Loading...
HomeMy WebLinkAbout040-1092-70-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 563855 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)j. Permit Holders Name: City Village X Township Parcel Tax No: Johnson, Vernon Trust Troy, Town of 040-1092-70-000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: ig I CST 24.28.19.3728 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER t CAPACITY STATION BS HI FS ELEV. Septic J J i~ 2 / Benchmark A060 6 /YOF /O Dosing C ( ys of J a Alt. BMr ( W A (0 Aer=M ✓ Bldg. Sewer .6. 4 g / i 7 Holding St/Ht Inlet ZI •a ID' * 7,Q 7 / TANK SETBACK INFORMATION St/Ht Outlet \ TANK TO P/L WELL BLDG. ent Air Intake ROAD Dt Inlet So ~ Septic Z y y SO S~ Dt Bottom * 17- Ti- Dosing Header/Man. , q ~ S. / Aeration Dist. Pipe Holding Bot. System 4 PUMP/SIPHON INFORMATION Final Grade 3 • cf I Manufacturer DeP nand St~'er D Model Number /BUJG ZS• O~ 6 J 6.O 9 System Head TDH Ft TDH Lift Friction Loss Zo . Z 2.1 Z 5 1 3,3 Forcemain 1 Length .1 Dia. if Dist. to Well y `O 2 SOIL ABSORPTION SYSTEM BEDITRENCH Width Length Ns PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 1G- 7S' /3Q SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: _ INFORMATION Type f ystem: rQ. 7 / 13(. 7 G CHA uNER OR Model Number: ~ O DISTRIBUTION SYSTEM < bd/-I,. Header/Manifold Distribution f x Hole Size / x Hole Spacing / Ve to Air Intake Pipe(s) Length ~ Dia \ Length Dia Z Spacing z SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center 7 1 Bed/Trench Edges \ Topsoil I 4- es No Yes 0 No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:y/ 3 Inspection #2: Location: 298 CTY RD U River Falls, WI 54022 (NE 1/4 NW 1/4 24 T28N R19W) metes & bound V l4 Parcel No: 24.28.19.372B 1.) Alt BM Description = P I k...' Co-) C".'_ Gam.ks 0^' 2.) Bldg sewer length = cf" I- = ~ ~GW f -amount of cover 3S a W ~ Z d ~ a J Plan revision Required? 0 Yes No Use other side for additional information. ~J SBD-6710 (R.3/97) Date Insepctor gnatur Cert. No. PLOT PLAN PROJECT Vernon Johnson ADDRESS 298 Ctv Rd U River Falls Wi 54022 NE 1/4 NW 1/4S 24 /T 28 N/R 19 W TOWN Troy COUNTY ST. CROIX SYSTEM ELEVATION 94.0' BEDROOM 3 CONVENTIONAL AT-GRADE XXX CONVENTIONAL LIFT HOLDING TANK SEPTIC TANK SIZE 1000 gallons DOSE TANK SIZE 630 MOUND HOLDING TANK SIZE LOAD RATE .6 ABSORPTION AREA 750 # of chambers none BENCHMARK V.R.P. Bottom of garage siding ASSUME ELEVATION 100' ❑ BOREHOLE O WELL * H. R. P . same as benchmark Cty Rd U Scale = 14" = 10, Failed system Old System is to be pumped and buried ST Tank is to be properly bedded and provided with lockdown covers with approved warning 250' labels Combo Tank O xis 477' Property Line Wel I Bedroom House ' Area 5' below syste is to remai un ' urbed 10% Slope Shed B-1 B- 92' B.M. 94' 96' B-2 B-3 Grading is to be done to divert run-off away from system 477' Property Line Property Line - - County C , 1 f`~) yL FIndustry Services Division cJ - i E Washington Ave Sanitary Permit Number (to be filled in by Co.) r=r P .O . Box 7162 on. WI 53707--7162 l0 3 S 4 5[ate '1'ranyacti0n Ntrr;Uer anitary Permit Application, ~ In accordance h SPS :183.21(2), Wis. Adm. Code, submission ofthis form to the appropriate govern m t is required prior to obtairin a sanity -2 Z - g ry permit. Note: Application forms for state-owned WT are submitted to Project Address (f* different than mailing address) the Department of Safety and Professional Servies. Personal information you provide rAA(Jl u q a q purposes in accordance with the Privacy Law s. 15.04(1 )(m) Stats. - ry C z / V 1,j Application Information - Please Print All Info rmation ) Property Owner's Name Pare el tt Property Owner's Mailing Address Property Location City, State Govt. 3 7z u-- - - Lot ~ Zip Code Phone Number s ~ LC/'/, Section cle one II. Type of Buildin - - OT g (check all that a ly) i,ot # T ~ N, x ~ 1 0 - roily Dwelling Number 6f Be oorn Subdivision Name - lock # I- ❑ Public/Colntnercial - Describe Use I4Qi✓~I,e oi- B - - Q City of-._ ❑ State Owned- Desc''be Use CSM Number ❑ Village of /Z X 1 4 lbwnoff_~ III. Type of Permit: (Check only one box ort sine A. Complete line B it'applicable) JB NewSystem eplacement System Q TreatmenUHolding Tank Replacement Onl Y ❑ Other Modification to Existing System (explain) Permit Renewal Permit Revision List PreviousPermit Number and D❑ Change ofPlulnbTr Perm Ne w it Transfer o ore Expiration wne r [V. T e of POWTS S ;:telydcom onent[Device: Check a0 that a I) ❑ Non-Pressurized In-Grou-id ❑ Pressurized In-Group t-Grade - ~ ~ Q Mound > 24 in. of suitlble soil ❑ Mound < 24 in of suitable soil ❑ Holding Tank ❑ Othe- Dispersal Component (explain)_ V. Dispersal/Treat ent Area Information: Pretr;atrnent Device (explain)-- - - Design Flow (gpd) Desi.:n Soil Application Ra (gpdst) Dispersal Area Required (sf) Dis)iersal Area Propose (sf) System Elevation VI. Tank Info , Capacity in Total - fl 01'- Crallons Manufacturer New TatFks - Gallons Units Existing Tnnks ti G✓ tJ Cam + 0 V rr( a`U n A y Septic or Holding Tank Dosing Chamber v - VIL Responsibility Statement- - 1 the undersigned, ass eresponsibility f or installation Plumber's Narm (Print) of the POWTSshOwn on the attached plans. ' Plumbe ignature MP/MFRS Number Business Phone Number t Plumber's Address (Street, City, State, Zip ode) 2,v s,~. S D I VIII, Count /De artment Use Only Approved Disapprove Permit Fooee Date I tied Issui g ntSignature per G, ven Reason for Denial $ (W ' 7 -7 -7 IX. Condit 10 _ sons for Disapproval / - _ • >a~ptictank, emtliatCfilter tiit' 3 `a.tJ 1, R~gl~p diapersal call •must all tle aervi3ces / Itf~intairrw'I r ee. as per management plan provided tryr pkt 2 A# ae tlt:k req ITS I*: lJl !r SrC.ti. ra I ,n PW - tide 1 A/iT~+od Gd r A Cuch to complete plans-foi fh~ system and submit to the Comun paper not Icss than 8 In x 1 t inches is size ' SBD-6398 (R0313) ~~QARTS{~ DIVISION OF INDUSTRY SERVICES yti, o PO BOX 7162 MADISON WI 53707-7162 3 i DS a Contact Through Relay P www.dsps.wi.gov/sb/ www.wisconsin.gov ossi N Scott Walker, Governor Dave Ross, Secretary July 24, 2013 CUST ID No. 226900 ATTN: POWTS Inspector SHAUN R BIRD ZONING OFFICE BIRD PLUMBING INC ST CROIX COUNTY SPIA 1432 120TH ST 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 07/24/2015 Identification Numbers Transaction ID No. 2280587 SITE: Site ID No. 793557 Vernon Johnson Please refer to both identification numbers, 298 Cty Rd W above, in all correspondence with the agency. Town of Troy St Croix County NE 1/4, NW 1/4, S24, T2 8N, R19W FOR: Object Type: POWTS Component Manual Regulated Object ID No.: 1440749 Maintenance required; Replacement system; 450 GPD Flow rate; 42 in Soil minimum depth to limiting factor from original grade; System(s): At-grade Component Manual, Version 2.0, SBD-10854-P (N.03/07, R. 1/12), Pressure Distribution Component Manual - Ver. 2.0, SBD-10706-P (N.01/01, R. 10/12); Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. 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. • The area within 15' downslope of the dispersal cell shall remain undisturbed. Vehicular traffic, excavation or soil compaction is prohibited in this area. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with CON 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 A explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per DEPT O SPS 384 product approval conditions. PROFESSI • A copy of the approved plans, specifications and this letter shall be on-site during construction and open to DIVISION OF inspection by authorized representatives of the Department, which may include local inspectors. Owner Responsibilities: • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relatin4SE t o proper use and maintenance of the system. SHAUN R BIRD Page 2 7/24/2013 • 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). • 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 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. 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. When You Receive That Invoice, Sally Sh er Please Include a Copy With Your Engineering Consultant, Integrated Services Payment Submittal. (608) 264-7782, Monday - Friday 7:45 am - 4:30 pm WiSMART code: 7633 sally.shumaker@wisconsin.gov 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 by SPS Chapters 360-366. SHAUN R BIRD Page 2 7/24/2013 • 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). • 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 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. 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. When You Receive That Invoice, Sally Sh er Please Include a Copy With Your Engineering Consultant, Integrated Services Payment Submittal. (608) 264-7782, Monday - Friday 7:45 am - 4:30 pm WiSMART code: 7633 sally.shumaker@wisconsin.gov 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 by SPS Chapters 360-366. I I I i RECEIVED JUL 18 201 3 Cover Page INDUSTRY SERVICES Shaun Bird Bird Plumbing Inc. 1432 120th St. i New Richmond Wi 54017 715-246-4516 Date: 7/13/13 i Owner: Vernon Johnson Location:NE1/4 NW1/4 S24 T28 N,R19W 298 Cty Rd U Troy System type: At-Grade Manuals Used: At-Grade Component Manual version 2.0 SBD 10854 (N. 03/07) Pressure Distribution Manual version 2.0 SBD 10706-P(N. 01 /01) i Page# 1. Cover Page 2. At-Grade Plot Plan 3. At-Grade Cross Section 4. Pipe Cross Section/Pipe Layout 5. Pump Chamber Cross Section 6. Pump Curve 7-8. Maintance and Contigency plan 9-11. Soil test 12. Filter Specifications )MONALLY PROVED Shaun Bird ' SAFETY AND Signature 3NAL SERVICES DUSTRY SERVICES License number 226900 .ESPONDENCE PLOT PLAN PROJECT Vernon Johnson ADDRESS 298 Ctv Rd U River Falls Wi 54022 NE .1/4 NW 1/4S 24 /T 28 N/R 19 W TOWN Troy COUNTY ST. CROIX SYSTEM ELEVATION 94.0' BEDROOM 3 CONVENTIONAL AT-GRADE XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE .6 ABSORPTION AREA 750 # of chambers none BENCHMARK V.R.P. Bottom of garage siding ASSUME ELEVATION 1001 ❑ BOREHOLE O WELL *H.R.P. same as benchmark Ct Rd U 4 Scale = 1/4" = 10' Fai led system Old System is to be pumped and buried ST Tank is to be properly bedded and provided with lockdown covers with approved warning 250' labels Huffcutt Combo Tank O Existing 3 477' Property Line Well Bedroom House Area 15' below system is to remain undisturbed 10% Slope S hed B-1 B-4 92' B.M.* 94' 96' B-2 B-3 Grading is to be done to divert run-off away from system 477' Property Line Property Line At-grade System Sloping Site ;Toss Section and.plan View _V__._ s 1 ` Uirriensioll Feet - Y^-r-r-r-r-+-•r-r~--r-r-r-r-Y--r-r-Y~Y~r-r-Y .+r-r+r'-Y-• p SY'L•Y'r+S~,••` 51~~5t•11 'L•'Y-Y~•+~11~11•''~'S'•'•1''SiS•S+'S'•4YSYSYS•S• '•S•1'•S+SY11•SYS•1'•S•'L•S•'4.'~S•L•S+S•S A Ate, f_ 'r'Li51~4Y1L~S~IL:~L1iSi'L+'Y~•Li'y~11 51~1Y~51~`Y•+4+J"LrS~'1'~t:y~'S:y'Ir'S'~SI%ti':S'rSrS~LrbSrti Sj'L~~4 5~rti •.''~''LY ~ - g ,+•.,r.Ir.J•J•JY1+J•J•J•r•r•r■J+r•r•r•r•r•r•r•rYJ•J•r•J•r•J•J•J•J•r+r+J+r•r•J•.•r+r+r• Y YL•yS+•5•S+S•'y•S•S+'y•S•'•S•'1Y5Yy'Y••S+Y"Y1YSYti`'4•S•Y+'LYS••••`•'4+S•w.S•L•SYS.ti 'LYL•S•S•S• ~ ~:Y,~'L~.y1~'I~JYy:1.'~~,y1Ji'LrL~'.+''L.'L~yYIJi 51~,•IIa11~,y~J+'Y~~„Y•r;•`''S1~'~L~''Y~•'''LI.'.y.•'L.'1~:LJIL~'L':L~ti.~+.:ti ti 'L:'L~lti1 %~'•+'L:'S,r•LY r B J - rYrYr•r•r r ~•r•r•r•r.r•r•r•r•J•r+r•r•r•r•r•r•r•r•J•r•r•r•nJ•J+J+J+J•J•r••'-Yr•r•r•r• •S•SYbS L S L+11•'ti•L•S•S•L•SYSYSYS•S•"Y•L+'LYS+'LYS+S•'L•'.•ti•'LYSYS+SYLr'LY'Y•11+5.~7,•IyY'L•yL•.. / r3 W - '.-i--- - ~r1'~:LIr"SIiY'Li•Y~ 4Y~S:S +ti•S~SrS~ti ti 'L~S:ti="•Y;S:"S~S•~•S.w;•S•S'++ :''Lf'S~r~r•'L~51;''4r'L=''~'r'~'•ti ~i~':L:S:'L:•L. ~ _ 1/63 r•r+J•r+J•rY•+Yr•r+rYr•r•J•r•r•r•r•r•J•r•J•r•r+J••Ir•r'•r•J•rYrYJ•rYJ+r•r•rYr•.•r•r•r•r+ ~ •:r:•r~r~r:rY:':'r~s r~r:r•r•J~rYr•r'r•r=rtir~rtiJ'%r~r~r~r~r~r:'J~r•J:r~r~r=r:J r~'J~J~r_.. ~ `S••L•L•S•`Y•`Y' 1+YSY5IYSYYY•SYSY'LYS•SYS•'L•S•S•S.S.S•'L•SY•~.y'•S•S•ti'.S•SYS•S•S.ti•S 1.•L•S• • D 10 :$:~:$.~:tirw',5:1 5~'YIJL:L~'. SAS. L~'Y~S.q.,t~S~ti~;Yr,• L.' 1~1n5..~rti+tiMf~Jtiri~ti'1{1rti~•r+L. I 1 r•J•r•r•r•r•.+J•J•r•J+J„r•r•r•r•r•r•J•r•r•r•rYr•r•r•r•r•r•r-r•r•J+J•r•r•r•, •JYJ•J•JY ~ r~,:SYj,.1,'y,,'',jti''i•'YS'J':Ir~J'~J':Ij°:.f'wJ~J:J%~: 'S'r+r~r:r:r J''Y r:r:J•r•J•r•J•J•17'•J~r~r~r+~ ~r~+r~r~r~• - ~i 5.0 Y Y YY •Ir+ _c-,... 1`~.1':l J'~T J'i.ie,f:Y~'S1'iJ"SIr':1'~d'~?'~J ~d'y~y1f'~J J'Y'r~•ttir~~'~7'~+~f'+~r~f'~1'•+.1'+'~7'%1':~tiJ:d'~J+~.'Y'r~JwJ•J'•• ~ _ ._.__..,.___y_-___._____. 0.__.5 Y YLYS.SYSYSYS, ~L•,yYYYYS•ti+.Y•,LYSY•Y•ti•L•'L.•Y.'L.'L. S.L•S•S•L. S.S•S.S S+SYS.S+SYS+'S. S•L•S.'LYS I' ~'1+'L SfS~'L+S`~N.:IL•~'.:'L+'Li'L~S~S~51~S~'41'J•S•'L•L+'L%~11•S~+trSr4 L~+Lr'LfS~.S S`~L+L~•S+S'~'1~~5`'L~'S+S`''ti' ~ ,I••,r„1'.r•r+J'+.'•J•r•J•J•JYr•J•r•r•r•r•r•r•r•r+r+r•r•r•r.r•r•rYJ•J•r•J•JY,~ti~•YJY,rYJY~'Y Y•Y•L•SYS•L•1i' L• •S•S•S+S•S+S•S•S•'ti•5+11"L••b•S•S•S•S••LYS•S•S•S•'L•L• S•SYL+S•S• ~l 1 .lJ 17'tiYS11'S."SY',S,irSJS~LrSJ+Y?S.'L~'•`..'SI:'•+~I:'L'IrISIriS:S~Sre:.YeSY.x Ap- r°- 1/6B - r W Z E - - - B - - - - L i Plowed • = Clean aggregate 0 = 4 in. sch. 40 pvc L+LY m ; basal area J~~""• %1 to 2. % in. Ilia. observation pipe U.teral with 2" Topsoil Cap aggregate over pipe Observation Pipe Geotextile r G With Crap Fabric r•r JYr:r.r.r J 1't Lateral Inver - Ar1 SY++„Y'S,YS.LYSY r r r•r r•r•r• r•J~r•r•r•r•r•r•r - - - r Topsoil Ca ~ r S r'11~ YIL;•''L•rY'S•r•'L•r•'L-r.'•Lr•'•Lr • f1Y~JYLYrYS.r•S+r•S•r•S•rYS•r•S•r+S •r 'VIr +S ) pp'1 ••i1+S 'L `L L S S+L ~7 Y• S•S•S•S•S•L•~•S•M1 S S S•S i y H~tl r' t+JY1 J•J r r r•~ r r ~•r•r. r•J„r, r.1T•J•r r J r,r ,L . . L1 • S ` . L+S•S S•S S S •Y•S r •.r~r•r•J r r r• •J r•r`~/ 3~ Ft Contour tirS 'L•L ti LJ tiYS.ti.tiY L L, .J•r r •J 5 M... . 'l • 'Y•S S S L•L S LYSYS•S• ~r: :rr~r r r•J•J r J'•r'•J•r•r•J•r ".,r •+-Me.r: .l ,*.•!S.YSi. 'L.~tiYS '1 L LYL•S•S•L L•S• -D - ;PLow,:d Surface`~c; Slope Direction GENEIWA INS'CALLA"TION: 'rhe at-grade area is staked out long the design contour. Existing; vegetation is movxed and raked oft` the site. The basal area (1, x W) is staked out and plowed with a moldboard or chi. el plow. Plowing may not proceed if the soil .s wet enough at the plow depth to form a '/4 inch sail wire when a sample is roller{ between the palms of the hands, The A x B area is covered by clears aggregate deposited overhead by a backhoe. Special care must be used when placing the aggregate to minimize compaction of the plowed surfax. After the topsoil cap is placed, the entire at-gra-le is seeded and mulched to promote vegetative; growth, limit erosion and protect from freezing. Th.e observation pipes are perforated in the lower n inches and secured in place. 03/05 lgj Page of - - Pressure Lateral Layout One Lateral End.Manil'ald Threaded Cleanout Lateral Turn-up ► Plug Force Main. L ---T - Long Sweets 90 Bend I _ I - Pressure SYsteln C'onstructiari - Distribution IV etwo r lc S eciticatiuns Lateral Diameter--_ Z- ln. Laterals are constructed ofcYtedule 40 PVC a Itt. pipe, ()tifices are drilled perpendicular to Orifice Diarnel:er - In the pipe with a sharp drill hit and face dovvn. X (Orifice S kin) _ Lateral turn ups terminate with a threaded IL,ateral Ler gth) l`t Farce Main 17iruneter In. cleanOUt plug; and are enclu ;ed in a (i 8 inch diameter lave n sprinkler valve box accessible Force Main L !_ngth _ 1: t• frorrt tirrishec! grade. • • • • • Grade 6-8 Inch Lawn Sprinkter Valve Box f - Page o 03/05 tgj Sepfic;-T)oK,c-. J'ank. Cross Section .And Pingp Performance Specifications tank Manufacturer Putrip iVlanttf tcturer I - I ank Model Nttt4i- sr / Pump Model Nutrtber Total Tank capacil-ty AYrrtnn N ianufacturrt Vt'~C.usY' 1VCa7c. 13ttY'y Ih,~pth :Alarm Model Ntmihut •1 Type Filter Ma iUfhetttre r A~ jZ-- - - Total Dynamic rettcl (r 1)1-t) Poet FiltCZ_ Model Nttrrtl pest" _ _ Elevation Head Netwo rk. Loss D Mittirnt.trrt ltuixxp 'erl'orrnur>K;el2egalrecl Force 1&in Loss r G il']Vl. i~ lit "1rDE1 Outlet Mattlto,e Min, 4•"' .Above Grads With ]Lacking Device hdat manhole Manhole Mitt. 4" Above l:yraclc < 6" Below Grade Sealed Watertimld ~ - ~ Secsttxeiy Mounted With Locking Deviou ~ 111notica Box r W..1 LLY Finished Grade Y~i rru +wrr W-0 Iwr w.&W lyly rr rrr K.rt'- ~ .«reJ V ent kiin. 12" 1)tncottttt;cd: A bov* Grade - tlnt att With Vent Cats r-r; LYLy,Y L, i~ Yi Y s a r ~ i iwi " L~:~i•~s L~"~'rT''~rL~~~~ Y Y it Vr V4 NL >rv Y Y YVbr~ Y<v'y<YJi roV/rr V I V I r L t IYV J J V~r J. J< J J I r V, JY .SLY r~4iL r r< utlet Filter k O .1 Inlet Baffle r • 1l at ..r rL , "iwitclt S0 tjttgs and Reserve Capacity ys,y r Funk IVoltxrnu - - Weep Dimensicin Inches Volume C7stl. : tl [Iota (reserve l A (lff L ; (alarrrt) 14' 2 era (dose) C;U Ft i L •wrYYwwY~ yr, Bottom Ellevatioll ;Y;Y; l:otatl ~ . ~r~rs-~-c-ro~-rrr~-,-,..L..L..v~s-L_r-L-r- • I~r+r1r.", r F,LIY<~1 A YY YY,Y Y, YrL, Y4 /~>~Y YY{Sr>~Ilr Y~1 ~Y <r~l L~I+L>~Y <L ~L 1% •YiY Y'1'Y<I~1~1<r'i LYJIi 1'r' rro L~Y~>YYrY+YrL rl.l u,a . " u "YILi tro+YVr'LJyar Jyl~ < l_l:L''' <`JrY' L.L..~.LL.Y3..k.kr "sL"+' r•.i.Y.i~-2:{°.~. rosV. V.JLro SaJ-1iJ1.11-.1~:1~11/ i i,J, V,LL, y, iv11L~..Gy LA.It+,L13.~L<. L L`L GENERAL fN15" A" LLATJON. The septic/dose Uwk is bedded and book filled in accordance with the ruainutautuivr's prod.ttct appraVal specitictttions. Maxitnuttl depth of bunr as spocitied by the numut-4eturer truly not be exceeded Without parior approval. Manhole covers expoNed to grade 11"Ive tttt estftwtivo locking device (padkwk) installed. Piping at the inlet and outlet is of approved material, comyeotaLj to the tarty, with watertight #ittirtgs, ,lnti laid ov. stable soil to ;prevent settling or sagging. The furors awin is sleevccl with 4" S.ch. 40 PV(:' tt► hritlge tltr tattle excavation turd the A.teve is sealed •watertight. Electrical service cornpliesi with NE( 30o mid Coxrlrn 14.28, 02/05 L.l Wage ~i Wastaw, I a W _`11111_NNNOOC== SEN-401Series 4/10 hp Submersible Effluent Pump, 3/4" Solids Co st rulction Row - Liters/Minute 0 50 100 150 200 250 300 Cover Epoxy-coated cast iron 35 Motoi:~Hodsing EpoxV-010slte'd"fl ran 10 30 9 Impe er Material Thermoplastic Elastorner 25 ' s Irnpo*j+r" pe Non-clog ; 2 7 = u 6 Volut;: Epoxy-coated cast iron 15 5 t?cwe (ord 91TN1 S 4 10 3 z Mechanical Shaft Nitrile with carbon and Seal ceramic faces 5 1 h tb iers Stainless steel 0 0 Shaft Steel 0 20 40 60 00 far a s' Upper sihterOd sleeve, ROW Gallons/Minute . ai td IlClwar 00.1 glogring- [l 9 6I, fitlU' I J.1!i -ate- Y-- 1~ - SEN-40-AE SEN-40 spec flcatiOns I', l fink SEN 40 509211 400 1 i 5 1 i /2" FNpT 9/920 80 70 60 45 25 3? 14 20 26.5 - 1750 a' ; s4~ l' j y{5 or.:F d 9/9 D' ,"a 131170';,.60 ti5 E 25*c 5 32 SEN-40-AF 509213 411 0 115 1 1/2 ' FNP7 ~'2 5 1750 1 _ 9/920 80 iU EU 45 25 32 14 20 27.5 7%50 (4b0 ~as1b 25'2 14 301%a~ 7750 P'ralnklin Elecitr-ic i 400 East Spring Street, Bluffton, IN 46714 Tel: 260.824.2900 + Fax: 260.824.2909 Fomi: 888188 %-'11 www.franklin-electric. coax POWTS OWNER'S MANUAL, & MANAGEMENT PLAN Page ~f FILE INFORMATION SYSTEM UPECIF'ICATIONS Owner Tank Capacity caner Septic U1 NA Septic Tank Manufacturer - oESIGN PARAMETERS ---A Effluent i=filter Manufacturer 17 NA Number of Bedrooms U NA Effluent Filter Model j Number of Public Facility Units El NA Purnp Tank Capacity CI NA j Estimated flow (average) al/da Pump "rank Manufacturer , I Design flow (peak), (Estir•iated x 1.5) Pump Manufacturer r i l • NA , Soil Application Rate - -_t.. t---_.- - - ! b ctat/da / Pump Model f_] NA Standard Influent/Effhrent Quality Monthly average's Pretreatm"nt Unit - - Fats, Oil do Grease (FOG) 530 m /L A 9 ©Band/Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BODs) 5220 mg/L NA r7l Mechat ical Aeration U Wetland Total Suspended Solids (TSS) 5150 m /L_ Disinfection U Other: Pretreated Effluent Qualit - - - 1 Monthly average Dispersal ~ Biochemical Oxygen Demand (BODs) 530 m L L] NA ~ ❑ Irr•Grou7d (gravity) IJ In-Ground (pressurized) Total Suspended Solids (T5S) r30 mg/L N~WAA t-Grade U Mound Fecal Colirm (gi3ametric, mean) 510`t cfu/100m1 10 rr ina - •.__..--ttic:----__ tJ Other: Maximum Effluent Particle Size Other: X in dia, EI NA Other: - NA 1-1 NA U NA Values typical for domestic wastewater and septic tank effluent. Other: - - El N L.1 NA I~IAIN7ENANCE SCHEDULE " service Errent ~ 5e rvice Frequency iinspect condition of tank(s) At least once every:, Cl mart r(s} ear(s) (Maximum 3 years) C! NA r urnp out contents of tank( , ) - - When combined sludge and scum equals one-third Qj) of tank vOlurne 11 NA Inspect dispersal cell(s) O onth(s) At least once every: j ears (Maximum 3 years) 0 NA I .lean effluent filter At least once every: ~ t month(s) 0 NA '2 I rispect pump, pump control,r; & alarm At least once every: 0 eartS(s) E1 NA I=lush laterals and pressure lest y nth At least once every; ` • eoar(sjs ) Ct NA ether: - --__W-._._------_-------.__ At least once every; D month(s) ~Jther - - _ yearn-(S) 0 NA - U NA MAINTENANCE INSTRUCT143INIS !Inspections of tanks and dP:spersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Rostricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank Inspections rru.rst linclude a visual inspection crn'the tank(s) to identify any missing or broken hardware, identify any cracks or, leaks, measure the volume of rc,ombined sludge and scum and to check for any back up or ponding of effluent on tie ground surface. The dispersal cell(s) shall be ivisually inspected to check the effluent levels in the observation pipes and to check t;,r any ponding of effluent on the ground surface. 'rhe ponding of effluent on the ground surface may Indicate a failing condition and requires the immediate notification of the local I-egulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third (X) or more of the tank volume, the entire contents of [:he tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR •113. Wisconsin Igdministrative Code. 1411 other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, land any servicing at intervals of <12 months, shall be performed by a certified POWTS iaintainer. 14 service report shall be provided to the local regulatory authority within 10 days of como etion of any service event. Page of START UN AND OPERAT,10N For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals thElt may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of thi tank(s) removed by a seplage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pomp tanks may fill above normal highwater revers. When power is restored the excess wastewater will bls discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluenlt. To avoid this situation Niive the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the. effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore nownal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park aver, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTSS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; brine. pesticides; sanitary napk ns; tampons; and water softener r ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following stets shall be taken to insure that the system is propeCly and safely abandoned in ,:ompliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tarilk s and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of W1 tanks and pits shall be removed and property disposed cf by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with sooil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have beer,, or must be taken, to provide a rode comfoll.ont replacement system: r7 A suitable repla,.:ernent area has been evaluated and rnay be utilized for tie location of a replacement soil absorption system. The replacement area should be protected from disturbance and compa Aion and should riot be infringed upon by reclulrled setbacks from a fisting and proposed structure, lot lines and wells. Failure 1 o protect the replacement area will result in the hoed for anew soil arid site evaluation to establish a suitable replacement area. Replacement systerns mast comply with the rule;/ in effect at that tin a. IJ A suitable repiwmment area is not available due to setback and/or soil lin itations. Darring advances In POWTS technology a holding tank ma,r be installed as a last resort to replace the failed POWTS. k-~~' The site has no: been evaluated to identify a suitable replacement area. t lpon failure of the POWTS a soil and site evaluathon 10 rust be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed) as a last resort to replace the failed POWTS. Mound and at-grade soil absorption systems may be reconstructed in price following removal of the biornat at the infiltra'live su ace. Recon Structions of such systems must comply with the rules in efhact at that time. .<<WARNI li SEPTIC, PUMP AND Ol"HER TREATMENT TANKS MAY CONTAIN LETHAL GAt9SES AND/OR INSUFFICIENT OXYGEN. DO NOj- ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUM3TANCES. DEATH MAY RESULT. RESCUE OI A PERSON FROM THE iNl"ERiOR OF A TANK MAY BE DIFFICULT OR iMPOSSIBI.,E. ADD,ITIONAI. COMMENTIi POWTS INSTALLER POWT5 MAINTAINER yName __._.Name Phone Phone r.5 C7 SEPTAGE SERVICING OPERATOR PUMPER) LOCAL REGL)LATORY AUTHORITY r Name r Name ---phone ~f✓ _ _ Y r t Phone This document was drafted in compliance with chapter SPS 383.22(2)(b)(1)(d)&(f) and 383.54(1) (2) & (3), Wisconsin Administrative Code. A FuTte'R CARTRIDGE ~~sUa~," -gip INSTRUCTIONS 'Installation z Dry fit the titter case onto t8te end of centered rrncfer the access opening. If oat, thIll dtthelplTUL enill-e it i% tank through the (W atdet SWVeht Weld (glue) if Selt: r Jplrye into £hc plpe:_ additional pipe onto the a isito While the •:ase is still (try lyth of 'A -itch pipe needed to brace e fitted ("I -he It r to :.he fart end taalf fiautiiizinig tile optional supplemental side support. If side ,up prnceed to step falU: hnrl: rttr_thud is hot utllizecl, , For installations utiftzing the optional solvent weld the R-'ncle pil,e canto the filter case. ntal side support: udlixed, proreed to step four. if side sup)ar a method is hat r. Solvent weld tit, filter cash urtta the autlrf pipe. Insert the fitter the vase. l'tse. iht:u the. ca::e, presslllp down until the filter iocks into the hattorn or If it VRS switccla is utilized; insert intc the filter q, clockwise . 5 +:.•v. 9f)°, anti lock by turning fly Vv.; t" Milintenance 1., Ter. ertluerrt filter s senrired hould be cleaned every tittle the septic tank is . 2. open the nutlet acr:es:: opening to Ihspnct the tank and tflt'rr _ .fit 'J. i. )'ump the septic tank completely, making s are to remove the sjudctc lDyer an the hottato of the tank and not just: the scum and effluent. a- once tine effluent hivel has been lowered bolow the irlve!rt ft( the , outlet pipe, firmly pull tip an the filter hand a to dislodge the cartridge from the case. r •t• S. Slide the vathIdge up and out of the case 1'cr cleaning, ti. If a VRS switch ronhecteil to all ajar,-" is present, the switch y ; %hould he removed by turning counterclock"ise 9q- and iieaned Wirth water idly. ;r 7,. While holding the cartridge on its side (large flat surface faclnit t r. ' down) aver the access opening, r'itme off the cartridge with wage o r nly, making sure all septage material is tins ad back into the tank. ~ ft.. If VRS switch is utike:ed, r'eplare by inserting into fitter' artd turning rlackwise'_tu", i ` _ 9, Insert the filter cartridge back into the, case, ut'essing down until frt. c the filter locks into the bottom of lags case. y. W. Retglare and sec uret!l• the access opd '-d ntng an ilur tank. II I www beamnsite.c:orn 877-MURTERS (653-4583) ST. CROIX COUNTY SEPTIC TANK. MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer +~e r / Mailing Address Z Property Address (Verification required from Planning & Zoning Departtue,nt for new construction.) City/State Parcel Identification Nuni per t~9 O U my LEGAL DESCRIPTION ' / r~ Property Location/(/ %a ,QL 1 /a , Sec. o~ , T d- N R(g _W, Town of7/_0 Subdivision Lot # Certified Surve=y Map # - - - , Vol ame Page # Warranty Deed # Vo htme Page Spec house yes Lot lines dentifiable es no SYSTEM MAINTF NANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of purnping out the septic tank every three years or sooner, i9-needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste, disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(l) and in Chapter 12 St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zorti;rg Department a certification forum, signed by the owner and by a master plumber, journeyman plumber, restricted, plumber or a liceua ed 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 Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that ,your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department -within 30 days of the three year expiration date. I/we certify that all statements on this rm 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 w my deed recorded in Register of Deets Office. Numb of bedrooms 7 / /_S 13 SIGNATURE OF APPLICANT(S) DATE - ***Any information that is misrepresented may result in the sanitary permit being r,-voked by the Planning & Zoning Department. Include with this apphcai ion 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. (RE's. 08/05) I (11111 IIIII Illll IIIII IIIII IIIII (Ill 111111 /III /III 8 6 9 1 3 8 1 State Bar of Wisconsin Form 1-2003 8691 J8 WARRANTY DEED KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO., WI Document Number Document Name RECEIVED FOR RECORD THIS DEED, made between Vernon J. Johnson, Trustee of the Vernon J. and 02/20/2008 11:00AM Elizabeth A. Johnson Living Trust, dated March 22, 2000, WARRNP Tr 16 ED ("Grantor," whether one or more), REC FEE: 11.00 and Vernon J. Johnson, sole Trustee, or his successors in trust, under the Vernon J. PAGES: 1 Johnson Living Trust, dated February 14, 2008, and any amendments thereto, ("Grantee," whether one or more). Grantor, for a valuable consideration, conveys to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Croix County, State of Wisconsin ("Property") (if more space is Recording Area needed, please attach addendum): Name and Return Address Joseph P. Earley A parcel of two acres located in the Northwest Quarter (NW of Section Twenty Earley Law Offices 539 South Four 24), Township Twenty Eight 28) North, Range Nineteen (19) Ne West, further Ne Knowles Avenue ( p ty { New Richmond, WI 54017 described as follows: Beginning at the Northeast comer of said Northwest Quarter (NW thence West on the North line of said Section Twenty Four (24), a distance of 477 feet, thence 040-1092-70-000 South a distance of 182 feet, thence East parallel with the North line of said Section Parcel Identification Number (PIN) Twenty Four (24) a distance of 477 feet, thence North along the East line of said This is homestead property. Northwest Quarter (NW '/4) a distance of 182 feet to the point of beginning. (is) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except: Easements and other encumbrances of record. Dated February 14, 2008 (SEAL) (SEAL) * Vernon J. Jo s , Trustee (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) Vernon J. Johnson STATE OF WISCONSIN ) authenticated on February 14, 2008 ) ss. COUNTY ) * Jose h ?)Earley Personally came before me on TITL EMBER STATE BA OF WISCONSIN the above-named (If not, authorized by Wis. Stat. § 706.06) to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. THIS INSTRUMENT DRAFTED BY: Joseph P. Earley Notary Public, State of Wisconsin My Commission (is permanent) (expires: ) (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED ® 2003 STATE BAR OF WISCONSIN FORM NO. 1-2003 -PC pe name belo~c signatures. 1 of 1 - RFc Wisconsin Department of Commerce SOIL EVA YATION~ RT Page of Division of Safety and Buildings ~(//l~ in accordance with Comm 85, Wis. ~g A ST <U,~? County Attach complete site plan on paper not less than 81/1 inches in size. PQ~must include, but not limited to: vertical and horizontal Vipoint (BM), dirediorL~~rCb Parcel I.D. percent slope, scale or dimensions, north arroranMocatlon and distance to neatesr'"PP, - Please prin>ll a I lnfor Ion. Revi ed by Date Personal information you provide may sed for -'~A ~Z-A ary purposes (Privacy Law, s. 15.04 (1) (m)). Z / Property Owner Property Location Govt. Lot - 1 /4 04 2 ? N R E (o Property Owners Mailing Address Lot # Block # Subd. Nan or CS r City Sta Zip Code Phone Number ❑ City ❑ Village Town Near st Road 49 1 I.SYAPI:~j (7 c I-) s- _Ye ❑ New Construction Use:g,,Residential / Number of bedrooms Code derived design flow rate GPD Replacement ❑ Public or comme a - Dps e: 10 E Parent material / Flood Plain elevation if applicable /t/ f ft. General comments and recommendations: 0 System Type System Elevation- Bori ~l t F ~ # ❑ Boring r- pit Ground surface elev. aft. Depth to limiting factor In. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eif#2 j L PY? Z- -,2 f 3 / v Boring # ❑ Boring FZQ ® Pit Ground surface elev.. Depth to limiting factor -7 ~/in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fff In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 e ,f • Effluent #1 = BOD > 30 < 220 rng/L and TSS >30 < 150 mg'L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Nwm (Please Print) Sig CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 5401 "7-,) 3 l --s 715-246-4516 Property Owner Parcel ID # Page of Boring # E] Boring ® Pit Ground surface elev. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 k-11 V-_ f r~ Z .i -Z ry J0 I - f - A os 222 (Y2 - 7b ZZZ ® Boring # ❑ Boring it Ground surface elev. ft. Depth to limiting factor y in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 ~ A L ,9- i' S ❑ Boring F-1 Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil ication Rate Horizon ')epth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 -Eff#2 Effluent #1 = BOD5 > 30:S 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD5 < 30 mg& and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (R.6=) Property Owner, Page of LA Morin # u Borinc / IGj pit Ground surface elev. - ft. Depth to limiting facto in. Horizon Depth Dominant Color Redox Description Texture Structure- Con ;istence Boundary Roots GPDtfi<_ _ in. Muns Al Gu. Sz. Cont. Color Gk. Sz. Sh. IFNI ~*Etftl2 -12 µ _ _ - - - _ - - - - - Fiorincl ~ ..q L L~ Boling # F] J X' i Oro(urd surface elev. ft. Depth to limiting fart t ifr Soil Alq)pliUllloll Rath Horizon Depth Dominant Color Redox Description Texture Structure Cor astence Boundary fgrxlt, r~l'D/fN in, Mumoll Qu. Sz. Cont. Color Gr. Sz. Sit. *Eff l `l_fft12 7P- - 74 L] goring! Boling # Ground surface elev. Pit ft_ Depth to limiting fact•x trl. E lioatiun hate Horizon `Tepth Dominant Color Redox Description. Texture - Structure Comi stence Bourittary Roots GPD/ft' _ in. M(m:urll Ou. 5z. Cont. Color Gr. Sr-. Sh. "E:ff#1 _ *EI 2 Effluent #1 = 6r.)1316 > 30 < 220 mg/L and TSS >30 < 150 rr(ytl_ " Effluent 4,'2 = 1301)5 < 30 rng/l, and -f-SS < 30 mglL The Department of Commerce is ail equal opportunity service provider and ernployei. if you need assistance to access services or need material in an alternate format, please contact the department at 608-:166••3151 or TTY 608-264-8777. S(SD-11DO (KA/OU) v Soil Test Plot Plan Project Name Vernon Johnson Shaun d Address 298 Cty Rd U River Falls Wi 54022 C #226900 Lot Subdivision Dat r/1 /13 NE 1/4 N W 1/4S 24 T 28 N/R19 W Township Troy Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Bottom of shed siding System Elevation 94.0' *HRpSame as Benchmark Cty Rd U Scale is F = 40' unless otherwise noted Failed system ST 0 Existing 3 477' Property Line Well Bedroom House 250' 10% Slope Shed B-1 B-4 92' El E3 B.M.* 94' ❑ ❑ 96' B-2 B-3 477' Property Line Property Line