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651356 038-1111-80-000
Wisconsin 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 [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village Township STEVEN J CHRISTEN TOWN OF STAR PRAIRIE CST BM Elev: Insp. BM Elev: BM Description: po • D Jo© - D j f {o wL S; �+ti► TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic W/ESO- 1 Doo 6 D Dosing Aeratio Holdin TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic a�l --�(©Dr Dosing I t t r 3b tt Aer Hold PUMP/SIPHON INFORMATION 3A-�, Manufacturer Demand E�L� GPM Z� Model Number 53 TDH Lift Friction Loss System Head TDH Ft 5 012- 1 1.`10 1 3.8S Forcemain Length t Dia. rl Dist. to Well SOIL ABSORPTION SYSTEM rLEVATION DATA County: St. Croix Sanitary Permit No: 651356 State Plan ID No: Parcel Tax No: 038-1111-80-000 Section/Town/Range/Map No: 28.31.18.472B STATION BS HI FS ELEV. Benchmark 3.0� 96.93 (DO_D Alt. BM Bldg. Sewer Q 7 7 Q1 i / . SUHt Inlet A} SUHt Outlet Dt Inlet Dt Bottom Header/Man. r Dist. Pipe �iS-,- fl5C l Bot. & L"I V 5e : r2.2fl gi,Do, Final Grade Cover C1 r 1M. d1°5ef 32a jD3,2o �D.D/ SEB RENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS -7 6 ` l 2 SETBACK SYSTEMTOP/L BLDG IWELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR 1 Type Of System: i r / I UNIT Model Number: DISTRIBUTION SY TEM Header/Manifold VIL Distribution x Hole Size x Hole Spacing Vent to Air Intake L9^5 Length Dia Pi (s) Leng Dia Spacing LIOI r SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Over xx Depth ofxxSeeded/Sodded xx Mulched Bed/Trench Center TBedprench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ''1'1/262ef Inspection #2: Location: 1986 100TH ST 1 /� 1.) Alt BM Description_�u 2.) Bldg sewer length = 3O Cd^""6kM,7 We 2,tn�s w��L °Le1� aZ2 /1 - amount of cover 1g rt+ w. �ictC2 Csr � )- 3) co V&S v�5fco-� Qa�2t Plan revision Required? ❑ Yes No (L7- Use other side for additional information. ) � Date Insepctor's Signature Cent. No. SBIJD-671`?0�(R.3/97) �p� �t Sn � 1 /t �l re M�r4i� r ; nj W;U 1G aCr S�e� S# an. GAY Q a [ cB�eY ProPoSp w5,./ L.e,l/. -7 xS (2)t/en6i.aS a6 3 `X �7"Cor+56-ece4 a COPY Q6aq IlC dc.5/0C.r. u 5 PS 38 3. 3-1. d4"c �V1 V - J • C7e'rlLA m4",�f':„ Sc�L�r of S.'cl J f A1 . t3,r'1.: 7-0porGx;�5e s.r 0cct/,16 >307 lepe i \ A 6.' 211{/�L ;�� �Q l 7 � I 1 I 1 1 � X , 1 I I .4 A I Z-o 2- 3 - a8 -�- �~ De artrnent of Safet,,, C'o""h St. Croix NOV 1 202� & Professional Services _— ____ .__----___._—_—. sanitary Pe nn �un:her ( l c oiled m i,\ Cn 1 pg i Industry Services Drvisiolr I _.. 3�� In accordance with SPS 3812li2), Wis Adm. Code, subm;sswir of this tonr, to the arpropriate goaetin Cl tat unrt Na is required prior to obtaining a sanitary permit_ Note_ Application forms for state-oNNiled POWTS are su'-111 tted to Projcct Ad:ire , (.t dlfeie:.t than .t ire id." r,� the Department of Safety and Professional Services. Personal i tformation you PION ide ma) be used for • econda} purposes in accordance with the Privacy Law, s. 15.04(1)(m)- Stats ' I. Application Information - Please Print All Information Same Property Owner's Name Parcel # Steven J. Christen 038-1 1 1-80-000 Property Owner's Mailing Address Property Lc -cation 1986 100"' St. Govt Let --- -- _ City, State it, Code Pho x Ntrr,!,er Somerset, WI 54025 (651)307-3936 -- �- "" - seC"""--s----- 11. Type of Building (check all that apply) Lot V 3' 3I N R I b_..W 01 1,Cubdisisuor Name 1or2FamilyDwelling - Number ofBedrooms 3 Blo:.k d. CSNI Vol_ 04, Pig 1014 0 Public/Commercial - Describe Use Na C State Owned -Describe Use - _ - CSM Nun -her �- totsO O v Ilage of _----- _ - - _- 3671 t 7 u1 _ Star Prat Id_. __.--------_----- III. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable online A. Check one box on line B, Complete line C if applicable.) A ❑ New System ® Replacement System Other Mudillr.urm it [ xisti P S stert 0. s1 inrtl Ac'drt:c�:.;l i; n ;.na (cxpl ui, c t o At -Grade MoSund Indiuival u De;l � t:)J ci I re I F3, Holding Tank ®In -Ground conv Lisl PrevmuS P rtal hump r ar'.d Dille I- su.d Change of Plamber Transfer to Nci,t J+titr C, ❑ Renewal Betore ElRevision L(xpiration IV, Dispersal/Treatment Area and Tank Information: 32 Infiltrator Quick 4 Standard Plus chambers. 2 pair end caps PoIvL_ok PL-525 effluent filter Dc • rn Fio.i irhd; Design Coil Application Rate(gp iist) Dispersal Area Required (sf) Dispersal Areu Proposed tst) S_y;tem t 'evation 450.00 gpd. I 0.7 gpd./sq. ft. 642.86 sq. ft. 654.40 sq. ft. 90.50- Capacity in Total i 4 of lanklnfonnahon Gallons Gallons Units s 3 Nera Tanks Existing Tanks : - � I V Sc tic or Holding Tank 1 s 1.000 1(100 Wiest Concrete Triple k 2 I)osingChatnber - 650 1 Co—ri lhln--t—ioST /PC650 X V. Responsibility Statement- 1, the undersi assume res o sibilitr installation of the P( 'TS shown on the attached plans. _ Plumber's Name (Print) Plun bet s Signature MRMPRS Nu0 _,r Bu',i tens Phone Nmwb �` VIP30C7248-7 James K. Thompson A S 021 1.�) 767 _ R —_ __--___-- ------------ — ---- — -- ,_ Plumbei 's Address (Street. City, State, Zip Code) 340 Paulsen Lake Lane, Osceola, Wl 540:0 VI. County/Department Use Only X Approved ❑ Di ap r Permit Fee [1aU" !sued ( Issuir�cttut' _ w11 inen Reason for Dc j� ItL 3���iZ3 Conditions o .4phroyal t _ ro 3 (z) �UG SYSTEM OWNER: 1. Septic tank, effluent filter and dispersal cell q, 6:�ag� w-iia S [� J Q a.9a u.d�sn2dC 4d 1)S21" CO�� I'e�. I must be serviced / maintained as per management plan prcv6ded by plumber. 2. All setback requirements must be maintained as per applicable code / ordinances. Attach to c mplete plans for the system and submit to the County only on paper :wt less than H li2 x I I inches in ;iie SBD-6398 (R. 03/22) 1;7� Fr �e� v�l� �, N Al z 0 -L i as NOV �' ~:, $ 201; Department of Safety tt S rvice t & Professional e N�V ,' --�� --- St. c'roix omit i�umber(to be lilted in by Co.) _� P Indushy Sell 1Tivisiol :�:•� ` . r}i t't;nnty ST.CROIX COUNTY _ _ u I-v lc �r �� n�tar -i Applica.tio a ---------------- SlaleTransuctiooNuntber lit accordance with SPS 383.21(2), Wis. Adm. Code, submission of this fonn to the appropriate governmental unit Na is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS arc submitted to Project Address (ifdifietew than mailing address) the Department ol'Sarely and Professional Services. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, s. 15.04(I)(m), Slats. Same I. Application Information — Please Print All Information Property Owner's Name Parcel H — V Steven J. Christen 038-111-80-000 _ Property Owner's Mailing Address Properly location 1986 100i1' St. Govt. Lot — City, Slate Zip Code Phone Number Somerset, W1 511025 (651) 307-3936 NW V., N\V/, Section _ 28-____ T 31 N R 18 W I1, Type of Building (check all that apply) �s Lot N 01 ® 1 or 2 Family Dwelling— Number of Bedrooms 3 Subdivision Nanlc------- ----------- Block f� ---� csn4 vol. 04, Pg.1014 ❑Public/Commercial — Describe Use Na —_— ❑ City ol'— _— O Slate Owned — Describe Use _— _ CSfv1 Number O Village of__--- 367197 ® Tomgi or Star Prairie III. Type of POW"I•S Permit; (Beet( either "New" or "Replacement" and other applicable on line A. Checkone box on line B. Complete line C if applicable.) A' ❑ New S stent Replacement System Other Modification to ExislinbSystem (explain) Additional Pretreatment tMit (ex Iann) ----- B. Holding Tank ® In -Ground At -Grade Mound Individual Site Design Other 'Ivpe(explain) (conventional) C. ❑ Renewal Before ❑ Revision Change of Plumber Transfer to New avnter List Previous Permit Number and Dale Issued L'xpirttion IV. Dis ersallfrea enl Arca and Tank Informalion: 32 Infiltrator Quick 4 Standard Plus chambers, 2 pair end caps, Pol Lok Pl. 525 effluent tiller Design Flow (gpd) Design Soil Application Rate(gpd/sf) Dispersal Area Required (sQ Dispersal Area Proposed (sl) System Elevation 450.00 gpd. 0.7 gpd./sq. ft. 642,86 sq. ft. 654.40 sq. ft. 90,50' Capacity in Total N of Manufacturer Y Tank Infomtalion Gallons G2tllons Units o o g u New Twigs Existing Tanks 4u o it U ✓z I 4i _ ti (7 O.. Septic orNoldingTo"k 1,000 1000 2 Wieser Concrete Triple X DosingChwuber 650 - 650 1 Combination ST/PC X V. Responsibility Statement- 1, the undensignle, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Signature MP/MPRS Number Business Phone Number �i James K. Thompson /l• MPRS 30021 (715) 248-7767 _ Plumber's Address (Street, City, State, Zip Code) 340 Paulsen Lake Lane, Osceola, WI 54020 VI. Coun /De tartment Use Only Approved ❑ Disapproved Permit Fee Dale Issued Issuing Agent Signature O Owner Given Reason for Denial ConditionsofApproval/Reasonsfoi-Disa roval czAttach to compute plans for die system and si it to the C my only on paper not less than 8 1/2 x I I inches in size SBD-6398 (R. 03/22) Index & Title Sheet Dose -Conventional Replacement POWTS Project \ame: Christen 3-bedroom Rep] Dose -Conventional POWTS Owners Name: Steven J. Christen Owner's address: 1986 100thSt., Somerset, WI 54025 Site address: Same Project Location: 1986 1OOthSt., Somerset, WI 54025 Subdivision: Lot 01, CSM Vol. 04, Pg. 1014 Legal Description: A\V1;4 W 1/=1. Sec. 28, T.31N., R. 18W., Tn. of Star Prairie, St. Croix Co., W1. Parcel 11) t=: 038-111 1-80-000 Page 1 Index and Title Sheet Page 2 Site Plan Page 3 POWTS Design Calculations Page 4 POWTS Design & Pump Chamber Calculations Page 5 Zoeller BN 53 Pump Curve Page 6 Septic Tank/'Pump Tank Cross Section Page 7 Effluent Filter Specifications Page 8 Distribution Box Cross Section Page 9 Dispersal Cell Cross Section Page 10 Infiltrator "Q-4" Chamber Specifications Page I I Dose -Conventional POWTS Management Plan Page 12 Sanitary System Ownership/Address Form Page 13 CSM Page 14 Warranty Deed Attachments: Sanitary Permit Application Soil Evaluation Report Matcr Plumber Restricted Service: James K. Thomnsort, DSPS Credential #30021 Signature: Date: Page 1 Of 14 Des!gn Nursoant to In -Ground Soil Absorption Component Manual for ' OWTS, version 2.0 SBD-10705-P (N_01101) ProPoSp w5,./ L.e,l/. -7 xS (2)t/en6i.aS a6 3 `X �7"Cor+56-ece4 a Q6aq IlC dc.5/0C.r. u 5 PS 38 3. 3-1. d4"c �V1 V - J • C7e'rlLA m4",�f':„ Sc�L�r of S.'cl J f A1 . t3,r'1.: 7-0porGx;�5e s.r 0cct/,16 >307 lepe i A 6 2 11-(/ �L/ ` ,Vstelti Desi (JI) (_'alCI.ilations Christen Dose -Conventional Residential POWTS JOB DESCRIPTION: Existing hydraulically failed drywell and damaged septic tank require replacement. Limited available area requires dosing to reach new dispersal cell area. Design based on In -Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems, Version 2.1 (May 2022-2027). ABS0)f2P ;'ION; AREA SIZING: 1. Design wastewater flow: 4500.0_ 0_gpd (W gpd estimated wastewater flow as per code)(150% conversion factor) = 450.00 gpd Design Flow 2. Existing_ grade elevation: 95.08' at B-2 - 95.62' at B-1 _ _�__ ! 3. Depth to lunih- ng factor: 87.29"-_ �d B-2 100") 4. Proposed system elev.: 90.50' at 55.0" - 61.5" below existint grade 5. Infiltrative capacity of soil at or within 36" of system elevation - 0.7 gpd/sq..ft. 6. Absorption area required: 600.00 450.00 gpd design flow / 0.7 Gpd = 642.86 s+ ft. absorption area required 7. Ab�;orption area proposed: _634_GI0sq.,_t't, Two (2) distribution trenches proposed, 16 chambers per trench = 32 Infiltrator "Quick 4" Standard plus chambers total. EISA per chamber = 20.00 sq. ft. , Ell SA per pair end caps 7.2 sq. ft. 32 chambers x 20.00 sq. ft = 640.00 sq. ft, per cell 2 pair end caps x 7.20 sq. ft. _ _14.40 sq. ft. per cell 654.40 sq, ft. per cell Number of trenches: Two (2) A 16 "Quick 4" standard plus chambeC per trench (32 chambers total) trench width (A): 3-1.0" trench length (B): 67_00' S1;1' t lC I V\K %L%N r (_ D. 1,Iv,. �U:.,Ir ITY_ Wieser Concrete W 1000/650-FDL Triple combination septic tank / pump chamber with PolyLok PL-525 effluent filter at outlet of septic tank. PIJ�,i %IP Cl:AMIWR C M)ACITY CAUI_ % FIONS 1. Force :Main: Diameter 2" Length _65' Flow rate 40.00 yzal./minute f SS ( 2• ZS) / Q� Friction loss 3.75 It. (65')(3.30 ft./ I OOft.) Friction loss 3.75 f. (65')(16.3 gal..'I0011.) b� 2. Total 6N namic head 1lin.. ujiply pressure 0_00' Vertical lift 4.25.' . (elev. c top of highest forcemain elevation = 9125', Off float elev. = 87.00') Friction loss 2.25'_ (forcemain & fittings friction) Total dynamic head = _6.50' Pg. 3 of 14 3. Pump selection: Manufacturer: Zoeller Model number: BN53 (Pump will discharge 40.0 gpm f @ 6.40' TDE1) 4. Dose chamber: Manufacturer & capacity: ..Wieser w'1000/650 MR combinaticm Septic tank, PUMP chambei (41"_liguid depth - IJ5_93 gal./inch - 653.13 aal_actua.i_capacity) Sizing calculations and float settings: A) One day holding capacity: 26_30" — 375,90 kr:il, B) Alarm setting: 2.00" = 31.86 z!al. C) Dose volume + flow back:. 5.80" = 92.45 dal_ Max. dose = (450.00 gal.)(20% Design flow) - (10.60 gal. flow back rr)) 65') = 100.60 gal. D) Reserve storage: 9.60" = 152.93 Lal. TOTAL: 41.00" = 653.13 gal. Dose Tank Information locking cover wilh device ing device labeland locking and n sealed atert!ght Bectrical as per NEC 300 and —♦ Comm 16.28 VVAC Tank component is properly vented Wieser WLP1000/60 Manufacturer Capacityl 653.13 Gallons Volume 1 15.93 gal/inch Dimension Inches Gallons A 23.60 375.90 B 2.00 31.86 C 5.80 92.45 D 9.60 152.93 Total 41.00 653.13 A B C —t i Disconnec4 in. min t --1— Alarm Manuafacturer FSJRhombus Alarm Model Number JB Plugger XL r� -- Pump Manufacturer Zoeller _ Pump Model Number BN53 E-- Alternate outlet loc at ion diameter 2 in. Weep hole or anti - siphon device Nmpoff elevation (ft) 86.80 Dose tan elevation (ft) 86.001 EFFLL,',I_._h DIS I RElil. flO\ Wieser Concrete Distribution Box to 4" ,rarity flow header. Pe.. 3 of 14 TOTAL DYNAMIC HEAD FLDW PER MINUTE MODEL 53/55/57/59 Feet Meters Gal. Liters 5 1.5 43 163 10 K 30 4 34 r 129 15 4.6 19 72 Shut-off Head: _ 19.25 ft.(5.9m i W wUJ !LIJ — UJ LU LL 0 GALLON LITERS 0 PUMP PERFORMANCE CURVE MODELS 53/55/57/59 r I l 10 20 30 l40 80 160 FLOW PER MINUTE 50 n 3GPO�ed! 0 Moc!el MODEL COMPARISON -- Seal Mode Volts Ph Amps HP Hz Lbs Kg Simplex Duplex N153PA55 S r gle Auto 15 —1 h 1 9.7 3/10 80 23 10 1 W3/N55 S.r the Non 115 1 9.7 3/10 50 23 10 2 3 & 4 61453 Slrgle A no 115 1 9.7 3/10 60 25 11 " " BE53/BE57 S'r gle A,to 230 1 4.8 3/10 60 24 / 30 11 / 13 D53 S ngle Auto 1230 1 4.8 1 3/10 60 23 1 10 1 --- E53/E55 Single Non 230 1 4.8 3/10 60 22 10 2 3 & 4 M57/M59 Single Auto 115 1 9.7 3/10 60 29/33 13/15 1 --- N57/N59 Single Non 115 1 9.7 3/10 60 28 / 29 12113 2 3 & 4 BN:7 Single Auto 115 1 9.7 3/10 60 30 13 D57/D59 S ngle Auto 230 1 4,8 3/10 60 30133 13115 1 Efi7, E59 S'nc Non 2:30 1 -1.8 ' 29 12 / 13 2 4 E59 S r, Non 230 1 1.8 _ 3I10 60 29 13 2IE3;& 4 Silojie. F'ggybacR r.Nr,trh include=d. SPECIAL MODEL FEATURES Addition al cord Ian(Jihc are avai'.ahla in 15' (5 in), 25' (8 mi and 35' (11 rn). EO' ,15 in' cord lengthy; avai able for 230 V units only. EL and UN models Ire ude a piggyback variable level pumt) switch. Model 53: cast iron r:w tch case, motor and pump housing, a plastic impeller and base. Model 57: all cast iron construction with a cast iron impeller. Model 5F: bronze switch case, motor and pump housing, a plastic impeller and base. Model 59: bronze construction with a bronze impeller. Optional purnp stand (P/N 10-2421). SELECTION GUIDE 1. Integral float -operated rne:chanical switch, no external control requirc;J. :'. Sirn11e pigclybt:rk variable level float switch or double piggyback ,ariahlo level float ewitc t. Refer to FM0417, a. See l' M0712 for correct model of E-lecli-ical Alternator. 4. Var able level control switch 10-0743 used as a bontrol activator with electrical alternator !3) or (4) float system. OPTIONAL PUMP STAND P/N 10-2421 • Reduc:,s potential ciogging by debris • Replaces rocks or bricks under the pump • Made of durable, noncorrosive ABS • Raises pump 2" (5 cm) off bottom of basin • Provides the ability io raise intake by adding sections of 1'/z" or 2" (DN40 or DN5(;) PVC piping • Attaches Securely to pump • Arcon.rrodates sump, dewaterinq and 0fhiinit applications NOTE Niake suru flc•az is free from obstruction. �.�. CAIf TION Al!n tallatu i of c jaro'Sr pircief Yon deicqs intj wiring should lie done by a qualified licensed electrician. All electrical and safety codes should be io e wI n I rding he most recent Natio tal 1 Inctr cal t. odfh e (NEC) and the .cupat onal Sa�ety and Health Act (OSHA). C Copyright 2020 Zoeller' Co. Ali rights reserved. 502-778-2131 1 800-928-7867 1 3649 Cane Run Road I Louisville, KY 40211-1961 1 zoellerpumps.com Pg. 4 of 13 4" CAST -A -SEAL p L -------- I�----__-___- �1 I 2�` 1• I _, n � OL L 1 0 I I l 10"FILTER R- II LOW it TRU II BAFFLE "II r -------- - - - - - - - .-J`------ � ------ , 110120 I�'.`1 WLP1000/650-FDL TRIPLE TANK SPECIFICATIONS DIMENSIONS: 4" CAST -.A -SEAL WALL: 3" BOTTOM: 3" COVER: 5" MANHOLE: 24" I.D. PRECAST CONCRETE RISER HEIGHT: 57" O.D. LENGTH: 13'-4" O.D. WIDTH: 6'-0" O.D. BELOW INLET: 46" O.D. LIQUID LEVEL: 41" WEIGHT- 15,000 LBS. INLET AND OUTLET: 4" CAST--A-SEAL BOOT OR EQUAL GASKET INLET AND OUTLET BAFFLE AND FILTER: WISCONSIN, SEE DETAIL #10 (OTHER STATES SEE CHART) LIQUID CAPACITY: 12.37 GAL/IN (SEPTIC) 12.37 GAL/IN (SEPTIC) 15.93 GAL/IN (PUMP) LOADING DESIGN: 8'-0" UNSATURATED SOIL 4" V`N1 I I i.i in is II'll� -- -it— 'I - f -- ==='UTLET i -T_ it 1 II ter' Q1 N 1 � I -,I v a a. 1 - 1 I I i 7 i MP PAD .7 - 7" �ID.�_ylEw TANK CAN BE USED AS: SEPTIC/SEPTIC, SEPTIC/PUMP OR SEPTIC; SIPHON COVER: MIX DESIGN #8 (NO FIBER) TANK: MIX DESIGN #i0 (STRUCTURAL FIBER) CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WIESER CONCRETE REVIEWED BY REVIEW DATE DRAWINGS SUBMITTED FOR APPROVAL APPROVED BY: APPROVAL DATE: PRODUCTS NEEDED BY: > w 0 _I o a oo 3 o o 0 t o 0 m o n ;I §EI I al 2iJ al � w Wff H W `r) Y (CD o Ln pzm p w 1 Lo C\I W� 0 3 O - r W- 3 SHEET NO. I 0� I TANKS ARE MANUFACT!J!RED -0 MEET OR EXCEED ASTY, C-_1227 REQUIREMENT`_' t ry N,�os it Pro j,' )rawict? Zabel' & A Division cf Poiylok W PL-525 Lffluent Filter Pi;-525 Filt'_'.i' The PL-525 Filter is rated for 10,000 GPD (gallons per day) making it one of the largest filters in its class. It has 525 linear feet of 1/16" filtration slots. Like the Polylok PL-122, the Polylok 111 525 has an automatic shut-off bail installed with every filter. When the filter is removed for cleaning, the ball will float up and temporarily shut off the system so the effluent won't leave the tank. J# I�caivie<a: Rated for 10,000 GPD (gallons per day). 525 linear feet of 1 / 16" filtratioit. Accepts 4" and 6" S(: 11) 40 pile. Pnilt in f;as deflector. Autornatic ,hut -off ball when fitter is removed. - A arm acce,;,Jbility. A,:cepts PVC' extension handle. IT-K,3lw,ta latiow Ideal for residential and commercial waste flows up to 10,000 gallon,, per day ( PD). Locate the outlet of the septic tank. 2. Remove the tank cover and pump tank if necessary. 3 Clue the filter housing to the 4" or 6" outlet pipe. If th:.:.il ter Is ncI cl ntc red under the access opetling use a 1'ohlok Extend & Lok or piece of pipe to center filter. 4. Insert the PL-525 filter into its housing. 5. Replace and secure the septic tank cover /rl y7'y r✓t usgt'iranl<': The PL-525 Effluent Filters will operate efficiently for <,everal years under normal conditions before requiring cleaning. It is, recommended that the filter be cleaned every time tl?e tank is pumped, or at least every three vcass. If t1w i;istalled filter contains an ol,tionaI alarm, th, ovner will be notified by an alarm when the filter [reeds servicing. Servicing should be done by a certified peptic tank pumper or installer. Locate the Nutlet of the septic timk. R;,rnove tank cover and pump tank if necessary. Do not use plumbing when filter is removed. 4. Pull PL-525 cartridge out of the housing. 5. 1-'ose off (Ater over the septic tank.. MAe sure all solids fall l..,ack into sf.,ptic tank. 0. Insert the filter cartridge back into the housing making sure the filter is properly aligned and cornpletely inserted. 7. Replace an.i secure septic tank cover. ICi 6" Fi.ltratio rl Slots i 10, 0 .5 r flcccpls 4" & 6" SCI I 40 pipe r ,m Switch tional) •cepts 1" PVC tension Handle Rated for 10,000 GPD 525 Linear Pt. oft/16" Filtration Slots Certified to NSF/ANSI Standard 46 Gas Deflector r Automatic Shut -Off Ball t I= OutdoorSrna,tlrit, r Al_;m fxtend Sz.LokT"' Polylok, Zabel & Be,t filters occept Easily installs the SmartPilter® swztz h and alarm. into existing tanks. i'oMok, In(. 3 Fairficid Blvd. Wallingford. CT 06492 4611 Free: 877.765.9565 Fax: 203.284,8514 www.polylok.com Pg. 5 of 13 co 151" DETAIL 16 2 6 HOLE DISTRIBUTION BOX a 0 W'A- 12' } I DIMENSIONS: z 12" HEIGHT: 11" O.D. > LENGTH: 15 1/2" O.D. �j WIDTH: 11" O.D. BELOW INLET: 3 1/2" O.D. 11.. WEIGHT: 102 LBS. o INLET AND OUTLET: 4" CAST -A -SEAL BOOT OR EQUAL rl } W ul I v> CU f W W -- M= s cD I Y TOP VIEW cc am N I ----- Remo O ///jj jj�LAA � I x m 10 z o � N 04 A TYP. " � I --- %/%�1 j 0- (,j � O vw) ` 11•• f 2,. 24.. 24 (a i I SHEET N), I I i SIDE VIEW END VILE%/ o V, 0 0 cz a IN-C�?CUND DOSED -GRAVITY DISPERSAL AREA Stepped Elevation Trenches with Quick4 Standard-W Chambers 3-ft Trench (down -sizing credit) SOIL COVER Highest Trench System Eieva ions = 90.50 ft. 90.50 TYPICAL TRENCH CROSS SECTION VIEW (No Scale) 34". (typical) a Lowest Trench (as applicable) ft; ft; ft; ft Quick4 Standard-W w; End Cap t (Shc,�v Iccaticn of inlet ! outlet pipe connection on plan view.) ':T Lit ,. g = 67 ft (typical) INSTALL PER TRENCH: 16 Quick4 Std-W @ 20 fe EISAIchamber = 320 ftZ + 2 Pairs of end caps @ 6 ftZ EISA/pair = 7.20 ftZ = Proposed EISA per trench = 327.20 ft` Provide minimum 3 ft separation between trenches. Observation Pipe (typical) Install per manufacturer's / instructions. TYPICAL TRENCH PLAN VIEW T (No Scale) f A = 3.0 fr (typical), _I \\\—Quick4 Standard-W Chamber (typical) (mfd by Infiltrator Systems. Inc.) Install pursuant to manufacturer's instnictions. Required Infiltration Area = 642.86 ftZ x 2 trenches = Proposed Total EISA = 654.40 ft, Distribution Method: distribution box m W 0 n 071 Quick4 Plus Standard Chamber zn�—,J- 34' Quick4 Plus All -in -One 12 Endcap PRESSURIZED PIPE DRILL 4TIONS 33' FRONT VIEW Quick4 Plus All -in -One Periscope QUICK4 PLUS "' ONE PERISCOPE 10° SWIVEL) 1 *In�4\112.7' INVERT f77 I -1 - �- EFFECTIVE LENGTH 8' INVERT SIDE VIEW INFILTRATOR WATER TECHNOLOGIES, LLC r'K 1LTRAT'OR") Infiltrator Water Technologies, LLC STANDARD LIMITED Drainfield WARRANTY (z,' he >trucwral in erg ',ty of each chzmber, endeal:, :Zflow expert xlystyrene a idior other accessory rranufac'ured by Infi trator ("L'rits'), when Installed and cp:: ied it a leacnfi,dd cf . r ons',te septic systen it accordance w,th Infltrator's resin ct:ons, is %wranted :o the uric nai p(.r- dY:aser ("Holder') against defective materials and woi kmariship for cm,, veor from the date tt at the septic permit is issued fcr the septic system conViining the Units; providec, however that if a septic permit is not requin cl by app'icuble law, the warmnty period will begin upon the Cate that rstdti:- tion of the septic system cor maroes To exercise its warranty rights, Holcer must nutd7 lot ltrator ;n writirg at its Corporae Headquarters in Old Saybrook, Connecticu' within fifteen (15) days (.,t the alleged cefect. InN r tort wiIsupply replacement Urns far Units d-tarmined by IrTliatur is be covered by this Lirritec: Waranry Infilltrater s Ilabi:ity ,pert" tally excludes des the cost of removal and., or iristail;ition of the lJr.IK (b) THE LIMITED WARRANTY AND REMED E9 1N SUBPARAGRAPH tor) ARE EXCLUSIVE 1 H':_RE ARE NO OTHER WARiVNTILS WITH RESPECT +-O HE UNITS, IN�1.-t DING NO IM'i AARRANTIES OF ME[ CHAt, Tl.EILITY OH FITNESS FOR A PAR I'liI .AR Pii-3PGSt c. This Limi'ed Wa r:,r ;y rli Le voic it an part o' r;e chirnber s -at i , ,i rl :nr act ared b. :ny;ne other it Infiltrator. The ur ittof Wa rarity does not exlerc to ncide :1 tl, ::or ;egoer tia', sp•aa: al or indirect c'amages. Irfilira:ar sna l not t,e :table for prralfies or liquic ;h c ccmagcs, inJu liria loss o' production and pro'its I; bar and materials, cverheac co - As or oth asses or expenses Inc jcec' ty the Holder or any tbrrd pasty. Specifically excluded from Linked War arty co a a;e are tl arii t; 6" the Units due to ordinary wer.r and tear, alteration, accident, misuse, abuse or neglect of toe Units, its Units being subjected to vehicle traffic or artier conditions which :at: not permitted by the :nsta:- �.�.� a1cin irstructions; failure to ma wain the minimum ground covers set forth in the installation ir:stru:- - - bons; the placement of improper materials into the system containirg the Units; failure of the Units ' or the septic system due to improper siting or improper sizing, excessive water usaga, improper grease disposal, or ern; roper operation; or any other ;:vent not caused by Infiltrator. This Uirniteo Warranty shall be void if the Hader fails to rorply with all of the terms set forh in this t.irnitec Warranty. Further, in no event shall Infiltrator be nsponsihle for any loss or damage f o Inc Holder, the Units, or any th rd party resulting from installation. or shipment, or from an, prodeet liabiiih claims o' Hcloer or an. Vi rd pal . Fcr this L,mited Warraray to app'.y. the Units c:us' be in Iii ed ire accordance mi all sit, c rmc tions re:;uhed ty statra ind local codes; a other app''lu ib�e yaws anc Infiltrator's installation instruclions. (d) No rtepreeentave of Infiltrator has the authority o chance or exterd tt r U.n teJ 1Jarran y. No 4 Business Park Road P.O. Box 768 wimanty applies to an p rty other thin the original Holder. The aLove repres nts th Sta m'ard Old Saybrook, CT 06475 Limited Warranty offered by Infi trator. A fnifted number of states aml, counties have different w art 860-577-7000 • Fax 860-577-7001 rarity requirements. Ar y purcheser o' Units should contact Infihrator ; Corporate Headqu r ers in INFILTRATOR® 1.800-221-4436 0':d Saybrook, Connecticut, prior to such purchase, to obta n a copy A the api warn int y, arrd W aiOC 1p`C.;; t ;,J)C;r)j <; www.inflitratorwater.com should carefully read that warranty prior to the purchase of Units. U.S. Patents: 4,759,661; 5,017,041; 5.156,488; 5,336,017; 5,401,116; 5,40',459; 5,511,903; 5,716.163: 5,5158.778: 5,839,844 Canadian Patents: 1,329,959; 2,004,564 Other patents pending, Infiltrator, Equalizer, Quick4, and Sidewinder are registered trademarks of Infiltrator Water Technologies. Infiltrator is a registered irad�mark in France. Infiltrator Water Technologies is a registered trademark in Mexico. Contour, Mleroleaching, PdyTuff, ChamberSpacer, Multipart, Posil-ack, OuickCul, QuickPlay, SnapLixk and Straight)-ock are ire.demarks of Inilltrator Water Techno'locies Poli Is a trademark of POlylok, Inc. TUF-TITE is a registered trademark of TiJF-TITE, INC. Ultra-Rib':s a trademark of IPEX Inc. 02016 Infiltrator Water Technologies, LLC. Al rights reserved. Printed in U S.A. PLUSOL 0813 Contact• • •• De • :1111 'g. 8 of 13 Dose -Conventional POWTS Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General The septic system shall he operated in accordance with SPS 382-384 Wis. Adm, Code, and shall be maintained in accordance with component manual SBD-10705-P (N.01 01 ) and SIM. 10706-P (N.01/01). All local and/or state rules pertaining to system maintenance and maintenance reporting shall be complied with, All inspection and maintenance activities shall be perfrrrmed by a registered POWTS Maintainer in accordance with SPS383.52 (3), Wisc. Admin. Code. Questions on the operation or maintenance of the system should be directed to the installing plumber, Jim Thompson at (715) 248-7767 or the St. Croix County Zoning Department at (715) 3586-4680. tieL is Tank Septic tank servicing mechanics comply with SPS 383.54(1)(e). The septic tank is located within 150' of service pad, with the bottom of tank -<_ 15' below service pad elevation. The contents of the tank shall be removed and the operating condition of the septic tank and outlet filter shall be assessed at least once every three years. T he septic tank contents shall be removed can a three year cycle or when the sludge and scum in the tank exceed 1/3 the liquid volume of the tank. The contents of the :•entic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code, by an individual certified to service septic tanks under s. 291.48, Stats. 11' the contents of the tank are not removed at the time of a biannual assessment, maintenance personnel shall advise the owner of when service will be needed to maintain less than 1/3 scum and sludge accumulation in the tank. The outlet filter shall be cleaned annually or 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 slouf;h off the filter when removed from its enclosure. If the filter is equipped with :in alarm, the filter shall be serviced if the alarm is activated. Septic tank manholes risers, access risers, and covers should be inspected for water tightness and soundness. Access openings used for service and asse;sment 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 into the tank. No individual should ever enter the septic tank as dangerous 1',ases may be present that could cause d<ath. Septic tank abandonment shall be in accordance with Comm83.33, Wis. Adm. Cod when thc tank is no longer used as a 110A,"fS component. The addition of'biological or chemical additives to enhance septic Murk pert6nuance is ilenerally not required. if such products are used, they shall be approved f6r septic tank use by the Dcpartm;nl of Pro?es,,iorrtl Servies. POWTS Division, I'll n11) Tank The pump (dosing) tank shall be inspected annually. Switches. alarm, and pump shall be tested to verif} proper operation. Soil Absorption Cell Trees or shrubs should not be planted directly on the soil absorption system. The area above and around the system should he s..eded and mulched as necessary to prevent erosion and provide some degree of frost protection. Traffic (other than for vegetative naintenamee) over the system is to be avoided. Soil compaction may hinder aeration of the infiltrative surface within, and above the system and v%ill promote frost penetration daring cold weather months. Cold weather installations (October -March) dictate that the system be heavily mulched for frost protection. Influent quality into die system may not exceed 220mg/L 130[)5, 150 MG/L TSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flow specified in the permit for the installation. Observation pipes within the dispersal cell shall be checked for effluent ponding annually. Ponding levels above 6 inches indicate an impending hydraulic failure requiring additional, more frequent monitoring. ( ontingency flan If any POWTS component becomes detective, the component shall be repaired or replaced to keep the system in proper operaing, condition. Excessive ponding within the dispersal cell will be eliminated by alternating the diversion valve hetween dispersal cells to bring the system into proper operating condition. If alternating cells does not result in a properly c,peratini., systcm. e, new dispersal cell will be installed. Pg. 10 of 13 ST. CRo �I' UNTY SANITARY SYSTEM File #: _ Office Use Only `-i-;:,`'.,,.,�," OWNERSHIPIADDRESS FORM Created212021 Community Development Department will utilize this information to provide the property owner with information regarding operation and maintenance of your new or replacernert sanitary systern! This information will be provided as part of our ongoing efforts to protect public health, your well, droundwafer, surface water, property values, and county resources. Once approved, this completed form and educational information will be sent to you by email. OWNER/BUYER INFORMATION Owner/Buyer Steve & Cindy Christen Mailing Address 1986 100th St. City/State/zip _ Somerset, WI 54025 Phone Number (required) (651) 307-3986 Email Address (required) SJChristen15@Gmai1.Com__ Parcel Identification Number 038-1111-80-000 (found on the property tax bill) NEW SYSTEM: LEGAL DESCRIPTION Property Location NW t/a NW '/a , Sec. 28 T 31_N R 188_._W, Town of Star Prairie Subdivision Plat: Na Lot ;;. 01 Certified Survey Map # Na Volume _04___ Page 44 1014 Warranty Deed # 94$447 _(before 2006)Volume Page Number of bedrooms 3 Spec house ❑ yes N no Lot lines identifiable ill yes l7 no OFFICE USE ONLY New Property Address (Verification of new address required from Community De�,elopment Deoartmen, for new conslr:ction.) (Staff Initials) (Date) This form must be submitted with all Private Onsite Water Treotrnenr System (POWTS) applications. New System: Include with this form a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. Community Development Department — Land Use Division 715-386-4680 St. Croix County Government Certer 715-245-425,) Fax cdd@sccwi.gov 1101 Carmichael Road, Hudson, Wl 54016 wwtv_scr,wiLa, Pg 11 of 1 3 3677917 NW COR. SEC 28 I h'88°3!'l0�•E 66 03 I I I I^_ 66 b b uo Q. a A � V ? b 1 J cf N Oi 01 0 �I y i ZI Q 66• W -J W x W � y � N _ ry Oi ° Co = QD b g W, �a 4 1� CL I ` J ! 2I3.3r• i v / L 0 T r / yob 2 to ry BUILDING q / \Wo C/ O�%r ��00 / 2 W � 5 zo', a w -� to ,-589°31.13"W nr 60.00 2 VIC TH LINE Cb PIE'ED Nov211980 0D AMW a CERTIFIED SURVEY MAP '"�. PARTOF THENC0 9 NW 1/4 OF THE NW 1/4 OF SECTION 26 1� T. 31 N., R.18IV., TOWN OF STAR W41RIE, ST. CRO/X CO. W'IS. 4 N 1/4 COR. — S£C. 28 UNPLATTED LANDS Nee-31'10"E — --- --- — --- --- /247oo• 1/16 TH COR. , - - A188031 '/0 °£ - - - - 1308. 97'- - �40 --1244.97-- - 6100• I // / I/16 TH LINE 1L LOT 2 ©� / 16.653 ACRES(WITHIN MEANDER LINE) 59�Aj P/ 565 (J �� L BEARINCS REFERENCE TO THE WEST LINE OF THE NW 1A OF SECTION 28, ASSUMED AS M1 / N00 °22 '27 "£. /,�- 200 • INTERIOR ANGLES 0 50 /DO 200 400 nAy/// A - 91051'17" LEGEND / B - 53,05,35" C - 150003'40" D - 203036 '06" r E - 194°16'12" F - 161°48'16" G /36°10'08" H - 89°08'46" 1 - 91°51.17" J - 226`8°08'43" 1/16 TH COR. \ f W 1� 31. T5• J W >, unrpaP♦ \ W 1/4 COP. �%" SEC. 28 ``��� \4NSGD:V`S/�'4i; DETAIL z SCOTT A. (NO SCALE) ZAS-1574CHARIS � •1sTa g r PRESCOTT, J �, iiy V. WIS. 0i A t ice.; U 2"X30" IRON PIPE SET WEIGHING 3 65 L BS /L. F • 1"IRON PIPE FOUNO Q COUNTY MONUMENT (BERNTSEN CASTALUMINUM) —x — x -- EXISTING FENCE LINE NOTE.' LOT I HAS 1.373 ACRES (WITHIN MEANDER LINE) APPROVED MOV 19 im ST. C:�OIX CUUP+TY COMP'ENFNW! ►^W4 PLANNNP AND ZOM14G COa1WTTU volume 4 Page 1014 1014 Pg 12 of 13 II PI�NIIW6�IIIPIIII'N�I State Bar of Wisconsin Form 7-2003 TRUSTEE'S DEED Document Number I Document Name THIS DEED, made between Steven J. Christen & Pamela J. Christen as Trustees of Steven J. Christen and Pamela J. Christen Family Trust Fund ("Grantor," whether one or mote), and Steven J. Christen ("Grantee," whether one or more). Grantor conveys to Grantee, without warranty, the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Croix County, State of Wisconsin ("Property") (if more space is needed, please attach addendum): That part of NE'/. NW '/4 and NW'/. NW '/4 Sec. 28-T3IN-RI 8W described as follows: Lot I of Certified Survey Map recorded in Vol. 4 of Certified Survey Maps, page 1014 as Doc. No. 367917. St. Croix County, Wisconsin. 948447 BETH PABST REGISTER OF DEEDS ST. CROIX CO., WI 01/06/2012 12:47 PM EXEMPT#: BM REC FEE: 30.00 PAGES: 1 Recording Area Name and Return Address Anne E. Schmiege Dour, Drill & Skow, S.C. 103 N. Knowles Ave. P.O. Box 388 New Richmond, WI 54017 038-1111-80-000 THIS CONVEYANCE IS GIVEN PURSUANT TO DIVORCE JUDGMENT Parcel Identification Number (PIN) GRANTED ON JANUARY 4, 2012 IN ST. CROIX COUNTY, WISCONSIN. CASE NO. I I FA 132 This conveyance is exempt from transfer fee pursuant to Wis. Stat, § 77.25(8m). Dated 0 (SEAL) (SEAL) • Steven J. rlsten, TrusteeE4M&CL ' (SEAL) (SEAL) ' Pamela J. Christen, T tee • THENTICATION Signature(s)Aeuoe— UrNj Pfflmf-l& auth ticated on 2 TITLE: MEMBER STATEBAOF WISCONSIN (If not, authorized by Wis. Stat. § 706.06) THIS INSTRUMENT DRAFTED BY: Anne E. Schmiege, Doar, Drill & Skow, S.C. 103 N. Knowles Ave., New Richmond, WI 54017 ACKNOWLEDGMENT STATE OF WISCONSIN ) ) SS. COUNTY ) Personally came before me on the above -named to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. Notary Public, State of Wisconsin My Commission (is permanent) (expires: (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. TRUSTEE'S DEED C 2003 STATE BAR OF WISCONSIN FORM NO.7-2003 • Type name below signatures. 1 of 1 Pg. 13 of 13 JVisconsin Department of Safety and Professional Services 7ivision of Industry Services SOIL EVALUATION REPORT In accordance with SPS 385, 'Nis. Adm. Code County St. Croix Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (ECM), direction and percent slope, Parcel I.D. sca,e or dimensions, north arrow, and location and distance !o nearest road 038-1111-80-000 Please print all information. Reviewed by Page 1 of 3 Ref #2732 Date Personal information you provide may be used for secondary p noses Privacy Law, s 15.04 1 m)) — Prof:erty Owner f -- -- — — Property Location ❑ teven J Christen Govt. Lot NW '/, NV! '/< S 28 T 31 N R 18 E (or) W F rope; ly ) ^Jeer's Ma li.ig Addree--_----- _-- ---- Lot # Block # Subd. Name or CSM#J-- 1986 1OC' 31 01— Na CSM Vol. 42, P _9_— 10144 ----- _ City State Zip Code Phone Number (-] City ❑ Village ® Town Nearest Road Sorrerset _— — WI 54025__[ 3) 07.3cj86 Star Prairie 198`h Ave. ❑ New C onstruction Use: ® Residential/Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement ❑ Pubiic or commercial - Describe: .—_— Parent material Glacial Cutwash Flood Plan elevation if applicable na ft. Gen: ?rat comrner:ts and recomriend,itions: Site suitable for in -ground POV`J-! S installation with 0.7 gpd'sq. ft. design loading rate. Recommended infiltrative surferce e'e,, ation to be W 50'. f'resr.ur.zation required to reach system locaticn. _. _ .... __1 Boring 1_ Sore<? r: f Pit Ground surface elev 99.62 ft. Depth to limiting factor >100" in. Soil Application Rate Ho ,on Depth Dornlnant Color Redox Description Texture `structure Consistence Boundary Roots GPD/Ft2 In MunsiA Qu. Az. Cont. Color j Cyr Sz. Sh. 'Eff#1 'Eff#2 1 0-8 1 Oyr 3/3 none s fill 2fgr mvfr aw 2vf,f 0.0 0.0 ... ... 2 - -- 8-14 10yr3/"l. --- noire s 2fsbk I mvfr ew 1fmc 0.6 1.0 :2 14-22 10yr3/4 none Is R gr Osg ml cw 1fm 0.7 1.6 4 22-30 7, none Is i Osg ml gs 0.7 1.6 01 E 30-49 10yr4/6 �49-100 1 Oyr t/4 none none gr s s Osg Osg ml ml cs 0.7 1.6 If— I I l Boring 2 Boring Zl Pit Ground >;urface elev. 95.08 ft. Depth to limiting factor >98" in. Soil Application Rate Hoairon I'eptn Dorn'nantColor RedoxDe cription texture Scntcture Consistence Boundary Roots GPD/Ftl In MUns,:ll Qu. Az Cont. Color Gr Sz Sh. 'Eff#1 'Eff#2 O f: 10yr3111 none s 2fgr —.... . (mvfr --- cs - 2fmc 0,6 --- 1.0 mfr cw 2fmc 0.6 1.0 8 22 1Oy013 I none i si 2fsbk 4 22-30 7 5yr4/6 30-52 1 1Oyr4/6 none none gr. Is 0sg grIs ! Osg ml dsh cw cw 11,m 1f 0.7 0.7 1.6 1.6 _ ...__.__..5- 5?_ 98 10yr.5/4 - ,-- 5/ none s Osq dl 0.7 1.6 Effluent #1 = BOD 30 5 220 mg/L and TSS > 30 s 150 mg/L _ I CS I Name 'Please I'm t) Sign• e amr s K f torr�son __ .. Fidd�esr Dat V :va'uation Conducted :AO Paulso-t Lake Lane, OScecla,'dLl 54020-5413 October 2, 2023 > 30 5 220 mg/L and TSS > 30 <_ 150 CST Number 30021 — Telephone Number (715) 248-7767 SBI (R04/15) 3 ] Boring # ❑ Boring [� pit Ground surface elev. 95.1G ft. Depth to limiting factor >97_ in .oil A;t)Ptication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots _ SPDIFi1 — In. Munsell Qu. Az Cont. Color — Gr. Sz. Sh. -rnvir 'Eff#1 � 'Eff#2 1 0-6 1Oyr3/2 none sl fill 2fgr aw — 2frn1c 0.0 --_! 0 0 — 2 6-16 1 Oyr4/4 none sl fill Om dh 2fsbk nfr aw cw 1 of f n 0.0 00 1vf Fn 0.6 08 3 16-23 1Oyr3/2 none - 4 23-41 10yr4/4 none sl i 1 msbk dsh aw 1 of f r 04 07 — _- Osg dl cw 07 1 6 5 41-51 7.5yr4/6 none yr Is 6 51-97 10yr416 none grs Osg dl ❑ Boring # ❑ Boring ❑ pit Ground surface elev. ft Depth to limiting factor in _ I Soil Atp`:icatiun Fate Horizon Depth Dominant Color Redox Description Texture 1 Structure Consistence Boundary Roots GRD/Ftz In. Munsell Qu. Az Cont. Color Gr. Sz. Sh. 'Ett#1 'Eff,12 I ❑ Boring # ❑ Boring ❑ pit Ground surface elev. ft Depth to limiting factor -- in. E cii i.)pkation Rate Horizon Depth Dominant Color Redox Description Texture Structure Cons s'ence i Boundary Roots— Munsell Qu. Az. Cont. Color j Gr. Sz. Sh. t 'Eff#1 Eftt2 i i ! I ; I ' Effluent #1 = BOD, > 30 <_ 220 mg/L and TSS > 30 s 150 mg/L ' Effluent #2 = BOD, > 30 <- 220 mg/t_ and TSS : 30 <; 150 ru1IL 6emf ,4--5s'4,,n e. ci a,7 cyll)?e �:s Ps 38 3, 33, ccj/cz A),o- 106 A,_,, "Je, 49 >307 Wsconsin Department of Safety and Professional Services Page 1 of 3 Div =.bn of Industry Services SOIL EVALUATION REPORT I� 7 r 0 9 %0% In accordance with SIPS 385, W s. Adm. Code County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, St. Croix but not limited to: vertical and horizontal reference point (BM), direction and percent slope, Parcel I.D. scale or dimensions, north arrow, and location and distance to nearest road. 038-1111-80-000 Ref #2732 Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes Privacy Law, s. 15.04 1 m I1/30/2®2 Property Owner Property Location ❑ Steven J. Christen Govt. Lot NW 1A NW % S 28 T 31 N R 18 E (or) W Property Owner's Mailing Address I Lot # Block # Subd. Name or CSM# 1986 10VI St. 1 01 Na CSM Vol. 42, P . 10144 City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road Somerset WI 54025 (651) 307-3986 1 Star Prairie 19&' Ave. ❑ New Construction Use:® Residential/ Number of bedrooms 3 Code derived design flow rate 450 GPD c� ❑! '.: ,r_. meat ❑ Public or commercial —Describe: Parent material Glacial Outwash Flood Plan elevation if applicable na ft. Generai comments and recommendations: Site suitable for In -ground POWTS installation with 0.7 gpd/sq. ft. design loading rate. Recommended infiltrative surface elevation to be 90.50'. Pressurization required to reach system location. L Boring # ElBoring ® Pit Ground surface elev. 95.62 ft. Depth to limiting factor >100" in. Soil Application Rate Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 1 0-8 1Oyr3/3 none sl fill 2fgr mvfr aw 2vf,f 0.0 0.0 2 8-14 1Oyr3/2 none sl 2fsbk mvfr cw 1fmc 0.6 1.0 3 14-22 1Oyr3/4 none Is & gr Osg ml cw 1fm 0.7 1.6 4 22-30 7.5yr4/6 none Is Osg ml gs 0.7 1.6 5 30-49 1 Oyr4/6 none gr s Osg ml cs 0.7 1.6 6 49-100 1Oyr5/4 none s Osg ml 0.7 1.6 qo,n 2❑ Boring # ❑ Boring 6l. -7-T/ 9 y� ® Pit Ground surface elev. 95.08 ft. Depth to limiting factor >98" in. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ftz *Eff#1 *Eff#2 1 0-8 1Oyr3/2 none sl 2fgr mvfr cs 2fmc 0.6 1.0 2 8-22 1Oyr3/3 none sl 2fsbk mfr cw 2fmc 0.6 1.0 3 22-30 7.5yr4/6 none gr Is Osg ml cw 1f,m 0.7 1.6 A. 30-52 1Oyr4/6 none gr Is Osg dsh cw 1f 0.7 1.6 _ .. 1Oyr5/4 none s Osg dl 0.7 1.6 CST Name (Please Print) Sign re �i X CST Number James K. Thompson 1;& /21 30021 Address Dat valuation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, WI 54020-5413 October 2, 2023 (715) 248-7767 6bU-8330 (R04/15) E El Boring # ElBoring ® Pit Ground surface elev. 95.10 ft. Depth to limiting factor >97" in. No i; ur, Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 1 0-6 10yr3/2 none sl fill 2fgr mvfr aw 2fm1c 0.0 0.0 2 6-16 10yr4/4 none sl fill Om dh aw 1vf,fm 0.0 0.0 3 16-23 10yr3/2 none sil 2fsbk mfr cw 1vf,fm 0.6 0.8 4 23-41 10yr4/4 none sl lmsbk dsh aw 1vf,fm 0.4 0.7 5 41-51 7.5yr4/6 none gris Osg di cw 0.7 1.6 6 51-97 10yr4/6 none grs Osg dl 0.7 1.6 r 70-ST SS 2�9b 7.a F Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate epr; i In. Dominant Color Munsell Red ox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 M * Effluent #1 = BOD, > 30 <_ 220 mg/L and TSS > 30 5 150 mg/L * Effluent #2 = BOD, > 30 <_ 220 mg/L and TSS > 30 <_ 150 mg/L &A 18 133, 1164 Ives MAT oz dol 6 cc, ZA 3 5 : C901K -COUNTY Ref [W�.Q4/ct— too ;l OWNER 6-LiWAl 6tWISTIEW PLUMBE�� 1 JLIC.' J o & ; AND/OR , BLOCK L :;*k t 91 ^ NOG 6SI3s� 26ge X CHAPTER 145.135 (2) WISCONSIN STATUTES (a) The purpose of the sanitary permit is to allow installation of the private sewage system described in the permit. (b) The approval of the sanitary permit is based on regulations in force on the date of approval. (c) The sanitary permit is valid and may be renewed for a specified period. (d) Changed regulations will not impair the validity of a sanitary permit. (e) Renewal of the sanitary permit will be based on regulations in force at the time renewal is sought, and that changed regulations may impede renewal. (f) The sanitary permit is transferable. History: 1977 c. 168; 1979 c. 34,221; 1981 c. 314 Note: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. AUTHORIZED ISSUING OFFICER - DATE 13f�hp23 S PERMIT EXPIRES- ,tzci ha-2 UNLESS RENEWED BEFORE THAT DATE SBD-06499 (R11/20)