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W isconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix 'Safety andBuilding Division INSPECTION REPORT Sanitary Permit No: 499194 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: DCCI Land Planners Tro , Town of 040 - 1310 -00 -003 CST BM Elev: ^ In 1 7 0 BM Elev: BM Description: Section/Town /Range /Map No: 140 • 0• d / — � • 17.28.19.1990 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark ova 6 3 io6 . Dosing Alt. BM 3 9• 0�_ Aeration Bldg. Sewer PT Holding St/HtInlet - 3 9,6 b-7 St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. ent t Air Intake ROAD Dt Inlet Septic l N p r / 1 / Dt Bottom /a, F-) �, 3 DHead r/Ma Dist. Pipe Bot. System Final Grade PUMP /SIPHON INFORMATION Ok— Opt 4 s /b - 2 — 6 Manufacturer S''tLLCo--ver �/ 0 �— GPM L 3 I Model Number y �3 25 TDH Lift Friction Loss System Head TDH Ft - 8 a&3&4L+ < Forcemain Len( I Dia i Dist. to Well SOIL ABSORPTION SYSTEM BED /TRENCH Width Length No. Of Trenches PIT . DIME IONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS $ 5 7 — SETBACK SYSTEM TO P/L I j JBLDG IWELL LAKE /STREAM A ING M urer: INFORMATION t 1 CHA TYpe,Qf $ te� 1 N6 1 N NIT Mo m r DISTRIBUT ION SYSTEM_ Header anifol Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipes) �/f r _3 /I b c, C tL4 Length Dia Lengt Dia I ` Spacing SOIL COVER x Pressure Systems Only xx e Depth Over t + Depth Over xx Depth of 0 e d /Sodded Mulched Bed/Trench Center ' A Bed /Trench Edges Topsoil f CJd Yes o Yes No COMMENTS: (Include code discrepencies, persons present, etc.) nspection #1: O Inspection #2:�/ /I Location: 460 Meadow Ridge Trail Hudson, WI 54016 (NW 1/4 SE 1/4 17 T28N R19W) Meadow Ridge Lot 3 Parcel No: 17.28.19.1990 lion 1.) Alt BM Descrip 2.) Bldg sewer length amount of cover = L lV f 6 - t S! Plan revision Required? Yes -"No / D Use other side for additional information. Date Insepctor's Signature C arl. JA SBD -6710 (R.3197) � �Q /a1 D� C►d h4 Ate. Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 p `� ,' /�/� i n Madison, NVI 53707-7162 Cw Vnsi Sanitary Permit Number (to be filled in by Co.) _ Department of Co mmerce (608) 266-3151 I Sanitary Permit Appliea r ' state Plan I.D. Number f In accord with Comm 83.21, Wis, Adm. Code, personal inform i e ` +1 3241 j may he, used for secondary purposes Privacy Law, st5.04 1 m ( ��-,r roject Address (if different than mailing address) I. Application Information – Please Print All Information `�(oD dY1 tS�}06�J 21D6� /L� P.opert/yyOwner's Name �G1 Parcel f ( Lot BIock a r pc 1 Owner's Matlmg Addre� / 0 f' 1 X� O J Property Location ` 6 —W V4>�� � 1 City, States ip Code Phone Number /�, Section `7 Q (circle ) { li. Type of Building (check all that apply) �� N; R /_E t i Name- CSM Numb er ill or 2 Family Dwelling - Number of Bcdrewins Subdivision Nam � _ {�- -- ? ,)Z . Public/Commercial - Describe Use ap $ uuJ (�Y t ❑ State Owned – Describe Use Rp�Q,oQ TY Yity ❑Village ATownship of 77`b --- _ -- — 1II. Type of Permit: (Check only one box on fine A. Complete I e B i p lcable) i A. t AN— System ❑ Replacement System ❑ Treatmenu'LIo i Replacement Only ❑ Otter Modification to Existing System 13. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued 6 I Before Expiration Plumber Owner V. e of POWTS System: Check all that apply Iv ❑ IHon - Pressurized In- Ground JKNIound >_ 24 in ofsuitabie_ ❑ Mcxind < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ I Constructed Wetland ❑ Pressurized ht- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Lane ❑ Gravel -less Pipe ❑ Other (explain) I V. Dispersal/Treatment Area Information: — } Design Flow (gpd) Design Soil Application Rate(gpdst) Dispersal Area equired (sf) Dispersal Area Proposed (sf) System Elevation VI. Tank .Info Capacity in Total umber Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of knits Concrete Constructed Glass New Existing Tanks Tanks Septic or Bolding Tank Aerobic'tr6attnentLinii Dosing Chamber 7 I V.IL Responsibility Statement- I, the undersigned, assume respon ' for installation of the POWTS shown on the attached plans. Plumber'%.Npme (print} Plu bar's Signature MPiMPRS Number Business Phone Number Plumber's Address (Street, ity, State, Zip Code) fY VIII. County/Department Vse Onl Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing gent Signature o Stamps) Surcharge Fee) ❑ er Giv us Denial IX. Conditions o rev SYSTEM OWNER: 1 Septic tank, effluent filter and dispersal cell must all be serviced / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code /ordinances. Attach complete plans (to the County only) for the system on paper not less than 8112 x 11 inches in size SBD -6398 (R. 01/03) P � J P l 0. ,n '��..�,..•, ` �`-.0 2 �qp �o��o C lq , �c- e i �- iJH <u 212., 0 4_ d�7 �\1-) - 0 10 -0 0� � 1 ;o.S�?,o r I2� �MA�h �ooP �' �i �• �� C •� ` � �. _ /, , amp _ (moo c p i �V?o i t VI �k 6 ---- ----_— S} rS� GSl,b8 ���•2 -- COPY Safety and Buildings 4003 N KINNEY COULEE RD �► commerce .Wl.gov LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 i s Co n s i n w ww.coe.wi.gov/s / www.wisconsin.gov Department of Commerce Jim Doyle, Governor Mary P. Burke, Secretary September 27, 2006 CUST ID No. 225094 ATTN: POWTS Inspector MICHAEL P ROGERS ZONING OFFICE ROGERS PLUMBING ST CROIX COUNTY SPIA E4457 HWY 12 1101 CARMICHAEL RD MENOMONIE WI 54751 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/27/2008 Identification Numbers Transaction ID No. 1324831 SITE: Site ID No. 718739 Dcci Land Planners Please refer to both identification numbers, East Cove Road Labove, in all correspondence with the agenc Town of Troy St Croix County NWIA, SE1 /4, 517, T28N, R19W Lot: 3, Subdivision: Meadow Ridge of Troy FOR: Description: Mound / Three Bedroom / Sloping Site Object Type: POWTS Component Manual Regulated Object ID No.: 1099396 Maintenance required; 450 GPD Flow rate; 96 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.01 101); 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 erson may engage in or work at plumbing in the state unless licensed to do sob the Department per s. 145.06 P Y p g Y p P stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders • This system is to be constructed and located in accordance with the enclosed approved plans and with the component manuals listed above. • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. r • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption`` i area. chs. NR 811 & 812c 1r k • A Sanitary Permit must be obtained from the county where this project is located in accordance with the tr OF�i f requirements of Sec. 145.135 and 145.19, Wis. Stats. lU SLE GO""„ • Inspection of the POWTS installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of See. 145.20(2)(d), Wis. Stat MICHAEL P ROGERS Page 2 9/27/2006 • 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 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 ( 11'2 -2 _ Balance Due $ 0.00 Charles L Bratz POWTS Reviewer II , Integrated Services W SMART code: 7633 (608)789-7893, 7:45 am - 4:30 pm Monday - Friday charlie.bratz@wisconsin.gov cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 Henry F Grote , Certified Soil Testing I I I DCCI Land Planners, Inc. - Mound Construction Materials and Techniques All materials must comply with Comm 84 and be installed in accordance with manufacturer's specifications. Construction methods must comply with the following Component Manuals: Mound, SBD - 10691 -P (01/01) Pressure Distribution, SBD - 10706 -P (01 /01) Location: Lot 3, Meadow Ridge of Troy NW 1 /4, SE '/4, Sec. 17, T 28 N, R 19W Town: Troy County: St. Croix Date: September 26, 2006 Owner: DCCI Land Planners, Inc. Address: 1505 HW 65 New Richmond, WI 54017 Plumber: Mike ogers Signature: - , " ,4 � /,, , License: MP 225094 Attachments: SBD -10577 - Plan Approval Application SBD -8330 Page 1: cover 2: design criteria & calculations 3: plot plan 4: system cross section 5: plan view, lateral detail co 6: pump tank exit detail Z 7: pump curve :4 o 8: system management W ° � of cr..�_.�,:.,_,,t m page 1 of 8 E , r �� -. U aq od os cc Cn - "PUfVllE C�'G� Q s E Design Criteria Residential Wastewater Contaminant Load: 30 mg/L < BODS < 220 mg/L Anticipated septic tank effluent 30 mg/L < TSS < 150mg/L Fecal Coliform > 10,000 cfu/l00 mL Fats, oils, grease < 30 mg/L 3 Bedrooms x 100 gal/bedroom/day x 1.5 kb gallons /day hydraulic load Design Calculations In situ designed loading rate gallons /sq. ft. per day Depth to estimated high ground water a in. Depth to bedrock in. Cross slope at system % ^^ Force main lenn4h ft of 2- in. . o -Z — Manifold/header length 4 ft. of "/ - L in. o • 3 Drain -back �' s gallons Lateral length Z @ S 4 • o ft. of / �- in. Lateral elevation ° � ' 3 ft. @ bottom of lateral Lateral hole size 3 � 16 in. @ 1 6. o in. ( 3 ° ft.) Spacing 1 (� holes /lateral I g holes total Lateral volume gallons Total lateral discharge rate o 2 gallons /minute @ z S ft. head Network pressure compensation losses o Elevation difference Friction i _ ft. @ �/ gallons /minute Total dynamic head ° ft. Pump /sip)�on ' '� gpm @ 2 ft. of head Manufacturer 1� w . �_ Model # S K Dose volume ` - gallons Lift/s tank gallons Septic tank gallons Effluent filter � 4 11 Measurement pump on and off S o in. Height alarm from tank bottom b' ° in. Reserve capacity gallons specs.calcs.res Page Z of g i A 40 .a� x5 �clq, 1 ~, _1 e�l� c.e 0 U.� �— JK <u - o,J� 21e o L Q 0 Z 4-o 0 �^- ` � a 4-� ---- CA 2 a k a C, A CS K o G 3 L. O Z- �_1 zZ' ti (� s b -gC, 11 i 2zz� a\ e„ 2 \lv t (. olo lk n � V v o O 1 i . 1 ISIZ� - � to -S� o' L - off. ti..g�. a •_IL �.~ \ 4 , ,. �(Z pvc s3, 40 4 '°' w. v h M � � '"`/ �� v 4 .iL a4t �4.� 1-v CS M.y� �J► �..0� -�. a' I ( � '►.t2t �� `"./ V �,�vt �• XtC Ov �q I.�.:vr1.`O++�t \j C— Soh 're��t �•.e',� \ U i u � 1 3b,o" 1r WEATNERPRGJF LOCKING COVER QVICK D14C.O4VtCT ---, \ T cy. } Grade, elev. �` G 777/77777 V1 I 11117711 IL 4" PVC sch{ r� 40, 3' onto - r' 4" PVC solid ground \ 2 4" I.D. I Scn 40 vent ix�r ✓ -- - i 4 -p x W LO A i 4" PVC �QSXEr 3bNTJ ✓ sch 40, BAFFLE AL 3' onto - fi r -- O c� nN E c. ; o N solid r .S �—' "^/ � .` � .� Q � • \ � ground c Co NCRcrc F L v- bLoC,C ScPT,c SPECIFI•CATIOQ ocsE �. one _ T fc: rh �' lJl1hBEA OF DOSES: _ per day TA,QK SIZC L�-� ` GALLOWS DOSE VOLUME ALARr'1 h/wUFACTUKLR: S `� `< -ir IQCLUOING 6ACKFI.OW: gallons "10OLL QUN-DCR: 1 ° �� ``� CAPACITIES: A = 2o IQCHis CR 335'Z gallons 5wiTCH TyPC;`"`` 33•S� gallons B= PUMP /1AlJUFACTURCR `'�-�� `^`� ``� 0 e S` o IucHES oq >JCNES OR �3,g_ gallons MoocL UUPA5EK SN�� �o Iso ,gc� D■ INCKES OR gallons �wCTCH TyPC: �MQJv..tiv .,. QQTE.' PUHP AWO ALARM ARE TO 8c 1'11 ►JIh1UM DISCMAYkU RATE G ►M INSTALLEO Ou 5CPARATE circuits vLRTiCAt o ►FLUWCC DCTWC[u PUMP OFF A►JO 016TRIbUTIOU PIPC.. FECT u nuM uETWoRK SUPPLY PRCtSURE FECT + 2� FEET OF FORCE tUjW X 1' F • . • c���� Ioo 1jKICTI0Q FACTOII. FECT TOTAL O'JWAMIC. HEAD = ` "� FE,CT C WTCKQAL, DII•'1EQ610W& • 0( TAQK: LF ' 36 DTH � LIQUID 0CPTH ?PaC C 6 A� W Engineering Details - t Pump Characteristics Performance Data Meta UM Stdlete I" I >r No Lowim 610 Aettw�tSt Mel+h SNfiJ0A1 � I 14asepewet .30 I 1M1a S6"W 1'ele N ) ■ R. FA ISM V wt4d lls Nan 60 I I 1Mltpat}elt I�0'F Atwl�ialt C.Mch�1S.t1x II N N a 5+ NINU 440}II A I t I Ira ie tlee Go" A 064w Stse 1 I /Z' M►'1(14■+I■f Total No" hot 1 1 0 12 It 20 1 44 5#16 Kee 3/4' OPUN.S.1 44 36 21 23 12 0 UTA W*101 30 6 hwlc cetd 1S/3, s9w, 20' ml D imensional Data Materials of Construction �� "" �"`"'"'"�'�"` Ip `IS lerdSd Itr hwaionr vu. ly pu' 2 C+rMMI lwtlat �1 NtN11t S"Iess Steei .,� wry : IA ' 1%16 Metz Neel Celt Iron i1i1 v" n k •q t. en�eH I.r.I 04 1. 1W Mw" he ride a rah Wit adim r v p liw d $w >otdtmloro wtlort M�► MedKlw Sool Feat. Ctrb+e /Ceradc Slafl 54 Sew wr AH1is«I Heel W ns }t $1441 stl".0 f * G9 I►Mt Seem can lewa Rrw M to"" Mile 111 $1 LV FEW flerttlle064C Iwo"" Str■lest $$"I – L' 1999 H droTak' Nmol. A{Norel, ( %io N! R' Ranred. I HYDROMATIC - Yow A Aor ak local Oiv6bvror - 440 lontr Rlol AiWwl, 06 44105 iel: 419.119. 011 Fir 414.111.1017 w16 SBe: rrr.Neldr�un "I SALTS OFIKIS IN 411. IIWOA CMIS AND COUNTAIIS n/m Y: w.02•43 1204 ISM kl System Management Management of this system is critical. As a condition of approval of these plans this system management section must be reviewed with the owner, and the owner must be provided with a complete set of plans including this management section. If problems develop with the adsorption system or any other system components, the installing plumber, Rogers Plumbing, 715 -235- 1 132, or the St. Croix County Zoning Office, 715- 386 -4680, should be contacted for assistance. General Proper functioning of an on -site disposal system, "septic system," is significantly dependent on the volume of water which flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the better and longer the system will function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as water, a dose tank or compartment to allow a dose to be accumulated, a pump and controls or automatic siphon, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. 1. If the septic tank is installed prior to sheet -rock and/or painting, pump the septic tank before normal use begins to ensure adherence to contaminant load design criteria. 2. Install water - saving appliances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. 4. Never pour grease or oil down any drain or stool. 5. Garbage disposals are not recommended; if you must have one, use it sparingly 6. No paper products other than tissue should go into the system. 7. No chemicals should go into the system. 8. Avoid surge flows of water; try to spread laundry throughout the week. 9. Septic tank effluent must be less than or equal to the design criteria specified in page 2 of these plans. 10. If septic or dose tanks are no longer used, they must be properly abandoned. 11, If construction timing and weather could create a frozen infiltration system, weather - proofing with plastic sheeting and heavy mulching may be required to maintain a functional system at start-up. 12. The upslope toe of the mound system must be landscaped with additional fill to blend this area into the upslope natural grade; this will minimize the possibility of the system trapping surface run -off; final settled slope should be 2 -3% over the system or 2 -3% diverting surface run -off around the ends of the system. Maintenance 1. The septic tank must be inspected every three years by a properly licensed person. 2. If necessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volume equals one third of the tank volume. 3. When the septic tank is pumped, any solids in the bottom of the dose tank must be pumped, and the filter must be back - washed into the septic tank to remove accumulated material. System use may require more frequent filter cleaning; initial inspections of the filter should be made every 6 months until a minimum time sequence is determined. 4. Periodic observation pipe inspections should be made by the owner to examine the state of the in -situ soil adsorption cell. Quarterly inspections are recommended; a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell. 5. if this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany their specifications. 6. The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump. If the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. 7. Avoid compaction such as vehicle traffic within 15' down -slope of the adsorption system. 8. Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 9. Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. 10. Surface drainage must be diverted around the system; avoid landscape changes which might send surface run -off into the system area. 11. Warning: Do not enter septic, dose or other treatment tanks; death may result because they may contain lethal gases or insufficient oxygen. 12. Note: The uniform sod topography and relatively gentle slopes allow easy access for system and tank installation; future landscape additions or alterations must not complicate access to the tank or system for purposes of ongoing maintenance. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for low effluent strength systems; such monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.54 (2). Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing, and/or installation of additional treatment components or conversion to a holding tank may be necessary. Page 8 of 8 a s vuisoonsin Departmentplan SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and in nc w ith Comm 85 Wit. A dm. Code - County St. Croix Attach complete site on pa less than 8112 x 11 inctree> t &fad include, but not limited to: vertical and horizontal reference po (BM), direction and Parcel I.D. Pending per-m-n.t .`..'.':'a°p..., `.....!c or d . .�.:.�.: Z ... , and!a=fin a.nd d ^ .,w w':w:.'m.� - - ad . rrea" Prmr an rnrormaufM. �X Personal information you provide may be used for secondary purposes (Prvaq_ l aw, 1 m)). Property Owner 10 ^!nt9P4stdrk�ocation DCCI Land Planners Inc - G L NW 1/4 SE 114 S 17 28 N R 19 E (or) yy Property Owner's Marling Address Lot # Block # Subd. Name oeCSLU I 1505 NWY M I 3 I I Meadow Ridva Of Tmv I City Stye Zip Code Phone Number Village own Nearest Road New Richmond I WI 1 54017 :17 ( ) East Cove Road E ) New CwnU uc ion UseEj Residential / Number of bedrooms 3 to 4 Code derived design flow rate 450 to 600 GPD n Replacement n Public or commercial -Describe: I Parent matonsd Loess over glacial till Flnnrl Plain wlAvatinn if arm iratra % _ . ms s: s *with noncontinuous bands, I", A Om, 7.5yr4/4��� e •n f 1... tea E] Pit Ground surface elev. 931.68 ft. Depth to limiting factor %110 in. Sod ication Rate Horizon Depth Dominant Redox Description Texture — Structure Consistence BourMary Roots GPD/IF in. Munseil Qu. Sz. Cont Color Gr. Sz. Sh. •EfFlf1 I "Etf#2 1 0-9 10yr3/2 sil 2msbk dsh as 2f .6 .8 I 2 19 - 1 8 I lrk.rd /d I - I sil I lmsbk 1 dsh I rw I if I .4 1 .6 I 3 18 -28 I0yr4 /4 - sicl Imsbk dsh cw if .2 • 4 28-42 7.5yr4/4 - is osg dl cw - .7 1.6 5 42 -110 7.5yr4/4 - s Osg dl - - .7 1.6 L I I I l I 1 1 1 1 1 1 F 2 Boring # �9 931.47 596 El Pit Ground surface elev. ft. Depth to limiting factor in. Sod Application Rate Horizon I Depth I Dominant EoQ Redox Description Texture Structure Consistence I Boundary_ Roots GPD/V 1 I m I Munenll I rnj s7 runt roirw I I rr .0, sn I I 1 -FW1 i -FfW — I 1 0-12 10yr3/2 - sil 2msbk dsh as 2f .6 .8 2 12 -19 1 4 - sil Imsbk dsh cw if .4 .6 3 19 -33 10yr4/4 - sicl Imsbk dsh cw If .2 .3 33 96 I 4 l I- r. _1yi•r✓Y I - si iigi I &n 1 - I ' I ` Effluent #1 = BOD_ > 30 < 220 ma/L and TSS >30 < 150 mall. ' Ef luent #2 = BOD_ < 30 mail and TSS < 30 ma1L r--;T Name an.. Prinn Rinnah irw MT M Wr*W Thomas C Nelson 227387 Address Date Evaluation Conducted Telephone Number 1432 120th Street, New Richmond, WI 9/18/05 715- 246 -2454 Property Owner DCCI Land Planners Inc Parcel ID # Pending Page 2 of 3 Boring 3� # El Pit Ground surface elev. 929.83 ft. Depth to limiting factor >96 in. Sal Application Rate Horizon Depth I Dominant Col6d Redox Description Texture Str Consistence Boundary Roots GPDW I I in. I Munsell I Qu. Sz. Cont. color I I Gr. Sol. Sh.) } 1 } - Efl1#1 i - 0102 } 1 0-15 10yr3/2 - sil 2msbk dsh as 2f .6 .8 2 15 -25 1 4 - sil lmsbk dsh C' if .4 .6 3 25-41 10yr4 /4 - sicl lmsbk dsh C' if •2 • A 41 - 9F 116 IA 7 L6 r— --� ri I I Bwft# W 1 U Pit " ouna wxrave ctev. - m VOM w 1 TN" Teram m. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Efr#1 - Eff82 1 1 1 1 1 1 i i 1 1 1 1 F]'ng # BPit oring Ground surface elev. ft. Depth to limiting factor in. Sod Application Rabe Horizon Depth Dominant Redox Description Texture Structure Consistence Boundary Rods GPDA? I I in. I Munsell I Qu. Sz. Cont. Color I I Gr. Sz. Sh. I ) } } - Eff#1 I - EfF#2 } • r-*h wr* 01 = Rnn > nn < m ennA anrd TS2.S >in < 1.rin mnA * Ffl6 w* ih = RM < In mnA aryl TR.R < 31n nnA 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- 2648777. S81).9330Test (R.07A10) L DCCI LAND PLANNERS, INC. • SOIL BORING Lot # 3 - MEADOW RIDGE OF TROY NW 1/4 OF THE SE 1/4 OF SECTION 17, A BENCHMARK O P L A T28N, R19W, TOWN OF TROY, ST. -TOP OF CONDUIT CROD( COUNTY, WISCONSIN. ALT BENCHMARK • • -TOP OF CONDUIT LO" • wra • • wra w :. • w l • TOM NELSON CST - LAc. # 227387 N NOTE: THE CONTOURS IDENTIFIED ENVIRONMENTAL BY DESIGN ARE PRIOR M CONSTRUCTION. „ M• CONSTRUCTION GRADING WAS IN 1432 120TH ST. PROCESS DURING SOIL TESTING. • + • NEW RICHMOND, WI 54017 CONTRACTOR MAY NEED TO CONFIRM FINAL CONTOURS i • ph. # 715 - 246 -2454 DURING INSTALLATION. . '*% { i � i SCALE IN FEET 1- - 4o' 100 0 100 � Q • 3 6 7 . EL= 929.83 � � � � � B1 N L =9 1.68 EL =927 / - z — / / EL= 932.DT L EL= 931.16 1 � ,/ Lo V EL=930.15 ®EL= 931.47 N ~ N w w 945.80 946.80 .00 B3 0950.44 NOTICE TO INSTALLER: Instructions must remain with installation. SECTION: 6.10.110 FM0478 ��!! // p ` QZ ' ,, TY PUMfaB 91AII / ,9,.1, / „ 1104 ` Supersedes Product information presented ® 0103 here reflects conditions time lO of publication. Consult factory L/,Y, regarding discrepancies or visit our web site: inconsistencies. MAIL TO: P.O. BOX 16347 Louisville, KY 40256 -0347 SHIP TO: 3649 Cane Run Road " Louisville, KY 40211 -1961 www.zoelter.com (502) 778 -2731. 1 (800) 928 -PUMP " FAX (502) 774 -3624 ZOELLER DOUBLE PIGGYBACK VARIABLE LEVEL FLOAT SWITCH 10 -0229 -115W1 HP -15 FT. cord 10 -0230 - 230V/2 HP -15 FT. cord Designed for EFFLUENT, SEWAGE AND DEWATERING applications. READ ALL INSTRUCTIONS BEFORE INSTALLING INSTRUCTIONS -ALL APPLICATIONS ® O WARNING Make sure the pump electrical supply circuit is equipped with fuses or circuit breakers of proper capacity. A separate branch circuit is recommended, sized according to the National Electrical Code for the current shown on the pump name plate. A WARNING FOR YOUR PROTECTION ALWAYS DISCONNECT PUMP FROM ITS POWER SOURCE BEFORE HANDLING. Single phase pumps are supplied with a 3 -prong grounded plug to help protect you against the possibility of electrical shock. ® O WARNING DO NOT UNDER ANY CIRCUMSTANCES REMOVE THE GROUND PIN. The 3 -prong plug must be inserted into a mating 3 -prong grounded receptacle. If the installation does not have such a receptacle, it must be changed to the proper type, wired and grounded In accordance with the National Electrical Code and all applicable local codes and ordinances. A CAUTION Zoeller 10 -0229 and 10 -0230 Double Piggyback Variable Level Float Switches are de- signed for use with the appropriate voltage and horsepower, nonautomatic, single phase, Zoeller pumps. e CAUTION Use 10 -0229 for 115V and 10 -0230 for 230V. Both 10 -0229 and 10 -0230 can be used as a control switch for a magnetic or combination starter. Maximum temperature must not exceed 140° F. 2 NOTE: UL Recognized and CSA approved. Co CORDS SECURED NOTE: Consult factory for controlling units over I% HP with variable level float switch. ° TO DISCHARGE Z PIPE INSTALLATION INSTRUCTIONS o_ GRAY FLOAT 1. Decide the desired pumping ran a Fi The distance between the float ON TOP 9 for your installation. (See 9• 1. ) mounting damps is equal to the pumping range (1 to 48 inches). Secure'the float cable clamps to the 'ON' — discharge pipe at the distance you desire. (See clamp detail in Fig. 6 on next page). The gray float must LEVEL be on top. (The cable damps are releasable, which permits readjustment and removal.) NOTICE: Do not adjust "Ofr' Level below discharge on pump. 2. Insert the piggyback plug from the switches into a standard grounded outlet of proper voltage. For FLOAT — automatic operation plug the pump directly into the piggyback plug. (Pump can be manually operated CLAMPS by bypassing piggyback plug.) See Fig. 2. "' NOTICE: For installation utilizing a watertight junction box or similar connections, see Figure 3. NOTICE: For installation as a control switch for magnetic or combination starter, see Figure 4. "OFF — 3. Securely tape or damp both piggyback switch cord and pump cord to the discharge pipe, dear of float i LEVEL operation. (See Fig. 1.) Excess cord should be coiled and fastened to the discharge pipe. 4. Clean basin free of debris after installation. 5. Check and test your installation. Fill basin with water and allow pump to cycle to insure proper range and operation. FIGURE 1 SK308B NOTICE: For installation utilizing a Piggyback Float Switch connection use Zoeller Qwik•Box. See FM1420 DISCONNECT S :DISCONNE Cr A) Remove (cut) Piggyback SWITCH ITCH Plug from Variable Level PUMP PLUG WATERTIG T Float Switch. Remove ap- 3 U L? L, JDNCTIONBOK WH prox. 3W of Cord Jacket Ll AUTOMATIC MANUAL and 1" insulation from OPERATION OPERATION Wires. BLACK BLACK � O O TE fl °fl °fl "" " RED E B) Wire Switch into Circuit as i a p shows. a ° W MLDE OD MITE SPLICE C) Return to Instructions. MOLDED GREEN SPLICE BLACK D) Installation must be in SWITCH PLUG SK308A PUMP I MW agreement with the National Electric Code VARIABLE VARIABLE LEVEL FLOAT and all local codes. LEVEL SWITCHES FLOAT SWITCHES SK378B FIGURE 2 FIGURE 3 SK308C S.J.E. 1011888A FIGURE 4 0 Copyright 2004 Zoeller Co. All rights reserved. ZOELLER SWITCH -MATE SINGLE PIGGYBACK VARIABLE LEVEL FLOAT SWITCH REFER TO OTHER SIDE FOR INSTRUCTIONS FOR ALL APPLICATIONS. 10-0055- 115V /Max. % HP 13A 10' cord for EFFLUENT, SEWAGE and DEWATERING 10-0032- 115V/Max. 1 HP 15A 15' cord for EFFLUENT, SEWAGE and DEWATERING 10-0033- 230V /Max. 2 HP 15A 15' cord for EFFLUENT, SEWAGE and DEWATERING CF 10-0034- 115V/Max. % HP 13A 15' cord for EFFLUENT, SEWAGE and DEWATERING 10-0035. 230VIMax. 1 HP 13A 15' cord for EFFLUENT, SEWAGE and DEWATERING 10 -0063 - 115V /Max. % HP 13A 20' cord for EFFLUENT, SEWAGE and DEWATERING 10-0559- 230WMax. 2 HP 15A 20' cord for EFFLUENT, SEWAGE and DEWATERING 10-0705- 115V /Max. % HP 15A 20' cord for EFFLUENT, SEWAGE and DEWATERING 10-0706- 230V /Max. 1 HP 13A 20' cord for EFFLUENT, SEWAGE and DEWATERING 10-0748- 230V /Max. 3 HP 20A 25' cord (No Plug) for EFFLUENT, SEWAGE and DEWATERING (120 °F Maximum Liquid Temperature) Zoeller Switch -Mate Variable Level Float Switches are designed for use with the appropriate voltage and horsepower, nonautomatic, single phase, Zoeller pumps. Maximum liquid temperature must not exceed 1207 for 10 -0748. Zoeller Switch -Mate Variable Level Float Switches can be used as a control switch for a magnetic or combination starter. Maximum temperature must not exceed 140° F. See figure 9. Single Piggyback Variable Level Float Switches are recommended for use in 18" minimum diameter pits or basins. NOTE: Consult factory for controlling units over 1'/2 HP with variable level float switch. 25 CORDS SECURED TO (B) DISTANCE DISCHARGE PIPE FROM MOUNTING CLAMP TO FLOAT 20 IN INCHES P/N lamas 15 "ON" PM 10-1055 LEVEL 1 0 PM 10 -0032 PIN 10.0033 a PM 10-0034 P/N 10.0035 U 5 PM 10-0063 P/N 10-0559 `l P/N 10.0705 I— —n — ` PIN 10-0706 A L -1 .1 — FIGURE 10 0 5 10 15 20 25 30 35 40 SK1299 (A) PUMPING RANGE NOTE: Measurements as shown are approximate. IN INCHES Exact measurements to be determined for each "OFF' individual installation. LEVEL INSTALLATION INSTRUCTIONS FIGURE 5 SK3051 1. Decide the desired pumping range for your installation instruction. (See Fig.5 and Figure 10.) (B) is the distance between the mounting point of attachment and the float. The distance (B), determines (A), the desired pumping range. 2. At Distance (B), determined from Figure 10) place the cord into the damp as shown in Fig. 6. 3. Position the float to the desired "OFF" level and secure the damp to the discharge pipe as shown in Fig.6. 3.5 INCH See Fig. 5 noting water line. NOTE: Do not install cord under hose clamp. TETHER LENGTH 4. Tighten hose damp using a screw driver. NOTE: Do not over tighten. Over tightening may result in FOR DOUBLE damage to the plastic damp. Make sure the float cable is not allowed to touch the excess hose clamp FLOAT band during operation. IIII NOTICE: Do not adjust "Off" Level below discharge on pump. 5. Insert the piggyback plug from the switch into a standard grounded outlet of proper voltage. For automatic 3.5 INCH operation, plug the pump directly into the piggyback plug. (See Fig. 7.) Pump can be manually operated MINIMUM by bypassing the piggyback plug. TETHER LENGTH NOTICE: For installation utilizing watertight junction box or similar connections, see Figure 8. FOR PUMP NOTICE: For installation as a control switch for magnetic starter, see Figure 9. SWITCH 6. Tape or clamp both piggyback switch and pump cords to the discharge pipe, dear of float operation. (See Fig. 5.) Excess cord should be coiled and fastened outside the basin. FIGURE 6 7. Clean basin free of debris after installation. sK,3o,D 8 Check your installation. Fill basin with water and allow pump to cycle to insure proper range and operation. DISCONNECT A) Remove (cut) Piggyback DISCONNECT SWITCH SWITCH Plug from Variable Level Float Switch. Remove ap- PUMP PLUG prox. 3' /s" of Cord Jacket AUTOMATIC MANUAL WATERTIGHT �+ L3 OPERATION OPERATION JUNCTION BOX and 1" insulation from Wires. B) Wire Switch into Circuit as i i 1P OvO MITE shows. I CI G CI I C) Return to Instructions. BLACK D) Installation must be in SWITCH PLUG N SK308A agreement with the Na- VARIABLE tional Electric Code and all PUMP LEVEL l ocal co des. PUMP V LEVEL E FLOAT SWITCH SK306A FLOAT SWITCH FIGURE 7 FIGURE 8 FIGURE 9 SK378A © Copyright 2004 Zoeller Co. All rights reserved. UH /10lLUVO VO:JO YRd 71� L90 41140 UC,itl�l�.A UJAiCAlV1Ca WJ000 U 2 7 31 P 5 51 T aco N. W&M Si� I�IX Co c, V R,ECi jVW FOR RECORD L ipWAPJLO`T'YDEED 01/1412M V1SSM Elm 0hA'EO Domment No. NZ PETS i 15.0 Thin Deed made between VALLEY LAND. � M . t lva. of COMPANY, 0 MiaW90ls Wporation, Gs°wwr and r 3 DW LAND PLA1r1NM, INC,. Gmtee ' Wiinessttby 7Ut tlio sa Ura atot copiveys to Gera m certain tea dam in St an ExiiE�tSibt A of Wi9conain. l*&apy (the "Property"), Togctber with all s sun apps: � Tbia ta is wit5out wsurai4, exeeQt t3raator coveawts and mpawou the T I17.: Grantor ho not n,ado, dons, executed a ~ suf'.Vd nay act ar d1ing wb=vby the a ar described property ar my PW Irt eM time hereaw, shall or gray be impm d, oblMed . Or wmmbmvd in' MW rn =cr, and enamor wiU a►si=t thk to ow -abovadeeadbrd propaty ajpdwt.sll paw= claiming the our. from or &VUt i C however, thatt tl►e convey+m� ficrcbY =We and the a result of any each act: or tl>iug. lx oiled► prt Earth ctoa P,x2ribit l am ' �waimuty of omto9r is ft raw limited by and subject to ftw ir> . Dattxl this .., eay of Jaauwy, ZOOS, >vA VALLCX COMPANY, A 11b corpora Its: ----� ACKNOR��GNr ,STTrATE O ----` )SS C0. UNT'Y QF _ . . ... $. Yallcy, sa 2005, the above named 0' Persoaslly cams before Me � y ' s eso�ia CoaPorati�, haviAt full autboritY to do so and � w President of Valley Land Cow' o executed the f=jcj g inMuomt arnd solmovWged the to me knowai to be the PeM . _ sema $taw of cauuni:aion ( i�s)� N08'54 505.24' 7fi7.fi3 136.44! 759.04!''5'39 "E LOT 2 I _ 1 ■ LOT 1 t LOT 3 LOT 4! LOT 5 f 1 , � ow R ib 1 'ti 1 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County St. Croix Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. Pending percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location DCCI Land Planners Inc Go Lot NW 1/4 SE 114 S 17 T 28 N R 19 E (or) W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1505 HWY 65 3 Meadow Ridge Of Troy City State Zip Code Phone Number ®City ® Village • Town Nearest Road New Richmond I WI 1 54017 1 ( I East Cove Road New Construction Useo Residential / Number of bedrooms 3 to 4 Code derived design flow rate 450 to 600 GPD ® Replacement ® Public or commercial - Describe: Parent material Loess over glacial till Flood Plain elevation if applicable TTY ft. General comments s *with noncontinuous bands, V, sl, Om, 7.5yr4/4 and recommendations: a 11 Boring Boring # n. Pit Ground surface elev. 931.68 ft. Depth to limiting factor >110 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIfi? in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -9 10yr3 /2 A 2msbk dsh as 2f .6 .8 2 9 -18 10 4/4 sil lmsbk dsh cw if .4 .6 3 18 -28 10yr4/4 sict lmsbk dsh cw if .2 • 4 28 -42 7.5yr4/4 is Osg dI cw - .7 1.6 5 42 -110 7.5yr4/4 s Osg dl - - .7 1.6 r I I i i i 2] Boring # 11 Boring 931.47 >96 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 -12 10yr3 /2 sil 2msbk dsh as 2f .6 .8 2 12 -19 10 r4/4 sil lmsbk dsh cw if .4 .6 3 19 -33 10yr4/4 sicl Imsbk dsh ew 1f 2 3 4 33 -96 7.5yr4/4 sl Ifgr dsh - - .4 .7 * Effluent #1 = BOD > 30 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = B01) 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature CST Number Thomas C Nelson 227387 Address Date Evaluation Conducted Telephone Number 1432 120th Street, New Richmond, W1 9/18/05 715- 246 -2454 1 A Property Owner DCCI Land Planners Inc Parcel ID # Pending Page 2 of 3 F 3 Boring # 11 Boring 0 pit Ground surface elev. 929.83 ft. Depth to limiting factor >9b In Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 I *Eff#2 1 0 -15 10yr3/2 - sit 2msbk dsh as 2f .6 .8 2 15 -25 10 r4/4 - sit lmsbk dsh cw 1f .4 .6 3 25-41 10yr4 /4 - sicl Imsbk dsh cw if .2 • 4 41 -96 1Oyr4/4 - s* Osg dl - - .7 1.6 F-1 Boring # !. i Boring Pit Ground surface elev. ft. Depth to limiting factor in. — go - 41 — Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 I *Eff#2 Boring D Boring # Ground surface elev. ft. Depth to limiting factor in. ® Pit 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 * 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. SBD- 8330Tw (R.07M) POWTS OWNER'S MANUAL MANAGEMENT PLAN FILE INFORMATION SYSTEM SPECIFICATIONS O wner 11CGT L p /IBS „jam Septic Tank Capacity /oo ga1 C3 NA Permit # i Septic Tank Manufacturer r E3 NA DESIGN PARApVIET RS Effluent Filter Manufactuu er N � ❑ A Number of Bedrooms 100gpd1bedroom p NA Effluent Filter Model ❑ NA Number of Commercial Units NA Pump Tank Capacity ,-o gal ❑ NA Estimated flaw (average)* q7 gal/day Pump Tank Manufacturer W E3 NA Design flow (peak), estirpatad x 1.5* Sv gal/day Pump Manufacturer o ❑ NA Soil Application Rate .n Q ,3 gavday Pump Mode rP Dispersal Cell s ❑ NA Pretreatment Unit lnfiuentInfluent/Effluent Quality (N ❑) Monthly Average ** p Sand/Gravel Filter DNA Fats, Oil &Grease (FOG) c 30 m ❑Peat Filter f Biochemical Oxygen Demand (BODs) ❑Mechanical Aeration ❑ Wetland Illj 'total Suspended Solids (TSS) :!5 220 mg/L O Disinfection p Other: 250 mg/L Manufacturer: Model: Dis Preheated Effluent Quality p Monthly Average * ** p ( ) Biochemical Oxygen Demand (BODs) S 30 C3 In-ground (gravity) ❑ In-ground (pressurized) Total Suspended Solids (TSS) mg/L ❑ At -grade ANLound [ FecalColifonn. (geometric mean? 5 30 mg/L ❑ Drip -line p Other: <20 + cfu/100m1 Cl Leaching Chamber Manufacturer Maximum Effluent Particle Size 118 inch diameter Model Approval Stipulation *Wastewater Flow Verification on and calculations: Soil Application Rate gpd/ft� Area Req. + $ (Other than bedroom based) Absorption Area Credit per unit ft Minimum Number of Chambers ❑ Aggregate Design Flow/Loading Rate= min ** Values typical for domestic (non - commercial wastewater Mat * a s: all materials must comply with WI Adm. Code and septic tank effluent. COMM84 and be installed per manufacturers specifications ** *Values typical for pretreated wastewater, and approval letters. DESIGN CRITERIA D "Wisconsin At grade Soil Absorption System, Siting, Design & __ Construction Manual" (Converse et.al.1990) ❑ "Wisconsin Mound Soil Absorption System: Siting, Design & Construction Manual' Converse, J.C. and E.J. Tyler. Publication 15.22 Q . "Design of Pressure Distribution Networks for Septic Tank -Soil Absorption Systems" Publications 9.6 ❑ "Design of Conventional Soil Absorption Trenches and Beds ". R.J. Otis - ASAE Publications 5 -77 and "Design Manual - Onsite Wastewater Treatment and Disposal Systems ". EPA 625/1 -80 -012 October 1980 0 SBD - 10570 -P (R -6/99) "At -Grade Component Manual Using Pressure Distribution" ❑ SBD - 10567-P (8.6/99) "In Ground Absorption Component Manual" ❑ SBD - 10705 =P (N.01I01) "In Ground Soil Absorption Component Manual" Version 2.0 p SBD - 10628 -P (N.6199) "Recirculating Sand Filter System Component Manual" Y P ❑ SBD - 10656 -P (N -6199) "Split Bed Recirculating Sand Filter System Component Manual" ❑ SBD 10572 -P (R 6/99) Mound Component Manual' JR -SBD - 10691-P (N.01 101) "Mound Component Manual" Version 2.0 ❑ SBD - 10595 -P (R.6r)9) "Single Pass Sand Filter Component Manual" 0 SBD - 10657 -P (8.6/99) "Drip -lino Effluent Disposal Component Manual" ❑ SBD - 10573 -P (R 6/99) "Pressure Distribution Component Manual" ❑ SBD - 10706 -P (N.01 /01) "Pressure Distribution Component Manual" Version 2.0 ❑ Drip -line Effluent Dispersal Component Manual for Multi -flo Onsite Wastewater Treatment Units MAINTENANCE AND MANAGEMENT MAINTENANCE MONITORING SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At Ieast once every p months M year(s) (Maximum 3 yrs.) Pump out contents of tank(s) When combined sludge and scum equals one -thir (1/3) of tank volume Inspect dispersal cell(s) At least once every ❑ months LV years) (Maximum 3 y,rs,) Clean effluent filter At least. once every p months 01 years) Inspect EM, pump controls & alarm At least once every ❑months years) C3 NA Flush laterals and pressure test At least once every ❑ months years p NA Valves At least once every 0 months ❑ year(s) p NA Other: At least once every ❑ months ❑ ear s Y O ❑ NA Page of me grouna surface whenever possible. Note: this does not include laundry waste, showers, dishwater, etc. This system is designed to handle domestic strength wastewater, however the disposal of food based greases and oils, vegetable/fruit peels and seeds, bones, and food solids such as those produced by a garbage disposal should be minimized. Toilet tissue is the only paper that should be discharged into the system. Other non - biodegradable items such as baby wipes, tampons, sanitary napkins condoms, cigarette butts, dental floss, and cotton swabs should not enter the system. Chemicals such as petroleum products, paint, disinfectants, pesticides, antibiotics, solvents, etc., should not be flushed into the system as they can seriously damage your POWTS and contaminate your drinking water supply. Maintain a regular steady flow by spreading laundry washing throughout the week. Avoid vehicle traffic over all system components. Compaction of snow over the dispersal unit may cause it to freeze up. ❑ Valves Valves shall be operated in the following manner: A!X Alarms Alarms should be tested on a regular basis by the home owner. If an alarm sounds, contact an individual licensed to service POWTS, There is normally a 1 day reserve under regular operating conditions, however water should be conserved until any problems with the system are corrected to prevent back -up of sewage into the dwelling or surfacing. INPECTIONS Inspection shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Maintainer or Septage Servicing Operator (per the attached Maintenance Schedule). ASeptic Tanks Component Tank inspections must include a visual inspection of the tank to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any backup or ponding of effluent to the ground surface. Access - openings used for service or assessment shall be sealed and/or locked upon completion of service. Any defects shall be promptly corrected. Exposed openings greater than 8 inches in diameter shall be secured with an effective locking device to prevent accidental or unauthorized entry into the tank. When the combination of sludge and scum in any tank exceeds one -third (1/3) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with Chapter NR113, Wisconsin Administrative Code. The outlet filter(s) shall be inspected and cleaned to remove any accumulated solids according to manufacturer's specifications. Provisions are to be made to retain solids in the tank. Filter cleaning may be necessary at more frequent intervals than stated in the maintenance schedule to keep the system operating. Pump Chamber/Treatment Tanks Component The inspection must include a test of all electrical equipment such as pumps, alarms and floats. A visual check must be made for leaks, backups, surfacing, missing or broken security devices and other hardware and the condition of the filter. Any service needs or repairs shall be promptly taken care of. p In- Ground Gravity Component Dispersal Cells The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Ponding at depths greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. Page__2_of4 START UP For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. OPERATION The property owner is responsible for the operation and maintenance of the POWTS and submission of required reports. The quantity and quality of the wastewater stream will affect the performance and longevity of your POWTS. The installation of water - saving appliances and fixtures along with prompt repair of leaks reduces the wastewater volume. Also the brine or waste from water 1_t L - 1__i._.._. -J oun At -Grade - r d, , In G ound'Pressure The inspection shall include recording he levels g of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Ponding greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. The pressure distribution system is provided with an opening at the end of each lateral to be used for flushing. The laterals should be flushed at least once every three (3) years. Pressure checks of systems with multiple laterals should be done to ensure that equal distribution of effluent is occurring to promote the longevity of the system. REPORTS Reports for maintenance, inspection, and monitoring shall be submitted in accordance with COMM 83.55 Wisconsin Administrative Code. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to ensure that the system is properly and safely abandoned in compliance with Ch. COMM 83.33, Wisconsin Administrative Code. - All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. - The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. - After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or other inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: C3 A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon b required p Y �N setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. Cl A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. Ci The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. Ifno replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. <<WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTIAN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. T. RE.. CUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR 1 MPOSSIBLE. ADDITIONAL COMMENTS a POWTSINSTAMYA POWTS MAINTAINER Name /'t'Z It Name v ryJ /ti Phone 1S - //� == Phone s - SEPTAGE SERVICING OPERATOR (Pump er LOCA p ) L REGULATORY AUTHORITY Name Agency .;. Phone Phone G: _ K:IWPDATAIE"OWTS OWNER'S MAMAL.doe Page ( of—� Vii /la /4UVV Vo:JO VAA. !10 440 4v40 vLnAiw% wairaiuma • 09/08/2006 22:46 17163861002 DIVINE CUSTOM HOMES PA 02 ST. t►'ROIX COUNTY REBMEI,I'r SEPTIC TANK OWNERSHIP CERTMCATION FORM pwi+Buyer y (�tc:��t��t � a � ✓, Mauling AddresS hpatY Address 0 arGtteat for new co (Yettftc d= required &vm Plmarung Dcp +�aytccl Ldesfdl3catiori Number O a — / 2' a awstaro v At properly t4ation�'_ % > V4 Stx. ,,, , T R W> Town of Subdivbioa Voluttie _ Page # CerdSed•Snrve�► Map # � C> f Warranq need # a 9 <3 -3? Volume 2� Page # - Splo bow yo Lot [in" idea ifisblb QVno NAjCK t to its &tlwv to handle w gft Prop" Improper the 04 mpintersance of your reptia cYRbstt oouid re:ul P�� Whu You put into mahatensaoe Mats of pV&Vijig Out the ceptio teak every three years or so am if needed by a line d tensnca the ays m cu affeat the fumotion of the septic t=k as s treatment stage En the waft 4WOW sylwa- rr "wibt'U'ties are specified a $ Comet 63.52(1) grid in Chapter 12 - St. CYoix County Sae buy Ordinance' c artment a ecrdficadw form, sib by the owae7 nerd 't to St. C roix Coca ZoaiaC D p 1be pp rvpergr owcar agrees to cubms �` that 1 the 00-sits araattivntet diaposel by a phubgr, Jomwyaw piumber, restricted plumber or a tint wed pampa �ycrilylq ( } "M is it propar operating eondhioa Wwor (2) after imptation and popin (if Wceasary) to 8eptic tank is lean d= W fall of fudge« twin the tiva osal whh the abo and to tttaia p We, the 'geed leave read the atbo ttsquirameats � tate atandaeds aet T as stet by the Department of Coa=rco and this D nttmeat of atten Cadtteadom tdat yo tic sytt� n te taiaed must be p ted and ilt Zoning Depattraeat 0 e4 0f Y ti �QS" SIGN OF APPLICANT �� DATE A' = t Y wc t ibt SE 0 ra the let of ?'� VV�Oa1C. YWt an Ps O � Of ti1E p" dsetort p E ad in Rdzister o O /f Q Jj ATE NA AP PLIC . _ • �• +•i Any iatormution tttet u tnisc+eDtestnbPd shay reatitt is tba �an3teeY p crmdt Ing rovoked by tho Zoning Department. ee"e'w Include with Shit ap plicadom at 6018 wa=tyneed tom the Regim of D" MCC and a copy of the cestified envoy AUp if row 10 made in the wxrrmw deed. r"PIPINAL Visconsin SOIL EVALUATION REPORT #2488 Department of Commerce in accordance with Comm 85, Wis. Adm. Code Page 1 of 2 Division of Safety and Buildings Certified Soil Testing, LLC Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must County St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. 040 - 1310 -00 -003 Please p pp �� Reviewed By Date Personal information you provide may b tbi�cr used FQD (Privac y Law, s. 15.04 (1) (m)). Property Owner Property Location DCCI Land Planners, Inc. SEP 2 5 2006 Govt. Lot NW1 /4, SE1/4, S17, T28N, R19W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1505 HW 65 ST, CROIX COUNTY 3 1 1 Meadow Ridge Of Troy City Sta 7i,n Qnj. Phone Number IJI. City [] Village X Town Nearest Road New Richmond I WI 1 54017 Troy 1 460 Meadow Ridge Trail New Construction Use: ® Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement ❑ Public or commercial - Describe Parent material loess over till Flood plain elevation, if applicable NA ft. General comments install 8'x 57' rock cell mound on 99.8 as upslope edge of rock w/ 1.0' sand fill @ 0.4 gpd /sq ft basal and recommendations: loading; supplement to Nelson report, 9/18/05 1 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 1ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Etf#1 KEff#2 I see Nelson report for pit profiles; shallow sid & sl (& sl bands in s) suggest better longevity w/ mound 2 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 /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 i I i '- -- recommending 1.0' sand fill to give effective sand filter & approximate highly treated effluent for infiltration into in -situ soils Effluent #1 = BOD 30 < 220 mg /L and TSF 10 < 150 mg /L " Effl nt # - BOD !L and TSS < 30 mg /L CST Name (Please Print) Si na ure: CST Number Henry F. Grote 222774 Address Certified Soil Testing, LLC Date Evaluation Conducted Telephone Number E, 4366 353rd Ave. Menomonie, WI 54751 9/20/2006 715 - 233 -0398 SBD -8330 (R 07 /00) ado. Rtg i %ro -. P J P "" 1 71. R _ 13ta,44' � ✓ o 01.0 4 o Z o Q-p r o Q � � a3Z.�Z D d a\ Lv A e,, Ali r— r .f Wisconsin Department of SOIL EVALUATION REPORT pap 1 of 3 Division of Safely and Butidings �than with Comm 85 Wis. Adm. Code � �r+c' CountyCountySt Croix Attach complete ego plan on x 1 irch es t � kCIU VW include, but not Waited to: vertical and horizontal reference (BM), direction and parmet I.D Pw=% ,�^"°.: o ftne.nsic — t. no !!::.^ �•. and !...... : d d'.'' -%m L^ near'` mad. PCnd1D$ mesas pnm an nrronn n. I 9,1 71005 ;- ...:...�::,, Personal Information you provide may be used for secondary 01�nD( 01 Law, s.15.04 1 m)). IV Property Owner ZONI Location 13 El DCCI Land Planners Inc rno—tL t 1/4 SE 1/4 S 17 T 28 N R 19 Properly Owner's Mailing Address Block # Subd. Name or CSlWW { I HWY 65 { 3 { { McAdow Ridps (3f Tmv { -T TXQY I City State Zip Code Phone Number Village U] Town Nearest Road New Richmond WI 54017 ( ) East Cove Road 0 New Construction llseE] Residential / Number of bedrooms 3 to 4 Code derived design flow rate 450 to 600 GPD n Replacement _n Public or commercial - Describe: ParraM mnMaial Loess over elacial till Fkwvl PbAn alavatinn if an nfirAhle 1 T • it { General: s*with noncontinuous bands, 1 ", sl, Om, 7.5yr4/4 aid n Bps I 1 E] pit Ground surface elev. 931.68 R Depth to limiting factor %110 I Soil Application Rate Horimn Depth Dominerit Cclo4 Redox Desaip m Texhae Structure Consistence Boundary Roots D/ff in. Munsd Qu. Sz. Cont. Color Gr. St. Sh. `Eff#1 *002 1 0-9 10yr3/2 - sil 2msbk dsh as 2f .6 .8 { 2 { 9 -18 { 1 n.-AiA { - { sil { 1 mshk { dsh { rw { If { .4 { .6 { 3 18-28 10yr4/4 - sicl lmsbk dsh ew if 2 .3 4 28-42 7.5yr4/4 - IS OSR dl cw - .7 1.6 5 42 -110 7.5yr4/4 - s OS9 dl - - .7 1.6 1 1 I I I 1 1 I I 1 1 I ❑ 2 0 6 Boring # n pit Ground surface elev. 931.47 ft Depth to limiting factor >9 in. _ Sal Rabe Horizon Detach Dominant ZQ Redox Description T Textu e T Structure Consistence Boundary_ Roots GPApplication { { in { M...0 ( nor S, r1nnt cnk,r { { r S, S { { { -r-w -r-w 1 0-12 10yr3/2 - sil 2msbk dsh as 2f .6 .8 2 12 -19 10yW4 sil lmsbk dsh cw if .4 .6 3 19 -33 10yr4/4 - sicl lmsbk dsh Cw if 2 .3 33 - n ---A - _ A '7 1 4 ,., { r..r7i�4 - si �.� l dsh { - i { • Ettiuent #1 = SOD_ > 30 < 220 mall and TSS >30 < 150 nw& ' Eftient #2 = BOD_ < 30 riw_ il. and TSS < 30 mall rST Narrw ipwmw Prina — - — Ginnah mn MT Ni wniwr Thomas C Nelson 227387 Address Date Evaluation Coriduo6ed Telephone Ntenber 1432120th Sheet, New Richmond, WI 9/18/05 715- 246 -2454 S T CROIX C &A IL PLANNING &. ZONING March 1, 2006 Mr. Thomas Nelson 1432 120" Street New Richmond, WI 54017 RE: Meadow Ridge of Troy Soil Evaluation Reports Review Code NW /SE Section 17, T28N, R19W Town of Troy � Administration 715 -386 -4680 Dear Mr. Nelson: Land Informadon & I have completed a review of soil evaluation reports submitted to our office for Lots 1 — 31 Planning on the above - referenced development and find that additional information will be required 715 - 386 -46:> for two o the e following Il i o f e r ports. The fol owing summary provides specific data that will be necessary before these reports can be used to design private on -site wastewater treatment systems Real operty (POWTS): 7 Lot 3 — The memo section of the soil test indicates sandy soils with noncontinuous bands, R .. cling 1 ", sl, Om, 7.5yr4/4 are present, however the soil report doesn't indicate which boring tas q - 386 -4675 the noncontinuous bands. Please contact me at the Zoning office and indicate which � N Z boring, which horizon this pertains to and how this will effect the loading rate. Lot 10 The soil report indicates fill material in boring 2 from 0 to 21 inches and a soil application rate of 0. This boring is unsuitable for a mound or at -grade system. Since borings 1 and 4 report redox features at depth a conventional system will also not be suitable. A state onsite will need to be completed to determine if Horizon 1 in boring 2 would be acceptable for installation of a mound or a - p at -grade POWTS system. Another option would be to complete additional borings to define a suitable soil dispersal area. No sanitary permit can be issued for this lot until one of the above mentioned options have been completed and submitted to the county for review. I Our office, as a "governmental unit" for the state, is required by WI Comm 85.50 to complete soil report reviews within 6 months of receipt; these reports were submitted on 9/18/05. Please feel free to contact me if you have questions regarding the soil report review or status of individual lot reports. Sincerely, Ryan Yarrington Zoning Technician Cc: DCCI Land Planners Inc., 1505 Hwy 65 New Richmond WI, 54017 Leroy Jansky, Department of Commerce ST. CROIX COUNTY GOVERNMENT CENTER 110 1 CARMICHAEL ROAD, HUDSON W1 54016 715 - 386 -4686 FAA 1 PZ000.SAINT- CROIX.WWS WWW.CO.SAINT- CROIX.WI,US � J • a � 9 Q a • � 41, _ • • O • � 1 i ��a� ►�n� „- 0