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Home My WebLink About040-1326-12-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No (ATTACH TO PERMIT) 600268 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: DCCI INVESTMENTS LLC TOWN OF TROY 040-1326-12-000 CST BM Elev: Insp. BM Elev: BM Description: SectionfTown/Range/Map No: /00 rVN I G S j 17.28.19.2204 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. ' .j Septic q. 0 ~ooa V6d Benchmark 1 ~ Z 7 /&6 Dosing t l/( 4i r L Alt. BM ! o / 67 ion C. p Bldg. Sewer Holding s St/Ht Inlet /lO2 TANK SETBACK INFORMATION St/Ht Outlet J /D,Z g TANK TO P/L WELL BLDG. ent to it Intake ROAD Dt Inlet LJe.-A- Septic l~ 3 / 3b /35 , Dt Bottom Dosing T Header/Man. >7Pii /60.3 Aeration Dist. Pipe 10 5 /oL - Z. Holding Bot. System n / PUMP/SIPHON INFORMATION Final Grade 16G,-7 Manufacturer Demand St Cover GPM ~'9' !67• Model Number TDH Lift F ron Loss System Head TI?H Ft r Forcemain Length Dist. to Well & /6( SOIL ABSORPTION YSTEM BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS -3 74 SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufaarer INFORMATION C CHAMBER OR .L,., Type QOf System, .A Ll t v{>6 32 J t Z~ UNIT MOf~e~) uj,, 4 ST b/ {i~ ~s+ .aw acf 5 DISTRIBUTION SYSTEM I,~gd- tJes+- /lei I,' 1s Header/Manifold / Distribution x Hole Size x Hole Spacing IV;a Air In ake O f = to Pipe(s) r Length 0 DO Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Mulched Depth Over Depth Over xx Depth of xx Seeded/Sodded r Bed/Trench Center SI Bed/Trench Edges Topsoil \ Yes No s No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 402 MEADOW VALLE TRL CLe~` Y. L6,-,LS d r-%_ 1.) Alt BM Description 2.) Bldg sewer length = 33 r - amount of cover 4- / n6 'D V- 5 on Plan revision Required? ❑ Yes o 1Z I ' z/ 17 Use other side for additional information. z-~ J"( Date Insepctor's gnature Cert. No. SBD-6710 (R.3/97) County + Safety and Buildings Division ;7 ED r'; P 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.) T Madi Wl 707 16 662 'OM UNtNp~ ~p Sanitary Permit Applic stateTransactionN her In accor~nce 3PS'S99 NT), Wis. Ad- Code, submission of this form to the appropriate governmental unit A is required prior to obtaining a sanitary permit Note: Application forms for state-owned POWTS are submitted to Project Andress if different than mailing address the Department of Safety and Professional Servies. Personal information you provide may be used secon ) oses in accordance with the Ptivac Law, s. 15. 1 m), Stats. L A lication Information - Please Print All Information ( ) Property Owner's NamParcel # ' / .C P I V".,J tom.. ` 1 rV P6 ' 3 Zto - /z.- t> Prof Owners Mailytg.jddress j Property Location Cny, State zip code Govt. Lot ~ j , 4 ( p Phone Number 'ILA /y1. Sectij Yr~ i ^ (cucl ne) TL 'T'ype of Building (check all that app] Lot # T N; I~~ or yCr qF 2 Family Dwelling - Number of Bcclr I Subdivision N 4 Block # t C7`~ 01b 14 ❑ Public/Commercial - Describe Use c t r ~1C~ V1%6 %)V4_' i/~, ❑ City of ❑ State Owned - Describe Use - r CSM Number ❑ Village of w L - own of 7Q L IIL Type of Permit: (Check only one bo on line A. Complete line B if applicable) A ' ew System ❑ Replacement System ❑ Treatment/Holding Tank Replacement only ❑ Other Modification to Existing System (explain) B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date lssued Before Expiration Owner IV. T ofPOW I S S stem/Com onent/Device: Check all that a 1 Non-Pressmizrd In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 it, of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ -Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dis rsaVlreat ent Area Information: Design Flow (gpd) Design Soil Application Ra1e(.°p Dispersal Area Required (sf) Dispersal Area opose s0 System Elevati -~-av a VL Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units New Tanks Existing Tanks m J ' ` ♦ ` O w. A m R1 35 Septic or Holding Tank ~ • Dosing Chamber i VII. Responsibility State t- 1, the undersigned, assu responsibility for installation of the POWTS s own on the attached plans. Plumber's Name (Print) Plumber' azure MP/MPRS Ntunber Business Phone Number 7 Ph/rJmber's Address (Street, City: State, Zip~J~.Y~/y~~7e) ' Y J / ..~1 VIII. County/De artment Use C)n]V a pproved r Permit Fee Date sued Issuing . t Signature 4 /l 9 av= Reason for Denial IX. Condit~uns r Wfapproval uen.t.i cell mint ail91:IGas r;ir njy r ~c 17~: ~OrA, j a r~ J n' per,7lar:sgemen*, plan pra ided bv plumber. , 2. 'All' seft* r p per topJ ral code I adYltia Ww. Attach to complete plans for the system and submit the County y os paper not less than S to z 11 inches in size SBD-6398 (R. 11/11) ~l` T System PLOT PLAN PROJECT DCCI Investments ADDRESS P.O. Box 445 New Richmond Wi 54017 NW 1/4 NW 1/4S 17 /T 28 N/R 19 W TOWN Troy COUNTY ST. CROIX SYSTEM ELEVATION 101.2/100.8/100.4 5' below grade 11 /7/17 BEDROOM 5 DATE CONVENTIONAL XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000/600 LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 1096 # of chambers 54 BENCHMARK V.R.P. Top of 1" steel pipe ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark Scale = 1/4" = 10' B.M.* 94' 3.3' X 74' cells with >3' spacing Vent Vents B-1 >6" Quick4 Standard 66' of Cover Leaching Chamber with 20.0 ft2 of Area 4' Long 12 5.6ft^2/pair of end caps " 34" Grade at System Elevation 38 37' 6% Slope B_3 All piping shall be ASTM SDR 30/34, within 10' of tank, piping shall be ASTM F891 B-2 Contours are irregular, soils will be 46' verified prior to installation 66' 30 Huffcutt Combo ST 30' Pro 5 Bedroom House 156' Meadow Valley Trail Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 11/7/17 Owner: DCCI Investments Location: NW1/4 NW1/4 S17 T28N,R19W 402 Meadow Valley Trail Troy Manuals Used: In-ground absorbtion system (version 2.0) Page# 1. Cover Page 2. Plot Plan 3. Leaching Chamber C s ection 4-6. Maintanance and C ti ency Plan 7. Filter Cross Section'' Signature- License number &2 900 r System PLOT PLAN PROJECT DCCI Investments ADDRESS P.O. Box 445 New Richmond Wi 54017 NW 1/4 NW 1/4S 17 /T 28 N/R 19 W TOWN Troy COUNTY ST. CROIX SYSTEM ELEVATION 101.2/100.8/100.4 5' below grade 11/7/17 BEDROOM 5 DATE CONVENTIONAL XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000/600 LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 1096 # of chambers 54 BENCHMARK V.R.P. Top of 1" steel pipe ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark Scale = 1/4" = 10' B.M.* 94' 3-3' X 74' cells with >3' spacing Vent Vents B-1 >6" Quick4 Standard 66' of Cover Leaching Chamber with 20.0 ft2 of Area 4' Long 12" 5.6ft^2/pair of end caps Grade at System Elevation 38 37' 6% Slope B-3 All piping shall be ASTM SDR 30/34, within 10' of tank, piping shall be ASTM F891 46' B-2 Contours are irregular, soils will be verified prior to installation 66' 30 Huffcutt Combo ST 30' Pro 5 Bedroom House 156' Meadow Valley Trail Cross Section of Quick 4 Standard Leaching Chamber Typical cross section for 2 of 3 cells Quick 4 Standard Leaching Chamber with 20.0 ft2 of Area per Chamber 5.6ft^2 pair of end plates To be >1' above grade Finish grade elevation Typical Installation 106.0' Vent Al G rade Vent 4' 4" 4' ,A;-~30/34 Septic Tank 4' Long 5' 4' Long 1 34" Grade at System Elevation 34" Grade at System Elevation Spacing 5' 3-3' X 74' Cells Observation tubeNent Same on other end To be located on end of Cells %A B System elevations: C A-1 01.2' B_100.8' C-1 00.4' 18 chambers per cell or-ckmeomy = TA)MMAWMUMMAMMUM AXD A chftoyaw. A)& New PWPMYAd*mlk r;« a d ~i v e+ HOAOftVj L, Gay I krww MAZ M. L2, 00 75/ Aft ~tF o~ Mr . ~ ~ a POWTS OWNER'S MANUAL $ MANAGEMENT PLAN Page of FILE INFORMATION SYSTEM SPECIFICATIONS Owner Permit # n Septic Tank Capacity / al ❑ NA Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model r ❑ NA Number of Public Facility Units -❑.,NA 'Pump Tank Capacity al 1:3 NA j Estimated flow (average) G Pum T al/da p ark Manufacturer NA i Design flow (peak), (Estimated x 1.5) allda Pump Manufacturer NA Soil Application Rate aUda/ft2 Pump Model NA Standard Influent/Emuent Quality Monthly average's Pretreatment Unit NA Fats, Oil & Grease (FOG) 530 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BODs) 5220 mg/L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) :5150 mg/L ❑ Disinfection ❑ Other. Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BODs) S30 mg/1- In-Ground (gravity) ❑ In-Ground (pressurized) Total Suspended Solids (TSS) 530 mg/L >Q:f~ ❑ At-Grade ❑ Mound Fecal Coliform (geometric mean) 5104 cfu/100m1 ❑ Drip-Line ❑ Other. !Maximum Effluent Particle Size h; in dia. ❑ NA Other. ❑ NA !Other. Other: NA ❑ *Values typical for domestic wastewater and septic tank effluent. Other 11 NA IAINTENANCE SCHEDULE Service Event Service Frequency linspect condition of tank(s) At least once eve months} ry' ears (Maximum 3 years) ❑ NA (Pump out contents of tank(s) When combined sludge and scum equals one-third {'f3} of tank volume ❑ NA (Inspect dispersal cell(s) At {east once every: qq month(s) ;LJ year(s) (Maximum 3 years) ❑ NA --lean effluent filter At least once every: ❑ year(s)s) O NA Inspect pump, pump controls & alarm At least once every: ❑ nth(s) r-1 year(s} NA mon(s) !=lush laterals and pressure test At least once every: 11 ❑ years) s) NNAA L5t-h At least once every: ❑ month(s) NA ❑ year(s) ❑ A MAINTENANCE INSTRUCTIONS !Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: aster (Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer, Septage Servicing Operator. Tank inspections must linclude a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of ic;ombined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be ivisualiy inspected to check the effluent levels in the observation pipes and to check for an ondin of effluent on the The o any P 9 ground surface. ndin of effluent P g on the round surface 9 may indicate a failing condition and requires the immediate notification of the local I-egulatary authority. When the combined accumulation of sludge and scum in any tank equals one-third or more of the tank volume, the entire contents of I:he tank shall be removed by a Septage Servicing Orator and dis o ed Administrative Code. ~ P s of in accordance with chapter NR 113, Wisconsin All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, land any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. Page of START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals thr{t may impede the treatment process and/or damage the..dispersai Cell(s). If high concentrations are detected have the contents of thO tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will bie discharged to the dispersal calls) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of eftluenN. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels f within the pump tank. Do not drive or park Vehicles over tanks and dispersal cells. Do not drive or park over, or othwMse disturb or Compact, the area within 15 feat down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the perforrnance and prolong the life of the POVVr$: antibiotics; baby wipes; cigarette butts; -condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation dralirn (sump pump) water, fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medf dorw, oil; painting products; pesticides; san'dary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is prope(lY and safety abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code:. • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filed with soil, gravel or another inert solid material. CONTINGENCY PLAN ' If the POWTS fads and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replt system: A--suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement anew should be protected from disturbance and compaction and should not be infringed upon by requirled setbacks from existing and proposed structure, tot lines and wells. Failure to protect the replacement area will result in the naiad for a now soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rule;/ in effect at that time. ❑ A suitable repleownfi nt area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a sal and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installedl as a last resort to replace the failed POWTS. ❑ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. <4trARNiNG>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES ANDIOR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TAN UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE O~ A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name Nameu Phone Phone SEPTAGE SERVICING OPERATOR UMPER LOCAL REGU"TORY AUTHORQrY Name A' E Name ~ x v Phone Phone - Ell This doaanerdwas drafted in compliance with chapter SPS 383.22(2)(b)(1)(d)&(f) and 381.54(1), (2) 8 (3), Wisconsin Admins~ Code. ` l _ a j i Li'-=' ` j' j 6 8 I I t I, I i i i M I IL t 1 C. o i I 1 1 I i , I , J l /lam 'i I I t v 3 3 1 1 ? 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Code Page 1 of 3 Professionalfics i Schmitt Soil Testing, Inc. County Attach complete site plan o x 11 inches in size. Plan must St. Croix include, but not limits tq >~r{difj lFr>#i ~e point (BM), direction and - percent slope, scale op9i s, north arrow, and location and distance to nearest road. Parcel I.D. 04/0 Please print all information. viewed D t Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Z Property Owner Property Location DC_CI Land Planners Govt. Lot NW1/4, NW1/4, S17, T28N, R19W Property Owner's Mailing Address L Block # Subd. Name or CSM# 1505 Hwy 65 P.O. Box 445 12 Meadow Valley Of Troy City State Zip Code Phone Number City Village i _ 1 Town Nearest Road New Richmond WI 54017 Troy i East Cove Rd New Construction Use: Residential ! Number of bedrooms 4 _ Code derived design flow rate 600 _ _GPD f Replacement _ Public or commercial - Describe: Parent material Outwash Sand Flood plain elevation, if applicable NA ft. General comments Area is suitable for a conventional system with a 0.7 gpd/sgft rate. Possible system elevation for Area 1 is 101.8'. Slope is 5%. and recommendations: _ l I AM 4D4m n~~ ~ ~,~D ~/a- (71~r41~/~(T Sff~llc%v 4!~ /~Lf~T- CI~~C/C r c A F-1 i J Boring 1 Boring # _ 1 pit Ground surface elev. _ 105.97 -ft. Depth to limiting factor 113+ 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 sl 2msbk mvfr as 1vf 0.6 1.0 2 8-25 10yr5/6 none s Osg ml as ivf 0.7 1.6 3 25-32 10yr5/4 none vgrcos Osg ml cs 0.7 1.6 4 32-113 10yr6/4 none grs Osg ml 0.7 1.6 ]Boring `Q F2 ]Boring # Pit Ground surface elev. 105.13 ft. Depth to limiting factor 114+ 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 0-10 10yr3/3 none sl 2mgr mvfr as ivf 0.6 1.0 2 10-14 10yr3/1 none sl 2fsbk mvfr gw 1vf 0.6 1.0 3 14-25 10yr4/4 none sl 2msbk mfr gw 1vf 0.6 1.0 4 25-43 10yr5/6 none Is Osg ml as 0.7 1.6 5 43-82 10yr6/4 none grs Osg ml as 0.7 1.6 6 82-114 10yr5/6 none vgrs Osg ml 0.7 1.6 160` Effluent #1 = BOD? 30 220 mg/L and TSS >30 1 0 m L ' Effluent #2 = BOD5 S30 mg/L and TSS <30 mg/L CST Name (Please Print) Signature: 22742u~mber Thomas J. Schmitt Address Schmitt Soil Testing, Inc. Date Evaluation Conducted Telephone Number 1595 72nd Street New Richmond, WI 54017 5/6/2014 715-760-1978 SBD-8330 (R.07/00) Property Owner DCCI Land Planners Parcel ID # Page 2 of 3 Boring [-3]Boring # Pit Ground surface elev. 106.14 _ ft. Depth to limiting factor 115+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-16 10yr3/3 none sl 2fsbk mvfr gw lvf 0.6 1.0 2 16-26 10yr3/1 none sl 2msbk mfr gw ivf 0.6 1.0 3 26-35 10yr4/4 none sl 2msbk mvfr gw 1vf 0.6 1.0 4 35-50 7.5yr5/6 none Is Osg ml as 0.7 1.6 5 50-115 10yr6/4 none s Osg ml 0.7 1.6 1 110 ❑ LIU j 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 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. Page 3 of 3 Cbnducted by: Conducted For: Schmitt Soil Testing, Inc. Name: DCCI Land Planners - Thomas J. Schmitt, CST 227429 Address: 1505 Hwy 65 1595 72nd St. City, State, Zip: New Richmond, W154017 New Richmond, WI 54017 - - Phone: 715-7,60-11978 Subdivision: Meadow Valley Of Troy Signature. Lot No.: 12 Date .,5--~ -.»/5/ Legal Description: NWl/4 NWl/4 S17 T28N R19W ® Backhoe Pit Township, County: Troy Township, St. Croix County ®Bench Mark 1 El. 100.00' Top of 1" Steel Pipe. NW Lot corner pipe. _ (865.09') _ ! Mark 2 El. l~Top of 1.. Steel Pipe. NE Lot corner /01, pipe. 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