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HomeMy WebLinkAbout036-1031-30-010 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: Safety and Building Division St. Croix INSPECTION REPORT Sanitary Permit No: GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: 579035 0 Personal information you provide may be used for secondary purposes [Privacy Law, S-15.04 (1)(m)j. Permit Holder's Name: City Village X Township Parcel Tax No: Campeau, Dan Stanton, Town of 036-1031-30-010 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: --Z C'S t 14.31 . 17.198A TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER % n.I CAPACITY STATION BS HI FS ELEV. Septic -4. Benchmark .5e,•C` S• 7 /61.7 ~!p Alt. BM Rt ~d ak. ~ZS F, 't Lo Z.$5 Aeration Bldg. Sewer Holding 4,1% St/Ht Inlet 7. b7 9y. 09 TANK SETBACK INFORMATION St/Ht Outlet g • a '7-3. 73 TANK TO P/ WELL BLDG. a Air Intake ROAD Dt Inlet Septic / ~ .1 Dt Bottom 16-7 Dosing Header/Man. q Q q Aeration Dist. Pipe Holding Bot. System ~~.5(p w. Z PUMP/SIPHON INFORMATION Final Grade Manufacturer Demand St Cover~ GPM CD Z . ~5 cl 9 Model Number TDH Lift Friction Loss System Head T Ft Forcemain Dist. to Well SOIL ABSORPTION SYSTEM BEDITRENCH Width / Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 2 7x Z ' SETBACK SYSTEM TO V P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION Type Of System: CHAMBER OR Z aim' & r~ CO,nJ e.~~-; o ~CaX• 5 7S /14 UNIT Model Number: DISTRIBUTION SYSTEM SaJN~, r ,U 7 a- 7 / 14 k -L- ea if DisUibution x Hole Size ! x Hole Spacing Vent to Air I take Pipe(s) s Length /6 Dia Length Dia pacing ~ - s O SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over \ xx Depth of Seeded/Sodded xx Mulched Bed/Trench Center 7 Bed/Trench Edges Topsoil r ~vQ Yes pia No [F] No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 1875 220th Ave Deer Park, WI 54007 (NW 1/4 NE 1/4 14 T31 N R17W NA Lot 1 Parcel No: 14.31.17.198A 1.) Alt BM Description= f 1 U4-" ~Ju- Gk d 2.) Bldg sewer length = - amount of cover = T v 7 r z an- v P la G, r e~- ce o west-- - Plan revision Required? Yes No Use other side for additional informati n. 1 J SBD-6710 (R.3/97) Date Insepcto Signatur Cert. No. r 220 ~k- PV i i s ~ra p Ho 1) S ttc i s 1 ~b a ~ k e#(~j~ S_-s t C(!3Tcv` 4f q/1 Ga P~~31L R;61P Vr, 1 " a I n T~ n c. ~ ~ ~1`~ l RECEIVED County 1111UL Safety and Buildin s Division ST. CROIX J UL W. Washington A 3P.O ox 2 Sanitary Permit Number (to be filled in by Co.) y ~S ,$T. CFt01X COUNTY Madison. WI = a ~IMUNITY DEVELOPMENT l Sanitary Permit Application StateTransaotiANumber In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit 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 Servies. Personal information you provide maybe used for seconds $75 220TH AVE u oses in accordance with the Privacy Law, s. 15.04 1) m , Stats. DEER PARK, WI 54007 1. Application Information - Please Print All Information , Property Owner's Name Parcel # 0310- 1 o3 i. 30-0 DAN CAMPEAU 036103130010 Property Owner's Mailing Address Property Locatior 2160 SHORE DRIVE Govt. Lot A-) City, State Zip Code Phone Number NW NE Section 14 ( 1 Ct SOMERSET, WI 54025 612-209-1426 (circle one T 31 N; R 17 E or II. Type of Building (check all that apply) Lot # r~ rvrsao l.lt 1 or 2 Family Dwelling - Number of Bedrooms *7~ 2b n ~A~ A ~ a~ Block # ❑ Public/Commercial -Describe Use NSA ❑ City of El State Owned - Describe CSM Number ❑ Village of [Jse Town of STANTON III. Type of Pe t: (Check only one box on line A. Complete line B if applicable) cyn A. New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only El Other Modification to Existing System stem Y g Y (explain) )SM) 6 MON (1 (19. 45 11 42L, List Previous Permit Number and Date Issued B. ❑ Permit Renewal El Permit Revision El Change of Plumber ❑ Permit Transfer to ew Before Expiration Owner 142 e 11 1 IV. T ste onent/Device: Check all that apply) Non-Pressurized In-Gr Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil'` Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) Fla, ~,(.J 3 H-` 'V' V. Dispersal/Treat, ent Area Information: ation te Design Flow (gpd) Design Soil Applic(gpdsf) Dispersal Area Required Dispersal Area Proposed (sf) stem evation 450 VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units 0 9 New Tanks Existing Tanks c v vo a U in H ~n ir: V a. Septic or Holding Tank 1 X Dosing Chamber VII. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Signature MP/MPRS Number Business Phone Number PAUL KOEHLER 225410 15-246-2660 Plumber's Address (Street, City, State, Zip Code) 321 WISCONSIN DRIVE, NEW RICHMOND, WI 54017 VIII. County/Department Use Only ue d Issuing Agent Signa ❑ pp roved 1~ ~ s q],c- pproved Permit Fee Datr en Reason for Denial Ob ~ 201 nv/ IX. Conti ea ns for isapproval 1. Septic tan, effluent er ancP dispersal cell must be_~erviced / maintained I as per management plan provided by plumber. Q mbIq Ilbts 2. All setback requirements must be maintained 1 as per applicable code/ordinances. \ ,4- I\^ rl 1 ' L ~%11 Attach to complete plans for the system and submit to the County only on paper not less th S n x 11 inches in ize p HCUSI Nbr- Otn~ SBD-6398 (R. 11/11) CONVENTIONAL COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: 4 ~ ill l Owner's Name: Ag..7 Col Z:, ,p Owner's Address: Legal Description: T21 f vg It Township: County: I_ C00 Subdivision Name: Lot Number: Parcel ID Number: Q _`3' 3 ab 1 Page 1 Index and title Page 2 Plot Plan Page 3 System Sizing & Cross-Section Page 4 Filter Specs Page 5 Maintenance Information Page 6 Management Plan Page 7 St. Croix Cty Septic Tank Maintenance Form Page 8 Warranty Deed Page 9 CSM or Plat Attachments: Soil Test & House Plans Designer/Plumber: ,//7, License Number: Date: Phone Number Signature Designed pursuant to the In-Ground Soil Absorption Component Manual for POWTS Version 2.0 SBD-10705-P (N.01/01). Page 1 z2ofL AVE Iv 0 S -1 Qlac V lc<Oc o f 22 O I~L 'P VI i I 1 ~00 s on SIa Prapo~~ p S 1 a~ qg.~l f1~v C o v. 1 P, Lo X ~ a I ~A-VA+ a ' o i.-- ~ W o G S q~►ga ~1oPc, T~~~clts e ell, IoP ~}~1✓ ~~Pc, - 1 o o n 6,p o V-, Q i n t. rc.~ Li nti Y1i„t - R i ~o b Dr l ,q}4 ? i SOIL ABSORPTION SYSTEM DETAIL/ GRAVELLESS LEACHING UNIT Page_of Project Name: No. of Cells Per Cell 3 ft Cell Width_ Total No of ot~otS S ft Cell Length S' D sq ft EISA Per Cell 3 ft Cell Spacing S0 sq ft Total EISA Manufacturer Model Laying Length EISA Rating L Infiltrator EZ1203H-5ft 5.0' 25.0 EZ1203H-10ft 10.0' 50.0 Gravelless Leaching Unit Manufacturer: L) L,,,) III I' I L& M Y' Gravelless Leaching Unit Model: E Z l ZV ?5 1 tL Typical Cross Section 1 Finished Grade ft oy\ Observation Pipe with approved cap or vent E ! • ! Soil Backfill in ■ ■ ' Geotextile Fabric . 0/fft Infiltrative Surface 12 in Q t V ft Limiting Factor Slotted and Anchored Vent/ Observation Pipe with Cap ■ ! . • ■ r . ■ ! ■ ! a a ! ! ! ■ • ■ ■ ■ ■ ■ ■ . ■ ■ ■ ■ ■ • . • . ■ . ■ • • ■ ■ . ■ ■ Plumber/Designer Signature: License Date: VV/VI/VU rrnL 1a7: vo r&A I10 )00 4000 5T UNA W MINING 10001 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSUIP CERTIFICATION FORM Owner/Buyer DAN CAMPEAU Mailing Address 2160 SHORE DRIVE, SOMERSET, WI 54025 Property Addres&t_1 875 220TH AVE, DEER PARK, WI 54007 5 (Verification required from Planning & Zoning Department for new construction.) City/State DEER PARK, WI Parcel Identification 'Number 036103130010 LEGAL DESCR.I<11JON Property Location NW V., NE , SCC. 14 , T 31 NR 17 W, Town. of STANTON Subdivision N/A , Lot # 1 art 1 cS ~ 4tw rl Certified Survey Map # dV 3 , Volume , Page it Warranty Deed # , Volume , Page; Spec house 0 yes)dno Lot lines identifiable E'I 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, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter. 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, sighed 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. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set foath, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & 7oning Department willtin 30 days of the three year expiration date. I/we certify that all statements on this form are true to the best of my/our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a w anty deed recorded in Register of Deeds Office. Number of bedrooms 3 07 / 17/ 15 WiN URE OF APPLICANT(S) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning Zoning Department. Include with this application a recorded warranty deed froln the Register of Deeds Office and a copy of the certified survey 1110p if reference is made in the warranty deed. (REV. 08/05) io POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page I of FILE INFORMATION SYSTEM SPECIFICATIONS Owner DAN CAMPEAU Septic Tank Capacity 1000 qa( ❑ N Permit # . Septic Tank Manufacturer WIESER ❑ No DESIGN PARAMETERS Effluent Filter Manufacturer 0 No POLYLQK Number of Bedrooms 3 q NA Effluent Filter Model ❑ N I 2 Number of Public Facility Units (I NA Pump Tank Capacity M N t gal Estimated flow (average) 300 gal/day Pump Tank Manufacturer ® N.e Design flow (peak), (Estimated x 1.5) 450 Qal/da Pump Manufacturer 0 NA Soil Application Rate • 7 al/da /ft2 Pump Model ® NA Standard Influent/Effluent Quality Monthly averagedI Pretreatment Unit [A NA Fats, Oil & Grease (FOG) 530 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BODS) s220 mg/L ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids- (TSSI 5150 mg/L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) NA Biochemical Oxygen Demand (80135) 530 mg/L (J In-Ground (gravityl _ ❑ In-Ground (pressurized) Total Suspended Solids (TSS) <30 mg/L ❑ At- Grade ❑ Mound Fecal Coliform (geometric meant 510' ofu/100m1 Q Drip-Line O Other: Maximum Effluent Particle Size Y in dia. ❑ NA Other. 0 NA Other: Other. ❑ NA ❑ NA *vakies typical for domestic wastawater and septic tank effinant, Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service (Frequency _ inspect condition of tank(s) At least once every: 3 month(s) (Maximum 3 years) ❑ Nit year(s) Pump out contents of tank(s) When combined sludge and scum equals one-third (Y5) of tank volume ❑ Nit . Inspect dispersal cell(s) At least once every: 3 13 ye r(s) (sl (Maximum 3 years) ❑ Wt Clean effluent filter At least once every- 1.1 L~ month(s) la N<% a ear(s) Inspect pump, pump controls & alarm At least once every: ©month(s)~ ❑ year(s) 13 NY I Flush laterals and pressure test At feast once every: 3 me month(s) ❑ year(s) Other: At least once every: ❑ month(s) ❑ N1, other: ❑ year(s) Q NF, MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector, POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent an the ground' surfaca. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a falling condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third (Y31 or more of the tank volume, the entire _ contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWT.S Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. :vvv •!a Vlt[1 VV 411111 LAI" WJ UL START UP AND OPERATION Page 71 of 2- For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other ehemic5 that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the conteru of the tank(s) removed by a septage servicing operator prior to use, System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will b discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge c effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restorin power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls t restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the are within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or.elimination of the following from the wastewater stream may improve the performance and prolong the life of thi POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fait foundation drain (sump pump) water, fruit, and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; ail, painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT" When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: s All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or. must be taken, to provide a code compliant replacement system: C A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorptkn system. The replacement area should be protected from disturbance and compaction and should not be infringed upon 1) required setbacks from existing and proposed structure, lot Mes and wells. Failure to y protect the replacement area Kill result in the need for a new soil and site evalt>ation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. 0 A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. slue 'e be e a - TRaKi$T'IL:T~ ~C~-J~1~1✓ ~NST7~U~-~if?>'~ tk ❑ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the blomat at the infiltrative surface. Reconstructions of such systems must comply with the rules In effect at that time. < < WARNING > > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NC T ENTER A SEPTIC, PUMP OR OTHER TREATMENT- TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENT'S f POWTS INSTALLER POWTS MAINTAINER - SEPTAGE me COUNTRYSIDE PLUMBING & HEATING, INC Name PAUL KOEHLER ne 715-246-2.660 Phone E- 715246-2660 SERVICING OPERATOR (PUMPER) LOCAWfE GULATORY AUTHORITY Name DARRELS SEPTIC SERVICE ame s--i- C~ t 20/JI~C! . Phone 715-425-1025 Phone , &9 ,YD This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d)&(f) and 83.54(71. (21 & (31, Wisconsin Administrative Code. 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Adm. Code `C County Attach complete site plan on paper not less than 8 %z x 11 inches in size. Plan must St. Croi Include but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. Percent slope, scale or dimensions, north arrow, and BM referenced to nearest road. Please print all information RZid by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)) L Property Owner Property Location Dan Campeau i,'.~ Govt. Lot NW NE ~i, s 14 T N R 17 W Property Owner's Mailing Address c ! ; Lot # Block # Subd. Name or CSM# 6-21 2160 Shore Drive J~ city State . Zip Cody bn 0 City 0 Village 0 Town Nearest Road Somerset V6i bra 1426 Stanton 220th Ave 0 New Construction Use: 0 Residential / Number of Bedrooms 3 Code derived design flow rate 450 GPD 0 Replacement 0 Public or Commercial - Describe: Parent Material Loess over Outwash Flood Plain elevation if applicable N/A ft. General comments and recommendations: ` &q.,5 r.,5 `AX& ~A- 35 b 01 Ao~- I Boring # Boring 0 Pit Ground Surface Elevation 97.9 ft. Depth to Limiting factor >110 in. Soil A lication 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 *Eff#2 1 0-10 10YR3/2 - SIL 1-m-bk mfr es 2m 0.4 0.6 2 10-21 10YR4/3 - SIL 2-m-bk mfr cs if 0.6 0.8 3 21-31 7.5YR4/4 - 0-sg ml cW if 0.7 1.6 4 3142 7.5YR4/6 - xGRS 0-sg ml CW if 0.5 0.5 5 42-114+ 10YR4/4 - GRS 0-sg ml - - 0.7 1.6 0 Boring , Boring # Wit Ground Surface Elevation 96.0 ft. Depth to Limiting factor >96 in. Soil A lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/f in. Munsell u. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-11 10YR3/2 - SIL 2-m-gr mfr cs if 0.6 0.8 2 11-21 10YR4/3 - SIL 2-m-bk mfr es if 0.6 0.8 3 21-32 10YR4/4 - SICL 2-m-bk mfr CS 1f 0.4 0.6 4 32-41 7.5YR4/4 - SL 0-m mfi cs if 0.2 0.6 5 41-51 7.5YR4/3 - XGRS 0-sg ml cW - 0.5 0.5 6 51-96+ 10YR4/4 - GRS 0-sg ml - - 0.7 1.6 * Effluent # 1 = BODs> 30:5 220 mg/L and TSS > 30:5 150 mg/L * Effluent #2 = BODs < 30 mg/L and TSS 30 mg/L CST Name (Please Print) Signature CST Number Mark Iverson 46672 Address Date Evaluation Conducted Telephone Number P.O. Box 155 Hammond, WI 54015 12-16-2014 715-796-5664 Property Owner Dan Campeau Parcel ID# Page 2 of 3 a Boring # 0 Boring Wit Ground Surface Elevation 97.3 ft. Depth to Limiting factor >105 in. Soil A lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ttz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-11 10YR2/2 - SIL 1-m-bk mfr gs 1f 0.6 0.8 2 11-19 10YR4/3 - SICL 2-m-bk mfr gs if 0.4 0.6 3 19-28 7.5YR4/4 - SL 0-m mfr Cw if 0.2 0.6 4 28-34 7.5YR4/3 - XGRS 0-sg ml gs 1f 0.5 0.5 5 34-109+ 10YR4/4 - GRS 0-sg ml - - 0.7 1.6 Boring # O Boring QPit Ground Surface Elevation ft. Depth to Limiting factor in. Soil A lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIfe in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 5] Boring # 0 Boring Wit Ground Surface Elevation ft. Depth to Limiting factor 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 ' Effluent # 1 = BODS> 30:5 220 mg/L and TSS > 30:5 150 mg/L • Effluent #2 = BOD5 30 m g/L and TSS 5 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. Page 3 of 3 0 ft. 24 ft. 40 ft. 80 ft. ai ~s o N N N p O c Q ~ v a~ c w Proposed house on slab a~ o Current ground elevation and estimated ° elevation of b 98.9' a 3 C0 c0 m B-3 a> a 97.3 p P n. 0 CL 4- Q- o 0 0 c _o o E Proposed M SID Q shed E i X Q 2 Q CL C9E7.9 96.0' BM#2 - Top of 39"PVC Pipe 96.7' y Approximate location of proposed south property line BM#2 -Top of 3!4"PVC Pipe 100.0' • = Ground Surface Elevation BM# & Descripti = Bench Marts B-1 = Boring Location & Elevation Elevation 100, Owner: Dan Campeau Site Information: Completed By: Mark Iverson, PSS #197 2160 Shore Drive NW1/4, NE1/4, S14, T31N, R17 680 Larcom Street Somerset, WI 54025 Town of Stanton Hammond, WI 54015 St. Croix County 715-796-5664 Phone: 612-209-1426 CST# 46672