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HomeMy WebLinkAbout026-1127-24-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 600226 GENERAL INFORMATION State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village Township Parcel Tax No: Todd Marek Construction, Inc. TOWN OF RICHMOND 026-1127-24-000 CST BM Elev: Insp. BM Elev: BM Description Section/Town/Range/Map No: ,ot 6 M 0 e .67- 1 25.30.18.834 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic A Y ro ~6 Benchmark 06 e_ ~ Dosing ` f Alt. BM y, 3 /a(o .Zs Bldg. Sewer .z Holding St/Ht Inlet /8< 9$ 7 9 • (,.5 TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent Air Intake ROAD Dt Inlet > Dt Bottom Septic 4 L / /1 B~ Dosing t 16 d Header/Man. Vlo N~ O S /o5•Y Aeration _ Dist. Pipe S d 5 Holding Bot. System -7 7 /6 te .~f5 ~G. PUMP/SIPHON INFORMATION Final Grade. BL c Manufacturer Demand St Cover/ 1 / y o GPM r":1,4,`, Cd J 35 d 1, 5 Model Number 7i 7. 4to ~0,~,+-~ v ! ``7 /4D"3 - 7 TDH Lift Friction Loss F- System He d TDH 55 /-07 Forcemain Length Di Z / Dist. to Well pr SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. 0 Trenc s PIT DIMENSIONS No. Of Pit Inside Dia. Liquid Depth DIMENSIONS 16 y~ IK C_ SETBACK SYSTEM TO it P/L ~JBLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type O System: 3q 4 y`~ J jb UNIT Model Number: 8J DISTRIBUTION SYSTEM Header/Manifold l JDistribution x Hole Size ! x Hole Spacing Veny Air I take /r Icw `S Fipe(s) f Z -3 I 3. Length X04 Dia I L Length Dia I Spacing jr (P ~ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over 1xx Depth of xx Seeded/Sodded 1xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil 0 ` tl `C No No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 1424134THAVE 1.) Alt BM Description = 2.) Bldg sewer length = Cif `Z P Oe.~.J - amount of cover ~0 tl ~ Plan revision Required? Yes No I -1 I9, 1 Use other side for additional information. Z I 1 -7 - Date Insepctor's nature Cert. No. SBD-6710 (R.3/97) ~ I pletphn Page g ofg P OP"V ( 1 D D AK~K Cr:.tiS► 2u~r ► -rt iCh ~;C• DGw' 4....lf ALT Z40 tZt Cftr'riC:Q n lisS- rv (CWAW where noted) L 'Ty 'N J-}C~ 0~-)127-Zyl-Gpp 142,1 134177 V , = of 1° pvc pipe DY rN tat corner g el. !OD_Qp* Nor& t, =top of In pvc piPe E el. 102.35' h v - o 0 l f ZO f Cox NEW VLJIIEe!~~Ef;z f2-0-. rF! t2 ;1 ~~c o . a5 C'i ,p F V~ 2'. WELL I J t? t - ounty nn Safety and Buildings Division 3 82a~~~' 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.) RECEIVED h D~r~ Madison, WI 53707-7162 My /7 s10N A~ H State Tr saction Number Gl CG (vim' In accordance witfi9YS' R 2, ts. A P Cot. submission of this form w ~8 v4 c rtal unit S _x is required prior to obtaining a sanitary permit. Note: Application forms for state-owned PV r.. 5s nitted to Project Address (if different than mailing address) • j~ the Department of Safety and Professional Servies. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, s. 15.04 1 m , Stats. /jam 1. Application Information - Please Print All Information Parcel # Property Owner's Name 0Z 7 Property Owner's Mailing Address s - 0113 J I V1-_/J Olt". = Property Location 1 3 ~ 331 v~ 1 •tL e) )1~ Govt. L t 1 A 1 Z City,Sttate Zip Code Phone Number Section J~~©l7 T i N, R circlE one) II. Type of Building (check all that apply) Lot # Subdivision Name 23-4 or 2 Family Dwelling - Number of Bedrooms Block# L me 'v ❑ Public/Commercial - Describe Use ❑ City of CSMNumber ❑ Village of ❑ State Owned -Describe Use IOr~-_l,,.OVJIl of (cg"A,J_0 j in. Type;ef-Permit: (Check only one box on line A. Complete line B if applicable) / A. - - I I - Z_~ New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) List Previous Permit Number and Date Issued B. El Permit Renewal Q Permit Revision El Change of Plumber 11 Permit Transfer to New /yam Before Expiration Owner Vol IV. Type of POWYS System/Component/Device: Check all that a 1 ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade Mound > 24 in. of suitable soil Mound 124 in. P o s itable sgiI s / f ~j ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain)- 1 z r V. Dis ersanreatment Area Information: Design Flow (,pd) Design Soil Application Rate(gpd'sf) Dispersal Area RequiredXsf) Dispersal Area Proposed-(sf) System Elevation kz) /0 7-11 VI. Tank Info 1*` CaVacity in Total # of Manufacturer Gallons Gallons Units z, 2 t yy U U U h New Tanks c4 a U i7D h v w U a Ltd` Septic or Holding Tank zer;v Dosing Chamber ©d ~~"LPL C~ VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Signature MP/N946-Number Business Phone Number 7~s 273 y~ L ' 7 Plumber's dress (Street, City, State, Zip Code) rLG ftrt~~le - VIII. Court epartment Use Only Permit Fee Date Issued] Issuing Age3~~ proved ❑,Disapproved - 1 / ❑ Owner Given Reason for Denial $ IX. Conditions of Approval/Reasons for Disapproval SYSTEM OWNER r 9-ppaya art o l~ 1. Septic tank, effluent filter and 1$ perm dispersal r li must be serviced./ maintained, ~ / f i as per nta t gernent plan provided by plumber. 1-11 ~W ~~~e/ ~ ! 00 fir Prw L 2 All scibac k requirements must be maintained I ttach to complete plans for the system and submit to the Coun n y on pap r not less than 8 to ill inches in size i J ' /SIC 'U . 1itQ h~t~~~ (4C -l Cc r~r-( t ~~cS~~ec~iu~t SBD-6398 (R 11/11) Q~p,R DIVISION OF INDUSTRY SERVICES o~ 2331 SAN LUIS PL STE 150 j't r GREEN BAY WI 54304-5211 Contact Through Relay 3! 1 1{" a~ http://dsps.wi.gov/programs/industry-services vy\J ` /Gw, www,wisconsin.gov ~~~~ssroral°~~ Scott Walker, Governor Laura Gutierrez, Secretary October 02, 2017 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 DANBURY WI 54830 HUDSON WI 54016-7708~L CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/02/2019 Identification Numbers Transaction ID No. 3000601 SITE: Site ID No. 843312 Todd Marek Construction Please refer to both identification numbers, 1424 134TH Ave above, in all correspondence with the agency. Town of Richmond St Croix County NWIA, SWIA, S25, T30N, R18W Lot: 24, FOR: Description: Mound System (4 Bedrooms - New Construction) Object Type: POWTS Component Manual Regulated Object ID No.: 1729348 Maintenance required; 600 GPD Flow rate; 45 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Ver. 2.0, SBD -10691-P (N.01/01, R. 10/12), Pressure Distribution Component Manual - Ver. 2.0, SBD-10706-P (N.01/01, R. 10/12), SSWMP Pub. 9.6; Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • Preserve dispersal area prior and during construction to avoid disturbance, compaction and use of the site. • With new construction; it is recommended not to activate the pump in the dose tank until the tanks are pumped prior to homeowner occupancy. • Wastewater generated from contractors cleaning of equipment and tools and/or left over construction products shall not be discharged into the drains discharging to the private onsite wastewater treatment system (POWTS). Waste generated shall be properly disposed of on-site or off site. • Any tall grasses, leaves and shrubs shall be cut short and removed prior to tilling the surface for installation to prevent matting under the dispersal area. All loose organic material to be removed from mound area. • 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, MARY JO HUPPERT Page 2 10/2/2017 the site is too wet to prepare If it crumbles site preparation can proceed If the site is too wet to prepare do not proceed until it dries. • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building sewer beyond 30 feet per SPS 382.30 (11)(c) • Well setbacks to meet chs. NR 811 & 812 • Tank Installation to follow all manufacture's recommendations. • SPS 383.54(l)(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 resizing to meet TDH and GPM Specifications. • Areas that are occupied with rock fragments, tree roots, stumps and boulders reduce the amount of soil available for proper treatment. If no other site is available, trees in the basal area of the mound must be cut off at ground level. A larger fill area is necessary when any of the above conditions are encountered, to provide sufficient infiltrative area. Owner Responsibilities • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval SPS 383.54(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 lzrw ell" l This Amount Will Be Invoiced. When You Receive That Invoice, Ti Please Include a Copy With Your Tim Vander Leest Payment Submittal. Private Sewage Plan Reviewer, Division of Industry Services Wyment S code: 1. 7633 (920)492-2214 , Monday - Friday 6 am To 3:30 pm tim.vanderleest a wisconsin.gov MARY JO HUPPERT Page 2 10/2/2017 the site is too wet to prepare If it crumbles site preparation can proceed. If the site is too wet to prepare. do not proceed until it dries. • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building sewer beyond 30 feet per SPS 382.30 (11)(c) • Well setbacks to meet chs. NR 811 & 812 • Tank Installation to follow all manufacture's recommendations. • 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 changes may result in pump resizing to meet TDH and GPM Specifications. • Areas that are occupied with rock fragments, tree roots, stumps and boulders reduce the amount of soil available for proper treatment. If no other site is available, trees in the basal area of the mound must be cutoff at ground level. A larger fill area is necessary when any of the above conditions are encountered, to provide sufficient infiltrative area. Owner Responsibilities • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval SPS 383.54(1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 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 This Amount Will Be Invoiced. When You Receive That Invoice, Tim Vander Leest Please Include a Copy With Your Pavment 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@wisconsin.gov MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN INDEX AND TITLE PAGE Project Name: TODD MAREK CONSTRUCTION INC. , airy Owner's Name: (same) Owner's Address: P.O. BOX 228 NEW RICHMOND, WI 54017 Legal Description: NW 1/4 OF THE SW 1/4, S 25, T30N, R18W Township: RICHMOND County: St. Croix Subdivision Name: RICHMOND HILLS Lot Number: 24 Block Number: NA Parcel I.D. Number: 006 - 1127 - 24 - 000 Plan Transaction No.: Page 1 Index and title `~~~~rtitttiytw►rurr~~~~~ Page 2 Data entry 10`SCz~~~f,~,a,~ Page 3 Mound drawings Page 4 Lateral and dose tank • y Page 5 System maintenance specifications % MARY JO * Page 6 Management and contingency plan NUPPERT Page 7 Pump curve and specifications 1859 Page 8 Plot plan 3 WER FALLS W1 r 40 MAIptR~~t Designer: Mary Jo Huppert License Number: 1859 - 007 Date: 09/08/17 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) Version 7.0 (R. 03/2012) >-?F-CEIVED Page 1 of 8 R 2 i' 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) i 3.00 Site Slope f 103.90 Contour Line Elevation (ft) 45.00 Depth to Limiting Factor (in) 0.40 In-situ Soil Application Rate (gpd/ft2) I Distribution Cell Information 60.00 Dispersal Cell Length Along Contour (ft) = 10.00 Cell Width (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 Pressure Disribution Information network? Enter Y c i.. 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' ' rr;fe Orifice Spacing (ft) = 11.76 ft2/orifice 2.00 Forcemain Diameter (in) 20.00 Forcemain Length (ft) Does the forcemain drain back? E Y 92.00 Pump Tank Elevation (ft) E n i _ 4.55 System Head (ft) x 1.3 3.26 Forcemain Drainback (gal) 11.99 Vertical Lift (ft) 55.97 5x Void Volume (gal) 0.33 Friction Loss (ft) 59.23 Minimum Dose Volume (gal) to~ 0.00 In-line Filter Loss (ft) 27.46 System Demand (gpm) j~ 16.87 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 1.50 x 3.00 2.00 x 3.00 x Gallons/inch Calculator (op'l of Treatment Tank Information Total Tank Capacity (gal) 1200.001 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: TODD MAREK CONSTRUCTION INC. Page 2 of 8 Mound Plan and Cross Section Views 1/10 J Observation Pipe t rK 0 0 A W B :{-1 I L Mound Component Dimensions .!own slup'~ toe extensio l made. A 10.00 ft E 9.60 in H 1.00 ft K A29. ft B 60.00 ft F 9.25 in 1 15.00 ft L ft D 6.00 in G 0.50 ft J 4.87 ft W ft 600.00 (ft2) Dispersal Cell Area 1500.00 (ft) Basal Area Available 10.00 (gpd/ft) Linear Loading Rate 6.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 106.17 (ft) G 1 F 104.90 (ft) Lateral 104.40 (ft) Dispersal Cell Invert Dispersal Cell 131 t Elevation ]D . 103.90 (ft) Contour Elevation 3.0 % Site Slope Geotextile Fabric Cover Shading Key a Dispersal Cell See lateral details on Q Topsoil Cap o c 1.5 ft Page 4 for number, size, 2 Subsoil Cap a o and spacing of laterals. M O Laterals are equally © ASTM C33 Sand .cd 6 et ® [ Tilled Layer y 0.5 ft Tvpical Lateral F spaced from the distribution cell's © Aggregate o n5 -il - centerline in the 0 - A ♦ distribution cell (AxB). Project: TODD MAREK CONSTRUCTION INC. Page 3 of 8 End Connection Lateral Layout Diagram Canter the laterals over the A & 6 dimension Turn-up wOball valve or clasnoutplug P All laterals are identical I<- X )I Holes drilled on the bottom of the lateral equially spaced S Laterals &forcemaln Sch 40 PVC per SPS Table 384.30-6 s Force main connection via tee on 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) 133 ft Orifice Density 11.76 i Lateral Flow Rate 9.15 gpm Manifold Length 6.67 System Flow Rate 27.46 gpm Manifold Diameter 1.25 Total Dynamic Head 16.87 ft Forcemain Velocity 2.80 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and - FLE, SPS 316.300 WAC 4 in. min. Disconnect Tank component is properly vented E-- Alternate outlet location Forcemain diameter Weiser Manufacturer 2 in. Capacityl 800.00 Gallons Volume 22.24 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 20.41 453.87 C B 2.00 44.48 Pump off elevation (ft) C 2.66 59.23 92.91 D 10.90 242.42 1 D Total 35.97 800.00 Dose tank elevation (ft) 3" Bedding un er tank. 92.00 Alarm Manuafacturer LTankAIe hombus Noie Swl!(_;hwe Alarm Model Number rt ABcontaining merr; _ may not he 1_jsF- Pump Manufacturer GOULDL Pump Model Number PE 411 Pump Must Deliver 27.46 gpm at 16.87 ft TDH Project: TODD MAREK CONSTRUCTION INC. Page 4 of 8 Mound System Maintenance and Operation Specifications Service Provider's Name Darrell's Septic Service Phoned 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 years Pump and Controls Test once eve 3 ears Alarm Should test month) Pressure System Laterals should be flushed and pressure tested eve 1.5 ears Mound Ins a -t for pondin and seepage once eve 3 ears Oilier 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: TODD MAREK CONSTRUCTION INC. Page 5 of 8 Mound System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General This system shall be operated in accordance with SPS 382-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD-10691-P (N.01101), SSWMP Publication 9.6 (01181), 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 shalt be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. 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 BODS, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD5, 30 mg/L TSS, 10 mg/L FOG, and 104 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 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: RL~,o /b4hAE K ~~T1C I Page 6 of 8 Wastewater METERS FEET 40 - MODELS: PE31, PE41, PE51 PE51 - HP: .33-40-50 35 10 2 GPM . 30 PE4 _ - 1 FT n. = 25 PE31 z 20, TU ►Q- 15 - - - - 10 5 0 0 0 10 20 1 30 40 50 60 70 GPM 80 nil 0 5 10 15 m3/h CAPACITY PERFORMANCE RATINGS PE31 PE41 PES1 Total Head Total Head (feet of water) GPM (feet of water) GPM (feet Total of Head water) GPM 5 52 8 61 10 67 10 42 10 57 15 59 15 29 15 46 20 50 20 16 20 33 25 39 25 0 25 16 30 26 35 8 , platphw Wage g ofg i--- e'YOWJW 1 GDD ~;•cAKEK ~c.~s'►~Zu~ricnl -1•At;C• ~t_ L4~ R1Cff v1C P11t1S Wkere MN"9 r 5w'~~li SFe Lam, T3o~l t{~gTf icy ; =BwAh p t Ric 041:~-)1 z7- 214-Opp 142;1 1341 AVE. = of 1 ° PVC pgpe JOY MV lot corner Lik Q t- = top of IN pvc PiPe @ el. 102.351 el. 100,.00 2 !S + o~ u ~7 0 + of ~ j'; . f~• DID L~f ~ p~. w'• ~ '~}~c^~~7411r7 .Y rol" Q, 4 0 LL- -rz) s PTIe tir,--- !t1 Gt WZLL FLI, ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer' Mailing Address l c C"' Z55>< e- l0 U J Property Address Uerification required from Planning & Zoning Department for new construction.) City/State l CYlj~~"~arcel Identification Number 0,/ Z 7 _ Z roc _Aj LEGAL DESCRIPTION ' R o Property Location :ti x' 5, 1/4 Sec. Z3-, T ~ N R /~W, Town of Subdivision C Lot # Certified Survey Map Volume , Page # Warranty Deed # ~2';3 Volume Page # Spec house es no Lot lines identifiable (:re-s7 no 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. 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 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 & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on 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 a warranty deed recorded in Register of Deeds Office. Number of bedrooms SIGNATURE OF APPLIC DATE ***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. 08/05) N g d ~ I n e m I I as Y M I f i 4 I ~ f i r I I m a FE] F1 0 V z o 10 ° Z I i~ m ~17A - - 1 ~o N PIPPLIlil PAGE: ~>~RO'Build TODDMAREK ProMe,015-071R S".1 Rep: p!ryH W n+PORTANi r Spec 2075 s.,o.t {pry.haiea~poEu®tl.mm a.....r w N~o~Rssch. l.xd wwl.:°~„-;• p"•:~w• Al oomgn ,,....,.°..a.sa,. By. 9newnna AfMem cny i a'•!• ro'i' as• A) •F ~ C i~ y7 .4 . - - - b'-10' b•_p• L a Sgt a ~ k ~ e y r. L f 3 € i Ziff a d Q Ye 1. - - f } s ~ e 6 I c i ! ~ ilk g = ~ D n'om' a' ro•-r d : Z 22 6 o ti m d 4 O 0 J - 4' 7Y4' m M „mid an4 W OC j~4 sZ E ii p I®H b~~ ID0 -r § Y S i i z i lit' 2; 73i 3 - ~ o°os Y~ • '9 '4 ~ A ~ g PAGE: MDDMAREK Pro~ads i3-071R SW" Rep: Ck"Heim IMPORTANT PRO76ulld Spec 2015 p.~ gr.y.eer~prea na.m+ A A tewr.~mmu ~ievw L McWnW Reach. tcn a.al Exp.V e. oftt-te , a•ss~pmr:~Lo .mxa. +an-n Dwir By. Sharnare M City. Y1R w'•w' tTa' F I , i ~ 4Id Y~I-~ z I~~ , s g• ~ !S 5 11'i' !'-10• ~ Y1' 10'4' 6 6 - '-0' V-4- 4-- I 4 3 a i~ 'e i ....LL. 04 21-0- c s 4 I ti a cn I t 6 0 ~ IIr~--.^r gee a P~, \ r-F g t 4~ v i L ® y I~ ~ IY 2 ' ~j ,a,a .m .ev p e °'-0' e4f p'O' 4'J!' ~7 Z m z a'o' _ a~•e• M a 'C m X i sn r o *p a~~p ~ o~eSex IZ PAGE' NPRO'RUIId TODD MAREK Prf di IWIR Selee Rep: Gary Heke A3 spec 2015 °r o.~ oen-.e ge y.helee~pmhuNd.oom ti Helianei Reed1. 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MINI *II IIII i(!I I ~I ~i IIII II ~~I IIl II 11 Ili, > ~ ~ I, ili II I ~ {III I ~,I i ':I i Lj'l III I ~ j ~ II ~ ~ li (~II~II{M ~ ~I I~~ I I I ~ ~ 1 I~ 11 l I ~ I~~ ~ ~ I I, • ~ ~ ~ ~ ~ ~ I ~~I ~I I _ { ~ Ij I II f,l, ~1~I~,1~~11~ ~II{ ~I ~ m ~ ~I~ I I ~I~ ~ ~ ~ IIIIII IIII II ~IIIiIIIIII'I III I I III. I I Z „III. I; Ili it III it ~I III III I'I M ~Ilil~ II llIIIII~I,I ~j~ I II II N ~ VIII I' 'I! III y I~ " i~ JII Illi z I I III i~l ,l l it ll~l ~ o j j I~ I~i~l I~ I II I~illllllillil~ 411 III~I~III' z I~ I I Z - ~ ~I ~ ICI IIII IIIIII ~ I ~ ~ IIII il~l~i IIII II'~I II ~~7~~ ~ & I III $ M y a h ~ i I III I kFs g~ II ~o I e III V ~ ~~~p~~~ I PAGE: MOWN TODD MAREK PM)Gdt 1547iR SW-Rep: Gary Hslee IMPORTAM „ 5 Bedroom Spec 2015 weo.s 9e y.h.Cp.buid.aom naa. -an A4 N w,,el Re..h. =I E~pe aaaw mr~wenmwn+.rw. iena Design By: Shww mAr"M apn..magraw, City. WI Wis()nsin Department of Commerce SOIL EVALUATION REPORT Page 1- of 3 *Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. 0.;!- !y~\ percent slope, scale or dimensions, north arrow, and location and distance to nearest road. , -a -D6 Please print all information. R iewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ( 2 Property Owner Property Location R J C Development, Inc. Govt. Lot NW 1/4 SW 1/4 S 25 T 30 N R 18 R(or) W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1868 Ct Rd. C 24 na Richmond Hills City State Zip Code Phone Number ❑ City ❑ Village J~] Town Nearest Road New Richmond WI. 54017 (715) 247-5721 Richmond 140th St J] New Construction Use: ❑ Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material glacial drift Flood Plain elevation if applicable na _ ft. General comments and recommendations: mound @ el. 104.90', based on contour line of el. 103.90' 1❑ Boring # n Boring xkj pit Ground surface elev. 10 4 • 3 Q. Depth to limiting factor 4 5 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-9 10 r 3/3 none L 2msbk DSH cs it .5 2 9-19 7.5yr 4Z4 none Si(-1 2m,-;bk mfr qw if -4 3 19-45 7.5 r 4/4 none sl 2msbk mfr w n .9 4 45=7017.5yr 4/4 wet c 2 ] Boring # Boring - ® Pit Ground surface elev. 104 . 3 0 ft. Depth to limiting factor 4 6 in. Soil A lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-10 10yr 3/3 none L 2msbk DSH cs if .5 .8 2 10-22 7.5 r 4/4 none sicl 2msbk mfr cfw if .4 ~j.6 3 22-46 7.5 r 4/4 none scl 2msbk mfr w 4 46-77 7.5 r 4/4 wet scl lcsbk mfr w na ~2 .3 5 77-9 7.5 r 4/6 none ms na na ' Effluent #1 = BOD > 30:< 220 mg/L and TSS >30 < 150 mg/L ' Efflue #2 = BOD < 3 g/L and TSS < 30 mg/L CST Name (Please Print) Signature CST Number Gar L. Steel 02298 Address ate vat ation Coo cted Telephone Number 1554 200th. Ave . , New Richmond, WI. 54017 10-19-2000 715-246-6200 Property Owner R J C Development, Inc. Parcel ID# pendincj Page 2 of 3 3 ] F Boring # ❑ Boring ® Pit Ground surface elev. 10 2 . 9 0 ft. Depth to limiting factor 5 5 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fg in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-10 10 r 3/3 none L 2msbk DSH cs if .5 .8 -2 7.5 r 4 none sicl 2msbk mfr w if .4 6 3 23-55 7.5 r 414 none Si 2msbk mfr w na •5 .9 4 55- 0 7. r 4 cl 7.5 r 5/8 scl 2csbk mfi <4 .6 ❑ 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/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Boring F-1 Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2 *Effluent #1 = BOD5 > 30 < 220 mg/L and TSS >30 < 150 mgA- ' 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 (RAW) Property Owner R J C Development, Inc. Parcel ID# pending Page 2 of 3 Boring # ❑ Boring 3 ® pit Ground surface elev. 10 2 . 9 0 ft Depth to limiting factor 55 in. ~ Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-10 10 r 3/3 none L 2msbk DSH cs if .5 .8 -23 7.5 r 4 none sicl 2msbk mfr w if .4 6 3 23-55 7.5 r 4 none sl 2msbk mfr w na .5 .9 4 -80 7.5 r 4 cl 7.5 r 5/8 scl 2csbk mfi .4 .6 I 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/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Boring ❑ Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD5 > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD, < 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 (86/00) STEEL'S SOIL SERVICE Gary L. Steel RJC Development, Inc. 1554 200th Ave. CSTM2298 New Richmond, WI 54017 MPRSW-3254 NW4SW4 S25-T30N-R1 8W (715) 246-6200 town of Richmond lot #24-Richmond Hills N ,1"=40' ~-13M).= of 1" pvc pipe by NW lot corner @ el. 100._00' lt. BM = top of 1" pvc pipe @ el. 102.35' W 5q' Gary L. Steel 10-19-2000