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030-2137-11-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: 584736 Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)] 2697616 Permit Holder's Name: City Village Township Parcel Tax No: Brushy Mound Partners LLP TOWN OF SAINT JOSEPH 030-2137-11-000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: SAWS zuM- 05.29.19.2037 TANK INFORMATION 16a• Ua ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic z Benchmark ~IES~ 2. ~n Dosing k~ Alt. BM &s . -z au //o. yy 7.7'1 ,ol. 7 Aeration Bldg. Sewer oLy(,oIC S`-l,~ -5-33 //3 77 Holding ~~L IR St/Ht Inlet St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic NIA I Sb > 5v, Dt Bottom 8-SZv (ol• 88 Dosing ~I tt Header/Man. 0q Aeration Z Dist. Pipe Holding Bot. System ~•SS lour. S9 Final Gr dn)e \ PUMP/SIPHON INFORMATION ► cf,s !D!~ 9`1 Manufacturer Demand ZOEUEiz GPM Cover O -D OU 7 O4 ~D(p•y~ Model Number 5;7 AM_ TDH Lift Friction Loss System Head T DH Ft Z' 3'(v (0-S /a• 76 a u(L ~`f 603.0y Forcemain Length 1 Dia. i, Dist. to Well Z. /o7. S _341 1 L y//a OAI s.T, Ki2 F/ T ,e 9 SOIL ABSORPTION SYSTEM BED/TRENCH Width i Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 9 /D , SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR - Z 'FLdu1 Type Of System: UNIT Model Number: /YWtt/vi/ }lU6t r ~~/7 ~f~~ zo 3 ~ DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size u x Hole Spacing Vent to Air Intake i(s) q f >7U~ Length 03 Dia I• S Ir pejth~f Dia Spacing 3` 12S -1.5- SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed A~h cC nter > /z Bed/Trench Ed es / U Topsoil / f3E > Yes No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #11: \\6 -27_147 Inspection #2: Location: 464 BLUEBIRD DR 1. Alt BM Description = 4 A10 2.) Bldg sewer length = 75 t 4 -amount of cover =,5= (o ` ./l tet Qjd2~/(~~'t 6 FIr / ~ gATO 0F7 LPL(- wkS 6t-NV 7b A pFel-W aF,47- IFA$l X60. aN; ~L jf Al f-l61)07 l c v $v~-r~l l-cJt3T dF GL~i'.t.., f'l,~tJTy off' S w~7"RBLI; 5-alc. ~t,~('~E2 ~ , Plan revision Required? Yes Y_ No / Use other side for additional information. 01 b C ` (j)J v Date Insepctors Signature Cert. No. SBD-6710 (R.3/97) VE!Lj County ~X ~ y{- `'R E C E I Safety and Buildings D' n 201 W. Washington Ave., P. o 62 Sanitary Permit Number (to be filled in by Co.) PS t~~ w 0 3 MG Madison, WI 537 7162 aST CROIX COUNTY 73 CP am dry erimlt Application State Transaction Number 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. Notes Application forms for state-owned POWTS arc submitted to P,/d/- ect Address (if different than mailing address) the Department of Safety and Professional Sen ics. Personal information you provi e may d for secondary purposes in accordance with the Privacy Law, s. 15.04(1)(m), Stats. V f-71ut d ,'v e- I. Application Information - Please Print All Information Property Owner's Name Parcel # 1-~ &"V INO0..~ iRl4elle- /Llie~~.~~ S~~r.~e•,f 0,30 - 2137- //-aav Property Owner's Mailing Address Property Location Govt. Lot 11 City, State Zip Code Phone Number j /a, Section _ .5~0/ ctrcleone) 11. Type of Building (check all that apply) Lot # T 2 N; R E or W 1 or 2 Family Dwelling - Number of Bedrooms Subdivision Name 6 k Block # 15,1le,G/i~ >w ~~S ❑ Public/Commercial - Describe Use ❑ City of CSM Number El Village of ❑ State Owned - De cribe Usc 'Town of S -557 eO4 7b Mo., III. Type of Permit: (Check only one box on line A. Complete line B if applicable) 7-6 MA-, A. ~pI~1V~ew System A❑ Replacement System ❑ Treatment Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) List Previous Permit Number and Date Issued B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New Before Expiration Owner IV. Type of POWTS S stem/Com onent/Device: (Check all that apply) d v ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil J, A4ound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dispersal/Treat 'ent Area Information: G Design Flow (gpd) Design Soil Application Rat gpdsf) Dispersal Area Requir sf) Dispersal Area P osed (sf) System Elevation 6a b - y 63~ pU ~3 e `j00 /oZ , SD VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units o New Tanks Existing Tanks y c u L A o Septic or Holding Tank ~Z 00 ~z o o /C f Dosing Chamber SOB ~Ob Zt/!Cf[~il VII. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (P int) Plumber's Signature MP/MPRS Number Business Phone Number 42 Plumber's Address (Street, City, State, Zip Code) VIII. County/De artment Use Only Permit Fee Dat/is Issuing A Signature XP-Proved ❑ $ ❑ en Reason for Denial 1~ IX. Conditrb pit (Reasons for Disapproval Q 1. Septic ark, OIL., n, iilte, r,n i J I 0 L~ ► ~n uisj er :,cell lust all be se_ic s ' r.r rtes cec' W f ~f _ ,~S ~i/~Car ~tM-+bJ 'to+n . as per enar.agemen, plan pro sided by plurnber. Tv~^ 2. - AU getbagk regOr presents trust be inurvViried as per opplic" coda / crdinance3, if) Attach to complete plans for the system and submit to the Coun only on p per not less than 8 1/2 x 11 inches in size elm SBD-6398 (R. 11/11) 5~ ~c1 8~ sy ~r~ C*A*e. 444 LEGEND 1" =40FT. BM EL 100 TOP OF 1/2" PVC PIPE. ALT BM101.85 TOP OF 1/2" PVC PIPE 1-~~ 0, 74 - ~ `n 1 - - - - - I i ! PROPOSED HOME • ~ r app- ~ DRIVE WAY WIESER 1200/800 COMBO TANK ! A4cr`fD POLY LOCK 525 FILTER P s ' I Q.tY►~ VIA- - / d~ Pf~ ~y~ax7ar~,~~ DIVISION OF INDUSTRY SERVICES 2331 SAN LUIS PL STE 150 ~GREEN BAY WI 54304-5211 ; Q \R1 R a' Contact Through Relay http://dsps.wi.gov/programs/industry-services www.wisconsin.gov ~oF~ssro^ ati' Scott Walker, Governor Dave Ross, Secretary April 27, 2016 CUST ID No. 225410 ATTIC- POWTS Inspector PAUL R KOEHLER ZONING OFFICE COUNTRYSIDE PLUMBING & HEATING INC ST CROIX COUNTY SPIA 321 WISCONSIN DR 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016-7708 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/27/2018 Identification Numbers Transaction ID No. 2697616 SITE: Site ID No. 823199 Brushy Mound Partners Please refer to both identification numbers, 464 Bluebird Dr above, in all correspondence with the agency. Town of Saint Joseph St Croix County NW 1/4, NE 1/4, S5, T29N, R19W Lot: 11, Subdivision: Bluebird Bluffs FOR: Object Type: POWTS Component Manual Regulated Object ID No.: 1597147 Maintenance required; 600 GPD Flow rate; 33 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. 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: • Page 5 - Manifold Length changed to 6 feet. • Fence off dispersal area prior and during construction to avoid disturbance, compaction and use of the site. • With new construction, it is recommended not to activate the pump in the dose tank until the tanks are pumped prior to homeowner occupancy. DEPT • Wastewater generated from contractors cleaning of equipment and tools and/or left over PROFE' construction products shall not be discharged into the drains discharging to the private onsite DIVISION 01 wastewater treatment system (POWTS). Waste generated shall be properly disposed of on-site or off site. ' I • Any tall grasses, leaves and shrubs shall be cut short and removed prior to tilling the surface for installation to prevent matting under the dispersal area. SEE • Prior to construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. Smearing and compacting of wet soil will result in reducing the infiltration capacity of the soil. Proper soil moisture content can be determined by rolling a soil sample between the hands. If it rolls into a 1/4- inch PAUL, R KOEHLER Page 2 4/27/2016 wire, the site is too wet to prepare. If it crumbles, site preparation can proceed. If the site is too wet to prepare, do not proceed until it dries.. • Divert surface water from POWTS Area. • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building sewer beyond 30 feet per SPS 382.30 (11)(c) • Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Tank Installation to follow all manufacture's recommendations. • Verify property line(s) prior to installation. • Final elevations of pump off and invert of distribution pipe; need to be verified for proper pump sizing. • This system is to be constructed and located in accordance with the approved plans and with the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems Version 2.0" SBD-10706-P (N.01/01). • This system is to be constructed and located in accordance with the approved plans, and the "EZflow Mound Component Manual " (87/12). • Areas that are occupied with rock fragments, tree roots, stumps and boulders reduce the amount of soil available for proper treatment. If no other site is available, trees in the basal area of the mound must be cut off at ground level. A larger fill area is necessary when any of the above conditions are encountered, to provide sufficient infiltrative area. • Owner Responsibilities:SPS 38332 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). • The distribution pipe being inserted into the 4" corrugated pipe located in the EZflow product shall have one out of every five orifices installed at the 6 o'clock position. The remaining four orifices shall be installed at the 12 o'clock position. The laterals shall drain fully after every dose. • The lateral turn-up ends shall extend out past the exterior end of the cells at both ends. The observation pipes shall be located in between where bundles come together, These requirements must be followed so that the aggregate bundles will not be damaged during the installation process 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. All permits required by the state or the local municipality shall be obtained prior to commencement of con struction/instal lation/operation. In granting this approval the Division of Industry Services reserves the right to require changes or additions should 1 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. PAUL R KOEHLER Pase 2 4/27/2016 wire, the site is too wet to prepare. If it crumbles, site preparation can proceed. If the site is too wet to prepare, do not proceed until it dries. • Divert surface water from POWTS Area. • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building sewer beyond 30 feet per SPS 382.30 (11)(c) • Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Tank Installation to follow all manufacture's recommendations. • Verify property line(s) prior to installation. • Final elevations of pump off and invert of distribution pipe: need to be verified for proper pump sizing. • This system is to be constructed and located in accordance with the approved plans and with the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems Version 2.0" SBD-10706-P (N.01/01). • This system is to be constructed and located in accordance with the approved plans, and the "EZflow Mound Component Manual " (R.7/12). • Areas that are occupied with rock fragments, tree roots, stumps and boulders reduce the amount of soil available for proper treatment. If no other site is available, trees in the basal area of the mound must be zut off at ground level. A larger fill area is necessary when any of the above conditions are encountered, to provide sufficient infiltrative area. • 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). • The distribution pipe being inserted into the 4" corrugated pipe located in the EZflow product shall have one out of every five orifices installed at the 6 o'clock position. The remaining four orifices shall be installed at the 12 o'clock position. The laterals shall drain fully after every dose. • The lateral turn-up ends shall extend out past the exterior end of the cells at both ends. The observation pipes shall be located in between where bundles come together. These requirements must be followed so that the aggregate bundles will not be damaged during the installation process 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. 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. t,w i PAUL R KOEHLER Pate 3 4/27/2016 Sincerely, Fee Required $ 250.00 'This Amount Will Be Invoiced. When You Receive That Invoice, Tim Vander Leest Please Include a Copy With Your Private Sewage Plan Reviewer, Division of Industry Services Payment Submittal. (920)492-2214, Monday - Friday 6 am To 3:30 pm WiSMART code: 7633 tvanderleest@wisconsin.gov cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484 , Monday - Friday 8:00 am To 4:30 pm Note: Effective January 1, 2012, all codes under the jurisdiction of the Division of Industry Services (formerly Safety & Buildings) will be modified. Code references with prefixes starting with "Comm" have been replaced with "SPS" to recognize the relocation of the Division of Industry Services from the former Department of Commerce to the Department of Safety & Professional Services. Additionally, all IS (formerly S&B) codes have been renumbered and addressed in a "300" series. For future reference, the Wisconsin Commercial Building Code will be addressed by SPS Chapters 360-366. I I I EZf/ow® MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN. Residential Application INDEX AND TITLE PAGE APR 14 2016 Project Name: BRUSHY MOUND PARTNERS wF~ V1f'1 ° e Owner's Name: BRUSHY MOUND PARTNERS LLC Owner's Address: PO BOX 445 NEW RICHMOND WI Legal Description: SEC 05 T 29 N R 19W NW1/4 OF NE 1/4 Township: ST JOSEPH JDITIONALLY ,APPROVED County: ST CROIX "'F SAFETY AND Subdivision Name: BLUEBIRD BLUFFS 310NAL SERVICES INDUSTRY SERVICES Lot Number: 11 Block Number: Parcel I.D. Number: 030-2137-11-000 ?~*2 vF<RL sPUi L)EINCE Plan Transaction No.: Page 1 -Index and title Page 2 ' Data entry Page 3 EZflow mound drawings Page 4 Lateral and dose tank Page 5 Distribution media Page 6 `System maintenance specifications ` Page 7 -Management and contingency plan Page 8 Pump curve and specifications Page 9 W PLOT PLAN 5Jofc S Page 10 SOIL TEST Page 11 SOIL TEST Page 12 SOIL TEST PAGE 3 Designer: PAUL KOEHLER License Number: MP 225410 Date: 04/12/1._6 Phone Number: 7152462660 Signature: Designed Pursuant to the EZflow Mound Component Manual Ver. August 20, 2007, SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01, R. 10/12) EZflow Mound Version 3.0 (R. 3/1/12) Page 1 of 12 Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) r Residential or Commercial Design 400.00 Estimated Wastewater Flow (gpd) 1.50 Peaking Factor (e.g. 1.5 = 150%) 600.00 Design Flow (gpd) 7.00 Site Slope 102.00 Installation Contour Line Elevation (ft) 100.00 Contour Length Available (ft) 33.00 Depth to Limiting Factor (in) 0.40 In-situ Soil Application Rate (gpd/ft) Distribution Cell Information 9.00 Cell Width (ft) 3 4, 5, 6, 7. 8, 9 or 10 Only 70.00 = Dispersal Cell Length (ft) 1.00 Dispersal Cell Design Loading Rate d/ft2 9 (9P ) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution F N Pressure Disribution Information network? Enter Y or N (c or e) a Center or End Manifold 3 Lateral Spacing (ft) If N above, enter the elevation (ft) 3 Number of Laterals of the highest point. 111.00 0.125 Orifice Diameter (in) (e.g. 0.25) 1.50 Estimated Orifice Spacing (ft) = 4.57 ftz/orifice 2.00 Forcemain Diameter (in) _ 60.00 Forcemain Length (ft) Does the forcemain drain back? N 105.00 Inside Pump Tank Elevation (ft) Enter Y or N 0.00 Forcemain Filter Loss (ft) 6.50 System Head (ft) x 1.3 0 Forcemain Drainback (gal) 5.13 Vertical Lift (ft) 94.14 5x Void Volume (gal) 3.79 Friction Loss (ft) 94.14 Minimum Dose Volume (gal) 15.42 Total Dynamic Head (ft) 56.85 System Demand (gpm) 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 2.00 x 1.50 x x 3.00 2.00 x 3.00 x Gallons/Inch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 1200.00 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Weiser Concrete Manufacturer gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 800.00 Dose Tank Capacity (gal) POLY LOCK Filter Manufacturer 22.24 Dose Tank Volume (gal/in) 525 Filter Model Number Weiser Concrete Manufacturer Project: BRUSHY MOUND PARTNERS Page 2 of Mound Plan View T :::.3 1/10 6 J ♦ Observation Pipe : : K . zSr1rS~lrx %r ~5 ?4~4rS SrS~ ~4 lrxr•r•r•r•rxr• xd=r=d=r• <t+r=rxr.r•dx x r•r• x . 1 S•'.~S=S.ti~SxR*Sri•SxSxSxS~4tS•4•S•S.S•i• .S. S.S.S S•S•Sxb+ S~°s+'~x°b+S.'xi.1.1.4.xS.S.tixS=S.°n 'azS+S.S.S,.b.°ux S*Sx°n.S•S>Sx°4•SzS.i+S. SxS•S.°4 A xj•.r.z.r•r+rkd=Yxd'~r~."= r.r•r•r•r•r•xxr-:•r>r-rxr•r•k.rxtxrxr=r Fr+rxr>rxrxr r•d'•.y •r+r• 4 1 S•S S S S S SrR ~ S•1•S S S S SxS S S~S•S S °n °s S 4*S °a S S.S•S• S•S•SxS•S • W •r r r r r.r r r r r r .°-r r r r rr r r r=r•r r r•r r r r•r=r•r.r•r•r•r•r-r- ..l l B ::3::.:' 2 L Mound Component Dimensions Down slope toe extension made. ft A 9.00 ft E 13.56 in H 1.00 ft K [Aft B 70.00 ft F 12.00 in 1 12.43 ft L ft D 6.00 in G 0.50 ft J 4.96 ft W 630.00 (ft2) Dispersal Cell Area 1500.00 (ft2) Basal Area Available 8.57 (gpd/ft) Linear Loading Rate 7.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View EZflow Dispersal Area Finished Grade 104.50 (ft) .............'`1.,..........,.. j F kk Dispersal cell 103.00 (ft) Lateral 102.50 (ft)--► - 6 Invert Elevation Dispersal Cell . ; . . t Elevation D . . a > A A ] A {A, 4 •'tii ' AAa\t A ~'~h 'tt~~'Sy'i` A A a A. 1~ ,k -A 102.00 (ft) Contour Elevation 7.0 % Site Slope Typical Dispersal Cell Shading Key See Page 5 f'{r"fr Topsoil Cap > d 2- T Subsoil Cap o o Approved Geotextile Fabric Cover 2 © 8 ❑ ASTM C33 Sand ' m 0 - m ,,.ti.S•ti 5.,,•ti S.ti•S. Tilled ft 10 Tilled Layer 75 =a Z y;{r~r~r: x:r:r~r~r 5 :rr~r ;•r•r•r• d d r:l ~r~r~r~r r:r:°~./:f:f .ti~f:r~r 1F e+:'a+:.'yJ: EZf/ow Media r c v, ti.ti.S.S.ti,S. 5.,. 4.Sx1x Lx .'.•ti 1•°e'S•`°• J- r•r•r•r•r• r•r•r r•r• •r•r•r.r•r•r 4•S•S•S•S• S•S•S:S.yx S•S•S•SxR U) o 0.5 ft r1r•r•r rtir1r•r r•r r•r See details on page 4 for number, size, and spacing of laterals. Laterals are located in the 4" gravity distribution pipes as shown on page 5. Project: BRUSHY MOUND PARTNERS Page 3 of End Connection Lateral Layout Diagram Turn-up w1ballvalve orcleanrutplug E- R -,Z 1 st orifice located at Z Ie- X-- +I All laterals identical, with orifices equally spaced s Fore nit connection tta tee or cross to manifold of my pmt. Laterals & farce main of PVC S h 40 S per SP's' Table 334.34.6 Orifices point up except every Sttt one points down for drainage. Number of Laterals 3 Orifice Diameter 0.125 in Lateral Diameter 1.50 in Orifice Spacing (X) 1.52 ft Lateral Length (P) 69.20 ft Orifices per Lateral 46 Lateral End (Z) 0.80 ft Orifice Density 4.57 ft2/orifice Lateral Spacing (S) 3.00 ft Manifold Length 6.00 ft Lateral Flow Rate 18.95 gpm Manifold Diameter 1.50 in System Flow Rate 56.85 gpm Forcemain Velocity 5.81 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 Weiser Concrete Manufacturer 2 in. Capacity 800.00 Gallons -r Volume 22.24 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 19.24 427.86 B 2.00 44.48 C Pump off elevation (ft) C 4.23 94.14 ~ 105.88 D 10.50 233.52 D Total 35.97 800.001 1 Do♦ se tank elevation (ft) Bedding And Backfill As Per Manufacturer 105.00 Alarm Manufacturer SJ RHOMBUS Alarm Model Number PS PATROL Pump Manufacturer zoller Pump Model Number 161 Pump Must Deliver 56.85 gpm at 15.42 ft TDH Note: Switches containing mercury may not be used in this system. Project: BRUSHY MOUND PARTNERS Page 4 of EZflowe Distribution Cell Media Layout 9.00 Cell Width (ft) 1.50 Sidewall to Lateral (ft) Distribution Cell Cross-section Arrangements 9 L ft Wide Component Legend ® SR1-7A Bundle - 5 ft or 10 ft lengths SR1-12A or EZ 1201A in 5 ft or 10 ft lengths SR3-12H or EZ 1201 P or CAM SR3-12H in 5 ft or 10 ft lengths 0 4" Perforated Distribution Pipe With Pressure Lateral Inside • Turnup Enclosure - - - - - Pressure Lateral Bundles are covered with approved geotextile fabric as per the their product approval. Distribution Cell Plan View Layout - Typical 9.00 Cell Width - A (ft) 70.00 Cell Length - B (ft) Center Connection Lateral Layout Diagram Force Main eft Wide End - rt > 4 4. . Manifold Project: BRUSHY MOUND PARTNERS Page 5 of Mound System Maintenance and Operation Specifications Service Provider's Name DARRELS SEPTIC Phone 7154251025 POWTS Regulator's Name PAUL KOEHLER Phone 7152462660 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 630 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 every 3 ears Effluent Filter Inspect and clean as necessary at least once eve 3 years Pump and Controls Test once every 3 years Alarm Should test periodically Pressure System Laterals should be flushed and pressure tested every 3 ears Mound Inspect for ponding and seepage once every 3 years Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap and are secured in as shown in the EZflow Mound Component Manual Ver. August 20, 2007. 2. Dispersal cell media conforms to EZflow products approved for use with the EZflow Mound Component Manual Ver. August 20, 2007. Media is covered with an approved geotextile fabric. 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 *00000,00000000 6-8" Diameter Lawn/ Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Lateral Ends at Last Orifice Where Variable Length Cleanout Begins F Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral EZflow Synthetic Media 2.10 Feet Distribution Lateral Lateral Cleanout -1 Project: BRUSHY MOUND PARTNERS Page 6 of 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 [EZflow Mound Component Manual 8/20/07, Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. 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 as to 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 Wisconsin Department of Commerce. Pump Tank The dosing (pump) 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. If the force main has a weep hole, it should be noted if it is functional during pump operation, and if not, it should be cleaned. No one should ever enter a septic or dose tank since dangerous gases may be present that could cause death. 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 BOD5, 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 3 years. 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 4 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 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: BRUSHY MOUND PARTNERS Page 7 of PUMP PERFORMANCE CURVE EFFLUENT and/or DEWATERING ACAUTION Model 185/4185 should not be subjected to less than 30 feet TDH. PUMP PERFORMANCE CURVE EFFLUENT AND/OR DEWATERING MODELS 3/8', 1/2' & 3/4° SOLID PASSING CAPACITY 140 42- MODEL 49 72 76 98 137/139 140/4140 145/4145 151 152 135 F..t m*n od Uhm 0d. 12r. 0d. l9r. Od. llotn caL Uhn Gal UEr. cd. fYr. Od. UEw. Cal Ulw. iu 16r. 40 191 5 13 32 121 43 163 36 144 50 166 72 273 60 340 66 326 61 232 50 166 66 261 130 10 30 25 95 34 126 30 114 40 151 61 231 75 284 80 303 60 216 45 170 61 231 15 4A 10 38 t6 72 14 53 30 114 45 170 55 220 73 276 56 213 38 144 53 201 2D 51 17 64 25 95 36 135 66 250 53 201 29 110 44 167 38 125 25 7A - - - - - - - - - 8 30 50 223 40 186 16 61 34 120 30 8.1 - - 40 155 45 171 - - 23 57 40 122 - - - - - - - - - 26 108 35 133 - - - - - - 120 so 152 - - - - - - - - - - - - - - 26 99 36 186 60 16.3 - - - - - - - - - - - - - - 16 61 - - - 4186 70 21.3 - - - - - - - - - - - - - - - - - - - 115 80 24.4 - - - - - - - - - - - - - - - - - 90 27.4 - - - - - - - - - - - - - - - - - - - - 34 100 30.5 - - - - - - - - - - - - - - - - - - - 110 t10 33.6 - - - - - - - - - - - - - - - - - - 120 36A - - - - - 130 30.6 9.1 J5 11Am 32 105 Slwt~lf H..& 16 1996 1l 5Am 18 23 Am 23 ft. Am -5-00 50 1139- - 74 R 30 ft. too- 153 161/4161 163/4163 165/4165 185/4185 186/4186 188/4188 189/4189 191 30- cd. W.. Cal U.. QL L%n Od Illr. Od. 1s.. CaL lit.. cal Uh.. Cal Lim Od IJa. AS 77 291 100 379 61 231 61 231 - - se 220 145 50 145 540 45 170 530 45 170 28 61 231 85 322 00 227 60J 226 66 220 134 511 45 170 70 265 N 352 61 231 00.5 229 as 220 140 k11.3 90 52 197 70 200 50 223 40 227 - - 56 220 126 406 45 170 42 150 70 265 57 216 50 223 55 220 122 473 45 170 33 125 62 236 55 206 58 270 85 322 ae 22D 116 454 45 170 45 170 28 85 11 42 45 170 46 172 55 208 70 65 210 104 413 20 76 33 125 50 150 51 193 58 220 367 45 170 I5 57 39 148 32 121 9 220 71 322 45 170 24 165 223 65 9 34 02 tP/ 5t 261 46 170 4th 10 45 170 25 163 4 1170 31 117 2 120 45 170 75 - - - - - - - - 18 80 - - 17 64 40 151 - - - - 20 176 22- - - - - - - - - - 4 15 70 10 38 H 1 56 17.fa M 1 863 4m A 114 91 7m 110 137 4/Am 20 85 A41 JV5N 18 ~ 1 189 4 4189 183 18 140 4163 50 188 14 45 4188 12 152 1 I 35 10 151 185 8 25 4185 6 20 15 4 1 2 5 49 72 53.55 78 37 57,89 39 0 10 20 30 40 50 60 70 80 90 100 110 120 130 140 150 GALLONS UfERS 0 80 160 240 320 400 480 560 FLAY PER 616NIE 009922 © Copyright 2015 Zoeller" Co. All rights reserved. JP9 LEGEND 1" =40FT.- BM EL 100 TOP OF 1/2" PVC PIPE. ALT BM101.85 TOP OF e p` 1/2" PVC PIPE ~~tr?~•~I to qo - • - • - - - - - - - - - • - - - - . - . / I \ ♦ PROPOSED HOME Qel~~ ~44 • ♦ - , , A fit DRIVE WAY 777 )wry' ; ~ / / WIESER 1200/800 COMBO TANK ' p'fJS'GtJ~~~~ ,'I' ~ • Gt~~tr t POLY LOCK 525 FILTER ' P <=•Y ':y I (Q[~~Nr' I!~ ' i 1 \l I , 1 1 1067 Wisconsin Departrrient ofCommerce SOIL EVALUATION REPORT P 2 of 3 Division of Safeta+ and Buildings in e with Commr 85, Wis. Adm. Code steel soil service Attach orxrt sate plan an paper not less than 8% x 19 iriches in sue. Alan €t County St, Croix include, bit rot firriked to: veftd aid horia Wc8nt 3101w, scale or d' " . distw to newmit road. Parcel t.I3_ pending Please print all aeonwition Refiesed By Daft pw WAO -Y to LoW for Law, s. 15.04 (1) (m)). Prop" Property Location Derrick Construction Inc. Govt. Lot NW 114 NE 19 S 5 T 29 N R 19 W Property Owner's Mailing Address Lot # Bbck Subd. Name or CSM# 1505 Hwy. 6 11 no Bluebird 8 City State Zip Code Phone Number City Village Town t Road New Richmond WI 54017 715-2 2320 St.Jo h R 8 8s Trail New Constnictm Use_ Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Repkv;ement Pubic or corn - De=nbe: Pareit material Pitted a ins Flood plain elewition, if applicable n Gerierai comments and r : Mound design,system a n 102.1 Oft based on contour r elevation 1 .85ft M 19 'Boring # a Baring Pit Ground Surface ebbs 102.65 ft Depth to ftmng factor in. Sol Application Rate Horizon Depth Dominant color R Twhm Structure C"isiftice Boundary Rasta GPDM -Eff#1 *Eff#2 1 0-5 IODW none sil 2m k drf if .5 .8 2 5-21 10yr4/4 none sic! 2msbk mfr if .4 .6 3 21-33 7.5yr4f4 none si 1 msbk mfr no .4 .6 4 33-96 10yr7/6 sandstone rarAuum no no no no no .0 .0 8rxlrtg # Boring Pit Ground Su _ 102.65 ft. Depth to • ° factor 96 in. s Application Rabe Hadron Depth Dominant Color Relox Dft#tiDn 'texture Structure Roots GPD& "Eff#1 `Eff#2 1 0-10 10yr313 none so 2msbk drf gw 1f .5 .8 2 10-70 1Qyr4f4 none sw 2msbk mfr 9W no .4 _6 3 70-96 10yr7/6 sandstone residuum no no no na no .0 .0 E #1 = BOD ? 30 < 220 mWj and TSS }30 < 150 ' Effluent #2 = BOD < 30 mg/L and TSS <_0 mg& nV& CST (Please Nam Pried} Signature : CST Number David J. Steel 2 Addm" Steel Sal Sentlos, D E T Ntmtt 1504 CR GG, New Rich W# 1011& 8/16r2 7152 p n Inc. PWXW 1D ding Page 2 of 3 3 1 Boring Boring Pit Ground Surface e1w. S R Depth to 1 f actr 96 rx in. IN I Sol Appkahm Rate Horizon R Texbre urn Roots *EfM1 *E 1 0-10 10yr313 none sal 2rn k drf gw if .5 .B 2 10,43 10yr414 none 2 k ntfr 9w na .4 .6 3 43-96 10yr716 sandstone reMuurr na n na na ne .0 .0 E Boft # .2 Boring Pit Ground . R Depth to . ' factor in. Sai Apo Horizon Dom' Color Red= Deso"m T ry Rooft € *Ef1#1 *EfI#2 Boring Pit Ground Surface elev. ft. Depth to Rn° fadw in. Soil Rate Horizon Deo iDomiriaritColor Redox Descripfion Texture Strudure *Eff#1 *Eff#2 Ef&mrd #1 = D 5' 30,c 220 >30 < 1519 ' E Dr- and TSS <-,V, mg/t. mWL The Depwtment of Commerce is as equal opportunity service provider and employer. 1'f you need cc to Boom wrvim or P~ It i- Page 3 of 3 STEEL'S SOIL SERVICE David J. Steel 1564 Cty Rd GG CST-POWTSM Derrick Construction, Inc New Richmond, WI 54017 Lic. # 248956 NWI/4,NE1/4,S 5,n9,Rl9W (715) 246-6200 Town of St. Joseph, St Croix Co. (715) 246-5085 Bluebird Bluffs lot # I 1 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of the test may or may not be as shown as permanent lot lines were not established at the time the test was conducted. X77' No►~~ l -4-4; 4c r1 , i i keQ en 6~ ' u L - ~cnuj,",rk f'~ /Od•oc)$+ ~ ~ d~l/ZI ~JC f7r'rJ-e- i 7 0 Be,,cA ry,at, IrFA . 101.8 F4- 7-op a VC- = 3o r ~`h~ S # S i k3 2 ~ 02.65 ~F t~ ` 0w ~~Ifl3 30 a~ 7 , 't ! Z? a~ o~ ys III Cplj+04'~ P'I- f ~5y' s c . qF4 B L U E B I to LOCATFD IN PART OF THE NORTHEAST THE NORTHWEST QUARTER OF THE NOR RANGE 19 WEST, TOWN OF North 114 Corner Section 5-29-19 (found aluminum North line of the County monument) NE-1/4, Section 5 -S89'43'53"E 2638.14'- S00'03'43"E %'83.00' _UN_P_L_AT_T_ED_ _L_A_NDS_ S89'43'53"E 1319.19' 174.63' ! 28.11' .:834 0 41RJ6 ' • ~ ° ~ . ~ 476 70" . .dot a 18.69' -1297.92 - X 67 75' ` / A cam, ` _.~,Conservotion x- a 'Eosemgnt Ponding SB94353E Eosement 86.45 ` H-W.L.=9400 LOT 12 N • ~ ~ X . S89 ¢3'53 E / OTy~ 336- 03 O• ~v` 0 x : Sgg 43 `sp.. LOT 11 I' W 6. 49 4858 If 330, 104 35" S362741 E 155.63 9 % o fTi : --A "ENT FOR 13.3 S'S$"E 4 9 + 465.96' • 55%~c XA ~o LOT U 211.23' 6~~-~, w lxt -I,. TS, 7^14 7NN N • 25 g1^9 E tL 253.97' \ nw x cn ' 7.96 - Fla vsemen? RIVE l09 8'59 \X, 7 o ; 355 09 i~ j / S6,6 -(A O LOT 9 ° s9'2o 0 rev • ~ .0i Irv I • ) ^ x ry X j LOT 4 • / / :3~- x x, , / x • TM . Inc. T trnovaliu~sinArecast,Lrai age _'d" Zabel` PL-1525 Effluent Filter astewater PeadueYs A Division of Poly€ok inc. PL-525 Filter The PL-525 Filter is rated for 10,000 GPD (gallons per day) making it one of the largest filters in its class. It has 525 linear feet of 1/16" filtration slots. Like the Polylok PL-122, the Polylok PL-525 has an automatic shut-off ball installed with every filter. When the filter is removed for cleaning, the ball will float up and temporarily shut off the system so the effluent won ft leave the tank. Features: 1/16" Filtration Slats • Rated for 10,000 GPD (gallons per day). Alarm Switch. (Optional) i00i • 525 linear feet of 1/1.6" filtration. 5 = Accepts 1" PVC • Accepts 4" and 6" SCHD 40 pipe. Extension Handle • Built in gas deflector. • Automatic shut-off ball when filter is removed. • Alarm accessibility. Rated for r 10,000 GPD • Accepts PVC extension handle. PL-:525 Installation: Ideal for residential and commercial waste flows up to 525 Linear Ft. of 1/16' 10,000 gallons per day (GPD). Filtration slots 1. Locate the outlet of the septic tank. 2. Remove the tank cover and pump tank if necessary. " Accepts 4" & 6 3. Glue the filter housing to the 4" or 6" outlet pipe. If sCHD 40 pipe the filter is not centered under the access opening use a Polylok Extend & Lok or piece of pipe to center filter. 4. Insert the PL-525 filter into its housing. 5. Replace and secure the septic tank cover. Certified to NSF/ANSI Standard 46 PL-525 Maintenance: The PL-525 Effluent Filters will operate efficiently for several years under normal conditions before requiring cleaning. It is recommended that the filter be cleaned every time the tank is pumped, or at least every three„ years. If the installed filter contains an optional alarm, the owner will be notified by an alarm when the filter Gas Deflector needs servicing. Servicing should be done by a certified septic tank pumper or installer. Automatic 1. Locate the outlet of the septic tank. Shut-Oft Ball 2. Remove tank cover and pump tank if necessary. 3. Do not use plumbing when filter is removed. 4. Pull PL-525 cartridge out of the housing. 5. Hose off filter over the septic tank. Make sure all solids fall back into septic tank. 6. Insert the filter cartridge back into the housing making sure the filter is properly aligned and completely inserted. Outdoor smartFilterx, Alarm Extend & LctkTti, Polylok, Zabel & Best filters accept Easily installs 7. Replace and secure septic tank cover. the SmartFilterJ 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 PG) / Lf ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer bal `50- +-+fl-~Lj ~1 t L~-4.r i., - Mailing Address IV "2c> ot Property Addres (Verification required from Planning & Zoning Department for nea c traction.) City/State4 4::A Parcel Identification Number 0 gG Z t -3 1 LEGAL DESCRIPTION Property Location gu% % , Sec. , T j N R !'r7 W. Town of - Subdivision Lot # Certified Survey Map # , Volume , Page # Warranty Deed # Volume , Page # Spec house ves no Lot lines idcntif 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 §Comrn. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, 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 113 full of sludge, Uwe, 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 Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning 8 Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this rtn are true to the best of my/our knowledge. Uwe am/are the owner(s) of the property described above, by virtue c)f a wa my deed recorded in Register of Deeds Office. Number f edr otns SIG ATURE OF PLICANT(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. 08105) IW009-BZ" `3118 99V9-9Z~-008 0 \ :af10d-1SOd :31V0 00/00/00 31V0 OSLtS IM 'HOOa N301VW Ol lMH Sfl 9LL2M ivnNVV4 OIld3S Via 31300003 fl3531M W ~ 8f10d-38d 31V05 = dOM :.18 NMv8a 103-008/09ndim W w w U J ~ O Z H Q U) Li O Li mO J Z O W 0 0 z or~ a. o a `n LL. a F- O or J (%j W H Q ir m o H a- H _ N Q U w U O Q o ~kQ Z \ m W H Zce < o O U F- Z 2 \ U li J Z o o z W 00 LL- 0 < F- d6 O O wJ ~U Q Z O< OU O> a Ln \U O O Vi m WW O O ~ O vv Y o 00 N Q s> u s J <L p N O (N a O W \ M JmW Q W (n 't (D O Q U a Z ¢ a 0 00 Q_ O p O m W M O Q 0 CV (n O <n k' MN oF in H a N 1 F J O W Q W Q Oo Li N W U O Z Y m a_ Y M Lr) Lo --J 1 ~Z~n Z OAa F W V) QO e 4J 00 Z w H U' W f.- F- Z M~W~O~ ..3p= oQ Do N w a w mFw oU Q ZJr>mm:0 ~~O U_ OU O(U/I~ Q p Zwa ~X w OQOO c Zo Zs z O U U QV) a V)3m0M2iN -J ' Q~ QN" Z O 00 W J W W O O Y > Z N W Q Z O ~ Z Z OJ F 00 F- U Q i F - V) U H W ~ -i Z > O T~F 11 11 III as w 11 / I I. W II ~ If 11 11. I w Of II I~ II II I~ f N w I LU 5; 5; II ` II~ I I I' Q .jI Ir o ~l - w 1 I J 0 J I I. 9£ I II w ~Q II I I w m CE U) L, 11 O I~ I Q f I I f uS „yeti I u£ w U M II II I I I ~ a ~ I f' 0 1 I I~ I I r. J-1 Q a J ~ Z w 0038 Q N SV Z Q 3d d A- 1067 Wisconsin Department of Commerce SOIL EVALUATION REPORT page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Steel Soil Service Attach complete site plan on paper not less than 8'% x 11 inches in size. Plan must County St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and - percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. 03 Please print all information. Reviewed By A Date - z-Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location Derrick Construction Inc. Govt. Lot NW 1/4 NE 19 S 5 T 29 N R 19 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1505 Hwy. 65 11 na Bluebird Bluffs City State Zip Code Phone Number City _ 'Village Y! Town Nearest Road New Richmond WI 54017 715-246-2320 St.Joseph Rolling Hills Trail M New Construction Use:# Residential / Number of bedrooms 4 r rate 600 GPD Replacement Public or commercial - Describe: / Parent material Pitted outwash plains AUG `2Flgod-platrjelevat n, if applicable na General comments ~r CCUU~U[[ 3. and recommendations: Mound designs elevation 102.1 Oft bas d on~~ndpt~+5 levation 1 .85ft .1unrv . ~3 Z I~~ zovi, c o Boring # Boring V? Pit Ground Surface elev. 102.65 ft. 96 in. ication Rate Depth to limiting factor Soil !GPD/ft2 Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff*Eff#2 1 0-5 10yr3/3 none sil 2msbk drf gw 1f .5 .8 2 5-21 10yr4/4 none sicl 2msbk mfr gw 1f .4 .6 3 21-33 7.5yr4/4 none sl 1msbk mfr gw na .4 .6 4 33-96 10yr7/6 sandstone residuum na na na na na .0 .0 \ Boring # 4ri Boring I Pit Ground Surface elev. 102.65 ft. Depth to limiting factor 96 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftZ *Eff#1 *Eff#2 1 0-10 10yr3/3 none sil 2msbk drf gw 1f .5 .8 2 10-70 10yr4/4 none sicl 2msbk mfr gw na .4 .6 3 70-96 10yr7/6 sandstone residuum na na na na na .0 .0 * Effluent #1 = BOD ? 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 David J. Steel ,Q~-- 248956 Address Steel Soil Service/ G Date Evaluation Conducted Telephone Number 1564 CR GG, New Richmond, WI 54017 8/16/2002 715-246-5085 Property Owner Derrick Construction Inc. Parcel ID # pending Page 2 of 3 F 3 ] Boring # Boring or Pit Ground Surface elev. 99.25 ft. Depth to limiting factor 96 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz *Eff#1 *Eff#2 1 0-10 10yr3/3 none sil 2msbk drf gw 1f .5 .8 2 10-43 10yr4/4 none sicl 2msbk mfr gw na .4 .6 3 43-96 10yr7/6 sandstone residuurr na na na na na .0 .0 F-1 Boring # Boring i 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 *Eff#1 *Eff#2 ❑ Boring # Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 *Eff#1 *Eff#2 * Effluent #1 = BOD 5> 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 Page 3 of 3 STEEL'S SOIL SERVICE David J. Steel 1564 Cty Rd GG CST-POWTSM Derrick Construction, Inc New Richmond, W1 54017 Lic. 4 248956 NWI/4,NE1/4,S 5,T29,R19W (715) 246-6200 Town of St. Joseph, St Croix Co. (715) 246-5085 Bluebird Blu1fis lot # 11 N This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of the test may or may not be as shown as permanent lot lines were not established at the time the test was conducted. / 77 Nor~N {.o~~; AC 11 L lc/,8 F4. Topot vc fq/ ,1 ~ _ (3o r ~`hc~ S er44,br~S -i 132- 133 - ~~i. 25~~ - QM 30 02. ~5 ' I g_~6 -0 2 i1 5 7 I°~'"~P p L 00 . 1;3- i B L U E B I I (,A LOCH TED IN PART OF THE NORTHEAST THE NORTHWEST QUARTER OF THE NOR RANGE 19 WEST, TOWN OF. North 114 Corner Section 5-29-19 (found aluminum North line of the County monument) NE-114, Section 5 S89'43'53"E 2638.14'- S00'03'43"E %'83.00' UNPLATTED LANDS 941.34 - - - S89'43'53"E 1319.19' 174.63' 28.1 .58.34" 0 418.36' o -47.6.-70'.-. do. ~aw -1297.92'- x w i ~ "Conservation a 6775 " O ' Easement x Ponding S894353 E Easement 86.45' H.W.L.=940.0 LOT 12 i yy~~ S89 43 53"E OT 10 336.03' _ x O X. )7. CA CD. rn S89 43 394858E os LOT 11 CA 330. 104.35" _ S382741 E O E I CA 13J i 55.63 ~ o ~ : EASEMENT FOR I i LOT 13 11- "58" E yz4 s 465.96' ~S55j6 p o x 0,211.23' S• - 7nH~ X N78 42;58 ES~8=o9: L ~ x 253.97' x I c„5o.25 97 36, II o Conservation S ~o I °o ;s Easement ' .8 \ 1 9 r 0 S \ 6 ~ , ~ RIVE ~ - 9 80 k G~ ~~~0 Gg / J,1.8 • S69' 8 58 Ems. ' / \ O 8 :o o LOT 9 9101, w / 2M ^ - - x x LOT4 / x