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040-1303-00-036
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division Sanitary Permit No: INSPECTION REPORT 574329 f:�11VI T GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: q 5 Personal information you provide may be used for secondary purposes[Privacy Law,s.15.04(1)(m)]. 7 Permit Holder's Name: City Village X Township Parcel Tax No: Simon, Jason &Susan I Troy, Town of 040-1303-00-036 CST BM Elev: Insp.BM Elev: BM De�scjiptio �, Section/Town/Range/Map No: �j�. c, �'��C), 77, ��, TLS -r 22.28.19.1771 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing ,- Alt.BM All Y� zl Aeration Holding St/Ht Inlet 7 p (�3, 7 St/Ht Outlet TANK SETBACK INFORMATION TANK TO P L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Dt Bottom Septic (FYl HeadeifMan. Dosing 5�� � i� �L� t Aeration r Dist. Pi p e /'�r � Manufacturer ^ Z 5 Holding Bot. System Final Grade � { � � PUMP/SIPHON INFORMATION L ✓� Demand S Lover --7 " q -7, l 1C!� GPM _.� C�vtc.�i ►� Model Number 1 f �✓ ��j ���� 7 TDH Lift Friction Ljs System r Hea TDH Ft Z cog g 1 7 � G �A..1Gr'► � Forcemain+ Length Dia. Dist.to Well SOIL ABSORPTION SYSTEM DIMENSIONS WidthCal Lengh�/ No.Of Tre---hes- PIT DIMENSIONS No.Of Pits Inside Dia. Liquid Depth SETBACK SYSTEM TO P/LLL BLDG WE LAKE/STREAM CHAMBER LEACHING OR Manufacturer: INFORMATION r UNIT Model Number: Type Of System: ) �`/ 1 DI IBUTION SYSTEM >ICt)r 11%i Bader anifold r/ Distribution t _ 77 x Hole Size x Hole Spacing Vent to Air Intake �_It� j.r� Pipe(s)l ��y ( ; �,� : Length?L Dia I Length , L Dia ! Spacing SOIL COVER x Pressure Systems Only x MoundyOr At-Grade 5ysWms Only § Depth Over Depth Over xxbepth of Seeded/Sodded Mulched pJ 'Yl BedlTrench Center Bed/Trench Edges Topsoil � ••�-. ' Yes 1 No '"' Yes No COMMENTS: (Include code discrepencies,persons present,etc.) Inspgction# �D� / sPar5#2: Location: 234 Walnut HIII Way River Falls WI 54022 SE 114 SE 1/4 22 8N R1 9W) Walnut ill Farm aka he ribute No: 22.28.1 .1771 1.)Alt BM Description ot 4+1 4 v )`huh t�"�'" 2.)Bldg sewer length= 211 P,4 -amount of cover= . + �1 Plan revision Required? (_] Yes [XA o Use other side for additional information. -Ll ! - - -- Date Insepctor's Signature Cert.No. SBD-6710(R.3197) Cn WAIIAkh HIlL 'Wikj RN LA ell ra (zr ,29 Ja ti G�V gamer mid&A&W Mwbion <� t 2r w w A P.O.emc 7162 • �` > oa ve., Petmicxt®ba(eQuemedisbyt7o.) Madism.vw 53707-7162 7 g(•G�,f Pem3 t.A StdTta ar! IM -MM VAL Ms.GDk=ba3iisiim of itre Sovernmedai emit 2 5� L�cu/'2 ffi sagoued pri� ' a seuit�*pe Noft l m fi=s fw P091IM=,d vim ftqjcdAddw=(jfdlflk=A&m .d3ceas} the tfSata�ly a Ptofmniaasi setsiea N am9 im fimmdo eyw pie aw lie used i k sd y Ox Z3 PtoputyOwOW3NnIg 4.. 015.R.� J- 5 w l f��„ /303 • ' PtaQettyt3waa'stAdd�ess ,q Fka"LOCOM 1 -771 ) cimSoft geode PhMeAMdw 5E: V, Sr— V,seefim Z2 l-Ow 10 A.! tdtde IL Type of BmTd(btg(cbeck alb that apply) T 28 Pt Rf Ct Al.ar2 Fan*Dwe»atg—xtmdxw ofBedmaws 3(c, SubdvbIonl4sm ok w0 Wr UVC .-J4tU Q PuMWCa=uewW—tug C> , •� ally of pia r. a Slime ottaed—Docaa um I , I csUxMMaw Q vi>w cf OsMOf 73C�I HL T"e G"Waft t; c 111,01r a na boat ee,> A. CompJl�e B frFSp�) a A' X�icwSyslem 0 Rcp3seemta$Sywet Q Ti uldiagTm*R t* Q othcrM onays®dmgs�m( } B- Q Pc=ft Rene w " RevM m 0 Clow a ❑P TrMu rto 2M► Iist Faa Noraher sipd Dore ksaed Bel m 32? IV.Type of POWTS oasstlDeriicc Cheek M Oat d . bd Q I Itrtk=ad 11FWswmmdhPd#wmll Q Ate Q d>24 im oftm t*k aU ^Mw=d<24iMQfswhJAcM3 O€iaidftTmk c ©AroheatnaaotDavicx( � v - estArea nnknflowtlA Desip son DkpmdAmRetpm Atea t System oe ,C8- l Z VL Teak IAfD Toed 19 of tt t:�aillloos MIS � O > T=I&, Lava a m �v iz se�uo�aa�r� /Zoe -SEF TZ noaeccaeear N vII.RegynobmW Stat+ewemt-L&t respeaswft smr- arse rows tine attacked glsas. PIwnWsNanw(FHa) x I =37 z -755-2 4 6 j FhwMer's Aft=(Sues,0%Stale„Tip eudc) Po I Sb ckw � VV Vinlebuff4wepartesen tie j�'AWowea ==J�:>�� � I/ _ Cou f,�! ttictank,efflutant�t�ter and J) t T-tlJ�w I%,- tlispersal cell,must all be services/maintained � at per management plan provided by p>umber. G.� "A � Z. °Ap acK requiregn"ts must be.mainta(ne�{ as per applicable code`I ordinimm.` -AttKhte=wVIdeOm&r&e.V a ad=baitt**ecwmtFs*tw papR wimtm.ansutwwta iw SBD-6398(R 11/11) JEFFERY V FOX Page 2 9/25/2014 is of a type conforming to the standards or specifications of chs. SPS 382 and 383 and this chapter and ch. 145, Stats. • The existing POWTS must be properly abandoned per s. SPS 3 83.3 3 Wis.Adm.Code. A copy of the approved plans,specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department,which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance.As per state stats 101.12(2),nothing in this review shall relieve the designer of the responsibility for designing a safe building,structure,or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below,or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation,operation or maintenance of the POWTS. Sincerely, Fee Required$ 250.00 ° C. This Amount Will Be Invoiced. When You Receive That Invoice, Patricia L Shandorf Please Include a Copy With Your POWTS Plan Reviewer,Integrated Services Payment Submittal. (715)634-7810, Fax: (715)634-5150,M-F 8:00 a.m.-4:45 p.m. WiSMART,code:'7633- pat.shandorf @wisconsin.gov cc: Edwin A Taylor, Wastewater Specialist,(715)634-3484,Monday-Friday 8:00 am To 4:30 pm Note: Effective January 1, 2012, all codes under the jurisdiction of the Division of Industry Services(formerly Safety&Buildings)will be modified. Code references with prefixes starting with"Comm"have been replaced with "SPS"to recognize the relocation of the Division of Industry Services from the former Department of Commerce to the Department of Safety&Professional Services.Additionally,all IS(formerly S&B)codes have been renumbered and addressed in a"300" series. For fixture reference,the Wisconsin Commercial Building Code will be addressed by SPS Chapters 360-366. i o�4AR T►t �r DIVISION OF INDUSTRY SERVICES 10541 N RANCH ROAD 9� HAYWARD WI 54843 3 f Contact Through Relay F http://dsps.wi.gov/programs/industry-services -- tG WWW.WISCOnSIn.gOV sIONr+lS� Scott Walker,Governor Dave Ross,Secretary September 25,2014 CUST ID No. 223242 ATTN.-POWTS Inspector JEFFERY V FOX ZONING OFFICE JEFF FOX CONTRACTING&SEPTIC INC ST CROIX COUNTY SPIA PO BOX 565 1101 CARMICHAEL RD DRESSER WI 54009 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/25/2016 Identification Numbers Transaction ID No.2454345 SITE: Site ID No. 804269 Jason Simon Please refer to both identification numbers, 234 Walnut Hill Way above,in all correspondence with the agency. Town of Troy St Croix County , SE1/4, S22,T28N,R19W FOR: Description:Mound,4 bedroom residence Object Type:POWTS Component Manual Regulated Object ID No.: 1494626 Revision;Maintenance required; 600 GPD Flow rate; 19 in Soil minimum depth to limiting factor from original grade; C Odd D System(s):Mound Component Manual-Ver.2.0, SBD-10691-P(N.01/01,R. 10/12),Pressure Distribution Component AP Manual-Ver.2.0, SBD-10706-P(N.01/01,R. 10/12),SSWMP Pub.9.6; Effluent Filter DEPT OF The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Cc,ci t 10 and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be const ucR'SJO`J _ N and located in accordance with the enclosed approved plans and with any component manual(s)referenced above. The owner,as defined in chapter 101.01(10),Wisconsin Statutes,is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, SEE CORR stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Key Item(s) • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard,the property owner must follow the contingency plan as described in the approved plans.In addition,the owner must insure that the operation,maintenance and monitoring duties as described in section VIII of the mound component manual are complied with.A copy of this information must be given to the owner upon completion of the project. Reminder • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per SPS 383.44(6)(a)2. • Limit activities in the area 15'beyond the down slope edge of the mound per Mound Component Manual. • Surface water drainage shall be diverted away from the system area per Mound Component Manual. • Materials shall conform to the requirements of SPS 384.10.No fixture,appliance,appurtenance,material, device or product may be sold for use in a plumbing system or may be installed in a plumbing system,unless it JEFFERY V FOX Page 2 9/25/2014 = is of a type conforming to the standards or specifications of chs. SPS 382 and 383 and this chapter and ch. 145, Stats. • The existing POWTS must be properly abandoned per s. SPS 3 83.3 3 Wis.Adm. Code. A copy of the approved plans,specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department,which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance.As per state stats 101.12(2),nothing in this review shall relieve the designer of the responsibility for designing a safe building,structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below,or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation,operation or maintenance of the POWTS. Sincerely, Fee Required$ 250.00 This Amount Will Be Invoiced. When You Receive That Invoice, Patricia L Shandorf Please Include a Copy With Your POWTS Plan Reviewer,Integrated Services Payment Submittal. (715)634-7810, Fax: (715)634-5150,M-F 8:00 a.m. -4:45 p.m. WiSMART code: 7633 pat.shandorf@wisconsin.gov cc: Edwin A Taylor,Wastewater Specialist, (715)634-3484,Monday-Friday 8:00 am To 4:30 pm Note: Effective January 1, 2012, all codes under the jurisdiction of the Division of Industry Services(formerly Safety&Buildings)will be modified. Code references with prefixes starting with"Comm"have been replaced with "SPS"to recognize the relocation of the Division of Industry Services from the former Department of Commerce to the Department of Safety&Professional Services:Additionally,all IS(formerly S&B)codes have been renumbered and addressed in a"300"series. For future reference,the Wisconsin Commercial Building Code will be addressed by SPS Chapters 360-366. MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN INDEX AND TITLE PAGE Project Name: Jason Simon Owner's Name: Owner's Address: 1394 4"'Ave Baldwin WI 54002 Legal Description: SE1/4 SE1 14 S22 T28N/R19W Township: Troy County: St. Croix Subdivision Name: Wallnut Hill Farm Lot Number: 36 Block Number: Parcel I.D. Number: 040-1303-00-036 TIONALLY ROVED Plan Transaction No.: SAFETY AND Page 1 Index and title !AL SERVICES IUSTRY SE Page 2 Data entry RVICES Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan SP D NCE Page 7 Pump curve and specifications Page 8 plot plan Page 9 soil test r� <�--q8 �- Designer: Jeff Fox License Number: MPRS 223242 Date: 08/21/14 Phone Number: 715 755 2461 Signature. Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SBD-10691-P(N.01/01, R. 11/12),and both SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS(01/81)and Pressure Distribution Component Manual Ver.2.0 SBD-10706-P(N.01/01, R. 10/12) Version 7.0(R. 11/12) Page 1 of 9 ' r Mound and Pressure Distribution Component Design Site Information 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) 9.00 Site Slope(%) 97.00 Contour Line Elevation (ft) 19.00 Depth to Limiting Factor(in) 0.40 In-situ Soil Application Rate(gpd/ft2) Distribution Cell Information 65.00 Dispersal Cell Length Along Contour(ft) = 9.24 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate(gpd/ft2) 1 Influent Wastewater Quality(1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? e Center or End Manifold 3.08 Lateral Spacing(ft) If N above, enter the elevation (ft) 3 Number of Laterals of the highest point. 0.156 Orifice Diameter(in) 3.00 Orifice Spacing (ft)= 9.10 2/orifice 2.00 Forcemain Diameter(in) (IK 0 Forcemain Length (ft) Does the forcemain drain back? Y 89.00 Pump Tank Elevation(ft) 4.55 System Head(ft)x 1.3 12.23 Forcemain Drainback(gal) 9.01 Vertical Lift(ft) 87.28 5x Void Volume(gal) 1.99 Friction Loss(ft) 99.52 Minimum Dose Volume(gal) 0.00 In-line Filter Loss(ft) 35.54 System Demand (gpm) 15.55 Total Dynamic Head(ft) Lateral Diameter Selection Manifold Diameter Selection in. dia options choice in. dia. options I choice 0.75 1.25 1.00 1.50 x x 1.25 2.00 x 1.50 x x 3.00 2.00 x 3.00 x Gallons/inch Calculator Treatment Tank Information Total Tank Capacity(gal) 1200.00 Septic Tank Capacity(gal) Total Working Liquid Depth (in) Wieser Manufacturer gavin (enter result in cell B49) Dose Tank Information Effluent Filter Information 800.00 Dose Tank Capacity(gal) lifetime Filter Manufacturer 20.28 Dose Tank Volume(gal/in) 01/08/14 Filter Model Number Wieser Manufacturer Project: Jason Simon Page 2 of 9 1 i Mound Plan and Cross Section Views 1/10 B © J FKj____ Observation Pipe j — O -A W l . . t . B . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . L Mound Component Dimensions 9.24 E 26.98 in H 1.00 ft K 10.87 ft B 65.00 ft F 9.50 in 1 14.55 ft L 86.74 ft D 17.00 in G 0.50 ft J 6.40 ft W 30.15ft 600.60(ft2) Dispersal Cell Area 1546.20 (ft2) Basal Area Available 9.23(gpd/ft) Linear Loading Rate 6.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 100.21 (ft) G H 2 2 F Dispersal Ceti 98.92(ft) Lateral 98.42(ft)--► -- Invert Dispersal Cell 0:: Elevation E D 1 l a 97.00(ft)Contour Elevation 9.0% Site Slope Geotextile Fabric Cover Shading Key 4 in. Dispersal Cell See lateral details on 0�] Topsoil Cap dia. 1.5 ft Page 4 for number,size, Subsoil Cap d otte ®and spacing of laterals. ASTM C33 Sand obse Laterals are equally © � rvati 0.5 ft Typical Lateral F spaced from the 0 Tilled Layer ® distribution cell's © � Aggregate on centerline in the pipe I♦� _N distribution cell(AxB). A Project, Jason Simon Page 3 of 9 End Connection Lateral Layout Diagram C—rer the I at er a1=over th�A�_.E. 0=Tu rn-u p •a I I sea Kee or cl es n out p]u 9 IE P All lateral_ Holes.dnlled or.the b-tt-m ;,lh:Faleral equ,allq L;5tter;=&�-'&fot c-ern.mr, _oh 4F1 Pw-_]per SF—.Table='-',-'4 30-5 via te,or,ro=-to manoolda, any pomt ,�,P�m,a Number of Laterals 3 Orifice Diameter 0.16 in Lateral Diameter 1.50 in Orifice Spacing (X) 3.02 ft Lateral Length (P) 63.42 ft Orifices per Lateral 22 Lateral Spacing (S) 3.08 ft Orifice Density 9.10 ft2/orifice Lateral Flow Rate 11.851gpm Manifold Length 6.161ft System Flow Rate 35.54 gpm Manifold Diameter 1.50 in Total Dynamic Head 15.551ft Forcemain Velocity 3.63 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 -------------- UP 4A%jin location Tank component is properly--v-e-nFeF— maile outlet -B Forcemain diameter Wieser Manufacturer 2 in. Capacityl 800.00 Gallons Volume 20.28 gal/inch Weep hole or anti- Dimension Inches Gallons siphon device A 21.64 43817 B 2.00 40.56 Pump off elQvation(ft) C 4.91 99.52 89.911 o 10.90 221.05 T D 1 39.45f— 800.00 Dose tank elevation(ft) 3" Bedding under tank. 1 89.00 Alarm Manuafacturer Rhombus Alarm Model Number JJ Pluger Pump Manufacturer Zoeller Pump Model Number BN152 Pump Must Deliver I 35.54 gpm at 15.55 ft TDH Project: Jason Simon Page 4 of 9 Septic-Dose Tank Cross Section And Pump Performance Specifications Tank Manufacturer y�j Pump Manufactu= Z,c 5U-CQ Tank Model Number 2w LP Pump Model Number t� IcJ Z Total Tank Capacity Z� Alarm Manufactu mr k4um Max.Bury Depth Alarm Model Number yt-u 6 6 Switch Type Filter Manubeftner L I MT1 Total Dynamic Head(TDH)-Fed Filter Model Number t Elevation Head Distal Pressure Network Loss Minimum Pump Performance Required Force Main Loss GPMA I Ft TDH I Total outlet Manhole Min.4"Above Grade With Mule Min.4"Above Grade Locking Device. Inlet Manhole With g Device <G'Below Grade Sealed Watertight Securely Mounted ---� Weather-proof�, 7 Junction Box •• ••• -' Finished Grade �• •• •• -� — ,� Depth of Vent Min. 12" Cover �°° Above Grade Means Pt With Vent Cap }ts stc < tss. < csts aycK <atssts?c +at'csact K sc Outlet Outlet Filter ----- In InletBa$le ---- a` Switch Settings and Reserve `/+" Tank Volume= GPI '< �` wee' �< Hole Dimension Inches Volume Gal. B a< (reserve)A �1 '7 <}< =�s (alarm) B 2 y(�.�S.to '< Off Elevation . C as a a<a. Q' �+'' as Ft �< s dose C + 11 cl r 5z a — s i K ) < a B01tDtn y a � < �.�+ K , y< (dead) D .9r© ° 2 .0 ;< D :` Elevation a < < y` Total 9,yS RCO ' '` Ft s < t a t s + + + e t t s t t t t s s e + s s < s < t s t s t < s s t + e s e e s s < a s s s 4-4'4'< e t c s < < ss sass s s s a s a s s a s s a a s s s a a a a a a s a a a s a a s > s a a a a a s s s s s s a s s s a a a a a a GENERAL INSTALLATION: The septic/dose tank is bedded and back filled in accordance with the man's product approval specifications. Maxon im depth of bury as specified by the manuf turw may not be exceeded without prior approval. Manhole covers exposed to grade have an effective locking device(padlock) installed. Piping at the inlet and outlet is of approved material,connected to the tank with watertight fittings,and laid on stable soil to prevent settling or sagging. The ford main is sleeved with 4"Sch.40 PVC to bridge the tank excavation and the sleeve is sealed watmtight. Electrical service complies with NEC 300 and Comm 1628 WAC. 02/05 U Page of Mound System Maintenance and Operation Specifications Service Provider's Name Jeff Fox Phone 715 755 2461 POWTS Regulator's Name Pierce County Phone 715 273 6747 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 600.6 2 Maximum FOG 30 mg/L Type of Wastewater,Domestic Maximum Fecal Coliform >10E4 fu/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 Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to SPS 384.30(6)(i), Wis.Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis.Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished ..����........� ............... Grade 6-8" Diameter Lawn pop- Sprinkler Threaded Cleanout Valve Box Plug or Ball Valve Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Jason Simon Page 5 of 9 Mound System Management Plan Pursuant to SPS 383.54,Wis.Adm.Code General This system shall be operated in accordance with SPS 382-84 Wis.Adm.Code,and shall maintained in accordance with its' component manuals[SBD-10691-P(N.01/01,R.11/12),SSWMP Publication 9.6(01/81),and Pressure Distribution Component Manual Ver.2.0 SBD-10706-P(N.01/01,R.10/12)]and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with SPS 383.33,Wis.Adm.Code when the tanks are no longer used as POWf S components. Septic or pump tank manhole risers,access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective,or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s.281.48,Stats. The contents of the septic tank shall be disposed of in accordance with NR 113,Wis.Adm.Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the fiker 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 shalt 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 BODg, 150 mg/L TSS,and 30 mg/L FOG for septic tank effluent or 30 mg/L BODS,30 mg/L TSS, 10 mg/L FOG,and 10"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. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank,pump,pump controls,alarm or related wiring becomes defective the defective component(s)shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface,it will be repaired or replaced in its'present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media,and related piping,and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWt'S 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. f? f •� 1 s�i� _ �;•;rk=' ,•` - ; •f.'��i � -rte,/ IF s� _ ■i� AFT _1 .. � ,t i♦a•,1� � F. �� r LA Ca pool 71ri I SOIL EVALUAT REPORT r L W L #1245 PAIj 7)p Departent of Safe!and�!roFessio�al Services Page 1 of 3 �a = Division of-Safety dnd Buildings=! Keith E.Stoner _ in accordance wit Code Attach co slle Ian on paper not less than 8%x 11 inches in size. Plan must County mW� P P Pe St.Croix include,but not limited to:vertical and horizontal reference point(BM),direction and percent slope,scale or dimensions,north arrow,and location and distance to nearest road. Parcel I.D. 040- 303-00-036 Please print all information. Revie By - Day ` Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). Property Owner Property Location Jason Simon Govt.Lot SE1/4,SE1/4,S22,T28N,R19W Property Owner's Mailing Address Lot# Block# Subd.Name or CSM# 1394 4th Ave. 36 Walnut Hill Farm City State Zip Code Phone Number City E]Village ® Town Nearest Road Baldwin I WI 1 54002 1 Troy 1 234 Walnut Hill Way ®New Construction Use: ® Residential/Number of bedrooms 4 Code derived design flow rate 600 GPD ❑Replacement ❑ Public or commercial-Describe: Parent material Loamy Drift or Loess over Loamy Till Flood plain elevation,if applicable Na ft. General comments Proposed mound sanitary system to utilize the 97.00';contour applying the lowest lineal loading rate possible for the area available. and recommendations: Proposed system elevation of 98.50' ❑Boring Aa�1)CA-�u elf��- __j F-11 Boring# Pit Ground surface elev. 98.90 ft. De to limiting factor 48 in. ® � g Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. •Etf#1 'Eff#2 1 0-6 10YR3/3 sil 2msbk mvfr Cs 3f-m 0.6 0.8 2 6-11 10YR5/4 A lfsbk mvfr gs 3f-co 0.4 0.6 3 11-29 10YR4/4 sid 2msbk mfr gs 3f-co 0.4 0.6 4 29-48 7.5YR4/4 Is Osg ml gs 3f-co 1 0.7 1.6 5 48-84 5YR4/4 f2d 5YR5/8 sl lmsbk-m mvfr -- 2f-co 02 0.6 Horizons 3+4 w/massive bands of sandy loam.Silt coatings on ped surfaces horizon#3 ❑Boring 2 Boring# Pit Ground surface elev. 96.05 ft. Depth to limiting factor 19 in. ® P g Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. •Eff#1 •Eff#2 1 0-5 10YR3/3 sil 2msbk mvfr Cs 3f-m 0.6 0.8 2 5-9 10YR5/4 sil lmpl-lfsbk mvfr gs 3f-co 0.4 0.6 3 9-19 10YR5/4 A 2msbk mfr gs 3f-co 0.6 1 0.8 4 19-29 10YR4/4 c2d 5YR5/8 sid 2msbk mvfr gs 3f-co 0.4 0.6 5 29-70 5YR4/4 m2d 5YR5/8 sl lmsbk-m mvfr -- 2f-co 02 0.6 7.SYR6/2 Horizon 4 with bands of loamy sand.Silt coatings on ped surfaces#4 Effluent#1=BOD?30<220 mg/L and TSS>30<150 mg/L ffluent#2=BCDs<_30 mg/L and TSS<30 mg/L CST Name(Please Print) Signature: CST Number Keith E. Stoner 224059 Address Keith E.Stoner Date Evaluation Conducted Telephone Number 23220 Wood Creek rd.Siren,WI 54872 8/8/2014 715-653-2324 3BD-8330(Rt 1/11) Property Owner Jason Simon Parcel ID# 040-1303-00-036 Page___2_of 3 E] Boring F31 Boring# ® Pit Ground surface elev. 98.52 ft. Depth to limiting factor 44 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *Eff#t *Eff#2 1 0-5 10YR3/2 sit 2msbk mvfr a 3f-m 0.6 0.8 2 5-14 10YR5/4 sil ifsbk mvfr gs 3f-co 0.4 0.6 3 14-28 10YR4/4 sid 2msbk mfr gs 3f-co 0.4 0.6 4 28-44 7.5YR4/4 Is Osg ml gs 3f-co 0.7 1.6 5 44-55 7.5YR4/4 f2d 5YR5/8 Is Osg ml gs 2f-co 0.7 1.6 6 55-81 5YR4/4 f2d 5YR5/8 sil m mvfr — if-m 0.0 0.2 Horizons Large iron accumulations directly below#5 10YR2/2 F ❑Boring '4 Boring# ®Pit Ground surface elev. 94.90 ft. Depth to limiting factor 18 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDtW in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *Eff#t *Effn 1 0-6 10YR3/2 sil 2msbk mvfr a 3f-m 0.6 0.8 2 6-14 10YR5/4 sil 2fsbk mvfr gs 3f-co 0.6 0.8 3 14-18 10YR4/4 sicl 2msbk mfr gs 3f-co 0.4 0.6 4 18-24 10YR4/4 c2d 5YR5/8 sid 2msbk ml gs 3f-co 0.4 0.6 7.5YR6/2 5 24-40 7.5YR4/4+5/4 c2d 5YR5/8 Is Osg ml gs 2f-co 0.7 1.6 6 40-52 5YR4/4 5M/8 sl m mvfr -- if-m 0.2 0.6 Horizons 5+6 w/bands of iron concretions.Silt coatings on ped surfaces#3+4 F-1 F1 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/fl= in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *Eff#1 *EfW *Effluent#1=BOD?30<220 mg/L and TSS>30<150 mg/L *Effluent#2=BOD5<30 mg/L and TSS<30 mg/L The Department of Safety and Professional Servicese is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format,contact the department at 608-266-3151 or TTY through Relay. � I § ■ � ¢ M ■ ( � 2 $ t ° . E § � § i # � & § o k � \ ƒ f LA 7 o % \ q \ $ E � g � % Kook 10A.,k o ■ w f m �Clo « 2 ƒ 7 5 o m r16 o ■ � � � � O . 2 2 � 0 � co� 4z § � k \ o Co » _ t;2� 2 0 \\Jliz col � �� � - o\ to � e ƒ B ® a £ K / � ,- CmIlly ST & 201.w W Avr.,P.O.Box 7102 g�rP� (lobe�ed�byOo) a�o1� - p�G Go�N�MENt ruts y Permit Application s�Ttaesa�nN�er � �383�t(z�,Wis.Ads c7adry a of>iis Hsu$te apgcaptisobe affi i r, prikr-toebbomga yPeEmt Nd=An*atma tM for Pn*cctAdd=(lfdiM--t*g tba D mm ofSalsery and P Series. pasong i yea Pr's Voyagg� a s. ta,SO # ,Z34 GJaC� I L A jahrou"o- - P*czip FwpCrtyOworrSMw +- 05a✓N. 7�900 -IIZ-I �1 / t�yD ?3 -69b36 Nopuly ti's Mwift Add% Ptopaty lacallan ,177/ cm_, qy y y 1� C-V, SE V,seams ZZ ChCIC 0881, 2Alflh/I o YA/I IZIOD-L T ( 1'Z Type of BwWing(ehek an the apply) Loo A(1 or 2 Famds+D —NIIEber o,.h. 41J i 3 - ok vvAlLn�U-r 4litL FAR 0 Pubis—D�e Uw d city 0 Z 0✓ IIL.Type efftwft (check eaiy am box on " Cep 11he } o FB. ❑ T Only 0 Ober oa tv>E' S_1°'(°��PetmkRcvisiat ❑p�Traos6rrtol�w �pte9�p� aadDtlelasaed❑Pettoit Rcewsd o�aer W t sere IV.Type of "S t Of ❑ldoad<24 is of soil N Q P nauwd A&Cd MMood>24 in be ❑Nook ❑0&wDis cOd (ems} f py,dcemmea:Dexus(esp1� tArea tt Desianson RA 7" D 0 VL Tank We in Ted pot a o CraHM 1fiNs as L < rye! NeaYael6 > T�s SepticarlTaat �1 P bC,. DosingChasilber L VII. Stwbffl at-L the wad"Ai pall, Y of�e POSP18 ail d phoa Plombeestla=(P Pka s Number r6X Z23Z`12 s�at1 Pkmtbees Ad*=(Sam OEM SIt;,Zip Code) Q®x S&S ORESSE VLLLAA.0 use 67Apooved Fce Die s GZ� oo $ Rcawww Maid for mapproval 3 t pro'tan�ef��n�49r and' /;� ��AO { dispersal cell must A be services/mairitained � 4.re- i as per Management plan provided by plumber. . q Rnerft must be.maWatned �f/v1.�� � VK aca�kiet8mstortimsysl� tbeG � -2, S i'i�G� �� i�nG�PiZ 1�WLZy "I D-6398 R 11/11) SB f - JEFFERY V FOX Page 2 8/1/2014 , • Limit activttlas iri•the area 15'beyond the down slope edge of the mound per Mound Component Manual. • Surface water drainage shall be diverted away from the system area per Mound Component Manual. • Materials shall conform to the requirements of SPS 384.10.No fixture, appliance,appurtenance,material, device or product may be sold for use in a plumbing system or may be installed in a plumbing system,unless it is of a type conforming to the standards or specifications of chs. SPS 382 and 383 and this chapter and ch. 145, Stats. • Maintain well and waterline set backs per SPS 383.43(8)(1).Consult the Department of Natural Resources for well setbacks and other regulations and exceptions. A copy of the approved plans,specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department,which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance.,As per state stats 101.12(2),nothing in this review shall relieve the designer of the responsibility for designing a safe building,structure,or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation,operation or maintenance of the POWTS. Sincere. — Fee Required This Amount Will Be Invoiced. When You Receive That Invoice, Patricia Shan rf _ Please Include a Copy With Your POWTS Plan eviewe ,Integrated Services Payment Submittal. (715)634-7810, ax: (715)634-5150,M-F 8:00 a.m.-4:45 p.m. WiSMART code:7633 pat.shandorf @wisconsin.gov cc: Edwin A Taylor,Wastewater Specialist,(715)634-3484,Monday-Friday 8:00 am To 4:30 pm Note: Effective January 1,2012, all codes under the jurisdiction of the Division of Industry Services(formerly Safety&Buildings)will be modified. Code references with prefixes starting with"Comm"have been replaced with "SPS"to recognize the relocation of the Division of Industry Services from the former Department of Commerce to the Department of Safety&Professional Services.Additionally,all IS(formerly S&B)codes have been renumbered and addressed in a"300"series. For future reference,the Wisconsin Commercial Building Code will be addressed by SPS Chapters 360-366. o�4p�RT X, DIVISION OF INDUSTRY SERVICES 10541 N RANCH ROAD 1p o�� l� ,; HAYWARD WI 54843 Contact Through Relay www.dsps.wi.gov/sb/ 9 s www.wisconsin.gov ADO ss101S � Scott Walker,Governor Dave Ross,Secretary August 01,2014 CUST ID No. 223242 ATTIC•POWTS Inspector JEFFERY V FOX ZONING OFFICE JEFF FOX CONTRACTING&SEPTIC INC ST CROIX COUNTY SPIA PO BOX 565 1101 CARMICHAEL RD DRESSER WI 54009 HUDSON WI 54016 CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 08/01/2016 Transaction ID No.2435859 Site ID No. 804269 SITE: Jason Simon Please refer to both identification numbers, 234 Walnut Hill Way above,in all correspondence with the agency. Town of Troy St Croix County , SE1/4, S22,T28N,R19W FOR: Description:Mound,4 bedroom residence CON Object Type:POWTS Component Manual Regulated Object ID No.: 1494626 Maintenance required; 600 GPD Flow rate; 24 in Soil minimum depth to limiting factor from original grade; System(s): A Mound Component Manual-Ver.2.0,SBD-10691-P(N.01 101,R. 10/12),Pressure Distribution Component Manual- DEPT Ver.2.0, SBD-10706-P(N.01/01,R. 10/12), SSWMP Pub.9.6; Effluent Filter PROF'ES The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes D'Vvri SION OF and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s)referenced above. The owner,as defined in chapter 101.01(10),Wisconsin Statutes,is responsible for compliance with all code requirements. SEE C No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145. 6, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Key Item(s) • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard,the property owner must follow the contingency plan as described in the approved plans.In addition,the owner must insure that the operation,maintenance and monitoring duties as described in section VIII of the mound component manual are complied with.A copy of this information must be given to the owner upon completion of the project. • The mound area must be deep chisel plowed to help break up the platy soil structure that was reported at the site.The county may,at their discretion,request verification of the plowing prior to continuation of system construction. • The bottom of the distribution cell shall be level per the Mound Component Manual. The cells are designed to be at the same elevation. The"D"dimension shall be a minimum of 12". The maximum finished slope of the mound surface shall not have a slope ratio steeper than 3:1 per the Mound Component Manual Reminder • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per SPS 383.44(6)(a)2. AROUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN INDEX AND TITLE PAGE Project Name: Jason Simon Owners Name: Owners Address: 1394 40 Ave Baldwin WI 54002 Legal Description: SE1/4 S22 T28N/R19W Township: Troy County: St Croix Subdivision Name: Wallnut Hill Farm )ITIONALL Y Lot Number. 36 Block Number: COVED F SAFES ANA Parcel I.D. Number. 0407303-00036 ES ICES Plan Transaction No.: T Y SE V Wage 1 Index and We Page 2 Data entry Page 3 Mound drawings SPO . )RRE DE Page 4 Lateral and dose tank Page 5 System maintenance-specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Pag 8 I Page 9 soft test Designer-Jeff Fox License Number. MPRS 223242 Date:. -07YRW4 :/ j; Phone Number. 715 755 2461 Signature: l� , Deslgned Purest 10 fire Mound Cornponent Manual for POWTS Versron 2.o SOD-4 -P{N.01101,R 11112),ar�Cl tx SSWMP Publication 9.6 Design of Pressure Diction Networks for ST-SAS(DU I?*W Pressure[3is#ribuliort Component Manual Ver.2.0 SOD-10706-P(N.01/01,11.10112) Version 7.9(R. 1 V12) page g Mound and Pressure Distribution Component Design Site Information R Residential or Commercial Design Note: sand f�(D)cakx„raaidons assume a 400.0 Estimated Wastewater Flow gpd) Table ss3c4 3 in-sdu soa treatment for 0 ( fecal colftrm of<--36 inches. 1.50 Peaking Factor(e.g. 1.5= 150%) 600.00 Design Flow(gpd) 3.00 Site Slope(%) 98.70 Contour Line Elevation(ft) 24.00 Depth to Limiting Factor(in) 0.20 In-situ Soil Application Rate(gpd/ft) Distribution Celt Information 75. C 00 Dispersal Cell Length Along Contour(ft) _ F---8- Cell Width (ft) L-41 1.00 Dispersal Cell Design Loading Rate(gpd/ft2) 1 Influent Wastewater Quality(1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? ............... e Center or End Manifold 4.0 Lateral Spacing(ft) If N above,enter the elevation(ft) 2 Number of Laterals of the highest point. 0.156 Orifice Diameter(in) 2.30 Orifice Spacing (ft)= 10. zJorifice 2.00 Forcemain Diameter(in) _ 75.00 Forcemain Length(ft) Does the forcemain drain back? Y 85.00 Pump Tank Elevation (ft) 4.55 System Head(ft)x 1.3 12.23 Forcemain Drainback(gal) 4. 9 ertical Lift(ft) 67.32 5x Void Volume(gal) Friction Loss(ft) 79.59 Minimum Dose Volume(gal) 0.00 In-line Filter Loss(ft) 32.31 System Demand(gpm) 20.51 Total Dynamic Head(ft) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in.dia_ options choice 0.75 1.25 x 100 1.50 x ____ 1.25 2.00 1.50 x 3.00 2.00 x 3.00 x Gallons/inch Calculator ............ . Treatment Tank Information Total Tank Capacity(gal) 1200.00 Septic Tank Capacity(gal) Total Working Liquid Depth to Wieser Manufacturer gal/in(enter result in cell B49 Dose Tank Information Effluent Filter Information .......... 800.00 Dose Tank Capacity(gal) lifetime Filter Manufacturer 20.28 Dose Tank Volume(gal/in) 01/08/14 Filter Model Number Wieser Manufacturer Project: Jason Simon Page 2 of 9 C F� AKZ O �; r ti p eni-CL End Connection Lateral Layout Diagram Laterals CenfeFC-J OVer ri-te A tQ E-dtrneresion Turn-up w1balkslve or clesnoutplug P All later 34:5 are Werific,ad X—:, Hc-leidtdl-,.JPnttiet-:P"t�mof th-h'teral "e equalhj sparsed o main ecinneetter;-Jr.;,t@!?C,1 NC�_s tc.m-artifc4d at anq point. re@ Laterals&-forcen-tain Sch 40 PVC per SPS Table:r4.3055, Number of Laterals 2 Offm Diameter 0.1 n Lateral Diameter 1.50 in Orifice Spacing(X) J2.53 Lateral Length(P) 73.37 It OffKm per Lateral Lateral Spacing(S) 4.00 ft Offm Density 10. /orifice• Lateral Flow Rate 16.1 pm Manifold Length dot System Flow Rate 32.31 pm Manifold Diameter 1.54n Total Dynamic Head 22.1 Rft Forcernain Velocity 3. sec Dose Tank Information Locking;cover with wamft label and W"device and sealed watertight Electrical as per NEC 300 and SPS 316.300 WAC Tank component is properly ventM wtv outlet location =4V B Forcemain diameter Wieser Manufacturer 2 in. CaP22M 800.00 Gallons Volume 20-2 galfinch Weep hole or anti- Dimension Inches Gallons siphon device A 22.02 446.60 B 2.00 40.56 Pump off e1qvation(ft) C 4.53 91.79 r 85.911 D 10.90 221.0 [ T5W 219.45F_ 800.1 Dose tank elevation(ft) 3"Bedding under tank. 85.00. Alarm Manuafacturer Rhombus Alarm Model Number JJ Pluger Pump Manufacturer Zoeller Pump Model Number 6N152 Pump Must Deliver 32.31 _pm at F-72-2-7-111ft TDH Project Jason Simon Page 4 of 9 Septic-Dose Tank Cross Section And Pump Performance Specifications Tank Manufacturer Pump Manufacturer `ZOqLE Tank Model Number OO - Pump Model Number R14 15,Z Total Tank Capacity _zC0 b Alarm Manufacturer VS Max.Bury Depth Alarm Model Number - -Pt_O&CIR Switch Type £'e e, Filter Manufachuer L VA 6 Total Dynamic Head CTDH)-Feet Filter Model Number 116 Elevation Head Distal Pressure Network Loss - Minimum Pump Performance Required Force Main Loss 2 GPM Q -2- Ft TDH Total Outlet Manhole Min.4"Above Grade With Locking Device. Inlet Manhole Manhole Min_4"Above Grade <6"Below Grade Sealed Watertight Securely Mounted Locking Device Weather-proof Junction Box .% •- '- Finished Grade ' - -, — ® Depth of Cover Vent Min_ 12" Disconnect Ft Above Grade Means With Vent Cap Ec S < <}` Outlet >K Outlet Filter -�� `----- Inlet >�> ,f-- -- Inlet Bale y� --=--- t`>3. A >� Switch Settings and Reserve Capacity ;s Y+" Tank Volume= GPI 5` Weep < < < bole ''>ir Dimension Inches Volume Gal. Z B '` '< �s> (reserve)A ZZ� - �(�o� >s >` < *;> (alarm) B 2 Off Elevation #t4l C < >c> (dose) C ��� �(/• 7 — �`� Ft >t otto n (dead) D i1 �2 .OS �s D 's Elevation }�} Total 3�, ;{ 't't'< t < < < < s Ft < a`aia`a`aia`a`a`ai <ataia<a`a`a t><>tat>taia<a<ata<ata<a SaSa`a`atataca Cata<�<a`a`a`a`aia`a`a`a`a`ata`a 4.4,4 4 `a`a t>t GENERAL INSTALLATION: The septic/dose tank is bedded and back filled in accordance with the manufacturer's product approval specifications. Maximum depth of bury as specified by the manufacturer may not be exceeded without prior approval. Manhole covers exposed to grade have an effective locking device(padlock) installed. Piping at the inlet and outlet is of approved material, connected to the tank with watertight fittings,and laid on stable soil to prevent settling or sagging. The force main is sleeved with 4"Sch.40 PVC to bridge the tank excavation and the sleeve is sealed watertight. Electrical service complies with NEC 300 and Comm 16.28 WAC. 02/05 LJ Page of aK T., ----------- LD * F -s. } a ^5F3—•+ — •��1�- •i2 �— - - MW -JrL- tor7M IF .L lI rr%t ,.;'r.:• � ......�.�-_.t rim,.- -.. Mound System Management Plan Pursuant to SM 383.154,vlfc_A&+.coda This system shad be operated in acwrcW=with WS 382-84 Wr.Adm.Code,and shall aWftred in accordance with Rs' component manuals[SOD-1OW1-P(N.01MI,f;L 11112),SSVJW Publication 9.6(o1181),and Press"Din COr11POrSft ManU81 Ver.2-0 S813-10706-P(N.01101.R.1QI12))and local or state rules pertaining to system mairrianarice and mraimiiiiiM a ring. t4o one should ever enter a septic or pump,tank since dangerous gases may be present that could cause death. Sept and Pump tank abandonment shaft be in accordance with WS 383 33,Vas.Adrn.code when the tanks are no longer used as POVVrS inspechad for water lighlrim and soundnesL Access Septic�tank� d�� openings for service assessment sealed opening deemed unsound. deflective,or subject to fame must be replaced. Exposed acoess opener fly than 84nches in d'rarnater shad be secured by an eft bdarg device to prevent accidental or unaulhonzed entry into a tank or componenrt- Seotic Tank The sepbc tank shy be maaailed by an individual eertifted to service septic tanks under s.281.48,Stahl. The conlgints of the septic tank shall be disposed of in accordance with lit M.3,Wit.Adm.Code. The operating aor"On of the septic tank and Outlet fitter shad be a5s@=ed at least once every 3 years by inspection. The liter cartridge thatkl not be removed unless The one titer shad be drared as necessary to ensue proper operatron- provisions are made to retain sods is the tank that may slough off the filler when removed from its enclosure. ff the tamer is equipped with an alarm,the ulcer shaft be serviced if the alarm is activated continuously_ lnbmn liner alarms may Indic is surge fbws or an 9 cotrturarots alarm. The septic tarns shed have its contents removed when the volume of sledge and scum in the tank exceeds U3 the Squid volume of the tank. If the Contents of the tank are not removed at the time of a Wenniat assessment,mainenance personnel shad advise the owner of when the nerd service new to be perfomhed to maintain less than maxxmnn scum and sludge accumulation in the tank. The addition of biological or chemical additives to entrance septic tank perfomnaunee is generally net required. Hlo mm d such MOM are used they shall be approved for septic tank use by the Department Of COMMSnee. Pump Tank The pump(dosig)tank shad be inspecaed at least once every 3 years. Ad switches,alarms,and pumps shad be bested to venTY proper Opefatiolb ff an effluent Enter is itntalied within the tank it shaft be inspected and serviced as necessary. Mound and Pnessrsa Distribution System mo trees or shrubs should be plar>ted an the mou he mound. Plantings may be made around t mound's perineter acrd the mound shad be seeded and mulched as necessary to prevent erosion and to provide some pre>tal h from frost penetration. Tralft(other than for vegeta m mainianarice)on the inousd is not recommended sine soil compaction may hinder aeration of the arfdtrative surface within the mound and snow compaction in the winter vrdl promote frost peneb-abah. Cold weafher insialIations(Ocloberfebmary)Will*Hod the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mgIL BW,150 mglLTSS,and 30 mg&FOG for septic tank ettiuent or 30 ffq&BODp 30 ffq&TSS,10 mgiL FOG,and 10'du/100 mL for W"kseIad eMuenk Influent flaw may not exceed maximum design now q=Ied in the pem>t for this ilstallation- The pressure demon system is Provided with a ihnsh'ung point at the end of each Moral,and t is reaominended Hhat each lateral be unshed of soctatulaied sus at least once every 18 months. When a prestura test is perforated i should be compared to the indW test when the system was instated to deWm w if orifice dogging has occurred and H orifice cleaning is required to makdain 8WW list bulion wiltm the dispersal Cell. levelo shad be rmpo ed to the owner,and OWKW tom pipes within the t�pemal eel shalt be checked for effluent panting. Pordin9 any levels above a inches considered as an irhpmdirg hydraulic failure requiring additional,more frequent monitoring- Continuum PYa n ff the septic tank or any of its components become defeciift the tank or component strait be repaired or replaced to keep the system proper operating condition. 9 the m d Pump.pump ems,slams or related wiring becomes defedive the defective component(s)shad be,mane mSebely MpaUed or mplaced with a component of the same err equal performance. If the mound component fads to acoept w ter or begins to dscharge wastewater to the ground surface,it will be repaned or replaced in its'present location by inc teasing basal area if toe leakage dogged absorption a and as damned necessary to bring the systarn into proper dispersal media,and related wing,and replacing said components condition- See Page 5 of this plat for the name and telephone number of your local POW T5 regulator and service provider The hnfomtabon and schedule of rrhauhanagesmemt and�for pretr stment devices such as aerobic tneotrnent units or Crainfectlon units are attached as separate documents and are considered Pat of the overall management plan for this sysWn. Mound Svsfiem Maintenance and Operation Specifications Service Provider's Name Jeff Fox Phone 715 755 2461 POWTS Regulator's Name St Croix Phone- 715 386 4680 Ste'MkM Flow and Load Parameters Design Flow-Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow-Average 400 gpd Ma)dmum BOD5 220 Septic Tank Capacity 1200 gal Maximum TSS 150 Sol[Absorption Component Size 600 W Maximum FOG 30 Type of Wastewateq Domestic Maxdmum Feces Col >10E4 100 m! Service Frequency Septic and Pump JR Insean&m vice once e 3 ears Effluent Should inn at least once 3 ears Pump and Co e 3 e ars A test month Pressure Sy aterals should ressure tested every 1.5 years inspect fo r paneling and seepage once every 3 years MISC@iWOSVIIS Gynstruetivn and llAsbriala Standaerl� 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a waterUgM cap, and are secured in as shown in the mound component manual. 2- Dispersal cell aggregate oonforrns to SPS 384.30(6)(1),Ws_Adm. Code. 3, All gravity and pressure piping materials conform to the requirements in SPS 384. vlfis.Adm. Code. 4. Tillage u the basal area is�disturt�areass seeded chisel nd mulched to prevent soil erosion 5. The mound structure and other and Kati,raiswm-f x)s't cenetration. Lateral Turn-up Detail saaaaaaa�aaaaaat Finished t•..s,s;...•••• Grade Threaded Cleanout 6-8"Diameter Lavin ; ;-_-; ; Plug or Bali Valve Sprinkler Valve Box Distribution Lateral �� Long Sweep g0 or Two 45 Degree Bends Same Diameter as Lateral Page 5 of 9 proie& Jason Simon 4 Gv�GN�7- Parcal ID Paw-of TODD T31��STEf�� ❑ J /Yv C S S jS ZRLD( Gros and staiace etev. / 7 ft. Depth to wn"belor� � ka Sod Application Rate Depth Dominant Color Redox Descxiptioru Texture Structure Consistence Boundary Roots GPM In. Munsed Qu.Sz. Cont.Color Gr_Sz.,Ak. `1 t 'Eff42 l o io is VR,313 '5/& 2-F 0 • L / Z A s Z' ! C-5 Z ©• 10 Oe led ITO b o 1 F-1 Boring# ❑ Boring ❑ Pit Gmund surface elev. ft. Depth to Smiling factor ire. Sod Appfication Hate Horizon Depth Dominant Color RedoxDescrfptlon Texture Stnxkere Consistence Boundary Roots GPDff kr. Mu nsell Qu.Sz Coat Color Gr.Sz.Sh. # ❑ 4' actor Pit Ground surface elev. 0. Depttr fa ki Soft Rate Hatzon Depth Dorntnant Redox Des rr_ Texture Structure Consistence Boundary Roots GPQM in. Munsed Qu.Sz. Cont Color G!•Sz. `E€t#) 'Ef(#2 i t Boring# ❑ It Ground surface elev. ft. Depth to Furi"faces k1. Std Rafe Horizon Depth Dw*nMC01or Redox Desc 1ption. Texture Structure Consiistenee Boundary Roans GPOff in. Munsel flu.Sz_ Cant.Color Gr.Sz.Sh. 'Eif#1 'Ef(#2 Effluent#1=1 D,;>30:S 220 rng2 TW>30:S 150 ffg& "Effluent#2=BODs<30 mg&and TSS<30 mWL The Department of Commerce is an t opportunity service provider and employer. if you need assistance to access services or need material in an at ate format,please contact the department at 608-266-3159 or TTY 608-264-9777. seaasaa ntcroo? Wiscorisin Department of Ca n merce SOIL EVALUATION REPORT paw of 3 Division of Safety and Buildings in accordance with Comm 85•Wis. Adm. Code , ST CA 0/jC_ •V Attach complete site plan on pa• f•w 1-than A I n nrl Y 11 ihpc in si7A.Plan rnmt C include,but not limited to:verb D. L �n percent slope.scaleordimeru EROSION CONTROL PLAN must be piei completed before sanitary permit issuance ed by d y0-i b 3—G Da e Perscnd k*xwm m you provide, _ PMperty0wner C ToDO Property Location DF Q O ro�D Q3ERS T�f� /o *47/�NM Govt Lot fFr 1 y�q 5 114 S I_' T Iv N R // �E(or)W �t Property Ownees Mailing Address Lot# I Block# Subd.Name or.CSM# l0 o IS CA W i LL AV-0- 3(F IWAI,w 0 r W I I FA Rte( Ctiy S�VWQ State Zip Code Phone Number ❑� ❑Village (,d Town Nearest Road b� 190C eifTS MN 5S07(P ( &5t) 19'r. to9� -ryeoy SD. 6100eR New Construction Use:M Residential!Number of bedrooms TEF Code derived design flow rate D GPD �f► ❑Replacement ❑ Public or commercial-Describe: Parent maww /oESS OUw, 4& 1-1 '7J/!l Flood Plain elevation if applicable ���I•— fL General comments and recommendations: • �j Itko v vp MBoring ❑ egg S•S;S . N * ® Pit Ground surface elev. ' �•�°ft Depth to IWrrtirg factor ZJ in. Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDVfft b In. Munsell Qu.Sz. Cont.Color Gr.Sz-Sh. 'Etf#1 'Eff#2 / o- i0 ye 3/3 liwu ds 4 GS 2:f- /0 �L 2 C 5 3 • L !o o z iwaT C.� AMA 6 ° o Boring 70 'h M ® Pit Ground surface elev. ft. Depth to tinmiting factor in. soy Appkatlon Rate Horizon Depth Dominant Color Redox Description Texture Struchrre Consistence Boundary Roots GPI In. Muasell Qu.Sz. Cont.color Gr.Sz.Sh. G 'EW1 '01#2 0. S ioO3 L a z . -S •g N /o rs •S 4 zoo S ----- Od icj -7 �• ' Effluent#1=BOD >30:S 220 mq&and TSS>30<150 rrg& 'Effluent#2=BOD 130 mgll and TSS 130 mglL CST Name(Please Print)t�•.0 16 1z (G 1,-T— Sigture ST na Z2 G 5 Address Uibricht &Ass9ciates Data Evaluation Conducted Telephone Beer Private v� I• /�o - 3 71S- 77A• 3 yy Z- 2812 1 Oth Ave. Spring Valley, WI 54767 oyd • /ohs • so • � /o . can dyp • /��� • zo • o� o yo • /081 oyo • /0 g6 70 - 001, Ai L o yp . /o�� g'p • o� hTo,P12 53 JOE k,5 T�07- f'n�pieriyowryer Parcel ID# GQ 7-0— (3 Z 3 11� Boling 3N [) s°`"v 7 ` S.S . . /' t>t Ground surface also. !/y Z s .S / � Depth to lirrsitfng factor tra °Axon Depth Dona nant Redox Description Soil k 8bM Rate P' Texture Structure Consistence Boundary Roots try. Munseti Ou.Sz. Cont.Gofor Gr_Sz. 'Etf#1 'Eif#2 � o io is ► 3� ---._ �<L 2-F c.� .Z 1F' . s _ �' o - z ------- D• � DLO 6 0 5 F] Boling# � Boling Pit Ground surface elev. tt. Depth to limiting factor in. Horizon nth Domagnant Cokx Redox Des Soil lotion Raate Description Texture Structure Consistence Boundary floats GPDff k+ Munsett Qu.Sz. Cont Color tai:Sz Sly. 'Etfl�9 °3;f Boring# Boling ' [� pit Ground surface elev. ft. Depth to lkniti actor in. >h Dansnant Color Redox Des Rate aiptiot:• Texture Structure Consistence Boundary Roofs G in_ Munsell Qu.SZ Cont.Color Gs Sa. "Eff#1 °Etf#2 4V Boring# Boling pit Ground surface elev. ft. Depth to lx fMV factor In. 5oii Rate Horizon Depth Dominant Wor Redox Description_ Texture Sinrdute Consistence Boundary Boats cit°l31Fe In. Munsell Qu.Sz. Cont.Color far.Si Sts. °Etf#1 °Eff#2 Effluent#1=BOD$>30:S 220 mgA. TSS>30<150 molt. °Effluent#2=BOD6 t 30 mg&and TSS<30 moll. The Department of Commerce is an at opportunity service provider and employer. If you need assistance to access services or treed material in an alt to format,please contact the department at 608-266-3151 or TTY 609-264-9777. seaaaan�s,,not ... .. ................ ~ PLOT PLAN WALNUT HILLS FARM. LOT # Pg. 3 of 3 L� = Contour elevation lines. = Backhoe Soil pits. O = Benchmarks set, maRRED WITH FLAGGED lathes. 1/2" steel conduit pipes. SCALE: 1 " 30 F r- AV O r r A4-R 1760- -20 d DoT 3S) 1� w 1 /4 UNPLATTED LA US 1757.80 �iw_LDDOY _"Q a RS 2 150.71' 6 . 149.29' tn U. Inv I �. �l I 0 40 � M I � 14, v� � � 46 of z 7- 1 L J 7- C � 1� � �- •.UI. i !/� Wr 1`391' E 35&8.5' S OOW'139" E 286..52 V39" E 359.47' S OOV9'39" E 279.21' � S6 _. ..� _ ..., ,., � _ _ � _ ..� 156.21' 33' 33' 237.13' 42,78 1 oo co 10 10 4m co 40 "t' S 03'07''. E 224.71 ' ,...�.. ..� ..... tt �- ---- ---- . w 4: �• 1Q• 1 _ d f� ..; f , ST.CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND r� OWNERSHIP CERTIFICATION FORM Owner/Buyer Yd f 011 Mailing Address / Aspen Dk.,e tn VO Property Address `{ h MA f, A MI jc'// Levi t (Verification required from Planning&Zoning Department for new eo truction.) City/State 4,411 Parcel Identification Number DID LEGAL DESCRIPTION Property Location '/a, % , S'e/c. 2 ,T&N R_1_qW,Town of Subdivision Plat:_ (/�/d�-C,h1U lit 11.x. cvYl�d ,Lot# Certified Survey Map# ,Volume ,Page# Warranty Deed# �lP (before 2007)Volume Page# Spec house❑yesMkao Lot lines identifiable®yes(]no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner,ifneeded,by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in§SPS.383.52(l)and in Chapter 12-St.Croix County Sanitary Ordinance. The property owner agrees to submit to St.Croix County Planning&Zoning Department a certification form,signed by the owner and by a master plumber,journeyman plumber,restricted plumber or a licensed pumper verifying that(1)the on-site wastewater disposal system is in proper operating condition and/or(2)after inspection and pumping(if necessary),the septic lank is less than 1/3 full of sludge. 1/we,the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth,herein,as set by the Department of Safety And Professional Services and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St.Croix County Planning&Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this for are true to the best of my/our knowledge. I/we am/are the owner(s)of the property described above,by virtue of a warranty eed recorded in Register of Deeds Office. Number of be oms y SIGNAM OF APPLICANTS) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning&Zoning Department.*** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV.04/12) i Il llllllilll l l III I 111111111111 8228224 Tx:4186701 STATE BAR OF WISCONSIN FORM 3-2000 995621 Document number QUIT CLAIM DEED BETH PABST REGISTER OF DEEDS THIS DEED,made between Citizens State Bank,a Wisconsin Corporation, ST. CROIX CO., WI Grantor, and Jason Simon and Susan Simon, husband and wife as 05/06/2014 10:00 AM survivorship ma-61`511 property,Grantee EXEMPT#: N/A Grantor quit claims to Grantee the following described real estate in St. REC FEE: 30.00 Croix County,State of Wisconsin(the"Property"): TRANS FEE: 108.00 Notwithstanding anything to the contrary set forth in this agreement buyer is PAGES: 2 relying solely on buyer's inspection of the property and buyer acknowledges and agrees that the property is being sold "as is with all faults" and seller makes no representations, warranties or covenants, express or implied with respect to the property. To the fullest extent permitted by law, seller expressly disclaims any and all implied warranties, representations or covenants with respect to property. Recording Area SEE ATTACHED EXHIBIT A Name and Return Address: -� Title One File#: 20546 Together with all appurtenant rights,title and interests. 040-1303-00-036 Parcel Identification Number(PIN) This is not homestead property. Dated this day of April,2014. Citizens State Bank *Shawn Tyler,Vice President AUTHENTICATION ACKNOWLEDGMENT STATE OF WISCONSIN ) Signature(s) ST CROIX COUNTY. )ss. authenticated this 30th day of April,2014 Personally came before me this day of April, 2014 the above named Shawn Tyler, Vice President for * Citizens State Bank,a Wisconsin Corporation to me known to TITLE:MEMBER STATE BAR OF WISCONSIN •, a�Cl C S' � Ce�ctttowledged s)e sam d the foregoing instrument and (If not, authorized by§706.06,Wis. Stats.) .:'NOTARY"•. THIS INSTRUMENT WAS DRAFTED BY 11C-:^ancy C Sc t '• rFpF' Xotary Public,State of Wisconsin Michael H Forecki,Attorney ....*""My commission is permanent. (If not,state expiration date: ) (Signatures may be authenticated or acknowledged. Both are not necessary.) 7/1/2017 *Names of persons signing in any capacity must be typed or printed below their signature St.Croix NUfi &IDE0Qge 1 of 2 STATE BAR OF WISCONSIN FORM No.3-2000 ©laln'5 Drawing Room 20 14 `.mac oa u� •*4 A£to s 6 3 R o Q 3 _ 32'-0' n R F 16'2"M.O. 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JA PO/Y &„/'ly'AA-f IMO/Y � § 234 Walnut pill Way, River Falls,WI 54022 9 A T C:l ©laln'5 Drawing Room 20 14 foQ3��o ooaN=3� �oav� oav�ao.. v� } n 32'0.. a F s 3 v n m Q� d-6' 4'-6" 7'-O' R R y o N N i'n N Q 0 4 v a 6 F- f- a 5 9 3 N 2-1 17/8"LVL 2 71 1778"LVL I I I I �,nac3o I I I I 4^�QO I I I I 3 I I I I I I I I I I I I I I I I • L 6x8 OVH DR I 19x8 OVH DR — ----- ---------J L----- T-----J b O oti O O A O O O b rn O D rn0 Q A on oa Oo�i z�orn �Trn NA yAE � O R 4--0- 0" C9 ➢ �! 3'-9" 8'-3" 5'-O' 16'-5' 3'-0' 3'-0' — < L' 2-2x 10 2-2dO rn rM wa- a 0 R—G g° ovF I, g 6 z Z 0 0 Roy(�65- z NmG O�A4 §v Q '0 18"FLOOR TRUSSES . a Q FurURE _ E I9.2"O. Q N y BENCH RECESS o; a a ' 7-0' 6'-3" 3'-6 3'-8" 15'-7 Q ' _ III rip Naw - TN 4 WHO II-x- m Nor Itjo R 4 III = 7- 1 b � p> Az N Arn w O _ Qi A y -D1I u K d T WQpW F O' x 11 x rn n Ol A N - �Irn m Ox 0= wOa° R - -o io x b a b ?BUILT-IN 41 BUILT IN 66 TALL 0 5H 46 F TEMPE F LOWER.FAIR 2-2x10 R.O.34'x 4'-6" 3.6' 3.-6. 4'-I Off' 6,_0. 13'-3' 7'-0" 5-5 A N I s i p o o RI�Arncr rOR: o O lain'5 Drawing Room. IJART 111LAHM 1-0 s 234 Walnut pill Way,River Falls,WI 54022 P A _ Q1Q.7®�5 Q�QM ©lain'5 Drawing Room 20 14 Q n'E G 3 Q O 3 w p L R 370. p OTQ a a N c® 8'-O' 4'-0" 15-0 m O O N f o 7'-0' 4�_0 11.0• NO% NQF� £ }R Qi9 3 —_____—__ —___— -----1 N I i o�vd�d- I i i I I I I Gh I I I I I I I I N N I I I �' •I� `n I I J I I WAo I I e I I a �o I a Rmo o O N T-O" 7`11` i I RI ® I c R yarn I I c2 C rn I I Cl < r----Z rn rn I Rt5 65" ,, A Z a r 6_' o _ f<ll 1 I 4 ro io o LACCESSJ N ro r O l m I CW-�`w NpQ D N q �4 a_ I OuA N ng„OO mvN��' a=- N°°➢��' L E >� p N m Q Q 1 A I °pm' 1 00° II 8 L ° 24- o b L4'-6. 4'-0.m W R N n 7'-O' 03 0 A rn _ �r a �y� iorirn A =oNo Q AN10 .gyp _ �� 8 IoW -Gim ac v o- y w°mo W ro Ig m � - Im c q - N o TRUSSES `< a TRUSSES N N O � A - 24'O.C. 24" 5113666 TEMPERED 45"OFF LAN ING 2-2x10 R.O.3-6"x -6' 10'-7• 2'-8" 3'6` 3'-6' 13'-3' 7-0' 36'-0" A N s o `n o RcAPEAcr FOR: 0 0 1 V1 lain's Drawing Room. O ^ JAfO/1 &fLVA 1,fIMO/1 � • pEy �o 234 Walnut pill Way,River Falls,WI 54022 1� A A A P