HomeMy WebLinkAbout026-1298-10-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No
GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No 597359
Personal information you provide may be used for secondary purposes [Privacy Law, S.15.04 (1)(m)] 2949352
Permit Holder's Name: City Village Township Parcel Tax No:
JEREMY & SHAWNA MOE TOWN OF RICHMOND 026-1298-10-000
CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No:
7, 3 G'S"r 34.30.18.1568
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURE rN, S CAPACITY STATION BS HI FS ELEV.
7
Septic Y~ , Z60 Benchmark `7wof
SDosing .lv~ L~ c
4 0 1 Alt. B~ 6b
% j r a ~ D L LZ C Bldg. Sewer
T' 1~• c7 J Z. Z 9"Z . z
Holding t/Ht Inlet
/3. cw- B
SUHt Outlet
TANK SETBACK INFORMATION
TANK TO ~J e WELL BLDG. enttor intake ROAD Dt Inlet
Septic
q) 37 _ Dt Bottom 17, T,7, b
Dosing Header/Man.
Aeration Dist. Pipe e~
( .
Holding Bot. System
Final Grade
PUMP/SIPHON INFORMATION Dem Manufacturer
.6 Demand St Cover J.
&Cke
Model Number C ZQ p
IF t- TDH Lift s LQ FrictioryLLo s System Head I~ TDH~' . -/Ft 01 Lj, ? 3
7Z
Forcemain Len Dia. Dist. to Well
~b Z,
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length N Tre c es PIT DIMENSIONS No. Of its Inside Liquid Depth
DIMENSIONS 7- ! / ?y[ e ` `
SETBACK SYSTEM TO V P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer:
INFORMATION CHAMBER OR
Type f System: / UNIT
$2 Model Number:
DISTRIBUTION SYSTEM V ~~'VVV
Header/Manifold Distribution x Hole Size x Hole Spacing Ve Air Intak
Pipe(s) J 7
Length Dia Length 3I• ? Dia 7- Spacing YV
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over Depth Over xx Depth of xx Seeded/Sodded jxx M Iched
Bed/Trench Center Bed/Trench Edges Topsoil No, es J No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 6117 Inspection #2: ~n!
Location: 1235 128TH AVED
T Ca J ►~'l7.
1.) Alt BM Description =
2.) Bldg sewer length
- amount of cover = CJ/46 a L^"
Plan revision Required? Yes o -7 Za f -7
Use other side for additional information. l J
Date Insepctor's nature Cert . No.
SBD-6710 (R.3/97)
~~y11-fie ►7 - )6
County
Safety and Buildings Division
P $ f201 W. Washington Ave., P.O. BOX 7162 Sanitary Permit Number (to be filled in by Co.)
Madison, 53787-7162
0(cou -3 t)
o iii i'y Permit AppliCati State Transaction Number
tll
In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate goven-_
is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitteo ect Address (if different than mailing address)
the Department of Safety and Professional Servies. Personal information you provide may be used for secondary
PWP oses in accordance with the Privacy Law, s. 15.04 ] m , Stats. ,.1J
L Application Information ; Please Print All Information T` -7~~
17
Property Owner's Name 4, Parcel #
Property Owner's Mailing Address Property Location l S 4
Govt Lot
City, State Zip Code Phone Number A ,
Section iZZ
/ circle one)
T N; R_EorW
II. Type of Building (check all that apply) Lot #
1 or 2 Family Dwelling - Number of Bedrooms / Subdivision Name
k Block #
❑ Public/Commercial - Describe Use f
I V-11 0 ❑ City of
❑ State Owned - Describe Use f CSM Number ❑ Village of
Town of~~
III. Type of Permit: (Check only one box on line A. Complete line B if applicable)
A. 0 New System
❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain)
List Previous Permit Number and Date Issued
B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New
Before Expiration Owner '
IV. Type of POWTS System/Component/Device: Check all that apply) x.7,7- i
L d
❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground A 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 ersaVTreatment Area Information:
Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation
VI. Tank Info Capacity in Total # of Manufacturer
Gallons Gallons Units y' i r ~ o 'a o
New Tanks Existing Tanks 2 2 aTI,
iz ~ 3 C7 P.
Septic or Holding Tank _
Dosing Chamber
VII. Respo sibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans.
Plumber's ame Print) Plumb/pZSi// turt r MP/MPRS Number Business Phone Number
7
Plumber's dress ( treet, Ctty, fate, Ztp Code)
VIII. Coun epartment Use Only
Permit Fee Date Issued Issuing Agent Signature
Approved ❑ Disapproved$ y
f i
' ❑ Owner Given Reason for Denial 'j ` `"~`"ii i~ V ~ ~ ,a - _ t
IX. Condit_ easo~c~ far isapproval t t Of q ~O Ok:,k~
lpte~ -~o os
wm CH MW d '.ltHl ~ r
A p!r.jyW.AG++ plan Pra'ridats by Wttmbel. , c t~~ ?,Tivw -
Z '~It+~4t,~ecti~rws,ba~"~d
as pw appft" code / c4nWoM,
Attach to complete plans for the system and submit to the County only on paper not less than 8 12 x 11 inches in size
SBD-6398 (R. 11/11)
_ _
,t .
`b
4-
~s' r
0
iL
RTSfQ,,_ DIVISION OF INDUSTRY SERVICES
~r
2331 SAN LUIS PL STE 150
GREEN BAY WI 54304-5211
Contact Through Relay
t
P ; http://dsps.wi.gov/programs/industry-services
\ l /
www.wisconsin.gov
Scott Walker, Governor
Laura Guti6rrez, Secretary
`ti E D
May 24, 2017 A{ ETY
CUST ID No. 224263 ATTN: POWTS Inspector
KIM A OCONNELL ZONING OFFICE
KO CONSTRUCTION ST CROIX COUNTY SPIA
504 3RD AVE E 1101 CARMICHAEL RD
OSCEOLA WI 54020-8173 HUDSON WI 54016-7708
C
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 05/24/2019 Identification Numbers
Transaction ID No. 2949352
SITE: Site ID No. 838294
Jermey Moe Please refer to both identification numbers,
128TH Ave above, in all correspondence with the agency.
'Town of Richmond
St Croix County
SEl/4, NW1/4, S34, T30N, R18W
FOR:
Description: At-Grade (4 Bedrooms - New Construction)
Object Type: POWTS Component Manual Regulated Object ID No.: 1707287
Maintenance required; 600 GPD Flow rate; 42 in Soil minimum death to limiting factor from original trade;
System(s): At-grade Component Manual, Version 2.0, SBD-10854-P (N.03/07, R. 1/12), Pressure Distribution
Component Manual - Ver. 2.0, SBD-10706-P (N.O1/01, 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,
stats.
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 homeowner occupancy.
• Wastewater generated from contractors cleaning of equipment and tools and/or left over construction
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.
• 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 determined by rolling a soil sample between the hands. If it rolls into a 1/4- inch wire
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.
iL
KIM A OCONNEL.L Page 2 5/24/2017
• Divert surface water from POWTS Area.
• 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)
• Tank Installation to follow all manufacture's recommendations.
• Pump Floats to be set and verified per approved plan. Anv changes may result in pump resizing to meet
TDH and GPM Specifications.
• Verify property line(s) prior to installation.
• Well setbacks to meet chs. NR 811 & 812.
• 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 at-grade 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.
I
i
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 $ 250.00
Fee Received $ 250.00
Balance Due $ 0.00
Tim Vander Leest WISMART code: 7633
Private Sewage Plan Reviewer, Division of Industry Services
(920)492-2214, Monday - Friday 6 am To 3:30 pm
tirn.vanderleest@wisconsin.gov
KIM A OCONNELL Pate 2 5/24/2017
• Divert surface water from POWTS Area.
• 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)
• Tank Installation to follow all manufacture's recommendations.
• Pump Floats to be set and verified per approved plan Anv chances may result in pump resizin2 to meet
TDH and GPM Specifications.
• Verify property line(s) prior to installation.
• Well setbacks to meet chs. NR 811 & 812.
- - • 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 at-grade 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 Responsi illiiies
• 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 stars 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
Tim Vander Leest WiSMART code: 7633
Private Sewage Plan Reviewer, Division of Industry Services
(920)492-2214, Monday - Friday 6 am To 3:30 pm
tim.vanderleest@wisconsin.gov
RESIDENTIAL AT-GRADE DESIGN y $ 211
Pressurized - Sloping Site
INDEX AND TITLE SHEET C _R\ff"
Project Jermey Moe
Owner Jermey Moe
Address 1331 218th AVE
New Richmond WI 54017
Legal Description SE-NW-sec34-T30N-R18W
Township Richmond County ST Croix
Subdivision Name Riding Meadows North Lot No. 10
Parcel ID Number 026-1298-10-000
Plan Transaction Number
Index sheet Page 1
Calculations Page 2
At-grade drawings Page 3
Laterals and dose tank Page 4
Specifications Page 5
Management & contingency plan Page 6
Pump curve & specifications Page 7
Plot Plan Page 8
Soil Test Page 10
Designer Kim A Oco el License Number 224263
Signature , Phone Number 715-381-7917
Date 05/14/17
Designed pursuant to:
At-grade Component Manual Ver. 2.0 for POWTS SBD-10854-P (N. 03/07, R. 01/12), 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, R. 10/12)
Version 7.0 (11/12) Pagel of 9
I'~
PRESSURIZED AT-GRADE DESIGN
At-grade Design Worksheet - Sloping Site
Flows and Site Data Entry.
(r or c r~Residential or commercial?
400.0 Estimated wastewater flow (gpd)
600.0 Design wastewater flow (gpd)
3.00!% Site slope
99.10 Contour elev. below lateral (ft)
42.00 Depth to limiting factor (in)
In-situ soil application rate (gpd/ft^2)
Distribution Cell Information
(1 or 2) Influent wastewater quality
4.50 Linear loading rate gpd/ft
7.50 Effective absorption width (ft)
7.50 Max. effective width permitted (ft)
134.00 Aggregate length (ft)
Pressure Distribution Data Entry
{c or ej ee Center or end lateral connection
1 Number of laterals
0.125 Orifice diameter (in) e.g. 0.25
Not a rival
a cu;at on 2.00 Estimated orifice spacing (ft)
- 2.00 Forcemain diameter (in)
2.86 Forcemain flow velocity (ft/sec)
95.001 Forcemain length (ft) y or n 1 Does forcemain drain back?
88.00 Pump tank elevation (ft) y or n Are laterals at highest point?
6.5 System head (ft) x 1.3 i NA
10.93 Vertical lift (ft) 15.5 Forcemain drainback (gal)
1.62 Friction loss (ft) 108.5 5x Lateral void volume (gal)
-line Filter Loss (ft) 124.0 Minimum dose volume (gal)
19.05 Tot I dynamic head (ft) 28.0 System demand (gpm)
Lateral Diameter Selection Gallons/Inch Calculator (optional)
a diameter Design options Design choice 1200 Total Tank Capacity (gal)
J!' Designer 1 in 36 Total Working Liquid Depth (in)
must select 1.25 in 33.3 Gal/in (enter result in cell G46)
one lateral 1.5 in
diameter 2 in x 17x Treatment Tank Information
3 in x 1200 Septic tank capacity (gal)
Wieser Manufacturer
Effluent Filter Information Dose Tank Information
Ploylok Filter manufacturer i_60-0 .0 Dose tank capacity (gal)
PL 525 3 Filter model number 22.2 Dose tank volume (gal/in)
i Wieser ry Manufacturer
Project: Jermey Moe
Transaction Number: Page 2 of 9
r
AT-GRADE PLAN VIEW
D --t
1/6 B Observation pipes (2 typical) A 7.50 ft
D 1 B 134.00 ft
1 /6 B 22.33 ft
C 9.50 ft
W C D 5.00 ft
E 2.00 ft
L 144.00 ft
D B W 19.50 ft
A x B 1000.00 ft^2
L
k--- Cap
obs.
= Total aggregate cell A x B Typical pipe.
Slotted in n the lower 6", and
= Plowed area L x W anchored securely.
-i
6°
AT-GRADE CROSS SECTION
Svnthetic fabric cover
ft Finished grade
;;Fa}. elevation
Lateral %
99.60
invert elev. ft
Observation pipe
- - -
at aggregate toe
E 3 % Slope
Surface contour gg,10 ft C A
and system
elevation D
= 12 in. topsoil and subsoil plowed layer
® over aggregate and tapered to toes.
below L x W
1::::::.; J = 6 in. aggregate below
pipe(s), and 2 in. above pipe.
Project: Jermey Moe
Transaction Number: Page 3 of 9
PRESSURE DISTRIBUTION AND DOSE TANK
Lateral Diagram - Center Connection
I~ P
I~
Last hole dnllyd ne;;t r,r, end a ap X-•I Lateral. i:_ Torre main c-f F'VC 5•rf 40
X,-6
H_les drilled or. the barrom of the lateral per 3P ; Table :i4. 4-._
e~uallp °pa :ed • = Turn-up -M Grill v3h.e or cle3nautplup
Lateral Specifications
0.125 Orifice diameter (in) Center Lateral connection point
X 1.97 Orifice spacing (ft) 1 Number laterals
68 Orifices/lateral P 132.98 Lateral length (ft)
28.0 Lat. discharge rate (gpm) 2.00 Lateral diameter (in)
2.00 Forcemain diameter (in)
28.0 Sys. discharge rate (gpm) 95.00 Forcemain Length (ft)
19.05 TDH (ft)
Typical Pump Chamber Layout
Approved manhole cover with
Weather-proof warning label and locking device
junction box ~
Final grade 4"
disconnect
Tank component is Alternate
properly vented outlet
location 18" min.
Electrical as per NEC 300 and I~ Approved
SPS 316.300 WAC outlet
Tank full joint
Inches Gallons JA Provide 1/4"
A 20.5 454.0 weep hole or
Alarm on
B 2.0 44.4 B antisiphon
E C 5.6 124.0 Pump on device.
6 D 8.0 177.6 -88.67 11,ft C
Totals 36.1 800.0 Pump off
D
88.00 ft
Bedding under tank
Goulds _ _ Pump manufacturer Rhoumbs Alarm manufacturer
P' E 51 Pump model number 11HW 101 1 Alarm model number
Project: Jermey Moe
Transaction Number: Page 4 of 9
At-grade System Maintenance and Operation Specifications
Service Provider's Name Kim A Oconnell _ Phone 715 381-7917
POWTS Regulator's Name St Croix County Zoning Phone 715-386-4680~
System Flow and Load Parameters
Design Flow - Peak 600 9Pd Maximum Influent Particle Size 1/8 in
Estimated Flow - Average 400 gpd Maximum BOD5 220 mg/L
Septic Tank Capacity 1200 gal Maximum TSS 150 mg/L
Soil Absorption Component Size 1000.0 ftz 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 ears
Effluent Filter Inspect and clean at least once eve 3 ears
Pump and Controls Test once eve 3 ears
Alarm Should test month)
Pressure System Laterals should be flushed and pressure tested eve 1.5 ears
Mound Inspect for ponding and seepage once every 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 at-grade 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 at-grade structure and other disturbed areas will be seeded and mulched to prevent soil erosion
and help reduce frost penetration.
6. Areas within 15 feet of the downslope toe will be protected from compaction.
7. All other construction details are as per the at-grade component manual SBD-10854-P (N. 03/07).
Lateral Turn-up Detail
Finished
Grade vl
6-8" Diameter Lawn Threaded Cleanout
Sprinkler Valve Box Plug or Ball Valve
Distribution
Lon Sweep 90 or Two
99.60 ft 45 Degree Bends Same
Diameter as Lateral
Project: Jermey Moe
Transaction Number: Page 5 of 9
At-grade System Management Plan
Pursuant to SPS 383.54, Wis. Adm. Code
General
This system shall be operated in accordance with SPS 382-384 Wis. Adm. Code, and shall maintained in accordance with its' component
manuals [SBD-10854-P (N. 03/07, R. 01/12), SSWMP Pub. 9.6 (01/81), and Pressure Distribution Component Manual Ver. 2.0 SBD-10706
(N. 01/01, R. 10/12)] 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.
At-grade and Pressure Distribution System
No trees or shrubs should be planted on the at-grade. Plantings may be made around the at-grade's perimeter, and the at-grade 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 at-grade 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 at-
grade be heavily mulched as protection from freezing.
Influent quality into the at-grade 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 BOD5 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 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring.
Contingency 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 at-grade 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 renovating the biologically clogged absorption and
dispersal media, installing new piping, and replacing other 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.
Project: Jermey Moe Transaction Number: Page 6 of 9
[(~GOULDS PUMPS Submersible
Effluent Pump
3
k
EfiLUENT f"Ut~r ~ a ~ ~ .
P`SPECIFICATIONS MOTOR FEATURES
■ Corrosion resistant
Pump - General- General:
fl Discharge: 11h" NPT ® Single phase construction.
® Temperature: 10410F (400C) ® 60 Hertz ■ Cast iron body.
maximum, continuous when ° 115 volts m Thermoplastic impeller and
,w. fully submerged. • Built-in thermal overload pro- cover.
tection with automatic reset m Upper sleeve and lower
® Solids handling: f=
~ maximum sphere. • Class B insulation. heavy duty ball bearing
• Automatic models include a • Oil-filled design. construction.
APPLICATIONS float switch. • High strength carbon steel i Motor is permanently
• Manual models available. shaft lubricated for extended
Specially designed for the following uses: • Pumping range: see PE31 Motor: service life. • Mound Systems ®powereli for continuous
performance chart or curve. • .33 HP, 3000 RPM • Effluent/Dosing Systems PE31 Pump: • 12.0 Maximum amps operation. • Low Pressure Pipe Systems All ratings
are within the
• Maximum capacity: 50 GPM • Shaded pole design working limits of the motor.
• Basement Draining . Maximum head: 25'TDH PE41 Motor. Quick disconnect power
• Heavy Duty Sump/ PE41 Pump: • .40 HP, 3400 RPM cord, 20` standard length
Dewatenng ° Maximum capacity: 60 GPM • 7.5 Maximum amps heavy duty 16/3 d hen with SJTW
• Maximum head: 29' TDH ° PSC design NEMA 5-15P, three prong,
PE51 Pump: PE51 Motor: 115 volt grounding plug.
• Maximum capacity: 70 GPM • .50 HP, 3400 RPM ■ Complete unit is heavy duty,
• Maximum head: 37` TDH • 9.5 Maximum amps portable and compact.
• PSC design ■ Mechanical seal is carbon,
METERS FEET ceramic, BUNA and stainless
40 MODELS: PE31. PE41, PESY, steel.
PE51 ; _
- HP..33, A0_50 Stainless steel fasteners.
- -
10 -h. 2 GPM AGENCY LISTING,'"
30 --PE41 1 FT
-
w f+E31
7 7-i
25
_ - c us
g - Tested to UL 778 and
z 20 CSA 22.2108 Standards
a By Canadian Standards Association
F 15
File #LR38549
_
Goulds Pumps is ISO 9001 Registered.
5
0 0 0 9 0 20 30 40 50 60 70 GPM 80
0 5 10 15 m3/h Goulds Pumps
CAPACITY
~
2007 Goulds Pumps 1411
8
Oct "71
IZ,2
~c r
i
r
~7 l~s,PcL fyla..J 98, l
C
l ~5-
L
f
ST. CROIX COUNT'
SEPTIC TANK MA NTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer -
i
Mailing Address
(Z ~ pig & Zoning Department for new cori~truction.}
Property Address
(Verification required
parcel Identification Number
City/State
LEGAL DESCRIP'T'ION
Tl~N R --W, Town of
I4 = Sec_ ,
Location
Property Lot
Subdivision Plat: , y, P
, Volume Page #
Certified Survey MaF #
Warranty Deed # (before 2007)Volume , Page #
Spec house Q yes no Lot lines identifiable ❑ yes G no
S'YSTEIVI ~ZAi~t'TENANCE AND OWNER CERTIFICATION
Improper use and maintenance of your septic system could result in its P f ceded, by a licensed pumper-s Why You put into
maintenance consists of pumping out the septic tank every three Yew or sooner,
sOrdinance er maintenance
the system can affect the functio SPS38 3-52(l and in Chapter 12St Croix County anitary
responsibilities are specified in §
owner agrees to submit to St. Croix County Planning & Zoning Department a certification forth, signed by the
The property
owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the e tank is
wastewater disposal system is in Proper operating condition and/or (2) after inspection and pumping (if necessary), the septic
less than 113 fuIl 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 Departni Safety And has been Professional Services and e Department
e St. Croi:s. I,
maintained must be comp completed and oreduned thResources,
State of Wisconsin. Certification stating that your septic three expiration date-
i
County Planning & Zoning Department within 30 days of the year
Uwe certify that all statements on this form are true to the best of my/our knowledge. Uwe amlare the owner(s) of the
property described above, by virtue of a warranty deed recorded in Register of Deeds Office.
Number of bedro ms
3°/ 17
'
GN , OF APPLICANT(S) DATE
Zoning Department.
***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning &
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.
_-r n.tll Ht
HIMN
~4
A I V
ft/,7-r,Xo.oos '00,9
i i
Ld --00
C
-to o to e~ s bC co
0
ri co
~j co
dry{ /yt~. gy~q' ~4y gg
9
I6tt9®-900 aaJ 6L'9
ao16
co
C5
s~~t
0`6
8 t~ >
p IM'JWOWl4*Dl6 MgN'a^V 41821 6ZZl -
71OW VW/'AV /'9 xW7m-gr
W006 6uv+o-id s,urol
Z
0
z0 z
O _t-
7 -
v
o
-
1 ,
rv l'-
O O
z ri
t,
r I ~ i r r=
l a1
'i~ 4(w 4 ~ ~ ~k l w 4 -
E
L~ LJ LJ~ .
l IF
Uu
u~
,m
i
::I O'. I L✓OY~ a-,,j 'S-I
IJ1'vUOWk7R] P13N'a^Y 419Zt 6ZZl
° "per -jOW 5N/.Nvw '8 xwmgr N
W« n sUdMJjj S,U!Df
z
O
v
O z
O O
z U
a.
O O
LL
711
J 'Y ~ i ~ i I! I
! I`~°, II If ~ I
2 ~ ! J I d i
1 I
I I
w y k h _
1 r
I
r
7
~ ~ S
~1- 14
I
s
1
i
II I I
I 1 I
I
I
I
1
I
I
I
II
I
I III 'Il 111
I III
I
I
I
II
- - r
I ~
2107 I I I
~~1 'wood nu~me~Q'p"
ua ~Z" S _ I/j'j /OWWDjM /\-gW'a^V 44M 6M
~w SOW ~/NM~Jk!'Q.CW~b~f
wood 6u.naja s,u ol
z
O
O
U
J ()z
7
O z
QD O
z U
Fn - ~y
i-V
O O _
tL z
41
i+ o
E ~ -
4
~c
E I ~
I a - ~ ~ ~3I.~c -
o x
i
I
I
E ~ s
I
k, 2
61 OZ 311 -'yoo-~jL--'(J'yej g
{M'13VOWk712] M3N'a^V 4i6Zt 6ZZl
WOO?] Buir.0113 S,WDj , : -
z
O
U
7 rv
O
~ z
_z O
U
O rv
O
00
IL z
I
I
~I I
I
I
w
1 z~
y
- -------------------J
i
i i
i
i
i
i
i
L I OZ D-, "wood hwMea4 s,wei
f
n a n'dVOWk712J M7]N'QAV 41821 6771
_ I
aow vw/-NVHJ-p xwanaf ,
wood Eu.rm~a s,U!01 \ L ~
a
z
O
U
O
z
00
z
U
C) cz
C~ 0
Fn L
00
IL Z
rF
f
- - - - - - - - - - - - - -
z
i
I
I I
L107 wooy r~irveyQ s,u;ei0
2=
`7j,sconsjn SOIL EVALUATION REPORT #1717
Department of Commerce in accordance with Comm 85, Wis. Adm. Code Page 1 of 3
Division of Safety and Buildings Steel's Soil Service, Inc.
Attach complete site plan on paper not less than 8'/2 x 11 inches in size. Plan must County St. Croix
include, but not limited to: vertical and horizontal reference point (BM), direction and /
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel l.D. QZ(p~ ~ ~--q <r) n~/1
Please int atWpIraladiorr Revi ed Date
Personal information you provide may a used for secondary purposes (Privapy Law, s. 15.04 (1) (m)). u ~c 3 /p V
Property Owner Property Location
Stallion Development LLC Govt. Lot na SE1/4, NW1/4, S34, T30N, R18W
Property Owner's Mailing Address " Lot # # SubdName or CSM#
1221 130th Ave t~ [Block na Riding Meadows keel f-1 •
City State Zip Code Phone Number i _ I City Village [ < Town Nearest Road
New Richmond WI 54017 715-246-5440 Richmond 120Th St
New Construction User Residential / Number of bedrooms 4 Code derived design flow rate _ 600 GPD
Replacement Public or commercial - Describe: na
Parent material Ridges, foot slopes, and valley escarpments of sandstone Flood plain elevation, if applicable _ na ft.
General comments Mound or At grade design, system elevation 100.00ft based on contour line elevation 99.00ft.
and recommendations:
a Boring # Boring
>'j pit Ground surface elev. 99.30 - ft. Depth to limiting factor 52 in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2
1 0-24 10yr3/1 none sil 2msbk mfr Cs if .6 .8
2 24-40 10yr4/4 none sicl 2msbk mfr gw na .4 .6
3 40-52 5yr4J4 none sl om mf - gw na .2 .6
4 52-60 7.5yr4/4 c2d 7.5yr5/6 sl om na na na .0 .0
❑ Boring # [ -I Boring
pit Ground surface elev. 99.30 ft. Depth to limiting factor 42 in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2
1 0-15 10yr3/1 none sil 2msbk mfr Cs if .6 .8
2 15-28 10yr4/4 none scl 2msbk mfr gw na .4 .6
3 28-42 10yr4/4 none sl lmsbk mfr Cs na .6
4 42-72 10yr7/8 c2d 7.5yr5/6 :andston( residuum na na na .0 .0
Effluent #1 = BOD5> 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) 'Suture: - CST Number
David J. Steel -.-L:.z > 248956
Address Steel's Soil Service, Inc. Date Evaluation Conducted Telephone Number
994 200th St. Baldwin, WI 54002 6/27/2005 715-760-0347
Preperty Owner Stallion Development LLC Parcel ID # pending Page 2 of 3
Fil Boring # Boring
pit Ground surface elev. 98.10 ft. Depth to limiting factor 79 in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#t 'Eff#2
1 0-29 10yr3/1 none sil 2msbk mfr cs if .6 .8
2 29-44 10yr4/4 none sicl 2msbk mfr cs na .4 .6
3 44-58 5yr4/4 none sl 2msbk mfr gw na .6 1.0
4 58-79 7.5yr4/4 none Is osg mvfr cs na .7 1.6
5 79-96 10yr7/8 c2d 7.5yrt5/6 andston residuum mfr na na .0 .0
❑ Boring # Boring
F. Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. -Eff#1 'Eff#2
❑ Boring # J Boring
i ~ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 `Eff#2
I
Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L ` Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777.
SBD-8330 (8.07/00) Steel's Soil Service, Inc.
_ STEEL'S SOIL SERVICE INC. 3 of 3
David J. Steel Stallion Development LLC 994200 th St.
CST-POWTSM SE1/4,NW1/4,S34,T30N,R18W Baldwin, WI 54002
Lic. #248956 Town of Richmond, St. Croix Co. Direct 715-760-0347
Riding Meadows Sub. Lot, 10 Fax 715-684-3449
This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use.
The location of this test may or may not be as shown, as permanent lot lines were not established at the
time the soil test was conducted.
Legend N
1"=40'
I ♦ = Benchmark Ele. 100.00 ft
I
Top of 3/4" pvc pipe
• = Alt Benchmark Ele. 100.10 ft
Top of 3/4" pvc pipe
= Borings
Boring Elevations
B1= 99.30 ft
B2 = 99.30 ft
B3 = 98.10 ft
I B4 = 0.00 ft
a
i
I ~
~2_.-
i ~
00
li '
i
(i- I