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HomeMy WebLinkAbout026-1172-12-000 Wisconsin Department of commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and 23ui!,1ing Division INSPECTION REPORT sanitary Permit No: (ATTACH TO PERMIT) 463143 0 GENERAL INFORMATION State Plan ID No: Personal information 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 Township 6Z(o — / /7Z )Z - 600 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: C�'ir 35.30.18. 13 3 TANK INFORMAT ELE VATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic / , �\C Zd� Benchmark w ASS is Dosing r? Alt. BMr. - 7 , 6 3 `f 7 Q , p W / T , Bldg. Sewer Holding St/Ht Inlet TANK SETBACK INFORMATION St/Ht Outlet 1� TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet \ Septic G /i( 1 r j Dt Bottom `I � Dosing r c . I Header /Man. 1 y �� V f / D D Aeration Dist. Pipe r Holding Bot. System W ,7 97' /S Final Grade /. f PUMP /SIPHON INFORMATION '1 'y7 '/�1 Manufacturer /�� Demand St Cover M GPM �Z- Model Number Z' . a /Y1 �0 97 TDH Lift Friction Loss System Head J TDH Ft Forcemain Length r Dia. I / I Dist. to well zo 7 SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Ofoe PIT DIMENSIONS No. Of Pits Inside Dia. Liquid a th DIMENSIONS �- SETBACK SYSTEM TO P/L JBLDG IWELL LAKE /STREAM LEACHING Manufacturer: `\ INFORMATION CHAMBER OR O �1" Type Of System: 1 5 ' 1 7 5 ' , V A / UNIT /v / � Model Number. DISTRIBUTION SYSTEM Header/Manifold ` r Distribution x Hole Si l / x Hole Spacing Vent to Air Intake i Z P ) I P g Leng Di Dia S acin SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over IDepth Over xx Depth of xx Seeded /Sodded xx Mulch d Bed/Trench Center Bed/Trench Edges Topsoil 1� 3 es No es [] No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: /C // Z-L / ( Inspection #2: / / Plr L1 Lot Location: 1294 140th Street New Richmond, WI 54017 (NE 1/4 NE 1/4 35 T30N R1 8W) Sunset Hollow 12 Parcel No: 35.30.18. 1.) Alt BM Description= 2.) Bldg sewer length= 7 2 I - amount of cover = 44 Plan revision Required? [ 7 1 Yes XNo ' Use other side for additional information. SBD -6710 (R.W97) Date InsepctoVj Cert. No. A Safety and Buildings Division County ` 201 W. Washington Ave., P.O. Box 7162 St. Croix Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) ,scOns,n Department of Commerce (608)266 -3151 3 Sanitary Permit Application State Plan I.D. Numb In accord with Comm 83.21, Wis. dm. Code, personal information you provide may be used for seconda p Privacy Law, sl5.04 (m) n a Project Address (if different than mailing address) L Application Information - Please Pr' t All lnfdrn V,!:,., 140th Street `.. At Property Owner's Name Parce t # Block # r Todd Marek j ` ( � /;J 12 Property Owner's Mat ' Address fS Property Location P. O. Box 228 ZoN/NG 0FF 'Ov).Y N E �< NE v., section 35 S City, State Zip C e hone Number New Richmond, WI 54017 30 1 8(circleone) II. Type of Building (check all that apply) G T N; R r ❑ 1 or 2 Family Dwelling - Number of Bedrooms 4 ' r �/ L (� a CSM Number i Sunset Hollow ® Public /Commercial - Describe Use / ❑ State Owned - Describe Use a . Y ( ,- 7 j 7 �� ❑Village ° "ship of Richmond III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. 0 New System ❑ Replacement System ❑ TreatmentfHolding Tank Replacement Only ❑ Other Modification to Existing System ---------- B. 11 Permit Renewal 11 Permit Revision 11 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 appl ❑ Non - Pressurized In- Ground EJ Mound > 24 in, of su itable soil 0 Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In -Ground 13 Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber 0 Drip Line ❑ Gravel -less Pipe ❑ Other (explain) r V. Dispersal/Treat ent Area Information: Design Flow (gpd) Design Soil Appli ion Rate(gpdsf) Dispersal Ar Required (sf) Dis ersa Area Proposed (sf) System Elevation 600 0.6 .p ���� 600 �(� • 60� f�3 , (p 98.00' VI. Tank Info apacity in Total Numb Manufacturer Prefab Site Steel Fiber Plastic Gallons I Gallons of Units Concrete Constructed Glass New I Existing Tanks Tanks Septic or Holding Tank 1200 1200 1 Wei e x Aerobic Treatment Unit Ll Dosing Chamber 800 800 1 Weiser x VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumb Signatur MP/MPRS Number Business Phone Number Roger Nelson MP 226497 715 - 273 -4444 Plumber's Address (Street, City, State, Zip Code 122 East Summit Avenue Ellsw rth, WI 54011 VIII. "unt0v /De artment Use Onl Approved ❑Disapproved Sanitary Permit Fee r eludes Groundwater Date sued Is ing Agen rgna re (N PS) Surcharge Fee) �f LL El Owner Given Reason for Denial ^� 7i 7 IX Conditions of Approval/Reasons. for approve /6' G ���� � YSTEM OWNER: - Q - � 1 p is ank, effluent filter and F3. S dispersal cell must all e s rvi a aintained 03 as per management plan rovide b lumber. �% Z - Alt ac requirements must be maintained 0 as per applicable code /ordinances. q �O Attach complete plans (to th t only) for fhe system on paper not less than 1/2 x 11 ches ' ize r SBD -6398 (R. 01/03) tt� C44�d 74Z �ca /c /vorT� v l 0 G.JELL GQ�4�� y �V�droa� xk o � �y S�•Pc o G[IFIsER /.?oo /,moo -rot i l3M 9 , pon•fi ores _ _ _ of Safety and Buildings 4003 N KINNEY COULEE RD commerce.wi.gov LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 t 1sconsin www.commerce.wi.gov /sb/ epartment of Commerce www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary October 14, 2004 CUST ID No.226497 ATTN.• POWTS Inspector ZONING OFFICE ROGER D NELSON ST CROIX COUNTY SPIA 122 E SUMMIT AVE 1101 CARMICHAEL RD ELLSWORTH WI 54011 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/14/2006 Identification Numbers Transaction ID No. 1068054 SITE: Site ID No. 690691 Marek Mound Please refer to both identification numbers, 140TH Street above, in all correspondence with the agency. Town of Richmond St Croix County NE1 /4, NE1 /4, S35, T30N, R18W Lot: 12, Subdivision: Sunset Hollow FOR: Description: Four Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 985551 Maintenance required; 600 GPD Flow rate; 24 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 101), Pressure Distribution: SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01 /81) ".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, C0114 stats. The following conditions shall be met during construction or installation and prior to occupancy or use: APF DEPARTMENT General Approval Requirements: � ^ Q ��� F t� �' • This system is to be constructed and located in accordance with the enclosed approved plans and with the SEE CORRI "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD - 10691 -P (N.01 /01) and the SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST SAS (0 1/8 1) • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. ROGER D NELSON Page 2 10/14/2004 • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat • 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. • The changes made to this plan on 10/14/04 by this reviewer were acknowledged and approved by the system designer. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 r Fee Received $ 175.00 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer II , Integrated Services WiSMART code: 7633 (608)789 -7893 , 7:45 am - 4:30 pm Monday -Friday cbratz @commerce. state. wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 1 4 ®�, 4, 4 MOUND AND PRESSURE DISTRIBUTION COMPONENT DE l0 Residential Application INDEX AND TITLE PAGE 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: 140th Street Legal Description: NE 1/4, NE 1/4, S 17, T 30, N R 18 W Township: Richmond County: St. Croix Subdivision Name: Sunset Hollow Lot Number: 12 Block Number: Parcel I.D. Number: Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications 10'" fi Page 8 Plot Plan "C M w OF CoylfEF,C� +FY Designer: Roger Nelson License Number: MP 226497 Date: 09/29/04 / 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 -SAS (01/81) Version 4.0 (R. 04/03) Page 1 of 8 7 - 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 400.00 Estimated Wastewater Flow (gpd) Table 83 -44 -3 in -situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150 % coliform of <= 36 inches. 600.00 Design Flow (gpd) 6.00 Site Slope ( %) 97.00 Contour Line Elevation (ft) 24.00 Depth to Limiting Factor (in) r � 0.60 In -situ Soil Application Rate (gpd /ft 6. q a�f Distribution Cell Information 67.001 Dispersal Cell Length Along Contour (ft) = 8.96 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ft) 1 I Influent Wastewater Quality (1 or 2) Are the laterals the highest oint in the distribution Y Pressure Disribution Information network? Enter Y or N (c or e) a Center or End Manifold 2.99 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) 4.00 Estimated Orifice Spacing (ft) = 11.77 ft /orifice 2.00 Forcemain Diameter (in) 30.00 Forcemain Length (ft) Does the forcemain drain back? Y_� 89.00 Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 4.89 Forcemain Drainback (gal) 8.67 Vertical Lift (ft) 40.03 5x Void Volume (gal) 0.30 Friction Loss (ft) 44.92 Minimum Dose Volume (gal) 15.47 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 1.00 x x 1.50 x x 1.25 x 2.00 1.50 x 3.00 2.00 x 3.00 x Gallons /Inch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 1200.00 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Weiser 800 - 325 -8456 J Manufacturer gal /in (enter result in cell B49) Dose Tank Information Effluent Filte Information 800.00 Dose Tank Capacity (gal) JZabel 1- 800 -221 -5742 1 Filter Manufacturer 20.60 Dose Tank Volume (gal /in) A100 Filter Model Number Weiser =Manufacturer Project: Todd Marek 4 bedroom Mound system Page 2 of 8 i Mound Plan View 1/10 6 • . ..:.:.....:.........:.:.:...... J Observation Pipe 3 ' F K ............... LL• L• L• r�.•�1•, •r•r•r•: :; :; :,r• r�: %: �1'� ��l•: •: •r•t�r• •r•: :,r�,f�,r• �j�f %: �: ��.••�: �: L : �• :Lr''�: 5 Lf� . ' • :: :: %: � �.: �•: �: � j LfL� �•: •: �•: �: fi • . O . . . . . . . . . . . . .. I .. . . .... .... .. .. . L Mound Component Dimensions A ;7 -8.-96 ft E 18.45 in H 1.00 ft K 9.06 ft B 67.00 ft F 9.00 in z 10.20 ft L 85.11 ft I D 12.00 in G 0.50 ft J 5.72 ft W 24.88 ft 5 �0 600.32 (ft ) Dispersal Cell Area (1283.621 Basal Area Available A 8.96 (gpd /ft) Linear Loading Rate (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 99.75 (ft) ► rrrrrrf... G H .rrrrrrrr 2rrr:irfr,. . rrrrrrrrrrrrrrrlT7rrrrrrr�rrrrrrf .__ F Dispersal Cell 98.50 (ft) Lateral 98.00 (ft) —10- Invert Dispersal Cell : : ::: Elevation E :......:: D ::.... s :::::::::: • N .. . . - ....... . 4 97.00 (ft) Contour Elevation 6.0 %Site Slope Geotextile Fabric Cover Shading Key o Dispersal Cell See lateral details on Q _ Topsoil Cap c °• 1.5 ft . . . Page 4 for number, size, rrrrrf Subsoil Ca c and spacing of laterals. © ASTM C33 Sand :W a .�•ti•' _ L L�tiri ?L�~�. F Laterals are equally -.• ® Tilled La d 0.5 ft Typical Lateral spaced from the L y = U) ' '� '• '� ' ~• '•� distribution cell's 05 }•f•f., Aggregate o centerline in the 0 — A distribution cell (AxB). Project: Todd Marek 4 bedroom Mound system Page 3 of 8 End Connection Lateral Layout Diagram Center the laterals over the A & B dimension • Turn -up tm'ball valve or cleanoutplug P .1 F1F7.r..,m'n.1. dentical IE X —� I Hol es drilled on the bottom of the lateral S equally spaced Laterals & force main of PVC Sch 40 3 (per COMM Table 84.30 -5) onnection via tee or cross to manifold at any point. Number of Laterals 3 Orifice Diameter 0.125 in Lateral Diameter 1.00 in Orifice Spacing (X) 4. ft Lateral Length (P) ft Orifices per Lateral 17 Lateral Spacing (S) ? 99 ft Orifice Density 11.77 fe/orifice Lateral Flow Rate 7.00 gpm Manifold Length 5.97 ft System Flow Rate 21.01 gpm Manifold Diameter 1.50 in Total Dynamic Head 15.47 ft Forcemain Velocity 2.15 ft/sec Dose Tank Information Locking cover With warning label and locking device and sealed watertight Electrical as per NEC 300 and Comm 16.28 WAC Disconnect 4 in. min. Tank component is properly vented ternate outlet location Forcemain diameter Weiser 800 - 325 -8456 Manufacturer 2 in. Capacityl 800.00 Gallons Volume 20.60 gal /inch A Weep hole or anti - Dimension Inches Gallons B siphon device A 24.65 507.88 B 2.00 41.20 C Pump off elevation (ft) C 2.18 44.92 89.83 D 10.00 206.00 D Total 1 38.831 800.00 iF J Dose tank elevation (ft) 3" Bedding uncTer tank. 89.00 Alarm Manuafacturer IS. J. Electro Systems Alarm Model Number 1101 HW Pump Manufacturer JMyers Pump Model Number I ME40 Pump Must Deliver 1 21.01 Igpm at 15.47 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- 273 -4444 POWTS Regulator's Name St. Croix County Zonin 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 600.32 ft Maximum FOG 30 mg /L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu /100 m Service Frequency Septic and Pump Tank Inspect and /or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test month) Pressure System Laterals should be flushed and pressure tested every 1.5 years Moundl Ins e for ponding and seepage once every 3 ears Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn -up Detail Finished sss.sss..s....e 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 j Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD- 10691 -P (N.01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Puma Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October- February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg /L BOD 150 mg /L TSS, and 30 mg /L FOG for septic tank effluent or 30 mg /L BOD 30 mg /L TSS, 10 mg /L FOG, and 10 cfu /100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Continuencv Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. I Project: Todd Marek 4 bedroom Mound system Page 6 of 8 - 7 M E40 Series 4/10 HP Effluent and Drain Water Pumps Performance Curve MODEL ME40 ENT PUMP CAPACITY ERS PER MINUTE O 50 ISO 200 250 300 350 40 IZ 35 10 to W 30 W I,- / bz ZS 6 Z 20 6 t� / S• 7 -j _ J Tp� 4 0 10 ~ Z S O 0 0 10 2 30 40 50 60 70 60 90 100 CAPACITY GALLONS PER MINUTE 1101 Myers Parkway. Ashland, Ohio 44805 -1923 419/289 -1144 FAX 419/289 658 Telex W7443 pC4 o S K3326 7/91 Printed in U.S.A. r 7 La le- z. � /QD,O Tajo e1 /cn�sle :� QIV.? _ 5, 7 ' '�v�p o SKr ✓tom �ror( NorT�i U 1 O G.IELL G > � yl��droa� y ��pUc v G[lElsER /Z�jB•oo ► Q 235 3G . � „�,-« �i a lkl- �Ec Department of C EVA LUATION Wisconsin De P � p 4 20 mer O 11ches EVALU TIO REPORT Page � e of Divisit of Safety and Buildi s CRQ/ ZON /N� F m 85, Wis. Adm. Code County r Attach complete site plan on paper not less / 2 in size. Plan must � include, but not limited to: vertical and horizontal refere BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. R ewed y f EYate Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 0 2 ? roperty Owner Property Location it d G.,. Lat A z/ 1 /4 1 14 S 3 3 R E (or Property t er's Mailing Address Lot # Block # Subd. Name or CSM# t 22 SK w s City State , Zip Code Phone Number ❑ city ❑Village To Nearest Road ew Construction U esidential / Number of bedrooms Code derived design flow rate �QQ GPD ❑ Replacement �fL lic or commercial - Describe: Parent material � Flood Plain elevation if applicable '1"Z ft. General comments and recommendations: 7 Boring # Boring it Ground surface elev. � 2 ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDAf in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2 31z- j zL r' 4v- 1 O Boring # C] Boring Ground surface elev. ` ' J ft. Depth to limiting factor v in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2 ol Effluent #1 = BOD > 30 < 220 ng/L and TSS >30 < 150 ' Effluent #2 = BOD < 30 mg/1- and TSS < 30 mg/L CST Name (Please Print) CST Number Si Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation onducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 ��� G 715- 246 -4516 Property Owner _ Parcel ID # Page of Ong # ❑Boring _ ft. 4it Ground surface elev. 1 Depth to limiting factor �� in. , Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDfff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. �• ,, `Eff#1 `Eff #2 41 IC F Boring # C] Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 •Eff#2 F Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff #1 'Eff#2 Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mg/L ` Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 -264 -8777. ssn•8330 (RAW) I Soil Test Plot Plan Project Name Todd Marek Shau i Address P.O. Box 228 New Richmond Wi 54017 C M #226900 Lot 12 Subdivision Sunset Hollow Date 9/ 27/04 NF; 1/4 NE 1/4S 35 T 30 N /R W Township Richmond fTj Boring 0 Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Steel Fence Post System Elevation *HRPSameasBenchmark Alternate Benchmark Top of Survey Iron @ 95.7' q,Ys V-a-- 140th St. Scale is 1" = 40' unless otherwise noted 305' Property Line 97' 50' B -2 FB- B -1 96' 3 60 Slope 1t.B.M. 110' S 0 B.M. 250' RECEIVED 1381 - Wisconsin Department of Com erce NOV 13 2003S0 EVALUATION REPORT P 1 of 3 Division of Safety and Building ST. CR001A110001181666 withicomm 85, Wis. Adm. Code Steel Soil Service Z NING OFFI E County Attach complete site plan ¢e. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Pending Please print all information. R 5ed Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Q Z 6 y 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 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1868 CT Hwy " C " 12 na Sunset Hollow City State Zip Code Phone Number City J Village bol Town Nearest Road Somerset I WI 1 54025 651 -488 -3051 Richmond 1 140Th St. New Construction Use: r/ Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement J Public or commercial - Describema Parent material Benches and large drainageways of ground moraines. Flood plain elevation, if applicable na General comments and recommendations: Mound design, system elevation 105.20ft based on contour line elevation 104.20ft. MinimumQf ASTM C33 sand. Boring # J Boring I Pit Ground Surface elev. 104.30 ft. Depth to limiting factor 25 in. Soil Appli n Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots 1 PD/ft*E in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 0 -9 10yr3/2 none sit 2msbk mfr cs 2f .5 .8 2 9 -18 10yr4/4 none sicl 2msbk dfr gw lvf .4 .6 3 18 -25 7.5yr4/4 none scl 2msbk dfr gw 1vf 6 4 25 -60 7.5yr414 cl d7.5yr5/6 sl /Is om mfr na na .3 .5 I Boring # J Boring e Pit Ground Surface elev. 104.30 ft. Depth to limiting factor 26 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *E GPDIWEff#2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 0 -9 10yr3/2 none sit 2msbk mfr cs 1f .5 •8 2 9 -26 10yr4/4 none scl 2msbk mfr gw na .4 ' 6 3 26-48 7.5yr4/4 c2d7.5yr5/6 scl om mfr na na •0 Effluent #1 = BOO 5 > 30 < 220 mg/L and TSS >30 < 150 mg /L ' Effluent #2 = BOD < mg /L and TSS < 30 mg /L CST Name (Please Print) re: CST Number David J. Steel __ 248956 Address Steel Soil Service Date Evaluation Conducted Telephone Number 1 715- � 1564 CR GG, New Richmond, WI 54017 11 /11!2003 246 - 5085 Page 3 of 3 STEEL'S SOIL SERVICE INC. David J. Steel 1564 Cty Rd GG CST - POWTSM RJC Development Co. New Richmond,Wl 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 12 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 not be as shown, as permanent lot lines were not established at ma Y the time the soil test was conducted. Legend 1 " = 40' ♦ =Benchmark Ele. 100.00Ft Top of 1/2" pvc pipe • = Alt Benchmark Ele. 100.7017t Top of 1/2" pvc pipe ❑ = Borings Boring Elevations B 1 = 104.30Ft B2 = 104.30Ft B3 = 10 B4 = OO.00Ft .00Ft �2 s�� -e our I f33 4 - , b 5 � 14 2 R , j � I' An of Northeast Corner 5e NE 114 UNPLATTED LANDS Section 35 -30 -18 — — ` — - Right -of - way (found 718" rebor) , 4S89'49'4 ° E 2606. — — Centerline _ — S89'49'43"E 966.32' a z - -' 305' 'v 001 .. .... \ ..... _. ` I I 0 1 \ 79,240 sq. ft. \ \ N h \ L OT-3 o \ 1.82 acres \ N, 78, 304 sq. ft. "' L 1 1.80 acres: 11 , \ I i 308 I I I ! I I o ! I I 1 305' I I. 1 1 ! I I I ' LOS" 1 I i 76,251 sq. ft. 1 i 0 - (Z) ' \ \ 1.75 acres_ �� i -�\ 71, 002 sq. ft. 1 \ \ N.B.A. _ 72, 954 sq. ft. \ \ to it o . \ 1.63 acres ` �\ w \\ N ; , \ z I ( \ x 1 \ 1.67 acres: \ I t r 1 n I I ` \\ \ \\ \\ /01/7t Driveway I W Easement ) }- 275' f / \ \ � \ �l 1 0 F- 305' a) T \ I W pl CO o ;76 251 s ft. o 1 , -LOT 7 \ ' - o I sq. ft. \ `�' N ti 1.75 acres: N l \ N.B.A. =\ \ )_ 70 acres \ 72,928 sq. % ft. _ 11.67 acres: I \ V 275 ~ X305' \ O I 1 90 190 200 0 \ 1 00 Oct 20 04 08:22a p.1 IU /1 /.eVVq VIIZV rxn (10 4I1 Vggq NtLJUN-YLUMl31Nki toVVI /UV I ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWN CERTIFICATION FORM Owner/Buyer Mailing Address 0 Property Address 2 % 1�T (Verification required from Planning Department for new construction) City/State Parcel Identification Number cr LEGAL DESCRIPTION Property L.oeatior� /, /. Sec. , T W, Town of Subdivision �`� �uL LO t, , Lot # Certified Survey Map # Volume _ Page # Warranty Deed # 7 ! --7 21 357 Volume Page # Z Spec house K yes O no Lot lines identifiable Oryes O no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (l) the on -site wastewaterdisposal system is in proper operating condition andlor (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 get forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification S t your septc system ha be maintained list be completed and 'returned to the St. Croix County Zoning Office within 30 d s - three year expiratior�dat 2-2---0 Cr S GN OF APPLICANT DATE OWNER CERTIFICATION we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) atn (are) the owner(s) of the pro descri e4 above, by vi e o warranty deed recorded in Register of Deeds Office. ®�22, Q Y G A OF APPLICANT DATE }"••• Any information that is mis- represented may result in the sanitary permit being revolted by the Zoning Department. * "" •• Include with this application. a stamped warrsnty deed from the Register of Deeds office it copy of the certified survey map if reference is made in the warranty deed J . 2640 621 772135 KATHLEEN H. WALSH STATE BAR OF WISCONSIN FORM 2 - 1999 REGISTER OF DEEDS Document Number WARRANTY DEED ST. CROIX CO.. WI RECEIVED FOR RECORD This Deed, made between RJC DeveloMent, Inc., 08/19/2N4 10:300 Grantor, and Todd Marek, WARRANTY DEED Grantee. EIElPT i 3 Grantor, for a valuable consideration, conveys and warrants to Grantee REC FEE; 11.00 the following described real estate in St. Croix County, State of Wisconsin TRANS FEE: (if more space is n please attach addendum): COPY FEE: CC FEE. Lots 2, 3, 4, 8 an# 12, )Plat of Sunset Hollow in the Town of Richmond, PAGES: 1 St. Croix County,Wig This deed Is being given to correct the actual lots that were conveyed from Grantor to Grantee In Doc. No. 761627. Recording Area Name and Return Address 026 - 1099 - 10-000: 026- 1099 - 604)00 Parcel Identification Number (PIN) This is not homestead property (is) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this day of August 1 2004 is , 4 - ------ •--- •------ - - - - -- - - - -- I AUTHENTICATION CKNOWLEDGMENT Signature(s) STATE OF I a ) � t �)ss. � Count authenticated this day of .; 'ICif''C � L• � Personally carne before me this I may of P S August , 2004 the above named SSG Todd Marek, * @_0 - TITLE: MEMBER STATE BAR OF NSIN (If not, to me own to be the persons) _ executed the foregoing authorized by § 706.06, Wis. Stars.) ir►stru a acicno edg V THIS INSTRUMENT WAS DRAFTED BY At tor Kristin ne O land y ! � Hudson, WI 54016 Notary Public, S to of My Commission is per anent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) - ��Z ) Names of persons signing in any capacity must be typed or printed below their signature, Information Professionals Co., Fond du Lac, WI STATE BAR OF WISCONSIN 800- 655 -2021 WARRANTY DEED FORM No. 2 -1999 76og�7 line of Northeast Corner 5e NE 1/4 UN_PLA_TT_E_D_L_A Section 35 - 30 - 18 Right -of - way (found 718" rebor- �589 49'4 E 2606.6 - - Centerline S89'49'43 "E 966,32' 2 �o , == > - AVENUE ,_ _--- - - - - -_ r -------------- � \ --� `J55'-` - _ - -- > 305 L v JY 33' JI LOT \ \ ------ - - - - -. -�.� I I O I X 79 , 2 4 0 ` \ \ L OT -f3: ^ 1 I - sq. ft. \ I 1 7.82 0 \ es \ I I \ 1 78, 304 sq. 1 \ I 1.80 acres: II I I I i 4 I o 1 I 1 1 308' { O I Z255 712 I I I I cres: \ I j Q) \ 71,002 sq. ft. ° \ \ N. B. A, _ \ o I 1.63 acres ` �\ N \\ 72, 954 sq. ft. � w \ x 1 \ 1.67 acres: \ (I I r \ z Joint Driveway I Z / I \\ \ \ Eosem �t —} LLLJ _ i L_ 275" / / \ \ I f- i I 305' I . w - / o _ , I LOj # : I _, 11L OT 7 o ;76, 251 I ° 1.75 acres: 7 '74, 251 sq. ft. \ I I { _\: I I \ 7 acres \ `\ 72,928 sq. "ft. ~ acres_ 275" \ X305' o 1 _F\_ 00 190' �I \ \ 190' 7200' ` \ w I 0 Property owner R.I.C. Development, Inc Parcel ID # Pending Page 2 of 3 3� Boring # _j Boring 0 Pit Ground Surface elev. 102.50 ft. Depth to limiting factor 27 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDKe in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -11 10yr3/2 none sil 2msbk mfr cs 1f .5 .8 2 11 -20 10yr4/4 none sicl 2msbk dfr gw 1vf .4 .6 3 20 -27 7.5yr4/4 none scl 2msbk dfr gw 1vf .4 .6 4 27 -50 7.5yr4/4 c2d7.5yr5/6 scl om mfr na na .0 .0 ❑ Boring # J 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. *Eff#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 Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD < 30 mg /L and TSS <30 mg /L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608- 264 -8777. I