HomeMy WebLinkAbout020-1450-05-000 (2)
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
(ATTACH TO PERMIT) 605051
GENERAL INFORMATION 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: City Village Township Parcel Tax No:
Timothy & Michelle Heckmann TOWN OF HUDSON 020-1450-05-000
CST BM Elev: Insp. BM Elev: BM Description: r , Section/Town/Range/Map No:
Q (p W e )A__ 22.29.19.2875
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Gyp Benchmark I
S r~ b 274
Doeir~ Alt. BM i %
Aeration Bldg. Sewer
Holding SUHt Inlet
TANK SETBACK INFORMATION St/Ht Outlet
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet
Septic -766 7-5 ~ 3d ~ Dt Bottom
Dosing V Header/Man.
~f. S q Z. b~
Aeration Dist. Pipe Z
f.oa
Holding Bot. System
.`j
(0-0
PUMP/SIPHON INFORMATION Final Grade O.(. ~~o • 5
Manufacturer Demand St Cover
GPM
Model Number
TDH ft Friction Loss System Hea TQd, Ft
Forcemain Leh`gttr--° ia. Dist, to Well
SOIL ABSORPTION SYSTEM
BEDITRENCH Width Length / No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Ea_ _Liquid Depth
DIMENSIONS 96 Z -
SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer:
INFORMATION CHAMBER OR Z
Type -Sy~ste`~ 946 UNIT Model Number: /
DISTRIBUTION SYSTEM
Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air I +ake
- _ l Length Dia Length Dia Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Q
Depth Over Depth Over i xx Depth of xx Seeded/Sodded xx Mulched
Bed/Trench Center C~ Bed/Trench Edges \ Topsoil Yes No Yes No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2:
Dbs a ~e, za j
Location: 812 GERMAIN LN~~
1.) Alt BM Description =
2.) Bldg sewer length = E.C-;
- amount of cover =
/l
I
Plan revision Required? ❑ Yes No
Use other side for additional information. ~1Z1 I
SBD-6710 (R.3/97) Date Insepctor' ignature Cert. No.
County
Industry Services Division St. Croix .Sll I S
D 1400 E Washington Ave
Sanitary Permit Number (to be tilled in by Co.)
P.O. Box 7162
`..y Madison, WI 53707-7162 I
00505
a 1 ary ermit App gft it - / State Transaction Number
In ace( cc with SPS 383.21 2 Adm. C de. submission of this form to the appropriate governmental unit A"
lC bv~~/
is required rior to 6blathih I 'dn ~b ~getrt ote: Application forms for state-owned POWTS are submitted to
the Departs en tttktt t ' er ices. Personal information you provide may be used for secondar_ Project Address (if different than mailing address)
Nvi
purposes in r an Cc e with the Privacy Law, s t5.04(I)(m'), Stats. 12 Germain Lane
1. Application Information ryjease Print All Information
Property Owner's Name Parcel #
Heckmann, Timothy & Michelle 020-1450-05-000
' C ] eJ
X?Ixi~
Property Owner's Mailing Address Property Location
812 Germain Lane
Govt. Lot
City, State Zip Code Phone Number SE 1/4, SW !14, Section 22
Hudson, W1 54016 (circle one)
T29N R 19Eor W
It. Type of Building (check all that apply) ot#
0 I or 2 Family Dwelling - Number of Bedrooms 4 TSu visi on Namc
D on Estates
❑ Public/Commercial -Describe Use ~etC.0-VAe Block #
11 City of
❑ State Owned -Describe Use _
CSM Number El Village of
Z 1 / _ cj 9 ~~~c ❑ Town of Hudson
III. Type of Permit: (Check onl one box on line A. Complete line B if applicable) ~Za"_ A. ❑ New System ❑X Replacement System ❑ Treatment/1lolding Tank Replacement
Only ❑ Other Modification to Existing System (explain)
it Nut ber and Date Issued
B ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit'Fransfer to New List Previous Per716165
Before Expiration Plumber Owner 479348 IV. Type of POWTS S stem/Com onent/Device: (Check all that apply) ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade
❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil
❑ Holding Tank ❑ Other Dispersal Componen (exp au) ❑ Pretreatment Device (explain)
V. Dis ersal/Treat nt Area Information:
Design Flow (gpd) Design Soil Application Dispersal Area Reyuir (st) Dispersal Area Pro sed (st) S stem Elevation
600 Rate(gpdsf) 858 900
.7 fff 111
~ J
V1. Tank Info Capacity in
Gallons -
G
i
Total # of Manufacturer _
Gallons Units
New Tanks Existing Tanks
Septic or Holding Tank 1250 1250 I Wieser Concrete n ❑ ❑ ❑ ❑
Dosing Chamber ❑ ❑ ❑ ❑ F
VI 1. Responsibility Statement- I, the undersigned, assume responsibility for installation of the PONN'TS shown on the attached plans.
Plumber's Name (Print) PI it er' Si attire
A-4, MP/MPRS Number Business Phone Number
John Schmitt f1 !i 223760 715-760-0486
Plumber's Address (Street, City, State, Zip Code) /
586 Valley View Trail.. Somerset, WI 54025
Vill ount /De artment Use Only
Approved isappro Permit Fee Dat Issued Issuin Agent Signatu e
❑-t3uoerReason o ~nial 2(p /1
~ 1 2
IX. Cond *Rea ns foDisapproval
t 3 d t7
1. - 'rk, ts(h talz1l ' en,
utsler n cell rnust4 be Ic}s ' ,t ec
as per inanaigemeW plF_n iaeI by plumoe:. r a
2. Ap ntcfl 9t k rec4 n s trna,>t u~ :.z.rt, it e a
U Pff iicstbta ctje': / c.rd, anc:._.
Attach to complete plans for the system and submit to the County only on paper not less than 8 1/2 x 1 I inches in size
SBD-6398 (R03/14)
SYSTEM PLOT PLAN
Project Name: Heckmann Design Flow: 600 GPD Design .low N
Attach design flow calculations for
Project Address: 812 Germain Lane commercial plans:
BM1 Symbol: A BM Elevation: 93.75' Pipe Materials / ASTM Standard
BM Description: Septic tank outlet Scale: 1 ° = 5~'
Tables 384.30-3 & 384.30-5 0 50 75 100
BM2 Symbol: A BM Elevation: BM Elevation 4" SCH 40 PVC ASTM D2665
BM Description: BM Description 4" SCH 3034 PVC ASTM D 3034
Slope Gradient of Tested Area: (14%) Standard Standard 12.52
Well Symbol (if applicable)
Notes: Notes
I
i
i
i
,
4b' '
95 97 99
93 \
\ T prope~yC`ne
T~ T2 T3 y BI
0 \ \
CD \
T3& T4 - 3'X90' EZ Flow trenches
r
Elevation= 92.52'
\ T1 & T2 to be abandoned due to
gopher damage
Drainage Easement
B2 Garage Driveway
cc
m
BM c
\ 4 Bedroom E
House
orch
o
Well
xisting 1250 gallon
septic tank w/ Zabel
A-100 filter
4 Y. COP Property Line
i
I
CONVENTIONAL COMPONENT DESIGN
INDEX AND TITLE PAGE
Project Name: Heckmann 4 Bedroom Replacment Soil Apsortion Area
Owners Name: Timothy C & Michelle L Heckmann
Owner's Address 812 Germain Ln
Hudson, WI 54016
Legal Description: SE1/4 SW1/4 S22 T29N R19W
Township Hudson
County: St.Croix
Subdivision Name: N/A
Lot Number: 5 Block Number
Parcel I.D. Number 020-1450-05-000
Plan Transaction No.
Page 1 Index and title
Page 2 Plot Plan
Page 3 Septic Tank Specifications
Page 4 Effluent Filter Information
Page 5 System Sizing & Cross Section
Page 6 EZ Flow Information
Page 7 Management and contingency plan
Page 8 Existing Tank Certification
Page 9 Septic Tank Maintenance Agreement
Page 10 Warranty Deed
Page 11 CSM or Plat
Attachment 1 Soil Evaluation Report
Designer: John Schmitt Licnese Number: MPRS 223760
Date: 6/17/2018 Phone Number: 715-760-0486
Signature:
In-Ground Soil Absorption Component Manual Version 2.0 SBD-10705-P (N. 01/01)
IIL
SYSTEM PLOT PLAN
Project Name: Heckmann Design Flow: 600 GPD Design Flow N
Attach design flow calculations for
Project Address: 812 Germain Lane commercial plans:
BM1 Symbol: A BM Elevation: 93.75' Pipe Materials / ASTM Standard
Scale: 1" = 50'
BM Description: Septic tank outlet Tables 384.30-3 & 384.30-5
_ 0 50 75 100
BM2 Symbol: 0 BM Elevation: BM Elevation 4" SCH 40 PVC ASTM D2665
BM Description: BM Description 4" SCH 3034 PVC ASTM D 3034
Slope Gradient of Tested Area: (14%) Standard Standard 12.52
Well Symbol (if applicable)
Notes: Notes
l
95 97 99
93 1 \
\
\ pro
2\ T3 T4 \ BI pe~ytine
o \ \
\ \
< \ \ T3& T4 - 3'X90' EZ Flow trenches
r
\ Elevation= 92.52'
m
\ \ T1 & T2 to be abandoned due to
\ \ gopher damage
Drainage Easement \ \ \
B2
\ \ Garage Driveway
\ \
a)
G
BM1
\ 4 Bedroom E
House
orch
Well
xisting 1250 gallon
septic tank w/ Zabel
A-100 filter
Property Line
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MAINTENANCE • • usA
„ „ / - 8" & 12" Innovations in Precast, Drainage
& Wastewater Products
PAGE 2 of 2
The interval for servicing septic tanks is set by state and local code. Throughout the United States, there is a wide difference of
opinion on what this interval should be, but most regulatory agencies suggest two to five years. The Zabel filter, which does not
increase the frequency of servicing for the tank, should be cleaned when the septic tank is normally inspected and pumped.
However, our filter is virtually self-cleaning. The continued action of the anaerobic organisms on the Zabel filter causes lodged
particles to disintegrate and fall to the bottom of the tank. If your filter contains a SmartFilter® alarm, you will be notified by an
alarm when the filter needs servicing.
' Juno A TS
-V'
Step 1: Step 2: Step 2:
Locate the outlet of the septic tank Remove the tank cover and pump the Firmly pull the filter handle and slide
and remove the tank cover. tank if necessary to prevent any solids the cartridge out of the case.
from escaping to the the drain field
when the filter is removed.
d
Step 4: Step 5: Residential Applications
While holding the cartridge over the Insert the filter cartridge back in the Certified toANSIMSF
access opening, rinse off the cartridge case, making sure the filter cartridge Standard 46
with fresh water, being careful to rinse is properly aligned and completely
all septage material back into the tank. inserted in the case. Replace the septic
tank cover.
Copyright 2014, Polylok, Inc. All rights reserved
Product(s) covered by one or more U.S. and/or International patents. Other U.S. and International patents may be pending
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Installation Instructions for EZ QZU~"
EZflow Systems in Wisconsin flbyFIITRATOR
Wisconsin Department of Commerce, Safety and Buildings 5. The Absorption area (SF) necessary for a given site shall
Division, has reviewed the specifications and/or plans for this : be sized based on maximum daily sewage flow (GPD) and
product and determined it to be in compliance with chapters ; the Permeability for the site. If certain criteria is met, the
Comm 82 through 84, Wisconsin Admin. Code, and Chapters EISA sizing can be used in Wisconsin, resulting in a 40%
145 and 160, Wisconsin Statutes. All sites must meet the Site smaller drainfield.
& Soil Conditions & Locations & Isolation distances as noted in
local regulations. 6. Place EZflow bundle(s) in the EZflow configuration ap-
proved by system design permit specified for the particu-
The approved products are 1203H (3-12" bundles with pipe in lar site. The top or center-most bundles containing pipe
center bundle in 5' or 10' lengths) and 1203HP (3-12" bundles are joined end to end with an internal pipe coupler. Any
with pipe in each bundle in 5' or 10' lengths. additional aggregate only bundles that may be required,
• should be butted against the other aggregate-only bun-
A single pipe bundle contains a four inch perforated pipe sur- dies and do not require any type of connection.
rounded by EPS aggregate and is held together with poly-
ehtylene netting. A single aggregate bundle contains aggregate 7. The top of each GEO cylinder contains a filter fabric pre-
only and is held together with polyethylene netting. manufactured in between the netting and aggregate. The
fabric is inserted to prevent soil intrusion. The installer
Materials and Equipment Needed shall make sure the the GEO is positioned upward and is
• EZflow Bundles in contact with the fabric contained in the adjacent cylin-
• EZflow Geotextile Fabric : der before backfilling.
• EZflow Internal Pipe Couplers :
• Pipe for Header and Inlet 8. The EZflow Drainfield Systems should be installed in a
• Backhoe/Excavator level trench in all directions (both across and along the
trench bottom) and should follow the contour of the ground
Installation Instructions surface elevation (uniform depth), with all continuous
The instructions for installation of EZflow products are given adjoining 10-foot cylindrical bundles placed end to end,
below. This product must be installed in accordance with state with central bundle distribution pipe interconnected,
rules defined in chapters Comm 82 through 84, Wisconsin Ad- without any dams, stepdowns or other water stops.
ministrative Code, and Chapters 145 and 160, Wisconsin Stat-
utes, as well as the local health department's current design 9. The trench top shall be graded such that water will not
manual. pond. Backfill should be seeded or sodded immediately
after completion to reduce erosion.
1. After the local health department has determined sizing,
configuration, and layout for the EZflow systems, stake : 10. EZflow EPS bundles are flexible and can fit in curved
or mark with paint the location of trenches and lines. Be : trenches as may be necessary to avoid trees, boulders, or
careful to set correct tank, invert pipe, header line or dis- other obstacles.
tribution box and trench bottom elevations before instal-
lation of pipe bundles. 11. EPS aggregate is lighter than water, therefore, it might
be expected that natural buoyancy forces would tend to
2. Remove plastic EZflow shipping bags prior to placing cause EZflow assemblies to float out of ground when
bundles in the trench(es). Remove any plastic bags in the : ponding occurs. Field experience has shown, however,
trench before system is covered, that this is not a problem when systems have a minimum
of 6" of soil cover as recommended by manufacturer.
3. This product must have geotextile fabric that meets re-
quirements of s. Comm 84.30 (6) (g), Wis. Adm. Code,
installed directly on top of the product and extending 1203H-GEO
down along the sides of the product to a point at least six
inches from the bottom of product. Geotextile
~ooo - Barrier Material
4. When installed in a trench, the trench should be dug to
saves labor in excava- - ~I _!1=
a width of 36 inches. This not only -
°
tion, but also provides better load-bearing capacity after
backfillin9 is complete.
•
i
PAGE 4OF4
In-ground Dosed-Gravity Management Plan
IMPORTANT:
The owner of this in-ground dosed-gravity system shall be responsible for its perpetual operation and maintenance
pursuant to requirements of SPS 382-384, Wisc. Admin. Code. Pursuant to SPS 383.52 (2), Wisc. Admin. Code, this
system shall be considered a human health hazard if not maintained in accordance with this approved management
plan. Furthermore, all inspection and maintenance activities shall be performed by a registered POWTS Maintainer in
accordance with SPS 383.52 (3), Wisc. Admin. Code.
Maximum Dispersal Area Operating Limits:
Design Flow = 600 gpd; BOD5 220 mgL''; TSS <-150 mgL"'; FOGS 30 mgU1
Inspection Checklist INSPECT EVERY 3 YEARS
o type of use
o age of system
o nuisance factors (i.e. odors, user complaints, etc.)
o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.)
o material fatigue (i.e., leaks, breaks, corrosion, etc.)
o solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (i.e., distribution / drop boxes)
o neglect or improper use (i.e., exceeding design capacities, prohibited activities, etc.)
o extent of ponding in distribution cell prior to dosing
o dosing irregularities - if applicable(i.e., pump re-cycling, float switch settings, etc.)
o electrical components - if applicable (i.e., wiring, connections, switches, controls, timers, alarms, etc.)
o distribution lateral or lateral orifice plugging (measure lateral distal pressure - compare to design specification)
o surface discharge of effluent or sewage back-up into structure served
Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary)
o Septic and dose tank(s) shall be pumped by a certified septage servicing operator licensed under s. 281.48 Wis.
Stats. when the volume of solids in the tank(s) exceeds one-third (1/3) the liquid volume of the tank(s) or
as required by local ordinance. Disposal of contents shall be pursuant to NR 113, Wisc. Admin. Code.
o Effluent filter(s) shall be inspected every 3 years and shall be cleaned when necessary to remove any
accumulated solids according to manufacturer's specifications. A servicing period will always be greater than 12
months.
System maintenance reports shall be submitted to the proper local government unit in accordance with
SPS 383.55 Wisc. Admin. Code. Report any component failure or malfunction to:
Name of individual or company: John Schmitt Phone: 715-760-0486
Local government unit: St.Croix County Community Devolpments Phone: 715-386-4680
Local government unit address: 1101 Carmichael Rd., Hudson Zip: 54016
Any defective part of this system shall be repaired, replaced or removed pursuant to SPS 383.51 (1), Wisc. Admin.
Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 383, Wisc. Admin. Code.
No product for chemical or physical restoration of the POWTS may be used unless approved by the department in
accordance with SPS 384, Wisc. Admin. Code.
Contingency Plan
In the event that any failed treatment component of this POWTS cannot be repaired, it shall be replaced pursuant to
a plan submitted to the appropriate agency for review and approval. A failed in-ground dispersal component may be
abandoned and replaced by a code-complying dispersal component in a pre-determined area of suitable soils.
System Abandonment
be abandoned in accordance with SPS 383.33, Wisc. Admin. Code.
If use of this POWTS is discontinued, it shall
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) 812 Germain Ln located
at: SE '/4, SW '/4, Section 22 , Town29 N, Range 19 W,
Town of Hudson , 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 ofSPS. 384.25, and it (they)
appear(s) to be functioning properly.
Most recent date of inspection or service 6115/18
Did flow back occur from absorption system? Yes No X
(if no, skip next line.)
Approximate volume or length of time: gallons minutes
Tank Capacity: 1250
Construction: Prefab Concrete X Steel Other
Manufacturer (if known): Wieser Concrete
Age of Tank (if known): 13 years
Permit number (if known) 479348
John Schmitt
(LVensed Plumber Signature) (Print Name)
MPRS 223760
(Title) (License Number) MP/MPRS
6-17-18
(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 It 3 Wisconsin Administrative Code)
Rev. 2/2012
ST. C ROIN COI N T 1
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Ox,~,ncr Buver Timothy C & Michelle L Heckmann
Mailing- Address 812 Germain Ln
Property Address 812 Germain Ln
(Verification required from Planning & Zoning Department for new construction.I
Cit,,1State Hudson, WI Parcel Identification Number 020-1450-05-000
LEGAL USCRIPTfON
Property Location SE SW 11 ,sec. 22 T 29 R 1 W. Town of Hudson -
Subdivision Plat_ Hudson Estates Lot # 5
Certified Slit-vey Map it VttJtnne . P~1!!e
NN arranr%- Deed ;4 (before 2007)Voiume . Page
Spec house ❑vesdlo Lot lines identifiable Dyesono
SYSTEM MAINTENANCE AND OWNER CERTIFICATION
Improper use and maintenance of your septic system could result in it; prctuatUrC failure to handle wastes. Proper
nr .nr,c consists of pumptug out the septic tank every t!,ree years or sooner, if heeded. Iny a ticensed pumper. What you put i^ to
the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance
rc;pon.>ihilities are specified in §SPS. 3$3.52(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 forth, 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 ardor (2) after inspection and pumping (if necessary), the septic tank is
less than l fl full of sludge.
Iwe, the undersigned have read the above requirements and agree to maintain the prtyate sewage dtsposai 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 VIsconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix
County Planning & Zoning Department within 30 day, of the three year expiration date.
I!we certify that all statements on this form are true to the best of my Our knowled-e. !!we am/are the owner(s) of the
property described above, by virtue of a warranty deed recorded in Register of Deeds Office.
Number of bedrooms 4
6 16 ,18
IGNATURE C APPLICANT(S) DATE
~Ip
* Aw, information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department.
(nelude with this application a recorded Nyarraiuv deed from the Register o; Deeds Office and a copy of the certified survey map if
reference is made in the warranty deed.
(REN. Q4I12)
r
~ off'
083 D60
IZ N
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s
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71
t.-. / HWL = 903.10'
06
Id y
C1~ cr S89'44'41'W 681.04' .r
223.20'
% \ 457.84'
zoo LOT 3
HWL = 903.10 \ 2.100 ACRES
1 pb~ 91,478 60. FT.
ti L.B.O. - 905.10
~ • ~~bs?`fir.
LOT 4
.548 ACRES O
^i~?. 010 110,897 SG. FT.
\ L.B O. = 905.10
tf 20~ N7
1
X 0 1372 ~3`W ~ ~ / 06 ?C '
a~
ni 6 077 ~
Wt. = .50 LOT 5
t i
D DRAINAGE 2, 4 ACRES LOT Z
EASEMENT
87,278 SQ. Fr. 2.003 ACR
L.B.O. = 905.50 87,243 SO.
321.71' w
S84-2516"W d o
N89°48'23"E BENCHMARK: TOP OF ` N O
31.25' IRON PIPE=915.4 C 240.61
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Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County. St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No: 479348 0
GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No:
i Personal information you provide may be used for secondary purposes [Privacy Law, a.15.04 (1 xm)].
Permit Holder's Name: City Village X Township Parcel Tax No:
Glen Johnson Construction Hudson, Town of 020-1450-05-000
CST BM Elev: Insp. SM Bev: BM Description: Sectionrrown/Range/Map No:
/!gyp S 22.29.19.2875
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark
/ZJD It ~ 101, Io JO't7
t%tw~4PSCJ l~ I~a~ Z~J F is
~
F;t
Aeration Bldg. Sewer
I 5.35 ~i5~• 9
Holding St/Ht Inlet Z 9~, 65
St/Ht Outlet
TANK SETBACK INFORMATION Co• `~3 ~5
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet
Septic -'750 Dt Bottom
i W ~
Dosing Header/Man. 05 X0.25 7 r1 r Z
u. o
Aeration Dist. Pipe Si . 75 91 5
Holding Bot. System 5.75 90 5 b I(
I/, e 9
PUMP/SIPHON INFORMATION Final Grade
`fManufacturer Demand St Cover,,,
GPM l,l~ 9 g
Model Number
TDH Friction Loss System Hea TDH Ft
ForceLength D' Dist. to Well
SOIL ABSORPTION SYSTEM • g
BED/TRENCH Width Length No. Of Trenches PI7 DIMENSIONS No. Of its Inside Dia. Liquid Depth
DIMENSIONS
SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer r 1,
INFORMATION CHAMBER OR 1 •1~7a1,
Type Of System:r / 1~ r 'qfSr ' /OAX_._ f /1 UNIT Model Number 'k-,
DISTRIBUTION SYSTEM a( '23 T ZZ ~T
Header/Manifold / r Distribution x Hole size x Hole Spacing Vent to Air In
/ Pipe(s) \
Length DiaLength Dia~_ Spacing
i
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 \
41 I.. Yes of No cif Yes #1 No
COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1: Inspection #2:
Location: 812 Germain Lane Hudson, WI 54016 (SE 1/4 SW 1/4 22 T29N R19W) Hudson Estates Lot 5 Parcel No: 22.29.19.2875
1.) Alt BM Description = J ii0i''. C~G ` ~oc lc S O
2.) Bldg sewer length =
amount of cover = Z /
Plan revision Required? 1. j Yes Gv 1
Use other side for additional informatw" n ` - -
Date Insepctors ignature Cert. No.
SBO-6710 (R.3197)
• 1199
Wwon in Department of Commerce SOIL EVALUATION REPORT Pap I of 3
Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Tom Schmitt
Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must county St Crob(
include, but not limited to: vertical and taivordal reference point (8M), direction and
parent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I. D. - 65--
P/ease prfnt aH irrfonnatyon. Reviewed By Date
Personal iniomwfbn you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). /J--L $ 1 U
Property Owner Property Location
/22
Grand Properties, LP Govt. Lot SE 19 SW 1/4 S T 19 N R 19 W
Property Owner's Mailing Address ; tot # 81odc # Subd. Name or CSW
712 Rivard Streeet, Suite 300 . APR 2 3 2004 5 Hudson Estates
City Afite Zip Code Phone Number _I City J Village b Town Nearest Rued
Somerset 1 Hudson Badlands Road
New Construction Use: JM Residential 1 Number of bedrooms 3 Code derived design flow rate 450 GPD
J Replacement J Public or commercial - Describe:
Parent material Outwash Plain Flood plain elevation, If applicable na
General conwnerds
and recommendations: Area is suitable for a conventional system. Possible system elevation for Area 1 is (high trench) 98.2' (low
trench) 94.7'. Slope is 14%. 7 4 W /P1.2 o6!,?4,,-
Boring # 16 Boring
16 Pit Ground Surface elev. 99.19 ft. Depth to limiting factor 97+ in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Root GPDff
'Eff#1 'E
1 0-9 10V02 none si 2mgr mvfr as 2f .6 1.0
2 9-22 10yr4/4 none sit 2fsbk mfr 9w If .6 .8
r 4 3 22-41 7.5yr4/4 none is 089 ml 9w - .7 1.6
41-97 10yr5/6 none IS 0159 ml - - .7 1.6
F2 Boring # J Boring
Id Pit Ground Surface elev. 99.19 fl. Depth to limiting factor 96+ in. Sal Appiicebw Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundsiy Roots /fF
•EfT#1 'Eti#2
1 0-7 10yrml none I 2mgr mvfr as 3f .6 .8
2 7-13 10yr4/4 none sit 2fsbk mvfr 9w 2f .6 .8
3 13-24 7.5yr4/4 none is 1msbk mvfr 9w if .7 1.8
4 24-96 10yr516 none s 089 ml - - .7 1.6
• E11>tient #1 = BOD 30 < 22D mall- and TSS >30 < 150 mg/L ' Effluent #2 = 8005S.30 mg/L and TSS <_M mg/L
CST Name (Plesse Print) Stgrhrture: CST Number
227429
Thomas J. Schmitt a y~%. cdj
Z-'/Z~~
Addresa Tom Schmitt Date Evaluation Conducted TaNptwne Number
1595 72nd St. New Richmond, WI 54017 4/12/04 715-247-2941
• • Property owner Gland Roperbes, DP Parcel ID # Page 2 of 3
Boring
F IM Boring # J P
Ground Surface elev. 95.19 ft. Depth to limiting factor 96+ in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots
`Effi1 `Efw
1 0-9 10yr3/2 none sl 2mgr mvfr as 3f .6 1.0
2 9-21 10yr3/4 none sl 2msbk mvfr 9w 2m,if .6 1.0
3 21-36 10yr4/4 none at 2fsbk mvfr 9w 1m .6 1.0
4 36-96 10yr516 none s 0sg ml - .7 1.6
1,6 A
Boring lob f
i i
❑ Baft _,j Pd Ground Surface elev. ft. Depth to tanit&t in. Application Rate
Horizon NO Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDff
`Effi1 •Eff#2
I,
i
F-I Boring i I P Boring Ground Surface elev. ft. Depth to liming factor in. Sal Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF •Efi#1 •Effi2
Ii
i
• Effluent #1 = BOD ? 30 < 220 mg/L and TSS >30 < 150 mgA. • Effluent #2 = BODS < 30 mg/L and TSS <-,40 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.
Red ~ l~q~
Page 3 of 3
Conducted by: Conducted for:
Schmitt Soil & Site Evaluations Name: Grand Properties, LP
Thomas J. Schmitt, CST 227429 Address: 712 Rivard St. Suite 100
1595 72nd St. City, State, Zip: Somerset, WI 54025
New Richmond, Wl 54017
Phone: 715.247.2 941 Subd. Name Hudson Estates
, .....rte Lot No. -
SE 1/4, 5, 1/4, S. 22, T 29 N, R 19 W
Township of Hudson
BM El. 100.00' gc-
Alternate BM El fd 'Tom' a " ~lf~ 1
Slope = &_216 Contour Line EL !Y~
I rid
Scale: 1" = 40' r QrA \
r
E
121
` \
s'4r a ys \
This soil report was done to fulfill a Zoning requirement. It may or may not be in a location that is
suitable for your use. No permanent lot markers were in place when the test was conducted.
SOIL AND SITE EVALUATION 205 a
PROPERTY OWNER c.a Propatea LP Page of PARCEL LDA
Tom SdM9ft
REPORT MEMO
Discontinuous silt inclusions were observed in B1 with redox features. The redox features in the silt are present
because the smatter particle size of sift holds onto the water stronger than the surrounding sand, it even has a
stronger hold than the force of gravity trying to pull the water down. The water that flows into the silt inclusion will not
seep out until the silt inclusion is completely saturated and cannot hold any more, then the force of gravity can start to
make the excess water start to flow. This is why redox features (mottles) are present in the inclusion. The outwash
sand that the silt inclusion is deposited into showed no signs of seasonal saturation or high groundwater.
INSTALLERS"
When a t indu ' (silt ball) is encountered, the chambers that are installed in the silt should not be counted. More
chambers shoo a added to the end of the trench in sand to make up for the lower gpd/sgft rate of the silt. This way
the 0.7gpd/sgft rate of the sand can be used and the system is only enla7N7 ded.
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