HomeMy WebLinkAbout026-1172-05-000 Wi nsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Sa ty and Building Division
INSPECTION REPORT Sanitary Permit No: 488186 0
GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No:
Personal ir&nnation you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)].
Permit Holder's Name:, City Village X Township Parcel Tax No:
Marek, Todd I Richmond, Town of 026- 1172 -05 -000
CST BM Elev: Insp. BM Elev:
I BM Description: Section/Town /Range /Map No:
/ap Q) GS 35.30.18.1366
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURE CAPACITY STATION BS HI FS ELEV.
Septic Benchmark `
Dosing � l gOv Alt. BM J
3 Z
AeraHert Z , Bldg. Sewer ZO '73-17
o Ing Ysa� /4 t t In a
TANK SETBACK INFORMATION t utet \
TANK TO P/L WELL BLDG. Vent o it Intake ROAD Dt I
ep Ic 2- 1 IJW- 5 1 , '51
1 B ottom l k. D? $j .
osing / N IA-- 5 t , S 1 ea er an. J (. B c? ` 4Z
2-) R .J
era Ion Dist. F
o Ing
Bo t. bystern
4.,04 s• X7.0 - 7
Ina ra e
PUMP /SIPHON INFORMATION
m anufacturer & GPM n over �t 1 ' • t 95'. 3
model um er 2� •�\ 4.3? 9 $l
IC10 /. LOSS ys
i t, $Z m 3 9§07 /��
r z// J�A Cn�.d -cx,r (p•�T7 x'7.5
DIMENSIONS
INFORMATION CHAMBER OR
UNIT
c
1
Length �' Dia t/ t Length S4 Dia Spacing
x Pressure Systems Only xx Mound Or At -Grade Systems Only
Bed /Trench Center / lBedrFrench Edges \ Topsoil ' A-. ? es 11 No s _I No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / 3/ / Inspection #2:
Location: 1395 130th Ave Unknown (NE 1/4 NE 1/4 35 T30N R18W) Sunset Hollow Lot 5 Parcel No: 35.30.18.1366
1.) Alt BM Description = r ` �a i'� "'t
2.) Bldg sewer length
- amount of cover
Plan revision Required? ] Yes > No T
Use other side for additional information. $ •3 � - �}�� Nb _�
— �nsepcto
SBD -6710 (R.3/97)
I
I
Safety and Buil ( to be gs
m m 201 W. Washington ve., x 7Ib� - t Croix
�scons�n Madison, 537 - 62 Sani r b
acrnit Nu filled in Co.)
Department of Commerce (608 AY ��
State P a Num er �� Z
Sanitary Permit Apphca o s f , (j_ .
In accord with Comm 83.21, Wis. Adm. Code, personal information you provide Z
may be used for secondary purposes Privacy Law, sl5.04(1)(m) ddress (if different than mailing address)
I. Application Information - Please Print All Information 1 � ]�
Property Owner's N y e Parcel # Block # 7 l�/
Todd Marek l/ - 5 \ 5
Property Owner's Mailing Address Property Location
PO Box 228 NE v. NE y, Section 35
City, State Zip Code Phone Number
New Richmond, WI 54017 T N; R r,[cirelf one) /, 13 (o(o
H. Type of Building (check all that apply) OK CL5 w6M i l
1 or 2 Family Dwelling - Number of Bedrooms 4 Subdivision Name CSM Number
❑Public/Commercial - Describe Use Sunset Hollow
❑ State Owned - Describe Use to / M 16 o y CL []City_J]Village Township of Richmond
III. Type of Permit: (Check only one box on line A. Complete Hue B if applicable) bZ _ /✓ -7Z _
A ' IJ New System ❑ Re System y ep y ❑ Treatment/Holding Tank Replacement Only 0 Other Modification to Existing System
B. ❑Permit Renewal 13 Permit Revision 13 change of 11 Permit Transfer to New List Previous Permit Number and Date Issued �
Before Expiration Plumber Owner
IV. Type of POWTS System: Check all that a o
❑ Non - Pressurized In Ground ❑ Mound ? 24 in. of suitable soil ® Mound < 24 in. of suitable so il ❑ At -Grade ❑ Single Pass Sand Filter 13
Constructed Wetland Q Pressurized In- Ground Q Holding Tank Q Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filt ❑ /
Recirculating Synthetic Media Filter ❑ Leaching Chamber .33
Chamber 13 Drip Line 13 Gravel -less Pipe 13 Other (explain) =
V. Dispersalff restmcut Area Information:
Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area oared (sf) Dispersal Area Pro ed (sf) System Elevation
600 � 0.4 ✓ 600 p 600 1500 0 , F .
VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic
Gallons Gallons of Units // Concrete Constructed Glass
New Existing
Tanks Tanks !✓ 1 aloc.� A 100
septic or Holding Tans` 1200 1200 1 Wieser x
Aerobic Treatment Unit
Dosing Chamber 800 1800 11 1 Wieser x
VII. Responsibility Statement- I, the undersigned, tame responsibility for installation of the POWTS shown on the attached plans.
Plumber's Name (Print) Plumber's Sign MP/MPRS Number Business Phone Number
Roger Nelson MP226497 715- 273 -4444
Plumber's Address (Street, City, State, Zip
122 East Summit Avenue Ellsworth, Wl 54011
VIII. Coun /De artment Use On
pproved sapprov Sanitary Permit Fee (includes Groundwater Date su Issuin gent Si o S
Surcharge Fee) C C x 5 ✓ 7 /
ven Reason for ial
IX. Conditions of Approval/Reasons for Disapproval 3 � ^ J'\ ��
SYSTEM OWNER: l� 1�-,J o Lj O QA- 'M '"
o`
1. Septic tank, effluent filter and ��� 11-0 ��
dispersal cell must all be.servit:es / maintained P
as per management plan provided by plumber.
2. AN setback requirements must be maintained . �, 66 v i i a A,5 ' ^ 5�``� d �2
as per applicable code / ordinances.
Attach complete plans (to the County only) for the system on paper not less than 81/2 z 11 inches in size
SBD -6398 (R. 01/03)
• 7 •
Todd Marek
P.O. Box 2 29
New Richmond, WI 54017
NE %,NE%, S35, T30N, R 18 W N
Sunset Hollow Lot # 5
Richmond Township
St. Croix County
Scale 1 " = 40'
Weiser 12001800 tank C �� G�
BM #1 = 100. 00'top of Y "PVCpipe Q , 2
BM #2 = 99.30' top of % "PVC pipe 3
25' of 2 "force main
a S�
63
s
� o
a a �
b 0
5•
0
D
y
I
Page 8 0 rg
i
Todd Marek
P.O. Box 228
New Richmond, WI 54017
NE%,NE%, S 35, T30 N, R 18 W 1 •
Sunset Hollow Lot # 5
Richmond Township
St. Croix County
Scale I" = 40'
Weiser 12001800 tank
BM #1 = 100. 00'top of % "PVCpipe g, Qrh l
BM #2 = 99.30' top of % "PVC pipe , 3
25' of 2 "force main �l
as
B3
r'
a
C�
b'
5
o t� \
R
4 WELL
/V
aed ooh
� •O�t Ste. `
Page 8 0 r8
L oT 13
Safety and Buildings
r 4003 N KINNEY COULEE RD
commerce.wi.gov LA CROSSE WI 54601 -1831
■ TDD #: (608) 264 -8777
seons nw.co www.wisconsin.gov
mmerce.wi.gov /sb/
i
Department of Commerce
Jim Doyle, Governor
Mary P. Burke, Secretary
May 10, 2006
CUST ID No. 226497 ATTN.• POWTS Inspector
ROGER D NELSON ZONING OFFICE
NELSON PLUMBING ST CROIX COUNTY SPIA
122 E SUMMIT AVE 1101 CARMICHAEL RD
ELLSWORTH WI 54011 HUDSON WI 54016
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 05/10/2008 Identification Numbers
Transaction ID No. 1268242
SITE• Site ID No. 712541 1.
Todd Marek Please refer to both identification numbers,
130th Avenue above, in all correspondence with thew enc .
Town of Richmond
St Croix County
NEIA, NEIA, S35, T30N, R18W
Lot: 5, Subdivision: Sunset Hollow
FOR:
Description: Proposed Four Bedroom Mound System
Object Type: POWTS Component Manual Regulated Object ID No.: 1074554
Maintenance required; 400 GPD Flow rate; 20 in Soil minimum depth to limiting factor from original grade
System(s): Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 101), Pressure Distribution Component
Manual - Version 2.0, SBD - 10706 -P (N.01 101); Biofilter
The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes
and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in
chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements.
No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06,
stats.
The following conditions shall be met during construction or installation and prior to occupancy or use:
• This system is to be constructed and located in accordance with the enclosed approved plans and with the
component manual(s) referenced above.
• A sanitary permit must be obtained from the county where this project is located in accordance with the
requirements of Sec. 145.135 and 145.19, Wis. Stats.
• Inspection of the POWTS installation is required. Arrangements for inspection shall be made with the
designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats.
• The area within 15 feet horizontally below the system shall remain undisturbed. Vehicular traffic or soil
compaction in this area is prohibited.
• A state approved effluent filter is required. Maintenance information must be given to the owner of the tank
explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided
per Comm 84 product approval conditions.
• Comm 83.22(7) - A copy of the approved plans specifications and this letter shall be on -site during
construction and open to inspection by authorized representatives of the Department which may include local
inspectors.
P.O.W.T.S.
Conditionally
P P R Off' E D 1
pp—
ROGER D NELSON Page 2 5/10/2006
Owner Responsibilities:
• The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating
to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and
maintenance manual and/or owner's manual for the POWTS described in this approval.
• Comm 83.52(1)(a) - The owner of a POWTS shall be responsible for ensuring that the operation and
maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s.
.Comm 83.54(1).
• Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as
required under s. Comm 83.54(4) shall be considered a human health hazard. 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.
• The owner is responsible for submitting a maintenance verification report acceptable to the county for
maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized
in the POWTS.
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 $ 100
0.0
Balance Due $ 0.00
Gerard M Swim
POWTS Plan Reviewer, Integrated Services
(608)789 -7892, Mon - Fri, 7:15 am - 4:00 pm WiSMART code: 7633'
jerry.swim@wisconsin.gov
cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544
O
MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN
Residential Application
INDEX AND TITLE PAGE
s
Project Name: Todd Marek 4 bedroom Mound system
Owner's Name: Todd Marek
Owner's Address: P. O. Box 228
New Richmond, WI 54017
Job address: 138th Street / 3 o - Ave„ a.
Legal Description: NE 114, NE 1/4, S 35, 30, N R 18 W
Township: Richmond
County: St. Croix
Subdivision Name: Sunset Hollow
Lot Number. 5 Block Number.
Parcel I.D. Number:
Plan Transaction No.:
Page 1 Index and title
Page 2 Data entry
,,I�� Page 3 Mound drawings
Page 4 Lateral and dose tank
MAY r 1 ZDU6 Page 5 System maintenance specifications
Page 6 Management and contingency plan
Page 7 Pump curve and specifications
SAFETY & BUILDINGS Pa 8 Plot Plan
Designer: Roger Nelson License Number: MP 226497
Date: 04 /28/06 Phone Number: 715- 273 -4444
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 -SRS (01/81)
Version 4.0 (R. 04/03) C ur Cort,fA:_KCE Page 1 of 8
� ION OF SAFETY AND BUILDINGS
E CGt iRES DEN CE
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 indies.
600.00 Design Flow (gpd)
5.00 Site Slope ( %)
97.50 Contour Line Elevation (ft)
20.00 Depth to Limiting Factor (in)
0.40 In -situ Soil Application Rate (gpd /ft
Distribution Cell Information
1 50.00 Dispersal Cell Length Along Contour (ft) = 10.00 Cell Width (ft)
1.00 Dispersal Cell Design Loading Rate (gpd/f
1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point
in the distribution Y
Pressure Diaribution Information network? Enter Y or N
(c or e) a Center or End Manifold
3.33 Lateral Spacing (ft) If N above, enter the elevation ft
3 Number of Laterals of the highest point.
0.125 Orifice Diameter (in) (e.g. 0.25)
3.50 Estimated Orifice Spacing (ft) = 11.76 t /orifice
2.00 Forcemain Diameter (in)
40.00 Forcemain Length (ft) Does the forcemain drain back? �� Y
�,,\\ 86.00 Pump Tank Elevation (ft) Enter Y or N
l'V
(jam 6.50 System Head (ft) x 1.3 6.52 Forcemain Drainback (gal)
`� lJ 12.50 Vertical Lift (ft) 35782 5x Void Volume (gal)
0.40 Friction Loss (ft) 42.35 Minimum Dose Volume (gal)
19.40 Total Dynamic Head (ft) 21.01 System Demand (gpm)
Lateral Diameter Selection Manifold Diameter Selection
in. dia. options choice in. dia. options choice
0.75 1.25 x x
1.00 x x 1.50 x
1.25 x 2.00
1.50 x 3.00
2.00 x
3.00 x
Gallonslinch Calculator (optional)
Treatment Tank Information Total Tank Capacity (gal)
1200.001 Septic Tank Capacity (gal) Total Working Liquid Depth (in)
Weiser 800 - 325-8456 Manufacturer gal/in (enter result in cell B49)
Dose Tank Information Effl Fitter in formation
800.001 Dose Tank Capacity (gal) Zabel 1- 800 - 221 -5742 Filter Manufacturer
22.241 Dose Tank Volume (gallin) IA100 Filter Model Number
Weiser IManufacturer
Project: Todd Marek 4 bedroom Mound system Page 2 of 8
Mound Plan View
T
1110 8 .. .. . -;� ; • J
.. .Ot�servation Pipe
K ...
L•S• •4 L S S • S • , L • ' y '
_ r�r:•.,•�l.r {���{ • � ' {1ri�.r�l�J:��l��.r:r.l.�J�:J. ' • .r.r; ' •
,�L•
.. + .. + 5 ... •. :. A
r•. •v r ` :r J •
• .l': :r•1.1•l� • +1 +. •r +. •J•r•+ J r•r • { r r r r r :•: l.ffl:l �l• _
A&
• + •B.
. . .
-r
.. . .. . . . . . . . . . . . . . . . . . . . . . . .
. . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
L
Mound Component Dimensions
Down slo toe extension made.
A 10.00 ft E 22.00 in H Aft ft K 10.00 ft
B 60.00 ft F 9.00 in 1 ft L 80.00 ft
D 16.00 in G 0.50 it J ft w 31.74
600.00 (ft Dispersal Cell Area 1 1500.00 (ft Basal Area Available
10.00 (gpd/ft) Linear Loading Rate 1 6.00 (ft) 1/10 B Obs. Pipe Placement
Mound Cross Section View
Aggregate Dispersal Area
Finished Grade 100.58 (ft) ---►
H
� f /rfrflr/ p f /!r /lrf.. G
F ::: Dispersal Cell .... r 99.33 (ft) Lateral
= :
98.83 (ft) —10
— Invert
Dispersal Cell ; : : :: t
D
.. .. .. ..... ..
Iv
. .. . ..... ...
E e atlon -
' 4
X 4
4
97.50 (ft) Contour Elevation
5.0 %Site Slope
Geotexxtile Fabric Cover
Shading Key $, T Dispersal Cell See lateral details on
Topsoil Cap a 1.5 ft .• • Page 4 for number, size,
•J J J;r•1 r •
r!!!/ Subsoil Cap 5 • � • r::•: and spacing of laterals.
ASTM C33 Sand .o r J; J•Jr• +: • r �, : r F Laterals are equally
® Tilled Layer m 0.5 ft Typical Lateral spaced from the
Q r• rti: L Aggregate .� r'•f:jsj� �';iyrL:`ryr distribution cell's
*_ A �!� centerline in the
distribution cell (AxB).
Project: Todd Marek 4 bedroom Mound system Page 3 of 8
End Connection Lateral Layout Diagram
Cenw the taterals over the A t, 13 dimension •- Turn -up wf boll vslvo or of plug
P _
All laterals are iderxical IE X --- � th
aces drilled on the bottom of e lateral s
equally sped
laterals 6 force main of PVC Soh 40 S
(pet COP~ Table 84.30 -5)
Forty main cotwwation via tee of cross to mar�oid at any point.
Number of Laterals 3 Orifice Diameter 0.125 in
Lateral Diameter 1.00 in Orifice Spacing (X) 3.66 ft
Lateral Length (P) 58.56 ft Orifices per Lateral 17
Lateral Spacing (S) 3.33 ft Orifice Density 11.76 ft
Lateral Flow Rate 7.00 gpm Manifold Length 6.67 ft
System Flow Rate 21.01 gpm Manifold Diameter 1.25 in
Total Dynamic Head 19.40 ft Forcemain Velocity 2.15 ft/sec
Dose Tank Information Locking cover with warping
label and locking device and
sealed watertight
Electrical as per NEC 309 and —^--►
Disconnect
Comm 16.28 WAC 4 in. min.
Tank component is property vented y MForomemain Alternate outlet
location
diameter
Weiser 800 - 325 -8456 Manufacturer 2 in.
Capacityl 800.00 Gallons
Volume 22.24 gal/inch A
Weep We or anti -
Dimension Inches Gallons B siphon device
A 22.07 490.77
B 2.00 44.48 C Pump off _ elevation (ft
C 1.90 42.35 86.83
D 10A0 222.40 D
Total 35.971 800.00
ta nk elevation ft
3" Bedding uncTer tank. 1 86.00
Alarm Manuafacturer IS. J. Electro Systems
Alarm Model Number 110 1 HW
Pump Manufacturer JGoulds
Pump Model Number PE 41
Pump Must Deliver 21.01 gpm at 19.40 ft TDH
Project: Todd Marek 4 bedroom Mound system Page 4 of 8
Mound System Maintenance and Operation Specifications
Service Provider's Name Installed by Nelson Plumbing Phone 715- 2734444
POWTS Regulator's Name St Croix County Zoning Phone 715- 386 -4680
System Flow and Load Parameters
Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in
Estimated Flow - Average 400 gpd Maximum BOD5 220 mg/L
Septic Tank Capacity 1200 gal Maximum TSS 150 mg/L
Soil Absorption Component Size 600 fe Maximum FOG 30 mg/L
Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL
Service Frequency
Septic and Pump Tank Inspect and/or service once every 3 years
Effluent Filter Should inspect and clean at least once every 3 years
Pump and Controls Test once every 3 years
Alarm Should test monthl
Pressure System Laterals should be flushed and pressure tested every 1.5 years
Mound lns 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: Todd Marek 4 bedroom Mound system Page 5 of 8
Mound System Management Plan
Pursuant for Comm 83.54, Wis. Adm. Code
General
This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its'
component manuals [SBD- 10691 -P (N.01/01) and SSWMP Publication 9.6 (01181)] and local or state rules pertaining to system
maintenance and maintenance reporting.
No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death.
Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no kxger 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,
de%c ive, or subject to failure must be replaced. Exposed access openings greater than 84nches 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, Slats. The contents of the septic
tank shag be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet fitter Shea be
assessed at least once every 3 years by inspection.
The outlet fitter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions
are made to retain solids in the tank that may slough off the fitter when removed from its enclosure. If the fitter is equipped with an alarm,
the fitter shall be serviced if the alarm is activated continuously. Intermittent fitter &terms 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 113 the liquid volume of the
tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of
when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank.
The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such
products are used they shall be approved for septic tank use by the Department of Commerce.
Pump Tank
The pump (dosing) tank shall be inspected at least once every 3 years. Ail switches, alarms, and pumps shall 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 Svstern
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 serration 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 BODY, 150 mg/L TSS, and 30 mg1L FOG for septic tank effluent or 30
mg/L BOD 30 mg/L TSS, 10 mg& FOG, and 10 du110() ML for highly treated effluent. Influent flow may not exceed maximum design
flow specified in the permit for this installation.
The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be
flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test
when the system was installed to determine If orifice dogging has occurred and if orifice cleaning is required to maintain equal distribution
within the dispersal cell.
Observation pipes within the dispersal con shall be checked for effluent poding. Pooling levele shag be reported to the owner, and any
levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring.
Continency 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 some 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 W 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 POW TS regulator and service provider.
Project: Todd Marek 4 bedroom Mound system Page 6 of 8
L@1 GOULDS PUMPS Submersible
Effluent Pump
PE
> mom W►ln►l1s
Pmp _ GwWal: General: t Corrosion resistant
• Discharge: I'A" NPT • Single phase construction.
• Temperature: 104 °F (4WQ • 60 Hertz ■ Cast icon body.
M ntinu
um, continuous when • 115 volts a Thermoplastic Opeller and
fully submerged • INA-in thermal overbid pro- cover.
• Solids handling: V" tection with automatic reset- ■ Upper sleeve and lower
maximum sphere. • Class 8 insulation. heavy duty bail bearing
• Automatic models include a " 011 -14led design. construction.
APPLICATIONS Roth switch. • High strength carbon steel • Motor is permanently
Speciahy designed for the • Manual models available. shah. lubricated for extended
Wowing uses: • Pumping range: see PE31 Motor, service life,
•Mound Systems
peftmanoe cl art or cwve. • .33 HP, 3000 IPM a Powered for carKnnu+us
• lNuenOosing Systems PE31 Pump: • 12.0 Maximum amps operation.
• hoer Pressure Systems • Maximum capacity: 50 GPM • Shaded pole design ■ AN ratings are within the
• Basement Draining • Maximum head: 25' TDH PE41 Motor. working limits of the motor.
• Heav}• Duty Sump) PE41 Pump: • .40 HP, 3400 RPM • Quick disconnect power fereglh,
Dewatering • Maximum capacity. 60 GPM • 7.5 Maximum am card, 20' standard
amps card, duty 1W3 d ten with
• Maximum head: Z9' TDH 9n NEMA 5-1 SP, !free prong,
PES1 PMOW PE51 Motor: 115 volt grounding plug.
• Maximum capadty: 70 GPM • .50 HP, 3400 RPM to Complete unit is heavy duty.
• Maximum head: 37' TDH • 9.5 Maximum amps portable and compact.
• PSC design a Meftnical seal is carbon,
METERS FEET ceramk RM and stainless
3 , ' AoW)M$-* M31, F'E4 P!S steel.
" aa, .4D, -so ■Stainless Steel fasteners.
35
x, r
h 0 < + } —► 2 GiM ; �- r A�SOXY LISTINGS
r • ..t..F.,r. . {..-.- r•- r ♦ -_!.. _ s +—+ - 1 .. a .. !.. i...;...
.... .. -4--i 4 _i ........ .. CO l u 5
• t — - _. ...... , ... j .._... t ..._.. Tinted b UL M and
k3 t -? i• 7 1 { �.��
�� a r r 7. # . �• t t a' 1h Ca wdm slan�ardr ArAOaatlr.
T.. �..
_.,.. i .�-..�..t. ..�.. . r * ,.. r .,.- .•a.. rioakltlrnupsblS09001 M9Erf;rMl.
10 _ ,. �..,...; .. ,_. ,...,...
,...� T .,....... _t s.. .
i 0 L 0 0 10 2 30 40 50 ti0 ' 70 GPM 80 '9e
0 5 10 15 mat Goulds Pumps
2l •Ol CAPACITY
�+ 2002 Gouts Dvmps
Efr4cdve hov*MW, 2002 ITT Industries
svesria�
s RECEIVED
1374
Wisconsin Department of Com I rce N 0 V 13 2003 SOI EVALUATION REPORT Page 1 of 3
��U
ST. CR�I
Division of Safety and Building rdd � County with omm 85, Wis. Adm. Code Steel Soil Service
•
Attach complete site plan n3(kW9V%Q%FxlCM&ches in ize. Plan must St. Croix
include, but not limited to: verlical ano nonzomal rere r ) direction and
percent slope, scale or dimensions, arcel I.D. sions, north arrow, and location and distance to nearest road. Pending
Please print all information. viewe Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ` 5/
Property Owner Property Location
R.J.C. Development, Inc. Govt. Lot na NE 1/4 NE 1/4 S 35 T 30 N R 18
Property Owner's Mailing Address Lot # Talk # Sutxi. Name or CSM#
1868 CT Hwy " C " 5 na Sunset Hollow
City State Zip Code Phone Number J City J Village r/' Town Nearest Road
Somerset I WI 1 54025 651 -488 -3051 Richmond 1 130Th Ave.
16 New Construction Use: iM Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD
I Replacement J Public or commercial - Describe:
Parent material Benches and large drainageways of ground moraines. Flood plain elevation, if applicable na
General comments
and recommendations: Mound design, system elevation 98.83 ft based on contour line elevation 97.50 ft. Minimum' of ASTM
C33 sand. 0�
a Boring # J Boring
d Pit Ground Surface elev. 98.10 ft. Depth to limiting factor 48 in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft=
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. *Eff#1 *Eff#2
1 0 -15 10yr3/2 none sil 2msbk mfr cs 2f .5 .8
2 15-48 10yr4/4 none sicl 2msbk mfr cs 1f .4 .6
3 48 -72 5yr4/4 c2d7.5yr5/6 scl om mfr na na .0 .0
Z t Boring # J Boring
u e Pit Ground Surface elev. 98.10 ft. Depth to limiting factor 20 in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftT
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 - Eff#2
1 0 -10 10yr3/2 none sil 2msbk mfr cs 1f .5 .8
2 10 -20 10yr4/4 none sicl 2msbk dfr gw 1vf .4 .6
3 20-48 5yr414 c2d7.5yr5/6 scl on) dfi na na .0 .0
* Effluent #1 = BOD 5 > 30 < 220 mg /L and TSS >30 < 150 mg /L " Effluent #2 = BOD S30 mg /L and TSS < 30 mg /L
CST Name (Please Print) Sig ature: - CST Number
David J. Steel 248956
Address Steel Soil Service Date Evaluation Conducted Telephone Number
1564 CR GG, New Richmond, WI 54017 11/10/2003 715- 246 -5085
P f
r R.I.C. Develo ment Inc. Pendin P age 2 0 3
P Ow e P Parcel ID # 9 9
IT] Boring # J Boring
1�' Pit Ground Surface elev. 95.60 ft. Depth to limiting factor 21 in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
1 0 -9 10yr3/2 none sil 2msbk mfr cs 2f .5 .8
2 9 -21 1 Oyr4 /4 none scl 2msbk mfi gw 1 of .4 .6
3 21-48 5yr4/4 c2d7.5yr5/6 scl om mfi na na .0 .0
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
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Ef1#1 *Eff#2
F-1 Boring # I Boring
Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GP
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
* Effluent #1 = BOD 5 > 30 < 220 mg /L and TSS >30 < 150 mg/L * Effluent #2 = BOD s30 mg /L and TSS S30 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.
i Page 3 of 3
STEEL'S SOIL SERVICE INC.
David J. Steel 1564 Cty Rd GG
CST - POWTSM RJC Development Co. New Richmond,WI 54017
Lic. #248956 NE1 /4,NE1/4,S35,T30N,R18W Bus.(715) 246 -6200
Town of Richmond, St. Croix Co. Fax.(715) 246 -9372
Sunset Hollow, Lot 5
This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your
use. The location of this test may or may not be as shown, as permanent lot lines were not established at
the time the soil test was conducted. Legend
1" =40'
♦ = Benchmark Ele. 100.0017t
Top of 1/2" pvc pipe
• = Alt Benchmark Ele. 99.30Ft
Top of 1/2" pvc pipe
❑ = Borings
Boring Elevations
B 1 = 98.10Ft
B2 = 98.10Ft
B3 = 95.60Ft
B4 = 00.0 F
YZW1 K �o7
�z
,5
Do � ��� X36
J)o1111 L3 3
S o�e f l y 4 ne_
x
I
rsignt— ui —rruv ( iuuii
✓ lC1L.
9, PG. 2551 C enterline
-- -- — — — — 09 49'4 ° E 2606.6 -- — — — — n _
S89 49 - E 966.32' �o
130 _7H_ -_ - -A VENUE
_ =208 '— N • � • N ---r— `355' — ,. f' -305�
I N3 Q3 ON
LOT 5 -�
33. 3 \ \ \ X79, 240 sq. ft. \ \ � "� h 1 LOTS
1.82 acres \ 1 `�I 78, 304 sq
� � \� \ �• � \ \ \ 1 \ t 1.80 acrE
L�T 1 f
\ 1 1 1 1 /
. �, Vii'\= 1
-82,410 sq. ft.
1.89 acres \� • v\ t ° \ \ I l I I i 1 0 /
\ \ I I { J08 l ( ,
\
` o l
IN, \� j 1 - I i -_ � � � I 305
76,251 sq.
-- 1-�T cre
�+ \ o \ \ 1.75 a
280' - �' "� \ \ \
1 _ 11 ►�, . 71, 002 s . ft.
q 72,954 sq.
ry a \ \ o o \ 1.6,3 acres \ `�' \ _l. 67 \ crn
Joint
LO T
loll
v
79,060 sq. ft. ° - N _ / // r 275 /� / I i i - 5
1.81 acres _N
76,251 s
< l o ;SLOT 7�� \ ^° o 1.75 oc
288' 1 I N ' C '74, 251 sq. ft. \ N 1 1 N.B.A. =
_ , \
1.70 acres \ \ 72, 928 sq
{ \ 11.67 aci
LOT 3 :_` �• Aso' '\ 190'
v \79, 319 sq. ft. ---
\ , -1.82 acres o \
IN,
6 1'9 9 4B S
State Bar of Wisconsin Form 2 -2003 KATHLEEN H. WALSH
WARRANTY DEED REGISTER OF DEEDS
ST. CROIX CO., WI
Document Number Document Name RECEIVED FOR RECORD
03/06/2006 11:20AN
WARRANTY DEED
THIS DEED, made between RJC Development. Inc. EXOPT Ii
REC FEE. 11.00
( "Grantor," whether one or more), TRANS FEE: 357.00
and Todd Marek COPY FEE:
CC FEE:
PAGES: 1
( "Grantee," whether one or more).
Recording Area
Grantor, for a valuable consideration, conveys and warrants to Grantee the following
described real estate, together with the rents, profits, fixtures and other appurtenant
interests, in St. Croix County, tate of Wisconsin a If more ace Estreen & Ogland
tY, (" m, ") (� p (� 11J
is needed, please attach addendum): 304 L OCUSt Street
Lots 5,10 and 11, Sunset Hollow. St. Croix County, Wisconsin. Hudson, WI 54016 6r) )-b
026- 1172 -05 -000; 026 -1172- 10-000: 026- 1172-11 -000
Parcel Identification Number (PIN)
This is not homestead property.
i (is) (is not)
Exceptions to warranties: Easements, restrictions and rights -of -way orrecord, if any.
Dated 1/ RJC Development, Inc.
r
1
SEAL (SEAL)
* *By: John . Carlson
(SEAL) (SEAL)
*
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) RJC Development. Inc.
B : John H. Car STATE OF )
authenticated on ) ss.
I K A I
COUNTY )
*Kristine Qgland I I Personally came before me on ,
TITLE: MEMBER STA BAR OF WISCONSIN the above -named
(If not, to me known to be the person(s) who executed the foregoing
authorized by Wis. Stat. § 706.06) instrument and acknowledged the same.
THIS INSTRUMENT DRAFTED BY:
Attorney Kristina Ogland Notary Public, State of
Hudson. WI 54016 My Commission (is permanent) (expires: )
(Signatures may be authenticated or acknowledged. Both are not necessary.)
NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED.
WARRANTY DEED ® 2003 STATE BAR OF WISCONSIN FORM NO. 2-2003
• Type name below signatures. INFO-PRO" Legal Forms 800 - 655.2021 www.infoproforms.com
SUNSET HOLLOW
• (A COUNTY PLAT)
part of the Northeast 114 of the Northeast 114 and part
hecst 114 of the Northeast 114 of Section 35, Township 30
, ge 18 West, Town of Richmond, St Croix County, Wisconsin.
Yne of LOT 7 , C. S. M . Northeast Corner
I I
114 I - - - _ - -' - Sectlon 35 -30 -18
VOL. 13, PC. 3712 (found 718" rebar) I
- � S89 49 4 E 2606.6
S89'49'43 "E 966.32'
E _ 130TH A VENUE 933.37'
66.0 0' 354.80' -- 305.01'
n 4�S00004'49 "W 659.81' 33' 33'
P �" 21.59'
33 ►
3s
Ir
............ . ... .........Lori$ N
L'OT 5' ' I I
79, 240 sq. ft. � ° 78, 304 sq. ft. 0 I
l. o to 1.82 acres ° 0 1.80 acres 0
� I Jbht DHv*woy
N ; � Easement
S89 5"E S89'49'15 "E F ; _
307.85' 305.01'
Ln
I y T� a :A 0
ra,►o' o
i
• '-
C5
co
2a06 •:,;4; :LOT6 NN I �
--� n mo � o I R
C .) ,,,I 71, 002 sq. ft. o
0 0 c
�• �sT 1.63 acres Ct LOT 12
0
76,251 sq. fi.
s I s rn 1.75 acres
§89'49'15 "E
275.00' S89 5"E
305.01
N
O I
0 -j N LOT 7 0 o LOT tl o I
3.24'
z o 0 0 0 76,251 sq. ft. ,
0 O ? 0 74,251 sq. ft. o o. 1.75 acres
CS I n 1.70 acres
ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buye (2n
Mailing Address Q Q 2 /vim tCffll e N
Property Address
(Verification required from Planning & Zoning Department for new construction.) T
City /State Parcel Identification Number - t')7k4 /zz,
LEGAL DESCRIPTION
Property Location 1116 1 /4 , Al C 1 /4 , Sec. , T .?C�N R 9 W, Town of Ae1Gh -iD 'qlD
Subdivision S U AJ J. e4 C, L O "L," _ , Lot #
Certified Survey Map # Volume , Page #
Warranty Deed # / , Volume , Page #
T
Spec house no Lot lines identifiable (2�>no
SYSTEM MAINTENANCE AND OWNER CERTIFICATION
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. Owner maintenance
responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance.
The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the
owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site
wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is
less than 1/3 full of sludge.
Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the
standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin.
Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning &
Zoning Department within 30 days of the three year expiration date.
Uwe certify that all statements on this form are true to the best of my /our knowledge. Uwe am/are the owner(s) of the
property described above, by virtue of a warranty deed recorded in Register of Deeds Office.
Number of bedrooms
— Sl /V
SIGNATURE OF APPLICANTS) DATE
** *Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * **
Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if
reference is made in the warranty deed.
(REV. 08/05)
I�
Parcel #: 026- 1172 -05 -000 05/17/2006 03:36 PM
PAGE 1 OF 1
Alt. Parcel #: 35.30.18.1366 026 - TOWN OF RICHMOND
Current ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
04/27/2004 00 0
Tax Address: Owner(s): 0 = Current Owner, C = Current Co -Owner
- DEVELOPMENT INC
O RJC DEVE
RJC DEVELOPMENT INC
2028 100TH ST
SOMERSET WI 54025
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 1299 H_ST
SC 3962 NEW RICHMOND ' I
SP 8020 UPPER WILLOW REHAB DIST /3 T5 30
SP 1700 WITC
Legal Description: Acres: 1.820 Plat: 10/02- SUNSET HOLLOW 026/04 LOTS 1/17
SEC 35 T30N R18W PT NE NE BEING SUNSET Block/Condo Bldg: LOT 05
HOLLOW ('04) LOT 5 (1.820AC)
Tract(s): (Sec- Twn -Rng 401/4 1601/4)
35- 30N -18W NE NE
Notes: Parcel History:
Date Doc # Vol /Page Type
01/16/2004 751924 2493/129 WD
10/29/2003 745128 17/4640 CSM
07/18/2003 730816 2319/598 TD
07/23/1997 1238/544 TD
more...
2006 SUMMARY Bill M Fair Market Value: Assessed with:
0
Valuations: Last Changed: 06/21/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.820 27,300 0 27,300 NO
Totals for 2006:
General Property 1.820 27,300 0 27,300
Woodland 0.000 0 0
Totals for 2005:
General Property 1.820 27,300 0 27,300
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch #:
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00