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HomeMy WebLinkAbout038-1239-03-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 592130 GENERAL INFORMATION State Plan ID No: 2773467 Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village Township Parcel Tax No: Citywide Development TOWN OF STAR PRAIRIE 038-1239-03-000 CST BM Elev: Insp. BM Elev: BM Description: ~1n , Section/Town/Range/Map No: C I I FJV v 17.31.18.1264 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER i+N~s CAPACITY STATION BbS ) . H , „ FS ELE Septic 0 n Benchmark p ~~I V Dosing I a d W ~A Alt. BM Aer-tinn V` Bldg. Sewer -7.2 0O+ • /D 'jVHt Inlet 7V 00 - St/Ht Outlet TANK SETBACK INFORMATION TANK TO /L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic j ~ Dt Bottom Dosing Head an. y~ 162.65 Aeration Dist. Pipe (J )62-. 4) Holding Bot. System 161, Final Grade PUMP/SIPHON INFORMATION Manufacturer \ De St Cover h U GPM L 3,~I b~.2 Model Number ~l ~ TDH Liftrj. qS Friction Los System Head jT0 H Ft v d ti 5 Forcemain Len 5 Dia. Z is Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width D I, jLengtW No. Of T_s4=c IMMAE PIT DIN~ENSIONS No. Of Pits Inside Dii Liquid De h DIMENSIONS 3 SETBACK SYSTEM TO P/L BLDG WELL NA- LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of ys e ~ , , I ' 9 f NIT Model Number: tLength ION SYSTEM ~nJ "1 Mani Distribution x Hole Size x Hole S acing Ve to Air Intk Pipe(s) 1 Dia 7 Length 1 Dia Spacing • l v~/i SOIL COVE x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth O er • Depth Over xx Depth of xx Seeded/Sodded Bed/Tr r r 1 Bed/Trench Edges 7 Z~ Topsoil IV - Yes No Yes No b 3 I Inspection #2: COM EN ' . (Include code discrepencies, persons present, etc.) DInspection #1: ( Location: 904 218TH AVE rn f1 L~Vv ' 6 ppv Tbo+k,_; W G 1.) Alt BM Description = F) LTM "~~G~ ll ~In~ S ~J spy V~ ijrckCke In D, C, 2.) Bldg sewer length = 197)11 - amount of cover J cove V- 60 all Jr~ k ~,;~11► Mtasvre % >CD S }L► Plan revision Required? ❑ Yes No Use other side for additional informal n. SBD-6710 (R.3/97) Date Insepctors,719nature Cert. No. XR a ty Safety and Buildings Division C u a 0 0 201 W. Washington Ave., P.O. BOX 7162 Sanitary Permit Number (to be filled in by Co.) A. a ~tSp Madison, WI 53707-7162 oUNTY Rol)( r ° sioNn~ MUNITY DEVELOI'MB State Transaction Number Sanitary Permit Applicati01FJ4 2773 ~L In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropna. CG76 -^it ~J is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are 966 1 Project Address (if different th mailing address) the Departm ht of Safety and Professional Servies. Personal information you provide may be used for secoi- y purposes in accordance with the Privacy Law, s. 15.04(1 m , Slats. f ? t ~f 1 ~l ~C 1. Application Information - Please Print All Information / Property Owner's Name Parcel # Property Owner's Mailing Address Property Location 1'7,3j, ~ d (v y 1654:;) fe`or • Govt. Lot City, State Zip Code Phone Number Section ~7 1 t / (circle one) A i 5 fh p T _N; R /q E 06 II. Type of Building (check all that apply) Lot r~-5 Subdivision Name El 1 or 2 Family Dwelling -Number of Bedrooms Ok QA Block L t :7, 4- C- ❑ Public/Commercial - Describe Use w ❑ City of CSM Number El Village of El State Owned -Describe Use Town of S-r vrt~ P/-v~ l /Z 16 45 X 5 0 III. Type of Permit: (Check only one box on line A. Complete line B if applicable) 1p A. ANew System ❑ Replacement System ❑ Treatmeut/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. ❑ Permit Renewal Permit Revision ❑ Change of Plumber 11 Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner IV. T e of POWTS S stem/Com onent/Device: Check all that apply) ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil k Mound < 24 in. of suitable soil ❑ Holding Tank ❑ er Dispersal Component (explain)_ ❑ Pretreatment Device (explain) V. Dis ersaUTreat ent Area Information: Design Flow (gpd) Design Soil Application Rate(gpds Dispersal Area Required Dispersal Area Prop ed System Elevation VI. Tank Info Capacity in Total # of Manufacturer ° q u V Gallons Gallons Units New Tanks Exis[in Tanks fi o ° h ° Septic or Holding Tank 9 / Lr~/~~ (J L Dosing Chamber C ~ -ti / t ~ r k VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Signature MP/kfi4;~FNumber Business Phone Number 44 Plumber's Ad ess (Street, City, State, Zip Code) VIII. Corn epartment Use Only Permit Fee Date Issued Issuing nt Signature proved $ G ~ ~ DC 9 Z7 O en Reason for e 'al IX. Condifs6ffi'VA IV RReasons for Disapproval tAGw 1. Septic tank, effluent filter and disper eal cell must all be ;eivlcQ-s ! n ainta'nec! ffi4a^--~J••e., as,per management plan provided by plumber. re N 2. Ap-eeflWk uiYements must be mmnWried as ~ti 1~Ja►t. as per applicable code / crdinancea. Attach to complete plans for the system and submit to the County only on per no less than 8 in x 11 inches in size 5~ ~J~oret• Zo,•.k;c5- %s > 3000. (~e.,,_ owww.. G~ t~ ~ti. ar• ' far +b 6x- SBD-6398 (R 11/11) ^ 9 ro~ nob Z de- Plot Flan page 90f Y ProPertY Owner J6r-cRA L-t, f -1"= 40ft Legal Description Wit- 3: souAQ c.E ESrATES. (except where noted) 1v Vt, n AJW~Adi SbC' 17 r31 PII s w1 --%WA) ! aE: ■ = Backhoe pit :STAR PRr41 E2_ i Sr, CRCtX COt t.UiYy W iSCa ~t z, 5/ A Mz: E; qby z►uE North ~r, tp 1 t ~O 81 Q l 9CtAtil ~A,i`K 4+~°~717W PRc D W~ ~ 1kcPOs D t >Z 'ro sr~rrc-raa)K BCaRoo.- 7- - ~ ~Rfl IN~6~ Site Location: { pDND ~5 ZIO AV E. i i= ~R7A11` DIVISION OF INDUSTRY SERVICES 2331 SAN LUIS PL STE 150 GREEN BAY WI 54304-5211 i Contact Through Relay -services P I`I http://dsps.wi.gov/programs/industry www.wisconsin.gov 0A z 101 SScott Walker, Governor Dave Ross, Secretary September 13, 2016 f! CUST ID No. 224832 ATTA: POW'TS Inspector r, N' OF MARY JO HUPPERT ZONING OFFICE HOLLISTERS SOIL TESTING & DESIGN ST CROIX COUNTY SPIA 28497 KING ARTHURS 1101 CARMICHAEL RD DANBURY WI 54830 HUDSON WI 54016-7708 CONDITIONAL APPROVAL - - PLAN APPROVAL, EXPIRES: 09/13/2018 Identification Numbers Transaction ID No, 2773467 SITE. Site ID No. 828680 Jerrold Sullivan Please refer to both identification numbers, 904 218TH Ave above, in all correspondence with the agency. Town of Star Prairie St Croix County NW1/4, NW1/4, S1 7, T3 IN, R18W FOR: Description: Mound System (3 bedrooms - New Construction) Object Type: POWTS Component Manual Regulated Object ID No.: 1623140 Maintenance required; 450 GPD Flow rate, 19 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Ver. 2.0, SBD -10691-P (N.01101, R. 10/12), 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 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, scats. The following conditions shall be met during construction or installation and prior to occupancy or use: • Preserve dispersal area prior and during construction to avoid disturbance, compaction and use of the site. • With new construction; it is recommended not to activate the pump in the dose tank until the tanks are pumped prior to homeowi-ier occupancy. • Wastewater generated from contractors cleaning of equipment and tools and/or left over construcno-P products shall not be discharged into the drains discharging to the private onsite wastewater treatment system (POWTS). Waste generated shall be properly disposed of on-site or off site. • Any tall grasses, leaves and shrubs shall be cut short and removed prior to tilling the surface for installation to prevent matting under the dispersal area. All loose organic material to be removed from mound area. • Divert surface water from POWTS Area. • Prior to construction of the dispersal area check the moisture content of the soil to a depth of 8 inches. Smearing and compacting of wet soil will result in reducing the infiltration capacity of the soil. Proper soil moisture content can be determinedbv rolling a soil sample between the hands. If it rolls into a 114- inch wire. MARY 10 HUPPERT Page 2 9/13/2016 the site is too wet to prepare. If it crumbles. site preparation can proceed. If the site is too wet to prepare, do not proceed until it dries, • All piping shall conform to SPS 'Fable 384.30-3 and SPS Table 384.30-5 • Insulate building sewer beyond 30 feet per SPS 382.30 (11)(c) • Well setbacks to meet chs. NR 811 & 812 • Tank Installation to follow all manufacture's recommendations. • Verify property line(s) prior to installation. • Pump Floats to be set and verified per approved plan. Any changes may result in pump resizing to meet TDH and GPM Specifications. • Areas that are occupied vvith rock fragments, tree roots, stumps and boulders reduce the amount of soil available for proper treatment. If no other site is available, trees in the basal area of the mound must be cut off at around level, A larger fill area is necessary- when any of the above conditions are encountered, to provide sufficient infiltrative area. Owner Responsibilities • The current oyster, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval 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. 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. 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 250.00 This Amount Will Be Invoiced. When You Receive That Invoice, Tim Vander Leest Please Include a Copy With Your Private Sewage Plan Reviewer, Division of Industry Services Payment Submittal. (920)492-2214 , Monday - Friday 6 am To 3:30 pm WiSMART code: 7633 tini.va~derleesu Lwisconsin,gov MARY JO HUPPERT Pale 2 9/13/2016 the site is too wet to prepare If it crumbles site preparation can proceed. If the site is too wet to prepare. do not proceed until it dries. • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building sewer beyond 30 feet per SPS 382.30 (11)(c) • Well setbacks to meet chs. NR 811 & 812 • Tank Installation to follow all manufacture's recommendations. • Verify property line(s) prior to installation. • Pump Floats to be set and verified per approved plan 4nv chanties may result in pump resizing to meet TDH and GPM Specifications. • Areas that are occupied with rock fragments, tree roots, stumps and boulders reduce the amount of soil available for proper treatment. If no other site is available, trees in the basal area of the mound must be cut off at ground level. A larger fill area is necessary when any of the above conditions are encountered, to provide sufficient infiltrative area. Owner Responsibilities • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval 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. 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 10 1.12(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, r Fee Required $ 250.00 This Amount Will Be Invoiced. t ' When You Receive That Invoice, Tim Vander Leest Please Include a Copy With Your Private Sewage Plan Reviewer, Division of Industry Services Payment Submittal. (920)492-2214, Monday - Friday 6 am To 3:30 pm WiSMART code: 7633 tim.vanderleest@wisconsin.gov MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: JERRALD & DAWN SWANSON Owner's Name: (same) ~l~~S Owner's Address: 2124 81st Street Somerset, WI 54025 J) i`<LC Legal Description: NW 1/4 OF THE NW 1/4, Sec. 17, T31N, R18W Township: Star Prairie County: St. Croix Subdivision Name: Squaw Lake Estates Lot Number: 3 Block Number: NA Parcel I.D. Number: 038 -1239 - 03 - 000 Plan Transaction No.: \\~~ttitiit'b3?;;idJl~q~ Page 1 Index and title Page 2 Data entry Page 3 Mound drawings See* Page 4 Lateral and dose tank ! Page 5 System maintenance specifications HtIPPEI~IT Page 6 Management and contingency plan Q 1859 Page 7 Pump curve and specifications 1fER FAW Page 8 Plot plan ~e s t tlrft~t~ft{tSi~ Designer. Mary Jo Huppert License Number: 1859 - 007 Date: 08/30/16 Phone Number: 715 - 426 - 1775 Signature: Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01/01), and both SSW MP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01) Version 7.0 (R. 03/2012) Page 1 of 8 Mound and Pressure Distribution Component Design Design Worksheet Site Information (R or C) R Residential or Commercial Design Note: Sand fill (D) calculations assume a 300.00 Estimated Wastewater Flow (gpd) Table 383-44-3 in-situ soil treatment for 1.50 Peaking Factor (e.g. 1.5 = 150%) fecal coliform of 36 inches. 450.00 Design Flow (gpd) 13.00 Site Slope 99.71 Contour Line'Ltevation (ft) 19.00 Depth to Limiting Factor (in) 0.60 In-situ Soil Application Rate (gpdffe) Distribution Cell Information 45.00 Dispersal Cell Length Along Contour (ft) = 10.00 Cell Width (ft) 1.00` Dispersal Cell Design Loading Rate (gpd/ftZ) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? Enter Y or-N' (C or E) 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. 0156 Orifice Diameter (in) 3.00 Estimated Orifice Spacing (ft) = 10.00 fe/orifice 2.00; Forcemain Diameter (in) 17.00 Forcemain Length (ft) Does the forcemain drain back? Y 90-00 Pump Tank Elevation (ft) Enter Y or N 4.55 System Head (ft) x 1.3 2.77 Forcemain Drainback (gal) [E-_ 10.72 Vertical Lift (ft) 41.61 5x Void Volume (gal) 0.22 Friction Loss (ft) 44.39 Minimum Dose Volume (gal) 0.00 In-line Filter Loss (ft) 24.23 System Demand (gpm) 15.49 Total Dynamic Head (ft) Lateral Diameter oriSelection Manifold Diameter Selection choice in. dia. options choice in. dia 0.75 1.25 x x . 1.00 1.50 x 1.25 x x 2.00 1.50 x 3.00 2.00 x 3.00 x Gallonslinch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 11000.00; Septic Tank Capacity (gal) Total Working Liquid Depth (in) Wieser Manufacturer gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 600.00 Dose Tank Capacity (gal) PolyL k__._. Filter Manufacturer 16.76 Dose Tank Volume (gal/in) !Filter Model Number Weiser Manufacturer oat Project: JERRALD & DAWN SWANSON Page 2 of 8 Mound Plan and Cross Section Views T~ Observation pipe .Ott . . K. = A I l- B - . I • L Mound Component Dimensions A A17.00 ft E 32.60 in H 1.00 ft K 11.51 ft B ft F 9.25 in 1 19.61 ft L 68.03 It D in G 0.50 ft J 5.80 ft W 35.41 ft 450.00 (fe) Dispersal Cell Area 1332.48 (ft) 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 102.90 (ft) ,,,If~f,.:.. ♦ H ill////J11!/IJJ/ J///!Jf///Jflf . I F pispl ~t - 101.63 (ft) Lateral 101.13 (ft)-b- Invert Dispersal Cell = Elevation = = D 99.71 (ft) Contour Elevation 13.0 % Site Slope Geotextile Fabric Cover Shading Key u a Dispersal Cell See lateral details on 10 Topsoil Cap 1.5 ft Page 4 for number, size, Subsoil Cap 'a _o and spacing of laterals. Q ASTM C33 Sand ~ it ~ F Laterals are equally ®0 Tilled Layer ri 0.5 ft Typical Lateral spaced from the © Aggregate $ distribution cell's centerline in the * A distribution cell (AxB). Project: JERRALD & DAWN SWANSON Page 3 of 8 End Connection Lateral Layout Diagram Center the laterals over the A & B dimension Turn-up vdball valva or clannoutplug E P ,l AN laterals are identical lF X Holes driNed *nth* bottom of" lateral 3 equally spaced Laterals &forcemain Sch 40 PVC per SPS Table 384.30-6 5 Force main connection via tee or cross to manifold at any point. Number of Laterals 3 Orifice Diameter 0.156 in Lateral Diameter 1.25 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 1.25 in Total Dynamic Head 15.49 ft Forcemain Velocity 2.47 ft/sec Dose Tank Information Locking cover with waming 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 Weiser Manufacturer 2 in. Capacityl 600.00 Gallons Volume 16.76 gal/inch A Weep We or anti- Dimension Inches Gallons B siphon device A 20.25 339.41 B 2.00 33.52 C 4 Pump off elevation (ft) C 2.65 44.39 -t 90.91 D 10.90 182.68 D Total 35.80 600.00 Dose tank elevation (ft) Bedding un er tank. 90.00 Alarm Manuaaacturer SJE Rhombus Note: Switches Alarm Model Number Tank Alert AB containing mercury may not be used in Pump Manufacturer Gould this system. Pump Model Number PE 41 ..r.u Pump Must Deliver 24.23 gpm at 15.49 ft TDH Project: JERRALD & DAWN SWANSON Page 4 of 8 J Mound Svstem Maintenance and operation Specifications Service Provider's Name Darrell's Septic Service Phone 715-425-1025 POWTS Regulators Name St. Croix County Zoning Phone 715-386-468!? System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 300 gpd Maximum BODS 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 eve 3 years Effluent Filter Should inspect and clean at least once eve 3 years Pump and Controls Test once every 3 years Alarm Should test month) Pressure System Laterals should be flushed and pressure tested every 1.5 years Mound Inspect for ponding and seepac,)e once ever~r 3 years 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 Sends Same Diameter as Lateral Project: JERRALD & DAWN SWANSON 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.01101), 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 tarns 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 84nches 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, Slats. 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 filter shall be serviced if the alarm is activated continuously. Intermittent fitter alarms may indicate surge flows or an impending continuous 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 not are used they shall be approved for septic tank use by the Department of Commerce. generally wired. However, if such products Pump Tank The pump (dosing) tank shalt 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 Svstem 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 t0 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 BODS, 150 mg/L TSS, and 30 mg/1- FOG for septic tank effluent or 30 mg/L BOD5, 30 mg/L TSS, 10 mg/L FOG, and 104 chi/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 c om when the system was installed to determine if orifice pared to the initial test within the dispersal cell. clogging has occurred and if orifice cleaning is required to maintain equal distribution Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported t0 the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Continency 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 media, and related piping, and replacing said components as deemed and dispersal See Page 5 of this plan for the name and telephone number of your l necessary to bring the system into proper ocal regulator and service provider. condition. 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. i Project: ,_&;ALBq. bANA J S Page 6 of 8 Wastewater IN 01111111fil METERS FEET 4O__ - _ - MODELS: PE31, PE41, PE51I HP 33 .40 .50 35, 10 - 2 GPM 30 PE41 = - - 1 FT Q -t- = 25 PE31 - - z 20 H 15 Q` - - - - J-T 5 p 0 0 10 20 30 40 50 60 7_0 GPM 80 0 5 10 15 m3/h CAPACITY PERFORMANCE RATINGS PE31 PE41 PE51 Total Head Total Head Total Head (feet of water) GPM (feet of water) GPM (feet of water) GPM 5 52 8 61 10 67 10 42 10 57 15 59 15 29 15 46 20 50 20 16 20 33 25 39 25 0 25 16 30 26 35 8 ~acw f swmwitl Pte: 7of $ Plot Plan Page 9of Property Owner TFARALt>f IOWA SWAAL-5aJ I- -`I 1"=40ft. Legal Description Lt- 3. SoN~ c.A4(E EWMBS . (except where noted} ty l~ r~ rn~ kp a , i-7 r~ 1 Ay ~ K 13 VJI -2,wa aE Backhoe pit qNy Zte", Av~4uc North !I jz~ Ice. PoFZ o~ 17`2'~l~STiy~ Qom, Y h 1y set►. ~t a ~ F G~'t+~it't AW Jli tl W ►&SR,' /,Car1~ Q 91~C}t/ TA,t1K ~~j~ PRc D wr-~ -TD Mo D fr 3 >Z 'ro -arc T~,~K $cdRoo w p,, LDR~1N~6~ ~AS~ME~ Site Location:R 40 ~j9DFq/ ~ paN D a Ziwhf`J~ p RECEIVED SEP 2 6 2ow f~r"i k ....sue ST. CROIX COUNTY oOMMUNITY DEVELOPMENT f tttli~ t r1t"~"I1 % J} T E.ll t't~;t 13d,cs:., l0 ~66_ R6, 10A) . 5S,3 a ilflL_xI IrFSC Fti1'I l« `ti N V V, 'l Ccrtitivd Sur-%CY ails si Volume stxrautk' decd I' V,;,wtz#.c; SYSI AI MAINTENANCE AtiTI OWNER CERTIFICATION e, ss , r t3 f .,,mrm:u , ti -r. seA, ,a.,k ctvrv tiler ye,v-, of.: ,orjcr it ncedz a .,,;:c.,._ , r s>st~ rt; a.> attNc.t tr c t r c tier. Of t„ e srp-,r, u.rtiu as a treamL nt stage in tilt waste dL pc _a, slyster,Y r , r.. r : s itwtus are s}te .,,e,f to . a n 1 ;w x'21 i; and ire Chaplet 12 - St t,'roix C cw .,±'v aa:darr {3td ...,r, f;, ap rte owner agmes er stibav io St Cr»wx t tcuatp Y,anwil R . ususg 3:4; arzr~ns x cr':~...... ~ - w.. t~} s n as , 1 r>7sic , ~t t,rr,rt_r t'r izr ,.:,.r, wm.rit-trd plum bet of a t.u o, std pt raptr , llr. ecm I ing a_.. * ; c. a'.~,,c aai qv _n is in p. P-l t..Py c ;,urrt,r. a aid of (2) after ittrp i s and Llixi,, :uAl of C L~ c t,w"; aid t ags, 113v t 1ras9 tlsc .wfs. xe rt^ {turctrutats and.,grec tr trainum the pupate a at;gc &Sposal system with 5,ae u. & s t !vnh, hory n, a.~ a t ax D",partram! of f.nrnmtne ;nr;i die. Departincat of :Nar,ral Rvi «U ces, Sta!e of Wises osi,; c enshs use= rA i, thm your ",pn • ,>.ercrn $as Fcen rruintA med must he cornpietext and retmnod to the Si. C'rr~ s Gounty ptannmw c &xiing V-partiaxzu a al au qtr dais of the three y ar cspiraoon date. rm are tnre to the heist of my/aur kxrvwle~ge, F"~a Y, a r~arc the auncifs) of t4z_- Vv4e ct nz i Oat all stattsmmu on, th4:_;', pt g d cribZd above, b virtue of a n dee d recorded in Register of Deed. f)ffice. Ntrrrrber of bedrocxns Si.x' I"t RE OFAPPLICANT(S) DATE *Any irdo tiorx a is nustcptesented may resalt in the sanitary permit being revAnd by the I'Litning ~ Inning Drpamncar 4"m , ili thus application a recorded warranty deed front the Register of Deeds Office and a copy of the certified st rvey rrup if I'dIrt c is made m the warranty dte,d a Z. acres 0 ~ L O~ =954,,6* C. a. I _ a 8'646"E 484,358 233-47 * Ilk 250. a a~ ~ x g A AL p - ~ H, W L, =95f 6 LO 104,61J WT3 cc 109,516 sq. t. 9 2.51 ccres L. a +s.s c 971d 6 "'r^F a ~ x ~ R e n ~ g~ Q a c~ F °J groan o~ ~y ~ Epy de /ytfSMJ~'pywgt A r'p y N. m a ,.rnw~ s Y ~ 3 f...: 9 mr s Y,/` ' [ya.w~2 ~ z *0 588 *33'4 6*E R . w. L a-&- 8261 a03' 181 ~ * .69~- 66 Join t 11; a i.. ~ Sopu t''^a\\ s O E l k f 4-1 v VVV~~~111 (V^{ 1lll b v ~ E QS odor 8k~i IF - I qE` ' ~ b W ~ o E Al 12 0 9 oEVo r ~ ~ _ - roar ,Y I - ~ eoon ft ~ I I - ~ ea~o r,: 9 L t _ saoa I rx- 17 j - D I, 70 a D n 0UQQ ,s I; II \ I ~ > W - - • ~ ~ Et Jeff@Prefferedbuilders Squaw lake 3 bedroom - Today at 10:03 AM Nelson Roger ~,=z•~• r t milin Floor Plan Foundation f'lewn k f, Jeff Cruz Preferred Builders, Inc. 612-865-3000 jeffpb3000@gmaii.com Mn.B.L.# 2555 Wisc.B.L.# 638785 _ 1258 WisrWin Department of Commerce SOIL EVALUATION REPORT Page I of 3 Divipop of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Tom Schmitt r County Attach complete site plan on paper not less than 8%2 x 11 inches in size. Plan must St. Croix include, but not limited; to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel LD. 3 S / Z3 y D RUC.' Please print all information. Revi B Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). . Property Owner Property Location Grand Properties, LP Govt. Lot NW 1/4 NW 1/4 S 17 T 31 N R 18 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 712 Rivard Streeet, Suite 300 3 Squaw Lake Estates city State Zip Code Phone Number City Village ✓ Town Nearest Road Somerset WI 54025 715-247-5900 Star Prairie 90Th St. New Construction Use: Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement Public or commercial - Describe: Parent material Glacial Till Flood plain elevation, if applicable na General comments and recommendations: Area is suitable for a mound system. System elevation is 101.13' based off of contour line established at 99.71'. Slope is 13%. Depth to limiting factor is 19". 14 0, 1, 0 as 015 / o Boring # Boring '5k6W. a., ` 1 Ille, Pit Ground Surface elev. 100.26 ft. Depth to limiting factor 19 Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence un Roots GPD/ftz *Eff#1 *Eff#2 1 0-8 10yr3/4 none sil 2mgr mfr as 3c .6 .8 2 8-19 10yr5/3 none sil 2fsbk mfr 9w 2m .6 .8 3 19-26 10yr4/6 o2dp r5/g/2 sl 1fsbk mfr gw 1f .4 .7 4 26-44 7.5yr4/6 c2I Oyr6/6/2 scl 1 msbk mfr gw .2 .3 .5 r5/2 sicl 1 msbk mfr - - 2 3 5 44-56 5yr4/4 m 2d 7.5y rfi/6 a Boring # Boring Pit Ground Surface elev. 100.16 ft. Depth to limiting factor - iSoil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz *Eff#1 'Eff#2 1 0-12 10yr3/3 none sl 2mgr mfr cs 3m .6 1.0 2 12-23 10yr4/6 none grls 1 msbk mfr gw 2m .7 1.6 3 23-50 7.5yr4/4 m IOW,r16/6 sl Om mf - .4 .6 * Effluent #1 = BOD ? 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD5< 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt 227429 Address Tom Schmitt Date Fvaluation Conducted Telephone Number 1595 72nd St., New Richmond, WI 54017 - 715-247-2941 Property Owner Grand Properties, LP Parcel ID Page 2 of 3 3 , Boring # Boring Pit Ground Surface elev. 97.86 ft. Depth to limiting factor 21 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots _GPD/ft2 *Eff#1 *Eff#2 1 0-10 10yr3/2 none I 2fgr mvfr cs 3m .6 .8 2 10-21 10yr5/4 none Sil 2fsbk mfr 9w 2f,2m .6 .8 3 21-33 10yr4/6 ii2d 6 sil 1fsbk mfr 10y r6/1 6/1 gw 1f .4 .6 4 33-57 5yr4/6 m2d 7.5yr6/6 SI Om mfi 2 6 _ 7.5 r6/2 ❑ Boring # Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 ❑ Boring # Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' *Eff#1 *Eff#2 * Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD5 -i_30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. Page 3 of 3 Conducted by: Conducted For: Ref. No. Schmitt Soil and Site Evaluations Name: Grand Properties, LP. Thoihas J. Schmitt, CST 227429 Address: 712 Rivard St. Suite100 1595 72nd St. City, State, Zip: Somerset, WI. 54025 New Richmond, WI. 54017 Phone: 715-247-2941 Subd.Name: Squaw Lake Estates Lot No.. 1-?_ Legal Description: ~l/4 IV 4,A14 S 17 T3 IN RI 8W Township of Star Prairie, St. Croix County Bench Mark El. 100.00' Top of 2"pvc pipe Alternate Bench Mark El. /OW, -~STop of 2" pvc pipe Slope= Contour Line El. j- 7 Contour Line Length 7S-1' Scale 1 40' e-4, Im jCd o;, 5t 'de 7~c s u~ c~,- , k y 4 5, e-4 - a~rvD I AL ~-oOl q-9t to5erie, ~ This soil report was done to fulfill a zoning requirement. No permanent lot markers were in at the time the test was conducted. The area in which it was done may or may not be suitable for your use, or in the ration shown.