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HomeMy WebLinkAbout022-1011-70-075 eeea me tat,^.ammece PRIVATE SEWAGE SYSTEM County St. Croix . iferi eno H i. In ~p i)i w INSPECTION REPORT Sanitary Penbr Nn GENERAL INFORMATION (ATTACH TO PERMIT) Stare Olen ID No 605174 Pl`I aC'la •1ro.... eticr you F-bvihe r ,f ba usca Ibr sccmcary p~rpases IPrvaq• , ew, 5 iS OC (1 jinVl 3152662 Pe-mr Holcer S Na Cl:y Ware Tor.nsh p Parcel lax No Karl Crabtree TOWN OF KINNICKINNIC 022-1011-70-075 CSI Ht'l i iev Insp BM elev rink Desaiptio't Sec:icmTOwn:RangE^.t;ip NU f> ; 05.28.18.71 C TANK INFORMATION ELEVATION DATA 7 '}jj. fu },y} (P C+ Go TYPE MANIIFAC TURER k,), CAPACITY STATION DS HI FS ELEV. Septic a Benchmark Dosing Alt BA Aerahwr Bldg. Sewer Hoiping ! SNHt filet 9. /ca&o St,Ht Cutlet ~c TANK SETBACK INFORMATION 3e, TANK TO P+L 'v:ELL BLDG. `+e-il :c Air Intake ROAD Dt n et Septic , Dt Bolton( Dosing I teadmibla r Aeration Dist Pipe L 1U 3. L 3- y" /2 Hcldrg BOL Sys:erU' - PUMP/SIPHON INFORMATION Final Grade (0 j 0f Mar u!a;;t.ne• / L De•rard St CovQr f•.ICpEI Nt.mpEr ` 1 ! ~U✓~-"''~ A ;.3 Q), i;tO TDH L.fl Friction tJoss System Head7 TDH F: a.3G q ,s I3.Ia rorwmain Len DID D st t~ VveI SOIL ABSORPTION SYSTEM 13EDiTRENCII le-gih No O' ill"--ties PIT DIMENSIONS N., O'P!s inslae DID lirnig Depth DIMENSIONS SETBACK SYSTEtl TO PtL BLDG WELL LAKEtSTREAM LEACHING 4%. Wil_'u'er INFORMATION CHAMBER OR Tipe Of S'iste~ Q~ i-2 rr:c~ UNIT h9ocel N.^be'. DISTRIBUTION SYSTEM NcadedA9av'C ;i D,slf buGen Ix HOe Sae x Hcle Sbecr'g 'v'it L; Air in'.3F5 pipeis~ LEngC_` Oia -engm~ Da / Spa. ng_ _ ` SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only I IIre-l- O.er ~ Oe Oth ("-f Deptr of :x ScCUCO+S>dce; .c !!ul.r .J Betl french Cen-er { RwJfenrh Pdgef. -apse Ve; _ No Ves No COMMENTS: ilnclide ccoe d screpencies, persons p'escrt etc; Irscecion #1: i0 +yL 15 Inspection #2: i& p t r 1 i ~✓OIL. Location: bbb CTY RD SS I d wQ-S e..`L- !f-u I ; All RN! Descnption = 2Bldg sewer lergtn - amourt of =over = 1 / Plan revision Requned? Yes j No Use other s'de for additional information _ _ '7 [l (-U Ua:C I"sEpr.TerS(iyu:wL._ ~7 Coil NJ. Slit) b:'C (R?"r') 1 =1 - 5 !~-Doi 8 a93 Safiay and Bwldinos Divlslon V 101 Nl4Vashlnnton Ave., P0 Rox 71132 Co Ds 01MadlspgM 53707-715? • 17Vum6e x Ct1171t AElplICe ~J Lr I _n IhVI,~~n I 1 I ,AI f:I 141 I n'. I In.t -3/S(--(Om(e Z. n m r purl '-ql I II r.l I' :d l l n' f~ erc:,ln'Il dto Ii II A.,de0.ssr dlhfo l'. hen n al'n`e:..drCUt h - I I ` d j Ill 10 r 1 rerd 1 -.r : u.id. mn h, u:nl I. -Lla 1 r, ITm nl P I u':I I 1 II n t' I \pphc:n um Infurmahnn U nn Please Print I Inhrrmab ~/~O►'I I r, pen : A7u11nt: d'n - - - PI ,1~'Ih I UrJC Or' a! O • 1 u . I I ~u:c r 2 /q. C.d: nhonc \umhal II I.pc Of ItII (chuck all that apply) 1. 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C. t dk n_ GIII r L,II, Sd rftflP pp f_ L I ~ ~ - J c / f'slt'/ X ^ - LZ",Y'C _L I I unulbilil> Sla(cnlcnt- I. thr until r~l«ned, a~~unu• r:_.pumihilin (w m.1:BluUOn ollhe 1'/l\I I u,:n on the anachM phnu. nIrl'. V.I I InIll I'nv-ers, rr, AIP.AII'I A:n~.r Bumw,, Ph:n: t,umbo 4.-~ ~9c 2 / `1ACJ/ S2J:1t /GDS F)1N~ ~i ~Ia ~J/~>~ 41 . jc/G i \ II bunN' Dcrarlmcnl l-.c (Inl~ - - - rm I I.r (until Rlea.oro ha' Uiwpprncal \ 1 t. _ , f, Hker mi J 14 a*A I A (Sd' G,('L i ti 41'!)1!R'.si cell null ell be yy. ~1 n'ruzfnj ~C n pflr Ylffra(amere. plan po noen by plu,nt)e:. A-11'o 2. A! f gi rs~l,Irr.^enxs min:l uer r. a:rt, it E i naperoPPM 1 c*,.bfl:rdi~vlrrer. .,~,I, I...... . ,,..I Plot Plan Page S of PROPERTY OWNER: <AgL ~--'pA6TK.E 1" 40 FT. (except where noted) Legal Description: LO7 f CSM, U(7, try4f(4821 Sty/ yF'TtIF;1w~4! t~ =backhoepit 5. rZ''N Rlx~ ~cwc ;~r Kl,va'ICKI.vNiC~ . [ Ctx C~~~~ r 17 7169S IX,t5toN 02-L- &`i I- 7D- Z!75 54,,5 North } V' u. I1 r•E n ` ` oca ~5,. r w, r ~C 15-6r.''\ o.^\ i LJ \ Vl.+ \ / ` ,79 Site location: RT_OCjt i ' ,r°t-L.I.) P l pt. C~k t-D / c 6) 21v °o \,CyStatp!t:~;;. DIVISION OF INDUSTRY SERVICES 10541 N RANCH RD D HAYWARD WI 54941-F.462 _ Con:aTwoagh Relay 1 lSPS http.::dsps.wi.gov.~prograrsiindus*.ry -services umw wisccrsin gcv Scott Walker, Governor Laura Gutierrez, Secretary :\ueust 29. 2018 CES'I ID No. 224832 A7TV: POWIS hispe.1ev MART' JO IRI PIAl ZONING OFFICE 1I011ISI'ERS SOH. TFSTING & DI SIGN S I CROIX COON I l' SPIA 25497 KING ARTIIIIRS 1101 CARMICHALL RD D,ANRURI' WI 54830 HUDSON WI 54016 7708 C'OND1170NAt. APPROVAL PLAN APPROVAL EXPIRLS: Oi2912020 IdCntification Numbers. 't ransaction 11) No. 3152662 SII'L: Site 11) No. 8534"" Karl Crabtree Please refer to both identiflcatiun numbers, 565 Cth S above, in all eo_rres .ondencC with the aKCnev. (Mown of Kinnickinnic St Croix County SW1 4. Ab4'U.1. S5• I 18\• RISW F OIL Object'Itpe:PO1V1SCornponcnlManua I RegulaledObject ID No.:1795I59 \laintenance required: 4?0 GPI) Flow rate; Systemisk At-grade Component Manual. Version 2.0, Sill) 10854-1' I,N.03~07, R. 1112), Pressure Distribution Component Manual - Ver. 2,0. SBD-10?06-P (N.01!01, R. 10!13); Lffluent Piker CONDI I lie su`>:wltal described above has been reviewed for e'onformwice with applicable \1'isconsin Administrative Codes APP octtl Wrs,onNin S11111les. the submittal has been CONDII IONALLN' APPROV'FD. This system is o bf~P TOFrSAFETY AND ::id h ctlcd in accordance with the enclosed approved plans and with any component m amal(s) refi once lbo%eD1V1S1ON OF I I Fe owner, as d6mcd in chapter 101.01 ( :10), Wisconsin Statutes, is resp onsihle for compliance %k-it all code t:gtntcmuu,. r, \ a+py of tnc approved plan ste..dicatmu: and this lur r shall be on site dunn_ construction and ~ pen to inspection by anthol ICed reps ent tiVcs o1 the Depau lmenl. which may inclndc local inspcclors. Al pcrrmis ICqui ed by the state or the local mumclpalny shall be obtained poor to commencement of construction;inslallationiupcralion. f ScE COR In vrantinvi this approval the Division of InduArx Services reserves the ri,~I t to require chances or militions should conditions arise making them ncccsary fm' code compliance. AS per state sta-s 101.1?42) nothing in this revie•a shall relieve the designer of IhC responsibility for designing a safe building, structure, or component. Inquiries Conec'roin" this Conesponde•ncc ma% he made to me at the telephone number listed below, or at the address on this letterhead. The above let) addressee shall provide a copy of This leper and the POW-I'S management plan to the owner and ant others who are respo:Isible for the installation. operation or maintenance o`lhe POW"IS. Sincerely, Fee Required S 250.00 I his l - e Amount Will Be Invoiced. When hc rrn You Rcccive'fhal Invoice. L dwlfi A Taylor Please Include a C'op. 1k ith You: Wastcwaler Specialist , Division of ludustry Services Paomcnl SubmiOal. C71 S)63;--z IS 'I . Mot:-fri, 8:00 a.m. - 4:30 pmt. 1\ 1Sh'IART code: 7633 cci~.vimta\ :earl w i.coy C~IVED }i2 g ~ND'~S~RY SERVICES RESIDENTIAL AT-GRADE DESIGN INDEX AND TITLE SHEET Project KARL CRABTREE Owner (SAME) Address P.O. BOX 146 ROBERTS, WI 54023 PROPERTY ADDRESS: 565 C.T.H. SS Legal Description SW 114 OF THE NW 1/4, S 5, T28N, R18W Township KINNICKINNIC County ST. CROIX Subdivision Name NA Lot No. 3 Parcel ID Number 022 - 1011 - 70 - 075 ]OA'ALLY Plan Transaction Number OVED 'ROFESSIONAL c-^, DICES .~uttuauuuu Index sheet Page 1 :)USTRY RVIC'"S ev~~y~,dy Calculations Page 2 Al-grade drawings Page 3 IA1 g Laterals and dose tank Page 4 j $11Y~ a3N!! L L Specifications Page 5 L gggt a k; Management & contingency plan Page 6 _ 1!l3Jctf1H = Pump curve & specifications Page 7 _SpON (vCE 2~- • OP AdVYa Plot plan Page 8 0\ Designer "MARY JO HUPPERT License Number 1859-007 Signature { 2 G , d { ? Phone Number 715-426-1775 Date 08/26118 Designed pursuant to At-grade Component Manual Ver. 2.0 for POWTS SBD i[i8'ri-P (N. 03/07), and both SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) and Pressure Distribution Component Manual Vec 2.0 SBD-10706-P (N. 01/01) Vwsvm 7 .0 (03112) Pagel of 8 PRESSURIZED AT-GRADE DESIGN .4t-grade Design Worksheet - Sloping Site Flows and Site Data Entry. ur ; r Residential or commercial? 300.0 Estimated wastewater flow (gpd) 450.0 Design wastewater flow (gpd) 2.00'% Site slope 101 Contour elev. below lateral (ft) 37.00 Depth to limiting factor (in) - 0.6011n-situ soil application rate (gpd/ft42) Distribution Cell Information 1 i Influent wastewater quality 10.001 Linear loading rate gpd/ft 10.00 Effective absorption width (ft) 10.00 Max. effective width permitted (ft) 75.00 Aggregate length (ft) Pressure Distribution Data Entry t r ; E Center or end lateral connection 1 Number of laterals 0.156' Orifice diameter (in) e.g. 0.25 2.00 Estimated orifice spacing (ft) 2.00'. Forcerain diameter (in) 2.08 Forcemain flow velocity (it/sec) 20.00 Forcemain length (ft) n Does forcemain drain back? 89.00 Pump tank elevation (ft) ry Are laterals at highest point? 4.55 System head (ft) x 1.3 NA 12.33 Vertical lift (ft) 3.3 Forcemain drainback (gal) 0.19 Friction loss (ft) 59.5 5x Lateral void volume (gal) 0.00 In-line Filter Loss (ft) 62.8 Minimum dose volume (gal) 17.07 Total dynamic head (ft) 20.4 System demand (gpm) Lateral Diameter Selection Gallonslinch Calculator {option ttl i Apediamoter 13mignopticns oeaign cMm ~Total Tank Capacity (gal) Dees;gm.- 1 in Total Working Liquid Depth (in) mL•st selec. 1.25 in "Gallin (enter result in cell 1940) one lateral 1.5in X diameter 2 in x _ x Treatment Tank Information 3 in x J 1606] Septic tank capacity (gal) Wieser _ Manufacturer Effluent Filter Information Dose Tank Information Polylok _ Filter manufacturer x750 0 Dose tank capacity (gal) 122 Filter model number 1 20.3 Dose tank volume (gaVin) [Wieser Manufacturer Project: KARL CRABTREE Transaction Number: Page 2 of 8 AT-GRADE PLAN VIEW D --t 16 a Observation pipes (2 typical) A 10.00 ft p 1 t- 116C 1Z00 ft W B 75.00 22.0ft ~c D 5.00 ft E 2.0 ft L 85.0 ft D B ft A x B 750.0 1`1^2 - L ~--I Cap Typical aggregate cell A x Typical is~ Sbriacl in the lower G, and O = Plowed area L x W anctxxed securely. s' T AT-GRADE CROSS SECTION Synthetic fabric cover - 103.33 ft Finished grade elevation Lateral invert elev. 102.0 ft Observation pipe at aggregate toe i Surface contour 101.50 ft C A C and system elevation D = 12 in. topsoil and subsoil Plowed layer over aggregate and tapered to toes. below L x W = 6 in. aggregate below pipe(sj, and 2 in. above pipe. Project: KARL CRABTRFF Transaction Number. Page 3 of 8 PRESSURE DISTRIBUTION AND DOSE TANK Lateral Diagram - End Connection f P Last both nwra to end cap k x )I Laterals G force main a PVC Seh 40 HoNS driWd on the bottom of ow lateral per SPS Tana 3e4.30d eQuaYy spaced 0 '.Turn-uprlDallwWa~er Wo,anoutplup Lateral Specifications 0.156 Orifice diameter (in) End Lateral connection pant x 1.97 Orifice spacing (it) 1 Number laterals 38 Orificestlateral P 72.89 Lateral length (ft) 20.4 Lat. discharge rate (gpm) 2.00 Lateral diameter (in) 2.00 Forcemain diameter (in) 20.4 Sys. discharge rate (gpm) 20.00 Forcemain Length (ft) 17.07 TDH (it) Typical Pump Chamber Layout Approved marimle cow with Weathw-proof waming label and locking device iunc6on box Final grade -I)& 4• disrnnnect Tank component is Alternate properly vented V_ outlet location 18' min. Electrical as per NEC 300 and ArApproved r~ SPS 316.300 WAG outlet Tank lull jcirn L Inches Gallons JA provide 114' w A 23.9 484.2 Alarm an weep hole or m B 2.0 40.6 antisiphon E C 3.1 62.8 p °n B device. C El D 8.0' 162.4 89.67 It Totals 37.0 750.0 - Pump of ff D 3• Bedding under twit 4 89.00 It GOULD Pump manufacturer SJE RHOMBUS Alarm manufacturer PE 41 Pump model number AB TANK ALERT Alarm model number Project: KARL CRAB f REE Transaction Number: Page 4 of 8 At-grade System Maintenance and Operation Specifications Service Provider's Name ULBRICHT PUMPING Phone 715-703-8337 POWTS Regulators Name ST. CROIX COUNTY - PhoneL715.386.4680 System Flow and Load Parameters Design Flow -Peak 450 gpd Maximum Influent Parlide Size 118 in Estimated Flow - Average gpd Maximum BOD5 mg/L Septic Tank Capacity 0300 000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 50.0 fh Maximum FOG 30 mg/L Type of Wastewater mestic Maximum Fecal Coliform >10E4 efu/100 mL Service Frequency Septic and Pump Tank Inspect and/or service once eve 3 years Effluent Filter Inspect and clean at least once eve 3 years Pump and Controls Test once ever 3 ears Alarm Should test month) Pressure System Laterals should be flushed and pressure tested eve 1.5 years Mound Ins cl for ponding and sewage once every 3 years Miscellaneous Construction and Materials Standards 1 Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap, and are secured in as shown in the at-grade component manual. 2. Dispersal cell aggregate conforms to SPS 384.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The at-grade structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. 6. Areas within 15 feet of the downslope toe will be protected from compaction. 7. All other construction details are as per the at-grade component manual SBD-10854-P IN. 03/07). Lateral Turn-up Detail Finished Grade yr Threaded Cleanout 6-8" Diameter Lawn Plug Ball Valve Sprinkler Valve Box 9 or . Distribution Longg Sweep 90 or Two 102.00 ft 45 De ree Bends Same Diameter as lateral Project: KARL CRABTREE Transaction Number: Page 5 of 8 At-grade System Management Plan Pursuant to SPS 333.54, Wis. Adm. Code General T1,is syslern shall be operated in accordance wain SPS 382-3134 Wis. Adm. Code, and shall maintained in accordance with der component manuals [SBD-10854-P (N. 03107), SSWkIP Pub. 9.6 (01181), and Pressure Distribution Component Manual Ver. 2.0 SBD-10706 IN, 01101)) and local or state rules pertaimny to system manenance 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 shalt 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- aches in diameter shall be secured by an effective locking device to prevent accllental or unauthorized entry into a tank or component. Septic Tank The septic tank shag be maintained by an individual candied 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 lank 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 he 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 tiger 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 113 the liquid volume of the tank- If the contents of the tank am 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 lank. the addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products am nsecl they shall be approved for septic tank use by the Department of Commerce. Pump Tank The. pump (dosing) tank shaft be inspected at least once every 3 years- All switches, alarms, and pumps shall be tested to verity proper operation. If an effluent filler is installed within the tank it shall be inspected and sarviced as necessary - At-wade and Pressure Distribution System No Vees or shrubs should be planted on the at-grade. Plantings may be made around the at-grade's perimeter, and the at-grade shall be smeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vogatativo maintenance) on the al-grade is not recommended since sail compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the wntef will promote host penetration. Cold weather installations (October-February) dictate that the at- grade be heavily mulched as protection from freezing. Influent quality into the at-grade system may not exceed 220 mg/L B005.150 mg,'L TSS, and 30 mgr. FOG for septic tank effluent or 30 ng/L BODS 30 eXYL TSS, 10 mph. FOG, and 1W cfu/100 ml- fa highly treated effluent. Influent flow may net exceed maximum design lbw specified in the permit fa this installation. The pressure distribution system is provided with a flushing Pont at the and of each lateral, and it is recommended that each lateral be flushed of accumulated solids at bast once every 18 months. When a pressure test is performed it should be compared to the initial fast whon the system was installed to determine it notice clogging has occurred and it orifice cleaning is required to maintain equal distnbution within the dispersal cell. Observation pipes within the dispersal rag shall be checked for effluent pending. Pending levels shag be reported to the owner. and any levels above 4 inches considered as an impending hydraulic failure requiring additional, moo frequent monitoring. contingency Ptan If the septic tank or any of its components become detective the tank or component shall be repaired or replaced to keep the system in proper operating condition. 11 the dosing tank. pump, pump controls, alarm or related wrong becomes detective the defective component(s) shall be immediately mpaired or replaced with a component of the same or equal performance. It the at-grade component fall to accept wastewater or begins to discharge wastewater to the ground surface, n will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by renovation the biologically clogged absorption and dispersal media, installing new piping, and replaang other components as deemed necessary to brag the system into proper operating condition See Page 5 of this plan for the name and telephone number of your local POW TS regulator and sarvice provider. Project: KARL CRABTREE Transaction Number: Page 6 of 8 `~~UO1LDS PUMPS Submersible Effluent Pump PE SKC*VADMS MGM Pump - Ceram: GenerdH 0 conosion • Dkdtalge: 1'b` HPT • Slrgle P~ CVtStnK*n. • Tetnperahn:104•F (400Q - sD Hertz ■ Cast iron body. Maximum, C011anrouS when • 115 and 230 votes ■ Tiermophastk impeller and tidy Submenged. • Bdit-Yx thetnal overload pro• cover. • Solids handWng: teaion with aut0rnadc msd. ■ upper sleeve and lower maximum sphere. - Class 8 insulation. heavy duty ba8 beaxing R C„•l1CAylONS • Automats models Indude a • 094tled design mnsaluction. float Switch. ' High strength carbon steel ■ Motor is permanently Specially designed for the - Manual models avab*. shaft. hsblatad br extended following uses: - Pumping range: see PE31 Motor serve W. . Mound Systems PerformwKe dart or carve. • 33 HP, 3000 RPM ■ Powered for continmis ° Eftluen vWsing Systems PE31 Pimp • 115 vol6 operation. ° low Pressure Pipe Systems ' Maximum capacity: 53 GPM • Shaded pole design ■ All ratings are within the 1lesenlenc Draining ' Maximum head: 25' TDH K41 Motor woridng limits of the motor. Heavy Duty Sump/ FE41 Pump: - .40 HP, 3400 RPM M Oulde disconnect power llewatering o Maxr~ Capacity; 61 GPM : 115 and 230 volts heOXXL 2(Y avy ~ Wa~ 610, Maximum head: 29' TDH PSC design PE51 Pump; PE51 Mmr: 115. 230 voR grounding • Maximum &3p@*. 70 GPM • .50 HP, 3400 RPM ■ emplete unit is heavy duty, ° Maximum head: 37' TDH • 115 and 230 volts portable and cowoom ,0 HERS FEET - PSC design • Mechanist Seal iS arbon, 40 ceramic, RM and stainless -TE51•=`-r I moons: K31. P641, Fen steel. T • lr 35 - -1- rV 33. AO-50 a stainless steel fasteners. 10 44 - 14-1 -_,y 2 GPM - __L - 30 FT - -r• AGEN" USTIWIS 25 Cks, L 20 - L t r T Tesaid to lq 778 and r;.. . r n ; :!7 fi _ T GA 22.2108 %mdm& o RY AWe54 TO Y ,z,aar M1nsiz!509oo7nea. T 0 ° ~ 10 ` 2} 30 40 so 60 o GPM so I~ ` c C_ - h..~- - r _ Plot Plan- Page 5 of PROPERTY OWNER: f~tFYti CR~+87R 1" 40 FT. (except where noted) Legal Description: Cdr 3+C5M Uf7, oFT}fF J)j►,1Vqo 1] =backhoe pit 55. TZI/u RISW 701i!"U f)P Kf)ti'iekl.yNIC, :9• CRCnX CL`IANar Z. 17 t~CKSs W,05coN6y,i 022--100-7d-075 54,5 C.7A S-5 North - - l_ J k ~ 4 t, ,i tl h :i _-'T +~Lay - o ' a ~•"e!~ To eft rWao' 0 J a" TR t II\ _SC cF :cry 1". ri is H'Sj y'~ ~5~w 6vl ICI.60 \ ~ ^S v\ \ '!'/PuMP~ R NK ~V A op seurn 7t 0`_ ~.a Ply - 4vy, R-C-o-J u!'F n 3 Site location: Bzr ~Jc+t /r A rL-k- SEC t 3 /y = 100- 06 N i CA> ~k'ZL k rn W V ,9 L'9L L I I . . • . • . . t . . . . . . . . . . • . ~I, I u u. 1 e8 I,J c ~_L --fin . J n ,A V 9 ~r 'aka 9 t cy 4 • ~ ~ ,may 6 ~ t4 r ~2Jr.J PipE i Or r o 2sJ /'J a$ oc) N N W ST CROIX COUN-I.Y SEPTIC I ANK MAINTENANCE AGRFENIFNF AND OWNERSHIP CLRTIFICATION FORNI ()wI1Cj%Nu-vcr 4 fj-~-~L- C. 2.,1 ( Nla:linR Address Property Address Ste- CT I-L r {Venfrcation required from Planning Department for new coustiuchon). Tow(f ' _~1N~ll+r(L I c- Parcel Identification Number C)-).,I__ I.EGAI. DIF:SCRIPT J-0 N Popery Lcx:ation _SLJ NcJ Src. Tag N--/ ~?J$UI. Iw-k1 of /<frtvk~I C./C/A/vi( .`i -.ubdtvtston Certified Survey Map P 7 1 13 ►a Volume , 7 _ Page s' L/`/ '2~a Warranty Deed q Volume Page ti Spcc house C Yes IV no Lot lines identifiable V yes co SYSTF_M MAINTE_N_ANC_E Lnproper me and nt,+ urtenanee of your septic system could result in its premature failure n> h"r".k I rite i!:, ccnulsts of F~Pmg out the septic tank every- duce years of sooner, if needed by a lirrnscd pumper What pw n:o tS, can ank t the function Of the septic tank as a treatmcat stage In the waste disposal system "lit property owner agrees to subaut to St. Croix Zoniag Department a cernficanon form, signed by the o-.ici roaster plumber, journeyman pluanber, reetrrctedpluruber or a licensed pumper verifying that (1) the on-sae wastewater d:s;xxa is in prsrpfr operating condition and~or (2) after inspection and ptutrping (if nc%xssary), the septic tank is less ri7an I'1 fc:i o Vwc. the rmdaatgned hase read t[te above requirements sad agree to maintain the prrvare sewage disposal ;.srem -:h :ra " se, forth, hetern, as set by the Deparancnt of (,a fierce and the [kparancnt ul Natural Rcsnurces, State of k'asconset gating that your septic system has bcrn main tied must be completed and rettaned to the 'it t roix County Zor:up I t.:e w days of thr three year expiration date b10t,AMRIi OF AFPLWAN-I'y (1A; i _ OVK~KTM(' TA ION I (we) certify that all statrments on this form arc true to the best of my tout-) R )Q, lcder I Lille poapc..r,,ty described abo. c. b•. ,rtur of a warranty deed recorded in Register of Dccds '~R f:zr SIGNA'IZ.'RE OF APPLICANT - - - - rF Any information that is rots-reinvented Insy result in the sandary permit being revoked by the i..., Include with this application a stamped warranty deed from the Kegrsler of Dreds office a copy of the certified stuvey map if reference is madr in the wanaow dcca 221418 Wsconsin I of Commence- SOIL EVALUATION REPORT Page _ of Division of Sate and awki rigs J -ihattordanoewith Comm 85. W s. Adm. Code County Attach completrr5'ire plan on paper not loss than A V2 x 11 inches in size. Plan must include. but not limited to vertical and honzontal reference point (BM), direction and parcel I.D r percent slope. scale or dimensions. north artow, and location and distance to nearest road. Please print all information. Revio by Date Penontl informeUOn you pIOV lie may De uud la saconEary w'ooeet (Proacy Lew a 1 S w (11 (mIL ~ Property Owner Property Location ^ w. .12-A2 Govt Lot SLJ 114 M T Z, N R E (r, W Property OVier's Mailing Address Lot# Block At Subd Name CSMrr City Slate Zip Code Phone Number ❑ City ❑ Village Town Nearest Road - 11..1-, ( 1 <j~ /,'1 ' Ci ?iL2 .C S K-New Construction Use' -Resioeneal f Number of bedrooms Code denved design flow rata GPD Q Replacement _ fl Public or commercial - Describe. Parent material Flood Plain aevation if applicable /1✓ .'r General oomnents and recotmlendations: / System Typo '-LZ- System Elevation /h/ .3 Boning p r~71 Boring / pit Ground surface elev. 1~ Depth to krn4ng factor qq__ _ in. Soil Application Rate Horizon Depth Dornllant Color Redox Description Texture Shucture Consistence Boundary Roots GPD," in. Munsea Ou. Sz Con( Color Gr. Sz. Sh. 'Ef/ffll 'Eff#2 2 ~rl c -II~ lu(= /7'1 °cJ k -y`? ` rT lJ : ~7 L~ Boring X p Bourg ~r ®pit Grouts surface elov,~/'(.l . 7 ft . Depth to limiting factor m, Son Appliration Rale Horizon Depth Dominant Color Redox Description Texture Structure C nsislence kBwidary Roots GPD.."f in. Munsell Qu. Sz. Cont Color Gr_ Sz. Sh- 'Ef'!+1 'Eflp2 JJ.~3 r 'Effluent Al = BOD. > 30 < 220 nxVL and TSS >30 < 150 ' Effluent 92 = SOD, < 30 mg.4 and TSS < 30 m1L CST Name (Please Print) attire CST Number Bird Plumbing, Inc. Shaun Bird ,v 226900 Address Datu Lvaluatron Ccnductcd Telnphnne Number 1432 120th St, New Richmond, WI 540 715-246-4516 Property Owner Parcel ID # - Page _ of Bonrig# U Boring-- a pit Ground surface elev/-. -fl- Depth to limiting factor - n. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPDM in. Munsell Qu. Sz Cont. Cdrx Gr. Sz. Sh. 'EfI#1 'Etf#2 l 0-tZ 0.I, 3z. 5,1 M' rl 41- r~ c~ 12- D Boring # ❑ Boring ❑ pit Ground surface elev. fl. Depth to f miting factor in Sail r>Gralxxr Rate. I lorizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPD#f in. Munson Qu. Sz. Cont. Color Gr. Sz. Sh. 1Etf#1 'Eft#2 Bonny Boring # pit Ground surface elev. h. Depth to limitirg factor in. Soil icalion Rate Honzon •lepth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD#F M. Munsoll Qu. Sz. Cont Color Gr. Sz. Sh. 'EB#1 'E8#2 Effluent #1 = 800,> 30 < 220 mg,L and TSS >30 < 150 mg& ' Effluent #2 = BODE < 30 mg,'- and TSS < 30 m91- 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 al 608-266-1151 or TTY 608-264-8777. tiHD IJ)U IF 11.:t Property Oveler Parcel ID 0 Page _ of g a ❑ Boring 3 ©PIt Ground surface elev/~[? _L R Depth to gmif rg factor s / in. Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPMf in. Munsell Ou. Sz Cont. Color Gr. Sz. Sh. 'EHa1 'Efla2 CL 4 F Boring N ❑ Boring ❑ Pit Ground surface elev It, Depth to Iirr ti factor in. Solt xatron Rate Horizon Depth Dominant Col Redox Description Texture Structure Censistence Boundary Roots GPDM in. Munson Ou Sz, Cont. Color Gr. St. Sh. 'ERQ7 'EfW2 ❑ Borng # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to linitrrg factor in. Sod iretion Rate Hanimn Implh Dominant Color Redox Description. TeAn Structure Consistence Boundary Roots GPMf in. MunseN Ou. St. Cont. Color Gr. Sz. Sh. 'EIfa1 -ERI12 Effluent N1 • BOD, > 30 220 mg4 and TSS >30 1150 mqL ' Effluent 112 - BOD, 130 rg& and TSS 30 ngL 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 608-2648777. ser>1ulotaaaoi I ' '~Q1F } WisconsinDep~ ntolCjtmm.me''_ SOIL EVALUATION REPORT Page -_of_ DMsionof Sato and Bud QtngS r-" ' ,naCfordance with Comm 85, V7is. Adm. Code Attach completa3de_planon paper not less than 8 1f2 x 11 inches in size Plan must Can `S include, but not limited to verlcal and horizontal reference point (8M). direction and Parcel I,D '1 percent slope, scale a dimensions, north arrow, and location and distance to nearest road. 0f0'- 7 - n } Please print all information. Reviewed by Date Personal ioformalicn yew vo son may W used for to Iary eury es (Pnvary tar, s. 15 04 (1) (m)). Properly Owner Property Location / In Govt Lot114 /L, 14 S_e TZ,3 N R E(r)W Property Owners Mail" Address Lot # Block 11 Slbd. Nine or CSMO /11y7 7 py i Slate Zip Code Phone Number ❑ city ❑ Village Town Nearest Road i' I 13A r K-New Re ~ceon Use dentia) r Number of bedrooms Code denied design flow rate b C___ GPO pla~e Public creomnarcial-DesaSbe: Parent material _ Flood Plain elevation if applicable A,/, General commands arid nloornmenclabors: 3 System Tyne~~ System Eleaat+on /Z)/. F7] a (Ol Bodnii ¢I- pit Ground surface elev. ft Depth to limiting factor in. SoB ration Rate D#f Hotmn Depth Dominant Color Redox Description Texture Sbuckne Consistence Boundary Roots E-2-p in. Munsee Ou. Sz. cant. Color Gr. Sz. Sh. •Eff#2 Bork g # ❑ /1 ®PlnnB Ground surface elev~~~J R. Depth to limiting factor Sell irafion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIff in. Munsetl Ou Sz. Cont. Color Gr. Sz. SR 'Eff#1 'EM _ f r .r ,r G 3D ~ ~ ihl~ . r, ~ `I /✓-70 7,s Sr Effluent #1 = BOD. > 30 < 220 mryt and TSS >30 < 150 ' Effluent #2 = BOD. 30 mg& and TSS < 30 myL CST Name (Please Print) ature CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Dale Evaluation Conducted Telephone Number 1432 120th St, New Richmond. WI 5401,;i, / y-/2 715-246-4516 I Soil Test Plot Plan Project Name Karl Crabtree Sl1an Bird Address P.O. Box 146 i, i Roberts Wi 54023 I CSTM #226900 Lot 3 Subdivision Date 6/15/18 S W 1/4 N W 1/4S 5 T 28 N/ 18 W Township Kinnickinnic ❑ Boring Q Well Pl. Property Line County ST. CROIX BN1 or VRP Assume Elevation 100 ft. Top of survey iron System Elevation 101.3 *HRpSameasBenchmark Scale = 1/4" = 10' cry RD SS 2 Acre Lot Property Line 100.5' B-3 2% Slope 101.5' B-1 ❑ B-2 B.M.' 444' Property Line