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HomeMy WebLinkAbout030-2065-80-000 Wis, .,nentof Commerce PRIVATE SEWAGE SYSTEM county: St. Croix Safe ,,ilding Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 515114 0 GENERAL INFORMATION State Plan ID No: - Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. eW yQ ,^a Permit Holder's Name: City Village X Township Parcel Tax No: McGuire, Michael et al I St. Joseph, Town of 030 - 2065 -80 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: / 0 0 1 /06, !� 4-t� 35.30.20.606F TANK INFORMATION IfEll EVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Aft. BM Aeration Bldg. Sewer # 515 Holding St/Ht Inlet St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt Bottom �(o • D S Dosing ea Man. SS Aeration Dist. Pipe 7�� r — � Holding Bot. System so_.do v PUM IPHON INFORMATION Qi� • �- Oyl CMG Final Grade N82` o f e WS 2Z , 30 D anufacturer Demand St Cover S�- GPM S Model Number vo - 2 TDH Lif,) Frictin � ss S TI H 1/ F For ' ength © Dia Dii to Well lJ SOIL ABS RPTION SYSTEM I (p 32 BED /TRENCH Width Length / No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 2 SETBACK SYSTEM TO P /LS B DG ELL LA E /STREAM ACHING Manuf turer:�, j INFORMATION Typ / HAMBER e System: F 7 2 4- —/ / Model Numb DIS IBUTION SYSTEM 6kd Bader/ nifold Distribution / x Hole Size x Hole Spacing ent to it Intake Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only 3 V Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center 'L / 61 P_ / Bed/Trench Edges Topsoil Jr. J h0 ❑ Yes D No Yes No COMMENTS: (Include co a discrepencies, persons present, etc.) Inspection #1: � / Inspection #2: Location: 1246 Hwy 35 Houlton, WI 54082 (Gov't Lot 2 35 T30N R20W) metes & bounds Lot Parcel No: 35.30.20.606F 1.) Alt BM Description = S S�S�a , ?�yu -m i " 2.) Bldg sewer length = T�/ .h 4" / v 39 / - amount of cover = LJ' - - - - 1 - — — Plan revision Required? ❑Yes No Use other side for additional information. !- i_ -_`�_1 - - - - -f1� _ - -�! _ S � - -- SBD -6710 (R.3/97) Date Insepctor's Sig ature Cart. No. 1 - .P f� o O y ,� • Locos /or'gyo S62 ee W coo �. lot2, See 3s T. Sort., �,ZGrJ 7 - of 5�.�7�s�o�, SE•Croi;CCi. ti � f�• �0.j0_1o(oS80 -ACA � c $ 4 � -� Y l Cu u Q Ff r p P `�0 1 r 1 w# I'A 41 14 U3 �\n /. 2 % nsinLDepartmentofCommerce PRIVATE SEWAGE SYSTEM county: St. Croix Sa,ety and Building Division INSPECTION REPORT Sanitary Permit No: 515103 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: McGuire, Michael et al I St. Joseph, To n of 030 - 2065 -80 -000 CST BM Elev: Insp. BM Elev: BM Description: 1�r vve „� /7L H. /j 1 Section/Town /Range /Map No: ra C( ;�k 7 C' ( � � .� ,�ti, �� ��r.; he � , y� �,' 35.30.20.606E TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. t. ` Septic 'J f ff � f � Benchmark �n Dosing 1/ C / Alt. BM ry ' ) Aeration Bldg. Sewer GtiY lf�.S �- �- ►1. '- -Vii— /_ C H CI vo c a- , � z � C , 1 Z , .j ( Holding St/Ht Inlet j'� i -r L St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/4 kVVVE BLDG. Vent to Air take ROAD Dt Inlet Septic rDist. tom Dosi ng � , er n. Aeration ` Pipe Holding Bot. System . Final Grade PUMP INFORMATION `�o" >�.Ag- � -(eg- anufacturer J-77 Demand St Co ` r GPM L y C'4C y ) <_t Model Number O 575W V ?F TDH Lift Friction Loss System Head TDJI , Ft I C ' -4 ,1 ) Forcemain ILength Dia r , Dist. to Well SOIL ABSORPTION SYSTE —r / S 'CL 62� "t_TZ_) ��` ' -! ?J Z1 L! "''t - 3T D /TRENCH Width ength No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DI IONS SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: UNIT Model Number: DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil ❑ Yes D No ❑ Yes ❑ No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: 1 k r U A Inspection #2: / / Location: 1246 Hwy 35 Houlton, WI 54082 (Gov't Lot 2 35 T30N R20W) metes & bounds Lot `f \� Parcel No: 35.30.20.606F y / 1.) Alt BM Description= { 2 V 2.) Bldg sewer length = �/ - amount of cover = 'ld z L Plan revision$equke El Yes No C /' __- _ o / se other side for additional information. _ _ l_ _I SB - 3/9_7 i 4 <'_ S kz Date Insepcto s Signat Cert. No. a [ J . I jz m �n'_ A V Commerce.wi.gov Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 St. Croix 't ltg e adison, WI 53707 -7162 Sanitary Permit Number (to be filled in by Co.) nt of Commerce 5 1. I' Sanitary Permit Application Nta Transacton Number In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note: Application forms for state -owned POWTS are Project Address (if different than mailing address) submitted to the Department of Commerce. Personal information you provide may be used for secondary purp oses in accordance with the Privacy Law, s. 15.04 1 m , Slats. Same L Application Information — Please Print All Information RECEIVED Property Owner's Name Parcel # 030 - 2065 -80 -000 Michael G. McGuire 0 Property Owner's Mailing Address AUG 0 3 2009 Property Location 1246 Hwy 35 ST CROIX COUNTY Govt. Lot 2 City, State Zip Code '/4, ' / <, Section 35 Hudson, WI 54016 (715) 549 -6525 (circle one) II. Type of Building (check all that apply) Lot # T 30 N; R 20 W ®1 or 2 Family Dwelling —Number of Bedro s3 / K� Subdivision Name Block # ❑ Public/Commercial — Describe Use City of Na ❑ State Owned — Describe Use CSM Number ❑ Village of Na ® Town of St. Joseph III. Type of Permit: (Ch only one box on Hie A. Complete line B if applicable) A. ❑ New System Replacement I i Treatment/Holding Tank Replacement Only Other Modification to Existing System (explain) System B. ❑ Permit evision Change of ❑ Permit Transfer to List Previous Permit Number and Date Issued Renewal Before Plumber New Owner 7 2 c / �� 6 Expiration J 9 Q J IV. Type of POWTS System/Component/Device: Check all that appl Non - Pressurized In- Ground ❑ Pressurized In- Ground At -Grade ❑ Mound > 24 in. of suitable soil Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation 450.00 sq. ft. 0.70 642.86 sq. ft. 651.60 sq. ft. 94.00 VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units o w U ¢ U P New Tanks Existing Tanks z F w m ¢ ¢ Septic or Holding Tank 1 1000 1000 1 Wieser Concrete Dosing Chamber 1 6 600 1 Wieser Concrete ❑ VII. Responsibility Statement- I, the under igned, ass. y4 responsibility for inst do of the POWTS shown on the attached plans. Plumber's Name (Print) Plumbe ' Signatur s MP/MPRS Number Business Phone Number James K. Thompson 30021 715) 248 - 7767 Plumber's Address (Street, City, State, Zip Code 340 Paulson Lake Lane, Osceola, WI 5402 VII ounty /De artment Use Only j Approved _ Disapproved Permit Fee Ifate Issued Issu' Agen Sign _ Owner Given Reason for Denial $ Z G71 d /_ C UL Conditions of Approval/Reasons for Disapproval ­41 p A S '.2,i SYSTEM OWNER: � /o �,Q,,,�jQ,,y� Sc�o�Gt� l�t-i �'iL Sf 1 Septic tank, effluent filter and "�"a/P "_ dispersal cell must all be serviced / maintaine d , J�� as per management plan provided by plumber. 2. All setback.equiteX :�M, _W:9V_U /I&I -M awl- 1-2, I m and ubmit to to th� one on paper not less than 81r2 x 11 inches in size as per applicable code /ordinances. Vh"' SBD -6398 (R. 01 /07) Valid thru 01/09 o Q l Reyzf7i '� ' � rt� • Loca. �t�c /o�of�.5�a� �LA: � /,2 hwr 3s f/cdson, /. SYG /6 W "Lt got). lot2, sac .35, T. .3on., ,P,2G� 7 - of'Sle . )aseal, St.eroA,rG., ct - ct. �, 2 u 1 a U ut p 56 - � t 3z �, • r o � r 1 I � � n C. 1 U 1 � y 1 1 NA peen �Qwn p e op" I4 cu I1` 7 A � Z p li W goy � � � T • o f' Sf • ��P� St . eroi G. �/. re p OI o N r \; ru0 �� I I , _ -- t , Cu i r cs' o , w 1 ,0 cL �. l •� W 1 0 + tc7,Gd}/ at Opt'l !`Q 05/,1912009 12:29 7154859246 POLK ZONING FAX PAGE 01/06 Sail Absa "on S teml Cross Section - I ft 4" SCM10te 40 Final Grade PVC Vert Pipe With Vent Cap aO ft Leaching Chamber_ 9 O System Elevation Z.&3 ft `.a fit Soil Absorption Svsteml Plan Vie�vv G&. p ft 2.83 ft TH1111111111111111111 Mill 1110 ftHIM1111111 � Vent Or Observation Pipes Cham Leach i ns Trench 1 4" Dia, Trench 2 Header Leachina Chamber Specifications Manufacturer And Model 9 .�,•/ 2a_6r .�I/ EISA Rating zo, 0 sq ft per chamber Soil Application Rate O.7 gpd/sq ft O.O gpd Design Flow j ©,7 Coil Application Rare = AO.O EISA = 32 ` Chambers 2 rows of __ZG chambers each. Page - of McGuire 3 bedroom Dose Conventional Pump Chamber Calculations 1. Force Main: Diameter 2" Length 125' Flow rate 40.00 gal. /min.± Friction loss 4.13' 3 (125')(3.301/100ft.) = 4.13 ft. 2. Total dynamic head: Min. supply pressure 0.00' Vertical lift 7.75' Friction loss 4.13' 3 Filter loss 0.50' 11-160 Total dynamic head = 12.38' 3. Pump selection: Manufacturer: Zoeller Model number: BN 151 Pump will discharge approx. 40.0 gpm @ 12.38' TDH 4. Dose chamber: Manufacturer & capacity: Wieser W1000 /600 MR Comb. ST/PC - 36.00" na 16.76 al. /inch 603.36 gal. actual) Sizing: A) One day holding capacity: 18.00" = 301.68 gal. B) Alarm setting: 2.00" = 33.52 gal. C) Dose volume: 6.00" = 100.56 gal. (450ga1.)(20% Design flow) + (.164)(150') = 114.45 gal. Max. Dose D) Reserve storage: 10.00" = 167.60 gal. TOTAL 36.0" = 603.36 gal. 5. Fluid Flow Calculations: V= .408 40 = 4.08 ft/sec. 4 H through PVC pipe SB <_ 5 ft. /sec. 2" pipe @ 2ft. /sec. = 19.583954 Gpm. V = velocity in ft. /sec. Q = flow rate in Gpm D = pipe diameter .408 = constant conversion coefficient Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and - 0 Comm 16.28 WAC 4 in. min. Disconnect Tank component is properly vented E-- Alternate outlet location Forcemain diameter Wieser WLP1000 /600 Manufacturer 2 in. Capacityl 603.36 Gallons Volume 16.76 gal /inch A _ Weep hole or anti - Dimension Inches Gallons B siphon device A 18.00 301.65 B 2.00 33.52 C Pump off elevation (ft) C 6.00 100.59 _t 1 86.83 D 10.00 167.60 D Total 36.001 603.36 1 Dunk elevation (ft) 3" Bedding unclertank. 86.00 Alarm Manuafacturer jZoeller Alarm Model Number JA Pak Pump Manufacturer jZoeller Pump Model Number I BN151 N PUMP PERFORMANCE CURVE TOTAL DYNAMIC HEAD /FLOW MODEL 15111521153 � PER MINUTE 14 45 f53 EFFLUENT AND DEWATERING 12- ` MODEL 151 152 153 s 35 10 152 Feet Maters Gal. liters Gel. Liters Gd. Libre = 30 5 1.5 50 189 69 261 77 291 10 3.0 45 170 81 231 70 285 0 8 457 15 4.6 38 144 53 201 81 231 s 20 6.1 29 110 44 167 52 197 r 5 20 25 7.6 16 61 34 129 42 159 30 9.1 - 23 87 33 125 /1•' / 3 35 10.7 - - 22 85 T,Q H 10 40 12.2 - - - - 11 42 Shut-off head: 30 ft. (9.tm) 38 ft. (1IBM) 44 It. (13.4m) 2 5 07450815 0 10 20 30 40 BO 80 90 1 GALLONS LrTER3 0 4e 80 f 0 t 3 FLOW M RMINUM 0145M Model 151 Models 1521153 CONSULT FACTORY FOR SPECIAL APPLICATIONS 67M 6114 978 458 327132 458 • Timed dosing panels available. • Electrical altemabas, for duplex systems, are available and 327732 s7re supplied with an alarm. 4 • Variable level control switches are available for controlling ® ,; single phase systems. • Double piggyback variable level float switches are available for variable level long and short cycle controls. • Sealed OvWk -Box available for outdoor installations. See FM1420. • Over 130'F. (54'C.) special quotation required. 151/152/153 Series ++ + fns 12 fill 1511152153 YODELS Control selection Yodel Volts -Ph Made Amps Sim ox Duplex 4M 5118 N151 115 1 Nan 6.0 1 2 or 3 BN151 115 1 Auto 8.0 Inducted 2 or 3 El 51 230 1 Non 3.2 1 2 or 3 BE151 230 t Auto 3.2 Included 2 or 3 SK2444 SK2064 N152 115 1 Nan 8.5 1 2 15 3 BN152 115 1 Auto 8.5 Included 2 or 3 E152 230 1 Nan 4.3 1 2 or 3 BE152 230 1 Auto 4.3 Inducted 2 or3 N153 115 1 Non 10.5 1 2 or 3 BN153 115 1 Auto 10.5 Included 2 or 3 E153 230 1 Non 5.3 1 2or3 SELECTION GUIDE BE153 30 1 Auto 5.3 Included 2 or 3 1. Single piggyback variable level float switch or double piggyback variable level float O CALITIOND switch. Refer to FM0477. All installation of controls, protection devices and wiring should be done by a qualified 2. See FM0712for correct model of Electrical Alternator E licensed electrician. All electrical and safety codes should be followed including the most h 10 it l l 3. Variable level control switch use as a control tit activato if d recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). d spec 3 P ( ) or (4) float system. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. - MAIL 70: PO BOX 16347 - - - -__ Lousvilk, l(Y 40256 0347 Manufacturm of.. SHIP T0: 3649 Cane Run Road 4v Loulsvl8e, Kv 40211 -1961 /�wu7r Pwr.PB SNCE /999 httpJAwwrw.zo4Nlor com " PVMP CO_ (502) 178 2731. 1(800) 928 PUMP FAX (502) 774 .3624 ® Copyright 2004 Zoeller Co. All rights reserved. Dose Conventional POWTS Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General The conventional septic system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall be maintained in accordance with component manual SBD- 10567 -P (R.6/99). All local and/or state rules pertaining to system maintenance and maintenance reporting shall be complied with. Septic Tank The operating condition of the septic tank and outlet filter shall be assessed at least once every two years by inspection. The septic tank contents shall be removed when the sludge and scum in the tank exceed 1/3 the liquid volume of the tank. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code, by an individual certified to service septic tanks under s. 281.48, Stats. If the contents of the tank are not removed at the time of a biannual assessment, maintenance personnel shall advise the owner of when service will be needed to maintain less than 1/3 scum and sludge accumulation in the tank. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated. Septic tank manholes risers, access risers, and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8 inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No individual should ever enter the septic tank as dangerous gases may be present that could cause death. Septic tank abandonment shall be in accordance with Comm83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. The addition of biological or chemical additives to enhance septic tank performance is generally not required. If such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Pump Tank The pump (dosing) tank shall be inspected at least once every two years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Soil Absorption Cell Trees or shrubs should not be planted directly on the soil absorption system. The area above and around the system should be seeded and mulched as necessary to prevent erosion and provide some degree of frost protection. Traffic (other than for vegetative maintenance) over the system is not recommended. Soil compaction may hinder aeration of the infiltrative surface within the system and will promote frost penetration during cold weather months. Cold weather installations (October - February) dictate that the system be heavily mulched for frost protection. Influent quality into the system may not exceed 220mg/L BOD5, 150 MG/L TSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flow specified in the permit for the installation. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner. Levels above 4 inches indicate an impending hydraulic failure requiring additional, more frequent monitoring. Continy-ency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. Excessive ponding within the dispersal cell will be eliminated by removing biologically clogged adsorption and dispersal media and replacing said components as deemed necessary or by installing a new soil absorption cell to bring the system into proper operating condition. Questions on the operation or maintenance of the system should be directed to Jim Thompson, the master plumber in charge of the system installation, or your county zoning inspector. 7 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND / OWNERSHIP CERTIFICATION FORM Mailing Address Property Address S G9�1 '' (Verification required from Planning & Zoning Department for new construction.) City /State �fu_� L04 Parcel Identification Number 0 0 - - 2 -066 - - <90. C60 LEGAL DESCRIPTION 0000 _' . 1, Z Property Location -- t /a , — t /a , Sec. ,5 T 30 N R ; W, Town of s�• � dse�� Subdivision Y) , Lot # 114 Certified Survey Map # - , Volume v1 A- , Page # Warranty Deed # CPSS�l�(QC) , Volume _ /70 , Page # 35 7 Spec house no Lot lines identifiabl yes SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. 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 Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on this form are true to the best of my /our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. N r of bedr i C3 / SIGNA OF APPLICANT(S) DATE ** *Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * ** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) _ 2171 Wisconsin Department of Commerce SOIL EVALUATION REPORT M Page 1 of 4 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code A.C.E. Soil & Site Evaluations Attach complete site an on County p!e pl paper not less than 8/z x 11 inches in size. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimemsions, north arrow, and location and distance to nearest mad. Parcel I.D. 030 - 2065 -80 -000 Please print all information. Reviewed / Date Personal information you provide may be used for secondary purposes (Privacy law, s. 15.04 (1) (m)). I i1 r U Property Owner REGE11WU Property Location Michael G. McGuire Govt. Lot 2 1/4 1/4 S 35 T 30 N R 20 W Property Owner's Mailing Address AUG 0 3 2009 Lot # Block # Subd. Name or CSM# 1246 Hwy 35 City State Zig�Qr�,11�6>"uT�ii J City J Village a Town Nearest Road Hudson WI 49 Z l � 549 - 6525 St.Joseph 1246 US Hwy 35 J New Construction Use: 116 Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD 0 Replacement J Public or commercial - Describe: Parent material Glacial Outwash Flood plain elevation, if applicable Na General comments and recommendations: Site suitable for r ace nt conventional POWTS using 0.7 gpd /sq.ft. loading rate. Recommended system elevatic = 94.00'.1 a Boring # J Boring Pit Ground Surface elev. 99.43 ft. > 107" in. Soil Depth to limiting factor Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -9 1Oyr3/2 none sil 2fsbk ds as 2fm,1c 0.6 0.8 2 9 -21 10yr4/4 none sit 2fsbk ds cw 2fm,1 c 0.6 0.8 3 21 -42 10yr4/6 none grsl 1msbk dh gw 1fm 0.6 1.0 4 42 -52 7.5yr4/6 none gr Is Osg di gw 1fm 0.7 1.6 5 52 -66 1 Oyr4 /6 none gr s Osg dl gw - 0.7 1.6 6 - 07 1 Oyr5 /4 non gr s - -- Osg dl - - 0.7 1.6 Horizons #3 contains approxlmat ly % gravel & cobbles, #4 approx. 50 %, #5 approx. 40% and #6 approx. 30 %. Boring # J Boring -- 0 Pit Ground Surface elev. 99.05 ft. Depth to limiting factor >105" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -10 1Oyr3/2 none sit 2fsbk ds as 2fmc 0.6 0.8 2 10 -22 1Oyr4/4 none sit 2fsbk ds cw 2fm,lc 0.6 0.8 3 22 -50 1Oyr4/6 none grsl 1msbk dh gw 2vf,fm 0.6 1.0 4 E0-60 7.5yr4/6 none gr Is� Osg dl gw 1vf,f 0.7 1.6 5 60 -78 10yr4/6 none gr s On dl gw - 0.7 1.6 6 78 -105 1 Oyr5 /4 no _ Osg dl - - 0.7 1.6 Horizons #3 contai pro ' ely 20% gravel & cobbles, #4 approx. 40 %, #5 approx. 30% and #6 approx. 20 %. * * Effluent #1 = BOD > 30 < 22 and TS >30 150 m Effluent #2 = BOD 30 /L and TSS < 30 ! 5 m � < 9 s < — m 9 a m gL CST Name (Please Print) Signature: CST Number James K. Thompson 3602 Address A.C.E. Soil & Site Ev ions Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, WI 54020 7/13/2009 715- 248 -7767 Property Owner Michael G. McGuire Parcel ID # 030 - 2065 -80 -000 Page 2 of 4 [ ] Boring # J Boring f Pit Ground Surface elev. 98.39 ft. Depth to limiting factor > 105" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots PD ' in. Munsell Qu. Sz, Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -11 1Oyr3/2 none sil 2fsbk ds as 2fmc 0.6 0.8 2 11 -23 1Oyr4/4 none sil 2fsbk ds cw 2fmc 0.6 0.8 3 23-42 1Oyr4/6 none sil 2fsbk dh gw 1vf,fm 0.6 0.8 4 42 -62 7.5yr4/6 none gr Is Osg dl gw 1vf,f 0.7 1.6 5 62 -74 10yr4/6 none gr s Osg dl gw - 0.7 1.6 6 74 -105 1 Oyr5 /4 none gr s Osg dl - - 0.7 1.6 Horizons #4 contains approximately 50% gravel & cobbles, #5 approx. 40% and #6 approx. 30 %. F-1 Boring # I Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP DtFe in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 F I Boring # Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD 5 > 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD < 30 mg /L and TSS a 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. SBD -8330 (R.07 /00) A.C.E. SOU & Site Evakkibws PROPERTY OWNER: Michael G. McGuire SOIL AND SITE EVALUATION 2171 Page 3 of 4 PARCEL I .D.# 030- 2065 -80 -000 A.C.E. Soil & Site Evaluations REPORT MEMO Property lies within the Lower St. Croix Riverway District. The existing residence and septic system lie within the bluff preservation area. Accordingly, Variances, Special Exceptions and /or Land Use permit approvals may be required prior to system installation. �v�o �u, o K ;,�� d o C O Gs W W N Ca h O co N C3 h °- O O o _. CD O N o N C C, C, 7 W W C. O O 0 4 N Q ? 7 7 N 7 N S O) "Z p D h0 p h N O m p° y N _ a O l'\I O 7 N (D 3 N (D O CD ca V CD N ,. ? N d ? N G 3 O _ OD = CD z N N O �If i N N 0 N ! iy !M�{ N CD 0 CD = O CD too = c o f c c c CD CD o O O o O O Y• � 3 3 N N y N N N o 0 o A v v A Ln "N N M cD N 00 N Q°p N 0 �' f�D N 7 d. 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Personal information you provide may be used for secondary purp oses in accordance with the Privacy Law, s. 15.04 1 TSORDIX COUNTY Same I. App lication Information — Please Print All JfitMKMi6 Property Owner's Name Parcel # 030 - 2065 -80 -000 Michael G. McGuire (oU(p Property Owner's Mailing Address Property Location 1246 Hwy 35 Govt. Lot 2 City, State Zip Code Phone Number '/<, '/4, Section 35 Hudson, WI 54016 (715) 549 - 6525 (circle one) II. Type of Building (check all that apply) Lot # T 30 N; R 20 `11/ ®1 or 2 Family Dwelling — Number of Bedrooms 3 Subdivision Name Block # `�✓L"� ❑ Public/Commercial — Describe Use Na City of ❑ State Owned — Describe Use CSM Number ❑ Village of Na ® Town of St. Joseph III. Type of Permit: (Check only one box on line A. Complete line B if applicable) ` , New System Replacement Treatment4MMOg Tank Replacement Only 1:1 Other Modification to Existing System (explain) System B. ❑ Permit ❑ Permit Revision ❑ Change of ❑ Permit Transfer to List Previous Permit Number and Date Issued Renewal Before Plumber New Owner Expiration IV. Type of POWTS System/Component/Device: Check all that appl Non - Pressurized In- Ground F1 Pressurized In- Ground ❑ At -Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation 450.00 sq. ft. VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units z w 5 %in 1Y1 1Vli �¢ U v a H New Tanks Existing Tanks ,, Z W a Septic or Holding Tank 1 1 1000 1 Wieser Concrete y � �, Dosing Chamber 1 600 600 1 Wieser Concrete VII. Responsibility Statement- I, the 4dersigned, as me responsibi ' f nstallation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumb 's S MP/MPRS Number Business Phone Number James K. Thompson 30021 (715) 248 - 7767 Plumber's Address (Street, City, State, Zip Code) 340 P ulson Lake Lane, Osceola, WI 54020 -5413 VII Coun /De artment Use Onl pproved _ Disapproved Permit Fee Date I sued 1XIsuing Agent gna _ Owner Given Reason for Denial 0 IX. Conditions of Approval/Reasons for Disapproval ,j• 3 3 Attacbffi completolans for the system and submit tot County only on paper not less than 81/2 x 11 inches in size SBD -6398 (R. 01/07) Valid thru 01/09 I e� � 17/ iS � � � � E�;S6''�g grade eled214� - N '� • , �, Loca_���op• S��e re /,2 Iffo M Jy 35 /!o. CIS on, u A SY616 4 (ooU lot2 See 3S, T..30K•, - rA 0 7`' S� . �78sfi°�, sf • ero /;r G. �/. ii. � fC/• �Q3o- zo�5- 80 -o�O � f� � O OI n. L4 o •o H f w � n �• � � >a�Y 3s --� v P " t r 11 I r Qom U � gg t ' co �t ' No I� a 5� �O'L� �i n c�7.o.� -C� 1 o lawn 0(A0 0(40 -V0 d d ° m m a �a m CD m \ 4 CD (� p,. 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O • � o •°•' 1 '., =3 O f o m 9 0 3 = o v m�� A � • T N fD N 0 O` .a o m a C Q� y m CL ° ' 'D 7-_' 3 a 0 0 c -! m O `G 7 ( q < ! �C 3 a^ -gym CD v ���O(a0p CJ v41 C� 0 1 0 Q m �' m V C (D II I N m ° (nS(D 00 o CL 7 0 c .. c' 4 -�-' � � 7 3 cr = �I o o . m m 0 0 m m be w o C o 0 m o a o Cl o o a- McGuire 3 bedroom Dose Conventional Pump Chamber Calculations 1. Force Main: Diameter 2 Length 150' Flow rate 40.00 gal. /min.± Friction loss 4.95' (150')(3.30ft./100ft.) = 4.95 ft. 2. Total dynamic head: Min. supply pressure 0.00' Vertical lift 7.75' friction loss 4.95' Filter loss 0.50' Total dynamic head = 13.20' 3. Pump selection: Manufacturer: Zoeller Model number: BN 151 Pump will discharge approx. 40.0 gpm @ 13.20' TDH 4. Dose chamber: Manufacturer & capacity: Wieser W1000 /600 MR Comb. ST/PC - 36.00" na, 16.76 gal. /inch (603.36 gal. actual) Sizing: A) One day holding capacity: 18.00"= 301.68 gal. B) Alarm setting: 2.00" = 33.52 gal. C) Dose volume: 6.00" = 100.56 gal. (450gal.)(20% Design flow) +(.164)(150') = 114.45 gal. Max. Dose D) Reserve storage: 10.00" = 167.60 Qal. TOTAL 36.0" = 603.36 gal. 5. Fluid Flow Calculations: V= (.408)(40) = 4.08 ft/sec. 4 HIO through PVC pipe S/13<_ 5 ft. /sec. 2" pipe @ 2ft. /sec. = 19.583954 Gpm. V = velocity in ft. /sec. Q = flow rate in Gpm D = pipe diameter .408 = constant conversion coefficient Z, Parcel #: 030 - 2065 -80 -000 07/29/2009 08:00 AM PA 1 O F 1 Alt. Parcel #: 35.30.20.606F 030 - TOWN OF SAINT JOSEPH Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - MCGUIRE, MICHAEL G LE ETAL MICHAEL G LE ETAL MCGUIRE 1449 GRANTHAM ST ST PAUL MN 55108 Districts: SC = School SP = Special Property Address(es): " = Prima�r, Type Dist # Description ' 1246 HWY 35 SC 2611 HUDSON SP 1700 WITC / Legal Description: Acres: 4.290 Plat: N/A -NOT AVAILABLE SEC 35 T30N R20W PRT GL 2 LYING SLY 8, Block/Condo Bldg: WLY OF ST TR HWY 35 ELY 213.8 FT OF GL 2 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 35- 30N -20W Notes: Parcel History: Date Doc # Vol /Page Type 08/24/2001 654660 1705/359 QC 2009 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations Last Changed: 04/16/2007 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.290 361,300 166,400 527,700 NO Totals for 2009: General Property 4.290 361,300 166,400 527,700 Woodland 0.000 0 0 Totals for 2008: General Property 4.290 361,300 166,400 527,700 Woodland 0.000 0 0 Lottery Credit Claim Count: 1 Certification Date: Batch #: 106 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 n Q n y Q n r_ 4) O �•/� o z z o fn o C ca m m(n cri � o o m 6 cn p • 3 3 CD cf° o c l m m 0 c °° N CD ry c !J (J w (J o c c m m e m m rn CD Cn 0 U a = ? 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