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026-1119-10-000
0 4- ~y ac~ (NW~tw mtoc_ Wisconsin Department of Commerce ~IVATE SEWAGE SYSTEM County: St. CCOIX Safety and Building Division INSPECTION REPORT Sanitary Permit No (ATTACH TO PERMIT) 589740 GENERAL INFORMATION State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 2726367 Permit Holder's Name: City Village Township Parcel Tax No: Stephen Lillyblad TOWN OF RICHMOND 026-1119-10-000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: btu. o~CYe ~C base 22.30.18.705 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION B HI FS ELEV. 5t ig mkt~ - U` w Septic % L c ^ U Benchmark q, 5 I I •D Dosing J Alt. BM 1N 1 L c A - ~.~K~S'• 3 rj' Bldg. Sewer • (l 1 Ht Inlet C TANK SETBACK INFORMATION S Ht Outlet p,...1J TANK TO P/ WELL BLDG. Vent to Air Intake ROAD Dt Inlet 0 t r B ~S.SS Septic t t Dt Bottom q 32D a~ k ~ ,?J, .1~ 9Zo) s NW-V Dosing Q t • \ ` l t fiz?!an. * I J Aeration Dist. Pipe S .S 10~ • Holding ' Bot. System PUMP/SIPHON INFORMATION Final Grade Manufacturer ` & Demand Dem St Cover M 4.2~ 1 J 'O-b Moog q,7.85 Model Number \N C_ 0 95 X,t TDH Lift. Friction oss ei System H ,s-Ill TD t 70(ltvur 0/• Forcemain Length Dia. 21 I. Dist. to Well Y' A r SOIL ABSORPTION SYSTEM S~ BED/TRENCH Width t Length No. Of Tre ~pty~s,n PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 5n I ~(/~IV\ yVe=L+\iQ SETBACK SYSTEM TO P/L BLDG WELL LAKE/S EAM LEACHING Manufacturer: INFORMATION CHAMBER OR TySiste t 1 /y y,~~~ UNIT Model Number: DISTRIBUTION SYSTEM !iIN Header/Manifold jengthir, istribution y/y~(~ 1 Ix Hole Size x Hole Spacing Ve o a ipe( . 4 ( N r A Lengt Dia Dia_ Spacing ' 1 on SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx De th of jxx Seeded/Sodded xx Mulched Bed/Trench Center ` Bed/Trench Edges opsoi Yes ❑ No Yes ❑ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: D / j /2~j 1(~ rJ~ Inspection #2: Location: 1270 146TH AVE 1.) Alt BM Description = 2.) Bldg sewer length 0 - amount of cover Plan revision Required? n❑ Yes No Use other side for additional informati SBD-6710 (R. 97) Date pLor's Signature Cert. No. "Aft V ~ 2 Q ~j ~i - ~y ( Wisconsin Department of Commerce PRIVATE`-SEWAGE SYSTEM Cou y: St. CfOIX Safety and Building Division INSPECTION REPORT Sanitary Permit No: GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: 589740 Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 2726367 Permit Holder's Name: City Village Township Parcel Tax No: Stephen Lillyblad TOWN OF RICHMOND 026-1119-10-000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: 22.30.18.705 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION FS V. Septic J Benchmark u5 0 ~bo.o Dosing Alt. BM Aeration p r Bldg. Sewer Holding i St/Ht Inlet St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt Bottom Dosing Header/Man. Aeration Dist. Pipe Holding Bot. System u 3.2 of .3 PUMP/SIPHON INFO ATION Final Grade O Manufacturer Demand St Cover GPM Model Number TDH Lift Friction Loss System Head TDH Ft Ui2_- 3.2 log . 3 Forcemain ngth Dia. Dist. to well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Tr huuy PIT DIMENSIO No. Of Pits / Inside Dia. / Liquid Depth DIMENSIONS -1 SETBACK SYSTEM TO P/L BLDG WELL LAKE/S EAM LEACHING Manufacturer: INFORMATION T f Sys m: 1 CHAMBER OR UNIT Model Number: I an] ~ 32' DISTRIBUTION SYSTEM l+ 1 n1JAAn LHeader/Manifold Distribution ix Hole ix Hole Spacing ' V n ke Pipe(' 11 1 f I n ~ Length Dia_ Spacing 2 I .-I ' Z" SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx xx Seeded/Sodded No e xx Mulched Bed/Trench Center\ ` C Bed/Trench Edges opsoil K/ ` J Yes ❑ s ❑ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 1270 146TH AVE 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = Plan revision Required? ❑ Yes No Use other side additional informatio II iVl_I~i/-- JI 1` 1`tOJI 1 -J Date Ins Actor's Signature Cert. No. SBD-6710 (R.3/ 7) 'y rv a~ County Safety and Buildings Division St. Croix ©s 0 8 201G 201 W. Washington Ave., P.O. BOX 7162 Sanitary Permit Number (to be filled in by Co.) P Madison, 3707-7162 %T;-7040V COUNTY cl 7 yb L+eMf1NITY DEVELOPMENT A fir, Sanitary Permit Applicati _ 9ZS8GX0/V State Transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the approp.._ COY40J 2726367 is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are - to Project Address (if different than mailing address) the Department of Safety and Professional Servies. Personal information you provide may be used for secondary u ses in accordance with the Privacy Law, s. 15.04(1)(m), Stats. L Arn. Application Informs ' - Please Print All Information TT~~ III Property Owner's Name Parcel # Stephen Lillyblad 026-1119-10-000 Property Owner's Mailing Address Property Location ^1 ' C I Q V 'I 1270 146th Ave Goat. Lot d V City, State Zip Code Phone Number NE NE 22 Section ore? e on New Richmond 54017 651-283-3314 T 30 Nc R 18(oirolE Il. Type of Building (check all that apply) Lot # t ' Subd ' IR I or 2 Family Dwelling -Number of Bedroo } L' ps,on e Block # r eyJ ❑ Public/Commercial - Describe Use ❑ City of Sta Owned - Des ribe Use _ ( CSM Number ❑ Village of 5 C2FTown of Richmond Ty of Permit: (Check only one box on line A. Complete line B if applicable) A. ❑ New System Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and. Date Issued Before Expiration Owner 3 3 ,2,2- IV. Type of POWTS System/Component/Device: (Check all that apply) ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ® At-Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dis ersallTrea ent Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) / Dispersal Area Proposed ( System Elevation 600 VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units Z 2 Zable A-100 R U New Tanks Existing Tanks c y 320 a U w c7 ci Septic or Holding Tank Weeks & Wieser 1000 020 Weeks & wieser 320 X Dosing chamber 750 750 Wieser X VII. Responsibility Statement- 1, the undersigned, assume responsibility for i tallation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumbe 's ignatur MP/MPRS Number Business Phone Number 648443 651-47 Plumber's Address (Street, City, State, Zip Code) 927 150th St. Roberts Wi. 54023 VIH,County/Department Use Only Approved SM~7. Pertmitit Fee DatIs/xo d Issuing t Signature Lill Reason for $ v `w IX. Con dit M[~QiAtAiialfteasons for Disapproval ~1 1. [ 1. Septic tank, eifk*l tiiWalm J -tpy~y~ If/l 5(r4 1f~C✓. A S Pe a,i cell nlelsf a he pr ! Cw.~'C.~ t 1, e. u►~ A;A e(' ~t+ AS pef r maragertlent lptatt prtavttied 2. il>~k>letbliek as per *PIC" ootM / ors. Attach to complete plans for the system and submit to the County only on paper not less than S 112 x 11 inches in size SBD-6398 (R. I1/11) C 0 P Page 2 of 10 P/L Sanitary Site Plan For:Stephen Lillyblad 20 40 Lot 10 of the Pond View Meadows Sub. Parcel in the NE-NE + SE-NE OmpI& seade ([mot) Sec. 22 T30N-R18W I Inca - ao M 'fl'own of Richmond - St. Croix County i Four Bedroom Home 2.00 Acre Parcel Graded Area biralk-(hut Existing 4" PVC Building Fewer Existing Weeps Concrete 1000 Gal. Septic Tank ~P Garage Note: Differences in slope percentage Rill increase separation between at grade cells. Existing Wieser Concrete 320 Gal. Filter Basin tv/a Zabel A-100 Filter Proposed Wieser Concrete 752 Gal. Dose Tank I B 10% Proposed two 8 ft. x 75 ft. At-Grade Mound Dispersal I Cells. Locate the upslope cell along the 101.00'contour !j and the down slope cell along the 99.80' contour. 1 Existing Dispersal Cells Open Lawn III A BM = Top of Concrete ]Base of ]Fla oie ~I ft.Diam. III III * HRP = S.W. House Corner P/L ASSUMED ELEV. = 100.00' I~ ! P/L 102.00' Idl ICI R= Backhoe Pit $ # 6% 101.00 99.00' 100.00' Elevation Data System Elev. of Chambers 94.29' Top of Concrete Manhole over Filter Tank 99.80' Top of Outlet Pipe inFilter Tank = 95.97' Flag Pole 0 O ♦ BM FN# 1270 146th Ave. P/L !ti`paxTE~ 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 0A- Scott Walker, Governor Dave Ross, Secretary June 21, 2016 CUST ID No. 224059 ATTN: POWTS Inspector KEITH E STONER ZONING OFFICE KEITH STONER SOIL TESTING SANITARY DESIGN ST CROIX COUNTY SPIA 23220 WOODCREEK RD 1101 CAR-MICHAEL RD SIREN WI 54872-8728 HUDSON WI 54016-7708 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/21/2018 Identification Numbers Transaction ID No. 2726367 SITE: Site ID No. 825436 Stephen Lillyblad Please refer to both identification numbers, 1270 146TH Ave above, in all correspondence with the agency. Town of Richmond St Croix County NE1/4, NE1/4, S22, T30N, R18W FOR: Object Type: POWTS Individual Site Design Regulated Object ID No.: 1608265 Maintenance required; Replacement system; 600 GPD Flow rate; 43 in Soil minimum depth to limiting factor from original grade; System(s): Mound 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: • This system has been reviewed and approved as an Individual Site Design. The system shall be constructed in accordance with the approved plans and ch. SPS 383, Wis. Adm. Code. • 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. 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. KEITH E STONER Page 2 6/21/2016 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 S 450.00 This Amount Will Be Invoiced. l• When You Receive That Invoice, Carl J Lippert Please Include a Copy With Your Wastewater Specialist , Division of Industry Services Payment Submittal. WiSMART code: 7633 cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484 , Monday - Friday 8:00 am To 4:30 pm KEITH E STONER Page 2 6/21/2016 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 $ 450.00 This Amount Will Be Invoiced. When You Receive That Invoice, Carl J Lippert Please Include a Copy With Your Wastewater Specialist, Division of Industry Services Payment Submittal. WiSMART code: 7633 cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm Index ar,d 'Fit I e IS'hect R ~cF~V Project Name. Stephen L.,illyblad Replacement At:-Grade Mound System JUN ~~1 15 Property Owner: Stephen L,illyblad IND(/S 6 Address: 1270 140"' Ave_ ~AY,9 Z~l '~dew Richmond W1 Phone: 651-283-3114 ~ legal T~esr ript:ion: Pnrcel in the NP.I/4-NF.114 Sec. 22 °T3ON-R 18 W Lot 10 ofthe Plat of Pond WW MendowA,, "Townshir Richzmond Coun'gl- StA)-61, COII,I`lTT? N T ` [gage: I Individual Site Design Pag;o: 2 Plot. Plan CONDIM4NALLY Page: 3Two Cell Mound Cross Section and Plan View of tlpslope Fell p~ppRQVED Page: 4 ` wo Cell Mound Cross Section and Plan V iew ofDowni Sion -,A] ND PROFESSIOf Page: Lateral Layout: Diagram Upslope Cell DEPT OF SAFOF INDUSTRY SER Page- 6 Lateral Layout Diag;rarn Down `dope Cell DIVISION Page: 7 Plan View and Calculations of Dispersal Cells due to Concave Slope Pag ec 8 Dose Tangy Cross Section Page: 9 Pump Curvo Page: 10 Manag ernent and Contingency Plana SEE C RESPONDENCE Attachments: Cope of Soil Vest and ~;oaArrty sanity ~ ia~stelxr 1a slrection ~egnort. Pressure Distribution Component Manual Used = Version 2.0 SBD,-10706-P (NO 1/0 1 R. 10/12) At-Grade Mound Component Manual Version 2.0 1030-10854 (N,03/07 8.10/12) 0 N$/N Designer: Keith E. Stones Designers License ff 157:5-007 H E. l ONES ~ l3lrorte; -Y(715.-zi53-?.324) Tate &-13_.1f> Sire. wee- Page I a+b of 10 Audividual Site Design and Plan Narrative 'The: objective of this individual site design is to design and site a replacement sanitary system for the Stephen Lillyblad residence located at 1270 146tfi Ave. in New Richmond Wl. The Lillyblad property is located in Lot 10 of the fond View Meadows Subdivision and. NE1/4 - NE1A Sec. 22 'T30N-R1, 3W in the 'T'ownship of Richmond in St. Croix County. The property under consideration for the proposed sanitary system is a 2.00 acre lot with a somewhat limited search area and soil conditions. The existing; residence was constructed in 2000 under State Sanitary Permit #363832 which consisted of a 1.000 gallon concrete septic tank, an undocumented Wieser Concrete 320 gallon tank with a Zabel A.-100 effluent filter and two dispersal cells approximately 3 ft. x 119 f1 consisting; of infiltrator High Capacity Sidewinder leaching; chambers. The soil conditions onsite belong; to the Jewett Soil Series and its taxonomic Class is a fine- loamy, mixed, superactive, frigid, typic; I-lapludalfs. The Jewett series consists of well drained soils that are moderately deep to densic contact; with till.' The soil borings reviewed onsite revealed a. sandy loam till starting at approximately 24 inches below the grounds surface, with indications of perched water in the form of redoximorphic features at a depth of 43 inches including bands of saturated loamy sand within the till. The fill material we are dealing wit this individual site design has to do with the installation of the two dispersal cells mentioned earlier. The configuration of the yard and landscape position has pushed our proposed replacement system into a concave slope where a portion of the at-grade mound dispersal cell swill be located over the top of the existing dispersal area. Pushing or sliding the system to the cast shortened are available contour length and at the same time increased our concave slope deflection to over 10`/x. We also are trying to keep the dispersal cells lower on the slope so that the at-grade mound dispersal cells can be blended into the yard f6r aesthetic purposes at the request of the homeowner. STNS 383.44(3) (b) I states that a POWTS designed utilizing; a component manual recognized under s SPS383.60 (1) shall have at least 6" of the 24--inch soil separation required under par. (a) shall be an insitu soil type for which soil treatment capability has been credited under Table 3$3.44-.3. Because this site has fill material over a portion of the proposed dispersal area we will have to apply for an at-grade mound sanitary system through the individual site design process. The individual site design process does not require the 6 inches of insitu soil however we still need to evaluate and be confident that the intent or rationale of the 6 inches is met on our site assuring that the influent will be assimilated into the subsurface soils (in this case the fill material) without ponding on the ground surface. While evaluating boring 114 which was purposefully dug or the edge of the upslope dispersal area I delineated three horizons a. disturbed topsoil horizon 10 inches thick consisting; of a moderate fine to mediurn structured silt loam, a 2"' horizon of disturbed soil consisting of a inoderate fine sub-angular blocky structured. sandy loam and lastly a third horizon consisting of a mix of loamy sand and sandy loans exhibiting; a weak, medium sub-angular blocky structure to a depth of 52 inches where the soil became saturated from effluent seeping; out of the leaching chambers. The system elevation of the upslope cell was 94.29' approximately five feet below grade. 't'here were no indications of redoximorphic feeatures in this boring;. The disturbed area Page 2a+b of 7 f Page l a+b of 10 that we are discussing for this site is clearly associated with the original system installation. The system having been installed on August: 3'c1, 2000 has had nearly 16 years now of growing grass and experiencing the freeze and thaw cycles associated with the seasons. Lily assumption would be that the soil conditions were fairly dry during the installation and. backfalling process as there was no indication of compacted soils that usually show up in some form of platy structure if the site was to wet. It appears that fill material onsite has had sufficient time to generate a well developed structure of its own. This structural. development in soils is assisted by the yearly freeze- thaw cycles, plant growth with root penetration into the fill, animal activity (worms etc.) and rain and snow melt percolation. SPS Table 383.44-2 shows the soil application rages for various soil textures based on morphological soil evaluations for use with in-situ soils. I believe that the fill material onsite has had sufficient time to assimilate the characteristics of the in situ soils referred to in this table as the moderate soil. structure within the fill material is continuous with the underlying moderately structured insitu soils to a depth of 1.9 inches at which point the soils structure weakens. l'he proposed salutary system design will consist of an existing leeks Concrete 1000 gallon septic tank, a Wieser Concrete 320 gallon filter basin with a Zabel A,-100 effluent filter and a 2 inch force main serving an at-grade mound systems consisting of two 8 ft. x'75 ft. dispersal cells. i believe: by following the design parameters outlined for this proposed sanitary system that it will both adequately treat and disperse the wastewater generated from this 4-bedroom home.l further believe that this design complies with the design principles outlined in SPS 383.41 and will provide a. system that is safe and will protect public health and the waters of the state. (3) 1NFtt:rRA:rivR SURFACE. (a) The infiltrative surface of unsaturated soil to which influent is discharged shall be located at least 24 inches above the estimated highest groundwater elevation and bedrock. (b) L A POWTS designed utilizing a component manual recognized under s. SP`°; 383.60 (1) shall have at least 6 inches of the soil sc p ninon required under par. (,0 consisting of an in situ type for which soil treatment capability has been credited undo 'Cable 383.44-3. 2. The purpose of the 6 inches of in situ soil under subd- ! shall be to assure that the influent will be assimilated info roc orit=imi subsurface soils without ponding on the ground surface. SPS 383.44 Parameters for POWTS components consisting of in situ soil. (1) EVALUATION. Powys treatment and dispersal components consisting in part of in situ soil shall be evaluated in accordance with ch. SPS 385. (4) CAPABILITIES. (a) 1. a. Iixcept as provided under subd. 2., the dispersal capability of a POWTS treatment or dispersal component. consisting in part. of unsaturated soil shall be limited to that specified in "fable 383.44-1 or Table 383.44-2 based upon the influent. quality concentrations being applied. lalational Cooperative soil Survey .leweti Series October of 2005 Page 2a-l--b of 7 Page Z of ~10 - P/L Sanitary Site Plan For:Stephen Lillyblad 40 Lot 10 of the Pond View Meadows Sub. 20 Parcel in the NE-NF + SE-NE Graphic. Scale (Ebel) Sec. 22 T0N-A1I8 A inch = AU ft. Town of ]Richmond - St. Croix County .Four Bedroom Home, 2.00 Acre Parcel Graded Area • WELL Walk-(pct Existing 4"PVC Building Sewer Existing Weeks Concrete 1000 Gal. Septic Tank HRP Garage Note: Differences in slope percentage, will increase separation between at-grade cells. Existing Wieser Concrete 320 Gal Filter Basin, w/a. Zabel A-100 Filter - Proposed Wieser Concrete 75Q Gal. Dose Tank i3 #Sr~~ Proposed two 8 fit. x 75f 10% . At-Grade Mound Dispersal Cells. Locate the upslope cell along the 101.00' contour and the down slope cell along the 99.80' contour. -T-'-44 f' (J f, Open Lawn FxistingDispersal Cells I Ill A BM =Top of Concrete ]Base of Fla ole -1 ft.Diarn. N P/L * HRP = S.W. House Corner III ASSUMED ELEV. = 100.00' P/7 I~I Idl 102.00' ~jj - Backhoe Pit 11 1 B 4%101.00' 99.00' 100.00' Elevation Data System Elev. of Chambers 94.29' 'Top of Concrete Manboie over Filter 'Tank 99.80' 'Top of Outlet Pipe inFi ]ter Tank 95.47' Flag Pole ♦ BM ,bW# 1270 146th Ave. P/1~ Page '3 of 1.0 Upslope Cell AT-GRADE (PLAN VIEW %tote~ Please refer to page 7 o 10 actual dimensions for cell D _ configuration documented, there 1/6 B Observation pipes (2 typical) A 8.00 ft D B 75.00 ft 1/6B 12,50 ft C 10.00 ft NtvC D 5.00 ft E 2.00 ft L 85.00 ft B W 20.00 ft A x B 600.00 ftA" L Pdoter Down slope D.. dimension wi.11 vAry from ~ i't . to 13,50' in width due to slope percentage differences x1ong voncaave lope. ap Total aggregate cell A x B Typical obs. pipe. Slotted in the lower 6", and Plowed area L x W anchored securely- 6" AT-GRADE CROSS SECTION Svnthetic fabric cover - ft Finished grade Lateral r elevation invert elev. 101.50 ft - Observation pipe at aggregate toe l Surface contour 10 %Slope 101.00 ft - A and system (:G -ti elevation :Gown slope to start 12 in. topsoil and subsoil here. over aggregate and tapered to toes. Plowed layer 6 in. aggregate below below L x W pipe(s), and 2 in. above pipe. Project: Stephen Lillyblad Replacement At-Grade Mound Transaction Number: Page 4 of: 10 Do. S'J-ope (;et:1. AT-GRADE PLAN VIEW Note r Please _refer to page 7 of 1.0 for actual dimenalons for call D e,on gur_xti.on documented there,, 1168 Observation pipes (2 typical) A 8.00 ft D B 75.00 ft # 116 B 12.50 ft G 10.00 ft 1N c D 5.00 ft E 2.00 ft L 85.00 ft D B W 20.00 ft A x B 600.00 ft"2 I E Cap Total aggregate cell A x B Typical obs. pipe. t Slotted in the lower 6", and - - = Plowed area L x W anchored securely. e„ AT-GRADE CROSS SECTION Svnthetic fabric cover - - ' 101.63 ft Finished grade elevation Lateral invert elev. 100.30 ft Observation pipe at aggregate toe E Surface contour 10 % Slope 99.80 ft A and system elevation D " = 12 in. topsoil and subsoil over aggregate and tapered to toes. Plowed layer below L x W 6 in. aggregate below pipe(s), and 2 in. above pipe. Project: Stephen Lillybfad Replacement At-Grade Mound Transaction Number: Page Page _5 of 10 Lateral Layout for the Upslope Cell 1 End Connection Lateral Layout Diagram 1.491 Laterals and Force Main of PVC Scb 40 E " - per SPS Table 384.30-5 Turn-up wlbali valve or clean out plu A Upslope cell with an orifice discharge rate of.54 gpm, times 44 holes equals a lateral and cell discharge rate of 23.76 gallons or S0.2 % of the total wastewater flow. Number of Laterals 1 Orfice Diameter .156/5/32" in. Lateral Diameter 2"0 in_ Orifice Spacing (X) 1.71 fl. Lateral Length (P) 73.53 ft. Orifices per Lateral 44 ft2i Lateral Spacing (S) Na ft. Orifice Density Na orifice Lateral Flow Rate 23.76 gpm Manifold Length Na ft. Cell Flow Rate 23.76 gpm Manifold Diameter Na in, System Flow Rate 47.32 gpln Total Dynamic Head 16. 3 7 ft. Lateral Turn-up Detail Finished Grade Threaded Cleanout Plug or Ball 6" t:o 8" diameter Lawn Sprinkler Box Valve~ 0_0 0T 0 ~ - C~ (),0 - f_"~ _ Long Sweep 90 or Two 45° Bends Same Q 0057 0 Diameter as Lateral 000 - 0 O 0000 - Q-' 2---2 Distribution Lateral Note :Lateral ends at last orifice where variable length to cleanout begins. - - - Page 6 of 10 Lateral Layout for the l (Nv.i Slope Cell 2 End Connection Lateral Layout Diagram 1.49 Laterals and Force Main orPVC Sch. 40 E. per SPS `raffle 384.30-5 X n i=== Turn-u w/ball valve or clean 1.49' II out plu A Down slope cell with an orifice discharge rate of .62 gpm. times 38 holes equals a lateral and cell discharge rate of 23.56 gallons or 49.8 % of the total wastewater flow. Number of Laterals 1 Orfice Diameter .156/5/32" in Lateral Diameter 2.0 in. Orifice Spacing (X) _ 1.97 ft. Lateral length (P) 72.89' ft. Orifices per Lateral 38 ft2/ Lateral Spacing (S) Na ft. Orifice Density Na orifice lateral plow Rate 23.56 gpm Manifold Length Na ft Cell Flow Rate 23.56 gpm Manifold Diameter Na in System Flow Rate 47.32 gpm 't'otal Dynamic Head 16>37 ft. Lateral Turn-up Detail Finished Grade ]threaded Cleanout Plug or Ball 6" to 8" diameter Lawn Sprinkler Bogy; Valve 0 C) Long Sweep 90 or Two 45" Bends Same _ Diameter as lateral 0000)00 - Cz Q. M-0-C:N 0 Distribution Lateral Note : Lateral ends at last orifice where variable length to Cleanout begins. 00 00 lzt u, o CD ~n 'tl . ~ II ~ b b ro H . co ~ ~ ~ ~ ~ II II , c ro ro rn o s ~ v C1• Zi ;z ~ o Q dQ3 Q Q N t- tu tt~ t7~ D + Q t0 mac" Fj II r~ Q coo ~ O o• b ~ b II ~ q I I Pg.8of10 Dose Tank Component Cross Section Approved Manhole Covers With Warning Labels and Locking Device / 4" Min. Above Final Grade Weather Proof Junction Box Electric per NEC 300 & SPS. 4" Sch. 40 Vent 316.012 WAC --or=to 12" Above Final Grade Discon ect Alternate Outlet Location W/Approved 4" Sleeve Inlet Force Main Diam. _ 2 Weep Hole or Anti Siphon Device Note: Pump switch and alarm to be A wired to separate circuits. 9~ 67' ' B Pump Off Elev. C Tank Mfr. Wieser Concrete 750 gal. D~ Dose Tank Elev. 92.00' Vertical Difference Between Pump Off and Distribution Pipe = 8.83' Minimum Required Supply Pressure _ -4.55- Min. 60 FT. of Force Main x 4.99 Friction Factor/I00FT.... _ 2.99 - Dose 1 19.35 Total Dynamic Head 1637' gal. _ •--Max Dose 120 gal. Number of Doses = 5 Per Day (;al. Per Day/ #of Doses = 1 19.40Gal. Volume of F3ackllow 9.78 - Gal. Total Dose Volume 129.186al. Pump Tank Capacity 75036_, Gallons Dimensions Inches Gallons Pump Tank Volune 20.28 Gal/Inch A 20.63 425.88 _ 4_0.56 T3 2 Pump Mfi. Goulds- _ C 6.37 129.18 Pump Model W E05H _ D __8_ 162.24 Minimum Discharge Rate = _4 7_32GPM Alarm Mfr. S_.J_.E._Rhomb_us Total= 37 750.36 Alarm Model Tank Alert 1 Bed Tank per SPS 383.45(5) Anchor Tank as necessary to negate buoyant forces per SPS. 383.43(8)(g). Al.ti i' _`I IH. 9cif'10 Page PERFORMANCE RATINGS (g<alions per minute) COMPONENTS Order WE- T WE- WE- WE- WE. WE- WE. WE- WE- J~ Item No. Description N0. 031. 03M 05H 07H 10H 15H 05HH 1sHH 20H 1 Impeller HP 1/9 G '/4 1 1 Y2 1'/z 2 2 _ Casin _ - - - 3 Mechanical Seal RPM 1750 1750 3500 3500 3500 3500 3500 3500 3500 - I 4 Motor Shaft 86 - - - _ 5 Motor 10 70 63 78 94 58 45 6 Ball Bearings 15 52 52 70 90 103 128 53 93 138 _ 7 Power Cable 20 27 35 60 83 98 123 49 90 136 8 Casing 0-Ring . 25 5 15 48 76 94 117 4S 87 133 30 35 67 88 110 40 L74 130 c 35 22 57 82 103 35 126 7 40 - - - 45 74 95 30 121 45 - - - 35 64 86 25 116 x SO 25 53 77 - 70 110 2 55 - - - 40 67 - 66 103 S_ -6 moo, - - 60 30 56 - 63 96 -4 65 - - - - 20 45 - 58 89 8-- 3 70 35 - 55 81 75 I - - - - 25 - 51 74 - 11 12, - - - - - 47 66 2 - - 37 49 - - - - - - _ -28 - 30- DIMENSIONS (All dimensions are in inches. Do not use for construction purpose; 7 ROTAT ON A L, 16" NPT 0 TA KICK-BACK Y-- ~ t xylem Xylem, Inc. Let's Solve Water 2881 East Bayard Street Ext., Suite A Seneca Falls, NY 13148 Phone: (866) 325-4210 Fax: (888) 322-5877 www.xylemiric.com/brands/youlciswatertechnology Goulds is a registered trademark of Goulds Pumns, Inc. and is used under I cense. 0 2012 xylem Inc. 83885 RI Apnl 2012 Page 10-• 1 of 3 Private : nsite ante at r Treatmen System At-Grade Mound, Management Nan Pursuant to SPS 383.54 Wis. Adm. Code each Private Onsite 'Vil~astewater 'l'reatment System (POWTS) Shall Include information and procedures for maintaining the system within the parameters of SIBS 383 and 384, and the conditions of approval by the department, agent, or governmental unit. The approved. plans and permits for the system will be bled with the county zoning or health department.. This management plan complies with S'PS 383.54, Wis Adm. (:ode, the At-Grade Moaned Component Manual for Private Onsite Wastewater Treatment. Systems (Version 2,0) SBD-.1.0854-P (N.03/07R, 1/12) and the Pressure Distribtation (',omponent Manual 1011 (~l ersion 2.0) SBD-• 10706-P (N 01-01R. Table R- System Design Specifications - - - - , Sanitary Permit Number Number of 13edroorns 4 design PIca~OP1,) _ 60() - Soil Absorption Comment Size (sq. ftj___-(}(} - - - Septic Tank Capacity Gall. T 1320 Pump Chamber Capacity Galo 750 'T'able 2: "oil Absorption Cornponent. Limits of'Reliable Operation eptrc_L k Component Soil Absorption. Component Design fhl -Peak (GPD) 600 600 Max. Influent Particle size NA 1/8 Inch - - - - - - - - - - Maximum BOD 5 m /1 PIA 220 Maximum TSS (m /lg~) NA--- - - - - -150 - - Maximum FOG ILIA 30 i-'abl° 3Maintenance Schedule - - - - - - - - - Septic~Tank Inspect. and/or service once every three years Outlet Filter T- - Should inspect: at the time of tank servicing. _ a _Pazmp Chamber Infect at every-septic tank servicin_ - - - Soil absorption Component lush laterals every 18 months Page 10- 3 of 3 Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every 3 years. Lateral turn ups are provided at the ends of the laterals for the purpose of flushing the lines of any solids. Flushing these lines should be done every 18 months. The inspection shall include recording levels of ponding, if any, in the observation pipes, and visual inspection for any evidence of surface discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, clogging of the soil. Planting of deep rooted trees and shrubs directly over or within 10 feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow. Contingency Plan In the case of septic or dose tank component damage, measures shall be taken to repair or replace the tanks to there original operating condition. Upon failure of the distribution cell component, the system shall be inspected to determine the cause of failure. Steps taken to repair or replace the at- grade mound may involve the removal of a bio-mat, which would require cleaning or replacement of the distribution network as well as replacing the rock and clogged portions of the insitu soils. This would require an individual site design. Component Owners Contact List Keith Knudtson Plumber MPRS# 648443 (651) 470-1737 St. Croix County Zoning (715) 386-4680 Wieser Concrete Products Maiden Rock WI (800) 325-8456 Septic Pumper Powers Sanitation (715 246-5738 Page 10- 2 of 3 Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under sec. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of the septic tank and outlet filter shall be assessed by inspection per Table 3 of the maintenance schedule. 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 scum and sludge 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 an 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. Pump Chamber The pump chamber also requires monitoring and should be inspected when the septic tank receives inspection or the time of problem, complaint or failure. Inspection should include checking the dose rate, volume and frequency. Warning: The dose chamber may fill due to flow continuing during pump malfunction or power outages. One large dose when the power comes on or when the pump is repaired may cause the dispersal system to have problems. In this situation, the pump chamber should be pumped by a licensed pumper before pump cycling begins or other measures shall be used to dose the component with only the proper amount of influent. This may include manual operation of the pump controls until such time the pump chamber has reached its normal level. Septic tank and Pump chamber 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 to the tank Warning: No one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment or holding tank may contain lethal gases, and rescue of a person from the interior of the tank may be difficult or impossible. Tank abandonment shall be accordance with SPS 383.33, Wis Adm. Code when the tank is no longer used as a POWTS component. Page 10- 2 of 3 Septic Tank The septic tank shall be maintained liy an individual certified to service septic tanks under sec. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of the septic tank and outlet filter shall be assessed by inspection per Table 3 of the maintenance schedule. 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 scum and sludge 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 an 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. Pump Chamber The pump chamber also requires monitoring and should be inspected when the septic tank receives inspection or the time of problem, complaint or failure. Inspection should include checking the dose rate, volume and frequency. Warning: The dose chamber may fill due to flow continuing during pump malfunction or power outages. One large dose when the power comes on or when the pump is repaired may cause the dispersal system to have problems. In this situation, the pump chamber should be pumped by a licensed pumper before pump cycling begins or other measures shall be used to dose the component with only the proper amount of influent. This may include manual operation of the pump controls until such time the pump chamber has reached its normal level. Septic tank and Pump chamber 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 to the tank Warning: No one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment or holding tank may contain lethal gases, and rescue of a person from the interior of the tank may be difficult or impossible. Tank abandonment shall be accordance with SPS 383.33, Wis Adm. Code when the tank is no longer used as a POWTS component. ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF EXISTING SEPTIC TANK(S) This is to certify that I have inspected the existing septic and/or dose tank presently serving the following residence: (Street address) 1270 146th Ave. located at: NE 1/4, NE 1/4, Section 22 , Town 30 N, Range 18 W, Town of Richmond , St. Croix County Wisconsin. Upon inspection, I certify that I have found the tank(s), to the best of my knowledge, will conform to the requirements of SPS. 384.25, and it (they) appear(s) to be functioning properly. Most recent date of inspection or service 6-1-16 Did flow back occur from absorption system? Yes No x (if no, skip next line.) Approximate volume or length of time: gallons minutes Tank Capacity: 1000-320 Construction: Prefab Concrete x Steel Other Manufacturer (if known): Weeks 1000 Wieser 320 Age of Tank (if known): ~J Permit number (if known) ` ` Keith Knudtson 21 icensed Plum er Signature) (Print Name) 648443 (Title) (License Number) MP/MPRS (Date) , Form to be completed by licensed plumber (Dept of Safety and Professional Services Chapter 305 and s. 145.06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin Administrative Code) Rev. 2/2012 7 J~ 1. 1J 1 LI 1 v JL V JL L1 l i L! t./ f v ICJ THE NE 1 /4 OF THE NE 1 /4 AND IN PART OF TION 22, T30N, R > 8 W, TO yYN OF RICHMOND, 0,~ 452,93 115.68, 578.4317 337.25, '0 RETAIN OWNERSHIP OF OUTLOT 1. tr 10 IS RESERVED FOR TOWN ROAD EXTENSION. St). `f HAVE EASEMENT OVER OUTLOT 1 FOR I9, 2,001 ACRES ;d 2.001 A 1 146TH AVENUE. AREA OUTLOT 1 87,179 SOFT, Q? 87,171 '.E ROAD EXTENTION WOULD 0.159 ACRES _Y ACCESS TO C.T.H. 'G'. 6,930 SQ. FT. w S86'40'35"W 355.38' ;S89.43'29"W o ` 66.00' ! 11 jr- i a - - - - DUTLDT 100' _ i 0 N jaw 2.004 ACRES I - 1 Ln 4.. . icu i ow ~ 87,313 SQ.FT. Co ° 273.73'!- ! cn 100' i 1 In ¢ - N89 ~ ! Mw L M ~4c~8~T4TOR?-.73 ' S89'43'03"W 380.66'. - M 146TH AVENUE • i 3333' r O I zo CD cv? 12 co -i--- •-N N~ 4 N 2.005 ACRES o cu C.S _M~-IN 87,318 SQ.FT. C) r 3 I ; co ! V. 10, PG. 2745 cu r ( r M ° OWNED BY OTHERS ` S89'43'03"W 380.68': i o 17.2'+/- i v I c US cy) CD o I i r z cy) CD N F LOT 3 '-4 ° 13 _ co N 2.005 ACRES I N ~ - in or o7Ac; ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer Stephen Lillyblad Mailing Address 1270 146th Ave. Property Address (Verification required from Planning & Zoning Department for new construction.) City/State New Richmond Wi. Parcel Identification Number 026-1 1 19-10-000 LEGAL DESCRIPTION Property Location '/4 '/4 , Sec., T -71e_ ' N R ! W, Town of / l rr~ ~f C Subdivision Plat: , Lot # Certified Survey Map # , Volume 14f_' , Page # ,,I 7 Warranty Deed # (before 2007)Volume . Page 4 Spec house ❑yespJno Lot lines identifiable'V(yesOno 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. I/we certify that all statements on this form are true to the best of my/our knowledge. 1/we am/are the owner(s) of the property described above, by virtue of a warranty deed recor ed in Register of Deeds Office. Number)of r o > SIGNA DATE F APPLICANT(S) ***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. 04/12) Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Coun safety and Buildings Division INSPECTION REPORT t. Croix GENERAL, INFORMATION (ATTACH TO PERMIT) Sanit14S r. t No.: Personal information you pmvice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)). Permit Holder's Name: City Villagge ❑ own o : State Plan ID No.: eterson, Dean Rictunond Township CST BM Elev.: Insp- BM Elev.: BM Description: Parcel Tax No.: M. U f i C I Ia 026-1119-10-000 TANK INFORMATION ELEVATION DATA Aa, 3101191 905 TYPE MANUFACTURER CAPACITY STATION S HI FS ELEV. Septic Benchmar r Z y k ob Zt - d 3,r8 oZ-~3' Dosing Alt. BM 3r 1 44 Aeration Bldg. Sewer Holdin St / Ht Inlet S"' q N S co . r TANK SETBACK INFORMATION St/ Ht Outlet r~ y 5.43 ea.2~r TANKTO P/L WELL BLDG, vent to ROAD Dt Inlet Air intake t ~ Et ~a .w---- Septic S_ NA Dt Bottom 6 . I Dosing NA Header / Man. t!v r `t If Aeration NA Dist. Pipe (v r(ta L 3 °Iq• 3g Holding Bot_ System r3r tz $.2 Zr PUMP/ SIPHON INFORMATION Final Grade rt 44 j j~ D I •$3 r Manufacturer Demand St cover y Model Number GPM on S stem TDH Ft TDH Lift ead ; I Force N- Length Dia. Dist. To Well SOIL SORPTION SYSTEM Width / Length ( No. Of renches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSION5 1-5 [1~ D N I LEACHING Manu cturer: SETBACK SYSTEM TO P /L BLDG WELL LAKE /STREAM xll~ - S:~w ~,dblr INFORMATION TypeO / CHAMBER AMA o a =mr: System: C~ 5-~ OR UDISTRIBUTION SYSTEM Header / ii T( T'~~ Distribution Pipe s) x Hoe Size x Hole Spacing Vent To Air Intake Lengt- Dia t e g SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only E83,d/ Over Depth over xx Depth Of F x Seeded/Sodded xx Mulched nch [en ter Bed /Trench Edges Topsail ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS- (Include code discrepancies, persons present, etc.) Inspection #1:4&D /ObInspection #2: Location: 1270 146th Avenue, New Richmond, Wl 54017 (NE 1/4 NE I/4 22 T30N R18W) - 22.30.18.705 Pondview Meadows -Lot 10 1.) Alt BM Description = 2.) Bldg sewer length= -amount of cover =~~n ' Cm-xt C'~f-~ ~ ~ t~3+?~C tns~ C~St~u~-tee! e~' ~w,,~ec~ Plan revision required? Yes W No Qa Ilse other side for additional information. FTTR r Page 3 of 3 P2 Soil Test Site Plan For:Stephen Lillyblad 20 40 Lot 10 of the Pond View Meadows Sub. Parcel in the NE-NE + SE-NE Graphic scale (Feet) Sec. 22 T30N-R18W 1 inch = 40 tL Town of Richmond - St. Croix County Four Bedroom Home 2.00 Acre Parcel Max. Occupancy of 6 Graded Area • WELL Walk-Out Existing Weeks Concrete 1000 Gal. Septic Tank HRP Garage Note: Differences in slope percentage will increase separtion between at-grade cells. ° O Concrete Filter Basin w/a Zabel A-100 Filter ° O Proposed Dose Tank Location iWl Nj~ 4 ®B # 2'jj 10% I11 \ Existing Dispersal Cells #1 Open Lawn A BM = Top of Concrete Base of Fla ole -1 ft.Diam. * HRP = S.W. House Corner I 6% P/L ASSUMED ELEV. = 1 00.00, 102.00' 1 = Backhoe Pit PAL B #3 101.00, Elevation Data 99.00' 100.00' B91 = 101.50' B#2 = 97.00' B#3 = 99.00' Flag Pole B#4 = 99.21' O System Elev. of Chambers =94.29' - BM Top of Concrete Manhole over Filter Tank 99.80' Top of Outlet Pipe inFilter Tank = 95.97' FN# 1270 May 16th, 2016 146th Ave. Keith E. Stoner CST# 224059 PIL