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026-1306-00-018
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: .St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: 579086 Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village Township Parcel Tax No: Todd Marek Construction TOWN OF RICHMOND 026-1306-00-018 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: 1 Q ' CS 18.30.18.1625 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark F• /LSn ~zS /~S~ ~'Q. Qe t- P /p Alt. BM 6"', S. C~. Aeration Bldg. Sewer x•39 97. Z-7 1 Holding St/Ht inlet 9. ~ 9to. z TANK SETBACK INFORMATION St/Ht Outlet 9 S , $ / TANK TO OP/ILik, :WELL BLDG.! ent Air Intake ROAD Dt Inlet Septic Dt Bottom Dosing Header/Man. /b• Z 9 5 • Aeration Dist. Pipe /d.Zrjs Holding Bot. System /1 2- 9 PUMP/SIPHON INFORMATION Final Grade (P-ZS _ Manufacturer Demand St Cover , 53* 79. $ < M F'I Goy Model N er TDH ift Friction Loss System TD Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length / No. Of Trenches PIT DIMENSIONS No. Of Pith Inside Dia. ____]Liquid D\ DIMENSIONS 3 ~h ~►-j - jet SETBACK SYSTEM TO U P/L BBLLDG I WE(LLL LAKE/STREAM LEACHING Manufactured INFORMATION CHAMBER OR y^ f Type O~~System: UNIT Model Nu ber: Ca avl2~'1io A 3!a AJI~}- AJ Ste: 4 :5k,,j DISTRIBUTION SYSTEM e r ~L VF' Z~u 5 Header/Man'rfov i! Distribution x Hole Size x Hole Spacing j~iept t Air Int e 5 Pipe(s) \ \ ~Jq~.e Length Dia Length Die \ Spacing ` I j~VICG ` - `u SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded r Mulched Bed/Trench Center S Bed/Trench Edges Topsoil Yes ® No Yes No t COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 1532 96TH ST 1.) Alt BM Description = / 2.) Bldg sewer length = 35 - amount of cover = -7 4Z Plan revision Required? ❑ Yes No / A ' 41ff Use other side for additional information. U Date Insepctor's Sign a Cert. No. SBD-6710 (R.3/97) e9 4- f~LLG C~ F.v~ p (,v f LLo r'~ l U.~ Scab 1" 40' A Igo' 4 1 %Vd 0: TZ 9TOZ/80/80 Properly Owner Sienna Corporation Parcel ID # 18 Page 2 of 3 F31 Boring # ® 0 Bo" Pit Ground surface elev. 99.22 ft. Depth to mating factor 106+ in. Soil Application Ram Horizon Depth Donthum t Color Redox Description Texture Sbudure ConsWerrae Boundary Roots GPOW in. Hartsell Ou. Sz. Cont. Color Gr. Sz. Sh. OEM 00102 1 0.9 10yr3/1 none 1 2rsbk mfr as 2m,ivf .6 .8 2 9-14 10yr4/3 fWne so 2fsbk mfr 9w 1vf .6 .8 3 14-21 10yr4/4 none Sid 3msbk mfr 9w 1vf .4 .6 4 21-29 1"/6 none SI 2msbk mfr CS .6 1.0 5 29-84 10yrS/6 Wane s OSO ml as .7 1.6 6 84-92 10yr514 none 9=$ Osg ml as .7 1.6 7 92-106 10yr6/4 none s 099 ml .7 1.6 ~ 0 fa Pi Ground surface slaw. ( ft Depth to lim" factor lo Rob Horizon Depth Dorolnant Color Redox Description Texture Structure Consistence Boundary Roots GPDAP in. Mansell flu.. Sz. Cont. Color Gr. Sz. Sh. •fr .Erj -31 l C~~~t Ali Y I ❑ # ❑ Pit Ground surface *W. ft. Depth to I itrruNrg factor in. Sou Application Rate Horizon Depth Dominant Color Redox Description Texture -%v an Consistence Boundary Roots GPDW in. Munaetl Qu. SL Cont. Color Or. Sz. Sh. 'EAlrt -Em I i J i 4I I i I i i Fzf fluent #1 800 30,S 220 mwt, and TSS >30 .c 150 _ mgfl. • Effluent #2 = BODE S 30 MWL and TSS <_30 n9t. `l11c Dcpdmag of Commerce is OR equal opporgmitY savicc provider and empioya. If you need assisiamm to access services er oer d mete" in an dternate fon>mf, please sontsct the dapatiment at 605.266.3131 or TTY 60&264 4M7. f s~-r;~,Qe.onoul scnartlt sd TONOM tnc. L Page ..7 of 3 Conducted by: Conducted For: Schmitt Soil. Testing Inc. Name: Sienna Corporation 6p~ Thomas L Schmitt, CST 227429 Address: 419vb© I11" -;'Vf Af,W 5,.;4 1595 72nd St. City, State, zip:. s-yx- New Richmond, WI. 54017 Phone: 715-2447-2941 Subd.Name: The Glens of Willow River Lot No.: /f Waco: _ 4.13 ri^4G Legal Description: N J1/4 SE 1/4 S18 T30N RI 8W Backhoe pit Township, County. Richmond, St. Croix A Bench Maack El. 100.00` Top of 2" pvc pipe Q Alternate Bench Mark El. /00 . ? d Top of .2 " 14zC /%og?- Slope= ( % Contour Line El. VW Contour Line Length 2d~ 7 Scale 1" = 40' fe ~N t ~ ,s ~ReA o' L f3o 9~ f 8 o V St I 'ibis Soli and sift EVahwtkm was convi td to an MWn Unwremeat It may or my not W in a lacaban anitabio for you M V ED County Safety and Buildings on d 201 W; Washington Ave., P. 62 Sanitary Permit Number (to be filled in by Co.) Madison, WI 5370 162 ST. CROD( COUNTY 6 Q MMUMTY IOEVELOPME 7 S 79 616 7px"` Transaction Number Sanitary Permit Application In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate goven luental unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to Project Address (if different than mailing address) the Department of Safety and Professional Servies. Personal information you provide may be used for secondary uses in accordance with the Privacy Law, s. 15.04 1 m :Stets. I. Application Information - Please Print All Information Parcel # Property Owner's N e Property Owner's Mailing Address Property Location IT, i4 f q e Z Z Govt. Lot City, State Zip Code Phone Number ~C Section circle one) i~ loll 1 T Z 3 T - 3,0_ N; R E ot~p H. Type of Building (check all that apply) Subdivision Name or 2 Family Dwelling -Number of Bedroo g~7 '01 1 6 sloe L l-rt1~; die (,(J(CZotv'( ❑ Public/Commercial - Describe Use ❑ City of CSM Number ❑ Village of El State Owned -Describe Use grown of ~G tf --L^ a N-b 2 ~ Z1r-Z S - III. Type of Permit: (Check only o be box on line A. Complete line B if applicable) ZO A `-New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) List Previous Permit Number and Date Issued B. ❑ Pem»tRenewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New Before Expiration Owner o. ` IV. Type of POWTS System/Component/Device: Check all that apply) Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound 2:24 in. of suitable soil ❑ Mound < 24 in. of suitable soil Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dis ersaVrreatm t Area Information: .11 Z Desi Flow (gpd) Design Soil Application Rate(gp Dispersal Area Required (sf) Dispersal Area Proposed (s System Elevation V1. Tank Info Caacitym GaTotal I # of llons Units Manufacturer o u 2 q v V New Tanks Existing Tanks Q $ a `i/ ttJCLt~~ s ` a` Cg v) N w C7 a Septic or Holding Tank r L 5'v r~ Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber' NamelPrint) Plumber's Signature MPAte" Number Business Phone Number ~~~7~~ b v G d~ Z'-K- Plumber's s (Street, City, State, Zip Code) EGG-~~ ~~f Gam/ ~ epartment Use Only VIII. C .aun ~ed Permit Fee Date ed Issuing Signature proved ~ G ` 66 en Reason o Denial $ ! lilt A7 IX. Cond " . • o RV IRS Disappro el - ~.1 (a : ( s 418pemal cell must all be servlees I maintained l~~l• '~Y` ~O e r. Ills per management plan provided by plumber. t / 2'. RM t lit>~d 1Q[Q ► a1~cr, ~a A~~J' e( r/.Gt/l 'finances Hh -l 1/ - 7dt7 ' / w: t Attach to complete plans for the system and submit to the County only on paper not less than 8 in z 11 inches in size SBD-6398 (R. 11/11) Z ~L r A/ Z) 4- Scale I" 40' ~5 \ f~~ 6z Ay ~'7 eo~ 1. 13o `o rL i Co~ XVd LV:TZ STOZ/80/60 ono ~ CONVENTIONAL COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Owner's Name: Owner's Address: Id © D Z Z AIVO 1~ iG ~N~ G~1l 2 3 - Legal Description: A tJV jC- Z` S /-;~g [Af Township: (G (f I kI c, A) P County: f d IX Subdivision Name: (-E gL i~ S W (LLOCU RjU~ Lot Number: G Parcel ID Number: 40 ? 61 5!57 0 Page 1 Index and title S'rp-tf e . f- ,,,J K Page 2 Plot Plan Page 3 System Sizing & Cross-Section Page 4 - Filter Specs Page 5 Maintenance Information Page 6 Management Plan Page 7 St. Croix Cty Septic Tank Maintenance Form Page 8 Warranty Deed Page 9 CSM or Plat Attachments: Soil Test & House Plans Designer/Plumber:Dy° License Number: Date: Phone Number Signature Designed pursuant to the in-Ground Soil Absorption Component Manual for POWTS Version 2.0 SBD-10705-P (N.01/01). Page 1 LG L C A S o Lv l LLo fft~ l U~ 14 041 ®rG Z ' ` P U PAP Scala, 1" 40' r ~ r ~1 SZ 1 P ~p "a 31 r~+ X51 q ev 413a 9~ l ° lgd / 00 I yVa Lv:TZ 9TOZ/80/60 cnnr~ or 2 Family Dwelling In ground Soil Absorption System (2-cell Conventional) Daily Wastewater Flow (DWF) _ # of bedrooms x 150 gal/day/bedroom = b~~ gal/da Design Loading Rate (DLR) or Soil Application Rate = ~e gpd/ftZ (per SPS Table 383.44-1, 2, or 3) Required Distribution cell area = DWF OO gal/day + DLR • -7 gpd/ft2 = ftZ # Chambers = Required Distribution cell area r),--, lL ft2 + 2 ® ft2/ unit EISA = Chambers Chamber Manufacturer and Model: ~~~L 7L/2 a Ll( G t '4e u Actual Distribution cell area =Required cell area ft2 + ft2/ unit EISA End Cap Pair 2 I/Y - Cross-Section in-ground Soil Absorption System (2-cell): C 7 4" Schedule 40 PVC vent pipe with vent cap 12 inches minimum 12 inches minimum 99, z inches Soil Cover Trench 1 Sys- tem Elevation inch Chamber Height 316ft Trench 2 System Elevation ft ft Trench Separation Leaching Chamber Width 7-3 ft to limiting factor Plan View In-ground Soil Absorption System (2-cell): Trench 1 Modify 3 ft header/ design as ft Leaching Chambers /4 0 needed. ` Trench 2 4 inch Header sch. ft with end camps Draw 0 for a Vent and for Observation Pipe above. They will be located ft from the end of the cell. Vent pipes shall be Schedule 40 PVC and extend at least 12 inches above finished grade. Observation pipes that extend above finished grade must also be 4 inch Schedule 40 PVC. Page of Alk AM, 3 gilt n _ gall 1 a° g? [IF ~ s Ell ~°a N ad M Oa y T a 3 O x ~ ~ W N flit 12 SL C p yy9. 33 lit D o m a 3 a o$« m 3 s m m It a m p m o 10 ~ rig C w0ono 3rny ~~Dm o~o~G~ Cf 0 4 3 o m l a m 3 o ~ A °3m3~'m' IC H IQ m m y y Qs mc1 n~ c~° ~0 a i qq n! Hm~NO vc 9 4 9 ~v ~°~pp ~v o m w ~i m m -pi o 7 m O m m I- G ~ j N % a C., A CL am ('y9m7 N ~ C a pp - f0 'D 3 a c W - C • 3 (J~ N 3 m 11 *0 N O CD Q~aw m x ° ~m f = c it m - ~ m d Q C 'R C pQ M C, mm as 3EaF~ i, 0 (CUXLL O.M dC.~ O L7 9 'T k7ij 141 CL xm 3 m G)o=gym E ; r o$ ~ a y H loll Sa loll r-}~I b ez- ? K1 o. 3 m o a 'T ;7 ajp ~ 'G 7• ~i 3 C Q 0 N d POWTS OWNER'S MANUAL MANAGEMENT PLAN FILE INFORMATION SYSTEM SPECIFICATIONS Owner 4-o p Septic Tank Capacity i zo al ❑ NA Permit Septic Tank Manufacturer (.~1 fESFR ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms 77- ❑ NA Effluent Filter Model ❑ NA Number of Public Facility Units fif NA Pump Tank Capacity al ❑ NA Estimated flow (average) VOD gal/day Pump Tank Manufacturer ❑ NA Design flow (peak), (Estimated x 1.5) (0,00 gal/day Pump Manufacturer > ❑ NA Soil Application Rate al/da /fts Pump Model ❑ NA Standard Influent/Effluent Quality Monthly average* Pretreatment Unit ❑ NA Fats, Oil & Grease (FOG) 530 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BODs) 5220 mg/L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg/L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BOD6) 530 mg/L ❑ In-Ground (gravity) ❑ In-Ground (pressurized) Total Suspended Solids (TSS) 530 mg/L ❑ NA ❑ At-Grade ❑ Mound Fecal Coliform (geometric mean) 5104 cfu/100m1 ❑ Drip-Line ❑ Other: Maximum Effluent Particle Size Ys In dia. ❑ NA Other: ❑ NA Other: ❑ NA Other: b NA . *Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: 3 ❑ month(s) (Maximum 3 years) 0 NA 0 ear(s) Pump out contents of tank(s) When combined sludge and scum equals one-third (Y3) of tank volume ❑ NA Inspect dispersal cell(s) At least once every: ❑ month(s) 3 ® year(s) (Maximum 3 years) ❑ NA Clean effluent filter At least once every: 13 month(s) ® earls) ❑ NA Inspect pump, pump controls & alarm At least once every: month(s) ❑ NA 3 IN ear(s) Flush lateral; and test At least once eve ❑ month(s) ❑ NA lia. ear(s) Other: At least once every: ❑ month(s) ❑ NA 13 ear(s) Other: x• ❑ NA MAINTENANCE INSTRUCTIONS ` Inspections of tanks and dispersal cells shall be made by an Individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual Inspection of the tank(s) to Identify any missing or broken hardware, identify any cracks or leaks, measure the volume of, combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal doll(s) shall be visually inspected to check the effluent levels in the observation pipes and to. check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the Immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third (Y3) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, Including but not limited to theservicing. of effluent filters, mechanical or pressurized components,. pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. GMW (4/01) START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemical; that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System.start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent: To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restdre normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of,any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve .the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; ;"foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products,. pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed., • The contents of all tanks and pits shall be removed and properly disposed of by' a Septage Servicing- Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN . If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: ❑ A suitable replacement: area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be Infringed upon by required setbacks from existing and. proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and ' site evaluation must be performed to locate a suitable replacement area. If no replacement area Is available a holding tank may be installed as a last resort to replace the failed POWTS. ❑ . Mound and at-grade soil absorption systems may be reconstructed In place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < < WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON -PROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name O & (2 G L S O/Vt Name Phone S_ 7- 7 3 T T Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name 30 I4NS01%! 5-4Nf f,f+rv Name CRd1X Zd~l j Phone 7I5 -z,7 3 W.S 5Phone This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d)&(f) and 83.540), (2) & (3), Wisconsin Administrative Code. ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND 70 OWNERSHIP CERTIFICATION FORM i Owner/Buyer 7_'_622 Mailing Address ®,fC Z 2 12 1 ✓Vt d Property Address ✓ Z ! ~p (Verification required from Planning & Zoning Department for new c ruction.) City/State Parcel Identification Number 0 Z ro l ?j4 00 0/ LEGAL DESCRIPTION Property Location 1/4, '/a Sec., T _30N R / 6W, Town of jC K.4Ao ni'10 Subdivision j,JILLO t_ J ~_l d ZZ , Lot # leg. Certified Survey Map # , Volume , Page # Warranty Deed # Volume , Page # Spec house yes no Lot lines identifiable yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. e I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on this orm are true to the best of my/our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a wa my deedrecorded in Register of Deeds Office. Number f bedrooms SIGNATURE OF APPLICANT(S) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) 0 IF 6 40 ro\lg Ile R ° 4 ^ . a & ~ 0 OD I La R g 04 P 8 d C A~ <W 0 ~q ol a x » v ~ N R x w n a x N o • x a s > • o x x w u ~ a p 9 ~N e x ° s a • + r a a r. e 95TH TRE,ET 0 9 '27"W 2615-921 NTH/4 w 521- 41", z 84" F S' II i 1 I II ~J/ a 0 ~~e 44j" I 5- 0 • m N 0 < D m°o~ ;o I I I ; \1 391, D O z C N m ~ n D c z ~ c N D 0 D M No n z o x c Z Z ° D O z a O r. r m z r- rn 0 D T. -1 0 O C -mi ° zN m a Zg7zC O Oco n O~Z D~sZ OmvZmy00D- m ~ co gx~ cm-n D9Z a 2O mD~ z~°xxFcn C \ a X 0 meO ~ -tnl~ Ir*1ZOO Vim.. N _a O !n C n x _ Co r p _ X -1 x fn DO ~ ~Z o ~m aNN L) M m ° v >O ~m a aDI -9N n V1 x 6 z Co a w il En cn~ O'• m m Z N rim Nm y l y ~wPV~ns_ n l O m ° p D r VJ ` s° o W D 0 -u <°-zl z ~m D m> rrl m00 0 °C~ y (n z c m 0. D ° r- OFD DO m Lil x z r ca -an+ 0 Z O D y z ~o° Om 1 z c r~ r W lr cn -gyp i~ ° z ~ c ° v ~ p °A -1 O N m ~ Um 0 Z ;o m r c m c z O m ~ m K ~ z rr z \ O uvLP1250-MR MIESER CCACAETE SCALE:1 4" 1' REV NO. DATE: o DRAWN BY:SWT SEPTIC MANUAL z W3716 US HWYIO. MAIDEN ROCK, YA 54750 DATE: JANUARY 2008 0 \o REV. JAN. 2008 800-325-8456 FILE: WLP1250-MR t ~D . ~Q z- Quick4 Plus Standard Chamber Side and End Views 48" t (EFFECTIVE LENGTH) 12" I ilk 34- a ,,.Quick4 Plus All-in-One 12 Encap Front, Side and End Views x 14,2" 13" 8" INVERT 8" IAI ~ 5.3" INVERT 33" Quick4 Plus Ail-in-One Periscope OUICK4 PLUS ALLlN-ONE PERISCOPE--- I NVERT '(360'SWIVEL 1 4 - I.EtlJ CUICK4 PLUS 12.7" ALL•I14-0NE 12 f ENDCAP Quick4 Plus Standard,Charnber Specifications - i Size (W x L x H) 34" x 53" x 12" (86 cm x 135 cm x .31 cm) Invert=Height` 0.6", 5.3", 8.0", 12,7" ~ 48" (122 cm} (1.5 cm, 8.4 cm, 18,5 cm, 22,6 cm) Effective Length „ - INFILTRATOR SYSTEMS, INC. STANDARD LIMITED WARRANTY _ (a) The structural Integrity of each chamber, end plate, wedge and other accessory manufactured by Infiltrator when installed and operated in a leachrield of an onsite septic system, In accordance with Infiltrator's Instructions, is warranted to the original purchaser ('Holder") against defective materials and workmanship for one year from the date that the septic permit Is Issued for the septic system containing the Units; provided, however, that if a septic permit Is not required by applicable law, the warranty period will begin upon the date that Installation of the septic system commences. To exercise its warranty rights, Holder must notify Infiltrator In writing at its Corporate Headquarters in Old Saybrook, Connecticut within fifteen (15) days of the alleged defect. Infiltrator will supply replacement Units for Units determined by Infiltrator to be covered by this Limited Warranty. Infiiltrator's liability specifically excludes the cost of removal and/or Installation of the Units. 1 (b)THE LIMITED W6RRANTY AND REMEDIES IN SUBPARAGRAPH (a) ARE EXCLUSIVE. THERE ARE NO OTHER WARRANTIES WITH RESPECT TO THE UNITS; INCLUDING NO IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE N F LT R AT O R® (c) This Limited Warranty shall be void if any part of the chamber system Is manufactured by anyone other than Infiltrator. The Limite Warranty does not extend to incidental, consequential, special or Indirect damages. Infiltrator shall not be d liable for penalties or liquidated damages, s t e m S Inc, including loss of production and profits, labor and materials, overhead costs, or other losses or expenses Incurred by the Holder or any third party. Sy Specifically excluded from Limited Warranty coverage are damage to the Units due to ordinary wear and tear, alteration, accident, misuse, abuse or neglect of the Units: the Units being subjected to vehicle traffic or other conditions which are not permitted by the Installation instructions; failure 9 to maintain the minimum ground covers set forth in the installation instructions; the placement of Improper materials Into the system containing 6 Business Park Road • P.O. Box 768 \ the Units; failure of the Units or the septic system due to improper siting or improper sizing, excessive water usage, Improper grease disposal, or improper operation; or any other event not caused by Infiltrator. This Limited Warranty shall be void if the Holder falls to comply with all of the Old Saybrook, CT 06475 terms set forth in this Limited Warranty. Further, in no event shall Infiltrator be responsible for any loss or damage to the Holder, the Units, or any 860,577.7000 • FAX 860.577.7001 third party resulting from;inslallation or shipment, or from any product liability claims of Holder or any third party. For this Limited Warranty to apply, the Units must be installed in accordance with all site conditions required by state and local codes; all other applicable laws; and Infiltrator's installation instructions. 800.221.4436 (d) No representative of Infiltrator has the authority to change or extend this Limited Warranty. No warranty applies to any party other than the www.infiltratorsystems.com original Holder. The above represents the Standard Limited Warranty offered by Infiltrator. A limited number of slates and counties have different warranty requirements. Any purchaser of Units should contact Infiltrator's Corporate Headquarters In Old Saybrook, Connecticut, prior to such purchase, to obtain a copy of the applicable warranty, and should carefully read that warranty prior to the, purchase of Units. 1 ...s~ r • • • ~ e ' 0 9@ 4 r U.S. Patents: 4,759,661; 5,017,041; 5,156,468; 5,336,017; 5,401,116; 5,401,459; 5,511,903; 5,716,10; 5,588,778; 5,839,844 Canadian Patents: 1,329,959; 2,004,564 Other patents pending. Infiltrator, Equalizer, Quick4 and Ouick4 Plus are registered trademarks of Infiltrator Systems Inc. Infiltrator Is a registered trademark in France. Infiltrator Systems Inc. PLUS0510101SI-2 is a registered trademark In Mexico. Contour Swivel Connection Is a trademark of Infiltrator Systems Inc. 0 2009 Infiltrator Systems Inc. Printed in U.S.A. 14isconsrn SOIL EVALUATION REPORT -----s - ~ #1480 Department of Commerce in accordance with Comm 85, Wis. Adm. Code Page 1 of 3 Division of Safety and Buildings Schmitt Soil Testing, Inc. Attach complete site plan on paper not less than 8'/ x 11 inches in size. Plan must County St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parce D. Please print all information. 18 Re wed Date Personal information you provide may be u y~gP-i@cy s. 15.04 (1) (m)). Property Owner Pr erty Location Sienna Corporation Go . Lot NW /4, SE1/4, S18, T30N, R18W Property Owner's Mailing Address Lot Block # Subd. Name or CSM# 4940 Viking Drive Suite 608 TY 8 The Glens Of Willow River City State Zip ode ne Number City ❑ Village Z Town Nearest Road Minneapolis MN 554 Richmond 95Th St. ❑ New Construction Use: ❑ Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Outwash Flood plain elevation, if applicable na ft. General comments and recommendations: Area is suitable for a conventional system with a 0.7 gpd/ sgft rating. Possible system elevation for Area 1 is 95.50'. F-11 X Boring # ❑ Boring Pit Ground surface elev. 99.12 ft. Depth to limiting factor 105+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-10 10yr3/1 none sil 2fsbk mfr as 2m,ivf .6 .8 2 10-15 10yr4/4 none sil 2fsbk mfr gw lvf .6 .8 3 15-25 10yr4/6 none sicl 3msbk mfr cis ivf .4 .6 I 4 25-39 10yr5/4 none cos Osg ml cis .7 1.6 5 39-66 10yr6/4 none s Osg ml cis .7 1.6 6 66-105 10yr5/6 none grs Osg ml - .7 1.6 oil. It-1 ~7a Boring # Boring ,11A ❑ Pit Ground surface elev. 99.24 ft. Depth to limiting factor 104+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-14 10yr3/1 none sil 2fsbk mfr as im,if .6 .8 2 14-26 10yr4/3 none sid 3msbk mfr gw 1vf .4 .6 3 26-33 10yr4/4 none sl 2msbk mfr cis ivf .6 1.0 4 33-81 10yr6/4 none s Osg ml cis .7 1.6 5 81-104 10yr5/6 none grs Osg ml .7 1.6 t5 5° N ~ u its * Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L " Effluent #2 = BOD5 s30 mgA S <_30 mg/L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt js~-Z= 227429 Address Schmitt Soil Testing, Inc. Date Evaluation Conducted Telephone Number 1595 72nd Street New Richmond, WI 54017 9/13/2006 715-247-2941 SBD-8330 (R07/00) a . Property Owner Sienna Corporation Parcel ID # 18 Page 2 of 3 F -1 Boring # ❑ Boring ❑ pit Ground surface elev. 99.22 ft. Depth to limiting factor 106+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-9 10yr3/1 none I 2fsbk mfr as 2m,ivf .6 .8 2 9-14 10yr4/3 none sil 2fsbk mfr gw ivf .6 .8 3 14-21 10yr4/4 none sicl 3msbk mfr gw lvf .4 .6 4 21-29 10yr4/6 none sl 2msbk mfr cs .6 1.0 5 29-84 10yr5/6 none s Osg ml as .7 1.6 6 84-92 10yr5/4 none grcos Osg ml as .7 1.6 7 92-106 10yr6/4 none s Osg ml - 7 1.6 ❑ Boring # ❑ Boring ,,G ~ ❑ Pit Ground surface elev. ft. Depth to limiting factor in. it Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Bounda GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ❑ 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/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Efr#f *Eif#2 Effluent #1 = SOD 5> 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 (R07/00) Schmitt SOiI TCtii»g, Lx. Page ~ of 3 Conducted by: Conducted For: Schmitt Soil Testing Inc. Name: Sienna Corporation Thomas I Schmitt, CST 227429 Address: 1595 72nd St. City, State, Zip:, yi~a~cL~dc i;3,~i New Richmond, Wl. 54017 Phone: 715-247-2941 Subd.Name: The Glens of Willow River Signature: Lot No.: Date: 9 //-7 1626 Legal Description: /11 1 /4 SE 1 /4 S18 T30N R 18 W ® Backhoe pit Township, County: Richmond, St. Croix A Bench Mark El. 100.00' Top of 2" pvc pipe A Alternate Bench Mark El. /00..2 G 'Top of 2 /6 C I'll,,e6 Slope= 0 9c r/-"- Contour Line El. IV,4 Contour Line Length /P,~ ~t 7 Scale 1" = 40' ! u a d~ lc f 5 L 80 96 1, 0 5-9 q This Soil and Site Evaluation was completed to fulfill zoning requirement. It mayor may not be in a location suitable for you use.