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Home My WebLink About030-1082-95-000 Wisconsin Department of Commerce Safety and Building Division PRIVATE SEWAGE SYSTEM County: INSPECTION REPORT sanitary Permit No: 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: State Plan ID No Henry Korent city Village Township CST BM Elev: Insp. BM Elev. BM TOWN OF SAINT JOSEPH Parcel Tax No Description: ~ ~ 030-1082-95-000 TANK INFORMATION A:V ection/Town/Range/Map No: TYPE MANU ELEVATION DATA 29.30.19.299B Taal Eye Septic IY 7 CAPACITY STATION gS O I a ~r l(p HI F ELEV. Dosing Benchmar t nn``'' Aerd[IaA = , Aft. BM ~.pI t l~ Hold t~ Bldg. Sewer A~f Ht Inlet ' f~. tL / 4 TANK SETBACK INFORMATION ® Outlet i ) 1-/0.7 t/ TANK TO P/L WELL 4L BLDG. Vent to Air Intake ROAD Dt Inlet ily Septic Dt Bottom Dosing t1oe 18 Ae tion eader an. Holding Dist. Pipe a Bot. System s~ S PUMP/SIPHON INFORMATION Final Grade l ' 8 Manufacturer ~-e Demand St Cover Fj Model Number GPM 7w TDH i 51 Frictiln Los f System Head t Forcemain er~ptt1_ ,o O Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width DIMENSIONS I I'll I'll I Length No. Of T c es I PIT DIM ' G W MS ~1fSIONS No. 0 its / Inside SETBACK Oirf, Liquid Depth/ SYSTEM INFORMATION TO / _ BLDG Type h WELL LAKE/STREAM LEACHING Manufacturer VV' } ~ r CHAMBER UNIT OR LOIV V ) I&), D IBUTION SYSTEM lQ Model Number: Header nifold f Distribution Length pia Pipe(s) I I / x Hole Size Length X Hole Spacing Ven o Air Intake , G~ I SOIL COVER D'a' spacing , 1-2 Depth Over X Pressure Systems Only xx Mound Or At-Grade Systems Only J A Bed/Trench e t rn Depth Over Bed Trench Edges (l Top Pth of I/ xx Seeded/Sodded L xx Mulched COMME c ude code discrepencies, persons present, etc. Yes Nees No ) Id ection #1: ~ ,1 Location: 1376 FOX RIDGE TR ~W iA l ~ f 2 V~ Inspection #2: 1.) Alt BM Description (ova, ^ ~ O" ~ ~ 2 P ~ ' I 2.) Bldg sewer length = ' J ~T~~u ( Cho -amount of cover Plan revision Required? ❑ Yes No jL1 U se other side for additional informati n I SBD-6710 (R.3/97) Date (I 0 Insepctor' gnature Cert. l• el Safety and Buildings Division county P C"1 _ g 201 W. Washington Ave., P.O. Box 7162 Pe C~ Madison, WI 53707-7162 Sanitary Permit Number (to be filled in by Co.) 9 Z Z Z In accordance with SYS 38 Sanita 3.21 2O PePI211t Apnl,~--~ ' is required prior to , Wis. Adm. Code State Transaction Number obtalnin submission of the Department of Safe g a sanitary permit. Note- q u oses in accordance with the Pri a Lawes [1 5.04 Application fo ~.u~uental unit Personal information ou4 v deema may be are submitted to Project Address (ifdifferent than mailing address) I• A hcation In fo rmation - (1 m , Stats. Y Pro Y be used for secondary Please Print All Inform Property Owner's Name row t 41,5 7~ Property Owner' Ile n ' 01- arcel # s Mailing n g Addres Q~0 Far . City, State / !y . Property Location ^ y I I' v~ /sue Zip Code Phone Number Govt. Lot /1? I'- Type of Building (check ~ • all that apply) ~4 , 414(11 Section 1541- I or 2 Family Dwelling Lot T ?V circle one - Number of Bedrooms N, R E oo ❑ Public/Commercial - Describe Use B Subdivision Name ❑ State Owned - ~ ~ r S C S~ ~/~g " Describe Use ❑ City of CSM Number X ❑ Village of III. Type of Permit: (Check one 7Toµn of ~ New ox on line A u~q A. Complete line B if~/ System ❑ Replacement System PPlicante) ❑ Treatment/Holding Tank Replacement only 2G B. ❑ Pe it Renewal ❑ Other Modification to Existing System (explain) Before Ermxpiration 1:1 Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issue 'V. T e ofPOWTS S stem/Colnonent/Device: Owner j ❑ Non-Pressurized In-Ground Check all that a 1 ❑ Pressurized In-Ground El El Holding Tank El Other Dispersal Component (explain) At-Grade ~ Mound > 24 in. Of suitable soil V. Dis ersa El Mound 124 in, of suitable soil 1/Trea ent Area Information: E3 Pretreatment Device (explain) Design Flow (gpd) Design Soil A / pplication Rate dst) Dispersal Area Req o Y / uir (sf) Dispersal Area Pro VI. Tank info d Capacity in System Elevation Gallons Total # of b / 7< ® New Tanks Existing Tanks Gallons Units Manufacturer Septic or Holding Tank c ~ Dosing Chamber JQ CJ -0_ _ VII. Responsibility Statement- the undersigned, ' GS (Print) assume responsibility for installation Plumber's Signature of the POWTS shown on the attached plans. O MP/MPRS Number Business Phone Number Plumber's Address (Street, City, State, Y`"! c-•.---- Zip Code) e r/ice VII oun /De artment Use Or nl f Approved 11 . Permit Fee Date sued V ial ° Reason for $ `&/a, 2- I6/if 7 Issuing nt Signature IX. Condi prt -jW n9, isapproval 3 Q~ ti*el' iti 100 r"Xt all be io s r •;,~;r~t;'rg~ ~ p~ ";Per M.Or.Sgerrten. plat[ pt a riden V ? ,11eckreet,iret2on~mt~;t,ke , yWu'nber. Ga~ l as Per epFlicabhs cndK / w rdirsancat atntalred /',mar ,/~J ` Attach to complete plans for the system and subalit to the CoUa • 4` A , J ty only on paper ao a than uz x I 1 inches • t'. SBD-6398 (R. 1 I/11) J\ 1 ' I 00 I uv 1 1 a. I • 1 I i w I It / W 1 \ / . . . u \ 1 U LL N Lu \ vt! Mir* C; < 0 O~ . O a O \ \ _ _oo_ W_,- i t I v C, Q \ r 1 00 O cc Z w / , Q Q Ql w CD , / to w 1 0 C) _ z O" O o ;LL 1 1 • O Q N. ' d LEJ 0 . ~tie~xT.11F`~T DIVISION OF INDUSTRY SERVICES 3824 CREEKSIDE LN $ HOLMEN WI 54636-9466 R Contact Through Relay vy s http://dsps.wi.gov/programs/industry-services ~o www.wisconsin.gov sro;~2.ti5~P Scott Walker, Governor Eric Esser, Acting Secretary January 31, 20172 1017 CUST ID No. 225410 ATTN: POWTS Inspector PAUL R KOEHLER ZONING OFFICE COUNTRYSIDE PLUMBING & HEATING INC ST CROIX COUNTY SPIA 321 WISCONSIN DR 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016-7708 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 01/31/2019 SITE: Derrick and Henry Korent Identification Numbers 1376 Fox Ridge Trail Transaction ID No. 2897692 Town of Saint Joseph Site ID No. 835053 St Croix County Please refer to both identification numbers, SETA, NW1/4, S29, T30N, R19W above, in all correspondence with the agency. FOR: Description: Four Bedroom EZFlow Mound System \ Sloping site Object Type: POWTS Component Manual Regulated Object ID No.: 1689321 Maintenance required; 600 GPD Flow rate; 24 in Soil minimum depth to limiting factor from original grade System(s): EZflow Mound Component Manual, (R. 7/12), Pressure Distribution Component Manual - Ver. 2.0, SBD-10706-P (N.01/01, R. 10/12); Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. lV~` No person may engage in or work at AF plumbing in the state unless licensed to do so by the Department per s.145.06 stats. L E PT PROFESSI The following conditions shall be met during construction or installation and prior to occupancy or use: DIVISION OF L' Reminders • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made h the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. • All POWTS component piping material shall be SPS 384, Wis. Adm. Code compliant. • The area within 15' downslope of the dispersal cell shall remain undisturbed. Vehicular traffic, excavation or soil compaction is prohibited in this area. • 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. PAUL R KOEHLER Page 2 1/31/2017 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. • The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. 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. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. 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 stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 This Amount Will Be Invoiced. rard M Swim When You Receive That Invoice, POWTS Plan Reviewer, Division of Industry Services Please Include a Copy With Your (608)789-7892, Mon - Fri, 7:15 am - 4:00 pm Payment Submittal. jerry.swim@wisconsin.gov WISMART code: 7633 cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm PAUL R KOEHLER Page 2 1/31/2017 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. • The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. 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. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. 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 stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, , Fee Required $ 250.00 This Amount Will Be Invoiced. rard M Swim When You Receive That Invoice, POWTS Plan Reviewer, Division of Industry Services Please Include a Copy With Your (608)789-7892, Mon - Fri, 7:15 am - 4:00 pm Payment Submittal. jerry.swim@wisconsin.gov WiSMART code: 7633 cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm EZflow® MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: DERRICK/HENRY KORENT Owner's Name: HENRY KORENT Owner's Address: 1376 FOX RIDGE TRAIL HOULTON WI Legal Description: SE1/4NW1/4S29T30NR19W Township: ST JOSEPH County: ST CROIX Subdivision Name: CSM 7/1809 Lot Number: 13 Block Number: Parcel I.D. Number: 030-1082-95-000 'V-4L1. ' Plan Transaction No.: :FE-rYAND Pagel Index and title" Page 2 Data entry J TRy s~RVjS Page 3 EZflow mound drawings Page 4 Lateral and dose tank Page 5 Distribution media , Page 6 System maintenance specifications E'SC` Page 7 Management and contingency plan Page 8 Pump curve and specifications Page 9 PLOT PLAN Page 10 SOIL TEST Page 11 SOIL TEST Designer: PAUL KOEHLER License Number: MP 225410 Date: 01/19/17 Phone Number: 7152462660 Signature: ~.-•~~,i~~~_ Designed Pursuant to the EZf/ow Mound Component Manual Ver. August 20, 2007, SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01, R. 10/12) EZflow Mound Version 3.0 (R. 3/1/12) l Pagel of go i _ Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) r Residential or Commercial Design 400.00 Estimated Wastewater Flow (gpd) 1.50 Peaking Factor (e.g. 1.5 = 150%) 600.00 Design Flow (gpd) 13.00 Site Slope 97.76 Installation Contour Line Elevation (ft) 100.00 Contour Length Available (ft) 24.00 Depth to Limiting Factor (in) 0.40 In-situ Soil Application Rate (gpd/ft2) Distribution Cell Information 9.00 Cell Width (ft) 3. 4, 5 6. 7 8 9 or 10 Only 70.00 = Dispersal Cell Length (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ft2) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution y Pressure Disributio n Information c or e network? Enter Y or N ( ) e Center or End Manifold 3 Lateral Spacing (ft) If N above, enter the elevation ft) 3 Number of Laterals of the highest point. 0.125 Orifice Diameter (in) (e.g. 0.25) 1.50 Estimated Orifice Spacing (ft) = 4.57 ft2/orifice 3.00 Forcemain Diameter (in) 100.00 Forcemain Length (ft) Does the forcemain drain back? y 87.00 Inside Pump Tank Elevation (ft) 0.00 Forcemain Filter Loss (ft) Enter Y or N 6.50 System Head (ft) x 1.3 36.70 Forcemain Drainback (gal) 11.26 Vertical Lift (ft) 94.14 5x Void Volume (gal) 0.88 Friction Loss (ft) 130.84 Minimum Dose Volume (gal) 18.64 Total Dynamic Head (ft) 56.85 System Demand (9Pm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. o tions choice 0.75 1.25 1.00 1.50 x 1.25 2.00 x x 1.50 x x - 3 00 2.00 x 3.00 x Gallons/Inch Calculator (optional) Treatment Tank Information 1250.00 Septic Tank Capacity Total Tank Capacity (gal) (gal) Total Working Liquid Depth (in) Weiser Concrete Manufacturer gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information anapacity (gal) P[- OL=LOCK-- Dose Dose Tank Volume ( (g2in) 525 Filter Manufacturer rete Manufacturer Filter Model Number Project: DERRICK/HENRY KORENT Page 2 of 11 Mound Plan View 1 `1/10B g J Observation Pipe K •S4'S-S 4 4 4 qq 4 q SS~SxS•grq Fq.q-br4xSxbfS 4 4 *.-4~ `f .'.f f f~f f fxf= 't'-Sxq-q 4'S qa S S S g S+` q q L=q* .qt4• q.`S.fN Sf °.z4.i.i.q.4rS.'tx4 Sxq.'axS.q.q.i.q, q.q S l f l.fx o.f.dy w•f•:~•. xf rf fS.t'SlSf4 e4 q S.q S .q„q.q,.q 74 4~ '4 .°~L S F ~'G'SxS'Sq qS S 7-7-7, q ge'4.S`q S S S; . . ff.f ~ f SSq gfSSk .go44RS.. f.f.f e l• B ::3...... I • . • L Mound Component Dimensions A 9.00 ft E [Ain H Aft K 10.76 ft B 70.00 ft F in I ft L 91.51 ft D 12.00 in G ft J ft W 32.44 ft M(gpd/ft) (ft2) Dispersal Cell Area 1893.44 (ft2) Basal Area Available Linear Loading Rate 7.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View EZflow Dispersal Area Finished Grade 100.76 (ft) ./ff///l/f/i//f 2 f/ffl/f!//f/e.. G j F kk Dispersal Cell - f ' 98.76 ft 99.26 (ft) Lateral -0. 6 Invert Elevation Dispersal Cell Elevation D 3 A Ax. t t A, : a. , ~ e <'ti'~ A,.;~._ .•A + ._..1 a ~ w~ti 1. ~..n..~ 13.0 % Site Slope 97.76 (ft) Contour Elevation Shading Key Typical Dispersal Cell Q Topsoil Cap > c. See Page 5 2 !/f if/f Subsoil Cap 2 c 2.0 ft Approved Geotextile Fabric Cover I ASTM C33 Sand % q. ® Tilled Layer 6 a q"`~ :f f. I Qsr:r~r~ EZflow Media s y 5:NNx$e~f e~f~f'~.,~ r:f 5~f::•:a~r F U) `r o 0.5 ft qx ~q' tires ~r r;f f f"f_ftf;f See details on page 4 for number, size, and spacing of laterals. Laterals are located in the 4" gravity distribution pipes as shown on page 5. Project: DERRICK/HENRY KORENT Page 3 of 11 End Connection Lateral Layout Diagram 0= Turn-u p wf ba ll va ive or clean out plug u g ~Z - 1st orifice located at x [.(-X- f All laterals identical, with orifces aquatisspForce main connection via, tee or crass to manifold at arry point. Laterals & force main, of PVC Soh +o per SPS Table 3134.30-6 S - Orifices point up except every 5th one points down for drainage. Number of Laterals 3 Orifice Diameter Lateral Diameter 0.125 in 1.50 in Orifice Spacing (X) 1.52 ft Lateral Length (P) 69.20 ft Orifices per Lateral 46 Lateral End (Z) 0.80 ft Orifice Density z Lateral Spacing (S) 3.00 ft 4.57 ft /orifice Lateral Flow Rate Manifold Length 6.00 ft 18.95 gpm Manifold Diameter 2.00 in System Flow Rate 56.85 gpm Forcemain Velocity 2.58 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and SPS 316.300 WAC Disconnect ~ 4 in. min. Tank component is properly vented Alternate outlet location Weiser Concrete Manufacturer Forcemain diameter Capacit 1000.00 Gallons T 3 in. Volume 27.83 gal/inch A Dimension Inches Gallons Weep hole or anti- A B siphon device 17.23 479.54 B 2.00 55.66 C C ~ Pump off elevation (ft) 4.70 130.84 88.00 D 12.00 333.96 Total 35.93 1000.00 D Dose tank elevation (ft) Bedding And Backfill As Per Manufacturer _ 87.00 Alarm Manufacturer SJ RHOMBUS~~~~ Alarm Model Number PS PATROL Pump Manufacturer zoller Pump Model Number 161 Pump Must Deliver 56.85 gpm at 18.64 ft TDH Note: Switches containing mercury may not be used in this system. Project: DERRICK/HENRY KORENT Page 4 of 11 EZf/ow® Distribution Cell Media Layout 9.00 Cell Width (ft) 1.50 Sidewall to Lateral (ft) Distribution Cell Cross-section Arrangements 9 ft Wide Oft(Omen(t(a Component Legend ® SRI-7A Bundle - 5 ft or 10 ft lengths SRI-12A or EZ 1201A in 5 ft or 10 ft lengths SR3-12H or EZ 1201P or G~" SR3-12H in 5 ft or 10 ft lengths O 4" Perforated Distribution Pipe With Pressure Lateral Inside Turnup Enclosure - - - - - Pressure Lateral Bundles are covered with approved geotextile fabric as per the their product approval. Distribution Cell Plan View Layout - Typical 9.00 Cell Width - A (ft) 70.00 Cell Length - B (ft) Center Connection Lateral Layout Diagram Force Main -~i - 9 ft Wide End _ _ - - - - Project: DERRICK/HENRY KORENT Page 5 of Mound System Maintenance and Operation Specifications Service Provider's Name DAZRWEEEI POWTS Regulator's Name PAPhone 7154251_0_25 Phone 7152462660 $ystem Flow and Load Parameters Design Flow -Peak M. gpd Maximum Influent Particle Size 1in Estimated Flow - Average 400 gpd Septic Tank Capacity 1250 al Maximum BOD5 mg/L Soil Absorption Component Size 630 92 Maximum TSS mg/L Type of Wastewater Domestic Maximum FOG mg/L Maximum Fecal Coliform cfu/100 mL Service Frepue Septic and Pump Tank Inspect and/or service once ever 3 ears Effluent Filter Inspect and Cl--- as necessar at least once eve 3 years Pump and Controls Test once every 3 years Alarm Should test periodical) Pressure System Laterals should be flushed and pressure tested eve 3 ears Mound Inspect for pondin and seepage once every 3 ears Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap and are secured in as shown in the EZf/ow Mound Component Manual Ver. August 20, 2007. 2. Dispersal cell media conforms to EZf/ow products approved for use with the EZf/ow Mound Component Manual Ver. August 20, 2007. Media is covered with an approved geotextile fabric. 3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished Grade 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Lateral Ends at Last Orifice Where Variable Length Cleanout Begins Long Sweep 90 or Two 45 Degree Bends Same EZf/ow Synthetic Media Diameter as Lateral 2.10 Feet Distribution Lateral -►I~--- Lateral Cleanout Project: DERRICK/HENRY KORENT Page 6 of 1 Mound System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General This system shall be operated in accordance with SPS 382-84 W is. Adm. Code, and shall maintained in accordance with its' component manuals fEZf/ow Mound Component Manual 8/20/07, Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. Septic and pump tank abandonment shall be in accordance with SPS 383.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole 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 into a tank or component. Septic Tan The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. 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 filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. with an alarm, the The septic tank shall have its contents removed when the volume of sludge and scum 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 a triennial assessment, maintenance personnel shall advise the owner as to when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Wisconsin Department of Commerce. The dosing (pump) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. If the force main has a weep hole, it should be noted if it is functional during proper '**No one should ever enter a septic or dose tank s n el dangerous gases cleaned may be present that could cause death. Mound No trees or shrubs should be planted on the mound. und. Plantings may besmadetaro System the ound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BOD5, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD5, 30 mg/L TSS, 10 mg/L FOG, and 104 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 3 years. When a pressure test is performed it should be compared to the initial test when the dispersal cell. the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. If the septic tank or any of its components become defective the ankcorPcomponent shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. bsorption and dispersal Project: DERRICK/HENRY KORENT Page 7 of 1 . `O v v m D n n n D c- C- - m m (N ~i o a 0 0 o N a$ O o N Op Dynamic Head (ft) r co a 0. q S a o- Z ■ 0 0 125 50 75 100 rj (O N n d N N C to Co M A W y RI cn ° a 000000 C) to O N (D 0 0 0 Cl 0 0 0 3 .q. -:z CD Cn W fD rv (n cD 0o V O V m 1 0 A 6(o w(D 6)G1 Iv C O +SM O(o O A N Cn(n2 ~S so p O (n N O N O A W CD CD O C) X N N ___r______ O 0 n N X O M CD o m m o Z D o 2 m m a m c N N c Z G) CO C N (D D wok N a R, N obi "ccclll Ma T V 00 C) 00 N W N n v'1 8At J • J LLI o a Q w , o I . . *Vol LLJ 1 I if 11 1 i i/ 11 I i Y 1 I 1 , ~ , I . 1 I . ~f 1 LU V) I LL O O a / N d' I a w •I r•F----' i • N ~ N r M w ' A4q Mir, a O Cr N cq 10 L a 0) Z w a d' _ 00 0) (D r 00 t 1 Cm uCa- (v m m/ N w U-i . _ u Cif L v C7 a ; Q N, 41 O ; Z z z z , w m ,Y 2: co . ' v' • . 0 . > , a air= POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page 4- of FILE INFORMATION SYSTEM SPECIFICATIONS Owner Tank Manufacturer: ❑ NA Permit # t~i~sscr 10 Septic ❑ Dose ❑ Holding Volume: /2Sp (gal) DESIGN PARAMETERS Tank Manufacturer: ❑ NA U cu/GS~a~ Number of Bedrooms: / ❑ NA ❑ Septic Q Dose ❑ Holding Volume: yOD (gal) Number of Public Facility Units: 40 NA Vertical Distance Tank Bottom(s) to Service Pad:,f,-) (ft) Estimated (average) Flow : ~j+pb (gal/ day) Horizontal Distance Tank(s) to Service Pad: 40 (ft) Design (peak) Flow = (estimated x 1.5): ~oGB (gal/day) Specific servicing mechanics must be provided if vertical is >15 feet or y) if horizontal is >150 feet. Specific instructions to be provided on back. In Situ Soil Application Rate: y (gaUday/ft) Effluent Filter Manufacturer: Standard (Domestic) Influent/Effluent Monthly average Effluent Filter Model: ~D `oc SZ ❑ NA Fats, Oil & Grease (FOG) 530 mg/L Pump Manufacturer: Biochemical Oxygen Demand (BOD5) 5220 mg/L x ❑ NA ❑ NA Total Suspended Solids (TSS) 5150 mg/L Pump Model: High Strength Influent/Effluent Monthly average Pretreatment Unit (FOG) >30 mg/L Manufacturer: (BODO >220 mg/L ❑ NA dR NA (TSS) >150 mg/L ❑ Mechanical Aeration ❑ Peat Filter Pretreated Effluent Monthly average ❑ Disinfection ❑ Wetland ❑ Sand/Gravel Filter ❑ Other: (BODE) 530 mg/L Soil Absorption System (TSS) 530 mg/L ❑ NA Fecal Coliform (geometric mean) 5104 ❑ In-Ground (gravity) ❑ In-Ground (pressure) ❑ NA Maximum Effluent Particle Size %s in dia. ❑ NA ❑ At-Grade it$ Mound El Drip-Line ❑ Other: Other: ❑ NA Other: 44 NA MAINTENANCE SCHEDULE Service Event Service Frequency Pump out contents of tank(s) 23 When combined sludge and scum equals one-third (Y) of tank volume ❑ When the high water alarm is activated Inspect condition of tank(s) At least once every: 3 ❑ month(s) (Maximum 3 years) ❑ NA .8-year(s) Inspect dispersal cell(s) At least once every' ❑ month(s) 9 year(s) (Maximum 3 years) El NA Clean effluent filter TAt ast once every: ❑ month(s) 1 ® year(s) ❑ NA Inspect pump, pump controls & alaast once every: ❑ month(s) ❑ NA ® year(s) Flush laterals and pressure test st once ever y: ❑ month(s) ❑ NA $t year(s) Other: ❑ month(s) At least once every: El year(s) ❑ NA Other: ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and soil absorption systems shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Inspector, POWTS Maintainer or Septage Servicing Operator (pumper). Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and a check for any back up or ponding of effluent on the ground surface. The soil absorption system shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any treatment tank equals one-third (Y) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator (pumper) and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of <12 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 30 days of completion of any service event. GMW-005 (02105) START UP AND OPERATION Page . of For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products, solvents or other chemicals or sediment that may impede the treatment process and/or damage the soil absorption system. If high concentrations are detected have the contents of the tank(s) removed by a Septage Servicing Operator (pumper) prior to use. Pump tanks may fill above normal highwater levels prior to startup or due to pump failures. Start up or restoration of power under these conditions is not recommended, as the excess wastewater will be discharged to the soil absorption system in one large dose causing an overload that may result in the backup or surface discharge of effluent and damage to the system. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator (pumper) prior to restoring power to the pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls until normal effluent levels are restored within the pump tank. System start up shall not occur when soil conditions are frozen at the infiltrative surface. Do not drive or park vehicles over tanks or the soil absorption system. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the treatment tanks and soil absorption system: acids, antibiotics, baby wipes, cigarette butts, condoms, cotton swabs, degreasers, dental floss, diapers, disinfectants, fats, foundation drain (sump pump) discharge, fruit and vegetable peelings, gasoline, greases, herbicides, meat scraps, medications, oils, painting products, pesticides, sanitary napkins, solvents, tampons, and water softener brine discharge. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with s. Comm 83.33, Wisconsin Administrative Code: • All piping to tanks, pits and other soil absorption systems shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator (pumper). • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at the time of their permit issuance. ❑ A suitable replacement area is not available due to setback and/or soil limitations. If the soil absorption system cannot be rehabilitated and barring advances in POWTS technology, a holding tank may be installed as a last resort. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ❑ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. WARNING TREATMENT TANKS, PUMP TANKS, AND HOLDING TANKS MAY CONTAIN POISONOUS GASSES OR LACK SUFFICIENT OXYGEN TO SUSTAIN LIFE. NEVER ENTER ANY TANK UNDER ANY CIRCUMSTANCE. DEATH MAY RESULT. ESCAPE OR RESCUE FROM THE INTERIOR OF A TANK MAY NOT BE POSSIBLE. ADDITIONAL INSTRUCTIONS: POWTS INSTALLER POWTS MAINTAINER / Name CO S~'~ ' !z~'q7; Name DrL,~G Phone Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name .11-1 Sr & </-I . E Name fOk' Phone / 2 S - Phone -71 This document was drafted by the staffs of the Green Lake, Marquette and. Waushara County POWTS regulatory agencies in compliance with sections Comm 83.22(2)(b)(1)(d)&(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address % - Property Addres l ~ , ' t D' (Verification Jaqluired from Planning & Zoning Department for ew Vnstruction.) City/State 2m LA zs ri \ Parcel Identification Number C) 3 C, C, LEGAL DESCRIPTION Property Location ~ yq , ~V ~ht / Sec. N R W, Town of Subdivision ("'5m ' Certified Survey Map #2 C j--+ i Volume -T Page # War rauty Deed # Volume , Page # Spec house yes no ~p Lot lines identifiable/ryes; no SYSTEM MAINTENANCE AND O' WER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (I) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 113 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the thre/on expiration date. Uwe certify that all statements on thiare t rue to the best of my/our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a warr ty deed recorded in Register of Deeds Office. Number of bedrooms 7>1 SIGNATURE OF APPLIC (S) DATE 'Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV, 08/05) Parcel 030-1082-95-000 Valid as of 02/07/2017 01:04 PM Alt. Parcel 29.30.19.299B TOWN OF SAINT JOSEPH ST. CROIX COUNTY, WISCONSIN Owner and Mailing Address: HENRY M KORENT Co-Owner(s): 1376 FOX RIDGE TR HOULTON WI 54082 Physical Property Address(es): Districts: 1376 FOX RIDGE TR Dist# Description 2611 SCH DIST OF HUDSON Parcel History: 1700 WITC Date Doc # Vol/Pa e 07/28/1999 Type 607572 1444/605 QC Legal Description: 07/23/1997 647/495 Acres: 12.008 SEC 29 T30N R19W SE NW 12.008 ACRES LOT 07/23/1997 779/273 13 CSM 7/1809 07/23/1997 1014/66 Plat more... 1809 CSM 07-1809 030 87 Tract (S-T-R 401/4 1601/4 GL) Block/Condo Bldg 29-30N-19W SE NW LOT 13 2016 Valuations: Values Last Changed on Class and Description 10/21 /2014 Gass and Description Acres Land Improvement 12.008 123,800.00 Total 152,200.00 276,000.00 Totals for 2016 General Property 12.008 123,800.00 Woodland 152,200.00 276,000.00 0.000 0.00 0.00 Totals for 2015 0.00 General Property 12.008 123,800.00 Woodland 152,200.00 276,000.00 0.000 0.00 2016 Taxes 0.00 0.00 Bill # Fair Market Value: 402840 Assessment Ratio: 337,000.00 0.8190 Amt Due Amt Paid Balance Installments Net Tax 4,862.50 4,862.50 0.00 Special Assessments 0.00 0.00 End Date Total Special Charges 0.00 1 01/31/2017 0.00 0.00 0.00 2,368.95 Delinquent Charges 0.00 2 07/31/2017 Private Forest Crop 0.00 0.00 2,493.55 0.00 0.00 0.00 Net Mill Rate Woodland Tax 0.00 0.018309314 Managed Forest Land 0.00 0.00 0.00 0.00 0.00 Gross Tax 5,515.86 Prop Tax Interest 0.00 0 School Credit Spec Tax Interest .00 Total 462.50 Prop Tax Penalty 0.00 0.00 5,053.36 0.00 0.00 First Dollar Credit 66.26 Spec Tax Penalty Lotte Other Charges 0.00 0.00 Lottery Credit 1 Claims 124.60 0.00 0.00 0.00 Net Tax 4,862.50 TOTAL 4,862.50 4,862.50 0.00 Interest Calculated For 0210712017 (Posted Payment Payments) Date Receipt # Type Amount Note 12/27/2016 13264 T 4,862.50 KORENT CHK #2201 CM Key Payment Type: A - Adjustment, R - Redemption, T - Tax _ Primary I:. ¢ #1848 Departm EI L EVALUATION R-" 8 P Safety and in accordance with Comm 85, Wif Page __1 -of 4 Schmitt Soil Testing, Inc. { Professional Ser1;~~S 'Lu l County Attach complete site plan on p r Mvp*%, M1 inches in size. Plan must Croix include, but not limited to.,, ~ppint (BM), direction and parcel percent slope, scale or di 99 and distance to nearest road. 03 082- -000 - Please print all information. Rev' ed By / Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location Korent, Henry Govt. Lot SE1/4, W1 4, S29, T30N, R19W Property Owner's Mailing Address Lot # Block # Subd. Na or CSM# 1376 Fox Ridge Trail 13 CSM 7/1 09 City State Zip Code Phone Number City Village ! Town Nearest Road Houlton WI 54082 St.Joseph Fox Ridge Trail Use:' Residential / Number of bedrooms _-4 Code derived design flow rate 600 - GPD New Construction Replacement Public or commercial - Describe: Parent material Glacial till (Santiago- Series) Flood plain elevation, if applicable NA_ ft. General comments Area is suitable for a mound system. System elevation is 98.76' based on a contour line established at 97.76'. Slope of area is and recommendations: 13%. Depth to limiting factor is 24". F-11 Boring # Boring Pit Ground surface elev. 98.45 ft. Depth to limiting factor 28 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots G_PD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 RL yr3/3 none sl _ 2mgr - -mvfr as 2vf 0.6 1.0 yr5/3 none sl 2fsbk mfr gw 1vf 0_6 1.0 5yr4/4 none scl 2msbk mfr gw lvf 0.4 0.6 5yr5/3 r11 a5y ~/r2/8 sicl 2msbk mfrgw 0.4 0.6 m2d 7.5yr6/8 sl lmsbk mfr 0.4 0.7 yr5/3 _ 7.5yr6/1 ❑ Boring # ! Boring pit Ground surface elev. _ 98.45 ft. Depth to limiting factor 25 in. Soil Application Rate Consistenc Boundary Roots GPD/ft= Horizon Depth Dominant Color Redox Description Texture Structure =Ett# *Eff#2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 0-10 10yr3/3 none sl 2mgr mvfr as 2f,lvf 0.6 _1.0 J - ______none sc~ 2msbk mfr gw 2f,2vf 0.4 0.6 2 10-25 7.5yr4/6 none 6 - m2d 7.5yr6/8 0.4 0.7 3 25-41 7.5yr5/3 7.5yr6/2 sl imsbk - --mfr gw - - 4 41-81 5yr4/4 m2d y56v/2 sl Om mfi 0.2 0.6 Effluent #1 = BOD? 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) Signature 227429 Thomas J. Schmitt Address Schmitt Soil Testing, Inc. Date Evaluation Conducted Telephone Number 1595 72nd St. New Richmond, WI 54017 11/23/2016 715-760-1978 SBD-8330 (R 07/00) Property Owner Korent, Henry- Parcel ID # 030-1082-95-000 Page 2--of 4 1 Boring 1 3 1 Boring # pit Ground surface elev. 94.01 _ ft. Depth to limiting factor 24 _ in. Soil Application Rate ~-Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots G_P_D/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 "Eff#2 1 0-10 10yr3/3 none sil 2fsbk mfr as 72ff,f 0.6 0.8 2 10-18 7.5yr4/6 none sicl 2msbk mfr gw 1Vf 0.4 0.6 3 18-24 7.5yr4/4 none sil 2msbk mfr gw 1Vf 0.6 0.8 4 24-33 7.5yr5/3 m2d 7.5yr6/8 sil 2msbk mfr gw 1Vf 0.6 0.8 7.5yr6/2 _ 5 33-42 7.5yr4/4 m2d 7.5yr6/8 fsl lmsbk mfr gw 0.2 0.6 6 42-72 5yr4/4 m2d 7.5yr6/1 7.5yr6/3 sl Om mfi 0.2 0.6 Boring F4 Boring # Pit Ground surface elev. -___100.91 ft. Depth to limiting factor -30 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#t `Eff#2 1 0-10 10yr3/3 none sl 2mgr mvfr as 2vf 0.6 1.0 2 10-30 7.5yr4/6 none Ifs lcsbk mvfr cs ivf 0.5 1.0 3 30-44 10yr5/6 m2d 7.5yr6/6 sl 2msbk ml cs 0.6 1.0 7.5yr6/2 _ 44-54 5yr4/4 m2d 7.5yr6/8 sl Om mfr cs 0.2 0.6 4 7.5yr6/2 5 54-71 10yr5/6 c2d 7.5yr 6/6 s Osg ml Cs 0.7 1.6 X11----- - - m1d 7.5yr6/8 6 71-96 7.5yr4/4 sl Om mf 0.2 1 0.6 -1 Boring F51 Boring # pit Ground surface elev. 100.16 _ ft. Depth to limiting factor 32 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#t "Eff#2 1 0-9 10yr3/3 none sl 2mgr mvfr as 1Vf 0.6 1.0 2 9-15 7.5yr4/6 none scl 2msbk mfr gw 1Vf 0.4 0.6 3 15-32 7.5yr4/4 none sl 2msbk mfr gw 1Vf 0.6 1.0 4 32-68 7.5yr4/4 m2d 7.5yr6/8 sl Om mfr gw 0.2 0.6 7.5yr6/2 - - 5 68-78 5yr4/4 m2d 7.5yr6/8 sl Om mfi 0.2 0.6 7.5 r6 1 i Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 <150 mg/L ' Effluent #2 = BODS < 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. SBD-8330 (R.07/00) Schmitt Soil Testing, Inc. 1 4 4.._. _t mot. r I i-....,.. , > - - I i i Page 3 of 4 Conducted by: Conducted For: Schmitt & Sons Excavating, Inc.. Name: Henry Korent i t Thomas J. Schmitt, CST 227429 Address: 1376 Fox Ridge Trail 586 Valley View Trail City, State, Zip: Moulton, WI 54082 Somerset, W 1 54025 Phone: 715-760-1978 //~f PID: 030-1082-95-000 Signature X11 Lot No. 13 Date l - eZ ale Legal Description: SE1/4 NW1/4 S29 T30N R19W ® Backhoe Pit Township, County: St. Joseph Township, St. Croix County ® Bench Mark 1 El. 100.00' Top of 2" PVC Pipe. Bench Mark 2 EI.100.91' top of 2" PVC Pipe 1 Slope= 13% r Scale 1"= 60 Contour Line Elevation: 97.76' Contour Line Length: 100' a NOTE: For full view of Lot see Aerial Photo (Page 4 of 4) _ _L J -t- T- - 27h' 1*d&,71-1 L/N - 7y7 is' aV 3y' g pt 51' Jj ~3yV' j ~ 13 y 17S °/lz' l _ _ - - 43 z I ~s7~ 'k), Boa 09t L~ P l ~ ~ Aar' a Z" -IS-71 IV C, .~0t5c_ / _ _ /1/E lam/ f/vc~s Lr~~vS>~a,CC