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Wisconsin Department of commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT S itary Permit No: ��s,t,� 453345 0 GENERAL INFORMATION (ATT�H `�1 PERMIT) 18tate Plan ID N Personal information you provide maybe used for secondary purposes [Privacy Law, s.'15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Oeverin , Ken I Richmond Townshi CST BM Elev: Insp. BM Elev: BM Description: Se ion/Town /Rang Map No: 6 M C'a T 25.30.18. TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. - ]L} lol-74 /ad Septic Benchmark �e 2 �- R OLD >r Z •� �oz.�{ ��® Dosing Alt. BM 4e 1 1-3 ( p AQd - 39 Aeration /t Ito Bldg. Sewer 3. ca •7 Holding St/Ht Inlet TANK SETBACK INFORMATION St/Ht Outlet ( - t - 7.6% TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet zq Septic 76 7 Sa � 7 ' Z 7 ' Dt Bottom f1 .1�0 Sg Dosing 5 7 . 7 Header /Man. 5�7 q_7 / 7(p 7 Aeration Dist. Pipe '27 I� Holding Bot. System Z final Grade PUMP /SIPHON INFORMATION 2 % 9 7. Ttv Manufacturer ` Dem nd St Cover `� >r Go Model Number 1 'o f�•� S TDH Lift Friction Loss System Head TD Ft 6 ,57 0.5 .51 1;1 Forcemain Len th Dia. ./ I lDist.towell SOIL ABSORPTION SYSTEM 5 •3f BED/TRENCH Width J Length No. Of Tr nches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid,,epth DIMENSIONS 04 SETBACK SYSTEM TO P/L JBLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: c J ' /)6> 7len , I fl UNIT Model Number. DISTRIBUTION SYSTEM IV Header /Manifold Distribution x Hole Size / x Hole Spacing / Vent to Air Intake Pipe � Pipe(s) 51 1Z 7 ✓2 J`�* Length� Dia Length �' Dia Spacing � tit A /. �Z 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 `. Yes C No 'es 1 No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 9 / 2 , 4/ c> 4 Inspection #2: / / Y' l0 cn.� d Location: 1404 130th Ave New Richmond, WI 54017 (SW 1/4 SW 1/4 25 T30N R19W) Hollow Pond Lot 12 Parcel Nock: 25.30. 8. 1.) Alt BM Description = 'J -y?` `` ��� 2.) Bldg sewer length = ' - amount of cover = i 4 Plan revision Required? Yes No 6 4 l 34 Use other side for additional information. � ! Signat Cert. No. SBD -6710 (R.3/97) Date Insepcto Page 8 of8 Site Plan For. Qevering Homes Lot 12 of Hollow Ponds Subdivision SW1 /4 -SW1 /4 Sec. 25 T30N R18W Richmond Tnsp. - St Croix Co. 0 20 40 1 bob = 40 tt 95.00` Rs, 3% 5� 9600' pIL Proposed 4'x 112.50'Mowid Cell posed 2 "Sek 40 with a system ebevation of96 42' Force Main P/L Proposed 800gaL reeks #I Concrete Dose C,luvnber 1 BM =Top of Walkoat Frost Footing HRP = NE House Corner ASSUMED ELEV. = 100 Proposed 4 "Astin 3034 - BM #2 = Top ofKneewall Ele►: = 103.50' Sewer Pipe Proposed Weeks Concrete 1000gaL Septic Tank w/a Zabel A -100 Fdter M #2 -1 ffitP Propos 3 Bedroom Home L:f WEL 'Prom 9o' to Road Edge FN# 1404130th Ave 130th Ave. Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 S G N *isconsin Madison, 53707-7162 Sanitary Permit Number (to be fill in by Co.) (60 66 _ _ . __.....,, Department of Commerce _k 5- 3 S Sate Plan I.D. Number Sanitary Permit Applicat n In accord with Comm 83.21, Wis. Adm. Code, personal info n yob J Rid ) j �14 ,9 2 0 may be used for secondary purposes Privacy Law, s15 i)(m) Broject Address (if different than mailing address) i I. Application Information - Please Print All Information ' ) N; N (, O F F I!; i r )1f "Ov. x / Property Owner's Na me Parcel N Lot Block H Property Owner's M ailing Address o n lP3 z ��L t,4, soy 'k,Section .2 S City, State Zip Code Phone Number /t� (mil Ol - -oOO� (circle one) H. Type of Bui [ling (check all that apply) _, h Subdivision Name CSM Number T 3 a N; R otC� (� or 2 Family Dwelling - Number of Bedrooms 3 � ax ❑ Public /Commercial - Describe Use l��W OH ❑ State Owned - Describe Use ���• S �" ❑City ❑Village WRownship of III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. WNew System ❑ R System y p y ❑ Treatment/Holding Tank Replacement Only El Other Modification to Existing System B. ❑ Permit Renewal R'Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS System: (Check all that a 1 ) ❑ Non - Pressurized In- Ground WMound > 24 in. of suitable soil ❑ Mound ' < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain / V. Dis rsal/Treatment Area Information: w Design Flow (gpd) Design Soil Application Rate( f) Dispersal Area Re ' st} Dispersal Area Prop ed (sf) System Elevation y 5'D 0 ,/ S .Ls y " .�� 22U �YG.9L VI. Tank Info Capacity in Total Number anufacturer Prefab Site Stee Ft Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks j- G oy d0 `' Septic or -. ank G ✓ d s Aerobic Treatment Unit Dosing Chamber _ Is.. VII. Responsibility Statement- I, the'undersigued, assume responsi 'ty for installation of the POWTS shown on the attached plans. Plumber's Na me (Print) Plumber's Si gnature ^Io1�I'/MPRS Number Business Phone Number _ Fogerty Plumbing -2� d Tj� - 3,s Plumbe e t itA &ate, Ztp Code) 7 /S -lv3S ; .S e(- FWX Spooner, WI 54801 6Si— ol, 06 c- VIII. o se Only_ y E• Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued uing Agen Signitture tamps L ❑ r-0 Surcharge Fee) 0 00 A �d Owner Given Reason for Deni J / / D IX. Conditions of Approval /�teasons for Disapproval YST M OWNER: � eptic tan , effluent filter and C �z �'3, s"L ��G✓�S (�`. G� - w�-� dispersal cell must all be serviced / maintained - �� ✓�k CUt t ` — / ,Q Q� '7i 07 as per management plan provided by lumber. 2. A setback requirements must be main Tried G d � vrC/tQ as per a licable code /ordinances. , 3, 3 - -� �/3 • S'7 - crrt cac.�e_ Attach complete plans (to the County only) for the system on paper not less than 8112 x 11 inches in size Safety and Buildings 10541N RANCH ROAD commerce .wl.gov HAYWARD WI 54843 TDD #: (608) 264 -8777 sca n s � n www.commercestate.wi.us /sb www.wisconsin.gov t epartment of Commerce Jim Doyle, Governor Cory L. Nettles, Secretary August 09, 2004 OUST ID No.224059 ATTN.• POWTS Inspector ZONING OFFICE KEITH E STONER ST CROIX COUNTY SPIA 23220 WOOD CREEK RD 1101 CARMICHAEL RD SIREN WI 54872 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/09/2006 Identification Numbers Transaction ID No. 1027046 SITE: Site ID No. 687257 Oevering Homes Please refer to both identification numbers,; 1404 130TH Ave above, in all correspondence with the agency. Town of Richmond St Croix County SWIA, SWIA, S25, T30N, R18W Lot: 12, Subdivision: Hollow Ponds Subdiv FOR: Description: New mound, 3 bedroom residence Object Type: POWTS Component Manual Regulated Object ID No.: 972250 Maintenance required; 450 GPD Flow rate; 28 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual — Version 2.0, SBD- 10691 -P (N.01 /O1) R The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes Coll 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. U DEPARTM No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, p of ; stats. f The following conditions shall be met during construction or installation and prior to occupancy or use: SEE COF General Approval Conditions: • This system is to be constructed and located in accordance with the enclosed approved plans and with the design manuals noted above. • 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 insure that the operation, maintenance and monitoring duties as described in section VIII of the mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. Key Item(s) 75 7S/ • The plot plan is not showing the dispersal cell on the contour line, but it must be installed on the contour. V� • The total length of the dispersal cell shall b W — J 7 to compensate for the concave slope under the dispersal cell and basal area of the mound. • The designer proposes to install a state approved effluent filter to achieve the requirement of wastewater particle size. Pursuant to outlet filter product approval stipulations, maintenance information must be given to the owner of the POWTS explaining that periodic cleaning of the effluent filter is required. The access opening used to service the filter shall terminate at or above finished grade with a watertight cover. KEITH E STONER Page 2 8/9/04 Reminder • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per COMM 83.44(6)(a)2. • Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual. • Surface water drainage shall be diverted away from the system area per Mound Component Manual. • Materials shall conform to the requirements of COMM 84. • Maintain well and waterline set backs per COMM 83.43(8)(1). Consult the Department of Natural Resources for well setbacks and exceptions to the setbacks. 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 Patricia L andorf POWTS Plan Reviewe Int ated Services WiSMART code: 7633' I (715) 634 -7810, Fax: (715) 634-5150, M -f 7:45 am - 4:30 pm pshandorf@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 Project Name: Oevering Homes 3 Bedroom Mound Owner's Name: Oevering Homes Owner's Address: 838 Summer Pines Circle Hudson WI 54016 (715) 760 -0001 Legal Description: SW1 /4 -SW1 /4 Sec. 25 T30N R18W Township: Richmond County: St. Croix Subdivision Name: Hollow Ponds Lot Number: 12 Block Number: NA Parcel I.D. Number: , r 1 7 3. Plan Transaction No.: iti ZCIIl Page 1 Index and title RO Page 2 Data entry ENT f ER CE A BUILDILOI NGS Page 3 Mound drawings Page 4 Lateral and dose tank _ Page 5 System maintenance specifications <RESP DE Page 6 Management and contingency plan Page 7 Pump curve and specifications / Q � � O �i Page 8 Plot Plan �O \\\\ \\ { 1111111111111(1 q (ryZ* `o\\� WISCG���i�i Designer: Kei �. Sglaer•••••., ti ''��� License Number: Designer# 1575 -007 Date: 071_ /04 r rT • 2 Phone Number: (715) 653 -2324 Signature: ! 011, , 0,2 1i G •. •. • •��g Purwant to the Mound Componen 1 �( %% O ITS 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 (R. 06/01) Page 1 of 8 I Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) R Residential or Commercial Design Note: Sand fill (D) calculations assume a 300.00 Estimated Wastewater Flow (gpd) Table 83 -44 -3 in -situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150 % coliform of - 36 inches. 450.00 Design Flow (gpd) 3.00 Site Slope ( %) 95.75 Contour Line Elevation (ft) 28.00 Depth to Limiting Factor (in) / 0.60 In -situ Soil Applicatio 2 Rate (gpd ) Distrib on Cell Information 112.50 ispersal Cell Length Along Con tour (ft) = 4.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd 1ft 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 0.00 Lateral Spacing (ft) If N above, enter the elevation (ft 2 Number of Laterals of the highest point. 0.156 Orifice Diameter (in) (e.g. 0.25) 1.80 Estimated Orifice Spacing (ft) = 7.26 ft /orifice 2.00 Forcemain Diameter (in) 25.00 Forcemain Length (ft) Does the forcemain drain back? � 88.75 Pump Tank Elevation (ft) Enter Y or N 4.55 System Head (ft) x 1.3 4.08 Forcemain Drainback (gal) 7.17 Vertical Lift (ft) 50.93 5x Void Volume (gal) 0.59 Friction Loss (ft) 55.01 Minimum Dose Volume (gal) 1.2.31 Total Dynamic Head (ft) 33.39 System Demand (gpm) Lateral Di am e ter Sele Manifold Diameter Selection in. dia. options choi in. dia. options choice 0.75 1.25 1.00 1.50 1.25 2.00 1.50 x x 3.00 2.00 x 3.00 x Gallonstinch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 1000.00 Se tic Tank Capacity (gal) Total Working Liquid Depth (in) Weeks Concrete Manufacturer gal /in (enter result in cell 849) Dose Tank Information Effluent Filter Infor mation L 805.12 Dose Tank Capacity (gal) Zabel Filter Manufacturer 21.76 Dose Tank Volume (gal /in) A100 Filter Model Number Wjks Concrete Manufacturer Project: Oevering Homes 3 Bedroom Mound Page 2 of 8 ,Note:, Mound site is slightly concave: 4ft. deflection x 112.50 = •355 x 100 = 3.6% 3.6% x .00265 + 1 x-112.50 = 113.57' = Actual distribution cell length. Mound Plan View 1110 B* J observation Pose ; ; .3 • ; j A L Mound Component Dimensions A 4.00 ft E 9.44 in H A5.39 ft K 7.56 ft B 113.57 ft F 9.50 in 1 ft L 129.6$ ft ' Aft in G 0.50 ft J ft W 16.24 ft 450.00 (ft Dispersal Cell Area 1220.81 (ft) Basal Area Available 4.00 (gpd/ft) Linear Loading Rate 11.25 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 98.21 (ft) — --► ; G H ..rrr rr... rrr frrrrrrrrr 2 rrrrrrrrf. F :::::: Dispersal Celt 96.92 (ft) Lateral 96.42 (ft)- -► Invert Dispersal Cell Elevation E D: •� ..�l ,t l• \•A l..' A. e .. { A �..A` J A ,+, �• "f � - 741 A { y A te' ^ { A �A� A { { '�.: y. A, J A ,s A .�� {`�{ A .I� 1 � A A. A J� �i A . .1 �{, r A �A .�. A A '~'•1 1 - -• A a ' � T �d ►~ ' �' n s. 95.75 (ft) Contour Elevation 3.0 % Site Slope Geotextile Fabric Cover Shading Key m Q— Dispersal Cell See lateral details on 1 Topsoil Cap c c 1 -5 ft •. gib . w w ... Page 4 for number, size, Q rrrrr Subsoil Cap C 5 5 M and spacing of laterals. �. © ASTM C33 Sand F Laterals are equally Tilled Layer c a 0.5 ft °; Typrcal Lateral spaced from the n =rsr• Aggregate distribution cell's t. centerline in the �— A distribution cell ( Ax8 ). Project: Oevering Homes 3 Bedroom Mound Page 3 of 8 Center Connection Lateral Layout Daigram I P I I4- x ^- -> IExl2 x12.3' Laterals & force main of PVC Sch 40 (per COMM Table 84.30 -5) Holes drilled on the bottom of the lateral. ♦ = Turn -up +4 ba llva lve or cl esn out pl u g equally spaced Number of Laterals 2 Orifice Diameter 0.156 in Lateral Diameter 1.50 in Orifice Spacing (X) 1.82 ft Lateral Length (P) 55.51 ft Orifices per Lateral 31 Lateral Spacing (S) 0.00 It Orifice Density 7.26 ft 2 /orifice Lateral Flow Rate 16.69 gpm Manifold Length 0.00 ft System Flow Rate 33.39 gpm Manifold Diameter 0.00 in Total Dynamic Head 12.31 ft Forcemain Velocity 3.41 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and ----► Comm 1 &.28 WAC 4 in. min. Disconnect Tank component is property vented � E--- Aftemate outlet �`. location Forcemain diameter Weeks Concrete Manufacturer 2 in. Capacityl 805.12 Gallons Volume 21.76 gallinch A _ Weep hole or anti- Dimension Inches G B siphon device A 20.47 445.47 C B 2.00 43.52 Pum off e levation (ft) C 2.53 55.01 89.75 D 12.00 261.12 D Totat 37.00 805.12 � D ose tank el evation 3 Bedding un er tank. F 88.75 Alarm Manuafacturer Alarm Model Number I 101 -01 H �— Pump Manufacturer Goulds Pump Model Number #3871 #3 EPO44 Pump Must Deliver 1 33.39 gpm at 1 12031 ft TDH Project_ Oevering Homes 3 Bedroom Mound Page 4 of 8 Mound System Maintenance and Operation Specifications Service Provider's Name Tri Co_ unty Sanitation Phone 715 386 -0114 POWTS Regulator's Name St. Croix County Zoning Office Phone 715 386 -4680 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 300 gpd Maximum BOD5 220 mg /L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450 ft Maximum FOG 30 mg /L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequencv Septic and Pump Tank Inspect and/or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test monthl Pressure System Laterals should be flushed and pressure tested every 1.5 years Mound Inspect for ponding and seepage once 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 Tum-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: Oevering Homes 3 Bedroom Mound Page 5 of 8 I Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [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 shag be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to fame must be replaced. Exposed access openings greater than 8- inches in diameter shag 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 shag 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 shag 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 shag 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 shag be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shag be inspected at least once every 3 years. AN switches, alarms, and pumps shag be tested to verify proper operation. If an effluent filter is installed within the tank it shag 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 shag 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 so# 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/t_ 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 dogging has occurred and if orifice clearing is required to maintain equal distribution within the dispersal cefl. Observation pipes within the dispersal cell shag be checked for effluent ponding. Ponding levels shag be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. If the septic tank or any of its components become defective the k or c Plan operating condition. If shag be repaired or replaced to keep the system in proper If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shag 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 wiR be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically dogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system iauto proper operating condition_ See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Oevering Homes 3 Bedroom Mound Page 6 of 8 PUMPS Submersible M GOULDS nt Pum Efflue p 3871 EPO4 EP05 APPLICATIONS • Fully submerged in high ■ EP05 Impeller: Thermoplas- ■ Bearings: Upper and lower grade turbine oil for tic enclosed design for heavy duty ball bearing Specifically designed for the lubrication and efficient improved performance. construction. following uses: heat transfer. ■ Casing and Base: Rugged • Effluent systems thermoplastic design provides AGENCY LISTING • Homes Available for automatic and superior strength and corrosion • Farms manual operation. Auto- resistance. ` Canad�n • Heavy duty sump matic models include ■ Motor Housing: Cast iron (CSA listed model numbers end • Water transfer Mechanical Float Switch for efficient heat transfer, in "C" or "F ".) • Dewatering assembled and preset at the strength, and durability. SPECIFICATIONS III Motor Cover: Thermoplastic factory. CAL" Kxr4n is ISO soot nxjsWmd. FEATURES cover with integral handle and • Solids handling capability: float switch attachment points. '14" maximum. ■ EPO4 Impeller: Thermoplas- III Power Cable: Severe duty • Capacities: up to 60 GPM. tic Semi -open design with rated oil and water resistant. • Total heads: up to 31 feet. pump out vanes for mechanical • Discharge size: 1'h" NPT. seal protection. • Mechanical seal: carbon - rotary /ceramic- stationary, BUNA -N elastomers. • Temperature: 104°F (40cC) continuous METERS FEET 140°F (60 intermittent. t0 • Fasteners: 300 series _ stainless steel. 9 30 5GPM • Capable of running dry without damage to 8 zs rr components. 25 a Uj Motor: • EPO4 Single phase: 0.4 HP, `_' 6 20 115 or 230 V, 60 Hz, 1550 i s `— 'I 'n overload with RPM, built 1 0 1 o s automatic reset. a 4 EPOS • EP05 Single phase: 0.5 HP, o 115 V or 230V, 60 Hz, 1550 3 10 RPM, built in overload with EPO4 automatic reset. 2 • Power cord: 10 foot 5 standard length, 1613 SITOW with three prong grounding plug. Optional 20 0 0 0 10 20 30 40 so GPM foot length, 16/3 SJTW with three prong grounding plug 0 2 4 6 8 10 12 W/h (standard on EPOS). CAPACITY Go Pumps 02001 Goulds Pumps <& ITT Industries Effective May, 2001 B3871 I ' Page 8 of8 Site Plan For; aevering Homes Lot 12 of Hollow Ponds Subdivision SWl /4 -SWl /4 Sec. 25 T30N R18W Richmond Tnsp. - St. Croix Co. 0 20 40 � eo.ie (lbay 1 inn = 40 tt 4._..._ 95.00` Rs. 7s 3 % 96.00' p/z Proposed 4'x 112.50',6tound Cell Proposed 2 -Sch. 40 Farce Main P/L with a systeon elevation of.96.42' Proposed 800 gaL Weeks #I Concrete Dose Chamber BM - Top of Waftnt Front Footling HRP = NE House Corner ASSUMED ELEV. = loo Proposed 4 3034 - BM 42 = Top ofKneewall Elev = 103.50' Sewer Pipe Proposed Weeks Concrete 1000gaL Septic Tank w1 a Zabel A -100 Filter WO A NJ, EW Proposed 3 Bedroom Home • WELL Approx. 90' to Road Edge FN# 1404130th Ave 130th Ave. MtaCt► compels see Ahn on papef nKa bn than a uz x ll mchas in nd Parcel I.D. b v*xK but not 0 ilI b: vericat and horiaonlal reference Pont ! . a loearm percent slope„ amts or dons. naAr aaorr. and and daianoe b nearest �- Date phose Print aB haormaf olL 2 _ .... _ _ soi (rnFa assn at Vamp Orbi Propeth Location . y t?a�rler UK S� W S ?S T 3o N ft ./8 (� Goat Lot fib r f SOd. Name or - New= Road Cw , ,.zF ❑ � ®'Tow+ code a. y r ills) a Q� NewOonshuc§on trs�C�''R llrmber of bedrooms _.__- Code derived design *01N r yam' GPI pubic ar eomnradif - DeS 0 Flood win de altan iapplicabl Pame maul E r�r r lo D -- # 0 Pit ground surface ele�r_ � b f� �--�— - Sail Appicadon Rat Horizon Depth Oa+nirant Redex Desaip6an Te m SUudree Carrsrslwce Boenda Roots (POW �l Cr. Sz Sh. 'Eldit 90#2 ia. CAL Sr- CanL Color - •- - - �7 .r F-1 Daft D f1 t s I d®r. As• P 1t oep+hbim --% sail RaAt Texinre S Roots. Horizon M Dam srt Rsdmr Desoipion 8aretda7 � QL SL Cad. Color Gr. St. Sh. 2 1. Z .> - — L c s _ '— • >30<71lDmpll.andTSS>3p<19DmOR d�= Bf,Ds `30a�1= - E#rent S1= eWs t�T Number SS (t ftra�e PdAQ Telephone Nrenber Adess dr Fogerty Pb mbmg & Perk T - 282$8 McKemie Rd. 7 - I� Property Owner 4� yc�Yk0_ s Parcel ID # _ Page of -� Boring # o Boring Depth Nmiting factor 1 P in. 1_ pit Ground surface elev. �± ft• DQP�' Sail ication Rye Texture Structure Consistence Botrruiary Roots GPD/ff` Horizon Depth Dominant Color Redox Description •Eff#1 - Eff#2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. f — L � .S k, S Z cL a a Boring Boring pit Ground surface elev. in. _,___. n- Depth to t�tmg factor lion Rate Texture Structure Consistence Boundary Rooms GPD/ft° Horizon Depth Dominant Color Redox Description Gr. Sz. Sh. 'Eff#1 'Ef1#2 in. Munsell Qu_ Sz. Cont. Color El Bori to factor n. ❑ gonrng # Ground surface elev- _ _ ft. D timitn9 � 'cation Rate 9 Pit Consistence Boundary Roots GPD/iF Horizon Depth Dominant Color Redox pesaip6on Texture Stnx e •Eff#1 'Eff#2 in. Munsell Qu. Sz. Conn- Color Gr. Sz. Sh. Effluent #1 = BOD, > 30 < 220 mglL and TSS >30 < 150 mg /L Effluent #2 BOD < 30 mglL and TSS < 30 mg1L 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 6081 6611 P or TfY 608 264 - 8777. SDD•5330(R.4100) X 8' ,cs�t r d#z Aft A-ZX✓: P _ 3 a - r 8 , J;- 3 tNsr -re% Iwo � l Q# / =lrOf /ro` iP w .CIwT • _ �uiv� L ®T c ©�v�i� y Fogerty Plumbing #22x180 28288 McKenzie Rd. Spooner, WI 54801 (715) 635 -9609 ST. CROIX COUNTY WISCONSIN ZONING DEPARTMENT t N N p ■ p ■ r���r ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road '„ � , _ Hudson, WI 54016 -7710 �� Phone: (715) 386 -4680 Fax (715) 386 -4686 M e to 'e From: Pam Quinn Date: 7121 /2004 Re: On -Site Soil Report Verification for Lot 12 Hollow Pond Subdivision (SW % SW % Sec 25 Town of Richmond) On July 9, 2004 a site visit was conducted to evaluate soil conditions reported for Lot 12, 13 & 15 within this new subdivision. After making observations in test pits and subsequent review of all soil reports submitted for lots in Hollow Pond, it appears that the recommendations for installation of pressurized conventional (in- ground) systems may not be feasible. The weather was sunny, temperature in the 70's, with good light conditions for color determination and no precipitation for >24 hours. A sanitary permit was issued for this lot and excavation for the foundation had exposed soils that caused concern for installation of a . conventional system. Test pits on lot 12 had been excavated at the approximate locations of B2 & B3 on the original soil report. At B3, the soil profile was similar to that reported, but redoximorphic features (iron deposits and high chroma concentrations) were observed at the irregular boundary between a sandy loam horizon and fine sands below, at approx. 60 inches. The fine sand horizon from 60 — 88" appears to be weathered sandstone, with extensive iron deposits throughout (2.5 YR 7/8) in a matrix of 10 YR 8/2. Bands of 7/5 YR 4/6 sandy loam were observed starting 6" below the textural change. A test pit near B2 showed massive sandy loam transitioning to fine sands at < 48 ", again with redox features along the textural change and much higher concentration of iron staining in the fine sands. Redox features at less than 48" would limit installation of a pressurized in -ground system. to less than 12 inches below grade. This would place the system on Lot 12 in silty clay loam soils with an application rate of 0.2 gpd/ft Recommendations for "pressurized conventional systems" would require a minimum of 2250 ft for a 3- bedroom house, 3000 ft for a 4- bedroom system. Due to Dept. of Commerce code changes, effective as of 2/1/04, massive sandy loams now have a soil application rate of 0.2 gpd/ft On many lots these soils were encountered in a third horizon at depths of less than 24 inches from the surface. Pressurized pipe, not a dosed system using leaching chambers, would be needed to achieve even distribution of wastewater throughout r these soils. Costs for design and installation of an in- ground pressurized system should be compared to a traditional mound system, the latter having the option of being reconstructed if a failure occurs. The existing tested areas for all lots within Hollow Pond are not large enough for installation of a 3,000 square foot system and another equal area for replacement. Additional soil evaluations will be required and the replacement areas will have to be preserved from any construction activity for sites proposing to use this POWTS option. Mound systems for lots in Hollow Pond would require designs with lower loading rates where soils exhibit platy structure in the upper horizons and/or have <0.3 soil application rates within 12 inches of the surface. These long, narrow systems would, however, fit within the existing tested areas provided on the original soil reports. Sanitary permit applications for conventional POWTS will not be approved for these lots based upon this on -site determination unless the following items are included: 1. Additional soil test pits have been evaluated to provide both primary and future replacement areas. 2. Documentation that redox features are >36" below any proposed system elevation. 3. The soil application rate used for sizing the system extends a minimum of 6 inches below the proposed system elevation. For example, if the system is 18 inches deep and a massive sandy loam begins at 19 ", a soil application rate of 0.2 gpd/ft would be required for sizing the system. Cc: Greg Peterson, Subdivision Developer Oevering Builders, owner Leroy Jansky, Regional Wastewater Specialist Tom Nelson, CST #227387 i i S T CROI PLANNING UNTY &. ZON FAx MEMO �a DATE: 'y lt 6 - 7 TO: fiqAAk, r gce J " 4 FAX NUMBER: /_ 1 Z _ 3-39_ �i 0� W Code Adminzstratiati < ,, (.(J U 715 - 386 -4680 o Land Informatzoti & F - jlally�' Planning FAX NUMBER: 715 -386 -4686 715- 386 -4,074 PHONE NUMBER: 7 � � _ 3�(� � y-7 Y Z Reallroperty 715- 386 -4677 Re Alin NUMBER Off' RACES, INCLUDING COVER SHEET: g �1' , g 715 -386 -4675 L 0 a s ST. CRO {X COUNTY GOVERNMENT CENTER 1 101 CARMICHAEL ROAD, HUDSON W1 54016 715 - 386 FAX PZ @CO.SAINT- CROIX.WI.US WWW,CO.SAINTCROIX.WI.US County t 62 Sanitary Permit Num r (to be filled in by Co.) ons�n c is l 5 3 3 De artment of Commerce L r �S�— P State Plan I.D. Number Sanitary Permit In accord with Comm 83.21, Wis. Adm. may be used for secondary purposes Project Address (if different than mailing address) I. Application Information - Please Print All Info Property-Owner's Na me Pazcel # Lot # Block # Property O canon Owner's M ailing Address Property Lo G Q"-?,F 'k, XeU_ 16,Section .2J� City, State Zip Code Phone Number W� -Od0 (circle ) H. Type of Building (check all that apply) T - 70 N; R o �� ( 5"�° Subdivision Name CSM Number �or 2 Family Dwelling - Number of Bedrooms 3 ❑ Public /Commercial - Describe U e q ❑ State Owned - Describe Use f 1 °r' R ❑City_ ❑Village Rfownship of C /?I III. Type of Permit: (Check only one box on fine A. Complete line Ef if applicable) A ' M'New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner - IV. Type of POWTS System: (Check all that apply) I"Non - Pressurized In- Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculatin ilte J j ❑ Recirculating Synthetic Media Filter I L a chi g ber ❑ Drip Line ❑ Gravel -less Pipe []_Other (explain) V. Dispersal/Treatment Area Information: dtJ, f / — / • 2 - Design Flow (gpd) Design Soil Application Rate f) Dispersd Area Required (sf) Dispersal Area roposed (sf) rSjst&n Elevatio .STJ . 3 SAD / 23.9 T ,� 94 .O - 3 • / VI. Tank Info Capacity in Total Number Manufacturer Prefab Site reel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or +loldtng9'ank Aerobic Treaunem Unit Ae Dosing Chamber — VII. Responsibility Statement- I, the'undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Na me (Print) Plumber's Si zature -btPfMPRS Number Business Phone Number Fogerty Plumbing Plumbe a 1 1R% le, Zip Code 7js �o3.S 0 F/!►X Spooner, W1 54801. 6si- of - a VIII. CA& se Only — el 719 — 6 pproved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued gssuig Agent Signature 94o Stamps) Surcharge Fee) ❑ Owner 6 son for Denial IX. Conditions provaUReasons o Disapproval SYSTEM OWNER: ,�- `'�_� 1 Septic tank, effluent filter and c3 �_� 1 �P dispersal cell must all be serviced / maintained t T " � S .as per management plan provided by plumber. \w " z 2. All setback requirements must be maintained as per applicable code /ordinances Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size i r FoP ty PhimbW9 #221180 ;,pAID 28288 McKenzie Rd. Spooner, WI 54801 (715) 635 -960 e F ' 6m, 7vA o f toAJONrgT •45X7 n l 4m � Arr o6w N goo. 61 i YV = co��� > rr�/ sb' Fitok ,F.vr �,},v •f s �1• S. T• w LT"A Aj i s yf•TE.ft � 4'}' `^I c —z 9 kP I"' ¢ D I �ni j 13 3 � S�rQrKx � A SZ7e , o -- 3 — -- c - � 8 -� Ai�1 1 r FOVMy Pl01nbk� #221180 28288 McKenzie Rd. Spooner, WI 54801 S�Al G E / ' = yp (715) 6360 8 04- ji- Ittr. $ w rr 1 IpNND L 7 /CIZ C � t � 1N /`� X.T. w/ Fx{LTF_/t L/ { i ( BPD` !;OF s y,S'rE st I � A r J j G -3 4 b h I �,�•�, K / / ®O r pct 5X 1e, `_2 OK A 40 /moo • "lc .9✓. G`— � .� —> 0 o CD JZA n o (IQ Q, , ' �° • r CD rA hj I �► tr CD p, N W CL o I t.:� 6 t ,TI v m 0o N f � -s N o, 1 n < ►-� � PA cu �?' —'m � c . p' Im4 O� ¢�y c� h II w ID ow 3 tPl* u u u � ^o o ST. CROIX COUNTY WISCONSIN ZONING DEPARTMENT C U Y M U U U■ rrrrr ST. CROIX COUNTY GOVERNMENT CENTER - 1101 Carmichael Road Hudson, WI 54016 -7710 Phone: (715) 386 -4680 Fax (715) 386 -4686 Memo to 1e From: Pam Quinn Date: 7/21/2004 Re: On -Site Soil Report Verification for Lot 12 Hollow Pond Subdivision (SW % SW % Sec 25 Town of Richmond) On July 9, 2004 a site visit was conducted to evaluate soil conditions reported for Lot 12, 13 & 15 within this new subdivision. After making observations in test pits and subsequent review of all soil reports submitted for lots in Hollow Pond, it appears that the recommendations for installation of pressurized conventional (in- ground) systems may not be feasible. The weather was sunny, temperature in the 70's, with good light conditions for color determination and no precipitation for >24 hours. A sanitary permit was issued for this lot and excavation for the foundation had exposed soils that caused concern for installation of a conventional system. Test pits on lot 12 had been excavated at the approximate locations of B2 & B3 on the original soil report. At B3, the soil profile was similar to that reported, but redoximorphic features (iron deposits and high chroma concentrations) were observed at the irregular boundary between a sandy loam horizon and fine sands below, at approx. 60 inches. The fine sand horizon from 60 — 88" appears to be weathered sandstone, with extensive iron deposits throughout (2.5 YR 7/8) in a matrix of 10 YR 8/2. Bands of 7/5 YR 4/6 sandy loam were observed starting 6" below the textural change. A test pit near B2 showed massive sandy loam transitioning to fine sands at < 48 ", again with redox features along the textural change and much higher concentration of iron staining in the fine sands. Redox features at less than 48" would limit installation of a pressurized in- ground system to less than 12 inches below grade. This would place the system on Lot 12 in silty clay loam soils with an application rate of 0.2 gpd /ft Recommendations for "pressurized conventional systems" would require a minimum of 2250 ft for a 3- bedroom house, 3000 ft for a 4- bedroom system. Due to Dept. of Commerce code changes, effective as of 2/1/04, massive sandy loams now have a soil application rate of 0.2 gpd/ft On many lots these soils were encountered in a third horizon at depths of less than 24 inches from the surface. Pressurized pipe, not a dosed system using leaching chambers, would be needed to achieve even distribution of wastewater throughout these soils. Costs for design and installation of an in- ground pressurized system should be compared to a traditional mound system, the latter having the option of being reconstructed if a failure occurs. The existing tested areas for all lots within Hollow Pond are not large enough for installation of a 3,000 square foot system and another equal area for replacement. Additional soil evaluations will be required and the replacement areas will have to be preserved from any constriction activity for sites proposing to use this POWTS option. Mound systems for lots in Hollow Pond would require designs with lower loading rates where soils exhibit platy structure in the upper horizons and/or have <0.3 soil application rates within 12 inches of the surface. These long, narrow systems would, however, fit within the existing tested areas provided on the original soil reports. Sanitary permit applications for conventional POWTS will not be approved for these lots based upon this on -site determination unless the following items are included: 1. Additional soil test pits have been evaluated to provide both primary and future replacement areas. 2. Documentation that redox features are >36" below any proposed system elevation. 3. The soil application rate used for sizing the system extends a minimum of 6 inches below the proposed system elevation. For example, if the system is 18 inches deep and a massive sandy loam begins at 19 ", a soil application rate of 0.2 gpd/fe would be required for sizing the system. Cc: Greg Peterson, Subdivision Developer Oevering Builders, owner Leroy Jansky, Regional Wastewater Specialist Tom Nelson, CST #227387 Wisconsin Department ofCom RE j E E �IL VALUATION REPORT Page 1 of 3 Division of Safety and Buildings � + h Com 85, Wis. Adm. Code I- Q Co unty St. Croix Attach complete site plan on pa r not less th Inches n size. Plan must include, but not limited to: ve i land Int ( direction and Parcel I.D. percent slope, scale or dimensi ns, no� and !stance to nearest road. Wease pnn a R viewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 1 Q Property Owner Property Location Greg Peterson Govt, Lot SW 1/4 SW 1/4 S 25 T 30 N R 18 Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1611 Hwy 10 12 Hollow Pond City State Zip Code Phone Number ity ®Visage • .own Nearest Road. Spring bake Park NIN 1 55432 ( 7¢3- 780 -4996 140th Street El New Construction UseE] Residential /Number of bedrooms 3 to 4 Code derived design flow rate 450 to 600 GPD Replacement Public or cornmereial - Describe: Parent material Loess over glacial till __ Flood Plain elevation if applicable ft. and recommen d lions:ese are massive soils th the need fo extremely careful installation techni ue a system being used b e ' installing contractor. recommen n wou a o consi er a pressurized syste where the effluent c be dosed over the entire distribution area, _ of requir _ _ _u- recomm _ ded. This. site is. suitable for a below grade conventional. system. El Boring # 0 Boring r . Pat Ground.surfaceelev. 99.15 ft, Depth to.limiting factor > in. Soil Application Rate Horizon Depth. Dominant Color . Redox. Description. Texture Structure- Consistence- un. oots, D/fP in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. * €ff#1 *€A02 r 1 0 -8 10yr3/2 sil 2msbk mfr aw 2f .5 .8 (P 8 -18 1 416 sicl lmsbk mfr cry if 2 3 18 -32 7.5yr4/4 - sl lmsbk mfr cw If .4 • 4 32-48 7.5yr4/4 1 - Ifs mvfr cw - 7 1.2 5 48 -56 7.5yr4/4 sl 011! mfr cw - 3 5 6 56 -58 7.5yr5/6 - s Osg ml cw - .7 1.2 7 58 -86 7.5yr8J2 fs Om ml - - .4 • .S F 2 1 � 8.05 > Boring # E Pit Ground surfaceelev. ft. Depth to limitingfactor in.. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Efr#1 VW 0 -11 10yr3/2 sil 2rnsbk mfr aw 2f .5 .8 r� to 2 11-17 1 4/6 sicl I lmsbk mfr cw If .2 .3 3 17 -26 10yr4 /6 - sicl 2mfk__ ;__ _ mfr cw If __ .4 .6 Y 4 26 -31 10yr4 /4 - sl Imsbk mfr cw if 4 .6 3l 5 31 -53, 7.5: 4/4 is lfsbk my cw _ 7 1.2 6 53 -86 7.5yr4/4 sl Om mf 1 - - 3 5 0 - Z- i o — - - - - - -- -- - - - - - -- -- . -- — I * Effluent #1 = BOD > 30 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 - D < 30 mg/L and.TSS, <_ 30 mg/L CST Name (Please Print) Signature CST Number Thomas C Nelson 227387 Address Date Evaluation Conducted Telephone Number 1432 120th Street, New Richmond, WI 7/3/03 715 -246 -2454 P►opeity Own. er Peterson parcel 10 2 3 Page of 3 Boring # � E B°nng 47.65 Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDtFF in, Munsell. Qu, Sz.. Cont-Color Gr. Sz..Sh., - 1 0 -10 10yr3/2 - sil 2msbk mfr aw 2f .5 .8 2 10 -29 1 4/6 - sicl lmsbk mfr cw if .2 .3 3 29-62 7:Syr4/4 - sl_ mfi cw _ .5 4 62 -8 7.Syr8/ fs .. Om mfr - - 4 6 CAL Color — hrn F-1 Boring #. Boring Pit Ground surface elev. ft. Depth to limiting factor in. Soil AppWation Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell. Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *EM Borng # B O t ring Ground surface elev. ft. Depth to limiting factor in. r9NAppTication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDHP in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#f *Eff#2 ' Effluent #1 = BOD > 30 < 220 moll- and TSS >30 < 150 mg/L * Effluent #2 = BOD, < 30 mg/t. and TSS < 30 rnglL 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 writaFt. the department at 60$- 266 -3151 or TTY 60$ -Z64- 8777. SBD- 8330Tmt (R- 07/00) 0 OW FOWID I I I..O 1 2 �r 13 8 lo w 1% 0x0PE 194' 42' +4 . i IIO' ob SW LOT C0ILWER BVALE I' = 40' BM1 OR OF COWDVIT FEZT T-O VTILIrI' ROLE 1 00.00 " BM2 OR OF COFDVIT 100.60' I .I5' 'B 2 98.05' 193 97.65' .. I"HOM *o WELSOW • R ECEIVED PRELIMINARY PLA' 0 C T ca cc 2 8 2003 Locofed in port of the Southwest 114 of ST. North, Range 18 West, Town of CR01X Cp *st 114 comer ONTY ZO Sectlan 25 -JO -1B NING OFFICE (EstalMWed from n") = l- - T - 2 j K.. CER RICHMOND _il_ YAP .-( UMF 1 - 11 LOT 1 OT ;> � - -- - -- - `t, _ N8 '5525 "E 1315.51' ZQs' JOZ 1 021. 265 -j I 019. Pandsrq r . W 1 Ea,ern.ntJ I-I 1.. Hl4Ly1017.0' NET BUILDABLE AREAS: dl 65.803 sq. ft. QI LOT 1 1.51 acres Lori LOTS` LOT 4 LOT 2 Q LOT 2 58,138 sq. n. Z I .. R 82, 379 aq. ft: ; `J8, 540 s . ft 7,33 acne 6603 sq. ft. 65,803 sq, ft. Q LC 53 ,087 n. �' 1.89 acres 1, 80 acres.. LOT 3 sq. 1.51 acres 1.51 acres , B 0. =1021. D' , I 1.22 acme . L 80.= 1021.0' ' 97,25 8,540 sq. ft. Y r 1.80 acres ' 223 LOT 4 7 I I _\ 1• l ( _ 97,252 sq. n. L \ / r ttl 5 2.23 acres �•.'?05'- 4J4 LOT 6 8 1 88 ere: ' M , - ' ` -II Asr - A VL914L� LOT 7 125,029 sq. ft. N v 5' 2.94 acres `� l , - - ?/3' -220'- r• 90358 s ft r - UtAity LOT 8 2.07 1+v' Eeis�nent acne ` 894 sq. n. LOT 9 2.05 acres I .. N I 1 r. b. ,. a -,} - LOT 10 81,286 sq, ft. �;.\ ; ,` 1.87 acne', LOT 11 91,632 sq. ft. I I ll : r 2.10 acne e y l - (se " 'El 77 LOT 12 , cn LOT 11 � --r- -- ' t 1 6 9 s n. .77 acme o� '.. I Lor io w .. .... 11 2,,J62 sq. 76,883 sq. ft. Q I I 91, 631 sq. ft 81, 266 S ft. `LOT 9'' '' J5 acres LOT 73 210 acres q' 89,416 sq. ft.` 1.77 acres �; ; !. 87 acres 93,544 s ft. o�, 2.05 acres - -_ Strvatwwe to LOT 14 2,15 acne Ld, I be Removed- LOT 15 62,292 sq, ft, QI w GRAIN 1.43 acres _j in I ' - L07 16 65,401 sq. ft. Z I d ! 4B aAF" / EosmrjAnt 1.30 acres �� , ' _ 15 15' 462' ?YJ' T NMI fOJLG 2J5 235' 417' tbock c • '. Ex:51nu: LOT v _ LOT 7L? f "„ , LOT ` 1►4 "wl_ a- �, � 77,189 Sq. ft. 76, 93J Sq, ft. �c `'136,338 8 ft. ?,`, 1 7 acres 1.77 acres �' f- X� Q' I65, 4t - A 13 acres 0' qPTIC I / 7. JT - - - - -;/ 41 -- - � { - _ _ _ _ _ -- - - 1322 - ------ - $89'43'24 " w �- r 13 _ APPROVING AUTHORITY "�� R,..,r. _- SOW ?4'W 2844.48 -- '- TOWN DF RICHMOND ST. CROIX COUNTY Southwest Comer ZONING, settler, 25 -JO -18 JRLATTED LAND PLATTED AREA IS ZONED: AC -RES (f-nd 71V rebar) - - - - - - - - CURRENT USE: AG -RES ADJOINING LANDS ZONED: AG -RES CURRENT USE: AC -RES AREA$: TOTAL AREA OF LAND TO BE PLATTED: 1,543,552 SO. FT. 35.44 ACRES I hereby own MINIMUM LOT SIZE REQUIRED: 65,340 SO. FT., 1.50 ACRES direct super, NOTE: The parcels shorn on this map are subject to State. County and Township knowledge or AVERAGE LOT SIZE: 11 50. FT., 2.01 ACRES laws, rules and regulations ( i.e. wetlands, minimum lot size, access to parcel, the laws of THIS ADDITION WILL CONTAIN 16 LOTS eta). Before purchasing or developing any parcel, contact the St. Croix County PROPOSED TOTAL LENGTH OF TOWN ROAD: 731 L.F. Zoning Office and the approprlote Town Board for advise. R.O.W. DEDICATED TO THE PUBLIC: 142,705 SQ. FT., 3.28 ACRES TY DODGE, R POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page I of 2 FILE INFORMATION SYSTEM SPECIFICATIONS Owner & DEV�� Septic Tank Capacity a�D a l ❑ NA Permit # S� Septic Tank Manufacturer (,� L �S ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer L L ❑ NA Number of Bedrooms 3 ❑ NA Effluent Filter Model ❑ NA Number of Public Facility Units NA Pump Tank Capacity al A Estimated flow (average) 0 al /day Pump Tank Manufacturer Design flow (peak), (Estimated x 1.5) al /day Pump Manufacturer A Soil Application Rate . �� al /day /W Pump Model A Standard Influent /Effluent Quality Monthly average* Pretreatment Unit �1A Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD 5220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg /L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BOD 530 mg /L - Ground (gravity) ❑ In - Ground (pressurized) Total Suspended Solids (TSS) :530 mg /L ❑ NA ❑ At -Grade ❑ Mound Fecal Coliform (geometric mean) :510' cfu /100ml ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size Y. in dia. ❑ NA Other: Other: ❑ NA Other:q *Values typical for domestic wastewater and septic tank effluent. Other: CI MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: 2 � ❑ mo eaarrlss) () l (Maximum 3 years) ❑ NA Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA Inspect dispersal cell(s) At least once every: 2, ❑ month(s) (Maximum 3 years) ❑ NA 3 EkVear(s) Clean effluent filter At least once every: ❑ month(s) ❑ NA _ Z Pff year(s) Ins Inspect pump, pump controls & alarm At least once ever ❑ month(s) q P P P P y� ❑ year(s) pressure test At least once eve ❑ month(s) Flush laterals and A P every: ❑yearls) Other: ❑ month(s) q At least once every: ❑ year(s) Other: q MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third (Y or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. Page Z of 2 START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and /or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or: must be taken, to provide a code compliant replacement system: ) A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. T alua ' a ffo ing ank b e tailea 1 RDI -/18 T1l�i. �Di2- A/�b✓ ( NS"TKl1�TLD ❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name LAIM. ) Name Phone S 6 3� 9( 9 Phone �U SEPTAGE SERVICING OPERATOR (P PER) LOCAL REGULATORY AUTHORITY NameS Name ST. l (� V 20AI / Phone Phone "� / S— 3 g (p q (O (� This document s drafted in compliance with chapter Comm 83.22(2)(b)(1)(d) &(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Ownerf)3uycr .Mailing Address f xf Property Address y '� - Ame (verification required from Planning ent for new constructi on) City/State Parcel Identification Number .f 2-,d� -1m 73 - LEGAL DESCRIPTION Property Location ,�_ r /4, sui r /4, Sec. ;2 s • T -R ' /f W, Town of i��xo rid Subdivision -- _ A&AW PO41,6s , Lot #_ Certified Survey Map # , Volume Page # — - Warranty Deed # 76 Volume �- ,r 757' . Page # :2 . Spec house ❑ yes D Lot lines identifiable 2 ❑ no SYSTEM N AUMNANCE kin no Fruseard Hof your septic system could ies& is its premature failue to handle wastes.. Pmper maintenance consists of Naming out the septic tank every duce years or sooner, if needed by a licensed pwwper. What you put into the system can affect the function of the septic tank as a trartunew stage is dm waste disposal system. The property owner agrees to sdm* to St. Cwk Zoning Dot a certification form, signed by the owner and by a masterplumber, joameymanpl en6eyrestricted0oniberorab msedprempavedhingthat( 1) theow _sitewastewaterdisposalsystem is m proper operating aad0bw (2) after and powping Qif n ry), the septic taut is less than 1/3 frill of sludge. Uwe, the undersigned have read the above requnements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by We Djmtneut of Commerce and doe Departinent of Natural ' that Resources, Stain of Wisconsin Certification stating your septic systare has been must be completed and rued to the St. Croix County Zoning Office within 30 days of the three year egration 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 owner(s) of the property descrryied above, by virtue of a warranty deed recorded in Register of Deeds Office. _ I I SIGNATURE OF APPLICANT DATE - Any information that is mis- represented may result in the sanitary permit being revo)Ced by die 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 y I N 1 N `1 N N � - Q "� � 00 1 LLJ N ^ A 3 N I Q) a) : -3 :: c `Y v - C 1 48 t% � , Lo-ac w I z • L I 001 w . lb I O N � h 0) O ~ I ........... �ri..M ................ Q.ro ^ ......: M ► J o N �• N N '�1 Q J I w — — — — — ,ZO *LZ£– — — 3„SC,SZ.00N c° ,9 19 cz ° � L o ��y�wruuw� I I V "I R cos Ft ! = Ca 1 t N— � Q cc � t c — c o U� HJLSI N W z ,gC c� ROLL (A " Located in port of the Southw Township JO North, Range 18 Wes; west 114 Conrsr Section 25 -JO-18 (Estob/hAd darn Jisa) LOT - 2 CERT SURVEY _ $ MAP, VOLUME 14_ 2 r PAC= 3900 - W I N89'5 '25"E LEGEND I33' r _ 20x,01' 205.01' Msa' 301.77 NI aI\ 33. 019. ® I !I S pyolfoye I Section Comer Monument of Record ~ I Lore Ewemant Arc A o Found 1" Iron Pipe _I jIA I S I 0 Set 1 -1/4" z 18" Rsbar , >' o ' I Lori W ® L ; r 2 i 6 j R' L4Q�I01I.0' a� " aZ (weighing 4.303 Ibe. W linear foot) ® .✓'� S � ` a 10 Arc ........ Budding Setbook Line - - - - I it I ®t ® �p4 X Jllt ow — — (100' from R o. M z ,� � Lea -la - — • - Approx. Driveway Location Denotes Drainage Easement — cDt Denotes 12' Utility Easement, typical i 2440 S` L.B.O. MktknuI Elevation svotken of 01 L_ qr r JI I — — - 2.5.01' Lowest B uilding Opening I �O N89'S5'25'E 434.42' H.W.I- 25 -Year High Water Elevation - (24 -hour Storm Event) NI I n ' S89W025'W 435.00' C11 `J� Benchmark - Top of Won N 215.01' — — — 219.99'- ' monument as noted x71 , Denotes Sod Boring Location ALLLOT CORNERS WALL BE MARKED NTH A 1' x _ _a-JulI ................. . ............................... ............ 18" IRON PIPE (WEIGHING 1.13 LBS. PER LINEAR �I i FOOT) UNLESS OTHERWISE SHOWN. I CCy Drafted by MMMM K Lrokey �I I ICI m p 1s.._ 0 ;, r LOT A > I '� of.&& e� n. z LO Lora I t 2. ocrea x 1.07 cam 82.05 a cr e s , ® � ® ?. I LU F, . I � �. -N89'4 p 21 .02' 18202' 22J.07 p Z 1 235.12' 235.12' I J ; I 4D POLE n BARN Lars 7C BBJ sqt 2 Lu l.77 OC71ee W LP TANK 7789 4 N rg W) � ' O s9• M. n S ® ° c A E r` 1, 77 owes ' Z L El rm a lip ...............�.... ............,.,.,..,..,... . rte y ..... ,.,, I i re " •" SEPTI �J LOVER !due IN Fi t Yr ° ri 100 feet I ® y � Easement — 238.99' — ' 335.12' — — — — — m L, N89'43'24 "E rS S89 "W eI 8' �� L OT 8 _ SoothwesT der LOT 2 C.S.M. IN VC Swtkn 25 -JO-18 (Awnd 711b' fob-) I I PLAT PINES I I ----- - - - - -- I I I Prepared for and at the request of: OWNER: .a►x Silver Lake Land ANWAyAota Attn: Greg Peterson Axone Ne, (715) e4e -4Jie 1611 Highway 10 N.E. Pm: t",4 Spring Lake Park, MN 51 New ebihwwA r 54017 SHEET 1 OF 2 SHEETS