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030-1035-60-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)], Permit Holder's Name: City Village Township DAVID HALL TOWN OF SAINT JOSEPH CST BM Elev: Insp. BM Elev: BM Description: I I la if\ Vyw\to&� TANK INFORMATION - TYPE MANUFACTURER CAPACITY Septic . Dosing Aeration ng ' J TANK SETBACK INFORMATION l�� "C (II\Ajtc TANK TO P L WELL BLDG. Vent to Air Intake ROAD Septic 7 l 2o--oSe Dosing Aeration Holding PUMP/SJRHON INFORMATION Manufacttrer Demand GPM Model Number T H ift I ki Fri ion Lo s / stem ead 11 / I TD F F r main LenW is Di t. to Well SOIL ABSORPTION SYSTEM ELEVATION DATA County: St. Croix Sanitary Permit No: 651316 State Plan ID No: Parcel Tax No: 030-1035-60-000 Section/Town/Range/Map No: 10.29.19.120E Bldg. Sewer St/Ht Outlet 1WAVA"A nArAimn%rAl A I we 0 1 1ffiNLFJ&19 F "I, W I I &I Dist. Pipe Bot. System F% �vta,*. Final Grade 44 tin Lim &'.L Q PO) V,.L. _ tr BED/TRENCH DIMENSIONS Width Length 2d No. Of Trenches e3 I PIT DIMENSIONS No. Of Pits I Inside Dia. — - N F4 it -_ Liqui Depth I I SETBACK SYSTEM TO P/L%jj BLDG` WELL LAKE/STREAM LEACHING M act A INFORMATION CHAMBER OR UNIT Mo el er: Ty Of System: I ItAil" A � DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length_.,_- Dia Length Dia Sac SOIL COVER x Pressure Svstems Only xx Mound Or At -Grade Svstems Only Depth Over Depth Over xx D o xx dded xx u Bed/Trench Center ✓ 4.51 Bed/Trench Edges soil ❑ Yes ❑ No ❑ Yes o COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Location: 1099 CTY RD A 1.) Alt BM Description C&CIf 2.) Bldg sewer length =30` It - amount of cover = IQ Plan revision Required? ❑ Yes ❑ No m Use other side for additional information. SBD-6710 (R.3/97) Inspection #2: --,o 0 � 6 Vv V 4000 I-twk K 'Aw 01% ;Rts 1 d3 Date /I kn4spctor's'Signature rso�p I g qd Cert. No. Dpartnient of Safety county 5A#-2023- 2, P I St Croix & 1"t-ofessloTial Seir0ces, Sal Perri N k- fi I lei by Co hidustri- %'Pei-N-ices 1)[%-111SUM n itary tt umber (to in Sanitary Permit A J i c at l oI J In accorda",e ' k ICI] SPS '183 21 f.-' f Wis Ad ni ('()& SUJjJ'jj I_1;51L)n of fl-, 1, 10MI tt) fllw: jjjlf 4111; I,Ite �IM L, I nmenu I Ur"I'l ess i j I'different than madl ng addressl is requiredprIOT 10 01111U111ing a sanitary per Ill Lt Note- Applicalltil r stat e-n%Nm c d l"10WTS til I L subm i l. i c d to (be De panment -of S rLi Cet�,, and Pro fess tonal S c r iv• i cc.s, Perso rial I n 6 rm at i o n ou ;) r o v i d L` may be used I Li r secondary • ta purpme s in ac co r da ric c wi th t hc Vi I %� -Lj c %, 1. -Li w- s 15 04 ( I )il m S s I. Application Information — Piease Print All Information Propemi Owner'sNallic parce 1 ;9 DAVID HALL 030-1035-60-000 Propeny Location [IrOpem Owner, 5 Mal I I Adt."r L.Yj 1099 CTY RDA Govi Lot CO State Z I P ccxle 111 oi i IN u m her, HUDSON VVI 54016 314-323-5715 --NW-'/,, NE Smion 10 29 19 'r 'N R X 11. T,-. lie of Buildin g (ehech all 1111,21 applV) 0 1 OF 2 Family M-Ml ing — Numl,,c r 4 r1 I I 00tn_S Subdivision Name ( QI)U ;.k VV7, "C B I oc k El Pu bi i c /Comm erc ial — Jkscr ibc 1 hse El (.,I�y of' 13 State ffisred — Desertbe Use 1:1 V I I I age of CSM Number zi9 L EXrown of ST J 0 S E P H ITL Type of POWTS Permit: (Check either "New" or. "ReplaceiTient" and othe r applicable on line A. Chech une 11)ox (.m line B. Con'llilflete iine if D Ne�,v ;stemEK RepljcenieritS}�StCnl El Oth elrMod i ficat 14 P11 I0 N i, I n S, ;ICTII I C\"Platn El Additional Pretreatnient Unit I explain) El 11oldingl-ank I n -("P I (I U n-d �rl 0 At -Grade El Mound El 1ndivtdU.LI 11)%`.Slgn Lj Other Type (explain) ,,, Renewal Before El Revision El Change of'Plumher F1 Transl`er to New hwicr I 1�"k V-A:i, ic)us Petmit Number and Date Issued Expiration I I I V, I') ispe Vp-c,� i ni en f � T_UA ;ind Tank Information: 3 3Y,7D I; tid I kvsigii'�)kiil T) I "p-rsil A rca, Rcqu I rcd (sf) Ark -A 11.1roposed (st-) Flevation 750 .6 1 2�50 1350 93.25 Capacity Ln Total # of Lon Gall on s Gallons Unit- 71 6— ed N CW Tank i sji ri L� �jnk',, JD_ Ld -A Vj 1645 1645 WI7= X V. Respon6sibilitySt,atement-1 1, the undersigned, assume responsibility for iiistatiation ref The POWTS Anmn on 111e atlAic h C d p la ii S. III umber's N-Linic i T'r intil PI um, b c i -.s S It gnatu re NU1111-1�:r Business Phone Number PAULR KOEHLER 225410 715-246-2660 P[ umbe r's A dd ress (S tree t. 0 N, S tate. Z i p Code 321 WISCONSIN DR NEW RICHMOND 54017 NT ('11anty/1)CP211111cill I -se Only 11CF11.111 FeL! Date Issucil Issaing Agent Signature % 5 _�on fur ---- r CondiLluns Nj)1)roval/ l'Or .1)FMP <C3) 6�_( r\. C&AD�1MaA4C_QUy SYSTEM OWNER: 1. Septic tank, effluent filter and dispersal cell must be serviced I maintained as per management plar, provided by plumber. 12. All setback requirements must be maintained i as per applicable code hordInances. N rc,4% 11 IPI 1, 11111 I'll 44- IlI..JL1 1"r11 11he 1% %IeFll A1111 %111ACIIii i, rhr ( 'oumy iprd% iin lijinir niii tc%� thati 8 1 LIN I I mehvs in siye Designer. Ryon Re-1hel Certified Soil Tester: 1330832 Designer of Engineering Systems- 0 2263-7 ELEVATIONS: BM = 100.00 Top nail in 60" Cottonwood f -' tree (11 "above grade) �� BMZ -- 97.85 Top rebar (at -grade / Q, - House grade r%_d 99.5 S.T. outlet z 95.Q5 �� S.T. grade 98.85` Dry well grade 98.75 OAIJ pro fir[es not a Benchmark S jrSj 'U%1 NOITIN A D"' Ivy A NCEC- drawn are >I 0 Oft frorn t Septic Tank-. system So[' Barlflg -Weser 12WIBW g*a 2--compartment tank risers 4'Rbove fma] grade Best GF- 10 Wer wl alarm ....... -Do not route deaf waW sources i ntic septc tank -Fifterbask C and Tijff-ateEF-4,fifterwlabrmtobe added to oudet of exinq tare -ExiVi'! iq sA �Pir I o be at:: cad per SPS 383 J,1 5BR Pump Tank: -8ce gabn -PLf mp rfeds, = 4Cgpr -,-,T 'LoH iplex -Vove tank as necessary. M ell -RL-rAk:u1atc- pumv Fnion L - invall -Even' , cm ntler lir "or L7 %i3l& ju!,er :,Tr9enco Deck! N-d'111'reximent Area: f acwyoatiur. A t-En ches wth 0. 'Ogot fale U-4 - STD tren-tes SePtIc tank 99 50 cmtov BM2 0) U I I I rw�r'rt�rl_ L-E ;L, "':'outff vah-e to L* in MAM to bypG. Jtem ancakw Uurt, use as a backup drair-field -DEVth to rEstoicig: 20' �cbs&,iabori Dry well D 10 rl I I U I i ri, �R drQp boxes disbibition i, or ch i - LT a 4 .QXFZ.s, in 4e-j of 6s"flouwn so LOCATIDN MAP (nai to 3cula) f 0% CLJ CTY RDA BP Gas Station Tn P6&� 9�> 50'well setbaCk 0 Ur) C 0 PREPA RF D F()R: David Hall c)ltc, Addre-,s., 1099 CFY RD A ir 50 Hudson, Vil 5 16 SCALL 9(9 &a PlDr 030-10'-1'5-60-000 1.') A(rp.j; f 2 1 0' Legal: NW 1/4 NE 1/4- P SIO T_29N R19W Town of ST Joseph tre&wwnyt am r, st CerUfNd SkutwrwTt ThFa Yywtam hem bw desqTmd and evakiated in accordance oVi Stake and I rX�1$ 00dftr The !X0 rommin prates tryam digUmbarkee an4/or ccripacUan befwa cM arer construction Scale: I" ;-- 40' Date: 9/19/23 NO *WMNrY tS MADE THAT THS SYSTEM wILL �:OKflMJE TO FUNCnON INDMNMELY. %*Wn Fnuut De pWaty rna�ntajnad. Rftiaw yow ryoU"'v rnwapowwit FAar, for informatkn an propw cam ond rTji3jnt&�Qpce, ADVANCED ENVI RON MENTAL Property Owner/Client: David Hall PIN: 030-1.035-60-000 Site Address: 1099 CTY RD A, Hudson, WI 54016 County: ST Croix FL 0 W.- A'r r /A ]MIA I Pg. 2 SITE PLAN Pg. 3 SOIL DISPERSAL COMPONENT Pg. 4 TANK SPECIFICATIONS Pg. 5 FILTER MAINTENANCE P9. 6 MANAGEMENT PLAN Pg, 7 MANAGEMENT PLAN SOIL TEST Pg. 9 SOIL TEST Wastewater Type: Residential Estimated Wastewater Flow: 500 gpd SOIL & SITE EVA L UA TION.* Design Flow: 750 gpd POWTS Type: Nora -pre SSUrized Conventional 1-4-niting Condition Depth: 94PI Maxit-nUM Systeir Depth: 58" Contour Elevation- 98.00' Li m I ti n g Con d I ti on E I ev: 90.17 Land Slope-. Comments.- Pg. 10 SOIL TEST # Bedroori-is (residential)-. 5 # OCCUPantS (per capita flow.): - Public, Facility Flow. NA Treatment Level: Effluent 1 Code, Required Separation- 36 re Soil Texture: COS C In -situ Soil Application Rate: 0.6 gpd/ft" Dispersal Cell Loading Rate: NA POINTS DESIGNED PURSUANT TO,.r Iti-Ground Soil 'Absorption Comporient MatlUcll (Versioti 2.1) :Replacnient systern for 5 bedroom duplex. (3) ' Infiltrator Qu'lk4+ STD trenches with gravity :parallel distribution. Existing systeni to be abandoned per SPS 383.33. C 0 N FD--7 SIGNF--D: W11932 560TH AVE, PRESCOTT, W1 54021 (651) 327-0074 Ile Designer: Ryan Bechei �A Certified Soil Tester 1330832 AVVN C E D Designer of Engineering Systems: D 2263-7 E N v t R 0 N M E N T A L ELEVATIONS: .�jr BM1 = 100.00 �oe a Wett f §hed -� T- "Att property tines not Benchmark _�_ SYSTEM NOTES drawn are >104ft from Septic Tank: system Soil Boring -Weser 1645 gallon single -compartment tank -Bring risers 4" above final grade f -PoWk PL-525 fitter E -SJE Rhombus Tank Alert 1 alarm (optional) -do not route clear water sources into septic tank j-ExisUng system to be abandoned per SPS 383.33 tree (11 rr above grade) D5BR./ uex Ile BM2 = 97.85 i Top 4" rebar (at-grade),pew 30' 411 � e t---- � sch 40 PVC House grade 99a50 � S.T. outlet N 95-05 Fence S.T.grade � 98.85 � Existing well Dry well grade .7� to be abandoned ` eM, 3034 PVC x / � � , Proposed well a� (under conkruction) .41 • r.. F �' r t` 0% _ e f .5 4 LOCATION MAP (not to scdej . I •l •, •r. CTY ,C BP Gas Station 50' well setback o'( 1... + I �- -- + (3) 90' EZ-Flow + 1203-H trenches =/ o ' PREPARED FOR: +,�,, +�• I � +�{9) 1 D bundles/trench) 1 -93.20 System elevation David Hall Site Address, 1099 CTY RD A '�► 5D"` [ Hudson, WI 54016 J (L Pump Tank: Soil Treatment Area: 4n-round "conventional trenches with 4,6gpW bad rate 43) K E1-Fbw 1203-H trenches — Septic tank ; (9)10' bundlesArerd) ! -93.20 intikraNe suface; 98.00 oonW BMA -Depth to restrictiar► = 94" (Redoximorphic feares) -Slope = 0% (gener* #tat) Wieser WLP1645 ` w/ Polyok PL-525 Distribution: -Gravity parallel dislitution 4' sch 40 PVC or 5DR-35 header -- ❑ well "dit may 'A' use drop boxes, dishibution Dry ' box, or daubers as "drop boxes" in ieu of disMuton header** Wet l SCALE PID: 030-1035-60-000 1.0 Acres Legal: N Yy 1 /4 N E 1 /4 i f 2V ` S1O T29N R19W 40 Town of ST Joseph j — __ - ---------._...- Cerufwd 5tatwront This system has been aemigne wW wduaW in aacordan* with state and Local codes. Thr soli treatrnent am must remain protected from disturbance and/or aompoCtion boom and crhsr wmrbuctim i Scale: 1" = 40` Date: 10j6j23 No WARRANTY iS mQE ?VAT iHS SYM WLL CON nMX M FUNCrU4 0 .t m must be propwiy mak**wd. R&vWw your system"s nx rx pms It an for infarction an�cam and main�aswnce. - 1-_---- - --- ___- Designer: Ryan Bechei �A Certified Soil Tester 1330832 AVVN C E D Designer of Engineering Systems: D 2263-7 E N v t R 0 N M E N T A L Flu ELEVATIONS: BM1 = 100.00 §hed,a Wett f -� Top nail in 60" Cottonwood ' 51 tree (11 " above grade) Dul: Ile BM2 = 97.85 1 Top 4 rebar (at -grade) ' a 30' 41 1 o� sch 40 PVC House grade 99.50 S.T. outlet 95.05 1 _ � Fence �c S.T. grade 98a85 . . Ext Stt ng well ,..: Dry well grade ^' $.7 to be abandoned Sul; ±65 4 ' sch 40 or --� 3034 PVC x_ Proposed well a� (under construction) *All property tines not drawn are >104ft from system �. T- _ _ SYSTEM NOTES Benchmark Septic Tank: Soil Boring -Weser 1645 gallon single -compartment tank -Bring risers 4' above final grade -PoWk PL-525 fitter E -SJE Rhombus Tank Alert 1 alarm (optional) -do not route clear water sources into septic tank j-ExisUng systern to be abandoned per SPS 383.33 Septic tank Wieser WLP1645 w/ Polyok PL-525 Dry well Pump Tank: Soil Treatment Area: 4n-round "conventi©naf trenches with 4,6gpW bad rate 43) K E1-Fbw 1203-H trenches (9) 14' bundlesArerd) -93,20 dllraNe surface; 98.00 oonW -Depth to restrict M = 94" (RedoximorpW feaftres) -Slope = 0% (gener* #tat) Distribution: -Gravity parallel dislitution 4' sch 40 PVC or 5DR-35 header "lnstatier may alWati*e use drop boxes, disbibution box, or daubers as "drop boxes" in lieu of disMuton header** • r.. F 50' 0% _ e f 4 LOCATION MAP (not to soda) I r CTY RD A BP Gas Station 50' well setback �- -- + (3) 90' EZ-Flow 1203�-H trenches _ o ' PREPARED FOR: + j* +r -{9) 1 o bundles/trench) 1 -93.20 system elevation David Hall Site Address, 1099 CTY RD A '�► 5D"` [ Hudson, WI 54016 Wet l SCALE PID: 030-1035-60-000 1.0 Acres � •� � _ 2/'jf � Legal: N hj 1'4 N E 1 /4 i of 40S1O T29N R19W ra I Town of ST Joseph Cartffisd 5tcrtefrtsnt 71,is system has been ae.ign.d and svaruatsd In aacordanc. with stat$ and Local cadss. Thr soar trsaWWA am rmust nwxAn proteaW from ftturbam* and/or aoff9w ion bslom and crhsr cars &uctiom Scale: 1" = 40` Date: 10j6j23 No wARR#M a m4DE ?VAT DIS SYM WLL CLDN nMX M FUNCMN 0 .t m must ba pfvpariy mid. Ra�+isw your s�stem's mar+agpmsntian for infPrrrtiatlon onWcar+e and main! IN -GROUND "CONVENTIONAL " DISPERSAL AREA Plan View (no scale) 1.01 Observation EZ-FL• Pipe (typ.) Bundles (typ • ► w a aw �►• aw s • a ■ • ► • r r • r r • r a� • r .�• � �Z��� � ��;" � i~I ����►�� i 90, SMJ 41 t��s�r�r�'� ��s����#sI .s�t�����a�r�s�s� « s •' « • w '� ► w w • . w .�` �,a."#s�r�r ��r i r ►ir ii►ri'" �r �w wart . . •. r r r • n •; w;w r r • r r r r r' w r\ • �► a r • r+ r r e r a s r r r s ■r r• w • r ��sgr�w� �� wow w« ���*���� r �N".�%��ZA�.'�� �r•Ci +��� . . . . . �l���i'�+�al�l��� ���►�i�+l►�+�2 j�i� � '*li���►i� Wit+► wit l�1+�3� w3w;!'�j = � � � � g o i i. ■ � r w ��.w���T w����.���dw-T+�� �.����ZEyw�w �� � i�`Q �i s�� ��+�w�w��� ���+ !w iE_� LON 90 TOPSOIL - --------- .. A6,P0 ■ 36 dGeotextile 40 ��� ii • ���sa ��i * ����� � . 93,20' Dispersal Area Product: Dispersal Area Model: Product EiSA Rating: Total Number of components: Distribution Method: Min. Required Dispersal Area: Proposed Dispersal Area: EZ-FLOW 1203 i (10' bundles) 5o ftz 27 Branched Manifold Ins ecton Pi a Detail Screw -type or slip -top cs 4" SCH 40 PVC pipe ,p of pipe to terminate a ,r above finished grade 4"-�'x6"slots spaced 90'0 a pa rt Anchoring Device (Toilet flange) Cross -Section View (no scale) 1250 ft2� 1350 ft2 Finished Grade (mulched & seeded) Topsoil cover (V minimum) filtrative wrface a R 20, NATIVE , NATIVE B(12'" min. typical)ACKFILL �ilA� i (12 min. typical) � ■II���w . i AS t l ii ii�► i t i1-*� !fit M iir� ii1F ■iM �"# i MiM iy* ii, !# t�11 i; • i ii !R; r►i{�#� i!i i;r ;fi�i R*i !fir ► i ! F,, •* i� i1 ►i ii tw �; •M �i� #* 4 � � �►! t�• rfi i� - - 93,20' N----33.20' Page 3 TA N TIONS • Minimum cover = 5 inches; Maximum cover = 8 feet (unless specified by manufacturer) • All manhole covers shall extend 4 inches above final grade • if the tank is within 2 feet of final grade, insulate the lid to an R-Value of 10 • Minim um 18" of saver required aver building sewer; Insulate if greater > 30' fang and < 42" from grade ar if e 60" from grade under all high traffic/snow cleared areas (driveways etc.) • Building sewer; No 90's, keep 3 feet between 45s, maintain I inch in 8 feet (1%) slope, install cleanouts at the building connection and every 100 feet at a minimum Watertight control box with separate pump and alarm ei►cuits 99.50, 95.24' -,,,.--Clean Out 9610' 95.67 .. 95.42' ` 4" S H 40 Bldg. Sewer ' Cj�j !'went Pilfer +/- 30 114.5" Pvc Float Tree 92.75' -•� . -rrrr--------rr---rrrr------------------------------------- r--r--------------------rr-r-------------r-----------r---------rr------rr----------- Tank Manufacturer/Model: Wieser - WLP1645-MR -- -- -- -- ------ ------------- -- ---- r- -- --r - ---------- --w�w� w�w� -- --- ---�. �. -�.-�. �. �. -�. -- r- -- r- r- r- r- r- r-r-r- --------- -- -- ----r--�r.--- -------r r r --- -- ----- --- Filter Manufacturer/Model: Polylok - PL-525 - - -- ""- -- ------ --""-- ------wwww wwww wwww --ww ww -r ww r wrr wwww ww ww--ww ww------+--rr rr rr rr rr rr rr rr rr rr r r r rr rr r rr r r r rr r r r rr rr rr rr rr r r -r r r rr rr rr rr ww ww----- ---- --r ------------ Panel Manufacturer/Model: SJE Rhombus - Tank Alert i (optional - Recommended) - - --r- -- -------------ww ww ww ww ww ww------ -- - --- -- -- ------wrr------- 146" 1 1 4" CAST —A --SEAL 4" CAST--A—SEAS ��•Ll I FILTER OR J1 RAFFLE 1 �l PUMP FIAC TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM c-1227 REQUIR'EMENT'S L.P1 545"'-'MP A PEcirICATION D0IENSONS: WALL: 3" BOTTOM: SEPTIC 3' COVER: 5" MANHOLE: 24" I.D. PRECAST CONCRETE RISER HEIGHT.O.D. LENOTH: o. D. WIDTH: a4' a. D. OF -LOW INLET: *r O.D. LIQUID LEVEL-- 3W WEI04T: 14.000 LBS, INLET AND OUTLET e CAST--A--SEAL BOOT OR EQUAL GASKET, CAST---A---SEAL BOOT OR EQUAL INLET AND OUTLET BAFFLE AND FILTER: WISCONSIN. SEE DETAIL 010 (OTHER STATES SEE CHART) UQUID CAPACITY: 43.32 GAL/IN HOLDING TANK: OUTLET HOLE PLUWED ACTUAL CAPACITY: 1.733 CALL014S LOADING DESIGN: $` fl" UNSATURATED SOIL TANK CAN BE USED AS: SEPTIc/ HOLDING/ PL*AP OR SIPHON COVER- MIX DESIGN 08 (NO I# II9E.R) TAW: MIX DESIGN #10 (STRUCTURAL F18M) CUSTOMIZED TANKS: FQR CUSTOM TANKS CONTACT WESER CONCRM '16I a.. � DRAWINGS SUBMITTED FOR APPROVAL APPRWW RY*. S-4LLI NO, APPROVAt DATE: mtoDucrs Wne err: Page 4 Z abe I 7 4 Dirvibim uO Pr4ouk Im. 11[dj]1ij 112 70- k Step 1: (A) Locate the outlet of the se[Alcl- tank- (B) Remove tank cover and pump tarik it necessary. Ceirtified to 10 NSF ANSI Standard 46 MAINTENANCE INSTRUCTIONS Step 1: Loc.,itc. the outlet of the septic tank OUNUI Wih PLUMSINU WHEN FILTER IS REMOVED USERUBBERGLOVES HEN CLEANING FILTER INSTALLATION INSTRUCTIONS PL-122/PL-525/PL-625 FILTER Stop 2- (A) Before installation, place the filter housing on to the outlet pipe. (B) Make sure that the housing i"; Positioned so the filter can be removed frDrn the tank for maintenance and service. Step 2: (A) Reriiovc tai,,k cover, and it necessary. (B) Pull the filter out of the housill-19. (C) Hose off the filter over the septic Lark. Make sure all solids ft-01 b�ick intcj the septic tank. Step 3: (A) Glue the filter housing on the outlet pipe.. (B) Insert the filter cartridge in the housing, making sure the filter cartridge is properly aligned and completely inserted in the housing, Step 3: (A' Jnser-t the filter cartridge back into the the housing making sure the filter is properly alighcd and completely inserted. (B) Replace septic tank cover Polylok. Inc. 3 Fairfield Blvd, VVallingford, CT 06492 ToII Free- 877 765 9565 Fax. 203 264 8514 polylok- "FA e s �H�i3l�/IJI The owner of this Private Orite Wavewater Treatment System (PODS) shall be responsible tot, its perpetual operation and maintenance pursuant to requirements of SPS 382-384, Wisc. AdmillL Code. This management Man identifies operation and maintena n ce ac tivitics necessary to ensure long-term system performer oce. Tasks that should be per by the homeowner are identified. Professional management tasks shah be performed by a registered POWTS Maintainer in accordance with SPS 383.52 (3), Wisc. Admin. Code, however, it is the homeowner S responsibility to ensure alitasks get accomplished �'n a timely manner. Pursoant to SPS 383.52 (2), is Admin. Code. this .9yfsrer7i shall be considered a hurrian health hazard if not maintained in accordance with this approved management plan. 10- Keep 0i Is Manaenient Plan with your Septic System Owner's Guide. 10- Keep copies of all Pumping records, maintenance activities and repair invoices with this docurnent. 00- Review this plan with your POWTS Maintainer at each visit. discuss any changes in product use, activities, or water -use. FA 1. JFE FAY2 rg ft Design Parameters System Specifications Nuriiber of Bedrooms 5 Septic Tank Manufacturer Wieser Design Flow (g;)di 7'50 S (.'ptric Tank Capacity (gallons) 1646 Soil Loading Rate (gpd/ft) 0.6 Effluent Filter Manufacturer Polylok Standr-_ird Effluent Quality Effluent I Effluent Filter Model PL-525 Biological Oxygen Demand (BOD) 220 mg// Pump Tank Manufacturer NA Total Suspended Solids (TSS) 150 mg11 Pump Tank Capacity (gallons) NA Fats, Oils, Greases (FOG) 3 0 m911 Pump Manufacturer Per Installer Trea ted Effluent Q f ia I ity Pump Model Per Installer 3iological Oxygen Demand (.130D) - M9// Dispersal Cell Type Non -pressurized Fotal Suspended Solids (TSS) - M9// Gonventional Fats., 01 Is., Greases (FOG,) - M9// Pretreatment Unit Description NA Max Effluent Particle Size (in) V8 Homeowner Management Tasks Check (listen, look) for leaks in toiiets ai)d drippinc faucets. Repair Teaks promptly. Regularly check for wet, or spongy soil arc and your soif treatment area. Co n ta c t service p ro vider if issues arise. Co n tro i burro vv ing animals (gophers. groundhogs, etc.) Keep bikes, vehicles, snowmobiies and other traffic off treatment area. Alarms - Contact your service prafesstonat if any alarm signals. Lint Filter - check for lint buildup and clean when necessary. 11" you do not have one, add one after washing machine. Flf?u�?nt filfpf - 6n twice 2 __jg$pect,ono( clo, AW _f Wgrati minimum. Caps Make sure that all caps and lids are intact and in place. Inspect for damaged caps often. Fix or replace damaged caps. Professional Management Tasks Effluent Screen - Check and clean per manufactun--! recommendations. Liquid levels - Check stud ge1scumleffluent levels in all system to nks. P ecornmend if tank(s) should be pumped. Pump all campatln-lentS every 36 months at a minimum. Inspect tank inlet and outlet baffles (if applicable) Check drainfield effluent levels (if applicable) Ve rify pump a n d a la rm system functions (if applicable) Inspect wiring fora corrosion and function (if applicable) Clean draf'nfield laterals (if applicable) Check event counter lel-apsed time meter and evaluate. water usage ratite compared to systen) des+gn flow. Check dissolved oxygen and effluent temperatiire in tank- Ch eck for surfacing of effluent or other signs of prob)ems. Verify inspection pipes are capped and intact. Provide horneowner with hist of management results and ray action to be taken. Septic system replacement area. Protect seconDaly system site from t1'affic, compaction,, etc. fif applicable) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . I . . . . . . . . . . . . . . . . -.1 .. . ..... I ... ... ..? ... ...... - - - - - - . . . . . . . . . . . PO S T Croix Co un ty Zon ir� g Mite ilTS [?EGVL,4 TOR. ADDHL-SS., 1101 Carnil'chere IRD, Silitp,1200, �'V15:1016 1"HONE: (715,) 396-4680 .. - I .......................... ...... M.A2fffiro AV F W M 4�Jrjpj dr AV al A R If* 0p#in For new construction: Pri!,.,.1r to system opuf at ion, check septic/pump tanks for flie presencc of pat ntirg or other clhemlca Is that may impede the treatment process and/or damage the dispersal cells. If high concentrations are detected, have the contents of t he to n k re moved by a I icensed septic professional prior to use. System Start-up shall not occur when soils are frozen at the infiltrative surface. Uri rig dower outages; Pump tanks may fill above normal high water levels for system utilizing pumps. When power is restored, the excess wastewater will be discharged to the dispersal cell in one large dose potentially resulting in overload rig of the cells. Backup or surface discharge of effluent it)ay also result. To avoid this situation, it is highly recommended to have the contents of the pump tank removed by a licensed septic professional or have a septic professional manually dose the system to return the pump tank to normal operating levels prior to restoring power. Do not drive or park vehicles over any septic systern components. Do not drive, park over, or otherwise disturb or compact the ama within 15 feet downslope of a,�y niound or al, grade system or secondary septic system site. MAIN TENA NCE INS TR UC TONS, Inspections of tank,5 and dispersal cells shall be. made by an appropriately licensed individual or business. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware. identify any cracks or leaks. measure the volume of combined sludge and scum, and to check for any backup or ponding of effluent on the ground surface. Access openings used for service and assessment shall be sealed watertight upon cor-tipletion of service activities. Any unsound/defective access open ings shall be replaced Miniediately. The dispersal cell(s) shall be vl5ually inspected to check the effluent levels in the observation pipes and to check for any pond ing of effluent on the ground surface. Ponding of effluent on the ground surface may indicate a failing condition that requires immediate attention by a I i ce n sed se pt i c [,7 rofess i a na 1. Tanks must be pu ni ped when sludge accumulation 1 -S within 12 inches Of t hP, batt o ni of t h e outlet baffI e., or w h e. never the scum layer is within 3 inches of the bottom of the outlet baffle- In no case. shall tot-,z)f sludge and scum volume occupy greater than 25% of the tank liquid capacity. The effluent filter shall be cleaned as necessary to ensure proper operation. The filter should not be removed unless provisions are made to retain solids in thetank that may slough off the filter during removal. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarrns may Indicate surge flows or an impending continuous alarm and should be evaluated by a licensed septic professional. Pre-treatment components shall be maintained and serviced by a licensed septic professional' acrording to the manufacturer's recommend at'i ons. CONTINGENCY PLANS It the septic tank, or any of it®s con'i ponents. become defective the tank or component shall he I niediately repaired or replaced according to the original system design specifications, If a d os i rig ta n k , pump, pump controls, a Ila rms, or related whin ng becomes defective, they sh a I I be, im ril eci tat ely repaired or replacecl with components of equal performance. if the soil treatment component falls to accept wastewater or discharges wastewater to the ground surface, it shall be repaired or replaced by; increasing basal area (if toe leakage occurs), rebuilding the com portent at the secondary systen) site (if identified), or removing and replacing biologically clogged absorption and dispersal media and associated piping. If repairs or rebuilding is not possible, a new soil and site evaluation must be performed to locate a suitable replacement area if one has not already been identified. If no replacement area is available, a holding tank may be installed as a last resort replacement PMN'TS. ABANDONMENT If the septic syste rn fails and/or is permanently taken ot it of service, the system shall be a hn n d(-,, II "'I" to SPS 382-384, Wisc. Admin. Code abandonment regulations. Requirements include: - All piping to tanks shall be disconnected and abandoned pipe openings sealed. - The contents of all tanks shall be removed and disposed of by a licensed septic professional. - Tanks shall be crushed & filled, or removed. - A septic system abandonment notification shall be submitted to the appropriate local governmental unit- WARNIre SEPTIC, PUMP, AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC TANK, PUMP TANK, OR OTHER TREATMENT COMPONENT UNDER ANC CIRCUMSTANCES. DEATH MAY RESULT. RESCUE Of A PERSON FROM THE 1 NTER10 R OF A TANK MAY BE DIFFICULT 0 R I M POSSI BLE. AL%N',AYS CONSULT A LICENSED SEPTIC PROFESSIONAL BEFORE DOING ANY WORK. Page 7 S-r. cRolx �"[a[1?�!`I'Y SANITARY SYSTEM File Office Use Only T OWNERSHIPIADDRESS FORM Created212021 Community Development Department will utilize this information to provide the property owner with information regarding operation and maintenance of your new or replacement sanitary system! This information will be provided as part of our ongoing efforts to protect public health, YOU well, groundwater, surface water, property values, and County resources. Once approved, this completed form and educational information will be sent to you by erne il. If YOU WOUld like to vied %l YOL.11" IY�LWCI {�anitary per nlit onlinel. y(--)t-j can do so by using the Property -Files Scanned weblink, 5 L.41TITJ 0 14 &A amllyj, 4 1-4 1 ki I I0 Oki ITA EX Owner/Buyer Dave Hall Mailing Address 1099 cty rd A City/State/zip Hudson wl Phone Number (required) 314-323-5715 E m a i I Add ress (requj red) dvdw,ha I I @ g m a i 1, co m Parcel Identification Number 030-1035-60-000 ,(found on the property tax bill) NEW SYSTEM: LEGAL DESCRIPTION Property Location nw /4 , n e /4 Sec. 10 T 29 NR19 W Townof stjoseph Subdivision Plat. rw,4re v- Lot r Certified Survey Map# - Warranty Deed # Number of bedrooms 5 Property Address g�-�990 , Volume - (before 2006)Volurne Spec house 0 yes ® no OFFICE USE ONLY Page 4 -r-rr e page #-- Lot lines identifiable 0 yes 11 no (Verification of new address required from Community Development Department far new construction.) go 'This farrn 1-nust be stjbni�"tted with all Private nsite Water Treotment System (POWTS) appficaflbl�s. New System: Include �vith this foi,o) a i-ecor-ded wat-i-anty deed frotti the Rcqi.�ter- of Dcc(].� Offi(-e otmf u (-nf,)y of the cet-tifie d I" J, r Vey rn ap if ref e r en ( e is made to the warra i �ly de Community Development Department — Land Use Division) 715-386-4680 St. Cr,oix County Goverriment Center 715-2145-4250 Fax cdd2sccvvi.c;iov 1101 Carrnichael Road.. Huds(--)t'�, W1 5,1016 crcwi-aov State Bar of Wisconsin Fon-n 1 -2.003 WARRANTY DEED Ooc u nic n I N n rn bc t 11 Dacumcnt\Narne THIS DFED, made between Bohlen Pro TS,rties, LIX, a Wisconsin Um iced Liability Cornoany �—nd David I I ::01 ("Grantor." whether one or more)4 ("Grantee," whether one or more). Ciraptor. for a valuable consideration, conveys to Grantee the following described real estate, togc1her with the rents, profits, flixtures and other appurtenant interests, in St. Croix County, State of Wisconsin ("Property"') (if more space is needed, please attach addendum): 111) , ce Attached 8 7 9 9 0 2 871990 KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO. P W1 RK11M) FOR RECORD 04/0z_ 11 -40AM WARRANTY DEED EXEMPT # REC FFL: 13,00 MANS FEE: 538.50 PAGES: 2 Recording Area NaMezml KOUM A(30reSS River Valley Absiract & Title, Inc I ZOO Hoiford Street, Suite 201 FlAson, W1 54016 File 4 2698123 03 0-10 3 5 -6 0 -00 Parcel ldcolificallon Number (PIN) Is 1101 hOMCI.RtCad PTOP-UtIV. G ranto r -Yarrants that the t, it] e to the Property is good, i ndefeas i b 14 ,, j. fvs I triple and free -tnd clear 0 J'enc unri brances except Ea sem en its, rest rict ions a nd rights -of -way of revo rd. i f a ri�. -)o Dated March 3 15 � 08 AUTHENTICATION Signatute(s) authicnticated on JANE I MGMAHON NOTAR"( Pt 113b('-' STATE OF WISCONSA MINBI"R ST.A 13AR 0I Ornot- authorizcd b%, Star. § 706.06) Bohlen 111-opL!rties. 1,[,.,C (SEAL Thomas Bohlen BSI _AL,) (S 1`, A L ACKNOWLF.DGMENT S'I'ATU OF WISCONSIN St, C ri I LK COUN-FY f)ef-SW),,q1l I .y ine on %-1aFch 3 1, 2009 (oZme knnwi;o be th Nrs'on(s) who executed the forc,.!k)1nP 11' 1 �-, I ru III a n a �Li [AKedthe same. — Janp-t McMalion ALWT-I�CV DOIJ�� RCT-0 <jtfiry Public, State of Wisconsin -t C 01 HudsoW1 5-101(i i i L), f�rtJ Slr�- Suite 2 n My Commission ( i S PeTTINIncrit) (expires, �Silgrl-IIUIT'% rria'� hr Ruill �irr not nttu,,,;ary.) A �S I � N 1).k 1� 1) j. 1. "k.N I N 1 1) 1 11 UA1 10 N 10 111 N F- 0 R NT S I 10 1 1 - 1) 1.11'. CLEA RI-V 11) 1. 1 11.11), T\ [L11,Mlt: b0ov !Lpnaturvs I of 2 Legal Description Situated in the County of St. Croix, and State of Wisconsin, and is further described as follows: Commencing at the Northeast corner of NW 1/4 of NE 1/4 of Section 10, Township 29 North, Range 19 west, thence westerly along North boundary line of said 40 acre tract 432 feet and 8 inches to a Point of Beginning; thence west 120 feet and 4 inches on the said boundary line to an iron stake; thence South 24 degrees 50 minutes west 33 and 1/6 feet to a stake, thence at an angle of 90 degrees left 100 feet; thence at an angle of 90 degrees right 200 feet; thence at an angle of 90 degrees left 65 feet; thence at an angle of 90 degrees right 132 feet; thence at an angle of 90 degrees left 34 feet; thence Northerly 337 feet and 2 inches more or less to a point on the extension of the North line of the Church property, which point is 45 feet Easterly and South of the Northeast corner of said Church property; thence Northerly to the Point of Beginning; thence continuing Northerly at the same angle to a point on the South line of County Trunk Highway "A". which point is 129 feet and 9 inches, more or less, Northeasterly of the iron stake hereinafter mentioned; thence westerly and Southerly along the South and East lines of said highway to the iron stake on the aforementioned boundary lines; thence East along said boundary line 120 feet 4 inches to the Point of Beginning. 2of2 H5LEG S/96 �al Services Wltcons-n ep �i I, r t 0 S a fet van d Pr3i t ots) Divisiciii of I dustry S";--r�ji,"-.es OCT -02 4 NSOIL EVALUATION REPORT 6 70;4- I accordance with SIPS 385 VJs. Adm. Code Countv ST Croix s; t h a n Attach corn ple�e sit.P.P.14n, on paper not le.Ljl /2 x 11 inches in size Plan must include. (4nc I but not point (BM). direction and percent slope. Parcel LID, sc,ale or dimensions, north ar-row, and location and distance to neared road 030-1035-60-000 RK PleaSID, print all information. e iewled by D t)ILaP+�r)2623sonal information W- _yotj provide ni ay be used for sep nrinry pi, kmnro-- Mnvacy L aw s, 1 5,0408m)), Properly Owner JIM A Property Location-, Davie; Hall Govt. Lot-, NW I NE 1/& S 10 T 29 N R 19 VV Property Address, Lot # Block # Subd. Name or CSM# 1099 CTY RD A .......... . ------ C Ity State zip Code PrIone Number 0 city [:]'Village fi] Town Nearesi Road Hudson I W 1 54016 (314) 323-5715 ST Joseph CTip FAD A New Construction Use 70 Residential/Number of bedrooms 5 Code derived design flow rate 750 GPO Replace-ment [:1 Public or commercial — Describe' *Duplex home with (1) 2-bedroom unit and (1) 3-bedroom unit* larent matenal Loess over sandy)gravelly out ash (Pillot sM Floodplain elevation if applicable ft, jeneral comments ard recommend a 6 on s'. In -ground "conventional" trenches passible at 53"-58" deQth with 0.6gpdIft21 rewrnrnend�d loadmg rate LF = 94" (Redoximorphlc features) Zn EX BOFing # Boring rM-1 P it Ground surface elev 98-20 ft. Depth to limiting factor >108 in. ISoil Application Rate Hohzon Depth In. Dominant Color Munsell Redox Description Qu, Az, Cont Color Texture Structure Gr� Sz. Sh. Consistence Boundary Roots G P D� Ft' *Eff# 1 E ff#2 1 0-15 10YR. 312 sil 1 mgr mfr CS 3c-vf 0.4c 0.6 2 15-25 1 OY R 4/3 S11 2fable rnfr gs 2c-vf 0.6 0.8 3 25-43 1 OYR 414 I nnabk gs CW 1 CM 1 M-Vf 0.6 0A 0.8 0.7 4 43-51 10YR 3/6 SI 1 msbk �Sh 5 51 -_6 3-;, 7.5Y R 4 /6 grcos Osg dl CW 1 M-Vf 0.7a 1.6a 6 63-76 7.5YR 5/4 grs Osg dl gw 0.7a 1.6a 7 76-108 7,5YR 4/4 grs-grcos Osg rr 1 0. 7a 1.6a 9 8, for Boring 'ic L1 Boring Pit Ground surface elev. 97.85 ft, Depth to kmiting factor 94 in. I0�dd A MM6� Horizon Depth In. 1. Dominani Colur Redox Description Munsell Qu. Az. Cont, Color Texture Structure Gr. Sz. Sh. Conswence Boundary Roots 1 GPD/Ft2 *off 1 *Eff#2 1 0-16 10YR 3/2 SO 2rngr dsh C Is 2c-vf 2 c -v f 0.6 0.8 2 16-25 1 OYR 41'3 sil 2fabk dsh gs 0.6 0.6 08 0.8 3 25-38 10YR 4/4 1 2mabk dsh-dh' gs 2c-vf 4 38-53 10YR 3/6 1 nisbk dsh gw 2m-vf 0.4 0.7 5 53-74,, 1 OY R 4/6 gricos Osg dI CW 2m-vf 0.7a 1,6a 6 7 74-94 7.5YR 4?4 94-108 7.5 Y R 3 (4—'f (f1f 10YR 4/) I— - 6s g rs-g rcos osg d I gw I rn-vf 0,7a 1. a' gricos O 9 1 id] 0.7a 1,6a CST Name (Please Print. S,ignature CST Number Ryan Bechel (Advances Environmental LL.C.) 1330832 Address Date Evaluation Conducted Telephone Nurviber W1 1932 560TH AVE, Pfescott, Wl 54021 09/19.:23 . . . .............. (651) 327-0074 art" ---------- 5_6_-21� 3 Boring # [] Boring M pit Ground surface elev. g�.�5 ft t+ 3 Depth to limiting factor 102 in. Cr►i# ❑nniinintinn Dintm Horizon Depth In. Dominant Color Munsell Redvx Description tau. Az. Cont. Color Texture Structure Consistence Gr. Sz. Sh. Boundary Roots GPDIFt2 *Eff#1 *Eff#2 1 6-12 16YR 312-316 (fill) 1-S1 1 mgr-1 msbk dh cw 3c-vf 6.4 6.6 2 12-24 16YR 312 (in -situ) sil 1 msbk dsh cs 2c-vf 6.4c 6.6 3 24-32 16YR 513 - Sil 2fabk dsh-dh gs 2m-vf 6.6 6.8 4 32-42 16YR 414 - sl 1 msbk dsh gw 1 m-vf 6.4 6.7 5 42-53 7.5YR 416 - grcos 6sg dl cw 1 m-vf 6.7a 1.6a 6 5368 7,5YR 416 - grs-grcvs 6sg dl gw - 6.7a 1.6a 7 68-162 7.5YR 414 - lcos- cos 6sg dl - - T6.7a 1.6a "Encountered fractured dolomite rock and couldn't penetrate auger beyond 102" �t(3 3 6 7 Bonn 4 Boring # � g STC E Pit Ground surface elev. f#. Depth to limiting factor in. �Ai� ❑f1�►iift��ir►1"! Dntrs l Horizon Depth In. Dominant Color Munsell Redvx Description tau. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDIFt2 *Eff#1 *Eff#2 5 Bvring # E] Boring E Pit Ground surface elev. ft. Depth to limiting factor in. Anil Annlirnfirm Rats Horizon Depth In. Dominant Color Redvx Description Munsell tau. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDIFt' *Eff#1 *Eff#2 * Effluent #1 = BGD, > 30 s 220 mg/L and TSS > 30 s 150 mg/L * Effluent #2 = BGD, > 30 s 220 mg/L and TSS > 30 s 150 mg/L Wisconsin Depar1rTient of Safety and Professional Services Division of Industry Servioes SOIL EVALUATION REPORT In accofdance with SPS 385. Ws. Adm, Code Countv Attach complete site plan or) paper not less than 8 112 x 11 inches 1 n S 17e Plan MUSt Include, ST Croix but not limited to: vertical anC hari.7,ontal fef'crerice point (13M), difeclion, and perceril slope. Parcel I.D. scale or dirnensiDns, norlh arrow and location and distance to nearest road, 030-1035-60-000 Please print all inforrnation. Reviewed by Date Personal information you provide, may be used for seoondary p 129ses (PrIvacyCage s, 15.04(1)(m)).. Property Owner Pro pei-ty Location'. Dav-d Hall rJOV1. Lot NW 1/4 NE 1/4 SIO T29 N R 19 W Property Address Lot # Block # Subd Name or CSM* 1099 CTY RD A City State Zip Code Phone Number city ❑Vi.11age Town Nearest Road Hudson JWI 1:54016 1 (314) 323-571:5 1 ST Josj�ph CTY RD A New Construction Use, FMI Residential I Number of bedrooms Code derived design flow rate 750 GPD M1 Replacement El Public or commercial — Describe: 'Duplex home with (1 ) -bedroom unit and ('1) 3-bedroom unit' -larent m,,-jtefijI Loess over sandv!gravelly outwash (Pillot s1l) Floodplain elevation if applicable ft. .Doneral cornments, and recon) men dawns irk -ground "conventionalw trenches pss&le a� 53%5F depth with 0_6gpdAI:2J recommended loading tate LF = 94" ( Food oximorphir. features ) Boring # [:1 Boring Fil pit Ground Surface elev 98-20 ft, Depth to limiting factor >108 in. Horizon Depth Dominant Color Redox Description Texture SlrLJCt Ll F e Consistence Boundary Roots In, Munsell Ou. Az, Cont. Color Gr. Sz. Sh Soil Application Rate GPMF1 2 REff*1 iEff#2 1 0-15 10YR 3/2 it 1 mgr nifr C 3C-Vf 0-4c 0.6 2 15-25 10YR 4/3 S1 '1 fable mfr nift-mfil 9 g 5 2c-vf 1 C-0 0.6 06 0,8 0.8 3 5-43 10YR 4/4 1 2 m a b k 4 43-51 16 3/6 '51 1 ni5bk dsh CW CW, 1 M-Vf 1111 -vf' 0.4 0.7a 07 1.6a 5 51-63 7.5YR 416 grcos Osg dl 6 7 63-76 76-108 7.5YR 5/4 7_5YR 414 grs girs-groos osg Os g dl M1 gw 6.7e 0.7a 1 6a 1.6a Roring # F-1 Boring [07 pit GrOUnd surface elev. 97.85 ft. Depth to limiting factor 94 in, Horizon Depth 0or-ninant Color Redox Description Texture Structure Consistence Boundary Roots In. Munsell Qu. Az. Cont Color Gr. Sz. Sh- Soil Application Rate GPDIFt2 *Eff#1 *E1'f#2 1 2 0-16 16-25 1 OYR 312 1 OYR 4/3 S11 sit 2ringr 2fable dsh dsh CS gs 2c-vt 2c-vf 0.6 0,6 0.8 - 08 3 4 25-38 38-53 1 OYR 414 16 3/6 - - I SI 2mabk 1 msbk dsh-dh d s h gs 2c-vf M 0.8 gw. 2m-vf 0.4 0.7 5 53-71 '1 OYR 4/6 - grow qr�-grcos 0$g d I CW 2m-vf 0.7a 1.6a 1.6a' 6 74-94 7.5YR 4/4 Osg di gw 1 m-vt 0.7a 7 I 94-108 7�5YR 3/4 j .. -11 - (f 1 f I DY R 416) grcos Osg cil __4 0.7a I CST Name (Please Print) Sgnature CST Number Ryan Bechel (Advanced Environmental LLC,) 1330,832 Address Date Evialuation Conducted Telephone Number, W1 1932 560TH AVE, Prescott, WI 54021 - — ------ - - - I 09/19123 (651) 327-DO74 b tSU- b JJ U (KU41 I b) Page 8 Boring # ❑ Boring © Pit Ground surface elev. g3• ft. Depth to limiting factor �� in. Soil Annlination Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD,Ft2 *Eff#1 *Eff#2 1 0-12 1 OYR 312-316 (fill) I-sl 1 mgr-1 msbk dh cw 3c of 0.4 0.6 2 12-24 10YR 312 (in -situ) sit 1 msbk dsh cs 2c of 0.4c 0.6 3 24-32 1OYR 513 - SO 2fabk dsh-dh gs 2m-vf 0.6 g.8 4 32-42 1 gYR 414 - s! 1 msbk dsh gw 1 m-vf 0.4 0.7 5 42-53 7.5YR 416 - grcas gsg dl cw 1 m-vf 0.7a 1.6a 6 53-68 7.5YR 416 - grs-grcos gsg dI gw - 0.7a 1.6a 7 68-1 g2 7.5YR 414 - ICOS- cos gsg dl - - 0.7a 1.6a *Encountered fractured dolomite rock and couldn't penetrate auger beyond 107, 4 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. And Annliratinn Rato I Horizon Depth Dominant Color In. Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDlFt2 *Eff#1 *Eff#2 5 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Annliration Rate Horizon Depth In. Dominant Color Munsell Redox Description Texture Structure Consistence Qu. Az. Cont. Color Gr. Sz. Sh. Boundary Roots GPD1Ft2 *Eff#1 *Eff#2 * Effluent #1 = BOD, > 30 s 220 mg/L and TSS > 30s 150 mg/L * Effluent #2 = BOD, > 30s 220 mg/L and TSS > 30s 150 mg/L Page 9 07 "All property limes not Benchmark ADVANCED drawn are > 100ft from E N v i R© N tit E N T A. L system Soil Boring f §hed Well[ f' 5BR./ Duplex I ,► I FDe d f� Septic tank BM2 /�1 v �~ 8441 Dry well Fence Designer: Ryon Bechel Certified Soil Tester: 1330832 Designer of Engineering Systems: D 2263-7 ELEVATIONS: / BM 1 = 100.00 Top nail in 60" Cottonwood tree (11 rr above grade) e BM2 = 97.85 3 " Top(at-grade4 rebar i 1 House grade 99,o5 S.T. outlet~ 95, S.T. grade 98.8 Dry well grade 8.75 1 •� 1 SYSTEM NOTES tie SeFTank: T ._._. -Weser 12001800 gallon 2-compartment tank -Bring risers 4' above final grade -Best GF-10 filter wl alarm -Do not route clear water sources into septic tank -Filter basket aW Tuff-tite EF4 lifter w/ alarm to be added to outlet of exisft tank 1 -FxisUng system to be abandoned per SPS 383.33 Pump Tank: - 00 gallons -Pump needs = 40gpm @ 15TDH -Dove tank as necessary; maintain all setbacks -Bec*ulate pump Friction loss and TDH after instal -Event courier, tine meter, or waiter meter recommended E Soil Treatment Area: -In-ground'converfionar trenches with 0.7gpolf bad rate 42) 90' infihW Quill-4t STD trenches E 5.00 intillrative surface; 98.50 conb r "InsW may AW indNidual drench lengths and elevations as necessary so k)ng as a minimum of 180 kneal feet of drench is installed and system depth does not exceed 84', Maintain all building, wel and property kne setbacks.* j = Bu» valveldiverler valve to be inst*d to bypass existing system and alm future use as a backup drainleld -Depth to restrdon = >12a' (observation extent) k istribution: [ nutty parallel distnbukm E sch 40 PVC or 5DR-35 header istaller may alternatively use drop boxes, distribution x, or chambers as 'drop boxes' in lieu of dislnbuWn LOCATION MAP (not to scdr) � C"Y RD A a P �] , - �� -� BP Gas Station C ; r 8$ - -< 5 well setback ...... _ . "� I 0 ^l� + + - - - - ------------ + + � + ------ PREPARED FOR: David Hall + Site Address: 4L • J i 1099 CTY RD A ---_ __-_ 50' Hudson, wI 54016 Well 9 L� SCALE _ ... 8 _ 3 ; PID. 030-1035-60-000 1.1) Acres i Legal: NW 1 I4 NE 1 I4 t �� S10 T29N R19W Town of ST Joseph 1 CartiNd Skt moryt: Thb "stereo tm been designed and owluarted in 0000rdwm with State and � coxes. � soil treatment area must remain proteaiad from disturbance and/or comp�a�km before and alibi oornrtrucibn. - m T � i Scale: 1" = 40' ems9/19/23 : NO WARRAN Y IS M&DE THAT 'T'HS SYSTEM WILL CONTINUE 70 FUNCi'IQti iW 1Y. sm must be �. Rsviaw 's mss�t for irdanrno;tion on cars and maintenance. Pad i laeo<* COUNTY N08. ............. ..... ...... .... . . . ... . ... ...... . ... . . . . . . . . . . . . ... ........ . ....... .. .. . .......... ... . . .... . . . ....... . ... .... D9c CTY R� D ��v� L'�'vit 1`,TL`v�L PREVIOUS NO. OWNER j\Avit I ALL-V air oil I�►tt�, LIC.# 2zSf10 TOWN "0""'FST. 5o5EP+! SEC N, AND/OR LOT Ida' .... . ..................................................................... 1BLVU Pi SBD-06499 (RI 1/20) rw :1 � ;�'_nNe V CHAPTER 145.135 (2) WISCONSIN STATUTES (a) The purpose of the sanitary permit is to allow installation of the private sewage system described in the permit. (b) The approval of the sanitary permit is based on regulations in force on the date of approval.. (c) The sanitary permit is valid and may be renewed for a specified period. (d) Changed regulations will not impair the validity of a sanitary permit. (e) Renewal of the sanitary permit will be based on regulations in force at the time renewal is sought, and that changed regulations may impede renewal. (f) The sanitary permit is transferable. History: 1977 c. 168; 1979 c. 34,221; 1981 c. 314 Note: 1f you wish to renew the permit, or transfer ownership of # ca authority. t e erm�t lease contact he uu h permit, P ty ..... .....