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HomeMy WebLinkAbout032-2018-95-050 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division Sanitary Permit No: INSPECTION REPORT 578962 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Page, Matt Somerset, Town of 032-2018-95-050 CST BM Elev: Insp. MaE[gv: BM Description:,. ' ' Section/Town/Range/Map No: U ;3 05.30.19.539B TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS ,Q HI ' I FS ELEV. 4119 T Septic G-) 7 f Benchmark 15, l~p /~5.i1 , e Dosing Isaa It. BM Co L a $ b Sd Cxs, r o t ; I ~ Z • z ~ yZ' ~ Aeration- Bldg. Sewer l~✓`S -93-,65 ~a ~ a z 7 Holding St/Ht Inlets 12 ,3`$z St/Ht Outlet - TANK SETBACK INFORMATION TANK TO P/~ WELL BLDG. ent t Air Intake ROAD Dt Inlet l Septic Dt Bottom 7 > 5a AA Z 7 Dosing 7 JCS f L r 2.,7 Header/Man. l a /,f/ Y Aeration Dist. Pipe 3-c4o 0 /Z) Holding Bot. System 4.35 PUMP/SIPHON INFORMATION Final Grade Manufacturer Demand St Cover ! C J L Sol ~?1 (o GPM ~r Model Number ~x 37. :3 a J ^ ~j. 1 9~j, Z TDH Lift Friction Loss System Headz TD$,~ TQ 1l q ~3 a 3 . <74 1 3 J Forcemain Lengt~ Dial Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Ofnch PIT DIMENSIONS No. Of Pi~ Inside Di Liqu'd Depth DIMENSIONS / J //~J SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type sbI)~ 15 UNIT Model Number. DISTRIBUTION SYSTEM r-~ Header/Manifold/ Distribution Hole Size3 Ix Hole Spacing jVejyAirlnt e / S Pipe(s) 1 / Z 53 Length- Dia Length Dia ~ Spacing- I - SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only DI f- Depth Over Depth Over xx Depth of xx Seeded/ odded xx Mulched Bed/Trench Center , G7 Bedrrrench Edges Topsoil ) Yes FM No Yes ,fig No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: T/ to / J Inspection #2: Location: 473 180th Ave omerset, WI 025 (NW 1/4 NW 1/4 5 T30N R19W) NA Lot 1 Parcel No: 05.30.19.539B 1.) Alt BM Description= oof ~.1 PIa',.~ 3s 2.) Bldg sewer length = 2 ~ 1511pt V1' 6"Jej cje - amount of cover = -7 La !5 a p-, ' y2 Plan revision Required? Yes No Use other side for additional information. Date Insepctoers ignature Cert. No. SBD-6710 (R.3/97) ^R'" ` Industry Services Division _ i % ~ on Ave ST, ceo t x (sl ~ 5 1p l AY 2 7 201-5 P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.) ! Madison, WI 53707 -7162 5 7 4 4 O Z_ CROIX COUNTY O R . State Transaction Number Sanitary Permit Application - p hi accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit Z 7 ! is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to Project Address (if different than mailing address) the Department of Safety and Professional Services. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, s. 15.04 I m Slats. Ay, ~q73 I. A lication Information - Please Print All I or tion ro T te a e ProR~TT wner's Name iow, 'I Parcel # lv o L clg ~a n. Z (916 - 9'-,-)- Property Owner's Mailing Address PropertyLocation 2 © Z Z© Ave-n Govt. Lot City, State Zip Code Phone Number WV) R1,If,J Section ~ K)EW R t C i4 ✓ 16 N ICS, wr Sy©/7 circle one T3a N; R Eor~ II. Type of Building (check all that apply) Lot # V1 or 2 Family Dwelling - Number of Bedrooms Subdivision Name lock # El Public/Commercial -Describe Use t.. Cob rn\9 ❑ City of ❑ State Owned - Desc~J'be Use SM Number ❑ Village of / WTownof X 75 a v IIL Type of Permit: (Check only one boa on line A. Complete line B if applicable) ^-t`.- A. 1XNew System El Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) List Previous Permit Number and Date Issued B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New Before Expiration Owner / IV. Type of POWTS S stem/Com onent/Device: Check all that a 1 6 o ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade K Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dispersal/Treat ent Area Information: Q A. A-1 Irl Design Flow (gpd) Design Soil Application Rate(gp Dispersal Area Required (sf) Dispersal Area Proposed f) System Elevation Aye Q *1 1 0: & 750 / 7Z / /®o- V/ VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units New Tanks Existing Tanks A--,// / o Y Y a ~ U ~ rn w C7 Gi. Septic or Holding Tank / L9 I -Se e Dosing Chamber 6.5--o VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's igna a MP/MPRS Number Business Phone Number ~~N riJ' ~cl~r~t rT z - 2Z3 7del) i is"-7w"D -~OYO Plumber's Address (Street, City, State, Zip Code) /lam ae Sso i11 /e-se, y SV`6 VIII un epartment Use Only Approved Disapprove Permit Fee Date sued Issuin ant Signature en Reason for De IX. ConditWWRW easons for Disapproval t f . -Septic tank, effluent fitter and 3 1 t 1 Ste, p fit/ ~ dispersal cell must all be services / maintained w per Is per management plan provided by plumber, ate- r ~ e.~~ rt aid 2 V setbacit requirements must be MaM rA tiriad "per 060kabliloth/or*A cG Attach to complete plans for the system and submit to the County only on paper not less than 8 in x 11 inches in size SBD-6398 (R. 08/14) PLOT PLAN N Project Name: Page 3 Bedroom Mound Legal Description: NW1/4, NW1/4, S5, T30N, R18W P.I.D: 032-2018-95-050 Subdivision Name: na Lot 4 Township: Somerset Parcel Size: 5.000 Acres SCALE: 1" = 40' County: St. Croix Contour Line Elevation: 98.23' Cell Dimensions: V X 75' 4 inch Sch 40 -ASTM D2665 System Elevation 100.15' Mound Dimensions: 1'96.95'x 27.52' 2 inch Sch 40 -ASTM D1785 Slope: 15% 11/2 Sch 40 -ASTM D1785 A BM1 Elevation: 100.00' Top of 2" PVC pipe BM2 Elevation: 96.73' Top of 2" PVC pipe ■ Backhoe Pits: New Tank: 1000 gallon Septic Tank with Pol lok 525, 650 gallon Pump Chamber vv 0 {3'Er P, V 1 f 1 i-c ~cL 3 BcD~'~^ E3Z" l v~►~~N wausc 4, 1, lO,/~~~ s-rjP.C. WV Q&L~j LCC K C0 WCLL Page 11 4 JOHN F SCHMITT Page 2 5/22/2015 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 This Amount Will Be Invoiced. erard M Swim When You Receive That Invoice, POWTS Plan Reviewer, Division of Industry 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 V 9tipaRT ~,v DIVISION OF INDUSTRY SERVICES Toy 3824 N CREEKSIDE LA o~ HOLMEN WI 54636 j K Contact Through Relay http://dsps.wi.gov/programs/industry-services 92 S www.wisconsin.gov o~ .mac ~OssroNA1s~ Scott Walker, Governor Dave Ross, Secretary May 22, 2015 CUST ID No. 223760 ATTN.• POWTS Inspector JOHN F SCHMITT ZONING OFFICE SCHMITT & SONS EXCAVATING ST CROIX COUNTY SPIA 616 150TH AVE 1101 CARMICHAEL RD SOMERSET WI 54025 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/22/2017 SITE: Identification Numbers Matt & Alicia Page Transaction ID No. 2542179 473 180TH Ave Site ID No. 812423 Town of Somerset Please refer to both identification numbers, St Croix County NW1/4, NW1/4, S5, T30N, R19W above, in all correspondence with the agency. FOR: Description: Three Bedroom Mound System / 15% slope Object Type: POWTS Component Manual Regulated Object ID No.: 1534879 Maintenance required; 450 GPD Flow rate; 25 in Soil minimum depth to limiting factor from original grade System(s): Mound Component Manual - Ver. 2.0, SBD -10691-P (N.01101, R. 10/12), Pressure Distribution Component Manual - Ver. 2.0, SBD-10706-P (N.01101, R. 10/12); Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code CONDITI requirements. APPR No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, DEPT OF S) PROFESSION stats. The following conditions shall be met during construction or installation and prior to occupancy or use: DIVISION OF INDI, Reminders • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.19, Wis. Stats. SEE COR • 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 cell shall remain undisturbed. Vehicular traffic, excavation or soil compaction is prohibited in this area. • A copy of the approved plans specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. i JOHN F SCA= Page 2 5/22/2015 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 ell This Amount Will Be Invoiced. erard M Swim When You Receive That Invoice, POWTS Plan Reviewer, Division of Industry 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 1 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE RECEIVED MAY 1 „ 2015 Project Name: Page 3 Bedroom Mound INDUSTRY SERVICES Owners Name: Matt & Alicia Page Owner's Address 1086 220th Ave. New Richmound, WI 54017 Legal Description: NW1/4, NW1/4, S5, T30N, R19W Township Somerset County: St. Croix Subdivision Name: NA Lot Number: 1 Block Number Parcel I.D. Number 032-2018-95-050 Plan Transaction No. ONALLY Page 1 Index and title OvED Page 2 Data entry Page 3 Mound drawings ~FETygND Page 4 Lateral and dose tank AL SERVICES Page 5 System maintenance specifications ISTRY SERVICES Page 6 Management and contingency plan Page 7 Septic and Dose tank specifications ' Page 8 Effluent filter information ` Page 9 & 10 Pump specifications and curve O Page 11 Plot plan Page 12 Septic tank maintenance agreement Page 13 Warranty deed Page 14 CSM Attachment Soil evaluation report Designer: John Schmitt License Number: 223760 Date: 4/28/2015 Phone Number: 715-760-0486 Signature: t, zje z-1 Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SBD-10691-P (N. 01/01) and both SSWMP Publication 9.6 Design of pressure Distribution Networks for ST-SAS (10/81) and Pressure Distribution Component Manual Ver. 2.0 SBD- 10706-P (N. 01/01) Version 7.0 (R. 03/2012) Page 1 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 300.00 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. 450.00 Design Flow (gpd) 15.00 Site Slope 99.23 Contour Line Elevation (ft) / 25.00 Depth to Limiting Factor (in) J 0.60 In-situ Soil Application Rate (gpd/ft2) Distribution Cell Information 75.00 Dispersal Cell Length Along Contour (ft) = 6.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ft2) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest oint in the distribution Y Pressure Disribution Information network? Enter Y or N (C or E) C Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation ft 4 Number of Laterals of the highest point. 0.188 Orifice Diameter (in) 2.50 Estimated Orifice Spacing (ft) = 7.50 ft2/orifice 2.00 Forcemain Diameter (in) 120.00 Forcemain Length (ft) Does the forcemain drain back? Y 80.00 Pump Tank Elevation (ft) Enter Y or N 3.25 System Head (ft) x 1.3 19.57 Forcemain Drainback (gal) 19.73 Vertical Lift (ft) 67.32 5x Void Volume (gal) 3.84 Friction Loss (ft) 86.89 Minimum Dose Volume (gal) 0.00 In-line Filter Loss (ft) 39.32 System Demand (gpm) 26.82 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 1.00 1.50 x x 1.25 x 2.00 x 1.50 x x 3.00 2.00 x 3.00 x Gallons/Inch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 1000.00 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Wieser Concrete Manufacturer gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 650.00 Dose Tank Capacity (gal) Pol lok Filter Manufacturer 17.00 Dose Tank Volume (gal/in) 525 Filter Model Number Wieser Concrete Manufacturer Project: Page 3 Bedroom Mound Page 2 Mound Plan and Cross Section Views T 1/10 B : J * Observation Pipe - ' B n I L Mound Component Dimensions A 6.00 ft E 21.80 in H 1.00 ft K 9.48 ft B 75.00 ft F 9.50 in z 16.95 ft L 93.95 ft D 11.00 in G 0.50 ft J 4.57 ft W 27.52 ft 450.00 (ft2) Dispersal Cell Area 1721.59 (ft2) Basal Area Available 6.00 (gpd/ft) Linear Loading Rate 7.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 101.94 (ft) H G I F 100.65 (ft) Lateral 100.15 (ft)--► - Dispersal Cell Invert Dispersal Cell t Elevation D ~QA .v 99.23 (ft) Contour Elevation 15.0 % Site Slope -5 Geotextile Fabric Cover Shading Key 'o 2. I - Dispersal Cell See lateral details on ] Topsoil Cap c a 1.5 ft Page 4 for number, size, 7 w o and spacing of laterals. ❑ Subsoil Cap © ASTM C33 Sand Z _ F Laterals are equally Typical Lateral 4 ` spaced from the Y d 0.5 ft ® Tilled Layer c distribution cell's © Aggregate c centerline in the * A distribution cell (AxB). Project: Page 3 Bedroom Mound Page 3 Center Connection Lateral Layout Diagram Force main connection via tee or ctoss to manifold at any point. Laterals are identical IE p S •=Turn-upvWballvalveor IFX--+.d2' x/24J Leterefs MorcemainSch40PVC clesnoutplug per SPS Table 384.30-6 Holes drilled on the bottom of the lateral Number of Laterals 4 Orifice Diameter 0.188 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.53 ft Lateral Length (P) 36.69 ft Orifices per Lateral 15 Lateral Spacing (S) 3.00 ft Orifice Density 7.50 ft2/orifice Lateral Flow Rate 9.83 gpm Manifold Length 3.00 ft System Flow Rate 39.32 gpm Manifold Diameter 1.50 in Total Dynamic Head 26.82 ft Forcemain Velocity 4.02 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 Disconnect 4 in. min. NI-A Tank component is properly vented MForcaemain Alternate outlet location diameter Wieser Concrete Manufacturer 2 in. Ca acit 650.00 Gallons Volume 17.00 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 20.12 342.11 B 2.00 34.00 C P♦ ump off elevation (ft) C 5.11 86.89 * 80.92 D 11.00 187.00 D Total 38.24 650.00 IF- 11 m Dose tank elevation (ft) 3" Bedding un er tank. 80.00 Alarm Manuafacturer SJE Rhombus Note: Switches Alarm Model Number AB containing mercury may not be used in Pump Manufacturer Zoeller this system. Pump Model Number 140 Pump Must Deliver 39.32 gpm at 26.82 ft T D H Project: Page 3 Bedroom Mound Page 4 Mound System Maintenance and Operation Specifications Service Provider's Name John Schmitt Phone 715-760-0486 POWTS Regulator's Name St. Croix County Zoning Phone 715-386-4680 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450 ftz 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 eve 3 ears Effluent Filter Should inspect and clean at least once eve 3 ears Pump and Controls Test once eve 3 ears Alarm Should test month) Pressure System Laterals should be flushed and pressure tested eve 3 ears Mound Ins ect for ondin and seepage once eve 3 ears 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. Lateral Turn-up Detail Finished Grade vl 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: Page 3 Bedroom Mound Page 5 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. 10/12), 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 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 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 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 BODS, 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. 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Z z0 O L1.1 Mt N~•-~Jww>Qm 0 I-Z!n z W J fn WU (9z FI- O MmJ~ mZJ~ =OQW ~ZCl) -J O_ U N W UW ~W WV _ (n W° "30= UY OW Q W m F VI 0 N Oa O ~O ~ z2zpi ~ zx Q zN0 U O YJ z Q UO ~x O0 I-e W W i.1 Q~U Q~.. z Z$i Q U J Z3 mOMM m=1 0 _ N Q O 0 ;5 Y & O p Z Z J Q O U Q U J Q W N I Q (n W 0 U z ~ Q d ° C D w w 0 ' w w SVO w- n „o-V do N ~ i U V) ` 5; S O ` ui W a_ w W ° L~ (n w V) o Q w Q SVo „ti U ,Z -0 do 1161 0 W Qj U ~ O J Q W cl: (1036 a „t8 Sb~S Y z Q Page 7 PX)LYAkOX Inc. Innovations in Precast, Drainage Zabel' PL-525 Effluent Filter & Wastewater Products A Division of Polylok Inc. PL-525 Filter The PL-525 Filter is rated for 10,000 GPD (gallons per day) making it one of the largest filters in its class. It has 525 linear feet of 1/16" filtration slots. Like the Polylok PL-122, the Polylok PL-525 has an automatic shut-off ball installed with every filter. When the filter is removed for cleaning, the ball will float up and temporarily shut off the system so the effluent won't leave the tank. Features: 7/16" Filtration Slots Alarm • Rated for 10,000 GPD (gallons per day). tionSawitch (10,000 GPD ~ p` ~ • 525 linear feet of 1/16" filtration. • Accepts 4" and 6" SCHD 40 e. Ci-~ Accepts 1" PVC pipe. Extension Handle • Built in gas deflector. • Automatic shut-off ball when filter is removed. • Alarm accessibility. Rated for 10,000 GPD • Accepts PVC extension handle. PL-525 Installation: Ideal for residential and commercial waste flows up to 525 Linear Ft. of 1/16" 10,000 gallons per day (GPD). Filtration Slots 1. Locate the outlet of the septic tank. 2. Remove the tank cover and pump tank if necessary. Accepts 4" & 6" 3. Glue the filter housing to the 4" or 6" outlet pipe. If SCHD 40 pipe the filter is not centered under the access opening use a Polylok Extend & Lok or piece of pipe to center filter. " 4. Insert the PL-525 filter into its housing. Certified to 5. Replace and secure the septic tank cover. *NSF/ANSI Standard 46 PL-525 Maintenance: The PL-525 Effluent Filters will operate efficiently for several years under normal conditions before requiring cleaning. It is recommended that the filter be cleaned x` every time the tank is pumped, or at least every three years. If the installed filter contains an optional alarm, the owner will be notified by an alarm when the filter Gas Deflector needs servicing. Servicing should be done by a certified septic tank pumper or installer. Automatic 1. Locate the outlet of the septic tank. Shut-Off Ball 2. Remove tank cover and pump tank if necessary. 3. Do not use plumbing when filter is removed. 4. Pull PL-525 cartridge out of the housing. 5. Hose off filter over the septic tank. Make sure all solids fall back into septic tank. { 6. Insert the filter cartridge back into the housing making sure the filter is properly aligned and completely inserted. Outdoor St Bestet lei, Alarm i accept F i Lour Polylok, Zabel l & & Best filters Easily installs 7. Replace and secure septic tank cover. the SmartFilter& switch and alarm. into existing tanks. PolYlok, Inc. 3 Fairfield Blvd. Wallingford, CT 06492 Toll Free: 877.765.9565 Fax: 203.284.8514 www,PofYlok.com Page 8 SECTION: 2.20.045 QUQL/TYPUMPS FM1502 Product information presented / Supersedes ~I mz~~- here reflects conditions at time Pl/M0710 regarding 1211 of publication. Consult factory discrepancies or inconsistencies. MAIL TO: P.O. BOX 16347 • Louisville, KY 40256-0347 visit our web site: SHIP TO: 3649 Cane Run Road • Louisville, KY 40211-1961 www,zoeller com (502) 778-2731. 1(800) 928-PUMP • FAX (502) 774-3624 COMPARE THESE FEATURES 14014140 & 14514145 Cast Iron Series • Durable Cast Iron construction • Model 140 features a Non-Clogging engineered (For Pump Prefix Identification see News & Views 0052) thermoplastic vortex impeller design and passes spherical solids "FLOW=MATE" • Model 145 features an engineered thermoplastic single vane impeller design and passes'/4" spherical solids FOR SEPTIC TANK -LOW PRESSURE PIPE (LPP) • Motor - 60 Hz, 3450 RPM, oil-filled, hermetically AND ENHANCED FLOW STEP SYSTEMS sealed, automatic reset, thermal overload protected • Available in both single or double shaft seal designs EFFLUENT Y • Carbon/Ceramic mechanical shaft seals OR DEWATERING PUMPS • Assembled with Stainless Steel bolts SUBMERSIBLE a@,~• • Stainless Steel lifting handle 1'/z" NPT DISCHARGE • Upper sleeve and lower ball bearing running in bath of oil • 20 ft. UL Listed Neoprene cord with molded plug cap and ground wire Model BN140 Model 140 • 1'/z" NPT vertical discharge and BN145 and 145 • BN and BE models include a variable level float Single Seal Single Seal switch and 1'%" X 2" PVC adapter fitting Pumps Pumps • Operates at temperatures to 130eF (540C) in effluent or dewatering applications • Corrosion resistant powder coated epoxy finish Note: The sizing of effluent systems normally requires variable level float(s) controls and properly sized basins to achieve required pumping cycles or dosing timers with nonautomatic pumps. CID ® G US Model 4140 Tested to UL Standard UL778 and 4145 - and Certified to CSA Double Seal Standard C222 No. 108 Pumps PUMP POWDER COATED MAIL TO: P.O. BOX 16347 TOUGH' Louisville, KY 40256-0347 •9- SHIP TO: 3649 Cane Run Road taa , Louisville, KY 40211-1961 (502) 778-2731. 1(800) 928-PUMP MODELS AVAILABLE FAX (502) 774-3624 • Automatic (Models BN 8 BE) • Nonautomatic Manufacturers of... • 1 HP, 1 Ph 115V or 230V (140/4140) o • HP, 1 Ph 115V (145/4145) Z QV.4L/TV PUMPS sNCE © Copyright 2011 Zoeller Co. All rights reserved. Page 9 w PUMP P MANGE CURVE TOTAL DYNAMIC HEAD/FLOW LL MODE 140/ 140/145/4145 PER MINUTE ' 75 EFFLUENT AND DEWATERING 37/6 65116 22 I 0 MODEL 140/4140 145/4145 ~ ~ p Feet Meters Gal. Liters Gal. Liters 60 5 1.5 86 326 61 232 0 329/32 18 ~ 10 3.0 80 303 60 228 + ss 15 4.6 73 276 56 213 0 6 O sa 20 6.1 66 250 53 201 25 7.6 59 223 49 186 11n: 11v2 u a 30 9.1 49 165 45 171 i 40 40 12.2 28 106 35 133 50 15.2 - - 26 99 0 3s 60 18.3 - - 16 61 Shut-off Head: 50 ft.(15.2m) 74 ft.(22.6m) O 30 F 8 ~ 25 6 20 1213132 6 150090 4 10 4 SP32 2 SK1524A s 1451 4145 4140 0 10 20 30 0 50 80 70 a0 90 GALLONS LRENS 0 60 180 210 320 ' • ' , FLOW PER MINUTE CONSULT FACTORY FOR SPECIAL APPLICATIONS 37/8 65N6 • Electrical alternators, for duplex systems, are available and supplied with an alarm. 456 • Mechanical alternators, for duplex systems, are available with or without alarms. I • Control alarm systems are available for 1 phase pumps used in simplex system. See FM0732. 3 • Variable level control switches are available for controlling single phase systems. + • Double piggyback variable level float switches are available for variable level long cycle controls. o • Sealed Qwik-Box available for outdoor installations. See FM1420. • Refer to FMO806 for applications above 130°F (54°C) 14014140 & 14514145 MODELS - SINGLE PHASE Control Selection Model Model Volts Mode Amps Simplex Duplex N140 N4140 115 Non 12 1 or2 3 E140 E4140 230 Non 6 1 or2 3 BN140 BN4140 115 Auto 12 BE140 BE4140 230 Auto 6 N145 N4145 115 Non 13 1 or2 3 E145 E4145 230 Non 6 1 or 2 3 SKI 5248 BN145 BN4145 115 Auto 13 - BE145 BE4145 230 Auto 6 - SELECTION GUIDE *Single piggyback switch included. 1. For automatic use single piggyback variable level float switch or double OPTIONAL PUMP STAND P/N 10-2421 piggyback variable level float switch. Refer • Reduces potential clogging by debris. to FM0477. • Replaces rocks or bricks under the pump. 2. See FM 1228 for correct model of simplex • Made of durable, noncorrosive ABS. "Easy assembly' control panel. • Raises pump 2" off bottom of basin. °mno included.) pipe 3. See FM0712 for correct model of duplex • Provides the ability to raise intake by adding control panel. sections of 1 W or 2" PVC piping. • Attaches securely to pump. A CAUTION • Accommodates sump, dewatering and All installation ofcontrols, protection devices andwiring should effluent applications. be done by a qualified licensed electrician. All electrical and NOTE: Make sure float is free from obstruction, safety codes should be followed including the most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. © Copyright 2011 Zoeller Co. All rights reserved. Page 10 PLOT PLAN N Project Name: Page 3 Bedroom Mound Legal Description: NW1/4, NW1/4, S5, T30N, R18W P.I.D: 032-2018-95-050 Subdivision Name: na Lot 4 SCALE: 1" = 40' Township: Somerset Parcel Size: 5.000 Acres County: St. Croix Contour Line Elevation: 98.23' Cell Dimensions: W X 75' 4 inch Sch 40 -ASTM D2665 System Elevation 100.15' Mound Dimensions: 196.95'x 27.52' 2 inch Sch 40 -ASTM D1785 Slope: 15% 11/2 Sch 40 -ASTM D1785 BM1 Elevation: 100.00' To of 2" PVC pipe 0 BM2 Elevation: 96.73' To of 2" PVC pipe j ■ Backhoe Pits: New Tank: 1000 gallon Septic Tank with Pol lok 525, 650 gallon Pump Chamber a0i 7- 0 6AeAroE gL f _ C01V r©ua U fJt; 2d 2'' i.e Qc~ 3 &Dacc(" MAIN 14CUSE 83 Wj PoLq Lecm zs WiEtL Page 11 4) ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Matt & Alicia Page Mailing Address 220th Ave. New Richmond, WI 54017 Property Address 473 1 070th Ave (Verification required fi-om Planning & Zoning Department for new construction..) City/State Somerset, WI Parcel Identification Number 032-2018-95-050 i LEGAL DESCRIPTION C Property Location NW r/4 , NW r/4 , Sec. 5 T 30 NR 18 W. Town of Somerset Subdix ision Plat: Lot # 1 Certified Survey Map # 85207 , Volume 22 , Page # 5405 Warranty Deed # (before 2007)Volume Page # Spec house Dyes +no Lot lines identifiable [3yes[] no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in ASPS. 383.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1 /3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of 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 3 days of the three year expiration date. I/we certify that all statements on • form 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 a.nt_v deed recorded in Register of Deeds Office. Number of be rooms 3 SIGN T OF APPLIC 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) IIIII II II I If III IIIIf II IIII ~IIII~I~II~III~IIII~ I State Bar of Wisconsin Form 1-2003 8 2 9 5 7 4 4 WARRANTY DEED Tx:4243078 1010523 Document Number Document Name BETH PABST REGISTER OF DEEDS ST. CROIX CO., WI THIS DEED, made between Barr F. Brait aite and Vick A. Braithwaite 04/14/2015 11:03 AM EXEMPT#: NA husband and wife REC FEE: 30.00 ("Grantor," whether one or more), and Matt Page and Alicia Potting TRANS FEE: 180.00 ("Grantee," whether one or more). PAGES: 1 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 St. Croix County, State of Wisconsin ("Property") (if more space is needed, please attach Name and Return Address addendum): That part of the NW1/4 NW1/4 of Sec. 5-T30N-R18W, Town of Estreen & Ogland Somerset, described as follows: Lot 1 of Certified Survey Map recorded in Vol. 22 304 Locust Street of Certified Survey Maps, Page 5405 as Doe. No. 852078. Hudson, WI 54016 032-2018-95-050 Parcel Identification 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 reservations, if any, of record. Dated (SEAL) (SEAL) * 419arry raithwaite (SEAL) (SEAL) * *Vicky A. Braithwaite AUTHENTICATION ACKNOWLEDGMENT Signature(s) - authenticated on STATE OF V~Xa.S ) ) ss. W4e(\COUNTY ) TITLE: MEMBER STATE BAR OF WISCONSIN Personally came before me on ,Acc",~2.0 S (If not, the above-named Barry F. Braithwaite and Vicky A. authorized by Wis. Stat. § 706.06) Braithwaite 11111j to me known to be the person(s) who executed the fcZ~qt% ~EyP THIS INSTRUMENT DRAFTED BY: instrument and acknowledge the sam e..0 . pY Pv ~1t'• C2 Kristina 00and, Estreen & Ogland = OP ~n•i~a :v 304 Locust Street, Hudson, WI 54016 * t.,.) = a Notary Public, State of ltXas + OF My Commission (is permanent) (expires: 10 - I S •..F,tRE6 ' (Signatures may be authenticated or acknowledged. Both are not necessary.) 44~ "0ff; NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED O 2003 STATE BAR OF WISCONSIN FORM NO. 1-2003 Type name below signatures. INFO-PROTM Legal Forms 800.655-2021 www.infoproforms.com Page 13 St. Croix County 1010523 Page 1 of 1 90179 azsd ZZ 'ToA z ~O L ZZ~ ~y.N Z 30 L 133HS O W yyU 7 U~O~ ~UW ~ QLJi. ZQ 9V zm~p y N &aNdI Qa JUTI(O mn o F= 4 I I $a~. i,/LMN 3H1 -40 /LMN ~ 05La ycmao 3Hi 30 3Nn ISV3 to E II c ,09'99* M.4 L,OZ.OOS F; it 6 vUf w \ I 9LL ,OL'65Z-- e V/-s L N Oj 4.c> Y 65:, .ZL'9t 00 _ °ag I Z a lal { I W W W W ° 3\\ / ~Jb ^ ~cfQl d M co ch C-4 a .9\C l 03 3; W d 0 ~s~` Z Z Z Z 1+MM~ I Z \ `95,• sS'~a\ ,cam 1 M W N ~tn T~i'~ m c 3 W W W W I l~A~ 1 \ Vy~ Su.B\\ `r W OC Q ~~p O~\\ - CIA N ~ o T 5'T Go to co m cm T ~ I X Q Q N p n0 Q oD Q WI M J f a°osd z X. ►-~-zzzzz or_ qt, C> 1 pp~p~~ ` r0\ \ N Q N \ 4 •C' O CD 00 00 00 Me cli ~i i L~i~i 3333\ v:5!tt. Ni .&0,g r o o°S rQi I 01 ~IQI U J 040 3. d l l s ss[ W tp / p yO \ ro L O N►6~g 43 c 9 r it) 54 SD &3~~2~~~~----~~~ cry m z z CIA W z z z I WNW fl-3 OZZ / ~Q OJ, ~ to I 3Z0 / O~~p~~~ ~^OLnMN FSF= U '~S V) Z / / ~d~^ a U V) N W Z C7 / UU Q 7 g O O Ol O O! W Zz ~W HH mZ N O 1\ OU =Ckf W~ ~Wg ; r N M li ~ N 0 Z ~ li sc 7 .a ° '3" -i Z 1a4~ laf W W Z Z U U fl) &0 ~ LLJ U. V U U ; !n g'~Z V ~M O dZ oC •va }O~~ 3 W Z CC ~ LE 5 $LLj M F Z N F U W CL 2-) 0 0WW Q j ~x W is orDo w N v Paz 0 LL- V °zUF °9 °z °z m a Y~YOt~ m8 ~W J Q Qv N _W ° Zo IU6 N 1 2y °o Ro o Co~ M rL=> As " 0 ooW o O • oC Cln Z m zi ~ 1 ~ m • , ~ V U) - qv,- a a C'n N I.- o 00'£ :33d AdOO 614 M ISAS 3iVNlGUOOO ALNnO0 M010 '1S 3HI OO"El :33d 33a SOhS ~ Ol 03ON3L33325d 3.8£££.68N 5aV39 5 o o 30id ZZ :10A NOLL03S 30 LMN 31-1 30 3Nn HIMON 3HI dvw A3t ins 03I3I12133 z o WdO tO ZOOZ/90/90 Z L 08033N dod 0IAI3338 IM `"03 XI083 'IS S033C 30 831SID38 HSIVM 'H N331HIVA BLOZ98 {I~f II!! IlI11I 11,11 11Lf {{II 1II{1,,I 1 .III! {I~III! 1 f NVisconsin SOIL EVALUATION REPO #1561 Department of Commerce in accordance with Comm 85, Wis. Adm. Code Page 1 of 3 Division of Safety and Buildings Schmitt Soil Testing, Inc. Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must County 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. O Part of. 0 -2018-95.909•- , 53 13 Please print all information. Revie By Date Personal information you provide may used fiM(Priva Law, s. 1504 (1) (m)). Z D Property Owner p-171E~ PJonk, Richard & Karen ° R NW1/4, W1/4, S5, T30N, R19W Property Owner's Mailing Address ock # Subd. Name or CSM# 461 180th Ave. CSM Pm"hrt f► Z 2 S 7 L/ City Stat Zip Code Phone Number ❑ City Village ❑ Town Nearest Road -#1 -7 3 Somerset WI 54025 715-247-5265 Somerset 180Th Ave. ❑ New Construction Use: ❑ Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Glacial till (Amery Series) Flood plain elevation, if applicable NA ft. General comments and recommendations: Area is suitable for a mound system. System elevation is 100.15' based off contour line established at 99.23'. Slope of area is 15%. Depth to limiting factor is 25 F-11 Boring # ❑ Boring ❑ Pit Ground surface elev. 98.83 ft. Depth to limiting factor 58 ✓ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-8 10yr3/2 none sil 2mgr mvfr as 2m .6 .8 2 8-14 10yr3/4 none A 2msbk mfr gw 2f .6 .8 3 14-24 10yr4/4 none sl 2msbk mfr 9W if .6 1.0 4 24-58 7.5yr4/6 none gris icsbk mfr gw .7 1.6 5 58-72 10yr5/6 cil~/ /2 sl imsbk mfr gw .4 .7 1 77 6 72-84 7.5yr4/4 c2d i 5y 6 sl imsbk mf - 4 .7 Boring # ❑ Boring ❑ Pit Ground surface elev. 98.83 ft. Depth to limiting factor 29 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 •Eff#2 1 0-9 10yr3/2 none A 2mgr mvfr as 2c,2f .6 .8 2 9-21 10yr3/4 none sl 2fsbk mfr gw 2f .6 1.0 3 21-29 7.5yr5/6 none grsl imsbk mfr gw if .4 .7 4 29-40 7.5yr4/6 m2d 7.5yr6/2 grsl Om mfi .2 .6 7.5yr6/6 gw 5 40-65 7.5yr4/4 7m2d.5yr6/ r6/6 6/i sl Om mfi .2 .6 *Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BOD5 s30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt 227429 Address Schmitt Soil Testing, Inc. Date Evaluation Conducted Telephone Number 1595 72nd Street New Richmond, WI 54017 3/28/2007 715-247-2941 SBD-8330 QL07/00) Propetty Owner ]onk, Richard & Karen Parcel ID # Part of: 032-2018-95-000 Page 2 of 3 1 3 1 Boring # ❑ Boring F ❑ Pit Ground surface elev. 96.48 ft. Depth to limiting factor 25 'yin. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#t *Eff#2 1 0-8 10yr3/2 none sil 2mgr mvfr as 2c,2f .6 .8 2 8-18 10yr5/3 none sil 2fsbk mfr gw 2f .6 .8 3 18-25 7.5yr5/4 none gris icsbk mfr gw .7 1.6 4 25-33 7.5yr4/6 m2d 7.5yr6/1 grsl lmsbk mfr gw 4 7 7.5yr6/6 5 33-47 7.5r5/6 m2d 7.5yr6/2 y 7.5 r6 6 9~ lmsbk mfr gw .4 .7 6 47-88 7.5yr4/4 m2d 7.5yr6/1 sl Om mfi 2 6 7.5yr6/8 ❑ 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/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Efl#1 *Eff#2 ❑ 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/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD5> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS < 30 mg/L and TSS <30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (R07/00) Schmitt 506 Testing Inc. Page 3 of 3 Conducted by: Conducted For: Schmitt Soil Testing Inc. Name: Richard and Karen Jonk Thomas J. Schmitt, CST 227429 Address: 461 180th Ave 1595 72nd St. City, State, Zip: Somerset, WI 54025 New Richmond, W1. 54017 Phone: 715-247-2941 Subd.Name: NA (proposed) Signature Lot No.: 1 Date Legal Description: NW1/4 NWl/4 S5 T30N R19W ® Backhoe pit Township, County: Somerset, St. Croix County ® Bench Mark El. 100.00' 0 Alternate Bench Mark El. %'6, 73' Slope= Z Contour Line El 'I9=.23 Contour Line Length 9V/ ` Scale 1" = 40' ~(ac/~ /a-~~`' t~-,p~ zL,~rte ~-L•'s I'P~a,-~ w~c~ ~G'k l~cC~l`eDr ,Obese '/Oc' 77~(p m- rya j/ i? a /J~ QS S~je r bm 'N" Pt -1 1t - 37 _ , g of ypy 6 ~ 63 yy°~ ~sz s~ Parcel 032-2018-95-050 03/25/2008 04:01 PM PAGE 10F1 Alt. Parcel 05.30.19.539B 032 - TOWN OF SOMERSET Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 06/06/2007 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - BRAITHWAITE, BARRY F & VICKY A BARRY F & VICKY A BRAITHWAITE 9854 COLBY AVE CLIVE IA 50325 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 473 180TH AVE SC 5432 SOMERSET SP 1700 WITC Legal Description: Acres: 5.000 Plat: N/A-NOT AVAILABLE SEC 5 T30N R1 9W PT NW NW FRL CSM 22-5405 Block/Condo Bldg: LOT 1 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 05-30N-19W NW NW Notes: Parcel History: Date Doc # Vol/Page Type 06/27/2007 854558 LC 06/06/2007 852078 22/5405 CSM 2008 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 06/21/2007 Description Class Acres Land Improve Total State Reason Totals for 2008: General Property 0.000 0 0 0 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 ^ n~ Intl °R^°?l OSE e~._•_u" ~4~s s Gzot G im 'lasNawos sw ao- 3 d~ jryg~t w, aA HiOSI EL17 ~~uu~ g ~I'~'v'~C1'v'?Jl ~ ~~~d bioi~d ► l.~vw i i! y~ r II ' r _ v 7 _ I w ~ j D z I<- zj i Q c6 ~8 _ 6i e k I~ m r i J{ w F,= Q ~ pI 1 N z 7si LL I w: ; Fj Rat'. ~ ~o a o a ~ r3 w ~ is m L4cs-~s-sL 3.e~ N~7 szots im '139?i3WOS m _Q,3i'J3LIUO9 ° ~ 3~b'c3 b'lOl'T7 t 11vW ~a3r+~iisaa I . I LL a~ ~ I m I ry~. S I t I 1 a ! a C I r 8 I a dl x Y n. 41 . Y k s, n5 .l f _ e m r ~N~9 Efi•w +1tiP. Ji ub.4 o a QP 11 'I E o x. s• IIi v q~r6 Yy F 1_ ~5 6 v { r i x 9r wa m M «4s s~~ 4L0176 im 'lssNawos sic -ro-cc "FilOSI SL17 sv'dd V101,11V r 11dW I z a QI m IL ' K zij 5j I - o 0 a e v d Q V I a E k, 3 P t v f 1 r I lY ¢ , ~ W 11r-~ 'e Ji. 9 l m' 1 tr.n.r.+. x I , r(111 _ a < u a I 1 m - e ~a ~y 1 ~