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HomeMy WebLinkAbout026-1147-28-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 567231 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: Todd Marek Construction, Inc., c/o Todd R. M Richmond, Town of 026-1147-28-000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: 'c L'. H'IV', ( 24.30.18.1086 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. , 01 Septic L° wvdA~ J 2 L7 Benchmark j 0 t • C. Dosing r. Alt. BM / Aeration Bldg. Sewer , Holding SUHt Inlet t i-~ f~. St/Ht Outlet TANK SETBACK INFORMATION TANK TO PIL WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt Bottom ~ j ~ 9 Dosing , I ( Header an. Z CU Aeration lL Di t. Pipe ` c 1f,2~ / UU. l / Se V'~ Holding Bot. System ~IGI Z t Final Grade T PUMP/SIPHON INFORMATION Manufacturer Demand ver _ / G~ GPM -J 0 Sty (DI~ / S Model Number : 1 -I' L- 14 TDH Lift 2s~ Friction L ss System Head TDH Forcemain Leng Dia. A Dist. to Well , "Z-- I SOIL ABSORPTION SYSTEM BED/TRENCH Width• r Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. r uid Depth DIMENSIONS l/ (1 SETBACK SYSTEM TO / BLDG WELL LAK STR AM EACH Manufacturer: INFORMATION C R OR Type f System: I IT Model Number: DISTRIBUTION SYSTEM C '14""Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake j Pipe(s) l fr 2-5 ~Z'1 Length U/ • Dia Length Dia Spacing SOIL COVER x Pressure Systems Only x Mound 04-Grade Systems Only 1 Depth Over Depth Over Depth o t^ xx Seeded/S dded xx Mulched Bed/Trench Center Bed/Trench Edges To 7 f 11 ~ ,74, Yes N No Fx] Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: /74/ ( 7 f(.:xlnspection #2: 45 -t C11> Location: 1457 142nd Street New Richmond, WI 54017 (SE 1/4 NW 1/4 24 T30N P 8W), Richmond Meadows Lqt 28 Parcel No: 24.30.18 r 1.) Alt BM Description 2.) Bldg sewer length -amount of cover= Plan revision Required? Yes No Use other side for additional information. SBD-6710 (R.3/97) Date Insepctor' Signature Cert. No. I A Todd Marek P 0 Box 228 New Richmond, WI 54017 SE 1/4, NW 1/4, S 24, T 30 N, R18 W Richmond township, St. Croix county, Wisconsin Lot # 28, Richmond Meadows 3.22 Acres Scale 1 = 40' k-- 4a a'-A BM 1= 100.00' top of pvc pipe BM2= 99.30'top of pvc pipe 555.73' north lot line o'er 11 a QR 12001800 tank ~ _ Z W House $ qO C14 ~i m ©R~~~R`1 as II B2 43f rBM BM1 355.75' South lot`i Page 8 of 8 `3 Conn Ckd Safety and Buildings Division 8 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.) a D S f Madison, WI 53707-7162 A so 5V77-3 l State Transaction Number Sanit Permit Application Z 2 7 3 7 J In accordance with SPS 383.21(2), Code, submission of this form to the appropriate governmental unit is required prior to obtainin a s tt Note: Application forms for state-owned POWTS are submitted to Project Address (if different than mailing address) the Department of Safety r nal S es. Personal information you provide may be used §Econdary u oses in accordani nv w s. 15.04 1 in , Stats. H5 7 /~Z J 5l r,. h I. A lication In do lease Print All Information Parcel # Property Owner's Nam ;7-0g)- 040 c Pr Property Owner's g A dress O• opery Lo ation © Q Z ~,OG Govt. Lot ~ City, State v Zip Code Phone Number ~ y., w Section N~ , 1 l f /l circle one 1 (N` LD TN; RE II. Type of Building (check all that apply) tBtt:5 Subdivision Name or 2 Family Dwelling - Number of Bedrooms lc oti-o ❑ Public/Cotnmercial - Describe Use Ob - ❑ City of V CSM Number ❑ Village of ❑ State Owned -Describe Use Town of /d x ~v ✓n• III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A'iew System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) Gam---- List Previous Permit Number and Date Issued B. ❑ Permit Renewal, _ -Q- Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New Before Expiration Owner W. Type of POWTS System/Component/Device: Check all that VMounnZd~l 4 ti q-.0 Ay ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade 24 in, of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dis ersal/Treat ent Area Information: Desi Flow (gpd) Design Soil Application Rate ds Dispersal Area Required Dispersal Area Proposed System Elevation k_ 47 f, d 0 6 0 lw 9 .2 VI. ank Info Capac' in Total # of Manufacturer Gallons Gallons Units N H Cg New Tanks Existing Tanks o a. U ~ h v: is C7 a Septic or Holding Tank ~/Z Dosing Chamber ~ ~ t 1 VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print)) 1 a7d Plumber's S' atwe MPINSRS Number Business Phone Number Nc ZZ 7 Z~ P mb 's Address (Street, City, State, Zip Code) - LLS(A)okL a(( VI JA. Coun /De artment Use Only Approved approved Permit Fee Date Issued Issuing ent Signature en Reason for Deni $ ~6 17 13 DL Condit Weasons for Disapproval 3) Q J~~ 1 bra • ~o I~a,J d w 1. `Sepfttank, eMuentfifterand f•~ ( 11"" ,tq ~cr,,we~~ `vim . dispersal Pell •must all be services I maintained a$ per management plan provided by plumber. 2. _A# segack requirineMa must 130 rnafntaigid 1,G are_ as P, applit ahle cede / &dinances: Attach to complete plans for the system and submit to the County 0 ly 4 pa er not less than 111 inches in ~size SBD-6398 (R. 11/11) % FrT DIVISION OF INDUSTRY SERVICES Nrp~n 3824 N CREEKSIDE LA HOLMEN WI 54636 p a Contact Through Relay 3 S k www.dsps.wi.gov/sb/ r~ ;t P S www.wisconsin.gov A~0 SION2tiSti Scott Walker, Governor Dave Ross, Secretary October 09, 2013 CUST ID No. 226497 ATTN: POWTS Inspector ROGER D NELSON ZONING OFFICE NELSON PLUMBING ST CROIX COUNTY SPIA 122 E SUMMIT AVE 1101 CARMIC1 AEL RD ELLSWORTH WI 54011 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/09/2015 SITE: Identification Numbers Todd Marek Transaction ID No. 2312737 142ND Street Site ID No. 795938 Town of Richmond Please refer to both identification numbers, St Croix County above, in all correspondence with the agency. SE 1/4, NW 1/4, S24, T3 ON, RI 8W Subdivision: Richmond Meadows; lot 28 FOR: Description: Four Bedroom Mound System / 5% slope Object Type: POWTS Component Manual Regulated Object ID No.: 1450997 Maintenance required; 600 GPD Flow rate; 32 in Soil minimum depth to limiting factor from original grade System(s): Mound Component Manual - Ver. 2.0, SBD -10691-P (N.01/01, R. 10/12), Pressure Distribution Component Manual - Ver. 2.0, SBD-10706-P (N.01/01, 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. CONS' The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code APP requirements. DEPT OF No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, PROFESSIO stats. DIVISION OF 1ND 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 SEE CO -~y requirements of Sec. 145.135 and 145.19, Wis. Stats. RRES • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per SPS 384 product approval conditions. • The area within 15' downslope of the dispersal component shall remain undisturbed. Vehicular traffic, excavation or soil compaction is prohibited in this area. • A copy of the approved plans specifications and this letter shall be on-site during, construction and open to inspection by authorized representatives of the Department which may include local inspectors. ROGER D NELSON Page 2 10/9/2013 , 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 Fee Received $ 250.00 Balance Due $ 0.00 Gerard M Swim POWTS Plan Reviewer, Integrated Services (608)789-7892, Mon - Fri, 7:15 am - 4:00 pm WiSMART code: 7633 jeny.swim@wisconsin.gov 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. a MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Todd Marek Owner's Name: Todd Marek Owner's Address: PO Box 228 New Richmond, WI 54017 Legal Description: SE 1/4, NW 1/4, S 24, T 30 N, R 18 W Township: Richmond County: St. Croix Subdivision Name: Richmond Meadows Lot Number. 28 Block Number: Parcel I.D. Number: Plan Transaction No.: ?O E~ Y Page 1 Index and title Ap STyANO P Page 3 Mound age 2 Data entry JST EWces Page 4 Lateral a d dose tank RY SFRV/CFS Page 5 System maintenance specifications / Page 6 Management and contingency plan Page 7 Pump curve and specifications /y Page 8 Plot Plan ~FNCE Designer: Roger Nelson License Number: MP 226497 Date: 09410/13 Phone Number. 715-273-4444 Signature: Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01/01), and both SSWMP Publication 9.8 Design of Pressure Distribution Networks for ST-SAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01) Version 5.1 (R. 06/06) Pagel of 8 Mound and Pressure Distribution Component Design Design Worksheet Site Information (R or C) R Residential or Commercial Design Note: sand fin (u) calculations assume a (gpd) 'S-PS 3$344.3 n-situ soil heabnent for fecal 400.00 Estimated Wastewater Flow co;, 36 irches 1.50 Peaking Factor (e.g. 1.5 =150%) 600.00 Design Flow (gpd) r -9:100 Site Slope 98.70 Contour Line Elevation (ft) 51.00 Depth to Limiting Factor (in) 0.40 In-situ Soil Application Rate (gpd/fe) Distribution Cell Information 60.00 Dispersal Cell Length Along Contour (ft) = 10.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/fe) 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 3.33 Lateral Spacing (ft) If N above, enter the elevation (ft) Number of Laterals of the highest point 0.125 Orifice Diameter (in) 3.50 Estimated Orifice Spacing (ft) = 11.76 fe/orifice 2.00 Forcemain Diameter (in) 80.00 Forcemain Length (ft) Does the forcemain drain back? ~Y~ Enter Y or N 84.00 Pump Tank Elevation (ft) 6.50 System Head (ft) x 1.3 13.05 Forcemain Drainback (gal) 14.87 Vertical Lift (ft) 55.97 5x Void Volume (gal) 0.80 Friction Loss (ft) 69.02 Minimum Dose Volume (gal) 0.00 In-line Filter Loss (ft) 21.01 System Demand (gpm) 22.17 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 x x 1.00 x _ 1.50 x 1.25 x x 2.00 1.50 x 3.00 2.00 x 3.00 x G_allons/lnch Calculator (optional) Treatment Tank information Total Tank Capacity (gal) 1200.00 S_e_Et_ic._Ta_n~k Capacity (gal) Total Working Liquid Depth (in) Wieser i Manufacturer gal/in (enter result in cell B49) Dose Tank Information Effluent Filter_ Information 800.00 Dose Tank Capacity (gal) ~Poly Loc Filter Manufacturer 22 24 Dose Tank Volume (gal/fin) 525 Filter Model Number Wieser Manufacturer Project: Todd Marek Page 2 of 8 Mound Plan and Cross Section Views T ~ 1~ 13 : :a J 1 `Observation Pipe . K O A W B . I L1: -4- _ L Mound Component Dimensions Down slop a toe extension made. ft A 10.00 ft E AO.50 in H Ift ft K aft B 60.00 ft F in 1 1ft L ft D 6.00 in G ft J W 600.00 (fe) Dispersal Cell Area 1500.00 (fe) Basal Area Available 10.00 (gpd/ft) Linear Loading Rate 6.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 100.97 (ft) .rrrr H ~ rrrrr:rr 2 rrriii G I - . rrirrir rr~i F Dispersal cell 99.70 (ft) Lateral 99.20 (ft)-'► Invert Dispersal Cell Elevation E D ' 98.70 (ft) Contour Elevation Site Slope Geotextile Fabric Cover Shading Key Dispersal Cell See lateral details on Q ® Topsoil Cap 1.5 ft T Page 4 for number, size, c and spacing of laterals. © rills Subsoil Cap a ~ Q /'"~!Q d ee - / Laterals are equally ASTM Sand 0.5 ft Typical Lateral F spaced from the Tilled Layer c distribution cell's centerline in the ® A99m9a a ` -A distribution cell (AxB). Project: Todd Marek Page 3 of 8 A End Connection Lateral Layout Diagram Center the laterals over the A & B dimension Turn-up +W bell valve or oloan out plug P AN laterals are hientloal I+ X- ~I Holes drilled on the bottom of the lateral $ equally spaoed Laterals & foroe main of PVC ~oh40 $ Per SPS table 384.30»5 Force main oonneotlon vla tee or moss to manifold at any point. Number of Laterals 3 Orifice Diameter 0.125 in Lateral Diameter 1.25 in Orifice Spacing (X) 3.66 ft Lateral Length (P) 58.56 ft Orifices per Lateral 17 Lateral Spacing (S) 3.33 ft Orifice Density 11.76 fe/orifice Lateral Flow Rate 7.00 gpm Manifold Length 6.67 ft System Flow Rate 21.01 gpm Manifold Diameter 1.25 in Total Dynamic Head 22.17 ft Forcemain Velocity 2.15 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as oer NEC 300 and SPS 316.28 WAC Disconnect 4 in. min. Tank component is properly vented a Alternate outlet location Forcemain diameter Wieser Manufacturer 2 in. Capacityl 800.00 Gallons fi Volume 22.24 gal/inch A Weep hole or anti- Dimension inches Gallons B siphon device A 20.87 ^ 464.10 C 8 2.00 44.48 Pump off elevation (ft) C 3.10 69.02 84.83 D 10.00 222.40 D Total 35.97 800.001 1 I 1 .4 Dose tank elevation (ft 3" Bedding un er tank. 84.00 Alarm Manuafacturer ~tor_re Alar m Model Number $ ,q$ A- 6 Pump Manufacturer Goulds Pump Model Number PE 41 Pump Must Deliver 21.01 gpm at 22.17 ft TDH Project: Todd Marek Page 4 of 8 Mound System Maintenance and Operation Specifications Service Provider's Name Nng Phone 715-273-4444 -4680 POWTS Regulator's Name Phone 715-386 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 118 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1200 gal Maximum TSS 150 mg/L Soil Absorption Component Size 600 fe Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Freauency Septic and Pump Tank Inspect and/or service once eve 3 ears Effluent Filter Should inspect and clean at least once eve 3 years 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 Ins for ndin and see a once eve 3 years other Miscellaneous Construction and Mabrials Standards 1. Observation pipes are slotted and materials conform to Table C _ SPS 384.304 , 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)(1) Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in SM 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 ..~•••im Grade 6-8" Diameter Lawn Threaded Cleanout Sprinkler V alve Box P1ug or Ball Valve Distribution Lateral g Sweep 90 or Two 4Degree Bends Same Diameter as Lateral Project: Todd Marek Page 5 of 8 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code Germ" system shall be operated in accordance with SPS 382-394• Code, and shall maintained in accordance with its' component manuals [SBD•10691-P (N.01/01), SSWMP Publication 9.6 (01/81), and Pressure Distribution Component Manuel Ver. 2.0 SBD 10706-P (N. 01/01)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous asses 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, sods 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 actress openings greater than 84ndmes 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 fitter 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 assessmeK 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. AN switches, alarms, and pumps shall be tested to verity proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure DIeWbutlon Svstsm 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 BOD5, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BODE, 30 mg/L TSS, 10 mg/L FOG, and 104 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine If orifice dogging 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. Continnencv 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 dogged 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 khcal 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 8 VGOULDS PUMPS Submersible Effluent Pump PE SPNIC " MS Mom W i m Pump - General: General: . Corrosion resistant (se consuuction Discharge: I1h" awn Phase body. empera~rt:104OF (4 9Q 9 60 Hem maxhwm, ContM OW wheat • 115 volts • Thenrtopbstic impeller and fully • amli•in t wmd orerbaid pro- cover. • Solids handling: tecdon with aulomak reset. . tfppex sleeve and lower maximum sphere. • Class B insulation. heavy duty tai bearing APKI CATIONS models irtdtade a strength carbon steel ■ motor is mmanemiy Specially designed for the • Manual models available, shaft. lubricated for altendded following uses: • Pumping range: see PE31 Motor: service life. • Mound Systems performanoe ftt or dove. • .33 HP, 3000 RPM ■ Powered for cortinuo4js amps operation. • Low Pressure Pipe Systems o Maximum capacity:50 GPM Maximum worbrq linftftthe motor. design • Basernent Draining Maximum head: 25' MH PE41 Moto: a disaxwd Per • Haan Duty Suttapl PE41 Pump: 40 NP, 3400 RPM axt 2V standard length. 9 • Madmum capacity: 60 GPM • 7.5 Maxmmm amps heavy duty 1613 SIT W with • Maximum head 29' TDN • PSC design NEMA 5.15P, three prong, PE51 Pump: PE51 Motor: 115 volt grounding plug. • Maximum ca n*. 70 GPM • .50 HP, 3400 RPM a Complete unk Is heavy duty, • Maxima head: 37' TDH • 9.5 Maximum amps ports bbe and compact. • PSC design a Medtenidal seal is carbon, METERS FEET tterarnic, S M and stainless ap gels: r6a;. P6.;. ,'ees, steel. p e . , , 7': Nr 33, so .'Stainless steel fasteners. 10 , t s + Zit 30 z ..t...,._, ..t..►_. _.>...t r.. , AiSEIiCY US11N®S 1 t 25 ,2.2. 17 IkZ, C~Us a f TQAW 1D UL 779 and g 20 1 G5A W 106 Statndudc _ ~..:..i.. r... y t yy 15 t - , .--t-- .........j., lirCan.ditrss~Moo.tl.r vV I _ Fk#09 1 ~ t....i.. j... :..1. T 'T •r' GO* hW*g ai 150 OW ftOWNIA ..f ..j.._ 4 t _.M.....y... I...j- 5 r. i i - h-i t f 0 00 10 2 30 40 so 60 ' 70 GPM so Fla 0 S 10 is ra~11 t70t S p1N11~'aS CAKCrTr L 2001 Goulds Pumps EI+ NOWW Aw. Z002 17T Industries 31/41 Todd Marek P 0 Box 228 New Richmond, WI 54017 SE 1/4, NW 1/4, S 24, T 30 N, R18 W Richmond township, St. Croix county, Wisconsin Lot # 28, Richmond Meadows 3.22 Acres Scale 1 40' Ir---- 401 0"--~ BM 1= 100.00' top of pvc pipe BM2= 99.30' top of pvc pipe 555.73' north lot line v~Uel1 a2 Weiser 1200/800 tank r _ `p z % House $ Sol 0 . cn J B2 tai BM2 SM1 355.75' South lot line Page 8 of 8 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CCERTIFICATION FORM Owner/Buyer -haA0 X/ve/ Mailing Address Q ~05~ ZZ /y ~dDN~ Property Address JqZ (Verification required from Planning & Zoning Department for new construction.) City/State R10-1 M6,&Jl) WZ Parcel Identification Number 7 ~/2 7-- LEGAL DESCRIPTION Property Location ~;76 '/4 , '/4 , Sec. 4_~ T 3aN R~W, Town of 6G44"o glib Subdivision D l-t1 ,Lot Certified Survey Map # , Volume , Page # Warranty Deed # 17 y Volume , Page # Spec house Q no Lot lines identifiable ye 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 §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. 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. Uwe certify that all statements on this rm are true to the best of my/our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a warra ty deed recorded in Register of Deeds Office. NuTledroons qikt 171,71, STT JRTt 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. 08/05) y 7C'1 YZ '~lC */t Mq 31LL !0 i 10i 15V7 IM JO 3N1 lm 02 a ~ y ,b ~34 fig \ A r \ Ll \ at ~ ~ « d 8 \ N. 16 tf~ \ R a a ~r fib` ~ w~ I \ a~~ y` ii \ O f i i ~~+i II VIII Illllliill VIII I illllii 8161887 DOCUMENT NO. STATE BAR OF WISCONSIN FORM 3-1982 TX : 4132566 QUIT CLAIM DEED 980442 BETH PABST Security National Bank n/k/a Security Financial Bank quit claims to Todd REGISTER OF DEEDS Marek Construction, Inc., a Wisconsin corporation the following described real ST. CROIX CO., WI estate in ST CROIX County, -State of Wisconsin: 06/13/2013 11:35 AM EXEMPT#: NA REC FEE: 30.00 TRANS FEE: 36.00 PAGES: 1 Lot 28, Plat of Richmond Meadows in the Town of Richmond, St. Croix County, Wisconsin. RETURN TO Tax Parcel No: 026-1147-28-000 This is not homestead property. (is)(is not) Dated this 30th day of April, 2013. (SEAL) (SEAL) * G auser EVPICCO (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN authenticated this day of , 20_ OUNTY OF P ss. y TITLE: MEMBER STATE BAR OF WISCONSIN (If not, Personally came before me this 30th day of April, 2013, the above authorized by § 706.Ob, Wis. Stars.) named Security National Bank n/k/a Security Financial Bank, by George Hauser, its EVP/CCO to me known to be the person(s) who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY % Robert L Loberg/Loberg Law Office NotaryPublic i N County, Wis. 1314475 ~ttNlluttp~r My Commission is permanent. (If not, state expir tt~d$ RQ 4,,,~ (Signatures may be authenticated or acknowledged. Both are 3 _ _i ) O`(• ~y'4 not necessary.) ~``3~~ - • ~ I A q • • - S *Names of persons signing in any capacity should be typed or printed below their signatures. In S ' .o `G '2? QUIT CLAIM DEED ~AFORUR.3-19i},~`~ ` 1 of 1 OFIIWII$GO~`,,~ waft v WisccnsIN Department of Commerce SOIL EVALUATION REPORT 2 ©i4sion of Safety and Buildings Page of 3 in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must t include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. ZS -ooe-) Please print all information. R by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). - 3 Property Owner h Property Location I C / V-e 1 50 Govt. Lot 1/4NJ, 1/4 S 2-q T N R E (or Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# P o '3Du l0 & 2 2 2 ~S I c 1,,,n6 , ",CC d6r,~S City State Zip Code Phone Number ❑ City ❑ Village Town Nearest Road ItOb,-4 ar MN r (651 ) 7 -0- (l 8 Pt ' 024 rid I 0 New Construction Use: ® Residential / Number of bedrooms Code derived design flow rate, X/el Q C) GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Flood Plain elevation if applicable /CRRCFIVFD ft General comments $yS J Ch'` -e k Ur loto 9tlr• oc5 Z0c.1-e•^ cl~ Sd and recommendations: 21 eV , 7zJ) Z u. -e r cJ ~o APR 2 3 2002 GU~27~vta SP.~GC, ST. C COUNTY P I Boring # ❑ Boring / Pit Ground surface elev. ?q- /,6 ft. Depth to limiting factor 5(A in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 \4 r- 31Z 5iI 2.wo CS I v g 16 _Z 1 - Sic 1 2,~-,sb m - y 72 F Boring # ❑ Boring n pit Ground surface elev. - 9v ft. Depth to limiting factor 5 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 I C~-I Z I l2 2 r c V-' Z - l ry S~cI ~frk m c-:~) - y -5 ,3 - SL m~bk - - 9 S ,1D saw rl Effluent #1 = GODS > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BODS < 30 mg/L and TSS 30 mg/L CST Name (Please Print) ignature CST Number Address Date Evaluation Conducted Telephone Number ' S~ W s oZ - - y- o Z 7I - z -7 -yecrg - Star ` 7n) Parcel ID # Page Z of Property Owner 'I 3 Boring # [3 Boring ❑ ft, Depth to limiting factor in ® Soil Application Rate Pit Ground surface elev. Horizon Depth Dominant Color Redox Description Texture Gr SzuSh. Consistence Boundary Roots •Eff#1 PD'Eff#2 in, Munsell au. Sz. Cont. Color C~ 1 r I d- 2 C 2. S 4 1 b U Boring F-1 Boring # ft. Depth to limiting factor in. ❑ Pit Ground surface elev. r*Eff#Gl Application RatHorizon Dominant Color Redox Description Texture Structure Consistence Boundary Roots PD/ftEff#2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Boring # Boring Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil Application Rate F-] ❑ Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#i GPD/ftEff#2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L ` Effluent #2 = BODS < 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. SBD-8330 (R.07/00) Property Owner AJ-d 2$ Parcel ID # OZ./D Page L- of ® Boring # ❑ Boring pit Ground surface elev. ft. Depth to limiting factor ~p -7 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 •Eff#2 2 4-2 5 t z-rY):f:U 2 sL e ❑ Boring /16///-3 Boring # g Pit Ground surface elev. lbft. Depth to limiting factor 79 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 'Eff#2 10 WE L 7 #alo a . 6 . 3 Zr~ -~5 7, y 5L d Z d w Boring # ❑ Boring Pit Ground surface elev. ft Depth to limiting factor in. El Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L ` Effluent #2 = BODS < 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. SBD-8330 (R07/00) 1 t. PAGE 3 OF NAME e So LOT# Ze LEGAL DESCRIPTION -SL Y&~/ i4 ,S Zy 1,30 ,N,R, E(or SCALE: 1"= yD - BM I ELEVATION BM 1 DESCRIPTION BM 2 ELEVATION?730 BM 2 DESCRIPTION VU L - - C ` SYSTEM ELEVATION -)~)4 q ~S,oU Lower g 510 ALTERNATE ELEVATION 2~.S6 ~r 9~• 3c~ CONTOUR ELEVATION .p N 9g ~d B-3 a pr ~ mca,-1 7960 ~g-l SIGNATURE r/~Zr r~l DATE ~-/S I W z i _ IS 3A b69 iSb'?3 3H1 .40//3NIl L93M Z a. rj *Lj i co woo Co ir F= 0 - - - / r \ U N Z Q E o 00 moLL Uj m / I U) N O W / y N O J i 2j m~O w / 111 ; o I \ * ~j Lu N~ 90 ^'°~~fo \~1 vii w N G o~ o I w f UPS I in .S Q N N LO N \ _ - -1006 \ 00 fool \ Z U W oo W WOO W if) S4 SBFoo, 'm cl: n Sao, cn ^ I I Q R ` -'1001 m ` VN ^ O J U LA- 0) <i w ~cn0 a \ ~ Q IIF U ~ys \ tv ~ Q rn N a z II L►J cl: n~ N I I I (3 LIJ JO N LAJ \ ~^N < / I I I V) Lu W J W UW aa' \ / I I z1 ~rn3 ~ Q~ C9.~1 \ / I -i ZiQr) W a~ z< \ oor~ I \ c~z ~i ~j m~ ser y \ \ ` I / N \ CWZ' W \ h~~~ I w w~ co A \.0 Aj C- U- to u (N 00 m CV < 00 W) 00 •nc ONE I W ~ > \ ~ I D~z I l } V • \ \ 00, 01 \ 99 °p Foo, ir Q z \ \ \ \q'j~y moo/ 33ry I \ p <MW 0 x \i' 1 eF°o a5UJ W \ , . W ¢ ~ Z \ ~\oo\ \ \ 1.9* - - m m° can LO GO 9-CL d U- Lu 01\ z rlc~, I 00 10 On 00 1* 2 Q Y`~O Z 99 \ cv I °o;s ' l i • \ 00' 90.0, - \ (n T Q p~pp - 'C~ i On•~i \ ~FF'b- ~ w I J gip` n ST. CROIX COUNTY WISCONSIN ZONING DEPARTMENT N / N q M • ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016-7710 Phone: (715) 386-4680 Fax (715) 386-4686 Memo to File From Pam Quinn Date: 4/14/2004 Re: Soil On-site Determinations for Lots 32, 37 & 43 Richmond Meadows Subd. On April 8, 2004 on-site determinations of soil conditions at the above lots was performed to evaluate conflicting soil reports submitted by Adam Schumaker and Shaun Bird. At 11:00 a.m. the weather/lighting conditions were acceptable, with temp. 50°F, clear and. These determinations were requested by the property owner, Orenzo Oevering and the plumber/permit applicant, Dave Fogerty, who were present during the test pit excavations. Additional test pits were located next to borings on the original soil reports to better compare soil conditions in the tested areas. On lot 32 (see attached description) the soil profile contained massive sandy loams at approximately 36 inches below grade, which does not conflict with the soil tester's recommendation for using an at-grade system. What it did reveal, however, is that both Adam and Shaun likely misinterpreted the structure of the sandy loams: Adam called the sandy loam horizon a "2msbk" and Shaun uses "lmgr". There apparently has been a misunderstanding between "structure" caused by handling samples of the soil during texturing versus the soil characteristics in situ. The soil, when chunks were taken out of the profile to hand texture, parted easily into "crumbs" that appeared at first to be subangular or granular in shape. However, these were not true peds that broke apart along planes of weakness , but fragments created by handling. The soil when observed in the horizon did not have distinct units of structure and should have been reported as "massive". Two test pits were evaluated on Lot 37, since the sanitary permit has already been issued. Due to the current house and well location, additional tested area will be required to meet setbacks to the POWTS. A pit closest to Shaun's B2 did have a sandy horizon as reported, but only to a depth of 60", then underlain by a massive sandy loam. Unfortunately, the boundary between the sands and sandy loam horizon was very irregular, with tongues of sandy loam much closer to grade than 60". The recommended loading rate for this site would need to be lowered to adjust for varying pore space at system elevation. Lot 43 had conflicting reports, where Shaun's tested area (near the front of the lot) reported conditions allowing a conventional system and Adam's (closer to the rear of the lot) reported mottling at 32" with a mound system recommendation. Additional test pit B4 was excavated next to Shaun's B3 (see attached description) and massive sandy loams were encountered at 17 inches below grade. Weathered cobbles (break into smaller pieces upon disturbance) and oxidized iron deposits around individual gravel/cobbles were observed in the pit wall, but no mottling was identified to 68". Shaun's B3 description of sandy loam with "2mgr" structure starting at 18", then sandy loam "lmgr" from 36-110". Again, I think there was a misinterpretation of texture after a sample had been handled. Leroy Jansky, Dept. of Commerce Regional Wastewater Specialist, has been consulted on this situation and advised the zoning department to require on-site verifications for any lots with this potential misinterpretation on the reports. Obviously, one of the concerns is to make sure loading rates for the soils are not in error and allow undersized POWTS to be installed. For example, in December 2003, Lot 35 had to have its loading rate reduced to 0.3 gpd/sq. ft. when the installer encountered massive sandy loam at the system elevation. The sandy loam horizon was described on the soil report as "I mgr" with firm consistence. The zoning department will have a note placed on all soil reports with this type of description as requiring a design using the current code's soil application rate for massive sandy loam @ 0.2 gpd/sq. ft. unless additional soil testing proves otherwise. Lot 43 had conflicting reports, where Shaun's tested area (near the front of the lot) reported conditions allowing a conventional system and Adam's (closer to the rear of the lot) reported mottling at 32" with a mound system recommendation. Additional test pit B4 was excavated next to Shaun's B3 (see attached description) and massive sandy loams were encountered at 17 inches below grade. Weathered cobbles (break into smaller pieces upon disturbance) and oxidized iron deposits around individual gravel/cobbles were observed in the pit wall, but no mottling was identified to 68". Shaun's B3 description of sandy loam with "2mgr" structure starting at 18", then sandy loam "lmgr" from 36-110". Again, I think there was a misinterpretation of texture after a sample had been handled. Leroy Jansky, Dept. of Commerce Regional Wastewater Specialist, has been consulted on this situation and advised the zoning department to require on-site verifications for any lots with this potential misinterpretation on the reports. Obviously, one of the concerns is to make sure loading rates for the soils are not in error and allow undersized POWTS to be installed. For example, in December 2003, Lot 35 had to have its loading rate reduced to 0.3 gpd/sq. ft. when the installer encountered massive sandy loam at the system elevation. The sandy loam horizon was described on the soil report as "I mgr" with firm consistence. The zoning department will have a note placed on all soil reports with this type of description as requiring a design using the current code's soil application rate for massive sandy loam @ 0.2 gpd/sq. ft. unless additional soil testing proves otherwise. v N." 0) N 0 I 7~ N D '•x.86' 40 '61 0' \~.I• '0 -06 OD I (7 v z OD 4,* .100 C) z m- 0 \ ~ ~ P 4 \\~p p \ N 1 i \ Z o m - - -L 1 \ \ \ 0 ° D ~J Xoo \1 °q?\\ \ \ \ O D I Mfc pp \ \ O z >50 C1 ) I 700 J °C3 00 \ \ ss(~ \ z~c \ st \ ~S IN eV Drn I LLDNO L F 41 \ DAN o 0 > 'n OD L 1 \ \ CD C -q 100 yZ Izwy'~Z r I \ I O cn I z I r \ GD N O H ~O O ~1 zo n ~j z W K:) to D~ n pjj 0 M.0 rn "n Cli -i IbZ \ I 5 - C to r I V 4~t~~o cu \ °0a. too OD L4 ss p ,can i ~fj~~~ cvi, N I F Q t \ Mff rn Z r~ O W n °p / i > °p \ N 900 CD ~ -vl- 3 1 0 \ \ tr N D\N ;J \ \ I L 0 an v \ > tri y n m c C I \ N a oN / z 'b: ~I1 1191 \ i ; rt mm v ~o~ \ ~ y f -6 co a CD C) Is D l o oN a :6 ODOR 3 I J m -n m cn • 000rn 321.18' /---_L C,; K) rn m O A I I \ \ i 1 WEST LINE /OF THE EAST 594 FEET I m ; z y - I (n ~ 140TH STREET Z r- I 7' N M r? i i n n I ~ Z i 0 O i CI~ 910 I~~ X Z i$o 0DN O m o C: .p ° ®O1d6O ®2k O• ® M Z M -a n l`~ I I 4 O II 11 U) 0 U) II II II II I p I Z I _ II II t:t o o z m m m ccz m C() Z z -i z z•. z z 0 I 2 m I 2 Wisconsin Department of Commerce SOIL 4 UATION REPORT Page 1 of 2 Division of Safety and Buildings in accordance with Co m 85, Wise dkft f~~Jj County ST. CROIX 1~>10 Attach complete site o per ss than 8 1/2 x 11 inloWtn P n must include, but not li erti nd horizontal reference pont (BM), di 16Fy~t1d Parcel 1 026 11 7 - 28 - 000 percent slope, s di ions, north arrow, and location Tici sQance toif{~Mrest road. XX Please print all information. - ~4` o~,yry Revi d by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ~u 7 Property Owner Property Location TODD MAREK CONSTRUCTION INC. Govt. Lot SE 1/4 W 1/4 S 4 T 30 N R 18 E (or) Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1298 138th Street 28 Richmond Meadows City State Zip Code Phone Number []City [:]Village • own Nearest Road New Richmond, WI 54017 ( 715 ) 377 - 6240 140th Street E] New Construction UseE] Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD ® Replacement Public or commercial - Describe: Parent material sandy outwash Flood Plain elevation if applicable NA ft. General comments Mound System 0.50 ft. sand fill and recommendations: Additional boring conducted to move system area from location of proposed dwelling. E Boring # ) Boring © pit Ground surface elev. IM 10 ft. Depth to limiting factor 32 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 1 0-10 10YR3/3 - sil 3fabk ds 3vf-m 0.6 0.8 2 10-24 10YR4/4 - sicl 2f dsh 2vf-f 0.4 0.6 3 2432 10YR3/6 I sl 2msbk ds Ivf-f 6 1.0 a 2 Boring # Boring 96.00 >36 E] Pit Ground surface elev. ft. 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 *Eff#2 1 0-13 10YR3/3 sil 3fabk ds cs 3vf-m 0.6 0.8 2 13-30 10YR4/4 _ to;z: dsh cw 2vf-m 0.4 0.6 3 30-36 10YR3/6 - dsh 2vf-f 6 1.0 * Effluent #1 = BOD > 30:_< 220 mg/L and TSS >30:5 150 mg/L * Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signat re' CST Number MARY JO HUPPERT Hollister's Soil Testing & Desi L 224832 Address Date Evaluation duct ed Telephone Number W9875 690th Avenue, River Falls, WI 54022 10 - 02 - 13 715-426-1775 Plot Plan for Site and Soil Evaluation Page OL of JL Property Owner rOp A K 6STkut'r"MI 1"=40ft Legal Description chr ter, Aleo ,omo A4&4rvw6, (excvt w %c, n~te~d' S of TH /11w+ ~ zq T 30A) R18 wi WA) Of - • = OeIt 4 y, 5~ fi'a ~"*x Pmu+ou s S 'r" d = YIM of h 2 Q 4c G n A~ ,l J r f• 9'l VO` ~r~'l e- DSO u12.~'t I~C,10 Site Location: ~Gz