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030-2131-24-000 (2)
Wisconsin Department of Commerce Safety and Building Division PRIVATE SEWAGE SYSTEM INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m)] TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO PA WELL BLDG. Vent to Air Intake ROAD Septic Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemaln Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM STATION BS HI FS ELEV. Benchmark Alt. BM Bldg. Sewer SUM Inlet SUHt Outlet Dt Inlet Dt Bottom Header/Man. Dist. Pipe Bot. System Final Grade St Cover BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG IWELL LAKE/STREAM LEACHING Manufacturer. INFORMATION Type OF System: CHAMBER OR UNIT Model Number: DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over m Depth of xz Seeded/Sodded xx Mulched Bad/Trench Center Bedrrrench Edges Topsoil Q Yes Q No Q Yes Q No COMMENTS: (Include code discrepancies, persons present, etc.) Location: 1423 SETTLER'S WAY 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = Plan revision Required? 0 Yes 0 No L Use other side for additional information. SBO-6710 (R.3/97) Data Inspection 41: Insepctor's Signature Inspection #2: e8 A'Y��� 2020 hfivi County Safety and Buildings Division 201 W. Washington Ave., P.O. Box 7162 Madison, WI 53707-7162 °► -— Sanitary Permit Applic2l In accordance with SPS 383 21(2), Wis. Adm. Code, submissiorWf this form t is required prior to obtaining a sanitary permit. Note: Application forms for" the Department of Safety and Professional Servies. Personal information you THM Property Ox M23 SIx1T46K5 WR City, State Zip Code Ao4j-ro N LA -NI Syo8 � H. Type of Building (check all that apply) 1 or 2 Family Dwelling- Number of Bedrooms ❑ Public/Commercial - Describe Use ❑ State Owned - Describe Use 3"V GCtaey —rJ- ysT c R O z xa ry Permit Number (to be filled i (OZ`f O 2.S the appropn rntal wit 4 78 Project Address (if different than mailing ad< 14a3r/GIIIZ/.S WTS are submitted. to rovide may secondary Parcel # 030-�131-�y -000 Property Location Nr Govt. Lot . So -s41 V.,Y., Section .23 (circle Tao N; RAE� Phone Number u-7 ' r r B Lot# 2qSubdivision Name SEMLEIQf Crl-le& Block# ❑ City of tuber ❑ Village of t r ® Townof S� j S jrI7 Ill. "1"ype of Permit: (Check my one box on line A. Complete line B if applicable) A. ❑ New System acement System y � y ❑ TreatmrntMolding Tank Replacement Only ❑Other Modification to Existing System (explain) B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner 4 S 3 '1 3- 4- m of IV. Type of POWTS System/Component/Device: Check all that a r ❑ Non -Pressurized In -Ground ❑Pressurized In -Ground ❑ At -Grad Mound 24 i f suitable soil ❑ MoundL<24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explaill) ❑ Pretreatment Device (explain) (0040 , yo I /!"mo 1 /s'eo 198,So VI.Tank Info Capacity in Gallons Total Gallons # of Units Manufacturer �1AV:2 �a� �/ fo ,j s� X New Tanks Existing Tanks Septic or Holding Tank Dosing Chamber I8 o o Soo ♦ ` ^ ale !o -2 64 Court /De a oroved I ❑ 1 r:J �k � � „ Ifs-7 Z f s I -rs- V(It - 33j.A- 'STEM OWNER: Septic tank, effluent filter and dispersal cell must be serviced I maWalned as per management plan provided by plumber. as per applicable code/of(]If ffM.plete plena for SBD-6398 (R. 11/11) : Syc�.3 a 6-e �-16/9/zvz, ,Val 3) r �A .d�D -w.� a ,tU be o.l�s.>,dle.�#.11� e#e G6e�f `eewrG[its orbil nand submit to We CounryWnly`on peaer riy less ang rasa her in site, �) Sanitary Site Plan For: James and Sara McGrath Lot 24 of the Settlers Glen Subdivision P/L Parcel inthe NE - SW + SE -SW Sec. 23 T30N-R20W Town of Saint Joesph - St. Croix County L402 nphic c9eele (Feet) l inch = as M Note: Replace F.M. section as appropriate to insure drain back from mound system. Existing 4" Sch. 40 Bldg. Sewer Mound Site Open Yard w/a Brushy Existing Wieser Concrete WLP12001800 -214R Corner on the N.W. Combination Tank w/Zabel A-1000 Filter System Edge �S% /7 Existing 4 Bedroom Home \ Existing 2" Sch. 40 F.M. >25% Road Ditch 9s.00 Cut—� 99.00' OC/L 40 Proposed 9 ft. x 67 ft. Mound Dispersal Cell w/a System Elev. based on the 98.30'elev. w/a System Elev. of 98.80' FN# 1423 Settler's Way P%L 0 0 010 04 3.00Acre'Parcel Page 8 of Elevation Data Bottom of Pump Chamber = 86.13' Forcemain Invert @ P.C.=94.33' Top of Manhole Cover = 99.91' Top of Well=100.91' BM Sidewalk at front of step. * HRY -Same ASSIIM&DELEV.= 100.00' August 15, 2018 CUST ID No. 224059 KEITH E STONER KEITH STONER SOIL TESTING SANITARY DESIGN 23220 WOODCREEK RD SIREN WI 54872-8728 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/15/2020 SITE: James Mcgrath 1423 Settlers Way Town of Saint Joseph St Croix County , S23, T30N, R20W Lot: 24, Subdivision: Settlers Glen I06TIA DIVISION OF INDUSTRY SERVICES 3824 CREEKSIDE LN HOLMEN WI 54636.9466 Contact Through Relay http://dsps.wi.gov/programs/industry-services www.wisconsin.gov Scott Walker, Governor Laura Guti6rrez, Secretary ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016-7708 Identification Numbers Transaction ID No. 3145278 Site ID No. 852663 Please refer to both identification numbers, above, in all correspondence with the agency. CONDITION APPRON OEP-T of SAF Object Type: POWTS Component Manual Regulated Object ID No.: 1791414 �� SION, f� Maintenance required; 600 GPD Flow rate; System(s): Mound Component Manual - Ver. 2.0, SBD-10691FFT�neurYt�lTt iEyD' R. 10/12); Effluent Filter vvlsioN The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be instructed and located in accordance with the enclosed approved plans and with any component manual(s) reference ab ve. r 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 approved plans and with the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems Version 2.0" SBD-10706-P (N.01/01). • This system is to be constructed and located in accordance with the approved plans, and the "Mound Component Manual for Private Onsite Wastewater Systems Version 2.0" SBD-10691-P (N.01/01). • 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. • 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 wive, 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. • Abandon the existing system components per SPS 383.33 • Electrical connections shall comply with SPS 316.300 and NEC 300 • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 KEITH E STONER Page 2 8/152018 • Verify condition of existing tanks. • As always, good workmanship and attention to detail during the installation process is critical in achieving a final product that will perform as designed. 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 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 and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Travis J Wagner Wastewater Specialist, Division of Industry Services (608)598-0715 , Mon-fri, 7:00 a.m. - 3:30 p.m. travis.wagner@wi.gov Fee Required $ 250.00 This Amount Will Be Invoiced. When You Receive That Invoice, Please Include a Copy With Your Payment Submittal. WiSMART code: 7633 cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Mon-fri, 8:00 A.M. - 4:30 P.M. Walter F Nechville , Nechville Excavating Inc (Plans Mailed To) MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: James and Sara McGrath Replacement Mound System Owner's Name: James and Sara McGrath Owner's Address: 1423 Settler's Way Houlton WI 54082 Property Address: same Legal Description: Parcel in the NE -SW + SE -SW Sec.23 T30N-R20W Township: Saint County: St. Croix Subdivision Name: Settler's Glen Lot Number: 24 Block Number: Na Parcel I.D. Number: 030-2131-24-000 Plan Transaction No.: Page 1 Page 2 Page 3 Page 4 Page 5 Page 6 Page 7 Page 8 Page 9 Designer: Keith E. Stoner Date: 07/29/18 Signature: Index and title Data entry Mound drawings Lateral and dose tank System maintenance specifications Management and contingency plan Pump curve and specifications Sanitary Site Plan Plan Narrative KEITH E. STONER Mound Component Manual for Pwb -efe SSWMP Publication 9.6 Design of Pre* Pressure Distribution Component M'aY Version 7.0 (R. 03/2012) RECEIVED AUG 01 2018 ILLY D t Number: Designer # 1575-007 Number: they SW10691-P (N. 01/01), and bo eNetworks for ST-SAS (01/81) and 2.0 SBD-10706-P (N. 01/01)(6. //2) Page 1 of 9 INDUSTRY SERVICES Mound and Pressure Distribution Component Design Design Worksheet (R or C) Site Information Residential or Commercial Design Estimated Wastewater Flow (gpd) Peaking Factor (e.g. 1.5 = 150%) Design Flow (gpd) Site Slope (%) Contour Line Elevation (ft) Depth to Limiting Factor (in) In -situ Soil Application Rate (gpde) R 400.00 1.50 600.00 11.00 98.30 72.00 0.40 Distribution Cell Information 67.00 Dispersal Cell Length Along Contour (ft) _ 1.00 Dispersal Cell Design Loading Rate (gpd/ftz) 1 Influent Wastewater Quality (1 or 2) Pressure Disribution Information (C or E) C Center or End Manifold Lateral Spacing (ft) Number of Laterals Orifice Diameter (in) Estimated Orifice Spacing (ft) _ Forcemain Diameter (in) Forcemain Length (ft) Pump Tank Elevation (ft) 2.99 6 0.188 3.17 2.00 92.00 86.13 3.25 System Head (ft) x 1.3 12.34 Vertical Lift (ft) 2.94 Friction Loss (ft) 0.00 In -line Filter Loss (ft) 18.53 Total Dynamic Head (ft) Lateral Diameter Selection in. dia. options choice 0.75 1.00 x 1.25 x 1.50 x x 2.00 x 3.00 x Treatment Tank Information 1200.00 septic Tank Capacity (gal) Wieser Concrete IManufacturer Note: Sand f 11 (D) calculations assume a Table 363-443 in -situ soil treatment for fecal coliform of <= 36 inches. 8.96 Cell Width (ft) Are the laterals the highest -point in the distribution L i J network? Enter Y or N If N above, enter the elevation ft of the highest point. 10.01 ftZ/orifice Does the forcemain drain back? Enter Y or N 15.01 Forcemain Drainback (gal) 90.22 5x Void Volume (gal) 105.22 Minimum Dose Volume (gal) 39.32 System Demand (gpm) Manifold Diameter Selection in, dia. options I choice 1.25 1.50 x x 2.00 x 3.00 Gallons/inch Calculator (optional) Total Tank Capacity (gal) Total Working Liquid Depth (in) gal/in (enter result in cell B49) Does Tank Information Effluent Filter Information 800.64 Dose Tank Capacity (gal) Zabel Filter Manufacturer 22.24 Dose Tank Volume (gal/in) A-100 Filter Model Number Wieser Concrete Manufacturer Project: James and Sara McGrath Replacement Mound System Page 2 of 9 Mound Plan and Cross Section Views -r L Mound Component Dimensions A0,50 toe extension made. A 8.96 ft Ein H 1.00 ft K 8.35 ft B 67.00 ft Fin 1 13.43 ft L 83.71 ft D 6.00 in Gft J 1 4.04 1 It W 26.43 ft 600.32 (ft2) Dispersal Cell Area 1 1500.00 (ft2) Basal Area Available 8.96 (gpolft) Linear Loading Rate 1 6.70 (ft) 1110 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 100.59 (ft) F Dispersal Cell 98.80 (ft) ell — Dispersal CQ Elevation E D Shading Key 1❑ _ Topsoil Cap Subsoil Cap 0 ASTM C33 Sand Tilled Layer Aggregate 11.0 % Site Slope ma o a c 1.5ft m o Rm c N ft Dispersal Cell A G IIH 99.30 (ft) Lateral Invert (ft) Contour Elevation Geotextile Fabric Cover See lateral details on T Page 4 for number, size, and spacing of laterals. Laterals are equally F spaced from the distribution cell's centerline in the distribution cell (AxB) Project: James and Sara McGrath Replacement Mound System Page 3 of 9 Project: Center Connection Lateral Layout Diagram FaoemMnaotrwcuoavla tar or aria to manitatd at W •- Turnup Wball wM a r oi"eo Lirlue Flolra d1& M0Wtoaorn4tt1%e41aral Number of Laterals Lateral Diameter Lateral Length (P) Lateral Spacing (S) Lateral Flow Rate System Flow Rate Total Dynamic Head Laterak arriderrloat Lderar6 ffifar ctttnakr Sch 40 PVC per SPS Tattle 3134.30.E Orifice Diameter Orifice Spacing (X) Orifices per Lateral Orifice Density Manifold Length Manifold Diameter Forcemain Velocity Dose Tank Information Electrical as per NEC 300 and��- SPS 316.300 WAC Disconnect Tank component is property vented Wieser Concrete Ca aci 800.64 Volume 22.24 Manufacturer Gallons gal/inch Dimensionj Inches Gallons A 19.27 428.54 B 2.00 44.48 C 4.73 105.22 D 10.00 222.40 Total 36.00 800.64 T A B C Alarm Manuafacturer 1SJE. Rhombus Alarm Model Number ITank Alert 1 Pump Manufacturer Libe Pump Model Number 1290 314 HP Pump Must Deliver 39.32 gpm at 18.53 ft TDH James and Sara McGrath Replacement Mound System F Locking cover with warning label and locking device and sealed watertight 4 in. min. �- Alternate outlet location Forcemain diameter 2 in. Weep hole or anti - siphon device Dom se tank elevation (ft) 86.13 Note: Switches containing mercury may not be used in this system. Page 4 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name Ron's Sewer Service Phone 715-749-0153 POWTS Regulator's Name I St. Croix County Services Phone 715-386-4680 System Flow and Load Parameters Design Flow - Peak 6D0 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 ftz Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Other Service Frequency Inspect and/or service once every 3 years Should inspect and clean at least once every 3 years Test once every 3 years Should test month) Laterals should be flushed and pressure tested every 1.5 years Inspect for poncling and seepage once every 3 years Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to SPS 384.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in SPS 384, 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 Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: James and Sara McGrath Replacement Mound System Page 5 of 9 Mound System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General This system shall be operated in accordance with SPS 382-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD-10691-P (N.01101), SSWMP Publication 9.6 (01/81), and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P IN. 01/01)] 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 SPS 383.33, 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 fitter shall be cleaned as necessary to ensure proper operation. The filer 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 fitter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Interniltentflher alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 113 the liquid volume of the tank. If the contents of the tank are not removed at the time of a biennial 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 lank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October -February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BOD5, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BODS, 30 mg/L TSS, 10 mg/L FOG, and 104 chill 00 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 it 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. Continency Plan If the septic tank or any of its components become defective the lank 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. Pretreatment Units The information and schedule of mananagemem and maintenance for pretreatment devices such as aerobic treatment units or disinfection units are attached as separate documents and are considered part of the overall management plan for this system. Project: Page 6 of 9 0 50 + 46 40 35 30 LL 2 O 25 J H O 20 5 LITERS PER MINUTE 50 100 150 200 260 300 W 12 16 4 Q 1 I 1 I 1 1 1 1 1 41-1.0 0 10 20 30 40 50 60 70 80 90 GALLONS PER MINUTE 2%PI Rognn011 CCup It 2011 Li" Pomp. Inc. All ngnu tccry Sp lfica0cu st&ject w.Mrs, widow[nd¢c \J�// 0 Sanitary Site Plan For: James and Sara McGrath Lot 24 of the Settlers Glen Subdivision P/L Parcel inthe NE - SW + SE -SW Sec. 23 T30N-R20W Town of Saint Joesph - St. Croix County z �o L inch sew 40 t crL JNote: Replace F.M. section = as appropriate to insure drain backfrom mound system. Existing 4"Sch. 40 Bldg. Sewer Mound Site Open Yard w/ a Brushy Existing Wieser Concrete WLP12001800 -MR Corner on the N.W Combination Tank w/ Zabel A-1000 Filter System Edge � ,f/ Existing 4 Bedroom Home \ Existing 2" n Sch 40 F.:lt. >25% " Road Ditch 95.00\ \ CIL 400 \ \ \ �97.00' Proposed 9 ft. x 67 Jt. Mound Dispersal Cell w/a System Elev. based on the 98.30' elev. w/a System Elev. of 98.80' \ FN# 1423 Settler's Way PIL Page 8 of 9 3.00 Acre Parcel Elevation Data Bottom of Pump Chamber = 86.13' Forcemain Invert @ P.C. =94.33' Top of Manhole Cover = 99.91' Top of Well = 100.91' BM Sidewalk at front of step. �E EERP.Same ASSDM6D ELEV. - 100.00' Plan Narrative The system proposal for this site is to place a new 9' x 67' Mound Dispersal Cell on the James and Sarah McGrath property located at 1423 Settler's Way in the Township of Saint Joseph in St. Croix County. Sanitary permit #453048 was issued for the installation of a conventional lift system using leaching chambers with a .5 soil application rate in March of 2004. Three 3' x 84' dispersal cells were installed using 39 Standard Infiltrator Chambers. System depths ranged from 2.25 ft to 4.81 ft. due to elevation differences across the site. In discussing the existing sanitary systems problems the homeowner stated that he had been having problems with dispersal system since 2012. A review of the original sanitary permit had a note stating that the system area tested for a mound would not be utilized as the primary POWTS however there wasn't any documentation to show this site. CST James Thompson completed a new soil test in November of 2015 and once again recommending an in -ground system using a .4 soil application rate. A discussion between Mr. McGrath, Mr. Nechville and myself centered around the longevity of the first system installed and the recommendation to re -install a second system in -ground with a slightly larger footprint ensued. We discussed alternatives such as the at -grade mound and its space requirements and the option of installing a mound system. With the lack of sufficient contour length to site and At - Grade Mound cell we deferred to the 6 inch mound. With the available space we were able to locate a mound dispersal cell 9 ft. x 67 ft. just below the existing dispersal cells just slightly off contour. With the grade available we figured we could nicely blend the system into the existing slope. A point of discussion on the system design is that the Thompson soil report documented fill material in B#2 and B#3. This fill material should be discussed as it could affect the type of design submitted if the fill material was in the area of the proposed dispersal cell. B#2 reports fill in the first 10 inches of the profile description- There is a discrepancy between the borings location and its elevation. I believe the elevation is in error as it would make sense that the soils may have been disturbed near the top of the ditch during road construction. We completed a shovel pit on the proposed down slope edge of the fill area and found no fill at that point. The other boring indicating fill was B#3, this boring was adjacent to the existing dispersal cells and likely was remnants of the disturbed soils and subsequent backfilling of the original sanitary system. Based on our review of the site we feel that this proposed mound system will adequately treat and disperse the wastewater generated from this four bedroom residence and that we are confident that there is no fill material within the proposed dispersal area. Page 9 of 9 m m �.I 1 1 17 Iha V DEC 17 2N n P-AJLD sconsin �r I x 0UNT1 SOIL EVALUATION REPORT � -7d y 1 Comrmr�,�[c���� uN� DEVELOPMENT, accordance with Comm 85, Wis. Adm. Codf County Attach complete site plan on paper not less than 8N, x 71 inches in size. Pla include, but not limited to: vertical and horizontal reference point (BM), directio parcel I percent slope, scale or dimemaions, north arrow, and location and distance tr 03 - - Please print all Information. Revi ey� i Personal information you provide may be used for secondary purposes (Privacy Law, s. csr-zefs -oy/ 2421 Page 1 of 3 A.C.E. Sol[ & Site Evaluations Croa ` I 4-000 , /d J Date a Jim & Sara McGrath Govt. Lot SE'1/4 S 1/4FS 23 T 30 N R 20 W Property Owner's Mailing Address Lot # Block # Subd. Nitme, or CSM# 1423 Settlers Way 24 na Plat Of Settler's Glen LL City State Zip Code Phone Numbei J City I Village ✓J Tom Nearest Road ILIo,5 SE4#'rs w Ry Saint Joseph WI 1 54082 1 (651)260-9478 SLJoseph Thelen Farm Rd / J New Constructior Use: ✓J Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD ✓i Replacement i' Public or commercial - Describe: Parent material Glacial Outwash Flood plain elevation, if applicable Not General comment[ Zdf„.L /e and recommendations: Soils suitable for conventional dispersal cell at 0.4 gpd. Recommended Infiltrative surface elevation to be 94.25'. i r I r ._ 01 _ P Boring # J Boring 1 J ✓J Pit Ground Surface elev 98.01 ft.Depth to limiting facts >84"° in. Sal Application Rat 1 0-5 10yr3/2 none fsl 2fgr mvfr cw I 2fmlc 1 0.4 0.8 2 5-17 10yr4/4 none Ivfs Osg ml aw 2fmlc 0.4 0.6 3 17-33 7.5yr4/4 none sl 2fsbk mvfr aw 2vf,fm 0.6 1.0 4 33-56 7.5yr4/6 none Ifs Osg ml aw 1vff 0.5 1.0 5 56-78 1Dyr4/4 none logs & gr Deg ml ci 0.5 1.0 6 78-B4 10yr5/2 none cos & gr 0 sg of - - 0.7 1.6 H# 5 contains a hiah oercentaue of Gay.- Loadiho rate of horizon adiusted to reflect reduced Penneabifly associated with clay content 2] goring # J Boring J Pit Ground Surface elev 95.88 ft. Depth to limiting factor >75„ in. Soll Application Rat Horizon Depth in. Dominant Color Redox Description Qu. Sz. Cont. Cob Texture Struclurt Gr. Sz. Sh Consistence Bounder Roots GPDliF -Eff#1 2 1 0-10 1Oyr3/3 none all fill na mvfr cw 2fm1c na na 2 10-39 1Oyr4/4 none Hs Osg ml aw 2fmc 0.5 1.0 3 39-5D 7.5yr4/4 none sl lfsbk mvfr aw 2fmlc 0.4 0.8 4 5D-68 7.5yr4/6 none Ifs Dag ml cw 1fm 0.5 1.0 5 68-75 1 Oyr4/4 none lops & gr Osg ml - - 0.5 1.0 H# 5 contains a high percentag cYa . Loading rate of horizon adjusted to refleclr reduced permeabilty associated with clay content. ' Effluent #1 = BOD ? 30 < 220 mg/L a d TSS >30 - 150 mg ' Effluent #2 = BOO S- 30 mg/L and TSS c 30 mg, CST Name (Please Print) Sig ore: CST Number James K. Thompson _ S,— 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 11/3/2015 715-248-7767 Property Owner Jim & Sara McGrath Parcel ID # 030-2131-24-000 Page 2 37 Boring # J Boring J ✓� pit Ground Surface elev 96.71 ft. Depth to limiting factor >72" In. Sol Application , Horizon Depth in. Dominant Color Redox Description Qu. Sz. Cont. Colo Texture Structure Gr. Sz. Sh Consistence Bounder Rods GPD/fF `Eff#1 'Eff#2 1 0-16 10yr3/3 none sl fill na mvfr cw 2fm1c na na 2 16-28 10yr4/4 none Its Deg mt aw 2fmc 0.5 1.0 3 28-44 7.5yr4/6 none scl 2fsbk mvfr aw 2fmtc 0.4 0.6 4 44-72 1Oyr4/4 none Its Osg in - 11fm 0.5 1.0 H# 4 contains 1" - 3" bands of 7.5yr416 al. Loading rate reflects reduced permeability of honzon associated with banding. �I I Boring # ' Boring _; pl Ground Surface elev ft Depth to limiting factor in. Soil Application Rat Horizon Depth in Dominant Color Redox Description Qu. Sz. Cont. Colo Texture Structure Gr. Sz. Sh Consistence Bounder Roots GP AF 'Eff#1 •Eff#2 ❑ Boring # _i Boring I Pit Ground Surface elev ft Depth to limiting factor in. Soil Application Rat Horizon Depth in. Dominant Color Redox Description Qu. Sz. Cont. Colo Texture Structure Gr. Sz. Sh Consistence Bounder Roots GPD/ft' 'Eff#1 'Eff#2 Effluent #1 = SOD ? 30 < 220 mg/L and TSS >30 < 150 mg ' Effluent #2 = BOD Se 30 mg/L and TSS < 30 mg. The Department of Commerce ism equal opportunity, service provider and employer. If you need assistance to access services or need material in an altemate format, please contact the department at 608-266-3151 or TTY 608-264-8777 san-8330(1107/M &C.E S 111& Site Evaluamns Property Owner Jim & Sara McGrath I 7 I a,,.:..,, a -j Boring Parcel ID # 030-2131-24-000 JPage 2 , L' I J Pk Ground Surface elev 96.71 ft. Depth to limning factor >72" in. Soil Application Horizon Depth in. Dominant Color Redox Description Qu. Sz. Cont. Colo Texture Structure Gr. Sz. Sh Consistence Bounder Roots G 'Etf#1 'E11112 1 0-16 10yr3/3 none slfill na mvfr cw 2fm1c na na 2 16-28 10yr414 none ffs Osg ml aw 2fmc 0.5 1.0 3 26-44 7.5yr4/6 none Sol 2fsbk mvfr aw 2fmlc 0.4 0.6 4 44-72 10yr4/4 none Ifs Osg ml - 1fm 0.5 1.0 H# 4 contains 1" - 3" bands of 7.5yr4/6 at. Loading rate reflects reduced permeability, of horizon associated with banding. I I a.,.i—a J Boring I-7 R�6� a .1 Boring Effluent #1 = SOD 3 30 < 220 mg/L and TSS >30 < 150 mg • Effluent #2 = BOD 5� 30 mg/L and TSS < 30 mg, The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an altemate format, please contact the department at 608-266-3151 or TfY 608-264-8777. saaaexo (a071M A.C.E. Soi a Sae Evaluadons L3o.w/. n'lu� ,('rE Fiea B /OerC.( S{xOp'/�.ca' /3otiam 86./3, Forc�,na;nin✓vi�EPG. 9'/•336/d. =�h•/f-ia,b"✓cSwfacc oP�,Yb��,`�5j d:spvs� cel(:9y75• Tel.'/�¢,�lve 5,..,4ee oFpropos�6' d:,�evs¢1 Cut: 9t!aS' r--� I I EXiSb'^^ggW�CsvCsr,c�t% I ' tL:7z pd. Gxbn�(7�✓l s.r.-lP.G, wiz`W A--,o 0 —IexisE:n� e!{/udn6.�'•/6w / ,Pcsul I, ; EX7fi'��++gg C�'Sptrsa/W/. 7-9�dz(1J / , t�•an[.,Crs.td'rBf�4s• znF.'/dzL+•' � �?�-- _ �' Wxv DO —'Q-¢•e<,e.w 6li�f. T.n/.'it`i<.b-✓c ; t.� .97Gl�----- 99.3i� i�1�1i \� _ rim— —��-- -- -- • � �tiQ Sett/r/ y ■ 50;/ t✓•luaE:ai P'E by�ismps.,•, � Ex%sbn� }rnde olu� ca/c: 310' 4e Mee /'/23 Se�4 / S Jay //eu,�Evn, W! ss/asz T , eFSE•7as4°� SE.Gaix(o' ;Wi �O e%tt Oyo-213/-may cep ,*;7 3.1 ac--a Ero3F& j Well. �eP�' P5. 3 �'3 Tv� m� M RF�Fii; Fo -ec o P AR vvlamn.r,Dawrorwnw sT j ZO�OIL VALUATION REPORT Pape f a DM" a SsFay and BWldep aar�iaraaltOp`wrm UFn' i r Attach cmTVWe she plan on Paper not bei 11 i at Size. Wan must Include, but not Srolled b: vaecal and tbrtronta retere (BMj, diradion and percentabpe. Scale or dinensions, north arrow, and location and dktanae to nearest road. Please print all Information. IN " ManrwnrwprewOrmgbeurdfor Samrgvy Waaaa(Pr*wYteM. s. 15.04 (1)1mP CatrnY � . C. C Partd I.D. _ D`te 2 d prope"Y"Owner Ca !� ram ' S _ prao•nr Loca GovLLot //F 114�(k)114 S73 T N R ZQ E (orQ PmpertyOwnershlaWgAftm a Zc) S�'l/Gva �e v g1 �f Z BlcrAlt SuW Name orCSW 1 �T-ri e fats VMepe Toen Naarea RoW m New Carrrudln We:[3ReWdw"/MrMwdbedroam �S- H Code d~ deelyn Sow rate �G o cJ OPD ❑ Repleoenwri ❑ Plb1c or coviadal - Deevte: -- Parent tnat-- _ L u is > a 5 ti Flood Man slaabm it appYcebb Genwalmoot mwdeft Si r"`'. et V, qq, 3p Cam carp a ❑ eo,*v 4 L FS r I Pry Groud askm ekv. 9 0 A Dsplh io I"" uctor ' j .i T " ' "'-"- / / Yon Flak Florkon DspC Dortitnl Color Re&z Dna"on Tan Saucrae Cons .3 r In, Nraew (Si Sz. Cart Color Or. $ Sh. U (/ 'EfW2 I o- G- / — S; n m r C v (u - Z 10 — 5- .rs,.y r1-� r c 5 c_ 3 3z-7( — L�5 z� C5 I s y �eonrpe ❑ earp ® pitGrow-4w ekr.�o,X('>L D10 to kft belor-Jr h sd ApPkMbn Rak Hoiti s Daph in. Dm*m I ColorRadox Munn" Ducroon OLL Ss Cont Color Tame Setceaa Or. Ss SR Consistence Saaday Roar OPDM Twl •ESM2 I - z — S L ZmSd r Z L SZ -X- /,I •. - � o S OS — Z 3 -R= p� •EIYMr101 DOD s 30 g 22D nvL aw Tas 3D 16omg& •E Mwi/L•B00 <3Dwq&adTSS130mpR csr �. tPk�e prp(/ CST ranter Xi/L✓'�U �g - Mdiaas pye Evaeneon Tekphom mrrjw F/ �� _ Sozf 3—S-D sa oz� ftVrtyOwrwr_ O V1 Vt S c ✓\ Paroer • error Bodes 3 B pit drama aarf a ". � n Depth io kMT recta / O_ in, Sol mare ltorlmn Dagh Dmiwu Colo, Rados D.sa"on T.Khn seuwr. CaraW.noo Boundery Roof. OFDry in. 1Mne8 Ou. SL Car. Color Gr. 3z sn. Tr1 6-5 {u /3/3 — 5` ZmS. CS I C 5' P 2 2 S msbk C4i /v 119 ,1-29 10,1(3& — 14 ZMAk 17 4�. = / oV Gts ®©©©MEN ® i MIR NM ' 1211=1 M - BOD, s 30 _< 220 RVL altd TSS >30 < 150 nV& ' Hfwert R a SM i 30 waL and TSS 130 rrWL The Department of Commerce is an egoal opportunity service provider and employer. if you need assistance W access services or reed material in an altercate fonns4 pkax cooW the department at 608-266.3151 or TTY 608.264.8777. PAGE 08 GLEN r 03/B5/2064 14:39 7153862979 PAOE��� tow Lci LEGALDE9CR0'1 —iK 1H.8?_.N•� -&�)W NAME: '* °_..__ �— 9CALB:1"` yG' (:rr•IELEVATM: fc- r BM 1 Dom: BM 2 ELEVATION- SYSTEMELBVATIO�1 SYSTEM TYPE' rLn ti �q ate, ON o-a / Owner! Buyer Mailing Address _/ 'I Property Address ST. CROIR COL?N"LY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM (Verification required from Planning & Zoning Department for new construction.) City,'State a cn L..5 - Parcel Identification Number 030-.1 -,Z4- ail G LEGAL DESCRIPTION Property Location IJ f y, , Sw 1A , Sec. 23 , T 3 e N R 2e W, Town of 5f : 5 G S co Subdivision Ll Lot # � . Certified Survey Map # r- Volume 1-, Page Warrant) Deed # '14 Alb (before 2007)Volume Z 191S , Page # d 4l Spec house D yes ,'jao Lot lines identifiable Xyes ❑ 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 §SPS. 383.52(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 Uz frill 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 Safety And Professional Services and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and retained to the St. Croix Count, Planning & Zoning Department within 30 days of the three year expiration date. Itwe certify that all statements on this form are true to the best of myrour 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 bedrooms `i SIUNAfUR.E OF APPLICANT(S) _'ep!obd___;� 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. 04/12) Wisconsin Department of Commerce Safety and Buildiog Division. GENERAL INFORMATION Personal Information you provide may be used BM TANK INFORMATION PRIVATE SEWAGE SYSTEM INSPECTION REPORT (ATTACH TO PERMIT) (Privacy Law, s.15.04 (1)(m)]. City Village X Township TYPE MANUFACTURER CAPACITY Septic D [� Dosing Aeration Holding TANK SETBACK INFORMATIONlt�P� iov �r (At TANKTO P/L WELL BLDG. Ventto AkIntake ROAD Septic O' 12 / Z i Dosing Aeration Holding PUMPISIPHON INFORMATION f 1 Manufacturer D mand PM Model Number �� TDH Li Friction Loss System Head TDH Ft . S Forcemain Length Die . Dist. to Well so' A-r o' SOIL ABSORPTION SYSTEM St. Croix 453048 0 1 030-2131-24-000 Map No 23.30.20.1078 DATA STATION BS HI FS ELEV. Benchmark O u. /00 . a Alt. BM Bldg. Sewer I of St/HI Inlet 15.5 By.s HI Outlet Dt Inlet Dt Bottom 6= 1 Q BQ. IO Header/Man. 90.3 Dist. Pipe Bot. System 0. 7 8 Final Grade 9 .3 st cpver S.9 BEDITRENCH DIMENSIONS Width Length v c O O No. Of Trenches I� -3 .( C PIT DIMENSIONS No. Of Pits inside Dia. Liquid Depth SETBACK INFORMATION SYSTEM TO Type Of Svys�tLP P/L 5 � B�L�D'CG,K WELL SD LAKE/STREAM / LEACHING HAMBEROR UNIT i -Ia7 ManufacturerCOA Model Number DISTRIBUTION SYSTEM Header/Mandoltl if �/ Lenj lq� Dia `i Distribution x Hole Sae x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Spacing SOIL COVER x Pressure Svstems Only xx Mound Or At -Grade Systems Only Depth Over , Bed?rench Center /' t r, (., Depth Oaer BedrtrenU Edges O 5 xx Depth of Top a Seeded'Sodded xx Mulcted r.'; Yes ! -'. No j' Yes '. No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:f96_1_LL1Q_ali Ingw Location: 1423 Settlers Way }Hludson, WI 54016 (NE 1/4 SW\1/4 23 T30N R2(0'W) Settler's Glen Lot 24 Parcel No: 23.30.20.1078 1.) Alt BM Description = t7t � �E [Au'm Col I U.�+.w b�l d 2.) Bldg sewer length = 'L,Z' �✓� - amount of cover = (3) Obs kk, �h 3 p d vt.�l mn (st N %.Al _ Plan revision Required? :g Yes No O Use other side for additional lnformati'o� SBDE710 (R.3/97) Date InseP ctor5 Signature Cad. No.