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032-2066-80-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division Sanitary Permit No: INSPECTION REPORT 582014 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)]. 2592021 Permit Holder's Name: City Village Township Parcel Tax No: Robert MacDonald TOWN OF SOMERSET 032-2066-80-000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: / 60 13 M 12.30.20.761C1 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURE: CAPACITY STATION BS HI FS ELEV. A3 . /03• i o4S Septic •y,` 2. Benchmark Wt maser 4:*'XLS' r,s lboo 3. 63. tf 166 Dosing / o b fD~~ Alt. BM I L J f t. l~ vs 9g. SS AeFatian Bldg. Sewer F I P6 C, Holding St/Ht Inlet T. -7 747 TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent Air Intake ROAD Dt Inlet Septic Dt Bottom lZ , i ~P 9f. L~ 7 io6 35 S~f Dosing D / 5 / T 'I / Header/Man. . a c~ cj 3 S Aeration Dist. Pipe J1, b,S 99 . 3!J Holding Bot. System 9 1(-7 PUMP/SIPHON INFORMATION Final Grade 6 /40. 3 Manufacturer Demand St Cover~ ~j 7T. S GPM &.j l tA' Model Number 1iv / 1J`Z- I, y f r. s Z 9 Z TDH Lift 1 I Friction Los Ft I J System 3a 7- T 13. 5 Z Forcemain Len t h ► Dia.2 it Dist. to well / SOIL ABSORPTION SYSTEM S• 3 BED/TRENCH Width Length No. Of riches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 7 F SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: _ INFORMATION :IIi CHAMBER OR Type ystem: 71 UNIT Model Number: t- B J DISTRIBUTION Y TEM Header/Manifold / /'Z)U Distribution 4 i x Hole Size x Hole Spaciny JVAir I take 3--~ ' I I] ` s Pipe(s) Z Length J Dia Length Dia a Spacing ~ . / SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only x Depth of xx Seeded/Sodded xx Mulched Depth Over Depth Over TT psoil I tY~ ~ No Yes ~ No Bed/Trench Center Bed/Trench Edges o COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection AD, G~ d,~J us . Location: 240 165TH AVE n = 'i dk • 1.) Alt BM Description P 2.) Bldg sewer length IA. - amount of cover = Plan revision Required? Yes <No Use other side for additional informs ion. r Date Insepctor's nature Cert. No. SBD-6710 (R.3/97) r 4st. nty Industry Services D' n Croix 1 i D SEP 16 2016 1400 E Washington $ „ itary Permit Number (to be filled in by Co.) P ST. CROIX COUNTY Madison P.O. Box 71 ' WI 53707- -,O MMUNITY DEVELOP ENT -S 4C.- Sanitary Permit Application State Transaction Number 2592021 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 the Department of Safety and Professional Services. Personal information you provide maybe used for secondaryProject Address (if different than mailing address) purposes in accordance with the Priv Law, s. 15.04(1 (m , Stats. 240 165" Ave 1. Application Information - lease Print All Information Property Owner's Name Parcel # MacDonald, Robert & Pam 032-2066-80-000 10 30- ao, 7Gr c I Property Owner's Mailing Address Property Location 8468 Marsh Creek Road Govt. Lot City, State Zip Code Phone Number NE 1/4, SW 1/4, Section 12 Woodburt, MN 55125 (fjrcle one) T30N R20Eor II. Type of Building (check all that apply) # ® 1 or 2 Family Dwelling - Number of Bedrooms 1 Subdivision Name ❑ Public/Commercial - Describe Use i4i & Block # ❑ City of ❑ State Owned - Describe Use E] Village of SM Number 3 x 36 A.~ ®Town of Somerset III. Type of Permit: (Check only one box on line A. Complete line B if applicable) Zp wit.. A. ❑ New System ® Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner / IV. Type of POWTS System/Component/Device: (Check all that apply) J ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil I ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretrea~ tment7evtce exp am 14= 4v V. Dis ersal/Tre ment Area Information: Design Flow (g Design Soil Application Dispersal Area Required (sf) Dispersal Area Propose (sf) System Elevation 450 Rate(gpdsf) 1125 1243 98.70 0.4 VI. Tank Info Capacity in Gallons Total # of ° o Manufacturer v U c New Tanks Existing Taalts- Gallons Units 0 w a L S ~C a U w a Septic or Holding Tank 1000 1000 1 ieser ! D J ® ❑ ❑ ❑ ❑ Dosing Chamber 600 600 1 Wieser ® ❑ ❑ ❑ ❑ VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plum i re MP/MPRS Number Business Phone Number John Schmitt (~f C4~k 223760 715-760-0486 Plumber's Address (Street, City, State, Zip Code) 1001, 616 150th Ave. Somerset, WI 54025 VIII. oun epartment Use Only Approved S:ZnerGiven pprov Permit Fee Date Iyssuued Issuin gent Sign Reason for Denial $ IOZ . CYO IX. Condit 1WPyA*Wa#Reasons for Disapproval Co o e / 1. `Septic tank, elfltl+ent Mar and 3 . dispersal cell must all ll 0.ar1~lG,es ! maintained ) L)'SLe_ te.,',A~t,1. 770340 ate-, as per management plan pravid b)f plumber ►a~A Cra llhtt# en41at.4 101*40600 ltd ✓ ^C.L7r (`,na.• + n r ! alftrlaa, Attach to complete plans for the system and,Js mit to the County only on paper not less than 8 1/2 x 11 inches in size ~(OS .6v,. CV V~.'C1 a ! rc, d / J SBD-6398 (R03/14) / 5) 015 ~b 6oi. aL&%.#J . PLOT PLAN N Project Name: MacDonald 3 Bedroom Mound Legal Description: NE1/4, SW114, S12, T30N, R20W P.I.D: 032-2066-80-000 Subdivision Name: na Lot 4 SCALE: V= 40' Township: Somerset Parcel Size: 3.10 Acres County: St. Croix Contour Line Elevation: 98.20 Cell Dimensions: 7'X 64.30' 4 inch Sch 40 -ASTM D2665 System Elevation 98.70 Mound Dimensions: 80.6'x 23.3' 2 inch Sch 40 -ASTM D1785 Slooe: 12% 1112 Sch 40 -ASTM D1785 BM1 Elevation: 100.00' To of 2" PVC pipe 0 BM2 Elevation: 99.69' To of 2" PVC pipe ■ Backhoe Pits: New Tank: 1000 allon Septic Tank with Pol lok 525, 600 gallon Pump Chamber ft, I I Ii 1,4 See Page 4 & 5 of Soil Evaluation Report for a full view of the parcel T,o D~) v U 7 r~ L iv / pv, L i J a!~ fl _ ~D f(p©C' S7/pc I life ~~ip~►JC~ Way►= 61 t-\ a7-7 fJi•~ i i V I Page 11 yi N L ~ptir~xraTF~"r DIVISION OF INDUSTRY SERVICES 3824 N CREEKSIDE LA P ~m HOLMEN WI 54636 3 ` ' Contact Through Relay P S http://dsps.wi.gov/programs/industry-services `c4 www.wisconsin.gov ~ossroN~tiS~r Scott Walker, Governor Dave Ross, Secretary September 02, 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: 09/02/2017 Identification Numbers Transaction ID No. 2592021 SITE: Site ID No. 816602 Macdonald Please refer to both identification numbers, 240 165TH Ave above, in all correspondence with the agency. Town of Somerset St Croix County NW1/4, SW1/4, S12, T30N, R20W FOR: Description: Mound / three Bedroom (Two Structures) / Sloping Site Object Type: POWTS Component Manual Regulated Object ID No.: 1553046 Maintenance required; Replacement system; 450 GPD Flow rate; 32 in Soil minimum depth to limiting factor from original grade; System: 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. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders 00% AP • This system is to be constructed and located in accordance with the enclosed approved plans and with the t)EPT Q component manuals listed above. PROIFE$cJ • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. DWISIQta OF Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption SEE area. chs. NR 811 & 812c • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the POWTS 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. Stat JOHN F SCHMITT Page 2 9/2/2015 • SPS 383 22(7) A copy of the approved plans specifications and this letter shall be on-site during, construction and men to infection by authorized representatives of the Department which may include local inspectors. Owner Responsibilities: • SPS 383.52 Responsibilities. 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): • SPS 383.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. SPS 383.54(4) shall be considered a human health hazard. • SPS 383.55 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. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 This Amount Will Be Invoiced. When You Receive That Invoice, Charles L Bratz Please Include a Copy With Your POWTS Reviewer 2, Division of Industry Services Payment Submittal. (608)789-7893 , 7:45 am - 4:30 pm Monday - Friday WSMART code: 7633 charles.bratz@wisconsin.gov cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm i JOHN F SCHMITT Page 2 912/2015 • SPS 383 22(7) 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. Owner Responsibilities: • SPS 383.52 Responsibilities. 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): • SPS 383.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. SPS 383.54(4) shall be considered a human health hazard. • SPS 383.55 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. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 This Amount Will Be Invoiced. When You Receive That Invoice, Charles L Bratz Please Include a Copy With Your POWTS Reviewer 2, Division of Industry Services Payment Submittal. (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday WiSMART code: 7633 charles.bratz@wisconsin.gov cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm i t.. v n:. r MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN INDEX AND TITLE PAGE Project Name: MacDonald 3 Bedroom Mound AUG I ~ 2015 Owners Name: Robert & Mary MacDonald Owner's Address 8468 Marsh Creek Road Woodbury MN 55125 Legal Description: NE1/4, SW1/4, S12, T30N, R20W Township Somerset County: St. Croix Subdivision Name: NA Lot Number: 1 Block Number Parcel I.D. Number 032-2066-80-000 Plan Transaction No. Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Septic & 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 CSM or Plat Attachment Soil evaluation report tTpIONq IONAL Y Designer: John Schmitt License Number: 223760 ' SAFETyAND Date: 8/14/2015 Phone Number: 715-760-0486 AL SERVICES Signature: t INDUSTRY SERVICES 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) ORRESPONDENCE 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) 12.00 Site Slope 98.20 Contour Line Elevation (ft) r .32.00 Depth to Limiting Factor (in) 0.40 In-situ Soil Application Rate (gpd/fe) Distribution Cell Information Yti4.3 Dispersal Cell Length Along Contour (ft) = 7.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ft) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? Enter Y or N (C or E) _ C Center or End Manifold 3.50 Lateral Spacing (ft) If N above, enter the elevation (ft) _ 4 Number of Laterals of the highest point. M 0.188 Orifice Diameter (in) 2.00 Estimated Orifice Spacing (ft) = 7.03 if/orifice _rt,2 00 Forcemain Diameter (in) 75.001 Forcemain Length (ft) Does the forcemain drain back? Y u 89.00 Pump Tank Elevation (ft) Enter Y or N 3.25 System Head (ft) x 1.3 12.23 Forcemain Drainback (gal) 9.28 Vertical Lift (ft) 57.74 5x Void Volume (gal) 2.70 Friction Loss (ft) 69.97 Minimum Dose Volume (gal) 0.00 In-line Filter Loss (ft) 41.94 System Demand (gpm) 15.24 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 , GallonslInch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) I 1000 OOSeptlc Tank Capacity (gal) Total Working Liquid Depth (in) Wieser Concrete Manufacturer _ gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information Polflok~ Filter Manufacturer 600.00 Dose Tank Capacity (gal) 16 761 Dose Tank volume (gaVin) E525 Filter Model Number v Wieser Concrete jManufacturer Project: MacDonald 3 Bedroom Mound Page 2 Mound Plan and Cross Section Views 1/10 B J Observation Pipe . K A W I I B I L Mound Component Dimensions A 7.00 ft E 16.08 in H 1.00 ft K 8.14 ft B 64.30 ft F 9.50 in 1 ft L It D 6.00 in G 0.50 ft J W 450.10 (ft2) Dispersal Cell Area 1243.30 (ft2) Basal Area Available 7.00 (gpd/ft) Linear Loading Rate 6.43 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 100.49 (ft) * H G 1 I F Dispersal Cell 99.20 (ft) Lateral 98.70 (ft)--► - Invert Dispersal Cell Q Elevation 98.20 (ft) Contour Elevation 12.0 % Site Slope Geotextile Fabric Cover Shading Key a I Dispersal Cell See lateral details on 1[] Topsoil cap c 1.5 ft Page 4 for number, size, Subsoil Cap W c r and spacing of laterals. Laterals are equally ASTM C33 Sand Z F spaced from the Tilled La er m 0.5 ft SvPtical Lateral y distribution cell's © Aggregate a o centerline in the * A distribution cell (AxB). Project: MacDonald 3 Bedroom Mound Page 3 Center Connection Lateral Layout Diagram force main connection via tee or cross to manifold at"point. Laterals are identical I P S A/- Turn-up vtball valve or (E4x---*1+YJ1;22 +1 Lateral. , &forcematn Sch40 PVC cleanoutplug 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) 2.03 ft Lateral Length (P) 31.47 ft Orifices per Lateral 16 Lateral Spacing (S) 3.50 ft Orifice Density 7.03 ftz/orifice Lateral Flow Rate 10.49 gpm Manifold Length 3.50 ft System Flow Rate 41.94 Jgpm Manifold Diameter 1.50 in Total Dynamic Head 15.24 ft Forcemain Velocity 4.28 ft/sec Dose Tank Information Locking cover with warning label and locking device and 477~ sealed watertight Electrical as per NEC 300 and SPS 316=WAC 4 in. min. Disconnect Tank component is prop~- Alternate outlet location Forcemain diameter Wieser Concrete Manufacturer _r 2 in. Capacityl 600.00 Gallons Volume 16.76 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 18.62 Y312.15 B 2.00 33.52 C Pump off elevation (ft) C 4.18 69.97 89.92 D 11.00, 184.36 D Total 35.80 600.00 Dose tank elevation (ft) 3" Bedding un er tank. 89.00 Alarm Manuafacturer SJE Rhombus _.r Note: Switches Alarm Model Number Tank Alert AB Duo / containing mercury .._..n_.__n~.... 1 may not be used in Pump Manufacturer 2oeller - this system. Pump Model Number 153 m~ Pump Must Deliver 41.94 gpm at 15.24 ft TDH Project: MacDonald 3 Bedroom Mound Page 4 Mound System Maintenance and Operation Specifications Service Provider's Namew K JohnSchm~tt _ _ Phone 715 760 0486 POWTS Regulator's Name 1 St Croix County Zoninyw_ Phone 715 760 0486 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 450.1 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 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 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: MacDonald 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, Slats. 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. Project: Page 65 M-M9/oo IM:311.4 951 8-5Z~-008 z \ :NnOd-1SOd ;31V0 00/00/00 MVO OSLK M 'NOOa N301VY4 OL AMH Sn 9LL£M idf1N`dW DIld3S 'A3a 31311113 w O af10d-38d] „0-,L= 4 L 3IV9S dOM J8 NMVa0 13131M 0-009/000W-M W a: w J o: a o m O J W o w w LA a U~ m Z QO W W 2 (A p J ~ V) Q i W ~0 Ila OI- n _ Z m Q W LL' O a ~a zz k m~ H O ° N C W G~ O 0: w lla,,..}}¢U QQ N F rip z 3 LL a o G 0 CL Q O Vj m V) W W o d w Z Z V) U ¢ a o° I c to O Y Q a O U 6 0 c a m JaQ pV) OD co L- .Lipo~~p (n mwin r`~ ° a cia a fn - 4h 0 cM c N O c° ° 1- w.I Ori W Q a Q cV ~ ~p W 1a. Z x Lij H11 U V) S\F W0) zo O 00 V) `em u? 1- a. - pOQw ozm a N w U w O . 1'v► (n vi z 050 06 . °w •3p= 0 au o m acn xx Wcp, N 3mMW 6 0 W, CY9 z z U Z Q LH o z OZ o z z 0 °1- v J Q W U) I I U Z a~£ d d a. z LLI li _ I4 I I I. w I l ~I II. I N ~I (I I L) x ,~I y I~ 5 I I I. 5 Q ° II o f I I ~ w II ~ ~m lI I v I a U- I „S ua~ I' uF I I Q I' I I U ih ~ZZ WI 4 Z „Zb ~ w ab32i a Sd .99 Y z Q F- Page 7 Zabel' to tar f'. r A Division of Polylok Inc. I`t x~r 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. Rated for 14,004 GPD (gallons per day). i Alarm Switch 1000 GPD FI (Optional) 525 linear feet of 9./16" filtration. Accepts 4" and 6" SCHD 40 pipe. Exte son Handle Built in gas deflector. ` Automatic shut-off ball when filter is removed. Rated for Alarm accessibility. 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 Slats 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 SCHD Accepts 0 & g pipe. 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. nasFin NS1 s' Certified Standard .ts 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 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 fail back into septic tank. 6. Insert the filter cartridge back into the housing making a~okt4t ' t Flier=",~le~~;t ~ r,~;?"i,a sure the filter is properly aligned and completely inserted. Polylok, Zabel & Best filters accept Easily installs 7. Replace and secure septic tank cover. the SmartFilter® switch and alarm. into existing tanks. Polylok, Inc. 3 Fairfield Blvd. Wallingford, CT 46492 Toll Free: 877.765.9565 Fax: 203.284.8514 www.polylok.com Page 8 SECTION: 2.20.047 `,4glaVTY ALIUAS 51AICE IA517 y FM 01110 0 01 ® Supersedes Product information presented ® 1108 here reflects conditions at time AL/j of publication. Consult factory regarding discrepancies or visit our web site: inconsistencies. MAIL To. P.O. BOX 16347 • Louisvile, KY 402560347 SHIP T0: 3649 Cane Run Road • Louisville, KY 40211-1961 www.zooller.com (502) 778-2731.1(800) 928-PUMP • FAX (502) 774-3624 COMPARE THESE FEATURES • Durable cast iron construction 151/1521153 EFFLUENT SERIES • Model 151 comes standard with a glass-filled polypropylene base (For Pump Prefix identification see News & Dews 0052) • Corrosion resistant powder coated epoxy finish `4 • Stainless steel lifting handle WNW DOSE= mvmAi • Assembled with stainless steel bolts • Non-clogging engineered thermoplastic vortex FOR SEPTIC TANK - LOW PRESSURE PIPE (LPP) impeller design AND ENHANCED FLOW STEP SYSTEMS • Model 151 -113 HP passes %z spherical solids 104t1 EFFLUENT • Model 152 -.4 HP passes 3/a" spherical solids SUBMERSIBLE a, • Model 153 -112 HP passes 3/4" spherical solids 11/2" NPT DISCHARGE • Motor - 60 Hz, 3450 RPM, oil-filled, hermetically sealed, automatic reset thermal overload protected - Model N1521N153 • Carbon/Ceramic seals High Head C Us Effluent • Upper sleeve bearing and lower ball bearing running Tedw nut sfandmiuLm mid cmli w to cm in bath of oil SWWwd • 20 ft. UL Listed power cord with molded 3-wire plug • 1'/2" NPT vertical discharge MODELS AVAILABLE • BN and BE standard models include a 20 ft. variable N151/N1521N153 & E151/E152/E153 nonautomatic level float switch BN151/BN1521BN153 & BE1511BE1521BE153 with yback • Operates at temperatures to 130°F in effluent H ~ vana Level Float Switch (540C) • tf3, . A 4 & &1 112 2 Hi? 1 Ph 115Vor23300V applications • All models include a 1'/2" x 2" PVC adapter fitting 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. POWDER COATED ' TOUGH" Z Model BN152/13N153 MAIL T0: P.O. BOX 16347 High Head Louisville, KY 40256-0347 Effluent SHIP TO: 3649 Cane Run Road Louisville, KY 40211-1961 (502) 778-2731. 1(800) 928-PUMP FAX (502) 774-3624 Manufacturers of... Z ~ QU.4L/TY PUiG1PB ~,//NCE ® Copyright 2010 Zoeller Co. All rights reserved. Page 9 PLOT PLAN N Project Name: MacDonald 3 Bedroom Mound Legal Description: NE114, SW114, S12, T30N, R20W P.I.D: 032-2066-80-000 Subdivision Name: na _ Lot 4 SCALE: V = 40' Township: Somerset Parcel Size: 3.10 Acres County: St. Croix Contour Line Elevation: 98.20 Cell Dimensions: 7' X 64.30' 4 inch Sch 40 -ASTM D2665 System Elevation 98.70 Mound Dimensions: 180.6'x 23.3' 2 inch Sch 40 -ASTM D1785 Slope: 12% 11/2 Sch 40 -ASTM D1785 BM1 Elevation: 100.00' To of 2" PVC i e 0 BM2 Elevation: 99.69' To of 2" PVC pipe ■ Backhoe Pits: New Tank: 1000 gallon Septic Tank with Poi lok 525 , 600 gallon Pump Chamber ~Vee Page 4 & 5 of Soil Evaluation Report for a full view of the parcel -LID I To{ ~A D/)!: 6 ,o % U (Alt ~ flQ ~ 63 ~r IV 1 a y- `i ~yl 504 0 W F` 000(vc 37/PC ~ac+~ ¢onz wit tr r - J 1 1 ~ i V Page 11 TOTAL DYNAMIC HEAD/FLOW W W PUMP PERFORMANCE CURVE PER MINUTE MODEL 15111521153 EFFLUENT AND DEWATERING 14 MODEL 151 152 153 11 12 Feet Meters Gall, Liters Gal. Liters Gal. Liters 35 152 5 1.5 50 169 69 261 77 291 t0 10 3.0 45 170 61 231 70 265 v 30 ~g 15 4.6 38 144 53 201 61 231 } 8 151 20 6.1 29 110 44 167 52 197 25- 15 7.6 16 61 34 129 42 159 6 20 30 9.1 23 87 33 125 35 10.7 - - 22 85 1 40 122 - - - 11 42 4 S!"Head: 30 IL (9.1m) 38 fG (11.6m) 441L (13.4m) 10 0145088 2 5 D Model 151 Models 152 1153 10 20 36 40 60 60 70 8D 90 100 GALLONS - 67132 LITERS 0 40 80 120 160 200 240 280 320 360 37A - 452 - 372 -452 FLOW PER MINUTE 0145M rj f CONSULT FACTORY FOR 372 372 SPECIAL APPLICATIONS - _ ® I 372 1 72 • Timed dosing panels available ---1- • Electrical altemators, for duplex systems, are available and ,,Ir NPT supplied with an alarm • Variable level control switches are available for controlling single phase systems I • Double piggyback variable level float switches are available for variable level long and short cycle controls • Sealed Qwik-Box available for outdoor installations - See 1111116 1212 f FM1420 i - • Over 130°F (54°C) special quotation required - - 415r16 5316 151/152/153 Series - C - J SK2444 SK2064 1511152/153 MODELS Control Selection Model Volts-Ph Mode Amps Simplex Duplex N151 115 1 Non 6.0 1 2 or 3 BN151 115 1 Auto 6.0 Included 2 or 3 E 5 230 1 Non 3.2 1 2 or 3 BE151 230 1 Auto 3.2 Included 2 or 3 "N152 115 1 Non 8.5 1 2or3 Easy assembly.. BN152 115 1 Auto 8.5 Included 2 or 3 (pump & discharge pipe _E152 230 1 Non 4.3 1 2 or not included.) BE152 Auto 4.3 Inc uded or 5 1 5 1 on .5 1 or BN153 115 1 Auto 10,5 Included 2 or 3 E153 230 1 Non 5.3 1 2 or 3 BE153 230 1 Auto 5.3 Included 2 or 3 SELECTION GUIDE OPTIONAL PUMP STAND PIN 10-2421 1. Single piggyback variable level float switch or double piggyback variable level Reduces tert b debris float switch. Refer to FM0477. ~ clogging by • Replaces rocks or bricks under the pump 2. See FM0712 for correct model of Electrical Alternator E-Pak. Made of durable, noncorrosive ABS 3. Variable level control switch 10-0743 used as a control activator, specify duplex • Raises pump 7 off bottom of basin (3) or (4) float system. • Provides the ability to raise intake by adding sections of 1'W or 2' PVC piping s catmor4 • Attaches securely to pump All installation of controls, protection devices and wiring should be done by a qualified • Accommodates sump, dewatering and effluent applications licensed electrician. All electrical and safety codes should be followed including the NOTE: Make sure float is free from 0bstmction. most recent National Electrical 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 2010 Zoeller Co. All rights reserved. Page 10 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Robert & Mary Macdonald Mailing Address 8468 Marsh Creek, Woodbury, MN 55125 Property Address 240 165th Avenue (Verification required from Planning & Zoning Department for new construction.) City/State Somerset, Wl Parcel Identification Number 032-2066-80-000 LEGAL DESCRIPTION Property Location NE '/4 , SW '/4 , Sec. 2 , T 30 N R 20 W, Town of Somerset Subdivision Plat: , Lot # 1 Certified Survey Map # , Volume 2 , Page # 531 Warranty Deed # (before 2007)Volume , Page # Spec house ❑yes[Eno Lot lines identifiable ❑yes❑no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, 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 orm 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 warr ty deed recorded in Register of Deeds Office. Number of bedrooms 3 l SIGNATURE 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) WrAg-'s ri_"~+'+~r?® .os et ne~t.~s e..ers !1 J~, $Tr4°t~r; VAR Or WISvaf~:$I~€ Pc'}Riat 3 =IsiGi ~t ~z OutT Cr...OUM DEL0 i - REG)STER'S OFFICE rt- Melba A. _"-Chwaed'~ar ST. CROIX CO., VA Rae 4 - far, mveaw - - c1 mutt-,:,a,oia Rrlt~ert D f3aeJlnn ,lz3_, I-~_T_.a sE r e ` e-:34 A. ~r t; $fiM~b(3 kj 1 the folijowing drowerihed rtal estste in 74. Caa O G €a State of w1amnXI-0: " Dratted By" 9j f_ot 1, Certified survey Map, recorded In Volume Z. Pace 531 as Doc umen€_No. 345516 i TaxJPwt~x} t F ~I Sut-ject to the right of granter to use the prGperty conveyed herein An coi ad or, w;th r"r_antaFC d-u 1nII .the 11fL.of x1tantor.. yf i - a .r This is no homestead property. ! t> } (YS net) . Dated this dtF of ~~~c cC~srr of ....(SEAL) .....(SEAL) Melba A SGhroeder i~ (SEAL) . (S AL~ i 4 AUTHENTICATION ACIXNOW14nDGMENT ' Signature(s) STATE ('01P 'VAMMz MI NNES031 ffis. - Washin ton I County. nuthenticated this _ day o8 Paso 133 came before me this 3 day ofi II 1920... the above named f~ • PielbaAroeder _ - I~ TITJ E: ME3vIBF R STATE BAR OF WISCONS IN (If not "Wiz. 7_v S.• 7flR aC Vlim_ S t ) - to me k1loWn to be the person : who executed tnc, foregoing inztrurne7nt and iauisowledge tale same. THIS iJV STRUMENT WAS DRALTEO BY Ntlt STFN SL SI 1a[3N'ANN A - /1 _ G ! T24 S Sechnd street, P f) Box 2t3 /c - _ •Sti-1 T-water, f4m---55082---------------- Notarv Rtar"c r sa~~ s - ----s w (Signature_4 mnv he authenticated or aciznocvledged. Both 4F Commission is permanent. f if not, state expiration d are not necessary-) date: 19 Rf)9h1: lifltrFgi► *WARY ~OOti![TYY i sv wwwti AMMAMN - s"vrr v".stcn .iuaY .-T.r. o..ss c- .u.c.•. •.axK .vat al-3c. C- z - - - FOR&I Ne. 3 - tscg b7.l+rauk.-a- Wis.. TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFCED BY i Notary Public, State of Wisconsin (Signatures may be authenticated or acknowledged. Both are not My Commission is permanent. If not, state expiration date: necessary.) Date: "THIS PAGE IS PART OF THIS LEGAL DOCUMENT - DO NOT REMOVE" This information must be completed by submitter: document title. name & return address and PIN (if required). Other information such as the granting clauses, legal description, etc. may be placed on this f rst page of the document or may be placed on additional pages of the document. Note: Use of this cover page adds one page to your document and $2.00 to the recorrli_g ee. Wisconsin Statutes, 59.43. i St. Croix County 1018230 Page 2 of 2 R CEIVE _ P lilt '~tel"etyand artment of SOIL EVALUATION REPORT F`2 U S8f. #1796 P in accordance with Comm 85, Wis. Adm. Code Page 1 of 5 C"onal Services Schmitt Soil Testing, Inc. O',MUN i"' A,t~ County Attach compTet-e sit PAWper 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. Please print all information. Revi ed By 032-2,966-8,0-000 Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location MacDonald, Robert Govt. Lot NE1/4, W1 4, S12, T30N, R20W Property Owner's Mailing Address Lot # Block # Subd. Na or CSM# 8468 Marsh Creek Rd 1 CSM Vol 2 Page 531 City State Zip Code Phone Number ❑ City Village ❑ Town Nearest Road Woodbury MN 55125 651-491-3110 Somerset 165Th Ave ❑ New Construction Use: Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement ❑ Public or commercial - Describe: Parent material till over bedrock (Ritchey Series) Flood plain elevation, if applicable 35.45' ft. General comments Area is suitable for a mound system. System elevation is 98.70' based off a contour line established at 98.20'. LSlope of area is and recommendations: 12%. Depth to limiting factor is 32". ❑ Boring # ❑ Boring Pit Ground surface elev. 98.90 ft. Depth to limiting factor 36 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 1 0-6 10yr3/4 none fsl 2fsbk mvfr cs 2m,2vf 0.4 0.8 2 6-21 7.5yr3/4 none fsl 2fsbk mvfr gw 2m,2vf 0.4 0.8 3 21-36 7.5yr4/6 none fsl 2msbk mvfr as 2f,1vf 0.4 0.8 4 36+ 10YR7/8 Limestone Bedrock NC NC F2 ]Boring # ❑ Boring Pit Ground surface elev. 98.90 ft. Depth to limiting factor 32 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 1 0-5 10yr3/4 none fsl 2fsbk mvfr as 2m,2vf 0.4 0.8 2 5-22 7.5yr3/4 none fsl 2fsbk mvfr gw 2f,lvf 0.4 0.8 3 22-32 7.5yr4/3 none Ifs icsbk mvfr as 2f,1vf 0.5 1.0 4 32+ 10YR7/8 Limestone Bedrock NC NC * Effluent #1 = BOD5> 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. Date Evaluation Conducted Telephone Number 1595 72nd St. New Richmond, WI 54017 8/212015 715-760-1978 SBD-8330 (R.07/00) Property Owner MacDonald, Robert Parcel ID # 032-2066-80-000 Page 2 of 5 Boring 3 Boring # Pit Ground surface elev. 96.20 ft. Depth to limiting factor 40 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 0-5 10yr3/3 none fsl 2fsbk mvfr as 2m,2vf 0.4 0.8 2 5-15 7.5yr4/3 none fsl 2fsbk mvfr gw 2m,2vf 0.4 0.8 3 15-40 7.5yr4/6 none Ifs lmsbk mvfr as 2f,1vf 0.5 1.0 4 40+ 10YR7/8 Limestone Bedrock NC NC ❑ 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 GPDfft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ❑ Boring F-1 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/ftz In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 <150 mg/L * Effluent #2 = BODS , 30 mg/L and TSS ,i_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 Soil Testing, Inc. f , , i i Page '3 of 5 ~olt(IuC~ !Schmitt & Sons Excavating, Inc Name Ro ►ert Mac on id ~ThOnas' J. Schmitt ST 227429 A~Irdress 8468 Minh! Creek Rd - 58frbailey View Trai} . -City , Sate„ Zrp ' Woud#sary; -MN~551-15 - - Sorraers6t,V1l 54525 Phohe: $15-X60,1978 PID: 032-2006-80-000 _Y oe S n36ure - Lo} No CSMvo1~Z~iar i~rt53 pate [ 7 Le T3 QN gal_~r_' tl4n~_;_NEL4-8\'4'1/4 51 Z rA R2Q~iY , N `Backhoo Pit; ~ Be h 1 t"0 ;fin of Z" - . rTownship, County ' Sogierset, St. Croix County p 1' P - - - - w° 4 d I3e6ch_Mar4 2 AL .9 .69';_T _p of PYC_ pipe( _a 'jQ{ i slo0e= 1 12% Cgntour Line Elevatrot~: 8 2Q'~ q 7 ,Q'~ p 1ti7~r _ °4t/ z.. 11- ength: ` I ' Canfour L L- [ NOTE. SEE .AERIi4L PHOTO FOR FULL V~IEW,OF BARGEE 1'a 4 of i c t~ ~ , , ( , , V [ { i } A t4 , ( 15 l - S -J SSG S a 7 ~ 3 -r a r , s V I , S ~ z I ~ F ~ L- b 1 , L wr r~ b~ ~ rr . v x~ n `R .N w v O CA) 1$ , I Q;Ilz RI 40 \ y. ^4M : aY~ it; s 3 `t Y"' +nC AF, • RV s ~ 99 n ~ I ~ y i 0 1?~ 1i i i ] \ / 4 6 j J ~ j S'' j / Ka j r r i Schmitt and Sons Excavating Inc. 586 Valley View Trail Somerset, WI 54025 September 8, 2015 Applicant: Robert & Pam MacDonald Agent: John Schmitt 8468 Marsh Creep Rd. 616150th Ave. Woodbury, MN 55125 Somerset, WI 54025 Storm Water Management Plan for: Robert & Marv MacDonald 240 Avenue Somerset, WI 54025 Project Location The site is described as Lot 1 of Certified Survey Map in Volume 2, Page 531, Located in the Northeast 1/4 of the Southwest 1/4, Section 12, Township 30 North, Range 20 West, Town of Somerset, St. Croix County, Wisconsin. Storm Water Management Description: The project will consist of approximately 2500 square feet of impervious surface consisting of a 1500 square foot residence and a 500 square foot garage. All areas will drain to the natural depression to the north of the residence and southwest of the garage. The runoff that does not naturally flow to the depression will be directed to it using sidewalk/gutters and curbs on the southeast side of the residence. The naturally occurring depression currently receives the majority of the storm water runoff from the site. The depression is approximately 30 feet by 120 feet and 1 foot deep on the average. This depression (approximately 3600 cubic feet) should easily handle all of the runoff from the entire project. The depression is sandy and the soil test did not indicate that water ponds there. All disturbed areas will be stabilized as soon as possible. Silt fence or other means of erosion will be installed where necessary. a C TZ Industry Council for Tangible Assets The basis of ICTA negotiations with IRS on Broker Reporting was to achieve a fair, reason- able and consistent minimum threshold for reporting. The resulting Revenue Procedure (Rev. Proc. 92-103) defines "accepted Sales." While it may not spell out every specific instance that requires reporting, it is ICTA understanding and was the spirit of these negotiations that the following are these items to be reported under the new regulation: Reportable Items Minimum Fineness* Minimum Reportable Amount ("Shopping List") Gold Bars** .995 Any size bar totaling 1 Kilo [32, 15 troy oz.] Silver Bars .999 Any size bar totaling 100-Troy oz. or more Platinum Bars .9995 Any size bar totaling 10 Troy oz. or more Palladium Bars .9995 Any size bar totaling 100-Troy oz. or more Gold & Silver U. S. Eagles As Minted Any Denomination *(Gold Eagles after 1986 are taxable) Gold 1 oz Maple Leaf** As Minted 10 1-oz. coins Gold 1 oz. Krugerrand** As Minted 10 1-oz. coins Gold 1 oz. Mexican Onza** As Minted 10 1-oz. coins U.S. 90% Silver Coins** .999 Any Combination of dimes, quarters, or half dollars totaling 1, 000 FV or more * For Bars, any hallmark regardless of whether that hallmark is accepter as "good delivery, " on any of the commodity exchanges **Taxable gold currency CAUTION: While a stricter interpretation of the regulation is possible, ICTA believes the above guidelines to be those which fulfill the spirit of ICTA negotiations with the IRS. Though the information provided herein is based on ICTA discussions with the Internal Revenue Service, others may differ with ICTA Interpretations of these regulations. ICTA strongly cautions that alternative interpretations may not fulfill the requirements. This information is provided to assist you and not intended to be used by you as the sole guidance for com- plying with these regulations. "Any Government Big Enough To Give You Everything You Want, Is Big Enough To Take Everything You Have" Thomas Jefferson Schmitt and Sons Excavating Inc. 586 Valley View Trail Somerset, WI 54025 September 8, 2015 Applicant: Robert & Pam MacDonald Agent: John Schmitt 8468 Marsh Creek Rd. 616 150th Ave. Woodbury, MN 55125 Somerset, WI 54025 Storm Water Management Plan for: Robert & Marv MacDonald 240 Avenue Somerset, WI 54025 Proiect Location The site is described as Lot 1 of Certified Survey Map in Volume 2, Page 531, Located in the Northeast'/4 of the Southwest 1/4, Section 12, Township 30 North, Range 20 West, Town of Somerset, St. Croix County, Wisconsin. Storm Water Management Description: The project will consist of approximately 2500 square feet of impervious surface consisting of a 1500 square foot residence and a 500 square foot garage. All areas will drain to the natural depression to the north of the residence and southwest of the garage. The runoff that does not naturally flow to the depression will be directed to it using sidewalk/gutters and curbs on the southeast side of the residence. The naturally occurring depression currently receives the majority of the storm water runoff from the site. The depression is approximately 30 feet by 120 feet and 1 foot deep on the average. This depression (approximately 3600 cubic feet) should easily handle all of the runoff from the entire project. The depression is sandy and the soil test did not indicate that water ponds there. All disturbed areas will be stabilized as soon as possible. Silt fence or other means of erosion will be installed where necessary. Schmitt and Sons Excavating Inc. 586 Valley View Trail Somerset, WI 54025 September 8, 2015 Applicant: Robert & Pam MacDonald Agent: John Schmitt 8468 Marsh Creek Rd. 616150th Ave. Woodbury, MN 55125 Somerset, WI 54025 Storm Water Management Plan for: Robert & Marv MacDonald 2401651 Avenue Somerset. WI 54025 Proiect Location The site is described as Lot 1 of Certified Survey Map in Volume 2, Page 531, Located in the Northeast 1/4 of the Southwest 1/4, Section 12, Township 30 North, Range 20 West, Town of Somerset, St. Croix County, Wisconsin. Storm Water Management Description: The project will consist of approximately 2500 square feet of impervious surface consisting of a 1500 square foot residence and a 500 square foot garage. All areas will drain to the natural depression to the north of the residence and southwest of the garage. The runoff that does not naturally flow to the depression will be directed to it using sidewalk/gutters and curbs on the southeast side of the residence. The naturally occurring depression currently receives the majority of the storm water runoff from the site. The depression is approximately 30 feet by 120 feet and 1 foot deep on the average. This depression (approximately 3600 cubic feet) should easily handle all of the runoff from the entire project. The depression is sandy and the soil test did not indicate that water ponds there. All disturbed areas will be stabilized as soon as possible. Silt fence or other means of erosion will be installed where necessary. Schmitt and Sons Excavating Inc. 586 valley View Trail Somerset, WI 54025 715-760-0486 September 8, 2015 Stormwater Calculations MacDonald Land Use Permit Residence size: =1500sgft Garage size: = 500sgft Sidewalk/Gutters =500sgft 2500sgft 2500sgft X 0.125ft of rain = 312.5 cubic feet of water Both buildings will drain to a 30' X 120' X 1' (3600cubic foot) depression between the buildings. Schmitt and Sons Excavating Inc. 586 valley View Trail Somerset, WI 54025 715-760-0486 September 8, 2015 Stormwater Calculations MacDonald Land Use Permit Residence size: =1500sgft Garage size: = 500sgft Sidewalk/Gutters =500sgft 2500sgft 2500sgft X 0.125ft of rain = 312.5 cubic feet of water Both buildings will drain to a 30' X 120' X 1' (3600cubic foot) depression between the buildings. Schmitt and Sons Excavating Inc. 586 valley View Trail Somerset, WI 54025 715-760-0486 September 8, 2015 Stormwater Calculations MacDonald Land Use Permit Residence size: = 1500sgft Garage size: = 500sgft Sidewalk/Gutters =500sgft 2500sgft 2500sgft X 0.125ft of rain = 312.5 cubic feet of water Both buildings will drain to a 30' X 120' X 1' (3600cubic foot) depression between the buildings.