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034-1069-60-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 552362 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Hermanson, Donald James Reuben G.) Springfield, Town of 034-1069-60-000 CST BM Elev: Insp. BM Elev: BM Description: Sectionfrown/Range/Map No: D 1 1- 0 1 31.29.15.471 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI S ELEV. /dU Septic ,yam- Benchmark J 7ri-LJ 1.~. ~ ~Z50 .3• ~s o3 • /DDS a Dosing G ✓ X56 A1 BM 11.78 v•Ity Aeration ~ Q e~.ca AAA_ Bldg. Se er 13A 3.b% Holding St/Ht Inlet TANK SETBACK INFORMATION St/Ht Outlet ` TANK TO .4Xt WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic >,5,6 1 ~4 z6 Dt Bottom / •DQ Dosing ZC~ / Header/Man. , o-* Aeration Dist. Pipe l• Ios• Holding Bot. System U Z Ib~. 1I PUMP/SIPHON INFORMATION Final Grade I blo a ,S .'~d Manufacturer Zo L GPM Demand St Cpy~ r ~ /1' ~ I I - Model Number `I ,P 02. r TDH Li , Fricti2,3 Ls5 System Head T ~t ~iGl 1 6x Forcemain Len Dia. ist. to Well q f (o Z" SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenc es PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS /V. 5 ee~ SETBACK SYSTEM TO ld BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type 0j5ystem: ` ' IGo J/ Q UNIT Model Number: 7 DISTRIBUTION SYSTEM `~J 7 Header/Manifold 'I I Distribution / / x Hole Size [Hole pacing Ve to Air In ke Pipe(s) L Length Z•z3Dia IJ Length Dia ' 23 Spacing Z. ZS i ✓ -4 SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges ` Topsoil R7 Yes 0 No Yes [TV] No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:1/ 1 y~ Inspection #2: Location: 2721 HWY 12 Woodville, WI 54028 (NW 1/4 NW 1/4 31 T29N R15W) >35 acres Lot Parcel No: 31.29.15.471 1.) Alt BM Description W&4-J >~l.N u w'GC~ 2.) Bldg sewe ngth = 24 - amount of cover > old Plan revision Required? Yes'VNo 1D I Use other side for additional information. Date Insepct Sign re Cert. No. SBD-6710 (R.3/97) F 'y 0a , n _ commerce Lgov Safe and Bu' s t 7 County 7@jl&. W ington 712. (%r`0 l~ list Itioepartment ' Madon, WI S3 Sanitary Permit Number (to be filled in by Co.) V V % CRO x cauNTr ©f mme of-,40 CIFFICE Z 3 State Transaction umber San ermit Application o ~7 ~r 2434 7 In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental 6 O 7-- unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are Pro ect Address (if different than mailing address) n t~ vim. submitted to the Department of Commerce. Personal information you ide may be used for secondary purposes in accordance with the Privacy Law, s. 15.04(l) m Stats. Z7z 1 J-60 / 1. Application Information - Please Print All Information Property Owner' Name Parcel # 03 -~~6 9_ (ell oo~ a~.f ,2tM w,'i so K) Property Owner's Mailing Address ( Property Location c;~i7 A I Govt. Lot City, State n Zip Code p Phone Number e N 0 y,, kw Section ~O~eQd U).u ~7q 0 2 6 V (0 - O Z a l 0 on T N; R 1Eo~V Lot# II. Type of Building (check all that apply) . l or 2 Family Dwelling-Number of Bedr oms Subdivision Name Block # Public/Commercial Describe Use V`tiG. City of CSM Number . ❑ Village of State Ownfd - Descri be Use own of x m . 5 %31F• S /no III. Type'of Permit: (Check only one box on line A. -Complete line B if applicable) A. ❑ New System JZReplacement System 0 TreatmentfHolding Tank Replacement Only ❑ Other Modification to Existing System (explain) List Previous Permit Number and Date Issued B. ❑.Permit Renewal ❑ Permit Revision Q Change of Plumber ❑ Permit Transfer to New Before Expiration Owner IV, T e of POWTS System/Component/Device: Check all that apply) .4 A6 ❑ Non=Pressurizedln-Ground 0 Pressurized In-Ground fl At-Grade O, Mound 24 in, of suitable soil ;6Mound < 24 in.. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain Pre atment Device (explain) V. Dis ersal/I'reat nt Area Information: ' Desi n flow(gpd) Design Soil Application Rate(g t) Dispersal Area Required (sf) Dispersal Area Proposed (s System Elevation 401 10 V 3,000 ~v o a 104 60 oU VI. Tank Info Capacity in ' Total # of Manufacturer Gallons Gallons Units j New Tanks Existing Tanks. 7 /,r o U y v l Septic GvtiGe- or iial liwg-T-enk Z 2Sb Cf' f Dosing Chamber IPA ached plans. VII. Responsibility Statement-.1, the undersigned, assu a responsibility for stallation of the POWTS shown on the att Plumber's Name (Print) Plumber' ign MP/MPRS Number Business Phone Number _7 r~z lop law(L 7(s?_5P- 24, Plumber's Address (Street, City, State, Zip CodeL rSlo0 -76(f T ] G-J~ JW?~"~ VIII. County /De artment Use Onl pproved Disappro Permit Fee Date Is ueJd Issuing nt Signature iven Reason for $ /2- IX. Condit TXNAMMeasons for Disapproval 5T'~~. 1. '$e tic tank, effluent fitter and , 5 r T' t1 dispersal cell must all be services fmaintainad: 51 as per management plan provided by plumlw, 2. All sefbacK requ~ements must.be rnairdalnfd as peg' tea. ~ o►airttli~»r: ~F D(cQ da Attach to complete plans for the system and submit o the County only on p er not less an 8 111 11 inches in size Pik GO &13D-6398 (R. 02/09) 0 ft. 24 ft. 40 ft. 80 ft. Centerfine of Hwy. 12 ...........s _ _ - L_,i~ SG p G up 5 e-q c 01= ~ DJ ~ ~ lE-7 !~L (5 f✓ t tLl~ a~d'u1;4-1~ y=iv, , ' y 2. 1 Q3' 103.1.--- r,,:.- 1 ~t- LX' f"cG•r~L s i 02.2 r Trees 3v t ~A-Aj D BM#2 - Bottom of,Sidin , 101.3' B D 5cq qo P,1G House x BM#1 -Top ell 100.0' W ~c 0 VVI X >J~ CJ~( ~ ~7Sa COw? fxa 771;1'114.- 010 IJ P-7 r' BM# & Description B-1 Elevation = Bench Mark 100 - Boring Location & Elevation Soar T~ PSS Owner; Don Hermanson . Site lnforhtation: Mark arcom n, #197 eet 2721 Hwy. 12 NW1/4, NW114, 531, T29N, R15 680 Lrcom Street Woodvill e, WI 54028 Town of Springfield Hammond, 54015 St_ Croix County 715-798-5864 r.,,qT:ff 4FS77 9EPARTMp Safety and Buildings 3824 N CREEKSIDE LA \7 HOLMEN WI 54636 3 i S `A Contact Through Relay P www.dsps.wi.gov/sb/ S' ` www.wisconsin.gov °'ssroNAy'~ Scott Walker, Governor Dave Ross, Secretary May 23, 2012 CUST ID No. 139462 ATTN: PO WTS Inspector TODD L SINZ ZONING OFFICE TL SINZ PLUMBING INC ST CROIX COUNTY SPIA E5609 708TH AVE 1101 CARMICHAEL RD MENOMONIE WI 54751-5520 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/23/2014 SITE: Identification Numbers Don Hennanson Transaction ID No. 2083457 2721 Hwy 12 Site ID No. 774740 Town of Springfield, 54028 Please refer to both identification numbers, St Croix County above, in all correspondence with the agency. NW1/4, NWl/4, S31, T29N, RI 5W FOR: Description: Four Bedroom Mound System / 3.5% slope Object Type: POWTS Component Manual Regulated Object ID No.: 1371325 Maintenance required; Replacement system; 600 GPD Flow rate; 8 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Version 2.0, SBD-10691-P (N.01/01), Pressure Distribution Component Manual - Version 2.0, SBD-10706-P (N.01/01); 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. PRIVATE SEAR No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, _~rl stats. ~yy The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders ATPR • A sanitary permit must be obtained from the county where this project is located in accordance with the DIVISION OF Si requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be ma EE ~ORRES 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. Access to the filter for cleaning must be provided per SPS 384 product approval conditions. • The area within 15' downslope of the dispersal cell shall remain undisturbed. Vehicular traffic, excavation or soil compaction is prohibited in this area. The section of force main located within this area shall be installed in a trench no wider than 12". • The existing POWTS shall be properly abandoned per SPS 383.33, Wis. Adm. Code. • 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. TODD L SINZ Page 2 5/23/2012 - } 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 Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 Fee Received $ 250.00 Balance Due $ 0.00 Gerard M Swim POWTS Plan Reviewer, Integrated Services (608)789-7892, Mon - Fri, 7:15 am - 4:00 pm WiSMART code: 7633 jeny.swim@wisconsin.gov Note: Effective January 1, 2012, all codes under the jurisdiction of the Division of Safety & Buildings will be modified. Code references with prefixes starting with "Comm" will be replaced with "SPS" to recognize the relocation of the Division of Safety & Buildings from the former Dept. of Commerce to the Dept, of Safety & Professional Services. Additionally, all S&B codes will be renumbered and addressed in a "300" series. For future reference, the Wisconsin Commercial Building Code will be addressed by SPS Chapters 360-366. TODD L SINZ Page 2 5/23/2012 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 Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 Fee Received $ 250.00 Balance Due $ 0.00 Gerard M Swim POWTS Plan Reviewer, Integrated Services (608)789-7892, Mon - Fri, 7:15 am - 4:00 pm WiSMART code: 7633 j erry. swim@wisconsin. gov Note: Effective January 1, 2012, all codes under the jurisdiction of the Division of Safety & Buildings will be modified. Code references with prefixes starting with "Comm" will be replaced with "SPS" to recognize the relocation of the Division of Safety & Buildings from the former Dept. of Commerce to the Dept. of Safety & Professional Services. Additionally, all S&B codes will be renumbered and addressed in a "300" series. For future reference, the Wisconsin Commercial Building Code will be addressed by SPS Chapters 360-366. MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Don Hermanson sewer Owner's Name: Don Hermanson Owner's Address: 2721 Hwy 12 Woodville Wi 54028 715-698-2502 Legal Description: NW1/4 NW1/4 S31 T29N R15W Township: Springfield .GE SYSTEM County: St Croix onally Subdivision Name: `Vff E D Lot Number: Block Number: Parcel I.D. Number: 'AND BUILDINGS I Plan Transaction No.: U131=NCE Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Plot Plan Designer: Todd Sinz License Number: MP139462 Date: 05/01/12 Phone Number: 715-235-2644 Signature: Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01/01), and both SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01) Version 6.0 (R. 04/08) Page 1 of 8 a Mound and Pressure Distribution Component Design Site Information R c,;: C R Residential or Commercial Design Note: sand fill (D) calculations assume a 400.00 Estimated Wastewater Flow (gpd) Table 83-44-3 in-situ soil treatment for 1.50 Peaking Factor (e.g. 1.5 = 150%) fecal coliform of 36 inches. 600.00 Design Flow (gpd) 3.50 Site Slope 102.10 Contour Line Elevation (ft) 6.00 Depth to Limiting Factor (in) 0.20 In-situ Soil Application Rate (gpd/ftz) Distribution Cell Information 133.50 Dispersal Cell Length Along Contour (ft) = 4.50 Cell Width (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 F Y Pressure Disribution Information network? Er €"e Y or, 14 G or E? c Center or End Manifold 2.25 Lateral Spacing (ft) If N above, enter the elevation (ft) 4 Number of Laterals of the highest point. E~ 0.125 Orifice Diameter (in) 4.50 EstiiY' fated Orifice Spacing (ft) = 10.01 ftZ/orifice 2.00 Forcemain Diameter (in) 100.00 Forcemain Length (ft) Does the forcemain drain back? 90.00 Pump Tank Elevation (ft) Enit~'r or , 6.50 System Head (ft) x 1.3 16.31 Forcemain Drainback (gal) 14.43 Vertical Lift (ft) 84.08 5x Void Volume (gal) 1.35 Friction Loss (ft) 100.39 Minimum Dose Volume (gal) 0.00 In-line Filter Loss (ft) 24.72 System Demand (gpm) 22.29 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter' Selection in. dia. options choice in. dia. options choice 0.75 1.25 x 1.00 x 1.50 x I x 1.25 x x 2.00 I 1.50 x i 3.00 I 2.00 x 3.00 x ~ Gallons/inch Calculator icp'iC?na Treatment Tank Information Total Tank Capacity (gal) X1250.00 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Huffcutt Concrete !Manufacturer gal/in (enter result in cell B49) Dose Tank Information -Effluent Filter Information 768.00 Dose Tank Capacity (gal) Orenco _I Filter Manufacturer 17.10 Dose Tank Volume (gal/in) FT0822-14BA_ Filter Model Number Huffcutt Concrete Manufacturer Project: Don Hermanson sewer Page 2 of 8 I Mound Plan and Cross Section Views J Observation Pipe K 1 V 1 4 W 1 I•.... B^ I LI; L Mound Component Dimensions i_.3t sttl i slope toe exiv,-Is.son iade A 4.50 ft E 31.89 in H A10. ft K M32.71 ft B 133.50 ft F 9.25 in 1 ft L ft D 30.00 in G 0.50 ft J ft W ft 600.75 (ft) Dispersal Cell Area 3000.00 (ft) Basal Area Available 4.49 (gpd/ft) Linear Loading Rate 13.35 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 106.37 (ft) H Nl,Ilf!!/!!!flNr! !f!llr,~ I F Dispersal Cetl 105.10 (ft) Lateral 104.60 {ft)-i Invert Dispersal Cell Elevation E p s -a ' 102.10 (ft) Contour Elevation - 3.5 Site Slope Geotextile Fabric Cover Shading Key Q Dispersal Cell See lateral details on Page 4 for number, Topsoil cap o 1.5 ft 20 !.•f!!!f Subsoil Cap 6 o size, and spacing of w' laterals. Laterals are ASTM C33 Sand F equally spaced from the Tilled Layer d 0.5 ft Typical, Latgral distribution cell's Aggregate d o j centerline in the distribution cell AxB . Project: Don Hermanson sewer Page 3 of 8 i Center Connection Lateral Layout Diagram Laterals are identical or cross to manifold at any point. main connection via tee Force . I? l •=Turn-up-44ballvalveor I.sf2 ~ Laterals uforce main ofPVCSob40 cleanoutplug per COT AM Table 84.30.5 Holes drilled or. the bottom of the lateral. Number of Laterals 4 Orifice Diameter 0.125 in Lateral Diameter 1.25 in Orifice Spacing (X) 4.55 ft Lateral Length (P) 65.98 ft Orifices per Lateral 15 Lateral Spacing (S) 2.25 ft Orifice Density 10.01 e/orifice Lateral Flow Rate 6.18 gpm Manifold. Length 2.25 ft i System Flow Rate 24.72 gpm Manifold Diameter 1.50 in Total Dynamic Head 22.29 ft Forcemain Velocity 2.52 ftlsec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and --0 Comm 16.28 WAC 4 in. min. Disconnect Tank component is properly vented Alternate outlet location Forcemain diameter Huffcuft Concrete Manufacturer 2 in. Ca acity 768.00 Gallons Volume 17.10 gaUinch A Weep hole or anti- Dimension Inches Gallons B siphon device A 29.04 496.61 B 2.00 34.20 C Pump off elevation (ft) C 5.87 100.'39 90.67 D 8.00, 136.80 D Total 44.91 768.00 Dose tank elevation (ft) T' Bedding under tank. 90.00 Alarm Manuafacturer SJE RRHombus Alarm Model NumberfSJE 10101H~ Pump. Manufacturer Zoeller Pump Model Number,B Pump Must Deliver 24.72 gpm at 22.29 ft TDH Project; Don Hermanson sewer Page 4 of 8 Mound System Maintenance and Operation Specifications Service Provider's Name T L Sinz Plumbing Inc. Phone 715-235-2644 POWTS Regulator's Name St Croix County Zoning _ Phone 715-386-4680 System Flow and Load Parameters Design Flow- Peak 600 gpd Maximum Influent Particle Size 118 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1250 gal Maximum TSS 150 mg/L Soil Absorption Component Size 600 ft2 Maximum FOG 30 mg1L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Inspect and/or service once every 3 years Effluent Filter Should inspect and clean at least once eve 3 years Pump and Controls Test once every 3 years Alarm Should test monthly Pressure System Laterals should be flushed and pressure tested every 1.5 years Mound Inspect for ponding and seepage once every 3 years Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound 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 _ . Threaded Cleanout 6 8Diameter . Lawn Plug or Bali Valve Valve Box Sprinkler i. Distribution Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Don Hermanson sewer Page 5 of 8 ' y Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD-10691-P (N.01/01), SSWMP Publication 9.6 (01/81), and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01101)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, 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 atank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. 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 fifer when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intennittent filter alarms may indicate surge flows or an impending continuous alarm. 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 of 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 Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify, proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound'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 BODS, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD$, 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 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component 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 absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Pretreatment Units The information and schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment units or disinfection units are attached as separate documents and are considered part of the overall management plan for this system. Project: Page6 of 8 i i pUMPPOf#MIUVtt~RVE TOTAL:DYNAMIC:HEADlFLOW' .15 a :••l.ps. J, PER MINUTE • 1:: FLUENT ANb DEWATERING 14- 1 163 49t , • u. 1 u' wy t ~:IbEL. 1-51 152. 153 , . Gal. Liters Gel. Liters '10 1 4< ,rbleterst:!%: .Gal.: Liters i., :13:.;: ••':30...'.: 189 .89 .261-: 77 . 291 30 0 10. 4.0' 45 170 61 231. 70 265 • ' 161. 15 { d 36 144 .53 ".:201 81 231 y: !'1' .tv ;20.. -AA!;ri .116:::: r. 1" s*167.' b2,•,. 197 34 129 42 159 .5.. ~ • 30 ^9.t .i::a 23"' : "•AT' =33.9 125 16 ; 35 10.1 - 22 85 1 t0= ` 40122 42 2 Six Wff Haad 3019.tm 38 R.: 11,8m 418. 13.4m S' 0115088 0 nAJ.LON6i t 40' a 1 ;9. -A PLOW►ERM69lf1E r1.eo~► ~'Io`.del'151 Models 1;52.1..153 CONSP L-T,~FACTORY--FQR•..~.' SPECIA4AP a !7A' 1 5a % . 'J27!!2. 1:51 y Timed do (np panels anraIltilile •Eleatritii altelnators,fbr4UP1dx.sy*.MS;,Ard-Olllll8biearid z74 327/32 s*119d; than alarm. l ` r t • veable 111vel control switcltet•>ats available,tol,txNttt+olllrtp ® 3 M2 single ptlaae systems , - •`Double:p 9Ydc:veriabie.levefAoatawitcfus'aro:avsilabli ' . I I ' for vsda ¢'IevellonD afld- tl6 gfc6;l;i titrglti: • Sealed-Box 6sllabte'fioF butd6ot Ilationa, 8901 FM1420.,.' = t I • Over130'F (54•C).tpedai.gtitat5tioliaegdrt: l.7yJe1'te.= . 1i1VIe i 12111 2 N iSiM5t/ 53' IOb Control • SelocON Medal HS-110h : • Modo tihn la➢t . Qu pdt I a +n 4'3n N451 116 1•.• Non i or3 eNi51 116 1. 111.0 klduded .2 603 15151 230 •3. 1 . -2011`3 ..sK2JM SK2084 B 15 1 Aida' bxkWoU.- 2.ot N162 •11 1 W..-. e.5. 1- 2or3 eN152 1111 ; i ;.S."! : Included . 2 ar 3 052. 1 or~ LaWded or 1 11 1D a BN 53 11 1 11ut0~. 10:5='ir =klah111W 2orb. r. r ' 2 6r3 $ELECT.ION .GU.IDE . 2ar 15153 . 230 1 Nan BEili9 .1 , Atilp. 5 a :2 or 1.5Cngleptggjrba,Ek Vensble fe'veI float4wltoh or double Olqgybackvarla le level float 6witch. Refer o:F.M0477;' /111.InrtrO of eontroN, protic8on~ivlw arnil,VrtAnptheuld.b8111410 i.sagi~6ltfiNd,~ 2; gpe FM0y1 f rGOtrect model of Electrical Altemalor E Pak ' lies luadrl Elul ;Aq QaeMtli)ifidarfaty4es'should W lotldfaid hfliw6na11rmeaYci:\hadable Will ntrol 6w itch 10 0225.,tised as a'control activator, speufy duplex (3) "Coo-N EnttkkCbdi(NEtt)tiildlhedl:dl tlbilrl'Searl nd{lufflCti f tl~W1)::^• Y,, =u of (4):Aoat bys em. y: ~~.:11 ' , • ~~f 'ter ~ 31Y~i,~, t C SI 1r " for•unu3ual c~nditlons'a~er~~jr'~a~fori~.~'n~iteeted lntp.the desigri;bf t;very Zoeller pimp; , • • ~ NA TOnFa BOX 163471 a " i' LOUbdlaa. KY 402564347 Manufacturers of.. SBIP.TO. S649 Can/ Run Road r:. a LXAi dt., KY 40?11•19et I Qu u> r Puuvr S vcf (502) 771,2731.1(800) OOOMP At(p /AMWwie6na ONI► ~ Wx('.f02)!7 624 ; 7z 0 ft. 24 ft. 40 ft. 80 ft.. NUN Centerline of Hwy. 12 . I - 1 Slily G L )P S C-Yr D 8~ 1 P. O J 5 to { 'tiv r« r," (oJvt✓~ ~;rt57'r1 3Z.7! !S7•Go. 7-74 V- B w-- y z. ` A- 7 33,.5' F be. . t to ~.a 103 103.1 Q 102.2 Trees 4 BM#2 - Bottom of,Sidin D 101.3'. ~q" 5cEj yo PVL House BM#1- Top ell l(" O~ 100.0' w SLlF y0 PdL ~~~c~r7 7 ~7so 4D rs~ 7 f r~ BM# & Descrii`t'OnAld B-1 _ Elevation =Bench Mark ioo' = Boring Location & Elevation soil T~ Site Information: Mark Everson, pSS #197 Owner: Don Herrnanson 680 l_arcom Street .2721 Hwy, 12 NW1/4, N1N1/~1, 531, T29N, R15 Hammond, WI 54015 Woodvill e, WI 54028 Town of Springfield -796-5664 g 8 715 St. Croix County r..qT!t 4FF79 r ST: CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer ' O S Mailing Address 1 S. V a V'Ooo \I1 U L C W I 5 yo a8 Property Address ( 0,- S lJJ y I 5k W0130 v( LL6 W 1 (Verification required from Planning & Zoning Department for new construction.) City/State UV00DV/ LL6_ k Parcel Identification Number 403Y'lM1 (00 - 000 LEGAL DESCRIPTION C Property Location No 1A , WUJ '/4 , Sec. T al N R 15 W, Town of ' m, I luic-M Subdivision , Lot # _ Certified Survey Map # None , Volume , Page # Warranty Deed # Document 930501 , Volume , Page # Spec house ors no Lot lines identifiable yes xw SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in'proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my/our knowledge. I/we am/are the owner(s) of the property described above, by virtue of a ;~anty deed recorded in Register of Deeds Office. Numbe of bedrooms Qzl6vm 5 4 / 12 SIGNATURE OF APPLICANT(S) DATE ***Aay 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) 11 ~illlillilililii'illlliill ill 8 0 1 7 4 0 5 Tx:401333C State Bar of Wisconsin Form 5-2003 930501 PERSONAL REPRESENTATIVE'S DEED BETH PABST REGISTER OF DEEDS Document Number Document Name ST. CROIX CO., WI 01/12/2011 4:12 PM THIS DEED. made between BetteJean L OLSEN EXEMPT#: 11 as Personal Representative of the estate of Reuben G HERMANSON REC FEE: 30.00 PAGES''1 ("Decedent"), ("Grantor," whether one or more), and Donald James HERMANSON ("Grantee," whether one or more). Grantor conveys to Grantee, without warranty, the following described real estate, Recording Area together with the rents, profits, fixtures and other appurtenant interests, in Name and Return Address St Croix County, State of Wisconsin ("Property") (if more space is BetteJean L OLSEN needed, please attach addendum): 155 Willow Circle farm commonly known to be at 2721 Highway 12, Woodville WI 54028, consisting Baldwin WT i 54002 of three parcels; Sec 31 T29N R15W 38.3A NW NW FRL (parcel 034-1069-60-000); Sec 31 T29N R15W 40A NE NW (parcel 034-1069-50-000); and Sec 30 T29N R15W 21.3A SW SW S of RR r/w FRL (parcel 034-1067.40-000). 034-1067-40-000:034.1069-50-000;034.1069-60-000 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) This Deed is exempt from Transfer Fee and Transfer Return pursuant to sec. 77.25(11), Stats. Personal Representative by this Deed does convey to Grantee all of the estate and interest in the Property which Decedent had immediately prior to Decedent's death, and all of the estate and interest in the Property which the Personal Representative has since acquired. I Dated PERSONAL REPRESENTATIVE: X -A~~ 2 ~~SEAL) (SEAL) * BetteJean L EN AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ) ss. authenticated on St Croix COUNTY ) Personally came b fore me on 7(7, ,A I l 2 a Or , ' the.above-named ~,V 1-. ~IT~, TITLE: MEMBER STATE BAR OF WISCONSIN (If not, to me known to be the person(s) who exesutekthe Veg gg authorized by Wis. Stat. § 706.06) instrument and acknowledged the same. * THIS Donald James H FT ermanson Notary Public, State of Wisconsin r` F 4 My Commission (is permanent) (el'e~et~~. ~c , ~ ) (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. PERSONAL REPRESENTATIVE'S DEED 0 2003 STATE BAR OF WISCONSIN FORNI N0.52003 * Type name below signatures, 1of1 _ Safety and Buildings d'~ { 3824 N CREEKSIDE LA ~~enartsF~ HOLMEN WI 54636 Contact Through Relay 31 ` 1 g www.commerce.wi.gov/sb/ OE ) i 'l+ www.wisconsin.gov i" Scott Walker, Governor o PL AN HN D 8 - l;tli!` G OFFICE. Dave Ross, Secretary °~'ssroN Atisy December 12, 2011 CUST ID No. 46672 4TTN: POWTS Building Inspector MARK W IVERSON ZONING OFFICE EVERGREEN IRRIGATION INC ST CROIX COUNTY SPIA PO 155 1101 CARMICHAEL RD HAMMOND WI 54015 HUDSON WI 54016 CONDITIONAL APPROVAL Identification Numbers Transaction ID No. 2028622 SITE: Site ID No. 774740 Don Hermanson Please refer to both identification numbers, 2721 U.S. Hwy 12 above, in all correspondence with the agency. Town of Springfield, 54028 St Croix County NW1/4, NW1/4, S31, T29N, RI 5W FOR: Object Type: Soil Saturation Determination Regulated Object ID No.: 1349401 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: I Key Items • This approval is limited to the tested area described by the October 26,2011 Soil Evaluation Report by Mark Iverson, CST, as part of this referenced Interpretive Report. This Interpretation of soil morphology may not be applied to any other portion of the subject parcel, or to other parcels. • Approval is hereby granted pursuant to s. Comm 85.60(2), Wis. Adm. Code, to estimate the depth to seasonal soil saturation based on an interpretive determination process. Approval of the interpretive determination negates the requirement in s. Comm 85.30(2)(b), Wis. Adm. Code to designate the ground surface as the highest level of soil saturation when redoximorphic features are less than 4 inches below the bottom of the A horizon. • The estimated highest level of prolonged soil saturation approved under this determination is eight inches below grade. At least 30 inches of sand lift on top of 8 inches of unsaturated, in-situ soil is required for adequate treatment and dispersal. • The basal soil application rate for the mound shall be 0.20 gpd/sf, and the linear loading rate 4.5 gpd/ft. • Chisel plowing to a depth of 14 inches is required to restructure the platy soil to improve vertical water movement. It is recommended that at least 4 inches of ASTM C-33 sand be placed on the site prior to plowing to improve vertical water movement into the soil solum. • Landscaping up slope of the mound shall be incorporated into the POWTS design to prevent surface water from concentrating along the up slope edge of the mound and to divert surface water drainage away from the system. 1 MARK W rVERSON Page 2 12/12/2011 r This approval shall#erAhin valid unless the site is altered in such a way that the depth to soil saturation would change or if sated conditions are observed for seven consecutive days at depths less than 3 feet below the infiltrative sur ace of the POWTS distribution component. ® This approval in no way relinquishes the use of color patterns to estimate the depth to high groundwater on any other parcels or portions of parcels. ® A copy of this approval letter and attachments must accompany the mound system design for this site for purposes of plan approval and sanitary permit issuance. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. We look forward to working with you to make this code-compliant construction. Sincerely, Fee Required $ 240.00 Fee Received $ 240.00 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer II , Integrated Services WiSMART code: 7633 (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday charles.bratz@wisconsin.gov ¢ e u¢■ Q 6 a e It a a m¢¢ s a C Y W 9 O G! C M C B i a i m z c¢¢ M a a 0 Is M a r i a [f a M¢ M C a 0 C 6 q IG H 0 0 M C 0 0 E C C© 11 a W r[ ~ f DFC ~ ~ 20» (Ill r~ir;. . INTERPRETIVE DETERMINATION REPORT Property Owner: Don Hermanson 2721 Hwy. 12 Woodville, WI 54028 Site Location: NW 1/4 of the NW 1/4, Sec. 31, Town 29N, Range 15W Town of Springfield St. Croix County Prepared by: MARK W. IVERSON 19 H I , PSS 4197, CST #46672 wi ovember 29, 2011 Date Evergreen Irrigation Inc. Mark Iverson, Professional Soil Scientist P.O. Box 155 Hammond, WI 54015 Phone: 715-796-5664 Fax: 715-796-5246 e-mail: evergreenetcnbaldwin-telecom.net web site: evergreenirrigation-inc.com i TABLE OF CONTENTS 1. Introduction 1 II. Project Information 1 III. Method 1 IV. Discussion of Results 2 A. Local Hydrology 2 B. Geomorphology 2 C. Soil Disturbance and Hydraulic Modifications 2 D. Landscape Position and Local Topography 3 E. Soil Series and Mapping Units F. Wetland Inventory Map 5 G. Field Observations 6 H. Comparative Analysis 6 1. Government Reports and Comments 6 V. Conclusions and Recommendations 6 VI. References ...............................................................................................................7 TABLES Table 1 - Soil Series Characteristics Table 2 - Hydric Soil Classification FIGURES Figure 1 - USGS Topographic Map Figure 2 - Soil Map Figure 3 - Wetland Inventory Map APPENDICES Appendix A - Soil Evaluation Report I. INTRODUCTION On October 26, 2011 Mark Iverson, Professional Soil Scientist #197 and Certified Soil Tester #46672, completed an interpretive onsite soils evaluation. An interpretive evaluation is required because the site does not meet the requirements to install a new/replacement private on-site waste treatment system (POWTS) through completion of a conventional onsite soils evaluation (<A+4 inches of acceptable soil must be present). The onsite evaluation was completed through the observation of the soil profiles at five test pit locations. This report has been prepared to present the results of an interpretive onsite soils evaluation. The evaluation was completed at the request of the client, Don Hermanson. The property is located on State Hwy. 12, 1/4 mile east of 270`" Street in the Township of Springfield, St. Croix County, Wisconsin. II. PROJECT INFORMATION The following is site-specific background information: Property Owner: Don Hermanson 2721 Hwy. 12 Woodville, WI 54028 Site Location: NW 1/4 of the NW '/4, Sec. 31, Town 29N, Range 15W Parcel ID # 034-1069-60-000 Town of Springfield St. Croix County Historic Land Use: Lawn Current Land Use: Lawn Vegetation: The vegetation within the tested area consists of miscellaneous grasses. There are no signs of stress within the tested area due to excess or insufficient moisture. Hydric vegetation was not observed within the project area. III. METHOD This interpretive evaluation and report was completed following the guidelines set forth in Comm 85.60(2) of the Wisconsin Administrative Code and in the summary provided by Leroy Jansky titled, "Preparing the Interpretive Determination Report" (March 13, 2002). IV. DISCUSSION OF RESULTS A. Local Hydrology 1. Surface Water Drainage Patterns - Minimal surface water drainage is received over the majority of the tested area. This is because the drainage ditch adjacent to Hwy 12 diverts the majority of the upgradient runoff water to the east via the road ditch. The proposed system location is on the backslope. The slope within the proposed system area is approximately 3%. 2. Subsurface Water Drainage - The silt loam texture and lack of compaction within the surface horizon of the lawn offers good infiltration and lateral movement of precipitation received on site. Moderate compaction (weak to moderate platy structure) was observed in the second horizon of all borings. The platy structure limits the infiltration of surface water within the profile. During and immediately following frozen conditions and following heavy precipitation events, runoff will be much greater. 3. Artificial Drainage Devices - No artificial drainage devices were observed during the completion of the evaluation. 4. Contributing Drainage Area - The proposed system area is located on the backslope of the hill slope profile. The summit of the profile is located approximately 30 to 50 feet north of the proposed installation contour. There is contributing drainage area up slope of the tested area. A surface water diversion ditch is recommended to be constructed to limit the effects of potential surface water received from upslope. 5. Soil Saturation - Saturated soil was not observed in any of the test pits completed on site. 6. Surface Water Elevations - Surface water within the immediate vicinity of the site, if present, has been identified on Figure 1. B. Geomorphology 1. Parent Material - The parent material is loess over glacial outwash/till. 2. Landform Type - Ground moraines. C. Soil Disturbance and Hydraulic Modifications The proposed system location is in an existing lawn. No hydraulic modifications, such as drain tile or ditches, were observed at the time of the assessment. No additional surface water is received from impervious surfaces. 2 D. Landscape Position and Local Topography The regional topography is shown on figure 1. The ground surface elevation is approximately 1160 feet mean sea level (msl). The topography within the proposed system area is shown on the site map included in Appendix A. The proposed system elevation is 101.5 feet to 102.0 (site specific elevation). The shape of the slope within the proposed system area is linear (perpendicular to the contour and slightly concave (parallel to the contour). FIGURE 1- USGS TOPOGRAPHIC MAP Q. C% r r y 117 Property Location 1 E. Soil Series and Mapping Units The Natural Resources Conservation Service Web Soil Survey maps the soils on the property as Brill silt loam (BpA), Halder silt loam (HaA), Onamia loam (OmB & OmC2), Santiago silt loam (SaB), Skyberg silt loam (SrA), Vlasaty silt loam (VaB). The location of each soil type is identified on Figure 2. The primary soil characteristics as described in the series descriptions are identified on the Table 1. TABLE 1- SOIL SERIES CHARACTERISTICS Texture Parent Material Perm bifity Soil A E or B Drainage Series Horizon Horizon Surface Subsurf. Surface Subsurf. Class Bp SIL SILL Silty Sed Till/ M RA MW alluvium Ha SIL SCL Silty Sed Till/ alluvium M RA SP 3 Om L L/SL Silty Sed Till/ M RA W alluvium Sa SIL SIL/SL Loess Till M S to MS W Sr SIL SIL/SICL Loess Till MS or S MS or S SP Va SIL SIL/CL Loess Till MS MS MW Abbreviations Permeability IM = Impermeable MS = Moderately Slow RA = Rapid VS = Very Slow M = Moderate VR = Very Rapid S = Slow MR = Moderately Rapid Drainage Class VP = Very Poorly W = Well P = Poorly SE = Somewhat Excessively SP = Somewhat Poorly E = Excessively MW = Moderately Well TABLE 2 - HYDRIC SOIL CLASSIFICATION NRCS - USDA Soil Series Component Inclusions USACOE B Not h dric None Not hydric Ha Not h dric Rib Not hydric Om Not h dric None Not hydric Sa Not h dric None Not h dric Sr Not hydric Auburndale Not hydric Va Not h dric None Not h dric USACOE = US Army Corps of Engineers 4 FIGURE 2 - SOIL MAP 72 F. Wetland Inventory Map The Wisconsin Department of Natural Resources surface water viewer was reviewed to identify wetlands mapped on the property. The wetland inventory map is included as figure 3. Wetlands were mapped in the southeast corner of the property however none were identified near the test location. FIGURE 3 - WETLAND INVENTROY MAP 5fte, 5 G. Field Observations The soil present within the proposed system area is dissimilar to the description of the mapped soil unit Vlasaty, identified on the Natural Resources Conservation Service Web Soil Survey. The A horizon extends 8 to 10 inches below surface within the proposed system area (Borings 1, 2, and 3). Fine to coarse, moderate granular structure is dominant in the surface horizon (A). Weak to moderate, fine to medium platy structure is present below the surface horizon for two to five inches. Weak to strong blocky structure extends from directly below the second horizon to the end of the profile. The soil profile descriptions were primarily complete 23 to 30 inches below surface with one deep pit (B-2) completed to 52" below surface. Moderate compaction (platy structure) was seen in the second horizon of all test pits. The platy structure is common in many of the glacials soils in this region. Moderate granular and blocky structure structure in the A horizon (0 to 8-10 inches) will provide for infiltration and lateral movement of the effluent. The soil on site does not meet the hydric soil criteria. The lack of hydric soils indicates that the soil is likely not saturated for greater than 5% of the growing season (approximately 7 consecutive days). A dominance of hydrophytic vegetation was not observed within the proposed system area. The lack of these features does not preclude the possibility that the soil is saturated for a prolonged period of time prior to or on occasion during the growing season. H. Comparative Analysis Soil borings (B-1, B-2, and B-3) were completed within the proposed system area. Two additional borings were completed, one upslope (B-4) and one down slope (B-5) of the proposed system area. The texture, structure, and depth to redox features of boring 4 were similar to that of the tested area. Boring 4 also had more depth to redox features, however the contour length was shorter and would not provide enough area for a four bedroom system. The down slope boring, B-5, had redox feature present directly beneath the A horizon. 1. Government Reports and Comments No other government reports have been observed for this property. V. Conclusions and Recommendations Seasonal saturation appears to be limited to greater than 8 inches below surface within the proposed system area, the majority of the time. The lack of soil dominated by low chroma colors within the proposed system area indicates that the redoximorphic features 6 observed are not due to a high water table or perching conditions. The cause of the redox features observed in the test pits is most likely attributed to short-term seasonal saturation due to slow permeability of the dense glacial subsoils. Reorientation of the platy structure observed by chisel plowing after placing 3 to 4 inches of ASTM-33 sand on the system area will aid the dispersion of effluent through the subsoil. The site is suitable for installation of a POWTS (mound system) for the following reasons: 1.) Redoximorphic features were not observed in the upper 9 inches of soil within the proposed system area. 2.) Neither hydric soils nor a dominance of hydrophytic vegetation are present within the proposed system area. 3.) The slope at the proposed system location is approximately 3%. The slope is uniform with no dips or valleys at the proposed system location. 4.) The lack of soil dominated by low chroma colors indicates that the redoximorphic features observed at depth are due to temporary seasonal saturation and not from a permanently high water table or perching condition. The following recommendations should be considered during installation of the proposed system: 1. The system should be installed on the 101.5' and 102.0' contour to stay within the tested area. The owner would like to save the tree identified on the attached map. 2. Sand fill shall consist of 2.5' of material meeting ASTM C-33 specifications. 3. To break up the platy structure tillage must be completed with a chisel plow to a minimum depth of 14 inches below native ground surface during dry conditions after placing 3 to 4 inches ASTM C-33 soil over the infiltration surface. 4. The basal loading rate shall not exceed 0.2 GPD/ft2. 5. The system shall be designed to have a linear loading rate of 4.5 GPD/ft or less. 6. The system will follow the contour and be slightly concave. The final approval of this site must be made by the Wisconsin Department of Commerce and the St. Croix County Zoning Department. This report represents the observations and professional opinion of Mark Iverson, Professional Soil Scientist (#197) and Certified Soil Tester (#46672). VI. REFERENCES 1.) Soil Survey Staff, Natural Resources Conservation Service, United States Department of Agriculture. Web Soil Survey. Available online at http://websoilsurvey.nres.usda.gov/ (accessed 11/29/11). 7 2.) State of Wisconsin. Department of Commerce Code, Chapters 83 and 85. 3.) US Department of Agriculture, Natural Resources Conservation Service. 1996. Field Indicators of Hydric Soils in the United States. G.W Hurt, Whited, P.M., and Pringle, R.F. (eds,). USDA, NRCS, Fort Worth, TX. 4.) Schoeneberger, P.J., Wysocki, D.A., Benham, E.C., and Broderson, W.D. (editors), 2002. Field book for describing and sampling soils, Version 2.0. Natural Resources Conservation Service, National Soil Survey Center, Lincoln, NE. 5.) United States. Us Geological Survey. Topographical downloaded from http://terraserver.microsoft.com/ 6.) St. Croix County. St. Croix County Land Information System. http://72.21.230.178/website/pas sY tem/gisportal.htm 7.) United States. United States Department of Agriculture - Natural Resources Conservation Service. Hydric Soil List for St. Croix County, Wisconsin. ftp•//ftp-fc sc egov usda.gov/WI/Soil/hyd/hyd109,htm 8.) United States. Us Army Corps of Engineers. 1987. Corp of Engineers Wetland Delineation Manual, Technical Report Y-87-1. USAEWES Environmental Laboratory, Vicksburg, MS. 9.) Wisconsin Department of Natural Resources. Wisconsin Department of Natural Resources - Surface Water Viewer. Wetland Maps. http•//dnrmaps wisconsin.gov/imf/imf.isp?site=SurfaceWaterViewer 8 APPENDIX A SOIL EVALUATION REPORT 9 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings In accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8 '/Z x 1 I inches in size. Plan must St. Croix Include but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. 04-1069-60-000 Percent slope, scale or dimensions, north arrow, and BM referenced to nearest road. rRqVriewe y Date Please print all information Personal information you provide may be used for secondary Purposes (Privacy Law, s. 15.04 O 1 (m)) ~►vt . 2 q1,1 j z, Property Owner Property Location Don Hermanson Govt. Lot NW 'i, NW 'i. s 31 T 29 N R 15 w Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 2721 Hwy. 12 City State Zip Code Phone ❑ City ❑ Village O Town Nearest Road Woodville WI 54028 715-698-2502 Springfield Hwy. 12 ❑ New Construction Use: El Residential / Number of Bedrooms 4 Code derived design flow rate 600 GPD OReplacement ❑ Public or Commercial - Describe: Pare erial Loess over Till Flood Plain elevation if applicable N/A ft. General comments and recommendations: Boring 1 Boring # O Pit Ground Surface Elevation 102.2 ft. Depth to Limiting factor 12 in. Soil A lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 `Effn 1 0-10 10YR3/2 - SIL 2-m-gr dsh gs 3f-m 0.6 0.8 2 10-12 10YR4/3 - SIL 2-f-pi dsh gs 2f-m 0.0 0.2 3 12-15 10YR4/4 7.5YR4/6 f-1-d SIL 2-f-bk dsh gs if 0.6 0.8 4 15-22 10YR4/4 10YR5/2&7.5YR4/6 c-2-d SIL 2-m-bk dh gs if 0.6 0.8 5 22-30+ 5YR3/4 5YR5/8 c-1 -d SCL 3-m-bk dvh - If 0.4 0.6 O Boring Boring # OFit Ground Surface Elevation 101.2 ft. Depth to Limiting factor 13 in. Soil ADolication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 `Eff#2 1 0-8 10YR3/2 - SIL 2-f-co-gr dsh gs 3f-m 0.6 0.8 2 8-13 10YR4/3 - SIL 1-m-p1 dsh gs 1f 0.4 0.6 3 13-17 10YR4/4 7.5YR4/6 f-1-d SIL 2-m-bk dh gs 1f 0.6 0.8 4 17-30 7.5YR4/3 7.5YR4/6&10YR4/2 c-2-d GRCL 2-m-bk dh cs if 0.4 0.6 5 30-52+ 7.5YR4/3 7.5YR4/6&10YR5/2 c-2-p CL 2-co-bk mefi - - 0.4 0.6 * Effluent #I = BOD5 > 30 < 220 mg/L and TSS > 30:5 150 mg/L * Effluent #2 = BOD5 < 30 mg/L and TSS _5 30 mg/L CST Name (Please Print) Si ature CST Number Mark Iverson 46672 Address Date Evaluation Conducted Telephone Number P.O. Box 155 Hammond, WI 54015 October 26, 2011 715-796-5664 Property Owner Don Hermanson Parcel ID# 034-1069-60-000 Page 2 of 3 31 Boring # ❑ Boring I I OPit Ground Surface Elevation 102.1 ft. Depth to Limiting factor 9 in. Soil AoDlication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-9 10YR3/2 - SIL 2-f-gr dsh gs 3f 0.6 0.8 2 9-14 10YR4/4 10YR4/3&4/6 c-2-f SIL 2-f-pl dsh cs 2f-m 0.0 0.2 3 14-23+ 10YR4/3 7.5YR4/6 SL 3-m-bk dsh - 1f 0.6 1.0 ❑ Boring 4 Boring # Elpit Ground Surface Elevation 103.1 ft. Depth to Limiting factor 16 in. Soil ADDlication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-7 10YR3/2 - SIL 2-m-gr dsh gs 3f 0.6 0.8 2 7-16 10YR4/3 - SIL 1-f-PI dsh gs 2 f-m 0.4 0.6 3 16-23+ 10YR4/3 10YR4/6 f-2-d SCL 1-m-bk mfr - 1 f 0.2 0.3 ❑ Boring Boring # ON Ground Surface Elevation 99.1 ft. Depth to Limiting factor 8 in. Soil ADDlication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-8 10YR3/2 - SIL 2-m-gr dsh gs 2f 0.6 0.8 2 8-14 10YR4/4 10YR4/6 c-2-d SIL 2-m-pi dsh gs 2f-m 0.0 0.2 3 14-23+ 10YR4/4 7.5YR4/6&10YR4/2 c-2-p SCL 2-m-bk dh - 1f 0.4 0.6 * Effluent #1 = BOD5> 30:5 220 mg/L and TSS > 30:5 150 mg/L * Effluent #2 = BOD5 30 mg/L and TSS 5 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. Page 3 of 3 0 ft. 24 ft. 40 ft. 80 ft. N Centerline of Hwy. 12 Centerline ef-Bite-------------------------- Owner would like save this tree if po ible 0 B-3 ~ B-4 102.1 103' 103.1 D D B B Trees O B-2 101.2 BM#2 - Botbm of Siding D 101-3' B House B-5 99.1 BM#1 - Top d ell_ 100.0' w Effluent pipe - approximate elevation 98' BM#E a DescriptionAllh = Bench Mark -1 = Boring Location & Elevation vation Owner: Don Hermanson Site Information: Completed By: Mark Iverson, PSS #197 2721 Hwy. 12 NW1/4, NW1/4, S31, T29N, R15 680 Larcom Street Woodville, W154028 Town of Springfield Hammond, WI 54015 St. Croix County 715-796-5664 Phone: 715-698-2502 CST# 46672