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Home My WebLink About022-1098-70-200 ' County. I 1 in Department of Com y and merce PRIVATE SEWAGE SYSTEM St. Cr °uiiding Division Sanitary Permit No INSPECTION REPORT .;06239 o i GENERAL INFOI ":MATIOrJ (ATT O PERMIT) � State Plan ID No Personal information you provide magi uc used for secondary purposes [M Ivacy Law Permit Holder's Name: City Village X Township Parcel Tax N Peskar, Troy & Krista Kinnickinnic, Town of 022- 1098 -70 -200 CST BM Elev: h lwsp. BM Elev: BM Descripti Section /Town /Range /Map No. 'VG 34.28.18.531 E TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER i CAPACITY STATION BS HI FF ELEV. Septic Benchmark r,N.,, /2D� P ✓c 9 yX �a . �a o v Dosing Ait. BM ,. -5 4 lei. lw Bldg. Sewer ftiP a A 95 c t 7. 53 Holding SUHt Inlet i 3.cl s Z St /Ht Outlet TANK SETBACK INFORMATION TANK TO PZL WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic aad . !/� I I o I Dt Bottom �� Z3 �7 • z S Dosing � 5a� A'^� t�ac�+ �/^ f Heade /Man. ? ids Aeration j i K✓ Dist. Pipe J 1 z Holding Boi. systern • , 7 ` -/. 7 $ Final d� �7 �� PUMP /SIPHON INFORMATION rade Z• g q 7 j Manufacturer a,U j �—• DP and St Co�� ` - / e s 6 3 •$/ Model Number PE 7 p /0 3 • 1DH L ift Z� Friction L System Head TDL6 Z4 /d Fcrcemain LengIL., 1 Dia. Z • i Dist. to Well SOIL ABSORPTION SYSTEM i BED /TRENCH Width �„ rt..e qth / No. Of TT{enche PIT DIMENSIONS No, Of Pits Inside Dia . _Quid Depth \ DIMENSIONS S —7 11 L e ? \ f SETBACK SYSTEM TO P/L JBLDG IWELL LAKE /STREAM LEACHING Manufacturer j INFORMATION CHAMBER OR Type stem: t UNIT Model Number: Z 9G i �uA k DISTRIBUTJ SYSTEM A, Heade Manifold lO Distributioyn �. �1 • / x Hole Size �� x Hole Spacing 0 Vent Air IntaJye �• ZS Pipes) / 4/ 49 3 dg ` s Dia L.enath � DiSpacing__ � SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only p MDepth Over Depth Over xY DeptL of xx Seeded /Sodded x, fvktiched Bed/17ench Center Fed %french Edges V fopsoir I �' es No es No '1 t COMMENTS: (Include cone discrepencies, persons present, etc.) Inspection #1:_�/_____ Inspection 42: I Location: 54 County Road JJ River Falls, WI 54022 (SE 1/4 NW 1/4 34 T28N R1 8W) NA Lot 2 Parcel No: 34.28.13.531E of �G,, • d� r�a�/ t �.cd �a 1.) Alt BM Description = 1o/a / / 2.) Bldg sewer length = W �i Z_ ( & J� - amount of cover = I Plan revision Required? Yes )� No ! b� ! i 1 Use other side for additional inforrnanon. — __ - - -- - - - -- 1 _._ - -J Date nsepcior „ S nature Cert. No. SBD -G710 (83197) i r J U1 k pIrA ;cLZn gpv Safety and Bu ildings Division County 201 W. Washington Ave .O. Box 7162 St. Croix s n Madison, WI 7162 S Permit Numr (to be filled in by Co.) . �4 - Sanitary Permit Application S tate Transaction Number In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appro govv �, 3 : . unit is required prior to obtaining a sanitary permit. Note: Application forms for state"-own WTS are Project Address (if different than mailing address) submitted to the Department of Commerce. Personal information you provide may be used for purpos in accordance with the Privacy Law, s. 15.04(l m Stats. 54 County Road JJ I. Application Information — Please Print All Information Property Owner's Name RECEIVED Parcel # - Troy & Krista Peskar 0224098-70-M Property Owner's Mailing Address Property Location 400 West Park street AUG 3 0 2007 Go+rt. Lot City, State Zip Code g1' COUNTY SE 'h, NW 'J+ Section 34 River Falls, Wl 54022 (Check One) II. Type of Building (check all that apply) Lot # T 48 N; R 18 CIE Q W ❑✓ 1 or 2 Family Dwelling — Number of Bedrooms 4 V 2 Subdivision Name Block # ❑ Public/Commercial — Describe Use / p , 4 , ! g o0 z � City of ❑ State Owned — Describe Use CSM Number ❑ Village of 772856 ❑✓ Town of Kinnickinnie III. Type of Permit: (Check only one boa on line A. Complete line B if applicable) A. RI/ New System Replacement Treatment/Holding Tank Replacement Only Other Modification to Existing System (explain) System B. Permit ✓ Permit Revision Change of Permit Transfer to A. Previous Permit Number and Date Issued Renewal Before Plumber New Owner 506239 612612007 Expiration IV. Type of POWTS S stem/Com neat/Device: Cheek all that a Non - Pressurized In- Ground Ll Pressurized In- Ground Ll At ound > 24 in. of suitable soil ✓ ound < 24 in. of suitable soil/03 ❑ Hoiding Tank ❑ Other Dispersal Component (explain) / i/ t V. Dispersalffma tmeat Area Information: Design Flow (gpd) I Design Soil Applicati Rate(gpdsf) Dispersal rea Required ($I) Dis Area Proposed ( System Elevation (J 600 . O S 1 r •O 600 / 2 (l i) - 600 / / 104.67 VL Tank Info Capacity in Total # of Manufacturer al Gallons Gallons Units New Tanks Fadsting Tanks � -? X � Sep is or Holding Tank 1200 1200 1 Wieser Prefab Concrete Dos ' n g Clffiber 800 800 1 1 Wieser Prefab Concrete VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attacked plans. Plumber's Name (Print) Plumber's Signature MP/MPRS Number Business Phone Number Roger Nelson I MP 22649 715 - 2734444 Plumber's Address (Street, City, State, Zip Code) 122 East Summit Avenue Ellsworth, WI $4011 VII OUR /De artment Use Onl pproved _ Disapproved Permit Fee to ssu Issuing Agent S natu Owner Given Reason for Denial $ 1 A. IX. Conditions of Approval/Reasons for Disapproval " - 17 4z& d d �� 3 /oil Attach to complete plans for the system and submit to the County only on paper not less then 8 in :11 inches in size SBD -6398 (R. 01/07) Valid thru 01/09 Troy do KA t Peskw 4M Wkw Pdw* lbher FdAk p'/2 y y3 SE% d ay sk .1 Rte_ `15 ; a � Weber 12041" Auk AM #1- IMOO T' �all'1G"P�cP X r i B AI N2 99.9D'o�r 9'" iG "P'WCP*o 89 W to shed JS'of2"fo t 8�t 0 •$3 0 0 QBI 7 • X r V� A Pie d of d J Safety and Buildings 4003 N KINNEY COULEE RD commercemi.gov LACROSSE WI 54601 -1831 : a TDD #: (608) 264 -8777 ' sco ns' n www.commerce.wi.gov /sb/ Department of Commerce www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary August 27, 2007 CUST ID No. 226497 ATTN.• POWTS Inspector ROGER D NELSON ZONING OFFICE NELSON PLUMBING ST CROIX COUNTY SPIA 122 E SUMMIT AVE 1101 CARMICHAEL RD ELLSWORTH WI 54011 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/27/2009 Identification Numbers Transaction ID No. 1433639 SITE: Site ID No. 726317 Troy & Krista Peskar Please;, refer to: both identification numbers, County Highway JJ above, in all corres ondence with the agenc Town of Kinnickinnic St Croix County SETA, NW1 /4, S34, T28N, R18W FOR: Description: Four Bedroom Mound System ( New construction l Revision Object Type: POWTS Component Manual Regulated Object ID No.: 1135306 Maintenance required; 600 GPD Flow rate; 17 in Soil minim depth to limiting factor from original grade; System(s): Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 101), Pressure Distribution Component Manual - Version 2.0, SBD - 10706 -P (N.01 101) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The approved changes will become an addendum to the plans that were previously approved on 6/15/07 under Transaction ID No. 1403638. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s. 145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the component manual(s) referenced above. • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • The area within 15 feet horizontally down slope of the dispersal cell shall remain undisturbed. Vehicular traffic or soil compaction in this area is prohibited. • Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the effluent filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • A co of the approved plans, specifications and this letter shall be on -site durin construction and o en to copy pP P P g p inspection by authorized representatives of the Department, which may include local inspectpo W.T.S. Conditionally Abp ROVED pEPARTMce FTY AND BUILDINGS ROGER D NELSON Page 2 8/27/2007 Owner Responsibilities: • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 75.00 t Fee Received $ 75.00 Balance Due $ 0.00 erard M Swim POWTS Plan Reviewer, Integrated Services (608)789 -7892, Mon - Fri, 7:15 am - 4:00 pm WiSMART code: 7633 jerry.swim@wisconsin.gov cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726-2544, Friday, 7:00 A.M. To 3:30 P.M. I + 0. t O MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN U w Residential Application (V INDEX AND TITLE PAGE Project Name: Revised 4 bedroom Mound system Owner's Name: Troy & Kristi Peskar Owner's Address: 400 West Park Street River falls, WI Job address: 54 County Road JJ Legal Description: SE 1/4, NW 1/4, S 34, T 28 N, R 18 W Township: Kinnickinnic County: St. Croix Subdivision Name: Lot Number: Block Number: Parcel I.D. Number: 022 - 1098 -70 -200 Plan Transaction No.: 1403638 Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Plot Plan Designer: Roger Nelson License Number: MP 226497 Date: 08/21/07 Phone Number. 715 - 273 -4444 Signature: 15;6w Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SD &10691 -P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) Version 4.0 (R. 04/03) Page 1 of 8 SEE CORRES NDENCE Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) R Residential or Commercial Design Note: Sand fill (D) calculations assume a 400.00 Estimated Wastewater Flow (gpd) Table 83 -44-3 in -situ soil treatment for 1.50 Peaking Factor (e.g. 1.5 = 150 %) fecal coliform of - 36 inches. 600.00 Design Flow (gpd) 7.00 Site Slope ( %) 103.50 Contour Line Elevation (ft) 22.00 Depth to Limiting Factor (in) 0.60 In -situ Soil Application Rate (gpd /ft Distribution Cell Information 76.001 Dispersal Cell Length Along Contour (ft) = F____80_0J Cell Width (ft) 1.001 Dispersal Cell Design Loading Rate (gpde) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest po int in the distribution Y Pressure Disrrbution Information network? Enter Y or N (c or e) a Center or End Manifold 4.00 Lateral Spacing (ft) If N above, enter the elevation (ft 2 Number of Laterals of the highest point. 0.125 Orifice Diameter (in) (e.g. 0.25) 3.00 Estimated Orifice Spacing (ft) = 12.00 ft /orifice 2.00 Forcemain Diameter (in) 35.010 Forcemain Length (ft) Does the forcemain drain back? Y ' 92.00 Pump Tank Elevation (ft) Enter Y or N f 3 6.50 System Head (ft) x 1.3 5.71 Forcemain Drainback (gal) 12.33 Vertical Lift (ft) 46.79 5x Void Volume (gal) 0.34 Friction Loss (ft) 52.50 Minimum Dose Volume (gal) 19.17 Total Dynamic Head (ft) 20.60 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 x x 1.00 1.50 1.25 x x 2.00 1.50 x 3.00 2.00 x 3.00 x Gallonslinch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 1200.001 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Weiser 800-325-M Manufacturer gal /in (enter result in cell B49) Dose Tank Information Effluent Filter Information 800.001 Dose Tank Capacity (gal) I Zabel i -800-221-57A' Filter Manufacturer 22.241 Dose Tank Volume (gal/in) JA100 Filter Model Number Weiser I Manufacturer Project: Revised 4 bedroom Mound system Page 2 of 8 Mound Plan View � 1FK � B Observation Pipe �' J r' � C3° 4.4 A W : �..r .. .... � AB5 . T L - — Mound Component Dimensions A 8.00 ft E 20.72 in H Elft ft K 9.65 ft B 75.00 ft F 9.25 in r ft L 94.31 ft r,/D 14.00 in G 0.50 ft J ft w 25.43 600.00 (fe) Dispersal Cell Area 1 1453.72 (fe) Basal Area Available OK ` /Z 6'9 8.00 (gpolft) Linear Loading Rate 1 7.50 (ft) 1/10 B Obs. Pipe Placement F Q " Mound Cross Section View Aggregate Dispersal Area Finished Grade 106.44 (ft) H � fiff�fffffffffffff... F ::: 105.17 (ft) Lateral Dispersal Cell 104.67 (ft) - 10 1 — Invert Dispersal Cell Elevation E 3 iJ4t,_i a a ]. a 5 . 10 .50 (ft) Contour Elevation 7.0 % Site Slope Geotextile Fabric Cover Shading Key 'a Dispersal Cell See lateral details on [F1 Topsoil Cap 10 . 1.5 ft Page 4 for number, fffff Subsoil Cap �► c ., size, and spacing of ASTM C33 Sand F laterals. Laterals are =Tilled = Tilled Layer m 0.5 ft Typical Lateral equally spaced from the Q v Bo a= distribution nt Aggregate ° ' " ° ° " °° ° ^ ° ° ° ° °" ° ` ° '`" ° ° ° ° ° centerline in the * A -- distribution cell (AxB). Project: Revised 4 bedroom Mound system Page 3 of 8 r i End Connection Lateral Layout Diagram Laterals centered over the A & 8 dimension ♦ = Turn -up vdball valve or olesnoutplug P .I All laterals are identical IE X—�I Holes drilled on the bottom of the lateral equally spaced 3 Foroe main connootion via tee or oross to manifold at any point. Laterals & Force main of PVC Sch 40 (per COMM Table 84.30 -51 Number of Laterals 2 Orifice Diameter 0.125 in Lateral Diameter 1.25 in Orifice Spacing (X) 3.06 ft Lateral Length (P) 73.44 ft Orifices per Lateral 25 Lateral Spacing (S) 4.00 ft Orifice Density 12.00 fe/orifice Lateral Flow Rate 10.30 gpm Manifold Length 4.00 ft System Flow Rate 20.60 gpm Manifold Diameter 1.25 in I Total Dynamic Head 19.17 ft Forcemain Velocity 2.10 fttsec He Dose Tank Information Locking cover with warning label and locking device and sealed watertight F Electrical as per NEC 300 and --- Comm 16.28 WAC Disconnect 4 in. min. Tank component is properly vented iz E— — Alternate outlet location • _ Hole Forcemain diameter Weiser 800 - 325 -845 Manufacturer 2 in. Ca ci 800.00 Gallons Volume 22.24 gaVinch A Weep hole or anti- Dimension Inches Gallons B siphon device A 21.61 480.62 B 2.00 44.48 C Pump off elevation (ft) C 2.36 52.50 ~� 92.83 D 10.00 222.40 D Total 1 35.971 800.00 Dose tank elevation (ft) 3" Bedding un er tank. ~ � 1 92.00 Alarm Manuafacturer IS. J. Electro Systems Alarm Model Numberl 1 HW Pump Manufacturer JGo Pump Model Number PE 41 Pump Must Deliver 1 20.60 gpm at 19.17 ft TDH Project: Revised 4 bedroom Mound system Page 4 of 8 Mound System Maintenance and Operation Specifications Service Provider's Name I nstalled by Ne lson Plumbing Phone 715- 273 -4444 POWTS Regulator's Name St. Croix County Zoning I Phone 715- 386 -4680 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum influent Particle Size 1/8 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg /L Septic Tank Capacity 1200 gal Maximum TSS 150 mg /L Soil Absorption Component Size 600 fe Maximum FOG 30 mg /L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu /100 mL Service Frequency Septic and Pump Tank Inspect and /or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test month) Pressure System Laterals should be flushed and pressure tested every 1.5 years Mound Inspect for ponding and seepage once every 3 ears Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage 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 soil erosion and help reduce frost penetration. Lateral Turn -up Detail Finished ,.•.•......••.• ............... Grade 6 -8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral -1.1 )w- Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Revised 4 bedroom Mound system Page 5 of 8 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code Gagwral This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD- 10691 -P (N.01 /01) and SSWMP Publication 9.6 (01/81)) and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 84nches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet fitter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filler shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. however, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank It shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October - February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BOD5, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD 30 mg /L TSS, 10 mg/L FOG, and 10 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system Is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Continaenav Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Revised 4 bedroom Mound system Page 6 of 8 e Gotjws Pumps SubmeNble Effluent Pump PE SSAWNWATIOMS mom WArM P%Mw _ yo„" General: • Corrosion resistart • Oistbarge: I W NPt • Single phase construction. • Temperawre: I W (4M • 50 Herb a Cast iron body. meldmura, corr0 UM when • 115 wits Tl�rmoplaslic irrllreNe► a11d lar8i► sltbrlleeyed, • BtilEirl tleartaal overload pro- cover. ' Sdids harlrBirlg: 'Wo tectlon with aUbrraticc Wesel • upper sleeve and lower maximum SPher'e• • Class-B iasMtloa. heavy duty t l bearing • AUlornoflc models WA& a • Oipfiiied des*. corlst ucoon. APPLKA"Ms Nast switch. ' Nigil str+exo carbon A* ■ Motar is permanently Spedalr tits • Manual models available. shalt. lubdaw for eeltenciecd Ong uses: • PUm*q : See PE31 Motor: service life. • MoUM S ptrlCUntanoe dart or love. • .3314P, 3000 tdPM ■ Powe'ted for ooro"Was • ONNOVDosing Systems PE31 IN": • 12.0 Marrinrum amps Wersow• • LOW Pressure Pipe Systems • Maximum tapsay.. 50 GPM • Shaded polo deso 6 AN ta"s am 1 its of t tractor. M ft • Basement oralmv • MN&Mn heeid: 25' M" PEM Motor. ■ wv d limits of Per • H Sump+ PE+tt PWap: • .40 HP, mxn a M cord, 20' staodwd length • Ma tlmtrr► Fri 29 MH • PSC d heavy d" 153 SJT W with NEMA S-15P, fteo pmog. PE51 Pulr>R PES1 Motor. t 15 volt g Wd" PkV. • Maximum opeft, 70 GPM • .50 NP, 3400 RPM M Complete unk Is hen duty, • Meuimum head: 37' 1DH • 4.5 tAa *nM amps portable and eampam ' PSC desip ■ Medw*al seal is carbon, MErfas f 0 ceramic, RM and stainless M00liS: FBI. PHI. 35 _ ; " «T " ( • _ W. X • $TalnleSS StRtd glees. Fr 2 S L ' l _ 9 CM o u S I _....� .,........ . - - -.. • , - ......... Tested to UL 7M and Y . .i . -.. :�. :.; ,'•�.t- " �. ,.. i... : ":::i CSA 222108 Stand" t :.__.. t... .i. 1pCnrin9pin�rrrArod�NM : +.. «,..,�... 4. 0 L 0 0 10 2 30 40 so 60 ' 70 GPM do �o 0 S 10 t 5 ** ✓ pt11'1" •"�Q• �od CAPIOWY 10 &2 Gpm ITT industries ON31 /41 Tray R Knw a Parlor ri h 4w wdw Pap* sbvw '0 RfiWFirik WI y SE%,NW% SAT28N,RISW �Gy 1[6 es r 1 Tolwarl* j Sit CM& CONWY Scale l" Weirer 1204WR tmk BM #1 IOOLSp'oo T' ftff % "Pw p4w ti i BM #2 ".90'on !" hef t iG "P+'e P4w now m sad 3S' of 2 "fone xmin i err I o wEai � Z O O d -Z ¢ e9 1 n v V Piwp 8 of 8 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 6 of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. PI ust County Sr �� o include, but not limited to: vertical and horizontal reference point (BM), directi nd percent slope, scale or dimensions, north arrow, and location and distance ' Please print all information RevyerKred by Date Personal information you provide maybe used for seconds (Priva W. s. 15.04 Property Owner Property Location �! G 7 ro� -iSt` Avvtot S'L 1/4 1/4 S T� N R Property Owners Mailing Address Y # Block # Subd. Name C§M# C' C " s t- \ — City State Zip Cod Phone r �� ❑ city ❑ Village Town Nearest Road TJ New Construction Use; Residential ( ber of bedrooms Code derived design flow rate GPD ❑ Replacement ❑ Public or commercial - Describe: A-"54 / Parent material ! o t. s o V L f. 2 o /o, , 7` e Flood Plain elevation if applicable General comments M and recommendations: d l _ r y n SJi nj , 7` - l 4 40 a Boring # ❑ Boring Pit Ground surface elev. o ff Depth to limiting fa r �� in. Sail Applicatio n Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh: *Eff#1 I *Eff#2 8 1 T.I: As /. �1 71+ -- a 0 0 O 'hdc�`c,te�Y f eSf�r, �c ttfa c� Boring # E] Boring J . 9 Pit Ground surface elev. /G'S - / ft Depth to limiting facto in. Horizon Depth Dominant Color Red ox Description Texture Structure Consistence Boundary Roots Sal . GPDM n Rate in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 "Eff#2 1 Ul • U» .> T i .i,' / C la h r,/ f , / C � ! G C" � � ` . fs' � �'';,� * Effluent #1 = BOD > 30 220 mg/L and TSS >30 150 m mg/L and TSS < 30 mg1L - < _ 9� Effluent #2. = BOD < 30 _ CST Name (Please Print) // Sig lure / c' a s - /cs �' e ,t5 J' 7 e Y CST Number Address -Z 7 Date Eva uation Conducted ,.-- � Telephone Number la'- 4 Flit' -S � -� 4 13 rI / 7 , o I f Property Owner . c / = �2 �� /a �' ✓ - �' 7 C1 4 Parcel ID # ! �%— � � -� � ti Page of a Boring # ❑ Boring / 7 ❑ Pit Ground surface elev. L �� ft. Depth to limiting factor . > d in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 I *Eff#2 F-I Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. C Color Gr. Sz. Sh. *Eff#1 I "Eff#2 O - e rl ii i` "-- �. m , c - e rr `- L� s,..r; ? ✓^ r^.i� ,Gt ; IUJ .�..: P, �" F., y F-I Boring # E] Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/f 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz: Sh. *Eff#1 "Eff#2 ` Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ` Effluent #2 BOD, < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 - 264 -8777. SBD -8330 (8.07/00) 1 hOx h�S f Pe F-t- "�_ 1 d C r 3> fJl i x¢03 3 *411' Y c- HJOtch o r / C d L! sr�oiip o! t/or f"�,7 the e cLeSl the �taMeoco�C'4 �,ql t J / lJ I t ( 1 r . { v l./ x f � , ID V CE ` 1 5 ZQ� Webster Soil Testing Et Sewer System Design ��,� Charlie Et Kris Webster, Owners C N5815 770 Street, Ellsworth, WI 54011 Telephone: (715) 273 -3430 Fax: (715) 2734181 WI Licenses: MP220673, CST220673, CST 261669, PE18803 7 � x CC 4 7 y � oC' 7 � U s�QY erc 7 7L{ 'S' T Gh 7 :P �'` f 'q- C a 7;4 e,*- AS" q— S ct Q dlr� 4 / mil, //o !.� G bys r /,7 S' 2 �i. �Q /7 e h GC ssd/ J l r ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer \ 12 ©�-i •� ��,', �� ► �?a5 R_ Mailing Address 4 by Wt.. s± P u4-e- & I I S t,,) , S b 2 - 2- Property Address ' (Verification required from Pla g & Zoning Department for new construction.) City /State 01,k E 1\ S w �, Parcel Identification Number �Z 2 '^�Q q g — 7 b — Zo v LEGAL DESCRIPTION Property Location SC 1 /4, _4W 1 /0 , Sec. 34 J 26 N R 1 W, Town of X, ti Subdivision , Lot # -2-- Certified Survey Map # 7 7 Z > , Volume , Page # Z Warranty Deed # / l �.(� , Volume , Page # Spec house yes (5 Lot lines identifiable yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 113 full of sludge. I /we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on this form are true to the best of my /our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number edrooms SIGNATURE OF APPLICANT(S) DATE ** *Any information 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 of the certified survey map if reference is made in the warranty deed. (REV. 08/05) r • 8414$6 KATHLEEN H. WALSH STATE BAR OF WISCONSIN FORM 2 - 2000 REGISTER OF DEEDS Document Number WARRANTY DEED ST. CROIX CO. WI RECEIVED FOR RECORD This Deed, made between Vernon E. Peskar and Stanley G. Peskar 12/29/2006 08:00A)l Grantor, and Troy A. Peskar and Kristi J. Peskar, husband and wife as WARRANTY DEED survivorship marital property Grantee. �gpj f Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix County, State of Wisconsin (if REC FEE- 11.60 more space is needed, please attach addendum): TRANS FEE: 330.00 COPY FEE: LOT TWO (2) OF CERTIFIED SURVEY MAP IN VOLUME EIGHTEEN CC FEE: (18) OF CERTIFIED SURVEY MAPS, PAGE 4824, AS DOCUMENT PAGES: 1 NUMBER 772856, FILED IN ST, CROIX COUNTY REGISTER OF DEEDS OFFICE ON AUGUST 27, 2004, BEING LOCATED IN THE SOUTHEAST QUARTER OF THE NORTHWEST QUARTER (SE 114 OF NW 1/4) AND THE SOUTHWEST QUARTER OF THE NORTEHAST QUARTER (SW 1/4 OF NE 114) OF SECTION THIRTY FOUR (34), TOWNSHIP TWENTY EIGHT (28) NORTH, RANGE Recording Area EIGHTEEN (18) WEST, TOWN OF KINNICKINNIC. Subject to C.T.H. / "JJ" right of way. Name and Return Addre Grantors reserve an easement for road right -of -way on the South side of Lot 2 as shown on the Certified Survey Map as a joint driveway easement for access to remaining lots in the Certified Survey Map including any development of Outlot I in said Certified Survey Map. 022 -1098- 70-200 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Exceptions to warranties: easements, restrictions, and rights of way of record, if any. Dated this �� day of December 2006 * * Vernon E. Peskar * * Stanley 1 6. Peskar AUTHENTICATION ACKNOWLEDGMENT Sianature(s) STATE OF WISCONSIN ) ss. PIERCE Countv. ) authenticated this day of Personally came before me this day of December . 2006 the above named : Vernon E. Peskar and Stanley G. Peskar * ,,.ttuuta TITLE: MEMBER STATE BAR OF WISCONSIN (If not. tanka "n w to be the nerson(s) who executed the foreaoine authorized by &706.06, Wis. Slats.) , �OTAF iI - and kn wled¢ed the same. THIS INSTRUMENT WAS DRAFTED 13Y _ Joseph D. Boles - Attorney at Law P l I B c- River Falls. WI 54022 ' ' ,1 ublic. State of •• ission is verman . (if not, state exviration date: (Signatures maybe authenticated or acknowledged. Both are not necess8ry,) • Names of persons signing in any capacity must be typed or printed below their signature. NFO -PRO (800 )655 -2021 www.infoproforms.com STATE BAR OF WISCONSIN WARRANTY DEED FORM No. 2 - 2000 1 of1 2 7728=5E� VOL 18 PAGE 4824 KATRLE88' H. WALSH REGISTER OF DEEDS ST. CROIX CO.. MI RECEIVED FOR RECORD 448/27/2084 12:15P11 CERTIFIED SURVEY MAP Rite CERTIFIED SURVEY MAP COPY FEB: s. PAGES: 2 Vernon and Stanley Peskar Located in the Southeast '/4 of the Northwest V4 and the Southwest V4 of the Northeast '/4 of Section 34, T 28 N, R 18 W, Town of Kinnickinnic, St. Croix County, Wisconsin AN EROSION CONTROL PLAN WILL AN BE REQUIRED BY THE ST. CROIX N INDICATES 1' O.D. x 18' IRON COUNTY ZONING OFFICE PRIOR TO PIPE SET (MIN. WE - 1.13 LB./L.F.) CONSTRUCTION ON THIS LOT. BEARINGS ARE REFERENCED • INDICATES 1' IRON PIPE FOUND NOTE TO THE EAST -WEST 114 SECTION THE DRIVEWAY ACCESSING THROUGH LINE OF SECTION 34 T 28 N, R 18 W, A SOIL BORINGS (PROPOSED SEPTIC SYSTEM) THE DRIVEWAY EASEMENT SHALL BE ASSUMED AS N 89'24!31"E. 0 SEC77ON CORNER MONUMENT (AS NOTED) BUILT TO COUNTY STANDARDS FOR TOWN ROADS, FROM C.T.H. -Jr TO SCALE M(FF�T 1 " —`— INDICATES FENCEUNE THE DRIVEWAY ACCESSING LOT 3. • PROPOSED DRIVEWAYLOCATION 100 0 100 200 300 (R=) RECORDED AS W I OWNERS'ADDRESS 113 SOUTH LIBERTY ROAD o RIVER FALLS W1 54022 UNPLA7TE0 LANDS I� QJ r NORTH LINE SE 114 - NW 114 N W 16'61* E 1897.86' —!7j' NORTH LIME SW 114 - NE 114 / - - 1136.88' - ° 259.79 - 443.89• - 501.24'- 1g0 l - - - - 1840.53' - - - a; LOT 1 LOT 2 JOINT sE7a_CK a N; OUTLOT 1 DRIVEWAY N 89°34'29' E _ _ _ $ EASEMFJVT ( T08EUSEOFORAGR/CULTURALPURPOSES ) 91.53' -z =9 W ' i CONTAINS 1,245,407SQ. FT. OR 28.591 AC - cl io S 89'34'29" W.s' - �j. _ \G CN a: (1,219,102 SQ, FT. OR 27.987 AC. EXCLUDING 4 5.or - 1q0, 2/ L W r ROAD RIGHT OF WAY) ' % , Q -.� C „ x s 00°253,- E_ DETAIL 514.64' 28.25 ` 515.20' ' 01 t NO OT 1 CONTAI NS 87,2 sQ. FT S 89.3429" W 1094.20' +m Lo -T - (R =WEST 1090.18) R 2.003 AC. - - - 1059.84' - - - m r 2 coNrA /N 250,980 so. Fz (/R4/�YMAP R 5.991 AC. (222,491 SQ. FT R 5.108 AC. IXCLUD /NG �N_PLATT D -,LA S m W YOLLUME 1.4, ve = OAD RIGHT OF WAY) h � p P_AC�3842 T 3 CONTAINS 87,341 SO. FT. :`�" " R 2.005 AC. r +_ / N 89'2431' E 1.,T S 89'2396' W SNA8_ • �'� Ds2l1NT_Y TRUNK N_IOHW -�Y_ M __j L_L x89:2A*3 3 371! 8: — _ — — V� S8 1 "W EAST -WEST QUARTERSECTXWLHVC �� _ �_- X8.62_ —_ 7317.34' IF /— SOUTH LINE SE 114 - NW 114 - N 89'2491' E 5277.4' - SEC77ON 34, T 28 N. C ORN ER W FAST V4 SADDLE CLSIB l i / (FOUND COUNTY SERNTSEN UNPLA7TE0 LANDS ROAD'S ALUMMUM MONUMENT) • �i / `SG01V� 1 I >' DETAIL / q2. ! LINE TABLE / v 4 ?4 �i LAURBfVCE ' � Q;• L1 = $ 16'43'49" W 66.44' M RPI 6 L2 = S 69'34'29" W 34.36' 5 / L3 = N 74 W 60.00' * • � s 1 713 L4 = $ 74'16'11" E 60.00' �BELOENV�LLE, L5 = S74'1 6'11" E 33.00' o4 'LB ry y" L6 =S71'16'1YE 63.0' .•�� \ 4 1 A' L7 -S 74'16'11 "E 22.00' �p •• -••'• v -• L8 - S 10'43'49' W 60.6r `\ e?o u No g 3 0� / � L9 - S 16'43!49"W 66.00• j -- L10 = S 16 W 126.67' DATED: NOVEMBER 24 2003 4.70' - ° 1" 2 L11 = N 00 W 66 00' REVISED: FEBRUARY 4, 2004 100 0 100 THIS INSTRUMENT DRAFTED BY JERALD L. 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Washington Ave., P.O. Box 7162 St. Croix i sco n s 1 n Madison, Wl 53707 -7162 Sanitary Permit Number (to be filled in by Co.) oep,t rrrau a commeroe SD (.p 2 3 9 Sanitary Permit Application State Transaction Number In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental ,6 unit is required prior to obtaining a sanitary permit. Note: Application forms for state -owned POWTS are prof d (ffthfferent than mailing address) submitted to the Department of Commerce. Personal information you provide may be used for secondary in accordance with the Privacy Law, s. 15. l m Stats. County Road JJ I. Application Information - Please Print All Info Property Owner's Name R Parcel # Troy & Krista Peskar O - Z Z — / 98- a- Property Owner's Mailing Address r Z Property Location 400 West Park Street JUN V C, J vt. Lot City, State zik Code ST C ROI umber %, NW Y., Section 34 River Palls, WI 22 (Ch-k 0-) H. Type of Building (check all that apPIY) �� Lot # T 28 N; R 18 ❑ E Q W �✓ I or 2 Family Dwelling - Number of Bedrooms 4 J 6 Subdivision Name Block # 0 Public/Commercial — Describe Use City of State Owned — Describe Use CSM Number ❑ Village of f� 7 Z 'F l S / _ {J Z✓ Town of Wrinickinnic 1p �' /I /o✓ 0 III. Type of Permit: (Check only one box on line A. Complete ne B if applicable) A. 21 New System Replacement Treatment/Holding Tank Replacement Only Other Modification to Existing System (explain) --- System '0 B. Permit Permit Revision Change of Permit Transfer to List Previous Permit Number and Date Issued Renewal Before Plumber New Owner Ex tration / IV. Type of POWTS S stem/Com nent/Deviee: Check all that appW aw Non - Pressurized In- Ground Lj Pressurized In- Ground Lj At -Grade Lj Mound > 24 in. of suitable soil 0 Mound <24 in. of suitable soil Holding Tank ❑ Other Dispersal Component (explain) [:]Pretreatmem Device (explain) V. DispersalfIrres tment Area Information: Design Flow 4gpd) Design Soil ion Rate(gpdsf) Dispersal Area irad (sf) Disper=Area posed (sf) System Elevation 600 ✓ 0.40 �/ 600 I 600 Z 10&08 .� VI. Tank Info Capacity in Total # of Manufacturer Material Gallons Gallons Units New Tanks Existing Tanks jq Septic or Holding Tank 1200 1200 1 Wieser Prefab Concrete Do s 1 °g Ch=* ff 800 1800 1 1 Wieser Prefab Concrete VIL Responsibility Statement - I, the undersigned, assume responsibility for installption of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Si MP/MPRS Number Business Phone Number ger Ro Nelson MP 226497 715273 -4444 Plumber's Address (Street, City, State, Zip Code) 122 East Summit Avenue Ellsworth, VA 54011 Al VIIL Coun /De partment Use Onl Approved _ Di Permit Fee Date I ued Issuing Ag#ht Signature _ OvkmjB Kven Reason for Denial 1 $ � 6 - 7 IX. Conditions of ApprovaURensons for Disapproval 1v f0 I evemo"Op., 3) c) - t o v% 0 I. >i 1i* t**- M&j@nt f&W and dispemai cell must all be services I mak►birtad S �� °�✓` re- CJ as per management plan provided by plumber. T 2 .A# tMAack is must be maintained CAO G 611 76 e, 80 par appliftM V60010pdOwtooe system and submit to the County only on paper not less than 8 1/2111 inchWk size SBD -6398 (R. 01/07) Valid dim 01109 44 ASW*VO MSME bna iordl ft-wft, *0 *W 06 "A ST CRD�x COU TqTy PLANNING & ZONING NG EROSION & SEDIMENT CONTROL PLAN Site location: 54 County Road JJ, Lot 2 of CSM #772856, Town of Kinnickinnic Owner(s): Troy & Krista Peskar Parcel ID #34.28.18.531E Code Administration 715 - 386 -4680 Under St. Croix County Zoning Code 17.70(3)(b) 5: "The (Zoning) Administrator may attach reasonable erosion prevention conditions to a permit approved for issuance." In Land Information addition, Wisconsin Uniform Dwelling Code Comm. 21.125 requires the building permit Planning applicant and /or landowner to follow erosion control procedures and maintain them until 715 - 386 -4674 the site has been stabilized (Uniform Dwelling Code Comm 21 is available on -line at: www. commerce. state. wi .us /SB /SB- DivCodesListing.htmi) Real Property 715- 386 -4677 The Owner of the above parcel is responsible for notification of all contractors performing construction activities on this site that an Erosion & Sediment Control Plan is in effect and the Recycling 715- 386 -4675 following activities will be required in order to maintain compliance with the plan: 1. Maintain existing vegetation wherever possible to minimize erosion and sediment movement. The primary source for construction site runoff will be the house foundation excavation, driveway, well drilling, and soil stockpiled until final grading and stabilization is complete. Septic system installation adds to temporary disturbance, but establishing cover on exposed soils will prevent erosion. Apply seed and mulch as recommended in #5 below. 2. Install construction entrance before any excavation begins!! Construction equipment and vehicles must utilize a stabilized driveway access off public road for heavy equipment; this includes cement trucks, well drillers, and other contractor's vehicles that require access to the property during construction. Avoid muddy, rutted conditions that may allow contaminated runoff to reach waterways and /or drainage ditches. Property owner must repair damage to ditches resulting from multiple access points and sediment tracked on public roadways must be removed at the end of each workday. 3. Do not allow contaminated runoff to be directed onto neighboring property or into surface water conveyances. Create temporary diversions graded ALONG CONTOUR between excavated areas and any potential receiving waters (this includes driveway & road ditches) by routing contaminated runoff into vegetated buffer areas on owner's property. 4. Stabilize exposed soils (septic system included) with seed and mulch immediately after installation - do not wait for final stabilization and/or landscaping of entire site to establish permanent cover on the site. When late - season weather conditions will not permit seed germination, a heavy straw mulch cover will prevent erosion until vegetation can be established. Erosion control matting can be applied any time of year and, if installed properly, will provide protection even if seed germination is delayed. ST. CROIX COUNTY GOVERNMENT CENTER 1 10 1 CARMICHAEL ROAD, HUDSON, W1 540 16 715 - 386-4686 FAA Page Two — ESC Plan Acknowledgement Form The owner of record during site construction will be responsible for compliance with state and county code requirements as specified in this Erosion & Sediment Control Plan. Please feel free to contact me with questions regarding erosion & sediment control product installation. PLAN PREPARED BY: RYAN YARRINGTON, ZONING TECHNICIAN #683475 Owner acknowledgement of ESC Plan requirements: _/_/2007 (Please sign and return original ESC form to Planning & Zoning Dept. A copy is attached to the owner's permit and maintenance agreement, which is given to the plumber at time of permit issuance.) Copies provided for excavation contractor, plumber, and town building inspector ST. CROIX COUNTY GOVERNMENT CENTER 1 101 CARMICHAEL ROAD, HUDSON, W/ 54016 715- 386 -4686 FAA I • 1'rby &'grista Peskar 400 West Park Street Pro 0.0- ? Z.;,* z River Falls, WI SE ., NW %, S 34, T 28 N, R 18 W %innickinnic Township A Croix County Scale I"= 40' Weiser 12001800 tank BM #1 =100.00'on 7" tall Y4 "PVC pipe BM #2 = 99.90'on 9" tall # "pvc pipe next to steel fence post 3S' of 2 "force main for 2 AC,Res A O iJfE L �Z S� o c O 3 � 8r 0 Qo / . 4 / Bl 10 2' X r r �e Page 8 of f 8 Safety and Buildings commerce.wi. OV 4003 N KINNEY COULEE RD g LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 it i sconsin rtme www.c ommerce.wi.gov/sb/ C �.c ommerce.wi.gov /sb/ www.wisconsin.gov ommerce Jim Doyle, Governor M ary P. Burke, S ec re tary June 15, 2007 CUST ID No. 226497 ATTN• POWTS Inspector ROGER D NELSON ZONING OFFICE NELSON PLUMBING ST CROIX COUNTY SPIA 122 E SUMMIT AVE 1101 CARMICHAEL RD ELLSWORTH WI 54011 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/15/2009 Identification Numbers Transaction ID No. 1403638 SITE: Site ID No. 726317 Troy & Krista Peskar Please refer tb both identification numbers, County Highway JJ above, in all correspondence with the agency? Town of Kinnickinnic St Croix County SEI /4, NW1 /4, S34, T28N, R18W FOR: Description: Four Bedroom Mound System / New construction Object Type: POWTS Component Manual Regulated Object ID No.: 1135306 Maintenance required; 600 GPD Flow rate; 17 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 101), Pressure Distribution Component Manual - Version 2.0, SBD- 10706 -P (N.01 101) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s. 145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the component manual(s) referenced above. • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • The area within 15 feet horizontally down slope of the dispersal cell shall remain undisturbed. Vehicular traffic or soil compaction in this area is prohibited. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • Comm 83.22(7) - A cony of the approved plans specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department which may include local inspectors. P.O.W.T.S. Conditionally lly - - ROGER D NELSON Page 2 6/15/2007 Owner Responsibilities: • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Comm 83.52(1)(a) - The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, A. Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Gerard M Swim POWTS Plan Reviewer, Integrated Services (608)789 -7892, Mon - Fri, 7:15 am - 4:00 pm WiSMART code., 7633 jerry.swini@wisconsin.gov cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726-2544, Friday, 7:00 A.M. To 3:30 P.M. co c MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN a Residential Application INDEX AND TITLE PAGE Project Name: 4 bedroom Mound system _ 'ca 1 ' Owner's Name: Troy & Kristi Peskar CIO Owner's Address: 400 West Park Street River falls, WI Job address: County Road JJ Legal Description: SE 1/4, NW 1/4, S 34, T 28 N, R 18 W Township: Kinnickinnic County: St. Croix Subdivision Name: Lot Number: Block Number: Parcel I.D. Number: Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Plot Plan Designer: Roger Nelson License Number: MP 226497 Date: 05/25/07 Phone Number. 715 - 273 -4444 Signature: Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB- 10691 -P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) Version 4.0 (R. 04/03) Page 1 of 6 Dei'AR +tclEi.i �„ �Cik�r.;�K�t OfvlslON SAFETY AND EUILUINGS SEE CORRESPONDENCE Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) R Residential or Commercial Design Note: Sand fill (D) calculations assume a 400.00 Estimated Wastewater Flow (gpd) Table 83.44 -3 in -situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150 %) coliform of <= 36 inches. 600.00 Design Flow (gpd) 4.00 Site Slope ( %) 103.50 Contour Line Elevation (ft) 17.00 Depth to Limiting Factor (in) 0.40 In -situ Soil Application Rate (gpd /ff) Distribution Cell Information 100.0 Dispersal Cell Length Along Contour (ft) = I 6.00 Cell Width (ft) 1.001 Dispersal Cell Design Loading Rate (gpd /ft 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? Enter Y or N (c or e) a Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation ft 2 Number of Laterals of the highest point. 0.125 Orifice Diameter (in) (e.g. 0.25) 3.75 Estimated Orifice Spacing (ft) = 11.11 ff/orifice 2.00 Forcemain Diameter (in) 35.00 Forcemain Length (ft) Does the forcemain drain back? Y 92.00 Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 5.71 Forcemain Drainback (gal) 12.75 Vertical Lift (ft) 90.41 5x Void Volume (gal) 0.39 Friction Loss (ft) 96.12 Minimum Dose Volume (gal) 19.64 Total Dynamic Head (ft) 22.24 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection im dia. options choice in. dia. options choice 0.75 1.25 x 1.00 1.50 x x 1.25 2.00 1.50 x x 3.00 2.00 x 3.00 x Gallons /Inch Calculator (optional) Treatment Tank information Total Tank Capacity (gal) 1200.001 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Weiser 800- 325 -8456 Manufacturer gal /in (enter result in cell B49) Dose Tank Information Effluent Filter Information 800.001 Dose Tank Capacity (gal) JZabel 1- 800 -221 -5742 Filter Manufacturer 22,241 Dose Tank Volume (gal /in) IA100 Filter Model Number Weiser =Manufacturer Project: 4 bedroom Mound system Page 2 of 8 Mound Plan View T 1/10 -B 3 ❑ • J Observation Pipe — K A W — 1 B4 ..... W .... .....................I......... ...................... L Mound Component Dimensions A A19.00 ft E 21.88 in H 1.00 ft K 10.49 ft B ft F 9.50 in 1 10.62 ft L 120.97 ft D in G 0.50 ft J 7.70 ft W 24.32 ft 600.00 (ft Dispersal Cell Area 1 1661.93 (ft Basal Area Available 6.00 (gpd/ft) Linear Loading Rate 10.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 106.88 (ft) ---► 2 G H rrr�rrrr.(�rr {,•rrr,r.. F :::. ._-. r 105.58 (ft) Lateral �rrrir r ✓✓r✓ rrr r✓r✓rrr Dispersal Cell 105.08 (ft) Invert Dispersal Cell Elevation E' D ' ' J, J J a k J k F J J J k i J{ J k- s E x k{ J! . k. ] 1 { J k i J 1 J ,k { ]_'s { ]_k { - J :{ J T,, { • - k -.. 2 103.50 (ft) Contour Elevation 4.0 % Site Slope Geotextile Fabric Cover Shading Key '� _� Dispersal Cell See lateral details on Topsoil Cap 0 Q- 1.5 ft Page 4 for number, size, Q rrrrr Subsoil Cap a c and spacing of laterals. ASTM C33 Sand .i° F Laterals are equally Tilled Layer 5 a� 0.5 ft Typical Lateral spaced from the ,0 5 distribution cell's 0 Aggregate v o .r'= `_:�'�° ° `_�_"'�'.� "�= _�'__'_ °___ centerline in the * — A '-'— distribution cell (AxB). Project: 4 bedroom Mound system Page 3 of 8 I End Connection Lateral Layout Diagram Laterals centered over the A & S dimension 0 = Turn -up nibaII valve or oleo noutplug ` I P All laterals are identical I<- X —� Holes drilled on the bottom of the lateral equally spaced S Force main connection via tee or cross to manifold at any point. Laterals & force main of PVC Sch 40 (per COMM Table 84.30 -5) Number of Laterals 2 Orifice Diameter 0.125 in Lateral Diameter 750 in Orifice Spacing (X) 3.79 ft Lateral Length (P) 98.54 ft Orifices per Lateral 27 Lateral Spacing (S) 3.00 ft Orifice Density 11.11 felorifice Lateral Flow Rate 11.12 gpm Manifold Length 3.00 ft System Flow Rate 22.24 gpm Manifold Diameter 1.50 in Total Dynamic Head 19.64 ft Forcemain Velocity 2.27 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and ----► Comm 16.28 WAC Disconnect 4 in. min. Tank component is properly vented E— Aftemate outlet location Forcemain diameter Weiser 800 - 325 -8456 Manufacturer 2 in. Capacityl 800.00 Gallons Volume 22.24 gal /inch A Weep hole or anti - Dimension Inches Gallo B siphon device A 19.65 437.00 B 2.00 44.48 C Pum off elevation (ft) C 4.32 96.12 92.83 D 10.00 222.40 D Total 1 35.971 800.00 Dose tank elevation (ft) 3" Bedding uncTer tank. 1 92.00 i Alarm Manuafacturer IS. J. Electro Systems Alarm Model Number 1101 HW I ; Pump Manufacturer I Goulds Pump Model Number JPE 41 Pump Must Deliver 1 22.24 gpm at 1 9 ft TDH Project: 4 bedroom Mound system Page 4 of 8 Mound System Maintenance and Operation Specifications Service Provider's Name Installed by Nelson Plumbing Phone 715 - 273 -4444 POWTS Regulator's Name St. Croix County Zoning Phone 715 - 386 -4680 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg /L Septic Tank Capacity 1200 gal Maximum TSS 150 mg /L Soil Absorption Component Size 600 fe Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu /100 mL Service Frequency Septic and Pump Tank Inspect and /or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 ears Pump and Controls Test once every 3 years Alarm Should test month) Pressure System Laterals should be flushed and pressure tested every 1.5 years Mound Inspect for ponding and seepage once every 3 ears Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage 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 soil erosion and help reduce frost penetration. Lateral Turn -up Detail Finished ........... e, •��• Grade 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: 4 bedroom Mound system Page 5 of 8 . Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD- 10691 -P (N.01/01) and SSWMP Publication 9.6 (01181)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet fitter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October- February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BOD 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD 30 mg /L TSS, 10 mg/L FOG, and 10 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Continnencv Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: 4 bedroom Mound system Page 6 of 8 i LewuLDS PUMPS Submersible Effluent Pump PE "Mms mom MAW Glnawl: ■ Corrosion resktan, • 1W NPT • Single Phase consmion. • T :104%f (WO M W Hetu ■ Cast iron body. ma eonomwo when. • 115 volts ■ Th&M*as& imWW and k* su • BA4n donna! o wkW prof Cover. • Solids 'no- A* *cdmwishadomekrent • Upper sleeve and lower n" sphere. • Class Motion. M" duty W bearing AKLiCa11TlONS models kKkdea • O4filied design. torubrt don. float • High stle O carbon steel ■ Motor is permanently for the • Manual s available. shak lubricated for extended f wng t: • Pwn . range: we PE31 Motor: service Ills. • Mound Systems =IFU daft or Curve. • .33 HP, 3000 RPM r Powered for Corhrrucws • ElikrenVDosing Sys4 P : • 12.0 Madrn<rm amps Operaton• • low Pr+essuae Pipe Systems • Mandm capadty: 50 GPM • Shaded pole design • AN adirrgs are Mft the • Basement OrBfning head: 25' 1DH K41 Moto. wodd limits of the motor. Hem D" PE4 • .40 HP, 34DO RPM ooM, 20 standard lengdt. • f �a . cepad!Y 60 GPM • 7.5 Maxinxrm amps be" duty d kn , • head 29' 1w i9n NEMA 5.1 SP, thrrte prong, PE51 PE51 Motor: 115 volt gtowdM phrg. • Mmftw I caped y.. 70 GPM • .50 HP, 3400 RPM • Compkee w* is hen duty, • Mkidm i head: 37' TDH • 9.5 Mmdm m amps METERS FEET • PSC design M MedwrkW seal is carbon, d0 Ceramic, am and stainless - t' :a . ,- .....�..;.. vim, 35 ` - a3..a3. _so ■ Stainless Steil %stefm. 10 :7 ::.i : :: 'f' :: :: :f..:: r{ 2GPM _ t .c........_ _.i..;........: AGW L1S IM l... _�..� ...._i... _ I FT _ 1__ .......� t �' ° e ! 7 1 a .1... ..y- J. t.-. ..✓ .1. i •1 } CO US + • Teldoad fo IN 7713ard 4 . ::+:.;.:., .. 1.t: t �..3.. +.._. ::: CSA 22210A btartd" 4. 25, GOMW pow k ISO ow 4100met ' 4. t z: -1 ttz:, 04. 0 0 ' 10 20 40 so ('01 70 GPM so aq 0 Z 2f 4' 10 1 S M4 ✓ Got S �tNt'VS CAPACITY Eft"Ve November. 2 G� ITT industries aPE3t/41 r My & Krista Peskar 400 West Park Street P I Z. ;•. C River Falls, WI y 3, Sy, SE %, NW :, S34, T 28 N, R 18 W N Alnnickinnic Township SL Croix County Scale I" = 40' Weiser 12001800 tank BM #1= 100.00 7" tall , "pvc pipe BM #2 = 99.90an 9" taU a "pvc pipe n to steel fence post 35' of 2"force main L•ot 2 - 5..°( AGReS 9 a W fi L l3Z S, m �•� s c %a � 8M 1 c D 3 � Sin 0 v O• � � x � Qo / i J 0� �r X r r �e n Page 9 of 8 Wisconsin Department of Commerce SOIL EVALUATION REPORT of 3 Division of Safety and Buildings Page in accordance with Comm 85, Wis. Adm. Code County - Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must Y Include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. vie a by c ate Personal inform ry purposes (Privacy Law. s. 15.04 (1) (m)). ation you provide may be used for. C 2 8 2003 Properly Owner, Property Location ST. CROIX C U vz?�D \'G1 - f S 1/4 N E 1 g E (o Property Owners Mailing Address of # Block # Subd. Name or CSM# City State Zip Code Phone Number E3 City C] Village Town Nearest Road LZ- I (Ms ) q?3 -SSS `t_i >J�JtC1 -_tN)j LC R New Construction Use: ® Residential / Number of bedrooms �_ Code derived design flow rate �, o o GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material VA 1 Flood Plain elevation if applicable N PN ft General comments and recommendations: M U r D �S�l�l bL3`110 y.J CELL.. - D�17j v2 �Z�1i . l •S ' ED Boring # ❑ Boring ❑ pit Ground surface elev. Z - ft. Depth to limiting factor 1 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft' in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. •Eff#1 •Eff#2 0-9 } DI 2 3 ! z � s l 1 Z `Fs b� m`�1- C LAJ Z Q —L1 l0` IIZ4 )1� Boring # ❑ Boring II ® Pit Ground surface elev. L Depth to limiting factor a r Z in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munself Qu. Sz. Cont Color Gr. Sz. Sh. •Eff#1 'Eff#2 Z Sb�c y► �`� 1; CS .�' , ..� 3 3'0 -3S !�l`�ttbl3 — LS$1Z — .— .�- ., tj• • Effluent #1 = BOD, > 30 < 220 mg/L and TSS >304 150 mg/L • Effluent #2 = BOD, < 30 mg/L and TSS _< 30 mg/L CST Name (Please Print) • Sig , ture CST Number Ar> hur L'. Q 3 ZS 220254 Address W e g e r e r Soil Testing & Design S e r v i c e Date Evaluation Conducted Telephone Number 421 N. Hain St. River Falls,- NI 54022 10 —q— 03 715- 425 -0165 r Property Owner Parcel ID # Page �'' of P�l Boring # 1❑ Boring L1SI Pit Ground surface eiev. l� ft. Depth to limiting factor Z In. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft In. Munsell Qu. Sz. Cont. Color Gr. S Sh. •Eff#1 •Eff#2 ' fl -10 ! b` fL3 L 3 S 1 (—*-S b 12 vn Gw Z to - 1 0-1 by w, 0-LI-) , zo 3 b , — s1` Z ►v, s6 ►��t cw . 6 �f 6- Z -1 Z.3ly F-1 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor In. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff #2 ❑ Boring # ❑Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in, Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. > -Eff#1 *01#2 s • Effluent #1 = BOD, > 30.< 220 mg /L and TSS >30 < 150 mg /L • Effluent #2 = BOD, < 30 mg /L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 -26G -3151 or TTY 608 -264 - 8777. SBD -8330 (R.W00) Property Owner \,T—. Parcel IQ # _ �� . h1 G Page LLof Boring # I❑ Boring hLSI Pit Ground surface elev. l_ �y . y ft. Depth to limiting factor Z In. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 lDyYZ313 - s 1�S Vq")t1^ Gw 23/ — s 1 0 VC m wL�i C-L" Boring # ❑ Boring ❑ Pit Ground surface eiev. R. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 F-1 Boring # Boring ❑ ❑ Pit Ground surface elev. R. Depth to limiting factor In. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /R In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ; •Eff#1 •Eft#2 Effluent #1 = BOD > 30_< 220 mg/L and TSS >30 150 mg /L • Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer.. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608- 264 -8777. SW -9330 (R.000) Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Attach com lets site Ian on County P p paper not less than 81/2 x 11 inches in size. Plan muster Include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow Parcell.D. , and location and distance to nearest road. - Please print all information Reviewed by Date Persorial inforTnation you provide may be used for. (Privacy Law, s. 15.04 (1) (m)). .. ... .. ry purposes Property.Owner.,. Property Location Go+r"&_ 1/4 NL171 /4 S 3 T N R Z Property Owner's Mailing Address - p E (o Lot # Block # Subd. Name or CSM# City State Zip Code Phone Number City ❑ ❑ Village 4Town Nearest Road o L I nis 13 - S SS `tz i !v Ut C 1z 1 N )v tc -�. `` S' S New Construction Use: ® Residential / Number of bedrooms _ u Code derived design flow rate O p GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material L Flood Plain elevation if applicable N General comments n• and recommendations: "W.) J) Vj /G `Y_ w0 b�S -t gU'no&d CELL. >� Iii► ) )- I U M 1 g k U F Fl LC. , Q- Drj - M v2 NZqY . 103.5 Boring # ❑ Boring I 1 ® pit Ground surface elev. 1 \D 1 - 0 g. Depth to limiting factor 1 in, Horizon Depth Dominant Color Redox Description Texture Structure Consisten Soil Application Rate ce Boundary Roots GPD1ft in. Munsell Qu. Sz. Cont. Color Gr. Sz Sh. 'Eff#1 'Eff#2 C) —9 Z Z -t 1iylrz31� Al 3 i1 -Z3 )0 `lie -6 13 El Boring # ❑ Boring Pit Ground surface elev. & Depth to limiting factor 3 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft dn: " Munsefl" ' ` Qu. Sz. Cont Color Gr. Sz Sh. ____4 'Eff #1 - I Eff#2 t Effluent #1 = SOD, > 30 < 220 mg/L and TSS >30 _< 150 mg/L . . - ' Effluent #2 = BOD, < 30 ffQ1L and TSS < 30 " CST Name (Please Pnnt) ti g er Arthur LWegerer ` si m CST Numb � `(� 3 _ .. 220254 Address. We g e r e r Soil T e s t in o & Design Service Date Evaluation Conducted Telephone Number 421 N. 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(n 8' -1 1 /8" z 3' -5 3/B" I I LL .I a CX235 R . . I E I 5' -31/4" x 3' -5 3/8" LL C iei W 4 � j N i6 "o.c x� a 117I8"TJI's 'm 60 it m n N I yr LL O m 'a_ 4 6,Z I I I I I I Zo ^ o LL _ II ��1 :3 I I 1 In I` I C II � fn 7la \ Ip I O a J II \ I I m co m o / J / I co i I I r , • 11 718" TJi'e S O\ —021 AI i o wa I I r \ \ p/ o \ r -Z A 8 Z-a „9,9 W N am 21 EO 4-- . ............ o M. 0 N Lu 9 .... ................ ;� Z' iD LL LL C �2 ) 03 > 04 —J co ED I., I % 0 m w L't 0 LL =JN irZ'M.L— Z 2 1 OC- 7 ) T Nl-- x 112"M,Lam R X w " z 4� fe L IYZ7777zlzl LLI ".0-V Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code P P p ape r County ST • �, TZ 0 Attach comple site Ian on a er not less than 8 1/2 x 11 inches in size. Plan must 1 include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. �N 1 rj percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please Print a Reviewed by Date Personal information you provide may be used fir secor� �lmL�4- v Law, 15.04 (1) (m)). �D Property Owner roperty Location i I V �— 0 U[ I I 2 1 S C 1/4 t 14 S 3q T Z N R i8 E (o W Property Owners Mailing Address # Block # Subd. Name or CSM# S T. LI��LI�[ � Cori '\ ,_; — pR.oPOS CSI^ City State Zip Code Phone ❑ City ❑ Village ® Town Nearest Road ZU R- VUS I J j1 5'4 0ZZ ( - I IS) 4ZS -SSSZ `�jQrv1Cam!)�j"LC C-`t` " y ® New Construction Use: gj Residential / Number of bedrooms _ Code derived design flow rate 60 n GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material T LL Flood Plain elevation if applicable Genera{ comments and recommendations: �U � yv� (� `g�ZleU 0 OLELL, W`x I^'1 ! ►v ! M u ►+.� 1 S ' 0 F- S i'a� FILL-. ALm 6 L Cz�� C r'J `1�v CZ- I 1 1 Boring # ❑ Boring 11 '' I1 Q pit Ground surface elev. 1 O Z - 3 n Depth to limiting factor �- 3 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 O - O` t (L 3 1 Z — S ! Z`F5 1z ►vl` C LJ — S ' 8 Z 11 -i3 lo�rz -3lC. Z�isbk 3 Z 3 - !bLiR -3)v �l�`l•S`i2 SAS a Boring # ❑q Boring f[y pit Ground surface elev. q p ! - ft. Depth to limiting factor Z in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 0 -�3 lcrt2 31z — S ! l3 ZS !0`'!2316 - kn ° ) - • S 3 z -�o l0`i 231� 'FI'� c S b � Vn'� �Z 3 ' Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS _< 30 mg/L CST Name (Please Print) $ign CST Number Arthur L. jdegerer'` t�3 -a3 220254 Address W e g e r e r Soil Testing & Design Service Date Evaluation Conducted Telephone Number 421 N. Main St. Falls, WI 54022 715- 425 -0165 Propert y Owner � � , S�rC Pf Parcel ID # 1 v171►v G Page 2 of 3 Boring # ❑ Boring 3 Pit Ground surface elev. • S ft. Depth to limiting factor Z� In. Soft Application Rate Horiz 'Vepth Dominant Color Redox Description Texture Structure Consistence Boundary Roots , GPD /ft= In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 o _1 U o-1 rz 31z — S i 1 Z'fs b tivi ew , S 6 Z �o - Z� �� trL 316 S � � i z�s blt Wl ��, --• , y 3 Z� �g to y 23 J� �F �� S e.1 1 �s�� r►a`F1- _ F-1 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft= In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 i ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft' In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 • Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 -266 -3151 or TTY 608 -264 -8777. SBD -8330 (R.6100) PLOT PLAN Page 3 of 3 Scale 1' r. 8.Z �< j `�� b i O � o C C- 3+� 1# i_ - Pz1?- ='Jl PIPE j r y�' a' v 'S b - A 3 715- 425 -0165 220254 CST Signature Date Telephone No. CST No. Job NO. Wisconsin Department of Commerce SOIL EVALUATION REPORT Division of Safety and Buildings Page 1 of in accordance with Comm 85, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and -� percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel ID percent Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy taw, s. 15.04 (1) (m)). Property Owner Property Location V �1ZtJON p��L )� cjt: 1/4 YJ1/4 S 3 T Z-� N R l8 E o W Property Owners Mailing Address t Block # 1 Subd. Name or CSM# City State Zip Code Phone Number City ❑ Village ® Town Nearest Road I c I 1 5 \1 0 u. (Z I S) 4 SS 1zt 1. �►`,1 C C - - y ® New Construction Use: ® Residential ! Number of bedrooms Code derived design flow rate 60 O GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material T \ L L Flood Plain elevation if applicable N ft. General comments and recommendations: E Boring # ❑ Boring ® pit Ground surface elev. ) O Z - 3 ft. Depth to limiting factor Z 3 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots G in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 I o - � �k-LrL3 ) — sil -..) b -S Z 11 -i3 Lo- .ri=3I _ ` S 1 Z ltiL sb k Mf- cta - 's .g Li 254S a Boring # T] Boring n p Pit Ground surface elev. 'L `_ ft, Depth to limiting factor Z S in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell - Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 - •Eff#2 0- IOLt 2 31 Z _ S l -. � Z� Sd 1t 1vL`�- w S $ 13 ZS o !o`�lfZ 31� 3 ltJ`�231y - ) ..s L -S c 1�sb� ►n�F ^Z .. �3. • Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BOD s < 30 _ CST Name (Please Print).{: Sign re _ and TSS < 30 mg/L .< Arthur Z. Ifiige` rer'` - 0 _ >A_ CS Number Address - 22 0254 ` �� e e r e r Soil i l a ate valuation Conducted g T estin g s t i n g & Desi s i g n Service D E Telephone Number 421 N. Bain St. ` River Falls, VI 54022 — O--� 715 -425 -0165 Property Owner Parcel ID # Page Z of Boring # ❑ Boring 3 pit Ground surface elev. • 3 ft. Depth to limiting factor Z I in. ' Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 • Eff#2 Z l0 -Z I `11Z 3�6 S t C 1 Z`Fs bar I WL ctN -- , k4 3 a --Z. l0 `2CZ3 Jtf 9-I- F - I- SI-1ZS - c 1asbk M'ff -, • z. - 3 Boring # ❑ Boring ❑ Pit Ground surface eiev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft= In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 i F-1 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soli Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft' In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg /L • Effluent #2 = 13013, : < 30 mg /L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, lease contact the department at 608 - 266 -315 _ P P 1 or TTY 608 -264 8777. SBD -8330 (R.6/00) PLOT PLAN Page 3 of 3 Scale 1' _ X10' �a i 02" D �SlU2..8 r �i-t S ►1 di `i M Ft % PIP E -,-P C/ S -1 6-O 2.715-425-0165 220254 .03 -8 3 - F) CST Signature Date Telephone Pdo. CST No. Job NO.