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HomeMy WebLinkAbout030-2112-60-000 '•afety n CeprartmcntofCcmmeic:c PRIVATE SEWAGE SYSTEM County Safety an c Bc,!din:; Division St. CrOIX INSPECTION REPORT Sanitary Permt No GENERAL INFORMATION (ATTACH TO PERMIT) =578474 1 Persoral information you provide may to iced for second., State Plan ID No. ry purposes [Privacy Law, s 15 04 (11(Ttl] 2695738 Permd Holder's Name: Cd b911a e Tpwnsnj Todd & Tracy Steffen ~ ~ p Parcel Tax. No TOWN OF SAINT JOSEPH 030-2112-60-000 CST BM Elev: Insp BM Elev HM Description M 1 Re:aioniTownlRange,Map No ] TANK INFORMATION 30.30.19.923 ELEVATION DATA TYPE MANUFACTURER btA.•) CAPACITY STATION B A I,~ FS ELEV. Septic / V . ~ t Alt. Btv1 t + /kL ation Z r Bldy. Sev.e• Holding Sb'Ht Inlet 7•`~ 95.co TANK SETBACK INFORMATION St/1-It outlet IANK TO 4L','V LC; len• A - ntake Dt !nlel S 'P!ic ' DI Rottcm Dosing I Ieader; Man Aeration _ - - ~ • Dist Pipe , C1 45 Holding ~P Bot Systern PUMP/SIPHON INFORMATION Final Grade ^.9anufactu'er 3 al5 Demand S: Cover / GPM < <.bJ Z.~ Ic~t r Model Numb TDI I I ift Friction Loss System Head Ft Forcemain Length Dia. Dist. to b:eu SOIL ABSORPTION SYSTEM BEDITRENCH 'A'1:1111 I ength No Gf Trerches PIT DIMENSIONS No Cf Pits Inside Dia. Liquic Depth DIMENSIONS SETBACK SYSTEM TO Pi'[_ BLDG JVELL I AKE!S] REAM LEACHING Man.dacture- INFORMATION CHAMBER OR T/ype` Of Sys,em: /J~ ~/t fir w (JQQ~'T-rr:fl 'Zs 715 UNIT MedellInber ~ 6= o DISTRIBUTION SYSTEM ~ Header,"Manifold Distrit.+Lor x Hole Size x Hole Spacing V to Nf11 Pipe's c~O p e Length C'a T' Length D,a_ Spauoy l V~ s SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Ceptt• Over Deptti J,~;ei Bed,' T ench Center xx Depth of x;+ Seetlecf 5 drn JXX Mul ed BeptT ch Edges r ~psoil es J No/e5 Jc COMMENTS: (Include code discrepericies, persons present, etc) Inspection #t Inspection #2: Location: 1316 VVHITE EAGLE WAY GL 4L F' I-- 1 i Alt BM UescripUon = Gore,.., + 2.; Bldg sewer length = 51 (4144 e. L (j,~~ yr' L vt,~.+-f ~ V - amount of over = ~ CJ~ S 6^ Plan revision Required? Yes o 1 r r _ Use other side for additional inforrnatln.` _r _ 11Q I r„~ SBD-6 10 (R.25t} Cate InsepctuL v✓ Certrtrtlll No QG~~ of sew `3o r catr r$ ` VEE Safety and 3uikfincs Division I - ~y- s ` r tl JUN 0 9 2016 201 W. 'ddashington Ave., P.O. Box 7162 S331-3, M Permit Number (to be filed m by C;o.) ;1 p S } adison, VV' 53 %1 T. CROLY, COUNTY UNITY DEVEIOPME v Trmsaction Numbcr Sanitary Permit Application I In azcordance with SPS 3832i(2), Wis kduu Cade; subtrussior. cf this Lem: to :he appropriate gcv=nmenta1'unit A)t I is required prior to ehtaiuing a sanitary lX-U rL Note kppll:ation forms for state-owned POWTS are submitted to Project Address if different thau mauirre address) the Department of Safety and Prufessiotuil Servies. ?ctsonal information you provide mz~ Ix used for secondary nrrooses in accordance widf the Privacy Law, s.:S.u4{lk'mi. Stars. l / _ , fI J L L A ticatiun Informatioo - Please Print All Information / ✓ / I/~+Y4t~ ~j~7I9L~j Property Dwrcr's Nano - - Par:. k ~ I L) o - Z_1 Property_ cr's 1r1 .0.ddre s i Property Location City statrt Zi ~Gnde Mone Number Secul / l V7Z~ ude i I 1N: orW IL Type of Building (check all that apply) zanily Lhvclliuw - Number of He irxrtta I Suhbd'visi amt rA_ 61r- t'S6 Bloom J Pub[iciCotttrr ercia[ - Lkacrihe Iisr _ U City of d t per-*- t CSM Number ❑ Villan of - i State 0% ed - Des :nbe Use - l own of c~ 1 II1. Type of I ermit: (Check only one box n line A. Complete line B if applicable) A'T System ❑ Replacement System Ll Treamxnv:lolding Tank Replacement,)nlv n on. tvtndt-icanoo to Ex sting. System (acplarn) - I E. ❑ Permit Renewal t R Permit Trumicr to New- List Previow~ Permit Number and }rare Issued L evision ~ ❑ Change of Piumher , Acft>rc Expiraaon - ' Owner ` 151 MT, e of POW"rS_Svstem/ComponeoiDer'ice: (Check all that applvj :DresRmzed In-Ground 'J -'rm uized br-Ground At-Grade ❑ Mound 224 in. of suitable soil 0 Mound <; in. 'f suitable sail Holding Tank 0 Other Dispersal Courmnicni rxplafn; ❑ Prescatrncat Uovice (_71 i V. Dis ersal,'Treat eat Area Information: _j - u ~pc) Desist Soil Application gpdsf Disperml.,krea Required Dispersal Pr - sed stern Elev ati n YI. Tank Info ; r Capacity in T . # of Manufacture Gallons t' ' - ra~lons Jmts li--Iauks ExisocgTzala - y v n Sq,oc x Holdi" Tank - P J - rrrs~Q char=>x= _ Responsibility Statement- a undersigned, assum osibility for installation of the POWTS shown on the attache: plans Pluyht? uoe (Ytm[i I Plumber' i e MPl!v(PRS Jl x Btuiness Pticii lyfuttb _ c1 ~ ~ G lIJ ' , Plum er' was/' eel City, te, Zip Code ~t ~'IIl. County Departtttent lise Only pprovrJ isappro~rc Pe.mit -Ce 7ate Issued ssutn~ , ertt Si~tature nn na I 'nvn-- ~ 'ea Cteasen flu D d I ~V {Q I ! Lk ConditWIT-kip JW"easous for Disapproval \ ~0 1, Septy: lark, etfltieni ftlte, and 3 1 `y' Q~ ttlsper:ai cell must all ¢g sPi leas ! ntalP_ Mr. • 5 p i Ir MS per rrtar.a©ement plan provided by plumber. j ~ 7 2 Allow t ri0*erwft mtut. w t01w J - in Per "VII W coda I wd wwis. 4N no N AL ~5 Atrarb M complete pram fvr the sy'. and submit county ly on pa not les than 8 1, z 11 inches in sox ` . SID-6398 : I; I PR0.IL(-1' Tojd S;etten Sol] Test and SN stem PLOT PLAN ADDR1~:SS 51709 Morcan Trail White Bear Lake Mn 55110 S` 1/4 SW 1:'4S 30 3 0 \ i R 1 ° W TO~l S? Joseph SYSTEM ELEN'ATION 95.2.%95.11'9 05 6' be COUNTY ST. S~OfX low grade 6.1'6.%16 CU\~'E\'IIONA[, X~C DATE BEDRO(yNI 4 IN-GROt'ND PRESSURE CONVENTIONAL LIFT HOLDL\G TANK 11OL-.\I) SEPTIC T.a!rh SIZE 1255 gallons - LIFT TANK SIZE DOSE TANK SIZE IIOLDI\G TANK SIZE LOAD RATE .5 ABSORPTION AREA 1212 BENCHMARK V.R.P. Top Of e wall foundatio of chambers 6G BOREHOLE ASSUME ELFVATIO'N I(1W Filter Lifetime Filter O tVEI.I. II-R.P. same as benchmark Scale = 1/4" = 101 Pr,l Lrn B I Sri; ST ?0' Pro 4 80' B_; ~0' Bedroom I House O'C Slope 4W ~tj• 50' B, X 82' ce i h > ' spacing ASTA4 SDP in 10' of tank, pip::n`' shall be ASTIM FSQ! 1 SO' valt Vent >6" Qu1ck4 Standar Of Cover Leaching Chamber with 20.0 ft-') Of "Area 1 , 5.6ft^2/ptir of end caps 4' Lon Cr Grade at SvSteIn Eieva:ic~~y _34" i Cross Section of Quick 4 Standard Leaching Chamber Typical cross section for 2 of 3 cells Quick 4 Standard Leaching Chamber with 210.0 ft2l of Area per Chamber 5.6ft^2 pair of end plates To be >1' above grade / Finish grade elevation Vent Typical Installation ~ 100.5' Grade cnt 4' 4 X30/34 Septic Tank 4' Long 1 „ 5' 4' Long 1 34" Grade at System Elevation 3 Grade at System Elevation Spacing- 5' 3-3' X 82' Cells Observation tube/Vent Same on other end To be located on end of Cells %A B System elevations: C A-95.2' B-95. 1' C-95. C 20 chambers per cell RECEIVED Wisconsin Department of Commerce SUN 09 N61L EVALUATION REPORT Page of Division of Safety and Buildings ST. CROIX C ;OMMIlm"-E~mm 85. Wis. Adm. Code PMENT County rJ I Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must indude, but not limited to vertical and horizontal reference point (BM), direction and Parcel LD. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. d ..3 d 2,11 2 Please print all information. Revie by Date 1 Personal inforrnal,on you provs a may be used for secondary purposes (Privacy Law. S 15.04 (11 (mi) Property Owner _ o Property Location Yr I LD C~c~4 ti~ Govt. Lot 114 C 1;4 S LX O N R C E (o W Propel Owners Mailing Address Lot # Block # Subd. Name CSM# J (i ~y State Zip C e Phone Number ❑ Ci ❑ Village o res Road _ J _ Construction Use- esidential ! Number of bedrooms Code derived design flow rate _ _ GPD ❑ Replacement Public or cofl~ercial - Describe: _ Parent material _C;9 Flood Plain on it ap~pIica/~le /t--7 ft, General comments and recarmtendations: GL ~ ~~f1 1r-'S System Type System Elevation Boring # Boring pit Ground surface eley/-! fl, Depth to limiting factor 0 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD In. Munsell Qu. Sz. Cont. Color Gr. Sz Sh. •Eff#1 'Etf#2 • -7 1. jV'r Boling # ❑ Boring /in RPit Ground surface elevft. Depth to limiting factor . Soil Applirabon Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD,9f in. Munsell Qu. Sz. Cont- Color Gr. Sz. Sh. 'Eff#1 •Eff#2 ~I It :!Y2 A Effluent #1 = BOD. > 30 < 220 mplL and SS >36 1 ' Effluent #2 = BOD. < 30 mg/L and TSS < 30 mgtL f CST Name (Please Print) lure CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date EvaluaLon Cond led Telephone Number 1432 120th St, New Richmond, WI 540 7 715-246-4516 Property Owner - Parcel ID Page of _ ❑ Bunng Pit Ground surface elevAMc2 f1. Depth to limiting factor in Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDfff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 r CL LIU ❑ Boring n Boring # _J ❑ pit Ground surface elev. J ft. Depth to limiting factor in. Soil 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 -Eft#2 i ❑ Boring Boring # Ground surface elev. ft. Depth to limiting factor _ in ❑ Pit Soil Application Rate Horizon '3epth [Dom~inant:OoNorRedox Description. Texture Structure Consistence Boundary Roots GPD"ff gyn. unselQu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD, > 30 1220 mq1- and TSS >K < 50 mcy2 ' Effluent 42 = BOD, < 30 mg/L and 7SS < 30 nigL 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 60H-266-3151 or TTY 608-264-8777. SBLI-6110 rR.6.1k , Property. Dwner _ _ Parcel ID # Page of Boring # D Boring Pit Ground surface elev1 : D ft. Depth to limiting factor in. Sal icatxxt Rate Horizon Depth Dominant C;oio, Redox Description Texture Structure Consistence Boundary Roots GPD11f in Munsell I Ou. Sz. Cont. Color Gr. Sz Sh. 'Eft#1 i 'Ett#2 ~ r i pit Ground surface elev ~!r +b n. Depth to limiting factor ir. 7Soil Ap l,,:,Uon RatE ;on Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDltf in. Munsell i Ou Sz. Cont Color Gr. Sz- Sh 'Eff#1 'EF#2 i Z L3 L I -/Z I Bonne F7 Boring # pit Ground surface elev. h Depth to limiting factor in Soil Ircatior Rate Honzor, 'lepth Dominant Color Redox Desaipbon Texture Structure Consistence Boundary Roots GPDtf in Munsell Ou. Sz. Cont. Color Gr. Sz. Sh 'Etf#' -Eff#2 I i I I Effluent 91 = SODS > 33 < 22C mg,'L and TSS >30 < 150 mg/L ' -Fluent #2 = BODS < 30 mgr and TSS < 30 mg'- The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need matenal it,. ar alto hate format, please contact the departrnem, at 608-266-3151 or TTY 608-2648777. SEE)933C iR MX4 Soil Test and System PLOT PLAN PROJF.(:'r Todd Steffen %DDRESS 5709 Moroan Trail White Bear Lake Mn 55110 ;T 30 NCR 19 tN- TOWN St. Joseph (:OLti1'1' ST,CROIX SE 1/4 SW 1/4s 30 SYSTE' I ELEVATION 95.2/95.1!95,0 6' below qrade 6;6/16 BEDROOM 4 DATE CONVENTIONAI, XXX IN-GROUND PRESSURE CONVENTIONAL HOLDING TANK MOUND SEPTIC TANK SIZE 1255 gallons I.IF'I' 'T'ANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 kBSORP'1'1ON AREA 1212 # of chambers 60 BLNCIIMARK V.R.P. Top of knee wall foundation ;kSSU.%4F, ELEVATION 100' Filter Lifetime Filter ❑ BOREIIOLE (D WELL `H.R.P. same as benchmark Scale = 1/4" = 10' R-1 Vents 77' Property Line 10' 0' ST 04" B. .)0, Pro 4 ?o' Bedroom 80' B-' House 0% Slope 10 70' 50' B-2 3-3 X 82' cells with >3' spacing All piping shall be ASTNI SDR 30/34, within 10 of tank, piping shall be ASTM F891 18(_1' Vent >6„ Qulck4 Standard of Cover Leachinu Chamber with 20.0 ft'-) of Area White Eagle Way S.Gft"12/pair of end caps 4' Long 12„ (trade at System Elevatio 3 ' Safety and 6uiidings County 201 W. Washington Av .p, g. 1 San f^ x P i ! itary Permit Number (to be filled in by Co_) 4 ( Madison, VVI 5377 7 2 a1° 'QTY 74 / anitary Permit Application s Tr SaMonNumber n accordance with SPS 383.'. (2), A is Adnt Cede, stibmissi rn of this fem k the 7 e-r ) -7 required prier to ubtainir a sanitar Z?PrOF'iate gcwetamental unit J 7 J c y permit. `vote: Application .ornts ,or slate , red PO r, are submitted to Pro'cer A ess cif different that mailing address` the Depth of Suety and Professiona: Servies Personal inLrcmauon you r,)v;eie ➢umnses m zacordancc with the Privai:v Law. s. 15 Stats. P may be used Iur secan" I. li caner Informatlon - Pie LM p nt Ail Informati 1 31 k . C Property Owner s Name d,. r n 7 Parcel p r-- ~C ~ cX- ~4 ~ "~~iY'✓ i V.~C' l~~ ~ 1~ ~ ~U i` V Prop em' Own'r's Mailing Add ss ` S ~ ~ c~ r' ~ Prvpetty :,ocaz;ott 3 u . 3 Q . ~ . ~ 3 Zi? uj-de Govt Lot Ptonc ,Number r Section D Il. Type of Building (check all that app1 to o - ~ L N; R ~ c ' Rr ur 2 Faraily Dwelling -Number of Bcdr:x. _ v SuJdrvtsitta game L PLbiicrCommerc:m -Describe tae II~O t~~. I u City of S'.ate Owned - L)escn-be lice i CSM 1v'UM. ber j ~ ~ Village of / 12 k- - - ;Town 0L: J•] items ,rte III. Type of Permit: (Check only One box on line Camp to line B app ' . t ' System i L Replacement System ❑ 'Ireatm VHolrlrng ( cut On1~-T- i _ the Modifcalion to Existing Sys iexp:mnj B_ C permit Renewal Pelt Revision r List . roes Permit Nwuao and I)>rr Lssued Bcfcrc ange Pl ❑ Permit f rarsfer to tiew Expiration i W. lSAe ofPOR"IS Sysiem/Com OnenllDecice: (Che th h•j _ R ~u Non-Pressa=d In-('nuunc L Pressurized fn-i3rotnd i e Mound > 24 in. of suitable soil L Mound < 24 M. ~l Hclciu;~ Tank ~ Cahcr Dis sa; Co of suitable soil t~•* mpone:u (explain) ~J Preen z.,=t Device (explam) II_DispersaL?rea ent Area Information: Design Flow (gpd) L esi~ Soi1..plication Ra dsfl L)ts t~7 1 i i, ~ ~ Persal.4tea Required Dispena; area ,'>ro p°Se s~ 5ys~emElevation N'L Tank Info Capacity in _Otal N of lv`•enufaChirr.. _ Gallc:-ts j G dlons I Units V C'Ivew Tanks -r---- 1 i I :.aistm~ Tanta ~m u l 3 ScQtic ur Heidinc Tank A l u U y 's. I ~ - l LN_LI. Responsibility Statement- L the undenieeed, ass a espousibilcty for installatiOO of the POW TS ssow•u an the attached plans. 's tame (Prin.; - P;umb S 'Matu e t~'i:MPRS Vtmbcr ~ I Business Phone Numbs i Piuinba's Pddress P (Street, City, 3tte, Zl ~`tii• unt_y/Depar•tment Use Only proved Pmn Foe~au sued Issuing I SiTta_-tue - n kar. oc for DCIL S ( Q 4b 9 1 ~ ~IX Condit -!Son t ~ for Dapproval 1. 5ept;o ark, etflt.nt e* a . ~rR thsper.:;; cell ttrst all be sP~:rcas ! m~:ntarg4 ` as per rrtar.agement plan provided by plumber. Q,(L j/Y Wr 's I►t. ! 2 A"*M1iika%Mt .nits OW In, WO lrled I L_ w pa[ appiioabw Goth I adtlanoa t S . L I ~vCO / I" eOmP Pt1m for the s}srem as Coaoty nlp pa nor Less tbao8 u2 ~ Lp y W , 5B?)-,5398 (Ft. 1 f A t) O~,~JL lg~ ~4 Z, •L r'D ~ ~,r ~7fZ(~ 4t' ~ L -71 7 'L.UT PLAN ADDRESS 5709 Moroan Trail White Bear Lake Mn 55110 L 1,`4 Slur I ; 4S 3C1 T 30 N/ R 19 W TOWN St. Joseph COUNTIT ST. CROIX SYSTEM ELEVATION 906.0 4!5/16 4 DATE BEDROOM CONK FNTIONAL IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK AT-GRADL Y" SEPTIC TANK SIZE 1255 galions LIFT TANK SIZE DOSE TANK SIZE 765 HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 1000 # of chambers none IL BENCHMARK V.R.P. Tor-o 3/4" pvc pike ASSUME ELEVATION too- Filter Lifetime. Filter 1:1 BOREHOLE O WELL 175' H. R. P. same as benchmark P ro pe rty L i ne Property Line not to scale) Scale = 1 /14" = 101 120' 90?. 3 Acre Parcel All piping shall be ASTM SDR 30,34, B. M. within 10' of tank, piping shall be 90' .A STNI F€91 905' X06 Grading is to be do e 904' B-1 to divert run-off away from system Property Line (not to scale) 4 SI e B-3 Area 15' below sys 377' to remain undisturbed ❑ Tank is to be properly bedded and provided with lockdown covers with approved B-2 warning labels L'~u Wel1 is to meet al l WDNR setbacks Pro 4 Bed roo m House White ~agie'Wa;, 07 DIVISION CF INDUSTRY SERVICES 3824 CREEKSIDE LN HOLMEN WI 54636-94,36 , P lyl Contact Through Relay http://dsps.wi.gov/programs/industry-services vMw.wisconsin.gov Scott Walker, Governor Dave Ross, Secretary April 29, 2016 CUST 1D No. 226900 .41 TV. P0 Tf`75 lnspecror SHAUN R BIRD BIRD PLIJA BIND INC ZONING OFFICE 1432 120TH ST ST CR-OIX COUNTY SPLA NEW RICHMOND WI 54017-6409 1101 ('ARMICFL-",LL RD lIi ~DSO\ "'1 54016-77114 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04r'29,120I S SITE: Todd Steffen "'-hire Eagle Way Identification Numbers Town of Saint Joseph Transaction ID No. 2695738 St Croix County Site If) No. 822981 SE1/4, SWL4, S30, T30N, R19W Please refer to both }dcntification numbers, Subdivision: White Eagle; Lot 6 above, Lt all correspondence with the amencv. FOR: Description: Four Bedroom At-grade System + 4q u slope Object Type: POWTS Component Manual Regulated Object Ill No.: 1596054 Maintenance required; 600 GPD Flow rate; 40 in Soil minimum depth to limiting factor from original Grade System(s): At-grade Component Manual, Version 2.0, SBD-10854-P (N.01`07, R. I /'12), Pressure Distribution Component Manual - Ver. 2.0, SBD-10706-P (N.01;01, R. 10!12); Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsnt 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 10 1.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, CaN~1T1 stalls. Appil The following conditions shall be met during DFpr OF construction or installation and prior to occupancy or use: - ROFES51C Reminders ~101V OF INL • A sanitary permit must be obtained from the county "'here this project is located in accordance with the requirements of See. 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with r the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. 7 • 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. • All POWYS component piping material shall be SPS 384, Wis. Aden. Code compliant- • The area within 15' downslope of the dispersal cell shall remain un.!isn:ncod. VchicuiLr traCllc, e.xca,aticm or soil compaction is prohibited in this area. • coo the approved Plans, s ecifications and this letter shall h~ on-;:te d_irn ucrinn and upcr 10 inspection by authorized representatives of the Department, which may include local ins ectors. Page 2 4129+2016 SH.~tTN R BIKD Owner Responsibilities subsequent owner, shall receive a copy of this letter including instructions relatin, The current owner, and each to proper use and maintenance of the system. ONtin PSOW TS receive described m y this approval. operation and maintenance manual and'or ownees manual for the 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 trust follow the contingency plats 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 malting them necessary for code compliance. As per state stats 101.13(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 POINTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Fee Required S>0.00 Sincerely, , this Amount Will Be Invoiced. When You Receive That Invoice, 4erraaard M Swim Please Include a Copy With Your WTS Plan "vie cr. Division of lndustry Services l. (608)789-7892, Mon- Fri, 7:15 am - 4:00 pm W Payment ment S Sucode:bmitta1. 7633 j eri-y swinti cAwiscons in.gov 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' ivwith isi Comm dust`reybe rvire s (formerly Safety & Buildings) will be modified. Code references with prefixes starting 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 Ch:mters 60-366. S:LAI.m R BIRD Pave 2 4:'29,2016 ONvner Responsibilities • The current owner, and each subsequent o,iner, shall receive a copy of this letter inclsdine insL-uctions relating to proper use and maintenance of the system. Owners shall receive a copy o= the approp-iate operation and maintenance manual and or owner's manual for the POWTS described in this approva'. • The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the PO'WTS 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 cow:n for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) ut1111ed 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 scats 101.12(3), nothing in this review shall relieve the designer of the responsibilhN, 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. Fhe 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 5 250.00 This Amount Will Be Invoiced. 7erard M Swim When You Receive That Invoice, POa'TS Plan Revi er, Division of Industry Senices Please Include a Copy With Your (608)789-7892, Mon - Fri, 7:15 am - 4:00 am Payment Submittal. jerrr.swim` !wisconsin:~ov WiSMART code: 76'= cc: Edwin A Taylor, Wavewater Specialist, (715) 634-3484 , :Monday - Friday 8:00 am To 4:2- Note: Effective January 1, 2012, all codes under the jurisdiction of the Division of Indus: Safety & Buildings) will be modified. Code references with prefixes starting with "Comm" hay, peen re::ia::cj ~\,,Lh "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 1S (formerly S&-B) codes have been renumbere:.i and addressed in a "300 series. For ftmtre -eferenee, the Wisconsin Co_nnercial Bir1dinL, Code n ill be addressed by SPS Chapters 360-366. Cover Page APR , 2016 INIDU` ft`Y tr JiCr=.~ Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 415!16 Owneffodd Steffen Location:SE 1 /4 SW 1 /4 S26 T30 N,R19W Lot 6 White Eagle St. Joseph Manuals Used: At-Grade Component Manual version 2.0 SBD 10854 (N. 03/07) Pressure Distribution Manual version 2.0 SBD 10706-P(N. 01,101 R. 10112) Page# 1. Cover Page i.A 2. At-Grade Plot Plan QED ~T 3. At-Grade Cross Section SER~Np 4. Pipe Cross Section/Pipe Layout rRYS~R S 5. Pump Chamber Cross Section VICE 6. Pump Curve ' 7-8. Maintance and Contigency plan 9. Filter Specifications Attachments: Soil Test Shaun Bird 1 Signature _ License number 226900 ~I Page 1 of 9 PLOT PLAN PROJECT Todd Steffen ADDRESS 5709 Moraan Trail White Bear Lake Mn 55110 S E 1! 4 SW 114s 30 /,r 30 N/R 19 W TOWN St. Joseph COUNTY ST. CROIX SYSTEM ELEVATION 906.0' 4/5/16 4 DATE BEDROOM CONVENTIONAL IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK AT-GRADE XXX SEPTIC TANK SIZE 1255 gallons LIFTTANK SIZE DOSE TANK SIZE 765 HOLDING TANK SIZE: LOAD RATE .6 ABSORPTION AREA 1000 # of chambers none BENCHMARK V.R.P. Top of 3/4" pvc pipe ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL 175' *H.R.P. same as benchmark property Line Property Line (not to scale) Scale = 1l4" = 10' 120' 907' 3 Acre Parcel All piping shall be ASTNI SDR 30,134, B.M. within 10' of tank, piping shall be 90 ~~STZ~1 F891 905' Grading is to be do r 904' 906 ❑ B-1 to divert run-off away from system Property Line (not to scale) 4% Slope B-3 Area 15' below system is 377' to remain undisturbed ❑ Tank is to be properly bedded and provided with lockdown covers with approved B- 2 warning labels 200' Wel I is to meet al I WDNR setbacks Pro 4 Bedroom House White Eagle Way At-grade System Sloping Site Cross Section and Plan View Dimension Feet ' L•1.1.1.1.1.1•L 1.1.1.1.1.1.1.1.1 1.1•ti•1•L:L•L:ti•ti•ti•L••ti•L•1•1.1i•ti L•1.1.1.1.1.1.1 ~•j•~•J~:•J•J•l•r•J•J•r•r .••f.j•r•r•J•J•J•J•J•J•J•J•J~J•J•J•J•J•J•J•J•l•J•r•r•:•r•J• ' 1.1 1• . 1••.•1.1•L•'L•L•ti.ti•'••L•L•'4•L•'L•L•1'ti•ti•L•1.1• .••.•ti'ti••.•1•L•ti•L•L•L•L•L•L•ti•% r J•J•J•:•l•r•J•J•r•r•J•J•r•r•r•~•r•J•r•:•r•:•:•r•:•r•r•r•j•r•J•r•J•J•r•r•r•J•~~~•J••. 1 1 1 1 1 1 1 1 1 1 1 1 1••. 1 1;1 1 1 L 1 ti•ti•ti-: : L : ti.; .1.1.1 ' B I ~•r,r l~r~J ~ t r J r•r•r r r J J r f•r•J r•l'• •;,j•r 1' r~r•.-~J f : r'f ' r~r•r• 5. 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A D Plowed Surface ` Slope Direction GENERAL INSTALLATION: The at-grade area is staked out along the design contour. Existing vegetation is mowed and raked off the site. The basal area (L x W~ is staked out and plowed with a moldboard or chisel plow. Plowing may not proceed if the soil is wet enough at the plow depth to form a 'i4 inch soil wire when a sample is rolled between the palms of the hands. The A x B area is covered by clean aggregate deposited overhead by a backhoe. Special care must be used when placing the aggregate to minimize compaction of the plowed surface. After the topsoil cap is placed, the entire at-grade is seeded and mulched to promote vegetative- growth, limit erosion and protect from freezing. The obsen ation pipes are perforated in the lower 6 inches and secured in place. 03/05 lgj Page of Pressure Lateral Layout One Lateral - end Manifold 4 Threaded Cleanout Lateral Turn-up Plug Force Main X L Long / Sweep 90 Bend $L~ L Pressure System Construction Distribution Network Specifications Lateral Diameter 2- In. Laterals are constructed of Schedule 40 PVC Orifice Diameter In. pipe. Orifices are drilled perpendicular to X (Orifice Spacing) jInthe pipe with a sharp drill bit and face down. l turn-ups terminate with a threaded L "Lateral Length) S' Latera Force Main Diameter Z cleanout plug and are enclosed in a 6-8 inch Force Main Length ,,5/ Ft. diameter lawn sprinkler valve box accessible from finished grade. • • • • • Grade 6-8 Inch LaN n Sprinkler Valve Box 77. Pa e ~ of~ U3iU~ lgi g e - - Septic-Dose Wank Cross Section And Pump Performance Specifications Tank Manufacturer r- Pump Manufacturer o~ ✓ - Tank Model Number o2~ Z Pump Model Numbear - - N ! Total Tank Capacity a S Alarm Manufacturer Z C c Max. Bury Depth Alarm Model Number L-- - - - Switch Type cc - r I Filter Manufacturer Total Dynamic Head (TDH) - Feet i Filter Model Number 1 Elevation Head Distal Pressure sNetwork. Loss Minimum Pump performance Required - Force Main Loss ~ ~ - - a : GPM @ Ft TDH Total S - - Outlet IAanhole Min. 4" Above Gradc; With Locking F)cWice. Inlet Manhole Manhole Min. 4" Above Cmde < 6" Below Grade Sealed Watertight Securely Mounted With Locking Device Weather--proof Junction Box - - - Finished Grade - - - - - - Vent Min. 12" Disconnect Above Grade Means With Vent Cap l•1 'XI Outlet Filter Inlet Inlet Bade ~ - - - - _ _ _ - - ~J ',')'Witch Settings and Reserve Capacity A '/a„ _Tank Volume - GPI Wee Dimension: lnches Volume Gal. $ Hole (reserve) A, 06 (alarm) B 2 Off Elevation C (dose) C /d 7~ , Ft (dead) D' bottom D F;levatpion Total 7 6 , ; 9Sr Ft GENERAL INSTALLATION: The septic/dose tank is bedded and back filled in aoco~ with the menufac "='s product approval specifications. Maximum depth of bury as spwified by the manufacturer may not be exceeded without prior approval. Manhole coven exposed to grade have an effective locking device (padlock) installed. Piping at the inlet and outlet is of approved :r►aterial, connected to the tank with wateetiglit fittings, and laid on stable soil to prevent settling or sagging, The force main is slcoved with 4" Sch. 40 PVC to bridge the tank excavation and the sleeve is sealed watertight. Electrical service complies with NEC 300 and Comm 162ti. cn 02/O5 U Page .J of . -o-al_ CrnA"~lc; ~-1J.C %c.~~4~ITr PER MINUIL Al) CAr'A.:I 1 ~,VF EFL wEN' ANC DEWATERINC z~ P•~~Dt~ 1 Jib' I ~S ` MODEL 152 5 w F T , M: Iw 5U Feet I Meter, ! ~J1 Aers COt. , Cri-er-s ~ 1 ! 5 77 I 2~•I 1 J l I I 1. 2~1 li Z05 o I 1 L j ^ ^ 40 5 f _ - 53 f t..~ I I 15 I 4.6 I 53 I ~O1 61 231 W l Z---E-: 44 -f . 6, I 52 19 ~ 3- ~v5 %-o I 34 129 1 42 15y T 23 8? { 33 25 a 8 I 30 9. 55 t j 40 12-~ t ; 1 4` 4 ; ,k v ;ve 3g -p : t ? Em; - J ` L 14505 I' Ill I i 0 20 40 6~ EC 150 -ALLGNS I b '/4 _I FRS iJ T--- ; 60 240 ,32C 'LOW PEP WN'JI-- CONSULT FACTORY FOR SPECIAL APPLICATIONS L52 • Tilled Dosing pane's available- Elect6cal alternators, for duplex systems, are available and supp,ieo with r ar alarm. • Variable level control switches are avalaC e for'xrtrolling single phase systems. Double piggyback variable level float switches are available for vanabie `I level long and short cycle controls. Sealed Qwik-Box available for ou',ooor .ns,allabons. See P.11420. • Over 130°F. (54*0) special quotation required ( I I I 12 5 ' I- 1521153 Senes IJ t 4 t52J153 61100ELS conblot_SeleCion t 1 Du Itx' dodN VoltsPb Mode s Shn ex v t 52 t 15 _ 1 Non 8.5 r 2 0 3 811.152 111h t _AUro 8.5 Included 2or3 t F1-2 Zr"J I Non 4.3 1 2, or 3 J , ~ 23p Hato 4.3 Indu_ed_ 2w3 ~ 115 nc;uIed 2 oc 3 iEl 11.5 qlAuio 453 orSELECTION GUIDE 23C 2a3 1 5mgle4Yba:cvanablelevelfba:swit:tofX,.c r :r 23C Included 2or3 switch. RzteitoFMOAT7. A CAU-F, oN I 2. Sea FN10712 for correct model of Electrical A lemator E-Pak. All insWiadon of controls, protection devices and wiring should be done by a qualified 3. Varabe level corliful Switch 10.0225 usee as a ccrttrol aetivalar, specify duplex (3; licensed electrician. AN electicat and safety codes should be followed including the most jr , , flCat sys!er rect National Electric Code NEC) and the Occupauonat Safty and Hea,MAct IOSHAj RESERVE POWERED DESIGN far 'J%SLal ccrtditie~s a reserve safety, factor '.s enpeered into t`1e design of every Lceler.".Lmo. MAIL TO: P.D. eC;K 1534; Ioui5vilie,iCt'402560347 Nancerrersoi. r SHIP TO; 3549 Care Run Pox rip Zo _ r LomsAje, KY 4,3211-1961 j7yP[/t!PS .J/NCE I~Jd tl « - (57Z) ?78-11'73? • 1(800) 32gPUhrP MP ~Q- cAXj502) R4-3524 - hap:Uwww.zoeller.com '4V ,5 Ccpy'icht 20 0 ZCe'lff CQ. Ail rrhts reserved