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HomeMy WebLinkAbout004-1018-40-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: Safety and Building Division St. Croix INSPECTION REPORT Sanitary Permit No GENERAL INFORMATION (ATTACH TO PERMIT) 597398 State Plan ID No Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)] 2949789 Permit Holder's Name: City Village Township Parcel Tax No THOMAS & MARIA SMITH TOWN OF CADY 004-1018-40-000 CST BM Elev: Insp. BM Elev: BM Description ~ r 1 Section/Town/Range/Map No (~"C V c 1 'pM 08.28.15.125 TANK INFORMATION ELEV TI N DATA TYPE MANUFACTURER CAPACITY STATION 4` s / IH F LEV . Septic j Ai' Benchmark V 0 Dosing V11 ' f!'OU Pump: Alt. B s , AeraMn ` Bldg. Sewer -7 L7, wing St/Ht Inlet Ilk, TANK SETBACK INFORMATIONS r~~S t ; S Ht Outlet 0 TANK TO P/L Ft, BLDG. Vent to Air Intake ROAD Dt Inlet { yiS Septic I Dt Bottom 7Y 37 --i Dosing ~t°.. F,''t1 Faeade~r/Man r C W T 2• I .l '.a Dist. Pipe 2""78 qq, I I F Bot. System 11K1 2"q t7J{~ PUMP/SIPHON INFORMATION Final Grade Manufacturer DLlb St Cover a .17-04 Bt/Q Model Number Y }J ! v Frictiop,Loss System Head TD t EForc jift ema in Length Dia." - , Dist. to Well A S OIL ABSORPTION SYSTEM BED/TRENCH Width Len th 5Ne-Of re nches DIMENSIONS PIT DIMENSIONS No. Of Pits Inside Dia. epth SETBACK SYSTEM TO P/LDG WEL LAKE/STREA LEACHING Manufacture: INFORMATION CHAMBER OR t~ L Type Of System. / UNIT Model Nufnbec DISTRIBUTION SYSTEM v)) Header/Manifold Distribution } Pipe(s) ' * 4 x Hole Size) x Hole Spacing V t to Air Intake Length Dia Length Dia p Spacing t / ~ SOIL C x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over [ Depth Over s t xx Depth of xx Seeded/Sodded BedFl feNh Ge ~r C ~ \ Bed Trench Edges Topsoil 1 t k ! • , ry--- wr ~ Yes L No Yes No COM NTS (Include coded iscrepencies, persons present, etc.) Inspection #1: 619 Z Inspection #2: Location: 438 290TH ST PLOW: /rq TA 6t"o-' lop+5sy~Dkl 1.) Alt BM Description s L [ CLE'1 YJ~(' 6 aes ~ "W IN f 11 n U ~ > r,S }U f ~Q In 2.} Bldg sewer length = witul, teak . 14 1 , amount of cover = I-f~tle~} (plp/S t y , f , I ~r , , e PU nl V t,60 r Plan revision Required? Yes I-- o r Use other side for additional information SBD-6710 (R.3/97) Date Insepctor's Signature Cent No. County Safety and Buildings Division 1. Washin ton Ave., P.O. Box 7162 St Croix ( g Sanitary Permit Number (to be filled in by Co.) N5 )(2 Madison, WI 53707-7162 a $ :VN4FAM~ 59-735-9 Sanitary Permit Application :101, state 'transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code. submission of this form to the appropriate tal unit 2949789 is required prior to obtaining a sanitary permit- Note: Application forms for state-owned PO subm+tte to Project Address (if different than mailing address) the Department of Safety and Professional Servies. Personal information you provide m d for s purposes in accordance with the Privacy Law. s- 15.04(1)(im), Stats. 1. Application Information - Please Print All Information .0~k 0 7,7 0 15 Property Owner's Name Parcel # Thomas & Maria Smith 9 O" 004-1018-40-000 Property Owner's Mailing Address 5 Property Location c i L 1345 Birch Park road 0 Govt. Lot City, State Zip Code Phone Numb r 1 NE S F. _ ''/a. Section e- ~:OUI ton 5408 2~ (circle one) T2 8 N: R 15 XXr W 11. Type of Building (check all that apply) Lot # J5~ or 2 Family Dwelling - Number of Bedrooms ww Subdivision Name t7 Block # ❑ 416 Public/Commercial - Describe Use 1 JC ❑ C ity of ❑ State Owned -Describe Use M Number El Village of ❑ Townof Cady Y/ Oar 111. Type of Permit: (Check only one box on line A. Complete line B if applicable) 1. 'New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Onl _ ❑ Other Modification to Existing System (explain) B. ❑ Permit Renewal El Permit Revision El Chan e of Plumber List Previous Permit Number and Date Issued Chang ❑ Permit Transfer to New Before Expiration Owner IV. Ty e of PONN'7'S System/Component/Device: (Check all that apply) d v ❑ Nor-Pressurized In-Ground [I Pressurized In-Ground El At-Grade 11 Mound > 24 in of suitable soiltound <24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) t V. Dis ersal/Tre tment Area Informatio D44Y k-4 esign Flow (gpd) Design Soil Applicat n Rate(gpdst) Dispersal Area Requir Zy~ Dispersal Area Pro ed_Cs System Elevation 6 Z, 600 4 VI. Tank Info Capacity in Total # of Manufactu r Gallons Gallons Units tie, Tanks Existing Tanks R talc u P szs ° 7,- 0 E Septic or Holding Tank 1250 1250 xx Dosing Chamber 1000 XX V11. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumbers Signature MP/MPRS Number Business Phone Number Tim DeYoung 664713 715-246-2660 Plumber's Address (Street, City. State, Zip Code) 321 Wisconsin Drive New Richmond WI 54017 VI [I ounty/De artment Use se OnlN, Approved PermitLFeee Date I ued Issuing ent Signature yen Reason for ial 7 IX. Condi casopp~~~~ for Disapproval . ptM tack tYrtit ws1 f1R 1 3, : ~ % 1~ a spec p cell emmust e ell be s r Iae / r mta rev / 1 01 q as per +;1ar:ayement plan o! o naert by plwnbe;. f YZ I 2. `All setback recl..1r<:rier s rnusttrt: rniz.nt~ ir:e•i as per aWhivibli c4d..1 ti:rd;iruxxa.g. ~!/K Attach to complete plans for the system and submit to he County only on paper not less than S 1/2 x 11 inches in size 4) SBD-6398 (R. 11/11) PLOT PLAN N Project Name: Smith 4 Bedroom Mound Legal Description: NE1/4, SE1/4, S8, T28N, R15W P.I.D: 004-1018-40-000 Subdivision Name: NA Lot NA Township: Cady Parcel Size: 40.00 Acres SCALE: 1" = so' County: St. Croix Contour Line Elevation: 96.93 Cell Dimensions: W X 100' 4 inch Sch 40 -ASTM D2665 System Elevation 98.43 Mound Dimensions: 123.16'x 30.06' 2 inch Sch 40 -ASTM D1785 Slope 12 11/2 Sch 40 -ASTM D1785 A BM1 Elevation: 100.00' Top of 1" PVC pipe BM2 Elevation: 99.20' Top of 1" PVC pipe ■ Backhoe Pits: Septic Tank: 1250 gallon Septic Tank w/ Polylok 525 effluent filter Dose Tank: 1000 qallon Dose Tank w/ Zoeller 163 effluent pump l ii L 4d~' a~ u I 4 ~1 z 0 r~~ o t i ~~y r A 1A0 d0 ehcwl~ D`` \ ~ IV, 41 D R i vt c W ( ( ! f °F Ge 13g 0 4ARTtit DIVISION OF INDUSTRY SERVICES 2331 SAN LUIS PL STE 150 - GREEN BAY WI 54304-5211 Contact Through Relay http://dsps.wi.gov/programs/industry-services \?n~ /ti/' www.wisconsin.gov ~FFSSro"Nl Scott Walker, Governor Laura Gutierrez, Secretary May 25, 2017; i,4,X CUST ID No, 223760 ATTN. POINTS Inspector SAFE1 r l as L F JOHN F SCHMITT ZONING OFFICE SCHMITT & SONS EXCAVATING ST CROIX COUNTY SPIA 616 150TH AVE 1101 CARMICHAEL RD SOMERSET WI 54025-6920 HUDSON WI 54016-7708 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/25/2019 Identification Numbers Transaction ID No. 2949789 SITE: Site ID No. 838364 Smith Please refer to both identification numbers, 290TH St above, in all correspondence with the agency. Town of Cady St Croix County NEIA, SE1/4, S8, T28N, R15W FOR: Description: EZ-Flow Mound System (4 Bedrooms - New Construction) Object Type: POWTS Component Manual Regulated Object ID No.: 1707668 Maintenance required; 600 GPD Flow rate; 18 in Soil minimum depth to limiting factor from original grade; System(s): EZflow Mound Component Manual, (R. 7/12), 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, 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 POWTS dispersal 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. JOHN F SCHMITT Page 2 5/25/2017 • The distribution pipe being inserted into the 4" corrugated pipe located in the EZflow product shall have one out of every five orifices installed at the 6 o'clock position. The remaining four orifices shall be installed at the 12 o'clock position. The laterals shall drain fully after every dose. • The lateral turn-up ends shall extend out past the exterior end of the cells at both ends. The observation pipes shall be located in between where bundles come together. These requirements must be followed so that the aggregate bundles will not be damaged during the installation process • 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. • Well setbacks to meet chs. NR 811 & 812 • Verify property line(s) prior to installation. • Pump Floats to be set and verified per approved plan. Any chances may result in pump resizing to meet TDH and GPM Specifications. • 'This system is to be constructed and located in accordance with the approved plans and with the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems Version 2.0" SBD-10706-P (N.01/01). • This system is to be constructers and located -in accordance %eith the trihrove(i plan,, quid !h "F:Cfl~~ a rvloi.)rd Component Manual " (R.7/1 ? ) Areas that are occupied witii iuc taa~411 .c~~ts..,.:~ rkj,_45. 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 till area is necessary when any of the above conditions are encountered, to provide sufficient infiltrative area. • SPS 383.54(I)(e) The management plan for a POWTS shall specifically address the servicing mechanics of an aerobic or anaerobic treatment tank or a holding tank where either of the following conditions exist: 1. The bottom of the tank is located more than 15 feet below the elevation where the servicinu pad is located. 1 The bottom of the tank is located more than 150 feet horizontally from where the servicing pad is located. 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). 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. JOHN F SCHMITT Pase 2 5/25/2017 • The distribution pipe being inserted into the 4" corrugated pipe located in the EZflow product shall have one out of every five orifices installed at the 6 o'clock position. The remaining four orifices shall be installed at the 12 o'clock position. The laterals shall drain fully after every dose. • The lateral turn-up ends shall extend out past the exterior end of the cells at both ends. The observation pipes shall be located in between where bundles come together. These requirements must be followed so that the aggregate bundles will not be damaged during the installation process • 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. • Well setbacks to meet chs. NR 811 & 812 • Verify property line(s) prior to installation. • Pump Floats to be set and verified per approved plan. Anv changes may result in pump resizing to meet TDH and GPM Specifications. • This system is to be constructed and located in accordance with the approved plans and with the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems Version 2.0" SBD-10706-P (N.01/01). • This system is to be constructed and located in accordance with the approved plans, and the "EZflow Mound Component Manual (R.7/12). • 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. • SPS 383.54(1)(e) The management plan for a POWTS shall specifically address the servicing mechanics of an aerobic or anaerobic treatment tank or a holding tank where either of the following conditions exist: 1. The bottom of the tank is located more than 15 feet below the elevation where the servicing pad is located. 2. The bottom of the tank is located more than 150 feet horizontally from where the servicing pad is located. 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). 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. f JOHN F SCHMITT Page 3 5/25/2017 Sincerely, Fee Required $ 250.00 This Amount Will Be Invoiced. When You Receive That Invoice, Tim Vander Please Include a Copy With Your Leest Payment Submittal. Private Sewage Plan Reviewer, Division of Industry Services Wyment S code: 1. 7633 (920)492-2214, Monday m Friday 6 am To 3:30 pm tim.vanderleestCqwisconsin.gov MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN INDEX AND TITLE PAGE Project Name: Smith 4 Bedroom Mound Owners Name: Thomas & Marla Smith Owner's Address 1345 Birch Park Road Houlton, WI 54082 Legal Description: NE1/4, SE1/4, S8, T28N, R15W Township Cady =CES County: St. Croix Subdivision Name: NA Lot Number: NA Block Number Parcel I.D. Number 004-1018-40-000 Plan Transaction No. Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 Distibution Mediad Page 6 System maintenance specifications Page 7 Management and contingency plan Page 8 Septic tank specifications Page 9 Effluent filter information Page 1 ifi 0 Dose tank spec cations Pagel 1 & 12 Pump specifications and curve Page 13 Plot plan Page 14 Septic tank maintenance agreement Page 15 & 16 Warranty deed Page 17 Aerial Photo Attachment Soil evaluation report I Designer: John Schmitt License Number: 223760 DE1927-7 Date: 5/16/2017 Phone Number: 715-760-0486 Signature: Designed Pursuant to the Ezflow Mound Component Manual Ver. August 20, 2007 and both SSWMP Publication 9.6 Design of pressure Distribution Networks for ST-SAS (10/81) and Pressure Distribution Component Manual Ver. 2.0 SBD- 10706-P (N. 01/01) Ezflow Mound Version 3.0 (R. 3/1/12) Page 1 Mound and Pressure Distribution Component Design Design Worksheet Site Information r Residential or Commercial Design 400.00 Estimated Wastewater Flow (gpd) 1.50 Peaking Factor (e.g. 1.5 = 150%) 600.00 Design Flow (gpd) 12.00 Site Slope 96.93 Installation Contour Line Elevation (ft) 130.00 Contour Length Available (ft) 18.00 Depth to Limiting Factor (in) [-0.40 In-situ Soil Application Rate (gpd/ft2) Distribution Cell Information 6.00 Cell Width (ft) . 3 ,4. 5i ~ _ _7 8 9 or 10 On _y 100.00 =Dispersal Cell Length (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ft2) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution F Y Pressure Disribution Information network? Enter Y or N c Center or End Manifold 3 Lateral Spacing (ft) If N above, enter the elevation (ft) 4 Number of Laterals of the highest point. 0.125 Orifice Diameter (in) (e.g. 0.25) 2.50 Estimated Orifice Spacing (ft) = 7.50 ft2/orifice 2.00 Forcemain Diameter (in) 350.00 Forcemain Length (ft) Does the forcemain drain back? 1- Y 73.00 Inside Pump Tank Elevation (ft) E° 0.00 Forcemain Filter Loss (ft) 6.50 System Head (ft) x 1.3 57.09 Forcemain Drainback (gal) 24.93 Vertical Lift (ft) 90.53 5x Void Volume (gal) 8.07 Friction Loss (ft) 147.62 Minimum Dose Volume (gai) 39.50 Total Dynamic Head (ft) 32.95 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options -choice in. dia. options choice 0.75 1.25 x 1.00 x 1.50 x x 1.25 x 2.00 1.50 x x 3.00 2.00 x 3.00 x Gallons/Inch Calculator (optional) Treatment Tank Information ff I Total Tank Capacity (gal) 1250.00 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Weiser Concrete Manufacturer gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 1000.00 Dose Tank Capacity (gal) POLYLOK Filter Manufacturer 27.83 Dose Tank Volume (gal/in) 1525 Filter Model Number Weiser Concrete Manufacturer Project: Smith 4 Bedroom EZ Flow Mound Page 2 Mound Plan View T 1/10 B : J Observation Pipe 5 A ? I.. I.. B • L Mound Component Dimensions ft A 6.00 ft E 26.64 ' H Aft ft K [Aft B F 12.00 in z ft L ft _JD0--0G A, D .00 in G 0.50 ft J W 600.00 (ft2) Dispersal Cell Area 2343.75 (ft2) Basal Area Available 6.00 (gpd/ft) Linear Loading Rate 10.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View EZflow Dispersal Area Finished Grade 100.43 (ft) i H I F Dispersal Cell 98.93 (ft) Lateral 98.43 (ft)~ : 6" Invert Elevation Dispersal Cell D Elevation :.E Q . l 96.93 (ft) Contour Elevation 12.0 % Site Slope Typical Dispersal Cell Shading Key See Page 5 Topsoil Cap a ~ a Subsoil Cap c o Approved Geotextile Fabric Cover F2-] 3 ASTM C33 Sand o 2.0 ft # 75 ®0 Tilled Layer Z IF 50 EZflow Media s v U) 0 0.5 ft See details on page 4 for number, size, and spacing of laterals. Laterals are located in the 4" gravity distribution pipes as shown on page 5. Project: Smith 4 Bedroom EZ Flow Mound Page 3 Center Connection Lateral Layout Diagram Place Appropriate Lateral Diagram From Right Below Force main connection via tee or cross to manifold at any point. Laterals are identical Orifices point up, except every 51h one P points down for drainage Jl__ Turn-upVball,ralvAor 't X-+-12 I 0241 Latera1st,forrematnofPVCSch4n cleanoutplug I per SPS Tab!e 384 301 Number of Laterals 4 Orifice Diameter 0.125 in Lateral Diameter 1.50 in Orifice Spacing (X) 2. ft-- Lateral Length (P) 49.34 ft Orifices per Lateral 20 Lateral End (Z) NA ft Orifice Density 7.50 ft2/orifice Lateral Spacing (S) 3.00 ft__, - Manifold Length 3.00 ft Lateral Flow Rate 8.24 gpm Manifold Diameter 1.50 in System Flow Rate 32.95 gpm Forcemain Velocity 3.37 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and - SPS 316.300 WAC 4 in. min. Disconnect _ Tank component is properly vented E Alternate outlet location Forcemain diameter Weiser Concrete Manufacturer 2 in. Capacity 1000.00 Gallons -T Volume 27.83 gal/inch A _ Weep hole or anti- Dimension Inches Gallons B siphon device A 16.63 462.76 B 2.00 55.66 C Puff elevation (ft) C 5.30 147.62 74.00 D 12.00 333.96 D Total 35.93 1000.00 Dom se tank elevation (ft) Bedding And Backfill As Per Manufacturer 73.00 Alarm Manufacturer SJE Rhombus Alarm Model Number 1036378 Pump Manufacturer Zoeller Pump Model Number 163 Pump Must Deliver 32.95 gpm at 39.50 ftTDH Note. Switches comaining mercur'y i ia,4 of tle used in this system Project: Smith 4 Bedroom EZ Flow Mound Page 4 Uf/owe Distribution Cell Media Layout 6.00 Cell Width (ft) 1.50 Sidewall to Lateral (ft) Distribution Cell Cross-section Arrangements 6 ft Wide (9(tGOO" Component Legend ® SR1-7A Bundle - 5 ft or 10 ft lengths SR1-12A or EZ 1201A in 5 ft or 10 ft lengths SR3-12H or EZ 1201 P or SR3-12H in 5 ft or 10 ft lengths. O 4" Perforated Distribution Pipe With Pressure Lateral Inside • Turnup Enclosure - - - - - Pressure Lateral Bundles are covered with approved geotextile fabric as per the their product approval. Distribution Cell Plan View Layout - Typical 6.00 Cell Width - A (ft) 100.00 Cell Length - B (ft) titer Connection Lateral Layoot Diagram - Force Main 6 ftWide Center Manifold Project: Smith 4 Bedroom EZ Flow Mound Page 5 Mound System Maintenance and Operation Specifications Service Provider's Name John Schmitt Phone 715-760-0486 POWTS Regulator's Name St. Croix County Phone 715-386-4680 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1250 gal Maximum TSS 150 mg/L Soil Absorption Component Size 600 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Inspect and/or service once every 3 ears Effluent Filter Inspect and clean as necessary at least once eve 3 ears Pump and Controls Test once eve 3 ears Alarm Should test periodical) Pressure System Laterals should be flushed and pressure tested eve 3 ears Mound Inspect for pondin and seepage once eve 3 ears Other 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 EZflow Mound Component Manual Ver. August 20, 2007. 2. Dispersal cell media conforms to EZflow products approved for use with the EZflow Mound Component Manual Ver. August 20, 2007. Media is covered with an approved geotextile fabric. 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\ Threaded Cleanout 6-8" Diameter Lawn/ Sprinkler Valve Box Plug or Ball Valve Lateral Ends at Last Orifice Where Variable Length Cleanout Begins Long Sweep 90 or Two 45 Degree Bends Same EZflow Synthetic Media 1. Diameter as Lateral 17 Feet 4 Distribution Lateral -01 4 Lateral Cleanout Project: Smith 4 Bedroom EZ Flow Mound Page 6 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 [UflowMound Component Manual 8/20/07, Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. 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 i 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 as to 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 Wisconsin Department of Commerce. Pump Tank The dosing (pump) 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. If the force main has a weep hole, it should be noted if it is functional during pump operation, and if not, it should be cleaned. *****No one should ever enter a septic or dose tank since dangerous gases may be present that could cause death.**** Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BOD5, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BODS, 30 mg/L TSS, 10 mg/L FOG, and 104 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 3 years. 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 mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Smith 4 Bedroom EZ Flow Mound Page 7 an-oszLd% :311A 99 8-=-008 09L*9 IM 71008 N3OIVNI OL .,MH sn 9LLEM Z :anOd-1SOd :3100/00/00 :31V0 ~dnNdw Oild3s w W O 'Al :8nod-38d MVOS dOM :,,G NMV80 \ 3a 313801!00 ~~S~~m 8W-05Z ld-N1 ~ w w ~ F~- J w LL) (n U Q Z co U Q w (n V) 2 w w V) a co O 0 0 W~L~1 O 1, 01 N m W V) Q °w U W O J ^ Q F- J 0 m H ow z N O° LLO~ U 0 U H o Qp z m O 04k: Z M W LXLJ U a 3 0 F-_j ZJS \ N a M mU l- 0¢ ~C F- ~0~ Ow wow Q (7 Owl z (L ~0 Zp a a o L Q c ° O m (n JwW O \ Z Q a f M p O s m Q a LLL- L p Y U -CV\O~MJ W I mw(n t ~U O aZ 000 Z < '00 V) V) w- < M ~a w O ZZ Y~ O U NW NCO°~-'aO`o w I < \ N N x w U Z F- C a V) 2 (7 N N ~J~ coZJ = m =~W SZx U ZF- J N WU mW ~O LLj Gi o~oF-~ ..gyp °vY °o w a a w a w m~ p CL X x ) N J °QOOQwWpOdw QdCa~ Q+O U p~U CD <V Y Un3m0M2J~mJ3 ZOa Z U 20 Z J J =-i Q Y ~Z Fw p Z Z w 2 < OUIa- U J a w (n I Q I N U w - O Z w w w \ 0 J N J a I I cv a ~m ~ w I w_ ~ I Q f > f „9~ > a N I V) I o I o 0 <1 L) w N f x F- v/ a JI I I ° I _ J ° w W of Ld N LdI U Z_ lai O Z QU~2i a SV "Jzg a V) Y Z a F- Page 8 gg li. yin a+niti ^.,u.i L > Zabel & - .a Drvision of polylok h'. The PL-525 Filter is rated for 10,000 GPD (gallons per day) making it one of the largest filters in its class. It has 525 linear feet of 1/16" filtration slots. Like the Polylok PL-122, the Polylok PL-525 has an automatic shut-off ball installed with every filter. When the filter is removed for cleaning, the ball will float up and temporarily shut off the system so the effluent won't leave the tank. Rated for 10,000 GPD (gallons er da Alarm Switch 0 GPD (Optional) p y)• 10 00 r 525 linear feet of 1/16" filtration. ~ Accepts z" Pvle Accepts 4" and 6" SCHD 40 pipe. ~ Extension Handle Built in gas deflector. yr Automatic shut-off ball when filter is removed. Alarm accessibility. Rated for 10,000 GPD Accepts PVC extension handle. Ideal for residential and commercial waste flows up to - Linear [ f. 10,000 gallons per da GPD). Fi1/16" ( Fltration Slots 1. Locate the outlet of the septic tank. 2. Remove the tank cover and pump tank if necessary. Accepts 4" & 6" ~j 3. Glue the filter housing to the 4" or 6" outlet pipe. If SCHD 40 pipe the filter is not centered under the access opening use a Polylok Extend & Lok or piece of pipe to center filter. 4. Insert the PL-525 filter into its housing. 5. Replace and secure the septic tank cover. Certified NSF/ANSI Standard 46 The PL-525 Effluent Filters will operate efficiently for several years under normal conditions before requiring cleaning. It is recommended that the filter be cleaned every time the tank is pumped, or at least every three years. If the installed filter contains an optional alarm, the owner will be notified by an alarm when the filter needs servicing. Servicing should be done by a certified G~ Gas Deflector septic tank pumper or installer. Automatic Shut-Off Ball 1. Locate the outlet of the septic tank. 2. Remove tank cover and pump tank if necessary. 3. Do not use plumbing when filter is removed. 4a N 4. Pull PL-525 cartridge out of the housing. 5. Hose off filter over the septic tank. Make sure ally 1 solids fall back into septic tank. 6. Insert the filter cartridge back into the housing making sure the filter is properly aligned and completely inserted. Polylok, Zabel & Best filters accept Easily installs 7. Replace and secure septic tank cover. the SmartFilter® switch and alarm. into existing tanks. Polylok, Inc. 3 Fairfield Blvd. Wallingford, CT 06492 Toll Free: 877.765.9565 Fax: 203.284.8514 www.polylok.com Page 9 arf-ooo~dix ~3~i~ 958-5Z~-008 0 \ af10d-1SOd 31V0 :Ood-38d :3lVOS dOM :.10 00/00/00 NMVaO31V0 OSLtiS IM `NOOa N3OIVW OL AMH Sn 9LL2M w WOE ~n3a 31380000 1353'M ib'f1Nb'W OIld3S w 2iW-00OIdIM ~ 0 LLJ w L U' H Q a z o > W z U co 0 ~ t3 - J W O O Ld R' U Q N (n 2 W W In d 0 0 Z ll m N 0 Co ~ O D (n LL w d m z L), W F- J J H J In Q ~w F~ ct 00 Li OF- 0 L- l7 m o O v\ o~m z 'n a w~ F H O o o Z w 00 L, z o a Q min o 00 w a Q -1 00 < U Q LLJ V) (L m O 0 3 LL ce > v M J U z U c U c llw O fn WW U \ Z a o Q O LW M qOq N(Om QQ Li (q JF- ~U vv Y V) CL 0 U UOO`tn m <w In r av O Qo 000 ZQ a 0 ~1W '04 CL N't F- Qt 0r-: LytJ ja) Q F~a N Ld 00 °wo z I.. W ~ r L c IJiO (OJ> W QU J Z _N 0 V Z = U~ Z O a- Llj W ~H ~N 2 U Q j ~ N ~ 1 oz J ~ U) Y \ W Ln F ~0L-o -D:am 0vY Dow ¢ QwQ w mP °0 ~D N Y 0Q0 oawWCOV2 Zz Q Z Ln F- U O~U ZZLw ~ v6 a3-0 z 0 OM CC)IT M.D3: O ZOQ Z U m0 F- 5 L.Li 0 0 ~L J J 0 O 0 Z >z w D Z Z J 2 OU< U J Q W (n I Q ~ L- to Ln W H L) w o w a Ld D D O 04 ° 11 v ~I N CO Il w CD a II Q W I > a „s I „s~ W w I11 ~ I. o o X 1 W L. 0- 0 0 ~ N W W ~ Z U u - Z) Z a „98 4lbllnol2j SV ww a N Y z Q F- Page 10 p SECTION: 2.20.050 QV4L/TY//7 --L/",-F 5NCE j~~~/ FM0460 / 0102 ~`tE0. COgrPq , ; Zo Supersedes Product information presented here reflects 0300 conditions at time of publication. Consult factory visit our web site: regarding discrepancies or MAIL T0: P.O. BOX 16347 • Louisville, KY 40256-0347 inconsistencies. SHIP T0: 3649 Cane Run Road • Louisville, KY 40211-1961 hffp://www.zoelter.com (502) 778-2731. 1 (800) 928-PUMP • FAX (502) 774-3624 Non-clogging bronze vortex impeller design. 161 -163 -165 Single Seal Series Durable cast construction. Cast iron switch case, base, 4161- 4163 - 4165 Double Seal Series motor and pump housing. (For Pump Prefix Identification see News & Views 0052) Castings - Cast iron class 25-30 (25,000# tensile strength). Impeller, bronze class 85-5-5-5. 1 -4 Corrosion resistant powder coated epoxy finish. A "°mP°°y2 20 foot UL listed 3-wire neoprene cord and plug. Longer cords available in lengths of 25-35-50 feet. Motor - 60 Hz. 3450 RPM, oil-filled, hermetically sealed, FOR SEPTIC TANK • LOW PRESSURE PIPE (LPP) automatic reset thermal overload protection (1 Ph only). C10 ® AND ENHANCED FLOW STEP SYSTEMS Upper sleeve bearing and lower ball bearing running in bathofoil. OR DEWATERING PUMP • SUBMERSIBLE Carbon and ceramic shaft seal. 11/2" NPT DISCHARGE STANDARD • 2" AND 3" NPT FLANGE AVAILABLE Maximum temperature for effluent ordewatering, SSPMA 130° F. - 54° C. (ED 140° F. - 60° C). MEMBER Major width 12Y4". Height 1891,6". (Single seal pumps) SUMP AND SEWAGE NO screens to clog. 'fit^'n 'SPUMP MFRS. ASSN. Square Ring & Gasket - Neoprene. Stainless steel screws, bolts, float rod, handle guard, arm and seal assembly. ~a'Passes spherical solids. 1'/2" NPT discharge with 2" or 3" flange available. Automatic units available with float operated, submersible (NEMA 6) 2-pole mechanical switch. - On point 143/4" - Off point 5". A s ~ t Available in single or double seal designs. T Its,_. ~ t z 100% of units are computerized tested. 1 ik Protects motor from seal leaks., ; .s Improved bearing lubrication. POWDER Helps eliminate seal and bearing damage from dry runs. COATED Major width 123/4'. Height 20'/16". TOUGH" Note: The sizing of effluent systems normally requires variable level float(s) controls and properly sized basins to achieve required sl~ pumping cycles or dosing timers with nonautomatic pumps. • Automatic (Single Seal Only) or Nonautomatic AUTOMATIC UNITS NOT RECOMMENDED 161-163 and 4161-4163 Series 165 and 4165 Series FOR USE IN EFFLUENT SYSTEMS. 1/2H.P.,1 Ph,115V, 200-208V or 230V 1 H.P.,1 Ph., 200-208V or 230V 1/2H .P., 3 Ph., 200-208V, 230V or 460V 1 H.P., 3 Ph., 200-208 230V or 460V *NOTE: No UL listing or approval for 200-208V, Ph or Extra Duty (ED) pumps. See back page for UL & CSA Listings. © Copyright 2002 Zoeller Co. All rights reserved. Page 11 ` TOTAL DYNAMIC HEAD/CAPACITY HEAD CAPACITY CURVE PER g w MODEL 16114161 - EFFLUENT A DIDEWATERING 163/4163 - 165/4165 161/4161 16314163 165/4165 90 WMod 1 Gal. Liters Gal. Lites Gal. Liters 100 379 61 231 61 231 24 80 93 352 605 229 605 29 85 322 60 227 605 229 79 297 59 223 60 227 70 70 265 57 216 59 223 20 3 .fit 233 55 206 58 220 _ 40 12.2 45 170 46 t72 55 208 1 50 152 20 76 33 125 50 169 16 60 18.3 - - 15 57 39 148 ro 50 "-1'- 70 21.3 22 5 85 F i 80 24.4 10 38 4 Shut-off Head 56 It (17m) 66 It (20m) 86.5 It. (26m) 12 i 009920B 30 20- - f 161 169 4- _ 10 i 0 1 2 3 4 5b 64 7 9 1 - GALLONS LITERS 8b . 190 2 A0 1 1 SK374 FLOW PER MINUTE 009920A "+a`f e r 161 MODELS 41.61MODEL --Control i ntrol Selection Listings Single Seal Double Sle S alV soltsolt P Mode Amps Simplex Duple xCCI A UL - - -1 1 M161 115 1 Auto 15.5-- - - Y Y - - N161 N4161 115 1 Nan 15.5 2 3 or 5 & 6 Y Nn D161 230 1 Auto -7.5 1 - Y Y ) E161_ E4161 230 t Non 7.5 2 3or5&6 Y Y _ r H161 - 200-208 1 Auto 8.8 1 - Y N t 1161 ' 14161 200-208 1 Non 8.8 2 3 or 5& 6 Y N J161 J4161 200-208 3 Non 6.4 4&6 3& 4 or 5& 6 Y Y r " F161 * F4161 230 3 Non 5.2 4&6 3&4or5&6 Y Y - ' 6161 64161 46Ij0i 3 Non 2.9 4&6 3& 5&6 Y Y~ i 183 MODELS 11-6' DELS Control Selection Listings Single Seal Double 5 (Volts - Ph Mode Atrips Simplex Duplex CSA UL M163 115 1 Auto 15.0 1 Y Y N163 N4163 115- 1 Non 15.0 2 3or58,6 Y Y D163 230 1 Auto 7.5 1 Y Y~ E163 E4163 230 1 Non 7.5 2_ 3 or 5 & 6 Y Y H163 200208 1 Auto 8.5 _1 - Y N t * 1163 14163 200-208 1 Non 8.5 2 3 or 5& 6 Y N J163 J4163 200-208 3 _ Non 6.0 _ 4&6 3 & 4 or 5 & 6__ Y Y F163 ' F4163 230 3 Non 4.8 4&6 3&4or5&6 1 Y Y r 1 SK1413 G163 * 64163 460 3 Non 2.9 4&6 3& 4 or 5& 6 Y Y 165MODELS 4165MODELS Control Selection 9 1. Integral float operated 2 -pole mechanical switch, no external control coon Listin s Single Seal Double S alVolts - Ph Mode_ Amps Simplex _ Duplex CSA UL required. D165 - 230 1 Auto 10.2 1 - Y Y 2. Single piggyback variable level float switch or double piggyback E165 E4165 230 1 Pon 10.2 _ 2 3 or 5 & 6 Y Y variable level float switch. Refer to FM0477. H165 - 200.208 1 Auto 12.6 1 - Y N 3. Mechanical alternator M-Pak 10-0072 or 10-0075. Refer to FMO495 1165 14165 200.208 _ 1 Non 12.6-- 2 __301`5 & 6 Y N J165 * J4165 200-208 3 Pon 7.5 4&6 3 & 4 or 5 & 6 Y Y 4. Simplex three phase control panel. Refer to FM1228. F165 * F4165 230_ 3 Non 7.4 4&6 3&4 or 5&6 Y Y 5. See FM0712 for correct model of Electrical Alternator. - - - * G165 64165 460 3 Non 3.7 4&6 3 & 4 or 5 & 6 _ Y Y 6. Variable level control switch 10-0225 used as control activator, specify simplex (3) float or duplex (3) or (4) Float system. BA165 BA4165 575 _ 31 Non 3.0 4&6 3- & 4 or 5 & 6 N N No Molded Plug UL listed unit available with 20 Amp plug. ~ CAUTION For information on additional Zoeller products refer to catalog on Piggyback Variable Level Float Switches, FM0477; Electrical Alternator, FM0486; Mechanical Alternator, FM0495; Alarm Package, FM0732; and Sump/Sewage Basins, FM0487. For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. © Copyright 2002 Zoeller Co. All rights reserved. Page 12 PLOT PLAN N Project Name: Smith 4 Bedroom Mound Legal Description: NE1/4, SE1/4, S8, T28N, R15W P.I.D: 004-1018-40-000 Subdivision Name: NA Lot NA SCALE: 1" = 50' Township: Cad Parcel Size: 40.00 Acres County: St. Croix Contour Line Elevation: 96.93 Cell Dimensions: 6'X 100' 4 inch Sch 40 -ASTM D2665 System Elevation 98.43 Mound Dimensions: 123.16' x 30.06' 2 inch Sch 40 -ASTM D1785 Slope 12 11/2 Sch 40 -ASTM D1785 A BM1 Elevation: 100.00' Top of 1" PVC pipe BM2 Elevation: 99.20' Top of 1" PVC pipe ■ Backhoe Pits: Septic Tank: 1250 gallon Septic Tank w/ Polylok 525 effluent filter Dose Tank: 1000 gallon Dose Tank w/ Zoeller 163 effluent pump t { ~~C ~ Y u PQER~SrP v~~~\L~ i ~ ~ ~ n1 y i{oVi5 I7 5© C-r4LkI rrtNh o \ ~ ~ ` ®g I A (~itl CONTOcl rZ i-Wd V ~ 13 LC~►' e 13 g T. . Al kk, s Rte, Ilk" '4 (D * F x a a. -1092. K , e gj~ C) O .4 m C: 04 0 00 CY) zr mn; wl_ A~ Ryan Yarrington From: Dustin Rassbach <dustinr@derrickbuilt.com> Sent: Monday, July 10, 2017 5:07 PM To: Ryan Yarrington Cc: Timothy De Young; Tom Derrick Subject: FW: Smith project Attachments: Smith_SiteWetlandlndicator.pdf Ryan- We moved the (future by owner) outbuilding along with the driveway to comply with the wetland delineation map. Please review and let us know if you need any further information. Dustin Rassbach Leed Accredited Professional 1505 Hwy. 65 New Richmond, WI 54017 (715) 246-2320 Office (715) 243-0512 Direct Line (715) 760-1005 Cell dustinr@derrickbuilt.com www.derrickbuilt.com -----Original Message----- From: Angelina Turco Sent: Monday, July 10, 2017 5:05 PM To: Dustin Rassbach <dustinr@derrickbuilt.com> Subject: RE: Smith project Revised version attached. -----Original Message----- From: Angelina Turco Sent: Monday, July 10, 2017 4:49 PM To: Dustin Rassbach <dustinr@derrickbuilt.com> Subject: RE: Smith project Dustin - see attached revised site plan overlaid on the Wetland indicator map for the Smith property. I have adjusted the driveway and location of the outbuilding to avoid the wetland area per the map. -----Original Message----- From: Dustin Rassbach Sent: Monday, July 10, 2017 4:08 PM To: Angelina Turco <lena@derrickbuilt.com> Subject: FW: Smith project i Dustin Rassbach Leed Accredited Professional 1505 Hwy. 65 New Richmond, WI 54017 (715) 246-2320 Office (715) 243-0512 Direct Line (715) 760-1005 Cell dustinr@derrickbuilt.com www.derrickbuilt.com -----Original Message----- From: Ryan Yarrington [mailto:Ryan.Yarrington@co.saint-croix.wi.us] Sent: Monday, July 10, 2017 4:07 PM To: Dustin Rassbach <dustinr@derrickbuilt.com> Subject: RE: Smith project http://dnr.wi.gov/topic/SurfaceWater/swdv/ Ryan Yarrington I Land Use Specialist 1101 Carmichael Rd I Hudson, WI 54016 715.386.4680 -----Original Message----- From: Dustin Rassbach [mailto:dustinr@derrickbuilt.com] Sent: Monday, July 10, 2017 4:07 PM To: Ryan Yarrington <Ryan.Yarrington@co.saint-croix.wi.us> Subject: RE: Smith project Dustin Rassbach Leed Accredited Professional 1505 Hwy. 65 New Richmond, WI 54017 (715) 246-2320 Office (715) 243-0512 Direct Line (715) 760-1005 Cell dustinr@derrickbuilt.com www.derrickbuilt.com -----Original Message----- From: Timothy De Young [mailto:timd@countrysideph.com] 2 Sent: Monday, July 10, 2017 3:25 PM To: Dustin Rassbach <dustinr@derrickbuilt.com> Subject: FW: Smith project -----Original Message----- From: Ryan Yarrington [maiIto: Ryan.Yarrington@co.saint-croix.wi.us] Sent: Monday, July 10, 2017 3:22 PM To: timd@countrysideph.com Subject: Smith project Hi Tim, Here is the Wetland indicator map. If possible I would have Derrick Homes plot the Wetland indicators otherwise if the house was moved to the East then it might be out. Thanks! Ryan Yarrington I Land Use Specialist 1101 Carmichael Rd I Hudson, WI 54016 715.386.4680 I 3 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Thomas & Maria Smith Mailing Address 1345 Birch Park Road Property Address (V fication required from Planning & Zoning Departmen r new construction.) City/State t t at"} LA 1 Parcel Identification Number 004~° 018-4Q-0~0 LEGAL DESCRIPTION Property Location NE 1/4, SE 1/ , Sec. 8 . T 28 N R 15 W, Town of Cady Subdivision Plat; Lot # Certified Survey Map # Volume Page # Warranty Deed # (before 2007)Volume Page # Spec house DyeslDno Lot lines identifiable E]yesDno 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 ful[ of sludge. I/we, 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 w' in 30 days of the three year expiration date. I/we certify that all statements n this form are true to the best of my/our knowledge. I/we am/are the owner(s) of the property described above, by virtue of warranty deed recorded in Register of Deeds Office. Number of bedroo 4 SIGNATURE OF APPLICANT(S) D DATE ATE ***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) Page 14 `Sne, v. SST-~~~i~ -u Departmen~ECE' VR ~f #18-= e~ Safety EVALUATI_ ~1 de Page 1_of 4 PS y and ordance with Comm avv, Professional Service4 All Schmitt Soil Testing. In_ 3 County .Attach complete site plan on paper t~k1(B04RoctlionW ~size. P' St. Croix include, but not limited to: vertical pn~M), r percent slope, scale or dimen row, and and dip ' crest road. Parcel I.D. 004-'W18-4,0-000 Please print all information. - - - - - - y B /,t Personal information you provide may be used for secondary purposes (PrN -aw, s. 15.04 (1) (m)). Revie d Date Property Owner Property Location /f► Smith, Thomas & Marla Govt. Lot NE1/4 E1 S8, T28N, R15W Property Owner's Mailing Address Lot # Block # Subd Nam or CSM# 1345 Birch Park Rd NA 140 Acre Parcel City State Zip Code Phone Number City Village Town Nearest Road Houlton ; WI 54082 Cady 290Th St. New Construction Use: Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement I Public or commercial - Describe: Parent material Glacial Drift (Santiago Series) Flood plain elevation, if applicable NA ft. General comments Area is suitable for a mound system. System elevation is 98.43' based off a contour line established at 96.93'. Slope of area is and recommendations: 12%. Depth to limiting factor is 18". Boring 1 Boring # F-1 - Pit Ground surface elev. 94.-68------ ft. Depth to limiting factor 21 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure ! Consistenc Boundary Roots I GPD/ftZ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-11 10yr3/3 none sil 2mgr mvfr as 2vf 0.6 0.8 2 1113 10yr5/4 none sil 2fsbk mfr gw lf,lvf 0.6 0.8 3 13-21 10yr4/4 none sil 2msbk mfr gw lvf 0.6 0.8 4 21-30 10yr4/4 7m2d.5yr6/2r6/2 /6 A lmsbk mfr gw 0.4 0.6 5 30-52 5yr4/4 m2d 7.5yr6/8 sl lmsbk mfr 0.4 0.7 7 5yr6/2 Water seeping from pit wall at 35" Boring F2 ]Boring # - Pit Ground surface elev. 95.33 ft. Depth to limiting factor 18 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftZ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-10 ! 10yr3/3 none sil 2mgr mvfr as 2vf 0.6 0.8 2 10-14 ! 10yr5/3 none sil 2msbk mfr Cs ivf ! 0.6 0.8 3 14-18 7.5yr4/4 none sl 2msbk mfr gw 0.6 1.0 - 4 18-36 7.5yr4/6 m2d 7.5yr6/8 grsl lmsbk mfr 0.4 0.7 7.5yr6/2 Water seeping from pit wall at 34". * Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 <-150 mg/L ` Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt 227429 Address Schmitt Soil Testing, Inc. Date Evaluation Conducted Telephone Number 1595 72nd St. New Richmond, WI 54017 4/28/2017 715-760-1978 SBD-5330 (R 07/00) Property Owner Smith, Thomas & Marla Parcel ID # - 004_1018-40-000 Page 2 of 4 Boring F3 ]Boring # Pit Ground surface elev. _95.33 -ft. Depth to limiting factor 20 - in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-9 10yr3/3 none sil 2mgr mvfr as 2vf 0.6 0.8 2 9-14 10yr5/3 none sil 2fsbk In r gw ivf 0.6 0.8 3 14-24 10yr4/4 none sil j 2msbk mfr gw 1vf 0.6 0.8 4 24-37 7.5yr4/4 m2d 7.5yr6/8 sl Om mfr gw 0.2 0.6 7 5yr6/2 - - ---m2d 7.5yr6/8 ~ 5 37-48 7.5yr5/6 scl Om mfr 0.0 0.0 - - 7.5 yr611 - - - - - Boring 4 Boring # Pit Ground surface elev. ft. Depth to limiting factor - 24 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' Eff#1 - -*Eff#2 in. Munsell Qu. Sz. Cont. Color I Gr. Sz. Sh. 1 0-10 10yr3/3 none sl 2fsbk mfr as 2vf 0.6 1.0 2 10-17 10yr4/4 none grsl 2msbk mfr gw 1vf 0.6 1.0 3 17-24 7.5yr5/6 I none grsl lmsbk mfr gw 1vf 0.4 0.7 4 24-36 7.5yr4/6 m2d 7.5yr6/8 grsl Om mfr 0.2 0.6 7.5yr6/3 I Boring F-1 Boring # Pit Ground surface elev. 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 I I 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 (R.07/00) Schmitt Soil Testing, Inc. I - - _t Page 3 of 4 Conducted by: Conducted For: - Schmitt & Sons Excavating, Inc.. Name: Tom & Marla Smith T--- Thomas J. Schmitt, CST 227429 Address: 1345 Birch Park Rd 586 Valley View Trail - City, State, Zip: Houlton, WI 54082 Somerset,Wl 54025 Land Information Phone:715-7 0-1978 PID: 004-1018-40-000 Signature Lot No. NA 40 Acre Parcel Date -a~O / 7 Legal Description: NE1/4 SEI/4 S8 T28N R15W ■ Backhoe Pit Township, County: Cady, St. Croix County A Bench Mark 1 El. 100.00' Top of 1" pvc pipe i 41 Bench Mark 2 El. 99.20' Top of 1" Pvc Pipe - - - - - Slope= 12% - --i--- Scale 1"= 50' Contour Line El. 96.93' Contour Line Length 100' 13.2 O AA G/NC 6 ~ TAB. ~ y OT Je!/V NOTE: For full view of Lot see Aerial Photo (Page 4 of 4) T T IVr y s6~ yo A-5 3 7S , i A WI - o\, 3 1 ` 1r• 33 _t 't r72Ir'/~ ~ i 1 t l3~' ` Y ` Al- it Alf. 5 d"° t,^ fi~~' e ~^r-. -~«:re t g f ~ * X C r. l 0 11 ~ , ik x a y r.. r - a 3 r-" ► s _ e 41- g co 54 a yam, _ mEc St'' qtr ^x o~ v:`, z F r'.' fir' a ~ r m r R, $ e° $ o c I I /