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022-1070-20-100 (6)
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: 600202 Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)] 29921 32 Permit Holder's Name: Village Township Parcel Tax No THOMAS & GAIL ANDERSON City TOWN OF KINNICKINNIC 022-1070-20-100 CST BM Elev: Insp. BM Elev. BM Description: Section/Town/Range/Map No: r G 57 25.28.18.389B TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic y ( rt Benchmark 2 T5 16Z. Y Leo Dosing J , Alt. BM Aeration Idg. Sewer Holding St/Ht Inlet St/Ht utle TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inl t i" Septic Dt Bottom Dosing" Header/Man. Aeration ~Dist. Pipe _v sly Holding Bot. System PUMP/SIPHON INFORMATION Final Grade j Manufacturer ~,y-- Demand St Cover 'E1 GPM Model Number TDH Lift, ,,,Friction Loss System Head TqH Ft / L/ I Forcemain Length I Dia. Dist. to Well 3 SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS / a I ! ^ , y I =t- SETBACK SYSTEM TO P/L BLDG f WELL LAKE/ TREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: _11-A - F UNIT Model"Number: DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Z r a Pipe(s) Length Dia ` Length Y. Dia .r Spacing. SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over th of xx Seeded/Sodded Mulched /Yes Bed/Trench Center Bed/Trench Edges Topsoil Yes No E' No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: I6 ~n1.7 Inspection #2: Location: 1450 EVERGREEN DR I - U 1 1.) Alt BM Description = +SICz 1- (bw 'S 2.) Bldg sewer length - amount of cover = Plan revision Required? Yes No Use other side for additional information. SBD-6710 R.3/97 Date Insepct r Cert. No. ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF EXISTING SEPTIC TANK(S) This is to certify that I have inspected the existing septic and/or dose tank presently serving the following .residence: (Street address)1450 Evergreen Drive located at: NE '/4, NW 1/4, Section 25 , Town28 N, Range 18 W, Town of Kinnickinnic , St. Croix County Wisconsin. Upon inspection, I certify that I have found the tank(s), to the best of my knowledge, will conform to the requirements of SPS. 384.25, and it (they) appear(s) to be functioning properly. Most recent date of inspection or service Did flow back occur from absorption system? Yes No (if no, skip next line.) Approximate volume or length of time: gallons minu~cs Tank Capacity: 1000/600 Construction: Prefab Concrete X Steel Other Manufacturer (if known): Wieser Concrete Age of Tank (if known): 22 Years Permit number (if known) 249-737 7 f _9 ~ 'I /John Schmitt (Licensed Plumber Signature) (Print Name) MPRS 223760 (Title) (License Number) MP/MPRS (Date) Form to be completed by licensed plumber (Dept of Safety and Professional Services Chapter 305 and s. 145.06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin Administrative Code) Rev. 2/2012 L n - 3 i c l-7 FIN `~SS~RTAf~` County l \•F Industry Services Division St.Croix "•~+~IVTD 1400 E Washington Ave Sanity Permit Number to be filled in b Co. P.O. Box 7162 Sanitary ( by ) ?Q 1 ] Madis WI 53707-7162 ~FtiJC~4\xf 5MIX Y. MMMM Unit AppllCat10I1 State Transaction Number In accordancei i ~9MM 2992132 83.21(2), Wis. Adm. Code, submission of this torm to t i u ental unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted6 the Department of Safety and Professional Services. Personal information you provide may be usell for secondary Project Address (if different than mailing address) purposes in accordance with the Privacy Law, s. 15.04(1)(m), Slats, Same Sdg4~Sf2Erx ~r-~ I. Application Informatio - are Print All Information Property Owner's Name Parcel # Anderson, Thomas & Gail 022-1070-20-100 Property Owner's Mailing Address Property Location 1450 Evergreen Drive Govt. Lot Cit}~, State Zip Code Phone Number NE ''/a, S W ''/4, Section 25 River Falls Is, WI 54022 ~./ele one T28N R18E W 11. Type of Building (check all that apply) -LQt # ® 1 or 2 Family Dwelling - Number of Bedroom: urw 2 Subdivisionamee ❑ Public/Commercial - Describe Use Block # ❑ State Owned -Describe Use El City of t CSM Number ❑ Village of Town of Kinn ' -L X VU~ OV If Ill. Ty e 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 Modification to Existing System (explain) El Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner 249737 10/09/1995 IV. Type of POWTS System/Component/Device: (Check all that apply) ❑ 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) tI g~ t i 1 V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil Application Dispersal Area Required (st) Dispersal Area Proposed (so System Elevation 450 Rate(gpdsf) 900 1357.28 99.08%_, ~ _ 0.5 ~L'~U~~ V1. Tank Info Capacity in c Gallons Total # of -0 2 U U N Manufacturer Gallons Units ` a D a ~ New Tanks Existing Tanks a. U v; a. Septic or Holding Tank 1000 1000 I Wieser Concrete ® ❑ ❑ ❑ ❑ Dosing Chamber 600 600 1 Wieser Concrete ® ❑ ❑ ❑ ❑ VII. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plum s . rgn, ire / MP/MPRS Number Business Phone Number John Schmitt ✓~L 77 ~72c y 223760 715-760-0486 Plumber's Address (Street, City, State, Zip Code) 616 150`x' Ave. Somerset, WI 54025 V 1. County/De artment Use Only Approved Ztod vPermit Feed Lit( Issued Issuit A) it Siiature I Reason for vial S~ law~~~ 1 1!Y4ft "Opproval/Reasons for Disapproval C", E,,w,,,,s S{.- qvwr a yf- 1. Septic tank, effluent filter and w1 44A1 S P"X41 dispersal cell must be serviced / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per app I-c e C e MAW" fete 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) ~ONl DIVISION OF INDUSTRY SERVICES 3824 CREEKSIDE LN Z~~~ oA yo (lD ~'e HOLMEN WI 54636-9466 3 i S sr` K Contact Through Relay P http://dsps.wi.gov/programsfiindustry-services www.wisconsin.gov o'~ssroNt+ys~4v Scott Walker, Governor Laura Gutierrez, Secretary September 19, 2017 CUST ID No. 223760 ATTN.• POWTS Inspector JOHN F SCHM1TT 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: 09/19/2019 SITE: Identification Numbers Thomas and Gail Anderson Transaction ID No. 2992132 1450 Evergreen Dr Site ID No. 842147 Town of Kinnickinnic Please refer to both identification numbers, St Croix County above, in all correspondence with the agency. NE1/4, NWIA, S25, T28N, R18W FOR: Description: Three Bedroom Mound System \ Sloping site Object Type: POWTS Component Manual Regulated Object ID No.: 1724084 Maintenance required; Replacement system; 450 GPD Flow rate; 27 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Ver. 2.0, SBD -10691-P (N.01101, R. 10112), Pressure Distribution Component Manual - Ver. 2.0, SBD-10706-P (N.01/01, R. 10/12); Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. G)_ No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, AP stats. PT OF 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. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made wt the designated county official in accordance with the provisions of See. 145.20(2)(d), Wis. Stats. 0 11 • 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. • 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 NOTE: Per the installer, the existing mound system shall be removed from service for a period of time long enough to allow it to dry out. If it is put back into operation, a soil boring in this area must indicate the mound meets the depth to limiting condition as specified by Table 383.44-3, Wis. Adm. Code.. JOHN F SCHMM Page 2 9/19/2017 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. he ard M 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: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm pkp`RTr,~~ DIVISION OF INDUSTRY SERVICES o r 3$24 CREEKSIDE LN °-l HOLMEN WI 54636-9466 ? P Contact Through Relay http://dsps.wi.gov/programs/industry-services www.wisconsin.gov n~ Zo31oN~ i Scott Walker, Governor Laura Gutidrrez, Secretary September 19, 2017 i CUST ID No. 223760 ATTN: POWTS Inspector JOHN F SCHMITT ZONING OFFICE SCHMITT & SONS EXCAVATING ST CROIX COUNTY SPIA 616 150TII AVE 1101 CARMICHAEL RD SOMERSET WI 54025-6920 HUDSON WI 54016-7708 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/19/2019 SITE: Identification Numbers Thomas and Gail Anderson Transaction ID No. 2992132 1450 Evergreen Dr Site ID No. 842147 Town of Kinnickinnic Please refer to both identification numbers, St Croix County above, in all correspondence with the agency. NEI/4, NWI/4, S25, T28N, RI 8W FOR: Description: Three Bedroom Mound System \ Sloping site Object Type: POWTS Component Manual Regulated Object ID No.: 1724084 Maintenance required; Replacement system; 450 GPD Flow rate; 27 in Soil minimum depth to tinning factur 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/O1, 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 )NU requirements. A No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06,w- stats. The following conditions shall be met during construction or installation and prior to occupancy or use: 1 Reminders • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of See. 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made wi the desi-nated county official in accordance with the provisions of See. 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. • 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. NOTE: Per the installer, the existing mound system shall be removed from service for a period of time long enough to allow it to dry out. If it is put back into operation, a soil boring in this area must indicate the mound meets the depth to limiting condition as specified by Table 383.44-3, Wis. Adm. Code.. MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN, INDEX AND TITLE PAGE Project Name: Andersen 3 Bedroom Replacement Mound Owners Name: Thomas & Gail Andersen Owner's Address 1450 Evergreen Drive River Falls, WI 54022 Legal Description: NE1/4, NW1/4, S25, T28N, R18W Township Kinnickinnic County. St. Croix Subdivision Name: NA Lot Number: 2 Block Number I~ Parcel I.D. Number 022-1070-20-100 O V Plan Transaction No. V°ETY Aj~jj '4 SERVICES Page 1 Index and title w ` A V C Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank i 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 Existing Tank Certification Page 14 Warranty deed Page 15 CSM Attachment Soil evaluation report Designer: John Schmitt License Number: 223760 Date: 8/17/2017 Phone Number: 715-760-0486 l L c Signature: Designed Pursuant to the Mound 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 Plan and Cross Section Views T 1/10 B ; n J Observation Pipe I♦ K A W j. I. B z • L - Mound Component Dimensions ft A 6.00 ft E 16.92 in H 1.00 ft K [Aft B 75.00 ft F 9.50 in 1 12.10 ft L ft D 9.00 in G 0.50 ft J 4.61 ft W 1 450.00 (ft2) Dispersal Cell Area 1357.28 (ft2) Basal Area Available 6.00 (gpd/ft) Linear Loading Rate 7.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 100.87 (ft) . 3 H G 99.58 (ft) Lateral IF Dispersal C .x- 99.08 (ft)---*. ell - Invert Dispersal Cell C~ Elevation E D Q~ 1 r 98.33 (ft) Contour Elevation 11.0 % Site Slope Geotextile Fabric Cover Shading Key 2- - T Dispersal Cell See lateral details on 1Q tr Topsoil Cap V C 1.5 ft Page 4 for number, size, Q ':Q.•.•..:.......•....•...•...• Subsoil Cap m o 5 and spacing of laterals. ©0 ASTM C33 Sand `ri ° Laterals are equally F spaced from the Tilled La er 0.5 ft Typical Lateral_ Y N distribution cell's © Aggregate rr o centerline in the A distribution cell (AxB). Project: Andersen 3 Bedroom Replacement Mound Page 3 Mound and Pressure Distribution Component Design Design Worksheet Site Information (R or C) Rai Residential or Commercial Design Note: sand rill (D) calculations assume a 300.001 Estimated Wastewater Flow (gpd) Table 383 44 3 in-situ soil treatment for - fecal coliform of 36 inches. 1.50; Peaking Factor (e.g. 1.5 = 150%) 450.00 Design Flow (gpd) 11.00 Site Slope 98.33; Contour Line Elevation (ft) 2.7.00; Depth to Limiting Factor (in) 0.501 In-situ Soil Application Rate (gpd/ft2) Distribution Cell Information 75.001 Dispersal Cell Length Along Contour (ft) = 6.00 Cell Width (ft) 1.004 Dispersal Cell Design Loading Rate (gpd/ftz) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? Enter Y o~- N (C or E) C Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation_ (ft) 41 Number of Laterals of the highest point. 0.188; Orifice Diameter (in) 2.50Estimated Orifice Spacing (ft) = 7.50 ft2/orifice 2.001 Forcemain Diameter (in) 120.00, Forcemain Length (ft) Does the forcemain drain back? Y 88.50 Pump Tank Elevation (ft) Enter Y or N 3.25 System Head (ft) x 1.3 19.57 Forcemain Drainback (gal) 7`r 10.00 Vertical Lift (ft) 67.32 5x Void Volume (gal) 3.84 Friction Loss (ft) 86.89 Minimum Dose Volume (gal) t ~p 0.501 In-line Filter Loss (ft) 39.32 System Demand (gpm) 17.58 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection in. dia, options choice in. dia. options choice 0.75- 1.25 1.00 1.50 x x 1.25 x j 2.00 x 1.50 x x 3.00 2.00 x 3.OO x Gallons/Inch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 1000.001 Septic Tank Capacity (gal) ! Total Working Liquid Depth (in) Wieser Concrete 'Manufacturer u gal/in (enter result in cell 1349) Dose Tank Information Effluent Filter Information jFilter Manufacturer 600.001 Dose Tank Capacity (gal) SIM/TECH 11.821 Dose Tank Volume (gal/in) STF 100 !Filter Model Number Wieser Concrete ;Manufacturer Project: Andersen 3 Bedroom Replacement Mound Page 2 Center Connection Lateral Layout Diagram Force main connection via tee or cross to manifold at any point. Laterals are identical S Ir P A Turn-up vibafivalve or (FX -~IEr~2 f a12-) Laterals &forcernain Sch 40 PVC clesnoutplu2 per SPS Taldle 354.30-6 Hales dulled 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) 36.69 ft Orifices per Lateral 15 Lateral Spacing (S) 3.00 ft Orifice Density 7.50 ft2/orifice Lateral Flow Rate 9.83 gpm Manifold Length 3.00 ft System Flow Rate 39.32 gpm Manifold Diameter 1.50 in Total Dynamic Head 17.58 ft Forcemain Velocity 4.02 ft/sec Dose Tank Information Locr;ing cover 4vith warring 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 600.00 Gallons Volume 11.82 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 28.41 335.81 B 2.00 23.64 C P♦ ump of elevation (ft) C 7.35 86.89 T 89.58 D 13.00 153.66 D Total 50.76 600.00 Dose tank elevation (ft) Bedding un er tank. 88.50 Alarm Manuafacturer jSJE Rhombus Note: Switches Alarm Model Number 1036378 containing mercury may not be used in Pump Manufacturer ;Zoeller this system. Pump Model Number f 152 Pump Must Deliver 39.32 gpm at 17.58 ft T D H Project: Andersen 3 Bedroom Replacement Mound Page 4 Mound System Maintenance and Operation Specifications Service Provider's Name John Schmitt I Phone! 715-760-0486 f POWTS Regulator's Name ( St Croix County Zoning Phone! 715-760-0486 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 ftz 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 3 ears Mound inspect for ponding and seepage once every 3 years i Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to SPS 384.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished Grade vt 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 I Project: Andersen 3 Bedroom Replacement Mound Page 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 38133, 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 BODr,, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BODS, 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 W-0091000VA 3313 99te-SZ2-008 0 OSLtiS IM 'NOOa N301VV4 OL "H Sn 9LL£M Z af10d-1SOd 31V0 00 00 00 31V0 ~~~~`un~Diun ~ynNbW OIld3S n3a 13531M W L'i 0~ aflOd-3ad 1,,O-,L-JI/L .33VOS dOM l8 NMVaO = dW-009/000 LM ~ 0 w ~J w w F-i Q cn > z co O a O LLJ Or w U a cr 0 a V) m w o. Q w° O p° w o w (A v wF- -j w o Z m¢ LU 0 F- CY00 %0F- w D U H O o o z _ m Z = w o-' Q_= z~ a m~ z 3Q u. ce > C QU JQ V) w0 a a o U mop O to roV) JW W W ~U Z W Z O~ 00 Q a o O LL q? co ¢ q Q o o V) z `z^~' Y (z 00 ~p N'-,6 U-) `no mww 6- ¢ U m a p 00 <n (n ao o F- V) \W 04 N tt' F. _j t7 W 4`L W ¢ W a \ Z O U ~zv~i ~ U) F u-i2 Zo O N UJ 61Z-1~ ~V) 0Z~ U W U W pW O (ii 0Q:: 30= Ux OUW a w m F- (n o o= j °<C)0<MU, W21 <40 <;E U U ¢ vwi O N0 1z3mUm=`J` sm~ F- o 0 0 ~w~J.. o° J J COJ Z >Z O Z Z Q 0 Z) Fa- U J w I I ¢ U W J ~ f ¢ ~S H Z Z) W > a. Ckf 5 y W N / _ - . - - - _ 1 W - - - W N I I - ~5 I W W 1 o I w ¢ o: w F- U) U 0 x crn o Q 5 „ L9 w m I 00 LLJ LLJ 0 W Z) 0036 a „£8 Sd „69 a V) x z Q H Pnaa 7 PRESSURE FILTER INSTALLATION & SERVICE INSTRUCTIONS 1455 Lexamar Drive FI,L.TERa. : Toll Free 888-999-3290 Office 231-582-1020 Boyne City, MI 49712 Far 231-582-7324 Enrail irvch coin Webaa-ss1nok h c11m INSTALLATION: When installing an STF-100, screw filter into discharge port of any pump that has a 2" National Pipe Thread. Pumps with a smaller discharge port may be adapted to fit. When installing an STF-100A2 a tailpiece and male adapter will need to be added to the inlet end of the filter (end opposite of the cap) to the desired height and a 2" union will need to be added to the outlet end (the end closest to the cap & on the side of the filter). Always install the filters in a position where they can be easily serviced. 'Always use caution when starting threads to avoid cross threading". Plumb force main into the 2" sch 80 PVC union. **We recommend that the union remain together during gluing to insure that glue or cleaner does not ruin O-ring w:j I.1lfil << 1( i..f or sealing surface**. SERVICE: Service of filter screen is dependent on usage as every system is unique. For most residential systems we recommend inspecting the filter within the first year to determine the necessary service intervals for the filter. In high volume systems we recommend inspection within the first 6 months to determine necessary service intervals for the filter. Once the service interval is determined it should be consistent unless something changes in the system. Always inspect the filter screen for any damage or corrosion and replace if necessary. If our STF-101 service alarm switch has been installed and adjusted properly it will alarm when the filter requires service. It should be serviced no less than when periodic pumping of the septic tank and pump chamber is performed. Servicing will be more frequent if using any one of our optional filter socks (600 micron, 150-190 micron, and 100 micron). Check your local health department for septic system servicing recommendations. If the screen becomes clogged before the periodic pumping requirements, a high level alarm or light will indicate the need for service. If system is equipped with a "pump on light" that stays on longer than normal, this also may indicate a need to service filter. To service filter screen, unscrew the 4' cap. Pull filter screen from canister and wash out thoroughly in appropriate location with proper protection. In some cases an additional filter screen allows quicker service allowing the dirty filter to be washed later at the shop. Note that in cold conditions the filter cap may be difficult to remove. Keep the filter in a warm area or pour warm water over the cap before removing. Once the filter is installed in the tank it maintains a stable temperature and removing the cap will not be a problem. If the system is equipped with our Service Alarm Switch, the filter screen does not need service until the Service Alarm Switch activates a light or audio alarm. We still recommend that the filter be inspected once a year for damage or corrosion. NOTE: The total dynamic head loss of the system must be increased by 0.5 feet of head to overcome friction loss through the filter. SERVICE ALARM SWITCH The alarm switch is available in three pressure ranges, low head, medium head, Arid higi, head. Installation is simple, on SIM/TECH FILTER systems, remove 1/4" plug from base of filter chamber and connect tube fitting. Next, run the tube up into the tank riser and connect to service alarm switch. The alarm switch is fastened to the side of the riser via the nylon strap provided. Run alarm wire to alarm box. The service alarm switch can be wired with its own alarm or with the high water alarm. Pressure adjustment is made by removing the end plug, and inserting the 7/32 allen. Clockwise increases pressure. One turn equals approximately 3 PSI. The low head alarm switch comes factory preset at 8 PSI and is completely field adjustable within it's range (3 to 24 PSI). We recommend the use of a ball valve when using an alarm switch. Once you have installed the filter and alarm switch, the ball valve can be closed off to simulate a plugged filter so that you can make sure the alarm switch is working correctly. ****TRY OUR LID/SCREEN REMOVAL WRENCH. Our wrench holds filter lid firmly and hooks screen for easy removal and installation. Made of PVC plastic. WARRANTY All products are warranted against defects in material and workmanship for a period of two years from the date of purchase. In no event shall GAG SIM/TECH FILTER, INC. be liable for any consequential damages or any labor, material, freight or expenses required to replace, correct or reinstall the product. GAG SIMITECH FILTER, INC.'s liability is limited to repair or replacement of the part. All warranties are void if the product has been improperly modified, applied or installed, subjected to misuse or abuse. Except as stated herein, there are no warranties expressed or implied, including the warranty of merchantability or warranty of fitness for a specific purpose. EFFECTIVE September 13, 2005 Page 8 SECTION: 2.20.047 /primp ql !L/TY /~7 -11MP9 ,.11NCE /~/~l~/ ' ..m FM 1919 0110 f /r~ Supersedes Product information resented 1108 here reflects conditions at time yv p r1> f `a of publication. Consult factory = d. regarding discrepancies or visit our well site: inconsistencies. MAIL TO: P.O. BOX 16347 • Louisville, KY 402560347 SHIP TO: 3649 Cane Run Road • Louisville, KY 40211-1961 www.zoeller.co/m (502) 778-2731.1(800) 928-PUMP • FAX (502) 774-3624 4 S Durable cast iron construction '5111521153 EFFLUENT SERIES Model 151 comes standard with a glass-filled polypropylene base (For Pump Prefix Identification see News & Views 0032) Corrosion resistant powder coated epoxy finish y t ~ Stainless steel lifting handle Assembled with stainless steel baits FOR SEPTIC TANK -LOW PRESSURE PIPE (LPP) Non-clogging engineered thermoplastic vortex AND ENHANCED FLOW STEP SYSTEMS impeller design Model 151 -1/3 HP passes 1/2" spherical solids ~.lyitt EFFLUENT SUBMERSIBLE Model 152 - .4 HP passes spherical solids % /2~~ NPT DISCHARGE Model 153 -112 HP passes 3/4" spherical solids Motor - 60 Hz, 3450 RPM, oil-filled, hermetically sealed, automatic reset thermal overload protected Carbon/Ceramic seals C us Upper sleeve bearing and lower ball bearing running T stF dtoULStandardUL778 and G ififed to GSA in bath of oil Standard CSA22.2 W 10B 20 ft. UL Listed power cord with molded 3-wire plug fi~4 1'/2" NPT vertical discharge BN and BE standard models include a 20 ft. variable N151IN152/N153 & E1511E152IE153 nonautomatic level float switch BN151/BN152BN153 & BE15liBE1521BE153 t, X41 packaged with Piggyback Variable Level Float Swim) Operates at temperatures to 130°F (54°C) in effluent .113, A & 112 HP, 1Ph 115V or 230V applications ~ .fz Fri All models include a 1'/i' x 2" PVC adapter fitting 1c Ltt T ' 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 r~ ~ ~ COATED TOUGH" t. ,ter st ~ a ~ ~ry 1kJ«fyj rjf 3 PJlaciei 6F1 ~'?!i (1'i53 t-tigf~ Head MAIL TO: PO. BOX 16347 High Effluent i Louisville, KY 402560347 SHIP TO: 3649 Cane Run Road Louisville, KY 402114961 (502) 778-2731. 1(800) 928-PUMP a rt+. of SFr. a :h-" s ' FAX (502) 774-3624 Manufacturers of . ~ Q6L/TY /-IMPS 511VCE 1,979 Copyright 2010 Zoeller Co. All rights reserved. nrr- TOTAL DYNAMIC HEAD/FLOW PUMP PERFORMANCE CURVE PER MINUTE LL LL50 MODEL 151/1521153 EFFLUENT AND DEWATERING 14 45 153 MODEL 151 152 153 2 40 - Gal. Liters v\, Feet Meters Gal. hers K 0 35 5 1.5 50 189 291 10 10 3.0 45 170 265 s 30 15 4.6 38 144 231 0 8- 25 151 20 6.1 29 110 197 25 7.6 16 61 159 0 6 30 9.1 - - 125 YYr~~`` 35 10.7 - - 85 40 12.2 - - 42 4 mj 44 ft. (13-4m} Shut-01f Head: 30 R (9.im) 38 2 (11.6 z 10 - - 0145(1 2 46 5 - e Model 151 Models 1521153 10 20 30 40 50 60 70 8) 90 100 GALLONS_ 61.2 6 7f12 - - d5l8 - LITERS 0 40 8-20 160 200 240 260 320 350 3715 45M 3718 FLOWPERMINUTE 014508A - - w H 3718 \ 3 71B I t'-'01 S',PP y g C t~h 9 )Nit ~ \ U ~ 371e 3718 • Timed dosing panels available n + 1ft NPT • Electrical alternators, for duplex systems, are available and supplied with an alarm • Variable level control switches are available for controlling single phase systems' • Double piggyback variable level float switches are available for variable level long and short cycle controls - } I • Sealed Qwik-Box available for outdoor installations - See 111x16 j 1z 118 FM1420 _ Over 130°F (54°C) special quotation required 41916 53re • , 1.,I ~J r - - - SK2444 SK2084 151/1521153 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 2or3 11Easy assembly" N152 115 1 Non 8.5 1 2 or 3 (pump 8 discharge pipe 131\1152 115 1 Auto 8.5 Included 2or3 notlncfuded.) E152 230 1 on 4.3 1 2 or 3 BE15 230 1 Auto .3 Included 2 or N153 115 1 Non 10.5 1 or 3 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 2 or 3 . I..~'.`;I l.i`~ (~IJ(I.' r 1 I ~<.}t=,jf i i °,_i',;j1..1 e 1;=.11,x.1 i~'~i!I JL?.:'13 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 FM0712 for correct model of Electrical Alternator 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 D CAUTION Attaches securely to pump n ..~I.1i~~, c,i ula ecli,ln a~w«c.z.,nd 1,~r~n~ .Iros11~~ <; ~,nr~ by rlua n;:a Accommodates sump, dewatering and effluent applications aces ~ ..~ctrlr ,•;1, All elactric,l and : fdy cocks should ba i uo.rcr) inciudik S U,_` NOTE: Make sure float is free from obstruction. mesl rr_cc-~d N,,tional Electrical Crrde (NEC) Ind the Grcupbiirm:a Safety anti N ;,I!h ArA (0SI!A), 3 ~ } t S I rr✓ v ~ r z., i_,~ ~~l .y u ~ ..i ``-d For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. © Copyright 2010 Zoeller Co. All rights reserved. D- in PLOT PLAN N Project Name: Andersen 3 Bedroom Replacement Mound Legal Description: NE1/4, NW114, S25, T28N, R18W P.I.D: 022-1070-20-100 Subdivision Name: NA Lot 2 SCALE: 1^ = 60' Township: Kinnickinnic Parcel Size: 14.99 Acres County: St. Croix Contour Line Elevation: 98.33 Cell Dimensions: 6'x75' 4 inch Sch 40 -ASTM D2665 System Elevation 99.08 Mound Dimensions: 92.23' x 22.70' 2 inch Sch 40 -ASTM D1785 Slope 11 1112 Sch 40 -ASTM D1785 BM1 Elevation: 100.00' To of 2" PVC pipe BM2 Elevation: 98.50' To of Dose Tank manhole cover ■ Backhoe Pits: Existing Septic Tank: Weiser Concrete W10001600-MR gallon Septic Tank Existing Dose Tank: 600 allon Dose Tank with Sim/Tech STF 100 Effluent Filter GJ _ ~ ~ 7r / ~ to + ri r q>dL ~.G2 C1. ibyi\ 4 l 6.L L L1 at'~ ► / V N LV r °7y J F Q f Page 12 H Ty C' - - Paee 11 STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER Thomas & Gail Andersen MAILING ADDRESS 985 Scott Road PROPERTY ADDRESSlt~A Eyergreen Drive; River Falls, WI 54022 (location of septic system) Please obtain from the Planning Dept. CITY/STATE River Falls WI 54022 PROPERTY LOCATION NE 1/4, NW 1/4, Section 25 , T 28 N-R 18 W TOWN OF Kinnickinnic ST. CROIX COUNTY, WI SUBDIVISION LOT NUMBER 2 CERTIFIEDSURVEY MAP 526214 , VOLUME 10 , PAGE 2881 , LOT NUMBER 2 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 licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. I/We, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained must be completed and returned to the St. Croix County Zoning Officer within 30 days of the three year expiration date. SIGNED: DATE: J St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 P~rzo 17 Department of SOIL EVALUATION REPORT #1900 5 P Safety and in accordance with Gomm 85, Wis. Adm. Code Page __1 - of S Professional Services Schmitt Soil Testing, Inc. County Attach complete site plan on paper not less than 8Yx 11 inches in size. 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. Please print all information. Reviewed ate Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)) Property Owner Property Location i Andersen, Thomas & Gail Govt. Lot NE1/4, NW1/4, S25, T28N, R18W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1450 Evergreen Drive 2 ! CSM 10/2881 14.99 Acres City State Zip Code Phone Number City Village ! Town Nearest Road River Falls WI 1 54022 715-426-2277 Kinnickinnic Evergreen Drive New Construction Use: Residential/ Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement Public or commercial - Describe: Parent material Outwash ( Hubbard loamy sand) Flood plain elevation, if applicable NA ft. General comments Area is suitable for a moun(i.~ytem. System elevation is 99.08 based off the contour line established at 98.33'. Slope of area is and recommendations: 11 Depth to limiting factor is 2T. Boring # i Boring Pit Ground surface elev. _ 98.78 _ ft. Depth to limiting factor 30 in. Soil Application Rate Horizon Depth Dominant Color ~ Redox Description Texture ! Structure `Consistence; Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color ` Gr. Sz. Sh. I ! •EfFI `Eff#2 1 0-4 10yr3/3 none Ifs lmgr mvfr as 2m,2vf 0.5 1.0 2 4-10 10yr4/4 none i Ifs lmsbk ( mvfr gw 2m,2vf 0.5 1.0 3 10-30 ! 10yr6/4 ! none vfs I lcsbk I mvfr gw 1 2vf 0.4 0.6 j m2d 10yr6/8 y - -Om mvfi i 0.0 - 0.0 4 1 10yr7/3 10yr6/2 { ! 30-46" Sandstone, weakly cemented to strongly cemented very fine sand, breaking to impenetrable to a knife, Boring - Boring # i Pit Ground surface elev. 98_.53-_ ft. Depth to limiting factor <"-~7 in. Soil Application Rate GPD/ft2 Horizon Depth Dominant Color Redox Description I Texture I Structure ;Consisten Boundary Roots in. Munsell Qu. Sz. Cont. Color i Gr. Sz. Sh. I 'Eft#1 Erf#z 1 0-5 10yr3/3 none Ifs lmgr mvfr as 2m,2vf 0.5 1.0 - 2 5-18 10yr5/6 none Ifs Icsbk 1 mvfr l gw 2f,2vf 0.5 1.0 - - I I I 3 18-27 10yr6/4 none ml gw 2vf 0.4 0.6 I vfs i Osg m2d 10yr618 Vfs ml I gw 0.4 0.6 4 27-38 10yr6/3 10yr6/2 Osg _ _I m2d 10yr6/8 { _ ! 0.0 i 0 0 5 38-46 10yr8/2 10yr612 I vfs Om mvfi - ! - - 38-46" Sandstone, weakly cemented to strongly cemented very fine sand, breaking to impenetrable to a knife Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg[L Effluent #2 = BODS < 30 mg/l. and TSS .530 mg/L Si nature: CST Number CST Name (Please Print) g 227429 Thomas J. Schmitt Address Schmitt Soil Testing, Inc. Date Evaluation Conducted Telephone Number 1595 72nd St. New Richmond, WI 54017 7119/2017 715-760-1978 SRD-8339 (R.9Unn) Property Owner Andersen, Thomas & Gail - Parcel ID # ~ao~ `02? _ ~Oh Page 2 of _ 4_ F 3] Boring Boring # pit Ground surface elev. 96.28 ft. Depth to limiting factor 38 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 0-6 _10yr3/3 none - Ifs lmgr mvfr as 2m,2vf 0.5 1.0 2 6-12 10yr5/6 none Ifs imsbk mvfr gw 2f,2vf 0.5 1.0 3 12-38 10yr7/3 none vfs Osg ml gw 1vf 0.4 0.6 4 38-56 10yr7/3 `m2d 10yr6/8 vfs- Om - muff 0.0 0.0 10yr6/2 - - - - - - - - 38-56" Sandstone, weakly cemented to strongly cemented very fine sand, breaking to impenetrable to a knife ❑ Boring # Boring ( Pit Ground surface elev. ft. Depth to limiting factor _ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#f *Eff#2 Boring F-1 Baring # Pit Ground surface elev. ft. ~ ~ Depth to limiting factor in. _ Soil Application Rate _ Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD5> 30 < 220 mg/L and TSS >30 <150 mg/L * Effluent #2 = BOD5 < 30 mg/L and TSS < 30 mg/L The Department of 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 "1"fY 608-264-8777. SIID-8330 (R 07/00) Schmitt Soil Testing, Inc. Page 3 of 4 Conducted by: Conducted For: Schmitt & Sons Excavating, Inc.. Name: Thomas & Gail Andersen Thomas J. Schmitt, CST 227429 Address: 1450 Evergreen Drive 586 Valley View Trail City, State, Zip: River Falls, W154022 Somerset, W 154025 Phone: 715-760-1978 PID: 0'f'z -/0-;> a ~Da signatures .`'%y~f✓~~Lot No.: 2 CSM 1012881 Date 7 Legal Description: NEI/4 NWI/4 S25 T28N R18W ® Backhoe Pit Township, County: Kinnickinnic, St. Croix County ® Bench Mark 1 El. 100.00' Tap of 2" PVC pipe Q Bench Mark 2 EI.98.50 Top of Dose Tank manhole cover Slope= 11% Sc le 160' Contour Line El. 98.33' Contour Line Length 80' \ \ NOTE: For full view of Lot see Aerial Photo (Page 4 of 4) r 6XI04 00/ 1S , 5 La r, 1 x 4 s-€, MG I is 4P 4 1 7Vi - y r V\ i o nice/ t2 l ~ RECEIVED ~s Department 4 ty and fAUG 0 4 29QIL EVALUATIO Page 1 of#1400 P S in accordance with Comm 8^ G ode Professional Sgr(CROIX COUNTY ~J Schmitt Soil Testing, Inc. ` :,OMMUNITY DEVELOPMENT v County Attach complete site plan on paper not less than 8% x 11 inches in P' # St. Croix include, but not limited to: vertical and horizontal reference point (BM ,t .d - - percent slope, scale or dimensions, north arrow, and location and dis+ wrest road. Parcel I.D. 002 ~~070 Please print all information. OP Reviewed By Date Personal information you provide may be used for secondary purposes (Pi. ~ 'aw, s. 15.04 (1) (m)). Property Owner Property Location Andersen, Thomas & Gail Govt. Lot NE1/4, NW1/4, S25, T28N, R18W Property Owner's Mailing Address Lot # Block # TSubd. Name or CSM# 1450 Evergreen Drive 2 CSM 10/2881 14.99 Acres City State Zip Code Phone Number City Village Town Nearest Road River Falls WI 54022 715-426-2277 Kinnickinnic Evergreen Drive New Construction Use: Residential ! Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement Public or commercial - Describe: Parent material Outwash ( Hubbard loamy sand) Flood plain elevation, if applicable _ NA ft. General comments Area is suitable for a mound system. System elevation is 99.08 based off the contour line established at 98.33'. Slope of area is and recommendations: 11%. Depth to limiting factor is 27". Boring i, Boring # Pit Ground surface elev. _-98.78 ft. Depth to limiting factor 30 in. Soil Application Rate Horizon Depth Dominant Color I Redox Description Texture Structure Consistences Boundary Roots G_P_ D_/ft' _ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 'Eff#2 1 0-4 10yr3/3 none Ifs lmgr mvfr as 2m,2vf 0.5 1.0 2 4-10 10yr4/4 none Ifs ( lmsbk mvfr i gw ~2m,2vf 0.5 1.0 3 10-30 10yr6/4 none vfs lcsbk mvfr ! gw 2vf 0.4 0.6 4 30-46 10yr7/3 m2d 10yr6/8 10yr6/2 vfs Om m 0.0 0.0 30-46" Sandstone, weakly cemented to strongly cemented very fine sand, breaking to impenetrable to a knife, Boring Z ]Boring# ; Pit Ground surface elev. 98.53 ft. Depth to limiting factor 27 in. 98.53 9 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 0-5 10yr3/3 none ifs lmgr mvfr as 2m,2vf 0.5 1.0 2 5-18 10yr5/6 none Ifs lcsbk mvfr gw 2f,2vf 0.5 1.0 3 18-27 10yr6/4 none vfs Osg ml gw 2vf 0.4 0.6 4 27-38 10yr6/3 m2d 10yr6/8 vfs Osg ml gw 0.4 0.6 10yr6/2 5 38-46 10 r8/2 m2d 10yr6/8 vfs Om mvfi 0.0 0.0 38-46" Sandstone, weakly cemented to strongly cemented very fine sand, breaking to impenetrable to a knife ` Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD5 < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt 227429 - - - - - Address Schmitt Soil Testing, Inc. Date Evaluation Conducted Telephone Number 1595 72nd St. New Richmond, WI 54017 7/19/2017 715-760-1978 SBD-8330 (8.07100) Property Owner Andersen, Thomas & Gail Parcel ID # Qa ^!J 70 _,;to -ADO Page _ 2_ of 4 - Boring F3 Boring # Pit Ground surface elev. __.-96.28.__ ft. Depth to limiting factor 38 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDlft2 _ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-6 10yr3/3 none Ifs lmgr mvfr as 2m,2vf 0.5 1.0 III - - - - 2 6-12 10yr5/6 none Ifs lmsbk mvfr gw 2f,2vf 0.5 1.0 3 12-38 10yr7/3 none vfs Osg ml gw lvf 0.4 0.6 4 38-56 10yr7/3 m2d 10yr6/8 I vfs Om mvfi 0.0 0.0 10yr6/2 _ _ 38-56" Sandstone, weakly cemented to strongly cemented very fine sand, breaking to impenetrable to a knife F-1 Boring Boring # Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon + Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 `Eff#2 I - - - - - - - - - - i I i Boring ❑ Boring # Pit Ground surface elev. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDlft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. E *Eff#1 *Eff#2 I i I i * Effluent #1 = BOD5> 30 < 220 mg/L and TSS >30 <150 mg/L * Effluent #2 = BOD5 < 30 mg/L and TSS <30 mg/L 'The Department of 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 T rY 608-264-8777. SBD-8330 (R.07/00) Schmitt Soil Testing, Inc. Page 3 of 4 Conducted by: Conducted For: Schmitt & Sons Excavating, Inc.. Name: Thomas & Gail Andersen Thomas J. Schmitt, CST 227429 Address: 1450 Evergreen Drive 586 Valley View Trail City, State, Zip: River Falls, W154022 Somerset,Wl 54025 Phone47L 15 7 0-1~978 PID: L,22- /070 20 sieLot No.2 CSM 10/2881 DLegal Description. NE1/4 NWt/4 S25 T28N R18W 0 Backhoe Pit Township, County: Kinnickinnic, St. Croix County A Bench Mark 1 El. 100.00' Top of 2" PVC pipe A Bench Mark 2 EI.98.50 Top of Dose Tank manhole cover Slope= 11 % Sc le 1"= 60' Contour Line El. 98.33' Contour Line Length 80' NOTE: For full view of Lot see Aerial Photo (Page 4 of 4) r 4 X 0700 1as , 5 LOPE )ri 5T 1 NG- ~ ~ i 1 ~ ~ c,EA-rr c / OoSt= 7~N I POU ~A,2A WFLt_ 9S ' UtP,9(R.ECnr pR v~ LD CD all Ale aF .4 A . . 0122 -49 5k'- m ,e i*T 7-11 < y v , m 4 LJ LYI 'Ar 47 A 74 4 ~p ~ d _ a rye ham, CA y,, P a a ' x b nw A. ~F ;y" J-I NII n ` ,d•~, ~g j x ~ri -°aa wr°°.+.;X. 3e w~ fti < s -10 G4- jv~ s° *1110.