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HomeMy WebLinkAbout032-2053-95-000 i .isconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 579041 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: Kamrath, Christopher & Sonia Somerset, Town of 032-2053-95-000 -7 CST BM Elev: Insp. BM Elev: BM Description: n Section/Town/Range/Map No: a$ k~ W 15.30.19.701A TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Z',~ S Benchmar Dosing 1:01 _j Alt. BM y7. Ion la Sz~ Bldg. Sewer g 6 9 3 (O Holding St/Ht Inlet C6 c? TANK SETBACK INFORMATION St/Ht Outlet \ TANK TO ~P/Lt WELL BLDG. Vent to Air Intake ROAD Dt Inlet \ Septic /T / Dt Bottom 7~0 gib ~3.a7 Dosing 7 $O i qa /Q o Header/Man. cam, a$ O ~ Aeration Dist. Pipe 3.5~ gq.oFs Holding Bot. System 02 • b to ~ , 2. z.5 7 19.4 PUMP/SIPHON INFORMATION Final Grade Manufacturer ff / Demand St Cover LO e66 GPM 7• ~oc7 Model Number 616 55. InC TDH Lift Friction Loss System Head TDH t 9.8(0 ~iCo 3. Forcemain Length i Dia. r I Dist. to Well /1007 .2~ 9'd SOIL ABSORPTION SYSTEM BEDITRENCH DIMENSIONS Width t Length~~ No. Tr PIT DIME NSION$ No. Of Pit Inside Dia. / Liquid Dept SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION Type fys~tetn; 7 Sa y , \ CHAMBER OR lV\1\V1 N tl~y\ UNIT Model Numb N SYSTEM It Distribution x Hole Size x Hole Spacing Vent to Air Intake rl I{ Pipe(s) it 2 1r Length Dia Length Dia J Spacing_aL J 2, l Z SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems C Depth Over Depth Over xx Depth of n + t xx Seede odded xx u ed Bedlrrench Center ' Bed/Trench Edges Topsoil ~ I / s ® Noes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection G#•1: Inspection #2: -C07 P Location: 613 155th Ave Somerset, W11 54025 (NW 1/4 SW 1/4 15 T30N R1 9W) >35 ac LUot~ Parcel No: 1u 5.30fj419.701A J a 1.) Alt BM Description = I I J~~ l 1 ~Z C(A a'~ ~s li o 5 2.) Bldg sewer length= - amount of cover = LL 1 /j ~ -T c> gyn. Gt~(•J~, Plan revision Required? I Yes o Lb 3 7 Use other side for additional information. Date Insepctor ignatur Cert. No. SBD-6710 (R.3/97) tW~0~ Cou nty I stry Services Division st. Croix R 0 ashington Ave B6, k~62 Sanitary Permit 'Number (to be filled in by Co.) 6 71 X707-7162 JUL 92001,5` S 7 / 'Q(~ init Application State Transaction Number In accordance with SPS 383. s. ion of this form to the appropriate governmental unit 2575322 is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to the Department of Safety and Professional Services. Personal information you provide may be used for secondary Project Address (if different than mailing address) u oses in accordance with the Privacy. Law, s. 15.04 1)(m), Slats. 155s Avenue 1. A lication Information - lease Print All Information SP Property Owner's Name 1 Kamrath, Christopher & Sonja Parcel # 032-2053-95-000 'b ~ ./1 Property Owner's Mailing Address /'T 1349 Awatukee Trail Property Location Govt. State . Lot Huy, State ver Falls, WI Zip Code Phone Number NW '/4, SW '/4, Section 15 54016 (circle one) II. Type of Buildin T 30 N R 19 E or W g (check all that apply) Lot 12 1 or 2 Family Dwelling - Number of Bedrooms Subdivision Name ❑ Public/Commercial - Describe Use Block # NA 36 ❑ State Owned - Describe Use ❑ city of CSM Number ❑ Village of S 75 O✓ ® Town of Somerset III. T e of Permit: (Check onl one box on line A. Complete line B if applicable) A. El New System C ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Before Expiration El Permit Transfer to New List Previous Permit Number and Date Issued Plumber Owner IV. T e of POWTS System /Com onent/Device: (Check all that a 1) ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ® Mound > 24 in. of suitable soil t, ' ❑ Holding Tank El Other Dispersal Component (explain) El Mound < 24 in. of suitable soil ❑ Pretreatmen evlce exp am V. Dis ersaUTreat ent Area Information: Design Flow (gpd) Design Soil Application Dispersal Area Required (sf) Dispersal Area Prop ed (st) System Elevation Rate(gpdsf) 600/1000 600/1581 0.6 98.42' / VI. Tank Info Capacity in J Gallons Total # of Manufacturer U New Tanks Existing Tanks Gallons Units .1 '7A10 Septic or Holding Tank 1200 d SzS U r A. 4"o- 1 ieser nerete ® ❑ ❑ ❑ ❑ Dosing Chamber 800 800 1 Wieser Concrete ® ❑ ❑ ❑ ❑ VII. Responsibility Statement- I, 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 John Schmitt Plumber's Address (Street, City, State, Zip Code) 223760 715-760-0486 616 150`x' Ave. Somerset, WI 54025 VIII oun /Department Us Only Approved d Permit Fee Date Issued Issuing t Signature 4vmer11T-v-e_n7e_asZ n Denial $ 7,5 , 40 3 EX. Condii~" a R& Disapproval 1 dis 3~ Go; sal. Celt must all be services l'maintairted as,per, management plan provided by plumber, j e qtx t~,, trl` *0- ~ 2. 'JIB smock reQuillOM nts must 0&inaintain4d -64 PW SA14111)" ode / QN11nanim. Attach to complete plans for the system and submit to the county only on paper not less than 8 1/2 x 11 inches in size SBD-6398 (R03/14) PLOT PLAN N Project Name: KaJ1 math 4 Bedroom Mound Legal Description: NW114, SW114, S15, T30N, R19W P_I.D: 032-2053-95-000 Subdivision Name: na Lot 4 SCALE: V- 40' Township: Somerset Parcel Size: 36 Acres County: St. Croix Contour Line Elevation. 97.67 Cell Dimensions. F X 75' 4 inch Sch 40 -ASTM D2665 System Elevation 98.42 Mound Dimensions: 93'x 26' 2 inch Sch 40-ASTM D1785 Slope: 11% 1112 Sch 40 -ASTM D1786 1 BM1 Elevation, 100.00' Top of 2" PVC pipe BM2 Elevation: 99.08' To of 2" PVG i e ® Backhoe Pits: Tank: 1200 gallon Septic Tank with Poi lok 526, 800 gallon Pump Chamber See Aerial Photo, Page 4 of Soil & Site Evaluation for full view of parcel . 1 1 I 1 r~c> ✓u PRbPV's it 6 1 , l Gat -00 , J \ I PC LYLt.l~ JZ~. \ \ LoN~vct \ , 1 1 I ~ \ Imo' Z.1 N P } \ 1 LK r } ~ ~ I ~,t pZ j j I 1 Vo ~t Page 1 4~Y~xr.~r8A. DIVISION OF INDUSTRY SERVICES Q~~ I~ To 3824 N CREEKSIDE LA D (jp HOLMEN WI 54636 3 S Contact Through Relay P http://dsps.wi.gov/programs/industry-services www.wisconsin.gov ~o )NNVs~ Scott Walker, Governor Dave Ross, Secretary July 23, 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: 07/23/2017 SITE: Identification Numbers Christopher & Sonja Kamrath Transaction ID No. 2575322 155 Avenue Site 11) No. 814839 Town of Somerset Please refer to both identification numbers, St Croix County above, in all correspondence with the agency. NW1/4, SW1/4, S15, T30N, R19W FOR: Description: Four Bedroom Mound System / 11 % slope Object Type: POWTS Component Manual Regulated Object ID No.: 1545913 Maintenance required; 600 GPD Flow rate; 27 in Soil minimum depth to limiting factor from original grade System(s): Mound Component Manual - Ver. 2.0, SBD -10691-P (N.01/01, R. 10/12), Pressure Distribution Component Manual - Ver. 2.0, SBD-10706-P (N.01/01, 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. C0NQ1T1 The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code App F requirements. CEp,` Of No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, pR0VFSS1a stats. ~ aN of otv~s1 The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders • A sanitary permit must be obtained from the county where this project is located in accordance with the V G requirements of Sec. 145.19, Wis. Stats. 10f • 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. • All POWTS component piping material shall be SPS 384, Wis. Adm. Code compliant. • 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. JOHN F SCHMUT Page 2 7/23/2015 , 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 f 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 I~ JOHN F SCE= Page 2 7/23/2015 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 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN INDEX AND TITLE PAGE Project Name: Kamrath 4 Bedroom Mound 20111i Owners Name: Christopher & Sonja Kamrath Owner's Address 1349 Awatukee Trail Hudson, WI 54016 Legal Description: NW1/4, SW1/4, S15, T30N, R19W Township Somerset County: St. Croix Subdivision Name: 36 Acre Parcel otw_Ly Lot Number: NA Block Number LOVED Parcel I.D. Number 032-2053-95-000 'AFETY Vrj®ES NAL SER Plan Transaction No. aUS°[RY SEI2iftCES Page 1 Index and title Page 2 Data entry Page 3 Mound drawings eRE pENC,E Page 4 Lateral and dose tank Page 5 System maintenance specifications 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 Page 11 Plot plan Page 12 Septic tank maintenance agreement Page 13 Warranty deed Page 14 Map Attachment Soil evaluation report Designer: John Schmitt License Number: 223760 Date: 7/5/2015 Phone Number: 715-760-0486 Signature: 17014-1-" 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 400.00 Estimated Wastewater Flow (gpd) Table 383-44-3 in-situ soil treatment for o 36 inches. 1.50 Peaking Factor (e.g. 1.5 = 15010) fecal coliform of r ~I 600.00 Design Flow (gpd) 11.00 Site Slope 97.67 Contour Line Elevation (ft) 27.00 Depth to Limiting Factor (in) 0.60 In-situ Soil Application Rate (gpd/ft2) Distribution Cell Information 7550 Dispersal Cell Length Along Contour (ft) = 8.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/fl2) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? Enter Y or N (C or E) C Center or End Manifold 2.67 Lateral Spacing (ft) If N above, enter the elevation (ft) 6 Number of Laterals of the highest point. 0.188 Orifice Diameter (in) 2.67 Estimated Orifice Spacing (ft) = 7.14 fe/orifice 2.00 Forcemain Diameter (in) 150.00 Forcemain Length (ft) Does the forcemain drain back? Y 89.00 Pump Tank Elevation (ft) Enter Y or N 3.25 System Head (ft) x 1.3 24.47 Forcemain Drainback (gal) 9.09 Vertical Lift (ft) 101.08 5x Void Volume (gal) 8.94 Friction Loss (ft) 125.54 Minimum Dose Volume (gal) 0.00 In-line Filter Loss (ft) 55.05 System Demand (gpm) 21.27 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 1.25 x 2.00 x x 1.50 x x 3.00 2.00 x 3.00 x Gallons/inch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 1200.00 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 800.00 Dose Tank Capacity (gal) Pof lok Fitter Manufacturer 22.24 Dose Tank Volume (gaUin) 525 Filter Model Number Wieser Concrete Manufacturer Project: Kamrath 4 Bedroom Mound Page 2 of 7 Center Connection Lateral Layout Diagram Force main connection via tee or cross to manifold at ang point, Laterals are identical T S y I P s 10 =Turn-upedba 11valveor IE-X--~Jfy12 I x?2-I Laterals &forcemainSch40PVC cleanoutplug per SPS Table 384,30-b Holes drilled on the bottom of the lateral Number of Laterals 6 Orifice Diameter 0.188 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.72 'ft Lateral Length (P) 36.72 ft Orifices per Lateral 14 Lateral Spacing (S) 2.67 ft Orifice Density 7.14 ft2/orifice Lateral Flow Rate 9.18 gpm Manifold Length 5.33 ft System Flow Rate 55.05 gpm Manifold Diameter 2.00 in Total Dynamic Head 21.27 ft Forcemain Velocity 5.62 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and SPS 316.300 WAC 4 in. min. Disconnect Tank component is properly vented Alternate outlet location Forcemain diameter Wieser Concrete Manufacturer _ 2 in. Capacity 800,00 Gallons Volume 22.24 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 18.33 407.58 • B 2.00 44A8 C P♦ ump off elevation (ft) C 5.64 125.54 89.83 D 10.00 ~ 222.40 D Total 35.97 800,00 IF ♦Dose tank elevation (ft) 3" Bedding un er tank. F-8-9,070] Alarm Manuafacturer SJE Rhombus Note: Switches Alarm Model Number Tank Alert AB containing mercury may not be used in Pump Manufacturer Zoellerthis system. Pump Model Number 140 Pump Must Deliver 55.05 gpm at 21.27 ft T D H Project: Kamrath 4 Bedroom Mound Page 4 of 7 Mound System Maintenance and Operation Specifications Service Provider's Name_ John Schmitt Phone; 715-760-0486 POWTS Regulator's Name St. Croix Counter Zoning Phone, 715-760-0486 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 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Inspect and/or service once 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 _ 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 Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Kamrath 4 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 BOD5, 30 mg/L TSS, 10 mg/L FOG, and 104 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. 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 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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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. g,~'1 1~~11:1411D:11 `*.lca . Rated for 10,000 GPD (gallons per day). Alarm Switch 10,000 GPD' (optional) 525 linear feet of 1/16" filtration. Accepts 4" and 6" SCHD 40 G~ 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. Ideal for residential and commercial waste flows up to 525 Linear Ft. 10,000 gallons per day (GPD). of 1/16" Filtration Slots 1. Locate the outlet of the septic tank. - 2. Remove the tank cover and pump tank if necessary. ^ 3. Glue the filter housing to the 4" or 6" outlet If Accepts 4" & e pipe. 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. 5. Replace and secure the septic tank cover. Certified to NSF/ANSI standard 46 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 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 needs servicing. Servicing should be done by a certified Gas Deflector c septic tank pumper or installer. rA.t.mafftiBall . Locate the outlet of the septic tank. Shut-o 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 r 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. A,,,' ' g: `er Polylok, Zabel & Best filters accept Easily installs 7. Replace and secure septic tank cover. the SmartFiltenA switch and alarm. into existing tanks. Polylok, Inc. 3 Fairfield Blvd. Wallingford, CT 06492 Toll Free: 877.765.9565 Fax: 203.284.8514 www.polylok.com Page 8 i SECTION: 2.20.045 ~UQL/TV PUMPS SUZ-E jf7g FM1502 L- 1211 Product information presented ® Supersedes here reflects conditions at time 0710 of publication, Consult factory regarding discrepancies or ZC Z'9, inconsistencies. MAIL T0: 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 THESE FEATURES 14014140 & 14514145 Cast Iron Series Durable Cast Iron construction Model 140 features a Non-Clogging engineered (For Pump Prefix IdentWication see News & Views 0052) thermoplastic vortex impeller design and passes 1/2" spherical solids Model 145 features an engineered thermoplastic single "FLOW=MATE" vane impeller design and passes 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 Carbon/Ceramic mechanical shaft seals OR DEWATERING PUMPS Assembled with Stainless Steel bolts SUBMERSIBLE < g Stainless Steel lifting handle 11/2" 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 I%" NPT vertical discharge and BN145 and 145 BN and BE models include a variable level float single seal single seal switch and 1 Y2" X 2" PVC adapter fitting Pumps Pumps Operates at temperatures to 130°F (54°C) 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. C CIP US Model 4140 rested to UL standard UL77e and 4145 and cardfled to csA Standard C222 No. toe Double Seal \ Pumps ZXC fL7, POWDER COATED MAIL TO: P.O. BOX 16347 TOUGH' Louisville, KY 40256-0347 S9M SHIP TO: 3649 Cane Run Road coarwd/ Louisville, KY 40211-1961 (502) 778-2731. 1(800) 928-PUMP MODELS AVAILABLE FAX (502) 774-3624 Automatic (Models BN & BE) • Nonautomatic Manufacturers of... • 1 HP, 1 Ph 115V or 230V (140/4140) HP, 1Ph 115V (14514145) `O QlIQL/TV PLlMP9 ,.!/NZT 19,7, © Copyright 2011 Zoeller Co. All rights reserved. Page 9 TOTAL DYNAMIC HEAD/FLOW ! ! W -PUMP PERFORMANCE CURVE PER MINUTE MODEL 140/41401145/4145 75 EFFLUENT AND DEWATERING 37/8 - 65116 22 - 4 516 MODEL 140/4140 145/4145 65 Feet Meters Gal. Liters Gal. Liters } 60 5 1.5 86 326 61 232 ° 3 zs a2 s p ~ 10 3.0 BO 303 60 228 + s t 15 4.6 73 276 56 213 p so 20 6.1 66 250 53 201 ° 25 7.6 58 223 49 186 1 r1. 11112 . ; 45 ~ 30 9.1 49 165 45 171 : w 40 12.2 28 106 35 133 50 15.2 - - 26 99 3s 60 18.3 - - 16 61 0 1o w , Shut-of Head: 50 ft.(15.2m) 74 fQ22.6m) w e t n 6 20 1213/32 150090 11 4 I 6 4 532 1 5 L SK1524A - ,w ,4a1 4,45 as 0 to 20 30 40 50 s0 70 80 81 cnuaNs LffERb 0 s0 iso 110 320 arm • ' M-. I FLOW PER MINUTE T&W-11NIC111 ~w I,. _ FA'1WT*. r)?'5..R SPr-t'i.:.i1^ L APPL.IC, 10INS 3719 6918 • Electrical alternators, for duplex systems, are available and supplied with an alarm. • Mechanical alternators, for duplex systems, are available with or without alarms. • Control alarm systems are available for 1 phase pumps used in simplex system. See FM0732. } O 329132 • 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. + • Sealed Qwik-Box available for outdoor installations. See FM1420. • Refer to FM0806 for applications above 130°F (54°C). 1112 it In 140/4140 $145/4145 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 * _ 6iB BE140 BE4140 230 Auto 6 N145 N4145 115 Non 13 1 or 2 3 45/31 E145 E4145 230 Non 6 1 or 2 3 L SK15248 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 :aPTION L PUMP STAND PIN '10-24z' 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. (pump a discharge pipe not mduded-) 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. o cnuTloN Accommodates sump, dewatering and ~.lun5ta lasonofcontrols.proteaiordevieesaoldwirinyshould effluent applications. oe done ny a qualified licensed electrician. AO eiectnca= and NOTE Make sure float is free from obstruction. safety codes should be toilowed including the most ecent National Electric Code (NEC) and the Occupational Safety and Heatlh Act (05HA). 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: Kamrath 4 Bedroom Mound Legal Description: NW114, SW1/4, S15, T30N, R19W P-I.D: 032-2053-95-000 Subdivision Name: na Lot 4 SCALE: 1 40' Township: Somerset Parcel Size: 36 Acres County: St. Crolx Contour Line Elevation. 97.67 Cell Dimensions: 8' X 75' 4 inch Sch 40 -ASTM D2665 System Elevation 98.42 Mound Dimensions: 93' x 26' 2 inch Sch 40 -ASTM D1785 Slope: 11 %0 1112 Sch 40 -ASTM D1785 BM1 Elevation, 100.00' Top of 2" PVC pipe BM2 Elevation: 99.08' , To of 2" PVC i e ■ Backhoe Pits: Tank: 1200 anon Septic Tank with Pol lok 525, 800 gallon Pump Chamber See Aerial Photo, Page 4 of Soil & Site Evaluation for full view of parcel _ r I i GRALE 1V e .t~ l~ ~sU W 1,L t4 00S F- -00 \ \ N 1 ri t t ~ ~ tip ` i ~1 1 1 i ~ t 1 ~ ~ rt'1t ' ~ ~Z v I Page 1i s` yt1r"e"t of SOIL EVALUATION REPORT #179° SIP Safety and in accordance with Comm 85, Wis. Adm. Code Page ___1._-.of 4 Professional Services Schmitt Soil Testing, Inc. County Attach complete site plan on paper not less than 8%: x 11 inches in size. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. 0_32-2053-95-000 Please print all intimmatfon. Reviewed By ^ Date - Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location Kamrath, Christopher & Sonja Govt. Lot NW1/4, SWIM, S15, T30N, R19W Property Owner's Mailing Address Lot # Block # Subd. Name or CSW 1349 Awatukee Trail NA l 36 Acre Parcel City State Zip Code Phone Number City Village Town Nearest Road Hudson WI 54016 Somerset 155Th Ave Use: ` "Residential /Number of bedrooms 4 Code derived design flow rate 600 GPD New Construction Replacement Public or commercial - Describe: _ Parent material Glacial Till (Jewett Silt Loam) Flood plain elevation, if applicable NA ft. General comments Area is suitable for a mound system. System elevation is 98.96' based off a contour fine established at 98.21'. Slope of the mound and recommendations: area is 11%. Depth to limiting facto is 27'. F 1 j Boring # - ` Boring _J Pit Ground surface elev. 98.76 ft. Depth to limiting factor 27 in. Soil Application Rate Horizon Depth Dominant Color 1 Redox Desc r"on Texture Structure Consistence Boundary Roos GPD/fe in. ; Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 -EN#2 1 l 0-5 It 10yr3/4 I none grsl 2fsbk mfr as 2m,2f 0.6 1.0 2 5-19 7.5yr4/6 none- grsl - - 2msbk - mfr gw 2m,2f 0.6 1.0 --3-- T19- 27 7.5yr4/4 -none gist itnsbk mfr gw ( if 0.4 0.7 c2d 7.-5 8 4 27-65 5yr4/4- 0m mfi 0.2 0.6 f a Boring # Boring Pit Ground surface elev. 98.76 ft. Depth to lima 'ring factor 28 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture I Structure Consisftnc~ Boundary Roots GPDKe _ in. Munsell Qu. Sz. Cont. Colo Gr. Sz. Sh. ; *Eff#1 "Eff#2 - - -1 - - 0-8 - - 10yr4/3 rune gist ! 2mgr mvfr as 2m,2f 0.6 1.0 2 8-22 7.5yr4J4 none grsl ! 2msbk - r cs im,2f~ 0.6 1.0 3 - 22-28T 7.5yr5/6 I none grsl 1msbk mfr Cs 1vf 0.4 0.7 4 28-70 5yr4/4 I c2d 7.5yr6/8 0m mfi 0.2 0.6 7.5yr6/2 I i ; " Effluent #1 = SOD 5> 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD5 <_30 mg/L and TSS <_30 mg/L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt_ 227429 _ Address Schmitt Soil Testing, Inc. - T Date Evaluation Conducted Telephone Number 1595 72nd St. New Richmond, WI 54017 6!26/2015 715-760-1978 ssu-9330 (R 07/00) P'rogerty Owner Kamrath, (3tristoQher & Santa - Parcel ID # -032-2053-9_5_-100 - Page 2 _of 4 Boring F3 ]Boring # Pit Ground surface elev. 95.26 ft. Depth to limiting factor - 27 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM2 l in. Munseil Ou. Sz. Cont Color ' Gr. Sz. Sh. `Etter `Eff#2 1 0-11 10yr3/3 none sl I 2mgr mvfr as 2f 1 f 0.6 i 1.0 2 11-19 10yr4, 13 -IF - none 1-- sl 2msbk j- mfr - ` gw 2m~,2f 0.6 1.0 3 119-27 10yr4/4 - i none - I sl imsbk mfr 9w ivf 0.4 0.7 4 27-73 7.55yr4/4 I sl Om l mfi 7.5yr6/2 0.2 0.6 i Boring F4 Boring # Pit Ground surface elev. 91.11 ft. Depth to limiting factor 28 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fl2 in, j Munseil l Ou. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eft#2 1 0-9 10yr3/3 none sl 2mgr mvfr i as 2f,ivf I 0.6 1.0 2 9-24-- 10yr4/4 none- sl a 2fsbk mvfr gw ; 2m,2f ~ 0.6 i 1.0 3 - 24-28 7.5yr4/4 - none sl lmsbk J mfr gw 1vf 0.4 0.7 4 28-64 7.5yr4/4 sl Om ! mfi ---j i 0.2 I 0.6 _-I - _ 7_5_yr6/2 I ! i 1 ~ F-1 Boring ft. Depth to limiting factor in. Boring # Pit Ground surface elev. ----ft. - - Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. i Munseli Ou. Sz. Cont. Color I Gr. Sz. Sh. i 'EMI -Eff#2 i * Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 <150 mg/L * Effluent #2 = BOD5 < 30 mg/L and TSS <30 mg/L The Department of Commerce is an equal opportunity service provider and employer- If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (8.070)) Sovyw Soil Teats, Inc. . . Conducted by. Conducted For: Page 3 of 4 Schmitt & Sons Excavating, Inc.. Name: Christopher. & Sonja Kamrat6 Thomas J. Schmitt, CST 227429 Address: 1349 Awatukee Trait 586 Valley View Trail City, State, Zip: Hudson, WI 54816 Somerset,W) 54025 _ Phone: 715-760-1978 Subdivision: NA (36 Acre Parcel) Sigrwure PID: 032-2053-95-000 Legal. Description: NW1/4SWI/4515-T30N-R19W ■ Backhoe Pit Township, County: Hudson Township, St. Croix County, A Bench Mark 1 El. 100.00'Top of 2" PVC Pipe Berth Mark 2 E1.-99.0$' Top of 2" PVC Pipe Slope= 11% Contour tine Elevation 98.21' Scate 1"= 40' Contour tine length 75' NOTE: SEE AERIAL PHOTO FOR FULL VIEW OF PARCEL (Page 4 of 4) _ Q _ _ 79 Bin 63rz~ ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Christopher & Sonja Kamrath Mailing Address 1349 Awatu kee Trail Property Address 13 155 ~ L Aur 9r, (Verification required from Planning & Zoning Department for new construction.) City/State Somerset, WI Parcel Identification Number 032-2053-95-00 LEGAL DESCRIPTION Property Location NW '/4 , SW '/4 , Sec. 15 T 30 N R 19 W. Town of Somerset Subdivision Plat: , Lot # Certified Survey Map # , Volume , Page # Warranty Deed # (before 2007)Volume , Page # Spec house OyesElno Lot lines identifiable Elyes❑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 §SPS. 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 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. I/we am/are the owner(s) of the property described above, by virtue of a warranty ed recorded in Register of Deeds Office. Num er of bedrooms 4 NA RE 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 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) frM1 , t~l t e~nJ~ cy + r SIT iu? V W ;J 4.'Y ~,0 ! P.rt C`a N a `v ry c i,y 4M Ile fV N r vs a Cl ,'.t ` rti1'" 3 .4 24 / EXHIBIT "A" The NW'/ of the SW'/ of Section 15, Township 30 North, Range 19 West, Town of Somerset, St. Croix County, Wisconsin EXCEPT Certified Survey Map recorded September 10, 1986, in Vol. 6, pg. 1702, as Doc. No. 416803. AND / The SW'/< of the NW''/ of Section 15, Township 30 North, Range 19 West, Town of Somerset, St. Croix County, Wisconsin EXCEPT Certified Survey Map recorded in Vol. 4, pg. 963, as Doc. No. 365225 AND EXCEPT Certified Survey Map recorded in Vol. 6, pg. 1702, as Doc. No. 416803 AND EXCEPT Certified Survey Map filed in Vol. 14, pg. 3786, as Doc. No. 616671. Tax Parcel No: 032-2053-95-000 032-2053-20-300 (assessed with above) St. Croix County 1015256 Page 2 of 2 aa I~~ I 9 8 ~ z oW, cc E E3 c l M w ~n F- r ssz C g m l o ='os ; I III > Q a-l j as a sa a w rc °m3w-"a < 1 W IL Q m W LL W > J i W N N J N -L ? I ; I I W ~I a tll ~I W I I i ~W> LL d mw .01 KI LL W vzo i I I I ~ ii ~ r I' li I i I rt t ~ w I r ~ rr - ,1_ I I j o ~ II'll ~ I e I I I' - I I Iil~lj I !I f ~ilj~lll, I f i I Ik t_ I I ~I Imo' I I j j o - € I I I. o a Ti 1 ~ l o _ ~ao~y = o cj (a I 0 co Z s ~ E C z l I S ° < a °aedae u$BS Him ~N> w<Yia~° _ - - V O S sw ~ ~W ~W i ~=s° I I i o 3 a N wo _ aIH z o 3mi~ Lp ~LL I I it I' ~ ~:3 I , , LL _ I I I I I ~ I I ' I I I j I _ I j I I I I II / I I ~ j j I I j I I I ^I ICI I I I I I I I ~ j II I I I I I j I I all I I m I a. .o a~~--}----r--- s --f _1 I _I__ -1' L $a i I bj I rrca su a m I I U a r--- $ _ _ j I I P•~ ~ i ~ u I I I~ I I j r7 ~ ` I IF s~ m j - _1 .gym e e IL-------a~vi rv z a i I I ~ I I ~ I R I ~ ~ I o L___ «au F I I _ ~ I ~ 1 I i I - - - - - - - - - - - - - - - - - - - - - - - - Et& I I ~I i I oo ko~gL=L ~ ~~1 ~}1 11 T1~~I~ yi ~ ~ ~ 1~ ~ O Q ~ ( QNn ~g£~~~<3 j ~ s i I I I 0 L IF o ' g""' d' FU-ag ~a3LLd~~ I III C N m W (+7 i - him jilill him hbw I. LLI I i i N J I I I I I i I I ~ C? I I i I ~ I I i ! I I ~ i I I r l i f ; -~-I I ! I I I I t l ~ I I I R i f I I ~ I I ~ I i p I ~ a~ rcgl~>< ~ ~ s ' ,m IL i t ~ old I I "0 ~ i 5 I ~ i I q o I f I I _ I n I 1 ~ 0 b j @ I I i ~ l tay kiiyy 1 r De artment of ~ #1790 ' of " ' JUL 0~ EVALUATION g~PORj 6 4S Page 1 of 4 a i p y)° r'id'ance with Comm 85, Wis. Adm. Code Professional CF201X CO(J Schmitt Soil Testing, Inc. ST, » on Nl77y C V NTy County Attach complf l' it RlAFMin 8/: % ize. Plan must St. Croix include, but not limited to: vertical and horizontal reference point ~M), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel .D. 03 2053 5-000 Please print all information. Rey(Afed By Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 71,,611 5 Property Owner Property Location Kamrath, Christopher & Sonja Govt. Lot NW1/ , SW1/4, S15, T30N, R19W Property Owner's Mailing Address Lot # Block # Subd. Na a or CSM# 1349 Awatukee Trail NA 36 Acre Parcel City State Zip Code Phone Number Lj City Village C~ Town Nearest Road Hudson WI 54016 Somerset 155Th Ave New Construction Use: Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement ❑ Public or commercial - Describe: Parent material Glacial Till (Jewett Silt Loam) Flood plain elevation, if applicable NA ft. General comments Area is suitable for a mound system. System elevation is 98.96' based off a contour line established at 98.21'. Slope of the mound and recommendations: area is 110. Depth to limiting factor is 27'. Boring F-1-1 Boring # Pit Ground surface elev. 98.76 ft. Depth to limiting factor 27 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 0-5 10yr3/4 none grsl 2fsbk mfr as 2m,2f 0.6 1.0 2 5-19 7.5yr4/6 none grsl 2msbk mfr gw 2m,2f 0.6 1.0 3 19-27 7.5yr4/4 none grsl imsbk mfr gw if 0.4 0.7 4 27-65 5yr4/4 c2d 7.5yr6/8 sl Om mfi 0.2 0.6 7.5yr6/2 ❑ Boring Boring # Pit Ground surface elev. 98.76 ft. Depth to limiting factor 28 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/W in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-8 10yr4/3 none grsl 2mgr mvfr as 2m,2f 0.6 1.0 2 8-22 7.5yr4/4 none grsl 2msbk mfr Cs 1m,21' 0.6 1.0 3 22-28 7.5yr5/6 none grsl imsbk mfr Cs 1vf 0.4 0.7 4 28-70 5yr4/4 c2d 7.5yr6/8 sl Om mfi 0.2 0.6 7.5yr6/2 * Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD5 s30 mg/L and TSS S.30 mg/L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt 0000, 227429 Address Schmitt Soil Testing, Inc. Date Evaluation Conducted Telephone Number 1595 72nd St. New Richmond, WI 54017 6/2612015 715-760-1978 SBD-8330 (R.07/00) Property Owner Kamrath, Christopher & Sonja Parcel ID # 032-2053-95-000 Page 2 of 4 Boling 3 ]Boring # Pit Ground surface elev. 95.26 ft. Depth to limiting factor 27 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDA" in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *ER#1 *Eff#2 1 0-11 10yr3/3 none sl 2m9r mvfr as 2f,lvf 0.6 1.0 2 11-19 10yr4/3 none sl 2msbk mfr 9w 2m,2f 0.6 1.0 3 19-27 10yr4/4 none sl imsbk mfr gw 1vf 0.4 0.7 4 27-73 7.55yr4/4 c2d 7.5yr6/8 sl 0M m0 0.2 0.6 7.Syr6/2 4] Boring # u Boring ELI Pit Ground surface elev. 91.11 ft. Depth to limiting factor 28 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fe in. MunseH Qu. Sz. Cont. Color Gr. Sr- Sh. Eff#1 *Eff#2 1 0-9 10yr3/3 none sl 2m9r mvfr as 2f,1vf 0.6 1.0 2 9-24 10yr4/4 none sl 2fsbk mvfr 9w 2m,2f 0.6 1.0 3 2428 7.5yr4/4 none sl lmsbk mfr 9w 1vf 0.4 0.7 4 28-64 7.5yr4/4 c2d 7.5yr6/8 sl 0M mfi 0.2 0.6 _ 7.5yr6/2 Boring ❑ Boling # ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Destription Texture Structure Consistence Boundary Roots GPD/W in. Munsell Qu. Sr- Coro. Color Gr. Sz. Sh. *Eff#1 `il 2 * Effluent #1 = BODS> 30 < 220 mg1L and TSS >30 <_150 mg/l. * Effluent #2 = BODs - < 30 mgA- 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. SBC"330 (K.07M) Sdvn t Sad Teakg, Im - - Page 3 of 4 - - - - - G`offdacted-by: _ Schmitt & Sons Excavating,_I_nc.._ Thomas J. Schmitt, CST 227429 Address: 1349 Awatukee Trail ___586_Vatleythew-Trait- _ ---Cify ~tate,'Zip: Hdd§6ri,-WI34016-__ __Somerset,WL54025_'_ - Phone4~715- 60-1978 Subdivision: NA (36 Acre Parcel) 032.2053-95-000 Date .---02~- t~gat-9escri{~tion= N Na ~u~Y4S-I5 T3WPA-9W- - - - - ■ Backhoe Pit Township, County: Hudson Township, St. Croix County A ge&h 1Wfark 1 15-1.100.00' Tap of 2" PVC Pipe Slope= 11% Contour LineElevation 98.21' Scale 1°= 44' Contour Line'Length 76' NOTE: SEE AERIAL PHOTO FOR FULL VIEW OF PARCELt age 4 ofA) _ - - - - - - f rot Nut _ 7 ~ - - f Ve - - : - z -I - - - - - 1-- I ~ r fr E,. «3., ate. 3r.~¢; r:.~y'•~ Z.' A;Y,48C:-~ F:`:c"i~s t-'.~i 'T.aa. di itx.. a-e yy, ' 4n ~ ~y's Y"h"Yt S , ak " • y y;. y~F rv .f ~ ~ a,... yr - q e ,Y~r p >w yy~p jo~ 29 0,57 :y a'i;~s3o• { b : ~ ,o- •rT' !E~~~ a :Y.'A~ ,d' ~ ~ _ r ► R:R 0~ 'cy. _ {;,qr.. ~ r, 7• Vie:.:!^:~> W" ' ca Y A 41 pwl~ v u > : 'loft .94 k. r s9 ,r r e, y S 41 ;i r PROPERTY OWNER ilS ± 1 3 {7 ~ 1IL DESCRIPTION REPORT Y Page of PARCEL I.D.# Boris # Horizon Depth Dominant Color Mottles Structure 2 9 Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench . use s ~~;F ~ -~N v4A 1Z Ground , jL S C f 5,~ 4eT4% ~r '4, /d Depth to (limiting factor in. ' Remarks: Boring # i Ground elev. ft. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Structure GPD/ft2 Texture Consistence Boundary Roots in. Munsell Qu. Bz.Cont. Color Or. Sz. Sh. Bed Trench Boring # 0-6 Ai x Ww c^ s rN~ Ground 0 elev. --ft• Depth to , limiting factor in. Remarks: Boring # Ground y sl. Ca Q y%~ b t~ t~1 ti , elev.z .wd . ft. ' Depth to limiting factor in. Remarks: SBD-8330 (R. 07/96) 1 Y S xv, a 1 . i I to