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026-1130-15-000
K 4 % 2 § Cc 0 7 ) � E � � £$ ■ \ Mn ( kc \// 2 `E% 0 _. ' \ �[[ 7 ES . � «_ % « \ E { t & LO / \ \ . . q I 0 § j 0 k k k \ E { E ) f ( 4 '0 / )_ § 0 k \ k k � 2 E « § « I 2 / & ) 2 \ § § k k ) \r3 k 2 a a a a , 5 g § ;7 § § a ® �) § § _ _ �d\/ 2j�$ Jkf cc ■ .9- ,a W / (,7 EL § r 4 ; ; a 2 § @ _ E = c = § 2 § 'f _ / / , ■ — 6 E ; m - \ 9 ¥ § \ d \ \ § o ) 5 } \ � ® � — , EL " a » \ E ' \ § a § o 0 a 2 o J . Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Cr oix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 4 420491 0 GEI`lERAL INFORMATION (ATTACH TO PERMIT) State Plan qIDi =- ` No: � / r Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. �r�— S • /b Permit Holder's Name: City Village X Township Parcel Tax No: Miller, Sam I Richmond Township 026- 1130 -15 -000 CST BM Elev: Insp. BM Elev: BM Description: p �" Q L% - O ` `dD .a o , OyEa -�cC. C 5k,e 1.4tw.,W) =SST SI f 35 O 7 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic f J Iry Benchmark C w• +3 Dosing � Alt. BM 1 Aeration Bldg. Sewer 4, `$,2_D Jo t -l2 Holding St/Ht Inlet 5• � o - `f'f' St/Ht Outlet TANK SETBACK INFORMATION �o• Ig p�. �'f TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet C • �� n , ��� Septic , � � � � / - ,�.� -- Dt Bottom Dosing - I , 8s f Header /Man. ((' Aeration -/ O Dist. Pipe . Z o3•t2 Holding Bot. System 02��0 PUMP IPHON INFORMATION Final Grade Manufacturer Demand St Cover 1 GPM iv 4 T Model Number TDH Lift 10 Friction L / System Head TDH Ft 7 r $ 3 . 2 Forcemain Length ( Dia. 11 Dist. to Well 1 ll I j Z l-g 3 SOIL ABS ORP STEM BED /TRENCH Wid Length No. Of Ts�c4�as PIT DIMENSIONS No. Off Inside Dia. th C I DIMENSIONS � CO �� S SETBACK SYSTEM J TO P/L JBLDG WELL LAKE /STREAM LEACHI anufacturer: INFORMATION CHAMBER Type Of System: /� NA / / UNIT Mo ber: DISTRIBUTION SYSTEM 1X4,. Header /Manifold �� Distribution x Hole Size x Hole Spacing Vent to Air Intake Length Dia t Z Le gth jj — / Dia ('� Spacing 11 (p `t 3 • , 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 —i Yes fa J "" No 1 L j Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: •/ � / Inspection #2:/ 1 / ?� Z Location: 1404 138th Ave New Richmond, WI 54017 (SW 1/4 NW 1/4 25 T30N R18W) red e Corner Lot 15 Parcel No: 25.30.18.875 1.) Alt BM Description = J'r - ' 2.) Bldg sewer length = - amount of covex =��'�. 3.) Cont lot. 4 Plan r sion Required? Yes - �j No � c` _I __ _ _ _ -__ ____ __— � -� - - - 1 Use other side for additional information. Inse ctors Si nature _.._ p g Cert. No. SBD -6710 (R.3/97) Safety and Bulldino Division Camay 201 W. Washamton Ave.. P.O. Box 716 isconsin . � 537 -71� Silo AM= _ z z - -� 3 � °� l o 13d'- Department of Commerce Sanitary Permit Number Sanitary Permit Application 1/1W in aocotd with conim 83.21. Wis. Adm. Code, personal info 0 Check if Revision tail be used for Priv Law S. State Plan I.D. Number L APPS Iatacmudw _ r an YrW Au Infotrmation i... 5 2002 Parcel Number NO p owwr's Name p.)- & -- // 30— / s Cad Pwerr Locacba 1'mPmry Owoses U, u `V (Y!l • S zi Pbone Number Number/_,_ Bock Number �_ Code La Number / Cky. S" Subdivision Name CSM Number II. Type at swain: (� a1l that apP4) �/ / et Oc�y 31 / ❑villas - 0 1 or 2 Family Dwelling - Number ter Bedrooms d OWnahi 1U .OK 0 pAWCommercW - Describe Use D S" owned �'? f �f -- urn C�y� p III, Type of Parmit: (Check only one boot on A (ntrmbetios scheme or Internal tract). Complete line B if applicable) or Camtl use A. 1 New 2 0 Rq ce Sy=m 3 0 Replament or ti 0 Addition to Tank Onl stem stem Dace Issued B. (3 Check if Sanitary Yem+a PravtouslY homed Permit Number IV. Type of Permit: (Check tII that ap scheme Is for internal tree) 2 Mound SO ❑ Conswctod Wetland 47 0 Sand Filter 4< 0 Non - Prewmized In- Ground 48 0 single Pass 510 Drip Line 22 0 Presau� ��� 41 Holding Tank 46 0 Aero T unit av 0 Rcc' 30 0 Other 45 ❑ At -grade V. t Arm Information: Soil Application Percolation Rate stem Ele Final Grade vagt4p� �� Area Dispersal Area /Da s( .Pt.) (Min./inch) !/" FY► i Elevation , Design (rte P Raoe( 4 RoWired 7�0 4Sd \ ��v Prefab Site Steel Fiber Plastic in Total Number Maratfacturer Glass VL Tank Into Capacity (3al3oos of Tanks Concrete Constructed New Phi Tacks Tanks � J Septic or liidm[ Tait �( �� ' @i S !� ✓ lC D%4 CM:nber ✓ bili Statement - I the , underdgned, susume responaft for installation of the POWTS shown on the attached plans. VII. l/MPRS Number Business Phone Number Phrmber's Name (Print) //JJ Plumber's Signaatre 3 �� 'd� 5 ! Z— L �l�ilrt 's Addy -u (Stroec, city. State, zip Code) VIII. t /De ant Use 0 D Issu' at Signature (No Stamps) Sanitary Permit Fee (includes drowdwater Approved 0 Disapproved Surcharge Pee) C ❑ Owner Given latial Advent DM of AA pibral/Reasaos for Dimppr� � D gu-' pw aijo the Coro aot7) rw tie Ttm POW rat lilt ti.. ii/i x 11 laeies Y arse a� -camel m� lof�alll) rtA SM -6398 (R. 05 /01) I 4r;e ACk /s 8 SI C , , iv 7 s r 7V lz, A �' r k.4 �Lor � 4L 7 2 il te a 1) lo - Tor 54o Safety and Buildings 401 PILOT CT STE C WAUKESHA WI 53188 -2439 *i COIIS�/'I TDD r .sta 2 us/s www. commerce.state.wi. us /sb www.wisconsin.gov Department of Commerce Scott McCallum, Governor Philip Edw. Albert, Secretary October 10, 2002 CUST ID No.225036 ATTIC- 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 �a r PLAN APPROVAL EXPIRES: 10/10/2004 Identification Numbers Transaction ID No. 793797 SITE: Site ID No. 651352 Sam Miller Please refer to both identification numbers, Town of Richmond, 54017 above, in all correspondence with the agency. St Croix County SW1 /4, NWI /4, S25, T30N, R18W Lot: 15, Subdivision: Red Pine Corner FOR: Description: Mound, 3 Bedroom Object Type: POWT System Regulated Object ID No.: 873468 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. The following conditions shall be met during construction or installation and prior to occupancy or use: This system is to be constructed and located in accordance with the enclosed approved plans and with the Mound Component Manual for Private Onsite Wastewater Treatment Systems" SBD- 10691 -P (N.01 /01) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD- 10706 -P (N.01 101). 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. In addition, the owner must comply with the operation, maintenance and monitoring duties as described in section VIII of the mound component manual. A copy of this information must be given to the owner upon completion of the project. Maintenance information mu st be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. 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 sl b� ?eq?th the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Sta,4. G, � A copy of the approved plans, specifications and this letter shall be on -site during cons on anc�pen to inspection by authorized representatives of the Department, which may include local into All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. r -- MICHAEL P MC DONELL Page 2 10/10/02 4 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. Sinc rely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Julia A Lewis - Osborne POWTS Reviewer 2, Integrated Services WiSMTnc11do: 7633 (262) 548 -8638, Fax: (262) 548-8614 jlewis@commerce.state.wi.us cc: Leroy G Jansky, , Wastewater Specialist, (715) 726 -2544 r MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE RECEIVED S E P 1 8 2002 Project Name: Sam Miller 3 bedroom residential mound system SAFETY & BLDGS. DIV. Owner's Name: Sam Miller Owner's Address: P.O. Box 151 Trout Brook Road Hudson, WI 54016 Pcl. Add.: 1404 138th Ave. Legal Description: SW1 /4NW1/4, Sec. 25, T.30N., R.18W. Township: Richmond County: St. Croix Subdivision Name: Red Pine Corner Lot Number: 15 Block Number: na Parcel I.D. Number: 026 - 1130 -15 -000 Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Site Plan Page 9 Soil Evaluation Report Designer: Mike Mc Donell License Number: 225036 Date: 09/12/02 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 `" r SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) Version 3.0 (03/01/01) Page 1 of 19 N S Uf�Gr^ Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) Rl Residential or Commercial Design Note: Sand fill (D) calculations assume a 300.00 Estimated Wastewater Flow (gpd) Table 83 -44-3 in -situ sal treatment for fecal -- - - coliform of - 36 inches. 1.501 Peaking Factor (e.g. 1.5 = 150 %) 450.00 Design Flow (gpd) 2. Site Slope ( %) lus 101.601 Contour Line Elevation (ft) 33.0 ep o Limiting Factor (in) axta" WA 0.40 In -situ Soil Application Rate (gpd /ft - Di Cell Information 90.001 Dispersal Cell Length Along Contour (ft) Cell Width (ft) 1_.00 Dispersal Cell Design Loading Rate (gpd /ft) 1i Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Press ure_ Disribution Information network? Enter Y or N (c or e) c7 Center or End Manifold 2.50 Lateral Spacing (ft) If N above, enter the elevation (ft) 4 Number of Laterals of the highest point. 0.1881 Orifice Diameter (in) (e.g. 0.25) 3.00 Estimated Orifice Spacing (ft) = 7.50 ft /orifice 2.00 Forcemain Diameter (in) 40.00 Forcemain Length (ft) Does the forcemain drain back? Y 95.00 Pump Tank Elevation (ft) Enter Y or N 3.25 System Head (ft) x 1.3 6.52 Forcemain Drainback (gal) 6.60 Vertical Lift (ft) 81.16 5x Void Volume (gal) 1.28 Friction Loss (ft) 87.68 Minimum Dose Volume (gal) 11.13 Total Dynamic Head (ft) .32 ystem Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. o tions choice in. dia. options choice 0.75 1.25 x 1.00 1.50 x 1 _ z --_ - i. 1.25 x 2.00 x 1.50 x x 3.00 2.00 x 3.00 1 x Gall /I nch Calculator (optional) Treatment Tank Information 750.001 Total Tank Capacity (gal) 1 C0 Septic Tank Capacity (gal) 36 98' Total Working Liquid Depth (in) Wieser Concrete ;Manufacturer 20.28 gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Info rmation 750.001 Dose Tank Capacity (gal) ;Zabel ; Filter Manufacturer 20.28, Dose Tank Volume (gal /in) iA100 !Filter Model Number 'Wieser Concrete Manufacturer Project: Sam Miller 3 bedroom residential mound system Page 2 of 9 Mound Plan View T 1/10 B '•'•'•. . . . . . . . . . . s J 5 .0 'I 1 . • . • • • • . Observation Pipe 110— K W ... B . .. ... . ... ............. ......• •._......:•:•:•:•:•:•:• :••:•:•:•:• .................: 1 7.5 • . :.. .:.:• • •:. •:•:•::•:... .:•:•: •:•:• • .:•:::.::::: : .•.. ... ... L Mound Component Dimensions Down slop toe extension made. �A 5.00 ft E 7.20 in H 1.00 ft K 7.03 ft 90.00 ft F 9.50 in z 7.50 ft L 104.05 ft D 6.00in G 0.50ft J 5.07ft W 17.57ft 450.00 (ft 2 ) Dispersal Cell Area 1125.00 (ft Basal Area Available 4 5.00 (gpd /ft) Linear Loading Rate 9.00 (ft) 1/10 B Obs. Pipe Placem nt Mound Cross Section View Aggregate Dispersal Area Finished Grade 103.89 (ft) G ♦ H _ F ; : ; : ; : Dispersal C 60 (ft) La I 102. teral 102.10 (ft) Invert Dispersal Cell ::::::: Elevation = : E :::: : : : : : D :::: ; • :::::::. . ,' �.• i i �. . { �i,.-i -i. -i - ` i {� -{ i Vii. �i - i - i -i. �. �. �.,_.�. �., 1. { 'i 5. i Vii. .i i. - J. .{ Vii. �i. , Q !. ;<,_!;�,�., . 101.60 (ft) Contour Elevation 2.0 % Site Slope Geotextile Fabric Cover Shading Key m a Dispersal Cell r See lateral details on 'I] Topsoil Cap _o 1.5 ft �t� Page 4 for number, Subsoil Cap U' irk ( size, and spacing of ©0 ASTM C33 Sand late rals. Laterals are 0.5 ft Typical Lateral Tilled Layer H equally spaced from 05 Aggregate le o the distribution cell's �---- q —♦ centerline in the distribution cell (AxB). Project: Sam Miller 3 bedroom residential mound system Page 3 of 9 f Center Connection Lateral Layout Daigram Force main connection via tee or cross to manifold at any point. Laterals are identical � P S •= Turn-up "ball valve or 4<-X---+-.�2 Laterals & force main of PVC Sch 40 clean out pl u g per COMM Table 84.30 -5 Holes drilled on the bottom of the lateral Number of Laterals 4 Orifice Diameter 0.188 in Lateral Diameter 1.50 in Orifice Spacing (X) 3.05 ft Lateral Length (P) 44.23 ft Orifices per Lateral 15 Lateral Spacing (S) 2.50 ft Orifice Density 7.50 ft /orifice Lateral Flow Rate ' ank Manifold Length 2.50 ft System Flow Rate Manifold Diameter 1.50 in Total Dynamic Head Forcemain Velocity 4.02 ft/sec 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. iit --- Tank component is properly vented E-- Altern ate outlet location Forcemain diameter Wieser Concrete Manufacturer �_ 2 in. Ca aci 750.00 Gallons Volume 20.28 gal /inch A Weep hole or anti - Dimension Inches Gallons B siphon device A 18.48 374.78 C B 2.00 40.56 Pump off e levation ftr C 4.50 91.30 �— 96.00 D 12.001 243.36 D Total 36.98 750.00 1 111 Dose tank elevation (ft) 3" Bedding un er tank. 95.00 Alarm Manuafacturer Le _Ikm Alarm Model Number I DLV Pump Manufacturer Zoeller Pump Model Number 98 Pump Must Deliver 39.32 gpm at 11.13 ft TDH Project: Sam Miller 3 bedroom residential mound system Page 4 of 9 Mound System Maintenance and Operation Specifications Service P rovider's Regulla is Name St Croix County Zo i POWTS t Dep t_ Phone � 5 -3 6-4 80' 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 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 Mound System Management Plan / Pursuant to Comm 83.54, Wis. Adm. Code 4f5�1,�Q qq! 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 (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, Stalls. 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 filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maxmum 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 sal 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 specfied in the permit for this installation. Th pressure distribution system is provided with a flushing pant at the end of each lateral and it is recommended that each lateral be flush accumulated solids at least once every 18 months. When a pressure test is performed lt should be compared to the initial test when the system was installed to determine i on ice c ogging 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: Sam Miller 3 bedroom residential mound system Page 6 of 9 i HEAD /CAPACITY CURVE _ HEAD CAPACITY CURVE EFFLUENT MODELS TOTAL DYNAMIC HEAD /CAPACITY PER MINUTE - r — �- EFFLUENT AND DEWATERING - r I I _ 166 i9b 97 i _ W IJ7�17g lei 0.1 , 6e Gd Ltra Gd. LY'1 Gd Le's Gd Let iid. L11 31 L. dr - _.— ' i 5 1.52 IJ 16J 60 212 72 273 1p1 3/11 106 401 61 271 61 2J1 _ _^ � 2� 66 567 > +• � _ 1 r 0 129 +6 174 61 231 79 300 100 ]78 51 2]I 61 251 6d 220? 1 y w -_ - ._ _ - _-.. _ _ _ -,. ,__. _ . -• -�_. , _-r 6 1.57 19 72 M I 45 170 64 242 91 344 W 227 60 227 So 2b IQ .]7 - -- t, IS 87 1_26 96 36 136 92 310 - 69 22J 60 227 -_� ..B 220' r - _ 25 7.82 8 ]0 71 7S mi t 67 22J 5d 28 , 6111 �7 W 1 - zoo 216 ba 4 _ _... _ 66 ue 65 206 66 ]10 .n 220 2 .1,6 1 66 80 ) 125 61 IYt 58 219 I 21V 46 74 " 172 206 o b b r ^ r 86 _ 1 Sb 2_V 16 67 Q 181 31 tb' Zti 7 16^ 1 -�- _ TT I�T JO 114 _10 34 a2 IV7j 61 IVJ 7i �4: T _ ' 1 80 24 JB 14 W 4 5 7o l 26 4 _ u oo I t r � LonkVW 926 2]76 2J 28' S6' 66' �_- Y)' 7J v1 _ T -- ' EFFLUENT & DEWATERING __ -- Warning: Model 185 should not be subjected to Tess 6 ' � than 30 feet TDH. 9 ? I t -- - - -1 Note: For Head Capacity on Model 112, Indusrr;a! — { - -- - column - explosion proof pump, see FM 219 SEWAGE & DEWATERING 5 1 7 o ICJ i.Q 5,j , WARNING: Model 293 should not be suo ec.: c to le ss than 1 e fee, TDr; m i n i mk � 7 - ` TOTAL DYNAMIC HEAD /CAPACITY PER MINUTE S EWAGE AND DEWATERING - -- -- _ LI 1 Gal a t, L1 LI .. _ _ 268 282 2 1 -_ -, SERIES � 262 26B 261 81 292 29 G G G L 11 _- - -- 57 9J J1 126 8+ 11tl IBa VB +B+ 130 + J JO do 681 140 57G T + -_ - -45 f 22 bb 189 50 189 50 — 189 6J 7J8 1J5 51I (X 101 I 1J0 9 _ t n -_ 6D 2 7 89 U7 89 337 89 337 95_760 15d 598 121 +69 U + 57 77 5 85 _ 51 1 .. -- �.: t ` 60 - 20 6 0 IO 38 10 38 10 78 37 175 106 401 88 77J 119 +50 1 56 X 1 or 1 25 7 62 J1 76 286 68 257 l06 101 9 Jo SIS 1+ + _ -_ -- ..... 163 47 178 90 740 +Sn ' I 50 15 24 y 66 16 29 7C { 1 —_ _ -_ 50 89 } ,.8 7 I 1 - -'- -- ---- -- � 18 , ,1 , el 5 I �21 5 26 f. 75 � +7 I 1 t 297 - — F - -�- - -- -- - - - r- 262 - I 1 ._._. .._- +-- -- -� -- - + -- -- T...__. 292 - -� - -. 262 266, 267 268 I 284 1 294 1 295 to 20 30 40 I 5o 60 70 80 90 100 110 120 170 140 150 160 170 180 190 200 210 220 270 I -_ ..___. I 10 2 i �S 6 <0 72C 40U 48U 56o 640 720 800 860 'i • So.'/ e do /ud�;o, -, P; t CkC -d e -Sac w • /oea bed �Oro�o. S �zXe r q� H Propose.d 3 bL d rct�,• - (�ro�OSLc�I rlW(i of 1757 X /05< • Aropo sad /'c5 L_)tA( Y '' Q/'r` 5�p4 C G.C✓ 0. ``� - Scwe..- o• P,, g3 i i W / 4o.b4l A-�1.� eFFlutn �"Ite/ a & o",&I eA bzw 0 Z r, ,r-J. 41 R61 �G2�lR.Cn , � 81 Qe n To of A u.nt d e /eit _ /op. cv Tod of /ot 107 /o' . B or? ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address /30 Y #�-�/ A�y105'o/y UL/ S Property Address / / 3 g t 4 y d." /� � j2 rG A ear o M 4 U_ , 11 (Verification required from Planning Department for new construction) /I�GV /2 City/State V&!::t Parcel Identification Number OZ� "x/ ' /S " LE GAL DESCRIPTION ' INI /., Sec- ZS T 3a N -R •C k ti`o�4 Property Location ��t/_ � /AZTown of - ,subdivision R IC O P/ NJE:- C c 2 AI Cle , Lot # �� Certified Survey Map # Z / Z 3 , Volume . Page # Warranty Deed # 6 4 7 1 2-4 3 , Volume /9 0 '-T . Page # Z �S Spec house yes 0 no Lot lines identifiable K yes 0 no SYSTEM MAAiNTENANCE 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 retutned to St. Croix County Zoning Office within 30 days of the ee ear expira ' date. A OF APPL ANT DATE �: yQVMER CERTIFICATION h t'(we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the o wner(s) of th described above y virtue of a warranty deed recorded in Register of Deeds Office. ell /C9 �� Q ATURE OF' PLICANT DATE •• + + +• Any information that is mi5- represented may result in the sanitary permit being revoked by the Zoni D •+ 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 1 i r S m /II / c- LA;;e R Ae 5 1 0 ,P /^yam Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In- Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWTS) shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In- Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- 10567 -P (R.6/99). Table 1: System Design Specifications Sanitary Permit Number p Number of Bedrooms Design Flow - Peak d 9 (gpd) Estimated Flow - Average (gpd) Septic Tank Capacity (gal) opp Soil Absorption Component Size (ft2) _5--Z5) Type of Wastewater Domestic Table 2: Soil Absorption Component - Limits of Reliable Operation Septic Tank Component Soil Absorption Component Design Flow - Peak (gpd) Maximum Influent Particle Size (in) 1/8 Maximum BOD (mg /L) 220 Maximum TSS (mg /L) 150 Table 3: Maintenance Schedule Septic Tank Inspect and /or service once every 3 years Outlet Filter Inspect once a year and clean at least once every 3 years Soil Absorption Component Inspect once every 3 years 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 (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 Management Plan for a Septic Tank and Soil Absorption Component 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 vo lume 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. 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 the tank. 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 of holdin g may contain lethal gases, and rescue of a Y person from the interior of the tank may be difficult or impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component 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 three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported 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, organic clogging of the soil. 2 Management Plan for a Septic Tank and Soil Absorption Component Plantings of deep- rooted trees and shrubs directly over or within ten feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow. Tkz S ; s y stavv, rote 3 t)-w_O &vo.r 14 i /fl ��e •-� l� Z z 3 0 3 �C 7 ,1 A14 2 / 0 3 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 —of 3 DivisiCn of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County St (7rnix 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, ap44ecomR ad distance to nearest road. iDenctin view by Date Please print Personal information you provide may be us�(or iondary poses (Pri�p� fau1M s. 15.04 (1) (m)). Property Owner / ��'tj , ��` Locat G�+vt. Lot SW 1/4 NW1 /4 S 25 T 30 N R1 F�or) W r)aJQox)od land Property Owners Mai ing Address i', , L J'� L&# Block # Subd. Name or CSM# 10 �clx i Ci State Zip C �.. Phone - Y City ❑ Village 2&Town Nearest Road 'i ,PIC O�FICF [j New Construction Llse:0 Residential / Nbr ber Code derived design flow rate cnn GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material glacial drift Flood Plain elevation if applicable n a ft. General comments and recommendations: mound @ el- 102.60 based on contour line of el, 101.60' F-11 Boring # Boring ] pit Ground surface elev. 102 Depth to limiting factor 40 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 _ 10 3jr k mfr 2f C.5 .8 4 none sicl 2msbk mfr qw if -4 .6 3 -40 7.5 4/4 none scl 2csbk mfr gW na .4 -6 na na 0 0 F- Boring # Boring 102. 53 in. 2] pit Ground surface elev. Depth to limiting factor 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 2msbk mfr qw 2f .5 .8 1 0 4/4 none sicl 2msbk mfr 9W if .5 ,8 7 1.2 cl M na na na 1 .0 .0 Effluent #1 = BOD > 30 220 mg/L and TSS >30 < 150 mg /L • Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature - CST Number Gary L. Steel , 02298 Address Date valuation nducted Telephone Number 1554 200th. Ave., New Richmond, WI. 54017 11 -4 -2000 715- 246 -6200 t Property Owner Oakwood T.and Tev Parcel ID # Mndi na Page 2 of _3_ Boring # E] Boring 3 0 pit Ground surface elev. 1 01.00 ft. Depth to limiting factor 33 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 3 27 -33 7.5 4/4 none sl 2 4 33 60 5yr 4/4 none scl M Ong # Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Boring Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2 Effluent #1 = BOD > 30:5 220 mg/L and TSS >30 < 150 mgA- ' Effluent #2 = BOD < 30 mg& 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 -6330 (86100) STEELS SOIL SERVICE Gary L. Steel Oakwood Land, Development 1554 200th Ave. CSTM2298 SW'NW4 S25- T30N - New Richmond, WI 54017 MPRSW =3254 town of Richmond (715) 246 -6200 lot #15 -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 limes were not established at the time the tes was conducted. N 1 =40' BM.= top of SW lot stake @ el. 100.00' Alt. BM.= top of SE lot stake @ el. 107.10' i y � j' Gary L. Steel 11 -4 -2000 III (InI� +... 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Albert, Secretary E E IVED October 10, 2002 2002 CUST ID No.225036 x Y ATTN: POINTS Inspector ING OFFICE 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 PLAN APPROVAL EXPIRES: 10/10/2004 Identification Numbers Transaction ID No. 793797 SITE: Site ID No. 651352 Sam Miller Please refer to both identification Town of Richmond, 54017 numbers, above, in all St Croix County correspondence with the agency. SW1 /4, NW1 /4, S25, T30N, R18W Lot: 15, Subdivision: Red Pine Corner FOR: Description: Mound, 3 Bedroom Object Type: POWT System Regulated Object ID No.: 873468 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. The following conditions shall be met during construction or installation and prior to occupancy or use: This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Treatment Systems" SBD- 10691 -P (N.01/01) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD- 10706 -P (N.01/01). 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. In addition, the owner must comply with the operation, maintenance and monitoring duties as described in section VIII of the mound component manual. A copy of this information must be given to the owner upon completion of the project. Maintenance information must be given to the owner of the tank explaining that periodic • MICHAEL P MC DONELL Page 2 10/10/02 cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. 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 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 q Y p g p 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 Julia A Lewis - Osborne POWTS Reviewer 2 , Integrated Services (262) 548 -8638, Fax: (262) 548 -8614 WiSMART code: 7633 jlewis @commerce.state.wi.us cc: Leroy G Jansky, , Wastewater Specialist, (715) 726 -2544 Safety and Buildings 401 PILOT CT STE C WAUKESHA WI 53188 -2439 TDD #: (608) 264 -8777 *i1scons�n �� www•commerce . s ��¢' � www.wisconsin.gov Department of Commerce Scott McCallum, Governor F r ��2 Philip Edw. Albert, Secretary ST. C.- �I> October 10, 2002 CUST ID No.225036 I ATTN.• POWTS Inspector MICHAEL P MC DONELL J ZONING OFFICE MILLER CONSTRUCTION ST CROIX COUNTY SPIA 1070 HUNTER RIDGE RD 1101 CARMICHAEL RD HUDSON WI 54016 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/10/2004 Identification Numbers Transaction ID No. 793797 SITE: STATE BAR OF WISCONSIN FORM 1 --1998 61 9 1 2 Es 3 WARRa:NTY DEED KATHLEEN H. WALSH !i REGISTER OF DEEDS ST. CROIX Co.. WI Document Numb RECEIVED FOR RECOR This need, made between Oakwood L an d DevelopMent. Inc. 39 -20 -2002 4:15 PH Grantor, and — Sam E. Mille single __, Grantee. Grantor, for a valuable ccnsi ration conveys to Grantee the foilowing WARRAM DEED descrlued real estate in St . Croix Co unty .aunty State of EXEWI* ;t Wisconsin (the "Property"): REC FEE: 11.00 TRANS FEE: 200.40 COPY FEE: CERT COPY FEE: PAGES: 1 Recordina Area Name and Return Address am E. Mister 1�38tti Avenue f N mond, YVI 5401 025- 1130 -15- 000.026- 1130 -13 -000. Parcel IdentNica*m Number (PIN) This Is not homestead property. (Is) (is not) Lo 15 nd t3 Red Pine Corner Together with all appurtenant rights, title and interests. �on Grantor warrants that the title to the Properties good, indefeasible in simple fee and free and clear of encumbrances except Dated this 19th day of September 2002. (SEAL) (SEAL-) Oakwood Land Developmant, Inc., Inc. (SEAL) (SEAL) AffN5F9ffRZINA ACKNOWLEDGMENT NOTARY PUBLIC Signatures WISGONS State of Wisconsin L f V —.;>I p P.^ ill-c N peieopue4;ne eq Aew sem;eu6lS) :a;ep uonejldxe aOe;s';ou jl) uauewled sl uolsslwwoo Ayy I S01•ti ulsuooslM o e ;S 'ollgnd tie3oN KOV9 IM 'uospnH peon eelnoo 60£ � C; ;ewn8 ie4ue8 Ip"Io'J AS a3.L VUC3 SVM 1N3wnN.LSNl SIHl (SMS 'SIM 'an - on is An pezlJoy ;ne :41 e a6pe ou�loe puea su 6u oBa�o 'e es ;ou �!) ! ! j pain xa NISNO�SIM �O ZIdB 31V1S 2l38W3W U )0 uos,a d o oared atl; q ;u oO Un�wu�l�ew 03 ;uaplsa� aoln q •oul u w jo ate Paweu anoge s4) �'r w ; aS P L SILO aw suojaq awe* Apeuo ued ss { A;unoo xloro • ;S jo step 8 144 Pe380RUe4One MICHAEL P MC DONELL Page 2 10/10/02 s 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 � ulia A Lewis - Osborne ��' POWTS Reviewer 2, Integrated Services WISNfART code:_7633 (262) 548 -8638, Fax: (262) 548 -8614 j lewis @.commerce. state. wi. us cc: Leroy G Jansky, , Wastewater Specialist, (715) 726 -2544 I f I I r 1� Y `