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HomeMy WebLinkAbout008-1050-10-050 (2)Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safely and Building Division INSPECTION REPORT sanitary Permit No: (ATTACH TO PERMIT) 642238 GENERAL INFORMATION 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: Jessica and Brian Ferg I TOWN OF EAU GALLE 008-1050-10-050 CST BM Elev: Insp. SM Elev: BM Description: Section/Town/Range/Map No: 17.28.16.255B TANK INFORMATION 14 -C4 i^f,b! QLr o // ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic Zoo Dosing rjar �J A 5zs Holding TANK SETBACK INFORMATION y TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic I t Dosing \ l Aeration Holding PUMP/SIPHON INFORMATION LJA Manufacturer Demand GPM Model Number TDH Lift Fricti ass Syste Head TDH Ft Forcemain Le th0 DIa. p Dist. Wei SOIL A13SURPTION SYSTEM STATION BS HI FS ELEV. Benchmark 03 All. BM euN dal i—t"�✓� O�lr' f / D• B g. Sewer- i6 St/Ht Inlet Z St/Ht Outlet } s Dt Inlet Dt Bottom In .7s q Header/Man. �e Dist. Pipe a /v/s( Bat. System F' al Gr Cover 2.36 b s• � 0►.1 7 9 BEDlTRENCH DIMENSIONS Width OI Len h F.\ U No. Of J1errC(�s it CrA .�LJ PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR UNIT Typ Syste \ ^ 1 ^ Model Number: L IS I K113U I IUN SYS I EM Header/Manifold Distribution t\ x Hole -Size. x Hole Spa?cing V make Pipe(st QQ'� 5Or I i I l Length Di Length Length De Spacing •� J U SOIL COVER x Pressure Svstems Only zz Mermd Or At -Grade Svstems Onlv�-- _ —t L . Depth Over C Depth Over xx Depth of xx Seeded/Sodde xx Mulched Bed/Tr ch Center J�A lBedfTrench Edges Topsoil 7 19 i Yes �No � Yes ,fit L�3 No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: %R Yr �'/ Inspection #2: Location: 353220TH STI f�Jj�' 1.) Alt BM Description ='lt,"'�J v" coved Ul 2.) Bldg sewer length = Liz - amount of cover = ? �?t\ Plan revision Required? Yes No Use other side for additional information. SBD-6710 (R.3/97) Date n priors Signature Cart. No. 3QFgpRTbF„y�, c 10 Industry Services Division 1400 E Washington Ave County �� Sanitary Permit Number (to be filled in by Co.) S ps. P.O. Box 7162 DEC 06021 Madison, WI 53707-7162 C9�ZZt38 �IOMIStP` � anitwyQR t Application N State Transaction Number in accordance with SPS 383. . WI}rrlt -At)CQkY&W is form to the appropriat vemmental unit Q Project Address (if different than mailing address) is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to the Department of Safety and Professional Services. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, s. 15.04 1 m , Slats. I. Application Information - Please Print All Information Property Owner's Name ( Parcel # S t �Fezo dr 1 , Property Owner's Mailing Address Property Location 24S 9 )'j. ZZ.16. Govt Lot r /r 4, Section 1Z City, State Zip Code Phone Number 1 T (circle one T ��N; R ��o E otS) I. Type of Building (check all that apply) Lot # Subdivision Name 1 or 2 Family Dwelling —Number of Bedrooms Block # ❑ Public/Commercial — Describe Use ❑ City of ❑ State Owned — Describe Use ❑ Village of CSM Number —, _ I �( JA Town ofiQ{� III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. PNew System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only Other Modification to Existing System (explain) B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New fist Previous Permit Numbeeand Date Issued Before Expiration Owner IV. Type of POWTS S stem/Com oneut/Device: Check all that apply) ❑ 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) Z V. DispersaUrreatty6rit Area Information: (7 OV Design Flow (god) Design Soil Application Ra dsf) Dispersal Area Required f) Dispersal Area Propo (st) System Elevation ism VI. Tank Info Capacity in Gallons Total Gallons W of Units Manufacturer %n' pB? o , o 3 u in 9. y p a New Tanks Existing Tanks V nr w c7 Septic or Holding Tank Dosing Chamber VII. Res onsibility Statement- I, the undersigned, assume relgionsibility for installation of the POWTS shown an the attached plans. Plum er' Nam (Print) Plumber' Si rare MP/MPRS Number Business Phone Number / P (Street, City, State, Ziip,' Bode) e� / �% Z t W� VIII. Coun /De artment Use Only Approved ❑ Disapproved Permit Fee Date Iss eed Issuing Agent tore ❑ Owner Given Reason for Denial $ (o-, .� O z! IX. Conditions of Approval/Reasons'foiMipproval'3 >J` (p a p S 7L 5)/pl rAt C SYSTEM OWNER: i. Septic tank, affluent filtft and ay< H C f C t:1— t4 f 1-n 7LAd J dispersal cell must �ervle.drmetntattud \ as per management plan provided by plumbK yft i llvl� _ ,S 2, MI must be insintewd /� %�(t�f•N �Lr j/S I 5 `!/ setblltk re4c�uir'prlienlf 11*116agid k6s8/dltllfl WL, Hoof Attach to complete plans Tor the sy at and submit to the County only on p piper rift less thy( 8 1/2 z 11 inches to size /4-0 % G V ZRO tr, f'j. J Ffrrw � SBD-6398 (R. 08/14) �— / sae-r, gner: Ryan Battled ADVANCED *Ali property lines not o Benchmark SYSTEMNOTES Septic Tank: ifled Soil Taster. SP-111500001 drawn are >100ftf rn gner of Engineering Systems: D 2263-7 / ���/// ENV I SO NM E N T A t SOLI Boring system •12001800 gai 2-compartment tank Bring risers 4' above final grads, SCALE -Best GF-10fllterwlalarm -0onot mute dear vrdtarsources Into sepdctank P/L 30' 0' 0' P2 P/L BM3 - 91.20 - \\\ Grade at wood lathe Mast es Pn "Borings Michael P/L property line marker 7/2/20 by Michael ^B7 I. MyerY^* Proposed north P.L. a813 (New CSM) Pump Tank: v ? -Pump needs -40gpm @ 15TDH ? -800gallons -Move tank as recessay, maintain all setbacks. -Reticulate pump Friction Loss and TDH after Install 98p0 Imo-- *1120' -Event counter, 0me meter. or water meter recommended O° al � `to east P.L. STA: az syb -10500Mound �s525� -24 absorption width / -20" dean sand Iift (AM C33 sand) �00.p0 -Cutstumps flush to ground, avoid digging -Now entire absorption area and remove dlppings s �• / -Roughen absorption am todepth ofV-r a -DIvertomsWern I -Depth edoximorphieleaures) f20' 2" _� i "� -Contour- 99.00 sch40PVC i -gape =4% 33' 33' {� /� •�}� Distribution: {afealstobespaced l2'fromand ofbeds24'from 03,,[ 1 — q Well to be located SOR sides from + from • (3)1 } sch 40 pvclahrals with deamutsum sprinkler system mmpon f boxes for protection t� d:60' 4" lam, / 4 t header, eM4ed neMrork,'k orku @,30'spacing sch 40 PVC •Protedi5'downsiopeabsorpironarea from compaction a a — s r - - -1 during construction I I -Demand dose lost selfings per design I I LOCATION MAP (not to scale) e ( New 4BR Home ( �jf _ LJ _ -------- Driveway I Garage -- BM1 = 100.00 \ Top nall In 12" wooden post 1.5' above grade PREPARED FOR: Field \ drainage BM2 = 96.92 swale Hickory Homes (Bill Jensen) Site Address: Grade at wood lathe property line marker 1 TBD 220TH Sf P/L , Baldwin, WI 54002 P/L P2 PID: TBD (New CSM) *IL47 Acres P/L I I P/L Legal: SW 1/4 NW 1/4 ` S17 T28N R16W YrSr-nd m�!?M_�y+1wn_ h= ban dmkjned and idaaae in asoorda os with State aId•Local cods Mo sm tmmmrrd sea nwd namain proromad aom dm uebori a wWbr compaction before and dtw Town of Eau Guile 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 01220TH ST TBD 220TH ST, Baldwin, W154002 Town of EAU GALLE St. Croix County Total Amount: $250.00 FOR: Description: 600 GPD (4 Bedrooms — New Construction) Maintenance Required DIVISION OF INDUSTRY SERVICES 2331 SAN LUIS PL GREEN BAY WI 54304-5211 Contact Through Relay http://dsps.vA.gov/programsrindustry-services www.vAsconsin.gov Tony Evers - Govemor Dawn Crim -Secretary Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES �, J1.411411 L.-it 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 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • Preserve dispersal area prior and during 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 (POWTS). Waste generated shall be properly disposed of on -site or off site. • Any tall grasses, leaves and shrubs shall be cut short and removed prior to tilling the surface for installation to prevent matting under the dispersal area. 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 soil to a depth of 8 inches. Smearing and compacting of wet soil will result in reducing the infiltration capacity of the soil. Proper soil moisture content can be determined by rolling a soil sample between the hands. If it rolls into a 1/4- inch wire, the site is too wet to prepare. If it crumbles, site preparation can proceed. If the site is too wet to prepare, do not proceed until it dries. • 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 infiltrative 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(1). • 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/installation/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, POWTS Plan Reviewer— Wastewater Specialist Department of Safety & Professional Services I Division of Industry Services email: tim.vanderleest(4wisconsin.gov Cell: 608-516-6134 ADVANCED ENVIRONMENTAL Property Owner: Hickory Homes (Bill Jensen) Site Address: TBD 220TH ST, Baldwin, WI 54002 INDEX Page: 2 Site Plan Page: 3 Management Plan Conditionally APPROVED Page: 4 Management Plan DEPT.OF SAFETY AND PROFESSIONAL SERVICES Page: 5 System Design Summary DIVISION OF INDUSTRY SERVICES Page: 6 Mound Design Worksheet :�rll- 21 .,j.1 L--t 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 ��►►►►u�llmlu►,,,� Page: 12 Dose Tank Page: 13 Tank Specifications '` RN G. BECHEL Page: 14 Mound Material Estimates - D-2263-7 RED WING Page: 15 Soil Test MN Poge: 16 Soil Test ''�,, Q Page: 17 Soil Test Component Manuals: SBD-10691-PMound (N.01/01; R.10/12) SBD-10706-P Pressure Distribution (N.01 /01; R.10/ 12) Designer Signature: J�� B-e'" ADVANCED ENVIRONMENTAL LLC 779 Spring Creek RD S - Red Wing, MN 55066 (651) 327-0074 Date: 2/2612021 esi es goer. Ryon Beebe] 'All property lines not o Benchmark rtifiea Soil Tester. ignar SYSTEM NOTES Septic Tank: SP-111500001s: drawn are >100ft from of Engineering SystemD 2263-7 ENVIRONMENTAL / FSall Boring system -12001800 gdIon 2-compartment tank Bring risers 4' above final grade -Best GF-10 fikar wl alarm scu E -Do not route dear water sources into septic tank P/L 30 60' P/L0' BM3 ® 91.20 P/L �62 \\\ Grade at wood lathe **Borings observed r/L property line marker 7/2/20 Michael P/L J. r4yrs** Proposed north P.L. ye «63 (New CSM) Pump Tank: s $ -Pump needs =40gpm C 1510H a rc -800 gallons -dove tank as racessary, maintain all setCacks. -Recalculate pump rndon Loss and TDH after install 0 0 t1120' -Event counter, time meter, orwater meter recommended i Bt qp� to east P. L STA: 52 RFk -10'a60' Mound -26 absorption width -20' dean and lift (ASTM C33 sand) -Cul stumps flush to ground, avoid diggbg . -Mow entire absoption area and remove crrypngs / -Roughen absorption area to depth of 6"A' -oksit surface waterwater myfrom�em I -Depth to restidton =10' (Redoxlmorphicfeatures) ±20' 2" -Contour= 99.00 sch 40 PVC / i Zaps =4% / 33' 33' Distribution: -Laterals to be spaced 12' from and of bed s 24' fiom 93 % sides l "Well to be located >SDft from / -(3)1tsch 40paciasnalswit dearouWuespd&8r system components** boxes for protection .1 t header, end -fed network k orifices @ 3.0'spadng sch 40 PVC / -ProrrctlSdowrWope absorption areafrom compaction during construction Y F -Demand dose lost settings per design / LOCATION MAP (not to scale) New 46R Home _4- r- `` I V r 11 I / � IJ _ — _------ __ Driveway I Garage L 47 n SMI - 100.00 Top na0 In 12" wooden post 1.5'above grade PREPARED FOR: Field drainage BM2 - 98M Swale \ Hickory Homes (Bill Jensen) Site Address: Grade at wood lathe property line marker ` TBD 220TH ST P/L ` Baldwin, WI 54002 P/L Pn- PID: TBD (New GSM) t1147 Acres P/L � I Z P/L Legal: SW 7/4 NW 1/4 r " S17 T28N R16W °° atatwrwrht TNe eyebwrr hoe been deeierrd and erduaWl in m:cordanoe with State and Wool codes 11-4 sa builom rose must romaln Protected from &Owburae mWor mrrrpadlmr before and after Town of Eau Guile Management Plan This management plan identities operation and maintenance activities necessary to ensure long-term performance of your septic system. Tasks that should be performed by the homeowner are idenffrod. Professional management tasks must be performed by a licensed septic maintainer or service provider, however, d is the homeowner's responsbiky to ensure alt tasks get accompfished in a timey manner. ► Keep this Management Plan with your Septic System Owner's Guide. ► Keep copies of all pumping records, maintenance activities and repair invoices with this document. ► Review this document with your maintenance professional at each visit; discuss any changes in product use, activities, or water -use appliances. Management Frequency My system needs to be checked Designer Required Frequency: Check every 36 months every 31 months. State/Local Gov't Req Frequency: Check every 36 months Design Parameters I System Specifications Number of Bedrooms 4 Septic Tank Manufacturer Wieser Design Flow ( pd) 600 Septic Tank Capacity 1200 Soil Loading Rate (gpdtft2) 0.4 Effluent Filter Manufacturer & Model Best GF-10 Standard Effluent Quality Effluent 1 Biological Oxygen Demand (BOD) 220 mg/1 Pump Tank Manufacturer Wieser Total Suspended Solids (TSS) 150 MO Pump Tank Capacity 800 Fats, Oils, Greases (FOG) 30 mg/I Pump Manufacturer & Model Per Installer Treated Effluent Quality Biological Oxygen Demand (Boo) - mgll Dispersal Cell Type Mound Total Suspended Sdids (TSS) - mg/1 Fats, its, Greases (FOG) - mg/! Pretreatment Unit Description NA Max Effluent Particle Size in 118 Homeowner Management Tasks 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 clean twice per 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. Tasks per Liquid levels - Check sludge/scurr✓effiuent 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 drainfiekd effluent levels (if applcabie) Verify pump and alarm system functions (if applicable) Inspect wiring for corrosion and function (if applicable) Clean drainfield laterals (ff 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. Verity inspection pipes are capped and Intact. Provide homeowner with list of management results and any action to be taken. system replacement area: Protect secondary system site on, 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 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 cells) 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 falling condition that requires immediate attention by a licensed septic professional. Tanks must be pumped when sludge accumulation is within 12 inches of the bottom of the outlet baffle, or whenever the scum layer is within 3 inches of the bottom of the outlet baffle. In no case shall total sludge and scum volume occupy greater than 25% of the tanks liquid capacity. The effluent filter shall be cleaned as necessary to ensure proper operation. The filter should not be removed unless provisions are made to retain solids in the tank that may slough off the filter during removal. if the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an Impending continuous alarm. Pre-treatment components shall be maintained and serviced by a licensed septic professional according to the manufacturer's recommendations. START-UP & OPERATION For new construction; prior to system operation, check septic/pump tanks for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cells. If high concentrations are detected, have the contents of the tank removed by a licensed septic professional prior to use. System start-up shall not occur when soils are frozen at the infiltrative surface. During power outages, pump tanks may fill above normal high water levels for system utilizing pumps. When power is restored, the excess wastewater will be discharged to the dispersal cell in one large dose potentially resulting in overloading the cells. It may also result In backup or surface discharge of effluent. To avoid this situation, it is highly recommended to have the contents of the pump tank removed by a licensed septic professional or have a septic professional manually dose the system to return the pump tank to normal operating levels prior to restoring power. Do not drive or park vehicles over any septic system components. Do not drive, park over, or otherwise disturb or compact the area within 15 feet downslope of any mound or at grade system or secondary septic system site. CONTINGENCY PLAN If the septic tank, or any of it's components, become defective the tank or component shall be immediately repaired or replaced according to the original system design specifications. If a dosing tank, pump, pump controls, alarms, or related wiring becomes defective, they shall be immediately repaired or replaced with components of the same or equal performance. If the soil treatment component fails to accept 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. WARN1NG11 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: Residential Treatment Level: Effluent 1 Residential Design Flow - N of Bedrooms 4 X 100 GPD X 150% = 600 GPD Commercial Design Flow (data/calculations attached): ❑ Neawred GPD ❑ rstimaud GPD Design Flow: 600 GPD Comments: New 4BR Home; No home business; no sewage ejector/grinder B. Sepik Tank(s): Minimum Capacity = Design Flow X 2.088 Wastewater received by: Gravity Code Minimum Septic Tank Capacity: 1253 Gallons, In 1 Tanks / Compartment(s) Designer Recommended Tank Model(s): Wieser WLP1200Y800-MR Effluent Filter 8: Alarm: © Flaw Q Flaw A14M Effluent Filter Model: Best GF-10 C. Pump Tank Code Minimum Capacity: 645 Gallons Pump Tarot 2 (Code Minimum): NA Gallons Designer Recommended Min. Capacity: am Gallons Pump Tank 2 (Designer Req): NA Gallons Pump 40.0 GPM Total Head 15.1 it Pump 2 NA GPM Total Head NA it Holding Tank Only: ❑ Minimum Capacity: Residential - 2000 gallons, or 5x estimated daily wastewater flow•, whichever is greater Minimum Code Required Capacity: Gallons, In Tanks Holding Tank High Level Alarm Type: Designer Recommended Capacity: Gallons, in Tanks DISTRIBUTION AREA Soft Treatment Area Type: Mound Distribution Type: Pressure Distribution -Level Benchmark 1 Elevation: 100.00 it Benchmark Location; SEE SITE PLAN Component Manual 1: SBD-10691-P Mound (N.01 /01; R.10/12) Distribution Media: ❑v aainfieM Rode ❑ Approved ftaeucc Component Manual 2: SBD-10706-P Pressure Distribution (N.01 /01; R.10/12) 112" - 1 1 /r Aggregate SITE EVALUATION DATA Depth to Limiting Layer: 16 in 1.3 It Soil Texture: Sandy Clay Loam Contour Elevation: 99.00 SHLR: 0.40 GPD/ft1 Elevation of Limiting Layer. 97.67 Perc Rate: MPI Minimum Required Separation: 36 in 3.0 R Soils with >60% Rock Fragments Present? ❑ yes 0 No If yes, describe % rack and layer thickness, depth of soft treatment needed per Maximum Depth of System: Mound in SPS 383.44-3 and any additional information 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 Flaw X Estimated 800 In mg/L in the effluent X 8.34 + 1,000,000 600 gpd X 220 mg/L X 8.34 + 1,000,000 = 1.10 lbs BOD/day a. Pretreatment Unit Information (if applicable): Not Applicable b. Organic Loading After Pretreatment (ff applicable) = Design Flow X HOD In mg/L in the pretreated effluent X 8.34 + 1,000,000 gpd X mg/L X 8.34 + 1,000,000 - - lbs BOD/day 2. Organic Loading Rate to Soil Treatment Area (lbs/day/Jt) + Soil Treatment Bottom Area Jt7 = tbs/day/ft1 soa Loming Pam& Of 4/R'/dry 1.10 Ibs BOD/day 1500.0 ft1= 0.00073 lbs/day/ft1 La a�oola 0.8 aaals a1 0=13 ac omss ...-------- ---------- _._-------- _----- _..._..........-._...._.___.._.._._..._...__..__...._..._.._......_......---- _........ ... ...__�_.� as omm Comments: 0.1 aa00a 0.2 0.0DD1 f! [ ..._.._._._...._......_-.__._._...._..__...._...._.........__........._......_..........._.........._...._............... _.........._......_._. _..._..........._. 3 Mound Design Worksheet SYSTEM SIZING: Parcel ID: TBD Design Flow: 600 GPD u Soil Loading Rate: 0.40 GPD/ft' El 11 '°°"'°""°''• Depth to Limiting Condition: 1.3 ft Percent Land Slope: 4 % Design Media Loading Rate: 1.0 GPD/ft2 DISPERSAL MEDIA SIZING Dispersal Bed Area (A x B) = Design Flow = Design Media Loading Rate 600 GPD : 1.0 GPD/ft2 = 600 ft2 If a larger dispersal media area is desired, enter size: ft2 A. Select Dispersal Bed Width (A): 10.0 ft can't exceed fo feet Linear Loading Rate = Bed Width X Design Media Loading Rate 10 ft X 1.0 GPD/ft2 = 10.0 gal/ft can't exceed Table 1 B. Minimum Dispersal Bed Length (B) = Dispersal Bed Area : Bed Width 600 ft2 . 10.0 ft 60.0 ft DISTRIBUTION MEDIA: ROCK Rock Media Depth Below Distribution Pipe 0.50 ft (Estimated material quantities found on Mound Materials page) DISTRIBUTION MEDIA: APPROVED TREATMENT PRODUCTS: CHAMBERS AND EZFLOW I. Select Dispersal Media: ii. Enter the Component Length: ft Width: ft Depth: ft iii. Number of Components Per Row = Bed Length : Component Length (Round up) ft _ ft = components per row iv. Actual Bed Length = Number of Components per row X Component Length per row X ft = ft v. Number of Rows = Bed Width _ Component Width ft : 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 : 100] + "D" 10.0 ft X 4.0 % : 100 + 20.00 in = 24.8 in F. Distribution Cell Depth (F) = 8" + Nominal pipe size of distribution lateral (12"foropprovedproducts) 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 Cell Center (H): 12.00 in (n 12" Min.) I. Downslope Width (1) _ (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 (usualiy3.0or4.0) K. Endslope Width (K) _ [(D + E) : 2] + F + H x Endslope Horizontal Gradient 44.80 in : 2 + 9.25 in + 12.00 in + 12 x 3.0 ft = 10.9 ft L. Mound Length (L) = Endslope Berm Width + Bed Length + Endslope Berm Width 10.9 ft + 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 Verification of Minimum Required Basal Area ** Sloping Sites = B x (A + I ) MINIMUM = 1500 ft2 (Min. = GPD+ Loading Rate) 60.0 ft X ( 10.0 ft + 15.0 ft) = 1500 ft2 ............... ** Level Sites = B x W MINIMUM = ft2 (Min. - GPD+Loading Rate) ft x - ft - ft2 MOUND DIMENSIONS 1©m obs. pipes ---- ----- -------- I ------------------ I O K Al i B 0 H! ------------------------------------- L A 10.0 ft F 9.3 in 1 7.9 ft B 60.0 ft IS 6.0 in K 10.9 ft D 20.0 in H 12.0 in L 81.8 ft E 24.8 in 1 15.0 ft W 32.9 ft Obs. Pipes (1 /1 Oth of B) 6.0 ft Absorption Width (A+I) 25.0 ft DISTRIBUTION AREA CROSS-SECTION , 102.414 TOPSOIL & SEED RLTER 99.00 4% 101.27 100.67 PLOW V- 8"DEEP PRIOR TO PLACING SAND OBSERVATION PIPE DETAIL Screw -type or Finished grade slip cap . . . Topsoil cover 4" SCH 40 PVC pipe (1'min.) Top of pipe to terminate at or Vf.22 above finished grade x Wslots spaced U-S apart :7 .01 Infiltration Toilet Flange surface Pressure Distribution Design Parcel ID: TBD Bed Width: 10 ft Manifold Connection: End Preferred Orifice Spacing: 3.0 Minimum Number of Laterals In system/zone ={[(Media Bed Width - 4) + 31 + 1) X d of zones (Round up) [( 10 - 4 ) + 3) + 1 = 3 - 1 zone(s) = 3 laterals Designer Selected p of Laterals (optional(: laterals 'Can't be less than 2 (except In at -grades) Min. Lateral Spacing: 3.5 ft Designer Lateral Spacing (optimal): 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" a s 2' from cell edge) Lateral Length = (Media Bed Length - 2 Feet) � N 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 (T 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 11 ft2 Orifice Density = Bed Area + Total Number of Orifices (Does not 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 ft Orifice Discharge Rate: 0.66 GPM per Orifice f60sed on Tonle 4) Table 4 Dtx wRaw in 001l p1611nulef ICninai plenme in odnee Dlweler rw u8 5M 3116 1/4 25 NP NP 0.80 1.17 3 NP NP 0.72 1 128 35 NP 051 078 Im 4 _ NP 0.68 0.83 1.47 45 w 0sl 0.311 1.56 6 0.41 Ob4 0.0 1.66 6.5 0.43 om 0.97 1.73 8 0.46 0.71 1.02 1.80 6.5 0.47 0.73 1.06 1.08 7 0.49 0 8 1.10 1.95 7.5 0.50 0.79 1.14 P 02 8 0.52 0.81 1.17 2.08 8.5 0." U." 1.21 E16 9 0.55 0.06 f.14 Z21 9b 0.57 0.89 128 227 10 0.58 0.91 1. 1 2.33 ....w � - w...prurm =....�r.n.uac unu.av u..a. •l�n'>wa'u.'¢'y NP IR'atllwl pLYwlalA Pressure Distribution Design Lateral Discharge Rate (GPM) = Orifices per Lateral x Orifice Discharge Rate Check Table 5 to make sure maximum header length is not exceeded. 20 Orifices Per Lateral x 0.66 GPM per Orifice = 13.1 GPM per Lateral System Flow Rate = Total Number of Orifices X Orifice Discharge Rate 60 Orifices X 0.66 GPM per Orifice = 40 GPM Distribution Piping Liquid Volume Per Foot (Table 7): 0.064 Gallons/ft Volume of Distribution Piping = [M 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 DOW us 1 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 a P*d Of owtaye (between pump and highest discharge point) t Distribution Head Loss: 3.25 ft sDscxef"'*** Additional Head Loss: ft (due to s at a aP' aev„sM: ped quipmenq etc.) aEaew Forcemain Diameter: 2.0 in l -------------------------•--- -••----------• Forcemain Length: 20 ft Forcemain Friction Los - Friction Loss in Plastic Pipe per FT of Forcemain (from Table 6:) X Forcemain Length Forcemain Friction Loss = 0.66 ft Add Equivalent Pipe Length from pump discharge to soil dispersal area discharge to account for fitting loss if needed. (Estimate by adding 25% to supply pipe length for fitting loss if desired. Forcemain Length X 1.25 = Equivalent Pipe Length). Use 1.0 for standard systems. 0.66 ft X 1 0.66 ft Elevation Difference + Distribution Head Loss + Additional Head Loss + Forcematn Friction Loss = Total Dynamic Head (TDH) 11.20 it + 3.25 ft + ft + 0.66 it = 15.1 ft TDH PUMP SELECTION A pump must be selected to deliver a minimum 40.0 GPM at a minimum 15.1 TDH Pump Model Option 1: Goulds EP05 Wastewater Performance Curve C Cm' Pump Model Option 2: Goulds PE41 wastewater MI ERS FEET 40 0D Performance Curve T I 1 1 f 1 I xtaM ! I, Ptia}}-}- It ;; k I 1 7tj7 Ij D 0 20 30 +0 W 70 GPM It D S 1F IS irtD� CAPAQfY Demand Dose Pump Tank TANK CAPACITY AND DIMENSIONS Parcel ID: TBD Design Flow: 600 GPD Cote Minimum Pump Tank Capacity: 645 Gal Designers Minimum Capacity: goo Gal Tank Manufacturer: Wieser Tank Model: WU 1200/800-MR Capacity from manufacturer: Boo Gallons Importanth Dose design cafcufatioru are based an this spedlic tank. Substituting a different tank model may after the pump front Gallons per inch from manufacturer: 22.2 Gallons Per Inch settings. Confect designer if changes are necessary. 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 B: 2 inches of water covering the pump is recommended) Pump and bloc( height + 2 inches X Tank Gallons Per Inch 'Adding 2 Mires ensures pump is cwered by effluent during operation ( 8 in + 2 inches) X 22.2 Gallons Per Inch = 222 Gallons Minimum Delivered Volume = 5 X Volume of Distribution Piping: (From Pressure Distribution worksheet) = 56 Gallons (minimum dose) Maximum Planpout Volume = Design Flow x 20% 600 GPD X 20% = 12o Gallons (maximum dose) Select a pumpout volume that meets both Minimum and Maximum: 108 Gallons Doses Per Day = Design Flow + Delivered Volume 600 gpd 108 gal = 5 Doses Per Day Drainback: 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 gal = 111 Gallons Minimum Alarm Volume = Depth of alarm (2 or 3 inches) X gallons per inch of tank •3 inch atam depth ncarrmmded to prevent 3 in X 22.2 gal/in = 66.7 Gallons turbulence resulting unnecessary pump cycling 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 came): r. Distance to set Pump Off Float = Pump + block height + 2 inches 8 in + 2 in = 10.0 Inches Reserve Cap. 18.0 in A 3 Distance to set Pump On Float = Distance to Set Pump -Off Float + Dose Separation Distance Alarm Distance 3.0 In B .7 10 in + 5.0 in - 15.0 Inches Pump on Distance 5.0 in ; C'' 1.3 Distance to set Alarm Float - Distance to set Pump -On Float + Alarm Depth Pump Gff Distance 10.0 in D 2.4 15 in + 3.0 in = 18.0 Inches Pump Off Elev. 91A ft Q-. 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 I -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 trot with separate \ 99.00 Pump and alarm circuits y \ 93.75 4' S 0 ewer 1%Minimum Slope I O�\�� 9� +/- 60' 90.00 164" iFFILTER A—SEALJul fillI O,� IIII f OR If 11 BAtTLE 'I tI'I'I If H TANKS ARE MANUFACTURED TO MEET OR 4" Pump Block Sleeve 2" SCH 40 forcemaln In 4" SCH 40 pipe across tank excavation to prevent pipe seRting ' Cam Lock Float Tree: Install floats sepa rately from pump on a 1" to 1.5" PVC pipe Weep Hole WLP1200/800—MR TANK SPECIFICATIONS DIMENSIONS WALL: 3' BOTTOM: 3" COVER: 6" MANHOLE: 24" I.D. PRECAST CONCRETE RISER HEIGHT: 53' O.D. LENGTH: 164" O,D. WIDTH: 96" O.D. 4" CAST —A —SEAL BELOW INLET: 41. O.D. VOUD LEVEL: 36" WEIGHT: BOTTOM 12.000 LBS. COVER 8,170 LBS. INLET AND OUTLET: 4" CAST —A —SEAL BOOT OR EQUAL GASKET, CAST —A —SEAL BOOT OR EQUAL INLET AND OUTLET BAFFLE AND FILTER: IWSCONSIN. SEE DETAIL /10 (OTHER STATES SEE CHART) UOUID CAPACITY: 33.46 GALAN (SEPTIC) 22.24 GAL/IN (PUMP) LOADING DESIGN: 6' 0" UNSATURATED SOIL 4" VENT TANK CAN BE USED AS: OR SEPTiC/SIPHONPTIC/PUMP COVER: MIX DESIGN /B (NO FIBER) TANK: MIX DESIGN /9 (SMALL FIBER) CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WIESER CONCRETE DRAWINGS SUBMIT FOR APPROVAL APPROVED BY: APPROVAL DATE: PIWIDIKTS NEEDED RY• 1 4 Mound Materials Estimate Parcel ID: TBD A. Rack Volume: (Rock Below Pipe + Rock to cover pipe (plpedin+ i Inch)) X Bed Length X Bed Width = Volume (1`0) 6 in + 5 in)+ 12 X 60.0 ft X 10.0 ft = 550.0 ft3 Divide ft' by 27 ft'/yd' to calculate cubic yards: 550.0 ft3 + 27 = 20.4 yd' Add 30X for constructability: 20.4 yd3X 1.3 26.5 yd3 For systems using Approved Products: Volume - Product Height X Bed Length x Bed Width Approved Product: 1l of Components needed: (See Mound Design page fordatoilod summary of _ components needed) B. Sand Volume: Volume Linder Rock bed: Average Sand Depth x Bed Width x Bed Length = cubic feet 3.7 ft X 10.0 ft X 60.0 ft = 2240.0 ft3 Upslope Volume: (Upslope Sand Height x Upslope width x Bed Length) + 2 - cubic feet 11 2.6 ft X 7.9 X 60.0 )+ 2 = W9.8 ft3 Downslope Volume: (Dawnslope Sand Height x Downstope Absorption Width x Bed Length) + 2 = cubic feet (( 3.0 ft X 11.4 it X 60.0 ) + 2 = 1018.3 ft3 Endslape Volume: Downslope Sand Height x 3 x Bed Width = cubic feet ( 3.0 ft X 3.0 ft X 10.0 ft = 89.5 ft3 Total Clean Sand Volume: Upslope Volume + Downslope Volume + Endslope Volume + Volume Under Bed 609.8 ft3 + 1018.3 ft' + 89.5 ft3 + 2240.0 ft3 _ 3957.6 ft3 Divide ft' by 27 ft'/yd3 to calculate cubic yards: 3957.6 ft3 + 27 = 146.6 yd3 Add 30% for constructabil ity: 146.6 yd3 X 1.3 = 190.6 yd3 C. Topsoil Volume: Distribution Box Cover Volume (approx) : Distribution Box Length X Width X Average Topsoil Height (18') 10.0 it X 60.0 ft X 1.5 ft = 900.0 ft3 Downslope Berm Cover Volume: Downslope Berm Length X Width X Depth (12 ) 15.0 ft X 60.0 ft X 1.0 ft = 900.0 ft3 Upslope Berm Cover Volume: Upslope Berm Length X Width X Depth (12) 7.9 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 Berms) 10.9 ft X 32.9 ft X 1.0 ft X 2 = 717.4 ft' Divide ft' by 27 ft'/yd'to calculate cubic yards: 2989.4 ft3 ; 27 110.7 yd3 Add 30% for constructability: 110.7 yd' x 1.3 = 143.9 yd3 "For rough estimation purposes only. Final material estimates should be calculated by the plumberlinstaller" M p ast 1 v,, , - TowaoiEau Gafta FS ..._ .._ t. N F o 500 t000l 1500a - - MER: TMe map Is not guaranteed to be te, corcecC outran; or wmmppleta and 9 oro drawn are the reaponrf e4 of the Mr.; �� �,; d �?: qi� ;, �,°�' �'' �" ,,, ,,. �; :�. LEFT ELEVATION 1/8" = I'-O" REAR ELEVATION 1/8" = I'-0" FKONT ELEVATION 1 /4' = I'-O" 9'-0 POURED GONG. FOUNDATION 9'-I I/8' CEILING (@ MAIN LEVEL FOR BIDDING ONLY NOT FOR CONSTRUCTION o m a .o 0 N RIGHT ELEVATION 1/8" = 1'-0" R21-173 = N 8 0 0 3 � � ec 3 u! o "a �� �1 TL In 3« E m 3 p �pp.fi[ra, u...n e,...yno..mgems orq xean. m W��wnxmmmr,.,,a�i.n, m,... wem._ rinse g�.9.m<e min �I,,Nµµnm w�3w sW. .�i:M,m[o�i:e,du,e.mMMYmYnm ®m^ pa .M mry no[Y mMFOmurd m,M^='�'9n ..uwttly r^m m„ua, v-nw[ a 6mS o,,..y Rmn ROOF PUN 1 /4" = I'-0" FOR BIDDING ONLY NOT FOR CON5TRUCTION #21-175 ST. VNTY SANITARY SYSTEM File#: ""■® Only i OWNERSHIP/ADDRESS FORM �ed2ce 12021 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. OWNER/BUYER INFORMATION Owner/Buyer Ferg, Jessica & Brian Mailing Address 820 Elm Street City/State/zip Baldwin, WI 54002 Phone Number Email Address 651-283-0069 .COM Parcel Identification Number Part Of �8 - (OSD f0 - fir) (found on the property tax bill) NEW SYSTEM: LEGAL DESCRIPTION Property Location SW 1/4 , NW 1/4 , Sec.17 T 28 N R16 W, Town of Eau Galle Subdivision Plat: Lot # 1 Certified Survey Map # Volume C' Page #�. Warranty Deed # J HI t q 21' (before 2006)Volume Page # Number of bedrooms Spec house O yes JJ no Lot lines identifiable yes E3 no OFFICE USE ONLY New Property Address 3S'3 uptIN -s �— (Verification of new address required from Community Development Department for new construction.) (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@sccwi.gov 1101 Carmichael Road, Hudson, WI 54016 www.sccwi.aov korko1 Cog) re.v Wisconsin Department of Safety and Professional Services I Page 1 of 2 Division of Industry Services MAR 0�2021 SOIL EVALUATION REPORT In accordance with SPS 385, Wis. Adm. Code I County Attach complete site plan ontpaper,not test rthan8312 X<i 1 inches in size. Plan must include, ST Croix but not limited to: verticalarld horizOnfaT heference- 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. ewed by / e Personal information you provide may be used for secondary purposes Privacy Law, s. 15.04 1 m . ✓►Y�p• e'1�1�'.'�\ 22. Property Owner Property Location: Hickory Homes (Builder) Govt. Lot: SW Y. NW % S 17 T 28 N R 16 W Property Address Lot # Subd. Name or CSM# Block # TBD 220TH ST 01 TBD New CSM City State Zip Code Phone Number ❑ City ❑ Village X Town Nearest Road Baldwin DWI 154002 1 1 Eau Galle 1 220TH ST on New Construction Use:❑j Residential I Numberof 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 ft. General comments and recommendations: Recommend nimum 20'sand-lift POWTS mound on 99.00 contour with 0.4gpdAl2 loading rate. LF = 18' (Re tl6:i rphic f uredw r A x Boring # ❑ Boring ❑� Pit Ground surface elev. 99.00 ft. Depth to limiting factor 19 in. Cnil Annlirntinn Ratp Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 `Etf#1 'Eff#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 19-51 10YR 4/6 c2p 7.5YR 416 & 7.5YR 511 scl-sc 1 csbk-0m mfi-mvn 0.0 0.0 ❑❑ Boring 2 Boring # ❑� Pit Ground surface elev. 96.25 ft. Depth to limiting factor 1� Rnil Annliratinn Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ftz 'Eff#1 'Eff#2 1 0-9 10YR 3/3 1 2msbk mfr cs 2f-vf 0.6 0.8 2 9-17 7.5YR 414 - sl-scl 2c-mabk mfi gw of 0.4 0.6 3 17-31 10YR 416 m2d 7.5YR 518 & 10YR 512 scl 1 csbk mfi ai 0.2 0.3 4 31-54 2.5Y 6/4 c2p 7.5YR 5/8 & 10YR 611 1 fS j Osg loose 0.5 1.0 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 02/2521 (651) 327-0074 (A-4) ❑3 Boring # ❑ Boring ❑� Pit Ground surface elev. 99.00 ft. Depth to limiting factor 76 in. Cnil Annlir�}inn R.}c 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 0-8 10YR 313 1 2f-msbk mfr cs 2m-vf 0.6 0.8 2 8-16 7.5YR 414 - sl-scl 2-csbk mfr gw 0.4 0.6 3 16-26 10YR 4/6 f1d 7.5YR 5/8 & 10YR 5/1 scl 2cabk mfi gw 0.4 0.6 4 26-42 10YR 413 c3p 7.5YR 416 & 7.5YR 5/1 sc Om mvfi 0.0 0.0 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor _ in. Snil Anniiration 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 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor_ in. Snil Annliratinn 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 I 'Ef#2 ' Effluent #1 = BOD, > 30 5 220 mg/L and TSS > 30 5 150 mg/L ' Effluent #2 = BOD, > 30 <_ 220 mg/L and TSS > 30 <_ 150 mg/L h �1 i Boring # ❑ Boring M Pit Ground surface elev. 99.00 ft. Depth to limiting fact 16 Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ftz •Eff#1 'EN#2 1 0-8 1 OYR 3/3 1 2f-msbk mfr cs 2m-vf 0.6 0.8 2 8-16 7.5YR 4/4 - st-scl 2-csbk mfr gw 0.4 0.6 3 16-26 1 OYR 416 f1d 7.5YR 518 & tOYR 5/1 scl 2cabk mfi gw 0.4 0.6 4 26-42 10YR 4/3 c3p 7.5YR 4/6 & 7.5YR 5/1 SC Om mvfi 0.0 0.0 ❑q Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor _ in. 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 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor _ in. Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/FtZ `Eff#1 `Eff#2 ' Effluent #1 = BOD, > 30 5 220 mg/L and TSS > 30 5150 mg/L ` Effluent #2 = BOD, > 30 s 220 mg/L and TSS > 30 s 150 mg/L s Designer: Ryan Bechel *All properly Imes not 0 Benchmark ADVANCED SYSTEM NOTES Septic Tank: Certified Sail Tester: SP-111500001 drawn are >100R from Designer of Engineering Systems: D 2263-7 E N V I R 0 N Al E N T A L system SOII Boring 1� SCALE 30 P/L 0' 60' P/L BM3 = 91.20 P/L P� Grade at wood lathe Q2 "Bonn is observed ✓ —'�P/L properly line marker 7/2/20 by Michael I. Myers— Proposal north P.L. ^a7 *se' (New CSM) Pump Tank: � � z O 1120' I � O B1 99' to P. L. STA: east /' 02 -Recommend minmum 20'sand4d POWTS mound on 96.25 99 00 cadour wth 0 4gpdte loading rate -Depth to restriction =16' (2edoxlmorphlc features) / 100 Contour = 99 00 Slope=4% 3' / Distribution: -system aW repere pressure dslobtdlon 33' **Well to be located >SOft / from system components** / c LOCATION MAP (not to soots) New 4BR Home I / x — ---_---- Driveway I Garage I / � � e 100.00 Top nail in 12" wooden post 1.5' above grade Held PREPARED FOR: drainage \ BM2 == 98.92 Swale \ Hickory Homes (Bill Jensen) Site Address: Grade at wood lathe ` property line marker TBD 220TN ST P2 Ballwin, W1 54002 I P/L � P/L PID: TBD (New CSM) t11.47 Acres P7L Legal: SW 1/4 NW 1/4 a? a 517 T28N R16W Cart1fled Statement TNe ryatern has been deigned and evaluated In aewrdonoe Mth state aM Local codes. The sail treatrnerrt area most resin probsolad from disturbarce and/or compaction before and after Town Of Eat Gallo aa>on. NO WARRMOY IS MCE THAT THIS SYSTEM WILL WMNUE 70 FLNCfpED N IIDNfELY. System must be properly mointolned. Rwbr your ystem's mo agenrerd ma plan far Information an proper eare and Scale: 1"= 60' Date: 2/25/20 - 1111900 EETH PABST REGISTER OF DEEDS CERTIFIED SURVEY MAP CROIX CEIVED FORt. RECORD RECEIVED FOR RECORD LOCATED IN THE SWY4 OF THE NWY4 OF SECTION 17, T28N, Ds/17/2020 21:46 AM R16W, TOWN OF EAU OALLE, ST. CROIX COUNTY, WISCONSIN; CERTIFIED SURVEY MAP VOLUME:30 PAGE:6862 REC FEE: 30.00 PAGES: 2 r ro- Oy jN 4 4�^A BEARINGS REFERENCED TO THE HEST LINE OF THE ' ,q Hmml -I 9 NWA OF SECTION 17. UNE BEARS NOO-23.02-E. ST. CRON COUNTY COORDINATE SYSTEM. T qq�@� g � r A QJnP4d�Pq�ya�19.! 4!!.b�I'imm O V 220T II MAST 5C j LbbS oil — a N00'2 379.39' -0 — — w N00_2sro2'E ' N00'280YEI�379.3Y WEST UNE OF 711E MVY� bb� JIB EI Z r p mZZ 0 0 r. EAST LINE OF THE SVV%OF THE NYIY, SOO-Xl2 W 379.40' .,:... ,I 8 d UNPLATM LANDS V + Il SODNS W JOSEPH GRANBERG BARRY SERIER 1428 134TH AVENUE 2150 33RD AVENUE NEW RICHMOND, Yd 54017 BALDWIN. Wf 54002 t1�gmmm p N �NO07 m�.O1vm u O DRAFTED BY. JWG JOB NO. 100-680 SHEET DATE: 07/20/20 1 OF 2 30- ta(aa St Croix Camty 1111900 Page 1 of 2 4 s4 Lro'K N "Poo ,� i COUNTY NO. 642238 STATE SANITARY PERMIT OWNER PLUMBER Z& N, AND/OR PERMIT 353 Z2o 0% sf- r Eus SUBDIVISION oozoAwe. 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. OFFICER - DATE UNLESS RENEWED VIEW ZI FIAT DATE VISIBLE FROM THE ROAD FRONTING THE LOT DURING CONSTRUCTION SBD-06499 (R11/20) LOCATED IN PART OF THE SW1/4 OF THE NW114 OF SECTION 17, T28N, R16W, TOWN OF EAU GALLE, ST. CROIX COUNTY, WISCONSIN; LOT 1, CERTIFIED SURVEY MAP VOLUME 30, PAGE 6862. ti 'PO _ 1 I, Douglas J. Zahler, Wisconsin Professional Land Surveyor, hereby certify that this Stake -out Plan was prepared by me or under my direct supervision and is correct to the best of my knowledge and belief. I Z/ZZ/ZO2 I PROPOSED I \ 1 \ / - — 1918 54' MOUND I I / ` r.Q.H.=112`28 _ PROPOSED HOUSE AND GARAGE PROPOSED / DRIVFWAY / � ao \ D"NAGE SWALE 1131.69 LOW BUILDING OPENING = 1112.0 / — — — — j4nS_RS' PROPERTY ADDRESS: 353 220TH STREET SCALE: 1 INCH = 100 FEET 0 100 zoo VERTICAL CONTROL DATUM: NAVD 1988 NORTH LEGEND FOUND 3/4 INCH DIAMETER IRON BAR ® WOOD HUB SET AT 10' OFFSET OR ON BUILDING LINE EXTENSION T.O.H. TOP OF HUB ELEVATION T.O.B. TOP OF IRON BAR ELEVATION ALL EXTERIOR BUILDING CORNERS MARKED WITH PIN FLAGS FIELD WORK COMPLETED: 12/20/21 / J / WOODED AREA " �I I ✓ / / 1� 1� r MINIMUM BUILDING SETBACKS: FRONT 50' SIDE 10' MINIMUM REAR 25' DIMENSIONS ARE SHOWN FROM LOT LINE TO OUTSIDE FOUNDATION WALL I _9 �W 9 1 OF 1 ISM W V) n 2