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HomeMy WebLinkAbout002-1028-95-000Wiscofssin Department of Commerce PRIVATE SEWAGE SYSTEM Safety a~irt E~ilding Division ,~ INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. TANK INFORMATION n TYpE MANUFACTURER ` CAPACITY Septic I ' r .lr• Z J~~~/~ Dosing ~ d,,~b ~ 3 ~ ~r Holding TenIK SETBACK INFORMATION TANK TO t t P/L~ wva WELL _. BLDG. ~~ Vent to Air Intake ROAD Septic 5~ >~ ~ 2~ z~ .... Dosing 5~ / >zs z~ z~ / --~ Aeration Holding PUMP/SIPHON INFORMATION Manufacturer v(~ Demand a ~ ~ ~ GPM Model Number ~/_ O 5 ~ s'y .3 TDH Lit~f ~ Frictio i ~,szS. Syste/rrl Hea~ ~ TDH , a~ Ft Forcemain Length ~ Dia. Z li Dist. to Well' Z5 SOIL ABSORPTION SYSTEM FI FVATION DATA eo"n~~ St. Croix Sanitary Permit No: 515134 0 State Plan ID No: Parcel Tax No: 002-1028-95-000 Section/Town/Range/Map No: 14.29.16.205 STATION BS •0~5 HI /6 FS ELEV. / Benchmark /1 O /~ ~ a~ Alt. BIVJ~~~ Bldg. Sewer 7 1' 4 t ~c,~ SUHt Inlet ~ • ~ 9~• ~ s SUHt Outlet Dt Inlet ~ ~ Dt Bottom I Z ~ Z ~d ~ $ 5 Header/Man. Z ~~ Dist. Pipe ~ r ~ /~ • / / Bo3Sy§tem ~v 1.~.. ~ 3.2-. 95.8 Final Grade /, ~a / - ~ St Cove , I a~ Ldo~.~ u ~ . ~ / ~ . LS BEDITRENCH DIMENSIONS Width Length ~ No. Tren es ~r 5 ~~ ~e PIT DIMENSIONS No. Of Pits In ' e Dia. Liquid epth SETBACK SYSTEM TO P/L D WELL LAKE/STREAM LEACHING Manufacturer: ~ CHAMBER OR INFORMATION Type,py~ystem: ~ Z 1 > sa ~ / ~~ N UNI7 Model Number: ~ e.~ w VIJ 1 RIUV i ~V~• v • v • Header/Manifo~ // r.•.. Distribution 9 ~/ ~ e(s) ~f Pi ' ' x Hole Size rr ~ x Hole Spacing // Ve t Air Intake Length Z~' Dia p L ] Length ~/~T Dia ~' 2`5 Spacing ~ d p 0 JV11.. uVVi..I~ Depth Over / nr~wawc vyawu~a v~~p Depth Over .... ...~-...-. _. ___ ___-_ xx Depth of ~ _ ~ _ xx Seeded/Sodded d~1~ly ulched BedlTrench Center ~ d G BedlTrench Edges ~ Topsoil ~ ,des ~ No Yes ~ No . . _ n n r COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ~ /~/ ~/1' Inspection ~l: / i Location: 2517 Cty Rd E Woo~d~vil~le, W/I 5~4028 (NW 1/4 NW 1/4 14 T29N ^R16LW) 40 acres Lot G(~,; ~.x.~ ~ Parce No: 14.29.16.205 1.) Alt BM Description = FI ~ ~-- ~6J ~~ al,~t ,,n.~ ~,~, 4 P~ O t~-~ 2.) Bldg sewer length = d~'"`V~" ~'~' ~'O~'J d~'~ - amount of cover = 5t~ ~ ~ A Plan revision Required? ~ Yes ~No d ~ ~ ~ ~ J her side for additional information. ~ ~ ~- Use of Date Insepct r' Signa a Cert. No. SBD-6710 (R.3/97) ~pIC~G~~~2e~ CommerCe.wi.gov Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 St. Croix ' ~ ~ O n ~' ~ Madison, WI 5 ~ Sanitary Permit Number (to be filled in by Co.) Department of Commerce ~ ~ ~ 5 ~5 ~3 Sanitary Permit Application State TransactionNG umCr In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental ~ / ~~ ~ I J unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS aze project Address (if different than mailing address) submitted to the Department of Commerce. Personal information you provide may be used for secondary es in accordance with the Privac Law, s. 15.04 1 m , Stats. ~ ~ ~ ~ ~ ~ ^ /1 IJ~~• I. A lication Inform Please Print All Information I Property Owner's Name / , l Parcel # 002-1028-95-000 Vriezland ~~ si.•'J Property Owner's Mailing Ad ss Properiy Location / 9q ,,~~ S 110 East Third Street ST CRUIX COUNTY & ZONING OFFICE / , Gf~ Lot tl„ Govt PI.gNNING . City, State Zip Code Phone Number Nw'/4,NW'/,, Section 14 New Richmond, WI 54017 (612) 750-8203 (circle one) R 16 W T 29 N II. Type of Building (check all that apply) Lot # ; ®1 or 2 Family Dwelling -Number of Bedroo 3 ~, Na Subdivision Name Na ,~6 Block # Public/Commercial -Describe Use Na City of State Owned -Describe Use ~ ~ CSM Number ^ Village of ~^ '' ,rj k'~~ //'e/w• Na ®Townof Baldwin III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A' New System Replacement ~ Treatment/Holding Tank Replacement Only Other Modification to Existing System (explain) Sys ~ -, B. ^ Pennit ^ Permit Revision ^ Change of Permit Transfer to List Previous Permit Number and Date Issued Renewal Before Plumber New Owner Ex iration IV. T e of POWTS S stem/Com onent/Device: Check all that a t 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) 450 ~ Design Soil Ap~+cation Rate(gpdst) 00 1 Dispersal Area Required 450 00 ft Dispersal Area Propos sf) 00 s ft 450 System Elevation 50' @ 30" above 99 /O ~ ~ . . ~ sq. . ~~ q. . . ~ ti . ' contour 97.00 VI. Tank Info Capacity in Total # of Manufactu rer Gallons Gallons Units ¢ ~ U U ~ a ~ ~ H ~ New Tanks Existin Tanks [ ?~ t k' ~ w a g „~ _ ~ f~ ~, % ~ j-wt O ~ F ., ~ a Septic or Holding Tank 1000 1000 1 Wieser Concrete ^ ^ Dosing chamber 600 600 1 Wieser Concrete VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Bill Schumaker Plumber's Signature G/ CVs.-lam- ,~ca~.~-~~~ MP/MPRS Number 227990 Business Phone Number (715 386-3121 Plumber's Address (Street, City, State, Zip Code) 1070 Scott Road, Hudson, WI 54016 VIII oun /De artment Use Onl pproved roved Perrnit Fee Date I sued Issuin ent Signatu Owner G~ •t tSQ fj~ o~Denial $ / ~ G pp ~+ ~ ~~ / ~~, `~ ~ ~ IX. Condit~~~g~~~/Reasons for Disapproval 3, ~~ tK~ 5~,, D ``~, ar.. a.,.., /t.. ~ 1. Septic tank; effluent Piker and W / ~ I dispersal cell must all be services /maintained ! ~r'""• ~" I as per management plan provided by plumtier. 2 AN setback 'requiremepts moat be maintaitu3d ~~ (~ . a ~~'e~,. ~ ~ ~ a..d Attach to complete plans ror tae system ana suomtt to tee county enty on paper hoc rasa than a is a i c iecaes .o sux ~~~5~~ SBD-6398 (R. 01!07) Valid thru 01!09 •~ t , '~ ~ So,/ ~r Aa.~ d ~~ `~ '/ -~. - y. ~o;~ ea.rd ~ fie S%-~,;(ar ~p =~/~''~f %.s S ~~`- iQ~.Z/G.Z ~/rie.~la,+o'x1' ,~.~.C. 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Leinenkugel, Secretary August 27, 2009 CUST ID No. 227990 WILLIAM C SCHUMAKER SCHUMAKER PLUMBING 1070 SCOTT RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/27/2011 SITE: Vriezland II I,LC Proposed Csm 2517 Co Hwy E Town of Baldwin St Croix County NW1/4, NW1/4, S14, T29N, R16W Lot: 1, ATTN.• POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 Identification Numbers Transaction ID No. 1702954 Site ID No. 749816 Please refer to both' identification numbers, above, in all corres ondence with the a enc . FOR: Object Type: POWTS Component Manual Regulated Object ID No.: 1238767 Maintenance required; Replacement system; 450 GPD Flow rate; System(s): Mound Component Manual -Version 2.0, SBD-10691-P (N.O1/O1); Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Dept. per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: 1. This approval is based in part on an interpretive determination approved pursuant to s. Comm 85.60(2), Wis. Adm. Code and recorded under transaction number 1688794. It is subject to the conditions set forth in that approval. 2. Proper landscaping of the mound and land surface up slope of the mound is critical to proper operation. See the approved plans for details. 3. This system is to be constructed and located in accordance with the approved plans, and the "Mound Component Manual for Private Onsite Wastewater Systems Version 2.0" SBD-10691-P(N.O1/O1). 4. This system is to be constructed and located in accordance with the approved plans and with the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems Version 2.0" SBD- 10706-P (N.O1/O1). 5. Pursuant to outlet filter product approval stipulations, maintenance information must be given to the owner of the POWTS explaining that periodic cleaning of the septic tank outlet filter is required. The access opening used to service the filter shall terminate at or above finished grade with a watertight cover. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits WILLIAM C SCHUMAKER Page 2 8/27/2009 required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, /d~ Leroy G. J sky, RPSS, POWTS astewater Specialist Integrated Services Bureau (715)726-2544 ,Friday, 7:00 a.m. To 3:30 p.m. Leroy. j ansky@wisconsin. gov cc: James K Thompson , A.C.E. Soil and Site Evaluations Schumaker Plumbing & Soil Testing Inc Fee Required $ 250.00 Fee Received $ 250.00 Balance Due $ 0.00 WiSMART code:-7633 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Vriezland II, LLC 3-bedroom residential mound Owner's Name: Vriezland II, LLC -John Vrieze Owner's Address: 110 East Third Street Legal Description Township County: New Richmond, WI 54016 Site Address: 2517 County Hwy. E NW1/4NW1/4, Sec. 14, T.29., R.16W. Baldwin St. Croix Subdivision Name: Proposed CSM Lot Number: 1 Block Number: Na Parcel I.D. Number: From 002-1028-95-000 Plan Transaction No F~.~."~'.T.~. ~'~~ida~ia~~~xl~,y . : =„ ~ DEPARTMENT OF COMMERCE DIVISION OF SAFETY AND BUILDINGS =~~ SEE ORRE ONDE E 1'~0295~ { Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Site Plan Page 9 Attached soil evaluation report Designer: Bill Schumaker License Number: Date: 08/13/09 ~~ Phone Number: Signature: ~,~~~~~....,,~!/ 227990 (715) 386-3121 Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01/01), and both SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01) Version 5.1 (R. 06/06) Page 1 of 9 . . Mound and Pressure Distribution Component Design Design Worksheet (C or E) c Center or End Manifold 2.25 Lateral Spacing (ft) 4 Number of Laterals 0.125 Orifice Diameter (in) 1.50 Estimated Orifice Spacing (ft) _ 2.00 Forcemain Diameter (in) 40.00 Forcemain Length (ft) 89.00 Pump Tank Elevation (ft) 6.50 System Head (ft) x 1.3 Treatment Tank Information 1000.00 Se tic Tank Capacity (gal) Wieser Concrete Manufacturer Note: Sand fill (D) calculations assume a Table 83-44-3 in-situ soil treatment for fecal coliform of <= 36 inches. 4.50 Cell Width (ft) Are the laterals the highest oint in the distribution Y network? Enter Y or N If N above, enter the elevation ft of the highest point. 3.41 ftZ/orifice Does the forcemain drain back? Y Enter Y or N 6.52 Forcemain Drainback (gal) 62.95 5x Void Volume (gal) 69.48 Minimum Dose Volume (gal) 54.37 System Demand (gpm) Manifold Diameter Selection in. dia. o tions choice 1.25 x 1.50 x 2.00 x x 3.00 Gallonsllnch Calculator (optional) 602.82 Total Tank Capacity (gal) 51.00 Total Working Liquid Depth (in) 11.82 gal/in (enter result in cell 649) Dose Tank Information Effluent Filter Information 602.82 Dose Tank Capacity (gal) Pol Lok Filter Manufacturer 11.82 Dose Tank Volume (gal/in) PL-525 Filter Model Number Wieser Concrete Manufacturer Site Inform ation (R or C) R Residential or Commercial Design 300.00 Estimated Wastewater Flow (gpd) 1.50 Peaking Factor (e.g. 1.5 = 150%) 450.00 Design Flow (gpd) 3.00 Site Slope (%) 97.00 Contour Line Elevation (ft) 6.00 Depth to Limiting Factor (in) 0.20 In-situ Soil Application Rate (gpd/ftz) Distribution Cell Information 100.00 Dispersal Cell Length Along Contour (ft) _ 1.00 Dispersal Cell Design Loading Rate (gpd/ft~) 1 Influent Wastewater Quality (1 or 2) Pressure Disribution Information 10.00 Vertical Lift (ft) 2.33 Friction Loss (ft) 2 33 ~ filter Loss (ft) 19.33 Total Dynamic Head (ft) ~3 ~~ Project: Vriezland II, LLC 3-bedroom residential mound Lateral in. dia. Diameter Selection o tions choice 0.75 1.00 1.25 x x 1.50 x 2.00 x 3.00 x Page 2 of 9 Mound Plan and Cross Section Views 1 ~- -r -f _~ -1 Mound Component Dimensions Down slo a toe extension made. A 4.50 ft E 31.62 in H 1.00 ft K 13.02 ft B 100.00 ft F 9.25 in z 18.00 ft L 126.03 ft D 30.00 in G 0.50 ft J 10.38 ft W 32.88 ft 450.00 (ftz) Dispersal Cell Area 2250.00 (ftz) Basal Area Available 4.50 (gpd/ft) Linear Loading Rate 10.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 101.27 (ft) Shading Key ~„ a 10 Topsoil Cap o a c 0 """" Subsoil Cap y ASTM C33 Sand ~ ~ Tilled La er °' y c~ © Aggregate ~ o Project: Vriezland II, LLC 3-bedr~ ~ ~I I~ 3.0 % Site Slope Geotextile Fabric Cover ~- Dispersal Cell See lateral details on 1.5 ft •: • • • • ••• • ~ • • •'• • Page 4 for number, size, Q:..`••:'.:'_.;.;..•_'•'::,•'•:..:.`..; ~ and spacing of laterals. '~ Laterals are equally `~`~•~••'',':•".•,••,~`•''••"••'•'• F spaced from the 0.5 ft '•:~.'~.•.Typical Lateral_ ~'::~`:•'•:•' ~• distribution cell's •~ centerline in the ~_ A ~t distribution cell (AxB). nom residential mound Page 3 of 9 .~ Center Connection Lateral Layout Diagram Force main connection wa tee or cross to manifdtl at any point. I P •= Turn-up~m'Dall valve or IF}~--~IExl2~xr2~l cl®snoutplug I,I Hodes drifleE on the bottom of the IateraL Laterals are iGentic al laterals 6 force main d PVC Sch 40 per COMM T able 84.30.5 'S Number of Laterals 4 Orifice Diameter 0.125 in Lateral Diameter 1.25 in Orifice Spacing (X) 1.52 ft Lateral Length (P) 49.40 ft Orifices per Lateral 33 Lateral Spacing (S) 2.25 ft Orifice Density 3.41 ft2/orifice Lateral Flow Rate 13.59 gpm Manifold Length 2.25 ft System Flow Rate 54.37 gpm Manifold Diameter 2.00 in Total Dynamic Head 19.33 ft Forcemain Velocity 5.55 ft/sec Dose Tank Information Locking cover with warning label and locking device and '[/ sealed watertight Electrical as per NEC 300 and -- Comm 16.28 WAC ~ 4 in. min. Disconnect ~_ Tank component is properly vented Wieser Concrete Ca acit 602.82 Volume 11.82 Manufacturer Gallons gal/inch _~ A B C D Dimension Inches Gallons A 31.12 367.86 B 2.00 23.64 C 5.88 69.48 D 12.00 141.84 Total 51.00 602.82 3" Bedding under to Alarm Manuafacturer JH Rhombus --~ Alarm Model Number [SJE 1011421 j Pump Manufacturer Goulds --~ Pump Model Number 3885 WE05H Pump Must Deliver 54.37 gpm at 19.33 ft TDH Project: Vriezland II, LLC 3-bedroom residential mound E- Alternate outlet location Forcemain diameter ~ 2 in. Weep hole or anti- siphon device P~ ump off elevation (ft) 90.00 Dom se tank elevation (k) 89.00 Page 4 of 9 ~, ` Mound System Maintenance and Operation Specifications Service Provider's Name ~ Jim Thompson -~ Phone 715 248-7767 POWTS Regulator's Name ~ St. Croix County Zoning Dept. Phone 715 386-4680 System Flow and Load Parameters Design Flow -Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow -Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Other Ins ect and/or service once eve 3 ears Should ins ect and clean at least once eve 3 ears Test once eve 3 ears Should test month) Laterals should be flushed and ressure tested eve 1.5 ears Ins ect for ondin and see a e once eve 3 ears Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Vriezland II, LLC 3-bedroom residential mound Page 5 of 9 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD-10691-P (N.01/01), SSWMP Publication 9.6 (01/81), and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01)) and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the flter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution Svstem No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BODS, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mglL GODS, 30 mg/L TSS, 10 mg/L FOG, and 10° cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Continctency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Pretreatment Units The information and schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment units or disinfection units are attached as separate documents and are considered part of the overall management plan for this system. Project: Page 6 of 9 4~~GOULDS PUMPS APPLICATIONS Specifically designed for the following uses: • Homes • Farms • Trailer courts • Motels • Schools • 1lospitals • Industry • Effluent systems SPECIFICATIONS Pump • Solids handling capabilities: ':' maximum, • Discharge size: 2" NPT. • Capacities up to 140 GPM. • Total heads up to 128 feeC TDF1. • Temperature, 104~F (40~C) continuous 140 F (60 Cj intermittent. • See order nun~~bers on ~e~erse ~~de 'or specific HP, voltage, pn~;sc and RPM's available FEATURES ^ Shaft: Corrosion-resistant , stainless steel. Threaded design. Locknut on three phase models to guard against component damage on accidental reverse rotation. ^ Fasteners: 300 series stainless steel. ^ Capable of running dry without damage to components. ^ Designed for continuous operation when fully submerged. MOTORS ^ Fully submerged in high- gradeturbine oil for lubrication and efficient heat transfer. ^ Class B insulation. METERS FEET , ao~ ,30 ''\E15HH 1 z 0 ' 35r 301 o a 25.. Q zo- Z 0 Q 1sF 0 loir ... , Submersible Effluent Pump 3885 PROSURANCE AVAILABLE FOR RESIDENTIAL APPLICATIONS. Single phase: • Built-in overload with automatic reset. • All single phase models feature capacitor start motors for maximum starting torque. •'/, and'/z HP- 16/3 STTOW with 115, 208 and 230 Volt three prong plug. •'/~-2 HP - 14/3 STOW with bare leads. Three phase: • Overload protection must be provided in starter unit. •'/z-2 HP - 14/4 STOW with bare leads. ^ Designed for Continuous Operation: Pump ratings are within the motor manufacturers recommended working limits, can be operated continuously without damage when fully submerged. ^ Bearings: Upper and lower heavy duty ball bearing construction. ^ Power Cable: Severe duty rated, oil and water resistant. Epoxy seal on motor end provides secondary moisture barrier in case of outer jacket damage and to prevent oil wicking. Standard cord Is 20'. Optional lengths are availaule ^ 0-ring: Assures positive sealing against contaminants and oil leakage. AGENCY LISTINGS Tezted to UL 778 arc S ~ ~ csA zz z 1oa stant7ard> By Canadian Standards C US Association File uLR38549 Goulds Pumps is I50 9001 Registered. __ _ _ SERIES 3885 __~_ --- _ ;SIZE '_° SOLIDS -.- -- RPM. 3500 & ^ Impeller Cast iron, semi- open, non-clog .vith pump-out vanes r`or mechanical seal protection. Balanced for smooth operation. Silicon bronze impeller available as an option, ^ Casing: Cast iron volute type for maximum efficiency. 2 NPT discharge. ~~• ^ Mechanical Seal: SILICON CARBIDE VS. SILICON CARBIDE sealing faces. Stainless steel metal parts, BUNA-~~ eiastonlers. ~c~ ~ c;.:.cs r., nps t -c U~~,OON LG02 ,~ I ,. , - .. ,.. ; i ; , ol~ _:.. _ _:_ _. _... _.~_. __ __I_... ~.___.,. . _:. ~.____,... .~_.. ~.._.______. 00 10 ZO 30 40 50 60 70 80 90 100 110 120 130 140 150 160 GPNt - --__ 5 10 1'--'------ CAPACITY 5~.37I~P.,+o. m;n;n,u.r1 SkPi°/y /'a~tc /'c4 cu'~c, ~ www goulds.com z5 30 35 m~it~r Goulds Pumps C'/ ITT Industries . . Wisconsin Department of Commerce Division of Safety and Buildings SOIL EVALUATION REPORT in acrrrdanre with Cnmm R5 Wis. Adm. Code 2162 Page 1 of ~ A.C.E. Soil & Site Evaluations County Attach complete site plan on paper not less than 8Y~ x 11 inches in size. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I D percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. . . 002-1028-95-000 _ _ Please print all information. Reviewed By Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location Vriezland II, L.L.C. -John Vrieze Govt. Lot NW 1/4 NW 1/4 S 14 T 29 N R 16 W Property Owner's Mailing Address Lot # ~ Block # Subd. Name or CSM# 110 East Third Street Proposed CSM City State Zip Code Phone Number __ ~ City J Village i/J Town Nearest Road New Richmond l WI 54017 (612) 750-8203 Baldwin Co. Hwy E _; New Construction Use: y Residential /Number of bedrooms ____3 - Code derived design flow rate 450 _ GPD / Replacement _ j Public or commercial -Describe: Parent material Glacial Till _ Flood plain elevation, if applicable Na General comments and recommendations: Site meets requirements for approval of A+0" mound as field verified by Onsite Wastewater Specialist Leroy Jansky 7/09/09. See Interpretive Report for design recommendations Boring # __J Boring 9„ in. Soil Application Rate /j Pit Ground Surface elev. 96.46 ft. Depth to limiting factor __- Honzon ', Depth Dominant Color Redox Description Texture Structure Consistence ~~ Boundary Roots GPDIft' __ ~ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-7 ~ 10yr3/2 none sil I ------- - -~-- -- 2fsbk ~ ds ~ as 12fm,1c ~ 0.6 I 0.8 --} fi----~-~ 2 7-9 ~ 10yr5/4 i none ~ Si1 ~ 2fsbk ds I cw ~ 2f1 me ! 0.6 0.8 -- _._- T_ j-- --- I ------ -- - sil ~ 3 9 14 10yr5/4 ' m2d 7.5yr5/8 I 1 f&msbk dsh i cw ~ 1 vffm ~~ 0.4 0.6 ~ ---~ ---- - - +-- -- -~- ------- ---- -- --t-~---- ~ --~--- 4 14-18 10yr4/6 ~ m2d 7.5yr5/8 ~ sicl 1msbk dh ~ cw ~I lvffm ; 0.2 0.3 ----- - - ---~-m3p 7.Syr5/8 ---- I 5 ', 18-26 ~~ 5yr4/6 ~ c2d 10yr6/2 ~ sl ---- ----~ -+---- Om - - dh - ' 1vf ~ 0.2 ~ 0.6 - I --r- -- 1 ~ ~ - i I - - ~ -- ---- --- - m1d 10yr2~1 manganese concretions observed in H#5. Boring # _.J Boring $~~ in. Soil Application Rate /,~ Pit Ground Surface elev. 96.41 _ ft. Depth to limiting factor _ Depth Dominant Color Redox Description Texture Honzon Structure Consistence Boundary Roots GPD/ft' , in. ! Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ~~ 'Eff#1 'Eff#2 1 0 7 10yr3/2 ~ none stl 2fsbk ds I as 2fmc 0.6 0.8 + -- r --- -.._ -I T none ~ 2 ~I 7 8 l il 10 5/4 2fsbk r ~ cw ds 2f1 me ~ - ~- 6 0 8 0 i s yr . '-____.._._....._.-_--_-_ _..- -r- ---, --r-- ---... ------ ' - I- T i . . _ T __. sil 3 I 8-13 I 10yr5/4 j m2d 7.5yr5/8 ff 1thinpl cw dsh lvffm 0.4 ; 0.6 ~ -~--} I 4 13-18 '~, 10 r4/6 I~ ~ sicl y --m~Zf 10yr6/2 & -- T --- - ~_ 1 msbk dh cw ~ 1 vff 0.2 i 0.3 -~ 18-22 ! 5yr4/6 ~ m3p 7.5yr5/8 '~ sl 5 t Om I dh - i 1vf T ~ 0.2 I 0.6 --- , - ----- --- - .-----------T-- - --:--- ~'~, '~ I i ~ ~~ j j ~~ - = ~ t - --- -------- -- ---- - --- --------- -!..--------~- ----- -- H#3 parts to lfsbk when disturbed. Effluent #1 = BODS> 30 <_ 220 mg/L d TSS >30 < 150 mg/L `Effluent #2 = BODS < 30 mg/Land TSS < 30 mg/L CST Name (Please Print) Signa re: CST Number James K. Thompson ~ 3602 Address A.C.E Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, WI 54020 6/17/2009 715-248-7767 Property Owner Vriezland II, L.L.C. -John Vrieze Parcel ID # 002-1028-95-000 Page 2 of 5 ^ Boring # ~ Boring Depth to limiting factor 13" in 62 ft 95 -- . . JPit Ground Surface elev. . Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots P in. Munsell Qu. Sz. Cont. Color ~ ~ Gr. Sz. Sh. `Eff#1 `Eff#2 1 j 0-10 I 10yr3/2 -j --~ none - ----~ sil -------.-_ 2fsbk ds as 2fm,1c 0.6 0.8 2 10-13 10yr5/4 none I sil 2fsbk ds ~ cw 2f1 me 0.6 0.8 i 3 13-18 10yr5/4 m2d 7.5yr5/8 sil ~ 1f&msbk dsh cw 1vffm 0.4 i 0.6 ~m2p 7 5yr5/8 & ' 4 18-32 7.5yr4/6 . c2f 10 r6/2 sl 1 msbk dh cw 1 vff 0.2 0.3 _ __ 5 ~, 32-41 5yr4/6 f2f 7.5yr4/6 ~ scl Om dh - 1vf 0.0 ~ 0.0 ~ ~ - ~ ~ _ m1d 10yr2/1 manganese concretions observed in H#3. Boring # _J Boring Depth to limiting factor 9" in 82 ft 96 . . . Pit Ground Surface elev. Soil Application Rate Horizon Depth I Dominant Color i Redox Description Texture Structure Consistence Boundary Roots ' in. Munsell ~ Qu. Sz. Cont. Color ~ Gr. Sz. Sh. `Eff#1 `Eff#2 1 ~~ 0-9 I 10yr3/2 ~ none sil 2fsbk mvfr ~ as 1 3fm2c 0.6 ~ 0.8 2 9-12 10yr5/4 m1d 7.5yr5/8 sil 2msbk mvfr cw 2fmc 0.4 ~~ 0.6 ---- ---- --j-- --! -} -- --{ - i 3 12-14 10yr5/4 ~ dd 55y gl~ -~ _-m - sil ~1f&msbk dsh--~ _ cw 2fm1c ~ 0.4_i' 0.6 4 ~' 14-18 'r 7.5yr4/6 ___ _____ _ ___ ;--- --_-- 2 y 5 f2d I Oyr6/2 ~I sicl 1 msbk dh ' I 1 cw ' I 1 fmc 0.2 0.3 ~ ~ m2d 7.Syr4/6 & I ~ 18-21 5 i 7.5yr4/6 , f2d 1 Oyr6/2 ; sl 1 msbk dh cw 1 vffm I 0.2 0.6 6 ~I 21-43 ~ 5yr4/6 ~ _i f2d 7.5yr5/8 scl ~ Om dh ~ - 1vf 0.0 ~ 0.0 H#3 parts to Rhin pl when disturbed. 10yr6/2 sand grains observed on ped faces in H#4 & 5. m1d 10yr2/1 manganese concretions observed in H#6. Boring # J Boring Depth to limiting factor 9" in 97 13 ft . . /j Pit Ground Surface elev. . Soil Application Rate Horizon I Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft: , I ' in. I Munsell ~ Qu. Sz. Cont. Color Gr. Sz. Sh. - , `Eff#1 `Eff#2 0-7 1 10yr3/2 none I sil 2fsbk mvfr as 2fmc ~ 0.6 ~ 0.8 -- - I i ----- ---- --- f 2 7-9 10 r3/2 I none sil i 2fsbk mvfr ~ cw 1 2fm1c 0.4 0.6 ------T- - --- - ~ -- --j - -; -3 ' ~ _ _~ f1f 7.5yr5/8 j -- 10yr5/4 I------ } - ---- sil --- 1f&msbk ----- ds i -------- cw ~ ~ 2fm1c I 0.4 0.6 ---- ! 4 j 15-18? 10yr4/6 ~ m2d 7.Syr5/8 & ~, f2d 10yr6/2 ' sicl i lmsbk mfr cw ~ T 1fm r r ~ 0.2 0.3 ___ _~ - I m3p 7.~yr5/8 & 5 ~; 18_30 ~ 7_5yr4/6 f2d 10yr6/2 ~ - si - ~ Om mfr - 1 vffm 0.2 0.6 __ -- --- I ~ ~ H#3 parts to 1 thin pl strtucture when disturbed. ` Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L `Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. [f 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. SHD-83iU (R.07i00) A.C.E. Soil & Site Evaluatbns Profserty owner Vriezland II, L.L.C. -John Vrieze Parcel ID # 002-1028-95-000 Page _ 3 of 5 a Boring # -J Boring - /~ Pit Ground Surface elev. 97.87 ft. Depth to limiting factor g" in. Soil Application Rate Horizon , Depth ! Dominant Color Redox Description Texture Structure Consistence Boundary Roots P in. j Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 *Eff#2 1 0-7 ; 10yr3/2 none sil 2fsbk mvfr as 3fm2c 0.6 0.8 2 7-9 10yr5/4 i none ! sil I 1thinpl mvfr cw 2fmc 0.4 0.6 3 ~ 9-13 ~'I 10yr5/4 I f1d 7.5yr5/8 sil j 1f&msbk dsh ~ cw ~ 2fm1c ~ 0.4 i 0.6 4 ~ 13- 0 7.5yr4/6 m2d 7.Syr5/8 & tZd 10 r6/2 sicl 1msbk dh cw lfmc 0.2 I 0.3 I 5 20-28 7.5yr4/6 m2d 7.Syr4/6 & f2d 10yr6/2 sl 1 msbk dh cw 1 vffm I 0.2 0.6 6 28-42 5yr4/6 f2d 7.5yr5/8 scl Om dh - I 1vf 0.0 j 0.0 10yr6/2 sand grains observed on ped faces in H#4 & 5. m1d 10yr2/1 manganese concretions observed in H#6. Boring # -~ Boring /J Pit Ground Surface elev. 95.85 ft. Depth to limiting factor 11" in. Soil Application Rate Horizon I Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots ~ GPDIft' in. 'i Munsell Du. Sz. Cont. Color Gr. Sz. Sh. r *Eff#1 'Eff#2 1 ~ 0-8 ~~, 10yr3/2 none sil 2fsbk ds as 2fm,1c 0.6 I 0.8 2 I 8-11 10yr5/4 3 111-16 I 10yr5/4 ~ ~ ~ none i ! m2d 7.5yr5/8 ~ I sil sil 2fsbk 1f&msbk ds dsh cw ~ cw ~ 2f1mc 1vffm 0.6 ~ 0.8 ~ 0.4 ~ 0.6 -----i----- -- 4 'i 16-30 7.5 r4/6 y -------- m2p7.5yr5/8 c2f ]0 r6/2 SI -t ~ 1msbk -- dh ~ cw ~ 1vff ~ 0.2 0.3 - t---- 5 i 30-35 5yr4l6 -~- f2f 7.5yr4/6 scl Om dh - 1vf 0.0 0.0 Y ~ ^ 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 I ~ I in. Munsell i Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 *Eff#2 ~~ ------~- '~ I I i --- -- - ~ ~ - -- - ~ I ~ i I _l- I I - ~ _ 'Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-315 I or TTY 608-264-8777. SBD-8330 (R.07/00) A.C.E. Soil & Site Evaluations ' PROPERTY OWNER: Vriezland [], L.L.C. -John Vrieze SOIL AND SITE EVALUATION 2162 Page~of 5 PARCEL I.D.# .002-1028-95-00o A.C.E. Soil & Site Evaluations REPORT MEMO Site is suitable for approval of POWTS installation through Interpretive Determination. Dept. of Commerce and St. Croix County approvals must be obtained prior to system approval and installation. Interpretive Determination Report will contain specific site criteria and system design recommendations. ~ Se.l ?~4kcafrbyl b~r,fe,~dda~a p'6 ~ea~dfobtS • Sa% C/4/~cau~,-~lo,E brbarlrlue O1cscr~i+ed,.~ .. , 5 ~ d ,Po~`.'~,2lG2 dr~e,~/a,~d?I, ~..c.C. /orb r ss~~G.Qd. E ,' ubo~olv~!/~, cJ~, 51028 r ,[~ /ofPrsa~sed Csm, , (~ 1 A~,.~y~r.~iJy~ Sec, iS~, ! ~J T, s.9/I• ~P./Guy, T. of r~ Fiarr~ /De.~'~'oaz-/o.YB~AS-~ c~~ A~~r ~~~ r~,r ~., ., ~ r ~ / 33 `. t(SO~~ as.~;~~1 ~' , r - ~. ~ ~ ~, w~~' o , ~~ i ~~ a ~ ~ ~ ~~ ~ I 1~0~, , i ~ t t ~ ~ ~ i / t ~ ~ ~ r ~ t ( i / ' ~ t i 97.So' /au~n ~~_ - ~ ~ t ~ - -- r Q~,~elo! / ~,. ~ t r ~ a \ ' t ~dcd ~'X,'SU~'nJ u)eU ' t ~ t ~ % dawn ~ ~ t t ' ~, i ~ t t i ~ ~ ~ '~~. o t l ( r , ----~ -~ ~..~ \ \ ~ ~ rY~yr~: ~^~ 1 \ t` EXiS fin ~t t o. ~ oFS,cl~rlq. ,4ssu ~ 36c~M ~ av~ t t \ ~ Aleut _l//OD.cD. ~ iPas/dense. ~ee~e/ tt ~\ ~1 ~ E,xctlny Sep( a z~++ ~ .. t t t ' ~ 1 \ E,Yisbiy d ~c// ~ ~ ~ ~` ~ , ~ ~ rOKA pl~Sccr C.C. ~ 1 q t l\ ~ r ~` . \ ,~ ,1 Pad ~ ~" ~ \ ~` ~ ~ ~ ~` ~,` ~ --- o{'.S,d~ 99.3x' ~ ~ ~ ~ ~\ ~~ ~ ~/q \ ~ ~ ~, ~ ~ ~ ~ 9Rxs' ~ ~ `. 9701' ~~~ -- ~~ ` ~ ~ ~x.~f:n~ ~~~ ~ ~ ~~,/ qoe .,63 ~~ ~` ` g! ` ~ 96. so' WGOc~Ed~~~ ~ ~ - - - - -- ~ r~z ate` o~ , c ~i ~~ _~ ~~ ~' ~t ~i S r v c J 4 ~` c oq.~ck% U I .~ ~ ~ 4 S~. ed h~ h ~c,:s~ n~ Pd~c Stiff Ned QC ` commerce.wi.gov i ^ ~scons~n Department of Commerce Safety and Buildings 13 E SPRUCE STREET CHIPPEWA FALLS WI 54729 Contact Through Relay www. com merce.wi. gov/sb/ www.wisconsin.gov Jim Doyle, Governor Richard J. Leinenkugel, Secretary August 27, 2009 CUST ID No. 30021 JAMES K THOMPSON A.C.E. SOIL AND SITE EVALUATIONS 340 PAULSON LAKE LN OSCEOLA WI 54020 ATTN.• POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/27/2011 Identification Numbers Transaction ID No. 1688794 SITE: Vriezland II LLC Proposed Csm Site ID No. 749816 2517 Co Hwy E Please refer to both. identification numbers, Town of Baldwin, St Croix County above, in all corres ondence with the a enc . NW1/4, NW1/4, 514, T29N, R16W Lot: 1, CSM FOR: Object Type: Soil Saturation Determination Regulated Object ID No.: 1233850 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 6 inches below grade. At least 30 inches of sand lift on top of 6 inches of unsaturated, in-situ soil is required for adequate treatment and dispersal. 3. The basal soil application rate for the mound shall be < 0.20 gpd/sf, and the linear loading rate < 4.5 gpd/ft. 4. Chisel plowing to a depth of 12 inches immediately prior to sand placement is required to improve vertical water movement into the soil solum. 5. Landscaping up slope of the mound shall be incorporated into the POWTS design to prevent surface water from concentrating along the up slope edge of the mound and to divert surface water drainage away from the system. See recommendations contained in the Interpretive Report. 6. This approval shall remain valid unless the site is altered in such a way that the depth to soil saturation would change or if saturated conditions are observed for seven consecutive days at depths less than 3 feet below the infiltrative surface of the POWTS distribution component. 7. This approval in no way relinquishes the use of color patterns to estimate the depth to high groundwater on any other parcels or portions of this parcel. 8. A copy of this approval letter and attachments must accompany the mound system design for this site for purposes of plan approval and sanitary permit issuance. JAMES K THOMPSON Page 2 8/27/2009 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 plan sets, 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 construction/installation operation. Any local requirements shall be complied with. 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 G..~[nsky, RPS , POWTS astewater Specialist Integrated Services Bureau (715 )726-2544 ,Friday, 7:00 a.m. To 3:30 p.m. leroy. j ansky@wisconsin. gov Fee Required $ 240.00 Fee Received $ 240.00 Balance Due $ 0.00 WiSMART code: 7633 l INTERPRETIVE DETERMINATION REPORT INDEX AND TITLE SHEET Project: Vriezland II A + 0" Interpretive Determination Contact: Vriezland II, LLC 110 East Third Street New Richmond, WI 54016 Parcel Address: 2517 County Road E Le al Descri tion: NW1/4NW1/4, Sec. 14, T29N, R16W., Tn. of Baldwin, St. Croix Co., WI. Subdivision Name: Lot 1 of Proposed CSM Parcel ID Number: From 002-1028-95-000 CONTENTS: 16~~"~94`~~ IW'.0.~+1.~:~. ~c~nr~t~~®~~~~ly ~Y DEPARTr~iENT OF COINPNERCE DIV SON OF SAFETY AND BUILDINGS 4, / ~ {~ Y -SEE CO ESPO ENCE Introduction, Project Information, Methods, Local Geology, Geomorphology Local Hydrology, Field Observations, Government Reports, Conclusions Recommendations, References Attachments: Soil Evaluation Report Inspection Report, Leroy Jansky Topographic Detail Soil Series Map, Plat map CST: James .Thompson Signature: s Date: ~,, ,2t4y Phone No.: (715) 248-7767 License No.: 30021 Page 1 Page 2 Page 3 A+0" Interpretive Determination Report Vriezland II Property Introduction Between the dates of May22nd -June 17`h, 2009 a Soil & Site Evaluation of this site was completed by James K. Thompson, Dept. of Commerce Credential #30021. The purpose to determine the suitability of the site to accommodate a replacement Onsite Wastewater Treatment System (POWYS) to serve an existing residence located on the property. This proposed 1 lot CSM will comprise 2.81 acres, which will separate the existing home and outbuildings from the agricultural land. The results of the evaluation indicated that soil suitability is uniform throughout the site, with suitable depths of soil ranging from 9" (A+2" with an 7" A horizon) to 13" (A+3" with a 10" A horizon). An onsite soils verification was completed by Leroy Jansky, Dept. of Commerce Wastewater Specialist, on July9, 2009. CST, James Thompson was present to assist. Project information: The proposed mound site is located in the northeast corner of the NW1/4NW1/4, Sec. 14, T.29N. R.16W., Tn. of Baldwin, St. Croix County, WI., lying approximately 625' south of the center line of County Highway E and 500' west of the east line of the previously described 40 acre parcel.. The site has been untended yard and woodlot for several years. Methods Soil color, texture, consistence, and Redoximorphic features have been evaluated and recorded on the attached Soil & Site Evaluation Report in accordance with Chapter Comm. 85.60(2), Wisc. Administrative Code. The initial field investigation of the site included evaluation of 11 hand dug pits and S backhoe pits. 2 additional pits were evaluated during the soil verification by Jansky. One-foot contour intervals were determined within and surrounding the proposed system location by collecting rod and transit elevations at all soil pits and at 20' grid intervals throughout the proposed system area. Additional elevations and horizontal measurements were taken as needed to identify landscape position and determine separation distances from dominant landscape forms. Local Geolo~y St. Croix County is underlain by limestone and St. Peter sandstone, which is overlain with glacial till, forming the principal soil parent material. A search of Department of Natural Resources Well Drilling Reports filed for wells constructed within the geographic region indicated soil depths of 32'- 165' overlying sandstone and/or limestone bedrock. Static water levels are found at 85'- 191'. Geomorpholoey Parent Material: The parent material of this site is consistent with the mapping units - Freeon silt loam - as shown in the U.S.G.S. Soil Survey Manual, consisting of glacial till overlain by a post glaciation Aeolian loess cap. These soils are moderately well drained with moderate permeability. Landscape position: The tested area is positioned on the shoulder slope of a glacial ground moraine at a nominal Mean Sea Level (MSL) elevation of 1252'. The contour lies approximately 2' below a uniform, convex summit slope. The moraine extends gradually upslope to the north -northeast to a nominal elevation of 1254' MSL. The ground moraine extends downslope from the tested area in a south - southwesterly direction approximately 800' to an unnamed intermittent drainage way at the footslope having a nominal elevation of 1240' MSL, continuing westerly to an eventual elevation of 1220' MSL. The toe slope continues in a westerly direction, finally feeding into an unnamed, intermittent stream that flows at a nominal elevation of 1210' MSL ±. The stream is located approximately 1450' south west of the tested area. Slope and Aspect: The contour within the proposed system area is smooth linear, with a slope shape that is convex along the horizontal contour and linear along the vertical contour. The ground slope is consistent at 1'/<% - 2% with a south west aspect of 212°. Local Hydrolosv: Surface Water Drainage: Surface water drainage is uniform throughout the proposed system footprint and the surrounding area within 200'. The convex linear slope throughout the tested area disperses surface water flow away from the proposed system area. There are no areas of concentrated flow within this area. No artificial means of surface and/or subsurface drainage or ponding were found within 500' of the proposed system area. Subsurface Water Drainage: The A and B horizons consist of moderately structured silt loam providing good infiltration potential. When combined with the uniform 1'/z% - 3% slope across the proposed system area, this site should provide good lateral subsurface water flow. Soil Saturation: Soil pits were evaluated throughout this property on several occasions throughout the months of May and June, 2009. Evaluations were conducted on May 28~', June IS`, 11`'', 12`'', 17`h, and July 9`h, 2009. Soi] pits were evaluated to depths ranging from 22" - 43". Saturated soil conditions were not encountered during any of the evaluations. Field Observations: Soil Morpholog.~ The soils within the proposed system area were found to be consistent with the Freeon mapping unit as shown in the U S G S. Soil Survey of St. Croix County, Wisconsin. Moderately structured silt foams were observed ranging to a depth of 8" - 13" with weakly structured silt foams below ranging from 8" - 18". Underlying the silt foams are weakly structured sandy foams and sandy clay foams at depths of 13" - 43". Redoximorphic Features: Redoximorphic features were not observed within the A horizon of any of the soil pits, with all profiles displaying redoximorphic features at >_ A+2". Redoximorphic concentrations were observed as Fe concentrations within the lower portion of the B-horizon and within the C horizon. Redoximorphic depletions were observed within the C horizon. l~dric Soils: The soils a this site do not meet the necessary criteria to be categorized as hydric soils. Government Reports: Leroy Jansky, Wisconsin Department of Commerce Wastewater Specialist, assessed soil conditions at the site by means of an onsite soil verification conducted on July 9, 2009. The Jansky report confirms the suitability of the site to accommodate an A + 0" mound. Conclusions and Recommendations: Conclusion: No redoximorphic features were observed within the A horizon of any of the evaluated soil pits, and indicate that the highest level of saturation is found at 7" below surface elevation. The lack of hydric soils indicate that the site is likely saturated for less than 5% of the growing season. This, coupled with the lack of redoximorphic depletions in the upper horizons and the strong matrix colors displayed throughout the soil profiles, indicate limited saturation within these soils. The redoximorphic features observed are likely a result of short-term seasonal saturation. The moderately structured silt loam soils in the A horizon and upper part of the B horizon will accommodate the infiltration and dispersal of applied wastewater from the POWTS and will allow treated effluent to be assimilated into the subsurface soils. The convex linear slope will accommodate uniform dispersal of both naturally occurring surface water and applied wastewater away from the site. Seasonally saturated conditions do not occur within the upper 8" of the soil profile as evidenced by the lack of redoximorphic features. The site has a minimum of 6" of unsaturated in situ soil for treatment and 2 t dispersal of treated wastewater effluent and is therefore suitable for a mound POWTS as allowed by Comm 83.44(3)(b)I. Recommendations: 1.) The mound dispersal cell should be constructed on the 97.00 contour in a linear shape as indicated on the Soil & Site Evaluation Report. The dispersal cell should be designed and installed using as much of the available contour length as possible -approximately 100.0'. 2,) Thirty inches (30") of ASTM-C33 sand fill shall be placed beneath the upper edge of the dispersal cell. 3.) The linear loading rate for application of septic tank effluent should be 4.5 gpd/linear ft. or less and the basal area application rate should not exceed 0.20 gpd/sq. ft. The downslope toe of the mound must be extended to provide additional basal area. 4.) The mound shall be constructed to divert surface water around and away from the mound. A surface water diversion trench should be constructed at approximately ] 0' wide extending between 10' - 20' upslope of the mound site. Additional fill should also be added directly upslope of the upper toe of the mound and tapered into the diversion trench and graded to direct surface water around and away form the mound area. 5.) 'T'he mound shall be constructed in accordance with Dept. of Commerce regulations and recommendations including the removal of all vegetation from the site prior to site preparation. Tree removal shall be accomplished so as to limit destruction of topsoil structure and would best be accomplished under frozen soil conditions. 6.) The site should be chisel plowed to a minimum depth of l2". Final authority for approval of a POWTS mound on this site lies with the appropriate regulatory authorities, the Wisconsin Dept of Commerce and the St. Croix County Zoning Dept. This report and its observations, recommendations and conclusions are the professional opinion of James K. Thompson, Dept of Commerce Credential #30021. References: Soil Survey of St. Croix County, Wisconsin. July 1978. United States Department of Agricultural Soil Conservation Service in cooperation with Research Division of the College of Agriculture and Life Sciences University of Wisconsin. Department of Commerce Chapters Comm 83 and 85, Wisconsin Administrative Code,. Field Indicators of Hydric Soils in the United States. 1996. G.W. Hurt, Whited, P.M., and Pringle, R.F. United States Department of Agricultural, Natural Resources Conservation Service, Fort Worth Texas. Hydric Soil List for St. Croix County, Wisconsin.. United States Department of Agricultural, Natural Resources Conservation Service. ftp://ftp,sc.sc.egov.usda.gov/wi/soil/hyd/hydl09htm Field Book for Describing and Sampling Soils, Version 2.0. 2002. Schoeneberger, P.J., Wysocki, D., Benham, E.C., and Broderson, W.D. (editors) 2002. Natural Resources Conservation Service, National Soil Survey Center, Lincoln, NE. U.S. Geological Survey. Topographic Map download, http~//www.terraserver microsoft.com Wisconsin Department of Natural Resources. Well Construction Reports. http://~rodmtex00. dnr.state. wi.us Ground Water Resources and Geology of St. Croix County, Wisconsin. 1976. Barman, R.G. & Trotta, L.C. 2162 '~ ' ~ Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of ~ _ Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code A.C.E. Soil & Site Evaluations County Attach complete site plan on paper not less than 8'/: x 11 inches in size. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and D Parcel I percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. . . 002-1028-95-000 Please print all information. Reviewed By Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location Vriezland II, L.L.C. -John Vrieze Govt. Lot NW 1/4 NW 1 /4 S 14 T 29 N R l6 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 110 East Third Street Proposed CSM City State Zip Code Phone Number ~ City ~ Village J Town Nearest Road New Richmond I WI 54017 (612) 750-8203 Baldwin Co. Hwy E J New Construction Use: JResidential / Number of bedrooms 3 Code derived design flow rate 450 GPD 1/ Replacement ~ Public or commercial -Describe: Parent material Glacial Till Flood plain elevation, if applicable Na General comments and recommendations: Site meets requirements for approval of A+0" mound as field verified by Onsite Wastewater Specialist ~I Leroy Jansky 7/09/09. See Interpretive Report for design recommendations Boring # -~ Boring /J Pit Ground Surface elev. 96.46 ft . Depth to limiting factor 9' in~ Soil Application Rate Horizon De th Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP DIft' p in. Munsell Du. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 `Eff#2 1 0-7 10yr3/2 none sil 2fsbk ds as 2fm,1 c 0.6 0.8 2 7-9 10yr5/4 none sil 2fsbk ds cw 2f1me 0.6 i 0.8 3 9 ~~ 10yr5/4 m2d 7.5yr5/8 sil 1f&msbk dsh cw lvffm 0.4 j 0.6 4 14-18 ~ 10yr4/6 m2d 7.5yr5/8 sicl 1msbk dh cw 1vffm 0.2 ~ 0.3 5 18-26 5yr4/6 map 7.Syr5/8 c2d 10yr6/2 sl Om dh - 1 of 0.2 ~ 0.6 i m1d 10y2/1 manganese concretions observed in H#5. Boring # -~ Boring J Pit Ground Surface elev. 96.41 ft. Depth to limiting factor $ in• Soil Application Rate Horizon De th Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP Dlft' p in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-7 ~ 10yr3/2 none sil 2fsbk ds as 2fmc 0.6 0.8 2 7-8 j 10yr5/4 ~ none sil 2fsbk ds cw 2f1 me 0.6 0.8 3 --- 8-13 F 10yr5/4 ~ m2d 7.5yr5/8 sil 1thinpl dsh cw 1vffm 0.4 0.6 4 ~', I 13-18 i 10yr4/6 m2ip~ 7.Syr5/8 & t2f 10yr6/2 sicl 1msbk dh cw 1vff 0.2 0.3 - 5 ~ - 18-22 ~ 5yr4/6 ~ m3p 7.5yr5/8 sl Om dh - 1vf 0.2 0.6 _ ~ H#3 parts to lfsbk when disturbed. * Effluent #1 = BODS> 30 <_ 220 mg/L d TSS >30 < 150 mg/L 'Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signa re: CST Number James K. Thompson ..< 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, WI 54020 6/17/2009 715-248-7767 `, property owner Vriezland II, L.L.C. -John Vrieze Parcel ID # 002-1028-95-000 Page 2 of 5 ,~ 0 Boring # J Boring J Pit Ground Surface elev. 95.62 ft. Depth to limiting factor 13" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots ' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 "Eff#2 1 0-10 10yr3/2 none sil 2fsbk ds as 2fm,1c 0.6 0.8 2 10-13 10yr5/4 none sil 2fsbk ds cw 2f1 me 0.6 0.8 3 13-18 10yr5/4 m2d 7.5yr5/8 sil 1f&msbk dsh cw 1vffm 0.4 0.6 4 18-32 7.5yr4/6 m2p 7.Syr5/8 & c2f l0 r6/2 sl 1msbk dh cw 1vff 0.2 0.3 5 32-41 5yr4/6 f2f 7.5yr4/6 scl Om dh - 1vf 0.0 0.0 I m1d 10yr2/1 manganese concretions observed in H#3. a Boring # J Boring /J Pit Ground Surface elev. 96.82 ft. Depth to limiting factor 9" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots ' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 "Eff#2 1 0-9 10yr3/2 none sil 2fsbk mvfr as 3fm2c 0.6 0.8 2 9-12 10yr5/4 m1d 7.5yr5/8 sil 2msbk mvfr cw 2fmc 0.4 ~ 0.6 3 ~ 12-14 10yr5/4 m2d 7.5yr5/8 sil 1f&msbk dsh cw 2fm1c 0.4 0.6 4 14-18 7.5yr4/6 m2d 7.5yr5/8 & f2d 10 6/2 sicl lmsbk dh cw lfmc 0.2 0.3 5 18-21 7.5yr4/6 m2d 7.Syr4/6 & f2d 10 r6/2 sl 1 msbk dh cw 1 vffm 0.2 0.6 6 i 21-43 5yr4/6 f2d 7.5yr5/8 scl Om dh - 1vf 0.0 0.0 H#3 parts to Rhin pl when disturbed. 10yr6/2 sand grains observed on ped faces in H#4 & 5. m1d 10yr2/1 manganese concretions observed in H#6. Boring # ~ Boring I/ Pit Ground Surface elev. 97.13 ft. Depth to limiting factor 9" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots ' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-7 10yr3/2 none sil 2fsbk mvfr as 2fmc 0.6 0.8 2 7-9 10yr3/2 none sil 2fsbk mvfr cw 2fm1c 0.4 0.6 3 9-15 10yr5/4 f1f 7.5yr5/8 sil 1f&msbk ds cw 2fm1c 0.4 ~ 0.6 4 ~ 15-18 10yr4/6 m2d 7.5yr5/8 & fZd 10 r6/2 sicl 1msbk mfr cw 1fm 0.2 0.3 5 18-30 7.5yr4/6 map 7.Syr5/8 & f2d 10 r6/2 sl Om mfr - lvffm 0.2 0.6 i i H#3 parts to lthin pl strtucture when disturbed. * Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (R.07/00) A.C.E. Sal & Site Evalua[bns ~r~oper`~y Owner Vriezland II, L.L.C. -John Vrieze Parcel ID # 002-1028-95-000 Page 3 of 5 Boring # J Boring 97.87 ft. Depth to limiting factor 9" in. /J Pit Ground Surface elev. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 0-7 10yr3/2 none sil 2fsbk mvfr as 3fm2c 0.6 0.8 2 7-9 10yr5/4 none sil 1thinpl mvfr cw 2fmc 0.4 0.6 3 9-13 10yr5/4 f1d 7.5yr5/8 sil 1f&msbk dsh cw 2fm1c 0.4 0.6 4 i 13-20 7.5yr4/6 m~a io 6/2& sicl 1msbk dh cw 1fmc 0.2 0.3 5 ~ 20-28 7.5 r4/6 Y m2d 7.5yr4/6 & f2d ] 0 r6/2 sl 1msbk dh cw 1vffm 0.2 0.6 6 28-42 5yr4/6 f2d 7.5yr5/8 scl Om dh - 1 of 0.0 0.0 10yrti/2 sand grains observed on ped faces in H#4 & 5. m1d 10yr2/1 manganese concretions observed in H#6. Boring # ~ Boring 95.85 ft. Depth to limiting factor 11" in. Soil Application Rate /f Pit Ground Surface elev. Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-8 10yr3/2 none sil 2fsbk ds as 2fm,1c 0.6 0.8 2 8-11 10yr5/4 none sil 2fsbk ds cw 2f1 me 0.6 0.8 3 11-16 10yr5/4 m2d 7.5yr5/8 sil 1f&msbk dsh cw 1vffm 0.4 ~ 0.6 4 ~ 16-30 7.5yr4/6 m c2f 10yr6/2 & sl 1 msbk dh cw 1 vff 0.2 0.3 5 I; 30-35 5yr4/6 f2f 7.5yr4/6 scl Om dh - 1vf 0.0 0.0 i ^ Boring # -~ Boring J Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate i ti R D d re T t Structure Consistence Boundary Roots Horizon Depth in. Dominant Color Munsell escr p on ox e Qu. Sz. Cont. Color ex u Gr. Sz. Sh. *Eff#1 *Eff#2 I ~ i I I * Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mglL * Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. A.C.E. Soil & Site Evaluatlons SBD-8330 (R.07/00) SOIL AND SITE EVALUATION 2162 Page~of 5 P~tOPERTY OWNER: Vriezland II, L.L.C. -John Vrieze PARCEL I.D.# 002-1028-95-000 A.C.E. Soil & Site Evaluations REPORT MEMO Site is suitable for approval of POWTS installation through Interpretive Determination. Dept. of Commerce and St. Croix County approvals must be obtained prior to system approval and installation. Interpretive Determination Report will contain specific site criteria and system design recommendations. wy ~,. -, , r , ~ See/ e a a bri ~ Aan d •~ ,o;~ .a.,d ~ be S%-~,;Iw~ ~p ~;/~''O~%s acs ~'~6~;~6ocX4ae~.ts ~ ?• SOi~ C/4/~ca~~,-~IOr't~ brGaGf'~ve i • F,,,r.:~ ~i'nq ~rac/e elect,' 0 5 '= ~ ' t ~~ !~/ic t/a~d~ t.,c.C. ~or~ i ~ c ~ S/ 7 G. ~Pd. 5-yo28 / ~ ' ~C ~ ~ ~i SD t . i of~/' ~SCd CSM~ ~ 1I (a 1 ~~y~rqu~y~ Sec, r~ ~~ ~ ~ ' T z9d. 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'~, ` r~, a• ~ ~ `,b~f ~~ 9~~' ~` ~ , j'JE~M ~ \ ~ \ ~~A~I~j i \ \\ ` ~ ~~ ~~ 87 ` ' ~ --- ~ ~ ~ ~~97oz~ _ 9,?'23~ f ~ , ` ~ , ~.9s' ~~ ~ - ~/~ 6~ ~, ~,.~cDded ~ r ~ ~ - - - - --9G. so' B -~-- ~z • y c d. ~% 4q. ~~c k. i S ~ ec \\ I ~ Su~r+q !'dlL Sh t/d ~f ti wc4o c w/ l-'v~.4 S~ ' ` , commerce.wi.gov isconsin Department of Commerce Date of Inspection: July 9, 2009 P INSPECTION REPORT ro~ect Name: Vrieze Use: Residential Legal Descript Site Numb ion: NW, NW, 14, 29, 16W er: 749816 Subdivision: Vriezkland II Municipality: Town of Baldwin County: St. Croix Plan Transaction Number: 1688794 Sanitary Permit Number: na Wastewater Flow: 450-600 gpd Persons Present: Jim Thompson SAFETY AND BUILDINGS DIVISION Integrated Services Bureau 13 East Spruce Street Chippewa Falls, WI 54729 www. commerce.wi.gov/sb (715) 726-2544 Richard J. Leinenkugel, Secretary Plumber Name and Address: Unknown at this time. Certified Soil Tester Name and Address: James K. Thompson, CST 3602 340 Paulson Lake Lane Osceola, WI 54020 Owner Name and Address: John Vrieze (Vriezland II, LLC) 110 E. Third St. New Richmond, WI 54017 An onsite soils verification was conducted at the above referenced site as per district policy for all sites with less than four inches of unsaturated soil below the bottom of the A horizon. The intent of this investigation is to confirm initial observations by the certified soil tester (CST) relating to the presence or absence of redoximorphic features in the A horizon and/or subsoil. In-situ soil texture, structure, and consistence factors were also reviewed as they relate to wastewater application rates. Other site conditions such as percent and direction of slope, landscape position, land surface contour length, and surface water hydrology may also be noted and their effects are factors considered in the recommendations and conclusions portion of this report. Near CST B-4 the soils conditions were found to be as follows: 00-07" 10YR 3/2 L, 2mgr, dsh, aw. 07-09" 10YR 5/3 sil, 2msbk, dsh, as. 09-11" 10YR 5/3 sil, 2msbk parting 1fpl, dsh, cw. 11-17" 10YR 5/3 and 5YR 4/4 sl, 1msbk, dsh, cw, w/cad 7,5YR 5/8 rmfs. 17-24" 5YR 4/4 sl till, 1csbk, mfr, w/7.5YR 5/8 and 6/2 rmfs. If a mound system is designed to overcome limitations of a high level of seasonal soil saturation and slow permeabilit , the linear loading rate should not exceed 4.5 gpd/ft and the basal wastewater application rated should not exceed 0 2 gpd/ft2. In addition, on sites with slopes less than 3 percent, the down slope toe slope ratio should be increase to more than 3:1. The additional basal area will partially compensate for the gentle land slope and prevent wastewater leakage at the mound toe. At least 30 inches of sand lift is required when applying septic tank effluent to the distribution cell of the mound to ensure proper treatment. The longest portion of the mound must be orientated along the contour. The mound shall be constructed to divert surface water around the mound structure as much as possible. In addition, an up slope drainage swale should be considered if it is determined that surface or subsurface hydrology is improved by intercepting water and diverting it away from the mound site. If there are any questions regarding this report, please contact me. ,~? Leroy ~. Jan~ky, PSG', Wastewater Specialist leroy.ianskvnp Wisconsin oov E-mail cc~ ®County ^ Plumber 715/726-2544 Voice 715/726-2549 Fax ®CST ^ Owner ^ Other Terra~erver Image Courtesy of the USGS f Send To Printer Back To TerraServer Change to 11x17 Print Size Show Grid Lines Change to Landscape ~U6GS 77 km E of Minneapolis, Minnesota, United States 01 Jul 1974 f I ._ r ~,T ._ ..t 1. ~. S ,I I I ._ i` ~ I . ~ ~. 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'----- Dv~sse Bhe11 hmitt ° BB ~~' Se455V odel Bhano~lle C • • I P81 • IOq.B - g 60. b 3 q6,1 • B ', 11e1 • ~'~ -..r, ..:,t • ~ -- per LJC S C 10 B a 7 92'22'0"W 92'2t '0'W 92°20'0'W 92°19'0'W 92°18'0"W 92°17'0'W n n:> d ° r 12 w l 92.1fin"w 44 r Gxll `Jr11F:1 ~-(a- 1l u.l u.•.:J U ,.... .. Plumbing • Tools • Housewares • Appliances • Ns Sporting Goods Headquarter for Western Wisconsin Over 800 Guns in Stock GREGERSON (715) 684-3246 880 Cedar Street • Baldwin, Wisconsin Full Line of: Muzzleloading Supplies & Guns • Fishing Tackle • Reloading Supplies for RiFle & Shotgun u-'~ ®`~°~~-~ ~ _ SOIL EVALUATION REPORT Wisconsin Department of Commerce Division of Safety and Buildings ;,, ~rrnrrl~nrc wifh r nmm AF Wic Aram (:nrta 2162 Page 1 of 5 A.C.E. Soil & Site Evaluations County Attach complete site plan on paper not less than 8'/z x 11 inches in size. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I D peroent slope, scale or dimemsions, north arrow, and location and dis~nce to nearest road. . . 002-1028-95-000 Please print all information. Revie d By Date Personal information you provide maybe used for seco Y3i~LN~ s.15.04 (1) (m)). ~ V ~~ ~ 3 Property Owner Property Location Vriezland II, L.L.C. -John Vrieze Govt. Lot NW 1/4 NW 1 S 14 T 29 N R 16 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 110 East Third Street Roix COUNTY Proposed CSM City State Zip CodRtlPthl~NEi~~i _f City ~ Village ~ Town Nearest Road New Richmond WI 54017 (612) 750-8203 Baldwin Co. Hwy E _f New Construction Use: _/.~ Residential /Number of bedrooms 3 Code derived design flow rate 450 GPD 1/ Replacement ~ Public orcommercial -Describe: Parent material Glacial Till Flood plain elevation, if applicable Na General comments and recommendations: Site meets requirements for approval of A+0" mound as field verified by Onsite Wastewater Specialist Leroy Jansky 7/09/09. See Interpretive Report for design recommendations ~~~ r `1 7 ~ Boring # J Boring Pit Ground Surface elev. 96.46 ft ~~ . Depth to limiting factor in• Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-7 10yr3/2 none sil 2fsbk ds as 2fm,1c 0.6 0.8 2 7-9 10yr5/4 none sil 2fsbk ds cw 2f1 me 0.6 0.8 3 9-14 10yr5/4 m2d 7.5yr5/8 sil 1f&msbk dsh cw 1vffm 0.4 0.6 4 14-18 10yr4/6 m2d 7.5yr5/8 sicl 1msbk dh cw lvffm 0.2 0.3 5 18-26 5yr4/6 r 2d l0y}r6%2 sl Om dh - 1vf 0.2 0.6 m1d 10y2/1 manganese concretions observed in H#5. Boring # ~ Boring Pit Ground Surface elev. 96.41 ft. 8~~ in. Soil A lication Rate Depth to limiting factor pp' Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-7 10yr3/2 none sil 2fsbk ds as 2fmc 0.6 0.8 2 7-8 10yr5/4 none sil 2fsbk ds cw 2f1 me 0.6 0.8 3 8-13 10yr5/4 m2d 7.5yr5/8 sil 1thinpl dsh cw 1vffm 0.4 0.6 4 13-18 10yr4/6 ~~f l On6/2 & sicl 1 msbk dh cw 1 vff 0.2 0.3 5 18-22 5yr416 map 7.5yr5/8 sl Om dh - 1 of 0.2 0.6 H#3 parts to 1fsbk when disturbed. * Effluent #1 = BODS> 30 <_ 220 mg/L d TSS >30 < 150 mg/L * Effluent #2 = BODS < 30 mglL and TSS < 30 mg/L CST Name (Please Print) Signa re: CST Number James K. Thompson ~ ~ ~ 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane. Osceola, WI 54020 6/17/2009 715-248-7767____ ~ w, commerce.wi.gov isconsin Department of Commerce INSPECTION REPORT SAFETY AND BUILDINGS DIVISION Integrated Services Bureau 13 East Spruce Street Chippewa Falls, WI 54729 www.commerce.wi.gov/sb (715)726-2544 Richard J. Leinenkugel, Secretary Date of Inspection: July 9, 2009 Project Name: Vrieze Use: Residential Legal Description: NW, NW, 14, 29, 16W Site Number: 749816 Subdivision: Vriezkland II Municipality: Town of Baldwin County: St. Croix Plan Transaction Number: 1688794 Sanitary Permit Number: na Wastewater Flow: 450-600 gpd Persons Present: Jim Thompson Plumber Name and Address: Unknown at this time. Certified Soil Tester Name and Address: James K. Thompson, CST 3602 340 Paulson Lake Lane Osceola, WI 54020 Owner Name and Address: John Vrieze (Vriezland II, LLC) 110 E. Third St. New Richmond, WI 54017 An onsite soils verification was conducted at the above referenced site as per district policy for all sites with less than four inches of unsaturated soil below the bottom of the A horizon.. The intent of this investigation is to confirm initial observations by the certified soil tester (CST) relating to the presence or absence of redoximorphic features in the A horizon and/or subsoil. In-situ soil texture, structure, and consistence factors were also reviewed as they relate to wastewater application rates. Other site conditions such as percent and direction of slope, landscape position, land surface contour length, and surface water hydrology may also be noted and their effects are factors considered in the recommendations and conclusions portion of this report. Near CST B-4 the soils conditions were found to be as follows: 00-07" 10YR 3/2 L, 2mgr, dsh, aw. 07-09" 10YR 5/3 sil, 2msbk, dsh, as. 09-11" 10YR 5/3 sil, 2msbk parting 1fpl, dsh, cw. 11-17" 10YR 5/3 and 5YR 4/4 sl, 1msbk, dsh, cw, w/cad 7.5YR 5/8 rmfs. 17-24" 5YR 4/4 sl till, 1 csbk, mfr, w/7.5YR 5/8 and 6/2 rmfs. If a mound system is designed to overcome limitations of a high level of seasonal soil saturation and slow permeability, the linear loading rate should not exceed 4.5 gpd/ft and the basal wastewater application rated should not exceed 0.2 gpd/ftZ. In addition, on sites with slopes less than 3 percent, the down slope toe slope ratio should be increase to more than 3:1. The additional basal area will partially compensate for the gentle land slope and prevent wastewater leakage at the mound toe. At least 30 inches of sand lift is required when applying septic tank effluent to the distribution cell of the mound to ensure proper treatment. The longest portion of the mound must be orientated along the contour. The mound shall be constructed to divert surface water around the mound structure as much as possible. In addition, an up slope drainage swale should be considered if it is determined that surface or subsurface hydrology is improved by intercepting water and diverting it away from the mound site. If there are any questions regarding this report, please contact me. ,.:~, -. Leroy G. Jansky, PSS,~ Wastewater Specialist cc: ®County ^ Plumber leroy.iansky(a~wisconsin.gov E-mail ®CST ^ Owner 715/726-2544 Voice 715/726-2549 Fax ^ Other NA ' ~ ~ ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer ? ~ ~-'`/ ~~~ e Z e' Mailing Address ~~ 7 -- ~ Ba ~~ S ~ ~~! ~LV d` ,c/ /~ ~ ~ y~01 Property Address -.~ ~ ~ ~ ~ ~ ~~ l= (Verification required from Planning I)epartrnent for new construction) City; State Parcel Identification Ntunber Property Location ~ '/s, ~ '/a, Sec. ! ~ . T 2 4' N•R 16 W, Town Of ~~-~~w~ %~ . Subdivision ~S/~ .Lot # l Certified Survey Map # ,Volume .Page # Warranty Deed # .Volume ,Page # Spec house ^ yes I~' no Lot lines identifiable C~" yes ^ no SYSTEM MAINTENANCE Iatproper use and maintenance of your septic system could result is its premature failure to handle wastes. Proper maintenance consists of pumping out the septiic tank every three years or sooner, if needed by a licensed pumiper. What you put into the system can affect the ftacfioa of the septic task as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner snd by : mastcrplumber, journeymanplumber, restrictedplumber or a licensedpumperverifyingthat (1) the on-site wastewaterdisposal 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 shrdge. 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 sad returned to the St. Croix County Zoning Office within 30 days the year iration date. ~~~ ~ S SIC ATURE OF APPLIC' V'f DATE OWNER CERTIFICATION I (we) certify drat all statements on this form are true to the best of my (our) knowledge. 1 (we) am (are) the owner(s) of the property described above, by virtue of a wamnty deed recorded in Register of heeds Office. SIGNATURE OF APPLICANT / / DATE ss.s«s Any iaforrnation that is rnis-represented mr'y result in the sanitary permit being revoked by the Zoning Department. ssssss s• Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certifed survey map if reference is made in the warranty deed µC~ K STATE BAR OF WISCONSIN FORM 5 - 2000 PERSONAL REPRESENTATIVE'S Document Number DEED John I Jacobson, as Personal Representative of the Estate of Albertine E. Jacobson ("Decedent"), for a valuable consideration conveys, without warranty, to Vriezeland Farms lI, a Wisconsin partnership, Bradley E. Guinn, a general partner and John H. Vrieze, a general partner, Grantee, the following described real estate in St. Croix County, State of Wisconsin (the "Property"): The W%z of the NW'/< of Section 14, Township 29 North, Range 16 West, St. Croix County, Wisconsin; EXCEPT lands conveyed for highway purposes in Voi. 382 of Rec., pg 265, as Doc. No. 267504.. Recording Area Name and Return Address: St. Croix County Abstract and Title Co., inc. 219 S. Knowles Ave. lVew Richmond, WI 54017 Personal Representative by this deed does convey to Grantee all of the estate and interest in the Property which the Decedent had immediately prior to Decedent's death, and all of the estate and interest in the Property which the Personal Representative has since acquired. Dated this 29`b day of May, 2009 The Estate of Albertine E Jacobson * John [, Jacobson Personal Representative AUTHENTICATION Signature(s) authenticated this TITLE: MEMBER STATE BAR OF WISCONSIN (lf not, authorized by § 706.06, Wis. Stats.) ~ i~ii~~ ~~~~i i~i~~ ~~~~i ~i~~~ ~ii~i i~~~ ~i~i~i r~ii i~~~ * 8 9 7 8 6 1 1 89~8G1 BETH PABST REGISTER OF DEEDS ST, CROIX CO „ WI RECEIVED FOR RECORD 06/12/2009 08:50RM PERSONAL REPRESENTATIV EXEMPT e REC FEE: 11.00 TRANS FEE: 750.00 PAGES: 1 Personal Representative ACKNOWLEDGMENT STATE OF WISCONSIN ) COUNTY St. Croix ) ss. Personally came before me this 29`~ day of May, 2009 the above named John I Jacobson, as Personal Representative of the Estate of Albertine E. Jacobson to me known to be the person who executed the foregoing instrument and acktaow]~d~ the same. _ THIS INSTRUMENT WAS DRAFTED BY *CI AY M. G N n ;` "'~~•,, Notary Public, St~t~bf ~acortsi~n., / '. ROBERT L. LOBERG My commission t6 pe ~ I~,, If ndt.~sjat@ expiration date: LOBERG LAW OFFICE 2/17/2013 ~ ~,.a '' '• cam-; ~~ •, (Signatures may be authenticated or acknowledged. Both are not necessary.) - = ~ _~-~.~~ ~~ ; i *Names of persons signing in any capacity must be typed or printed below their signature ~~: ~~1e :: `, ~,.'~ yr, PERSONAL REPRESENTATIVE'S DEED STATE nAR OF WISCONSIN FORM No. 5-2000 1 of 1 ~~~ ,,~. , Parcel Identification Number (PIN) 002-1028-95-000 002-1029-10-000 002-1029-20-000