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008-1072-70-100
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No 589757 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan D No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)] 2731037 Permit Holder's Name: City Village Township Pa ce Bernard & Holly Hillstrom TOWN OF EA N 008-1072-70-100 CST BM Elev: Insp. BM Elev: BM Descrip ion: O e t n/Town/Range/Map No: Q 1 y,mbe a 25.28.16.379D TANK INFORMATION . ELEVATION DATA TYPE T E CAPACITY STATION BS HI FS ELEV. V . UT q. Septic \t.,'\ C Benchmark B9, VN . Dosing ~ v n ~uoU~ Alt. BM FceratrUPf A Bldg. Sewer% ' T] 2,31 IS- St/ tlnlet 7.2\S~ TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L LL BLDG. Vent to Air Intake ROAD Dt Inlet YC Ate W Septic Dt Bottom Dosing Heade Ma . LIT jar (o,a Aeration l Dist. Pipe Holding Bot. System _ (a g3 g7- (o Final Grade PUMP/SIPHON INFORMATION LO 9.7/ e Manufacturer Deman I St Cover L~ 1 GPM ' g I'O e 9. 5-9 Model Number O~ k/ TDH Lift 5,~~ FrictionLoss System Head TDH ZF?t' OBI / f 'i q.37 - L ~f Forcemain Lengttt,,_t Dia. Z, t Dist to Well x,00" I ' V SOIL ABSORPTION SYSTEM LF BED/TRENCH Width ' I t Length No. Of Trertr65 A fq PIT DIMENSIO No. Of Pits Inside Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAK TREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of ystem,~~ UNIT Model Numb DISTRIB TION SYSTEM pr N Heade anifol Distributio/npQ x Hole Size Hole Spacing VV to Air Inta/!/~, Length 2'T,Dia_ 4 Length gq•Z1p r Dia / yt' Spacing '2-1 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/Trench Cent Bed/Trench Edges ) r I / Z. H Topsoil ~ es No Yes ~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: 10-LI-V IO Location: 261112THAVE nDer"" on S)rH p)An- vvejl-dJh 14 hdL6-e- 1.) Alt BM Description ~~W'( 6n tfi~ sa ; ~(J~`' '1~ L' 6 L 2.) Bldg sewer length = 2 - amount of cover = J L 'Ian revision Required? [.J Yes '1)~o 9_~~ Use other side for additional information. 120 Date 1XInsepctor's Signature Cert. No. S3D-6710 (R.3/97) 1 1 zl- i,y a s~ 151, { i t i V Y- J ~i Ll ~ i ~ LEC o p IV - ~„FS r~r C ty Safety and Buildings Division j Q p~~~P D 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.) S Madison, JUG kAib 6 5`175 7 ST. Cft emit Applicu9S24KgQRgVRM State Transaction Number In accordance3y~ . , is. Adm. Code, submission of this form to the appropriate governum al unit 0.3 is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POVJTS are submitted to Project Address (if differen than mailing address) the Department of Safety and Professional Servies. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, s. 15.04(1)(m), Stats. .0 or L Application Information - Pie Pr' t All Information r Property Owner's Name O Parcel # Property Owner's Mailings Address Property Locations` 1 9 Govt. Lot City, State ' Zip Code Phone Number /4, Section 7 - 0 circle one . II. Type of Bui ing (check all that 16ply) Lot # T f' N; R E o or 2 Family Dwelling - Number of Bedrooms Subdivision Name Block ff' ❑ Public/Commercial - Describe Use F- ~W ❑ Cin, of ❑ State Owned - Describe Use CSM Number c, ❑ Village of r 4 E, X- /to IJL qJ J~x L/ 3 XT III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. %,New System ❑ Replacement System ❑ Treatment/Holdin- Tank Replacement Only ❑ Other Modification to Existing System (explain) ❑ Permit Transfer to New List Previous Permit Number and Date Issued / B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber Before Expiration Owner W. Type of POWTS System/Component/Device: Check all that apply) p ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil Mound < 24 in. of suitable soil ❑ Holding Tank ❑ O r Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dis ersal/Treat nt Area information: Design Flow (gpd) Design Soil Application Rate(gpds Dispersal Area Required 0 Dispersal Area Propo,*~ (S6 System Elevation VI. Tank Info Capacity in Total 4 of Manufacturer Gallons Gallons Units o New Tanks Existing Tanks a L R ak- Z Septic or Holding Tank /UC% C /C,-- C i. Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS town on the attached plans. Plumber's Name (Print) Plumber's ature "JMPRS Number Business Phone Number pis c Plumbe ' Address ( et, City, State, ip Code) VIII. ountv/De artment Use Only Approved isa I'll o d Permits Fee Date sued !A Issuing nt Signatur wn eason for Denial $ 0 11A 7U IX. Condit b*W.Reasons for Disapproval 11. , *tank, effluent tift* and 3 Co v dhq*%ai cON must all be 0. Vices! t nta:_r.S *S* rnpraplneM plan provided by plumber. 2 ` f 161lbilr~k ! must: be Maird iried M PK l'ode' J tirdinvom. Attach to complete plans for the system and submit to the County only on paper not less than 8 1/2 x 11 inches in size SBD-6398 (R- 11/11) /~Iax7aTE~~ DIVISION OF INDUSTRY SERVICES 10541 N RANCH RD HAYWARD WI 54843-6462 1 ai Contact Through Relay P http://dsps.wi.gov/programs/industry-services www.wisconsin.gov OFs10 Scott Walker, Governor Dave Ross, Secretary July 14, 2016 CUST ID No. 220357 ATTN: POWTS Inspector BRADY J UTGARD ZONING OFFICE UTGARD PLUMBING & HEATING ST CROIX COUNTY SPIA PO BOX 413 110 1 CARMICHAEL RD AMERY WI 54001 HUDSON WI 54016-7708 CONDITIONAL APPROVAL - PLAN APPROVAL EXPIRES: 07/14/2018 Identification Numbers Transaction ID No. 2731037 SITE: Site ID No. 825964 Bernard Hillstrom Please refer to both identification numbers, 2611 12TH Ave above, in all correspondence with the agency. Town of Eau Galle St Croix County SW1/4, SW1/4, S25, T28N, R16W FOR: CON Description: Mound, 3 bedroom residence A Object Type: POWTS Component Manual Regulated Object ID No.: 1610487 Maintenance required; 450 GPD Flow rate; 7 in Soil minimum depth to limiting factor from original grade; System(s): DEPT Mound Component Manual - Ver. 2.0, SBD -10691-P (N.01/01, R. 10/12), Pressure Distribution Component ManuaIPROFE$ Ver. 2.0, SBD-10706-P (N.01/01, R. 10/12), SSWMP Pub. 9.6; Effluent Filter DIVISION OF 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: Key Item(s) • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • All conditions of Interpretive Determination Transaction # 1140796 must be followed, except the linear loading rate may be 4.5 gallons per linear foot as per Jansky's inspection report. • Deep and thorough chisel plowing to a depth of at least 10" shall be done to the absorption area prior to placing the sand. The county may, at their discretion, request verification that appropriate plowing is accomplished prior to sand or aggregate placement. • The bottom of the distribution cell shall be level per the Mound Component Manual. The "D" dimension shall be a minimum of 30" per Interpretive Determination . The maximum finished slope of the mound surface shall be equal to or less than 3:1 per the Mound Component Manual. BRADY J UTGARD Page 2 7/14/2016 Reminder • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per SPS 383.44(6)(a)2. • Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual. • Surface water drainage shall be diverted away from the system area per Mound Component Manual. • Materials shall conform to the requirements of SPS 384. • Maintain well and waterline set backs per SPS 383.43(8)(i). Consult the Department of Natural Resources for well setbacks and other regulations and exceptions. 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. Sincerely, Fee Required $ 250.00 Fee Received $ 250.00 Balance Due $ 0.00 Patricia L Shandorf WiSMART code: 7633 POWTS Plan Reviewer, Division of Industry Services (715) 634-7810, Fax: (715) 634-5150 , M - F 8:00 a.m. - 4:45 p.m. pat.shandorf@wisconsin.gov cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN INDEX AND TITLE PAGE Project Name: HILLSTROM Owner's Name: BERNARD HILLSTROM Owner's Address: 2611 12 TH. AVE.SPRING VALLEY WI. 54767 SUN Fib 2611 12TH. AVE. Cis~~y ~~ols S Legal Description: SW/SW/S25/T28/R16W F,gl/~C Fs Township: EAU GALLE County: ST. CROIX Subdivision Name: 802556 / VOL 20 / PAGE5037 Lot Number: 4 Block Number:-., PROVED Parcel I.D. Number: 008-1072-70-100 SAFETY AND Plan Transaction No.: ~.ONAL SERVICE- I „ SCRVICES Pagel Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank ORPE56 ND Nth Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 PLOT PLAN j Page 9 SOIL EVALUATION Designer: BRADY UTGARD License Number: 220357 Date: 06/27/16 Phone Number: 715-268-6995 Signature: - Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) Version 3.11 (R. 06/01) Page 1 of 9 Mound and Pressure Distribution Component Design Site Information R Residential or Commercial Design Note: Sand fill (D) calculations assume a 300.00 Estimated Wastewater Flow (gpd) Table 83-44-3 in-situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150%) coliform of 36 inches. 450.00 Design Flow (gpd) 9.00 Site Slope 84.52 Contour Line Elevation (ft) 6.00 Depth to Limiting Factor (in) 0.20 In-situ Soil Application Rate (gpd/ft2) f Distribution Cell Information 100.00 Dispersal Cell Length Along Contour (ft) = 4.50 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ft2) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? c Center or End Manifold 2.25 Lateral Spacing (ft) If N above, enter the elevation (ft) 4 Number of Laterals of the hial--t -nin+ 0.188 Orifice Diameter (in) (e.g. 0.25) 3.00 Orifice Spacing (ft) = 7.03 ft2/orifice 2.00 Forcemain Diameter (in) 145.00 Forcemain Length (ft) Does the forcemain drain back? Y 83.00 Pump Tank Elevation (ft) 3.25 System Head (ft) x 1.3 23.65 Forcemain Drainback (gal) 4.02 Vertical Lift (ft) 62.81 5x Void Volume (gal) 5.22 Friction Loss (ft) 86.46 Minimum Dose Volume (gal) 12.49 Total Dynamic Head (ft) 41.94 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 x 1.00 1.50 x 1.25 x x 2.00 x x 1.50 x 3.00 2.00 x 3.00 x Gallons/Inch Calculator Treatment Tank Information 600.00 Total Tank Capacity (gal) 1000.00 Septic Tank Capacity (gal) 36.00 Total Working Liquid Depth (in) weiser Manufacturer 16.67 gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 600.00 Dose Tank Capacity (gal) POLYLOK Filter Manufacturer 16.67 Dose Tank Volume (gal/in) PL-525 Filter Model Number weiser Manufacturer Project: HILLSTROM Page 2 of 9 Mound Plan View T 1/1 0 B . . . . 33 J Observation Pipe - K -Ap O Iq A W .t B ............i - . . . z 3 . . . . . . . ' . ' . ' . ' . ' . ' . ' . " . ' . ' . ' . " . ' . ' . ' • ' • ' . • Mound Component Dimensions A 4.50 It E 34.86 in H [A1.00 ft K 134ft B 100.00 ft F 9.25 in z ft L .8ft D 30.00 in G 0.50 ft J ft W 31.41 It 450.00 (ft2) Dispersal Cell Area 2250.00 (ft) Basal Area Available 4.50 (gpd/ft) Linear Loading Rate 10.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 88.79 (ft) D F Dispersal Cell 87.52 (ft) Lateral 87.02 (ft)-► - Invert Dispersal Cell 3 E Elevation D • • . • / • • . . . . . . 4 84.52 (ft) Contour Elevation 9.0 % Site Slope Geotextile Fabric Cover Shading Key a -T Dispersal Cell See lateral details on 1i 0 Topsoil Cap _o 1.5 It y- Page 4 for number, size, Subsoil Cap N o I and spacing of laterals. ©0 ASTM C33 Sand F Laterals are equally Tilled Layer y 0.5 It Typical Lateral spaced from the ❑ I distribution cell's 5 Aggregate d' 0 5 Tl centerline in n the A distribution cell (AxB). Project: HILLSTROM Page 3 of 9 Center Connection Lateral Layout Daigram Force main connection via tee or cross to manifold at. any point. Laterals are identical P S Turn-up vdball valve or I X Tlxl2->l Laterals & force main of PVC Sch 40 clean out pl u g per COMM Table 84.10-5 Holes drilled on the bottom of the lateral. Number of Laterals 4 Orifice Diameter 0.188 in Lateral Diameter 1.25 in Orifice Spacing (X) 3.18 ft Lateral Length (P) 49.29 ft Orifices per Lateral 16 Lateral Spacing (S) 2.25 ft Orifice Density 7.03 ft2/orifice Lateral Flow Rate 10.49 gpm Manifold Length 2.25 ft System Flow Rate 41.94 gpm Manifold Diameter 2.00 in Total Dynamic Head 12.49 ft Forcemain Velocity 4.28 ft/sec Dose Tank Information Locking cover with warning label and locking device and ~ sealed watertight Electrical as per NEC 300 and Comm 16.28 WAC 4 in, min. Disconnect -i- _ Tank component is properly vented E------ Alter loco r Forcema! Weiser _ Manufacturer Capacityl 600.00 Gallons Volume 16.67 gal/inch A I Dimension Inches Gallons j B ' siphon device A 22.81 380.18 B 2.00 33.34 C Pump off elevation (ft) _t 1 C 5.19 86.46 _83.50 LD 6.00 100.02 D Total 35.99 600.00 - Do~- se tank elevation (ft) 3" Bedding un er tank. 83.00 Alarm Manuatacturer LEVEL Alarm Modei Number DLV Pump Manufacturer GOULDS Pump Model Number EP05 Pump Must Deliver 41.94 gpm at 12.49 ft TDH Project: HILLSTROM Page 4 of 9 ' II Mound System Maintenance and Operation Specifications Service Provider's Name UTGARD Phone 715-268-6995 POWTS Regulator's Name ST. CROIX Phone 715-386-4680 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Inspect and/or service once eve 3 ears Effluent Filter Should inspect and clean at least once eve 3 ears Pump and Controls Test once eve 3 ears Alarm Should test month) Pressure System Laterals should be flushed and pressure tested eve 1.5 ears Mound Inspect for ponding and seepage once every 3 years INSPECT FILTER ONCE A YEAR Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished Grade . . . . . . . 6-8" Diameter Lawn . . . Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: HILLSTROM Page 5 of 9 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals (SBD-10691-P (N.01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L 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 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: HILLSTROM Page 6 of 9 E P` .L C tPO5 Series Art►t1CATI ONS 4 EP05 artsPetier= The rmOpias i l► r F "t ily desfQrsesi flee ~ t !Oiltrwi usesz.t - ac twtebtted design ASS aN# fr„ar "4 a imprOVd tftrty 4r ~+earing Men-, systemr Perttxmance. ~trt~(Eign ssr,,,, fs s caging and Baas: Rugged s %x4m**.j~d ther~stic design Pra+ndes AGENCY LiST1!ttc, ` Heavy duty sumo i . AjrV supedt}r strength and COrYO*n ° - - --w---_- = € ; re'Sivirice. n star tran34er U&WwAs MJwi.urt.. {}@ Haterrrfi A'~ r` r-,L a S ■ MOtw Housing: Cast iron - or LAOS" as °~x s s at ttte for effident teat transfer. ' I% no 4A9! SPECIFICATIONS str"P. MW durabifty. Aids itarxfflag ca¢abilny, FEATURIS MMDt" Cover:~ h"* am rrLi7cirn ;T _ ai f ! thrat svoka ~V"" :apdcRteS, up to 60 cpM s 1 04 heads up tt} 31 M = ~ der Cable Seven dsr " p~ roted 04 and water re iStant ~ rh~e size I lb- NPT. ~r~' ` ~f9F5. ~ echanKAM seal carb"- r^Tary/(tram K-stationary, 4JNA-N e#astomen 341 14M cOnunuws m °f f6O"C} snterrrriatlvst. rF#r WA"ft ~rnners: 3OQ ser*s 10 f t r inning 30~ { „~.-Ni;t,0;ldarn" t0 t ~-`secs,,,! :;a=sOOnents a 3 r.SsT ~ f ° 14 51ngte phase O 4 SIP 6 TOi 70 , bu Ftp z5t k t "A butt sr: csverlw with / vatic few in l s ~5 Single phase 0 5 HP. or 13OV- 60 HZ. I SSO kisM tx"q :n Overload wit" 4uT0,f%aTsc reset + vwtc ,Ord 10 loot ` ~ Mpa R ~-Tar4rPae~f soh 1rx'3 5. >,'k with alter 7f0ng ` q u mdtrto plug QP(Mar 70 V ` p - - ZO 'Plonq grounding Oiu4 ti} `E s1y^" ~Vl? c 2 6 6 1 ..r C'APACiTV ~ Goulds Pumps * <co3 vu,.ias r-„nc~, A j- r~~~~ T 6r}dtlStr:r~, r kjj a ` J SJ~ A *-i y ? ^V ~ 1 I Y ti -tit v v ~ 0 k' l QQ 1 r-Nk ST. CROIX COUNTY SEPTIC TA_ K _NL~s,INTEN ANCE AGR.EENENT A_N-D OWNERSHIP CERTIFICATION FORM er~_-1 ~~~r~C zh VL Owner/Buy Mailing Address 14 Property Address / (Verification required from Planning & Zoning Department for ne construction.) Ciiv%State ta_T7 Parcel Identification Number CG' f LEGAL DESCRIPTION T' N RW Town of C~- Property Location SLR /4 L /4 Sec. Subdivision Plat: Lot Certified Surve` Map r'r Volume Page S~ Warrantv Deed -4 10 d 757 (before 2007)Volume . Page Spec house -1 yes ' no Lot lines identifiable yes no SYSTEM VL-vINTENANCE A1_D OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §SPS. 383.52(l) 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, sinned 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 13 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system wile the standards set forth, herein, as set by the Department of Safety And Professional Services and the Department of Natural Resources, Mate of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this orm are true to the best of my/our knowledge. I/we am/are the owner(s) of the property described above, by virtue of a w my deed recorded in Register of Deeds Office. Number of bedrooms SIG -ATtiRE OF APPLICANT(S) DATE ***Anv 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. (RED'. 04/12) 08 12:12 PM Parcel 008-1072-70-100 02/07/20PAGE 1 OF 1 Alt. Parcel 25.28.16.379D 008 - TOWN OF EAU GALLE Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 01/26/2005 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - CHRISTENSEN, KURT & ELIZABETH KURT 8, ELIZABETH CHRISTENSEN 847 WYLDWOOD LN HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ' 2611 12TH AVE SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 12.590 Plat: 5037-CSM 20-5037 008-05 SEC 25 T28N RI 6W PT SW SW CSM 19-4917 OL Block/Condo Bldg: LOT 04 1 (12.59 AC) BEING CSM 20-5037 LOT 4 (12.59) Tract(s): (Sec-Twn-Rng 40 1 /4 160 1/4) 25-28N-16W Notes: Parcel History: Date Doc # Vol/Page Type 01/11/2007 842430 WD 01/11/2007 842428 WD 08/05/2005 802556 20/5037 CSM 01/26/2005 785882 19/4917 CSM 2008 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/06/2006 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 12.590 43,700 0 43,700 NO Totals for 2008: General Property 12.590 43,700 0 43,7000 Woodland 0.000 0 Totals for 2007: General Property 12.590 43,700 0 43,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 6 ' Wisconsin Department ol'Conunerce SOIL AND SITE EVALUATION Page Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8 x 1 I inches in size. Plan must include, but St. Croi not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to the nearest road. Parcel ID 4 ING ICE ` 66 B ! Date: 'APPLICANT INFORMATION - Please print all information Reviewed D Personal intbnnafiou you provide may be used for secondary purposes (privacy Law, s. 15.04(1)(m)). Property owner: Property location Kurt and Elizabeth Christensen Gov't lot: SW 1/4 SW 1/4 S25 T 28 N. R16 W Properly owner's mailing address: Lot a Block R sub:. Name CSM#(1 - 877 Benoy Road NA NA Grh ~QLiC Ch-~ City / State / Zip Code Phone number: city Village Town Nearest Road Hudson / Wisconsin /54016 715-386-6340 Eau Galle 12`h Avenue New Construction Use ❑ Residential/Number of bedrooms Unknown Addition to existing building: NA ❑ Replacement ❑ Public or commercial - describe Code Design Flow Rate: Unknown - must be appropriate size for the contour and soil restrictions Parent Material: Glacial Till - ground moraine General Comments and Recommendations: Soils are somewhat poor lossoboralfs underlain by very dense gravely clay loam. Redox features are the result of perching above the dense sandy loam Jaye ng narrow moun is recommended for this site with 2.50 feet of sand fill. This site is a horse pasture and has areas of soil compacti A+ 0 site -requires State on-site SOIL DESC N REPORT Boring # Horizon Depth Dominant Redox Description Texture Structure Consistence Boundary Roots Soil Application Rate in. Munsell Color Qu. Sz. Cont. Color Gr. Sz. Sh. GPD/FT2 Pit I Ay Eff# I Eff#2 p 0-7 l OYR 3/2 NA sil Imsbk mfr aw if 0.4 0.6 Ground Bit 7-10 10YR 4/4 NA gr-sil Imsbk mfr aw If 0.4 0.6 Liev (ft.) 99'22 =Bt 10-15 10YR 5/4 fl f 7.5YR 5/6 gr-sic] I msbk mfr as NA 0.4 0.6 Depth to C 15-18 5YR 4/4 m2d 7.5YR 5/8 cl massive limiting factor- in. 0 Remarks: Small amt ol'cla,, in Bt I, very dense C horizon. Pit reviewed - 9 November 2004. Boring # Ap 0-9 10YR 3/2 NA sil Imsbk mfr aw If 0.4 0.6 Pit 2 Bt 9-18 10YR 4/4 fIf 7.5YR 5/6 sicl Imsbk mfr aw if 0.4 0.6 Ground I] ev (ft.) 99.88 Depth to limiting factor- in. 0 Remarks: Ap horizon - redox features in root channels may be present; 13t very dense. Pit reviewed - 9 November 2004. US"f' Name: Eli M. Gottfried. Gottfried Environmental Signature: f,,, `a, . 14, 1. I Tel. No. 715-833-1400 Address: 124-1/2 Graham Ave. Eau Claire. WI. 54701 Date: 9 Nov, 22 Nov 2004 CST # 221981 SOIL DESCRIPTION REPORT ' Property owner Christensen ParcelID# Boring # Horn Depth Dominant Redox Description Texture Structure Consistence Boundary Roots Soil Applicalon Rate in. Munsell Color Qu. Sz. Cont. Color Gr. Sz. Sh. GPD/h' Pit 3 Fff# 1 EI-62 Ap 0-8 1OYR 3/3 NA sil Imsbk mfr aw If 0.4 0.6 Ground Elev (11.) Bt 8-10 10YR 4/3 fld 7.5YR 5/8 A Imsbk mfr aw if 0.4 0.6 101.02 C 10-18 IOYR 5/3 flf 7.5YR 5/6 gr-sicl massive Depth to limiting factor- in. 0 Remarks: Bt small amount of clay, 5% gravel. Pit reviewed - 9 November 2004. Boring # tlor~ . Depth Dominant Redox description Texture Structure Consistence Boundary Roots Soil Application Rate in. Munsell Color Qu. Sz. Cont. Color Gr. Sz. Sh. GPD/FT2 Pit 4 EMI Eff#2 Ap 0-7 1 OYR 3/2 NA A 1 msbk mfr aw 1 IF 0.4 0.6 (iround Bt 7-11 1 OYR 4/3 f2d 7.5YR 5/8 gr-sicl 1 msbk mfr aw If 0.4 0.6 Elev (ft.) 93.24 C 11-14 1 OYR 5/3 fl If 7.5YR 5/6 gr-sicl massive Depth to limiting lactor- in. 0 Remarks: Pit reviewed - 9 November 2004. Boring # Ap 0-8 I OYR 3/3 7.5YR 5/8 - A I msbk mfr aw i f 0.4 0.6 root channels Pit 5 Bt 8-10 IOYR 4/3 fId 7.5YR 5/8 A Imsbk mfr aw if 0.4 0.6 Ground C 10-18 l OYR 513 flf 7.5YR 5/6 gr-sicl massive F;lev (ft.) 93.30 Depth to limiting factor- in. 0 Remarks: Pit reviewed - 9 November 2004. Boring # Florizon Depth Dominant Redox description Texture Structure Consistence Boundary Roots Soil Application Rate in. Munsell Color Qu. Sz. Cont. Color Gr. Sz. Sh. GPD/FT' Pit 6 EIM I Erf#2 Ap 0-8 I OYR 3/3 NA A 2msbk mfr aw 3vf 0.6 0.8 Ground Glev Btl 8-12 I OYR 4/4 NA A Impl mfr aw 2f 0.4 0.6 84.52 Bt2 12-16 10YR 5/4 m I d 7.5YR 5/8 Sid I mpl mfr as NA 0.4 0.6 Depth to limiting C 16-18 10YR 5/3 m2d 7.5YR 518 cl massive 'actor in. 0 Remarks: Btl -small amt of clay, 1 m worm channels; Bt2 - very dense + 5% gravel. Evaluation - 22 November 2004 SOIL DESCRIPTION REPORT 'roperty owner Christensen Parcel ID# Boring # Hori Depth Dominant Redox Description Texture Structure Consistence Boundary Roots Soil Applica ion Rate in. Munsell Color Qu. Sz. Cont. Color Gr. Sz. Sh. GPD/F"1= Pit 3 E-4# EM2 Ap 0-8 l OYR 3/3 NA sil Imsbk mfr aw l f 0.4 0.6 Ground Bt 8-10 l OYR 4/3 fld 7.5YR 5/8 sil Imsbk mfr aw if 0.4 0.6 Elev (ft.) 101.02 C 10-18 l OYR 5/3 flf 7.5YR 5/6 gr-sic] massive Depth to limiting factor-in. 0 Remarks: Bt small amount of clay, 5% gravel. Pit reviewed - 9 November 2004. Boring # Hor Depth Dominant Redox description Texture Structure Consistence Boundary Roots Soil Application Rate O in. Munsell Color Qu. Sz. Cont. Color Gr. Sz. Sh. GPD/FT2 Pit4 Eff#1 Eff#2 Ap 0-7 l OYR 3/2 NA sil Imsbk mfr aw 1 f 0.4 0.6 Ground Bt 7-11 1OYR 4/3 f2d 7.5YR 5/8 gr-sicl Imsbk mfr aw If 0.4 0.6 Elev (ft.) 93.24 C 11-14 1OYR 5/3 flf 7.5YR 5/6 gr-sicl massive Depth to limiting factor-in. 0 Remarks: Pit reviewed - 9 November 2004. Boring # Ap 0-8 10YR 3/3 7.5YR 5/8 - sil l msbk mfr aw 1 f 0.4 0.6 Pit 5 root channels Bt 8-10 l OYR 4/3 fl d 7.5YR 5/8 sil Imsbk mfr aw If 0.4 0.6 Ground C 10-18 1OYR 513 171 IF 7.5YR 5/6 gr-sicl massive Elev (ft.) 93.30 Depth to limiting factor- in. 0 Remarks: Pit reviewed - 9 November 2004. Boring # Horizon Depth Dominant Redox description Texture Structure Consistence Boundary Roots Soil Application Rate A\J in. Munsell Color Qu. Sz. Cont. Color Gr. Sz. Sh. GPD/FT2 Pith f~' UPI Eff#2 Ap 0-8 I OYR 3/3 NA sil 2msbk mfr aw 3vf 0.6 0.8 Ground Btl 8-12 1OYR 4/4 NA A Impl mfr aw 217 0.4 0.6 Elev (ft.) 84.52 Bt2 12-16 1OYR 5/4 mld 7.5YR 5/8 sic] Imp] mfr as NA 0.4 0.6 Depth to C 16-18 l OYR 5/3 m2d 7.5YR 5/8 cl massive limiting factor-in. 0 Remarks: Btl - small amt of clay, 1 m worm channels: Bt2 - very dense + 5% gravel. Evaluation - 22 November 2004 SOIL DVSCRIPTION REPORT Property owned Christensen Parcel IM Boring # Horizon Depth Dominant Redox Description 1'exture Structure Consistence Boundary Roots Soil Application Rate in. Munsell Color Qu. Sz. Cont. Color Gr. Sz. Sh. GPD/FT' Pit ? P Eft# I Eff#2 Ap 0-10 10YR 3/2 NA A 2msbk mfr aw 3vf 0.6 0.8 Ground Btl 10-12 1OYR 4/3 NA A 1nipl mfr aw 2vf 0.4 0.6 Flev (ft.) 84.60 Bt2 12-14 10YR 4/4 flf 7.5YR 5/8 Sid Impl mfr as NA 0.4 0.6 Depth to C1 14-18 IOYR 5/3 m2d 7.5YR 5/8 cl Imsbk mfr aw NA 0.2 0.3 limiting factor- in. C2 18-20 10YR 5/3 map 7.5YR 518 cl massive 0 Remarks: Btl - small amt of clay. 2f worm channels: Bt2 - very dense + 5% gravel. Evaluation - 22 November 2004 Boring # liori on Depth Dominant Redox description Texture Structure Consistence Boundary Roots Soil Application Rate in. Munsell Color Qu. Sz. Cont. Color Gr. Sz. Sh. GPD/FT' Pii 8 Eff# I Fff#2 Ap 0-7 l OYR 3/2 NA A 2msbk mfr aw 3vf 0.6 0.8 Ground Btl 7-12 1OYR4/3 fif7.5YR5/8 A Impl mfr aw 2vf 0.4 0.6 I;lev (11.) 83.04 Bt2 12-14 IOYR4/4 m I d 7.5YR5/8 Sid 1mpl mfr NA NA 0.4 0.6 Depth to limiting lactor- in. 0 Remarks: Btl - small amt of clay, 2f worm channels; Bt2 - very dense + 10% gravel. Evaluation - 22 November 2004 Boring # Ap 0-7 10YR 3/2 fl d 7.5YR 5/8 sil Bl Btl 7-12 10YR 4/3 fIf 7.5YR 5/8 sil Ground Bt2 12-14 10YR4/4 m I d 7.5YR5/8 Sid Flev (ft.) 79.62 Depth to limiting factor- in. 0 Remarks: Hand boring - 22 Nov 04: Redox features along root channels. Boring # Horizon Depth Dominant Redox description Texture Structure Consistence Boundary Roots Soil Application Rate in. Munsell Color Qu. Sz. Cont. Color Gr. Sz. Sh. GPD/FT' Eff# 1 1: .f37#2 Ground Flev (1t.) Depth to limiting factor- in. N m O U x D N O ~ N N (n M C \ fl- W ~ N C -M C j - - _ - _ _ C QJ N p 00 ~ - ~ \ ~ (O (n C7 C m y M N YVVA, _ YU)w Emzr I i ~ i ~ O A N N N C3 rn UJ I to\ ~ i IIm ~ ~ F O U 0 i i M O` n \ i N d O rn~ O I ~ c}V d O N N O ~ - 1 U F- y 'D C ~I_ N 0 'D p M un a ~ a K O v ~ - N p d E ~ a o C ? v ~ U O W s 7 ~ v V - V - w O _ (6 S - ~ o v w m' u ~ S; E o a u o ~ 0 n co o w f Parcel 008-1072-70-100 02/07/2008 12:12 PM PAGE 1 OF 1 Alt. Parcel 25.28.16.379D 008 - TOWN OF EAU GALLE Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 01/26/2005 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - CHRISTENSEN, KURT & ELIZABETH KURT & ELIZABETH CHRISTENSEN 847 WYLDWOOD LN HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ' 2611 12TH AVE SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 12.590 Plat: 5037-CSM 20-5037 008-05 SEC 25 T28N R16W PT SW SW CSM 19-4917 OL Block/Condo Bldg: LOT 04 1 (12.59 AC) BEING CSM 20-5037 LOT 4 (12.59) Tract(s): (Sec-Twn-Rng 401/4 1601/4) 25-28N-16W Notes: Parcel History: Date Doc # Vol/Page Type 01/11/2007 842430 WD 01/11/2007 842428 WD 08/05/2005 802556 20/5037 CSM 01/26/2005 785882 19/4917 CSM more... 2008 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/06/2006 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 12.590 43,700 0 43,700 NO Totals for 2008: General Property 12.590 43,700 0 43,700 Woodland 0.000 0 0 Totals for 2007: General Property 12.590 43,700 0 43,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 SAFETY AND BUILDINGS DIVISION commerce.wl.gov Integrated Services Bureau 13 East Spruce Street isconsin INSPECTION REPORT Chippewa Falls, 54729 www.commerc .w 12544 Department of Commerce (715) ) 720 2544 Date of Inspection: May 2, 2005 Plumber Name and Address: Project Name: Christensen Use: Residential Legal Description: SW SW 25-28-16W Site Number: 698935 Subdivision: Lot 2 of proposed CSM Certified Soil Tester Name and Address: Municipality: Town of Eau Galle Eli M. Gottfried, CSt 42258 County: St. Croix PO Box 1645 Eau Claire, WI 54702 Plan Transaction Number: 1140796 Sanitary Permit Number: NA Owner Name and Address: Elizabeth and Kurt Christensen Wastewater Flow: 450 gpd 877 Benoy Rd Persons Present: E. Gottfried, E. Hudson, Wi 54016 Christensen An onsite soils verification was conducted at the above referenced site as per district policy for all sites with less than four inches of unsaturated soil below the bottom of the A horizon. The intent of this investigation is to confirm initial observations by the certified soil tester (CST) relating to the presence or absence of redoximorphic features in the A horizon and/or subsoil. In-situ soil texture, structure, and consistence factors were also reviewed as they relate to wastewater application rates. Other site conditions such as percent and direction of slope, landscape position, land surface contour length, and surface water hydrology may also be noted and their effects are factors considered in the recommendations and conclusions portion of this report. A typical soil profile at T-1 could be described as follows: 00-03" 10YR 3/2 sil, 2mgr, mfr, aw. 03-08" 10YR 3/2 sil, 2csbk parting to pl, mfr, as. 08-15" 10YR 4/4 sil, 2m-csbk, mfr, cw, w/ f2f 10YR 4/6 and 5/3 rmfs. 15-18" 10YR 5/4 sicl, 2msbk, mfr, w/cad depletions on ped surfaces. If a mound system is designed to overcome limitations of a high level of seasonal soil saturation and slow permeability, the linear loading rate should not exceed 4.5 gpd/ft and the basal wastewater application rated should not exceed 0.2 gpd/ftz. The additional basal area will partially compensate for the gentle land slope and prevent wastewater leakage at the mound toe. At least 30 inches of sand lift is recommended when applying septic tank effluent to the distribution cell of the mound to ensure proper treatment. The longest portion of the mound must be orientated along the contour. The mound shall be constructed to divert surface water around the mound structure as much as possible. In addition, an up slope drainage ditch should be considered if it is determined that surface or subsurface hydrology is improved by intercepting water and diverting it away from the mound site. If there are any questions regarding this report, please contact me. Leroy G. nsky, W water ecialist cc: County ❑ Plumber Ljansky@commerce.state.wi.u E-mail XCST ❑ Owner 715/726-2544 Voice 715/726-2549 Fax ❑ Other Safety and Buildings commerce.Wi.gov 10541 N RANCH ROAD HAYWARD WI 54843 TDD co .co #:mmrce erce-wi.gov/-gov/s b/ (608) 264-8777 isconsin ~f www Department of Commerce www.wisconsin.gov t/ Jim Doyle, Governor Mary P. Burke, Secretary May 25, 2005 FILE NUMBER CUST ID No. 42258 ATTN: POWTSMspector ELI M GOTTFRIED M N 0 7 2 GOTTFRIED ENVIRONMENTAL ZONING OFFICE 124 1/2 GRAHAM AVE ST CROIX COUNTY SPIA PO BOX 1645 1101 CARMICHAEL RD EAU CLAIRE WI 54702-1645 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/25/2007 Identification Numbers FTransaction ID No. 1140796 SITE: Elizabeth & Kurt Christensen e ID No. 698935 Town of Eau Galle, St Croix County lease refer to both identification numbers, SE 1/4, NW 1/4, S23, T28N, RI I W above, in all correspondence with the a ency. FOR: Object Type: Soil Saturation Determination Regulated Object ID No.: 1019665 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: 1. Approval is hereby granted pursuant to s. Comm 85.60(2), Wis. Adm. Code, to estimate the depth to seasonal soil saturation based on an interpretive determination process. Approval of the interpretive determination negates the requirement in s. Comm 85.30(2)(b), Wis. Adm. Code to designate the ground surface as the highest level of soil saturation when redoximorphic features are less than 4 inches below the bottom of the A horizon. 2. The estimated highest level of prolonged soil saturation approved under this determination is 7 inches below grade. At least 29 inches of sand lift on top of 7 inches of unsaturated, in-situ soil is required for adequate treatment and dispersal. 3. The basal soil application rate for the mound shall be 0.2 gpd/sf, and the linear loading rate 4.0 gpd/ ft. 4. Chisel plowing to a depth of 10+ inches immediately prior to sand placement is required to improve vertical water movement into the soil solum. 5. Landscaping up slope of the mound shall be incorporated into the POWTS design to prevent surface water from concentrating along the up slope edge of the mound and to divert surface water drainage away from the system. The mound side slopes shall be as suggested by the soil tester to increase basal area and divert surface water. 6. This approval shall remain valid unless the site is altered in such a way that the depth to soil saturation would change or if saturated conditions are observed for seven consecutive days at depths less than 3 feet below the infiltrative surface of the POWTS distribution component. 7. This approval in no way relinquishes the use of color patterns to estimate the depth to high groundwater on any other parcels or portions of parcels. 8. A copy of this approval letter and attachments must accompany the mound system design for this site for purposes of plan approval and sanitary permit issuance. 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. If plan index sheets were submitted in lieu of additional full plansets, a copy of this approval letter and index sheet shall be attached to plans that correspond with the copy on file with the Department. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. ELI M GOTTFRIED Page 2 5/25/2005 In granting this approval the Division of Safety & Buildings 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. Sincerely, Fee Required $ 100.00 Fee Received $ 100.00 Balance Due $ 0.00 Leroy G. Jansky, Wastewater tst Integrated Services Bureau WiSMART code: 7633 (715)726-2544 Office Ijansky@commerce.state.wi.us IWO GOTTFRIED ENVIRONMENTAL • 124 Graham Ave., Eau Claire, Wl 54701; 715-833-1400 telephone: 715-833-1400; fax: 715-833-1381; email: elicstm(a~sbcglobal.net INTERPRETATIVE REPORT May 10, 2005 ondllolZab' Proper owner: Kurt and Elizabeth Christensen PROW Legal Description: SW SW 25 28 16W JPARTMENT OF COMME: Eau Galle, St. Croix County fiiTYAND BU=~_SPON INTRODUCTION On 9 November and 22 November 2004, a soil test and evaluation was conducted by this soil tester on the property described above. The soil test was done in response to a request by the property owner, Elizabeth Christensen, as part of the development of this parcel for residences. It is the intention of the property owners, Kurt and Elizabeth Christensen, to subdivide this 40 Acre portion of land into 5 parcels. Each parcel is intended to have t residence. RATIONAL FOR THE INTERPRETIVE REPORT High and low chroma features in the soil as compared with matrix soil colors are considered as indicators of seasonal saturation in the State of Wisconsin. Department of Commerce Comm 81.01 (118) states: "High groundwater" means zones of soil saturation which include perched water tables. shallow regional groundwater tables or aquifers, or zones that are seasonally, periodically or permanently saturated. Comm 81.01 (119) further defines evidence of seasonal saturation in the soils: "High groundwater elevation" means the higher of either the elevation to which the soil is saturated when observed as a free water surface, or the elevation to which the soil has been seasonally or periodically saturated as indicated by the highest elevation of redoximorphic features in the soils. At least 36 inches of soil separation is required between the bottom of the soil absorption system and the redoximorphic soil features in most types of soils (Table 83.44-3, Department of Commerce). Where this does not exist, an above ground SAS must be constructed (i.e. mound or At-Grade). The initial determination of this site has found the site to be unsuitable for mound type septic systems (Soil Absorption System), as per WAC Comm 85.30(2)(a) and (b). This code section mandates that: 1 I . Redoximorphic features be used as an indicator of seasonal saturation in the soils. 2. Redoximorphic features appearing at depths of within 4 inches of the bottom of the A horizon shall be interpreted as seasonal saturation occurring at ground surface ("Unless determined otherwise..., the highest elevation of seasonal soil saturation shall be the ground surface where redoximorphic features are present within 4 inches of the bottom of the A horizon.") Although Comm 85.30(2)(b) mandates that redoximorphic features within 4 inches of the A horizon be interpreted as seasonal saturation to ground surface, Comm 85.60(2)(a) allows for an interpretive determination of the soil conditions and depth to seasonal saturation should this condition exist. This section states in part: "A written report by a certified soil tester evaluating and interpreting redoximorphic soil features may be submitted to the department in lieu of high groundwater determination data. The written report shall conclusively demonstrate that the existing soil morphological features or color patterns are not indicative of current conditions of periodic soil saturation." This is the basis for the current report. GEOLOGICAL HISTORY The subsurface formation in St. Croix County consists of the Prairie Du Chien Group (dolomite and sandy dolomite). Depth to bedrock ranges from 0 - 15 meters (Brown, B.A. (1988)). This formation is of Ordovician origin (Paleozoic era 425 mya). Dolomite appears to have been laid during the early Ordovician period, while the sandstone was laid during the late part of the period (Paull, R.K. and Paull, R.A. (1977)). Glaciation of St. Croix County occurred many times during the history of the earth, although the most recent glaciation, during the Pleistocene epoch (approximately 1 million to 10,000 years before present), is the most apparent. There were several stages of glacial advance, the most recent being the Wisconsinan stage. This was the result of the advance of the Superior Lobe and, from this, the Chippewa Lobe (Martin, L. (1965). The Physical Geology of Wisconsin. University of Wisconsin Press, Madison, Wisconsin). St. Croix County appears to be part of the geographical province of the Western Upland. As noted by Paull et al (Paull, R.K., R.A. Paull (1977) Geology of Wisconsin and Upper Michigan. Kendall / Hunt Publishing Company, Dubuque, IA), "The Paleozoic rocks are the retreating erosional edges of marine sediments that once extended across the Northern Highland.... Late Cambrian seas washed over the Precambrian erosional surface to deposit more than 1,000 feet of sandstone, with minor amounts of interbedded dolomite." The St. Croix River has its origin in the Northern Highlands and its resistant Precambrian rock. The loess deposits in St. Croix County appear to be the result of the westerly winds carrying fine textured soils easterly to the eastern bluffs of the river and beyond. The soils observed on site suggest that the area has been influenced by glaciation. Soils appear to be loess (fine-textured, wind blown soil), underlain by glacial till. Gravels (5 - 10%) from glacial till were observed in pits 6, 7, and 8 in the Bt horizon. Loess, present as fine-textured silt 2 1. Redoximorphic features be used as an indicator of seasonal saturation in the soils. 2. Redoximorphic features appearing at depths of within 4 inches of the bottom of the A horizon shall be interpreted as seasonal saturation occurring at ground surface ("Unless determined otherwise..., the highest elevation of seasonal soil saturation shall be the ground surface where redoximorphic features are present within 4 inches of the bottom of the A horizon.") Although Comm 85.30(2)(b) mandates that redoximorphic features within 4 inches of the A horizon be interpreted as seasonal saturation to ground surface, Comm 85.60(2)(a) allows for an interpretive determination of the soil conditions and depth to seasonal saturation should this condition exist. This section states in part: "A written report by a certified soil tester evaluating and interpreting redoximorphic soil features may be submitted to the department in lieu of high groundwater determination data. The written report shall conclusively demonstrate that the existing soil morphological features or color patterns are not indicative of current conditions of periodic soil saturation." This is the basis for the current report. GEOLOGICAL HISTORY The subsurface formation in St. Croix County consists of the Prairie Du Chien Group (dolomite and sandy dolomite). Depth to bedrock ranges from 0 - 15 meters (Brown, B.A. (1988)). This formation is of Ordovician origin (Paleozoic era 425 mya). Dolomite appears to have been laid during the early Ordovician period, while the sandstone was laid during the late part of the period (Paull, R.K. and Paull, R.A. (1977)). Glaciation of St. Croix County occurred many times during the history of the earth, although the most recent glaciation, during the Pleistocene epoch (approximately 1 million to 10,000 years before present), is the most apparent. There were several stages of glacial advance, the most recent being the Wisconsinan stage. This was the result of the advance of the Superior Lobe and, from this, the Chippewa Lobe (Martin, L. (1965). The Physical Geology of Wisconsin. University of Wisconsin Press, Madison, Wisconsin). St. Croix County appears to be part of the geographical province of the Western Upland. As noted by Paull et al (Paull, R.K., R.A. Paull (1977) Geology of Wisconsin and Upper Michigan. Kendall / Hunt Publishing Company, Dubuque, IA), "The Paleozoic rocks are the retreating erosional edges of marine sediments that once extended across the Northern Highland.... Late Cambrian seas washed over the Precambrian erosional surface to deposit more than 1,000 feet of sandstone, with minor amounts of interbedded dolomite." The St. Croix River has its origin in the Northern Highlands and its resistant Precambrian rock. The loess deposits in St. Croix County appear to be the result of the westerly winds carrying fine textured soils easterly to the eastern bluffs of the river and beyond. The soils observed on site suggest that the area has been influenced by glaciation. Soils appear to be loess (fine-textured, windblown soil), underlain by glacial till. Gravels (5 - 10%) from glacial till were observed in pits 6, 7, and 8 in the Bt horizon. Loess, present as fine-textured silt 2 and silt loam in the Ap horizon, may be the result of the influence of the wind-blown fines of the St Croix River floodplain. DESCRIPTION OF THE SITE The parcel of land under investigation lays in the SW SW 25 28 16W, Eau Galle, St. Croix County. All land lays south of 12th Avenue, east of County Road B, and north of French Creek. SOIL MAPPING OF THE AREA The soils in the proposed mound site are identified as Vlasaty series soil (VaC2) according to the Soil Survey of St. Croix County, published by the Natural Resource Conservation Service of the U.S. Department of Agriculture. These soils are described as being "moderately well-drained soils on low ridges and knolls of ground moraines." They are further described as having been "formed in silty sediment and in the underlying clay loam till." Taxonomically, this soil series is classified as Glossaquic Hapludalfs. West of the proposed mound site (near the junction of County Road B and 12th Avenue, the soils are mapped as Emmert (EmE). This soil series is taxonomically classified as a Typic Udorthent (Entisol). On-site evaluation of the soils on this site is in agreement with the published soils data for the site. As noted in the accompanying soil report, the proposed mound area was found to have a silt loam topsoil and subsoil and a clay loam parent material. Redoximorphic features were found in the Bt horizon (silty clay loam) at a depth of 7 to 12 inches below grade. The fact that evidence of seasonal saturation was found at 7 to 12 inches warrants the classification of the soil as aquic. Redox features were found at 7 inches in pit 8. Pit 8 is located 1.5 feet below the proposed contour of the mound. Ground elevation at this location is 83.04 feet. At 60 feet horizontal distance down-slope, the land elevation was 79.62 feet for hand boring B 1. This was a vertical decrease of approximately 5 feet from the proposed mound contour. Redoximorphic features in the soils at B 1 were in the root channels in the A horizon. At a distance 170 feet west of the proposed mound site, at an elevation of 93.24 feet, redoximorphic features were also observed in root channels within the A horizon (pit 4). LOCAL HYDROLOGY As noted on the accompanying plot plan, the proposed dispersal site has a slope of approximately 9%. The land slopes from the northwest to the southeast. General surface flow appears to be west towards French Creek, based on the topographic map for the area. Local subsurface flow presumably also flows west towards French Creek. Regional flow may be west towards the St. Croix River. The topographic maps consulted for this report do not indicate any wetland areas in the vicinity of the proposed mound dispersal systems. No naturally occurring areas of standing water were observed in the area of the proposed mound POWTS. Although standing water was observed in the pits in the early part of 2005 (approximately the 1" week in March), the level of water did not rise to the bottom A horizon. On a visit to the site on 2 May 2005, no water was observed in pits 3 6, 7, 8 or in a hand auger in the vicinity of B 1. Rainfall for the month of March and April 2005 was normal as reported by the St. Paul - Minneapolis Airport reporting station. SIGNIFICANCE OF REPORTED SOIL CONDITIONS AND SURFACE WATER FLOW General surface water flow in the area may be primarily vertical for the first 7 to 12 inches (approximately) as a result of the relatively permeable upper horizons. Permeability is moderately slow in the subsoil and is most likely perching above the dense silty clay loam and clay loam subsoil layers. Most recent use of the land is as a horse pasture. Horses have been pastured here for approximately 8 years. Prior to this time, the land was farmed. In spite of the most recent land use, soils in the vicinity of pits 6, 7, and 8 appear to have moderate structure. Thus, permeability in this horizon appears to be adequate. In the Ap horizon, and slightly into the subsoil (Btl), a moderate amount of worm channels were observed. This suggests that the upper horizons are aerated enough to support aerobic organisms. As noted by Brady and Weil (1990) (Brady, N.C. and Weil, R.R. The Nature and Properties of Soils 13`" Ed, Prentice Hall Upper Saddle River, N.J. p. 463), "Earthworms prefer a moist, but well-aerated environment. They do not live under anaerobic conditions..." Roots and root channels were also present in the 0 to 10" (approximate) range of the soil profile. Soil colors as noted by this soil tester were l OYR 3/3 in the Ap horizon. Organic (hydric) soil colors are usually in the l OYR 2/2 or IOYR 2/1 range. Soil colors in the Bt1 horizon were l OYR 4/3. This color is representative of a normal subsoil color. Gleyed soils are generally in the range of IOYR 5/3 to l OYR 5/2. The lack of redoximorphic features, the lighter (1 OYR 3/2) colors in the Ap horizon and the non-gleyed colors in the subsoil indicate that soils in the immediate vicinity of pits 6, 7, and 8 are well-aerated and are not saturated for more than 7 consecutive days. No puddled or massive soils were observed in the area of the proposed SAS's to a depth to the bottom of the Btl horizon. Close inspection of the Ap horizon did not indicate the presence of redoximorphic features. This suggests that although there is not an A+4 situation, there is adequate depth in the A horizon (approximately 7 inches) to maintain a suitable distance between the bottom of the SAS and the limiting factor and thus to allow for the placement of a mound SAS as per code. The proposed mound site is located on a 9% slope. Thus land position contributes to the moderately well-drained nature of the soils. Soils upslope of the site (shoulder of the slope) display a more shallow soil profile and redox features appear in the Ap horizon. Down-slope of the proposed mound site (back-slope), the slope decreases substantially (approximately 2-3% slope). Water in this area moves at a slower rate and consequently, more water perches on the land surface. This is evidenced by the appearance of redoximorphic features in the Ap horizon in the root channels. HISTIC SOILS 4 6, 7, 8 or in a hand auger in the vicinity of B I. Rainfall for the month of March and April 2005 was normal as reported by the St. Paul - Minneapolis Airport reporting station. SIGNIFICANCE OF REPORTED SOIL CONDITIONS AND SURFACE WATER FLOW General surface water flow in the area may be primarily vertical for the first 7 to 12 inches (approximately) as a result of the relatively permeable upper horizons. Permeability is moderately slow in the subsoil and is most likely perching above the dense silty clay loam and clay loam subsoil layers. Most recent use of the land is as a horse pasture. Horses have been pastured here for approximately 8 years. Prior to this time, the land was farmed. In spite of the most recent land use, soils in the vicinity of pits 6, 7, and 8 appear to have moderate structure. Thus, permeability in this horizon appears to be adequate. In the Ap horizon, and slightly into the subsoil (Btl), a moderate amount of worm channels were observed. This suggests that the upper horizons are aerated enough to support aerobic organisms. As noted by Brady and Weil (1990) (Brady, N.C. and Weil, R.R. The Nature and Properties of Soils 13th Ed, Prentice Hall Upper Saddle River, N.J. p. 463), "Earthworms prefer a moist, but well-aerated environment. They do not live under anaerobic conditions..." Roots and root channels were also present in the 0 to 10" (approximate) range of the soil profile. Soil colors as noted by this soil tester were l OYR 3/3 in the Ap horizon. Organic (hydric) soil colors are usually in the 10YR 2/2 or 10YR 2/1 range. Soil colors in the Btl horizon were 10YR 4/3. This color is representative of a normal subsoil color. Gleyed soils are generally in the range of 10YR 5/3 to 10YR 5/2. The lack of redoximorphic features, the lighter (IOYR 3/2) colors in the Ap horizon and the non-gleyed colors in the subsoil indicate that soils in the immediate vicinity of pits 6, 7, and 8 are well-aerated and are not saturated for more than 7 consecutive days. No puddled or massive soils were observed in the area of the proposed SAS's to a depth to the bottom of the Btl horizon. Close inspection of the Ap horizon did not indicate the presence of redoximorphic features. This suggests that although there is not an A+4 situation, there is adequate depth in the A horizon (approximately 7 inches) to maintain a suitable distance between the bottom of the SAS and the limiting factor and thus to allow for the placement of a mound SAS as per code. The proposed mound site is located on a 9% slope. Thus land position contributes to the moderately well-drained nature of the soils. Soils upslope of the site (shoulder of the slope) display a more shallow soil profile and redox features appear in the Ap horizon. Down-slope of the proposed mound site (back-slope), the slope decreases substantially (approximately 2-3% slope). Water in this area moves at a slower rate and consequently, more water perches on the land surface. This is evidenced by the appearance of redoximorphic features in the Ap horizon in the root channels. HISTIC SOILS 4 Keys to Soil Taxonomy (1994) defines a histic epipedon as follows: It consists of organic soil material if the soil has not been plowed. If the soil has been plowed, the epipedon normally has a high content of organic matter The histic epipedon either has aquic conditions for some time in most years or has been artificially drained." The Keys to Soil Taxonomy defines aquic conditions as: "those [soils] which currently experience continuous or periodic saturation and reduction.... Saturation is characterized by zero or positive pressure in the soil-water and can generally be determined by observing free water in an unlined auger hole." In neither the auger holes nor in the shallow hand-dug pits was standing water observed in the epipedon. In addition, soil colors in the epipedon were not those characteristic of organic soils (IOYR 2/2). Vepraskas (1996) points out 3 possible redoximorphic conditions: 1. Redox depletions around macropores and redox concentrations within the matrix; 2. Redox concentrations around macropores and redox depletions within the matrix; 3. Combination of the 2 conditions. Each of the 3 conditions has a unique etiology. Condition 1 will occur, according to Vepraskas, in situations where there is perching above a dense and slowly permeable layer. Such appears to be the condition described on the site outlined in this report. However, redox depletions were not observed in the macropores in the Ap horizon or in the Btl horizon of pits 6 and 7. In pit 8, redox features were observed in the macropores of horizon-~f~ Btl. CONCLUSIONS No redoximorphic features were observed for at least 7 inches of the Ap horizon in any of the pits evaluated. The soils in this upper 7 inches appeared to be well aerated with the presence of roots and worm channels. Water movement therefore appears to take place in this upper layer and there does not appear to be a condition of ponding for any significant period of time in this upper layer. The slope is approximately 9%, suggesting that water moves laterally away from the sites. PROPOSALS This soil tester feels that a mound system on these site would adequately provide effluent treatment and dispersal as long as the follows design conditions are implemented: 1. The construction of the soil absorption system must be in the area designated on the plot plans. 2. Areas lower in the landscape must not be used for soil absorption systems. 3. The distribution cell must be designed very long and narrow with a linear loading rate less than 4.0 gpd/ft. This may limit the number of bedrooms and / or occupancy that can 5 be serviced on the site. 4. At least 2.50 feet of ASTM C-33 sand must be used under the laterals for the proposed system. 5. Maximum hole spacing in laterals must be 30 inches. 6. Slopes around the mound must be 1:4 rather than the traditional 1:3 to increase the toe absorption area. 7. The area upslope of the proposed SAS must be provided with a constructed waterway to divert water around the mound. The purpose of the waterway will be to prevent water from being trapped in the mound. If you have any questions regarding this report, please feel free to contact me at the above address and/or telephone number. Sincerely, Eli M. Gottfried Registered Sanitarian (80806), CST (221981), Licensed Designer (1310) 6 be serviced on the site. 4. At least 2.50 feet of ASTM C-33 sand must be used under the laterals for the proposed system. 5. Maximum hole spacing in laterals must be 30 inches. 6. Slopes around the mound must be 1:4 rather than the traditional 1:3 to increase the toe absorption area. 7. The area upslope of the proposed SAS must be provided with a constructed waterway to divert water around the mound. The purpose of the waterway will be to prevent water from being trapped in the mound. If you have any questions regarding this report, please feel free to contact me at the above address and/or telephone number. Sincerely, Eli M. Gottfried Registered Sanitarian (80806), CST (221981), Licensed Designer (1310) 6 "SrP~ \ 9 Sar rA ~i~Ca* Utt3 'VaB t t"A iB NC'C7 2 06 2 Anta> S.ra rA AcaB Va 2 U a< mE' At Am- 2 " NcC2 WhC2 aC2 a2 t't1E HuA RnC2 Va Approx. location of proposed mound's tin "2 h LcAt 1ttG2' NCO RhA LcA Va F n ; i QA A0A . }d A V X hB " ~zy Vice' , Arrow points to the approximate location of the proposed mound. The soil series maps indicate that this is Vlasaty series soil with a slope of 12-20%. 7