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Home My WebLink About040-1161-90-000 Tam y tMSCOnsin Deparment n'CCmnumc PRIVATE SEWAGE SYSTEM .St. Croix Safety and build ng Ow s -jr- INSPECTION REPORT San wry Permit No GENERAL INFORMATION (ATT^,CHTOPERPAIT Stale Plan ID No 605100 Perna nrn•n'ixwn v: t, rnc~icc rnav to wed (jr se:rancary puron5e5 lP ivamJ 1 ew r. s ca I I':nrl fl,mr Fe dr•'s Ndnie CIv 'village Tnrship Parcel Tax No. Mark Swanson TOWN OF TROY 040-1161-90-00011 -:ST W I Iey Irsa BM EI W,I Je=.rip'irn Sect or';Tc:: n~Ra"gn'PAEp Nu Z 25.28.20.630E TANK INFORMATION ELEVATION DATA IYPF- MANUFACTURER CAPACITY STATION 6S HI FS FL.FV i Sepilc Benchcrark .GL J{ r . J J O O 9" It Al! B O Aeration - Bldg. Sewer 3,76 /o (P I folding SNHt In1e7 TANK SETBACK INFORMATION SVHt OW el 38116 7 TANK 10 P+L VVFI L RI DG :crt t) 3.., I t.r.v ROAD Dt Inlet Septic Dt Bo:t6nt D:;SU,y J J Header+Pi . /A 45 '7/•L4 Ae(at on - Dlst. P pe /il aI l Holding - Bot System Jl.l~ ,Z 1:jk 3, 11 2'3, 9_*9 Final G•ad PUMP/SIPHON INFORMATION M' a 9 •lp 73.33 Idanufactorer De•nard St Cover i 6 GPM r kindle l N .r m i J• 9 8 /dJ.93 /o. 99 9 IDII Friction LOSS S ead JIDH- N FOrcemain Lcnglh Dia Dst rn Vv'el SOIL ABSORPTION SYSTEM BED/TRENCH Yvi;ftr l ergh~/ Nn O' 1leni PIT DIMENSIONS No. 0, Ft" ii DU _ q_.d Dcat•, DIMENSIONS ! f L `1 to C SETBACK SYSTEM TO I Rt. RI UG L'/Ff I LAKL?STR[APA LEACHING FAanLt;rt. ^ ,C INFORMATION Iyyp OI St stem aO CHAMBER OR folo'le'. N., r M, -f 1(n we 57 7 r /JCS DISTRIBUTION SYSTEM 3 tL3 X 5/ G 1I Isadc :"~r l flc 11 J ni. edcn r I lele Sze x He'le Spa- ng Vent to Art lake µ1 Fipeis) ` s Lcrg:h Dia + Lengln Cia ipacirg ` SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only t S Dep'h Ove- I )eprh Over xxDepth a xx SEed_d'SodJut xx kli`- ed . BcdCcnto, 3 t Trl -nc" EdgeS~ icosd~ 1 - 'Yes No Ni, COMMENTS: r,Incl,Ide code discrepenc es. persons present. etc.i Inspection #1 ,A1 Inspection 02 !L, XJ/lp1 Location: 208 GLFNMONT RDA: l 4~ 1 ` e) 1 t.j At SM Description = 1^ K. b 2. i Bldg sewer lerglh _ J lD~ n ~'~KJ - amount of cover = > y l Plan rcvlsrsrad d? Y ~ I . T5-Y I YJ o T Use other side for additional inform No information. ~ Date hsepcb S.anaLuv rc,t Ka SBU er •u.R ~5!i (mlrln Safety and Buildings Division St.Crolx ` 201 W Washington Ave, P O Box 7162 Banner Pctonl Nmnhcr It,, ha' tilled in by Co l ju I- 06 291a I I Madison, Wl 53707-7167 ~ y BALI ' 11 as IYanvcY,x unlhr _ s4a {per' nit APplt i In a. rdm,cc . 11: SI'S 'It? 1 N i. NO.. I 0 ,hnuan. 10 111 1",... t, the apps 1 a ",Crnnicnlal wvl _ is spurted poor In ohtan.ng a `I u(1 Ix nnn None \pp1.m, I nms trr laic ..wd IN )\4 I S arc whnaawd to I n R•c1 ~Vs bl dd iVIval than malling addlcxv) Ih 11erwimcnt, I Salt h a :d I r d s unal Su I I rvonJ ml nunannn r,m pnn'Jdc ma\ he .14.11 h,r sccutxlal\' td~O 26S l i u. la ...IC. (Jan' "III, the llli', I.a•n I I, 114( I P TIO S4aa Same I \Igllcalion Inlutmalio 'uc Print \II Information 19..14 m U,uler-. Asm ~ 1`erccl Y t Mark Swanson 040-1161-90-000 Propcrl) O"nt,*S NI.nIIn2 :\JJrc,s - - Pn,pa'rlc I ak,bon a 5 . K O a 0. 208 Glenmont Rd. _ all Lnt _ lit). Sour. /it, Cola Phota-Ninher NW sW Section 25 River Falls Wi. 54022 28 20lal w1 f N K m R II. TN lie of Building Icheck all that appl)'1 Lola _ _ _ _ SuhJiv txuxt Same l, X, I or' I'anuh Ihuillinr' Number o1 IteJa 3 Ot CA nhSkY U PuhhciCunmxnciol Ik~unhclkc rl lily of I (SM Numhr U Village ul ~ Is IC h. ncd IR.cnhc llk ,y Z Z3 *Z3 G (5 rlnw„nl troy :3? Ce uS w III. I%lw of Pcrmit: I('hec•k unly nn line It. omplete line IS if applicable) ~I ,.pLlccnlu k K placmcntOlily ❑ (,her \ladiuoaron co Iullnp satin (explain) ❑ /y S".ALA In:nn•<null 7Jur~ I:m 1:c„ S"Icin K \ Iaa V,,vnI11. Pcrmit Nunil I..ul ])are Nwcd R. ~I Permit R.....\:d ❑ Permit Kui.i,n, ❑ Chant. .,1 I I Imlx+ ❑ Psmul'I ru,ait lu New n lbrc I xpr h. n IAnwr -~'l w^4,ii 1\ 1 tcm/C omponenVUev Ace heck all that apply) Q~- N n-1 rc.aurinJ In-t noun) I n..auf "d In Uv unJ C :v -Gra,la ❑ Mound -'4 in „t.mtablc.,,I ❑ Mown! 24 in of a.tl blc +.d ❑ nolJong lank ❑ (Abel Dulx~al (-.,rlp: : v (c,Ilam) _ ❑ Pn4matnicra Lkamc (explmnl r Lie \ Dls ersnO rc meal Aran Inform nn T U ien 11,,a, Irp 11r.1(I Su.I Np,d, m 1 1, pda) ni,penal Area Ke.pd¢ L tl Ih -1111 ca I I.,ac 1.0 S Arm Ide, no '8"9. 450 .5 900 920 90.50' 1 10 f \7. 7 ank Into Iu 1..4.11 n of M mldactulcr Ca11n, I Gala 1!nu. Polylok525 r+ I _ V,vlank. Islvop'fank, V d r t7 srrn,-„r ua,ldn,k l.n,k 100 7000 1. _ Wieser X _ I \7I. Responsibllic, Statement- 1, the undea. 'ced,, u rr.por'all ' forn.9.11. ion of the P OM I S .ho,sv on the attxrhed plans. Pltanlw, v Nn ,e(Pnnlr - Plunit, r", M1t IINIPRS Numha, Mine Nwil Keith Knudtson j 648443 651-470-1737 Plwabur'. A,1,1,c.. ISncet. (It,. Stater. Lip I .'j, l 927 150th St. Roberts W. 54023 \ Ill Cnnnt) 111.1 artnlent I se OnIN h(./r~m'J.1 II/c~e Uatc I_,a,,d [,,tang Alt m S,plwlarc /V II I u.r a- HF:L.~ I t )oral i y'J t I It (pndit r canons for Disapproval ~f.~. 1. Septio lark, erfh_. r'. Iiltr; r 1 v3~ f7~ 4~6R"M• 6t- aiol&~ &A 1,;.1.01 _ -41 "uil all ue_ ~ tt_ ec 11 as per lar.3yemer' pl, rI - ~nr^ by pWmoe:. ~ e 2, MI tltih4rk rKwielc ems mast Lo rt, i' c MAIM I IYibf /:rtGM'gil. 1Jlnrh to compklr plan, for Ihu.ptev, sad sahmil In the C.aaty oily nn paper nal lox than s 12 a 11 iuche. la +ire CONVENTIONAL COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Swanson - - - Owner's Name. Mark S~sanson Owners Address: 208 Glenmont Rd. River Palls Wi. 54022 Legal Description: NW 1/4 SW 1/4 S2 T28N R20W township: Troy County: St. Croix Subdivision Name: Lot Number Parcel ID Number: 040-1161-90-000 Page 1 Index and btle Page 2 Plot Plan Page 3 System Sizing & Cross Section Page 4 Filter Specs Page 5 Maintenance Information_ Page 6 Management Plan Page 7 St. Croix Cty Septic Tank Maintenance Form Page 8 Warranty Deed Page 9 CSM or Plat Attachments: Soil Test & House Plans Designer/Plumber: Keith KRUdIson License Number (A944 Date: 07/02/2018 Phone Number (651),170-1737 Signature zr Designed pursuant to the In-Ground Soil Absorption Component Manual for POWTS Version 2 0 S80-10705-P (Nee/D7). Page f _ 1-age 3 of S Soil'1'est Site. Plan Fur: Mark SwaBSmt Parcel in the NN'IA- SVVIA See. 25 '128 N -R2114V Town of Troy - St. Croix County q 20 40 c..pni,~ l M,.h - 40 n. BM- Nail ":'Pink Rbbon in Base of 13" DIM White Oak HRP=Same 6.5 Acre Parcel ASSUMEDFI,FV.= 100.00' ' -Aackhoe Mt 89.00' \ : P/L 94.00'` 92.60' 96.00' \ a 16% Note All P17, are >150 ft. from te_eted area. Partially Wooded Site A.F•zoYent \ 40%0 1)ry well I P//. C 25% Existing Septic Tank New Septic Tank : Location 94.00' CiA ABM M uz_ i ! - nS Three Bedroom home 1\ _ w/ Tuck Under Garage WWII I ~ BM#2 ap o oncrete Cor er of Ga n FN# 208 Glenmont Rd. - F.1 . - IOR.00' 327 fl. S.T. to Street Elevation Data 11A '11.9" 68^ 89:22' Rai -94.62' WN4 9C62 Top of S {.u° irnhuleC er Il18.+4• ) / y1~r lone 7th, 2018 [7~LKeith F. Stoner CST# 224059 ~I` Nor: Mark Swanson Parcel in the N W I/4 - SW 1 /4 Sec. 25 T28N-R20W Town of Troy - St Croix County 0 20 b c. (r 4 I 1voL - w M n A RM- Nail wlPink Mon in Base of 13" DBH White Oak ->;E ARP-same 6.5 Acre Parcel ASSUMED ELEV. = 100.00' 89.00' Rw*hoe Pit \ Js -4 P2 94.00' 92.60' n! 96.00' 16%& Note All P/L are >150ft from !erred area. \ Partially Wooded Site 1 D.F.Vent \ 4% 70 0 5--Q ~ ~ ~I l L5 p S Dry wen ~j O 25% C P/L Existing Septic Tank New Septic Tank ~t 12 e a e- Location \ poe.f AIa1Ka2 ~5 I ' ~Yy/c 7 c Le Three Bedroom Home w/ Tuck Under Garage a WELL. BM#2 = Top of Concrete Corner of Garage Apron FM 208 Glenmont Rd Elev. =108.00' 327f1. S.E. to Street Elevation Data Bill 91.92' P42 = 89.22' B43 _ 94.62' B84 98.62' KNUDTSON PLUPABING F.. Top of Septic Manhole Cover - 108.14' CONTRACTING, LLC Effluent Level = 104.84' 027150TH ST.64e447MPRS ROBERTS. WI 54023-8526 CELL 651-470-1737 C i S911 Absorption SveWn Cross Section 94.00 ft Final Grade 0 e X4.00 ft Leaching 90.50 Chamber ft System Elevation k-T.nTT4.0 Soil Absorption System Plan Vew ft " 00 ,-.f t U11111 4.00 ft =Chambem Vent or Observation Pipe Dia. er Trench 2 Head Leaching Chamber Specifications Manufacturer And Model Inllltcralor EISA Rating ?0 ~ .00 sq ft per chamber Soil Application Rate 0.50 gpolsq ft 450.00 0.50 20 45.00 gpd Design Flow + Soil Application Rate + FISA = Chambers 2 rows of 23.00 chambers each. Page of PL-525 EFFLUENT FILTER 525 Filter is rated for "0,000 GPD (gallons per day) 1116" Filtration Slots AbM -g it one of the largest filters ciass. It has 525 linear feet ' u, (;I 'E" filtration slots- Like the ok PL-122, the Polylok E° !im Haft ==5 has an automatic shut _ -ail installed with every filter. d.i the filter is removed for i; aping, the ball will float up and:: 7 -orarily shut off the system so t e fluent won't leave the tank. 45lYrtaFldtP6 other filter on the market can F*==em - ~o nwam,o.. -_<9 that claim. J - _ 11 c A=pC 4'& 6' - ;a+n. as rqx P Effluent Filter should _:aerate te efficiently for several years ` _ -der normal conditions before _ -squiring cleaning. It is recom- - nded that the filter be cleaned a eery time the tank is pumped or :east every three years- If the .stalled filter contains an optional _iarm, the owner will be notified ~,y an alarm when the filter needs servicing. Servicing should be ::one by a certified septic tank ua~ s uumper or installer. e.o.W.Shd 4 U.S. Patent No# 6,015,488--:--o p~ a 1. Locate the outlet of the 5,871,640 septic tank. 2. Remove tank cover and pump tank if necessary. F 3. Glue the filter housing to iy ~GJ 1C: clV rx,- 3. Do not use plumbing when the 4" or 6" outlet pipe. If filter is removed. Ideal for residential and com- the filter is not centered 4. Pull PL-525 out of the housing. mercial waste flows up to under the access opening 10,000 Gallons Per Day (GPD). use a Polylok Extend & 5. Hose off filter over the septic Lok or piece of pipe to tank. Make sure all solids fall 1. Locate the outlet of the center filter. See page back into septic tank. septic tank. 19-21 for Extend & Lok 6. Insert the filter cartridge back 2. Remove the tank cover and information. into the housing making sure pump tank if necessary. 4. Insert the PL-525 filter the filter is property aligned into its housing. and completely inserted. 5. Replace and secure the 7. Replace septic tank cover. septic tank cover. ST. CROIX Cot NTY SEP'I W TANK MAIN'ITNANCE,ViREEMLN F AND t)\\ NLRSHIP CIA 111'ICA'I ION FORM owner+'l;nver Mark Swanson Mailing Address Same Propem Address 208 Glenmont Rd. i A mfi~mwn ,cquircd tom Plaimmit & Zoning Department for nc+r ~,mstruoion.l River Falls Wi- 040-1161-90-000 Cits~Stalc I .ncel Idcntilicuion Numbcr_ LEGAL DESCRIPTION Property Location NW SW, 1. Scc. 25 1 28 N R 20 W, Town of Troy Subdivision Plat: Lot ii Certified Survey Map # Volume Page R - - Warranh Deed ti (before 2007)Volume_ Page Spec house ❑y.~sdm Lot lines identifiable ❑yes❑no SYSTEM MAINTENANCE AND OWNER CERTIFICATION improper use and maintenance of your septic system could result in its premature lailure to handle wastes. Proper ni.,inwnancc consists of pumping out the septic tank every three years or sooner, if needed. by a licensed pumper. AA hat you pill into Ow s+ stem can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance cspoosibilities are specified in SSPS. 38-33.521 1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to tit. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber. journeyman plumber. restricted plumber or a licensed pumper verifying that f I I the on-site ++astewater disposal system is in proper operating condition and or (2) after inspection and pumping lit' necessary t, the septic rant. k lu<e than I+i full of sludge. Ir'we. the undersigned have read the above requirements and agree to maintain the private sewage disposal system ++ith the standards set forth. herein, as set by the Department of Safety And Professional Services and the Department of Natural Resources. titatz of Wisconsin. Certification stating that your septic sy stem has been maintained must be completed and returned to the St. Croix nutty Planning & Zoning Department within >U days oldie three year expiration date. Iwe certify that Al statements ort Ih form are true to the best of my !our knowledge. Iwe am are the owner(s) of the property described above by virtue of a wa anly deed recorded in Register of Dceds Office. Nun cr of et ro ms 3 0 SIGN! 1*1IRT. 01- APPLICAN I (S) DAII. ".\m inlhrmation that is misrepresented 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 ofthe certified survey map if izfeienee is made in the warranty deed. I RLV'. 04 121 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page I of? FILE INFORMATION SYSTEM SPECIFICATIONS Owner Mark Swanson Septic Tank Capacity 1000 gal C NA permit aY Septic Tank Manufacturer Wieser 0 NA DESIGN PARAMETERS Effluent Filter Manufacturer Poly-lok 0 NA Number of Bedrooms 3 0 NA Effluent Filter Model 525 C NA Number of Public Facility Units 0 NA Pump Tank Capacity gal C NA Estimated flow (average) - 300 Val/day Pump 'Tank Manufacturer C NA Design flow (peak). (Estimated x 1.51 450 _ gal/day Pump Manufacturer C NA Soil Application Rate _ .5 alkla / Pump Model - C NA 9-- Y - Standard Influent/Effluent Quality Monthly average` Pretreatment Unit C NA Fats. Oil & Grease (FOG) 530 mg/L 0 Sand/Gravel Fitter C Peat Filter Biochemical Oxygen Demand IBOD) 5220 mg/L C NA C Mechanical Aeration C Wetland Total Suspended Solids (TSS) 5150 mg/L C Disinfection 0 Other: Pretreated Effluent Qualtly Monthly average Dispersal Cellls) 0 NA Biochemical Oxygen Demand (BOD51 530 mg/L 4 In-Ground {gravity) C In-Ground (pressurized) Total Suspended Solids (TSS) 530 mg/L D NA C At Grade 0 Mound Fecal Coliform Igeomotric mean) 510' cfui 1 OOmI C Drip-Line 0 Other: n 'm dia. ❑ NA Ulher: - 0 NA Maximum Effluent Particle size Other: C NA other: 0 NA Other. ❑ NA *Vahxe: typical for domestic wastewater and septic tank effluent. MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: 3 ❑ monrhlsl (Maximum 3 years) 0 NA _ 0 yearfsl _ Pump out contents of rankle) When combined sludge and scum equals one-third (Yal of tank volume 0 NA - 0 monthls) (Maximum 3 years) 0 NA Inspect dispersal cells) At least once every: 3 U year(s) - - - 0 month(s) 0 NA Clean effluent filter At least once every: 1 0 yearls) _ - - - - - C monrhlsl 0 NA Inspect pump, pump controls & alarm At least once every: 0 yearls) _ 0 monthls) 0 NA Flush laterals and pressure test At least once every: C year(s) Otter: D monthW C NA At least once every: 0 year(s) Other. DNA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Maxtor Plumber; Master Plumber Restricted Sewer; POWTS Inspector: POWTS Maintainer, Suptage Servicing Operator. Tank inspections must include a visual inspection of the lank(s) tc identity any missing or broken hardware, identify any cracks or leaks, measure the volurne of combined sludge and scum and to check for any back up or pending of effluent on the ground surface. The dispersal cells) shall be visually inspected to check the effluent levels in the observation pipes and tc check for any pending of effluent on the ground surface. The pending of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the rombmed accumulation of sludge and scum in any tank equals one-third (Y,1 or more of the tank volume, the entire contents of the tank shall be removed by a Suptage Servicing Operator and disposed of in accordance with chapter NR 113, Nfsconsin Administrative Code. All other services. including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local reguatory authority within 10 days of completion of any service event. Page --Z-of START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment orocess andlor damage the dispersal cell(s). If high concentrations are detected have the contents of the 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 the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the celllsl and may result in the backup or surface discharge of affluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 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 POWTS: antibiotics; baby wipes; cigarette, butts; condoms; conon swabs; degreasers; dental floss; diapers; disinteciants; vat; foundation drain Isump pump) water; fruit and vegetable peelings; gasoline: grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 63.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings scaled. • The contemn of all tanks and pits shall be romoved and property 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 spare filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS tails and cannot be repaired the following measures have been, of must be taken, to provide a code compliant replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the. location of a replacement soil absorption system. Tho replacement area should be protected from disturbance and compaction and should not be. infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacena:nt area is nut available due to setback and/or soil limitations. Barring advances in POWTS tachnology a holding tank may be installed as a last resort to replace the failed POWTS. T N aluaf a n mg (ink be - J e al a T'9D1-418 7TH X02- I.l, CO/.IST7t tlc~t oil U Mound and at grade soil absorption systems may be reconstructed in plauu following removal of the biemat at the infiltrative surtase. Reconstructions of such systems must comply with the rules in effect at that time. <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT FNTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER J POWTS MAINTAINER _ Name ` i ,,(r•_`~G •-7 Name Phone PhoneELL SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY - CAD l G bUrt 20it1 / V Name -Z -1e - c Name Z:> T- Phone Phone l ~ 3 ~Ca- fo A D i his oocumem wee drafted in compilancc witt rhaprer Comm 83..'2:LIIb1111(dtRUI and 83.54(1). (2) R ;31. Wisc:nnsin Administrative Code. Wisconsin Department of Safety and Professional Services Nision of industry Services SOIL EVALUATION REPORT 43323 Page 1 of 3 in accordance with SPS 385, Wim Adm. Code Keith Stoner CST Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must County SL Croix include, but not limited to: vertical ant horizontal reference paint IOM), dire-.ton and percent slope, scale or dimensions, north arrow, and location and distance to nearest roac. Panel I.U. 040-1161-9(1-000 Please print all information. - Reviewed By Date Par:nral InNrrrraWn you oronde may be used for semnaary Purpzat~c i Pavacy I aw, is t 5. n< Property Owner Property Location r i rl Mark Swanson Govt Lot NW1/4, SW114, S25, 128N, R20W Property Owners Mailing Address Lot # Block # l Subd. Name or CSM# 208 Glenmont Rd City state Zip Code Phone Number11 11 City Village Town Nearest Road River Falls WI 54022 Troy Same New Construction Use: i Residential / Number of bedrooms 3 Code denied design flow rate 450 GPD ( Replacement t Pubac or cnmmerciai Describe: Parent material Sandy Outwash Flood plain elevation. if applicable _ NA N. General comments PrepcAe tyro 3 x 94' dispersal rolls using a 5 S.4R. Center upslope Cell 1 ever the 94,00' contour with a system elevation - 9fi.5fr. and recommendations: [;enter downslopn C- II 2 over the S;2 8(1' contour with a system elevation - 89 10'. Centedires of cells staked onsite. Boring 1 Boring # Pit Ground surface elev. 91.92 it. Depth to limiting factor >9o in. 9 Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD.W in, Munsoll Qu. Sz. Cont. color Gr. Sz. Sh. 'EC#t •E##2 1 I 0-8 10YR2/2 - Is Ifor ini cs 3f-co 0.1 1.6 2 8-24 10YR3/3 Is I Osg ml 9s 3f-co I 0.7 1.6 3 24-38 j 7.SYR314 Is Osq ml gs 2f-co 11 0.7 1.6 4 38-62 7.5YR4/3 s 0, ml l qs if-m 0.7 1.6 5 62-90 2.5YR4/4 - s 0-Sg ml if 0.7 ! 1.6 l i ~ Hering Boring Pit Ground susace elev. 89.22 ft. Depth to limiting factor >99 in Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDMI ht Munso9 Ou. Sz. Cont. Color Gr. Sz. Sh. 'r mot 'rfr#9 1 0-/ 10YR2/2 K Ifgr mvfr CS 3f-co 0.7 1.6 2 7 37 10YR3l3 - Is Osg ml - - qs 3f-co 0.7 1.6 3 37-46 7.SYR4/3 Is Osg ml 9s 2f-co OJ 1.6 4 46 68 1.5YR4/3 - s Osg nit gs if-m ICI 0.7 1.6 5 68-99 ISYR4/4 - srs Osq ml - if 0.7 1.6 'Effluent #1 = BOD5> 30 < 220 ngrL and TSS >30 < 150 mgrL ' Effluent #2 - 800, < 30 mWL and TSS <,30 mglL CST Name (Please Print) Signature. ~i CS I Number Keith Stoner I I n, - 224059 - -f`- Aduress Keith Slorer CST ate Evaluation Conducted Telephone Number 23220 Wood Creek Rd Siren. WI 54879 617/2018 715 5660900 Property Owner Mark Swanson Parcel ID# 040-1161-90-000 - Page _ 2_ or 3. 3]Bonn # 'Bonny _ n - 9 t Pit Ground surface elev. 9`1.62 ft. Depth to limihng factor > 106 in ~j; Application Rate Horizon Depth Dominant Color Redox Description texture Structure Consistence Boundary ' Roots l G_PDM' in. Munsell Qu. Sz Cont. Color Gr. Sz. Sh. ! 'EMI ~'EVS? 1 0-6 1OYR2/2 Is lfgr mvfr US I 3f co 0.7 1.6 2 6-26 10YR3/3 Is Osq _ I ml qs 3f-co 0.7 1.6 3 26-39 7SYR4/3 Is Osg I ml .Is 2f-co I 0.7 1.6 - 4 39-51 5YR4/4 s Osg ml gs If-cn I 0.7 1.6 7.5YR4/4 srs Osg mi 1 0.7 1.6 5 151-106 I I_ Boring _ F4 Boring # Pit Ground surface elev- 98.62 - R Depth to limiting factor _ 37 - n- Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDMt' in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. 'Efol •EB#2 1 0-6 lOYR2/2 sit 2msbk mvfr I cs 3f-co 0.6 0.8 2 6-12 1OYR3/3 LSO 2msbk mvfr t gs Nco 0.6 l 0.8 3 12-37 10YR3/4 sicl 7msbk mfr qs 2f-co 0.4 0.6 - ~ - _ - - 4 i 3/-48 I SYR414 I f2d5YR5/8 sil m rnvfr 0.0 0.2 F-I Boring Boring # Pd Ground surface elev. a. Depth to limiting factor m Soil Application Rate Horizon ' Depth Dominant Color RedoxDescnption Texture Structure Consistence Boundary Roots GPDMt' _ m. Munsell Ou. Sz. Cont. Color Gr. Sz Sh 'EfIA'1 •FH#2 l i_ 'Effluent 01 = BOOS> 30 < 220 mg/L and TSS >30 < 150 mgAL ' Fiffluem #2 = BODS < 30 mg1L and TSS <_30 mg& ~1 6 ~sr apt 9-1 og Wisconsin Department of SCI at Services Division of Ind SO RESORT 43323 T 1 Page _1_ of 3 in accordanoe SPS 385. Wr . Adam. Code Keith Stoner CST ' Z h ~"~1g I Attach crim to site plan on paper ')not less than 8%x 11 inches in size Plan must County St. Croix include but pe not bmdsc9teedOf,ta 7 WrYeniOe1 and horizontal reference point (BM), direction and tx parcel I. rcent slp Q 6as-~orth arrow, and location and distance to nearest road. 04 161 0-0.0.0_ Please print all information. Rovie d By Dat 1 F onai i nforma ion ycu provide may be used to, secondary purposes (Privacy Law, s 1 b.04 (1) (m)) 7 Property Owner Property Location Pa,-e c r r 1 Mark Swanson Govt. Lot W7/e,r SW1 4S25. T28N, R20 Property Owner's Mailing Address I ct # Block # CSM# 208 Glenmont Rd city State Zip Code Phone Number Coy Village Town Nearest Road River Falls WI i 54022 1 7oy Same New Construction Use Residential; Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement Public or commercial -Descnbe - Parent material Sandy Outwash - Flood plain elevation, if applicable NA III. General comments Prcpose two 3 x 94- dispersal cells us,ng a 5 SAR. Center upslope Cell 1 over the 94 00' contour with a syslern elevat of - 90 EO' and recommendations: Center downslope Cell 2 over the 92.60' contour with a system elevation = 89.10. Cenlerines of cells staked onste. 1 Boring # 1- 1 Boring Pit Ground surface elev. 91.92 R Depth to limning factor >90 m_ Soil Application Bale, Hon7on Depth Dominant Color Redox Description Texture Structure Consisten Boundary Roots GPDW in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. •DIV •Lnny 1 0-8 10YR2/2 Is lfgr mvfr cs 3f-co 0.7 I 1.6 2 8-24 10YR3/3 Is Osg ml gs _ 3f-co 0.7 ! 1.6 r 3 24-38 7.SYR3/4 - Is OS() ml qs 2f-co 0.7 1.6 4 38-62 7.5YR4/3 - s Osg ml gs if-m 0./ 1.6 5 62-90 25YR4/4 - s Osg ml if 0.7 1.6 i i Boring F2 Boring # Pit Ground surface elev. 89.22 ft. Depth to hmihng factor >99 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD+ in Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. •Laat •r ttx~ 1 0-7 10YR2/2 Is lfgr mvfr cs 3f-co 0.7 1.6 2 7 37 10YR3/3 Is Osg i ml cis 3f-co 0.1 1.6 3 37-46 7.SYR4/3 Is Osg ml gs 2117-co 0.7 1.6 I 4 i 46-68 7.5YR4/3 s Osg ml gs if-m 0.7 1.6 I I 5 68-99 i 2.SYR4/4 srs Osg ml if 0.7 1.6 f i i ' Effluent #1 = BODs> 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOO5 < 30 mgr- and TSS -L30 mg/- CST Name (Please Print) Signature. CST Number Keith Stoner fL 7 2240.58 Address Keith Stoner CST &te Fvaluation Conducted Telephone Number 23220 Wood Creek Rd Siren, WI 54872 6/7/2018 715-566-0900 l Effluent #1 = BODs> 30 <220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BODs < 30 mg/L and TSS < 30 mgt 1'age 3 of 3 Soil Test Site Plan x For: Mark Swanson ' I'arccl in file NNNA14 - SWV41 Sec. 25 T28\-R211W Town of TroY - St. Croix C'ouON 0 20 CU Gnphc acme (iben I inch inch a {U /L A BM = Nail twPinl, Rbhon in flaw of 13" DIM X%lote OA D:RP=Same ASSi1.ViF,D ELEV. = 1011.011' 6.5 Acre Parcel Backhoe Pit 89.00' 1 < \ P/L 94.00' 1 92.60' 96.00' 16% Note All P/L are > 1 SO ft. from rested area. Partially Wooded Site D.1?oVent \ 4/ ~ I Dry Well 4 P/L C; 25% aisting Septic Tank New Septic Tank Location 94.00' ° A BM HM #2 j Three Bedroom Home w/ Tuck Under Garage •WDI BM#2 -Top oJ'Concrete Corner of Garage Apron F,lev. = 108.00' FN# 208 Glenmont Rd. 327J}. S. E. to Sheet F:Iecalion Data W1 9 L9?' 6~ ± 94.62' IV-1 98.6" Top oYScplic A1anhole Coco 1118.>4' - - Eftlucnt Lcvcl 101.81' _ ~y~ v Juno th, 21115 I_ Keith E. Stoner CST# 224059