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Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 538832 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Saunders, Robert Eau Galle, Town of 008 - 1012 -40 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: /ap M GS ( 04.28.16.64B TANK INFORMATION ELEVATION DATA , 17 �j � pl. 96 /06 TYPE MANUFACTURER CAPACITY STATION C �3 l I FS ELEV Septic Benchmark LA) i �.�. 3 a"` / 3. z5 �o3z / act, Dosing C dh�Ob Q c � Alt. BM � AL... Gds Aeration Bldg. Sewer a la(i 5ZS 7.� 1-6Z- 1 3 Holding St/Ht Inlet 7, 5 %3 TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL LDG. Vent to Air Intake ROAD Dt Inlet Septic b i Dt Bottom 's. �� • t�5 Dosing ZO i , � Header /Man. 's- 9 9Z Aeration Dist. Pipe 3.3 ". $Q 1. y•9 4 7F .L9 Holding Bot. System • c q , I 9 9 . I 5. 97• Final Grade PUMP /SIPHON INFORMATION Z. / da , S Manufacturer Demand St Covert / C C ovL GPM ` • f Model Number TDH ,% Friction Loss System Head TDH Forcemain Length / I Dia. �i Dist. to Well o 1/6 Z SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Tre h; /� IT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 4. 5 Z. . 5 SETBACK SYSTEM TO o P/L BLDG o � WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type ♦ 1 /J� UNIT Model Number: to u Z7 7 /�8' S /6.6 'v /V � DISTRIBUTION SYSTEM R a� Header /Manifold / Distr(b t / x Hole Size 4 x Hol $Racjng _ Ve o Air Intake —7 Pi p e s S O Fh �ti Length 4 • Dia Length Z l. Dia / Spacing Z ' s ti • 7 o -- 37S J SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only G 4•�.. Depth Over Depth Over jxx Depth of xx Seeded /Sodded xx Mul hed Bed/Trench Center / -77 Bed/Trench Edges \ Topsoil �J_ Yes 0 No Yes No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #11: 9 / / Inspection #2: Location: 508 CTY RD BB Woodville, WI 54028 (SE 1/4 SE 1/4 4 T28N R metes & b unds Lot G� Parce o: 04.28.16.646 1.) Alt BM Description = F �� Lj 1 / / / 2.) Bldg sewer length = 13Z) 76 G 10 6K amount of cover - ��+� - BtJ� > 5 ° V" Plan revision Required? Yes 1` No Use other side for additional information. \ ` SBD -6710 (R.3/97) Date Insepctor's gnature Cent. No. Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 538832 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Saunders, Robert I Eau Galle, Town of 008 - 1012 -40 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: 04.28.16.64B TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt. BM Aeration Bldg. Sewer Holding St/Ht Inlet St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt Bottom Dosing Header /Man. Aeration Dist. Pipe Holding Bot. System Final Grade PUMP /SIPHON INFORMATION Manufacturer Demand St Cover GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length--T. Dist. to Well SOIL ABSORPTION SYSTEM id Depth BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. T DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: UNIT Model Number: DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia I 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 H No 0 Yes � No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: Location: 508 CTY RD BB Woodville, WI 54028 (SE 1/4 SE 1/4 4 T28N R16W) metes & bounds Lot Parcel No: 04.28.16.64B 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = Plan revision Required? Efl Yes Nfl No Use other side for additional information. SBD -6710 (R.3/97) Date Insepctor's Signature Cert. No. corrlrTme?rcemi.goY t 86 Sion County C 201 W. Wasting ton ox 7162 20 /) /'� s Madison, 3707— 62 Sanitary Permit Number (to be filled in by Co.) Department of Commeroe Z — Sanitary Permit Applic a tid.. ' .� State Transaction Number J In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental 1 7 d ` unit is required prior to obtaining a sanitary permit. Note: Applicatio forms for state -owned POWTS are P o' ect Address (if different than mailing address) submitted to the Department of Commerce. Personal information you rovide b624 jc`0r �+ondary p urposes in accordance with the Privacy Law, s. 15.04(I)(m ), Stats.�j Q L A lication Information - Please Prin nformation ST. CROIX COUN3Y ✓ Q g 13 Propert wner's Name PLANN & ZO NING OFF ICE Parcel # S 4 66T.0 A312 46 0�n Property Owner's Mailing Address /� , .7 Property Location 1 Iq Vito !V e e v E / v W Govt. Lot C City, State Zip Co e 9 Phone Number 5 � j, S y,, Section D G _ / / el T z (circle one v � N; R E o / Il. Type of Building (check all that apply Lot # I or 2 Family Dwelling- Number of Bed s Subdivision Name Block # �^ ❑ Public/Commercial - Describe Use _.-- ❑ City of ❑ State Owned - Describe Use �i �/ CSM Number El Village of Z CLl 4i� 5 /S f _ k'Town of C— Au 2)"L 6 III. Type of Permit: (Check only one box on line A. Complete line B if applicable) ' ❑ New System Re lacement System y � p y ❑ Treatment/Holding Tank Replacement Only El Other Modification to Existing System (explain) B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner IV. Type of POWTS System/Component/Device: Check all that a 1 J ❑ Non - Pressurized In- Ground ❑ Pressurized In- Ground ❑ At -Grade ❑ Mound > 24 in. ofsuitable soil VE Mound < 24 in. o ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dispersal/Treatipent Area Information: Design Flow /V� gpd) Design Soil Application Rate(gpdst) / Dispersal Area Require �f� Dispersal Area se s� System Elevation C/ 9 J �7,5(/ 7 I c 6cL 2. 7 S, 3 Vl. Tank Info Capacity in Total ' # of Manufacturer Gallons Gallons Units c v U New Tanks Existing Tanks c $' B tj G w U in rn w C7 a Septic or Holding Tank S _ 8 !F 5 iTJ _ r _ W/ s e v ,- __ 3 _ Dosing Chamber Sb q 5-b r ,z VII. Responsibility Statement- I, the undersigned, assume responsibility for installation ofthe POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Signature MP/ umber Business Phone Number Q &Y 0C—(_fj1A1 Z 2-1 9 7 `7 /s Z7,7 Plumber' Address (Street, City, State, Zip Code) rfJO -;2 } ecJ ( S p V11I oun /De artment Use Onl Permit Fee Date I sued Issuing nt Signature Approved p $ // en Reason o weal (oz.; IX. Conditi easons for Disapproval 5) 1. Septic tank, effluent filter and dispersal cell must all be servtces / maintained t �► >I�v�S p �'� as per management plan provided by pluFnw. / Z, MiOawkfie�t�remeltts MUSt be maintained Dl 6. tror to camp ete p ins or the system and submi the County only on pa r not less t 8 tn/x 11 inches in size SBD -6398 (R. 01/07) Valid thru 01/09 a -- PriTa Was,wn-u PLOT X 11 e to —�z t� PLA ' i Ohs - acal - 2-- grown of -c - Q, D� �srrTis� - v s �C- O J L ..9 ' 51 no S a Dc' v ra -RaE4 � t 3` 10 ID K7� ,��tirARTAlpn�O Safety and Buildings 10541 N RANCH ROAD Ua s s OU AM HAYWARD WI 54843 3 SAO S Contact Through Relay www.commerce.wi.gov /sb/ y x www.wisconsin.gov �� Sit~ Scott Walker, Governor Paul F. Jadin, Secretary August 09, 2011 CUST ID No. 224832 4TTN: POWTS Inspector MARY JO HUPPERT ZONING OFFICE HOLLISTERS SOIL TESTING & DESIGN ST CROIX COUNTY SPIA W9875 690TH AVE 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 CONDITIONAL APPROVAL IdentificationNumbers PLAN APPROVAL EXPIRES: 08/09/2013 Transaction ID No. 1970944 Site ID No. 769456 SITE: Robert R Saunders & Gloria J Nelson Please'referto both identification numbers, 508 Cth Bb above, in all cones ondence with the agenc Town of Eau Galle St Croix County SE1 /4, SE1 /4, S4, T28N, R16W FOR: Object Type: POWTS Component Manual Regulated Object ID No.: 1325348 Maintenance required; Replacement system; 750 GPD Flow rate; 10 in Soil minim depth to limiting factor from original grade; System(s): Mound Component Manual -Version 2.0, SBD- 10691 -P (N.01 101), Pressure Distribution Component Manual - Version 2.0, SBD- 10706 -P (N.01 101); Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plan and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: If two cells are to be utilized in the mound, a minimum distance of 10 ft. between cells must be maintained. All upslope surface waters must be diverted away from the mound. A linear loading rate of 4.5 or less must be used for this site. Also the basal loading rate must b .2e�5_of less. Both rates are in gallons /sq.ft. /day. Reminders it 76 1 1 st �' = 6 31 g� ? • This system is to be constructed and located in accordance with the approved plans and with the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems Version 2.0" SBD- 10706 -P (N.O1 /O1). • This system is to be constructed and located in accordance with the approved plans, and the "Mound Component Manual for Private Onsite Wastewater Systems Version 2.0" SBD- 10691- P(N.01 /01). • The pressure network is to be constructed in accordance with publications SBD - 10706- P(NO1 /O1) "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems - Version 2.0" and/or the h T MARY JO HUPPERT Page 2 8/9/2011 sizing methods of publication "SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) ". A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 Fee Received $ 250.00 / f Balance Due $ 0.00 Carl J Lippert Wastewater Specialist, Integrated Services WiSMART code';, 7633; (715)634 -3484, clippert@conimerce.state.wi.us cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 828-5902, Monday, 7:00 A.M. To 3:30 P.M. Plumbing Contractor and Sewer Systems, Nelson Plumbing MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN INDEX AND TITLE PAGE Project Name: Owner's Name: Owners Address: ► 39' AUCA1 fit✓ Pro Address: 508 C.T.H. BB c X � I��Y ' Legal Description: SE 114 of the SE 1/4, Sec. 4, T28N, R18W mss. ( 1) Township: Eau Galle I �� g LU1NG AND County: St. Croix ESPCN��� Subdivision Name: NA E� G Lot Number. NA Block Number NA Parcel I.D. Number. 008 - 1012 -40 - 000 Plan Transaction No.: dull 'Page 1 Index and title Page 2 Data entry le Cam' v +.��,/�,► Page 3 Mound drawings -� •.•• •_.•' Page 4 Lateral and dose tank MARY JO ••. Page 5 System maintenance specifications HUPP % RT Page 6 Management and contingency plan Page 7 Pump curve and specifications °rl F11V P FALLOW Page 8 Plot P •� gr�I •• j . Designer. Mary Jo Huppert License Number. 1859 -007 Date: 06/28/11 Phone Number (715) 42:6 -1775 Signature: a _ Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB- 10891 -P (N. 01/01), and both SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) ".and Pressure Distribution Component Manual Ver. 2.0 SBD- 10706 -P (N. 01 /01) Version 5.1 (R. 06 /06) Page 1 of 8 Re6dZiWWaSftVMftCantsmbjM o n : 3 MOOL < BCD, c 22 mgtL Astir F ned up& tang 30 w#L < T99 < 150s 'L Fetatl GbllfMM > 10,000 dW1OP mL Fes, oils, wease <30 nw, Bed= xr • x !00 x iS hydrmdic loa Ili Czti�latious In situ desiggr w: tosi ing rate 8 if L9 - fl- Per day Depth to esths nd b igh growd vmw 0 in, Depth to bed; 0 :k Cross slope a# l ystem ,.) % Force lain It it R. of in. Manifoldll ;kr igilr fL of Diem - bank Lateral leltgt; ,s 7a d & of I !; ic. Lateral elevat: la a ff. @ battwrt of legal Lateral hole s 2 in. @ in. M Specim - 11 l Lateral volume s Total iaseral d is c tyre g�katshaimute @ ft. iw ad Network putt .e ct~► ott lames 1, a R - i Elevation Jiff nwe - a & Friction loss i�. (c _?. %. gatla�ashaiatet+e Total dynamic l,essl Nlmtttl tt c _ t[ALp _ Model # 4?5 Dose volume / Ivy y � I.iCUsYpt3foet tar; _ t 1j 5112 - w 1, q6 Salkws Septic teak g50 g F illueat filter LOOL, s za Nlea� i to asp on and of Height alarm f" m tank boom ; I ice, Reserve cam; ! 3`7-5" g a Um RECEIVED AUG 03 2011 p ap SAFETY & BUILDINGS M Ot?�Nn Ric -rE t fl �V � W �CS-t !a'80TE1�T I l� 40 tl��t Or r ' r D r , Z I �0 2 Gnu s - b. r- �E tzt✓ �T t~L' A,s 75 of /D f Ea 2- Eo r t , /4852 'N \�i�'f -rb : ` i 4�i•Qawslls '�• 4.� v�ti h1.T� � `+—ri ���+ �.N. � Q i 4' 06 + �., 2.50 a 72. ' JL rp 0 �o -41 df I D 743' 41A" P ui. e,.►. tr&A rr e�s Vr...�fa. �.�Lk o �+. 'o�► • ♦ *46%, �► ra..�a 1X VI S� �� tnr Ra ; li4% Lu _ � et.'s�+ewaC � .�►�- A : � -- �� 1da 2 S rR t . .ways �► �'�'� � � �r .a� 4 �' QVC. St,.M d; „gip u.�s �►a:w Mound Svstem Maintenance and Operation Sue- Mcations Service Provklers N _:. -_._ ... .: 23 ame _ Ca __ ssellius _ _ Sanit Servi Phone: (715} 2ci5- � 4623 ; POWTS Regailator's Name _St Croix Coun Zo ning ^ !y Phone (715) 386 -4680; System Flaw and Load Parameters Des gn Flow - Peak 750 gpd Maximum Influent Particle Size 118 in Estimated Flow w Average 500 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1585 gal Maximum TSS 150 mg/L Soil Absorption C ompdnent Size 750 fe Maximum FOG 30 mg/L Type >' of Wastewater Domestic Maximum Fecal Coliform >10E4 efu/100 mL Service Frequency Septic Ind Pump Tank Inspect and/or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 yea Punp and Controls Test once every 3 years Alarm Should test month P essure System Laterals should be flushed and press tested every 1.5 years Mound Inspect for ponding and see page once eve 3 yea Miscellaneous Construction and Mallemis Standards 1. Observation Dipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap, and are sect red in ,, as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity anJ pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound � tructure and other disturbed areas will be seeded and mulched to prevent sal erosion and help redi ice frost penetration. Lateral Turn -up Detail Finished ......... G +rude 6-8" Diameer Laken Threaded Cleanout Sprinkler Vlve Box Plug or Ball Valve l Distr lbutiort Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project ROBERT R. SAUNDERS & GLORIA J. NELSON Page of �� Mound System Management Plat Purn nt to Comm 83.64, t+Yis. Aft. Cade General This system shag tie operated in accordance WM Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals (SBD- 10691-P (N.001), SSWMP Publication 9.6 (0181), and Pressure Distrbution Component Manual Ver. 2.0 SBD- 10706 -P (N. 01 ro 1)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever ends septic or pump tank since dangerous gases may be present thzt could cause death. Septic and pump t ink abandonment shaft be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no bnger used as POWTS components Septic or pump tar k manhole risers, access ruts and covers should be inspected for water tightness and soundness. Access openings used for service and assessment strati be sealed watertight upon the cordon of service. Any opening deemed unsound, defective, or subject to failure mus be repl aced. Fwd access openings greater than 8 inches in diameter shall be securw by an effective hocking device to prevent acc idental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. C ode. The operatio3 condition of the septic tank and outlet filter shall be assessed at least one a every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The fdter cartridge should not be removed unless provisions are made to retain so ids in the tank that may slough off the later when removed from its enclosure. If the filter is equipped with an alarm, the filter shag be serviced if the alarm is activated continuously. Intermittentflter alarms may indicate surge flows or an impending continuous alarm. The septic tank slag ham its contents removed when the volume of sludge and scum in the tank exceeds 1t3 the liquid volume of the tank. if the contents (f the tank are not removed at the time of a triennial assessment, maintenance personnel shag advise the owner of when the next service needs fa be perfumed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biWo" or chemical additives to enhance septic tank performance is generally not requi red. However, if such products are used they shag be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing;: tank shag be inspected at least once every 3 years. All switches, alarms. and pumps shag be tested to verify proper operation. If an effhue nt fWar is installed within the tank it shag be inspected and serviced as necessary. Mound and Pressure Dlstribulion System No trees or shrubs should be planted our the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched is necessary to prevent erosion and to provide some protection froth frost penetration. Traffic (other than for vegetative maintenan. , ;e) on the mound is not recommended since sal compaction may hinder aeration of the infiltrative surface within the mound and snow Corr partiob in the winter will promote frost penetration. Cold weather installations (October - February) dictate that the mound be heavily mu ched as protection from freezing. Influent quality into; the mound system may not exceed 220 mg/L BOD 150 mglL TSS, and 30 mg& FOG for septic tank effluent or 30 mg1L BODs, 30 mg& ` -SS,10 mg1L FOG, and 10 c fu1100 mL for highly treated effluent influent flow may not exceed maximum design flow specified in the permit for this irtstallation. The pressure asoix tion system is provided with a fimtshing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulate d solo at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice dogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shag be checked for effluent ponding_ Ponding levels shag be reported to the owner, and any Ievels above 6 inches considered as an impending hydraulic failure requiring additional. more frequent monitoring.. Confinoertcy Plan If the septic tank or any of! b components become defective the tank or component shag be repaired or replaced to keep the system in proper operating co nd Lion. If the dosing tank, twmp, pump controls, alarm or related wiring becomes defective the defective component(s) shag be immediately repaired or replaced with a component of the same or equal performance. If the mound compo nent falls to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' preserr location by increasing basal area if toe leakage occurs or by removing biologically dogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to brag the system into proper operating condition. See Page 5 of this ofan for the name and telephone number of your bpi POWTS regulator and service provider. Pretreatmerrt Wits The information anc schedule of mananagemert and maintenance for pretreatment devices such as aerobic treatment units or disinfection units are attached as eparate documents and are considered part of the overall management plan for this system. is • Ys✓L�l�ti1•�- 11.t�e�ST3� c� : i ©f �O v 11FT GOULDS PUMPS Residential dater Systems APP1,110 IONS MOTOR Speclally designed for the following uses: General: • Mount] Systems • 60 gl e • EffluerVDosing Systems • LOW P ensure Pipe Systems • 115 and 230 volts • Basetr ent Draining • Built-in thermal overload protection with automatic reset • Heavy Duty Sump/ • Class S insulation. Dewirwing ", - Ora -filled design. • High strength carbon steel shaft SPECIFFLATIOI�S PE31 Motor. Pump — General: • 33 HE 3000 RPM • Disci rge. VW NPT • volts • Temp} �rature: 104 (40 ma)imum, cominr� when • Shaha ded pole design fully s ibmerged. PE41 Motor • Solids handling: W maximum sphere. • .40 HP 3400 RPM • AutDriatic models include a float switch. • 115 and 230 volts • Manu3l models available. • PSC design • Pump ng range; see performance chart or curve. PE51 Motor.. PB1 Primp: • .50 HP 3400 RPM • Maxir rum (Bpadty: 53 GPM • 115 and 230 volts • Mwdr ium head: 25' TDH • PSC design - PE41 Pa unp: AGENCY LISTINGS • Ma)ir ium agaW. 61 GPM • MaAr 1um head: 29 TDH PE51 Primp: e • Maximum capadty: 70 GPM • Maxitnum head: 37' TDH c. us Tested to UL 778 and CSA 22.2108 Standards By Canadian 5bndar& Amdation METERS FEU _ 40 / 1- Mg095 pBt. Kdt. PE57 nP J% x 50 35 Cis Punk is 150 9001 Rimed to i t= _a 1 ` -'- l f yy. 2cim t! to — 0 00. 10 20 30 40 50 60 70 GPM BO 5 ` 2 io is wh 0 �� ��CAPAtnY t t Paae Of SEPTIC TANK E PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS a" CI VENT PIPE 12" MIN- ABOV GRADE E HEATHERPROOF 2S' FROM DOOR, WINDOW OR JUNCTION BOX APPROVED FRESH AIR 'INTAKE WITH CONDUIT MANHOLE COV W/ PAD LOC K FINISkED GRADE �_ WARNING LAB G 'r.....F + .. _ 4 " MIN. 18 " IN 1 8 Miss. INLET . t '• WAITER TIGHT SEALS GAS- , TIGHT vAFPROVED FILTE , _ A_ SEAL JOINTS WITH APPROVED LH APPROVED PIP PIPE 3' B_ M 3' (INTO ONTO SOLID C I SOLID SOIL SOIL PUMP .OFF ELEV _ FT- OFF D 3' APPROVED BEDDING UNDER TANK CONCRETE PAD SPECIFICATIONS S EPTI C / DOS E TANK MANUFl CTURER : W IE5 NUMBER DOSES PER DAY: 5, 270 _ TANK SIZES SEPTIC 1595 GAL. DOSE VOLUME INCLUDING DOSE f '56 GAL_ FLOWBACK: /50 GAL. ALARM NAME'ACTURER: - rAAIK ALVa CAPACITIES A = 2-3 INCHES = -5 7-5 GA MODE1. NUMBER » +1 W 1 D l SWI'T'CH 'HYPE: M ECtIAV 164 t- B = 2 INCHES = 5d GA PUMP MANUFACTURER: CiaDU - Qt> C = _I INCHES = /�50 G9 MODEL NUTMBER : • pL 51 SWITCH TYPE: MFCtMfJIC>tL D = g INCHES = ,2DO C REQUIRED DY SCHARGE RATE 5 5 GPM PUMP ALARM WIRING AS PER I LHR 16-23 I VERTICAL D7;FFERENCE BETWEEN+! PUMP OFF AND DISTRIBUTION PIPE _ ' 5,71 FEET + MINIMUM ITETWORK SUPPLY PRESSURE _ 1; - - - - - .�_ FEET + ---- :''EET' q FORCEMAIN X A. O FT /100 FT- FRICTION FACTOR _ - _ �, !} FEET TOTAL DYNAMIC HEAD INTERNAL D;:MENSIONS OF PUMP TANK_ LENGTH A � WIDTH IDS DIAMETER LIQUID DEPTH 39 � /570 - sy.: /YV AcfuAL. bo5l — -3q y , , ) 0 3= 5 05y dam- .1414L - 750 y d lvy I/ = 5. Z0 d ld - SAUM)Ek5, 1 R C1 -WJ Jt NC L50 • go 0 i t t PLOT PL AN .s XI i& F- IN C avmu-r, of FiAV & 0 s'z Ir GsW �6R� .v-. � V 3 LL ^ \ S _'7 Y a � i '�L� ► 'r� t O q9 i /0 of ID =V7 State of Wisconsin INSPECTION Department of Commerce Safety & Buildings Division REPORT Bureau of Field Operations Inspection Date i F Z Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04(1)(m)). Name of Premises Address or Legal Description City /Township County s -, Master Plumber Name and Address Master Plumber Firm Name and Address Plan I.D. No. Sanitary Permit No. Journeyman Plumb6T /Soi LTestter t Licensed Person's Name(s) and License Number(s) Owr1pr Name and AddrWs Af / yy s r. ,r K t r �s .. f 1 f� Page of Signature of Responsible Licensed Person (only one needed) � r (Check all1 Original: Signature of Plumbing Consultant /Private Sewage Consultant Copiesto: `thatapply/ A_ st3n slsz(R.1i/ss) District 0 S &B OPlumber OOwner O co Lmty /tacal lnsp. 0 Other RECEIVED Wisconsin Department f Commerce SOIL EVAL13% � Page I of 3 Division of Safety and 'tdings r� p�d JUN 3 i L U ! I arx a Comm 85, Ws. Adm. Code Coup IX ST. CRO Attach complete site len on paper not Q ass then 81/2 x 11 inches in size. Plan must include, but not lima �S� to: vegtp f lbWrefere point (BM), direction and Parcel I.D. 008 - 1012 - 40 - 000 ye percent slope, scale 6i�®t,b�Fdr{6Fa lion and distance to nearest road. �Q Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location ^ ROBERT R. SAUNDERS & GLORIA J. NELSON Govt. Lot ---- SE 1/4 SE 1/4 S 4 T 28 N R 16 EE (or) Property Owner's Mailing Address Lot # Block # Subd. Name or CS / 139 Avon Cove NW -- -- MrCI It . City State Zip Code Phone Number aity village L:jTown Nearest Road Rochester, MN 1 55901 1 ( ) C.T.H. BB New Construction UseE) Residential / Number of bedrooms 5 Code derived design flow rate 750 1 GPD EI Replacement Public or commercial - Describe: Parent material glacial till Flood Plain elevation if applicable NA ft. General comments Mound System- 9 SU rate and recommendations: nd}�lI =- 6:18 k>ading ( � /t � / Q77 RPRETIVE DETERMINATION REPO �// 12011 A +0 SITE SSG Boring # D Boring - - - -- - Pd Ground surface elev. 97� _30 ft. Depth to limiting factor 9 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 I 0-4 10YR2/2 sil 3fgr mvfr aw 3vf-m 0.6 0.8 2 4-8 10YR2/2 - s0 2f -mgr mvfr as 3vf co 0.6 0.8 3 8 -9 10YR4/4 - sil Ifpl mfr as 2vf-co 0.4c 0.6 4 9 -12 10YR4/4 elf 10YR4/6 &10YRfi/2 sin 2f - -mabk mfr cs 2vf-co 0.6 0.8 5 12 -18 10YR4/6 c2d 10YR5/6 &10YR6 /2 sl 2f -n mfi cs 2vf-co 0.6 1.0 6 18 -22 10YR4 /6 m2d 1oYR5 /6 &10YR6/2 scl If- -mabk mff, -- lvf-f 0.2 0.3 Horizon 3 parts to fabk; horizon 5 is a heavy sl; some gr; 1 few cobs. 2 Boring # Ong 92.70 8 Q Pit Ground surface elev. ft. Depth to limiting factor in. Sofl Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW in. Munsell Qu, Sz. Cont. Color Gr. Sz. Sh. *Efr#1 *Eff#2 1 0 -3 10YR2/2 - sil 3fgr mvfr cs 3vf-m 0.6 0.8 2 3 -7 1 10YR2 /2 - sil 3f -mgr mvfr as 2vf-co 0.6 0.8 3 7-8 10YR4 /3 - sil 2fabk mfr as 2vf -co 0.6 0.8 4 8-12 10YR4/3 f1f 10YR4/6 &10YR6/1 sil 2fabk mfr as 2vf-co 1 0.6 0.8 5 12 -16 10YR4/4 c1d 10YR5/6 &10YR6 /2 sicl 2fabk mfr as 2vf-co 0.4 0.6 6 16 -20 10YR4/6 c2d 10YR5/6 &10YR6/2 Cl If- ma&sbk mfi -- lvf -m 0.2 0.3 Horizon 2 -6 have some broken Ifpl that parts to fabk; some gr; few cobs. * Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L *Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) _ — S' CST Number Mary Jo Hu ert ollister s Soil Testing & Design) 224832 Address Date Evaimlibn Conducted Telephone Number W9875 690th Avenue, River Falls, WI 54022 06-27-11 (715) 426 - 1775 Property Owrie► kti S JVttSi))1U Pamei ID # 008 - 1012 - 40 -000 Page Z of 3 3 Boring # Boring 95.10 8 n Pit Ground surface elev. tt. Depth to kn&V factor in. Sol Appkation Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDNF in. Munsefl Qu. Sz. Cont. Color Gr. Sz. Sh. •011"1 •Eff#2 1 0 -3 10YR2/2 -- sil 3fgr tm/fr a 3vf-co 0.6 0.8 2 3-8 IOYR2/2 -- sil 2fabk mvfr as 2vf-co 0.6 0.8 3 8 -12 IOYR4/3 I f1f IOYR4 /6&10YR6/2 sil Ifpl mvfr CS 2vf-co 0.4c 0.6 4 12 -16 10YR4/4 f2d 10YR5 /6 &lOYR6/2 sil 2fabk mfr cs Zvf-co 0.6 0.8 5 16-20 10YR4 /6 m2dlOYR5 /6&IOYR6/2 cl 3f -mabk mfr cs 2vf-m 0.4 0.6 6 20-24 10YR4/6 m2p7.5YR4/6 &10YR6 /1 scl 2f - -mabk mefi -- lvf-f 0.4 0.6 Horizons 4,5 &6 have broken Ifpl that parts to fable some gr; few colas. F Bo" # o Mrbv 0 Pt Ground surface elev. fL Depth to limiting factor in. Sol Appkation Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Mursefl Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •0102 Boring # Boring spit Ground surface elev. ft. Depth to pmiting factor in. Sol App Rate Horizon Depth Dominant Color Redox Descripfion Texture Structure Consistence Boundary Roots GPD/it= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eft#1 'Efr#2 * Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BOD < 30 my/L and TSS < 30 rng/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 -264 -8777. ssu-s: MOK(x moon Pg 3 of 3 Private On -Site Wastewater Treatment System (POWTS) PLOT PLAN FILE INFORMATION PROPERTY LOCATION Owner 6g exti. W - Ptopwy Atz R� -ss h '/. ,Section . T zs' N.R 1(o E PIN # OCity, E3Villqgej1dTown of DOg lOJZ - �iO - ODD 6,4t4 CA.L sc�"Xounty. WI t it s 190 cUy '(EX CE Pl N0 S Z.00 AtiK �X.tStIN� �M)E�.t..tNto • � Mx Z;. p 7 A-0 � 'L �9Pr10 u. a 3 Y z aJ t�E ofl 00 Z ,etc J �I o Tom\ �G• f� 9.�g � � h c Aw sw >f..4V� 85. a4 Z v g7,10 n N 30 -1 X ,,— D�� - A NORt ZOO ufl vv l� W ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer /�l�t�'!L� 5'�Q e�.�JIA S �- L0;9 t/4 NC r Mailing Address �J 9 U(�N G A41LJ 1! �d Property Address (Verification required from Planning & Zoning Department for new construction.) City /State wdd 10 yl L L �r- w l Parcel Identification Number LEGAL DESCRIPTION Property Location ' /4 , S 6 1 /4, Sec., T Z N RW, Town of plc Subdivision , Lot # Certified Survey Map # , Volume , Page # Warranty Deed # , Volume , Page # Spec house yes no Lot lines identifiable (OV no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my /our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms z m-' %&.,, 2611 SIGNA URE OF APPLICANT(S) DATE ** *Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * ** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) i r �• IIIIIIIIIIIfllllllllllllllllll $ 0 Tx:4021112 7 STATE BAR OF WISCONSIN FORM I - 2000 937515 BETH PABST Document Number WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO., WI THIS DEED, made between River Bank Exchange, LLC, a Minnesota 06/14/2011 12:31 PM limited liability company, Grantor, and Robert R. Saunders, a single person, EXEMPT #• N/A an undivided 75% interest, and Gloria J. Nelson, a single person, an REC FEE: 30.00 undivided 25% interest, as tenants in common, Grantee. y TRANS FEE: 449.70 Grantor, for a valuable consideration, conveys to Grantee the following PAGES• 2 described real estate in St. Croix County, State of Wisconsin (the "Property "): SEE ATTACHED EXHIBIT A Recording Area Name and Return Address: Land "Title Inc. 2200 W. Co. Rd. C. Ste 2205 Roseville. MN 55113 1 551 9a -34 Together with all appurtenant rights, title and interests. 008 - 1012 -40 -000 & 008 - 1012 -10 -050 Parcel Identificption Number (PIN,) This is not homestead property. Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except Easements, Restrictions, Reservations, Roadways and Rights -of -Way, if any, of Record. Dated this 27th day of May, 2011. River Bank Exchange, LLC * Ja s Z , Member * * AUTHENTICATION y � • ,..••••••Kl�� ACKNOWLEDGMENT .1- Signature(s) a�• N Q •• ' STATE OF WISCONSIN ) n ST. CROIX COUNTY. ) ss. authenticated this 27th day of May, 2011 \ � ;� Personally came before me this 27th day of May, 2011 the �.,•• �C above named James Zeller , the Member of River Bank * Exchange, LLC, a Minnesota limited liability company , to me TITLE: MEMBER STATE BAR OF WISCONSI. I known to be the person(s) who executed the foregoing (If not, instrument and ackno eyed ne. v authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY * Ke I ly J. Nelson Notary Public, State of Wisc nsin Larry Mountain, Attorney at Law My commission is permanent. If not tate expiration date: 4/13/2014 ) (Signatures may be authenticated or acknowledged. Both are not necessary.) {Names of persons signing in any capacih must be typed or printed Ntow their signature 1 of 2 NVARRANTY DEED STATE BAR OF WISCONSIN FORM No. 1 -2000 r:� 1 EXHIBIT A Parcel 1: That part of the Southeast Quarter of the Southeast Quarter (SE ' /4 of SE ' /4) of Section Four (4), Township Twenty -eight (28) North, Range Sixteen (16) West, commencing at the SE Corner of the SE 1 /4 of Section 4 thence North 410 feet; along the East line thence West 220 feet parallel to the South line; thence South 410 feet; thence East 220 feet to the place of beginning, St. Croix County, Wisconsin. Parcel 2: The Southwest Quarter of the Southeast Quarter (SW ' /4 of SE ' /4) of Section Four (4), Township Twenty -eight (28) North, Range Sixteen (16) West, except Certified Survey Map in Volume" 15", Page 4180, Document No. 657491, St. Croix County, Wisconsin. 2 of 2 teTMEN Safety and Buildings 10541N RANCH ROAD CO r HAYWARD WI 54843 r Contact Through Relay www.commerce.W.gov /sb/ 9� S www.wisconsin.gov OA -� � SION Scott Walker, Governor Paul F. Jadin, Secretary August 09, 2011 CUST ID No. 224832 ATTN: POWTS Building Inspector MARY JO HUPPERT ZONING OFFICE HOLLISTERS SOIL TESTING & DESIGN ST CROIX COUNTY SPIA W9875 690TH AVE 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 (Please forward a copy of this letter to the fire department conducting inspections of this project.) CONDITIONAL APPROVAL IderitificatioriNumbers PLAN APPROVAL EXPIRES: 08/09/2013 Transaction ID No. 1970924 Site ID No. 769456 SITE: Robert R Saunders & Gloria J Nelson Please refer'ito both identification numbers, 508 Cth Bb above, in all comes ondcnoe with" the a enc' . Town of Eau Galle St Croix County SE1 /4, SE1 /4, S4, T28N, R16W FOR: Object Type: Soil Saturation Determination Regulated Object ID No.: 1325345 Site has 10 inches of suitable soil before encountering a limiting factor. The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. Only those object types listed above have been approved; other submittals such as plumbing and those listed below under Also Submit, may be required. The following conditions shall be met during construction or installation and prior to occupancy or use: If two cells are to be utilized in the mound, a minimum distance of 10 ft. between cells must be maintained. All upslope surface waters must be diverted away from the mound. A linear loading rate of 4.5 or less must be used at this site. Also the basal rate must be .25 or less. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. If plan index sheets were submitted in lieu of additional full plan sets, a copy of this approval letter and index sheet shall be attached to plans that correspond with the copy on file with the Department. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. You are responsible for complying with state and federal laws concerning construction near or on wetlands, lakes, and streams. For more information, visit the Department of Natural Resources wetlands identification web page or contact a Department of Natural Resources service center. Nothing in this approval limits the power of municipalities to make or enforce additional or more stringent regulations, providing the regulations do not conflict with this code or any other rule of the department or any law. This plan has not been generally reviewed for compliance with fire code requirements, including those for fire lanes and fire protection water supply, so contact the local fire department for further information. If this construction project will disturb one or more acres of land, a Water Resources Application for Project Permits (WRAPP) (previously known as the Notice of Intent) shall be filed with the Department of Natural Resources prior to any land - disturbing activities. More information regarding the DNR's permitting requirements for runoff MARY JO HUPPERT Page 2 8/9/2011 management for construction sites can be found at the DNR's website, bLtp://dnr.wi.gov/runof`f/stormwater/constrforms.htni In granting this approval, the Division of Safety & Buildings reserves the right to require changes or additions, should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. The Division does not take responsibility for the design or construction of the reviewed items. Per s. Comm 61.40(4), projects for buildings of over 50,000 cubic feet total volume shall have supervising professionals who file compliance statements with this agency and the local code officials prior to occupancy of the project. The compliance statement form is available on our website, hq://dsps.wi.gov/sb/SB-DivForins.html#conimercial under forms for commercial buildings. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. We look forward to working with you to make this code - compliant construction. Sincerely, Fee Required $ 240.00 Fee Received $ 240.00 Balance Due $ 0.00 Carl J Lippert Wastewater Specialist, Integrated Services W IS MART coded 7633 (715)634 -3484, clippert@commerce.state.wi.us cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 828-5902, Monday, 7:00 A.M. To 3:30 P.M. Plumbing Contractor and Sewer Systems, Nelson Plumbing Note: The State of Wisconsin will adopt the 2009 International Code suite with an effective date of September 1, 2011. For further information, including a copy of Wisconsin amendments to the I- codes, visit our code development webpage, hlg2:Hcommerce wi �, SB /SB- CodeDevelopment.littnl #A60 Note that submitters wishing to have new projects approved under the 2006 I -codes will need to have those submittals postmarked or in our offices by August 31, 2011. INTERPRETIVE DETERMINATION REPORT Property Owner: ROBERT R. SAUNDERS £t GLORIA J. NELSON 139 Avon Cove NW Rochester, MN 55901 Site Location: 508 C.T.H. BB SVK of the SE /., Sec. 4, T28N, R16W Town of Eau Galle St. Croix County Structure To Be Served: Existing 4 bedroom dwelling conditiO Y COMMERCE pEPN � OF A ND UILDINGS 4 AF Prepared by: G POND EN Mary Jo Ru ppert, CST #224832, Designer #1859 - 007 Date: 0 Hollister's Soil Testing a Design W9875 69& Avenue River Falls, WI 54022 Phone and Fax#: (715 )426 -1775 I. INTRODUCTION On June 27, 2011 this soil tester completed a site and soil evaluation at the above described property. The soils did not have A+4 conditions that is required per the State of Wisconsin, Department of Commerce regulations. This report is required to determine the suitability for installation of a private on -site wastewater treatment system (POWTS) in lieu of groundwater monitoring. This property has an existing dwelling and the existing POWTS has not been functioning properly with an overflow apparent. The property is located 314 mile south of 194 and borders county road BB. The property owners have requested the interpretive determination to have a functioning POWTS to serve the structure. II. PREPARATION OF REPORT This report is being prepared according to the standards set forth by Comm 85.60(2) of the Wisconsin Administrative Code and a guideline prepared by Leroy Jansky called "Preparing the Interpretive Determination Report." M. REQUIRED INFORMATION A. The Soil Evaluation Report has been conducted according to Comm 85.40 and is attached as part of this report. Seven backhoe pits were evaluated.' B. Local Hydrology 1. Surface Water: no ponding appears to take place on the site based on the slope of the land and vegetation. The tested area position is on the backslope of the hillslope. The site has a 10% slope. 2. Subsurface Water: some rainfall leaves the site and some is absorbed into the A horizon. The silt loam texture within the A horizon has good structure with root and worm action taking place. The subsoil has a higher clay content and a weaker, platy stricture which tends to hold more water due, to the evidence of redoximorphic features which varies from 8 to 18 inches. 3. Soil Saturation - soil appears to become saturated under the A horizon due to evidence of redoximorphic features. No water was observed in the five pits that were conducted. Page 2 - SAUNDERS lit NELSON Two pits that were observed at redoximorphic features in the A horizon. These two pits are located 30 feet to the south and downslope of the pits that are being used for a proposed system area. 4. Surface Water Elevations - this area is within the Lower Chippewa River Basin. There are no surface waters near the proposed site. See the attached map from the U.S. Geological Survey. Carr Creek is located approximately 1 % mites to the east and flows at a southeasterly direction to the Eau Galte River which is 2 Ih mites to the west. Two drainage ways existed 1 % miles to the east and west of the site. See attached St. Croix County GIS map. C. Geomorphology 1. Parent Material - The parent material is loess over glacial till. 2. Landform Type - The proposed system is in a layer of Bitty material over glacial deposits. D. Landscape Position and Local Topography - The proposed system is located more to the bottom location of the landscape and on the backslope of the area. The shape of the slope is linear. The ground surface elevation is at 1200 feet mean sea level with fairly tower elevation alt around the site. USGS Topographic Map. !14 A ' 1 Sc: AND j sA Page 3 -- SAUNDERS It NELSON E. Soil Series and Mapping Units - The Solt Survey of St. Croix County has the area mapped as a Artand Series. This soil tester encountered the conditions to be more similar to the Skyberg Series which is mapped just north of the site. The clay loam till was observed; not sandstone. The typical profile per the Soil Survey for the Skyberg Series is (in a cultivated area): 0-8 very dark grayish brown, moderate structured silt loam 8 -10 ", grayish brown, friable, weak structured silt loam 10 -18 ", grayish brown, friable, moderate structured silt Loam, With common, fine mottles 18 -25 ", grayish brown, firm, moderate structured heavy loam with many prominent mottles The series is described as poorly drained soils on gently sloping areas on foot slopes and in drainageways of ground moraines. The site has more slope than described. Permeability is moderately slow and water capacity is high. SOIL MAP FnB �r._A -1 SYA t f7gD2 Rg G2 ., RgC2 P Rg SaC2 RgV2. o9 1l d 54TH SOB QMa � Fra$ A ©B z rA rA. K7 Sam` Va C2 'Sa8 SaC2. 94 a; Au4 SrA itoG2 YaL rA PQ$ SaG pgC2 ' Sri uA .Sa C2 AsB f2 /'visa YaE# g GP rARgC2 SaB As CZ {�! 4 A pQZ' VAB AaB VA 10 Va Page 4 -- SAUNDERS 8t NELSON F. Field Observations - the proposed site is in grass and has been the lawn area for many years with many large trees. The soils identified were similar to the Skyberg Series except clay loam and sandy clay loam was encountered. Estimation of the high ground water to be at 8 inches which is verified by the redoximorphic features. The entire landscape was dry. All soil pits had some moist conditions. There has been no cutting or filling in the area and no drain tile or ditches were observed. The construction of the roads bordering this property does limit water that is received on the site. G. Comparative Analysis - All soil borings had low and high redoximorphic conditions under the A horizon that were common, medium and distinctive. Two pits had 1 inch of no redoximorphic features under the A horizon. Two pits had redoximorphic features in the A horizon !which helps verify that prolonged saturation does occur but it is at a lower elevation than the proposed POWTS site being evaluated and that prolonged saturation does occur at 8 ". There is no prolonged saturation for more than 7 consecutive days within the top 6 ". H. Government Reports and Comments - This soil tester had an approved interpretive determination report on property located west approximately 3/4 mile of this site in 2004 on property owned by Jay and Jan Uldyrych. The soils were mapped Santiago silt loams. There are new and replacement mound systems within the area. IV. Conclusion and Recommendations - the site is suitable for a POWTS as evidenced by the redoximorphic conditions described above. There appears to be no evidence of hydric soils or hydrophytic vegetation. Most of the surface water leaves the site due to the position in the landscape. There is a slope to the site of 10% and no surface ponding anywhere. No prolonged saturation occurs within the top 8" as evidenced by tack of the redoximorphic features. 1. The sand fill shall be 2.50' of ASTM C -33 code required. Page 5 - SAUNDERS 8t NELSON 2. The system shall be as long and narrow as possible. 3. Plow depth should be the maximum required depth of 12 inches during dry soil conditions so there is no chance of soil smearing. 4. The system loading rate to be 0.4 GPD /ft2. 5. Construct the toe area of the mound system at a 1:4 ratio instead of the required 1:3 to increase absorption area. 6. Recommended system elevation to be at 95.80 ft. The State of Wisconsin, Department of Commerce will review the site and report to make a final approval. Submitted by, Mary Jo Huppert Certified Soil Tester #224832 Designer #1859 -007 REFERENCES: 1.) Martin, L. (1965). The Physical Geology of Wisconsin. University of Wisconsin Press. Madison, Wisconsin. 2.) Soils. Downloaded from University of Wisconsin Education Courses website. 3.) Soil Survey of St. Croix County. (1978) United States Department of Agriculture, Soil Conservation Service, with the Research Division of the College of Agriculture and Life Sciences, University of Wisconsin. 4.) State of Wisconsin. Department of Commerce Code, Chapters 83 and 85. 5. United States Geological Survey. Topographical and aerial maps downloaded from : : i . ") X i a 6. St. Croix County. St. Croix County Development Management Plan. Physical Features Analysis. Downloaded from VNisconsin Department of Commerce SOIL EVALUATION REPORT pw 1 of 3 Division of5afety and Buuildd'mgs in accordance with Comm 85, Wfs. Adm. code ST. CROIX county Attach complete site plan on paper not less than 812 x 11 kxdles in size. Phan must include, but not limited to: vertical and horizontal reference point (BM), direction and parcel I.D. 008 -1012 - 40 - 000 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please Print all iMormattion. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location ■ ROBERT R. SAUNDERS & GLORIA J. NELSON G04. L ---- SE 114 SE 1/4 s 4 ! T 28 N R 16 E( Property Owners Mailbrg Address Lot Block * Subd. Name or CSM# 139 Avon Cove NW — -- -- city State Zip Code Plane Number OCty ❑ Vfte Ltrow Nearest Road Rochester, MN 1 55901 1 ( I Eaul calle I C.T.H. BB ❑ New Constn# ion UseE] Residential / Number of bedrooms 5 Code derived design flow rate 0 GPD Replacement ❑ Public or commercial - Describe: Parent material glacial (ill Rood Plain elevation if applicable w fl. General comments Mound System — 2.50 R sand fill -- 0.40 loading rate '!! and n vvvrendations: SEE INTERPRETIVE DETERMINATION REPORT'"' A +0 SITE Boririg # ❑ Boring G1 Pit Ground surface elev. 97.30 ft. Depth to Wn&V factor 9 in Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDRF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Ef1H 'Eff#2 1 0-4 10YR2/2 — sil 3fgr mvfr aw 3vf-m 0.6 0.8 2 4-8 10YR2/2 — sil 2f - -mgr nr. as 3vf-co 0.6 0.8 3 8 - 9 10YR4/4 — sil lfpl mfr as 2vf 0.4c 0.6 4 9 -12 10YR4/4 c1f 1 0 YR416 &1 sil 2f -mabk mfr rx 2vf-co 0.6 0.8 5 12 -18 10YR4/6 c2d 10YR5/6 &10YR6/2 A 2f -mabk mfi cs 2vf-co 0.6 1.0 6 18-22 10YR416 m2d 1 &10YR6/2 scl If- -mabk mfi -- lvf-f 02 0.3 Horizon 3 parts to fabk; iwrizrm 5 is a heavy sl; some gr; few cobs. 2 Boring # Bonng 92.70 8 0 Pit Ground surface elev. fl. Depth to limiting factor in. Sod Application Rate Horizon Depth Dominant Color Redox Description TexWm Structure Consistence Boundane Roots GPDW in. Mursed Qu. Sz. Cori. Color Gr. Sz. Sh. 'EfW1 I "Eff#2 1 0 -3 10YR2/2 — sil 3fpr mvfr a 3vf-m 0.6 0.8 2 3 -7 10YR212 — sil 3f -mgr nn* as 2vf-co 0.6 0.8 3 7 -8 10YR4/3 — sit 2fabk mfr as 2vf-co 0.6 0.8 4 8-12 10YR4/3 of 10YR4/6 &10YR6/1 sil 2fabk rnfr as 2vf-co 0.6 0.8 5 12 -16 10YR4 /4 cld 10YR516 &10YR6/2 sicl 2fabk mfr as 2W-co 0.4 0.6 6 16-20 10YR4/6 c2d 10YR5/6&10YR6/2 cl If- ma&sbk raft _ lvf-m 0.2 0.3 Horizon 2 have some broken 115 that parrs to fabk; some gr; few cobs. Effluent #1 = BOD > 30 5 220 mg/L and TSS >30 < 150 mall ' Effluent 02 = BOD 130 mg/ and TSS < 30 nWL CST Name (Please Print) i CST Number Mary jo Hu ollister' Soil Test ing & DesJW 224832 Address Conducted Telephone Number W9875 690th Avenue, River Falls, WI 54022 �' 06 - 27 - 11 (715) 426 - 1775 Property Owner 5ak1 E' 'S . 1�► � Parcel ID # 008 - 1012 - 40 -000 paw 2 of 3 Boring M Bo E] pit Ground surface elev. 9 5.10 ft. Depth to kn&V factor 8 n. Sol Appkakw Rate Horizon Depth Dornnant Color Redox Description Texture Stricture Consisten oe Boundary Roots Gpn(fF IM Mursell Qu. Sz. Cont. Color Gr. Sz. Sh. •EfWi - 5#2 1 0 -3 10YR2/2 -- Sil 3fgr mvfr cs 3vf-co 0.6 0.8 2 3 - IOYR212 -- SH 2fabk mvfr as I 2vf-co 0.6 0.8 3 8 -12 IOYR4/3 f1f IOYR4 /6 &IOYR6/2 sil Ifpl mvfr CS 2vf-co 0.4c 0.6 4 12 -16 10YR4/4 f2d IOYR5/6 &10YR6/2 Sil 2fabk mfr CS 2vf-co 0.6 0.8 5 16-20 IOYR4 /6 m2dIOYR5 /6 &IOYR6/2 cl 3f - mabk mfr cs 2vf 0.4 0.6 6 20-24 1OYR4/6 m2p7.5YR4/6 &10YR6 /1 sc I 2f -mabk mefi -- lvf-f 0.4 0.6 Horizons 4,5 &6 have broken Ifpl I that parts to fabk I some gr; few colas. Boring # ❑ Bong n pit Ground surface elev. ft. Depth to N nbv factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW in. Mursell Qu. Sz. Cont. Color Gr. Sz. Sh. •Ef #1 •E1102 BodM # la � Pit Grout surface elev. ft. Depth to kmiting factor n. Sol Application Rate Horizon Depth Doment Color Redox Description Texture Structure Consistence Boundary Rods G PDW n. Mused Qu. Sz. Cord. Color Gr. Sz. Sh. •Eft#1 •Eff#2 Efltuent #1 = BOD > 30 < 220 mg/L and TSS >3o < 15o mg/L • Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material m an alternate format, please contact the department at 608 -266 -3151 or TTY 608- 264 -8777. SBP833Rrat (ELMMO Pg 3 of 3 Private On -Site Wastewater Treatment System (POWTS) PLOT PLAN FILE INFORMATION PROPERTY LOCATION Owner �arz� R. 5�u�a��czs �: N- m� `� � s I - '/, ,Section $D8 C:. 8 — PRoPef Anzszrss T 2-9 N. 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