Loading...
HomeMy WebLinkAbout032-2030-10-300 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT sanitary Permit No: 600323 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: Village Township Parcel Tax No: Chris Dulon City TOWN OF SOMERSET 032-2030-10-300 CST BM Elev: Insp. BM E17-7--FM-Description : Section/Town/Range/Map No: 19. -7 2 C,ST 08.30.19.582C TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER S CAPACITY STATION BS HI FS ELEV. Septic •00 LSD Benchmark ~ 7,. / Dosing Coo ~v~a 3, Alt. BBML t7 r Bldg. Sewer Cn, (L Holding St/Ht Inlet O s 1 ~ TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. en to Air Intake ROAD Dt Inlet Septic Dt Bottom •r I Dosing Header/Man. ;3 .40 rH, ra ticn Dist. Pipe 3. ss /4Z ` 9• ` q4`7~~ lding Bot. System loo Final Grade A NCO //e,' PUMP/SIPHON INFORMATION L• 7 Manufacturer Demand St Cover L 14. i GPM 1 IT, Model Number 5 -290 9 97. Co rev r t TDH Lif11~ Friction Loss System Head T DH JJ Forcemain Length Dia.2~ Dist. to Well SOIL ABSORPTION SYSTEM 4 to BED/TRENCH Width Length No. Of Tr ench PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 160 SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Typ Of Sy'teyn:ree/i 7,~ UNIT Model Number: /V' v d/C.l~C,~ ~Cy DISTRIBUTION SYSTEM Kit Header/Manifold ID istribution / Ix Hole Sizei / rHole Spacing Ven Int Pipe(s) 2 ~..v' 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 Topsoil Yes E] No ~ Yes L-] No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: a Location: 1696 50TH ST1 P1 a~l~ ~a = 1.) Alt BM Description 2.) Bldg sewer length = -amount of cover = Plan revision Required? F-] Ymation. Use other side for additional infor _ Date Insepc 's Si re Cert. No. VT SBD-6710 (R.3/97) Leber Pumps® Pump 280 Series 1/2 hp • • • LITERS PER MINUTE 0 50 100 150 200 250 40 12 i 10 30 I i 8 to C F' W W ~ W W W n ? z w 20 6 = W J = J a 0 F O H I 4 I i 10 i i 2 i i i i 0 0 0 10 20 30 40 50 60 70 GALLONS PER MINUTE 280_P I R010n/2015 ®Copynght 2015 Liberty Pumps Inc. All rights reserved. Specifications subject to change without notice. pllir* County - ? I - Safety and Buildings Division r- FEB 0 8 2018 201 W. Washington Ave., P. 0. Box 7162 t K Sanitary Permit Number (to be filled in by Co.) Madison, W1 53707-7162 Croix County ) l~ 66 ~ Z 3 n rn u I IV State Transaction Number y.....- arm ~ ©Q842M6MFZYMW - 9 In accordance with SPS 383.1.1(2), Wis. Adm. Code, sut t _50 / is required prior to obtaining a sanitary permit Note: Application forms for state-owned POWTS are submrttea m Project Address (if different than mailing address) the Department of Safety and Professional Servies. Personal information you provide may be used for secondary . purposes in accordance with the Privacy Law, s. 15. 1) m), Stats. L Application information - Please Print All Infor n Property Owner's Name Parcel Property Owner's Mailing Address Property Location O 3 Q , CJ . 5 g a C" Govt Lot 0 city, State Zip Code Phone Number ~ J _71W . Section A f , nclc J b'J- d-" T N; R t kw) II. Type of Building (check all that apply) 11o 2 Farnily Dwelling-Number of Bedroo Subdivision Name Bck ❑ Public/Commercial - Describe Use I ~w ❑ City of ❑ State Owned - 9tscribeUssee ( CCSSM Number a ❑ ViIIage of 17, X ~KJ \ Q I r wn ofJ ~i~/: C III. Type of Permit: (Check only one box on line A. Complete line/ applicable) A ' S stem ❑ Re lacement System p ystcm ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B• ❑ Permit Renewal ❑ Permit Revision f ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner IV. Type ofPOWTS S stem/Com onent/Device: Check all that a 1 ❑ Non-Pressurized In-Ground ❑ Pressurized In-Oro un de ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (expl ❑ Pretreatment Device (explain) V. Dis ersaVTreat ent Area Information: Design Flow ((gpd) Dest Soi Ap cation dsf) Dispersal Area Required ( Dispersal Area Pro (sf) Syst tevation L> ✓ CM'S ~ VL Tank Info CTotal # of Manufacauer Gallons Gallons Units T New Ts g F.xi~rin Tanta d . I C d N o ~ C ~d„ _ L m tC w /In,,~ Y U V c Va iz C, Septic or Holding Tank •A~1 1 Dosing Cbammber . C j - . VII. Responsibility Statement- the undersigned, a responsibility for installation of the PORTS shown on the attached plants Plumber's Name (Pnhnt) PI er' i ature MP/NVRS Number Business Phone Numb 177 P b 's Address (Street, City; State, Zip Co I ' ` q JV VIII. Countv/De artment Use Only pproved rsappr Permit Fee Dat Issue Issuing ent Signahtre tven Reason for Dental °b 9 1 O ( IX Conditt onsfpr,Dj4sapproval _.~j`J ^~r Its 4, 1 ) brdFl ;ai!Olxiiltr 1444 ~ JGX- tlt~t Old t'Stt#~t d ~~.•!t 3) `/'o WpK ^ ^ , 0*4601 by l lthniWi. 1 _ /v 1 -L~'f '1eL~L 2. to rftrt ire,~ as pW opowm t t•** l:.ff nalew. Attach to complete plans for the system and submit to the Co oty only on paper not less than 8 W 1 11 inches in size SBD-6398 (R 11/11) System PLOT PLAN PROJECT Chris Dulon ADDRESS 1479 Heron Lane Somerset Wi 54025 NE 1/4 NE 1/4S 8 /T 30 N/R 19 W TOWN Somerset COUNTY ST. CROIX SYSTEM ELEVATION 98.0' 1/28/18 4 DATE BEDROOM CONVENTIONAL AT-GRADE XXX CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE 765 HOLDING TANK SIZE LOAD RATE .6 ABSORPTION AREA 1000 # of chambers none BENCHMARK V.R.P. Top of 1/2" pipe ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark 350' 700' Property Line 200' 8.3 Acres Scale=1 /4" = 10' Well is to meet all WDNR setbacks Grading is to be done to divert run-off away from system r Huffcutt Combo Tank Pro 4 Bedroom House 4 B-2 B-1 10 ' t l 50th St. B.M.* 96' 0 9 4' B-3 20% Slope Tank is to be properly edded an provi ed with Area 15' below system to remain lockdown covers with labels undisturbed 0 'x< F~r DIVISION OF INDUSTRY SERVICES 2331 SAN LUIS PL STE 150 GREEN BAY WI 54304-5211 Contact Through Relay 9 ~ P ~ Jhttp://dsps.wi.gov/programs/industry-services www.wisconsin.gov F2s57oN +LS~ / Scott Walker, Governor Laura Gutierrez, Secretary February 05, 2018 CUST ID No. 226900 ATTN: POWTS Inspector SHAUN R BIRD ZONING OFFICE BIRD SELF STORAGE ST CROIX COUNTY SPIA 1432 120TH ST 1101 CARMICHAEL RD NEW RICHMOND WI 54017-6409 HUDSON WI 54016-7708 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 02/05/2020 Identification Numbers Transaction ID No. 3059652 SITE: Site ID No. 846361 Chris Dulon Please refer to both identification numbers, 1696 50TH St above, in all correspondence with the agency. Town of Somerset St Croix County NEI/4, NE1/4, S8, T30N, R19W FOR: Description: At-Grade (4 Bedrooms - New Construction) Object Type: POWTS Component Manual Regulated Object ID No.: 1746553 Maintenance required; 600 GPD Flow rate; 36 in Soil minimum depth to limiting factor from original grade; System(s): At-grade Component Manual, Version 2.0, SBD-10854-P (N.03/07, R. 1/12), 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, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • Preserve dispersal area prior and during construction to avoid disturbance, compaction and use of the site. • With new construction; it is recommended not to activate the pump in the dose tank until the tanks are pumped prior to homeowner occupancy. • Wastewater generated from contractors cleaning of equipment and tools and/or left over construction products shall not be discharged into the drains discharging to the private onsite wastewater treatment system (POWTS). Waste generated shall be properly disposed of on-site or off site. • Any tall grasses, leaves and shrubs shall be cut short and removed prior to tilling the surface for installation to prevent matting under the dispersal area. All loose organic material to be removed from the POWTS Dispersal area. • Prior to construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. Smearin,p and compacting of wet soil will result in reducing the infiltration capacity of the soil. Proper soil moisture content can be determined by rolling a soil sample between the hands. If it rolls into a 1/4- inch wire, the site is too wet to prepare. If it crumbles, site preparation can proceed. If the site is too wet to prepare, do not proceed until it dries. • Divert surface water from POWTS Area. SHAUN R BIRD Page 2 2/5/2018 • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building sewer beyond 30 feet per SPS 382.30 (11)(c) • Tank Installation to follow all manufacture's recommendations. • Pump Floats to be set and verified per approved plan. Any changes may result in pump resizin2 to meet TDH and GPM Specifications. • Verify property line(s) prior to installation. • Well setbacks to meet chs. NR 811 & 812. • Areas that are occupied with rock fragments, tree roots, stumps and boulders reduce the amount of soil available for proper treatment. If no other site is available, trees in the basal area of the at-grade must be cut off at ground level. A larger fill area is necessary when any of the above conditions are encountered, to provide sufficient infiltrative area. • SPS 383.54(1)(e) The management plan for a POWTS shall specifically address the servicing mechanics of an aerobic or anaerobic treatment tank or a holding tank where either of the following conditions exist: 1. The bottom of the tank is located more than 15 feet below the elevation where the servicing pad is located. 2. The bottom of the tank is located more than 150 feet horizontally from where the servicing pad is located. 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 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. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of c onstruction/installation/operation. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 This Amount Will Be Invoiced. When You Receive That Invoice, Please Include a Copy With Your Tim Vander Leest Payment Submittal. Private Sewage Plan Reviewer, Division of Industry Services WiSMART code: 7633 (920)492-2214, Mon- Fri, 6:00 a.m. - 3:30 p.m. tim.vanderleest@wi.gov cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Mon-fri, 8:00 A.M. - 4:30 P.M. SHAUN R BIRD Pale 2 2/5/2018 • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building sewer beyond 30 feet per SPS 382.30 (11)(c) • Tank Installation to follow all manufacture's recommendations. • Pump Floats to be set and verified per approved plan. Any changes may result in pump resizin2 to meet TDH and GPM Specifications. • Verify property line(s) prior to installation. • Well setbacks to meet chs. NR 811 & 812. • Areas that are occupied with rock fragments, tree roots, stumps and boulders reduce the amount of soil available for proper treatment. If no other site is available, trees in the basal area of the at-grade must be cut off at ground level. A larger fill area is necessary when any of the above conditions are encountered, to provide sufficient infiltrative area. • SPS 383.54(1)(e) The management plan for a POWTS shall specifically address the servicing mechanics of an aerobic anaerobic treatment tank or a holdir'rt talnk, where either of the f llow'^ ndltl~n3 e . St: b ..g c 1. The bottom of the tank is located more than 15 feet below the elevation where the servicing pad is located. 2. The bottom of the tank is located more than 150 feet horizontally from where the servicing pad is located. 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 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. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 This Amount Will Be Invoiced. When You Receive That Invoice, Please Include a Copy With Your Tim Vander Leest Payment Submittal. Private Sewage Plan Reviewer ,Division of Industry Services WiSMART code: 7633 (920)492-2214, Mon- Fri, 6:00 a.m. - 3:30 p.m. tim.vanderleest@wi.gov cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Mon-fri, 8:00 A.M. - 4:30 P.M. Cover Wage Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 1/18/18 Owner:Dennis Malecek Location:NE 1/4 NE1/4 S8 T30 N,R19 W 1696 50th st. Somerset Manuals Used: At-Grade Component Manual version 2.0 SBD 10854 (N. 03/07) Pressure Distribution Manual version 2.0 SBD 10706-P(N. 01/01 R. 10/12) Page# 1. Cover Page 2. At-Grade Plot Plan 3. At-Grade Cross Section 4. Pipe Cross Section/Pipe Layout 5. Pump Chamber Cross Section 6. Pump Curve 7-8. Maintance and Contigency plan 9. Filter Specificati ns Attachments: Soil est Shaun Bird Signature License numb 226900 JAN 2 9 2018 iNnUSTRY S.ERVICES Page 1 of 9 System PLOT PLAN Wi 54025 479 Heron Lane Somerset PROJECT Chris Dulon ADDRESS 1 NE 1/4 NE 1/4S 8 /T 30 N/R 19 W TOWN Somerset COUNTY ST. CROIX SYSTEM ELEVATION 98.0' DATE 1/28/18 BEDROOM 4 CONVENTIONAL AT-GRADE XXX CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE 765 HOLDING TANK SIZE LOAD RATE .6 ABSORPTION AREA 1000 # of chambers none BENCHMARK V.R.P. Top of 1/2" pipe ASSUME ELEVATION 1o0' Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark 350' 700' Property Line 200' 8.3 Acres Scale=1 /4" = 10' Well is to meet all WDNR setbacks Grading is to be done to divert run-off away from system Huffcutt Pro 4 Bedroom Combo Tank House B-2 B-1 100' g g 50th St. B.M.* 96' 94' B-3 20% Slope Tank is to be properly bedded and provided with Area 15' below system to remain lockdown covers with approved warning labels undisturbed 0 At-grade System Sloping Site Cross Section and Plan View Dimension Feet E r r 1 R1 1 1 1 L L L L•L L 'L L L R 1 1.1 1 1 1•L 1 L 1•L 1 L L '.•L•L•L•'.•1•L•LK L^I A I. 1, rL~'L~1~yrLr~rtir,4r1r1rti:5,:L%L~ti L:L:L~'L~ti RJRrti ti ti LJLrti?Lrti LJL~ti•L~L~L~LrRf'.jLf'LJL t~f r•r•r•r•r•r•r•r•r•r•r•r r r•r r r r•J•J•r•r•r•r•r•r•r•r•r•r•r r I, 1•L•L•L•L•1.1•L•L•1.1.1.1•L•L•1•L•L•bb1•R•1.1•L•1.1•L••.•1.1•'.•'.•'.•L• L•1.•1.•L•1.1 L .J•r•r•J•J•'•r•r•r• •J•~r•r•r•r•r•r•r•r•J•J•r 1•J•r•J•f•t•f•J•r T f•r•r r +I 1/6 B :J•r•r•r•r•r•J•r•J•r•J•r•J•r•r•1' r ~1~1~t~r~.•~.`~r~l'~~'~•L•L•L•L•L•R•L•L•L•L•L.L.L.1 1 R RS L•L•L•L•1•L•L•L•L+1.1.1•L•L•L•L•L•L•1•L•YL•b1.1.1••ti•L•1•'L•'L•L•L•L•1,•L•L•1•L•1.11 lti ti~ti~y~,'y~:ti:y;ti:'L:ti?1.~%ti?ti ti S•~L~L~L~R•L•Lr1•ti:L~ti L~ti ti~ti L•1~'L'L•L•L•L:ti " rlrtirtirtirti r•r•r•r•r•r•r•r•r•r•f•r•r•J•J•r•r•r•r•r•r•r•r•r•r•r•r•r,r•J•r•r•r•r•r•r•r`r•r r•r r• I' 1.1•L•L•1•L•1.1•L•1•L•1.1.1.1.1.1•L•1.1•R•L•L•1•L.L•L•1•L•1•1•1•L•L•1•L•L•1•1•L•L•L ~.O J•r•J•J•r•J•r•r•r•r•r•r•r•r•r•r•r•r•r•J•J•J•J•r•r•r•f•J•r•f•r•r•r•r•r•r•r•r•J•r•r A I W I, rLrLrtirtir'~r,r1•r:r~3':f r~r,,r,j~r:'r~! r r~r r r~r~r r~r r r 1'~r t r~r~r r ~r t':rLr A rLr:ltij:rtirtij r:l:r~! r,r,r J~r r r~f+rrtirS1tir='1~r f r r }tir:}:r:f~r,r r,'r~f~}~J1r: I D 5.0 •L•1 1 1 1•L•1.1.1.1.1.1.1•t•L•1.1•ti•1.1.1.1.1.1.1•'L•1.1•'••L•L•1•L 1 1 I I' L 1•S••L,L••L r• r r•r•r•r•r•r•r•r•r•J•r•r•r•r•J•J•r•r•r•J•J•J•J•r r•r•J•J•r•f•r•J•r•J•r•r•r•r•J•J JLrti}tij:r~r~.~r~r r f Jtirtir~r 1~r~1~r~J:r:~'~rtir r~1 :1:r~r~J%r~r .r~rtil~~':itir:r:r:r rL, F 0.5 1•L•L•1.1•L•1.1•L•L•L•bL•L•L•L•L•1•L•1•'L•L•'L•L•'L•L•1,•b1.1.1•R•L•1 1•R•1.1.1•L 1 1 4' ` f r•,r•f•,r•r,r•J•~•r•r•r•r•J•r•J•J•J•r•r•f•r•J•r•r•r•f•J•J•r•J•r•r•J•~•J•J•1'•r•J•J r -::r rtir r 1 1 r:r,r~t~r r ,t~t~l r rti1'~1~1'Lr 1~f~rtir~r~1~1:J~t~r r r r•r~r r rL11r~fLr ;I ~J 1.0 I'': ti L.1•L.1•R•1• L•L•L L•L•L•1 L•L•1.1 1 L•L•1 L 1.1.1 1 1.1•L L• r:rlj~j•r r1rL -r r J•r•r•r•r• f•r•J r J•J•J r r•r•r r ~'•r•r•r J•r•J•r r•r•r•r• L L.L•1•1 1 1 I- 1•L•1.1.1•L•1• 1•L•1 1.1•L•L 1.1.1.1 1 1.1.1 L L•1•L L•L•1.1 L L 1 /6 B4 W E E B Slo e L -1 = Plowed raj: = Clean aggregate 0 = 4 in. sch. 40 pvc .1•L basal area rtirti '/2 to 21/2 in. dia. observation pipe Lateral with 2" Topsoil Cap aggregate over pipe Observation Pipe Geotextile G With Cap Fabric. r•Jti' - Ft Lateral Invert r•r~r~J•1' C L•ti•1•L•L•1 r;r;r;J;r:~:r•J:r• Topsoil Cap r•J•f•r•r•r•r• L.ti.L.~ •L•1.1.L.L Q,L,1.L.1.1 L.•L.L,L.1 ~ iyi , 4 r.r~`~ ~.,r.,r.f.J•r.~.J.Ii r r•J r. Or r. d, l: r,r J, r,r j: L 1•ti••L•1.1•L 1.1 S•• J•r ~•L•L L•1K•L•1• ....a..t. •J•J~•r•r•r•r•• -..r ~•r , Ft Contour' •1!11.1.1• L r•r•~•r•r•~•r•r•r• - -s.a.,, •J, L•1•L L•L L 1•L•L•1 1• - :ro•.r _gi}:ti~ti ti ti ti ti L~L~1r'L•L•1• D Plowed Surface C Slope Direction Existing GENERAL INSTALLATION: The at-grade area is staked out along the d ogand plow d with a vegetation is mowed and raked off the site. The basal area (L x W) ' plow depth moldboard or chisel plow. Plowing may not proceed if the soil is wet e liana at,T~he A B area is form a 1/4 inch soil wire when a sample is rolled between p~ covered by clean aggregate deposited overhead by a backhoe.. Special care must be used when placing the aggregate to minimize compaction of the plowed surface. After the topsoil cap is placed, the entire at-grade is seeded and mulched to promote vege Wev d. 'hand secured in place. rotect from freezing. The observation pipes are perforated in the to 03/05lgj Page of~- Pressure Lateral Layout One Lateral - End Manifold 4 Threaded Cleanout Lateral Turn-up --10 Plug Force Main X L Long Sweep 90 Bend- Pressure System Construction So 9,r-/r4 A Distribution Network Specifications Lateral Diameter Z In. Laterals are constructed of Schedule 40 PVC Orifice Diameter pipe. Orifices are drilled perpendicular to X Orifice S acin the pipe with a sharp drill bit and face down. L Lateral Length) gn Lateral turn-ups terminate with a threaded Force Main Diameter Z In. cleariout plug and are enclosed in a 6-8 inch Force Main Length Ft. diameter lawn sprinkler valve box accessible from finished grade. I Grade :p • 6-8 Inch Lawn Sprinkler Valve - Box 03/051gj Page of Septic-Dose rfark Cross Section And Pump Performance Specifications Tank Manufacturer Pump Manufacturer Tank Model Number SID Pump Model Number Tank Z Total Tank Capacity Alarm ManufiCturer f/ S Alarm Model Number D t - ✓ Max. Bury Depth Switch Type 1?7C Filter Manufacturer Total Dynamic Head (TDH) - Feet Filter Model Number Elevation Head _ Distal Pressure Network Loss 1 L Minimtun Pump Performance Required Force Main Loss Ft `IDH Total Outlet LVhwhole W. 4" Above Grade With Manhole Min. 4" Above Grade Locking Device. Inlet Manhole With Locking Device < 6" Below Grade Sealed Watertight Securely Mou*ad Weather-proof i ♦ Junction Box Finished Grade a' - - Vent Min. 12" Disconnect Above Grade Means With Vent Cap '.'>>:>>`.S iii r'•.. >'.f•>r>'r r'>>,>>> Outlet Filter Inlet inlet Baffle `'`may - - - - - " A Switch Sc*p and Reserve Capacity yd„ Tank Volume = GPI Weep B Hole Dimension ; Inches Volume Gal. 416 (reserve) A; , S Jam'. ~ (alarm) B 2 Off Elevation C (dose) C ; 7• S 1,27-5-" , • Bottom (dead) • D ~ .a ' • D Elevation Total 6 5-- < < <•:.:>.•::<•.:. > > , $ Ft i t•i•t•<>: 1 t : ,•a•t ~ t>< , ,•t a t < ::t < < , t t . , . 1•:, 1 , , l , < t , < , a < a , , t < t t l < , , [ < t , , t , t ,>I ~ f 1 'N GENERAL INSTAfLLATION: The septicddose tank is bedded and back filled in accordance with the r"nufaoturer's product approval spm&at ons• Maximum depth of bury as spocified by the tnanufacttuer may not be exceeded wft" prior Approval. Manhole covers 6gKmed to grade have an effective locking device (padlock) installed. Piping at the inlet and'oudet is o£ approved material, connected to the tank with wat+ertght fittings, and laid on stable soil to prevent settlkg or sagging. The force main is sleeved with 4" Sch. 40 PVC to bridge the tank . excavation and the sleeve is sealed watertight. Electrical ice tnplies with NEC 300 and Comm 16.28. Page c of ozros ter TOTAL DYNAMIC HEAD/CAPACITY PER MINuTE HEAD CAPACITY CURVE EFFLUENT AND DEWATERING ^ Ln MODEL 152/153 MODEL 152 153 o: I W~ w 50 Feet Meters Go'• Liters I Gol. , Liters ~ ~ • 5 1.5 I 69 . 261 77 291 153 10 3.1 61 231 i 70 265 12 40 152 15 4.6 53 ZU1 01 231 °a 20 _I 6.1 1 44 167 52 197 y 30 25 7.6 34 129 42 159 a 8 30 j 9.1 23 87 i 33 i 125 Z - - 22 85 0 35 j 20 42 40 12.2 11 4 j Lock Voive: 133.0 Ft. (t?.6m} 44.0 Ft. (?3Q 1 10 I 0 t00 20 40 60 80 GALLONS 6 1/4 LITERS 0 80 160 240 320 - 3 27/32 1j----'~"'4 5/B~ FLOW PER MINUTE 3 27,/32 i CONSULT FACTORY FOR SPECIAL APPLICATIONS ® 3 27/32 • Timed dosing panels available. . Electrical alternators, for duplex systems, are available and supplied with I an alarm. • Variable level control switches are available for controlling single phase I systems. • Double piggyback variable level float switches are available for variable i level long and short cycle controls. • Seated Qwik-Box available for outdoor installations. See FM1420. 1 • Over 130°F. (54°C.) special quotation required. I i l 1521153 Series 12 1/8 1 tion j ~ ~ ! I 1521153 MODELS Control Selec j 5 1/5 Model Vohs PA htode s S' ex Du lax I 1 N152 115 1 Non 8.5 1 2m3 SK2064 BN152 115 1 Auto 8.5 Induded 2 or 3 t Et52 230 1 Non 43 1 2 or 3 8 E152 230 1 Auto 4.3 Indw~ed 2 or 3 N153 115 1 Non 10.5 1 2or3 SELECTION GUIDE BN153 115 1 to 10.5 Inclujed 2 or 3 bait variable level float Ets3 230 1 Non 5.3 1 2 or 3 1. Single piggyback variable level float switch or double piggy BE153 230 1 Aulo 5.3 Included 2 or 3 switch. Refer to FM0477. o CAtmoN 2. See FM0712 for corned model of Electrcal Altemator E.Pak. licensed adnrahtr, sPfY duplex (3) protection devices and wiring should be done by a qualified 3. Variable level control switch 10-0225 used as a control AO d electrician. All controls, electrical and safety codes should be followed including the most re or (4) float system. recent t N Nlectrafionai Electric code (NEC) a acnd the Occupational Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. IWL T0: P.O. BOX 16347 Louisville, KY 40256.0347 SNIP 70: 3649 Cane Run Road ljuourYPics»as SNP /939` % m Louisville, KY 40211-1961 (502) 778.2731.1(800) 928-PUMP 1-/ 'VMP !O. FAX (502) T74-3624 hitpJlwwwsoeller.com © Copyright 2000 Zoeller Co. All rights reserved. l9 'D '1 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of ILE INFORMATION SYSTEM SPECIFICATIONS Owner X N_ _ Septic Tank Capacity ❑ NA Permit # Septic Tank Manufacturer ❑ NA 1ESIGN PARAAAETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms 0 NA Effluent Filter Model Ilk ❑ NA i Number of Public Facility Units l- Pump Tank Capacity ❑ NA gal Estimated flow (average) 7 r' al/day Pump Tank Manufacturer C3 NA 1 Design flow (peak), (Estimated x 1.5) Q al/da Pump Manufacturer ❑ NA i Soil Application Rate ai/da a Pump Model f ❑ NA Standard Influent/Effluent Quality Monthly average Pretreatment Unit Fats,* Oil & Grease (FOG) 530 mg/L ❑ Sand/Gravel Fifter ❑ Peat Filter Biochemical Oxygen Demand (BODs) 420 mg/L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg/L ❑ Disinfection ❑ Other. Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BODs) 530 mg/L ❑ In-Ground (gravity) ❑ In-Ground (pressurized) Total Suspended Solids (TSS) <_30 mg1L t-Grade ❑ Mound Fecal Cokform (geometric mean) 5104 cfu/100ml ❑ Drip-Line El Other: IMahamum Effluent Parade Size 36 in dia. ❑ Other. ❑ NA Other A Other. ❑ NA 'Values typical for domestic wastewater and septic tank effluent Other ❑ NA IAINTENANCE SCHEDULE Service Event Service Frequency month(s) linspect condition of flank(s) At least once every: j ~r s (Maximum 3 years) ❑ NA (Pump out contents of tank(s) When combined sludge and scum equals one-third (Ya) of tank volume ❑ NA Onspect dispersal cell(s) At least once every: month(s) (Maximum 3 years) ❑ NA ear(s) I--lean effluent filter At least once every: It nth(s) 0 NA Inspect pump, pump controis & alarm At least once every: ❑ month(s) ❑ NA (s) Flush laterals and pressure test At least once every: 3 E3 °►(s) ❑ NA r(s) Dther At least once every: a mmeoa~(s) ❑ NA ether. ❑ NA MAINTENANCE INSTRUCTIONS (Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master (Plumber, Master Plumber Restricted Sewer: POWTS Inspector, POWTS Maintainer; Septage Servicing Operator. Tank inspections must lindude a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of immbined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local hegulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third or more of the tank volume, the entire contents of j:he tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, land any servicing at intervals of <12 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. page of START UP AND OPERATION For new construction, prior to use of the POWTS check the dispersal al t cell(s). If high concentrations aren detecteud avor other e the con eni fttho may impede the treatment process and/or damage tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored or the surface excess discharge wastewater will will ble tide discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup r to resWcha poorer l nlt. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior normal levels effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore within the pump tank. the area within Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWT$: antibiotics cotton swabs; degreasers; dental floss; drapers; disinfectants; fat; foundation drain ; baby wipes; cigarette butts; condoms; (sump pump) water, fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps medications; oil; painting Productls; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT is properly When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code:. • Ail piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. . • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN de a code compflrrt If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to prow replacement system: O A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption systelm. area will result in the nged The replacement area should protected of disturbance and wells. dFai Failure to protect the replacement should setbacks from existing and proposed with the rule-1 in for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply effect at that time. the reand/or soil d POWTSm~hons. Barring advances in POWTS technologN a 0 A suitable n pa en~II is a not last ailabl resort tou replace to setback holding tan may he site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a sail and site evaluation ust be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed) as a :nd rort to replace the failed POWTS. place and at- de abso ptions yyssts must mm be recwith onthe ctees in effect following emoval of the biomat at the infiltrative rul at that surface. Reconstru <<WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES ANDIOR INSUFFICIENT OXYGEN. DO O ENTER A SEPTIC, PUMP OR OTHER TREATMENT E DNK CUNDER ULT ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE O~ A PERSON FROM THE INTERIOR OF A TANK MAY ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTALEE Name Name Phone Phone rJ - SEPTAGE SERVICING OPERATO PUMPER LOCAL REGULATO Y AUTHORITY E Name Name Phone L Phone ~j - This document was drafted in compliance with chapter SPS 383.22(2)(b)(%d)&(f) and 383.54(1), (2) & (3), Wisconsin Admin'rstratnre Code. 0~0 1 C~LI V ~ y=. W N A { A N r i~d i f i yi 1 1 A J v c'> v o, C r'+ R ~O 11 a $ i.: L.~ i tw 1..c C1 } oo", c c o a y~ N Y -6 C Q 111111 V Q co Z 3 s O r r- - c~ I E 1 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer C ► -D J(D, ;f 4 Mpg Andress ~ L-t Property Address; - ; {Verification required from Planning & Zoning Department new canstruction.) City/State Parcel Identification Number d 0 i 10 LEGAL DESCRIP'T'ION Property Location tJ V4 ,Sec. , T s N R_a_W, Town of W Subdivision Lot # Certified Survey Map # Vc plume , Page # Warranty Deed # Volume , Page # Spec house yes C not Lot line` identifiabl ' yes SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature f ire to handle wastes. Proper mahrtenance consists of pumparg out the septic tank every three years or sooner, it needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner mamtnoance responsibilities are specified in §Comm. 93.52(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., re.+cted 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 fiR of sludge. I/we, thm uadersigmd 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 Commerce and the Department of Natural Resources, State of Wisconshl Certification stating that your septic system has been maratamed. must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on tins form are true to the best of my/our knowledge. Uwe am/are the owner(s) of the Property dmmbed above, by virtue of a 71dy deed recorded in Register of Deeds Office. Number of bedrooms i c ? SINA OF APPLICANT(S) DATE ***Any information that is mistrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department, Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if rcferenae is made in the warranty deed O F og~ e8o dt ~M HINHWH cli ~Ix ~ Qoo ¢~~'y4~„ p i^ Z 2 CD - giwo~ ~7s Q 41 S e} rc5 ng o to z [8,83 cC W g' n E.. F. W y' . ~II 22 Zta o yK 7~~wH `~o L ~ 'Mm 11115? i"18111., hIm' td,i ~ Y~ I - _ W 4 w I 1. I I i I I Y I III 1, I ~ JL=ll ' I I ; wq w9 ~I \M I` I w4 0 0 ~ o« ~3~~~E§~ ~ o O t e U ~0. ~a F~ gi a z F H ~QO S~'"o"-~w§ dw Z B N z SON €574.33 po o6 7 (`~P° o uj m o zw~G°`~ z~ EA N - ~ ~ iihi &i. i °ii 'MIA 5w y44 V t a" a ~ ~ w zJ J Q <w -0, M v o o n u „8g Z ` s .sE yb7g m 'y" ~c;7 y I - I I ':I 111 I, I I II I I I I I I I I I 1 1 S~ 1 1 I I 4w I I II - I I - I BN I I I I 1 I I II I a~ I 1 II ' i 3 °a pyp I I I iW I I I I 09 I I I I g 33 1 1 I I > I I I I ~ I I :8 li x 3° 1 z a s I I I I I 1 _ I I I I ~ I cross, s3ssnw noo,r s, 1 1 I I I I I I ~ I I I 1 D a L ~ I I I I :I _ I ~n I I ' pp I I I b ~ ~ I b ' I 7 8 I I I I I I I I 0 I I I I ~ I i I I I 1 I I ~ .1 I I 1 II I I I . S I I I I I 1 I I$ I S 1 I I I I 1 I- J I I 9 1 1- 1 I 4Q I I ~ I { ~ 1 ~I ~ 1 0, a, 1 a O~ °O 1 I I b I 1 ~ I I ~ ~ I I r--I I ao xa, s3ssnw uro,f s, ' I I I I I I 1 'a ~ I I •i ti t II I I I- ~ I I m I I~ n I I N F J I I I I ~e I I C I ~ I I 1 1 I I I ' j I 'S I ~ I I I ~~Y g~g I I F I 1 I~ I oB8 Z ~ I n~ I I ® I I I R y; c ~ I I I I I I I I I I I I ' 1 I A I I ' 1 I I I I 8 I la~t .o x I ~f w I I o I I I qo I I~ d o '•I I I ~x 9.r ` I la a°.v s, s3ssnw ntgv.e, KKK 1 I I` I I I I I n x.________Ea,WiMl x-LtrE.w - I Wp$ I 38 a a zt n oq ~ ~Y ~ offo y3 as o q ID N Z i a €8y; 3 W at5 lP. C ^ Q o N K~ wvos°: jm N (/J Q yy 6sa o! Mm 'Iii,i h$€o~ gap ~'~~ff~g3 U ~ ~ $ a 6 ~ ~W .oq QW Y LL W a~~ o,o< a 3o z r wW 5 mQ a co 4 gym" I ~w I I. ~ ° 6,3xr,P.,ma3„a~sor ° o,n~a3dox~.~a,s ° a-,x3x,»rma3~rxe I ~ i i , I I a e I I ~z I o3axo3aox~rxeza ~ ,gs vzn3x,nrma3~rxe ~ ao,<rzma. I I R k 6,3xrax. ma3,dd~sor R i ~ Y7Y j i i I q8w ~ %9$ ~ a..r s v ffis~ a - € € Cl OP I I I w~ .rns a, O ~ I e ' ..R m s k e If K 314 E ® ® ® N xx I I ~~3 n.u .o ns .o .a ~m9 ~q o O o'aa `~'~'yP Z' Z ~ I? Y ui o 'g yy7 U1 9 7 00 '0' N3 A2 O m ~i0w3"u"~z T: N w 5 D) € im 189;0! h!m $880'40 9ww 7f Y~H T - U S Q4 tltl g L 'a 6 fi ; gf s s ~e~6i f iElE~ t9 n 1H a x .o~ w z z z 5 5 f ~ e~ g e a ~ ~ #9 ~@~~~i9~~! P1t bt3la $i ~4~e~ tl~B $y~°s }!~6 ~ „ ~ bm'. nb bb b'a o - - a 6~ : 9 !a!~{~ - 1 E ; Ql~ ; 8 o N IN, ? 3 a t ass~fs~ssusxnsa. ? ~ 7 4 Y e ~ of °o ~ n 3 b b 'v b h b b b b e b b b m rcmry z Ew >.6 > 4w 4w Bg w o r " ~sz °T ~ ~ amuow~.ux_~y 5 ~ w~Y 8 r i ~ Yd oa= i£ S LL ~ o `wv a>= z.. w w~ y 8v~ ~ ~ a~a 3"d ~ T src& rc ~zp d "4& unj~ "a ~ e3 ~w ~w 3y 4W d B ~ ~ I i m. _ 8S 8~ &r ~ I I, 1 -Rk I I Wz$ wed ~7=~` ;x5'< L"" ?°`-to ~ 5 ~ I rcw 5' z e~ z m. ~ k ~§g ~ d >E E e LL c ~ ~'s :I sfi 417 > Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings ` nW cordance with Comm 85, Wis. Adm. Code Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must County ) ' . include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. F percent slope, scale or dimensions, north arrow, and location and distance to nearest road. C L ?C 7C j~ Please print all information. Revi by / Date Personal information you provide may be used for secondary purposes (Privacy law, s. 15.04 (1) (m)). L 4;~t J / J P ropo 91 Own Property Location o t) Govt. Lot /_J 1 /4 /J ''-1 /4 /Y T i 0 N R E (o W ~ f7' Property Owners Mailing Addre _ lot # Block # Subd. NPme a CSM# _ 17 City State Zip Code Phone Number City ❑ Vllage Town Nearest R d ;Rf New Construction User Residential /Number of bedrooms Code derived design flow rate GPD vl/'1` ❑ Replacement Public or commercial - Describe: Parent material Flood Plain elevation if applicable /I/~' ft. General comments and recanxnendations: l t~ System Type ..k7..~ System Elevation , ❑ Boring Boring # 5_1 ltt Pit Ground surface elev. J 71 _7ft. Depth to limiting factor ~ 1n. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 6 k' 7 ^ h Boring # ❑ Boring F11 Pit Ground surface elev.?'?, r / ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 J_ L) -71 . 7-3 (a M 5_ ( 'c ! f ~-,'I, , / 7 B 1 Effluent #1 = BOD. > 30 < 220 ndL and TSS >30 < 150 ' Effluent #2 = BOD. < 30 mg/L and TSS < 30 ndL loo, re CST Number CST Name (Please Print) Bird Plumbing, Inc. Shaun Bird 226900 Address [ate Evaluation Conducted Telephone Number 1432 120th St, New Richmond, WI 54[ / 715-246-4516 Property Owner _ Parcel ID # j Page of a Boring # V 11 Boring 7 J g it Ground surface elev. 1/1 7 ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Z '~t 3 c / Boring # ❑ Boring F-1 ❑ pit Ground surface elev. _ ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 a Boring # Boring Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil Application Rate Horizon ')epth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 -Eff#2 Effluent #1 = BOD, > 30 < 220 mg/L. and TSS >30 < 150 mg/L ' Effluent #2 = BOD5 < 30 mg/_ 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 altemate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (8.6/00) Property Owner _ Parcel ID # Page of Boring # r❑ Boring G FI-1 ILJ-Pit Ground surface elev. " ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 we, ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2 Boring Boring # F-1 ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon ')epth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz Sh. `Eff#1 •Eff#2 Effluent #1 = BOD5 > 30 < 220 mg/L and TSS >30 < 150 mgA- ' 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 (8.6/00) IMP- . Soil Test Plot Ply: Project Name Dale Croone S un Bird Address 1692 50th St. ' Somerset Wi 54025 CSTM #226900 Lot 1 Subdivision Date 12/26/16 NE 1/4 NE 1/4S 8 T 30 N/1319 W Township Somerset Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of 1/2" pipe System Elevation TBD *HRPSame as Benchmark 700' Property Line 350' Scale is 1" = 40' 'IL unless otherwise noted 200' B,M.* 10' B-2 55 70' -1 100' 25' 98' 96' 94' B-3 20% Slope 50th St.