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HomeMy WebLinkAbout032-2132-40-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 589719 GENERAL INFORMATION State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)j. 2712043 Permit Holder's Name: City Village Township Parcel Tax No: Ben & Jennifer Thiel TOWN OF SOMERSET 032-2132-40-000 CST BM Elev: Insp. BM Elev: BM Description: 44 Section/Town/Range/Map No: 0-0_ 01.30.19.1173 TANK INFORMATION ELEVATION DATA TYPE ((~l~ MANUFACTURER /~CAPACITY STATION BS HI FS ELEV. Septic kw kW._- -t=ar t- Benchmark _110 1 2 Dosing Tr~~D Alt. BM t~d Aaa4m cc 4 Bldg. Sewer 1-7 Holding St/Ht Inlet 2 SuHfoutlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt4lnlet Septic f I r / _ ?5 / 1 Dt Bottom / &50e) Dosing I~ f / t r Header/Man. Aer~finn Dist. Pipe B C ` Holding / Bot. System G~ Final Grade PUMP/SIPHON INFORMATION Manufacturer /I Demand St Cover n 6 _l GPM T 1~0• Model Number TDH Lift Friction Loss System d TDH Ft IS49 115 818.,5 R Forcemain Lej5 1 Dia.I~ it Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Trenches n PIT DIMENSIONS No. Of Pits Inside-Dia. Liquid Depth DIMENSIONS idthL , Lepgth~ f No. Of Tre ~ 7 r _ t r L((// SETBACK SYSTEM TO P/L BLDG WELL LAKE/ST EAM LEACHING Manuf urer: INFORMATION Type Of tem: 71 CHAMBER OR t 1 L' UNIT -Model Number: C~ L-1 DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size x Hole Spacing Vent t Air Inta e J Pipe(s) fr, Zi► ~ -3• Length_ Dia Length Dia (J Spacing, ~ C/ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over tt Depth Over xx Depth of roc Seeded/Sodded xx Mulched Bed/Trench Center S a Topsoil I Bed/Trench Edge ~,e Yes No L~;,"e No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 878 174TH AVE y► " ' ei t,3 t< 1.) Alt BM Description = c1~ ` t/ 2.) Bldg sewer length - amount of cover = 7 e/11 Plan revision Required? L] Yes ❑ No l O~ of Use other side for additional information. SBD-671 0 (R. 3/97) Date Insepcors ign a Cert. No. A - eE rxzsrFVr ~j r!V County R Industry Services D' n ~Q d l < DS P E Washington l~ Sanitary Permit Number (to be filled in by Co.) 1 P M~Y °3 2u P.O. Box 7 ',A- Madison, WI 53707- C ~Q / a_s,o: ~ ST C F~OIX COUNTY E 7 Kate Transaction Number j co unitary Permit Application in accordance vNith SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit Z bI j is required prior to obtaining a sanitary pemrit. Note: Application forms for state-onned POWTS are submitted to the Department of Safety and Professional Services. Personal information you provide may be used for secondary Project Address (if different than mailing address) purposes in accordance v%ith the Privacy Law, s. 15.04(I)(m), Stats. 1. Application Information - Ple se Print AI nformation Property ONNner's Name Qn(~ Parcel 04e_n ` / 1 I b 3.>- - zc isz 40 - , a` li . 1 ~1 7 ~ Perty Location ~ . Property OAiner's Mailing Address Pro t Z-~I 9 ?l too, tn D *r&` Govt. Lot City, State Zip Code Phone Number /4, Section q (circle o e) 1~W ~f.~11 ,401 T '315 N R E o R II, Type of Building (check all that apply) Lot 4 I or 2 Family Dwelling -Number of Bedrooms 3 1 Subdiv''~ion Name b P6 AL_ ❑ Public/Commercial - Describe Use Block # ❑ City of ❑ State Owned -Describe Use n ❑ Village of / CSM k ` vam~ ber 4 own of III. Type of Permit: (Check only one box on line A. Complete line B if applicable) / A. I&New System ❑ Replacement System ❑ Treatment/Holdin Tank Replacement Only ❑ Other Modification to Existing System (explain) B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner / IV. Type of POWTS System/Component/Device: (Check all that apply) ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade 14 Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dis ersal(Treatme Area Information: -74 k Design Flow (gpd) Design Soil Application Dispersal Area Required (so Dispersal Area Proposed (sf) System Elevation Rate(gpdsf) 6 ` (0 O hO~ IiT T5 VI. Tank Info Capacity in V V o O Gallons Total of anufacturer v Gallons Units $ 2 o New Tanks Existing Tanks ; ~i V v~ n c C7 Septic or Holding Tank j i AMA, IGG~~~• ❑ ❑ ❑ ❑ Dosing Chamber 1 ❑ ❑ ❑ ❑ ❑ VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Signa ure MP/MPRS Number Business Phone Number Plumber's Address (Street, City, State, Zip Code) ) 3 *1 f7~ 1 Nib b 5-*y' W.-C S~ 10 VIII oun /De artment Use and Approved approve Permit Fee Date su lssuina went Signature Ow iven Reason for Denial IX. Conditt i eR% j isapproval 3 t 81t'Pf was@R1@Fl} OW X461 4A%q ~YO}trnLq% ~ n /,A- 14 Attach to complete plans for the system and submit to the County only n apper n tt I ss than 8,1/2 1 inches in size ~1A, l~i cnr~ t~nc~ mnoit e~ PLOT PLAN C T J ~ d T O a` 0 95' Mound with 10' x 45' cell ~C Al C °io Slope ■ BM Garage 2" 5ch 40 PVC 000 3 bedroom q, ~L{IT,000~00 Huffcutt dwelling Septic/Pump tank m 0 17V i 174th Avenue Scale 1 40' Ben Thiel 1 S =Benchmark -ELEV. 100' 878 174th Avenue SE 1/4 - S1 - T30N - R19W Top of 1.25" iron pipe -also HRP Town of Somerset ■ = Soil Borings With Backhoe Parcel # 032-2132-40-000 V' = Proposed Well PAGE 8 of 8 P ` 1 C ~ti Ax1. F DIVISION OF INDUSTRY SERVICES 10541 N RANCH RD HAYWARD WI 54843-6462 Contact Through Relay http://dsps.wi.gov/programs/industry-services www.wisconsin.gov \ssioN~ti/ Scott Walker, Governor Dave Ross, Secretary May 25, 2016 CUST ID No. 924973 ATTN: POWTS Inspector MICHAEL JON WALTHER ZONING OFFICE MIKES PLUMBING ST CROIX COUNTY SPIA 1018 185TH AVE 1101 CARMICHAEL RD BALSAM LAKE WI 54810 HUDSON WI 54016-7708 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/25/2018 Identification Numbers Transaction ID No. 2712043 SITE: Site ID No. 824340 Ben Thiel Please refer to both identification numbers, 878 174TH Ave above, in all correspondence with the agency. Town of Somerset St Croix County , SE1/4, S1, T30N, R19W FOR: Object Type: POWTS Component Manual Regulated Object ID No.: 1602740 Maintenance required; 450 GPD Flow rate; 26 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.01/01, R. 10/12), SSWMP Pub. 9.6; 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 Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: As we discussed over the phone I will approve the design with a 9% slope. This slope has been field verified by yourself. The county may also wish to field verify at the time of installation. The pump for this site just makes the pump curve. Should there be any increases to the TDH a new pump will have to be selected. Thanks. Reminders • Pursuant to outlet filter product approval stipulations, maintenance information must be given to the owner of the PO WTS 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 required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. MICHAEL JON WALTHER Page 2 5/25/2016 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 Fee Received $ 250.00 Balance Due $ 0.00 Carl J Li pert Wastewater Specialist , Division of Industry Services WISMART code: 7633 (715)634-5035, M-f 7AM - 12PM carl.lippert@wisconsin.gov cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484 , Monday - Friday 8:00 am To 4:30 pm Michael or Gale Walther, Mikes Plumbing MICHA?L J01' wALTIHER Paae 2 5,252016 In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise makin- 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 Fee Received $ 250.00 Balance Due S 0.00 Carl J Li pert Wastewater Specialist , Division of Industry Services WiSMART code: 7633 (715)634-5035 , M-f 7AM - 12PM carl.lippert@wisconsin.gov cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484 , Monday _ Friday 8:00 am To 4:30 pm Michael or Gale Walther, Mikes Plumbing MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN l INDEX AND TITLE PAGE Project Name: Thiel Owner's Name: Ben Thiel Owner's Address: 1279 Pinewwod Trail #5 New Richmond WI 54017 Legal Description: SE-S1-T30N-R19W Township: Somerset County: St. Croix Subdivision Name: Rocky Ridge Estates Lot Number: 5 Block Number: NA Parcel I.D. Number: 032-2132-40-000 n 'iLLY Plan Transaction No.: CCw~ " Z;i,- =ETY AND Page 1 Index and title ~ .-10FESSIONAL SERVICES Page 2 Data entry ;'J1VISION OF INDUSTRY SE+ VIC: Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency la Page 7 Pump curve and specifications Page 8 Site Plan Designer: Mike Walther License Number: 924973 Date: 05/10/16 Phone Number: 715-768-5115 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 Site Information R Residential or Commercial Design Note: Sand fill (D) calculations assume a Table 383-44-3 in-situ soil treatment for ___300.00 Estimated Wastewater Flow (gPd) fecal coliform of - 36 inches- 1.501 Peaking Factor (e.g. 1.5 = 150%) 450.00 Design Flow (gpd) 9.00 Site Slope 97.00 Contour Line Elevation (ft) 26.00 Depth to Limiting Factor (in) 0.60 In-situ Soil Application Rate (gpd/ft2) Distribution Cell Information 45.00 Dispersal Cell Length Along Contour (ft) = 10.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ft2) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? F=i Y or N e 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) 3.00 Orifice Spacing (ft) = 10.00 ft2/orifice 2.00 Forcemain Diameter (in) 55.00 Forcemain Length (ft) Does the forcemain drain back? Y 80.50 Pump Tank Elevation (ft) Enter Y or N 4.55 System Head (ft) x 1.3 8.97 Forcemain Drainback (gal) 17.00 Vertical Lift (ft) 59.92 5x Void Volume (gal) G- 0.72 Friction Loss (ft) 68.90 Minimum Dose Volume (gal) 0.00 In-line Filter Loss (ft) 24.23 System Demand (gpm) a 22.27 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 x 1.00 1.50 x x 1.25 x 2.00 1.50 x x 3.00 2.00 x 3.00 x Gallonslinch Calculator ,a Treatment Tank Information [___639.66 Total Tank Capacity (gal) 1000.00 Septic Tank Capacity (gal) 42 Total Working Liquid Depth (in) Huffcutt Manufacturer 15_.00 23 gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 639.55 Dose Tank Capacity (gal) Simtech Filter Manufacturer 15.23 Dose Tank Volume (gal/in) STF-110 a Filter Model Number Huffcutt I manufacturer Project: Thiel Page 2 of 8 Mound Plan and Cross Section Views T 1/10 : . . J Observation Pipe rK O A 0~ W :.:.:.:..:.:.:...:.1:_:::::: B : : : I F31. L Mound Component Dimensions ft A 10.00 ft E 20.80 in H [Aft ft K Aft B 45.00 ft F 9.50 in z ft L ft D 10.00 in G 0.50 ft J W 450.00 (ftz) Dispersal Cell Area 1009.42 (ftz) Basal Area Available 10.00 (gpd/ft) Linear Loading Rate 4.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 99.63 (ft) ► r.•:•rrrrr rrrrrr:•;.. G rr: •rr!;r E~;;r 2;rrr~;rrrrrr.:. I F Dispersal Cell 98.33 (ft) Lateral 97.83 (ft)-► Invert Dispersal Cell Elevation F D , ' 97.00 (ft) Contour Elevation 9.0 % Site Slope Geotextile Fabric Cover Shading Key Q I - Dispersal Cell See lateral details on 10 0 Topsoil Cap o 1.5 ft Page 4 for number, size, rrrrrrrr a1 0 © Subsoil Cap O and spacing of laterals. 0 0 ©0 ASTM C33 Sand t6 R / - Laterals are equally 0 Tilled Layer it 0.5 ft Typical Lateral F spaced from the distribution cell's Aggregate ~r c © centerline in the * A distribution cell (AxB). Project: Thiel Page 3 of 8 End Connection Lateral Layout Diagram '-w- the later al>- over the A ri. E dimension Turn-up,Mball -al- or cleanoutplug 1 P All laterals are ,dents at 1=- X-->I Holes dnllpd on the bottom of the lateral .qu.119 spaced - Laterals &.torcemaln Sch 40 PVC. per SPS Table 384 30-5 F_.r,.p mytn._cnnecnon via te.=[r cro== mamf. ~bj at any p.=.int Number of Laterals 3 Orifice Diameter 0.156 in Lateral Diameter 1.50 in Orifice Spacing (X) 3.11 ft Lateral Length (P) 43.54 ft Orifices per Lateral 15 Lateral Spacing (S) 3.33 ft Orifice Density 10.00 ft2/orifice Lateral Flow Rate 8.08 gpm Manifold Length 6.67 ft System Flow Rate 24.23 gpm Manifold Diameter 1.50 in Total Dynamic Head 22.27 ft Forcemain Velocity 2.47 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and SPS 316.300 WAC 4 in. min. Disconnect Tank component is properly vented Alternate outlet location Forcemain diameter Huffcutt Manufacturer 2 in. Capacity 639.55 Gallons -T Volume 15.23 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 25.47 387.89 B 2.00 30.46 C Pump off elevation (ft) C 4.52 68.90 81.33331 D 10.00 152.30 D Total 41.99 639.55 Dose tank elevation (ft) 3" Bedding un er tank. 80.50 Alarm Manuafacturer SJE Rhombus Note: Switches Alarm Model Number HW101 containing mercury _ may not be used in Pump Manufacturer Goulds this system. ~PE41 Pump Model Number Pump Must Deliver 24.23 gpm at 22.27 ft T D H Project: Thiel Page 4 of 8 Mound System Maintenance and Operation Specifications Service Provider's Name Mike's Plumbing I Phone 715-768-5115 POWTS Regulator's Name St Croix County Phone 715-386-4674 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 Inspect and/or service once every 3 ears Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 ears Alarm Should test monthly Pressure System Laterals should be flushed and pressure tested every 1.5 years Mound Inspect for ponding and seepage once every 3 years CJther 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 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lon Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Thiel Page 5 of 8 Mound System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General This system shall be operated in accordance with SPS 382-84 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 SPS 383.33, 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 filter 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 System 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 BOD5, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BODS, 30 mg/L TSS, 10 mg/L FOG, and 104 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. Contingencv 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 8 METERS FEET 40 MODELS: PES1 PE31, PE41, PE51 HP-..3-1,.40,.50 35 10 --D►~~- 2 GPM 3o PE41 1 F? 25 PE3'9 V z 20 .a 15 10 5 0 0 0 10 20 ~ 30 40 50 60 70 GPM 80 0 5 10 15 s't'i3/h CAPACITY PERFORMANCE PATINE- PE31 PE41 PE51 Total Head GPM Total Head GPM Total Head GPM (feet of water) (feet of water) I (feet of water) _ 5 ( 52 8 61 ! 10 i 67 i 10 42 10 j 57 j 15 59 15 29 { 15 ( 46 20 50 20 16 20 33 i 25 ; 39 30 26 25 ~ 0 ~ 2$ i 16 3 5 8 I rPLOT PLAN J C n O N a 0 a` 95' Mound with 10'x 45' cell ` % Slope / ■ BM Garage 2" Sch 40 PVC 00 3 bedroom 1000/600 Huffcutt dwelling Septic/Pump tank a m 3 m 174th Avenue Scale 1" = 40' Ben Thiel = Benchmark - ELEV. 100' 878174th Avenue Top of 1.25" iron pipe - also HRP SE 1/4 - S1 - T30N - R19W ~L Town of Somerset ■ = Soil Borings With Backhoe Parcel # 032-2132-40-000 ~Y =Proposed Well PAGE 8 of 8 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM ~~GyC'~,n Owner./Buyer I/ 0 7-1 Mailing Address / 7~" I le, ~ r, Property Address (Verification required from Planning & Zoning Department for new construction.) DDO r 2-132- f City/State i/ Parcel Identication Number ~37 LEGAL DESCRIPTION Property Location I/4 1/4 Sec. j, T ~L N R l W. Town of a1b/n Subdivision Plat: Lot # Certified Survey Map # Volume Page # Warranty Deed # (before 2007)Volume Page # Spec house yes 7- 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 §SPS. 383.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Safety And Professional Services and the Department of Natural Resources. State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on t s form are true to the best of my/our knowledge. I/we anv'are the owner(s) of the property described above, by virtue of a w anty deed recorded in Register of Deeds Office. Number of bed ooms r ATU OF APPLICANT(S) DATE ***An-,, 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. 04/12) Wisconsin Department ofCommer SOIL EVALUATION REPORT Page of Division of Safety and Buildings ' !r dr~c,~pfg! 1S 1 l l~rlce with Comm 85, Wis. Adm. Code 1, ~ I x UU ~J County Attach complete site plan on pa r not less than ~ 1/2 x 11 inches in size. Plan must 7 include, but not limited to: vertical aed.horizb i j point (BM), direction and Parcel I.D. -Z 2, percent slope, scale or dimerm.9mdt and location and distance to nearest road. > e- )-&&J 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 ) W -~Jljx e Govt. Lot ~L 1 /4 2~ 1 /4 S I T N R E( ProDerly Owners Mailing Address Lot # Block # Subd. Name or CSM# City State Zip Code Phone Number ❑ City ❑ Village gown Nearest Road El-New Construction Use' esidential / Number of bedrooms Code derived design flow rate -0 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Flood Plain elevation if applicable ft• General oorr ments and recommendations: System Type 10 f a rL.,-10 System Elevation Boring # E] F T] 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 6 0-/Y J~)Ir /2/ ✓ ~ Boring ` Boring # El APit Ground surface ele ft. Depth to limiting factor rT ~ in. Soil Application 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 l 6-/-3A9, 7l f/ ,L 3- G Y/ ~J -52 ' l Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 nVL CST Name (please Print) Signature CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 ` > 715-246-4516 Property Owner _ Parcel ID # Page of a Boring # ❑ Boring i ~ in. it Ground surface elev. Depth to limiting factor --S "n Boil Application 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 I r" / 3 v C,f- d Z y 3/7 17 ,11Z, .17 a Y, a 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/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ❑ Boring Boring # Ground surface elev. ft. Depth to limiting factor in. F-1 ❑ Pit Soil Application Rate Horizon ')epth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BODS < 30 mg/- 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 (8.6/00) Property Owner _ Parcel ID # Page of g u Boring # Boring n Ground surface elev. L~ Depth to limiting factor _5 -77 in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDKf in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'r=ff#2 n fr-11l . IVj - i~ I IJ Boring # U Boring u ❑ pit Ground surface elev. ft. Depth to limiting factor in Soil plication 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 Boring F-I Boring # Ground surface elev. ft. Depth to limiting factor in ❑ Pit soil lication Rate Horizon 'lepth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 'Eff#2 Effluent #1 = BODS > 30 < 220 mg-/L and TSS >30 < 150 mg/_ ' Effluent #2 = BOD5 < 30 mg/L and TSS < 30 mg/L I 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 (8.6/00) Soil Test Plot Pla Project Name John Melvin Sha Bir Address P.O. Box 21 Somerset Wi 54025 TM #226900 Lot 5 Subdivision Rocky Ridge Estates Date 8/6/12 NE 1/4 SE 1/4S 1 T 30 N/R19 W Township Somerset Boring G) Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of 1.25" pipe System Elevation TBD *HRPSame as Benchmark 174th Ave Scale is 1" = 40' unless otherwise noted B-2 130' 97' B.M.* 15' -1 70' 5' 25' 95' 35' B-3 9°Io Slope Property Line W~"unsin Department of Commerce SOIL AND SITE EVALUATION 2 Division of Safety and Buildings Page L of Bureauvf Integrated Services in accordance \Mj, ki!_HR 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and S~. /"o J K percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. # _ . APPLICANT INFORMATION - Please print all informatPon. F Revie ed by Date //)7 Personal information you provide ma e used for secondary purp es (Privacy Law,. 15.Q~(1) (jf y ( ~g Prop r_X Owner P dperty Location U 60-5-rI j Z) ~ %s04 Govt. Lot ` 1/4S~ 1/4,S T ?G),N,R E (or~ Property Owner's Mailing Address Lot # Block# Subd. Name or CSM# _ X731 9.S-rr,1X R0(4 City State Zip Code Phone Number ❑ City ❑ Village Town Nearest Road lU l& r( ~/no~-AS U) S 0// (7IS) 2 S~1s SC Yh~rS~ ~s~.t~ S7` New Construction Use: Z Residential / Number of bedrooms Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow U~ gpd Recommended design loading rate r bed, gpd/ft2 0 r5-- trench, gpd/ft2 Absorption area required Soo bed, ft2 ,S00 trench, ft2 Maximum design loading rate ° Y bed, gpd/ft2 °a trench, gpd/ft2 Recommended infiltration surface elevation(s) / a ft (as referred to site plan benchmark) Additional design/site considerations 414 Parent material _G~~+'~ ~ ~ 7~/I ~f• 17 410 Z 6Olt-f3. J'Q,S/LOceM Flood plain elevation, if applicable ft S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U = Unsuitable for system ❑ S X U ©S ❑ U ❑ S © U ❑ S 3u ❑ S Z u ❑ S N U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 777 ~OY~C ~z /~9 .S'L / msbK c w 2 m „ y os- 1 Ground 3 16- 7S t .'L/ °S elev. 1j^ 17 7~ ~/i G { F2,~IR ~Yhsh/C lC~ '~)e ySft. Depth to limiting factor U D in. Remarks: Boring #s~k o-1 _Z 3 -7, _YV f IYA S/_ 1Ins6lt i~i<~i Ccv m . . S L. n Ground -2 3rJ? elev. e'l US ft. Depth to limiting factor 2t_in. Remarks: CST Name (Please Print) S~ture Telephone No. For at, L Address !i' 7 / )-Z C rV/% Date CST Number PROPERTY OWNER Sf 11 / Nf~o~-t SOIL DESCRIPTION REPORT -7 / Page Z a PARCEL I.D.# if) (BCD # Boring # Horizon Depth Dominant Color Mottles Structure 2 Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench: Ground ~6 Z7 7~~z\ ~f l j~k f'Y17 O Gu / F+ f 7 rf t. 2 7- 7,5 Depth to limiting factr in. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Boring # Ground elev. ft. Depth to limiting factor in. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: SBD-8330 (R. 07/96) 3oicS f T ~-tf t'~ 731 n ,/7~ C w~DC r j I I ! f~ - A jje^Ch t-,a t -5o ems, rt Lo f Corner ,F-1. ~c,I C! S©i/ ga-i'l y~' SG a /e . - t Cs~t, 233 iy ° - - - - Ol y - I~ ~ I ~ f ~ I i I -T Lot A 31" ! 1 it 0 f~ } fi - t _-E- -t-- t_ - - ----r . f ~ I 1 1 I { 1 i f 1-7 Land Use ST. C R O hX--'0~k?=UNTY Planning & Land Information Resource Management Community Development Department -L-J 0r'°` June 24, 2016 LUP-2016-025 Ben Thiel 1279 Pinewood Trail #5 New Richmond WI 54017 RE: Land Use Permit to Fill and Grade within 300 feet of the Ordinary High Water Mark pursuant to section 17.30 L 2.a. 1) Parcel 032-2131-40-000 Dear Mr. Thiel, This letter confirm-, 70ninl err, " ' ' - ,ording to the plans you have submitted for filling and grading Overlay. The Community Development Department (CDDj AVey dated June 24, 2016 and determined that the proposed project x County Shoreland Overlay District with the following ately 13,000 square feet total. from the Ordinary High Water Mark. ced between the construction area and the wetland. l ~U -C)c~ High Water Mark and 35 feet inland will not be disturbed. In J % will not be disturbed. and use permit is subject to the following conditions: shall be followed. nstalled. _i. A pre-construction meeting shall be scheduled 3 days prior to the project starting in order to inspect the erosion control measures. 4. Erosion control measures shall be inspected and repaired after major rain events. 5. We strongly suggest that you mark off the drainfield area to prevent any disturbance. This area must remain undisturbed. 6. The applicants are responsible for securing all other required permits. 7. This permit is valid for one year and two six nth extensions can be granted for total of two years. ~A R If you have any questions, please contact us at 715-386-4680 or via e-mail. Phone 715.386.4680 Government Center, 1101 Carmichael Road, Hudson, Wl 54016 Fax 715.386.4686 www.sccwi.us/cdd www_facebook.com/Stcroixcountywi cdd co.saint-croix.wi.us RECEIVED JUN 2 4 2016 -SITE PLAN OF EXI§TJNG h(DlTIOM$ \ \ - ` cgµiu?~ar ca/r~rr \ \ - 5 OF THE PLATROLKY RIDCZE ESTATES. SAID LCT COCPT D'J~TF+E E %4 OF THE \ 1\ ^ I \ \ \ \ ` ~E/4 QF-SECT\ ON 1\33gN, R~19W, TOWN OF SOMERSET\ ST~~2e11C Ott TC, ISCON H N \ \ \ \ _ 1 T / SR-52'0 F\ 5,p`0 \ \ \ \ ! / _ } IT- \ \ MON MELT Na T FO~1ND \ i \ \ \ \ \ I ( 12' i PIPF/FO \ \ \ IROrROSYFOUNp \ \ \ \ \ m1•saHasa FROG \ 1 l / \ 1 \ \ 1 w O~ R \ j \ \ \ 1 i \ pMPgTEdfOS~ON\\ \ \ \ \ ~q\\~~; J/ II )/I1 \ i 11 11 \ \I 1\ 1\ ~1 ~~l/ ll/~~\\V \ \ \ ' I DFD AIREA \ \ I\ \.t \ I\ ! I 1 I ! 1 / I \ \ \ \ \ \t 1 \ 972 1 \ \ 1 1,\ \ / t / / / l / / Y l l v\v `I ~11 I I~ r,j/~ 1vLO~`5 ~~V v vI v~ vv~/ ~ao~~c~~ arc I\I, ~ ►~YjI~r6dE-ESTATts \ 1~-- / - \ / WETLAND POND \ ,'1 t t /l 3.99 ACRE? I \ \ \ ) LI I \ \ 1 I WOODED AREA \ Y 1111 I I I I / ~ ~ ~ I I \ VAAA\ \ V I ~ III III I ! I ~ ~ \ \ \ / / ~ ~ / / V A \ V AA ~ A 1 I I , I 1 ' 1 Iv \ \ \ \ \ Z~~ _ ` it I I 1 I 1 1 APPr X 75' SET\BACKmo V\AVVyA~vvvv 1 lull I\I\~t~lVA\~\ Pq~o.H: y. \v-v~-~~~ v\ WIJ rEN 'CEO DTSJiA ~~N~REAjbD~.\ I I 1 1 \ \ ~ \ \ \ \ ~ / i - - i PI ~O4 s~~e N ~s.LAs~ow ~ ~ \ 1 \ \ \ \ ~ \ ~ \ V \ z~Ipr~G c N eE \ \ ~ 1 'coNSTR6lcTlOlcoar.~a*~e~T+aE'\e`\\ ROCKY'RIDEE E \ \1\ \ _ ~ \ \ \ \ -9j0_\ Not :No deeded erosloR\\\\\m ontolfen6ewill b r~eedi'~dforrunofonthe \ \-c° /\\\~\\\\I,li i/ w st,'east and south - t WETLAND/POND - / / / ; \ N \11` \ \ > \ r Pe linesSOthouse/ APPROXI P MATE O.H.W.M. \ l / \ \ ^ OTE. aHC eowNC s Pn 1 \ 1 \ odatPi f nY due to the f >STLU ENCROA045k O C 1 \ s1\ I / / ' r~sion contrl ba `rie{ \ OT vENrs~HOVIN r LL \ ~u"nding grassed iq \ ( \ \ \ areas and elevationotF e / AN U road, NO r~Off- ill 11/~ EN ENK~ able to IIe u&Al site. Tracking Zt of site will be / \ \ \ - ~1 - _ / 1 I \ cleaned within 48 hours. J / \ \ \ _ - / \ f\\T / /tee ESeE BEARING6REFE`SG NCEDTO YII~EP.ST eINEST / / \ ` / / \ )NOTE: CONTOUR INFO TION QUARTaC®EST1tF~~$$jMC~~tfGQ6 $i#MOO a PREVIOUSLY \r! \R(.1A\ \1$ RECOR ~bkUFJd~TK 52'09'x; ST. mERIVED FROM ST CROI); FOUNTY ROIX t~~• / / LIISLAR DATA, ELEVATIONS AT ZTE\ proper\drainage frorn-tke / oqK J 1 \ \SREM(ERE CONFIRMED WITH PS \ \ ure h r.IELDOBSERVATIONS. f \ \ \ \ surrrro4 aine R and properties. / z' 7 Ju1 3~0 aD' / : \ \ \ \ \ \ / OAK ~i.. I. -_9 ORCSEID \/Dr~wob ppioviait by BCT a o0 - DwEw/9~ ,Ip J O/uEaeR - / 8.4' \ _ \ \ rl - -/a 9e~ \ \ Approx. Sep'tie S"rPr\\\ „ - Reyis/ed: 6- ELEC/ m RON Q PIJ'F PE _ 1> -+L y_ °a° Location. \ \ --FROM NCp9'41 p'WQgIND _ //Roadya6ceesto~'ft$L~.~= DF0 ,HON _ class five and dr riv/er~rock ~ - 50 foot setback _ - _ from ro ert\\ F~ e e p P Y - \ s „w4 rO m~ DG - 3 n ry~pA N' \ line. App3TOV4 l\~ T \ f \ \ \ m ~ OEC4GEMEM 1'(}S_, ff 56 \y 1 by St. Croix \ - - JR°MdOZOM UQ- / ^ \ \ \ / GOU 0~ I / / "SGAVEMEI `iT,oAT - \ \ -4,0CKF ROVE 'Elf TA72W SCALt IN -::ET mf m ® 0m EE~o Z z P r mmz O' ° ray .y'. o Z ~y0 ODN 00 E K m CY _ v 2 w O5 m m ym~ Om0 Nym z_ mOm Aaz D O 02 z o o' zm z > tiFZ z o a a o ° > v ~