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C y� C—.U:�1 T Y planning&Land Information Resource Management Community Development Department FAX MEMO DATE: " � 01 �1"77 TO: `tom i,, c���Scf✓1 FAX NUMBER: I{/Ir' Zvi FROM: GVV� FAX NUMBER 715-386-4686 PHONE NUMBER ~ NUMBER OF PAGES, INCLUDING COVER SHEET: 2 RE: � �' 0101-11"" Cp E-yj C aV j,., 's -4 C o ` Phone 715.386.4680 Government Center, 1101 Carmichael Road, Hudson, W154016 Fax 715.386.4686 www.sccwi.us/cdd www.focebook.com/Stcroixcountyw cdd(@co.soint-croix.wi.us County: St. Croix Wisconsin Department of commerce PRIVATE SEWAGE SYSTEM Safety and Building Division Sanitary Permit No: 563835 0 INSPECTION REPORT (ATTACH TO PERMIT) State Plan 10 N GENERAL INFORMATION ur oses(Privacy Law,s.15.04(1)(m)]. j� Personal information you provide may be used for secondary p p I cy Parcel Tax No: Permit Holder's Name: City Village X Township 028-1018-10-000 Wahl, Orville& Marlene Rush River, Town of SectionlTown/Range/Map No: CST BM Elev: Insp.BM Elev: BM Description: 12.28.17.93 100.0r (*0+ae TANK INFORMATION ELEVATION DATA TYPE GII MANUFACTUR —, — CAPACITY STATION BS EH147 FS ELEV. �'/fa I0� Benchmark !j f t� vv �I - 7 SeWft tic � �Bldg.Sewe H Sc SUHt Inlet { I J t Outlet 13 !8 TANK SETBACK INFORMATION 01r_ TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic , ( D r+ Dt Bottom I! &•0 c9 ✓r Dosing it Lk l 1 ....S$ f Header/Man. 6 Dist.Pipe 3D Aeration sot.System Holding Final Grade PUMP/SIPHON INFORMATION W 4 Manufacturer n� //�� Demand St Cover D'u-�c+�w C, GPM p 5,, 3,3D 9�: Model Number i O t r fo TDH Liift�,0 Friction iss System H99d TD`�•,L` Ft [• �, 3. (p Forcemain Length Dia. 2 u Dist.to Well 0 �p SOIL ABSORPTION SYSTEM � Length No Of Trenehca. PIT DIMENSIONS Of Pits Inside Dia. Liquid epth BED/TRENCH Width 1 DIMENSIONS D GL SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING ufacturer: CHAMBER O INFORMATION —&> /�� UNIT Model Type Of System 60 [ 0 DISTRIBUTION SYSTEM 7 Q A— x Hole Size x HoYpc.acin g vent to Air Intake N Header/Mani fo 1 u Distribution / « ��( I/p Pipe(s)QQ Z. S c 0 Length�•� Dia � . Length DO' Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only ,a Mulched Depth Over Depth Over xx Depth of xx Seeded/Sodded Bed/Trench Center Bed/Trench Edges Topsoil 0 Yes No Yes No O N S' (Include &qjj�� r epencies,persons present,etc.) Inspection#1: / Inspection el I�o�12. 8.is ��a 45 wy_ Ba dwm,V 54002(NE 1/4 SE 114 12 T28N R17W) 40 acres Lo'tG l ! f(( 1.)Alt BM Description= f S 2.)Bldg sewer length= u 5' ( 014(-ms s v amount of cover= (,� $o i �'C/t2r, c �O — p,,,/, D r �v Cave"' Oo jv"-`�r rp�"`�l9'w� _l ____ . Plan revision Required? Y:es�y' No Use other side for additio on• Date Insepctors Signature Cert.No. 9�D-6710(R.3197) ^ , T I checked with Jerry about the plan that you referenced.There was a revision and did require 3 full sets of plans.The fee however was waved due to Jerry's over site during his review.The data entry or calculations of the plan are the responsibility of the submitter. This is not a punitive action, but rather an accounting for an error that needed correction in the historical records of the system. -----Original Message----- From:Jim Thompson [mailto:acesoil @frontiernet.net] Sent: Monday, November 11, 2013 11:29 AM To: Bratz, Charles L- DSPS Cc: Pam.Quinn @co.saint-croix.wi.us; Taylor, Edwin - DSPS; Boltd's Plumbing& Heating Subject: RE:Transaction ID#2258951 Hi Charlie, wlf It's my understanding form talking to Pam that this scenario has been encountered in the past and that no review fse�segl were charged. She referenced a Steiner plan submittal where there was a data erary error of this n ture that was later a I a� a op pue Jallew 5141 anlosaJ 01 asla u.ylAue paau noel MOUJ aw 1a1 aseald corrected and revisions fees were not qu e I feel that it isru.n�tive( paand unnec1e�ssspary to charge a��pereW� ion fe�]e fporr a sim le da�Itauentr�v er�orl� Je siaJe Idrllano soil sa�lnssl evalua ionerer learlyl'nbdacat etl thelsyste171 contour as��a1(i'r I h;e pfO�osedcOhtourl�nrasdslmp�j��ut�ere( Inacporrectlys'1I in the design parameters. Neither the system design nor th nstallation have changed in anyway whatsoever. The uo11Lgelsul y,,auiinp paWJI uoJ Jnolimp �•�ri al♦1 I��IM �jpls uluo7 O�uno� mound size and ocpa�tion tank size and location, iota name h a Meec,um re ulre n 5 an C7IStrfDUtion ne&I k xloJ lIJ l�adSul pu p Wsul uaaq spl�lue �$�all �JO aJ I�2111p/�a Ilos pUp U24'�a�is a uo uaas aq ue�se have not cP�an er ' I here Is notRinpa i n reVl a I1QQQ o ISSS cTT'dn to ' lat l Is tb correct a ra Ical err r. £T'96 se p Jalua uaaq aney pin ys 11 aqm ssaJOJ u I ap ay uunp ,Op 86 se Jnoluo� wal i s y pa.Ialua R11:)aJJO:)ul I'm hdp ng that�ou wi�aeyc�onsac�er ar�d�lrtot rtequlorJe al�ivlsa�nr so;m �iingat�iat�eeei asll�a slm�le��oo�CJ�Ceepshatm��d Thanks for your time, 'allJeyo SuluJOW poop Jim TS68SZZ#(I1 uo1l:)esueJl:1:)afgnS sn'im-xloJ:)-lules•o:) uuln 'we '8u11eaH '8 8ulgwnld s,131109 ::)D -----Original Message----- SdSCl-l saIJe4D'z1eJ9 :01 From: Bratz, Charles L- DSPS [mailto:Charles.Bratz @Wisconsin.gov] Wv St,:6 £TOZ 'TT JagwanoN 'AepuoW :1uaS Sent: Monday, November 11, 2013 10:30 AM 1au•1auJ5115 oi1 I!osao e:6-11-!-e-w7 uosdwoyl wlf:woJ j To: 'acesoil @ frontiernet.net' -----agessaw Ieul8IJ0----- Cc: 'Pam Quinn' Subject: RE: Transaction ID#2258951 lnoge aJe suo1loadsul leynn sl 1ey1'MOUl nog( sv•apo:) ay1 ui pale1luelsgns sl slyl lnq 'sluawaJlnbaJ uolslnW ay1 uo uo1lewiolul a41 panla:)aJ used a.Iagm aJns lou we I Hi Jim, sl as nnalnaJ a Ja wnu uo1loesueJl mau a anla�aJ IM ue d a uolle�l dde '00'S8$ 1 41' q II. I 41' These chaclgess8o relusre alul revgisiorlAgulf aelo� Isywer�the udelgnerllsbvmutsltAreelul sets o?plags atoen asayl application. The plan will receive a new transaction number.The review fee is$85.00. •uaI f IH I am not sure where Pam received the information on the revision requirements, but this is substantiated in the code. As you know, that is what inspections are about. T568SZZ#dI uoil:)esueJl:3b :13afgns uulna wed :D:)-----Original Message----- ,lau•lauJa1luoJlc�llosa�e, :ol From:Jim Thompson [mailto:acesoil @frontiernet.r�et�£�OT £TOZ "TT JagwanoN '�CepuoW :;uas Sent: Monday, November 11, 20123 96� iRM�sim@z1eJ9'saIiegD> SdS(I -l salJeyD 'zleJ9 :void To: Bratz, Charles L- DSPS . - uuina used 2 Pam Quinn From: Jim Thompson <acesoil @frontiernet.net> Sent: Monday, November 11, 2013 2:39 PM To: 'Bratz, Charles L- DSPS' Cc: Pam Quinn; 'Taylor, Edwin - DSPS'; 'Boltd's Plumbing & Heating' Subject: RE: Transaction ID#2258951 Thanks Charlie, I appreciate your reconsideration of the matter. I'll drop three sets of corrected plans to you in tomorrow's mail and I'll do my best in the future not to make such simple design errors. Jim -----Original Message----- From: Bratz, Charles L- DSPS [mailto:Charles.Bratz @Wisconsin.gov] Sent: Monday, November 11, 2013 2:23 PM To: 'acesoil @frontiernet.net' Cc: Pam.Quinn @co.saint-croix.wi.us;Taylor, Edwin- DSPS; 'Boltd's Plumbing& Heating' Subject: RE:Transaction ID#2258951 Hi Jim, You are correct.This was my over site of not catching your error. I will take care of it. Thanks for your patience. -----Original Message----- From:Jim Thompson [mailto:acesoil @frontiernet.net] Sent: Monday, November 11, 2013 2:13 PM To: Bratz,Charles L-DSPS Cc: Pam.Quinn @co.saint-croix.wi.us;Taylor, Edwin- DSPS; 'Boltd's Plumbing& Heating' Subject: RE:Transaction ID#2258951 Hi Charlie, So if a similar situation did not require a review fee in the past,why is a review fee being assessed now? Jim -----Original Message----- From: Bratz, Charles L- DSPS [mailto:Charles.Bratz @Wisconsin.gov] Sent: Monday, November 11, 2013 1:19 PM To: 'acesoil @frontiernet.net' Cc: Pam.Quinn @co.saint-croix.wi.us;Taylor, Edwin- DSPS; Boltd's Plumbing& Heating Subject: RE:Transaction ID#2258951 Hi Jim, 1 Subject:Transaction ID#2258951 Good Morning Charlie, Attached is a corrected Crew file mound design for the Marlene Wahl property which corrects the mound contour. I incorrectly entered the system contour as 98.00' during the design process when it should have been entered as 96.13' as can be seen on the site plan and soil evaluation report. The system has been installed and inspected by St. Croix County Zoning staff with the 96.13' contour confirmed during the installation. It's my understanding from speaking with Pam Quinn that there typically isn't a revision fee required when data entry issues such as this are corrected. Please let me know if you need anything else to resolve this matter and close the file. Thanks, Jim No virus found in this message. Checked by AVG -www.avg.com Version: 2014.0.4158/Virus Database: 3629/6827 - Release Date: 11/11/13 No virus found in this message. Checked by AVG -www.avg.com Version: 2014.0.4158/Virus Database: 3629/6827- Release Date: 11/11/13 No virus found in this message. Checked by AVG -www.avg.com Version: 2014.0.4158/Virus Database: 3629/6827 - Release Date: 11/11/13 3 Mound and Pressure Distribution Component Design Design Worksheet Site Information (R or C) R Residential or Commercial Design Note: Sand fill(D)calculations assume a 300.00 Estimated Wastewater Flow(gpd) Table 383-44-3 in-situ soil treatment for 1.50 Peaking Factor(e.g. 1.5 = 150%) fecal coliform of-36 inches. 450.00 Design Flow(gpd) 4.00 Site Slope (%) 93.16 Contour Line Elevation (ft) 23.00 Depth to Limiting Factor(in) 0.50 In-situ Soil Application Rate (gpd/ft2) Distribution Cell Information 90.001 Dispersal Cell Length Along Contour(ft) F____5_0_01 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ft2) 1 Influent Wastewater Quality(1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? Enter Y or N (C or E) E Center or End Manifold 2.50 Lateral Spacing (ft) If N above, enter the elevation (ft) 2 Number of Laterals of the highest point. 0.125 Orifice Diameter(in) 2.00 Estimated Orifice Spacing (ft) = 5.00 ft2/orifice 2.00 Forcemain Diameter(in) 60.00 Forcemain Length (ft) Does the forcemain drain back? Y 85.78 Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft)x 1.3 9.79 Forcemain Drainback(gal) 7.96 Vertical Lift(ft) 81.15 5x Void Volume (gal) 1.72 Friction Loss (ft) 90.93 Minimum Dose Volume (gal) 0.00 In-line Filter Loss (ft) 37.07 System Demand (gpm) 16.18 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 1.50 x x 1.25 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) 1000-600 1 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Wieser Concrete Manufacturer gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 602.82 Dose Tank Capacity(gal) Pol Lok Filter Manufacturer 11.82 Dose Tank Volume (gal/in) PL-525 Filter Model Number Weiser Concrete 7 Manufacturer Project: Wahl 3 Bedroom Residential Mound Page 2 of 9 T County Safety and Buildings Division St. Croix $ 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.) P: Madison, WI 53707-7162 ~ ~ 3 S3 S 'tary Permit Application State Transaction Nu Cm~ber In accordance will-SP is. Adm. Code, submission of this form to the appropriate governmental unit / is required prior t sani permit. Note: Application forms for state-owned POWTS are submitted to Project Address (if different than mailing address) the Dep and sional Services. Personal information you provide may be used for secondary pumpoge in r the Privacy Law, s. 15.04(l m , Stats. Sallee ~ D / _ L A Ilea n nformation - ease Print All Information ✓ ~P Property Owner's Name ' Parcel # Orville & Marlene Wahl JUN _ 028-1018-10-000 Property Owner's Mailing Address JN®' a~ Property Location 450 US H 63 V V I ct-_ Govt. Lot City, State Zip Code Phone Nryber 0~ E SE 'b, section 12 cq (circle one) Baldwin, WI 54002 715 684-2 T 28 N; R 17 E or W II. T of Building (check all that apply) Lot # Nay 1 or 2 Family Dwelling -Number of Bedrooms Subdivision Name Na Na 'act s Block# ❑ Public/Commercial -Describe Use El City of Na ❑ State Owned - Describe Use CSM Number U Village of All Na R "Town of Rush River X IIL Type of Permit: (Check ane os on lin . Complete line B if applicable) A. ❑ New System 194e'place 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 V AU )~./v~W IV. Type of POWTS System/Component/Device: Check all that apply) ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil 91<ound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dis ersal/Treatment Area Information: Design Flow (gpd) Design Soil Application RaWgpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation 13"' Wye `I 5 450.00 ft. CD 450.00 S Ft. 99.08' at to a 450 Gpd 1.00 Gpd/Sq. Ft. Q , sq. Q• 9 .00' contour VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units New Tanks Existing Tanks & i , U on f~ W k. C7 W+ Septic or Holding Tank (1,00 0 1,000 1 Wiesij Concrete X Dosing Chamber 600 0 600 1 Wieser Concrete X VII. Responsibility Statement I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) umber's SignMP/MPRS Number Business Phone Number Dale Hudson MP 220853 715 684-3378 Plumber's Address (Street, City, State, Zip C 820 Main Street, Baldwin, WI 54002 VIP, county !De rtment Use Only Approved prove Permit Fee Date I ued Issuing nt Signature GZS vo 3 en Reason for Denial i7X. ConditlP> ItEM easons for Disapproval 3' / ortS a llo~pf G a.!'~ .1. Septi6tank, effliknt filter and J (i0 dispersal cell"must all be.servlbes t maintained as per management plan provided by plumber. / 2. AN ist isck requirements must be maintained ~ as per applicable code / a6&J Attach to complete plan for the system and submit to the Coun only on paper not leas than 8 in z 11 inebes in size SBD-6398 (R 11/11) ♦ Cjv~ ~iq e leda~i o ~ cam./c ~ /~5b c- A- /dal/ejC Tu5c cz / Syooz A Else 5 ' ScC /d, 7-,2.8/i; 'lip A6k r►C6wed /4wh ~~.C~i,CCo, LZ .,~l~ow~rassGS ~oe% ~o~8-/Gl8-/O-cWG - I ` _ -6D beabw,don-ad ~oL' eo de. T z r r j(o d / ' , ~~5 ( rvwd¢~ d v L EJ<<s~7~q 4,.2.Z /~of fv /V t4~~GuJ rQ/45SC3 , / f f Corn+,r' Mou)t d 1Qw ctoron..¢asu,mc V CoAC1cFf /g~'• uf157-M3o3~P.✓.C. 9~/6~ t7ur'ldi sews.-/~~ ~ym,al u9rtk 5P5 A~~ pig / / 382{I Cam) ~r4v~l ;Z;Lr / ~ / Pv~seG~,JieWGx~ere~Ee ~I~bPClrairei o d.r;ueway c. 6;,~a~,~ ~s~dence, BZ Fcrca.ra,n.s/epate S.r./R 2. w/AryLoKP~ 5~4~1/ tA J,E . our el rc, ro~! "Sc~• D L Sir'✓r'C e . a br.,~do+,ed ~ cCd dr; Ue 'C") G.a ~ cJd ScpE:c, ~-C b ~titlow ~ 5,,,.rsu o~, worded h tai 'd { / ~ 3z ~ayJCfk( 5.~c~1 q,-& vtl drix LL waved /o wn 3 O ~~.804? DIVISION OF INDUSTRY SERVICES $~4y p~PARTME~TOn 3824 N CREEKSIDE LA e 9 HOLMEN WI 54636 3 D Contact Through Relay S www.dsps.wi.gov/sb/ P lGw www.wisconsin.gov ti A~o~ssroIS Scott Walker, Governor Dave Ross, Secretary June 26, 2013 CUST ID No. 220853 ATTN POWTS Inspector DALE E HUDSON ZONING OFFICE BOLDTS PLUMBING & HEATING INC ST CROIX COUNTY SPIA 820 MAIN STREET 1101 CARMICHAEL RD BALDWIN WI 54002 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/26/2015 Identification Numbers Transaction ID No. 2258951 SITE: Site ID No. 791874 Orville & Marlene Wahl Please refer to both identification numbers, 450 US Hwy 63 above, in all correspondence ' with the agency. Town of Rush River, 54002 St Croix County SETA, SETA, S12, T28N, R17W FOR: Description: Mound / Three Bedroom / Sloping Site Object Type: POWTS Component Manual Regulated Object ID No.: 1433353 Maintenance required; Replacement system; 450 GPD Flow rate; 23 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual - Ver. 2.0, SBD -10691-P (N.01101, R. 10/12), Pressure Distribution Component Manual - Ver. 2.0, SBD-10706-P (N.01/01, R. 10/12); Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, Cotg T stats. pPP The following conditions shall be met during construction or installation and prior to occupancy or use: REPS OF Reminders PRpFESSiQ s1oN of IM D1v► • This system is to be constructed and located in accordance with the enclosed approved plans and with the component manuals listed above. c~ • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. er. F GO Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • 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. • Inspection of the POWTS 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. Stat DALE E HUDSON Page 2 6/26/2013 • SPS 383.22(7) 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 Owner Responsibilities: • SPS 383.52 Responsibilities. 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). • SPS 383.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. SPS 383.54(4) shall be considered a human health hazard. • SPS 383.55 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. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. 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 Fee Received $ 250.00 Balance Due $ 0.00 3 Charles L Bratz \ POWTS Reviewer II , Integrated Services WiSMART code: 7633 (608)789-7893 , 7:45 am - 4:30 pm Monday - Friday charles.bratz@wisconsin.gov k q '(fl 1W f cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm DALE E HUDSON Page 2 6/26/2013 • SPS 383 22(7) A copy of the approved plans specifications and this letter shall be on-site during construction include local ins ectors. and open to inspection by authorized representatives of the Department which may P Owner Responsibilities: • SPS 383.52 Responsibilities. 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). • SPS 383.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. SPS 383.54(4) shall be considered a human health hazard. • SPS 383.55 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. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. 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 Fee Received $ 250.00 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer II, Integrated Services WiSMART code: 7633 s: (608)789-7893 , 7:45 am - 4:30 pm Monday - Friday charles.bratz@wisconsin.gov t f cc:: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application REC INDEX AND TITLE PAGE E~VE~ JUN ' 7 2013 Project Name: Wahl 3 Bedroom Residential Mound~U.STR ~ Y SE'?VICES Owner's Name: Orville & Marlene Wahl Owner's Address: 450 US Hwy. 63, Baldwin, WI 54002 Site Address: Same Legal Description: SE1/4 SE/4, Sec.12, T.28N., R.17W. Township: Rush River County: St. Croix Subdivision Name: Na Lot Number: Na Block Number. Na Parcel I.D. Number: 028-1018-10-000 Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan ONALLY Page 7 Pump curve and specifications .OVER Page 8 Site Plan -AFETY AND Page 9 Attached Soil Evaluation Report 4A,,, SERVICES )usTRY SERVICES Designer. Dale Hudson License Number: 2208536 Date: 6/04/13 Phone Number: (715) 684-33_ FgpokD Signature: LL ~ _ Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SBD-10691-P (N. 01/01, R. 11/12), and both SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01, R. 10/12) Version 7.0 (R. 11/12) Page 1 of 9 t Mound and Pressure Distribution Component Design Design Worksheet Site Information (R or C) R Residential or Commercial Design Note: Sand fill (D) calculations assume a 300.00 Estimated Wastewater Flow (gpd) Table 383-44-3 in-situ soil treatment for 1.50 Peaking Factor (e.g. 1.5 = 150%) fecal coliform of - 36 inches. 450.00 Design Flow (gpd) 4.00 Site Slope 98.00 Contour Line Elevation (ft) 23.00 Depth to Limiting Factor (in) M 0.50 In-situ Soil Application Rate (gpd/ft2) Distribution Cell Information 90.00 Dispersal Cell Length Along Contour (ft) = 5.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ft2) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest oint in the distribution Y Pressure Disribution Information network? Enter Y or N (C or E) E Center or End Manifold 2.50 Lateral Spacing (ft) If N above, enter the elevation ft 2 Number of Laterals of the highest point. 0.125 Orifice Diameter (in) 2.00 Estimated Orifice Spacing (ft) = 5.00 ft2/orifice 2.00 Forcemain Diameter (in) 35.00 Forcemain Length (ft) Does the forcemain drain back? Y 91.00 Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 5.71 Forcemain Drainback (gal) 7.58 Vertical Lift (ft) 81.15 5x Void Volume (gal) 1.00 Friction Loss (ft) 86.86 Minimum Dose Volume (gal) 0.00 In-line Filter Loss (ft) 37.07 System Demand (gpm) 15.09 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 1.50 x x 1.25 _ 2.00 1.50 x x 3.00 2.00 x 3.00 x i~ Gallons/Inch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 11000-600 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Wieser Concrete ]Manufacturer gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 602.82 Dose Tank Capacity (gal) Pol r ok__ Filter Manufacturer 11.82 Dose Tank Volume (gal/in) PL-525 Filter Model Number Weiser Concrete +IManufacturer Project: Wahl 3 Bedroom Residential Mound Page 2 of 9 i Mound Plan and Cross Section Views 1 1/10 6 J Observation Pipe K: ---9: f •5 A W F: t B I L Mound Component Dimensions ft A 5.00 ft E 15.40 in H Aft ft K Aft B 90.00 ft F 9.50 in 1 ft L ft D 13.00 in G 0.50 ft J W 450.00 (ft2) Dispersal Cell Area 1240.06 (ftz) Basal Area Available 5.00 (gpd/ft) Linear Loading Rate 9.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 100.88 (ft) H I F Dispersal Cell 99.58 (ft) Lateral 99.08 (ft)--► - Invert Dispersal Cell Elevation •~~RZ v;. i l 4 i 4 1 l `.cJ ~ l t.1\,1 { ~~{4,•}~ 15. 1 `.c~ '`4~~~'~S \ 98.00 (ft) Contour Elevation 4.0 % Site Slope Geotextile Fabric Cover Shading Key a, Dispersal Cell See lateral details on 1[] Topsoil Cap c a 1.5 ft Page 4 for number, size, Subsoil Cap a c and spacing of laterals. Laterals are equally from the ASTM C33 Sand v ' ' F •i m • ft Typical spaced Lateral Tilled Layer c 0 distribution cell's © Aggregate centerline in the distribution cell (AxB). Project: Wahl 3 Bedroom Residential Mound Page 3 of 9 End Connection Lateral Layout Diagram atetalscenteredover the Ab dimension 40. Turn-up w4ballvalvoorcloanoutplug P All laterals ate identtc al le x -i I Holes drilled on the bottom of the lateral 5 egtj^ spaced Foic* main connopoion via tiro of cioSS to m aniloid at .irp point Laterals S lorcemain Scli 40 PVC per SPS Table 384.30-6 Number of Laterals 2 Orifice Diameter 0.125 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.01 ft Lateral Length (P) 88.44 ft Orifices per Lateral 45 Lateral Spacing (S) 2.50 ft Orifice Density 5.00 ftz/orifice Lateral Flow Rate 18.54 gpm Manifold Length 2.50 ft System Flow Rate 37.07 gpm Manifold Diameter 1.50 in Total Dynamic Head 15.09 ft Forcemain Velocity 3.79 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 Weiser Concrete Manufacturer 2 in. Capacityl 602.82 Gallons Volume 11.82 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 29.65 350.48 B 2.00 23.64 C Pump off elevation (ft) C 7.35 86.86 92.00 D 12.00 141.84 D Total 51.00 602.82 Do♦ se tank elevation (ft) 3" Bedding un er tank. 91.00 Alarm Manuafacturer SJE Rhombus Note: Switches Alarm Model Number SJE1011421 containing mercury may not be used in Pump Manufacturer Goulds this system. Pump Model Number 3871 EP05 Pump Must Deliver 37.07 gpm at 15.09 ftTDH Project: Wahl 3 Bedroom Residential Mound Page 4 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name Dale Hudson Phone (715) 684-3378 POWTS Regulator's Name St. Croix County Zoning Dep't. Phone (715) 386-4680 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 1000-600 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Inspect and/or service once eve 3 ears Effluent Filter Should inspect and clean at least once eve 3 ears Pump and Controls Test once eve 3 ears Alarm Should test month) Pressure System Laterals should be flushed and pressure tested eve 1.5 ears Mound Inspect for ponding and seepage once every 3 years 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: Wahl 3 Bedroom Residential Mound Page 5 of 9 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. 11/12), 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 filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped 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 6 of 9 A GXi~1~7 17 cledaYio~ ca./ / ~ sb Qom. .~Sa u. s. fk,vy. (0.3 a./ Aal (4 4tc Cd /7J; Ta. 4LI .~!/o~ assts rK~we,d lawh ~~•C~rrCo:~ f~P~JlO,Y . A C:Cc 'o•~ o f' F~ti~fi a Er,iP .Su.r {e c c ~e~ ~9.sa's E,risfa Sepb'cfw„~( I ~ 6@ R donna( a.s 410 0 cyst ark4s IV 1IoW r~/45513 r / of gOr nGkN1s/' Mow)c cl law cl,Oron.~asu.sssc/ C•ncrc~ 40. e lam/; : ev. / / Bz~~OC~)r t~ sA5 Raooo sed / Aropaudw,rsvC.~r,c~e Ee 3 bea(r~~+1 o 6r:uewoy 2 "xti Vo R c. r+~%4P P. ems„, b;.aa e~is~dence. 81 F~.•,4,ha/cau S.r./R e. w/A4/yGoCf dVtr el Ic. abw~do»ed 4-4td drIUL (~rauc(tcl~ F ~Id r..L,W" Lawn ScpEcc { .C b ~1►lle~ ~i ~ „ ~rn.cscs a~' wooded h ~ iS~ Wei" o7f J 3 6arcn! 5.~c pl • q~~z1 dr;ae v 32. /KDw~ la wn O shed p~ go~9 ` GOUIdS rnv~ _ submersible Effluent Pump i r . ~u t ' 3871 EP04' EP05 . NMotor. Housing: Cast iron APPLICATIONS • Fasteners: 300 series • Wlly submerged io high _ for effi tit hAffitransfer, . rade turbine od for . Specdficaily designed for the stainless steel. • Capable of running lubrication and efficient strength, and durability. following uses: dry without damage to heat transfer. ■ Motor`Cover: Thermoplas- Integral handle • Effluent systems components. Available for automatic and tic cover with r. and float switch attachment ' e manual operation. Automatic points. • HFx= omes Moto 0.4 • Heavy duty sump j 15x230 V, 0 Hz, 5.50' models Include Mechanical 6 Power Cable Mere duty Water transfer RPM, built is overload with Float Switch assembled and rated oil and waternesistant. • Dewatering automatic reset preset at the facdory. ■ Beadngs: Upper and lower • EP05 Single phase: 0.5 HP, FEATURES heavy duty biadi,Ueariag SPtcCIFICATIfINS 115 V, 60 Hz,1550 RPM, construction. Pump: EP04 built in overload with ■ EP04 Impeller. Thermo- solids handling capablitty: automatic reset. plastic Semi-open design A6E8CY LISTING s/: maximum • Power cord: 10 foot with pump out vanes for • Capacities: up to 55 GPM. standard length, 1613 SJTO mechanical seat protection. WON shad" AssoCNN } • Total heads: up to 24 feet. with three prong grounding n EP05 Impeller. Thermo- (CSA listed model numbers • Discharge size: l'/i NPT. plug. Optional 20 foot plastic enclosed design for end in "F" or "AC".) • mechanical seal: carbon- length, 16/3 SJTW with improved performance. rotary/Ceramic-stationary, three prong grounding plug wing and Base: Rugged BUNA-N eWomers. (standard on EP05). thermoplastic design provides • Temperature: 1040E (40°C) continuous superior strength and corrosion. resistance. 1aF (6000) intermittent. • Fasteners: 300 series METERS FEET stainless steel. 10 • Capable of running , dry without damage to a 30 components. e ' ' Pump: EP05 26. • Solids handling r apabllity: c ~ ' V4• maximum. W i • Capacities: up to 60 GPM. 6- 20 • Total treads: up to 31 feet. - ~ I • Discharge size: t'ry' NPT. 5 • Mechanical seal: carbon- 0 1 routykeramic-stationary, Q a BUNA-N elastomers. • Temperature: 3 10 1046F (400C) continuous 140°F (60°0) Intermittent 2 5 1 i 0 0o t o 20 30 4o so (FPM • 4 e 8 . .10 12 m+m 0 2 - CAPAWY 4F X83871 01905 0001116 Pumps, hr_ -tM r09 000Id-IM :311A 91.- ids-008 8002 Ndr' 'A38 90OZ ),8VnNVr 31Vo 09L4S LM +<ooa N30!Vrv otAmH sn 9L .,m 1df1NdW O11d3S -------LMC ,{B NMVH(J 313dDUDD 13531M 31VO ON /N3a b; l 3~VOS dW-009 OOOtdW ,lam J • _ W L L Ul > Y Of J O 6 ¢ v (l r~ U F- T 4 Cr u Z O O ~0 U W H- FW- LJ W O= Z N 12 -J _J cl~ a m Om was ZZ 3 > Z 5 I a O O d s 'L) Z O Q-I d CON W L' W U Z I .-j U I o n co n > 3 qa mr. U? Q z i > M r.. Z w LL n OO L-.. w ii L ~ O= O - 1 v) V r- c~ _r x; U a n u~ 5 O (D ;r) w O J a U J Z j' << w (,o S U - Y LAJ '17 to > 0 p z O r 3^ a Y O W a :(f LLJ ) m cn Lti e- J F- ~ZC=.^. Or O ( :J V) OoH J Z W (1' a O¢ 0 0¢ w w O C w d v Q 3 U z a a V O Y i Y_ Z mU3=J~ -D o z a U Q rJ Z Z n Q Z Z J J ¢ G 2 w Z Z LLJ rj ¢ - V U W O ¢ z M 11 1' a f ~ it I I ~ I I I I °l .I I C l- 1 > II > o n cr~ Cf LJ F- d\ WOE a „84 m I „5 Ce I S ,r u L'i „y8 a I ~ „Zb - I „9s EFD[FIVED JUN - 7 2013 SERVICES ~I i i Jul-20-2011 11:25 AM '_;t. Croix. County Plan/Zoning 715-386-4686 1/21 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer ©r V.1 16 79~~e_4 t% Mailing Address Property Address (Verification requited from Planning & zoning Department for new construction.) City/State Ba Parcel Identification Number 07 8- 7_A9 - XD LICCAL DESCRIPTION x Property Location V. V4, Sec. , T _2LN R_1'7 W, Town of MI5 Subdivision Plat: , Lot 4 Certified Survey Map # , Volume Page HAY (2 Warranty Deed # 2 `7 0 & lS (before 2007)Volume , Page Spec house 0 yes 0 no Lot lines identlfiablxes ❑ no SYSTEM MAINTENANCE AND OWNIER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes, Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system, Owner maintenance responsibilities are specified in §Comm. $3.52(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 tiv tltc 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 113 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the t/thiform ar expiration date. I/we certify that all statements on are true to the best of my/our knowledge. I/we am/are the owner(s) ul'the property described above, by virtue of a wadeed recorded in Register of Deeds Office. Number of bedr rtes 3 SIGNA URE OF APPLICANT(S) DATE ""Any information that Is misrepresented may result in cite 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 coup it' reference is made In the warranty deed, (REV. 09/07) t~,o VOL 1519PAGE 282 624S6S DOCUMENT NUMBER QUIT CLAIM DEED KATHLEEN H. DEEDS ST. CROIX CO., WI RECORD ORVILLE L. WAHL and MARLENE WAHL, husband and wife, RECEIVED quit-laim to 06-14-2000 ED D FOR 11:45 AM QUIT CLAIM DEED ORVILLE L. WAHL and MARLENE WAHL, Trustees, under EXEMPT N 16 the WAHL LIVING TRUST, dated June 2, 2000 CERT COPY FEE: COPY FEE: TRANSFER FEE. the following described real estate in ST. CROIX County, State of RECORDING FEE: 10.00 WISCONSIN: PAGES: 1 NORTH ONE-HALF OF THE SOUTHEAST QUARTER (N1/2 OF SE1/4) RECOR04NG AREA in SECTION TWELVE (12) IN TOWNSHIP TWENTY-EIGHT (28) NORTH OF RANGE SEVENTEEN (17) WEST. ^NAME AND RETURN ADDRESS: it Is .43.- 11 e. L, - U - k 7 A+ S0 .4i'/ & 3 U'a-$ (d ( g - --00 -o'd' o v, S - r D It- ~U - 000 This (9or is not) homestead property. ardeone PARCEL IDENTIFICATION NO. (PIN) Daatted~this ~2nd day of June, 2000. (SEAL) -7#4 LVa-~ (SEAL) ORVILLE L. WAHL ARLENE WAHL ACKNOWLEDGMENT: STATE OF VISCONSIN ) ss. COUNTY OF ST. CROIX ) Personally came before me this 2nd day of June, 2000, the above named ORVILLE L. WAHL and MARLENE WAHL, to me known to be the persons who executed. sing instrument and acknowledged the same. i rt L. { Notary Public - 1=dh My Commission is permanent or expires on DRAFTED BY: ROBERT L. FIRTH, 1039 West ~n Bay, Wisconsin 54303 GRANTORS SUPPLIED THIS LEGAL DESCRIP O V-TOR DOES NOT WARRANT OR REPRESENT THAT THIS DESCRIPTION 15 COMPLETE. ACCURATE OR ERROR-FREE. 2325 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code A.C.E. Soil & Site Evaluations Attach e l site and Conan rse%x II inches BM dxPlan a County St. Croix includ, but not percent sloperth arrow, and kxo~n and d~ltance to Parcel I.D. C , 028-1018-10-000 r C(3 ; 2 P se print all information. 20 13 R ie B pat Personal you provide may be used for secondary purposes (Privacy Law, s.1&'fi4AW)1, ` Property Owner Propegtoaa Orville & Marlene Wahl Trust Govt. Lot NE 1/4 SE 1/4 S 12 T 28 N R 17 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 450 Hwy 63 na na Na City State Zip Code Phone Number _J City _]Village ✓J Town Nearest Road Baldwin WI 54002 (715) 684-2641 Rush River Hwy 63 J New Construction Use: a Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD N Replacement _f Public or commercial - Describe: Parent material Glacial Till Flood plain elevation, if applicable na General comments and recommendations: Site suitable for mound system with 12" of ASTM-C33 sand placed on 93.16' contour. Infiltrative surface elevation to be 94.25'. 1 7 I Boring # I Boring ✓e Pit Ground Surface elev. 91.10 ft. Depth to limiting factor 23" in. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Stnx Lure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz• Sh. *Eff#1 * tf#2 1 0-9 10yr3/2 none sit 2fgr mvfr as 2fmlc 0.6 0.8 2 9-16 10yr3/4 none fsl 2fsbk mvfr gs 2f,1 m 0.4 0.8 3 16-23 10yr4/4 none fsl 2msbk mvfr cw 2vf,f 0.4 0.8 4 23-30 10yr4/4 f2d 7.5yr5/8 fsl 1msbk mvfr cw 1vf 0.2 0.& 5 30-41 10yr4/4 m3p 7.5yr4/6 Ifs Osg ml aw - 0.5 1.0 6 41-54 7.5yr4/4 f2d 7.5yr518 sl Om mfi - - 0.2 0.6 Saturated flow observed at E Boring # J Boring a Pit Ground Surface elev. 91.32 ft. Depth to limiting factor 2311 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture ShWure Consistence Boundary Roots P /tp in. Munsal Qu. Sz. Conl Color Gr. Sz. Sh. ` ff#1 *092 1 0-9 10yr3/2 none sil 2fgr mfr as 2vf,f 0.6 0.8 2 9-15 10yr4/3 none sit 3msbk mefi aw 1vf,f 0.4 0.6 3 15-23 10yr4/6 none scl 1msbk mfr cw 1vf 0.2 0.3 4 Ir- 23-36 10yr4/6 m2d 7.5yr5/8 sl 1 msbk mvfr gw - 0.4 0.7 5 3649 10yr5/4 m3p7.5yr5/8 scl Icsbk mfr - 1vf,f 0.2 0.3 Saturated flow observed at 45". * Effluent #1 = BOD? 30 < 220 mg/L nd TSS >30 150 mg/L * Effluent #2 = BOD S30 mg/L and TSS S30 mg/L CST Name (Please Print) Sig re: ST Number James K. Thompson 3602 Address A.C.E. Soil & Site Evaluati Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, WI 54020 5/16/2013 715-248-7767 Prro~perrty~ Owner Orville & Marlene Wahl Trust Parcel ID # 028-1018-10-000 Page 2 of 3 I $ I Boring # - I Boring I t 1 Pit Ground Surface elev. 93.70 ft. Depth to limiting factor 27" in. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots Gl? in. Munsed Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 1 0-11 10yr3/2 none sil 2fgr mvfr gs 2fmc 0.6 0.8 2 11-17 10yr4/3 none Sid 2fsbk mfr gw 2fm,1c 0.4 0.6 3 17-27 7.5yr4/6 crone SCI 2fsbk mfr gw 1 vf,fm 0.4 0.6 4 27-40 10yr4/4 f2d 7.5yr5/8 sl lcsbk mvfr gw 1vf,f 0.4 0.7 5 40-52 10yr4/6 m2p7.5yr5/8 Sd 1esbk mfr - 1vf,f 0.2 0.3 4 ] Boring # J Boring ✓J Pit Ground Surface elev. 93.98 ft. Depth to limiting factor 30" in. Soli Application Rate F Horizon Depth Dominant Color Redox Description Texture Stru tum Consistence Boundary Roots GPDMe in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 *Eff#2 1 0-12 10yr3/2 none sit 2fgr mvfr gw 2fmc 0.6 0.8 2 12-24 10yr3/4 none Sil 2fsbk mvfr cw 2fm,1 c 0.6 0.8 3 24-30 10yr4/6 none $l 1msbk mvfr Cw 1vf,fm 0.4 0.7 4 30-46 10yr4/4 02d 7.5yr5/8 Scl lmsbk mfi gw lvf,fm 0.2 0.3 5 46-54 10yr4/4 m2d7.5yr5/8 scl 1csbk mvfi - lvf,fm 0.2 0.3 Boring # J Boring F-1 Pit Ground Surface elev. ft. Depth to limiting factor in. Sod Appikatlon Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots In. Munsdl Qu. St. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ' Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg/I. * Effluent #2 = BOD5 <30 mg/i. and TSS <30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (&.07/00) A.C.E. Sal & Site EVAOUM ♦ ~Xi~~~,g C l~da~;a~ cY✓;lac. ¢~rj~~~n~ ub..(/rush n Vt57D a.,5. AA)Y. (03 cal 5"10 /iC-A/S~ ScC ,2y~; 1/0 w-ars45 ,tit~we d lau>n ~~.CrnyrCa, tel. i /t ACec-~`O~ o /t/Q (yvP rYC4 ~ _ EX~s~•,J Septic - - - - - - - - - i -6D 6e a br,4 o'on-ed a s _ ~~ou bode. Q `1 , i i i r k1 / ~ p led 4 i 6,-n We 1,4 / .t (yam V cio. 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