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002-1013-10-100
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM wumy. St. Crop( Safety and Building Division INSPECTION REPORT sanitary Permit No ATTACH TO PERMIT 624886 GENERAL INFORMATION Personal information you provide may be used for secondary purposes IPnvacy Law, s 15 04 (1)(m)l TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic i.�•�TT (tr00/(oG Dosing 1 _ Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLTto Air Intake ROAD Septic 17 r / _ Dosing VI 4 � ZT Aeration Holding PUMP/SIPHON INFORMATION Manufacturer me Model Number 5AJ TDH Lift Zl I Friction Lossb System Head TDH Ft Forcemain Length Dia, IT Dist. to Well r SOIL ABSORPTIIUN SYSTEM - o }Zooeo 5V-#A 002-1013-10-100 06.29.16.86E STATION BS HI FS ELEV. Benchmark D 1 Alt. BM Bldg Sewer to e SVHt Inlet - �'�� %,r,•S / SUHt Outlet Dt Inlet Dt Batt" 1 Header/Man Dist. Pipe �.� a �y O •�01 Bot System j Q'%•Ori Final rade w-1( ra+ I/ -0,11 1 Cov TyIN l 2•�7i I r 3•i� .la .lrr7 9q•6o1 ED -01MENSIONS Width I C) Length O f No Of T—n,hQ•s .3 J10.�1 PrT DIMENSIONS No Of Pits Inside Dig Liquid Depth SETBACK SYSTEM TO P/L BLIDG IWELL LAKE/STREAM LEACHIN M acturer. INFORMATION CHAMBER UNIT Type Of System .� ^/ ryl 6 r.�/✓� ( Model Number' DISTRIBUTION SYSTEM / ta5p*T I/L��.� {,� � J \ -t" / Header/Manifold Length 3.Spacinga I tL l I Distribution 1 I I r / Penn(t �Ya � D a /7 Spacing 3' x Hole Srze 3/� G' x Hole Spacing • i7 , Vent to Air Intake SOIL COVER T x Pressure Systems Only Depth Over Depth Over xx Depth of xz eeded! o e xx u .... BedlTrench Center BedFrrench Edges Topsoil 1-1 Yes -1 Yes :j No COMMENTS: (Include code discrepancies, persons present, etc) Inspection #1: iluAoInspection #2 Pjrz-lv�Z&2. Location: 1118 SPRUCE RD 1 L) st r.M1(wd�* 1) All BM Description = I 2.) Bldg sewer length - - amount of cover K+* 3) S.d r I ! ,5�5 e..IA1! w o tiles — a Plan revision Required? [Yes X No Use other side for additional information. Date Insepctors Signature Can No. SBD-6710 (R 3/97) y4W j'✓ •� + � Safety and Buildings Division _ St. ccck< 0�. } Z�ZQ 201 W. Washington Ave., P O. BOX 1162 Sanitary Permit Number (to be filled in by Co.) �11PS fi. ju_ Madlssn, WI 53707 7162 62`f 876�, If All, ,..-_Sanitary Permit Appll�atim OCf Y 1 State Transaction Number In accordance with SPS 383.21(2), Wis Adm. Code, submission of this form to the a ovemmenta umt is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POW fitted to Prolecl Address (if different than mQail-ing, address) the Department of Safety and Professional Servies. Personal information you provide may be used for secon ry pi 1S•2ftf•« ¢O lYz�1C1tWNh u oses in accordance with the Privacy Law, s 15.04(I)(m), Stats. O '-''00 W �• ���,a. L Application Informatio - Please Print All Information Property Owner's Name q q: t Parcel # yr ` N . Itt 31 101 Property Ownere}r's Mailing Address Property Location `` fir - fth J, • Govi Lot Sy1pp y, 3%,1 /4, Section City, State Zip Code Phone Number �� OQ 1 - �^ 70 1p T 1-9 N R (Circle on _j(� orC:./ II. type of Building (check all that apply) ' Lot ft �l.or 2 Family Dwelling - Number of Be rooms / V 1 I 111 Subdivision Name 0.S f `- S) ` Block # ❑ Public/Commercial - Describe Use ❑ City of ❑ State Owned - Describe Use ❑ Village of CSM Number qpa- J.2'/ P.i��7rf �ownof �i4CDU1tJ Ill. Type of Permit: (Check only one box online A. Complete line B if applicable) `* New System y ❑Replacement System ❑ Treatment/Holding Tank Replacement Only ❑Other Modification to Existing System (explain) B. El Permit Renewal ❑ Permit Revision [I Change of Plumber ❑ Pemirt Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner Lf IV. Type of POWTS System/Component/Device: Check all that a 1 j) I � ElNon-PressurizedIn-Ground El Pressurized In -Ground ❑ At -Grade Mound>_ 24 m of sw[able so ❑Mound < 24—in. of scalable soil ❑ Holding Tank ❑ Other Dispersal Component (ex am) ❑ Pretreatment Device (explain) / V. Dispersal/Treatment Area Information: 0 t Design (gpd) Design Soil Application Rat4gpdso Dispersal Area Required (sf) Dispersal Area Proposed (s0 ystem Elevation J �/Q O vo y 2,o 100 . 9 �- VI. Tank Info Capa try in Total e, of Manufacturer Gallons Gallons Units y/� /, I��'\ _ ) d w o d v - `v o New Tanks Existing Tanks' (�(O�-"'r' m o - 2 u u Septic or Holding Tank V O•^'�Li.U� V Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibilit� for installation of the POWTS shown on the attached plans. Plumber's Name (Print) er's Signature MP/MPRS Number Business Phone Number 15 saS z�S Plumber's Address (Street, City, State, Zip Code) c 3woa SnN\ ps>r �Not+nol.1lE w Si7S Vlll. Count /De artment Use Onl Approved ❑ PermitFee Issued Issuing Agent Signature �-vveep $ 6-50 yDate -r/2� C son for Denial LAzp 1X. Conditions of pprov /IReeseesf�iial 3) EroSte� Ce rc ( f �'^"S 11 MAu SYSTEM OWNS : ,, s II`` + V 1. Septic tank, effluent filter and lc�ti9NS Uri. QUP-201q- Q 7-q aw, tw —W tYi•. dispersal cell must be serviced / maintained -+ I as per management plan provided by plumber. �\ f .}-,• 1 .iV D ® J MWa17fa.'w. $e�ln �i*..x�t f¢t✓ A& -ic, V110 d-wo 2. All setback requirements must be maintained 1N as per �ppllcable� 2 5 s ete plans for the system end submit to the County only oonnS apw not lesg th>1ti 81rz x 1 inches in size IfU"^�+her-Fc YOIYt� - 398 . 1l�/hlfjt� Designer. Ryan Becbel Certified Soil Tester. #1330832 Designer of Engineering Systems: D 2263-7 do O C7 0 0 maintain minimum 50' \ setback to OHWi as required by sps 383.43 0 N r 'All property lines not 0 Benchmark drawn are >I Dom from system Soil Boring SCALE 0' 40' 20' p� o Well be located a r _ >5 rom system components** O � \ \ \ > \\` o a \ \ N p N \ \ N > \ \ -H O t CD ~ 1 ed Propos SYSTEM NOTES 1 Septic Tank: V`12001800 gallon 2-comparMent tank -Bring users 4' above finsue Pdybk-515 filter wl alai Do not rode clear water into sells; tank Maintain all regw2d OH acks to Pine Lake U Pump Tank: Pump needs =4Dgpn@ 15tle— i -800 gallons i-Move tank as necessary; mamlan all setbacks I -Recalculate pump Friction Loss and TDH are astaft Event counter, time meter, or water meferrecommended STA: -10k80'Mound -24' absorption width -11' clean sand lift (ASTM C33 sand) -Cut stumps lush to ground, avoid digging Now entire absorption area and remove clippings -Roughen absorption area a depth of 5'-8' -Dived surface water may than system Depth to restichm = 25' Contour =100 00 Slope = 5-10% I Distribution: -Laterals to be spaced 12' from end of bed <24'train sdes - l3)1 i'sch 40 pvc laterals with cleanouls-iae sprinkler boxes for prolechan -I } header, end fed network. J' onfices @ 30'spxing I Pmlect 15'dowrnslope absorption area from ampachon during consWchon Demand dose boat sebngs per design LOCATION MAP (not to I e QlNj;E slra i \, PREPARED FOR: \ Tim Mitt lestadt (Plumber) \ Site Address: \ \ 1118 Spruce RD \ \ Baldwin, WI 54002 \\ \\ PID: 002.1013.10,100 5.6 Acres Legal: LOT 1 CSM 3/662 NKA awonnd stot.mmd: This eyetem has bmn d..rynae arm nvuluatsd to aaaordvnce .nit scorn aria lamI oae.r , dr \ \ CSM 24-5674 S06 T29N canenoa WAre Y.nF or aa abran data0aqcopa,tbn heos M afteR16W Town of Baldwin I Eemer� \,ake Pcce55 as M1 !,_ 7/) 7/r)_ !t_Q s"r'c.; try 71 1 Safety Buildings Division Cou S IX and ' �$ 1+.i 201 W Washington Ave., P O Box 7162 Sanitary Permit Number (to be filled in by C'o ) �. PS x� JUN 12 2020 Madison, WI 53707-7162 i CO ah^tr Pettm>ItI A,,_ication •al j-t� ( IFxperele-g"R \`1 In SPS 383 21(2), Wis. State Transaction Humber accordance with Aim Code, submission of this fomr to he approunit Project Address (if different than mailing address) is required pnor to obtaining a sanitary permit Note Application forms for stagowned PO WTS are submitted to the Department of Safety and Professional Servies Personal information you provide may be used for seconda� p. p� �� C purposes in accordance with the Privacy Law, s 15 04(I )(m), Suits O / B1I&W i ,L S �-J U O Z. 1. Application Information - Please Print All Information Property Owner's Name KL knu(i e Parcel P CLArT)S`54 ovSc__ 011 ✓002-1013-/0-!0091-ems Property Owner's Mailing Address Property Location 2016, �J 1 f� L� J 1 �--� _re e_-T- Govt Lot i $Lr 51�+ Y., Section City, State I Zip Code Phone Number � S`jUCZ I-G!2 SSy� 4709 circle one Ej T 2-9 N; R E or H. Type of Building (check all that apply) Lot 7 I or 2 family Dwelling -Number of Bedrooms Su vision Name (� 4 Block ❑ Public/Commercial - Describe Use f ❑State Owned -Describe Use ge of ('SM mbe L��C) 1 r MUM,l.r �-t -2A P �tTi� .woof _ _ Ill. 11 Type of Permit: Check onl ne box on line A. Complete line if applicabl A New System ❑ Replacen System ❑ Treatment/Ho mg fan plac e Other M icat to Existing System (explain) B. ❑ Pennrt Renewal El Permit Revision Previou rmit Number and Date Issued ❑ Change o In cr rmit Trait to e Before Expiration , �� 11 net ' IV. Type of POWTS S stem/Coin onent/Device: ( ek tha I ❑ Non -Pressurized lit -Ground ❑Pressurized In{hound 1-Grade VMU.nd>24 in of swtable sal ❑ Mound <24m of sm[a le soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explam)�U 100, D V. Dispersal/Treatment Area Information: Design Flow (gpd) Design it Application Rate(gpdsO Dispersa rea Re red (s0 Dispersal Area P osed (sf) System Elevation l.o � L4 r7� �5v (a. loo,`i2✓ VI. Tank Info i Capacity in Total N of Manufacturer Gallons Gallons trotsf W/ I�lyldk New Tanks I. xistin anks _r Septic or Holding Tank 1vwk U "Icu f 1C Dosing Chamber t „t " Ua-1-1 VII. Responsibility Statement- 1, the uncle igned, assume responsibilit) for installation of the POWTS own on the attached plans. Plumber's Name (Print) PI rs Signature1 Va,Ih,elN a6o 1( MPtMPRS Number (qu (z Business Phone Number -?).r s11r-z�4r Plumber's Address (Street, City, State. Zip ('ode) V 3 9 0 2, .550-T cw` }tie,,�uK, 'c SK7rl VI Ill. County/Department Use Only ❑ Approved ❑ Disapproved Permit Fee Date Issued Issuing Agent Signature El Owner Given Reason for Ucmal IX. Conditions of Approval/Reasons for Disapproval �r05 iD/) G r UI (Qd Qovjrk3 loff MOoNO Ct2C! Con ilfa�s �n Lvl? 20n-�2i 0.fe 1 effcc-� 1")l -W IS permW / if r 4 DHWM! I Aimed m Com/pllete finds Tor the system and submit to the County only on paper not less than 811E x 11 ches' 14 i - r ewdbms f/ j�LIT( G2�1i%V& % ( ove r/) �(-% G�� fS fn1 70 SBD-6398 (R. I I/I I) AP July 20, 2020 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 2022-07-20 Plan Review: PWTS-072000054-M RYAN GARY BECHEL 779 Spring Creek RD S Red Wing MN 55066 SITE: Pine Lake/Tim Mittlestadt 1118 Spruce RD Baldwin, WI 54002 Town of Baldwin St. Croix County Total Amount: $80.00 FOR: Description: 600 GPD-New Residential Mound -REVISION Maintenance Required DIVISION OF INDUSTRY SERVICES 2331 SAN LUIS PL GREEN BAY WI 54304-5211 Contact Through Relay http pesos wi gov/programs/industry-services www.wisconsin gov Tony Evers - Governor Dawn Crim - Secretary CONDITIONALLY APPROVED DEPT OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SEE CORRESPONDENCE The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system 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: Key Items- POWTS Design Approval • Revision- 3 to 4-bedroom mound. • This system is to be constructed and located in accordance with the approved plans, the "Mound Component Manual for Private Onsite Wastewater Systems Version 2.0" SBD-10691-P(N.01/01) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems Version 2.0" SBD-10706-P (N.01/01) • Verify High Water Mark Setback of the mound before installation • Fence off dispersal area prior and during construction to protect and 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 leftover 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. • 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. • Provide surface water diversion around the treatment tanks and mound dispersal component. • The owner is responsible for the operation and maintenance of the private onsite wastewater treatment system (POWTS) in accordance with SPS 383 and the approved management plan • The owner of a POWTS shall be responsible for ensuring that access opening covers remain locked or secured except for inspection. evaluation, maintenance or sen icing purposes. • Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Provide a copy of the approved POWTS plans and this letter to the owner. 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 latiom!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, %/�.eZ41 C! r7�r�� Mark S Finger POWTS Wastewater Specialist, Division of Industry Services (608)574-1189 mark.fingerpwi.gov F4&'O> . (-) N V, � , ; �h' - AID, VANCE=D Property Owner: Tim Mittlestadt Site Address: 1118 Spruce RD Baldwin, WI 54002 Phone (715) 308-3232 Date: 08/02/19 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 Page: 9 Page: 10 Page: 11 Page: 12 Page Page Page Page Page 13 14 15 16 17 Component Manuals Mound Design Worksheet Pressure Distribution Design Pressure Distribution Design Pump Design Dose Tank Tank Specifications RYAN G. = BECHEL = Mound Material Estimates - D-2263-7 RED WING Soil Test = MN ' Soil Test Soil Test ��S'I G 1NR��.: SBD-10691-P Mound (N.01101; R.10112) SBD-10706-P Pressure Distribution (N.01101; R.10/12) . __ L Designer Signature: r) Date: 8/2/2019 [)I NVIRC)NMI NIN H, nl N;r,rnwi MN,,. Designer: Ryan Bechel Certified Sol Tester:#1330832 Designer of Engineering Systems: D 2263-7 m maintain minimum 50' setback to OHWM as required by sps 383.43 'All property lines not drawn are >100ft from system / SCALE 1 20' _ / L 0' 40' Qo o Well be located r _ >50Tfirom system components** 1 rye Val O � I\ -N v- N j o a o 7 _ 1 O U " 0 Proposed 1 ` 1 �� Easement A��ess Lake Benchmark Septic Tank: SYSTEM Not ES (9 Soil Boring ,7.120pfd00 gallon 2 compartment tank -Bring nsers 4' above final grade -Polybk-525 filler wl alarm -Do not route clear water sources into septic tank -Mountain all required OHWL setbacks to Pine Lake Cereaed Stalwrrwd: Thle eYstern has peen dew lsE and evaluated In accwdundo with State am taint aodee. The Boll midorlent aria must remain protected from dilhotionoe orM/or compaction before and alter mrwtnvcrran Na wMRwmy 15 WaW III 1N5 assail will CaAmW Ta NN[:rgN INnEelNn y. Svwrem inns[ he nraeerlw mahAoined. Rmlwe war saetem'e merreaerrrwd clan he Inrermadw, en nmmr -- and Pump 'I ank: -Pump needs = 40gpm @ 16TDH -800 gallons Move lank as necessary, moment all setbatla -Reca'culale pump Freon Loss and TDH after Instant -Evert counter, fare meter, or water meter recommended SIA: 1960'Mound 24' absorption width -11' clean sand It (ASTM C33 sand) Out stumps Push to ground, avoid digging Mow snore absopton area and remove clippings Roughen absorption area to depth of 6'-8' -Dived surface water away from system Depth to restriction = 25 Contour =100 00 Slope = 510% Distribution: -Laterals to be spaced 12' fmm end of bed s 24' Imm sores - (3)1 i sch 40 p%c laterals with cleanoms use spnnWr boxes for protection -1 t header, end fed heNrork 1 minces @ 3 O'spaong Protect 15' downslope absorption area from compa;hon during con=bon Demand dose Moat settings per desgn LOCATION MAP (not to wool e E sr) SQL PREPARED FOR: Tim Mlttlestadt (Plumber) Site Address: 1118 Spruce RD Baldwin, WI 54D02 PID. D02.1013.10.100 5.6 Acres Legal LOT 1 CSM 3/662 NKA CSM 24-5674 S06 T29N R16W Town of Baldwin Management Plan This management plan identifies operation and maintenance activities necessary to ensure long-temr performance 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, R 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 Management Frequency My system needs to be checked Designer Required Frequency. Check every 36 months every 36 months. State/Local Gov't Req Frequency: Check every 36 months Parameters Number of Bedrooms Design Flow (gpd) Soil Loadina Rate (aodfft' Standard Effluent Quality Effluent 1 Biological Oxygen Demand (BOD) 220 mg/l Total Suspended Solids (TSS) 150 mg/I Fats, Oils, Greases (FOG) 30 mg/1 Treated Effluent Quality 4 Septic Tank Manufacturer 600 Septic Tank Capacity 0.6 Effluent Filter Manufacturer Pol & Model Pump Tank Manufacturer Pump Tank Capacity Pump Manufacturer Per & Model Dispersal Cell Type Total Suspended Solids (TSS) - mg/I Fats, Oils, Greases (FOG) - mg/I Pretreatment Unit Description °ffluent Particle Size (in) 118 and dripping faucets Repair leaks promptly. Regularly check for wet or spongy soil around your soil treatment area. Contact service provider if issues arise. 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- Inspect and clean twice per year at a minimum Caps - Make sure that all caps and lids are intact and in place. Inspect for damaged caps often. Fix or replace system replacement area: Professional per recommendations 1200 ok-525 Wieser 800 istaller Mound NA Liquid levels - Check sludge/scuMeffluent levels in all system tanks. Recommend if tank(s) 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 wiring 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 to be taken. dary system compaction, etc. Page 3 h5r-1YMirzhyGG`[d4 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 cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. 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. ABANDONEMENT 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. Page 4 System Design Summary Property Owner/Client: Tim Mittlestadt Parcel ID: 002.1013.10.100 Site Address: 1118 Spruce RD Baldwin, WI 54002 Phone all (715) 308-3232 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 Flaw (data/calculations attached). _ Neesuec GPD Er',.ta, GPD Design Flow: 600 GPD Comments. New 4 BR home and shop w2 bathroom; no home business 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 1200/900 MR Effluent Filter B Alarm: _ ; Fdier _ Filter Alarm Effluent Filter Model: Polylok-525 C. Pump Tank Code Minimum Capacity: 645 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 16 3 it Pump 2 GPM Total Head it Holding Tonk(s) Onfy:-. 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 Sad Treatment Area Type Mound Distribution Type Pressure Distribution -Level Benchmark 1 Elevation 100.00 ft Benchmark Location SEE SITE PLAN Component Manual 1: SOD-10691-P Mound (N 01/01; R.10/12) Distribution Media: — liramheid Hook APDmved Hroduci Component Manual 2: SBD-10706-P Pressure Distribution (N.01 /01; R.10/12 1/2'-11/2'Aggregate SITE EVALUATION DATA Depth to Limiting Layer: 25 in 2.1 ft Soil Texture. Silt Loam Contour Elevation. 100.00 SHLR: 0.60 GPD/ft' Elevation of Limiting Layer 97.92 Perc Rate: - MPI Minimum Required Separation. 36 in 3.0 it Sods with >60% Rock Fragments Present? - ves _ i Maximum Depth of System. Mound in If yes, describe % rock and layer thickness, depth of soil treatment needed per SPS 383.44-3 and any additional information for addressing the rock fragments Measured Land Slope. 10.0 % in this design. SOIL ORGANIC LOADING RATE 1. Organic Loading to STA/Pretreatment Unit = Design Flow X Estimated BOD in al in the effluent X 8.34 a 1,000,000 600 gad 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 B00 in mg/L in the pretreated effluent X 8.34 ; 1,000,DDO gpd X irl X 8.34. 1,000,000 = - cis BOD/day 2. Organic Loading Rate to Sal Treatment Area (lbsldoyl ft ) . Sort Treatment Bottom Area ft' = Ibs/day/ft1 s°a i°'°i"r acre ro"ms or IZPa/rrl aoa,/n'/gay 1.10 lbs BOD/day - 1419.E �t'= 0.00078 lbs/day/ft' .•n� Comments: New 4 BR mound system for connection to future home and detached accessary shed with bathroom - only Homeowner has indicated they may initially hook up the sytem to a mobile home 13 bedrooms or less) until the dwelling can be constructed. Page 5 Mound Design Worksheet SYSTEM SIZING: Parcel ID: 002.1013.10.100 Design Flow: 600 GPD Soil Loading Rate: 0.60 GPD/ft2 Depth to Limiting Condition: 2.1 ft'- _ Percent Land Slope: 10 % Design Media Loading Rate: 1.0 GPD/ft' DISPERSAL MEDIA SIZING Dispersal Bed Area (A x B) = Design Flow _ Design Media Loading Rate 600 GPD 1.0 GPD/ftz = 600 ft2 If a larger dispersal media area is desired, enter size: ft2 A. Select Dispersal Bed Width (A): 10.0 ft Cana exceed 10 feet Linear Loading Rate = Bed Width X Design Media Loading Rate 10 ft X 1.0 GPD/ft2 = 10.0 gal/ft Can't exceed Tablet B. Minimum Dispersal Bed Length (B) = Dispersal Bed Area - Bed Width 600 it a 10.0 ft = 60.0 ft DISTRIBUTION MEDIA: ROCK Rock Media Depth Below Distribution Pipe 0.50 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 : Component 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 a - ft = - rows Adjust width so this is a whole N. vi. Total Number of Components = Components Per Row X Number of Rows x = Components Page 6 MOUND SIZING D. Fill Depth Below Upslope Edge (D) = 3 feet - Depth to Limiting Condition (6" Min.) 3.0 ft - 2.1 ft = 0.9 ft Design Sand Lift (optional): in E. Fill Depth Below Downslope Edge (E) _ [Bed Width X Land Slope a 100] + "D" 10.0 ft X 10.0 % e 100+ 11.00 in = 23.0 in 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 (z 6 Min.1 H. Cover Material Depth at Cell Center (H): 12.00 in (-1z" Min.) I. Downslope Width (1) = (E + F + G) x (horizontal gradient) x Downslope Correction Factor 3.19 ft x 3.00 x 1.43 = 13.66 ft Or ft J. Upslope Width (J) = (D + F + G) x (horizontal gradient) x Upslope Correction Factor 2.19 ft x 3.00 ft x 0.77 ft = 5.05 ft Downslope Correction Factor: 1.43 Upslope Correction Factor: 0.77 Endslope Horizontal Gradient: 3.00 (usually3.0or4.0) K. Endslope Width (K) _ [(D + E) = 2] + F . H x Endslope Horizontal Gradient 34.00 in = 2 + 9.25 in + 12.00 in r 12 x 3.0 ft = 9.6 ft L. Mound Length (L) = Endslope Berm Width + Bed Length + Endslope Berm Width 9.6 ft + 60.0 ft + 9.6 ft = 79.1 ft W. Mound Width (W) = Downslope Berm Width + Bed Width + Upslope Berm Width 13.7 ft + 10.0 ft + 5.0 ft = 28.7 ft Verification of Minimum Required B rea .....................................................................I...................................�.:........................................................................................ " Sloping Site = B x (A + I) MINIMUM = 1000 ft z (Min. = GPD - Loading Rate) 60.0 ft X ( 10.0 ft + 13.7 ft) = 420 ftz " Level Sites = B x W MINIMUM = ftz (Min. = GPD _ Loading Rate) ft x ft = ftz Page 7 MOUND DIMENSIONS J obs. pipes --�L-------------- j------------------ 0 K A H O VV ----- I I, L A 10.0 ft F 9.3 in J 5.0 ft B 60.0 ft G 6.0 in K 9.6 ft D 11.0 in H 12.0 in L 79.1 ft E 23.0 in 1 13.7 ft W 28.7 ft Obs. Pipes (1/10th of B) 6.0 ft Absorption Width (A+I) 23.7 ft DISTRIBUTION AREA CROSS-SECTION TOPSOIL FILTER FaRRIC 102.69 B SEED-ir r-_ -ram'..-a. +_+ Y ►— 100.92 LOAMY RACKFILL _ w- w _ _ d ��_ r p 1:*Aggregate �_. E AST_M C33 SAND - -✓;>• 100.00 10% PLOW En- 8' DEEP PRIOR TO PLACING SAND OBSERVATION PIPE DETAIL Screw -type or Finished grade $hp cap _ Topsoil cover 4" SCH 40 PVC pipe (1' min ) Top of pipe to terminate at or above finished grade q' - ;" x 6" slots spaced g0 degrees apart Inhllrabon Toilet surface Flange Page 8 Pressure Distribution Design Media Bed Width: 10 ft Manifold Connection Type: End Minimum Number of Laterals in system/zone =[[(Media Bed Width - 4) r 3] - 1) X # of zones (Round up) [( 10-41-31-1= 3 Designer Selected # of Laterals (opbonal): Min. Lateral Spacing: 3.5 ft Min. Manifold Length: 7.0 ft 1 zone(s) = 3 laterals laterals 'Can't be less than 2 (except In at -grades) Designer Lateral Spacing lopnonat): ft Designer Manifold Diameter (see table s): 1 1/4 in Select Orifice Spacing: 3.0 ft (2Max Orifice spacing for At -grades) Select Orifice Diameter Size: 3/ 16 in (Orif,ces must be >_ 6- & s 2' from 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 ft' per orifice; can't exceed 12 ft' Orifice Density = Bed Area , Total Number of Orifices (Does not apply to At -Grades) 600 ft' - 60 Orifices = 10.0 ft'/Orifice Lateral Diameter (See Table 6): 1 1/4 in Minimum Average Head: 2.5 ft Orifice Discharge Rate: 0.66 GPM per Orifice tensed on Tuble 4) LOW, 4 i n. •or. . 3 rr„r,,,. „r.rl...r nv e J vA l3`J 121f � \r. I`.Lr r I.. n. _ r..Nv .rr e, ir.n. rn ,a• i. a I.... Page 9 Pressure Distribution Design Lateral Discharge Rate (GPM) = Orifices per Lateral x Orifice Discharge Rate check Table 5 to make sure maximum header length Is not exceeded. 20 Orifices Per Lateral x 0.66 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 71: 0.064 Gallons/ft Volume of Distribution Piping = [# of Laterals X Lateral Length X Liquid Volume Per Foot of Piping] 3 X 58.0 ft X 0.064 gal/ft = 11.1 Gallons Minimum Delivered Volume = Volume of Distribution Piping X 5 11.1 gals X 5 = 55.7 Gallons PRESSURE DISTRIBUTION LATERAL LAYOUT P 58.0 ft X 3.0 ft S 3.5 ft P/2 ft X/2 ft Y 3/16 in Manifold Length 7.0 ft P Y Manifold Diameter 1 1/4 in CMarwul O�lall Page 10 Pump Selection PUMP CAPACITY (GPM) Parcel ID: 002.1013.10.10( 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 Solt Treatment TOTAL DYNAMIC HEAD (TDH) Elevation Difference: 12.4 ft _ (between pump antf highest decharge pamtl awin, Ma Ii, Distribution Head Loss: 3.25 ft zi" Additional Head Loss: ft Idue to spa eal egmpmenqtte,e) Forcemain Diameter: 2.0 in Forcemain Length: 20 ft Forcemain Friction Loss = Friction Loss ,n Plastic Pipe per FT of Forcemain (from Table 6:) X Forcemain Length Forcemam Friction Loss = 0.66 ft Add Equivalent Pipe Length from pump discharge to snit 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. 0.66 ft X 1 = 0.66 ft Elevation Difference + Distribution Head Loss + Additional Head Loss + Forcemen Friction Loss = Total Dynamic Head (TDH) 12.40 ft + 3.25 ft + ft + 0.66 ft = 16.3 ft TDH PUMP SELECTION A pump must be selected to deliver a minimum 40.0 GPM at a minimum 16.3 TDH Pump Model Option 1: Zoeller 151 Performance Curve u PUMP PERFORMANCE CURVE MODEL 151/1521153 5e 144 s. q tl { 40 _ 5 ..0 35 tS, -t , 6 , .o 15 1— 0 GALLONS LITERS 10 !0 8s 120 160 2W 24� 2$C :20 -W� FLOW PER MINU TE .+an Pump Model Option 2: Goulds EPOS Waste notes METERS GEEf Performance Curve r� a.wi EPoi Eros x ¢ sn 6rw a s w. GPAC,TY Page 11 Demand Dose Pump Tank TANK CAPACITY AND DIMENSIONS Parcel ID: 0021013.10 100 Design Flow- 600 GPD Code Minimum Pump Tank Capacity: 645 Gat Designer's Minimum Capacity: 800 Gal Tank Manufacturer: Wieser Tank Model: WLP 1200/800 MR Capacity from manufacturer: 800 Gallons bnportand: Dose design calculabons are based on this specific tank. Substitutmg a different tank model may alter the pump float settings Contact designer if changes are necessary Gallons per from manufacturer: 22.2 Gallons Per Inch Liquid depth of tank from manufacturer: 36.0 inches DETERMINE DOSE VOLUME Calculate Volume to Cover Pump (The met of the pump must be at least 4-inches from the bottom of the pump tank 0 2 inches of water covering the pump is recommended) Pump and block height + 2 inches X Tank Gallons Per Inch 'Adding 2 inches ensures Pumps covered by of bent dune¢ opPraeon ( 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 Flaw 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 5 Delivered Volume 600 gpd- 108 gal = 5 Doses Per Day Dramback: Diameter of Forcemain = 2 inches Length of Forcemain = 20 feet Volume of Liquid Per Lineal Foot of Pipe = 0.163 Gallons/ft Dramback = Forcemain Length X Volume of Liquid Per Lineal Foot of Pipe 20 ft X 0.163 gal/ft = 3.3 Gallons Total Dosing Volume = Delivered Volume + Dramback 108 gat + 3.3 gal = 111 Gallons Minimum Alarm Volume = Depth of alarm 12 or 3 inches) X gallons per inch of tank •3 n,rb alarm depth recommended to prevent 3 in X 22.2 gal/in = 66.7 Gallons turbuierxe resulting unnecessary pump cwLing FLOAT SETTINGS Float Separation Distance for Dose: - - Total Dosing Volume + Gallons Per Inch 1 111 gal 22.2 gal/in = 5.0 Inches = r f Float Distance Settings (measured from bottom of tank)' , Distance to set Pump Off Float = Pump + block height + 2 inches " 8 in + 2 In = 10.0 Inches Reserve Cap 18.0 in Distance to set Pump On Float = Distance to Set Pump -Off Float = Dose Separation Distance A 400.3 Alarm Distance 3.0 m 10 in 5.0 In = 15.0 Inches _66.7 Pump On Distance 5.0 m - C 111.3 Distance to set Alarm Float = Distance to set Pump On Float +Alarm Depth �+ Pump Off Distance 10.0 in D i t, 222.4 15 in + 3.0 in = 18.0 Inches Page 12 TANK SPECIFICATIONS • 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 "1-Hook" 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 -, - - \ Sleeve 2" across 40 tank excavation m 4" SCH pump and alarm circuits y 40 pipe across tank excavation m 101.00 \ \,1 prevent pipe settling 92.75 Cam Lock 1%Minimum Slope I' \�4' j.. F f Float Tree: RIp n Install Floats separately from pump on 15"or 2" PVC pipe +/- 20' 1 1g '4 IrIi II, Weep Hole 89.00 --- - ------ - 4- Pump Block WLP1200/800-MR TANK SPECIFICATIONS 164" DIMENSIONS: _ WALL- 3' BOTTOM 3" CO FR: 6' MANHOLE : 24" D PRECAST CONCRETE RISER -------- .� T 16 OD LENGTH :�NCTH- 161 O D WIDTH 96" OD. 4 CAST ") -A -SEAL I SE.OW INLET 41' O D - !" _AS--A-Sc A. .10UIC LEVEL 36_ _ I li HEIGHT BOTTOM 12.000 LBS. `] COVER B.170 LBS 02 �'1 INLET AND OUTLET °i T"P i I \ O/)1 4' CAST -A -SEAL SOOT OR EQUAL �l GASKET, CAST -A -SEAL BOOT OR EQUAL 1 FILTER OR III J I11I INLET AND OUTLET BAFFLE AND FILTER I! BAFFLE I' MSCONSIN. SEE DETAIL po 111 (OTHER STATES SEE CHART) LIQUID CAPACITY AMP)) 33 34 GAL/IN LOADING DESIGN: B0 UNSATURATED SOIL IS2�_�ItIY 4' vFNT SIDE VI i,% TANKS ARE MANUFACTURED TO MEET DR EXCEED ASTM TANK CAN BE USED AS SEPTIC/SEPTC, SEPTIC/-PUMP OR SEPTIC/SIPHON COVER: Mix OESGN AB (NO FIBER) TANK' MIX DESIGN 09 (SMALL FIBER) CVSTOMIZEO TANKS: FOR CUSTOM TANKS CONTACT MESER OCNCRETE DRAWINGS SUBMITTED FOR APPROVAL .:v=en.en sue. nkI 111 1111L1 11: Page 13 Mound Materials Estimate Parce(ID: 002.1013.10,100 A. Rock Volume: (Rock Below Pipe + Rock to cover pipe (pipe dia . i inch)) X Bed Length X Bed Width = Volume ft') ( 6 in + 3 in) + 12 X 60.0 ft X 10.0 ft = 450.0 ft' Divide ft' by 27 ft'/yd' to calculate cubic yards: 450.0 ft' + 27 = 16.7 yd3 Add 20% for constructability: 16.7 yd' X 1.2 = 20.0 yd3 For systems using Approved Products: Volume = Product Height X Bed Length x Bed Width Approved Product: # of Components needed: (See Mound Design page for detailed summary - of components needed) B. Sand Volume: Volume Under Rock bed: Average Sand Depth x Bed Width x Bed Length = cubic feet 1.4 ft X 10.0 ft X 60.0 ft = 850.0 ft' Upslope Volume: (Upslope Sand Height x Upslope width x Bed Length) - 2 = cubic feet (1 0.9 ft -1) X 5.0 X 60.0 )-2= 138.8 ft' Downslope Volume: (Downslope Sand Height x Downslope Absorption Width x Bed Length I - 2 = cubic feet (( 1.9 ft-1) X 13.7 ft X 600 )-2= 785.5 ft3 £ndslope Volume: Downslope Sand Height x 3 x Bed Width = cubic feet ( 1.9 ft - 1 ) X 3.0 ft X 10.0 ft = 57.5 ft' Total Clean Sand Volume. Upslope Volume + Downslope Volume + Endslope Volume + Volume Under Bed 138.8 ft' + 785.5 ft' 57.5 ft' + 850.0 ft' = 1831.8 ft3 Divide ft' by 27 ft'/yd3 to calculate cubs yards: 1831.8 ft' a 27 = 67.8 yd3 Add 20% for constructability: 67.8 yd' X 1.2 = 81.4 yd3 C. Topsoil Volume: Topsoil Berm Volume (approx): ( (Avg. Mound Height - 0.5 ft topsoil) x Mound Width x Mound Length) + 2 = cubic feet ( 3.2 _ 0.5 )ft X 28.7 ft X 79.1 ) + 2 = 3052.4 ft, Total Mound Volume - Clean Sand volume - Rock Volume = cubic feet 3052.4 ft' - 1831.8 ft3 . 450.0 ft' = 770.6 ft' Topsoil Cap Volume: Total Mound Width X Total Mound Length X .5 ft 28.7 ft X 79.1 ft X 0.5 ft = 1135.8 ft' Divide total ft' by 27 ft'/yd' to calculate total cubic yards: 1906.4 ft3 27 = 70.6 yd' Add 20% for constructability: 70.6 yd' x 1.2 = 84.7 yd3 **For rough estimation purposes only. Final material estimates should be calculated by the plumber/installer" Page 14 �Cio►` ` waWramoW.mrentofcammeR SOIL EVALUATION REPORT Osvamn ofSefety wd Building, Ineomrmrcewilfi Conan R@�w' Much Iete sde 11. on paper oa less dun d''A x ll in- sizs 4ltlfmus[ co'"" St. Croix loclude bin mtHmnsilm vmiW ad nmuarm manna PumtlBM). armed �- P 1ID. n/a Please Print a0 information," PcsmY nfwmmar vvu oroviac may be usN (w MnaaNadil� /rrivary Irw, s. I S Ol ll) (m7) 1144 Hwy 63 urlm SW i SW ws 6 T 29 N R 16 w Block# IS Name M# p� M- . Acu,rnn1" .NI Baldwin WI 54002 612-759-3816 1 Baldwin //!d Npnioe —471/a 10 New Construction Use: ® Residential / Number of Bedrooms Code derived design flow rate GPD C �+%-C4, ii�, tl��✓3'..,y /IL C.Cit-t 1'S lli 43-1 wmt ❑ Public or Commercial - Describe. _ Parent Material Loess over Till _ Flood Plain elevation if applicable N/A R General comments and recommendations: r .. > -,?Cw Rv i'%ONcuh�—ihe� 1 Boring # UBMIng ® Pit Ground Surface Elevation 100.0 ft. Depth toLimiting factor 25 in nwsmn 1 Depth DoMMard Co1W 0-9 10YRU2 FF6d0 Desaipbon Ou St. - Tm6um SIL S SG; SC Sh. 2-f-gr 2 Cosmatenoe Boundary MITcs Roots. 3f 'EM7 'Eta 0.6 08 2 9-5 gs N 0.6 0.8 3 15-19 10YR414 __ - SICL 2-m-bk _ mfi _ gs if 0.4 0.6 4 19-25 10YR4/4 - CL 3-m-0k mfi gs if 0.4 0.6 5 25-38ii 10YR5/4 75YRaM f-t4 CL 3-m-l* mvfi - _- 0.4 0.6 �CCC Boring # ❑ Boring ®Pit Ground Surface Elevation 98.0 ft Depth to Limiting factor 31 in. 5d n r2— 0-10 Mumetl 10YR3f2 Rados Desalpinn re Tenu Sz Cant C�o_I r�_ - SIL Gr. Sz Sn mm. 2-f-gr mfr M 3f 0.6 0.8 10-17 10YR314 SL 2-flrrt-bk mfr gs 2f 06 1.0 17-25 10VR4/4 - LS 1-m-bk mvfr gs 1f 07 1.6 4 5 2531 31-4 7.5YR414 10YR5/4 - SL 7.5YR416 f-1-d CL lo-co c 3-m-bk mfr _ mfi gs 1f C - �0 T ! 0.4 0.6 • M.m.r ale➢l111.�N� anA TCf �]I—c IVN men •SM-1 22 D.IM :S.S I M nM CST N. (?k. Prior) Sipmim CST N.bc Mark Iverson 46672 Mdrss DaDc Evdiodon CpduGed TCkpbme Numhr P.O. Box 155 Hammond, Wt 54015 August 18, 2009 715-796-5664 Mike Hamerski Property Owner 002-1013-10-000 Parcel lllrt__ Page —2_of3 0 Boring 31 Boring 4 ®Pit Ground Surface Elevation 100-0 fL Depth to Limiting factor 3l in Horan Deptll DoiiomaM Color Redo%Dasaptkn Ta+Qum Structum C"tsaooe Bounlary Roda 'EIY2 M. _ M nsell _ Cu. Sz _ _�3L$k _ _ _ _ _ 'EIN7 1 0-8 I 10YR312 - SIL 2-f-gr mvfr gs 3f 0.6 0.8 2 8-13 10YR32&413 - SL 2-f-bk mvfr _ gs 2f 0.6 1.0 3 13-31 t0YR414 - LS 1c Ihk 1-m-bk mvfr mvfr gs as _ if 0.7 1.6 4 31-41 7.5YR4/4 7.5YR4/385%f-1-f GRLS _ - 0.7 1 6 5 4145+ t0YR514 10YRW&7.5YR4%o-2d CL 3z bk mfi �- - — 0.4 0.6 - _— - - I ❑4 Boring 4 0 Boring ®Pit Ground Surface Elevation ft. Hor¢on Dept Domirram Color Redox Dasaq Tetlun3 Murw Ml Du Sz Cont Cob<__�. _ i Depth to Limiting factor un. - - stru,u,, T_Camntenco Bo ry Root --Kir sr sh ❑ Boring 5 Boring 4 Wit Ground Surface Elevation ft. Depth to Limiting factor in. Mewm�', Domiury Color I Reeox Deamoton l Tor wv _ stru nn TcomaNarxn FBW dory Root Effu 91-BOD3> 30< 220 rng4. nd MS 30<150 MO. •Elfl ta2= BODr< 30 man. arW MS 30 myL The Depmtmeot of Caame is en equal oppo ityservice provider and employcr. If you nwd amn ce m actors sources or Need material in an eft m ae format, pkase contact the deportment at 60&266-3151 or M 608-266-gM. Page 3 of 3 13101-To- 5— C PV 99 ' OR 21fl 10 fl. BOR© N 1120.54' Ei v tbn - �cn mane t �;� _ bonng Locaoon a MWrVsUV1 r Owner Mike Hamerski Site Information: Completed By Mark Iverson, PSS #197 11" Hwy 63 SW114, SWIM, S6, T29N, 16R 680 Laroom Street Baldwin, WI 54002 Town of Baldwin Hammond, WI 54015 St Cron County 715-796-%U Phone: 612-759-3816 CST# 46672 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer C Lf f'Tj S Ro'��e- Mailing Address S- bal0.w>n S`-Io02-- PropertyAddres3t ) `>,ort"ct (Verification required from Planning & Zoning Department for new construction.) City/State kG o �,' ] w) Parcel Identification Number C�OZ — f o 13 - I o ' Ioo�—ye LEGAL DESCRIPTION LL -- Property Location SD 1/4, 50 Y4 , Sec. 6 T ZG q N R � C cTown of �-jdw ) 'y Subdivision Plat: Lot #. Certified Survey Map # Volume z- ' Page # 510 Warranty Deed # �O?c (before 2007)Volume Page # Spec house ❑yespoto Lot lines identifiable ❑yes❑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, joumey man 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. I/we, 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 returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on this form are true to the best of my/our knowledge. 1/we am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Nu be of bedrooms 3V"_ IGNATURE OF APPLICANT(S) —qLlLl 2z� 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) GENERAL NOTES: .• WiA W1 .11 ■�11. DIMENSIONS: DETAILS: ABBREVIATIONS: VL131T 511/2020 si ,..'ate., o• ;-` CURTSMELANIE HOUSE --: �.._ ewe.vw.... '".:`..�,,..... LC o ~ �..'� m •r v... �� O BS 4CURT &MELANIE HOUSE ---- o- _ - w L_ ..... ...mm.mJS — ,n e J I a ----------------- ------------- ,I� I FIl ill W I��Il��il � o: SECTION F-F W TVP RFAM POCKFT nETAII TVP COI I IMN RFARINP pFTAII TVP PFARINQ WA1 pFTAII -A— �'�N— nl I .,, ': II s` I' ff �V t j SECTION F-F j a y a III t VLtd£IT 511 /202o i • rF I. I s� ui93G &g§ N �, CUR78 MELANIE HOUSE N Mows....n....... III ~x�' .. �...»n �. ...<P...o .,.�.... ,"..•�+ `I' zR g4 's: I7 774 N..IE I W cxui ROOM W °n W Z 5� I i � o i THI to J �X °ijpF Sl1 /2020 •z I I a MAIN FI QQR PI AN e 8`d.� -— -- I -- M � 1 i o € if c 1 -. -- -�� I••azoznJ°IL L._ lltc ,1 m e i!ry y 1- _ ^F m I x �m ebV. 1 Sat9 o.i fir. r� i3.'3.i1 ' �f6I3�IJ35-�lelR 'I �Q3I�19�C19�1-dxI J� fl L i AEI CURT BMELANIE HOUSE �}"M yo Wisconsin Department of Commerce SOIL EVALUATION REPORT � Page d/I of 3 Division of Safety and Buildings In accordance with Comm 8 W i m Attach complete site plan on paper not less than 8 '/2 x I 1 inches in sae. mu-1) Comity St. CrO1X Include but not limited to: vertical and horizontal reference point (BM), directis`11176----�, Parcel I.D.-1013-10- DO Percent slope, scale or dimensions, north arrow, and BM referenced to nearest road. Please print all information Revi edby DatePersonal information you provide may be used fez Y+umde4 (Privacy Law, s. 15 04 (1) (m)) Lz 8/0 Mike Hamerski roperty Owner's Maihn 1144 Hwy 63 Baldwin Lot SW % SW '/ S n WI 54002 612-759-3816 1 Baldwin `S New Construction Use: 0 Residential / Number of Bedroom -H-Iteplasemeai ❑ Public or Commercial — Describe: Parent Material Loess over Till General comments and recommendations: 1 Boring # 0 Pit b Ground Surface Elevation 100.0 ft. 29 N R 16 w Nearest Road Code derived design flow rate GPD —jCSM Flood Plain elevation if applicable N/A ft. e. tt'jj fr r t�_ / Yn&I /,, if >/2c�zn Depth to Limiting factor min. f Soil Aoolication Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont Color Texture j Structure Gr. Sz. Sh Consistence Boundary Roots GPD/ft 'Eff#t 'Etr112 1 0-9 10YR3/2 - SIL 2-f-gr mfr cs 3f 0.6 0.8 2 9-15 10YR3/4 - SIL 2-f-bk mfr gs 2f 0.6 0.8 3 15-19 10YR4/4 - SICL 2-m-bk mfi gs 1f 0.4 0.6 4 19-25 10YR4/4 - CL 3-m-bk mil gs 1f 0.4 0.6 5 25-38+ 10YR5/4 75YR314Md CL 3-m-bk MA - 0.4 0.6 I Boring Boring # OPIt Ground Surface Elevation 98.0 ft. Depth to Limiting factor 31 in. SoilSoil Awlication Rate Horizon Depth in. Dominant Color Redox Description Mansell On Sz. Cent. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDte EtfNt 'EROZ 1 0-10 10YR3/2 SIL 2-f-gr mfr CS 3f 0.6 0.8 2 10-17 10YR3/4 SL 2-f/m-bk mfr gs 2f 0.6 1.0 3 17-25 1OYR414 LS 1-m-bk mvfr gs 1f 0.7 1.6 4 25-31 7.5YR4/4 SL 1co-bk mfr gs 1f 0.4 0.7 5 31-45 10YR5/4 7.5YR4/6 f-" CL 3-m-bk mi - 0.4 0.6 r Effluent 41 = BOD,> 30 < 220 mg/L and TSS > 30 < 150 mg/L a Effluent 42 = BOD, <_ 30 mg/L and TSS <30 mg/L CST Name (Please Print) Signature CST Number Mark Iverson 46672 Address Date Evaluation Conducted Telephone Number P.O. Box 155 Hammond, WI 54015 August 18, 2009 715-796-5664 Property Owner Mike Harnerski Parcel lD# 002-1013-10-000 Page 2 of 3 ❑ Boring 3 Boring # 0pit Ground Surface Elevation 100.0 ft. Depth to Limiting factor 31 in. Soil A licati n Rat Horizon Depth Dominant Color Redox Description r Texture Structure Consistence Boundary Roots GP_D/th _ in. Munsell_ - - Qu. Sz Cont. Color _ _ - Gr. Sz. Sh ER7f1 _ •Eff#2 1 0-8 10YR3/2 SIL 2-f-gr mvfr gs 3f 0.6 0.8 --- -- t - 2 8-13 10YR3/2&4/3 SL 2-f-bk mvfr gs 2f 0.6 1.0 �3 ' 13-31 10YR4/4 LS 1-co-bk mvfr gs 1f 0.7 1.6 4 31-41 7.5YR4/4 7.5YR4/3&5/6 f-1-f GIRLS 1-m-bk mvfr as - 0.7 I 1.6 5 41-45+ 10YR5/4 10YR5/2&7.5YR4/6 c-2-d CL 3co-bk mfi 0.4 0.6 i Boring # ❑ Boring — EIPit Ground Surface Elevation ft. Depth to Limiting factor in. nzon _ Depth Dominant Color Redox Description Texture Structure Consistence I Boundary Roots __ GP_DKe - in._ Munsell _ Qu_ Sz. Cont Color _ Gr.Sz. Sh. 'Efi#1 •Eff#2 ❑Boring Boring # 8P12 Ground Surface Elevation ft. Honzon Depth Dominant Color r Redox Description Texture in. Munsell I Qu Sz. Cont. Color Ffflwnt # 1 = BOD;> 30 e 220 mg/L and TSS > 30 < 150 mg/L Depth to Limiting factor _ in. Soil-Applipation Rat nd Structure Consistence I Bouary Roots GPDIfh :, c> cn I "Eff#1 i •E1W • 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. Page 3 of 3 N Y J N C 91 BM#1 - Top of 112"PVC Pipe 99 5' 00 b) rn rn o I O proposed Easmentto La e B-3 Oft. 24 ft. 40 ft. 80 ft. CN, t �OV prof°sed property Line jP` �S rty ccmer rtv 371 feetto props Property Corner BM# a Description 1120 54' Elevation =Bench Mark &1 =Boring Location &Elevation 100• Owner: Mike Hamerski Site Information: Completed By: Mark Iverson, PSS #197 1144 Hwy 63 SW1l4, SWU4, S6, T29N, 16R 680 Larcom Street Baldwin, WI 54002 Town of Baldwin Hammond, WI 54015 St. Croix County 715-796-5664 Phone: 612-759-3816 CST# 46672