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004-1008-10-000
Wisconsin Q~partment of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL 1NFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, 5.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Lund, Kevin & Cecelia Cad ,Town of CST BM Elev: Insp. BM Elev: BM Description: /ot> ~ -M. I GST TANK INFORMATION TYPE MANUFACTURER `~ CAPACITY Septic J~~.~. •` ~{• ' L~ Dosing //O/ on ~~ ~~ Holding ~ TANK SETBACK INFORMATION ELEVATION DATA County: SI:. Cr01X Sanitary Permit No: 515066 0 State Plan ID No: Parcel lax No: 004-1008-10-000 Section/Town/Range/Map No: 04.28.15.49 STATION BS HI FS ELE Benchmark '• , /0 (~~ ~ d Q Alt~~ / C.A 7 . 4/v • L Bldg. Sewer ~, ~ 9~ •~-J SUHt Inlet /a• ~ ~' ~ Z SUHt Outlet ~ Dt Inlet ~~ ~, Dt Bottom I~• 7~ ~~• Header/Man. / • b ~ ~ • Dist. Pipe ~ 37 /Ob .~ Bot. System ~• 75 /vp , Z Final Grade Q• 37 ~~~. Sg St v r Go.t-~ 5 •~ ~• t... o~~v ~-- ~• 1 97 . o TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~ /QU 7 ZS / S ~ g •._,~ Dosing ~ /~,\/ ((...•CCJJ ~~ ~ O / / ~ / Aeration Holding PUMP/SIPHON INFORMATION /`~~ Manufacturer ` /J Z~C r.J~, Demand GPM ~ Model Number ~~ y2 ~ TDH Li ~ ~ • ~ f Friction•Los System i-[~aZs J TD ~~ • `~~ `~ Forcemain Len tl~~ ~ Dia. ! Dist. t o Well ~ ~~ ~ SOIL ABSORPTION SYSTEM BEDITRENCH Width ~ Lengt~~ h DIMENSIONS SETBACK SYSTEM TO P/ INFORMATION Typ f System: w ZI DISTRIBUTION SYSTEM i>~i PIT BLDG WELL LAKE/BYRE I `#~ `'~ i~d ~ /11th l 7Sc its Inside Dia. Liquid Depth "~ _~ HING Manufacturer: I OR NI Model Number: ~ ,. Header/Manifold 11 ~~ ~ ~ ® Distribution 1 /t j ~ / i ~ - ~ ~ ~ a• Di / r ~ S L x Hole Size ,~ ~ ~ x Hole Spacing ~~ Ven Air Intake Dia Lengih pac ng ength a SOIL COVER x Preccure SvstPms C)nly xx Mound Or At-Grade Systems Onlv Depth Over Bed/Trench Center ~ ~ Depth Over Bed/Trench Edges xx Depth of Topsoil t xx Seeded/Sodded es No xx Mulched s ~,P No ~ ~ r ~2. COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ~ / ~'~' b ~ Inspection #2: / / Location: 594 State H 12 Vyilso , WI 54027 (NE 1/4 NE 1/4 4 T28N R15W) 40 acres Lot ~~ Parcel No: 04.28.15.49 1.) Alt BM Description =`/~~ i(~ve~' ~'^~~ tiS a ~ ~ "~ 2.) Bldg sewer length = 2~ -amount of cover = / Z~jo rI. ~ ~ ~ ~ ~ Q t `~ 3 l ~VVI j - -- Plan revision Required? ~ Yes No ~ ( ~ ' Use other side for additional information. _ ~ ~ ~~~~~~~~~ Date Insepctor's gnature Cert. No. SBD-6710 (R.3/97) commerce.wi.gov Safety and Buildings Division County ~ ~ 201 W. Washington Ave., P.O. Box 7162 ST. CROIX i sco n s i n Madison, WI 53707-7162 Sanitary Permit Numb r (to be filted in by Co.) Department of Commerce ~ e O ~P Sanitary Permit Applicati ,~ - state Traz(,'.saF Camber ~ In accordance with s Comm 21(2) 83 Wis Adm Code submission of this form to the a overnmental r nate o "-' ~ ~ ~ i( ' ~' `' . . . , . , . pp g p ~ unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are project Address (if different than mailing address) submitted to the Departrnent of Commerce. Personal information you provide may be used for secondary US HWY 128 / ses in accordance with the Privac Law, s. 15.04 1 m , Stats. ~ , ,[ 5 G I. A lication Informat' -Please Prin All Inf oration / Property Owner's Name e /~ ~ 10... Parcel # T~ Property Owner's Mailing Address Property Location 235 CHURCH STREET ~~ ,;,~.~,„. ~~++~"'~~ ~t~ r ~ I Govt. Lot City, State Zip Code Phone Number NE'/<,NE'/<, Section ~4 WOODVILLE, WI 54028 ~~-.~-~~.Z8 (circle one) T 28 N R IS W II. Type of Building (check all that apply) pk, ap Lot # ; ~ X 1 or 2 Family Dwelling -Number of Bedroo Subdivision Name ~~" ^ P i l Block # ublic/Commerc a -Describe Use G ~ 'st~t'- City of ^ State Owned -Describe Use f / ~ CS ber ^ Village of X ~ '1,~, ~jl ~ A~f~ ~ i.~ l,~ ~ ~l X Town of C.dIDY III. T pe Permit: (Check only one box on line A. Complete line applicable) `~' New System ^ Replacement ^ Treatment/I-Iolding Tank Replacement Only ^ Other Modification to Existing System (explain) ~----- System B. ^ Permit Permit Revision Change of ^ Permit Transfer to List vious Permit Number and Date Issued Renewal Before Plumber New Owner E iration IV. T e of POWTS S stem/Com onent/Device: Check all that a 1 ^ Non-Pressurized In-Ground ^ Pressurized In-Ground ^ At-Grade Mound > 24 in. of suitable soil ^ Mound < 24 in. of suitable soil ~ ^ Holding Tank ^ Other Dispersal Component (explain) ^ Pretreatment Device (explain) ~ ' V. Dis ersaUTreatment Area Information: ~ , Design Flow ( d) ~ Design Soil Application Rate dsf) ~ Dispersal Area Required (sf) Dispersal Area Propose s System Elevation ~ 450 %~ ~'~ ~L; ~ ~~) ~iL~ . ~! ~'I , . ,: , VI. Tank Info Capacity in Total # of Manufacturer w Gallons Gallons Units ~ N w~ o w Uv a W;y ~ ~ New Tanks Existing Tanks ~ ~ f~ ~ (, ~ ~ ~ F ~ .Qa da Septic or Holding Tank r r ~ ~ I~'~ ~ '~~> 1 ~ ~~ i I~- ire ~- ~~~tt nc~ . Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume r ponsi ility for install of a POWTS shown on the attached plans. Plumber's Name (Print) Plumber's S' afore MP/MPRS Number Business Phone Number Glen N. Pelke ! 5956 715-926-3848 Plumber's Address (Street, City, State, Zip Code) Glen Pelke Plumbin , Heatin & Well Drillin ,Inc., 835 Riverside Avenue, Mondovi, WI 55 VI .Coon /De artment Use Onl Approved tsappr Permit Fee Date I sued Issuing nt Signature Owner Gi 2ea or Denial $ / Z S , oo / ,! ~ Zg Q ~ ~ ~' ~ ; ~l ' ~~ ~`~ t ~ ~ IIt. Conditions of App roval/Reasons for Disapproval 3 ~ ~ ~ ~ e~ SYSTEM OWNER: -T 1. Septic tank, effluent finer and ~„`~ ~. . dis rsal cell must all be servk:es /maintained ~~ I ~ ~ a 1 ~ ~ ~ T1'~sc ^o as pet management plan provided by plumbRr. ~ wp l2, -~~+'~~~~~~ 4~- fe-~~ ` r~ 2. Atl setback requiCements musx ba maintained I , L (' LadU l~ !` ~ ~ Q ~..) n. a o b `- ~ -- -'"'"~-'A£facb to c'ompleie pla~i`or the system and sub~it to the Couut~oniy ou paper not less than 81/2 a 11 inches iu lize w f t~~~o,' I . ~~ ~~ ~ ~~ (97.4) f97) ~ #3 #4 #5 220' • 3" SCH 40 PVC FORCEMAIN (must drain back to pump tank) NE-NE-04.25-15W CADY TOWNSHIP ST. CROIX COUNTY, WI PARCEL DESCRIBED AS _ AC. PLACE UPSLOPE EDGE OF CELL "D" ALONG FLAGGED 97.40' CONTOUR .al 100.0' X 6.0' DISTRIBUTION CELL ~y" WITHIN A MOUND COMPONENT #2 #~ -15' - 4" ASTM PVC BUILDING SEWER LINE (ssl PROPOSED 3-BR. L~COPY HUFFCUTT MODEL 1000(600 - SEPTICIDOSE TANK (wlapproved outlet filter] BUILDING SEWER MUST COMPLY WITH COMM 82.30 WAC (11)(C) LOCATION OF WELL MUST COMPLY WITH WDNR CHS. NR 811 & 812 BENCHMARK ELEVATION =100.0' NAIL IN EITHER TREE o LOCATION OF SOIL BORING(S) ~ LOCATION OF SOIL PIT(S) f * NO APPARENT COMM 83.43 SETBACKS I ® DESCRIBED LOCATION OF LOT LINE ® LOCATION OF RIGHT-OF-WAY I Q CENTERLINE OF DESCRIBED ROAD n u N W E S SCALE 0 20 40 (UNLESS SHOWN OTHERWISE) WILLIAM J. BERGH WISCONSIN CERTIFIED SOIL TESTER DESIGNER OF ENGINEERING SYSTEMS CUSTOMER ID 227819 PAGE 3 OF 10 LiJN~ P4V1~'S Pl~AN US NVilll' 128 (97.4) (97} ` ~ #3 (ss) `. ~ ~ ` ~ L~ `~ #5 220' - 3" SCH 40 PVC FORCEMAIN (must drain back to pump tank) HUFFCUTT MODEL 10001600 _ SEPTIC/DOSE TANK (wlapproved outlet filter) .4) #~ -15' - 4" ASTM PVC BUILDING SEWER LINE BUILDING SEWER MUST COMPLY WITH COMM 82.30 WAC (11)(C) LOCATION OF WELL MUST COMPLY WITH WDNR CHS. NR 811 ~ 812 NE-NE-04-28-15W LADY TOWNSHIP ST. CROIX COUNTY, WI PARCEL DESCRIBED AS _ AC. PLACE UPSLOPE EDGE OF GELL "D'° ALONG FLAGGED 97.40' CONTOUR 100.0' X 6.0' DISTRIBUTION CELL WITHIN A MOUND COMPONENT t9 BENCHMARK ELEVATION =100.0' NAIL IN EITHER TREE o LOCATION OF SOIL BORING(S) ~ LOCATION OF SOIL PIT(S) ~c NO APPARENT COMM 83.43 SETBACKS ® DESCRIBED LOCATION OF LOT LINE ® LOCATION OF RIGHT-OF-WAY Q CENTERLINE OF DESCRIBED ROAD N W E S SCALE 0 20 40 (UNLESS SHOWN OTHERWISE) WILLIAM J. BERGH WISCONSIN CERTIFIED SOIL TESTER DESIGNER OF ENGINEERING SYSTEMS CUSTOMER ID 227819 #~ PAGE 3 OF 10 commerce.wi.gov isconsin Department of Commerce Safety and Buildings 141 NW BARSTOW ST FL 4TH WAUKESHA WI 53188-3789 Contact Through Relay www.commerce.wi. gov/sb/ www.wisconsin.gov Jim Doyle, Governor Richard J. Leinenkugel, Secretary May 04, 2009 CUST ID No. 227819 WILLIAM J BERGH GEO TECH SOIL & SITE EVALUATION 4255 PRAIRIE VIEW RD STE 2 CHIPPEWA FALLS WI 54729 ATTN.• POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/04/2011 Identification Numbers Transaction ID No. 1659666 SITE• Site ID No. 743398 Vernon & Kathleen Lund Trust Please refer to both identification numbers, 594 Hwy 128 above, in all cones ondence with the a enc . Town of Cady. St Croix County NE1/4, NE1/4, S4, T28N, R15W FOR: Description: Mound, 3 bedroom Object Type: POWTS Component Manual Regulated Object ID No.: 1223377 Maintenance required; Replacement system; 450 GPD Flow rate; 6 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual -Version 2.0, SBD-10691-P (N.O1/O1), 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 any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: This system. is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD-10691-P (N.O1/O1) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD- 10706-P (N.01 /O l ). A In the event this soil absorption system. or any of its component parts malfunctions so as to creal~ ,die property owner must follow the contingency plan as described in the approved plans. In ad~~.o e r ~ . comply with the operation, maintenance atx~ monitoring duties as described in sectiofiyIII o >~, ponent manual. A copy of this information must be given to the owner upon completion of the, ~ ect. ~ s F,lr/ All holding/treatment tanks are to comply with Comm. 84.25(7)(a). `O~ Maintenance information must be given to the owner of the tank explaining that periodic cleaning f the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. WILLIAM J BERGH Page 2 5/4/2009 Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction installation/operation. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Beginning October ls`, 2008, small wastewater holding tanks with estimated flows less than 3,000 gpd that are based completely on approved POWTS component manuals must be submitted to the appropriate governmental unit and will no longer be accepted by the Safety and Buildings Division for review. Please refer to s. Comm 83.22, Wis. Adm. Code for further information. 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. Sincer , Julia Lewis-Osborne POWTS Reviewer 2 ,Integrated Services (262) 397-6005, Fax: (608) 283-7481 j ulia.lewis@wisconsin.gov Fee Required $ 250.00 Fee Received $ 250.00 Balance Due $ 0.00 WiSMART code: 7633 Your Say T~sn~w ~ Se c D Ewa r~ Prnudly Serving the Chippewa Valley Since 9994 ~i~ • r. Client: VERNON & KATHLEEN LUND 235 Clzur•ch Street - Woodi>ille, WI 5402& MOUND COMPONENT -USING EZFLOW GRAVELLESS PIPE Reference Component Manuals: Pressure Distribution Component Manual SBD-10706-P (N.01/01) -version 2.0 Ring Industrial Group -EZflow Mound Component Manual Job Site Location: Legal Description: Designer's name and license #: US NWY 128 NE ~/a, NE Sec. 04 T 28 N, 15 W Town: CADY County: ST.CROIX f William~l. Bergh (License No. 1 1 the undersig ed state that these plans wer designed an subrr~t' ted under my authority. Designer's signature: Designer's mailing address: Designer's contact information 4255 N Pra ie iew Road, Suite 2 Chippewa Fa s, WI 54729 '' N . ~, fir: WILLIAM ~' ~i 4~ ` • ~d~i 'r ~''• ~ . ••-''~Q si••S ~QTiP~;.•" 715-723-5555 voice 715-720-1101 fax 715-577-6838 cellular email: billy@wastewaterpros.com Contents Page 1 cover sheet Page 2 system calculations Page 3- site plan Page 4 cross section of mound component Page 5 plan view of mound component & distribution lateral schematics Page 6 EZflow manufacturer specifications Page 7 pump chamber x-section schematic Page 8 pump curve Page 9 maintenance & contingency plan Page 10 maintenance & contingency plan 4255 S. Prairie View Road, Suite 4 • Chippewa Falls, WI LOCAL: X715} 723-5555 PAX: (715j 720-1101 www. wastewaterpras. co RECEIVED APR 2 0 200 SAFETY & B J~ co ~ 9tip~~F~ ge 1 of 10 ` , Oil CF~ 54724 `'~,n~ 'tics ~n~ m SYSTEM CALCULATIONS USING HUFFCUTT COMBINATION TANK residential dwelling with total of 3 bdrm calculated at -450 gpd design wastewater flow LLR (linear loading rate) 4.5 galldayift 450 actual distribution cell area DLR (designlsoil loading rate) 0.2 gallsgft/day .2250.0 minimum required basal area depth to limiting factor 6 inches system area cross slope ~2% percent forcemain length 220 feet using 3 inch -SCH 40 PVC manifold andlor header length 3.0 feet using 2 inch -SCH 40 PVC forcemain volume 80.7 gallons length of each lateral 48.750 feet using 1 1I2 inch -SCH 40 PVC total number of laterals 4 invert elevation 100.40' (bottom of lateral). orifice diameter o.~s75 = 31~s tenths/inches 99.90' system elevation distance between orifices 30 inches or 2.50 feet total orifices per lateral 20 total orifices all laterals 80 lateral volume (each lateral) 4.49 gallons 13.20 lateral discharge rate system discharge rate 52.8 gallons calculated at 3.25 distal pressure x 1.3 ft. vertical lift 13.0 feet friction loss in the forcemain 1.7 feet calculated at 52.8 gal/min discharge rate TDH (total dynamic head) 17.9 feet minimum pump discharge 52.8 gpm at -17.9 TDH (total dynamic head) pump manufacturer ZOELLER model number 140 5 x void vol. +forcemain vol. 170.4 gallons 98.4 actual dose (total-forcemain) pump tank model 600 actual tank size. 627 gallons septic tank model 1000 actual tank size 1029 gallons manufacturer of tank(s) Huffcutt pump float on/off measurement 12.0 inches alarm float from bottom of tank 19.0 inches gallon/hole/dose 1.23 orifice density 5.63 Page 2 of 10 ' EZFLOW MOUND COMPONENT CROSS SECTION (typical) 4" OBSERVATION PIPE >12" SOIL TO PROMOTE SUITABLE PLANT GROWTH DISTRIBUTION CELL SYNTHETIC MATERIAL DISTRIBUTION LATERAL(S) INVERT ELEVATION = X00.40' >12° UNDISTURBED s„I Isa SOIL & VEGITATION CAP • '12° 31,4"' ELEVATION = s7.ao' - ASTM C-33 6" fill material PLOWEDITILLED 1.4' I- 9. 11.3' 34.5' 5 2' 17.2` 2.0' EZ1203H (10' bottom area - 30 sq. ft per product) 20 EZ1203H (5' bottom area -15 sq. ft per product) NA CUBIC YARDS OF SAND (minimum) 270 SYSTEM AREA SLOPE "2% SYSTEM AREA LONGITUDINAL (long axis) SLOPE NA ALL MATERIAL & PIPING SPECIFICATIONS AS PER THE EZflow MOUND & PRESSURE DISTRIBUTION COMPONENT MANUALS DRAWING NOT TO SCALE PAGE 4 OF 10 ' PLAN VIEW OF EZflow MOUND COMPONENT (typical) * All piping & material specifications per the EZflow Mound & Pressure Component Manuals 11.3' ~---10' UNIT DISTRIBUTION CELLS 1.L- -, °o°o°oD t FORCEMAINIMANIFOLD o°o°o°°°o° a o 0 0 °ooooo00 7..,, c o o cs--- ~OD°o°o°o~'{: DISTRIBUTION °o°o°o° $,Q' /,~ °o°o°o°'tr, LATERALS ~o°o°o° 13.7'-~ 100.00` 13.7' 127.4' Distribution laterals terminate at the end of the distribution cell ~ Access box covering threaded plug at the end of each distirbution lateral ~//~ ~ ° o ° c DISTRIBUTION CELL /'j EFFECTIVE BASAL AREA ~o°o~ EZflow BUNDLE ~,.°..< DISTRIBUTION LATERAL (typical) * All discharge orifices are located per the EZflow Mound Component Manual ~g~, final grade ~6" - final grade 1 112" SCH 40 PVC threaded cap - threaded cap DISTRIBUTION LATERAL access box - access box 3" SCH 40 PVC MANIFOLD Last orifice located 15" from end of lateral 48.75' D°o°°o°D°OC 15"-~-{ _O~D~O~O~D~~ ~ _ I I °D°O°O°O°O ~~C\ ~ I ~ I I ~~ I v O O O O -{I- --{I-- -'il If'_A--'ll o°DO30„oo 060{ 30" 15" Xl2 X I 97.50' 100.00' EZFLOW BUNDLE Discharge orifice diameter 3/16" = 0.1875 X/2 spacing 15" Number of orifices per lateral 20 X spacing 30" Total number of orifices (all laterals) 80 ORIFICES MUST BE LOCATED IN A (4 UP -1 DOWN) SEQUENCE (DRAWING IS NOT TO SCALE) PAGE 5 OF 10 EZ'~~03H --- - - _ - ooooovo oo aaaaa - - ooooovo aaaaaaa __-- vooooo00 aaaaaaa ~ - _ ooooovo ~~,1 ooooovo o00 aaa _ _ :aooo aaa - -- - _ aaa 1 aaa - - - - ^ooo T ooov - ,1 000 - - -- - - - - aaa oooo==`- - --- aaa aaa. 4.625' o 0 00 0 1~,1 aaa aaa aaa aaa aaa aaa aaa aaaa` aaaaaaa ov aaa oov ooooo oooo aaaa aoooo oo v ovoooo aaa aaaa aaa aaaaa ooooovo oa voavoovooooo vao oooo ooovo oo ooovooooo000000 ooooovo 24" Bottom 36" 12-112" DIA. (n/p.} Void Volume Void Coefficient in Aggregate given at 57.4 % . O.D. of 4" pipe = 4.625 inches Void volume per linear fr. = 3.14 * ~ 2.3 LSin ~,h * Ifi = 0.117 fr' ~ 12in /tt O.D. of center cylinder = 12.5 inches 6.2]in ~~ /~3LSin ~? *.574=.422 ft' Void volume in agga egate of center cylinder =3.14 * ~ 12in /ft~ - 3.14 * ~ ~ I 12in/fi J ~ O.D. of outside cylinders = L inches / bin ~' Void volume in outside cylinders = 2 * 3.14 12in /fr j ~ .574 = .9D 1 ft' ~( 24in * bin 1 _ ~ 3.14 bin ~~r 11 = 0.215 fr' Voidvolumeatbottombetweencylinders 12in/ft 12in/ft l 12in/fry JJ Void volume at outside bottom comers (I/2 of void volume between cylinders) 0215 / 2 = 0.108 ft' Total void volume = 0.117 + 0.422 + 0.901 + 0.215 + 0.108 = 1.763 cubic ft ! ft Gallons per ft = 1.763 X 7.48 = 13 : Qalions per linear ft. Soil Interface Area Sidewal] (2 Sidewalk) Bottom Total Soil Interface Area 1 /2 Circ. = 18.84" ln. to Ft. S~ Ft ~ * ] 8.84in = 3.14 12in lft 2.00 5.14 ; Projected Trench Area Sidewak Height = 12 in. *2 = 2.00 Sq.Ft. Bottom = 36 in. = 3.00 Sq.Ft. Projected Trench Area = 5.00 Sq.Ft. p,~ /~ COMBINATION SEPTIC TANK/PUMP'CHAMBER X-SECTION (DRAWING NOT TO SCALE) MANHOLE RISER & COVER FINAL GRADE {per COMM 84.25 (7) & (8)} (slope ground surface away from (w~approved locking device) manhole s for ro er drainage) P P () ELECTRICAL & ALARM SUPPLY (electric & alarm wiring must be installed on separate circuits) WER BUILDING SE {per COMM 82.30 (11)} UL APPROVED ELECTRICAL JUNCTION BOX MANHOLE MANHOLE I MANHOLE 18"min. - .: r.• ..°~ "~-. 3-' - 1. properly sealed ~. ,.. BOTTOM OF INLET (invert elevation) ~ 3.. '~- when not used y ~.'. (wastewater level)----- --- .!/irirrrfrr/O/O//fi/~Yr/~~~~rr ?''r'yr/~/~~~ - !if ~i~'/f/1~RESERVE //////.!~f/ y%i1i1///r~ /~ INLET irj/i///rr~cAPACITYr./i/r~/rjsi irr~'/~~/~ !rr =;, G -'•-•~ FILTERED B ~ 4" INLET PIPE ' (tee or bafFle) APPROVED EFFLUENT FILTER ~ EFFLUENT REQUIRED ON OUTLET 9 .. ; ~ MINIMUM OF 3" OF SUITABLE BEDDING BENEATH TANK PUMP PAD EFFLUENT FILTER BEST ~' Tank Manufacturer HUFFCUTT Septic/Pump tank model 1000/600 (DWF I actual dose volume) Alarm manufacturer S.J. ELECTRO ~` Alarm model number HW 101 ** Type of float switch MERCURY ** *~ OR EQUIVALENT COMPONENT Effluent pump manufacturer ZOELLER Effluent pump model number 140 Minimum pump discharge rate (GPM) 52.8 Vertical lift (pump off to distribution lateral) 13.0' system head (distal pressure X 1.3 feet) 3.25 Friction loss in the forcemain ~1.7 Total dynamic head (TDH) 17.9 DWF (daily wastewater flow) 450 GPD Number of daily doses ~4.6 ALARM FLOAT ON FLOAT OFF FLOAT elev = $7.40' Forcemain volume 80.7 Actual dose volume (gallons) 98.5 (total dose volume -volume of forcemain) PUMP TANK CAPACITIES Reserve above alarm 21 inches = 313.53 gallons Alarm float above on float 2 inches = 29.86 gallons (C) On/Off float measurement 12 inches = 179.16 gallons (B) Off above bottom of tank 5 inches = 74.65 gallons (A) PUMP CHAMBER DIMENSI ONS Length 49.0" Width 70.0" Liquid depth 42.0" Gallons per inch 14.93 PAGE 7 OF 10 a TOTAL DYNAMIC HEAD/FLOW ,- ~ ~ LL PUMP PERFORMANCE CURVE PER MINUTE -~ ~--- =~ I MODEL 140!4140 EFFLUENT AND DEWATERING i 55 i 16 -~ 50 14 45 12 aD -~ 140,4140 ~, 35 v 1G ~ ~ ~a ~ 9U ~ '`~, z c'. b ~ H 25 G o ZO O 15 4 10 2 5 MODEL 14014140 Fee: ~ Meters Gal. Liters 5, 1.5 BE , 326 10 3.1 BO 303 15 4.e, 73 276 20 6.1 66 ! 250 25 I 7.E 5° 223 30 9.1 45 165 3F. i t0.i' 3E '. 144 40 ; 12.2 I 2E i 106 45 ! 13.7 ~ 17 ~ &" Shut-off Head: 50 ft.(15.2m1 0109405 0 i i , 1G 2G 30 4D 5U fi0 7G 60 9U GALLONS LITERS ~-~ 0 8C. 16D 240 320 FLOW PER MINUTE o10e4ok r_a ~. .«. .,«„r~ ,..yyr ter.. «W.. ..~ ~s~ •y~~n "`, • Electrical alternators, for duplex systems, are available and supplied with an alarm. • Mechanical alternators, for duplex systems, are available with or without alarms. • Control alarm systems are available for 1 phase pumps used in simplexsystem. See FM0732. • Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are avaiiable for variable level long cycle controls. • Sealed Qwik-Box available for outdoor installations. See FM1420. • Refer to FM0806 for applications above 130°F (54°C). i4.; 5e.ie~ ~: ib:. ~ i4{ Serie., - . , lbs.. 14014140 MODELS Control Selection Model Modef Volts•Ph Mode Amps Simplex Duplex N140 N4140 115 1 Non 12.0 1 or 2 3 E140 E4140 230 1 Non 6.0 1 or 2 3 BN140 BN4140 115 1 Non 12.0 -- BE140 BE4140 230 1 Non 6.0 ~ -- `Single piggyback switch included. „•n~,~ SK1524B 1. For automatic use single piggyback variable level float switch or double piggyback variable level float switch. Refer to FM0477. 2. See FM1228 for correct model of simplex control panel. 3. See FM0712 for correct model of duplex control panel. D CAUTION Ali insta(Iation or coniroEs; Arntactiatt tlavices anc wirnl~ shauic be dnne by u gtlalifietr licansea eiaetricia€.. A!# aiecYricaE aac satetc cosec. she:uirl be io[iuv+nei inciudinathe mns€ recent h;ationa? Wiactriu Caeie {NEri anc the fiecupational Sar`ety and Healtis Act fUSHAI. For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL T0: P.O. BOX 16347 i- Louisvil~e,KY 40256-0347 Mantrfacturersof.. ~ ' ' SHIP T0: 3649 Cane Run Road pp ~~~~~~ Louisville, KY 40211-1961 Q04L/TY~U.L1P6,~NCf ~r~Jc! •~ ~ ,; Q"~ AQ ~O (502) 778-2731.1(800) 92S-PUMP hiip://www.zoetler.com lfJ,Y/!- r'AX(502)774-3624 © Copyright 2002 Zoeller Co. All rights reserved. ~~- ~a - n Vz eai SK1524F . ~.':w h'~::~.; ~3. r. ;. POWTS OWNER'S MANUAL MANAGEMENT PLAN PERMIT NUMBER: Owner: POWTS Maintainer: Local Regulatory Authority, POWTS Installer, Septage Servicing Operator VERNON & KATHLEEN LUND - US HWY 128 Geo Tech Soil & Site Evaluation -Chippewa Falls, WI 715-723-5555 St. Croix County Zoning Department- Hudson, WI 715.386.4674 Glen Pelke Plumbing - Montlovi, WI 715-835-6D99 DESIGN PARAMETERS InfluentlEffluentguality (values typical for domestic (non-commercial wastewater and septic tank effluent) Fats, Oil and greases (FOG) <30 mg/L, Biochemical Oxygen Demand (BOD) <220 mg/L, Total Suspended Solids (TSS) <150 mglL. .Soil loading rate (SLR) = 0.2 (basal area) SYSTEM SPECIFICATIONS The components of this septic system are intended to serve a 450 GPD three-bedroom residence. The components include: a Huffcutt model 10001600 septicldose tank (with BEST effluent filter and a Little Giant 9EH effluent pump, alarm & controls and an 100.0' x 6.0' distribution cell within a mound POWTS component. All components must comply with WI Adm. Code COMM 84 and be installed per manufacturers specifications and approval letters. DESIGN CRITERIA o SBD -10572-P (R.6199) "Mound Component Manual" o SBD-10691-P (N.01/01) "Mound Component Manual" Version 2.0 / EZFLOW MOUND COMPONENT MANUAL o SBD -10570-P (R.6199) "At-Grade Component Manual Using Pressure Distribution" o SBD -10567-P (R.6/99) "In Ground Absorption Component Manual" o SBD-10705-P (N.01101) "In Ground soil Absorption Component Manual" Version 2.0 o SBD -10573-P (R.6199) "Pressure Distribution Component Manual" / SBD -10706-P (N.01I01) "Pressure Distribution Component Manual" Version 2.0 MAINTENANCE & MANAGEMENT Inspect the condition of the treatment tank(s) and dispersal cell(s) a minimum of every three years. The septic tank contents must be removed in accordance with Chapter NR 113, WI Adm. Code when the combined sludge and scum equals one-third (1/3) the tank volume. The effluent filter(s), effluent pump, controls & alarm and distribution lateral(s) should be inspected annually to ensure maximum perforrrence. Lateral inspection/maintenance should include flushing of the laterals and pressure testing. STARTUP For new construction prior to use of the POWTS check treatment tank(s) for presence of painting products or other chemicals teat may impede the treatment process andlor 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. OPERATION The property owner is responsible for the operation and maintenance of the POWTS and submission of required reports. The quantity and quality of wastewater will affect the performance and longevity of your POWTS. The installation of water-saving appliances and fixtures along with prompt repair of leaks reduces the wastewater volume. Also, the brine or waste from water softeners, iron removal unity and other clear water treatment devices and foundation drains should be discharged to the ground surface whenever possible, Note: this does not include laundry waste, showers, dishwater, etc. The system is designed to handle domestic strength wastewater, however the disposal of food based greases and oils, vegetablelfruit peels and seeds, bones, and food solids such as those produced be a garbage disposal should be minimized. Toilet tissue is the only paper that should be discharged into the system. Other non-biodegradable items such as baby wipes, tampons, sanitary napkins, condoms, cigarette butts, dental floss, and cotton swabs should not enter the system, Chemicals such as petroleum products, paint, disinfectants, pesticides, antibiotics (medications), solvents, etc., should not be flushed into the system as they can seriously damage your POWTS and contaminate your drinking water supply, Maintain regular steady flow by spreading the laundry washing throughout the week. Avoid vehicle traffic over all system components. Compaction of snow over the unit may cause it to freeze up. o Valves Valves should be operated in the following manner / Alarms Alarms should be tested on a regular basis by the homeowner. If an alarm sounds, contact an individual licensed to serve POWTS. There is normally a one day reserve capacity under regular operating conditions, however water should be conserved until anyproblems with the system are corrected to prevent back-up of sewage into the dwelling or surface discharge, Page 9 of 10 INSPECTIONS Inspections shall be made by a person carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Maintainer or Septage Servicing Operator (per the attached Maintenance Schedule) / Septic Tank Component Tank inspections must include a visual inspection of the tank to identify any missing or broken hardware, identify any cracks of leaks, measure the volume of combined sludge and scum and to check for any backup or surface discharge of effluent, Access openings used for service of assessment shall be sealed andlor locked upon completion of service, Any defects shall be promptly corrected. Exposed openings greater than 8 inches in diameter shall be secured with an effective locking device to prevent accidental of unauthorized entry into the tank. The outlet(effluent) fitter(s) shall be inspected and cleaned to remove any accumulated solids according to manufacturer's specifications. Provisions are to be made to retain solids in the tank during cleaning, Filter cleaning may be necessary at more frequent intervals than stated in the maintenance schedule to keep the system operating properly. / Pump Chamber/Treatment Tank(s) Component The inspection must include a test of all electrical equipment such as pumps, alarms and floats. A visual check must me made for leaks, backups, surfacing, missing or broken security devices and other hardware and the condition of the filter. Any service needs or repairs shall be promptly taken care of, / Mound, At-Grade, In-Ground Pressure The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any discharge io the ground must be promptly reported to the regulatory authority. Ponding greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. Additionally, due to the excessive slopes, the toe of the component must be inspected a minimum of once annually for seepage. Refer to the "reports' section of this agreement for filing requirements. REPORTS Reports for maintenance, inspection, and monitoring shall be submitted in accordance with COMM 83.55 Wisconsin Administrative Code. ABANDONMENT When the POWTS fails andlor is permanently taken out of service the following steps shall be taken to ensure that the system is properly and safely abandoned in compliance with Ch. COMM 83.33, Wisconsin Administrative Code. - All piping to tanks and pits shall be disconnected and the abandoned. pipe opening sealed. - The contents of all tanks and pits shall be removed and properly disposed of be a Septage Servicing Operator. - After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or other inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system. o 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(s), lot lines and wells. Failure to protect the replacement area will result in the need fora new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. o A suitable replacement area is not available due to setback andlor soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. o 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 GASES ANDIOR INSUFFICIENT OXYGEN. DO NOT ENTER ASEPTIC, PUMP OF OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAYBE DIFFICULT OR IMPOSSIBLE. Page 1 D of 10 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND J OWNffERSHIP C/ERTIFICATION FORM OwnerBuyer / i e ~ ~ ~ ~ C.~-~ ~~. [ ~ ~,~ l _ ~ .~ ,~ . Mailing Address ~ `~ of Property Address i . 7 ~-~-~ O~J (Verificati ton requi$ed from Planning & Zoning Department for new construction.) City/State ~_ !~ Parcel Identification Number Q ~ ~ ,_ l C' ~?~ ~- / (~ -- C~pD LEGAL DESCRIPTION Property Location ~ ~_'/a , ~ _ i/a ,Sec. T , T N R k ,) W, Town of ~_; ~~? 1 `} Y Subdivision ,Lot # Certified Survey Map # ,Volume ,Page # Warranty Deed # ,Volume ,Page # Spec house yes no Lot lines identifiable yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system. can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than. 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my/our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms`~~ e Vc 1 ~~ ~ lL~/Q~ SIGNATURE OF APPLICANT(S) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. *** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) PAID ~ Departrnent of Cornrrreroe S01L EVALUATION REPO p~ 1 of 4 Division of safety and Br~dings ~ accordance with Comm 85, Vlfis. Adm. code coin St Croix Attac~r oorrrpl~e s8e plan at paper not less than 8112 x 11 in s¢e. Plan must , inrdude, but not i'r'ni6ed to: vertirsil and horizarrtal reierenoe port (BM), direr~orr and paw l,p- 004-1008-10-WO percent slope, scale or d&rrrensions, noAh arrow, and bt~tiorr and distance to nearest road. Please print all lnt+ermatfvn. R - by Date Persornr infonnNioo you provide msy bs used for a 1s. (1) (m))- ! ~ / b p Property owner Location Vemn 8t Kathleen TR Govt ~ 1/4 NE 1/4 S ~ N R 15 ~nY t~rrrer's Mating Adds Lot ~ Bbck # Subd. or CSM~ 235 Church St. - ~ ~ State ~ Code NG OFFICE ~ • own ~~ Road waoa~ille, wiscc. 54028 ~ - us HwY 12s • N@vr Construction ~ Residential / Number of bedrooms 3/4 Code derived design flow rate 450 600 GPD ' ~ PubSc or oorrurrerciai - Desrxiee: i Parent material Loess over Grotmd Moraines Fwd p~ ~v~on ti ~ ~ g, Germral cori'rr'rents and L ~/ S~,`n~o ~ ~7 Contour E 9fRt' °~ 7, a pti Ground surface elev. 96.1 R Depth to Ymting faction 6 in. ~ Sot Rate Horiza- Depth Dominant Color Redox Desaf~ion Texture Structure Corrsistenoe Boundary Roots in. Muree~ Qu. Sz CoM. Cobr {~: Sz Sh. `Effe'I 'Ef~2 1 0-6 10YR3/2 - sil Zmgr mv& aw 3f 0.6 0.8 2 6-18 10YR6l3 czato~tx6l6 sil ifpl mti ~, lvf 0.4c 0.6 3 18-32 10YR5l4 m1d7.5YR518 sl 2mbk cMr cw - 0.6 1.0 D e ~"~ 97.6 8 Q pti Ground surface elev. ft. Depth fio ~rrtNng factor ar. Sot Rete Hor¢orr Depth Domiroxrt Redox Oescxiption Texture Structrre Ctx>sisterroe Boundary Roots GP DtI~ ar. MunseN Qu. Sz. Cont. Color Gr. Sz Sh. 'Efflxl *E1f~2 1 0-8 i0YR312 - sil 2mgr mvfr aw 3f 0.6 0.8 2 8-14 10YR6/3 c2d1oYR6t6 sil 1 1 mfr ~' lvf 0.4c 0.6 3 14-28 10YR5/4 m1c17.5YRSB sl 2mbk dfr cw _ 0.6 1.0 ' Eflwent #1 = BOD_ > 30 < 220 mo1L and TSS >30 < 1 5A mall ' EflNrerrt #2 = BOD_ < 30 mall. and TSS < 30 n1alL t~T' Name (Please Prim Signature CST Nrn'rber Thomas W. Gedatus ~ 962178 Address Oate Evaduaaon Conducted Teleptrone Number Stang Plumbing & Electric P.O. Box 263 Woodville, Wisc. 9/29/2008 715-684-5166 av~~ awn mN+a~n. Property Owner Veron & Kathleen TR Lund Parcel ID # 004-1008-10-000 2 4 Page of 3 Boring # !"~ Boring 97.1 8 pit Ground surface elev. ft. Depth to limfing factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP Dlf~ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 10YR3/2 --- sil 2mgr mvfr aw 3f 0.6 0.8 2 10YR6/3 c2d10YR6/6 sil 1 1 mfr cw lvf 0.4c 0.6 3 10YR5/4 m1d7.5Y1t5/8 sl 2mbk dfr cw -- 0.6 1.0 a Boring # ~ Boring 96.5 8 pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Deptl~ Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fl~ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *ES#t *Eff#2 1 l0YlZ3/2 --- sil 2mgr mvfr aw 3f 0.6 0.8 2 YR sil 1 1 mfr cw 1 of 0.4c 0.6 3 10YR5/4 m1d7.5YR5/8 sl 2mbk dfr cw -- 0.6 1.0 g Boring Boring # ~ Ground surface elev. 95.4 ft Depth to limiting factor 0 in. Pit SOit A Gcation Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/1~ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Etf#1 *Eff#2 1 l0Ylt3/2 f1f7.5Yr5/8 sil 2mgr mvfr aw 3f 0.6 0.8 2 OYR / c2d10YR6/6 sil lfpl mfr cw lvf 0.4c 0.6 3 10YR5/4 m1d7.5YR5/8 sl 2mbk dfr cw -- 0.6 1.0 * Effluent #1 = GODS > 30 < 220 mglL and TSS >30 _< 150 mglL * Effluent #2 = BODS _< 30 mglL and TSS _< 30 mglL The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330Teat (807/00) ~'~ fin. ~ ~ r. t ~ ~- u ~ cf~. ~~~~~ ~ ~ c~.35 Ck~rc,~ ~ ~ n ~ ~~,°~l ~~ tie - . S'i/d ~~ ~~ nok- i~DOg ~ t8~ p®c~ ~,~~~.}~ ~{' Wit. C~Q:~ T~w~ ~ ~ C~.~1f ~ ~~~ s~' y y ~ .~ .,~ ~- f q ~~ !~ ~ _ .~ ~~ ~ ~~ ~~ B-~ ,~, ~ S c .~ t ti '~ ~ ~ lii t ~ ~ ~ /, .~ a ~° _ b./ ~ ~ ~ ~3- 3 . ~~ - -~ 0 ~ ~ ~~ r - f ~ v bi ~ ~. f ~: ~~ o ~ .'~- ~ .~ t- ~, `~. ^N ~. ~ oy 3-•~ commerce.wi.gov isconsin Department of Commerce Safety and Buildings 10541 N RANCH ROAD HAYWARD WI 54843 Contact Through Relay www. co m m e rce . wi . g o v/s b/ www.wisconsin.gov Jim Doyle, Governor Richard J. Leinenkugel, Secretary October 29, 2008 CUST ID No. 224832 MARY JO HOLLISTER HOLLISTERS SOIL TESTING & DESIGN 530 CTY HWY M RIVER FALLS WI 54022-40.11 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/29/2010 Identification Numbers. Transaction ID No. 1598021 SITE: Vernon & Kathleen Lund Trust Site ID No. 743398 Town of Cady, St Croix County Please refer to both identification numbers, NE 1/4, NE 1/4, S4, T28N, R15W above, in all corres ondence with the a enc . FOR: Object Type: Soil Saturation Determination Regulated Object ID No.: 1204386 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. Only those object types listed above have been approved; other submittals such as plumbing and those listed below under Also Submit, may be required. The following conditions shall be met during construction or installation and prior to occupancy or use: 1. Approval is hereby granted pursuant to s. Comm 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 installation contour below the "D" dimension for the mound shall not be lower than 97.0 ft based on the CST bench mark of 100.0 ft. 4. The basal soil application rate for the mound shall be 0.20 gpd/sf, and the linear loading rate 4.50 gpd/ft. 5. Chisel plowing to a depth of 12 inches immediately prior to sand placement is required to improve vertical water movement into the soil solum. 6. 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. The down slope toe design ratio shall be 1:4: 7. 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. 8. 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. 9. 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. MARY JO HOLLISTER Page 2 10/29/2008 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. 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 plansets, 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 constructionfinstallation/operation. Any local requirements shall be complied with. This plan has not been generally reviewed for compliance with fire code requirements, including those for fire lanes and fire protection water supply, so contact the local fire department for further information. 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. The Division does not take responsibility for the design or construction of the reviewed items. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, Leroy G. J ky, RPSS, WTS Wa water Specialist Integrated ervices Bureau (715) 726-2544 ,Friday, 7:00 a.m. To 3:30 p.m. Leroy. jansky@wisconsin.gov Fee Required $ 100.00 Fee Received $ 100.00 Balance Due $ 0.00 WiSMART code: 7633 INTERPRETIVE DETERMINATION REPORT Property Owner, YERNON &r KATHLEEN LUND Trust 235 Church Street Woodville, WI 54028 Site Location: 594 Hwy. 128 NE'/+ of the NE'/a, Sec. 4, T28N, R15W Town of Cady St. Croix County Structure To Be Served: Proposed 3 or 4 bedroom dwelling Prepared by: 159$021 P.O.W.T.S. C~~zditionally A~R`~OV'ED DEPARTMENT OF COMMERCE DIV SON OF SAFETY AND BUILDINGS SEE RRESP DENCE ~S Mary Jo Hollister, CST #224832, Designer #1859-007 Date: ~~'~ ~7-Q~ HoUister's Soil Testing li: Design 530 C.T.H. M, #17 River Falls, WI 54022 Rhone and Fax#: (715~2b-1775 ~. INTROIwcnoN On September 29, 2008 this soil tester did an ornite investigation on this parcel of land after a site and soil evaluation was completed by another soil tester who did rat have A+4 conditions that is required per the State of Wisconsin, Department of Commerce regulations. This report is required to determine the suitability for installation of a private on-site wastewater treatment system (POWYS) in lieu of groundwater monitoring. This property had an existing dwelling at ale time but the existing POWYS has not been located. The property is located ~4 mile north of 194 and borders Highway 128. The property owners have requested the interpretive determination so that their son can build a home on this 40 acres. {I. PREPARATION OF REPORT This report is being prepared according to the standards set forth by Comm 85.60(2) of the Wisconsin Administrative Code and a guideline prepared by Leroy Jansky called "Preparing the Interpretive Determination Report." IEI. REQUIRED INFORMATION A. The Soil Evaluation Report has been conducted according to Comm 85.40 and is attached as part of this report with permission from Thomas W. Gedatus, Certified SoiE Tester #962178. Frve hand borings were evaluated. B. Local Hydrology 1. Surface Water: no ponding appears to take place on the site based on the slope of the land and vegetation. The tested area is at the shoulder of the slope with a 1,7 percent linear convex slope. 2. Subsurface Water: sane rainfall leaves the site and some is absorbed into the A horiza~. The silt Loam texture within the A horizon has good structure with root and worm action taking place. The subsoil has a higher clay content and a weaker, platy structure which tends to hold more water due to the evidence of redoximorphic features which varies from 6 to 18 inches. 3. SoiE Saturation - soil appears to become saturated under the A horizon due to evidence of redoximorphic features. No water was observed in the five borings that were conducted. Boring 5 did have Page 2 - LUND redoximorphic features in the A horizon. This boring is located 60 feet to the west and downslope of the borings that are being used for a proposed system area. 4. Surface Water Elevations -this area is within the Lower Chippewa River Basin. There is surface waters approximately 4 ~/. miles of the proposed site. See the attached map from the U.S. Geological Survey. Cady Creek is located approximately 3/4 mile to the west and flows at a southeasterly direction. A small drainageway flows southwestemty from this 4U acre parcel to the headway of Cady Creek. Hydrophytic vegetation was observed in that area. C. Geomorphology till. 1. Parent Material -The parent material is loess over glacial 2. Landform Type -The proposed system is in a deep layer of loess over glacial deposits of ground moraines. D. Landscape Position and Local Topography - The proposed system is located ~ the highest locafion of the landscape and on the shoulder of the area. The shape of the slope is linear and convex to a minimum degree. The grourxf surface elevation is at 1260 feet mean sea level with fairly lower elevation alt around the site. USGS Topographic Map. Page 3 -- LUND E. Soil Series and Mapping Units -The Soit Survey of St. Croix County has the area mapped as a Freeon Series. This soil tester encountered the conditions similar. The very dark grayish brown A horizon was observed. The typical profile per the Soit Survey is (in a cultivated area): 0-8", very dark grayish brown, friable, moderate structured silt Loam 8-11 ", brown, very friable, moderate structured silt loam 11-18, brown, friable, moderate structured heavier silt loam 18-23, dark brown, friable moderate structured loam with Strong brown mottles The series is described as moderately well drained soils on gently sloping areas on tow ridges and foot slopes of ground moraines. Permeability is moderate and water capacity is high. SOIL MAP ~~ Page 4 -- LUND F. Field Observations -the proposed site is in alfalfa and has been cropped for many years. The soils identified were similar to the Freeon Series except redoximorphic features were under the A horizon estimating high ground water to be at 6 to 8 inches. The entire landscape was dry. All soil pits had dry conditions. There has been no cutting or filling in the area and no drain file or ditches were observed. The construction of the roads bordering this property does limit water that is received on the site. G. Comparative Analysis - All soit borings had low and high redoximorphic conditions under the A horizon that were common, medium and distinctive. One pit had redoxirrwrphic features in the A horizon which helps verify that prolonged saturation does occur but it is at a lower elevation than the proposed POWTS site Ding evaluated and that prolonged saturation does occur at 6 to 8". There is no prolonged saturation for more than 7 consecutive days within the top 5". H. Government Reports and Comments -This soil tester had an approved interpretive determination report on property located north approximately'h of this site in 2005 on property owned by Robert Leaf. The soils were also mapped Freeon silt foams. There are new and replacement mound systems within the area. iV. Conclusion and Recanmendations - the site is suitable for a POWTS as evidenced by the redoximorphic conditions described above. There appears to be no evidence of hydric soils or hydrophytic vegetation. Most of the surface water leaves the site due to the position in the landscape. There is a slope to the site of 1-4% and no surface ponding anywhere. No prolonged saturation occurs within the top 6" as evidenced by lack of the redoximorphic features. 1. The sand fill shall be 2.50' of ASTM C-33 code required. 2. The system shall be as tang and narrow as possible. 3. Plow depth should be the maximum required depth of 12 inches during dry soil conditions so there is no chance of soil smearing. Page 5 -- L.UND 4. The system leading rate to be 0.2 GPDtft2. 5. Construct the tae area of the mound system at a 1:4 ratio instead of the required 1:3 to increase absorption area. 6. System contcwr should be located at the highest possible elevation within the tested area to be located furthest area from 65 which had unsuitable soil conditions. Recommended system elevation to be at 97.0. 'The State of Wisconsin, Department of Commerce will review the site and report to make a final approvat. Submitted by, ~ ~s Mary Ja Hollister Certified Soil Tester #224$32 Designer #1859-007 St. Croix County Land Information Online yj ~ ~ Page 1 of 1 l~ Parcel Computer Number: N/A County Home Search Search Results Search Results -1 Matching Properly N Return To Search Methods N Generate Mailin Labels Grid 004-1008-10-000 TOWN OF LADY VERNON & KATHLEEN TR LUND 594 HWY 128, Primary Owner: N/A Tax Record Documents Map Tools... ~ ~ ~ ~ Tools... http://www.landinfo.co.saint-Croix.wi.us/website/LRPortaUmain.asp 10/2/2008 v Current Tool: Scale:i°= 1430 ft. ..Yi .. •~ Stan Bar of Wisconsin Form 7-2003 TRII3TEE'S DEED DoaunentNumba ~ nocumaitName THIS DEED, made between Verson A. Lund and Kathleen K. Lund as Trustees of the Vernon A. L an K een . tun vocab Trt~t January Z0, 2004 ("Grantor;' whether one or more), and Kevin V. Lund and Gecelia I. Lund, husband and wife as survivorship marital pt~ertv ("Grantee," whether one or more). Grantor conveys to Grantee, without warranty. the following described rest estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Craix Caunty, State of Wisconsin ("Property") {sf more space is needed, please attach addendum}: The Northeast Quarter (NE'/a) of the Northeast QuarDer (NE'l.) of Suction Four {4), Township Twenty-eight (28}North, Range Fiiteeaa {15) West, Town of Cady, St. Croix County, Wisconsin. i~~~~~~~u~nwi~ 692840 BETH PRNST REGISTER OF DEEDS ST. CRDIX CO., WI RECEIVED FOR RECORD 04/09/z009 10:30AM TRUSTEES DEED EXEMPT t 8 REC FEE: 11.Q0 PAGES. 1 Rseaording Area t~fame and Return Address Bridget M. Minioe BAICKE NORMAN. S.C. ,? 990 Maio Street, Ste. 200 P.O. Box 54 Baldwin, W[ 54002 004-100&10-000 Paroel IJentifecatiauNurnber (PtN) Dined ~f _ ~_ ~ • ~- (SEAL * ernon A. Land, Trustee • Kash K. Lured, Trustee (SEAL) (SEAL) AUTHENTICATION Signtlttlre(s) Vernon A. Lund and Kathleen K. Lund authertt" on /„~ t * et M. Fink TITLE: MEMBER STATE BAR OF WISCONSIN ACKNOWLEDGMENT STATfi OF WISCONSIN ) ss. COUNTY ) Personally carne before me on the above-named (If not, to me known to be the person(s) who executed the foregoing authorized by Wis. Stet. § 706.06) instrument and acknowledged the same. Tfl[S INSTRUMENT DRAFTED BY: Bridget M. Finke, Bakke Non~ttan, S.C. P.O. Boat 54. Baldwin, WI 54002 Notary Pltbtie, State of Wisconsin My Commission (is permanent} (expires: ) tSigaatves onq be natfniticahd w aduowtedeed. tioffi m sot necessary.) NOTE: TATS IS A STANDARD FORM. ANY MODIFICATIONS TO TN13 FORM SHOULD $E CLEARLY IDENTIFIED. 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