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HomeMy WebLinkAbout026-1073-60-100 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 453303 0 GENERAL INFORMATION . (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Leiviska, Andrew Richmond Township 026 - 1073 -60 -100 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: O /06) � a ry I jht,& 25.30.18.387A10 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic B enchmark � oL �-� t y 3 1� 3 ov o Dosing Alt. U ee.� ZS� / - ss /b 3.9.E 0 1 3 Aceratten Z ' Bldg. Sewer I Holding SVHt Inlet 1 TANK SETBACK INFORMATION St/Ht outlet �r �3 ' Z- TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet � -17 C74. zs� septic - Z t � A � j Z `/i _ Dt Bottom Dosing , . Header /Man. 7Z Z4 2 . 3 ,35 166 . S S Aeration Dist. Pipe 3:35 / 6, 5� Holding Bot. System _ 4 ,6 1 Final Grade `I � � t PUMP /SIPHON INFORMATION - Z •� � /b/ • SS Manufacturer Q l GPM Dema St Cover n - rC Model Number TDH Lift Friction Loss System ead TDH Ft ri !• 9 Forcemain Length I Dia. ,I Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trench. PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS (- � � tG � SETBACK SYSTEM TO P/L BLDG IWELL LAKE /STREAM LEACHING Manufacturer. INFORMATION CHAMBER OR Type Of ystem: f ( A (� /� r UNIT Iv j ,. Model Number: d0^ DISTRIBUTION SYSTEM Header /Manifold Distribution y Hole Size x Hole Spacing Ve t to Air Intake Pipe(s) �� � 1' — `1 C� Length Dia 1 1-ength x Dia Spacing 42 SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil ' , � S 1 -� G Yes No es No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / I /0 *)� Inspection #2: Location: 1428 130th Ave (SE�1 /4 SW 1/4 25 T30N R1 8W) NA Lot 3 y� Parcel No: 25.30.18.387A10 1.) Alt BM Description =p " ` 1 Dr'l0 � S `� ✓�' / � Gc 2.) Bldg sewer length = ?� �, ' !Q st> Lc � A[ 6& - amount of cover = ` Use other side for additional information. A i _ _ _ _ Plan revision Re uired . Yes No , Date Insepctor's ignature Cert. No. SBD -6710 (R.3/97) j0Ht4SQN FILED AMERY ^ Ot JUL 1 9 2000 e � p WIS. R KATHLEE�H.WAISt! 62 bbQ6 e+�O' r I Q ��� Aeflishr of Deeds q Np 1 ��� i St. Croix Co., WI S E R T I F I V E Y MAP Located In part of the Southeast Quarter of the eel Quarter of Section 25. Township 30 North, 7 Range 18 West, Town of Richmond, St. Croix County, Wisconsin. Prepared for and at the request of: OWNER: $• �� W RJC Development, Inc 1868 C.T.H• C. Somerset, WI 54025 Drafted by. Ty R. Dodge j `t U N P L A T T E D_ — L A N D S_ 0 — F — O — W N E R I w l I a S00'13'S3 "E 306.00' 273.00' • /� ♦ / to I V Z b f a In a I ° xr _ of N E 1 _ I M I c o 2 f1 C O C �2 J I U a Y \ I y V 1> T N ,� o ^� o a 3 I a N E L) ,of/r w t W I ° E _ x o 1 �(' (n N; I I p a c � : c c_° z 1 ° o En Lj LS o 0 0 4� ^Ems �I ° ~ �°¢�oc w ° I m � �SCLoaa to o cn a c C3 1 In O 4'O < m M n W I $ E a. I of i zI t { IWi oM o� o 1 � I I I* Eo�d z z • c o� NOO'13'53 "W X06.00' I ^ I o $' v $ wt w 273.00' 1 ♦ / 3 I �I 1�, of ; ro n c u f I N W. I V aN lot F I H a 4 a • I c n o V — a l z I I 1 I oni aw o I u — ° c fr o f N g En �j gS C U E AW �I LO I 1�. rr, •7 O gg �^- o'�rnKI I I w CO 1- CV IN CV (•j` I fD wsr z 7l�EN1 ESE 714 \\ i SW 4 I 273.01' : Ld a . NOOMV55'E 306.01' T I z U N P L A T T E D — L A IV D S Lk JOB # A00049 Prepared by. I • :r 1 ti N AND SURVEYING & CIVIL ENGINEERING APPROVED, < ST. CROIX COUNTY Phone No. (715) 246 - 4319 Plannim Zoning and Parka Committee 2 i/ In 109 East Third Street. P.O. Box 325 8 Z New Richmond, WI 54017 JUL 9 Z QOQ to E n Sheet 1 of 2 J U w m If not teaoroed within 30 days of approvai date approval shall be neat and void Vo1.14 Page 3901 Safety and Buildings Division County ' 201 W. Washington Ave., P.O. Box 7162 viscons�n Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by C o Department of Commerce (603) 266 151 53 303 Sanitary Permit Application State P // I.D. Number In accord with Comm 83.2 1, Wis. Adm. Code, personal information you provide may be used for secondary purposes Privacy Law, s15.,04(lxm) Project Address (if different than mailing address I. ' Application Information - Please Print All Information - Property Owner's Name Parce # Lot : liluck sr Z:1,�C1,A5*4 (n il, _ 38-/� Property Owner's Mailing Address Property cation x'✓, J J'J i i ! :g, %, mod,(, /., Section tty,State Zip Code Pho4MiW lt>$rnFFICE If A . Il'Al (circle ) T N: RILE ot� II. Type of Building (check all that apply) as S w^ - I SM Number I or 2 Family Dwelling - Number of B rooms ❑ Public /Commercial - Describe Use El State Owned - Describe Use /� K4 ❑City_❑vill g Townq bin of 0 Sty III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B. ❑Permit Renewal ❑Permit Revision ❑ Change of El Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS System: (Check all that apply) _. ❑ Non - Pressurized In- Ground $ Mound _> 24 in. of suitable soil ❑ Mound 124 in, of suitable soil ❑ At -Grade ❑ Single Pass Send Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) _ V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (so Dispersal Area Proposed (sf) System Elevation 0.0 ) VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks I Tanks Septic or Holding Tank Aerobic Treatment U,ut Dosing Chamber VII. Responsibility Statement- I, the undersigned, #dsume responsibility for installation of the POWTS shown on the attached plans. Plumber' 4arge (Print) Plum 's S' tur MP/MPRS Number Business Phone Number Plumber' Address (Street, City, State, Zip Code) 7 Vlll. Count /De artment Use Onl P[-Approved n_Dnapp ved Sanitary Permit Fee lincludw Groundwater I Date Issued 1 u nt SiV ature Q0 Stamps) Surcharge Fee) �Jv_ ❑ Owne ven Reason 1 IX. Conditions pprova SYSTE . 1 Septic tank, effluent filter and dispersal cell must all ue se rviced / maintained as per management p. _n ;,-Ovided by plumber. 2. All setback requiremet u:; must he maintained as per.applicable code r,:tairattce: ; JI Attach complete plans (to the County only) for the system on paper not less than 81R x 11 inches In IW SBD -6398 (R. 01/03) y \ 1 , r ` l , w (;O p * 4 OF�G c� 1 t � �:�- Safety and Buildings 10541 N RANCH ROAD commerce HAYWARD WI 54843 TDD #: (608) 264 -8777 i s c o n s i n www•commerce.state.wi.us /sb www.wisconsin.gov Department of Commerce Jim Doyle, Governor Cory L. Nettles, Secretary June 03, 2004 CUST ID No.224263 ATTIC• POWTS Inspector KIM A O CONNELL ZONING OFFICE K.O. CONSTRUCTION ST CROIX COUNTY SPIA 504 3RD AVE 1101 CARMICHAEL RD OSCEOLA WI 54020 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/03/2006 Identification Numbers Transaction ID No. 1004767 SITE: Andrew T Leiviska Site ID No. 684295 130TH Ave Please refer to both identification numbers, Town of Richmond above, in all correspondence with the agency. St Croix County SETA, SWIA, S25, T30N, R18W FOR: Object Type: POWTS Component Manual Regulated Object ID No.: 961022 Maintenance required; 600 GPD Flow rate; 35 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 /01) 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: • A copy of this approval letter and index sheet shall be attached to plans that correspond with the copy on file with the Department. Changes to the approved plan must be submitted for review and approval. Failure to properly attach the approval and index page to plans that match the copy on file with the Department may result in enforcement action under s. 145. 10, Stats. • This system is to be constructed and located in accordance with the approved plans, and the "Mound m� Component Manual for Private Onsite Wastewater Systems Version 2.0" SBD - 10691- P(N.01 /01). • The pressure network is to be constructed in accordance with "SSWMP" Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) ". A copy of the approved plans, specifications and this letter shall be on -site during construction and open to ,y inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of � c construction/installation /operation. 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. 1 KIM A O CONNELL Page 2 6/3/2004 r- f 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 ma' e nce of the POWTS. Since Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Thomas E Devereaux Plumbing / POWTS Reviewer II , Integrated Services (715)634-3026, 7:15 am - 4:00 pm Mon. - Fri. WiSMART code: 7633 tdevereaux@commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 I MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: ANDREW T LEIVISKA Owner's Name: ANDREW T LEIVISKA Owner's Address: 16621 3RD ST LAKELAND MN 55042 Legal Description: SE— SW- -SEC25 T30N —R18W Township: RICHMOND County: ST. CROIX Subdivision Name: RICHMOND HILLS Lot Number: 3 Block Number: Parcel I.D. Number: 026 - 1073 -60 -100 Plan Transaction No.: _. Page 1 Index and titla Page 2 Data entry Page 3 Mound drawings i F 01 1(i l l y Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan " ' �grE Page 7 Pump curve and specifications ME�41 ° a o ��� Page 8 PLOT PLAN' .' Sp0N c C �RRE 7& Designer: KIM A OCO NELL License Number: 224263 Dater 05/24/04 Phone Number: 715 - 755 -3145 Signatur ' 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 Dis%ibution Networks for ST -SAS (01/81) Version 3.0 (03/01/01) Pa e 1 of 8 9 Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) R Residential or Commercial Design Note: sand rill (o) 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) 2.00 Site Slope ( %) 99.00 Contour Line Elevation (ft) 35.00 Depth to Limiting Factor (in) 0.60 In -situ Soil Application Rate (gRd/ft Distrib Cell Information 100.00 Dispersal Cell Length Along Contour (ft) = 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) E Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation (� 2 Number of Laterals of the highest point. 0.125 Orifice Diameter (in) (e.g. 0.25) 3.00 Estimated Orifice Spacing (ft) = 9.09 ft /orifice 2.00 Forcemain Diameter (in) 160.00 Forcemain Length (ft) Does the forcemain drain back? Y 87.00 Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 26.10 Forcemain Drainback (gal) 2.58 F� t L .. �..:. ; 116.53 Minimum ' Dos Volum (gal Volu ) e me (gal) 21.42 Total Dynamic Head (ft) 27.19 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. o tions choice l l 0.75 1.25 x 1.00 1.50 x X 1.25 2.00 - 1.50 x x 1 3.00 2.00 x 3.00 x G /Inch Calculator (optional Tre Tank Information i� 1260.00' Total Tank Cap acity al _ P y (9 ) W j y (g ) 63 2 60.00 Septic Tank Capacit aI Total Working Liquid Depth (in) � EKS Manufacturer 20.00 gal/in (enter result in cell B49) Dose Tank Information " gffluent Filter Inform_ ation 800.00 Dose Tank Capacity (gal) !Zabel Filter Manufacturer 21.76 Dose Tank Volume (gal /in) A100 Filter Model Number WEEKS IManufacturer Project: ANDREW T LEIVISKA Page 2 of 8 Mound Plan View t 1 /10 B n J Observation Pipe �1 K ... .. ...... — T o C1 A W 1. . .............1.....: — Q 3 : L Mound Component Dimensions A 6.00 ft E 7.44 in H 1.00 ft K 7.06 ft B 100.00 ft F 9.50 in z 6.10 ft L 114.11 ft D 6.00 in G 0.50ft J 5.07ft W 17.17ft 600.00 (ft Dispersal Cell Area 1210.11 (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 –f tishedt Grade:;,;;_... al.29 {ft . =– -# ......, ,.... G ♦ H a j F Dispersal cell 100.00 (ft) Lateral 99.50 (f – ► • — Invert i ' 3 ;iii ?'i'; i'i i `;;;; Dispersal Cell Q Elevation E D � .................... ........ .. �.' 99.00 (ft) Contour Elevation 2.0 % Site3lope Geotextile Fabric Cover Shading Key ��� Dispersal Cell See lateral details on Topsoil Cap c 1.5 ft Page 4 for number, " " " "' Subsoil Cap V° ,(� /"'� size, and spacing of ( ASTM C33 Sand v F laterals. Laterals are 0 Tilled Layer = 0.5 ft Typical Lateral s equally spaced from Q ] Aggregate '� o the distribution cell's — A centerline in the distribution cell (AxB). Project: ANDREW T LEIVISKA Page 3 of 8 End Connection Lateral Layout Diagram Laterals centered over the A 8 dimension 9= Turn-up YdbaIIvelveorclesn out plug I P All laterals are identical IF x -� I Holes drilled on the bottom of the lateral equally spaced S Force main oonneodon via tea or otoss to matufokl at any point. Laterals fsc force main of PVC Sch 40 (per COMM Table 84.30 -5) Number of Laterals 2 Orifice Diameter 0.125 in Lateral Diameter 1.50 in Orifice Spacing (X) 3.08 ft Lateral Length (P) 98.56 ft Orifices per Lateral 33 Lateral Spacing (S) 3.00 ft Orifice Density 9.09 ft /orifice Lateral Flow Rate 13.59 gpm Manifold Length 3.00 ft System Flow Rate 27.19 gpm Manifold Diameter 1.50 in Total Dynamic Head 21.42 ft Forcemain Velocity 2.78 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- Alternate outlet location WEEKS Manufacturer �_ 2 in. Ca acit 800.00 Gallons Volume 21.76 gal /inch A Weep hole or anti- - Dimension Inches Gallons B siphon device A 21.01 457.18 B 2.00 43.52 C Pump off e levation (ft) C 5.75 125.22 87.67 F D 1 8.00 174.08 D To 36.76 800.00 D ose tank elevation (ft) 3" Bedding under tank. F 87.00 Alarm Manuafacturer S EELECTRO - _ 1 Alarm Model Number HW 100 Pump Manufacturer JGOU L s Pump Mode( Number IWE051 1 H Pump Must Deliver 27.19 gpm at F 21.42 ft TDH Project: ANDREW T'_LE(VISKA Page 4'of 8 " 11' . Mound System Maintenance and Operation Specifications Service Provider's Name k__1 ffCROIX KIM A O_CObWELL Phone 715 - 755 -3145 POWTS Regulator's Name COU NTY ZONING Phone' hone 715- 15 386 - 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 1260 gal Maximum TSS 150 mg/L Soil Absorption Component Size 600 ft 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 monthl Pressure System Laterals should be flushed and pressure tested every 1.5 years Mound Inspect for ponding and seepage once eve 3 years 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. e .5.5:.. The thou[kd stcuicttu .atld_.4ther_ bed areas wiU,l,e seeded and mulched to prevent.soiI srosion and help reduce frost penetration. 4, Turn -up Detail Finished Grace .............. 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: ANDREW T LEWISKA Page 5 of 8 . a 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, 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 fitter 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 sludge and scum in the tank exceeds 113 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. Pumg!lgn The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verity 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 mg1L FOG for septic tank effluent or x: 30 mg/L BOD5, 30 mg/L TSS, 10 mg1L FOG. _ . .:,.._ , and 10 cfuJ100 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 dogging 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. Contingency 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 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: ANDREW T LEIVISKA Page 6 of 8 la e� [qGOULDS PUMPS Submersible Effluent Pump „ .. WE Series PROSURANCE AVAILABLE FOR RESIDENTIAL APPLICATIONS. d APPLICATIONS ■ Shaft: Corrosion - resistant, Single phase (60 Hz): can be operated continuously stainless steel. Threaded • Capacitor start motors for without damage when fully Specifically designed for the design. Locknut on all models maximum starting torque. submerged. following uses: to guard against component • Built -in overload with ■ Bearings: Upper and • Homes damage on accidental reverse automatic reset. lower heavy duty ball bearing • Farms rotation. • SJTOW or STOW severe duty construction. • Trailer courts oil and water resistant power ■Fasteners: 300 series ■Power Cable: Severe duty •Motels stainless steel. cords. /3 rated, oil and water resistant. and /� HP models have • Hospitals ■ Capable of running dry Epoxy seal on motor end P NEMA three prong • Indust ry without damage to grounding plugs. provides secondary moisture • Effluent systems components. • % HP and larger units have barrier in case of outer jacket ■ Designed for continuous damage and to prevent oil 9 bare lead cord ends. era o tion when fully wicking. Standard cord is 20. operation submerged. Three hase 60 Hz p ( ) Optional lengths are available. Pump • Class 10 overload protection ■ O- ring: Assures positive • Solids handling capabilities: MOTORS must be provided in sealing against contaminants 3 /d' maximum. separately ordered starter and oil leakage. • Discharge size: 2" NPT. ■ Fully submerged in high unit. g grade turbine oil for lubrication • Capacities: up to 140 GPM. g STOW power cords all have AGENCY LISTINGS • Total heads: up to 128 feet and efficient heat transfer. bare lead cord ends. Tested to UL 778 and TDH. ■ Class B insulation on ■ Designed for Continuous CS 22.2 108 Standard$ , Jfr 1 HP tTtOde15 ByCanadian 5tartdards - " Temperi3fure Operation: "Pump ratings are ByCaadia 1041(40°C) continuous ■ Class F insulation on 2 HP within the motor manufacturers CM US File #LR38549 140 °F (60 intermittent.. mod 'els. recommended working limits Goulds Pumps is ISO 9001 Registered. • See order numbers on reverse side for specific HP METERS FEET voltage, phase and RPM's 40 130 - - SERIES: WE available.EtSH" SIZE: 3 /4" SOLIDS 1201...... _ _.. ; 35 RPM: 3500 & �` � _�_ 1750_ 1101 H wE2 i FEATURES � � — ► SGPM 30 100 ■ Impeller: Cast iron, semi- 90 wErt open, non with pump out 25- a0� 1 ; vanes for mechanical seal ! i protection. Balanced for a 20 70 E"0" smooth operation. Silicon ; 60 bronze impeller available as a 15 50 "EO H .. an option. 0 40 t ■ Casing: Cast iron volute type 10 301 wE ,, ' for maximum efficiency. OIw 2 NPT discharge 5 I _ 10 , 7. _i .....,.. _ i .. t .., ■ Mechanical Seal: SILICON CARBIDE VS. SILICON b.11 °o 'i0 i 0... 30 40 ,50 ! 60 70 80 90 100 110 120 130 140 150 160 GPM CARBIDE sealing faces. i Stainless steel metal parts, 0 5 10 15 20 25 30 35 m BUNA -N elastomers. CAPACITY 0 ( / Goulds Pumps © 2003 Goulds Pumps ITT Industries Effective July, 2003 www.goulds.com WW 83885; i J rt C o a \ x-, �► C � � w n � to • �' r oE�� m W` consiD Department of Industry SOIL AND SITE E V A L U AT I O T Page 1 of 3 ! r and Human Relations D� . ion oh$afety & Buildings in accord with ILHR 83.05, W AAA '&de COWNTY St. Croix Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plzrtt -i} ust incl� e , b not limited to vertical and horizontal reference point (BM), direction and % Q1 slope scale or PARCE t I.D. # A dimensioned, north arrow, and location and distance to nearest road. <: ( T pending l ED M tf APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATIO r ".& ix BY o PROPERTY OWNER: N 9PER I418FA( i..� R J C Development, Inc. G `LOT SE - �v4s 1 , S 25 T 30 N,R 18 f. (or) W PROPERTY OWNERS MAILING ADDRESS LOT # �dCgC # . AME OR CSM # 1868 CTH. "C" 3 n csm CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE [MOWN NEAREST ROAD Somerset, WI. 54025 (715 247 -5721 Richmond 130th. Ave. [x] New Construction Use ic ] Residential / Number of bedrooms 4 ( ] Addition to existing building I ] Replacement [ ] Public or commercial describe Code derived daily flow 600 gpd Recommended design loading rate .4 gpd /ft _ trench, gpd /ft Absorption area required 500 bed, ft 500 trench, ft Maximum design loading rate _ bed, gpd /ft gpd /ft Recommended infiltration surface elevation(s) 100.00 ft (as referred to site plan benchmark) Additional design / site considerations system el based on contour line of el 99.00 Parent material glacial drift Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem 0 ®U :]S ❑U ❑S OU ❑S ®U El ®U ❑S ®U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Y Roots GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0 -11 10yr2/2 none 1 2msbk mfr cs if .5 .6 (� `.1 2 11 -26 10yr4 /4 none sil 2msbk mfr 9w if .5 .6 Ground 3 26 -37 10yr4 /4 none sici 2msbk mfr 9w na .4 .5 99 4 7 -50 7.5yr4/4 none sl 2msbk mfr 9w na .5 :.6 Depth to 5 0 -80 7.5yr4/4 c2d 7.5yr5/6 sil M na na na np .2 limiting factor 50" l Remarks: Boring # 1 -10 10yr2/2 none 1 2msbk mfr cs if 1 .5 .6 ✓p 2 0 -20 10yr4 /4 none sicl 2msbk mfr 9w If .4 1.5 3 0 -35 10yr5 /4 none sicl M na 9w na np .2 {�O Ground elev. 4 5 -60 5yr4/4 c2p 7.5yr5/8 scl M na na na np .2 99 ft. Depth to limiting factor 35" Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 Address: 1554 200th. Ave. .,New Richmond I 54017 Signature: Date: CST Number: m02298 5 -4 -2000 PROPERTYOWNER RJC Development, In c. SOIL DESCRIPTION REPORT Page 2 of _3 PARCEL I.D. # pending Depth Dominant Color Mottles Texture Structure Consistence Y Roots GPD /ft Boring # Horizon in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0 -9 10yr2 /2 none 1 2msbk mfr cs if .5 .6 2 9 -22 10yr4 /4 none scl 2msbk mfr gw if .4 .5 Ground 3 22-4E 7.5yr4/4 none sl 2msbk mfr gw na .5 .6 elev. 98.5 ft. 4 48 -75 5yr4/4 none scl M na na na np :.2 E > Depth to limiting factor 48" Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # i.2 Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) STEEL'S SOIL SERVICE Gary L. Steel RJC Development, Inc. 1554 200th Ave. CSTM2298 SE4SW4 S25- t3ON -R18W New Richmond, WI 54017 MPRSW -3254 town of Richmond (715) 246 -6200 lot #3 -csm iN �1 =40' (ai)= top of 1 pvc pipe C el. 10 0.00' " ki BM. = top of 1" pvc pipe C el. 99.75 , A �o N� b` Gary L. Steel 5 -4 -2000 I __ 04/30/2004 09:14 FAX 1 715 247 3038 BELISLE EXCAVATING IE007 ST CROIX COUNTY ;�lrl''l'1C TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FOPM Owner- l "suycr. ,. I.,eiviska. hlailin _._1 66.2L3zd_..St. _ � hru {��rrr ..ii it as J 130th Ave. N W Ri { Vor;0c2cion required from Planning Dtpartmeitt for new construction) ©'� City r5t;�le New R ehmond . Wisc. Parcel Identification Number ©Z to (vo —(C Fropertv LcwnirjrmS.E ;,i,S.W 1,4, Sec. 25 , , / � T A „1Q - _N- �Z 1f3_ W I 'Town of Ric -hrria rk �Fuz� Suhclivisic,n R '"'` � � • , Lot # _ :t Certified Survoy i1l:tl) # 62 , Volume � , page # �3 Warr � C_ Warranty 000a # ���� 72 �Z�z 'Volttme 2 ' 2 � ° ,Page # Spec house G )a:; lR no Lot lines identifiablefl yes O no SYST.b - 'M f► IAIN'1�1', 1IWJJropvi' U8': .111,1 nlainrenarlCegf your septic system could result in its preinswrc failure to handle wastes. Proper maiamitance consists of Sul 011 sc;pt;c wrik (:very three years or sooner, if needed by a iioonsed pumper. What you put into the system can affect z1ie rurrclii:n ut rile septic w alk as a treatrijent stage in the waste disposal s ys tem. "111e prOpect owror agr ees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a Master pi u, n be r, } nurn rrtart i�lumbc r, restricted plumber or a licensed pumper verifying that (l) the on -site wast'ewatcrdisposal system is in prop;:r opcta0111; co +iilaiuu ai1tb'u7 (1) uRur inspection and pumping (if necessary), the septic tank is less than 1/3 full ofsludge. 1 /we, the uri.lcrsi;'"W d !nave d ve re tic above requiremorts and agree to maintain the private sewage disposal system with the standards set f'onit. M - eitl, s; ; cr by tic Department of Commerce and t D"runent of Natural Resources, State of Wisconsin. Certification stating that yutjr ;rhtic system has baer maintained must be completed and rcrurned to the Sr. Croix County Zoning Office within 30 days uY a $1: >"c;ii rxp ration date. S o `1 S DATE WN 'O;. `: i�;l: l l I•'ICATZUN E ('' ccrtih that :ail sca,ternents on this form art: true to the best of my (our) knowledge. I (wc) am (are) the owners) of th U""Cl d c:;Ciil'c. ,boy c, by virile of u wurrunty deed recorded in Register of Deeds Office. S1Cs'NA " It Cl :1.E'1'Li .. ?,N.T DATE •R�ftw Any irifor1113riori iliac is mis• represented ma result in the sanitary pemtit being revoked by the Zoning Department, "'••` Include with aiis application a stamped warranty deed from the Register of Deeds office a copy of the ctni fied survey map if reference is made in tho warranty deed i s U 2270P 172 7 25254 KATHLEEN H. WALSH STA i n BAR OF WISCONSIN FORM 2 - 1999 REGISTER OF DEEDS Document Number WARRANTY DEED ST. CROIR CO., MI RECEIVED FOR RECORD This Deed, made between RJC Development, Inc., a Wisconsin 06/10/2003 12:40PM Corporation, WARRANTY DEED EXEMPT 4 Grantor, and Andrew T. Leiviska REC FEE: 11.00 TRANS FEE: 93.00 COPY FEE: CC FEE: PAGES: 1 Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Recording Area Part of the SEl /4 of SW 1/4 of Section 25, Township 30 N ange 18 Name and Return Address West, St. Croix County, Wisconsin, described as follow of 3 f Certified The First National Bank of Hudson Survey Map filed July 19, 2000, in Vol. 1 4, Page 390 1, Doc. No. 626686. Pat 016034920 PO Box 187 Hudson WI 54016 026 - 1073 -60 -100 _ Parcel Identification Number (PIN) This is not homestead property. 0€) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this QM day of June 2003 RJC Development, Inc. * * By: Roberta J Carlson, Vice President * AUTHENTICATION ACKNOWLEDGMENT Signature(s) RJC Development, Inc., a Wisconsin Corporation, STATE OF WISCONSIN ) by Roberta J. Carlson, Vice President ) ss. County ) authenticated t 's > day of June 2003 Personally came before me this day of the above named * Kristina Ogland TITLE: MEMBER STATE BAR OF WISCONSIN (If not, to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Attorney Kristina Ogland Notary Public, State of Wisconsin Hudson, Will 54016 My Commission is permanent, (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) __ I _.) * Names of persons signing in any capacity must be typed or printed below their signature. Information Professionals company, Fond du Lac, wi WARRANTY DEED STATE BAR OF WISCONSIN 000-655 -2021 FORM No. 2 - 1999 Apr 16 03 10:41a Gerald Harvieux 715-246 -6070 p•6 CERTIFIED SURVEY MAP Located In part of the Southeast Quarter of the Southwest Quarter of Section 25. Township 30 North, Range 18 West, Town of Richmond, St. Croix County, Wisconsin. SURVEYOR'S CERTIFICATE I, Ronald F. .Tohnson, a Registered Wisconsin Land Surveyor, hereby certify that. by Lhe direction of RJC Development, Inc., a Wisconsin Corporation, I have surveyed, divided and mapped part of the Southeast Quarter of the Southwest: Quarter in Section 25, Township 30 North, Range 18 West, Town of Richmond, St. ct county, Wisconsin described as follows: Commencing at the South Quarter corner of said Section 25; thence, on an assumed hearing along the south line of the Southwest; Quarter of said Section 25, South 89 degrees 43 minutes 24 seconds West a distance of 606.00 feet to the point of beginning of the parcel to be described; thence, continuing along last said south line, South 89 degrees 43 minutes 24 seconds West a distance of 716.24 feet to the west line of the Southeast Quarter of the Southwest Quarter of said Section 25; thence, along last said west line, North 00 degrees 05 minutes 55 seconds East a distance of 306.01 feet; thence North 89 degrees 43 minutes 24 seconds East a distance of 714.46 feet; thenco South 00 degrees 1.3 minutes 53 seconds East a distance of 306.00 feet to the point of beginning. Containing 218,900 square feet (5.03 acres). Subject to 130th Avenue (a Town Road) along the most southerly line of the above described property, also subject to all easements, restri.rtions and covenants of record. I also certify that this Certified Survey Map is a correct representation to scale of the exterior boundaries surveyed and described; Lhat I have complied wiL•h the provisions of Chapter 236.34 of the Wisconsin Statutes and the Subdivision Ordinance of the County of St. Croix and the Town of Richmond in surveying and mapping the same. Ro arm ld F. 6hn9on Reg, No. 1186 Date A & r Telephone # (715) 246 -4319 R—"`'����/ O Land Surveying & Civil Engineering P. 0. Box '325 New Richmond, WI 54017 N t O L7 RONALD F. JOHNSON = MERY AMEf7Y, Wis. • •r��'�'O S /� q1 M — a) omm N", , + � �fia v x ox O nn • o N 3 H N = Sheol 2 of 2 Vol. 14 Page 3901 /^ I` Apr 16 03 10:41a Gerald Harvieux 715- 246 -6070 p.7 1 44 w Z`! R NALD F & JOHNSON FILED AMERY. F 01 JUL 1 9 2000 a 4 W KATHLEEN H.WALSH 6 2b686 • RegislorofDeeds ? ; qty, < q •� 4 �• fi St. CIOU CO., WI S °„ „:E''ERTIFI VEY MAP Located In port of the Southeast Quarter of the West of Section 25, Township 30 North, Ronge 18 West, Town of Richmond, St. Croix County, Wisconsin. Prepared for and at the request of: o OWNER: o, RJC Development, Inc W Z 1868 C.T.H. C' Somerset, WI 54025 0-fled by. Ty R. Dodge t g 2 p O ' 3 O U N 2-1- S00'1 3'53 "E 306.00' 1 I vi E 273.00' • :c o. r .rr- 0 V) E as I I a c Q. .S I o or u C J \ ( O V N u > 0� u 3 ( I c'V « o m — o I o p + c ` N y a� 4 j O I U2 U o U Vr O E"' I M� W o x $ W o, to to I I ° E -z C O 0 E rn ZI o o:vtavdw : o ° o I 0 1 u� 0 -off 3 1 o I� a a U L o V I o h n, CL co ¢i u '� I t0 In Q 0 Q tD to J. cnovlo =cp of PI) Q�a��NN n1 n� I E>.o o— ad -��� J F- N at N I � ., Q o f I I 1 Iv' i 01 0 z l I WI NI ° ° I N °I E c a Ui n I N IQi Q « °ov $ : I 0 t to I :' J I c it u 5 N00'13'53 "W 6,00' 1 o ° I I ^ `r 0 (,D WI 1 W 273.00 1 \v 3 N j ° I oo °c <� o N IOIm t — I n yo0 [�. w V) Q I '• N I O 2 ro c I u 0 co O U r 0.I z d' I 1A I 1 _j I < W Q N a_ �— CC �I zl F .ct _o =I 0; �o Q 'Co Z1 —a�U. R N t as XN MI i M O O <W ^< I I W n to to N Ir I ai � N < ' 01 L ,rr j I m — O 0 I I W Z I 'K I z Z �I O ti I �Zw w£ST L INE OF THE Sr 114 \ A _OF 1HE sw1� _ 273.01' : \� / \ I W a a N00105'55 "E 306.01' = m N Q ULj U N P L A T TED L A N D S o; 4 I z 'n M -- -- - - - -- - 2 m 2 JOB N A00049 p O W I o Prepared by. I ti1r17 N' / WU � NO SURVEYING & CIVIL ENGINEERING APPROVED *� A � n / Phone No. (715) 246 -4319 ST. CR01X COUNTY 6 D PO I Planning Zon +1a snd o3ikt Cronmltlne f2 2 Z . U Y to 109 East Third Street. P.O. 8ox 325 New Richmond, WI 54017 JUU 19 2000 h I Sheet 1 of 2 W 3 } t M cn If not rocorued within 30 days of approval date approval shall be null and vold Vnl 1l1 Pane 'AC401