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030-2018-81-000 (3)
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No (ATTACH TO PERMIT) 600255 GENERAL INFORMATION State Plan ID No Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)] 3006837 Permit Holder's Name: City Village Township Parcel Tax No: RICHARD & LYNN HUEBSCH TOWN OF SAINT JOSEPH 030-2018-81-000 CST BM Elev: Insp. BM Elev: BM Description: ctionlTown/Range/Map No: l✓f D i' G 01.29.20.423D TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS I FS ELEV. Septic !~l C -~f t / tfN`~` Benchmark q, LN J & Dosing Alt. BM Aeration Bldg. Sewer Holding SUHt Inlet St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt Bottom pp',,~1 g~^~ ~ / I LY t1~ d Dosing Header/Man. Y.,21 Aeration Dist. Pipe y A;;i. ~6no I Holding Bot. System Final Grade Ql/ PUMP/SIPHON INFORMATION b C'l Manufacturer Demand St Cover "C?P GPM - ~i Model Number 6~_ / J TDH Lift Friction Loss Syste TD Ft 7 Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width / , Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Did,. I Liquid Depth-~ DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer. INFORMATION CHAMBER OR Type Of System: ~''1 UNIT v~~ ' : c ~ ! Model Number. DISTRIBUTION SYSTEM A-a c,,ejoeGS 71.,~5 Header/Manrfold Distribution Ix Hole Size x Hole Spacing Vent to Air Intake / v pipe(s) Length ~ Dia / Length Dia Spacing ~ 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 - To s - p 1Yes C No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: I I ~I2o1 '7 Inspection #2: Location: 283 APPALOUSA CT P LOV • 1eSQ f Y1 lo" D i- 1.) Alt BM Description = 1 2.) Bldg sewer length - ,r a t - amount of cover = t t s f t Plan revision Required? Yes No A 'N Use other side for additional information.❑ 0 ~6, SBD-6710 (R.3/97) Date Insepctor's Signature. Cert. No. R r !j 1 f ~nrrra~l V E' ! E County ustry Services Division St. Croix J f 1:. _F r $ S 1400 E Washington Ave Sanitary w Permit Number (to be filled in by Co.) S 3,0 2011 P.O. BOX 7162 c Madison, WI 53707-7162 ~J ROIX COUNTY ((/LA_,# F Sanitary Permit Apple State Transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission ofthi fie, 3006837 ~ gdde~T~ental unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owne ra~rnitted to - the Department of Safety and Professional Services. Personal information you provide may be used for sefondary Proj Wt Address (if different than mailing address) Purposes in accordance with the Privacy Law, s. 15.04(1)(m), Slats. ppalousaCourt 1. Application Informs n Please Print All Information Property Owner's Name Parcel k Huebsch, Richard & Lynn 030-2018-81-000 1-7 Property Owner's Mailing Address Property Location 283 Appalousa Court Govt. Lot i4 City, State Zip Code Phone Number SE 1A, NE 1/4, Section I Hudson, Wl 54016 circle one) T 29 N R 20 E oi II. Type of Building (check all that apply) Lot # ® 1 or 2 Family Dwelling - Number of Bedroo 2 Subdivision Name ❑ Public/Commercial - Describe Use Block # ❑ City of ❑ State Owned -Describe Use 'M Number ❑ Village of 6 a ` 7 P 197 ® Town of St. Joseph III. Type of Permit: (Check only one box on line A. Complete line B if applicable) d AAa~ . ❑ New System ® Replacement System ❑ TreatmenbHoldino Tank Replacement Only ❑ Other Modification to Existing System (explayt) B• ❑ Permit Renewal ❑ Permit Revision ❑ Change of' ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner 112765, 8/30/19$8 IV. Ty e of POWTS S stern/Cone onent/Device: ('Check all that apply) ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ Holding = Tank ❑ At-Grade ®Mound 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Other Dispersal Component (explain) ❑ Pretre 'alrlent ev V. Dis ersal/Treat nt Area Information: ' Design Flow (gpd) Design Soil Application Dispersal Area equired (A) Dispersal Area Proposed (sf) System Elevation 450 Rate(gpdsf) 750 1033 0.6 99.36 VI. Tank Info Capacity in Gallons Total # of ~ 2 Gallons Units tufactt;Ye1 Esisun6 = "I"arks _ New'ranks •G/•~ jR, lam t6/ 1 C7 ri Septic or I folding `tank 1000 1000 1 ® ❑ ❑ ❑ ❑ Week's C. P. Dosing Chamber 800 Will 1 Week's C. P. ® ❑ ❑ ❑ VII. Responsibility Statement- f, the undersigned, assume responsibility foginstallation of the POWTS shown on the attached plans. ❑ Plumber's Name (Print) Plum" s S*on re MP/MPRS Narnber Business Phone Number John Schmitt ~f (L Z 223760 715-760-0486 Plumber's Address (Street, City, State, Zip Code) 616 150th Ave. Somerset, WI 54025 VII ount /Department Use Only Approved ❑ D' Permit F~e Date 1s ed Issuing nt Signature Owne FF n Reason for Denial S 3 //7 IX. Conde y , Iv /R a f~ Disa r•oval ep ,r, t.s.~r t~ pew I A / uosper: s,i cell must all be snis"Ic,~s~IZ'ht,'re~ • r+~dsrd iw iJ X. ~•~i as per Ma.ragement plan pro sided by plumber. e~^ l M~tr 2. 'Atneft,* req~MP.'" lentils thus t.ba tr,a ntc ir.Edt • l eAeJ n por 19air / ,Lf(fiiomai. Attach to complete plans for the system and submit to the County only on paper not less than 8 1l2 r 11 inches in size SBD-6398 (R03/14) PLOT PLAN N Project Name: Huebsch 3 Bedroom Replacement Mound Legal Description: SE1/4, NE1/4, S1, T29N, R20W P.I.D: 030-2018-81-000 Subdivision Name: NA Lot 2 Township: Hudson Parcel Size: 6.470 Acres SCALE: 1" = 50' County: St. Croix Contour Line Elevation: 98.61 Cell Dimensions: 6'X 75' ' 4 inch Sch 40 -ASTM D2665 System Elevation 99.36 Mound Dimensions: 90.97' x 19.25' 2 inch Sch 40 -ASTM D1785 Slope 4 1112 Sch 40 -ASTM D1785 A BM1 Elevation: 100.00' Top of service door threshhold on pole shed 0 BM2 Elevation: 100.19' Top of dose tank manhole cover ■ Backhoe Pits: Existing Septic Tank: Week's C.PA000 gallon Septic Tank lon Existing Dose TI pi In.__L.1rvccn a IVeek's v D 800 gallon nose Tank w! SWITECH STF-100 FffluP_nt Filter f2~ % s• r1 \ O- Mi 1 BPI 7- CS j= T AN r, CLt~Dc.SfY•~ u 1~}fl \ Izc' 2 ei~ce \A Exit, 1-1 NL' I~f lti cf~v C_- ~aLLeti CvNiGJk c~` D H~u g& I 1 I LX/5-IrVv i~IL~U} TO ~t-_ ~hlr~U r i~Ni> t2~Li`7C~ Page 12 pARTtif ~EyT DIVISION OF INDUSTRY SERVICES ~r 3824 CREEKSIDE LN o HOLMEN WI 54636-9466 0 ! $ P Contact Through Relay ,L S http://dsps.wi,gov/programs/industry-services www.wisconsin.gov A Scott Walker, Governor Laura Guti6rrez, Secretary October 20, 2017 CUST ID No. 223760 A7TN.- 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: 10/20/2019 Identification Numbers "Transaction ID No. 3006837 SITE: Site ID No. 843481 HUebsch Please refer to both identification numbers, 28 Appaloisa Crt above, in all correspondence with the Town of Saint Joseph agency. St Croix County SE 1 /4, NE 1 /4, S 1, T29N, R20 W FOR: Object Type: POWTS Component Manual Regulated Object ID No.: 1729989 Maintenance required; Replacement system; 450 GPD Flow rate; System(s): Mound Component Manual - Ver. 2.0, SBD -10691-P (N.01/01, R. 10/12), Pressure Distribution Component Manual - Ver. 2.0, SBD-10706-P (N.01/01, R. 10/12); Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, scats. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the approved plans and with the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems Version 2.0" SBD-10706- P (N.01/01). • This system is to be constructed and located in accordance with the approved plans, and the "Mound Component Manual for Private Onsite Wastewater Systems Version 2.0" SBD-10691-P(N.O1 /01). • The pressure network is to be constructed in accordance with publications SBD-10706-P(NO1/01) "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems - Version 2.0" and/or the sizing methods ofpublication "SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01 /81)" A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives ofthe Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. JOHN F SCHMITT Page 2 10/20/2017 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. When You Receive That Invoice, /x4wastewater t iew Allen nzen Please Include a Copy With Your Specialist , Division of Industry Services Payment Submittal. (715)340-0407 , WiSMART code: 7633 rnatthew.janzen awisconsin.gov MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN INDEX AND TITLE PAGE s- Project Name: Huebsch 3 Bedroom Mound Owners Name: Richard & Lynn Huebsch - Owner's Address 283 Appalousa Court Hudson, WI 54016 Legal Description: SE1/4, NE1/4, S1, T29N, R20W Township Hudson` ` ) County: St. Croix - ~ S V Subdivision Name: NA Lot Number: 2 Block Number SEE COFatESPC NDEi ICE Parcel I.D. Number 030-2018-81-000 Plan Transaction No. Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Existing Septic tank specifications Page 8 Existing Dose tank specifications Page 9 Effluent filter information Page 10 & 11 Pump specifications and curve Page 12 Plot plan Page 13 Septic tank maintenance agreement Page 14 Existing Tank Certifications Page 15 Warranty deed Page 16 CSM Attachment Soil evaluation report Designer: John Schmitt License Number: 223760 Date: 9/26/2017 Phone Number: 715-760-0486 Signature: It,~, C, 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 and Pressure Distribution Component Design Design Worksheet Site Information - (R or C) Rj Residential or Commercial Design Note: Sand fill (D) calculations assume a Table 383-44-3 in-situ soil treatment for 300.00} Estimated Wastewater Flow (gpd) _ fecal coliform of 36 inches. 1.50) Peaking Factor (e.g_ 1.5 = 150%) 450.00 Design Flow (gpd) 4.00 Site Slope 98.61 Contour Line Elevation (ft) 27.001 Depth to Limiting Factor (in) 0.60 In-situ Soil Application Rate (gpd/ft2) Distribution Cell Information 75.001 Dispersal Cell Length Along Contour (ft) = 6.00 Cell Width (ft) ~ 1.00; Dispersal Cell Design Loading Rate (gpd/ft2) 11 Influent Wastewater Quality (1 or 2) Are the laterals the highest porn 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. 0.156 Orifice Diameter (in) 2.501 Estimated Orifice Spacing (ft) = 7.50 ft2/orifice -3 l 2.001 Forcemain Diameter (in) . )e ! 120.001 Forcemain Length (ft) Does the forcemain drain back? ! Y r-- _ j -86_00 Pump Tank Elevation (ft) Enter Y or N s I qb ' 4.55 System Head (ft) x 1.3 19.57 Forcemain Drainback (gal) 12.94 Vertical Lift (ft) 67.32 5x Void Volume (gal) 2.67 Friction Loss (ft) 86.89 Minimum Dose Volume (gal) . _ 0.501 In-line Filter Loss (ft) 32 31 SYstern Demand (gpm 20.66 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection - in. dia. o tions choice in. dia. options choice 0.75 1.25 x 1.00 x 1.50 x x 00 1.25 x 2. 1.50 x 1 x 100 2.00 x 1 3.00 x Gallons/Inch Calculator (optional) Treatment Tank Information 1 Total Tank Capacity (gal) Total Working Liquid Depth (in) 1000.00 Septic Tank Capacity (gal) Wieser Concrete Manufacturer gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 800.00'l Dose Tank Capacity (gal) SIMt TECH Filter Manufacturer 21.761 Dose Tank Volume (gal/in) STF-100 (Filter Model Number Wieser Concrete (Manufacturer Project: Huebsch 3 Bedroom Replacement Mound Page 2 Mound Plan and Cross Section Views 1/10B Observation Pipe J K"`-f: - j T 5 A t. B I L Mound Component Dimensions A A9.00 ft E 11.88 in H Qft ft K 7.99 ft B ft F 9.50 in 1 ft L 90.97 ft D in G 0.50 ft J W 19.25 ft 450.00 (ft2) Dispersal Cell Area 1033.38 (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 101.15 (ft) a.~ , x I b ~ } I I F Dispersal Cell 99.86 (ft) Lateral 99.36 (ft)-► Invert Dispersal Cell Elevation E..::. D Q 3 ' 98.61 (ft) Contour Elevation 4.0 % Site Slope Geotextile Fabric Cover Shading Key a T Dispersal Cell See lateral details on ❑ Topsoil Cap o 1.5 ft Page 4 for number, size, o':.;`?::':': and spacing of laterals. ❑ Subsoil Cap _ ASTM C33 Sand Laterals are equally ® Tilled Layer c 0.5 ft Typical Lateral spaced from the distribution cell's © Aggregate v o centerline in the A distribution cell (AxB). Project: Huebsch 3 Bedroom Replacement Mound Page 3 Center Connection Lateral Layout Diagram Force main connection via tee or cross to manifold at any point. Laterals are identic al - p 5 Turn-upv.;ballvalveor (FX-+--xl2 I 02-)J Laterals &forcemain ScPt40 PVC cleanoutplua per SPS Table 384.305 Holes drilled on the bottom of the lateral Number of Laterals 4 Orifice Diameter 0.156 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 8.08 gpm Manifold Length 100 ft System Flow Rate 32.31 gpm Manifold Diameter 1.50 in Total Dynamic Head 20.66 ft Forcemain Velocity 3.30 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. Capacity 800.00 Gallons -T Volume 21.76 gal/inch A _ Weep hole or anti- Dimension Inches Gallons B siphon device A 19.77 430.23 B 2.00 43.52 C Pump off elevation (ft) C 3.99 86.89 86.92 D 11.00 239.36 D Total 36.76 800001 1 Dom se tank elevation (ft) Bedding under tank. 86.00 Alarm Manuafacturer SJE Rhombus _ i Note: Switches Alarm Model Number ( 1036378 containing mercury may not be used in Pump Manufacturer ;Zoeller this system. Pump Model Number 1152 Pump Must Deliver 32.31 gpm at 20.66 ft TDH Project: Huebsch 3 Bedroom Replacement Mound Page 4 Mound System Maintenance and Operation Specifications Service Provider's Name Jahn Schmitt ; Phone 715-760-0486 POWTS Regulator's Name St Croix County Zoning Phone' 715-386-4680 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450 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 every 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. 1 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 Threaded Cleanout 6-8" Diameter Lawn Sprinkler Valve Box Plug or Ball Valve Distribution Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Huebsch 3 Bedroom Replacement 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. 10112)] 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 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 SAFETY AND BUILDINGS DIVISION Plumbing Product Review commerce.wi.gov P.O. Box 2658 Madison, Wisconsin 53701-2658 iscansin TTY: Contact Through Relay Department of Commerce Jim Doyle, Governor Richard J. Leinenkugel, Secretary February 16, 2010 WEEKS CONCRETE PRODUCTS RAY WEEKS 1832 215TH STREET NEW RICHMOND WI 54017 Re: Description: SEWAGE TANKS, CONCRETE Manufacturer: WEEKS CONCRETE PRODUCTS Product Name: SEPTIC, HOLDING, OR PUMP Model Number(s): 1000 (49 IN. L.L., 21.76 GAL/IN., 84 IN MAX. DEPTH OF BURY 511 G.P.D. WHEN USED AS A SEPTIC TANK BASED ON A 3 YR. SERVICE INTERVAL FOR RESIDENTIAL WASTEWATER;. TANK DIMENSIONS= 84 IN. LX IN. W X 49 IN. H ) Product File No: 20100040 The specifications and/or plans for this plumbing product have been reviewed and determined to be in compliance with chapters Comm 82 through 84, Wisconsin Administrative Code, and Chapters 145 and 160, Wisconsin Statutes. The Department hereby issues an approval based on the Wisconsin Statutes and the Wisconsin Administrative Code. This approval is valid until the end of JUNE 2015. This approval is contingent upon compliance with the following stipulation(s): • This tank must be designed to withstand the pressures to which it will be subjected. • The manufacturer must keep at the manufacturing plant a set of plans and specifications bearing the department's stamp of approval. The plans and specifications must be open to inspection by an authorized representative of the department. • When this product receives wastewater from dwellings and is used as a septic tank, it will produce an effluent quality with a maximum monthly average value for BOD5 of greater than 30 mg/L and less than or equal to 220 mg/L TSS, or greater than 30 mg/L or less than or equal to 150 mg/L TSS, and F.O.G. of less than 30 mg/L. • Approval is issued for this product as being equivalent to a floor outlet water closet when the fixture drain is installed in the vertical position. The design meets the intent of s. Comm 82.32 (5) (c) and 84.20 (5) (n), Wis. Adm. Code, which requires water closets to discharge through a minimum diameter 3" drain pipe or fitting and the bowl to conform to ANSI Standard Al 12.19.2M. The intent of the code is met since this product provides the same functional performance as water closets that meet ANSI Standard Al 12.19.2M. • BEDDING: Bedding material shall be used to provide a uniform bearing surface. A min. of 4-inch base of sand or granular bed on top of a form and uniform base is recommended. The tank should not bear on rocks. Sites with high ground water tables should have specially designed bedding. Soils should be compacted under the tank. This approval supersedes the approval issued on 4/21/2005 under product file number 20050106. This approval letter shall be incorporated with your previously approved plans and/or specifications approved under product file number 20050106. As of May 15, 2008, a copy of a successful water tightness test report for this product must be AVAILABLE FOR INSPECTION AT THE MANUFACTURER'S PLANT prior to this product being used as a POWTS holding or treatment tank in Wisconsin. The department is in no way endorsing this product or any advertising, and is not responsible for any situation which may result from its use. Sincerely, Jean M. MacCubbin, CST Engineering Consultant--Plumbing Product Reviewer Commerce; Safety & Buildings Div.; PO Box 2658; 201 W Washington Ave.; Madison WI 53703-2658 Phone: 608-266-0955; Fax: 608-283-7456; E-mail: Jean.MacCubbin@wisconsin.gov SBD-10564-E (N.10/97) File Ref: 10004003.DOC Paee 7 SAFETY AND BUILDINGS DIVISION /cinRTAir Plumbing Product Review P.O. Box 2658 u~ Madison, Wisconsin 53701-2658 TTY: Contact Through Relay P . S Scott Walker, Governor Dave Ross, Secretary ~~lSSIO*;P~' January 12, 2012 WEEKS CONCRETE PRODUCTS RAY WEEKS 1832 215TH STREET NEW RICHMOND WI 54017 Re: Description: SEWAGE TANKS, CONCRETE Manufacturer: WEEKS CONCRETE PRODUCTS Product Name: SEPTIC, HOLDING OR PUMP Model Number(s): 800 LOW PROFILE (cylindrical) (37.0 IN. L.L., 21.76 GAL/IN., 84 IN. MAX. DEPTH OF BURY, 848 gals. actual capacity for holding tank; 386 G.P.D. WHEN USED AS A SEPTIC TANK BASED ON A 3 YR. SERVICE INTERVAL FOR RESIDENTIAL WASTEWATER; TANK DIMENSIONS = 85 in. I x 80 in. dia. x 37 in. h) Product File No: 20120019 The specifications and/or plans for this plumbing product have been reviewed and determined to be in compliance with chapters SPS 382 through 384, Wisconsin Administrative Code, and Chapters 145 and 160, Wisconsin Statutes. The Department hereby issues an approval based on the Wisconsin Statutes and the Wisconsin Administrative Code. This approval is valid until the end of January 2017. This approval is contingent upon compliance with the following stipulation(s): • This tank must be designed to withstand the pressures to which it will be subjected. • The manufacturer must keep at the manufacturing plant a set of plans and specifications bearing the department's stamp of approval. The plans and specifications must be open to inspection by an authorized representative of the department. • When this product receives wastewater from dwellings and is used as a septic tank, it will produce an effluent quality with a maximum monthly average value for BOD5 of greater than 30 mg/L and less than or equal to 220 mg/L TSS, or greater than 30 mg/L or less than or equal to 150 mg/L TSS, and F.O.G. of less than 30 mg/L. • This product is approved to use the following: Two inch schedule 40 PVC cast in riser for electrical wiring. Pipe materials constructed in conformance with Table 84.30-2 or 84.30-11, Wis. Admin. Code poured into tank cover or access cover. Department approved effluent filter designed to be installed in a four inch diameter tee with extension and installed in accordance with the product approval for the filter including a properly sized and located access opening for service and maintenance. - Department approved EZ Set and Polylok Inc., 24" riser cast into the tank cover. • BEDDING: Bedding material shall be used to provide a uniform bearing surface. A min. of 4-inch base of sand or granular bed on top of a form and uniform base is recommended. The tank should not bear on rocks. Sites with high ground water tables should have specially designed bedding. Soils should be compacted under the tank. File Ref: 12001901.DOC SBD-10564E (N.10197) Page 8 I m PRESSURE FILTER INSTALLATION & SERVICE INSTRUCTION FILTER 1455 Lexamar Drive Toll Free 888-999-3290 Office 231-582-1020 Boyne City, MI 49712 Fax 231-582-7324 Email,, alesraiQae-simtCChxom Web suntcch.COm 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 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, and high 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 riser nylon via th with the h gh watearp str the tank riser and connect to alarm service box, The service alarm switch tcansbe wired dwiitthrits own alalrm or provided. Run alarm rm 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 bthe use of a ball valve when using an alarm switch. Once you have closed off to simulate a plugged filter so that you can make sure the alarlmd the filter and alarm switch, the ball valve can 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 SIM/TECH 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 EFFECTIVE Septembee wa2005 of 13, merchantability or warranty of fitness for a specific purpose. Page 9 SECTION: 2.20.047 r~ p ~c1 FM1919 QV4L/TY UMP3 ~iNCE 19Y9 0110 $ Supersedes Product information presented 1108 here reflects conditions at time of publication. Consult factory 'm-- regarding discrepancies or visit our web site: inconsistencies. MAIL TO: P.O. BOX 16347 • Louisville, KY 40256-0347 SHIP TO: 3649 Cane Run Road • Louisville, KY 40211-1961 www.zoeller.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 Identification see News & Views 0052) Corrosion resistant powder coated epoxy finish i Stainless steel lifting handle Assembled with stainless steel bolts FOR SEPTIC TANK -LOW PRESSURE PIPE (LPP) Non-clogging engineered thermoplastic vortex AND ENHANCED FLOW STEP SYSTEMS impeller design urYM Model 151 -1/3 HP passes 1/2" spherical solids EFFLUENT SUBMERSIBLE Model 152 -.4 HP passes 114" spherical solids % ~~2^ NPT DISCHARGE 6 SCRP~ Model 153 -1/2 HP passes 3/4' spherical solids Motor - 60 Hz, 3450 RPM, oil-filled, hermetically sealed, automatic reset thermal overload protected Nii oPl N 152/015:5 Carbon/Ceramic seals ad C US Upper sleeve bearing and lower ball bearing running Tested to ULSlandardUL778 a n and Certified to GSA in bath of oil sandardcSA222No 108 az f 20 ft. UL Listed power cord with molded 3-wire plug 1'/2' NPT vertical discharge f BN and BE standard models include a 20 ft, variable N15vN152 N153 & E1511E152/E153 ncnautomahc~ y level float switch BN1511BN152/BN153 & BE151/BE152/BE153 packaged with Piggyback Variable Level Float Switch Operates at temperatures to 1307 (54°C) in effluent 1/3, A & 112 HP, 1Ph 115V or 230V 7 t: applications All models include a 1'/2' 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 m timers with nonautomatic pumps. r X I~ POWDER =5 „ ~kyl COAT TOUGH," 1 ocel l I ,r MAIL TO: P.O. BOX 16347 Louisville, KY 40256-0347 SHIP TO: 3649 Cane Run Road 1 Louisville, KY 40211-1961 (502) 778-2731 • 1(800) 928-PUMP FAX (502) 774-3624 Manufacturers of.. . Zo QV<1L/TV /Z/MPS .571NCE © Copyright 2010 Zoeller Co. All rights reserved. Pave 10 - TOTAL DYNAMIC HEAD/FLOW PUMP PERFORMANCE CURVE PER MINUTE MODEL 1511152/153 so EFFLUENT AND DEWATERING 14- 45 153 40_ MODEL 151 152 153 12- Feet Meters Gal. Liters Gal. Liters Gal. Liters i 10 35 152t ,,,w - 5 t5 50 189 69 261 77 291 10 3.0 45 170 61 231 70 265 " 15 4.6 38 144 53 201 61 231 8 25 151 20 6.1 29 110 44 157 52 197 25 7.6 16 61 34 129 42 159 2? - 30 9.1 - - 23 87 33 125 s 35 103 - - - - 22 85 15 40 12.2 - - - - i t 42 4 10 Shut-of Head: 30 ft. (9.tm) 38 R (11.6m) 44 fl. (13.4m) 0 0145088 e Model 151 Models 1521153 10 20 3e 40 50 60 70 80 90 100 GALLONS JTERS 7TT--f-l-~"~r- - 67132 6732 --~j 0 40 80 120 160 200 240 280 320 360 3 7!8 4518 3718 FLOW PER MINUTE , 014508A - 1 $ ei, 3718 318 -,o I V - s } ! CO ~ O ~ v 3718 \J I 3718 • Timed dosing panels available Electrical alternators, for duplex systems, are available and ft17NPT supplied with an alarm • Variable level control switches are available for controlling - single phase systems • Double piggyback variable level float switches are available I€I ~ i ~ -I for variable level long and short cycle controls Sealed Qwik-Box available for outdoor installations - See it 1w16 12118 FM1420 l t jT 1 Over 130°F (54°C) special quotation required -7 1 ( SK2444 SK2064 1511152/153 MODELS Control Selection Model Volts-Ph Mode Amps Simplex Duplex N151 115 1 Non 6.0 1 2or3 BN151 115 1 Auto 6.0 Included 2 or 3 E151 230 1 Non 3.2 1 2or3 BE151 230 1 1 Non 83.2 .6 Included 2or3 "Easy assembly" 115 BN152 115 1 Auto 8.5 Included 2 or 3 (pump & discharge pipe not induded.) E152 230 1 Non 4.3 1 2 or 3 BE152 230 1 Auto 0 ncluded 2 or 3 N153 115 1 Non 10.5 1 2 or 3 BN 153 ( 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 ncluded 2 or 3 "s t,l 'I.'!t( ~r'5 li} Sri i~!`IP fl.l 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 Y2" or 2" PVC piping o CAUTION Attaches securely to pump Ali u t II arlcrt o ols pr t twr a= of ,cz,,l 1 U ! , i< rf Accommodates sump, dewatering and effluent applications licr - c, elsctnria1. All c~~ x1 cnl ano,a r ovicd inc ut it h, NOTE: Make sure float is free from obstruction. most recent National Fiecn cal Code (1 tC1. iu G C7.~,tr~3tic>na. S.u.rty n. Acct (6S' iA), For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. © Copyright 2010 Zoeller Co. All rights reserved. Pace 11 PLOT PLAN N Project Name: Huebsch 3 Bedroom Replacement Mound Legal Description: SE1/4, NE1/4, S1, T29N, R20W P.I.D: 030-2018-81-000 Subdivision Name: NA Lot 2 Township: Hudson Parcel Size: 6.470 Acres SCALE: 1" = 50' County: St. Croix Contour Line Elevation: 98.61 Cell Dimensions: 6' X 75' 4 inch Sch 40 -ASTM D2665 System Elevation 99.36 Mound Dimensions: 90.97' x 19.25' 2 inch Sch 40 -ASTM D1785 Slope 4 1112 Sch 40 -ASTM D1785 A BM1 Elevation: 100.00' Top of service door threshhold on pole shed BM2 Elevation: 100.19 Top of dose tank manhole cover ■ Backhoe Pits: Existing Septic Tank: Week's C.P.1000 gallon Septic Tank Existing Dose Tank: Week's C.P.800 gallon Dose Tank w/ SIM/TECH STF-100 Effluent Filter J` r1 P6 d ~i Lx~sri N r ~ ~ht L I~OSr TANI`, Dc SA~- FCat~ ` 1~1Aifu V LKfSi ~ NO rV1aLL~lu LiNY j L6 t>i"~'~ c 1).. 4.~bti D I 1 t E D pt?tt~~ C,k1i ~N~a , cc~5rvl~Page 12 ST. CROP, v COUNTY SEPTIC TANK. MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Richard & Lynn Huebsch Mailing Address 283 Appa Musa Court Property Address 283 Appaloosa Court (Verification required from Planning & Zoning Department for new construction.) City/State udson, N Parcel Identification Number 030-2018-81-000 LEGAL DESCIMP TION SE i SE 1/4 , Sec. 01 , T 29 N R 20 bU, Town of St. Joseph Property Location /4 , _ Lot # Subdivision Plat: Certified Survey Map # , Volume , Page # - Warranty Deed # (before 2007)Volume , Page Spec house ❑yesov to Lot lines identifiable rpyes[]no SYST E I`I I M..Ax i TENAN CE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the Nast(-. disposal system. Owner maintenance responsibilities are sped led 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 wi in 30 days of the three year expiration date. I/ve 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 a arranty deed recorded in Register of Deeds Office- r of roedr Ims 9 7 l i ATURE ' A PL CAI~TT(S) DATE Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zonin; Department. Include Mth 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. 04/22) 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) 283 Appaiousa Court located at: SE 1/4, NE '/4, Section 01 , Town 29 N, Range 20 W, Town of St. Joseph , 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 9/23/2017 Did flow back occur from absorption system? Yes No X (if no, skip next line.) Approximate volume or length of tinge: gallons minutes Tank Capacity: 1000, 800 Construction: Prefab Concrete X Steel Other Manufacturer (if known): Week's Concrete Products Age of Tank (if known): 29 years Permit number (if known) 112765 411 41676,Glly John Schmitt Ki~ (L' eased 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 Pate 14 Departm I ~ RIL EVALUATION REPORT #1909 S P S Safety and z in accordance with Comm 85, Wis. Adm. Code Page 1 of 4 Professional Seri' rj 0 Schmitt Soil Testing, Inc. &ano County Attach complete site plan on p 11 include, but not limited to: ^ertin size. Plan must St. Croix BMildirerjpn aqua - --rcel - - percent slope, scale or di h arrow, and locatio di ce nea "m~ Parcel I.D G6 030-201 -81- 0 Please print all infon MV750ATHXOF --vi Revie By Date Personal information you provide may be used for seconL_., Property Owner Property Location Huebsch, Richard & Lynn Govt. Lot SE/33r / , S1, T29N, R20W Property Owner's Mailing Address Lot # I Block # Subd. NaM# 283 Appalousa Court 2 ~CSM 7/City State Zip Code Phone Number City Village Town Nearest Road Hudson WI 54016 St.Joseph Appalousa Court New Construction Use: Residential / Number of bedrooms 3 Code derived design flow rate 450 --GPD Replacement - ! Public or commercial - Describe: Parent material Glacial till (Santiago Series) - Flood plain elevation, if applicable NA ft, General comments Area is suitable for a mound system. System elevation is 99.36' based on a contour line established at 98.61'. Slope of area is 4%. and recommendations: Depth to limiting factor is 27". 1 Boring # F-1 'I Boring Pit Ground surface elev. 98.61 ft. Depth to limiting factor 28 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistenc Boundary I Roots _ G_PD_/ftZ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 "Eff#2 1 0-9 10yr3/3 _ none sil 2fsbk mfr as 2f,2vf 0.6 0.8 2 9-21 10yr4/4 none sil 2msbk mfr gw 2f,2vf 0.6 0.8 3- 21-28 10yr4/6 none sl imsbk mfr gw lvf 0.4 0.7 4 28-64 7.5yr4/6 c2d 10yr6/8 10yr6/2 sl Om mfi 0.2 0.6 Fil Boring # ! Boring Pit Ground surface elev. _ 98.86_- ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistenc Boundary Roots _ GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 -Eff#2 1 0-11 10yr3/3 -none sil 2fsbk mfr as 2f,2vf 0.6 0.8 - 2 11_23 10yr4/4 none sil 2msbk mfr gw 1vf 0.6 0.8 3 23-29 7.5yr4/6 none fsl imsbk mfr gw lvf 0.2 0.6 - 4 29-72 7.5yr4/4 c2d 10yr6/6 sl Om mfi 0.2 0.6 10yr6/2 Effluent #1 = BOD5> 30 < 220 mg/L and TSS >30 < 150 mg/L ` Effluent #2 = BOD5 < 30 mg/L and TSS < 30 mg/L 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 9/15/2017 715-760-1978 SBD-8330 (R.07/00) - Property Owner uebsch, Richard inn Parcel ID # _ 030-2018-81-000 2-7 Page 2 of 4 Boring Fi Boring # pit Ground surface elev. __-97.11ft. Depth to limiting factor _ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary I Roots G_PD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-12 10yr3/3 none sil 2fsbk mfr as 2f,2vf 0.6 0.8 2 12-22 10 r5/3 none sil 2msbk mfr y gw ivf 0.6 0.8 - - - 3 22-27 10yr4/4 none sil 2msbk mfr gw lvf 0.6 0.8 4 j 27-44 7.5yr4/6 1 c206r/6/2 6/6/6 fsl lmsbk mfr gw ^1vf 0.2 0.6 1 S 44-64 56/4/4 m2d 7.5yr6/6 sl Om mfi 0.2 0.6 7.5 r62 4] Boring # Boring 1 F 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 0-12 10yr3/3 FILL sl impl mfr gw 2f,2vf 0.4 0.6 2 12-19 10yr3/3 none I lfsbk mfr as 2f,2vf 0.4 0.6 - 3 19-50 10yr4/6 c2f 106/6/6 sl lmsbk mfr gw 1vf 0.4 0.7 10yr6/3_ F-1 Boring Boring # Pit Ground surface elev. ft. Depth . De th 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 TTY 608-264-8777. SBD-8330 (R 07/00) Schmitt Soil Testing, Inc. Page 3 of 4 - Conducted by: r Conducted For: Schmitt & Sons Excavating, Inc., Name: Richard & Lynn Huebsch - i----i Thomas J. Schmitt, CST 227429 Address: 283 Appalousa Court 586 Valley View Trail City, State, Zip: Hudson, W154016 i Somerset,Wl 54025 F - - Phone: 715-7 0-1978 Subdivision: CSM 7/1973 Signature Lot No. 2 Date Legal Description: SE1/4 NEi/4 S1 T29N R20W ■ Backhoe Pit Township, County: St. Joseph Township, St. Croix County A Bench Mark 1 El. 100.00' Top of service door threshold on pole shed Bench Mark 2 El. 100.19' top of dose tank manhole cover Slope= 4% Scale 1"= 50' CD L ME r-- i n/7o4 tL / - - ' I s c~1• ay -t --r Bel PPA us'q Co 2 T Sum ~1 Ek ss 1/~✓G 1 r - AlO~JT t g 7s Al 4*4 C - r r , , t i r ~ i i , . I I i , , G~ c211L Yx 1 INN ozv ~mcu it m o p . ; m oma 3 ~a m Q m It, IN) :l? ❑ R t 40 Or IF---U fps -