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026-1130-44-000
onsin Department of Commerce PRIVATE SEWAGE SYSTEM Cohnty: St. Croix Jety and Building Division a r INSPECTION REPORT Sanitary Permit No: 420300 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: p Personal information you provide may be used for secondary purposes [Privacy Law, s. 15.04 (1)(m)]. ! s Permit Holder's Name: City Village X Township r77: Martin, Jill Richmond 026- 1130 - 44-000 CST BM Elev: Insp. BM Elev: BM Des cri tion: l � 1 t TANK INFORMATION ELEVATION DATA TYPE MANUFACTURE CAPACITY STATION BS HI FS ELEV. 1/ a. 1,06., Septic j / - � enc mark g Dosing 1 U C \ Alt. BM ST 66 Aeration d d7+5,) Brewer 4 1 1 l_ t r Holding � St/Ht Inlet /5 TANK SETBACK INFORMATION St/Ht Outlet TANK TO eL WELL BL G. Vent to Air Intake ROAD Dt Iri�t Septic / l Dt Bottom Dosing 11 "[ 75 + � / to 3 Aeration _ Dist. Pipe . O Holding = ot. System a� 60 PUMP /SIPHON INFORMATION Final Grade C ]� Manufacturer Demand St er GPtVI_ Model Number TDH Lif LFrictionn ss Systym H� Forcemain Len Dia. 11 Dist. to Well SOIL ABSORPTION SYSTEM B Width `, / Length No. Of Trenched PIT DIM No. Of Pits Inside Dia. Liquid Depth DIMENSIONS r l ✓��7.. / SETBACK SYSTEM TO P/L E BLDG IWE LL LAKE /STREAM AC G Manufacturer: INFORMATION CH R OR Tyg ef System: r and / & 0 / 1 / Model Number. DISTRIBUTION SYSTEM — Header/Mani fold Distribution n I f x Hole Size x Hole Spacing Ver it Intake t �/ Pipe(s) 3.� LCJ / I (1 l- � t Length Dia Length Dia_ Spacing �P SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over / Depth Over xx Depth of xx Seeded /Sodded Mulched Bed/Trench Center � Bed/Trench Edges Topsoil Yes �O Yes ! J o -- COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Z Inspection #2: J O y Location: 1429 1 / th Avenue New Richmond, WI 54017 (SW 114 NW 114 25 T30N R18 a P�ne&o rn L oyd _Parcel No: 25.30A8.9DI4 1. ) Alt BM Description= Sr ZWG�� c " C �yy�,p / 2.) Bldg sewer length =-5-61 ��/ �- 0 d �`� � � � e �� VGi:�>�S u�� � � �' `/� - amount of cover = > r7t 3.) Contour = Ae Use revis Req e otherside foradditional information. L�'I Yes � . i NO i 1 f SBD -6710 (R.3/97) Date Insepctor's Signature -- --- _ — � - -J � � S C rt . No _-�b AGM0 o�.Jten' NY-' i /�sj�I w t w. M a dison, on wve.. r.u. nox , tom wl STM - 7162 Site Address f Commerce �_tl or I y Sanitary Permit Application 74? SUS �y In accord .vim Comm 113.21. win. Adm. code. personal information You PmW if Revision i0 may be used for law, s15. 1 m \ Application Information - Pime Pt9nt All Information Stale Plea LD. Number " �l Property Owper• Name I tf E N ' o `r oar /�30- y y 4r U C Lttcaaon properly' owner's b[aW% Address L ' 2 9 2002. Prop J U ��" �- �• C,r. T 3 CN. R E u i r Lest Number Block Number City. Star Zip Cade Phong ,um , OF F :� c Subdivision Name CSM Number >I. 'Type of Building (check all that apply) �/ / DC* I'1 or 2 Family Dwelling - Number of Bedrooms 9)4; 1' 2 f; 1' d 0 PUMUCommereitl - Describe Use Ck 0 Stale owned `0 . 1 Ct�- �t.�V f,C �U 6 1�' - 7 a� CPIs Neamt Road JIL Type of Permit: (Check only one boat on line A (numbering scheme for internal use). Complete line B if applicable) A. I P New 2 0 Replaceau wt System 3 0 Repiaoement of 6 0 Addition t o For Cmmty we Tanit sum R. Chtxk if Sanitary pamit hevioudy ism Permit Number Dace issood � C { G .3Go IV. 'Type of Permit: (Check all that appiy)(mtmbering scheme is for internal use) 44 0 Non - Presarcized ln•ciroaod 2��Moaad 47 ❑sand Facer so ❑ Conseructed Weiland 22 0 Pasattined k4round 410 Holding Tank 48 0 Single Pass 510 Drip Line 45 0 At -Grade 46 0 Aerobic Treatment Unit 49 0 Recirmbim8 30 0 Other V. Area Information: Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate Ekvaton Final Grade Required Proposed Ram(Gsh.IDays/Sq.FL) (Min.Mch) ► Elevation VL Tank info Capacity in Total Number Manuficnurer Prefab Site Steel Fiber Plastic Cult � Gallons Gallons Of 2y� �� 4& Concrete CoConstructed Glass New Taola Tadrs wide a Holding Teak x - rV (,,iit Dadit Cldauber }e t?' VII. Resiponsib Statement- 1, the maderslgned, assume respmallity for hrataBatim of the POWTS shown on the attached plans. Plumber's Name (Prim) Plumber's MpA"RS Number Business Phone Number Plumber's Address (Suter, City. State, tip Code) Pd < 7 �De ens use on Sanitary Permit Fee (includes Groundwater Da Issued Signature (No Stamps) Approvod 0 Disapproved Surdar I / ❑ Owner Given Initial Adverse Deter mination f i EX. Conditions of ApprovW/Reawas for Disapproval �� SST - 9liG /2•r� �2c�>t du.� � Giza -�rr- vr► sy�s�m /��e>ft�. 0- / ax Aaed muphte ptw Ae t4 «Wb) for &e Mum em Perm sm tra tide sun :11 lydee Is .ise SBD -6398 (R. 05101) • V T Q ^1 p o �A S00 53 E 300.01 67.0 ti ` !75.76 x ^� oa p qp c Safety and Buildings PO BOX 7162 MADISON WI 53707 -7162 TDD #: (608) 264 -8777 N fisconsin www.commerce.s i n.gov Department of Commerce www.wisconsin.gov Scott McCallum, Governor Philip Edw. Albert, Secretary October 24, 2002 CUST ID No.242514 ATTN.• POWTS Inspector TODD C FEATHERSTONE ZONING OFFICE FEATHERSTONE EXCAVATING INC ST CROIX COUNTY SPIA 368 TOWER RD 1101 CARMICHAEL RD HUDSON WI 54016 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/24/2004 Identifica ' bers Transaction ID N .795084 SITE• Site ID No. 65157 Kingsborough - Lot 44 Please refer to both identification numbers, 1429 136TH Ave L above, in all correspondence with the a enc . Town of Richmond St Croix County SW 1/4, NW 1/4, 525, T30N, R18W Lot: 44, FOR: Object Type: POWT System Regulated Object ID No.: 874204 MOUND / DWELLING 600 GPD 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. 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 c o construction /installation/operation. ° R, I In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions shofild, conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review J' shall relieve the designer of the responsibility for designing a safe building, structure, or component. i ei A�`p Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. CD �Ft�SPC� The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the Si installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Robert Kanter POWTS Plan Reviewer, Integrated Services WiSMART code: 7633 (608)261-7735, Monday- Friday 8:OOAM - 4:45PM rkanter @commerce. state.wi.us cc: Leroy G Jansky, , Wastewater Specialist, (715) 726 -2544 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE (ftC%t, S VPa Pr Name: KINGSBOROUGH EP 2 ,5 2442 Owner's Name: MARTIN �Ty'& S QlV Owner's Address: 1429 136TH AV NEW RICHMOND WI 54011 Legal Description: SW 1/4 NW1 /4S25T30NR1 8W Township: RICHMOND County: ST CROIX Subdivision Name: RED PINE CORNER Lot Number: 44 Block Number: Parcel I.D. Number: 026- 1072 -95 -000 Plan Transaction No.: PREVIOUS ID # 7740 SITE ID # 648674 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 1 Page 7 Pump curve and specifications re : Page 8 SITE PLAN Page 9 SOIL TEST Page 10 SOIL TEST `ti` T - Page 11 SOIL TEST ;DENG Designer: TODD FEATHERSTON License Number: 242514 Date: 09/23/02 Phone Number: 715 - 381 -1704 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 3.11 (05/01) Pagel of 11 Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) R Residential or Commercial Design Note: Sand fill (D) calculations assume a 400.00 Estimated Wastewater Flow (gpd) Table 83 -44-3 in -situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150 %) coliform of 36 inches. 600.00 Design Flow (gpd) 3.00 Site Slope ( %) 101.90 Contour Line Elevation (ft) 24.00 Depth to Limiting Factor (in) 0.50 In -situ Soil Application Rate (gpd /ft Di i u ' n Cell Information T5.00 Dispersal Cell Length Along Contour (ft) = 8.00 ell Width (ft) 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) c Center or End Manifold 4.00 4.00 Lateral Spacing (ft) If N above, enter the elevation ft 2.00 4 Number of Laterals of the highest point. t ' .1 Orifice Diameter (in) (e.g. 0.25) g 2.67 Estimated Orifice Spacing (ft) = 10.71 ft /orifice .00 Forcemain Diameter (in) Q _30.1 Length (ft) Does the forcemain drain back? Y Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 4.89 Forcemain Drainback (gal) ch o f 10.40 Vertical Lift (ft) 46.79 5x Void Volume (gal) 0.36 Friction Loss (ft) 51.69 Minimum Dose Volume (gal) ` 17.26 Total Dynamic Head (ft) 23.07 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. op tions I choice 0.75 1.25 x 1 x 1.50 x 1.25 x x 2.00 x x 3.00 2.00 x 3.00 x Gallons /inch Calculator (optional) Treatment Tank Information 600.00 Total Tank Capacity (gal) t1ra.001 Se tiiccTank Capacity (gal) 50.00 Total Working Liquid Depth (in) WEISER � Manufacturer 12.00 gal /in (enter result in cell B49) Dose Tank Information Effluent Filter Information 1000.00 Dose Tank Capacity (gal) JZabel I Filter Manufacturer 27.83 Dose Tank Volume (gal /in) A100 Filter Model Number WEISER Manufacturer Project: KINGSBOROUGH Page 2 of 11 K Mound Plan View T 1/10 B Observation J rr L tion Pipe .• ... T ::::::::::::::::::::::::::::::::::::...... ..............................: — j I s A W B � .... . z 3 ::::::;::;: �..... ...... .. ............. ............................... I L Mound Component Dimensions A 8.00 ft E 14.88 in H 1.00 ft K 8.67 ft B 75.00 ft F 9.25 in z 8.28 ft L 92.35 ft D 12.00 in G 0.50 ft J 6.25 ft W 22.53 ft 600.00 (ft Dispersal Cell Area 1220.81 (ft Basal Area Available 8.00 (gpd /ft) Linear Loading Rate 7.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 104.67 (ft) —♦ H F Dispersal Cell 103.40 )Lateral :.. ft I_.. Invert 102.90 O r 1 3 Dispersal Cell •'�''; ; ;;:.:.:� .:.:.:.:..:.::.: J f / „ /�'•• � ? iJ /,�) ? ?)? /.• /J�.:.- ;f. //)i,f f. ?.:f /) >f� ? ?: .'''i,).)J) /�i ? ? ? %.; q ?)?).�.)J:. f)?.; i%/J•J iJ);• i) ��?.::? ?ii.:.�i)..•.(f; / :J / /.� / / :l;;•; :,•: :, .: .:>..��)J, iJ/�r, % ?, .,•.:; J� %». ?); ?:i ?)?�i ?, J,. : > ? ?f ?;•; .: r>:• ?: ?�? .;;. 3,:..!),,,,;.; i'''., �i)J) ? ? ?. ?.�i, >%??) ff:•.?:+????:`.?. 4/:':•:• f± f..::......../) �:, f:: ff. r.. f:±) ��)J � .fJffff�ffri,ifi;;;;� :'..'•'.: '!.�.�.�ifJ.).......... ...�....... .. 101.90 (ft) Contour Elevation 3.0 % Site Slope Geotextile Fabric Cover Shading Key I — Dispersal Cell See lateral details on Q Topsoil Cap c 1.5 ft Page 4 for number, size, ;., , 5 .•. ;',I'?;ji <j:;.j_E: ?j Ej 3i ii i i yj' > ?'' {'. Q Subsoil Cap fe 2 and spacing of lateral ASTM C33 Sand F Laterals are equally © Tilled Layer T ical Lateral sp aced from the ?;;•: m 0.5 ft YP p 05 Aggregate v 5 1 I distribution cell's - +— i :;:;;:;:;;.. >..::; -j- centerline in the A distribution cell (AxB). Project: KINGSBOROUGH Page 3 of 11 I Center Connection Lateral Layout Daigram Force main connection via tee or cross to manifold at any point. Laterals are identical P Lateral Diagram Here i= Turn -up Ydbe II va Iva or I W241 Laterals & force main of PVC Sch 4Q clean out pl u g per COMM Table 84.30 -5 Holes drilled on the bottom of the lateral. I Number of Laterals 4 Orifice Diameter 0.125 in Lateral Diameter 1.25 in Orifice Spacing (X 2.72 ft Lateral Length (P) 36.72 ft Orifices per Lateral 14 Lateral Spacing (S) 4.00 ft Orifice Density 10.71 ft /orifice Lateral Flow Rate 5.77 gpm Manifold Length 4.00 ft System Flow Rate 23.07 gpm Manifold Diameter 2.00 in Total Dynamic Head 17.26 ft Forcemain Velocity 2.36 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and —10 Comm 16.28 WAC 4 in. min. Disconnect --- !ll --- . Tank component is properly vented FZ; Alternate outlet location Forcemain diameter WEISER Manufacturer _ 2 in. Capacity 1000.00 Gallons Volume 27.83 gal /inch A Weep hole or anti Dimension Inches Gallons B siphon device A 20.08 558.69 C B 2.00 55.66 P ump off e levation (ft) -t C 1.86 51.69 93.00 D 12.00 333.96 D Total 1 35.931 1000.00 Dose tank elevation (ft) 3" Bedding under tank. 1 92.00 Alarm Manuafacturer LEVEL ALARM Alarm Model Number DLV Pump Manufacturer ZOELAR Pump Model Number 98 Pump Must Deliver 23.07 gpm at 17.26 ft TDH Project: KINGSBOROUGH Page 4 of 11 Mound System Maintenance and Operation Specifications Service Provider's Name FEATHERSTONE EXC INC Phone 71 5.381.1704 POWTS Regulator's Name ST CROIX C• ZONING Phonel 715.386.4680 d 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 1000 gal Maximum TSS 150 mg /L Soil Absorption Component Size 600 ft 2 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 monthly Pressure System Laterals should be flushed and pressure tested every 1.5 ears Mound Inspect for ponding and seep 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: KINGSBOROUGH Page 5 of 11 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 (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 filter when removed from its enclosure. If the filter is equipped with an alarm, the finer 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. Puma Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October- February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg /L BOD5, 150 mg /L TSS, and 30 mg /L FOG for septic tank effluent or 30 mg/L BOD 30 mg /L TSS, 10 mg /L FOG, and 10" cfu /100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. 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 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: KINGSBOROUGH Page 6 of 11 Sn 3 7/8 b 1/4 HEAD CRPACITY- CURVE s MODEL "98• 4 5/8 30 g zs e 3 5/B = fi 20 u + + rs - p 0 - 4 3/16 to 13 z s 1 1/2 -11 1/2 NPT 0 U.S. C 30 40 50 60 70 LITERS 0 1Bd 240 FL099 PER MINUTE MODEL 96 60 CYCLE Feet Goaana Meters Liters 5 72 1.5 273 IQ 61 11 437 15 40 4.6 170 12 20 25 6.1 95 Leese Voga: 28 OOt�1 4 3/1( act 76e CONSULT FACTORY FOR SPECIAL APPLICATIONS • Electrical alternators, for duplex systems, are available and • Variable level float switches are available for oontrolling sirlgk supplied with an alarm. and three phase systems. • Mechanical alternators, for duplex systems, are available • Double piggyback variable level float Switches are eval able with or without alarm switches. for variable level long cycle controls. SELECTION GUIDE Sta ndard all models - Weight 39 lbs. -' /s H.P 1. Integral float operated 2 pole mechanical switch, no epxlemal owftd required. 2. shale piggyback nark d* level Most switch or double plg ft& vs w" lave !e serkw control Sshm don that switch. Refer to FM0477. IModd Volts -Ph Mbft Skn 3. Meoharrical eNsrnatflr 10 -0072 or 10 -0075. MOB 115 1 Aulo 9.4 1 or 1 & 7 — 4. See FMO712, for corned model of Electrical Akemator. NOB 115 1 Nan 9.4 2 or 2 & r 6 5. Cotdrd switch 10-0225 used = a conk acivator, apetdlyy duplex (3) or (4 four D9B 230 1 Auto 4.7 1 or 1 & 7 — 6. Farr (4) hole (4) hole J- Pak, junction t1ox, for MvabeltlgM cor>rladbn Or+IrMrd -hl EBB 230 1 Non 4.7 2 or 2 A 6 3 or 4 8 5 simplex or duplex operation, 110 -0002. 7. Two (2) hole J -Pak, for wedatight connection or splios. CAUTION For infomatlon on additional Zoeller products relar to tablet on Piggyback Variable Level Swkhee. All Installation of controls, pratectlon devieae end Wring should be done by a qual f d! FMC477; EkddcW ANmoW FW486; Medreniq k m9tw. FM0486;SnnqSewegeaaekts, FMW? - , licarsed siactrician. A8 skctrical and safety codes should be Wavred including the most Shgk Phase Simplex Pump Control, FM1596; Alarm Systems, FM0732. recent National Electric Code (NEC) and the Occupational Safety and Health Ad (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor Is engineered into the design of every Zoeller pump, MAIL !'bl• P.O. BOX 1 047 �. LoukWile, KY 402580347 AtalaabClr+nrsof.. a SW TO. , 3649 Cane Run Road taftNe,KY40211-1861 M (M M- 2731.1(800) 928-PUAOP ur►'Pu1�P S 1 . ht� /Avtvw•sosMar awn FAX1 774 -3024 �J . sh qi y7 f �. % l $00°13153"E v 3W ,01 $7.0 175.78 'Q} VN ♦ ` ♦� - CZ IN- VA Al m � � x'' �r (� 4x ..... ..... . 1p c Certifica of Survey far: s� ,t TID # O NA LOT �Y BL _ SUB C0 V MPRSW 242514 rnu w i 1 � ly f �,} I 'an 589'52`26"E 1ajs.. 127.02 6A ttl ,6sr.a w,a ti Of 4 ♦� +d► o ,t K e 43 sf• � — �or..r. f 1075.1 C t 1 n lip � r�A R�4 1x37.ati � 1656 ��, W W j t t r7 •^ loo 1-01 et i' je x 1 ,?1 ♦ x 1037.2 OF • i i =19!6.5 i Of of t r s Sep 18 02 08:43a David J. Steel 7152465085 p.2 1141 Wisconsin Depwlt rent of Cortrneres SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings In accordance with Comm 85, Wis. Adm. Code Steel Soil Service Attach complete site plan on paper not less than 834 x 11 inches in size. must county Plan xist $t, Cron include, but not limited lo: vertical and horizontal reference point (BM), direction and percent skrpe, stele or dinem9iore, north arrow, and location wW dieter= to nearest road. Parcel I.D. Penciling Please print aN kdbmwdon. Rea red B Date Personal mformat on)ou provide may be used for samdery (Prw7 taw, s. 1504 (1) (m)). Property Owner Property Location Martin, John & AN Govt. Lot SW 114 NW 1/4 S 25 T 30 NR 18 W Property Owners Mailing Address Lot # Block # Subd. Name or CSW 4970 Ashley Ln. Apt. 203 44 no Red Pure Comer City State Zip Code Phone Number jtj City A Vii{age tt Town Nearest Road Inver Grove Heights MN 55077 Richmond 140Th iffl New Construction Usa JA Residential / Number or bedrooms 4 Code derived design flow rate 600 41 Lj Replacement Public or commerce! - Describe: Parent melerlal GkiCial Drilt Flood plain eksMm, If applicable no General comments and reoonwrrendations: Mound design System elevation 103.50ft based on contour fine 101.908 a B oring g Boring mg Pit Ground Surface eiew. 102.50 ft. Depth t (imiting factor 24 in. Sol Applicabon Rata Horizon Depth Dominant Color Redox Deswoon Texture Stricture Consstence Boundary Roots MR? "Effi#1 "012 1 0 -10 10yr3/3 none ail 2msbk mfr Ca 1f .5 .8 2 10-24 1 Dyr4 14 none sic) 2mebk mfr 9w no .4 .6 3 24-75 10yr606.5yr4/4 limstorm residuum led no na no no .0 A Baring s J Boring km Pit Ground Surface elev. 102.50 ft Depth to limiting factor 48 in. SW Apoicatio, Rde Horizon Depth Dominant Color Redox Description Text" Stttvdure Consistence Boundary Roots GPDRp "Eft1F1 I - Eff#2 1 0.12 10yr3/3 none an 2msbk mfr Cs if .5 .8 2 12 -23 10yr414 none Sid 2msbk mfr gw no .4 .6 3 23 -75 5yr4/4 none ad 2msbk no no no A .6 10y16/6 5yr4 /4 limestone resNum Md no no no no .0 .0 " Effluent *1 = BCD a 30 < 220 mule and TSS >30 < 150 rng1L • Effluent #2 = BOD <_30 m81t. and TSS <_0 mg& CST Name (Please Print) Signature: CST Number David J. Sted 248956 es addrs Steel Soil Service Dale Evaluation Conducted Telephone Number 1584 CR GG, New Rk hmond, W15401T 9/16/2002 715- 246 -6085 e- Sep 18 02 O8:43a David J. Steel 7152465085 13.3 Property owner Martin, John & Jill Parcel ID Pending Page 2 of 3 3 ] F Boring # Boring Pit Ground Surfooe elev. 100.30 ft. Depth to limiting factor 28 in. Sol MPIwn Rate Horizon Depth Dommot Color Redcx Description Texture Structure Consistence Boundary Roots GPD/ft' "EM 'Eif#r2 1 0-19 10ytm none 59 2msbk mfr 9w if .5 .8 2 9-28 10yr4/4 none sid 2msbk mfr 9w no .4 .6 3 28-72 10yfm.5yr4/4 imstone residuum /sd na na na na .0 .0 BarkV J airing '`.. _a Pfl Ground Surface etev_ ft. Depth to IQnifin8 facia in. Sal ApIkAtion Rate Horizon Depth nominent Color Redooc Description Tawh m Structure Consistence Boundary Roots 01 "Eft "Eft#2 F-1 Baring # 1 21 Boring Pit Ground Surface elev. It Depth to fonttirlg factor in. Sol Apoicalion Rak Horizon Depth Dominant Color Redox Description Texture Structure Walstence Bou ndary Roots "EfT#1 M Effluent #1 = SOD ? 30 < 220 rnpfL and TSS >30 < 150 nV/L " Effluent #2 a BOD <_30 mak wW TSS <-0 mg/L The Deparmcent of Commence is an equal opportunity service provider and employer. if yar need assistance to access services or (� P'/v'✓ � �Y P o� ll Sep 18 02 08:43a David J. Steel 7152465085 p.4 Page 3 of 3 STE'JEW S SOIL. SERVICE David J. Steel 1564 Cty Rd GG CST POWTSM �J o n QG � i fl Mari A New Richmond, WI 54017 Lic. # 248956 50 44 i 7VU'40� 5 -c 25 r30N el fW (715) 246-6200 (715) 246 -5085 7cwH -0-V '�;cjw�o.�� V. C� a'x GO. cool !!' R. 127 ' �'Z A= P.7Cl,0 ark "eil Sl 7 P < "5/-.• L P,P` 3" • _ ,4 /A acmeA tet-k c if- / 140 TP oP 314" Pvc d. 3ef-r 011 s f ('3ori�c, F�t�i.� /onS 46� IL +'OtC_ ll �f Safety and Buildings PO BOX 7162 MADISON WI 53707 -7162 Mff TDD #: (608) 264 -8777 �seons�n www.commerce.state.W.us /sb www.wisconsin.gov Department of Commerce Scott McCallum, Governor Philip Edw. Albert, Secretary October 24, 2002 CUST ID No.242514 $ 2p ATTN.- POWTS Inspector TODD C FEATHERSTONE ' ZONING OFFICE FEATHERSTONE EXCAVATIN INC j( , .. ST CROIX COUNTY SPIA 368 TOWER RD 1101 CARMICHAEL RD HUDSON WI 54016 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/24,12004' Identification Numbers Transaction ID No. 795084 SITE: Site ID No. 651576 Kingsborough - Lot 44 Please refer to both identification numbers, 1429 136TH Ave above, in all correspondence with the agency. Town of Richmond St Croix County SWIA, NW1 /4, S25, T30N, R18W Lot: 44, FOR: Object Type: POWT System Regulated Object ID No.: 874204 MOUND / DWELLING 600 GPD 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. 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 shali 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 //Z j� Balance Due $ 0.00 Robert Kanter (f POWTS Plan Reviewer, Integrated Services WiSMART code: 7633 (608)261-7735, Monday- Friday 8:OOAM - 4:45PM rkanter@commerce.state.wi.us cc: Leroy G 7ansky, , Wastewater Specialist, (715) 726 -2544 I I __ 1141 Wisconsin Department of Commerce SOIL EVALUATION REPORT page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Steel Sal Service Attach complete site plan on paper not less than 8'% x 11 inches in size- Plan must County St. Crok 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. Parr�l•Q 6) / / Please print all infomodon. q f —0 Z IQ )13 �n ingf 9 g (, —f v R By Date Personal information you pmWe may be used for sepondaq puc�aeef (Privacy Law, s.15 -04 (1) (m))- -. Property Owner t Property Location Martin, John & Jill Govt. Lot SW 1/4 NW 1/4 S 25 T 30 NR 18 W Property Owners Mailing ; j Lot # Block # Subd. Name or CSM# 4970 Ashley Ln. Apt. 20 44 nor Red Pine Comer City State Zip Code phone Number j City 2j Village a Town Nearest Road Inver Grove Heights MN 55077; IS/. -709 -534 Richmond 140Th New Construction Use: Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement Public or commercial - Describe: Parent material Glacial Drift Flood plain elevation, if applicable na Generat comments and recommendations: Mound design System elevation 103.50ft based on contour line 101.90ft Z ci /o b�� i � / ✓e 103,y Boring # .0j Boring jo Pit Ground Surface elev. 102.50 ft. Depth to limiting factor 24 in. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence ary Roots GPD/ft *Eff#1 I `Eff#2 1 0-10 10yr3/3 none sill 2msbk mfr cs 1f .5 .8 2 10 -24 10yr414 none sicl 2msbk mfr gw na .4 .6 3 24 75 10yr6/6.5yr4/4 lirnstone residuum /sct na na na na .0 .0 a Boring # Boring �7 Pit Ground Surface elev. 102.50 ft. Depth to limiting factor 48 in. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft "Eff#1 - Eff#2 1 0 -12 10yr3/3 none sil 2msbk mfr cs 1f .5 .8 2 12 -23 10yr4/4 none sicl 2msbk mfr gw na .4 .6 3 23-75 7 note scl 2msbk na na na .4 .6 a�- 10yr6/6 5yr4/4 limestone resiuum /scl na na na na .0 .0 Effluent #1 = BOO ? 30 < 220 mg/L and TSS >30 < 150 mg /L ` Effluent #2 = BOD -s 30 mg/L and TSS <�30 mg/L CST Name (Please Print) Signature: CST Number David J. Steel 248956 Address Steel Sal Service Date Evaluation Conducted Telephone Number 1564 CR GG, New Richmond, WI 54017 9/16/2002 715- 246 -5085 Property Owner Martin, John & Jill' Parcel ID # Pending Page 2 of 3 a Boring # Boring jK Pit Ground Surface elev. 100.30 ft. Depth to limiting factor 28 in. �Wd Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/11 "Eff#1 "Eff#2 1 0 -19 10yr3 /3 none sil 2msbk mfr gw 1f .5 .8 2 9 -28 10yr4/4 none sicl 2msbk mfr gw na .4 .6 3 28 72 1 Oyr6/6.5yr4 /4 limstone residuum /scl na na na na .0 .0 Boring # Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Sod gppl,,b , Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/W "Eff#1 *Eff#2 Boring # Boring F .,, Pit Ground Surface elev. ft. Depth to limiting factor in. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPD/ft 'Eff#1 'Eff#2 " Effluent #1 = BOD ? 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD <30 mg/L and TSS <, mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or Page 3 of 3 STEEL S SOIL SERVICE David J. Steel 1564 Cty Rd GG CST- POWTSM To It /1,a New Richmond, W154017 Lie. it 248956 (715) 246 -6200 5L.) vf, IV U1 1/y 5.&c S F30 � /acv (715) 246 -5085 Tow 6 - 1Z,c"rj, Sf' ofoi X CV, R tpme Gorn4,- ! /- a► � ' yr L ' 27 ft�,01 5 i K� 3 ab� / Vo L ptencA.era r k EX ev. ToPe� L Peg- -731 t3chc"4r/ TP o 31*" �v� �•�<- Q = s j'n 7 $ 4' � !3 = ,Do ► �a N 201 W . Washington Ave., P.O. Box 7162 V!sc�nsln Madison, WI 53707 - 7162 Sine Address Department of Commerce $ 1429 -136TH AVENUE / • • . Sanitary Permit Number Sanitary Permit App cation In accord with Conn 83.21. Wis. Adm. Code, personal information you provide 0 Chock if Revision may be used for secondary pur Vows &ga Law, s15. 1 m I. Application Information - Plem Print All Information State r _ Tran .774077 Site 648674 3 Property OwOer REGE! E D Pacel - L MART N Property Own Address R ; Z 2002 l�rty Location 8750 - 90th St. So. ' ^ SW / 5t NW u, S 25 T 30 N R 18 E City. State Zip Cask 7P1t11 ! tuber Block Number zcr.;'4c ' C NIA Cottage Grove, Minnesota 55016 ZT- Aivisinn Name CSM Number Red Pine Corner II. Type of Building (check all that apply)' S ❑City ❑ i or 2 Family Dwelling - Number of Bedrooms 4OL+� ❑Village 0 Public/Commercial - Describe Use ElTownship RICHMOND ❑ State Owned Ala' --A W/ ff ' X •7 S ! = «" ' Nearest Road C7v ct $) Cd�t w Cpl/• g9 `t s a�J^ 2 ih . . 0 140TH 13L Type Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B If applicable) A 1 CKNew 2 0 Replacement System 3 ❑ Replacement of 6 0 Addition to Fort " use Tank Ody I Nft System B. 0 Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Check all that apply)(numbering scheme is for internal use) 44 0 Non - Pressurized In- Ground 1 Mount 47 0 Saw Filter 50 0 Constructed Wedand 22 0 Pressurized In- Ground 410 Holding Tank 48 0 Single Pass 51 ❑ Drip Line 45 0 At -Cede 46 0 Aerobic Treatment Unit 49 0 Rechadadog 30 0 Otber V. t A rea Informat e Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required Proposed Rate(taals./Days/Sq.Ft.) Win.Mch) Elevation 600 600 SQ. FT. 600 SQ. FT. 5 s.'/ 100.95 102.72 VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tasks Concrete Constructed Glass New F.itinj WIZa. ,4 - 10d Tads Tacks Septic: or Holding Tactic X - 1250 1 WEISER X Desing Chamber X 1 10001 1 WEISER X VII. Responsibility State 4 the undersigned, anu me responsibility for installation of the POWTS shown on the attached plans. Phunbees Name (Print) Number Business Phone Number TODD FEATHERSTONE N"� �42514 7 715- 381 -1704 Plumber's Address (Street, City, State. ZXCode) P.O. BOX 467 HUDSON, WI 54016 VIII. /De partin ent Use Onl Approved ❑Disapproved Sanitary Permit Fee (includes Groundwater Da Issued at Signature =Sbunps) Surf a Fee) 0 Owner Given Initial Adverse S � �/I) ` Deter mination 1 J ' 10L Conditions of Approval/Reasoas for Disapproval ).�ns�rr.� sfR- - a- . CrP/7 y SC it /, will A�td A 4v MA k- huh t t aL L'.t s1 vss •�rr,� �3. If3-/ lk 'Cr 4a moz-/ Lc F v4- � � � t ?7x111 s j i S — i / d "T & i Attach 4 eb te (to t! Coaty nab) far the `! , ' p�a� = C A zco i, t'T Tu SGKt3t�ti l /�[TVivl� d7 SBD -6398 (R. 05101) W POWs 0 t -� pbv en 6 Eve .vw. -► • • %paw 1031.1 S7.8 r lofo S� 7 BENCHMARK # G s-G -7.37-17 f s - - -.TOP OF PIPE , V4 ��''� /+,S �`fT 3& N,R �Y f•�' EL • 1031.01 t,4 y Q,W 1036.0 -� i BL — SUBA� VD TCF., IQee 2�s1 36.5 i !� i 035.1 ♦ 97. 1x37.6 , 10 .a 0 W _e J so .t,/ 0 ,4 0 Olt) —�- �� °� �M e D� 1039. •036.8 2 1 x 034.1 � 1� ♦x x 1 3.3 1038. 1039. i1';il 20. n 103 3 oil 1 pair - 1489°52' Safety and Buildings 1340 E GREEN BAY ST STE 300 SHAWANO W1 54166 s TOO #: (608) 264 -8777 \ *iscons�n www•commerce.state.wi.us/sb www.vAsoonsin.gov Department of Commerce Scott McCallum, Governor Philip Edw. Albert, Secretary July 29, 2002 CUST ID No.242514 ATTN: POWTS Inspector TODD C FEATHERSTONE ZONING OFFICE FEATHERSTONE EXCAVATING INC ST CROIX COUNTY SPIA 368 TOWER RD 1101 CARMICHAEL RD HUDSON WI 54016 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 07/29/2004 Identification Numbers Transaction ID No. 774077 Ste. Site ID No. 648674 Kingsborough Homes - Martin Please refer to both identification numbers, 140TH Ave above, in all correspondence with the agency. Town of Richmond St Croix County SW 1/4, NW 1/4, S25, T30N, RI8W FOR: Description: Mound System for Kingsborough Homes / Martin Object Type: POW System Regulated Object ID No.: 863988 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. 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 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 Keith A Wilkinson POWTS Plan Reviewer, Integrated Services WiSMART code: 7633 (715) 524 -3630, Fax: (715) 524 -3633 , M -F 7 am - 3:45 pm kwilkinson@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 Project Name. KINGSBOROUGH Owner's Name: MARTIN Owner's Address: 1429 138TH AV NEW RICHMOND WI 54011 Legal Description: SW1 /4 NW1 /4 S25 T30N R18W Township: RICHMOND County: ST CROIX Subdivision Name: RED PINE CORNER Lot Number 44 Block Number Parcel I.D. Number. 026- 1072 -9 -000 Plan Transaction No.: P.O.W.T. Page 1 Index and title Condir ionally Page 2 Data entr RECEIVED Page 3 Mound drawings AP PROV ED Page 4 Lateral and dose tank J u ` ' a Page 5 Pump specifications DEPARTMENT OF COMMERCE Page 6 Management plan SAFETY & BLOGS. DIV. DIVISION OF SAFETY AND BUILDINGS Page 7 System and maintenance specifications SEE CORRESPONDENCE Page 9 ( .s�c.f�� ¢ ° r C S.rel. 74tt pl v T PL« Designer: TODD FEATHERSTON License Number: 242514 Date: 07/16/02 Phone Number: 715 -381 -1704 Signature: Version 2.82 (10/5 0) Page 1 of I Mound and Pressure Distribution Component Design Design Worksheet Site Information R Residential or Commercial Design (R or C) Note: Sand fill (D) calculations assume a 400.00 Estimated Wastewater Flow (gpd) Table 83 -44-3 in -situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150 % coliform of - 36 inches. 600.00 Design Flow (gpd) 3.5Q Site Slope ( %) P: 99.95 ontour Line Elevation (ft) Depth to Limiting F 0.50 In -situ Soil Application Rate (gpd /ft Distribution Cell Information .... 75.0 Dispersal Cell Length Along Contour (ft) = 8.00 ell Width (ft) 1.00 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 Center or End Manifold (C or E) 4.00 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) 2.67 Estimated Orifice Spacing (ft) = 10.71 ft /orifice 2. Forcemain Diameter (in) _ orcemain Length (ft) Does the forcemain drain back? 92.00 Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 4.89 Forcemain Drainback (gal) 8.12 Vertical Lift (ft) 46.79 5x Void Volume (gal) 0. 6 Friction Loss (ft) 51.69 Minimum Dose Volume (gal) 4.9 Total Dynamic Head (ft) 3.0 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice_ in. dia. options choice 1.00 x ... 1.25 x �.... 25 x _~ 1.50 x l_t� 0 x 2.00 x x 2.00 x 0 3 .00 x -� .. ............... _...... Tre Tank Information Gallons /Inch Calculator (optional) 1250.00 Septic Tank Capacity (gal) Total Tank Capacity (gal) WEISER _ Manufacturer Total Working Liquid Depth (in) gal /in (enter result in cell B48) Dose Tank Information 1000.00 Dose Tank Capacity (gal) Effluent Filter Information _ 27.83 Dose Tank Volume (gal /in) Zabel Filter Manufacturer WEISER_ A100� Filter Model Number Project: KINGSBOROUGH Page 2 of P Mound Plan View T 1 /6B J : ::3 Observation Pipe ;•.•.•�... . Tom . '.'.'.'.'.'.'.'.'.'..'.•.•.•.•. . :Y.. •}:'!.:'?Y.Y S•'. •'X •S:Y: S:Y.Y.YYY.Y.Y.Y:Y.Y. K }Y. YYS: }: }: }•y:Y.YY ,S'Y.... ..:), YV• Y, y S. C : u: 4 y ' M R . a ti Cv ; G : vv >�� •. •'.,.. ''' } V Y v> }:•V,VY, • SY.N,vv E;: V:y V F'Y V ') YiY�r4� ti:' •'aYF:R9Y.. A '''•' ) r xr •rx•r xY.r..RRr:r. rra. Sr Y ... r: }: r:5:5: }: }:y, r:S:Y r' }' Y }: }; i. v:5:}':}': }:>: S: Y:. Yy: S:;.•. u.'. r• ): x; }: }:.; y;Y,.:�•Y ,.a:.;ti>:± ,.. . w .'.'. • YY }Y )Y YYY} Y } Y ) ' .... 1. ..•.•.•.' .•.'.'.'.'.'.'..'.•.•. .'.•.'.'. .. .. B ... ...... .'.' :. :::::::::::::::::::: I L - � Mound Component Dimensions A 8.00 ft E 15.36 in H 1.00ft K 8.73ft 75.00 ft F 9.25 in 1 8.55 ft L 92.47 ft D 2.00 in G 0.50 ft J 6.17 ft w 22.72 ft 800.00 (ft Dispersal Cell Area 1 1241.27 (ft) Basal Area Available 8.00 (gpd/ft) Linear Loading Rate 1 12.50 (ft) 1/6B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 102.72 ) -♦ H � 2 F " Dispersal Cell 101.45 (ft) Late I_ In ' 100.951(ft ) Dispersal Cell � t �, Elevation :: E ':' :.:.:. :. :::.:.:.:.:.:.:.:.:.:.:.:.:.:.. z t •� 3 4 ` 3 `` $ 99.95 (ft) Contour Elevation 3.5 % Site Slope Shading Key $. Dispersal Cell Geotextile Fabric Cover 1� Topsoil Cap c h M;; w; See lateral details Subsoil Cap a `0 _ 's`:;y r %yy page 4 for number of Is size, and ASTM C33 Sand - � y �'�•::'::::�:� �v� = = =: F e Tilled Layer Z 0 . 5 ft Y.' ' Typical lateral spacing. Laterals are T.Y ".v4: Aggregate e c <. centered in the AxB }--- -- A ---'r distribution cell. l Project: KINGSBOROUGH Page 3 of Lateral Layout Diagram Force main connection via tee or cross to manifold at any point. Laterals are identical i s P •= AV— Turn-up ++f lba I I valve or IF X � IE rt2 I ■1241 Laterals 6 Force main of PVC Sch 40 cl ean out plug per COMM Table B4.30.5 Holes drilled on the bottom of the lateral. Number of Laterals 4 Orifice Diameter 0.125 in Lateral Diameter 1.25 in Orifice Spacing (X) 2.72 ft Lateral Length (P) 36.72 ft Orifices per Lateral 14 Lateral Spacing (S) 4.00 ft Orifice Density 10.71 ft /orifice Lateral Flow Rate Fose Manifold Length 4.00 ft System Flow Rate Manifold Diameter 2.00 in Total Dynamic Head Forcemain Velocity 2.36 ft/sec ank Information Loc king cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and - -0 Comm 16.28 WAC 4 in. min. Disconnect Tank component is properly vented E — Alternate outlet location Forcemain diameter WEISER Manufacturer El 2 in. Cap acityl 1000.00 Gallons Volume 27.83 gal /inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 16.08 447.37 B 2.00 55.66 C Z,,01, Pump off elevation (ft) C 1.86 51.69 D 16.00 445.28 D Total 35.931 1000.00 Dose se tank elevation (ft) 92.00 Alarm Manuafacturer LEVEL ALARM Alarm Model Number I DLV _ ZOELLER S k# urn p i Pump Manufacturer O Q 0 i Pump Model Number BN53 Pump Must Deliver 23.07 gpm at 14.97 ft TDH Project: KINGSBOROUGH Page 4 of �'� W W HEAD CAPACITY CURVE Model "53/55/57/59" L MODELS 53 -55 -57 -59 Ft. Meters Gal. Ltrs. • 5 1.52 43 163 6 .. 20 - — g 10 3.05 34 129 = 15 4.57 19 72 4 Lock Valve: 19.25 ft. (5.9m) 0 1a 2 ►� 4 5/8 5 -� �— 1 1/7 -1i 1 /2 NF 3 U.S. GALt.ONS 1 10 20 30 40 50 LITERS B0 160 � 4 1/ 0 FLOW PER MINUTE ooeerr Zi --- -t CONSULT FACTORY I i FOR SPECIAL APPLICATIONS R • Variable level Float Switches available. • Variable level long cycle systems available. • Available with special cord lengths of 15, 25, 35' and 5V w 1 /ts ^F • Alarm systems available. t. • Duplex systems available. i1 3 33/32 $ELECTION GUIDE 1. klteyral nw operated mechanical switch, no edwyW cwft repuked. 2, "OgWback uariabte WM float swech a dwA* p�pYbWA varebis k►vst 11110" VONe !h Modf Angf aMpifY DuplNr Aoat ftftL bier W" 177. VA MB0719B 115 1 Auk 8.0 1 ar t 6 — Y Y 3. Madnvkw akamatot *mow 100072 or 10.0075. I ' T5 I _ au UQIIII a r Y • BN63 ire 1 Auld 8.0 -- � Y Y 4. See FM0712 br correct modal of Ekrdrial Alterrreior. _ S. Variable fever wwd wk h ioA= used a w" activsbr• IM [7ae41c8 • eN57 115_ _11 AYb SA -- N Y • SEfit167 230 1 Aub 4.0 tr — Y _ Y ARdrator (3) a {4l 1* system. oryAAd insknpleatar .................. ca3rgfiaoa7In 230 1 ANO 4.0 torli7 — 1 Y B. Four ( 4)hdeJ•Pak,*di0n11M 1 0rwaltltlpht E53t5fi8Efi7lep 230___ Non 4.0 2ar216 3or465 Y Y 2pumpOperaUOn PM1p0002. • 7. Two( 2) ttol - Jft. 9dwboxtorvateAiptacomecgonOrepNos .PM ForiAOfnlYtlDncnad8M01YtlZ0eMfpf00ucfenfenOCatlbponPippyMdVYiehIYL IVNRud�d�ee.fla)17T: AItMMhgNiW10tC0tefOklb ^'�fe0i�hedYef6yatY111fled EW cOdlANwAw,FM01a 6: MsdwkWAMmmr. F61049dSun *Gr,npLum.FMWal;andShV$Pwe dIwkdneaw "w0 5* 0PWWCM10010larrrSobl- ,FiA0T3it. daWNsWalFi efritCede( NEC) endtheOcgrpgb =IS0*wdNeabAct(OE RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. X" r0: P.O. BOX t63i7 Lowy^ KY 40Pw:4 1fyy er. . O . " SW T& 3640 CanRtM Rofe " s e Loura>�. KY X0211 -rgal a AN,p S ASW Adarb1rwwie.Nreonr PUMP !O, use :; r7a 2n 00) 774 . O CoViNht 1998 Zoenar Co. AB rWift reserved. ��l vjiYorA� Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code Septic Tank The septic tank shall be makrtahned by an individual certified to service septic tw under a. 281.48, State. The oonW is of the sepdo 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 denned 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 shill advise the owner of when the rod service needs to be performed to maintain ices 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 finer is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution Svc No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the round 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 conpaction may hinder aeration of the inf itrative surface within the mend and snow compaction in the winter will promote frost penetration. Cold weather installations (October - February) dictate that the mound be heavNy mulched for treat protection. Influent quality into the mound system may not exceed 220 mg/L BODY, 150 mg/LTSS, and 30 mg/L FOG for septic tank effluent or 30 mglL SOD,, 30 mg/L TSS, 10 mg/L FOG, and 10 cfu/l00 mL for highly treated effluent. Influent flow may not exceed maximum design fore 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 peformed it should be compared to the initial teat 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 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General This system shall be operated in accordance with Comdr 82-84 Wis. Adm. Code, and stall maintained in accordance with Ira component manual SBD- 10690 -P (N.1 I=)I and local or state rules pertaining to system maintence 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 sc oordenoe 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 Openirngs 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. Continaencv Plan If the septic tank or any of its components became defective the tank or component stall 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 componentt 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. Questions on the operation or msintenee of this system should be directed to your designer, installer, service provider, county zoning office or local health inspector. See Page 7 for the name and telephone number of your local POWTS regulator. Project: KINGSBOROUGH Page 6 of ��' Mound System Maintenance and Operation Specifications Service Provider's Name FE ATHERSTONE EXC INC Phone 715 - 381 -1704 POWTS Regulator's Name TODD FEATHERSTONE Phone 715. 381 -1704 SSv Urn 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 1250 gal Maximum TSS 150 mg/L Soil Absorption Component Size 600 ft Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliforrn >10E4 cfu/100 mL Service Frequency Septic and Pump Tank inspect and/or service once every 3 years Effluent Filter Should inspect once a year and clean once every 3 years Pump and Controls Test once every 3 years Alarm Should test month) Pressure System Laterals flushed and p ressure tested once every 1.5 ears Mound Ins once eve 3 ears Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted or perforated 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. Lateral Turn -up Detail Finished .• ............. ............... Grade vl 6" Diameter Lawn - -♦ Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral �y Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: KINGSBOROUGH Page 7 of f 1031.1 57.6 7j. BENCHMARK ---TOP OF PIPE Y. /� �., T 3 a N.R ic ••' El • 1036.01 Y BL —SUB / �'""' - 1036.0 V 0 T Ct JJ* • . 035,1 1x37.6 �, 10 .d' i W 3 10 .1 j 0 60 fe) � Cj �''� 036.8 1039.2 , I x 034.1 0 xi 13 tO38.3 ` / Y x 3 - X11039. p C� ��;420. �� � n 103 3 P• a c r . t- � °52 w �+ � 89 - Wisconsin De yartment of Commerce SOIL EVALUATION REPORT Page �_ of _3_ _ Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. 2 percent slope, scale or dimensions, north arrow distance to nearest road. pending Please print,a i information. ` e-vie by Date Personal information you provide may be uod for Secondary pu*ses (Privacy Law, s. 15 -04 (1) (m)). � V t Z Q Property Owner Property Location Oakwood Land DevelO • t vt. Lot SW 1/4 NW 1/4 S 25 T 30 N R18 )((or) W Property Owner's Mailing Address t _ �• �� - L t # Block # Su A. Name or CSM# 1611 H 10 N E Sr CROIX 44 na Red Pine Corner City State Zip Code Phon0AAO&Y City ❑ Village EaTown Nearest Road 'ONING OFF -It✓E I Spring 1 ) - ® New Construction Use: ( Residential / Mum�er 91 de drob n Code derived design flow rate 600 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material glacial drift Flood Plain elevation if applicable p ft• General comments r i and recommendations: SU�� ��� ��oYi (,S mound @ el. 100.95' based on contour line of el. 99.95' 0 F TI Boring Boring # 100.75 Pit Ground surface elev. ft. Depth to limiting factor 42 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ff in. Munseil Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 - Eff#2 1 cs 2f .5 8 if 5 3 25 -42 7.5 4/4 none sl 2msbk mvfr 9W na -5 4 42 -70 10yr 6/6 siduum na . 4 1 c2pil-5-Yr S18 F-21 Boring # n� Boring 100.75 44 k 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. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 - Eff#2 2f 1 2msbk mfr qw if .5 8 17 -44 4 none sl 2msbk mvfr gW na .5 4 44 -75 10yr 6/6 212 7.5yr 5/8 cl L' astone Residuum na Fl - Effluent #1 = BOD > 30 220 mg/L and TSS >30 < 150 mg/L - Effluent #2 = B0 9 5 :< 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature CST Number Gary L. Steel 02298 Address Date Evaluation Conducted Telephone Number 1554 200th. Ave., New Richmond, WI. 54017 11 -3 -2000 715- 246 -6200 Property Owner Oak Lc' nd De v elopment Parcel ID # pend i nQ Page _2_ of F Boring # Boring 98.95 44 �t 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 5W yr 4 4 F Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ❑ 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 'Eff#2 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30:5 150 mg/L ' Effluent #2 = BOD, 5 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 -5330 (K6J00) I , STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. Oakwood Land Development CSTM2298 , , New Richmond, WI 54017 MPRSW -3254 �4�4 S25 T30 - R18W (715) 246 -6200 town of Richmond lot #44 -Red Pine Corner h a/ �1 1 " =40' BM.= top of 1" pvc pipe @ el. 100.00' Alt. BM.= top of 1" pvc pipe @ 1 101.85' J r y J s � L � 3 � Gary L. Steel 11 -3 -2000 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND O CERTIFICATION FORM r � �� I�►l owner/Buyer D r U V Mailing Address �7 SO O t Sr - S. -e G ro v e , Property Address _ 1 4 N edfication?equired from Planning Department for new construction City /State NtQ ���- y— v7 � �.�- Parcel Identification Number 0-2 6 " 2 "' - 040 L EGAL DESCRIPTION \. t Loca tion t /. Sec. T 3� N -R I L W, Town of Property Loca , Subdivision �-e- _�) ` t v-\2 Lot # . Certified Survey Nap # , Volume , Page # Warranty Deed # / , Volume 1 c l G Page # Spec house ❑ yes no Lot lines identifiable Ay es ❑ 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. Croix Zoning Department a certification form, signed by the owner and by a The Property owner agrees to submit to St. Cro nmg Departm 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. maintain the rivate sewage disposal system with the standards Uwe, the undersigned have read the above requirements and agree to P 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 y ar expiration date. SIGNATURE OF 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 owners) of the properf) described above, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNA OF APPLICANT DATE 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 l d // 171 / 2002 08:21 11 bJ814232 NIELSEN PAGE b1 A 1'906 P 627 STATE MR OF WISCONSIN FORM 1 -1898 6 KATH 1 2 V. VALSM 1 8 WARRAM DEt*D ST. I t:ItDi><�i'.O.,� g M S I RIIryIVSD PCR RBWRD Dooument Numb rd:e,!*wI is Deed, made between 06- h -Ze02 2 t 3+• PH mtan . Gfanlot, and antor, far a valuable consideratloo okxhvsya to Grentae the to o wlrtg real estate in State TR� FU t 110~ onsin (the 'PropoW): C)Pt FI S t CUT CWT Psst PA SSt 1 John Records Area ►� Fr�c AV'L 1421 AvwAft NOW o2e•tnn -9� P.ro., td.rpanaah Nuo�t c�kn Lot 44, Rsd Fine Comer. Together wKh an pppurieru" rights. do end Inierehtta. mm bb M slmpb fee and free and dear d endlm bferxxs Grantor warrants that the title to the prapereae good. except Dpted this Iii day of AM 2MZ• (SEAL) (sue) • Oakwood taftd Development, Inc (SF-AL) (SEAL) AUTHENTICATION . ^_ _ .... A mowLEOt3 ENT ... . . state Ot Yll "O"n, slgnatua( :) k- 7 � p F WI ; � + ����� sc Croix Comb authenticated this (14 � t'et onaNr cwm afore na this M say of gyp, the above named P,w�iderR _ 10 me jwwwh to be V" ehaheubed the wish a wd TITLE: MEMBER STATE BAR OF WISCONSIN an0 R a�a (it not, authorized by §706.08. Win. stab) THIS INSTRUMENT WAS DRAFTED BY N Wiscor�kh Caldwell Banker &jrnat 1301 CwAas Rood t8 Dona%" is pwms w%L (It not tote wokadon dab: Hudson, Wl $4016 2-26130 (Signatures may be puthw ticated or acknowledged. Both are net necessary.) Names of p9tmore, ftnft In eth vgpedty nM% tpW or prkAed below Ihetr s STATE 9" t* VAGCO148114 Whcondn Legal Bunk CO, Mr. WARRANTY DEED rota" No. I — lost m1wo me. Wis. Safety and Buildings 0 • 1340 E GREEN BAY ST STE 300 SHAWANO WI 54166 TDD #: (608) 264 -8777 sconsin www.commerce.state.wi.us /sb Vii b Department of Commerce RECEiVvD www•wisconsin.gov Scott McCallum, Governor Philip Edw. Albert, Secretary a" I (i 2002 ST. CR.UIX Co u�I y July 29, 2002 ZO NING OFF ICE CUST ID No.242514 ATTN: POWTS Inspector TODD C FEATHERSTONE ZONING OFFICE FEATHERSTONE EXCAVATING INC ST CROIX COUNTY SPIA 368 TOWER RD 1101 CARMICHAEL RD HUDSON WI 54016 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 07/29/2004 Identification Numbers Transaction ID No. 774077 SITE: Site ID No. 648674 Kingsborough Homes - Martin Please refer to both identification 140TH Ave numbers, above, in all Town of Richmond correspondence with the agency. St Croix County SW1 /4, NW1 /4, S25, T30N, R18W FOR: Description: Mound System for Kingsborough Homes / Martin Object Type: POWT System Regulated Object ID No.: 863988 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. 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 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. • TODO C FEATHERSTONE Page 2 7/29/02 Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Keith A Wilkinson POWTS Plan Reviewer, Integrated Services (715) 524 -3630, Fax: (715) 524-3633, M -F 7 am - 3:45 WiSMART code: 7633 pm kwilkinson @commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist (715) 726 -2544 NOTE: Fi6.n Aosusr A, It I 589°5226'E 1035.4 127.02 1037.E 1031.1 BENCHMARK ,p1 ---TOP OF PIPE /` �` �•'� EL 1036.01 � �d�� � �� 1036.0 , °',• �` 1036.5 h p• ��' , 1037.6 � 1035.1 ,i Q• C�j - - 9 7 . 2 1037.6 036.& W 1038.1 j 6 Of a 10 0 d� S o 'ylC a" � T Q - s , 1039.2 1037.E j ' 0>a.E x 1034.1 F 1 30 M Q N N 1038.3% 44 x 1033.3 J* x 1037.2 • 10 35 7 13ENC14MARK Ts0�1 . TOP OF PIPE- - EL - 1039.16 �/o x 1038.E 61 ri Jf 1b iG ELEVATIONS lotion: c/ 3 z•S �' potion: lotion: (at door) Ifng is in accordance with the the city engineer. dimensions & driveway design. 220.22 1033.3 Wflow N89e52'26 "W xon stion Direction My Easement Bearings shown we ossumed r 4 4 RED PINE CORNER ST. CROIX COUNTY, WISCONSIN )ROUGH. HOMES that this survey, plan or report was prepared by me or under my direct supervision and that I veyor under the laws of the State of Wisconsin. Dated this /O day of JZI cJC A.D.. 2002. Signed: PIONEER ENGINEERING, P.A.