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HomeMy WebLinkAbout026-1124-01-000Wisconsin Department of Commerce Safety and Building Division PRIVATE SEWAGE SYSTEM INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)j. Permit Holder's Name: City Village Township Todd Marek Construction Inc TOWN OF RICHMOND CST BM Elev: Insp. BM Elev: B escription: ✓h-2 G 41 TANK INFORMATION ELEVATIONDATA TYPE MANUFACTURER Izn � S CAPACITY Septic r1 5Dosing COyI.� fIv i� 5 44� goo Aeration s G r�l1a TANK SETBACK INFORMATION TANK TO P/L�. L WELL BLDG. Vent to Air Intake ROAD Septic Dosing S � ' y l ► � �'� ' 2Z .�5 '_ Aeration Holding PUMP/SIPHON INFORMATION FCC ?1v,N•� Manufacturer ` � VI OS (7 Demand GPM 1 Model Number j rd 5 v- TDH Lift 112 Friction Loss 9.95 System Head .25 TDH Ft `27. Forcemain Le lgth� Dia. .� Dist. to Well �,j I SOIL ABSORPTION SYSTEM ty: St. Croix Sanitary Permit No: 615472 State Plan ID No: Parcel Tax No: 026-1124-01-000 Section/Town/Range/Map No: 260300188754 STATION BS HI FS ELEV. Benchmark 2 qY q� o Alt. BM Bldg. Sewer SUHt Inlet St/Ht Outlet Dt Inlet Dt Bottom Z� • -7 77,7 Header/Man. + J Dist. Pipe Bot, System Final Grade Stcoyer I2,s� �G . 5 y GOII�t U%jr� STATION BS HI FS ELEV. Benchmark 2 qY q� o Alt. BM Bldg. Sewer SUHt Inlet St/Ht Outlet Dt Inlet Dt Bottom Z� • -7 77,7 Header/Man. + J Dist. Pipe Bot, System Final Grade Stcoyer I2,s� �G . 5 y GOII�t U%jr� BED/TRENCH idth DISTRIBUTION SYSTEM Header/Manifold f) Distribution x Hole Size x Hole Spacin Vent to Air Intake I 31, Pipe(s) SC'` Length_` Dia Length Dia _ Spacing to �� SOIL COVER x Pressure Svstems Only xx Mound Or At -Grade Systems Only vn her epth Over Depth Over VATo xx Depth of xx Seeded/Sodded xx Mulched K ench Center � ® Bed/Trench Ed es g 7 �Z soil p 7 t Z F'Vyes � No N Yes E] No COMMENTS: (Include code discrepencies, persons present, etc.) Location: 11AVE1I rA�rtC 5r,�,>�d o� 1.) Alt BM Description = r, t�cr CID\W k 2.) Bldg sewer length = I (— - amount of cover = Nyr jC 305 40TH Plan revision Required? s ❑ No Use other side for additional information. SBD-6710 (R.3/97) D1 Inspection #1: 5jInspection #2: � o � g . 30Ri /u who h5)e*d Cert. No. 1) A T - .11 . Aa(2.0(4-2�;P(G AL MPE n {� ;a,�r�,y u �� lc� a�B�tik�asLluyision County C ti7lX a. L ` 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.)' . Madison, Wl 53707-7162 AUG 3 0 ?019 (o I �y7Z p it Application State Transaction Number commi# 3 G In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form'to the appropriate governmental unit Note: Application forms for state-owned POWTS are submitted to Vtoject Address (if different than mailing address) is required prior to obtaining a sanitary permit. d7© the Department of Safety. and Professional Servies. Personal information. you provide may be used for sec dpurp r' oses in•accordancewith the Privacy, Law, s. 15.04 1 m ; Slats. jj -I. A " 1►''cation Information —Please Print All Information Parcel # Property ownfes Name / [� s� Jotmmi�f l f E Q A'cj�t1 �. ®Z Z. I Z. Property Owner's Mailing Address Property Location 2z� ✓ Govt. L,,o��t{{ / City State Zip C Phone Number(�Jy, y', Section t � � circle T N; R f Eono .30 II. Type of Building (check all that apply) Lot # Subdivision Name Lim/ 2 Family Dwelling — Number of Bedrooms ab Block # /YI G�Ab e p�G ❑ Public/Commercial—Describe Use ❑ City of CSM Number ❑ Village of ❑ State Owned —Describe Use e own of 12 1 L —T III. T E eck only one box.on line A. Complete:line:B if applicable) New System Replacement System ❑ Treatment/Holding Tank Replacement Only . El Other Modification to Existing System (explain) g, ❑ Permit Renewal ❑ Permit Revision g ❑ Permit Transfer to New ❑Chan a of Plumber List Previous Permit Number and Date Issued / Before Expiration Owner oc e of POWTS S stem/Com onent/Device: Check all that a ❑ Non.Pressurized ln-Ground ❑ Pressurized In -Ground ❑ At-Gra e ,Mound> 24 in. of suitable soil ❑ ound <24 in. of suitable.soil ❑ Holding.Tank ❑ 0 br Dispersal Component (explain) " Pretrea men evice (explain) V. Dis ersal/Treat ent Area Information: Desi Flow.(gpd) Design. Soil Application Rate(gpdsf) DPi-spersal Area Required (st) Dispersal Area PropoGG (sf) System Elevation 0or) 60 lJQ.� [0 J0 /�/ VI. Tank Info Capacity in Total' . # of Manufacturer y Gallons Gallons Units , '. /� ,� ;; a o y a New Tanks tttttttiExisting Tanks Septic or Holding Tank Z Zd0 Sf Dosing Chamber 6V.� ! [ VII. Responsibility Statement- I, the undersigned,. assume responsibility for installation of the POWTS shown on the attached plans. Plumber' mBe (Print) Plumber's Signature MP/MA Number Business Phone Number Plumber's A ' ress (Street, City, State, Zip Code) VIII. Coun /De artmerit Use Only, Approved ❑ Ds it00 Permit Fee Date I sued Issuing t Signature 1D `e ven ReMon fo Denial IX. Conditll'oya"w 't+d easons for, Disapproval. �� a J� eJ a J` {\Q,,� i. - : ale, Eiflt:cnt tilte► tin 1 til+spanosi cell must dll be a�L is ! try nth, y �� � ` ��"� - V i Asper tern Bement plan wu4ded by.plthnbe;. 2. Ag1I. l al�l�elgt t�S:m�tutueir[s�rt.ar.Et ON pw+Ai* iCflbls"wddl /.u&nafmi6 :Attach to complete plans for tue system anu su�.o(1� to m/e/��ounry only on'paper uu„css ,.,u„ o ,,.,�.. .SBD-6398 (R. 11/lI) are.. 5Y �a A,�- a% 6k^ � `�. Qa�� P y N z o W c E o. Eo m;ZIA w E ma W m ¢ N O 'Dr. Q a> •'mot v AW AS E a E o o _ m ,rn {-. Q t �+ 2 •m c@ c c �' c. m 'L' o co a_ v Li" .-1 � O O •- �" of c o c `J', 3 .1Oi. c d E E ^�I-' _ a Li �. 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V 0 a 1,5 � 1 0 a o rn M U LO IN � m rn rna { o o\o -H v 3 / u �( v� �O A n +V)UO An o 0 o c u, w °a o � w j n OU U N O S9 aM 04t:�4S m N DIVISION OF INDUSTRY SERVICES 2331 SAN LUIS PL GREEN BAY WI 54304-5211 Contact Through Relay http://ds ps.wi. g ov/prog rams/i nd ustry-services wwwmisconsin.gov Tony Evers -Governor August 28, 2019 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: Plan Review: PWTS-081901693-C RYAN GARY BECNEL 371 CANNON VIEW DR RED WING Minnesota 55066 SITE: Todd Marek/Lotl Sunrise Meadows 2000 1305 140T'H AVE, New Richmond, WI 54017 Town of Richmond Saint Croix County Total Amount: $250.00 FOR: Mound Component Manual —Ver. 2.0, SBD-10691-P (N.01/01, R 10/12) Pressure Distribution Component Manual —Ver. 2.0, SBD-10706-P (N.O1/Ol, R 10/12) Descriptioir: 600 GPD (4 Bedroo��ts —New Co�tstruction) Maintenance Required The submittal described above has been ►•eviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. 67stem is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. 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: • Preserve dispersal area prior and during construction to avoid disturbance, compaction and use of the site. • With new construction; it is recommended not to activate the pump in the dose tank until the tanks are pumped prior to homeowner occupancy. • Wastewater generated from contractors cleaning of equipment and tools and/or left over construction products shall not be discharged into the drains discharging to the private onsite wastewater treatment system (POWTS). Waste generated shall be properly disposed of on -site or off site. • Any tall grasses, leaves and shrubs shall be cut short and removed prior to tilling the surface for installation to prevent matting under the dispersal area. All loose organic material to be removed from mound area. • Divert surface water from POWTS Area. • Prior to construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. Smearing and compacting of wet soil will result in reducing the infiltration capacity of the soil. Proper soil moisture content can be determined by rolling a soil sample between the hands. If it rolls into a 1/4- inch wire, the site is too wet to prepare. If it crumbles, site preparation can proceed. If the site is too wet to prepare, do not proceed until it dries. • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building sewer beyond 30 feet per SPS 382.30 (11)(c) • Well setbacks to meet chs. NR 811 & 812 • Tank Installation to follow all manufacture's recommendations. • SPS 383.54(1)(e) The management plan for a POWTS shall specifically address the servicing mechanics of an aerobic or anaerobic treatment tank or a holding tank where either of the following conditions exist: 1. The bottom of the tank is located more than 15 feet below the elevation where the servicing pad is located. 2. The bottom of the tank is located more than 150 feet horizontally from where the servicing pad is located. • Verify property line(s) prior to installation. • Pump Floats to be set and verified per approved plan. Any changes may result in pump resizing to meet TDH and GPM Specifications. • Areas that are occupied with rock fragments, tree roots, stumps and boulders reduce the amount of soil available for proper treatment. If no other site is available, trees in the basal area of the mound must be cut off at ground level. A larger till area is necessary when any of the above conditions are encountered, to provide sufficient infiltrative area. 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 SPS 383.54(1). • 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. 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/instal lation/operation. In granting this approval the Division of Industry Services reserves the right to require changes o►• additions should conditions arise making them necessary fo►• 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. [nquiries 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 and the POWTS management plan to the owner and any others who are responsible fo►• the installation, operation or ►maintenance of the POWTS. Thanks, �m U.2zu�i o��eP.o f POWTS Plan Reviewer— Wastewate►• Specialist Department of Safety &Professional Services � Division of Industry Services email: Lim_yanderleest(h)wjsconsin.gov Cell: 60&516-6134 Property Owner: Todd Marek Phone: Site Address: 1305 140TH AVE, New Richmond, WI 54017 INDEX Page: 2 Site Plan Page: 3 Management Plan Page: 4 Management Plan Page: 5 System Design Summary Page: 6 Mound Design Worksheet Page: 7 Mound Design Worksheet Page: 8 Mound Design Worksheet Page: 9 Page: 10 Pressure Distribution Desi gn Pressure Distribution Design Page: 11 Pump Design Page: 12 Dose Tank Page: 13 : Page14 Tank Specifica tions Mound Material Estimates Page: 15 Soil Test Page: 16 Soil Test Page: 17 Soil Test Component Manuals: SBD-10691-P Mound (N.01 /01; R.10/ 12) SBD-10706-P Pressure Distribution (N.01 /01; f �r Designer Signature: Date: 08/22/19 RYAN G. ` BECHEL D-2263-7 - RED WING MN ES i Date: 8/22/2019 m N _..b E vi N z o IZ f Eo o -ic L O ro W! Y m A h' a vi N a E " Q 'o N 'a 7 m E O ate'. (/) U rn 0 3 m E EYO .� VO' O N O �� m cz; ry)0��3 �� �o�� �� N Z Q o o o � Qo�� S9a2i1S a ^ Q�I,� e9 N 3 Y� � Q` 3 y o a3 �o ca -� a C Q1 O li ti �03 ea o� o ,� 'a a, o '° a Y3 --' rn a. N -Noo O ai O = o O m �o �o��c ac��g �oNEm w o a�oL_3� Dnd 18£T c Sato JN�,' E 0 3 m o 1 MZ w d Y � M c O U m C — m U) O a 0 0 m C) c o Cm O n 3 a�Ei o n M (D N N f/1 N E 000 y' to N tM y C L y N m N C C F0 G W m N O (D y N 0 t= G N N N J a s�. I OZST A2MaN.IQ z `W9 a) o. o 'a Management Plan This management plan identifies operation and maintenance activities necessary to ensure long-term per of your septic system. Tasks that should be performed by the homeowner are identified. Professional management tasks must be performed by a licensed septic maintainer or service provider, however, it is the homeowner's responsibility to ensure all tasks get accomplished in a timely manner. ► Keep this Management Plan with your Septic System Owner's Guide. ► Keep copies of all pumping records, maintenance activities and repair invoices with this document. ► Review this document with your maintenance professional at each visit; discuss any changes in product use, activities, or water -use appliances. My system needs to be checked every 36 months. Design Parameters Management Frequency Designer Required Frequency: Check every 36 months State/Local Gov't Req Frequency: Check every 36 months Svstem Specifications Number of Bedrooms 4 Septic Tank Manufacturer Wieser Design Flow (gpd) 600 Septic Tank Capacity 1200 Soil Loading Rate (gpd/ft2) 0.4 Effluent Filter Manufacturer & Model Best GF-10 Standard Effluent Quality Effluent 1 Biological Oxygen Demand (BOD) 220 mg/1 Pump Tank Manufacturer Wieser Total Suspended Solids (TSS) 150 mg/1 Pump Tank Capacity 800 Fats, Oils, Greases (FOG) 30 mg/1 Pump Manufacturer & Model Per Installer Treated Effluent Quality Biological Oxygen Demand (BOD) - mg/I Dispersal Cell Type Mound Total Suspended Solids (TSS) - mg/1 Fats, Oils, Greases (FOG) - mg/1 Pretreatment Unit Description Max Effluent Particle Size (in) 1/8 Homeowner Ma 11 Professional Management Tasks Check (listen, look) forleaks in toilets and dapping faucets. Effluent Screen -Check and an per manufacturer Repair leaks promptly. recommendations. Regularly check for wet or spongy soil around your soil treatment area. Contact service provider if issues aase. Controll burrowing animals (gophers, groundhogs, etc.) Keep bikes, vehicles, snowmobiles and other traffic off treatment area. Alarms -Contact your service professional if any alarm signals. Lint Filter -check for lint buildup and clean when necessary. If you do not have one, add one after washing machine. Effluent Filter .�lnsf�ect and clean Twice per at a minimum. Caps - Make sure that all caps and lids are intact and in place. Inspect for damaged caps often. Fix or replace damaged caps. Liquid levels -Check sludge/scum/effluent levels in all system tanks. Recommend if tanks) should be pumped. Pump all compartments every 36 months at a minimum. Inspect tank inlet and outlet baffles (if applicable) Check drainfield effluent levels (if applicable) Verify pump and alarm system functions (if applicable) Inspect wiang for corrosion and function (if applicable) Clean drainfield laterals (if applicable) Check event counter/elapsed time meter and evaluate water usage rate compared to system design flow. Check dissolved oxygen and effluent temperature in tank Check for surfacing of effluent or other signs of problems. Verify inspection pipes are capped and intact. Provide homeowner with list of management results and any action to be taken. Septic system replacement area: Protect secondary system site from traffic, compaction, etc. Page 3 MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an appropriately licensed individual or business. 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 backup or ponding of effluent on the ground surface. Access openings used for service and assessment shall be sealed watertight upon completion of service activities. Any unsound/defective access openings must be replaced immediately. The dispersal cells) 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. Ponding of effluent on the ground surface may indicate a failing condition that requires immediate attention by a licensed septic professional. Tanks must be pumped when sludge accumulation is within 12 inches of the bottom of the outlet baffle, or whenever the scum layer is within 3 inches of the bottom of the outlet baffle. In no case shall total sludge and scum volume occupy greater than 25% of the tanks liquid capacity. The effluent filter shall be cleaned as necessary to ensure proper operation. The filter should not be removed unless provisions are made to retain solids in the tank that may slough off the filter during removal. 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. Pre-treatment components shall be maintained and serviced by a licensed septic professional according to the manufacturer's recommendations. START-UP &OPERATION For new construction; prior to system operation, check septic/pump tanks for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cells. If high concentrations are detected, have the contents of the tank removed by a licensed septic professional prior to use. System start-up shall not occur when soils are frozen at the infiltrative surface. During power outages, pump tanks may fill above normal high water levels for system utilizing pumps. When power is restored, the excess wastewater will be discharged to the dispersal cell in one large dose potentially resulting in overloading the cells. It may also result in backup or surface discharge of effluent. To avoid this situation, it is highly recommended to have the contents of the pump tank removed by a licensed septic professional or have a septic professional manually dose the system to return the pump tank to normal operating levels prior to restoring power. Do not drive or park vehicles over any septic system components. Do not drive, park over, or otherwise disturb or compact the area within 15 feet downslope of any mound or at grade system or secondary septic system site. CONTINGENCY PLAN If the septic tank, or any of it's components, become defective the tank or component shall be immediately repaired or replaced according to the original system design specifications. If a dosing tank, pump, pump controls, alarms, or related wiring becomes defective, they shall be immediately repaired or replaced with components of the same or equal performance. If the soil treatment component fails to accept wastewaster or discharges wastewater to the ground surface, it shall be repaired or replaced by; increasing basal area (if toe leakage occurs), rebuilding the component at the secondary system site, or removing and replacing biologically clogged absorption and dispersal media and associated piping. If the septic system fails and/or is permanently taken out of service, the system shall be abandoned according to approved abandonment regulations. These include: - All piping to tanks shall be disconnected and abandoned pipe openings sealed. The contents of all tanks shall be removed and disposed of by a licensed septic professional. - Tanks shall be crushed & filled, or removed. - A septic system abandonment notification shall be submitted to the appropriate local governmental unit. WARNING!! SEPTIC, PUMP, AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC TANK, PUMP TANK, OR OTHER TREATMENT COMPONENT UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE, ALWAYS CONSULT A LICENSED SEPTIC PROFESSIONAL BEFORE DOING ANY WORK. System Design Summary Property Owner/Client: Todd Marek Site Address: 1305 140TH AVE. New Richmond. WI 54017 ParceIID: Phone #: 026-1124.01-000 DESIGN FLOW, WASTE STRENGTH, TANKS A. Type of Wastewater: Residential Treatment Level: Effluent 1 Residential Design Flow = # of Bedrooms 4 X 100 GPD X 150% = 600 GPD Commercial Design Flow (data/calculations attached): ❑ Measured GPD 1J Estimated GPD Design Flow: 600 GPD Comments: New 4811 Home, No home business; No sewage ejector/grinder B. Septic Tank(s): Minimum Capacity = Design Flow X 2.088 Wastewater received by: Gravity Code Minimum Septic Tank Capacity: 1253 Gallons, in 2 Tanks / Compartment(s) Designer Recommended Tank Model(s): Wieser WLP 1200/800 MR Effluent Filter 8 Alarm: t� Enter O Futer Aiarm Effluent Filter Model: Best GF-10 C. Pump Tank Code Minimum Capacity: 656 Gallons Pump Tank 2 (Code Minimum): NA Gallons Designer Recommended Min. Capacity: 800 Gallons Pump Tank 2 (Designer Req): NA Gallons Pump 40.0 GPM Total Head 22.2 ft Pump 2 GPM Total Head ft Holding Tank(s) Only :C# Minimum Capacity: Residential = 2000 gallons, or 5x estimated daily wastewater flow; whichever is greater Minimum Code Required Capacity: Gallons, in Tanks Holding Tank High Level Alarm Type: Designer Recommended Capacity: Gallons, in Tanks DISTRIBUTION AREA Soil Treatment Area Type: Mound Distribution Type: Pressure Distribution -Level Benchmark 1 Elevation: 100.00 ft Benchmark Location: SEE SITE PLAN Component Manual 1: SBD-10691-P Mound (N*01 /01; R.10/12) Distribution Media: i i Drainlield Rock C...1 Approved Product Component Manual 2: SBD-10706-P Pressure Distribution (N.01 /01; R.10/12 1 /2" - 1 1 /2" Aggregate SITE EVALUATION DATA Depth to Limiting Layer: 46 in 3.8 ft Soil Texture: Silty Clay Loam Contour Elevation: 95.40 SHLR: 0.40 GPD/ft2 Elevation of Limiting Layer: 91.57 Perc Rate: MPI Minimum Required Separation: 36 in 3.0 ft Soils with >60% Rock Fragments Present? C_l yes a No If yes, describe % rock and layer thickness, depth of soil treatment needed per Maximum Depth of System: 10 in SPS 383.44-3 and any additional information for addressing the rock fragments Measured Land Slope: 3.0 % in this design. SOIL ORGANIC LOADING RATE 1. Organic Loading to STA/Pretreatment Unit =Design Flow X Estimated BOD in mg/L in the effluent X 8.34 : 1,000,000 600 gpd X 220 mg/L X 8.34 : 1,000,000 = 1.10 lbs BOD/day a. Pretreatment Unit Information (if applicable): Not Applicable b. Organic Loading After Pretreatment (if applicable) = Design Flow X BOO in mg/L in the pretreated effluent X 8.34 = 11000,000 gpd X mg/L X 8.34 : 1,000,000 = lbs BOD/day 2. Organic Loading Rate to Soil Treatment Area (lbs/day/ft) : Soil Treatment Bottom Area ft2 = lbs/day/ft2 1.10 lbs BOD/day 1500.0 ftz= 0.00073 lbs/day/ft2 Comments: i Soil Loading Rate Pounds of (gpd/fN) BOD, Le, a.C:)?�) ti.Ei ,. `y733 o.n r,,,ixfti, Page 5 Mound Design Worksheet SYSTEM SIZING: Parcel ID: 026-1124-01-000 Design Flow: 600 GPD GA r;ir:•3<e Soil Loading Rate: 0.40 GPD/ft2 rr Depth to Limiting Condition: 18 ft �. '- c � Percent Land Slope: 3 % y Design Media Loading Rate: 100 GPD/ft2 DISPERSAL MEDIA SIZING Dispersal Bed Area (A x B) = Design Flow : Design Media Loading Rate 600 GPD 100 GPD/ft2 = 600 ft2 If a larger dispersal media area is desired, enter size: ft2 A. Select Dispersal Bed Width (A): 1000 ft Can't exceed 10 jeer Linear Loading Rate = Bed Width X Design Media Loading Rate 10 ft X 190 GPD/ft2 = 10.0 gal/ft Can't exceed Table 1 B. Minimum Dispersal Bed Length (B) = Dispersal Bed Area Bed Width 600 ft2 1000 ft = 60.0 ft DISTRIBUTION MEDIA: ROCK Rock Media Depth Below Distribution Pipe 0950 ft (Estimated material quantities found on Mound Materials page) DISTRIBUTION MEDIA: APPROVED TREATMENT PRODUCTS: CHAMBERS AND EZFLOW i. Select Dispersal Media: ii. Enter the Component Length: ft Width: ft Depth: ft iii. Number of Components Per Row = Bed Length CComponent Length (Round up) ft ft = components per row iv. Actual Bed Length = Number of Components per row X Component Length per row X ft = ft v. Number of Rows = Bed Width = Component Width ft ft = rows Adjust width so this is a whole Jt. A. Total Number of Components = Components Per Row X Number of Rows x = Components MOUND SIZING D. Fill Depth Below Upslope Edge (D) = 3 feet WE Depth to Limiting Condition (6" Min.) 3.0 ft 3.8 ft = 0.5 ft Design Sand Lift (optional): in E. Fill Depth Below Downslope Edge (E) _ [Bed Width X Land Slope : 100] + T" 10.0 ft X 3.0 % 100 + 6.00 in = 9.6 in MEMO F. Distribution Cell Depth (F) = 8" + Nominal pipe size of distribution lateral (12" for approved products) 8.00 in + 1.25 in = 9.25 in (Nominal Pipe Size adjusted on Laterals sheet) G. Cover Material Depth at Cell Edges (G): 6.00 in (>_ b" Min.) H. Cover Material Depth at Celt Center (H): 12.00 in (>_ 12" Min.) 1. Downslope Width (1) _ (E + F + G) x (horizontal gradient) x Downslope Correction Factor 2.07 ft x 3.00 x 1.10 = 6.83 ft Or 15 J. Upslope Width (J) _ (D + F + G) x (horizontal gradient) x Upslope Correction Factor 1.77 ft x 3.00 ft x 0.92 ft = 4.87 ft Downslope Correction Factor: Upslope Correction Factor: 0.92 Endslope Horizontal Gradient: 3.00 (usually 3.0 or 4.0) K. Endslope Width (K) _ [(D + E) : 21 + F + H x Endslope Horizontal Gradient 15.60 in : 2 + 9.25 in + 12.00 in : 12 x 3.0 L. Mound Length (L) =Endslope Berm Width +Bed Length +Endslope Berm Width 7.3 ft + 60.0 ft + 7.3 ft = 74.5 ft W. Mound Width (W) =Downslope Berm Width +Bed Width +Upslope Berm Width 15.0 ft + 10.0 ft + 4.9 ft = 29.9 ft ** Sloping Sites = B x (A + I ) ft = ft 7.3 Verification of Minimum Required Basal Area MINIMUM = 1500 ft2 (Min. = GPD + Loading Rate) 60.0 ft X ( 10.0 ft + 15.0 ft) = 1500 ft2 ............... ** Level Sites = B x W MINIMUM = - ft2 (Min. =GPD _Loading Rate) Im ft x ft = ft2 ft I Page 7 MOUND DIMENSIONS 0 A L A 10.0 ft F 9.3 in J 4.9 ft B 60.0 ft G 6.0 in K 7.3 ft D 6.0 in H 1200 in L 74.5 ft E 9.6 in 1 15.0 ft W 29.9 ft Obs. Pipes (1 / 10th of B) 6.0 ft Absorption Width (A+I) DISTRIBUTION AREA CROSS-SECTION 25.0 ft TOPSOIL •, HLT[R FA6RIC � 97.67 95.90 LOAMY BACKFILL '� � 3j �� '' % av DI t " Aggregate k> E AS t M C.33 SAND _. .._ � rYA ;..,. ti t. 95.40 _ PLOW 6 8" DEEP 3% PRIOR TO PLACING SAND OBSERVATION PIPE DETAIL Screw -type or Finished grade slip cap �" Topsoil cover 4" SCH 40 PVC pipe (1' min.) Top of pipe to terminate at or above finished grade '' - 2' x 6" slots spaced 90 degrees apart .� Infiltration Toilet surface Flange Pressure Distribution Design ParcellD: 026-1124-01-000 Media Bed Width: 10 ft Manifold Connection Type: End Minimum Number of Laterals in system/zone ={[(Media Bed Width 4) : 3] + 11 X # of zones (Round up) U 10 4) : 3] + 1 = 3 1 zones) = 3 laterals Designer Selected # of Laterals (optional): laterals `Can't be less than 2 (except in at -grades) Min. Lateral Spacing: 3.5 ft Designer Lateral Spacing (optional): ft Min. Manifold Length: 7.0 ft Designer Manifold Diameter (see table 5): 1 1/4 in Select Orifice Spacing: 3.0 ft (2' Max Orifice spacing for At -grades) Select Orifice Diameter Size: 3/16 in (Orifices must be >_ 6" & < 2'/rom cell edge) Lateral Length = (Media Bed Length 2 Feet) : # of zones 60 2ft 1 = 58.0 ft Number of Orifice Spaces = Lateral Length = Orifice Spacing (round down to the nearest whole number) 58 ft 3 ft = 19 Spaces Orifices per Lateral = Number of Orifice Spaces + 1 19 Spaces + 1 = 20 Orifices Per Lateral Total Number of Orifices = Number of Orifices per Lateral x Number of Laterals 20 Orifices Per Lateral X 3 Laterals = 60 Total Orifices Recommended Orifice Density is 4-11 ft2 per orifice; can't exceed 12 ft2 Orifice Density = Bed Area : Total Number of Orifices (Does not apply to At -Grades) 600 ftz 60 Orifices = 10.0 ft2/Orifice Lateral Diameter (See Table 6): 1 1/4 in Minimum Average Head: 2.5 ft Orifice Discharge Rate: 0.66 GPM per Orifice (Based on Table 4) IJi�.IGnco Kai=.•. ill (i.11l.*:ta Et•!.\tinui: (Itjii) C>rifi.l•a" 1-_<!11�` ill f S)C ll:d I)i:1t1M'1.`f tr.•t i i;\.. t.. iii ..:. 3i I!.. i... I:a NP 3 ! Nf ... i NP E,,. 0,72... f 28 _.. .... NP V.54 t a.78.:.. s 1 - t z8 4 NP 058 F... .5 NP aEt 5t ( 0.41 at,4 155 .. 0s9 O.ES (1 Jf 1 F73 _........ f tJ4, (1.7E fa? EAO E 1... :..8 77 07Z :... t t'>-.. ._ tfSO _.__. 05 8 I a,52 ( Ujit ' 1.tf i - 19J* 8.5 G.y4 a,84 1.Zt �f5 J ,. i . a.55 4.86 1.24 9. 5 > i 057 _ 3 0,£S9 * 1 i 2.21 to t1.ri8 1 .28 ;\�l111 t: I.It.i,' Iti 1 .1sed Im D I tr(, in f 4s\t ', I1.'7Y ( ortfiw Dinrww er.t>_•c <Wr 1(< 1lf 1,\Aw Nit fivwl� 111111k•I1n ItIttt Page 9 Pressure Distribution Design Lateral Discharge Rate (GPM) =Orifices per Lateral x On, Discharge Rate Check Table 5 to make sure maximum header length is not exceeded. 20 Orifices Per Lateral x 0966 GPM per Orifice = 13.1 GPM per Lateral System Flow Rate = Total Number of Orifices X Orifice Discharge Rate 60 Orifices X 0.66 GPM per Orifice = 40 GPM Distribution Piping Liquid Volume Per Foot (Table 7): 0.064 Gallons/ft Volume of Distribution Piping = [li of Laterals X Lateral Length X Liquid Volume Per Foot of Piping] 3 X 5860 ft X 0.064 gal/ft = 1101 Gallons Minimum Delivered Volume = Volume of Distribution Piping X 5 1101 gals X 5 = 5567 Gallons PRESSURE DISTRIBUTION LATERAL LAYOUT P 5890 ft X 3.0 ft S 15 ft P/2 ft Manifold Length 7.0 ft Manifold Diameter 1 1 /4 in Cleanaut Detail xC y y .. y X t� S«� Page 10 Pump Selection PUMP CAPACITY (GPM) Parcel ID: 026-1124-01-00 Distribution Method: Pressure If pumping to gravity enter the gallon per minute of the pump: GPM (10 - 45 gpm) Minimum system flow rate: 40.0 GPM Dosing method: Demand Dosing Soil Treatment TOTAL DYNAMIC HEAD (TDH) Elevation Difference: 16 ft Soil „e,tmrot%Y,to l a txnot of dsd,a,gc (between pump and highest discharge point) ,y y,0 Distribution Head Loss: 3.25 ft wivn"M"a Additional Head Loss: — nla Pipe Otv,4iw, : •. ft (due to special equipment, etc.) difference Forcemain Diameter: — 2.0 in Forcemain Length: 90 ft Forcemain Friction Loss = Friction Loss in Plastic Pipe per FT of Forcemain (from Table 6:) X Forcemain Length Forcemain Friction Loss = 2.97 ft / Add Equivalent Pipe Length from pump discharge to soil dispersal area discharge to account for fitting loss if needed. (Estimate by adding 25% to supply pipe length for fitting loss if desired. Forcemain Length X 1.25 = Equivalent Pipe Length). Use 1.0 for standard systems. 2.97 ft X 1 = 2.97 ft Elevation Difference + Distribution Head Loss + Additional Head Loss + Forcemain Friction Loss = Total Dynamic Head (TDH) 16.00 ft + 3.25 ft + ft + 2.97 ft = 2202 ft TDH PUMP SELECTION A pump must be selected to deliver a minimum 4000 GPM at a minimum 22.2 TDH Pump Model Option 1: 4Vastewater Goulds PE51 Performance Curve Pump Model Option 2: Goulds WE05HH Performance Curve Page 11 Demand Dose Pump Tank TANK CAPACITY AND DIMENSIONS Parcel ID: 026-1124-01-000 Design Flow: 600 GPD Code Minimum Pump Tank Capacity: 656 Gal Designer's Minimum Capacity: 800 Gal Tank Manufacturer: Wieser Tank Model: WLP 1200/800 MR Capacity from manufacturer: 800 Gallons Importantl: Dose design calculations are based on this specific tank. Substituting a different tank model may alter the pump Gallons per inch from manufacturer: 22.2 Gallons Per Inch float settings. Contact designer if changes are necessary. Liquid depth of tank from manufacturer: 36.0 inches DETERMINE DOSE VOLUME Calculate Volume to Cover Pump (The inlet of the pump must be at least 4•inches from the bottom of the pump tank & 2 inches of water covering the pump is recommended) Pump and block height + 2 inches X Tank Gallons Per Inch 'Adding 2 inches ensures pump is covered by effluent during operation ( 8 in + 2 inches) X 22.2 Gallons Per Inch = 222 Gallons Minimum Delivered Volume = 5 X Volume of Distribution Piping: (From Pressure Distribution worksheet) = 56 Gallons (minimum dose) Maximum Pumpout Volume = Design Flow x 20% 600 GPD X 20% = 120 Gallons (maximum dose) Select a pumpout volume that meets both Minimum and Maximum: 108 Gallons Doses Per Day = Design Flow : Delivered Volume 600 gpd - 108 gal = 5 Doses Per Day Drainback: Diameter of Forcemain = 2 inches Length of Forcemain = 90 feet Volume of Liquid Per Linea( Foot of Pipe = 0.163 Gallons/ft Drainback = Forcemain Length X Volume of Liquid Per Lineal Foot of Pipe 90 ft X 0.163 gal/ft = 14.7 Gallons Total Dosing Volume = Delivered Volume + Drainback 108 gal + 14.7 gat = 123 Gallons Minimum Alarm Volume = Depth of alarm (2 or 3 inches) X gallons per inch of tank '3 inch alarm depth recommended to prevent 3 in X 22.2 gal/in = 66.7 Gallons turbulence resulting unnecessary pump cycling FLOAT SETTINGS Float Separation Distance for Dose: Total Dosing Volume : Gallons Per Inch 123 gal— 22.2 gat/in = 5.5 Inches ro, Float Distance Settings (measured from bottom of tank): i Distance to set Pump Off Float = Pump + block height + 2 inches 8 in + 2 in = 10.0 Inches Reserve Cap. 17.5 in j ;i A 388.9 Distance to set Pump On Float = Distance to Set Pump -Off Float + Dose Separation Distance Alarm Distance 3.0 in ; i I B s; a> 64.7 10 in + 5.5 in = 15.5 Inches Pump On Distance 5.5 in :i C �122 7 Distance to set Alarm Float = Distance to set Pump -On Float + Alarm Depth Pump Off Distance 10.0 in + " D �; 222.4 16 in + 3.0 in = 18.5 Inches Page 12 TANK SPECIFICATIONS 0 u • Minimum cover = 6 inches; Maximum cover = 8 feet (unless specified by manufacturer) • All manhole covers shall extend 4 inches above final grade • If the tank is within 2 feet of final grade, insulate the lid to an R-Value of 10 • Quick disconnect (Cam -Lock) reachable from final grade (24 inches max) required for pump installations • If forcemain will have a "J-Nook" assembly, drill a weep hole in the "hook" • Building sewer: No 90's, keep 3 feet between 45's, maintain 1 inch in 8 feet (1%) slope, install cleanouts at the building connection and every 100 feet at a minimum • Insulate building sewer if less than 2 feet from final grade and under all high traffic areas (driveways etc.) Watertight control) box with separate 91.00 91.00 pump and alarm circuits \ 85.00 84.25 IWO-.; I 1%Minimum Slope I I +/- 30' 80.50 I�:61 �Q\G I l'4 4" Pump Block Sleeve 2" SCH 40 forcemain in 4" SCH 40 pipe across tank excavation to prevent pipe settling Cam Lock Float Tree: Install floats separately from pump on a 1.5" or 2" PVC pipe Weep Hole WLP1200/800—MR TANK SPECIFICATIONS o a F 164" DIMENSIONS: � .....___,.....__......_.-......_......._._w._._.._.............._.-w.,.........._....__..__..__........_..._.._.,..._._...� w WALL: 3" BOTTOM: 3" n g COVER: 6" o MANHOLE: 24" I.D. PRECAST CONCRETE RISER HEIGHT: 53" O.D, a LENGTH: 164" 0.0, II I b�r� " ST-A-SEAL 4CAST-A-SEAL BELOW INLET: 41" O.U. LIQUID LEVEL: 36" WEIGHT: BOTTOM 12,000 LBS. COVER 8,170 LBS. 0 INLET AND OUTLET: 4" CAST -A -SEAL BOOT OR EQUAL �a1 GASKET, CAST -A -SEAL BOOT OR EQUAL v I INLET AND OUTLET BAFFLE AND FILTER: m 3 FILTER OR I it I I I WISCONSIN, SEE DETAIL #10 it BAFFLE III) !I (OTHER STATES SEE CHART) LIQUID CAPACITY: 33.46 GAL/IN (SEPTIC) = W n 22,24 GAL/IN (PUMP) N LOADING DESIGN: 8' 0" UNSATURATED SOIL W III TOP VIE. W O co TANK CAN BE USED AS: {e'er <} SEPTIC/SEPTIC. SEPTIC/PUMP OR SEPTIC/SIPHON 4" VENT COVER: MIX DESIGN y8 (NO FIBER) O TANK: MIX DESIGN #9 (SMALL FIBER) DO CUSTOMIZED TANKS: — — — — — — FOR CUSTOM TANKS CONTACT WIESER CONCRETE -- — --- - OUTLET Ii 4 M f°i z - -its_ - 1 G U PUMP PAD DRAWINGS SUBMITTED 5 a. SIDE: VIEW FOR APPROVAL 11 APPROVAL TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS nraeovEo ev: VAL onTL: Nuuoucrs rel:eul:o t;v: SHEET N0. � fOF 1 i Page 13 Mound Materials Estimate Parcetiu: 026-1124-01.000 A. Rock Volume: (Rock Below Pipe + Rock to cover pipe (pipe dia + t inch)) X Bed Length X Bed Width = Volume (ft3) ( 6 in + 3 in) s 12 X 60.0 ft X 1000 ft = 450,0 ft3 Divide ft3 by 27 ft3/yd3 to calculate cubic yards: 450.0 ft3 27 = 16.7 yd3 Add 20% for constructability: 16,7 yd3 X 11 = 2090 yd3 For systems using Approved Products: Volume = Product Height X Bed Length x Bed Width Approved Product: ti of Components needed: (See Mound Design page for detailed summary of components needed) B. an Volume: Volume Under Rock bed: Average Sand Depth x Bed Width x Bed Length = cubic feet 03 ft X 1000 ft X 60.0 ft = 390.0 ft3 Upslope Volume: (Upslope Sand Height x Upslope width x Bed Length) _ 2 = cubic feet (( 0,5 ft - 1) X 4,9 X 60,0 ) _ 2 = 73.1 ft3 Downslope Volume: (Downslope Sand Height x Downslope Absorption Width x Bed Length) - 2 = cubic feet (( 0.8 ft 1) X 6.8 ft X 60,0 ) _ 2 = 163,8 ft3 Endslope Volume: Downslope Sand Height x 3 x Bed Width = cubic feet ( 0,8 ft - 1) X 3,0 ft X 1060 ft = 24,0 ft3 Total Clean Sand Volume: Upslope Volume + Downslope Volume + Endslope Volume + Volume Under Bed 73.1 ft3 + 1618 ft3 + 24.0 ft3 + 390.0 ft3 = 651,0 3 ft Divide ft3 by 27 ft3 /yd3 to calculate cubic yards: 651.0 ft3 27 24.1 yd3 Add 20% for constructability: 24,1 yd3 X 1.2 = 2809 yd3 C. Topsoil Volume: Topsoil Berm Volume (approx) : ((Avg. Mound Height - 0,5 ft topsoil) x Mound Width x Mound Length) + 2 = cubic feet ( 2.4 065 )ft X 29.9 ft X 74,5 ) _ 2 = 2138.2 ft3 Total Mound Volume - Clean Sand volume - Rock Volume = cubic feet 213862 ft3 _ 651.0 ft3 - 450,0 ft3 = 1037,3 ft3 Topsoil Cap Volume: Total Mound Width X Total Mound Length X .5 ft 29,9 ft X 74,5 ft X 0.5 ft = 11112 ft3 Divide ft3 by 27 ft3 to calculate cubic yards: 2150.4 ft3 : 27 = 79,6 yd3 Add 20% for constructability: 79.6 yd3 x 1.2 = 95,6 yd3 **For rough estimation purposes only. Final material estimates should be calculated by the plumber/installer" Page 14 Wiscn in Department of Industry, SOIL AND SITE EVALUATION REPORT LabaAid Human Relations Page 1 of 3 Division of Safety & Buildings in accord with ILHR 83,05, Wis. Adm. Code .. COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but St. Croix not limited to vertical and horizontal reference point (BM), direction and % dimensioned, location of slope, scale or PARCEL I.D. # r / Q� G �// Z north arrow, and and distance to nearest road. APPLICANT INFORMATION -PLEASE PRINT ALL INFORMATION EWEBY DATE r Gy9 sp PROPERTY OWNER: PROPERTY LOCATION ruction Inc. GOVT. LOT NW 1/4 NW 1/4,S 26 T 30 N,R 18 6c(or) W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUED. NAME OR CSM # vpin� 1505 Hy. #65 1 na ' CITY, STATE ZIP CODE PHONE NUMBER ❑CITY []VILLAGE DOWN NEAREST ROAD /3d New Richmond, WI. 54017 (715)246-2320 Richmond 140th. Avg. [)j New Construction Use [xJ Residential / Number of bedrooms 4 (j Addition to existing building j ] Replacement [ J Public or commercial describe Code derived daily flow 600 gpd Recommended design loading rate .4 bed, gpd/ft2 .5 trench, gpd/ft2 Absorption area required 500 bed, ft2 500 trench, ft2 Maximum design loading rate .4 bed, gpd/ft2 .5 trench, gpd/ft2 Recommended infiltration surface elevation(s) 96.40 ft (as referred to site plan benchmark) Additional design / site considerations system e _ baGeri on ennt oi:ir 1 i ne of el. 95.40' Parent material glacial drift Flood plain elevation, if applicable na ft "To"SYSTEM S =Suitable for system CONVENTIONAL MOUND IN GROUND PRESSURE AT•GRADE IN FILL HOLDING TANK U =Unsuitable fors stem ❑ S CR U ® S ❑ U ❑ S i�U ®S ❑ U ❑ S �1 U ❑ S $] U Boring # Ground elev. a5*7 ft. Depth to limiting factor 48" Ground elev. g5-7 ft. Depth to limiting factor 48" SOIL DESCRIPTION REPORT Mottles Structure Remarks: 1 0-9 10 r2 2 none 1 2msbk mfr w 2f .5 .6 2 943 10yr4/4 none scil 2msbk mfr gw if .4 .5 3 23-48 7.5yr4/4 none s1 lcsbk mfr gw if .4 .5 4 48-65 5yr4/4 12d 7.5yr5/6 scl M 4 np .2 666, bo is L I Remarks: PROPERTY OWNER Derrick Const., Inc. SOIL DESCRIPTION REPORT PARCELLD.� Page �t�3,_ t �' Ground elev. g4.0 ft. Depth to limiting factor 46" Ground elev. It. Depth to limiting factor Ground elev. ft. Depth to limiting factor Ground elev. ft. Depth to limiting factor Horizon Depth Dominant Color Mottles Texture Structure Consistence Qotxtda�y Roots GPD/ft Bed Trench in. Munsell Du. Sz. Cont. Color Gr. Sz. Sh. 1 � 0-10 10yr2/2 none 1 2msbk mfr gw 2f .5 .6 2 10-2 10yr44/ none scil 2msbk mfr gw if .4 .5 3 20-4 7.5yr4/4 none sl lcsbk mfr gw if .4 .5 4 46.-6 5yr4/4 none scl M na na na np .2 Remarks: Remarks: Remarks: { Remarks: f r STEEL'S SOIL SERVICE Gary L. Steel Derrick Cosntruction Inc. 1554 200th Ave. CSTM2298 NW4NW4 S26-T36N-R18W New Richmond, WI 54017 MPRSW-3254 town of Richmond (715) 246-6200 lot #1-Derrick's Plat This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of the test may or may not be as shown as permanent lot lines were not established at the time the test was conducted. N 1"=40' BM.= top of 11, pvc pipe @ el. 100000, Alt. BM.= top of 1" pvc pipe C el. 97.10' Gary L. Steel 5-14-99 Page 17 OwnerBuyer Mailing 1�ddress Property Address ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM /G� �� ,�-c% � (Verification required from Planning &Zoning Department forOp�w construction.) City/State � �� U` C C (�Ni 0 ^J� Parcel Identification Number � Z„ � a/('Z � �— O / _© c�� LEGAL DESCRIP`T�ION Property Location/� ��'/a , lti r�'/4 ,Sec. �, T � © N R�W, Town of �(� � f�ruo /l.� Subdivision J�u iU %� lS. F �CL�- �� 7��, ,Lot # __�__. Certified Survey Map # ,Volume ,Page # Warranty Deed # /�/ 2 � / � ,Volume ,Page # Spec house ye no Lot lines identifiable yes t�n 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 statemepts on thi form are true to the best of my/our knowledge. Uwe am/are the owners) of the property described above, by virtue of a wa�nty deed r"ecorded in Register of Deeds Office. Number of bedrooms � °`�/ � /Z�/ 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/OS) ,; O W N J H 0 z (� � ,££ �_ I �O ' N I lf') . � . 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'".w�..pr':i�'w.�r�..sa. �HNeQ ��IeS 1HY1NOdWI NL[PCI {i�ll�d ��s � � # d 6 ... ��3��h�� $'}BEY � fiy }a �k �I (� I� :F U y �� 6 �� O .i � Q: a 4 a ti K �- .- z 0 0 W H Z a a a z 0 x w 4 r w U N cK �� s�uz��s x3Ut/W 0401 i ; "� � ( r� r, �� 1 n LL f/1 LL[2 m w. Wisco!loin Department of Industry, SOIL AND SITE EVALUATION REPORT Labor A Human Relations Page 1 of 3 Division of Safety & Buildings in accord with ILHR 83,05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. not limited to vertical and horizontal reference point (BM), direction and % dimensioned, north arrow, and location and distance to nearest road, Plan must include, but of slope, scale or St. Croix PARCEL I.D. # odG ��//Z I APPLICANT INFORMATION -PLEASE PRINT ALL INFORMATION ITIEWE BY DATE Gs9 �y PROPERTY OWNER: s ruction Inc. PROPERTY LOCATION GOVT, LOT NW 1/4 NW 1/41S 26 T 30 N,R 18 5 or) W PROPERTY OWNER':S MAILING ADDRESS �� LOT # BLOCK # SUBD. NAME OR CSM # 1505 Hy. #65 1 na D ' CITY, STATE ZIP CODE PHONE NUMBER New Richmond, WI. 54017 715) 246-2320 ❑CITY ❑VILLAGE 99OWN Richmond NEAREST ROAD /3D 140th. Ave. [ New Construction Use [x] Residential / Number of bedrooms 4 [ ] Addition to existing building [ ] Replacement [ ] Public or commercial describe Code derived daily flow 600 gpd Recommended design loading rate .4 bed, gpd/ft2 .5 trench, gpd/ft2 Absorption area required 500 bed, ft2 500 trench, ft2 Maximum design loading rate .4 bed, gpd/ft2 .5 trench, gpd/ft2 Recommended infiltration surface elevation(s) 96.40 It (as referred to site plan benchmark) Additional design / site considerations system el . based on contour line of el. 95.40' Parent material glacial drift Flood plain elevation, if applicable na ft S = Suitable for system U = Unsuitable fors stem CONVENTIONAL ❑ S CRU MOUND ®S ❑ U IN -GROUND PRESSURE ❑ S CRU AT -GRADE 12 S ❑ U SYSTEM IN FILL ❑ S flu HOLDING TANK ❑ S 'flu Boring # Ground elev. 95.7 ft. Depth to limiting factor 48" Boring # Depth to limiting factor 48" SOIL DESCRIPTION REPORT Mottles Structure Remarks: 1 0-9 10 r2 2 none 1 2msbk mfr w 2f .5 .6 2 9-23 10yr4/4 none scil 2msbk mfr gw if .4 .5 3 23-48 7.5yr4/4 none sl lcsbk mfr gw if .4 .5 4 48-65 5yr4/4 12d 7.5yr5/6 scl M 4 np 92 2 6661 0 .cS �>> Remarks: PROPE�""OWNER� Derrick Const., Inc. SOIL DESCRIPTION REPORT P;4RCEL LD. �___ Page 2 of�' 3 1 Ground elev. g4.0 ft. Depth to limiting factor 46" Ground elev. ft. Depth to limiting factor Ground elev. ft. Depth to limiting factor Ground elev, ft, Depth to limiting factor Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trer� 1 0-10 10yr2/2 none 1 2msbk mfr gw 2f .5 .6 2 10-2 10yr44/ none scil 2msbk mfr gw if .4 .5 3 20-4 7.5yr4/4 none sl lcsbk mfr gw if .4 .5 4 46.-6 5yr4/4 none scl M na na na np .2 Remarks: Remarks: rtemarKs: 1 Remarks: can_a�ania n�roo� Gary L. Steel CSTM2298 MPRSW-3254 STEEL'S SOIL SERVICE Derrick cosntruction Inc. N % W4 S26-TWN-RM town of Richmond lot #1-Derrick's Plat 1554 200th Ave. New Richmond, WI 54017 (715) 24&6200 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of the test may or may not be as shown as permanent lot lines were not established at the time the test was conducted. N 1"=40' BM.= top of 1" pvc pipe @ el. 100.001 Alt. BM.= top of 1" pvc pipe el. 97.10' Gary L. Steel 5-14-99 it ljiililijiillljjljjjl�lll III asaaoa� Tx : %+2495�9 1012196 BETH PABST THIS DEED made between Willow River Joint Venture, a REGISTER OF DEEDS Wisconsin partnership, ("Grantor") and Todd Marek Construction, ST. CROIX CO., WI Inc., a Wisconsin Corporation ("Grantee"), WITNESSETH, that the O5/18/2015 11:54 AM said Grantor, for valuable consideration conveys to Grantee the following EXEMPT#: NA described real estate in St. Croix County, State of Wisconsin: REC FEE: 30.00 TRANS FEE: 75.00 PAGES: 1 Lot One (1), Plat of Sunrise Meadows in the Town of Richmond, Name and Retum Address St. Croix County, Wisconsin � � , Willow River Joint Venture PO Box 445 New Richmond, W 154017 Dated this 13th day of Mav, 2015. AUTHENTICATION Signature( authenticated this day of signature type or print name TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by' 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Michael R. Stevens Willow River Joint Venture PO Box 445 New Richmond, W I 54017 20 026-1124-01-000 (Parcel Identification Number) This is not homestead property ACKNOWLEDGMENT STATE OF WISCONSIN ST. CROIX COUNTY Personally came before me this 13th day of Mav, 2015, the above named Michael R. Stevens and Ronald L. Derrick, as partners of Willow River Joint Venture, a Wisconsin partnership to me known to be the persons who executed the foregoing instrument and acknowledge the same. signature type or print name Bernadette L. L'Allier Notary Public St. Croix County, Wisconsin. My Commission Expires: October 23, 2016. "Names of persons signing in any capacity should be typed or printed below their signatures. 1.:. :. «. St. Croix County 1012196 Page 1 of 1