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HomeMy WebLinkAbout030-2161-06-100 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: Safety and Building Division St. Croix INSPECTION REPORT Sanitary Permit No GENERAL INFORMATION (ATTACH TO PERMIT) 584730 State Plan ID No: Personal information you provide may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)]. 2689794 Permit Holder's Name: City Village Township Parcel Tax No Derek & Annette Roth TOWN OF SAINT JOSEPH 030-2161-05-000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: /0,0-00 naE G2 -S7-.4415 ff1t 24.30.20.3188 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic ~ Benchmark Dosing W l~~ 1lq (~0•d(7 c Alt. BM ~ o 17C, Aeration L/~rlail /Y &1 Bldg. Sewer Holding F/I SUHt Inlet icy 3 TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic 'c ~i~ Z`~ f 16.1 _ Dt Bottom g Dosing u ~ N ~t 6( Header/Man. 7Z / Aeration t()q. 3 1 ` lOL• .3. Dist. Pipe Holding ~b ADZ •g Bot. System tDy 3 Z.Z~ o . al PUMP/SIPHON INFORMATION Final Grade Manufacturer Demand St Cover Zr-•e, Ile, v GPM s s$ Model Number oy/ jpq Z / V BA) 16- 1 TDH Lift , Friction Loss System Head TDH Ft 13.0 ii!,. ?51, y.ss 1 Zo.3 Forcemain Length 1 Dia. Dist. to Well 56 LN N SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Li uid De th DIMENSIONS 7 ~r SETBACK SYSTEM TO `7 P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION ~Lie Type Of System: ~ CHAMBER OR 57 UNIT Model Number: DISTRIBUTION SYSTEM KC74Aa V r Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) 7 r I / Length Dia Length 3.7 Dia Spacing V& SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over x : Depth of ]77~oclded xx Mulched Bed/Tren ~Cente~ f' Be Trench dges ) To soil l (J( p u It Yes No Ej Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 1/57 Inspection #2: (0 _ &'_4J Location: 1434 25TH ST tP 1.) Alt BM Description is', Al C vJ ~~9e>~. 2.) Bldg sewer length - amount of cover k(r ~tG~ ~Gyr~y S ~ ~T I "_ZH A✓G: S~z,E Plan revision Required? ❑ Yes [V No G Use other side for additional information. SBD-6710 (R.3/97) Date Insepctor's Signature Cert. No. C• Coun,S 82 I cei Safety'a~ Buildi , s Division 201 W. Washington Ave. P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.) P Madison, WI 5, -7162 °'srox~~~` 7 Cif it Application State Transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governm nit ac's 17 C~ 1 L f is required prior to obtaining a sanitary permit. Note: Application forms for state-owned PO1A7TS are submitted to Project Address (if different than mailing address) the Department of Safety and Professional Servies. Personal information you provide may be used for secondary u os in accordance with the Plea Law. 1 All All Information Stars. / ,Ll,~ ) 3 1. Application Information - -Please Print A Property Owner's Name ' Parcel # -J lU C > f~ 00-9161- 05-c~~ I 7State s Mailing Address Property Location Govt. Lot r~ Zip Code Phone Numbe r 5 f /4 a x f + y /a, Section V V circle one II. Type of Building (check all that apply) Lot # T N; R E o> iKor 2 Family Dwelling - Number of Bedrooms 5 Subdivision Name ❑ Public/Commercial - Describe Use UtC~ ❑ City of ❑ State Owned - Describe Use CSM Number ❑ Villa--e of .Y 75 <Town of _ S-F vti in. Type of Permit: (Check only one boa on line A. Complete line B if applicable) At- J~ A. New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber 11 Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner IV. T e of POWTS 0-,stem/Component/Device: (Check all that a ly Q ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil Mound < 24 in, of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ` ❑ Pretreatment Device (explain) ' V. Dis ersaUTreat ent Area Infor Design Flow (gpd) Design Soil API S "icnersal Area Require sf) Dispersal Area Propo sfj~ System Elevation T (J VL Tank Info % 4x~~ 7 Lu~ 'E Manufacturer New Tanks C / c~ U vz y v~ iz C7 e Septic or Holding Tank J~ Dosing Chamber VII. Responsibility Statemer C P O OwTS sh the attached plans. Plumber's Name (Print) MFRS ber Business Phone Number r--7 F 2Z L) Z... 715 - 7,'i'~~- Z Plumbers Address (Street. Cir VIII. C un /De artmer pproved tsapl Issu' gent Signatu IX. Condit8MS1;$I P#VbiE"easons ion 1. 'Septirtank, effluent filte, Bind A t~ • CCI°L, 'as cell must all be !!iainta'.r.er per management plan provided by plumber. 1 t~+ C.✓f/~,{ v~ 2 1Sll'sall egitit~eC-.tents must be maintzined as per SKAG Mt coda 1 ordinances. ~4j Ose, Attach to complete plans for the system and submit to the County only on paper not less than 8 in a 11 V es in size s) Owmx r tJG1- ael s a~~ SBD-6398 (R. 11/11) tOG~' n puort, 4-6 5 1t~~f l r SE I)Li 5 Z T3v n t) R Zv V\I, r C n :F a~ 'ilk-~3t -fvU-S l 2,32J Z, i i. r l ' t1cc)s i s i ~ r N j F / 1. 'rf F 40.' 1 s _ DIVISION OF INDUSTRY SERVICES pAR"tSiE}~, f - 10541 N RANCH RD HAYWARD WI 54843-6462 Contact Through Relay ` S P ~K http://dsps.wi.gov/programs/industry-services www.wisconsin.gov sro^ Scott Walker, Governor Dave Ross, Secretary L 1 April 06, 2016 CUST ID No. 223242 ATTN: POWTS Inspector JEFFERY V FOX ZONING OFFICE JEFF FOX CONTRACTING & SEPTIC INC ST CROIX COUNTY SPIA PO BOX 565 1101 CARMICHAEL RD DRESSER WI 54009 HUDSON WI 54016-7708 CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 04/06/2018 Transaction ID No. 2689794 Site ID No. 822702 SITE: Please refer to both identification numbers, Derek and Annette Roth 1434 25TH St above, in all correspondence with the agency. Town of Saint Joseph St Croix County SW1/4, SE1/4, S24, T30N, R20W FOR: Object Type: POWTS Component Manual Regulated Object ID No.: 1594642 Maintenance required; 600 GPD Flow rate; System(s): Mound Component Manual - Ver. 2.0, SBD -10691-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,- °--4 The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code ~._requirements. P'®'• No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s. 145.06, Conde stats. AP The following conditions shall be met during construction or installation and prior to occupancy or use: SEppRTMENT R • A copy of this approval letter and index sheet shall be attached to plans that correspond with the copy on ~le I with the Department. Changes to the approved plan must be submitted for review and approval. Failure to properly attach the approval and index page to plans that match the copy on file with the Department may reSul EE CORK in enforcement action under s. 145.10, Stats. • This system is to be constructed and located in accordance with the approved plans, and the "Mound Component Manual for Private Onsite Wastewater Systems Version 2.0" SBD-10691-P (N.01/01, R. 10/12). • 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). • 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 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. JEFFERY V FOX Page 2 4/6/2016 • The system was designed to meet the influent quality defined in SPS 383.44(2)(a) The quality of influent discharged into a POWTS treatment or dispersal component consisting in part of in situ soil shall be equal to or less than all of the following: 1. A monthly average of 30 mg/L fats, oil and grease. 2. A monthly average of 220 mg/L BOD5. 3. A monthly average of 150 mg/L TSS. • SPS 383.54(3)(b) (b) The servicing frequency of an anaerobic treatment tank for a POWTS shall occur at least when the combined sludge and scum volume equals 1/3 of the tank volume. • The inspection, maintenance and servicing reports shall be submitted to the governmental unit within 30 calendar days from the date of inspection, maintenance and servicing. • The owner is responsible for the operation and maintenance of the private onsite wastewater treatment system (POWTS) in accordance with SPS 383 and the approved management plan • The owner of a POWTS shall be responsible for ensuring that access opening covers remain locked or secured except for inspection, evaluation, maintenance or servicing purposes. • Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Provide a copy of the approved POWTS plans and this letter to the owner. • Prohibit vehicle traffic and soil disturbance within 15 feet of the downslope edge of the mound pursuant to "Mound Component Manual Version 2.0" SBD-10691-P (N.01/01, R. 10/12). 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 l ation/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 PO WTS 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, Edwin A Taylor Please Include a Copy With Your Wastewater Specialist , Division of Industry Services Payment Submittal. (715)6')4-3484, Monday - Friday 8:00 am To 4:30 pm WiSMART code: 7633 edwin.taylor@wisconsin.gov MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Derek & Annette Roth Owner's Name: Owner's Address: 1434 25TH St. Hudson WI 54016 Legal Description: SW1/4 SE1/4 S24 T30N/R20 W Township: St. Joseph County: St. Croix Subdivision Name: Orchards of St. Croix Lot Number: 5 Block Number: Parcel I.D. Number: Plan Transaction No.: Page 1 Index and title Page 2 Data entry j Page 3 Mound drawings ~~ac~,. Page 4 Lateral and dose tank 01V Page 5 System maintenance specifications ` Page 6 Management and contingency plan A CU ERC A UIL :.5 Page 7 Pump curve and specifications TtCT 301( i F S DE E Designer: Jeff Fox License Number: MPRS 223242 Date: 03/21/16 Phone Number: 715-491-3458 Signatur Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SBD-10691-P (N. 01/01, R. 11/12), and both 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) Version 7.0 (R. 11112) Page 1 of 7 Mound and Pressure Distribution Component Design Design Worksheet Site Information (R or C) R, Residential or Commercial Design Note: Sand fig (D) calculations assume a 400.00 Estimated Wastewater Flow (gpd) Table 383-44-3 in-situ soil treatment for fecal coliform of 36 inches. 1.50 Peaking Factor (e.g. 1.5 = 150%) 600.00 Design Flow (gpd) 9.00? Site Slope 100.00 Contour Line Elevation (ft) 22.00 Depth to Limiting Factor (in) 0.40 In-situ Soil Application Rate (gpd/ft2) Distribution Cell Information 75.00 Dispersal Cell Length Along Contour (ft) = 8A0 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpolft2) 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;, a Center or End Manifold 4.00 Lateral Spacing (ft) If N above, enter the elevation (ft) 2' Number of Laterals of the highest point. 0.156: Orifice Diameter (in) 2.30' Estimated Orifice Spacing (ft) = 9.38 ft2/orifice 2.00` Forcemain Diameter (in) 120.00: Forcemain Length (ft) Does the forcemain drain back? Y 89.00' Pump Tank Elevation (ft) Enter Y or N 4.55 System Head (ft) x 1.3 19.57 Forcemain Drainback (gal) 11.76 Vertical Lift (ft) 67.41 5x Void Volume (gal) 3.01 Friction Loss (ft) 86.99 Minimum Dose Volume (gal) 0.00 In-line Filter Loss (ft) 34.46 System Demand (gpm) 19.31 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 x 1.00 1.50 x x 1.25 2.00 1.50 x x_n 3.00 2.00 x 3.00 x Gallons/Inch Calculator (ciptional) Treatment Tank Information Total Tank Capacity (gal) 1260.00 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Wieser Manufacturer gallin (enter result in cell B49) Dose Tank Information Effluent Filter Information 800.00 Dose Tank Capacity (gal) lifetime Filter Manufacturer 22.24 Dose Tank Volume (gal/in) 8 Filter Model Number Weiser Manufacturer Project: Derek & Annette Roth Page 2 of 7 Mound Plan and Cross Section Views T 11106 J Observation Pipe K t A W j B 31 I • L Mound Component Dimensions ft A 8.00 ft E 22.64 in H i1ft ft K i1ft B 75.00 ft F 9.50 in 1 ft L ft D 14.00 in G 0.50 ft J W 600.00 (ft2) Dispersal Cell Area 1579.62 (ft) Basal Area Available 8.00 (gpd/ft) Linear Loading Rate 7.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 102.96 (ft)4, < j * H • J//lffrr/fr'irifirrir'i 1 x. -riff/ffrfff/fff/f rrfrfr'/fffrr G F Dispersal Cell 101.67 (ft) Lateral 101.17 (ft) - Invert Dispersal Cell t 'D: Elevation fA } J , yam' t t t k r. A_ . _ 100.00 (ft) Contour Elevation 9.0 % Site Slope Geotextile Fabric Cover Shading Key T- Dispersal Cell See lateral details on 1❑ Topsoil Cap C 1.5 ft Page 4 for number, size, 2 vfrrfffr Subsoil Ca and spacing of laterals. Cap .2 Laterals are equally ASTM C33 Sand a F spaced from the ® Tilled Layer = 0.5 ft Typical lateral distribution cell's © Aggregate o centerline in the distribution cell (AxB). Project: Derek & Annette Roth Page 3 of 7 End Connection Lateral Layout Diagram Laterals centered over the & dimension w=Turn-up vdballwalveorcleranoutplug I P All lateral= are !identic 0 i< X --j Hol es drilled on the bottom of the later al equalig _paced Forte P main rconnoetion via tee or or o!;-, to m anitoid at, anv Doint. Lateral,: Morcernain Sch 40 PVC per PS Table 334.:301 Number of Laterals 2 Orifice Diameter 0.156 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.37 ft Lateral Length (P) 73.47 ft Orifices per Lateral 32 Lateral Spacing (S) 4.00 ft Orifice Density 9.38 ft2/orifice Lateral Flow Rate 17.23 gpm Manifold Length 4.00 ft System Flow Rate 34.46 gpm Manifold Diameter 1.50 in Total Dynamic Head 19.31 ft Forcemain Velocity Dose Tank Information Lockhly cover with vVafltU1,9 sable and locking device and sealed watertight Electrical as per NEC 300 and - SPS 316.300 WAC 4 in. min. Disconnect Tank component is property vented E-- Altemate outlet location Forcemain diameter Weiser Manufacturer 2 in. Ca acit 800.00 Gallons t_ Volume 22.24 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 19.16 426.12 C B 2.00 44.4$ Pump off elevation (ft) C 3.91 86.99 89.91 D 10.90 242.42 D Total 35.97 800.00 Dose tank elevation (ft) Bedding un ar tank. 89.00 Alarm Manuafacturer Rhombus Note : Switches Alarm Model Number MJ Plugger containing mercury may not be us ;d in Pump Manufacturer Zoeller this system. Pump Model Number BN 152 Pump Must Deliver 34.46 gpm at 19.31 ft TDH Project: Derek & Annette Roth Page 4 of 7 Mound System Maintenance and Operation Specifications Service Provider's Name Jeff Fox Phone 715 491 3458 ~~n POWTS Regulator's Name St.Croix Cty Zoning Phone 715 386 4680 vstern Flown and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 118 in Estimated Flow - Average 400 gpd maximum BOD5 220 mg/L Septic Tank Capacity 1200 gal maximum TSS 150 mg/L Soil Absorption Component Size 600 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu1100 mL Service FEggg2e acv Septic and Pump Tank Inspect and/or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once ever 3 ears Alarm Should test monthly Pressure System Laterals should be flushed and pressure tested ever 1.5 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 on.ooonnoene•oa onooamnenoonmoo Grade 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Bali Valve Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Derek & Annette Roth Page 5 of 7 I . ~:ilf ~~~MO..✓ POR MOM moll i g AM P~ 1r3 tst 752 seg. t~ *QL l0 a 16 4J ~t . it } 7~ R. - "srak► 20 o r nod pa am see 4 j I slow _ T t 3 iK3 Wood AWANOW *WW - tZ 4- AN)O U c ~T ~4 t QA SE'19 S Zlq r.Zv P RZO ~V. L.C3T Fa i2Ctll~i20S 17 T C zu \j 1 S~ ~E1 I -fUl1S- _ jri /J J q gEL r ors C- 4 j J Ifr } f✓ ci f' , 1 ' I I J a f I ~ !v " 1 "IV4 \1 ST. CROI\ cti,t N.1.} SIT"I IC; TANK. NIAINTENANCFAGRH MI-AT AND OWNERSHIP CF,RTIFWATTON FORKI Owtter/B1.1yer P/~ Mallit7<= Addres Property Addres. ~,JY 2s ~ . (Verifi/ca~tio-nrequired from Maiming & Zonin partrent for new construction ) Cit'V/Statc Parcel Identification Number 030 11F.GA1, DESCRIPTION 2 iW7 Property Location Sec. ZY C 70 N R- ZO W, Town of` 'G Subdivision Plat: Q~t ul!C Lot 4 5 Certified Survey Map Volume Page Warranty Deed # (before 2007)Volunle . PaLe ,r Spec house ❑yesoto Lot In:_• I SYSTEINI NIAWITNANCE AND OtiN'NER CLRTiFICATIO;N hnpioper use and maintenance of votu' septic ,vstcm could result in it, ninintenance consists of pumping out the septic tank every three years or sooner, it nccded, by a iicensed pumper. What you put into (lie system can affect the function ofthe septic tank as a treatment stage in the waste disposal system. Owner maintenance responsihilities arc specified in t SPS. 383.52(l) and in Chapter 12 -tit. Croix County Sanitary Ordinance. 'The property owner agrees to submit to St. Croix County Planning & "Zoning Department a certification form, signed by the owner grid by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site ~vasicti~,ilei disposal system is in proper operating condition and."or (2) after inspection and pumping (if necessary), the septic tank is less thin 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 Satety And Professional Services and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained ntti.st he complete td and retuned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the hest of my/our kno" ledpc, fhvc am`asc the own~:r(s t of the property described above, by virtue of a wiy-ranty deed recorded in Register of Deeds Offiec. Number of bedrooms _YK SIGNATURE OF APPLICANT(S) - DATI ***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 Re Vister of Deeds Office and a copy of the certified survey map if reference is made in the warianiv deed. 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Adm. Code Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and~~x percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. Q - 7- (,o O~ _ 000 Please print all information. SE Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Reviewed By 1 Date /G l~N I'mem cou Property Owner Property Location HARTMAN HOMES Cp~AMUNfTY' D Govt. Lot NW1/4, SE1/4, S24, T30N, R20W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 744 RYAN DRIVE #102 5 ORCHARDS OF ST. CROIX City State Zip Code Phone Number City ❑ Village Z Town Nearest Road HUDSON WI 54016 715-377-1555 St.Joseph 25TH STREET Z New Construction Use: Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD ❑ Replacement ❑ Public or commercial - Describe: NA Parent material GLACIAL TILL _ Flood plain elevation, if applicable NA ft. General comments A portion of the upslope edge of the original system was filled/compacted. Relocated contour within tested area. Site requires a 14" and recommendations: sand fill mound component. Maximum basal SLR = 0.4 (eff #1). Use 7-9% design slope at flagged contour. ~SSuA~tlBoring # ❑ Boring Pit Ground surface elev. 100.00 ft. Depth to limiting factor 24 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistenc Boundary Roots GPD/ftZ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-8 10YR 3/3 SIL 1 C SBK MVFR GS IF 0.4~ 0.6 2 8-24 10YR 4/4 LS 0 SG ML-VFR GS IF 0.7 1.6 3 24-34 5YR 4/4 C1,F-D 10YR 5/8 7.5YR 5/8 GRFSL OM MFR 0.2 0.5 Q EA t47 S &,5"V- `D IS T. Boring # Boring Pit Ground surface elev. 98.70 ft. Depth to limiting factor 22 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistenc Boundary Roots GPD/f? in. Munsell Qu. Sz. Con t. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-8 10YR 3/2 SIL 1 C SBK MVFR CS 1F 0.44' 0.6 2 8-16 10YR 4/3 LS 0:54 MVFR GS 1'.F 0.7 1.6 3 16-22 7.5YR 4/4 SL 1 M SBK MFR GS 0.4 0.7 4 22-30 5YR 3/4 C2D 7.5YR 5/8 GRSCL 0M MFI 0.0 0.0 * 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 William J. Bergh 227819 Address Geo Tech Soil & Site Evaluation, LLC Dat Evaluation Conducted Telephone Number 11091 30th Avenue Chippewa Falls, WI 54729 /23/2014 715-577-6838 SBD-8330 (R. 11/1 1) Property Owner HARTMAN HOMES Parcel ID # Page 2 of 3 ❑ Boring F3 Boring # ❑ Pit Ground surface elev. 98.70 ft. Depth to limiting factor 30 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-6 10YR 3/2-3 LOAM 2 6-23 7.5YR 3/4 SL 3 23-30 5YR 3/4 SL 4 30-46 7.5YR 3/4 F1F 7.5YR 5/3 7.5YR 4/6 LVFS-LS Boring completed on origianal soil test on 6/1/2005. ❑ 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/ft2 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/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD5> 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD5 < 30 mg/L and TSS < 30 mg/L The Department of Safety and Professional Servicese is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, contact the department at 608-266-3151 or TTY through Relay. SBD-8330Test (R 11/11) Geo Tech Soil & Site Evaluation, LLC d SZ) Q ,f f LL f A I ! Q. i~ , M oo ! A c~ w N w ~o<< wa< V yow r a=r N W ' 0 3 W a a€6 oz Sa> f 0 O o F z_ w Zinf Q 0 --Ht =O 0 C Q U ~ J Y w ~ U Z d U ~ m o t.- m O 0" ow cO N~¢w ~c~ mm Zwz n a O w - ~3 fz ~wma~oOrOn LU > m 3 3 U ww00O vtli UFO x 0 U m W w= ~z ul a p 0 scwOOwppwp0 pwN cam z z Z .w.i o mwwp z 2 03 MOOOQ mpz~ U) ¢ lf)z~ -:LLZ~ o~ ~F =w~F--war-w W N F c~ w ; Q- ON¢¢ Q U¢~- awwo m Off' mm000wpw V w Z O U 3z~~ 0 C0*®e® j oz V o ~ N N REUSE OF DOCUMENTS GEO TECH, LLC ORCHARDS OF ST. CROIX This document has been developed for a specific JOBSITE INFORMATION: application and not for general use. Therefore it may 1109130TH AVENUE HARTMAN HOMES $W-SE-24.30-20W not be used without the written approval of CHIPPEWA FALLS, WI 54729 ST. JOSEPH TOWNSHIP =PLOTPLAN Geo Tech, LLC. Unapproved use is the sole PH: (715577.6838 FAX: (888)466-8573 25TH STREET responsibility of the unauthorized user email: billy@wastewaterpros.com HOULTON,WI ST.CROIX,WI PARCEL DESCRIBED AS 3.0 AC.