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Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 5 9 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Kirkpatrick, Jaime M. I Springfield, Town of 034 - 1003 -20 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: / )D j 02.29.1527B TANK INFORMATION D ELEVATION DATA TYPE MANUFACTURER • �` CAPACITY STATION BS HI FS ELEV. - 7. 0< 4 / 1 106 Septic _1% Z Benchmark Dosing 1 9 Alt. BM �, 3 � I C o 3 lvSd �v Govw 99 y AaFat4am I Bldg. SeNker ' z co s g Holding St/Ht Inlet TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic L b 33" 4Z ! 9 , Dt Bottom 13. 90 2 0 1 Dosing 6 0 33 4z 9 J o L Header /Man. 31 /� / ✓ y / Aeration J Dist. Pipe � l�, y5 10135 Holding Bot. System 1 - 7.12- /DD . Uq PUMP /SIPHON INFORMATION Final Grade 6,3716z .y/ z,y� Manufacturer Demand St CRRver 9$ t O - Z GPM t'� Model Number TDH L 'Z Friction Loss, System He d TD � Ft Forcemain Length / Dia. 1 Dist. to Well i `7o Z W 33 SOIL ABSORPTION SYSTEM BED /TRENCH Width i Length No. Of Tre ches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth t. DIMENSIONS Q 57 le SETBACK SYSTEM TO P/L JBLDG IWELL LA /STREAM LEACHING Manufacturer: INFORMATION CHA u O Type O stem: / f / \ ModeTNumber: DISTRIBUTION SYSTEM / 19, Header /Manifold 7 Distribution ' l J x Hole Size �/ I x Hole Spacing Veryt�10 Air Intake 1 1 Pipe(s) v Length ? Dia Z Length Jr Dia Spacing Z 4 SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth of 1xx Seeded /Sodded xx Mulched Bed/Trench Center 1 2 Bed/Trench Edges \ Topsoil \ N� Yes D No [ Yes E] No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: / / Inspection #2: / / Location: 1107 Rustic Rd. R3 Glenwood City, WI 54013 (SW 1/4 SW 1/4 2 T29N R15W) metes & bounds Lot Parcel No: 2.29.15.27B 1.) Alt BM Description = �" Govt" r4r !/ � 2.) Bldg sewer length = 4 a amount of cover = 3 ,/q �' �•�� t +. Plan revision Required? ❑ Yes �o D —t Use other side for additional information. j -6710 (R.3/97) Date Insepcatur Cert. No. J r - - 0 SaYety and Buildings Division Counts 201 W. Washington Ave.. P.O. Box 7162 „ r2 - G Madis ■������� on, WI 53707 Sanitary Permit Num er (to be filled in by Co.) Department of Commerce (608>266 -3151 O Sanitary Permit Application state Plan I. D. Nnm I o In accord with Comm 8' .21, Wis. Adm. Code, personal information you provide may he used for secondary purposes Privacy Laxv, sl5.04(lXm) Project Address (if rfferent than mailing address) I. Application Information — Please Print All Information LF ! /Q "-7 RA4y/C Property Owner's Name Parcel Lot N Block # e— /fr 0 3 —/ Ud 3 Property Owner's Mailing Address Pro erty Location P y MAY 2 2 2008 p 11 C17 ks - 2 City. State `Lip Cod 1 a one) dJ (w T � N: 11 7 �r IL Type of Building (check all that apply) Subdiv isi Name CS�b4 Number or 2 Fam ihY Dwelling - Number of Bedrooms Public /Cornmcrcial - Describe I,se ❑State Chvned - Describe Ilse t QCiri- Village;1 -bip of awrw III. Type of Permit: (Check o x on a. Complete line B if applicable) A ' .w System f eplacement System Treatment I Iolding Tank Replacement Onll° ❑ Other Modification to Existing System B. ❑ Permit Renewal ennit Revision Change of §f4 sfer to Naw List Previous Permit Number and Data; Issued Before Expiration Plumber O �� �2� 7i L� IV. Type of PONN TS System: Check all that a lv ❑ Non " Pressurized In- Ground Mound 24 in. of suitable soil fou nd 24 in. of suitable soil ❑ At -Grade ❑ Single Pass , and Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Ilolding'Tank ® Peat Filter ❑ Aerobic "Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Fitter ❑ Leaching Chamber ❑ Drip Line Gravel - less Pie ❑ Other (explain) V. Dis ersalftreatment Area Information: C Dcsrgn Flea (gpd) Design So'I Application Rate(gpdsf) Dispersal Area Requi cot (St, Dispersal Arc. Proposed (st) evation G v.� �l f / /2Z yso l/ 3� ' c VI. Tank Info C paeity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass iNc� lizisting Tinks Tanks Septic or Holding Tad; AerobicTreatmeutlinit � �� Deming Chamber \✓ �— /�, f _ �,p V11. Responsibility Statement 1, the undersigned, assume responsibility for installation of the PONN TS shown on the attached plans. Plumber's Dame (Print) Plumber' Signature hIP�11PRS Number Business Phone Number '!! j CL (/ V Plumber's A (St reet, City, State, Zip Code) L VIII. ' ]ltn ,1De artment Use Onl-* Sanitary Permit Fee (includes Groundwater Dat � Issued Is � mg Agent �Si 7(fi m ps) Approved ❑Disapproved ) / � -C- Surcharge F'ee ❑ Owner Given Reason for Denial Q I. \. Conditions of Approval/Reasons for DisapprovztJ s,t� Iry S STEM OWNER: 1 Septic tank, effluent filter and n dispersal cell must all be serviced / maintained as per management plan provided by plumber. /� d 2. All setback requirements must be maintained c� ldz:r"n as per a pplicable Attach complete plans (to the ounty only) for a system on paper not less tbbn 81/2 x 11 inches in size 4D-6398 . ( /� /" 7u V-1- ct r " Plot plan Page 8 of 8 Property Owner - AK A. k iRKR�►TR�CK. 0 40� 1. .I " =40ft Legal Description sw•!ti of "trip. sw 0 sZ, (excep - wher e noted) zz.4N, + sw. 'TowA1 OF ZhPM *ESe& Sr. eRZ% c COLL . l = Backhoepit-: ACQ- North ** AoR.'m 14 - V ep-I F: Ez BY ova N ee'iR :;d - ' C K Stl-- toz J0 N C l \� as y ' T 091 IK . " '�usr� c�;urn►ts� • 'Mtes+r ORwEW,,�y �otsr przor�cr !~ E �R RESPONDENCE Ga S� k Site Location. n z' S.d GZBb9ZbSTG orr,jew e1,0:8O BO ii JJU' Safety and Buildings 4 N CREEKSIDE LA 382 commerce.wi.gov HOLMEN WI 54636 isco NED TDD #: (608) 264 -8777 d U T COP www.commerce.wi.gov /sb/ www.wisconsin.gov Department Commerce 2 ®� MAY Jim Doyle, Governor Jack L. Fischer, A.I.A., Secretary ZONING OFFICE April 11, 2008 CUST ID No. 224832 ATTN.• PO WTS Inspector MARY JO HOLLISTER ZONING OFFICE HOLLISTERS SOIL TESTING ST CROIX COUNTY SPIA W9875 690TH AVE 1101 CARMICHAEL RD RIVER FALLS WI 54022 -4011 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/11/2010 Identification Numbers Transaction ID No. 1525660 SITE: Site ID No. 732042 Jaime M Kirkpatrick Please refer to both identification numbers, 1107 Rustic Road 3 above, in all correspondence with the Agenc Town of Springfield St Croix County SWIA, SWIA, S2, T29N, R15W FOR: Description: Mound / Three Bedroom / Sloping Site Object Type: POWTS Component Manual Regulated Object ID No.: 1177830 Maintenance required; Replacement system; 450 GPD Flow rate; 12 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 /01), Pressure Distribution Component Manual- Version 2.0, SBD- 10706 -P (N.01 /01); Biofilter 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. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, CUl ldr* d stats. The following conditions shall be met during construction or installation and prior to occupancy or use: p ip DEpARWERIY d Reminders aoF rl Li v 94 ~a • This system is to be constructed and located in accordance with the enclosed approved plans and with the SEE CORi :-' component manuals listed above. • Comm 83.42(8)(c). Frost Protection. All POWTS components shall be protected from freezing temperatures that could detrimentally affect com onenfo eration to provide wastewater conveyance, P treatment or dis P P P Wisc. Adm. Code. See Comm. 82.30(11)(c). for construction limits, methods and procedures • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component arm. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The existing POWTS must be properly abandoned per Comm 83.33 Wisc.Adm. Code. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c MARY JO HOLLISTER Page 2, 4/11/2008 • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the POWTS installation is required. Arrangements for inspection shall bemade with the designated county official in accordance with the provisions ofSec. 145.20(2)(d), Wis. Stat • Comm 83.22(7) 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 Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1): • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. 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 oradditions 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, q Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer II , Integrated Services WiSMART code: 7633 (608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday charles.bratz @wisconsin.gov cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726-2544, Friday, 7:00 A.M. To 3:30 P.M. r RF F MOUND AND PRESSURE DISTRIBUTION COMPONENT D q )?, N 1 0 200 8 INDEX AND TITLE PAGE Quzz0/ � Project Name: JAIME M. KIRKPATRICK Owner's Name: (same) Owner's Address: 1107 Rustic Road 3 Glenwood City, WI 54013 Legal Description: SW1 /4 of the SW1 /4, S2, T29N, R15W Township: Springfield County: St. Croix Subdivision Name: NA Lot Number: NA Block Number: NA Parcel I.D. Number: 034- 1003 -20 -000 Plan Transaction No.: •• •••SONS 1•,��. Page 1 Index and title �J. Page 2 Data entry ��•� 1 � �'.� Page 3 Mound drawings • •••' ;1 '• Page 4 Lateral and dose tank ; MARY JO Page 5 System maintenance specifications 71 all H018159ER a Page 6 Management and contingency plan y RIVER FALLS, Page 7 Pump curve and specifications N to WI Page 8 Plot Plan F COMMERCE 4 0 �j ......... . ���4..'S.G •��� .PONDt�N Designer: Mary Jo Hollister License Number: 1859 -007 Date: 04/ Phone Number: (715) 426 -1775 Signature: `?' / \ S Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB- 10691 -P (N. 01101), and both SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD- 10706 -P (N. 01/01) Version 5.1 (R. 06/06) Page 1 of 8 Mound and Pressure Distribution Component Design Site Information R Residential or Commercial Design Note: Sand fill (D) calculations assume a 300.00 Estimated Wastewater Flow (gpd) Table 83 -44 -3 in -situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150 %) coliform of - 36 inches. r -- 4 - 50 - 0 - 01 Design Flow (gpd) 4.00 Site Slope ( %) 98.00 Contour Line Elevation (ft) 12.00 Depth to Limiting Factor (in) 0.40 In -situ Soil Application Rate (gpd /f Distribution Cell Information 56.25 Dispersal Cell Length Along Contour (ft) = 8.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd /ft 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? E Center or End Manifold 4.00 Lateral Spacing (ft) If N above, enter the elevation (ft) 2 Number of Laterals of the highest point. 0.125 Orifice Diameter (in) 2.00 Orifice Spacing (ft) = 8.04 ft /orifice 2.00 Forcemain Diameter (in) 30,00 Forcemain Length (ft) Does the forcemain drain back? Y 89.00 Pump Tank Elevation (ft) 6.50 System Head (ft) x 1.3 4.89 Forcemain Drainback (gal) 10.50 Vertical Lift (ft) 34.92 5x Void Volume (gal) L� 0.36 Friction Loss (ft) 39.82 Minimum Dose Volume (gal) 1 0.50 In -line Filter Loss (ft) 23.07 System Demand (gpm) 1 3 17.86 Total Dynamic Head (ft) 3b v Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options I choice 0.75 1.25 x x 1.00 1.50 x 1.25 x x 2.00 1.50 x 3.00 2.00 x 3.00 x Gallons/inch Calculator -- Treatment Tank Information Total Tank Capacity (gal) 1000.00 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Wieser Manufacturer J gaUin (enter result in cell 1349) Dose Tank Information Effluent Filter Information 650.00 Dose Tank Capacity (gal) Zabel Filter Manufacturer 17.00 Dose Tank Volume (gal /in) A100 Filter Model Number Wieser Manufacturer Project: JAIME M. KIRKPATRICK Page 2 of 8 Mound Plan and Cross Section Views 1 ................... ............................... ....... [ ... J 1/10 B Observation Pipe l�l — 1• . ... K: p 0 A W a: B • I ......................... _._..._._... L Mound Component Dimensions A 8.00 ft E 27.84 in H 1.00 ft K 11.79 ft B 56.25 ft F 9.25 in z 12.24 ft L 79.84 ft D 24.00 in G 0.50 ft J 8.76 ft W 1 29.00 ft 450.00 (ftZ) Dispersal Cell Area 1138.58 (ft 2 )Basal Area Available 8.00 (gpd /ft) Linear Loading Rate 5.63 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 101.77 (ft) ► G 2 ,,.,,..,. I F "'' ' " " "' 00 10.5 ft Lateral Dispersal Cell ( ) 100.00 ft —► — Invert Dispersal Cell 1 Elevation E D 0............•.::::.. 98.00 (ft) Contour Elevation 4.0 % Site Slope Geotextile Fabric Cover Shading Key m T Dispersal Cell See lateral details on 10 �] Topsoil Cap c = 1.5 ft T Page 4 for number, size, © Subsoil Cap c E O and spacing of laterals. „., / ASTM C33 Sand � Z F Laterals are equal Tilled Layer 0.5 ft Typical Lateral spaced from the Q distribution cell's Q Aggregate �* o centerline in the -- A distribution cell (AxB). Project: JAIME M. KIRKPATRICK Page 3 of 8 End Connection Lateral Layout Diagram Laterals centered over the A &Bdimension 0= Turn-up vdball valve oraleanoutplug ` I P rForc dentical 1€ X-3I Holes drilled on the bottom of the lateral s equaHyspaced onnection via tee or cross to manifold at ang point. Laterals &force main of PVC Soh 40 (per C01~ Table 84.30 -5) Number of Laterals 2 Orifice Diameter 0.125 in Lateral Diameter 1.25 in Orifice Spacing (X) 2.03 ft Lateral Length (P) 54.81 ft Orifices per Lateral 28 Lateral Spacing (S) 4.00 ft Orifice Density 8.04 ft /orifice Lateral Flow Rate 11.53 gpm Manifold Length 4.00 ft System Flow Rate 23.07 gpm Manifold Diameter 1.25 in Total Dynamic Head 18.20 ft Forcemain Velocity 2.36 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--- Alternate outlet location Forcemain diameter Wieser Manufacturer _� 2 in. Ca aci 650.00 Gallons Volume 17.00 gal /inch A Weep hole or anti- , Dimension Inches Gallons B siphon device A 21.61 367.45 C B 2.00 34.00 Pump off elevation (ft) C 2.62 44.55 90.00 D 12.00 204.00 D Total 38.241 650.00 Dose tank elevation (ft) 3" Bedding un er tank. 89.00 Alarm Manuafacturer Tank Alert Alarm Model Number HW101 Pump Manufacturer Zoeller Pump Model Number 98 Pump Must Deliver 23.07 gpm at 18.20 ft TDH Project: JAIME M. KIRKPATRICK Page 4 of 8 Mound System Maintenance and Operation Specifications Service Provider's Name Cassellius Sanitation Service Phone (715) 265 -4623 POWTS Regulator's Name St. Croix County Zoning Office Phone (715) 386 -4680 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 300 gpd Maximum BOD5 220 mg /L Septic Tank Capacity 1000 gal Maximum TSS 150 mg /L Soil Absorption Component Size 450 fl? Maximum FOG 30 mg /L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu /100 mL Service Frequency Septic and Pump Tank Ins 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 System Laterals should be flushed and pressure tested every 1.5 years Mound Inspect for ponding and seepage once every 3 years Miscellaneous Construction and Materials Standards conform to Table Comm 84.30 -1 have a watertight , ht ca 1. Observation pipes are slotted and materials co 9 P PP 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 0 Threaded Cleanout Plug or Ball Valve Sprinkler V alve B ox Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: JAIME M. KIRKPATRICK 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), SSWMP Publication 9.6 (01/81), and Pressure Distribution Component Manual Ver. 2.0 SBD 10706 -P (N. 01/01)] 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 filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated 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. Pump 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 150 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. Continency 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 clogged 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. Pretreatment Units The information and schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment units or disinfection units are attached as separate documents and are considered part of the overall management plan for this system. Project: Page 6 of 8 J //O 0 1/4 HEAD CAPACITY CURVE 30 MODEL •98• 4 5/8 . 8 ' 3 5/8 TDH r t5 Q 0 4 i c ID 4 3/16 e 2 s 1 1/2 -11 1/2 NPT 0 U.S. GALLONS to 2D 30 ;0 50 60 70 80 LITERS 0 o 160 24 r o £ FLOW PER MINUTE MODEL 98 60 CYCLE Feet Golkinsl Meters JUlws 5 72 1.5 273 to 61 3.1 231 is 45 4.6 170 1 2e 25 6/ % laeY V•I,c 23' OaW71 4 3/16 Sx11at CONSULT FACTORY FOR SPECIAL APPLICATIONS- • Electrical altemators, for duplex systems, are available and • variable level float swibdm are available for controMV single supplied with an alarm. and ttl - ee phase systems. • Mec hauacal altemators. for duplex systems, are available - Double piggyback variable level float switches are available with or without alarm switches. for variable level brig cycle connbrds. SELECTION GUIDE Standard all models -Wei ht 39 its_ -' /z H.P. 1. float operated 2 pate mechanical swilck no exlemal coned required. 2 Single pbwback variable level goat switch or double pogyback variable level, 96 Sodas Control selection loaf swWL hater to FMD477 . me" voils.ph Mode 3. Mectwinicol allemalor 10 -0072 or 10-0075. un 115 1 Auto 9.4 1 or 1 &7 — 4. See FM0712, for correct model of Electrical Alkinud r. N98 115 1 Non 9.4 2 or 2 & 6 3 or 4 & 5 & Coned switch 10 -0225 used as a control activator, specify duplex (3) ar (4) Doe 230 1 Arno 4.7 1 or 1 & 7 — loa t system. 6. Four (4) hole J- Pak. jlslcbort bcm tor walarligM wmecdon orwoed -in E98 230 1 Non 4.7 2 or 2 & 6 3 or 4 & 5 sinpie w or duplex operation. 104)002. 7. Two (2) hole J- Pak, for walerdght correction don or splice. caUTION Forildolalaionon adddarwtZoelerplodagsne ferlocablog on Plggfhadc Vadable level Saidles, All installation of controls, protection devices and airing should be done by a qualified 3410177;i3ad*dAMenOW.FMD48tModm idMerwlor F&W S mpomiggeanbMRiOW, licensed electrician. All electrical and safety codes should be followed including the most go* lilt— SiniplmPwWCwft R11MAhmrSyslwms, ROM recent National Electric Code (NEC) and the Occupational Safety and Nealth Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. Aft T& PO.90111tw 1ad*l3etl(YAl256 - "Aftna�INalarsOf.. B Sfp7Ot 3MCsm►Rrinftoed ` FM NO ll11-- 1_auisa�r?0. K1! �Q2I1 -1911 ,�eV�y S.t1� .�� - pg ry app PUMP !fI- (50� T/62Z3f -1 - 3 1T18PD1 ' TRt%tC : i< IRK'N ATR(CK� ;JAI MS. A � 7 CfB r" Plot Plan Page 8 of 8 • 0 40� Property owner �ttJUrE�• K iRKTTRIC� P= 40,fi- Legal Description swh of 'teit -sw/y. sZ,_ (except -where noted) TtRN, 7t�5w� - r0%W e F -tPM:�*ES&D St ERDIK cam = Bac"hepif mow - paw North 0- - v ew F eA B4 low W ;m a N , .$, gs.zL I ,8 ti 0 00 .— lKiQd���1�11�M�.{rROM -7AA6 t6 LOO�Qp ' EE CORRESPONDENCE A Site Location: A S d LZB++9Zf+S i G orRieW eL0 s BO B0 Wisconsin Department of a SOIL EVALUATION REPORT Page I of 3 Division of Safety and Buildi.'"' inee with Comm 85, Wis. Adm. Code County ST. CROIX Attach complete site plan paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. 034 - 1003 - 20 - 000 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. PiesSe Print Reviewed Date Personal information you provide may be used r seco1 sVEQ Law, s. 15.04 (1) (m)). �'LZ Property Owner P operty Location JAIME M. KIRKPA RIC ■ 2008 G vt. Lot - SW 1/4 SW 1/4 S 2 T 29 N R IS E (or} W Property Owner's Mailing Address L t# Block # Subd. Name or CSM# 1107 Rustic Roa #3 ST, CROIX COUNTY City State Zip Code Pho ity []Village Town Nearest Road Glenwood City, I WI 1 54013 ( 715 684-9004 Rustic Road 3 Springfield ❑ New Construction Use[] Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement ❑ Public or commercial - Describe: Parent material loess over glacial till Flood Plain elevation if applicable lA ft. General comments Mound System -- 2.00 ft, sand fill -- 0.4 loading rate and recommendations: CU " T I N q A WZC CA) IT. C ?c -'Vt ! QTY Boring # ❑ Boring El Pit Ground surface elev. 98.62 ft. Depth to limiting factor 12 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff A L in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 - Eff#2 l 1 0 -7 10YR2 /2 sil 3fgr mvfr as 3vf -co oA 0.8 2 7-12 10YR4 /3 sicl 2fabk mfr cs 2vf -co 0.4 0.6 3 12 -14 10YR4 /4 sicl 2fabk mfi as 2vf -co 0.4 0.6 4 14 -16 10YR4 /4 flf IoYR4 /6 sicl 2fabk mfi as 2vf -m 0.4 0.6 5 16 -19 10YR4 /4 c2d 10YR5 /6 &l0YR6 /2 cl 2fabk mfi -- lvf -m 0.2 0.3 2 Boring # ❑ Boring 95.22 13 Q Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 "Eff#2 1 0 -8 10YR2 /2 sil 3fabk &gr mvfr as 3vf -co 0 0.8 1 / 2 8 -13 10YR4 /3 sicl 2fabk mfr as 2vf -co 0 . 4 0.6 3 13 -16 10YR4 /4 flf IoYR4 /6 sicl 2fabk mfr as 2vf -co .4 0.6 4 16 -19 10YR4 /4 c2d IOYR5 /6 &IOYR6 /2 cl lfabk m g -- 2vf -m 0.2 0.3 " Effluent #1 = BOD > 30 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) ature CST Number Mary Jo Hollister Hollister's Soil Testin & Desi .S 224832 Address Date Evaluation Conducted Telephone Number W9875 690th Avenue, River Falls, WI 54022 04-03-08 (715) 426 - 1775 .r Property Owner KIRKPATRICK, Jaime M. Parcel ID # 034 - 1003 - 20 - 000 Page 2 of 3 Boring 1-71 Boring # F!] pit Ground surleoe elev. 97.60 ft. Depth to limiting factor 12 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft' � T in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 'Eff#2 T 1 0 -8 10YR2 /2 -- sil 3fgr &abk mvfr as 3vf -co 0.6 0.8 r, -- 2 8'12 10YR4/3 sil 2fa &sbk mfr as 2vf -co 0.6 0.8 3 12 -14 10YR4/3 flf 10YR4 /6 sicl 2fa &sbk mfi as 2vf -co 0.4 Q. 4 14 -18 10YR4 /4 c2d 10YR5 /6 &10YR6 /2 cl 2fabk mfi -- 2vf -co 0.4 0.6 I F Boring # Boring Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 I F-1 Boring # Boring Ground round surface el ft Depth t elev. . epo limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 I *Eff#2 I 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. SM- 8330Test(R.09 /00) I A I " Plan for Site and Soil Evaluation Page 3 of 3 Property Owner _�S.A%Mti AA. x� cy►zR�cr - 1 " =40ft. Legal Description swI4 cw - ice -54 sz, (excep note TVW, 146%) TovA OF SPF4AI&F*LQ Sr mom Q = Bac�hoe North i i � '�USTINy C,'Itl;t+in'� " �RtV�.W,t1� Site Loca&n: 3 �' A A 2 L � X " I , c J , W a � I b� 0 E Cl v cv r N - - ! J '37 �� a -a �► ?► k E At o °� oo Zk t Q ' I r d = > ca -4 O 6 zm0r on c oo z M ❑ m ic m =i � � rn cn O � • � Z m 3: 0 CO) t m n X C/) N Z M ft� *A C O m z 0 c z cf) m ca N � o � oZ M r 1 H Z i N 0 Z --i c o C7 rn Z Z CO) C1 G7 m cn �r _ � Z O �, �° m X c� < v X r z p � n ..rn m _ o - R �< F) 0 o W o v m Z O c oo C Z OW CI) � m z G) got o° e o m o m go O �__ g , ai f 0 . r s'o ,o Z d oc. lb Z "� M ads If v G 00 rn 0 r a �F s " Z 7 � * 8 5 3 7 5 0 1 STATE BAR OF WISCONSIN FORM 6- 1998 V 5 3750 SPECIAL WARRANTY DEED KATHLEEN H. WALSH Document Number REGISTER OF DEEDS This Deed, made between Citifinandal North America ST. CROIX CO., WI RECEIVED FOR RECORD 08/20/2007 04:OOPM - - WARRANTY DEED EXEMPT Grantor, and Ja M Kirkpatrick (�, Sj yLLt� G irSD�/1 REC FEE: 71.00 TRANS FEE: 67.50 PAGES: 1 Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St Croix County, State of Wisconsin (the "Property"): Recordine Area / Name and Return Address I Jamie M Kirkpatrick A parcel ofland located in the Southwest 1/4 of the Southwest 1/4 of Section 2, ti - 7 �usf �oa� 3 Township 29 North, Range 15 West, described as follows' Commencing !gin the 6 leltWWP C11 , WI 5 West line of said Southwest 1/4 of the Southwest 1/4 276 feet North of the / Southwest comer thereof; thence East parallel with the South line of said Southwest 1/4 of the Southwest 1/4 232 feet; thence North parallel with the West line of said Southwest 1/4 of Southwest 114 139 feet; thence West parallel 034- 1003 -20 -000 with said South line 52 feet; thence North parallel with said West line 62.08 Parcel Identification Number (PIN) feet; thence West parallel with said South line 180 feet to said West line; thence This is not homestead property. South on said West line 201.8 feet to point of beginning, including highway (is) (is not) rfgltt oftrty For Informational Purposes Only: 1107 Rustic Road 3 Glenwood City, WI 54013 'LIMITED TO WARRANTY: GRAN'T'OR WARRANTS THE TITLE TO SAID PROPERTY AGAINST THE LAWFUL CLAIMS OF ANY AND ALL PERSONS CLAIMING OR TO CLA54 THE SAME OR ANY PART THEREOF BY, THROUGH OR UNDER GRANTOR- 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, arising by, through or under Grantor, except as stated above (•) and except municipal and zoning ordinances and agreements entered under them, recorded easements for the distribution of utility and municipal services, recorded building and use restrictions and covenants and the general taxes levied in the year of the closing. NATALIE HnPE HARRISON *I NOTARY PUBLIC $ f f� SIaie of Ttxaa Comm. Exp. 10-02 -2007 Dated this day of (/ l//1�� 2007 i CI an North A a ca r AUTHENTICATION STATE OF F (( �eiiyy��((.•(( -.77 ) Signatures) / /�' ) ss. f lil , County. ) Personally came before me this 1 day of authenticated this day of � f , 2007 the above named TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person(s) who executed the foregoing (If not instrument and acknowledge the same. authorized by § 706.06, Wis. Stats' THIS INSTRUMENT WAS DRAFTED BY De A Blommer kyza N tary Public, State of {Signatures may be authenticated or acknowledged. Both are not My s' n s permanent. n state e trot necessary.} a 'r : i .. r.., "Names ofplisons signid capacity should be typed or printed below their signatures aatRr;.D STATE aAaOF WISCONSIN Gr w ^' et FOnM N 6 - Ifff INFORMATION PROFESSIONALS COMPANY FOND DU LAC, WI B00- 655 -2021 � S AJL1�A 7 of 1 I ST CROIX CO AA IL UNff PLANNING & ZONING February 7, 2008 Ms. Jaime Kirkpatrick 1107 Rustic Road 3 Glenwood City, WI 54013 L 1/ 010/ Code Administrate RE: Temporary Occupancy (after the fact) Land Use Permit 715- 386 -4680 Town of Springfield Parcel # 02.29.15.27B Land Information &Y Dear Ms. Kirkpatrick: Planning 715 -386- 4674,, „' This letter confirms zoning approval according to the plans you have submitted to temporarily Real P 1Y3 live in a mobile home on your property in the Town of Springfield while you remodel the 715 4677 existing house pursuant to Section 17.70(3)(c)3 of the St. Croix County Zoning Ordinance. This permit is issued after the fact, due to occupancy since November 2007. R 'cling. - 386 - 4675 Staff finds that the proposed temporary occupancy request meets the spirit and intent of the St. Croix County Zoning Ordinance with the following findings: :. ” 1. The mobile home that has been temporarily occupied is connected to an existing septic Q . system, which is must be replaced due to lack of compliance with current Dept. of >��;< Commerce code. 2. The mobile home will be removed upon completion of the remodeling of the existing 4' house, or by November 1 sr , 2008 as instructed by the Town of Springfield in a letter dated January 15, 2008. 3. The approval of this project meets the intent and purpose of the Ordinance and will not affect the public health, safety and welfare of County residents. Approval of the land use permit is subject to the following conditions: 1. The applicant shall secure a sanitary permit from St. Croix County to connect the mobile home to a replacement Private On -site Wastewater Treatment system (POWTS). This will abate a code enforcement violation for reconnection without a sanitary permit. ?,. 2. The septic tank and dose chamber may be installed prior to the mound treatment component to allow discharge of domestic wastewater from the mobile home into a code - p compliant tank. A holding tank service agreement will be required for removal of waste until the mound can be installed. .-...,. ............ :. 3. The applicant shall obtain a building permit from the Town of Springfield's Building a " Inspector, Todd Dolan, for the remodeling/construction within the house. 4. The applicant shall contact the Planning and Zoning Department when all remodeling PP g g p g ;< construction has been completed. Immediately upon completion of the remodeling /construction activities, the mobile home shall be removed from the site. 5. The applicant shall submit to the Planning and Zoning Department an as -built drawing ``3: and photos of the completed project to document removal of the mobile home. `' 6. The applicant shall have until November 1 2008 from the issuance of this land use permit ST: CROIX COUNTY GOVERNMENT CENTER Y 1 101 CARMICHAEL ROAD, HUDSON, WI 54016 715386.4686FAx PZCaCO. SAINT- CROIX. W. US W W W. CO.SA1 NT -C RO (X. WI. US i the Zoning Administrator prior to this deadline. If the land use permit expires, the applicant will be required to secure a new land use permit. This approval does not allow for any construction beyond the limits of this request. Your information will remain on file in the St. Croix County Planning and Zoning Department. Please contact the St. Croix County Planning and Zoning Department to obtain the necessary sanitary permit for the proposed construction. It is your responsibility to ensure compliance with any other local, State, or federal rules or regulations. If you have any questions, please do not hesitate to call. Sincerel Pamela Quinn, POWTS Inspector Zoning Specialist Cc: Vicky Benson, Clerk, Town of Springfield ft� c i f /U� Todd Dolan, All -Croix Inspections Jenny Shillcox, Zoning Specialist t RECEIVED P A 1 3) jTt�t r� goy Safety and Buildings Division County C�I�J 201 W. Washington Ave., P.O. Box 7162 57: C2�1x � Madison, WI 53707-7162 Sanitary Permit Number (to be filled ' by CO.) o � rce anitary Permit Application State Tr / ctionl�mber In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental / 7 unit is required prior to obtaining a sanitary permit. Note: Application forms for state -owned POWTS are Project .Address (if different than mailing address) submitted to the Department of Commerce. Personal information you provide may be used for secondary p urposes in accordance with the Privacy Law, s. 15.04(l )(m), Stats. J /o 1. Application Information - Please Print All Information / ///��� ' _` Property Owner's Name Parcel # '1 JA K iRK P R_ / C ( Gum ,(t, i �_W_ /G'C) ZlJ C�> Property Owner's Mailing Address Property Location x/ 875 -�& ( `27 � 3 So Govt. Lot City, State Zip Code Phone Number 71 5 LA-) 5 y,, Section 2— e y LEv 5.+72-5 ` cycle one II. Type of Building (check all that apply) Lot # T �_ N; R E ,2 2 Family Dwel zceAz it� 6et Number of Bedrooms /yLe t t Q Subdivision Name tIW—Lc, ! Block # ❑ Public /Commercial - Describe Use �� in of _ ❑ State Owned - Describe Use %J7 CSM Number ❑ Village of �/ v ° Town of� tl GU wt Ill. Type of Permit: (Chec only one ox on line A. Complete line B if applicable) ` A. ❑ New System Replacement S tem ❑ Treatment /Holding Tank Rep ement Only ❑ 0 er icatio to Ex' ti S e xplain) B. ❑Permit Renewal ❑ Permit Revision ❑Change of Plumber Petlrtit Transfer to New Li "e e it Number and Xie issued Before Expiration Owner IV. Tv e of POWTS S stem /Com onenUDevice: Ch k all that 1 L'V( (` ❑ Non - Pressurized In- Ground ❑ Pressurized In- Ground ❑ V-G, Mound _> 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil loo' ❑ Holding Tank ❑ Other Dispersal Component (explain) El Pretreatment evice (explain) V. Dispersal/Treat ent Area Information: c( Design Flow (gpd) Design oil .Applicatio Rotc(gpdsf) Dispersal , rea Require (sl) Dispersal r � X y _ d (sf) System Elevation e/ 4 5 0 � , S1 � . S 41 ;"S Z! 1 �� 2 57�, i /02-47' VI. Tank Info apacity in Total of Manufacturer Gallons Gallons Units fl Z3 Z3 New Tanks xistingTanks � v e v a U rn H rn v. V C. Septic or Holding Tank /ESC — src�C.eE Dosing Chamber / _. _._. VII. Responsibility Statement 1, the undersigned, assume responsibility for install2t 1 of the POWTS shown on the attached plans. Plumber's Name (Print) t PI ber's Signature MP /MPRS Number Business Phone Number «&4 ,,4 /hr6-4s a4 79�'S i5 143 -25Z Plumber's Address (Street, City, State. Zip Code) OF 61 SS4 S n'tE P�( 6 �1GEl/LGLE l $� 7 5.. VII . Count /De artment Use Only e r Permit Pee Date Issue Issuing gent natur Approved ❑ Disapproved ' ❑ Owner Given Reason for Denial S ��t/� � 4' 0 IX. Conditions of Approval/Reasons for Disapproval � � L U Yii�� T` �f CL�- n�'�'L�'2L -C.•�- i' LCC 7 SYSTEM OWNER: ._ J 1 Septic tank, effluent filter and ,��i L�✓��t°' �'�• dispersal cell must all be serviced / maintained . -- aS er mans em entt lard Iowa ® of and sub it to the County onl n P aper no less 8 11 inch i a x es p 9 R� � 3�'P n n 2. All setback requirements must be maintained 7 / ' .24K.) y as p er applicable code/ordinances.% SBD -6398 (R. 01/07) Valid thru 01/09 �� `�,� �� G - ��G' �� � k"i Safety and Buildings 141 NW BARSTOW ST FL 4TH commerce .Wl.gov WAUKESHA WI 53188 -3789 TDD #: (608) 264 -8777 I sco n s i n w ww.commerce.wi.gov/sb/ Department of Commerce www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary November 06, 2007 CUST ID No. 267985 ATTN.• POWTS Inspector MICHAEL J MYERS ZONING OFFICE NORTHLAND PLUMBING INC ST CROIX COUNTY SPIA E1556 STATE RD 64 1101 CARMICHAEL RD BOYCEVILLE WI 54725 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 11/06/2009 Identification Numbers Transaction ID No. 1479634 SITE: Site ID No. 732042 Jaime Kirkpatrick Please refer to both identification numbers, Rustic Road 3 above, in all correspondence with the agency. Town of Emerald St Croix County SW1 /4, SWI /4, S2, T29N, R15W FOR: Description: Mound, 3 bedroom Object Type: POWTS Component Manual Regulated Object ID No.: 1159764 Maintenance required; Replacement system; 450 GPD Flow rate; 16 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 /01), Pressure Distribution Component Manual - Version 2.0, SBD - 10706 -P (N.01/01) 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 the 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: This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD - 10691 -P (N.01 /01) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD - 10706-P (N.01 /01). /�.� z� �r -fig Ca • The _pump chosen for the design is at the limits of its capacit If the total dynamic head is calculated to be higher, at the time of construction, a pump that meets or exceeds the system flow will need.-I& b tLtaAbd. In the event this soil absorption system or any of its component parts malfunctions o as t aza rd, the property owner must follow the contingency plan as described in the approved plans*[ a e ner must comply with the operation, maintenance and monitoring duties as described in sectibe III of { nd component manual. A copy of this information must be given to the owner upon completion of thlQ 6 'ect. O All holding /treatment tanks are to comply with Comm. 84.25(7)(a). �'0 Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. MICHAEL J MYERS Page 2 11/6/2007 A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. 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 conunencement of construction /installation/operation. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. 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. Pin rely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Julia Lewis - Osborne POWTS Reviewer 2, Integrated Services WiSMART code: 7633 (262) 397 -6005, Fax: (608) 283 -7481 julia.lewis @wisconsin.gov Mound System Cover Page p9 1 of 6 MIESER venmETE Project Name: Kirkpatrick -mound Owner's Name Jaime Kirkpatrick Owners Address N8754 380th Boyceville,Wl 54725 Legal Description sw %, Swl - wJ%. Sec 21 TF R F1 5 w Township Springfield County saint Croix V Subdivision Lot# Parcel I D# Table of Contents pg- 1 Coverpage 2 Mound Sizing Calculations 3 Pressure Distribution Layout and Dynamics 4 Dose Tank 5 Management and Contingency Plan 6 Plot Map total # of pages: 6 Designer Name: Michael J. Myers MP /License #: 267985 Date: 10/20/07 Ph. #: 7156432520 Signature: D Mound System Design Methods Used per "Mound Component Manual For Private Onsite Wastewater Treatment Systems" (Version 2.0) SBD- 10691 -P (N.01/01) J ►� per" Pressure Distribution Component manual for Private Onsite Wastewater Treatment Systems" (Version 2.0) SBD- 10706 -P (N 01/01) 6G�F.pcF� o Spreadsheet Provided by: 3bOkdvisement N12486 220th St, Boyceville, WI 54725 Ph: 715 - 643-6068 email: 3 t. v4 -, 3 � r `" 4 P v _E- _r• v ,Q 0 a o(- - �t1 Q p._ � LL Q co PA as CO P u � a 1 � I ar i I to ` ''N Mound System ft 2 of 6 Mound Sizing Calculations Project Name: Kirkpatrick -mound Site Conditions Design of Entire Fill Project Type: [ ,-®r 2 Family Dwelling Cell depth at upslope edge (D): 20.0 in. % Slope: 6 % Cell depth at downslope edge (E): 24.7 in. # of Bedrooms: 3 Distribution cell depth (F): 9.5 in. Depth to limiting factor: 16 in. Cover thickness over edge (G): 6 in. Absorbtion rate of fill material: 1 gawe /day Cover thickness over center (H): 12 in. Absorbtion rate of in -situ soil: 0.4 gave /day End slope width (K): 11.0 ft. Effluent quality Eff #1 I V Fill length (L): 92.0 ft. Max BOD effluent value: 220 mg/I Upslope width (J): 7.6 ft. Max TSS effluent value: 150 mg/I Downslope width (Toe) (1): 12.3 ft. Fill Width (W): 26.3 ft. Design of the Distribution Cell Basal Area System Design Flow: 450.0 gal/day Basal area required: 1125 fe Distribution cell width (A): 6.43 ft Basal area available: 1311 fe Distribution cell length (B): 70.0 ft Area of Distribution Cell: 450.0 fe Observation Pipes Contour Elevation of Mound: F 100.80 ft Location from end of cell (Z): 11.67 ft System Elevation of Mound: 102.47 ft Final Grade of Mound: 104.26 ft Mound Plan View Observation Pipes 0 ' Distribution Call A wL T B I—K I Tilled �\rea+'Fill Material L ' Mound Cross Section Final Grade Observation Pipe Synthetic Fabric H G Distribution Cell System Elevation 6 ; , � F b 1 Cover Materials 3 Fill Material Invert low Tilled Area Slope �Forcemain System Contour Notes: Fill material to consist of ASTM C33 Sand Distribution cell aggregate to comply with Comm 84.30(6)(1) Synthetic Fabric covering on cell per Comm 84.30(6)(g) Distribution Cell to have minimum 6" aggregate below lateral and 2" above. • Mound System Page 3 of 6 Pressure Distribution Calculations Project Name: Kirkpatrick -mound Lateral Layout Lateral /Manifold Design Lateral elevation: 103.0 ft Lateral diameter: In. Rows of Laterals: 2 Lateral spacing (S): ft Manifold type: End • Lateral to cell edge: 1.2143 ft Orifice diameter: o.i2s • In. Lateral discharge rate: 18.54 gpm # of Laterals: 2 System discharge rate: 37.07 gpm Distal Pressure: 5 ft Manifold diameter: 2 In. Lateral Length: gg ft Manifold length: 4 ft Orifice Spacing /Distribution Forcernain Friction Loss Orifice spacing (X): 18.82 Inches Forcemain length: 380 ft Orifices per lateral: 45 Forcemain diameter: 2 In. Avg. fe /Orifice: 5.00 fe Friction loss in forcemain: 2.294 ft Lateral Side View M anifol \Lateral x x x Ir x x Lateral Length Lateral Plan View Lateral Length 0 Turn -up w /ball valve or cleanout pkig — 4 g 0 Orifices on bottom of PVC laterals and kxcernan to comply With lateral equally spaced specifications per Comm 84.319(2Xe) Forcemain connection via tee or cross to manifold at any point Clean Out Detail Observation Pipes Clean -out plug Final Grade or ball valve Water tight cap or plug Lawn Sprinkler Box lot Note: CkYW Cola 6' Minimum mW be used in Long Sweep 90 Plam of 318" bar or two 45's 3/8' Bar Lateral Wound System Page 4 of 6 Septic, Pump and Dose Tank Project: Kirkpatrick -mound Tank Information Dosage Volume Pump tank manufacturer: Wieser C oncrete Forcemain drains back to tank? OQ Yes O No Pump tank size /model: W1000/650 -MR Lateral void volume: 14.6 gal Pump tank gaUnch: 17 Dosage to absorbtion Cell: 72.9 gal Actual Pump Tank Volume: 646 gal Forcemain volume: 13.9 gal Tank bottom elevation (inside): 8 4 ft Total dosage: 86.9 gal Septic tank size /model: W 1000 /650 - MR Pump and Filter Total Dynamic Head Pump Manufacturer: _ Goulds Are laterals highest point? y Pump Model: W 12 D 5 14 PE51 � if not, enter highest elevation: p ft Effluent filter: Pol lock System head (distal x 1.3) 6.50 ft G l� Vertical Lift ( "D" to lateral) 18.30 ft 1 S l Note: Access opening of sLiftiant we to be provided to allow Friction loss in forcemain: 2,29 ft removal of fitter. Opening to terminate at or above grade. Pressure loss from filter. �O ft Total dynamic head (TDH): 27.09 ft Pump Tank Diagram Dose Tank Levels Watertight Locking Cover In. Gal 4 Inch Wdh Warning Label Minimum finished A Reserve 22.9 389.1 Grade g pump off to Alarm 2.0 34.0 Alternate C Total Dosage 5.1 86.9 outlet Location Elect per Comm D Effluent depth for pump 8.0 136.0 1 6.28 and Total Capacit 38.0 646.0 NEC 300 Weep Hole A or AntF Siphon 13 Device FLOW— LITERS /H�1R C 0 10D0 2000 lilt all D �" 30 10 ` 3 Ll.o pay & I/fy (�'' 20 W A Pump must be capable of 37.1 GPM 10 and head pressure of: 27.1 Feet 25 0 0 D 20 40 GO 80 L iant FLOW— GALLONS/MINUTE 9EH PUMP PERFORMANCE CURV 115V 6DHZ Mound System Management Plan pursuant to comet 83.54 W. A. C. page 5 of 6 Owner's Responsibility: The component owner is responsible for the operation and maintenance of the component. The county, department or POWTS service contractor may make periodic inspections of the components, checking for surface discharge, treated effluent levels, etc. The owner or owner's agent is required to submit necessary maintenance reports to the appropriate jurisdiction and /or the department. Septic Tank: Septic tank(s) are to be inspected routinely and maintained by department approved individuals when necessary in accordance with their approvals. The use of chemical/biological "treatments" is not required or recommended. If such additives are used, make sure they are approved by Department of Commerce, Safety and Buildings Div.. Effluent filters are to be removed & cleaned as necessary, with provisions to keep solids from passing the septic during removal. No more than 1/3 of the usable tank volume may be occupied by sludge/scum. 3 year inspection: If tank has greater than 1/3 volume sludge, tank contents must be emptied and disposed of in accordance with NR 113 Wisconsin Administrative Code by an approved individual. If the inspector does not recommend pumping of the septic tank, then the owner must be notified of when pumping should be done as to not exceed 1/3 sludge volume. Septic tank should be routinely inspected to be watertight and of good repair. Pump/Dose Tank If an effluent filter has been installed in the pump /dose tank, it must be removed & cleaned as necessary, with provisions to keep solids from passing to the mound component during removal. The pump, float switches and alarms must be inspected at least every three years for proper operation. Pump /dose tank should be routinely inspected to be watertight and of good repair. Mound and lateral System The mound system component must remain free of ponded surface water prior to pump operation. If 4 inches or more water level is detected in the observation pipes, the owner must be notified of possible problems/failure. The designed daily flow capabilities of the component should never be exceeded. Trees and any other deep rooted vegetation should never be planted, or allowed to grow anywhere on the component. Activities OTHER than mowing/maintenance (i.e. excessive walking, pets, vehicles, etc...) could compress the component and reduce it's absorbtion capabilities and/or possibly cause it to freeze in winter conditions. Lateral distribution pipes should be flushed out/tested every 18 months using the cleanout points at each end of the component to remove scum that may dog orifices. Performance Monitoring: Performance monitoring must be done at least once every three years following the installation or at the time of a problem, complaint, or failure. Contingency Plan: If the septic tank, pump tank or any of their components therein (including floats, alarms, pumps, etc) become defective, the defective tank or component must be replaced immediately to ensure that the system can operate as designed. If the mound component cannot accept wastewater or ponds wastewater to the surface, the component must be repaired or replaced in its current location by either: extending basal toe to provide added absorbtion area; or by removing the dogged bacterial mat,aggregate cell, and distribution piping within the mound and replacing said components in order to return system to proper working order as required. FROM NORTHLAND PLUMBING, INC. FAX NO. 715 - 643 -2520 Nov. 05 2007 10:41AM P2 . GOULDS PUMPS Submersible Effluent Pump tMEr WE S 4� snwtruw PROSURANCE AVAILABLE FOR RESIDENTIAL APPLICATIONS. APPLICATIONS ■ Shaft: Corrosion- resistant, Single phase (60 Hz): can be operated continuously Specifically designed for the stainless steel. Threaded • Capacitor start motors for without damage when fully following uses: design. Locknut on all models maximum starting torque. submerged. Homes damage against component • Bulk-in overload with ■ Bearings: Upper and Farms ge on accidental reverse automatic reset, lower heavy duty ball bearing Trailer courts rotation. • SJTOW or STOW severe duty construction, • Motels ■ Fasteners: 300 series oil and water resistant • schools stainless steel. power cords. ■ Power Cable: Severe duty • Hospitals ■ Capable of running dry • 'A —1 HP models have rated, oil and water resistant. y without damage to • Industry P 9 y NEMA three p rong ron Epoxy seal on motor end • Effluent systems Components. grounding plugs, provides secondary moisture • 1 Yz HP and larger units have barrier in case of outer jacket ■ Designed for continuous bare lead cord ends. damage and to prevent oil SPECIFICATIONS operation whert fully wicking. Standard cord is 20'. Three phase (60 Hz): Pump submerged- Optional lengths are available. • Solids handling c g • Class 10 overload protection ■ 0 - ring: Assures positive p MOTORS must be provided in / <, maximum. Must b ordered starter ' ■ Full submerged sealing against contaminants Discharge size: 2" NPT. y ged in unit. and oil leakage. . Capacities: up to 140 GPM, high -grade turbine oil for • STOW power cards off have • Total heads: up to 128 feet lubrication and efficient heat p AGENCY LISTINGS TDH. transfer. bare lead card ends Tested to UL t>a and • Temperature: ■ Class 0 insulation on ■ Designed for Continuous CSn 22.2 108 Standards 1041 (40 + 1 Operation: Pump ratings are 8r Canadian standards ° °C) continuous h -1 fi HP models. within the motor manufacturer's C�kls Ass ociation t 9 140 °F (b0 °C) intermittent. t Class F insulation on 2 HP • See order numbers on models. recommended working limits, Goulds Pumps 6 iso Soot itegistered. reverse side forspeciflc HP voltage, phase and RPM's METERS FEET 130 -TT — -- EtSHMt --r• SERIES: WE 120 j —1..- —_�� �_. SIZE: 35 ' /a' SQUDS FEATURES 77p� _RPM: 3500 ■ Impeller: Cast iron, semi- 30 TUO 5C,PM .a, open non -clog with pump- e° t ._ + ._ . _ srr + . out vanes for mechanical zs S eal r so Protection. Balanced for smooth operation. Silicon zo �— bronze impeller available as o an option. 'q i s- so " a. _; - I, _ �_ — - { , m Casing: Cast iron volute 0 ao I i i• _. : "r type for maximum efficiency, 2" NPT discharge. — :. —4 - 0 Mechanical Seal: SILICON $ CARBIDE o +- h VS. I r E SIL CAN o ° _ ...T �:.;_ .._ .�..' . +.� - -; �.-_, •.. CARBIDE sealing faces. 0 T° Y zo so 0 50 e0 �o $o so Tao 1 TTO 1�o T30 T40 Q 160GPM 1 Stainless steel metal parts, � r `� ✓ BUNA -N elastomers. 0 s TO 15 zo 25 30 35 mx/hr CMACW G oulds p umps Ea Eff ectiv e T Wat nology, Inc. w �/ ITT Industries Effective Dcccm 20 20°4 www.goulds.cam 'y�T s3$$5 i FROM NORTHLAND PLUMBING, INC. FAX NO. : 715 - 643 -2520 Nov. 05 2007 10:42AM P3 [(b] GOULDS PUMPS Submersible COMPONENTS r -lip Effl uent Pump Item No, Descri lion - "q4 1 Impeller M 2 C asing 3 Mechanical Seal s' - a, � -e 4 Motor Sha _. 4 WE 5 Motor S g -, �"� 6 Ba118earin s - 3 7 Power Cable 1 8 Casin 0 -Rin MODELS PERFORMANCE RATINGS (gallons per Minute) Order No, HP Volts Phase Max. Am . RPM Solids Wt. (ibs.)l Order Vilil 311L 115 10.7 No WE031 WE03M WE0514 WE07H WEtolt WE1SH WE05HN WEiSH,r WE20H WE0218L 208 6,g HP h h 'h ' /4 1 1'h /r t V, 2 N E031 2L 'h 230 4.9 1750 56 RPM 1750 1750 3500 3500 3500 3500 3500 3500 3500 WE0311 M 115 10.7 5 86 WE0318M 208 1 6.8 10 70 63 78 9 _- WE0312M 230 4.9 - - 52 52 76 90 103 128 53 H 115 93 138 1NE0511 1q,5 20 27 35 60 83 98 123 49 : 90 136 WE0518H 208 8,1 25 48 76 94 45 87 133 WE0512 Z30 -- WE0538I1 200 4.9 - 117 R 35. 35 67 88 li0 40 83 130 WE05 3ZH 230 3 3.3 c a� - - z2 57 82 103 35 80 126 WE0534H 460 - - - 45 95 30 77 121 74 1.7 a 45 2 116 - 3$ 64 86 5 74 WE0531H 'f, 575 1.4 -_ W WE0511HH 115 14.5 50 - 25 53 77 - 10 110 WE0518HH 7.0$ 1 8.1 60 - - - 40 67 - 68 103 W90512HH 230 7.3 r° 65 4,9. 70 30 56 WE0538 200 - - ZO 45 - 58 89 - - 55 8 WEOa32HH 230 3 3.6 75 1,8 1 _ _ - 35 WE0534HH 460 - - 25 - 51 74 WE0537HII $75 1.5 90 - - - - - - 47 66 WE071811 208 1 11.0 160 - - -' 37 49 WE071 ZH 23o 1 p 0 - - - - - 28 30 WE0738H '/, 200 6,2 WED732H 230 3 5.4 DIMENSIONS WE0734H 460 2,7 y, WEO'137H 575 2.2 70 (All dimensions are in inches. Do not use for <onstruction purposes.) WE10184 M 208 1 14.0 WP1012H 230 12,5 3500 WE 103814 1 200 8.1 WE1032H 230 3 7 0 �� WE1034H 460 3,5 ROTATION 5 -1/; WE1037H 575 2,8 - WE1518H 208 1 16" WE1512H 230 153 r 2" NPT WE1538H 200 10.6 81 WE1532H 230 3 9.2 WE1534H 460 4.6 • WE1537H 174 575 3,7 80 KICKBACK - WE1518HH 208 1 17.5 r / WE15121-114 230 15.7 WE7538HH 200 10,6 WE1532HH 230 3 g,2 WE1534HH 460 4.6 Goulds Pumps is a brand of 117 Water Technology, Inc. - WE1537HH 575 3,7 a subsidiary of ITT Industries. Inc. WE2012H 230 1 18.0 Goulds Purrips and the ITT Engineered Blocks Symbol are WE203811 200 12.0 registered teademarks and tradenames of ITT Industries. WE2032H 2 230 3 11.6 83 WE2034H 460 5.8 WE2037H 575 4,7 Goulds pumps PRINTED IN U-3-A. SPECIFICATIONS ARE 5UBJEC'rTo CHANGE WITHOUT NOTICE. <& ITT Industries M GOULDS PUMPS Submersible Effluent Pump -� PE EFFLUENT PUMP SPECIFICATIONS MOTOR FEATURES Pump — General: General: ■ Corrosion resistant • Discharge: 1 NPT • Single phase construction. • Temperature: 104 °F (40 °C) • 60 Hertz ■ Cast iron body. maximum, continuous when • 115 and 230 volts ■ Thermoplastic impeller and fully submerged. • Built -in thermal overload pro- cover. • Solids handling: 112" tection with automatic reset. ■ Upper sleeve and lower maximum sphere. • Class B insulation. heavy duty ball bearing • Automatic models include a • Oil- filled design. construction. APPLICATIONS float switch. • High strength carbon steel ■ Motor is permanently • Manual models available. shaft. lubricated for extended Specially designed for the service life. • Pumping range: see PE31 Motor: following uses: ■ Powered for continuous • Mound Systems performance chart or curve. • .33 HP, 3000 RPM • 115 volts operation. • Effluent/Dosing Systems PE31 Pump: ■ All ratings are within the Maximum capacity: Low Pressure Pipe Systems • 53 GPM • Shaded pole design • • working limits of the motor. • • Maximum ea: 25' TDH PE41 Motor: ■ Quick disconnect power Basement Draining head: • .40 HP, 3400 RPM p • Heavy Duty Sump/ PE41 Pump: cord, 20' standard length, Dewatering • Maximum capacity: 61 GPM • 115 and 230 volts heavy duty 16/3 S1TW with • Maximum head: 29' TDH • PSC design 115 or 230 volt grounding PE51 Pump: PE51 Motor: plug. • Maximum capacity: 70 GPM • .50 HP, 00 RPM ■ Complete unit is heavy duty, • aximum head: 37' TDH 115 a 230 volts portable and compact. • PSC esign ■ Mechanical seal is carbon, METERS FEET. ceramic BUNA and stainless 40 - _ -- - -. - _ MODELS: PE31, PE41, PE51' Steel. PE51 HP: .33, .40, .50 ■ Stainless steel fasteners. 35 10 2 M AGENCY LISTINGS I— 30 W 25 - PE11 r _ . _ —. _ - CR US _ t Tested to UL 778 and Z 20 - -- CSA 22.2108 Standards o By Canadian Standards Association -4 - - - -� File #LR38549 E- t 5 1 - Goulds Pumps is ISO 9001 Registered. i 0 0 . -_ 30 40 50 fi0 0 G 0 ' 0 10 20 0 5 10 15 m 3/h Goulds Pumps CAPACITY ©2004 ITT Water Technology, Inc. ITT InCluStrles Effective June, 2004 BPE31/41 HGOULDS PUMPS Submersible Effluent Pump PE PERFORMANCE RATINGS DIMENSIONS PE31 PE51 (All dimensions are in inches. Do not use for construction purposes.) Total Head Total Head GPM (feet of water) GPM (feet of water) 5 52 10 67 10 42 15 59 6.4 15 29 20 50 E25 16 25 39 -- —2.2— E 0 30 FaEl — 9.6---- 35 PE41_ Total Head GPM (feet of water) 8 61 • 10 57 ' 15 46 C7 20 33 25 16 15.4 12.0 i NPT DISCHARGE 3.1 t.6 PUMP INFORMATION Minimum Minimum Maximum Shipping Float Switch Cord Discharge Basin Solids Weighj Order No. HP Volts Amps Circuit Phase Style Length Connection Diameter Size Ibs /k Breaker PE31 M Manual / No Switch 0.33 12 Piggyback Float Switch PE31P1 115 20 PE41 M Manual / No Switch 10 Piggyback Float Switch PE41 Pt E0.4 PE42M Manual / No Switch 20' 1.5" 18" 5" 31 1 14.1 230 5 15 1 Piggyback Float Switch PE42P1 PE51 M Manual I No Switch 115 13 20 Piggyback Float Switch PE51 P1 0.5 PE52M Manual / No Switch 230 6.5 15 Pi back Float Switch PE52P1 Goulds Pumps is a brand of ITT Water Technology, Inc. — a subsidiary of ITT Industries, Inc. Goulds Pumps Goulds Pumps and the ITT Engineered Blocks Symbol are registered trademarks and tradenames of ITT Industries. PRINTED IN U.S.A. SPECIFICATIONS ARE SUBJECT TO CHANGE WITHOUT NOTICE. ITT Industries www.goulds.com �J FROM NORTHLAND PLUMBING, INC. FAX NO. : 715 - 643 -2520 Nov. 05 2007 10:40AM P1 t NORTHLAND PLUMBING, INC.. L I55b STATE RD 64 ]BO'Y�- LVILLE, W1. 54725 PHOT` F.: 715 -643 -2520 FAX: 715 -643 -2131 l " :'�'�l .l:A!l,Il�;..� ":Rlil •r• -.,, .... ._. ry... y w. n.. .:.. r.. ... r...- ..rr.�„........;....... r . . *a}- � n r iky� To' %Jtk t _,_,, Fax 60 � 2,1r3 7' f d Prom: � d K L Da te: /� .a ° 7 Re: ;4 , X K�gfy U"C Pages: C a'V ele•4-t CC: 0 Urgent 0 For Review D Please Comment D Please Reply Cl Please Recycle s u� )y T 1 r , 1 *zi Oo sln SOIL EVALUATION REPORT #49 Department of Commerm in accordance with Comm 85, Wis. Adm. Code Page 1 of _ Division of Safety and Buildings - Northlanii Plumbing, Inc. County' Attach complete site plan on paper not less than 8 %x 11 inches in size. Plan must $t. Croix Include, but not limited to: vertical and horizontal reference point (BIWirechon end parcel LD. percent slope, scale or dimensions, north arrow, and location and ; t road. ^ / Please P Revie By Date Personal information you provide may used ff E di WA0(Pri5.D4 (1) (m)). 16 �q Properly Owner f Property Loca 1 $w .f 'Eric Meier I ) yli 2��7 Govt. Lot 1/4, /4, S; N, R Property Owne s Mailing address Lot # Block* Subd Name or CS ST. CROIX COUNTY V� �wn�y City Stat P N City E Village Town Nearest Road Boyceville j WI 1 54725 j Springfield Rustic Road 3 New Construction Use: Z / Number of bedrooms 3 ))C��od��e deriv design flow rate 450 GPD N Repiacement ._ ❑ Public or commercial - Describe: r+ Parent material Glacial Till Flood plai elevation, if applicabl ft. General comments Mound site using 100.8' contour. �� and recommendations: o w 4 b P. XLOL a Boring # [] Boring ® Pit Ground surface elev. 100.5 ft. Depth to limiting factor 16 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fe in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Etf#2 1 0 -7 10YR3 /2 sil 3sbk mvfr Cs 3f .6 .8 2 7 -14 10YR5 /4 A 2sbk mvfr Cs 2m .6 .8 3 14 -16 10YR5 /8 Sid 2sbk mvfr Cs 2m .4 .6 4 16 -35 10YR5 /8 7.5YR6 /8c2dspots Sid 2sbk mvfi Cs im .2 .3 5 35 -54 7.5YR5/8 fs Osg mfi Cs if .5 1.0 ❑ g [_1 Boring 2 Boring # ❑ pit Ground surface elev. 100.48 ft. Depth to limiting factor 21 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consisten Boundary Roots GPD/fe In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 - EffiV:2 1 0 -8 10YR3 /2 sil 3sbk mvfr Cs 3f .6 .8 2 8 -15 10YR5/4 sil 2sbk mvfr Cs 2m .6 .8 3 15 -21 10YR5/8 sid 2sbk mvfr Cs im .4 .6 4 21 -54 10YR6 /3 7.5YR6 /8C2dspots Sid isbk mvfi Cs if .2 .3 5 54 -64 7.5YR5/6 fs Om mfi Cs .5 1.0 " Effluent #1 = BOD 30 < 220 mg/L and TSS >30 < 150 mg/L Effluent #2 = BOD <_30 mg/L and TSS 130 mg/L CST Name (Please Print) S' lure: CST Number M ichael J. Myers 267985 Address Northland Plumbing, Inc. Date Evaluation Conducted Telephone Number E 1556 State Rd84 Boyowille, W[54725 10/3/07 1 7/,-5 - SBD -8330 (R.07 /00) 3 Property Owner Eric Meier Parcel ID # Page 2 of 7- '3: r - F Boring Boring # Ph Ground surface elev. 100.9 ft. Depth to limiting factor 27 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color 5,r Sz. Sh. - Eff#9 •Eff#2 1 0 -8 10YR3/2 A " � . Asbk mvfr a 3f .6 .8 2 8 -24 10YR5/4, sil r29bk mvfr : a 2m .6 .8 3 24 -27' 10YR5/8 ...: sid ._ . 2sbk mvfr CS lm 4 .6 4 27-40 10YR5 /8 7.5YR6 /8c2dspots sid lsbk mA Cs IM .2 .3 5 40-63 7.SYRS /6 --" ft Om mefi a .5' 1.0 , Effluent #1 = BOD 30. 220 mg/L and TSS >30 <_l50 mg /L * Effluent #2, BOD 30 mg/L and TSS <30 mg/1, 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. • , .:NJ 3 Ln (k V N N u al N � ti \b A °_ ►- \ ' V 2 t�i a 0 3 ` N U- v _01 4 'J $ ° ki — �r O k m PA co R v � a y 5:L ti/3 AbrmgrA(w�Z 17- 4 V3 a PC M