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Home My WebLink About040-1027-30-000 ;;ounty. St. CfO1X .;~:.conain tiepa^,murt o'CcTm-.orce PRIVATE SEWAGE SYSTEM s:r'ty and B.wm-"a INSPECTION REPORT 5ania•r'ennrc No: `66Z'l, (AT7 ACH TO PER1011") -t,ne pan IC No: GENERAL INFORMATION 362_S145 Personal info ilunr yoc pmrAe may oc a .ed br aro:mday our:wses 1=rivary LZW, s.1%.o4 i' I(mt) parceI Tax Nx w~ehn City V1113; _1 Pemit Holde's Narr,e: rta /CZ.? ' - ~b -36 _ Insp. BM Elev. 31.1 Gescrpu c: ✓ "i Se~Jon'TO.•m.Rangu.ndaF -in' CST BP.. / /0Je J J ( TANK INFORMATION ELEVATION DATA 3, 1 Z. Z.9 Z 5 ' . oc MANUFACTURER CAPACITY 57kTIJN HI FS E:=J. -YPE C,, Eiencnmark ; , `I S SuPtic ' 15 rY~ `h I7- G32I' ac All rsfn S Dosing i - ...i%:n: rni z Bldg. Sew. Aeration 3 Ir( 35 . n cOQ.. 20 O H~ W . St'Ht lisle; Zl 9 l ~ $ ~11 olding ''dQ bar ^ I= .2 14, "5 i -k 70. of. 346 1-7 LUk• 2D o SV X9 ` TANK StBACK INFORMATION SL; LANK l0 PlL V'i_LL B..DG. K err. to N lneee ROAD U: islet S 4'f 1f • r It Fe-l- UtBottom ,8. J:>anq - v _ Headedlu`an. o Zoo _ :JSt Fi?e jt ~Jd IAer:(Kurt I Zp OLl L~\ i 1-Ci L Got System wldirt~ ~ ~ ~ - - ct' - yq4 PUMP/SIPHON INFORMATION a~ r ha ^u(aKUr=_r Demac S: Cover 5- I jCs'~k~ v4 G~w ~GaJ lAcl v:I Number -Uai !ift1 LI i-nctix Loss Sy'Stemnncac -"UH Ft ckf 1 F' em Length I Dint Dist. lc 'dwell - - - ) Z P • . 5 n z ~ ~ r, SOIL ABSORPTION SYST )v BEO.'TRENCH S'.':d[n Tura Nn. iY-n;nc^^s PR DIMENSIONS No. Df PAs ,nm:le Dia. Lq C -epthP 3• a Q~.9~ z 7~ DIMENSIONS D , r SETBACK 973TcIJ, TO 9LDG WELL LAKE+S'HG'JJ LEACHING Manclacture- , CHA41BER OR 5. INFORMATION T/In Uf:y-.tern. UNIT Lbdel Ncrv:nr, Z ,3 I 3 SS3.59 DISTRIBUTION SYSTEM em ro wm htuRe , ~ Y. r!Me SI'C . , x HG. $I;aCInC, J J51:.nUb~r e'IFCIbI 1 .not-, _ SOIL COVER x pressure Systems Only xx Mound Or AC•Grade Systems Only zx Depth of u'. :eeoed15'vaaad xx LAW and Dnpt ;Kam - jeplh Ozer Sed'-ne•rr, Centrr Bnd!7-ench &19es t1 ToKZCI' _ , Yc_: J Na Yes 'ao S5'7 rsior. #T: Inspector. #2: COMMENTS: (Inclade codo di oper.cies, persons present, el-) P'cd Locatior. '..)Alt B'A Description = I ~C't^. C-.if'^`."' / if/~ r~ 6.11 ` r^v4..~•` Bldg solver length= IZd ~~-GaJ.,.- - amount of cover = , fsd- ~ I I^Wt ,v. pi Zi a ~oonr 7:an revision Required? Yes No ( 17 1,e other side for additional information. - Dale - - sepom,r rgn . Carl No. ;nu-s7OfR,aSTj XIOLiO7S 1190 Ll SIB lN3 SIM 'Alunoo xiojo -IS 'Sal jo urnol uao _i. LLlrsco;:yi ::t.E ya:wro. M61.a-N8Zl 9uC~oiioag~,J'EIO~ •no~ I f.E)-91h^. ?Ili.sNl2')uiLxoC'O'd 1j XIojo juieS dweo Oil JNiiinSNOO:U10 HJIH wnpuappy veld ails a V ~ V r i• r y+ C C` ,ZD Nor K L ME ing (u nq5 C ro r v 7y! q Safety and Buildings Division 201 W Washington Ave., P.O. Box 7162 Sa.otan' Pcnnf !:umbe: (w Lx• filled In DY CO) L 1 MadDP 537 -7162 .=ps1 t r~ C ~xn yELOPtf~~ IC. ir/~GB - 0 'RSamitaryPermitApphciu.., SB)VV Smu,Lan,,..... Number e U.=ordance vsAh ST'S A._i(.\4'is Ada, Code,¢thmsson of u+.. form to the JPp'onn:u-, E nal nni: 3oas70C) - _ is rrgnircd nr.or W vnlAi- inl a sartr.+.-y licit uil Now- App ici non foue< fo+ sate-CVmui POW"TS are suo.ndtcd a+ Pro+a. .:v.u ;if.dffircnt than ma,l;np, address) the UcF n + n, ~.1rR ,nJ P+r fewutud Sent s Personal mforttu:iun you prrotdc may be ua:d for co~uars' - ` Lpogmse « ^,il ovn < w th the I 'nn' Lati. s 5 Gdi L N'nl}, Slate L Application Irdormation I lease Print All Information Prot m .+wncr's Nun, 71 C :..Psxl4 OW ' Iholx:rrv Oun~ja': aMaihuf A~cars,/s ( p Properly Lo-atonn ./~I _ t/ I W / Lot 076 X16 Z7- 36 c ltN' Stair ~f I Z:p i'oac °hon: Numx. !(,J',:. Section T_ 0/ ctrcleon;y s' V D f>L H. Type of Building (check all that applyl Lot _ SaLdutslor~lans ' [ 1 0+'_ Famtb Uss•elliap, - Number of Ctedrnnmz ; ~Puhi+4Z'.urrw+er,:ial-Dcscnbc 'sc_C QiN_Y I nf_. _ I tl uathcr . eras oi' State Owncd - Descnbc Uoc CSh1 l~ 'X] V%v of_rf__ 11I. Type of PcrmiL- I('heck(y~oIt 'one boz oo line A. Complete line B if applicable) 'A ]N:w Sysccm / I`eplac:ncnl Cy stem ._7rcatmcnUllulr.igc'I ani: Replaxnlcot Cln~y C Cnher Moilflwuan to ixistror, System icxptaml I.+a Prevrous Poitrut Number and Date Ics,xd x. [ Pcrmrt Rcncw;d j Pcrmn Revsina ❑ Chu+gc of PluwLcr J Pertul 7r:+nsfc to NcH' Bclrne F.xplrannn f I1wnc: EZ ~~04J I\'.'I vpe of PO\\'1'$ State inDonent'Devic : eck all that apph') - _ N.n a ivcd Ln-Go XI rc~urtz d In t n ad t i ,w, Mound _4 m. of suFw!dc soi+ [ M r b1 in. +f -i:ablc sort LJ 'Imdu s, *71 xi[ ❑ Ulhc s rtrJ C.r r v n. nt 1cxTlam i ~PreUCa'Tlea: Device reap uu.i_ ~ f e V I12~'7 - / ~,~ya~ A Utspenal'1 rea ant lrca Information llc an Flew g;>d. ~ni .-+pp.nat•(,r+ Ram. dif) Diapers.,. Area Req.urec lsfl h-persa A,va rojxax, lst)TE.Icv':+nn. _T? q \f Tank info s,+picity Jr. Tot of Nimufaowct l Yall.m Gallom Ilaltt v \fx iIDl{:5 iVZh11[Tllnl:f ~ ° - S 'u' ~ L ~ (~(H~ C v ]cpn+ a nalilnf'I sni. { /O x \ Ikrsing Cleanhc / 1 / \Tl. Responsibditt Statement- 1. the undersi=mrl, acs+ml responsibihh for installation of III, POM TS showo on the attached plain ,Numberr ...^1,ujpPcrs/Nine(i'nntl pnmherplube" 'v1PTsIPRSNutrrc, UasmeasPh4& Q It l c /1 P / ~.rX ZZ~j Piirribr's Address (Suet', Cp, Smtc. Zip Ca':i + U) T \117. sountN, a arlment Lse OuIN 4.411 'T - Pcrmtt 1 cc UaU ved cnattac Dtsapnn 4 ' Itcamn for llenial Condit iNw, o, Wif i Isapprovxl O&P UNper:iSa cell c•cst eI h- is -S _ * 1!-ec ss per ,Mar ahemen: cla n oen uv plu.nae 2. N KW* requmni nn minx he nam: it .c; as pMtWicribitcMrl:M;vlmar. T ~2/VFrcar'.o/` f ui Atwh U. Jupinr P far Me syxtem it xtibaar rn the Cauty IJP ..spew ..1k~ rhu.,F t.= s 11 ~m SD-(+396 (R. I I11M.P.wi ~2•GO(~C cvs~~V`Li•~ '`fa/i4,`~~ 6, J I 1 rL~ J 1 AGa( lccLfl _a\ /I r DIVISION Or INDUSTRY SERVICES 2331 SAN LUIS PL STE 150 D GREEN DAY WI 543C4-5211 Cortact Though Relay ~'1 S P S httpi;csps wi. gcvrp•ograms: indasty-services r1y. m.w.wisccns r.gov ' Scott Walker, Governor Laura Gutierrez. Secretary Nuvewhcr 10, 201 CtIS'I' ID ]b. `t6 ATTV: POP T.S In pecror MARK II PAI MILR /O\IN6 OFFICE _ I IIGI I C1.11 1 CO\SUH IN(; ST CROIX COL.\-I N' SPI.A PO BOX 176 1 101 CARMICHALL. RD ~~r) r/i>s zy L_ GALFSVII.LF \\'1 5-1630 IIUDSO\ W1 54016-7708 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: I LIW2019 Identification N:tmbers Transaction ID NO. 302,'118 S1 I L: Site ID No. 611l352 1'MCA Camp St Croix Please refer to both id,11blication numbers, 532 Cry I Ivvy I above, in all correspondence with the agency. Town oflroy, 54016 St Croix County FOR: Description: YAWA (1141P (F:1S1'- Prelreoted In-Ground Preverrvi Obic" hype: POWTS Individual Site DCsign Re -ulmcd Object [D No.: 17357 IS MaTtenance required: RePlacement system: 11,999 GPD Flow rate, 130 in Soil minimum death to Iimitine factor from original grade: S)stemts): Pres sued In-.,rowid: Aerobic Treatment Unit, Commercial System, IG-flucnt Filter 1 be submittal described above has been reviewed lit cowormance with applicable \\'isemtsin Administrative Codes and \k'isconsin Statutes. The sohmitud has been CONDITIO\AI LY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plan. and with any component manual(s) refo-enced above. I he owner- as defined in chapter 101,01( I0), Wisconsin Smrutes, is respunaible fur compliance evith all code reouirenhcnts. \o person may engage in or work at plumbin'. in tic state unless licensed to du so by the Department per s.l i.oG. slat. The fbllowin condition, shall he met during construction or insmllwiov and prior tu occupancy or use: • The depart cent ina% require metering or monitoring of the effluent from this product to evaluate the operation and compliance to SPS 31831.; 1 OTILcnt qu .itv p at unc hers. • A valid ma nturarimsen v icing contract is resumed [Ur the Ids. Of the system. A cop; of the initial warranl~ or contract 111L IA be Albmiukld to the County prior to hssuance of the sanitaq permit by the permit issuing agent. • 'I his system has been reviewed and approved as an Individual Site Deli n. The svstcm shall be constructed in accordance with the approved plans and ch. SPS 353. Wis. Adm. Code. • Recommend recording actnal (,'I'D pumped to POWTS Dispersal Area. • Inspect existing pining and tanks to ensure that there is no infiltration of surface and:or eroundwnter. • Preserve dispersal area prior and dm in--- consirtnaion to avoid disturbance. compaction and use of the site. • Wastewater generated front contractors cleaning of equipment and tools and or left over consuvction products sbzll rot b:: discharuc•d into the drains d .chargia~~ to the pnv'ale onsitc wastcv+:acr u'eatrlenr System IPOWTS). \\'iac gencr.te': gall be propcnlq dispusrd ofon sire or..0 of[ sae. • Prior to construction of the dispersal area, check the moisture content of [lie soil to a depth of 8 inches below the scstent eksation. SmcariVig and compacting of wet soil will result in reducin_ the intikration capacity of the ,it. Propcr soil moisture content can be determined by rollim' t soil sample bchvccn tile h tads, It it rolls into it 1;- inch wire. The site is too wet to prepare. If it marbles, site preparation cat"rgpccJ It the_~ile is too eel to prepare do r.ot proceed until it dries. Divert surface water hom POWTS Area. • 411 piping, shall conform to SPS Table 354.311-3 and SPS Table 3183.10-5 • `,Fell sclbacks to meet chs. NR 81 1 S 81'. • SRS 383.54(I)(e) *1 he management plan for a POW IS shall specifically address the servicing mechanics of an aerobic or anaerobic treatment tank or a holding tank where either of the litllowim, conditions exist: 1. the bottom of the tank is located more Than 15 Iccl below the elevation where the servicing pad is located. the bottom ofthe funk is located more than 150 Iccl horizontally front where he servicinc pad is located. • Tank Installation to follow -ill manoiremi-c's recommendations. • Vcrif\ proper( line(s) prior to installation. Omer Responsibilities • The current owner. and each subscquvw owner, shall receive it copy of This letter incicdi:r instructions relatipg to proper use and mainter rice of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and or owners manual for the POA4 TS described in this approval SPS 383.54(1). • In the event this soil absnrl:ion svstcm or any of its componcnl pan, n tl imctions so as to create a hcallh hazard, du pmpcrly ow iv. must fu'.lmy ttte cumin„enc~ plan me described in the approved pixi A eopy of the ::paroveJ plans, speciticatiom and 01:, letter she'.l he or. -site t;uriry coos:rnct ion and open to 6e. vcclion by anthorizcd ropresctaatives of the Denarurcnt, which W,1\ W611& local inspcOois. All permits rcquirecl by the store or the local municipal4y shall be obtained prior to commencement of Construction linstallation!operation. In erantin;~ this approval the Division of Induslry Services reserves file riloht to require char;;=es or addition: should conditions arise amkiiv them ncce,sary for code compliance. As per state slats 101.12(2). nolhin, in this review shall relieve (he designer of the responsibility for desi,tnin:~ a sale building, structure. or component. Inquiries concerning this correspondence may he made to me at the telephone number listed below. or at the address on this letterhead. I ke above left addressee shall provide a copy of this letter and the pO11'TS management plan to the owner and any others who are responsible for the installation, operation or meinlcnance of the P(M FS. S~ivcccrclJJy, Fcc Required S 1,160.110 lltis Amount 1\ ill Be Invoiced. - When You Receive That Imvicc, Please Include a Copy With Your Tim Vander Lecs( Payment Submittal. Private S"kiwe Plan Rcviv+ kei , Division of Industry S_ervieec WiSMART code: 763 (920j-192-2214 , Monday - Friday 6 am to 3:10 pot l is u.oanJcrlecse ii'wisausic.coy. . I POWTS Service Contract The proper operation a-id -na rte-ante of the components listed below will significantly in9uence the performance and life rxpectancy of the POW TS (private ons le wastewater treatment system). This agreei authorizes Steiner Plumbing & Electric Inc. or their representative access to the POW TS components during regular business hours toper form regular inspections and routine maintenance of those components. It is hereby agreed by and between Owner and Service Provider that in consideration of the payments provided for herein; Service Provider will perform periodic inspections of the POWTS components as set forth below. Service Provider w prepare a written inspection report after each inspection containing any recommendations for the operation, maintenance, and/or repair of the PONTS deemed appropriate by the Service Proviaer. A copy of the report will be provided to the Owner and the appropriate governing unit. Srrvicr Provider will supply additional services, parts, or labor with authorization by purchase. T his agreement does not assume any responsibilities or obligations that are normally the responsibilities and obligations of the Owner anc does not cover any costs associated with operation, maintenance, and/or repair of the POWrTS. In no event shall Service Provider be responsible for any special or consequential damages, including but not limited to, loss of time, ~njury to person or property, or incidental economic loss due to equipment failure for any reason whatsoever. T his agreement shall remain in effect for a period of two (2) years ?rorn the date of POWTS installation and will be automatically renewed each year thereafter unless amended or cancelled by either party with 30 days written notice. This agreement may be cancelled by Owner only it replaced by a service contract with another service provider authorized to 'nspect and maintair• the specific POWTS components in question. Purchaser agrees to pay Service Provider the sum of $275.00 per inspection. Two (2) inspections will be provided over the first year period. Payment for the first two inspections will be included in the cost of the POW IS design. Two (2) inspections per year will be conducted therealter with inspection lees billed at the time of inspection. Additional fees associated with effluent testing, when require. will be billed at time and material cost. POWTS Description: One (1) Bio Microbics MYFAST tank with inspection of related pumps and general condition of septic syste•n. POINTS Location: 532 County Road F, Town of Troy. St. Croix County, WI Parcel # 040-1028 50-000, Legal Description: SEC 6 T28N R19W 6.25 AC PRT LOT 3 AS IN VOL 216 P445 ORD Owne, Narne and Mailing Address: YMCA OF GREATER ST PAUL 2125 E HENNEPIN AVE #150 MINNEAPOLIS MN 55413 Oe; nrr Ren•asentativr: (Print Name) Date I (Signature: L Service Prov. cer. Steiner Plumbing & Electric Inc:. N8230 945`h Streit River Falls. WI 54022 Paul Cl Steiner (Signature Date / k• vo ::Sl. ul" c. y. .u ~ m W~ :.'.W u.Y-.V..n~t.' ~ _ _ 1 n. l'i snit :n 313HOUH H3531M x. I- dt i ' 7 , 73 JNIl~'/I~lr >3V131'i r ~ n/ (DI v~ S Q ( :n N ~ - W r i> I z C - _ )J CJ - O - a - 1 CG J W c n v - ' Y LLJ rL . t V Y S n T.., S 71 G u Y y LL~ <~➢;i~ 2-8m 2 W - G W Y O C) - 1 111 III - .r W I c, W I ! I I _ ;v_ W I I ~ II III ~ ~ II~ - I~ W Y R,ECEIVED Cs-T-3011 - 31g Wisconsin Devartri of Corrh:l~rce SOIL EVALUATION REPORT Page / of 3 Division of Safety and Buildings Su UE'd , _ c.cordaace with Comm 85, Wis. Adrn, c Attach compfele site plan on I QUNn MfFches in size.. Pla lmq• Yn , l ~45r1 PI--- t/T~~ include, but not limited to: ve 0[r4tYe erence point (SM), li - a parrx'I I U. percent slope, scale cxdi s, norlh arrow, and location and tan .,)ad. I -(~0D Please print all information. $_d6 Revie tl by ate 1'ersonal Information You Provide may be used for secondary Purpos.-^~~ s. 15.01 1(mjJ. /Z Property Owner A~ - ^V Property Lo:aliun 1 Y C ~7 ~ jrh 1'y t 15 1.,4<: ,J 114 G T N R/ ~ E(c ) Property Owners ktailtno Address =r Lolk Hockk Subd. Nafn CSlvttl City State Zip Code Phone Number C) City Village 'E3T0wn Nearest Road M,rice { _ I l(/1) TtI, l' I( 1 7vN,.. r ',i, New Construction Use: 0 Residential/ Number of bedrooms Code derived design flow rate - GPD Z Replacement public or commercial - Describe: Parent material Flood Plain elevalion if applicable 11. General comment% and remrnmendattoc•s - ~Y'^ ,/f rS f. WiJry 7 jtdaX4 (0 64 r III/~I; DorinO Boring k q I r I LZ pit Grouna surface elev. fl. Depth to IirniliiKj factor X136 . in. Soil Ap ticaWn Rate Horizon Dep'h Dominant Color Redox Description Texture Strurluie Consistence Boundary Roots GPDIfF in Llunscll Ou. Sz. Cunt- Color Gr. Sz. Sh, 'Effkt -Effk2 1 I /0 Y0 3121 _ NO Y Q : m.-obh r o S G r11 v ~r C i s n o .5- '41 f -57 4A. Ls' _cIr" C, 7- r I o _ 7 164 7 -/.;c 5- v I - 7- 7 Boringk U Boring v ❑ pit Ground surface elev. 9 3. Oft Depth to hmiling facor >/.3C) . is _ Soil Application Rate H^^zon Depth Dominant Color Rodex Desoiption Text•.re Structure Consistence Boundary Roots GPD1ff in. Munscll Ou. Sz. Cont. Color Gr. Sz. Sh. 'clfki -Effk2 ; -2D ! y ! s i t k r y sb y c f G, >r ; r ^s C o r it 4 % J u E10uen1 k1 = BOO, > 30 220 mgl and TSS >30 < 150 mgr Ca Em ent k2 = BOD, 30 mglL and TSS < 30 mg+L CST Wne (Rease. Print) Sig, I• CST Number Address ~ e F•va'r.alion Conducted T lephane Number Y1°+1 ~A o o. 3 Property Owner - Pace: ID # Pngo JR pit Ground surface elev. 17J . LI ft. Depth la limiting factor 196 in. Soil A„roticalion Rate Horizon Depth Dominant Color Redox Description Texture kuvture Consistence Boundary Roots GPDIff in. fdunsell Ou. Sz. Cont. Color _ Gr. Sz, Sh. 'E1141 -Eff92 1 o-/i) /o s , Non s i W 0"k tr ct _ 5' J 41 3~-ail ~Iv ~e- ! m<c:: Mv: y x ~1 4- 'r- ~ '`{-70 ` y ~r~inr O car it"' ✓ . '7 / 1+ 76_, F S to r h, p r Bonny# F-1 ft. De n GrounJ surface elev. _ pth to hinihng factor / in. I _ I Fit Soil Aaate Horzon I Depth Dominant Color Redox Description : exture Structure Consistence Boundary Roots GPDIff _ in. tlunsell Ou. Sz. Cont. Cdor _ Or. Sz. Sit, 'Fff#1 0#2 1 m Q K ~r h 5 _ psi * s SI .h L-' 5 c os ~G C q r I I d 7 6 ti U Boring J " a Boring # pit Ground surface elev. / P-) ft. Depth to limiting latter 3 in. ❑ _ Soil A plicalnn Ratc Horzon Depth Du+nnlant Color Redox Desaipfion Texture Structure Consistence Boundary Roots GPD/ff in !,kirsel: Qu. Sz. Cont. Color Gr. S4. Sn, 'Eff#1 'Eff#2 1.2 - is 3y 3 it t b r_ C °l S I,6/4 n`/ar oC'n r i I d - l: i [r4l3a I - S ` yr 7 ' H(lu^nt =HOD, > 30 40 rng.'i and TSS =•33 _ 1 ~0 •rcJrt ' E`Ident 97 - HOD, < 33 mg+L and TSS < 33 mglL 1 he Departmcnl of Cwnnrerce is n equal opporluniry Service provider and employer. if you ne;;d assistance to access services or need matcrial in an alternate format, picas.t crnrtact the denartmcni At 608-266-3151 or TTY 608-264-S-177. ;r,, ore! n•. ona. tr/ . A Property Owner! M CH _ Parcel to # Page c:~, of 3 I J~j Boring # ❑ Born,q p I~ Py Ground surface elev. 7 5 Depth to limiting factor 136 in. Soil A lication Rate Horizon Depth Dominant Color Redox Description Iexture Sruclure Consistence Boundary Roots GPD/ff in. M.unscll qu. Sz. Coal Color S7 Gr. . Sh. •Eff91 •[8#2. O'/b /D' (1 3 Noy, S i r" a k h ~l`__ O S G a y << ti o r .6 3 /s -yq> obk i (p J I 7 . r 6 Sf 70 5 v Ds ay o r h! a 7 / 7 76-13D 9 S 0 c 11 to Boring # ❑ Boring f f ❑ Pit Ground surface elev. _ ft Depth to limning factor, ` Q in. Soil A licalion Rate Horizon Depth Dominant GOtor Redox Description Texl:ep. Structure Consistence Boundary Roots GPD/tf in. tdunse.0 Qu. ';/r C0.11. Cdor Gr. Sz. Sh. _ Eff4I •0412 c-~1 v 1_ olk 1i s y °x-s~ v 13 b, 7 7- ~ 5 v cos ~1 r c r I l a 7 (o Boring # ❑ Boring ❑ Pit Ground surface elev_ 9~ e Depth to :imiting facto 3 b in. _ _ Soil licahon Rale Horzon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roos GPD/ff in. A4unsell ~Cut. Sz. Coal. Color Gr. Sz. Sit. _ *Effffl 'Fill -4 3Y i~ S, I 3 m b 5 to 7' Y 17 c v L/ • ~7' 56-6 7 r; 9, 3,6 C Effluent #1 = SOD. 130 1720 mg+l. and TSS >30 _ 150 mgiL ' EN'uent #2 = BOD, < 30 rng'L li.d TSS 30 mgr_ Tile Department of Commcrec is an equal opportunity ser%r ze prov p 1,, 2nd crap Ioycr If you need to zcc_s ter vi;: CS er need material in an 21tmiate fomiat, please contact div d^pattumit at 00S.266-3 151 or TTY 608- bviswnsm Deparlment of Comm.ptctc SOIL EVALUATION REPORT Pago of 3 Division of Safety a:ld otedings in acxxndance with Comm o85, Wis. Adm. Code _ County fit.. ~Y7; Attach complete site plan on paper not less than 8 1r2 x 11 inches in size. Plan must ~ include, but not limited lo: vertical and horizontal reference point (BM), direction and Parcel I.D. /I/0 t o percent slope, scale or dimensions, north arrow, and location and dislarce to ne.arusl road, o 1 - J IC) a R do Reviewed by Date Please print all information. Fc,sonal inrormah on you p,ovoe. may be use , ror sewndary nuroosus (r'rlvacy La•+r. IS. 4 (t) (rn)) - Pioporty Owner - Pro;r_•rry Locart[oil M-r C t Govt. Lot 4`~' i 1:4 S T' N R l 9icY)) Property Owner's Mng Address t' Lot # Bla;k # Subd, Name or GSk99 Stale Zip Code Phone Number 0 city O Village Town Nearest Road r C] New Construction Use: 0 Residential / Number of bedrooms _-.-Code derived design flow rate - - -GPD Replacement Q Public or commercial - Describe: parent material Flood Plain elevation if applicable General comments ~r _ • r - and re<bmmendalior.s: Boring Boring q # of it. DCPlh to limiting factor In -i lZI pit Ground surfaceelev. _ _ Soil A Ription Rate fnD Dominant Color Redox Description Texture Structure Consistence Boundary Roots .Eff#' PD1ffEh#2 - f-Aunnsell Qu. Sz Cont. Color l Gr. Sz. Sh.1m O + f Q ! S br n -I 7- 7~ nr J0 ( Boring p Boring V CJ pit Ground surface elev/ it, Depth to limiting (actor / in. - r ` Soil Ao Ip i:zlion Rile ~*Do minant Color Redox Description Texture Structure Consistence Boundary Roots E GPD1ffEll#2~ Mansell On. Sz. Cont. Color Gr. Sz. Sh, - / a'th A- r Effluent #f - BOD, > 30 < 220 mg4_and 7SS >d0 < 15^ nra" EW ent #2 - BOD, < 30 mg~'L and TSS = 30 mgA- S - _ - - - CST Number CST one Pease ~Jq r,l. C ✓ i C 1 h P / - _ - - I ^ • - X Telephone Number e - Mahon Conducle:f P""') +f ~ d vss 097 1, L. r look 1 ` 1 1 A IAA got K i. . ff// a lit rC4~}`,' t~, I,1R~ia~l. (,~t7 Isd'.,~SH'~ , i~~d 1' ?7 l''~:i, _ _ ~~rT{•~{ 1 l `1..irl f y `~;}5i~y~,r _ . 1 I ~1r:.•Jr y~, C1f =r,! L a nlY t .i~y~/la~ ' i' '1 IA • 's, > 4 J. r ~ t C~' f ~ fr 1Y~~7. i J x 'L ":fy `lam ~ S-f,7P „~j.~,~~I ~ 1 1~~'`.'.}~~I~Y4 5~~ j._l'.:. r ~ Y I 't}~ iv~~igq~11..4~' r ' t x,?1s ' "i^ ~t •1 r ~F"!. CSC ij~ / 14"~ ' s. .r r ^i~•,. r~ t, at,~ +'Z :r a ,1'.{~/y,h~,•h..! ~ ; - - r, N,. , ~ ~ A I[Y 1 r r 99~} ~ to 44 „ , 1, TvJ l 1 if'`•~ x Y~rit1 ~1•t•' 1+ IOIw/l'i'~ » l l,,x .f a'•N~. `1Yt 'fl, l.,~ir f-x 1,p1 y1„r T ~T •a ' s y' ~'St~i T'l~-~i~~.•' Yx t ~►S ?y ~i X 1,~ ..r ,'iF;., RECEIVED Wisconsin Department of Commerce SOIL EVALUATION REPORT Pape f ,f Lf Division of Safety and Buildings IRS _ F ( In ar=d ~c,~ y~th Cnrnm 85.5Nis- Adm. Co:fe rIk4~A~IX C~Ufv I x,'c~rr county Attach complete site plan on pa elC~1hF `rgQOrwries i 1 sze Ian st clude, but rot limbed to; ve mn,al ;eterence point dil u Parcel I.D. :rccnlslo p¢r dh)wrisioos, north arrow, and location an 4`. ' /t P i 4 Please print all info 7NVKGTBBKV1R Rea . •ed by - Dale "'ersena: infee m iin, yo•: provAe nay be Osed fof inennd s ;Pnva=y f sw. s. 8 ee f1) (m)). Property Owner - - I Pr:,perty I action l GoLot ~ 11 ; Lv 114J.' 1 1!4 T N R E{cy)'W Property Owner's Mailing Address 1. L071 t 6bck Y Subd, Nam= r CSfd# City Stale Zip Cate Phone Number D ciitty~ Li \4lace 0 Town Nearest Road New Construction Use: ❑ Residential / Number of bedrooms Code derived design flow rate GPD ! Replacement Public or commercial - Describe: Pa-ent material Flood Plain elevation if applicable If. Genera' comments and n*:x~nrnencfations: > r> ✓ /'r. 's eon Boring - - Boring Y. ~ ,7 LG Pit Ground surface elev- f:. Depth to limlling lacfur /'/33 in. Soil A yicallon Ra'e Horizon Depth Dominant Color Redox Description Texture St inlure, Consistence ` Boundary RuuLs GPDfIf in. Munsell Qu. Sz. Cord. Color Gr. Sz, Sh. - 'EtfPl 'E1142 cp 1, - Ir -nt nGY. I G / h 7- )Y Al 1 c gir 00 I Boring# ~j ~11 uaing p l Lu Pit Ground surface elev. / .,3. Qft. Deplhto limiting factor ~~3v in. _ Soil A licatian Rat(! Horizon Depth Dominant Color Redo:: Desciption 7 Tenure I S!rurturr. onsislencnt Bnun:farv ROOts GPD!ff in, Mansell Qu. Sz. Clont. Color Gr. Sz. Sh. 'Gff#1 'E",2 C r 5 5 of le~ Effluent #1 - 130F) > t < 27.) niy 1 "'Id 13S 1"' - Hlluen! 0 = H()U . 30 mg.'L and TSS < 30 mgfL .,T rv (Pleas Print) a• / CST Number Address Unto r:aluat;:m Cond.t ,led a rphone Number L Property Owner/ M CH Parcel ID k..- Page o(~ . D Baring # ❑ Roping p i PfS~Il Ground surface elev. ! • y It. •Dgplh to limiting factor in. 1^1 pit - - - - _ I Soil A Dpdication Rile Horizon Depth Dorri Color Redox Description Texture Structure I Consistence Boundary Roots GPDlff in. PAunsell Ou. Sz. Con:. Color Gr. Sz. Sh. 'Eff#1 'Eft#? --p-/a /Dy'~3 I kilon si rno k i-"tf a _ S L R-3~ 5/b I aok r ~a 4-1 1 ~ -S S iC jr:. i Q 1 e 7 -^5/0'r O C r' ht I G{ '7 76-:3D 4 n c h , e PNinglft ❑ eorinq E ❑ pit Ground surfaee elev. / D J it. Uep1h to lim ling factor / Soil Application Rate H orzon Depth Dominant Color Redox Desaiptbn ' Texioi,, ! StructureConsistence Boundary Rocls GPDItf in. Mansell Du. Sz. Cont. Color _ I Gr. S7. Sh. 'EffJa 'EfW2 r"tt v of _P abk Pn -1 cr 6 I ~ o' k r, pr S 6-~= y 1 G -moo I~ I ' ~ m a H °Y - ~ 11U 1 3 56r s: ~r l- 7 ) rte' GOS Gr Q q r -Y1 d 7 S ID c _Q Y m 1-7 1 I I Bonig# ❑ Boring C- ❑ Pit Ground surface elev. /7 •3 ft. Depth to limiting lactor 7 0 in. _ Soil A licalion Ralc Horizon Depth Dominant Color Redox Description Texture SlwGUre Consistence Boundary Roots GPD/ff in. 1 _P,tunsell Quu. Sz. Cant Color Gr. Sz. Sh. -Eff#1 'EtW2 10 1~ I f~P h l 01 if Y q n 3! S r 3 rr hk r 5 4 Effluent r, = l3OU, ? 30 22' rrr91 and ]:;S >30 < 150 mgrt ' Efibeat 52 - BOiI. < ao mq+l. and 7SS < 3C algA- 'I hr Ucpartm:nt of Comnierce is an equal opportunity scrvir:e provider and employer. ]f you need as.simance to ac;:ss Sc^:iccF. Di. . need material in an ailcrna:e formal. please contact the de^artrnent at 008 266-315: or'f'fY 60S 2644?77 Property Omer. ~ A Parcel ID _ Page of Boring # ❑ Boring r7 , Z pit Cround surface el _v. / . y _ ft. Depth to limiting facia 2L7 '15 w, Soil Ap •Iication Rate Horizon Depth Dominant Color Rodox Description Texture Structure Consistence Boundarv Roels GPD/fF _ in. Psunsell _ Dar Sz. Cont. Color Gr. Sz. Sh. 'Eff1h 'El142 o-/b 312 /llorF si( vnoh ~Yrf o - S --G a 16-18 y g i_1_ r ~cr r~. Q / rR' ~ S/~ _ S 1 1I 'i Q✓S}( r t t.0 G 70 5 y 605 cry o c 0,r A. --7- l / 76-13~~ 5Ll _ S O r hz i 7 v r Borin.- if Un Boring t I J pit Ground surface elev. ~3 D7 ft. Dopth to lim15o3 factor 1 /30 in. go:: A Dlic;alion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Sourdary ROors _ GPD/ff in. tduns~~l Du. Sz. Cont Corr Gr. Sz. Sh. 'Eff#l 'Eff92 3 F I m Qbk m ~r a S 4 }I 7 t o Cb5 4qr c or 7 i~ n U Flaring _ Hx~ag rC G , ' U ❑ pit Ground surf urface ele:•. / a-)-it. Depth to limiting lacror ~ a in. _ Soil Application Rate I luriton Depth Dominant Color Redox Description Texture Structure Consstence Boundary Roots GPD/ff in Mansell _ Gu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff42 O f J re C7 G T I e- 41 .mac I ) c r rl r' G/ hi rG ; - Ir C a/, o" 'E'lluenl el=BOD,>30 220mg+L and TSS 130<156marl 'E'1derl97= 1100530 mg,'L a- 'd i8; rngt. Tile Dv:)ariment of Commerce is an equal opportunity cerc+.ce provider and emplloycr. If you rrr d,..~;gk'anc- to auc~~'t-T ices nt~-d material in all alt.malc fomiat, please contact the department al 66P-266 3 l:,l o- FIN 60,-264-87--!! RECEIVED ais.onsinoepartmentofCommerce, SOIL EVALUATION REPORT p,~N of 41 Division of Safety and Buildings DEC 0 8 N ina. mComm 85, Vvis. Adm. Coce ._.I ST. CROIX Mr j ;:rn!; Y Attach complete site plan oq,ggppFt 1l~C; ~p'HC p ter i, size. ti n must ~ _ '•cLae, ~.rl not :imi:ad to: v onzonlal relefence re-ntr_• Poinint (B!A), direction and P-r.•cel 10 , q rt sco'rt slope. scale O.'dimensions, north ar,ow, end location and cistonce to nearest road, Please print all information. Reviewed by Onto Fr•'..:!n.°I yr 6:rn:2CC' you prcvOe rlny Iie used for second aly p::gIDSes (I•nvar/ Law. S. 15.:'i (1) (m)t. I f'rrporry Owner Property l_orauon C- f. t •y Govt.. Lot. _ 1(4'• 1"!4 S T ' i N R / ? 't={at) b•Y.. Property Owners blailing Address Lot # Block 9 Sulxd. Name- or CSttr Civ Shlc Zip Code Phone Nurn.m ❑ City ❑ Village A Town Nearest Road New Construction Use: fJ Residential I Number of bedrooms Code derived design Ilrn. rate GPD Repacement Public or commercial - Desrsibe: Parent material Flood Plain elevation if applicable ft. General(x)mmens and recommendations: f - Boring M ® Pit Gro;:nd surface elev. I fl. Depth to iimilirv; `at,Lr in. ` Soil A licalioo Rate xture Structure Consistence Boundary Rools GPD!If Horizon Depth Dominant Color RAS7 in. Munsell QuGr. Sz. Sh. 'E131t1 I 'Eff,Y2 5, rq /0 Y1 312 /J o '7 "Az'r 5 G i ~S l T sb} _r , G -57 '9 b y os o r ti i - / If ° I - 7 Boring # fF--1! Boring in. l J F'il Ground surface elev. fl. Depth to limiting factor Soil Anlicatori Rate Horizon Depth Uou:nanlCoior RedcxDescriP;ion Texture Structure Gonsislencr. 6oundarv Rrols GPDlff in. ldunsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'EffOl 'EfNr2 ~ $ I ~ ~ 1 OCR r_ C -I d /qr_ car rr~~ it, _ an re. I Fflluent 41 - BOD, > 30 220 mg:[ and TSS ':Mr: 150 c-igj6, " Etlluenl P2 - BOO, < ii ux'A and TSS < 30 uy.}+L ~T t'^me (Please Pnnq sr~~41'ire CSl Number r^d-ess - - [late Lvaluolion Conducted Telephone Number .r Wisconsin Dq:ar:rnenl of Commerce SOIL EVALUATION REPORT Page 3 of Division of Safely and Buildings in accordanre with Comm 85, Wis. Adm. Co^_e - Count' f C /O 1 Attarli complete site plan on paper net less than 8 ^12 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BIS), dlreclion and Parted LD ` / M percent slope. scale o- d;mensions, north avow, and location and distance to nearest road. 7 D_ - ~D' ~Ca~~ Please print all information. Revie.ved by Date Po'::onal mfc,aooa yaa "vide may br: usnC for seconenry Farnnses ii'nvacy Law. s. 1504 (r1 (m11 Property Ovine / Property LnCaticn YM C C(p 1 )r~ i Go.A. Lots 1I,1 1!4 ti Ti N R ( d f Properly Owners W.aiiing Address ' Lot # Block Suud. Naanc Or CS""" ~ 9 c - City state Lp Code Phone Number ❑ City ❑ Village Town Nearest Road Hie : C"~=--- L1 -rr L1 a I t t - rYn , .I c~S / yf ~ v ❑ New Construction Use: ❑ Residential / Number of bedrooms Code derived design flow rate _ GPD ❑ Reaacemen: 11 Public or cornrnexial - Descrihe: Parent material Flwl Plain elovah.~n it appliable General comments._ and rerArtnrnenriafions: , 1 r '~j Ty ~zP~ ! t s r- W r~ T'C r ~ Bc: g II 7 Boring # L7~ W I Pit Grounc surface elev, ft. Uepth to Iimifing factor .,2- Soil A liatie:n Rate i _ Horizon Depth Dominant Color Redox Descrption Texture. Structure Consistence Boundary Roots GPD/lf in, fGUnsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eft#2 toYR3/a N0110 e G y"4-' k n, s; c 5 G e'r -F1 s'v ~I rsCn Inv~Y G. .,q 1-~9 ~ - - ~-st ~ 5Ek r1 v tf Q , v_ ~ . s ~In r x C t7e / I / Boring N U, Goring / I / I Pit Ground surface elev, fl Depth to limiting factor -~f,`./-b Soil Application Rate f lorizon Depth Domirzrt Color Redox Description Texture Structure Consistence Boundary Roots G_PD%ff in. Munsell Qu. Sz. Cent, Color Gr. Sz. Sh. 'E##1 I 'F'!N2 o0K Ae: . Y l O-lG ~~t(;~ f< c< Jl ! rn to I 2m qbk )It 4 1' .0 ~i _ a- sr c 1 3 a6k n4 v: I e y r~ S 51-57 I G/G<I f sbk Kv ILL r e1 f- Ir?~S v C nr M . 7 G . 7 G E#luenl = BUU, > 30 < 220 mg1L and TSS >30 150 'Effluent #2 = 111 < 30 mg.4 an: TSS < 30 rtg1L CST N c (Please Pwr) /Sig. "r: n ? CST Number Address t1 Date Evaluadcn Conducted TeleWialo Number yN 3 d ><5 ` -S ri yr v l t % 7 ii~ v ! l Property Owner Parcel ID 41 Page -Of D Doring ft ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting facor in. Soil AFolicafion Rate Har¢on Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roofs GPD.Mf in. Munse!I Qu Sz. Cont. Cole! Gr. Sz- Sh. 'Ff011 'Eff#2 I I During # ❑ Boring ❑ pp Ground surface elev. fl. DepthtolimitingfaCtor_.___. in. Soil AGOIiCalion Rale Horizon Depth Dominant Color Redox Description I Texture. Struc'ure ConSlSteMP BoundaryRoos _GP_Dlff in, Ltunsell Ou. Sz. Cent Dolor Gr. Sz. Sh. •FfO;; •FffN2 i Boring Boiling # El Pit Ground surface e elev. ft Depth to !inviting factor in. _ Soil Application Rate Horizon Depth Dominant Color Rodox Description Texture Struclure Consistence Boundary Rook GPD!ff in tAunsell Qu. Sz. Cant CcKOr Gr. Sz. Sh. •FffR1 'Fff#2 i ! I I - - I Effluent #1 = DOD, > 30 < 220 mglL and TSS >30 < 150 myl- ' Effluent 42 = BOD, < 30 mgr- and f SS < 33 rngrL T'he Department of Commerce is an equal opportunity ScrviCe provider and CrnploycT. 1f you need assistance to access services or need material in an alternate format, please contact the department at 608.266-3151 or TTY 609-264-9777. tinUApp,p (r,YGq CR yXC~r ° ~ fi pis s ;P gh' ,i zLr ~ 41 , iyy I ' \1\ , i •ly ....•t. t, A0. ~':~M ti.~ ;:1.'+a;fr(~`: 't1' J . . ~j y Al ~ 11K • n ~ ' I y } r A TT/~ a Y 1~ ( rjl ''{'t ~'q l r ,1/!`• t+'• ~t4,~j1 ~ ttw.i~a w~e.~- ` _ L'a;.n ~ l~ e'~~ s .T *~+'L;'•~;,c~~r r.1a+14.~.~t~` <<~y.~tFt'li~ ,,~1 -~x~~• a f t1" •I 1 1La' ^1 ,d` r c AI r f~ a t *h'~'t f !Jf f...•~l. r,.~~°i 1 A , i , . ~ b S T, ~il F, • 1 l t 1 ~ ~ ^1 y ° S1 V~ { f \ t. y Afl; Y 'k° ttw - t L fir. 1 77 Camp Saint Croix Coy. Lot 3. Section 6,'1'288-R19NN' . Town of Troy, St. Croix County, Wis Private Onsite Wastewater Treatment System + I 4 1 4L Prepared bN HIGH CLIFF CONSULTING LLC M P.O. Box 176. Galesville, Wl 54630 608 582-2205 serviceguhighchf`rcnsulf iq_ccm s,wv,hiy•iclfcorsu!Lnq ::nm I YMCA - Camp Saint Croix Private Onsite Waste treatment Svsten, INDEX Pr~1~C[t ~llldLlb'f' Page 2-3 ~izin~ls and Dosing Details ~,i[e Overview Page -1 Page "i'(Plan Page hint. Plan View and Profiles Pane , I wnrh Plan and Profiles Pag,e Y I ii tc'h Details Page `I I'i utpA t 11 Specifications page Iti I'r. rnp C ~ D Specifications Page I I imp F: specifications Page 12 laic rank Details Page I 1 1 LlualizationIMYFAS1'Tank Details Page 11 N i. 11M AS I' Tank Detaik Page I 1 mlicationiDose Dank Details Page I 1% Header Detail Appendix \ I'[ 1»P Curves :\ppendix H N1,wagement Plan Appendix C. %1JAS1' I-iterature Appendix D \ntripast I itetauu'e Appendix L' Oo[i-Hoar and Mounting, Liu•raatre Appendix F ti,uiil'I(1: Filter I.ilerature Appendix G Ix•-i;,,v.•r Mal kPalmer 1508001 H. Hig,h Clil'I Consulling er PO Bo\ ]A; ~ 7 Galesville, \vl 5463(1 Blair 608-5251-3"2) 3 ~ 4VI ~esi gnet Project Narrative fhe YNI(:A Hudson - (-'amp Saint Croix IacilitY is composed of muliiplc huildings with varied uses. Currently the KLC, North Bath, Lodge, Dinint, Hall, Savannah, River Center, South Bath, and Staff House are served by numerous Private Onsite Waste 7'reatnuont Systems INAVTS). Rather than have multiple different systems to maintain and monitor a centralized s,,wm for the facilities will be installed. The new centralized POWTS will simplify monitoring and treatment lot the facility operator(s). Existing septic tanks and pump tanks will he utilized. The strategy in maintaining these facilities is three fold. I . In the event of a power failwre the toilets can still be flushed and the existing septic and pump tank storage capacity will allow the facility managers to respond without sewage backups into the huildings. 2. It is cost effective to utilize the existing treatment capacity of the septic, tanks and utilize existing pump tanks to convey waste water. Centralized aerobic neaiment maY he utilized to beat all the waste water generated. The new. POWTS will consist of a 12,000 gallon Septic Tank, a 20,000 gallon ~',duilization;`IY~IYF.AST Tank, a 0 ' 1=+ttk, and a , -00 gallon Clarification/Dose Tank. ]'his system t I sere c to prop ide hiohly treated effluent to the soil absorption system. The soil absorption system will consist of 20 cells that are T x 130'. I he cells Will be constructed with E7.Flow bundles and will have a pressure distributions lateral of 1.5" PVC, with 5/32" holes spaced every 5'. There will he 5 groups of 4 calls that will he time dosed.