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HomeMy WebLinkAbout040-1297-00-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 563801 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: Castiglione, David & Ste hanie Troy, Town of 040-1297-00-000 BM CST BM Elev: Insp. BM Elev: Description: Section/Town/Range/Map No: /00, 00 2 fI/C 101.73' 19.28.19.1712 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION / S / 7•/ FS ~ LEV. / P Septic ~N , Benchmark Dosing rtss.~ Alt. BM Ck~,,w,ti ) ir+^ f'i" roK 7..0 01< I/ Aeration Bldg. Sewer - y b. e g `33,6 2- Holding St/ Inle 2 TANK SETBACK INFORMATION St/Ht utle 5 2 TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet '7,'S-3 X32, r Sep ~UL Dt BottC p 4t~k irtb 2.L 12S• Y 91 Dosing J Header on-~ I 2s 2.6 oy.~3 Aeration Dist. Pipe 2.. 10Y.23 _Z - 71 Holding Bot. System ' 3 C Alt/ UMP IPHON INFORMATION yu fir q e 6 f JS~ - I nufacturer l Demand t Cov r ] "GPM / •f 3.~ f'3 , h Model Number t' $Z TDH Lift / Friction 60% Syste Head TDH /~t k co P Forain Len.t~h,`~ IDia. Dist. to well _Z ~AJA_ SOIL ABSORPTION SYSTEM t? c f (JZ, c/2 BED/TRENCH Width Length r No. Of Trenches PIT DIMENSION o. Of Pits Inside Dia. Liquid Depth DIMENSIONS / C~) s SETBACK SYSTEM TO P/L BLDG WEL r- LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR t Ty~epf System: f `~ou d t uS i t F 0 g, 1j DISTRIBUTION SYSTEM , V_ -1 17112 60.1 Header/Manifolo r 5' J/ Distribution / G x Hole Size y[ /f x Hole Spacin ' Ven Air Intake Length 3 Dia Length Dia / • Spacings //V L~ d~ vim` SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only 71 - 760- 0V 7 Depth Over C Depth Over xx Depth of xx Seeded/ odded xx Mulched Bed/Trench Center Bed/Trench Edges \ Topsoil Id' Yes CI No Yes ❑ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspectio 1 - 13 ; Inspection #2: Itu-t- ` Location: 210 Madison Circl Hudson, WI 54016 (SE 1/4 SE 1/4 19 T28N R19W) TrebusValley Estates Lot 20 Parcel No: 19.28.19.1712 __T_ cam: w 1.) Alt BM Description T , ~~"1 7/ 1 O. "f" ~c{tiL ~~Lti~Z 2.) Bldg sewer length 1 .B 2 - amount of cover ~?J'~Z~ p~ ly, 7 U ~t70 ~~l' &JI"^ j4p s No Plan revision Required? Dn Use other side for additio ation. to'r Date +~nep or's ature Cart. No. SBD-6710 (R.3/97) ~~_s . ---f~ raj,"`. f...__,~ -a-..`..._._ _Yw - . . a t d/~~ ;~~~.1 ~ ~ , ~,.C..rwii~.~ ` ~ ~,~,~c~ • ~....b 1 ~ 1 liv'LAC.r f Y 7 Sa C- r/ Oct f r''~- 7r el ao J cl i Y."9 / rf 914 942 9v 958 II 1 96[ j 962 / / 9F6 r /7771, 1 " /r r 9az- gill 11 / r r r 38s___`___ } w:F County S+i Safety and Buildings Division S 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.) pS ~ Madison, WI 53707-7162 Sanitary Permit Application tale Transaction { In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit /V 1 ✓ ` is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to Project A p~ afferent than mailing address) the Department of Safety and Professional Servies. Personal information you provide may be used for secondary T C R. J u oses in accordance with the Privacy Law, s. 15.04(1)(m), Slats. Qtdlso.-) Cirde- I. Application Information - Please t All Information """SSS Uh Property Owner's Name Parcel # DOW16 Cc,<,-14iVarle, 0q0-1?-q1 - W -00c) Property Owner's Mailing Address ~j~ Property Location --Lou Pohei-yo w Govt. Lot . I ~l 7-) City, State Zip Code Phone Number SE y, SE /o, Section 1/1drSUV1 r IM 514 01 LP das r 2(t 1i 1393 ircle one T Z e N; R % E c2W II. Type of Building (check all that apply) Lot # 1 or 2 Family Dwelling - Number of Bedroom 3 217 Subdivision Name` ' Block # ( + ~~5 vod ' 0 ❑ Public/Commercial - Describe Use 4th !fa I ❑ City of Svbtn~ (['iI ti ❑ State Owned -Describe Use SM Number ❑ Village of JR Town of rOtti 5 o o,.v. C III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner / IV. Type of POWTS S stem/Com onent/Device: (Check all that a 1 ) D/~ Oil ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade A Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil 40, ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dis ersal/Trea ent Area Information: Design Flow (gpd) Design Soil Application Rate( sf) Dispersal Area Required Dispersal Area Propose sf) System Elevation y _0 a2 0 375- co) ~p o 176-0 VI. Tank Info Capacity in Total # of Manufacturer v Gallons Gallons Units New Tanks Existing Tanks a; w o of lak 5Z5 ~ ~ ~ w~ a Septic or Holding Tank 10P91-4-00 -0- ll~o ec se r vC Dosing Chamber 7~M -6- 1-7-4-61 1 ~t x VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plu a 's Si nature MP/MPRS Number Business Phone Number Plumber's Address (Street, City, State, Zip Code) N r& 3D 01&0'' C-+- , 1 'N `~a~11 s t t~ uOZz VIII. oun /De artment Use Only Approved ❑ asap Permit Fee Date I sued Issuing A t Signature ave. Reason o enial $ IX. Condit iasons for Disapproval nk, a cent till1ti d :ice~ dispersal cell must all be servtess 1 inch htned as per management plan provided .byplultlt>lK. t/'~ ► jt ® r~G 2.. AN 66400 regteramteftts Fnwt,tia.etiilpttaHpid FK ap~ cod. hi': e. Attach to complete plans for the system and submi the County only on paper not less than S 1/2 x I I in hes in size ~ ~ P ~ /nom 1 57 40 SBD 6398 (R. 11/11) hJ ti' L ✓104- Ztevelc 3(0 9 PART, l1pY DIVISION OF INDUSTRY SERVICES 3824 N CREEKSIDE LA d 9 HOLMEN WI 54636 3 D S Contact Through Relay S www.dsps.wi.gov/sb/ P ` 9 w www.wisconsin.gov A~OssroNScott Walker, Governor Dave Ross, Secretary June 07, 2013 CUST ID No. 225451 ATTN.• POWTS Inspector PAUL CJ STEINER ZONING OFFICE STEINER PLUMBING & HEATING ST CROIX COUNTY SPIA N8230 945TH ST 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/07/2015 SITE: Identification Numbers Dave Castiglione Transaction ID No. 2253649 210 Madison Circle Site ID No. 791260 Town of Troy Please refer to both identification numbers, St Croix County above, in all correspondence with the agency. SETA, SETA, S19, T28N, R19W FOR: Description: Three Bedroom Mound System / 8% slope Object Type: POWTS Component Manual Regulated Object ID No.: 1430734 Maintenance required; 300 GPD Flow rate; 30 in Soil minimum depth to limiting factor from original grade System(s): EZflow Mound Component Manual, (R. 7/12), Pressure Distribution Component Manual - Ver. 2.0, SBD-10706-P (N.01101, 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. CONDITI The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. APP DEPT OF S No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, PROFESSION stats. DIVISION OF IND~ 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 ORRE, • 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 cell shall remain undisturbed. Vehicular traffic, excavation or soil compaction is prohibited in this area. • A copy of the approved plans specifications and this letter shall be on-site during; construction and open to inspection by authorized representatives of the Department which may include local inspectors. PAUL CJ STEMR Page 2 6/7/2013 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. Gerard M Swan 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 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 by SPS Chapters 360-366. ~~w M atx.i M'? Z 4: i.* i11 Wt s PAUL CJ STEINER Page 2 6/7/2013 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. C 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. a 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. Gerard 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. jeny.swim@wisconsin.gov WiSMART code: 7633 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 ' ~4 by SPS Chapters 360-366. RE~Rr~Ep , MAY 2 8 2013 EZflowR MOUND AND PRESSURE DISTRIBUTION COMPON&N Residential Application INDEX AND TITLE PAGE Project Name: David Castiglione Owner's Name: David Castiglione Owner's Address: 2404 Donegal Way Hudson, WI 54016 Property Address: 210 Madison Cir Legal Description: Sec 19 T28N R1 9W Township: Town of Troy County: St Croix IONALl.Y Subdivision Name: NA MYED Lot Number: 20 Block Number: N AFETY AND L SERVICES Parcel I.D. Number: 040-1297-00-000 .JSTRY SERVICES Plan Transaction No.: Page 1 Index and title ADPage 2 Data entry Page 3 EZflow mound drawings Page 4 Lateral and dose tank Page 5 Distribution media Page 6 System maintenance specifications Page 7 Management and contingency plan Page 8 Pump curve and specifications Page 9 Plot Plan Designer: Paul CJ Steiner License Number: 225451 Date: 05/22/1133- Phone Number: 715-425-5544 Signature: 6~ld C ~ Designed Pursuant to the EZflow Mound Component Manual Ver. August 20, 2007, SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01) EZflow Mound Version 2.0 (R. 4/4/11) Page 1 of 9 ~I t. Mound and Pressure Distribution Component Design I Design Worksheet Site Information (r or c) r Residential or Commercial Design 300.00 Estimated Wastewater Flow (gpd) { 1.50 Peaking Factor (e.g. 1.5 = 150%) 450.00 Design Flow (gpd) 8.00 Site Slope 1 95.50 Installation Contour Line Elevation (ft) 110.00 Contour Length Available (ft) ► 30.00 Depth to Limiting Factor (in) . 0.60 in-situ Soil Application Rate (gpolft2) Distribution Cell Information 5.00 Cell Width (ft) 3, 4, 5, 6, 7, 8, 9 or 10 Only 90.00 = Dispersal Cell Length (ft) r - a 1.00 Dispersal Cell Design Loading Rate (gpd/ft2) i 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point.. in the distribution N 1 Pressure Disribution Information network? Enter Y or N ! l (c or e) c Center or End Manifold € 3 Lateral Spacing (ft) If N above, enter the elevation (ft) 4 Number of Laterals of the highest point. 122.50 0.125 Orifice Diameter (in) (e.g. 0.25) I 2.00 Estimated Orifice Spacing (ft) = 5.11 ft2/orifice 2.00 Forcemain Diameter (in) 250.00 Forcemain Length (ft) Does the forcemain drain back? N i 118:50 -Iriside Pump Tank Elovation (ft) Enter Y or N 0.00 Forcemain Filter Loss (ft) - 6.50 System Head (ft) x 1.3 0 Forcemain Drainback (gal) 3.33 Vertical Lift (ft) 81.28 5x Void Volume (gal) . . -6:88 -Friction Loss.(ft) - 81.28 Minimum Dose Volume (gal) i 101 Total Dynamic Head (ft) 36.25 System Demand (gpm) Lateral Diameter Selection Manifold Diameter. Selection in. dia. options choice in. dia, options choice E 0.75 1.25 x t -.---:.-F.- 77-- -.-1:00.-.- -_-x- _77--_77_777, a 1.25 x 2.00 1.50 x x 3.00 ' 2.00 x 3.00 x Gallons/Inch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 1000.00 Septic Tank Capacity (gal) Total Working Liquid Depth (in) ' - - - - [Weiser Concrete Manufacturer gal/in (enter result in cell 1349) ...Dose-Tank Information....._....._..._........_........._.......__..............Effluent Filter- Information 600.00 Dose Tank Capacity (gal) Polylok Filter Manufacturer - 16.76 Dose Tank Volume (gal/in) 525 Filter Model Number Weiser Concrete Manufacturer Project: David Castiglione Page 2 of 9 i r I: Mound Plan View i x.1/10 $ ' .:.:.::..Observation Pipe a; t ; . K.. ` .R,i~S•:: ~1•,1•,~,•,ti!v,~, ,S ,S,1,R ,L ,1 ;L• ,R,%.•,1`,R +~R ti, tit ~1~ •,',~1.•R ~R x..4.4+~~WL;Y.1 ~'4%•. ~R ~1 ~4 ~L ~YSi;`i Vii. ':R'~,1~.: i1+r'4~Li1 ;'1 ~4~,YR A a 4. w x , a:;:;:c 5 L,z 4 - - ~:,:t:;:t _ :~;sR_...':ti.ti~:•.w..: ';:;:~..•:z Y. :ti:} }:,w:• ;y'. h:ry ; } :1n ,h ti:4 '.S • 4 M1:Hti +i,R:RS 1 . . j . W B . .I . t e 1 L I Mound Component Dimensions A 5.00 ft E [Aft in H 1.00 ft K 8 .10 ft B 90.00 ft F in I 9.47 ft L 106.20 ft D 6.00 in G ft J 4.84 ft W 19,31 11 450.00 (ft Z) Dispersal Cell Area 1302.63 (ftz) Basal Area Available 5.00 (gpd/ft) Linear Loading Rate 9.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View.......... EZflow Dispersal Area i Finished Grade 98.00 (ft) { rr.:rr~~yrrrrrr... G r .74 ' F : • Dispersal Cell 96.50 (ft) Lateral 96.00 ft1 :.`.:..•.6" Invert Elevation 3.. Dispersal Cell;; ; i Elevation E D 77 ~ ~"4'c~~.~ . •',<-,,~A,.4.',`;ix~4:'•+'~~i'ti'4:4.'~,;c,~~~t`,a..t ~'4. ,..:4.'~i . : v, a',1:..•'4..t-:4r.'4.'~c'~z'ti•''''4:{-;44•':'{4'''~t`.~'~'4.'r:44,'k'4`.~..'4'Y:4:r'~ 4 i`•:';a''~"4•~''~c '1*.'4•4;•.. •4~..:..'4.'4'4.'4•;v.~tk'•.'4r't4•t:•~'4,'4.~•4.~~:+~..r,•4'4r.`:`4~ +.'.c~...l1.'.t~, 4'v'4'Ix n`i`t=-t,:i•S,tk'k,'•,.l ~i ',~t.;t.,t,. '`;'•~'~`'•{~~'4rv.'4'•c''~'La '~4'C~'4'4.'~;',`..f.L~'~,: ~,A .t•. c.4^.c. •i~~-~ ~i'~.'~i',4.'4'~:'~i'l.-~c'4.'4'4.'t,'~:~1,' ail' .A,t .t.+, . i 95.50 (ft) Contour Elevation 8.0 % Site Slope Typical Dispersal Cell Shading Key See Page 5 0 Topsoil Ca . > ~ ~ = Subsoil Cap o a Approved _Geotextile Fabric Cover 8-2 2.0 o ft t ASTM C33 Sand ° RNi Tilled Lager 5Q EZf/ow Media F ) O U 0.5 ft ~ See details on page 4 for number, size, and spacing of laterals. Laterals are located in the 4" gravity distribution pipes as shown on page 5• Project: David Castiglione Page 3 of 9 . L~ L Center Connection Lateral Layout Diagram Place Appropriate Lateral Diagram From Right Below f force me! n connection via tee or crass to manifold at any point. Laterals are identical l Orifices point up, except ever/ 6th one I' P points down for drainage. d 1 9-Turn-upvdballvalve or xn-3J Laterals &force main oFPVCSeh40 I. c! eanoutpt ug per CON IMTable 84.30.5 d i t Number of Laterals 4 Orifice Diameter 0.125 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.06 ft Lateral Length (P) 44.29 ft Orifices per Lateral 22 Lateral End (Z) NA ft Orifice Density 5.11 ft2/6 rifice 1 Lateral Spacing (S) 3.00 ft Manifold Length 3.00 ft Lateral Flow Rate 9.06 gpm Manifold Diameter 1.50 in 2 System Flow Rate 36.25 gpm Forcemain Velocity 170 ft/sec 3 Dose Tank Information t Locking cover with warning label and locking device and i sealed watertight Electrical as per NEC 300 and '-'-10 Comm 16.300 WAC 4 in. min. Disconnect _ a nk component is properly vented Altehloicationtooutlet main diameter Weiser ConcreteManufacturer 2 in:........ Capacity 600.00 Gallons Volume 16.76 gal/inch A I i Weep hole or anti - Dimension Inches Gallons B siphon device I A 20.95 351.12 i C - - - ' _ - _ .--g 77--2:00--33:52.-..... Pum --p-off elevation(ft)---. 77771- C 4.85 81.28 119.17 D 8.00 134.08 D Total 600.00 Dose tank elevation (ft) Bedding And Backfill As Per Manufacturer 118.50 i Alarm Manufacturer_..,_ SJE Rhombus Alarm Model Number Tank Alert AB T s' - . ....----......_..Pttmp"Manufactur C57' Pump Model Nu tier . eliver 36.25 gpm at 16.71 ft TDH Pump Must D Note: Switches containing mercury may not be used in this system. Project: David Castiglione Page 4 of 9 t Uflowo Distribution Cell Media Layout I is i 5.00 Cell Width (ft) 1.00 Sidewall to Lateral (ft) F f` i Distribution Cell Cross-section Arrangements E Force Main t 5ftWide Center l Manifold t I Component Legend SR1-7A Bundle - 5 ft or 10 ft lengths SRI-12A or EZ 1201A in 5 ftor 10 ftlengths SR3-12H or EZ 1201 P or SR3-12H in 5 ft or 10 ft lengths e 4" Perforated Distribution Pipe With Pressure Lateral Inside I ® f 3 Turnup Enclosure - - - - - Pressure Lateral i . t Bundles are covered with approved geotextile fabric as per the their product approval. s Distribution Cell. Plan 'View Layout -Typical 5.Q0 Cell Width - A (ft) 90.00 Cell Length - B (ft) 3 Center Connection Lateral Layout Diagram 1 . i Project: David Castiglione Page 5 of 9 ' r Mound System Maintenance and Operation Specifications - Service Provider's Name Darrell's Septic Service Phone 715-425-1025 ' POWTS Regulator's Name St. Croix County Zoning Phone 715-386-4680 E System Flow and Load Parameters.: I Design Flow - Peak 450 gpd Maximum Influent Particle Size 118 in Estimated Flow-Average 300 gpd Maximum BOD5 220 mg/L I Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450 ft' Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 ' cfu/100 mL Service Frequency [ Y Septic and Pump Tank ln8s00rt andlor service once every3 years 5 Effluent Filter Inspect and clean as necessary at least once every 3 years Pump and Controls Test once eve 3 years j Alarm Should test periodically Pressure System Laterals should be flushed and pressure tested eve 3 years Mound Inspect for ponding and seepage once every 3 years Other i 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 EZtlow Mound Component Manual Ver. August 20, 2007. 2. Dispersal cell media conforms to EZ96_w products approved for use with"the EZflow Mound C6,; ipoh6rt E Manual Ver. August 20, 2007. Media is covered with an approved geotextile fabric. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow.. a . l 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 t eeeeee~~~eeee eeeeeeee~eeeeeej 1 i 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve 1 Lateral Ends at Last Orifice Where = Variable Length Cleanout Begins i Long; Sweep 90. or Two g grv De ree Bends Same Diameter as Lateral EZtlow Synthetic-- Media 1.21 Feet : . Distribution Lateral Lateral Cleanout 1 Project: David Castiglione Page 6 of 9 Mound System Management Plan e' Pursuant to Comm 83.54, Wis. Adm. Code 1. General This system shall be operated In accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component f manuals [FZflow Mound Component Manual 8/20/07, Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01101) and j SSWMP Publication 9.6 (01181)] and local or state rules pertaining to system maintenance and maintenance reporting. I 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 i. 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 filter shall be s assessed at least once every 3 years by inspection. . i'. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous I i alarm. ' .-..The septic tank shall have its contents removed when the volume of sludge and scum! n 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 persohnel shall advise the owner as to when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Wisconsin Department of Commerce. Puma Tank E The dosing (pump) 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. If the force main has a weep hole, It i should be noted if it is functional during pump operation, and if not, it should be cleaned. *****Afo one should ever enter a septic or dose tank since dangerous gases may be present that could cause death.**** Mound and Pressure Distribution System i 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,hnderaeration.of the infiltrative surfacewithin 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. I Influent quality into the mound system may not exceed 220 mg/L BOD$, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BODS, 30 mg/L TSS, 10 mg1L FOG, and 104 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow i specified in the permit for this installation. I ....The pressure. distribution system is provided.with a flushing point at.the.end of each lateral, and it is recommended that each lateral be - flushed of accumulated solids at least once every 3 years. When a pressure test is performed it should be compared to the initial test when the 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.... ?onding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. f Contingency Plan -1f the septic. tank.orany-of its. componentsbecome defective the tank:orcomp onent-shall_be__repaired; or.replaced:to keep.:the system in-.--.--- I 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. i See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. i T 1 . . . Project: David Castiglione Page 7 of 9 _ TOTAL DYNAMIC HEAD/FLOW PER MINUTE 2 w PUMP PERFORMANCE CURVE EFFLUENT AND DEWATERING MODELS 57/152/153 MODEL 57 152 153 45 Feet Meters Gal. Liters G Ute G X. L' rs 5 1.5 43 163 69 1 77 291 40 10 3.0 34 129 61 31 70 265 12 15 4.6 19 72 53 201 61 231 20 6.1 - - 44 167 5 197 35 - 25 7.6 - - 34 29 59 10 30 9.1 - - 2 3 5 30 35 10.7 - - - 22 8 40 12.2 - - - - 11 42 = 8 Shut-off Head: 19.25 ft (5.9 m) 38 ft (11.6 m) 44 R (13.4 m) 25- z 016369 C3 6 20 O 15 4 3718 63/16 10 458 2 e 5 3 718 57 152 J153 I 0 ~ 4 10 2) 30 40 50 60 70 80 3 718 GALLONS LITERS 0 40 80 T- F- I L 120 160 200 240 280 1 112' NPT FLOW PER MINUTE CONSULT FACTORY FOR SPECIAL APPLICATIONS These systems are not designed for Explosion Proof Environments. Please consult factory for special options and requirements. 1011,6 Maximum operating temperature range: 1 Pump: 130° (54°C) 93132 Switch: 170° (76°C) SK,0,5 CHOOSE A PREPACKAGED SYSTEM: Includes Pump, 10-1526 and 10-1528 (see below) 940-0005 N57 Pump .3 HP 6114 9409006 P4162 pump .4 HIP 327/32 4 518 9400997 N158 PtImp .5 1 11? e - ._._.327132 BUILD-YOUR OWN SYSTEM:- N57 Pump .3 HP v 327132 N152 Pump .4 HP + N153 Pump .5 HP 10-1527 Oil Smart@ Pump Switch -10 ft. cord with Relay. 10-1528 Oil Smart@ Pump Switch - 20 ft. cord with Relay. 10-1676 Oil Smart@ Pump Switch - 20 ft. cord without Relay (requires Control Panel). 10-1526 Oil Smart@ Alarm System with Lights, Audible Alarms and Dry Contacts. 12 1/8 A CAUTION 5118 All installation of controls, protection devices and wiring should be done bya qualified licensed electrician. All electrical and safety codes should be followed including the most recent National sK2064 Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). I RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. © Copyright 2006 Zoeller Co. All rights reserved. $ op . . F7 r. l o p a-r m 6c, J.oca tt~ ,9 I 8en ~ - - r e 1 I D ~_t Y.. a ~ i G A3B t~ s ~4o 02 vice AWYlL 962 i . 3 956 957 952 / 960 S - 966 / l _ dome . 3 gAd +~com sae $ 'DE 41 benck v~ ozo , . 9z2 925 9?B ~ / 9ffi ~ / / W4 1 J j . 940 J r _ J 954, Scale J / 1 v r ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer David M & Stephanie B Castiglione Mailing Address 2404 Donegal Way Hudson WI 54016 Property Address 210 Madison Circle, Hudson WI 54016 (Verification required from Planning & Zoning Department for new construction.) City/State Town of Troy, W1 Parcel Identification Number 040-1297-00-000 LEGAL DESCRIPTION Property Location S E 1/4 , S E 1/4 , Sec. 19 , T 28 N R 19 W, Town of Troy Subdivision Plat: Trebus Valley Estates Lot # 20 Certified Survey Map # 727506 , Volume 2290 , Page # 50 Warranty Deed # (before 2007)Volume , Page # Spec house ❑yes❑no Lot lines identifiable Dyes❑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 re orded in Register of Deeds Office. Number of bedrooms 3 5 /17/13 SIGNATURE OF APPLICANT(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. 04/12) i NOTE: TREBUS VALLEY ESTATES ASSUMED BEOM ARE REFERENCED To THE MH-S" UNE W, GENERAL, NOTICE STATEMENT: SECTION 19, TM, RIX AM D N OPOO'13- E) BEING ALL OF THE NORTHEAST 1/4 OF THE SOUTHEAST 1/4 AND ALL EACH PARCEL SHOWN ON DRS W (Ful) IS 9MEC1 10 STAR. SHALL RaALLt BI A FINISHED SPYI[0 TO O CONSIRU0 N WELL O EMNFMTN N MTH N ONTO NOT LESS LESS E THAN w TN X2) FEET OF THE SOUTHEAST 1/4 OF THE SOUTHEAST 1/4 AND ALL OF THE COORTY, AND 10MtSIIP UNS, RIVES AND RECUATONS (IL 00 OR BTATION. 00 w0. WENINDS NNMNN LOT 925, CESS 10 PAS ETC.) BEFORE ARM THE i SOUTHWEST 1/4 OF THE SOUTHEAST 1/4 OF SECTION 19, TOWNSHIP 28 PURCI" OR DEVELOPING ANY PARCEL OF IMM, CONTACT THE ST. OPEN AREAS TO BE AND AS OL41KD M THE DMOPERS AGREEMENT NORTH, RANGE 19 WEST, TOWN OF TROY, ST. CRUX COUNTY, CROW COIYRV TONING OFFICE 00 THE APPROPRIATE TOWN NOYIO 0 0 THE TOWN OF Tim NA THE UNDOMIER. WISCONSIN. FOR On I I UNPLAITEO LANDS \ I 119650 S.E. 1 N UI MKII SI M M NORTH UK OF THE SW I/4 OF THE SE 1/4 y / I \ 2.75 Ac. v I.*. MIN Imw Y rv rN S 697SNOW3rMt) Lot' M.F.E.. M\ \ ~ / \ I Ir li \ WIN. V ~ A J ry'nnA nMr rr IS I N If NMr Ib / \ a TAT 11 I a, 14014E SF. SEE SHEET 3.22 At I I TA ' o j Isla I o oP~~$, ~1AT4 f %/MfJORr Mh.~n\\ I i r ~I a i~ \ d IYNYr yV! 1V~ J C Y I T - - \94260 RF. / Kn V. J C L04400 IF. > 4jr I yk I i 1.if/Aa / r . lAT 3\ 1 t4D k, 1 , 3 ~ , r ~ ~ I I NNE.. Par 3 ~ , S~ • OUTIAT 1 101994 IF, YIL MN' sEe9EEr T r CONBBRYATION MUM y' I I 2.74 Ac, YSv' r ,^1, fAT 19 I y ° _ I 1 73 414 Ft. TAT 2 f. . rI MWWI I11 r I 11.8 At ; . I I I III WIT. " ,may L -133559 SF. I I l0t^ D I 1.62 k. 1 \ - - 2 I I s I I IIAT 0 RF~EAM/ / I _ _ _ lm1c: - I I15195t S.F. ~NM4 4,A/ I' 349AC.) A LOT 21 "r 9 ~I SHED ' I RI ! I cow I LIR Ac. kl N at / I . LOT 22 V I KOK 1709114 IF. \ I TAT 20 r rwl \ _ w ( T 23 \ \ 193 Ac. > I 435167 S.F. I N I N 0, WT W NAOOn !4 ^ w.. \ lug S.F. 9.99 At. I NR•Iru° I / \ \ 4.21k \ \v/ I X ' I I LOT 24 d l I 1171990 IF. r;l I 3.95 At L , A ~ I Ipl 3 I I Va.. G/ I, I --------------J ' n P I 4~9 LmPZN raM I`I°w 17 U J"I I r'y0 OUTIAT 2 6 N ztu'ot' w CONBBRVAMN wow ' I yyry $2.56 / Nrrr N Yw' 660719 SR. F6 19.76 k - mrn' I MAINE Nt1k, iPMH II~(~y- (Sff4rA 2 mrN r Iw 2 N 86%w W 2640.64' w171190 rZ6 9UAE I' .100' UK MtION M Lw I SOUTH LYE Of THE 9 1/4 ■dOMm~ Psr.sliiiiii nora m I VBPL&M ism rrmll N MrwN I I I i rwrM Nm~mrt Ya rwoa 901OF 3 I I J 2 2 9 0 0 5 0 7275PJ6 I/~ KATHLEEN H. WALSH STATE BAR OF WISCONSIN FORM 2 - 1999 REGISTER OF DEEDS WARRANTY DEED ST. CROIX CO., MI Document Number RECEIVED FOR RECORD This Deed, made between J.T.B. Properties, LLP, a Minnesota 06/26/2003 12: 30PK Limited Liability Partnership WARRANTY DEED EXERT # Grantor, and David M. Castiglione and Stephanie B. Castiglione, REC FEE: 11.00 TRANS FEE: 510.00 husband and wife COPY FEE: CC FEE: PAGES: 1 Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Recording Area Name and Return Address n Lot 20, Plat of Trebus Valley Estates in the Town of Troy, St. Croix County, I,- ~ (1~ Wisconsin. gr I ly 11 9 040-1297-20-000 Parcel Identification Number (PIN) This is not homestead property. 00 (is not) Exceptions to warranties: Easements, restrictions and rights-of-way of record, if any. Vd. Dated this day of June 2003 J.T . Pope ' s, LLP 1 AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ) ss. County ) authenticated this day of _,r-~ Personally came before me this c? day of June 2003 the above named J.T.B. Properties, LLP, a Minnesota Limited Liability * Partnership y S TITLE: MEMBER STATE BAR OFJ (If not, me n to be the person(s) who executed the foregoing and authorized by § 706.06, Wis. S f~b 1nckn ged th THIS INSTRUMENT WAS TED * ~jq~Yl') ©KF Attorney Kristina Ogland Notary Public, State of Wisconsin Hudson, WI 54016 My Commission is permanent. (If not, state ex rration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) q, S DOS ) * Names of persons signing in any capacity must be typed or printed below their signature. Inronvadon Professionals Company, Fond du Lac, wn STATE BAR OF WISCONSIN 800-655-2021 WARRANTY DEED FORM No. 2 - 1999 IM 'Awl 4o u.ol o,v+l Esa- A'w 39zwN-aN9 9269E M!"111 JO UO51v2 N asnOH U!eW - SHIRM SdIS w olz eMWPww999.L ° „ w ua PNSe9 o1A9a Pnmt w-3ar9u1.a 3JN30I5311 3NOI10I15VJ " ~ ~ ti {{a~~ \ w o 31tlU Ab NOlldlb'J939 ~31W 133X5 N9LLdItl~E3O 1J3[Obd 9930IAPtld 59NiMVtl/I ~ ~p VI 1=/1 r/L E-.Ll F.91/sI SA pl ,Z .0 r ~ b A O O LL r `S § C r N a,z'9-bLl IIL C.L ILIL~ b b-1 .4.6L .P.eL n 91-z ,r-z sire s-.e ~ o-.m sE.r °'L us o-.e~.v1 r s,E b _ m 3J-,-.&L 91-.94 b-.9 ,9511 4 Uf ? p U Y ~2 § .00 L O m O L n~ N C6 N oC6 L II}--- ~ I O ~ 1~ ~ If J-- E~ LL C ~ d 1." Ez .ve L.E r C N T., n = o - T V .B~l14.11 N d a_ w .&9 L'.L .Llfi2t U) - LIL,E _ 10 Q N C 0 .9~9 P.tL .9151 11-,06 O, Z C zva inv .9l/ 191.L .t.E S-.L ' ? a y I e m I n R jl I n C jl I ~ I I «.O ~ C O b I j a•E 9.oE~ LL I I --J b 5A0`` T n 517 Wisconsin Depa Commerce L Page I of 4 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code A.C.E. Sal & Site Evaluations Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must County t. Croh( include, but not limited to: vertical and horizontal reference and percent slope, scale or dimemsions, north arrow, and c1l ffdia " ce arest road. Parcel I.D. r. _ . 040 - t tf#19.28.303 Please print all inf By Date Personal information you provide may be used for pu s. 15.04 (1). Y JLJA~'- 104" Z Property Owner Property pocation J.T.B. Properties, L.L.P. C/O John W. en vt Cot + SE 1/4 SE 1/4 S 19 T 28 N R 19 W Property Owner's Mailing Address of Block # Subd. Name or CSM# 1564 West University Avenue w »M ST (,XXX -2A- Trebus Valley Estates INTY City State Zip C fifty Village je em"~ Town Nearest Road ce Saint Paul MN 55104 1,-646-1967 Troy County Highway "F" New Construction Use: Residential / N 2 Code derived design flow rate 300 GPD Replacement Publ' or commercial - Describe: Parent material Glacial drift 1o3 u++ e( Flood pL95550-contour. licable nor General comments and recommendations: Recommend installing mound system at elev. 96.00' at 6" abov vailable system area limits dispersal cell to a maximum length of 70'. 7 ❑ Boring n Pit Ground Surface elev. 103.45 ft. Depth to limiting factor -3~ in. Sal Applicatial Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF I *Eff#1 *Eff#2 1 0-3 10yr3/2 none sl 2fcr mvfr cs 2fm,1c 0.5 0.9 lr 2 3-15 10yr3/3 none sl 2fsbk mvfr cw 2fmc 0.5 0.9 , 3 15-26 7.5yr4/4 none sl 2msbk mfr gw 2f,1mc 0.5 0.9 (P 4 26-34 7.5yr4/6 none sl 2msbk mfr cw 1fm 0.5 0.9 , 5 34-52 7.5yr4/4 f2d 7.5yr5/8 sl 2msbk dsh - 1fm 0.5 0.9 E Boring # Boring Pit Ground Surface elev. 102.92 ft. Depth to limiting factor >49" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft1 I *Eff#1 *Eff#2 1 0-8 10yr3/2 none sil 2fsbk mvfr as 2fm,1c 0.5 0.8 , (P 2 8-19 10yr3/3 none sil 2%bk mvfr cs 2fm,lc 0.5 0.8 , 3 19-30 10yr4/3 none scl 2msbk mfr cs 1fmc 0.4 0.6 . q 4 30-36 7.5yr4/6 none sl 2msbk mfr cw 1 f 0.5 0.9 . 5 36-49 7.5yr4/4 none sl 1 csbk mf - - 0.4 0.6 * Effluent #1 = BOO ? 30 < 220 mg/L and TSS 4'< 150 mg/L uent #2 = BOID <30 mg/L and TSS <.30 mg/L CST Name (Please Print) Sign re: CST Number James K. Thompson 3602 Address A.C.E. Sal & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, WI 54 20 12/5/01 715-248-7767 i property owner I.T.B. Properties, L.L.P. C/O John Parcel ID# 040-1078-50-000, ID#19.28.303 Page 2 of 4 J F ]Boring # Boring 100.32 ft. Depth to limiting factor 30" in. f!!~ Pit Ground Surface elev. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 1 04 10yr3/2 none sl 2fcr mvfr CS 2frn,1c 0.5 0.9 2 4-16 10yr4/3 none sl 2fsbk mvfr cw 2fmc 0.5 0.9 3 16-30 10yr3/3 none Is 1 msbk mvfr gw 2f,1 me 0.7 1.2 4 30-38 7.5yr4/6 f2f 7.5yr5/8 sl 2msbk mfr cw 1 fm 0.5 0.9 5 38-53 10yr4/4 f2d 7.5yr5/8 SO 2msbk mfr - - 0.5 0.8 ❑ Boring # Boring - Pit Ground Surface elev. ft. Depth to limiting factor in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots 'Eff#1 *Eff#2 ❑ Boring # t Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 I * Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD5 S_30 mg/L and TSS <30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SOIL AND SITE EVALUATION 1517 Page 3 of 4 PROPERTY OWNER: J.T.B. Properties, L.L.P. C/O John W. Nielsen PARCEL LM 040-1078-50-000,)D#19.28.303 A.C.E. Soil & Site Evaluations REPORT MEMO Soil evaluation completed for plat review purposes and prior to clearing or lot monumentation. Results indicate that the soils at this location are suitable for a mound septic system. This site is physically limited. Additional soil evaluation and clarification of system location/design may be required prior to POWTS design and sanitary permit acquisition. ■ 5c,/ ei/a/ua-,6 bn a p~.n ~',-e fd Pro postd- de-.Sam o ° y1. S ' \ d~ en ch nv4r:Taz Asswtit~d Q lev = /Gb. lE. Y1 a.1 ►n 'ere 63 sie r r 1ro3.1yi t P h ~ ~.r.~. ~ avv 3w~ li ~~~ki t L„' LOT 19 133859 S.F. x0.44" w )T 21 s•~. 1742 . F. '.s7 Ac. • 903' / ~ ~f 1 LOT 20 1 ~ 435187 S. F. J 9.99 Ac. S 8730'30' E 100Q,34• UTLOT 2 VAnON EASEMENT 160719 Sq. Ft. 19.76 Ac. Doc,* to? iWA46 SE SCALE r ice 50 100 BOO got, Ma pM.r~r~l~ DRAFTED BY: JAM PMXKR and&