Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
030-2000-70-000 (2)
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide maybe used for secondary purposes (Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village Township Scott and Nicolle Osterhus TOWN OF SAINT JOSEPH CST BM Elev: Insp. BM Elev: BM Description: 1 L G L floor I �V% TANK INFORMATION ELEVATION DATA TYPE MANUFACTUj R CAPACITY Septic w i �r D ✓L 4 I I Dosing A@4;9# n F Si✓yl-it��, lioS.e. T�h K y('c TANK SETBACK INFORMATION TANK TO P/L S WELL BLDG. Vent to Air Intake ROAD Septic J _ I i I � J , �' t _ — L0 Dosing I 30% Aeration Holding V V_ V 7"S PUMP/SIPHON INFORMATION Manufacturer Z Demon GPM O i + q �7 Model Number N j TDH ILift 3 S , Friction 75 Syste�Ha CJ Forcemain Lenghl . S0 Dia. �. � Dist. to Well � � � � SOIL ABSORPTION SYSTEM county: St. Croix Sanitary Permit No: 617760 State Plan ID No: Parcel Tax No: 030-2000-70-000 Section/Town/Range/Map No: 330306190361 B STATION BS HI FS ELEV. Benchmark 5. 3216.3 � n® Alt. BM Bldg, Sewer O 7 . 3°) SUHt Inlet5,Z1 SUHt Outlet Dt Inlet Dt Bottom 11.36 R2� Header/Man. 2.5b toZ. y8 Dist. Pipe Bot. System Z,• $3 �02.2� Final Grade St Co er rr 2,i�Z V 1�•Q� 5• 11 too. 15 BED/TRENCH DIMENSIONS Width Length � s L PIT DIMENSIONS No. Of Pits Inside Dia. Liquid De th SETBACK INFORMATION SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING CHAMBER OR UNIT Manufacturer: Type Of Sy t m: IK06 L9 C . Model Number: DISTRIBUTION SYSTEM Header/Manifold ,% Distribution x Hole Size 3 " x Hole Spacing Vent to Air Intake � `N � ( Pipe(s)�� Length ✓ 3 Dia ?/ Length 2Dia Spacingj Ito 201607 SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Svstems Onlv Kr +1urVt1, r- Depih�Over o` B®dGfrenehCente r, z Depth Over Bed/Trench Edges ` `N xx Depth of Topsoil \, xx Seeded/Sodded xx Mulched ,s I > 12 X1 Yes Ej No )6 Yes [j No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Spl�l�l^Z� Inspection #2: Location: 1304 53RD ST ���'�'S � C"Wt�z 1.) Alt BM Description = fi'r 14cc� cc*tt L44kr 1h k-ckv � 1 o C 2.) Bldg sewer length = ?10 t" amount of cover = 11004101 �� C a , `3 M Plan revision Required? D Yes [XNo Use other side for additional information. J Date SBD-6710 (R.3/97) 1 �aoc D ! 5o 3 5 Cert. h IPpfs����� n� — 202c /(t*:� Qcv�S �oEranrugtTo - —.QC71Q5� County Industy SerVices ivlsiO St.CrQlx j as MAY 11 2020 1400 E Washington Ave P P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.) yra t, Si St. Croix County � Madison, WI 53707-7162 toKx� Community Develop m nt ((� 7TV Sanitary Permit Application State Transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit - PwTs-n 1902494c is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to the Department of Safety and Professional Services. Personal information you provide may be used for secondary Project Address (if different than mailing address) purposes in accordance with the Privacy Law, s. 15.04(1)(m) Stats. 1304 53'0 Street I. Application Information — Please Print All Information Property Owner's Name Parcel # Scott & Nicolle Ostorhas o 0;2WO 79t'tea Property Owner's Mailing Address Property Location 1304 531d Street Govt. Lot NW '/4, NW %., Section 33 City, State Zip Code Phone Number Hudson, WI 54016 (circle one) T30N R19EorW C 11. Type of Building (check all that apply) ✓ Lot # ® 1 or 2 Family Dwelling — Number of Bedrooms 1 Subdivision Name NA ❑ Public/Commercial — Describe Use Block # El City of ElState Owned — Describe Use ❑ Village of CSM Numbe • V p ® Town of St. Joseph III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A• ❑ New System Ar placement System El folding Tank Replacement Only El Modification to Existing System (explain) l;. El Permit Renew rmit Revision El Change of ElPermit Transfer to New List Previous Permit Number d D t Issued Before Expiratio Plumber Owner IV. Type of POWTS System/Component/Device: Check all that apply) ❑ Non -Pressurized In -Ground ❑ Pressurized In -Ground ❑ At-Gra ❑ Mound >24 in. of suitable ound <24 in. ofsui� b oil pretreatment El Holding Tank ❑ Other Dispersal Component (explain) Device (explain Geom ` / r V. Dispersal/Treatment Area Information: r Design Flow (gpd) Design Soil Application F Dispersal Area R uired (sf) Dispersal Area Proposed (st) ys em Elevatio 2tt 450 Rate(gpdsf) 750 776 100,98' 0.6 "YW►t = VI. Tank Info Capacity in Gallons Gallons Total /< of ;1 ♦: O l� fa ture °o j 2 y a Y New Tanks Existing Tanks Gallons Units D.r i c U in v; C/) w 0 a, Septic or Holding Tank 1000 1000 1 Wieser Concrete ® ❑ ❑ ❑ ❑ Dosing Chamber 650 650 1 Wieser Concrete ® ❑ ❑ ❑ ❑ VII. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plurybct"s S'gna rG �IX/11 MP/MP'RS Number Business Phone Number John Schmitt i �GtX 223760 715460m0486 Plumber's Address (Street, City, State, Zip Code) 586 Valley View Trail, Somerset, WI 54025 VIll. County/Department Use Only Approved ❑ Disapproved Perri Fee Iss ed Sign u ❑ Owner Given Reason for Denial $ /' _ ZOzD 41snju)iftent IX. Conditions of Approval/Reasons for Disapproval SYSTEM OWNER: 1. Septic tank, effluent filter and dispersal cell must be serviced / maintained as per management plan provided by plumber. Gdt+�cS' tM Nab � aimeuvok Gooe r� it a i6 t. SYSTEM FLU I PLAN Proji Project BM1 S! SM De Name; Osterhus Mound 1304 53rd Street Elevation: 1 oD.00' e floor in front of north east gerap door BM2 Sym � >�M Elevation: t� .30;. BM Descrip,'. ront door sill on house Slope Gradient of Tested Area:, (3%) Well Symbol (if applicable) Notes: Notes C Or Resign Flow: 4509PQ Attach design flow calculations for commercial plans# Pipe Materials ! ASTM Standard Tables 315CM3 & 384.3M 4" SCH 40 PVC ASTM- D2665 2" SCH 40 PVC ASTM-131785 1 rw SCH 40 PVC ASTWD1785 N Stale:1" 50' 0 50 75. 100 12.52 NO PERCH LAKE PL e/ 0 0 / WELL HWL / i eny ors i / Pro"Ay line �y90 1 si l EXISTING SyyS�fEM 1 HOUSE TQBEABANDONED r SEPTIC T / B DR1f.WELL 0 GARAGE / BM DRY WEL1 O � �O DRNEWAY CONTOUR LINE EL=10Q15 Propany Briepp \ By HIED O VED) al WPL1000l ZMR � ..� SEPTIC/DOSE TANK \ � 100 \ \ t OPE B3 PBV�C FORCE MAIN p ` \ . 2 . "MOUND Wf F\ \ S.5'XS0'GEOMATCELL C���F \ \ )qw RECEI�i�ED SA0 -?Vzo - l 11, MAY G 2020 St. Croix County Community Developr DIVISION OF INDUSTRY SERVICES 10541 N RANCH RD HAYWARD WI 54643-6462 Contact Through Relay hltp://dsps.wi.gov/programslndustry-services www.wisconsin.gov �'-`��?�"� � Tony Evere -Governor Dawn Crim - Secretary November 26, 2019 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 2021-11-26 Plan Review: PWTS-111902494-C JOHN SCHMITT 616 1501h Avenue Somerset WI 54025 SITE: Scott and Nicolle Osterhus 1304 53rd Street St. Croix County Town of St. Joseph NW%-NW%-S33—T30N—R19W FOR: Description: REVISION - 3 Bedroom GeoMat Mound — 450 GPD — Replacement - 14" to limiting factor — Effluent Filter- Maintenance required CONDITIONALLY APPROVED DEFT OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SEE COKkESPONDENCE REVISION to PWTS-101902332-C GeoMat Mound Component Manual —Edition 1, 2017 Pressure Distribution Component Manual —Ver. 2.0, SBD-10706-P (N.01/01, R. 10/12) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders • This is a revision to previously approved plan PWTS-101902332-C. The plan has gone from 4 bedroom to 3 bedroom. • The mound site shall be properly prepared prior to plowing. Any grasses longer than 6" shall be cut short and removed. To avoid matting, any leaves or loose organic matter shall be raked up and removed. Cut trees and shrubs flush to the ground and leave stumps. Avoid operating equipment on the mound site. If necessary, use only tracked equipment, during dry conditions, with minimal passes, to avoid compaction. • 22" of sand shall be installed between the contour and the bottom of the GeoMat product. • Two effluent filters are required to be installed. • The existing system shall be properly abandoned per SPS 383.33 • The building sewer shall be installed/insulated per SPS 382.30(11)(c) • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 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. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. • 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 • The current owner, and each subsequent owner, shall receive a copy of this letter. Owners shall also receive a copy of the appropriate operation and maintenance manual(s) and be responsible for ensuring that POWTS is operated and maintained in accordance with this chapter and the approved management plan under s. SPS383.54(1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • 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. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conons arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, CeCe (Elizabeth) Rudnicki Wastewater Specialist/POWTS Plan Reviewer, Division of Industry Services (608) 400-3186 elizabeth.rudnicki@wisconsin.gov GeoMat MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Owner Info Project Naine: Owner's Name: Owner's Address: Property Info Osterhus 3 Bedroom Mound Scott & Nicolle Osterhus 1304 53rd Street Hudson, WI 54016 Property Address: 1304 53rd Street Hudson, WI 54016 Legal Description: NW NW S 33 T 30 N R 19 Township St. Joseph County: St. Croix Subdivision Name: NA Lot Number: 1 Block Number: CSM#: Parcel I.D. Number: Pending Plan Transaction No.: Index Pages Page 1 Index and title Page 2 Data entry Page 3 GeoMat mound drawings Page 4 Lateral and dose tank Page 5 Distribution media Page 6 System maintenance specifications Page 7 Management and contingency plan Page 8 Pump curve and specifications tt John Schmi Date: 11/18/19 Signature: 7 tc Designer StP p: lnl Page 9 Tank cross sections Page 10 Site Diagram Page 11 Tank Anchoring Page 12 Effluent Filter Specs, Page 13 Pressure Effluent Filter . Page 14 Maintenance Agreement Page 15 Deed Page 16 CSM License Number: Phone Number: 1927-7 715-760-0486 CONDITIONALLY APPROVED DEPr OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRI SERVICES SEE CO ESPONDENCE Designed Pursuant to the Synergy Systems L.L.C., GeoMat Mound Component Manual (Edition 1, 2017), (N. 4/17), SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/011 R. 10/12) REVISION to PWTS-101902332-C GeoMat Mound Edition 1, 2U17 Page 1 of 46 Mound and Pressure Distribution Component Design n Worksheet Site information 300.00 --- -1.50 450.00 3.00 100.15 14.00 0.60 120.00 Residential or Commercial Design Estimated Wastewater Flow (gpd) Peaking Factor (e.g. 1.5 = 150%) Design Flow (gpd) Site Slope (%) Installation Contour Line Elevation (ft) Depth to Limiting Factor (in) In -situ Soil Application Rate (gpd/ft2) Contour Length Available (ft) j N I ISD Required? Distribuf on Ce I Information - - - 6 .60 Cell Width (ft) 3.25. 6 5 or 9.75 Oniy ^ 2.0OI Dispersal Cell Design Loading Rate (gpd/ft2) 2. Influent Wastewater Quality (1 or 2) Pressure istri u 'on In ormat on _ 4 3,25 16,31 0.50' 2.00 1-0040011 92.00 0.188 1 2.50! 3.25 9.06 1,61 14.32 45,33 61.64 26.21 Center or End Manifold Number of Laterals S Lateral Spacing (ft) Forcemain Drainback (gat) Forcemain Filter Loss (ft) Forcemain Diameter (in) Forcemain Length (ft) Inside Pump Tank Elevation (ft) Orifice Diameter (in) (e.g. 0.25) Estimated Orifice Spacing (ft) _ System Head (ft) x 1.3 Vertical Lift (ft) Friction Loss (ft) Total Dynamic Head (ft) 5x Void Volume (gal) Minimum Dose Volume (gal) ystem Demand (gprn) lame er a ec on Lateral Diameter Selection in. dia. o lions choice 0.75 ---- --------- -- 1,00 x 1.25 x 1.50 x x 2,00 x 3-00 x Designer Input Cell Length (ft) 45.00 Dispersal Cell Length Required (ft) Are the laterals the highest point _ in the distribution I Y network? If N above, enter the elev_ati_o_n (ft)of the highest point. Does the forcemain drain back?� Y 8.13 ft2/orifice in. dia. 1.25 1.50 2.00 Selection Treatment Tank Information Effluent Filter Information 1000,001 Septic Tank Capacity (gal)Polylok Inc /Zabel —Filter Manufacturer eser Concrete Products, Inc. 'Manufacturer 3014 525-1/16 10,000 GPD Filter Model Number Dose Tank Information Gallons/inch Calculator (optional) 650,OOj Dose Tank Capacity (gal) � ;Total Tank Capacity (gal) 17 00, Dose Tank Volume (gal/in) ! Total Working Liquid Depth Wieser Concrete Concrete Products Inc. Jmanufacturer �� gal/in (enter result in cell DoseTankVolume) Project: Osterhus 3 Bedroom Mound Page 2 of 16 Designer Input Cell Length (ft) 45.00 Dispersal Cell Length Required (ft) Are the laterals the highest point _ in the distribution I Y network? If N above, enter the elev_ati_o_n (ft)of the highest point. Does the forcemain drain back?� Y 8.13 ft2/orifice in. dia. 1.25 1.50 2.00 Selection Treatment Tank Information Effluent Filter Information 1000,001 Septic Tank Capacity (gal)Polylok Inc /Zabel —Filter Manufacturer eser Concrete Products, Inc. 'Manufacturer 3014 525-1/16 10,000 GPD Filter Model Number Dose Tank Information Gallons/inch Calculator (optional) 650,OOj Dose Tank Capacity (gal) � ;Total Tank Capacity (gal) 17 00, Dose Tank Volume (gal/in) ! Total Working Liquid Depth Wieser Concrete Concrete Products Inc. Jmanufacturer �� gal/in (enter result in cell DoseTankVolume) Project: Osterhus 3 Bedroom Mound Page 2 of 16 Mound Plan View W L ompon A 6.50 ft B 50.00 ft D 10.00 in ensigns E 12.34 in FP14.50 in G 0.50 ft 325,00 (ft2} Dispersal Cell Area 9.00 (gpd/ft) Linear Loading Rate D7*02 ft00 ft K 9.42 ft L 68,84 ft W 22.52 ft 776.10 (ft2) Basal Area Available 5.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section iew r GeoMat Dispersal Area f 12" ASTM C 33 sand as required for Geo Mat component Observation Pipe cr — GeoMat str uution Cell GeoMat+ 12"ASTM C-33 sand 103.19 Finish Grade --J--"z"—' 102.06 lateral Invert Elevation �%' �' 100.98 Dispersal Ceil , Elevation _.rrl� _ MNW In situ soil In situ soil Tff a ng ey Topsoil Cap 2 � Subsoil Cap 3 � ASTM C 33 s Aand (F) 1 0 STM C 33 sand (D) 5 Q Tilled Layer (i n Geo Mat 7. b; Tilled Area Forcemain Cover Material Slope 3.0 Contour Elevation 100.15 See details on page 4 for number, size, and spacing of laterals. Project: Osterhus 3 Bedroom Mound Page 3 of 16 laterals are identical All orifices point down & force main of PVC Sch 40 per Number of Laterals Lateral Diameter Lateral Length (P) Lateral End (Z) Lateral Spacing (S) Lateral Flow Rate System Flow Rate -Dose Tank n otma ton 4 1.50 24,70 NA 3,25 6.55 26.21 Force main connection via tee or i =Turn -up w/ball valve or Is cleanout plug Orifice Diameter in Orifice Spacing (X) ft Orifices per Lateral ft Orifice Density ft Manifold Length gpm Manifold Diameter gpm Forcemain Velocity I.l>lkiug cm'cl with Taming Inlul, locl.iug davii:e and �tnlcr tight senl Cleall oul Pipe Wires I' Sim /Tech Filter STF 100 1/16 I:Irarical Itic ac per `t1C ifNl and sips 31G?$ WLLi- __ dtl li leclric source Miss Stull alld %%Met At ti}!hl ga.Act (I li1•h wntcr alornt yf Punlp Oil float ` Punq+ oil' I lo;d Qimension Inches Gallons A 20.61 350.36 B 2.00 34.00 C 3,63 61,64 D 12,00' 204.00 MINTotaMIN650.00 0.1$8 2,60 10 8.13 3.25 1,50 2.68 d"Vcnled('occr ' __—_.I)ISC011lletl� Optional ball %jke i to control ill ctllueilt twin douvl 1Qi i VASI M.{pip. Ill ll u .•1 Into q', 7i fed.• w am � t�urnco �piuv c41 t.c I sl ft in ft2/orif in ft/sec ice ft Forcemain diameter 2 in. �-- I !I, 1 F! Pump off elevation (ft) 1 !Pump +�j 93.00 ti / Dose tank elevation (ft) t s:l u; I W41144 . " 92,00 Wieser Concrete Products, Inc. Ca acit 650.00 Volume 17,00 gal/inch ilter Manufacturer Si_m /Tech Fille F' rFilter Model Number STF 100 1/16 Alarm Manufacturer SEE Rhombus Alarm Model Number iAB Pump Manufacturer Zoeller Company _ _ Pump Model Number 98 Pump Must Deliver 26.21 gpm at 14.32 ft TDH Note: Switches containing mercury may not be used in this system. Project: Osterhus 3 Bedroom Mound Page 4 of 16 (I li1•h wntcr alornt yf Punlp Oil float ` Punq+ oil' I lo;d Qimension Inches Gallons A 20.61 350.36 B 2.00 34.00 C 3,63 61,64 D 12,00' 204.00 MINTotaMIN650.00 0.1$8 2,60 10 8.13 3.25 1,50 2.68 d"Vcnled('occr ' __—_.I)ISC011lletl� Optional ball %jke i to control ill ctllueilt twin douvl 1Qi i VASI M.{pip. Ill ll u .•1 Into q', 7i fed.• w am � t�urnco �piuv c41 t.c I sl ft in ft2/orif in ft/sec ice ft Forcemain diameter 2 in. �-- I !I, 1 F! Pump off elevation (ft) 1 !Pump +�j 93.00 ti / Dose tank elevation (ft) t s:l u; I W41144 . " 92,00 Wieser Concrete Products, Inc. Ca acit 650.00 Volume 17,00 gal/inch ilter Manufacturer Si_m /Tech Fille F' rFilter Model Number STF 100 1/16 Alarm Manufacturer SEE Rhombus Alarm Model Number iAB Pump Manufacturer Zoeller Company _ _ Pump Model Number 98 Pump Must Deliver 26.21 gpm at 14.32 ft TDH Note: Switches containing mercury may not be used in this system. Project: Osterhus 3 Bedroom Mound Page 4 of 16 0.1$8 2,60 10 8.13 3.25 1,50 2.68 d"Vcnled('occr ' __—_.I)ISC011lletl� Optional ball %jke i to control ill ctllueilt twin douvl 1Qi i VASI M.{pip. Ill ll u .•1 Into q', 7i fed.• w am � t�urnco �piuv c41 t.c I sl ft in ft2/orif in ft/sec ice ft Forcemain diameter 2 in. �-- I !I, 1 F! Pump off elevation (ft) 1 !Pump +�j 93.00 ti / Dose tank elevation (ft) t s:l u; I W41144 . " 92,00 Wieser Concrete Products, Inc. Ca acit 650.00 Volume 17,00 gal/inch ilter Manufacturer Si_m /Tech Fille F' rFilter Model Number STF 100 1/16 Alarm Manufacturer SEE Rhombus Alarm Model Number iAB Pump Manufacturer Zoeller Company _ _ Pump Model Number 98 Pump Must Deliver 26.21 gpm at 14.32 ft TDH Note: Switches containing mercury may not be used in this system. Project: Osterhus 3 Bedroom Mound Page 4 of 16 GeoMat Distribution Cell Media Layout 6.50 Cell Width {ft) 1.63 smewall to Lateral (ft) Distribution Cell Cross-section Arrangements Q Distribution Pipe With Pressure Lateral L.J Orifice Shield Turnup Enclosure — — — — — Pressure Lateral GeoMat is covered with approved geotextile fabric as per the their product approval. Distribution Cell Plan View Layout -Typical 6.50 Cell Width - A (ft) 50.00 Cell Length - B {ft) Center Connection Lateral Layout Diagram �.;� ,.... ..`.. ram.—.....� ..�.. ' � � ...�. ..... �.... ..._.� --1♦ I Sand Fill Recommended Distribution Lateral lr Orifice Shield .-- Pipe Dia. Approved Infiltrative Fabric t AMIA 31 L,I GeoMat Component Infiltrative Surface/Plow Layer O nervation pen tWaterTi¢ht=6 Toilet Flange Rebar Ints 10' Min i�indjo/Geo tall at - � Min L . JI- j;Ni,lF,� �a 1",fsrX111J.I; Ii'iclu 11OVA 11:An01Y, Topsoil Cap Q Subsoil Cap 3 � ASTM C 33 sand (F) a ASTM C 33 sand (D) 5 Q Tilled Layer G Q Geo Mat See details on page 4 for number , size, and spacing of laterals. Project: Osterhus 3 Bedroom Mound Page 5 of 16 Mound System Maintenance and Operation Specifications Service Provider's Name John Schmitt Phone1715J60-0486 POWTS Regulator's Name I St Croix Counter SPIA - Zoning Office Phone (715) 386-4680 Design Fiow -Peak Estimated Flow - Average Septic Tank Capacity Soil Absorption Component Size Type of Wastewater Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound 450 300 1000 325 Domestic System Flow and Load Parameters gpd Maximum Influent Particle Size gpd Maximum BOD5 gal Maximum TSS ft' Maximum FOG Maximum Fecal Coliform Service Frequency 1/3 in 30 mg/L 30 mg/L 10 mg/L 10E4 cfu/100 mL Ins ect and/or service once eve 3 ears Inspect and clean as necessary at least once every 3 years Test once every 3 years Should test periodical! Laterals should be flushed and pressure tested every 3 years Inspect for ponding and seepage once every wears Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials confon� to Table SPS 384.30-1, have a watertight cap and are secured in as shown in the Synergy Systems GeoMat Mound Component Manual Version 1, 2011. 2. Dispersal cell media conforms to GeoMat products approved for use with the Synergy Systems GeoMat Mound Component Manual Version 1, 2017. Media is covered with an approved geotexlile fabric. 3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn -up Detail 6-8" Diameter Finished Threaded Cleanout Lawn Sprinkler Grade \ Plug or Ball Valve Box Lateral Ends at Last Orifice Where Distribution Lateral 0.8 Feet �—i Long Sweep 90 or Two ~`45 Degree Bends Same Diameter as Lateral Project: Osterhus 3 Bedroom Mound Page 6 of 16 IVlound System Management Plan Pursuant to SPS 383054, Wis. Adm, Code General This system shall be operated in accordance with SPS 382-84 Wis, Adm. Code, and shall maintained in accordance with its' component manuals (Synergy Systems L.L.C., Geomat Mound Component Manual version 1, 2017, Pressure Distribution Component Manual Ver. 2.0 3BD-10706-P (N. 01/01) and SSWMP Publication 9.6 (01/81)j and local or state rules pertaining to system maintenance and maintenance reporting. Septic and pump tank abandonment shall be in accordance with SPS 383,33, Wis. Adm. Code when the tanks are no longer used as POWTS components, Septic or pump tank manhole risers, access risers and covers should be Inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48. Stats. The contents of the septic tank shall be disposed of in accordance with NIA 1131 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 as to 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 Wisconsin Department of Commerce. Pump Tank The dosing (pump) 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. if the force main has a weep hole, it should be noted if it is functional during pump operation, and if not, it should be cleaned. **"*No one should ever enter a septic or dose tank since dangerous gases may be present that could cause death. **** Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October -February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BODS, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD5, 30 mgvL TSS, 10 mg/L FOG, and 104 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 3 years. 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 4 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: Oskerhus 3 Bedroom Mound Page 7 of 16 it w 25 PUMP PERFORMANCE CURVE MODEL 98 0 20 1 I � 6 "_f— s U � 15 0 4 ..J _ .� I 10 2 5 0 10 20 30 LITERS 0 80 TOTAL DYNAMIC HEAD/FLOW PER MINUTE EFFLUENT AND DEWATERING MODEL 98 Feel Meters Gal. Liters 5 1.5 72 273 10 3.0 61 231 15 d.6 45 170 20 7,1 25 95 Shut-aff Head: 23 fl.(7,Om) OOB971 40 50 60 70 80 160 240 FLOW PER MINUTE CONSULT FACTORY FOR SPEC{AL APPLICATIONS Electrical altemators, for duplex systems, are available and supplied with an alarm Mechanical alternators, for duplex systems, are available with or without alarm switches 98 Series Control Selection Model Volta -Ph Mode Amps Simplex Duplex M98 115 1 Auto 9.4 1 q N98 115 1 Non 9.4 2 or 3 q D98 230 1 Auto q.7 1 4 E98 230 1 Non 4.7 2 or 3 4 SELECTION taUlpE 1. Integral float operated mechanical switch, no extemai control required. 2. For automatic use single piggyback variable level (loaf switch or double piggyback variable level float switch. Refer to FM0477. 3. See FM 1228 for correct model of simplex control panel. 4. See FM0712 for correct model of duplex control panel or FM1663 for a residential aitemator system. For information on additional zoeller products refer to catalog on Piggyback Variable Level Switches, FM0477; Electrical Alternator, FM0486; Mechanical Altemattx, FM0495; Sump! Sewage Basins, FM0487; Single Phase Simplex Pump Contrd, FM1596; Alarm Systems, FM0132. A CAUTION Alt installation of controls, p1ct���,u�.�1� 1;��,�r:e:= aad wlnng should be done 6y a uualified licensed electrician. AN electrical anti safety caries zhoukf he toliowsd +nciudir,g U1e most recent National E.iei:frical Cade (NEC) and the Utcupationai Safely and Health Mgt I,OSNAi. sxnoZ Variable level float switches are available for controlling single and three phase systems Double piggyback variable level float switches are available for variable level long cycle controls Refer to FM1922 and FM0806 for temperatures above 130°F isy assembly" np d disdlerge ppe not included.) {}PTIONA.I_ PUMP STAND PIN tG-2421 • Reduces potential clogging by debris. Replaf�s rocks or bricks under the pump. Made of durable, noncorrosive ABS. Raises pump 2' 08 bottom of basin, Provides the ability to raise intake by adding sections of 1 %' or 2' PVC piping. Attaches securely to pump. Accommodates sump, dewatering and effluent applications, NOTE: Make sure float is free from obstruction. RESERVE ROWEREtI DESiGtJ For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. -- NA1L TD: P.O. t30X 1 fi34 T Z J iJ�7��/�� � Louisville. KV 40156-0347 ManulaGurers of . � 0 /� C/Sil` SHIP TO: 3649 Cane Run Road � r LoulaviNe,1(Y 40211•r961 Q4eLvry PU,ka-s SNCE /9.99 www.zoeller.com /PUMP !O. (501) 77fAX (502) 7�4-03)624 AMP ©Copyright 2012 Zoeller Co. Ail rights reserved. �- t�-ose DOOldilt �3�td 9��b8-5Z�-008 05L45 IM 'NOOa N301VW OL 1.MH Sn 9tL£M Z \ � �anoa-lsod �3i.vo 00 00 00 �3tvo 31389U�� ����'� yen"vw �Ild3S w o •n3a \ �anoa-3aa „o-,t=w� t ��tvos doM ��.e NMvaO 2lW-059/OOOLdIM � `� J � o �� mo Q � �� .. W to a w W .-. o � N '^ r7. m V Q� �� � m y � Q W Z =U � a� � n. � Li r w � U `'' o�� a ¢ � a a H O ,� g� z t-. � Q � 0 1— w � 0.^, a i-- � � � �n � a °° o�� zz � \ W� 0 3 a > G W OQ QJV J� Q U �� U � a g o � Q n.o o m�ii ��ti oo � W z o� Y 0 a s U p O o a� � Q 4. O N � � 0 cii (n = w Cpli—NO��r�i �� AWN lD(� QUA- �� N �U N\t o��g ¢d f'"NQ N.- 04 � dam. Z� �O � W MR ���r��ir: � i v �Zv~i � � �\a wrn �� � �- � ••i"`,`•.. ••oozy �v~i �z� c� N w U ow �c.� � � vi . ono►-� ..30= o�C.t o�4, � o m a �' Xo N � � �3m��i��m�� a�tcaa a�� � z U �o �� o0 � z z r- � � o z �z � � o z z � o � �� v J Q W (n I a 1 r � o ��., o � � � � Z d' � a. W _ -t- '� — W i �� Y� (I i � . o 11 I C� I I ( �' I I I I '� i I I i I _J `�`� ( � I� 5 m i l I > w Ij � �'/ o� it � "$� � � � � �d I � I I a � m l i, „s I „�sti I ,�� o I I � �n� �� I I I I o Il��g�� � III W V x a M W z_ J Q Z „i-� � W ag32i _ Q „48 Sd „�bS t- L�.3L.�. TANK ANCHORING CALCULATIONS Tank Dimensions and Data s� Liquid depth below inlet invert (in} Maximum depth of soil cover (ft} Height iin} Length (in} Width (in} Tank Anchor Calculations 14940 � 1.51 Ibs Weight of tank and cover Safety factor Ibs Weight of anchor required in Soil cover req.for anchor or yd3 Concrete counter weight Page 11 Innovations in Aecist, Grauugt i westewafef PfaduLdfs PI -5ZS Filter lac 2ahel" A fhVIV00 of Pomok Inc. PL-525 Effluent Filter The PL-525 Filter is rated for 10,OOU GPD (gallons per day) making it one of the largest filters in its class. It has 525 linear feet of 1/16" filtration slots. Like the Polylok PL422, the Polylok PL-525 has an automatic shut-off ball installed with every filter. When the filter is removed for cleaning, the ball will float up and temporarily shut off the system so the effluent won't leave the tank. Features: • P.ated for 10,000 GPD (gallons per day). • 525 linear feet of 1/16" filtration. • Accepts 4" and 6" SCHD 40 pipe. • Built in gas deflector. • Automatic shut-off ball when filter is removed. • Alarm accessibility. • Accepts PVC extension handle. t'L-525 Installation: Ideal for residential and commercial waste flows up to 10,000 gallons per day (GPD). 1. Locate the outlet of the septic tank. 2. Remove the tank cover and pump tank if necessary. 3. Glue the filter housing to the 4" or 6" outlet pipe. If the filter is not centered under the access opening use a Polylok Extend & Lok or piece of pipe to center filter. 4. Insert the PL-525 filter into its housing. 5. Replace and secure the septic tank cover. [ L-52.5 Maintenance: The PL-525 Effluent Filters will operate efficiently for several years under normal conditions before requiring cleaning. It is recommended that the filter be cleaned every time the tank is pumped, or at least every three years. If the installed filter contains an optional alarm, the owner will be notified by an alarm when the filter needs servicing. Servicing should be done by a certified septic tank pumper or installer. 1. Locate the outlet of the septic tank. 2. Remove tank cover and pump tank if necessary. 3. Do not use plumbing when filter is removed. I. Pull PL-525 cartridge out of the housing. 5. Hose off filter over the septic tank. Make sure all solids fall back into septic tank. 6. Insert the filter cartridge back into the housing making sure the filter is properly aligned and completely inserted. 7. Replace and secure septic tank cover. 1%I6" Filtration Slog 10,000 GPD Accepts A" & 6" fJ� SCHD �� IV 40 pipe ( �= Alarm Switch (Optional) IF <" A�cept5 1PVC tension Handle Rated for 1U,000 GPD 525 Linear Ft. ofl/16" Filtration Slots Certified to NSFlANSI Standard 4G �� Gas Defl�ctur Automatic Shut -Off Bail Uuldour timartHlter p) Atarns Extend .� I nl. r"r Polylok, Zabel &Best filters accept Easily installs the SmartFilter� switch and alarn�. iota existing tanks. Polylok, Inc. 3 Fairfield Blvd. Wallingford, CT 06492 Toll Frcc: 877.76_5.9565 Fax: 203.284.8514 www.polylok.com Page 12 ARIJM1+ FILTER 1455 Lexamar Drive noyne City, Nil 49712 PRESSURE FILTER INSTALLATION & SERVICE INSTRUCTIONS 1'0l! free 888.999-329t) UQice 231-582-10211 Far 231-582-7324 L'mnit tinlc.;u eae-si i rYh cgn {Ve6+���� uJk �imtech Qom INSTALLATION: When installing an STF-100, screw filter into discharge port of any pump that has a 2" National Pipe Thread. Pumps with a smaller discharge port maybe adapted to fit. When installing an STF-100A2 a tailpiece and male adapter will need to be added to the inlet end of the filter (end opposite of the cap) to the desired height and a 2" union will need to be added to the outlet end (the end closest to the cap & on the side of the filter). Always install the filters in a position where they can be easily serviced. "Always use caution when starting threads to avoid cross threading". Plumb force main into the 2" sch 80 PVC union. **We recommend that the union remain together during gluing to insure that glue or cleaner does not ruin O-ring or sealing surface", i �` t�° ?�-r,ii�,rice, if a (check valv�i : it shDUV ;,ly be after the outlet of tip, SERVICE: Service of filter screen is dependent on usage as every system is unique. For most residential systems we recommend inspecting the filter within the first year to determine the necessary service intervals for the filter. In high volume systems we recommend inspection within the first 6 months to determine necessary service intervals for the filter. Once the service interval is determined it should be consistent unless something changes in the system. Always inspect the filter screen for any damage or corrosion and replace if necessary. If our STF-101 service alarm switch has been installed and adjusted properly it will alarm when the filter requires service. It should be serviced no less than when periodic pumping of the septic tank and pump chamber is performed. Servicing will be more frequent if using any one of our optional filter socks (600 micron, 150-190 micron, and 100 micron). Check your local health department for septic system servicing recommendations. If the screen becomes clogged before the periodic pumping requirements, a high level alarm or light will indicate the need for service, if system is equipped with a "pump on light" that stays on longer than normal, this also may indicate a need to service filter. To service filter screen, unscrew the 4" cap. Pull filter screen from canister and wash out thoroughly in appropriate location with proper protection. In some cases an additional filter screen allows quicker service allowing the dirty filter to be washed later at the shop. Note that in cold conditions the filter cap may be difficult to remove. Keep the filter in a warm area or pour warm water over the cap before removing. Once the filter is installed in the tank it maintains a stable temperature and removing the cap will not be a problem. If the system is equipped with our Service Alarm Switch, the filter screen does not need service until the Service Alarm Switch activates a light or audio alarm. We still recommend that the filter be inspected once a year for damage or corrosion. NOTE: The total dynamic head loss of the system must be increased by 0.5 feet of head to overcome friction loss through the filter. SERVICE ALARM SWITCH The alarm switch is available in three pressure ranges, low head, medium head, and high head. Installation is simple, on SIM/TECH FILTER systems, remove '/" plug from base of filter chamber and connect tube fitting. Next, run the tube up into the tank riser and connect to service alarm switch. The alarm switch is fastened to the side of the riser via the nylon strap provided. Run alarm wire to alarm box. The service alarm switch can be wired with its own alarm or with the high water alarm. Pressure adjustment is made by removing the end plug, and inserting the 7/32 alien. Clockwise increases pressure. One turn equals approximately 3 PSI. The low head alarm switch comes factory preset at 8 PSI and is completely field adjustable within it's range (3 to 24 PSI). We recommend the use of a ball valve when using an alarm switch. Once you have installed the filter and alarm switch, the ball valve can be closed off to simulate a plugged filter so that you can make sure the alarm switch is working correctly. **"*TRY OUR LID/SCREEN REMOVAL WRENCH. Our wrench holds filter lid firmly and hooks screen for easy removal and installation. Made of PVC plastic. WARRANTY All products are warranted against defects in material and workmanship for a period of two years from the date of purchase. In no event shall GAG SIM/TECH FILTER, INC. be liable for any consequential damages or any labor, material, freight or expenses required to replace, correct or reinstall the product. GAG 51M/TECH FILTER, INC.'s liability is limited to repair or replacement of the part. All warranties are void if the product has been improperly modified, applied or installed, subjected to misuse or abuse. Except as stated herein, there are no warranties expressed or implied, including the warranty of merchantability or warranty of fitness for a specific purpose. EFFECTIVE September 13, 2005 Page 13 STATE BAR OF WISCONSIN FORM 2 - 2003 pOCUment Number This Deed, made between Thoodore L.. Mackmilier and Renate Mackmiller, husband and wife (Grantor), and Scott D. Qsterhus and Nicolie C. Qsterhus Gunnfaugsson1 husband and wife, as joint tenants (Grantee). Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate together with the rents, profits, fixtures and other appurtenant Interests In ST. CROIX County, State of Wisconsin. SEE ATTACHED EXHIBIT A 1091187 BETH PABST REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 10/25/2019 0302E PM EXEMPT#: REC FEE 30.00 TRANS FEE 1r274.7D PAGES: 2 he above recording information verifies that this document has been electronically recorded & returned to the submitter Name &Return Address Burnet Title 5151 Edina industrial Blvd. Edina MN 55439 2134t�19-11267 D3o-z000-7a000 Parcel identification Number (PINj This is o homestead property. Exceptions to warranties; rnunfcipai and zoning ordinances and agreements entered under them, recorded easements for the distribution of utility and municipal services, recorded building and use restr(ctiens and covenants, present uses of the Property chat violate the foregoing where such violations were disclosed by Grantor in its Real Estate Condition Report and in Grantee's purchase contract, and genorai taxe levi d i the year of I sing and thereafter. Dated thls �. ►� day of , 207t AUTHENTICATION ACKNOWLEDGEMENT Signatures) State of WtscanUoosinr Jr } 1t SS. Authenticated this day of _ County of Til'LE: MEMBER STATE BAR OF WISCONSIN (if not, Authorized by §706A6, Wis. Stets.},,,.,»""""'^� G Ho 00*0 THIS INSTRUMENT WAS DRAFTED BY`'�,`��"� �(�°••, BurnetTitie•Andrea Noble, 5161 EdlnaJhdiit (351 1vf3.�BAO; Edina, 55439/2134019A V67 {� All 5 A U B\,.�G F � cS>� •, p/4to to � ............•.�G�� , -•,., OF iNl re /P r ",n���11y came bstarp a this � day of V(�o,Uy.I..rJt 2fl / �, the above named Renate Mackmiller as Attorney in Fact for Theodore L. Mackmiller, husband of Renate Mackmiller and Renate Mackmiller as wife of Theodore L. Mackmiller, to me known to be the son(s) who executed the rage ping instrument and aeknowledoed the safle.., / /i/ t/1 Notary Public, State of Wisconsin � ���� My Commission (ie-petmrrnetj (expires: OF (Signatu s may be authenticated or acknowledged, Both are not necessary) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO TNlS FORM SHOULD BE CLEARLY IpENTIFiED WARRANTY DEED � 2003 STATE BAR OF WISCONSIN FORM N0.2•2003 St. Croix Coun�ye169q1�7 Page 1 '072 Page e 15 61 ('ROIX COUNTY SEP•ric TANK N'IAINTENA\NCG :1GRLoAF.h•IF:NT AND OWNERSHIII CM1114IC'A'rION FOR Nol Owner/Buyer Scott & Nicolle Osterhus NIailing Address 8680 Harrow Ave N, Forest Lake, MN 55110 Proheny Address 1304 53rd Street _ : — {Verit'Ic:llunl rmlu:red from Nlunninl %onl::� I)rl�arlrltent li\t Ilea' cun.vrn,ctuln) i City/slate Hudson, W1 Idenli(icatiun Number PloPetty Location N'V 1/{, NW . n I/a :sec.3 IT 30 9 _n R tit•. ► t)V; Il Uf StJoseph F' Subdivi.ion Flat. ('certified tiur�•r�'l1IaP;� lQg�$� �4arlt�nty need Lot 1 1 Volume 30 , Page I'1 _ (before 2047)Volume _ _, Page :�� Lut lines Iden►iftable (]yt:a[]no SYSTEti[ ,�•ratnTLv,1�cf~. ,�vn owNLtz cFu'r[F[Ca•r[or Ilt:,,lt,l,er hC ;,: ul 11 III !t Il i+ l •+I 1 ul r ?a11llt. 1% $ll'n1 tetllt+) I441,1111 III 11N 1'rdlll'll'rre !iI:1lL'C' tt, lIJI1JJe tl,nlr� 1'IPprr titalll'caat:c� t„ll�l�l nl 1'tlt I I 11 I i.IIIt 4Y�11'tiller �ratial �l,l`IICr 11 t:rrJCa11 !tC 114 ki" 1,& plllllprr illllift t'bllglutIntel :Lr ilatett...111 .111ed lilt: 11111, 041 to, III. •••.'l tit Lll.n .1, ll l:eallilrul "NLll:r:n I! t Jl.,J';,Nall sl.frlI) t>r,rltot rllalliterldrtee Ietitt+.!11 •ItV.11_�'� all" ,j+l'.11101 II. `.`1'ti ' i t ?✓ 1 +.r t: :I t 1ntl,lr: 1_t • 1I (Iclt\ C I,Illltl 1,III11wIY t>1.11II9rlt,` I 'u' (d.9":.'t I', ::•.N . +. � •11'tlllll l.: `I + I,'I'\ (•. +'l:.It ttllllltltll�,w r+`IIIIIL.!el,.l: 'lllrll. .t t.'111:1.J`!t t: ,�+,';:: �IC[IICJ hf, fill' ++�Ual i1:ul I.'. .I II..I'• ,+Illli.l '+ I I�'I L.' 1. 111 11111U11't'I Iv'+ 11. 1t`t1 ,', 1111'Cr ilr .l �h".'ll••rtl ('111111�;1 �e111111 r•; Illill l � l f;+t' Ull-vltt` 1Y:Itill•�1;;;t: I_I�l ,t •.lClt: 1f1 :''I tot 1'I. '.tilt_'In..h�Yl .IIU!i+: +:' .:IICf tl)til,'.1:.+1t WIC111t1111)II11t ll: frrrt'„dtl ), Ilk• �Ittl:. (:i(I�' Isto I �tot t, ..0' I:• i....,fill :t:}illl% II1., �t; 1.'.' L_+III:IIflltal2lllt i (i6'QtC tiNa�CtilvllP,wgl c15t1'ttl allil Ills titar.r,�11:1;;c1 J+t:111 I1.' t.ul .r. ,.' t:•. i I. II+; :: �++! a,liclti :\n.J I'I+�:c.�r+u.tl �,nl::s;1:'d Ill.• 1)r11;I:t:rrat,lt \'.:haul E;eu+urx; S;iilc + ; l.\ IKII:1 d•I i 4't I. 11; .I.+r a. .( t. . "+ 1 4', XICIII I t•t•11 " kill)' Illlt'J ::.11�( Ul' CLUIIJ+a :eu .Itl.l c"t'ttllllrtl tU 121 sl Lri11\ t 1,i1111S 1+..11llu{. t� III kill I it"j' •!U IIII'! . • I a;l +:: alite ''+ !Ile ±+c,1 nl, .'t+ .t N i.'++I�cI ,'.' (r5t4; I AII'IUC tI:C to' Milel(5) of the 1>Il,jic:h acsi:ll�.�i .l!,:t I , •, 111,.r �.I .I •...11, . , .n,�,t �•t :ttl:r,',;,+: I�iCd, llll.t:i Number of betlrt►nntx 4 ti!(i\.1't1 k! tlI \PPIPICAV•I(s) DATE In I11,• >:nllll.n' limmi tieing rooked by the Plan::alp \ /.l lrlJ I):p.utmanl * ' L,tIl.�r .",�II' L-,+In tlltom :tcl:uh•1 clt ikctiis Olii:c Wild a 1•t,l.��he �rllltica �ut��c1' stulp t! Page 14 STATE BAR OF WISCONSIN FORM 2 - 2003 WARRANTY DEED Document Number This Deed, made between Theodore L. Mackmiller and Renate Mackmiller, husband and wife (Grantor), and Scott D. Osterhus and Nicolle C. Osterhus Gunnlaugsson, husband and wife, as joint tenants (Grantee). Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate together with the rents, profits, fixtures and other appurtenant interests in ST. CROIX County, State of Wisconsin. SEE ATTACHED EXHIBIT A L091187 BETH PABST REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 10/25/2019 03:28 PM EXEMPT#: REC FEE 30.00 TRANS FEE 1,274.70 PAGES: 2 **The above recording information verifies that this document has been electronically recorded & returned to the submitter Name &Return Address Burnet Title 5151 Edina Industrial Blvd. EdOr ina, MN 55439 2134019-11267 030-2000-70-000 Parcel Identification Number (PIN) This is not homestead property. Exceptions to warranties: municipal and zoning ordinances and agreements entered under them, recorded easements for the distribution of utility and municipal services, recorded bung and use restrictions and covenants, present uses of the Property that violate the foregoing where such violations were disclosed by Grantor in its Real Estate Condition Report and in Grantee's purchase contract, and general taxe le d i the year of elpsing and thereafter. Dated this Z L day of 20 . AUTHENTICATION Signatures) Authenticated this day of TITLE: MEMBER STATE BAR OF WISCONSIN (If not, Authorized by §706A6,Stats.) """"'`" • ,,, `'r; C. HOt� THIS INSTRUMENT WAS DRAFTED B"(',J>; .• ""'"" •.. ` Burnet Title -Andrea Noble, 5151 Edina FndlNt(iai Blvd.0; Edina, 55439/2134019A 1267 i PUBoc) z �` G as Attorney in Fait for Theodore L. EAL) ACKNOWLEDGEMENT State of Wisconsin � } E SS. County of b P r n Ily came befor a this _� day of .i-�t 20 71, the above named Renate Mackmiller as Attorney in Fact for Theodore L. Mackmiller, husband of Renate Mackmiller and Renate Mackmiller as wife of Theodore L. Mackmiller, to me known to be the son(s) who executed the fare sing instrument and acknowledged tFre safie. 1/7 Notary Public, State of Wisconsin My Commission (is-ptxt'rfi2rm3#) (expires e 4?lzez3 (Signatures may be authenticated or acknowle dged. Both are not necessary) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED WARRANTY DEED ©2003 STATE BAR OF WISCONSIN FORM N0.2-2003 *Type name below signatures, St. Croix County 1091187 Page 1 of 2 EXHIBIT "A" Legal Description File No. 2134019-11267 Lot 1 of Certified Survey Map recorded in Volume 30, Page 6700, as Document No. 1088853, located in Government Lot 3, Section 28 and in the NE114 of the NW1/4 and in the NW1/4 of the NW1/4 of Section 33, atl in Township 30 North, Range 19 West, Town of St. Joseph, St. Croix County, Wisconsin. St. Croix County 1091187 Page 2 of 2 U O CERTI FI E� S V RVEY MAP LOCATED IN GOVERNMENT LOT 3, SECTION 28 AND IN THE NEi/4 OF THE NWi/4 AND IN THE NW1/4 OF T7-IE NWi/4 OF SECTION 33, ALL IN T30N, R19W, TOWN OF ST. JOSEPH, ST. CROIX COUNTY, WISCONSIN. NLEGEND sa ST. CROIX COUMY SECTION CORNER POSITIONED ' FROM COUNTY COORDINATES. POSITION VERIFIED WITH MONUMENT AS NOTED OR TIES OF RECORD I� I p �� I� ■ I_rn I� � Iol"' I . IQI� I.�p I� � (cp O.H.W,M �\ I IC !� \ \ �� � 589'39'1 E \� 2� � —� 94.35' � z — _ \ \ �\ 4'E �� �o �� c� �n N C �� z� v� c7 O � e �, x � -� 3/4' X 1 B' IRON REBAR SET WEIGHING 1.50 LBS. PER LINEAR FOOT 3/4' IRON REBAA FOUND 1 1/4' IRON PIPE FOUND 1' IRON PIPE FOUND COMPUTED POSITION (NOT MONUMENTED) APPROXIMATE ORDINARY HIGH WATER SHOWN FOR REFERENCE ONLY. PERCH LAKE ONv.ItJ`• WATER EI.EV. = 774.51' �- JULY 15, 2019 r�O�p,Jij6Jc°� SE�� LOT 1 � ASS\ 355.OT O � , ���r 0 .��� �m v \ II �Q c�Q� `� y �N�YS�r9ry \ ro � � � r4���ria \� GARAGE r• \ � /,� CO,��„ N.oj�\ '.t9� .c LOT 2 ��O � oF� TO O.H.W.M. INC. R/W 9iyF9 4.08 ACRES± / 177,838 SO. FT.± °' � � �' "' n; >o TO O.H.W.M. EXC. RAN � o.'� � �-�' � � z 3.68 ACRES± / 160,535 SO. FT.± ' m -n8 � �m �v r on � � � m i �� y �OT I > >q' >v A Z ` � G � � C� O m O �ww IC �� O N � �al� ! m �. � l O l t � � Q 1 � � O I�'� l � � I�lo m `° ��a I� o o � � � � mn t � � � z O � � m m y S' y I UNPLA7T � �i OWNER THEODORE AND RENATE MACKMII I F 441 STAGELINE ROAD, APT. 285 HUDSON, WI 54016 ❑W �/1111/ �S�� �• � qy ,� � ;. �..�' wt .' ���i� SU R; E;���� (R-EAST 357.4� N90'00'00'W 355 6T I '� t�tl �' Z m�I� A � O� � m� � 2 m A O 1 m ED LANDS I UNPLA_TTED LANDS #449457 I DOC. #438.905 SURVEYOR R EDWIN C FLANUM NORTHLAND SURVEYING, INC. P.O. BOX 152 AMERY, WI 54001 1088853 BETH PABST REGISTER OF DEEDS ST. CROZX CO., WI RECEIVED FOR RECORD 09/19/2019 02:36 PM CERTIFIED SURVEY MAP VOLUME: 30 PAGE:6700 REC FEE: 30.00 PAGES: 2 ANY LAND BELOW THE ORDINARY HIGH WATER MARK OF A LAKE OR A NAVIGABLE STREAM IS SUBJECT TO THE PUBLIC TRUST IN NAVIGABLE WATERS THAT IS ESTABLJSHED UNDER ARTICLE fX, SECTION 1, OF THE STATE CONSTITUTION. � I�I��o I�I;Tjly LOT 1 AREA TO O.H.W.M. INC. RAN 1.20 ACRES± / 52,060 SO. FT.± �i (�I�I� m (w � � I � SW CDR. SEC. 28 TO S1/4 CDR. SEC. 28 � INI S89°39'ia•E 25s2.o1' 3 Fi RIGHTS OF INGRESS AND EGRESS OVER EAST 20' PER DOC. #302204 (SEE NOTE'A� M O Si/4 CDR. SEC. 28 / N1/4 CDR. SEC. 33 F�G� MASONRY NAIL FOUND S89'39'14'E 1261.42� ��� � DETAIL — — — � � I � � (NOT TO SCALE) ( i SEC. 28 I N89'39"14"W sEC.33 I I � � 0.92' I � vt RIGHTS OF INGRESS AND (--� 20' EGRESS OVER EAST 20' PER ( \�i _ _ DOC_ #302204�SEE NOTE'A� � \\ Op UN,oL9 \� �7JF� A \ � �S�,p�Os+ F o � \9cti � � �'Q9c�< � Fa"i � � \�`� � `'` nn � _ --� O �, ,�N. me �� OTm 4 1' z A. �m� ov �oi'1 9�� i � � � m � � O A m �^��� nOm m m �� m 0 O m T �� z ��z p z� v � O h m � ��I� Zmv� � v�v� o � � $c�i� � _ ��'� o� I�Im ���� �cZiz ao � m � a, O �a�ol� ���� �� 1 �� I� mm �0 � INSTRUMENT DRAFTED BY EDWIN FLANUM p c JOB NO. 19-79 DWG - CSM m o � DRAFTED: 8/OGJ19 -FIELD: 8/08/19 j o SCALE IN FEET 1' = 100' I °D, O 100 200 ~_J � SHEET 1 OF 2 SHEETS 30- (o�C70 i St, Croix County 1088853 Page 1 of 2 i r Csj-a()19 06� oS ! SOIL EVALUATION REPORT p S in accordance mirt Corlr.t 85 '.1is Cage Professional et;1JIG{i�19 N0V bb LL�� Attach complet srle plan on paper not less than 8'4 x i 1 !nrhes in size clan muss include. but not mited to vesr�t d�++ �C11Rt�hrrtal of rence point ,BMi d rection and percent slope s ale or ar5';3,, ity �t1b9W0p tin lccatjon and alsianlPI to nearest iea ' un Co print all information, ; f erPPt, 1 :nrG'm a U;;r. you (7':.: ,7: roar t" . se' -.. " , . �V'• Property Owner Pn,p� n.� . ncaUon Mackmdler Theodore Property Owne is Mailing Address r. E4jjI : r 1304 53rd Street N 44004 �aqe i of 4 Scnm;it 5oll Testntq inC �-,rota L a!F r A �Vr1r4'hlli�S3 T3UN R19trb' surd warn r -i%, 11 City Slate Zip Code Phone Number C:rt� : �Iled2 rov>n Nearest R.-a<1 Hudson i0M 54016 St Joseph 53Rd Street J Hew ConslruCtrnn Use Res" 1eritial Numher :,t hcotonms / ;e: •1e,ivei ;tes,gr, Nine% vale 600 Replacement Pub is or commercial - Describe Parent material Udifluvents- Sandy Sediment rFI Glair eNevatrrin if 3ophcan' 92 General comments Lrea;s �tpratrlH 1C? :f'PO,I,r°?yFt"f'i rid recommendations factt:r,s !�' t^ .'•i arFa i . Boring # Boring ✓ - Pit .,round surface elev 100.25 (; Deptn to !,mrting factor r• �,;o zp;,.�cahr,n f;atr Horizon Depth Dominant Color P.edor Description Texture Structure ._;unstslr:nce Eo,,riclary Roots GPD411 in Munsell Ciu Sz Gent Goior i�r � . raa+ rrrtt, 1 0-17 10yr31'3 none sit ?,';I':it n-rofr ,,; 2m,, 1 17-27 10yr3/4 none Ifs lcsbk 11"1vir 6P ?m,:'vt u.5 3 27-61 10yrG14 r"� ?.5vrn, �' INS Dsg mi Cs �'vf t�.5 1 C! 5yr6i2 <I 61-69 10yi-0 4 WATER PRESENT f5 0sy 1111 Boring _ F21 Bortn� Pit Ground surface elev 100.15 t' Depth to u,114rng far -tor 8 nSoil Apphcapc,n Rate Honzon r?eptn Dominant Color Redox Description Texture Structure Consstence Bu ,ndary Pools GPD:fv In MunseR Gnu Sz. Cont Color Gr Sz Sh 'Effat •EI`A q 1 0-11 10yr3%3 none sil 2mgr mvfr as 21n,2vf 0.6 O.r, 2 11-18 7.5yr514 none Ifs Icsbk nrvfr av+ 18.36 10yr5/3 m%[> 7.5yr6'6 sit 2msbk r-nfr qv� 2v"f 06 0.8 - 4 6-42 10Y r5i 12 n`�D 7.5,�ry;le Ifs I(-5bk Invfr 0 5 1.r1 J:7yrE't It Effluent k 1 = BOD. 30 < 220 mgiL and TSS >30 150 nI ' Cf.:e1) i' = Co0D. = 3:. mq'L ana T5S : mg L CST Name (P!ease Print) Slprature CST tdumber Thomas J Schmitt 227429 Address Schmitt Soil Testing. Inc irate Evwuatu'm (,onduCle:1 Telephone Numhel 15L6 '2nd St New Richmond V:r1 54017 1017 2019 715-760.1878 Plackrr €ll r, Fk2E�dor y L3 P.i t.��E�rd���cf sor r>1.F �.ie�. Id (� 7 ei F ,11 3 eats FI( ��IC Uiit :'aUtidCe 4, ''vy if {(' _ ( t _tfom. .... n iu saoe� I- , - County `��ARYA�F4TO _ �� I � �'L,� �D Industry Services Division St.Croix � D �j V 1400 E Washington Ave S Sanitary Permit Number (to be filled in by Co.) P.O. Box 7162 y�� s t16 2019 Madison, Wl% 5�707 / /'j 7 - �� N�� o � �� f7162 / (p / / "rss�ox �' _, < i St. Gr�%I:gn� rmit App�icati ; State Transaction Number In accordanc withp�Pl5Y98�3!L`[(1���i�s�.—PAdni:'�de, submission of this form to the appropri� ov �nmental unit pWTS-101902332-C is required prior tzf olifaining a sanitary permit. Note: Application forms for state-owned POWTS aze sttbmitted to the Depaztment of Safety and Professional Services. Personal information you provide may be used for secondary Project Address (if different than mailing address) u oses in accordance with the Privacy Law, s. 15.04(1) m), Stats. 1304 53� Street I. A lication Informa on —Please Print All Information Property Owner's Name ` Pazcel # Scott & Nicolle Osterhus Property Owner's Mailing Address Property Location 3 ' (1 . 18680 Harrow Ave N. Govt. Lot NW %<, NW %<, Section 33 City, State Zip Code Phone Nwnber Forest Lake MN 55110 (circle one) , T30N R19EorW II. Type of Building (check all that apply) Lot # ®1 or 2 Family Dwelling —Number of Bedroo � 1 Subdivision Name NA ❑Public/Commercial— escribeUse Block# ❑ City of ❑ State Owned —Describe �c ❑ Village of • � �� SlytNumber o�gS3 � I ®Town of St. Jose • J 1 III. Type of Permit: (Check o n line A. Co plete line B if applicable) (a � A• ❑New System ®Replace t System ❑ atment/Holding Tank Replacement my Cher Modifica n to � ng System (explain) B. ❑Permit Renewal ❑Permit Revision ❑ hange of ❑Permit Trans r to e List Previo it umber and Date Issued Before Expiration Plu ber Owner IV. Type of POWTS System/Component/Dev e: hec 11 p d (� ❑ Non -Pressurized In -Ground ❑Pressurized In-Groun At- d o . of sui bl nd < 24 in. of suitable soil ❑ Holding Tank ❑; ther Dispersal Component (explain) L rce (e a') m � �� d � >r'C�' V. Dis ersal/Treat ent Area Information: Design Flow (gpd) �j Design Soil Applicatio Dis al Area Required sf) D' er a oposed (st) System Elev on �� � 600 � Rate(gpdst) 1000 1 100.98' t/ ;' 0.6 VI. Tank Info Capacity in Gallons To # of M ufacturer .c °: ca o ° � U � 1-i N �Y New Tanks Existin arks Gallon Uni I� �, A $� � o w U � � cn ,a � w C7 c`� a I IL.. �, Septic or Holding Tank 1200 1200 1 Wieser Concrete � ® ❑ ❑ ❑ Dosing Chamber 800 800 1 Wieser Concrete ® ❑ ❑ ❑ ❑ VIL Responsibility Statement- I, the undersigned, some responsibility for instal ion of the POWTS shown on the attached plans. Plumber's Name (Print) Plum Si tat MP/MPRS Number Business Phone Number John Schmitt Z/%7 223760 715-760-0486 Plumber's Address (Street, City, State, Zip Code) 586 Valley View Trail, Somerset, WI 54025 VIII. un /De artment Use Onl Approved �Hisapp _ Permit Fee =- Date sued Issuin gent Signatur ❑ r Given Reason'for Denial � G5 a ' � i �Z � IX. Cott�l��t�i�s�t����al/Reasons for Disapproval \ �1,��� �� � ,_n 1. eptic tan effluent filler and � 1,I` u"G.. , J dispersal cell must be serviced /maintained `�, r as per management plan provided by plumber. Q,(� 1 2. All setback requirements must be maintained as era licable code/ordinances. a. `� Attach to complete plans for the system a�nd�submit to the County on on paper not less than 8 1/2 x 11 inches in size �. G �- SBD-6398 (R03/14) i✓`� \"" SYSTEM PLOT PLAN Project Name; Mackmiller Mound Project Address: 1304 53rd Street BM1 Symbol: BM Description: BM Elevation: 100.00 Garage floor in front of north east garage door BM2 Symbol: BM Elevation: tot.3o' BM Description: Front doorsill on house Slope Gradient of Tested Area: (3%) Well Symbol (if applicable) Notes: Notes Design Flow: soo gpd Attach design flow calculations for commercial plans: Pipe Materials / ASTM Standard Tables 384.30-3 & 384,301,5 4" SCH 40 PVC ASTM- D2665 2" SCH 40 PVC ASTM-D1785 1 'SCH 40 PVC ASTM•01785 PERCH LIKE Q�o4o � NWrL Property line Property Iine i 96 WPLt2o01800•MR SEPTICIDOSE TANK I EXISTING SYSTEM TO BE A3ADONED SEF DRY WELL V DRY WELLO 100' 2' SCH 4tl ' PVC FORCE MAIN HOUSE pM2 gRIVE`NAY Scale: 1" = 50' 0 50 75 100 /j 12 5' CONTOUR UNE EL.= 1Q0 t5' SHED 0 BE REtAOVEDI m r �700 3\PE ■ 33 \\\ 23 66•x78 8 MOUND W1 OPhlH ` \ 65'X60'GEOMATCELL 0 n 15' No Disturban area October 22, 2019 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 2021-10-22 Plan Review: PWTS-101902332-C JOHN SCHMITT 616 1501h Avenue Somerset WI 54025 SITE: Theodore Mackmiller 1304 541h Street St. Croix County Town of St. Joseph NW %- NW %-S33—T30N—R19W FOR: DIVISION OF INDUSTRY SERVICES 10541 N RANCH RD HAYWARD WI 54843-6462 Contact Through Relay /!d s p s. w i. g ovt p rog ra m s/industry-service s www.wisconsin.gov Tony Evers -Governor Dawn Crim - Secretary C011'DITlOA'ALLY APPROVED DEFT OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES Ci � Q*�; SEE c0 kESPONDENCE Description: GeoMat Mound Component Manual —Edition 4 Bedroom GeoMat Mound — 600 GPD — 1, 2017 Replacement - 14" to limiting factor— Pressure Distribution Component Manual — Ver. Effluent Filter - Maintenance required 2.0, SBD40706-13 (N.01/01, R. 10/12) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders • The mound site shall be properly prepared prior to plowing. Any grasses longer than 6" shall be cut short and removed. To avoid matting, any leaves or loose organic matter shall be raked up and removed. Cut trees and shrubs flush to the ground and leave stumps. Avoid operating equipment on the mound site. If necessary, use only tracked equipment, during dry conditions, with minimal passes, to avoid compaction. • 22" of sand shall be installed between the contour and the bottom of the GeoMat product. • Two effluent filters are required to be installed. • The existing system shall be properly abandoned per SPS 383.33 • The building sewer shall be installed/insulated per SIPS 382.30(11)(c) • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 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. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. • 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 • The current owner, and each subsequent owner, shall receive a copy of this letter. Owners shall also receive a copy of the appropriate operation and maintenance manual(s) and be responsible for ensuring that POWTS is operated and maintained in accordance with this chapter and the approved management plan under s. SPS 383.54(1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • 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. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, CeCe (Elizabeth) Rudnicki Wastewater Specialist/POWTS Plan Reviewer, Division of Industry Services (608) 400-3186 elizabeth.rudnicki@wisconsin.gov GeoMat MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Owner Info Project Name. Owner's Name: Owner's Address Property Info Property Address: Legal Description: Township Subdivision Name Lot Number Parcel I.D. Number Plan Transaction No. Index Pages INDEX AND TITLE PAGE Mackmiller 4 bedroom Mound Theodore Mackmiller 441 Stageline Road Apt 285 Hudson, WI 54016 1304 53rd Street Hudson, WI 54016 NW NW St. Joseph NA 1 Pending S 33 T 30 N R County: St. Croix Block Number: Page 1 Index and title Pae 2 Data entry Page 3 GeoMat mound drawings Page 4 Lateral and dose tank Page 5 Distribution media Page 6 System maintenance specifications Page 7 Management and contingency plan Page 8 Pump curve and specifications g John Schmitt Date: 10//15/19 Signature: ` Orr/l/ILLS Designer Sta , p. Designed Pursuant to the CSM#: 19 W Page 9 Tank cross sections Page 10 Site Diagram Page 11 Tank Anchoring Page 12 Effluent Filter Specs. Page 13 Pressure Effluent Filter . Page 14 Maintenance Agreement Page15 Deed Page 16 CSM License Number: 1927-7 Phone Number. 715-760-0486 CONDITIONALLY APPROVED DEFT OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SEE CO RESPONDENCE Synergy Systems L.L.C., GeoMat Mound Component Manual (Edition 1, 2017), (N. 4/17), SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01181) and PressurF Distribution Component Manual Ver. 2.0 SBD 10706 P (N. 01/01, R. 10/12) GeoMat Mound Edition 1, 2U17 Page 1 of 16 Moun(I and Pressure Distribution Component Design Desim Site Information R Residential or Commercial Design N ISD Required! 400.00 Estimated Wastewater Flow (gpd) 1.50 Peaking Factor (e.g. 1.5 = 150%) 600.00 Design Flow (gpd) 100 Site Slope M 100.16 Installation Contour Line Elevation (ft) 14.00 Depth to Limiting Factor (in) 0.60 In -situ Soil Application Rate (gpd/ft) 120.00 Contour Length Available (ft) Distribution Cell Information 6.50 Cell Width (ft) r 9 7;� Only 2.00 Dispersal Cell Design Loading Rate (gpd/ft) 2 Influent Wastewater Quality (1 or 2) Pressure Distribution Information C Center or End Manifold 4 3.25 9.06 2.12 14.93 52.76 69.07 31.46 System Head (ft) x 1.3 Vertical Lift (ft) Friction Loss (it) Total Dynamic Head (ft) 5x Void Volume (gal) Minimum Dose Volume (gal) System Demand (gpm) Diameter Selection Lateral Diameter Selection i. dia. o lions choice 0.75 1.00 System Head (ft) x 1.3 Vertical Lift (ft) Friction Loss (it) Total Dynamic Head (ft) 5x Void Volume (gal) Minimum Dose Volume (gal) System Demand (gpm) Diameter Selection Lateral Diameter Selection i. dia. o lions choice 0.75 1.00 x x x x x x 1.25 1.50 2.00 3.00 Manufacturer Information 60.00 Designer Input Cell Length (ft) 60 00 Dispersal Cell Length Required (ft) Are the laterals the highest point in the distribution Y network? If N above, enter the elevation (it) of the highest point. Does the forcemain drain back? Y � 8.13 ft /orifice Treatment Tank Information Effluent Filter Information 1200 00 Septic Tank Capacity (gal) Polylok Inc./Zabel Filter Manufacturer Wieser Concrete Products, Inc. ;Manufacturer r.3014-525-1/16-10,000 GPD Filter Model Number Dose Tank Information Gallons/Inch Calculator 800.00 Dose Tank Capacity (gal) Total Tank Capacity (gal) 22.24 Dose Tank Volume (gal/in) I Total Working Liquid Depth (in) Wieser Concrete Products, Inc Manufacturer �� gal/in (enter result in cell DoseTankVolume) Project: Mackmiller 4 bedroom Mound Page 2 of 16 Mound Plan View 1 1/10 B Observation Pipe _ K - -- - A B v I i L Mound Component Dimensions Down siope toe extent �V A 6.50 ft E 12.34 in H 1.00 ft K[Aft ft B 60.00 ft F 14.50 in 1 10.17 ft L ft 0 10.00 in G 0.50 ft J 7.00 ft W 390.00 (ftZ) Dispersal Cell Area 10,00 (gpd/ft) Linear Loading Rate Mound Cross Section View 1000.00 (ftz) Basal Area Available 6.00 (ft) 1/10 B Obs, Pipe Placement GeoMat Dispersal Area Observation Pipe 12" ASTM C 33 sand as GeoMat required For Geo Mat Distribution Cell component GeoMat + 12"ASTM C-33 sand 103.19 Finish Grade —J 102.06 Lateral Invert Elevation 100,98 Dispersal Cell Elevation Forcemain In situ soil In situ soil Shading Key ow Topsoil Cap n Subsoil Cap 3 � ASTM C 33 sand (F) J ASTM C 33 sand (D) 5 Q Tilled Layer 6 Geo Mat Cover Material Slope Contour Elevation See details on page 4 for number, size, and spacing of laterals. 3.0 100.15 Project: Mackmiller 4 bedroom Mound Page 3 of 16 Center Connection Lateral Layout Diagram laterals are identical I._-X_ All orifices point down [l'' & force main of PVC $ch 40 Number of Laterals lateral Diameter Lateral Length (P) Lateral End (Z) Lateral Spacing (S) Lateral Flow Rate System Flow Rate Dose Tank Information 4 1.50 28.75 NA 3.25 7.86 31.46 Force main connection via tee or • =Turn -up w/ball valve or cleanout plug Orifice Diameter in Orifice Spacing (X) ft Orifices per Lateral ft Orifice Density ft Manifold Length gpm Manifold Diameter gpm Forcemain Velocity 0.188 2.50 L+xking caner sSith �Sarning Ial+ol, Sat device and paler IigIN S¢al I:Icctrir.11 Ik+S a" vctucd ('over • aS per NIA 11N) ---_—_ r mIJ SPS .116.28 w_ LL Disconnect. ( Ivan (lilt Piry i lmtiunul boll %pl.c Wire% I win Hleclric Source I jso,11111 tocamrol sraod of vnluem Minff� d(l•.rd (1(nional udilct CSl I Ski iin Grip I, `/ 1' AS I11 IMj 1'i1uIs` nd ++:acr i kilt 1611& a urlo i A� IiFM oaNkci \ Wild}luund i \\. ,I`4. �.MIS Sim / Tech Filter I � STF 100 1/16 I1igII It%.1 1 Sit arnl Puntp (Al float I'Inup011'hlual' I i'utnp 4 i In..i I " I1c+It1i1 Dimension Inches Gallons A 18.87 419.57 B 2.00 44.48 C 3.11 12.00 35.971 69.07 D 266.88 Total 800.00 Filter Manufacturer 'Sim /Tech Filter Filter Model Number ;STF 100 1/16 Alarm Manufacturer !SJE Rhombus Alarm Model Number 'AB Pump Manufacturer Zoeller Company Pump Model Number 152 Pump Must Deliver 31.46 gpm Fum.0 I ft in ft2lorif in ice ft ft/sec Forcemaln diameter 2 in. �— Pump oti elevation (H) _ 93.00 Wieser Concrete Products, Inc. Ca acit 800.00 Volume 1 22.24 at 14.93 ft TDH Note Switches contatning mercury rt18y not oe used u� this system. Dose tank elevation (ft) 92.00 gal/inch Project: Mackmlller 4 bedroom Mound Page 4 of 16 GeoMat Distribution Cell Media Layout 6.50 cell Wldtlr (it) 1.63 Sidewall to Lateral (ft) Distribution Cell Cross-section Arrangements Q Q Component Legend Distribution Pipe Wilh Pressure Lateral l-.J Orifice Shield Turnup Enclosure - - - - - Pressure Lateral GeoMat is covered with approved geotextile fabric as per the their product approval Distribution Cell Plan View Layout -Typical 6.50 Cell Width - A (ft) 60 00 Cell Length - B (ft) A L,At i.�Icl r4 Typical Dispersal Cell Sand Fill Recommended Pipe Dia. Observation Pipes � watr, rm �iiiiii Tolle) flange �/ A" Min i Reba in" 1Min 4 ind tall at i 1 1a 1 Min t Q. I 1,t Vf44711d Distribution lateral —�� Orifice Shield Approved Infiltrative Fabric GeoMat Component Infiltrative Surface/Plow Layer Shading Key Topsoil Cap TM C 33 sand � C� $Ub5011 Cop I—� ASTM C 33 sand (D) Tilled Layer Geo Mat See details on page 4 for number, size, and spacing of laterals. Project: Mackmiller 4 bedroom Mound Page 5 of 16 Mound System Maintenance and Operation Specifications Service Provider's Name John Schmitt Phone,715-760-0486 POWTS Regulator's Name St Croix County SPIA - Toning Office Phone,(715) 3864680' Design Flow -Peak Estimated Flow - Average Septic Tank Capacity Soil Absorption Component Size Type of Wastewater Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound 600 400 1200 300.0075 Domestic System Flow and Load Pararneters ypd Maximum Influent Particle Size gpd Maximum BOD5 gal Maximum TSS ffz Maximum FOG Maximum Fecal Coliform Service Freauencv 1/8 30 30 10 10E4 Ins ect and/or service once eve 3 ears Ins ect and clean as necessaryat least once eve 3 ears Test once eve 3 ears Should test periodically Laterals should be flushed and pressure tested eve 3 ears Inspect for ponding and seepage once every 3 years Miscellaneous Construction and Materials Standards in mglL mg/L mg/L cfu/100 mL 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap and are secured in as shown in the Synergy Systems GeoMat Mound Component Manual Version 1, 2017. 2. Dispersal cell media conforms to GeoMat products approved for use with the Synergy Systems GeoMat Mound Component Manual Version 1, 2017. Media is covered with an approved geotextile fabric. 3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn -up Detail 6-8" Diameter Finished Threaded Cleanout Lawn Sprinkler \ Grade \ Plug or Ball Valve Box Lateral Ends at Last Orifice Where 1.2 Feet �--i Long Sweep 90 or Two ��45 Degree Bends Same Diameter as Lateral Project: Mackmiller 4 bedroom Mound Page 6 of 16 Miscellaneous Construction and Materials Standards in mglL mg/L mg/L cfu/100 mL 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap and are secured in as shown in the Synergy Systems GeoMat Mound Component Manual Version 1, 2017. 2. Dispersal cell media conforms to GeoMat products approved for use with the Synergy Systems GeoMat Mound Component Manual Version 1, 2017. Media is covered with an approved geotextile fabric. 3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn -up Detail 6-8" Diameter Finished Threaded Cleanout Lawn Sprinkler \ Grade \ Plug or Ball Valve Box Lateral Ends at Last Orifice Where 1.2 Feet �--i Long Sweep 90 or Two ��45 Degree Bends Same Diameter as Lateral Project: Mackmiller 4 bedroom Mound Page 6 of 16 ound System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General This system shall be operated it) accordance with SPS 382-84 Wis Adm Code, and shall maintained in accordance with its' component manuals [Synergy Systems L.L.0 , Geornat Mound Component Manual version 1, 2017, Pressure Distribution Component Manual Ver 2.0 SBD-10706-P (N. 01101) and SSWMP Publication 9-6 (01181)) and local or state rules pertaining to system maintenance and maintenance reporting. Septic and pump tank abandonment shall be in accordance with SPS 383,33, Wis Adm. Code when the tanks are no longer used as POW1 S 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 shaft be cleaned as necessary to ensure proper operation. The fitter 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 1t3 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 as to 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 Wisconsin Department of Commerce. Purnp Tank The dosing (pump) tank shall be inspected of least once every 3 years All switches, alarms, and pumps shall be tested to verifiy proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. If the force main has a weep hole, it should be noted if it is functional during pump operation, and if not, it should be cleaned "`""No one should ever enter a septic or dose tank since dangerous gases may be present that could cause death'"" 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 shalt 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 end C nr lh? ,Vil, p.rcmrcte fruss peiiz:Uafcn CcIr.4 rUcfzLcar Februa yl dirifate fiat th e mound be heavily rnulched as protection from freezing. Influent quality into the mound system may not exceed 220 rnglL BOD., 150 mgtL TSS, and 30 mg/L FOG for septic tank effluent or 30 mglL BODS. 30 mglt.. TSS. 10 mgiL FOG. and 10' cfu1100 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 3 years 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 ievefs above 4 inches considered as an impending hydraulir, failure rpnuinng addinnml mnre frenuanf mnnitnrino Contingency plan If the septic, tank or any of its components become defective the tank or component shall be repaired of replaced to keep the system in proper operating condition If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective components) shall be if 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 systern 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: Mackmiller 4 bedrootll Mound Page 7 Of 16 w 14 45 153 1a 40 10 dr 152 30 - i 8 Y5 151 6 20 1 to- — 2 s PUMP PERFORMANCE CURVE MODEL 1511152/153 FLOW PER A911UTE CONSULT FACTORY FOR SPECIAL APPI Ir!ATIONS • Timed dosing panels available • Electrical alternators, for duplex systems, are available and supplied with an alarm • Variable level control switches are available for controlling single phase systems • Double piggyback variable level float switches are available for variable level long and short cycle controls • Sealed Qwik-Box available for outdoor installations - See FM1420 • Over 130°F (54°C) special quotation required 151115?/153 MODELS Cotltrol SeIlxUon Model Volt&Ph Mode Amps Simplex Duplex N151 115 1 Non 6o i 2 or 3 BN151 115 1 Auto 6.0 Inthded 2 or 3 E151 BE151 230 I 230 1 _ N Auto 3.2 3.2 1 IrMaitded 2or3 ^ 2 or 3 N152 115 1 Non 8.5 1 2or3 BN152 E 5 2 115 1 23D I Auto Non 8.5 4.3—t— Included 2 or 3 orb E15 Auto 43 Included or 3 BN 153 115 1 Auto 105 Inckded or 2 or 3 E153 230 1 Non 5.3 1 2 or 3 BE153 230 1 Auto 5.3 IncluM 2or3 1. Single piggyback variable level Boat switch or double piggyback variable level Boat switch. Refer to FM0477. 2. See FM0712 for correct model of Electrical Alternator E-Pak. 3. Variable level control switch 10-0743 used as a control activator, specify duplex (3) or (4) float system. 4 CAUTION , :,AY�Nt'.,r, ,.� .. .?.+�:. - :: •Ix�uiti liy..}gw•rn ,�.�,.. �, C!7Sld :�14att,aa^r 4;� e�w-ncs} •n4; 4av� .c*fre s�:�..1a l:r tr.�wea -�c��d�,�: 9+s �, ... v..,,, �, .:. r'a ,•a:.,.. .ram, , ...�,n- TOTAL DYNAMIC HEADIFLOW PER MINUTE EFFLUENT AND DEWATERING MODEL 151 152 153 at Meters Gat Ldeis Gal Liters GaL Lders 5 1.5 50 189 69 261 77 291 10 3.0 45 170 61 231 70 265 15 41 38 t44 53 201 61 231 20 6.1 29 110 44 167 52 197 25 7.6 16 61 34 129 42 159 30 9.1 — 23 87 33 125 35 10.7 — — 22 85 40 12.2 — — — 1t 42 Shut -oft Head 301L (9.1m) 38 8, It 1.6m) 44 It.(13Arn) Model 151 f Models 1521153 Iz IR 1 �S116 SK2444 sx -1 . �sy assembly" np 6 disdiarge rope not nduded-) OPTIONAL PUMP STAND PiN ]r7242 Reduces potential clogging by debris Replaces rocks or bricks under the pump Made of durable, noncorrosive ABS Raises pump 2' off bottom of basin Provides the ability to raise intake by adding sections of 1 V2' or 2' PVC piping Attaches securely to pump Accommodates sump, dewatenng and effluent applications NOTE: Make sure float Is free from obstruction. RESERVE PQ�urrr�� OE51GN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. ©Copyright 2010 Zoeller Co. All rights reserved. _ z�2!(tOd-1S6d 31Va O() OC7 00 3iV0 O'LVS 64� '�C:IOLI N301NW Ol ,IMN `�rl 9ll_£'M ��� �������� �bnNvw �u.d3s �� r� z�nod-3ad „o-.i=„v t .3�v�s d�M �a wnVaa �lW-008/OOZIdIM �� w w � � J N v � Q � Q o m Q � � o � � Q: � _r w •-• O w V1 LL .. (.) .-� N N Y m O Goo � W� W � In Q c' z N vi m�� o r= .�.., a � w (� ¢ mvi Om ��q ZZ � d wm � H Q o cr w tJ p m �-- � Z �_ �'� ¢ \ m Z 5--. 11- o � C � Q d � oo mvwi ��-w c�c� z a oa � Q u o O U o cv� ww � wZ v� N a s (p CO Q Q W N d' N � (n = Z L.i c po O`tM{Q{--w�w �� mW MN d UQ. �� H \U N: `�' OF- -J 1-} t~i1Qa WNa � Ow a`` ZZ Y� O W i'�: r.ycO: woo J � v �z� z Nwc.> �'a zo O (� `°Wu'^ rnZ``ima ��-� �N � ca ��-a wW �(ir N (n �`'� owl ..�o� oar oow a W m�� o0 ov cii .. o �- `� oQooQWwmoa� c�r���� � a avio �� �a Z3mc.>�=��m�� o z c� W� ow Q � � J J = � Y ? Z � p � Z Z � O q O� C� w r- i �t I F- f- iI) � � x J ......._- /- �') F- F ���11. � LY. L w c� a � S i =r ri --- ``�-` ._ - -, ._ - , _ ,,�� � '� � � ---��� � j(� I I �( �. � �� � �� i� w i i �_' _. i � ff i� a �i ii �� �� � � N �' '� .. __ - - - - - - - �.; V - - - -- - - -- _ � ._ . -�i - - - - - _._, v-... , - - �� �( / � �� j � � � � y a .-� .tj � 1 1 f! a �� � o � `'- - tr w 1 � O - -- - w t I �', � d I f. � I, W �; �_ m_� ,- w � z i �( o �I ��, � � �� � i ' � � I, � _�� � � � � � w -�: - ____ _ _____ =` � : = I► •h i Y JI i Q z --- -- � ,. l tr O�i3�t -------��___. .. ,� -`� � �� �--- N „�� ' �. Y Z Q H Page 9 SYSTEM PLOT PLAN Project Name; Mackmiller Mound Project Address: 1304 53rd Street BM1 Symbol: AL BM Description: BM Elevation: 100.00 Garage floor in front of north east garage door BM2 Symbol: 0 BM Elevation: 101.30' BM Description, Front doorsill on house Slope Gradient of Tested Area: (3%) Well Symbol (if applicable) Notes: Notes Design Flow: 600 gpd Altach design flow calculations for commercial plans: Pipe Materials / ASTM Standard Tables 384.30-3 & 384.30-5 4" SCH 40 PVC ASTM- D2665 2" SCH 40 PVC ASTM-D1785 1 Of SCH 40 PVC ASTM•D1785 \ZO PERCH LAKE I QidP� � 0 H1A4 J l Arty line / Property line J J 98 96 J J EXISTING SysEM HOUSE TO BE A IDONED 2 / SEPTIC T / BM2 1 f DRY WELL O GARAGE \DRY WELL / \ BMt CONTOUR LINE EL = 100 IS' ,ZwO DRIVEWAY Property ;ire \ SHED +_ 70 BE REMOVED) \ B2 BI W P L 1200r8D0-MR SEPTIC/DOSE TANK \ 100 \ \ \ 3%SLOPE B3 15' No Disturbs 0 tar 2•SCH 40 \ - PVC FORCE MAIN p \ 3 G6x78 BA' MOUNU W'I C \ 6 5'X60GEOMAT CELL area TANK ANCHORING CALCULATIONS Tank Dimensions and Data Liquid depth below inlet invert (in) Maximum depth of soil cover (ft) Height (in) Length (in) Width (in) Tank Anchor Calculations 20170 1.5 2 27.6 2 lbs Weight of tank and cover Safety factor s Weight of anchor required Soil cover req.for anchor or ydj Concrete counter weight Page 11 >K N vt A,r. A,A tr ' t. -fC,'1 I'I -,r� 1111V1 1'l -SZ6t Effluent I Moll The PL-525 Filter is rated for 10,000 GPD (gallons per day) making it one of the largest filters in its class. It has 525 linear feet of 1 /16" filtration slots. Like the Polylok PL422, the Polylok PI, 525 has an automatic shut-off ball installed with every filter. When the filter is removed for cleaning, the ball will float up and temporarily shut off the system so the effluent won't leave the tank. I natures: • Rated for 10,000 GPD (gallons per day). • 525 linear feet of 1/16" filtration. • Accepts 4" and 6" SCHD 40 pipe. • Built in gas deflector. • Automatic shut-off ball when filter is removed. • Alarrn accessibility. • Accepts PVC extension handle. I'I -;_S Instal{aliun: Ideal for residential and commercial waste flows up to 10,000 gallons per day (GPD). 1. Locate the outlet of the septic tank. 2. Remove the tank cover and pump tank if necessary. 3. Glue the filter housing to the 4" or 6" outlet pipe. If the filter is not centered under the access opening use a Polylok Extend & Lok or piece of pipe to center filter. 4. Insert the PL-525 filter into its housing. 5. Replace and .secure the septic tank cover. F11.-525 MAinlenante: The PL-525 Effluent Filters will operate efficiently for several years under normal conditions before requiring rleaning. It is recommended that the filter be cleaned every time the tank is pumped, or at least every three years. If the installed filter contains an optional alarm, the owner will be notified by an alarm when the filter needs servicing. Servicing should be done by a certified septic tank pumper or installer. 1. Locate the outlet of the septic tank. 2. Remove tank cover and pump tank if necessary. 3. Do not use plumbing when filter is removed. 4. Pull PL-525 cartridge out of the housing. 5. Hose off filter over the septic tank. Make sure all solids fall back into septic tank. 6. Insert the filter cartridge back into the housing making sure the filter is properly aligned and completely irnsertcti. 7. Replace and secure septic tank cover. 1/lE+' I iltr,ltittrt �ItttS G� 10,000 GPD - Accepts 4" & 6" SCHD 40 pipe r tutduu, ~mart Filters •Alum Polylnk, Zabel & Best fillers accept the SmartFiltcrt� switch and alarm. Alarm Switch (Optional) Q�cepts 1" PVC tension Handle Rated for 10,000 GPD 525 Linear Fl. of I/16" Filtration Slots Certified to NSF ANSI Standard 46 �, � Cas De(lcrtor Automatic Shut -Off Ball l tiund dig l ul'" Easily installs into existing tanks. Polylok, Inc. 3 Fairfield Blvd. Wallingford, CT 06492 Toll Free: t377.76S.9S65 Fax: 203.284.R514 www.polylok.com Page 12 Asolr,f�Tr F C - ' PRESSURE FILTER INSTALLATION & SERVICE INSTRUCTIONS FILTER 1455LexamarI)m'c lyddrrc' !8-'ivv-i_``1n rl//icr'tl-Sh2•I i U Ro-Nne0q. M14971_ tax 231- 82-7324 /;mild II'eh INSTALLATION: — -- - - - — — ---- ------ When installing an STF-100, screw filter into discharge port of any pump that has a 2" National Pipe Thread. Pumps with a smaller discharge port may be adapted to fit. When installing an STF-100A2 a tailpiece and male adapter will need to be added to the inlet end of the filter (end opposite of the cap) to the desired height and a 2" union will need to be added to the outlet end (the end closest to the cap & on the side of the filter). Always install the filters in a position where they can be easily serviced. "Always use caution when starting threads to avoid cross threading`*. Plumb force main into the 2" sch 80 PVC union. "We recommend that the union remain together during gluing to insure that glue or cleaner does not ruin O-ring or sealing surface". SERVICE: Service of filter screen is dependent on usage as every system is unique. For most residential systems we recommend inspecting the filter within the first year to determine the necessary service intervals for the filter. In high volume systems we recommend inspection within the first 6 months to determine necessary service intervals for the filter. Once the service interval is determined it should be consistent unless something changes in the system. Always inspect the filter screen for any damage or corrosion and replace if necessary. If our STF-101 service alarm switch has been installed and adjusted properly it will alarm when the filter requires service. It should be serviced no less than when periodic pumping of the septic tank and pump chamber is performed. Servicing will be more frequent if using any one of our optional filter socks (600 micron, 150-190 micron, and 100 micron). Check your local health department for septic system servicing recommendations. If the screen becomes clogged before the periodic pumping requirements, a high level alarm or light will indicate the need for service. If system is equipped with a "pump on light" that stays on longer than normal, this also may indicate a need to service filter. To service filter screen, unscrew the 4" cap. Pull filter screen from canister and wash out thoroughly in appropriate location with proper protection. In some cases an additional filter screen allows quicker service allowing the dirty filter to be washed later at the shop. Note that in cold conditions the filter cap may be difficult to remove. Keep the filter in a warm area or pour warm water over the cap before removing. Once the filter is installed in the tank it maintains a stable temperature and removing the cap will not be a problem. If the system is equipped with our Service Alarm Switch, the filter screen does not need service until the Service Alarm Switch activates a light or audio alarm. We still recommend that the filter be inspected once a year for damage or corrosion. NOTE: The total dynamic head loss of the system must be increased by 0.5 feet of head to overcome friction loss through the filter. SERVICE ALARM SWITCH The alarm switch is available in three pressure ranges, low head, medium head, and high head. Installation is simple, on SIM/TECH FILTER systems, remove'/," plug from base of filter chamber and connect tube fitting. Next, run the tube up into the tank riser and connect to service alarm switch. The alarm switch is fastened to the side of the riser via the nylon strap provided. Run alarm wire to alarm box. The service alarm switch can be wired with its own alarm or with the high water alarm. Pressure adjustment is made by removing the end plug, and inserting the 7/32 alien. Clockwise increases pressure. One turn equals approximately 3 PSI. The low head alarm switch comes factory preset at 8 PSI and is completely field adjustable within it's range (3 to 24 PSI). We recommend the use of a ball valve when using an alarm switch. Once you have installed the filter and alarm switch, the ball valve can be closed off to simulate a plugged filter so that you can make sure the alarm switch is working correctly. "`"TRY OUR LID/SCREEN REMOVAL WRENCH. Our wrench holds filter lid firmly and hooks screen for easy removal and installation. Made of PVC plastic. WARRANTY All products are warranted against defects in material and workmanship for a period of two years from the date of purchase. In no event shall GAG SIM/TECH FILTER, INC. be liable for any consequential damages or any labor, material, freight or expenses required to replace, correct or reinstall the product. GAG SIM/TECH FILTER, INC.'s liability is limited to repair or replacement of the part. All warranties are void if the product has been improperly modified, applied or installed, subjected to misuse or abuse. Except as stated herein, there are no warranties expressed or implied, including the warranty of merchantability or warranty of fitness for a specific purpose. EFFECTIVE September 13, 2005 Page 13 ST. CROIX CO l_*NTV SEPTIC TANK MAI;N'Tl:NANCE AGREEMENT AND "NI;ItSHIP CER•FIFICATION FORM O'ly"el/Buyett Scott & Nicolle Osterhus NIfliling Address 18680 Harrow Ave N, Forest Lake ,MN55110 PrO,)crtv A(Itllcss 1304 53rd Street - (Veil tienl:,,:: 1eyuired iron, Manning & /.onutg Delmistniertt IiK newc(mstniction.) city/state Hudson, WI Parecl Identification Number LEGAL DESCRIP]JON PIOp(•Ily Location NW NW Vt Sec. 33 , 30 NI It 19 k\: •Fo%%Ij t>I' St. Joseph Subdivision Plat. Lot C.'ertified Survey 1VL►1► N i Volume _ Page 9 \1 are;rnl} Deed # (before 2007)Volume Page 4_ �pcc huuse0►rs[}tu [.ul lints identifiable ❑ycs0no t1.1 IMAIN"I'El1ANCV AND OWNER CF.!•Z'1'IF•IC ln,prul,cl use :uul tu.urst.•t.,u,cc of tour �:cphc .rstcm cuulJ result ut itI?remutum t+uttuc to hlutdle tvn.<tcs. ►'ru►xr nt.utttcnant t consists ul puntptn�; uui Iltc ,rpUc tank c� rr there yc<u s ul „once• if nt•cdc(I• ht ., li�ew;cd purnpCr. 'Vlult you pul into the sti•stem can of feel the function of the septic lank as .t Ue:ltntent stage In :hc mISlc 411sp,.:11 st stem. Ottnrr mntntcnaacr icspunsibililies ale specified In §SPS. 3M3.:)2(1).md In Chapter 12 tit Cr"!Nss, ('tnumh• Sanitary OrJinance l•hc prop crtN „mra•r ;t,•�rc•� Ir, suhnut to tit (r,a\ t . nntt .k !, •uulg 1)cpartrnettl a t crt:lic:lltun lurrn, signed hy' Ilx ounce unit by .t ura,lre ,lultll,t I . �, �,n:., '„n:u] I:Inuil::•I. I,. ; t, ... r] , ] i I�, , ,�vr�l pumper trufsutf; that (1) the an -site wastcwutcr dish: s;tl .� ;t, rI: n] l a;]l . t • q .;!,r;' , , n,htn rr I , t . , t,un una it smiling oI' ntx`e%s Inn), the septic lank is Ics� th:ui 1!3 full of sht,lh.c (a<<ce the undet�tlnr,.l I].n � :l..iJ is i, ; �• to maintain the Illatc :caal!eill s,tcr:,tt slostcm with Iht: • ., ,i ,i:' : ] tl, , , I I, n' - •� �:,;rtt :1:ui I'I.suttal St:n•ictr`nnd Ih.' I?c{>artntrnt nt Nalutall2rwurccs, S:.It�>, t.l •.,i..1 1_ ni .I , if maintained Iuu.I be cumpletcd and Haunted to die St Croix C(ntnly Yi:mn]tIt (4: 7r+Itnilt I h lr.+rlaunl �t ilhu; i;] .I i. I , "Il exp]taltun date Ihtc ccrtik t•tl,,t all AritcImil ,. t tlu� tun], ate Ilue I.r the hest of nly!uur knuuhxlgc i/wc rtnhnr II]c uut]er(s) (lid the pruperiv ticsctiUed :ILutc I,ti vutl:r;.I a t•,n•utlq &'sd rer;]rdcd III iicgt krM'Deals Office A Number of bcdr•o(►nts -T SIGNATURE 01 it\ I'll 1.)CA N1(S) DA1•!�. F+ � �\ry intirr Iir]It,�� that i'.:nisr�lnt.>:nt,;,i rrr ]c•sutl w U;c-autt:uv lxnuil I�tnlr rcvukc�l by fife I'lanniatg fiLoninE ncpnrtmrnt. •�• Include t%•ill•, .hi>• ,]l1p111.:u!U,I+ 1: t<:, , �r,it•,i t:alTnnl`,' flee, Inmt Utc llrgnt(•r „f l)ec.Is O1'liec and a copy of the certified survey mah if rc1•rr-'rsrc i; n]:ru�.� ]n t't:, ',�•I:r ,nt•, ;i<tal 0 cim"®rem® =wdrw1Is Nw,uLw"f LOCATED IN GOVERNMENT LOT3, SECTION 28 AND IN THE NE1/4 OF THE NW1/4 AND IN THE NW1/4 OF THE NW114 OF SECTION 33, ALL IN T30N, R19W, TOWN OF ST..JOSEPH, ST. CROIX COUNTY, WISCONSIN, �S89�J9't4'E SfW39814'E A �g Z fn o� z� a zp o 4 phi CL o8g a 3 v > =3 mCD EF m m o m y M� T CD o � o m a. m S� ,3 N -� o49 v- R. CO LEGEND ST. CROIX COUNTY SECTION CORNER POSMONED FROM COUNTY COORDINATES, POSITION VERIFIED WITH MONUMENT AS NOTED OR TIES OF RECORD L7 3/4' X 18' IRON REBAR SET WEIGHING 1,50 U3S. PER LINEAR FOOT . . ■ 3/4' IRON REE3AF1 FOUND ■ 1 1/4' IROtJ PIPE FOUND i 1' IRON PIPE FOUNp 0 COMPUTED POSfT10N (NOT MONUMENTED) � i O.H.W.M. APPROXIMATE ORDINARY HIGH WATER MARK i SHOWN FOR REFERENCE ONLY. / PERCH LAKEcp WATER EL1 V, = 774.51' `O s JULYis$2019 _ l r �„� OT 1 .� 20 m 355.0T \ '� jr��C► i 2V r 20' + GARAGE� ID T C LOT 2 TO O.H,W,M.INC, R/W 9NF9 /j 4.08 ACRES / 177,638 SO. FT.j j 1` co CZN NJ ry Q 3- TO O,H,W,M. EXC. R z 3,68 ACRES / 1601535 SO, FT.�- 0-o dq cn m "io o ^'D r 1 0 V A � Do Do cn d ZE rn _�• w hY ` (R-EAST 367.41 U_NPLA_TTED LANDS ' UNPLATTEp LANDS DOC. #449_457 � L70C, #438.905 SURVEYOR TFIEODORE AND RENAiE ROAD, MACKMILLEH EOW1N C FLANUM 441 STAGELINE APT. 285 NORTHLAND SURVF_Y1NG, INC. HUOSON, WI 64016 AMERY, WI 54001 St, Croix County 1088853 Page 1 of2. 1088853 BETH PABST REGISTER OF DEEDS T. CROIX CO.j WI RECEIVED FOR RECORD 09/19/2019 02:36 PM CERTIFIED SURVEY MAP VOLUME:30 PAGE: 6700 REC FEE: 30.00 PAGES: 2 ANY LAND BELOW THE ORDINARY HIpH WATER MARK OF A LAKE OR A NAVIGABLE STREAM IS SUBJECT TO THE PUBLIC TRUST IN NAVIGABLE WATERS THAT IS ESTABLISHED UNDER ARTICLE rX, SECTION 1, OF THE STATE CONSTITUTION, �I C t" a, IPI� �0 I�I+IvI�coo LOT 1 AREA TO O.H.W.M. INC. RAN 1.20 ACRES / 52,060 50. FT,t cis m f♦ I�I�In I gj 1$' I SW COR. SEC. 28 TO S1/4 COR. SEC. 2B N I I h S89"39146E 2562401' RIGHTS OF INGRESS AND EGRESS OVER EAST 20' PER DOC. #302204 (SEE NOTE 'AN) S1/4 COR. SEC. 28 / N1/4 COR. SEC. 33 MASONRY NAIL FOUND �v 589"39'146E 1261AZ rq(NOT DETAIL TO SCALE)SEC.28 89'14'W sEC:33—I � RIGHTS OF INGRESS AND j 2tY EGRESS OVER EAST 2U PEH I DOC. #302204 (SEE NOTE'AZJ oa `4 0 o \ mC °m~ 4 z mj oG�in ppOA z ��� �r-TrLir A m c) t b 1 �q'-� x C70Z IC �G)>" � Scam ✓/�Ic'I� 5 fia-' ��i�1 rT mZ zo ? c`"I m Ly d W rn m I �o INSTRUMENT DRAFTED BY EDWIN FLANUM v c JOB NO. 1949 DWO - CSM 6 DRAFTED: WWI - FIELD: WW1 o SGAU IN FEET 1' = 100' 1 100 200 SHEET 1 OF 2 SHEETS 30- &? 00 Page 16 eJepartmenl of SOIL EVALUATION REPORT #zr�t�a 5 Safety and f { p in accerdan-� with C;fimrrr c`v 'hrrc �:c--r� C,;c,,,#e ?aUr: 1 n, # $ PrafeSsiJna( Services Schn„`i Soil Testing, InC ;';niest' ! ttach complete site plan on paper not less than 8',� x 14 inches in size Plan most tj c( (rCix nclude, but not limited to vertical and hortZonlal reference point IP'vRi direction And percent Slope, scale or dimensv)s north arro;v and location and dislati r tr1 1)earr st rtiZ11 N 2; i f Please print all information. Elate, r5pr�onai intutrr,atrtr fou pIrrr„e �a,� bt��, idar;, r .,n ;•�s , r .a , ..,, i : roperty Owner Prrpr.y Loratrari hotaCkmiller, Theodore rot Ntrr1114 i�!"l�J1i4, Sw �i3C�N R1�vd f fVpetly OWnr`5 f/taftlrtq htIfICP$S C+_°! ?€`•t3t=�l t!>yn1r r, +;:':~.tt'iif 1304 53rd Street NA City State Grp Code Fhonr P4t0riber Carty t�iliagr 7r,i;m tJearest F:.,a,r Hudson wl 54016 St.,1c?seph 53Rd StmeI Mew Consiructiorr Ilse Re�rdeni�ar � hiurnl~ser ar taeelrooma 4 - iertveu Ctrsrph fica,5 ,at (aUC) '.�PD Replacenlent Public or commercial - Describe Parent material Udiftuvents. Sandy Sediment Flood plain eievatoA it applicat ft General comments Lrel ,t• sw! le f.;r sT1.ourd sysldv�rr" _ {4it, 1 ,., t•>t d`U;; s tail ba (LI ;' t, ,.., r)+it•. �c, r c ?i t } -} „ I rh @ ,r'ih tri firl !: nin and recommendations Ear fc{ �: cf a er �s '°a Boring to Boring Lfj {'it Ground surface e(ev _U0.2S f8pth tc� trntsting ,aci�ar 7 it t i Sol ,4Ppli:aE!r)n Hate Horizon Depth Dominant Color Reddy Description Texture StrucCure , „nvistence Etcaunciary f<uots GFDtft' in Mansell uu Sz Cont color ,r Sz Sin Efts •i_rf#2 1 01 17 1©yr3,'3 none sit 1mgr rnvfr as 2m,r, f�.6 C).fi 2 1 7-2 7 1C�yr3/4 none If It_�bk frsv€r OW Zri1,2vd .5 lrtl ni2t1 7.5yr6l; 3 27 61 10yr6!4 7.5yrvl-' fs {'', m1 cs Zvi C1.5 l.? 1 61 A69 101/f6r4 WATEP PRESENT f 11s� rill --- — Cr.S I.t? Borrng -- ill C;r€surtd surface MiteV'. ����. �? ;� %1Ctr"'tn 4f (i;li;ti^C tc r�lrar "_U ;i1 .!_: �8l t,pptrcation r�ate FsGriZrlrl Gep1h rion ira nt ;ol,>r Red, x Descriploo 7 .CIss,,^;r,r: � rt ;ter e . f c, nc nt' (� PD 11' fary Fo_ in. Munseih Ou..SZ. cunt. Color r,r SZ Sh E€ Fjf» l 1 0-11 10Yr3413 Bone siI 2niigr mvfr as t; 2rri,2vf .6 0 t S 11-18 7.5yr 514 rune It : it °k k ttvfr 3r, „f r _,iE,._.. fir.`• 1.4�1 n"=n 7 5yf6iri 1$ iE 1f)yf7,/? -tl >n1St)k; rljfr4`J ?Vf (I.�= {f. i+lyrt�; r map 7 SyrfSt 'C,_ 4 2 1"1Yr5:'2 Ifs dr.stik Mvfr 015 1,0 Effluent ftt = BC'�G,` 30 � 42� mcs'L and TSS �3L = try n�gfk. CST tJame (Please Pnnti Sianature � ;�i` t•iunil,rr Thomas J. Schmitt ,ddress thmiii Sri( Tasting, tnc Dale Evaluation Cgnciuct e-`: Tefapnone Nomtier 1595 72nd St hiew Richmond. %AVI 54017 10 r l G 19 1 - r t7C3 1575 Property Owner Mackmiller, Theodore Parcel ID # 030-2000-70-000 Page _ 3 of 4 Boring t3onng # pit Ground surface elev 99.55 ft Depth to limiting factor 14 in. ISoil Application Ratel Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/W in. Munsell Qu Sz. Cont Color Gr, Sz, Sh. Err„ 'Effn* 1 0-6 10yr3/3 none sil 2mgr mvfr as 2f,2vf 0.6 0.8 2 6-14 10yr5/3 none sil 2msbk mvfr Cs 2vf 0,6 0.5 3 14 21 1Qyr5/3 map 7.5yr6/614yr6/2 sil 21qnsbk mfr Cs 2vf 0.6 0.8 map 7.5yr6(A _ 4 2140 10yr5/2 Ifs lcsbk 10yr6/1 mvfr Cs --�� 0.5 LQ 5 40-50 10yr5/6 rn2d 7.5yr6/61.5yrb/2 fs 0sg ml -- 0.5 1.0 Boring Boring ' Efi(uent #t = BC1D,> 3d s 220 mgiL and TSS >30 <. 150 mg1L " �ffiuent #2 = BC�Dz <. 3tr mgfL and TSS <30 mgtl. the Department n='rJ al"Canu»vrc. material in iv ;ur cyunl oPh<,nunir� nn rtltcrn.nc liumat. hfra>e 1cr+ic4 proni�icr rtrrJ crnlbiu+or. tr'ti ou need r��niatt rlre di�lxtrunarrt ut hn\-anti-; I � 1 ter ;r>kIance to 7 il' c�rrR-'L,-1,�'�-. ;rc«;: sePicz< or srzry.; ,it.�..,. �T t��lTeaaeq, irx N�ge J Or 4 e / , ' r i i / / ' I 7`0 j s O v mu ter, z � i I m ( � ( l v ? W FL m O 7 W a m t r 0 t C N T (D C /) CD 0 7 a X s _ _ _ a cE� rL n Hager 4 Oi 4 ti Y' i 't'v ~