Loading...
HomeMy WebLinkAbout026-1292-30-000 Wisconsin De pa ommerce ? County: ; ' PRIVATE SEWAGE SYSTEM St. Croix Safety and Buildin Sanitary Permit No: INSPECTION REPORT 463318 0 GENERAL INFORMATION (ATTACH TO PERMIT) 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 X Township Parcel Tax No: Lamkin, Hans & Melinda I Richmond, Town of CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: 21. 3 rA ' G 5 1 15.30.18. TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic J ! Benchmark /a� I C IT. 3 Dosing ` Alt. BM 3 -75 J6 AOFa*O rr Bldg. Sewer ( . Zb 4q . Cr 5 Holding St/Ht Inlet 7.15 1 7 1 40 ` TANK SETBACK INFORMATION St/Ht Outlet � TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic 5 4 1 1 ( / � ^ Dt Bottom f z , 9 1Z. 4 4 S Dosing 5 � r � / Header /Man. ` Aeration Dist. Pipe Holding Bot. System Final Grade PUMP /SIPHON INFORMATION ✓m Manufacturer GPM Dema St Cover �� , 3 -7S t Model Number ) L 3 A "[ �fov~���s TDH Lift_ -7 Frictiio L s System Head TD t Lt . ` Forcemain Length i Dia. it Dist. to Well SOIL ABSORPTION SYSTEM BED /TRENCH Width Length No. Of Trenc{s PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS f _ jiz SETBACK SYSTEM TO P/L JBLDG IWELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System .7 -7-75 d 7 Zoa UNIT Model Number: M86 DISTRIBUTION SYSTEM ^j Header /Manifold f Distribution / 1 ri I I x Hole Size ` I t x Hole Spacing I Vent to Air I ahve�� I Pipe(s) 1 � C It 17, 3 r �b / a..., r, 1 Lengt Dia Length 1 is Spacing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over I Depth Over j xx Depth of xx Seeded /Sodd xx Mulched Bed/Trench Center A r Bed /Trench Edges ` Topsoil 1 No No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1:__,, / 2 / b5 Inspection #2: / / Location: 1566 127th Str et New Richmond, WI 54017 (NE 1/4 SE 1/4 15 T30N R18W) _C herry Kno(Iq 2nd Addition Lot Parce No: 15.30.18. 1.) Alt BM Description = Goy G �o ; r y �4Gl�5 � V 11 - � I 2.) Bldg sewer length = P C - amount of cover = 55 Plan revision Required? Yes to Use other side for additional information. Date lnsepct s Signal e Cent. No. SBD -6710 (R.3/97) Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 St. Croix Nvi sconsin Madison, WI 53707 - t a Number (to be filled in by Co.) Department of Commerce (608)266- 1 14b3 Sanitary Permit Application Plan` D. Number / 1107775 ='TY*MJS. /D?f In accord with Comm 83.2 1, Wis. Actin. Code, information y ou de Personal ' y P�e� Add s (if different than mailing address) may be used for secondary purposes Privacy Law, s 15.04(1)(m) L Application Information - Please Print All Information 2 -7� Property Owner's Name Parcel # Pendin Lot # Block # 30 Na Hans & M elissa Laml in Property Owner's Mailing Address Property Location NE '' /a, SE '/4, Section _15 City, State Zip Code Phone Number 30 N; R 18 W Hudson, WI 54016 ( ) IL Type of Building (check all that apply) ❑ 1 or 2 Family Dwelling - Number of Bedrooms 4 Subdivision Name nd CSM Number Cherry Knolls 2 Addition ❑ Public/Commerciai - Describe Use ❑ State Owned - Describe Use ❑City_ ❑Village ❑XTownshipof Richmond 11L Type of Permit: (Check only one boa on line A. Complete line B if applicable) A. ❑X New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B • ❑Permit Renewal Permit Revision ❑Change of ❑Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS S stem: Check all that a 1 ❑ Non - Pressurized In- Ground ❑X Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Din Line ❑ Gravel -less Pipe ❑ er (e lain) II V. Dispersal/Treatment Area Information d0 c 0 Design Flow (gpd) Design Soil Application Rate(gpdsf) D,nyersal Area Required (sf) Dispersal Area (sf) System Elevation 600 gpd 1.0 gpd sq. ft. - ASTM C -33 fill 600.00 sq ft 600.00 sq ft EISA 99.50' @a 6" above 99.00' contour VL Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks septic - Holding Tank 1,250 - 1,250 1 Wieser Concrete Combo. X Aerobic Treatment Unit Dosing Chamber 750 750 1 1 Wieser Concrete Combo. X VIL Responsibility Statement - I, md.,,iV%eV. responstblHty for installation o f the POWTS shown on the attached plans. Plumber's Name (Print) A 's Signature MP/MPRS Number Business Phone Number Joe Stang MP #223475 (715) 684 -5166 Plumber's Address (Street, City, Sta Zip Code) P.O. Box 263, Woodville, WI 54028 VIIL C ounty/Department Use Onl Approved I Nsappro Sanitary Permit Fee (includes Date Issued Issuing Agent Signature (No Stamps) Groundwater Surc er R or Denial ) • 1"N � \ ./ i IX. Conditions o pprov SYSTEM OWNER: 1 Septic tank, effluent filter and dispersal cell must all be serviced / maintained as per management plan provided by plumber. a 4_ 2. All setback requirements must be maintained �� 1 as per applicable code /ordinances. Attach complete plans (to the County only) for the system on paper not less than 812 z 11 inches In size • /ccQ- �lp�ao. s�aXe Cro;X Cusco, -" rJ�nes, Ace 3o 11 Uk i4no! /s SRC -A Soo.w ' Propos � 1�7� S�rec� re s, decce l k- � SrOf.�v.C. bk. %d.-�q �uo•�'dJ' e`�q 5eA.~ 6obt,:;-7 V 45,01/ C= or».n. 82,30 itpr• 'q�0 ( � - *ES�.na� <o!� /ewaE i� ��• �� Pro cs<.dMOC..nda� /.8.y3;r/!s!83' ex�3E: r�.de- ios!o. � �P• � � bu;/dg Sew rr {� / x � �; �- •' \ 1&44 y9.35r�/s /3s = 96, � ���� � - - � � or.'�C;•cts s�acedaf s.53' y�°� a• e, P qLf dq O W i o \ s 81 a3 �It�•f�M.: To�of'r+t.d - /off :T' o�lo� SEE CORRESPONDENCE 5 , ' , _ Safety and Buildings 4003 N KINNEY COULEE RD commerce .Wl.gov LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 s c o n s i n y www.corhmerce.wi.gov /sb/ e www.wisconsin.gov D partment of Commerce Jim Doyle, Governor Mary P. Burke, Secretary February 24, 2005 CUST ID No.223475 ATTN: POWTS Inspector JOE STANG ZONING OFFICE . STANG PLUMBING & ELECTRIC ST CROIX COUNTY SPIA PO BOX 263 1101 CARMICHAEL RD WOODVILLE WI 54028 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 02/24/2007 Identification Numbers Transaction ID No. 1112548 SITE: Site ID No. 694787 Please refer to both identification numbers Hans Lamkin (Croix Custom Homes ° > 127TH Street above, in all correspondence with the agency. Town of Richmond St Croix County NE 1/4, SE 1/4, S15, T3 ON, R18W Lot: 30, Subdivision: Cherry Knoll 1 ST Addition FOR: Description: Four Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 1004242 Revision; Maintenance required; 600 GPD Flow rate; 90 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 /01); Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. 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, Condit stats. A PP R The following conditions shall be met during construction or installation and prior to occupancy or use: DEP RTMENT+ Approval Requirements: ,pfV1 !� OF e FTI • This system is to be constructed and located in accordance with the enclosed approved plans and with the SEE CORRE "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD - 10691 -P (N.01 /01) and the SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST (0 1/8 1) The provided elevation for benchmark number 1 is not consistent with the contours and land position. Therefore is assumed to be in error. • Per manual cited above, limited activities b t d ac sties are allowed in the area 15 feet down slope of the are a. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. 3OE STANG Page 2 2/24/2005 • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat • Comm 83.22(7) 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. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. 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 Safety & Buildings 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 to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 75.00 Fee Received $ 75.00 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer II , Integrated Services WiSMART code: 7633 (608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday cbratz@commerce.state.wi.us cc: James K Thompson, A.C.E. Soil and Site Evaluations (Plans Mailed To) Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 S FEB 2 9 z i q �c � MOUND AND PRESSURE DISTRIBUTION COMPONENT DES� B OOS Residential Application INDEX AND TITLE PAGE Project Name: Hans Lamkin 4 bedroom residential mound Owner's Name: Hans Lamkin Owner's Address: 707 Grandview Dr. Hudson, WI. 54016 Parcel Address: Pending Legal Description: NE1 /4 SE1 /4, Sec. 15, T.30N., R. 18 W. Township: Richmond County: St.Croix Subdivision Name: Cherry Knolls 1st Addition Lot Number: 30 Block Number: Parcel I.D. Number. Pending Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank ��ltlrj Page 5 System maintenance specifications Page 6 Management and contingency plan E D Page 7 Pump curve and specifications Yq DMMERCE Page 8 Site Plan a GS Page 9 Soil Evaluation Report -;PONDENCE`, Designer: Joe Stang License Number: 223475 Date: 02/17/05 Phone Number: (715) 684 -5166 Signature: Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB- 10691 -P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) Version 4.01 (R. 09/04) Page 1 of 9 i I Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) R Residential or Commercial Design Note: Sand fill (D) calculations assume a 400.00 Estimated Wastewater Flow (gpd) Table 83 -44-3 in -situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150 %) coliform of - 36 inches. 600.00 Design Flow (gpd) 6.00 Site Slope ( %) 99.00 Contour Line Elevation (ft) 90.00 Depth to Limiting Factor (in) 0.60 In -situ Soil Application Rate (gpd /ft Distribution Cell Information 100.001 Dispersal Cell Length Along Contour (ft) = 6.00 Cell Width (ft) 1.001 Dispersal Cell Design Loading Rate (gpd /ft 1 I Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? Enter Y or N (c or e) c Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation (ft) 4 Number of Laterals of the highest point. 0.156 Orifice Diameter (in) (e.g. 0.25) 2.50 Estimated Orifice Spacing (ft) = 7.50 ft /orifice 2.00 Forcemain Diameter (in) 40.00 Forcemain Length (ft) Does the forcemain drain back? CYY 89.00 Pump Tank Elevation (ft) Enter Y or N 4.55 System Head (ft) x 1.3 6.52 Forcemain Drainback (gal) 10.00 Vertical Lift (ft) 90.53 5x Void Volume (gal) 1.51 Friction Loss (ft) 97.06 Minimum Dose Volume (gal) 16.06 Total Dynamic Head (ft) 43.08 System Demand (gpm) S Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 x 1.00 1.50 x x 1.25 x 2.00 x 1.50 x x 3.00 2.00 x 3.00 x Gallons /Inch Calculator (optional) Treatment Tank Information 773.76 Total Tank Capacity (gal) 1250.001 Septic Tank Capacity (gal) 1 48.00 Total Working Liquid Depth (in) Wieser Concrete Manufacturer 16.12 gal /in (enter result in cell B49) Dose Tank Information Effl Fi lter Information 773.76 Dose Tank Capacity (gal) JZabel Filter Manufacturer 16.12 Dose Tank Volume (gal /in) JA1 0o Filter Model Number Wieser Concrete Manufacturer Project: Hans Lamkin 4 bedroom residential mound Page 2 of 9 Center Connection Lateral Layout Daigram Force main connection via tee or cross to manifold at any point. Laterals are identical P S �k •= Turn -up wtball whre or I x---.>1+xf2 I xf2+f Laterals & force main of PVC Sob 40 cleanoutplug 11 per COMM Table 54.305 Holes drilled on the bottom of the lateral. Number of Laterals 4 Orifice Diameter 0.156 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.53 ft Lateral Length (P) 49.34 ft Orifices per Lateral 20 Lateral Spacing (S) 3.00 ft Orifice Density 7.50 ft /orifice Lateral Flow Rate 10.77 gpm Manifold Length 3.00 ft System Flow Rate 43.08 gpm Manifold Diameter 1.50 in Total Dynamic Head 16.06 ft Forcemain Velocity 4.40 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and ---► Comm 16.28 WAC Disconnect 4 in. min. Tank component is properly vented F— Alternate outlet location Forcemain diameter Wieser Concrete Manufacturer_ 2 in. Capacityl 773.76 Gallons Volume 1 16.12 gal /inch A Weep hole or anti - Dimension Inches Gallons B siphon device A 27.98 451.02 B 2.00 32.24 C Pump off elevation (ft) C 6.02 97.06 90.00 D 12.00 193.44 D Total 1 48.001 773.76 Dose tank elevation (ft) 3" Bedding un er tank. 89.00 Alarm Manuafacturer LevelA_ rm Alarm Model Number I DLV - -.- -�� Pump Manufacturer JGoulds Pump Model Number 13887 EP05 — �— Pump Must Deliver 43.08 gpm at 16.06 ft TDH Project: Hans Lamkin 4 bedroom residential mound Page 4 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name Joe Stang Phone 715 -684 -5166 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 1250 gal Maximum TSS 150 mg /L Soil Absorption Component Size 600 ft Maximum FOG 30 mg /L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu /100 mL Service Freauencv Septic and Pump Tank Inspect and /or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 ears Pump and Controls Test once every 3 years Alarm Should test month) Pressure System Laterals should be flushed and pressure tested every 1.5 years Mound Inspect for ponding and seepage once every 3 years Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, 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 Tum-up Detail Finished • ............. ............... Grade \ ' 6 -8" Diameter Lawn �/- Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution � Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Hans Lamkin 4 bedroom residential mound Page 5 of 9 I Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code G enera l This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD- 10691 -P (N.01/01) and SSWMP Publication 9.6 (01/81)] 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 Comm 83.33, 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 fitter 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 finer when removed from its enclosure. If the fitter 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 BOD 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 10 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. Continuencv 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. I Project: Hans Lamkin 4 bedroom residential mound Page 6 of 9 MGOULDS PUMP'S Submersible Effluent Pump 3871 EPO4 EP05 APPLICATIONS • Fully submerged in high ■ EP05 Impeller: Thermoplas- ■ Bearings: Upper and lower grade turbine oil for tic enclosed design for heavy duty ball bearing Specifically designed for the lubrication and efficient improved performance. construction. following uses: • Effluent systems heat transfer. ■ Casing and Base: Rugged • Homes Available for automatic and thermoplastic design provides AGENCY LISTING superior strength and corrosion • Farms manual operation. Auto- resistance. Canadian standards Association • Heavy duty sump matic models include SP • Water transfer Mechanical Float Switch ■ Motor Housing: Cast iron • Dewatering assembled and preset at the for efficient heat transfer Goulds Pumps is ISO 9001 Registered. factory. strength, and durability. SPECIFICATIONS ■ Motor Cover: Thermoplastic FEATURES cover with integral handle and • Solids handling capability: float switch attachment points. /a" maximum. ■ EPO4 Impeller: Thermoplas- 0 Power Cable: Severe duty • Capacities. up to 60 GPM. tic Semi -open design with rated oil and water resistant. • Total heads: up to 31 feet. pump out vanes for mechanical • Discharge size: 1' /z" NPT, seal protection. • Mechanical seal: carbon - rotary/ceramic- stationary, BUNA -N elastomers. • Temperature: 104'F (40 °C) continuous 140 - 'F (60'C) Intermittent. METERS FEET • Fasteners: 300 series o -- – + — stainless steel. 9 30 �E— s GPM '' I • Capable of running dry without damage to s 2.snr - - -- components. 25 °a 7 Motor: _ • EPO4 Single phase: 0.4 HP, U 6 20 115 or 230 V, 60 Hz, 1550 /6 a _ RPM, built in overload with • >_ 0 15 automatic reset. • EP05 Single phase: 0.5 HP, o 4 EPOS 115 V or 230V, 60 Hz, 1550 ~ 3 10 RPM, built in overload with EP a automatic reset. 2 • Power cord: 10 foot 5 standard length, 16/3 1 SJTOW with three prong grounding plug. Optional 20 ° ° o to zo 30 40 so GPM foot length, 16/3 SJTW with three prong grounding plug (standard on EP05). o z 4 6 s i tz m' /n CAPACITY V3 ,0,y , 4 �Ct �, y Gou lds Pumps i 2002 Goulds Pumps ITT Industries Effectwe September, 2002 7 S 83871 OT • /eee.�c�( s�.#� " 0 j_�o; x C&kstDrY% rkmas /,o6 30 Ik,Qold. to P /aE0 C, k /Cno/ /S� S,cC.is' 1.27 Proposed bGdra»n (eSrdence L �. lOro poS�d �opo i f. w4 V kwv to be.h 5"/a&�W , 4S SO Co>» M. 8 7 30 � • / / �s,�• ,acv * 6.5&mal6tolsleWaE f/3jr / /s!83' ez s E:� rode = g oy o' ap P x /F.d'dis,oG/'Sa/ce /% FS 3C4/ bu. %din s,QCed aL` 1.53' dq o w / b / G2 9�' A s . �_ ar as toe s. Elegy 98 3 SEE CORRESPONDENCE 5 . A • Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis, Adm. Code County St. Croix Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. Pending percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location Steve Derrick Govt. Lot NE 1/4 SE 1/4 S 15 T 30 N R 1 8 E Property Owner's Mailing Address Lot # Block # Su bd. Name or CSM# 1438 County Rd G 30 1 - Cherry Knolls 1st Addition City State Zip Code Phone Number aity rIVillage I w ITown Nearest Road New Richmond I WI 1 54017 ( ) County Rd G 1 R-ichmond 0 New Construction UseE] Residential / Number of bedrooms 3 to 4 Code derived design flow rate 450 to 600 GPD Replacement n Public or commercial - Describe: Parent material loess over glacial outwash Flood Plain elevation if applicable NA ft. General comments This site is suitable for a conventional below grade system, recommending that a pressurized system with equal and recommendations: distribution be used so as to distribute the effluent over the entire available area due to the massive(Om) fsl. This is not a code requirement, but rather a suggestion. Boring Boring g El Pit Ground surface elev. 99.05 ft. Depth to limiting factor >90 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2 1 0 -10 I0yr3 /2 sil 2msbk dsh as 2f .6 .8 2 10 -14 10 r4/4 sil 2msbk dsh cw 1f .6 .8 3 14 -52 7.5yr4/4 fsl Om dh cw - .2 • 4 52 -90 7.5yr4/4 vfsl Om dh - - .2 • F 2 Boring # Boring 98.45 >90 Q pit Ground surface elev. ft. Depth to limiting factor in. Soil Applicabon 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 -7 1Oyr3 /2 sil 2msbk dsh as 2f .6 .8 2 7-12 10 r4/4 sil 2msbk dsh cam' If .6 .8 3 12 -90 7.5yr4/4 vfsl Om dh - _ •2 .5 Effluent #1 = BOD > 30 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature CST Number Thomas C Nelson 227387 Address Date Evaluation Conducted Telephone Number 1432 120th Street, New Richmond, WI 10/21/04 715- 246 -2454 Property Owner Derrick Parcel ID # Pending Page 2 of 3 F71 Bonn # Boring Boring Pit Ground surface elev. 98.05 ft. Depth to limiting factor >90 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDKf in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2 1 0 -9 1Oyr3/2 - sil 2msbk dsh as 2f .6 .8 2 9 -22 10 r4/4 - sil 2msbk dsh cw if .6 .8 3 22-46 7.5yr4/4 - vfsl Om dh cw _ .2 .5 4 46 -90 7.5yr5/4 - is Osg ds - - .7 1.6 F-1 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 = BOD > 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. S1313- 8330'rest (R.07 100) Cherry Knolls Lot 30 aml Top of im.pipe 100.00' BM2 Top of iron pipe 98.30' B1 97.90' !32100.68' B3 95.70' B4 97.27' N04 !pQ i $ i6 r{ v qG , 94 Y 45� J5 �a Thomas Nelson +� 227387 n a o s 7 0 c ' \ e \ T � .. -5* _ C — ƒ / E 0 $ Q • C : ƒ ) \ 3 m V IOL o \ (�� � m�/ \ go c � CP $ > ( % 0 ) i o $. \ �«\ -4 0 j3 ) n r ■ m o c . a m� § � 000 \'' 5 _ § % ` ° n £ : CO) co) co _ =r C \ 7 a 3 ] 8 ° £ m ° , L \ R - R > > 0 2 k =�m0 § / \ \ \<. % �, %[ / } 7 / /\ 2 CD CL E =moo \ i7E 5D %{/ E P2 } / k z ® — ƒ?! CD §° / k / E % � - (} q z } m � ; . 00 > : o } ; 3 ;v § aƒ�f -n {EE® § . /�/} e EEm 5 22ƒ # m�0 1.11 CD $ gm0 C $ FT GkD . Q CD ) CL N / 22 2 2 § }7 J ° m ■ _ ! \ / § f / § o � E t Safety and Build' vision County 201 W. Washington Av 71 St. Croix Madison, WI 5 7 Permit Number (to be filled in by Co.) isconsin (608) 26 6_ Department of Commerce 4b 3 3 StatA Plan I.D. Number 1 Sanitary Permit Applicati 1101 -- -t k3S - ID : - & .: �14" In accord with Comm 83.21, Wis. Adm. Code, personal information u pro,�de: i7 } Pro) ar may be used for secondary purposes Privacy Law, x15.04(1 ) # 1 Z . L Application Information — Please Print All Information G': NWG 0r ut Property Owner's Name Parcel # Pending F Block # Na Hans & Melissa Lamkin Property Owner's Mailing Address Property Location NE '/e SE '/4, Section 15. City, State Zip Code Phone Number 30 N; R 18 W Hudson, Wl 54016 ( ) IL Type of Building (check all that apply) ❑ 1 or 2 Family Dwelling — Number of Bedrooms 3 Subdivisio me nd CSM Number Cher olls 2 Addition ❑ Public/ 'al — Describe Use ❑ State Owned _ Use ity ❑ Village ❑XTownship of Richmond III. Type of Permit: ( only one boa on line A. Complete line B if applicable) A. ❑X New System ❑ R enrt System ❑ Treatment/Holding Tank Replacement ❑ Other Modificati to Existing System B. ❑ Permit Renewal ❑ Permit Re on ❑ Change of ❑ Permit T er to New List Previous Permit N d Date Issued Before Expiration Plumber Owner IV. Type of POWTS System: ACheck all th l _ •o ❑ Non — Pressurized In- Ground XX Mound > 24 in. itable soil Mo 24 in. of suitable soil At ❑ Single Ater ❑ Constructed Wetland ❑ Pressurized In- Ground En Hold Tank 11 P. ter ❑ Trea R fitter ❑ Recirculating Synthetic Media Fitter El Leaching chamber p Lin Gravel -less El explain) V. Dispersal/Treatment Area Information: — Design Flow (gpd) Design Soil Application Rate(gpdst) Area Required ( Dispersal Are WEIS A 450 gpd 1.0 gpd sq. ft. — ASTM C -33 fill 50.00 sq ft 0 s 9 0' VL Tank Info Capacity m Total N Manufacturer Site I Fi Gallons Gallons of New Existing Tanks Tanks N&T o- Septic or Holding Tank 1,000 _ 1,000 1 Wie Concrete Combo. Aerobic Treatment Unit Dosmg chamber 650 6 1 Wieser Co ete Combo. X VII. Responsibility Statement - I, eisigned, a responsibility for hrstallatio the POWTS shown on the attached plans. Plumber's Name (Print) PI Signature MP/MPRS Number Business Phone Number Joe Stang MP #223475 (715) 684 -5166 Phmiber's Address (Street, City, St4 Code) P.O. Box 263, WoodvillejWl 54028 VIII. County/Department RVe Onl 1K Approved 11 Sanitary Permit Fee (includes Date Issu Lssu' Agenrt Signature (No Stamps) Groundw urc e Fes) ben R for Denial 5 IX. Conditions o prove l SYST WNER: 1 Septic tank, effluent fiilter and dispersal cell must all be serviced / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code/ordinances- Attach complete plans (to the County only) for the system on paper not leas than 81/2 :11 inches in size e AL r P P ,� , kale. / -y o Crov ke 30 Is • 1 4 6 d. 6a /�lofoF C-6, y /C,no //s soo.w Pro,00s<..d ; 36cd�cwr, � �a�ag� r'e5 L • L �oroPoscd �'op � e bK.Yar.•aq �� Wt lei 6o be,rls"A%62 r as /Ow Corn M. 8� 30 Jai :sod Moan d R/, /Op. ex.� E; rnde = ioy o o P a r uys ol'SeWsa./ee Uip � r i � � or.'�C;•us ctd a.t s.53: S� I `� S 6�rhx r t t¢/ o° P o rp 6q b W / 63 l�•�i : Top o�•a,� /off oP A6 5 6ag�• 5 1cil- =9g ,30 Sfr� �. A ssume c� e �v = iao co" 8 of 9 Safety and Buildings 4003 N KINNEY COULEE RD commerce .Wl.gov LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 sco s i n www.commerce.wi.gov /sb/ Department of Commerce www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary February 10, 2005 CUST ID No.223475 ATTN: POWTS Inspector JOE STANG ZONING OFFICE STANG PLUMBING & ELECTRIC ST CROIX COUNTY SPIA PO BOX 263 1 1101 CARMICHAEL RD WOODVILLE WI 54028 HUDSON WI 54016 ONDITIONAL APPROVAL P N APPROVAL EXPIRES: 02/10/2007 IdglFification Numbers Transactio D No. 1107775 SITE: Site ID 694787 Croix tom Homes Pleas2ffer to both identificat' numbers, 127TH Str abov n all correspondence w► on the agency. Town of Ric nd St Croix County NEI /4, SE1 /4, S,IS, ON, R18W Lot: 30, Subdivision: rry Knoll I& Addition FOR: Description: Three Bedroo ound System Object Type: POWTS Comp nt Manual Regulated Obje D No.: 1004242 Maintenance required; 450 GP low rate; 90 in Soil min' um depth to limit' fa r f ori-' g e; System(s): Mound Component Manual - Ver n 2.0, SBD- 10691 -P .01/01 Biofi The submittal described above has been re wed for confo ance w a ble Wisconsin s ative Cod and Wisconsin Statutes. The submittal has b CONDI NALLY PRO D. The ow fined in chapter 101.01(10), Wisconsin Statutes, is res Bible f compliance wit all od req ' ts. No person may engage in or work at plumbing in to unless licensed to do so artment per 45.0, stats.' The following conditions shall be met during cons cti or installation and prior to o pancy or DEPARTMENTi /O�AIN O Approval Requirements: ( D F SEE CORRE; • This system is to ' constructed and loc d in accordance 'th the enclosed approved plans and with the "Mound Component Manual for Priva nsite Wastewater tems VERSION 2.0" SBD - 10691 -P (N.01 /O1) and the "Pressure Distribution Comp ent Manual for Private ite Wastewater Treatment Systems VERSION 2.0" SBD - 10706 -P (N.01/01). • Per manual cited',above, limited tivities are allowed in the area 15 feet wn slope of the component area. Soil compaction, lexcavation, v icular traffic and other similar activities t impact the treatment and dispersal are prohibited. • The well must be';a mini of 25 feet from any POWTS tank, and a minimum o feet from the absorption area. chs. NR 811 & 81 • A Sanitary Permit t be obtained from the county where this project is located in accorda with the requirements of S . 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat 6� u T ° t Jr < 4 JOE STANG Page 2 2/10/2005 I • Comm 83.22(7' A copy of the approved plans, specifications and this letter shall be on -site during construction and open to ins ection by authorized representatives of the De artment which may include local inspectors. Owner Responsibil ties: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(l). I • Comm 83.52(2 ) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 TI e owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this appr val the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise mak ng them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the desi ner 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 to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Charles L Bratz J POWTS Reviewer II, Integrated Services WiSMART code: 7633 (608)789 -7893 , 7:4 am - 4:30 pm Monday - Friday cbratz@conimerce.stite.wi.us cc: James K Thompson, A.C.E. Soil and Site Evaluations (Plans Mailed To) Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 I Sg l o MOUND AND PRESSURE DISTRIBUTION COMPONENT DESI 10B� Residential Application INDEX AND TITLE PAGE Project Name: Croix Custom Homes 3 bedroom residential mound Owner's Name: Croix Custom Homes Owner's Address: 707 Grandview Dr. Hudson, WI. 54016 Parcel Address: Legal Description: NE1 /4 SE1 /4, Sec. 15, T.30N., R. 18 W. Township: Richmond County: St.Croix nd Subdivision Name: Cherry Knolls U" Addition Lot Number: 30 Block Number: Parcel I.D. Number: Pending Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications �y Page 6 Management and contingency plan" Page 7 Pump curve and specifications F Page 8 Site Plan r C ��cF Page 9 Soil Evaluation Report er �NGS pO Designer: Joe Stang License Number: 223475 Date: 01/29/05 Phone Number: (71 5) 684 -5166 Signature: Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB- 10691 -P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) Version 4.01 (R. 09/04) Pagel of 9 Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) R Residential or Commercial Design Note: Sand fill (D) calculations assume a 300.00 Estimated Wastewater Flow (gpd) Table 83-44 -3 in -situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150 %) coliform of <= 36 inches. 450.00 Design Flow (gpd) 6.00 Site Slope ( %) 99.00 Contour Line Elevation (ft) 90.00 Depth to Limiting Factor (in) 0.601 In -situ Soil Application Rate (gpd /ft Distribution Cell Information 9_0 Dispersal Cell Length Along Contour (ft) = I 5.00 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 F_ Pressure Disribution Information network? Enter Y or N (c or e) c I Center or End Manifold 2.50 Lateral Spacing (ft) If N above, enter the elevation (ft) 4 Number of Laterals of the highest point. 0. 156 Orifice Diameter (in) (e.g. 0.25) 2.50 Estimated Orifice Spacing (ft) = 6.25 ft /orifice 2.00 Forcemain Diameter (in) _ 40 .00 Forcemain Length (ft) Does the forcemain drain back? J Y _ 89.001 Pump Tank Elevation (ft) Enter Y or N 4.55 O Head System ft x 1.3 6.52 Forcemain Drainback (gal) Y 10.00 Vertical Lift (ft) 81.25 5x Void Volume (gal) 1.25 Friction Loss (ft) 87.77 Minimum Dose Volume (gal) 15.80 Total Dynamic Head (ft) 38.77 System Demand (gpm) Lateral Dia Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 x _ _ _. -. 1.00 1.50 x x 1.25 x -- -j 2.00 - -- -- -- -� 1.50 x x - ! 3.00 2.00 x 3.00 x Gallon / Inch Calculator (optional) Treatment Tank Information _ 603.36 Total Tank Capacity (gal) 10 00.00 Septic Tank Capacity (gal) _ 36.00 Total Working Liquid Depth (in) Wie Concre ` j Manufacturer 16.76 gal /in (enter result in cell B49) Do Tank Information E fflue n t t Filter Infor mation 646.00 Dose Tank Capacity (gal) 'Zabel 'Filter Manufacturer _17. D ose Tank Volume (gal /in) IA100 Filter Model Number Wieser Concrete .__.__ ----- _.- .--- - -_._- Manufacturer Project: Croix Custom Homes 3 bedroom residential mound Page 2 of 9 Mound Plan View ... �• J 1/10B• . Observation Pipe — '�''•{j• s ' : •• ' : •:�5� A �L ''%,: :�ti• :�'!. '• •" m .':;e,.';. Vie,•. • �•��. • r �: I L Mound Component Dimensions A 5.00 ft E 9.60 in H Aft ft K 7.33 ft B 90.00 ft F 9.50 in z ft L 104.65 ft D 6.00 in G 0.50 ft J ft W 17.21 450.00 (ft Dispersal Cell Area 1138.72 (ft) Basal Area Available 5.00 (gpd /ft) Linear Loading Rate 9.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 101.29 (ft) —� ,f:: ...,.. G H 1 ............. F .' (ft) Lateral 99.50 (ft) —► — ; ::::::::::::: : Invert ... Dispersal Cell Dispersal Cell :� Elevation E ' • ' -- -G ' •,•• •i, ti:'vti•,� -'•- y -� � yr, y v'`,{` : •.� \.��`•.[ �lM1`J ,�••_: 'ti'`-'" ,'.t' K`t •K.•{ {• +•.,. "c � {{ { l i w _ {. v' `.Ci3t,,,.'3• i ✓k.: � :'�.r ) r• ., l y '�•• 4 ti w .t .{ `,. .� .. , _:.�:{ KKK ,_•,,.., f • �l. _ ..: •t_, i 99.00 (ft) Contour Elevation 6.0 %Site Slope Geotextile Fabric Cover Shading Key _a', Dispersal Cell See lateral details on [] ® Topsoil Cap a 1.5 ft : ; % • • Page 4 for number, size, © /7- Subsoil Cap �" o �a;.''• ',�... •• •• � and spacing of laterals. �� •• "' • Laterals are equall ASTM C33 Sand z . �.. F ]� Tilled Layer d 0.5 ft Typical Lateral ":::' spaced from the •ti••.••. - 5 distribution cell's ❑5 :•:.:. Aggregate v c . :,••: i. _ A` ° _� centerline in the distribution cell (AxB). Project: Croix Custom Homes 3 bedroom residential mound Page 3 of 9 Center Connection Lateral Layout Daigram Force main connection via tee or cross to manifold at any point. Laterals are identical � P S ,k. •= Turn- upvr'ballvalve or cleanoutplug IE X IExl2 I x12j1 Laterals & force main of PVC Sch40 per COMM Table 84.30 -5 Holes drilled on the bottom of the lateral. Number of Laterals 4 Orifice Diameter 0.156 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.53 ft Lateral Length (P) 44.28 ft Orifices per Lateral 18 Lateral Spacing (S) 2.50 ft Orifice Density 6.25 ft /orifice Lateral Flow Rate 9.69 gpm Manifold Length 2.50 ft System Flow Rate 38.77 gpm Manifold Diameter 1.50 in Total Dynamic Head 15.80 ft Forcemain Velocity 3.96 fUsec Dose Tank Information locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and —♦ Comm 16.28 WAC 4 in. min. Disconnect —F Tank component is properly vented F--- Alternate outlet location Forcemain diameter Wieser Concrete Manufacturer_ 2 in. Capacityl 646.00 Gallons Volume 17.00 9 al /inch A Weep hole or anti - Dimension Inches Gallons B siphon device A 18.84 320.23 C B 2.00 34.00 P� u� e levation (ft) C 5.16 87.77 90.00 D 12.00 204.00 D Total 38.001 646.00 � Dose tank elevation (ft) 3" Bedding un er tank. 89.00 Alarm Manuafacturer LevelArm Alarm Model Number DLV Pump Manufacturer Goulds Pump Model Number 3887 EP05 Pump Must Deliver 38.77 gpm at 15.80 ft TDH Project: Croix Custom Homes 3 bedroom residential mound Page 4 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name Joe Stang Phone 715- 684 -5166 POWTS Regulator's Name St. Croix County Zoning Phone 715 - 386 -4680 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 300 gpd Maximum BOD5 220 mg /L Septic Tank Capacity 1000 gal Maximum TSS 150 mg /L Soil Absorption Component Size 450 ft Maximum FOG 30 mg /L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu /100 mL Service Frequency Septic and Pump Tank Inspect and/or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test month) Pressure System Laterals should be flushed and pressure tested every 1.5 years Moundi Inspect for ponding and seepage once every 3 years Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, 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 Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Croix Custom Homes 3 bedroom residential mound Page 5 of 9 'Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code Genera This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD- 10691 -P (N.01/01) and SSWMP Publication 9.6 (01/81)] 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 Comm 83.33, 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 um (dosing) tank shall be inspected at least once eve 3 ears. All switches alarms and um shall be tested to verify proper P P( 9) P every Y � pumps fY P Pe r operation. If an effluent Titter 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 BOD 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD 30 mg/L TSS, 10 mg/L FOG, and 10 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. Continency 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. Project: Croix Custom Homes 3 bedroom residential mound Page 6 of 9 '�� GOU�LDS PUMPS Submersible Effluent Pump 3871 EPO4 EP05 APPLICATIONS • Fully submerged in high ■ EP05 Impeller: Thermoplas- ■ Bearings: Upper and lower grade turbine oil for tic enclosed design for heavy duty ball bearing Specifically designed for the lubrication and efficient improved performance. construction. following uses: heat transfer. ■ Casing and Base: Rugged • Effluent systems thermoplastic design provides AGENCY LISTING • Homes Available for automatic and superior strength and corrosion • I $P arms manual operation. Auto- resistance. ' Canadian Standards Association • Heavy duty sump matic models include • �Nater transfer Mechanical Float Switch ■ Motor Housing: Cast iron Goulds Pumps is ISO 9001 Registered • Dewatering assembled and preset at the for efficient heat transfer, factory. strength, and durability. SPECIFICATIONS ■ Motor Cover: Thermoplastic FEATURES cover with integral handle and • Solids handling capability: float switch attachment points. maximum. ■ EPO4 Impeller: Thermoplas ■ Power Cable: Severe duty • Capacities up to 60 GPM. tic Semi -open design with rated oil and water resistant. • Total heads. up to 31 feet. pump out vanes for mechanical • Discharge size: 1 1 12" NPT. seal protection. • Mechanical seal: carbon - rotarylceramic- stationary, BUNA -N elastomers. • Temperature: 104 F l40 continuous 1 40 F (60 C) Intermittent. METERS FEET 10 • Fasteners: 300 series stainless steel. g 30 — ►�f —SGPM • Capable of running dry without damage to 8 zs nr components. 25 7 a Motor: _ • EPO4 Single phase: 0.4 HP, `— 6 20 1 15 or 230 V, 60 Hz, 1550 /S,W Q 5 RPM, built in overload with 0 15 automatic reset. a 4 EPOS • EP05 Single phase: 0.5 HP, o 15 V or 230V, 60 Hz, 1550 ~ 3 10 RPM, built in overload with EPO4 automatic reset. 2 • Power cord. 10 foot 5 standard length, 16/3 1 SJTOW with three prong grounding plug. Optional 20 ° ° 0 10 20 30 40 50 GPM foot length, 16/3 SJTW with three prong grounding plug (standard on EP05). 0 2 4 6 s 10 12 rw1h CAPACITY 39 77pti. /In w.'7 —"LW% r'aA Go P u m ps ;002 Goulds Pumps ITT ndustries J '•­ T — September, 2002 -?e • So!/ ¢ daJu�:an P� N cgle vo C,roi ti C�storr. r rues Ao6 30 /S` to p /a&O Soo.c� proposed 36cdreom i � °�48e res4ence L ;„ (�roP °P°Sed I ✓ to v Wt der Zro be.n su./aE�d i as / 04 , Corn.n. 82. 30 ��opos�d'"OU4 d ez'��� rade= �D /' ap i c�y5y9D 'al,'s / %GoccrCy� W. bu: /d: �� Sec.ucr � � / 'y � � � � ` or. �•u,S S�gced a'E 2.53' Z, 0 0 O r i .W 42. O/. 7q' S .zs!a BI 63 I : To o f'�►t, of - /off a /o � i SFa,f�. Elegy!- = 98 30 U 5 • Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County St. Croix Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. Pending percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location Steve Derrick Govt. Lot NE 1/4 SE 1/4 S 15 T 30 N R 1 8 E Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1438 County Rd G 30 - Cherry Knolls 1st Addition City State Zip Code Phone Number ity r — 1 Village ■Town Nearest Road New Richmond I WI 1 54017 ( 1 Rirhmarld I County Rd G New Construction Usee Residential / Number of bedrooms 3 to 4 Code derived design flow rate 450 to 600 GpD Replacement ❑ Public or commercial - Describe: Parent material loess over glacial outwash Flood Plain elevation if applicable ft. General comments This site is suitable for a conventional below grade system, recommending that a pressurized system with equal and recommendations: distribution be used so as to distribute the effluent over the entire available area due to the massive(Om) fsl. This is not a code requirement, but rather a suggestion. 1 Boring # 11 Boring F7 >90 r7- Pit Ground surface elev. 99.05 ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD in. Munsell Qu. Sz. Cont. Color Gr, Sz. Sh. 'Eff#1 I 'Eff#2 1 0 -10 10yr3 /2 sil 2msbk dsh as 2f .6 .8 2 10 -14 10 r4/4 sil 2msbk dsh cµ , I f .6 .8 3 14 -52 7.5yr4/4 fsI Om dh cw .2 5 4 52 -90 7.5yr4/4 vfsl Om dh .2 5 Boring ❑ Boring # 98.45 >90 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 1 0 -7 1Oyr3/2 sil 2msbk dsh as 2f .6 .8 2 7 -12 10 r4/4 sil 2msbk dsh cw If .6 .8 3 12-90 7.5yr4/4 vfsl Om dh .2 .5 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg /L ` Effluent #2 = BOD < 30 mg /L and TSS < 30 mg/L CST Name (Please Print) Signature CST Number Thomas C Nelson 227387 Address Date Evaluation Conducted Telephone Number 1432 120th Street, New Richmond, WI 10/21/04 715- 246 -2454 f . f Property Owner Derrick _ Parcel ID # Pending Page 2 of 3 Boring a goring # ❑ Pit Ground surface elev. 98.05 >90 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 1 0 -9 1Oyr3 /2 - sill 2msbk dsh as 2f .6 .8 2 9 -22 10 r4/4 - sil 2msbk dsh cw 1 f .6 .8 3 22 -46 7.5yr4/4 - vfsl Om dh cW .2 .5 4 46 -90 7.5yr5/4 - Is Osg ds - .7 1.6 ❑ Boring # ❑ Boring Pit Ground surface elev. ft. Depth to limiting factor in. _sFo — iiApoication 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. 17 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 I 'Eff#2 Effluent #1 = BOD > 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. M- 8330Test (R.07 /00) Cherry Knolls Scale 1" Lot 3o' SM1 Top of iron.pipe 100.00' BM2 Top of iron pipe 98.30' Bt 97.90' 82 100.65' B3 95.70' N 0 1 S4 87.27' I 1 00 �w10 S tops 9G P t9,f � ' I I t 5 Vj Thomas Nelson e . 227537 DECEIVED Wisconsin Department of Commerce k 1 E LUATION REPORT p age 1 o f 3 Division of Safety and Buildings iria6l(i&(v�tl4rr�im 85, is. Adm. Code Attach complete site plan on paper at low ON NG OFFICE County St. Croix a s - k a tg'E � include, but not limited to: vertical and horizontal reference ppih4 Parcel I.D. Pending percent slope, scale or dimensions, north arrow, and locatio nd ad. Please print all information. j e#wed by Date Personal information you provide may be used for secondary purposes (Privacy law, s. 15.04 (1) (m)). r 1 4 Property Owner Property Location Steve Derrick Govt, Lot NE 1/4 SE 1/4 S 15 T 30 N R 18 � ® ) Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1438 County Rd G 30 - I Cherry Knolls 1 st Addition City State Zip Code Phone Number D4 0 Village ■ Town Nearest Road New Richmond WI 1 54017 ( 1 County Rd G New Construction Use Residential / Number of bedrooms 3 to 4 Code derived design flow rate 450 to 600 GPD 0 Replacement 13 Public or commercial - Describe: Parent material loess over glacial outwash Flood Plain elevation if applicable a ft. General comments This site is suitable for conventional below gr st , recommending that a pressurized system with equal and recommendations: distribution be used so as t dlstrt u e t e e uent over the entire available area due to the massive(Om) fsl. This is not a cod�uirement, but rather a suggestion. .2 A Boring # ® Boring � r El pit Ground surface elev. 99.05 ft. Depth to limiting factor X90 in. Soil Appl ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 "Eff#2 1 0 -10 10yr3 /2 - sil 2msbk dsh as 2f .6 .8 2 10 -14 10 4/4 sil 2msbk dsh cw if .6 .8 3 14 -52 7.5yr4/4 fsl Om dh cw - .2 .5 4 52 -90 7.5yr4/4 vfsl Om dh - - 2 .5 2 Boring # Boring 98.45 X90 ❑l 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 /fl' in, Munsell Qu. Sz. Cont Color Gr. Sz. Sh. "Eff#1 "Eff#2 1 0 -7 10yr3 /2 sil 2msbk dsh as 2f .6 .8 2 7 -12 10 4/4 sil 2msbk dsh cw if • • 3 12-90 7.5yr4/4 vfsl Om dh - _ 2 .5 " Effluent #1 = BOD > 30:S 220 mg/L and TSS >30 150 mg/L " Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature 7„ CST Number Thomas C Nelson 227387 Address Date Evaluation Conducted Telephone Number 1432 120th Street, New Richmond, WI 10/21/04 715- 246 -2454 I Cherry Knolls Ojm l! 1" =90' '1O lf Lo t - 30 Top of ircn.pipe 1 Trop of iron pipe 98.30' B197.90 82100.56' 133 96.70' B4 97.27' N O I f 10O i gy , 0 2 9� G, °l SIoQ+� 9G. qy` �- 4 3 3 S o 1 � Thom$ Nelson 227397 U 2739P 201 -7 8r=1Z 8$ State Bar of Wisconsin Form 2 -2003 REGIST H. WALSH WARRANTY DEED DEEDS REGISTER OF DEEDS ST. CROIX CO.. MI Document Number Document Name RECEIVED FOR RECORD 01/28/2005 12:30PM THIS DEED, made between Steven J. Derrick WARRANTY DEED ( "Grantor," whether one or more), EXEMPT i and Melissa M Lamkin and Hans Lamkin husband and wife REC FEE: 11.00 ( "Grantee," whether one or more). TRANS FEE: 145.50 COPY FEE: CC FEE: Grantor, for a valuable consideration, conveys and warrants to Grantee the following PAGES: 1 described real estate, together with the rents, profits, fixtures and other appurtenant Recording Area interests, in St. Croix County, State of Wisconsin ( "Property ") (if more space is j�please attach addendum): Name and Return Address Lot 30,, Plat of Cherry Knolls 2 "" Addition in the Town of Richmond, st. Croix EAGLE VALLEY BANK N.A. County, Wisconsin 2501 Hanley Road PO Box 70 HudSONVA 54016 Part of: 026 -1040- 60-000 & 026- 1040 -70 -000 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if a Dated (SEAL) (SEAL) * *Steve n4. Derrick (SEAL) (SEAL) * * AUTHENTICATION ACKNOWLEDGMENT Signature(s) Steven J. Derrick authenticated on STATE OF ) A � , I ss. COUNTY ) *Kristina O land TITLE: MEMBER STATE BAR OF WISCONSIN Personally came before me on , (If not, the above -named authorized by W is. Stat. § 706.06) to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. THIS INSTRUMENT DRAFTED BY: Attorney Kristina Oeland Hudson, WI 54016 Notary Public, State of My Commission (is permanent) (expires: ) (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED C 2003 STATE BAR OF WISCONSIN FORM NO. 2-2003 * Type name below signatures. INFO -PRO"' Legal Forms 800 -655 -2021 www.infbproforms.com N ' Q) ^ UNPLATTED LANDS °N -S89 44'10'"£ 5301.80'- East- ' - S89'49'40 "E 933.39' ° 500.00' 3 66.00 367.3 O. B 991.04 c o 0 "' North line of Land Contract 0 0 Volume ;6999 , Pa e 295 o LOT M 0 0 89, 511 0 0 OT30 ZU' 205 p N 11 Sq. ft. 80 Temporary Cul- 0 2.55 acres Z Easement (to be e. Q upon extension of cl ° N8 '59'37 "E 524.68' 262.84 261.79 ti ` S78.1 ® ' �j. 0 9 , . 0�3 F 6 , v °- L ®T 29 LOT 28 0 . 92,522 sq. ft. 0. 85,509 sq. ft. O 2.12 acre 1.96 acres ' 0' Q � S74 O c3` 30.0 1 0 \ LOT 27 Z 113.53' 52.43' 12' utility O ° C1 165.96 Easement S87'04'49 "E (typical) N87'04'49 "W 6 165.96' s, 30' prainage Easement _ 15' C 15' LOT 35 ® LOT 34 83, 292 sq. ft. N 85,695 sq. ft. 1.91 acres 0 LOT 15 ��� ® L. B.0.= 975.0 1.97 acres ' ? N _ ® L.B. 0. - 975.0 � �— � 52 S�o F >> 69. 22 fT1 // • CA 0 o Sao- 35'F