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HomeMy WebLinkAbout004-1035-95-000 Ccunty vvi,coosr ccpartlw''aolCorn.°u';,.• PRIVATE SEWAGE SYSTEM St. Croix SsNry snc Bu '.11-3 Division INSPECTION REPORT SarlalyPe'mRNo iATTA-1H TO PERIAIT~ 605045 GENERAL INFORMATION slatePl.rnlhNO !2 P,ISC'q. I n':Trrr'. v.u I..ovu]e n'iarU .er. 'r~gy ^.'1l', pu"P 'Prr:ary Ia::& C4'1)tm;) .31090^~ Penni'. I'C:1c''s Ne," Citg '•Villaac Tuwns"Ilp Parcel Ta.a N-. Lawrence Wiegand TOWN OF CADY 004-1035-95-000 CST W.1 Elov Insp. BM UCV Ble L`lscliol mr Se,'inr+Tavn'Rany: P,tap Ne ~Op 6M N 15.28.15.242 TANK INFORMATION ELEVATION DATA TYPL MANDFACTUREIR P 39 CAPACITY STATION BS HI FS ELEV /D$ /dro Sepac , G5er ~r Tn Z / Benchmark t T' r 0 ( /dZ_~ owing '~'>'°a • s w~ At BM C, IL,... et, 4.6 1a3 Co..,~e r Sz5 Bld- Sewer T Holding St; l It h•lel 9•z5 48.75 Sail It OufIM TANK SETBACK INFORMATION TANK 10 Prl t^eil I BLDG 'Jen to A r Ir•tete ROAD of Inlet D Sep ! Z~ 21 5 Dt Bottom 1y 7 Hcader:Mar. 7 Dcsirg Z-7 Llr Z~to1 /9S / /71 We -to 1) Dist Pipe 14.Z7 dlv Holding ect. System °i2 Final Grace PUMPISIPHON INFORMATION 2-71 p2_ 7 6lancfacturer Demand St Cover 4, GPrd , Model Number ZJ Toll Li 1-7 Friction0 Systen Heal TDI1y FI 3 C ✓ B, ~L s8 Forcemnm 1 Length / Dia. )I Js: tovar T '36 Z- 21 I,,0 SOIL ABSORPTION SYSTEM pq BEDJRENCH :id'.h / L, Q:i, / No r' PIT DIMENSIONS tJ a. O' Pil•: Insice Dia I xaw: a-p'h DIMENSIONS s 96 e 1 SETBACK SYSTEM TO P1 BLDG "JELL 1 AKLtSTREAAI LEACHING tvtaeulac7. w INFORMATION CHAMBER OR vt~- 261 219' UNIT tvlcdc N:n'~Uer OJ DISTRIBUTION SYSTEM 11.-.noe r M1: fx 'IF risl it Dior I It J -7 ` x Hole. S ve (I1l;•1V !Span nu Vc I e'q'h Z. / r7 Cia / IL`c~*741i*: 144 _ Urn J .:f:arrrq L ' .J ~3~i 7•G SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only F' I1 D De r, O' c' rF D0p1U tit Y-~ xx ScNC7r:n 9den .w M hrr! Be7Tirit G:ute J. ~ s HedrTr n^h=aq"- TII,z COMMENTS: {Include code discrepencies. persons p^esert e'.c t Inspect or fi' i$/` 1 Y i ; Inspector q2 I Location: 322 310TH ST " ; T S l'x_ v. ti>r , C~^ If / r I 1 i Alt BM Description - r 1 1 L. 2.) Bldg sewer length = 71 r 7 S ~ 5 r / ~ S fN.:n_1 7 ~1y; :~-O' -amount of cover= f( (I -T/rdW Ok.. Plan revision Required? - Yes >(NO 16 Z-j 1 7 r( 7 Use other side for additional information. I ! Dale - - insea ors S g ore - Cert. No SISU E'1 J iR 3leFj A I D `f1N-2c~t~- (4 to --10- COhIiTYfi,SCiFVI O ~ lant to u~t u f U u' ~:n. R t o / ~ ?01 W'. N 21 yr v 1 fJ M:v IQ 1SIC in 11...Uson, sll I 1.12 yil S m 1 Ia 1-11 VunlFsrl L.~ he till --d u by Co. i Du{sarµne 1 o(nmerce i t Sal IT r In•r purn'•,: Samttx ermit 1ppL<<►twn Ira -a 1 1 :.jm , 'vt n :J;. t n l ai tlt t n t. t:.c F t, nulegncm t uca 3/D-7,;7) U"1❑ I : 1 1 4tH fJ.Jr,h ;:af r 1 \ t JI ;_t t 1,w I r lrt, src IYJN I S •It i, Y:,t %J'A' I ld -:al lhu I 1.Y e:._RSS1 11 1 t tl ll V I f~ T1 11 11111 l F r'I I Jl T' L'. tt t➢A J,.J Yur SK.:IhI£r I \jq~l ICaU 111 I n h 1ln a lion I Lane Pr lnl 1,11 Inl1 ion n - _ ° cV,//~Cx/ Ll I r t :.I t r i II f I,al'' l 111.. tR '.a:: ~G C:.]z Ih r.; Sumba ~ CE ~ `f~ 1cC: at 11 Ixpe u(Bulldm>.(check all that applyi I,:t;A14) y~ X I t 2'ar II I , 1 o-•- Vnri. 1 11'15; Y/~ - SL JOIC C Fuh ti C:.n n r I :d IF/ ~ b t I CS!,I Su ni:•^ [ III ^c r:i r- _ HL Ts pe of Pei nail: iCheck only unc box on lint (Cumpletr line Ii il'npplirahlri z01nR _ _ _ \ flat'. L ?::)IJCCII"tl j'.>I:nl I 1 Y.'):-'Va i.'I I. tl: t.lP. 1. I •.:IIL'nt :lnl\ I J1 tl ct V.'.1:II I'"t' \~:a;'O 1e\9101'11 I. I I .u:: i'a t \ 1t Ica I / fl P: 1 F .c:11 I'1. roil 3 .:.:1 [ CY ugr.a I'I t 1..1 L I 1c i 1 .w.ic1 0.. vv. t 1\ I spr of 1 01\ IS Srslrm+(~umponrnc Urxisc: ((~hcck all Ihnl nppl~;i -,,.xr u„-pza-u I.n-(1.ui:_ ]IY:....:,L.'ht .,.nln:1 LaLliq:: Ltdo!rJ ~2an a. va '::hr..:tl phtour,d<?lu ..eli J,~.,1 I I It~ I ~ tl~rt h I t I.::nI t1 e Iul I - - \ U11 uti:d Ilsuuu nl \ICI Inlorm lbn _ iC I Da p : ft t - Ulf,c nl u a reJ n 1 t 1 I. • 1' 11 t n 1 ow'. \ I laid, hlfn r,1 a l u Y n. 1 ti. -l.rtcr T full rs II u; I,t,t1;: ~ \ IL Recponslbilip' Statement- 1, the undrrsoned, assume rc:spml%ibditt for in.rallation 1,1 Ihr 1'11\c'IS shown oa lhh alho lo,d glans. flu 1 1'. n.nt i 21 n:' j'l1 uF. llglww, _ \ti': % RS Nl.,. If I'I'onc Ni",, 77Z 321 41 \ 111 - nl U1 1 tIlnclll 1\l 0111• ;:m t l'cr I' < 14.1eA I nu :n: iall.ru-s I IA l ondil~ 2r...nn> Gn' Ihx-vppros al t Wyper.:.r py roust Oil Ee sM-•,icsa;i,. "~,.~eS J _ nn t_ .UI~ILJ, 04LA& ,s par vivagwriw plan pro nc*1 by pit..r.bet. Ili (iCi'CGJO< I N t(eltaar,I( fM[(.IM!^ems must h r, alma. ir.(~ r - p pw tlpFiiulble trxS! i':M:,;nn.et. ( Ao ob 1.., 1111,10, plxnl f- ILr r) g.... xnn w16 11xr rv < ['aunty n h'.. pxP<r(?I I<.a that E 1 I l uu lvl in si - ` ~il,,la,~flG //✓IY,, ~c 5l/j3e SBD. ,9S-R. 02 ; fi9i' CVY/~^"'~OY> J 1 b LL r~~ I c nes r 2 ij f !n ~V (753 I ~ ~'~;r ~n rte' - ti ~t 1 it, A - - i - Pip P J DIVISION OF INDUSTRY SERVICHS - :!624 CREEKSIDE LN ~ I iOLMEN WI 54636-9466 - 0 S Con!= Through Reay 1 P S h;ipJrdsps.wi goviprogramslindustry serv'ces vtmw v: iscorsm gov Scott Walker, Governor Laura Gutierrez, Secretary hmc OS. 2018 CLS'f ID No. 226524 A 7'TV P01YIN h opectnr ROGER L I IMM ZONING OFFICE fI\1M VXCAVA'TING Sr C'ROIX COCNTY SPIA 31 128 2oTll AVF ' 10' CARMICHAI 1. RU WILSON W'I 5.102'-2?IS IIUDSON W1 54016-7708 C'ONDIT'IONAL APPROVAL. PLAN APPROVAL EXPIRES: 06x08 2020 SI'I'F.: Identification Numbers L 32_' aw? I0 rence I I St Wic;,and - lha - ns:wlion ID No. 31109072 Site 11) No. 849797 town of Cad) --ide-ri- c Plc;tsc ruler to both idcnti(icalion numbere, St Croix Counry above, in all correipondcnce with the aecncv. SF.I!.1, SH 4, S15, 128N. RI 5%V FOR: Description: Three Bedroom Mound SystemSloping site Object Type: POWI S Component Manual Regulated Objcct ID No.: 1164466 Maintenance required; Replacement system; 450 GPD Flow rate: I S in Sod minimum depth to limitin;~ factor from orieiual grade: System(s): Mound ('rnnponen Manual - Vex.' 1, SIM -1(1691-11 (N.01 `01. R. 11) l2), Pressure Distribution Component Manual - Ver. 2.0. SRD-10706-11 (N.01 01. R. 101_'): Effluent Filter I he suNniflal described above has been reviewed fin conlbrmance with anplicahle Wisconsin Administrative Codcs and Wiscomin Stadules. Tlie subntittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and With any component msuw:d(sl rclerenced above. l~~jUD the owner, as defined in chapter 11) 1,01(l I_11, Wisconsin Statutes, is responsible for compliance with all code _ requirements. D!- \o person may engage in or work at plumbing in the static unless licensed to do so by the Department per s. 145,06, pF O ash. Df~I,.ION O The !,ollowin;l. conditions shall be ntcl during, conduction or installation and prior to occupancy or use: - Reminders • A sanitary pennit must be ohmined from the county where this project is located in accordance With file requirements ol'Sec. 145.119, Wis. Slats. ;SE • Inspection of the private x:wage svitem installation is required. Arrangements for inspection shall he made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Slats. • A stale npprmed effluent filter is required. Maintenance inlbrmation mull he riven to IL'c owner oflhe tank explaining dial periodic cleanin_+ofthe filter is required. • The existing VOW I'S shall be abandoned pcr SPS 383.33. Wis. Adm. Codc. • The area within 15' downdopc of the dispersal ec:l shall remain undisturbed. Vehicular Iraflic, excavation rn- soil compaction is prohibited in this area. • !A copy of tire approved plans, s[ cpif icutions and thii letter shall he on-site during construction and open it, inspection by authorized rcjjrcscnw6%es o'. the Dcpanmenr, which map include local inipcctora_ Owner Responsibilities IL: • 'Fhe current owner, and each xr.~seycer.l owarc:. shall receive a Lop v 111';111, kt:cr including inSIRIC6011s mating to proper rise and maintenance of :hc smem. Owners shad receive a copy ofthc appropriate operation and maintenance manual and. or owner's nsuxral for the pOW'I S described in this approval. • The owner of a POW I S shall be responsible for e.nsurim, that the operation and maintenance of the 1'c "TS occurs in accordance "ith this chapter and the approved management plan under s. SPS 383.54(1). • In the event this soil absorption system or any of its component parts rnallinctions so as to create it health hazard. the property owner nuts( follow (he contingency plan as described in the approved plans. • Ilie owner is responsible for submitting it maintenance vcrihcation report acceptable to the county Iirr maintenance tracking purposes. Report, shall be submitted at intervals appropriate for the component(s) wilizcd in the POW FS. In ;ranting this approval the Division of Industry Services resents lire right in require changes or additions should conditions arise making them necessary for code compliance. As per state stats 10 1. 12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning. this correspondence may lie made to me at the telephone number listed below, or at the address on this letterhead. I he above left addressee shall provide a copy of this letter and the POW I S mana;gemcni plan to the owner and auy onc~rs who are responsible lot the installation, operation or maintenance of the POAA' I S. Siuccrel) Fee Required $ '54.00 Pcc Rccciccd $ 250.00 Ralancc Doc C 0,00 Gerard 111 Swirn PUR FS Plan Rcvieever. Division of Indrruy Services \kriSn'llART code: 7633 (608) 89-;•'X97. Mon - Fri. 7: 15 a.m. - 4:00 p.m. lerry.swinuaa+i.L ov' cc. I-.dwin A 1 ac fur, A4asio atcr Spc6 Irst, (71 634448'1, Arlon !r.. 5:00 A.M. - 1:30 P.M. k Iha I IIVah' Nn ere (hfner Responsibilities • "hc curtell l uw:w-. acrd caul suh,,equ-n: nwn:` mall ,.eivc a cope u[ this letter im:udtr.,_ tnsuuc:iiwr, rclatim' to props: use and maintenance o' the system. Owuets shall receive it cop. of the appropriate operation and maintenance manual and or owne.'s martial for the POWT•S described in t:nis approva:- • 'fhe owner o{z PCIWTc shall be responsihic• for ensurinv that the operation and maintenance of dw PO W I S occurs in acmrclance with thi= chapter and the approved nanaycment plan under s. SPS 383.51(11. • it the event this soil absorption systew or am of its componc•rtt pans malfunctions su as fo create a health ii,vard. [tic pmperrr outer must follow the• cumingencv plat: as dcscrihcd in Inc approved pians. • :'nc owner is responsible for submiunE a maintenance vc-iiicatior repot. acceptable to the cotmrv for maintenance tracking parposcs_ Repims shall be suormned at intervals appropriate for file compunent1s) Utilized 1:1 the POW-S. M i-amim this approval tit,- Uivisiuc of Industr, Services rese-yes the ri ht to require changes or additions should amdmom arise making them acccssan for code cnninimnce As per state snits I Ol.12C i, nothing, in this review shall relieve file uc wucr of Cac responsibiiin for designing a safe buildi;t;. uructurc, or componcn:- Inquiries concerning this co:respondcncc ma% be made to mcc at the telephone ntmtber hsteC below. or a: Inc address on Otis ietwnkad. The above lefi addressee shall provide it copy of this letter an-: the POWTS mana ement plan to tit- mvner and -,)n% others who are responsible for lie n:siallaunn, operadnr nr maintenance of the PO1+'1 S. Sincerer, Fee Acquired S 50.00 Fee Received $ 250.(J0 B2laracc• Doc C 0.00 6crtrd M Swint N )WI S Plan Re vicwe:. Div ision of Indurrv Services WiSMART code- 76.? (6()81780-7892, Mon - F^i. 'i::5 a.rn -.1 00 p.m. jcrnswimia;wl.EOV cc Sdwin :1 Taylor. Wastewate- Special st. ;T 5 1 (,,4-.-,4S4. Mon-fri, 8:(10 A.M. - 4 'P.M_ MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Reside-tia App icatior INDEX AND TITLE PAGE LViCCS Project Name Owner's Name Lawrence Wiegand Owners Address 311/ State Road 128 Wilson Wi 54027 Lega Description SF / SE s15 t28 r15w Township Cady County ST. Croix Subdivision Name: NA BONA Lo! Number NA Block Number NA /?OV <<Y ED Parcel I D Number 0.04-1035-95-000 = , FETYAND U~ "rSfRV/CF8 Plan Transaction No.: Y St.~ Page 1 Index and title t/ Ccz Page 2 Data entry Page 3 Mound drawings - Page 4 Lateral and dose tank Page 5 System maintenance specificater•s Page 6 Management and contingency plan Page 7 Pump curve and speahcatiors t )L" 1 r < A9 9 r lkY h Designer Roger Timm I_ cense Number 226524 Date 05/22/18 Phone Number 715-772-3214 Signature t, L11 4 ~ Designed Pursuant to the Mound Component Manual for POWTS Vers ion 2.0 S8D-10691-P (N. 01101 R 10;12), and both SSWMP Publication 9 6 Design of Pressure Distribution Networks for ST-SAS (01181) and Pressure D:stnbutior. Component Manual Ver. 2.0 SB6 10,706-P:11. 01+ct H 10:12) Version 7 A (R I V'2) Page 1 of 7 Mound and Pressure Distribution Component Design Desiqn Worksheet Site Information R or C; R Residential or Commercial Design Note- Sawl fill (D) calctilatiooc. assume a 300.00 Est mated Wastewater Flow (gpd) Table 383 44 3 in-situ sal treatment for fecal colilorm o1 36 inches. 1.50 Peaking Factor (e g 1 5 150%) 450 0C Design Flow (gpd) 8.00 Site Slope 100.00 Contour Line Elevation (ft) 18.00 Depth to Limiting Factor (in) 0.60 In-situ Soil Application Rate (gpolft`) Distribution Cell Information 90.00 Dispersal Cell Length Along Contour (ft) = 5 00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/fY) 1 Inf cent Wastewater Quality (1 cr 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? Enter Y or N C r E i C Center or Eric Manifold 2 50 La!erai Spacing (ft) If N above, enter the elevation (ft) 4 Number of Laterals of the highest point 0.156 O,.fi;;e Diameter (in) 4.00 Estimatea Orifice Spacing ift) = 10 23 ft'?orifice 2.00 Forcemain Diameter (in) 30.00 Forcemain Length (ft) Does the forcemain drain back? Y 90.00 Pump Tank Elevation (ft) Enter Y or N 4551 System Head (ft) x 1.3 4.89 Forcemain Drainback (gal) 11 33 Vertical Lift (ft) 81.12 5x Void Volume (gal) 0 38 Friction Loss (ft) 86.01 Minimum Dose Volume (gal) 0.00 In-line Filter Loss (ft) 23 69 System Demand fgpm) 16 26 Total Dynamic Head (fti Lateral Diameter Selection Manifold Diameter Selection in d ,a options choice n dia options choice C 75 25 x 00 x 50 _ x x 25 x 2 CO 1 50 x x 3 co 2 00 x 3 00 x Gallonsllnch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 1000 00 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Weser Concrete Prod Manufacturer gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 603 36 Dose Tank Capacity (gal) Poly Lok Filter Manufacturer 16 76 Dose Tank Volume (gallin) PL 525 Filter Model Number Wiese, Concrete Prod Manufacturer Project Page 2 of 7 Mound Plan and Cross Section Views 1 - • WOB J FK Observation Pipe - - 0 _;5: A W -T Mound Component Dimensions A 5 CO Q F 22 80 , H 1 00 It K 10 48 ft B 90 00 ft F 9.50 in 12.60 ft L 110 95 ft D 19 00 in G 0 50 ft J 6 7511t W 24 35 ft 450.00 (W) Dispersal Cell Area 1583.88 (W Basal Area Available 5.00 (god/ft) Linear Loading Rate 9 00 (ft) 1110 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 103 29 ift) - > • H - G 1 F Dispersal cNn- 102.00 (ft) Lateral 'C1 SC (W Invert Dispersal Cell t Elevation D a 100-00 (ft) Contour Elevation 8.0 % Site Slope Geotextlle Fabric Cover Shading Key v a -7 Dispersal Cell j/ See lateral details on Topsoil ft Page 4 for number, size, r a 1.5 ® Cap o Subsoil Cap 4 C, T and spacing of laterals 721-7 L51 ASTM C33 Sand 6 m Laterals are equally o Z spaced from the [q 0 Tilled Layer c w 0.5 ft Typical Lateral distrbution cell's F- Aggregate o U distnbuhoeutione in the . A • n cell (Axt3) Prolect Page 3 of 7 Center Connection Lateral Layout Diagram GdN Tanrorrwcnnn t+.1. 01 11011 10 MA"old 61 ar,"A' L N.1.1s w. 4.WK4M rr- ~ _7 P - - S Turn-upndbslivalvo r IIx-~IF.r2 I r~?-rl LeAeralS SforCemam $Ch 40 PVC at m.. out p4u0 per SPS. T bW l$4 30A NoM: drAl.d on aw bouom 01 1M 141val Number of Lateras 4 Orifice Diamete• 0 156 in Lateral Diameter 1 `C in Orifice Spacing (Xj 421 It Lateral Length (P i 44 21 ft Orifices per Lateral 11 Lateral Spacing !S) 2150 ft Orifice Density 10 23 ft-;orifice Lateral Flow Rate 5.92 gpm Manifold Length 2 50 ft System Flow Rate 23 69 gpm Manifold Diameter 1 50 in Total Dynamic Head 16 26 ft For cemain Velocity 2 42 ft/sec Dose Tank Information Locking cover with warning _ label and :ocking dewtce and sealed watertight Elechual as per NEC 300 and 0 _t SPS 316.300 WAC 7Dtsconnw 4 m min i Tank componentm properly vented E- Alternate oadet location J Forcemain diameter Wieser Concrete Prod Manufacturer 2 in Caoaa: 603.36 Gallons I Vo -r-e 16.76 gal/inch A Weep hole or anti- Di Tension Inches Gallons ~ B C siphon device A 20.87 349.15 B 2.00 33.52 C Pur mp off elevation (ft) C 5.13 86.01 90.67 D 8.00 134.08 D Total' 36.00 603.36 V4 m Dose tank elevation (ft) r/r 3" Bedding un er tank 90.00 Alarm Manuafacturer SJE Rhombus Note Switches Alarm Model Number Tank Alert containing mercury may not be used in Pump Manufacturer Gould this svstem Pump Model Number EP04 Pump Must Delver 23 59 gprrl at 6 26 ft TDH Protect Page 4 of 7 Mound System Maintenance and Operation Specifications Serv ce Provider s Name Roger Timm Phone 71b-.V2-3214 POW IS Regulator's Name St Croix Co. Phone 715 386-4680 System Flow and Load Parameters Design Flow - Peak 450 rpd Maxrn;.rr Influent Particle Sze 1/8 in Fst mated Flow - Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity COO gal Maximum. TSS 150 rng/L Sci Acscrot cn Componer-. S zo 450 fY Maximum FOG 30 mg/t. I ype of Wastewate• Domestic Maximum Fecal Cc; form >1GF4 cfu/10C mL Service Frequency Septic and Pump Tank Inspect andlor service once eve 3 ears Effluent Filter Should inspect and clean at least once every 3 ears Pump and Controls Test once eve 3 ears Alarm Should test monthly Pressure System Laterals should be flushed and pressure tested ever 3 ears Mound Inspect for ponding and seepage once every 3 years Miscellaneous Construction and Materials Standards Ooserraron pipes are slotted and materials conform to Table SPS 3843J-I have a watert crt cap and are secured ❑ as shown n the mound component manual 2 Dispersal cell aggregate conforms to SPS 384.3C f6j(i), Ws. Adm. Code 3 All gravity and pressure piping materials conform to the requirements in SPS 384, Wis Adm Code 4 f i Rage 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 sod erosion and help reduce frost penetration Lateral Turn-up Detail Finished Grade Jr 6-8' Diameter Lawn t f hreaded C eanout Sp" nkler Valve Box Plug o, Ball Valve i Dis*ribulicn Lateral l ► L_ - - - Long Sweep 5J or 1 ,wo 45 Degree Be^ds Same D ameter as Lateral Project Page 5 of Mound System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General ' n s sasteT ;r Le cpo:alc: r ar:o ,roe v:i;h IPS'i92-94 Wis. Adm Cede, arc shall mainla~rcd r ac:::r don G.'•v th t5 7",rcrc sisal; ihb. r ^°gt ' N 0"0'. R. 1 ,5!"a^dP PJdlica: cn 9 5 :0'rii•;, and Pressure Cistricutio I c r ,.nrcn! L1an cal %et 2 ;1 567 t'~ 7C5-u N -1 Cl Fi 10+:2i] and local or state n.les pertalninp to sysren man:enarce arc mointenarce lepcr,ing. No ore should ever ente• a septic O' puma tans since dargeicas gases may be p'esent :nat could cause death. Sephc aid pump tark abandcrr-ten: srla'I be in accordance vath Si 333. 33, ttis Acm. Code wlim the ranks are re Idrger used as °GIWTS components Sep: c or pump tank manhole risers, access users and ownrs shoo c Lc rispecteC `or w,-aar:ightness arc CUidiress Access openings .sed'e' se^: ice and assessmen shah to seated 'eraterllgi! the coTdletrr of serdrCe Ary cpering cee,-ed Visoild, defech're, r to faJUre mLS: ce fed dr:cc txpirse^. access opui rigs grease" non 9 ncnes 19 ::a'I'l.'ll•' shal; to se";I ny an dYeotve looking _r. r IC prevCr't a_c nertal r' nautherZed cr1`g intr. a fark d' con'.pcreI Septic rank Tre :$p: c tan- sna 1 ?e Ta~nlained oy an rav c~,:al :e'tfied lose ^vrce sep! clanks tai s. Stars : he nanlerts of the se3lK :x ^k ,'sal be cisposea of in 3cccr iali'w ill' NH . 13,'.^.IS. Acn'. `tide I he. ;sera: rg condition u`:'w_ seplic lark and cutlet filter shall be assessed al least once every 3 years by inspect or The cutlet ^I:er shall De weaned as necessa,y to ensure ti oper operation I he' I:er cartridge should -rot be rurr;ved unless i,ovisio-s +,e rade to -eras solids in the lank that may slough off the filter wher. removed from its enclosure If :he life, is equipped unison an ala'm the `1,f shall ce serviced I the a arm is activated cenllnuouisy. Intermittent Iii ter alarn'.s may indicate since flows of an infcendutg congruous ~,anr The sept,c lank st a&l have its contents rercve:: wher the volume of s udge and scurf in the tank exceeds V3 the I.quid votime of the If:ne porte9:s of the tank are rot'erlOYed at the time of a triennial aSSeSSrert eia'.rtenarice Personnel shall advise tie owner of v.'reh Ire next servce needs to be pet'ormed to maintain less!nah maximum scum and is udge a0CLmu ator in tie tai,I the addition of biological o' chem cal apcitives to enhance septic lance performance is genera Iy no: iequreu ric'wever. if such products are usea the,, sha I be approved to- septic lark use cy tie Depa'trii of Commerce Pump Tank 1 re pump ldosmgi lark steal' be rsuee'ed at leas: Vice every 3 •years All sw tches. alarms, and rrr t ~i :.eraron if an effluent filter s installed u, iti r tie lark t shall De inspec:ed aid sere ~_-u as necer,-. y Mound and Pressure Distribution Sy;itern NC trees cr sr't-ts shtmlr to In arlec on :ne r¢n t . n: rigs may to n'ace aii-rut Ire aril tr, rri ut ' s'15I .-red and TJ flied as necessary Ic rren: elc5 cr ar t..:. .,^.•r,.': id2 seine pr^.tec:orl `orn ho t ! •i -trot lei- a'1 6._i .'petative mahterancei y' Ire teca rd is rut re COmr1C'lile9 s rice soil compa:ocr moy hiider acrale:n ::I Ice r' I'rat:' : ir.,:e v.it_, r _ rc and sure compact tor r tie wrre' wi I cromote fr':s! Deie:fa: cr. CCId •aeaihen is;a lah,.ns iCctober -F etruar: i d clate that -n.,,rC be heavily munched as protection f•om heetri Irtluen! quality Into tie Maud sys:e'r ntay not exceed 220 rrg'L 6CU:, 150 rig'I_ TSS, and 30 Tg:L F03 `o' septic :ark All.n:n: _ 'r u!L BOD^ 30 mgA. TSS 10 mg +L FOG. arc '.1' ch. 100 mL fo' highly healed effluent Influent flew ray not exCeetl 'naximurn conic -cded m the hermit fo' tn.s nstat allin 're pressure dism.c tidr system s p,ttwded rich a flushing corn! at :he end of each lateral, and it is reco:rrnended that each laic'; r _ red o' aca_rwlated snlics at least crce every 18 months. 'vb'ner a pressure fes: is perfc"ed I should be compared Io the 'n!.a !e v: her roe sys:eT was iwal ::d to derermne if orifice clogg:rg has occured arc if orifice clearing is required to ma main equal disir b..ln;n v.rr r the dispe'sal AI :ibsereahan popes •w thin. the d,,p,,,.l cell snarl be checked for effluent ponding. Ponding evels shah be -epo-ted to tie c:•rrler, arc ary I=, - S above E manes coisdered as an impending hydrau~ic failure requiring additional, more frequert mound: rig Contingency Plan :ne septic tank or any of Is components become defect ve the tank or component shat be it ired or replaced to keep the system it r 'ben operating tonf itl or t•te dosing lark, pa'rp pump conl'ols alam- or related 'v rug becomes defect ve:he defective ::omporen!Isi shall be immed ateiy v, ai'ec cr repiaced w.lh a component of the same or equal Deho-marce :rc -round o0'raonen: fails to accep: aaslew3ter nr n ins `o disoha'ge was!c vale' to the grourd surface, it vi I be rrparec o' p a_ei it Is present local. m ny ircreasing canal aea I toe lea^.age riccd's ct by rernovinq braloocal y clogged absdrpliol and d:stIer.-::al e Ca, anal ihalec pinoo, and teolaanq sa d cc Tipoienls as deemed necessary to bring tee system in:_ pr :per operating colds-r wee Page 5 of this plan 'or :he rame and to ephcne numbe• or ,i;w era. PCL4rf S regd'atc• and se-aide pro: ide1 Pretreatment Units -,e nferma:en and scl•ecl.le cf Tar; -ooce'cn' ants ma rterd c f'i c r9 -el ce-,ices ° Jcn aS ac of _ .r_3trt' I _r i n'=_." ar _ :*p adacnec as sepa ale :ocr.ne r,. arr• c it r-I ^i n- a _ ~'i a'iac'm _.t ::Ian d_r-tr (5GOULDS PUMPS Submersible Effluent Pump E P04 & E PO 5 Series APPLICATIONS ,.,;n?•gec.n I1& ■ FPC'S Inipel,er n:,:,,,, ■ L'ednnys. ~Ce :L•oi^e o `er :ir endosed rirsgr to- ,ey :pry rr.i .,ey, n: %9i;re•t rq, ~,e~i:irmarr:. rn^ n.r'rcrr .rd~~•,• ■ Casing and Base' '+vqur'.: A:aildble for automaticane t''ererpla%T:. dPSQr Cnr; r6•; AGENCY LISTING s.pentrsrrngth r Idr Ldl operation. Auto SH laa: Lir $9•.!a^i... w:ut,r - ma nod'e's inclLde $la (e P ~i. ,~.R3ESay .lechanrca, Hoat Switch ■ Motor -lousy tq e•:. r ~p ••`Ii Cler• r',?:. r,r .,nry. o. mps k'<0 ;npt F~rrr~., - assemble,. anc preser , at the - fa(Io•y 6're^qin. a,e oL•,ar-y SPECIFICATIONS WMo tor Cover FEATURES lover •::cn °teyral to-dl- r~ ■ EP^' Imueller r•:enr)CP3". 0 Po:ver (:ahle ~r.r•r - des Q^ siT•1 •i reacs .0 31 tear ",9r C31 Sea'' ?rjrr rIz,sr ar; 44 ir ?I•r :r[-,r rnr rr qLl IF r' - as ^*.c aana;e'o °r d' ; 'ESPY " - ~ - - lase. C u • - : Po5 Ek, . re"odd v: `.f . r-..;:r Corgi rGOt i. ` r,c.~y J rnd iG p.o,Z;'njrdr°C PIL - 4A R~-L rr~ r}y Imes ~r1 I.~ri ~oo' `oftuu5~ Ilk o Y/ 'y op' 1 r31 % D i ,laJ ~~r~h L -3 r39 ag.o i CA 009lwpl :D4 ~Zyi',:;•/ vII" :j 1 \ I el Til+~y kIi ~J~`I 1~1 JR'LIIeN i d - ,,,SCI lC -I d:d n] mi'n'i lltip LS: )S tM 'i:':IN Nl~liF Yr,rt ..,NH 'd9 v.~'N . Iz 31380000 U3531m V„Nerv Ilia, 1 w -i !r 1 ~ H Q a ? W co O W JW 2 OCL (n Q. - 0 (7 N W :L a _ w 1.1 Aa m Y z 5 p 1. C: I^ .Jn. K m K 1 z m 1 CJ :i om ns:z zz ? d wF R H O w ° w oz a~T \J .r <i Im-.J z 3 LL M r I~ K a ow < as z F o Q n O Q n- o vi Mm ~ ' W o V n CD U [l O (V~~ ~Q 4UN V.NO ~V% Y Q Q o <wo O Q Z ~O Z (D ll_ O0 ci r, NF m(WnW N~ ci n. m F N iM. VN o'. 6i Lj 1'j~V JZ~ VW)WV Y$ O NJm) apGW Fr r Nn V 7NF ~N ¢N CJ n~ )H rr. Oaw ELK U N W V W LI VI .OK 1 ~ (}Lr O 61 mF-41 xU pO Y Z•t;)al.i~Ori Qeat Q>).O. V t9 a [wnn NK J N's mcizx IUJ F ~ Z c) ~ _ Vii} 1 " - _ J a Y ~z o 00 _ F l r J -T 1, w II ! I I ~ I r~ II I I - o I S I ~ - W I I W ~ .r I ( I 1 w 1 ,III _-~I I~ ~ K r V 4 z Z~ w a Z 2 P~L~i~q]C INSTALLATION INSTRUCTIONS PL-525/PL-625 FILTER PL-525r1"L-625 FEATURES & BENEFITS Features & Benefits: (y • Rated `or 10,ooC GPC e PL-525 = 525 Linear Feet of 1;18" Filtration f5; PL-625 _ 625 Linear Feet of 1.,''32" Filtration PL-525 PL-625 .Accepts 4" and 6" SCHD. 40 pipe Tr e 7'_-b'5,62., Effluent F'Iter should operate efficiently • Built in Gas Deflector -,r seee,al yeas under no-ral 'Conditions before •Au'omaac Shut Off Ball'.vhen filter is Rer,(roed --^,u:ring r_Icanir.g It is recocunended that the `Iter be _-aned e'verv'.ime the tank is i or at least o very .Alarm Accesslb'bty "ree yeas. I` -.re nstal ed filte• cor*alns an optional Ala ^t, the owner will :)e nalfied by an alarl-: when the 0.4--cepts PVC Fx-enS ral Handle Pr 'leecs se,,-cing. Serv clry snould be dole a et r. fl•^,d septic tack pumper or inste lr;r - RECOMMENDED PRODUCTS Polylok PVC Filter - Extension Handle rJµ lj Risers & Riser Covers Extend & Lok'° Riser Safety Screens Filter Alarm Panel and e^: t--' your Pohilo< Extend & Lok-`" Polylok safety sc-eer•s SmartFilter Al Control septic :ank cover to c;rad:: is a simple, easy. :c use prevent tragic aa;idents Switch I his allows locating and solution that can extend from happening by children ?clylok flier alarm pares servicing your filter easier the inlet or cctlet pipe and and pets falling into open and switcrs pro•vid a visua. and time saving by elimi- make filter andior baffle septic tank entrarces. and audible notificatio-i of na'.ing digging to 9nd tank installation a snap. in'a^nd'1P filt=r and to-1, cr:raoce_ f its 3' anr. 4•• pipe. ca-,ic .ry fora full list of Po.'ylok products please- '.I -1- ~ ,r rvc'b siR ut www.polylok.com T 7 yr CJ 2 p f 7 l i t t cil ~O N= ter., ` , < Tl cn O x. c IM / 44 cc -0 W 2 ,-o z .v. u N I t v, N`u_ii'II 1' _ - ~ O 4l . c, ( S r .Zl~~ ~O g 1 ; Z Z p to m F Z c~ O 1• `y II cam? i~ L(A C)m v 1~1 a} li r C ~ - T C) T T~ PZ1LY!.~~DK INSTALLATION INSTRUCTIONS PL-525/PL-625 FILTER I INSTALLATION INSTRUCTIONS 1 1 ,I wN ; I f 1I LLO S ~1AC `l~ri Step 1. Step 2: Stop 3 (~.1 Cate the Ci,9P-t of t'tt. ;..nptrc :c ~i. rp re instdila:irn plac2 the fF r 1 ...a a:: 'or hOi, 1 t Remove tark p:w9r aM t'_rtr;! lark filler o.aing r, t., ire uu Ict pipe. ::r Ir ; 2 pe f rrr:esary. lBj hlake siI that the rousing :H Insert lire fille• cartridge is positiunec sC ,he'i :er can he. housing, making sure the 611er rerrrOVed from tre IarS `nr cartrdge IS Dfcpe•ly al I~rnd a..i' maintenance and serVice. completely inscrtfi-d m the he_sing. MAINTENANCE INSTRUCTIONS N r I, I I JI Step 1: Step 2: Step 3: I t:-1 gut f t c :rLr 70-1x.. :Ai RL-iove tint eo.e- and pxna I.A I h.Sec the cr arty c,.: t;?rR. ( necessary. iwn r-c::e hcus ro makinr. „ _ r 9i Pull the filter Cu: Of :he hcuslnq, the filter is properly a igFrr - - h-. wo, the septic ink and ccmpletehy insertec. Hi-,c off the 51 n a USE RURRIF R (;LOVES C'.a r vre al Sr h s fall hat.< into G-.e `E:' P_ :I r..c s„t , :arik code WHEN CLEANING FILTER ;:uik TANK t Q) I Alarm System asy -to insta II liquid level alarm system for indoor use. , arr s,stcrt 'no- tC•s iquin I-:vets it tR pi.mp chaTbes ;.r.-gyp I: ~r rr : sFE r,iwtq t-' se Aa;C?, agric:..dl,ral an_ cthor :;,t'er xpii:;axons. _ l 4 , I- Tark Alerts I ala',m system can scrv is as a Ftgh cr Icw level warn dependFtg on tie flea! ode' use: a,~a aka TPi- q 1,,-,'m hpfr SO:II'ds 'a:hEr a Co I!: rr(ia I'y th'Cah:nl'Ig ligli'_' is<TI G.: r'ddm[n bCCLfS ~Na t'nrr _a' S11-1 is:_ :fit the Wa'n.n~ i ~ r ! re ❑'9s o^.:i^ tI r.enii n : iuTCdr r,r wr n^" nd pCwc•r In The alYrl pArii - i • All ihi' ^.r cl us. re, des gr~!a7 fo' easr. of i'tsta Iatron ra!ed i[r i-door VOLTAGE FOR.12Q VAC MODEL: ..sc P'.me'y. 12J'•a':,C. 5~+6t7 h-:. c. „atts 91ax / Rea "alarm" ligrt g'een 'po:ver cn" light, alai ":est" swrn, aid ialaln card t or;: `om "si.ence'• svntch rr,ri 12 '•✓:•.C IF A grin hero sau•tds at 86 decibels a! !C feet '3 mete•s;. VOLTAGE FOR 230 YAC MODEL: / Car no t.wd watt any Ill I. is:ed + Recognized swstching •necianism toot UL Listed or CSA Certified) rate-!n ncljde t amp, 12 VAC lead Priwwa 2jf VAC ro.4ic. Q. 5,t'a'ts m,:.: lawn' ru~•di'.cnj All A a'm systm::~hen insta'led on separate c r~,ut1 cpei n'ae'• if ^'e cUTP cror.it fats. Saao^ ;tar: 12 `d,-~' / C~rraIwe ftac age ii.uces standard S.iE Sigra Master" cAnt•_l ALARM ENCLOSURE: x 4 x 2 5 ^r:r 5-110^ •xiet 15 feet :4-57 melersi ca61e lolhe• englFS avarla-IE; t.:::: , •r t5 v an] '13,1111'9 C'an^ NLMa - ' .:L. / ALARM HORN ' ; :e bels S. / JL L.s1m1 POWER CORD: Ioct 5 ^5eterl . ~~x UL All • Onlu All T' rM . ?ij ficd e-year lin'i!ed naranty. Mx FLOAT SWITCH CONNECTION TERMINAL: ~f1k~7ZZtlltt, Fcr f oat swl•.a:n cornec:,on cn'y Pu'i,! tap. pcwcr iVci'age across •.cr-r naffs s 11'vAC. Vaxirrurinc rnoer,;a:t[c `~r 1 1 L n t:wrig cevice* 5 onmsi. When ordered with the alarm this system is available with: FLOAT SWITCH: SJE SignalMaster" car lf:<. / 'Itema;E fl oat s:vitcr mod- sv;itrh vhth nourtng clamp els f;r rtrgh or Icw lerel warn:n~ Cable: 15'eet (4.5? meters), llex,b e 18 .jqv ls: 2 conductor IUL? SJGVV, v,ate•- / 120 VAC primary voltage o, 23C VAC primary vctane 123^')1:^_ gs mod^' is ro: UL List~9 cr CS'A Ce^ifiodi. Float: ?'4 i'ICh ciameter z 4 ?3 :nc't I-ric 1 rr, is '2 ? cm' ^ yh rnpar: O:ri ri &'Ius. Rh PO Ri^ ' 'il B. D_troi7 I a4:es ?i 505('2 1 E85JIAL-J.._ • 1-218-e4'-'317 • J'" 64'.517 Fax SEE BACKSIDE FOR ORDERING INFORMATION. c'nai s - c r-❑^o'nbus c:;m www.sjerhombus.com 77 ST. CROIX COUNT)i SEI''I*IC TANK NIArNTCNANCE. AGREENIFN'I ANT) OWNERSHIP CERTIFICATION FORM l)t4'71erJ l; ll )'Ci 1 / ~ Mailing Address~lej~ -.3 001 Property .Address (Verification required from Planntng .1: Zoning Department for new construction.) CkvStare Parcel Identification Number LEGAL DESCRIPTION Property [.1,c;5:;or !r; ,Sac. lei . I :N R Twur. of ~ - - Jub;hvi icn - / Lot P Certified tiurvey Map V fC - - Volume Page Warranty Deed !i , Volume Page # - Spec. house yes Lot lines idenuftablc _.n0 SYSTEM MAINTENANCE 11ND OWNER CERTIFICATION Improper cs, acd ma:nteranc- of ynur sepuc. system con:d :cult in its premanve iadtec to handle wastes Proper maintenance consists of porn ' ptrg pet the sepuc rank c•de, •r three years or sooner, if needed, b•::: hccnsed pumper. Vs Itii you pct.rt,-. t_'te system can affect the luncuon of the septic tank as a treatment stag, in the waste disposal system. Owner m nut nance resporsfeilmcs are spectecd it,. §Co[nm- 83 1211 i and it,. Chap:e: i_ - St. C':oA County Saluar: i_lr:?niamc. Tint ropcrty nw-net afire .s to submit tc. S C:orx Country I' arming & Zaune Dq+zrtr-:enl a ec~trir alma -igaca b, u:,- n%.•t:cr and b a master plumber, Jturnc, mar: ph.moe., restricicd plum, er or a 1tC,nSea pumper VZ'7:`}dng. that i I) t1W on sac •~astc•.vax: disposal system is in grope: operating condmo•t andsoi after inspcc:on and pumping ea[ i r saa. y;, the scpt:: r n4: s Ir<s that: 1: 3 1ti11 it skidgc. I/ we, the undersigned have read the above requa'emcnts and agree to maintain the ::vat- sewage disposal system wi'.n thr ;tandar& set forth, herein, as set by the Department of Cortuncrec and the Department of Natural Resources, State of Wisconsin Ccrutication stating that your septic system has been maintained must be completed and returned to the St. Crotx County Planntitc 7ortng Department within 30 days of the three year expirarion date. I •.oc ce:r.fy that all statements Cr t s fortn are true to the best of in} our kt:ow lcdgc. I~ o, arv:rz- the ownerf s) or al, p:op,rr; described above. by virtue of a w• Mir deed recorded in Register of Uecds O:'iicc Number ;of bedroo s SKiNATURIE OF APPL -.AN DATE • 'An; infom:at:on that :s r.isre.+:etcr.tcd :resy result in the sanuary pet::ui b,mg n--vArd b•: il:s Planning K Toning Dcpartr.:cr• to:nude with this apahcanon a wa.rauty d-cd tiom t;c haaster o' t:-11-t ::ad a .t :r' of the :.crtl5cd survey map it -c'crence is mad, tit the warranty ;i„d. (RFA . 08!05) VI Im '41 ~so,ura.,,wyk ANN wn _ ~u+re AN w,.o+.u JoJnOSiSJ~ • "~c-.: 6V -Il Pull ^-~iHriaoew[ •~,vsaw~. ws ..cs [ros~rwwr 93VM NMAJON rs< '9 - r~i '.''.I I!IIIIIIIJ E i'1liII II I I ,11111 ~I' 1 "III w v< III o Iff N K IIII III I.~f~~,, L, 2 III 01 ~0 111111 III ...III on Z O za III~i I,I, Q Z Z z0 III III III',.I 1 I,. J W -v[ '.'I I III 3Q IIII III ~ - ~'v ~ Z v oil K W I~'I III I 6 J LL fV h II,j ♦ ' I'I r1 J I i f-'l II,IIIJI, _4 ~ I ILI 1, ~I1 1111'111, III I IIII ~ I IIII gllili i Im - ',III 1111 d f~ p I '.I E IIIIII~II'II',Itll'I - wo+pVmua.NRlwrry IA\'&17 _ `a41Y a.wV9 Atl'.w'inL ynwn~~~~•• ~~1NY1nod N[ rrws s.'w5 tl.e+w•s ..P.I .a.l>N S3NOH NVWdAOH ~ Si :]•J+/d M3dVd LW4 NO 03INIUd dl NMOHS SV M SI 31VOS ...3sn NOLLonHISN00 HOd ION • AINO SONIMVNO AMVNIWI-Md... s 5 e1 13,1M. ' .d 9 Dtt Dtt _ LLB§; oy Z ~A y _'J ar. ~.aa X d p„" ief t7(! I J 4 ` F i { f ~~I u - s I F G U 0: z~ 9 gi; I I 4Aa i C SSYIJ i~ DR .uwpyauvY4 AQ~ ••••~••......'n - w.rw u»re w,.a.o i)~J f1OSjSJI-{ Eb 46Z "Mopi ^11IV1MOdllt awsJOmu9. ti'~ro.ore ~qu erWeN S3ppH MVM\ JOM 99 d r h pp,yb $~L Yoh I III IJ~I Il lll'Ill~,^ ~ II VIII II' IIII III~II i$ II II i r° l~ - III I II1~ ~ I III I I I II I III III II I I z° f~ I o I _ I z I I~ I OI I I'i, I a ~ ' III II - I E- LL;II;! I I I I w w q I ,I, I' I w w' ~ 111 I r I ~ I I! _ E-. III :r I i Z iill ' I I Ell I w 4 l P IL V' I I I IIII p i, I I n. Q: ua II.I - :)a I I IIIIIVIII I. ~ oCl~ I w IJ, I I I ~ I, L U I I II. I wx A I ,i- z o ~ I I' I Ill z II I ~ III KO II!I' II II.I,I'rl I. ~II''I l"~ I I G I (fi I I I ' ~ I~"11! i ~ ICI ~ I~ I III I O II', •I.VII ICI III II II ~O Z K :un I li'I '!,11 z I CL II I I I J' I III iI LL III 1 > _ IIII III I,~I I ~ Z O I~ M II I S II I 11 I C7 V I I I I I I I I I, I a I' Q II~~~~'l.; I rY I h I I I aw Illilll,ll '};~.~I'~IIIII ~,.I~11. z;~ jl, II,~11~ G RE _ co III I II .III ~ ~ I I III I I w I I a i a•/! IIII IIII Ij~i 111 y dill 0 I Olt~ar I IIIIIII; II jl III, o a ~ ~,ill1 l II ww LL ';''Ill II4~1 ~i, LL . :I R wll~ 6 ~~f~ I' 11111 I III ..-~'I ~~~3~ IIII III '~II ~ 111111 III - ~S~-~~7-517 N acnnan Depalnl mmic SOIL EVALUATION REPOI1 Page I of I)n'i>ron of Sale) i 1 0• In aecordancc wnh Comm 85• kN i : _ ZN6JCBQEFBTQJ GW County e pimi on paper nor Ico than 8 x I I mehea in nize.~usl 'i. 'I St. Croix Indn tr. hul not limited n. rerlra. d and horwontal reference point (100), ducction n Q ['meet 1.1) I'rn ent lopu. scale or dancnsiou,. nosh arm..'. and BM mfCknecJ to nzahl n - 004-1 t1 9)5-000 Please print all information ~p~c~ ti_~.GP °`'1e"e- r- Date 7 er. .:ul.nlurnnalion you pms We ma., tx med li,r wcondar purptx- I Pris ace 14%..9~•I: r % I'n. q;:rtp Uxm'r Pro canon i Lawrence Wiegand (i,m I.m SE SE s I r 2 N R 15 w I'mpaw Owncr'v Madme:lJJres - I.uifi Block 3uhd \amc or CShla 1 10 State Road 128 ( ilc Stale ZIP('oac ..Phone ❑ City ❑ Village 0 Town Nearest Road \1'ilson WI 54027 715-772-4456 Cadv 3Z2_ 310th Street 0 New Construction Ilse: 0 Residential Number of Bedrooms 3 Code derived design flow rate 454_-- CiPf) ❑ Replacement ❑ Public or Commercial - Describe: Parent Material LoessoverTill flood Plain elevation if applicable _ VA General comments and recommendations: - ~Rornie - - - Boring Y Q pit Ground Surface Elevation 100.0 fl. Depth to Limiting factor 22 in, LL~~JJ - - - _ Soil Application Rate Horizon Depth Dominant Color Redox Description texture Structure Consistence Boundary Roots GPDM2 in. Munsell Ou. Sz Cont. Color _ Gr. Sz. Sh _ 'Etfki •EN#2 1 0-11 t0YR312 I SIL 2-f-gr mfr cs 3f 0.6 0.8 2 11-22 10YR4/4 SIL I 2-f-bk mfr gs if i 0.6 0-8 3 22-30+ 10YR4/4 7.5YR3/4 f-2-d CL 2-m-bk mfi If 0.4 0.6 I I ❑ Boring gg I Boring { OPit Ground Surface Elevation 100.0 fl. Depth to Limiting factor 19 ~ in. Soil Application Rate I lorzon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDiR' in+ Mansell Qu Sz. Cont. Color Gr Sz. Sh. 'EH#1 'EfF#2 1 0-11 10YR3/3 j 1 SL 2-m-bk mfr cs 3f I 0,6 10 2 11-19 10YR4/4 SL 2-m-bk mfr Cs if 0.6 1.0 3 19-24+ 7 5YR4/4 5YR4/4 f-1 -f GRSL 2-m-bk i mfr If ! 06 1,0 Iiolucnt91-nobs- 30_ 220 mg; l and lSS>f0--I>0mgrt. •I'Mk1cnt+2-BUD.-3)mil. and 11SS=3ume''1. CST Vane (please PnnB _ Si nature - - ['S 'I Number Mark Iverson ) ) . _ L . 46672 Address Mile Lvalualinn C,,odncled Iilephone Number P.O. Box 155 Llammond. 1VT 54015 .lone 9.2017 715-796-5664 Pro cif) Owner Lamence Wiegand Parcel IDi+ 0004-1035-95-000 Page 2 of 3 ❑ Boring Boring it ON Ground Surface Elevation 98.0 ft. Depth to Limiting factor 18 in. u Application Rate Horizon Depth Dominant Color Redox Description Soil Texture Structure Consistence Boundary Roots GPDift' in Munsell Qu Sr Cont. Color Gr. Sz Sir. 'Fffrti 'Eff#2 1 0-9 10YR3/2 SIL 2-m-bk mfr gs 3f 06 0.8 2 9-18 10YR4/4 SIL 2-m-bk mfr cs 2f 0.6 0.8 3 18-30+ 7 5YR4/4 5YR4/4 f-1-f GRSL 2-m-bk mfr 06 1.0 r- ,I Boring' ❑ Boring OPit Ground Surface Llevation It. Depth to Limiting factor in. - Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIff' in. Munsell Qu Sz Cont. Color Gr. Sz. Sri 'Etf#t I 'Eff#2 ❑ Boring Boring M ON Ground Surface Heiation ft. Depth to Limiting factor _ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDlff' in. Munsell _ Qu. Sz Cont. Color Gr. Sz. Sir *Eff#1 I. 'Efk12 I I • Enluent a I n0l). - :0 2211 me'I. and TSS JO I ~o rngt • I'nlucnl h.'. - B0I),, 10 mg'L. and -l S% 30 mg, L The Depanmcnl of Commerce is :in egnal opportunia scrv ice provider :wd emplovcr If qou nrcd :usislance to access xn iCes nr VmJ macrial iu :m ahrm:nr Iirrtnal. please contact thr dep:unneni :n htlRJbt.-31 51 or I-I'1' bOR-761-8?TT Page 3 of 3 o n 24 9 40 ft 80 H (N) Property lines are approximately 160 feet north and 450 feet east of B-1. BM#2 - Top of 3,W PVC Pipe 100 3' H-1 100.0 B-3 HW2 Top PVC Pipe 98.0 08 4' &2 98' 100 0 101' \100' 99' O Well • = Ground Surface Elevation BM# d Descnplio - Bench Mark _ J Elevation - oo, =Boring Location & Elevation Owner Lawrence Wiegand Site Information. Completed By: Mark Iverson 311 St Rd. 128 SE1/4, SE1/4, S15, T28N, R15W 617 Cty. Rd. J Wilson, WI 54027 Town of Cady Roberts. WI 54015 St Croix County 715-684-9125 Phone 715-772 4456 CST# 46672