Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
026-1130-12-000
Wisconsin Department of Commerce Count PRIVATE SEWAGE SYSTEM. � St. Croix Safety and Building Division "v 4 ' INSPECTION REPORT sanitary Permit No: 429961 0 GENERAL INFQRMAT4ON (ATTACH TO PERMIT) S tate Plan ID No: Personal information you provide may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)]. Soss' : T•n•�! • / �. Permit Holder's Name: City Village X Township Parcel Tax No: Miller, Sam I Richmond Township 026- 1130 -12 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: CHID ( Op .O f CST % " 25.30.18. 7 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic � � G � Benchmark y � �• s � �p � � Dosing �� Alt. BM � o. i ►- Q3, qq Aeration Bldg. Sewer Lag Holding St/Ht Inlet TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic /+ J Dt Bottom 1 ' �S �-. Dosing t G-v� Cl / Header /Man. ' 2 Aeration Dist. Pipe �al •(� ( 0 (• O . / Holding Bot. System vs Fi i al Grade PUMP /SIPHON INFOR :/ ` la x.:,1 ba off 2 + .Y. . Manufacturer D St Cover tL1 PM Model Number s 6747) D o l� Lift Fri n Loss m Head F Z3.*So DH Ft �p� \C1 • ! • S-o �u,.. C l �ZD g Forcemain Le 1 t I Dia. �� Dist. to well (/• GS` SOIL ABSORPTION SYSTEM S t BED /TRENCH Width Length No. Of irerrtsfies PIT DIMENSIONS No. Of Pits I i DIMENSIONS 1 q G n t; SETBACK SYSTEM TO l P/L BLDG IWELL LAKE /STREAM LE AC nufacturer. INFORMATION CHAMBER Type Of Stem: — , D Mode r. DISTRIBUTION SYSTEM sw. -{40 404 Header /Manifold) Distribution x Hole S� �� x Hole Spacing Vent to Air Intake Pipe(s)QQ' �( 1 1 0 Length s Di Length o°• ` 5 Wa I �Z Spacing = � 3. 0S — � SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over FBedp/ Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center rench Edges Topsoil Yes ❑ No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: k24.70.3 Insnec )) i3, �0 3 Location: 1409 138th Ave New Richmond, WI 54 7 (SW 1/4 NW 1/4 25 T30N R18W) Red ne Co�er Pa 2 .3 .1$. �_� ��1.) Al BM Description =0( d' A. 2.) Bldg sewer length = 1 - amount of cover 3. - Y. b Yes No d4 ` - - - -- - - -- -- - ) Contour W� ` • ,nom" i - - - Plan =WV" Required . -_ Use other side for additional information. - -- SBD -6710 (R.3/97) te- A C _ (]' �� Insepctor's Signature Cent. No. C 6 eoO Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 ST • C /Q UI j���s',n Madison. WI 53707 - 7162 Six Address De artmealt of Commerce /Lf0 /-3 4-11 Avi!�- Sanitary Permit Application Sanitary Permit Number In accord with Comm 83.21, Wis. Adm. Code, personal information you provide 11 Check if Revision 7 may be used for purposes Privacy Law, s15. I. Application Information - Please Print All Information HEGE S Plan I.D. N ber X80 5 sue" Property Owner's Name Par 1 Number �4fil tw/ L L MAY 0 5 2003 oz — /i3o- /a Property Owner's Mailing Address ST. CROIX COUNTY Pro rty Location ZONING OFFICE Sf W-A; S ZST —30 N, R/ O City, State Zip Code Phone Number Lot Number ( -�_ Block Number Subdivision Name CSM Number s Yo/ (0 RED - P1f1E Ga KE+2 11. Type of Building (check all that apply) s L " /� Ocity 1 or 2 Family Dwelling - Number of Bedrooms � �j (i t m Jd� 1 ❑Village ❑ Public/Commercial - Describe Use ❑ State Owned //o u , e AsT T. �/, s K `f O' w . S Srz /r Il j0 Township G 1+ M o N /' Nearest Road an e'..ta✓V, 97.80 1 J -3 19 to R t<,E III. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable) yd — 'S'T -( A. I Newl 2 ❑ lacemem stem 3 ❑ For County use Rep Sy Replacement of 6 ❑Addition to ste m Tank Existing System B. ❑ Check if Samtaty Permit Previously lssued Permit Number Date Issued IV. Type of Permit: (Check all that apply)(numbering scheme is for internal use) 44 ❑ Non - Pressurized In- Ground 21 Moun 7 L V Se / 47 ❑ Sand Filter 50 ❑ Constructed Wetland 22 ❑ Pressurized In -Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line 45 ❑ At - Grade 46 ❑ Aerobic Treaqne at Unit 49 ❑ Recirculating 3000 er V. tment Area Information: 4? �: ✓! _ � rD S / LS Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation FAte System Elevation Final Grade Required Proposed 1�.5/Days/ Z ) (Min./Inch) /49 0 g49 Elevation c/1- �f SD �' �/SD i.s �'" ms / VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks II oncrete Constructed Glass New Existi� Tanks Tanks Septic or Holding Tank X /` Dosing chamber VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) r's Signature MP/MFRS Number Business Phone Number � -`.D8 L F 7 *Akfl Plumber's ,X Phtmber's Address (Street, City, State, Zip Code) Y10 G VIII. Coun /De artment Use Onl Approvcd ❑ Disapproved Sanitary Permit Fee (includes Groundwater D ate Issued Lssuiag Age Signature (N ) Surcharge Fee) ❑ Owner Given Initial Adverse 4-3 6 0 b3 Determination Co nditions �� 2 App bosons for,Disapproval (W the b for the aYst on p lep than E1/2 z 1 Inches In :1-Y -3. 3� d SBD -6398 (R. 05/01)S 6x4&;��v,�S Wisconsin Department of Commerce SOIL EVALUATION REPORT Page _ _ of 3 Division of'Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8 1 /2x]j. inches in size. Plan must St. Cro 1 X include, but not limited to: vertical and horizontal - reference, p I M), direction and Parcel I.D. percent slope, scale or dimensions, north -rfow and locatioH andldi gtnce to nearest road. pending Rev' ed b Date Please prllft.all'fnfornWon. ; \ Personal information you provide may brretl fbr seco f L-6 (Privac�,C3y, . 15.04 (1) (m)). 5 �� Property Owner operty Location Oakwood Land Dev l,._ �, j 2��� k Vt. Lot SW 1/4 NW 1/4 s 2 5 T 3 0 N R 18 R (or) W Property Owners Mailing Address - C - CRG X ,- _ t # Block # I Subd. Name or CSM# 1611 Hwy. #10 N.E. `')JN'y 12 na Red Pine Cnrnpr City State Zip Cody \ ;`Ph ber ` � ❑City L] Village ® Town Nearest Road Spring Lake Par , MN.'S 4 61,2,- 0� Richmond 140th. ST. F] New Construction Use: Ik Residential / Number of bedrooms 4 Code derived design flow rate 6 0 0 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material nl ac drift Flood Plain elevation if applicable na ft. General comments and recommendations: mound @ el. 100.80', based on contour line of el. 99.80' Boring # Boring 99.80 46 I T J] 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 /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 I `Eff#2 L 2msbk mfr cs 2f .8 2 i 3 2msbk mvfr 1f .5 .9 5/8 Lfs osq mvfr qw na .5 .9 5 64 -80 10 7/3 c2p7.5yr 5/8 Limestone Residuum np np F Boring # Boring 99.80 53 ® 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 /ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 3 none L 2msbk mfr cs 2f .5 .8 2 10 -1 7.5 4/4 none sicl 2msbk mfr gw if .4 .6 3 17 -53 5yr 4/4 none sl 2msbk mfr gw na •5 .9 4 53 -78 7.5 4/4 c2d7.5 5/8 scl 2msbk mfi na na .4 .6 ` Effluent #1 = BOD > 30 220 mg/L and TSS >30 < 150 mg /L ent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signatur CST Number Gar L. Steel 02298 Address uat ion nducted Telephone Number 1554 200th. Ave., New Richmond, WI. 54017 11 -15 -2000 715 - 246 -6200 r r , Property Owner OakWOOd Land DeV . Parcel ID # pending Page 2 of 3 Boring # Boring 3 ® pit Ground surface elev. 98 70 ft. Depth to limiting factor 55 in. Soil ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fg in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 3 20 -55 5 4/4 4 55 -75 7.5 6/8 c2 7.5 5/8 fs Osq mvfr gK na 5 9 5 75 -90 Syr 4/4 c2p7.5yr 5/8 scl M na na na .0 .0 F 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 # Pit Ground surface elev. ft. Depth to limiting factor in. ❑ Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD, > 30:5 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD, 5 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 -264 -8777. SBD -8330 (8.6/00) l STEEL'S SOIL SERVICE Gary L. Steel Oakwood Land Developmekt 1554 200th Ave. CSTM2298 SW' - �NW4 S25- T30N -R18w New Richmond, WI 54017 MPRSW -3254 town of Richmond (715) 246 -6200 lot #12 -Red Pine corner This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of the test may or may not be as shown as permanent lot lines were not established at the time the test was conducted. 1 11 =40 1 BM.= top of NE lot stake @ el. 100.00' Q� Alt. BM.= top ofSE lot staek @ el. 97.30' b ,l Q "1 l l Gary L. Steel 11 -15 -2000 I A ' r 1 ° -o O 0. c A F P Np(o � R i N 1 W P � o 10 U` C3 p U s tA 7 F � � kA D H a Q t1I Po � A P o �n R •`1° q � w �y, 4 a, 0 w p \ � A .> goo N v , ■ � Uj • � o $ rt, O �/� 8� ^ • Z 3 _1 s -�O I'I N€. ��r / � D EC, AV E Sr- �Ous aN o doom Al �, IM • �Ts �° o� L°r 3 • d'3 � �2 � °Tsb Safety and Buildings AA 401 PILOT CT STE C WAUKESHA WI 53188 -2439 TDD #: (608) 264 -8777 �sconsin www.commerce.state.wi.us /sb Department of Commerce www.wisconsin.gov Scott McCallum, Governor Philip Edw. Albert, Secretary November 01, 2002 CUST ID No.225036 ATTN: POIVTS Inspector MICHAEL P MC DONELL ZONING OFFICE MILLER CONSTRUCTION ST CROIX COUNTY SPIA 1070 HUNTER RIDGE RD 1101 CARMICHAEL RD HUDSON WI 54016 HUDSON WI 54016 7 � pq CONDITIONAL APPROVAL / PLAN APPROVAL EXPIRES: 11/01/2004 Identification Numbers Transaction ID No. 805055 SITE: Site ID No. 652876 Miller Construction Please refer to both identification numbers, Town of Richmond, 54017 above, in all correspondence with the agency. St Croix County SW1 /4, NW1 /4, S25, T30N, R18W Lot: 12, Subdivision: Red Pine Corner FOR: Description: Mound, 3 Bedroom Object Type: POWT System Regulated Object ID No.: 879371 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. The following conditions shall be met during construction or installation and prior to occupancy or use: This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Treatment Systems" S13D- 10691 -P (N.01 /01) and the "Pressure Distribution Component Man al for Private Onsit astewater Treatment Systems" SBD- 10706 -P (N.01 /01). U -+b i (( a>f C — 7. - q • 3 /I NOTE: Per scale, a slope appears to be 5 % %, not 2% as indicated in the plan submitttal. This does not affect the plan design since the mound dimensions are adequately sized for a 5 %% slope. NOTE: Although elevations were provided, the mound component manual utilized for this mound design requires -h at contours be provided on the plot plan. Please make a note of this, as future submittals will require that the contour lines e pr non e p to pal n. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, , l/ the property owner must follow the contingency plan as described in the approved plans. In ffttion, the owner m wi t e operation, main ena i mg top t e mown component manual4.A copy of this information mus e e owner o �ot?p a ion o t project. S Maintenance information must be given to the owner of the tank explaining t t peri - . cjganing of the filter is required. Access to the filter or c eamn must e rovi e er omm 4 pr appro con itions. A Sanitary Permit must be obtained from the county where this project is located ifficcordance with the requirements of Sec. 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. Stats. MICHAEL P MC DONEI.I. Pagr'_ 11 1 02 A copy of the approved plans, specifications and this letter shall be on -site during, construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of c onstruc tion/installation /operation. In granting this approval the Division of Safety R. 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. Si cerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Julia A Lewis- Osborne POWTS Reviewer 2 , Integrated Services WiSMART code: 7633 (262) 548 -8638, Fax: (262) 548 -8614 jlewis@comrnerce.state.wi.us cc: Leroy G Jansky, , Wastewater Specialist, (715) 726 -2544 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN RECEIVED Residential Application INDEX AND TITLE PAGE OCT 2 1 2002 Project Name: Sam Miller 3 bedroom residential mound system SAFETY & BLDGS. DIN. Owner's Name: Sam Miller Owner's Address: P.O. Box 151 Trout Brook Road Hudson, WI 54016 Pcl. Add.: 1409 138th Ave. Legal Description: SW1 /4NW1/4, Sec. 25, T.30N., R.18W. Township: Richmond County: St. Croix Subdivision Name: Red Pine Corner Lot Number: 12 Block Number: na Parcel I.D. Number: 026 - 1130 -13 -000 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 Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Site Plan Page 9 Soil Evaluation Report Designer: Mike Mc Donell License Number: 225036 Date: 10/15/02 Phone Number: 715 - 386 -8692 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- 1/81) v,� O, L U � r G Version 3.0 (03/01/01) Page 9 s c� 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 I 1.50 Peaking Factor (e.g. 1.5 = 150 %) coliform of - 36 inches. 450.00 Design Flow (gpd) 2.00 Site Slope ( %) 99.80 Contour Line Elevation (ft) 46.00 Depth to Limiting Factor (in) 0.40 In -situ Soil Application Rate (gpd /ft Distribution Cell Information E ll Dispersal Cell Length Along Contour (ft) = 5.00 Cell Width (ft) Dispersal Cell Design Loading Rate (gpd/ft) r 11 Influent Wastewater Quality (1 or 2) Are the laterals the highest oint in the distribution - Y Pressure Disribution Information network? Enter Y or N (c or e) f ^ � Center or End Manifold 2.50 Lateral Spacing (ft) If N above, enter the elevation ft r 2 Number of Laterals of the highest point. 0.125 Orifice Diameter (in) (e.g. 0.25) r 3.00 Estimated Orifice Spacing (ft) = 7.50 ft /orifice 2.00 Forcemain Diameter (in) 140.00 Forcemain Length (ft) Does the forcemain drain back? CY_� 84.00 Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 22.84 Forcemain Drainback (gal) 15.80 Vertical Lift (ft) 81.16 5x Void Volume (gal) 1.90 Friction Loss (ft) 103.99 Minimum Dose Volume (gal) 24.20 Total Dynamic Head (ft) 24.72 System Demand (gpm) 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 2.00 T 1.50 x x 3.00 2.00 x 3.00 x Gallons /Inch Calculator (optional) Treatment Tank Information 602.82 Total Tank Capacity (gal) 1000.001 Septic Tank Capacity (gal) 51.00 Total Working Liquid Depth (in) II Wies Concrete Manufacturer 11.82 gal /in (enter result in cell B49) Dose Tank Information Effluent Filter Information ^ 600.001 Dose Tank Capacity (gal) Zabel _ ! � Filter Manufacturer 11.821 Dose Tank Volume (gal /in) IA100 Filter Model Number W ieser Concrete I Manufacturer Project: Sam Miller 3 bedroom residential mound system Page 2 of 9 Mound Plan View . . T Observation Pipe 3 l K . _ • . . . . . . • . . . . . . . — T ... . .................. . ........... I ..... ............................... L Mound Component Dimensions Down s a toe extension made. A 5.00ft E [ AO.50 in H 1.00ft K [ Aft ft B 90.00 ft F in z 7.50 ft L ft D 6.00 in G ft J 5.07 ft W 450.00 (ft Dispersal Cell Area 1125.00 (ft z ) 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 102.09 (ft) —� G H F Dispersal Cell 100.80 (ft) Lateral 100.30 (ft) — Invert Dispersal Cell Elevation E :::::::::::::::: D : : : :..3 :;::::::: .:.. _� _ •..+. �. :. i.+. _A i%. + i. { _i i.:t _). �, l A +.,� {" f +, i•.�.� i, :+. 1, J. ,+ +, {_ 4 � i •. ' ' ' ` ' • . 99.80 (ft) Contour Elevation 2.0 % Site Slope Geotextile Fabric Cover Shading Key T Dispersal Cell See lateral details on 10 ® Topsoil Cap c c 1.5 ft Page 4 for number, 0 Subsoil C S Cap ;., size, and spacing of ©0 ASTM C33 Sand % �. V.. F laterals. Laterals are 0 Tilled Lay er 0.5 ft :::;Typical Lateral y c equally spaced from Q5 Aggregate v o the distribution cell's A - -} centerline in the distribution cell (AxB). Project: Sam Miller 3 bedroom residential mound system Page 3 of 9 End Connection Lateral Layout Diagram Laterals centered over the A & 8 dimension 0 = Turn -up vd'ball valve or cleanoutplug P .I Jr =main cal I<- }CSI Holes drilled on the bottom of the lateral S equally spaced tion via tee or cross to manifold at any point. Laterals & force main of PVC Sch 40 (per COMM Table 84.30 -5) Number of Laterals 2 Orifice Diameter 0.125 in Lateral Diameter 1.50 in Orifice Spacing (X) 3.05 ft Lateral Length (P) 88.45 ft Orifices per Lateral 30 Lateral Spacing (S) 2.50 ft Orifice Density 7.50 ft /orifice Lateral Flow Rate 12.36 gpm Manifold Length 2.50 ft System Flow Rate 24.72 gpm Manifold Diameter 1.50 in Total Dynamic Head 24.20 ft Forcemain Velocity 2.52 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 4 in. min. Disconnect Tank component is properly vented E Altemate outlet location Forcemain diameter Wieser Concrete Manufacturer 2 in. Capacityl 602.82 Gallons Volume 11.82 gal /inch A Weep hole or anti - Dimension Inches Gallons B siphon device A 29.00 342.77 B 2.00 23.64 C Pump off e levation (ft) C _ 8.00 94.57 85.00 D 12.00 141.84 D Total 51.00 602.82 i L Dose tank elevation (ft) 3" Bedding un er tank. 84.00 Alarm Manuafacturer LevelArm Alarm Model Number DLV ! Pump Manufacturer lZoeller Pump Model Number 140 Pump Must Deliver 24.72 gpm at 24.20 ft TDH Project: Sam Miller 3 bedroom residential mound system Page 4 of 9 Mound_ System Maintenance and Operation Specifications Service Provider's Name Jim Thompson #30021 - - ' - Phone 715 - 248 -7767 POWTS Regulator's Name St. Croix C ount r�Z oning Dept. 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 MOUndl Inspect for ponding and seepage once every 3 ears 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: Sam Miller 3 bedroom residential mound system Page 5 of 9 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General 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, Starts. 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 finer 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 flaws 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 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. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Sam Miller 3 bedroom residential mound system Page 6 of 9 • • TOTAL DYNAMIC HEAD /CAPACITY - A a W HEAD CAPACITY CURVE PER MINUTE MODEL 137- 139 - 1404140 EFFLUENT NJD OEWATERINC L- L u00ElS MODELS IA /139 140/4140 Ft. -1- col. ur•. Col. ur.. D I.S7 12 D ro ,us 140.4 140 u .v ° . s. rs7 a ,�. 35 w s.IO x Ix r, 276 10 0 - 1 1 12 - - I1 112 NPI 30 30 137. 7• '7 25 •o 1?- v 2 I O O to - 2 SK373 5 A B C D E F ° 00992, 1371139 4 3/4 7 318 1 8 118 1 4 314 1 12 314 a u.s. CALLONS 10 20 30 40 w so 11 ° 7o so so 100 140 4 3I4 8 5/16 8 13/32 4 314 15 1 6 1/4 UrERS e0 160 240 320 400 4140 4314 85116 8 13/32 4314 118 25132 1 6 114 ° -Z 7.ZC•J,#. FLOW PER MINUTE M7niM�^ s,,Mly/'a.L'e CONSULT FACTO Y FOR SPECIAL APPLICATIONS Three phase pumps are available in 2001208V or 230V - 137/139 Models. • Variable level control switches are available for controlling single and three Electrical alternators, for duplex systems, are available and supplied with phase systems. an alarm. Double piggyback variable level float switches are available for variable level Mechanical alternators, for duplex systems, are available available with long cycle controls. or without alarm switches. Long cords are available in lengths of 15-25 -35-50 feet. (Maximum 25' length Combination starters are available for 3 phase pumps. for 140 /4140 models @ 115V) Control alarm systems are available for 1 phase pumps. Over 130'F. (54'C.) special quotation required. 137 Series - 47 lbs. 139 Series - 51 Ibs. 140 Series - 53 lbs. 4140 Series - 60 lbs. Refer to FM0806 for 200' F. applications. Sinqle Seal Control Selection/ Listi Model volts -Ph Mode Amps SImplex Duplex CSA UL M1371139 115 1 Auto 10.7 1or138 - Y Y SELECTION GUIDE N 137/139 115 1 Non 10.7 2 or 2 3 7 3 or 5 3 6 Y Y 1. Integral float Operated 2 pole mechanical switch, no external control required 61 115 1 Auto 10.7 2 - Y Y 2. Single piggyback variable level foal switch or double piggyback variable level 01371139 230 1 Auto 5.8 1 or 1 3 8 - Y Y float switch. Refer to FMO447. E1371139 230 1 Non 5.8 1 2 or 2 3 7 3 or 5 3 6 Y Y 1 3. Mechanical aftemator'M -Pak' 10.0072 or 100075. H137/139 200 -208 1 Auto 5.5 1&8 - Y I N 4. Combination Starter. Refer to FM0514. 1137/139 M23O3 Non 5.5 2 d 7 3 or 5 3 6 INN 5. See FM0712 for correct model of Electrical Aftemator 'E -Pak'. J137/139 Non 2.6 2 d 4 334 or 536 6. Variable level control switch 10 -0225 used as a control activator, specify duplex F 137/139 Non 2.6 2 8 4 334 w 536 G 13 7 Non 1.4 2 3 4 334 or 536 (3) or (4) float system. G139 Non 1.4 234 334 or 536 7. Four (4) hole ' J - Pak', junction box, for water tight connection o (wired- insimplex or 2 pump operation, 10 -0002. 14ou140 MODELS Control Selection Ustin s 8. Two (2) hole 'J -Pak', for Watertight connection or splice, 10 -0003 Model I Model I Votts -Ph Mode Amps I Simplex Duplex CSA UL N140 N4140 115 1 Non 15 1 2or237 3or536 N N E140 E4140 230 1 Non 7.5 1 2or237 3or536 N N No rrt°bed plug .' Si* pWybadr swlrh `+dulled. Dmola seal pu Tps ar aradabW with °pi onal moiAure sensors. Seal Fad nckator light anitabk in NEMA 1 or NEMA 4x CAUTION c ml parleis All installation of controls, protection devices and wiring should be done by Pumps must be operated in upright position. a qualified licensed electrician. All electrical and safety codes should be followed including the most recent National Electric Code (NEC) and dw Three phase units require a control switch to operate an external magnetic or combination starter. Occupational Safety and Health Act (OSHA). for udormation on additional Zoeller products refer lo catalog on Combination starter, FM0514; Pggybaa Variable Level Float Switches, FMO4T7: Electrical Alternator, FM0486; Mechanical Aftema- tor, FMC495: Alarm Package, FM0513; and Sump/Sewage Basins, FMO487. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL TO: P.O. BOX 16347 Louisville, KY 40156 -0341 Manu/acturersol Z O Y • h'` SHIP TO: 3280 Old Millers Lane Louisville, KY 40116 � * PUMP l0- (502), 18 - 2731. 1(800) 928 -PUMP QUd[ /rr P US/GS �NCF /979 FAX (502) 774- 3614 -7 �.. A ' 1 n � 1 0 O 1 A P G A 1 b' Vj g k P oo A UI o LA Z r �cS j A All Q °� LA It> N 4 oo \ v is ^ J n. \E � w , S c w GN I Z N Oo o I • o LA n � � \ C o � J 0 N U a s m ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer S)4 tY1 A111 L E/2- Mailing Address Property Address (Verification required from Planning Department for new construction) City/State A�250 /Z:e-tv ~e .t -0 Parcel Identification Number 02 (a — // LEGAL DESCRIPTION Property Location %4, r /,, Sec. ZS. T - N -R � , own of R : c wco Subdivision P— ED P/ ME eo e K4;e-- Lot # Z_ Certified Survey Map # ( 17 3 / , Volume g . Page # Warranty Deed # / 7 7 0 , Volume Z z/ O . Page # Z ° Spec house yes ❑ no Lot lines identifiable] yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensedpumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 da the three year expiry ' date. 6 � /Zdl ° GNAT[JRE F APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of erty described abov , by virtue of a warranty deed recorded in Register of Deeds Office. D /ZD/ o NA LICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** *• Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In- Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWTS) shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In- Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- 10567-P (R.6/99). Table 1: System Design Specifications Sanitary Permit Number Number of Bedrooms 1 Design Flow - Peak (gpd) 5 Estimated Flow - Average (gpd) © e> Septic Tank Capacity (gal) Soil Absorption Component Size (ft') Type of Wastewater Domestic Table 2: Soil Absorption Component - Limits of Reliable Operation Septic Tank Component Soil Absorption Component Design Flow - Peak (gpd) Maximum Influent Particle Size (in) 1/8 Maximum BOD (mg /L) 220 Maximum TSS (mg /L) 150 Table 3: Maintenance Schedule Septic Tank Inspect and /or service once every 3 years Outlet Filter Inspect once a year and clean U, _� n Soil Absorption Component Inspect once every 3 years /✓i'a. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping. Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). 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 Management Plan for a S3ptic Tank and Soil Absorption Component 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 scum and sludge 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 an 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. 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 the tank. No one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment of holding tank may contain lethal gases, and rescue of a person from the interior of the tank may be difficult or impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. h- Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. 2 Se Soil Absorption Component Manag Plan for Sep Tank and p 9 P P Plantings of deep- rooted trees and shrubs directly over or within ten feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow. s`f46'r� St /Cry %K..�k7YZ' " %�� 3 1"I Xj 1 62 l3 8' 7 LOT 19 = -' .52 AC 1.52 AC ' �I rX Z a.wr LOT 19 / 3 8'p o 2.09 AC LOT 21 6� 2 165 AC i LOT 20 +� LOT 25 1.52 ACS' LOT 10 3.87 ACA r�fl� �44- o 13 g 3 1.52 A r r 1 ` 4 LOT 18 #'/ Y to s�/y / it 13"19 1b531AC f LOT 26 ;4t r If . LOT 11 ' 1.52 AC �� „LOT 17 � � 1.54 AC � S LOT 27 LOT 12 �,t 3qx� 1.54 AC x ' 1.52 AC LOT 16 1 1.53 AC q / LOT 28 LOT 15 s LOT 13� �, o 1.52 Ac 1.58 AC X 1.55 AC 137/ # 1 -gO54 1 `/0'7 LOT 35 LOT 29 LOT 30 LOT 14 1.52'AC 1 , .52 "AC 1. 54 f7-- • 1.61 AC 1,'69 AC # 143 : O G. # I Yos d� LOT 34 ♦� 1.52 AC -xw ----� L521AC v �' I;f 30 r �J`fio ' � T 33 ��► � � N LOT - ,36 1.51 AC 1, 52 AC ��,� Z� / r' LOT 32 �• 03 1. 60 A/� y8 T 45� LOT • 37 , • 1.52 AC .1. 52 AC l y o y ! / LOT 39 9 /SPA I 1.52 T 43 ALW LOT 40 1. 5 A c N J� p 1 8 52 .9b AC atl � �� LOT 44 /y /3 LOT 41 ) ; 1 .88 AC )3S3 jg19 1.53 AC LO 1.55 AC 1 msz • ' ...- r..niwVwa. � rrusrtla/� ke??1'2t'v - •y5 • Iklj ��� '� la �b ;� .�} ;ICI • ;�1 �i (' �H' jl 7 1 2210P 205 - 7 1 - 7 7 az+ ' STATE BAR OF XATHLEEN H. WALSH WISCONSIN FORM 1 —1998 REGI57ER OF ,DEEDS WARRANTY DEED ST. CROIX CO., WI I I ` Document Number RECEIVED FOR RECORD This Deed, made between Oakwood Land Development Inc.. a 04/17/2003 03:10PH Limited Liability Company Grantor, and Sam E. Miller, a sinale WARRANTY DEED person , Grantee. EXERT II Grantor, for a valuable consideration conveys to Grantee the following REC FEE: 11.00 described real estate In St. Croix County State of TRANS FEE: 508.50 Wisconsin (the "Property"): COPY FEE: CC FEE: PAGES: L Recording Area Name and Return Address Sam E. Mill p 381 1 t Stre�l r V 1 N IchnWrfd, WI 54018 026 1142 48 000 Parcel Identification Number (PIN) This is homestead property. (is) (is not) Lot 12, ad Pine Comer and Lots 47, 48,50 and 51, Red Pine Corner 1" Addition. Together with all appurtenant rights, title and interests. none Grantor warrants that the title to the Properties good, Indefeasible in simple fee and free and clear of encumbrances except Dated this day of Aril, 2003. (SEAL) (SEAL) Oakwood Lan evelop t Inc. (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) State of Wisconsin, WENDY SWATZINA ) ss authenticated this�y6F y.48Gn jS!N_ SLCroix County 5 I H t C Personally came before me this day of rll, 2003 the above named Greaory J. Peters as Vice r to me known to be the person who exec d the foregoing TITLE:' MEMBER STATE BAR OF WISCONSIN inst mentan acknowledge e. x — (If not, authorized by §706.06, Wis. Stats) 6 . THIS INSTRUMENT INSTRUMENT WAS DRAFTED BY Notary Public, Stat of Wisconsin Coldwell Banker Burnet 1301 Coulee Road My commission i pe anent. (If not, state expiration date: Hudson, WI 54016 �( 3 -31793 T ) (Signatures may be authenticated or acknowledged. Both are not necessary.) Names of persons signing in any capacity must be typed or printed below their signature. STATE BAR OF WISCONSIN Wisconsin Legal Blank Co, Inc. WARRANTY DEED FORM No. 1 —1998 Milwaukee, Wis. �D.D �D�,�Z,S � 30 t 11 I o c7 .9 5' 1 �� �, �X � � ' I S �!� o �. �� . — (O /6 � ��� to I .�� ID�.7�( � �.�D �� 3 B HEAD/CAPACITY CURVE HEAD CAPACITY CURVE EFFLUENT M mom \ \ ■ ■ ■ ■I ®mmm ®mm ® ®m ®mmmmm ®mmmmmIM ewo m m��m ®mmmmmmmmomm ®mmmmmmomEMmmm ®m ■ ■ ■ ■ ■I ®mm mmm ® ®mm ®MECO3 m ®mmom ®mm ® ®m 1111311IMMEN lama mmm 1M ■ ■\l ■ ■IwN== m®IM1111 m ®mm ®m �� ■ ■ \ ■ m� °O. ■ ■O ■ ■ iimm�o ® ®mmmmm ®m ■ \ ■ \� ■I W m - mm �m�m�m�mmmmm0mmm ®mmmmm ®m ��m�m�m�m�mmmmmmmmmmm ® ® ©omm ®m ■\.\■►\ I�mi�m�m�m�m�mmmmmmmmmmmmomm ■■1� ■111 \■ ■ ■ ■ ■ ■ ■ ■ ■■ .. su b j ected to less than 30 feet TDH. i�1 ►�1 ■I ■ \ \ ■ ■ ■ ■ ■■ NOTE: For Head Capacity on Model 112, Industrial column-explosion proof pump, see FMO219. I LI V•� t1 \`� 1111\ ■ ■ \ \� ■ ■ ■ ■ ■■ X11 ■11►� I\ ■�■\ \■■ %■ =:`110 ►I►IESHOLua ©ME lwqm ME �O N MUr I■■■M■■ -M HEAD CAPACITY CURVE SEWAGE ■ ■ ■ ■ ■ ■ ■ ■ ■ B . © ®o ®momomo ®om�mmmommm ® ®� ..■■ �� ■ ■ ■ ■ ■ ■�mmomomomommomomo ®omm�om© m��oomomom ©�omm ®mo�mmomo 51 \EE \ \ ■ ■ ■ ■lo���momomoo ®© ©momomo � ..::`'� ■�� ■ ■� © ® ������������ m � o ®ova ® mmm ■'� ■��' ■���_�_ ®__ ®_ ®_ �_ �® ®ems® ,� \�� ■� \���■ ■MEMO■■■■■ N MEN MOM Sm MEME 60 fez NNW mom M ... . :.. ::.