HomeMy WebLinkAbout020-1450-13-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
55239 0
GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No:
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)1.
Permit Holder's Name: City Village X Township Parcel Tax No:
Speer Bast Land & Construction LLC, c/o Jaso Hudson, Town of 020-1450-13-000
CST BM Elev: Insp. BM Elev: BM De ription: ` Sectionrrown/Range/Map No:
p ~ /00- 0 - 1 ~o 01 22.29.19.2883
TANK INFORMATION LEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchma
2~0 . 0 ~pZ, la a :0
Dosing Alto -F o R WT- yQ_
Aeration Bldg. Sewer 73 9
Holding _ - /Ht Inlet W
'56" kin gi `n U /
TANK SETBACK 1 ORMATION St/Ht Outlet
GI3
TANK TO P/ WELL BLDG. Vent to Air Intake ROAD Dt Inlet O
/y, Dt B i
Septic / tp Italy'
Tf A,
Dosing 0 U-Y\, Header/Man. I i'l 9 ~j-
AA-A Tv Z
Aeration L - L ~ I J Dist. Pipe ? -
Holding0 _ _ SyS Bot. System 0' / Z
Fin de
INFORMATION L6,A-V 1 r~ y e~
Manufacturer Demand St Cover 0
GPM
Model Number
TDH Lift Friction Los System Head TDH Ft
Forcemain Length Dia. Di Well
SOIL ABSORPTION SYSTEM t~iirf ca#~
BED/TRENCH Width J Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS 1
tur
SETBACK SYSTEM TO 1 P/L BLD WELL LAKE/STREAM 7TEACHING,
INFORMATION Typ f System: ' t CHAMBER OR
/ ~ ~v N D J UNIT Model Number:
tV\A
DISTRIBUTION SYSTEM VrGLe<<- D~ dJ
=14 - eade Manifold =e'j..L ution x Hole Size x Hole Sp ing Vent to it Intakel
/ Q v / Tt'
Length ~ DDia Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over I Depth over xx Depth of r Seeded/Sodded xx Mulched
Bed/Trench Center BedlTrench Edges o/ Topsoil es Fm-] No 0 Yes FW-1 No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / 1 / Inspection #2: / /
Location: 626 Roberts Lanee Hudson.,~WpI/54016, (NE 1/4 SW 1/4 22 T29N R19W) Hudson Estates Lot 13 Parcel No: 22.29.'~.2883
1.) Alt BM Description = TAT / SZ~
2.) Bldg sewer length
- amount of cover
Plan revision Required? 0 Yes No 1 r e
Use other side for additional information.
Date Insepctor's Signature Cert. No.
SBD-6710 (R.3/97)
Soil Test and System PLOT PLAN
PROJECT SneerBast Land and Construct' n ADDRESS 400S. Second St. Hudson Wi 54016
N E 04 SW 1/4S 22 /T 29 N/R W TOWN Hudson COUNTY ST. CROIX
MPRS Shaun Bird 226900 DATE 7/30/12 BEDROOM 4
CONVENTIONAL XXX IN-GRO PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD:`RATE .7 ABSORPTION AREA 860 # of chambers 44
BENCHMARK V.R.P. Top of foundation ASSUME ELEVATION 100' Filter BEST Filter
❑ BOREHOLE O WELL *H.R.P. Same as Benchmark
SYSTEM ELEVATION 91.4/90.8 7' below qrade
All piping shall be SDR 30/34, within 10',,-
of 1
tank, piping shall be Schedule 40. d
Roberts Lane "a
Plans Designed Using Pro 4 VV'tP
Conventional Powts Bedroom ok I✓
Manual Version 2.0 House
B.M.* 0 Zv~°
Vent go s~
>6" Quick4 Standard
of Cover Leaching Chamber `
with 20.0 ft2 of Area
12" 10.2ft^2/pair of end caps
4' Long a
Grade at System ElevaE
34
5 2-3' X 88' Cells with
B-1 >3' spacing
i
10'
Rentention area 30' 0' I
3 0'
B-3
j
90' Well is to meet all
to be staked prior to installation 8% Slope setbacks required by
WDNR
i.
mac'
10' B-2 Ygut
~ 3, 53 150'
15'
Property Line
#Q0V4" 30. 5 /
commerceml. ~f Safety and Buildings Division County,
~201 W. Washington Av Ax 7162 Ey t Grp
l le-srtmentofConmwT cO Madison, WI Sanitary PVsutit N-b" by C.'
5 52 3
San, C 'a i~ Application State Transaction Number
0
In accordance with s. Comm. 83.21(2)~✓m. Code, submission of this form to the appropriate g rum tal
unit is required prior to obtainin ~',4 itary permit. Note: Application forms for state-owned PO S are Project Address (if different than mailin address)
submitted to the Department of ommerce. Personal information you provide may be used for secondary
u ses in accordance with the Privacy Law, s. 15.04(1 m), Siats. Z & 444
1. Application Information - Please Print All Information
Property Owner's Name Parcel #
s zees e1270 ~ysv-/3-~
Property Owner's Mailing Address Property Location
00 -se C 0,4 Govt. Lot
City, State Zip Code+ Phone Number ,7/,5L, Section 2 2_
ircle onQL_
_sq T~~J N> R E
II. Type of Building (check all that apply) / Lot #
1 Aor 2 Family Dwelling - Number of Bedroo ~i Subdivision Name
Block # L AZLn,~
El Public/Commercial -Describe Use ❑ City of
❑ State Owned - Describe Use CSM Number ❑ Village of _
Town of
III. Type of Permit: (Check only one box on line A. Complete line B if applicable)
A. New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain)
B. ❑ Permit Renewal rmit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued
Before Expiration Owner 65 -2i -7 / 'Z
IV. Type of POWTS S stemlCom onent/Device: Check all that a 1
on-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Gr de ❑1 Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil
❑ Holding Tank ❑ Other Dispersal Component (explain `ter t~~ Pretreatment Device (explain)
V. Dispersal/Treatment Area Information: 2Z t° a*-~~ l
Design Flow (gpd) Design Soil Application Rate pdsf) Dispersal Area Required (sf) Dispersal Area Proposed S stem Elevatr
lop
?S~ 6
45bo
VI. Tank Info Capacity in Total # of Manufacturer Y ,
Gallons Gallons Units U
New Tanks Existing Tanks o 2 Y a
a. U y w C7 CL
Septic or Holding Tank
Dosing Chamber
VII. Responsibility Statement- I, the undersigned, ass esponsibility for installation of the POWTS shown on the attached plans.
Plu 's ame (Print) in lgnature MP/MPRS Number Business Phone Numbler/
/ZlIc
Plumber's Address (Street, City, State, Zip C e) /
1,2[7
VI . Coun /Dpn2rtment Use Only
Permit Fee Date Issued I mg Age Si e
Approved ❑ Disapproved $ C,
❑ Owner Given Reason for Denial J/'
IX. Conditions of Approval/Reasons for Disapproval
Attach to complete plans the system and submit to the County only on paper not less than 81/2 x 11 inches in size
SBD-6398 (R. 02/09)
Soil Test and System PLOT PLAN
PROJECT SoeerBast Land and Construct' n ADDRESS 400S. Second St. Hudson Wi 54016
NE 1%4 SW 1/4S 22 /T 29 N/ W TOWN Hudson COUNTY ST. CROIX
7/30/12 BEDROOM 4
MPRS Shaun Bird 226900 DATE
CONVENTIONAL XXX IN-GRO PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD:RATE .7 ABSORPTION AREA 860 # of chambers 44
BENCHMARK V.R.P. Top of foundation ASSUME ELEVATION 100' Filter BEST Filter
❑ BOREHOLE O WELL *H.R.P. Same as Benchmark
SYSTEM ELEVATION 91.4/90.8 7' below qrade
All piping shall be SDR 30/34, within 10';•
of tank, piping shall be Schedule 40.
Roberts Lane
Plans Designed Using Pro 4
Conventional Powts Bedroom
Manual Version 2.0 House
B.M.*
Lent 30'
>6„ Quick4 Standard
of Cover eaching Chamber
ith 20.0 ft2 of Area
0.2ft^2/pair of end caps ST
LonGrade at System Elevation
34 15' 2-3' X 88' Cells with
B-1 >3' spacing
10'
Rentention area 30'
30'
B-3
90' Well is to meet all
to be staked prior to installation 8% Slope setbacks required by
WDNR
'r.
10' B-2 Vents
3,13 1507 15'
Property Line
Wisconsin Department of Commerce SOIL EVALUATION REPORT Page / of 3
Division of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code
County
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must
include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D.
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. 'V
Please print all information. ewed V Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). P
roperty Owner Property Location
.1 G. Govt. Lot 1/4,,54)1/4 S ZZ T Z N R E (or W
J^ EM4 'g Property Owner's ding Address Lot # Block # Subd. Name or CSNW
oz~ Se
city State Zip Code Phone Number ❑ C. ❑ age Town Ne est RP d
~S ( ) e
New Construction Use. sidential / Number of bedrooms Code derived design flow rate t~ GPD
❑ Replacement ❑ Publ' or commercial - Describe:
Parent material ~lzc Flood Plain elev ft.
General oornmeMS)
17 and reoommendations: e/ /
System Type System Elevation
Boring # ~ Boring
Pit Ground surface elev. r ft. Depth to limiting factor in.
r*Eff#l Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/lf
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#2
a' L_
Z 19a
= 2
Boring # Boring
Pit Ground surface elel'+ 0 ft. Depth to limiting factor ,'~4in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2
10
40
• Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mgA_ ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) Signature CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address luation Conducted Telephone Number
1008 192nd Ave, New Richmond, WI 54017 715-246-4516
Property Owner _ Parcel ID # Page of
Boring
Boring #
Pit Ground surface elev. r ft. Depth to limiting factor Tin. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 -Eff#2
1 a- o A.- 3/z C,- 0
Z -
7/-/ 7 1W
/ I I
❑ Boring # ❑ Boring
❑ pit Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
Boring
E Boring # Ground surface elev. ft. Depth to limiting factor in.
❑ Pit
Soil Application Rate
Horizon ')epth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 'Eff#2
Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mgA. ' Effluent #2 = BOD5 < 30 mg/L and TSS < 30 mg/L
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777.
SBD4330 (8.60))
commerve.vtrl.gtT
L -I Safety and Buildings Division County tJ
■ 201 W. Washington Ave., P.O. Box 7162 n4 7'-
'~tO M r' ~1 Madison, WI 53707-7162
Sanitary Permit Number (to be filled in Co.)
3 5 of Cornme Sanitiiti- ApplicatllOiil State Transaction Number
r~
In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this tbrm to the appropriate`gbuprrun
unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POYVTS_ are Project Address (if different than mailing address)
submitted to the Department of Commerce. Personal information you provide may be used for secondary
purposes in accordance with the Privacy law, s. 15.04 1 m , Slats. fJ~
L Application Information - Please Print All Information `X ~✓/`1 ~a
Property Owner's Name Parcel # 7
J
Property ne~s Mailing Address
Property Location
c 1
~ • J ~ ~TT Govt. Lot C •
City, State Zip Code Phone Number , V4 Section
rc.le on ~_A AA Z Hype of Building (check all that apply h Lot # Subdi T vu_ision N; Name R_ E r W -
or 2 Family Dwelling - Number of Bedro ms
o~
Block # .5
11 Public/Commercial - Describe Use 13 City of
❑ State Owned - Describe Use CSM Number ❑ Village of _
own of -
III. T r (Check only one box on line A. Complete line B if applicable)
A. New Sys Replacement System ❑ Treatment/Holdin Tank Replacement Only El Other Modification to Existin System g~ Y g (explain)
B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued
Before Expiration Owner
IV. Type of POWTS System/Component/Device: Check all that a I
on Pressurized in-Ground ❑ Pressurized In-Ground ❑ At-Gr a ound ? 24 in. it o and < 24 in. of suitable soil ? ~y r
.tp
El Holding Tank ❑ Other Dispersal Component (explain)_ di, L
-`J retr a t Device xplain) l-
V. Dispersal/Treatment Area Information: f` G
Design Flow (gpd) Design Soil Application Rate gpdsf) Dispersal Area Required (SO Dispersal Area Proposed (SO System Blevati
VI. Tank Info Capacity in 'total # of Manufacturer
Gallons Gallons Units c
New Tanks Existing Tanks w a v o ~d `
U in ~ ~ w C7 L1.
septic or Holding Tank j-S
Dosing Chamber
VIL Responsibility Statement- I, the undersigned, assum esponsibility for installation of the POWTS shown on the attached plans.
Plumber's Name (Print) Plumber' ature MP/MPRS Number Business Phone Number /
_ ,Q~.~
Plumber's Address (Street, City, State, Zip Code) S /1
3 1 c, s l l~I /
VIII. up /De artment Use Only
Permit Fee Date Issued issuing Agent Si, ature 1 /
pproved ❑ Disapproved
❑ Owner Given Reason for Denial ° GZti
,vaUReasons for Disapproval 3 -
IX. CS" +M gVrp
1 Septic tank, effluent filter and
dispersal cell must all be serviced / maintained IU
as per management plan provided by plumber. v~ JJ ?o / I0 3 116Z&') atOur-
2. All setback requirements must be maintained
ttac comp ate piaus fur the s75~)"torA nd s ubmit to the County only on paper of less than s 1n 1 1 igches to si a r,
OF bUJ i5 •
SBD-6398 (R- 02/09)
Y
PLOT PLAN
PROJECT SneerBast Land and Construction ADDRESS 400S. Second St. Hudson Wi 54016
N E 1/4 SW 1/4S 22 /T 29 N/R 19 W TOWN Hudson COUNTY ST. CROIX
MPRS Shaun Bird 226900 DATE 7/12/12 BEDROOM 4
CONVENTIONAL XXX IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 860 # of chambers 44
BENCHMARK V.R.P. Top of 2" pvc pipe ASSUME ELEVATION 1001 Filter BEST Filter
❑ BOREHOLE O WELL sH.R.P. Same as Benchmark
SYSTEM ELEVATION 89.2/89.4 5.1' below qrade
All piping shall be SDR 30/34, within 10'
of tank, piping shall be Schedule 40. Vent
jj Quick4 Standard
Plans Designed Using Leaching Chamber
Conventional Powts with 20.0 ft2 of Area
Manual Version 2.0 10.2ft^2/pair of end caps
2"
Grade at S ystem Elevation
34"
Well is to meet all
1 50 305' Property Line setbacks required by
203' WDNR
Alt.
B.M. f
88' 14' B-2 l 'U." ?
❑ _ 10 U_ 40 Io/
Vents
2-3' X 86' Cells 5% Slope
9' with >3' spacing
B.M. * '4
88' I
25 B-1
21'
L
163' IL I o~- is vnJL~
ins wc'd~ 63
10' B-3
S
10'
Pro
Bed oom Prope me
Horse
4'45'1JUL. 10.2012 1:15PM EDINA REALTY HUDSON N0.0176 P. 5
6'31'E 137.80'
3'19'E 94.89' LOT 12 LOT 11
2'02'E 84,73' oN
9'18'E 77.38' 0° cn a 2.009 ACRES
4'39•E 72.43' m 2.033 ACRES a~,, 10S
5'42'E 121.55' -4 88,559 SO. FT, 87,499 80. FT.
cP u:
'35'E 44.04' r L.B.O. = 921.50
1'03'W 76.96' Z
8'25'W 75.23' O
. . . . . . . ,
110W 69.40' R
Y13'W 32.60'
l'32'W 97.84' _ • • -M.,
3'33'E 88.44' 111 SS dp~BS. Pk. • y
2'21•E 32,11' m N 982 * •f
5'16'E 75.74' I b 7' p. HVVL = 919,50
7'45'W 115,68' r" 4 9
3'40'E 137,94' O N*.z*~ ; G 6•
1'10'E 21.60' -xi DRAINAGE s ~ / O~ • o
104 W 61.70 /r
= EASEMENT-
O'43'W 90.58' j m m A /
5'16'W 65.61' d N p
)'21'E 32.45' j r O w
3132'E 169.80' 46 P
5'51'W 72.21' HWI. = 919.54 L.I
5'32'W 95.45' (d
'03'E 72.76' U~ L LO 13 / ,,t ry DRAINAGE
)'57'E 80,75' u1 2.260 AC ES EASEMENT
3'26'E 29.22'
3'11'E 45.42' 98,435 SO' 1 a~t
'03'W 31.83' L.B.O. = 921. \w~ .o~p
44'E 57,49' P., ~
1'53'E BUT
4'04'E 70.63' j~S( ear 2.0
)'19'E 87.04' ` .
l'09'E 75.25' 87,"
'38'W 84.08' / 2N
V40'E 44.31'
d31.25' S0' 3
EA3SEEN 221,88' S89°41'03'W 12d 33 / BENCHMARK: TOP OF
' IRON PIPE=924.01
32'W 38.38' - Spy
'48'W 107.46'
'13'W 107,35'
'04'W 28.81' N
'21'W 44,51' . o.
'54'W 109.47'
-ASMENT D
'36'E 59,55' LOT 14
'43'E 4029'
28'E 3515' b 20.147 ACRES
'06'W 147,87' ` 877,623 80. Fr.
'51'W 29.56' N89.58 57"E CENTER OF
38'E 119.70' 80.001 CUL-DE-SAC
L.B.O. = 918.80
'29'E 42.29'
'11'E 109.87'
'52'E 58.84' 1
'00'E 30,40' 80' TEMPORARY
'11'W 119.78' CUL-DE-SAC EASEMENT,
'14'W 120.82' TO BE EXTINGUISHED
26'W 85.79' UPON ROAD EXTENSION D54 ps
'23'W 73.72' rHWL 59'W 183.88' '32' W 91.91' OVE 75.87' = 914.00
WE 3.74' 4 •
5olc sn -rte.
PROPERTY OWNER: Grand Ropfte . LP SOIL AND SITE EVALUATION 1205
PARCEL I.D.# Page of 4
Tom Schmitt
REPORT MEMO
Discontinuous silt inclusions were observed in B1 with redox features. The redox features in the silt are present
because the smaller particle size of silt holds onto the water stronger than the surrounding sand, it even has a
stronger hold than the force'of gravity trying to pull the water down. The water that flows into the silt inclusion will not
seep out until the silt inclusion is completely saturated and cannot hold any more, then the force of gravity can start to
make the excess water start to flow. This is why redox features (mottles) are present in the inclusion. The outwash
sand that the silt inclusion is deposited into showed no signs of seasonal saturation or high groundwater.
INSTALLERS"
When a ilt inclusio (silt ball) is encountered, the chambers that are installed in the silt should not be counted. More
chambers shout a added to the end of the trench in sand to make up for the lower gpd/sgft rate of the silt. This way
the 0.7gpd/sqft rate of the sand can be used and the syst is only enlarged as needed. l
Al 67r-5 ~eowt C~ l ~ , hm , 77-7 /
r S l~ ~.•~C~~ a-v~ ~
I IS -Q~~U{.A~ ~
QzJut
C'L' e-
4
i
l
Cover Page
Shaun Bird
Bird Plumbing Inc.
1432 120th St.
New Richmond Wi 54017
715-246-4516
Date: 7/12/12
Owner: Speer Bast Land and Construction
Location: NE1/4 SW1/4 S22 T29 N,R19W Lot 13 Hudson Estates Hudson
System type: In-ground absorbtion system(conventional)
Manuals Used: In-ground absorbtion system (version 2.0)
Page#
1. Cover Page
2. Plot Plan
3. Chamber Cross Section
4-6. Maintanance and Contingency Plan
7. Filter Specificatio heet
Signatur
Licens n ber #226900
PLOT PLAN
PROJECT SoeerBast Land and Construction ADDRESS 400S. Second St. Hudson Wi 54016
NE 1/4 SW 1/4S 22 /T 29 N/R 19 W TOWN Hudson COUNTY ST. CROIX
MPRS Shaun Bird 226900 DATE 7/12/12 BEDROOM 4
CONVENTIONAL XXX IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 860 # of chambers 44
BENCHMARK V.R.P. Top of 2" pvc pipe ASSUME ELEVATION 1001 Filter BEST Filter
❑BOREHOLE O WELL *H.R.P. SameasBenchmark
SYSTEM ELEVATION 89.2/89.4 5.1' below qrade
All piping shall be SDR 30/34, within 10'
of tank, piping shall be Schedule 40. Vent
>6„ Quick4 Standard
Plans Designed Using Leaching Chamber
Conventional Powts of Cover with 20.0 ft2 of Area
Manual Version 2.0 10.2ft^2/pair of end caps
4' Long 12"
Grade at System Elevation
34"
Well is to meet all
305' Property Line setbacks required by
203' WDNR
Alt.
B.M.
88' 14' B-2
Vents
2-3' X 86' Cells 5% Slope
9'
with >3' spacing
B.M. *
88' 4-0.0
2 B-1
1'
163'
10' B-3
S
10'
Pro 4
Bedroom Property Line
House
Cross Section of Infiltrator Quick 4 Leaching Chamber
Typical cross section for 2 of 2 cells
Quick 4 Standard Leaching Chamber
with 20.0 ft2 of Area per Chamber To be >1' above grade
10.2ft^2 pair of end plates Finish grade elevation
Typical Installation 94.3'
,jVen
t Grade Vent
4" 3'
x/30/34 Septic Tank
11
5' 5' L ong 1
Grade at System Elevation
36" Grade at System Elevation
Spacing 5'
2-3' X 86' Cells
Same on other end Observation tubeNent
At end of cell
A
B
21 chambers per cell
System elevations:
A__89.2
B 89.4'
POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of
FILE INFORMATION SYSTEM SPECIFICATIONS
Owner } Septic Tank Capacity al ❑ NA - 42 5-3- Permit # Septic Tank Manufacturer ❑ NA
DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA
Number of Bedrooms ❑ NA Effluent Filter Model ❑ NA
Number of Public Facility Units NA Pump Tank Capacity al A
Estimated flow (average) gal/day Pump Tank Manufacturer NA
Design flow (peak), (Estimated x 1.5) gal/day Pump Manufacturer NA
Soil Application Rate al/da /ftz Pump Model VNA
Standard Influent/Effluent Quality Monthly average" Pretreatment Unit NA
Fats, Oil & Grease (FOG) 530 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter
Biochemical Oxygen Demand (BODs) :_220 mg/L 4NA ❑ Mechanical Aeration ❑ Wetland
Total Suspended Solids (TSS) :5150 mg/L ❑ Disinfection ❑ Other:
Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA
Biochemical Oxygen Demand (BODs) 530 mg/L n-Ground (gravity) .4011'ri-Ground (pressurized)
Total Suspended Solids (TSS) :530 mg/L ^NA ❑ At-Grade ❑ Mound
Fecal Coliform (geometric mean) 510" cfu/100m1 ❑ Drip-Line ❑ Other:
Maximum Effluent Particle Size 16 in dia. ❑ NA Other: NA
Other: NA Other: NA
Other: NA
*Values typical for domestic wastewater and septic tank effluent.
MAINTENANCE SCHEDULE
Service Event Service Frequency
Inspect condition of tank(s) At least once every: ❑ ear s(s) (Maximum 3 years} ❑ NA
Pump out contents of tank(s) When combined sludge and scum equals one-third (X) of tank volume ❑ NA
3
❑ month(s) (Maximum 3 years) [I NA
At least once
Inspect dispersal cell(s) every: ear(s)
At least once every: ❑ month(s) ❑ NA
Clean effluent filter >Rlear(s)
Inspect pump, pump controls & alarm At least once every: ❑ month(s) NA
❑ year(s)
Flush laterals and pressure test At least once every: ❑ month(s) NA
❑ year(s)
Other. At least once every: ❑ year(s)
Other: 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. 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 to 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 tank equals one-third (16) 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 512 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.
Page of
START UP AND OPERATION
For new ponstrucbon, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that
may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the
tank(s) removed by a septage servicing operator prior to use.
System start up shall not occur when soil conditions are frozen at the infiltrative surface.
During 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, overloading the cell(s) and may result 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) water; 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 filled 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:
ThJ suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system.
e 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.
❑ 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 NO
ENTER A SEPTIC, PUMP OR THE INTERIOR TOF A TANK MAY BE DNFF CULT OR MPOSSIBLEANCES. DEATH MAY RESULT. RESCUE OF A
PERSON FROM
ADDITIONAL COMMENTS
POWTS INSTALLER POWTS MAINTAINER
Name s Name ~ 0, j Phone J - a c~ e-~ Phone
SEPTAGE SERVICING OPERATOR PUMPER LOCAL REGULATORY AUTHORITY
,
:EName Name
e Phone j
J
This document was drafted in compliance with chapter SPS 383.22(2)(b)(1)(d)&(f) and 383.54(1), (2) & (3), Wisconsin Administrative Code.
/VL,a3\
RLTER CARTRIDGE INSTRUCTIONS
fix,`:Qag//n~
Installation G
STEP x Dry fit the filter case onto the end of the outlet pipe to ensure it is
centered under the access opening. If not, then either insert more pipe into the
tank through the outlet or solvent weld (glue) additional pipe onto the outlet
pipe.
STEP 2 While the case is still dry fitted on the outlet pipe, measure the length
of 3A-inch pipe needed to brace the filter to the tank end wall if utilizing the
optional supplemental side support, If side support method is not utilized,
proceed to step four.
FPI -3 For installations utilizing the optional supplemental side support:
solvent weld the V4-inch pipe onto the filter case. If side support method is not ;x+
utilized, proceed to step four.
Solvent weld the filter case onto the outlet pipe. Insert the filter
cartridge into the case, pressing down until the filter locks into the bottom of
the case.
If a VRS switch is utilized: insert into the filter and lock by turning r'~ >^4;c-.:c
clockwise 90
Maintenance
1, The effluent filter should be cleaned every time the septic tank is
serviced.
2. Open the outlet access opening to Inspect the tank and filter, f
3. Pump the septic tank completely, making sure to remove the sludge
layer on the bottom of the tank and not just the scum and effluent.
V
4. Once the effluent level has been lowered below the invert of the
outlet pipe, firmly pull up on the filter handle to dislodge the
cartridge from the case.
5. slide the cartridge up and out of the case for cleaning, 2
6. If a VRS switch connected to an alarm is present, the switch;, .
should be removed by turning counterclockwise 90° and cleaned
with water only. !
7. While holding the cartridge on its side (large fiat surface facing
down) over the access opening, rinse off the cartridge with water
only, making sure aft septage material Is rinsed back into the tank.
a. If VRS switch is utilized, replace by inserting into filter and
turning clockwise 90°.
9. Insert the filter cartridge back into the case,
pressing down until
the filter locks into the bottom of the case. r.
10. Replace and secure the access opening on the tank,
www.bearonsite.com 877-MLFILTERS (653-4583)
12
-JUL. 10.2012-10:58AM . -EDINA REALTY HUDSON = --NO: 017077P: 1:7
STXW1X- COX
SEPTIC TANK'..'► A '"~'4*6 i 'k6P,1vMkT ' .
W1,43, r
0 ;o-(Buyer evJ u4G
Mailkg Address
. A-W-S+a+~,
. PrOPeriY Address GZ6 4sers Gv. x yto 1~1 P &09-a chy state _ our Parcd Id+ i lion Nardbdr GPL, ~ /3~M
hmperly I-oeation Q~ li< ; 5W dec. t ; T 29 N R 19 'oara of
, Lot 9 11,
Subdvision ti~ Fs
Vcxkune: ;Page
CtMM purvey
map
W Deed # V iftme Page. _ ,
~s•-
in bib&
- I use and maWftinct Af..pciisr p ' c s coxm'rewh, is wee as3 re to astes_ `Pmpes :
R'hat voe lruit i
106 yes (r:sa€ acx d by a PM :11,
cow M of pu eit~t ft evekv t
to x
ekG syst+ :can of sect the funch 'of fiie septic +1M* ass t i tie
~espmdbiiities an speditod*k §C*i=,&3:52(i? aind is ~ Y2.=~. t x.Coasty ~ary.Otd acs
an 8t z a wiz SW4 by the
The property owner agrees to sab"T, to SL, Czo= comfy P g
vor~g tbat 0) *e as site .
awnar and by a master ~jouwyusan plwn'br.vw! i , plug at a l owared Pumper
ivaV~r disposal system is in-proper c0ersdat coml 'otir ( after u>spe on amd F (if *Y). ` is
idox
dm 113 foil of sludge.
we, the uncle rsigne d M Wrted. dw abm►e i 'tit 't sewage dispcs ev:th tb:
sods set forth, h=ia, `as set by dw,D t bfGomifte wd. t e D%*MW of i1at 1 RMWM, S`tatc d W in:
cedfMition stating dw your sqy& cyst= Iris bew wed =it be cott>dted and tad W dlte. St. CWitr C,oaaty P2 ng ~ .
Zoning. Dcpartmara within 30 dos.afft *Ave year exp
Uwe certify that all its on i s for t s xite:Ea to beat of my our jW0*let L'nwe amp the otterEsc of e
property descnbe"a ve, by vntw of a isFl r y deped mw r4ed in Re&,ft ofDoeds Offux::
leer aytt .
DAn
OF;APPUCANT(S)
*Auy. iu€ormation th"t 3s ds;WmwXd ioay imdt in she sadtatypectvit being re"ked by the PbMing &ZAMing
appltcstion a rea:dedw.cy tleeei fr the Rem of Dft& fSiccand a orgy of rite certified surrey .map
IM-6k with this
:refereme is made in the ►arrd .&ed:
1208
Wisconsin Department of Commerce SOIL EVALUATION REPORT page 1 of 3
Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Tom Schmitt
Attach complete site plan on paper not less than 8%: x 11 inches in size. Plan must County St. Crooc
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.
Please U 2Ci-0-~ -UC
II, Ptint al i onnation' Reviewed By Date _
Personal information you pmvid may C Law, s.15.04 (1) (m)). ~
Property Owner d - Property Location
Grand Properties, LP Govt. Lot NE 19 SW 1/4 S 22 T 29 N R 19 W
Property Owner's Mailing Addj Q 4 Lot # Block # Subd. Name or CSW j
712 Rivard Streeet, Suite 13 Hudson Estates a;)
City :Z GvdQ; F'ttapeblumber City Village ! Town Nearest Road j
Somerset = 0 E 0 Hudson RobertS Lane
New Construction Use: *f Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD
J Replacement Public or commercial - Describe:
Parent material Outwash Plain Flood plain elevation, if applicable na
General comments
and recommendations: Area is suitable for a conventional system. Possible system elevation for Area 1 is (high trench) 90.9' (low
trench) 90.15'. Slope is 5%.
Ong # Boring
✓1 Pit Ground Surface elev. 96.15 ft. Depth to limiting factor 102+ in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz
*Eff#1 *Eff#2
1 0-10 1Oyr3/1 none sil 2fsbk mfr as 1f .6 .8
2 10-23 1Oyr4/4 none sil 2fsbk mvfr gw 1f .6 .8
3 23-35 1Oyr4/6 none sil 2msbk mvfr 9w 1f .6 .8
4 35-52 7.5yr4/6 none sl 2msbk mfr rs - .6 1.0
5 52-76 1Oyr5/4 none grcos Osg ml cs - .7 1.6
6 76-102 1Oyr5/6 none s Osg ml - .7 1.6
Boring # Boring
0 Ph Ground Surface elev. 94.33 ft. Depth to limiting factor 98+ in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
*Eff#1 *Eff#2
1 0-6 1OyrM none I 2fsbk mfr as 1f .6 .8
2 6-19 1Oyr4/4 none I 2msbk mvfr 9w 1f .6 .8
3 19-32 10yr4/6 none sl 2msbk mfr 9w if .6 1.0
4 32-41 7.5yr4/6 none Is Osg ml 9w .7 1.6
5 41-98 1Oyr5/6 none s Osg ml - - .7 1.6
* Effluent #1 = BOD s' 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD <30 mg/L and TSS <,0 mg/L
CST Name (Please Print) Signature: CST Number
Thomas J. Schmitt 227429
e
Address Tom Schmitt Date Evaluation Conducted Telephone Number
1595 72nd St., New Richmond, WI 54017 4/13104 715-247-2941
property owner Gland Properties, LP Parcel ID # Page 2 of 3
3 ] F Boring # J Boring
Pit Ground Surface elev. 95.3 ft. Depth to limiting factor 99+ in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPM? II~ *Eff#1 'Ef(#2
1 0-7 1Oyr3/1 none I 2mgr mvfr as 1f .6 .8
2 7-24 10yr3/3 none sil 2fsbk mvfr 9w 1f .6 .8
3 24-40 1Oyr4/6 none sl 2msbk mfr 9w - .6 1.0
4 40-68 7.5yr4/4 none grcos Osg ml cs .7 1.6
5 68-99 1Oyr5/6 none s Osg ml - - .7 1.6
F-I Bering # _j Boring
J Pit Ground Surface elew ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots
'Eff#1 'Eff#2
❑ Boring # ` Boring
_ j Pit Ground Surface elev. ft. Depth to limiting factor in. Sal Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots
*Eff#1 'Eff#2
* Effluent #1 = BOD ? 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD5 L30 mg/L and TSS < 30 mg/L
The Department of Commerce is an equal opportunity service provider and employer. ff you need assistance to access services or
need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777.
Page 3 of 3
` Conducted by: Conducted for:
Schmitt Soil & Site Evaluations Name: Grand Properties, LP
Thomas J. Schmitt, CST 227429 Address: 712 Rivard St. Suite 100
1595 72nd St. City, State, Zip: Somerset, W154025
New Richmond, WI 54017
Phone: 715.247.2941 o Subd. Name Hudson Estates
Lot No. 1.3
/Ve' 1/4, rV 1/4, S: 22, T 29 N, R 19 W
Township of. Hudson
BM El. 100.00' a e G
Alternate BM El. T
Slope= Contour Line Elm. -)VA
Scale: 1" = 40'
a(,
J
6qI
oil _a \
/63
boll
This soil report was done to fulfill a Zoning requirement. I may or may not in a location that is
suitable for your use. No permanent lot markers were in place when the test was conducted.
JUL, 10. 2012 11:00AM EDINA REALTY HUDSON NO. 0170 P. 5
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Tx:4045695
STATE BAR OF WISCONSIN FORM 3 - 2000 959762
BETH PABST
Document Number QUIT CLAIM DEED REGISTER OF DEEDS
T. CROIX I
THIS DEED, made between Citizens State Bank, Grantor, and Speer- S
O
Bast Land and Construction, LL.C, Grantee. T11/OIX CO-, O-, EXEMPT#• 01 PM
Grantor quit claims to Grantee the following described real estate REC FEE: 30.00
in St. Croix County, State of Wisconsin (the "Property"): TRANS FEE: 126.00
Lot 13, Hudson Estates, St. Croix County, Wisconsin. PAGES: 1
Lot sold as is With all faults.
Recording Area
Name and Return Address:
TTY-I-
Together with all appurtenant rights, title and interests. 020-1450-13-000
Parcel Identification Number (PIN)
This is not homestead property.
Dated this Loth day of July, 2012.
Citizens S tc Bauk
Genc 3aberman, Vice Chairman
*
AUTHENTICATION ACKNOWLEDGMENT
STATE OF WISCONSIN )
Signature(s) ST.C:ROI\ COUNTY. ) ss.
authenticated this I Oth day of July, 2012 Personally came before me this 10th day of July, 2012
the above named Citizens State Bank to me known to be the
person(s) Who executed the foregoing instrument and
* acknowledged the same.
TITLE: MEMBER STATE BAR OF WISCONSIN
(If not,
authorized by § 706.06, Wis. Slats.) *Ja P en ield
THIS INSTRUMENT WAS DRATTED BY o u c, State of Wisconsin
iV1y commission is permanent. (If not, state expiration date:
rn;eL►~~1 " 8/26;2012 )
C k" (Signatures may'be authenticated or acknowledged. Both are not necessary.)
*Names of persons signing in any capacity must be typed or printed below their signature JAY P. PENFIELD
Notary PubUc
State of Wisconsin
1 of 1 QUIT CLAIM DEED STATE BAR OF WISCONSIN FORM No. 3-2000