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HomeMy WebLinkAbout040-1310-00-022 (4)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 Eric & Shannon Cook TOWN OF TROY CST BM Elev: Insp, BM Elev: BM Description: I I I TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand I G P M Model Numbe TDH 111-ift it ion Loss System Head Forcemain ength Ia. = I I Sol ORPTION SYSTEM L2.- AGW-FTRENCH' )Vidth Length No. Of Trenches -3 L SETBACK SYSTEM TO P/L eLDG INFORMATION Type Of System: 5�/ too. DISTRIBUTION SYSTEM Header/Manifold Distributi 111u I H Ft County. St. Croix Sanitary Permit No: 633823 State Plan ID No: Parcel Tax No.- 040-1310-00-022 Section/Town/Range/Map No: 17.28.19.2009 STATION BS HI FS ELEV. Benchmark f 10 �, mo Alt. BM Bldg. Sewer St/Ht Inlet StJHt Outlet Dt Inlet Dt Bottom Header/Man. Dist. Pipe Bot. System Final Grade Y_ St Cover =!> (S-61liWAVA JPIT DIME NtIONS TNo. Of Pits I Inside Dia. ILiquid Depth WELL LAKE/STREAM LEACHING ManuL-LLLureV- CHAMBER OR UNIT O,z Mode umber_ j,4 Le Spacing -,,---TVent t6 Air intake LLength Dia Length Dia Spacing SOIL COVER X Pressure Systems Only xx Mound Or At -Grade Systems 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 discrepancies, persons present, etc.) Inspection #1: �/24 12,0 2, Inspection #2: 1 Location: 313 MEADOW RIDGE CT &D 1.) Alt BM Description 2.) Bldg sewer length ^Owl amount of cover 10> Z8 Plan revision Required ? E] Yes E] N o qU) other or side fadditional information. side Co &teeure Cert. No. &041- Ott I; 6P561 c7n-,- i 30) ndustry Sen ices Division Counh- 14(k) P WnAincrtmi Avi�- Sanitary Permit Number (to be filled in bv- Co. I Slate TrwLswjon Number PC L7D 10 00 Z Z.- Property Ucaticm 1q. Govt, Lot %4, Stk;tjon )7- T-_O AP-Ar-,ALA) Rify.F- Lj V- ILY or -r 12 NN L-j "Awl IVIUUJ I hLetwVri LU CXJSLLng ))Mvm kc,(p"n , i L.4 rTcLsunzca in-urm,nd LI At -Grade U Mound ? 24 in. Ofsuitable Sod E) Mound < 2`4 in. of suimbicsoll ersal Civnntvwni i&A nI -4 ir, � rI r, Plvw%x� 5l�wll Businem Phmt Number -71 c,'- "11%, &-7 / ;F -2 ... .-.4. i gent cure lee AC41*1 %0- f'"0010t lA ftwh hr the a 7MW sobh to the ray. PtJ2 mim sh*v fir'G=45c j_ n VUeJ4 M �TID-6208 (R. 9114)��aSSco% 40 en5 No cw� oil oil e er-ot cc,�cDox.er•..v�— �t6la�-,l �� 14 C<�rrb+� �-o S yll�t.N+ �hS �.f � . kp% 7L� _ it .44 CDs Advanced Septic Installation 715-703-3235 To Whom It i-nay Concern, mom= JUL 13 2021 The Property listed below Is in Need of Emergency Replacement. le septJStj-1&(-bee-Dj3Ac�ing, up n the House. We are pumping on a regular basis to try and prevent dams t F rst date -- -t I of inspection was done 05/15/2021 soil testing was required. Soil Test has been completed an 7t Is needs immediate attention to prevent further issues or damage to homeowners property Keith Harings 224037 Master Plumber - Shannon Cook 313 Meadow Ridge COUrt Hudson 1 7- I : L pump -1 t pip, V+ COOK <'Aj Z07 PACE 1 OF 5 P9 I Of 5 Pg 2 of 5 Pe3of5 Pg4of5 Pg5of5 Attachments: Pump Curve In -Ground Dosed -Gravity Plan Index & Cover sheet Componerg Manuel Design Ftefww"s- Vensim 2.0, SBD-1 0705-P (N.01 101 w R. 10/12) Index & Cover Sheet Plot Plan Dispersal Area Cross -Section & Plan View Pump Tank Specifications AAanageme%nt Plan POWT i Application for Review Tankspqm (g6,SrtiN&hI Soil Evaluation Report &Site Ma Filter Specs LFjCtStlN6 Project Name I Description Owner Nanw(z): o� OCOK Phone: Z&J- 4145-. loliqz.- Azi !!5�Yol(p Owner Address; 3 k P ProJect Addrow: - 5AMe) Govt. Lot �Vi 1/4 of 1/4, Secfion 17 IT ?-q N-R I q E or W1 LX- Township: County: 5 — Project Parcel ID #; Designer Information DMIgney Name, MARY JO HUPPERT Phone: 715 426 - 1775 Designer Address: 28497 KING ARTHUROS CT., DANBURY, W1 zip: 54830 E -mhcAl'isterdesign@outic>ok.com il: A x S G 0 N 1859-007 X License Number. %v k 606666606 14 *#Oo Remrks: ARARY JO % HUPPERT DIM VVM FALLSPY IM 6000 Signature: Da Ach w&rft�d oozy.mug requkw IN -GROUND DOSED -GRAVITY DISPERSAL AREA Uniform Elevation Trenches with Quick4 Standard-W Chambers 3-ft Trench (down -sizing credit) TYPICAL TRENCH SOIL COVER try p4cw) CROSS SECTION VIEW (No Scale) min lrcnch depth Ityp") Provide minimum 3 ft separation between trenches. System Elevation (typical) Quick4 Standard-W ObSerV8110A PVP6 w/ End Cap (Show location of inlet I outlet pipe connection on plan %.�ew.) (typical) TYPICAL TRENCH (typical) Instan Pei "nufwlurers PLAN VIEW (No Scale) A 10 ft (typical) 7i ft M (typical) 0, 1. Quick4 Stqndard-W Chamber 7- (typical) INSTALL PER TRENCH. (mfd by I Atrator Syster'BJPC 0 0 111tilBo pursuant to rnanUfAClu roes Instruclk3n8 Qulck4 Std-W @ 20 fe EISA/chamber = ft 6 ft'E ISA/Palr = fta + Pairs of end caps ft` ft2 Proposed EISA 9%4swifthi= Required Infiltration Area Distribution Method: ft2 trenches = Proposed Total EISA i,j) GRavrrY-ooseD SEPTIC /PUMP TANK SPECIFICATIONS (No Scale) V"VWar" MINI= Em d-AW-ima rood an on" GWAQTMS ja gMIn %W Tm* Liquid Level = 3la in Force Main Dkffmger In A Ef F-1A 10i rmad axv4* uft WS W and HM 3W FXN,d I a ilmor m n6mmm. #4*W$W LDci*Q NWh0k wa Wm b" Aai,!,'- L4 ftVkmQ W& 4WZD It Bb*6 JE]jjj0jjkjW K*4 Depth Z In ft"m Sod& oe— KWP-OFF ELEVA71 ON ft �r A*VmW" S 11 i I i i E%Wvmomh"rw* Form Win Length ft ---a- EMIL- Hwy *xm main below frost km or 7.4 as 11191:89 ant 10 SPS 38Z30(i 1)(c)� WAC. Tcal Q�Le§ Vakwo a]&) Ile E(:,&= &I kp- Saw- Wo ORADMACK vif 4mick vahm) POMP OFF VerficW LM 13 '77 ft ._1 50 INVEW1 79 F f. ExI6-rlNev ' EjjMPJMK Vcamm ��.Qw mmufaccmr. girl&= dW4 60M_ M ToW Vokmm MONSON Man&mfw(sy. W_ 1ie5E-t0`z- X Imm W2W!g4_ XimEatbie tw* otdiet han amaimbE Lma"m af1he FVW Wrmftoxw. R%QW L&Xk* PAGE 50fzJG In -ground Dosed -Gravity Management Plan • i•■ r'� #. ski :?•-. �.* t! �. '• .r! e «A11114r'.r. • �" rr•r *i.. ;1 i ti f 1' w • i ` L i.• ■ r t • DeWan Flm WdIb B C %. D- 9 WOO; TSS:S I W wVO; FOGS 30 Is txn.10�174ft 0290 INSPECT EVEM 3 YEARS i' Of k,. 0 :,!of 8YOMM "M It Wks) MW any I q-1- a- F x to (La.. d0bubon dmp bom), or um U06 (Le., I IF' i F J1 I a. PrbrtDdxkv !_ ■ ! a f(Le., punV nHVcNM no &*fth asueft 0 K Ry$Rd - i ; i k_l 1 r I: ! i Y.'r., M R+r c! ! s: " r+ FUM6 iq&iz a;w ■ di ■•,'1 I- ! Jgtergl i # 1" r i / v•;i^i` $: R ►: ! . ^s` 1il r : s (! wr' - ' r MAMtTADI EVFAY 3 YEARS (or when na ry) be Pw v bya ca IM a -1 110 1 13 rvr� trdsr81 _�8 W, wtrin ft Um#) arr-ndm)to *d t�s1 or as requkW by kx;W at ft 8 the Pxamt to NR 113, WM A*T*I. CQd& 0 �� dW be � 3 � and � be vAhW I 9qWW to nntA I, rMM it. M I! ■. OW be ► s ii ♦ +r Ow . s r s r. a' mm rwa, r r i • .. NWm s 1' r or I- i• y'.- +a j r r � ` LZP U;CrPhone,- -:a Zx 0 X. CO- AA i -ry 5-1- VS Al 71AP ar.d ri sR ... ■ /_ 1 ■ Any dukKOn part of be + c mo d, qr PUMNO to SM 3M51 (1 � Wbm A+n►. �- �` cc f� ar IL acane copy wfth SM 38,'c. �. �, No pmduiA ' Of � mey tie i � a by to tt its an no ill I P- ncia with SPS 384, Wb. Ash., Code. In de � t� ary wed � %AX Of Oft POWM CaFWxA be it shM be mpkmd pxsmort to e plt � for � a �p�. A f aled kl-� maybe by a MR in e bvd arse Ot 001-1e _mnS-. K use of We P'OWTS Is , it shal be abarKkwmd in Wfth 3P8 3 $ Wiw,,, Amin. code. F,*,eff, 5 of s SANITARY SYSTEM File #: Sr CaoA:� 1Y.NTY Office Use Only OWNERSHIP/ADDRESS FORM Created 212021 Community Development Department will utilize this information to provide the property owner with information regarding operation and maintenance of your new or replacement sanitary system! This information will be provided as part of our ongoing efforts to protect public health, your well, groundwater, surface water, property values, and county resources. Once approved, this completed form and educational information will be sent to you by email. If you would like to view your issued sanitary permit online, you can do so by using the Property Files Scanned weblink. OWNER/BUYER INFORMATION owner/Buyer John and Mollie Bower Mailing Address 313 Meadow Rldge Court City/State/zip Hudson WI ��j, 1 42021 Phone Number (required) 952-301-2801 - � Email Address (required) mollie-4fitness.com Parcel Identification Number 040-1310-00-022 (found on the property tax bill) NEW SYSTEM: LEGAL DESCRIPTION Property LocationSv1 ix, SE 1/4 Sec. 17 T28N R 19 W, Town of Troy Subdivision Plat -AZALdO COJ Lot # -0 z � " 'F Certified Survey Map # Volume Page #_ Warranty Deed # ) 1373 t.9 Z7 (before 2006)Volume Page # Number of bedrooms 4 New Property Address (Staff Initials) ' (VerificatiQ (Date) Spec house 0 yes 0 no Lot lines identifiable 0 yes 0 no OFFICE USE ONLY new address required from Community Development Department for new construction.) This form must be submitted with all Private Onsite Water Treatment System (POWTS) applications. New System: Include with this form a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey mop if reference is made in the warranty deed. Community Development Department - Land Use Division 715-386-4680 St. Croix County Government Center cdd(c-0sccwi.Zov 1101 Carmichael Road, Hudson, Wl 54016 71 S-24S-42SO Fax www. sccwi. go ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF EXISTING SEPTIC TANK(S 4 CD0 77CAAo' C 0�0' This is to certify that I have *inspected the existing septic and/or dose tank presently serving the following residence: (Street address) 'F-I� C-0 located at: 5 W '/4 '/4, Section 1-7 -,Town. 29 -N, Range !�I. wt Town of I-r& St. Croix County Wisconsin. Upon inspectiorf, I certify that I have found the tank(s), to the best of my knowledge, will conform to the requirements of SPS. 384.25, and it (they) appear(s) to be functioning properly. Most recent date of inspection or service Did flow back occur from absorption system .9 Yes No (if no, skip next line.) Approximate volume or length of time*. gallons Minutes Tank Capacity: 12-D 1900 Construction: Prefab toncrete Steel Other Manufacturer (if known): W I 67!5'FM L-F C-0 M156 Age of Tank (if known): 06'-1,0 e Permit number (if known) t f 24 -9-MrE umber S*gna re) I (Li ensed Pl" I Print Name) 9) (Title) (Date) zu�o 3� (License Number) MP/MPRS Form to be completed by licensed plumber (Dept of Safety and Professional Services Chapter 305 and 5. 145.06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin Administrative Code) Rev. 2/2012 Wire si Department of Commeme PRIVATE SEWAGE SYSTEM - Sa" and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal i nforrnation you provide rna y t)e uged far seamdafy Purposes (Privacy Law. s. 15 -04 (1)(m)]. iPermit Holders Name-, city Village X Township Cook, Eric & Shannon Troy, Town of CST BM Eley- insp. BM E-Iev: BM Description: L- 1 ZAZI 6:5 T TANK INFORMATION =1 =X/Al Ir) III DATA STAT-1-0-N-. - - BS County. St. Croix Sanitary Permit NO: 514884 —0 State Plan ID No: Parce4 Tax No. 040-1310-00-022 SW1orVTowrVRarveA&p No: 17.28.19,2009 HI I FS I ELEV. lBenchmark q 7dj M zi Aeration Alt. BM d 144 4 27 • 81,dg. Sewer Holding L56W __ — — 12,639 dy &9? ?9 St/Hi Inlet TAN K SETBACK INFORMATION St/Ht Outlet TANK To P/L WELL B - LDG. Vent to Air intake ROAD Dt Inlet Sapfic Dt Bottom Dosing Mar Header/Man, Aeration d?(e747- Dist, Pipe — TI (O 7 Holding--- 412 J to 9t, 10 1 Bot, System ii M0 � a & PUMP/SIPHON INFORMATION Manufacturer F* a Grade 1= 7* 7 c? 71 0( Model Number Z6 Demand .. .... GPM St cFr I T Friction Lo s System He Ft TDI I 03 1 ��_ I I Sat, '%(e, 71' Forcemain ILen Dial il Well A /1i-Ir Lfttmt.�.. /1, 1 1 -at - - SOIL A13SORPTION SYSTEM � CnVV5 BED/TRENC14 Width Length [14o_ (Y T rem:hes DIMENSIONS IT DIMENSIONS :No. Of Pits Inside Dia. Liquid Doh SETBACK SYSTEM TO P/L '13LDG WELL LAKEISTREAM LEACHING Manufactures: Type Of System: e CHAMBER Oft UNIT Model NurnberA.,,,., ------------ /6 57 &V A�_ /J4- DISTRIBUTION SYSTEM 00� Headerftenifold n z Z, r Hole Size x Hole SpVent to In acihg Length /(0 Chia T , Leaf fli8Spacing. SOIL COVER FDepth Over X Pressure Systems -Only XX Mound Or At -Grade Systems Only --Depth Overedamnch Center 88Mrsch 41ITEdWs xx Depth of xx Seeded/Sodded XX muich�l T�v Topsoo Yes Fj No :[ 0_� No COMMENTS. (include %0&cddilcrepen ep, ersns13Zo Inspec6on #1. Inspection #2: LoCaVon: 313 Meadow Ridurt Hu on, WI 54016 (SW 1/4 SE 1/4 17 T28N R19W) Meadow Ridge of Troy Lot 22 Parcel No., 17.28.19.200,9 1.) All BM DeScription q or 2.) Bldg sewer JeNth - amount of cover Plan rOWIlon R#Quir*d? Ys,s 9N0O, Use Other Side for oddlltloml 1A1OjrMgjjqn. Date �0440" 4"", rlrw,4u�� vi Lu u� -�• R Nap a— i not If sit /QA WED 11:19 FAX 716 386 -4655 i Coor ?R=-G(T a , 10 SM A 0 j),D ' At yam Oki D"Xvkll" Of CaMMIM Chieim d Sao* and &A&Vs )OF Aftch =voft Pw an fie, but rat kited kxvwuvow ".:'�, ,.�..�:� ,,.�....,�.........,.., tit r eepa Pe "If AW I= k*nrP@&M YOU prate nWy b* ewe! W SOM P"vedvow"W owner* IRA %5 MY M New Richmond �� wl � W17 1, FSOIL EVALUATION REPORT I Of 3 �Oecoft" ft irft Mn- Cnda t'.w* St Quix x l 1 wxhn in am F%n n Kw F'er eil LD. WMKVL ► .,.. W GI Ally ST. CROIX CO El ;Lnt- - sw IM SE IM S 7 T 28 N R 19 E (q* W tilt 8 Norris tar ! Mewirwi R idon. Of Tnw uff*w vowQMIR1 NwnW act Qwc Rbad •NM OxamLWE] RisklmIAW t Numtw cat bwk ms 3 to 4 eade fttvw ftsbgn ftw ra& 0 PdAcVrcowim,w Fbm ow d tvuvbv Lolew over 21" dil Fkwwi Piub! *Awaaftm if m and1. Mwall �O ( s n Ekoft - �a Pft Graum sure" ewv. - TJ .27 - ft Depth 10 bn*ing factor 7j(]'"� Vi. 454to ws ■ ft B NtV # 969.13 >105 PA Gmuld wstam fir. 1t in lb I Wh g rx fin. sca Rob Ivr ' C OW&MM Re*w Toft" axe Cotesaxsw*y I in Mww" I r.%,4 C��� I l nvC b - n It I ! -Fw I an < gar, "VA 'Aw" rat a►�n . vnn�jj► .n rL t ", T fi r• t�ru Pr+�r+�'I % wo [,"r M WWI ThOMM C Nelson ` 227387 Add M Dws E IBi I Fla Illml Te**" NLM*w 1432 120th Street New Rkhmmd, Wl 9I1M 715-24&2454 S P OwnerDCCI Land Plsaucrs tnc Paaool 10wty s air 3 ewfnpl� ""' ""v ❑El ('966-55 Pit �ds�xi�oeabv. hbtlmn fJqP'N I Doni+arR co TmQur h. Nubel I tlu. Sa. Cork color 3 Ping � a(._- �b'� �' in. Crx . sz. w I 1UOW .jinn" rw-MS mi. trap lillillocn,pift U Pit Rsc = D� Taft" �" C=a� Bey ROM � irx. I�s�r►COEM olQu. .aaic�r tic. 3z sh. 'E , �!! : ,pni) a M ! ?M "v PA mvi T.R.As �-lA t i M rnvA * Fa Mw o m2 a WY) ) f*v%R mvi Tf:�; t M MMA TM wnt vq" OPFQT"Wt' MYItx provida and cmptaycr. if yuu Dvw a36jsuuxv W KVM Suff KM or teed mderial in an AMWk formd, P % c"Alct thc at 609-266-3151 or T Y 60$-264-V77. 5BD4MOM (RMM) lLAND SUM,MC- I nlr%n lr Ljol V A& +ww SW 1 /4 OF THE OR 1/4 OF SeCTM 1 Tom, R1 Wv, TOWN OF Tyr, Sr. C *LINTY, - TOM NELSON OW - Lac. # &l7387 1432 1 20TH ST. NEW o' WI 64017 ph. # 715-246-2454 -WWI -"I&- 4 5/8 1 1/2 -11 1/2 WT !momm oomo mo0mj o�, CONSULT FACTORY FOR SPECIAL APPLICATION 3 5/8 4 3/16 t 4 3/16 1br &iOm SYSM I We WOUND old Vark"s mma no 61 W amaw-111-M-for j !m4g*od vft an darrm and If one ~ sysba AAdw milen*Ux thr ckipim are k"s E)Otjw 1j%Ajyuw-.A vartable k.*M swilmAhmess are avaMaNe wfth or WOW atarm for vwbuo kn/w " cyde corm*. 60ndmt all nxKWs - VWetght 39 ibs. - 1/2 H.P. AMb %4 1 or 197 2or2i$--- 3ar4A§ DOG 1230 1 MAuft 4.7 larIA7 EM 1230 -t than -1 4.-f ar 3 ar4 & 5 Far 1 In 1 wim i as adNaM Zadw pohob agbr b aMft gm pWom* Vaddft Um S, 11rjft is I Sim* ftmamompmoceftt FWGM S�M GUIDE Z. floral cPwsftd2pans vwd ' MamMd num"I 2- SkOw ptonhock varklhb i0wat GO* I, I A ew daufts pigurbom* workmMe No IaM vm4k9L 140w In R"". 3 Mai i ,' 1 * d ubm. w*Ax 'I O-OM or 10400M 4, %= RW12. ftr cm, mocM of ElsckicW Aftmom. S. Car" -old - M4= umd as a 6wA*d ac&ftr, sm* &*ft (3) or (4) am "$ft Ab - eds r or 10-0002- a or" ww" 7. Tvv6(2)hcd,9 �farwum6mw#4 cKxwwc$kmaorsPkw, CAUTKM AS ifttaflatiM of contivis, protection dovkms wW abUq sholAd be dmw by a qmakfm Umnsed dat0itiM AD ekdrfcaf and "isty cadre WwvM be We 6cbxftq the a" rectnt Xmiwaf Voctric Cade (ME-C) and the 0=uPa1kHW SaMy wW Hoafth Act (08ML RESERVE POWERED DESIGN For ur s d condfions a omerve sally ftww is engineamd kft the de3ign of &my ZDetler pump. LOT 37 i at VA�"� �..•-'' -• � ��"�te�r •�-•' � � POP vW4000 9 pop LOT 26 • '` , r "~� �• ,000 • • # LOT 2100, r •.� . • 600, •+ r LOT 25 ' " a • LOT 34�� ! ,. V LA�i•S2d.Q ,. ', 1ol io .' INS MARM WOF 10 am PPEO � 1 "WEMO LOT 33* i too � � 1 o i �: F+I►, OIM�f FD - r--❑OAWi4G�. s OUTLOT 5' OOMSERVAMON AREA G BY HOMEOWNERS ASSOCIA110N IT rage I rvices j OT 6 vvisconsAin ue I ndu 7VIIL Division of .. M I 1%.w T. j SO County In a rdance with SPS 385, VMS. Adm. Code ST CROIX ej� gW2 11 inches in size. Plan must include, Parcel I.D. Attach complete sit par f (BM), direction and percent slope, point but not limited to- ve ica "15 040-1310-00-022 scale or dimensions, o location and distance to nearest road. Rev[ ed by Rev, e13 Dat Please print all information.JC Ak � 2y be used for seconds pu ses Priva Law, s. 15.04(1 m) Personal information you provide m� U Pr© Owner Property Location Govt. Lot SW 1/4 SE 1/4 S 17 T 28 N R 19 E (or) W ERIC COOK Lot # Block Subd. Name or CSM# Property owner's Mailing Address E OF TR OY 22 313 MEADOW RIDGE CT State Zip Code Phone Number city Village Z Town Nearest Road city 'ROY MEADOW RIDGE CT HUDSON WI54016 �267) 495-6492_1 New Construction use-. 0 Residential Number of bedrooms 4 Code derived design flow rate §QQ GPD Replacement 0 Public or commercial — Describe: — Flood Plan elevation if applicable n. a. ft. Parent material GLACIAL DRIFT recommendations: RECOMMEND SYSTEM ELEV. BETWEEN 92.5" & 93.0I. ommendations: rec en rat T;7 mmen and O0. Boring # El Boring ft. Depth to limiting factor 106 + in. Pit Ground surface elev. 97.3 Soil Application Rate Horizon Depth Dominant Color TRVedZox Description Texture Structure Consistence Boundary Gr. Sz. Sh. R oots GPD/Ft2 *Eff#2 Cant. Color In. Munsell Qu. Az. Cont. Color 0.6 1 0-11 7.5YR 3/2 sil 1 fsbk mfr cw 2f 1 f 0.4 1 0.4 0.6 2 1 11-22 1 OYR 4/4 sil 1 msbk mfr cw 1 f 1 0.7 1.6 3 22-28 7.5YR 4/6 -- -- S 0sq ml cw — 0.6 0-8 4 7.5YR 3/2 4j sil 2msbk mfr cs 28-34 7.5 0.6 0.8 - sil 2mabk mfr gw -r.A 1 OYR 4/4 5 3458 0.7 1.6 rlr�: 7.5YR 4/6 S Osg ml cw 6 58-82 0-7 1.6 7 82-114 7.5YR 414 S Osg ml 1 (co El Boring Depth to limiting factor n. a. in. Boring # pit Ground surface elev. 98.9 ft. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Gr.rSz.tucture Consistence Boundary Roots Sh.*Eff#1 GPD/Ft2 *Eff#2 Qu. Az. Cont. Color In. Munsell0.8 0.6 1 0-9 7.5YR 3/2 sil 2msbk mfr 2f if 0.6 0-8 2 9-36-- 1 OYR 4/4 sil 2mabk mfr 1 f 0.7 1.6 3 36-63 7.5YR 4/6 S Osg ml — 0.7 1.6 4 63-73 7.5YR 4/4 S Os g ml 07 1.6 5 �73-106 1 OYR 7/3 S Osg ml I - Effluent #1 = BOD, > 30:5 220 qVL and TSS > 30 5 150 M 7 CST Name (Please Print) Signature CHRIS FREDERICKS Address Date Evaluation Co ucted 499 4 1/2 Ave, _Pl@yton, W1 54004 6/20/2021 Efflue = BOD, > 30:5 220 r ng/L and TSS > 30:5 150 IL CST Number 71618 Telephone Numb er 715.4119.0127 SBD-8330 (R04/15) Boring # LJ Boring El pit Ground surface elev. ft. Depth to limiting factor in. Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ft2 In. Munsell Qu. Az. Cont. Color Gr. Sz. Sh. *Eff#2 1,11 *Eff#1 Boring # El Boring El pit Ground surface elev. ft. Depth to limiting factor in. Soi[A���� Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GpDjFt2 In. Munsell Qu. Az. Cont. Color Gr. Sz. Sh. ---I - I *Eff#1 *Eff#2 Boring # Q Boring El pit Ground surface elev- Depth to limiting factor in. 7-- Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structu re Consistence Boundary Roots In. Munsell Qu. Az. Cont. Color Gr. Sz. Sh. GPD/Ft2 I *Eff#1 I *Eff#2 * Effluent #1 = BOD, > 30 5 220 mg/L and TSS > 30:5 150 mg/L * Effluent #2 = BODW > 30 5 220 mg/L and TSS > 30:5 150 mg/L Per liqcemAe vto=F:5 Cro: X COUNTY NO. 633823 -17 PERN11T ITAR STATE SANIT I 40dol 313 '00 (2k)34e C440 PREVIOUS NO, r)L488 ZoAIE X OWNER wk okv% �- % PLUMBER keg1 -- LIC.# TOWN OF I rw SEC_J�,T�_N, AND/OR LOB' Z Z THIS PERMIT EXPIRES ji1 BLOCK SUBDIVISION 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: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. ED ISSUING OFFICER -DATE_ Z,3 UNLESS RENEWED B AIN VIEW THAT DATE VISIBLE FROM THE ROAD FRONTING THE LOT DURING CONSTRUCTION SBD-06499 (R1 1/20) This is an Emergency install. S 4-( 0 `Qi -Y/ U �1,/a•a1 �-S -Sh. t-.e ILL Yw"