■■■■■■■■■■■■
■■■■■■■■■■■m■■■■■■■■■■■■■■■■■■
■■■■■■■■■►Ig■il�RMI■■■■■■■■■■■■■■■
■■■■■■■■■umom■ii■■■■■■■■■■■■■■■
■■■■■■■■■■m■m■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■
NOON-.�■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■
skFAMM
NONE
NONE
=V&
■■f■is ■■i
MEMO
■■11■
■P-ai■
■uu■
NONE
MEMO
NONE
MEMO
MEMO
MEMO
MEMO
NONE
NONE
NONE
NONE
NONE
NONE
NONE
NONE
NONE
■■■■
■■■■NONE
■■■■NONE
■■■■NONE
■■■■NONE
■■■■NONE
■■■■MEMO
■■■■MEMO
■■■■NONE
■■■■
■■■■MEMO
■■■■MEMO
■■■■MEMO
■■■■MEMO
■■■■MEMO
NOON■■■■
■■■■MEMO
■■■■MEMO
■■■■MEMO
No
■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■
No
NONE
NONE
NONE
NONE
ST. CROIX COUNTY ZONING OFFICE
CERTIFICATION STATEMENT
FOR UTILIZATION OF EXISTING SEPTIC TANK(S)
This is to certify that I have inspected the existing septic and/or dose tank
presently serving the following re'dence:
(Street address) �9 L J V Sk located
at: N u)_ 1/4, �j 6_ `/4, Section _, Town 29 N, Range j W,
Town of N-IO .wee Mrs , St. Croix County Wisconsin.
Upon inspection, I certify that I have found the tank(s), to the best of my
knowledge, will conform to the requirements of SPS. 384.25, and it (they)
appear(s) to be functioning properly.
Most recent date of inspection or service
Did flow back occur from absorption system? Yes No /'
(if no, skip next line.)
Approximate volume or length of time: gallons minutes
Tank Capacity: /,2 T D
Construction: Prefab Concrete Steel Other
Manufacturer (if known): .�#�--
Age of Tank (if known): An j
Permit number (if known) :St r, l b -4,-
() .erg (�) R L MA 11_FLdVT i-1 F
(Licensed Plumber Signature) (Print Name)
(Title)
'?- G8 - ;7-'3�'
(Date)
(License Number) MP/MPRS
Form to be completed by licensed plumber (Dept of Safety and Professional
Services Chapter 305 and s. 145.06, Wisconsin Statutes) or licensed disposer
(NR 113 Wisconsin Administrative Code)
Rev. 2/2012
Wisconsin Department of Safety and Professional Services
Division of Industry Services
4822 Madison Yards Way
PO Box 7302
Madison, WI 53707
July 18, 2023
CUST ID NO.: 1330832
RYAN GARY BECHEL
W 11932 560TH AVE
PRESCOTT, WI 54021
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 07/18/2025
MUNICIPALITY:
TOWN OF HAMMOND
ST. CROIX COUNTY
SITE:
STACY & ANNA GOOSSENS
792 157TH ST
NEW RICHMOND, WI 54023
LOT 88 CSM 24-5637 NW 1/4 NE 1/4 S30 T29N R17W TOWN
OF HAMMOND
FOR:
Design Wastewater Flow Value: 750
Bedrooms: 5
Limiting Factor(s): 62"
Maintenance Required: Effluent Filter
Phone: 608-266-2112
Web: http://dsps,wi. oovv
Email: dsps(a wisconsin.povv
Tony Evers, Governor
Dan Hereth, Secretary
Identification Numbers
Plan Review No.: PWTS-072301424-C
Application No.: DIS-062330274
Site ID No.: SIT-] 18278
Please refer to all identification numbers in each
correspondence with the Department.
At -Grade Component Manual - Version 3.0 (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.
• 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
• Puma Floats to beset and verified per approved plan. Any chances may result in pump resizine 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.
• 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 fill 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 and Wis. Admin. Code � SPS 383.54(l).
• 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
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
44 ADVANCED
E N V I R O N M E N TA L
Property Owner/Client: Stacy & Anna Goossens PIN: 018-2011-88-000
Site Address: 792 157TH ST Roberts, WI 54023
FLOW.-
INDEX
Pg. 2 SITE PLAN
Pg. 3 SOIL DISPERSAL COMPONENT
Pg. 4 EFFLUENT DISTRIBUTION LATERALS
Pg. 5 EXISTING TANK SPECIFICATIONS
Pg. 6 NEW COMBO TANK SPECIFICATIONS
Pg. 7 DOSING AND PUMP SELECTION
Pg. 8 FILTER MAINTENANCE
Pg. 9 MANAGEMENT PLAN
DESIGN PARAMETERS
Wastewater Type: Residential
Estimated Wastewater Flow: 500 gpd
Design Flow: 750 gpd
SOIL & SITE
EVAL UA TION.-
POWTS Type: At -Grade
Limiting Condition Depth: 62"
Maximum System Depth: 26"
Contour Elevation: 100.00'
Limiting Condition Elev: 94.83'
Land Slope: 6%
Comments.
County: ST Croix
Pg. 10 MANAGEMENT PLAN
Pg. 11 SOIL TEST
Pg. 12 SOIL TEST
Pg. 13 SOIL TEST
Pg. 14 SOIL TEST
Pg. 15 AS -BUILT EXCERPT
Pg. 16 AS -BUILT EXCERPT
Pg. 17 AS -BUILT EXCERPT
# Bedrooms (residential) : 5
# 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: NA
POWTS DESIGNED PURSUANT TO:
At -Grade Component Manual (Version 3.0)
Pressure Distribution Component Manual (Version 2.1)
Replacment system for existing 5 bedroom home. No home business. No sewage ejector/grinder
pump. Existing trenches to be abandoned per SPS 383.33. C O IyS�N,,��
RYAN G.
--------------------------------------------------------------------------------------------------------------------- -
SIGNED:
6/30/2023
ADVANCED ENVIRONMENTAL LLC
W11932 560TH AVE, PRESCOTT, WI 54021 (651) 327-0074
BECHEL
D-2263-7
PRESCOTT
\VVI
m 1S y
o ° N r m
c D C
T d ID ID w N
W Y N � '� N
x €� I� Q t7
f LA S M o '°
/ ,Y c Q o W o
Q N N ob C) Z Q) w
O 00 04
e b d a o Y T O
�
�F
s c
0 0 °' ° x� 03C)3u
V) KV 3zv)�o
O
(o ui
n L
i GE
O M ��
ri
ru to
p II
f J _N < o`
p 4-,
Q a`m p 22 '—' � $
/ E O O 22 O T
CI� O Ln a)N L 3~ru
O O 'v b
L a N � � a
_ 0 "
L o O V O� rn
/ V) 0 N a D '
Q) O O O
�0 0��2(n(n
m� / boa � �.
O
o >
O a \
y a +I vim) oM �\ U
°;
N O
U
`{I o
Q Q) i
p c Q _ Off' CM v
O 34-
O /
�° LL B
Cl) 4,1
Ln`�° n' °'
rNi n II N> OCL
3 0
co 1 ,i 'i O / // N
co CL
L) '-' , t \ -11�", C:
N U) N Z /1-1
/
m — C
? lJ l
a) Ei
N O I �_
N '0 N yl
m w p) n
V5 r 'FA
A T-GRADE DISPERSAL AREA
W
L
D1
if
C✓ --r-- ��----------7-- l----,
/ zb/,/'f--D2
Observation D3
pipes
A 10.0'
B 125.0'
C 2.0'
D1
5.9'
D2
5.5'
D3
5.0'
Observation Pipes (1/6th of B) 20.8'
L 136.0'
W 22.9'
Dispersal Area Required: 1250 ft2
Dispersal Area Proposed: 1250 ft2
100.83' 101.83'
100.67' Topsoil
& seed
Geotextile
fabric Q SD%/ CO
AggM
"
A
W
6% 100.00,
OBERSVATION PIPES
Screw -type or
slip -top cap
4" SCH 40 PVC pipe
Top of pipe to terminate at
or above finished grade
4" - �, x 6'. slots
spaced 90' apart
Anchoring Device
(Toilet flange)
Observation pipe
at aggregate toe
Finished Grade
(mulched & seeded)
Topsoil cover
(V minimum)
Infiltrative
surface
Plow 6% 8" deep (min.)
prior to placing aggregate
D3
Page 3
/ `° `° o °�
�U rn�
X L ° N \\
cq ° ' toto
I? , N M 0
� O O
4
w R
'A (V N N
v, Z_
v � O
o� �0
V ate-+ +�+ ♦�.+ a j v O ci
C
O 4, E E E o
0
W G C C v� 3 p
cx
U,
rk------------------------------------ o
O
'le
� Q
' 14ce-
� N �
o Cal. '
Q �
O C m z �
' o
14
LZ
'Z
cp a
� l'V
CO q
' C
' O
NEW COMBO TANK SPECIFICATIONS
r
• 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 troffc/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 45s, maintain 1 inch in 8 feet (1%) slope, install cleanouts
at the building connection and every 100 feet at a minimum
Watertight control box with
107.25' 100.70' separate pump and alarm circuits
Quids Disconnect
Sleeve forcemain in 4'
SCH
•
104.37' 97,92' 40 PVC pipe across tank
• excavation to prevent pipe
settling
4" SCH 40 Bldg. ewer < Effluent Filter Y
1 "-1.5" PVC Float Tree
I
�-- + - 120 ' 95.25'
Off)
(Pump
Weep Hole
94.00'
4" Pump Block
-------------------------------------------------------------------------------------------------------------------------------------------------
Tank Manufacturer/Model: Wieser - WLP650/1000-MR
-------------------------------------------------------------------------------------------------------------------------------------------------
Filter Manufacturer/Model: Polylok - PL-525
-------------------------------------------------------------------------------------------------------------------------------------------------
Panel Manufacturer/Model: SJE Rhombus - Tank Alert 1
NOTE: Special order tank (WLP 1000/650
with inverted inlet/outlets)
8�" 34}" (2-2 Ts- ,e " (1 EA.)WLP650/1000—MR
4" CAST -A -SEAL r4' CAST -A -SEAL
W
It
TANK SPECIFICATIONS
/f
a
t Illl DIMENSIONS:
'
" Irl I r WALL: 3"
>
BOTTOM: 3'
i 1 mti a r� 1 COVER: 5"
MANHOLE: 24" I.D. PRECAST CONCRETE RISER
'I
HEIGHT: 54 1/2"
'I • 111 I LENGTH: 12'-2"
�
'
o
it WIDTH: 7'-0-
Y
II llj Ir BELOW INLET: 43"
IJ JYI LIQUID LEVEL 38-
i}� r-----s111 --_--------__T� WEIGHT: BOTTOM 9.615 LBS.
— -- ---
<
< k
W
COVER 5.325 LEIS.
INLET AND OUTLET:
4' CAST -A -SEAL BOOT OR EQUAL GASKET
;
TOP VIEW
INLET AND OUTLET BAFFLE AND FILTER:
i s
AS SHOWN
_
LIQUID CAPACITY: 26.32 GAL/IN (SEPTIC)
W 17.00 GAL/IN (PUMP)
N�
�=
< 4" VENT LOADING DESIGN: 8'-0" UNSATURATED SOIL
yy C �
COVER: MIX DESIGN #8 (NO FIBER)
TANK: MIX DESIGN #10 (STRUCTURAL FIBER)
----T
s
I. LET
LJ
W x
�) v Q 0
LI
z m ; I
a3. -, N
5 Z N
a
RENEWED BY
w w �
-PUMP PAD RENEW DATE
c~i a w
�
55�yE�Co�yEW DRAWINGS SUBMITTED
FOR APPROVAL
a
APPROVED BY:
SHEET no.
APPROVAL DATE:
TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTSPRODLKT5 NEEDED BY:]
/ OF
'
Page 6
EXISTING SEPTIC TANK SPECIF/CA TONS
• Minimum cover = 6 inches; Maximum cover = 8 feet (unless specified by manufacturer)
• All manhole covers shall extend 4 inches above final grade
Watertight control boa with
separate pump and alarm circuits
108.60' 107.25'
\L- NV
__---Clean Out ( I
104.62' —,,, r,
r i
100.37' —�
----------------------------------------------------------------------------------------------------------
-Tank--Manufacturer/Model: Huffcutt - 1250 LP
-------------------------------------------------------------------------------------------------------
filter - Not Applicable - Filter to be installed in second tank
---------------------------------------------------------------------------------------------------------
Panel-Manufacturer/Model: - Not Applicable -
--------------------------------------------------------------------------------------------------------
WARNING LABEL EMBEDDED INTO
CONCRETE COVER READS AS FOLLOWS
CAUTION
DO NOT ENTER WITHOUT PROPER VENTILATION
COULD CAUSE DEATH_DANOEROUS GAS.
.
NOTE- ADDITIONAL LABEL FOR GREASE INTERCEPTOR.
IKORHATIOYIL LABEL READS AS FOLLOVS,
r-
GREASE INTERCEPTOR
L_
(TOP VIEW)
29r DIAMETER CONCRETE COVER (TYPICAL)
104.37'
-Effluent Filter
1 "-1.5" PVC
Float Tree
!SM THIS DRAVING REPRESENTS A SEPTIC TAN(.
LIFTING 1000 SET F ACCESSORY #J1MR QEMtOEAKD----------------------- .------
I
DIN
TO, OF
EXISTING SEPTIC
a—
TANK: SEE
SANITARY
I I
-HILT - ,M PERMIT #515102
GAL. PCR INCH 31.06
LIQUID GAP- 1,305 GAL. I I I
NA%. LIQUID CAP. • 1.367 GAL. I
( T)
I I
I I
I_._. -._._.-.-.-.-.-._.-.-.-.-.-._.-._.I
TArrLE r
NOTE- ADDITIONAL BAFFLE rOR GREASE INTERCEPTOR.
SECTION
(TANK BASE, TOP, & COVER)
DIMENSION EQUALS 1/3 LIQUID LEVEL.
(ONLY rOR GREASE INTERCEPTOR)
N�
a`
Ng 3
Page 5
N
a
O
n
O
O
rl
VKM��Mr
cn
N
LA
,J
N
N
N
I
'
f0
f0
b
'
1
M
O
J
L�LnI
4
en
i
001
I
i
N M 1.- 111 in 1
q* 00 W N N
C1 0) 01 01 01
_
E
F-
o
GO
10
N
O
O
pj
O
d
<n
C
o
N
N
C
cry
O
Z
o
o
o
c
0
W
bra
O
Fu
bu0
N
p
W
N
m
M
W¢
rn
Lo
N
M
m
0
o
N
+
U
>
Q
O
U-
W
W
w'
c
W
LL
c
Z
0
0
0
0(
p"
>`
o
Co
O
o
QEo2
E
E
o'er
a
Cco
z3
U
J
�_
Z
N
U
p
p
O
w
l0
O
H
'x
p
o
LL
N
LM
ei
O
N
00
M
a�
O
N
:=■■■�%%/tit
■■�%III■■■
g P-
y
m
g a
0
0
0
1333
W
U
W
U
00
rn
0 W
xO
LU
0-
a
X; n
it
POLY OK. -Inc.
Innovations in Precast Drainage ®A DvAsiZ
& lNasiewater Products Division of Polylok Inc.
INSTALLATION INSTRUCTIONS
Step 1:
(A) Locate the outlet of the septic tank.
(B) Remove tank cover and pump tank
if necessary.
0"Certifi.d
MAINTENANCE INSTRUCTIONS
Step 1:
Locate the outlet of the septic tank.
D• 111211 15L it'll-41RIE&IU
REMOVEDWHEN FILTER IS
USE RUBBER GLOVES
WHEN CLEANING FILTER
INSTALLATION INSTRUCTIONS
PL-122/PL-525/PL-625 FILTER
Center filter
with opening
a0
w�
J 7
LLO
S
e
Additional pipe or
Polylok Extend & Lok'
I
for centering.
Step 2:
(A) Before installation, place the
filter housing on to the outlet pipe
(B) Make sure that the housing
is positioned so the filter can be
removed from the tank for
maintenance and service.
Step 2:
(A) Remove tank cover and pump
if necessary.
(B) Pull the filter out of the housing.
(C) Hose off the filter over the septic tank.
Make sure all solids fall back into the
septic tank.
Step 3:
(A) Glue the filter housing on the
outlet pipe.
(B) Insert the filter cartridge in the
housing, making sure the filter
cartridge is properly aligned and
completely inserted in the housing.
Step 3:
(A) Insert the filter cartridge back
into the the housing making sure
the filter is properly alighed
and completely inserted.
(B) Replace septic tank cover
Polylok, Inc. 3 Fairfield Blvd. Wallingford, CT 06492 Toll Free: 877.765.9565 Fax: 203.284.8514 www.polylok.Wag e 8
MANAGEMENT PLAN
The owner of this Private Onsite Wastewater Treatment System (POWTS) shall be responsible for its perpetual operation and
maintenance pursuant to requirements of SPS 382-384, Wisc. Admin. Code. This management plan identifies operation and
maintenance activities necessary to ensure long-term system performance. Tasks that should be performed by the homeowner are
identified. Professional management tasks shall be performed by a registered POWTS Maintainer in accordance with SPS 383.52 (3),
Wisc. Admin. Code, however, it is the homeowner's responsibility to ensure all tasks get accomplished in a timely manner. Pursuant to
SPS 383.52 (2), Wisc. Admin. Code, this system shall be considered a human health hazard if not maintained in accordance with this
approved management plan.
► Keep this Management Plan with your Septic System Owner's Guide.
► Keep copies of all pumping records, maintenance activities and repair invoices with this document.
► Review this plan with your POWTS Maintainer at each visit; discuss any changes in product use, activities, or water -use.
MANAGEMENT FREQUENCY
Design Parameters
System Specifications
Number of Bedrooms
5
Septic Tank Manufacturer
Huffcutt/Wieser
Design Flow (gpd)
750
Septic Tank Capacity (gallons)
1250 + 650
Soil Loading Rate (gpd/ft2)
0.6
Effluent Filter Manufacturer
Best
Standard Effluent Quality
Effluent 1
Effluent Filter Model
GF-10
Biological Oxygen Demand (BOD)
220 mg//
Pump Tank Manufacturer
Wieser
Total Suspended Solids (TSS)
150 mg//
Pump Tank Capacity (gallons)
1000
Fats, Oils, Greases (FOG)
30 mg//
Pump Manufacturer
Per Installer
Treated Effluent Quality
Pump Model
Per Installer
Biological Oxygen Demand (BOD)
- mg//
Dispersal Cell Type
At -Grade
Total Suspended Solids (TSS)
- mg//
Fats, Oils, Greases (FOG)
- mg//
Pretreatment Unit Description
NA
Max Effluent Particle Size (in)
1/8
Homeowner Management Tasks
Check (listen, look) for leaks in toilets and dripping faucets.
Repair leaks promptly.
Regularly check for wet or spongy soil around your soil treatment
area. Contact service provider if issues arise. Control burrowing
animals (gophers, groundhogs, etc.)
Keep bikes, vehicles, snowmobiles and other traffic off treatment
area.
Alarms - Contact your service professional if any alarm signals.
Lint Filter - check for lint buildup and clean when necessary. If
you do not have one, add one after washing machine.
Caps - Make sure that all caps and lids are intact and in place.
Inspect for damaged caps often. Fix or replace damaged caps.
Professional Management Tasks
Effluent Screen - Check and clean per manufacturer
recommendations.
Liquid levels - Check sludge/scum/effluent levels in all system
tanks. Recommend if tank(s) should be pumped. Pump all
compartments every 36 months at a minimum.
Inspect tank inlet and outlet baffles (if applicable)
Check drainfield effluent levels (if applicable)
Verify pump and alarm system functions (if applicable)
Inspect wiring for corrosion and function (if applicable)
Clean drainfield laterals (if applicable)
Check event counter/elapsed time meter and evaluate water usage
rate compared to system design flow.
Check dissolved oxygen and effluent temperature in tank.
Check for surfacing of effluent or other signs of problems.
Verify inspection pipes are capped and intact.
Provide homeowner with list of management results and any action
to be taken.
Septic system replacement area: Protect secondary system site from traff1c, compaction, etc. (if applicable)
.........................................................................................................................................................................................................................................
POWTS REGULATOR., Sr Croix County Zoning Office
ADDRESS.' 1101 Carmichael RD, Suite 1200, Hudson, Wl 54016
PHONE: (715) 386-4680
.........................................................................................................................................................................................................................................
Page 9
STAR T-UP& OPERAT/ON
For new construction: Prior to system operation, check septic/pump tanks for the presence of painting products or other chemicals
that may impede the treatment process and/or damage the dispersal cells. If high concentrations are detected, have the contents of
the tank removed by a licensed septic professional prior to use.
System start-up shall not occur when soils are frozen at the infiltrative surface.
During power outages: Pump tanks may fill above normal high water levels for system utilizing pumps. When power is restored, the
excess wastewater will be discharged to the dispersal cell in one large dose potentially resulting in overloading of the cells. Backup or
surface discharge of effluent may also result. To avoid this situation, it is highly recommended to have the contents of the pump tank
removed by a licensed septic professional or have a septic professional manually dose the system to return the pump tank to normal
operating levels prior to restoring power.
Do not drive or park vehicles over any septic system components. Do not drive, park over, or otherwise disturb or compact the area
within 15 feet downslope of any mound or at grade system or secondary septic system site.
MAINTENANCE INSTRUCTIONS
Inspections of tanks and dispersal cells shall be made by an appropriately licensed individual or business. Tank inspections must
include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume
of combined sludge and scum, and to check for any backup or ponding of effluent on the ground surface. Access openings used for
service and assessment shall be sealed watertight upon completion of service activities. Any unsound/defective access openings shall
be replaced immediately.
The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of
effluent on the ground surface. Ponding of effluent on the ground surface may indicate a failing condition that requires immediate
attention by a licensed septic professional.
Tanks must be pumped when sludge accumulation is within 12 inches of the bottom of the outlet baffle, or whenever the scum layer is
within 3 inches of the bottom of the outlet baffle. In no case shall total sludge and scum volume occupy greater than 25% of the tank
liquid capacity.
The effluent filter shall be cleaned as necessary to ensure proper operation. The filter should not be removed unless provisions are
made to retain solids in the tank that may slough off the filter during removal. If the filter is equipped with an alarm, the filter shall be
serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm
and should be evaluated by a licensed septic professional.
Pre-treatment components shall be maintained and serviced by a licensed septic professional according to the manufacturer's
recommendations.
CONTINGENCYPL4NS
If the septic tank, or any of it's components, become defective the tank or component shall be immediately repaired or replaced
according to the original system design specifications.
If a dosing tank, pump, pump controls, alarms, or related wiring becomes defective, they shall be immediately repaired or replaced with
components of equal performance.
If the soil treatment component fails to accept wastewater or discharges wastewater to the ground surface, it shall be repaired or
replaced by; increasing basal area (if toe leakage occurs), rebuilding the component at the secondary system site (if identified), or
removing and replacing biologically clogged absorption and dispersal media and associated piping. If repairs or rebuilding is not
possible, a new soil and site evaluation must be performed to locate a suitable replacement area if one has not already been identified.
If no replacement area is available, a holding tank may be installed as a last resort replacement POWTS.
ABANDONMENT
If the septic system fails and/or is permanently taken out of service, the system shall be abandoned according to SPS 382-384, Wisc.
Admin. Code abandonment regulations. Requirements include:
- All piping to tanks shall be disconnected and abandoned pipe openings sealed.
- The contents of all tanks shall be removed and disposed of by a licensed septic professional.
- Tanks shall be crushed & filled, or removed.
- A septic system abandonment notification shall be submitted to the appropriate local governmental unit.
WARNING/1
SEPTIC, PUMP, AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT
ENTER A SEPTIC TANK, PUMP TANK, OR OTHER TREATMENT COMPONENT UNDER ANY CIRCUMSTANCES. DEATH MAY
RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ALWAYS CONSULT
A LICENSED SEPTIC PROFESSIONAL BEFORE DOING ANY WORK.
Page 10
ST. CROI LINTY SANITARY SYSTEM File #:
1 h i.�rrzrr,�ru Office Use Only
OWNERSHIP/ADDRESS FORM Created212021
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.
OWNER/BUYER INFORMATION
Owner/Buyer .S%_� /�` /y/►/�► oo S S b1 S
Mailing Address 7 ?-1 Z.S 7 A e '
City/State/Zip �0��
Phone Number (required) 4
Email Address (required)
Parcel Identification Number 600
(found on the property tax bill)
NEW SYSTEM: LEGAL DESCRIPTION
Property Location �W1/a , RA ,Sec. OJ T N R � Town of ,io h2 dA CIC
Subdivision Plat: Lot # g� .
Certified Survey Map # F? p G 75- Volume ;:Z 41 Page # 6--6 3 7 .
Warranty Deed # (before 2006)Volume Page #
Number of bedrooms _ s Spec house ❑ yes M'no Lot lines identifiable L°lyes ❑ no
OFFICE USE ONLY
New Property Address
(Verification of new address required from Community Development Department for new construction.)
(Staff Initials) (Date)
This form must be submitted with all Private Onsite Water Treatment System (POWTS) applications.
New System: Include with this form a recorded warranty deed 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
715-245-4250 Fax
www.sccw1.a0v
DOCUMENT NO. STATE BAR OF WISCONSIN FORM 1-2003
WARRANTY DEED
THIS DEED, made between Mindy M. Birr and Adam J. Birr wife and
husband ("Grantor" whether one or more) conveys and warrants to Anna
Goossens and Stacy L. Goossens a/k/a Stacy Goossens, wife and husband
("Grantee", whether one or more), the following described real estate in ST
CROIX County, State of Wisconsin:
Lot 88 of Certified Survey Map filed July 8, 2009, in Vol. 24 of C.S.M., pg.
5637, as Doc. No. 899675 located in part of the NW'/, of the NE'/4 of Section
30, Township 29 North, Range 17 West, Town of Hammond, St. Croix
County, Wisconsin; being Lots 61, 62 and 63, Plat of Emerald Acres 1st
Addition.
I l l l l l l l l l l l l l l l l l l l l l{ I I I I I I I
8287130
Tx:4235494
1008511
BETH PABST
REGISTER OF DEEDS
ST. CROIX CO., WI
03/02/2015 2:35 PM
EXEMPT#: NA
REC FEE: 30.00
TRANS FEE: 867.00
PAGES: 1
RETURN TO
St. Croix County Abstract & Title Co. Inc.
219 S. Knowles Avenue
New Richmond, WI 54017
Tax Parcel No: 018-201 1-88-000
Thi, is is not homestead property
Exception to warranties: Municipal and zoning ordinances and agreements entered under them, recorded casements for the
distribution of utility and municipal services, recorded building and use restrictions and covenants, and further except 2015
real estate taxes.
Dated this 27th day of February, 2015.
AUTHENTICATION
Signatures authenticated this day of
20
TITLE: MEMBER STATE BAR OF WISCONSIN
(If not,
authorized by § 706.06, Wis. Stats.)
THIS INSTRUMENT WAS DRAFTED BY
Robert L. Lobery / Lobere Law Office
1521536 / alm q{�
(Signatures may be authenticated or acknowledged. Both are
not necessary.)
wARRAINTY UEED
Adam 3. Birr
ACKNOWLEDGMENT
STATE OF WISCONSIN
COUNTY OF ST CROIX
I ss.
Personally came before me this 27th day of February, 2015, the
above named Mindy M. Birr and Adam J. Birr, wife and
husband to me known to be the person(s) who executed the
foregoing instrument and acknowledge the same.
Notary Public
County,
My Commission is permanent. (If not,
e`reIaW�riIi�r : ° r
••�-• 0 ••DorpmSo Iw-2003
'ra r. •tll1s���, .
�"��<dHen11��6w
St. Croix County 1008511 Page 1 of 1
Wisconsin DepeA+Rent-of Safety and Professional Services
Division of In t€fo�i �eipes r� 1
I SOIL EVALUATION REPORT ZQ�3— I f
G5 �-
JUL 1 0 2023 In�accordancewith SPS 385, Wis. Adm. Code Countv
Attach completejsite plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, ST Croix
but not limited td: vertical and horizontal reference 4oint (BM), direction and percent slope, Parcel I.D.
scale or dimension north anr6w,'a19&Id6i#ion and Oistance to nearest road. 018-2011-88-000
oml7lunity Develop�lAii Reviewed b Date
----PteaseM eormation. Y
Personal information you provide may be used for secondary purposes Privacy Law, s. 15.04 1 m
Property Owner Property Location:
Stacy & Anna Goossens Govt. Lot: NW �/. NE /< 30 T 29 N R 17 W
Property Address Lot # Block # Subd. Name or CSM#
792 157TH ST 88 CSM 24-5637
City State Zip Code Phone Number ❑ City ❑ Village ❑■ Town Nearest Road
Roberts WI 1 54023 1 1 1Hammond 157TH ST/CTY RD T
❑ New Construction Use: ❑■ Residential/Number of bedrooms 5 Code derived design flow rate 750 GPD
❑■ Replacement ❑ Public or commercial — Describe:
Parent material Loess over loamy till (Jewitt sil) Floodplain elevation if applicable NA ft.
General comments and recommendations: Recommend at -grade or minimum 6" sand -lift POWTS mound on 100.00 contour with 0.6gpd/ft2 loading rate.
LF = 62" (Redoximorphic features)
1❑ Boring # ElBoring
❑■ Pit
Ground surface elev. 98.35 ft. Depth to limiting factor 68 in.
Soil Aoolication Rate
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/Ft'
*Eff#1
*Eff#2
1
0-11
7.5YR 2.5/2
sil
3mgr
dsh
cs
3f-vf
0.6
0.8
2
11-23
7.5YR 3/3
-
1
3mabk
dh
gs
1f-vf
0.6
0.8
3
23-32
7.5YR 4/4
-
sl
1 msbk
mfr-mfi
gw
If-vf
0.4
0.7
4
32-45
1 OYR 4/6
-
Is
Osg
ml
cs
0.7a
1.6a
5
45-68
1 OYR 7/4
*banded sand*
Ifs
Osg
ml
gs
0.5
1.0
6
68-80
1 OYR 7/4
c1 f 1 OYR 5/8
fs
Osg
ml
-
0.5
1.0
❑ Boring
2 Boring # F❑■ Pit Ground surface elev. 100.00 ft. Depth to limiting factor 62 in.
Snil Annliratinn Ratp
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/Ftz
*Eff#1
*Eff#2
1
0-8
7.5YR 2.5/2
-
sil
3mgr
dsh
cs
3f-vf
0.6
0.8
2
8-25
7.5YR 3/3
-
I
3mabk
dh
gs
1f-vf
0.6
0.8
3
25-37
7.5YR 4/6
-
sl
1msbk
mfr-mfi
gw
1vf
0.4
0.7
4
37-62
7.5YR 4/4
-
sl
Om
mfi
cw
-
0.2
0.6
5
62-74
1OYR 7/4
cld 1OYR 4/6
Ifs
Osg
ml
0.5
1.0
*Horizon 5 wz
s banded sa
d
CST Name (Please Print)
Signature
CST Number
Ryan Bechel (Advanced Environmental LLC.)
1330832
Address
Date Evaluation Conducted
Telephone Number
W11932 560TH AVE, Prescott, WI 54021
06/22/23
(651) 327-0074
za5U-0,5ju kNU4/lo)
U
❑3 Boring #
❑ Boring
❑■ Pit Ground surface elev. 99.60 ft.
Depth to limiting factor 65 in.
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
QV11MPPi1LdL1UJ1 Mdic
GPD/Ftz
*Eff#1
*Eff#2
1
0-12
7.5YR 2.5/2
-
sil
3mgr
dsh
cs
2m-vf
0.6
0.8
2
12-25
7.5YR 3/3
I
2mabk
mfi
gs
1m-vf
0.6
0.8
3
25-38
7.5YR 4/6
sl
1 msbk
mfr-mfi
cw
1 c-vf
0.4
0.7
4
38-65
10YR 7/4
*banded sand*
Ifs
Osg
ml
gs
1m-vf
0.5
1.0
5
65-81
10YR 7/4
c1 d 10YR 4/6
Ifs
Osg
ml
-
0.5
1.0
El
Boring #
❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
Oon Mppiicaiion Kaie
GPD/Ftz
*Eff#1
*Eff#2
5❑ Boring #
❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/Ftz
*Eff#1
*Eff#2
* Effluent #1 = BOD, > 30 <_ 220 mg/L and TSS > 30 s 150 mg/L * Effluent #2 = BOD, > 30 <_ 220 mg/L and TSS > 30 5 150 mg/L
M• 1S
v
Est Q
Cn 2 rn y W 1D M N
W "yy 10 co ry
N In N
0 v N \1, E ai
Q V/ I"" �•' C O W c O o
.off W C Q M o (n ZZ2
i
`n Z L in Co U"t N O
e m '
t•" o� i o g w o' .� .�i Vj J Z V) F '•�
.u. E o o L E
E F' E ac o g
v W O •Q s o o v
0
GE
O
h O \ Qj O
C 22ii
C o N N
N10
Q a $
/ 3 0 ra
o�
f . 11
} 0 / .� \� L
a
chi
m 5
CD 0
0
W ¢ ri Y O J c�
LL
// a �
\ CN
o oNe
a // // Cori _ O;
p/// m o Lr) �a''i \ 8
t m ry so
CD 4
co
` X
LLJ
w�
a)'Da)
rn�
o U o
C ERTI FI E0 S V RVEY MAP
LOCATED IN PART OF THE NW1/4 OF THE NE1/4
OF SECTION 30, T29N, R17W, TOWN OF
HAMMOND, ST. CROIX COUNTY, WISCONSIN;
BEING LOTS 61, 62 AND 63 OF THE PLAT OF
EMERALD ACRES 1 ST ADDITION.
OWNER SURVEYOR
KERNON BAST EDWIN C FLANUM
948 LA13ARGE ROAD NORTHLAND SURVEYING, INC.
HUDSON. WI 54016 P.O. BOX 14
ROBERTS, WI 54023
MmpL%v4GD L%mNt
----------------------------------
- -- 180.03-- -- i
,�A I
Q± 1 ;.
t e� +
4l 0'00
pti�� qS I
71
r ��4
IIIII! I�tlf'""''III IIlII IIIII IIl1 IIIIII Ilfl If !I
899675
BETH PABST
REGISTER OF DEEDS
ST. CROIX CO., WI
RECEIVED FOR RECORD
07/08/2009 11:30AM
CERTIFIED SURVEY MAP
VOL: 24 PAGE: 5637
REC FEE: 13.00
COPY FEE: 3.00
PAGES: 2
NOTE:
THIS LOT IS PROHIBITED FROM
DIRECT ACCESS TO COUNTY
TRUNK HIGHWAY'TT'
-
1 1'33"E 1380.66' Te6T 1a1.9s c
----T---- a�
DRAINAGE AREA TO ; $
HIGH WATEIR LINE
----
23870,
I yy_e
St��3ar4'W
OO 4004 QID 0� a
LOWEST BUILDING
Z OPENING ELEVATION
- - _ _ _ _ �� I ••
105500VA
I L�`J� ��- .••
LOT I L�0_ 4 �
I e
NOTE
THE PROPOSE OF THIS MAP IS TO
COMBINE LOTS 61. 82 AND 63 OF
THE PLAT OF EMERALD ACRES 1 ST
ADDITION. NO NEW LOTS ARE
CREATED BY THIS MAP
I i? ems.
I
I
�- I
I
N
cu
M I
I
W I
CD
c
IV
I
4 Cal i
o-d_0- I
F-
Z Z
uja
I
C4
I [�(Dv M /
157TH STREET ti/ �
NOTE'
NO OWNER OR RESIDENT SHALL DO ANYTHING
WHICH WOULD INTERFERE WITH OR CHANGE THE
OPERATION OF THE APPROVED COMPREHENSIVE
WATER DRAINAGE AND SOIL EROSION PLAN FOR THIS
PLAT. THIS INCLUDES BUT IS NOT LIMITED TO
BUILDING UPON. OBSTRUCTING, ALTERING, FILLING,
OR EXCAVATING OR PLANTING IN ANY DRAINAGE
AREAS OR EASEMENTS, WATER DRAINAGE DITCHES.
WATER RUNWAYS. WATER CULVERTS. BERMS OR
GRASS SEEDINGS.
��\GNU\N�0.
�:I.•1!1':�ry�
EDWIN C.
FANUN LANUJA
_
# •� : 5-2s87
^MER
%%IIS
sy �� �
----------------- ---
U
1 �
/ LOT 88 _ . a-
6.66 ACRES S D
290,092 SQ.FT.
M
LEGEND
3/4' IRON REBAR FOUND
50 ROADWAY SETBACK LIN
(UNLESS OTHERWISE SHOWN)
12' UTILITY EASEMENT
CURVE DATA TABLE
NUMBER
C1
C2
C3
C4
ADIUS
180.00,
80.00'
80.00
80.00,
CENTRAL ANGLE
94'04'23-
24'21'43'
20'59'13'
48'43'27'
CHORD BEARING
S42-45'48.5-W
S77.37'08.5'W
S54.56'40.5'W
S20.05-20.5-W
CHORD LENGTH
117,09'
33,76'
29.14'
66.00,
ARC LENGTH
131.35'
34,02'
29.30'
68.03,
TANGENT IN
S89'48'00'W
S89'48'0O'W
S65'26'17'W
S44.27'04'W
TANGENT OUT
SO4'16'23'E
S65-26'17'W
S44'27'04'W
SO4'16'23'E
THIS INSTRUMENT DRAFTED BY KEVIN REED
SCALE IN FEET 1' — 150'
JOB NO. 07-24 DATE 03.07-07
DRAWING1 Sr1 SHEET 1 OF 2 SHEETS 150 0 150
Vol. 24 Page 5637
Wisconsin Department of Safety and Professional Services
Division of Industry Services
SOIL EVALUATION REPORT
In accordance with SPS 385, Wis. Adm. Code Countv
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. 018-2011-88-000
Please print all information. Reviewed by Date
Personal information you provide may be used for secondary purposes Privacy Law, s. 15.04 1 m .
Property Owner Property Location:
Stacy & Anna Goossens Govt. Lot: NW % NE Y4 S 30 T 29 N R 17 W
Property Address Lot # Block # Subd. Name or CSM#
792 157TH ST 88 CSM 24-5637
City State Zip Code Phone Number ❑ City ❑ Village M Town Nearest Road
Roberts WI 54023 1 1Hammond 157TH ST/CTY RD T
❑ New Construction Use: ❑■ Residential/Number of bedrooms 5 Code derived design flow rate 750 GPD
9 Replacement ❑ Public or commercial — Describe:
Parent material Loess over loamy till (Jewitt sil) Floodplain elevation if applicable NA ft.
General comments and recommendations: Recommend at -grade or minimum 6" sand -lift POWTS mound on 100.00 contour with 0.6gpd/ft2 loading rate.
LF = 62" (Redoximorphic features)
F-11
Baring # ElBoring
Pit
Ground surface elev. 98.35 ft. Depth to limiting factor 68 in.
Snil Annlicatinn Rate
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/Ft2
*Eff#1
*Eff#2
1
0-11
7.5YR 2.5/2
-
sil
3mgr
dsh
cs
3f-vf
0.6
0.8
2
11-23
7.5YR 3/3
-
I
3mabk
dh
gs
1f-vf
0.6
0.8
3
23-32
7.5YR4/4
-
sl
1msbk
mfr-mfi
gw
1f-vf
0.4
0.7
4
32-45
10YR 4/6
-
Is
Osg
ml
cs
0.7a
1.6a
5
45-68
1 OYR 7/4
*banded sand*
Ifs
Osg
ml
gs
0.5
1.0
6
68-80
1OYR 7/4
c1f 10YR 5/8
fs
Osg
ml
-
-
0.5
1.0
2❑ Boring #
❑ Boring
❑� Pit Ground surface elev. 100.00 ft. Depth to limiting factor 62 in.
Soil Aonlication Rate
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/Ft2
*Eff#1
*Eff#2
1
0-8
7.5YR 2.5/2
-
sil
3mgr
dsh
cs
3f-vf
0.6
0.8
2
8-25
7.5YR 3/3
-
I
3mabk
dh
gs
1f-vf
0.6
0.8
3
25-37
7.5YR 4/6
-
sl
1 msbk
mfr-mfi
gw
1 of
0.4
0.7
4
37-62
7.5YR 4/4
-
sl
Om
mfi
cw
-
0.2
0.6
5
62-74
1OYR 7/4
cld 1OYR 4/6
Ifs
Osg
ml
-
-
0.5
1.0
*Horizon 5 wE
s banded sa
d
- 1-trluent ill = tlUU_ > 3(I 5 Y211 mall. and I S5 > all 5 96t1 mn/I - F-ttli lent Jp = H( 11 ) 5 311 mo/1 and I tiff 5 :it) mn/L
CST Name (Please Print)
Signature
CST Number
Ryan Bechel (Advanced Environmental LLC.)
1330832
Address
Date Evaluation Conducted
Telephone Number
W11932 560TH AVE, Prescott, WI 54021
06/22/23
(651) 327-0074
, -t5JJU (KU4/15)
Page 11
❑3 Boring #
❑ Boring
❑■ Pit Ground surface elev. 99.60 ft. Depth to limiting factor 65 in.
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
aou /Appitcavon rate
GPD/Ft2
*Eff#1
*Eff#2
1
0-12
7.5YR 2.5/2
-
sil
3mgr
dsh
cs
2m-vf
0.6
0.8
2
12-25
7.5YR 3/3
-
1
2mabk
mfi
gs
1m-vf
0.6
0.8
3
25-38
7.5YR 4/6
-
sl
1 msbk
mfr-mfi
cw
1 c-vf
0.4
0.7
4
38-65
10YR 7/4
*banded sand*
Ifs
Osg
ml
gs
1 m-vf
0.5
1.0
5
65-81
10YR 7/4
cld 10YR 4/6
Ifs
Osg
ml
-
-
0.5
1.0
ElBoring #
❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
Son /Appiication mate
GPD/Ft2
*Eff#1
*Eff#2
5❑ Boring #
❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
Son Appocation Kate
GPD/Ft2
*Eff#1
*Eff#2
* Effluent #1 = BOD, > 30 5 220 mg/L and TSS > 30 s 150 mg/L * Effluent #2 = BOD, > 30 5 220 mg/L and TSS > 30 5 150 mg/L
Page 12
-�S
F A
O
" t
iD
c
�..�
LU
.
O
E �O aEZ
s
Q
y E
E
000
Q h
y
Z
h
0
O
o0
E
F
Ell
yE
_
v Eay'?
c0
z
g
v
a
LO N
CL N
O °
OC C r
a
o (fin W 2 Om
Z Z
Q
i
rMv
co U O w N
cd d1
oC
in
`n
00 pM
00 � ~
T
a
c V-d
m
K�E
0 3 C) o u
vi
J Z (n F-
v
u
a)0
p o 0
a
cn
j
i
u M ��
o
/ N O (Co tD II
E C m (� \�
o �� r ) O o
�o in U
/M05 N -0 p 10
22 N
`D a� t0 O
E B ^ -0 O ab
/ 3 O ry L S,
O rro ,-� ate.+ B a
/ z o o F: Q
m F _ V) V) t o
4
`
N
`\ m Z)
i
acUa i '
oWQ �°''oo / // oY� o �.
ru
LL
Ln
E a // // // r "'
. b � ,, 1
w C: 6
CL
= v z
m�
>,=w �
C O
� � � � Y
0 U 0 ' .
Wis-onsin Department of Commerce PRIVATE SEWAGE SYSTEM
i �!y 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 X Township
Birr, Adam & Mindy Hammond, Town of
CST BM Elev: Insp. BM Elev BM Description: LoTG
00.
TANK INFORMATION IfLEVATION DATA
TYPE
MANUFACTURER
CAP CITY
-7
Septic
, � S
IOU
Dosing���
Aeration
Holding
TANK SETBACK INFORMATION
®MW-
W—am®
- • • .
R
PUMP/SIPHON INFORMATION
Manufacturer Demand
GPM
Model Numbe
TDH Lift Friction Loss Head H Ft
Forcemain #Dia. Dist. to Well
Cnll ORSnRPTInN SYSTFM --7,C-re
St. Croix
rmit No
515102 0
D No:
Vo:
in/Range/Map No
30.29.
STATION
BS
HI
FS
ELEV.
Benchmark
/o-/'v
gg
0.1,
/00-6
Alt. BM
sT
M
/o -d
Bldg. Sewer
pl
/a�•9
SIMt Inlet
Ht Outlet
i�•
D
Dt Inlet
Dt Bottom
Header/Man
0
0 '
Dist. Pipe
.v
o�
Bot. System Z
Final Grade VII
V ►- sc
—BZ
Vol
St Colver 2 /
r
./
09.p
2.6
BEDITRENCH
Width
Length
No. No. Of Trenches
PIT DIME NS
O
No. Of Pits
Inside Dia.
Liquid Depth
DIMENSIONS
7
�6 i
3
SETBACK
SYSTEM TO
P/L
BLDG
IWELL
KE/STREAM
LEACHING
M tur [1 LV
INFORMATION
CHAM R
�1 II��U
T f System
YP y
�On/+y
^ {/
/
Model Number/
NIT
IBUTION SYSTEM
n •i_ ..Rt- /I- /nnA
Header anifold
Distri ution
x Hole Size
x Hole Spacing
ent to Air Intake �,y.
i btlr uvr, J
Length Dia
Length Dia Spacing
SOIL COVER Y Praaarrra Swatamn Only vy Mnrrnd Or At -Grade Svstems Only
Depth Over y
Depth Over
xx Depth of
xx Seeded/Sodded
xx Mulched
Bed/Trench Center I Qy.i
Bed/Trench Edges
Topsoil
Yes - No
f ] Yes j' No
i
COMMENTS: (Include coded crepencies, persons present, etc.) Inspection #1:/�/ Inspection #2:
Location: 792 157th Street Roberts, WI 54023 (NW 1/4 NE 1/4 30 T29N R17W) NA Lot 88 Parcel No: 30.29,17.
1.) Alt BM Description S!
2.) Bldg sewer length
amount of cover 3 a� 10tk, > I9h014 L _ _ s S � /J„'- d�+d-y*�er
Plan revision Required? �] Yes No / 7 I �/ G L -
Use other side for additional information. z::_ _ _
5BD-6710 (R 3/97) Date Insepct&s Signa Cert. No.
CERTIFIED SURVEY MAP
LOCATED IN PART OF THE NW1/4 OF THE NE1/4
OF SECTION 30, T29N, R17W, TOWN OF
HAMMOND, ST. CROIX COUNTY, WISCONSIN;
BEING LOTS 61, 62 AND 63 OF THE PLAT OF
EMERALD ACRES 1 ST ADDITION.
OWNER SURVEYOR
KERNON BAST EDWIN C FLANUM
948 LABARGE ROAD NORTHLANO SURVEYING, INC.
HUDSON, WI 54016 P-O. BOX 14
ROBERTS. WI 54023
NJ[n]PL�La44GDD L%HD�3
--------- ------------------------
m
h
W
O
Z
C.T.H. 'TT'
899675
BETH PABST
REGISTER OF DEEDS
ST. CROIX CO., WI
RECEIVED FOR RECORD
07/08/2009 11:30AM
CERTIFIED SURVEY MAP
VOL: 24 PAGE: 5637
REC FEE: 13.00
COPY FEE: 3.00
PAGES: 2
NOTE:
THIS LOT IS PROHIBITED FROM
DIRECT ACCESS TO COUNTY
TRUNK HIGHWAY'TT'
11'33"E 680.66' 1B6T -__---
141.93'-c
N
- - 180.03'.r..,__.. ).__-..-.F-`t 20.60'-- -- _ 1 E
1. DRAINAGE AREA TO �!A $ n I CL
HIGH WATER LINE I y
'9T/Ory�'a•�,"bS- ' gp0^1314'�N 1 `�r,'3 'ia� Lu 1 IV
7 I 20000' M' 1
�9 5 \ I
L!.OD 4 69 o L OO 4 Cal i Z
--- ----
0F3'� p ---- - -----
LOWEST BUILDING I '�� JP�\ I `` O I S"'
OPENING ELEVATION
1055.00�y
i L LOT I dOO lI' _
z .J
----------- w
d04 �� 4 40'1'V A
NOTE C4
THE PROPOSE OF THIS MAP IS TO I
COMBINE LOTS 61 • 62 AND 63 OF I
THE PLAT OF EMERALD ACRES 1 ST
ADDITION. NO NEW LOTS ARE I I�OO 4 0 0
CREATED BY THIS MAP. I j
/ LOT 88 a-
1$7TH STREET--_ 6 66 ACRES o D
_ __.-180.03 + __
NOTE:
NO OWNER OR RESIDENT SHALL DO ANYTHING
WHICH WOULD INTERFERE WITH OR CHANGE THE
OPERATION OF THE APPROVED COMPREHENSIVE
WATER DRAINAGE AND SOIL EROSION PLAN FOR THIS
PLAT. THIS INCLUDES BUT IS NOT LIMITED TO
BUILDING UPON, OBSTRUCTING, ALTERING, FILLING.N OR EXCAVATING OR PLANTING IN ANY DRAINAGE
AREAS OR EASEMENTS. WATER DRAINAGE DITCHES.
WATER RUNWAYS. WATER CULVERTS. BERMS OR
GRASS SEEDINGS.
EDWIN C.
�s
FLANUM , 3
.4' S-2487w
AMERY SE`
[s �
>
6 ,sa
[HIS INSTRUMENT DRAFTED BY KEVIN REED
JOB NO. 07-24 DATE 03-07-07
CRAWING1 COSM2
------------ ---- -- Y6' 2%.09250.FT.
g M
LEGEND
3/4' IRON REBAH FOUND
50 ROADWAY SETBACK LINES
(UNLESS OTHERWISE SHOWN)
12 UTILITY EASEMENT
CURVE DATA TABLE
NUMBER
C1
C2
C3
C4
ADIUS
80.00'
80.00,
80.00,
80.00,
CENTRAL ANGLE
94'04'23'
24.21'43-
20.59'13"
48.43'27'
CHORD BEARING
S42.45'48.5'W
S77'37'08.5'W
S54.56'40.5'W
S20'05'20.5-W
CHORD LENGTH
117,09'
33.76'
29.14'
66,00'
ARC LENGTH
131.35'
34.02'
29.30'
68.03'
TANGENT IN
S89'48'00'W
S89.48'00'W
S65.26'17'W
S44.27'04'W
TANGENT OUT
SOa•16'23'E
S65'26't7•W
Sao 27'Oa'W
SO4.16'23'E
SCALE IN FEET 1' - 160'
SHEET 1 OF 2 SHEETS 760 O 160
Vol. 24 Page 5637
conynair,cy.M.9ov
Safety and Buildings Division
Y t `
201 W. Washington Ave., P.O. Box 7162
r / J
Sanitary Permit Number (to be filed in by Co.)
-On i
Madison, WI 53707-7162
SC
Vent s n
5 5 /o
Sanitary Permit Application
Sate Transaction Number
In accordance with a. Comm. 8321(2), Wis. Aden Code, submission of this form to the appropriate governmental
unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are
Projedx Address (if different than mailing address)
submitted to the Department of Commerce. Personal information you provaeon
in accordance with the PrivacyLaw 15. 1 m Stats. R"
s.
I. Application Information - Please Print All Informs
Property Owner's N
J U L 2 0 2009
Parcel #
U,
property Owner's Mailing Address
PLANNING
ST CROIX COUNTY
& ZONING OFFICE
G t
�.� �P (> i,
Govt. Lot r,
JQLJ y., Al '_ Y., Section
City,
Zip Code
Phone Number
I41r
� -- (CIICIe O
T L N; RISE W
II. ype of Bnikling (Check all that apply) O iC
Lot #
Subdivision Name
or 2 Family Dwelling - Number of Bedroo
S�Mrnnn�1��l
Bloc �J_
❑ Public/Commercial - Describe Use ��```��Or%'S�
1 O1 v 1
`J
El City of
❑ State Owned - Describe Use
❑ Village of -
CSM Number
��
Z 5 Z 5 �Z 5
757
"16Town
of ,N
III. Type of Permit: (Cheek only oile box on Has A. Complete line
B If applicable)
A'
New System
❑ Replacement System
❑ Treatment/Holding Tank Replacement Only
❑ Oder Modification to Existing System (explain)
B.
❑ Permit Renewal
❑ Permit Revision
❑ Change of Plumber
❑ Permit Transfer to New
Owner
List Prewous Permit Number end Date 1uuod
X- (�-{,
Before Expiration
IV. Type of POWTS stem/Com ent/Device: Check all that apply)
0091�on -Pressurized In -Ground El Premurized In -Ground ❑ At -Grade [IMound > 24 in. of suitable soil ❑ Mound < 24 in of suitable soil
❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain)
V. Dispersal/Treatment Area Information:
Design Flow (gpd) Design Soil Application Rate(gpdef) Dispersal Area Required Dispersal Area Proposed (tf) System 1 eviEfion
VI. Tank Info
Capacity in
Gallons
Total
Gallons
Manufacturer
New Tanb
Existing
t
%/1
$
�
Sepdc or Holding Tsnk
S
Dosing Qurnber
VII. Responsibility Statement- 1, the undersigned, assa pomslblllty far lestanadom of the POWrS shown on the atnehad lass.
Plumber's Name (Print) Plum atute MP/161PRS Number Business Phone Number
Plumber's Nam (Print) 7�ature
Plumber's Address (Street, City, State, Zi /r
VVIIII.. Coun /De nt Use Only
Permit F%ee�
Date Issued
Issuing Sigtrawro
I�Q�pproved
'
appr
$ " '
�
Own t Reason ial
IX C0uditi%9"%6Wgons for Disapproval7� b � t
t�
1, Septic tank, efttulnt finer and
dispersal cell must all be services 1 maintained �ra.1n.�
e4A
as per martapement plan provided by plumber.
2. AM aslbeckraquiosms nts must be maintained
axes PR ap�ntass sa�sarnpaserrawas sywe sae wo>•n m .r s a rt.n.r ..v .. r•r
SBD-6398 (R. 01/07) Valid thru 01109
PROJECT Adam Birr
NW 1 /4 NE vas 30 /T 29
._L
P//
T PLAN
ADDRESS 1404 Sweet Grass Hudson Wi 54016
/R 1_ 7 W TOWN Hammond COUNTY ST. CRov
MPRS Shaun Bird 226900 7/15/09 4
DATE BEDROOM CONVENTIONAL )= IN•GR06J PRESSURE CONVENTIONAL LIFT HOLDING TANK _
1255 gallons
bIOUND SEPTIC TANK SIZE LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .4 ABSORPTION AREA 1 517 # of chambers 75
kk BENCHMARK V.R.P. Top of Ste Fence Post
ASSUME ELEVATION 100' Filter BESTFilter
❑BOREHOLE O WELL *H.R.P. SameasBenchmark
Well is to meet all
setbacks required by
SYSTEM ELEVATION 99.5/98.7/98.0 5' below qrade
WDNR
180'B.M, S <<d Ctv Rd TT
580' Property Line --'
i 3-3' X 102' Cells with >3' spacing
Plans Designed Using Nrr•T►�s'Te>b�
B-3 2%Slope
Conventional Powts
Manual Version 2.0 150'
ents
20'
IF 30'
Scale is 1" = 40'
unless otherwise ,,yB-2 s�
noted o' 100 , 3,;q
T
0
1 30' sG� L I
m1Kkok�
Property Line
612' Property Line """'
Lven
>6„uick4 Standard-W
of Covereaching Chamberith 20.0 ft2 of Aream�+4' Long8ft^2/pair of end caps L� CGrade at System Elevation
M
N
-1
,Ln
W
C
w
p
°
a
L
h
Lcl
O
V
,9
a
Q
y VL •;
H
V
.0 ...
h
�
e+ C O• R
� R V�
0 7
3
L ri, LO 9 C
u L u C N
V p
y
�
V O p u •
V x
L O
^
O� V d •�
V� H
y u p n•�
y V
t" d C 'C •L ^C
3
S
:: �
td C 7 p r
d
F vF RFC,-..UyCL�y
�F L
v
2 i .`''. 6. •O H
.u. L u � .�.
Z .L.
W
a
z
a
�Mmm�
H
O
a