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HomeMy WebLinkAbout040-1303-00-058 (2) Wsconsin Department of Commerce SOIL EVALUATION REPORT Page I of z Division of Safety and Buildings in accordance with Comm 85,Wis. Adm. Code 60'Ay­,,./ ST.CROIX Attach complete site plan on paper not less than 81/2 x 11 inches in size.Plan must include,but not limited to:vertical and horizontal reference point(BM),direction and I.D. 040- 1303-00-058 percent slope,scale or dimensions,north arrow,and location and distance to nearest road. Please print all information. -,Reviewed—byate Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). C /k c 0 Property Owner Property Location E( ❑ C&J BUILDERS INC. Govt.Lot ----SW 1/4 SE 1/4 S 22 T 28 N R 19 E(or)W Property Owner's Mailing Address Lot# Block# Subd.Name or CSM# 243 Steelhead Drive 58 -- Walnut Hill Farm(Tribute) City State Zip Code Phone Number []City OVllage ■ Town Nearest Road River Falls, WI 1 54022 1 ( ) Walnut Hill Way Q New Construction UseE] Residential/Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement Q Public or commercial-Describe: Parent material loess over glacial till Flood Plain elevation if applicable r ft• General comments Mound System-- 1.59 ft.sand fill--0.40 loading rate and recommendations: 3 6 Additional pit conducted to move system area out of proposed dwelling location. �k�- S Z,�/3 3Property Address: 207 Walnut Hill Way E�B oring# 0 Boring Q pit Ground surface elev. 111.90 ft. Depth to limiting factor 17 in. Soil A lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. *EfF#1 *Eff#2 1 0-8 10YR2/2 sil 3fabk mvfr cs 3vf-m 0.6 0.8 2 8-17 10YR3/ sicl 3f-mabk dsh cb 2vf-m 0.4 0. 3 17-Isbr ❑ Boring# © Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/F in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. *Eff#1 "Eff#2 I it 'Effluent#1=BOD >30:<220 mg/L and TSS>30:E 150 mg/L "Effluent#2=BOD <30 mg/L and TSS E 30 mg/L CST Name(Please Print) Sign CST Number MARY JO HUPPERT Hollister's Soil Testing&Desi2 224832 Address a val6atiofn Ctonducted Telephone Number 715-426-1775 W9875 690th Avenue, River Falls,WI 54022 n.+r o��n mn�inn. Plot Plan for Site and Soil Evaluation Page 3 of 3 Property Owner e.� 1" = 40ft Legal Description i-cv 5�, WA L.A)VT tf ALL F-A", (except where noted) -:5 W A cF -me -sp-1/4, s.za, -r2!rA;, P,let j -r V a D 0- =Backhoe pit —T f r 5T e a t 1C e o "TV W L-Dco ly.S u. • (PP4"i�iJ�S t�'►�` North I WA OT •ryt`0 J �. / 8 IV �' lts.eo JrF, 65fC� tAirt //Z. /Z #jr tcr' eF cv)vaurr P/JLv A e.,�t 'vey K eekV6,< Site Locat on: p �T�T DIVISION OF INDUSTRY SERVICES 3824 N CREEKSIDE LA C° < � HOLMEN WI 54636 Contact Through Relay www.dsps.wi.gov/sb/ www.wisconsin.gov ADO sSION+L Scott Walker,Governor Dave Ross,Secretary October 30,2013 CUST ID No. 224832 NOV 05�v;� ATT1V:POWTS Inspector MARY JO HUPPERT f `?`ui t'C ZONING OFFICE HOLLISTERS SOIL TESTING&DES6NC'Nrt, ST CROIX COUNTY SPIA W9875 690TH AVE 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/30/2015 SITE: Identification Numbers C&J Builders Inc Transaction ID No.2321791 207 Walnut Hill Way Site ID No. 796845 Town of Troy Please refer to both identification numbers, St Croix County above,in all correspondence with the agency. SWIA,SETA, S22,T28N,R19W Subdivision:Walnut Hill Farm;lot 58 FOR: Description:Four Bedroom Mound System/7%slope Object Type:POWTS Component Manual Regulated Object ID No.: 1454924 Maintenance required; 600 GPD Flow rate; 17 in Soil minimum depth to limiting factor from original grade System(s):Mound Component Manual-Ver.2.0, SBD-10691-P(N.01/01,R. 10/12),Pressure Distribution Component Manual-Ver.2.0,SBD-10706-P(N.01 101,R. 10/12),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 CONDI 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, APP DEPT OF stats. PROFESStO The following conditions shall be met during construction or installation and prior to occupancy or use: D��/�PRO ESSI Reminders: • 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. • Inspection of the private sewage system installation is required.Arrangements for inspection shall be made with SEE CORRE the designated county official in accordance with the provisions of Sec. 145.20(2)(d),Wis.Stats. • A state approved effluent filter is required.Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required.Access to the filter for cleaning must be provided per SPS 384 product approval conditions. • The area within 15' downslope of the dispersal component shall remain undisturbed.Vehicular traffic, excavation or soil compaction is prohibited in this area. • 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. MARY JO HUPPERT Page 2 10/30/2013 r Owner Responsibilities: • The current owner,and each subsequent owner,shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • 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.SPS 383.54(1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard,the property owner must follow the contingency plan as described in the approved plans. • 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 Industry Services 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 and the POWTS management plan to the owner and any others who are responsible for the installation,operation or maintenance of the POWTS. Sincerely, Fee Required$ 250.00 This Amount Will Be Invoiced. A S When You Receive That Invoice, POWTS Plan Reviewer,Integrated Services Please Include a Copy With Your (608)789-7892,Mon-Fri, 7:15 am-4:00 pm Payment Submittal. jerry.swim @wisconsin.gov WiSMART code:7633 cc: Edwin A Taylor,Wastewater Specialist,(715)634-3484,Monday-Friday 8:00 am To 4:30 pm Note: Effective January 1, 2012, all codes under the jurisdiction of the Division of Industry Services(formerly Safety&Buildings)will be modified. Code references with prefixes starting with"Comm"have been replaced with "SPS"to recognize the relocation of the Division of Industry Services from the former Department of Commerce to the Department of Safety&Professional Services.Additionally,all IS(formerly S&B)codes have been renumbered and addressed in a"300" series. For future reference,the Wisconsin Commercial Building Code will be addressed by SPS Chapters 360-366. MOUND AND PRESSURE DISTRIBUTION COMPONENT DES4&W 120 Residential Application IND 'o-- , INDEX AND TITLE PAGE ` ` Project Name: C&J BUILDERS INC. Owner's Name: (same) Owner's Address: 243 Steelhead Drive River Falls WI 54022 I L eg al Description: SW1/4 of the SE1/4, S22 T28N, R19W i Township: Troy County: St. Croix Subdivision Name: Walnut Hill Farm(Tribute) - 'ONALIY Lot Number. 58 Block Number: NA ?OVED AFE?.ANI) Parcel I.D. Number: 040-1303-00-058 is Es Plan Transaction No.: RY SERVICES Page 1 Index and title Page 2 Data entry `�````�����mtamnn Page 3 Mound drawings iotwtN *IN0 Soo..." Page 4 Lateral and dose tank `a ®�,.•••••••.•�� Page 5 System maintenance specifications •z * Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Plot plan 'designer: Mary Jo Huppert License Number. 1859-007 Date: 10/08/13_ Phone Number: 715-426- 1775 Signature: 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 7.0(R. 03/2012) Page 1 of 8 Mound and Pressure Distribution Component Design Design Worksheet Site Information (R or C) R Residential or Commercial Design Note: Sand fill(D)calculations assume a 400.00 Estimated Wastewater Flow(gpd) Table 383-44-3 in-situ soil treatment for 1.50 Peaking Factor(e.g. 1.5= 150%) fecal coliform of-36 inches. 600.00 Design Flow(gpd) 7.00 Site Slope(%) 112.60 Contour Line Elevation (ft) 17.00 Depth to Limiting Factor(in) 0.40 In-situ Soil Application Rate(gpd/ftz) Distribution Cell Information 60.001 Dispersal Cell Length Along Contour(ft) = 10.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate(gpd/ftz) 1 Influent Wastewater Quality(1 or 2) Are the laterals the highest po int in the distribution Y Pressure Disribution Information network? Enter Y or N (C or E) a Center or End Manifold 3.33 Lateral Spacing (ft) If N above, enter the elevation ft 3 Number of Laterals of the highest point. 0.156 Orifice Diameter(in) 3.50 Estimated Orifice Spacing (ft) = 11.76 ftz/orifice 2.00 Forcemain Diameter(in) 20.00 Forcemain Length (ft) Does the forcemain drain back? Y 103.00 Pump Tank Elevation (ft) Enter Y or N 4.55 System Head (ft)x 1.3 3.26 Forcemain Drainback(gal) 10.78 Vertical Lift(ft) 55.97 5x Void Volume(gal) 0.33 Friction Loss(ft) 59.23 Minimum Dose Volume(gal) 0.00 In-line Filter Loss(ft) 27.46 System Demand (gpm) 15.65 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 x x 1.00 1.50 x 1.25 x x 2.00 1.50 x 3.00 2.00 x 3.00 x Gallons/Inch Calculator(optional) Treatment Tank Information Total Tank Capacity(gal) 1200.001 Septic Tank Capacity(gal) Total Working Liquid Depth (in) Wieser IManufacturer gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 800.001 Dose Tank Capacity(gal) Pol Lok Filter Manufacturer 22.241 Dose Tank Volume(gal/in) 525 Filter Model Number Weiser IManufacturer Project: C&J BUILDERS INC. Page 2 of 8 Mound Plan and Cross Section Views t 1/10 B Observation Pipe J Krrrrrri •rrrrrrrrrrr,rrrrrr `rrrrr}}r:rr•r•r r• r•r•r•r ti•1.1.1.1.1.1.11.1.1.1.1.1.1.1.1' 1.1 1.1.1.1'1.1.1.1.1.1.1.1.1.1`1.1.1.1• 1.1.1•Lf r•r•r.r• r•r•r•r•r•r•r•r•r•r•r 'r•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r• r.r.... r•r•Nr•r•r•r•r.:•r•r•:•:•r•r•:•Nr•r•r•:•l•r•r•r.r•:•r•r•NNr•r•r•r'Nr•r•:•l•:•r•r•r•r ' '..1.1.1.1.1.1.1.1.1.1.1.bL.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1•LK•1.1.1.1.1•b1••.•1• _ Br-� •�' ••••••• �. ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . T i . . L Mound Component Dimensions Down slope toe extension made. A 10.00 ft E 1 27.40 in H 1.00 ft K 11.11 ft B 60.00 ft F I 9.25 in z 15.00 ft L 1 82.23 ft D 19.00 in G 0.50 ft J 7.08 ft W 32.08 ft 600.00 (ft) Dispersal Cell Area 1 1500.00 (ft) Basal Area Available 10.00 (gpd/ft) Linear Loading Rate 1 6.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 115.95 (ft) --► /f//,., ♦ H I 114.68 (F Dispersal Cell (ft) Lateral 114.18 (ft)-� - . . Invert Dispersal Cell � : Elevation D 4 4 1 112.60 (ft) Contour Elevation 7.0 % Site Slope -7.0 Geotextile Fabric Cover Shading Key a c I Dispersal Cell See lateral details on 1� Topsoil Cap _ a 1.5 ft ?4:1;y:::?1:1?S::1:1:1:1:1: Page 4 for number,size, Q """' Subsoil Cap 0 0 :r•'.✓r�.'s�r'r'r'r'r'r'r'r•r'r'r'r and spacing of laterals. ASTM C33 Sand ° r•r•r•r r• }-r•r• r•r•r•r Laterals are equally ({r (a h•1•L•1.1.1•S• "..1.1.1.1•'4.1.1�1• 111r•r.l•r;r.:r,r•r,r_r_l.r•r•• i"6 i'_ f.r:' ;;1;y1 F spaced from the 1 T� ical Lateral r•r. P 'r•r•r•r Tilled Layer c 0.5 1.1.1.1• distribution cell's Y rn r.r.r•f,f:r:r•r•f r•f•r.r.r r r•r•:•r '••1.1.1 1•L•1.1.1 1.1.•..•.`1•••. © ® Aggregate r.r.r.f.r.r.:.:.r r.r.r•:.r. r ti.1.1.1. A re ate � o ti`1.1•L•1.1•}•.•°,:1.1.1°}•.'°1 centerline in the r•r•r•r•r• r•r•r• r•r•r•r - A distribution cell(AxB). Project: C &J BUILDERS INC. Page 3 of 8 Mound System Maintenance and Operation Specifications Service Provider's Name Darrell's Septic Service Phone' 715-425-1025 _.__—.. _.. POWTS Regulator's Name i St Croix Zoning Office ___, Phone 715 386-4680 System Flow and Load Parameters Design Flow-Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow-Average 400 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1200 gal Maximum TSS 150 mg/L Soil Absorption Component Size 600 ftz Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 ml. Service Frequency Septic and Pump Tank Inspect and/or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test month) Pressure System Laterals should be flushed and pressure tested eve 1.5 ears Mound ___Inspect fo_ponding and seepage once ever3 nears _ Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to SPS 384.30 (6)(i), Wis.Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis.Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5_ The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished ............... . . . . . . . . . . . . . . Grade v1 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: C&J BUILDERS INC. Page 5 of 8 L Y Plot Plan for Site and Soil Evaluation Page 8 of6 Propgrty Owner 4!�1J ,puc�oE 1" = 40ft Legal Description L. r 1 IWA _A;UTr tf iz�. F-A!� (except where noted} siti1 A OF -fir✓ �//4� Szz• T�$1� 7ZKl uJ 'r Lva � 0 =Backhoe'ptt ' = pe-,--1r'1cmJs -T,-IDY, 5T Lpo,X e o t"TV irU i 5co m.3 w • A — PR Ol'tKNG W V MA 0( , r,. 81 ,•��+ rls. , Woo- Ply- 'AST. Fe I IZ,� fits 11'�-ia00 p00 s ! csiC� LI1�rt rl�./Z J NgtJ W1 TCi' d •�EjCo'E IOU,U? -rAN K lq�s �ui /40.00' Site Local on: Kam. .� R o x p z4-I3 E 'd SGGi-92il-STL 2utlsal ITOS s, Ja4sTIIDH dO2 :90 61 62 400 !fwooi#n De&arpnent of Cornmerce SOIL EVALUATION REPORT Page of 3 Division of Safety and Buildings in accordance with Comm 85,Wis. Adm. Code CW* ST indude,but EROSION CONTROL PLAN must be Parcel I.D. Attach comf L v7— /N H slop completed before sanitary road. p ry permit issuance R Date Personal iMa�rrabon you W&Me may be�d for se ry purposes(Privacy taw.s.1s.uu(f)(m)i- /U Z 03 Po D P3ERS TL'-fl %v Togo Property "q►of 5 T f1/� 1�i�1 Govt tAt All �,a 1/4 S Zt' T Z8 N R/9 &(or)w ll Property Ownees Mailing Address Lot# Block# Subd.Name or CSM# la o t S CA Wi LL AU-C - WALNOr w it FARA( � City SN MR State Zip Code Phone Number ❑City ❑village W Town Nearest Road (y,PVVE HT3 MA) I 5SOWe 1 ( &Sl) iY8• ivy T-Roy so. 6-100eR PL New Construction Use:M Residential!Number of bedroorrts Code derived design flow rate � r O'n GPD ❑Replacement ❑ Public or cwvnerdai-Describe: -- tA Parent material /oES� 00tw— Gl,KES j_ZW-A= Flood Plain elevation if applicable N/r! ft t General corrrrtents �p/��e.t/'7F"�-- `F and axamrendations: �A 71'S7 n S ZISi NG— /(o ,¢,c9I�) -Yot l/ N O v 'B N P-1 # 3 2U in. Ground surface elev. tt. to tailor rxnitutg Pit Safl Application Rate Horiaon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPnff b in. Mumsell ou.Sz. Cont.color Gr.Sz Sh. 'Eft#1 •Eff#2 C o-/- 1002-1 L 2-A" Sh -f e w 3-)m 2- .SQL zf S a.5 i 0 ❑ Boring 3 0 t_! # ® Pit Ground surface elev. //S ft Depth to Ong fednr 2-0 in. sod motion Rate Horimn Depth Dotinant Redgx Description Texture Structure Consistence Boundary Roots GPDP h 'Etffll 'Eft#2 In. Mtxlseli Qu.Sz. Cont.Color Gr.Sz Sh. IN a• 9 /o yR 2- 4- Sh a T S 2- • !X 10Y9 3 1 C-5 i /A- 17 to s ---- slL if Shy ot A 55 � — Y 4 LiiyaE-S E' n! 'Effluent#1=BOD >30<220 mg/L and TSS>30<150 mg& 'Eflluent#2=BOD <30 mgA.and TSS<30 mg/L CST Name(Please Print]•R.-A LB R i c k- Z2. f Addrm Ulbricht &Assgciates Date Evaluation Conaucted y Private � 7f. � 3 y Z- 2812 1 Oth Ave. Spring Valley, WI 54767 P%X5 , FOR 4POi O X . a yO ACS oyd • /o06S • So • coo 0y0 . 16 k(" io dy0• log( - zo • o� 0 R, I A ' o yo - /081 - �4 • � ' o yo - io�� �'D • oaa Property owner paroef la F3-1 W. �3 s.s. S. t Ground surfaceefev ft. Depth to�9 factor 2 t lorfzon SON Efate Depth - Dantinant Redox D Texter<e Strvehma Consistence 8am�ry Roofs GPD}iF in. Munselt Qu.Sz Cont.Color Gr.Sz.Sh- `E f#1 'Eif#2 / d• o id Y2 nMfie w 3 s D• /o a+S h 3 / •Z /o ,Q G�%y e S 710 to ' El f�nng� � ❑ pit Ground surface elev. tt. Depth to limiting factor in. Horizon Sod i Rate Depth Dominant Redox� Texture Sure Consistence toundary Roots GpO ff Munson Qu,Sz. Cont Cvfor Gr.Sz.Sh. Team .� Boring ❑ pit Ground surface elev. ft. to frmiting factor In. Hottzon S Rate Deter Domfiant Redox Description_ Texture Structure Consistence Botmdary Roots GPM In- MUM,* Qu.Sz. C nt.Color Gr•.Sz.Sh. 'EW1 'Eff#2 Boring n i # t - Boring F-1 # ❑ pit Ground surface elev.. fi. Depth to iarMing factor In. Sod NTkoon Rate' Horrzon Depth DomkmM Cdm Redox Texture ftudure Consistence Boundary Roots GPO fF In. Munsell CM Sz. Cont. Gr.Sz Sh. TIM 'Eff#2 Effkmm#1=BODS>30 t 220 matt.and-rSS>30<150 mgll °Eftent#2=BOD <30 mg&and TSS<30 mgt 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. seo�z�o Irtamo) r ♦ PLOT PLAN WALNUT HILLS FARM. LOT # Pg. 3 of 3 = Contour elevation lines. 0 =' Backhoe Soil pits. p = .Benchmarks set, maRKED WITH FLAGGED lathes. 1/2" steel conduit pipes. Ulbricht &Associates SCALE. 1 " = 3o Private Sewage Consultants 2812 14th Ave. Spring Valley, WI 54767 • SL9l�j�S7��.� �l /'/�a�?.�y 4��G� -'S1jS T. 3o 3WA)P 1 116 , /Al v i Z T'3 I I wto u� Gp� t T /3M loot� vv-� LU