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018-1086-51-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION r r * (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(mp. Permit Holder's Name: City Village x Township Beck, Sammie & Debora Hammond Townshi CST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic - /~ ~,~ Dosing rn ~ v~ 1/ Aeration Holdin TANK SETBACK INFORMATION TANK TO ~~ SWELL l ~ ~ LDG. Vent to Air Intake ROAD Septic ,~ D ~ ~ ^~~l ~ 3) ~ Dosing 2 ~ / +' Aeration Holding PUMP/SIPHON INFORMATION ~~-~•vtaf pu~-p ~,-`~.~• Model Number ~~ /~ / TDH Lift riction Loss System He ~2• ~ Forcemain Lengkh Dia. n Dist. to fl-1-Zd z SOIL ABSORPTION SYSTEM ii ~ H ~ BEDITRENCH Width ~ Length DIMENSIONS 3 ~jQr 0- lO~~r SETBACK SYSTEM TO -L_! PIL INFORMATION T f S stem: Yp Y`' V DISTRIBUTION SYS~ ~ ~ --~ Ft ;~'7S~ ~ ~ ~i-~ ,(o - 3 ~1 G o, Of Treaanches ~J BLDG WELL ELEVATION DATA county: St. Croix Sanitary Permit No: 420592 0 State Plan ID No: Parcel Tax No: 018-1086-51-000 STATION BS HI FS ELEV. Benchmark/ ,._ 1Y~'l/! / p, 3 o b 3 ~ ~ d Alt. BM bT ~ /Y ~,~ (, gg - BIB )Sewer 3~" 2, ~3 /~- ~3 , St/Ht Inlet `~- o" ~~~ ~33 D-`l7 St/Ht Outlet ~ ~~ Dt Inl W~ ri ~ ~ ~ ~ fit: ZZ ~ ~ s3 Dt Bottom 2 Head ~ Man. Z ~0. - ~ Dist. Pipe Z ~ ;3 , D?/ Bot. System ~ - a 1 Final Gra ~# `1 N, '3 t - '7/ ~'S DIMENSIONS No. Of Pits Inside Dia. ~~ umber: i 1,r,Q 7U o,.../ HeadedManifold ~---~ ~~ Length 1~ Dia y Distribution i Pipe(s) q~ ~/b~Dia~~~~' g ~' ~'V, Length pacin x Hole Size '-~ x Hole Spacing / Vent to Air Inta e _ ~~ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Svstems Onlv C-Y.t'~Q~ ~O~R/J' b'f1~i~G- Depth Over i Bed/Trench Center ~~ Z Depth Over BedlTrench Edges xx Depth of Topsoil xx Seeded/Sodded xx Mulched ~ (-~ Yes [] No ~ Yes ~~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: J / O /~ Inspection #2: / /_,_ Location: 420592 Hammond, WI 54015 (NW 1i4 NW 1l4 20 T29N R17W) Hammond-0aks~Lo~t,,51 _~7 ~ -P~ercel No: 20.29.17.671 1.) Alt BM Description = ~ F •~~ ~ x ~~~~ ~ -" "-"` ~ 2.) Bldg sewer length = ~'„3~ SCvf ~ ~,~ /~~ '~ ~~i~~ - amount of cover = ~ L,f, J (/ Plan revision Required? ~ =~1 Yes [", No ~-~ I I Use other side for additional information. i___ ~~ ; ~~~ ___ SBD-6710 (R.3/97) Date Insepctor's ignature Cert. No. PUMP PERFORMANCE CURVE PUMPPERFORMANI;ECURVE PUMP PERFORMANCE CURVE SUMP 1 EFFLUENT MODELS EFFLUENT MODELS are",1f1e8314'SOLIDPASSINCCAPACITY 318",112'+& 314" SOLIDS PASSING CAPACITY MODEL 4B ~j5g 72 78 98 1371139 140/4140 151 152 153 4 _V O 0 161/4161 163/6163 16514165 18514165 16614186 18814188 18914189 191 Gal. LAers Gal. Lilela Gal. Lilals Gal. L6ers G~. LBers Gal. Libla Gd. Lgen Gal. LNela 100 379 61 231 61 231 58 220 115 549 145 549 /S 170 93 352 61 231 81 231 58 220 140 530 110 530 45 170 B5 322 fi0 227 81 231 5B 220 131 507 135 511 45 170 79 299 59 223 60 227 58 220 128 181 131 498 /5 170 70 265 57 216 59 223 58 220 122 162 125 173 IS 170 62 235 55 208 58 220 85 322 58 220 116 138 120 151 IS 170 15 170 de 172 55 206 70 285 5B ?20 101 394 109 113 45 170 20 76 33 125 50 189 51 193 58 220 80 311 87 387 45 170 _ _ 15 57 39 118 32 121 SB 22(1 7/ 268 85 322 15 170 _ _ _ - 23 87 8 34 52 197 51 193 ~ 281 IS 170 - - - - 10 3B - - IS 170 26 106 51 193 IS 170 - - _ - _ - - - 31 117 2 B 3• 129 45 170 - _ _ - - - - - 16 80 17 6/ 10 151 _ _ _ _ _ _ _ _ 1 15 _ _ _ _ 30 114 _ _ _ _ _ _ _ _ _ _ _ _ _ _ 20 76 10 38 568. i7.im) 888. 20.1m 89R 28.4m 73R .3m) 111 R (3/.7m 81R 7.7m) 110R 33.Sm 1370. /1.8m 009728 A CAUTION Modei 185/4185 should not be subjected to less than 30 feet TDH. NOTE: For Pump Performance on Model 112, Industrial cot- n0 120 130 110 150 umn ex losion roof um ,see FM0219. ROW PER M9JUTE OOgg22A 2 2 2 1 s U 1 Q 0 1. o , 0 10 20 30 40 50 60 70 80 90 100 110 120 130 140 150 160 170 180 190 200 210 220 230 GALLON LITERS 0 80 160 240 320 400 480 560 640 720 800 009904ABLK FLOW PER MINUTE ° SEWAGE AND MODEL 211 264 266 267 268 270/4270 282/4282 284/4284 292/4292 293/4293 294/4294 295/4295 _ Feet 4elen W. Uten Wi. likn Gol. tilm Gal. IAan Gol. l:ten Gol. LYare Ca. lilen Col. lilts Gal. lilts Col, tilma Col. than Gd. lilan W 5 I.5 B2 310 % NI 128 181 128 181 118 4N 1J2 500 I2) e9t to 628 Ib Sb -- -- t% 142 Ile 81a ~- DEWATERI NG ' ' ' ' ; ;~ ~ ;M ;5 ;:s ~ ~; u 5 ~ ;a ~ ;s ~ ~ „ ~ ~ ~ ;~, ~ ~ ~ „e w7 60 20 6.1 -- -- -- -- 10 ]B 10 ]B t0 b 58 213 N 129 106 bt 9t SH t% 10- 150 S6a t% fiJ6 25 b I.6 9 1 -- -- -- -- -- - -- -- -- -- -- -- -- -- - -- -- -- -- M -- 110 -- 6 -- 3] -- )] 11 276 159 )5 56 284 213 96 BZ ,163 ]10 110 121 515 458 151 110 Sa] 5]0 75 JS . 10.7 __ __ - __ __ -- __ __ __ - __ __ __ __ __ __ __ __ __ ss 125 fi5 218 1% 4G9 128 1BJ w 12.2 _0 JB fB 162 94 356 115 135 50 15.1 __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ 58 220 89 l]) 7D 60 183 __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ I] a9 59 231 ~ )0 2oJ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ 2J 61 y 65 Shut-W I NeaE' 19.5 IL 59m 1B I1. S.Sm 21 5 I t 8.6m 21.5 IL 6.em 215 I L fi.6m 29 n. 88m 26 It. ).9m 35 X. 187m 12 n. 12.&n 50 n. 152m 6I n. 189m )5 fl. 21.9m I J 6D 11 55 009904D _111 50 ~ 45 4D 293 PUMP PERFORMANCE CURVE 35 30 ! SEWAGE MODELS 25 2" SOLIDS PASSING CAPACITY 20 266, 267, 82 270 15 10 5 A CAUTION Model 293/4293 should not be 211 26a 292 28a 29a 295 subjected to less than 15 feet TDH. © Copyright 2003 Zoeller Co. All rights reserved. , 6 ' _ _ C C r~v6 n~ 1 ~` ch complete lads {to the Cou¢ty only) for the system on paper not less than SL2 x 11 in size SBD-6398 (R. 5/0 C~,-~ ~co .d ~ r ~~ a ' ~ ~r-~. ~ Cam' nu~w~"~~,1~lcG ~/~, ~-~!~-~ /O.P'tr~ Safety and Buildings Division County ,~ ~ 201 W. Washington Ave., P.4. Box 7162 `,~'~~~~`~~ •. Madison, WI 53707 - 7162 Site Address De ;3rtmentof Commeroe~ d -/o_..~Z .3~0~~ ~~~ ~(p157"~ .ST Sanitary Perxr~t Application Sanitary Permit Number In c ith C rd m 83 21 Wi d C ~~ Q ~~ ac o w om , . s. A m. ode, personal information you provide ^ Check if Revision tna be used for seco oses Privac Law, sl ~~ ~ - . ... ,- T. Application Information -Please Print All Information ; _.+;~ ,, , , , State Plan LD. Num r roperty Owner's Name parcel Number Oi~'~/oY~- SI-~ Property Owner's Mailing Address Property Location ~ ~/ f /~ ,~ ~ 6v ~/i~f P Cc~A C-c~l? v ~=~.2-~m._...~~__._, _ GJ'k 6v'/a; S D T oZ 9 N, R~ ~% City, State Zip Code Phone Number ~ , Lot Numb r Block Nutnbet S-l --~ ~ ~ =~ 3cx~ l J m Subdivis a CSM Number 5 ~I G5 / " ~8/ -16a g ' .~srJilyo O II. Type of Building (check all that apply) (~ ^Ciry ~ p ~.1 or 2 Family Dwelling -Number of Bedrooms ~ 1~1~-~ d- ^Village ^ PubllclCommercial-Describe Use ~~Tewnsht ~~~~ p ~ r .3 C ^ State Owned ~ i ~ ~ .. L Nearest Ro . 3 ~ ~ 3 ~ ~ ~ rr 3 ~ [0S• ~1 ` ati :s ~n~ III. Type of Permlt: (Check only one ox on line A (numbering scheme for internal use). Complete line B if applicable) A' 1 New 2 ^ Re lacement p System 3 ^ Re lacement of p 6 ^ Addition to For County use S .stem Tank Onl Existin S stem B- ^ Check. if Sanitary Permit Previously Issued Permit Number Date Issued I'V. Type of Fermit: (Check all that apply)(numbering scheme is for internal use) ~ ipd ~~ ~-~i~r•~' C~ GVy+/ . j~ 4~i+Tou -Pressurized In-Ground 21^ Mound 47 ^ Sand Filter SO ^ Constructed Wetlatfd 3 r. ( f ~-y/C~tCv~.y 22 ^ Pressurized In~Ground 41 ^ Holding Tank 48 ^ Single Pass S1 ^ Drip Line -yam /1 ^ ~~ ~~ c: 45 At Grade 6 ^ Aerobic Treatment Unit 49 ^ Recirc sting 30 ^ ther ' ~'3 V. Dis ersai/Treat ment Area Inf on: W t /o st ' Design Flow (gpd) Dispersal Atea Dispersal ea Sail Applicatio Percolation R S tem Elev. oral Grade Required /S~~ Proposed /~2~f~' Rate(Gais./Days q.Ft.) (Min./Inch) 8 '3 of ` 'Elevation ~ yZ 3 VI. Tank Info Capacity in Total Number anufacturer Prefab Steel Ftbe Plastic Gallons Gallons of Tanks Concrete Constructed Glass New BxistinE Tanks Tanks Sepric or Holding Tatilc _ O~ , ~ S~- Dosing Chamber p„~~ YII. Res onsibilit Statement- I, the undersigned, assume responsib' ' for installation of the POWTS shown on the attached plans, lumber's Name (Print) Plumber' 'gnatur ,. m_~.._..__.. - ~M$/MFRS Number Business Phone Number i~~i~ © fir 5 _,...- _. ~s ~9y 3 -/ Plumber's Addres . freer; City, State, Zip Code) 7 /eCe~ ~z/c/ ~ Z w~~+ 2e ' ~ 3 3z~' S"~ o~or/c' i/1 ~`/7'S ~ ClTa.,,~e-s Ok ~! by.~lum6.w VIII. Count /De artment Use Onl Approved S~ ~~~~~ ^ Disapproved ^ Owner Given Initial Adverse . S~~y Permit Fee (includes Groundwater Surcharge Fee) ~' Z 2~ ~ Date Issued 1 2 / D m ent Signs o Scamps) ~~~ Determination Imo. Conditions of ApprovaUReasons for Disapproval (.~ ~1is lo~l 's System irs-fu.lLa.~'o~-~ wil / }~~Ur~e Cct-e-fu! rL~+1-/~~,~, -la E'h~h~,es ,'+'t "So~,~~(""Cv~-rtdTrhlrns-htrace 2 ~o 'F~ ~~oz~ 1 t1 ~ •~ , vw. 1/ . 0 (L Gcti 2qG~ ~ • Se,¢.. -1'i1-c C.Qr-~ ~ ~'Vt~ Soli ~ 2V2~LCQ~~rn ~ r`s d / 2 • ~v I G b < ~ ' of s zs e, . ~,uf o ~ . e ~/~n afi~.s' i n n -ft~w.le- y. ,Y'~L~Y~tG~f~ ~? f es~- P~~-s obseYV~e d1 a Cc~r?tl~e ~on~IS ~l ( ~ ' A J - ~ g ~ -t~v7rrr '"rZ~s ~212Z~Ya~S ~rar~oL2ol•fY~Zc~ Y-•tv$-i- !^C~•vlR.irt ~/+ Q.Ss /T"1 -f P~ rd-w SO{~s j tjLl, ~ Q~-I y-C(~LS~(,~/l~~ 1 ,W,~^-u/ I'pU~h, c ~~ r+' a 3 ~, ,,~~ 1 ~ ~ O; Z~ d~ ~ti ~ ~~ y d ,g d C,/~ ~ ~ ~ '~ ~ ~ N 9 ~~ ~;^~ ~ J~ .~_ i ~~ o f ~ -- a ~~ Q M 1 o~m~1~DD Gy~+~s~ ~ wj 2~b,,e 1~ c,/~- ;o ,~~ ~ . ~ +N.` ~~ ~ ~~ ~ ~ ,:/ ~ X ~-` Ito ~ t M., d ~ N MJ c.~ a r~i b _ ,mil ~ ~ o'" z .~ ~ B ~•`i~ de/ i mom, ~i , . -~ ~ ~ ~° .r l''~'~ 1~ X ~v ~- ~' ~ ~ -ro -+~ x ~ ~~ ~,~~" ~n~,~' ~~ V ~~ f ~' ~- ~~ ~~ !~ f 1 QO 6 ~ ~'--- v M -'~-,,~. / 3 4( tL ~ o t t 3 ~~ i ~~M~M d ~ h~ ,- 4 s so W ~ - ~ a V ~~ ~ ~ M ~ s (~, ~ ~ ~ `i` o~ ~~ ~ MmM ~~ ~ ~ ~~ a`' ~ ~ 01- ~ ,i \~ ~ M a \ ~ ~~ 7 ~~ ®~ ~. \ 4 4. ~D M - ~ ~ Q N. 0 0 p 6 V\ ~ ~ ~ ~ ~ ~~ ,~_~;,;y~, ST. CROIX COUNTY l~ ~ .,,,.:~..~. ~-~-~ ~ -~=-~- ~ WISCONSIN ,T~ ~..r~...._.__-_ `~.:.., ZONING OFFICE -- ST. CROIX COUNTY GOVERNMENT CENTER ~~;~~. __-.-. - 1101 Carmichael Road .- ..,... --'~ Hudson, WI 54016-7710 ~~ (715) 386-4680 • Fax (715) 386-4686 December 6, 2002 Mike Rogers, Rogers Plumbing, Inc. N4563 320' Street Menomonie, WI 54571 RE: Sanitary Permit Application for Lot 51, Hammond Oaks, Hammond Twp. Dear Mr. Rogers: The above referenced application has been approved for a sanitary permit today subsequent to an on- site soil evaluation performed on 12/02/02. Henry Grote, CST participated in the evaluation of an additional soil test pit and is in agreement with the changes recommended A copy of the soil and site evaluation form with additional comments completed by the county is enclosed for your review. Prior to installation, carefully review permit conditions that require changing the size and elevations for the proposed conventional Private On-site Wastewater Treatment System. The original permit application proposed 39 chambers to be installed using the 0.5 gpd/ft2 soil application rate. Based on the soil conditions observed on 12/2, it is recommended that a lower application rate of 0.4 gpd/ft2 rate be used to account for banding in horizon 4 and weakly cemented sandstone inclusion (see attached report). Calculating the dispersal area using this lower rate results in a larger system. The permit is issued for a system using a minimum of 49 chambers, with a dispersal area of 1,524 sq. ft. In addition, the system elevation needs to be approx. 24" from the surface due to limiting factors found at 68". This will allow the system to meet the 36" separation required in Comm. 83.44-3. A copy of this letter will be sent to the property owners to help explain the increase in the size of the system and related costs for installation. Per telephone conversation with your office, we received a verbal approval to continue processing the permit application without obtaining your initials on these two changes to the form. Please contact this office should you have any questions regarding the recommended changes. Si G~ Pamela Quinn Zoning Dept. Contractor Enc. County Soil & Site Evaluation Report 12/2/02 Cc: Rod Edinger, Zoning Specialist Sam and Deborah Beck, property owners Henry F. Grote, Certified Soil Testing vu;~c~rnsin i)","Ulr"°"' ~' c"""""":" SOIL AND SITE EVALUATION Division o1 Saloly and [3uilrfinq,c Pago of ` nureau i,t trHr;~tratod Servir;et: in accordance with s. ILHR 83.09, Wis. Adm. Code d ~. 6~--- Anach completr3 site plan on papor not less Than fi 1/2 x 11 inchos in sizo. Plan must County -- ~/ J include, but not limited lo: vertical ,red honzontal referonCe point (l3M), direction arxt f ercent slo e, scaly or dimensions, rxrdh arrow, .red locatx)n and distance to nearosl road. --_"~ - ~ .- - P p ~ _ Parcel l.D. q "Tl~i s(~. ~f wa s J S- 2~.1~~-~ ~ tS -#~-1 caa d,,r,~,ti,~CrcfJ,.~..r ~.~ ~l ~/~ ~ 2.- . r~ APPLtCAN71NFORMn~~T N -Please prirft a~inlormatron:~jp~~w,f~, b ~ ewod ~y ` ~ oat`- -- Persona! rnlormarwn yrw provide may txr used fnr srcorxlary purposes (Pnvacy law, s. 15.04 (1) (m)). Property Owner Property Location ~'4~~ (~ ~~ ~ ~ Govt. Lot /~~ t/4 strt~l/4,S L ~ TZ`7 ,N,R L ~~ E {or) W ... (,. ~µ. fi Property Owner's Mailing Address ~ y ~ lot q Blockq Subd. Name or CSMq ~~~ ~l~.aj • J cJ /; City D State Zip Code Phone Number ^ City ^ Village Town Nearest Road ~~, ~~u~G f't~l // ~~D/ ~ ~~~1 ) - k~~l -~9~dZ~ ~ Ala ~ m-ov ~ A Ly'New Construction Use: (Residential /Number of bedrooms Addition to existing building ~ JO ~ Z ~ ~` ~61~t C-~ ^ Replacement ^ Public or commercial -Describe: ~ e~,~ w >~..d, ~_,h,.A -~ Code derived daily flow C~ gpd Recommended design loading rat~t)ed, gpd/f12 trench, gpd/ftz Absorption area requir ed, n2 15D~ trench, n2 Maximum esr nFading rate bed, gpd/ft2 trench, gpd/ft2 L /~ p g_ t 1 f ~~ Recommended intiltrati~ surface elevation(s) ~l ~- 1 wC tGt~" Lt*`t(•i ~wUY~~/ ~dJl.c~f~ n (as referred to site p~a.~n benchmark)) ,9 Additional design/sit~eDCOnsiderations ~~_~t^-~ ~~ i~f~ Gtti ~~~w~.Z u- ~ ~ A,e?Cs'l«M ~Ot~ 4-Q~1~ Parent material ciryi ~crrs~ f~ P?1~'~ ~~ (ice /.~~~,d~iY~ Food plain elevation, if applicable ~~-4- n S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U = UnsriitaWe for system Q S ^ U ®S ^ U ~ S ^ U ~ S ^ U ^ S ~U ^ S (~ U Boling # '`~ Ground elev. non. Depth to limiting factor /56F in. SOIL DESCRI PTION RE PORT Horizon Depth Dominant Color Mottles Structure d B t R GPD/ft2 in. Munsell pu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence ary oun oo s ,Trench i e-t3 IC•; 31 Si f ~- i~~b~ `rely` S / '~ ~~,,5 iG~rz yl~~ - ~I IM-~.SI~~ v~~r C~ ~,~ ;• S ~!~ .~ i2 ~I I ~ -- ~ a ~ ~ -d •l -- . , -~.... .~ ~D:~Sawr-$~~n~ _ '~ ~ a~.~ Lv~iX ~ i/~ ~- ~tn5~~' 12~2~v 2- Remarks: ~~ `~ cc~w-~iii~e~ d`.3~ o,-~fi~~~~ ~ r- r "-~ , ~~ '~ ~ ~ l ~ ~~5 rti() V@Yvr wr r ~~ ~z (~ LE ~.,..t.*1.>-(-~,c' ~rti L Q.// ~ N C-~',~->~l~ dLl.`-f~~ SG~.:~`C Si ~) ~7- Paw~ ~u,~,,.w. ~ ~ ~,~ ttlzt,C~ d~ 5cw~.t-t~ S~Tl2~ ~Z ~~'~3 ~ , I ~ ~ _S~'t kC~' ,1 ~2- C~i~~ ~2-~-~-8 ~ Eck c ~vw~ f~ro~t ~~J~,~~~~....-> ~~is e~->ic~J~h~~~x Gv~„~t H2~~ ~.~ ~ ~' /~c-~ s G~ la-~/ ~ c~~~e , `~ -QI`"I i n ~ CS r F- ~ j n ~ r} _ 4lototrt'~ik'vij'h, -.~(~-s (,'.~`~bv~ c~~ ~~.Clye~w `j L~GY1~jG1~n.~f. .~C'Yt,G~,L'C „ter-~.G,~Lf~4,~1U7;~ G'L, t^~ iK1° ~cLt~C~3, -ZN~L~ ~~1-t~ 1 1V\ d ~ ~,L; ~ ` ~ Z-F ~ ltCvt,-f2' e~ (~ ~ ~['-e~ `~ w~ `~tf' ~ ~" X~%y4-f"~ C``Ct{~ Qf ~~ .~Lvt~G Gc~'~ /~?~ ~- CIiry2 G *-ir ~Tt bti'1 c.~.~ ~ ~ ~t C"lr~a. c,~) ~~ ~S , ~tC~ V`C''l. t , ~ ~ ~ ~ t ~~~ G'~ r'~'~c 1 n J u ~ ,/ ~ ~"7 ~`~'~C~ i ~ C.~,,.e~~,r~,C1 t::2 ~, ~`, _~ k 1Mn.t,~ r;`c C-r.Ti~ +cc.c . ~-Ezt~ d 4`~ A • P • ~ G(.~l•C r~~vr i~ i >t-t: C,~ - ! ~ rte. ~ ~, t>tis~C~~t,~11~., (;cc.--C'OLt;~r~,~.,r, . c~~ tJ_ ~hS(~t <h"~ ~ - 1 ~~ -~ r/,~ ~ ~. Hammond Oaks, Town of Hammond ~2/~- 290 145 0 290 580 870 1,160 Feet f~-(y- ~~RIG6~~V~ _... Wisconsin Department of Commerce SOIL EVALUATION REPORT Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code 1663 Page 1 of 3 Certified Soil Testing Attach complete site plan on paper rat less than 8h x 11 indtes in size. Plan must i County St. Croix nclude, but not limfted to: vertical and horizontal reference point (BM), direction and parcel I D percent stage le or dimemsions, raAh anow, and location and distance to nearest road. ~ ~ . . Z. dZ P/ease print Q ~ ~ I inf n. ~~ •f" ~~~~_ t ~' -:_ ® viewed By D ~~(( ~ Personal information you provide may be for secondary purposes (Privacy Law, s. 15. 11) (m)). '-/ 1 x{02 Property Owner ~;t~ ~ ~ 5 2~~2 Pr perty Location Beck, Deborah/Sammie Go Lot NW 1/4 NW 1/4 S 20 T 29 N R 17 W Property Owner's Mailing Address ST. ~~~{~~;,, ~,~~~~~~; , Lo # Block # Subd. Name or CSM# 3560 Bluejay Way, Condo 103 zO~mG Orrr-iCC 51 Hammond Oaks City State Zip Code Phone Number _j City Village Town Nearest Road ~ La Saint Paul ~ MN 55123 651-681-9628 Hammond Sandpiper ne ST New Construction Use: ~ Residential /Number of bedrooms 4 Code derived design flow rate 600 GPD ..,,,,;.Replacement ~ Public or commercial -Describe: Parent material till Flood plain elevation, if applicable NA _ General comments and recommendations: install 3 - 2.83' x 105.74' (Standard-Infiltrator, 51 shells) stipulation 1099 chamber trenches @ sys elev of 90.3/89.3/88.3 w/ -10' between trenches & dist box Boring # j Boring Pit Ground Surface elev. 93.3 ft. Depth to limiting factor ~ 92 in. Soil Applicator Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 ! 0-10 7.5YR 3/2 - sl 2 f sbk mvfr cs 1f/m .5 .9 2 i 10-24 7.5YR 4/4 - sl 2 m sbk mvfr cs 1 m .5 ~ .9 3 ~ 24-92 7.5YR 5/6 - s 0 sg dl - 1 f .7 1.2 i e~ o. i '. 3r~!}2 profile described at east pit wall; horizon 2-3 interface has significant dip to west; south F>it wall has moderate sl to depth of 51"above sands w~ occasional gy si coats on sl peds Boring # ._? Boring /I Pit Ground Surface elev. 91.7 ft. Depth to limiting factor ~ 90 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDlft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-6 7.5YR 3/2 - sl 2 f sbk mvfr gs 1 f/m .5 .9 2 ~ 6-22 7.5YR 312 - sl 2 m sbk mvfr cs 1 m .5 ~' 9 3 •. 22247, 10YR 4/4 - sl 3 f-m sbk mvfr cs 1f .5 9 4 j 47-72 10YR 4/6 - s 0 sg ml cs - i .7 ' 1.2 5 1 _____._Y 72-90 10YR 5/6 - s 0 sg dl - .. - ~ 7 1.2 i -_ ~• ~/ ~ ~ "Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 50 mg/L `Effluent #2 = BODS < 30 mg/L and TSS < 30 mgC. CST Name (Please Print) Signature CST Number Henry F. Grote 222774 Address Certified Soil Testing Date Evaluation Conducted Telephone Number E. 4366 353rd Ave., Menomonie, WI 54751 11/11/2002 715-233-0398 • -Property Owner Beck, Deborah/Sammie Parcel ID # ~~.~ ~~ ~..'L Page 2 of 3 ' Boring # Boring Pit Ground Surface elev. 93.3 ft. Depth to limiting factor > 90 in. ~ Applicati~ Rate Horizon Depth in. Dominant Color Munsell Redox Description C,u. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots 'Eff#1 'Eff#2 1 0-6 7.5YR 3/2 - s( 2 f sbk mvfr gs 2f1 m .5 .9 2 6-20 7.5YR 3/2 - sl 2 m sbk mvfr gs 1f .5 .9 3 20-53 10YR 4/4 - sl 2 m sbk mvfr cs 1f .5 .9 4 53-56 10YR 4/4 _ Icos 0 sg ml cs - .7 1.2 5 56-64 10YR 5/6 - s 0 sg dl cs - .7 1.2 6 64-90 10YR 7/6 - s 0 sg dl - - .7 1.2 soils require minimal sizing ~ 0.5 gpd/sq ft; recommend oversize to 0.4 gpd/sq ft due to textural variations @ depth ^ Boring # ~ Boring Pit Ground Surface elev. ft. Depth to limiting factor in. SoU Applirztan Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots ' 'Eff#1 'Eff#2 i I i ^ Boring # Boring Pit Ground Surface elev. ft. Depth to limiting factor in. SoU Application Rate Horizon Depth in. Dominant Cobr Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots 'Eff#1 'Eff#2 I I ' 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-B7i0 (R 07/00) certr~ed sd( resunq a 0 0 d G _4 ~~ i M t 1 d i i D b ~' o ~ ~ r ~ ~? f ~ ~ ~ ' J 3 ' 3 TS \ v a J /~ ~~ M a 4 s~ ,~ a' ~J ~"'~ _ ~ V ~1~ Z ~- ~ ,g . s J .~ 4 -~ 0 ~N 9 M h \'~~ D ' ~J "/ n c ~ ~ `'~\. s '~ ~/ , ~L iA • ~~, 4 -00a- - ~' ~ -~' -~ . ~ ~~T~ ~T . ~ {, I ye ~ rn ~Ol/n/~ ~ L n L1 0 s 9 ~c n ~ ~~ ya v -- + - ~~ ~ \ s . ~- ~' •n / ~ ~ 1 s v ~~ . .~ ~y+ ~ f~ ~~ ~~ _ ~~ ' ,~° x ~ ~ ~ ~ M 80 _9 N~ V s 1~+ ~ ~ " " _ / ~ ' ~ ~ --yy~~ L ° ~ ~~~ M 0 ~~ i M`~~' ~. _J 7 ~ ~ d ~N 3 ,- a n M u J ..~ /~ `~ 1 s~ i -~ ~_ M ' ~ ~ / ~ _ ~~t /~ 9 `( !L ~ ~ ~ ~ ~~ ~~ ~~~ .~/'~`~. d 0 -~ ,.~ S ~ J v ~ r. o Y 3 ~ `'° ~^ o ~~ ~~ s 0 x~~ ~ l ~ ~Y c~ d i ~~ . ~ ...~. ~r Z • •' • - '~~ Wisconsin Department of Industry, SOIL AND SITE EVALUATION Labor and Human Relations in accordance with s. ILHR 83.09, Wis. ' Division of Safety and Buildings r~ ~ '.; ~ ~; ~~'~ County Attach complete site plan on paper not less than 8 1/2 x 11 inches in si~e~ )Rla..n must- include, but not limited to: vertical and horizontal reference point (BMj,~dirt~cfion ands ~, percent slope, scale or dimensions, north arrow, and location and dt~nCe to , jy `• ;Pa el ~~~ APPLICANT INFORMATION -Please, print all Info naatio-~!~ ~ j 'a '~•~ Personal infonnation.you Provide may be used for secondary purposes (Prf oy;l~sw, s. 15.04. (.1);(~~iX Property Qwner ~ U M a l l'D I•~JL7 D C b ,-~Q\ of on ~ SOI+~ (~~4 i l O ~~ Property Owner's Mailing Address 't;bt:# ~ ; ~~ook S iE~15T ' Iyo~. City . State Zip Code Phone Number ^ Ciry ^ ST• u~ INN. SSIoI (~S! )~zt•555.5 ~. # !~/ ~ • /d~ Page ~ of ? • y(/ • U v • SD'~ .~ ~ ~~ /4 /VII/4,S.ZQ T17 ,N,R ~ / f (or) W 5ubd. Name or CSM# . f f ~M.~to~vD ` 0~1",~f. Nearest Road wY• ~ Z- [~'I~esidential !Number of bedrooms 3 Addition to existing building ^r'NewConstruction Use: ^ Replacement ^ Public or commercial -Describe: s Q Recommended design loading rate bed, gpd/ft2 • + trench, gpd/ft2 Code derived daily flow ~_ 9Pd 2 3.1,7 2 S ~_bed, ft trench, ft Maximum design loading rate bed, gpd/ft2 ' trench, gpd/ftz Absorption area required Recommended infiltration surface elevation(s) Su • ~ ft (as referred to site plan benchmark) Additional design/site considerations IV~rT., ft Parent material ~O Ets D iJ~ OFNSL~• T/ ~~f Flood plain elevation, if applicable $ Suitable for system Conventional Mou In-Ground ,Press a AT-Grad.~e.~ System in Fill Holds 9 U = Unsuitable for system ^ S U~ U SOIL DESCRIPTION REPORT Boring # ;(~ Ground i~ ft. 1 I ei~- ~ .- Depth to limiting factor ~_n in. Boring # Z Remarks: ~ o., io ye 3/3 -- L ifs~~ .,.+ fip cs ~ ~ : s ~, ~ s z •2 io yR 3/ `--- Sig 2fs~~' o "M~,~ w - Z ~ 3 •z ,o~~ s~~ lfslk ~ ~ - • ' 2 Ground ~ sd ~ elev. Depth to limiting factor ~_in. Remarks: 9' CST Name (Please Print) ROQE~T- v1 L ~~ 7s G~'f"' Signature Telephone No. ~ 7is. ~3$G • gr $ S Date CST Number . ~ ~ ~* UH $ ~ ~Q L f~~~/ SOIL DESCRIPTION REPORT ROPERTY OWNER ~~ ~ S' S (~ v lfANho~~ 'ARCEL LD.It ~ ~ ~ ~/ Page ~" of imiting. - iactor ~'• Remarks: ~ , 3oririg # ~ ' Ground , elev. - .-- ft. Depth to . limiting Remarks: ~~ Mottles Structure Consistence Boundary Roots ged ,Trench Horizon Depth Dominant Color ' ~ Texture Gr. Sz. Sh. , in. Munseli Qu. Sz. Cont. Color `~1 W _~ 0 0 .~ 11~ N O C N ~ ~ ~ -=~ ~ ,~ G ~ ~ .~,~ -2 7-d 0 .~~ ~+ t i '~.- N.I ~. o s, 3~ . -c r, ?T c. _~ 9y. ~\ ~, , .- N ~ °- ~ ~ ~ ~ ~ c ~ ~ ~ ~ ~~ ~ p ~ ~ (1 ~ ~ w~ N C fi O M ~ O ~ 3 ~: ?! ~. l~-(~ } rflR1~6~~"~ ~~. Wisconsin Department of Commerce SOIL EVALUATION REPORT Division of Safety and Buildings ;r, ~rrnrrhnea wi4h Cnmm R5 Wis Arlm Cnde 1663 Page 1 of 3 Certified Soil Testing County Attach complete site plan on paper not less than 8'/: x 11 inches in size. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I D percent slope, cafe or dimemsions, north arcow, and location and distance to nearest road. ~ ~ . . Please print ~i z, ~ {~a~ 1 infa>Mo~ # ~,' ~`~ viewed By D~~( Personal information you provide may be us for secondary purposes (Privacy Law, s. 15. (1) (m)). - I~OZ Property Owner ~;.-;~ ~` / ~'/ ~ ~ 2~0z Pr perty Location Beck, Deborah/Sammie ' ' Go .Lot NW 1/4 NW 1/4 S 20 T 29 N R 17 W Property Owner's Mailing Address ~ T ~ ; Lo # Block # 5ubd. Name or CSM# 3560 Bluejay Way, Condo 103 ~~:: ._ car , .C'. 51 Hammond Oaks City State Zip Code Phone Number City ~ Village / Town Nearest Road ~~ f~_ Saint Paul ~ MN 55123 651-681-9628 Hammond ~aa~piper ane ST /' New Construction Use: /' Residential /Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement _ Public or commercial -Describe: Parent material t ill Flood plain elevation, if applicable NA _ General comments and recommendations: install 3 - 2.83' x 105.74' (Standard-Infiltrator, 51 shells) stipulation 1099 chamber trenches @ sys elev of 90.3/89.3/88.3 w/ -10' between trenches & dist box f}~+~,-- ~~~/a-y pn-s~~e7 a reed- ~+ ~c s-~ Boring # Boring ~~~ R..'#' (p8u Pit Ground Surface elev. 93.3 ft. Depth to limiting factor ~ 92 in. Soil Application Rate Horizon th De Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ftz p in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2 1 0-10 7.5YR 3/2 - sl 2 f sbk mvfr cs 1f/m .5 9 -------i -- -- 2 ! 10-24 7.5YR 4/4 - sl 2 m sbk mvfr cs 1 m .5 .9 3 ~ 24-92 7.5YR 5/6 - s 0 sg dl - 1f .7 1.2 ~ ~ I. 3 = p " - 2~ S~Q s C„M..~ -n~,trri ~~, o~ O. t 3~ / ~- 2 SGrt~ a-yt ~ ~s . profile described at east pit wall; horizon 2-3 interface has significant dip to west; south pit wall has moderate sl to depth of 51" above sands w/ occasional gy si coats on sl peds Boring # Boring /' Pit Ground Surface elev. 91.7 ft. Depth to limiting factor ~ 90 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' _ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 `Eff#2 1 0-6 7.5YR 3/2 - sl 2 f sbk mvfr gs 1 f/m .5 .9 2 + 6-22 7.5YR 3/2 - sl 2 m sbk mvfr cs 1 m .5 .9 ---- - 3 i - 22~ 10YR 4!4 - sl 3 f-m sbk mvfr cs 1f ~ .5 .9 4 47-72 10YR 4/6 - s 0 sg ml cs - .7 ' 1.2 5 1 72-90 10YR 5/6 - s 0 sg dl - .. .7 ~ 1.2 $8'- 3c'~ `Effluent #1 = BODS> 30 _< 220 mg/L and TSS >30 < 50 mg/L * Effluent #2 = BODS < 30 mg/L and TSS < 30 mgC CST Name (Please Print) Signature CST Number Henry F. Grote 222774 ,_ Address Certified Soil Testing Date Evaluation Conducted Telephone Number E. 4366 353rd Ave., Menomonie, WI 54751 11611/2002 715-233-0398 fi'~~ r ~gp.3a ~~~Z Property Owner Beck, Deborah/Sdmmle Parcel ID # Page 2 of 3 ' Boring # Boring i/ Pit Ground Surface elev. 93.3 ft. Depth to limiting factor > 90 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots = in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 1 0-6 7.5YR 3/2 _ sl 2 f sbk mvfr gs 2f1m .5 .9 2 6-20 7.5YR 3/2 - sl 2 m sbk mvfr gs 1f .5 .9 3 20-53 10YR 4/4 - sl 2 m sbk mvfr cs 1f .5 .9 4 53-56 10YR 4/4 _ Icos 0 sg ml cs - .7 1.2 5 56-64 10YR 5/6 - s 0 sg dl cs - .7 1.2 6 64-90 10YR 7/6 - s 0 sg dl - - .7 1.2 soils require minimal sizing @ 0.5 gpd/sq ft; recommend oversize to 0.4 gpd/sq ft due to textural variations @ depth ^ Boring # - Boring i Pit Ground Surface elev. ft. Depth to limiting factor in. -- Soit Appiication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots = in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ~ ~ I I, '~ ^ Boring # __ Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots = in. Munse(I Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 i i 'Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 =GODS < 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) Certified Soil Testing ~ :, O G~ 0 f 'r ~~ .~- 0 J 0 ~f ~J d M~ 3 t I ~, t A ~~ ~' o ~ ~ d ~ .d J 9 '~ 3 ~ x J° tf {3 \ v e i~ I~ L~ ~ ~`` \~~ ,+ - ~1 n o ~~ V v .~ I c...ti o , ~! ~ ~ -r~ ~ -~ . ,o ~ ~ o ~ ~ f " ` X ,o ~° ~ ~ ~ ~ _~ N ~ s _y . ~ z ~}s ~s s~~ '~~~ ~ - _ ~ J x M ~ d ; ~ ~~ v f n M w U ,~~ ~ d _ oZ i1 c~ s ~, Q ~^ .1 `'~ d ~ ~J eo .~ s ~./ L'0 ~ -r o ~ ,.. ~ ~ o dam' ~ J J ~ ~ ~ ~ '~ ~ ~ ~ ~ ~ ~ 3 ~ c7~ ,~ J f ~' +i- ° o ~~ ~~ ~' 9 ar x..i j ~ ` ~ y.~ i '~ ~~ y =-r s i d j ;J s ~ -I -_.__ d ~ ~ ~ f M C~ ~ I ~ __ ~~ X u. cxs '`~~ ? 9 ~ ~ ~ ~~ ~~ ~~ M 4 ~~ ~''"'~ ~ ~ '- ~ J ~ ~ 1 ,~ . s .,~/ 4 0 .~ 9 M !~ \' ;~C{ 4 ~J "/c ~~~ ~, ~ ~. ~/`I / ~ s ~ 'be b ~ f~1 /1'1ovN~r ~ Z n `1 L ~ - 9 \~ - s ~=1 a -~~` _ -x- sT ~~r~ Ts'_ y~~ - r ,• ~~ [ ~ Wisconsin Department of Industry, SOIL AND SITE EVALUATION Labor and Human Relations Division of Safety and Buildings in accordance with s. ILHR 83.09, Wis. _. \ ~ Attach complete site plan on paper not less than 8 1/2 x 11 inches in siZH, ~41an must ~ Coun include, but not limited to: vertical and horizontal reference point (BMf ,~~r~6tion ankh ^: ~ percent slope, scale or dimensions, north arrow, and location and df54apCe to ~ear~t Pa el ('t... , - - f~~~ APPLICANT INFORMATION -Please print all info~rmation~ $ e~ sv Personal information,,you provide may be used for secondary purposes (Pri c~ law, s 15.04 (1) ~X Property Qwner ~.~ (~fN Q l Q~ ~i~ll:~ © ~ d ~~: •~Q . P~yl~' o 3 SO t1'~J ~~ i ~ ~4 ~ " `~vt ~ot~ 4Z1t # ~ ~'IOCk1 Property Owner's" Mailing Address L . 332. hiUN~SoTA sT: Ic~15T ~ Iyo~l. ~~.,: City State Zip Code Phone Number ~ City ST• u~ INN. 5Slo) c~oS/ )z2Z•5555 5~': C~'oi'1L I.D. # Q C~1~• ~d~ Page ~ of 2' ' SQ'~ Date I (~~s~~~ !4 /V N!r/4,S Z,Q T17 ,N,R ~7 ~ (or) W rtxl. Name or CSM# ~MMOND ~/'I"'~f"" Nearest Road W ~ ~- e . ^~own I ~. ~ ~ d - [residential / Number of bedrooms 3 Addition to existing building []'New Construction Use: ^ Replacement ^ Public or commercial -Describe: Recommended design loading rate " ~ bed, gpd/ft2 • ~ trench, gpd/ft2 Code derived daily flow ~_ 9Pd ~~ t !~, Absorption area required ~_bed, ft2 •7 trench, ft2 Maximum design loading rate r bed, gpd/fl2 ' s trench, gpd/fit Recommended infiltration surface elevation(s) Su ~ ft (as referred to site plan benchmark) Additional design/site considerations N~T ft ~D E'>:S ~ ~~ OLc,~s~- ,"~ ~~f Flood plain elevation, if applicable ~- Parent material Conventional Moun~Y In-Ground Press a AT-Grade System in Fill, Holding T~ S = Suitable for system ~,~ ~,/ ~ U ~ S ~ ~ S ~ ~ S ,L~Id,'U/ ^ S U = Unsuitable for system ^ S LIB u ~ SOIL DESCRIPTION REPORT Boring # I Honzon l gel in y 1 p•, 2 • , Ground 3 ~~ el~ ft. • Depth to limiting factor lain. ~ 3 Remarks: Boring # ! C ~; ~ c ~_ ~ Ground elev. 4'~j. G-a.-ft. '' ~~a io ~R 3/3 -- I.x ~d YR 3/ .~.. •i~ iol~ - - - - - -- -~~ HoT 1 s ~/ie y/G ,S/G 2fS/~,~ r''afe ~v SfGL ~ ~s bk ~ a - ~ ~ ~ L _' GE~I Depth to I limiting factor ~~in. Remarks: CST Name (Please Print) RD~~•R'j" ~`QR'i)C,{1T Signature ~j''t!i.7w\ Telephon~i.g _ ~~s • 3 8G Date CST Number r+~ ~ ~ /. ~ "7 S ~' y. t')VH $! ~~ `~~~ SOIL DESCRIPTION REPORT PROPERTY OWNER ~~ ~. S S (~ g PARCEL I.D.# ~ ~ ~ ~ / ~~ H h O ~~ Boring # rlonzon ~CN,~~ ~~••••••-~ - Munseli Qu. Sz. Cont. o or in. 3` , .,Z ~o yR 3r .~ ~ . 0 3 ~----= Ground ~ Q ~[~ ( ~ Depth to ,Q ~ 1 ~ 2 MO T!r limiting ~ Z ~~ 7~ 7 factor . m. Boring # Ground elev. ft. Depth to limiting factor in. ---- Remarks: Horizon Depth Dominant Color Munsell i Mottles Qu Sz. Cont. Color n . Boring # Ground elev. tt. Depth to limiting factor in. Remarks: Boring # Ground - --- elev. ft. Depth to limiting n d r ~ Page ~ of Ur Structure Consistence Boundary Roots Bed Texture Gr. Sz. Sh. :* UM B 1 Q~ `~a~ SOIL DESCRIPTION REPORT PROPERTY OV9fNER ~ / ~i ~ ~ S s (~ g ~IlMHo~t7 PARCEL. i.D.tt ~ Q~- -- Page ~' of actor , in. -~~ Remarks: Mottles.. Structure Consistence Boundary Roots Bed , 7rei Horizon Depth Dominant Color ' ' Texture Gr. Sz. Sh. , • in, Munsell Qu. Sz. Cont. Color , Boring # Ground elev. tt. pepth to • limiting, (actor in. Remarks:. Boring # Ground elev. n. Depth to limiting s 0 0 w ~ s ' ~ f~ '0 -i ~J1 ^~ ~, \ ~ , 1~ O -,.i -2~-d ~ . N \ \ c.\ _~ ~ Q N ~ ~ ~ 'b ,,,,~ G ~ ~ .~...~ `r l '\,. N.I v~ o S'y ~\~ ~.. N ~ ~_ ~ ~ ~ ~ ~ '~ ~ K ~ ^i ~ ~ o ~ ~ -~~~-~ n ~ n A~ ~ c ~ ~ O m O ~ 3 ~ ~ ~ ?~ ~. FRG1r1 RGGi=P.S ~ t1M3tl~ f:'R?i N0. '15 2~ v~7 :s'T C.`CZC>1?: ~'t)[II!'i"1° 3r~'TtC 7'P,i~l'C i'S~f:~I1'ITl:td.^.J~iC~13 ~C:ii ~,ra~.a ~nvrlt~tz~lrTr c:rrt.~l~lt,ic.~~•r;~7rv i~r~:rzr(8tzyer ~ A t^CZ_ '~ t~~C11P~~1~ ~_~ ,,.~,~I[.... t~+cr=. 13 X1902 83s_'7PM F1 ri~t,~Lri~r~ i_~ Fc:•,n :1'ia3i1:l1fj 9.Glxirtss _„_ _.__„~,_-+~.,~... ~(Vadfication requxcd >:tar4t i'iianGtin~ C>a~alrtt:tcr~t foc npw oo s,n~ctiaaj„- ......r..-.-••--- Ciiy~'SLSta ,~'~.~, _._ Parcel Ids ntit',ufltip:5 Ntttt;~ c L..,.,, ate- ~ _~„•._..~,....,.,.~_ ~r ~n~sr.R~pj~rrl'o,/rt ~ n ~/~- /~/d'(o '!~( ~-OUZ~ Property Lucariou ~! V" ~., 'f~, Sawc,. ~~. , T 2el,,:~7-K ~ ~ ~ , '~'uw~~ n f ~.,,,.~.~. SubdiYisio~t 'M ~GC~/1/ - - Lct # ~~ CatrtlfYad Sutvty Map '4'rtFut7te __-- ~; page # ~,~ ~~xrraaty Deed ~ _~ . Vclu~lc „_ _,,,~,,,.,,,,, ~ay~c ~ _ r SFea hGUSe ~ y08~ri0 L' of iii':t5 iCl~*t':t7fi lie ~ VCs d no 5'~'STEhi trrr>~,x s ~Ir~. aPdr'iledrind mt~ixst'anancevtyo•,~ iintic myattrn crn:1d rCault in it.9 ,,rrr aft-rc ftitLUC ro hardta w>letaa. Preprtnk-iataasnc• css-aip~ 3tf p~pint out the sapdo took ovary titrcc years or stsatrr, if nae4;.d t+y Piccas~xi pua~par, Whit yav gist inm the ry.rerrt c'aa a~t'eCt Lit 1~snCTiaa of the eapric conk a, u trearrrfectstaSm in site wa~;o d~poa, ayeforst. 'The P~nY awaer a$sess to Submit to St. Croix zoiwiu [~ep~rcr,;Rn; a ~ortiFiaation fent~ sibmad by she aaAOr at:d L+y c mastRSpiamhar, jnurssaysaanAhstttbes, rest;icicd ptua~ttoa of a tioer~cd pumper veri: iag th.Yt (]) the nn-sire Wa~fewatoidlsp0~1 kYStom u m P~ ooarrtiag coed+deq ~dlur (2) rtlrs inspec:ti~a anQ ttnrnrlnl; (if cecest ej~), the stl:tfc ssugc iy tear tbae il3 ~U oC kluctpe, Lie. tba vadecsi~ued hav¢ raid ilae abavt rCauuctneASS axis 8})t'ea ta~[ra.lntslA cre ~t'iVat~ sewujie dispaaat aymtasu W-tir Ults ssanclards set foelh, l-csciis,;$ eat by the Daparo:asnt of Gorrlr:r:oq x;,;l !hn ~CTsars:aGS:t of N urn! k.rsnut'Caa, State of Wies:aacia. CartitSelttlo~5 atst:iag dart year >:riatsc rystam has beon moiataisxed mgt tx Cninrlrl :d 8e.d raruru~ i td fLe. fit, Croix Couriry Zoe Atltte witlti~ ~p ~yt et sire tltrae ear aXpirrriop due, ~SiL>YV~~ .r1PPLlGN'C~~ ~~'z - DA'1'Tr. ~}~;~' . R9`11; rarrr~~ 1 (wts} Certify mat air sastementa na s6is form are GZie tie rho ~e&t nt' my 4Ux) l,:rt~wied!{a. ~ (rva) rro (arc) t:hc 01vUCS{s} of ~ FioPeJry da~ttibed r&ov~, lay Yirruo of A wari•au!'y r~cad rccarACd in Rr~;fstcr f CSer~9 Of.£1~;tC. .~ $IC3'NJ-TtJR14 pF ,i1~,pLlCeW~~T ` ~~ p"~ DA.'-'F `~~""' 1+s+y txsCot'attriun that is a~i:.rapreaenred'xst,~ ra:iii in th,, aam.t;uy puns. taniud revoked ~y ttur ~,ou;ag Depar~nerss. +•••• • 1aclude with tpie aFpticrcicn: s alxmped K~Jr~~tify deed fine, :he ReI;lst~:~ a D~.dr: at~inr a ~y ar thr ccrtifcd ausvey ~uap if mft~t~ru is suede in tl:e ~arratuy deed. Id Wc~~:ir0 Z6~c. ~T '~oN S9Li?98~SLZ: 'ON }(F~~ NO:1~f12i1SN0~ ~t WO~~ POWTS OWNER'S MANUAL MANAGEMENT PLAN FILE INFORMATION Qwner Permit # 'Z~ DESIGN PARAMETERS Number of Bedrooms 100gpd/bedroom ^ NA Number of Commercial Units NA Estimated flow (average)* ® gaUday Design flow (peak), estimated x 1.5* v gallday Soil. Application Rate al/day InfluentBffluent Quality (NA^) Montlily Avcrage~* 5 30 mg/L Biochemical t}xygen Demand (BODs) < 220 mg/L Total Suspended Solids (TSS). _< 250 mg/L Pretreated Effluent ality ^ Monthly Average*** Biochemical Oxygen em~.d'(BODs) 5 30 mg/L Total Suspend lids (TSS) ~ 5 30 mg/L Fecal Colif ~ ~) <10+cfu7100m1 Maximum. Effluent Particle Size 1/8 inch diameter * Wastewater Flow Verification on and calculations: (Other than bedroom based) ** Values typical for domestic (non-commercial wastewater and septic tank effluent. ***Values typical for pretreated wastewater. SYSTEM SPECIFICATIONS Septic Tank Capacity ~ p gal ^ NA Septic Tank Manufacturer- -,r .~ ^ NA Effluent Filter Manufacturer 7,4- /~c ^ NA Effluent Filter Model ~~~~ ^ NA Pump Tank Capacity acv gal ^ NA Pump Tank Manufacturer , ,~. .._ ^ NA Pump Manufacturer , ~p NA Pump Model ~~ ^ NA Pretreatment Unit O NA ^ Sand/Gravel Filter ^ Peat Filter ^ Mechanical Aeration ^ Wetland ^ Disinfection ^ Other: Manufacturer: Model: Dispersal Cell(s) ^ In-ground (gravity) ^ In-ground (pressurized) ^ At-grade ^ Mound ^ Drip-line ^ Other: , ~Leachin Chamber Manufacturer O odel Approval Stipulation-~ P ~,~. f~ Soil Application Rate_,gpd/fi2 Area Req. Absorption Area Credit per unit 3/. ~ ft2 c/ Minimum Number of Chambers 3 ^ Aggregate Design Flow/i..oading Rate= min Materials: all materials must comply with WI Adm. Code COMM84 and be installed per manufacturers specifications and approval letters. DESIGN CRITERIA ^ "Wisconsin At-grade Soil Absorption System, Siting, Design & Construction Manual" (Converse et.a1.1990) ^ "Wisconsin Mound Soil Absorption System: Siting, Design & Construction Manual" Converse, J.C. and E.J. Tyler. Publication 15.22 ^ .."Design of Pressure Distribution Networks for Septic Tank-Soil Absorption Systems" Publications 9.6 ^ "Design of Conventional Soil Absorption Trenches and Beds". R7.Otis - ASAE Publications 5-77 and "Design Manual - Onsite Wastewater Treatment and Disposal Systems". EPA 625/1-80-012 October 1980 ^ SBD -.10570-P (8.6/99) "At-Grade Component Manual Using Pressure Distribution" ^ SBJ3--10567 P (8..6/99) "In Ground Absorption Component Manual" D -10705-=P (N.O1/Ol) "In Ground Soil Absorption Component Manual" Version 2.0 ^ SBD -10628-P (N.6/99) "Recirculating Sand Filter System Component Manual" ^ SBD -14656-P (N.6/99) "Split Bed Recirculating Sand Filter System Component Manual" ^ SBD . -10572' (8.6/99) "Mound Component Manual" ^ SBD -10691-P {N.O1/O1) "Mound Component Manual" Version 2.0 ^ SBD -10595 P' (8.6/99) "Single-Pass Saud Filter Component Manual" ^ SBD - 10657' (8.6/99) "Drip-line Effluent Disposal Component Manual" ^ SBD -10573' (R 6/99) "Pressure Distribution Component Manual" ^ SBD - 10706-P (N.O1/O1) "Pressure Distribution Component Manual" Version 2.0 ^ Drip-line Effluent Dispersal Component Manual for Multi-flo Onsite Wastewater Treatment Units MAINTENANCE AND MANAGEMENT wrsnvrFrrerrrF MnNrrnRnvr cc~nTTf.F. Service Event Service Frequency Inspect condition of tank(s) At least once every ^ months .3 ear(s) (Maximum 3 yrs.) Pump out contents of tank(s) When combined sludge and scum equals one-third (1/3) of tank volume Inspect dispersal cell(s) At least once every ^ months ~ year(s) (Maximum 3 yrs.) Clean effluent filter At least once every ^ months ~ year(s) Inspect pump, pump controls 8c alarm At least once every ^ months / ®year(s) ^ NA Flush laterals and pressure test At least once every ^ months ~j year(s) ^ NA Valves. At least once every ^ months ^ year(s) NA Other: At least once every ^ months • ^ year(s) ~1A _~ rugc,_,~„~.,,-- ~T'ART UP For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s). removed by a segtage servicing operator prior to use. System startup shall not occur when soil conditions are frozen at the infiltrative surface. OPERATION The property owner is responsible for the operation and maintenance of the POWTS and submission of required reports. The quantity and quality of the wastewater stream will affect the performance and longevity of your POWT'S. The installation of water-saving appliances and fixtures along with prompt repair of leaks reduces the wastewater volume. Also the brine or waste from water softeners, iron removal units, other clear water treatment devices and foundation drains should be discharged to the ground surface whenever possible. Note: this. does not include laundry waste, showers, dishwater, etc. This system is designed to handle domestic strength wastewater, however the disposal of food based greases and oils, vegetable/fiuit peels and seeds, bones, and food solids such as those produced by a garbage disposal should be minimized. Toilet tissue is the only paper that should be discharged into the system.. Other non-biodegradable items such as baby wipes, tampons, sanitary napkins condoms, cigarette butts, dental floss, and cotton swabs should not enter the system. Chemicals such as petroleum products, paint, disinfectants, pesticides, antibiotics, solvents, etc., should not be flushed into the system as they can seriously damage your POWTS and contaminate your drinking water supply. Maintain a regular steady flow by spreading laundry. washing throughout the week. Avoid vehicle traffic over all system components. Compaction of snow over the dispersal unit may cause it to freeze up. p Valves Valves shall be operated in. the. following manner: ~-Alarms Alarms. should be tested on a regular basis by the home owner. If an alarm sounds, contact as individual licensed to service POWT'S, There is normally a 1 day reserve under regular operating conditions, however water should be conserved until any problems with the system are corrected to prevent back-up of sewage into the dwelling or surfacing. Inspection shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Maintainer or Septage Servicing Operator (per the attached Maintenance Schedule). ®„Septic Tanks Component Tank inspections must include a visual inspection of the tank to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any backup or ponding of effluent to the ground surface. Access openings used for service or assessment shall be sealed and/or locked upon completion of service. Any defects shall be promptly corrected. Exposed openings greater than 8 inches in diameter shall be secured with an effective locking device to prevent accidental or unauthorized entry into the tank. When the combination of sludge and scum in any tank exceeds one-third (1/3) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with Chapter NR113, Wisconsin Administrative Code. The outlet filter(s) shall be inspected and cleaned to remove any accumulated solids according to manufacturer's specifications; Provisions are to be made to retain solids in the tank. Filter cleaning may be necessary at more frequent intervals than stated in the maintenance schedule to keep the system operating. Pump ChamberlTreatment Tanks Component The inspection must include a test of all electrical equipment such as pumps, alarms and floats. A visual check must be made for leaks, backups, surfacing, missing or broken security devices and other hardware and the condition of the filter. Any service needs or repairs shall. be promptly taken care of. ~.7n-Ground Gravity Component Dispersal Cells The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Pending at depths greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. 3 Page 2-6f ~~' ~, :, O Mound, tit-Grade, In-Ground Pressure The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or dischazge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Ponding greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. The pressure distribution system is provided with an opening at the end of each lateral to be used for flushing. The laterals should be flushed at least once every three (3) yeazs. Pressure checks of systems with multiple laterals should be done to ensure that equal distribution of effluent is occurring to promote the longevity of the system. REPORTS Reports for maintenance, inspection, and monitoring shall be submitted in accordance with COMM 83.55 Wisconsin Administrative Code. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to ensure that the system is properly and safely abandoned in compliance with Ch. COMM 83.33, Wisconsin Administrative Code. - All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. - The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. - After pumping, all-tanks and pits shall be excavated and removed or their covers removed and the void space S1Ied with soil, gravel or other inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: ^ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement azea will result in the need for a new soil from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement azea. Replacement systems must comply with the rules in effect at that time. ^ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ^ The site has not. been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank maybe installed as a last resort to replace the failed POWTS. ^ Mound and at grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. «WARNING» SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTIAN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER Name /f1i~ ,Cdj„~J ~._ Phone ~-~ ~- // 3 Z SEPTAGE SERVICING OPERATOR (Pumper) Name Phone K:\WPDATA\EH\POWTS OWNER'S tiIANUAL.doc POWTS MAINTAINER Name Phone LOCAL REGULATORY AUTIiORITY Agency Phone Page ~ of~ ~., STATE $AR OP WI8C019SIN FORM 2 • 1991 WARRANTY DEED This Deed, Rtade between Hammond Land, LLC, a MinneiotA Limited t.iabi~h' CosaDanY Granto; and Samatliie Bock sad Debora Beck Grantee. Grantor, for a valuable considarat;on, coavcys artd warrants to Graatea the foliowin4 described real estate in St. Croix Co of Wisconsin: 31 Hamato~ SubdiviciogTown of Hammond, St. Croix County, Wisconsin 018-1086.51.000 F'aresl WaSiScnioa Number (PIN) This ~ ~ homestead property. (is) (is not) Exceptions to warranties: Subject to mtes, easements,restriciioatoovenattts aryl rig1YS of way of t~ecord, if say, including but mt limited to thole for dtailtaSewater retentsonpondistg,and or niilities ai xaay be shown on the plat of Hamtnond Oaks Subdivision racoxded in Vot, 8 of Plats, paw 2, St. Croix Connty, Wiacotrsin. Tba warranties of this decd, either expressed of implied one limited by the Eeentor to the grantee, Or anyone is the Chain of title, to the cortiideration expresie4 herein, that helrtg the snm ai 123,900.00. Datod this Z3rd day of October ,,2002 , Hammond Land, LLC AUTHENTICATION Siynadrre(a) aulhenticsted this ~ dsy of , TITLE: ti~ltdlaF,R STATE &lR OF WI9Gi)N31N (ICnat, wthotized by ~ 706.06, Wis. Stets.) . TIiIt3 INffTRU1A8NT WA$ DRAF7I:D nY Paul A. BaWotst Attorney at Law (Sigrmturet may he auttxnticeted or acknowkdied. P.oth are not oe~'~) . by ~,M_~ President • Austin J. Bailloo Ac~low~~l~lt~n1T STA`I'R OB WCSCONSIId ) ss. Rrtmaey County, ) Persolsily came before me this 23rd day of t3dober ,2002 theaboremrred Austin J. Bailbn to me known to be the person(a) who atecuted the foragoiDa inctsum t and acknowled the 9ama. aa nnrWN"~Mrr+wvM.r h./is. ryp7AP` •ULL=af.i~eelEiUtA ' Paul A. Bailbn ~~ w~ssn,N ucaira:s i~Jt20C5 Notary Public, State tsoo ' r wwv,evw• t'dY Commi7irion is runt. not, state expiration date: Janatary 31 1A03 ,~ •Names of poser dpt•a a •aY e•P••ih' •h~b be typsa ar p.i•tee tWow a+•ie sipnslures IrA7l: aAa GY MtaCaxlrx wAl1AANTY eii0 I'Oaat x•. 7 - If7a tNFORMATMN pagpBSaIpNALS OO!@AHY POND DV LAC. NI r-0•.6SS7071 ,- ~"/` t. `~ ~. Private On-Site Wastewater Treatment System (POWYS) Index and Title Sheet ,(~ / //~~'' Owner: ,~,4y» ~' t/ JPib N4 ~G Project Name and System Type: ('~ !/ , Location: ~o ~ . ~ 5 ~ ,~%~~x~.r a~G~~S Street Address s Legal Description ? ' ~~~C~~-~~~ Contents: Page 1 • ~~~~~ ;~~~- /' r ~ 1 Page 2: Page 3• ~~ l~ / n Page 4• J,4.vi-~ J'~r~ Page S: ~~ ~ /`/~ 5 i~ ~c ~~wL-- Page 6: Grimm ~-~-~ ~- G~~?~ Page 7: S~® ~-' ,~• Page 8: :~~ ~ `~"~ ~, ~`._ C ~'~ ,,~~ ~ Page 9• i1u? u S ~ ~~i~Yl Attachments: /i ~,~ ~ ,~- Plumber/Designer: Credential Number: a~ ,~" p y / Date: ,~~v /f~ 4 z-