HomeMy WebLinkAbout032-1030-50-150 (3)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:
JERRY & SHIRLEY AUDORFF
City Village Township
TOWN OF SOMERSET
CST BM Elev:
Insp. BM Elev:
BM Description:
TANK INFORMATION
SANK SETBACK INFORMATION •
145;
TANK TO
P/L
WELL
BL G.
V nt-lo Air Intake
ROAD
Septic
T
Dosing
Aeration
Holding
PUMP/SIPHON INFORMATION
SOIL ABSORPTION SYSTEM
ELEVATION DATA
County: St. Croix
Sanitary Permit No:
648453
State Plan ID No:
Parcel Tax No:
032-1030-50-150
Section/Town/Range/Map No:
11.31.19.146A-15
STATION
BS
HI
FS
ELEV.
Benchmark
3.
Alt. BM
`-�f c2isi
11�lot-it
Bldg. Sewer
5".15
9%. Ig
St/Ht Inlet
Is
St/Ht Outlet
^ . A-S J l
W In t A A
r\
n f
DVttAj V V
4
v
Header/Man.
Dist. Pipe
Bot. System
Final Grade
ik:T'
1,�►�k
4.45
'�l•°�i11
1°I If%
- 04
St Cover
•��
A9r
BED/TRENCH
DIMENSIONS
Width .
Length
No. Of Trenches
PIT DIMENSIONS
No. Of Pits
Inside Dia.
Liquid Depth
SETBACK
INFORMATION
SYSTEM TO
P/L
BLDG
WELL LAKE/STREAM
LEACHING
CHAMBER OR
UNIT
Man2u>4urqr,,
T Of S ste .
y y
�Q
7 5
1
� 3
Mo umber:
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: 657 LAKESIDE LN
1.) Alt BM Description = � — rt6YQX0YN&-A-*__ � �� 1
_ 0�1
2.) Bldg sewer length -�.eo �
- amount of cover = 1% --- 0�s - t 4S ��► ��
Plan revision Required? ❑ Yes X 40 171 4
No 00e Le
Use other side for additional information. 16 A ') I 1W io
SBD-6710 (R.3/97) Date s ctor's Signature Cer . No.
.�k�`'��
Department of Safety
county
St. Croix -
& Professional Services,
Sanitary Permit Number (to be filled in by Co.)
.
x1.io n
/000��
O r
Sanitary Permit Applicati-oh
State Transaction Number
In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit
Na
Project Address (if different than mailing address)
is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to
the Department of Safety and Professional Services. Personal information you provide may be used for secondary
purposes in accordance with the Privacy Law, s. 15.04(1)(m), Stats.
LA/
I. Application Information Please Print All Information
Property Owner's Name
Parcel #
Jerry & Shirley Audorff
032-1030-50-150
Property Owner's Mailing Address
Property Location
271 72nd St. North
Govt. Lot
City, State
Zip Code
Phone Number
Mahtomedi, MN
55115
(612) 360-0018
SW 1/4, NE 1/4, section 1 1
T 31 N R 1
IL Type of Building (check all that apply)
Lot #
Subdivision Name
® 1 or 2 Family Dwelling — Number of Bedrooms Na — Accessory bldg..
04
CSM Vol. 16, Pg. 4320
Block #
❑ Public/Commercial —Describe Use
Na
❑ City of
❑ State Owned — Describe Use
❑ Village of
CSM Number
A)c X
682642
® Town of Somerset
pe of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C if
Eapplicab!1."1.,,
® New S stem
Y
Re Replacement System
p Y
Other Modification to Existing SystemAdditional
g Y (explain)
Pretreatment Unit (explain)
B.
Holding Tank
In -Ground
At -Grade
Mound
Individual Site Design
Other Type (explain)
(conventional)
C.®
Renewal Before
® Revision
Change of Plumber
Transfer to New Omier
List Previous Permit Number and Date Issued
Ex iration
633311 issued 4/ 16/2021
Dispersal/Treatment ersal/Treatment Area and Tank Information:
I I Infiltrator Quick 4 Standard Plus chambers & 1 air end caps, Pol Lok PL-525 effluent filter
Flow (gpd)
Design Soil Application Rate(gpd/sf)
Dispersal Area Required (sf)
Dispersal Area Propose (so
System Elevation
150.00 gpd.
0.7 gpd./sq. ft.
214.29 sq. ft.
230.60 sq. ft
95.25'
Capacity in
Total
# of
Manufacturer
,
Tank Information
Gallons
Gallons
Units
o 7�
New Tanks
Existing Tanks
_
Septic or Holding Tank
320
Na
3
1
Wieser Concrete
X
Dosing Chamber
V. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans.
Plumber's Name (Print)
Plumber's Signature
MP/MPRS Number
Business Phone Number
James K. Thompson
p
/ i ;`
MPRS 30021(715)248-7767
Plumber's Address (Street, City, State, Zip Code)
L/
340 Paulsen Lake Lane, Osceola, WI 54020
VI. Coun /De artment Use Onl
Approved
❑
Permit Fee
Date Issued
Issuing Agent Signature
caner G ason enial
Conditions of Approval/Reasons SYSTEM OWNER:for Disapproval -
�,e.(�` 1 Z) l ern E s 6
J*,0_ ltca3���J IL04- Nor
I. Septic trek, f�unt filterand dispersal III A n
must b i / maintaIned �r -a4 �y
q r v
cct
mL1Qm,elplan l V�ded by kJf Flri
�
. All setback req uj rements inu st be maintained
as per appliGabl code i nces
Attach to complete „plans for the syste and s»b:nit to the County only on paper n°�Mess than 8 1/2 x 11 inches in size
-6
S D- 3 8 R. /22 D O CaPD
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Conventional POWTS Index & Title Sheet
Project Name: Audorff Accessory Building Conventional POWTS
Owners Name: Jerry & Shirley Audorff
Owner's address: 271 72nd St. N, Mahtomedi, MN 55115
Site address: 657 Lakseside Ln., Somerset, WI 54025
Project Location:
Subdivision: Lot 04, CSM #682642, Vol. 16, Pg, 4320, Doc. # 1118623
Legal Description: SW1/4 NE1/4, Sec. 11, T.3IN. , R. 19W., Tn. of Somerset, St. Croix Co., WI.
Parcel ID #: 032-1030-50-150
Page 1
Index and Title Sheet
Page 2
Site Plan
Page 3
Dispersal Cell Sizing Calculations
Page 4
Dispersal Cell Cross Section
Page 5
Septic Tank Cross Section
Attached: Pole Building Plans
Mater Plumber Restricted Service: James K. Thompson, DSPS Credential #30021
Signature: Date: April 11, 2023
Page 1 Of 5
Design pursuant to In -Ground Soil Absorption Component Manual for POWTS, version 2.0 SBD-10705-P (N.01/01)
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Audorff Residential Accessory Building Dispersal Cell Sizing Calculations
1. (100 gallons estimated flow)(1.5 design factor) = 150.00 Gpd design flow
2. Infiltrative capacity of native soil = 0.7 gzpd/sq. ft.
3. Absorption area required: 214.29 sq. ft.
4. Absorption area as proposed: 225.30 sq. ft. (11 chambers + 1 pair end caps
Infiltrator "Quick 4" = 20.00 sq.ft. EISA per chamber, Infiltrator "Quick 4" end caps = 5.30 sq.ft, EISA/pair
214.29 sq. ft. — (1 pair endcaps)(5.30) = 208.99 sq. ft.
208.99 sq. ft./20.00 = 10.45 chambers required
Number of trenches: 1 (a, 11 chambers per trench (20 chambers total)
Trench width:
Trench length:
Trench spacing:
Total system area w/ 6' trench spacing:
v
2.83'
47.00'
Na
RV-v 47 00'
Pg. 3 of 5
IN -GROUND DOSED -GRAVITY DISPERSAL AREA
Stepped Elevation Trenches with Quick4 Standard-W Chambers
3-ft Trench (down -sizing credit)
%V
SOIL COVER
it 1
Highest Trench
System Elevations = 95.25 ft;
ft;
TYPICAL TRENCH
CROSS SECTION VIEW
(No Scale)
34" a
(typical)
a
Lowest Trench (as applicable)
ft;
ft;
ft
Provide minimum 3 ft
separation between trenches.
Quick4 Standard-W
w/ End Cap Observation Pipe
(typical) (Show location of inlet / outlet pipe connection on plan view.) (typical) TYPICAL TRENCH
Install per manufacturers
instructions. PLAN VIEW
- - - - - - - _//_ - - - - - - - _//_ - - - - - - - - - Z/ (No Scale)
I O A = 3.0 ft
L#AilIItill 1t111 _ � � (typical)
g = 47 ft —i
(typical) Quick4 Standard-W Chamber
(typical)
INSTALL PER TRENCH:
(mfd by Infiltrator Systems, Inc.)
11 = 220.00 Install pursuant to manufacturer's instructions.
Quick4 Std-W @ 20 ft2 EISA/chamber ft2
+ 1 Pairs of end caps @ 6 ft2 EISA/pair = 5.30 ft2
= Proposed EISA per trench = 225.30 ft2 Required Infiltration Area = 214.29 ft2
x 1 trenches = Proposed Total EISA = 225.30 ft2
Distribution Method:
branched manifold
RESET
50"
4" CAST —A —SEAL
O
FILTER OR BAFFLE --J
TOP VIEW
0
a wl
ry
INLET
00
� rIN
SIDE VIEW
JTLET
W320-MR
TANK SPECIFICATIONS
DIMENSIONS:
WALL: 3"
BOTTOM: 3"
COVER: 4"
MANHOLE: 24" I.D. PRECAST CONCRETE RISER
HEIGHT: 58" O.D.
LENGTH: 50" O.D.
WIDTH: 50" O.D.
BELOW INLET: 46 1 /2" O.D.
LIQUID LEVEL: 43"
WEIGHT: 3,880 LBS.
4" CAST —A —SEAL INLET AND OUTLET:
4" CAST —A —SEAL BOOT OR EQUAL
GASKET, CAST —A —SEAL BOOT OR EQUAL
INLET AND OUTLET BAFFLE AND FILTER:
WI SCON SI N, SEE DETAIL #10
(OTHER STATES SEE CHART)
LIQUID CAPACITY: 8.0 GAL/IN
TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS
LOADING DESIGN: 8' 0" UNSATURATED SOIL
TANK CAN BE USED AS:
SEPTIC/ HOLDING/ PUMP OR SIPHON
COVER: MIX DESIGN #8 NO FIBER)
TANK: MIX DESIGN #10 STRUCTURAL FIBER)
CUSTOMIZED TANKS:
FOR CUSTOM TANKS CONTACT WIESER CONCRETE
DRAWINGS SUBMITTED
FOR APPROVAL
APPROVED BY:
APPROVAL DATE:
PRODUCTS NEEDED BY:
0
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a
Document Number Document Title
St. Croix County
Accessory Structure Affidavit
le
C,
Name -- (Owner) Typed or printed
He/she is the legal owner of the following parcel of land located in St.
Croix County, Wisconsin, with their deed or document of ownership
interest recorded as Document Number St. Croix County
Register of Deeds Office.
This property is described as follows (include lot no. and subdivisionlCSM
or detailed legal description):
OR.
(V . Q See attached deed copy for legal description
II 11111111111IIlINIII I (IIl III
DocId:89710 7
Tx: 5155345
1166010
BETH PABST
REGISTER OF DEEDS
ST. CROIX CO., WI
RECEIVED FOR RECORD
04/24/2023 08:25 AM
EXEMPT #:
REC FEE 30.00
PAGES: 2
Recor ding .1r•ea
Name and Return A dress
r►e�Au
2n d ke- e
G� 1-o Wr
Parcel "Identification Number (PIN)
ogz- /0.30 -,5;0 w
.As owner of the above described property, I acknowledge that the Private Cnsite wastewater Treatment System
(POWTS) serves an accessory building on this lot and is sized for a future C_) bedroom home, or a design flow of
gpd. This'accessory building may not be used as a residence on this parcel. I also acknowledge that I will
disclose this information and stipulation to any future parties interested in purchasing this property.
Dated this �_ day of )r I
AUTHENTICATION
Signature(s)
authenticated thisr2L51 day of
TITLE: MEMBER STATE BAR OF WISCONSIN
(If not,
authorized by § 706A6, Wis. Stats.)
THIS INSTRUMENT WAS DRAFTED BY:
St. Croix County Community Development
(Signatures may be authenticated or acknowledged. Both are not
necessary.)
W
ACKIawLEDGMENT
STATE OF -WiSC-ON6W W Y1�
St,-ispic County, }
Personally came before me this day of pv r
the above named
to
Y'
to me known to be the
person(s) who executed the foregoing instrument; and acknowledge the
same.
KRIS -"A KELLEN �
NOTARY PUBLIC
Mil4NESOTA
.....y'V MV rn ,'vt3 EV3ners 0113'1 t2027
Notary` Public, State of3MjEtftft2LwII�,1�
My Commission is permanent. If not, state expiration date:
Date: 31
St. Croix County 1166010 Page 1 of 2
eOXAte V1
Q
TU
w
zni
0
ew
di
0
an
ow
LIU >
XTO.
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.........
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............. ................ . a
. .. ... ...
.. ............................
... . .................
.. ... . . .....
. . . . . . . . . . . . . . . . . . . . . . . . . . . .... .... ... .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ............................
6W
IPS]iAluA�:�� L��/Rr_,'NEWAL
. . . .......
EVIOUS NO.
wo / �n 6
Ell AV
11 � L 1 Uff-'r M -13h 9d R: L I'm ( 0 -.'O'40do 0 # 2/
...................
WN vd"""k F m fv% 6 P- -. s=' Woo,, I A— I
SEC ,T Nq
AND/Nk--dwR
CSom�.0 �p - �}'3Z
MW
:1 �
x
CHAPTER 145.135 (2) WISCONSIN ST.A TES
(a) The purpose of the sanitary permit is to allo installation
of the private sewage system described in the per t.
(b) The approval of the sanitary permit is based n
regulations in force on the date of approval.
(c) The sanitary permit is valid and may be ren ed for a
specified period.
(d) Changed regulations will not impair the vali ty of a
sanitary permit.
(e) Renewal of the sanitary permit will be based n
regulations in force at the time renewal is sought, d that
changed regulations may impede renewal.
(f) The sanitary permit is transferable.
History: 1977 c. 168; 1.979 c. 34,221; 1981 c. 314
Note: 1f you wish to renew the permit, or transfer nership of
authority. tpermit, lease contact the county he
P ty
ry F.5 Vjj.
.. . . .. ...
10
. ... ............ . .... ..... . . ..................................................... . ..... .............. . .... .............. . ....... ................ ....... ................ .... .... .. ................ ................ .. .. .. .
..... ........ .. .. .
TYX S S REN'" , WE l'i
ills -rr-.JRMI ExrIRFS Z-0,2 �5 uNL-n jr-d I
SBD-06499 (RI 1/20)
. .. .. ...... .... . . U.-A
Wisconsw 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.1 04 {1 }(m)]
Permit Holdees Name City Tillage Township
Jerry & Shirley Audorff TOWN F S ME SET
CST BM Flee Insp BM Elev BM Description
TANK INFORMATION ELEVATION DATA
TYPE
MANUFACTURER
CAPACITY
Septic
[Dosing
Aeration
Holding
TANK SETBACK INFORMATION
TANK TO
PIL
WELL
BLDG.
Vent to Air Intake
D
ROAD
Septic
Dosing
Aeration
Holding
PUMP/SIPHON INFORMATION
Manufacturer- NJDerrand
C PM
Model Number
TDH Lift Friction Loss System Flea,,-j TDH �t
For ernain Length Dia. Di to Well
SOIL ABSORPTION SYSTEM
BBDfTRENOH Width Lengit', No. Of Trenches
DIMENSIONS
SETBACK SYSTEM TO PIL BLDO WELL
INFORMATION
Type Of System -
DISTRIBUTION SYSTEM
County, St. Croix
Sanitary Permit No.
State Plan ID No,
Parcel Tax No
032-1030-50-150
Sectionrl-ownilliangelMapo�I
11. 1./1 .1 A-1
STATION
BS
H I
FS
ELEV.
Benchmark
Alt BM
Bldg, Sewer
e0000r
BtIHt I n let
t]Ht Outlet
Dt Inlet
Dt 3ottom
Header/Man.
Dist, Pipe
B ot. System
Final Grade
St Cover
PIT DIMENb:e)NS
INo Of Pits
Inside Dia Liquid Depth
LAKE/STREAM
L DH1N
OHA R R
Manufacturer
UNI
Model Number-
-Ieaderllanlfold
Distribution
x Hole Size
x Hole Spacing Vent to Air Intake
pipe(s)
Length Dia
Length Dia Spacing
1L (;OVF-R x Pressure Svstems Only xx Mound Or At -Grade Systems Only
Depth Over
Depth Over
xx Depth of
xxSeeded/Sodded
xx Mulched
Bed/Trench Center
Bed[Trench Edges
Topsoil
F-1 Y8s ] No
[:] Yes E: I No
MMENTS: (Include code di screpencies, persons present, etc
Location: 657 LAKESIDE LN
1.) Alt BM Desnption -
. Bldg sewer length =
- amount of cover =
Plan revision Required' u Yes No
Use other side for edditionaJ information. _ L
Date
BD-6710 (R 3,W)
Inspection #1 . Inspection #.
Inseptor's signature
ert No
count-v ivl
Safety and Buildings Divislon St. Croix
201W.MWaadsishoin, Wl 53707—Og., .71.62 2
ani(ary Penlia Number 6o be filled in bly Co.)
Sanitary Pc�mit A Beats State Transaction Number
mi I
fr. accordanc Wi� g
-Opri'
ropriate g
submission of this form to tJ
5uh
'nr
it Na
is required prtoF t �6 Ts an: arr, permit Note Application forms for state wne 5ubmi to
-() i s Project Addre��if different than mailing address)
the Department of Safety and I ofessionall Sci-Nices. Personal infomiation you provide may be us �condaiy
PLIrPOSCS in acc�)rdnnce with thwklrivacy Law- S 1.504(1)(m),Stats
*pw++e
1. Application Information lease Print All Information
Property Owner's Name lease Print n, cel ti
JerryLA Shirlev Audorif 032 A -10"0-50-150
Property OwneCs Mailing Address
2 71 72nd Street North
City, State
Mahtomedi. MN
U. Type of Building (check all that apply)
1 or 2 Family Dwelling - Number of Bedrooms
Public/Commercial - Describe Use
j El State Owned - Describe Use
Zip Code
E CW ,
Ill. Type of Permit: (Check only one box on line A. Coj
A Ne%v System ReplacTement System —re
B- i Permit Renewal a Permit Revision
Before Expiration
IV -Type of POWTS -SYstemiComponen
Phone Number
(6 1 -2) 3 60 - 18
Lot# X04
k#
Na
CS jumber
1
1 62642
F--- -, Plete 11 e B if applicable)
G ovt. Lot
S W —Vi, N E Section 11
Nl,clrcle one'
T 31 N, R 19 W
Subdivision Name
CSNI Vol. 16, Pg. 43,20
Ll City of
Village of
Town of Somerset
atnierit'Hol d 1\1 - Cank- Replace-ment OnlY F] Other Modification to Existing Systerij
C
List Previous Pert -nit Number and Date fs�ued hange of Plumber PermitTransfer To New
-n \,y n e r
ice: (Check all that apply) X
'4
-�'r e �ss u r �-c d I �n- G r �ou j Pressur, d In -Ground El At -Grade Mound > in. of suitable soil
F] Mound < 24 in of suitable soil
NFFZ�4 EHolding Tank Other Dispersal Co portent (explain)_ Pretreatment Device (explain)
ess"'- ed 'r
Mound �\in o,
E' P' / _7:
[dispersal Co pon nt
fV
M.
In 4tio n FF
V. Dispersal/Treatment Area In Mfi0n: 22 Infiltra or_Quick- 4 Standard Plus cham rs & 2 pair end caps, Polvl.ok IIL-525 efflafent filt. r
Eitsign Flow (gpd) De�ign Soil )(plication Rate(gpdsf) D-ispersal Area R�.,cltjjred (st) )ispersal Area ProposedSystern Elevation
300.00 Gpd Gpd.` Sq. Ft. 428-57 sq. ft. 450.40 sq. 95.25
V 11. Tank Info Capacity in Total 9 of 11 ufacturer
Gallons Gallons Uritts
��Yank.;
k
Septic orHald�ng Tan
Dosing Chamber
750
NIL Responsibility Statement- 1,F the uncle
Plumber's Name, (Print)
James K, Thompson
Plumber's Addtess (Street, city', State, Zip Code
I 11 Wieser Concrete
1. 1 —1- -
gnc(14 assUpe responsibility fur installation of the POWTS shown on the attached plans,
Number' Signature MP/M.PRS Nunibrr BuSiness Phone Number
•MPRS 30021
(715)248-7767
340 Paulson Lake Lane, Osceola, NVI 54020
VIII. County epartment Use Only
)(ApproN-ed 11 Disapproved Permit Fee Date Issue Issuing Agen'IgTiature
SYSTFM F-UbMier Given Reason for Denial $ 6 -21
Issue
ix. d,0�4�bas -for Disapproval jk)
S S 4 C V 1 �Ct
al S r, 1! 1 1:., e! I I S+r-v C-�� r-t ('W
by p,wmkber. -C\j
Y I
44
-�-ro m S4. ( r-cD Co vv%
2 All sell-wck MLIC11 he maintained Xi
as per 0e V,4- to
S )� froV Jbke 6� 5 4-e 11A� I I K ~ e-�
^A
ST LF f%jAttach to complete plans a r the sy ten 0n 1I 5bmit to the County on y on paper notlees
Iess than 8 1,7 x 11 inches
Gu
es ij sue
I
BIB-
(;Wrciff'r t-e- 0-4--sA 4- aff-ct M."
5de 0
I7 Offi 747
' . '
VAi
13 3
jk d 0
����
I
Conventional POV4rTS Index &Title Sheet
Project Narne- Audorf 2 Bedroom Cariveritional POWTS
Owners Name: Jerr & Shirley Audorf
Owner's address: 271, 72nd St. N, Mahtomedi, NIN 55115
Site address: xxx Lakseside Ln., Somerset, W1 54025
Proj ect Location:
Subdivision: lot (ISM �'682642 Vol. 16. Pi, 4320 oc-41118623
I zc�
Legal Description: SNN,V4\F_P4, Sec. 1t,T.1.11 ,,R. Z W., Tin. of Somerset, St. Croixco, W1.
Parcel ID 4: 0 _32 -10 3 0- 5\11 5 0 0
Page I
dex and Title Sheet
Page 2
1 Plan
Page 3
Disp sal Cell Sizing Calculations
Page 4
Disper I Cell Cross Section
Page,
Infiltrator 4" Chamber Specifications
Page
System Mail ement Plan
Pa 7
Septic Tank Cr s Section
P ge 8
Effluent Filter Sp ificatioris
age 9
Septic Tank Mainte ce Agreement f.
page 10
Certified SurveN Map
page 11
Warrwity Deed
Attached: Soil Evaluation Report
House Plans
mater Plum 6Re�stricfd Service: James K. Thompson, SPS Credential #30021
Signature: Date
Page I Of I I
Design ptirsuant to In -Ground Soil Absorption Component Manual for POWTS, version 2.0 M-10,7105-P (N.01/01)
308-16 JO
6
CFIV -r--.
APR 0 P� � ��
ST
� 1/0 w
4� iv ss CIS
99.,5,2 41 jqj'd4,
A
.moo. VF f
Aud(,)rff 2 Bedroom Residential Dijp.(,rsal Cell Sizinf,)- Calculations
1 (2.00 grallons estirnated f1mv)(I .5 desiorn factor) = 300.00 Gpd design flow
2 Infittrative capacity of nat ve soil 0.�7-gpd`sq. ft,
so
857 S - . ft.
7 s
-1 . Absorption area required. .
4. Absorption ana-ti as propowd-_4.- 0.40 s , ft, 222 chambers + 2 pair end cans
Infiltrator "Quick V = 20.00 sq.ft, I per chamber. Infiltrator "Quick end caps — 5-20 scl-ft, EISA/pair
428.5 7 sq. ft. — (2 pair en caps 5.2 0)= 4 18.17 sq. ft,
418.17 sq. 20.90 ch crs required
Number of trenches:
x I I cham-bc�rLpq treqch
Trench 'width: 11 '
2,K)
Trench length:
4Z) 47.00'
Trench spacing: Na
Total system area 6' trench spa 12.0.0'x 47.00'
i
of I I
IN-GROUND{DOSED-GRAVITY DISPERSAL AREA -
Stepped Elevation Trenches with Quick4 Standard-W Chambers
3-ft Trench (down -sizing credit)
Highest Trent
System Elevations - 95.25
Quir*4 Standard-W
w/ End Cap
(typical)
Fm— - �- —
—
INSTALL PER TRENCH,
40— IL Quick4 Std-VV @ 20 W FISAJcharnber = .200760 -ft 2
+ 1 Pairs of end caps C(P 6 WFISA/pair = � ftz
I
vide minimu
r,m 3 ft
i0between trenches.
�'PICAL TRENCH
PLAN VIEW
(No Scale)
(MTO DY RlTuirator',-sysTems, inc-)
ns'� 11 piji _--.uant to manufacturer's instructions,
Proposed ESA Per trench=
ft2 � . Requi:,ed Infiltration Ares =
375.00 1 ft2
Distribution Method;
X
trenches - Prop Total EISA
410.40 ft."
branched manifold
4 flu'Sedes
QW0s
WA4 Plus Standard Chamber
12'
34-
Quick4 Plus All -in -One 12 Endcap
-A
FRONT VIEW
Quick4 Plus All -in -One Periscope
QIJI0K4 PLUS
ALL -IN -ONE PERISCOPE
(360- SWIVEL) J
PRE35URIZED PIPE DRILL
/�_'PCINTS LOCATQNS
2 PLACES;
13'
IW�,'ERT
X
r
— 46"
EFFECI-IVE LENGTH
8- INVEFIT
SIDE VIEW
INFILTRATOR WATER TECHNOLOGIES, LLC ("INFILTRATOR") �
Infiltrator Water Technologies, LLG STANDARD LIMITED Drainfield WARRANTY
(a'Ti,_a structural integnty of oach charrberl- e-dcaD, EZflovi expanded Polystyrene Pd/or other
P-resqor, rarjf8rt,,jre.,, by Inflt,ncr ("',on *S")r wre- irs,.allled and operated ;n a kna'eld cl ar
o ns ite septic sys-e-n . n accordance, ;r'iith I nf i I trato,',; ,-, s, rict on s, Is wal-a rted to the c:: g i r al pur-
chaser ("Holter') agai7--sf delectRve materials and viorkmanship for one year frorn the c ate ;hat the
septic permit ts issued for the septic system contain-nig "he Up ts: provided, however,' hat 1 a septic
PC-,mit is not reqwrod by apolicable 6h5 waTanly period will begin upon the date that installa-
tic)n of t,,e septic' system corrimences To exercise Lts warrant,- richts. Helder must, nob'lj ll-fMratcr
:n V'rptinc at its CcrD0.ra4.s Headqua-ters it Old Saybrocin(, 1"Jorneot;cut withi- fifteen 0 5days of
tie alleged cefert. Infiltrator will supply replacement Units for Units determined by Irl'i trator *o De
covered by this Limited Warrar,ly, Infiltrator's liability specifically excludes -1-e ccs'- cf J07ova and/
3- ;,,S'allat or, of 1he Units
7HE L:MITEF), V,,'ARRAN7-Y i,.",.;D PEI!,,.fEDIES IN SUBPARAGRAPH (a) ARE EXCLUSNIE- 7HERE
ARF No OTHER WAHRANTIES V4 F1 I PESPEC T TO THE UNITS, INCLUDING No IMP I IED
V.'ARRANTIES OF OR FITNF.SS FOR A PA191CULAFI PURPOSE
T Limittld'V/ar,-anly lall be vcid I' any part of the cl~amt;er system is rra%fact: -,red by anyone
in 1 (jeD C otr�er- than Inliltra,or The Li-nIad Vjarraq does not extend 1'ntal, Go7,s2que--,,1Lia1, special or
incirect damages. InNtraocr shall not be I!able for penalties or liquidated damages, i�cluding lass of
production and profits, ]kcr and materials, cverhead rcsts, or other losses or experses i-,-urwed by
66 *he Holder or arc, t-ird party, Specifically excludea frcrn Ljm tec Warranty coverage are c-amage to
;he Uri,,s due to ordinary wear and tear, alteration, iacc�dent, misuse, amuse or regleclicf tne 'nits,
the Units being &jbjected to vehicle traffic or other conditions which are nO',' permitted by
lation instructions, fa-:ure tD mairtall-I the m,,nimum ground crwars set, forth irl the insta lotion irstruc-
5 t cps: tr e nlauer-F�7* c1l irrDrr-pe, materials !,rtc the system conlairing the Un ts, lajlLwe -f the Units
or tie sepit�,-_ Gje to r-proper siting oo irnprooer sizing, eXC6SS1VeA'a1e` LSagC-, mprope,
grease clsposal, or improper op-eratior., or any other event not Caused by Irfillrator. This Limited
Warranty shag l be void if the Holder falls to comply with all of ;he terms set forth in th i Limited
'0JarrL'irly. Furthe.,, in no ever' shall 1-0!ralor be resporsibi`e for any loss or damage " th Holder,
k0i e
tf e Units, or ary t-i,d party esuftiig !rcrr, installation or shipirre-M, cr 'ro-r any product liac.iijty
-_1a;ms of Hckderor any third -_a,'y, � or this Lirriftec Vyarrvty to apply, tne Units m-is' be i,,stalled n
accordance vith all site condilicns required by slate and local codes; all other applta')Ie laws, and
Infiltrator's installation instructions.
ireprasentab,,e of Infltra6D, has tI-e autharity to &arge or extend t,iis Lrri-,ec Wlarral!y- No
4 Bt,,slness Park Road 1
F-0, Box 758 warra,ity applies to a-iy party otner t,-,an the orginai Hcicer, The above represents the Standard
01d Saybrook, CT 06475 Limited Warranty offered by Infiltrator. A limited nimber cf sliales and counties have efferent %yar-
860-577-7000 - Fax 860-577-700 1 rantyrequireme,,ts. Any purr-asar of Umts should contact InfilLratar's Corporate Hey Idquarters i-
NFILTRATOR 1-800-221-4436 Old Saybroo�, CD7nect,cpi ut, �-,cr to sL.& purchase. to obtain a copy 0' the applicable I warranty, and
water tech Dolor ies www.linfiltratorwater.corn should care'Llly read *I-3t yrarrari*y Dnor to Ahe pu_hase o` Units
LJ S. Palents• 4,759,661; 5,017,041, 5,156,488; 5,336,017, 5,401,116, 5,4011.4595.511.903, 5,716,153; 5,588,778, 5,819,84-4 Canadian Patents 1,329,959, 2,004564 O'her patenis pending.
Infiltrator, Eqjabzer, Qulck4, and SideWincier we registered trademarks of Infiltrator Nater Technoirgres- In"Itrator is a regstered trademark in France, irififttor Wate, Teo-ir.otogies is a registered "Cemak ,n Mexi�_o
Contu,j-. Nlic-oLeacbirig, PolyTuff, Chamte-S,-,akcer, M,jitiPot, PosiLoolk., OuickCut, Qu,CkP�ay, SnapLack anStra:g.,iti-ock are tw-a-i arks of xnqllralo,Water rechlolcgies
PoIyLokl is a trademark of Pclyt_o:�, 1,ir.- T'�F-71TE 15 a ragislered tm4Ce-lark 0' Ti-!F-TI 'r E. AC Ultra -Pry ts a "ader-p-rk of !PEX Inc
0 2016 1nfihra*,cr Water Technobqre5, I.I.C. 411 nog is reserved Prnted Ir U J5.A
A a S 0 P
Conventional Septic Systen, Management Plan
Pursuant to SPS 383.54, Wis. Adrn. Code
General
The conventional septic system shall be operated in accordance with SPS 3 8 -3 84 Wis. Adm. Code, and shall be maintainc d
in accordance with component manual Sl. 1 o70-P (N, 1 o 1). All local and/or state rules pertaining to system
maintenance and maintenance reporting shall be complied with. Questions on the operation or maintenance of the system;
should be directed to the installing plumber, Jinn Thompson at 71 8-77 7 or the St. Croix
County Zoning Department at
71 3 8-8.
Semitic Tank
Septic tank servicing mechanic comply with SPS 383. l c . Septic tank to be located within l o' of se, rvi1
ce Pad, w1t lE l
bottom of tank to be 1 ' below service pad elevation. The operating condition of the septic tank and outlet filter shall be"
assessed at least once every two years by inspection. The septic tank contents shall be removed when the sludge and sewn in
the tank exceed 1 /3 the liquid volume of the tank. The contents of the septic tank shall be disposed of in accordance with NR
113, Wis. Adm. Code, by an individual certified to service septic tanks under S. 281.48, Stats. if the contents of the tank arm
not removed at the time of a biannual assessment, maintenance personnel shall advise the owner of when service will b
needed to maintain less than 113 scum and sludge accumulation in the tank. The outlet filter shall be cleaned as necessary
ensure proper operation. The filter cartridge should net be removed unless provisions are mad
p e to retain olds m e tank �
that may slough of"f'the filter when, removed from its enclosure. If the filter is equipped with an alantxX, the filter shall be a
serviced if the alarm is activated. Septic tank manholes 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 completioniof
service. Any opening deemed unsound, defective, or subject to failure mint be re laced.
.� p posed access pen�ngs greater
than 8 inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tan .
No individual should even- enter the septic tank as dangerous gases may be present that could cause death. Septic tank
.
abandonment shall be accordance with omm 3.3 3, Wis..A&M. Code when the t
axe i �o longer used s a PwT
component. The addition of biological or chemical additives to enhance septic tank performance is generally not required. if
such products are used, they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings
Division.
Soil AbsorlDflon Cell
Frees or shrubs should not be planted directly on the soil absorption system. The area above and around the system shoulcG
be seeded and mulched as necessary to prevent erosion and provide some degree of frost protection. Traffic (other than foie
vegetative maintenance) over the system is to be avoided. Soil compaction may hinder aeration of the infiltrative surface
within and above the system and will promote frost penetration during cold weather months. Cold weather installations
October --larch dictate that the system be heavily mulched for frost protection,
Influent quality into the system may not exceed mg/L BOD5, 150 M L TSS, and 30 mg L FOG. Influent flow m n t
exceed maximum design flow specified in the permit for the installation.
Observation pipes within the dispersal cell shall be checked for effluent pon in . Ponding levels shall be reported to the
owner. Levels above 4 inches indicate an impending hydraulic failure requiring additional, more frequent monitoring.
`nine en Plat '
If the septic tank or any f its components become defective the tank or component shall be repaired or replaced p p to keep tl�
system ire proper operating condition. Excessive ponding within the dispersal cell will be eliminated by installing a new s 1
absorption cell to bring the system into proper operating condition. r
Pg. 6, f 11
4" CAST —A —SEAL
i-. \c
l�
O
k FILTER OR
BAFFLE
r-" CAST- A -SEAL
4F
OF
- Ln
INLET -- OUTLE]
� � r
\-PUMP PAD
TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTIR! C-12 7 REQUIREMENTS
IENTS
WLP750—MR
SPECI F1 G- A-T-K)4S,
Z)
O
--
CL
----
DIENSIIS;
�
W
�-
r
C]
BOTTOM: "
COVER: 5 "
MANHOLE: " I.D. PRECAST CONCRETE RISER
HEIGHT:
o
OUTSIDE DIAMETER: '—D!
BELOW INJET; 2'
LrJ
LIQUID L: 37it
WE] GHT.- 6,1150 LBS.
i
INLET A OUTLET:
,
;
o
E
" AST —A —SEAL BOOT OR EQUAL GASKET
I T AND OUTLET BAFFLE AND FILTER:
3t
WSCONSI 1, SEE DETAIL #10
(OTHER STATES SEE CHART
Ln
o
i
LIQUID CAPACITY: 20.28 LEILn
qt
HOLDING TANK:
Lo
�"�■�
OUTLET HOLE PLUGGED
ACTUAL CAPACITY: 70 GALLONS
� co
LOADING DESIGN.- 8'—D' UNSATURATED SOIL
W
TANK CAN BE USED AS.
SEPTIC HOLDING PUMP OR SIPHONLu
o i`
r 7
COVER- MIX DESIGN #8 NO FIBER)
m: o
TANK: MIX DESIGN #10 (STRUCTURAL RAL FIBER)
CUSTOMIZED TANKS:
�-
FOR CUSTOM TALKS CONTACT W EEI CONCRETE
or
I
REVIEWED BY
RE1EW DATE
w
DRAWINGS SUBMITTED
cn
FOR APPROVAL
APPROVED BY:
SHEET NO.
APPROVAL DATE:
PRODUCTS NEEDED B:
CN
•
TM
Inc.
Innovations in Precast~. Drainage Zabel',
& Wnsfewatef Nducl.s A Dvisiom of Paay4ak Inc.
i
I
i
f
PU-525 Effluent ilt k
I
PL-525 Filter
I
The PL- 525 Filter is rated for 10, 0 00 GPD (gallons per day) making it one of the largest filters in its class. It ha:
2.5 linear feet of 1 1 " filtration slots. Like the Polylok PL-12-2, the Polylok PL-525 has an automatic shut-off hat
metalled with every filter. When the filter is removed for cleaning, the ball wiH float up and temporarily shut off,
the system so the effluent won't leave the tank.
Features:
1 " Filtration Slots ..
* Rated for 10,000 GPD (gallons per day),
..� .� � -� _ . Alarm Switch
525 linear feet of 1. l " filtration.
r ;
(Optional)
w
�y �`
Acceptsand
cepts f f a<1 4d V f # pipe,
i . a
ptfyy 1T�"" L-may ( t
1T ++ Accepts
yy {�
* Built in gas deflector.
}c
�,}�L��ll1hL i}�514���
Automatic shut-off ball when filter is removed.
r
Alarm accessibility,
bated for
* Accepts _PVC extension ,handler
10,000 GPi
PL-525 Installation:
Ideal for residential and commercial waste flows up to
525 Linear Ff.
I
10,000 gallons per day GPD).
of 1 16
Filtration Sfo6
1. Locate the outlet of the septic tank.
. Remove the tank cover and pump tank if necessary.
. Glue the ,filter housiLng to the '' or " outlet pipe. IfSCHD
Accepts 4" ;
40 pike
the filter is not centered under the access opening use a'
Pol rlok Extend & Lo or piece of pipe to center filter.
. insert the PL-525 filter into its housing.
�I
r Replace andrld secure theseptictask cover.
I
Certified to `
FIANSI Standard 46 1
PL-525 Maintenance:
The PL-525 Effluent Filters will operate efficiently for
several years under normal conditions before requiring
G
i
earning. It is recommended that the filter be cleaned
I
every time the tank is pumped, or at least every three
years. If the installed filter c ntalm an optional alarni,
i
I
the owner will be notified by an alarm when the falter
needs servicing. Servicing should b done by a certifiedas
Deflector
septic tank pumper o Lnstall1,
Automatic
1. Locate the outlet of the septic tank,
Shut - all
2. Remove tank cover and pump tank if necessary.
L
Ii
i
�-y ; F p
y y when
y� �* removed.
not
. o 1 of a plumbing 1 e l filter is 1e L Yed.
. Full PL-525 cartridge out of the hou al-ig.
,
r
Hose off filter over the septic tank. Mae sure all
I
solids fall back into septic tarty.
p
. Insert the filter cartridge back into the hoax ing making
I
sure the filter i properly aligned and comple' y inserted.
ar a lt x• rrn d i
' . Replace and secure septic tam cover.
lcutdc
Pc[ l , Zabel Bet filters acc�+ ept Easily installs
the Smarffiltetswitcharid Maim. into cxistmg tank.. '
r
Polylok, Inc. 3 Fairfield Blvd. Wallingford, CT 36492 Toll Free: 877.765.9565 Fax: 203.284.8514 www.polylokxon
File
SANITARY SYSTEM
ST. CR �J,'NTY
Office Use Only
i LM OWNERSHIP/ADDRESS FORM Created 212 02 7
Community Development DepartmPrit will utilize this information to provide +,-'rie property owner wivi
information regarding operation and maintenance of your new or replacement sanitary system! This
information will be provided as part Of 01,jr ongoing efforts to protect public health, your well, groundwater,
SI-irface water, property values, and county resources. Once approved., thi's completed fora-i and educational
information will be sent to you by ernail.
t7
V1.4
Owner/Buyer
Jerry & Shirley Audorff
Mailing Address 271 72nd St. N.
City,/State/Zlp Mahtoniedi, MN 55115
Phone Number ;required) (612) 360-0018
Email Address (required) rampside0l@gmail.com
Parcel Identification Number 032-1030-50-150
(found on the property tax bill)
Property Location SW 114 N E 1/4 Sec. 11 T 31 N R 19 W, Town of Somerset
Subdivision Plat: -Na — — --.1 Lot 04
# 682642 . 4
Certified Survey Map Volume 16 Page -;j320
862
Warranty Deed # 1113 (before 2006)Volume f Page
Number of bedroom -is - 2- Spec house 0 yes N no Lot lines identifiable 0 yes [3 no
OFFICE USE ONLY
New Property Address �6' Zet 44--e 5
(Verification of rew addrc-ss -equired from Community Developrrent Department for new coristruction.)
(Staff Initials) (Date)
This form must be submitted with oil Private Onsite Water Treatment System (POWTS) appkcoticl�s.
New System: Include with this form a recorded lvvcrranty deed from the Register of Deeds Office and o Copy of the certified
survey map if reference is mode in tije �A,�arronty dp�-,d,
_f
CornML.inity Developmerit Department - Land Use Division
-1715-386-4680 St. Croix County Government Cen-ter
cdd.,�,)sc,cvv,j..g0V 1101 Carmichael Road, Hudson, W1 54016
1
71 5--245-42SO Fax
WWW.S("('W1
CERTIFIED SURVEY MAP P0.5
Lk I
Locatod ire port o the Southwest Quarter f the Northeast utirter f Section li, Tawnshlp 31 Forth,
Lots I and 3 f Certified MM Map recorded In Volume 11
Page 4024 In Range 19 1e�, � Somerset being �. to
the Register of Deeds Office for St. Groin County WIsconsind
CAUTION! Preparedfor and a the re ee f:
RESTRICTIONS or�� erg '
"416 ?X.. ! �04sp
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canstructim.
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VVisconsin Department of Safety and Professional Services
Page 1 of 3
Division of I
c, .-S
_L17,
e 7'� 177 1--_7
__..I SOIL REPORT
T
2-0002oio -?q I
r7 EVALUATION
In accordance with SPS 385, Wis. Adm, Code
County
St Croix
Attach corr.-diett
site plan Dn paper not Less than 8 1.12 x 11 inches in size Plan must include.
but not limited tb.
or dirnen�lions,
vertical and horizontal reference point (113W, direction and parcen ope.
rt motion and distance to nearest road.032-1030-50-150
no-P and k;�,,.
Parcel I D
Ref #2598
scale
�r�qvv,
I rl Iy
L j PlpaaAaL�brd_all information.
Reviewed b
Date
Personal information you provide may be used for seconds Ey _pur oses (Privacy t-aw. s. 15 0 1)(m))
Property Owner Property Location
Ken Whalen - Jerry Audorff buyer
Govt. Lot SW Y* NE
1/4 S 11 T 31 N R 19
E (orb W
Property Owner's Mailing Address
I Lot # Block #
Subd. Name or CSM#
PC Box 503 0.4
Na
CS-M Vol 16, Pg
4320
City State Zip Code Phone Number city Village Town
Nearest Road
i Somerset : W 4025 612) 360-00 018
Somerset
US Hwy 35
Z New Construction Use. E]
Residential/ Number of bedrooms Code derived design flow rate 50 GPD
Replacement Z Pti. ic or commercial - Describe Rest room in private use pole building
Parent material Glacial Outwash Flood Plan elevation if applicable na ft
General comments and recommendations- Site is suitable or in-groind POWTS with 0 7 gpd/scllift design loading rate. Recommended system infiltrative
surface elevaton to be 95 25'
Boring
Horizon Depth Dominant Color
In. Munsell,
1 0-14
2 1=423
4-_
3 23-29
4 29-35
5 36-70
6 70-94
Boring #
Horizon
I 0Y F312
1 Oyr4/4
7 5yr4/6
7 5yr4/6
I 0yr4/6
1 Oyr514
woo
Redo x Description
Chu. Az Cont Color
none
none
none
none
none
none
Boring
Pit
Ground surface elev 99 73 ft. Depth to hirnfting factor >94" -in.
Soil Application Rate
Texture Structure Consistence Boundary Roots GPD/Ft2
Car Sz Sh
I *Eff#1 *F-ff#2
2fgr ds CS 2vf,fm 06 08
S1 1 1 msbk I dsh
gr sl I msbk dsh
Is osg dl
S Osg dl
a Os dl
Ground surface elev. 99.59 ft
CS
2vf,fm
0.4 10.7
0 7
1-6
CW
1 Vf,f
04
CW
1 Vf
07
I CS
07
1 6
0.7
1,15
Depth to limiting factor >92" in
Snil Annhr;ifinn Rwp_
W_
Depth
I
Dorri;nant Color Redox Description Texture Structure
Munson Az C C G S S
Consistence
Boundary Roots
i
GPD/Ft`
H. WU UHL LAVI 1 *Eff#i *Eff#2
0-20 1 Oyr3/2 none 2fgr I ds Cs 2vf,fm 0.6 0.8
2 20-30 1 Oyr4/4 none sl 2fsbk dsh CW I Vf1f 06 11,10
30-36 7-5yr4/6 none gr sl i 1 msbk dsh CW 2vf,fm 04 T7
CW
4 36AO 7 5yr4/6 none r Is On dl 1 of 07 1.6
g
T
5 40-61 1 Oy r4/6 none S Osg dl CS 1.6
6", -92 1 Oyr5/4 none S Osg dl 1 6
Efflux nt#' BOID. > 30:� 220 mg/L a TSS > 30:5 150 mg/L 'Effluent #2 BCD. > 30 :L 220 mqJL and TSS > 30 <-._I 50
CST Name (Please Print) 1`
Signature CST Number
30021
james K. ThorlIPSO'n
Address ate Evaluation Conducted I Telephone Number
4� 1 : October F1 r-) '-48-7767
Pa�j�sor. Lake Lane. Osceola. WI 54020-5413L er25.2020
S BID-8 330 (,R 0411 1�0)
57,2-oS ��r )911
7 Boring
Boring # Z Pit Ground surface elev 99.89 ft Depth to limiting factor >95 in
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ft2
In Munsell Qu Az Cont Color Gr. Sz Sh "Eff#1 *Eff#2
1 i 0-5 1 Oyr4/4 none Is fill Osg dl Cs 2firnc 00 0 0
2 5-12 1 Oyr3/3 none SI 1 mgr ds Cw 2fmc 04 07
3 12-18 1 Oyr4/4 none SI I msbk dsh Cw I vf,frn 0-4 07
4 18-25 7.5yr414 none gr SI 1 msbk mvf r Cw 1 Vf,f 04 07
5 25-34 7 5yr4/6 none gr Is Osg Ml CS 07 1 6
T1
6 34-95 1 Oyr514 T none S Osg dl . 07 6
L
Boring # ❑ Bonn
Z pit Ground surface elev. 99.34 ft. Depth to limiting factor >92" in
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ft2
In. Munsell Ou. Az Cont Color 'I Gr Sz. Sh fEff# 1 *Eff#2
0-11 10yr3/3 none I 2fgr ds Gw 2vf,fm O. 08
2 t 11-25 1 Oyr414 none sl 1 msbk ds CS 2fmc 0.4 0.7
25-30 7-5yr4/6 dsh 1 vf, fm 0.4 07
none gr sl I msbk Cw
4 0-35 7.5yr4/6 none gr Is Osg dl ow 1 vf,f 0.7 1 6
5 35-62 1 Oyr416 i none S Osg dl gs 0-7 16
6 62-92 1 Oyr5/4 none S Osg dl 07 i 1 6 .
Boring #
Boring
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Horizon Depth Dominant Color Redox Description
In. Munsell Ou. Az. Cont Color
Ground surface elev Depth to limiting factor in.
Soil Appliicat'lon Rate
Texture Structure Consistence Boundary Roots GPD/Ft'
T
Gr Sz Sh *Eff#1 *Eff#t � _ i E
* Effluent #1 = BOD, > 3020 mg/L and `ASS > 30:5 150,mg/L * Effluent #2 - BOO, > 30!5 220 rrg/L and TSS > 30 5 150 mgj'L
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NO. 633311
S TAR1V PERMIT
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ME / CHAPTER 145.135 (2) WISCOlVSlN STATUTES
300 21
(a 'he purpose of the sanitary permit is to allow installation
of the private sewage system described in the permit.
b) The approval of the sanitary permit is based on
regulations in force on the date of approval.
c) The sanitary permit is valid and may be renewed for a
specified period.
(d) Changed regulations will, not impair the validity of a
sanitary permit.
(e) Renewal of the sanitary permit will he 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 e. 1 ; 197P c. 4, 1; 1981 c. 314
Note: If you wish to renew the permit, or transfer ownership of
the permit, please contact the county authority.
THORIZED ISSU G OFFICER - DA'r�'
THIS PERMIT EXPIRE L ZOZ UNLESS RENEWED BOA THAT DATE
P ST IN PLAIN VIEW
VISIBLE FROM THE ROAD FRONTING THE LOT DURING CONSTRUCTION
D- 6 99 1/20)