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HomeMy WebLinkAbout026-1172-07-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: Safety and Building Division St. Croix INSPECTION REPORT Sanitary Permit No: GENERAL INFORMATION (ATTACH TO PERMIT) 597458 Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. State Plan ID No:.-7 Permit Holder's Name: City Village Township Parcel Tax No: G y Michael & Myrna Juhl TOWN OF RICHMOND 026-1172-07-000 CST BM Elev: Insp. BM Elev: BM Descri tion: Sectio own/Range/Map No: W 21/L' 35.30.18.1368 TANK INFORMATION ELEVATION DATA TYPE MANUFACTU , t1 (Al CAPACITY STATION BS HI FS ELEV. Septic r Benchmark Dosing A21 CQ M$~ ' Alt. BM Aemtwun -~i' L~ ~ 1ls ~ G ( Bldg. Sewer j~ H St/ t Inlet 12L~ ' f TANK SETBACK INFORMATIO1 X S C /VS St/Ht Outlet TANK TO Pf WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic r n / 1 m Dt Bottom 'V "Z9 odc-2s Dosing ?/P 3,63 X07,z Aeraf Dist. Pie 'y 107, / C1 Holding Bot. System j~(O PUMP/SIPHON INFORMATION ( Final Grade Manufacturer Demand St Cover 9q V GPM /O q Model Number 1P {fit j I r O~ .rlJ TDH Li Friction Loss System Hleadlj i 5 TD Ft Forcemain Len Dia. v #j Dist. to Well SOIL ABSORPTI N SYSTEM BED/TRENCH Width Y Le th e No. Of enches n IT DIMENSIONS No. O O f Pits Inside Dia. Liquid Depth DIMENSIONS ~ CYV` J SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION Typ to, i e 1 . CHAMBER OR N UNIT Model Number: DISTRIBUTIO SYSTEM y -fb or H) Header/Ma Distribution x Hole Size , ,j Pipe(s) I{ C 61 x Ho Sp ng V to Air I ~ Length® b /Dia t 11 11_ ength~_ Dia t/ Spacing J ~ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only V ~Y1 / D Over TA Over f xx Depth of xx Seeded/Sodded Mulched B ren h r( ~ Bed/Trench Edges Topsoil No No 1~ / Ves 1 Yes C NTS- (Include c de discrepencies, persons present, etc.) Inspection #1: 101 III Z01 7 , nspection#2: Location: 1287 138TH ST Cby Ct I l MbWe A 4 rc kt d , W HI half! gr1 cvwl 1.) Alt BM Description= PPw ~1,~ vkQ~ 2.) Bldg sewer length = - amount of cover = J ) ` lit 01 Co ve y a~ ally, Plan revision Required? ❑ Yes No ' Use other side for additional information ~ D SBD-6710 (R.3/97) Date Insepctor's Signature Cert. No. 1L w p W ~ LL E2 ° W LL Q t~O C) Z co CN UQ°Q , C? p o C C C U i i LL Z<CDCDC7 Ury cj LU J O 4 1 O ~W J W O Q^ a" m LL ° Ja ° w LL i I I O N Z 0 H Cl) W J LL ~ LL m O ~ W LL LL ~ rn I I rn ti H O a w =w ILI Y Lo Y O O U < o ~ o J Q Q Z = N U O U d U) Cl) ® ® z O ow w Qua ® auJ'w i I w LLO ~ 0 LL O m ~ ® O O ai 73"4011 - County Safety and Buildings Division C ~ , 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be tilled in by Co.) Ma('~son, WI 53707-7162 ST .5-9 siox~~ 'QMMUNITY DEVELOPMENT- S State Transaction Number Sanitary Permit Appliea).. ~O? Z ~46; In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this for to the et mmental unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owne, -7 esubmitted to Project Address (if different than mailing addre scondary the Departmet of Safety and Professional Servies. Personal information you provide may ~ljN-1 7~' tk u oses in accordance with the Privacy Law, s. 15.04 1 m ,.Stats. ( J I. A lication Information - Please Print All Information Property Owner's Name Parcel # Property O er's Mailing Address Property Location Z5 ;6 fit- A-P5 G ar k Govt. Lot City, State Zip Code Phone Number y,, Section cycle one) v 6~? y~ T N; R E or i II. Type of Building (check all that apply) Lot # 1 or 2 Family Dwelling - Number of Bedrooms Subdivision Name 44 Block # 5 L- L©vL'r 4 ❑ Public✓Commercial - Describe Use 6J El City of ❑ ❑ State Owned -Describe Us+< ~ CSM Number Village of Town of I ~~C t! A- A III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. r New System El Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. El Permit Renewal Q_ ermit Revision El Change of Plumber El Permit Transfer to New List Previous Permit Number and Date Issued P / Before Expiration Owner r IV. Type of POWTS System/Component/Device: Check all that a 1 of Q ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil. Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dispersal///Treat me Area Information: t Desi Flow (gpd~ esign Soil Application Rate( dsf) Dispersal Area Required Dispersal Area Proposed (sf) System Elevation t; m fit' G i W AU o7.3a VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units New Tanks Existing Tanks y o u n a. U ~ ~ w C7 e. Septic or Holding Tank Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's flame (Print) Plumber's Suture NTINff Ft'.S-Number Business Phone Number Plumber's A ess (Street, City, State, Zip Code) / VIII. Co /De artment use only L proved Perrm-i4F. DDate sued Issuing t Signature Zil ial V Z'Pf 17 IX. Condi>jlyi$1'4i1ftV61 2easons for Disapproval t .09 1. .Septla tank, erflt nt 1'tlte* f r'~ / /L ra G btspa! d cell must all pr.Pca ! ros'ntt~li !K os pevgiaragernent plan p!a Tided by plumber. arm "A 2. AIt Al~k reglrptents must teertiti tr Sri as per it is t / , *nanass. Attach to complete plans for the system and submit to the County only on paper not less than 8 W z 11 inches in size SBD-6398 (R 11/11) L C*mmK KA&APPIKwKg, trnu►sE SOIL EVALUATtoN o s z/o SYSTEM PAGES OF~ SITE ttAAP - PLOT PLAN r~wecrmAme r O~VE~a EU+- a C65MRMW. icon Gm "aach d id ww W pW,, 1~"7 t3 sZ?2E~T PiQsMaietat/IIST11SfaAdatd(Tadae384.30~3~38ty3o.6~ eyej artt3nwac 0~ rs~ --A t-r A5 1A t f~q1-1 0 sal. Dun aalpttaer Face Mor,c 2 DZto b S sett . tID Qa~ltt'ij ~narataaeM4 WOaj o-t rrrwNr of F Taaled/Ya W Q m aoP mitts ShOWWaXid on aa~s atau-dd* * 9aevak. born S Went s-1z,ke @ ra, ins ec-h' 1 t . Pve PrFF 1~ ~N~ ~X 76.T t` { - ~~Y { • .-ter. tt FiCtIM $m ~ S ~ IL 1 { f ' t~ C1 /f 1 ' r ` nor ^ a DD 05 s y' i~ 701 'z r BE { ~Y.sT q PtZa # D WELL--m { { ZS /Fit 1V', Skt'Et' rfi A}\ fv~. 1 1 1 1 i ~RT~TF; DIVISION OF INDUSTRY SERVICES oar-` j~ 2331 SAN LUIS PL STE 150 fi c / I GREEN BAY WI 54304-5211 Contact Through Relay http://dsps.wi.gov/programs/industry-services c~ www.wisconsin.gov Scott Walker, Governor ~~Ossrora~s~~~. Laura Gutierrez, Secretary August 16, 2017 r; CUST ID No. 224832 ATTN: POWTS Inspector ` MARY JO HUPPERT ZONING OFFICE HOLLISTERS SOIL TESTING & DESIGN ST CROIX COUNTY SPIA 28497 KING ARTHURS 1101 CARMICHAEL RD l/ DAN13URY WI 54830 HUDSON WI 54016-7708 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/16/2019 Identification Numbers Transaction ID No. 2988640 SITE„ Site ID No. 841869 P:dC Development Please refer to both identification numbers, 1:287 138TH St above, in all correspondence with the agency. Town of Richmond St Croix County NEl/4, NEI/4, S35, T30N, R18W FOR: Description: Mound System (4 Bedrooms - New Construction) Object Type: POWTS Component Manual Regulated Object ID No.: 1722932 Maintenance required; 600 GPD Flow rate; 19 in Soil minimum depth to limiting factor from original trade; System(s): Mound Component Manual - Ver. 2.0, SBD -10691-P (N.01'01, R. 10Pressurc 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 Administrativc Code 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 are • 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 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. • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 MARY JO HUPPERT Page 2 8/16/2017 • 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. • 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 • Verify property line(s) prior to installation. • Pump Floats to be set and verified per approved plan. Any changes may result in pump resizin2 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(l). • 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 $ 250.00 J~rrr This Amount Will Be Invoiced. When You Receive That Invoice, Please Include a Copy With Your Tim Vander Leest Payment Submittal. Private Sewage Plan Reviewer, Division of Industry Services WiSMART code: 1. 7633 (920)492-2214 , Monday - Friday 6 am To 3:30 pm tim.vanderleest a wisconsin.gov MARY JO HLPPERT Page 2 8/16/2017 • 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. • 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 • Verify property line(s) prior to installation. • Pump Floats to be set and verified per approved plan Anv chances may result in pump resizing to meet TDH and GPM Specifications. • Areas that are occupied with rock fraE~rnents, 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/installatior./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 ~C~ee This Amount Will Be Invoiced. When You Receive That Invoice, Tim Vander Leest Please Include a Copy With Your Payment Submittal. Private Sewage Plan Reviewer, Division of Industry Services WiSMART code: 7633 (920)492-2214 , Monday - Friday 6 am To 3:30 pm tim. vanderleest@wisc onsin. gov MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN ReSldentiai ~ i;nn INDEX AND TITLE PAGE Project Name: RJC DEVELOPMENT CO. Owner's Name: (same) Owner's Address: 25806 W. BASS LAKE ROAD WEBSTER, WI 54893 Legal Description: NE 1/4 OF THE NE 1/4, S 35, T30N, R18W Township: RICHMOND County: St. Croix Subdivision Name: SUNSET HOLLOW Lot Number: 7 Block Number: NA Parcel I.D. Number: 026 - 1172 - 07 - 000 Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings • Page 4 Lateral and dose tank MARY JD ee'•.• ~ J Page 5 System maintenance specifications tium-ST Page 6 Management and contingency plan ® • Page 7 Pump curve and specifications RIVER FALLS.,:* Page 8 Plot plan ~'d7F eye: Designer: Mary Jo Huppert License Number: 1859 - 007 Date: 08/03/17 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 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) :DECEIVED Version 7.0 (R. 03/2012) Page 1 of 8 lG 0 7 201 Mound and Pressure Distribution Component Design Site Information ~R Residential or Commercial Design Note: Sand fill (D) calculations assume a 400.00 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. 600.00 Design Flow (gpd) 8.00 Site Slope 105.80 Contour Line Elevation (ft) 18.00 Depth to Limiting Factor (in) 0.40 In-situ Soil Application Rate (gpd/ft2) Distribution Cell Information 60.00 Dispersal Cell Length Along Contour (ft) = 10.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ft) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution t ' Pressure Disribution Information network? Enter Y or f•; e Center or End Manifold 3.33 Lateral Spacing (ft) If N above, enter the elevation (ft) 3 Number of Laterals ~ of the highest point. 0.156 Orifice Diameter (in) 3.50 Estrniated Orifice Spacing (ft) = 11.76 ft2/orifice 2.00 Forcemain Diameter (in) 20.00 Forcemain Length (ft) Does the forcemain drain back? Y 92.00 Pump Tank Elevation (ft) F, 4.55 System Head (ft) x 1.3 3.26 Forcemain Drainback (gal) 14.89 Vertical Lift (ft) 55.97 5x Void Volume (gal) 0.33 Friction Loss (ft) 59.23 Minimum Dose Volume 0.00 In-line Filter Loss (ft) 27.46 System Demand (gpm) 19.77 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 x x 1.00 1.50 x 1.25 x x 2.00 3.00 1.50 ffx 2.00 3.00 Gallons/Inch Calculator ; Treatment Tank Information Total Tank Capacity (gal) 1200.00 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Wieser Manufacturer gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 800.00 Dose Tank Capacity (gal) Pol Lok Filter Manufacturer 22.24 Dose Tank Volume (gal/in) 525 Filter Model Number Weiser Manufacturer Project: RJC DEVELOPMENT CO. Page 2 of 8 Mound Plan and Cross Section Views 1/10 B J Observation Pipe K: O ® q W - B fl 2 L Mound Component Dimensions ft A 10.00 ft E 27.60 in H 1.00 ft K Eflft B 60.00 ft F 9.25 in 1 15.00 ft L ft D 18.00 in G 0.50 ft J 6.70 ft W 1 600.00 (ft2) Dispersal Cell Area 1500.00 (ft2) Basal Area Available 10.00 (gpd/ft) Linear Loading Rate 6.00 (ft) 1110 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 109.07 (ft) -i► F 107.80 Lateral 107.30 (ft) Dispersal Cell (ft) Invert Dispersal Cell] t Elevation [E ]D 105.80 (ft) Contour Elevation 8.0 % Site Slope Geotextile Fabric Cover Shading Key (WD 2- T Dispersal Cell See lateral details on Topsoil Cap c c 1.5 ft Page 4 for number, size, 2[] ; , Subsoil Cap W.0 d 0 7T and spacing of laterals. © ASTM C33 Sand / Laterals are equally ® Tilled Layer c y 0.5 ft Typical Lateral F spaced from the © Aggregate IT c Q I distribution cell's Tj centerline in the A ♦ distribution cell (AxB). Project: RJC DEVELOPMENT CO. Page 3 of 8 End Connection Lateral Layout Diagram r=enter the laterals over the A & B dimension Turn-up wetball valve or cleanout plug E P All laterals are identical IE X-->) Holes drilled on the bottom of the lateral egtfally spaced S Laterals 8 forcemain Sch 40 PVC per SPS Table 384.30-6 S 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) 3.66 ft Lateral Length (P) 58.56 ft Orifices per Lateral 17 Lateral Spacing (S) 3.33 ft Orifice Density 11.76 ft 2/orifice Lateral Flow Rate 9.15 gpm Manifold Length 6.67 ft System Flow Rate 27.46 gpm Manifold Diameter 1.25 in Total Dynamic Head 19.77 ft Forcemain Velocity 2.80 ft/sec Dose Tank Information Locking cover with warning label and locking de i,ce an sealed watertight Electrical as per NEC 300 and SPS 316.300 WAC 4 in. m Disconnect Tank component is properly vented < Alternate outlet location Forcemain diameter Weiser Manufacturer 2 in. Capacit 800.00 Gallons Volume 22.24 gal/inch A _ Weep hole or anti- Dimension Inches Gallons B siphon device A 20.41 453.87 B 2.00 44.48 C - Pump off elevation (ft) C 2.66 59.23 92.81 D 10.90 242.42 D Total 35.97 800.001 1 Dose tank elevation (ft) 3" Bedding un er tank. 92.00 Alarm Manuafacturer LSJE Rhombus Alarm Model Number Tank Alert AB com -tiny it Pump Manufacturer Gould Pump Model Number PE 41 Pump Must Deliver 27.46 gpm at 19.77 ft TDH Project: RJC DEVELOPMENT CO. Page 4 of 8 Mound System Maintenance and Operation Specifications Service Provider's Name Dan'ell's Septic Service Phone 715-425-1025 POWTS Regulator's Name St. Croix County Zoning 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 1200 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 eve 3 ears Effluent Filter Should inspect and clean at least once eve 3 ears Pump and Controls Test once eve 3 years Alarm Should test month) Pressure System Laterals should be flushed and pressure tested eve 1.5 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 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 Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: RJC DEVELOPMENT CO. Page 5 of 8 Mound System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General This system shall be operated in accordance with SPS 382-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD-10691-P (N.01/01), SSWMP Publication 9.6 (01/81), and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01 /01)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with SPS 383.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, 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 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 sh ail be tested i :verify propeF operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall bt 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. Colo weather installations (October-February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BOD5, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BODS, 30 mg/L TSS, 10 mg/L FOG, and 104 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. 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 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Pretreatment Units The information and schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment units or disinfection units are attached as separate documents and are considered part of the overall management plan for this system. Project: ,C L)EJE[Ll kj EJVT Page 6 of 8 Wastewater _ k W y METERS FEET 40 PE51 - - - MODELS: PE31, PE41, PE51' - - HP:33, .4Q .50 35, - 10- 2 GPM 30 PE 1 o 1 FT _ w PE3.T w. = 25 a 7 _ S x 10 5 j 0 00 -10 20 30 40 50 60 70 GPM 80 0 5 10 15 m3/h CAPACITY PERFORMANCE RATINGS PE31 PE41 PE51 Total Head Total Head (feet of water) GPM (feet of water) GPM Total Head GPM 5 52 (feet of water) 10 42 10 61 10 15 29 15 57 15 59 59 20 16 20 46 20 50 25 0 25 33 25 39 16 30 26 35 g 1S . C . V ELI) AA vU l OECKSMASAPPUMMOM CHMMf(AB E ❑ SOIL EVALUA•noN r= SITE MAP ° W!~ SYSTEM PAGES oF8 P<o-r PLAN 089= RMW. 660 G Ric- Dex EAm o Ash I -IS ebnaonstoraamma„d lplam FRDJ cran°em lZ9'7 I-avlIx SZREC-T P%NtAdENIAMSMoftd(ramn3o#. 3&38CWQ sun aw 4 ff flW rase Motic Z Dz6 b S YH .111) =mow o Twedweee ~1a°d~+~'p~0' O as aip sue. 9101~"~eiarafOn atmdl*bi0erodo 1 S I 14 Y2 I ~ I 7.1 I I 2-5' TA A< 5~r-KaM D42AMIF(r= - I I p ~ I I l I i I ~ I I I ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer }M c_.t,. c, tky ra c, Mai ling Address 'Pd a n ~t N e~ tZ rc~► ,rte n W1, Property AddressT ( aP, & k '2-> 0 `r" sT. V . c-x^ sv, d t W ~ D / '7 (Verification required from Planning & Zoning Department for new construction.) City/State #JCuJ I WT- Parcel Identification Number 4a1~- l 1'] 'y`7 -a60 LEGAL DESCRIPTION Property Location NE 1/4, NE E '/4 , Sec. 3, 57, T _3o N R tg W, Town of V'c.\n nti o.,J Subdivision S e:t U o ~k o w , Lot # O - . Certif ed Survey Map # , Volume , Page # Warranty Deed # /tl~ f 5-0 Z) , Volume , Page # 0 Spec house yes no Lot lines identifiable yes Do 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 §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1 /3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce 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 dr Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this f are true to the best of my/our knowledge. Uwe amfare the owner(s) of the property described above, by virtue of a deed recorded in Register of Deeds Office. Number of bedrooms " t TUBE OF APP CANT(S) DATE ""Any information that is misrepresented may result in the sanitary permit being revoked by the Planning dt Zoning Da wWm%nt. ei+ 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. (RRNV.005) AI r! • 63 ocres LOT 76,251 sq. 1.75 ocrej S89'4la'150E 775.40' S89849'1501 305.41' f • 4 f LOT ff Tf 251 sq. ft. 74,251 ~ ~ 7 r ~ car 1, 7 oc es 9 S89049"150 E 580.01 7 5, 1' ` ►q, ft, ~ 190.x' 190.00' ZI :res Lot a LOT 9 L( . 78.8.51 sq. ft. 78, 8,51 sq. f1. 83, ,06 1.81 v, ores * 1.81 acres 1.91 t 9 u . weetpy -4S :As X4800 uwc x. "~°~°a°~ ~uio ewuemg Rxt'weaa W~eWi ~Y o~ 9 5~oz LIY11lOdMI qaHkaE) A.H Win ttosL std )13s" (100i Plln*Oudr4 yyQQ 5> zq' .1 7 0-Al- o= _ Z I II III' 1 ll{I I ij j Il il omriaa 11j~~1 I~II~~llj ~~Q ~nna~ ; Ii~Ijjjj~~~,~Tlli ~I,~~I~ I~~ lil; ~ ~ il,l,,ll , I;~!I (i►~ !r- III ~~~j, ~11~I, II~~~h ~~,I,I ~J~ II; Il l I~!I~i iI'II~I H,`~'~t ' I ~ i !VIII ~ ~ ~1 D'ill' (~~11 I! ~I~~li j!~j I~111~1~ ~ ~I~~II ~1ill~ 11 ~ ~ I ~I' ~~ij~ 11 j I~ ~'~IIljl II ~i I w 14 a jl j~,~ Illj it lI II Ijl'li I lily 1 III IIT ~l~'I ~ I) ~ i l I' ' I ~ =1 z LA E ! !i ZI D ~ I ,l i t ~i ~ II o. l 1i it z II! ! II,~i Q~! a LL j II it ! ~1 I~~ III ~!I nl~ll ! Wei gj 'I ~011 ~ ~ 4 iitlAll l~~I ,II~IIIIII~~jl~l OliN LE9 LIFO: D 0 Lu-- T] El l11l +I_-I IE El II A~l f , I I ,I IC II!!il~li~ Ilj I , jlli~i~ o m nl - I (-1 0 00, 1-1 • _ ! a e e _ jifll'i ii b a~+ ~•••••;••w u99,0V8 -,W7S As Assn IM'~V.J uus'w""a~~:w~ai+n 311 4owtl RugWN Y ::.......Y L1'NVINO1IlUOdWt dNI.,.w: wro'plN+goM -PH pN kwo ey. 'd°a eA Mms wmw B60Z :3JVd uOSI fPOIOJd 313mvw 0001 e'I 23, POP Z~111 all! CY J'II9 E tl Zlll<N Wx: ~kti F~3l. < a fi - Q ,b Q£ tl .z-u a-.ai A ' P I _ 96 W v ,c .j . 7I mn aj I I I i ` 1 ai wj r A _ - - fi LL ~ ~ g I 3! ~ m,n lyll 4~ I ~ ~ r - J Q 1 4t 111,E I ~ ~ I I j a-,c ss III --f w _ C~I'' 7-1 a4tl~l ai v~~ 1 _/fil # 1 R ' to Ii ~~llP`,~_~~z~ 9 it 211 YI ~1➢ I tj m. S I 11 I I s o I rte. .i .ro. Y 6,. X11 0~ - 4 Jh Flit a 41 Y Est ~ ,P,EE ~..°..w..e~ MUOMN 7M ~~.'.A ".v~:.'°.a°.~w: .a: woa'Plm9ad~ege4'Ne8 ruw aoa we %oz u'~nY4oe~C~ 4Y 1M MOdNI "OHtisJ ~~a SMea 'LM Ntrfdd M3mvw0401 :3JVd a<~ a a s a g if 3 i?alb s6s6 S E. 6~! ~4Sl9~Ig~ 3Fe~ x6 iS I I Z g LL M'llz R o ~ ,o,sa Z a W Al d D dj n OI w 0 j ,C,G .p-.A d w q , a H Q i 0 a LL I gg55 W R u rr b. 2y _ s N ' ! 3 ~I E~A~ 4 ~ 'ra V~i dX fA i 9 _ - Y C J' Y b /Y tit F5 • - - s . ,O.9 - - ,a-,cs r ~ DECEIVE 2 , 1376 I Wisconsin Department of Comm~rce Nov 2() O~OIL EVALUATION REPORT Page 1 of _3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Steel Soil Service ST. 10RO!X i:OU~, County Attach complete site plan o paper ncfU%Q g> 11~jnches in ske. Plan must St. Croix include, but not limited to: ve tl tYOrizontafteference point(8faf}, direction and - - percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. 02- Please Please print all information. Revi ed Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 6 Property Owner Property Location R.J.C. Development, Inc. Govt. Lot na NE 1/4 NE 1/4 S 35 T 30 N R 18 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1868 CT Hwy-" C " 7 na Sunset Hollow City State Zip Code Phone Number City Village ✓ Town Nearest Road Somerset WI 54025 651-488-3051 Richmond 130Th Ave. ✓ New Construction Use: ✓ Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement Public or commercial - Describe:na Parent material Benches and large drainageways of ground moraines. Flood plain elevation, if applicable na General comments and recommendations: Mound design, system elevation 105.80ft based on contour line elevation 104.30ft. Minimum of 18" ASTM C33 sand. ❑ Boring # Boring ✓ Pit Ground Surface elev. 105.00 ft. Depth to limiting factor _ 38 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots _ ,GPD/ft` in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-8 10yr3/2 none sit 2msbk mfr cs 2f .5 .8 2 8-18 10yr4/4 none scl 2msbk mfr gw lvf .4 .6 3 18-27 5yr4/4 none scl om dfr gw na .0 .0 4 27-38 7.5yr4/4 none Is osg mvfr CIS na 7 1.2 5 38-48 10yr8/2 c2d 7.5yr5/6 sandstone residuum mfr na na .0 .0 ❑ Boring # Boring ✓ Pit Ground Surface elev. 105.00 ft. Depth to limiting factor 25 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-12 10yr3/2 none sl 2msbk mfr cs 2f .5 .8 2 12-25 10yr4/4 none sl 2msbk mfr gw lvf .4 .6 3 25-48 10yr8/2 c2d 7.5yr5/6 andston residuum mfr gw na .0 .0 * 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 David J. Steel L 248956 Address Steel Soil Service Date Evaluation Conducted Telephone Number 1564 CR GG, New Richmond, WI 54017 11/10/2003 715-246-5085 Property Owner R.J.C. Development, Inc. Parcel ID # Pending Page 2 of 3 _ ❑ Boring # Boring - ✓Pit Ground Surface elev.- 101.60 ft. Depth to limiting factor 4 19 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots PD/ft' _ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-4 10yr3/2 none sl 2msbk mfr cs 2f .5 .9 2 4-12 10yr4/4 none sl 2msbk mfr cs 1f .5 .9 3 12-19 10yr4/6 none sl 2msbk mfr cs 1vf .5 .9 4 19-36 10yr8/2 c2d 7.5yr5/6 ,andston residuum mfr na na .0 .0 ❑ 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/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *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/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD? 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD5 < 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 STEEL'S SOIL SERVICE INC. David J. Steel 1564 Cty Rd GG CST-POWTSM RJC Development Co. New Richmond,WI 54017 Lic. 4248956 NE1/4,NE1/4,S35,T30N,R18W Bus.(715) 246-6200 Town of Richmond, St. Croix Co. Fax.(715) 246-9372 Sunset Hollow, Lot 7 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 1"=40' I ♦ = Benchmark Ele. I00.00Ft Top of 1/2" pvc pipe • = Alt Benchmark Ele. 99.7017t Top of 1/2" pvc pipe I = Borings Boring Elevations B1 = 105.OOFt / B2 = 105.0017t 7B3 = 101.6017t B4= OO.OOFt 3 0 f tic ~ h` (OU 70. fY7 1