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030-2126-30-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 597306 GENERAL INFORMATION State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)] 2928568 Permit Holder's Name: City Village Township Parcel Tax No WENDY ZOLLER TOWN OF SAINT JOSEPH 030-2126-30-000 CST BM Elev: Insp. BM Elev: B1 Section/Town/Range/Map No: Z PVC 25.30.20.1027 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark q---7 ~r Dosing Alt. BM ( V V i. •t ~n Bldg. Sewer ,l~_. (ra~ H St/Ht Inlet Stt, t Outlet TANK SETBACK INFORMATION TANK TO P/L__ WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt Bottom Dosing Header/Man. Aeration _e. Dist. Pipe Holding Bot. System Q, Final Grade PUMP/SIPHON INFORMATION Manufacturer / Demand St Cove ?i1 GPM Model Number _%1 - `i,': TDH LiA Friction s System Head. _ T `t U. IL Forcemain Lengttt i t Dia.,°~ tt Dist. to Well e'j/k SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenched PIT DIMEN O No. Of Pits Inside Dia. Depth DIMENSIONS SETBACK SYSTEM TO P/L - BLDG WELL LA T AM LEACHING ufactur INFORMATION CHAMBER OR Type O y to[n f UNIT Mode umbe . DISTRIBUTION SYSTEM Header/Manifold Distribution ix Hole Si e ix Hole Spacing Vent to Air Intake -7 ' j y~yt; Pipe(s) r i j, r ~f / 1~ 9 Length Dia ! , Length Dia t Spacings ' 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 Center Bed/Trench Edges Topsoil Yes L7 No es No COMMENTS: (Include code discrepencies, persons present, etc.) ~7Inspection #1: 1 13 PIT - Inspection #2: Location: 1340 BIRCH PARK (RR yy/ [Lm ; v Tov ~s~~• cx, 1.) Alt BM Description = Wl o~ 9 2.) Bldg sewer length= Jr~ " - amount of cover = Plan revision Required? ❑ Yes ❑ No ` Use other side for additional information SBD-6710 (R.3/97) Date I c or's Signat re Cert. No. i~ 1 I 1~ocnsrstcy County ~,1 y Industry Services Division St. Croix z D S F rI 1400 E Washington Ave Sanitary Permit Number (to be filled in by Co.) L ®-I P.O. Box 7162 S Madison, WI 53707-7162 7 yam`/ Sanitary Permit Application 2928 Transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note: Application forms for state-ow T miffed to the Department of Safety and Professional Services. Personal information y~li e e s eeondary Project Address (if different than mailing address) purposes in accordance with the Privacy Law, s. 15.04(1)(m), Stats, 1340 Birch Park Road 1. Application Informs ' n - Please Print All Information lc i v 09 Property Owner's Name ( 1, V L_ Parcel # 030-2126-30-000 Zoller, bft & Wendy ST. CR0%COU MEW Property Owner's Mailing Address Property Location 5 ` 3 J - a 1 0 3 -l 1340 Birch Park Road Govt. Lot City, State Zip Code Phone Number NW '/4, SE ''/A, Section 25 Houlton, WI 54082 (circle one) T30N R20EorW It. Type of Building (check all that apply) Lot # ® 1 or 2 Family Dwelling - Number of Bedrooms 23 Subdivision Name Birch Park 6 _ A FA, ❑ Public/Commercial - Describe Use l~ LW Block# ❑ City of ❑ State Owned - Describe Ur r El Village of CSM Number a® Town of St. Joseph III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. ® New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modificatioti to Existing System (explain) B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS System/Component/Device: (Check all that apply) ttV1 ov ❑ 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) A /s t V. Dis ersal/T atment Area Information: Design Flow ( d) Design Soil Application Dispersal Area Requir (sf) Dispersal Area Pro osed (sf) System Elevation 600 Rate(gpdsf) 1000 1810 98.93 0.6 VI. Tank Info Capacity in T~ U Gallons Total # of an ur M 2 Gallons Units jae, o Y o ro New Tanks Existing Tanks l^~ n U n v v U- C7 41 Septic or Holding Tank 1200 1200 1 Wieser Concrete ® El El El El Dosing Chamber 800 800 1 Wieser Concrete ® ❑ ❑ ❑ ❑ VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plu s i ature j MP/MPRS Number Business Phone Number 223760 715-760-0486 John Schmitt Plumber's Address (Street, City, State, Zip Code) 616 1501n Ave. Somerset, WI 54025 VIII. C nt /De artment Use Only Approved Per//mitAF/[eee Date issued/ / IssuNnt ure A 60 tfor Denial $ tO /i/ ' V / 7 IX. Condi eas ns for Disapproval / A US, as"Semi 3) (4a;~:d-rA Ir;-I cxtfemmust e all be , ic?c- t'e ~ . ~ jQ~ii~r~', as.pe „tarslyement plan p p iae i vv ,~iwnos 2. ,.AN setback recult:! erWS must ' MiklItc ilA'I as per wknbl;s c:txir•. I ::rdina;norY. 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 (803/14) PLOT PLAN N Project Name: Zoller 4 Bedroom Mound Legal Description: NW1/4, SE1/4, S25, T30N, R20W P.I.D: 030-2126-30-000 Subdivision Name: Birch Park _ Lot 23 SCALE: 1" = 60' Township: St. Joseph Parcel Size: 3.010 Acres County: St. Croix Contour Line Elevation: 98.18 Cell Dimensions: W X 100' 4 inch Sch 40 -ASTM D2665 System Elevation 98.93 Mound Dimensions: [117.23'x 22.70' 2 inch Sch 40 -ASTM D1785 Slope 11 11/2 Sch 40 -ASTM D1785 A BM1 Elevation: 100.00' To of 2" PVC pipe BM2 Elevation: 100.00' Top of 3/4" Rebar (SE lot corner ■ Backhoe Pits: Septic Tank: Wieser Concret WLP1200180OLP with POLYLOK 525 Effluent Filter D.^.88 Tunk: M/incur Concret WI P1200!BOO Dwith 7nnllnr 1A3 Fffliinnt Primp See Map page 14 for complete view of Parcel L I ~ l p~. r 4..,pCLt- r / l ((22 ~ v j d iJ:.phCCQli~ / ~ its ~~sr j t L+?N iU~A p~K l I S GP 1 iC (pFe'1s t I I i 751 r 2„ P V L l2Ci_ IM ikl,ti t l i Page 11 ~~tiyARTdgg,~,TO DIVISION OF INDUSTRY SERVICES 3824 CREEKSIDE LN HOLMEN WI 54636-9466 Contact Through Relay I ` http://dsps.wi.gov/programs/industry-services 11 www.wisconsin.gov ~o~ssro'NN, Scott Walker, Governor Laura Guti6rrez, Secretary April 18, 2017 CUST ID No. 223760 ATTN: POWTS Inspector JOHN F SCHMITT ZONING OFFICE SCHMITT & SONS EXCAVATING ST CROIX COUNTY SPIA 616 150TH AVE 1101 CARMICHAEL RD SOMERSET WI 54025-6920 HUDSON WI 54016-7708 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/18/2019 SITE: Identification Numbers Peter and Wendy Zoller Transaction ID No. 2928568 1340 Birch Park Rd Site ID No. 836945 Town of Saint Joseph Please refer to both identification numbers, St Croix County above, in all correspondence with the agency, NW1/4, SETA, S25, T30N, R20W FOR: Description: Four Bedroom Mound System \ Sloping site Object Type: POWTS Component Manual Regulated Object ID No.: 1700321 Maintenance required; 600 GPD Flow rate; 32 in Soil minimum depth to limiting factor from original grade System(s): Mound Component Manual - Ver. 2.0, SBD -10691-P (N.01/01, R. 10/12), Pressure Distribution Component Manual - Ver. 2.0, SBD-10706-P (N.01/01, R. 10/12); Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code COPS requirements. Qi No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s. 145.06, CEPT 0, stats. P,ROFES& The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.19, Wis. Stats. 70- • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. • All POWTS component piping material shall be SPS 384, Wis. Adm. Code compliant. • The area within 15' downslope of the dispersal cell shall remain undisturbed. Vehicular traffic, excavation or soil compaction is prohibited in this area. • 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. JOHN F SCHMITT Page 2 4/18/2017 Owner Responsibilities • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. SPS 383.54(1). • 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. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 This Amount Will Be Invoiced. r Swim When You Receive That Invoice, POWTS Plan Reviewer, Division of Industry Services Please Include a Copy With Your (608)789-7892, Mon - Fri, 7:15 am - 4:00 pm Payment Submittal. jerry.swim@wisconsin.gov WiSMART code: 7633 cc' F+vin A Twlor, «Was+.ewgter Specialist (715) 634-,A8,1 . Monday - Fr!day 8:00 am To 4' nrn JOHN F SCHMITT Page 2 4/18/2017 Owner Responsibilities • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. SPS 383.54(1). • 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. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. 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 10 1.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 This Amount Will Be Invoiced. ~Sw~~ When You Receive That Invoice, POWTS Plan Reviewer, Division of Industry Services Please Include a Copy With Your (608)789-7892, Mon - Fri, 7:15 am - 4:00 pm Payment Submittal. jerry.swim@wisconsin.gov WiSMART code: 7633 cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm I MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN INDEX AND TITLE PAGE Project Name: Zoller 4 Bedroom Mound Owners Name: Peter & Wendy Zoller Owner's Address 12521 Marquess Way N Lake Elmo, MN 55042 Legal Description: NW1/4, SE1/4, S25, T30N, R20W Township St. Joseph County: St. Croix Subdivision Name: Birch Park `6ONALLY Lot Number: 23 Block Number bOVED Parcel I.D. Number 030-2126-30-000 AFETY AND 'AL SERVICES Plan Transaction No. JSTRY SERVICFS Page 1 Index and title Page 2 Data entry Page 3 Mound drawings P Page 4 Lateral and dose tank ` Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Septic and Dose tank specifications Page 8 Effluent filter information Page 9 & 10 Pump specifications and curve Page 11 Plot plan Page 12 Septic tank maintenance agreement Page 13 Warranty deed Page 14 CSM Attachment Soil evaluation report Designer: John Schmitt License Number: 223760 Date: 4/1/2017 Phone Number: 715-760-0486 Signature: Designed Pursuant to the 71mound Component Manual for POWTS Version 2.0 SBD-10691-P (N. 01/01) and both SSWMP Publication 9.6 Design of pressure Distribution Networks for ST-SAS (10/81) and Pressure Distribution Component Manual Ver. 2.0 SBD- 10706-P (N. 01/01) Version 7.0 (R. 03/2012) Page 1 Mound and Pressure Distribution Component Design Design ~Norl<sheet Site Information (R or C) ' R Residential or Commercial Design Note: Sand fill (D) calculations assume a 400.00 Estimated Wastewater Flow (gpd) Table 383-44-3 in-situ soil treatment for 1.50 Peaking Factor (e.g. 1.5 = 150%) fecal coliform of 36 inches. 600.00 Design Flow (gpd) 11.00 Site Slope s 98.18 Contour Line Elevation (ft) 27.00 Depth to Limiting Factor (in) 0.60 In-situ Soil Application Rate (gpd/ft2) Distribution Cell Information 100.00 Dispersal Cell Length Along Contour (ft) = 6.00 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? Enter Y or N (C or E) C= Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation (ft) 4; Number of Laterals of the highest point. ij 0.188 Orifice Diameter (in) 2.50 Estimated Orifice Spacing (ft) = 7.50 ft2/orifice 2.00 Forcemain Diameter (in) 75.00, Forcemain Length (ft) Does the forcemain drain back? 89.00 Pump Tank Elevation (ft) Er' 7- 3.25 System Head (ft) x 1.3 12.23 Forcemain Drainback (gal) 9.51 Vertical Lift (ft) 90.53 5x Void Volume (gal) 4.08 Friction Loss (ft) 102.77 Minimum Dose Volume (gal) K 0.00In-line Filter Loss (ft) 52.43 System Demand (gpm) 16.85 Total Dynamic Head (ft) 71r 1 Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 1.00 i 1.50 x x_-__ 1.25 g 2.00 1.50 x mx 3.00 2.00 x 3.00 x Gallons/inch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 1200.00 5 Septic Tank Capacity (gal) ! Total Working Liquid Depth (in) Wieser Concrete (Manufacturer gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 800.00; Dose Tank Capacity (gal) I Poly{ok Filter Manufacturer 22.24; Dose Tank Volume (gal/in) 1525 Filter Model Number ..)Manufacturer - ; ..Wieser Concrete Project: Zoller 4 Bedroom Mound Page 2 Mound Plan and Cross Section Views 1 ...........::::::::::::J 0 B Observation Pipe . FK' - - T,5. A B . ry.•. I L Mound Component Dimensions ft A 6.00 ft E 16.92 in H Elft ft K Aft B 100.00 ft F 9.50 in 1 ft L ft D 9.00 in G 0.50 ft J W 600.00 (ft2) Dispersal Cell Area 1809.70 (ft2} Basal Area Available 6.00 (gpd/ft) Linear Loading Rate 10.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 100.72 (ft) s. ♦ H G 1 /Ale I F Dispersal Cell 99.43 (ft) Lateral 98.93 (ft)-► Invert Dispersal Cell Elevation E D Mme. '4 , , ' ' ` ' 14.4:.11 . , Mh 98.18 (ft) Contour Elevation 11.0 % Site Slope - - Geotextile Fabric Cover Shading Key d a 1 _ Dispersal Cell See lateral details on 10 Topsoil Cap o ° 1.5 ft Page 4 for number, size, Subsoil Cap w o and spacing of laterals. M C33 Sand f° v F Laterals are equally AST m ' spaced from the Tilled Layer U) Typical Lateral c 05 ft distribution cell's © Aggregate o centerline in the _ A } distribution cell (AxB). Project: Zoller 4 Bedroom Mound Page 3 Center Connection Lateral Layout Diagram Force main connection via tee or cross to manifold at any point. Laterals are identical P S ~ I Turn-upw?ballvalve or 1< X=:1<-NI2 ! xf24I Laterals &forcema n Sch 40 PVC cleanoutplug per SPS Table 384.30-6 Holes dr;lled on the bottom of the lateral Number of Laterals 4 Orifice Diameter 0.188 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.53 ft Lateral Length (P) 49.34 ft Orifices per Lateral 20 Lateral Spacing (S) 3.00 ft Orifice Density 7.50 ft2/orifice Lateral Flow Rate 13.11 gpm Manifold Length 3.00 ft System Flow Rate 52.43 gpm Manifold Diameter 1.50 in Total Dynamic Head 16.85 ft Forcemain Velocity 5.35 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and SPS 316.300 WAC 4 in. min. Disconnect Tank component is properly vented Alternate outlet location Forcemain diameter Wieser Concrete 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 18.35 408.11 C B 2.00 44.48 ~ P4 ump off elevation (ft) C 4.62 102.77 1 F~ 89.92 D 11.001 244.64 D Total 35.97 800.00 Dom se tank elevation (ft) Bedding i m er tank- 89.00 Alarm Manuafacturer SJE Rhombus Nr ei Switches _ f Alarm Model Number ; 1036378 _ containing mercury may not be use in Pump Manufacturer Zoeller this systen. Pump Model Number ;153 Pump Must Deliver 52.43 gpm at 16.85 ft TDH Project: Zoller 4 Bedroom Mound Page 4 it Mound System Maintenance and Operation Specifications Service Provider's Name John Schmitt Phone 715-760-0486 POWTS Regulator's Name St. Croix County Zoning ; Phon5-760-0486 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1200 gal Maximum TSS 150 mg/L Soil Absorption Component Size 600 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu1100 mL Service Frequency Septic and Pump Tank Inspect and/or service once eve 3 ears Effluent Filter Should inspect and clean at least once eve 3 ears Pump and Controls Test once eve 3 ears Alarm Should test month) Pressure System Laterals should be flushed and pressure tested eve 3 ears Mound Inspect for ponding and seepage once every 3 years Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to SPS 384.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosic 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 Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Zoller 4 Bedroom Mound Page 5 Mound System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General This system shall be operated in accordance with SPS 382-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals (SBD-10691-P (N.01/01, R. 10/12), SSWMP Publication 9.6 (01/81), and Pressure Distribution Component Manual Ver. 2.0 SBD- 10706-P (N. 01/01, R. 10/12)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with SPS 383.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, 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. Pretreatment Units The information and schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment units or disinfection units are attached as separate documents and are considered part of the overall management plan for this system. Project: Page 6 an-M/ODZIdW, :3-IIJ 99-ve -5Z2 -009 Z \ Tod-1SOd ;31b'0 00/00/00 :31V0 09L-V9 M )4008 N13~01VN of I,MH Sn 9LLEM i`d(1NdW OIld3S 'n3N 3138~11~~ w o :8nod-36d :31VOS dOM :AA NM7Na dV4-009/OOZIdW LO \ 0 W L J N HQ o co O w J w o w N d. > U a V) cn d CO ~y 1 0 V) ~O W5 CL Z m Q W z H Vi wO L.0 F- D ~m ¢ H O o o z < m ° m p rlkQ z z a. w t- LL > O Lf) C) 0m OQ a-~U JJ U M LA- J O a O p OW Q. aQ z F p ° a a U a o O Q Q. m V) W W UCa S W Z Z2 U) ¢ a O p O = = 04 JQ ~N = fjiN° z (D 00 00 LL -OO _ ~~MO~ v)Fi mWN MCV aUd \ U N O 1- W. w I < F- M N 00 W C) P (n 0_ \ V) U) O W ,M`,r°~~ m°~ Io~ZVV) z w(n V)N wo 20 p a- co J ~Z :D ~ =Z~ v w Uw ow ..per Oaw Opwx a m UW o a5 zZ~C9~ Os OVt~ N w nc~F- Q zwW C'X Nx 0- °aooaww°wO ¢~rca~¢No U U awo o~ Z z3m omm-3 m~ ' o zz U ~Y Q Li LLI E5 J J J Or p Z Oa U F-I 0 w Z Z U F- i N D L'J~ U z o 6E a ' 0 Z II } I I ~ I. W II / II I I LX ~I I~ I N II Ik I I I 5 Q II 1 II a I I I o W I I o f I I ° o „9EJI cn w ~ I w ui I I I k W II V) Jm Ip I ¢ I t E ° „9 F- 4 W Ii Q I~ I 11 >v ~ 1 I L III o I ~ 1g~~ I II' I o U a z J a z „ Lj' W Q038 a „96 Sd „E5 Y z a F- Page 7 1;. E _A Zabel` A Division of Polylok Inc. The PL-525 Filter is rated for 10,000 GPD (gallons per day) making it one of the largest filters in its class. It has 525 linear feet of 1/16" filtration slots. Like the Polylok PL-122, the Polylok PL-525 has an automatic shut-off ball installed with every filter. When the filter is removed for cleaning, the ball will float up and temporarily shut off the system so the effluent won't leave the tank. Rated for 10,000 GPD (gallons per day). Alarm switch 10,000 GPD (optional) 525 linear feet of 1 /1.6" filtration. .,1 ~ Accepts 1" PVC Accepts 4" and 6" SCHD 40 Pipe. I Extension Handle Built in gas deflector. r Automatic shut-off ball when filter is removed. Alarm accessibility. Rated for 10,000 GPD ~ i Accepts PVC extension handle. i~ Ideal for residential and commercial waste flows up to 525 Linear Ft. 10,000 gallons per da GPD . of 1/16" p y ( ) Filtration Slots 1. Locate the outlet of the septic tank. 2. Remove the tank cover and pump tank if necessary. Accepts 4" & 6" 3. Glue the filter housing to the 4" or 6" outlet pipe. If SCHD 40 pipe the filter is not centered under the access opening use a Polylok Extend & Lok or piece of pipe to center filter. 4. Insert the PL-525 filter into its housing. - Certified to 5. Replace and secure the septic tank cover. NSF/ANSI standard 46 9 The PL-525 Effluent Filters will operate efficiently for several years under normal conditions before requiring cleaning. It is recommended that the filter be cleaned every time the tank is pumped, or at least every three years. If the installed filter contains an optional alarm, the owner will be notified by an alarm when the filter ~ needs servicing. Servicing should be done by a certified Gas Deflector septic tank pumper or installer. Automatic Shut-Off Ball 1. Locate the outlet of the septic tank. 2. Remove tank cover and pump tank if necessary. 3. Do not use plumbing when filter is removed. 4. Pull PL-525 cartridge out of the housing. 5. Hose off filter over the septic tank. Make sure all solids fall back into septic tank. .'t 6. Insert the filter cartridge back into the housing making sure the filter is properly aligned and completely inserted. Polylok, Zabel & Best filters accept Easily installs 7. Replace and secure septic tank cover. the SmartFitterfl switch and alarm. into existing tanks. Polylok, Inc. 3 Fairfield Blvd. Wallingford, CT 06492 Toll Free: 877.765.9565 Far: 203.284.8514 www.polylok.com Page 8 SECTION: 2.20.047 77 FM1919 QvaziTr PMMPS SacE Y,79 Z les Supersedes Product information presented 1108 here reflects conditions at time ' of publication. Consult factory regarding discrepancies or inconsistencies. MAIL TO: P.O. BOX 16347 • Louisville, KY 40256-0347 visit our web site: SHIP TO: 3649 Cane Run Road • Lo&WIA , KY 40211-1961 www.zoeiier.com (502) 778-2731.1(800) 928-PUMP • FAX (502) 774-3624 Durable cast iron construction 151/1521153 EFFLUENT SERIES Model 151 comes standard with a glass-filled polypropylene base (For Pump Prefix ldentiFcation see News & hews 0052) Corrosion resistant powder coated epoxy finish Stainless steel lifting handle Assembled with stainless steel bolts - Non-clogging engineered thermoplastic vortex FOR SEPTIC TANK - LOW PRESSURE PIPE (LPP) impeller design AND ENHANCED FLOW STEP SYSTEMS Model 151 -1/3 HP passes W spherical solids ,~I~trl EFFLUENT 3 SUBMERSIBLE 1~a Model 152 -.4 HP passes /4 spherical solids Model 153 -1/2 HP passes 3/4' spherical solids 1/s" NPT DISCHARGE Motor - 60 Hz, 3450 RPM, oil-filled, hermetically sealed, automatic reset thermal overload protected - - Carbon/Ceramic seals igh i i C US TII k1CIB- ~ Upper sleeve bearing and lower bail bearing running TbdWbULS"ndadUU78 and Certified to CSA > in bath of oil Skwi"d CW2.2 No. 108 20 ft. UL Listed power cord with molded 3-wire plug 1 W NPT vertical discharge ' BN and BE standard models include a 20 ft. variable N151IN152IN153 & E151IE1521E153 nonautomatic level float switch BN1511BN1521BN153 & BE1511BE1521BE153 packaged with Piggyback Variable Level Float Switch Operates at temperatures to 1300F (540C) in effluent 1/3,,4 & 112 HP,1Ph II5V or 230V applications All models include a 1 W x 2" PVC adapter fitting Note: The sizing of effluent systems normally requires variable level float(s) controls and properly sized basins to achieve required pumping cycles or dosing timers with nonautomatic pumps. POWDER COATED TOUGH" ~FlI® MAIL TO: P.O. BOX 16347 Louisville, KY 40256-0347 SHIP TO: 3649 Cane Run Road Louisville, KY 40211-1961 r" (502) 778-2731. 1(800) 928-PUMP "'47 FAX (502) 774-3624 Manufacturers of... QOZITV /-LIMPS 91,144E 19N © Copyright 2010 Zoeller Co. All rights reserved. Page 9 w TOTAL DYNAMIC HEAD/FLOW t w PUMP PERFORMANCE CURVE PER MINUTE MODEL 15111521153 EFFLUENT AND DEWATERING 5 14 45 153 MODEL 151 152 153 12 40 Feet Meters Gal. Liters Gal. Liters Gal. Liters 0 35M - 5 1.5 50 189 69 261 77 291 10 152 10 3.0 45 170 61 231 70 265 30 15 4.6 38 144 53 201 61 231 o' 8 25 151 20 5.1 29 110 44 167 52 197 25 7.6 16 61 34 129 42 159 6 20 30 9.1 - - 23 67 33 125 35 10.7 - - - - 22 85 15 40 122 - - - - 11 42 4 Shut-off Head: 30 ft. (9.1m) 38 R (91.6m) 441E (13.4m) 10- - - 0145088 2- 5- 0- Model 151 Models 1521153 10 20 30 40 50 60 70 80 9o 100 GALLONS 67132 - - 6782 - LITERS 0 40 BO 120 160 200 210 280 320 360 376 4508 376 - - 456 - FLOW PER MINUTE 014508A - - - - 3716 / 3718 e T, (0) 3718 3718 • Timed dosing panels available I • Electrical alternators, for duplex systems, are available and V 11T NPT ~ i supplied with an alarm • Variable level control switches are available for controlling single phase systems • Double piggyback variable level float switches are available j - for variable level long and short cycle controls • Sealed Qwik-Box available for outdoor installations - See 1111116 12118 FM1420 • Over 130°F (54°C) special quotation required _ assns sane SK2444 SK2064 15111521153 MODELS Control Selection Model Volts-Ph Mode Amps Simplex Duplex N151 115 1 Non 6.0 1 2 or 3 BN151 115 1 Auto 6.0 Included 2 or 3 E151 230 1 Non 3.2 1 2 or 3 BE151 230 1 Auto 3.2 Included 2 or 3 .1 N152 115 1 Non 8.5 1 2 or 3 Easy assembly" BN152 115 1 Auto 8.5 Included 2 or 3 (pump 8 discharge pipe not included.) E15 30 1 Non 4.3 1 2 or E 552 23 1 Auto 4.3 Included --Tor 3 N153 115 1 Non 10.5 1 2 or3 BN153 115 1 Auto 10.5 Included 2 or 3 E153 230 1 Non 5.3 1 2 or 3 BE153 230 1 Auto 5.3 Included 2or3 1. Single piggyback variable level float switch or double piggyback variable level Reduces potential clogging by debris float switch. Refer to FM0477. Replaces rocks or bricks under the pump 2. See FMO712 for correct model of Electrical Aftemator E-Pak. Made of durable, noncorrosive ABS 3. Variable level control switch 10-0743 used as a control activator, specify duplex Raises pump 2' off bottom of basin (3) or (4) float system. Provides the ability to raise intake by adding sections of 1% or 2• PVC piping o cnurtoN Attaches securely to pump Accommodates sump, dewatering and effluent applications NOTE: Make sure float is free from obstruction. most rcceat N,,bonal ku.cblcai Co dc (N6C.) an (I the Occupational -,afuy and tlr.,! Art (OSHA). S. ,rl-ht For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. © Copyright 2010 Zoeller Co. All rights reserved. Page 10 PLOT PLAN N Project Name: Zoller 4 Bedroom Mound Legal Description: NW1/4, SE1/4, S25, T30N, R20W P.I.D: 030-2126-30-000 Subdivision Name: Birch Park Lot 23 SCALE: V= 60' Township: St. Jose h Parcel Size: 3.010 Acres County: St. Croix Contour Line Elevation: 98.18 Cell Dimensions: 6' X 100' 4 inch Sch 40 -ASTM D2665 System Elevation 98.93 Mound Dimensions: 117723' x 22.70' 2 inch Sch 40 -ASTM D1785 Slope W 11 11/2 Sch 40 -ASTM D1785 BM1 Elevation: 100.00' To of 2" PVC pipe 0 BM2 Elevation: 100.00' To of 3/4" Rebar SE lot corner ■ Backhoe Pits: Septic Tank: Wieser Concret WLP1200/800LP with POLYLOK 525 Effluent Filter Dose Tank: Wieser Concret WLP1200/800LP with Zoeller 153 Effluent Pump See Map page 14 for complete view of Parcel r iJ ~ R2A~" p ~.~V 'r d it~'~<5r ~ ~ / / 1 r LONiU~1r / Pax i •i . ~~o(,~~0 1 t s tP nC (A~s'==~ j 1 I I T(~p't~ I 1 I ' 7.51 IZ( 1 I ® •~o ~ ct 'Z Gs I c(~ L~ ep,~Zjy Page 11 ST. CROIX COLTNTY SEPTIC TANK MAINTENANCE AGREEMENT AND 0WNERSITIP C E RT iFICATION FORM Owner/Buyer Peter Zoller Mailing Address 2521 Marquess Way N, Lake Elmo, MN 55042 P+P+2y Addrffi 340 Birch Park Road (Verification required from Planning & Zoning epa ent for new construction.) City/State Houlton, WI Parcel Identification Number 030-2126-30-000 LEGAL DESCRIPTION Property Location NW '/4 , SE '/4 ,Sec. 25 , T 30 N RL0 W, Town of St. Joseph Subdivision Plat: Birch Park 'Lot # 23 Certified Survey Map # , Volume , Page # Warranty Deed # (before 2007)Vol-unie , Page # Spec house 13yesElno Lot lines identifiable El yes[] no S'17 STEM :IAINTENANCE AND OWNER CER'11FICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §SPS. 383.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Safety And Professional Services and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. I/we certify that all statements o this form are true to the best of my/our knowledge. I/we am/are the owner(s) of the property described above, by virtue of warranty deed recorded in Register of Deeds Office. Number/of bedrooms 4 04 / 07 / 17 SIGNATURE OF APPLICANT(S) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 04/12) Nit q.1 Ulf 4N, ago - '09.14 'b = 9~~ gt1D ; ; 3S r- , H ~r 02 w I Li W A.17001 E v E. 8 ~5 Q~ W C\2 S s~ e~"d - C\I t ifC j UNi m ~y W i u, f v i i ~ d ~ r ~ 01 a I ~ I ~ ~ 13~ t" M I ~ ~ I I q Q i _ Ala- ~ stl r:~e sE,. g kS AAAYk~ WRn~ ~s v,F r Q1 Odj ~g ~I ~i o I - q- J a 11 ~a (I 41 i N R o P ayo 1i toil Awl ;YaS 4 3.. ~Yec: ~i s - ~a~s3 °~~qxq¢ c=?ya gg N - e Y s K e SS ~ o a { a o$ X Y 3~ `h s2 1 i w o' ~ ( .a it Ij ; J RIM $§y'r .i4 tt I~ Y~ n §~ap{a C,SI - d J i 7- y S-n rl- I Ilk Department of #1849 S Safety and L EVALUATION REPO Pa g 1 of 4 - MAR r~dAce with Comm 85, V` 9 Professional Services Schmitt Soil Testing, Inc. ST. CROIX COUNTY County Attach complete site plan on Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and - percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. _ 0-000 Please print all information. Revi d By Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). G Property Owner Property Location J Zoller, Peter & Wendy Govt. Lot NW1/eor E1/4, S25, T30N, R20W Property Owner's Mailing Address Lot # Block # Subd. Na CSM# 12521 Marquess Way N 23 Birch Park City State Zip Code Phone Number City Village Town Nearest Road Lake Elmo MN 55042 612-597-7622 St.Joseph Birch Park Road New Construction Use:(( Residential ! Number of bedrooms 4 Code derived design flow rate 600 GPD - Replacement Public or commercial - Describe: Parent material Outwash (Chetek-O_n_amia_Series) Flood plain elevation, if applicable General comments Area is suitable for amound system. System elevation is 98.70' based on a contour line established at 98.18'. Slope of area is 11 and recommendations: Depth to limiting factor is 32". Boring 1 Boring # Pit Ground surface elev. 95.98 ft. Depth to limiting factor 32 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots _GPD_/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-14 10yr3/3 none sl 2fsbk mvfr gw lf,2vf 0.6 1.0 2 14-32 10yr4/3 none - Is lcsbk mvfr gw lvf 0.7 1.6 3 32-61 10yr4/6 c2d 7.5yr6/6 Ifs icsbk mvfr cs ivf 0.5 1.0 7.5yr6/2 - - 4 61-84 7.5yr4/4 m2d 7.5yr6/8 sl Om mfr 0.2 0.6 7.5yr6/1 F2 ] Boring # Boring Pit Ground surface elev. 99.43 ft. Depth to limiting factor 32 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD1ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-12 10yr3/3 none sl 2msbk mvfr gw lf,2vf 0.6 1.0 - - 2 12-21 10yr4/3 none sl 2msbk mvfr gw if,2vf 0.6 1.0 3 21-32 10yr5/6 none gris icsbk mvfr cs ivf 0.5 1.0 4 32-56 7.5yr4/6 m2d 7.5yr6/8 7.5yr6/i sl lmsbk mfr cs ivf 0.4 0.7 5 56-67 7.5yr5/6 7m2d.5yr6/2r6/2 /8 grls icsbk mfr gw 0.7 1.6 6 67-87 7.5yr4/4 m2d 7.5yr6/6 sl Om mfr 0.2 0.6 * Effluent #1 = BOD5> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature: , CST Number Thomas J. Schmitt 227429 Address Schmitt Soil Testing, Inc. Date Evaluation Conducted Telephone Number 1595 72nd St. New Richmond, WI 54017 11/3/2016 715-760-1978 SM-8330 (R-07/00) Property Owner Zoller, Peter & Wendy - Parcel ID # 030-2126-30-000 Page 2 of 4 Boring a Boring # Pit Ground surface elev. -99.63 ft. Depth to limiting factor 41 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 0-16 10yr3/3 none sl 2fsbk mfr as if,2vf 0.6 1 1.0 2 16-34 10yr4/3 none sl 2msbk mfr gw 1f,2vf 0.6 1.0 3 34-41 10yr4/6 none Is lcsbk mvfr Cs 1vf 0.7 1.6 4 41-64 10yr5/6 m2d 7.5yr6/8 7.5yr6/1 Is Osg ml cs lvf 0.7 16 5 64-84 7.5yr4/4 m2d 7.5yr6/8 sl Om I mfr 0.2 ~ 0.6 rte? - f /-T- t Boring F4jBoring # pit Ground surface elev. -92,18- ft. Depth to limiting factor 42 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 0-8 10yr3/3 none sl 2mgr mvfr as if,2vf 0.6 1.0 2 8-15 10yr4/3 none grsl 2msbk mvfr gw lf,2vff 0.6 1.0 3 15-42 10yr5/6 none grls Osg M1 Cs 1vf 0.7 1.6 - 4 42-48 7.5yr4/6 c2d 7.5yr6/2 sl lmsbk mfr gw ivf 0.4 0.7 7.5yr6/2 5 48-84 10yr5/6 m2d 7.5yr6/8 grls Osg ml 0.7 1.6 7.5 ry 6/2 i ~ i 1 Boring F-1 'I 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 I 1 Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 <150 mg/L " Effluent #2 = BODS < 30 mg/L and TSS <-30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TIT 608-264-8777. SBD-8330 (R07100) Schmitt Soil Testing, Inc. Page 3 of 4 Conducted b - Y: Conducted For: " ` - Schmitt & Sons Excavating, Inc.. Name: Peter & Wendy Zoller Thomas J. Schmitt, CST 227429 Address: 12521 Marquess Way N. 586 Valley View Trail City, State, Zip: Lake Elmo, MN 55042 - { Somerset,Wl54025 Phone: 715-7,60-1978 PID: 030-2126-30-000 Signatur Lot No. 23 Date Legal Description: NWl/4 SE1/4 S25 T30N R20W - - ® Backhoe Pit Township, County: St. Joseph, St. Croix County I ® Bench Mark 1 El. 100.00' Top of 2" PVC Pipe D Bench Mark 2 El. 87.75' Top of 314" rebar ( South East lot corner marker) - - } - Slope= 11 % Scale 1 60' Contour Line El. 98.18' Contour Line Length 100' { T - ' NOTE: For full view of Lot see Aerial Photo (Page 4 of 4) 0 C/ 1 , i /N l { 1° ~g Its ~ ~ 1 CS~RtH pR~2t'- t _ r_, a z ~ 40 ! ,to rV ~ O 40 won $ m o N N N Tom........ f..~~ Z ^ 5 o CC) ~Fa CD Pit. O N W ~ C 90 W N 00 Sv Q O CL Q O y ao 13 r 6N 'A co AV D F ar„ Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and parcel I.D. _5 OJI, f7-- percent slope, scale or dimensions, north arrow, and location and distance to nearest road. 30 ' ew" Please print all information. Revi Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location Quest Development, Inc. Govt. Lot E 1/2 1/4 SW 1/4 S 25 T 30 N R 20 E( r® Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# Suite 150 10700 Old County Road 15 23 Birch Park City State Zip Code Phone Number ity Village ■ Town Nearest Roa Plymouth MN 55441 ( 7¢3-595-9512 County Road E no New Construction UseE] Residential / Number of bedrooms 3 to 4_ Code derived design flow rate 450 to 600 GPD Replacement Public or commercial - Describe: - Parent material T aecc aver mtwash sands Flood Plain elevation if applicable - General comments Tested site is suitable for mound only. Additional exploration possibly will ideuttfy a site ,&Wtable'f~}} a below , and recommendations: - 3 grade system. _ ~,i~ no~ eating bands of lvfs 7.5yr4/4 and 10yr2/1 1 Boring # ~ Boring Cf~~ : T r pit Ground surface elev. 92.48 - ft. Depth to limiting factor >96_ in Soil Applic4t1Qn'Rdte Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary .Ooots ' - - / in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#2 1 0-25 7.5yr4/4 is 2msbk mfr cs 2f .7 1.2 2 25-31 7.5 r4/4 sl 1 msbk mfi cs 1 f .4 .6 3 31-50 IOyr2/1 I 2msbk mfr cs - .5 .8 4 50-74 7.5vr.4/4 1 l nW, mvfr cs - .7 1.2 5 74-96 7.5yr4/4 sl Om mfi - - .5 Z 2 Boring # F Boring 9 90.79 40 El pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-26 7.5yr4/4 Is lmgr mvfr cs 2f .7 1.2 2 26-40 10 r2/1 sl lmsbk mfr cs If .4 .6 3 40-86 7.5yr4/4* 171 f5yr5/6 lvfs* Osg mfi k - _ .4 .6 * Effluent #1 = BOD > 30:S 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD _ 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature CST Number Thomas C Nelson 227387 Address Date Evaluation Conducted Telephone Number 1432 120th Street, New Richmond, WI 10/11/01 715-246-2454 Property Owner Quest Development.Inc 2 3 P cel ID # Pap 3 Boring # Boring 11 5 i El Pit Ground surface elev. 102.59 _ ft Depth to limiting factor _ X46 ❑ - in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fl? Cyr ~J vGVC in. Munsell Qu. Sz. Cont. Color /Gr. Sz. *Eff#1 *Eff#2 1 0-46 7.5yr4/6 - is lmgr mvfr - 2f .7 1.2 tl ❑ Boring # Boring pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ❑ Boring # Boring Spit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/f1 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330Test (R-07/00) 1 (Al vv- ~ off' ~Cv 6 ~v i `i d Q~12 Idc:~ps - LvZ, Z L P,6~-tid i N G- 2-07- TO NEGt, /ND % (/i9 Oo,-f L p~'N ~'Ok /SS(I~ N C~ °F 67X i ST/~)&- Cd ~v ~~-G 7r ~ 30 • 2-D3 f • Z o • M~4-ST~i 30. z r,3 y~..So • oar a 030 • 2039 • /o "N D 30 • Z Ulbricht to & Associates 7 Private Sewage Consultants O'Neil Rd. 055 D 3 D • 2 a yd ' ~0 Hudson, on, Wis. 5016 3.?6 ~ ?/g S 7i S 7?:?- • 3 ye{2--