HomeMy WebLinkAbout026-1130-10-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Buffing Division
` Ir INSPECTION REPORT Sanitary Permit No:
430057 0
GENERAL INFORMATION (ATTACH TO PERMIT) tate Plan ID N
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. $6L 3Z C f0A4S . I CA "
Permit Holder's Name: city Village X Township Parcel Tax No:
Miller, Sam I Richmond Township 026- 1130 -10 -000
CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No:
IC10 • 0 t3» • c'� It ex gw. 1 25.30.18.'&
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic �t7(�C 3D Benchmark +4 p ` Ob
Dosing L I U Alt. BM
Aeration Bldg. Sewer
Holding St/Ht Inlet 3 r
1 0 k is
TANK SETBACK INFORMATION St/Ht Outlet
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet
Septic > _ \ 2— D I Dt Bottom +fie • 6 t
Dosing � �� I f Header /Man.
�• D
Aeration Dist. Pipe �•�tf i y _ tr •,,.
• 61 lob
Holding Bot. System 8' 9 1 • ! 3
Final Grade
PUMP /SIPHON INFORMATION l:P L` Z LS 4A It
Manufacturer D Demand St Cover ID) 966 /
Q / / GPM
el Number G � / vN l�� • � M IF• fs 1OS4
H Lift ^ - Friction Loss System Head TDH Ft r
— • 'c ,0 .too 4 • S� ' KIM O S, $"2 9 � • �3
Forcemain Len th I Dia. Dist. to Well R _
SOIL ABSORPTION SYSTEM C � , s"?_
BED /TRENCH Width Length No. Of Trenches PIT ENSIONS No. Of Pits Inside Dia. Liquid epth
DIMENSIONS '�•Q'�S
SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHIN Man et r:
INFORMATION CHAMBER O
Type Of System: Q
'] D Mo tuber:
DISTRIBUTIONS TEM
Header /Ma ��Id . Distribution t i x Hole Size � 7 72 Spacing Vent to Air Intak Length • i Length ft ia_& Spacing 2 • ' • S 3
OIL COV 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 17 Yes ] No F_J Yes ! ] No
CO M MENTS: (Includee r pencies, persons present, etc.) Inspection #1: 4nss ect ion #2:
I Dp E Location: 1419 138th Ave Hudson, WI 54016 (NW 1/4 NW 1/4 25 T30N R18W) d Pin Corner Ldt'f0 - arcel No: 25 30.18.
1.) Alt BM Description = C�j 1 i,
2.) Bldg sewer length = zp
t - amount of cover
Use other side for additional in
Plan revision Required. Yes No formation. L
SBD -6710 (R.3/97) S n epctor's Signature Cart. No.
Safety and Buildings Division County
N vi 201 W. Washington Ave., P.O. Box 7162 ST . C" I
sevnsin Madison, WI 53707 - 7162 Site Address
De artment of Commerce 4- Ifl q 3?
Sanitary Permit Application Sanitary Permit Number
In accord with Comm 83.21. Wis. Adm. Code, personal information you provide
may be used for secondary ses Privacy Law s15. 1 m 0 Check if Revision
I. Application Information - Please Print All Information ; ;tue Plan I.D. Number
Properly Owner's Name Parcel Number
SA A LC_E o2G- /l3a- /o -00
Property Owner's Mailing Address J Property Location
/V 1j) li (�/� • S _ ST NT 3 d N. R
City, State Zip Cod "o
per Lot Number V Block Numbe
Subdivision Name CSM Number
14m4.so ►1 Of & 7tX- 3 8' &- g SL QED J'f N E
11. Type of Building (check all that apply)
Dwell' .3 & ❑City
I or 2 Family mg - Number of Bedrooms rr, o ...(�
❑ Public/Commercial - Describe Use ❑Village
❑ State Owned 6e A °o, �' G rest R G 111`6 N
�, // M 2- � D .. �, Nearest Road
III. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable)
A 1 New 2 ❑ Replacement System 3 ❑ Replacement of 6 ❑ Addition to For County use
stem Tank Only seem
B. ❑ Check if Sanitary Permit Previously Issued Permit Number Date Issued
N. Type of Permit: (Check all that appl )(numbering scheme is or internal use)
44 ❑Non - Pressurized In -Groin 21MoundC> 7 ❑ Sand Filter 50 0 Constructed Wedand
22 ❑ Presnrrized In -Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line
45 ❑ At -Grade 46 ❑ Aerybic Treatment Unit 49 ❑ Recirculating 30 ❑ Other
V. tment Area Information: (.2!. 13 X 4 _ /o o l.. r'A , .L
Design Flow (gpd) Dispersal Area Dispersal Area Soil lication Percolation
App System F.levati�n Final Grade
Required Proposed Rate(Gals./Days/Sq.Ft.) (Min./Inch) 99 . � S Mevation i
q5 V-5 y SU -1 1 o Z .o
VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic
Gallons Gallons of Tanks Concrete Constructed Glass
New Existing
Tanks I Tanks
Septic or Holding Tank �/ _ /Ooe SO - /
1 � C/r /t• o ✓
Dosing Chamber Nato- 1,. mo 7 - 44( /C
VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans.
Plumber's Name (Print) Plumber's Signature MP/IvfPRS Number Business Phone Number
/4 `D A 1. ?- 7
Plumber's Address (Street. City. State. Zip Code)
VIII. County tDe attment Use Onl
Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing Aeent Signature (No Stamps)
Surcharge Fee)
❑ Owner Given Initial Adverse 32S \
Determination 7,pp.
UX. Conditions of Approval/Reasons for Disapproval
�.
complete plain (to the County only) for the system on papa not teaa than SM x 11 Inches to she
SBD -6398 (R. 05101)
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Top of y'tP�•�'•
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Safety and Buildings
4003 N KINNEY COULEE RD
` LA CROSSE WI 54601 -1831
Visc,onsin TDD #: (608) 264 -8777
www.commerce.state.wi.us /sb
Department of Commerce www.wisconsin.gov
Jim Doyle, Governor
Cory L. Nettles, Secretary
May 13, 2003
CUST ID No.225036 ATTN POWTS Inspector
MICHAEL P MC DONELL ZONING OFFICE
MILLER CONSTRUCTION ST CROIX COUNTY SPIA
1070 HUNTER RIDGE RD 1101 CARMICHAEL RD
HUDSON WI 54016 HUDSON WI 54016
CONDITIONAL APPROVAL Identification Numbers
PLAN APPROVAL EXPIRES: 05/13/2005
Transaction ID No. 866324
SITE: Site ID No. 658954
Sam Miller Homes Please refer to both identification numbers,
1419 138TH Ave above, in all correspondence with the agency.
Town of Richmond, 54017
St Croix County
NW1 /4, NW1 /4, S25, T30N, R18W
Lot: 10, Subdivision: Red Pine Estates
FOR:
Description: Three Bedroom Mound System
Object Type: POWT System Regulated Object ID No.: 902864
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 Condl
chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements.
The following conditions shall be met during construction or installation and prior to occupancy or use: APPF
General Approval Requirements: DEPARTMENT
OF Fl
• This system is to be constructed and located in accordance with the enclosed approved plans and with the J
SEE CORRE
"Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD- 10691 -P (N.01 /01)
and the SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST (01/81)
• Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area.
Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal
are prohibited.
• Access to the filter for cleaning must be provided per Comm 84 product approval conditions. Maintenance
information must be given to the owner of the tank explaining that periodic cleaning of the filter is required
• The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption
area. chs. NR 811 & 812c
• A Sanitary Permit must be obtained from the county where this project is located in accordance with the
requirements of Sec. 145.135 and 145.19, Wis. Stats.
• Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the
designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat
r
/ MICHAEL P MC DONELL Page 2 5/13/03
• Comm 83.22(7) 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.
Owner Responsibilities:
• Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and
maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s.
Comm 83.54(1).
• Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as
required under s. Comm 83.54(4) shall be considered a human health hazard.
• Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the
county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the
component(s) utilized in the POWTS.
All permits required by the state or the local municipality shall be obtained prior to commencement of
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.
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address
on this letterhead.
The above left addressee shall provide a copy of this letter to the owner and any others who are responsible
for the installation, operation or maintenance of the POWTS.
Sincerely, Fee Required $ 175.00
Fee Received $ 175.00
Balance Due $ 0.00
Charles L Bratz
POWTS Reviewer II , Integrated Services WiSMART code'
(608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday
cbratz@commerce.state.wi.us
cc: Leroy G Jansky, , Wastewater Specialist, (715) 726 -2544
I
I
MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN
Residential Application
INDEX AND TITLE PAGE
Project Name: Sam Miller 3 bedroom residential mound system
Owner's Name: Sam Miller
Owner's Address: P.O. Box 121
Hudson, WI 54016
Pcl. Add.: 1419 138th Street
Legal Description: NW1 /4NW1 /4, Sec. 25, T. 30N., R.18W.
Township: Richmond
County: St. Croix
Subdivision Name: Red Pine Corner
Lot Number: 10 Block Number: na
Parcel I.D. Number: 026 - 1130 -10 -000
Plan Transaction No.:
Page 1 Index and title Tonally
RECEIVED Page 2 Data entry O
Page 3 Mound drawings 1/ VED
Page 4 Lateral and dose tank OF COMMERC E
MA - 8 ?003 Page 5 System maintenance specifications E t�tNGs
Page 6 Management and contingency plan
SAFETY & BLDGS DIV. Page 7 Pump curve and specifications SPONDE
Page 8 Site Plan
Page 9 Soil Evaluation Report
Designer: Mike Mc Donell License Number: 225036
Date: 04/23/0 Phone Number: 715- 386 -8692
Signature:
Designed Pursuant to the
Mound Component Manual for POWTS Version 2.0 SDB- 10691 -P (N. 01/01), and
SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81)
Version 3.0 (03/01/01) Page 1 of 9
Mound and Pressure Distribution Component Design
Design Worksheet
Site Information
(r or c) _ R Residential or Commercial Design Note: Sand fill (D) calculations assume a
300.00 Estimated Wastewater Flow (gpd) Table 83-44-3 in -situ soil treatment for fecal
<-
-- coliform of 36 inches.
1.50 Peaking Factor (e.g. 1.5 = 150 %)
450.00 Design Flow (gpd)
5.00 Site Slope ( %)
99.25 Contour Line Elevation (ft)
30.00 Depth to Limiting Factor (in)
0.50 In -situ Soil Application Rate (gpd /ft
Distribution Cell Information
90.00 Dispersal Cell Length Along Contour (ft) = 5.00 Cell Width (ft)
1.001 Dispersal Cell Design Loading Rate (gpd /ft
1 Influent Wastewater Quality (1 or 2) Are the laterals the highest poin
in the distribution
P Disribution Information network? Enter Y or N
(c or e) % c� Center or End Manifold
2.50 Lateral Spacing (ft) If N above, enter the elevation (ft
_ 4 Number of Laterals of the highest point.
0.125 Orifice Diameter (in) (e.g. 0.25)
2.50 Estimated Orifice Spacing (ft) = 6.25 ft /orifice
2.00 Forcemain Diameter (in)
35.00 Forcemain Length (ft) Does the forcemain drain back? � Y
9 1.00 Pump Tank Elevation (ft) Enter Y or N
6.50 System Head (ft) x 1.3 5.71 Forcemain Drainback (gal)
8.25 Vertical Lift (ft) 81.25 5x Void Volume (gal)
0.66 Friction Loss (ft) 86.96 Minimum Dose Volume (gal)
15.41 Total Dynamic Head (ft) 29.66 System Demand (gpm)
Lateral Diameter Selection Manifold Diameter Selection
in. dia. options choice in. dia. options choic
0.75 _ a 1.25 x -�
1.00 x 1.50 x - x _
1.25 x 2.00
1.50 x x _ i L 3.00
2.00 x
3.00 x }- - - - - -I
Gallons /Inch Calculator (optional)
Tr Tank Information _ 6 64 00 Total Tank Capacity (gal)
1000. 1 Septic Tank Capacity (gal) i _38.0 Total Working Liquid Depth (in)
Wieser Concrete Manufacturer 17.00 gal /in (enter result in cell B49)
Dose Tank Information Eff luent Filter Info rmation
646.00 Dose Tank Capacity (gal) Zabel Filter Manufacturer
17.00 Dose Tank Volume (gal/in) IA100 Filter Model Number
l Wieser Concrete Manufacturer
Project: Sam Miller 3 bedroom residential mound system Page 2 of 9
Mound Plan View
.0. J
� /FK _ 1 � B Y Observation Pipe
5 . A
B
. I
•
..... ...............................
L
Mound Component Dimensions
A 5.00 ft E 9.00 in H 1.00 ft K 7.25 ft
B 90.00 ft F 9.50 in z 7.21 ft L 104.50 ft
D 6.00 in G 0.50 ft J 4.67 ft W 16.88 ft
450.00 (ft Dispersal Cell Area 1098.53 (ft) Basal Area Available
5.00 (gpd /ft) Linear Loading Rate 9.00 (ft) 1/10 B Obs. Pipe Placement
Mound Cross Section View
Aggregate Dispersal Area
Finished Grade 101.54 (ft) --♦►
,.f. �.... G H
I F ; : ; : Dispersal Cell 100.25
( ft) Lateral
99.75 (ft) — Invert
Dispersal Cell ' 3�
Elevation E D
, i i i ii i`', �'i�i i ,i i'i , 'i , }'i i i�). i {%.�,i�i, J i 4 i i i�,
`i '} -- i, _ - - i _ - i � _,i. - i, �{ �i i -- i ,i, { �i i - i �i - i, i - i 'i, `i, i �i i, i, i �. �. !. 7. i, 7, 1, �� ~.,, ! ,. �� ,.� /., -~ ... �i ,,~7,
{ •.
99.25 (ft) Contour Elevation
5.0 % Site Slope
Geotextile Fabric Cover
Shading Key T Dispersal Cell See lateral details on
1❑ Topsoil Cap c 1.5 ft .• Page 4 for number,
Subsoil Cap c�, size, and spacing of
ASTM C33 Sand Z .`. F laterals. Laterals are
®0 Tilled Layer 0 0.5 ft Typical Lateral equally spaced from
`i N ttom�..
❑5 Aggregate o °t�l;•' the distribution cell's
1W --- -- A —* centerline in the
distribution cell (AxB).
Project: Sam Miller 3 bedroom residential mound system Page 3 of 9
Center Connection Lateral Layout Daigram
Force main connection via tee or cross to manifold at any point. Laterals are identical
5
I P �L
•= Turn -up wdball valve or IE }��IE -x12 F024>1 aterals & force main of PVC Sch 40
cleanoutplug per COMM Table 84.30.5
Holes drilled on the bottom of the lateral.
Number of Laterals 4 Orifice Diameter 0.125 in
Lateral Diameter 1.50 in Orifice Spacing (X) 2.53 ft
Lateral Length (P) 44.28 ft Orifices per Lateral 18
0 ft Orifice Density 6.25 ft /orifice
Lateral Sp acing S 2.5 Y
P g( )
Lateral Flow Rate 7.41 gpm Manifold Length 2.50 ft
System Flow Rate 29.66 gpm Manifold Diameter 1.50 in
Total Dynamic Head F 15.41 ft Forcemain Velocity 3.03 ft/sec
Dose Tank Information Locking cover with warning
label and locking device and
sealed watertight
Electrical as per NEC 300 and ---►
4 in. min.
Comm 16.28 WAC
Disconnect _`�
y
Tank component is properly vented E-- Alternate outlet
location
Forcemain diameter
Wieser Concrete Manufacturer 2 in.
Capacityl 646.00 Gallons —�
Volume 17.00 gal /inch A
Weep hole or anti-
Dimension Inches Gallons B siphon device
A 18.64 316.86 C
B 2.00 34.00 P � ump off e levation (ft)
C 5.36 91.14 92
D 12.001 204.00 D
Total 38.00 646.00
D ose tank elevation (ft)
3" Bedding un er tank. 91.00
Alarm Manuafacturer LevelArm
Alarm Model Number DLV i
Pump Manufacturer [ Zoeller
Pump Model Number �98
Pump Must Deliver 1 29.66 gpm at 15.41 ft TDH
Project: Sam Miller 3 bedroom residential mound system Page 4 of 9
Mound System Maintenance and Operation Specifications
Service Provider's Name Jim Thompson #30021 Phone 715 - 248 -7767
9
POWTS Regulator's Name , St. Croix County Zoning De 't. Phone 715 - 386 -4680
System Flow and Load Parameters
Design Flow - Peak 450 gpd Maximum influent Particle Size 1/8 in
Estimated Flow - Average 300 gpd Maximum BOD5 220 mg /L
Septic Tank Capacity 1000 gal Maximum TSS 150 mg /L
Soil Absorption Component Size 450 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 month)
Pressure System Laterals should be flushed and pressure tested every 1.5 years
Mound Inspect for ponding and seepage once every 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.
5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion
and help reduce frost penetration.
Lateral Turn -up Detail
Finished _. ...............
Grade \ , .
6 -8" Diameter Lawn Threaded Cleanout
Sprinkler Valve Box Plug or Ball Valve
.
Distribution . . . / . . . . . . . . . . .
Lateral
Long Sweep 90 or Two
45 Degree Bends Same
Diameter as Lateral
Project: Sam Miller 3 bedroom residential mound system Page 5 of 9
i
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 ISBD- 10691 -P (N.01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and
maintenance reporting.
No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death.
Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as
POWTS components.
Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings
used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject
to failure must be replaced. Exposed access openings greater than 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 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 fitter when removed from its enclosure. If the filter is equipped with an alarm, the filter
shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm.
The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If
the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next
service needs to be.performed to maintain less than maximum scum and sludge accumulation in the tank.
The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are
used they shall be approved for septic tank use by the Department of Commerce.
Pump Tank
The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper
operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary.
Mound and Pressure Distribution System
No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall
be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative
maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow
compaction in the winter will promote frost penetration. Cold weather installations (October - February) dictate that the mound be heavily mulched
as protection from freezing.
Influent quality into the mound system may not exceed 220 mg/L BOD 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or
30 mg/L BOD 30 mg /L TSS, 10 mg /L FOG, and 10 cfu /100 mL for highly treated effluent. Influent flow may not exceed maximum design flow
specified in the permit for this installation.
The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed
of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the
system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the
dispersal cell.
Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels
above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring.
Continaency 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)kof this plan for the name and telephone number of your local POWTS regulator and service provider.
S
Project: Sam Miller 3 bedroom residential mound system Page 6 of 9
HEAD /CAPACITY CURVE
a
C r
.- W
W W HEAD CAPACITY CURVE
• H LL
EFFLUENT MODELS
TOTAL DYNAMIC HEAD /CAPACITY PER MINUTE
is
EFFLUENT AND DEWATERING
61.66
SERIES 6739 97 94 137.139 lei I ICJ 166 116 tell IM lag
FT. M. GLL L6a Gal. Lta Gal In Gal. L6t 0149 Un 0.1. Llra G.I. Co. Gal La's. G.l LYa G4l Lta. G► L1rs !
S 1.62 43 .163 56 212 72 274 104 304 106 .401 61 221 61 231. 68 220 156 567 156 667',
c -
10 .3.06 ]l 129 46 17� 61 ZJI 79 300 loo .371 61 al - 61 2,11 66 2,20 144 660 151 6721
16 .:4.67 19 72 36 133 4b 170 64 242 91 341: 00 .W7, a0 Z37 b9 22O 142 637 146 b49�
20 410 - .. 16 ''b7 26 $6 36 138 92 310. 69 223 . a0 227 ba 220 136 6115 140 633
26 7.02 8 30, 280 67 2161 60 223. ba 220 129 414 13J k%3 1
30 9.14:.. 66 246. 66 208 61 2flA'. 90 X40 W .220 121 461 127 u1'
_ 40 12.19 48 174 48 172 208 76 2&7 68 220 106 397 114 4J1
.. 186 60 16.24 : 2t W JJ 126 61 I %.._ 6a ...219. 68 ?20 90 alt 100 3'9!
7G -- - 60 10.29 16 67. 4J Iat. 36 '..130 6a 220 71 289 16 322
70 21.34 30 1.14. 10 34 62 197 61 .193 70 2661
.' 16S W 24.* I4 63: � gm
90 27,4J too 30.48.. 163 Ito 3200
cJ Lock Valva: 19.26' 23,76' 23' 1 5e' 14' 17' 73' U6 91' 1, 2'
EFFLUENT & DEWATERING
65 Warning: Model 185 should not be subjected to less
than 30 feet TDH.
lee
Note: For Head Capacity on Model 112, industrial
column - explosion proof pump, see FM 219.
161
.. A.//
- -- 98
SEWAGE & DEWATERING
ALL N '__10 201 D 401 50 601 70 eo 90 100 „0 120 uo 14o uo 160 WARNING: Model 293 should not be subjected
f LITER 80 160 210 320 400 480 560 640 to less than 15 feet TDH.
` dI;_XC^
29 ." C.P.
W
LL
24 80 TOTAL DYNAMIC MEAD /CAPACITY PER MINUTE
SEWAGE AND DEWATERING
75
ZI -
T SERIES 262 266 267 266 28 f"2
292 293 294 _ 295
70 FT. M Gal. Ltrs. Gal, Llrs. Gal. Llra. Gal. Lim Gal. Llrs. Gal. Lim Gal L1rs. Gal Ltrs Gal wa
20 5 152 �
. 90 341 128 484 196 742 225 852
128 484 128 484 130 81 140 530
5,5 10 3.05 60 227 89 337 89 337 89 337 95 98 124 469 181 685 205 776
IS 457 22 5 85 50 189 50 169 50 188 63 2n 106 401 130 492 165 625 185 700
18 60 20 610 10 38 10 38 10 38 33 101 68 333 119 450 150 568 168 676
25 7.62 88 68 257 106 401 136 515 153 $£ n
30 9 l4 163 47 178 _ 90 340 121 456 140 530
55 16 40 1219 5 19 50 189 94 356 115 435
50 15.24 SO 60 18.29 58 220 89 337337 14 70 2134 45 Lock Valva tB' 215' 21.5' 21.5' 26' 4Y SO'
62' 77
12 r 40
35
10
30 f
6 I 293
25
6 7 -20 -
15
4 282
10
292 -
5
262 266, 267, 268 284 294 295 1
0
GALLONS 10 20 30 40 I 50 60 70 80 90 100 110 120 130 140 150 160 170 180 190 200 210 220 230
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LITERS 0 80 160 240 320 400 480 560 640 720 00 880
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• 1623
Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3
Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code A.C.E. Soil & Site Evaluations
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
percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Parcel I.D.
026 - 1130 -10 -000
Please print all information. Reviewed By Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).
Property Owner Property Location
Miller, Sam Govt. Lot NW 1/4 NW 19 S 25 T 30 NR 18 W
Property Owner's Mailing Address Lot # Bloc�#Subd. ame or CSM#
P.O. Box 151 10 Plat Of Red Pine Corner
City State Zip Code Phone Number J City _f Village IJ/ Town Nearest Road
Hudson WI 1 54016 1 (715) 386 -2769 Richmond 1 1419 138Th Ave. & 141St Street
✓) New Construction Use: IJ/ Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD
1 Replacement _f Public or commercial - Describe:
Parent material Glacial Till Flood plain elevation, if applicable na
General comments
and recommendations: Install mound system at elev. 99.75' at 6" above 99.25' contour.
Boring # Boring
Pit Ground Surface elev. 98.93 ft. 30 in. Soil A lication Rate
601 Pit to limiting factor pp
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft'
in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
1 0 -10 10yr3/2 none sl 2fsbk mvfr cs 2fmc 0.5 0.9
2 10 -24 10yr4/4 none sl 2msbk mfr cs 1fmc 0.5 0.9
3 24 -30 7.5yr4/6 none Is 1msbk mvfr ci 1f 0.7 1.2
4 30-61 10yr6/6 f2d 7.5yr5/8 fs 1 csbk mvfr ci - 0.4 0.6
5 61-68 10yr7/4 m3p 7.5yr5/8 fs/SSBR 1 csbk mvfr - - 0.4 0.6
H #5 determined to constitute bedrock by resistance to knife penetration.
a Boring # J Boring
&-I Pit Ground Surface elev. 97.93 ft. Depth to limiting factor 33" in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft'
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
1 0 -13 10yr3/2 none sil 2fcr mvfr cs 2fmc 0.5 0.8
2 13 -22 10yr4/3 none sil 2fsbk mfr cs 2fm,1c 0.5 0.8
3 22 -33 7.5yr4/4 none sl 2msbk mvfr gw 1f 0.5 0.9
4 33-43 7.5yr4/6 f2d 7.5yr5/8 sl 1 msbk mfi gw if 0.4 0.6
5 43 -75 7.5yr4/4 f2d 7.5yr5/8 sl 1 csbk mfi - - 0.4 0.6
Effluent #1 = BOD ? 30 < 220 mg/L and TSS < 150 mg/ ' E 2 = BOD < 30 mg /L and TSS < X mg /L
CST Name (Please Print) Sig ture: CST Number
James K. Thompson 3602
Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number
340 Paulson Lake Lane Osceola, WI 54020 4/22/2003 715 - 248 -7767
- 1
• v
Property Owner Miller, Sam Parcel ID # 026 - 1130 -10 -000 Page 2 of 3
a Boring # Boring
✓J Pit Ground Surface elev. 100.27 ft. Depth to limiting factor 39" in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots 2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
1 0 -18 10yr32 none sil 2fcr mvfr cs 2fm,1 c 0.5 0.8
2 18 -29 10yr4/3 none sil 2fsbk mfr cs 1fm 0.5 0.8
3 29 -39 7.5yr4/4 none sl 2msbk mfi gw 1fm 0.5 0.9
4 39-60 10yr4/4 f2d7.5yr5/8 sl 1msbk mfr gw 1f 0.4 0.6
5 60 -79 7.5yr4/4 f2d 7.5yr5/8 sl 1 csbk mfi - - 0.4 0.6
I
F—I Boring # I Boring
J Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIfL
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2
❑ Boring # Boring
J Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2
I
* Effluent #1 = BOO ? 30 < 220 mg/L and TSS >30 < 150 mg /L ' Effluent #2 = BO D < 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.
♦ E /e�af�'on
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0
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Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 _ of 3
Division of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code
County St. Croix
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must
include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D.
percent slope, scale or dimensions, north arrow,,andTocation �ngdistance to nearest road.
Please print al/vnY Iimation. Re iewed by Date
// M �A c�+•� , 3
Personal information you provide maybe use�f'de�onda purpg9bes (P ivaa yt, s 15.04 (1) (m)). AEC
Property Owner f _ t - ' : 1 Pr erty Location
Oakwood Land DevelO 7 {_ n r �G9 .Lot NW 1/4 NW 1l4 S T N R (or) W
Property Owner's Mailing Address - L�i3t Block # Sutxl. Name or CSM#
1611 H . #10 N.E. ? c:� ;�: na Red Pin
City State Zip Code ' ' Phone N . City ❑ Village 0 Town Nearest Road
fFICE
Spring Lake Pqir k,mp. 55432` .{ 612) 780 -499 , % Richmond I 140th St
New Construction Use: Q Residential / Num e �ir Code derived design flow rate �n - GPD
E3 Replacement . El Public or commercial - Describe:
Parent material glacial drift Flood Plain elevation if applicable na ft•
General comments
and recommendations:
mound @ el. 99.60', based on contour line of el. 98.60'
Boring # Boring
1 � pit Ground surface elev. ft. Depth to limiting factor 55, in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 - Eff#2
25 7 5
3 25 -55 7.5 4/4 none sl 2msbk mfr
4 55 -85 5 4/4 c2d7.5 5/6 scl M
F-21 Boring # Boring 99.80 +84
0 pit Ground surface elev. ft. Depth to limiting factor in. Soil A lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft'
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 'Eff#2
10 2/2 none L 2mSbk mfr rq 2m
2 11 -21 7-5 4 none si --2msbk.— mfr 9W lm
3 21 -84 7.5 4/6 none sl m na na i
Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg /L uent #2 = B < 30 mg/L and TSS _< 30 mg/L
CST Name (Please Print) Signature _CST Number
Gar L. Steel QQ 02298
Address Date valuation Conducted Telephone Number
1554 200th. Ave., New Richmond, WI. 54017 11 -15 -2000 715 - 246 -6200
I
Property Owner Oakwood Land Ew Parcel ID # pending Page 2 of _3
Boring # E] Boring 3 W Pit Ground surface elev. 97.60 ft Depth to limiting factor 4 _ � in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2
1 0 - 1 3 n L 2mc;bk mfr 2r -8
2 7 - 17 7.5 4/4 none sicl 2msbk mfr Clw 1m 4 .6
1 7 4/6 none - C)sg rmrF-r Ow 1 f - 7 1 - 2
4 31 -4
5 48 5vr 44 c2 58 scl
4] Boring # ❑ Boring n
t3Q pit Ground surface elev. 99 ft. Depth to limiting factor +86 in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
1 0 -9 10 3/3 none .5 .8
2 9 -18 10yr4/4 none sicl 2msbk mfr I qw 1
3 18 -86 7.5yr4/4 none sl M na n;4 nA
Boring # ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Soil lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2
Effluent #1 = BOD > 30 —< 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 -264 -8777.
SBD -8330 (8.6/00)
I
STEEL'S SOIL SERVICE
Gary L. Steel Oakwood Land Development 1554 200th Ave.
CSTM2298 �44 S25- T30N -R18w New Richmond, WI 54017
MPRSW -3254 town of Richmond (715) 246 -6200
lot #10 - Red Pine Corner
This soil evaluation was conducted to satisfy a zoning requirement, it may or may
not be suitable for your use. The location of the test may or may not be as shown
as permanent lot lines were not established at the time the test Was conducted.
N � 6,0
1 " =40' (,lg 100^
BM.= top of 1" pvc pipe @ el. 1 00.OQ '
Alta BM.= top of 1" pvcpipe @ el. 97.50_
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Gary L. Steel
11 -15 -200.0
544
411, o 84"
r
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(13n1333H
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer 5 02 /
Mailing Address #
Property Address
(Verification required from Planning Department for new construction) _
City/State Parcel Identification Number ° z(o - / / 3 v / o - 0 o c.>
LEGAL DESCRIPTION
Property Location %,A( tk) %., Sec. Z.�. T 30 N-RL
1 Town of
Subdivision R FD Cc ic 9,L • Lot # ��
Certified Survey Map # (o (' 1 7 3 , Volume . Page # 8 " 3
Warranty Deed # —7 f Volume 20 . Page # z 7 Z
Spec house tt yes ❑ no Lot lines identifiable )l� yes ❑ no
SYSTEM MAINTENANCE
Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance
consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system
can affect the function of the septic tank as a treatment stage in the waste disposal system,
The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a
master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system
is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge.
I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards
set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification
stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30
days of the three year expiration date.
o / i. / 0 3
SIGNATURE 6F APPLICANT DATE
OWNER CERTIFICATION
I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of
the rty described above, by virtue of a warranty deed recorded in Register of Deeds Office.
GNA OF described
DATE
•tssss Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. ` ""
'• Include with this application: a stamped warranty deed from the Register of Deeds office
a copy of the certified survey map if reference is made in the warranty deed
J .2204P 272 717052
STATE BAR OF WISCONSIN FORM 2 - 1999 KATHLEEN H. WALSH
Document Number WARRANTY DEED REGISTER OF DEEDS
ST. CROIX CO., NI
This Deed, made between Vernon R. Jones and Stephanie J. Jones, RECEIVED FOR RECORD
husband and wife Grantor, and Sam E. Miller, a single person, Grantee. 04/14/2003 08: 30AM
Grantor, for a valuable consl e� conveys and warrants to Grantee WARRANTY DEED
the following described real estate in St. Croix County, State of Wisconsin (if EXEMPT 11
more space is needed, please attach addendum):
Lo , Plat of Red Pine Corner to the Town of Richmond. REC FEE: 11.00
TRANS FEE: 110.70
COPY FEE:
CC FEE:
PAGES: 1
Recording Area
Name and Return Address
First Federal Savings Bank LaCrosse
201 So. Second Street
Hudson, WI 54016
026 - 1130 -10 -000
Parcel Identification Number (PIN)
This is not homestead property
(is) (is not)
Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any.
Dated this 10 day of April , 2003
2
Ve non R. Jones
• • Steph le J. Jones
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) STATE OF Wisconsin )
) ss.
St. Croix County )
authenticated this day of ,
Personally came before me 10" day of
April , 2003 the above named
Vernon R. Jones and Stephanie J. Jones, husband and wife
TITLE: MEMBER STATE BAR OF WISCONSIN ttttcttttti
(If not, <�; ;'A p e kno be t person(s) who execu ed the foregoing
N III., 1
authorized by § 706.06, Wis. Stats.) L` ,d'� a and owledged the same.
1 TAMARA
THIS INSTRUMENT WAS DRAFTED Blkp *i• K
Attorney David J. Estreen HE RBST At-i2 14-
304 Locust Street Public, State of C
Hudson, WI 54016 . ' ... •..•.• .. commission is permanent. If not, state expiration date:
Q. 111
(Signatures may be authenticated or acknowledged. Both are not nccLfii��11111t11
• Names of persons signing in any capacity must be typed or printed below their signature. Information Professionals Co., Fond du Lac, WI
STATE BAR OF WISCONSIN 800.655 -2021
WARRANTY DEED FORM No. 2 -1999
RED
LOT 6
1.65 AC LOT 5 i� I
' 13?7 . 52 AC
r i
s LOT 7 c , ;
LOT 2 1.52 AC ° o /
--� 6 .29 A \/3 / 41
1 -- \, LOT 8
..r. 23 \ 1.51 AC
I
LOT O ir
. 52 C
22 .� A s
52 AC
j Z
1 0 % LOT 19 r\
�J X 2.09 AC LOT 21 1
'
15 1.5 AC ! d�
It j ��l Y zo
LOT 25 LOT 20
'
3.87 Ad 1.52 AC .� •� � +
X13831`f/� ���, LOT 10 0
1.52 A ` o
LOT 18 #/ Y o
+ a 13 - 7 , 7 53 'Ac `
LOT 26
1.52 AC q ` �y LOT 11 "
1 rF X 1.54 AC `S►,
1.51 1 q �3
AC
LOT 2 7 ► LOT 1,52 AC ,�^ 12
LOT 16
1.53 AC 13$ �� 1.54 AC
LOT 28 LOT 15 LOT 13 '
1.52 AC 1.58 AC 1 -55 AC
11 1 0 7
LOT 29
i 4 AC``' L .60 AC 1 �' 35
LOT 14 52 °AC
1y °Z l�fo4 # 1.69 AC #/43, fi
Ya.S LOT 34
,\ LOT 31 X 1.52 AC
.�
1.52 AC s IX %
LOT ,36 �
T 33
1.52 AC 1.51 AC t
LOT 32
LOT '3 7 60 A
1.52 AC / v�g LOT 45 �. d
' -- � 1 c , C �
/ 3 S9 LOT 39
1.52
LOT 38 LOT 40 �� T 43
1.52 1.90 AC 1.51 ACS
2
30.08 � _.
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if
LOT
• 21 i
66, 000 SO. FT.
1.52 ACRES
LOT 10 G)
O ` 66,000 s0. FT,
7 L52 ACRES
J
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�o co BENCHMARK:
n�o i bSS C.�� TOP OF IRON ROD
,� OF ELEVATION- 1012.00 ,
l Vv N .o • S
V 9.
N 6,
' (0 , LOT 11
1 n ; 66,953 Sa FT. A'
n / : IV 1.54 ACRES
a *i • 2 32'1 a
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• 1OH;4SON
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/ 1 :o Fi -1 1 tic
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Jane Hansen
Subject: McDonnell plowing- 1419 138th aven.
Location: Red Pine Corner #10 Richmond /
Start: Tue 08/12/2003 10:00 AM
End: Tue 08/12/2003 11:00 AM
Recurrence: (none)
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