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HomeMy WebLinkAbout032-2104-20-000 M, 'n � k;- o co 00 v O 0 oN N h Y c N ' :3 T "O i O C N Q U i C c6 O L •0 C C N .- c y a o.. E v a O p T D1 C Z . O C � LL _p Z y T Q W ti 3 v (D Z N U) C O L ZO a7 d M W a m N O Z �► CD Z v z E N N • c .0 Q w 2 z Z O I �l o LO d V U N O E a) N d' > LO 4) .. _ O w ' C N a) ooa o C� N a� N N N j ol E 0 0 o a LL iw m �n 0- o Co CO M a) to 7 0 N J } fn J U 1 O ON N IrV ! .v N Z �-= a) E (p Y 0 0 — C 71 O N m d O y A L � Q A UJ c0 I s: 3 ) ° N Y N C cl O CO n y " O f y N (0 U 0_ 0 0 y N O V V N O C N 2 N C O 0 0 a O N 0 qa 7 M M Sa" N O N N O w C C O) N M L' p U) <n Cl) o Y Y to O CC .r L = E at a; Xk a d (L tt `i�v +. E L � c � �1 A L') ( O m C> I Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 430106 0 GENERAL INFORMATION (ATTACH TO PERMIT) ate Plan ID No: T• 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 6arcel Tax No: i Sederstrom, Mike Somerset Township 032 - 2104 -20 -000 CST BM Elev: If Insp. BM Elev: BM Description: `i I _ Sectionlrown /Range/Map No: l7� A OO ' 1 ( � = G'ST tAA n ( 14.30.20. yg TANK INFORMATION 'ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic A Benchmark / 00, 0 - Dosing `- Alt. BM � fo (00.00 1 , ITS Aeration Rlda gem er 10 � S. b �}•!� Holding SUHt Inlet f D L.5 � TANK SETBACK INFORMATION St/Ht Outlet to -N b.3 TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic � / � � � j � D Bottom 9. �1 q� • � O � Dosing a ... 3 2..195" 02.40 Aeration Dist. Pipe z. Z. 11 S'• Z.� 5 Holding Bot. System r o o2. w n Final Grad P /SIPHON INFORMATION . s0" �! ~..+'L� 12 Manufacturer emand St Cover -S CO S GPM odel Number &D -5+*6 DH Lift Friction Loss System Head TDH Ft o f .22 .0 .03' 914/0; 14'a Forcemain Length O 1 T ba. 1, a Dist. to well SOIL ABSORPTION SYSTEM BED/TRENCH Width ( Length I No. Of T sAWws PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS - ( SETBACK SYSTEM TO P/L T BLDG IWELL LAKE /STREAM LEA NG Man urer: INFORMATION CHAMBE bar; Type Of ystem: Sp UNIT ,yam► del Num ►�l vto� �5 DISTRIBUTION SYSTEM 1we,s.�/j, Headerr /Manifol' Distributio tO 2 x Hole Size x Hole Spacing Vent to Air Intake Length 7' Dia +' Length T " Z ia I ( 2 Spacing 7' , •+ /� 2 it 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 I No Yes i aI No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1. 4 � Inspection #2: `3 Location: 1511 Oak Ridge Lane Somerset WI 54025 SE 1/4 SE 1/4 14 T30N Green Acre Ct Estates Lot 23 Parce o: 14. 0. l � c 9 ( R20W ) ry "�- 1.) Alt BM Description = 7 T 4 M&J%0 tsw+ . 2.) Bldg sewer length = 01 Q - C - - amount of cover = * Q�1��oyl (,j(iy- e `f ., � Sai I GaU� Plan revs ion RiSq'uired? Yes No { fp Use other side for additional informati8n. SBD -6710 (R.3/97) Date Insepctor's Signature Cert. No. - Safety and Buildings Division City ME 201 W. Washington Ave., P.O. Box 7162 *sconsin Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce (608) 266 -3151 1 Sanitary Permit Application State Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal information you provide Br Z = may be ur used for secondary pposes Privacy Law, sl5."IXm) Project Address (if different than mailing address) I. Application Information - Please Print All Info ° - - � Property Owner's Na me Parcel / Lot i Block 11 E JUN 1 8 2003 Z 3 Property Owner's M ailing Address Property Location A G i A 1 &t� 'A 14,Section City, State Zip 7 n —e'lrum S'3 -- S'— �� 7 (circle o ) T N; R H. Type of Building (check all that apply) or 2 Family Dwelling - Number of Bedrooms y Subdivision Name CSM Number ❑ Public/Commercial - Describe Use ° I a t. la 0; ❑ State Owned -Describe Use \` tY_ g � P ,b = 12 � • 0 ❑Ci ❑Villa a ownshi of III. Type of Permit: (Check only one boa on line A. Complete line B if applicable) A- New System ❑ Replacement System tg Rep y � Y ❑ Treatment/Hold Tank Rep Otil ❑Other Modification to Exis System B. El Permit Renewal ❑ Permit Revision El change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. TYpe of POWTS : (C all that apply) ❑ Non - Pressurized In- Ground t7 Mound > 24 in. of suitable soil tin f `1 ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Weiland ❑ Pressurized Lt- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) V. DispersalTreatmeqt Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation Po I A o 1 4,V Q . I a2 . `to VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New I Existing oe Tacks Tanks Septic orlioldit Aerobic Treatment Unit Dosing Chamber f , v VII. Responsibility Statement- I, the assume rponq for installation of the POWTS shown on the attached pbms. Plumber's Na me (Print) Plu is Si g 4AP /MPRS Number Business Phone Number Fogerty Plumbing 0 1=L D Phun re tate, Zip Code) ��,..�.. �Nl54802 VIII. C se Only Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued L%Mv Agettt Signature Stamps) Surcharge Fee) ❑ Owner Given Reason for Denial�� Z IX. Conditions of ApprovaMeasons for Disapproval �E At, 4(wy °I� 1 o c far P, Aft-b complete plans (to the County only) for the system on paper not less than 81/2 x 11 incites in size 14afPty and BuildinaS Afro oSed �O � h0.5 �C S y s tech EIcv. = /4a vd s 4 -`2.3 ' � r kstrl P.Pe 1 1 AA Im� li r 1� . �� ,��.� � `'stir �o �� �� /C3 o I f ,i L d a 3 l S ic , - S 7 30 /V — 4 0 u/ 303 �wN orb 5- erve z/9 I 3e i S y C'/•vi W. 9f�a (off° gr pro Wee J 1,1 �'OilCfri�e 4"D 0 cr t 800 34 1- f ropo UJ eP pttrnP chamber SO % � o Filyer W� Z4 3,00 acre- favrced k4r/he, Sel%aci6 fler 6 min 93. 5 (0) 5aFe y and 10541 N RANCH ROAD HAYWARD WI 54843 TDD #: (608) 264 -8777 N) Phiconsin www.commerce.state.wi.us /sb www.vAsconsin.gov Department of Commerce Jim Doyle, Governor Cory L. Nettles, Secretary June 11, 2003 CUST ID No.221180 ATTN.• POWTS Inspector ZONING OFFICE DAVID B FOGERTY ST CROIX COUNTY SPIA 28288 MCKENZIE RD 1101 CARMICHAEL RD SPOONER WI 54801 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/11/2005 Identification Numbers Transaction ID No. 873082 SITE: Site ID No. 659619 Mike Sederstrom Please refer to both identification numbers, Oak Ridge Ln above, in all correspondence with the agency. Town of Somerset St Croix County SE1/4, SE1 /4, S14, T30N, R20W Lot: 23, Subdivision: Green Acre Estates FOR: Description: New Mound, 600 GPD Object Type: POWT System Regulated Object ID No.: 904991 y The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. ,yt7roF,1, 1 7F The following conditions shall be met during construction or installation and prior to occupancy or use: 0 'ON OF Spa 'Y General Approval Conditions: • This system is to be constructed and located in accordance with the enclosed approved plans and with the SEE �.ORR is I "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD- 10691 -P (N,01/01) and SSWMP Publication 9.6, "Design Of Pressurized Distribution Networks For Septic Tank- Soil Absorption Systems." • 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. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. Key Item(s) • The designer proposes to install a state approved effluent filter to achieve the requirement of wastewater particle size. Pursuant to outlet filter product approval stipulations, maintenance information must be given to the owner of the POWTS explaining that periodic cleaning of the effluent filter is required. The access opening used to service the filter shall terminate at or above finished grade with a watertight cover. • ution Component Manual. The "D" dimension shall cell shall be level per the Mound Com The bottom of the distribution p p be a minimum of 12 ". The maximum finished slope of the mound surface shall be equal to or less than 3:1 per the Mound Component Manual. DAVID B FOGERTY Page 2 6/11/03 i c Reminder • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per COMM 83.44(6)(a)2. • Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual. • Surface water drainage shall be diverted away from the system area per Mound Component Manual. • Materials shall conform to the requirements of COMM 84. • Maintain well and waterline set backs per COMM 83.43(8)(1). Consult the Department of Natural Resources for well setbacks and exceptions to the setbacks. • Provide frost protection per COMM 83.43(8)(c). 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 Safety & Buildings 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 to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Patricia L Shandorf r� POWTS Plan Reviewer, Integ atedl�ervices WiSMART code: 7633 (715) 634 -7810, Fax: (715) 634-5150, M -f 7:45 am - 4:30 pm pshandorf@commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 I MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Mike Sederstrom Mound Owner's Name: Mike Sederstrom Owner's Address: 1045 Nordic Ave. North Stillwater MN 55082 (651) 775 -3887 Legal Description: Prcl SE1 /4 -SE1 /4 Sec. 14 T30N -R20W Township: Somerset County: St. Croix Subdivision Name: Green Acres Estates Lot Number: 23 Block Number: NA t a. Parcel I.D. Number: 032 - 2104 -20 -000 Wa Plan Transaction No.: COM R E Page 1 Index and title 1N0 Page 2 Data entry 4 Page 3 Mound drawings 'ONDENC I Page 4 Lateral and dose tank Page 5 System maintenance specifications i 2-- Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Plot Plan Designer: Dave Fogerty License Number: Mprs# 221180 Date: 05/1A03 Phone Number: (715) 635 -9609 Signature: Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SD &10691 -P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) Version 3.11 (R. 06/01) Pagel of 8 Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) R Residential or Commercial Design Note: Sand fill (D) calculations assume a 400.00 Estimated Wastewater Flow (gpd) Table 83 -44 -3 in -situ soil treatment for fecal coliform of <= 36 inches. 1.50 Peaking Factor (e.g. 1.5 = 150 %) 600.00 Design Flow (gpd) 6.50 Site Slope ( %) 101.40 Contour Line Elevation (ft) 24.00 Depth to Limiting Factor (in) 0.40 In -situ Soil Application Rate (gpd/ft) Distribution Cell Information 100.001 Dispersal Cell Length Along Contour (ft) 1 6.00 Cell Width (ft) 1.001 Dispersal Cell Design Loading Rate (gpd /ft 1 I Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution F Y Pressure Disribution Information network? Enter Y or N (c or e) c Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation ft 4 Number of Laterals of the highest point. 0.156 Orifice Diameter (in) (e.g. 0.25) 3.00 Estimated Orifice Spacing (ft) = 9.38 ft /orifice 2.00 Forcemain Diameter (in) 200.00 Forcemain Length (ft) Does the forcemain drain back? Y 91.00 Pump Tank Elevation (ft) Enter Y or N 4.55 System Head (ft) x 1.3 32.62 Forcemain Drainback (gal) 11.07 Vertical Lift (ft) 90.45 5x Void Volume (gal) 5.01 Friction Loss (ft) 123.07 Minimum Dose Volume (gal) 20.63 Total Dynamic Head (ft) 34.46 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options I choice in. dia, options choice 0.75 1.25 x 1.00 1.50 x 1.25 x 2.00 x 1.50 x x 3.00 2.00 x 3.00 x Gallons/inch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 1250-001 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Weeks Concrete IManufacturer gal /in (enter result in cell B49) Dose Tank Information Effluent Filter Information 805.121 Dose Tank Capacity (gal) JZabel J Filter Manufacturer 21.761 Dose Tank Volume (gal /in) JA100 Filter Model Number Weeks Concrete I Manufacturer Project: Mike Sederstrom Mound Page 2 of 8 r • Mound Plan View 1/10 B . . . . . . .'...:.:._ Observation Pipe : - — K. m . . . . . iJ• . I Mound Component Dimensions A 6.00 ft E 16.68 in H 1.00 ft K Emft ft B 100.00 ft F 9.50 in I 9.99 ft L ft D 12.00 in G 0.50 ft J 5.75 ft w 600.00 (ft 2 ) Dispersal Cell Area 1599.38 (ft Basal Area Available 6.00 (gpd /ft) Linear Loading Rate 1 10.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 104.19 (ft) �► rrr rfr: 2 G ♦ H � ..rrrrrrrrr rrrrrrrr.. • 1 I F . rr 102.90 (ft) Lateral r }f:rr rrr rrrrrf.. Dispersal Cell 102.40 (ft) - 1 1 Invert Dispersal Cell ; �3 Elevation E D 3�. a rti.. 'ice r J A A r l J A J A " A J J x J J �I A J , J A A .t J 101.40 (ft) Contour Elevation 6.5 % Site Slope Geotextile Fabric Cover Shading Key m Q. T Dispersal Cell See lateral details on Q Topsoil Cap o CL 1.5 ft Page 4 for number, size, © rrirr Subsoil Cap c and spacing of laterals. ©� ASTM C33 Sand 5 2-1 10 °M :; „ ���p. �p F Laterals are equally m ,. Tilled Layer 0.5 ft Typical Lateral m „, °� spaced from the w "�", "o p " » " „a t'a y „µ'm I distribution cell's ❑5 �'��"as Aggregate o �:w „pw� „� „ "m „re� "gA ' If' centerline in the — A distribution cell (AxB). Project: Mike Sederstrom Mound Page 3 of 8 Center Connection Lateral Layout Daigram Force main connection via tee or cross to manifold at any point. Laterals are identical I P S G= 51W •= Turn - up m ball value or X---->J+W2 I x1231 Laterals & force main of PVC Sch 40 clasnoutplug per COMM Table 84.30 -5 Holes drilled on the bottom of the lateral. Number of Laterals 4 Orifice Diameter 0.156 in Lateral Diameter 1.50 in Orifice Spacing (X) 3.18 ft Lateral Length (P) 49.29 ft Orifices per Lateral 16 Lateral Spacing (S) 3.00 ft Orifice Density 9.38 ft /orifice Lateral Flow Rate 8.62 gpm Manifold Length 3.00 ft System Flow Rate 34.46 I gpm Manifold Diameter 2.00 in Total Dynamic Head 20.63 ft Forcemain Velocity 3.52 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and -� Comm 16.28 WAC 4 in. min. Disconnect _ Tank component is properly vented E Altemate outlet location Forcemain diameter Weeks Concrete Manufacturer 2 in. Capacityl 805.12 Gallons Volume 21.76 gal /inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 19.34 420.93 C B 2.00 43.52 Pump off e levation (ft) C 5.66 123.07 �— 91.83 D 10.00 217.60 D Total 1 37.00 805.12 ir Dank elevation (ft) 3' Bedding uncTer tank. 91.00 Alarm Manuafacturer IS. J. Electro _ Alarm Model Number 1101 -01 — � Pump Manufacturer JGoulds Pump Model Number 1#3871 EP05 Pump Must Deliver 1 34.46 gpm at 20.63 ft TDH Project: Mike Sederstrom Mound Page 4 of 8 Mound System Maintenance and Operation Specifications Service Provider's Name Tri- County Sanitatio Phone 715 386 -0114 POWTS Regulator's Name St. Croix County Zoning Office Phone 715 386 -4680 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg /L Septic Tank Capacity 1250 gal Maximum TSS 150 mg /L Soil Absorption Component Size 600 ft Maximum FOG 30 mg /L Type of Wastewaterl Domestic Maximum Fecal Coliforml >10E4 1 cfu/100 mL Service Frequency Septic and Pump Tank Inspect and /or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test month) Pressure Systeml Laterals should be flushed and pressure tested every 1.5 years Moundl inspect for ponding and seepage once every 3 ears Other I Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn -up Detail Finished ............... Grade 6-8" Diameter Lawn . . . . . . Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution . Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Mike Sederstrom Mound Page 5 of 8 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD- 10691 -P (N.01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole 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 a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet fitter shall be assessed at least once every 3 years by inspection. The outlet fitter shall be cleaned as necessary to ensure proper operation. The fitter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the fitter when removed from its enclosure. If the fitter 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. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Puma Tank The pump (dosing) tank shall be inspected at least once every 3 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. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October - February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BOD mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD 30 mg/L TSS, 10 mg/L FOG, and 10 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency 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. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically dogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Mike Sederstrom Mound Page 6 of 8 METERS FEET 10 MODEL: 3871 9 30 8 25 7 -- \9 ,a3 � EP05 z 4 L r 0C o 3 10 �� • � 2 EPO4 t � 0 0 t0 Y0 3p 40 so us. ffM p p 4 6 10 12 ROAV CAPACITY 14. Pump Specifications Features and Bene s 4 /10 and '12 HP • EPO4 impeller- semi -open design Up to 60 GPM with pump out vanes to protect Maximum head to 32' mechanical seal. Discharge size 1'/ :" fdPT • EP05 impeller - enclosed design Solids: 1 /4" maximum for improved performance. • Rugged glass - filled thermoplastic Motor casing and base design provides All motors feature ball superior strength and corrosion bearing construction. resistance. Single phase: 115V .Cast iron motor housing for Materials of Construction efficient heat transfer, strength, Cast iron and durability. Thermoplastic *Corrosion resistant threaded Stainless steel stainless steel shaft. • Available for automatic and manual operation. • CSA listed models available. Ail Models are designed for continuous operation and feature stainless steel hardware. p 8- 8 / ion' /�p.so� poSe /Ooh. �}D� ,0 lol r oj $ S e 9 Y I �-' Ze - #23 Bm P ,. d0 1 � g-3 � ► t � /D3.o � / Q � � /' P1of Plld Al or / / f ror✓l /b' o f a 3 (rre QcT�s Esfa es Y o u/ -- 30 /V- 4 3o3`I jK/N o� 5c. GYsB� z19 f 3 , , sf o' y 8�c,h. 9f?o �OogP pro�eszc� WeeKS sed ��� &ilcredf �ncre $003- pr�P /Soya/ Safi- pump c'.haMber loo Fl 3, 00 acre farce �a.,0(GIJ�Ter�jle SeJ 11er Corni!'I 93 �3 ti !r 1246 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance wi Qp. Wi5 fldi[t: bode Steel Soil Service Attach complete site plan on paper not less than 8' % x 11 inch r an m in size. ust ;' County St. Croix include, but not limited to: vertical and horizontal reference point BM), direction and percent slope, scale or dimemsions, north arrow, and location ar d distance ,to riew road Parcel I.D. L003 032 - 210420 -000 Please print all information. ev' wed By Date Personal information you provide may be used for secondary purposes Pdvacy3.�", s.;15:tM- (1) 1m)), - 6/ZS' /0 Property Owner { fir* Sederstom, Mike Govt. Lot na SE 1/4 SE 1/4 S 14 T 30 N R 20 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1045 Nordic Ave. North 23 na Green Acers Estates City State Zip Code Phone Number J City J Village g Town Nearest Road Stillwater MN 1 55082 1 651- 775 -3887 Somerset I Oak Ridge Ln 16 New Construction Use: 0 Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD J Replacement J Public or commercial - Describe na Parent material Glacial Drift Flood plain elevation, if applicable na General comments and recommendations: Mound Design, system elevation 102.04ft based on contour line elevation 101.40ft Boring # I Boring om Pit Ground Surface elev. 103.00 ft. Depth to limiting factor min' Sod 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 *Eft#2 1 0 -10 10yr3/2 none sil 2msbk mfr cs 1f .5 .8 2 10 -50 10yr4/4 none sicl 2msbk mfr gw 1f .4 .6 3 50-68 7.5yr4/4 none scl 2msbk mfr gw na .4 .6 4 68 -96 5yr4/4 c2d 7.5yr5/6 scl om mfr na na .0 .0 Boring # J Boring 10 Pit Ground Surface elev. 103 ft. Depth to limiting factor 24 Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fN in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -8 10yr3/2 none sil 2msbk mfr a 1f .5 .8 2 8 -24 10yr4/4 none sicl 2msbk mfr gw 1f .4 .6 3 '3A-A2 10yr4/4 c2d 7.5yr5/6 sicl 2msbk mfr gw na .4 .6 4 42 -60 7.5yr4/4 c2d 7.5yr5/6 cos /scl om mfr gw na .0 .0 5 60-96 7.5yr4/4 none sl 2msbk mfr na na .5 .9 * Effluent #1 = BOD 5 > 30 < 220 mg /L and TSS >30 < 150 mgA Effluent #2 = BOD <_30 mg/L and TSS -E mg /L CST Name (Please Print) Sign aSere CST Number David J. Steel �{ 248956 Address Steel Soil Service Date Evaluation Conducted Telephone Number 1564 CR GG, New Richmond, WI 54017 4/21/2003 715- 246 -5085 Property Owner Sederstom, Mike Parcel ID # 032 - 2104 -20 -000 Page 2 of 3 3] Boring # J Boring 0 Pit Ground Surface elev. 99.70 ft. Depth to limiting factor 26 Sod 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 1 0 -10 10yr3/2 none sil 2msbk mfr CS 1f .5 .8 2 10 -26 10yr4/4 none sicl 2msbk mfr gw 1f .4 .6 3 3,6,-57 10yr4/4 c2d 7.5 r5/6 sicl 2msbk mfr gw na .4 .6 4 57 -96 5yr4/4 c2d 7.5yr5/6 scl om mfr na na .0 .0 I T i F-1 Boring # I Boring J Pit Ground Surface elev. ft. Depth to limiting factor in. Sod 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 F-1 Boring # J Boring _J Pit Ground Surface elev. ft. Depth to limiting factor in. Sod 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 30 < 220 mg /L and TSS >30 < 150 mg/L * Effluent #2 = BOD <30 mg /L and TSS <30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 -264 -8777. 1' Page 3 of 3 STEEL'S SOIL SERVICE INC. David J. Steel 1564 Cty Rd GG CST - POWTSM Mike Sederstrom New Richmond,WI 54017 Lic. #248956 SE1 /4,SE1 /4,S14,T30N,R20W Bus.(715) 246 -6200 Town of Somerset, St.Croix Co. Res.(715) 246 -5085 Green Acers Estates III, Lot 23 Legend 1 " =40' ♦ = Benchmark Ele. IDD a Ft Top of 1" Steel pipe • =Alt Benchmark Ele. I OO.00Ft / ( Top of Cement Power Ped ❑ = Borings Boring Elevations B 1 = 103.00Ft B2 = 103.00Ft B3 = 99.70ft B4 = OO.00ft �r �ft 36 c of � / GDf1faU✓ h 1 PO4, 55' bq � t'33 b Jun 19 03 05:30a FOGERTY PLUMBING 17156355286 p.2 Jun 17 03 10:46a Shawn Carlson 715 - 549 -5965 p.1 Jun 16 03 08:38p FOGERTY PLUMBING 27156355286 P.2 ST CRODC COUNTY - SEPTIC TANK MAMENANCE AGREEMENT ' AND OWNERSHIP CERTIFICATION FORM Owr crA3%qa _,d%r — SE'/�C7e rrd:a�r Mailing A&rese '- Property Adetrr..i:s 151 • (Verification required (roar Planning Department f new construction) City /State Parcel Identification Number LIRGAL D cr- rrgprrnw Ptaperly Location SE 3 /., ..f€ /.. Sec. !„y_ T 3D N -R go Town of �-CdWil}r"� Subdivision Q�-Ec" AeAX jgi riss tam Lot # 2_. - Certllled survey Map # Volume page # Wirrauty Deed # —' Volume / Page # X39 Spec house p yes LtiYno _ at ling identifiable © ❑ no SYSTEM MAINTENANCE Improper use ud avaintenweecof your septic system wild result in its premature feilurL to baulk wastes. Properma�reaaace c of �mfJOt i oat the sep tarok twery three years or sooner if neededby a licensed pumper_ What you put into the system can affect the twrction or the soptie fade as a traatmeat stagt: is the waste disposal s3wcrm Iiie is i property owner apses to submit to St. Croix Zoning Dcpark"cm a celtificuioa f=4 signed by ft owner and by a rms ts erper,Jottmeyntsaptutube: nw1ktedplumberor alicensedpamperverifyiog [ bat (1) the ca srtewastewaterdispossisystem proper itrmb oyerapeg condition amdlor (2) after iaspeerioa and pimping (irmecemary). the septic rank is lass don 1/3 full of sludge- 1/we, the mdersigmed bave read the above regoitemesls gad agree to mairrain the pdvate sewage diapotal aysiem with the uau&r& net rotes kKiM as set by the Deparwemt of Com nmce tad the Deparbmmt mf Nemai Reson mew, State of Wisconsin. Cmatit ,,,jinn star' that a System bas been maintaitred roust be completed and returned ro the SL Croix der County Zoning O within 30 r � ATURE OF APPLICAW ,A TE O R C TI I AON The I (wc) certif t all staluneacs this fop are tto to the best of my (our) knowledge. I (we) am (are) the owraKs) of d ve. by virtue of warranty deed recorded is Register of Deeds office. L�,7 Sl LICANT pNATE ` Any inrasnatiion drat is mis.tcpresentedtaay tasmll in the sanitary permit being revoked by the Zoains Deparoncat. `•••`• •• Include with Lids application: a stamped warranty decd fignm the Register of Deeds ogee 9 COpy Of th cert surrey map if reference is made in the wartanry deed 0 STATE BAR OF WISCONSIN FORM 1 1998 66 WARRANTY DEED 0 ,i7i.61STER OF, DEEDS Document Number V91. 1 818PAGi 4.39 RECEIVED FOR RECORD This Deed, made bet%% een Pi 21-F'dOE 8:30 AM gyAn j Mpverd m and Tnnja A Martin DEED fl hnth Rinqla pprnnns T 4 I Grantor, C, . COPY FEE- and CUiY FEE: TRANSFER FEE: 265,50 Mir-hap"I FEE; 11.00 a - s i n@1 e ppx_=e)n AGES: i Grantee. Grantor, for a valuable consideration. conveys to- Grantee the following it described teal estate in St. Croix County. State of Wisconsin (the 'Property"): - Recording Area Name and Rehm Address Green Acre Country Estates First JI I — Try - Additi Township of Somerset, St. Croix 1 10 County, Wisconsin. 1 032-2104-20 Parcel klen4ftetkn Number (FIN) This is not homestead property. (is) (is not) —A it iI Together with all appurtenant rights, title and interests. Grantor warrants that the title to the Property is good, Indefeasible In fee simple and free and clear of encumbrances except II Rr. 1 jRN 10 K ff ! HTE, !..Nc. i Dated this 2 dav of October, 2001 " N i, W'f 133R. 1 K.,;\IN (SEAL) (SE(SEAL) SEA Tonja A Martin li (SEAL) (SEAL) Ryan J. Meverden AUTHENTICATION ACKNOWLEDGMENT Signature(s) State of VVMNNjqytMinnesot a. Washington County. I authenticated this day of Personally came before me this 26th day or 2 007- . the above named Tnnja A Martin and Ryan a- meverden, both single persons TITLE: MEMBER STATE BAR OF WISCONSIN to 11 1 Of not. me known to be the person n who e ed the foregoing . 'o' authorized by 5706.06, Wis. Scats.) instrument and acknowledge the same. I THIS INSTRUMENT WAS DRAFTED D BY JACI YN M. AY DE 41111 T In . I 1 1 S,1, aA i 'fi 3 , , :",S . ... — ­­1 ^005 Key Title nc Ii 3.202 Woodd A_� Woodbury MN 551125 My commission Is pet. ' Ient_ not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) N& of t e Ognkn% i. my ury<it, ­w be ap w printed b1l.- their sign., STATE BAR OF WISCONSIN wi•a+sa Lega B** Co.. ke. WARRANTY DEFn FORM N.. 1 - 199$ cn ' o . ZI ry �' O 2 / I • /s . 'or e 0 <I LOT 20 3.00 ACRES O 130,724 SO. FT. z o N89 40'22 "E 3.00 ACRES 341.40' V' 130,723 SO. FT. 2.65 EXC. ESMT. •, 115,403 SO. FT. x LO 3 6 . Ok LOT 19 C 130,723 SO FT. X ® N 2.60 ACRES EXC. ESMT. \, 113,395 SO. FT N \ • EL = 944.0 r .. ® .. 1 40 WATER ® ®• E�= 940,7 SUP f, I ®- 712.10 1240.63 310.24' 401. 369.46' 46 W S1J 'tORNER Of - L UCTiON 14 UNPLATTED LANDS r Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3 4.abor and Human Relations Divisi-!5n of Safety & Buildings in accord with ILH e83*05 COUNTY Attach complete site plan on paper not less than 8 112 x 11 inches in sl�cl e, but St. Croix not limited to vertical and horizontal reference point (BM), direction a � ARCEL I.D �dimensioned, north arrow, and location and distance to nearest road � Sgb APPLICANT INFORMATION- PLEASE PRINT ALL INFORM EVIEWED BY DATE PROPERTY OWNER: PROP Lero Urham 0 1 /4,S 14 T 30 N,R 20 XR(or) W PROPERTY OWNERS MAILING ADDRESS Lp 1501 Scout Camp Rd. n Acre Cty. Es. First Addn. CITY, STATE ZIP CODE PHONE NUMBER ❑CI N NEAREST ROAD Houlton, WI. 54082 (715 549 -6497 Somerset Oak Ridge Ln. New Construction Use [x] Residential / Number of bedrooms 3 [ ] Addition to existing building [ ] Replacement [ J Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate • 5 bed, gpd /ft • trench, gpd /ft Absorption area required 375 bed, ft 375 trench, ft Maximum design loading rate • 5 bed, gpd /ft • trench, gpd /ft Recommended infiltration surface elevation(s) 105.80 ft (as referred to site plan benchmark) Additional design / site considerations system based on contour line of el. 104.80' Parent material glacial drift Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL I HOLDING TANK U = Unsuitable fors stem I [IS Z U 1 ® S ❑ U I ❑ S :97 U I ILI S ❑ U ❑ S :K1 U ❑ S 13 SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Roots GPD /ft Boring # Horizon in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 1 0 -6 10 r3 2 none sil 2msbk mfr cs 2m .5 .6 2 6 -25 10yr4 /4 none sil 2msbk mfr gw if .5 .6 Ground 3 25 -55 7.5yr4/4 none scl m na gw na np .2 elev. 1 05.3 ft. Depth to limiting factor 25" Remarks: Boring # 1 0 -6 10 r4 3 none sil 2msbk mfr cs 2m .5 .6 2 6 -22 10 r4/4 none sil 2msbk mfr gw lm .5 .6 3 22 -51 7.5yr4/4 none sl lcsbk mfr gw if .4 .5 Ground elev. 4 51 -72 7.5yr4/6 none fs osg mvfr na na .5 .6 1 05.3 ft. Depth to limiting factor +72" Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 Address: 1554 200t Ave. New chmond WI 54017 Signature: Date: 10 -27 -96 CST Number: m02298 PROPERTY OWNER Leroy Urhammer SOIL DESCRIPTION REPORT Page 2 of 3 PARCEL I.D. # pending • Lot #23 Depth Dominant Color Mottles Texture Structure Consistence Y Roots GPD /ft Boring # Horizon in. Munsell Du. Sz. Cont Color Gr. Sz. Sh. Bed Trerxtr 1 0 -13 10 r4/3 none sil 2msbk mfr QFw 2m .5 .6 2 13 -38 10yr4 /4 none sil 2msbk mfr gy if .5 .6 Ground 3 38 -70 7.5 r4/4 none sl lcsbk mfr na na .4 .5 elev. 1 Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. SE4 CSTM2298 1 Leroy SE4 S14 T30N T30N er - R20N New Richmond, WI 54017 MPRSW 3254 town of Somerset (715) 246 -6200 lot #23 -Green Acre Cty. Es. First Addn. N 1 " =40' BI.= top ofSW lot stake C el. 100' i 1 8S` v 65 i.3 10 boa c� � �J� f Gary L. Steel 10 -27 -96