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010-1047-40-050
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: CHRIS KAVALOSKI City Village Township TOWN OF EMERALD CST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic Dosing 'OeO4 Aeration zoo," Holding Aa I r,/ IV 00 TANK SETIAQ�MATION [AJ / M M A-wo, A low MI, U" W, =Eno 'M PUMP/SIPHON INFORMATION V Manufacturer Demand GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM 0 ELEVATION DATA County: St. Croix Sanitary Permit No: 648458 State Plan ID No: runs -- o82.30 6&- c Parcel Tax No: 010-1047-40-050 Section/Town/Range/Map No: 20.30.16.287A-10 Bldg. Sewer St/Ht Inlet St/Ht Outlet '11ist. Pipe Bot. System Final Grade BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR UNIT Type Of System: Model Number: DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Svstems Only xx Mound Or At -Grade Svstems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 1472 230TH ST 11 4A 1.) Alt BM Description = 4r 2. Bldgsewer length = g � �e4 - amount of cover = ` SIL e ten. 2 3.; 20 Plan revision Required? ❑ Yes ❑ No Use other side for additional information. SBD-6710 (R.3/97) Date Insepctor's Signature Cert. No. Kevin Grabau From: (--jillp Truckin(.-j Sent: Tuesddy, Se[)tetA-.)ev 26, 2023 2:46 PM To: Kevin Grabali Subject.- his 1<,-:ivalc)sl<i Attachments: Scin2023-09 )6.11,44446jDdf Follow Up Flag: I-ollow ul) Flag Status: Flagged This email originated froni an external source. Verify the legitimacy before clicking links or opening attachments.. As bt.-Olt for Chris Kavaloskl. Jacindi Pctvin Gill-c-, Trucking & Excavating Inc I Wisconsin D�pa.-tmenl, of Safety and P-rcifess,onal Services of Divisi3r1of 1,ndust ryServices SOIL EVALUATION REPORT X2, P 2 0 2 In accordance with SIPS 385, Wis. Adm. Code County Attach complete site plan an paper not less than 8 112 x 11 inches in size, Plan must include, but not limited to: vertical and horizontal reference point (9M), direction and percent slope, lea rceLLD, scale or dimensions, north arrow, and location and distance to nearest road, (0 L�7 q D (3 Please print all information. ill.. Reviewed by Date e soaf amatviay be 0 5ed for �q_q.y_.._�4rposesPnvac_yLaw, S_ 1.5. Prnl inrioyLiprodemmn Property Owner '0 Property Location E s t � I d 5 AL. Govt. Lot , P i;\ T ON R E (or) VVI Property Owner's Mailing Address TH Lot 4 Block # Subd. Nerve or CS10# 5 S ry-) C itt State Zip Code Phone Number L1 city 0 Village [OTown Nearest RQ3d - F' N ew Co.-i 5- r-uct i o n Use-, Residential i Numberof bedrooms Code derived design flow ratebOD GPD I 01 Replaccrnent Public or cornmeTdal — Describe - Parent materiRi Flood Plan elevation if applicable ft. General comments and recomrnendatofls, Boring # E:1 Boring 3 1 12 Pit Ground surface elev. Aft. Depth to limiting factor S in, Soil fication Rate Hcriizan Depth I n. Dominant Color Munsell Redox Description Cu. Az. Cont. Color Texture Structure Cr. Sz. Sh. Consistence Bounda[-y Roots P D/Ft2 *Eff#1 *Eff#2 Is,I l 3 C s 6 K\ 21, - (6 -2q -61 Q, � rf Int 1 Cl 10 (_oo Y018 aid foR L46a C I F ry) 4 . ........ %IW e_ El Boring 9 3 23 A pit Ground surface elev. Depth to limiting factor in. Hon-ZOI-Ir Depth Dom inane Calor Redox Description Texture Structure Consistence Boundary Roots In. Munsell Qu. Az. Cont. Color Cr. Sz. Sh. Soil Application Rate GPD/Ft 2 *EfF#1 *Eff#2 0 -/o W � P 313 < ea% -Z-3 vprk M = .41'§1r_-MA&. 41 OF-M=M IS M*_TmUMJLM-24W3f&� RUM M-WiF&M WIMINFAI CST Name (Ple'ase Phut) S Q!Qo le- Signat CST Number P2 3 tie Address Date Eval ion t6nducted 2 Telephone NL!Mher _504' <J'27, � iY2 Aajo _ /c, e!r. L? Bonin # ❑ Boring g R*Pit Ground surface elev. Depth to limiting factor q in. Snil Annlinatinn Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDIFt2 '`Eff#1 *Eff#2 5Cs 6K M F C) - 21"tf 71 ? v q5 I + 08 pro) 94--3S 2t5V& q/6 C�L-A It>R I -1P rn rf) I f Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Anil Annlir_ntinn Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDIFt2 *Eff#1 *Eff#2 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/Ft2 *Eff#1 *Eff#2 * Effluent #1 = BC D, > 30 :5 220 mg/L and TSS > 30 :5 150 mg1L * Effluent #2 = BC D, > 30 s 220 mg1L and TSS > 30 5 150 mg/L his e :,, -,P 3 th � � 2 o-s273 , s —• 0 Na Weik In tooA F/, 2 (:a(z L fit -1 () mw 134+7 %mm qOftm 050 1� 3 0�z x_vcRT�c���NDI�oRiZONTAL LM � 1*,WuE %z` PIPE 70pc:)ppt?Lft(L)O `9 OamALT E>/A-,N l01•y' _ N A— y /elm w3 Cl T 22,Z*348 rg7hmrm � � � I I I off R� %b *t4� Safety anc Buildings DMsion Ott 40 1 Sanitan- Pe=t- -N he. t ic, he fil) try jDy + 201 VV. Wash lngton Ave., P.Q. Box 7162 Madison. VVI 53707-7162 S. 1 L102q S taxy Permit Apphcation Stagy Trzrisacbcm N =bei- In a=oi-d=c& MLh SPS 37& 3211 f 2-1. NV15. Adm. Code, subrnii4:!, j c of bw form to the appmpn aie g civer==tal um�l D 72JO1 ftjeci Ad, mie�qs (if difftrent th= rnail inkau dreg::; j is i-i-,quiLrul prior to obuinmiga sanrlzry rc�rrnr- Nma-- Applicafioti four ftrr s=-own.!�d POIA7S are qubmitr-d to the Departmem of SafM, and Pmfcssl omi �' ,ervic�s. Pmonal mform ato or, vm� provide max hf, i.L�;c6 i-b- st.-on"Slry purposm in accordance with the Priv=N Liu- s 15 - (W 1 )(M)t sm" I 47Z 230 L Appliention Information - Please Print All Inform-a-tiou PmpeTty C�w='s Namc parzxl o le� Ce 47 - 49 7 - 40-101, OY Aft Propc:rty Ch-kn-,rF Mail trio Addrtsq ?TDT�C'M LA;Lat I ()n Cyt, vt Lot 49 CITY, SwIL- zip CodePhou , - N, umh= 01 II. T'ype of Ru ilding i, c h vc k. all thai app�- Lo-L SubdrMsim N=e or 2 F arni I Dwrl i i nru — NLM bC7 0 I uhhclClom-rne-rclal - Dmribc UVE C-rly of S=c Owned - C S M N -3 1-5-9) 0 Villap of e T0VM -f 1,11. Type (if P er--m it. (Check only ollat box on line k Complete line B if appil" bit) A 01 "N Repiacanent Sysirna LI TreatmcntlHoldlag, Tank Replacemt-n: 0n!y (,-)thc- Mcpdifi-,.atmr. tro ExistnE Sysim [t\p',am') IR • T-Iv.-njiqL kr-nEwal Per= Revislon Chmgr of Plumber Pemift Trmuf�r to N cw List Prevknz Fcr-= Num6:,-r wie Dau- Lss=d 112f ort EE xP iratic n owncr TV. Tne of POWTS SvstemComponent/Device: Whech-, aU that apply) Non-Pmssadzed �rotxnd Flressui-zzod In-GFound ,fit -Grade QMoLmd 24 in cr.suftable SOE Momd < 24 im of suiWble soil 19 Own Holding Tank Cher DUqpmal ComponETI-L i.cxplihn) CWinvir 1, ,0'7 V N'. r)isper-sarfre-atmeut Area Informatiolm: mo "t e-r—, u, Lq J, 3.6 -�T"dl ,- sm Soil Apls�or Ru p" z DIpmAPro If cm Elearj; U AterAqued. Sy Zj - e VL Tajo k Wo ap az I tN in I CiL� of �� e� (i a-] ioris UnItts -0 6- 6. -1- N. N-11. ResponsibilitiTStaternent- L the uadersigntd- R&.;,Vumr responsibilift- for install2tion of the PONNTS SbOWIL On the RttNChed plazt&. bcr s N amr Phlinbz� SILM�a-Utc MPfWRS Num= Busmes�� Phont Numbe- Pluinber"s Address (Stree, City, State, Zip Code,) /� s r 1e�P7 k, "ZAppTovM V Pe=t FCC r Issuing Agerr. SiL-narui-e 7 75— 1%. fv Denial Lam.. Conditions kp 1• [I liltmL 03115% k7��� al 3) P-C-3,4SIDIO --�>+o V\A.Z\R�-ak,.Q SYSTEM - 1. Segfic tank, efl, uen I fiRer and dispErsal SIG Lf&2 f bb-A&G- must be s�rvrcO i mn:niaino as per rnariagernent plan p;o:wded by plumber. 2, All selback reqmrerrinls mat be maintl�r*d AA L��'7� 1M. as per app irable v>de) noes twcb tL. complau pUm for the n-s Lein and r, u b ruil t np the Connity only on paper inert kft Wim A ) -r- I i I mchm in si7w -11,Zs pe-r--Ifo S� � � � ce. C c,d � r lot OBD-63.99 W- A I/ fir-\ - [Q�f VAAA, MtO �.p (kt)Q� 11-9�� *�;w- MUNICIPALITY': TOWN OF EMERALD ST. CROIX COUNTY SITE: KAVALOSKI REVISEDE 1472 230TH ST EMERALD, Wl 54013 SE NE S20 T 30N R 16w FOR: Design wastewater Flow 'value: 450 E1jen (NSF Mound Component .Manual - September 2019 Bedrooms: 3 Edition Limiting Factors): 23 Inches Pressure Distribution Component Manual - Version 2.1 Maintenance Required: Effluent Filter (May 2022-2027) SITE MUIREMENTS • 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 arc used at the job site for construction. The following conditions shall be met during construction or installation and prior to occupancy or use: ■ A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.19, Wis. Stats. ■ Prior to the construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. Proper sail moisture content can be determined by rolling a soil sample between the hands. If it rolls into a '/4-inch wire, the site is too wet to prepare. I f it crumbles, site preparation can proceed. I the site is too wet to prepare, do not proceed untiI it dries. ■ Inspection of the private sewage system installation is required. Arrangcments for inspection shall be inade with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. ■ A state -approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that .............................. periodic c caning of the filtcr is required. ............................... ■ 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 ( I 1 )(c) • well setbacks to meet chs. Nk. 811 & 812 ■ Tank Installation to fallow all manufacturer's recommendations. ............................... ■ Verify property line(s) prior to installation. ■ pump Floats to be set and verified per the approved plan............................................. ............................... ............................... ............................... ................................................................................................. ............................... ............................... 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 Ais. Admin. Code § 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. The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codcs 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, scats. 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 scats 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, Fcc Rcquircd: $250.00 Fee Received: $250.00 Balance Due: $0.00 Refund Expected: $0.00 Katic PetzcI Division of Industry Services Phone: 608-5 74- l 189 Email: katie.petzel@wisconsin.gov GSF WI MOUND DESIGN PROGRAM INDEX AND TITLE PAGE ProJedName: CH R IS KAVALOSKI Owner's Name: CHRIS KAVALGSKI Owner's Address: 1472 230 TH ST EMERALD W1 54013 Legal Description: SE NE S2OT30NR16W Township: EMERALD County. ST. CROIX ..Subdivision Name: . . . .................. . Lot Number: ................. 1 Block Number: . . ........................... ............................ Parcel I.D. Number: 10-1047-40-050 Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 GSF mound d�►ings Page 4 Lateral and cl�se tank Page 5 Distribution media Page 8 System maint6nance specifications Page 7 Management Ind contingency plan Page 8 P curve specifications designer: DENNIS GILLE License Number: 221471 Date: 81812023 Phone Number. 715-2684637 Signature:. . Designed Pursuant tothe Coadit[an0y APPROVED DEPT. of SAFETY AND PROFESSIONAL GSF Mound Component Manual !(N. OW18), and SSWMP Pub-lication 9.6 Design Pressure Distribution Networks for .STSAS� (01181- SERVICES fl SKIN OF t TRY SERVICES GSF Mound Version 2.3 Page I of 8 f€ ......................................................................................... ....................................................................................................................... .................................................................................................................. ............................................................................................................. SEE CORRESPoN© cE ........................ ..................................... ... .. ......... GSF W11 MOUND DESIGN PROGRAM DATA ENTRY Site Information R--- Residential or commer6al Design 3 Number of Bedrooms (optional) 450 Design Flow (gpd) &0% Site Slope (%) 96400 Instail atio-i Contour Line Elevation (fl) 76-66" Contour Length Available (ft) 23 Depth to Limiting Factor (in) 0.4 In -Situ Soil Application Rate (gpd/ft2 ) EFF #2 Distribution Cell Information B43 Unit Used 8 Cell Width (ft) 3, 41 51 6. 8, 9 or 1 = Dispersal Cell Length (ft) 2.0 Dispersal Cell Design Loading Rate (gpdfft) 2 Influent Wastewater Quality Are the laterals the hoLest point in the distdbubon y Pressure Distribution Information network? Enter Y or N E Center, End, No Manifold (Pump to Gravity), or Gravity (No Pump) 4 Lateral Spacing If N above, enter the elevation 2 Number of Laterals of the highest point. 0-25 Orifice Diameter (in) (e.g 0.25) 2 Estimated Orifice Spacing (ft) - ft /Onfice 2 Forcemain Diameter (in) 100 - For cernain Length (ft) Does the forcemain drain back? y 89 Inside Pump Tank Elevation (ft) 3-25 System Head (ft) x 1,3 1631 Forcernain Drainback (gal) 7,67 Vertical Lift (ft) 28.00 15x Void Volume (gal) 2-57 [Friction Loss (ft) 44,31 Minimum Dose Volume (gal) 0 Add'I Fitting Friction Loss (ft) 34.9 System De and (gpm) L.13-.49 ]Total Dynamic Head (ft.) Lateral Diameter Selection in. them, �Jc o tions hice 0.75 1.0 1.25 1.50 x x 2-00 x 3,00 x Septic Tank, Information 1000 Septic Ta n k Capacity (gal) HUFFCUTT Manufacturer Dose Tank, Information 66 Dose Ta n k Capacity (ga 1) 1b,23154 Dose Tank Volume(galtin) _R_U'�FFCUT"'T_ ' -'"--Manufacturer manifold Diameter Selection Gallons/inch Calculator 660 Total Tank Capacity (gal) 7 42 Jot al Working Liquid Depth (in) F-15,714291gal/in Effluent Filter Information POLYLOK Filter Manufacturer PL 525 Filter Model Number Project'. CHRIS KAVALOSKI Page 2 of 8 Gallons/inch Calculator 660 Total Tank Capacity (gal) 7 42 Jot al Working Liquid Depth (in) F-15,714291gal/in Effluent Filter Information POLYLOK Filter Manufacturer PL 525 Filter Model Number Project'. CHRIS KAVALOSKI Page 2 of 8 GSF W1 MOUND DESIGN PROGRAM GSF MOUND DRAWINGS Mound Plan View Mound Component Dimensions A 8.00 ft F 1 20-68 in H 1 00 ft K 8.9Q ft Z, 3100 ft FF '7 1 . 1 26,.09 ft 6o,92 ft I r -00 in D 13,00 in G 0 50 ft ii 5.24 1 ft Wi. 39.331ft 264,00 (f) Dispersal Cell Area 1125.00 (W) Basal Area Available 13.64 (g pd/ft) Linear Ling Rate 1301 (ft) 1110 B 0 bs - Pipe Placement Finished 98.6.7 (ft) 1W W Air Grade V*10.0 I G H OPT* 9T67 (ft) Lateral Invert F Dispersal Cell Elevation 97M (ft) D-s 4- � '15P-hpl; I I i 1 4 1 9 , , IP V D k I Elevation 3. & 4 4 4 , , " 1. �6 P 31 : C 4 12 JO f , , ► IP IC 1} 4[ * 9 4 1 4 3- t k 4 1 L I 1t 10 a' 4` J, 4 It A , I c .1 4 f 4 4 4 t 4 4 4 4 1 1 4 t jP 1P :P 3P 36 F * 5� 3P 11 1- p � -p 5- b 1 3- 7- C k -9 )6 C 5 4 5� 4 -4 1, 3. 0 4 .1 4 -C k C !� 4 4 14 4 4 4 d .4 4 C -r C S. C C IF .4 3, qj 1 1 10 4 ?' Im I. ) J� �6 11 10 D b 3- 96 t k AL 'I C t a jr C 4 3. 10 $1 1 5 3 1- 1 k ]1 31 3- 0 3, J6 5 j * t 4 4 , t 41 -00 (ft) 4 I J- 1 a t b b k I►I' k k ? " 1, , 3 31 -0 11 IP mc )6 Ir C 4 .1 1. 4 1. 4 1 'd -t 4 -r d -1 .1 t contour 0 4 44 $ 4 Elevation 8% Site Slope Shading Key Typical Dispersal Cell I Topsoil Cap -U QL W.- See Page 5 2 Subsoil Cap = C 2 ft 0 Geotextile 3 ASTM C33 Sand -di .0 Fabric 4 Tilled Layer cc M F 5 GSF Media & 1 1 Cell Header M 0-5 ft _q* 0 /Footer SF A See details on page 4 for number, size and spacing of laterals. Laterals are located in she 4" gravity distribution pipes as shown on page 5. Project: CHRIS KAVAI OSKI Page 3 of 8 2.00 Orifice Diameter 0.25 in 1.50 In Orifice Spacing (X) 2.18 ft 31.26 ft Orifices per lateral 15.00 4.74 ft Orifice Density 8.80 ft /orifice 4.00 ft Manifold Length 4.00 ft . ........... ... 17AS gpm Manifold Diameter 1.50 in ..................... 34.95 gpm Forcemain Velocity 3.57 ft/sec 30.52 Pump €]ff Height 12 In Dose Tank information ............................. . ............................................... Bedrkmi as per NEC 3M and C mn 16.28 WAC Tonle wmpma t is p gxAy wed HUFFCUTT Manufacturer capacity 660 Gallons A Volume I:)&/.L gal/inch 5.23 B Dimension inches Gallonsr. A 25 21 95.75 B 7 00 . 1.42 C 3 4--Q 44.31 D 12.00 188. 2 Total 42.01 660. 380.7� 30.46 45-6911 182.7 Q 640 Mn. T Bedding under tank. Alarm Manufacturer LEVEL ALARM Alarm Model Number DVL Pump Manufacturer ZOELLER Pump Model Number N140 Pump Mast Delivery, 34.35 m at Pmjea. CHRIS KAVALOSKI Loddng armor with warning Wd aid Ia *" devices and seded w& ddigN 4 in. •min. i� 1 Mernete WW taoWon 13.49 ft ■. ASTM C33 Sand/Mound, Sand. A42 or 843 Module ��---I lateral Turn -up (contained in Turn -up Enclosure) Distribution. Cell. Plan View Layout - Typical Soil Absorption Component Size 264 ft` Service Fr equency Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Maximum FOG 10 Im Maximum Fecal Conform 1OE4 cfu/100 mL .......... . ins and/or service once eve 3 ars Should Inspect and clean at least once every 3 years Test once every 3 rars Should test monthly Laterals should be flushed and pressure tested every 1.5 years Inspect for ponding and seepage once every 3. years. Miscellaneous Construction and Materials Standards 1. observation pipes are slotted and materials conform to the standard, have a watertight cap, and are secured in a as shown in the Eijen mound component manual. 2. dispersal cell media conforms to Eijen products approved for use with the Eijen Mound Component Manual approved August 2015. Eijen media is covered with the manufacturers geotextiie fabric. 3. All gravity and pressure piping materials conform the requirements in the state 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 sail erosion and help reduce. #rest penetration. Lateral Turn -up Detail 8 - 0' DUVAIETER LAM :MNKLER Fl NlSHM---- ---- ---- ..�. _,__ ---- THREADED LATERAL ENDS AT LAST a PELTED PIPE CLEANOUT PLUG OMFICE WHERE VARIABLE 4' END LENGTH EONS � LONG SWEEP 90 DR GSF WI MOUND DESIGN PROGRAM MANAGEMENT AND CONTINGENCY PLAN Mound System Management Plan General This system shall be operated in accordance with SPS 82-84 Wis. Adm Code, and Shall maintained in accordance with its' component manuals E13en Mound Component manual August 2016 and SSWUP Publication 9-6 (01181)1 and local orstate rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death Septic and pump tank abandonment shall be in accordance wi-th SPS 8, Wis. Adm- Code when the tanks are no longer used as POS componenLs. Septic or pump tank m an h ate risers, access risers and covers should be inspected for water tightness and SOU nd ness, Access a peni n gs used for se iry ice and a:F. r-, ess m e nt, shall be sealed watert ig h t upon the ro m p let i n n of service. An y opening deemed unsound, defective, orsubject to failure musl be replaced, Exposed access openings greater than 8- incties in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. 5gpticjank The septic tank shall be maintained by an individual certified to service septic tanks undef s 281 48, Stats. The c o n tents of t he septic tan k s ha I I be d i5posed of i n accord arce wit h N R 113, W I s - Adm. Cade. The o pe rat 1 ng condition of the septic tank arid outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to insure proper upelatiou, The filter cartridge 5hoijid not be removed unless provisions are made to retain solids in the tank, that may slough off the Biter when removed from its enclosure. If the filter is eq nipped W th an alarm:! the filter s ha I I be serviced if the alarm is activated cont.1 nuo us ly - Intermittent filter alarms may indioAtp qurgle flows or an impending continuous alarm. The septic tank shall havA its contents removed when the volume of sludge and scum in ft tank exceeds 113 the liquid volume of the tank. If the contents of the tank are not removed at the time of a trienniall assessment, Maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumutation in the tank. The addition of biological or chemical addilfives to enhance septic tank performance is generally not required. Fi oweve r F if such P md lucts are used they shall be approved for septic tank use by the Department of Corn r-n erce PpM Tank The pump (dosing) tank shall be, Inspected at least once every 3 years. All swItChes, alarms, and pumps shall be lasted to verify pror)i5-r operation_ If an off uent filter is installed within the tank it shall be inspected and serviced AS Mound and Pressure Distribution Sys No trees or shrubs should be planted on the mound Plantings may be made around the mound's perimeter, and the mound s�iallll I)e 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 remmmended since soil coff1pacillOn may hinder aeration of the Infiltrabve surface within the mound and snow compaction in the winter will PfOTTIVt� f(0:51 penetration Cold weather Installiations (October -February) dictate that the mound be heavily mulched as protection from ffeezing The pressure distribution system is provided with a flushing point at the erKI of each llateFall, and it is recommended that each lateral be flushed of accumr elated solids at least once every 18 month-s. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if or�ifiice clogginq has occeurred and if orifice cleaning is required to maintalin equal distnbution within the dispersal cell, Observation pilpus within the dlispWsall cell shall be checked foT effluent pond irag . Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. qqnb[n ny aqu-c- , if the septic tank or aof its components become defective the Tank or component shall be repaked of rePlac ed to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm cr related wiring becomes defective the defective ccimponent(s) shall be I rnmed i ate ly re pairtud of re placed w 1 th a co rn po ne nt ofthe same or equ all pe riorm a nee If the mound component fails to accept wastewater or begins to discha Te wastewater to the ground :s urf ace. it will be i DgiiCallY repaired or replaced re in its' present location by increasing basal area if toe leakage occurs or by moving blioll, 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, Project- CHRIS KAVALOSKI Page 7 of B WA q!] i Up 14 i r- s-� R rnnan 0 rNSTALLA,TION INSTRUCTIONS step 1: (A) Locate the ouflet of the saptir, lank. (8) Romove tank L Gov rind pump tnrik if nooessary. MAINTENANCE INSTRUCTIONS Step 2: (A) of ore in.st0JJ----ihcn, place the filter hou�'Jrig on to the out)-Bt pipe- (Ei) Moke ,;-,t,jre that (lie. housing I-S Prrsffianed so the Lift can be rerwwud from the tau tor Mainterkatice and 33�f].� ��r� ti�1� �� I�'a� i'�Yi i���LAh � ��If[` L l l V I _fir'14a, "P , --lr7 DO NOT USE PLUM13ING WHEN FILTER IS REAnc)vEf) MM11111 Y. eea IL Step 2-. ,A) Remove tank over and pump fB) Pu 1) th a fl Ite i - c.i I it of the 110tI& (C) Hnse ofjthe bfW,- over ,pjj� tank Make -9ure all scilds fa H hfid(inta the septic tank, Stop 3: (A) Glue the filter housing on the ot-AcA Pipp., P Insert the 1111'er oaarldgo ix', the houc,ing, maWnq sure the filter cort-ridge I& ompt-lMy aligiwitj and CL'.)M. Ph.)-tely rriserted in the hou,-;Ing., Step 3- (A) I ni� e r'l t I i e fil tub r caftridge back into Hie the housing making sure the titter as ProPerlY afighad and co-mplately InserfW. (13) Replace ePVC tank Mver -,sow s in Department of Safety a rid Profess ional S e rvices DvMo,n of I n dustry Se M ces SOIL EVAL,UA'i ION M'"PONT Page I of - -5 In, accordance with SIB'S 385. Wis. Adm. Code County T1 Attach complete sfte plan on paper not less th a n .8 1 J2 -x 11 Inches in size. Plan m W imiud v I - but not Jirrled to: veriticA and hon'Zontal reference poord (am). direr tinn and pement slope. Parce D. scMiq or dWwrislons, nth arrow, and Wation and distance to nearest read, Please print all i9fonnation- Re vw,,-d by Date PPmqnaNnfbrmaJpnn_Er2�4 rMy be used f6r sc ndai a n� 6v a m (,/& /Z 0 2 Property s Property Location El Property Ownei's Malling Addrv.-.sLbdCS ot 4 BICK* Su. Marne or M# ' 1z C FI State 7jP Code Phone Number El city [I Village [§Town blew Rmd New ConstTuction Use: Residenbal / N umber of bedrooms ode de Hved design flow rate GPD Replacement El Public or com rnercl a I - - Describe; Parent Matey 1 Hand Plan elevation if app! ab(e ft. Genepal corn ments and rorornmiLmdaCions: Boring Boring # pit Ground surface elev. on, Depth to lim4ling factor In. Sal licabon Rate GPLYFe *E.ff#1 *Eff#2 Hadzon Depth In, Dom-rnmt Color Munsell Peden Descripbon au. Az. Cont. Color Textum Structure Gr, Sz, Sh. C sisterim.- Boundary Roots M Q C� 6%,irk418 C-.'L ROM M CP 14 A Ll 130fing 9 is Pit Ground surface elev. �. I�Qnzon Depth Domtnant Color R-edox Descri-phon TeMure Struclute Consistence Vie.Sz- Sh. ont, C�alor In. Munsoll Qu, Az. C \10 Cos I �c q-r 5 Y -Lf En -- DePtIl to J'I'MJL Ung factor in. Soil Appliration Rate Boundary Roots GPO/Fe *E"I 'rEer,2.'_ . .......... -pro I O'Efflunnt *1 130D. > 30!� 220 mull- and TSS > 30,5; 150 M Effluent #2 BOD, > 31D > 30:5 150 MA CST. Nam-e (Please Print) CST Number - CC' Address j Date Evaltj*on nducted Telephone Numbw C) SBD-8330 (RO4115) 02 ❑ Borin9 apit SIP;& A - =Q*-, ........... . ..... Wng f# [� Boring . Pit Gmund swfbe eWv. ,. ft. Depth to hm ifing fdcW , in. s511 8EPP92don Rete Hodzan Depth Dorm#nW Cro[ot Redox DescxiplJon Tatum Stnxture - CarwhM " Boundwy Roots CPDFe In. ktxmd CKL Az.. Cont. Color Gr. 5z. Sh. *Eff#1 ..EW2 OWNER COUNTY Noe. t4 rW $A I Cw--, 1,41- 6 S Y-1. PLUMBER �C...'" LIUO# 2zrq7/ TOWN "O""'t" ivu .4AH., S-nu 'I N, Ix AND/ xx LIU SU-01JIVISH)"Y"N . . . . .... .......................... ....... ... . .. ....... . ... .......... ........ .............. ... ............. . . 0 0 W ' ' P/ jrjut, AUTHORIZED ISSUING OFFICER -DATE 71612,04--3 e % CHAPTER 145.135 (2) WISCONSIN STATUTES ................................................... .. ...... ........................... ..................... IS PERMIT 2*0206 SBD-06499 (RI 1/20) (a) The purpose of the sanitary permit is to allow installation of the private sewage system described in the permit. (b) The approval of the sanitary permit is based on regnlations in force on the date of approval.. (c) The sanitary permit is valid and may be renewed for a specified period. (d) Changed regulations will not impair the validity of a sanitary permit. (e) Renewal of the sanitary permit will be based on regulations in force at the time renewal is sought, and that changed regulations may impede renewal. (f) The sanitary permit is transferable. History: 1977 c. 168; 1979 c. 34,221; 1981 c. 314 Note: 1f you wish to renew the permit, or transfer ownership of the permit, lease contact the coup authority. P � P county ty . .... .. .... ... . ..... . ... .... .. ..... SAN-2023-061 V Dee arfiiietit ol'Safety .rr,t r 9 & Priffession,.111 Service%, Sjj"I1'0T\ 1)�: I iCLI 0', P MAY 0 2 2023 %r"CeS J)'%,iS' Indtistry Ser 1 1 ton j'L:rjjjj1 M HhCr I ILA I'l I 1 Sanitary Pe�uit App.11 c Zit 10 11 StAit� I t iio�i Nuinher IT1 WJtlj 3 X 3.2 1(2), ALI ni,. ('ode, �iihniis^4iori i i I dirk J'w[1] ILI 111C -.,,0vcmMcnIa1 unit PwTS - 04230045-c is prior it) a �ajiil;iry Notc� APPI1L.Itl4111 kprins I'm AAII:-kmucd N)W I' ire iiabuillicd it) Prt 5Tcc i Add -rosy i I'd i ITc-ren t thmi ni -,,I I 1 1,11 L It 111: 1 Y%- I I I T 171 1,T11, I I I �, I k: I y and 12n-1 fessi 0 LA I S L'I V I C C PC DAI I I � L I 111 kjjj�flj j 14 1 "1 YnL1 pnI� ILIC 110 11--I'Ll 107 xi.:4 inda ry with the Privncy 1,-,rm, u. I )Inll- on Itifn-rmnlinn Mc.i%v ['rini AR 1111'Ormalimi. <7, f t ej V7 - . . . .......... PTOI)R�O� I Mailing i-Alre-o, C4- Propery Locatitin / 517 z -z a Gsvt. of Orv, zir ('odo- Numher IN eck chk 11. Type of Ruildin check A that apply) that a' F- I I vr42 1-dimily I)w0ling u I i ibe r o f B ed row n6% U 110 ol Bed 6 Ik emmLl \1inr . S ^7 [ k h City or 11 S1111W ()WFlt-d WSCri hO I SC unib D V i I I M ToWn 1 "0 I I I � 1) v of POWTS Permit: (Check either or "Repla, ent id othe,i- a ica ble on Ila* A. C, . k one box on line B. Complete line C' if LI iem ROPIUCCITIL-111 S'% 1he1 M I 1, 1: 1 71`11 IL) 1: 1,-- 1--" 1 C x P la 1 IrlII ANS11r, I I. W: I I Pr,. -I, k"I. I I t I U Holdwg'l ank I I I n - Gro Li nd ........ - - ------- I HA jr-ade Movind ILJL-1.' I V[11- Vill -r 6 1 V:X J.Lj III) (conventional) e,,, 2- H Renc,wal Beforr. i Ll Revision t:List PrL!,,lotis Pernill Chailgt: MU11111cr I- j -1-rj:I1SI'vr I 'v�4 Ovinvr IV, N,.ni Ajo-n qId "T;Plik IFIfill-111'.16MI,- s'persal:1 11'e-atint, os i L,;,n 1, 111 [Y11 IL.11 11 Itl R,Ltt'I I'h LI C kl[A11r,:d I lkpoN,fl Ali,al'R1r0'SL:d 04) ,lowk1i.I 3'"0I 0"IC 30 Ili , ToluI Ni;iiiuiI0ct1j1,cr ---- •I. ,�LiIIons allons n —CI ul11,11millation i po s z ti -inUFx1isLn rr, ` v .......... .. --77 v. ne%p111ihI1II1,, StAvi,iiicrtt- 1, 1 hi: undVF--%,ij4111U1LI. W�NWIIIV bility fur instaLlation of the )vWTS shown OU ft attmChed P12115-o P, KI PRS N 1.imhQ r Business Mom: Numbcr d A A -2 Viulli,b� i,.l re ISt ree t. Ci I y. Stack. Z I p ('od c) PPP V ON. C � V'crmii 1"Cl.: Datt: t�,Najcd [N%Milrl�� 1`\1,'�611( sign, re 4: ��g�ZD23In`:7() � �ot I -1 'nCT OVVIII RQO I f0l` I 11M 4U-I-Z� vv-, N e PS F VAe x Lo L-is "Sal r I Septic tank P I dis, rsal ceil y-n Qk, L must be serviced I rm, iintained s pe� 1--jill L4) maragement plan providoi! hy plumbeft 2-. . All setback, requiremI Must Ma.PMfined -S per appliCable Code I ordinoncess 140 011111111111-le JJIA HN 1141 IJhS%"*Oviliand Submil 10 ChL- 111ITIh 41111% OF1 IMINLIT 111kil IVSS ItIA11 I I O I 11FRWS III k1/(, L S bD- 63 9( 1k, 03 �1- -1 p Jl Wisconsin Department of Safety and Professional Services Division of Industry Services' 4822 Madison Yards Way ti PO Box 7302 �, " ;f Madison, WI 53707 ` April 11, 2023 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 2025-4-11 Plan Review: PWTS-042300465-C Dennis Gille 352 140" st Amery, WI SITE: Kava loski 1472 230t" St Emerald Township St Croix County SE % N E % S20-T30N- FOR: Phone: 608-266-2112 Web: http://dsps.wi.gov Email: dspsLwisconsin.gov Tony Evers, Governor Dan Hereth, Secretary Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SEE CORRESPONDENCE Description: 4Bedroom-600 GPD-18�to GSF Mound ! omponent Manual — (11/19), limiting factor— Effluent Filter - Maintenance Pressure f;istribution Component Manual —Ver. required 2.1 (Mal/ 2022-2027) The submittal described above has been reviewed for c formance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CON ITI ALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved ans an with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wiscons� Statutes, i esponsible for compliance with all code requirements. No person may engage in or work at plumbing i;i the state unless IicEnsed to do so by the Department per s.145.06, stats. The following conditions shall be met /dung construction or installation\ador to occupancy or use: Reminders The site shall be properly /ditions, ed prior to plowing. Any grasses longer th 6" shall be cut short and removed. To avoid matting, any leaoose organic matter shall be raked up and r oved. Cut trees and shrubs flush to the ground and leave sAvoid operating equipment on the mound sit If necessary, use only tracked equipment, during dry co with minimal passes, to avoid compaction. Install the GSF products and distribution piping per instructions. If using pressure distribution, distribution pipe should be sleeved through the 4-inch corrugated pipe located in the GSF product. One out of every five orifices in each distribution pipe shall be installed at the 6 o'clock position so as to allow for thorough drainage of the distribution pipe following each dose. The remaining four orifices shall be installed in the 12 o' clock position. All pipes must drain after dosing. A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.19, Wis. Stats. Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec.145.20(2)(d), Wis. Stats. A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. A 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. Owner Responsibilities • The current owner, and each subsequent owner, shall receive a copy of this letter. Owners shall also receive a copy of the appropriate operation and maintenance manual(s) and be responsible for ensuring that POWTS is operated and maintained in accordance with this chapter and the approved management plan under s. 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 owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. 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. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, j� 2o�rrz�y Joshua Rowley POWTS Plan Reviewer, Division of Industry Services (715) 634-5124 Joshua.rowlev@wisconsin.gov GSF W1 MOUND DESIGN PROGRAM INDEX AND TITLE PAGE Project Name: CH IS KA AL SKI Owner's Name: CHRIS KA1 AL SKI vnees Address: 1472 230 TIC ST EMERALD ALD 1 l 54013 APPROVED IONAL Legal Description: SERVICES DIVISION OF INDUSTRY SERVICES Township: EMERALD�&� County: ST CROIX 67 Subdivision Name. SEE CORRESPONDENCE Sii 1 1/ 1 Lot Number- Bloch Number: Parcel I.D. Nuraber: 10--1047 -g 0 Plan Transaction No.: age 1 Index and title e2 Data entry I'a 13.1 GSF mound drawings Page Lateral and dose tank Page 5 Distribution media Page 6 System maintenance spec' rations Page 7 Management and conti - en r plan Page 8 Cl pumurve and sp ieatien 1/0 a Designer: DENNIS GILLE Lice a Number: 221471 Date: 3// 3 Phone umber: Signature: De gned Pursuant to the GSA' Mound amponent Manual (N. 08116), and SSWMf' Publication 9.6 De gn Pressure Distribution Networks for S;'SAS (01/81) GSF Mound Version 2.27 Pa 1 of 8 GSF Wl MOUND DESIGN PROGRAM DATA ENTRY Site Information Residential idential or Commercial Design Number of Bedrooms (optional) 600 Design Flow gpd 7. % Site Slope % 95.50 1nsta11ation Contour Lire Ei vation ft . Contour Length Available ft 18 Depth to Limiting Factor in 0.4 Ire -Situ Soil Application Rate pft EFF #2 Distribution Cell Information B43 Unit Used Dell Width t , 82 g or 10 Dispersal Cell Length ft 2.0 Dispersal Cell Design Loading Rate g deft 2 Influent Wastewater Quality Are the laterals the #Highest oint in the distribution Pressure D tribution Information network? Enter or N E nt r} End, No Manifold Pump to Gravity), or Gravity N Pump) L ral Spacing If N above, enter tie elevation ft Nu er of Laterals of the highest point. 0.156 Orifio Diameter in e.g. 0.2 2 Esti a d Orifice Spacing t 8.68 ft /orifl e F roem Diameter(in) 150 Force mai engtf ft Gees the forcerforcemain drain back? -Y . .. .. .. .. ..... 85 Inside Puri Tank Elevation ft y 4.55 System plead (ft, x 1.3 24.47 Forcemair, Drainback (gal) 11.58 Vertical Lift (ft) 24.54 5x Vol Jolume (gal) 1.43 Friction Loss (ft) 49.01 Mini um Rase Volume (gal) 0 Add'I Fitting Frictio\Ls ft) 20.46 S tam Derr3and (gpm) 17.57Total Dynamic Hea Lateral Diameter Selection In. diarn. options choice 0.75 1.00 1.2 1.50 2.00 x 3.00 x Septic Tank Information 12501 Septic Tank Capa HUFFCUTT Manus \\ m fold Diameter selection In. ` options choice /1.25x 1.50 N. 00 3 X-O Gallons/inch alculator 750 Tot Tank Capacity (gal) 6/(gal) 46 Total orking Liquid Depth (in) cturer 16.30435 gal/in Dose Tank Informa ' n 750Dose Tank apacity (gal) 'l6,3 Dose Tan Volume (gal/ire) HUFFGUT"f Manufacturer Projec Effluent Filter lnformaL;tin POLYLOK Filter 1".4anufaturer PL 25 Filter I L1 del Number Page 2 of GSF W1 MOUND DESIGN PROGRAM GSF MOUND DRAWINGS Mound Plan View A 8.00 ft E )L4.72 in B 41.00 ft F -\00 in D, 18.00 in G Q. ft E 328.001 (ft2 ) Dispersal Cell AArea 14.63 (gpd/ft) Linear Loading Ra F 97.00 M' Dispersal Cell *M' ". i2 Elevation 95. 50 (ft) Contour Elevation ft ft ft (fe) Basal Area Available (ft) 1/10 B Obs. Pipe Placement H 97.5 8 (ft) Lateral Invert Elevation Shading Key Typical Dispersal ++ Topsoil Cap RSee Page 5 22 Subsoil Cap V 2 ft Geotextille 0 r 3 Z 0 Fabric ASTM C33 Sand ............. 4 Tilled Layer ...............T x;.. - - .:-.....-.-..-...y 5 (D GSF Media & _ U5 tj (D - I 2L --- ---- .__0 0.5 ft Cell Header IT 0 1 Tooter SF 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: CHRIS KAVALOSKI Page 3 of 8 SF W1 MOUND DESIGN PROGRAM LATERAL. AND DOSE TAN End Connection Lateral Layout Diagram = P Turn -up w/barl valve or cleanout plug ..� Y....., i� .._........ � st orr�fice located at �X Orrifices point up exempt every th one points down for drainage. ---------Edge of distribution cell 1 Force main connection via tee or cross to manifold at any point, Laterals & force main of FIVC Sch 40 All laterals identical with orarifice equally spaces. (per COMM Table 84.30- Edge of distribution cell Numbers of Laterals 2.00 Orifice Diameter 0.16 in Lateral Diameter 1.25 In Orifice Spacing (X) 2.14 ft Lateral Length (P) 39.26 ft Orifices per Lateral 19.00 Lateral End V) 0.74 ft Orifice Density 8.63 ft2/orifice Lateral Spacing (5) 4.00 ft Manifold Length 4.00 ft Lateral Flow Rate 10.23 1 gprn Manifold Diameter 1.25 in System Flow Pate 20.46 gpm Forcernain Velocity 2.09 ft sec 8.52 Pump Off Height 12. in Dose Tank Information rw i .oxqmelt is propedy wA' F F. Manufactur Volume 2= 3260 C. TOW :46=X17.90,001 .. ...................... ... . .. .. .... Alarm Manufacturer I LEVEL AL1 RM Alarm Model Number DVL Pump Manufacturer ZOELLER Pump Model Number ber N140 Pure Must Delivery 20.4gpm at 17.57 ft yLkW... -sly :moo. TD FI Proj!tS�,Page 4 of GSF W1 MOUND DESIGN PROGRAM AM DISTRIBUTION MEDIA F Distribution Coll Media Layout 8 L Cell Width idew ll to Lateral (ft) Distribution Cell Cross-section Arrangements It Drag appropriate drawing to space below. n Cel l Plan View I_a yo t •- Typ1caI Cell Width - A (ft) 1 41,00 Cell Lingth - B ft) B43 Modu/ction uired per Rover B4 Total s Required End ConLater L yout Diagram Drapriate drawing from left to .space belool. Project: CHR1S KAVAL OSKI Page 5 of F W1 MOUND DESIGN PROGRAM SYSTEM MAINTENANCE E SPECIFICATIONS Found System Maintenance and Operation Specifications Service Provider's Name � ILLE TRKING INCPhone 715-268-6637 POWTS Regulator's Name POLIO CTY ZONING Phone 715-4 5- 7 System Flow and Load Parameters Design Flow - Peak 600 gpd Estimated Flag - Average 400gpd Septic Tank Capacity 1250 gal Soil Absorption Cor p nent Size ft' Service Frequency Maximum Influent Particle Size 1 in Maximum I�DD r E Maximum TS 0 L Maximum 10 mg L Maximum Fecal lifor 1GE4 cfu 100 rnL Septic and Pump Tank Inspect andor service once ever years Effluent Filter Should inspect and clean: at least o5116every 3 years Pump and Controls Test once event ars Ala rrn Should test m th l Pressure System Laterak should be flushed and p sure tested every 1.5 gears Mound I.nsNect for ponding and epage once every 3 years Other Miscellaneous Constrkction and Materials Standards 1. Observation pipes, are slotted and materia Is c f m to the standards, have a watertight cap, a nd are secured ire a a shown in the Eljen mound component manual. . Dispersal cell media conforms, to Eljen prod c a roved for use with the Eljen Mound Component Ma approve d August 2016. Eljen media is covered with the nufac rers ge to the fabric, 3. All gravity and pressure piping materials co arm the quirements in the state code. 4. Tillage of the basal area is accomplished w h a mold bo or chisel plow. 5. The mound structure and other distur e areas will be see d and mulched to prevent soil erosion and help reduce frost penetration, Lateral Turn -up Detail LAWN SPRINKLER FINISHED GRADE LATERAL ENDS AT LAST 41 PET RATED PIPE F IFI E WHERE VARIABLE " END LENGTH CLEANOUr SPIN:: �: -A ,qp •-M*- DISTRIBUTION LATERAL LATERAL CLEANOUT THkEADED LEAN LIT PLUG J� LONG SWEEP 80 OR TWO 45 DEGREE BENDS SAME DIAMETER AS LATERAL Project: CHRIS KAVALOSKI Page 6 of F 1 1 MOUND DESIGN PROGRAM MANAGEMENT AND CONTINGENCY PLAN Mound System Management Plan General This system shall be operated in accordance with SPS 82-84 Wis. Adm. Code, and shall maintained in accordance with its" component manuals Eljen Mound Component manual August 2016 and SSWMP Publication 9. 011 1)1 and local or state rules pertaining to system maintenance and maintenance reporting. o one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with SPS 83.33, Wis. Add. Code when the tanks are no longer used as POWTS components. Septic or pump tame 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 - inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 2 1.48, Stats. The contents of the septic tank shall be disposed of its accordance with NFL 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 1/3 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 of 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 Department of Commerce. Pump Tank The pump(dosing) 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 filter is installed within the tank it skull be inspected and serviced a Mound and Pressure - istribution System o 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. 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 18 months. 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 cleaning 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 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency 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, it 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. Project. CHRIS KAVALOSKI Wage 7 of {: f Ll C 44 22 20 LU I4 1 Y.,i i t ;f7+fj +A f i.3 V IC Run... 'NSTALLAT-1014 1,143TRUC PLmS251PL=625 FILT. EK 1 MMOMMaLFA ImI 4 Tj %.11 WI .... . r-I Y Ad U 01, ILI Zr Mi Step I (A) Lorate te Outlet Of the Se0c tank.. (A) Before ine;tallation, pla . ce the step 3: (A) Glue the fifterbousing on the (15) Remove tank Cover and PUMP tank filter housing on to the buflat pipa. I If necessary. ouuet pipe. 09) Make sum that the housing (0) insert the 111ter arbidgo In the is P000ned so the 111ter can be MaldnLS I . 'the filter rQmOv . . _-_--^..~~~= for - lijr� maintenance and service. Complatewly.1neerted ir, the housing. MAINTENANCE JNSTPZUCTjojq$ Now illy rxrII Mt, Xv IW It 31 MXIM 'I . . '. ` .. -----'---'-----'--'---- -------------'--------- ' stop 2: uzomxOthsOutlet of theaeptic tank- (A) Remove tank cover and pump Stop 3.1, If necessary- (A). Insert theI ge back (B) Pull the filter Out of the housing. the ffiter is prop 3119had (0) H=e cdfihe: lifter ~.~ the liepua tonic^~`~camp[�"~a ' M=ks Eus 8mmuxnmfall back into the (B), cover mw���Ymn� ~'-----�~~ ~^ 14 od IST, IX4 p lop N - 0�7 Qo -k IF LLA' tv tit OL of .00000� ha4viow-ft P A %Uvft�w WISCM00 DePaftent of Safety and P ofessr rral Services p age of _V Services SOIL EVALUATION REPORT In acmrdanoe vAth SPS 385,1 . Adm. - Coale County Attach mplet s e plan,on paper not less are . �� . � � lrrob in sip . Flan 'last include, but not 1E ited to: ver0caI and horizontal refer bde point 1 , direction and percent slope, Parcel'#.0 . scale or ensirons, north arrow, and lara on and distance to ne r� road. � � „r 4, Please print all information. Y Reviewed b Date Perso al Info tion you. provide Mgybe used fbr seoandaLy pug!Lses privy Law .1 Property wr: . Property Location El iffi V�c ov, dot N. or Vie Property rrer' 1 d Lot I rock # ubd. Name or C IV### 0 State bode Phone Number City. Village Town It Foal T'14 [] flew ons*u on Use: f Res1 ngal/ urnberofbedrooms Dods deed design flow rate GPD Replacement [ Public 0 ommer ial. DescHbe: ' r1-.... Flood Plan elevation if applicable- - - General comments and recommendations: Elorin \ring Ground surface elev...� f Depth to llrrti�ting factor in. o11 Application Rate Horizon Depth Dominant Color Redox De edpOon Texture Stmature Consistence Boundary Roots PD/F l In. ur ell Chu. Az. Coat Col�rt ,r. . Sh. � 1 *E 6, (0 1,60 k1a Y 13 - �' 14:7—, . tMfr 6 3 BoningEl Boring �. fit Ground surface ei v., # . ' Dept to limiting factor' on. Horizon Depth In. Dorninarrt Dolor Munsell Redox Description Qu. Az. Conti Colo- TextureStructure: r. Sz. Sh. Dornsi fence Boundary roots PDf t2 fOffil M: V(W CS C as... 40 SbK rn ke 10 Y�s owl& Opp 0 7C HORIZON t461STO�t CST M (Please film) Sign atLu Address Date 1t .oc CTr uF rlx me'"' tju us > , U ai ZZU r l !L rIo I U S R oU {L CSC` Number Telep one Number 7/2; i I j I i "Bon•n' El ji IN Pit Gmun6surface elev. ft, Depth ! 1i imifing factor Sojr 8pplicaflon Rate' Horizon Depth DominarA Color l edo - escription Texture Structure Consistence Boundary Roots GPD/Ft� i uns ll flu. A . onL Color K . Sh. ff$M fW I o17... ro JO.Q t)v 1Z -4.13WA � I 0�/,R sit? * i� •1f . R � - e rrl El Boring El Pit Ground surface elev. ft. Depth to limiting facto- in. • - - - - .. __.. - ref! 1l�r�ltr%��ir��n R�#si Han*za 1 Depth In. Dominant Colo r uas ll fox Description Qu. Az. Cont. Wor Texture Structu o Gr. Sz Sh. -Consistence Boundary Foots GPDIFe ff Eff#2 Boning Ground surface elev. _� ft. Depth to limiting factor in. fl er t # 1 `� D, g and�� L �` Effluent D f 220 mg/L and TS 150 rng/L L JP Ez La+ CINcr 0: ide-angle p�urnp switches directly control pumps up to Hp at 250 AC. Each %-Mitch fie.atures an adjustad:�a p�ll�lp l�� ra��c�a. �. Type of P`urr�p Switch Pump Max Pump r Max Pump Pumping Activation Control Run Current Start Current Range Mechanically 1/2 HP, 120V 13A, 120V 85A, 120V 7 - 36 '11-1 SJE PumpMaster® WPS Ilk Activated 1 HP, 230V 13A, 230V 85A, 230V OB - 91 cm, a L SJE PumpMaster® L SJE PumpMaster® Plus 'SJE PumpMaster® SPDT {. ingle Po le, Double Throw) Mechanically 1/2 HP, 120V Activated 1 HP, 230V Mechanically 3/4 HP, 120V Activated 2 HP, 230V Mechanically 1/2 HP, 120V Activated 1 HP, 230V 13A, 120V 85A, 120V 7 - 36 in 13A, 230V 85A, 230V (18 - 91 CM) 15A, 120V 85A, 120V 7 - 36 in 15A, 230V 85A, 230V (i - 91 cm) 13A, 120V 85A, 120V 13A, 230V 85A, 230V - 36 in (16 - 91 GM) Double bloat® Master Mechanically 15 FLA, 90LRA 15A, 120V 90A, 120V 3 - 43 in Activated 120 or 240V 15A, 240V 90A, 240V (7.6 -122 can) MIST use if dose < 7" unless using VerticalMaster below SJE ArnpMaster® Mechanically 1 1/2 HP, 125V 20A, 125V 120A, 125V 4 in Activated 3 HP, 250V 20A, 250V 120A, 250V (23 - 61 cm) is SJE VerticalMaster@ Mechanically 1/2 HP, 120V 13A, 120V 60A, 120V .75 - 6.5 in (die I rrTed r'-�ace Applications) Activated 1 HP, 230V 12A, 230V 60A, 230V (2 -17 cm) Use pump 10A, 12VDC 100A, 12VDC Mechanically 8 - 36 in SJE IicroMaster® AC/DC run and 10A, 12VDC 60A, 125V Activated (29 - 91 crop start current 8A, 250VAC 60A, 250V Mechanically Use pump 13A, 125V 78A, 125V 8 - 36 it di SJE licroMaster® Plus WS run and Activated 12A, 250V 72A, 250V (20 - 91 cm) start current m Me '. "0 °--Y r r- ........................................................ . W.1111 06ib e by ., ;eg I I P....' 12 . V 1� , ,. 5. yi q y 41-4a t 2 C 2 i V 3tA Use pump r Mechanically 13A, 125V 78A, 125V 8 - 36 in � SJE I�iTempMasterTM run and Activated 12A, 250V 72A, 250V (20 - 91 cl1'1) start current it l i Prop the following: 1 WARNING Cancer and Reproductive Harm - www.P65Warnings.ca.gov 888-DIAL-SJE (888-342-5753) customer.service@sjeinc.com WWW.sjerhombus.com YEAR 9500136G 07/20 SJE RHOMBUS®.., © 2018 SJE, Inc. All Rights Reserved. SJE RHOMBUS is a trademark of SJE, Inc. ST. CR NFile #: TY SANITARY SYSTEM Office Use Only OWNERSHIP/ADDRESS FORM Created 212027 1 Community Developf-riePit Department will utilize this infon-nation to prov'ide the pt-oparty ownei- with information regarding operation and maintenarice Of YOL11" 11eVV 01" I-epIdOPIVellt SJnitary systern' I NS information will be pi- ovided as part Of OUI'ors going efforts to protect PUblic Health, your well, groundwater. SUrface water, property values, and coutity t-eSOLH-ces. Ofive approved,, this co[iipleted fot-rn at'id educational infon-nation will be sent to you by email, If YOU WOUld like to view yout- iss�ied sanitat-y perti.)it online. you Can do so by LISHIg the Property Files Scanned eblink. OWNER/BUYER INFORMATION Owner -/Buyer S M a 111 ng Address 14 111 '� it tare IC:� Lt P P110110 NL]rnbpr (rpq i j 1 rpd) Email Address (re q u 1 re d) Parcel Identification NUmber ioLfl- q0 - (found on die properly tax b'111) NEW SYSTEM-. LEGAL DESCRIPTION Propei-t,y Location '14 1/4 , Sec. T30 N R /� W, Town of FP7e,,--A Jc� Subdivision Plat: , Lot I Certified Survey Map # 1143155", Volume , page # Warranty Deed # NU Mber of bedrooms Nev Pioperty Address (staff Initials,) (before 2 00 I u rn e Spec 110L.Ise 13 yes,,M no OFFICE USE ONLY Lot lines identifiable 0 yes 0 no (Verification of new address required from Community Development Department for new construction.) (Date) This form must be SUbtnitted with oil Private Onsite Water Treotment S,ystetn (POWTS) applicotio,ns. New System: lixtode Mth rhis forin a recorded warmnty deed froof the Reqister of Deeds Office and a copy of the cern'fied stirve'y nic7p) if reference is mode in the worranty deed, Cot-nn'iunity Developt-nent Departtiient - Land Use Division 715 -386-40 St. Croiy County Governi�)ent Center 715-245-4250 Pay cdd,'7," 1101 Cat-r-nichael Road, Hudson, WI 54016 WWW.SCCWi.a0V ....................... ........................ .................8 4 9 4 9 1 8 Tx: y .441881.............................. ............................... State Bar of Wisconsin Forth 3-2003 QUIT CLAIM DEED 1060522 BETH PABST Document Nwnber Document Name REGISTER OF DEEDS ST. CROIX CO.r WI ................ 01/30/2018 08:16 AMTHIS DEED, made between Tammie J. Peterson NKA Tammie J. Kavaki . . ......... EXEMPT##: BNI ("Grantor," whether one or rnore), REC FEE 30.00 ....... ............................... . and Christopher J. Kavaioski and Tammie J. Kavaioski, husband and wife ................................ ....... PAGES: 1 .................................................................................................................. . ("Grantee," whether one or more). Grantor quit claims to Grantee the following dcscni-bed real estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Croix County, State of Wisconsin ("Property") (if more space is needed., please attach R nfing Area addendum); Name and Rctunx Address Lot I of Certified Survey Map filed August. 28, 19961 Christopher and Tanunic.Kavaloski In llolurne 11, page 3155, being'a part of the 1472 230th Street Southeast Quarter of the Northeast Quarter (SEI A of Emerald, Wl. 5.40.13 NEIf4) d Section 20, Township 30 North, Range 15 West, St, Croix County, Wisconsin EXCEPTING THEREFROM: The West 132.73 feet of said Lot I AND the South 109.28 feet of said Lot 1 010-104740-050 Parcel Identification Number (PIN) .1 his is homestead property.. (is) (is not) LYDIA ELISE BENS NotaryPubfio-M n�.................................................... . ff� � Jan 31, Dated LrJ SEAL) * * (SEAL) (SEAL) (SEAL) csigw ................AIT'T,HENTICATION ACKNOWLEDGMENT �s) STATE OF ss- authenticated on�16VVIYICJ COUNTY Personally cane before me on * the above• -named Ta � rn i ........... ..... L TITLE: MEMBER STATE BAR OF 'L�[�ISCONSIN 12 (If not, to me known to be the persons) who executed the foregoing authorized by Wis. Stat. § 706.06) t and acknow a same. .......................... TIES INSTRUMENT ENT DRAFTED BY: Tarnmie J. Kavaioski Notary Public, State of Wisconsin My Commission his permanent) expires: �, r7 - ) ................... . ............................ (S�tum nay be andmudcaftd or acknowk dged. Batt are not .) NOTE: TES IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE C1 SARLY IDENTIFIED. QUff CLAIM DEED 01M STATE BAR OF WISCONSIN FORM No.. .M.................................... * 'fie name below sipAftm ..................................................................................................................... . ........................................................................................................ .......................................................................................................................... . St, Croix County 1060522 Page 1 of 1 J KATHF E H 1,11A 1 A96 CERTIFIED SMAP '•� ; Located in Part of the Southeast Quarter of the Northeast Quarter of Section 20, Township ..30 �rtii, Range 16 West. Town of Emerald, St. Croix County, Wisconsin, Prepared for and at the request of: OWNER: County Section Corner Monument Lawrence O. and Mania F. Moore of Record 1472 230th Street Emerald, W1 5401 ! Set i x 24 iron Pipe weighing .............. Drafted by- Ty Dodge a minimum of 1.13 pounds per o ..� ... linear foot. c•r NORTHEAST CORNER, } SECTION 20 ►� t UNPLATTED LANDS ALUMINUM CAP MONUMENT EXISTING FEINCE NORTH LINE OF THE SE 1/4 OF THE NE 1 4 � S 87'20'070' E 53'�.49' x L 522-70 W t I i x -3 1, i } I 1 -- I p SOIL TEST :HOLES FOR � PROP45ED :NEW SEPTIC LOT I � - t Area: 6 � 34$,4$0 Sq. Ft E7(ISTING SEPT4C � $. �Q Acres V) I Area Excluding R-- O-- W. z i 338 997 S . Ft7.76 Acres o �# ............ 4 .................. zi = I Ln i WELL A AGE ~ T'ROVED UA a� V� r # Cl IF W : t7► w 1 3:DlC�L#:�Tir' DOUGLAS J. +�' _ �- . ..... W - a � I c� ZAHLER oi- prc hnnsive Ptunak � c' QI $- 3 4 7oning and � _ � o � � a i _ ......... H �- ► P arks Ccxnmittee C) Ln LAA #S ►-►vt recasded z I Dw oval dal* w -----------.....100' ► w ILL naval S#NA be - cn NO TIC RIGHT:-C]F—WAY r � 505.12` .._ N 87*2, 0* 37" 1A,t LU _ . 0 100 200 U NPLATTED LANDS �� �_ -J ....................... ..............25. 3ti' ....................... BEARINGS ARE REFERENCED TO THE EAST LINE OF THE w NE 1/4 OF SECTION 20 TOWNSHIP 30 N., RANGE 16 W. CV 3 GRAPHIC SCALE � � I � SCALE IN FEET: I Inch = 100 feet WHICH IS ASSUMED TO BEAR S 00'00'19"E 0 � fff 1 � f JOB #96096 EAST QUARTER CORNER, �r Prepared by. SECTION 2] A � E LAND SURVEYING 1" IRON PIPE r s Phone No. (715) 246— 4319 P.Q. Box 325 NOTE: The parcel shown on this mop is subject to Stote. County and Township 109 East 3r-d Street New Richmand, W 5.4D'i.7 laws, rules and regulations i.e. wetlands, minimum lot size, access to parcel, etc.). Before purchasing or developing an parcel, contact the St. Croix County Sheet 1 of 2... Zoning Office and the appropriate Tawn Soord for advice. VOLUO 11 PAGE 3155 Wisconsin f al�"%rviceP IIJLD (Division of I us ry e SEP 3 02022 SO IL. EVA4LATION REPORT n accorx,,40a,nce with SPS 386, Wis. Adm. Code Attach comple si e plAo!Obrainuti� s than 1/2 x 11 inches in size. Plan must include, but not lirii'led 4nEt�hftwfg,W eint (R fftnc port i M), direction and percent slope, scale or dimensions, north arrow, an I distance to nearest road. Please print all] information. Firsonal infomiatIO9 You pruvi d t: I Flay be u for seconda ry pu rposes (Privacy Law. s, 15.04(l )(rn Property Ownw, ----rproperty Location L A A L S t<,, Govt- Lot Propeq )Wner's MaillIng Ad Lort 4 Block # MeteIp cede Phone Number El city EI villa! z 11 3 �Sr,�zz—z3r j 3 0 /N7Z Z 3Grti 5+ County L 01-N Pa rce. i H 7— R)v wed by t/4 SZ T30N R L) E (or) Subd. Name or CSM# e Town Nearest Road New Construction Use, Residential/ Number of bedroorns Code derived design flow rateGOGM Replacement Public or commercial— Descr�be- Parent material Z..-> t L-T-- LOA m 9�-I:Iood Plan elevation if applicable ft. General comments and recommendations: 7 Boring # Bohng pit Ground su.-face e!ev, -?:OA[EX Depth to limiting f Horizon Depth Dominant Color Mun-sell Redo x Description Qu. Az- Cunt. Color Texture StructUre Gr. Sz, Sh, Consistence Boundary Roots GPD/Ft 2 I *Eff#1 'Eff-42 R 3� a rn 0 0 rZ 1 L3 S f K n), it BO,6ng f. -1� —"� '117 —1 UO o Prt Ground surface elev. f, De pth in I i rn iti n fa r_-t 00'r i Horizon Depth Dominant Color RedoX Description Texture Structure Consistence Boundary Roots In. Munsell Qu, A2. Cant. Color Gr. Sz. Sh. Soil ApPlicat'ron Rate GPC)/rt' *Eff,#1 Eff#2 SCI Owl 6) L4 0, 7. v IZ qI 4v r-r-. I Lo, - -7 4- rR � I 0 1; 1 Z 0 7o S �E411101ZMWMWCMIA�NO-16OFS—s"s A CST Ngrne (Please Print) S Signatire CST Number 212- Date E ion on uctJ Address V-5�rl,)o I i t) AV C 'Telephone Number y 4-1 0 F f Znt:5U-bJ0U (t-,-U4113) I I Bon ng # P ornimo 5urface,eiev, �P 9 Depth to 11miting tactor Ir ft 18dox De-scHption TPAure Structure Consistence Boundary Roots Qu A-/-. Cont. Color Gr. Sz. Sh. . ........... 2 rn Sall Application Rate Horizon Depth In. Dominant Color Munsell J- L) G F "Eff4l :*Eff#2 4 13rlYb LI E— Borlm3 # LJ BoHna F-I pit Ground surface elev. Depth to limiting f2ctor in - Horizon Depth Onminant Cdor Redlix Description TextUFe Oij. A7, Cnnt Color Soil Application Rate St ru ctu re Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft 'EfF41 Boring # 0 Boring 7 P-11 Ground surface slur, ft Depth tc limiting factor in, HurIzUrl Depth Donninant. Cn'ror Redo x Des criptilor-1, Texturc Structure Ooii Eislenck-- Boundary Roots Munseil Qu. Az. Cont. Color C r. S7. S h. .5oll Application Rate GPDIFt 2 Eff# I E f."-4 2 * Effluent #1 = BOD. > 30 f- 220 mg/L and TSS > 30:5 150 mg/L " Effluent �;! = 1300. > 3U!5 2,20 mg/L and TS5 > 30's 150 mg/L . ... ............ N L•� = ALT B nn s E D TAP C0: oar�r,6E � L — CA'Z8 [/'tOUNTY STATE SANxTARY PERMIT s-� n �nA�vs�L�uR�NL�,�: OWNER,�Rf.AbTt96�i-.6� �-`j��.Mt� PLUMBER V�nrnJ5 Glu-g A-I.D f� 7 D►�/ [�117.Y►[�a VAIL-OSKf LIU 9# 2z! `f � SEC 3o Nq R 1(oz7 wo*P� AND/OR LOT � BLOCK 3165) �,L ; 5y8 �-S'� SUBDIVISION . .. . .. ......... . SBD-06499 (RI 1/20) AUTHORIZED ISSUING OFFICER CHAPTER 145.135 (2) WISCONSIN STATUTES (a) The purpose of the sanitary permit is to allow installation of the private sewage system described in the permit. (b) The approval of the sanitary permit is based on regnlations in force on the date of approval.. (c) The sanitary permit is valid and may be renewed for a specified period. (d) Changed regulations will not impair the validity of a sanitary permit. (e) Renewal of the sanitary permit will be based on regulations in force at the time renewal is sought, and that changed regulations may impede renewal. (f) The sanitary permit is transferable. History: 1977 c. 168; 1979 c. 34,221; 1981 c. 314 Note: 1f you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. -DATE