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HomeMy WebLinkAbout020-1153-50-000 (2) Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No (ATTACH TO PERMIT) 584719 GENERAL INFORMATION 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 Township Parcel Tax No: William & Mary Martin TOWN OF HUDSON 020-1153-50-000 CST BM Elev: Insp. BM Elev: BM Descnptio`~ Section/Town/Range/Map No: ~i1 1 Gb 23.29.19.843 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER hl, i CAPACITY STATION BS HI FS ELEV. Septic `t :56 Benchmark S. 75 /b✓ • S Dosing Atki 7v~ Alt. BM /w f ~ ~ 3 oa ►•1 Bldg. Sewer VP AV 9. ~ 9G •3 Holding r St/Ht Inlet 9 ~7 970 TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/Lr WELL BLDG. ent Air Intake ROAD Dt Inlet Septic / Ill' Dt Bottom 16 Dosing 750/ ' / / Header/Man. % - T5 Aeration J Dist. Pipe • 7 9v • 3S Holding Bot. System .'5 bl.~ p PUMP/SIPHON INFORMATION Final Grade 7•~O / g• Manufacturer Demand St Cover J Co /odd , 4/ Model Number ' ~ r`. ! • ~ TDH L j. Loss System Hea TDH~ Z Forcemain Len h Dia. Dist. to well SOIL ABSORPTION SYSTEM e ; %A q~ BED/TRENCH Width / Length No. Of Trenches PIT DI ENSIGNS No. Of Pits Insid Dia. Liquid Depth DIMENSIONS 13 1 .o, -3 1 re SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufact r: INFORMATION CHAMBER OR W r Type Of System: Gv J 47 UNIT Model Numb r 4 DISTRIBUTION SYSTEM Header/Mani Id Distribution x Hole Size x Hole Spacing Vent to Air In ke Pipe(s) Length Dia Length Dia Spacing I 7) SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded jxx Mulched Bed/Trench Center Bed/Trench Edges Topsoil ~ No `B.Yrs No COMMENTS: (Include code hcrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 871 BRADLEY D 1.) Alt BM Description = ✓ J 2.) Bldg sewer length = - amount of cover qz 0V*W Plan revision Required? Yes No Use other side for additional information. SBD-6710 (R.3/97) Date Insepcr Signat Cert. No. ' fr,a ; n.~ e2 ~t„ InI Services Division n, B 1400 E Washingto _ s ; APR 201E P.O. Box 7162 llai,lr Madison, WI 53707-7162 itaq Permit Number (to be filled in by Co.) COUNTY S $ ~T[ 7/c/ IoMMUNITY Ital'~ ermlt Application State Transaction y ber in accordance with SPS 393 21(2), Wis. Adm. Code submission of this form to the appropriate governmental unit Of- is required prior to obtaining a sanitary permit. Note: Application fonts for state-atoned POVIjTS are submitted to Project Address {ifdiffrrent titan ma(ling address) the Department of Safety and Professional SetviNcO personal information you provide maybe used far secondary v oses in accordance with the Privacy Lacy. s. 15.04(1 m , Stats. prop As Iicati o`OmMt n Informs 'o ease Print Al! ormat s 1nlame 1 7/ Xl ABL rY !1 Parcel. Ia ,v r .rri o06 Property (AN'll s mailhtg Address 0,70 O - o Property. Location L q l.J Oily: State Zi Code Govt- Lot Zip Phone Number . %a• Section W3 (circle one I (1. Type of Building (c leek all that apply) Lot; R_ zf jo i Ior2Family Drt1lling -Number ofBedrooms Subdivision Name / i D Public/Commercial - Describe Use ( C~ Block d 3 1 _ LAr of o r/ O ~ ~ityof D State Chimed Describe Use a C51vI Number 9 Yilltr .trof 3 t 6 Town of ~ _qA _ Ili. Type of Permit; (Ch ek only one box on line A. Complete line B if applicable) s~ A. §rNety S3itm D Replacement System D Treatment/Holding Tank Replacement Only D Other Iviodification to Existing System (explain) H• D Permit Renewal ❑ Permit Revision Before Expiration D Change of Plumber ❑ Permit Transfer to New Ltst Prevtouts Permit Number and Date Issued Owner W. Tv e of I'i1WTS S stem/Com onent/Device: Check alt that n Ip) 1 Non-Pnessurind to-Ground D Pressurized In-Ground D At Grade Mound > 24 in. of suitable sail ❑ Mound <24 in. of suitable soil Holding Tani; D Other Dispersal Component {explain} V. Dls ersal/Treatment Area Information; Pretreatment Device (explain) Design Now (gpd) Design Soil Application Rate(aa. f) Dispersal Arita Required {st) / Dispersal Arca Proposed System Elevation Gds .1/ J I Capacity in 11000 Vt. Tank Info /-3. 96.0 ytS,S r 9S.o i Tow! . of Manufacturer Gallons Gallons Units Neir Tanks Existing Tanks s $t pdC or ~ i.i N m it 'v d t7osingChaml>tr Asa f~sd ~ C. o v et re sa - 7so Vii. Responsibility Statement I, the undersigned, assume responsibility for installation of the POWT5 shotrn on the attached plaits. Plumber's Name (Printl Plumber's Sig 0®VtPlt>,FFrRS Numher , 2L Susiaess Phone Number /EL K 07313 Y4 Plumber's Address (Street. Cis;, State. Zip Code) / y,? - 5,~~ 4 G 790 ~Sr. err. ads ~ua~,dv ~J,Z" Sy ~ VIII. unty/Ue artment Use Oni Approved Permit Fee Date ssued lssuittb ent Signature en Reason for Denial LX. Condi easons for Disapproval 1. Septic ar.k, a flu enr filter and a 'Jisper-i~q cell must all be v r by plumber J) ~l as per management plan pr provide ided by plumber. 4 J 2."9ic rsquirelaoMS intut.r,~tlirtten§d ! f J as per ttpt`liottble cods / ordittanas. ?„~j ~G(^ {•ao, . Attneh to comptctc plans for the system and submit to the County anty on paper not tex3 than 3 tQ t i inches in size SBD-6395 fR. 08114) ~i ~ n w R V 91 It y. ~y 4 O V \ k oz a UQ x n ~ W e - 14, 'n Ilk -In e v V y / L 4? ~U V C _ I ~ y ~ Q a, Q d I~z ~ ~Q v M 14 r o °Q ti r~ Q ~i O ~ M Q _ h 1 4. V Lt v U v a4AAi 4 vh W a.a Q ~ o o 0 V, IN \ V U { h W ® Q Not ~ ti ~ o D 04. r- o- ary ~c ~ M Lie- 41 loci M - L 3`1y ~ o a Index an T itle Fage =.C) ~cCt i~.?rl%: L SAn►A~I/ 6"N/ ~~.t riN- Aj 4,qa w,,o wrs ~J~ G~✓A~QE,~ iOwaer;s Address: CA,~AAr r vtij L1Ciaa TC~-~?' CLut-~~,.Sr ~c.X `subdivision N nie: r of ~x ALLEY 'arcei 1.D. Number O R-O - /A 3 - So - Doa = age f o?- .f`` ~L fi~rrss 4. ~J. ae aga of ~,/r+^'.?: c: /w .~U i4 '"yf7r✓ % U ~.~d/c: rJ Pale -5 ✓'J!cJiSJcJ.du~fy S ~~:.JnG , :'Ar`Ge'. v"C:.'! ~i FaQe Q 2C,- r. S- 0 !'agc y of Desiier: _ oN✓ ,G"ELKS _ Liee.Ise -"<umber: Signature: rate: .3 -/y- Designed Piss t to the Follou~ng PONVTS Component Manuai and L:-Gro-, i1CSoil bsorntioa Comuonenti ianuai fo PGWTS C\%er. ?.0) S3,D-IQ-7L5-L- O1i01~ of n v ~ 4 44 cl) a Y r Q .-1 0 I o W -11 L Q W 3 L \kf Izz Q Q J V v ~ ! V wj R aQ y ! ~ ~ E" ~ 'ZS Q A v h ° u a v ~ 2 V p j I OQ t c ~ o ` ~ d- ~ Q W ~i S~ k ~ v W L O ~ M1 ~ o a COMBINA I ION SEPTIC TANKIPLIM ✓ CHAMBER v SEC I -ION f~ • 3 (DRAWING NOT TO SCALD FINAL GRADE MANHOLE RISER & COVER (slope ground suuace away from (pers.?S 3 84,25 (7) & (8)) 4~'E; Vent otp` L% P0P. T -A i ~ manhole(s) forprooerdrainage) - ` '~oa1tDl~ -Anc;tor;antc(s)asiiecasse~f awfaing- 12' M-m- aril r, tea, = Jursuent tr, SPS 333 A3(8)(g1 r ESlaorEn ~Itad ;aava-t^_n f BUILDING SEWER nrproved = tend ° venui a rr2naala rya: as tts ~r : i 1 (Per S PS $230 (19)) \ 1 f , ELECTRICAL ' Agaraved Loc;dne r iani;al_ I i . JUi~fCitOi~ 8Q_`~11 J -v;~r blsmtnQ Labef:;'ia=pffid I s'".1+Cltir"~f Must Cam,.q+.1h i 3 / (h"t1~1} LE811abowhild =land FODn tyoiceh f t; t 1 c~,At+lttaLc 1 I I! i; mfr,. 4. hWINOLE 80i ft3SeDFtt4LET(in:t2tlien) ptaaan;~a i ~ ~~(csslarlatertevelj-- = + ! ~ ! 1 . f/l/.iJiv~i///f/JlJlr/yfiiril~ ~~/r/rrfr~rfijl 1 tMLEr f /r~rrrrrfr~~rifirrrr~r~ ~rrrr//~rrr~ ' •I- i ~l c~S S' _ _ ,~rr~//roc .err!/*/r!/ir/ L r Ill AUkRd-i FLOAT ; t Fi 6a: 4 1 I 04: FLDAT 4" R.LEi PIPE c1L i F. ED 1t_e- or Santa) APPROVED EFFLt?EM FILTER ? EF-LUEN r L t OFF FLOAT REQUIRED ON OUYi c tt _ `i j r, t ; f alav = 4 (u31NIMUitf) OF 3" OF SUITABLE BEDDING BENEA l1 H TAN'S I~ ' - PUtsiP PAD I i r Tani, titanuiaciurer /E SEC ~o,~ cRr rE DttdF (daily ~vasiewater flow) G DO P~i~ Septic/Pump tank model _ /asp 173-0 Dumber of daily doses S: (DWF / actual dose volume) Alarm manuiacfurer S, X,- Ala ~oa~ a s m1 model number TiPn/K , d.-,r I rorceman volume y / Type of float SkAWich '?s " • 3 ~!L1E~y4ti/ eAL Ac(ual dose i+oiUme (gallons) (10181 doss volume - volume of farcemain) E3t1uent pump manufacturer Eu uent pump model number PUMP 1 AIN K CAPACITIES Resen+e above alarm ~a• S inches = y~ gallons Wri mum pump discinarge rate (GPIW) ~e Alarm float above on loaf o2 inches = ~ gallons (C) WOEiloatmeasurment- 7. 5- inches = &.I gallons (B) 1 Vertical iift (pump off to distribution lateral) Off float above tank bottom -6 Inches = i/ 9 gallons (A) } system head (distal pressure A' '1.3 feet) Friction loss in the forcemain 1xrSC DIMENSIONS a PUMP CHAMBER SPEGII tCAi IONS Total dynamic head (TDH) G, 3 Lengfh /S-S width 96 Liquid depth ya " Gallons per inch /,7 ! GD - I TOTAL DYNAMIC HEAD/FLOW y 7 j PUMP PERFORMANCE CURVE PER MINUTE All MODEL 1511152/153 50 EFFLUENT AND DEWATERING 14.. I 1 45 153 I 40_ - MODEL 15t 152 153 ' Fe Meters Gal_ Liters Gal. Liters Gal. Liters t0 1 S 50 _ 189 69 261 77 291 - b 10 3.0 45 170 61 231 70 265 15 4.6 39 144 53 201 61 231 c 25- z 3 51 20 6.1 29 110 44 167 52 197 ^ ~ I 25 7.6 16 61 34 129 42 159 20 30 911 - 23 87 33 125 - - 35 15. 10.7 - - _ - 22 85 40 12.2 - ' - 11 42 10- Shut-off Head: 30 ft. (9.1m) 38 ft. (11.6m) 44 ft. (13.4m) ~ . 014508B - Model 151 Models 1521153 10 A 30 U 50 60 d 0 00 100 GALLONS 67132 8732 LITERS 0 40 80 120 760 260 240 280 320 360 _ 37iB 4N - 3718 - ~I 4518 - FLOW PER MINUTE 01450BA c~h 3 718 3718 d1 r~"' . t iU . - 3V8 7718 Timed dosing panels available. • Electrical alternators, for duplex systems, are available and j f supplied with an alarm. • Variable level control switches are available for controlling single phase systems. t Iii 'LL-t Double piggyback variable level float switches are available for variable level long and short cycle controls. • Sealed Qwik-Box available for outdoor installations. See 1112,18 i h i Over 130°F (54°C) special quotation required. 1 r~ Al~'F_ l 415116 SK2444 1511152d153 MODELS Control Selection Model Volts•Ph Mode Amps I Simplex Duplex N151 1 115 1 Non 6.0 1 2 or 3 BIN 151 115 1 Auto 6 0 Included 2 or 3 E151 230 1 Non 3,2 1 2 or 3 BE151 230 1 Au o 3.2 Included 2 or 3 NiSZ 1~_ ^1 "Easy assembly" Non 8 5 1 2 or 3 l BN152~ 115 1~o 8 5 Included or 3 (pump 8 discharge pipe 2 not included.) E152 230 1 Non 4 3 + 2 or3 poi J 6E752! 230 1 ' Auto : 4.3 Included 2or3 N153 115 1 Nan 105 I 2or3 s -i a ' 4J BN153~ 115 1 I Auto 105 ncluded 2or3 i E153 230 Non 1 1 2or3 BE$53. 230 1 Auto 5~3 I Included I 2 or 3T 1. Single piggyback variable level float switch or double piggyback variable level float switch. Refer to FM0477. Reduces potential clogging by debris. Replaces rocks ade of Or bricks under the pump. 2. See FM0712 for correct model of Electrical Alternator E-Pak. M Made of durable, noncorrosive ABS. 3. Variable level control switch 10-0743 used as a control activator, specify duplex Raises pump 2" off bottom of basin. (3) or (4) float system. Provides the ability to raise intake by adding sections of 11/V or 2" PVC piping. o caurtoN Attaches securely to pump. Accommodates sump, dewatering and effluent applications. NOTE: Make sure float is free from obstruction. For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. © Copyright 2008 Zoeller Co. All rights reserved. POW-1 S OWNER'S MANUAL cm MANAGEMENT PLAN Page -6- ,E *7 FILE INFORMATION SYSTEM SPECIFICATIONS Owner 11.4 4 SAIVAW EN-4 Q 7-1,il Tank Manufacturer ~/ESE~ Lo.~cn~T6 0 NA Permit 'Septic ❑ Dose l.-7 Holding Volume: 1,2S0 (gal) DESIGN PARAMETERS Tank Manufacturer-. 0 NA . Number of Bedrooms: ❑ NA ❑ Septic 1W Dose p Holding Volume: 7-5-ia (gal) Number or Public Faciliby Units: ® NA Vertical Distance Tank Bottom(s) to Service Pad: i Estimated (average) Flow : SLOG (gallday) Horizontal Distance Tank(s) to Service Pad: AM (ft) Design (peak) FiDW = (estimated x 1.5). Specific servicing mechanics must be provided i. vertical is >15 feet or G p,~, (gavday) if horizontal is >150 feet. Specific instructions to be provided on backu In Situ Soil Application Rate: (aalldayife) Effluent Filter Manufacturer. ,(f ES r O NA f Standard (Domestic) Influent/Fat-tuent Monthly average Effluent Filter Model: /a f Jo I Fats, Oil & Grease (FOG) s30 mall. Pump Manufacturer: 1 o,rL6E0t EI Biochemical Oxygen Demand (BOD;) 020 mg/L El NA D NA 1 Total Suspended Solids rTSS) s150 mg1L Pump Model: /s-/ i High Strength Influent/Effluent - IvIonthly average Pretreatment Unit i (FOG) >30 mall - Manufacturer (BODE) >220 mgrL ❑ NA Mechanical Aeration ❑ Peat Filter NA (TSS) >1 50 mg/L El bisinfeciion ❑ Weiland Pretreated Effluent Monthly average 0 SandlGravel Filter ❑ other. (BODS) 530 mglL Soil Absorption System (TSS) 530 mglL ❑ NA Fecal Coliform geometric mean) :E104, 9 In-Ground (gravity) 0 In-Ground (pressure) ❑ NA riGrade ❑ around At- NAaximum Effluent Particle Size hf in dia. El NA El D 17 Drip-Line ~ Other. Other. C1 NA Other: ❑ NA MAINTENANCE SCHEDULE Service Event I _ Service Frequency Pump out contents of tank(s) irWhen combined sludge and scum equals one-third (3) of tank volume p When the high water alarm is activated r Inspect condition of tank(s) At least once every: 3 0 month(s) (Maximum 3 years) ❑ NA Inspect dispersal cell(s) At least once every: M month's) (Maximum 3 years) p NA -3 year(s Clean effluent filter ( At least once everv: /3 month(s) C) NA l O year(s) Inspect pump, pump controls & alarm At least once'every: 3 0 month(s) 0 NA year(s) Flush laterals and pressure test At least once every: _ U month(s) li~' NA ❑ year(s) Other: At least once every: ❑ month(s) 0 NA ❑ year(s) Other: NA MAINTENANCE INSTRUCTIONS !nspections of jankS and soil absorption systems shall be made by an individual carrying one of the following licenses or certifications: iviaster Plumber, Master Plumber Restricted Sevier, POWTS Inspector, POVIITS Maintainer or Septage Servicing Operator (pumper). Tank inspections must include a visual inspection of the tank(s) to identity any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and a check for any back up or ponding of effluent on the ground surface. The soil absorption system shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of eifiuent on the ground surface may indicate a tailing condition and requires the immediate notification of the local regulatory authority, When the combined accumulation of sludge and scum in any treatment tank equals one-third (!J) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator (pumper) and disposed of in accordance with chapter NR 113. Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent fitters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of s12 months, shall he performed by a certified POVVT5 Maintainer- A Service report shall be proviaea to me total regulatory authority within 30 days of completion of any service event START UP AND OPERATION Pageof 7 For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products, solvents or other chemicals or sediment that may impede the treatment process-and/or damage- the soil absorption system. If high concentrations are detected have the contents of the tank(s) removed by a Septage Servicing Operator (pumper) prior to use. Pump tanks may fill above normal highwater levels prior to startup or due to pump failures. Start up or restoration of power under these conditions is not recommended, as the excess wastewater will be=discharged to the soil absorption system in one large dose causing an overload that may result in the backup or surface discharge of effluent and damage to the system. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator (pumper) prior to restoring power to-the pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls until normal effluent levels are restored within the pump tank. System start up shall not occur when soil conditions are frozen at the infiltrative surface. Do not drive or park vehicles over tanks or the soil absorption system. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the fife of the treatment tanks and soil absorption system: adds, antibiotics, baby wipes, -cigarette butts, condoms, cotton swabs, degreasers, dental floss, diapers, disinfectants, fats, foundation drain (sump pump) discharge, fruit and vegetable peelings, gasoline, greases, herbicides, meat scraps, medications, oils, painting products, pesticides, sanitary napkins, solvents, tampons, -and water softener brine discharge. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with s. SPS383.33, Wisconsin Administrative Code.-. ° All piping to tanks, pits and other soil absorption systems shall be disconnected and the abandoned pipe openings sealed. o The contents of all tanks and pits shall be rerrioved and properly disposed of by a Septage Servicing Operator (pumper). o After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN! If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system, The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. 'Replacement systems must comply with the rules in effect at the time of their permit issuance. ❑ A suitable replacement area is not available due to setback and/or soil limitations- If the soil absorption system cannot he rehabilitated and barring advances in POWTS technology, a holding tank may be installed as a last resort. G The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soli and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POVJTS. Ci Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biornat at the infiltrative surface. Reconstructions of such systems must comply LMth the rules in effect at that time. WARNING g TREATMENT TANKS, PUMP TANKS, AND HOLDINGS TANKS MAY CONTAIN POISONOUS GASSES OR LACK SUFFICIENT OXYGEN TO SUSTAIN LIFE. NEVER ENTER ANY TANK UNDER ANY CIRcUMaTANCE_ DEATH MAY RESULT. ESCAPE OR RESCUE FROM THE INTERIOR OF A TANK MAY NOT BE POSSIBLE ADDMONAL INSTRUCTIONS: POIri S INSTALLER POWTS MAINTAINER. I Name 1&,V .3 /3Y Name ./o vN E[ E tKE t v.y~ias Phone Phone 7/ G - .?!G SEPTAGE SERVICING OPERATOR (PUMPER) - G~s+Jfi'. A",j LOCAL REGULATORY AUTHORITY Name Name ,:<r ei 4-lx Zo Ze„~odt L9fficE Phone Phone r-~Tx' p s A t> u U U c - > 77- a O .0a - n v N psi 7E own a~ G G am ~ L a ~ C v-G W o e m• P- zu ti t M- 2 Q) tti C, t}= Y t a n L a_ v u ~ ~ ~ y L n OJ LU o ti„~ U r LM C o N = Q ~D E I - l43 ~ G rJ rvy- v~ N jy C - o Q a j > m° L ej, 1,t 'p U Vl G w . 3. v J1 N C W .L.:.j rs C _ V y a il C 13 Q j~ v '7i ~ G U V of ° c ,J R. Y .pw = N ~ v ~ PJ ~ O ' U ry G r LZ. U E N _ Vi G' 11°e fV L" U U y R - 4.14 -A a -E c: 3~ G " F~'i ~ ~ L ~ V n1 ~ dad i _..x_V~__.., 1 u ] _ u f o 1 t< know - }x# d.~r 1,, _t33 tI11s:,.UIP_` t_ y N Parcel •7.56 _606- S,LS..s's ii 4 ~ #i _ li i ~ tai li e~~~... 6.~.,~.,v~ `t i L3 -A _Dr_ fi'" it annoy Wed m w, m t'.f7d ,.a..e}'"„tla... 1}' w. syU jSwi;; c ,.,:.z tail Li. M_. in ''mv u_ ',1 pl r lpf~, Tank <vc: ~ 93 . ~ MUM %Mmq <An•r' t u 4,. MA z-s'7 n_1 er low s , en oar chief on 'Awa "t? n , i dic . 1 r 'Ink, .a "t1'e"xm.'.,._ m 4c CI, Tk: F€`'1 3 1 ~"Il. F tt.=§i i t t] ite T,&'i 1 }741 t 3 E .3 =7"Y J413 ~T ! ?Yi p . w and i _:.,c,M PNOTY. 3 ' t_ _r. 0S wove W d } x xa L,*~s own A W Lek wag, z 1 3s{ , at".113 i TT t...~' k ~,t•:.3 _ dStrdt Y iei t; a . vgT{I has been .3S..L xsy fee,9 eau?-T. he t z_z i 't.~Is Z' and #.t ~ hfl'€. Psxs?'. ,.?TFI'JI. Y2~1 .fit ~.z , x t. t1 t , _ , _a i?:^ , ,«is' 3T 3 L'i.", nn y , . S iGI,,ATI,A__I i\ EMU -Any #Clt6 3T a738 °i3 Tx.a2 1.. z., ,f 1..+t~' 11':A' _i;. ,z:3,4ia, & 4,0"11_1l«, OC,O...-i..:;k. Y,. WOMAN Z, 7- . ' j IL w f t ~ f . ~ t f Wisconsin Department of Safety and Professional Services , Division of Industry Services - SOIL EVAL-UATfOfiI-REPORT Page 1 of 3 a= ~iq rdance with SPS 383, Wis. Adm. Code t~j~ ~ County ST. CROIX Attach complete site plan on aper not I t4g0W 1/2 11 inches in size. Plan must include, but not limited to: v~r~tige,~ dl a rI p t ~ point (BM), direction and Parcel I.D. 02 - 1153 - 50 - 000 percent slope, scale or dimketa'y Flow, and location and distance to nearest road. J'_~;;Sl Please print all information. Review by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location JAMES D. & DENISE J. DAHL Govt. Lot NW 1/4 S 1/4 S 23 1( 29 N R 19 E (or) Property Owner's Mailing Address Lot # Block # Subd. Name CSM# 877 Bradley Drive 15 Plat of Fox Valley City State Zip Code Phone Number ity ®Village ■ Town Nearest Road Hudson, WI 54016 ( 715 ) 410 - 8633 Bradley Drive - Hudson 0 New Construction Use[D Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD n Replacement Public or commercial - Describe: Parent material sandy outwash Flood Plain elevation if applicable NA ft. General comments Conventional In-ground Trenches-- 0.6 loading rate and recommendations: I 1 Borin # D Boring ❑ g Q Pit Ground surface elev. 99.60 ft. Depth to limiting factor 74 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fg in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 *Eff#2 1 0-12 7.5YR2.5/2 1 2fabk mvfr cs 3vf-co 0.6 0.8 2 12-16 7.5YR3/3 - 1 2fabk dsh cs 2vf-m 0.6 0.8 3 16-25 10YR4/6 sil 3fabk dsh cs 1vf-f 0.6 0.8 4 25-60 7.5YR4/4 is Osg dl cs lvf-f 0.7 1.6 5 60-74 7.5YR4/4 sl 1 fsbk ds 0.4 0.7 Horizon 4 has some gr; few cobs/one boulder Boring F2 Bonn # 76 9 97.10 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/f? in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 *Eff#2 1 0-11 7.5YR2.5/2 - 1 3fabk mvfr cs 3vf-co 0.6 0.8 2 11-18 7.5YR3/3 - sil 3fabk mfr cs 2vf-co 0.6 0.8 3 18-25 10YR4/6 sil 2fabk mfr cs 2vf-m 0.6 0.8 4 25-33 10YR4/6 sl 2fsbk mfr cs lvf--f 0.6 1.0 5 33-54 7.5YR4/4 is Osg dl cs lvf--f 0.7 1.6 6 54-76 7.5YR4/6 s Osg dl 0.7 1.6 * Effluent #1 = BOD > 30:S 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = 1301 )5:< 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Si Ite CST Number Ma Jo Hu ert Hollister's Soil Testing & Design) 224832 Address Date E a ation Conducted Telephone Number W9875 690th Avenue, River Falls, WI 54022 10 - 30 - 14 715-426-1775 SBD-8330 (R07/13) Property Owner DAHL, James D. & Denise J. Parcel ID # 020 - 1153 - 50 - 000 Page 2 of 3 Boring # © Boring 98.30 76 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/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 1 0-11 7.5YR3/3 1 3fabk mvfr cs 3vf-co 0.6 0.8 2 11-24 10YR4/6 1 2fabk dsh cs 2vf-co 0.6 0.8 3 24-36 7.5YR4/6 is Osg ds cs 2vf-m 0.7 1.6 4 36-76 7.5YR4/4 s Osg dl lvf--m 0.7 1.6 orizon 2 has some gr/cobs. l 11 it ❑ Boring # ~ Boring 17 1 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/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 "Eff#2 Boring ❑ Boring # Ground surface elev. ft. Depth to limiting factor in. © Pit Soil A lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF 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 < 30 mg/L SBD-8330 (R07/13)