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Home My WebLink About018-2019-79-000 (2)Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes IPnvacy Law, s. 15.04 (1)(m)]. Iwumy St. Croix IM ROLLING HILLS FARM OWNERS A% I TOWN OF HAMMOND 018-201946-000 CST BM Eiev: Insp. BM Elev. BM Description Section/Town/RangwMap No: I^IR4 -) - 1 117' 1 LI .1% 29.29.17.VW TANK INFORMATION TYPE MANUFACTURE CAPACITY Septic Dosing 5f ciq\q Aeration fi%AdS/ TANK SETBACK INFORMATION TANK TO P! WELL BLDG.ptoAir ROAD Septic Dosingii-ptIM Aeration Holding PUMP/SIPHON INFORMATION P(r T 1v,L, Z�•kZ Manufacturer Demand S GPM O� Model Number ay It LJI z TDH Lift Friction s3, Syste Head TDF�_� Ft i Foroemain Length q.S Di 1t �N Dist. to Well SOIL_ ABSORPTION SYSTEM ELEVATION DA -31 loes.IL STATION tB` J 77 10 HI FS (D LEV. �ZA Benchmark Alt. BM Bldg. Sewer St/Ht Inlet SUM Outlet Of Inlet IO. rpjQ Sr Dt Bottom 3,2 Io7G 5 1. Header/Man. 3. F 3, 4 F OO Dist. Pipe 3,bG •ibl' �('4 L. 108g1i; Sot. System • 57Y l6n 28 F al Grade �� " L( I" CU &--j —s u StC0V 3.1q logs,g6 C. �•�0 /0t?2,20 �J4tt 3 • �Z- lost. z�' I a- LO E MENSIONS Width r �F Length r ��-1 No. Of Benches. I PIT DIMENSIONS No. Of Pits Inside Dia. Liguid Depth SETBACK INFORMATION SYSTEM TO Type Of System: MCoUXA I P/L i' JBLDG &11A IWELL �v/� LAKE/STREAM LEACHI - CHAMBIT Manufacturer el Number - rNSTRIRI ITIOM LQVCTFM 1 Lti r.r1L ro Ill , A L•.—YY O/ I 1 HeaderlManifgd tl I ly Distribution / Y r Pies P ( ) O Hole Size t s/ 1 x Hole Spacing i Vent to Air Intake �'']__ �Jv7t� Length 1' Dia l 1 ,Gt9i Length oia Spacing ,3�. � 1`r SOII COVER / : idr6ae..re nnw vv Mnund Or At -Grade Svstems Only Yh 411, nu. Ll• BldQtepWCenter ��jR 0 p r ® L-I Depth Bed?re Over Edges>, 2 IV Topsoil th� 1 g� J xx Seeded/Sod Yes ❑ No Mulched Yes Q No COMMENTS: (Include code discrepencies, persons present, etc.) Location: 161175TH AVE L')(uK5 1.) Alt BM Description = nrn ��:� 1 V'•e%V ` J 2.) Bldg sewer length = LOP'A d., q 1j - amount of cover = ( d ver-eu ® i✓V f//-- 7 1 Vglut? Irw-, orb i,"- Lips A' && Q,-1k L0.0 �d Inspection #1: (0/1 / VAJ aInspection #2: %l2pY.o �W) �:"..' M-Z:13"p.4 IkvuvJ �'eP4-It eu;w mjv - Plan revision Required? ❑Yes o] No / /r -7_ �% / Use other side for additional information. C! (1at c-V p - /s Signature SBO-6710 (R.3/97) � Date Insep—cto-r/'s ignature Cert. No. t'�aa( 4-n,� S ►v,adi 4 — ;L77 ECEUVELU Safety Buildings Division County St.CfO1X and saanini[ ary PerNu®Ixr (m be sued in by co.) Y• ; � 1 W. Washington Ave., P.O. Box 7162 S PE i AU6 27 2019 Madison, 53707-7162 Z- CO Applicati stale'rransaction Number In accordance with SPS 393.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental umt 081901572 C Project Address (if different than mading address) is required prior to obtairr%a sanitmy permit. Note: Application forma for state-owned POWTS are submitted to the Doper Intent of Safety and Professional Servies. Personal information you provide may be used for secondary in aoollrdance, with the Privacy Law, s. 15. 1 m, Stets. D {� L Appikadan, Information- Pkase Print AB Information CN Pmperty Owner's Name Pareel # % / Rolling Hills Farm Owners Association Inc 018-2019-=-000 property (Tuner's Mailing Address property Location 3435 Labore Rd.STE 150 Gore. Lot Yy SW v,, Section 29 City, State 7.ip Code Phone Number Vadnais Heights Mn T 29 N; R Eor 77 teh°'Eo dW D. Type of Building (check all that apprks Lol a SubdiVl9ioa Name ❑I or 2 Family Dwelling - Ntunber of Bedroo 12 /� Block Rolling Hills Farm # JJ�� ❑ Publie/Commeroial - Describe Use 0 ❑ City Of ❑ State Owned- Describe Use CSM ❑ Village of Number CIT.of Hammond S X /4/ erWe M. T ' (Creek only out box on fine A. Complete line B if applicable) )-1 New System ❑ Replacement Syskm ❑ Treatment/14olding Tank Replacement Only ❑ Other Modification to Fx sbng System (explain) B. ❑ permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑Permit Tmnefor to New List Previous Permit Number and Date Issued action: Expuatian Owner I / W. Type of POWT'S mlCm t/Devka Creek all that apply) ❑ Non-Pneeaxrcied In-Omumd ❑ Pressrrood In-Capmd ❑ At -Grade )❑ Mond> 24 m of suitabk soil ❑ Mound <24 m. of sWW& sod ❑ Holding Tank Dispersal Component (explain) ❑ Pmbcetment Devi« V.11tispenut t Ara Informs ' a: ' Design Flow (gad Design Soil Applicati RsJggpdsl) Dispersal Aura (si) DArea st) System Elevation �jb3 f 1800 1.6 1000 kti 1128ispersal 1083.22 VI. Tank Info Capacity in Gallons and Gallons # of Units Mmufactmer Sim Tec Filters o a e $ 8 '�' New Task. Fiuskag Teske IG in m vi i+. C7 a Septic or Holding Tad[ Doamg Chamber 1250 1 1250 1 1 Wieser Concrete x VD. Beapttnl6ilily $tak�Rt- t. foe nadeatiped, asase VY'f3 aMwa am tle a/tasaed pYaa Ph®ber's Name (Print) Plum T, MP/MPRS Nwber Bmmeae Phme Nlmbcr Keith Knudtson 648443 651-4 -Im Plumber's Addnesa (Street, City, Stdc. Zip Cade) 927 150th St Roberts Wi 54023 VHLCoutity/Deruartment Use Only Approved Per/mist/,Fes i ' D9ale ([ / lst Si suin van Reason for fenid rrr ✓ / / IX. Condi - •n•om for Disapproval r t. Sept! tark,ellu �: Bo nt I1 C i I t'_ra.Ia4"'a i,V J 1^e- s3, o spec : , cell mttdt all be s �c . s_ rr ., " -lWz SL as �namlg men' p1-n pp o iaeh W plwn�l;. u// �^ per i /� ee4back rtx'U/M BM5 fMlaFaa { :aiM JI E er Par apphWaaa Ter & / a intalm". Attack le caatptete piano for ne system and sabaat Is sae t Iy aaty oo paper not less tut a In x II SBD-6399 (IL 11/11) nr O 40 ,._per. DWF o11800 gels. /1.80 l 1125 eQ. % /B8.. 141 A. Lob 48 61 Bn wi \ eM41 .1e1 BN. -feK 40 •1 BMYI.T%WMEWNMO MOS eN •i°esfa — - 75th Ave. BM ELEV.— 75TH AVENUE 1076.09 � SAA°4T.59"W R91.faR' 6.57 89,09, 88.89' 84,91' 85.26' 85.23' 85.20' lb TFNN 1609 FN41611 PNN 160OT9 LOT LOTN N ts,781 S0. 50 51 N 3FT. Tb LOT s LOT s LOT o LO1 L FT' FT .WEL 5GoWF. 8 53 o 54 o 55 W •WELL DWF= 0' 5009pd DWF= 6Ogiod gpd 21,781 SQ, FT. 21,781 SQ.acx.ar600 21,781 SQ. 21.781 SO 4'Beh. 40 PVC c 4'Sch. 40 PVCBug.Bewa IYdyeewerFT. FT. y HOM IFB00 a MOM H-000 Heat H-000 Slo/8epec65.ee 85.26' 65.23' 85.20''M Proposed 8.0' K 141' Mound Dlepersel loafed along the 1002.22 contour wp "tern Elw. of 1093.27 re297 BMELEV. 1075.86 ""' m • WELL r�t1 N = 600 gpd 1 1 HeM H.eoo A wN - low iz &ep e'.n Peac49'E1WA2' F. 10p19} K4r 9 560.24 1084.7T eMI -�iNOW Outlet - 1040.72' a•be 4" Bch. 40 PVC or Aetna D-3W4 PVC Conveyancer Pipe. Proposed Duplex T Sa, 40 PVC F.M.a oe,Y2z ., Proposed wittier Ooncrate Rolling Hills Farm Residential Property WLP1260�MB W/ Duplex Pumps Owners Association INC. Bx-11108222' w/ Slrntech STF-100 FlBan, Outlot 2 1080.22' SW1/4 of Sec 29 T29N-R17W Mound Site Is an Open Gress Slope Township of Hammond - St. Croix County N Typical of each b[ N411 be 4' 9oh. 40 PVC Bldg. Sower OUTLOT 2 Pipe Materiel per ASTM Standard (Tables 384.903 & 3B4.Wo) 42.71 ACRES Insulate Building Sewer per SPS 382,90(11)(a) and Provide lroet protection per BPS 383.43(0)(4)c WPe. 10 B7.S4' 7A No79.8!pC 1,SS0,85B80.Fr. POW2MS August 21, 2019 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 2021-08-21 Plan Review: PWTS-081901572-C KEITH E STONER 23220 Woodcreek Rd Siren WI54872 DIVISION OF INDUSTRY SERVICES 2331 SAN LUIS PL GREEN BAY WI 54304-5211 Contact Through Relay httpJ/dsps.vA.gov/pmgramsrwWustryse ces www.wisconstn.gov Tony Evers - Governor Dawn Crim • Secretary C '::TrNALLY rcPT G':- -FTY AND 1 • -.-w ._ Icy, L �-RvicEs .:`-'I'-11:a4 OF :%!I LSTRY SERVICES SITE: BefteffMbft mv<Swi+ad► 1609 75th Ave. Hammond WI Town of Hammond Saint Croix County Total Amount: $325.00 Pressure Distribution Component Manual — Ver 2.0, 58D- 107606-P(N.01/01,R 10/12) Mound Component Manual — Ver. 2.0, SBD-10691-P (N.01/01, R 10/12) Descrindon: 1800 GPD (12 Bedrooms — New Construction) Maintenance Required The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be concocted and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. 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: • Preserve dispersal area prior and during construction to avoid disturbance, compaction and use of the site. • With new construction; it is recommended not to activate the pump in the dose tank until the tanks are pumped prior to homeowner occupancy. • Wastewater generated from contractors cleaning of equipment and tools and/or left over construction products shall not be discharged into the drains discharging to the private onsite wastewater treatment system (POWTS). Waste generated shall be properly disposed of on -site or off site. • Any tall grasses, Waves and shrubs shall be cut short and removed prior to tilling the surface for installation to prevent matting under the dispersal area. All loose organic material to be removed from mound area. • Divert surface water from PO W TS Area. • Prior to construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. Smearing and compacting of wet soil will result in reducing the infiltration capacity of the soil. Proper soil moisture content can be determined by rolling a soil sample between the hands. If it rolls into a 1/4- inch wire, the site is too wet to prepare. If it crumbles, site preparation can proceed. If the site is too wet to prepare, do not proceed until it dries. • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building sewer beyond 30 feet per SPS 382.30 (l l)(c) • Well setbacks to meet chs. NR 811 & 812 • Tank Installation to follow all manufacture's recommendations. • SPS 383.54(l)(e) The management plan for a POWTS shall specifically address the servicing mechanics of an aerobic or anaerobic treatment tank or a holding tank where either of the following conditions exist: 1. The bottom of the tank is located more than 15 feet below the elevation where the servicing pad is located. 2. The bottom of the tank is located more than 150 feet horizontally from where the servicing pad is located. • Verify property line(s) prior to installation. • Pump Floats to be set and verified per approved plan. Any changes may result in pump resizing to meet TDH and GPM Specifications. • Areas that are occupied with rock fragments, tree roots, stumps and boulders reduce the amount of soil available for proper treatment. if no other site is available, trees in the basal area of the mound must be cut off at ground level. A larger fill area is necessary when any of the above conditions are encountered, to provide sufficient infiltrative area. 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 SPS 383.54(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. A copy 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. All permits required by the state or the local municipality shall he obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Industry Services 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 conceming 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 and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, 171,_;. ell," Ai Tim Vander Leest Private Sewage Plan Reviewer, Division of Industry Services (920)492-2214 , Mon- Fri, 6:00 a.m. - 3:30 p.m. tim.vanderteest@wi.gov Index and Title Sheet Project Name: Rolling Hills Farm Shared Sanitary System for Lots 49-51 Property Owner: Rolling Hills Farm Residential Property Owners Association LLC Address: C/O of Tyme Properties 3435 Lahore Rd. STEA 50 Vadnais Heights MN 55110 Legal Description: Part of the SW '/. Section 29729N-RI7W Township: Hammond County: St. Croix Subdivision Name: Rolling Hills Farm Outlot 2 Comp_ #/Parcel ID: 018-2019-79-000 CONTENTS Page: 1 Plan Narrative Page: 2 Plot Plan Page: 3 Mound Plan View and Cross Section Page: 4 Lateral Layout Page: 5 Dose Chamber Cross -Section Page: 6 Pump Curve Page: 7 a+b Duplex Pump Panel Specifications C VEIT F :o E' Lots: Sanitary System Serving lots 49-51 Page: 8 Hoot Systems H-600A Tank Specs. and Hoot Service and Inspection Form Page: 9 Management and Contingency Plan Attachments: Soil and Site Evaluation Reports, Sample ATU Servicing Agreement and Hoot Systems LLC Product Approval with maintenance requirements. Mound Component Manual Used = Pressure Distribution COmoonarit`l1/ Designer. Keith E. 2.0 SBD-10691-P (N.01/01R. 10/12) ;rsion 2.0 SBD-10706-P (N O1/01R. 10/12) License # Designer 157-007 Signature: lILGlt P _,:�, _i57'3Datf: 8-9'19 Phone # (715) 653-2324 Page l of 9 Plan Narrative The following shared sanitary system design discussion focuses on the proposed 12Bedroom/ 180 gallon per day sanitary system to serve Lots 49 thro 51 of the Rolling Hills Farm Subdivision. This plan complies with the St Croix County Land Use and Development Ordinances. A "Conservation Development', Rolling Hills Farm is designed for 77 lots serviced by 22 dispersal components located on common ground. Appropriate easements and maintenance language were required prior to final approval. The St. Croix County subdivision ordinance requires that each buildable lot has a soil and site evaluation completed. For these 3 lots the mound dispersal area will be located within the existing tested areas for lots 49 and 50 within the common area. The sanitary easement for these three lots is designated as drain field easement area 15_ A four bedroom maximum design flow has been established for each lot The county will require a sanitary permit for each lot prior to construction for setting the septic/treatment components verifying the design flow for each lot. These lots will required to set an aerobic treatment tank with built in trash capacity that will be connected to a 4" conveyance pipe that will gravity flow to a common duplex dose tank located — 20ft. south of Lot 49's south lot line, that will alternately distribute the highly treated effluent to a common mound dispersal system consisting of an 8 ft. x 141 ft .dispersal cell. The soil tests completed by David Steel are provided. The BM for the soil test for Lot 50 equals 100.00' or 1086.00' using NAVD 88 Datum. A series of wooded hubs were set around the sanitary easement area as well as shots taken on the existing lot irons. As it has been 16years since the original soil tests, a surveyor was hired to locate the existing irons and staked the easement area as the agricultural fields within the subdivision had continued to be cropped and some of the t-posts marking the lots were disturbed. DWF of 1800 gels. 11.801 1128 sq. N. /St. • 141 8. Lob 494% ft#1-7a e•.. -IN am".T°°MMilad. Hd erv. -I=to 75th Ave. MELEV.75TH AVENUE-r-i S89047'59"W 891.98' 1076.09 89.09 88.89' 4.91' 85.26' 86..`82�3' 85.20, �FNa 1609 �FN81611 FNM 1613 I I LOT g 49 i? LOT 9 LOT 9 N )AR. 21,7e1 SO. 50 51 FT. 27,781 SC. 21,781 SO. LOT LOT LOT LO? • WELL DWF >s F7.. vEu �+ WELL DWF= 52 53 54 8 55 t0 1'n B00 ®Pd DWF = 800 GPd 21,781 9O. 21,781 $O. -1e2200 600GPd FT, FT. 21,781 SO. 21,781 SO anw l aehBwe 4owe 4°ecn.p we Bp.Bwwr FT. FT.Bltlp. o How H000 Bide, 8 H 01 H-000 &e/8ptb _&oi8H alel �\ \T\\\ tou plw8Mlc 8034 1091w0otla 1 ae.eB 85.28' 85.23' 85.20' Propelled ez x 141' Mound Dispersal located along the 1082.22 contour\ System Fbv. of 1053.27 r SM ELEV. m 1075.85- • WELL >: 600 GPO lVM9 "�...-�wa.ir N89°51'10"E 560.24' 8'a Np2'0843'E,60.B2' e1�..-1e➢ar aew PH SWt 1094,72Ilw.-10 W 1 Outlet- 1080.72' ^ 4" Set. 40 PVC or Aatm D3034 PVC Conveyance Pipe. Proposed Duplex 2" Sch. 40 PVC F.M.B "'` "" Rollin Hills Farm Residential Property 1083.22' Propceetl Maser Duplex concrete 9 wLP1 zw.MR w/ Oupbx Pump Owners Association INC. 1092.22' w/ Slmech STF.100 Filters Outlot 2 101022, SW114 of Sao 29 T29N-R17W Mound Ste b an Open Oren Slope Township of Hammond - St. Croix County q� Typical of each lot vita be 4• Bch. 40 PVC Bldg. Saw OUnOT 2 Pipe Material per ASTM Standard (Tables 394.30 8 B 354 8o-5) 42.71 ACRES Insulate Building Samr per SPS 382.30(11)(c) and Provide hat protection per 8PS 383.43(8)(4)c .!14' �00 1,Be0,35S SO. FT. qps087.84' '97j0� Pegs 2 of 9 i Mound Plan View L Mound component Dimensions A 8. E 2 " B 141' F D 12" G 6" 1128 (ft. sq.) Dispersal Ce11 Area 12.76 (gpd/ft) Linear Loadug Rate Finished Grade 1085.10 22' (8-)pb F Dispersal J E Cell (�$j Elevation Shading Key ® Topsoil Cap ® Subsoil Cap ASTM C33 Sand Tilled Layer ® Aggregate Page 3 of 9 H 12" K 9.58' 1 L 160.IF J 30' W 26.80' (ft.-) Baid Area Avadabic 14.10 (ft) 1/10 B Obs. Pipe Plamn.ent Mound Cross Section View Aggregate Dispersal Area .,, Dis mal ..... Ce 10 %Site Slope Observation Pipe to be constructed of 4" diam. pipe w/ water tight cap, a minimum 6" slot anchored with 3/8" rebar or a water closet collar. Detail of Typical Dispersal Cell 4 A —r H Ci 1 083.72 (ft) Lateral Invert (ft) Contour Elevation wile Fabric Cover Page 4 of 9 Center Connection Duplex Manifold Lateral Layout Diagram IL + I x -.94 ft. + P P Note: F.M. attached to Laterals and Force Main of PVC Sch. 40 per SPS Table 384.30-5 S center of the manif_ old. Sa/o ft— .I. r 9d ft. Tum-up w/ball valve ur clean out plug Number of Laterals Lateral Diameter Lateral Length (P) Lateral Spacing (S) Lateral Flow Rate 1 /2 Cell Flow Rate System Flow Rate Total Dynamic Head Duplex Force Main 2 per F.M. .25 fi. 1 1/2 X —1 Holes equally spaced on bottom of lateral Note: Forcemains coming into the center of cell, I st hole approx. 1.25' from the manifolds maintaining the 2.96' hole spacing. Northwest manifold + F.M. feed north 1 /2 of cell and same for the Southeast F.M. + manifold. in. Orfice Diameter 68.08 ft Orifice Spacing (X) 4.00 ft. Orifices per Lateral 12.96 gpm Orifice Density 25.92 gpm Manifold Length 51.84 gpm Manifold Diameter IL 13 per F.M. ft_ Forcemain Diameter and Length Lateral Turn -up Detail 5/32 or 0.156 2.96 24 11.75 4.00 1.5 2"/30' per F.M. Finished Grade Threaded Cleanout Plug or Ball 6" to 8" diameter Lawn Sprinkler Box Valve � v in. fL R°i orifice ft. in. IL Note: Lateral ends at last orifice where variable length to cleanout begins. Long Sweep 90 or Two 45' Bends Same Diameter as Lateral Distribution Lateral Page 5 of 9 Duplex Pump DoseTank Component Cross Section Approved Manhole Covets With Warning Labels and Locking Device / 4" Min. Above Final Grade Weather Proof Junction Box Electric per NEC 300 & SPS 4" Sch. 40 Vent 316.012 WAC > or = to 12" y Above Final Grade n ICI Note: SJE Rhombus Type 122Duplex Outlet Location A7Force (Demand Dose) Wved 4" Sleeve Top of inlet=I06034' Main Diem = 2 " Weep Hole or Anti Siphon Device Note: Pump switch and alarm to be A Duplex Force Mains wired to separate circuits. B Pump Off Elev. 1078.22' WLP1250-MR Gallon C Duplex Pumps Tank Mir. Wiesert Concrete D Dose Tank Elev. 1077.39' Vertical Difference Between Pump Off and Distribution Pipe = 5_59 Per 1/2 Minimum Required Supply Pressure ...................................... = 4.55 of cell 30' FT. of Force Main x 1.94 Friction Factor/ 100FT.... _ .58' per dose Note: Maximum dose per Pressure Loss Through Filter ................ _.. _ .50' S g F.M. or 1/2 cell equals 180 gals. Total Dynamic Head .................... = 11.13' 3 Min. dose per 12 cell = 62.63 gals. � q •� O Number of Doses ... 9.65 Per Day Gal. Per Day/ kof Doses = 134.35Gal. (Duplex Volume of Backflow.................................................................... = 4.99 Gal. PumpsAltemating Total Dose Volume.................................................................._. = 139.24Gal. between In of cell) pump Tank Capacity 1253.16 Gallons Dimensions Inches Gallons Pump Tank Volune 34_81 GaVlnct) A 20 696.20 Note: Tank to have B 2 69.62 two outlets. Pump Mfr. Goulds J// C 4 139.24 Note: Force main Pump Model EP04 D l0 348.10 lengths should be Minimum Discharge Rate = 25.92 GPM per pump nearly the same length. Alarm Mfr. SJ.E. Rhombus Total— 36.00 1253.16 Alarm Model Tank Alert 1 Double Float Pump Swith Required Bed Tank per SPS. 383.45(5) . m Anchor Tank as necessary to negate buoyant forces per SPS 383.43(8)(g). Wastewater z METERS FED 10 9 8 r .� 2 IN 0 Page 6 of 9 t 0 2 4 6 8 10 12 ma/h CAPACITY MOOFI- INFORMATION Order Minimum Fl oat cold Dizd.90 Minimum Minimum Minimum Maximum shipping Number HP Vohs Amps Breaker Phase Stine witch length Connection On Level OB Laval Basin Diameter Solids Size Ibalgha .l EP0411 115 12 20 Plug/ No Switch 10' Manual Manual 20/9.1 EP0411A Piggyback Angle 10 12" 6' 21/9.5 EP0411F 4 NPlugfit/th 20' Manual Manual 20/9.1 EP0411 AC Piggyback/r20' 12' 6' 21/9.5 1 Wide -Angle 1 h' 15' 'A' EP0412 Plug / Manual Manual 20/9.1 230 6 10 No Switch EP0412F Plug / No SwitchManual � Manual20/9.1EP0511 I i F S i5 I t3 20 Plug/ No Switch Ma.,....: ....._.. 22 / 10 FP'lst A(' Pipay'vu.k; 20, I 12' i 6" 23 / 10.4 I----- -1 I VV�UI�Iol 1� IIf i t:ru5i[r [cu A 1 i ni i 11 1 2l1' 1 Mama=� I( ts'^•"1 I I 22/10 .. PAGE 3 FEATURES EP04Impeller: Thermoplastic semi -open design with pump out vanes for mechanical seal protec- tion. EPOS Impeller. Thermoplastic enclosed design for improved performance. Casing and Base: Rugged thermoplastic design provides superior strength and corrosion resis- tance. Motor Housing: Cast iron for efficient heat transfer, strength, and durability. APPLICATIONS Specifically designed for the following uses: • Effluent systems • Homes • Farms • Heavy duty sump • Water transfer • Dewatering SPECIFICATIONS • Solids handling capability: 314" maximum. • Capacities: up to 60 GPM. • Total heads: up to 31 feet. • Discharge size: 1 �b" NPT. • Mechanical seal: carbon-rotary/ceramic-stationary, BUNA-N elastomers. • Temperature: 104° F (40` C) continuous 140• F (60• C) intermittent • Class B Insulation • Fasteners: 300 series stainless steel. • Capable of running dry without damage to components. Motor Cover: Thermoplastic cover with integral handle and float switch attachment points. Power Cable: Severe duty rated oil and water resis- tant. Bearings: Upper and lower heavy duty ball bearing construction. AGENCY LISTINGS cTested to UL 778 and CSA 22.2 108 Standards SBy Canadian Standards Association c ., File SIR38549 Motor. • EP04 Single phase: 0.4 HP, 115 or 230 V, 60 Hz,1550 RPM, built in overload with automatic reset. • EP05 Single phase: 0.5 HP, 115 V or 230V, 60 Hz, 1550 RPM, built in overload with automatic reset. • Power cord: 10 foot standard length, 16/3 SJTW with three prong grounding plug. Optional 20 foot length, 16/3 SJTW with three prong grounding plug (standard on EP05). • Fully submerged in high grade turbine oil for lubrication and efficient heat transfer. Available for automatic and manual operation. Automatic models include Mechanical Float Switch assembled and preset at the factory. PERFORMANCE RATINGS Total Head (ft. of water) Ga9ons Per Minute EPOA EPOS 5 53 - 10 46 62 15 36 55 20 21 46 25 0 33 30 - 11 PAGE 2 Single phase, duplex alternating pump control with override. Pa" 7a ♦ b of 9 The Model 122 control panel is designed to alternately control two 120, 208, or 240 VAC single phase pumps in water and sewage installations. The alternating action equalizes pump wear. In addition to the alternating pump control, this system provides override control should either pump fail. If an alarm condition occurs, an alarm switch activates the audiovisual alarm system. Common applications include pump chambers, sump pump basins, irrigation systems and lift stations. 1. Enclosure measures 10 X 10 X 6 inches (25.4 X 25.4 X 15.24 cm). Choice of NEMA 1 (steel for indoor use), or NEMA 4X (ultraviolet stabilized thermoplastic with removable mounting feet for outdoor or indoor use). Note: Options selected may increase enclosure size and change component layout 2. Magnetic Motor Contactors control pumps by switching electrical lines. 3. BOA Switches for manual pump control (mounted on circuit board). 4. Control Circuit Board provides pump control and alternation. 5. Green pump Run Indicator Lights (mounted on circuit board). 6. Circuit Breakers (optional) provide pump disconnect and branch circuit protection_ 7. Ground Lugs 8. Float Status Indicator Lights (mounted on circuit board). 9. Control and Alarm Power Indicator Lights (mounted on circuit board) 10. Auxiliary Alarm Contact, form C (mounted on circuit board). NOTE: Schematic is located inside the panel on enclosure cover. STANDARD ALARM PACKAGE 11. Red Alarm Beacon provides 360' visual check of alarm condition. Note: NEMA 1 style utilizes a door mounted indicator in lieu of a beacon. 12. Alarm Horn provides audio warning of alarm condition (83 to 85 decibel rating). Note: NEMA 1 style utilizes an internally mounted buzzer in lieu of horn. 13. Exterior Alarm Test/Normal/Silence Switch allows horn and light to be tested and horn to be silenced in an alarm condition Alarm amomatically resets once alarm condition is cleared. 14. Horn Silence Relay (mounted on circuit board). NOTE: other options available. / Entire control system (panel and switches) is UL Listed to meet and/or exceed industry safety standards / Dual safety certification for the United States and Canada / Standard package includes three 20' SJE SignalMastera control switches / Complete with step-by-step installation instructions / Five-year limited warranty SEE BACKSIDE FOR COMPLETE LISTING OF AVAILABLE OPTIONS. SEE PRICE BOOK FOR LIST PRICE. Model Shown 1221W114X6A Rh us� PO Box 1708, Detroit Lakes, MN 56502 1-888-DIAL-SJE • 1-218-847-1317 1-218-847-4617 Fax email: customer.service@sjerhombus.com wwwslerhomblus.com 122 C MODEL 122 ALARM PACKAGE Y T T 0 = select options or no alarm package 1 = alarm package (includes test/normal/silence switch, fuse, red light, & hom) ENCLOSURE RATING r = Indoor, NEMA 1 (metal) W = Weatherproof, NEMA 4X (engineered thermoplastic) STARTING DEVICE e1 = magnetic motor contactor 1201208)240V 9 = magnetic motor contactor 120V only PUMP FULL LOAD AMPS ® 0 = 0-7 FLA 7 1 = -15 FLA 2 = 15-20 FLA 3 = 20-30 FLA PUMP DISCONNECTS 0 = no pump disconnect 4 = circuit breaker 120V (select STARTING DEVICE option 9 above) 120208/240V (select STARTING DEVICE option 1 above) FLOAT SWITCH APPLICATION H or L = pump down or pump up (select 17 option) X = no floats OPTIONS ustedbstow, ENCLOSURE UPSIZE - If you selected one or more of the* options, or two** options, a one-time enclosure upsize fee would apply. CODE mESCrevrrmn Q 1A Red beacon only I no audio (must select m' for alarm package) Q 1 C Horn only / no visual (must select '0' foralarm package) ** 3A Alarm flasher * 3B Manual alarm reset *4A Redundant off (sated Option 4D if floats Mduderl) 46 Red redundant oft milicalor 8 alarm (must select Option 4A also) 4D Redundant off float (must seled 4A option) (soled 17 option) * 5A Thermal cadout/heat sensor auto reset (for pumps wMermal switch leads) * SE Seal fare dreub & red indicator (2 wire) m 6A Auxiliary alarm contact, form C (induded as standard) Q * OA Elapsed time meter 0 * 8C Event (cycle) counter * 9_A Pump overload specify amperage after number 9 followed by letter "A'. Example: 912A = 12 amp pump. * 0-25 FLA * 0 25-30 FLA Q 10E Lockable latch -NEMA 4X 10E Lockable latch - NEMA 1 * 10F Lightning arrestor (se%d pump cured breaker) n A unr f— 6A cooE o Mpnow Q** 10K Anti -condensation heater 0 11C NEMA 1 alarm panel Q 11D NEMA 4X alarm panel Q* 14B Main disconnect (rotary style, mounted through door, non4iused) (must soled arcud breaker) * Q 0-20 FLA (total of both pumps) * 20-60 FLA (total of both pumps) Q 16A 10' coon in lieu of 20' (per float) Q 166 15' cord in lieu of 20' (per float) 16C 3V cord in lieu of 20' (per Goat) 161) 40' cord in lieu of 20' (per float) 17A SJE SignalMastel• I pipe damp 0 (per Boat) Q 178 SJE SignalMaster- I externally weighted 0 (per float) 17C Sensor Float- / mlemally weighted A (per float) O 170 Sensor Fbat° / externally weighted ♦ (per Boat) 17E Sensor Float- Mini I pipe damp ♦ (per Bost) 17F Sensor Floats' Mint I externally weighted A (per float) Q 17J Ssnsor Float* / pipe damp A (per float) Q 19B Lead lag selector switch Q 19F Fourth float to separate alarm functisn from lag Q 19T TOA (TesUONAutoma0c) switches and pump run lights through door mounted 0 19U HOA (Hand/OlgAutomaic) switches and pump con lights through door mounted Q 19X Door mounted pump con indicator Mechanically -activated A Merauy-activated MODEL 122 1 W T 0 4 Alamt Package Enclosure Rating Starting Device Punp Full Load Amps Pump Disconnect Float Switch Application Options: Auxiliary yarn contact, form C, Elapsed lima motor, event (cycle) counter, SJE SigmiMasuro l pipe clamp 6A 8AC 17A osrEat WU m 31 }" 74k 0 4" CAS 1I III III 4" CAS CCtiti II,- - NNI I � m2A n 1 it — II•I III POLYLOK 12" ACCESS LID (TYP) III ICII _ lL JAL 41" 40" 1 TANKS ARE EZ SET RISER (TYP) TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS 600 GPD GRAVITY DISCHARGE SYSTEM H-600 A H-600 A TANK SPECIFICATIONS DIMENSIONS: WALL: 3" BOTTOM: 3" COVER: 4" MANHOLE: 12" & 24" I.D. PLASTIC RISER HEIGHT: 70" O.D. LENGTH 106" O.D. WIDTH: 74 1/2" O.D. BELOW INLET: 57" O.D. LIQUID LEVEL- 51" WEIGHT: 11,135 LBS. INLET AND OUTLET: 4" CAST —A —SEAL (CAS) BOOT OR EQUAL COVER: MIX DESIGN #8 (NO FIBER) TANK: MIX DESIGN p9 (SMALL FIBER) CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WIESER CONCRETE DRAWINGS SUBMIT FOR APPROVAL APPROVED BY: APPROVAL DATE: PRODUCTS NEEDED BY: `W N,. r W Ln �zco N Lu W 00 00 3 Hoot Service and Inspection Form This testing and reporting shall be completed, signed and dated after each inspection. One copy shall be retained by the maintenance company. The second copy is sent to the local permitting authority and the third copy is sent to the system owner along with an invoice for services by the maintenance company. 1. Actual Date of Visit: 2. System Inspection of Owner: Add ress: City, St., Zip: Inspected Items: Operational Inoperative Not Applicable Aerator.. ................................. G G G Aeration Plumbing. ................ G o Air Filter ................................. 0 Effluent Pump (if applicable)....... G 0 Chlorinator ............................. G G OK System Light .................... 0 Alarm..................................... G G D-Box .............................. G 0 G Air Filter must be cleaned each service visit. Operation of effluent disposal system must be made each visit (if pumped). A system with greater than 70% Settleable Solids in the aeration chamber must be pumped to avoid solids leaving the tank for the drainfield. 3. Repairs to system (list all components 4. Tests Required and Results: Test BOD (Grab) TSS (Grab) Fecal Coliform Required Results Test Method G n 0 Signature of Inspector: Installer 11 or WW Lic # Private Onsite Wastewater Treatment System Mound Management Plan Pursuant to SPS 383.54 Wis. Adm. Codc each Private Onsite Wastewater Treatment System (POWTS) Shall Include information and procedures for maintaining the system within the parameters of SPS 383 and 384, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for the system will be filed with the county zoning or health department. This management plan complies with SPS 383.54, Wis Adm. Code, the Mound Component Manual for Private Onsite Wastewater Treatment Systems (Version 2.0) SBD-10691-P (N.01101) R 10/12 and the Pressure Distribution Component Manual (Version 2.0) SBD-10706-P (N 01-01) R. 10/12 Table 1: System Design Specifications Sanitary Permit Number Number of Bedrooms 12 Design Flow GPD 1800 Soil Absorption Component Size (sq. fi.) 1000 (Pretreated Effluent Trash Tank Capacity Gal. 400 gal. Pump Chamber Capacity Gal. 1250 gallons Type of Wastewater Pretreated Domestic Pre -Treatment Unit installed per structure HOOT SYSTEMS H-600 A Table 2: Soil Absorption Component — Limits of Reliable Operation Septic Tank Component Soil Absorption Component Design Flow -Peak GPD 600 per structure 1800 Max. Influent Particle size NA <1/8Inch Maximum BOD 5 (mg/1) NA :s 30 mg/1 Maximum TSS (mg(l) NA <— 30mg/ I Maximum FOG NA NA Table 3: Maintenance Schedule Septic Tank Inspect and/or service once every 3 years Dose Tank In- Line Filter Should inspect once a year and clean every 3 years Pump Chamber Inspect once every 3 years Soil Absorption Component Flush laterals every 18 months. HOOT SYSTEMS H-600 A Service every 6 months for first 2 years. Then annually there after per maintenance agreement. See attached. Page 9 of 9 a, b + c Seutic Tank The septic tank shall be maintained by an individual certified to service septic tanks under see. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm, Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of the septic tank and outlet filter'shall be assessed at least once every 3 years by inspection. The outlet filter 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 scum and sludge 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 an 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. Purno Chamber The pump chamber also requires monitoring once every three years or the time of problem, complaint or failure. Inspection should include checking the dose rate, volume and frequency. Warning: The dose chamber may fill due to flow continuing during pump malfunction or power outages. One large dose when the power comes on or when the pump is repaired may cause the dispersal system to have problems. In this situation, the pump chamber should be pumped by a licensed pumper before pump cycling begins or other measures shall be used to dose the component with only the proper amount of influent. This may include manual operation of the pump controls until such time the pump chamber has reached its normal level. Note: A Simtech STF-100 effluent filter will be installed in the dose tank for each force main to provide the filtering of the effluent to the dispersal cell. Septic tank and Pump chamber 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 to the tank Warning: No one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment or holding tank may contain lethal gases, and rescue of a person from the interior of the tank may be difficult or impossible. Tank abandonment shall be accordance with SPS 383.33, Wis Adm. Code when the tank is no longer used as a POWTS component. Page 9 of 9 a, b + c Soil Absorption Cornnonent The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every 3 years. Lateral turn ups are provided at the ends of the laterals for the purpose of flushing the lines of any solids. Flushing these lines should be done every 18 months. The inspection shall include recording levels of ponding, if any, in the observation pipes, and visual inspection for any evidence of surface discharge from the component. On steeply sloping sites, areas of erosion should be identified and repotted to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, clogging of the soil. Planting of deep rooted trees and shrubs directly over or within 10 feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow. Contineencv Plan In the case of septic or dose tank component damage, measures shall be taken to repair or replace the tanks to there original operating condition. Problems with the pretreatment unit should be addressed to the POWTS Maintainer. Bi-annual/ annual inspections should prevent any complete failure. Should failure of the distribution cell component happen, the system shall be inspected to determine the cause of failure, effluent quality testing and wastewater flows. Steps taken to repair or replace the dispersal cell may involve the removal of a bio-mat which would require cleaning or replacement of the distribution network as well as replacing the aggregate system and clogged portions of the sand fill. Component Owners Contact List Keith Knudtson Plumber/ATU Maintainer (651)470-1737 St. Croix County 7.onin 715 386-4680 Wieser Concrete Products Maiden Rock WI 800 336-3416 Se 'c Pumper Powers Sanitation 715 249-5738 HOOT SYSTEMS LLC H-600 A 888 878-4668 Page 9of9a,b+c Wisconsin Department of Commerce Division of Safety and Buildings SOIL EVALUATION REPORT Sim in accordance with Comm 85, Wis. Adm. Code —— -- 4�098 1 of 3 Steefs Sal Service Attach site plan paper rat less than 8h x 11 inches in sae Plan must County ty St Croix include, butcomplete ve but not limited to: vertical and horizontal reference point (BM), direction and -a ercent percent shrpe, scale or dimensions, north snow. and location an stance to nearest road. Parcel I.D. 0� Please print all /nform o ' Personal irtarrrldaan you provide may he used ses ( Law, s. 15.04 (7) (in)) R op ProperlyOwner Property Location Rolling Hills Of Hammond LLC. 9 1p°6 ovt. Lot na NW1/4, SW1f4, S29, T29N. R17W Property Owners Mailing Address V 400 2nd L t # Bloch # m Subd. Noa or CSM# at > 49 rta Rolling Hills Fame — �y Stele Cod& ' ono r Cfi' r Vg� M Town Nearest Road Hudson WI 1 715-38W&0230 Hammond i 160Th St C^J New Construction Use: ® Residential I Number of bedrooms 4 Code derived design flow rate 600 GPD ❑ Replacement n Pubic or Commercial - Descnoe._na - Parent material Sixty sediment and underlying reddish sandy loam tih Flood plain elevation, If applicable _. na h. General comments At grade or mound design, system elevation to be determined by designer based on Contour line elevation and mmmmendations: 99.75ft. FilBoring If O Ong Pit Ground surface elev. _ 100.95 1 ft. Depth to li ili g factor 110 in. Soil Applicaben Rabe Horizon Depth in. Dominant Color Redox Description Texture Munseil Qu. Sz. Cont. Color I Structure Gr. Sz. Sh. Boundary Roots GPD/fe 'EfW ERf2 1 0 11 10yr3/2 none I 2msbk mfr CS ivf .6 .8 2 11-19 10yr4/4 not sid 2msbk mfr gam na .7 1.6 3 19-110 10yr6/6 none Ii/M am na Fla m .2 .5 Boring #ng ® Pit Ground surface elev. _1.01.60_ ft. Depth to limiting factor 72 in, Application Rap Horizon Depth in. Dominant Color Redox Description Munset Qu. Sz. Cont. Color Texture Structure I Gr. Sz. Sh. Co Boundary fjOOp GPD/h• •get 1 0-9 10yr3/2 none sil 2msbk Mfr as lvf .6 .8 2 9-23 10yr4/4 note Sid 2msbk mfr gw ins .4 .6 3 2346 1DA" none vfd 2msbk aft gw no .4 .B 4 46-72 lop*,% none b 099 no is na .7 1.6 5 72-100 10yr5/8 c2d 7,5yr5/6 vfsf ore na na na .2 .5 Effluent #1 = BOO? 30 <220 mg& and TSS >30 < 150 mg& • Elute nt #2 - BODs < 30 mgrL wW TSS < 30 myt CST New (Please (hie) Signature: - CST Number David J- Steel c 248M Andress Seers Son Service T`� Date Evaluation Conducted Telephone Number 994 200th S1. Baldwin, W1 W02 5/5/1006 715-76"347 SBP11330 (a07M) Property Owner Rdliftg Hies OF Hatmlortd LLC. Parcel ID! Pwdm page_ 2 of-3 1�1Boring If ❑ Boring ® p4 Ground surface elev. 97.75 It. Depth to smiling facia 110 in. Soil Applcetion Rate Fbrmon Depth in. Dominant Color Muns" Redox Dosaiption Ou. Sz Cont. Color Texture Structure Gr. Sz. Sh. Cxirisailanoe BMW" Rods GPDM° 'tan 'Ertn 1 0-14 100/2 nonce I 2msbk rrtfr a Lvf .6 .8 2 14-29 10yr4/4 nOne Sld 2fnsbk Ink 9w no .4 .6 3 2943 10yr5/8 fl0fte Al 2msbk 111fr 9w r1a .4 .8 4 43-60 10yr5/8 none vw 2rllsbk 1flfr rs na .4 .8 5 60-110 10yr6/8 I acute Is _ 059 ml no no .7 1.6 — t ❑ Bonng Of Boring ]pit Ground surface elev. _ _ It Depth to Inviting fade _ _ in. Sod Appscation Rate Horizon Depth Dominant Color in. Munsea I Redox Description Texture Structure Consistence Boundary Ou. Sz. Cont. Color Gr. Sz. Sh. Roofs GPDfie 'East 'En42 i'.--- — _7. ___ — _.—.. ❑ Berg # ❑ pit Ground surface elev. —_-- „. Depth to limiting factor in. . RM APPiieeBcn Horton Depth in. Dominant Color Murrell Redox Description Cont. Color Texture Shuclure Gr. Sz. Sh. Consistarnoa nouMary . Roots GPDT' 'FJkt 'EtM2 Effluent IM = 11005> 30 < 220 mg& and TSS >30 < 150 mgiL • Effluent #2 = BODs < 30 mWt and TSS -�-30 mgk 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 formal, please contact the department at 608-266-3151 or TTY 608-264-8777. SaD.e)w I0.otAD7 slet's w sww e STEEL'S SOIL SERVICE David J. Steel Rolling Hills Of Hammond LLC 994 200"SL CST-POWTSM NW1/4,SW1/4,S29,T28N,R17W Baldwin, W154002 Lic. #248956 Town of Hammond, St Croix Co. Direct 715-760-0347 Rolling Hills Farm Lot 49 Fax 715-684-3449 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of flus test may or may not be as shown, as permanent lot Imes were not established at the time the soil test was conducted Legend 1" = 40' ♦ = Benchmark Ele. 100.00 ft Top of 3/4" pvc pipe • = Ah Benchmark Ele. 100.00 ft Top of 3/4" pvc pipe ❑ = Borings Being Elevations B I = 100.95 ft B2 = 101.60 ft B3 = 97 Si ft 75 N 3of3 v - Wisconsin Department of Commerce _s e..r..,.. --. c,.xw:... SOIL EVALUATION REPORT in accordance with Comm 85, Wis. Adm. Code P-X" #1881 page 1 of-3 steers sou service Attach complete site plan on paper nut less than 8%x 11 inches in size. Plan must MY St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance 10 nearest road. Paa11.D. Please print all informs ' ? 6 Personal information You Provide may be used wi (P Law, s. 15.04 (1) (m)). uGyy� CX Property Owner Rolling Hills Of Hammond LL Oro Property Location Gout Lot na NW1/4, SW1/4, S29, T29N, R17W property Owners Mailing Address �y Lot # Block # Subd. Naor CSbW Farm J 400 2nd st GOU 50 na Rolling Hills City Stay Zip C� G one r ❑ City ❑ Village® Town Nearest Road Hudson WI 16 155-386-0230 Hammond I 160Th St New Construction ❑ Residerdial / Number of bedrooms 4 Code derived design flow rate _ 600 GPD Replacement ❑ Public or commercial - Describe: na _ Find plain elevation, if applieebla na k. Parent material Silty sediment and urde in reddish sandy loam ti9 General comments At Grade or Mound design, system elevation 10025ft for At Grade. System elevation 100.25ft for Mound and recommendations: based on contour line elevation 99.75ft. Minimum of 6 inches of ASTM C33 mound sand. ❑ Boring # ❑' Boring Pit Ground surface elev. 100.60 ft. Depth to 6m9ing factor 73 in. ' Application Rate Horizon Depth in. Dominant Cobr Redox Description Texture Munsed Qu. Sz. Cont. Color Structure Gr. Sz Sh. Consi Boundary Roots GPD11' 1 0-8 10yr3/2 none 1 2msbk mfr a if .6 .S 2 8-16 lDyrt4/4 norre slid 2mSbk mM1' 9w 1N A .6 3 16-28 1011r5/8 none sl 21r15bk mfr 9w na .6 1.0 4 28-73 10yr6/6 mode Is am ntvrr gw na .7 lb 5 73-100 30yr6/6 C2d 7.5yr5/6 I5/50 om na no na .0 .2 floriLon # 5 has 10/614 sit layers 4 to 6 Inch. Barg # ❑ Boring ® pig Grouts surface elev. 100.60 R Depth to limdkg factor 79 in. Sod Application Rate Horizonr7n. Dominant Color Munsed Redox Description Ow Sz. Cont. Color Textin Structure Gr. Sz Sh. Consisten Boundary Roots GPDM FA1 Ertn 1 10yr3R none I 2msbk mfr CS if .6 .8 2 10ym9/4 nom sid 2msbk mk gw Uf .4 .6 3 10yr4j4 Ilona 9roos tug mfr 9w na ..7 1.6 4 7.5yf4/4 none ms am mvfr 9w no .7 1.6 5 60-79 10yr6/6 none ms I 059 na gw na .7 1.6 6 i 79A6 10yr6/6 c2d 7.5yr5/6 tVLS/Sd ore na na na .0 .2 Horblorn # 6 has 10yr5/4 silt layers 4 to 6 inches- * Effluent #1 = SOD? 30 <220 mglL and TSS >30 < 150 MWL • tmuem u = o�u5 .w nays a. a. ,.� _.... ,.ny� CST Name (Plemo Prim) Signature: CST Number 118vid J. Steel /j 248966 Address Steers Soil Service Date Evaluation Conducted Telephone Number 994 200th St Baldwin, WI 54002 6/1212006 715-760-0347 sao40e0.e7xe) Prop" Owner Rolling HIRs Of Hammond LM Parcel ID a Pending Pr I J I w,.;,,.. r I: Boring Pays 2 of 3 u - ,� Pa Uround surface elev.. yOAD ft. u pun io rimming tailor 5q In. Appkabon R ak Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz Cont Color Texture Structure Gr_ Sz. Sh. Consistence I Bout dwy Rsals I GPDIRM 'EMN 'EM 2 9-18 10yrr4/4 no none none Sid 6 ivF 6 8 2msWc 9W na .4 .6 3 18-24 10yr414 sl 2rrisbt mfr gw na .6 1.0 4 24-54 7.5 yr4/4 none sl 01111 no gw na .2 .6 5 54-75 1Oyr5/8 c2d 7.Syr5/6 vim am no na na 2 .5 Bodno If --Boring _ Boring♦ Boring Pit Ground surface elev. R. Depth to limding factor _ in. Soil ApoaW t Rafe Horizon Depth Dominam Color I Redox Description Texkve Structure Consistence Boundary Root GPDIIP + in. Munsell - Qu. Sz. Cont. Color Gr. Sz Sh. 'EIAtt •EIM2 i Effluent 91 = BOD5> 30 < 220 mg/L and TSS >30 < 150 nVL ' Effluent 02 = BODS < 30 mglf and TSS < 30 mgrL The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to acccm services or need material in an aRanate format, please contact the department at 608-266-3151 or TfY 608-264-8777. satwxs(mmuo) sears Sot Serums STEEL'S SOIL SERVICE David J. Steel Rolling Hills Of Hammond LLC 994 200' St. CST-POWTSM NWl/4,SW1/4,S29,T28N,R17W Baldwin, Wl54002 Lic. #248956 Town of Hammond, St Croix Co. Direct 715-760-0347 Rolling Hills Farm Lot 50 Fax 715-684-3449 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of this test may or may not be as shown, as permanent lot lines were not established at the time the soil test was conducted. Lnend I = 40' • = Benchmark Ele. 100.00 ft Top of 3/4" pvc pipe • = Alt Benchmark Ele. 99.95 ft Top of 3/4" ovc nice 1 10-06 N 3of3 a 1�i I IM[9!11111l4A-mm rx-1s1._ ._-- I I I Y I I g e� I t0 0 a �� 1� p6 . A Tt e 'i 1Ir T M II§ A r / ry .,1 T^ 87 T6S� u -vnY.n —ar.a '�pYPP a 1 idi 1 1/�Iii 1 � ARM UON Wisconsin Department of Commerce Division of Safety and Buildings SOIL EVALUATION REPORT in accordance with Comm 85, Wis. Adm. Code P A 1 1 #1869 Page 1 of 3 Steel's Soil Service Attach complete site plan on paper not less than 8'/> x 11 inches in size. Plan must County St. Croix 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 an istance to nearest road. I 0/ y� Please print all i��D (l� ( , Rev' d B DatePersonal inrormatian you provitle may be used Priva Law, S. 15.04 (1) (m)). A Property Owner Property Location �Qp6 Rolling Hills Of Hammond LLC. 9 ovt. Lot na NW1/4, SW1/4, S29, T29N, R17W Property Owner's Mailing Address V�(`( L t # Block # Subd. Name or CSM# 5 400 2nd at OtX� 49 na Rolling Hills Farm — City State Z Cod6 hone er _ City Village Town Nearest Road Hudson WI 1 15-386-0230 Hammond 1 160Th St New Construction Use: [1 Residential / Number of bedrooms 4 Code derived design Bow rate 600 GPD Replacement C Public or commercial - Describe: na Parent material Silty sediment and underlying reddish sandy loam till Flood plain elevation, if applicable na ft. General comments At grade or mound design, system elevation to be determined by designer based on contour line elevation and recommendations: 99.75ft. ❑ Boring # Boring <, Pit Ground surface elev. 100.95 ft. Depth to limiting factor 110 in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr, Sz. Sh. ConsistenceBoundary Roots GPD/ft' •Ef #1 -Eff#2 1 0-11 10vr3/2 none I 2msbk mfr CS lvf .6 .8 2 11-19 10yr4/4 none sid 2msbk mfr gw na .7 1.6 3 19-110 10yr6/6 none Is/vfsl om na na na .2 .5 F2jBofing # Boring Pit Ground surface elev. 101.60 ft. Depth to limiting factor 72 in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Cu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. ConsistenceBoundary Roots GPD/ft' *Eff#1 •En#2 1 0-9 10yr3/2 none sit 2msbk mfr cs lvf .6 .8 2 9-23 10yr4/4 none sid 2msbk mfr gw na .4 .6 3 23-46 10yr5/8 none vfsl 2msbk mfr gw na .4 .8 4 46 72 10yr5/6 none Is osg ml cs na .7 1.6 5 72-100 10yr5/8 c2d 7.5yr5/6 vfsl om na na na .2 .5 Effluent #1 = BOD? 30 < 220 mg1L and TSS >30 < 150 mg/L ' Effluent #2 = BOD5 < 30 mg1L and TSS < 30 mg/L CST Name (Please Print) Signature: — CST Number David J. Steel c 248956 Address Steel's Soil Service Date Evaluation Conducted Telephone Number 994200th St. Baldwin, WI 54002 5/5/2006 715-760-0347 SBD-9330 (R.071M) Property owner Rolling Hills Of Hammond LLC. Parcel ID # Pending Page 2 of 3 ❑ Boring # _ Boring Pit Ground surface elev. 97.75 ft. Depth to limiting factor 110 in. Soil Application Rate Horizon Depth in. Dominant Color , Redox Description Munsell Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence) Boundary Roots GPDNe 'Eff#1 •01112 1 D-14 30yr3/2 none I 2msbk mfr cs 1Vf .6 .8 2 14-29 10yr4/4 none sicl 2msbk mfr gw na .4 .6 3 29-43 10yr5/8 none vfsl 21rrsbk mfr gw na .4 .8 4 43-60 10yr5/8 none vfsl 2msbk mfr a na .4 .8 5 60-110 10yr6/8 none Is osg ml na na .7 1.6 ❑ Boring # Boring _ ] pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/R' 'Eff#1 I •Eff#2 ❑ Boring # L] Boring PR Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Ou. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/fN •Eff#1 I •Eff#2 Effluent #1 = SOO5> 30 < 220 mg/L and TSS >30 <150 mg/L ' Effluent #2 = SODS < 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 TrY 608-264-8777. SB0.8330 (A07/00) Steers Sol Service David J. Steel CST-POWTSM Lic. #248956 STEEL'S SOIL SERVICE nd LLC This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of this test may or may not be as shown, as permanent lot lines were not established at the time the soil test was conducted. Legend N 1"=40' ♦ = Benchmark Ele. 100.00 ft Top of 3/4" pvc pipe • = Alt Benchmark Ele. 100.00 ft Top of 3/4" pvc pipe ❑ = Borings 7 s0 Rolling Hills Of Hatnmo N W l /4,SW 1 /4,S29,T28N,R 17 W Town of Hammond, St Croix Co. Rolling Hills Farm Lot 49 994 200u' St. Baldwin, WI 54002 Direct 715-760-0347 Fax 715-684-3449 Boring Elevations B I = 100.95 ft B2 = 101.60 ft Ri = 97 SS N 3of3 P A I 1) - Wisconsin Department of Commerce Division of Safety and Buildings SOIL EVALUATION REPORT in accordance with Comm 85, Wis. Adm. Code #1881 Page 1 of 3 Steel's Soil Service Attach complete site plan on paper not less than 8%x 11 inches in size. Plan must County St. Croix include, but not limited di ensio and horizontal reference point (BM), direction and percent slope, style or dimensions, north arow, and location and distance to nearest road. Parcel I.D. _ I� /�' mg Please print all informa ' Re '�wedB DatePersonal information you provide may be used fo ses (P acy law, s. 1&04 (1) (mp.0 Property Owner Property Location Rolling Hills Of Hammond LL 'LrSO Govt. Lot na NW1/4, SW1/4, S29, T29N, R17W Property Owner's Mailing Address V` Lot # Block # am Subd. Ne or CSM# 's _ 400 2nd at COV� 50 na Rolling Hills Farm City State Zip Ce G one r ❑ City _ Village N Town Nearest Road Hudson WI1 016 15-386-0230 Hammond 160Th St New Construction Use: N Residential /Number of bedrooms 4 Code derived design Bow rate 600 GPD ❑ Replacement ❑ Public or commercial - Describe: na _ Parent material Silty sediment and underlying reddish sandy loam till Flood plain elevation, if applicable na ft. General comments At Grade or Mound design, system elevation 100.25ft for At Grade. System elevation 100.25ft for Mound and recommendations: based on contour line elevation 99.75ft. Minimum of 6 inches of ASTM C33 mound sand. Boring # ❑ Boring �( Pit Ground surface elev. 100.60 ft. Depth to limiting factor 73 in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ft •Eff#1 •Ea#2 1 0-8 10yr3/2 none I 2msbk mfr cs if .6 .8 2 8-16 10yrr4/4 none sic[ 2msbk mfr gw lvf .4 .6 3 16-28 10yr5/8 none sl 2msbk mfr gW na .6 1.0 4 28-73 10yr6/6 none Is osg mvfr gw na .7 1.6 5 73-100 10yr6/6 c2d 7.Syr5/6 Is/sil om na na na 0 2 Horizion # 5 has 10yr5/4 silt layers 4 to 6 inch. 2] Boring # ❑ Boring pit Ground surface elev. 100.60 ft. Depth to limiting factor 79 in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDfie •Ee#1 •E02 1 0-11 10yr3/2 none I 2msbk mfr cs if .6 .8 2 11-24 10yrr4/4 none Sid 2msbk mfr gw 1vf .4 .6 3 24-36 10yr4/4 none grcos 099 mfr gw na ..7 1.6 4 36-60 7.5yr4/4 none ms osg mvfr gw na .7 1.6 5 60-79 10yr6/6 none ms osg na gw na .7 1.6 6 P 79-96 10yr6/6 c2d 7.5yr5/6 ms/sil om na na na .0 .2 Horizion # 6 has 10yr5/4 silt layers 4 to 6 inches. *Effluent #1 = BOO 5> 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BODE < 30 mg/L and TSS <30 mg/L CST Name (Please Print) Signature: CST Number David J. Steel 248956 Address Steel's Soil Service Date Evaluation Conducted Telephone Number 994 200th St. Baldwin, WI 54002 6/12/2006 715-760-0347 wu-e»u(nunw) Property Owner Rolling Hills Of Hammond LLC. Parcel ID # Pending Page 2 of 3 Boring # Boring 0 pit Ground surface elev. 96.45 ft. Depth to limiting factor 54 in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Rods GPDNP •Eft#1 'Ef 12 1 0-9 10yr3/1 none A 2msbk mfr is lvf .6 .8 2 9-18 1DVrr4/4 none sid 2msbk mfr gw na .4 .6 3 18-24 10yr4/4 none sl 2msbk mfr gw na .6 1.0 4 24-54 7.5 yr4/4 none sl om na gw na .2 .6 5 54-75 10yr5/8 c2d 7.5yr5/6 Al om na na na .2 .5 ❑ Boring # - Boring J Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/W 'Err#1 'ERi2 ❑ Boring # Boring , pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDV •E11#1 •EH#2 Effluent #1 = BOD5> 30 < 220 mg/L and TSS >30 <-150 mg/L • Effluent 02 = BOD5 <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. 5BD4330 (R.07100) stefs Sol smoke STEEL'S SOIL SERVICE 3of3 David J. Steel Rolling Hills Of Hammond LLC 994 200' St. CST-POWTSM NW1/4,SW1/4,S29,T28N,R17W Baldwin, WI54002 Lic. #248956 Town of Hammond, St Croix Co. Direct 715-760-0347 Rolling Hills Farm Lot 50 Fax 715-684-3449 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of this test may or may not be as shown, as permanent lot lines were not established at the time the soil test was conducted. Legend 1"=40' ♦ = Benchmark Ele. 100.00 ft Top of 3/4" pvc pipe • = Alt Benchmark Ele. 99.95 ft Top of 3/4" pvc pipe