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030-2091-50-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 569561 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: Young, Daniel &Jody St. Joseph, Town of 030-2091-50-000 CST BM Elev: Insp.BM Elev: BM Description: ^ r Section/Town/Range/Map No: p C-). P'j R' 26.30.19.766 TANK INFORMATION El EVATIO DATA TYPE MANUFACTURER CAPACITY STATION BS HI I FS ELEV. Septic Benchmark lOt+ )7 1,6 d / G 4Z Dosing Alt.BM �d AaraWn j J 4/ Bldg.Sewer Holding �1�� SVHt Inlet ' St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Ven to Air Intake ROAD Dt Inlet Septic 7 Z s $� � / _- Dt Bottom /� L $.$. Dosing YQ/ 33 Header/Man. 166. Aeration Dist. Pipe 1. 75 166 .lr Holding Bot.System 4,J PUMP/SIPHON INFORMATION Final Grade 1:75 Manufacturer Demand St Cover J GPM .ate_ �•(°� r1�� Model Number / `z— 3/� TDH Lift 2. 1 Friction �osss1 System He d TDH— �St 7K. Forcemain Length / Dia. l Dist.to well sa SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No.Of rench PIT DIM NSA IONS No.Of its Inside Dia. Liquid Depth DIMENSIONS /��.3 -- �\ SETBACK SYSTEM TO w P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR WSYS t em: 3Z UNIT Model Number:u Z? DISTRIBUTION SYSTEM f-- Header/Manifold / 11 Distribution I it x Hole Size ! ,t x Hole Spacing I Vent tq Air Intake S Pipe(s) ? J �IfJ Length v Dia Z Length `�'. 4-7 Dia 's Spacing 3' /c�7 `/ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over I I Depth Over xx Depth of xx Seeded/Sodded I xx Mul hed Bedlrrench Center / 1 Bed/Trench Edges Topsoil I � Yes [W7 No Yes No COMMENTS: (Include code discrepencies,persons present,etc.) Inspection#1: / / Inspection#2: Location: 1377 Awatukee ail Hudso l 54016(SW 1/4 NW 1/4 26 T30N R19W) Bass Lake South Lot 5 Parcel No: 263019766 1.)Alt BM Description= � - -- �— C' ✓� `� 2.)Bldg sewer length= ` 1 � -amount of cover= ��. S�� I T��v !- feA. 6 v pe :�) /1 @c..( Plan revision Required? ❑ Yes o j Use other side for additional information. �Date Insepctor's S Cert.No. SBD-6710(R.3/97) PLOT PLAN N Project Name: Young 3 Bedroom Mound Legal Description: SW1/4, NW1/4, S26, T30N, R P.I.D: 030-2091-50-000 Subdivision Name: Bass Lake South Lot#: 5 SCALE:V=40' Township: ST.JOSEPH Parcel Size: 3.09 Acres County: ST. CROIX intour Line Elevation: 99.20' Cell Dimensions: 7'X 64.3' 4 inch Sch 40-ASTM D2665 System Elevation 100.05' Mound Dimensions: 22.2'X 81.5' 2 inch Sch 40-ASTM D1785 Slope: 7% 11/2 Sch 40-ASTM D1785 BM1 Elevation: 100.00' Top of Dose Tank Cover BM2 Elevation: 88.75' Bottom of Dose Tank Backhoe Pits: NOTE: Sim/Tech STF-100 to be installed on force main. O W E LL J_ �l CXiS-r'i NC, ~ Iq�U5E ULJ LU _ 5 GAOC-iL Fes'+ r 3 (TJ U1 �2 2�tZX g(,J' YtitEUNQ EX/Si�Nu _ Y �Cf wr\,"U 1 L)C?O CAL SaT SXCaL 7%,SLe/�r 7o' Z,' -PLcE W/ 5iM/7 ECH 44A1ti 5TH-)o C) APO kp Qi Page 12 County _ � �WMVIU, Safety and Buildings Division / cello( x, 201 W.Washington Ave.,P.O.Box 7162 Sanitary Permit Number(to be filled in by Co.) NJ* Madison,WI 53707-7162 Sanitary Permit Application State Transactions Number In accordance with SPS 383.21(2),Wis.Adm.Code,submission of this form to the appropriate governmental unit Z ( '�- ' is required prior to obtaining a sanitary permit. Note:Application forms for state-owned POWTS are submitted to Project Address(if different than mailing address) the Department of Safety and Professional Servies. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law,s.15.04(1)(m,Stats. I. Application Information-Please Print All Information 6 Property Owner's Name l J /arcel# Property Owner's Mailing Address izqy T s O O9 Pro pe atio n 137 -04Tc B dLot City,State Zip Code Phone Number `VW-1 CO W ''/., A �W 'p/.� Section Z r, N; R L circle one) II.Type of Building(check all that apply) / Lot# / E or W ®1 or 2 Family Dwelling-Number of Bedrooms ✓ Subdivision Name Block# ❑Public/Commercial—Des 'be Use ❑City of d ,f e)I El State Owned-Describe Us CSM Number ❑Village of 9 Town of zTE�S f�/7r III.Type of Permit: (Check o ox ou A. Complete line B if applicable) A. ❑New system Replacement System ❑Treatment/Holdin Tank Replacement Only '®Other Modification to Existing System(explain) Red N C4 -sB'D u tvs4 B• ❑Permit Renewal ❑Permit Revision ❑Change of Plumber EEOPennit Transfer to New List Previous Permit Number and ate Issued Before Expiration z O 7/ S Z /19 IV.Type of POWTS System/Component/Device: Check all that a - - - _ lam/ ❑Non-Pressurized In-Ground ❑Pressurized In-Ground ❑At- N Mound>24 in.of suitable soil Mound<24 in.of suitable soil ❑Holding Tank ❑Other Dispersal Component(explain) ❑Pretreatme ice(explain) V.Dispersal/Treatment Area Information: ! h b�m'1 Design Flow(gpd) Design d Application Rate(gpdsf) Dispersal Area Req "ed(sf) Area Pro sed(sf) System Elevation 'e/SD 0-o roil S 1-6c, 'Y�O 7 Sv �/s O 00 /©o. 0 3 �- VI.Tank Info Capacity in Total #of ,,//�� � Manufacturer Gallons Gallons Units New Tanks Existing Tanks � fis'm o Y A 7- /'Te p P— o U to rn u C7 P.: Septic or Holding Tank /Q®c /MO / Dosing Chamber ` cc— ao I (,C3 VII.Responsibility Statement-I,the undersigned,assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name(Print) Plumber's ' i MP/MPRS Number Business Phone Number �-o 5ck��t/ rr t cni L2 � 7CQ -0<<8� Plumber's Address(Street,City,State,Zip Code) VIII. ounty/De artment Use Only Approved ❑Disapproved Permit Fee d Date ued suing Agent Si ❑Owner Given Reason for Denial IX.Conditions of Approval/Reasons for Disapproval % n � ^^LG� Jk� SYSTEM OWNER; (i2 ,,t�JG�,/ W,' v�7ifij�j 1.Septic tank,effluent filter and O �G� a(/1-'Y- Aa K.� 9-n�J?���� dispersal cell must be sliced/_maintained as per management ptan provided by plumber. 1/LI_ �All-,ethlck 2. as per applicable tem and submit to the County oo paper not less than 8 m/2:11 inches in size Co a/ordinances. SBD-6398(R.11/11) JOHN F SCHMUT Page 2 5/5/2014 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. erard M Swim When You Receive That Invoice, POWTS Plan Reviewer,Integrated 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 Note: Effective January 1,2012,all codes under the jurisdiction of the Division of Industry Services(formerly Safety&Buildings)will be modified. Code references with prefixes starting with"Comm"have been replaced with "SPS"to recognize the relocation of the Division of Industry Services from the former Department of Commerce to the Department of Safety&Professional Services.Additionally,all IS(formerly S&B)codes have been renumbered and addressed in a"300"series. For future reference,the Wisconsin Commercial Building Code will be addressed n by SPS Chapters 360-366. 9ti4T1 DIVISION OF INDUSTRY SERVICES Tom 3824 N CREEKSIDE LA m HOLMEN WI 54636 3 K u 9g, Contact Through Relay K www.dsps.wi.gov/sb/ 9 �' �� www.wisconsin.gov SIONPLS� Scott Walker,Governor Dave Ross,Secretary May 05,2014 CUST ID No. 223760 ATTN:POWTS Inspector JOHN F SCHMITT ZONING OFFICE SCHMITT&SONS EXCAVATING ST CROIX COUNTY SPIA 616 150TH AVE 1101 CARMICHAEL RD SOMERSET WI 54025 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/05/2016 SITE: Identification Numbers Dan and Jody Young Transaction ID No.2396584 1377 Awatukee Trail Site ID No. 801611 Town of Saint Joseph, 54082 Please refer to both identification numbers, St Croix County above,in all correspondence with the agency. SETA,NWIA, S26,T30N,R19W Subdivision:Bass Lake South;lot 5 FOR: Description:Three Bedroom Mound System/7%slope/re-construction Object Type: POWTS Component Manual Regulated Object ID No.: 1482163 Maintenance required; Replacement system; 450 GPD Flow rate; 26 in Soil minimum depth to limiting factor from original grade; System(s):Mound Component Manual-Ver.2.0,SBD-10691-P(N.01/01,R. 10/12),Pressure Distribution Component Manual-Ver.2.0, SBD-10706-P(N.01 101,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. CONDI The owner,as defined in chapter 101.01(10),Wisconsin Statutes,is responsible for compliance with all code APP requirements. DEPT OF No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, PROFESSIO stats. olvlsloN of t The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders: • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19,Wis.Stats. SEE CO • Inspection of the private sewage system installation is required.Arrangements for inspection shall be made with 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 component 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. Note: The county zoning office shall be contacted for option to inspect the dispersal cell after removal of bio-mat material and prior to placement of sand fill. MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN INDEX AND TITLE PAGE Project Name: Young Mound Rebuild Owners Name: Daniel &Jody Young Owner's Address 1377 Awatukee Trail Hudson, WI 54016 Legal Description: SW1/4, NW1/4, S26, T30N, R19W Township St. Joseph County: St. Croix Subdivision Name: Bass Lake South Lot Number: 5 Block Number Parcel I.D. Number 030-2091-50-000 1O NALLy Plan Transaction No. dArE7YAN4 Page 1 Index and title )USTRYRVlCEs Page 2 Cover letter `SERVICES Page 3 Data entry Page 4 Mound drawings Page 5 Lateral and dose tank Page 6 Construction Details ESP oe Page 7 System Maintenance Specifications Page 8 Management and contingency plan Page 9& 10 Pump specifications and curve Page 11 Pressure filter information Page 12 Plot plan Page 13 Existing Tank Certification Page 14 Septic tank maintenance agreement Page 15 Warranty deed Page 16 CSM/Plat Designer: John Schmitt License Number: 223760 Date: 4/24/2014 Phone Number: 715-760-0486 Signature: t �� Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SBD-10691-P(N.01/01)and both SSWMP Publication 9.6 Design of pressure Distribution Networks for ST-SAS(10/81)and Pressure Distribution Component Manual Ver.2.0 SBD-10706-P(N.01/01) Version 7.0 (R. 03/2012) Page 1 ,CHMITT & SOj I LAVA NC. 586 Valley View Trail Somerset, W154025 schmittandsonsexcavating.com John Schmitt (715 ) 760-0486 June 30, 2013 April 23, 2014 The mound soil absorption system at the Daniel &Jody Young residence 1377 Awatukee Trail Hudson, WI 54016 was found to be ponding. Upon further investigation it was found that the sand was sealed at the rock sand interface. Just below this interface the sand was clean. Therefore it is proposed that the mound be rebuilt to the design parameters submitted. The pump will be replaced as well as the float switches to meet the new design. No records were available for the existing mound so the rebuilt mound will be rebuilt at the same elevation as the existing mound. Sincerely, John Schmitt Page 2 Mound and Pressure Distribution Component Design Design klVork,sheet Site Information (R or C) R Residential or Commercial Design Note: Sand fill(D)calculations assume a r (gp ) Table 383-44-3 in-situ soil treatment for 300.00 Estimated Wastewater Flow d i 1.50 Peaking Factor(e-g. 1.5= 150%) fecal coliform of<-36 inches. 450.00 Design Flow(gpd) 7.001 Site Slope(%) 99.20 Contour Line Elevation (ft) 26.00 Depth to Limiting Factor(in) [___7_ Soil Application Rate(gpd/ft2) Distribution Cell Information 64.291 Dispersal Cell Length Along Contour(ft) = 7.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate(gpd/ffz) 11 Influent Wastewater Quality(1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? Enter Y or N (C or E) C Center or End Manifold 3.50 Lateral Spacing (ft) If N above, enter the elevation (ft) 4 Number of Laterals of the highest point. 0.156 Orifice Diameter(in) 2.00 Estimated Orifice Spacing (ft) = 7.03 ftz/orifice 2.00 Forcemain Diameter(in) 75.00 Forcemain Length (ft) Does the forcemain drain back? i Y 88.75 Pump Tank Elevation (ft) Enter Y or N 4.55 System Head (ft)x 1.3 12.23 Forcemain Drainback(gal) 10.78 Vertical Lift(ft) 57.74 5x Void Volume(gal) 1.88 Friction Loss(ft) 69.97 Minimum Dose Volume(gal) 0.50 In-line Filter Loss(ft) 34.46 System Demand (gpm) 17.71 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 x 1.25 x 2.00 1.50 x x 3.00 2.00 x 3.00 x Gallons/Inch Calculator(ootiona Treatment Tank Information Total Tank Capacity(gal) 1000.001 Septic Tank Capacity,(gal) ~� Total Working Liquid Depth (in) Week's C. P. J Manufacturer gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 008 00 Dose Tank Capacity(gal) s'Sim/Tech _. _ _ Filter Manufacturer 21.761 Dose Tank Volume al/in !S-�� (g ) STF-100 ,Filter Model Number Week's C. P. � I Manufacturer s Project: Young Mound Rebuild Page 3 Mound Plan and Cross Section Views T 1/10 B .: .........:.:......... J : Observation Pipe K A B . . . . . . !i. . . . . . . . . . . : . . . . . .. . . . . . . . . . . 0: : .. :: L Mound Component Dimensions A 7.00 ft E 15.88 in H 1.00 ft K [Aft ft B 64.29 ft F 9.50 in z 9.93 ft L ft D 10.00 in G 0.50 ft J 5.27 ft W 450.03 (ftz) Dispersal Cell Area 1088.45 (ft) Basal Area Available 7.00 (gpd/ft) Linear Loading Rate 6.43 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 101.83 (ft) /--►,,,/i I H G ....................... F 100.53 ft Lateral 100.03 (ft)—► — Dispersal Cell ( )Invert Dispersal Cell :•:•:•:•:•:•. :•:•: :•: Elevation D ........ . . . . . . . . . .. .... . . . 99.20 (ft) Contour Elevation 7.0 %Site Slope Geotextile Fabric Cover Shading Key m 2- �— Dispemal Cell See lateral details on 10 Topsoil Cap o °- 1.5 ft Page 4 for number,size, Subsoil Cap o and spacing of laterals. ASTM C33 Sand F Laterals are equally ( Tilled Layer d 4) 0.5 ft Typical Lateral spaced from the distribution cell's © Aggregate o centerline in the 'A ---* distribution cell(AxB). Project: Young Mound Rebuild Page 4 Center Connection Lateral Layout Diagram Forcemain connection via tee or cross to manifold at-"point Laterals ate idenoc at 1= P S 0-Turn-up vfball valve or X—�� W2 s1241 Laterals&forcemem Sch40 PVC cleanoutplu8 per SPS Table 364.30-6 Holes drilled on the bottom of the lateral. Number of Laterals 4 Orifice Diameter 0.156 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.03 ft Lateral Length (P) 31.47 ft Orifices per Lateral 16 Lateral Spacing (S) 3.50 ft Orifice Density 7.03 ft2/orifice Lateral Flow Rate 8.62 gpm Manifold Length 3.50 ft System Flow Rate 34.46 gpm Manifold Diameter 1.50 in Total Dynamic Head 17.71 ft Forcemain Velocity 3.52 ft/sec Dose Tank Information Locking cover with warning /--- label and locking device and / sealed watertight Electrical as per NEC 300 and --► 1� SPS 316.300 WAC 4 in.min. Disconnect Tank component is properly vented E-- Alternate outlet location Forcemain diameter Week's C. P. Manufacturer �_ 2 in. Ca aci 800.00 Gallons Volume 21.76 gal/inch A Weep hole or anti- Dimension_ Inches Gallons B siphon device A __ 19.55 425.39 B 2.00 43.52 C Pump off elevation(ft) C 3.22 69.97 89.75 D 12.00 261,12 D Total 36.76 800.00 Dose se tank elevation(ft) 3" Bedding un er tank. 88.75 Alarm Manuafacturer Sept o cs _ ry re SW!tChE;S Alarm Model Number .TM-1 cLntaining mercury " av not ire used in Pump Manufacturer IZoeller _ Y- ris system. Pump Model Number 1152 Pump Must Deliver 34.46 gpm at 17.71 ft TDH Project: Young Mound Rebuild Page 5 Construction Details 1. Topsoil and subsoil cap to be removed from top of mound. 2. Existing rock and laterals to be removed and disposed of properly. 3. Remove any sealed sand and dispose of properly. 4. Rebuild mound to new design dimensions using clean ASTM C33 sand. 5. Rebuild cell to new design dimensions and specifications (orifice size and spacing, # of laterals, length etc.). 6. Replace subsoil and topsoil caps to new design criteria. 7. Install inline effluent filter and new pump. Reset float switches to meet design criteria. i Page 6 Mound System Maintenance and Operation Specifications Service Provider's Name John Schmitt Phone; 71 675 0486 E POWTS Regulator's Name St. Croix County Zoning Phonej 715-3864680 System Flow and Load Parameters Design Flow-Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow-Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450.03 ft2 Maximum FOG 30 mg/L Type of Wastewaterl 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 every 3 years Pump and Controls Test once every 3 years Alarm Should test month) Pressure System Laterals should be flushed and pressure tested every 3 years Mo und Inspect for ponding and seepage once every 3 years Othe,, 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 mound component manual. 2. Dispersal cell aggregate conforms to SPS 384.30 (6)(i), Wis.Adm. Code. 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 Distribution Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Young Mound Rebuild Page 7 Mound System Management Plan Pursuant to SPS 383.54,Wis.Adm.Code General This system shall be operated in accordance with SPS 382-84 Wis.Adm.Code,and shall maintained in accordance with its'component manuals(SBD-10691-P(N.01/01,R. 10/12),SSWMP Publication 9.6(01/81),and Pressure Distribution Component Manual Ver.2.0 SBD- 10706-P(N.01/01,R. 10/12)]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 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 Tank 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 fitter shall be assessed at least once every 3 years by inspection. The outlet fitter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm,the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of 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 BODS,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 specked 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: Page 8 SECTION: 2.20.047 QVgL/TY PUMP6�NCE /OL�P � FM1919 0110 ® `O Product information presented supersedes of �lt y PUMP 108 LO. regarding discrepancies or inconsistencies. MAIL TO: P,0.BOX 16347•Louisvdle,KY 40256-0347 visit Our Web Site: SHIP 70.3649 Cane Run Road•Louisville,KY 40211-1961 www.zoeller com (502)778-2731.1(800)928-PUMP•FAX(502)774-3624 COMPARE THESE FEATURES • Durable cast iron construction 151/152/153 EFFLUENT SERIES • Model 151 comes standard with a glass-filled polypropylene base (For Pump Prefix Identification see News&thews 0052) • Corrosion resistant powder coated epoxy finish • Stainless steel lifting handle '` DOS E _M AT E a� • Assembled with stainless steel bolts • Non-clogging engineered thermoplastic vortex FOR SEPTIC TANK-LOW PRESSURE PIPE(LPP) impeller design AND ENHANCED FLOW STEP SYSTEMS • Model 151 -1/3 HP passes%2"spherical solids SSM1 r.1 EFFLUENT • Model 152-.4 HP passes%<"spherical solids awl SUBMERSIBLE • Model 153-1/2 HP passes%"spherical solids 1'/i' NPT DISCHARGE • Motor-60 Hz,3450 RPM,oil-filled,hermetically sealed,automatic reset thermal overload protected Model N152/N153 • Carbon/Ceramic seals - High Head c ca us• Upper sleeve bearing and lower ball bearing running Ted9d to UL Wn"d UUM Effluent and Cer§W b CSA in bath of oil ShWardCSM.2 No.,0e • 20 ft. UL Listed power cord with molded 3-wire plug • 1%2"NPT vertical discharge MODELS AVAILABLE • BN and BE standard models include a 20 ft.variable N151IN152IN153&E151/E152JE153 nonautomatic level float switch BN151/BN1521BN153&BE151BE152IBE153 • Operates at temperatures to 130°F(54°C)in effluent packaged �"�Float Swig, applications • All models include a 1%2"x 2"PVC adapter fitting Note:The sizing of effluent systems normally requires variable level float(s)controls and properly sized basins to achieve required pumping cycles or dosing timers with nonautomatic pumps. POWDER COATED TOUGH' rtJ/Yi/ Model BN152/BN153 MAIL T0: P.O.BOX 16347 High Head Louisville,KY 40256-0347 Effluent SHIP T0: 3649 Cane Run Road Louisville,KY 40211-1961 (502)778-2731.1(800)928-PUMP FAX(502)774-3624 Manufacturers of... Z® QUrll/TY PUMPS ©Copyright 2010 Zoeller Co.All rights reserved. Page 9 TOTAL DYNAMIC HEAD/FLOW 7 PUMP PERFORMANCE CURVE PER MINUTE MODEL 15111521153 EFFLUENT AND DEWATERING 14 45 153 12 ao MODEL 151 152 153 Feet Meters Gal. Liters Gal. Liters Gal. Liters 0 35 152 5 1.5 50 189 69 261 77 291 10 10 3.0 45 170 61 231 70 265 30 15 4.6 38 144 53 201 61 231 0 8 25 151 20 6.1 29 110 44 167 52 197 25 7.6 16 61 34 129 42 159 ° 6 20- 30 1 9.1 — — 23 87 33 1 125 35 10.7 — — — — 22 85 15 40 12.2 — — — — 11 42 4 Shutoff Head: 30 ft.(9.1 m) 38 ft.(11.6m) 44 ft.(13.4m) t0 0145068 2 5 9 Model 151 Models 152/ 153 10 20 30 40 50 60 70 80 90 100 GALLONS .••--- 67/32 67!!2--'� U7ER5 0 46 80 40 160 200 240 280 320 360 3718 458 �l 3716- --- 458 FLOW PER MINUTE 014506A CONSULT FACTORY FOR ; 37/8 3718 SPECIAL APPLICATIONS 3718 ® 3 718 •Timed dosing panels available —____ L •Electrical alternators,for duplex systems,are available and j 11?N°r supplied with an alarm •Variable level control switches are available for controlling single phase systems I •Double piggyback variable level float switches are available 1 — j for variable level long and short cycle controls I - •Sealed C*k-Box available for outdoor installations-See 1111/16 12118 FM1420 •Over 130°F(54°C)special quotation required 415116 5316 151/152/153 Series t----- SK2444 SK2064 151110153 MODELS control Selection Model Volts-Ph Mode Amix Simplex Duplex N151 115 1 Non 6.0 1 2or3 BN151 115 1 Auto 6.0 Included 2or3 E151 230 1 Non 3.2 1 2or3 BE151 230 1 Auto 3.2 Included 2or3 N152 115 1 Non 8.5 1 2or3 "Easy assembly" BN152 115 1 #Auto10,5 Included 2or3 (pump&discharge pipe 52 or 3 not Included.) 5 Inducted or or BN153 115 1 Included 2 or 3 E 153 230 1 1 2 or 3 BE153 230 1 included 2or3 SELECTION GUIDE OPTIONAL PUMP STAND PIN 10.2421 1. Single piggyback variable level float switch or double piggyback variable level Reduces potential dogging by debris float switch. Refer to FMO477. Replaces rocks or bricks under the pump 2. See FM0712 for correct model of Electrical Alternator E-Pak. Made of durable,noncorrosive ABS 3. Variable level control switch 10-0743 used as a control activator,specify duplex Raises pump 2"off bottom of basin (3)or(4)float system. Provides the ability to raise intake by adding sections of 1 W or 2"PVC piping O CAUTION Attaches securely to pump All installation of controls,protection devices and wiring should be done by a qualified » Accommodates sump dewatering and effluent applications licensed electrician. All electrical and safety codes should be followed including the NOTE:Make sure float is free from obstruction. most recent National Electrical Code(NEC)and the Occupational Safety and Health Act(OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. C Copyright 2010 Zoeller Co.All rights reserved. Page 10 A101MV, rw PRESSURE FILTER INSTALLATION &SERVICE INSTRUCTIONS T 1455 Lexamar Drive Toll Free 888-999-3290 Office 231-582-1020 Boyne City,MI49712 j u�, in7tc5i. o�ai Webw� cu Fax 231-582-7324 En:ai!;, �,, �m •�,{� -�, INSTALLATION: When installing an STF-100, screw filter into discharge port of any pump that has a 2"National Pipe Thread. Pumps with a smaller discharge port may be adapted to fit. When installing an STF-100A2 a tailpiece and male adapter will need to be added to the inlet end of the filter(end opposite of the cap)to the desired height and a 2"union will need to be added to the outlet end (the end closest to the cap&on the side of the filter). Always install the filters in a position where they can be easily serviced. **Always use caution when starting threads to avoid cross threading**. Plumb force main into the 2"sch 80 PVC union. **We recommend that the union remain together during gluing to insure that glue or cleaner does not ruin O-ring or sealing surface**. For best performance, if a check valve is installed it should cr,JV be after the Outlet of the filter. SERVICE: Service of filter screen is dependent on usage as every system is unique. For most residential systems we recommend inspecting the filter within the first year to determine the necessary service intervals for the filter. In high volume systems we recommend inspection within the first 6 months to determine necessary service intervals for the filter. Once the service interval is determined it should be consistent unless something changes in the system. Always inspect the filter screen for any damage or corrosion and replace if necessary. If our STF-101 service alarm switch has been installed and adjusted properly it will alarm when the fitter requires service. It should be serviced no less than when periodic pumping of the septic tank and pump chamber is performed. Servicing will be more frequent if using any one of our optional filter socks(600 micron, 150-190 micron, and 100 micron). Check your local health department for septic system servicing recommendations. If the screen becomes clogged before the periodic pumping requirements, a high level alarm or light will indicate the need for service. If system is equipped with a"pump on light"that stays on longer than normal,this also may indicate a need to service filter. To service filter screen, unscrew the 4"cap. Pull filter screen from canister and wash out thoroughly in appropriate location with proper protection. In some cases an additional filter screen allows quicker service allowing the dirty filter to be washed later at the shop. Aloe that In cola(eondAVom ft Mier cap nW be�to remove. Keep ft Ater in p wlsrm area or pow warm- ovsr#*,c W bale rernavfitg► Onm fe meter Mat , kr the tank#nN a llewpwah m and nsmovfng the cap wN not be a problem. If the system is equipped with our Service Alarm Switch,the filter screen does not need service until the Service Alarm Switch activates a light or audio alarm. We still recommend that the filter be inspected once a year for damage or corrosion. NOTE: The total dynamic head loss of the system must be increased by 0.5 feet of head to overcome friction loss through the filter. SERVICE ALARM SWITCH The alarm switch is available in three pressure ranges, low head, medium head, and high head. Installation is simple,on SIMITECH FILTER systems, remove'/"plug from base of filter chamber and connect tube fitting. Next,run the tube up into the tank riser and connect to service alarm switch. The alarm switch is fastened to the side of the riser via the nylon strap provided. Run alarm wire to alarm box. The service alarm switch can be wired with its own alarm or with the high water alarm. Pressure adjustment is made by removing the end plug, and inserting the 7/32 alien. Clockwise increases pressure. One turn equals approximately 3 PSI. The low head alarm switch comes factory preset at 8 PSI and is completely field adjustable within it's range(3 to 24 PSI). We recommend the use of a ball valve when using an alarm switch. Once you have installed the filter and alarm switch, the ball valve can be closed off to simulate a plugged filter so that you can make sure the alarm switch is working correctly. ****TRY OUR LID/SCREEN REMOVAL WRENCH. Our wrench holds filter lid firmly and hooks screen for easy removal and installation. Made of PVC plastic. WARRANTY All products are warranted against defects in material and workmanship for a period of two years from the date of purchase. In no event shall GAG SIM/TECH FILTER, INC. be liable for any consequential damages or any labor, material,freight or expenses required to replace, correct or reinstall the product. GAG SIM/TECH FILTER, INC.'s liability is limited to repair or replacement of the part. All warranties are void if the product has been improperly modified, applied or installed, subjected to misuse or abuse. Except as stated herein, there are no warranties expressed or implied, including the warranty of merchantability or warranty of fitness for a specific purpose. EFFECTIVE September 13,2005 Page 11 PLOT PLAN N Project Name: Young 3 Bedroom Mound Legal Description: SW1/4 NW1/4, S26, T30N, R P.I.D: 030-2091-50-0 00 Subdivision Name: Bass Lake South Lot#: 5 SCALE:1"=40' Township: ST.JOSEPH Parcel Size: 3.09 Acres County: ST. CROIX mtour Line Elevation: 99.20' Cell Dimensions: 7'X 64.3' 4 inch Sch 40-ASTM D2665 System Elevation 100.05' Mound Dimensions:122.2'X 81.5' 2 inch Sch 40-ASTM D1785 Slope: 7% 11/2 Sch 40-ASTM D1785 A BM1 Elevation: 100.00' To of Dose Tank Cover BM2 Elevation: 88.75' Bottom of Dose Tank Backhoe Pits: NOTE: Sim/Tech STF-100 to be installed on force main. O WEU- J_ Q !Y CX%5T/N(c { +L w 5 Q �. GA12Acar j�j ltl� 3 1 `3� 2 .Z)( d1,5' ytloUiv - CON'i dlu 2 L�N c 1 000 GAL :;,T CX/S'r N govcAC. ,J.T - - 7% 70' "L'` 'r-oece- W/ S i At/T-E(It MAIA1 5ii7-l0O APO ii:b CIS' i Page 12 ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF EXISTING SEPTIC TANK(S) This is to certify that I have inspected the existing septic and/or dose tank presently serving the following esidence: (Street address) /377 t4 i,,� AT LI K- C E located at: SE 1/4, W U)1/4, Section Z co , Town 3 0 N, Range /9 W, Town of Si. jJ cs—P14 ' St. Croix County Wisconsin. Upon inspection, I certify that I have found the tank(s), to the best of my knowledge, will conform to the requirements of SPS. 384.25, and it (they) appear(s) to be functioning properly. Most recent date of inspection or service l /(//20 /0 Did flow back occur from absorption system? Yes No (if no, skip next line.) Approximate volume or length of time: gallons minutes Tank Capacity: /000 Construction: Prefab Concrete Steel Other Manufacturer (if known): Age of Tank (if known): Permit number (if known) Z O E 1-7(o (�4 e�� Told+ ScNM i TT (L' ensed Plumber Signature) (Print Name) ZZI Z& O (Title) (License Number) MP/MPRS ,5—,e?—iy (Date) Form to be completed by licensed plumber (Dept of Safety and Professional Services Chapter 305 and s. 145.06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin Administrative Code) Rev. 2/2012 I ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Q A N t L L A N,d J p 4 V ti's» c,!N& Mailing Address 13 7 7 A W R T4 l<15 E Property Address S A A4 r (Verification required from Planning&Zoning Department for new construction.) City/State N t4 aS o tJ , WT Parcel Identification Number 03 O Z(9 97 O 0 O LEGAL DESCRIPTION Property Location S E 1/4, JVW 1/4, Sec._gfZ,T 10 N R_7 W, Town of 5 • .j oS t tJ H Subdivision Plat: 8.4SS /..4 K L 50 u T if , Lot# Map Ma # Volume Pa e# Certified Survey q g Warranty Deed# 5 Y9 f (before 2007)Volume ( I ,Page# U/ Spec house 17yesMo Lot lines identifiable Efyes[]no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner,if needed,by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in§SPS.383.52(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. 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 Safety And Professional Services 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. I/we 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 warranty deed recorded in Register of Deeds Office. Number of bedrooms 3 4 4W-tA qu�(M SI NATURE OF PPLICANT(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.04112) State Bar of Wisconsin Form 2— 1982 r�4 12 WARKAN•I'Y DEED Z r. _ DOCJMENT NO. VY irst �C 1 •J�]<J(�PAGC6 — - -- - - -- -- REGISTER'S OFFICE ST.CROIX CO.,W1 _— Daniel L. Young, a single Ree'd for Re=d --- -_ -----_--- ------ ----- f SEp 12 1996 -- - -- - at 11:30 a. M conveys and warrants to �•_-`Loung—Ild Jody L. -,_ ter• single-persons — II Fegiatur of ueeos — ---`---------_-- -----.------ ---—_--_ _ �; THIS SPACE RESERVED FOR RECORDING DATA .-- --- ------•----- — -•----- - NAME AND RETORN AD0kFSS 'i fj the following described real estate in —_--- t Croix County,State of Wisconsin: ! _ 030-7021,50 ----- (Fcrcel Identification Number) I! !j ct I, II �{ !i Lot 5, Bass lake South Addition to Town of St. Joseph. i i� 1, �I This_. S -homestead property. (is) I I Exception to warranties: Existing highways, easements and rights of way of record. I 1 tM Dated this --- 6th _--._— _ day of 1, !I --- -- — (SEAL) -- --- (SEAL) it "— ------ -•— + Daniel -- — �i ii — --- --- - (SEAL) -- -- ---._ (SEAL) It I AUTHENTICATION ACKNOWLEDGMENT I I) Signature(s) -.- - _— -- — —— — STATE OF WISCONSIN i l ss. 'j SS- (:r[YlX _— County. l; authenticated this_ clay of---_---_ , 19._ Personally came before me this .___ 6th day of j� tember 19_962_ the above named ---- ---- - _ 'na_ _-ni�7_I.- TSTLE: MEMBER STATE BAR OF WISCONSIN Pj/$ :! (if not. ----- —---- �/ — ---- -- -----—.---_ authorized by§706.06,Wis.Stats.) me known to be the person _ _ -_ who executed the MARLENE R. 't$ . instrument and acknow ge the s THIS INSTRUM7_NT WAS DRAFTF_'D BY ) H SCMIDT _ E'/��Qd_�—I•� G�_JJJJY/ >"^- Attorney_DO:'1d. J. Es—e-- f a Marlene e aan `a - tid t c 304 Locust St. , Hudson, WI.. Notarc Pblic st Cro3..x-_ _ County. VVr... (Signatures may be authenticated or acknowledged. Bol'fl'Lstr�lrta� biv commission is permanent. (1f nit. c[atc expiration date: necessary-) 1C/75 _ 1998 . •Nam ...I Ix r.• ...,em nF a an.capaol, •h.ndJ h-!cpcd.•pnn rd M-I•...+h.it nenaro:v. ti'',RRANrI UF:FU r.%TF.BAR OF WISCONSIN 4ViicrS•,,�<•L.Oa!Ora^w Cn !••� FORM Vo.2—I'132 W., ' LOCATED IN PART OF THE SWI/4 OF THE NWI, LOTS 6 AND 7, .ALL IN SECTION 26 : T3ON' R SEE SHEE' npa'It orw r A nu — it r STO.ST`- •�, EAST-WEST W4 L(W Of SECTION-..20 C v 1 W 114 00RNER OF CTl4N zo i , �, SMALL TRACT P '� V, N LOT 5 '- ` <<+ 1 VOL. 1008, _PC 272 ' m 0 4 t • r y LOT 4. 3.09 ACRES 134.520 SO. N8�S1'27"W 520.0(Y LOT 3 3,00 ACRES Q J{J $ �a�S1°aTw 520-w ' 0 ul! s �, 0 0 ! ~ II y ~ ~ I II 0 o I H 0 tl S i Z ~ I ' N C Z 3 0 Q ~ Cl) 3 Z E QIr S rn z O v € ° -4- ° a m N F- V) O Z ~~I y E m > I III ~ L ~ 2 Z Z O C v R co a J I H d 0 L E tl1 cp} ~ a ~w m lA N N E V • oaa0a 1~ O O U = O lA J U _ 2 N ~V ~ o o ~ I a°i 0 ~ O o o m R N Q ~ I N II Q ~ ~ Q Z ) Al O p C Cl) Iy C 0 p o F- C lp =(_j/ ~I p N O M 0 j .R-. O O) N -I-.. w 2 co O O Cl) • O O N (t (n N O Z Z Q °a a I L: a ~ I E r_ ~1 A ciao IOinci DEP4ENTOF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS IIGDUSTRY, DIVISION 69 LABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX N WI 53707 HUMAN RELATIONS (H63.09(1) & Chapter 145.045) LOCATION: SECTION: TOWNSHIP/}I {Y: LOT NO.:BLK. N(5: SUBDIVISION NAME: S17 1,,J1/ 26 /T30N/R19Lor)W St. Joseph 5 n/a Mass Lace South COUNTY: OWNER'S BX@QVAME: MAILING ADDRESS: St. Croix richard Stout 11353 Awatdcee Trl, Hudson, 17i.54016 USE DATES OBSERVATIONS MADE I)E NO. BEDRMS.: COMMERCIAL DESCRIP I~"' (PROFILE DESCRIPTIONS: PER O ATION TESTS: Residence 3 n/a TION: vew ❑Replace 4-23-92 n/a RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) 9 S❑ U ❑ S ®U E s❑ U ❑ S H U ❑ S90 conventional spli t level- trench If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the under s.H63.09(5)(b), indicate: Class 2 Floodplain, indicate Floodplain elevation: n/a decimal' PROFILE DESCRIPTIONS age 42 OnC2 BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTI~f?D, ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- 1 6.82 98.70 none >6.82. 1.00, 1(}yr4/4, s.l., 2.83, 7.5yr4/4, l.s., 3.00- 7.5yr4/6, S. 99.20 .75,10yr4/2, 1., 1.00, 7.5yr4/4, s.l., 5.33, 7.5- B- 2 7.08 none >7.08 4 4 l.s. 95.80 .75, 10yr4/3, 1., 1.00, 7.5yr4/4, sil., 4.75,- 6. 3 6.?5 none >6.75 7,5 4/4, l.s. B- 4 6.50 92.60 none >6.50 •75, 10yr4/4 s.l., .75, 10yr5/4, sil., 5.00,- 6- 5 6.25 92.00 none >6.25 •75, 10yr4/2, 1., 2.50, 7.5yr4/4, sil., 3.00- B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD PER INCH P- P- c~ see rate P P"- P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. 95.20=upper trench SYSTEM ELEVATION 92.30= lower trench E ~X, x°- , ipx i , , l I i ~ E i , l N i E , ~r F f 1 r r~ I l i 1-1111L.1--l- L._- _ . I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME (print): TESTS WERE COMPLETED ON: Gary L. Steel 4-23-92 ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): 1554 200th. Av.e, New Richmond, Wi. 54017 22 7U-246-6200 CST S A E: r DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 02/82) - OVER - INSTRUCTIONS FOR COMPLETING FORM 115 - SBD - 6396 To be a cc = and accurate soil test, your report must include: 1. Complete leg, ' description; 2. The use section must clearly indicate whether this is a residence or commercial project; 3. MAXIMU"1 number of bedrooms or commercial use planned; 4. Is this a r lacement system; 5. Compl-e ".;,a0ility rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS; 0. PLEASE use the abbreviations shown here for writing profile descriptions and completing the plot plan; 7. MAKE A LEGIBLE diagram accurately locating your test locations. Drawing to scale is preferred. A separate sheet may be used if desired; S, Make sure your benchmark and vertical elevation reference point are clearly shown, and are permanent; 9. Complete all appropriate boxes as to dates, names, addresses, flood plain data, percolation test exemp- tion, if appropriate; 10 If the information (such as flood plain, elevation) does not apply, place N.A. in the ap ,rte box; 11. Sign the form and place your current address and your certification number; 12, Make legible copies and distribute as required. ALL SOIL TESTS MUST BE FILED ITH THE LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION. ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Soil Separates and Textures Other Symbols st Stolle (over 10") BR - Bedrock cob _ Cobble (3 - 10") SS - Sandstone gi Gravel (under 3") LS - Limestone *s - Sand H G W - High Groundwater cs - Coat Sand Pere - Percolation Rate med s - M Sand W - Well fs Fir Bldg - Building Is - Lr Id > Greater Than sl - Sandy Loam < Less Than *l - Loam Bn - Brown sil - Silt Loam BI Black si Silt Gy - Gray cl Clay L- Y - Yellow sc? Sandy Cl- Loam R - Reef sici - Silty Clay Loath mot - Mottles sc - Sandy Clay w/ v"ith sic - Silty Clay fff few, 'fine, faint 4 c - Clay cc - cornmon, coarse e pt Peat mm - Many, medium m - Muck d - distinct p - prominent HWL - High water level, gi ierai soil textures surface water for liquid waS4e disposal BM - Bench Mark VRP Vertical Reference TO THE OWNER; This soil test report is the first step in securing a sanitary permit. The county or the Department may request verification of this soil test in the field prior to permit issuance. A complete set of plans for the private sewage system and a permit application must be submitted to the appropriate local authority in order to obtain a permit. The sanitary permit must be obtained and posted prior to the start of any construction.