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HomeMy WebLinkAbout030-2153-06-000 a ° o M y O 0. C M O ao ~ w. ~ O .r O N C ~o M 3 N r0 n ~y C0 C3 U (6 ii C - cC _ N ~ C N_ a .1' a O N Ir N O 0 0 U > O D y a ~ C N N 7 O 7 _ Z spas I LL C O) C N O r i 0,6 3 00 a- -0 00 Z - m I Q J o L fly' 3 M (D Iill: Z E a 0) w 0 Z - o a Z ° N CD C) i) - W d CO N I- U) _ a N ~ I C U' C M o Z a o N Z '=3 to a~ E Y a a~ U O L - O w 3 O (D N N N L 0 N w c D • AJ p L T O 2 Z Z N a I LL r I •p ►y. ld L N N = Q,) -0 d r 00 O d `y LO W c o o a E `O E O (n !n In L d - 3: d U Z O 0 0 N m CL Q :6 t w ! O n o 0 I ~ N J U N Z y N 0 wV M Z O i U) o - ° a ~ o I 0000 m C t a w cn a m ¢I n (n w I',, d 0 3 o y c o a (D € U.) cn C~ O N N C p N ~ CIJ o . N N C7 a~ N N a = q~ MCI M C i M O p Ono O E p N O O M • N ~ O N U) I; > In O Z d Z O E r \ E v v~ m • • a i+ at o. I L -•am m .2 _ j 1, m y c `1v E c c r~ 3 0 o ~1 A UCL ~ ',0(j) commerce.wl.gov Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 57, C 12 0/ sco n s i n Madison, W1 53707-7162 Sanitary Permit Number (to be filled in by Co.) Itinepartmerwt of Commerce 53Y 5 Sanitary Permit Application to Transaction Number ~j In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate governmen 72- 57 / 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 ur oses in accordance with the Privacy Law, s. 15.04 1 m), Stats. 1. Application Information - Please Print All Information RECEIVE) Property Owner's Name Parcel # / r~rvt > ~ ,4,v z 03o- ;?/5 3- 06 - Property Owner's Mailing Address APR 1 11 Property Location / -3o-76,) -3o-76,) /-/70 S v(.! % H 5 7" 57 • ST. CROIX COUNTY Govt. Lot City, State Zip Code PA1gb%RAJANINk3Vl-I4UI: a, Section V P/) ' o teT 0 S~(~ cucle 10) one)_ T N; R~EoW II. Type of Building (check all that apply) Lot # 14 1 or 2 Fnamily Dwell' g - Number of Bedrooms 2 J Subdivision Name 1'ifQ~r✓ Block # ~i D~uL c ,e ~i v (c F ❑ Public/Commercial - Describe Use ❑ City of ❑ State Owned - Describe Use CSM Number ❑ Village of ® Town of cl DS !fin` III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. N New S stem ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) List Previous Permit Number and Date Issued B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New Before Expiration Owner IV. Type of POWTS System/Component/Device: Check all that apply) ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade K Mound > 24 in, of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dis ersal/Treatment Area Information: O Design Flow (gpd) Design Soil Applic tion Ratettgpdsf) Dispersal Area Re fired (sf) Dispersal Area Proposed (sf) System Elevation may, o• (o D h,11 7S-0 L115-0 %~G/l 22 . 3 b~✓ 10_0' 9/"'1 VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units n ` Uo $ New Tanks Existing Tanks c a~ 2 a U in H vt iJ. C7 C% Septic or Holding Tank /0(90 `©e a r L 5 G r Dosing Chamber 570t9 S'00 t r 5 r VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumb 's Si ature MP/MPRS Number Business Phone Number avt4ju 5c14 ktcrn' Zz37b 715-76o-oYf,G Plumber's Address (Street, City, State, Zip Code) 4/0 /S 0 %F/ -570 W E Ie T lilJT 5~~ S VIII. ount /De artment Use Only gent Sna e Permit Fee Date Issued A pproved El Disapproved $ 11 Owner Given Reason for Denial 32 L7~~Fg I6' C' I "Vjf ARroval/Reasons for Disapproval 1 Septic tank, effluent filter and Y dispersal cell must all be serviced / maintained e.1nJjJM'4 1,ctr .s-7'7(-~ as per management plan provided by plumber. 01/ 2. All setback requirements must be maintai as Pei applicable r1s for the system and submit to the County only on paper not less an S 11, /111,,in~ches in si~ze~J SBD-6398 (R. 02/09) Valid thru 02/11 U Safety and Buildings 3824 N CREEKSIDE LA commerceml.gov HOLMEN WI 54636 Contact Through Relay vAvw.commerce.wi.gov/sb/ i s c o n s i n www.wisconsin.gov Department of Commerce Scott Walker, Governor Paul F. Jadin, Secretary April 06, 2011 CUST ID No. 223760 ATTN: pOWTS Inspector JOHN F SCHMITT ZONING OFFICE SCHMITT & SONS EXCAVATING ST CROIX COUNTY SPIA 616 150TH AVE 1101 CARMICHAEL RD SOMERSET WI 54025 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/06/2013 SITE: Identification Numbers Jamie Vanzee Transaction ID No. 1925797 1456 48TH Street Site ID No. 765924 Town of Saint Joseph Please refer to both identification numbers, St Croix County above, in all comes ondence with the agency SEl/4, NE1/4, 520, T30N, R19W FOR: Description: Three Bedroom Mound System / 16% slope Object Type: POWTS Component Manual Regulated Object ID No.: 1309163 Maintenance required; 450 GPD Flow rate; 33 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Version 2.0, SBD-10691-P (N.01101), Pressure Distribution Component Manual - Version 2.0, SBD-10706-P (N.01101); Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. 0 The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code PCo•O 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, ON stats. PARjM pIVISt PA Of E The following conditions shall be met during construction or installation and prior to occupancy or use: DE Reminders • A sanitary permit must be obtained from the county where this project is located in accordance with the SEE COF requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements or inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20 2 d , Wis. Stats. • A state approved effluent filter is required. 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. • The area within 15' downslope of the dispersal cell shall remain undisturbed. Vehicular traffic, excavation or soil compaction is prohibited in this area. to • A co of the approved plans, specifications and this letter shall be on-site during construction and p pen inspection b authorized re resentatives of the Department, which may include local inspectors. t MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN INDEX AND TITLE PAGE '`?ECEIVED 4,,~-5 2011 SN~=E TY Project Name: VanZee Mound ©lADIN68 Owners Name: Jamie VanZee Owner's Address 409 Willard Street West Stillwater MN, 54082 Legal Description: SE1/4, NE1/4, S20, T30N, R19W Township St. Joseph County: St. Croix Subdivision Name: Pioneer Ridge Lot Number: 6 Block Number Parcel I.D. Number 030-2153-06-000 Es. Plan Transaction No. rally Page 1 Index and title )VED Page 2 Data entry COMMERCE Page 3 Mound drawings AND BUILDINGS Page 4 Lateral and Flout tank Page 5 System maintenance specifications Page 6 Management and contingency plan NDENCE Page 7 Septic Tank Specifications Page 8 Effluent Filter Information Page 9 Flout Specifications Page 10 Plot Plan Page 11 Septic Tank Maintenance Agreement Page 12 Warranty Deed Page 13-15 Soil Evaluation Report Designer: John Schmitt Licnese Number: MPRS 223760 Date: 4/2/2011 /~f Phone Number: 715-760-0486 Signature:, ti `42c,~Y/ 61 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) Page 1 of 15 Mound and Pressure Distribution Component Design Site Information R Residential or Commercial Design 300.00 Estimated Wastewater Flow (gpd) 1.50 Peaking Factor (e.g. 1.5 =150%) 450 Design Flow (gpd) 16 Site Slope 921.88 Contour line Elevation (ft) 0 Depth to Limiting Factor (in) 0. -Situ Soil Application Rate (gpd/sqft) 0•Cv Distribution Cell Information 1 Number of Dispersal Cells 0 Distance Between Cells (ft) >3ft 6 Cell Width (ft) 75 Dispersal Cell Length Along Contour (ft) 1 Influent Wastewater Quality (1 or 2) Pressure Distribution Information for a Cell E Center or End Manifold 3 Lateral Spacing (ft) 4 Number of Laterals 0.188 Orifice Diameter (in) 5.g2 Sgft/orifce 2 Orifice Spacing (ft) ~ 3 Forcemain Diameter (in) 180 Forcemain Length (ft) 927.39 Dosing Tank Outlet Elevation (ft) 4.51 Total Elevation Head (ft) 0 Force Main Drainback (gal) 0.75 System Head (ft) x 0.3 68.08 5x Void Volume (gal) 1.26 Friction Loss (ft) 68.08 Minimum Dose Volume (gal) 2.5 Distal Head Pressure (ft) 50.16 System Demand (gpm) 1.5 Lateral Diameter (in) 3 Manifold Diameter (in) Treatment Tank Information 1000 Pretreatment Tank Capacity (gal) Pt525EE] Filter Manufacturer Wieser W1000/500-MR Manufacturer and Model Filter Model Number Si hon Tank Information 500 Dose tank Capacity (gal) 9.84 Dose Tank Volume (gal/in) Wieser W1000/500-MR Manufacturer and Model Riss Dosing Device Manufacturer FL-0831 Dosing Device Model Page 2 of 15 3 1 Mound Plan and Cross Section Views T J Observation Pipe - 1 1/10 B T K O W L Mound Component Dimensions ft A 6.00 ft E 17.52 in H Aft ft K Eaft B 75.00 ft F 9.50 in 1 ft L ft D 6.00 in G 0.50 ft J W 450.00 (ft2) Dispersal Cell Area 1640.63 (ft2) Basal Area Available 6.00 (gpd/ft) Linear Loading Rate 7.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 924.17 (ft) - H GI 922.88 (ft) Lateral F Dispersal &l Invert I_ 922.38 (ft) Dispersal Cell ...E CI.:......... Elevation 921.88 (ft) Contour Elevation 1166..0--% Site Slope Geotextile Fabric Cover Shading Key a I Dispersal Cell See lateral details on 10 Topsoil Cap 1.5 ft Page 4 for number, size, w c I and spacing of laterals. Subsoil Cap es: *Z; 0 Laterals are equally ASTM C33 Sand :6 Z Typical Lateral F spaced from the ® Tilled Layer 0.5 ft distribution cell's 0 _ Aggregate o centerline in the A distribution cell (AxB). Project: VanZee Paae 3 of 15 S Center Connection Lateral Layout Diagram Foray main connection era tee or moss to manifold at any point. Laterals are identic al I<--- P S Turn"up Wball vahre or IE X-) 1+X12 11,W Laterals & force main of PVC Sch 40 cleanoutplug per COMMIT ble84.30"5 Fames drilled on the bottom of the lateral. Number of Laterals 4 Orifice Diameter 0.188 in Latter Diameter 1.5 in Orifice Spacing (X) 2 ft Lateral Length (P) 37 ft Orifices per Lateral 19 Lateral Spacing (S) 3 ft Orifice Density 5.92 ftZ/orifice Lateral Flow Rate 12.54 gpm Manifold Length 3 ft System Flow Rate 50.16 gpm Manifold Diameter 3 in Distal Head Pressure 3.02 ft Forcemain Velocity 2.27 ft/sec Dosing Tank Information Tank Dosing Device Wieser Concrete Manufacturer Riss Flout FL-0831 Manufactuer & Model Capac' 500.00 gallons Outlet Size 3 inches Volume 9.84 gal/inch Drawdown 8 inches Avery a Discharge Rate 53.66 gpm Dose Volume = Drawdown x Volume Dose volume = 8 inches x 9.84 al/inch = 78.72 gallons Distal Head Pressure = Total Elevation-(Friction Loss+ Network Loss) Elevation From Flout to Lateral Invert 4.51 feet Force Main Friction Loss 180 feet 126 feet Network Head Losses 2.5 x 0.3 0.75 feet Distal Head Pressure 2.5 feet Alarm Manufacturer Se tronics Alarm Model TM-1 C J o N 1,41-4 AJ t-loLe. geQotgelheljrSOC,~~t..~ Tot ~ k 110 STA l.1.-AT1 vent i1 E4faem Fimu Maximum Leuel 9 Minimum Leael , EI.=927.39 Table Pnn0 d of 1 r+ t -1 D 93" 69" AS m READ 57" z rn m n ^N*s' v ° UP 56" rn m 4" CAS / -nrn 3" 61 5" m \ o x I rrnn 51 v a n UP 53" I 4" CAS N ~ N J 0 C -o o m z K -0 54" z o r- Z Z D 0 > z r r rn C D ~ mi Cwm rxcow*w Z En Z ;K r°72C -1 M > 0 0 > D Z D G».a D0 j 'n0 n D OZ O o O~Z D °Z G~C0v~Zoxxx~Or N O X; 0 (n m Z p rr-CA p ap ~nv ~OV ~vV ~-t0 to (n O 0 vx cn ~ m gx 2> ;a c M4 0c ~mzW~v,F'caN.~ -0 O tcn cmnm m0 m rrDC z Nz~ (yi m •oroN mN m\ m r--~p~\~ a Z ZO 0 m =m D• -4 ND~ CA N Z \ a D< O co (,rN~w m O JO NNsv 0 -?l O y °p N~O P D (*i m O Of fn rn D r s a W 0 O v°m D n x z z N g r`* mm-'(-,, cnao Nv m c c) c> m -i u N N z z DD a mo o m o m n 1 to rr OF > r 0 D ~I n< Z °°V'i oo po o D » x z N O r- my m Z Z 0 W \ Z Z Z Cl OJ 0 -I Z v D rn ;v v{; z H c chi m ~ v n 873 grn °o U) m Z ~o Z O c m FA D z c v ;a c ° O m ado o rrn N rn r rn 3 g D D g o r rn M-q A ;a 0 rrl z Z r m N PRE-POUR: E DRAWN BY: SME SCALE. 1 4"= w1000/500-MR IUIESEa 1811BET RE~• POST-POUR: \ x DAIS: JANUARY 2010 DATE: • 0 n SEPTIC MANUAL W3716 US HWY 10 MAIDEN ROCK, WI 54750 FlLE: ~ \ 0 800-325-8456 REVISED JAN. 2010 Paae 7 of 15 INSTALLATION INSTRUCTIONS 4 ZabeI PL-525/PL-625 FILTER I AQivtitia; d Pdyblt Im. INSTALLATION INSTRUCTIONS Center filter with opening tom'. 0 :3 W H J ~ X0 e e Additional pipe or Polylok Extend & Lok° Glue for centenng. Step 1: Step 2: Step 3: (A) Locate the outlet of the septic tank. (A) Before installation, place the (A) Glue the filter housing on the (B) Remove tank cover and pump tank filter housing on to the outlet pipe. outlet pipe. if necessary. (B) Make sure that the housing (B) Insert the filter cartridge in the is positioned so the filter can be housing, making sure the filter removed from the tank for cartridge is properly aligned and maintenance and service. completely inserted in the housing. MAINTENANCE INSTRUCTIONS Step 1: Step 2: Step 3: _ocate the outlet of the septic tank. (A) Remove tank cover and pump (A) Insert the filter cartridge back if necessary. into the the housing making sure DO NOT USE PLUMBING (B) Pull the filter out of the housing. the filter is properly alighed WHEN F1 ER IS REMOVED and completely inserted. (C) Hose off the fitter over the septic tank. (B) Replace septic tank cover GLOVES Make sure all solids fall back into the WISER USE WHEN CLEANM FALTER septic tank. Page 8 of 15 Flout 'f6chnical Area Rissy Plastics, LLC Home About NEWS and new stuff Contact: Request Info Where to buy... Precaster Product Line Flout Dosing Systems Siphon Retrofits Site Map Approvals. Rissy's Blog Flout Technical Area Terms Richard Septic Systems Flout Technical Area This area is a clearing house of all information necessary to properly design, manufacture chambers for, and install FLOUTO apparatus and associated systems. DOWNLOADS: Flout application drawings in pdf. Typical Flout - Single 3" outlet Typical Flout - Double 3" outlet Typical Flout - Triple 3" outlet Typical Flout - Quad 3" outlet Typical Flout-Single and double 4" outlet Typical Alternating Flout - Pair of single 3" outlets Flout body- One 3" outlet Flout Body- Two 3" outlets Flout body- Three 3" outlets Flout body- Four 3" outlets FLOUT@ outlet flow rates FoIg9 F4oruts (Free flowing Compared to simple orifice 197 52s ) 194 5~.b 192 50,4 19o 49.2 Awt OtlAUrW vs MW 18a 480 18~ 4b.8 163 45.6 100 44.4 118 43.7 4C - " OlIfICe 175 42.0 173 40.8 ' 171) 39.6 4' Flout 6 16g 3s.4 3 167 36'o This is a graph shows flow rates for single outlet 3" and 4" Flouts. The N 160 34'8 " chart shows maximum and average flows for a 3" Flout. The flows are 157 33.6 X w 1 S4 32.4 e the maximum at tumon measured at the vent. For reference, the 151 ? .2 upper curve of each pair shows flow thru a simple orifice. Lower ,F ar 148 30.0 curve shows flow through the Flout. The average flow from any Flout 28.8 eAW 3' orifice E lag ?8.6 ' is approximately the maximum flow of one with 1/2 of the original A Air 5 139 76.4 drawdown. Multiply flow by number of outlets for multiple outlet r Flout 136 25.2 8 1 33 240 Flouts. 129 22.8 f 126 2 .6 122 20.4 ,o. 119 1y.2 1 11' 18.0 I 1 6.8 Total Drawdown = 8 inches 107 15.b 103 14.4 9a 13.2 Average outlet flow is approximately equal 94 S4 1O'S to flow at 1 /2 the original drawdown. 1 84 9.6 6 12 1! 24 30 30 42 40 54 60 711, a4 5E 6 59.00 m 4.8inches 3rmccown in 'nci cs 59 4.8 $i I,($ 53.66 m 4.Oinches nlssyPLAETICSLLJ 677 -414426'Ixtrq 51.00gom 3.6inches The New England Interstate Water Pollution Control Commission (NEIWPCC) Advisory Opinion From the Technical Review Committee httD://www.flout.net/rissvniastics2/id37.htm] Paoe 9 of 15 y Mound System Maintenance and Operation Specifications Phone' 715-760-0486 Service Provider's Name --u John Schmitt POWTS Regulator's Name St. Croix County Zoning Phone 715-386-4680 J 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 f:2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Inspect and/or service once eve 3 ears Effluent Filter Should inspect and clean at least once eve 3 ears Pump and Controls Test once eve 3 ears Alarm Should test month) Pressure System Laterals should be flushed and pressure tested eve 1.5 ears Mound Inspect for ponding and seepage once every 3 years Oth Inspect Flout for proper operation annually Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished Grade \_/0 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: VanZee Paae 5 of 15 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 BODr, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD5, 30 mg/L TSS, 10 mg/L FOG, and 104 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. Continaencv 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: pant A of 1 F VIsconsin SOIL VALUATION REPORT #1427 Department of Commerce in accord with Comm 85, Wis. Adm. Code Page 1 of 3 Division of Safety and Buildings Schmitt Soil Testing, Inc. Attach complete site plan on paper not less than 8% x 11 in es in s must County include, but not limited to: vertical and horizontal reference poi BM), coon nd St. Croix percent slope, scale or dimensions. north arrnww =nA 1-c- C„`~ ~j lance st road. Parcel I.D. 19 11- /S Pleas rim ArORItM!►elF~ ~ 3~ ~ Personal information you provide m be used for seconds Revie By Date secondary Purposes (P Law, s. 5.04 (1) (m)). / Properly Owner DEC t 3 2886 L/ d Property Location r---r- Golden Harvest Capital, LLC Govt. Lot SE1/ NE1/4, S20, T30N, R19W Property Owner's Mailing Addres Lot # TBo-Fs-ubd. dc # Name or CSM# City 14906 Blakeney Road 6 Pioneer Ridge C~ 36~6 State Z~1- p ePhone Number ❑ City ❑ Village Eden Prairie N Town Nearest Road MN 55347 (612)202-3234 St.Joseph 50Th St. New Construction Use: ❑ Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Pitted glacial drift Flood plain elevation, if applicable na ft. General comments 7 b- and recomm dations: Area* suitable for a mound system. System elevation is 100.28' based off contour line established at 72/.~a 9.28'. ope is 16%. F-11 X Boring # ❑ Boring Pit Ground surface elev. 100.51 ft. Depth to limiting factor 33 in. Horizon Depth Dominant Color Redox Description Soil Application Rate Texture Structure Consisten Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 "Eff#2 1 0-8 10yr3/3 none sil 2fsbk mfr as 2m,2f .6 .8 2 8-13 10yr7/3 none sil 2msbk mfr gw 2f .6 .8 3 13-20 10yr5/6 none sl 2msbk, mfr gw if .6 1.0 4 20-33 7.5yr5/6 none sl lmsbk mfr cw .4 .7 5 33-48 5yr4/4 fid 7.5yr6/8 sid 2fsbk mfi as 7.5yr6/2 .4 .6 6 48-57 5yr4/6 c15 5~yr2/8 sil 2mpl mfr 9s 0.0 0.2 7 57-69 5yr4/4 f1f 7.5yr6/8 sid 2fsbk mfr 7.5yr6 2 .4 .6 Boring # ❑ Boring ❑ Pit Ground surface elev. 100.51 ft. Depth to limiting factor 39 min. Horizon Depth Dominant Color Redox Description Soil Application Rate in. Munsell Texture Structure Consisten Boundary Roots GPD/ft= Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 *Efyp2 1 0-8 10yr3/3 none sil 2fsbk mfr as 2f .6 .8 2 8-17 10yr7/2 none sil 2msbk mfr gw if .6 .8 3 17-25 10yr5/6 none scl 2fsbk mfr gw if .4 ,6 4 25-39 5yr4/6 none sid 2fsbk mfr av .4 .6 5 39-44 5yr4/4 f15 5yr518 scl ifsbk mfr 9w .2 .3 6 44-57 10yr5/4 c15 r6 2/8 sl Om mfr 9w 2 6 7 57-70 10yr4/6 f1f 7.5yr6/6 Is icsbk rmvfl 7.5 r6 2 9w .7 1.6 * Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BODS < 30 mg/L and TSS <_30 mg/L CST Name (Please Print) Signature: Thomas J. Schmitt CST Number Address Schmitt Soil Testing, Inc. 227429 Date Evaluation Conducted Telephone Number 1595 72nd Street New Richmond, WI 54017 7120/2006 715-247-2941 SBD-8330 (R07/00) Property Owner Golden Harvest Capital, LLC Parcel ID # 6 age 2 of 3 a Boring # L] Boring ' Pto vV it Ground surface elev. 97.46 ft. Depth to limiting fact 24 in. , e Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boun a Roots Soil Application ate in. Munsell Qu. Sz. Cont. Color ry GPDi Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-8 10yr3/2 none sil 2fsbk mvfr as 2f .6 .8 2 8-16 10yr7/3 none sil 2fsbk mfr gw if .6 .8 3 16-24 10yr6/4 none sil 2msbk mfr gw if .6 .8 4 24-35 10yr4/4 none sil 3msbk mfr gw .6 .8 5 35-46 5yr4/4 mld 7.5yr6/6 7.5 r6 2 scl 2msbk mfi gw .4 .6 6 46-53 7.5yr4/4 c1d 5y 5yr6/2 sl icsbk mvfr Cs 4 7 7 53-61 5yr4/6 m1d 5yr6/8 5yr6/7 scl 3msbk mfi 4 6 ❑ Boring # Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Bounda rnRoots Soil in. Munsell Qu. Sz. Cont. Color ry GPD/ftz Gr. Sz. Sh. 'Efl#1 'Eff#2 ❑ Boring # El Boring ❑ Pit Ground surface elev. it. Depth to limiting factor Horizon Depth Dominant Color Redox Description Texture in. Soil Application Rate in. Munsell Structure Consistence Boundary Roots Qu. Sz. Cont. Color Gr. Sz. Sh. GPD/ftz *Eff#1 'Eff#2 ' Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD < - 5 _ 30 mg/Land TSS <-30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or S$I)-8330 (8.07/00) need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. Schmitt Sotl Tesdn9, Inc. Conducted, by: Page of 3 . Schmitt Soil Testiqg Conducted For. Inc. Name: GoThomas I Schmitt, CST 227429 LLC Address: 1440 A St. N 1595 ?2nd St. New Richmond, WI. 54017 City, State, Zip: St. Paul, MN. 55106 Phone: 715-247-2 1 SubdNmne: Pion Ridge 1. ` `>s Lot No.. Badchoe I-egW Description: ficlM NEl/4 S20 DONR19W Township, County: St. C.. A %wh lark EL 100.00' To of 2" ' q P P'~Pipe M<1 U Attmate Bench Mark EL /00°30' slope-- /V/ Top oft Svc p 9 22.9b f S(. P~ Contour Line L l a28 Contour Line Length - #w li Scak 1" = 40' 104 ,J-e R~Ctd !s7 ~ Gu ~ l s t t ~r ~ ~ vad~ Dra,~y~ s~ ThbSmlaadSft Ev wvmscoawkbdwfdM aamiog Ranyormoynotbaiakcalios subd& ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer A N Z L Mailing Address y a C1 W) L L 14 t2V S/ . V % 1 LLW A TL' /A"[ S SD yZ Property Address rio y S o (Verification required from Planning & Zoning Department for new construction.) City/State Parcel Identification Number 103 © -Z/.5.3 -0~ - 06 O w.- 5YOY2- 3a 3(n ff0UL7VAJ I LEGAL DESCRIPTION Property Location _5E %4 , Sec. Z Q , T 3 N R_L~LW, Town of ST. -_I 65cP1-1 Subdivision Plat: Pi © tJ r= I- k u G C- , Lot # Certified Survey Map # , Volume , Page # Warranty Deed # 73007(o (before 2007)Volume , Page # Spec house'- : yes -Xno Lot lines identifiable ',R yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. I/we certify that al statements on this form are true to the best of my/our knowledge. I/we am/are the owner(s) of the property described above, y virtue of a warranty deed recorded in Register of Deeds Office. Num r of bedr om K 110 /I/ SIGNA URE F PPLICANT(S) DATE ***An 'nf ation that is misr esented may result in the sanitary permit being revoked by the Planning & Zoning Department. Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 09/07) Paae 11 of 15 1 Iil!I!Il I I IIIII! 1111 !II!! I!I!I 8 Tx: 4012855 5 STATE BAR OF WISCONSIN FORM 1 - 2000 930076 BETH PABST Document Number WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO., WI THIS DEED, made between Citywide Development, Inc., a Minnesota 01/05/2011 2:43 PM Corporation, Grantor, and Jamie Van Zee, a single person, Grantee. EXEMPT#: N/A Grantor, for a valuable consideration, conveys to Grantee the following REC FEE: 30.00 described real estate in St. Croix County, State of Wisconsin (the TRANS FEE: 225.00 "Property"): PAGES: 1 Lots 5 & 6, Plat of Pioneer Ridge in the Town of St. Joseph , St. Croix County, Wisconsin. Said properties being located in the North Half of the Northeast Quarter (N % NE V4) and the South Half of the Northeast Quarter (S %2 NE V4), all in Section Twenty (20), Township Thirty (30) North, Range Nineteen (19) West. Recording Area Name and Return Address: Land Title 1900 Silver Lake Road #200 New Brighton, MN 55112 Together with all appurtenant rights, title and interests. 030-2153-05-001; 0302153-05-000; 030-2153- 06-001;030-2153-06-000 Parcel Identification Number (PIN) This is not homestead property. Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except Easements, Restrictions, Reservations, Roadways and Rights of Way, if any, of Record. Dated this 13th day of December, 2010. Citywide Develo ent, ne. r * I dreg P. Kociscak, President AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF MINNESOTA ) ST. CROIX COUNTY. ) ss. authenticated this 13th day of December, 2010 Personally came before me this 13th day of December, 2010 the above named Andrew P. Kociscjl , the President of * Citywide Development, Inc. , a Minnesota to me known to be the person(s) who executed the foregoing instrument and TITLE: MEMBER STATE BAR OF WISCONSIN acknowledged the same. **corporation (If not, 7 authorized by ~ 706.06, Wis. Stats.) 1C'.p j r~ THIS INSTRUMENT WAS DRAFTED BY Notary Public, State of Minnesota My commission is permanent. If not, state expiration date: Larry Mountain. Attorney, 1900 Silver Lake Rd #200, New RM!"'A Robert L. BraSs Brighton MN 55112 (Signatures may be authenticated or acknowledged. Both are not necessarv.) NOT NOT Slate of Minnesota IC `Names of persons signing in any capacity must he typed or printed belt m their signature My Commits on Exoees 1.31-2015 1 of l WARRANTY DEED Sl ATE RAR OF WISCONSIN FORM No. 1-2000 Paae 12 of 15 f `Wisconsin SOIL EVALUATION REPORT #1427 Department of Commerce in accordance with Comm 85, Wis. Adm. Code Page 1 of 3 Division of Safety and Buildings Schmitt Soil Testing, Inc. 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. 6 Please print all information. Reviewed By Date Personal information you provide may be used for secondary purposes (Privacy Law. s. 15.04 (1) (m)). I Property Owner Property Location Golden Harvest Capital, LLC Govt. Lot SE1/4, NE1/4, T30N, R1 9W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 14906 Blakeney Road 6 Pioneer Ridge City State Zip Code Phone Number City Village Town Nearest Road Eden Prairie MN 553471 (612)202-3234 St.Joseph i 50Th St. New Construction Use: Residential / Number of bedrooms 3 Code derived design flow rate 450 GPO Replacement Public or commercial - Describe: Parent material Pitted glacial drift Flood plain elevation, if applicable na ft. General comments and recommendations: Area is suitable for a mound system. System elevation is -y9; jebased off contour line established at 99.28'. Slope is 16%. Boring # Boring Pit Ground surface elev. 100.51 ft. Depth to limiting factor 33 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure I Consistency Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 1 0-8 10yr3/3 none sil 2fsbk mfr as 2m,2f .6 .8 2 8-13 10yr7/3 none sil 2msbk mfr gw 2f .6 .8 3 13-20 10yr5/6 none sl 2msbk mfr gw j if 6 1.0 4 20-33 7.5yr5/6 none sl lmsbk mfr CW .4 .7 5 33-48 5yr4/4 f1d 7.56/6/8 sicl 2fsbk mf as .4 .6 7.5yr6/2 6 48-57 5yr4/6 c1d 56/6/8 sil 2mpl j mfr 9s ? 0.0 0.2 5 r6 z 7 57-69 I 5yr4/4 flf 7.56/6/8 sicl 2fsbk mfr i .4 .6 7.5Yr6/2 I a Boring # Boring Pit Ground surface elev. 100.51 ft. Depth to limiting factor 39 in. Soil Application Rate Horizon Depth I Dominant Color I Redox Description I Texture I Structure Consistency Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz_ Sh. 'Eff#1 'Eff#2 1 0-8 10yr3/3 none sil 2fsbk i mfr as 2f .6 ( .8 2 8-17 10yr7/2 none sil 2msbk mfr gw if .6 .8 3 17-25 10yr5/6 none scl 2fsbk mfr gw I if 4 6 4 25-39 5yr4/6 none sicl 2fsbk j mfr I CW j .4 .6 5 39-44 5yr4/4 f1d 56/5/8 5Yr6/2 scl I lfsbk j mfr 9w 2 3 6 44-57 10yr5/4 cld 56/5/8 sl Om . mfr gw i .2 .6 5 r6 2 _ 7 57-70 106/4/6 flf 7.56/6/6 Is lfsbk ' mvfr w 7 1.6 7.5 r6 2 i g " Effluent #1 = BOD5> 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD5 s30 mg/L and TSS S_30 mg/L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt 227429 Address Schmitt Soil Testing, Inc. Date Evaluation Conducted Telephone Number 1595 72nd Street New Richmond, WI 54017 7/20/2006 715-247-2941 saD-8330 /x 07/00) Paoe 13 of 15 Property Owner C,otden Harvest Capital, LLC Parcel ID # E~J Boring # - Boring V Pit Ground surface elev. 97.46 ft, Depth to limiting factor -3S- in. Horizon Depth ADominant Color Redox Description Texture Structure Consistence Boundary Roots Soil Application Rate in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. I I GPD/ft= •Eff#1 •Eff#2 1 0-8 10yr3/2 none sil 2fsbk mvfr as 2f 1 .6 ,g 2 8-16 10yr7/3 none sill 2fsbk mfr ~ gw ' if .6 I .8 3 16-24 10yr6/4 none sil 2msbk mfr 9w if .6 ~ .8 4 24-35 10yr4/4 none sil 3msbk mfr j gw ~ .6 j .8 5 35-46 5yr4/4 mid 7.Syr6/6 I _ 7.5 r6 2 scl 2msbk mf gw , 6 4 6 46-53 7.5yr4/4 c1d 5yr6/8 _ 5yr6/2 sl, icsbk rill Cs .4 .7 7 53-61 Syr4/6 mld 5yr6/8 5yr6/7 scl 3msbk mfi i .4 J 6 ❑ Boring # Boring Pit Ground surface elev. ft. Depth to limiting factor Application Rate Horizon Depth Dominant Color I Redox Description Texture Structure Consistence) Boundary Roots Soil GPD/ft in. Munsell Qu. Sz. Cont. Color I z Gr. Sz. Sh. •Eff#t 'Eff#2 i I i I i I i ! I i ! I ~ I ❑ Boring # Boring Pit Ground surface elev, ft. Depth to limiting factor Horizon I Depth I Dominant Color I Redox Description + Texture Structure Consistence! Boundary I inRoots Soil Application Rate in. Munsell Qu. Sz. Cont. Color I Gr. Sz. Sh. i I •Etfzt i 'Eff#2 i I I t I Effluent #1 = SODS> 30 < 220 mg/L and TSS >30 150 mg/L ' Effluent #2 = BODS < 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 sen ices or SBD-8330 (R.07l00) need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-261-8777. Schmitt Soil Testlng, tnc. PaOP_ 14 of 15 ^ . a Y f Conducted by: Conducted For. Schmitt Soil Testing Inc. Name: Golden Harvest Capita, LLc Thomas I Schmitt, CST 227429 Address: 1440 Arcade St. N 1595 72nd St. City, State, Zip: St. Paul, MN. 55106 New Richmond, WI. 54017 Phone: 715-247-29.41 _ Subd,Name: pion gee Lot No.: Legal Description: ,E,- },1/4 NE1/4 S20 T30N R19W 11 Backhoe pit Township, County. -i oseph, St. Croix Bench Mark EL 100.00' Top of 2" pvc pipe Alternate Bench Mark EL le-r-)-30' Top of 2" pvc pipe Slope= /lc z Contour Line EL 99, ~2 k Contour Line Length O y , ~w l~k~rwc'rs Scale 1 40' p p /9 CU 4?)v Gov ' i) sue, Sy, This son sad Situ Evaluation was eo vkkd to &M a z=ing rNu" It may or my not be in a location saitable for yo" use. Page 15 of 15 171~Nd S f/ ;9 _ ~l K~ 9 o ~ v~~ n n 1 HIV chat ~J ka v> 1 ~ a m~ a v ~ m .U 1 1 cL 4U ~ 2 ICY- V it I.U 1.7F1f1d.Sfj Q a cl c 1 J Srl Z L ~ ly 1 ILI V r4 o FQ r0 5 • f ^ Y-.. kO to / ~ a 'Lj CL V1 w 1 1 ~ l . tL Lu 4,. Q. S V