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HomeMy WebLinkAbout012-1012-50-000 (3)Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No' 633981 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 Holders Name City Village Township Parcel Tax No Tyson & Jennifer Lybeck TOWN OF ERIN PRAIRIE 012-1012-50-000 CST BM Elev. Insp. BM Elev BM Description: Sectionrrown/Range/Map No: 04.30.17.54 TANK INFORMATION _ ELEVATION DATA TYPE MANUFACT RERZ I h�„ CAPACITY Septic `` 644 /000 Poi !o� c Aeration Holding TANK SETBACK INFORMATION Lac-ka ;LS � TANK TO P/L 1� WELL BLDG Vent to Air Intake ROAD Septic > SO r Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Nu er TDH Lift I Z Friction oss ystem ead TD Ft Forcemain Length Dist to Well SOIL ABSORPTION SYSTEM STATION BS HI FS ELEV. Benchmark 7.)�I io8.1 L-t AIL B Bldg. Sewer SUHt Inlet .gz Imo. Ly St/Ht Outlet �.z5 yg.q I Dl Inlet Dt Bottom Header/Man I1• -� / 1 Dist Pipe I 1 T1 I y7V Z ( Lo Bot Sy em f4 Z6 Final Grade stCover /ter �GG9S77 f((ll�.bzl BED7TRENCH DIMENSIONS Width r Jr Length I /_jJ No Of Trenches ' — PIT DIMENSIONS No Of Pits Inside Dia Liquid Depth SETBACK INFORMATION SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING CHAMBER OR UNIT Manufacturer / 7'Y1r, Type Of System (0 y`c O i5a t 7 (�` —� Model Number DISTRIBUTION SYSTEM Header/Manifold J+ Length Dia Distnbution Pipes) Length Dia Spacing x Hole Spacing Vent to Air Intake 1� SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Bedrrrench Center 3 ` Depth Over Bed/Trench Edges > , x / Z xx Depth of T xx SeededlSoddetl xx Mulched No es COMMENTS: (Include code discrepancies, persons present, etc.) Location: 1747170TH ST��t�n''�.�I,,rr{t�{ie�' C� 1 ) Alt BM Description 2.) Bldg sewer length - amount of cover = )')i .• Plan revision Required? Yes No Use other side for additional information. — �f Date SBD-6710 (R 3197) Inspection #1. Inspection #2: - vt h -�- ov, Nw e>^) o � �o v-,*.l I • o It+ ® I nsr e.c- -iaA Insepciors Signature Cart No is il County S* fro Safety and Buildings Divi n , r 0 $ 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.) p " qq Madison" 53707-7162 (j33 �J S[.0 ��� it Applica I State Transaction Number In accordance th , Wis. Adm. Code, submission of this form to the appropriate govern 1 unit Project Address (if different than mailing address) is required prior to obtaining a sanitary permit Note; Application forms for state-owned PO are submitted t6 the Department of Safety and Professional Servies. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, s. 15.04(I)(m , Suits. % 5 / 7o f 1. Application Information - Please Print All Information Property Owner's Name Parcel # r.+.. O oi�-iol2-so'Oo0 Property Owner's Mailing Address Property location 17 O 7 S7 Govt. Lot �- W ;, N Y, � t %., section City, State Zip Code Phone Number �7 T Cw!1/C l/30/r Q� 1V-L _ `S 10. ./ / �'YJ —C'r�/-C�"/l` (circle on T .3 0 N; R �7 E or Vp/ # IL Type of Building (check all that apply) Lot Subdivision Name Al or 2 Family Dwelling - Number of Bedrooms -_� I Block # ❑ Public/Commercial- Describe Use �-- ❑City of CSM ❑ State Owned -Describe ❑ Village of Number It SS IUsse JL ZD 95 �WTOwnOf d,-k M. Type of Permit: (Check only one Intai on Bne A. Complete Bne B if applicable) `v' New System ❑ Replacement System ❑ Treatmem/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner IV. Type of POWTS System/Component/Device: Check all that a 1 Y-1 Non -Pressurized in -Ground ❑ Pressurized In -Ground ❑ At -Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil Holding Tank El Other ispetsal Component (e a ❑ Pretreatment Device (explain) V. Dispersal/Treatment Area Information: Design flow (gpd) Design Soil Application Rate(godsfj Dispersal Area Required (s Dispersal Area Proposed System Elevarion _ Sao a- VI. Tank Info Capacity in Gallons Total Collor] # of Units Manufacturer New Tanks Ex�stmg Tanks / o g �` rn �• 2 ,`,; 4 U ti e Septic or Holding Tank o c, Dosing Chamber VII. Responsibility Statement- 1, the undersigned, assume responsibility for • Iation of the PORTS she" on the attached plans. Plumber's Name (Print) Ch�r�rs G✓e.6sfr� Plumbber�atum Cam' ! s MP/hNAFESPNober .22n673 Business Plane Number 1�S=c��-3430 Plumber's Address (Street, City, State, Zip Code) NS8J37--7 7 G r� �f . �I�swa rtGJ ((/ ✓� VIII. County/De artment Use Only Approved ❑ Disapproved Permit Fee Issued Issuing Agent ' $SZS. zZ 1 Dat ❑ Owner Given Reason t L� [X. ro��VReasons for Disapp oval }�(VoNI {,fyf-. py� f s/S f{ yet Yii1(it/ h AG h (Y TMI, a �nt ter s and / I as per m call must be OW Vim( as management i rlf ryt.,a 4-10+, per an provided plan prnnded by plumber. n by plumber. / 2. All setback requirements must be maintained l/� � / as par appllcabNoona/ordinahfag. L I4GiY�`c►'l� GtY'((, Nn.4 fraer1/f 1 Attack to complete plans for the o) lam and submit to the County only on paper not Ins than 8 in x I t inches to Sim Noo at-)�It, �J7" blow�e o�vc SBD-6398 (R. 11/II) TO/5414� I-d ,jOtN-j 60 93 '• /y1 I COF D®gner. ADVANCED P,�� '"° ""�"" SVS NUTMS Designer Sad Taatc. SP-11tanner D oa T stw. 44 Designer of Engineering Syetm�c D Y26.)-7 tn"A. re>tnan fvn 4 systan � Sal BaInB Sepk iaaY: YYvr I000pblapamrysBMllvk �±105'to BM 10000 'E :t245' + + -} + + Top nail in split 9m + + + + + + +-0aMmEas.Yrctlweibeeprbh north P.L 83 p E�tltee I.0'abovL-grade+ + + + + + + + to West �96.85 I / \�\ + + + + + + + + + + + + P.L. \ SJ 98.00� 1' +< + + + + + + + + + + +PvmV Tack: 100.10 + + + + � .. BJ + + + + + + a + + + + Co, + + + + (2) 46' Infiltrator / / + + + + -IV + + + sr- •tl almaa*tea�r o)!P Quik-4+ STD trenches \ + + c+1 + + �V + + + *a+••�D (11 chambers/trench) "65 �Joo \ aewva wma - \ + �5����' + + + + +70 a° \_ + + + + + + + OPEN FIELD + + + + + + + \+ + + + + + \JD \ + + + + + +DYemutlov: Tree line ; �` ?tee \. + + + + t am�wctlQSogevs�rmoo + + \ \+ + + + .F + + �. �� yFa s92 �� \ + + + \' + +\ i `PiA / \\ 2L \. + + IDUTICf!rwP (on t000aa) \ + + + + I \ \ \ \+ + + \ \ \f' + \ \ ROAD \ + + oyaray \ _ \ + + + < Ste Wrote: ScmALE Basketball �� 1747 17 ST Wnond,v \. � i \\ court ouiou-s0000 wDeaes I 20 : NW t/a sw l/4 pl Toes TOY. of of Erin in Prakie no�orare < nr o des ra e� ay.e .e w,�a w �s .an mi. ae v,m m� m. oe e.oer ve ...r may Paraaa xoa . ;4an for � - eror oe er m�Wb� 10 MRwry 6 WLE TNi T6 lTa1FY 4 NoxS m rvCrOl aM11F1Y.a m� Gr P9/N noFWY�t rya Pa Ms^'� ^� W b YIamYYn m P� ma m] mdMvu State 'I =90' Da2: 9/16/2I r ADVANCED E N V I R O N M E N T A L Property Owner: Tyson Lybeck Site Address: 1747 170TH ST, New Richmond, W 154017 INDEX Page: 2 Site Plan Page: 3 Management Plan Page: 4 Management Plan Page: 5 System Design Summary Page: 6 In -Ground Conventional Trench Design Page: 7 In -Ground Conventional Trench Design Page: 8 In -Ground Conventional Trench Design Page: 9 Tank Specifications Page: 10 Soil Test Page: 11 Soil Test J�J+jC�Hrri,,,� Ns Page: 12 Soil Test .y �� N Page: 13 Soil Test ; RN G. - BECHEL - Page: 14 = D-2263-7 RED WING = Page: 15 MN S Page: 16 °'�E,S Page: 17 i I��N�`�```````• Component Manuals: SBD-10705-P In -Ground Soil Absorption (N.01 /01; R.10/ 12) Designer Signature: Date: 9/20/2021 .ADVANCED ENVIRONMENTAL LLC 779 Sprang Creek RD S - Red Wing. MN 55066 (651) 377-0074 DaMw R Badld -AN Mnes rot St STEM NOMES SW Rion p—,ns0oom �� ADVANCED a�w"°ere", o BBro mP S,,,W T.nL Dwigw o1 EngFo" Slpttom D 13W-T syuem soo Bor 4ww+00 wwgsmiwlwd pit t105'to _ _ BM1:= 100,00 _ _ T _ _ I-- t245' north Top'nail in 7" split Elm + + - + { mbMArrm.d. a,.mro�wsa 53 p t✓ Tee 1.0' abov6-grade- + r + t0 Wt?s[� eg8.e5 I / \ I + — + — _ T — + + P.L. _ * \ _ _ _ - - 98.00 5� \ \ { + + - + _ - + +Pump TUPk: / 100.10 Bl 46 Infiltrator + D�sT�w" Quik-4+ trenches ++ + + 0, + (11 chambers/trench) +V+ + 's�S x' ,Pe;.ma,1lo•o.�mD...a��e+�r. svanxursad.n�ar�M'pea s + + 0 + + - - + +npnp�me�dw�-vls+mml ��DLr, \ + + + + + + *mm OPEN FIELD - es \+ + + + + + Tree line o?`(P \. + + + i- +usn.e. ld A / \ _- + LOGnOn nnP I^a w cowl \ t d \ `Siq / \ �gd/ \ + G CTY RD K C, dOAD + PR[PARED!(M. — HydY`� T�lrowx 'Y P+� r wrin,uW, W soot/ I SCALE \ _ _ II ��\ / Basketball 0// �ij�_ �_-...__. _ __. r—�1 �rt 5/ P[P oNW1/ SIGN SD.o At/¢ 1 ��d ww 1/a sw 1/s 20' 0 40, sa Tww In Town or E* PropM ommm srmmc m. yww^ b r <.+w.. ca wm w ®� r, aw ad � ce. n. a ua�c+.c •.r may vms.e rq„ m.e� ce/s m�o.pa er.. ae es � --_ _ _ av�tlntlb. M wM.xw a WU[ nwi na sma .0 oanxt N nx.•nu .�R�- AW mw s TgM1 •dMwa fir. Yu u�rn1 ^°Ww'mt pm u wmw.rm m naw au° an Sole 1 - 9tl DaR 9/l4Rl... - Management Plan This management plan identifies operation and maintenance activities necessary to ensure king -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 responsbiMy to ensure all tasks get accomplshed 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. No. 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 I Designer Required Frequency: Check every 36 months every 36 months. State/Local Gov't Req Frequency: Check every 36 months Design Parameters I System Specifications Number of Bedrooms 2 Septic Tank Manufacturer Wieser Design Flow (gpd) 300 Septic Tank Capacity Effluent Filter Manufacturer & Model 1000 Polylok-525 Soil Loading Rate (gpolft2) 0.7 Standard Effluent Quality Effluent 1 Biological Oxygen Demand (Boo) 220 mg// Pump Tank Manufacturer NA Total Suspended Solids (TSS) 150 mgll Pump Tank Capacity Pump Manufacturer & Model Dispersal Cell Type Pretreatment Unit Description NA Per Installer Non -Pressurized Conventional NA Fats, Oils, Greases (FOG) 30 mg/1 Treated Effluent Quality Biological oxygen Demand (BOD) - mg/l Total Suspended Solids (TSS) - mg/1 Fats, Oils, Greases (FOG) - mg/1 Max Effluent Particle Size in 118 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 - InsDect and clean twice Der vear at a minimum Caps - Make sure that all caps and lids are intact and in place. Inspect for damaged caps often. Fix or replace damaged caps. system replacement area: Professional per levels - Check sludga/scurrVeffluent levels in al! system Recommend if tank(s) should be pumped. Pump all every 36 months at a minimum. Inspect tank inlet and outlet baffles (if applicable) Check drainf eld effluent levels (if applicable) Verify pump and alarm system functions (if applicable) Inspect wiring for corrosion and function (if applicable) Clean dralnrwIl d 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 compaction, etc. Page: Inspections of tanks and dispersal cells shall be made by an appropriately licensed individual or business. I anK 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 bower 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 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. Page 4 System Design Summary Property Owner/Client: Tyson Lybeck Parcel ID: 012-1012-50-OW Site Address: 1747 170TH ST. New Richmond. WI 54017 DESIGN FLOW, WASTE STRENGTH, TANKS A. Type of Wastewater: Residential Treatment Level: Effluent 1 Residential Design Flow = N of Bedrooms 2 X 100 GPD X 150% - 300 GPD Commercial Design Flow (data/calculations attached): ❑ NeasvN GPD ❑ Fsamaml GPD Design Flow: 300 GPD Comments: New Pak shed with 2BR Hying quarters; No home business B. Septic Tank(s): Minimum Capacity = Design Flow X 2.088 Wastewater received by: Graylry Code Minimum Septic Tanis Capacity: 627 Gallons, in 1 Tanks / Compartment(s) Designer Recommended Tank Model(s): Wieser WLP1000-MR Effluent Filter B Alarm: [0 Aka Hha Norm Effluent Filter Model: Potylok-525 C. Pump Tank Code Minimum Capacity: Gallons Pump Tank 2(Code Minimum): NA Gallons Designer Recommended Min. Capacity: Gallons Pump Tank 2 (Designer Req l: NA Gallons Pump GPM Total Head ft Pump 2 NA GPM Total Head NA ft Holding Tank Only: ❑ Minimum Capaaty: Residential = 2000 gallons, or 5x estimated daily wastewater Row; wmcheyer is greater Minimum Code Required Capacity: Gallons, in Tanks Holding Tank High Level Alarm Type: Designer Recommended Capacity: Callum, in Tanks DISTRIBUTION AREA Sod Treatment Area Type: Non -Pressurized Conventional Distribution Type: Gravity Distribution Benchmark 1 Elevation: 100.00 ft Benchmark Location: SEE SITE PLAN Component Manual 1: SBD-10705-P In -Ground Sail Absorption (N.01 /01; RAC Distribution Media: ❑ Dramda Roo, 2 App,aai Iamvct Component Manual 2: 1/2'-1 1/2'Aggregate Depth to Limiting Layer: 83 in 6.9 it Sod Texture: Coarse Sand Contour Elevaton: 100.00 SHLR 0.70 GPD/ft` Elevation of Limiting Layer. 93.08 Perc Rate: - MPI Minimum Required Separation: 36 in 3.0 it Solis with >60% Rock Fragments Present ❑ yes ❑ No If yes, describe % rock and Layer thickness, depth of soil treatment needed per Maximum Depth of System: 47 in SPS 383.44-3 and any additional information for addressing the rock fragments Measured Land Slope: 7.0 % in this design. SOIL ORGANIC LOADING RATE 1. Organic Loading to STA/Pretreatment Unit = Design Flaw X Estimated BOO in mg/L in the effluent X 8.34 ' 1,000, WC 300 gpd X 220 mg/LX 8.34<1,000,000= 0.55 Its BOD/day a. Pretreatment Unit Information (if applicable): Not Applicable b. Organic Loading After Pretreatment (if applicable) = Design Flow X 800 in mg/L in the pretreated efficient X 8.34 s 1,000,D00 - gpd X mg/L X 8.34 a 1,000,000 = - Ibs ROD/day 2. Organic Loading Rate to Sall Treatment Area (Its/day/ft) s Soil Treatment Bottom Area ft' = Lbs/day/ft' 0.55 lbs BOD/day ; 452.0 gr= 0.00122 Ibs/day/ft' ....__._...... _..._.......I _ ... Q _ _ _. _ _._ .. __ _....__...__ .. _ . . (parallel _ _... ...... ____......... .__ _. Comments:' 2 46' Infiltrator ui STD trenches at 96.50 infiltrative surface distribution . _ sane.eire Rate Iga4/n'] voo�mW aoo./rc/an ewz a re.x a rosi a w a owa Page 5 A. In -Ground Conventional Trench Design DESIGN PARAMETERS: Parcel ID: 012-1012-50.000 Design Flow: 300 GPD Code Maximum Depth: 47 inches Designers Maximum Depth: 47.0 inches Soil Loading Rate: 0.70 GPD/ftz Linear Loading Rate: 12.0 gal/ft Code Required Minimum Bottom Area = Design Flow + Loading Rate 300 GPD+ 0.70 GPD/ft2 = 429 ftz Dispersal Media: Approved Product Distribution Method: Gravity -Parallel Distribution For distribution media installed in contact with a Grade 1 Platy Silt Loam or systems using effluent #1 in any Sandy soil with >60% rock fragments, indicate distribution method: Not Applicable TRENCH CONFIGURATION: AGGREGATE Code Minimum Sidewall Bottom Area Design Trench bottom area Absorption Reduction Bottom Area trench (ft') (inches) Credit Multiplier bottom area 6Inches NA 1 Indry Site Design B. Sidewall Height: inches = ft C. Designed Bottom Area: ft2 D. Trench Width: ft E. Total Designed Feet of Trench = Bottom Area a Trench Width ft, ft = Lineal ft F. Minimum system length based on Linear Loading Rate = Design Flow a LLR gpd a gal/ft = ft G. LLR Maxim # of Trenches: Designed # of Trenches: H. Length Per Trench = Total Trench Lineal Feet a Number of Trenches W, w,dthm ft = ft Recommended to be z F above ution Nall J. Select Trench Spacing: ft (5 - 12 ft from center to center typical) K. Lawn Area = Trench Length X Trench Spacing ft X ft = ft' Lawn area L. Select Depth Required to Cover Distribution Pipe: ft (0.33 ft for pressure, 0.5 ft for gravity) M. Rock Volume = Sidewall Height + Depth to Cover Pipe X Bottom Area = cubic feet a 27 = cubic yards ( ft + ft I X ftz = ft3 +27= yd3 Page 6 TRENCH CONFIGURATION: APPROVED PRODUCTS - CHAMBERS AND EZFLOW A. Code Minimum Trench bottom area if tZ) Product EISA Rating (ftZ) # Of Products Needed Total # for Construction 10' EZ Flow 50 8.6 9 5' EZ Flow 25 17.1 18 429 QUIK4+STD 20 21.4 22 QUIK4+LP 20 21.4 22 B. Registered Product: Infiltrator Quik-4 + STD Width C. Product EISA Rating: 20 ft2 Additional Absorption Area for Chamber Endcaps D. Design Bottom Area: 429 ft2 Endcap EISA Rating per Pair: 6 ft2 E. Product Width: 3 ft Total Number of Endcap Pairs: 2 F. Product Length: 4 ft Chamber Design Bottom Area = Bottom Area - Endcap Bottom Area C. Product Height: 12 in 440 ftz + 12.0 ftz = 452 G. Number of Components = Design Bottom Area divided by Component EISA Rating (Round up) 429 it 20 ftz = 22 components H. Minimum Design Trench Length = Minimum # Products x Product Length 22 x 4.0 it = 88 ft J. Minimum trench length based on Linear Loading Rate = Design Flow + LLR = 300.0 gpd + 12.0 gal/ft = 25.0 ft K. LLR Maximum # of Trenches: 4 Designed # of Trenches: 2 L. Length Per Trench = Actual Trench Length -. Number of Trenches + Zft 88.0 ft : 2 trenches = 46.0 ft Recommended to be >_ F above M. Select Trench Spacing: 7 ft (5 - 12 ft from center to center typical) N. Lawn Area = Trench Length X Trench Spacing 88 ft X 7 it = 616 ft2 lawn area Page 7 4. In -Ground Conventional Cross -Section fc Layout SYSTEM CROSS-SECTION 100'00 NATIb 100'00 NATIVE BACKFILL SEED 8 SOD SEED & SOD 96.50 --IIII a ARC Chamber 96.50—llll SYSTEM LAYOUT Observation PipeNent r p , o 36" 46' 0 0 I � ►I 46' OBSERVATION PIPE DETAIL Scr Type or Finished grade slip cap Topsail cover 4" SCH40 PVC pipe Top of finis to terminate at or of p above finished grace a' -i's 6" slots spaced 90 degrees apart s Infitlratnon Toilet _ surface _ Flange Page 8 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 -Cock) 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 45s, 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.) Waterbgnt Control box wrth ,00..te pump and alarm charts 105.20 /—Clean Out Y� 103.20 100.83 100.58 (- \ 4' SCH 40 Bldg. Sewer Effluent Fitter +/- 35' 1" -1 5' PVC Fbat Tree 97.00 Q� krol"Al TANKS 4' CAST -A -SEAL WLP1000- MR TANK SPECIFICATIONS DIMENSIONS: WALL: 2 1/2' BOTTOM: SEPTIC 3' COVER: 4' MANHOLE: 24" I.D. PRECAST CONCRETE RISER HEIGHT: FLAT COVER 53 1/4' O.O. LENGTH: 1"' O.D. MOTH: 86" O.D. BELOW INLET: 42- O.D. UOUID LEVEL: 36' WEIGHT: 6,790 LB& INLET AND OUTLET: 4' CAST -A -SEAL BOOT OR EQUAL GASKET, CAST -A -SEAL BOOT OR EQUAL INLET AND OUTLET BAFFLE AND FILTER: WISCON9N, SEE DETAIL 110 (OTHER STATES SEE CHART) UQUID CAPACITY: 27.83 GALAN HOLDING TANK: OUTLET HOLE PLUGGED ACTUAL CAPACITY: 1.085 GALLONS LOADING DESIGN: 8' 0' UNSATURATED SOIL TANK CAN BE USED AS: SEPTIC/ HOLDING/ PUMP OR SIPHON COVER: MIX DESIGN # (NO FIBER) TANK: MIX DESIGN /10 (STRUCTURAL FIBER) CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT 1WESER CONCRETE FOR APPROVAL APPROVED ar: FINAL DATE' D TS FEUDED art SCC ArcGIS Web Map 300 1:4,514 9/1412021, 6:12 30 AM 0 150 300 600ft Public ROW Limited Common Space or Park Lot Private Right -of -Way Tax Parcels ® Subdivision/CSM Boundaries SCLLDD q0 80 160 m SLL CAD I K W SCC CCO uC Lm artl SLC Ngway Deq FpAA SLC LOO LGO vtl MG5 NYV W CwmpMYArieys�a Ivry INfJ.I DYu Slale UmsY( bi Sr. CR UNTY SANITARY SYSTEM File #.- I" v OWNERSHIP/ADDRESS FORM ��u��ty C.eatedu202r 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 TL sOT n 4 Mailing Address City/State/Zip / ra✓ /r7'� o l A7c,,i 0'i Cy 1 q `� 0 17 Phone Number (required) Q - 6 .2 Email Address (required) Parcel Identification Number CS/,�?, 0 O O AW-4— ST (found on the property tax bill) NEW SYSTEM: LEGAL DESCRIPTION Property Location/j/G7/Y< , SS Y1/o , Sec. T T 3n N R�W, Subdivision Plat: Certified Survey Map # SS Town of h. n PP di f- r , Lot # A. ' Volume — 3 Page # i I; —. Warranty Deed # /��3 cg 3 f 7 (before 2006)Volume �' Page # Number of bedrooms d— Spec house O yes�no Lot lines identifiable),yes O no OFFICE USE ONLY New Property Address 1 ! S ( ! :2 D ! f`7 S T (Verification of new address required from Community Development Department for new construction.) la12-0 /zl (Staff Initials) (Date) This form must be submitted with all Private Onsite Water Treatment System (POWTS) applications. New System: Include with this form 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. Community Development Department — Land Use Division 715-386-4680 St. Croix County Government Center 715-245-4250 Fax cdd(a)sccwi,ciov 1101 Carmichael Road, Hudson, WI 54016 www.sCCWLQaV m pnllu Zw �, Ooau- Z P X 27 = 75( ftz z n�U"%`J � lit -cif SP4cc c��� �o 16' ! cP�a 44 r y8x�� �fr �R '7u %D " r, aAd Roof 5a -- A 3 /an 3sq (las tonal Services Pagel of 2 Dlvlsio �g{ e(�'-�5 C�� 2021 SOIL EVALUATION REPORT SEP 2 4 I accordance with SPS 385, Wits Adm Code County Attach cpmpl a sne plan on pap uoh�& t 8 /2 x 1 i inches In srze Plan must include, ST Croix but not limited o verticre point (BM), direction and percent slope, Parcel I D scale or dime n 'ons, no cation and distance to nearest road. 012-1012-50-000 Co Reviewed by mtn Please print all information. PllL o rennin) rm ahuidou nn unit nrno mno iie>d inr e«vnee nri- nine IPmmeu I aw c , 5 ❑dH 1/mll d Property Owner Tyson Lybeck Property Location Govt Lot NW Y. SW % S 04 r r T 30 N R 17 W Property Address 1747 170TH ST Lot #I Block # Subd Name or CS # �� City New Richmond State Zip Code Phone Number WI 54017 ❑ City ❑ Village ❑� Town Erin Prairie Nearest Road 170TH ST New Construction Use M Residential/ Number of bedrooms 2 Code derived design flow rate 300 GPD ❑Replacement ❑ Public or commercial — Describe _ Zt_x Parent material Loess over loamy drift over sandy outwash (Sattre sit) Floodplain elevation if applicable NA ft General comments and recommendations: Recommend urgmund "conventional' trenches a13a36• depth with 0 7agpdifl2 cading rate LF = 83- (saturai ,}' 1 ,1 Boring # El Boring IN pit Ground surface elev 100.00 ft Depth to limiting factor '8�5 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/Ft2 'Eff#1 'Eff#2 1 0-10 7.5YR 3/3 - I I ni dh cs 2c-vf 0.4 0.6 2(1a15%gra.ep 10-19 75YR 4/4 - sl lcsbk dsh cw lc-vf 0.4 0.7 3(5%gravel) 19-38 7.5YR 4/6 - grs Osg dl cw 1c-vf 0.7a 1.6a 4(2o-25%,,inoi _3Bi 10YR5/6 - s-cos Ogg ml cw 1m-vf 0.7a 1.6a (s20%gra.e) 48-80 7.5YR 4/4 - grcos Osg ml gw - 0.7a 1.6a 6 (1s20%11 80-85 7.5YR 3!4 (none -apparent) groos Osg ml - - 0.7a 1.6a a 9 . KPIN ❑ Boring Yz a %O 1, /1 2 ,I Boring # Q pit Grountl surf a elev 100.10 ft Depth to limiting factor '88 In �L)LJ Soil Application Rate 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 0-10 10YR 3/2 (fill) I Om mfi as 1rl 0.2 0.5 2 (5% rock) 10-24 7.5YR 4/6 (in -situ) s Osg ml cw 1 nri 0.7a 1.6a s 24-51 7.5YR 4/4 - grcos Osg ml ow 1ri 0.7a 1.6a 4 (s% gravel) 51-71 10YR 3/6 - cos Osg ml c+a - 0.7a 1.6a 5(5-10%graven 71-88 10YR 6/4 - s-cos Osg ml - - 0.7a 1.6a CST Name (Please Print) Signature CST Number I Ryan Bechel I gd4 SP-111500001 Address Date Evaluation onducted Telephone Number 1 779 Spring Creek RD S, Red Wing, MN 55066 09/14/21 (651) 327-0074 ❑3 Boring # F-1 Boring ❑� Pit Ground surface elev 96.85 ft Depth to limiting factor 83 in Snit Annlinnfinn Rafe Horizon Depth In Dominant Color Munsell Redox Description Qu Az Cent Color Texture Structure Gr Sz Sh Consistence Boundary Roots GPD/Ft' 'Eff#1 'Eff#2 1 0-11 10YR 313 - I 1f-msbk mfr-mfi gs 2c-vf 0.4 0.6 2 11-23 7.5YR 4/4 - I 2mabk mfi 9w 1c-vf 0.6 0.8 3 23-30 7.5YR 4/4 - sl 1csbk mfr gw tm-vf 0.4 0.7 4 (5% rock) 30-66 7.5YR 416 - s Osg ml cw 1 m-vf 0.7a 1.6a 5 (5% rack) 66-83 10YR 4/6 - s Osg ml cw - 0.7a 1.6a 6(2a25%sr..) 83-90 10YR 3/4 (none apparent) grcos Osg ml - - 0.7a 1.6a 'Sand becam saturated sta ing at 83" ❑ Baring # ❑ Boring 9Pit Ground surface elev 100_60 ft Depth to limiting factor _ in .Srvl AnMicafinn Rafe Horizon Depth In Dominant Color Munsell Redox Description Qu Az Cont. Color Texture Structure Gr. Sz Sh Consistence Boundary Roots GPD/Ft' 'Eff#1 I 'Eff#2 1 0-46 varies (muck/fill/root wads) - Om - - - 0.0 0.0 ❑ Boring # ❑ Boring ❑� Pit Ground surface elev 10235 ft Depth to limiting factor 0 in. Cnrl Anni—firm Rafe Horizon Depth In Dominant Color Munsell Redox Description Qu Az Cont Color Texture Structure Gr Sz Sh Consistence Boundary Roots GPD/Ft' 'Eft#1 'Eff#2 1 0-62 varies (mucktfill) - Om mfi-mvf - - 0.0 0.0 ' Effluent #1 = BOD, > 30 5 220 mg/L and TSS 1 30 5 150 mg/L ' Effluent #2 = BOD, > 30 5 220 mg/L and TSS > 30 s 150 mg/L j J Bonng # ❑ Boring © Pit Ground surface elev. 96.85 ft. Depth to limiting factor 83 in. Soil Aoolication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Fe 'Eff#1 •Eff#2 1 0-11 10YR 3/3 - I 1f-msbk mfr-mfi gs 2c-vf 0.4 0.6 2 11-23 7.5YR 4/4 - I 2mabk mfi gw 1C-vf 0.6 0.8 3 23-30 7.5YR4/4 - sl lcsbk mfr gw 1m-vf 0.4 0.7 4 (5% rock) 30-66 7.5YR 4/6 - s Osg ml cw 1 m-vf 0.7a 1.6a 5 (5% rock) 66-83 10YR 4/6 - s Osg ml cw - 0.7a 1.6a 6(2a26%gravel) 83-90 10YR 314 (none apparent) grcos Osg ml - - 0.7a i.Be n becam saNratad sta ng at 8 ❑ Boring # ❑ Boring 100.60 9Pit Ground surface elev. ft. V Depth to limiting factor 0 in. Soil Aodication Rate Horizon Depth In. Dominant Color Munsell Redox Description Ou. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 •Eff#1 FEff#2 1 0-46 varies (muck/fill/root wads) - Om - - - 0.0 0.0 FBoring # ❑ Boring Pit Ground surface elev. 102.35 ft Depth to limiting factor 0 in. Soil ADolication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Fe 'Eff#1 -Eff#2 1 0-62 varies (muck/fill) - Om mfi-mvfi - - 0.0 0.0 ` Effluent #1 = BOD, > 30 s 220 mg/L and TSS > 30 s 150 mg/L • Effluent #2 = BOD, > 30 s 220 ni and TSS > 30 s 150 mg/L Page 11 Designer. Ryon Becher ADVANCED `Alt proixrty hoes not O Benchmark S) P'\I NOTES Certified Soil Tester SP-111500001 Designer of Engineering Systems. D 2263-7 drawn are �100ft from system !,` Soll Boring Sophc I ank � ±105' to BM 1 = 100.00 f245' ' north P.L. j \, Top nail In 7" split Elm -� 83 Free 1.1 above grade' \, ti 96.85 �. i } +- } t r --� to West P.L. ` 4 4- 98.00 . Loom, Ienk: O/ SI Aecanm 1-gromd'rornenmrcaftrereles of 3036' 1 34 \ r _. _ S .. _ 1 desk with 01 gpNt nadi g is, "o100.60 \ Dept to relnetim-83'(5aluahre + + t- + -,_. Conan, - ma 00 \ Slap,=7% OPEN FIELD 0/ 102.35 ` Tree line ; �� \ + } I � 1 -Gouty dinhii possble 7 \{ + POZ Tree .F'�i /,T5? \\ line CO Y2 • \ } \ \ !- _L. LOCATION MAP (not to wale) 10 // _ ClY RD K \ "4 ~ '9Ada \\ C105.20 rate` ` \ + o/ \ `. \ y \�N RAILROAD Q �< / xis S G% `7j79 PREPAREI) LOR. / %6 Tyson Lybeck Site Address. \\\�`� \ tt \ ` \`� / FO SCALE + } \ I �'\ /Basketball 7� Ni Richmond, WI 54017 \\ b court 9 / PID 0121012-50-000 10.0 Acres Lcyal 20' \ � \ NW 1/4 SW 1/4 0' 40' 1/ \ SO4 T30N R17W - Town of Erin Praone ;ertAmd Statement N, ,stem ni been deagrcd and ewlmteE o, ccordance nkh State and Luaoi code,. rio ,o.I treatment men mmt mum Pri tetled from diWlTrnce and/w compaction cefore band oft,, n T omtrvdmNO wMIYwM1 5 l T THIS S SRJ,l WLL CONnW£ ro FlNK'IpN P HNTELI Sloan moat be p o,0, n ortoi,. Ferro. our ry uarr, molntenoxe mawgemmt pion f., infwmarwn on proper c mw VA, t„ — 90' D de 9/16/21 9 5�• (0;;XcouNTr NO. 633981 STATE SANITARY PERMIT /75 / /70"' .S4. E4460NS P S OWNER Tvo on LY&Ge PLUMBER (, TOWN OFF SEC�,T AND/OR LOT Oto N, IW IC.# 2ZOC73 BLOCK SUBDIVISION ISSUING OFFICER - CHAPTER 145.135 (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 maybe 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. (f) 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. DATE O "L'z- Z j UNLESS RENEWED BEFORY THAT AIN VIEW DATE VISIBLE FROM THE ROAD FRONTING THE LOT DURING CONSTRUCTION SBD-06499 (RI1/20)