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006-1047-10-000
~' Wisconsin Department of Commarce Safety and Building Division PRIVATE SEWAGE SYSTEM INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)J. Permit Holder's Name: City Village X Township Dalton, Tom C Ion, Town of SST BM Elev: Insp. BM Elev: BM Description: TflNK INFt7RMATinN .ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic /~~6 Dosing Aeration ~ Holding TANK SETBACK INFORMATION TANK TO P/L ~L BLDG. Vent to Air Intake ROAD Septic / ~ / 2 Dosing • ~ ~Z~ ' ( ~ ~ 1 Aeration ~~ Holding PUMP/SIPHON INFORMATION ~Lftit-~P~ ~Cc-.--,,P ~c~C,~ Manufacturer t ~ /~F (~ Demand Model Number ~ ,..~ j ~ / ` ~ ~~~ TDH Lift ~ ~ Fric~on `L„ ss m Head S ys t e TDI~ [,©-S Forcemain L th / Dia.. ~» Dist. t> ell6 ~ '_C(lIN ARCCIRPTICIN SYSTEM County: St. CrOIX Sanitary Permit No: 499136 0 State Plan ID No: Parcel Tax No: 006-1047-10-000 Section/Town/Range/Map No: 21.31.16.325 STATION BS HI FS ELEV. Benchma~~ ~ ~ ~~ ~ ~ 4 Alt. BM ~~~ ~ ~ r ~ 1'~ ~ 1 ~•7~ 7' d . 7 ~/ Bldg. Sewer l~ ,r1 ~ Sr St/Ht Inlet Q,~-j j S SUHt Outlet MS ~ ' i- Dt Inlet Dt Bottom ~~d. t 3.~ - a. ~ .SS Head an. ~.`~ /I ~•Ip6 Dist. Pipe ~~ ~ ~ ~S~ l ~~G Bot. System 2. 3 ?j / S Z•'3 7 Final Grade / ` ----- ~ ~ ( + St Cover r ~~.~ ~ ' .~. yS ~. 3. ~S. 2 Q . 2. ~; Z ~' ~' ~ li'9 U BED/TRENGH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ~ / ~ i 5 SETBACK SYSTEM TO P/L BLDG WELL LAK (STR AM ACHI Manuf26turer: CHA OR INFORMATION Type fJf Sys ~ ~ ~'/ y~~ ~ ~ t ` ' ~/ Model Number. r\ICTCIRIITI/lAl CVCTGM _ Ui rJ. V//~_/ nA~ nU/1 _ i Header/Manifol - ~\ ~ Lenyth Dia Distribution e q ~ ~ Pipe(s) ~ ~ ~ ~ 7 0 • ~ ~ Length is •~ Spacing. Size ~~ " x Hole Spacing ,/ ~~ S`•y /F^u- Vent to Air Intake C 1111 f`!'1\/CD - ~.:_._...._ n.. i., ., nn..,~la nr A~_!_rv`ic Sv~4cme Clnly Depth Over Depth Over xx Depth of xx Seeded/Sod ed xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil % r~ No ,Yes No COMMENTS: (Include co a discrepeytgies pe~sons present, etc.) Inspection #1:~/~/~ ~ ]~{J Inspection #2:~/~/_(f~ Location: 2296 200th Avenu~~~i~rraeArt (SE 1/GL 4 SE 1/4 21 T31N R16W) NA of ~~~ C'tfy~-~, l `i Parcel No: 21.31.16.325 ~~ 1. Alt BM Descri lion ~d ~~ h~l~ 6-~~ CAi /~L- lv' "~'~S(N J (t ~`~ .Sly ~ 6~L lt~/hILG~{,' ~~ ) p ~ ~ ~- 2.) Bldg sewer length = 27 ~}.~ t1O~(f>v, ~~ tSl~ / -amount of cover = l ~ Q.~ ~(1r 1 O ~~~0 `may` ~~-- - _V ~uo,`~- ~~ vbn S-~t.~id - ww~-Q.Q~ a Plan revision Required? 1'es t~o / ~ l O "~ ~ ~~_ (Y4P~ Use other side for additional information. / _ _ ~ i - - Date _ In e ctor's Si n lure ~ /y ,~,',,/,J /~~ Certf~Nro. SBD-6710 (R.3/97) ~ ~ ~ -~~~ /_~g ~-Q..P ~ /~.-~11-~~-'l/~O~/.D ~ s~7~` 1 ~'~'I"IaG~Y\. UJ )Yl.l1-LIB (.ri~ofl 'v _~ .c~ SAFETY WARNING -Risk of electric shock This pump is supplied with a grounding conductor and/or grounding type attachment plug. To reduce the risk of electric shock, be certain that it is connected to a properly grounded grounding type receptacle. Your 115V effluent pump is equipped with a 3-prong electrical plug. The third prong is to ground the pump to prevent possible electrical shock hazard. Do not remove the third prong from the plug. A separate branch circuit is recommended. Do not use an extension cord. When a pump is in a basin, etc. do not touch motor, pipes or water until unit is unplugged or shut off. If your installation has water or moisture present, do nottouch wet area until all power has been turned off. If shut-off box is not accessible, call the electric company to shutoff service to the house, or call your local fire department for instructions. Failure to followthiswamingean result in fatal electrical shock The flexible PVC jacketed cord assembly mounted to the pump must not be modified in any way, with the exception of shortening the coM to fit into a control panel. Any splice between the pump and the control panel must be made within a junction box and mounted outside ofthe basin, and comply with the National Electrical Code. Do not use the power cord for lifting the pump. The pump motor is equipped with an automatic resetting thermal projector and may restart unexpectedly. Projector tipping is an indication of motor overloading as a result of operating the pump at low heads (k~w d'~scharge restriction), excessively high orbwvoltage, inadequate wiring, incorrect motor connections, or a defective motor or pump. FLOW- LITERS/MINUTE SAFETY GUIDELINES 1. Read all instructions and safety guidelines thoroughly. Failure to follow the guidelines and the instructions could result in serious bodily injury and/or property damage. 2. DO NOT USE TO PUMP FLAMMABLE OR EXPLOSIVE FLUIDS SUCH AS GASOLINE, FUEL OIL, KEROSENE, ETC. DO NOT USE IN EXPLOSIVE ATMOSPHERES OR HAZARDOUS LOCATIONS AS CLASSIFIED BY NEC, ANSI/NFPA70. FAILURE TO FOLLOW THIS WARNING CAN RESULT IN PERSONAL fNJURY AND/OR PROPERTY DAMAGE. 3. During normal operation the pump is immersed in water. Also, during rain storms, water may be present in the surrounding area of the pump. Caution must be used to prevent bodily injury when working near the pump: a. The plug must be removed from the receptacle prior to touching, servicing or repairing the pump. b. To minimize possible fatal electrical shock hazard, extreme care should be used when changing fuses. Do not stand in water while changing fuses or insert your finger into the fuse socket. 4. Do not run the pump in a dry basin. ff the pump is run in a dry basin, the surface temperature of the pump will rise to a high level. This high level could cause skin burns if the pump is touched and will cause serious damage to your pump. 5. Do not oil the motor. The pump housing is sealed. A high grade dielectric oil devoid of water has been put into the motor housing at the factory. Use of other oil could cause serious electric shock and/or permanent damage to the pump. is. 0 6. This pump's motor housing is filled with a dielectric lubricant at the factory for optimum motor heat transfer and lifetime lubrication of the ie. s N ~ bearings. Use of any other lubricant could cause ~ damage and void the warranty. This lubricant is io o w non-toxic; however, if it escapes the motor housing, it should be removed from the surface ~ s ~ quickly by placing newspapers or other absorbent A a material on-the water surface to soak it up, so 5. o = aquatic life is undisturbed. z. s 7. In any installation where property damage and/or personal injury might result from an inoperative or leaking pump due to power outages, discharge o line blockage, or any other reason, a backup system(s) and/or alarm should be used. PUMP PERFORMANCE CURVE 115V 60HZ t.r'Tti~ ~~ f ~,~ qEK 3 FLAW- GALLQNS/MINUTE Little~~T Pump Company • SAFETY • INSTALLATION • OPERATION • REPAIR LITTLE GiANTT~' SUBMERSIBLE EFFLUENT PUMP OWNERS MAN UAL FOR 9EH -CAUTION - READ SAFETY GUIDELINES AND INSTRUCTIONS CAREFULLY World's Largest Manufacturer of Cenfrifugal Pumps `' commerce.wi.gov isconsin Department of Commerce August 08, 2006 CUST ID No. 42258 ELI M GOTTFRIED GOTTFRIED ENVIRONMENTAL 124 1/2 GRAHAM AVE PO BOX 1645 EAU CLAIRE WI 54702-1645 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/08/2fl08 SITE: Tom Dalton Town of Cylon, St Croix County SE 1/4, SE 1/4, 521, T31N, R16W SIC.. FOR: Object Type: POWTS Component Manual Regulated Object ID No.: 1089117 Maintenance required; 450 GPD Flow Rate Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commerce.wi.gov/sb/ www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary ATTN. POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 Identificatio um e Transaction ID N .1306507 Site ID No. 71495 Please refer to both identification numbers, above, in all corres ondence with the a enc . System(s): Mound Component Manual -Version 2.0, SBD-10691-P (N.O1/O1), and Pressure Distribution Component Manual -Version 2.0, SBD-10706-P (N.O1/O1) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with the component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Dept. per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • The pressure network is to be constructed in accordance with publications SBD-10706- P(NO1/O1) "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems -Version 2.0" and/or the sizing methods of publication "SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81)". • This system is to be constructed and located in accordance with the approved plans, and the "Mound Component Manual for Private Onsite Wastewater Systems Version 2.0" SBD- 10691-P(N.01 /01). • Chisel plowing of the basal area must be >12 depth below the land surface. • Proper landscaping of the mound and land surface up slope of the mound is critical to proper operation. The upslope toe of the mound shall be constructed so that surface water is not ELI M GOTTFRIED Page 2 8/812006 trapped immediately up slope of the mound. In addition, a surface water diversion or Swale up slope of the mound must be installed per the sit interpretation approved under transaction 1286670. • This approval is based in part on an interpretive determination approved pursuant to s. Comm 85.60(2), Wis. Adm. Code and recorded under transaction number 1286670. It is subject to the conditions set forth in that approval. • Pursuant to outlet filter product approval stipulations, maintenance information must be given to the owner of the POWTS explaining that periodic cleaning of the septic tank outlet filter is required. The access opening used to service the filter shall terminate at or above finished grade with a watertight cover. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence maybe 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, Leroy G. Jansky, PSS, Wastewater Specialist Integrated Services Bureau (715) 726-2544 Office lj ansky@commerce. state. wi. us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 ~cj~ 29e /`~~ ~ Safety & Buildings Division Sanity Perm A lication i' 201 W. Washington Ave. ~ Y PP PO Box 7302 ` SC~nS~~ In accord with Comm 83. ,Wis. Adm. Code Madison, WI 53707-7302 DeFartment of Commerce Personal information you provide may be used for secondary purpo s (Submit completed form to county if not [Privacy Law, s. 15.04(1)(m)] ~ ZfS'bfo~b = -1-Q~S. /D~ state o ed.) Attach com late tans (to the county co onl )for the s stem, on a er not les han 8-1/2 x 11 inches in size. - County State Sanitary Permit Number ^ Check if revision to previous applicati State Plan I. D. Number St. Croix 9 /,~ 13oroS~~ = Tt.r1+oL. ~~.`~ `~ rk 1. Application Information -Please Print all Information Location: Property Owner Name ECEIVEp Property Location Tom Dalton SEI/4 SE 1/4, S21 T 31 N, R16 W Property Owner's Mailing Address ,,r• 2 2 2006 Lot Number Block Number ~,,,~ 1728 95t" Street sr. cR NA NA City, State Zip Code Phone Number Subdivision Name or CSM Number New Richmond, WI. 54017 715-760-0210 NA II Type of Building: (check one) ~f} ~` reC'~""~ ^ City (Altoona ~ O 1 or 2 Family Dwelling-No. of Bedrooms:_3 - ^ Public/Commercial (describe use): o,.• ~2~DC ^ Vill ge o ~~~- ~, ^ State-owned `t)~~pe.w. wta.» 1 n of CylOn Ne h Road III Type of Permit: (Check only one box on line A. Check box on line B if applicable t 200 Ave p) ~~ ~ New Cfl~ 0~ ^ --~~ ^ Addition Pazcei Tax Number(s) System Replacement Replacement of to Existing J'o ~ 32 ~ " 0 5 ~ ` System Tank Only S stem ~ , 0 0!p - ~O 1 B) Permit Number Date Issued ^ A Sanity Permit was reviousl issued IV. Type of POWT System: (Check all that apply) A t O ~~ ~ " E • ~ • f= ~~ vu ^Non-pressurized In-ground ~ Mound ^ Sand Filter ^ Constructed Wetland ^ Pressurized In-ground Ho ding Tank ^ Single Pass ^ Drip Line ^ At-grade ^ Aerobic Treatment Unit ^ Recirculating ^ Other: r V Dis ersaUTreatment Area Information: X //S' N(B.t.IM 7 ` = 2•Sa 30.0 1. Design Flow (gpd) 450 2. Disper lAr~~ Require~~ro~ 3. Dispers Are ~ Proposed ~68 ~ 7 4. oil Application Rate ( ls./day/sq. 5. Percolation Rate (Min./inch) S stem EI vation ~_ ~S•~ 7. Final Grade Elevation 2 250 ' 593 3 0.13 ~(~ o -j --'------'--------- 06 98 101 , . . . VI Tank Information Capacity in Gallons Total Gallons # of Tanks Manufacturer t~~~~ ~~ Prefab Con- Site Con- Steel Fiber- glass Plastic ~"~•^" •/ Crete structed New Existing Tanks Tanks 1000 1000 1 Huffcutt ~ ^ ^ ^ ^ Huffcutt 600 600 Huffcutt ~ ^ ^ ^ ^ Huffcutt VII Responsibility Statement I, the undersi ned, assume res onsibili for installation of the POWT shown on the attached Tans. Plumber's Name (print) PI mb Signature ): MP/MPRS No. Business Phone Number Clarence Glottfelty 220728 715-828-4324 Plumber's Address (Street, City, State, Zip o ) N4955 Sunnyhill Road, Weyerhaeuser, Wl. 5 895 Vlll County/Department Use Only ^ ved Sanitary Permit Fee (In ludes Groundwater Date Issued Is uin gent Signatur (No stamps) Approved Owner Give ' 'al Adverse Surcharge Fee) ~~ De ton Z IX. Conditions of rov 1: SYSTEM OW 1 Septic tank, effluent filter and dispersal cell must all be serviced I maintained as per management plan provided by plumber. as per applicable code/ordinances. ~~Zt~so Pua~ ~ = z"~ E C) ~. _4 ~ 1 j~ ~ :l ~ 9°~ alope ~ ^~~~\ X / ,95.00 ~~ ~ ~~~;~ F tt, ~~ ~~ __ t~ .~ ~ ~~ ~x t ~' \` \~. Proposed combinatidn tank ~\~ g7' 0 ~RNr 1000 gallon septic to(~ k 600 gallon dose cha>t~ber X I I farm field ~ I d X I woods 61 8 698 0' 93,.20' ~, Forcemain length = 70' maximum Force main diameter = 2 inches i ' >50' to E P/L NORTH Scale: 1" = 50' ~~ i ~tJ.LI) ~ ~~~ ~ ~ ~- ~ ~`\~ 95,0' • ~ ~~ propos ~""'alf lfa f ld Gottfried Em~ironmentaf Eli M. Gottfried, R.S., CSTM, Designer EvaiuaUOn: Soil test, Int Rprt, Desi~m ~ a ie Client: Tom Dalton ~dence i :~~1R- Date: 7 lone 06 ~~ ~ Si6mature: ,{, L area -~topso remov d l ~ ~~~ .~ ~Q rr BM =taped line meter socket riser e levation,=~0. gravel driveway 1.0 mi. to 240th St. 200th Ave. ~`~ s ~ Dalton, Tom (h~" 0 '1 SE SE 21 31 16W ~ 1'~'r'' ~~~ ~ ~~ ~ yon, t roix } B ~ j -~ > sU' mailing address: ~~ r ~p ~ I~UI~ 1728 95th St /~ New Richmond, WI. 54017 3 0 ~ Sou~'~, e~ 715 60-0210 (cell #) ~~-~,~ G~pV ~ ~1~ ..,~ commerce.wi.gov ^ iscon~~n Department Qf Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE Wi 54601-1831 TDD #: (608) 264-8777 www. commerce.wi.gov/sb/ www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary August 08, 2006 CUST ID No. 42258 ELI M GOTTFRIED GOTTFRIED ENVIRONMENTAL 124 112 GRAHAM AVE PO BOX 1645 EAU CLAIRE WI 54702-1645 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 5401.6 CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 08/08/2008 Transaction ID No. 1306507 SITE: Tom Dalton Site ID No. 714954 Town of Cylon, St Croix County Please refer to both identif cation numbers, SE 1/4, SE 1/4, 521, T31N, R16W above, in all corres ondence with theaQency. FOR: Object Type: POWTS Component Manual Regulated Object ID No.: 1089117 Maintenance required; 450 GPD Flow Rate Systems}: Mound Component Manual -Version 2.0, SBD-10691-P (N.O1lO1), and Pressure Distribution Component Manual -Version 2.0, SBD-10706-P (N.O1/O1) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with the component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. _ _ _ - _ _ No person may engage in or work at plumbing in the state unless licensed to do so by the Dept. per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • The pressure network is to be constructed in accordance with publications SBD-10706-P(NO1/01) "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems -Version 2.0" and/or the sizing methods of publication "SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (O1/81~)" • This system is to be constructed and located in accordance with the approved plans, and the "Mound Component Manual for Private Onsite Wastewater Systems Version 2.0" SBD-10691-P(N.Ol/O1). • Chisel plowing of the basal area must be > 12 depth below the land surface. • Proper landscaping of the mound and land surface up slope of the mound is critical to proper operation. The upslope toe of the mound shall be constructed so that surface water is not trapped immediately up slope of the mound. In addition, a surface water diversion or swale up slope of the mound must be installed per the sit interpretation approved under transaction 1286670. • This approval is based in part on an interpretive determination approved pursuant to s. Comm 85.60(2), Wis. Adm. Code and recorded under transaction number 1286670. It is subject to the conditions set forth in that approval. • Pursuant to outlet filter product approval stipulations, maintenance information must be given to the owner of the PO WTS explaining that periodic cleaning of the septic tank outlet filter is required. The access opening used to service the filter shall terminate at or above finished grade with a watertight cover. ELI M GOTTFRIED Page' $/8/2006 A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, eroy G. sky, P ,Waste t r Specialist Integrate ervices Bureau (715) 726-2544 Office lj ansky@commerce. state.wi.us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633:. ,' Private Sewage System Plan Index/Checklist Plan ID#: Owner's Name: NA Tom Dalton Legal Description: Address: SE SE 21 31 16W 1728 95`~ St, New Richmond, WI. 54017 City(VillagelTown: County: Cylon ~ St. Croix Page N Included Four copies 1 of ] 0 Site lay-out 2 of 10 Mound Cross-section 3 of 10 Sand Dimensions, Footprints 4 of 10 Lateral lay-out 5 of 10 Combination tank x-sxn 6 of 10 Pump Curve 7 of 10 Additional Specs 8 of 10 Soil test 9 of 10 Plot plan 10 of 10 Management Plan Comments/Special Instruction s ^x Return by Mail ^ Fax Letter to County/ Submitter Fax number: ^ Call for Pick-up ^ Other 1, the undersigned, hereby certify that the plans and specifications submitted herewith were prepared under my direction and control These plans have been designed according to the criteria set forth in the Mound Component Manual for Septic Tank Effluent for POWTS (SBD - 10691- P) (R.01 /0l) and the Pressure Distribution Manual for POWTS (SBD-10706-P) (R01/O]) PlumberlDesi ner Credential # Eli M. Gottfried 42258 Address City St. Zip 124-1/2 Graham Av Eau Claire WI 54701 Signature RECEIVED ~u~ 2 ~ zoos .*~~~~s~i061~~ ~~ ~~ ~, f • M. °° * . Gp ~'FR oD ~ ~ Signature ~ ~' :/~~'/~~~'r" ,ate ~ ~~,t •-~- ` ^ ~ + -• ''tee ~ Vv AA ~~ 130650"7 V.VY. I.~.IY c~~z~~t~o~~~~ly QEPARTMENT QF CQP#MERCE QIVt'iC1N 4F SAFETY ANQ BUILQINGS SAFES ~~11LDINGS r ~ 9% alope I ~ `~ P ~~ X a 95.00' I ~ ~, ~-, \, \ E -t ~ ~~ C a ~ u a~ ~ ~ ~ c ~ I .U I 1 d~ ~ i ~ i Proposed combinatidn tank `~ 97 ~ 0 1000 gallon septic to k 600 gallon dose cha~ber _ ~~ 0 ~ X I nn farm field I yQ ?(1 I ~~ ~ `C>< I 3 BR residence woods NORTH 61- 89.60' 93,.20' Scale: 1" = 50' Forcemain length = 70' maximum Force main diameter = 2 inches i ~ >50' to E P/L BHP ~ _--_~ 5.20 0' alfalfa field disturbed area -topsoil removed Gottfried Environmental Eli M. Gottfried, R.S., CSTM, Designer Evaluation: Soil test, Int Rprt, Design Client: Tom Dalton Date: 7 June 06 Signature: BM =taped line on meter socket riser I Elevation = 100.0' at line x ,% ®~ Dalton, Tom r ---- - -- -- SE SE 21 31 16W gravel driveway Cylon, St Croix / mailing address: 1728 95th St New Richmond, WI. 54017 `---- -- - - - - --X15--7~0-0210 (cell #) 1.0 mi. to 240th St. 200th Ave. -~ ~ ~~ 9% sloe F ~~~~~\ ~~ ~.oa ~ ~~ .. i `~ ~ ~~~~ ~ ~. ~~~~ ~ ~ ~~ ~ ~ ~ l i 9020 i ~ ~ I 1 I ~ ~ I I ~~ ~ p. 1 A of 10 ^, ~.zoJ ~ qi RECEIVED AU G 0 ? 2006 SAFETY & BUILDINGS ,- ~~~y ~A - - , ;' ~~~~ ~ ~ septic ~~ / ;' / i'°'~ 9% slope tank ;~y ~,,, _-- B 9.45' 9% slope ,~Q-L? ~ _,_ -. - --_ l ~---__.__- -- - -_ --.~ ~~ , ~~. Z~ ~¢,~c~e_-~J 1't' L.e.,-~'~ .^ 1Z: ~b o~r.~^~~'~ ~',/~t~ eta ,~~ ~ GOTTFRIED ENVIRONMENTAL For: Dalton Date: l 3 July 2006 ~~ ~\~ 1H ~---~~ __`_ Coyer M~arial / F -~,_ ~ asrM cap aaraea _ r IZ-1 ~( ~ , ~ // Sad Fill E Mi=~ -` J / r~Tilled ~1- _1-1-1_-~-__.~- ordin ~' -7 J~~ - _--->-,' -7-T7~-~ / /~---1- - - Force ~ K ~ L _ I I I If- - - _ ~ I I J i A -- - - - - - - - f - pgrrBnaYrrBrlgs -- - d~se~e6onpipe ----- ~l iVde1f13 absa~etim pees ae located hehneat 1/10 ad panx~at ~~ 1 1~6dshaioefranetlta etd dcdl, in beMeai QFlaw bodes. maximum slope: 9% Dimensions: (feet) Loadin g rate i~STM C-33 sand = 1.0 gpd/sgft.; 450 gpd / 1.0 = 450 sgft. A = 4.0 B = I15 K = 14.04 (3:1 slope on ends of system) L = 143.08 J = 9.45 ft. on ends -based on a 3:1 slope; 13.80 ft. in mound center -based on 5:1 slope I = 27.25 -based on 4:1 slope W = 40.70 at either end; 45.05' at center of mound S ~3 D = 2.50 = 30 inches sand fill E = 2.86 = 34.32 inches sand fill F = 1.00 G = 0.5 H = 1.0 Basal Loading Rate: 450 /((115)(31.25)) = 0.13; Linear Loading Rate: 4.00 Note that the up-slope fill area will be "rounded" so that water is diverted around the mound. N L Page 2 of 10 GOTTFRIED ENVIRONMENTAL Date: 13 July 2006 Dimensions and Footprints for bed, sand, and fill Owner: Dalton Slope: 9% Bed: Dimensions: 115 ft. x 4 ft. = 460 ft.z Sand: x = 7.70 ft. (based on 3:1 slope) w = 15.86 ft (based on 3:1 slope) u = 11.04 ft (based on 3:1 slope Overall sand footprint = 137.08 ft x 26.54 ft Volume of sand: 487 cubic yards. THIS VOLUME IS FOR ESTIMATING PURPOSES ONLY X ft. U ft. - fill ~ sand ' -~ E units ~3 w ft. Fill: J = 9.45 ft. I = 27.25 ft. K = 14.04 ft. Overall fill footprint = 143.08 ft. x 40.70 ft. ~- ~ ys . cy _, n _ i , ~ , ~ I Installer: Sand amount is an estimate only. Please check this figure and compare it to similar sites that you are familiar with. Page 3 of 10 GOTTF.RIED ENVIRONMENTAL PIPE LAY-0UT NOT TO SCALE Iz I Jrv _. 1 c; ' End~p--- ----- / ~ __ ~ I ~'~,~,r' U P1 ~ O --~- u_ G -- l L ' ~.~ N : J-y - F2 ENDCAP ` TO ENDWALL w2 TO SIDEWALL 1 ~,~ 1 ~) C-~ -J X X X "X"SPACES MUST BE EQUALLY SPACED. ALL HOLES POINT UP EXCEPT EVERY STH~/4 HOLE POINTS DOWN. LAST HOLE MUST POINT DOWN FOR DRAINAGE. pipe end uew ~ side view of pipe w/ tum-up ~------ -------o - / ,~ ~ access cover c ~2 i3~ is ,alVc_ ------- --- ------ -----~ -J For: Dalton Date: 13 July 2006 - Hole density per cell = <12sgft.; 460sgft / 12 sgft /hole = 40 holes. Proposed total holes = 46. P1 = 53.5 FT.; P2 = 58.5 FT. s,~ j.~~- Proposed holes in 55 foot sxn of cell: 44 holes; hole spacing = 15"; P (length from manifold to last hole = 63-3~F'f. Proposed holes in 60 foot sxn of cell: 48 holes; hole spacing = 15"; P (length from manifold to last hole = ~F-T. ~"`i , s'> In both the 55 foot section and the 60 foot section of the cell the 15` hole is l'S" from the manifold to the 15f hole. In both sections, the last hole is ~'' inside of the end of the 6ZFlow. ~ ~ ~ '' 7.j n hole dia (in) = 1/8; q = l 1.79*d(exp2)*5.0(expl/2) = 0.412 lateral dia (in) = l~-tip;- I Ji'' ' ,,.tea ~;,,, ---_? force main dia (in) = 2; # total holes = 92 invert elev of laterals (ft) = 98.56' B/ _ ~,., ~ ~" force main length (ft) = 70' max. .~ ~(~ ~ ~~~. J~ ~I~~7r~iL /~+'° ~ GPM = 37.90 friction (ft)= 1.96 1 }Note that ends of distribution lines must be provided with access boxes. 2) Turn-up must be long 90 degree sweep or 2- 45 degree bends Note that calculations on this sheet are based on the Mound Component Manual for POWTS SBD-10691 (RO]/Ol) and the Pressure Distribution Manual for POWTS SBD-10706-P (R01/O1) PaOP 4 of 1(1 ti ~ PPe 18in GOTTFRIED ENVIRONMENTAL in rritimm 2 ,. wda tigYt seds~ ~~ U~ ~Y' III za>~~ rririmm -~--- - A .. - ~_ ,~~ 12 in rririmtn omd~it ` - ---- -- - in rririmm --__-~~ -I_ - - -- - ;, p / ~ Glidcl)ist~nect ~ i~l ~ ~ ~ i oufld I -- ~ - -- •JJ aiarfTt ~ ... ---- -- ~ - i ~ > an U4" hde t I` -- - / - - J Clf I R~-p ~- =_ I dock 1 g D 3' tf f,eddng u~tder laic For Daltone; date: 13 July 2006 SEE FOLLOWING PAGE (PAGE 4b OF 5) FOR ADDITIONAL NOTES Internal dim: length: 147" (average) width: 67"(average) liq. dep: 42" Pump: Goulds Model: WE03M Switch: Manual Combination Tank Manufacturer: 1{uffcutt 'l'ank Capacity: 1000 1600 nominal Actual Capacity: 627 dose Gallons per inch: 14.93 Alarm Manufacturer: Septronic Model Number: MJJ1 Switch type: mercury Capacities: Depth inches A 22.43 B 2 C 5.57 D 12 Bottom of pump tank = Elev of pump = ~F-Y= Elevation of laterals = gallons 334.82 29.86 83.16 179.16 90.20' 91.45' 98.56' Vertical dif. between pump off and list. pipe: 7.11 ft ~ ~ . ~ Minimum network supply pressure: 1.3 x 5.0 = 6.50 ft. 70 ft. Force main =friction : 1.96 ft. ~,,L/. Total dynamic head: I S•~ 7 -~ D _OUTLET SIDE OF SEPTIC TANK MUST BE EQUIPPED W[TH ZABEL FILTER MODEL A100 DRUM STYLE FILTER.. Note that Sch 40 PVC 4" ID pipe is to be used for vent pipes. and Minimum Discharge Rate (gpm): 37.90 inlet. For inlet and outlet pipes, Sch 40 PVC is to be used for a ;. ,C`~ distance of 3 ft onto firm ground. 20% of wasterwater flow = 90 gallons ~' ;~ .i ,~;; Sx's void vol. Oflaterals = 5 * p * * 33:~ = 3~t-24 gallons; ; L Note that a smaller pump may be suitable if it can be documented Sx's void voi. Of laterals = S * ~ *~~ #58-5 = 3-?-4d gallons that pump elevation is higher than elevation noted here and / or Void volume = 0.164 * 70 ft = 11.48 gallons ~?•3 i force main length is less than noted here. Code calls for dose to be > Sx's the void vol of the laterals and <20% of wastewater flow Dose =- _ . ~~3,b ~ ial, ~ diL Pa>;e 5 of 10 t' GOULDS PUMP -MODEL WE03L vvrurvuw. uuruvy~ vvrr~rr ruriy submerged. Goulds Pumps is t50 9001 Registered. FEET " 1 1 1 _ 1 0 SERI~5:3885 _ fri~ SiZE-;14' SOLIDS 0 RPM: 3500 & -- - - - - 750 0 - - 5 GPM ~- - - 0 - - -- - 5 F T - ~0 r ~ 0 0 N-- -- - - - - - ~0 ~ ' i0 ~ 10 3 I I0 00 1 0 2 30 4 0 50 60 70 8 0 90 100 1 3 2 1 0 10 120 130 140 i50 1F 0 GPh ~ i ~~ i E ~ i i i i ~ ~ ~ i ~_ 0 5 10 15 20 25 30 35 m3/hr CAPACITY Page 6 of 10 Additional Specifications 1) Inlet and outlet pipes from septic tank and dose chamber: Schedule 40 pipe extending 3 feet onto firm ground. Joints must be approved. 2) Seals between tank openings and inlet and outlet pipes must be water tight. 3) Manhole covers must have an approved locking system and approved warning label. 4) Vent pipes must be 4" Schedule 40 PVC. All vent pipes must be 25 feet or greater from doors, windows, and fresh air intakes. 5) The pump and alarm must be on separate circuits. 6) The electrical junction box for the alarm and pump must be weather-proofed. Note that the calculations on sheet 4a of 5 are based on the Mound Component Manual for POWTS SBD-10691(RO1lO1) and the Pressure Distribution Manual for POWTS SBD- 10706-P (RO1/O1) Page 7 of 10 Wisconsin Ue}lartment of Commerce Division of Safety and Buildings SOIL AND SITE EVALUATION Page Of in accordance with Comm 85, Wis. Adm. Code Attach complete site plan on paper not less than 8 '/z x 11 inches in size. Plan must include, but County St. CrO1X not limited to: vertical and horizontal reference point (BM) direction and percent slope scale or , , dimensions, north arrow, and location and distance to the nearest road. Parcel ID # APPLICANT INFORMATION -Please print all information Reviewed By: Date: Personal infomia[ion you provide may be used for secondary proposes (Privacy Law, s. 15.04(1)(m)). Property owner: Property location l t SE i ' G r)~ /4 SE 1/4 S21 T 31 N R16 E ( TOm Dalton , o : o ov t Property owner's mailing address: Lot # Stock # subs. Name or Csnnn 1728 95t" Street NA NA NA City /State / 7.ip Code Phone number: city Village Town Nearest Road New Richmond /Wisconsin /54017 715-760-0210 Cylon 200`h Avenue ® New Construction Use ~ ResidentialMumber of bedrooms 3 Addition to existing building: NA ^ Replacement ^ Public or commercial -describe Code Design Flow Rate: 300 gallons per day -must be appropriate size for the contour and soil restrictions Parent Material: Glacial Till -ground moraine General Comments and Recommendations: Soils are well drained alfisols, underlain by dense glacial till. Along narrow mound SAS is recommended for this site with 2.50 feet of sand fill. SOIL DESCRIPTION REPORT Boring # Horizon pepth Dominant Redox Description Texture Structure Consistence Boundary Roots Soil Application Rate in. Munsell Color Qu. Sz. Cont. Color Gr. Sz. Sh. GPD/FTz BHPI F,ff#1 Effll2 Ap 0 - 9 l OYR 3/2 NA sil 2msbk mfr aw 2f 0.6 0.8 Ground Ap-d 9 -12 IOYR 312 fld 7.SYR 5!8 sil ]mpl mfr as If 0.4 0.6 Elev (ft.) 95.20 gtl 12-16 I OYR 4/3 m2d 7.SYR 5/8 sil lmpl mfr cw NA 0.2 0.3 Depth to Bt2 16-28 lOYR 4/4 map 7.SYR 5/8 sicl Imsbk mfr cw NA 0.2 0.3 limiting factor- in. 2C 28-33 l OYR 5/3 map 7.SYR 5(8 scl massive 0 Remarks: dense Bt2 horizon; clay bridging in Btl horizon Boring # Ap 0 - 7 1 OYR 3/2 NA sil 2msbk mfr aw 2f 0.6 0.8 BHP 2 Ap-d ? - 9 l OYR 3/2 fl d 7.SYR 518 sil 1 mpl mfr as 1 f 0.4 0.6 Btl 9 -13 lOYR 4/4 m2d 7.SYR 5/8 sil lmpl mfr cw NA 0.2 0.3 Ground Elev (ft.) Bt2 13-18 l OYR 4/4 map 7.SYR 5/8 sicl lmsbk mfr cw NA 0.2 0.3 95.00 C] 18-25 7.SYR 4f4 map ?.SYR 5J8 grsicl massive Depth to limiting 2C1 25-30 lOYR 5/4 map 7.SYR 5/8 scl massive factor- in. 0 Remarks: dense Bt2 horizon; clay bridging in Btl horizon CST Name: Eli M. Gottfried, Gottfried Environmental Signature: Tel. No. 715-833-1400 Address: 124-1/2 Graham Ave. Eau Claire, WI. 54701 Date: 7 June 2006 CST # 221981 ~~ ~ l t) SOIL DESCRIPTION REPORT Property owner Dalton Parcel ID# Boring # Horizon Depth Dominant Redox Description Texture Structure Consistence Boundary ,Roots Soil Application Rate in. Munsell Color Qu. Sz. Cont. Color Gr. Sz. Sh. GPD/FT'' BWP3 Eff#I F.t~#2 Ap 0 - 1 I l OYR 3/2 NA sl 2fsbk mfr as 2f 0.6 0.8 Ground Elev (ft.) 93.90 Bt 11-19 lOYR 4/4 fld 7.SYR 5/8 grsl, clay ]msbk mfr as if 0.4 0.6 Depth to C 19-32 l OYR 5/3 m2d 7.SYR 5/8 scl massive limiting f i t ac or- n. 0 Remarks: Chorizon -very dense Boring # Horizon Depth Dominant Redox description Texture Structure Consistence Boundary Roots Soil Application Rate B I in. Munsell Color Qu. Sz. Cont. Color Gr. Sz. Sh. GPD/FTZ Eff# 1 EfF#2 A 0 - 8 1 OYR 3/2 NA sl p Ground Bt 8 -11 1 OYR 4/4 fld 7.SYR 5/8 grsl, Elev (t~.) clay 89.60 C 11-19 lOYR 5/3 m2d 7.SYR 5/8 scl Depth to limiting factor- in. 0 Remarks: Boring # Ground Elev (ft.) Depth to limiting factor- in. Remarks: Boring # Horizon Depth in. Dominant Munsell Color Redox description Qu. Sz. Cont Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots Soil Application Rate GPD/F'I'= F.ff# I Eff#2 Ground Elev (ft.) Depth to limiting factor- in. Remarks: ~ 9% 51ape ~ ~ P ~. x 95.00' ` i ~~ ` ` , ~ ~` ~ \~ ~ I ~~ ~` a ~ nl ~ ~ ~ a~ ` .U I a ~\ ~ i i i Proposed combinatidn tank 1000 gallon septic to k ~~~ 0 600 gallon dose chamber ~~ _~~ ~ ~V 95` ~ propose f 3 BR r idence farm field ~ woods NORTH 61 89.60' 93,.20' Scale: 1" = 50' ~~ Forcemain length = 70' maximum i Force main diameter = 2 inches i >50' to E P/L SHP ~ 95.20 ~ 20 alfalfa field disturbed area -topsoil removed Gottfried Environmental Eli M. Gottfried, R.S., CSTM, Designer Evaluation: Soil test, lnt Rprt, Desi6m Client: Tum Dalton Date: 7 June 06 signature: BM =taped tine on meter socket riser Elevation = 100.0' at line ®~ Dalton, Tom -- SE SE 21 31 16W ~~ gravel driveway Cylon, St Croix /~ j ~ i' mailing address: ~~ 1728 95th St New Richmond, WI. 54017 -- 7~5-760-0210 (cell #) 1.0 mi. to 240th St. 200th Ave. 9 ~ 1~ POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION Owner Tom Dalton Permit # DESIGN PARAMETERS Number of Bedrooms 3 ^ NA Number of Public Facility Units x NA Estimated (average) flow 3 0 0 al/da Design (peak) flow = (Estimated x 1.5) 4 5 0 al/da In Situ Soil Application Rate 0.16 al/da /ft2 Standard Influent/Effluent Quality Monthly average" Fats, Oil & Grease (FOG) <30 mg/L Biochemical Oxygen Demand (BODs) _<220 mg/L ^ NA Total Suspended Solids (TSS) <150 mg/L Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand (BODs) <_30 mg/L Total Suspended Solids (TSS) <30 mg/L ^ NA Fecal Coliform (geometric mean) <104 cfu/100m1 Maximum Effluent Particle Size ~ in dia. ^ NA Other: ^ NA "Values typical for domestic wastewater and septic tank efFluent. MAINTENANCE SCHEDULE SYSTEM SPECIFICATIONS Tank Manufacturer Huffcutt ^NA x Septic ^ Dose ^ Holding vol. 10 0 0 gal Tank Manufacturer Huffcutt ^NA ^ Septic x Dose ^ Holding vol. 10 0 0 gal Effluent Filter Manufacturer Zabel ^ NA Effluent Filter Model A10 0 Pump Manufacturer Goulds ^ NA Pump Model WE03L Pretreatment Unit x NA ^ Sand/Gravel Filter ^ Peat Filter ^ Mechanical Aeration ^ Wetland ^ Disinfection ^ Other: Manufacturer Dispersal Cell(s) ^ NA ^ In-Ground (gravity) ^ In-Ground (pressurized) ^ At-Grade xx Mound ^ Drip-Line ^ Other: Other: ^ NA Other: ^ NA Service Event Service Frequency Inspect condition of tank(s) At least once every: 2 ^ month(s) Maximum 3 years) x earls ^ NA Pump out contents of tank(s) ^ When combined sludge and scum equals one-third (f~) of tank volume ^ NA ^ When the high water alarm is activated Inspect dispersal cell(s) At least once every: 2 ^month(s) (Maximum 3 years) x year(s) ^ NA Clean effluent filter At least once every: 3 ^ month(s) X year(s) ^ NA Inspect pump, pump controls & alarm At least once every: 2 ^month(s) Xx year(s) ^ NA Flush laterals and pressure test At least once every: 2 ^ month(s) xx year(s) x NA Other: At least once every: ^ month(s) ^ year(s) x NA Other: x NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator (pumper). Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and a check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any treatment tank equals one-third (~) 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 NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of <12 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. GMW (12/02) Iv ~ 10 Page ~f _ START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products, solvents or other chemicals that may impede the treatment process and/or damage the soil 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. During extended power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose and may overload them resulting in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) discharge; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter 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 tilled with soil, gravel or another 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: ^ 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 by required 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 and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ^ 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. ^ 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. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. xx 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 CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS 1) Filter should be inspected periodically during the year; 2) For new construction, the tank(s) should be pumped prior to occupancy. Filter should be inspected for latex paint contamination if effluent level has reached the level of the filter prior to occupancv. POWTS INSTALLER Name Phone SEPTAGE SERVICING OPERATOR (PUMPER Name Phone POWTS MAINTAINER Name Phone LOCAL REGULATORY AUTHORITY Name St Croix County Phone ST CROIX COUN'T'Y . , ~ SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer ~n ~ t'~ ~~S 51.E n.. ~~'`~ Mailing Address I -1 01 £~ ~ S ~ ~ ~ Y-~ G`~ / Property Address 2 2 `j (p -(-~. C (Verification required from Planning Department for new construction) City/State S~~"~-•-l:, 1~~. Pazcel Identification Number ©(~~~-la `{~- -~~ - ~ ~. 3~s~ LEGAL DESCRIPTION property Location S ~ . ~/4, ~ '/,, Sec. ~, T_~N-R ~6 W, Town of G? ~ o ~'- Subdivision ,;, U Lot # ~ ~ Page # ~ I Certified Survey Map # 11 .Volume Warranty Deed # ~ ~ ~ ~, ~ ~ ,Volume ~~ ~ .Page # _~ Spec house (~ yes ^ no Lot lines identifiable L~ yes ^ no ~.a-~,~.. SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result is 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. The properly owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterplumber, journeymanplumber,restrieted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is is proper operating conditionand/or (2) after inspection and pumping (if necessary), the septic tank is less than 1!3 full of sludge. Uwey 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 Departrncnt of Commerce and the Department of Naturzl Resources, State of Wisconsin- Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three yeaz expiration date. SIGNATURE OF APPLICANT g i~ i i 0.~ DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property descnbed above, by virtue of a warranty deed recorded in Register of Deeds Office. r~/1 L3~l~VV1y SIGNATURE OF APPLICANT DATE «««««« emut beia revoked b the Zoni.n De artment. ****«* Any information that is mis-represented may result in the sanitary p g Y g p «« Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed x ~~ .~ -: ,~~~9 ~` R~' ~~~~~ . ~'l ct I h -#'"' ~a~~ ~" ~~~ ~~ ~~~ ~~ , t~ ~___M___.rt .~~, ..m `~~ aM4 I br ~' K ~ ~aW n RECEIVED AUG 2 4 ZO®G ST. t~GlCQ~4U,tg111g1 ~~,~ ,~~ -~~ ~~.s ~a~~~ ~ \~1 ~~ ~S'~. ~~~~ ~~ '~~ ~uwn Parcel #: 006-1047-10-000 09/20/2007 10:16 AM PAGE 1 OF 1 Alt. Parcel #: 21.31.16.325 006 -TOWN OF CYLON Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O =Current Owner, C =Current Co-Owner O - DALTON, THOMAS P &TERESA M THOMAS P & TERESA M DALTON 1728 95TH ST NEW RICHMOND WI 54017 Districts: SC =School SP =Special Property Address(es): ' =Primary Type Dist # Description * 2296 200TH ST SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 W1TC Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE SEC 21 T31 N R16W 40A SE SE Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 21-31 N-16W Notes: Parcel History: Date Doc # Vol/Page Type 10/06/1999 611718 1461/543 LC 01/20/1998 571501 1289/109 TI 239307 309/188 ~nn~ ci innneeQV Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Description Class AGRICULTURAL G4 AGRICULTURAL FOREST G5M Last Changed: 08/02/2006 Acres Land Improve Total State Reason 32.000 4,800 0 4,800 NO 8.000 12,000 0 12,000 NO Totals for 2007: General Property 40.000 16,800 0 16,800 Woodland 0.000 0 0 Totals for 2006: General Property 40.000 16,800 0 16,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 04/17/2001 Batch #: PRGRM Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Tota I 0.00 0.00 0.00 ,~ r ,~ . ~_ _ ~~ "' _~rp~ ~is~r'~"$t~ ~y ?9 p . Cr~t~d1~ ~` . ~ ~~ 14~-1499 49~ #~ t 'i C i'~s ~~f~Et ~94.Q~ Ilhor~; fEEt ! N! 7edlti9 A, 'vta1'ON LAW OPt+'I('vS~ l.O. Ens 177 Iiow Wi SIpt7 Paesd ID Na.: 006-10~IfrSG, 006.1047-10 and 0O610dai-SO The Eat Hatf of the Souitseaat Quarter {Elt2 of SEtl4) ai3d the Southwest Quarter of the Southeast Quarter (SWll4 of SEt/4) is Sect Twenty-one {Zl), Tows~ip Thirty-o~ {31) N©cih, Range Sixt~ra {t6) West. EXCEPT the CxRifted ~7 ~ reocxste~d is Yotume 2 a: page 447 as Documesat No. 342527 and EXCEPT cvmmesic~ng at a point on the s tie 22 ~ West of the Southeast corer of the Southwest Quarter of the Souttocsst Quarter (SW 1!4 of SEtl4) of said Sera T~v,~,-oce (Zt); Nosh 25f! feet; thence West 100 feet; dsec~ce South 25~ ferei; thence East 100 feet to the pahtit of $- 7bir is t P~Y- ~. ,. , ~~~ PttTChsaer ar~i~a ~ pay whc~ .~ ail a~ died tar lie Pttr~ or vpcs Vees3t~'a bat~art ~ k tn$ b fir-- ~ 'r~,:~~ ar¢t~ :~-_ deamsix~i a x~a.,-~ s~3 payt ~ t'~ . Ptue.'as sb~tl tx~p ~ h~anv tea tde +y ' . ~:-c kaa ar r - by tip l :' r-- ~ ~ 1~»'t_ , bass at Verslx ttssy , w ~i~r~e. by VatraklR, b >~ t of rtiltksr but Yaor#*~ alb oosesage in a aasiaa~ orort bale the i~: r+ Llxntaax sash vary le tam t3~. 7Le pt t ~ ~; ` ~~ saaodsrd cinsse t0 Savor 8f Ve~;'s i ate, u V~a3ttr 5a ~ tb~x d aA pc°~~a $r?a:'[ hR .`" bep w~ Vei~cr. Ptataba~r ihalit paiy live actdce W~ Itssa b i~ ,. earl. Vt~dcr. Vtti~ Ptutser titd Yt ~ t1~tC ~'. ,~, writing. was P abtil be ~ b - ar r+;anir ct[ dte Pt~aperty ~. provided tare Vex dates the of ttt tf+ 1aD; eoaooliy feasblr. ~ : ~- _ Pwrc>tsaer covPwattffi not b mmsait wt:ate >mr alioav waste b be an the Property. to tsep ~ Prraptt:ty it pd# ileaagCaais stud b keep d: Pfvperq~ Roe hymn Tietn superior b flse ~ this Cattrxx, atsd b wil a6 taws, order sad dae r _ y~r"~ ~ .. ,~. Vemanr agrees tdat b. case Ids purcbsae price wtb- iatktC7t mad oQzr tnrmeys shalt be thiiy paid aatd at1 shs8 be ~ Psrl~rfPQ ~-Oir"{~tNei ~ " •?! sad at the taxata7el above apxifaai, Veodsar wilt m de~aad. tie sled dellvts to ffie ltarc>~r, , Wttrramy Deed. is fce simple of the !tested ~" ~~ of sit lietn tttd exaxpt eery rises ar ereateai by the act a dt~att of l~ntha+et, red eatotpt narmdelpal and ~r>; _ Ptuchaaar agras ffict time is of the eaae~e rind (a) fa the evem of a defaattt ~ dae paymeffi at say prioctp.i ar fattt~ wbieh fee t d ." 6t days 4dbwing the specified due dace ar (b) in tlae event of a Oefsutt.k perlfu~aa essay other ohiffrtfo~n of Ptucb~ta wdich enrrfarw b[ s +,fs~~ )rya idknrritag writaen ax><ice tbere+of by Vendor ('lelh<sad aF ttsaikd bi` etrtlficd mail!. Iben tft eatJre ottor~i 6abusee alder Sys caataaR tdai " taaane immodiatefiy due sad payable m fait, at Veadsr'a sad withoat aa+tix {wdish iaarcRrass !~+ wdvss). std Veoaior ~ ttNo #ittve the ~ - , _ . `" ria6a sad rerai:ntiee tnd>jtst to say liaadatictr provided by Lw) in sdttilion m these provided by law « io egaky: (i) Vendor msy, at bk optlm, 1tl[J~ Cenrna and Atrctaaser's r~hrt, Bak sad irYereat b die Property sad rec:var« fee Yrapaty back thrrxagls stria forecia«as rUk any e4~7' tf eebtraptiaa b ttti ootditioted lapses Ptecbaatx's httl paymeal of the enffie as taaaaace, with leaser thsreoti tram '~+a bee o! ddaak at the rme L effect ae aael dsse •ad other atnwm due hereuadtx (m whidt event all s preriwaly Paid by Pmshaer adt6 be torfatr+d a< ligvid<trd damegaw for dtftnR b tibffi Me Cloottttset _ sad as terra fa the Prapaty if ptuchaeer frets a redeem>; a (n~ Ve+odor ~ true for ,peaifc peribraiseoa of uda Contract to oompa itntaetlfalti and idl paya~mt of the entire owstandiat; balance, vrflh itt thereon at dx mee m efkd ao be dace of defsuh and adsa amoaWa doe dm+attada, L wbi~ esdt 6EE Property shall iz axrtiataed at judicis! sak and Purchaser shalt be liable tar say definxtaty: or (tu) Vendor may one m law fx the etrire 'apid N~ f~ ~ ' , mf taottioa thetwf; or {iv) vendor may declare thin Caeo-act at m sad and reaaove this Conned • s eioud ao dtk is a quiet-tide action If the a}dmbb tafaed~ of Purchaser m inaifrriaf4csnk std (v) Vendor mgy have Purchaser ejected from poaxsaioa of the Property sod dove a rxeira' appokfa+d b erred +~ eatY. or Profits during the pa:nd'eaacy of say action under (i), (ie~ or (l+') :hove. Not+vida+4ndin f airy oral or wri~m saocmentt ar artless of Vas¢or, as electfas of say of the foregoing reeledks shall ~Y be binding upon Veadtx if and when Fvr>AUOd in titigastion ant a.9 mats sad expaxea iaeddimb teasaaahte tttttsaeya . bees of vsador incurred to enforce ay remedy hereurrier (whedaee aba!ed a not) to hie exiamt not prohr~btred by taw and expesteer of tide evideaes tfttetl ba sallied m pritacipsl and paid by PtarcEaaer, ss incurred, : ~ shall be icshaded is arty - Upon the c~amentxaa,~-n or duaatg the pcadency of aey actiaa of foreclosure of ttais Cootrau. Pta9ctrea caaaetaa to the appohslmeat d t tle~0eia's d the Property. ~b8 domes4~d interest. b axailect the reins, , ant profits of the Property during the pen~acy of such anion, ata8 web aerdr, btnseta,, t~ttd profirs when w collected shall he held sad appiiod m the taut shag direct. .;r Part3taaer shalt oat transfer, sell ar covey wry ~ a squitabk interest m 1TY Property tby alai of any ~ Parcba>aer's r(gdb stoder lira Contract or by aption• long-terse kale a in a~ other way) withW.at the Prior written colleen of vendor auikss ett6er the oaOWSdiag babmoe pttyttbie ntttder tfaie Coatrsct o fins paid in full sx the interdt sx>nvey`ed e a plaxige a ueignnaen of Puredaser'a t taeder thr: Caotrsd wady m atiasrity fora )odebladttyt of Pnritaacer. m the even at soy such tranaftx, eak or conveysnoe tritda.N Vendor's wrinm cameo. the eatttre aeapnodiag balance pnyabk tinder t`is t7oteortte: aban be~xanie imaediaaety due sad payable in toll. w Vendor's option without notice. Vendor etas!! make all paymeda when due under gray aaatcgage auaiaadLeg against the Property on the date of this Contract taseps for mr ttaoe~sde grasated by Purdtarer) or under say note aeaurd therety, provide! Pwrbastr makes timely payment of doe s thee due wader this Contract. Plneiaaer etrry make aey sued payments dQOCdy to the Mortgagee it Vendor faits m do w and al! payments w made by Patrcltsaer aheq be considered payteenfs made a tfaM Conract. Vetsdor may waive any defauic without waiving stiy orbs aaibaegaleat a prior default of Parclass~er. Ali terms of die t,.oacsct shall be biaactaaa upon and mare m the laerac95ts of +lae heirs, ]egal repraeras~vea, nicreawrr and tatignt of Nestor ad - ~ Paira~aaser. {If not an owns of the Property tb± a?paase of Vendor far s valuable a3nrasideration joim herein b rdeaae horrsestesd rights is the aabject Ptupttrgr sad ', agrees to join m fire exaaitkn of the decd b be made in failfilirnant hereof) Signed this10°i day of Seprember. 194. __ ~~C,srs~_ ~/~~p~ _ (SEAL) • FERN VVIIB(1R VenQor • THO' S P. DALTON _ (SEAL) + Vendor AIITHEAiTICATION Si~hirE(s) of Fern WilMir this a~~day of Septzntber, 1999. • A. Ram TITLE: MEMBER SLATE BAR OF WLSGONSIP[ ¢f int. sudwrixoti by ~ 7'06.f)6, wis. state.) TffIS AVS7'RUhtaitiT WAS DRAFTED BY lbdith A. Retaiagloae RAN L~ W t?FFICI:c r. a. Box m New Richmond, ~vI saai'f (~ y ~ ar . Bch ate uaR Mary.) • TERESA M. DALTON ACKN4WLEDG1i~P SPATE OF WISCONSIN ) )~ Sf. CROIX COfJMIY ) A-rsoaaily caeue before me tRis 37a dry of St~t6err. 1999. the above ttarttod Thomas P. DaNoe and Teresa M. Dttiboa. tt tnc taown w be the person(a) who e><oatacd ttre iaryoinl amI acknowkdde flee same. , s.Cl.f~ ..,.1~ _ • A, Naary Public, St. Ctuht Count'. a My Cot!t~on is pamlanatt. (sf runt, ataoe at~stbr AtMe; •) ~+mw ~ v~ in w9 ~kl' awo~a be typala or prhaai tteto.r irtr atfartates. - IJ-ND rOt3rirlhC'f • uaataAdiat aaad Casaaala -lltcr tiler asl~ans t~antaMa. tt • , . ".; ` ~ '" :'' ,~~ ~: • • SW - SE 324A 1so CSM WL 2 PG 100 3 4C ~ 1so Sec T~ GYGON I Sec 2' ;~ SE - SE 325 J y ~i t 22 1 27 !' :'~:e commerce.wi.gov ^ ^ iscons~n Department of Commerce L/~ 9~ ~ ~ Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. co m m e rce.wi. g ov/sb/ www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary July 19, 2006 CUST ID No. 42258 ELI M GOTTFRIED GOTTFRIED ENVIRONMENTAL 124 1/2 GRAHAM AVE PO BOX 1645 EAU CLAIRE WI 54702-1645 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 07/19/2008 Transaction ID No. 1286670 SITE: Tom Dalton Site ID No. 714954 Town of Cylon, St Croix County Please refer to both identification numbers, SE 1/4, SE 1/4, 521, T31N, R16W above, in ail corres ondence with the a~enc ~. FOR: Object Type: Soil Saturation Determination Regulated Object ID No.: 1083800 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. The following conditions shall be met during construction or installation and prior to occupancy or use: 1. Approval is hereby granted pursuant to s. Conan 85.60(2), Wis. Adm. Code, to estimate the depth to seasonal soil saturation based on an interpretive determination process. Approval of the interpretive determination negates the requirement in s. Comm 85:30(2)(b) Wis: Adm: Code-to designate-the ground-surface_as the highest level of soil saturation when redoximorphic features are less than 4 inches below the bottom of the A horizon. 2. The estimated highest level of prolonged soil saturation approved under this determination is six inches below grade. At least 30 inches of sand lift on top of six inches of unsaturated, in-situ soil is required for adequate treatment and dispersal. 3. The basal soil application rate for the mound shall be 0.20X gpd/sf, and the linear loading rate 4.SX gpd/ft. 4. Chisel plowing to a depth of>12 inches immediately prior to sand placement is required to improve vertical water movement into the soil solum. 5. Landscaping up slope of the mound shall be incorporated into the POWTS design to prevent surface water from concentrating along the up slope edge of the mound and to divert surface water drainage away from the system. A surface water diversion must be installed up slope of the mound to divert water away from the mound area. 6. This approval shall remain valid unless the site is altered in such a way that the depth to soil saturation would change or if saturated conditions are observed for seven consecutive days at depths less than 3 feet below the infiltrative surface of the POWTS distribution component. 7. This approval in no way relinquishes the use of color patterns to estimate the depth to high groundwater on any other parcels or portions of parcels. 8. A copy of this approval letter and attachments must accompany the mound system design for this site for purposes of plan approval and sanitary permit issuance. 9. The down slope toe must be designed at a 4:1 side slope in stead of the traditiona13:1 slope to ensure adequate down slope basal area is available for absorption. If the Interpretive Determination Report was accompanied with a plan and an expiration date is shown on this letter, the expiration date only applies to the plans for the design, not to the decision on the Interpretive Determination Report. ELI M GOTTFRIED Page 2 7!19/2006 ~ • ~ b 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. If plan index sheets were submitted in lieu.of additional full pl~ISets, a copy of this approval letter and index sheet shall be attached to plans that correspond with the. copy on file with the Department. All permits required by the state or the Local municipality shall be obtained prior to commencement of constructionhnstallation/operation. If this construction project will disturb one or more acres of land, an Erosion Control Notice of Intent (NOI) shall be filed with the department 14 days prior to any earth disturbing activities. 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 desigrring 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. Sincerely, Fee Required $ 100.00 Fee Received $ 100.00 Balance Due $ 0.00 eroy G. sky, PSS, Wastew Specialist Integrated Services Bureau WiSMAR'1':c~de: X633 (715)726-2544 Voice (715)726-2549 Fax lj ansky@commerce. state.wi.us .~~~ INTERPRETIVE REPORT Gottfried Environmental 124 Graham Avenue Eau Claire, WI. 54701 715-833-1400; 715-833-1381 fax for: Tom Dalton 1728 95t" Street New Richmond, WI. 54017 715-760-0210 Site: SE SE 21 31 16W Cylon, St Croix County 1286"70 1 P.O.W.T.S. Con~itivnally DEPARTMENT QF COMMERCE DIVIS~N OF SAFETY AND BUILDINGS SFE CC~fR`SPC~IDENCC~ _. JAL 1 9 2oe6 ~ - y 9,1 ~ ' Tabie of Contents Table of Contents ........................................................................................................................ I INTRODUCTION ..................................................................................................................... .. 2 RATIONAL FOR THE INTERPRETIVE REPORT ............................................................... .. 2 GEOLOGICAL HISTORY ....................................................................................................... .. 3 DESCRIPTION OF THE SITE ................................................................................................. .. 4 Observations :........................................................................................................................ .. 4 Discussion :............................................................................................................................ .. 4 Soil Structure :......................................................................................................................... 4 Aquic Moisture Regime ........................................................................................................ .. 5 Tillage ................................................................................................................................... .. 6 CONCLUSIONS ....................................................................................................................... .. 6 PROPOSALS ............................................................................................................................ .. 6 REFERENCES ......................................................................................................................... 12 1 i,r GOTTFRIED ENVIRONMENTAL ~ , 124 Graham Ave., Eau Claire, WI 54701; 715-833-1400 telephone: 715-833-1400; fax: 715-833-1381; email: elicstm(a?sbcslobal.net INTERPRETATIVE REPORT 14 March 2006 Proper owner: Tom Dalton Legal Description: SE SE 21 31 16W Cylon Township, St. Croix County INTRODUCTION On 7 June 2006, I visited the property noted as described above. The visit was done at the request of the property owner, Mr. Tom Dalton, for the purpose of evaluating the soils (soil test) for the construction of a POWTS. Currently, there is a 2 bedroom prefabricated home on the site. The home sits on a trailer waiting to be unloaded. It is the intention of the property owner to dig a basement, set the home on the basement and rent out the property. The topsoil in the immediate area surrounding the prefabricated home has been stripped and removed. All soils in the area of the proposed mound system have remained undisturbed to the extent that the topsoil has not been removed. Soils in this area though have been influenced by many years of cultivation and plowing. During the course of the soil evaluation, it became apparent to me that redoximorphic features were present in the soil within the bottom part of the Ap horizon. The purpose of this report is to address the issue of the soil profile on site and to propose the construction of a mound system on site within the constraints outlined in this report. RATIONAL FOR THE INTERPRETIVE REPORT High and low chroma features in the soil as compared with matrix soil colors are considered as indicators of seasonal saturation in the State of Wisconsin. Department of Commerce Comm 81.01 (118) states: "High groundwater" means zones of soil saturation which include perched water tables, shallow regional groundwater tables or aquifers, or zones that are seasonally, periodically or permanently saturated. Comm 81.01 (119) further defines evidence of seasonal saturation in the soils: "High groundwater elevation" means the higher of either the elevation to which the soil is saturated when observed as a free water surface, or the elevation to which the soil has been seasonally or periodically saturated as indicated by the highest elevation of redoximorphic features in the soils. 2 At least 36 inches of soil separation is required between the bottom of the soil absorption system and the redoximorphic soil features in most types of soils (Table 83.44-3, Department of Commerce). Where this does not exist, an above ground SAS must be constructed (i.e. mound or At-Grade). The initial determination of this site has found the site to be unsuitable for mound type septic systems (Soil Absorption System), as per WAC Comm 85.30(2)(a) and (b). This code section mandates that: 1. Redoximorphic features be used as an indicator of seasonal saturation in the soils. 2. Redoximorphic features appearing at depths of within 4 inches of the bottom of the A horizon shall be interpreted as seasonal saturation occurring at ground surface ("Unless determined otherwise..., the highest elevation of seasonal soil saturation shall be the ground surface where redoximorphic features are present within 4 inches of the bottom of the A horizon.") Although Comm 85.30(2)(b) mandates that redoximorphic features within 4 inches of the A horizon be interpreted as seasonal saturation to ground surface, Comm 85.60(2)(a) allows for an interpretive determination of the soil conditions and depth to seasonal saturation should this condition exist. This section states in part: "A written report by a certified soil tester evaluating and interpreting redoximorphic soil features ... may be submitted to the department in lieu of high groundwater determination data. The written report shall conclusively demonstrate that the existing soil morphological features or color patterns are not indicative of current conditions of periodic soil saturation." This is the basis for the current report. GEOLOGICAL HISTORY The subsurface formation in St. Croix County consists of the Prairie Du Chien Group (dolomite and sandy dolomite). Depth to bedrock ranges from 0 - 15 meters (Brown, B.A. (1988)). This formation is of Ordovician origin (Paleozoic era 425 mya). Dolomite appears to have been laid during the early Ordovician period, while the sandstone was laid during the late part of the period (Paull, R.K. and Paull, R.A. (1977)). Glaciation of St. Croix County occurred many times during the history of the earth, although the most recent glaciation, during the Pleistocene epoch (approximately 1 million to 10,000 years before present), is the most apparent. There were several stages of glacial advance, the most recent being the Wisconsinan stage. This was the result of the advance of the Superior Lobe and, from this, the Chippewa Lobe (Martin, L. (1965). The Physical Geology of Wisconsin. University of Wisconsin Press, Madison, Wisconsin). St. Croix County appears to be part of the geographical province of the Western Upland. As noted by Paull et al (Paull, R.K., R.A. Pau11(1977) Geolog~~of Wisconsin and Upper Michigan. Kendall /Hunt Publishing Company, Dubuque, IA), "The Paleozoic rocks ... are the retreating erosional edges of marine sediments that once extended across the Northern Highland.... Late 3 Cambrian seas washed over the Precambrian erosional surface to deposit more, than 1,000 feet of sandstone, with minor amounts of interbedded dolomite." The St. Croix River has its origin in the Northern Highlands and its resistant Precambrian rock. The loess deposits in St. Croix County appear to be the result of the westerly winds carrying fine textured soils easterly to the eastern bluffs of the river and beyond. The soils observed on site suggest that the area has been influenced by glaciation. Soils appear to be loess (fine-textured, wind blown soil), underlain by glacial till. The glacial till present as parent material in the subsoil of the site is most likely the result of deposit from the Superior Lobe (Chippewa Lobe) material. Loess, present as soil of the Ap horizon, may be the result of the influence of the wind-blown fines of the St Croix River floodplain. DESCRIPTION OF THE SITE The parcel of land under investigation lays in the SE'/4 of the NE'/4 of Section 21, T31N, R16W, Cylon Township, St. Croix County. All land lays east of 220`" Street, and north of 200t" Avenue. Observations: Soils as observed: silty loam underlain by silty clay loam, sandy clay loam and sandy loam - Taxonomic Classification: Typic Glossoboralfs Soils as reported in the soil survey literature: Santiago (SaB) Slope/Aspect as determined on site: 9% north-northeast. Depth to bottom of Ap horizon: 7 inches Depth to limiting factor: 7 inches Soils in the Ap horizon had moderate structure and many fine roots. Few fine worm channels were present in both the Ap and the Bt horizons. Soil colors in the Ap horizon were dark brown (1 OYR 3/2). Soil density became apparent in the C horizon (glacial till parent material) at a depth of 18 inches (approximate). Redoximorphic features were few, but distinct in the lower part of the Ap horizon (plow pan) and increased in intensity, size, and frequency as depth increased. No redox features were observed in the root channels or in the worm channels. Soils were very dry in-the 0 to 3 inch depth and became moist increasing in depth below the surface. No saturation was observed. Discussion: Soil Structure: Soil colors as noted were lOYR 3/2 in the Ap horizon in the area of the proposed drain field. This suggests that, at least in the Ap horizon, there is not an anoxic soil regimen. The lack of redoximorphic features and the light (lOYR 3/2) colors in the Ap horizon suggest that the soils are not saturated for more than 7 consecutive days. Immediately below the Ap horizon is an Ap-d horizon (plow pan) with weak platy structure and fl d redoximorphic features. This horizon appears to be common in this area and is indicative of poor tillage management, rather than natural soil features indicative of seasonal saturation. State 4 soil scientists have designated the soils in this area as Typic Glossoboralfs, acknowledging the fact that wet soils are not a common feature of this soil profile. The soil survey describes the soil series for this area (Santiago SaB) as being "well drained." Below the Ap-d horizon is a Btl horizon composed of lOYR 4/3 silt loam. Structure in this horizon is weakly platy with m2d redoximorphic features. Clay is present throughout this horizon, although in a small enough quantity not to be designated silty clay loam. Below the Bt horizon is a dense silty clay loam layer with poor structure (Bt2). Water perches above this layer into the Btl horizon. Water also saturates this layer ~s indicative of the fact that map redoximorphic features are present. Below the silty clay loam layer is the parent material composed of massive sandy clay loam. This layer is glacial till and represents a litholigic discontinuity from the layers above (which are probably of loess origins). Vegetation on site is alfalfa and weeds. The vegetation does not appear to be water-stressed as may be the case if the soils had been saturated. The vegetation also does not appear to be diseased (leaf rust or root rot) as would be the case if fungi would present as a result of wet soil conditions. Slopes on site are 8 to 9%, suggesting that water moves away from the proposed mound site:. No saturated horizons were observed. Topographic maps and soil survey maps confirmed the slope and direction and the lack of waterways or areas of standing water in the immediate area of the proposed mound. However, soil maps do indicate that soils become wet the further downslope one progress~.The soil series designation for the wooded area located approximately 100 feet north of the site is Adolph (AdA). The taxonomic classification for the Adolph series soil is Typic Haplaquoll, an Aquic Mollisol. A soil boring done at approximately 60 feet north east of the proposed mound contour (approximately 4 feet lower in elevation than the proposed mound site) confirmed the increase in wetness present in the upper horizons. Aquic Moisture Regime: "Keys to Soil Taxonomy" (6th Edition, 1994) notes that "The Aquic moisture regime signifies a reducing regime in a soil that is virtually free of dissolved oxygen because it is saturated by groundwater or by water of the capillary fringe." The text continues, "It is not known how long a soil must be saturated to have an Aquic moisture regime, but the duration must be at a least a few days because it is implicit in the concept that dissolved oxygen is virtually absent. Because dissolved oxygen is removed ... by respiration of micro- organisms, roots, and soil fauna, it is also implicit in the concept that the soil temperature is above biologic zero ... for some time while the soil is saturated." In another portion of the publication, Keys to Soil Taxonomy defines aquic conditions as: "those [soils] which currently experience continuous or periodic saturation and reduction.... Saturation is characterized by zero or positive pressure in the soil-water and can generally be determined by observing free water in an unlined auger hole." In neither auger holes nor shallow hand-dug pits was standing water observed in the epipedon. In addition, soil colors in the epipedon were not those characteristic of organic soils (lOYR 2/1) or continuously wet soils (lOYR 4/2). 5 The placement of the proposed A+0 mound is near the highest ground on the site. Therefore, a high water table is not an issue on this site. In addition, the mound is sited on a sloping site, away from areas of water congregation. The presence of a capillary fringe, common where there is a large difference in hydraulic conductivities between horizons (typically, coarse textured soil overlain by a much finer textured soil) is not found on this site. Biological activity appears to be high as evidenced by the number of root channels and worm channels. Oxygen depletion appears not to be a phenomenon in the upper horizons as indicated by the lack of reduced or oxidized areas in the channels. Tillage: Tillage can both aerate soil and cause anoxic conditions in the soil. In the short term, tillage will break up soil clumps, freeing trapped nutrients and exposing more of the soil to the air. This, in turn, will cause more breakdown of organic material. In the long run, tilling the soil will break soil peds and destroy soil structure, thus destroying macropores that will contribute to aeration and water infiltration. In addition, the physical action of moving a heavy piece of machinery across the land, especially in wet weather, will compact fine-textured soil. This appears to have occurred on this site. CONCLUSIONS No redoximorphic features were observed for at least 7 inches of the Ap horizon in any of the pits evaluated. The soils in this upper 7 inches appeared to be well aerated with the presence of roots and worm channels. Water movement therefore appears to take place in this upper layer. There does not appear to be a condition of ponding for any significant period of time in this upper layer. Redoximorphic concentrations appeared in the soils gradually, starting at approximately 7 inches and increasing in intensity (prominent) at lower depths. PROPOSALS This soil tester feels that a mound system on these sites would adequately provide effluent treatment and dispersal as long as the follows design conditions axe implemented: 1. The construction of the soil absorption systems must be in the area designated on the plot plans. 2. Areas lower in the landscape must not be used for soil absorption systems. 3. The distribution cell must be designed very long and narrow with a linear loading rate less than or equal to 4.5 gpd/ft. This may limit the number of bedrooms and / or occupancy that can be serviced on the site. 4. The basal soil application rate must less than or equal to 0.3 gpsgft per day 5. At least 2.50 feet of ASTM C-33 sand must be used under the laterals 6 6. Chisel plowing must be employed under the absorption area down to a depth of 12 inches 7. Maximum hole spacing in laterals must be 30 inches. 8. Slopes down-slope of the mound must be 1:4 rather than the traditional 1:3. This increases the toe absorption area. 9. The area upslope of the proposed SAS must be provided with a constructed waterway to divert water around the mounds, unless the mound is to located at - or near -the crest of the topographic high. The purpose of the waterway will be to prevent water from being trapped in the mounds. If you have any questions regarding this report, please feel free to contact me at the above address and/or tele~hc~ry~~number. Sincerely .e~~ ~'~ ~~~'~~'~ ELI M. p ~~ ~ ~ ~- T RIE ~ ~ ' :.~; ., E laire, 4 Eli M. Gotti~e .~ W I O.e~'~~ CST (221981)'' ~~.~d~R~R~ igner (1310) 7 r; ~, ~, ,.~*~ .asn ,mss ~ ,.-< < ~ s 8 Attachment 1 -Soil series map indicating the soil series on site and the approximate location of the proposed mound. Soil series for the designated mound is Santiago. This is classified as Typic Glossoboralf according to the Natural Resources Conservation Service. ~~ti ~ 5x y .~ .~ _ _' _~" 1 ~ e f~~ y ~ ._._ ~, _,l 3 ~ ~ ~~ ~ ~ I i r ~f~ ~~ ~`~, ~'-' ~~ r ~" ``~ ~~( E - ~ ~~ ~ 1 ~ ~` `~ ~~ `~ l I '"~ ~~~ ~ ~. '~ t I '~,~, ti {~.-~- - _ ~~r~----~- - - - ~ ~,,.-.,,.,,, ~'';~ € ~ - ,,t ~ ~ ~~ ~_i ~~~ ~ ~ ~ #~ t /~ `~.1 f' ~r 4 [ ~-~ ~ ,~%;~ { ,` ~~ ~j ~ '~ ~ ~ ~ W~ ~~ ~~ ~~~~ %~~ ~~ -~ '4. ~~ °~, R'" ~~ S ~~.., ~.~ ~~ ~~ ~ ~-- I ~ ~~-- j ~ }~ ,f-~ ~-~ ~ ! 1 ~_ ~ ,~, ~ ~r, Attachment 2. Topographic map showing the approximate location of the mound site. Note that the site does not lay in a waterway or in an area of converging slopes. In addition, no designated wetlands are evident on the map. 1! r .t I~ ~1- i ~ _.,.~' ~_ ~ ~ ~,~ ~{~ ~ ~` '. i 1~ ~~ ~ f ~ ,s ~~ ~' iii '~~'~ ~~J (f`~ I ~ t ~, ~. ~ `~1 .--, ~ ~' ~_ t t ' ~,i~ ,,, .~ - ~ -- -- y} J -- 4 __ i }i _ F~ ~ - r ~ i I ,,__..__,_. . -- .~ _ . .. --~- rr I -~~ -, ") ~ ~ ~' fir,. - ..,~'~ { r ~ ..,,~ ~. J 4 ~ ~~~ ~f~'~ ~ ,~ ~~ ,~ ~ ~ B "~ _ r' ~.''' ,' ~ !' f ` I~ ~ l ~:_- ~ tit t' ' ~ ~ ~ ~ 9 0 Proposed mound footprint -sand and fill - ~ - fill ---- -- --, X ft. sand Gravel Area U ft. ft. ~ -- -- - w ft. I. Bed (Cell): I Z7 X 3S. S ~ a~/.JZ,o ~~ Dr ~ ~ 5rc.~ Dimensions: 100 ft. x 4.5 ft. Slope: 9% Sand: x = 8. 0 ft. ( ed on 3:1 slope) w = 18.5 (based on 4:1 slope) u = 10.48 (based on 3:1 slope) Overall an footprint = 120.97 ft x 31.25 ft Volu e of sand: 490 cubic yards. THIS VOLUME IS FOR ESTIMATING PURPOSES ONLY. Fill: J 9. 4 ft. I = .45 ft. V 1 .48 ft. Overall fill footprint = 126.95 ft. x 34.59 ft. Ins lle . Sand mount is an estimate only. Please check this figure and compare it to simi ar ' es that you are familiar with. 10 '.~. . GOTTFRIED ENVIRONMENTAL Diversion Ditch C Gradient to blend into - naturallandscape 8 B B T W 5:1 slope all around ditch except stormwater outlet from ditch. stormwater to be diverted around south end of mound soil absorption system. ~--g - A'- X Y DIVERSION DITCH DETAIL A=1ft. B=Sft. C = 100 ft. D = 1 ft. B B Grade Elevations: Trench Elevations: S= 97.20 ft. S= 95.20,A=1.Oft,B=10.00ft,D=2.OOft. T = 97.20 ft. T = 95.40 ft. W = 97.20 ft. W = 95.60 ft. X =97.20 ft. X= 95.80 ft. Y = 97.20 ft. Y = 96.00 ft. Z= 97.20 ft. Z= 96.20ft.,A=I.Oft.,B=S.Oft,D=1.Oft. The bottom of the trench should be smoothed so that water flows to the end. Total drop from end to end of the diversion ditch. is 12.0 inches. Drop is 1/8" per ft. 11 REFERENCES 1. Brown, B.A. (1988) Bedrock Geology of Wisconsin ,University of Wisconsin - Extension, Madison Wisconsin. 2. Keys to Soil Taxonomy (1994) 6t" Edition. Soil Survey Staff, U.S. Department of Agriculture. Pocahontas Press, Inc. Blacksburg, Virginia. 3. Martin, L. (1965). The Physical Geology of Wisconsin. University of Wisconsin Press, Madison, Wisconsin 4. Paull, R.K. and Paull, R.A. (1977) Geology of Wisconsin and Upper Michigan. Kendall/Hunt Publishing Company, Dubuque, IA. 5. National Audubon Society Field Guide to North American Trees (Eastern Region): (1998) Chanticleer Press Inc., NY, NY 6. Soil survey of St Croix County (1978). United States Dept of Agriculture Soil Conservation Service and Research Division of the College of Agriculture and Life Sciences, University of Wisconsin. 7. Soil Survey Staff, U.S. Department of Agriculture (1994) Keys to Soil Taxonomy Sixth Edition, United States Department of Agriculture, Soil Conservation Service. Pocahontas Press Inc., Blacksburg, Virginia. 12 . Wascon"sin QQOardnent df Commerce Division of Safety and Buildings SOIL AND SITE EVALUATION Page Of in accordance with Comm 85, Wis. Adm. Code Attach complete site plan on paper not less than 8 '/z x 11 inches in size. Plan must include, but County St. CrOIX scale or direction and percent slope not limited to: vertical and horizontal reference point (BM) , , dimensions, north arrow, and location and distance to the nearest road. Parcel [D # APPLICANT INFORMATION -Please print all information Reviewed By: Date: Personal information you provide may be used for secondary purposes (Privacy t,aw, s. 15.04(1)(m)). Property owner: Property location Tom Dalton Gov't lot: SE 1/4 SE 1/4 S21 T 31 N, R16 E (or~N Property owner's mailing address: Lot ~ dock # Subd. Name or CSM# 1728 95th Street NA NA NA City /State / "Lip Code Phone number: city Village Town Nearest Road New Richmond /Wisconsin /54017 715-760-0210 Cylon 200th Avenue ® New Construction Use ^ Residential/Number of bedrooms 2 Addition to existing building: NA ^ Replacement ^ Public or commercial -describe 3~ Code llesign Flow Rate: fir- must be appropriate size for the contour and soil restrictions Parent Material: Glacial Till -ground moraine General Comments and Recommendations: Soils are well drained alfisols, underlain by dense glacial till. Along narrow mound SAS is recommended for this site with 2.50 feet of sand fill. SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Redox Description Texture Stmcture Consistence Boundary Roots Soil Application Rate in. Munscll Color Qu. Sz. Cont. Color Gr. Sz. Sh. GPD/FTZ BFIPI Eff#1 Eff#2 Ap 0 - 9 l OYR 3/2 NA sil 2msbk mfr aw 2f 0.6 0.8 Ground A -d p 9 -12 lOYR 3/2 fld 7.SYR 5/8 sil lmpl mfr as if 0.4 0.6 F,lev (ft.) 95.20 Btl 12_16 lOYR 4/3 m2d 7.SYR 5/8 sil w c lmpl mfr cw NA 0.2 0.3 Depth to Bt2 16-28 lOYR 4/4 map 7.SYR 5/8 sicl lmsbk mfr cw NA 0.2 0.3 limiting factor- in. 2C 28-33 l OYR 5/3 map 7.5YR 5/8 scl massive 0 Remarks: dense Bt2 horizon Boring # Ap 0 - 7 1 OYR 3/2 NA sil 2msbk mfr aw 2f 0.6 0.8 BHP2 Ap-d 7 - 9 lOYR 3/2 fld 7.SYR 5/8 sil lmpl mfr as if 0.4 0.6 Btl 9 -13 lOYR 4/4 m2d 7.SYR 5/8 sil w c lmpl mfr cw NA 0.2 0.3 Ground Elev (ft.) Bt2 13-18 lOYR 4/4 map 7.SYR 5/8 sicl lmsbk mfr cw NA 0.2 0.3 95.00 C1 18-25 7.SYR 4/4 map 7.SYR 5/8 grsicl massive Depth to limiting 2C I 25-30 1 OYR 5/4 map 7.SYR 5/8 scl massive factor- in. 0 Remarks: dense Bt2 horizon CST Name: Eli M. Gottfried, Gottfried Environmental Signature: ~. ~ Tel. No. 715-833-1400 Address: 124-I/2 Graham Ave. Eau Claire, WI. 54701 Date: 7 June 2006 CST # 221981 SOIL DESCRIPTION REPORT Property owner Dalton Parcel ID# • • ,,,• Boring # BEiP 3 Horizon Depth in. Dominant Munsell Color Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary •Roots Soil Application Rate GPD/FT? EffN 1 Eff#2 Ap 0 - 11 l OYR 3/2 NA sl 2fsbk mfr as 2f 0.6 0.8 Ground Elev (ft.) Bt 1 1-19 lOYR 4/4 fld 7.SYR 5/8 grsl w c ]msbk mfr as if 0.4 0.6 93.90 C 19-32 l OYR 5/3 m2d 7.SYR 5/8 scl massive Depth to limiting factor- in. 0 Remarks: Chorizon -very dense Boring # Horizon Depth Dominant Redox description Texture Structure Consistence Boundary Roots Soil Application Rate B I in. Munsell Color Qu. Sz. Cont. Color Gr. Sz. Sh. GPD/FTZ Eff# 1 Eff#2 A 0 - 8 l OYR 3/2 NA sl p Ground Bt 8 -11 lOYR 4/4 fld 7.SYR 5/8 grsl w c Elev (ft.) C 1 1-19 1 OYR 5/3 m2d 7.SYR 5/8 scl 89.60 Depth to limiting factor- in. 0 Remarks: Boring # Ground Elev (ft.) Depth to limiting factor-in. Remarks: Boring # Horizon Uepth in. Dominant Munsell Color Redox description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots Soil Application Rate GPD/FTZ Eft# I Eff#2 Ground Elev (ft.) Depth to limiting factor- in. Remarks: ~ •w ~ ~ s ~ ~ ~ ~ ~ ~ J I I N ` C U w X farm field Gottfried Environmental Eli M. Gottfried, R.S., CSTM, Designer Evaluation: Soil test, Int Rprt, Design Client: Tom Dalton Date: 7 June 06 BM =taped line on meter socket riser Elevation = 100.0' at line ®~ Dalton, Tom SE SE 21 31 16W i gravel driveway Cylon, St Croix -------- mailing address: 1728 95th St New Richmond, WI. 54017 ` ---- 7 5-7 -0210 (cell #) 1.0 mi. to 240th St. 200th Ave. 9% ?;lope ^ P~~ . ,95.00' \~ ~~ \ ~~ ~~ P~3 ~. ~ 9 90` ~ 9: 1 1 ~ I ~ 97.20' BHP ~~ ' [] ~ 95.20 ~ ~~~~, 95 20' propose\ ~2 BR r idence \ ,~ ~ WOOdS O B1 89.60' >50' to E P/L alfalfa field NORTH Scale: 1" = 50' Signature: disturbed area -topsoil removed