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HomeMy WebLinkAboutSAN-2020-325Wisconsin Department of Commerce Safety and Building Division PRIVATE SEWAGE SYSTEM INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes fPrivacy Law, s.15.04 (1)(m)] Permit Holder's Name: Village Hills Farm ASS'N Inc City illage Township CST BM Elev: I TOWN OF HAMMOND jInsp. BM Elev.- IBM Dpsrrinfinn- TANK INFORMATION TANK SETBACK INFORMATION PUMP/SIPHON INFORMATION SOIL ABSORPTION SYSTEM DISTRIBUTION SYSTEM SOIL COVER x Pressure Systems 0n1v COMMENTS: (Include code discrepencies, persons present, etc.) Location: No Address Available 1.} Aft BM Description -(fVV 2.) Bldg sewer length - amount of cover Plan revision Required? L7 Yes I-'711 No Use other side for additional information. SBD-6710 (R.3/97) Date ELEVATION DATA XX Mniind ()r At-r-rn,,4Pk (Q,nspection #1: �����21 Inspection #2: x 4 V Of) 44 v o t yw� t � LkeA? inn„ ;art P�fiI �}. sy�+. -3-g�, 3��$( kJJ e�Lo L�91�?� Insepctor's Signature Cert. No. County Safety Buildings and B Division � St. Croix �201 W. Washington Ave., P.O. Box 7162 Sanitary Permit N m � � filled P SEP 1 '�"2020Madison, WI 5370�7-71fi2 - u bcr(tn be frll�d In bti Co-) ror Z- -� 1 211 1� it ApplicationStat Tr• ~ti bet In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the ap ra riate governmental unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned P Protect Address (if different than trailing address) the Department of Safety and Professional Servies. Personal information you provide may be used for secondary- purposes in accordance with the Privacy Law, s. 15.04(1 i(m), Stats. I. Application Information - Please Print All Information LL+ ©, 2. Property Owner's Name Pa el # Rolling Hills Farm Owners Association Inc. .� 018--2019_ 79-000 Property Owner's Mailing Address 3435 Lahore Rd. Ste 150 Property Location City, State Zip Code Phone Number Govt. 1_ot S ��{� SW �/,, Section 29 VadnaR5 Heights, Mn, 17 (circle one) Pp II. Type of Building (check all that a lv} Lot �^ 29 N.- R E or Q e►� [9 atd- .� 1 or 2 Family Dwelling- Number of Be cams -,�, Subdivision Name .. . oc 11 Pub#clCommercial Describe Use_I31k # Rolling Hills Fa rm ----. _.�_______-_-----------w----`�_ ❑ Cite of ❑ State Owned - Describe Use CSM Number ❑ Village of -- _ IN Town of Hammond III. 'type of Permit: (Check only one box on line A. Complete line B if applicable) A. New Syst ❑ Replacement System ❑ Treatmentfl-Toldin Tank Replacement g p Only ❑ Other Modification to Existing System (explain) B. ❑Permit Renewal ❑Permit Revision List Pr -loin ermit N brand Date Issued ❑ Change of Plumber ® Permit Transfer to ew Before Expiration Om-ner ' " t)� � V wr r� IV. Type of P()WTS System/Corn onent/D�evice: (Check all that a 1y) ❑ Non -Pressurized In -Ground ❑ Pressurized. In -Ground ® At -Grade M()und > 24 in. of suitable soil ❑ Mound < ? .�4 in. of sortable soil ❑ Holding Tank ❑ Other Dispersal Component (e la hUDtQ f©r each house -_----- ------__- & Pretreatment Device (explain) �''. I)is ersallTreatment Area Information: �,�y� � Design Flow (gpd) Design Sail Application ate(C Dispersal A ea Required (st) Dispersal Area Proposed (sf) System Elevation 2490 - 1.59 .6 1'cJ0� �'�'� �032 � � t�3'G, . b Z 1045. �O1 '1044.52 'CFI. Tank .Info Capacity in Total # of Manu acturer Gallons Gallons Units g 2 S i mtec filters ✓" C , Nero Tank Existin ranks Septic or Holdmg Tank Dosing Chamber 1250 1250 Weser x VII. Responsibility Statement- I, the undersigned, assume esponsi for insta tion of the P w �,�„�,�., , t� an the attached plans. Plumber's Name (Print) Plumbe gnature^ � MP/MPRS Number Bus' ss P N be Keith Knudtsvn '� R .���. 164�443 65' 4 M � P Plumber's Address (Street, City, State, Zip Code) ..- 927 150th St. Roberts,W1. 54023 VIII. C'ounty/D artment Use Only Approved isap , Permit Fee Date Issued Issui g Agent Signature � / y en Reaso r Denial i GCS 7.C. IX. conditions of pprov WIN IF 0i9"J*Pf4A" 1 SYSTEM OWNER: 31 1. Septic tank, effluent filter and 06,v. .'C.l.��, �1;.4v "A"Ad"A dispersal cell must be serviced / maintained t as per management plan provided by plumber. 2. All setback requirements must be maintained +�.► vim-7�.► as per applicable code eKh�lete plans for the system and sukiit to the .oupity only on paper less than 8 t/z x 11 inches in sire f�kr K 44e- m a�;� &,*i ce SF3I)-6398 (R. 1111 t) C,,r t • � ` .ass o C-Z "�+ Proposed Two 6.5'x 116' Mound Dispersal Cells locating the uplope cell Wong the 1044.001 contour W/a, S.E. of 1045.00' and the down slope contour \000000 along the — 1043-52'contour w/a S.E. Of 1044-521 Sanitary Site Plan 10". 1044.001 Proposed 4" PVC Private Main Interceptor For,,,, Tyme Properties LL C w/ Optional Cleanouts near proposed J?011ing Hills Farm Outlot 2 conveyance Pipe intersections Part of the S 112 - SW114 Proposed Wieser W2500-MR See. 29 T29N-R17W Duplex Dose Tank W/ Sirntech 1049.62' 23 Hammond Tnsp. - St. Croix County STF-100 Effluent Filters OUTLOT` 2 30 42.71 ACRES 0 1,8601359 SO. FT. Orcolc ScOe (F"t) I Inch - $0 ft, E SHEET 1 A M=Top Woode ub Lathe #4044 S.E. Corner of Easement# 7 HRP = Same ASSUMED ELEV 1044.211 H.W.L. 1036,6 STORMWATER MANAGEMENT AREA Proposed 2" Sch. 4 PVC F.M.'s 1041.421 913- NX 1045,51' LOT 21,78380 23 21,781 SO. Fr. z coo Page 2 of 10 Proposed 4" Astm -D3 onveyance Pipe Typical 'stm �D3 Pipe Typical Proposed Hoot H-6009A Bio./Septic Tank Typical 411 PVC Bldg, Sewer (Sch. 40 Typical) 0- CD, WF = Olt Loo 600 g rn 21,781 SQ. LOT FT. LOT Z- 22 21 21,781 1043,48' SQ. FT. WF Boo 9 L.B.O.= WELL 1040.40WF 600 g FN# 1624 WE �2 4'1 00 r Q� << FN# 1622 "J- WF WELL LOT 600 gpd 24 ,'WELL FN# 1828 %FN#1 fi26 FN# 1627 WELL_ 000� BME 104' P SAQ A rJ September 2, 2020 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 2022-09-02 Plan Review: PWTS-092.001977-C KEITH E STONER 2_3220 Woodcreek Rd Siren WI 54872 DIVISION OF INDUSTRY SERVICES 2331 SAN LUIS PL GREEN BAY WI 54304-5211 Contact Through Relay http://dsps.wi.gov/programs/industry-services www.wisconsin.gov Tony Evers - Governor Dawn Grim - Secretary Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES 24am _ L"t-at SITE: Rolling Hills Farm Lots 21-24 SEE CORRESPONDENCE 1622 72nd Ave. Hammond Wl Town of HAMMOND St. Croix County Total Amount: $400.00 Pressure Distribution Component Manual — Ver. 2.0, SBD- I 0706-p (N.0 1 /0 1, R I Oil I 2d) Mound Component Manual — Ver. .42.0, SBD- 10691 -P (N.0 1 /0 1 , R 10/ 1 -2) Description: 2400 GPD (10 Bedrooms — Pretreatment — New C`OnstruefigLij Maintenance Required 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 plans and with any component n1anual(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: • The department may require metering or monitoring of the effluent from this product to evaluate the operation and compliance to SPS 383.44 effluent quality parameters. • A valid maintenance/servicing contract is required for the life of the system. A copy of the initial warranty or contract must be submitted to the county prior to issuance of the sanitary permit by the permit issuing agent. • Preserve dispersal area prior and during construction to avoid disturbance, compaction and use of the site. • With new construction; it is recommended not to activate the pump in the dose tank until the tanks are pumped prior to homeowner occupancy. • Wastewater generated from contractors cleaning of equipment and tools and/or left over construction products shall not be discharged into the drains discharging to the private onsite wastewater treatment system (POWTS). Waste generated steal! be properly disposed of on -site or off site. • Any tall grasses, leaves and shrubs shall be cut short and removed prior to tilling the surface for installation to prevent matting under the dispersal area. All loose organic material to be removed from POWTS Dispersal Area. • Divert surface water from all POW"I'S Areas. • Prior to construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. Smearing and compacting of wet soil will result in reducing the infiltration capacity of the soil. Proper sod moisture content can be determined by rolling a soil sample between the hands. If it rolls into a 1/4- inch wire, the site is too wet to prepare. If it crumbles, site preparation can proceed. If the site is too wet to prepare, do not proceed until it dries. • All piping shall conform to SPS 'fable 384.30-23 and SPS Table 384.30-5 • Insulate building sewer beyond 30 feet per SPS 3812.30 (1 1)(c) • Well setbacks to meet chs. NIA 811 & 8 12- • Tank Installation to follow all manufacture"s recommendations. • Verif I y property line(s) prior to installation. • Pump Floats to be set and verified per approved plan. Any changes may result in pump resizing to meet TDII and GPM Specifications. • Areas that are occupied with rock fragments, tree roots. stumps and boulders reduce the aniOUnt of soil available for proper treatment. If no other site is available. trees in the basal area of the mound Must be Cut off at ground level. A larger fill area is necessary when anv of the above conditions are ciicouiltered, to provide sufficient infiltrative area. Owner Responsibilities • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval SPS 383.54(1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. 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 Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stars 10 1. 12(21)., 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 1-30WTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Thanks, POWTS Plan Reviewer — Wastewater Specialist Department of Safety & Professional Services I Division of Industry Services email: urn.vanderleest,ti �\,Iscons[11-00\ Cell: 608-5 16-6134 Index and Title Sheet Project Name-, Rolling Hills Farm Shared Sanitary System for Lots '2 1 -2.4 (Easement 4 7) Property Owner: Rolling Hills Farm Residential Property Owners Association Inc. Address: C/O Tyme Properties Conditionally 3435 Labore Rd. STF,. 150 APPROVED Vadnais Heights MN 55110 DEPT. OF SAFETY SERDES PROFESSIONAL DIVISION OF INDUSTRY SERVICES Legal Description: S 1/2-SW '/4 Section 29 T29N-R I 7W SEE CORRESPONDENCE Township: Hammond County: St. Croix Subdivision Name: Rolling Hills Farm Outlot 2 Lots: Sanitary System Serving Lots 21-24 Comp. #/Parcel I D: 0 18-2019-79-000 Page: I Plan Narrative Page: .1.1 Plot Plan Page: 3a+b Mound Plan View and Cross Section Page: 4 Lateral Layout (Typical) Page: 5 Concave Mound Calculations Page: 6 Dose Chamber Cross -Section Page: 7 Pump Curve Page: 8 a+b Duplex Pump Panel Specifications Page: 9 Hoot Systems H-600A Tank Specs. and Hoot Service and Inspection Form Page: 10 Management and Contingency Plan Attachments: Soil and Site Evaluation Reports, Sample ATIJ Servicing Agreement and Hoot Systems LLC Product Approval with maintenance requirements. Mound Component Manual Used = Version, 2.0 SBD- 10691 -P (N.0 1 /0 1 R. 10/ 12) Pressure Distribution Component Manual Version 2.0 SBD- I 0706-P (N 01 /0 1 R. 10/ 12) Designer: Keith E. Ston- License # Designer 157-007 Signature. a 8-13-2020 Phonc # (715) 653-2324 Page 1 of 10 Plan Narrative The following shared sanitary system design discussion focuses on the proposed 16 Bedroom/ 2400 gallon per day sanitary system to serve Lots 21 thru 24 of the Roiling Hills Farm Subdivision. This plan complies with the St. Croix County and use and Development Ordinances. A "Conservation Development", Rolling Hills Farm is designed for 77 lots serviced by 22 dispersal components located on common ground. Appropriate easements and maintenance language were required prior to final approval. The St. Croix County subdivision ordinance requires that each buildable lot has a soil and site evaluation completed. For these 4 lots the mound dispersal area will be located within the existing tested area for lot 21within the common area known as Out lot 2. The sanitary easement for these four lots is designated as drain field Easement Area 7. A four bedroom maximum design flow has been established for each lot. The county will require a sanitary permit for each lot prior to construction for setting the septic/treatment components verifying the design flow for each lot. These lots will required to set an aerobic treatment tank with built in trash capacity that will be connected to a 4" conveyance pipe that wi l l gravity flow to a common duplex dose tank located just north of Lot 22's north lot line, that will alternately distribute the highly treated effluent to a common mound dispersal system consisting of two 6.5 ft. x 116 ft. mound dispersal cells. The soil tests completed by David Steel are provided. The BM for the soil test for Lot 21 equals 100.00' or 1091.80 and the BM for Lot 62 equals / 00.00' or approximately l 044.41' using NAVD $S Datum. A surveyor was hired to locate the existing irons and staked the easement area as the agricultural fields within the subdivision had continued to be cropped and some of the T-posts marking the lot corners had been disturbed. A wooded hub (BM) was set on the southeast sanitary easement area corner with an elevation of 1044.21 ft. The perimeter of the easement was staked with shots taken on the existing lot irons, as it has been 16 years since the original soil tests. Proposed Two 6.5x 1161 Mound Dispersal Cells locating the uplope cell Page 2 of'] 0 along the 1044.00'contour w/a S.E. of 1045.00' and the down slope contour along the — 1043.52' contour w1a S.E. of 1044.52' 000 \00 Sanitary Site Plan Proposed 4" PVC Private Main Interceptor 10 4W 1044-00' w/ Optional Cleanouts near proposed For: Lyme Properties LLC conveyance pipe intersections .00 Rolling Hills Farm Outlot 2 Proposed Wieser W2500-MR Proposed 4" Astm -D3 Part of the ►S 112 - SW114 Duplex Dose Tank w/ Simtech 1049.62' onveyance Pipe Typical See. 29 T29N-R17W B*3 STF-100 Effluent Filters Hammond Tnsp. - St. Croix County V---V 2 Proposed Hoot H-600A ds Bio./Septic Tank T p Y i cal 1045-51' LOT 21,783 SO. FT. 4" PVC Bldg, Sewer (Sch. 40 Typical) 23 Proposed 2" Sch. 40 21,781 QUTLOT 2 SO. FT. PVC F.M.'s 42.71 ACRES Wo 0 UP ck 0 30 50 to. 1,860,359 SQ. FT. r ==NEW O-P ` Graphic scxdd (F"t) '$ --b i Inch - 60 ft. y 1041.42' 1.5. DWF CPO too 600 g E SHEET 1 j % 21,781 LOT WF WELL LOT SO. FT. 22 lop 600 gpd 24 -4 FN# 1628 LOT 21,781 ■WELL 21 SQ. FT. lj 1043.48' DWF FN# 1626 L M Top Woode ub Lithe #"44 S.E. corner of Easement 7 '0 0- 600 g WELL L.B.O.= 1 1 % rA,_,t MHRP = Same 1040.4 WF ASSUMED ELE 1044.21 600 g B M E FN# 1624 104 H.W.L. 1036,6 ■ WE STORMWATER MANAGEMENT FN# 1622 ro FN# 1627 AREA WEL©a Page 3a of 10 Cross Section of a Mound System Using Two Cells for the Absorption Area 1/10 Observation Pipe B AD le--z < � L B W, K L H 12ft K 8.571 A 6.5 E - ig 9.00 L 131-91 W B 116.77 F 9-51— C 41 G - it 6.46J D 1211. 30;1 06.0kft?) Basal Area Available t?O V. . 0 Z-) sq.) Dispersal Cell Area 1. 0 (ft) I / 10 B Obs - Pipe Placement 754 11.60' 0.34 1 (gPdJft) Linea- Loading Rate Note: C dimension —cell. separation. Mound Cross Section Vicw for the Upslope Cell Aggregate Dispersal Area rinished 4 4 E01 (ft) Latcral Invert moon= <-NM- -- - — (ft) Contour Elevation 2 % Site Slope MW = System Elev. Detail of Shading Key Typical Dispersal Cell Geotextile Fabric I I OOM Topsoil Cap Cover MEE= Subsoil Cap OL'-,- ASTM C33 Sand 5 F Typical Latural 14 Tilled Layer Aggregate A Note: Prepare Mound Site per Component Manual Constuction Procedures. Cross Section of a Mound System Using Two Cells for the Absorption Area J 1110 Observation Pipe A B T B i �1 Page 3b of 10 L A 6.5 E 13 " K 5. L 133.31 B F 57' � D2 3016 (fly.=) Basal Area Available 754 (ft. sq.) Dispersal W1 Area Total (ft) IIIU B Obs. Pipe Placement . 4 (gpolft) Linear Loading Rate Nate: C dimension =cell separation. Mound I3�Wn Slope Cell Cross Section View for the Aggregate Dispersal Area Finished Grade 1046.4 ' Lateral � Invert IF el", 1 (ft) Contour Elevation 11-044-521 = System Elev. Shading Key 11 Topsoil Cap Subsoil Cap 131 ASTM C33 Sand Tilled Layer Aggregate <ww� 2.0% Site Slope Detail of Tvr�iral r]ienPrzn1 C[`ll GeoteXt�le I~& rtC Cover 4" Observation Pipe wf waterproof cap and anchored securely w13{8" re -rod or alternate method 6" slog A Nate: Prepare Mound Site per Component Manual C onstuction Procedures. Page 4 of 10 Lateral Layout Typical of Bath Cells End Connection Lateral Layout Diagram (� -1.05-- P S Laterals and Force Main of PVC Sch. 40 per SPS Table 384.30-5 �Tuni- ip w/ball valve or clean X .67' out P11 Ig Laterals centered over the A►&B dimension .15 6" �� � in. Number of Laterals 2 4rfice Diameter Lateral Diameter 2.0 7 in. Orifice Spacing (X) 2.94 ft. Lateral Length � P) 114.66 i`t Orifices per Lateral 40 Lateral Spacing (S) 3.25 1!. Orifice Density 9.43 fjz/ orifice Lateral Flow Rate 18.69 gpm Manifold Length 3 .25, ft. Cell Flow Rate 43.20 gpm Manifold Diameter 2.0 in. System Flaw Rate ft. .4C� gpm [gyp 1�a,34 - DN 8bm Total Dynamic Head 16.23 Lateral Tung -lip Detail Finished Grade Threaded Cleanout Plug or Ball 6" to 8" diameter Lawn. Sprinkler Box Valve, 01 Lang Sweep 90 or Two 451 Bends Same 0 0 � 0 � Diameter as Lateral 0 0 0 ' �0() Distribution Lateral Note : Lateral ends at last orifice where variable length to cleanout begins. Page SoflO Moayied Mound Plan View due to Concave Slope �--�_ L-2 1�will....... ... 'I I y A B-2,� K C C K W A B-1 B-2� 1 2% L-1 Cell Dimensions Percent Deflection = (Deflection /Effective distribution cell length) x 100 A = 6.50 ft. B-1=116.77 ft. Percent Deflection = (3. 00 116ft. ) x 100 = 2.50% B-2=116.00 ft. Actual Distribution Cell Length = [ (% of deflection x 0.00265)+ 1 J x effective distribution cell length. C = 4.00' K = 8.57 ft. 2. SO x 0.00265 + 1 x 116 fi. I = 7.70 ft. Actual Distribution Cell Length = � ( 1.006625 1 x 116 ft. = 116.77 ft. 7 = 6.46' 116. i 7' is the Actual Distribution Cell Length L-1=133.91 ft. L-2=133.14 ft. W = 31.16' Duplex Pump DoseTank Component Cross Section Approved Manhole Covers With Warning Labels and Locking Device f 4" Min. Above Final Grade 4" Sch. 40 Vent > or = to 12" Above Final Grade Note: SJE Rhombus Type 122Duplex (Demand Dose) Top of inlet =—1038.00 (Set by Installer) Note: Pump switch and alarm to be A wired to separate circuits. B WLP 1250-MR Gallon C Page 6 of 10 Weather Proof Junction Box Electric per NEC 300 & SPS 316.012 WAC Discon rt Alternate Outlet Location WlApproved 4" Sleeve it Forcc Main Diam. = 2 ]Veep Hole or Anti Siphon Device Duplex Force Mains Pump Off Elev. 1035.33' Duplex Pumps Tank Mfr. Wiesert Concrete D 1034.50' Dose Tank Elev. Vertical Difference Between Pump Off and Distribution Pipe = 10.17' 9.69' 4.55 Minimum Required Supply Pressure ....................................,= 4.55 34' . of Farce Main x 3.30 Friction Factor/ I OOFT.... = 1.12' 1.49' FT _ .50' .50' Note: Maximum dose per Pressure Loss Through Filter .................... 1 240 gals. Total Dynamic Head .................... = 16.34' Upslope 16.23' Down F.M. or 112 cell equals g Yn-------- slope Min. dose per 1I2 cell = 186.89 gals. Du lex { p 52 Gal. PumpsAlternating Number of Doses ...= 5.95 Per Day Gal. Per Day! #of Doses 201 � between upslQpe Volume of Back#low .. ..... — 7.34 Gal. ................. ........................... ...... and dawn slope Total Dose Volume ..................... -- 208.86 Gal. cells ............................................... Pump Tank Capacity 1253.16 Gallons Dimensions Inches Gallons Pump Tank Volune 43.20 G al/Inch A 1 g 626.58 B 2 69.62 Pump Mfr. Goulds C 6 208.86 Pump Model EP05 D IO 349.10 Minimum Discharge Rate = 43.20 GPM per pump Alarm Mfr. S.J.E. Rhombus Total= 36.00 1253.16 Alarm Model Tank Alert 1 Bed Tank per SPS. 383.45(5) Anchor Tank as necessary to negate buoyant forces per SPS 383.43 (8)(g)- Note: Tank to have two outlets. Note: Force main for the down slope cell is I ]'longer applying 1.7 9 gals. more to the upslope cell + C] Z VY U 1U I METERS 10 9 8 7 X U 6 E 94 Z 5 4 0 10— 3 2 1 0"I FEET CAPACITY MODEL INFORMATION Page 7 a+b T 5 GPM 2.S FT f.. Order Minimum Float Cord Discharge i Minimum Minimum Minimum Basin Maximum Solids Shipping Weight Number HP Volts Amps Circuit Phase Switch Length: Connection On Level Off Level Diameter Size lbs.kq Breaker Style EP0411 Plug No Switch 10, Manual Manual 20 / 9.1 EP0411A Piggyback/ 10, 6" 21/9-5 1415 12 20 Wide -Angle 1 - EP0411F Plug No Switch 201 Manual Manual 20/9-1 EP041 1 AC Piggyback Wide -Angle 12" 6" 15" -3/ 21/9,5 EP0412 230 6 10 Plug No Switch I (Y Manual Manual 20/9-1 EP0412F Plug J No Switch )Of Manual Manual 20/9-1 EP0511F 115 13 20 Plug No Switch 20' Manual Manual 221110 EP0511AC .5 Piggyback Wide -Angle 20' 12" All Manual 231,10.4 EP0512F 230 6.5 10 P1119 No Switch 20' Manual 22110 PAGE s 4!• .:. -. 51 a�. _•' FEATURES EP04 Impeller: Thermoplastic semi -open design with pump out vanes for mechanical seal protec- tion_ EP05 Impeller: Thermoplastic enclosed design for improved performance. Casing and Base: Rugged thermoplastic design provides superior strength and corrosion resis- tance. Motor Housing: Gast iron for efficient heat transfer, strength, and durability. APPLICATIONS Specifically designed for the following uses: • Effluent systems • Homes • Farms • Heavy duty sump • Water transfer • Dewateri ng SPECIFICATIONS • Solids handling capability: I{" maximum. • Capacities: up to 60 GPM- • Total heads: up to 31 feet. • Discharge size: 11/2" NPT. • Mechanical seal: carbon-rotary/ceramic-stationary,, BUNA-N elastorners. • Temperature: 1040 F (40' Q continuous 1.40' F (60' C) intermittent. • Class B Insulation • Fasteners: 300 series stainless steel. • Capable of running dry without damage to components. PAGE 2 Motor Cover: Thermoplastic cover with integral handle and float switch attachment points. Power Cable: Severe duty rated oil and water resis- ta nt. Bearings: Upper and lower heavy duty ball bearing construction. AGENCY LISTINGS CC to UL 778 and CSA 22.2108 Standards By Canadian Standards AssochWon us No 8LR38S49 Motor: • EP04 Single phase: 0.4 HP,115 or 230 V, 60 Hz, 1550 RPM, built in overload with automatic reset. • EP05 Single phase: 0.5 HP, 115 V or 230V, 60 Hz, 1550 RPM, built in overload with automatic reset. • Power cord: 10 foot standard length, 16/3 SJTW with three prong grounding plug. optional 20 foot length, 16/3 SJTW with three prong grounding plug (standard on EP05). • Fully submerged in high grade turbine oil for lubrication and efficient heat transfer. Available for autamatic and manual operations Automatic models include Mechanical Float Switch as"mbled and preset at the factory. PERFORMANCE RATINGS P Single phase, duplex alternating pump control with override. � �'� �� The Model 122 contort panel is designed to alternately control two 120, 208, or 2401lAC single phase pumps in water and sewage installations. The alternating action equalizes pump wear. In addition to the alternating pump control, this system provides override control should either pump fail. If an alarm condition occurs, an alarm switch activates the audio/visual alarm system. Common applications include pump chambers, sump pump basins, irrigation systems and lift stations. 1. Enclosure measures 10 X 10 X 6 inches (25.4 X 25.4 X 15.24 cm). Choice of NEMA 1 (steel for indoor use), or NEMA 4X (ultraviolet stabilized thermoplastic with removable mounting feet for outdoor or indoor use). Note: Options selected may increase enclosure size and change component layout. 2. Magnetic Motor Contactors control pumps by switching electrical lines. 3. HOA Sw tches for manual pump control (mounted on circuit board). 4. CommI Circul# Board provides pump control and alternation. 5. Green pump Run Indicator Lights (mounted on circuit board). B. Circuit Breakers (optional) provide pump disconnect and branch circuit protection. 7. Ground Lugs 8. Float Status indicator Llghta (mounted on circuit board). 8. Control and Alarm Power Indicator Lights (mounted on circuit board) 10. Auxiliary Alarm Contact, form C (mounted on circuit board). NOTE: Schematic is located inside the panel on enclosure cover. STANDMD AURM PA[:ItAGE 11. Red Alarm Beacon provides 360* visual check of alarm condition. Note: NEMA 1 style utilizes a door mounted indicator in lieu of a beacon. 12. Alarm Horn provides audio warning of alarm condition (83 to 85 decibel rating). Note: NEMA 1 style utilizes an internally mounted buzzer in lieu of horn. 13. Exterior Alarm TestlNormallSilence Switch allows horn and light to be tested and horn to be silenced in an alarm condition. Alarm automatically resets once alarm condition is cleared. 14. Horn Silence Relay (mounted on circuit board). NOTE: other options available. jff Entire control system (panel and switches) is UL Usted to meet and/or exceed industry safety standards ■ Dual safety certification for the United States and Canada MF Standard package includes three 20' WE SignalMasterO control switches ■ Complete with step-by-step installation instructions N Five-year limited warranty SEE BACKSIDE FOR COMPLETE LISTING OF AVAILABLE OPTIONS. SEE PRICE BOOK FOR LIST PRICE. Model Shown 1221 W114X6A IUS Rhs PO Box 1708, Detroit Lakes, MN 56502 1-888-DIAL-SJE * 1-218-847-1317 1-218-847-4617 Fax email: customer service@a rye ombus.com wwwAl.Y1 9MbMCQM 122 MODEL 122 ALARM PACKAGE EaD = seteot options or no alarm package 1 = alarm package (includes testlnormaVsilenee switch, fuse, red light, & horn) ENCLOSURE RATI I = Indoor, NEMA 1 (metal) W = VWeaMerproof, NEMA 4X (engineered thermoplastic) TARTING DEVICE 1 = magnetic motor contactor 12012081240V 9 = magnetic motor contactor 120V only pUM FULL LOAD AMPS 0 = 0-7 FLA 1 7--15 FLA 2 = 1 5-20 FLA 3 = 20-30 FLA PUMP DISCONNECTS U = no pump disconnect 4 = circuit breaker 120V (select STARTING DEVICE option 9 above) 120/20=4D11(select STARTING DEVICE option 1 above) 6A FLOAT SWITCH APPLICATION H or L = pump down or pump up (select 17 option) X = no floats OPTIONS lr bdow ENCLOSURE UPSIZE - if you selected one or more of the * options, or two * apti°ns' fee would apply. a one-time enclosure upsize cow DESCRIPTIQN CODE DESCR1PTM [� 1A Red beacon only i no audio �r>ir 10K Anti -condensation heater (must select -0-. for alarm package) 11 C NEMA 1 alarm panel Q 1 C Horn only 1 no visual (must select To for alarm pa(*age) � * 11 D NEMA 4X alarm panel 14fi Main disconnect (rotary style, mounted through door, non -fused) �r 3A Alarm flasher (must select circuit breaker � 38 Manual alarm reset 4A Redundant off .�. D-Zd FLA (totaf of both pumps) >Ar * 20-fiU FLA total o� both pumps} {select Option 4D it floe#s included] 1 fiA 10' cord in lieu of 20' (per Boat) [� 4B Red redundant off indicator � alarm igB 15' cord in lieu of 20' (perl9oa#j (must select Dptiaen 4A also] � 1 BC 30' cvr+d in lieu of 20` (Per float) [� 4D Redundant off float (must select 4A opfiorr) (� 17 vptinn) 16D 40' cord to lieu of 2D' {per float] 17A 53E Signal lNaster� I pipe damp i {Per Wet)>tr 5A Thermal cutar#Iheart Sensor auto reset � 178 S,iE SignafllAsster°E` I externally weighted / (per float) (for pumps wlthermal switch leads] 17C Sensor Ffoato 1 internally weighted A(Per float)�r 5E Seal failure circuit d� red indicator (2 wire) 17D Sensor Float° 1 externally weighted ■ (per float) BSA Auxiliary alarm contact, form G 17E Sensor F1oat� Mini f pipe damp ■ {��af) (included as standard) 17F Sensor FloatO Mini 1 externally weighted ■ (per float) 8A Elapsed time meter 0 17J Sensor Float'° 1 pipe clamp A (per float) * 8C Ent (cycle} counter 0 19B Lead lag selector switch � 9 1� Pump overload specify amperage after number 9 hallowed by fetter "A". ..RExam 19F Fourth flag# to separate alarm function from lag 19T TOA (TestlOff/Automatic) switches and pump run lights R le: 912A = 12 amp pump. through door mounted [� 0-25 FLA 0 19U HCA (Hand/MAutomatic) switches and pump run lights 25-30 FLA through door mounted Lockable latch - NEMA 4X 19X Door mounted pump run indicator q10E 10E Lockable latch - NEMA 1 i Mechanically -activated ` Mercury -activated *10F Lightning arrestor (select pump ciorc a breaker) x SAMPLE MODEL lZ 1 W T 0 4 H Ala ffn Package Enciosure Rating Starting Device Pump Full Load Amps Pump Disconnect Float Switch AppkWon options: AuxNiary alarm contact, form C, Elapsed time meter, Wont (CYcle) counter, SJE 5ignalMastst" 1 pipe clamp 0 SJE-RnWbus 09114 ST 0 ICY 'E HO'. 106 600 GPD GRAVITY DISCHARGE SYSTEM H-�ti4 A 31 7� H-600 A TALIK S R IFS Q A L10... ^� ❑tMEN SIONS: 4" CAS •� i 4" C AS WALL: 3 BOTTOM: 3" 4" 'LA COVER: MANHOLE: 12" & 24" I.D. PLASTIC RISER HEIGHT: 70O.I. n a LENGTH 1 D6" O.D. POLYLCK 1 ACCESS LID (TYQ) WIDTH: 74 1/20 O.D. BELOW INLET: 57 O.D. f1 _ --.j;LL- ..:_ ,.�. ..._ ..... ,- -J-- �..., ._.•� „-- LIQUID LEVE1355LBS. WEIGHT, 11, 41 " 40H INLET AND OUTLET: 4 CAST--A--SEAL (CAS) SOOT OR EQUAL TOE In EW COVER: MIX DESIGN #8 (NO FIBER) TANK: MIX DESIGN #9 (SMALL FIBER) CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WESER CONCRETE FZ SET RISER (TYP) ET v • DRAWINGS SUBMITTED FOR APPROVAL APPROVED BY: APPROVAL DATE: PRODUCTS NEEDED BY: TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS M a � 6 4 SHEET N0. Of z 1 o,WNW rvice an ion Form shall be completed, signed and dated after each inspection. one This testing and reporting R � copy shall ll be retained b the maintenance company. The second copy is sent to the local permitting third copy is sent to the system owner along with an invoice for �tt�ng authority and the t py services by the maintenance company. 1, Actual Date of Visit'. 2. System Inspection of Owner: Address: City, St., Zip: Inspected Item s: Operational Inoperative Not Applicable Aerator................................... Plumbing 0 Aeration P g ........ - - - ..... . Air Filter ................................. applicable) Efnuent Pump (if ....... p a 0 C h to ri n ato r............................. Li OK System Light .................... Ala■ ■ ■■..................................... wBoxRAY • e ■ ■ • • ■ • • ■ ■ ■ f ■ ■ ■ . a ........ a .. ■ • each service visit. Operation of effluent disposal system must be made Air Filter must be cleaned R o n chamber A system with greater than ?o /o Settleable Solids in the aeration c each visit (if pumped). y must be pumped to avoid solids leaving the tank for the drainfield. 3. Repairs to system (list all components replaced): 4. Tests Required and Results: Test Required Results Test M eth od BOD (Grab) TSS (Grab) Fecal Coliform 0 5.Comments: Signature of Inspector: Installer II or WW Lic # Private Onsite Wastewater Treatment System Mound Management Plan 383.54 Wis. Adm. Code each Private Dnsite Wastewater `treatment Pursuant to SPS - 'gin the system System(pOWTS)Shall Include information and procedures for mainta� g �y conditions vat b the 'thin the parameters of SPS 383 and 384, and the conditions of approval y w� P The approved department, agent, or governmental unit.fans and permits for the system p will be filed with the county zoning or health department. This management pan complies lies with SPS 383.54, Wis Adm. Code, the Mound p r private Dnsite Wastewater Treatment Systems (Version 2.0) Component Manual fo S BD-10691-P .01 /01) R. 10/ 12 and the Pressure Distribution Component Manual (Version 2.0) SBD-10706-P (N 01-01) R. 10/12 Table 1: System Design Specifications Sanitary Permit Number Number of Bedrooms Design Flow (GPD) Soil Absorption Component Size (sq. ft.) Trash Tank Capacity Gal. Pump Chamber Capacity Gal. Type of Wastewater Pre -Treatment Unit installed per structure 16 2400 1508 (Pretreated Effluent] 400 gal. 1�50 al�ons Pretreated Domestic HOOT SYSTEMS H-60o A Table 2. Soil Absorption -- • tion Limits of Reliable Operation Desie Flow -Peak GrPD Max. Influent Particle size Maximum BDD 5 (mg/1) Maximum TSS (mg/1) Maximum FOG §Mtic Tank Com onent 600 r structure NA NA NA NA Soil Abso�ion 2400 <_ 1 /8 Inch <_ 30 mg/1 <_ 30mg/ 1 NA Table 3: Maintenance Schedule Septic Tank Inspect and/or service once every 3 year Dose Tank In- Line Filter Should ins ect once a ear and clean eve PumpChamber In ect once eve 3 ears Soil Also tion tom onent Flush laterals every 18 months. HOOT SYSTEMS H-600 A Service every 6 months for first 2 years. there after per maintenance apareement. Page l0of10a,b+c 3 Years t Then annually See attached. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under sec. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of the septic tank and outlet .filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of scum and sludge in the tank exceeds 1 /3 the liquid volume of the tank. If the contents of the tank are not removed at the time of an assessment, maintenance personnel shalt advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. Pum,p Chamber The pump chamber also requires monitoring once every three years or the time of problem, complaint or failure. Inspection should include checking the dose rate, volume and frequency. Warning: The dose chamber may fill due to flow continuing during pump malfunction or power outages. One large dose when the power comes on or when the pump is repaired may cause the dispersal system to have problems. In this situation, the pump chamber should be pumped by a licensed pumper before pump cycling begins or other measures shall be used to dose the component with only the proper amount of influent. This may include manual operation of the pump controls until such time the pump chamber has reached its normal level. Note: A Simtech STF-100 effluent filter will be installed in the dose tank for each force main to provide the filtering of the effluent to the dispersal cell. Septic tank and Pump chamber risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry to the tank Warning: No one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment or holding tank may contain lethal gases, and rescue of a person from the interior of the tank may be difficult or impossible. Tank abandonment shall be accordance with SPS 3 83.33, Wis Adm. Code when the tank is no longer used as a P WTS component. Page 10of10a,b+c Soil Absorption_ Component The soil absorption component serving; this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every 3 years. Lateral turn ups are provided at the ends of the laterals for the purpose of flushing the lines of any solids. Flushing these lines should be done every 18 months. The inspection shall include recording levels of ponding, if any, in the observation pipes, and visual inspection for any evidence of surface discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, clogging of the soil. Planting of deep rooted trees and shrubs directly over or within 10 feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow. Contingency Pan In the case of septic or dose tank component damage, measures shall be taken to repair or replace the tanks to there original operating condition. Problems with the pretreatment unit should be addressed to the POWTS Maintainer. Bi-annual/ annual inspections should prevent any complete failure. Should failure of the distribution cell component happen, the system shall be inspected to determine the cause of failure, effluent quality testing and wastewater flows. Steps taken to repair or replace the dispersal cell may involve the removal of a bio-mat which would require cleaning or replacement of the distribution network as well as replacing the aggregate system and clogged portions of the sand fill. Component Owners Contact List Keith Knudtson Plumber/ATU Maintainer (651)470-1737 St. Croix County Zorun (715) 386-4684 Wieser Concrete Products Maiden Rock W1 (Soo) 336-3416 Se tic Pumper Powers Sanitation (715)249-5738 HOOT SYSTEMS LLC H-600 A 888878-4668 Page l0of10a,b+c #1 "910 SOIL EVALUATION REPORT Page 1 of 3 r 6I"1t t mrrleroe in accordance with Comm 85, Wis. Adm. Code patn ISemice DMsion of Safety and Bum County Attach complete sloe plan on paper not less than 8% x 11 [riches in size. Plan must St. Croix but not Nrnited to: verb and �tai point (BM), direction and percent slope, scalen�-q or dimes north arrow, and location and distance to nearest roi. Parcel 1.t3. �"�ang - Pt"" PHIlt all InJI&XV R Personal - lPau pr+o may rased ' Low, s. 15.04 41) Property Owner Property Location Rolling Hills Of Hammtmnd LLC. Govt. Lot na NWI /4, SW1 i,4, S29, T29N, R 1711W Property Ownees Mading Adds Lot # mock � Subd. Noma or C5 400 2nd s# RCi NV Z'l na Rolling Hills Farm � City Stme 1P CodePhone Q City [� 1 dbp Z Town Nearest Road H� 1Ni 1$ 716-386�030 Hammond'16QTh St Now Constn�icrn lie_ Residential 1 Number of bedrooms 4 Cade derived design flow rate 6W GPD (� Repiscerrent public or commercial - Dube rtna _._. Parent material Si sediment and underlying sottish sand loam fill Flood plain elevation, if � na ft. General commo is At Grade or Mound Design. System Elevation for At Grade 101.05ft for Mound 101.05ft based on contour and recvrr mendations: tine elevation 100.55ft. Minimuum B inks ASTM C-33 mound sand. oom ® B Ground surface elev. 100-75 ft. Depth to hmdmrg factor 96 in. � App� Rate H� p Dominant Color Redox n Texture Structure Consists 8 nda�ry Roots G . Munsell Qu. Sz. Cont. Color Gar. Sz. Sh. 'Ei 1 *Efl Z 1 0-10 10yr3j1 none ! 2msbk rnfr CS 1vf .6 .8 2 10-73 1 /4 none s►id 2msbk Mfr ors na .4 .6 3 23-33 10yr4J4 none Sd 2msbk rnfi' cs na .6 1.0 4 33-53 7.5yr4J4 rx" sl 059 mvrr na - 1 .7 1.6 5 53_910yr7�8 none aas oxsg ml na__l na .7R_ 1.6 Horizion # 5 is very wet Boring # [� S ,rig Ground surface elev. 100.?5 ft. Depth to liming factor 100 in. . Soil App� Ra1e Horftn peptri in. E)omirm t Color Munsw RWox - n Texture Qu. Sz. Cont. Color Strums Gr. Sz. Sh. Consislem Boundary Roots i GPQIW *E *Eif#2 1 0-16 10yr3/1 rXX* Sd 2rnsbk mfr a 1vf .fi .$ 7 16-34 10yrr414 none sid 2msbkmfr gw na .4 .E .q .6 3 34-r57 7.5yr4/4 none sd/ s 2msbk mfr CS na 4 57-100 10yr6J6 rXM ODS oS9 mvfr na na .7 1.6 - Horizon # 5 is very wet. * Effluent #1 = BOLD s> 30 t 220 mg/L and TSS >30 < 150 mg1L CST Name (Phases Prime) ignatu David J. Steel •- Address Sieers Sol Service 994 20 th St. Baldwin, Wl 54002 * Effluent #2 = B005 c 30 mo/L and TSS E 30 Mg/L CST Number 248956 Derbe Evakat on Conducted Taiephone Number 6/1212006 715-760-0? p Hds Of Hmvimi id LLC. p �� P�. _ pw--� --°�--- 3 .i aw"# Ft � au�. 99.85 in. � Rob Horizon NO Dm*mnt Caior Ftsdoar DarcnpSon Todura Sb ucbm cocrable ice scundsry Rvala in. munsel Cu. Sx Cont. Color Cr. Sz. ft.Now ' 1 4-12 10yr3/1 none A 2Mft mfr cs ivf .6 .8 2 12-19 l"/4 none sid 2msdk mar 9w ivf .4 .5 3 19-29 iayf4/4 none sd 2rnsbk fnfr gw na .4 .6 4 "-w 7.W/4 none si yam na c s na .2 .6 5 56-74 10yr7/8 cld 7.5yr5/5 andsbort _sidmm na C5 is .0 .0 G 74-100 1"8,12 c2d 7.5yr5/6 andsbvr residuum no na na .D .0 ❑Bafft# p Baft pt c ,,�rrao. ate►. it o.pn to �dn� acoo. in. Won R� IiotDsplh DoiNnant Color R�looc Ds�cxip�on Terms 9tructue 8o�uidMy Roof C�D�' in. Munp� Glu. Sz. Cont Color Gr. Sz. ft. 'fit 'Ew 1:1 eo'i"e s ❑ Pit suffam eye,►. R (MO to�- �c uo„ w HoAton Deptlh Dominate Color Redox Dssaipion TeoduM Shame Bound" � M. Mum Gu. 8z. Co�M. Coinr TGr. 3z. * Cfl§Ll" I1 a sm5a W' = MG& MW M 2bm .0 W nth.. * Eflm" #2 a am,; - w milt.. and TSsi s.,v nv& Mw DepwUncut of Como= is an cwW oqMxuWty saWce Movtda and 1f rm need assi- tm ivc to access services or rid maftrW in an ahmmate frnm. pkm conW the at WS.26&3151 or'l 17 609-264-8777. STEEL'S SOIL SERVICE a of 3 David L Steel RoU*Hills Of Hammond LLC 994 206 ' St. CST-POWTSM SW 114,SW 114,S29,T29NA l 7W Mdwir6 Wi 54 Lic. #248956 TO" of d, St Croix Co. threct 71. 5-760-0347 Ita 1;*% Hills Farm Lot 21 Fax 715-684-3449 This sail r to safisfy a ZaMM9 ait may ar may net be suiabte for yvw use. TU ration of this test may or may not be as sewn, as lot lines were net sstabad d at the tune *e soil test wes condwsmi Dead N 1"=40" ■ = Bencbnwk Ele. 100.00 ft Top of We pv+c pipe • M Ah Bencbmwk Ele. 101.04 ft Top of 314" pvc pipe �Borinp Boring Ekm#k= B 1 100.75 ft 133 -= 100.75 ft B3 =- ".55 ft B4 - = 0.00 ft I;Mrrprp- A02 fN 6 asr� AEROBIC TREATMENT UNIT (ATU) SERVICING AGREEMENT This agreement is matte pursuant to SPS 383.21(2)(c) (5), Wis. Adm. Code Agreement Date I Parcel Number Property Ovmer(s) Legal Description of Property (Attach copy of deed if necessary) POWTS Equipment Description: Manufacturer and Model: Sanitary Wastewater Aerobic Hoot Systems LLC Treatment Unit Hoot H4M A Recording Area Return To St. Croix County Community Development Dept, As an inducement to the County of St. Croix to issue a sanitary permit for a POWTS equipped with an aerobic treatment unit on the above described property, we agree to do the following: • The owner agrees to conform to all applicable requirements of Ch. SPS.3 83, Wis. Adm. Code relating to aerobic treatment and the maintenance requirements for the proposed POWTS (Private Onsite Wastewater 'freaatment System) technology. 2. The owner agrees to maintain a contract with a licensed POWTS Maintainer for the life of the system. The POWTS Maintainer will perform periodic inspections and maintenance as required by the manufacturer and the department, including, but not limited to: the blower, electrical controls, treatment unit operation and sludge depth. These inspections are to be scheduled every 6 months for the first two years of operation and yearly thereafter. 3. The owner agrees to contact the POWTS Maintainer immediately upon any malfunction of the treatment unit and to maintain the unit so as to not create a human health hazard as described in s. 254.59, Stats. 4. The owner recognizes that the county department or POWTS Maintainer may make periodic inspections of the components to complete performance monitoring of the unit. 5. The owner or the owner's agent agrees to report to the department or designated agent at the completion of each inspection, maintenance or servicing event in a manner specified by the department or designated agent within 30 calendar days from the date of inspection, maintenance or servicing. 6. This agreement will remain in effect only until the county office responsible for the regulation of private onsite wastewater treatment systems certifies that the property is no longer served by the aerobic treatment unit. In addition, this agreement may be cancelled by executing and recording said certification with reference to this agreement in such manner which will permit the existence of the certi[ication to be determined by reference to the property. 7. This agreement shall be binding upon the owner, the heirs of the owner, and assignees of the owner. The owner shall submit this agreement to the Register of Deeds, and the agreement shall be recorded by the Register of Deeds in a manner, which will permit the existence of the agreement to be determined by reference to the property where the aerobic treament unit is installed. Use BLACK Ink 291 Owner(s) Names(s) (Print) Notarized Owner(s) Signature(s) Subscribed and sworn to before me on this date: Notary Public (Print) Notary Public (Signature) My commission expires: Drafted By. Keith E Stoner 23220 Wood Creek Rd Siren, WI 548 72 DNOW OF INDUOMY . SERVIOM ........ ,p P. WWI Rewl w . t .Through ay L"M CUWN% socreftry HOOT SYSTEMS,, LLC qo N UCAP- Xi S$ HIM 14E LAKE�Ct^, ES L.A 70607' Re: lefi�n: SEWAGE '�T��� ����� . anufectLiret HOOT sy"9MSv.: LL .eruct Na*.'id 3097sd ) H-SERES HOOT Model 14urnw(is): H-60" (MAX DVW 600 : ) P rlodW Ffle Nb: 201801.34 the product have .� d and WVMin tt� mat vns pis #�r � -9��-145-and 160, W w� cam $1 S 3 t � 3m, isconstn . d�nls O" Code, p� Statutes- the Jt� taw . ghe with AdmWs nwoop -: odeThis W appw*, y;0d untH Vie end of MW-2023. -1013 4rKie' pmdLidf-. nub-2012O . su a v pe on Mw* 2, This - op�vai is on t � r v� tt wowings6PuW0n(6Y- r- -this lank ed st .._. ' _ �ths� the -to whi �l s . Theft -ad f -of to ins -by anz*xxtzed daps , - - ` :.. 1, pIm and so Ust'bs WOR � o tom:. dapgnMent . ter, 82 This, odUd MaY � ;� and..3 3 tO o �r Must be � .� ifi�-� . � and 54,- 6_ Add. COdi a maximum l��_eater Dow, �rhi r�y. � rge tht h i6 � gailvns PO'day, �ri this pradud re W"t"WOr m IffluehtqUaItywRh.*!(n2*nUM ' *w Or-:30 �'� 3l g/L, hwwq a� value #`f lass then equal to 1 g cf u. �i► , Gv ass than 30 °�L d f l v sari of plan _reAawfbr the.kwUffiabon, of -this product -ust be: . obWWfMm the t$j0p$jttrtvo4t In accorOOM0 vib SPS -:affluent fliter zapabOf -f9bKft P8 - 'l /8 - size or *90t- Hoot sterns - LL C May 10; 201.8 Product File pia.. 20801 W Adm. dw Phil' head 'in 9060rdihdI9 w4h s, SPS 3"11 Th vft teknICS _$* _nwhole 11"vd1joh,arenots dardor pnh qOWV MMt- to secured to,the Aw uWng Them Ong device* to be-, ;oMid • t era. .-to wtanks shad bWrWqhft Libels,, that hi waW. tables a e so _Or�sea$c gh Wound T�m toOk is not reconwpaWed to im _0 11' Indimted between the bottom -oft -tank and -the 9ftrid, - mSheff.beft'09"- ovMod. The bedd" BmDwG,, riches Vic-beoft shail be pr Of - -in ft jargog 4meni46n. 100M.Int"MAX, or coarew I sh�fll be fte&4kYmm, zdd or gravel -SAC KFILLING: M*be OOMPWW at-,:944nch 1"*'-v*W' � 4 Inches irvAlameywin- ftjgjqW dkoension. 10 for any A&*on The depaqpmnt is in, no way endors4_" product or an-Y Odveftft'and ils- bl may re" use. W. schluaw pf Mg Pro o (.snd 'ftwaional Ser _6skq Depa"wnt DiVWM. Of i"OUSUY §eM.9": Bureau Of Technkal-err ylOSS (608Y.267-140 -Phoft (608),267--Q M--Fax- glen."OW.rawi.gov E-mail E���ar����� �! p ei ����p !olli+►!� �i �1�� ��� � ���� 4 ail '�� 1�l��! ill i���' fi Ui.� �I!I �;� , 11 111411a slot, 4111.1*40 Id%lad oil IOU trOl 1101 a 101 ma Lronij kvv Udl Aht Bois a laid] IL AtkUA%tkgkku Ir++���i I r 11 I vs`tr :+ l % 1k Ail A lit, ALI" &AALtus '410 a t 9 - "-f IUAUU —)AIM f RU4 W&F-J 14 � 1W j till s a w qd ilk t4l 44101 LAU .4�10 -M WAU N IM VR Aq_ CIO +:`-r-.�+'w. -� •�r •e'► ors. • - fWI.77 1 ■■■■{ LOT 40Wool � .1 � t'�_ irr,•. ••.�• .� .. ....... r, ... +rwY'•�+4 �+•+�•.,. ' • .. �.al.. i -! I i y '` i , 046.5 amp o.....r•�+•� .a.• M .r r' -:.:• t_ 777 �, { R'Y .,iti Iy •'� { ✓.' �a` yi., .s,• �. , `4'�:. w r -9 1057.3 x IT �'LOT/� 9 21 F 83 SO. FT. r SOUTH LINE 0 HFz..N 112 OFT 4jar. OX\ �OF''THE S I OF SVV1t2r �. 0 ,f - 7`1 1 t� t! 1 15 J().)'B { ' '� 1LC rj i E& \ 21,781 VIA' ale LOT 21 a I L olr 21,783 SQ. FT., \1� 0 3 LOT 1, 781 SO, FT, +� LOT 22' + S 21,781,$0- FT. 'POND 4 21 1,781 SQ. FT' K W, L .1 W 6.6 L. 0. =1 04040 oil f /' if j /� 2 ,�� FLOT 8QI t, 1 1 y \'o 1 18 1 so. IF OT 21,781 SQ. F r LOT ` .' 17 LOT 1 781 SO. FT. 18 f LOT' , ! 8 SQ. FT. { 1f #1910 son SOIL EVALUATION REPORT page —1,—of 3 ... in accordance with Comm 85, Wis. Adm. Code _10����­Steel's Soil Service Department of Commerce Division of Safety and Buildings County St. Croix Attach complete site plan on paper not less than 81/2x 11 inches In size. Plan must —660 include, but not limited to'. vertical and horizontal reference point (BM), direction and Dicir percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. Pre--n d i n - 9 Please print all inform Revre;B, Date Law, S. 15.04 (1) (m)).Personal information you provide may bjused fK�i�c(PrivacI ! lqkv, Property Owner Property Location 17W �.��� Govt. Lot na NW11/4, SW1/4, S29, T29N, R Rolling Hills Of Hammond LLC. Lot # Block Subd. Name or CSM# Property Owner's Mailing Address Rolling Hills Farm <=� 3 400 2nd st cor CROIX COUNTY 21 11—na City State ip Code Phone Nu City Village Town Nearest Road Hudson Wl i 5 1016 1 715-386-0230 Hammond 160Th St J 4 Code derived design flow rate 600 ___GPD Use'. Residential Number of bedrooms New Construction Replacement Public or commercial - Describe: na na ft. Parent material Silty sediment and underlying reddish sandy loam till Flood plain elevation, if applicable esign. System Elevation for At Grade 101.05ft for Mound 101.05ft based on contour General comments At Grade or Mound D and recommendations. line elevation 100.55ft. Minimuum 6 inches ASTM C-33 mound sand. Boring # Boring Ground surface elev. 100.75 ft. Depth to limiting factor 96 _—in. Soil Application Rate Pit Structure Consistence, Boundary Depth Dominant Color Redox Description Texture *Eff# Roots GPD/ft2 *Eff#2 Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. i 7 none sil 2msbk mfr CS lvf .6 .8 1 0-10-- 10yr3/1 —t-- .6 2 10-23 10yrr4/4 none Sid 2msbk mfr CS na 3 23-33 10yr4/4 none scl 2msbk mfr CS na 0-' $2 3 23- sl osg mvf r gw na .7 1 6 33-53 7.5yr4/4 none 4 na na .7 1.6 5 53-96 10yr7/8 none cos osg M1 Horizion # 5 is very wet Boring # Boring Ground surface elev. 100.75 ft Pit - Horizon Depth Dominant Color Redox Description y Texture in. Munsell Qu, Sz. Cont. Color , 1 6 0-16 0-1 10yr3/1 none Sil Sil 6-4 16-34 10yrr4/4 0 none sicl 3 3 4-57 7. 5yr4/4 none /Sl Sd — 4 57-100 I 0 yr6/6 1 none cos Depth to limiting factor 100 -in. Structure I Consistencyl Boundary Roots Gr. Sz. Sh. 2msbk mfr CS lvf 2msbk mfr gw na 2msbk mfr CS na osg mvfr na na Horizon # 5 is very wet. Soil Application Rate GPD/ft2 -*Eff#1 *Eff#2 .6 .8 6 . .4 4 .6 .2 6 .7 C 1.6 > 30 < 220 m/L and TSS >30 < 150 mg/L Effluent #2 BOD 5 < 30 mg/L and TSS <_30 mg/L Effluent #1 = BOD 5 gCST Number CST Name (Please Print) ignature, 248956 David J. Steel Date Evaluation Conducted Telephone Number Address Steel's Soil Service 6/12/2006 715-760-0347 994 200th St. Baldwin, Wl 54002 SBD-8330 (R.07/00) Property owner R,:) 11inq Hills of Hammond LLC. Parcel ID # Pending 3 Boring # Boring Pit Ground surface elev. 99-85 ft. Depth to limiting factor 56 in. Horizon Dept Dominant Color Redox Description Texture Structure !Consistence; Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr, Sz. Sh. 1 0-12 10yr3/1 none sil 2msbk mfr Cs 1Vf 2 12-19 10yrr4/4 none sicl 2msbk mfr gw 1Vf 3 19-29 10yr4/4 none scl 2msbk mfr gw na 4 29-56 7.5yr4/4 none S1 om na Cs na 5 56-74 10yr7/8 c1d 7.5yr5/6 c2d 7.5yr5/6 andston andston residuum j residuum na na CS na na na 6 74-100 10yr8/2 Page 2 - of --- 3 -- Soil Application Rate GPD/ft2 *Eff#1 *Eff#*') .6 .8 .4 .6 .4 .6 2 .6 .0 .0 .0 .0 Boring Boring # Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate �Con i GPD/ft2 Horizon Depth Dominant Color Redox Description Texture Structure s stence� Boundary Roots — i I in. *Eff#1 *Eff#2 Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Boring Boring # Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate (Consistence Boundary Roots GPD/ft2 Horizon Depth Dominant Color Redox Description Texture structure �*Eif#1 *Eff#2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Effluent #1 = BOD 5 > 30 < 220 mg/L and TSS >30 < 150 mg/L Effluent #2 = BOD 5 < 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 in an alternate format, please contact the department at 608-266-3151 orTTY 608-264-8777. steels soli service SBD-8330 (R.07/00) ■ David J. Steel CST-PDWTSM Lic. #248956 STEEL'S SOIL SERVICE Rolling Hills Of Hammo S W 1 /4,SW 1 /4,S29,T28N,R17 W Town of Hammond, St Croix Co. Rolling Hills Farm Lot 21 d LLC 994 2o0th LLB This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of this test may or may not be as shown, as permanent lot lines were not established at the time the soil test was conducted. Legend N11) 1= 40' ■ = Benchmark Ele. 1 00. oo ft Top of 314" pvc pipe • = Alt Benchmark Ele. 101.00 ft Top of 314" pvc pipe El= Borings n St. Baldwin, WI 54002 Direct 715-7�0-0347 Fax 715-�84-3449 Boring Elevations B 1 = 100.75 ft B2 = 100.75 ft B3 = 99.85 ft B4 = 0.00 ft 3of3 A #1911 SOIL EVALUATION REPORT Isconsin in accordance with Comm 85, Wis. Adm. Code Department of Commerce Steel's Soil Service Division of Safety and Buildings Attach complete site plan on paper not less than 8x inches in size. Plan must County 1/2St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. R wed Date Personal information you provide may be used for se�conda s (Pri '-cy Law, s. 15.04 (1) (m)). Property Owner Property Location SW1/4, SW11/41 529, T29N, R17W Rolling Hills 0 f Hammond L - L Govt., Lot na Property Owner's Mailing Address Lot # Block # Subd. Name orCSM# 's 22 na Rolling Hills Farm b 400 2nd st Nearest Road State Zip Code �el r City Village Town City ( 9r, Zip 160Th St Hudson WI a 5409-1 715- 0 Hammond 1 600 GP© 14 0 4 Code derived design flow rate Use 6019n-ii'al / Number of bedrooms New Construction Replacement Public or commercial - Describe: na — -- -- na ft. Parent material Silty sediment and underlying reddish sandy loam till Flood plain elevation, if applicable _ _ General comments At Grade or Mound Design. System Elevation for At Grade 100.20ft for Mound 100.20ft based on contour and recommendations: line elevation 99.70ft. Minimuum 6 inches ASTM C-33 mound sand. Boring Soil Ap p I Boring # Ground surface elev. 98.90 —ft. Depth to limiting factor 100 in. Application Rate Pit Description Structure Consistence' Boundary Roots GPD/ft2 Dominant Color Redox Descr' Texture Horizon Depth re *Eff#1 Eff#2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 7- 1 0-11 10yr3/1 none sil 2msbk mfr CS I If .6- .8 sicl 2msbk mfr CS na .4 .6 2 11-26 10yrr4/4 none 0 2 —.8 .6 'Yrr" nor"�" 3 26-51 110yr4/4 none scl 2msbk mfr CS na Cos osg mvfr na na .7 1.6 4 51 - 1001 10yr7/8 none Boring # Boring Pit Ground surface elev. 98.90 Horizon 1 Depth in. 0-16 Dominant Color Munsell 10yr3/1 Redox Description I Texture I zffuctuie U0HZ)1ZAV"t, Qu. Sz. Cont. Color Gr. Sz. Sh. mfr none sil 2msbk mfr 1 2 16-26 10yrr4/4 none sicl 2msbk mfr # 3 4 26-44 4 7�6 10yr4/4 5yr4/4 none f2d 7.5yr5/6 f2d 7.5yr5/6 51 2msbk mfr na M 1 M I SC1 cos om osg 5 R4 76-96 10yr7/8 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L 5 CST Name (Please Print) Sig ur David J. Steel Address Steel's Soil Service 994 200th St. Baldwin, W1 54002 Depth to limiting factor 44 in. Boundary Roots CS lvf CW na gw na gw t na na na Soil Application Rate GPD/ft2 *Eff#1 *Eff#2 .6 :6 .74 .6 1.0 ��fl#2 F6 .0 .0 0 .7 1.6 Effluent #2 = BOD 5 C_30 mg/L and TSS < 30 mg1L CST Number 248956 Date Evaluation Conducted Telephone Number 6/12/2006 715-760-0347 SBD-8330 (R.07/00) 0 Property OWner Rolling Hills Of Hammond LLC. Parcel ID # Pending Boring # I Boring pit Ground surface elev. 100.00 ft. Depth to limiting factor 54 in 71 Page 2 of 3 Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure ,Consistence Boundary Roots Gr. Sz. Sh. GPD/ft2 *Eff#1 I *Eff#2 —7 1 1 0-9 10yr3/1 none Sil 2msbk mfr CS if i L .6 .8 2 9-25 10yrr4/4 none sicl 2msbk mfr 2msbk mfr gw na .4 .6 3 25-54 10yr4/4 none S1 g w na .6 .10 4 54-96 10yr7/8 c2d 7.5yr5/6 cos osg mvfr na na .7 1.6 Boring 71 Boring # pit Ground surface elev. ft. Depth to limiting factor in. ISoil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence: Boundary Roots GPD/ft 2 1 *Eff#2 Boring # Boring Pit f Pit Ground surface elev. ft. Depth to limiting factor in. Horizon Depth Dominant Color Redox Description Texture Structure !Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Soil Application Rate GPD /ft2 *El *Eff#2 * Effluent #1 = BOD5> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD5 < 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 w need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (R.07/00) Steel's Soil Service STEEL'S SOIL SERVICE David J. Steel Rolling Hills Of Hammond LLC 994 200t' St CST-PDWTSM SW 114,SW 114,S29,T28N,R17W Baldwin, W154002 Lic. #248956 Town of Hammond, St Croix Co. Direct 715-760-0347 Rolling Hills Farm Lot 22 Fax 715-684-3449 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of this test may or may not be as shown, as permanent lot lines were not established at the time the soil test was conducted. Legend N 1" = 40' ■ = Benchmark Ele. 100.00 ft Top of 314" pvc pipe • = Alt Benchmark Ele. 100.20 ft Top of 314" pvc pipe ❑ = Borings Boring Elevations B 1 = 98.90 ft B2 = 98.90 ft B3 = 100.00 ft B4 = 0.00 ft a,s(16 sly corn er- A- #1912 SOIL EVALUATION REPORT Page 1of 3_ Department of Commerce in accordance with Comm 85, Wis. Adm. Code Steel's Soil Service Division of Safety and Buildings Attach complete site plan on paper not less than 8x 11 inches in size. Plan must County 1/2St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and on and distance to nearest road. Parcel I.D. percent slope, scale or dimensions, north arrow, and location Please print all information. Rev wed B Date Personal information you provide may be used for secondary purpose Law, s. 15.04 (1) (m)). Property Owner A Property Location �kec Govt. Lot na SW11/4, SW1/4, S29, T29N, R17W Rolling Hills Of Hammond LLC. Lot # Block # Subd. Name or CSM# Property Owner's Mailing Address — - —J J\� 23 na Rolling Hills Farm 400 2nd st \j L City State 1P Code Phon,e I city Village Town Nearest Road �)� G6� Hudson WI 401 &T - C"?15-386-0 "L— Hammond 160Th St 4 Code derived design flow rate 600 GPD 7 Use: Rlkl�e�ia /Number of bedrooms New Construction Replacement Public or commercial - Describe: nal Flood plain elevation, if applicable — --na— Parent material Silty sediment and underlying reddish sandy loam till General comments At Grade or Mound Design. System Elevation for At Grade 1 00,25ft for Mound 100.25ft based on contour and recommendations: line elevation 99.75ft. Mininnuum 6 inches ASTM C-33 mound sand. Boring # Boring Pit Ground surface elev. 99.85 .--- ft Horizon 1 Depth Dominant Color in. Munsell 0-15 10yr3/1 Redox Description Texture Qu. Sz. Cont. Color none sil 2 15-24 10yrr4/4 none Sid 3 24-34 10yr4/4 none scl 4 34-52 10yr7/8 none Is 5 11-100 10yr6/6 none cos Boring Boring # Pit Ground surface eiev. ---99.85 Horizon Depth Dominant Color Redox Description Texture in. Munsell Qu. Sz, Cont. Color 1 0-10 10yr3/1 none Sil 2 10-21 10yrr4/4 none Sid 3 21-53 10yr4/4 none S1 4 53-100 10yr7/8 none cos Depth to limiting factor 100 in. Structure Consistence Boundary Roots Gr. Sz. Sh 2msbk mfr CS lvf 2msbk mfr gw na 2msbk mfr CS na osg mvfr ml CS na na na osg Depth to limiting factor -..- 1,00-----in. Structure Consistence Boundary Roots Gr. Sz. Sh. 2msbk mfr CS lvf 2msbk mfr gw lvf om na mvfr CS na na na osg Soil Application Rate GPD/ft2 E ffff # 1 *Eff#2 .6 .8 .4 .6 A .6 .7 1.6 .7 1.6 Soil Application Rate GPD/ft2 Eff# I *Eff#2 .6 .8 .4 .6 .2 .6 .7 1.6 Effluent #1 = BOD 5 > 30 < 220 mg/L and TSS >30 < 150 mg/L Effluent #2 ��- BOD5 30 mg/L and TSS � 30 mg/L CST Number CST Name (Please Print) ignature:/-," 248956 David J. Steel Date Evaluation Conducted Telephone Number Address Steel's Soil Service 6/12/2006 715-760-0347 994 200th St. Baldwin, WI 54002 SBD-8330 (R.07/00) Property Owner Rolling Hills Of Hammond LLC. Parcel ID # Pending Page 2 , of 3 Boring # Boring limiting factor Depth to pit Ground surface elev. - 98-55 ft. i n. ISoil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. 6 Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-15 10yr3/1 none Sil 2msbk mfr CS 1Vf .6 .8 2 15-27 10yrr4/4 none sicl 2msbk mfr CS 1Vf .4 .6 3 27-51 7.5yr4/4 none Sl 2msbk mfr gw na .6 1.0 4 51-61 7.5yr4/4 f2d 7.5yr5/6 Sl om na CS na .2 .6 5 61-72 10yr5/4 f2d 7.5yr5/6 scl om na na na .0 .0 Boring # Bering Ground Pit Ground surface elev. Depth to limiting factor in [Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence, Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 I *Eff#2 Boring Boring # Pit Ground surface elev. ------ Horizon Depth Dominant Color Redox Description in. Munsell Qu. Sz. Cont. Color ft. Depth to limiting factor - in. I Soil Application Rate Texture Structure Consistence Boundary Roots GPD/ft2 Gr. Sz. Sh. *Eff# * Effluent #1 = BOD5> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD5 < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. Iryou need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 orTTY 608-264-8777. SBD-8330 (R,07/00) Steel's Soil Service Boring Boring # Pit Ground surface elev. ------ Horizon Depth Dominant Color Redox Description in. Munsell Qu. Sz. Cont. Color ft. Depth to limiting factor - in. I Soil Application Rate Texture Structure Consistence Boundary Roots GPD/ft2 Gr. Sz. Sh. *Eff# * Effluent #1 = BOD5> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD5 < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. Iryou need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 orTTY 608-264-8777. SBD-8330 (R,07/00) Steel's Soil Service STEEL'S SOIL SERVICE 3of3 David J. Steel Rog Ilia Hills Of Hammond LLC 994 200th St. CST-PDWTSM NW 1I4,SW 114,S29,T28N,R17W Baldwin, WI 54002 Lic. #248956 Town of Hammond, St Croix Co. Direct 715-760-0347 Rolling Hills Farm Lot 23 Fax 715-684-3449 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of this test may or may not be as shown, as permanent lot lines were not established at the time the soil test was conducted. c� Legend N 1" = 40' ■ = Benchmark Ele. 100.00 ft Top of 314" pvc pipe = Alt Benchmark Ele. 100.15 ft Top of 314" pvc pipe ❑ = Borings Boring Elevations B 1 = 99.85 ft B2 = 99.85 ft B3 = 98.55 ft B4 = 0.00 ft ow W SOIL EVALUATION REPORT #1913 r . is-�.�'� .�nsin G 1 of 3 Department of Commerce in accordance with Comm 85, Wes. Adm. Code Division of Safety and Buildings Steel's Soil Service Attach complete site plan on paper not less than 8'/2 County x 11 inches in size. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and - - percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. Please print all information. Rev' ed D to Personal information you provide may be used for secondary purposes Law, s. 15.04 (1) (m)). Y p Y rY P P Y Property Owner Property Location Rollin Hills Of Hammond LLC. " Govt. Lot na SW1/4, SW1/4, S29, T29N, R17W 9 � _ Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 400 2nd sty 24 na Rolling Hills Farm City State _ip G Phone Nu0" City Village _ Town Nearest Road Hudson Wl 401 L. 00 -S86-02 Hammond 160Th St New Construction Use: Re iden tuber of bedrooms 4 Code derived design flow rate 600 GPD L'i Replacement Public or commercial - Describe: na ill Parent material Silty sediment and underlying reddish sandy loam t Flood plain elevation, if applicable na General comments At Grade or Mound Design. System Elevation for At Grade 100.30ft for Mound 100.30ft based on contour and recommendations: line elevation 99.80ft. Minimuum 6 inches ASTM C-33 mound sand. L— goring Boring # 7 7 Pit Ground surface elev. 99.90 ft. Horizon Depth Dominant Color Redox Description Texture in. Munsell Qu. Sz. Cont. Color 1 0-12 10yr3/1 none sil 2 12-26 10yrr4/4 none scl 3 26-57 10yr6/6 none Is 4 57-65 10yr6/6 c2d 7.5yr5/6 scl Boring # --- Boring Pit Ground surface elev. 99.90 ft Horizon Depth Dominant Color Redox Description Texture in. Munsell Qu. Sz. Cont. Color 1 0-20 10yr3/ 1 none si l 2 20-35 10yrr4/4 none sicl 3 35-48 7.5yr4/4 none scl 4 48-75 10yr7/8 c2d 7.5yr5/6 scl/lfsl * Effluent #1 = BOD 5' 30 < 220 mg/L and TSS >30 < 150 mg/L CST Name (Please Print) Sig ature: David J. Steel---r Address Steel's Soil Service 994 200th St. Baldwin, WI 54002 Depth to limiting factor 57 in. ISoil Application Rate Structure Consistence' Boundary Roots GPD/ft2 Gr. Sz. Sh. i *Eff#1 *Eff#2 2msbk mfr cs 1vf .6 .8 2msbk mfr gw lvf .4 .6 mvfr gw na .7 1.6 osg om na na na .0 .0 Depth to limiting factor 48 in. Structure Consistence! Boundary Roots Gr. Sz. Sh. 2msbk mfr cs lvf 2msbk mfr gw lvf 2msbk mfr cs na om I na I na I na (Soil Application Rate GPD/ftz *Eff#1 *Eff#2 .6 .8 .4 .6 .4 .6 .0 .0 * Effluent #2 = BOD5 �S_ 30 mg/L and TSS <30 mg/L CST Number 248956 Date Evaluation Conducted Telephone Number 6/12/2006 715-760-0347 SBD-8330 (R-07/00) Page-, 2--of 3 _ Property Owher R611ing Hills Of Hammond LLC. Parcel ID # - .Pending_ - 3 Boring # E Boring 98-80 ft Pit Ground surface elev. Horizon Depth GDominant Color Redox Description Texture in. Munsell Qu. Sz. Cont. Color 1 0-16 10yr3/1 none sil 2 16-33 10yrr4/4 none sicl 3 33-40 10yr4/4 none S1 4 40-54 7.5yr4/4 c2d 7.5yr5/6 5 54-75 c2d 7.5yr5/6 Sd 10yr5/4 Depth to limiting factor 40 Structure Consistence Boundary Gr. Sz. Sh. 2msbk mfr cs in. Roots 1Vf 2msbk mfr gw 1Vf 2msbk mfr gw na om na CS na om na na na Soil Application Rate GPD/ft *Eff#1 I -Eff#2 .6 .8 .4 .6 .6 1.0 .2 .6 . 0 .0 Boring # Bering Ground Depth to limiting factor in. Pit Ground surface elev. ISoll Application Rate Horizon Depth Dominant Color Redox Description Texture Structure 'Consistence, Boundary Roots GPD/ft2 i *Eff#1 *Eff#2 in. Munsell Qu. Sz. Cont. Color Gr. Sz, Sh. I Boring Boring # ft. Depth to limiting factor in. _�� Pit Ground surface elev. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence� Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. C *Eff#1 I _*Efl#2 * Effluent #1 = BOD5> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD5 < 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 in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. Steel's Soil Service SBD-8330 (R.07/00) STEEL'S SOIL SERVICE 3 of 3 David J. Steel Rolling Hills Of Hammond LLC 994 2o0th St. CST-PDWTSM 57WI/4,SW1/4,S29,T28N,R17W Baldwin, WI 54002 Lie. #248956 Town of Hammond, St Croix Co. Direct 715-760-0347 Rolling Hills Farm Lot 24 Fax 715-684-3449 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of this test may or may not be as shown, as permanent lot lines were not established at the time the soil test was conducted. /j N� l Legend N 1" = 40' ■ = Benchmark Ele. 100.00 ft Top of 314" pvc pipe • = Alt Benchmark Ele. 100.20 ft Top of 314" pvc pipe ❑ = Borings Boring Elevations B 1 = 99.90 ft B2 = 99.90 ft B3 = 98.80 ft B4 = 0.00 ft L, Llll�� Kevin Grabau Subject: 630302 - Knudtson - Rolling Hills Location: Town of Hammond - Ryan Start: Tue 6/15/2021 2:00 PM End: Tue 6/15/2021 3:00 PM Recurrence: (none) Organizer: Kevin Grabau Categories: POWTS 018-2019-79-000 29.29.17.1279 Keith called at 2:30 6/14. -Ryan 1 I —Ivv 1 'VV% %0 ff— --arm,vI■v5mmw N wNNW HoWeLs 1048mB mom \ftr.,a� r � .' ,Mw pop MONO sopp .Y.i sr+e Il.•W .e.i. r ...r o.+ amm .om +.go ...+ r , 4000 00, t , •�� M •-ftb `�"►..' .•ter" ,,r+ SOUTH U* 0O � �. NE OF T�i i f SHE S 11 - -� 0. \ 1, NORTH LINE OF THE S1/2 OF THE SWI/41/` 0 OUTLOT 2 42,71 ACRES -0 11860,359 O. FFT= ,LC 23 fL 21 sc O:E SHE 22 tP LOT It e ` 21,781 1�. 21 SO, Fr. '-.. 781 ' dV f • P L.B. . . HoWsLa 1036m6 1040.40 ;Ao STORMWATER �V3 OA MANAGEMENT , . AREA +ram � POOL c 00 - - —:7 7�� a �Ma.��� . : , ,�6 � - e • t �� 1 r�� y • -r.�.,� +.r,. v rr� . ...w. + ��r ram• � ■ �r b ^+w � s �.� ♦ �^� a der + Y 4 .r,1i r .�„` .:ram r �r.i. �.�r re.rr . e�r.r w K • !,. Sal 9'0214 cve ` 70,0i l ' s s i ■