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HomeMy WebLinkAbout040-1303-00-057 County: St. Croix raconsin epa rtment of Commerce PRIVATE SEWAGE SYSTEM Sanitary Permit No: 569567 0 Safety anuilding Division INSPECTION REPORT (ATTACH TO PERMIT) State Plan ID No: GENERAL INFORMATION Personal information you provide may be used for secondary purposes[Privacy Law,sillage (�X Township Parcel Tax No: City village p 040-1303-00-057 Permit Holder's Name: Troy, Town of — 229_e, Ross& Rachelle Section,Town/Range/Map No: CST BM Elev: Insp.BM Elev: BM Description: 22.28.19.1792 -7, 11 - , �e.�z r — ELEVATION DATA TANK INFORMATION STATION BS HI FS ELEV. TYPE MANUFACTURER CAPACITY C3 �0,`f � Benchmark 3.6J 161. 1 97. 3 Septic �� 120 1201W I Alt.B 83 NMI Z lo�g2 �r�F,2Q q . 3 Dosing r-- �� Bldg.Sewer C 7 Aeration �'7 It u , St/Ht Inlet Holding St/Ht Outlet TANK SETBACK INFORMATION WIA Vent to Air Intake ROAD Dt Inlet � ./ TANK TO P/L WELL/ LD G �f q _C 2 Dt Bottom 7, Septic .25 t f / / �/ l j Header/Ndi=3^- Z.&5 )b 1, 1 Dosing (t It tt .2..� Dist.Pipe Z' Z ©1 • I� Aeration Bot.System Holding /00•R Final Grade 17- "t$er PUMP/SIPHON INFORMATION N• � _ and St hover Manufacturer GPM Model Number I Fr'ctio o s Syste, ea TD Ft TDH Lit;� 2� Farcemai� L�gth�Of Dia. �tt Dist.to Well . BIMf� x,51 i •� SOIL ABSORPTION SYSTEM No fps 1 P1 INd SIOK3 fv Of Pits Inside Dia. Liquid Depth BE RL1`ry Width Length f ENSIGNS ,Jr0 '�:Vl 3 P/L BLDG ELL LAKE/STREAM LEACHI Manufa r: - SETBACK SYSTEM TO _ CHAMBER R INFORMATION UNIT e Type Of System:6 ro91 DISTRIBUTION SYSTEM � x ole Spacing Vent to Air Intake x Hole Size it � Distribution -yob /f tl 8� HeaderlManifo d/ I ,Ls Pipes) G►'(Z„�v ZS Z•� s�32 ���� ,17 Dia Length (o` Dia I' Spacing d ou r At-Grae Systems Only ' Length SOIL COVER x Pressure Systems Only `i xx Mulched pc Depth of I� xx SeededlSodded Depth Over Depth over To s h p�' r Yes [] No _ _� Bed(1 tench Edges �--� Yes No Bed/Trench Center 'q # Inspection �1}_ I / COMMENTS: (Include code discrepencies,persons present,etc.) Inspection Kt� v�o Location: 03 Wal! Hill a iv Falls,WIP 540;2(pSeW 1A SE 1/4 22 T'28N R1 9W) Wain ill Fa aka T Tri ute Parcel No: 22.28.�.1792 � j 1.)Alt S Description= r d( 1- !� j �, ] 1` I 1 2.)Bldg sewer length= "'�8 u �,�,�� �/ ���:1 jl�'�t� �r _mss'- -amount of cover= 7 3r, 5a1 c..ver _ � t -- - --- � 7 Plan revision Required? ❑ Yes No h _ :_ Cert.No. Use other side for additional information. LDate� Insepctors ignature SBD-6710(R.3/97) t Plot Plan Page$ of g , , property Owners 46 f (exce p t where n04 Description l s� • 7'AV p1a'W, -TotjtJ OF rM sr cvzopc CaL,(,kj Backhoel�it, j1jtSC0A)srN , North.. .Co $Da in 4 Ir r.-r , Q lid" a z tai c V uJ GfZ4UAlD Site Locati n: VT � b 25 f!zoM LAVE e.ht unsic CSC' E p�J ro 4� � -,er C -r/41v K O a "l P 1 F j 50 .P'bM ��Ktb`' �� nreW wt�elz,�}L /vIUGWD I�R�N�t'Et-D - sry� l County Safety and Buildings Division S/ CY01,X l 201 W.Washington Ave., P.O. Box 7162 Sanitary Permit Number(to be filled in by Co.) #aAson WI 53707-7162 P 0$ ��rmit AppTicR ion State Transaction Number In accordance witl�PC Wl,$ij is.Adm.Code,submission of this form to the appropriate governmental unit is required p pJl rS jing a sanitary permit. Note:Application forms for state-owned POWTS are submitted to Project Address(if different than mailing address) the Departmentt#Safety and Professional Servies. Personal information you provide may be used for secondary ��`•�\ W purposes in accordance with the Privacy Law,s. 15.04 1 (m,Slats. a? b 3 `.t�� hµ J W I. Application Information-Please Print All Informati Property Owner's Name 7 Parcel# + •l� p.ss 4 1Z a t ti C d t- o 4 a- ! o - Q - D s D Property Owner's Mailing Address Property Location !1 9 7 J Govt.Lot 57 City,State Zip Code Phone Number ��y, S ''1A, Section o?•� ^t (circle on T�N; R l q Eor J II.Type of Building(check all that apply) Lot# ($I or 2 Family Dwelling-Number of Bedrooms 4 Subdivision Name D cJ avL B ;e—, � ❑Public/Commercial-Describe Use ❑City of CSM Number ❑Village of El State Owned-Describe Use . 5 -►- 7th . (,P-7 o✓H Town of L' III.Type of Permit: (Check only one box on line A. Complete line B if applicable) A. XNew System ❑Replacement System ❑ Treatment/Holding Tank Replacement Only ❑Other Modification to Existing System(explain) B. ❑Permit Renewal ❑Permit Revision ❑Change of Plumber ❑Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner IV.Type of POWTS S stem/Com onent/Device: Check all that apply) 6 0,,ra✓r ❑Non-Pressurized In-Ground ❑Pressurized In-Ground ❑At-Grade ❑Mound>24 in.of suitable soil X Mound<24 in.of suitable soil ❑ Holding Tank ❑Other Dispersal Component(explain) ❑Pretreatment Device(explain) V.Dispersal/Treat ent Area Information: R w Design Flow(gpd) Design Soil Applicatio ate(g dsf) Dispersal Area Required Dispersal Area Proposed System Elevation Lao u o 6 . 4 ", 06 00 6 (201, VI.Tank Info Capacity in Total #of Manufacturer Y Gallons Gallons Units New Tanks Existing Tanks �d(Lf /a pp Y p / CCU Septic or Holding Tank P g d I.120 0 1 t-5Al Oh rr' Dosing Chamber I e6o 604r," 4 a VII.Responsibility Statement- I,the undersigned,assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name(Print) Plum er's Signature MP/MPRS Number Business Phone Number Plumber's Address(Street,City,State,Z�p Code) ps Gfi EYE- tvz. a/(s S4I VIII.Count /De artment Use Only Approved isap eve Permit Fee Daate Issued Issuing nt Signature en Reason for Denial $ �Z ee• J /� IX.CondiReasons for Disapproval 3 /e n�•�ta�S �� i;- mid tank,ef,luent filter end` L YN ` dispersal cell must all be services!maintahutd as per management plan provided by plumber, I 2. At sef ack requNernenle must be`.frtairttaltt d as per spoic"t ds7 ordiralitoei Attach to complete plans for the system and submit to the County only on paper not less than S 1/2 x 11 inches in size SBD-6398(R. 11/11) MARY JOEUPPERT Page 2 4/15/2014 , 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 IrlifThis Amount Will Be Invoiced. 4ra&rd M Swim When You Receive That Invoice, POWTS Plan Reviewer,Integrated Services - Please Include a Copy With Your (608)789-7892,Mon-Fri, 7:15 am-4:00 pm Payment Submittal. jerry.swim @wisconsin.gov WiSMART code: 7633 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. P TR DIVISION OF INDUSTRY SERVICES O r 3824 N CREEKSIDE LA Uo f y� HOLMEN WI 54636 Contact Through Relay ( � 17 / www.dsps.wi.gov/sb/ �t u — www.wisconsin.gov Q SIONA�'S� Scott Walker,Governor Dave Ross,Secretary April 15,2014 CUST ID No. 224832 ATTN:POWTS Inspector MARY JO HUPPERT ZONING OFFICE HOLLISTERS SOIL TESTING&DESIGN ST CROIX COUNTY SPIA W9875 690TH AVE 1101 CARMICHAEL RD RIVER FALLS WI 54022-4011 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/15/2016 SITE: Identification Numbers Ross and Rachelle Wegge Transaction ID No.2389268 203 Walnut Hill Way Site ID No. 801170 Town of Troy, 54022 Please refer to both identification numbers, St Croix County above,in all correspondence with the agency. SW1/4,SE1/4,S22,T28N,R19W Subdivision:Walnut Hill Farm(Tribute);lot 57 FOR: Description:Four Bedroom Mound System/7%slope Object Type:POWTS Component Manual Regulated Object ID No.: 1479802 Maintenance required; 600 GPD Flow rate; 17 in Soil minimum depth to limiting factor from original grade System(s):Mound Component Manual-Ver.2.0, SBD-10691-P(N.01 101,R. 10/12),Pressure Distribution Component Manual-Ver.2.0,SBD-10706-P(N.01 101,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 AP 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. 'VISION OF IN 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 CORRE requirements of Sec. 145.135 and 145.19,Wis.Stats. • 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 Wecifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department which may include local inspectors. MARY JO, UPPERT Page 2 4/15/2014 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 r This Amount Will Be Invoiced. rand M Swim When You Receive That Invoice, POWTS Plan Reviewer,Integrated Services Please Include a Copy With Your (608)789-7892,Mon-Fri, 7:15 am-4:00 pm Payment Submittal. jerry.swim @wisconsin.gov WiSMART code:7633 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 Eby'SPS Chapters 360-366. I i I a I PVC Pig �Rt10 it S —30�L PVC :a C y _ � M �p J .Plug au l S MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: ROSS&RACHELLE WEGGE Owner's Name: (same) Owner's Address: 4271 Goodwin Avenue N. Oakdale, MN 55128 Legal Description: SW 1/4 of the SE 1/4, S 22, T28N, R1 9W Township: Troy County: St. Croix Subdivision Name: Tribute Lot Number: 57 Block Number: NA QOVE� �Y D Parcel I.D. Number: 040-1303-00-057 $ry�ErY,I,NO C Plan Transaction No.: USTRESE FS RVjCES tu /np Page 1 Index and title Page 2 Data entry ••.•••••••.•• $� Page 3 Mound drawings ;' ��.�FrC'• Page 4 Lateral and dose tank NDENCF H Page 5 System maintenance specifications ®1E:�g 2 Page 6 Management and contingency plan RALLS�: Page 7 Pump curve and specifications % ••; Page 8 Plot plan V' Designer: Mary Jo Huppert License Number: 1859-007 Date: 04/10/14 Phone Number: 715-426- 1775 Signature: Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB-10691-P(N.01/01),and both SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS(01/81)and Pressure Distribution Component Manual Ver.2.0 SBD-10706-P(N.01/01) Version 7.0(R. 03/2012) Pagel of 8 3 Mound and Pressure Distribution Component Design Design Worksheet Site Information (R or C) R Residential or Commercial Design Note: Sand fill(D)calculations assume a 400.00 Estimated Wastewater Flow(gpd) Table 383-44-3 in-situ soil treatment for 1.50 Peaking Factor(e.g. 1.5 = 150%) fecal coliform of-36 inches. 600.00 Design Flow(gpd) 7.00 Site Slope (%) 99.50 Contour Line Elevation (ft) 17.00 Depth to Limiting Factor(in) 0.40 In-situ Soil Application Rate(gpd/ftz) Distribution Cell Information 70.671 Dispersal Cell Length Along Contour(ft) = 8.50 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate(gpd/ft) 1 Influent Wastewater Quality(1 or 2) Are the laterals the highest point in the distribution F Y Pressure Disribution Information network? Enter Y or N (C or E) a Center or End Manifold 2.83 Lateral Spacing (ft) If N above, enter the elevation ft 3 Number of Laterals of the highest point. 0.156 Orifice Diameter(in) 3.75 Estimated Orifice Spacing (ft)= 10.54 ftz/orifice 2.00 Forcemain Diameter(in) 96.00 Forcemain Length (ft) Does the forcemain drain back? Y 86.00 Pump Tank Elevation (ft) Enter Y or N 4.55 System Head (ft)x 1.3 15.66 Forcemain Drainback(gal) 14.68 Vertical Lift(ft) 66.06 5x Void Volume(gal) 1.94 Friction Loss(ft) 81.72 Minimum Dose Volume(gal) 0.00 In-line Filter Loss(ft) 30.69 System Demand (gpm) 21.17 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. 01 lice 0.75 1.25 x I x 1.00 1.50 x 1.25 x x 2.00 x 1.50 x 3.00 2.00 x 3.00 1 x Gallons/Inch Calculator(optional) Treatment Tank Information i Total Tank Capacity(gal) 1200.001 Septic Tank Capacity(gal) Total Working Liquid Depth (in) Weser Manufacturer gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 800.00 Dose Tank Capacity(gal) Pol Lok __ Filter Manufacturer 22.24 Dose Tank Volume(gal/in) 525 Filter Model Number Weiser IManufacturer Project: ROSS& RACHELLE WEGGE Page 2 of 8 Mound Plan and Cross Section Views 1/10 B : { J Observation Pipe :41J : ::: -. .... : : : : : : : : . . . . . . . . . . . . . I . . . . . . . . : : : . 1 K. r•r•r•:•r•.•r:.•r•• r•f•J•J•f•••l•r•.r•1•r•r•:•r•. r•t•J•r•r•::r•::r::•:•J T: :'r r J 'S.y •.4y.y.1 ti..•.y.4.4.1.1.•..y.... y;1•y L.L y.y.1.4•y L y'.•`.•y'.•y L•'.•L• L•L•L•4• r•r:r•.• r:•r•r•J•J•r•J•J•J•J :•J•r•r•r•r•J,J•:•J:r•t•r•r•r•r•r•r• J•:•:•r y.y.L.L.y ••LL:r..yy••r:..y.••.rr..yy••rr..yy•.r.y•r�L1y•rr...1y:••.l r...6 1y••:r...•,'1r.•.11•rr•..1yy••:r....1.••..:J••.L y L••rr.,yy•••,:J..yyL.•::•.y L••.:r..4•r.4•r.LtiL•�r:..tiy.•••::..,y y y•.1:.Ly y•r:...yyy•.r:...yy L•:r...y 1L••r:..L11••r:...L11••J:.•.,•.••,..rr•..L1.••.:r..+yy•••.r r..•yyy••r:,..yy•••l r..yyy••r:..L1••.rr..•1y`••.rr.•1L'••r•'••:•1•l .:Jr•.y y1••:r.Ly"••r:•.•.y••••J r•. A . y. . •,. . W :.:.I.................:.:.:.... ......:.:...'. .'. .:.:.:': : : : : : . : :':': : : : : : : :I: : : B z . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I L Mound Component Dimensions A 8.50 ft E 26.14 in 1.00 ft K gift ft B 70.67 ft F 9.25 in z 13.10 ft L ft D 19.00 in G 0.50 ft J 7.08 ft W 600.70 (ft) Dispersal Cell Area 1526.34 (ft) Basal Area Available 8.49 (gpd/ft) Linear Loading Rate 1 7.07 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 102.85 (ft) --� .....,,,,, ♦ H .....:..... ...;; G j I F .......ersal Cell I Dispe 101.58 (ft) Lateral 101.08 (ft)--► — Invert Dispersal Cell Elevation D Q : 4 4 99.50 (ft) Contour Elevation 7.0 % Site Slope Geotextile Fabric Cover Shading Key a a T Dispersal Cell See lateral details on 1❑_ Topsoil Cap 1.5 ft ::•r•rtif r.r.r.r.r;r.r.r.r.r.r.r•: Page 4 for number,size, r rYVV•r4•..:nn•r•r r.:•r•r•:•r r.r ❑ Subsoil Cap and spacing of laterals.y 1 1f1r :f1: rtifti::: ASTM C33 Sand Laterals are equally ® 1....•..1.1.1.... L.L.•..L.'L.y.y 1• r•r•{:r:r_r.r{,{::.;:r,r::•:•r;: F -° fr ti`•1f1 �L%ti�ti1 spaced from the r.r.Typical Lateral J;r•r•r Tilled Layer d 0.5 ft :•y.y:'.• 1.1.1.1• distribution cell's 1%1%•.�1•`•1•L•1•y•1.1.1`1.1 r•r•J•J •Q r•r•r•r:r•r•r•r•::r•r•r•:•J• l Q ti•ti•'••L• Aggregate Q 1.1.1.11.1.1••.•1.1• ••.•L•L•L centerline in the A.•J•:•r•.•r•r•r`:• r•r•r•r•:• •r•r A distribution cell(Ax6). Project: ROSS& RACHELLE WEGGE Page 3 of 8 End Connection Lateral Layout Diagram Gems•s thellatefalz ove+1he A&8 diwensron •- P Atls IaMeaZ arv-adenucal 1EX—al Roles..drUlodon thebotmm of t/.elateral S equaly sPaWCCM. Lelbereft&forceffman Sch 40 PVC per SPS Tebbe 384.30-6 g Force main connection v.a tee Or cross to rtanifold at a"point_ Number of Laterals 3 Orifice Diameter 0.156 in Lateral Diameter 1.25 in Orifice Spacing(X) 3.84 ft Lateral Length (P) 69.12 ft Orifices per Lateral 19 Lateral Spacing (S) 2.83 ft Orifice Density 10.54 f?/orfice Lateral Flow Rate 10.23 gpm Manifold Length 5.67 ft System Flow Rate 30.69 gpm Manifold Diameter 1.25 in Total Dynamic Head 21.17 ft Forcemain Velocity 3.13 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and -► SPS 316.300 WAC 4 in.min. D Tank component is properly vented LForcemain Alternate outlet location diameter Weiser Manufacturer 2 in. Capacityl 800.00 Gallons Volume 22.24 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 19.40 431.38 8 2.00 44.48 C Pump off elevation(ft) C 3.67 81.72 86.91 D 10.90; 242.42 D Total 35.971 800.00 Dose tank elevation(ft) 3"Bedding un ir tank. 86.00 Alarm Manuafacturer SJE Rhombus Note: Switches Alarm Model Number Tank Alert AB containing mercury may not be used in Pump Manufacturer Gould this system. Pump Model Number PE 51 Pump Must Deliver 30.69 gpm at 21.17 ft TDH Project: ROSS&RACHELLE WEGGE Page 4 of 8 Mound System Maintenance and Operation Specifications Service Provider's Name Tri-Count r Sanitation Phone 715-386-2130 POWTS Regulator's Name St. Croix County Zonin _ Phone 715-386-4680 System Flow and Load Parameters Design Flow- Peak 600 gpd Maximum Influent Particle Size 1/8 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 600.695 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Inspect and/or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test month) Pressure System Laterals should be flushed and pressure tested every 1.5 years Mound Inspect for ponding and seepage once every 3 years Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to SPS 384.30 (6)(i), Wis.Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis.Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. _ II Lateral Turn up Detail Finished ............... Grade 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: ROSS& RACHELLE WEGGE Page 5 of 8 Mound System Management Plan Pursuant to SPS 383.54,Wis.Adm.Code General This system shall be operated in accordance with SPS 382-84 Wis.Adm.Code,and shall maintained in accordance with its'component manuals(SBD-10691-P(N.01/01),SSWMP Publication 9.6(01/81),and Pressure Distribution Component Manual 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 gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with SPS 383.33,Wis.Adm.Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers,access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessmentshall be sealed watertight upon the completion of service. Any opening deemed unsound,defective,or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s.281.48,Stats. The contents of the septic tank shall be disposed of in accordance with NR 113,Wis.Adm.Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm,the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment,maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump(dosing)tank shall be inspected at least once every 3 years. All switches,alarms,and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter,and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic(other than for vegetative maintenance)on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations(October-February)dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BODS, 150 mg/L TSS,and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD5,30 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 clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner,and any levels above 6 inches considered as an impending hydraulic failure requiring additional,more frequent monitoring. Continaency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank,pump,pump controls,alarm or related wiring becomes defective the defective component(s)shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface,it will be repaired or replaced in its'present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media,and related piping,and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Pretreatment Units The information and schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment units or disinfection units are attached as separate documents and are considered part of the overall management plan for this system. Project: �a55 � (RA&itELLIt WEr,,;;'4;;7 Page 6 of 8 e U GOULDS PUMPS Submersible _ Effluent Pump PE „im Moms iARJW Pump—�enerai: General: ■Conosion,eswa* • oisdtiarge:l'r4'NPi' • Single phase Construction. . • Temperaarre:104•F woo • 60 Hertz ■Cast iron body. ma Mum,Continnotts when • 115 and 230 wolfs ■Them"bA impellerand fully slrbrrterged. • Built-ln theltnal overload pro- oovt:t'. • Solids hanlfiing:1h• tectian vA automatic reset. ■Upper sleeve and bwer maximum sphere. • Class B insulation. heavy duly hall bearing • Automatic models include a •4HOW design. Construction. APPLICATIONS float switch. • High strength carbon steel M Motor is pemlarlendy Specially desigeed for the • Manual models available. Ndlricated for ertterMed following uses: ' Ptnrrphrg rap-see PE31 Motow service life. • Mound Systems perf =nce chart or curve. • 33 NP,3000 RPM r Powered for continuous • Effiuent/0osing Systems PE31 Pump: • 115 voh5 • taw Prmre Pipe Systems • Maximum capadty:S3 GPM • Shamed pole design ■An>a*W ae within the • Basement Mining • Maximum head.25'TDH PE41 Motor: M n�the mots Quick Heavy Duty Sump/ PE41 Pump: • .40 HP,3400 RPM �,20'standard , Dewaterilg • Maxims capes.61 GPM • 115 and 230 volts h 1 • Maximum head:29'TDH • PSC design 115 a 230 volt grounding PE51 Pump. PB1 Motror: lk • Maximum capadtll:70 GPM • .50 HP,3400 RPM ■C,pmpft unit 4 heavy duty, • Maximum head:37'TDH • 115 and 230 volts portable and corneae METERS • PSC din ■Mechanical seal Is arbor, ceramic,BUNA and sWnless !._ i.T ,' MOrIHS:PBI.M41'"! steel. 35 _ _ •i- ► ,�ao..so •Stainless steel fasteners. 10 z cPM . AGEKT LKTNry66 30 = 1 Fl .� s . _ CO s 25 _t .- It 20 Te"to UL 77S and �t C5A 22.21 � Slandards —. fiollhk l�rn�s h lSO1001 Nn•d OL 0 0 10 20 3 40 50 60 70 GPM gp 7 VV o 10 15 m�/h Plot Flan - Page$ of� Property Owner-so 40ft Legal Description (except where notedk �lgW, TORN OF "KW, sT 001 couAJ-rV. 0 = Backhoe ph Wise.oNSrN , Noah 41- VAAL A)LCV it J\ ;y PlL- -1, �St�gP LANK) '1 vu. Ss o °FpJ� 1°p. g v� � 4 G q s b 4 5� i i cr i ti 1P v FAR R7,a-? ' Site Locati h � Cali NO cK G V t� T /V � C �s E Q� ro 4� ggPnC R K LAVE y,''c" '4J �✓ '9 '� o o a � >50/ F RO M t t4faVJ w1t-cVK" MOUWD D1?,ftr1FVEkD i sr vi 81 414Y Sl"scN ye i f�V/ I .CS'LtL 3 .oz.tf-00 N COI �� ^ �` .1�- �. I V All W N .� M1 Mf U < i.fp Y J I $ $ IO W N t�.. Z n ? aT'39'1S w z x Z. w a r BF Spt 11 O fh + ` 1 �I i .0416L 3 o. r O .� I ;� �+ ri Po °�" r4 SZ W ZgZ.gp i Vii a 1 0� I�8Z ` 0- N tb l 1 ( IQ i I-C4 "04I 11 . ` ul N W it. , n -• •aCl9 ►� / n UFQ� 1 � �.� �C a ( / in �.. o / in^i� / �� , 130• d � � r '• \ 30' 'ire?` N cvc ~ J Cll in ti •+ c' LO vi cQ vi vi o La 4i C-4 09 on � tgg.SO• - / Y.30' AE � !•_.__= L_f � 1 N 0842• t _r--�-- �/ / t x C u u P L 2 cn 1 3 8 6 4 6 8 E ST. CROIX COUNT y SEPTICTANK MAINTENANCE AGR1141'E,1v1LWF AP-1D 1. OWNERSHIP CERTIFICATION FORM Milifing Addresi Avc /V/V /Z-6 Property Address ze,3 /Oa-- (V C r 1 1 0n' attired frarat llrartiYlg —0raing, ie�p/urwtant ror vow caasu� t7c,.,T) Para] idei,46fication Niumber 01/0-1,303 00 -,0 S7 7 "TOX"y L-O"t'" T 96-_N P,_IOL_W,Town or --T;�t>\/ Subdivision 141 Lot err led Survey Map Vo III Ire Page 4 Wgrrgn�,Deed ii fbefore 2007)Volun it--,Page Lot E'ncs i4eigirJaWa SIL13—M AIALNJMEIN&N—C—F-Aaa� 99-CL lmpro;,m�tise and main tcrinnet of youl,septic system cm-could rtsulin its pr i's iiure to handle wastes. proper m the!system can afrect ibekction 041theseptic m w 1k a a treatment stage to the a*ste d1sposal sysima, owner rnai, tenance mpensibifities arc specified I'll§C011"83,32,0);-Ild in ChAPIer 12-St,Croix County Swiitm Ordinance, * 4n a4mes it)sub-mit to St,('Voix COunly Plannirg&2ming Department zj ce-jiricati01,rOMI,sighed by Elie O%vver nrd Lys njuster pIur)jb.-j,,jOMMVYn1Rt1 Phlnlbot.mit-icted plumbel-Cr a ficellsed pumper verifyhIg jj=aj#t 1 the 0, 4 wasiewater d1knouit symeal is fn iiw1wr opernliov,ccud'tion vndar(.I)aflee!?mpoctim and 11' Joss than �!3 11l'if 01'sIvAge. UnTiN ONCCOSOry),Ifie wivic Imik N i/we,the t ndersisncd have read the above requirements and F gre c to tree:""1)ain'he private swage disposal system with the standards sot as but by the Deparimunt of COOlMerce and the Department ofNatuml sources'Stets;of wisconsim emlificalion stating that your septic SySte"I ILU bOeD Maira inCed MUM be tOUIP)CtOd And'retomi;d to',he S"t.Crofx County Planning& y Vwa acztlf�,that 411 statements on th form are;rut to'21C best of mylour knolvlvdgc. Iiwe 0.411tare the Owner(Q of he property deve6beM above,by virtue era wr, anty deed reeurded M Register of D,-,-.ds Office, NUMber Ofbedmom �s DATE "Any in foj'jnatjon that is 117 jaroprosen ted may result its the sanitary Ponrli*being rOVOW by the Pjargijj g Fonts(gDel nnrftejjt tA* lncll)�'C`vi(JIV i5 aPPNcsticl)0 recorded warrazitydeed from the!Resister of Deeds Oft-See and imp:f reference is made in Om wal-rarty deed. (R V,08/05) {i illfiiflifffiiifilifill{i{ii{ State Bat of Wisconsin Form 1-2003 8 1 9 2 0 0 4 WARRANTY DEED Tx:4159500 988392 Document Number Document Name BETH PABST REGISTER OF DEEDS ST. CROIX CO., WI THIS DEED,made between CA J Builders,Inc.,a Wisconsin Corporation 10/30/2013 3.20 PM EXEMPT#: NA REC FEE: 30.00 ("Grantor,"whether one or more),and Ross Wegge and Rachelle We e,husband TRANS FEE: 120.00 and wife PAGES: 1 ("Grantee,"whether one or more). Grantor for a valuable consideration,conveys to Grantee the following described real Recording Area estate, together with the rents, profits, fixtures and other appurtenant interests, in Name and Return Address St.Croix County, State of Wisconsin("Property")(if more space is David J. Estreen needed,please attach addendum): 304 Locust St. Hudson,WI 54016 WI-21778FA Lot 57 Walnut Hill Farm in the Town of Troy St. roix County,Wisconsin 040-1303-00-057 Parcel Identi f cation Number(PIN) This IS NOT homestead property. (is)(is not) Grantor warrants that the title to the Property is good, indefeasible, in fee simple and free and clear of encumbrances except: Easements,restrictions and right-of-way of record,if any. Dated October k 12013 C J ilde s,I C. (SEAL) (SEAL) * * e ey J. Husby,President (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF Wisconsin ) I )ss. authenticated on . DELON(a S1 Croix COUNTY) . STATE OF WISCONSIN P -sonally came before me on October AA '2013 s above-named Jeffrey J. Husby,President of C&J Builders, TITLE: MEMBER STATE BAR OF WISCONSIN Inc. (If not, to me known to be the person(s) who executed the forelgoing authorized by Wis. Stat. § 706.06) instrum al to wled the ame. THIS INSTRUMENT DRAFTED BY: Attorney David J.Estreen No ary P ic,State of Wise in 304 Locust St.Hudson,WI 54016 My commission(ins-p"ma"W)(expires: ) (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATION TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED (02003 STATE BAR OF WISCONSIN FORM NO.1-2003 iT oyanle below signatures. INFO-PRO"'Legal Forms-(800)655.2021•infoprofouns.com OT Wisconsin Department of Com SOIL EVALUATI46EP T Page 1 of Division of Safety and Building r d ccordance with Comm 85,Wis. Adm. C R County ST.CROIX Attach complete site plap r not less than 81/2 x 11 inches in size, larist include,but not limited to:vertical and horizontal reference point(BM),d1fcC/�O Iarlt<`LD. 040- 1303-00-057 percent slope,scale or dimensions,north arrow,and location and distance to ne WA Please print all information. Date Personal information you provide may be used for secondary purposes(Privacy Law,s.75.04(t)(m)). 1 f l� ly Property Owner Property Location El C&J BUILDERS INC. Govt.Lot ----SW 1/4 SE 1/4 S 22 T 28 N R 19 E❑(or)W Property Owner's Mailing Address Lot# Block# Subd.Name or CSM# 243 Steelhead Drive 57 -- Walnut Hill Farm(Tribute) City State Zip Code Phone Number ity []Village own Nearest Road River Falls, i WI 1 54022 ij 715) 222-9731 Walnut Hill Way New Construction UseE] Residential/Number of bedrooms 4 Code derived design flow rate 600 GPD a Replacement Public or commercial-Describe: Parent material loess over glacial till Flood Plain elevation if applicable General comments Mound System-- 1.59 ft.sand fill--0.40 loading rate and recommendations: t/Additional pit conducted to move system area out of proposed dwelling location. Pits) a Boring# ❑ Boring 17 Pit Ground surface elev. 97.20 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 0-8 10YR2/2 - sil 3fabk mvfr cs 2vf-m 0.6 0.8 2 8-17 10YR3/3 - cl 3f-mabk dh ai 2vf-f 0.4 0.6 17-lsbr Boring# E] Pit Boring 99.50 24 ■ 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 0-7 10YR2/2 sil 3fabk mvfr cs 3vf-m 0.6 0.8 2 7-19 10YR3/3 cl 3f-mabk dh as 2vf-m 0.4 0.6 3 19-24 10YR4/6 cl 3f-mabk deh ai lvf-m 0.4 0.6 24-Isbr *Effluent#1 =BOD >30:5 220 mg/L and TSS>30<150 mg/L *Effluent#2=BOD <30 mg/L and TSS<30 mg/L CST Name(Please Print) Sign CST Number MARY JO HUPPERT Hollister's Soil Testing&Desi 224832 Address Da a Evaluatio onducted Telephone Number W9875 690th Avenue, River Falls,WI 54022 10-08- 13 715426-1775 Property Owner_ C&J Builders(Lot 57) Parcel ID# 040- 1303-00-057 Page 2 of 3 3 Borin # Boring g El Pit Ground surface elev. 96.85 ft Depth to limiting factor 22 in. Soil lication 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 0-8 10YR2/2 -- sil 3fabk mvfr as 3vf-m 0.6 0.8 2 8-22 10YR3/3 -- sicl 3fabk dh cs Ivf--m 0.4 0.6 22-lsbr Horizons 1&2 have some cobs. F-1 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 GPD/fF in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 Boring# Boring 9 Pit Ground surface elev. ft. Depth to limiting factor in. Soil lication 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 I *Eff#2 *Effluent#1 =BOD5>30<220 mg/L and TSS>30<150 mg/L *Effluent#2=BOD5<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-8330TO9(R.07/00) Plot Plan for Site and Soil Evaluation Page 3 of 3 Property Owner I" = 40ft Legal Description L (except where noted) V I-VA 1. e,gvj, TAN of v �, ca�oix co�N-ru, U =Backhoe pit W tsGo�u s W , I. 32D -� S North 1nA��N1Ci NI LL Wl4Y�_. "C NOR-rtt PI` -4. 54 LANK) 0 �0,0 Ld r9 - so 7 ago 9� 00 sPIK E II)GROU.UD 47.37 iFT �GXuB Site Locati n: eiv 14 pv OtK S&C, •��. 4� tG d r V001 TODD T3 JE le STFDT— �/� PMpertyOwner Parcel ID# 5 7 Z 3 [I BOMV Pam of t Grcundsvrfaceetev fl. 0 th to timtf�g factor ,kt �h Dominant Soon Rate Texture S-Sz.S Consistence Sour4ary Roots GPDAT �. Munseft Qu.Sz. ConL Gotar Cx_Sz.Sh. l 'Etf#2 / o• 67 �o L ,01 sly nom►�R w . s . Alil 5-ri L f;4f f 7VNE f '# ;no ❑ pit Grocmd surface Gig, ft. Depth to firniting factor ire. Horizon Depth Dominant Consistence SO Xafiort Rate, Redox�saip�rt 7extt�re Stye ry Roofs GP[}tff lrx Munsetl Qe.Sz. Cont Color Car.S2 Sh. °Elf#9 °Etf#2 Sating# ❑ , ❑ pit Ground surface elev. ft. to limi&V factor kL horizon Depth Dorrt R� Redox Description- 7 Structure Consistence Bot*Klmy Roots in. Munsell C3u.Sz. Court.Color .Sz.Sh. •Elfttl 'Eff#2 t Y e• f i f t F-1 t',dng# Boring ❑ pit Ground surface elsv ft. Depth to lirruting factor in. Sod Rate HoAZOn Depth Don*%ani Color Redox)bescrlpfim. Texture Sbuct re Consistence Boundary Roots GPOW Munseft Qu Cant.Color Gr.Sz.Sh. `Etf#'i *E f#2 Eflitxwd#1=BOD,>30;S 22€3 ffwA and M>30<150 nx t. °Effluent#2=BM,:S 30 mgtt,and 7SS<30 mg+L The Department of Commerce is an equal opportunity service provider and employer. If you treed assistance to access services or need material in an alternate format, please contact the department at 648-266-3159 or TTY 609-264-9777. sats.asw 1tz�nor r IL Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of� 3 ri Division of Safety and Buildings in accordance with Comm 85•Wis. Adm. Code County 5r. Attach o L v7' /N H EROSION CONTROL PLAN must be �iroad Parcel I.D. P o�� G-- completed before sanitary permit issuance 3U rR �edby ��Personal irft—adon you Provide may be used for secondary PxPoses(Pr y Low.a.15.04(1)(m)). ��Yli1 Property owner C TODD Property Location v Z8 0 ro PD �3 ERS Te7fl Tf ��, f1// /� Govt.Lot 1411 1Na 5 1/4S T N R 9 E(or)w Property Owners Mailing Address Lot# I Block# I Subd.Name or.(_SM# too IS CA It i LL Ave. 5 7 IVALW 0 r l SN ULR State Zip Code Phone Number. ❑City ❑Village W Town Nearest Road bPpor if T5 MA) 55o7(P ( &Sl) Zy8• #09F TRoy so. 61006p, 0 01 New construction Use:M Residential/Number of bedrooms Code derived design flow rate r D'a GPO Q Replacement J ❑ Public or commercial-Describe: — tA Parent material /PE'5 5 oUFe DD/OM%YL=-_ Flood f"/elevation if cable f ' General comments J �,pG�- and recorrarrerldations: • S�o7' TES T�1 � � S ySTE,q ?lSliv&r �Z rr 5�4,vp El Bore D Boring 1 05•g� a Z t�. r ® Pit Ground surface elev. Depth fMWng tamer Sod Applicadon Ram Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW In. Muisell Qu.Sz ConL color Gr.Sz Sh. 'EMI 'E>r#2 0. 9 10 A " -3 ski I.-rA 3 w 3,F . S . s /o L 2,f s bk A4A-FR. C-5 IS .Z 7.5 / s� awl�F l-F . Z • 3 Gov 7 Boring 0 # ® p Boring Ground surface elev. /05 .8 ft. Depth to bnbV factor 2 O in. soy Application Rate Horizon Depth Dominant Redox Description Texture Structure Consistence Boundary Roots GPDff en. Munsell Qu.S7_ Cont.Color Gr.Sz-Sh. TOM 'E #2 (� D• /Or 3f y �� o � S�� z sh �► 25 s N •EtAuent#1=BOD >30<220 mg&and TSS>30<150 mglL 'Effluent 42=BOD _5 30 mg&and TSS 130 mglL CST Name(Please Prim ,-A L z i C lk T a2 G 3?5 Address Ulbricht &ASS9CiateS Date EvakM 1 C NI T Number Private � T. Z/ 7U- 77A• 3 yy 2-- 2812 10th Ave. Spring Valley, WI 54767 A� Ok ' FOR ,q APRO X - 2- Yo • °y0 • /off 5 • SD • tr�a 0,Y0 . 16'M dyp • log( • z0 • o� 0y0 • /0Z - &0 - Mr o yo • is*6 - 70 40t' o yo . io�� © • Ono .0 . y PLOT PLAN WALNUT HILLS FARM. LOT # � Pg. 3 of 3 = Contour elevation lanes. • = Backhoe Soil pits. O = Benchmarks set, maRRED WITH FLAGGED .lathes. 1/2" steel conduit pipes. W0 WM .Af Ol1.O D COA) G/�v.� 5• SCALE: 1 " _ O . ®vv� s ys7 3G f eOX-Ti®A,-' WiA 5 ' i07, �� v lul q�. v° 1 x 1 � l i I o vvfG�f 1 Ulbricht &ASSOC a'as tants private 0 h Age. 281?n `�aliev, \N1 54767 del%IiIM To �� !I' •� ' Of , � ' • • •�, ���� •" �i4/ •' • 1' • IVA �. t ���/ �'';• a �. R � aqp ��