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Home My WebLink About008-1050-10-050Misconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes IPnvacy Law, s 15 o4 11)(ml] Penult Holder's Name City 'd illage Township CITY COTTAGES LLC TOWN OF EAU GALLE CST BM Elev Ilnsn BM Elev BM Descnm,n TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG `:'em to Air Intake ROAD Septic Dosing Aeration Holding PUMP/SIPHON INFORMATION to Aell 51 At3SVMPEION SYSTEM Demand GPM ELEVATION DATA STATION BS HI FS ELEV Benchmark Alt BM Bldg Sewer St/Ht Inlet StIHt Outlet Dt Inlet Dt Bottom Header/Man. Dist Pipe Bot System Final Grade St Cover BEDlTRENCH DIMENSIONS Width Length No Of Trenches PIT DIMENSIONS No Of Pd Dos Inside a Liquid Depth SETBACK INFORMATION SYSTEM TO P/L IBLDG 17VELL LAKE/STREAM I LEACHING CHAMBER OR UNIT Manufacturer Type Of System Model Number UIJ I mli I IVIV JT31 tpnl HeaderlMamfold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(') Leogth Dia Length Dia Spacing JUIL %,vvi x Pressures Svsfnms nnlu — M--n! In, A. r A- e..�e— n- , Depth Over Depth Over xx Depth of xx Seededl$odtled xx Mulched Bed/Trench Center BedFrrench Edges Topsoil I _ Yes 11 No 1 I Yes ❑ No COMMENTS: (Include code discrepencies persons present, etc 1 Inspection #1 Location: No Address Available 1.) Alt BM Description = 2 ) Bldg sewer length = - amount of cover = Plan revision Required? [_ Yes _ No Use other side for additional information Date Insepctor's Signature $BD-6710 (R 3/971 Inspection #2. iLl�] Cert No Buifdings Division ry / C (�-O f Safety and Sanitary Permit Number (to be Hued in by Co ) .D i' 12 2021 201 W Washington Ave., P 0. Box 7162 ` MAR Madison, WI 53707-7162 l0312 $`V �'tssax+sv St cro�x <<_ Comm - 1 ermit AI7�t1 In accordance with SPS 383.21(2), Wis Adm. Code, submission of this form to the app n ernmen t State Transaction Number D � z 4 0 G Project Address (d different than inatlmg address) Is required prior to obtaining a sanitary permit Note Application forms for state-owned POWTS are submf d to the Department of Safety and Professional Servies Personal information you provide av be used for s ndary purposes in accordance with the Privacy Law, s. 15 64(1)(m), Sats 2 S3-z %O I'S 5 L Application Information - Please Print All Information Property Owner's Name Parcel k O OO PropertyOwner's Mazlm Address Property Location ` J -y-- Govt Lot Phone Number "Ay, AIUJI, Section 7 City, State Zip Code �) W VA Q t L�Ji ,% !0/ t-1. p 6/z- 9�Z/. � T0N R(circle one() Lot c Subdivision Name r II. Type of building (check all that apply) APLor 2 Faintly Dwelling -Number of Brooms � iQq•(- S Block k ❑ Public/Commercial - Desenbe Use ❑ Ciro of C S M Number V. 0. 1.$(,2' Village of El State Owned -Describe Use /� �\ Occ'�, Mown of E/'T u 9 A III. Type of Permit: (Check only one boa on line A. Complete line B if applicable){.//f A w S stem ❑ Replacement System ❑ Treatment9ioldmv Tank: Replacement Only ❑ Other Modification to Existing System (explam) ❑ Change of Plumber List Previous Permit Number and Dale Issued ElB. Perna Renewal ❑ Permit Revision. ❑ Permit Transfer to New Before Expiration Owner / ) TV W. Type of POWTS System/Component/Device: Check all that apply) r ❑ Non -Pressurized In -Ground ❑ Pressurized In -Ground ❑ At -Grade ❑ Mound > 24 to of suitable sod F 124 m of smlable sod ❑ Holding Tank ❑ Other Dispersal Component plain) ❑ Pretreatment Device (explain) V. Dispersal/Treatment Area Information: Q 0 Design Flow (gpd) Design Soil Application Ra gpdsf) Dispersal Area Requited f) Dispersal Area Proposed (sf) .System Elevation �Dlj i 6 V 0 Or 6 VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units D {/s�+r� / $� �l F` � � ` ``-t � New Tanks Eaistmg Tanks Ge � z a U in � u h z z uu_ C �a C Septic or Holding Tank Z�'� .� I ZW !� Dosing Chamber _<0V it c /LAC i-fe K VII. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the PORTS shown on the attached plans. Plumber' Name (Print) Plumber's Signature MP/hti&fKs Number Business Phone Number b L LS0 71S' ?73 'Vrl'K Plumber's 4dress (Street, City, Stare, Zip Code) C—� LL 6u or -f--f+ C,U l «II. Court '/De artment Use Only Approved ❑Disroved Permit Fee Date Issued issuing Agent Signature ❑ Owner Given Re, r Denial 1ptflRtai� PProv 1�` � s`r� ��,,�,,y atJL w a()Qe �W1lti .9epticteak,effluent6lterand / lv"�S � dispersal cell must be serviced maintained fr Z as per management plan provided by plumber. ,,tpy40 pevp VC SAS ✓°�� C'e' ` -� µya . A!I setback requirements must be maintained code/ordinances Attach to complete plans for the system and submit to the Comity only on paper not less than 8 LS r 11 inches in size i SBD-6398(R 11/11) Designer'. Ryon Bethel Certified Soil Teeter. SP-11150DO01 Designer of Engineering Systems: D 2263-7 POP/ property lines es not Berschme SYSTEM NOTES �— drawn from 0h Septic Tank: ua v I a o NM L N T n L system V Sod Spring-I20=gallon 2-compartment tank nets 4'ahwefirral grsde .coca Rest GF-10 filterwl alarm � -Do not mule cleztwater sources into septic tank 30' P/L 0' 50' P/L 8113 = 91.20 P/L Grade at wood lathe-"'Burinys observed P/L P/L property line marker 712120 by Michael ,1 Myers`• Proposed north P.L. "� (New CSM) Pomp Tank: 15MH �_ wB7 -a-Prionsogaloeds = 409Pn @ A00 galons ftotank as necessary: marten al setback& l Recelalete pump Fncbon Loss erd TOH allerinstal -Event counter, 4memder, a wasermote remmme ded *1120' — �� c' STA: O to east P.L. A -IM Mwnd B2 tt9o� \ ' 26ahsapbonwdli �se.dte \ -20'dean send lif(ASTM C33 sand) 00 O Cut slumps flush to ground avod cigging i lk \fwvertre absaptior arse and remove dings at -Roughen absorption area to depth of G-e' -Oivert sinew water away fran system I-Depth to rednchon= lE (Redoumaphcfeetures) Conlow=99.00 *20' 2" < Slope=416 sch 40 PVC I Distribution: -Latselstcbe spaced l7fron irricofbeal s24'han sous ..Well to be located>50R / (3) 1 j sch 40 pvc lelexls with dearouh-use spnnWu from system components" r bores for protection ,15�t60'4" /-itrimde, and fed mtwk,* orifices@30 sarong sch 40 PVC / -Protect 15' downslope absorpton area fron conpecticn dmng mnstrucrion r ---,-Demand wise float pairings per design I � LOCATION MAP (not to seta) , New 4811 Home I I ________— DrivewayI GarageI / I � a F A BMI = 100.00 d Top nail In 12" wooden _ post IN above grade i Reid PREPARED FOR: drainage swale Hickory Homes (Bill Jensen) BM2 = 98.92 \ Site Address: Grade at wood lathe TBD 220TH ST property line marker Baldwin, wg 54002 1 cwtalad �seri IThl. w.law lem hm la deo1, 14 estmb l In aezwdsra ealar shale ww last crew. Th..0 treatment as rout reeMn welaWd hen Maetrwv and/v emirerLm hran and der PM TBD (New CSM) *11.47 Acres Legal: SW 1/4 NW 1/4 S17 T28N R16W Town of Eau Gallo March 8, 2021 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES 2023-03-08 Plan Review: PWTS-032100288-C RYAN GARY BECHEL 779 Spring Creek RD S Red Wing MN 55066 SITE: Hickory Homes/Lot 01 220TH ST TBD 220TH ST. Baldwin. b41 51002 Town of EAU GALLE St_ Croix County Total Amount: S250.00 FOR: Description: 600 GPD (4 Bedrooms — Nest, Construction) Maintenance Required DIVISION OF INDUSTRY SERVICES 2331 SAN LUIS PL GREEN BAY WI 54304-5211 Contact Through Relay http lldspswt govlprograms/industry-services www wisconsin.gov Tony Evers - Governor Dawn Crim - Secnetary Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES r SEE CORRESPONDENCE Mound Component Manual Ver 2.0, SBD-10691-P (N 01/01, R 10/12) Pressure Distribution Component Manual — Ver 2 0, SBD-10706-P (N 01/01, R 10/12) 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 0](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, slats The following conditions shall be met during construction or installation and prior to occupancy or use • Preserve dispersal area prior and dunng construction to avoid disturbance, compaction and use of the site • With new construction; it is recommended not to activate the pump in the dose tank until the tanks are pumped prior to homeowner occupancy. • Wastewater generated from contractors cleaning of equipment and tools and/or left over construction products shall not be discharged into the drains discharging to the private onsite wastewater treatment system (POUTS). Waste generated shall be properly disposed of on -site or off site • Any tall grasses, leaves and shrubs shall be cut short and removed prior to tilling the surface for installation to prevent matting under the dispersal area All loose organic material to be removed from POWTS Dispersal Area • Divert surface water from all POWTS Areas • Prior to construction of the dispersal area, check the moisture content of the sod to a depth of 8 inches Smearing and compacting of wet soil will result in reducing the infiltration capacity of the soil. Proper soil moisture content can be determined by rolling a soil sample between the hands. If it rolls into a 1/4- inch wire, the site is too wet to prepare If it crumbles, site preparation can proceed If the site is too wet to prepare, do not proceed until it dries_ • All piping shall conform to SPS Table 384 30-3 and SPS Table 384 30-5 • Insulate building sewer beyond 30 feet per SPS 382.30 (11)(c) Well setbacks to meet chs NR 811 & 812 • Tank Installation to follow all manufacture's recommendations • Verify property line(s) prior to installation • Pump Floats to be set and verified per approved plan. Any changes may result in pump resizing to meet TDH and GPM Specifications. • Areas that are occupied with rock fragments, tree roots, stumps and boulders reduce the amount of soil available for proper treatment If no other site is available, trees in the basal area of the mound must be cut off at ground level A larger fill area is necessary when any of the above conditions are encountered, to provide sufficient infiltratn'e area Owner Responsibilities • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval SPS 383.54(I). In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors All permits required by the state or the local municipality shall be obtained prior to commencement of construction/install ati on/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 Thanks, r�:zn �aaa�ra�era0 POWTS Plan Reviewer -- Wastewater Specialist Department of Safety & Professional Services I Division of Industry Services email Cell 608-516-6134 a ADVANCED Property Owner Hickory Homes (Bill Jensen) Site Address TBD 220TH ST. Baldwin. WI 54002 INDEX Page: 2 Site Plan Page: 3 Management Plan Conditionally PROVED Page: 4 Management Plan DEPT. OF SAFETY AND PROFESSIONAL SERVICES Page: 5 System Design Summary DIVISION OF INDUSTRY SERVICES Page: 6 Mound Design Worksheet Page: 7 Mound Design Worksheet SEE CORRESPONDENCE Page: 8 Mound Design Worksheet Page: 9 Pressure Distribution Design Page: 10 Pressure Distribution Design Page: 11 Pump Design \ `\S C O NS''' ,, Page: 12 Dose Tank ,`` 7N ''% Page: 13 Tank Specifications RYAN G. - BECHEL = Page: 14 Mound Material Estimates - D-2263-7 RED WING Page: 15 Soil Test MN Page: 16 Soil Test '' I G Page: 17 Soil Test "l""IIW Component Manuals: SBD-10691-PMound (N.01/01;R.10/12) SBD-10706-P Pressure Distribution (N.01101; R.10/12) Designer Signature: Date: 2/26/2021 Designer. Ryon Bechd CartiBed Soil Teeter: SP-111500001 Designer of Engineering Systems D 2263-7 33' BM3 = 91.20 Grade at wood lathe property line marker ADVANCE aB1 M 9Bo0 BR Rpo �aa75� ±201 2" / soh 40 PVC ---- *1120' --- t �O %to east P.L. *60, 4,w sch 40 PVC F ---I New 41311 Norm r-; ------------ - , i — — — — — — Driveway I Garage BM1 = 100.00 Top nail in 12" wooden post 1.5' above grade BM2 = 98.92 Grade at wood lathe property line marker --Well to be located >50ft from system components*' 'All ro property lines not 0 Benchmark '�_ SYS'1'Sm rvU'a'CS _ ----� drawn are >100ft from system 9 Soil Boring 'Septic Tank: tank -1200M gallon 2-compartment -Bong users 4'above final grade -Best GF-10 filter wl alarm 1� s,Ace 7��-Do not route clear water sources Into septic tank �' I 0' 60' P/L P/L Proposed north P.L. (New CSM) Pump Tank: -Pump nest = 40gpm @ 15TDH .800 ga'lons -Move tank SS necessary, mar4an all sebacks -Recelmlate pump Factor Loss and TDH after install -Event counter, time meter, a water meta recommended I Sli �-10kd1'Mound -25' aboo phon wdh -20'dean send III(ASTM C33 sand) -Cut slungs Bush to ground avoid pigging .Mow entire absorption area and remove drppngs ! -Roughen atimphon arm to depth of T-8' -Divan suface vats away from system f1 -Deph to restochon= 16' (Redonmaphic features) -Contour = 99 00 i,-Slope =4% 1 Distribution: -Letarels to be soared l2'from and of bad s24'from aides -(3)1 J'sch 40 pvc laterals wth cleanods-use spmkla boxes for protection 1 t header, a rd-fed network, j onfiices @ 30 spacing / -Praise 15' dovmslope absorption arse trcm cempactwn during constrictor, -Demend dose float savings per deagn !� 4:7 LOCATION MAP (not to acalo) R„ Feld PREPARED FOR: drainage \ swale \ Hickory Homes (Bill Jensen) Site Address: \ TBD 220TH ST j \ Baldwin, WI 54002 Carteled smlemant Tate syabm ha bean doei ad evaluoted In aocadonce with ebb and lncd coda The ad] eealmant aso moot main Phibected eorrr AWrbarw ad/> mmpool altars ad orw comtructbn. W IIII INtTY IS ANOE TNT THIS SMSIEN MILL lXY41Nl1E M FUNomIlM INDERNMELY. Staten met bra waprin sah. nil. NrNa your aatarn'a rrmagai — " For IMamotlm on props oast ad PID. TBD (New CSM) 111.47 Acres Legal: SW 1/4 NW 1/4 S17 T28N R16W Town of Eau Galla 1 Management Plan This management plan idenbfies operation and maintenance activities necessary to ensure long-term 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, it is the homeowner's responsibility to ensure a➢tasks get accomplished in a timely manner No. 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 Design Parameters System Specifications Number of Bedrooms Design Flow (gpd) 4 800 Septic Tank Manufacturer Weser Septic Tank Capacity 1200 Soil Loading Rate ( pdift2) 0.4 Effluent Filter Manufacturer & Model Best GF-10 Standard Effluent Quality Effluent 1 Biological Oxygen Demand (BOD) 220 mat Pump Tank Manufacturer Wieser Total Suspended Solids (TSS) 150 ma! _ Pump Tank Capacity 800 Fats, Oils, Greases (FOG) 30 mal Pump Manufacturer & Model Per Installer Treated Effluent Quality_ Biological Oxygen Demand (BOO) - mg/I Dispersal Cell Type Mound Totat Suspended Solids (TSS) - ma/ Fats, Oils, Greases (FOG) - mal Pretreatment Unit Description NA Max Effluent Particle Size in 118 leaks in toilets and dripping faucets. Repair leaks promptly, Regularly check for wet or spongy soil around your soil treatment area. Contact service provider if issues arise Control 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 dean 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: Protect Professional Management Tasks en - Check and clean per manufacture, recommendations Liquid levels - Check sludge/scum/effluent 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 drainfiekl effluent levels (if applicable) Verify pump and alarm system functions (if applicable) Inspect wiring for corrosion and function (if applicable) Clean drainfiekf laterals (if applicable) Check event counter/elapsed time meter and evaluate water usage rate compared to system design flow. Check dissolved oxygen and effluent temperature in tank Check for surfacing of effluent or other signs of problems Verify inspection pipes are capped and intact. Provide homeowner with list of management results and any action to be taken MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an appropriately licensed individual or business Tank inspections must include a visual inspection of the tank(s) to identity 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 Yor 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. Y PLAN It the septic tank, or any of its 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 wastewater 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. ABANDONMENT If the septic system fails and/or is permanently taken out of service, the system shall be abandoned according to approved abandonment regulations. These include: - All piping to tanks shall be disconnected and abandoned pipe openings sealed. - The contents of all tanks shall be removed and disposed of by a licensed septic professional - Tanks shall be crushed & filled, or removed. - A septic system abandonment notification shall be submitted to the appropriate local governmental unit. WARNING!! SEPTIC, PUMP, AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC TANK, PUMP TANK, OR OTHER TREATMENT COMPONENT UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ALWAYS CONSULT A LICENSED SEPTIC PROFESSIONAL BEFORE DOING ANY WORK. System Design Summary Property Owner/Client: Hickory Homes (Bill Jensen) Parcel ID: TBD Site Address: TBD 220TH ST, Baldwin, WI 54002 DESIGN FLOW, WASTE STRENGTH, TANKS A. Type of Wastewater: Residental Treatment Level: Effluent 1 Residential Design Flow = z of Bedrooms 4 X 1GO GPD X 150% = 600 GPD Commercial Design Flow (data/calculations attached): ❑ Wasural GPD ❑ Evi—w GPD Design Flow. 600 GPD Comments: New 4BR Home; No home business; no sewage ejector/grinder B. Septic Tank(s): Minimum Capacity = Design Flow X 2 088 Wastewater received by: Gravity Cade Minimum Septic Tank Capacity: 1253 Gallons, in i Tanks / Compartmemis) v Designer Recommended Tank Modebsi: Wieser WLP1200/800-MR Effluent Filter B Alarm: 0 Hker 0 Fitter N Effluent Filter Model: Best GF-10 C. Pump Tank Code Minimum Capacity. 645 Gallons Pump Tank 2lCode Minimum l: NA Gallons Designer Recommended Min. Capacity 800 Gallons Pump Tank 2 (Designer Reg): NA Gallons Pump .� 40.0 GPM Total Head / - 15.1 / ft Pump 2 NA GPM Total Head NA ft Holding Tank Only: ❑ Minimum Capacity: Remdential = 20DO 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 Sod Treatment Area Type: Mound Distribution Type: Pressure Distribution -Level Benchmark 1 Elevation: 100.00 ft Benchmark Location: SEE SITE PLAN Component Manual l: SBO-10691-P Mound (N.01 /01; R.10/12) Distribution Media: 210c,rfeid Rock ❑ApprovedPPx1- Component Manual 2: SBD-10706-P Pressure Distnbubon N.01/01, R. 10/121 1/2' - 1 1 /2' Aggregate SITE EVALUATION DATA Depth to Limiting Layer: 16 in 1.3 ft Soil Texture: Sandy Clay Loam Contour Elevation: 99.00 SHLR: 0.40 GPD/ft' Elevation of Limiting Layer: 9767 Perc Rate: - MPI Minimum Required Separation: 36 In 3.0 ft Soils with +60% Rock Fragments Present? ❑ yes 0 No Maximum Depth of System: Mound in If yes, describe %rock and layer thickness, depth of sail treatment needed per SPS 383.44-3 and any additional mfnumation for addressing the rock fragments Measured Land Slope: 4.0 % in this design. SOIL ORGANIC LOADING RATE 1 Organic Loading to STA/Pretreatment Unit - Design Flow X Estimated 800 in mg/L in the effluent X 8.34 - 1,OD0,000 600 Spit X 220 mg/L X 8.34 a 1,000,000 = 1.10 Ibs BOD/day a. Pretreatment Unit Information ()f applicablei: Not Applicable b. Organic Loading After Pretreatment Ofopplicoble) = Design Flow X BOD in mg/L in the pretreated effluent X 8.34 o- 1,000,000 - Bell X ni X 8 34 a 1,000,000 = - Ibs BOD/day 2 Organic lording Rote to Soil Treatment Area (Ibs/day/ft ) t Soil Treatment Bottom Area ft' Ibs/day/ft` 1.10 Ibs BOD/day 4 1500.0 ft'. 0.00073 lbs/day/ft' ..._..._.._.._..._.._.._.._.._.._.._.._.._......._.._.._._ _ _ __.._.._.._....... ... ...... _.._.._..._..._.._.._.._.._.._..._.._.._..._ Comments 1 j i i I i J 61anm m W-U X <es-.—.-A—Only S11-11, Loa.)nr Mound Design Worksheet SYSTEM SIZING: Parcel ID: TBD Design Flow: 600 GPD Soil Loading Rate: 0.40 GPD/fe Depth to Limiting Condition: 1.3 ft Percent Land Slope: 4 q Design Media Loading Rate: 1.0 GPD/ft' " , , DISPERSAL MEDIA SIZING Dispersal Bed Area (A x B) = Design Flow a Design Media Loading Rate 600 GPD 1.0 GPD/ft' = 600 fe If a larger dispersal media area is desired, enter size: ft, A. Select Dispersal Bed Width (A): 10.0 ft Can't exceed 10 feet Linear Loading Rate = Bed Width X Design Media Loading Rate 10 ft X 1.0 GPD/ft' = 10.0 gal/ft Can't exceed Table i B. Minimum Dispersal Bed Length (B) = Dispersal Bed Area : Bed Width 600 fe - 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 a 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 # vi. Total Number of Components = Components Per Row X Number of Rows x = Components MOUND SIZING D. Fill Depth Below Upslope Edge (D) = 3 feet - Depth to Limiting Condition (6" Min.) 3.0 ft - 1.3 ft = 1.7 ft Design Sand Lift (optional): in E. Fill Depth Below Downslope Edge (E) _ [Bed Width X Land Slope - 1001 + "D" 10.0 ft X 4.0 °b a 100 + 20.00 in = 24.8 in F. Distribution Cell Depth (F) = 8" + Nominal pipe size of distribution lateral (12"for opproved 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.) H. Cover Material Depth at Ceti Center (H): 12.00 in (a tP Min.) I. Downslope Width (I) _ (E + F + G) x (horizontal gradient) x Downslope Correction Factor 3.34 ft x 3.00 x 1.14 = 11.38 ft Or 15 ft J. Upslope Width (J) _ (D + F + G) x (horizontal gradient) x Upslope Correction Factor 2.94 ft x 3.00 ft x 0.89 ft = 7.87 ft Downslope Correction Factor: 1.14 Upslope Correction Factor: 0.89 Endslope Horizontal Gradient: 3.00 (usualty3.0or4.0) K. Endslope Width (K) _ [(D + E) : 2] + F + H x Endslope Horizontal Gradient 44.80 in = 2 + 9.25 in + 12.00 in a 12 x 3.0 ft = 10.9 ft L. Mound Length (L) = Endslope Berm Width + Bed Length + Endslope Berm Width 10.9 ft i 60.0 ft + 10.9 ft = 81.8 ft W. Mound Width (W) = Downslope Berm Width + Bed Width + Upslope Berm Width 15.0 ft + 10.0 ft + 7.9 ft = 32.9 ft '" Slootne Sites = B x ( A + I ) Verification of Minimum Required Basal Area MINIMUM = 1500 ftz - (Min. = GPD - Loading Rate) 60.0 ft X ( 10.0 ft + 15.0 ft ) = 1500 ft, ._........... I " Level Sites = B x W MINIMUM = ft2 (Min. = GPD - Loading Rate) ft x - ft = ft' MOUND DIMENSIONS f— ',� obs. pipes 1-117—L _-------------- y -------------------- ! 0 A E. B 0 — -------------------I -------------------- A 10.0 ft B 60.0 ft D 20.0 in E 24,8 in Obs. Pipes (1 / 1 Oth of B) L F 9.3 in 1 7.9 ft G 6.0 in K 10.9 ft H 12.0 in L 81.8 ft 1 15.0 ft W 32.9 ft 6.0 ft Absorption Width (A+I) 25.0 ft DISTRIBUTION AREA CROSS-SECTION 102.44 TOPSOIL & SEED X F�LT.R 100.67 E PI OW 6 - A" DEEP 99.00 4% PRIOR TO PLACING SAND OBSERVATION PIPE DETAIL Screw -type or Finished grade slip cap 101.27 Topsoil cover 4" SCH 40 PVC pipe (1' min I Top of pipe to terminate at or above finished grade 4 , x 6" slots spaced 90 degrees apart Infiltration Toilet surface, Flange Z Pressure Distribution Design Parcel ID: TBD Bed Width: 10 ft Mamfotd Connection: End Preferred Orifice Spacing: 3.0 Minimum Number of Laterals in system/zone =[[(Media Bed Width - 4) a 3] « 1) X # of zones (Round up) [( 10 - 41 _. 31 + 1 = 3 1 zones I = 3 laterals Designer Selected # of Laterals lrpirwal): laterals 'Can't be less than 2 (except In et -grades) Min. Lateral Spacing: 3,5 ft Designer Lateral Spacing loptlona0[ ft Min. Manifold Length: 7.0 ft Designer Manifold Diameter (see table 5): 1 1/4 in Selected Orifice Diameter Size: 3/16 in (Orifices must be z 6" 6 n 2from cell edge) Lateral Length = (Media Bed Length - 2 Feet) + # of zones 60 - 2ft 1 = 58.0 ft Orifices Per Lateral = Lateral Length _ Preferred Orifice Spacing +1 (0.5 for center feed manifolds) 58.0 ft 3 ft + 1 ft = 20 Orifices Orifice Spacing- Lateral Length .# Orifices Per Lateral -1 (0.5 for center feed manifolds) 58.0 ft 19 Spaces = 3.0 ft (2' Max Orifice Spacing for At -Grades) Total Number of Orifices = Number of Orifices per Lateral x Number of Laterals 20 Orifices Per Lateral X 3 Laterals = 60 Total Orifices Recommended Orifice Density is 4-11 ft2 per orifice; can't exceed 12 f t 2 Orifice Density = Bed Area s Total Number of Orifices (Does riot apply to At -Grades) 600 ft2 60 Orifices = 10.0 ft2/Orifice Lateral Diameter (See Table 6): 1 1/4 in Minimum Average Head: 2.5 it Orifice Discharge Rate: 0.66 GPM per Orifice (eased on roble A) rim, 4 Ir,. nlr.: P.n .r�orti lellr i. .rrrrl r,l,i... i 65 NP 068_ 156 5 JI — _061 —TJ54 _ —+ p93— « 165 55 _0 _ _ f _ _ _0.4] IJs -I 1 8 1U2 so 65 nJ/_ -^il 71 _ 106 166 5a CJ� 0'5 _ _ _ _ 1 75 — osa —n:3_ 1J --_ 1A 2oz --- G2 f.fll Ili 0e4 _ r21- 9 5_5__ Ofl_6 _ 124 221 95 0 5] UP0 128 227 10 n1`3 0pi 13 233 n"Pli ��rFilr.. IT�n�lar _ nrrlan �.Irr.rur. _ inl _ _ ♦ri \F n\vn. r..l l"r ^rIIrJ 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 (TANe 71: 0.064 Gallons/ft Volume of Distribution Piping = [N 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 Manifold Diameter 1 1 /4 in Lateral Diameter 1 1 /4 in cleanout [)Hall �1 y X l.Eti, J S Pump Selection PUMP CAPACITY (GPM) Parcel ID: TBD Distribution Method: Pressure If pumping to gravity enter the gallon per minute of the pump: GPM (10 - 45 gpm) Minimum system flow rate: 40.0 GPM Dosing method: Demand Dosing Soil Treatment TOTAL DYNAMIC HEAD (TDH) Elevation Difference: 11.2 it (between Wmp artl hghest duchege WmtJ Distribution Head Loss: 3.25 ft`""v Mel a0e Flernnn Additional Head Loss: it tape m specai equipment, etc) Forcemain Diameter: 2.0 in ---- z Forcemain Length: 20 it Forcemain Friction Loss = Friction Loss in Plastic Pipe per FT of Forcemain (from Table 6:) X Forcemain Length Forcemain Friction Loss = 0.66 it Add Equivalent Pipe Length from pump discharge to sod dispersal area discharge to account for fitting loss if needed. (Estimate by adding 25% to supply pipe length for fitting loss if desired. Forcemam Length X 1.25 = Equivalent Pipe Length). Use 1.0 for standard systems. 0.66 it X 1 = 0.66 it Elevation Difference « Distribution Head Loss « Additional Head Loss - Forcemain Friction Loss = Total Dynamic Head (TDH) 11 20 it « 3.25 it « it + 0.66 it = 15.1 ft TDH PUMP SELECTION A pump must be selected to detiver a minimum 40.0 GPM at a minimum 15.1 TDH Pump Model Option 1: Goulds EPOS Performance Curve Pump Model Option 2: Goulds PE41 Performance Curve METERS FEET MI C rE[i 4 REsi L b Q Demand Dose Pump Tank TANK CAPACITY AND DIMENSIONS Parcel ID: TBD Design Row 600 GPD Cade Minimum Pump Tank Capacity: 645 Gal Designers Minimum Capacity: 800 Gal Tank Manufacturer: Wieser Tank Model WLP 1200/800-MR Capacity from manufacturer. 800 Gallons Important!: Dose design calcu(ations are based on this sPecifk tank. Substituting a different tank model ma/ alter the pump fioat settings. Contact designer if changes are necessary Gallons per inch 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 inlet of the pump must be at least 4-inches from the bottom of the pump tank Et 2 inches of water covering the pump is recommendedl Pump and block height . 2 inches X Tank Gallons Per Inch Wchn, 2 inches ensures wmpism c ea try affluent our, aperaman 1 8 in + 2 inches) X 22-2 Gallons Per Inch = 222 Gallons Minimum Delivered Volume = 5 X Volume of Distnbution Piping: From Pressure Distribution worksheet) = 56 Gallons (minimum dose) Maximum Pumpout Volume = Design Flow x 20R 600 GPD X 20R = 120 Gallons (maximum dose) Select a pumpout volume that meets both Minimum and Maximum: 108 Gallons Doses Per Day = Design Flow a Delivered Volume 600 gpd - 108 gal = 5 Doses Per Day Dminback: Diameter of Forcemain = 2 inches Length of Forcemain = 20 feet Volume of Liquid Per Lineal Foot of Pipe = 0.163 Gallons/ft Drainback = 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 - Drainback 108 gal + 3.3 gat = 111 Gallons Minimum Alarm Volume = Depth of alarm 12 or 3 inched X gallons per inch of tank •3 inch alarm depth recommended to prevent 3 in X 22.2 gal/in = 66.7 Gallons turbWence resulmiy umecessary wmD piling FLOAT SETTINGS Float Separation Distance for Dose: - Total Dosing Volume , Gallons Per Inch ! ' 111 gal - 22.2 gal/in = 5.0 Inches Float Distance Settings (measured from bottom of tank): Distance to set Pump Off Float = Pump + black height + 2 inches 8 in 2 in = 10.0 Inches Reserve Cap 18.0 in I' I' '.' A 4,gO.3 Distance to set Pump On Float = Distance to Set Pump -Off Float + Dose Separation Distance Alarm Distance 3.0 in l--T- 6.7 70 in - 5.0 in = 15-0 Inches Pump On Distance 5.0 in C � 111 3 Distance to set Alarm Float = Distance to set Pump -On Boat + Alarm Depth Pump Off Distance 10.0 in D 222.4 15 in 3.0 in = 18.0 Inches Pump Off Elev. 91.1 ft , 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 "J-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 99.00 pump and alarm circuits Y T� 93.75 i 1%Minimum Slope +/- 60' 90.00 '64' I Iltll 4' CAS '-A-SEAL iI;I 023 1 1 � I JI FILTER OR ll I ll BAFFLE Ill; TOP VIFW -WETAMM TANKS ARE MANUFACTURED TO Si SCH 40 forcemam in 4" SCH 40 pipe across tank excavation to prevent pipe setting fT E Cam Lock r Float Tree: -1 Install floats separately from 1 t pump on 1"to 75"PVC pipe I d - 1117 Weep Hole I 4" Pump Block WLP1200/800—MR TANK SPECIFICATIONS DIMENSIONS WALL 3' ' BOTTOM: 3' COVER: 6- MANHOLE: 24' LD PRECAST CONCRETE RISER HEIGHT, 53* O.D. 16 LENGTH: O.D. .I WED9' O.D. BELOWOW INLET: 4 3' OD. ' r 4' CAST -A -SEAL LIQUID LEVEL: 36' II WEIGHT: BOTTOM 12.000 I-S& COVER 8,170 LES. INLET AND OUTLET ( Cl/ 4' CAST -A -SEAL BOOT OR EQUAL \� I GASKET, CAST -A -SEAL BOOT OR EQUAL INLET AND OUTLET BAFFLE AND FILTER 'MSCONSIN. SEE DETAIL 010 (OTHER STATES SEE CHART) LIQUID CAPACITY: 3346 GAL/IN (SEPTIC) 2224 CAL/IN (PUMP) LOADING DESIGN, 8' 0' UNSATURATED SOIL 4' VENT TANK CAN BE USED AS: SEPTIC/SEPTIC, SEPTIC/PUMP OR SEPTIC/SIPHON COVER: MIA DESIGN /8 (NO FIBER) TANK MIX DESIGN 4'9 (SMALL FIBER) CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WIESER CONCRETE FOR APPROVAL eP:Rm ED a': _ __ ___ ______ PPPRJVSL ]ME: Pv6'ULLIS xLLUL KY: J Z Q U a w N OF � 1 Mound Materials Estimate Parcel ID: TBD A- Rock Volume: (Rock Below Pipe + Rock to cover pipe (o¢r dla+ 1 irKh)1 X Bed Length X Bed Width = Volume (ft') ( 6 m + 5 m) - 12 X 60.0 it X 10.0 ft = 550.0 ft' Divide ft' by 27 ft'/yd' to calculate cubic yards: 550.0 ft' . 27 = 20.4 yd, Add 30% for constructabilfty: 20.4 yd'X 13 = 26.5 yd For systems using Approved Products: Volume = Product Height X Bed Length x Bed Width Approved Product: # of Components receded: (See Mound Design page for detailed summry of _ components weded) B. Sand Volume: Volume Under Rock bed: Average Sad Depth x Bed Width x Bed Length = cubic feet 3.7 it X 10.0 ft X 60.0 it = 2240.0 it, Upslope Volume : (Upsiope Sad Height x Upslope width x Bed Length I - 2 - cubic feet (( 2.6 ft X 7.9 X 60 0 )-2 = 609 8 it, Duwnslope Volume : (Downslope Sad Height x Dowmslope Absorption Width x Bed Length) - 2 = cubic feet (( 3.0 ft X 11.4 it X 60.0 ) + 2 = 1018.3 ft3 Endslope Volume: Downslope Sad Height x 3 x Bed Width = cubic feet ( 3.0 it X 3.0 it X 10.0 ft = 89.5 ft' Total Clean Sad Volume: Upslope Volume + Downstope Volume + Endslope Volume + Volume Under Bed 609.8 it, , 1018.3 ft' + 89.5 ft3 + 2240.0 ft3 = 3957.6 ft, Divide ft3 by 27 ft3/yd' to calculate cubx yards: 3957.6 W a 27 = 146.6 yd' Add 30% for constiuctability- 146.6 yd'-X 1.3 = 190.E Y d C. Topsoil Volume: Distribution Box Cover Volume (opprox) : Distribution Box Length X Width X Average Topsoil Height (18" 1 10.0 ft X 60.0 it X 1.5 it = 900.0 ft3 Downsfope Berm Cover Volume: Downsfope Berm Length X Width X Depth (11') 15.0 ft X 60.0 it X 1.0 ft = 900.0 ft' Upslope Berm Cover Volume: Upslope Berm Length X Width X Depth (12') 79 ft X 60.0 ft X 1.0 ft = 472.1 ft3 Endslope Berm Cover Volume: Endslope Berm [Length X Width X Depth (12")] X 2 (2 Bemis) 10.9 it X 32.9 it X 1.0 it X 2 = 717.4 ft' Divide ft' by 27 ft3/yd' to calculate cubic yards: 2989.4 ft' 27 = 110.7 yd3 Add 30% for constmctability: 110.7 yd' x 1.3 = 143.9 yd3 "For rough estimation purposes only. Final material estimates should be calculated by the plumber/installer"" Wisconsin Department of Safety and Professional Services Division of Industry Services Page 1 of Z SOIL EVALUATION REPORT In accordance with SPS 385, VNs Adm. Code I County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, ST Croix but not limited to vertical and horizontal reference point (BM), direction and percent slope, Parcel I D scale or dimensions, north avow, and location and distance to nearest road. Pending - New GSM (Current is 008-1050-10-000) Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes Priv y Law, s 15 04 1 m Property Owner Property Location: Hickory Homes (Builder) Govt Lot. SW 1/. NW %. S 17 T 28 N R 16 W Property Address Lot # Block # Subd Name or CSM# TBD 220TH ST 01 TBD New CSM City State Zip Code Phone Number ❑ City ❑ Village 0 Town Nearest Road Baldwin I W I 154002 1 1 1 Eau Gallo 1220TH ST M New Construction Use:®Residential/ Number of bedrooms 4 Code derived design flow rate 600 GPD ❑ Replacement ❑ Public or commercial — Describe: _ Parent material Loamy glacial deposits over sandy outwash (Rosholt SL) Floodplain elevation if applicable NA If General comments and recommendations: Recommend minimum 20" sand-hR Powys mound on 99 00 comour wnh 0 4gpdm2 loading rate LF = 16" (Redonmorphc feaW res) ❑ Boring # ❑ Boring Q PR Ground surface elev.99.00 ft. Depth to limiting factor 19 in Soil lication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/FC 'Eff#1 'Eff#2 1 0-9 1 OYR 3/3 - 1 2msbk mfr cs 2f-vf 0.6 0.8 2 9-19 7.5YR 4/4 - sl 2c-msbk mfr-mfi cw W 0.6 0.8 3 19-51 10YR 416 c2p 7 5YR 4/6 & 7 5YR 6/1 scl-sc l csbk-Om mfi-mvfi - - 00 00 2❑ Boring # ❑ Boring ❑� Pit Ground surface elev 96.25 ft. Depth to limiting factor 17 in. Snil Gnnlir•arinn Rare Horizon Depth In Dominant Color Munsell Redox Description Qu. Az Cont. Color Texture Structure Gr_ Sz Sh. Consistence Boundary Roots GPD/Ft2 'Eff#1 'Eff#2 1 0-9 10YR 3/3 - 1 2msbk mfr cs 2f-vf 06 0.8 2 9-17 7.5YR 4/4 - sl-scl 2c-mabk mfi gw of 0.4 0.6 3 17-31 10YR 4/6 m2d 75YR 618 & 1oYR 5/2 scl 1 csbk mfi ai - 0.2 0.3 4 31-54 2.SY 6/4 c2p 7.5YR 518 & 10YR fill IS Osg loose - - 0.5 1.0 Effluent #1 = BOD. > 30 s 220 ma/L and TSS > 30 5 150 mdL ' Effluent #2 = BOD. > 30 s 220 mad- and TSS > 30 s 150 ma/L CST Name (Please Print) Signature CST Number Ryan Bechel SP-111500001 Address Date Evaluation Conducted Telephone Number 779 Spring Creek RD S, Red Wing, MN 55066 02/25/21 (651) 327-0074 SBD-8330 (R04/15) 3❑ Boring # ❑ Boring PR Ground surface elev. 99 00 ft. Depth to Imlting factor 16 in. Soil ADDlicatton Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu, Az. Cont. Color Texture Structure Gr. Sz Sh_ Consistence Boundary Roots GPD/FY 'Eff#1 'Ef1#2 1 0-8 1OYR 3/3 - 1 2f-msbk mfr cs 2m-vf 0.6 0.8 2 8-16 7.5YR 4/4 - sl-scl 2csbk mfr gw - 0.4 0.6 3 16-26 10YR 4/6 ft d zsYR 5i8 s 1OYR 5/1 scl 2cabk mfi gw - 0.4 06 4 26-42 10YR 4/3 c3p 7.5YR 4/6 a 7 5YR 511 sc Om mvfi - - 0.0 0.0 47 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Sod Aoolil cation Rate Horizon Depth In Dominant Color Munsell Redox Description Qu. Az Cont. Color Texture Structure Gr. Sz Sh Consistence Boundary Roots GPD/FC 'Eff#1 'Efl#2 EBoring # ❑ Boring ❑ Pit Ground surface elev ft. Depth to limiting factor _ in. $OII Application Rate Horizon Depth In Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz Sh_ Consistence Boundary Roots GPD/Ft' 'Eff#1 'Eff#2 Effluent #1 = BOD. > 30 s 220 mg/L and TSS > 30:; 150 mg/L ` Effluent #2 = BOD, > 30 s 220 mg/L and TSS > 30 s 150 mg/L Designer Ryan Bechsi Certified Soll Teeter. SP-111500001 Designer of Engineering Systems D 2263-7 BM3 = 91.20 \\\ Grade at wood lathe property one marker F44 ADVANCED Proposed north P L. (New CSM) *All property linos not drawn are >1 DDft from system Q Benchmark Septic Tonk: 1 Soil Boring - �v nLe I 3a' I 0' 60' P/L Pump Tenk: SYSTEM NOTES SIA: Recamend m nimur 2C'sandgh POWTS moved on 9900 Pontwr mth 0 42pd't1t oadrg rate -0epth to rasril = 15 )Redmronapnc features) .Contou = W 00 I -Slope =4% I I I Distribution: -system veil•eawre p'essue dirtibrion LOCATION MAP (not to f:✓ PREPAREDFOR: Hickory Horns (Bill Jensen) Sol TBD 220TH ST Baldwin, WI 54002 —r/ PID: TBD (New CSM) ri1.47 Acres'. P/L > > Legal: SW 1/4 NW 1/4 S17 T28N R16W I hill gPlan hoe teen d.l and elauded m ova" .flh stab .m I l n, are dl n.alms,t area rra.t r.r4 prdecma nam afm .era/or off. W. arm aN. Town of Eau Gallo corutruetlan. Nn weaUl4ry IS lMOE a T 116 SYSIEII e1LL CONTINUE M flR1l: 0114 DQXAI m y. SyeWn rule[ W W.P.* mrdrRdrltl. IriooenwM1 don for Mmmtbn an wooer can orb ' - ... ._. ..-. -.. -.i -"2 y, �7 1 f1120' -- �to east P.L. az t ee.m �i New 4BR Home ___-- Driveway I Garage BMI = 100.00 Top nail in 12" wooden post 1.5' above grade BM2 = 98.92 Grade at wood lathe property line marker --Well to be located >50R from system components c C i/ / I Feld drainage Swale \ ST CRoN _ 'UNTY SANITARY SYSTEM Filece Office Use Only -_� OWNERSHIP/ADDRESS FORM created212027 Community Development Department will utilize this information to provide the property owner with information regarding operation and maintenance of your new or replacement sanitary system! This information will be provided as part of our ongoing efforts to protect public health, your well, groundwater, surface water, property values, and county resources. Once approved, this completed form and educational information will be sent to you by email. If you would like to view your issued sanitary permit online, you can do so by using the Property Files Scanned weblink. OWNER/BUYER INFORMATION Owner/Buyer City Cottages, LLC dba Hickory Homes Mailing Address 521 2nd Street City/State/zip Hudson, WI 54016 Phone Number (reouireci)612-559-2991 Email Address (required)Bill Jensen - Bill.Jensen@HickoryHomes.com Parcel Identification Number 008-1050-10-e90 05—y (found on the property tax bill) NEW SYSTEM: LEGAL DESCRIPTION Property Location SW 1/4 , NW 1/4 , Sec. 17 T 28N N R16W W, Town of Eau Galle Subdivision Plat: Lot # l Certified Survey Map #Attached - 30-6862 ) 111 q00 volume 30 Page # 6� Z Warranty Deed # it Z LE-3 7 (before 2006)Volume Page # Number of bedrooms 4 Spec house Cl yes ® no Lot lines identifiable 0 yes 0 no OFFICE USE ONLY New Property Address _3 5 3 2 2 O %H ST (Verification of new address required from Community Development Department for new construction.) 3 iZZ L-2 (Staff Initials) (Date) This form must be submitted with all Private Onsite Water Treatment System (POINTS) applications. New System: Include with this form a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey mop if reference is made in the warranty deed. Community Development Department — Land Use Division 715-386-4680 St. Croix County Government Center 715-245-4250 Fax cddRsccwi.cioov 1101 Carmichael Road, Hudson, WI 54016 www.sccwi.00v F-----i �-----a it 4-----J i �---- � ----1-' EI, i H¢Low Homes - � — I i /b NM tea Lx G� MASTER BEDROOM /- n.rin �i T III ram+ no l lA 0 ING R M�j KITCHEN Ll .••R04T FO�R• OVERED FRONT PORCH �O PLAN I I I 1< y eyam LIVING ROOM 3 �eW T 33 3 t I I I e II i� E- E Homes - Whit r you're Ready For Better BEDROOM NE �ac o&�Iam HOMEWORK HUD / FLEX ROOM i BEDROOM n3 ' zzo oe� prci BEDROOM#2 T UPPER LEV 1 SST-anal-oys Wisconsin Department of Safety and Professional Servims I Page 1 of 2 Division of Industry Services MAR Q_� ZOZi SOIL EVALUATION REPORT In accordance with BPS 385 Wis Adm Code I County ST Croix Attach complete site plan on paper not less than 8 112 x 11 Inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM) direction and percent slope. Parcel I D scale or dimensions, north arrow, and location and distance to nearest road Pending - New CSM (Current is 008-1050-10-000) Please print all Information. DAewedoy Personal information you provide may be used for secondary purposes PrivacY Law s 15 04 1 m ✓IOYI�e1V1,.�� ZZ Property Owner Property Location Hickory Homes (Builder) Govt Lot SW 7. NW % S 17 T 28 N R 16 W Property Address Lot # Block # Subd Name or CSM# TBD 220TH ST of TBD New CSM City State Zip Code Phone Number ❑ City ❑ Village M Town Neared Road Baldwin DWI 154002 1 1 Eau Galle 1 220TH ST ❑ New Construction Use ❑M Residential/ Numberof bedrooms 4 Code derived design flow rate 600 GPD ❑ Replacement ❑ Public or commercial — Describe _ Parent matenal Loamy glacial deposits over sandy outwash (Rosholt SL) Floodplain elevation if applicable NA it General comments and recommendations Reoommena nimum zo• sand -riff RowTs mound on s9 00 contour min o 4gpNfl2 ioedioq rate Y LF=1a•(Re xrynic fe uresl wµfy LO �� r ❑❑ Boring - 1 Boring # pit Ground surface elev 9900 ft Depth to limiting factor 19 in Soil Anoll icAtion Rate Horizon Depth In. Dominant Color Munsell Redox Description Ou Az Cont Color Texture Structure Gr Sz Sh Consistence Boundary Roots GPD/Ft' 'Eff#1 'Etf#2 1 0-9 10YR 3/3 - 1 2msbk mfr cs 2f-vf 0.6 0.8 2 9-19 7.5YR 4/4 - sl 2c-msbk mfr-mfi cw 1vf 0.6 0.8 3 19-5l 10YR 4/6 ap 7 5YR 4I6 a 7 5YR 5n scl-sc 1 csbk-0m mfl-mvfi - - 0.0 0.0 ❑❑ Boring 2 Boring # ❑� pit Ground surface elev 96 25 ft Depth to limiting factorr17 Snil Annlil n�afinnn Rare] Honzon Depth In Dominant Color Munsell Redox Description Ou Az Cont Color Texture Structure Gr Sz Sh Consistence Boundary Roots GPD/Ft' 'Eff#1 'Eff#2 1 0-9 11313 - 1 2msbk mfr cs 2f-vf 0.6 0.8 2 9-17 7.5YR 414 - sl-sci 2c-mabk mf gw of 0.4 0.6 3 17-31 tOYR4/6 m2d75YR5/8a1oYR512 scl 1csbk mfi al - 0.2 03 4 31-54 2.5Y 614 c2p 7 5YR 518 8 10YR 611 fs Osg loose CST Name (Please Print) Signature p CST Number Ryan Bechel �•J SP-111500001 Address Date Evaluation Conducted Telephone Number 779 Spring Creek RD S, Red Wing, MN 55066 02125Y21 (651) 327-0074 ❑3 Boring # ❑ Boring ❑� Pit Ground surface elev W00 ft Depth to limiting factor 16 in Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu Az Cont Color Texture Structure Gr Sz. Sh Consistence Boundary Roots GPD/Ft' 'Eff#1 'Etf#2 1 0-8 10YR 313 - 1 2f-msbk mfr cs 2m-vf 0.6 0.8 2 8-16 7.5YR 4/4 - sl-sd 2-csbk mfr gw - 0.4 0.6 3 16-26 10YR 4/6 f1d 7 5YR 5/8 8 10YR 511 scl 2cabk mfi gw - 0.4 0.6 4 2642 10YR 4/3 oap 7.5YR 416 s 7 5YR 511 sc om mvf - - 0.0 0.0 ❑q Boring # ❑ Boring ❑ Pit Ground surface elev ft Depth to limiting factor Soil Application Rate Horizon Depth In Dominant Color Munsell Redox Description Qu Az Cont Color Texture Structure Gr. Sz Sh Consistence Boundary Roots GPD/Ft' 'Efi#1 I -Eff#2 Boring # ❑ Boring ❑ Pit Ground surface elev Depth to limiting factor _ in Soil Application Rate Horizon Depth In Dominant Color Munsell Redox Description Qu Az Cont Color Texture Structure Gr Sz Sh Consistence Boundary Roots GPD/Ft' 'Eff#1 'Eff#2 Effluent #1 = BOO, > 30 s 220 mg1L and TSS > 30 s 150 mg/L ' Effluent #2 = BOD, > 30 5 220 mi and TSS > 30 5 150 mg/L 4) 3] Boring # ❑ Boring Pit Ground surface elev. 99.00 ft Depth to limiting factor 16 in. .,nil Annlicatinn Rntp Horizon Depth In Dommant Color Munsell Redox Description Qu. Az Cent Color Texture Structure Gr Sz Sh Consistence Boundary Roots GPD/Ft' •Eff#1 I •Eff#2 1 0-8 10YR 3/3 - 1 2f-msbk mfr Cs 2m-vf 0.6 0.8 2 8-16 7.5YR 4/4 - sl-sG 2-csbk mfr gw - 0.4 0.6 3 16-26 10YR 4/6 f1d 7.5YR 518 & 10YR 5/1 scl 2cabk mfi gw - 0.4 0.6 4 26-42 10YR 4/3 tap 7.5YR 416 & 7.5YR 5/1 SC Om mvfl - - 0.0 0.0 ❑q Boring # ❑ Boring ❑ Pit Ground surface elev Depth to limiting factor_ in. Soil Aoolication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cent Color Texture Structure Gr Sz Sh Consistence Boundary Roots GPD/Ft' •Eff#1 TEff#2 MBoring # ❑ Boring ❑ Pit Ground surface elev ft. Depth to limiting factor_ in. Soil Application Rate Horizon Depth In Dominant Color Munsell Redox Description Qu. Az. Cent Color Texture Structure Gr Sz. Sh. Consistence Boundary Roots GPD/Ft' •EfF#i 'Eff#2 Effluent #1 = BOD, > 30 < 220 mg/L and TSS > 30 5 150 mg/L • Effluent #2 = BOD, > 30 5 220 mg/L and TSS > 30 <_ 150 mg/L Gealgner. Ryon Buret %/� ADVANCED *All property lutes not 0° Benchmark 1� SYSTEMNOTES Certified Soil Tester. SP-11160D001 v drawn are �100R from 5eptie Tank: Deaignet of Engineering Syatems D 2263-7 - ^" N r a system Soil Boring BM3 - 9120 `Grade at wood lathe property line marker �2 "R�nn hscrvetl ✓ BE ns i. _ /in by Nrzhaei I M1lyrn'. �Bt ISO: �] 90� e T1120' -- i qq p0 to east P.L. lx) ✓' "Well to 6e bated >SOn from system components— r----J New 4BR Home I T Driveway Garage ` m_t. 100.00 — Top nail in 12' wooden post 1 5' above grade BM2 = 98.92 Grade at wood lathe property line marker Proposed north P.L. (New CSM) xya e 30' 0' 60' Pump I.,& S1,\: Fecco mend minmum X sand 11 POWTS mound on 99 00 Cara, am 0 4gpdR kadng i9e 4)epth to iesochao =16* (Redolinfor c leakaes) tootaur ="" I� Slope = 4% IDi,lyde lion: system oil iegnre pressure dsindtmn C / LOCATION MAP (rwt m ooill I Field drainage \ Swale \ \ TBD 220TH ST Baldwin, WI 54002 t PIDTBD (New CSM) ±11.47 Acres Cerwled Show romi, Tlil. wetwii Ia Levi dergn.e sntl swluaNd In avnroom rah Stnte and local m The lot biabrisd ono rout rwiWi prekeaEed From am.eam. awor compeotl.n beta vie of war miMnictlm. N] wwtwvay IS WIDE TENT THIS SYSTI e11 C01,11WE To FIItILfr10N IWEFINTEIT. Sy.Nm rrW m posy moh laic . Rw4.. yolr Nalarn'. mvagarsit Mari iv Ird.tion on PaPr cars aM rombeiutae. I RN.I AREA FOR: Hickory Homes (Bill Jensen) Site Address. Legal: SW 1/4 NW 1/4 S17 T28N R16W Town of Eau Galls Scale' P= 60' Date. 2/25/20 1111900 SETH PAM REGISTER OF DEEDS CERTIFIED SURVEY MAP CE `"°FOREwx ST. F00. RECORD LOCATED IN THE SWY4 OF THE NWY4 OF SECUON 17, T28N, 09117/202011:46 AN R16W, TOWN OF EAU GALLE, ST. CROIX COUNTY, MSCONSIN; CERTIFIED SURVEY NAP VOLUME: 30 PAGE:6662 REC FEE: 30.00 PAGES: 2 prm��0 BEARINGS REFERENCEC TO THC NEST UNE OF THE ' m q r . NWF. D SFCnON 17. UNE BEARS NX'23.02-E, ST ^Rd% COUNTY CO OINATE SYSIEY. V SERA 220V�1_3'RACT 50 — — —Q $ NOD'23'Or 379.39 uzs- R �+ NDO23W'E 379-9' WEST LINE OF THE HWY. yyyyNZ I jYma �v m pill MIX Wp�� o�� lj��4 PHI A A twila EAsr uNE OF nE — — — D t SWY OF THE NW1S C .:M 500.20'12'W 379.40' �z S bRAN'bFyW� 0ia . O yya�0>i 2 mg woo Io N N m �p p2 rmf A A t m n IJ y� V aNS JOSEPH GRANBERG BARRY SERIER DRAFTEE BY !WG 1428 .34TH AVENUE 2150 33RD AVENUE JOB NO. 100-680 SHEET NEW RICHMOND,'M 54017 BALOVAN, W 54002 DATE. 07/20/20 1 OF 2 So- Lyu' . St Cr x County 1111900 Page 1 of 2 4 Coo( ( At -6 ) 25E CC�oo( COUNTY NO. .� :�= --•�. d ill :�.. - ' =--�• OWNER PLUMBER TOWN AND/OR BLOCK AUTHORIZED SUBDIVISION 631280 PERMIT CHAPTER 145535 (2) WISCONSIN STATUTES (a) The purpose of the sanitary permit is to allow installation of the private sewage system described in the permit. (b) The approval of the sanitary permit is based on regulations in force on the date of approval. (c) The sanitary permit is valid and may be renewed for a specified period. (d) Changed regulations will not impair the validity of a sanitary permit (e) Renewal of the sanitary permit will be based on regulations in force at the time renewal is sought, and that changed regulations may impede renewal. (t) The sanitary permit is transferable. History: 1977 c. 168; 1979 c. 34,221; 1981 c. 314 Note: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. OFFICER - DATE THIS PERMIT EXPIRES '76 W"49&UNLESS RENEWED BEFORE THAT DATE POST IN PLAIN VIEW VISIBLE FROM THE ROAD FRONTING THE LOT DURING CONSTRUCTION SBD-06499 (R. 10/11)