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HomeMy WebLinkAbout020-1481-09-220WSsconsin Department of Commerce Safety and Building Division PRIVATE SEWAGE SYSTEM INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m)1 Pennit Holder's Name: City Village Township ROBERT & LAURA QUADE I TOWN OF HUDSON CST SM Eler Insp. BM Elev: BM Description: 8 aim t� GL(y i?>Z TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic R Ftu'r•r u r Dosing Aeration Holding TANK SETBACK INFORMATION TANKTO P/L WELL BLDG. Ventto Airintake ROAD Septic �clt =�_ Dosing bl Aeration Holding PUMP/SIPHON INFORMATION f'7<I �� n Manufacturer rpen � PM Model Number 5v,,4 TDH Lift (i•0Friction Lys,, Ft 3 Forcemain Len th I Dia. �, to Well ABSORPTION SYSTEM 11611,1413,1 Width Length 1 No. Of iraaehe SIONS Fj '� (2.1 STA BS HI FS ELEV. enchmark 2 Alt. Bldg. Sewer 14loO !T• o T. C 40 SUHt Inlet IS•20 T.�/ SUHt Outlet Of Inlet Of BeftorA /j 1&�O 6 •�' Header/Man. "o J1S.ro' Dist. Pipe q y tf 40 / Final Grr-aqe rr t Cove !`� (D.Io 12A0 C,r.-6.•.�d� F 3a •�0 9�, �e L INFORMATION rp. Of System. ( 1 CHAMBER Me /' S I UNIT Model Number DISZRMLITIONSYSTEM „40 n5,011- L. He �ld �'� u 2 Distributi'o]n, Pipe(s) 1 Z (( ( x Hole Siz It S x Hole Spacing Vent to Air Intake ngm Dia Length 1 is Spacing 1'O 2 L / SOIL COVER x Pressure Svstems Only xx Mound Or At -Grade Svstems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded nor Mulched Bed/Trench Center Bed/Trench Edges Topsoil C Yes 0 No ❑ Yes Q No COMME'�J,Ir^7ryy�j{_-wefnrl a Fodtegodioscrrepencie p s re t e I echo #1:(otdk>r_ r� Inspection/g �'f��Zu/jo) Location: 10 Jg-puUTU'MN OAK LN t, QI/ C�1 � �/$�ZPZOI Tui' ^ / � ) 1.) Alt BM Description =/ sa • �f ca•�+ian/d'") JJJ D k, l 2.) Bldg sewer length l -amount of cover = *z ja•�caij4r' '�e I 3) 1f p` r: s s. {; L�r /Z'O `rws�s •, �///P .twnhele '�w ; ll be coxreQ - oo M' 6.+-•br� . O+k l VAI-1 des &'--4 Plan revision Required? a Yes T No Use other side for additional information. L /J J t SBD-6710 (R.6f97) Date Insepctor's Signature Cart. No. Alk r12nn FeR\ . lsfnl 5AN-202D-103 �?< Sa and Buildings Division Santry pemitNamber(mbeNed nbyCo.) �!;` MAY 0 20MW.W hingtonAve.,P.O.Box/Itw icon, WI 53707_7162 (ol S 9 St. Croix ounty Semut pp ication Stair Transaction '"®ber In accordance wits SPS 3g3212), Wn. Adm. Code, submission of this form to the appropriate governmental unit .r ^ 0 clo0 bST -c- ProjectAddress (ddiffermi that madmg address) is required prior to obtaining a sanitary permit Note: Appscason forms for statcowaed POWTS are submitted to the Department of Safety and Professional Servics. Passional information you pp(adc mii be osf for s - lrary m accord�mee with the Law, s. 15.04(1 m Stats. O •. ---.... L lication Information- Please Print All Information Property' Oww•wame Paro1 N 2-0 NO/ —09-2z..o Property Owner's Mailing r� j Pro``p��erty Location /306 } (;/ 3no yy Zip Code n m Numbff pLN; w ;i @ fl. pe of Buildiag (chary all tsar apply) ` I.ot Subdivisi Name 2 FarndY Dwelling -Numbs of [/L i 0.s �+Lt oaL Block# / ❑ PubliN('.o®eroial- Desatbe Use—� ❑ City of ❑Sant OwnW-D csnse Use CSM ❑Vt9age of Number toner of III. Type f Permit (Check only one boa on line A. Complete line B if applicable) A- i "era Replacement Sys[® ❑ Trcawmt/Hold'm Talc g Replao—em ody D Odic Modification a Eymmag System (explain) B. 0 Puns Renewal ❑ Permit Revision ❑ Change of Flumber ❑ Permit Transferm New I List Previous Perms Number and Data Issued Before EVusi ao Owner IV. Type ofPOWTS S stem/Com nmt/Deviee: Check all that allft ❑ Nm-Ptaswaimd Inlmormd ❑ Pressurimd ln-Ground ❑ At > 7A m of suiable soil ❑ Mound <24 a��tQ�sr��tw, so0 /t ❑ Holding Tank ❑ OmwDispermI Cm lxoem tam) ❑ Prntreatrtent Levice (ertPl lo' r .Seflyd! V. Dias Vlroatmmt Area Information: er i Dui Flow (� Ikaign Soil 'offion dsf) Disispusal Aan Requfred (sit) Dispersal Area sf) S Elevauom G�Yr J G 6o-z� S. ' VL Tank Info Capacity in Gallons Toal Gallons # of Uaier Maoufimuet New Tanks Exiaong Tanis Upns or Haidmg Tads -- S— Doaag Chamber VIL RespomibiBty Sh tat- 1, the aadersilped, a responsibility for installation of the POWIS sows w the attached plans. s Namc (Prim) s Sigtnme jWAGWNumbcr Business Phmc Nmobor (5'Sim>$ ) ,. VID. Co /De ailment Use On 0 Disapproved Perms Fee e�¢ As g C�Si S 5 �U jmtsm ❑ Owner Ci cn Reason for Denial DL Conditions of ApprovaUReasoas for Disapproval 3 \ . I G &Ay —%4t SYSTEM OWNER: 1 X W matte t. Septic tank, effluent filter and / dispersal cell must be serviced.! maintained 44) �` �tr as per management plan provided by plumber. u4tiKi(dew as per applicable C&"p4Mff"llamtarae.7:.assobam.�mecovaa+rLadr«wtrrrlatar�l /ice. 5) to*.;`{��7 �� J e4.O`�YIr- -6 Ors S SBD-6398 (IL 11/11) S \ - of I (L,R- Sa. k System PLOT PLAN PROJECT Bob Quads ADDRESS 1336 Qarriaae Dr. Unit D Hudson WI 54016 NE 1/4 SW 1/4S 7 /T 29 N/R 19' W TON Hudson COUNTY ST. CRODC SYSTEM ELEVATION 98.0' .T sand liftl': 4121/20 4 DATE BEDROOM CONVENTIONAL_— AT -GRADE CONVENTIONAL LIFT HOLDING TANK MOUND )00( SEPTIC TANK SIZE 1255 gallons Lrn TA IYK SIZE DOSE TANK SIZE 765 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 600 # of chambers none IL BENCHMARK V.R.P. Top Of 3/4" pipe '.. ASSUME ELEVATION 300' Filter Lifetime Filter ❑ BOREH04 O WELL •H.R.P. Same as benchmark 8.5' 97.3` Grading is to done to divert run-off away S� 96.5' from system , 404' Property Line / B.M." In 135' B-5 13% Slope A(ea 15' below system is to remain Huffcutt Combo Tank B.;-a— Pro 4 Bedroom(\�;, � House Well is to meet all WDNR setbacks Autumn Oak Lane \ o 1.5 Acre Lot e=1/4" =10' 0' 40' 80' 1 1 1 G�Cop-! May 1, 2020 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 2022-05-01 Plan Review: PWTS-052000694-C SHAUN R BIRD 1432 I20th St New Richmond WI 54017 SITE: BOIL Quade 1079 Autumn Oak Lane Town of Hudson Saint Croix County Total Amount: $250.00 FOR: DIVISION OF INDUSTRY SERVICES 2331 SAN LUIS PL GREEN BAY WI 54304-5211 Contact Through Relay http://dsps.wi.gm/pmgrartr.rindm"-services wwwmisconsin.gov, Tony Evers - Governor Dawn Crim - Secretary Mound Component Manual — Ver. 2.0, SBD-10691-P (N.01101, R 10/12) Pressure Distribution Component Manual — Ver. 2.0, SBD-10706-P (N.01101, R 10/12) Description: 600 GPD (4 Bedrooms — New Construction) Maintenance Required 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, starts. The following conditions shall be met during construction or installation and prior to occupancy or use • Preserve dispersal area prior and during construction to avoid disturbance, compaction and use of the site. • With new construction; it is recommended not to activate the pump in the dose tank until the tanks are pumped prior to homeowner occupancy. • Wastewater generated from contractors cleaning of equipment and tools and/or left over construction products shall not be discharged into the drains discharging to the private onsite wastewater treatment system (POWTS). Waste generated shall be properly disposed of on -site or off site. • Any tall grasses, leaves and shrubs shall be cut short and removed prior to tilling the surface for installation to prevent matting under the dispersal area. All loose organic material to be removed from POWTS Dispersal Area. • Divert surface water from all POWTS Areas. • Prior to construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. Smearing and compacting of wet soil will result in reducing the infiltration capacity of the soil. Proper soil moisture content can be determined by rolling a soil sample between the hands. If it rolls into a 1 /4- inch wire, the site is too wet to prepare. If it crumbles, site preparation can proceed. If the site is too wet to prepare, do not proceed until it dries. • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building sewer beyond 30 feet per SPS 382.30 (11)(c) • Well setbacks to meet chs. NR 811 At 812 • Tank Installation to follow all manufacture's recommendations. • Verify property 6ne(s) prior to installation. • Pump Floats to beset and verified per approved plan. Any changes may result in pump resizing to meet TDR and GPM Specifications. • Areas that are occupied with rock fragments, tree roots, stumps and boulders reduce the amount of soil available for proper treatment. If no other site is available, trees in the basal area of the mound must be cut off at ground level. A larger fill area is necessary when any of the above conditions are encountered, to provide sufficient infiltrative area. Owner Responsibilities • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval 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. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. 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. Thanks, 71:w e%aa!u Air.¢t POWTS Plan Reviewer— Wastewater Specialist Department of Safety & Professional Services I Division of Industry Services email: tim.vanderleest(a),wisconsin.gov Cell: 608-516-6134 Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 4/21/20 Owner:Bob Quads Location: NE1/4 SW1/4 S7 T29 N,R19W 1079 Autumn Oak Lane Hudson Manuals Used: Mound Component Manual Version 2.0 (N.01/01, R. 10/12) Pressure Distribution Manual Version 2.0 (N.01/01 R. 10/12) Page# 1. Cover Page 2. Mound Plot Plan 3. Mound Cross Section 4. Pipe Cross Section/Pipe Layout 5. Pump Chamber Cross Section 6. Pump Curve 7. Filter Specifications and cross section 8-9. Maintance and cor�ingency plan Attachments: soil tessstttJ//�J Shaun Bird 226900 Page 1 of 9 System PLOT PLAN PROJECT Bob Quade ADDRESS 1336 Carriaae Dr. Unit D Hudson Wi 54016 NE 1/4 SW 1/4S 7 /T 29 N/R 19 W TOWN Hudson COUNTY ST.CROIX SYSTEM ELEVATION 98.0' .7 sand IN 4/21/20 4 DATE BEDROOM CONVENTIONAL_— AT -GRADE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE 765 HOLDING TANK SIZE LOAD RATE 1 .0 ABSORPTION AREA 600 # of chambers none BENCHMARK V.R.P. Top of 3/4" pipe ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. Same as benchmark Grading is to done to divert run-off away from system 404' Property Line B-1 135' 98.5' 97.3' 51 94.5' B-5 13% Slope Area 15' below system is to remain undisturbed Huffcutt Combo Tank B;. . Pro 4 Bedroom House Well is to meet all WDNR setbacks Autumn Oak Lane \ 1.5 Acre Lot Scale = 1/4" = 10, 0' 40' 80' 1 1 Mound System Cross Section and Plan View ... ...... . i I I ---- ------ - - --�, t I I I I 1 I I 1 I -- ------- --- - - - -�I Topsoil = ASTM C-33 = Clean aggregate = 4 in. sch. 40 pvc t' I Cap Material sand fill '/: to 2'/z in. dia. observation pipe Geotextile Fabric 9Z Ft Contour =s:;t........ E Slope Direction GENERAL INSTALLATION: The mound area is staked out along the design contour. Existing vegetation is mowed and raked off the site. The mound basal area (L x V) is plowed with a moldboard or chisel plow. Plowing may not proceed if the soil is wet enough at the plow depth to form a %4 inch soil wire when a sample is rolled between the palms of the hands. ASTM C-33 quality sand is placed immediately after plowing. Sand is placed with a tracked machine keeping 12 or more inches of sand under the tracks or is placed overhead by a backhoe. Special care must be used when placing sand of less than one foot thickness to minimize compaction of the plowed surface. After the topsoil cap is placed, the entire mound is seeded and mulched to promote vegetative growth, limit erosion and protect from freezing. The observation pipes are slotted in the lower 6 inches and j jcured in place with rebar or a closet flange. 10/071gi Page 3 of/ Pressure Lateral Layout Two Laterals — End Manifold Man 1' VlAv Maill V e Lateral Diameter Manifold Diameter Orifice Diameter 03/05 W In. Pressure System Construction ded Lout 9 rig Sweep 90 Bend Laterals are constructed of Schedule 40 PVC pipe. Orifices are drilled perpendicular to the pipe with a sharp drill bit and face down. Lateral tum-ups terminate with a threaded cleanout plug and are enclosed in a 6-8 inch diameter lawn sprinkler valve box accessible from finished grade. • • • • • Grade • • • • • • 6-8 Inch Lawn Sprinkler Valve Box Page of �— Septic -Dose Wank Cross Section And Pump Performance Specifications Mr. -MIX MEN MR arm, -.. I i i Filter Manufacriuer �,�� Filter Model Number � e Minimum Pump Performance Required v o GPM Ft TDH Inlet Outlet Manhole Min. 4" Above Grade With Locking Device, Intat Manhole <6" Below Grade Sealed Watertight Switch So and Reserve Capacity Tank Voh=e 7 GPI Dimension: inches Volume Gal. (resarve) AI f O (alarm) B 2 (dose) (dam) D Total r% Total Dynamic Head (TDH) - Feet Elevation Head Distal pressure 3, Network Loss Force Main Loss % Total Manhole Min. 4" Above Grade ur: r ...a.:.,.. n...:,.. Disconnect Means GENERAL INSTA. ATION: The septic/dose tank is bedded and back filled in accordance with the manufacturer's product approval specifications. Maximum depth of bury as specified by the tnanufacttuer may not be exceeded without p for approval. Manhole covers exposed to grade have an effective locking device (padlock) installed. Piping at the inlet and outlet is of approved material, connected to the tank with watertight fittings, and laid on stable soil to prevent settling or sagging. The force main is sleeved with 4" Sch. 40 PVC to bridge the tank excavation and the sleeve is sealed watertight Eloctrical.servico complies with NEC300 and Comm 16.2t. 02I05Ia8e 5 0 w 290=SERIES 314 hp Submersible Effluent(Sump Pumps The Liberty 290 series provides a cost effective "mid- range" pump for on -site waste water systems, liquid waste transfer and commercial heavy-duty sump pump applications that require higher head or more flow. Designed around Liberty's unique "Uni-Body" casting, the 290-Series will provide years of reliable performance. JUN 08 2020 St. Croix County Performance Curve: 290-Series so 45 40 35 � 30 All Models Feature: 25 20.8! -N� g • Semi -Open impeller permitting passa a of spliids up to o �" c+�t • 416 stainless steel rotor shaft s • Permanently lubricated upper and lower ball bearing • Epoxy powder coat finish • All fasteners - corrosion -resistant stainless steel • 1 %:" Discharge • Stainless steel bottom screen - easily removable • Maximum fluid temperature:140° F. • 290-Series Cord Lengths Model 10' 25'(-2) 35'(-3) 50'(-5) 290 Standard Optional Optional Optional 291 Standard Optional Optional Optional 293 Standard Optional Optional N/A 297 Standard Optional N/A N/A 10' cord length standard on all models. For optional lengths, add "-2, -3 or -5" suffix to model number. Example: for model 290 with 35' cord. Order 290-3 Motor Specifications % hp 60 Hz 3450 RPM Oil filled, thermally protected 115 V. Models 10.4 amps 208/230 V. Models 5.3 amps 18 12 9� V 76 114 151 1N M M 303 U1 Liters Per Minute Dimensional Data: Weight: 31 lbs. Height:13" Major Width: 10" (model 297) Minimum Sump Diameters: Model 291, 293... 14" Model 297 VMF... 10" Factory switch Model 291,293 Model 297 settings VMF Tum on level 13" 9.5" Turn off level 7" 4.0" The Model 293 features a fully adjustable wide-angle float Differential adjustments can be made easily by tethering the float to the discharge pipe or other mounting point. Vertical float model 297 is not adjustable. Model 290 Model 291 Model 293 Manual, Wide angle Wide angle no switch float switch float switch with quick- with series disconnect (piggy -back) plug 4y c us Certified fied epecirwahons are wblact to change without notice. Model 297 VMF-Series Vertical mag- netic float for smaller pits - will operate in a 10" diameter sump 1 Liberty Pumps • 700o Apple Thee Avenue • Bergen, New York 14416 • Phone 800.543-255o Fax (585) 494-1839 www.libertypumps.com copyright 0 Liherty Pumps, Inc. 2011 All rights reserved. LLIT 6681 R09/11 280=SERIES 112 hp Submersible EffluentlSump Pumps ..Z Z - '�r�rrrr��rrrrrrrrrrrrrrrrrrri .:'.._ •• r�.�rrrrrrrrr�rrrrrrrrrrrrrri ..• ' . :.:: _ _:..• : •. � rru:vrnrrrrrr��rrrrrro�r� .:.:. , wrrrc�rrrrrrrnorrumrri rrrrrrucanrrrrrrrrrrrrrnri All Models Feature: .. _ • _ .. _ . - ■rrrrrrrrrc�rrnnrrorrrroi ■oorrrror.�o oorrrv�rr ■■■■■■■■■■■■••-•+rrrrrr■%rrr • Vortex style impeller permitting passage of solids uptoV • 416 stainless steel rotor shaft • Permanently lubricated upper and lower ball bearing • Epoxy powder coat finish • All fasteners -corrosion -resistant stainless steel • 1'/." Discharge • Stainless steel bottom screen - easily removable • Maximum fluid temperature:140' F. 280-Series Cord Lengths Model 10' 26'(-?) 35'(3) 50'(-5) 280 Standard Optional Optional Optional 281 Standard Optional Optional Optional 283 Standard Optional Optioned WA 287 Standard Optional WA WA 10' cord length standard on all models. For optional lengths, m"-p2ls3 o*5dsuto model number. with 36' cwd, order 280-3 Motor Specifications '/. hp 60 Hz 3450 RPM Oil filled, thermally protected (PSC) Permanent Split Capacitor 8.0 amps (115V) 4.0 amps (208/230V) IN IMF. Lodel 281 +: 'I' _ angle float switch oil 11 with quick - = disconnect ® sA• c us Certified sa.rn=ew....cpa 11 wp..+siw.unuo. 10 a 8 5 10 15 20 25 30 35 q45 50 56 60 65 70 \ U.S. Gallons F* Minute 78 1 Dimensional Weight: 29 Ibs. Height: 13" Major Width: 10' 4 Minimum un, Model 281, 2 14" Model 287 V 10" 156 192 228 270 MMuOs i 7 Factory ch Model settings , Turn orvevel 13" 9. Turn of level ft 7" 4.0' 283 features a ruI wxlO- Vie float Ddferentlel IS rani be thefloat tothe dla- e1283 M 287 1 angle VMF switch Vertical mag- series netic float for back) smaller pi - will operate in - — a 10" diameter sump Liberty Pumps • 7000 APPle Tree Avenue • Bergen, New York 14416 • Phone 800-543-25M Fax (586) 494-1839 www.lib(eerrrttypuuumpf/s ump•, —.00m coprVA o uo.ry PImo. 2017 V , I Aa nyifi nrvd LLr 200a RON17 POWTS OWNER'S MANUAL & MANAGEMENT PLAN FILE NFORMATION - Owner 5 Permft # DESIGN PARAMETERS MAINTENANCE SCHEDULE Pape 1_ of • Values typcal for domestic (nonmrrsnerkialj wastewater and septic tank effi a 1. .� Vaues typical for pmtmated wastewater. Service Event Service Frequency inspect oonditon of tank(s) At least once every Z O months ear(s) (Maximum 3 yrs.) Pump out contents of tank(s) When combined sludge and scum equals one-third %) of tank volume Inspect dispersal oep(s) At least once every ❑ months ear(s) (Maximum 9 yns.) Clean effluent fitter At least once every ❑ months ar(s) Inspect pump, pump controls & alarm At least once every 3 O months r(s) ❑ NA Flush lab rals and pressure test At least once every ❑ months years) ❑ NA o1Mr: i At least once every ❑ months 0 year(s) NA Oamr At least once every ❑ months ❑ year(s) 0 NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an Individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Inspector, POWTS Maintainer, Septage Servicing Operator. Tank inspections must Include a visual Inspection of the tank(s) to identify any missing or broken hardware, Identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cefl(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the Immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third %) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with ch. NR 1 T3, Wisconsin Administrative Code. The servicing of effluent filters, mectInlpl or pressurized POWTS components, pretreat4ment components, and any other maintenance or monitoring at lirtervals of 12 months or less shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process andfor damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. 70-(� Page _ of _, START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals thtlt may Impede the treatment process anldror damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septaga servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the Infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power Is restored the excess wastewater will ble discharged to the dispersal oeM(s) In one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluenk. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist In manually operating the pump controls to restore normal levers within the pump tank. Do not drive or park vehicles over tanks and dispersal calla. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may Improve the performance and prolong the life Of the POWT5: emlblotics; baby wipes; cigarette bulls; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation dreln (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting produclls; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or Is permanently taken out of service the following steps shall be taken to Insure that the system is propelly and safety abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Coda: • Ali piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and property disposedof by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their rovers removed and the vold space filled with soli, gravel or another Inert wild material. CONTINGENCY PLAN If the POWTS falls and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by requited setbacks from existing and proposed structure, lot Imes and wells. Failure to protect tine replacement area will result in the need for a new add and site evaluation to establish a suitable replacement area. Replacement systems must comply with the ntlee In effect at that Ume. ❑ A suitable replacement area is not available due to setback and/or loll limitations. Baring advances In POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. The site has not been evaluated.to Identify a suitable repiacement area. Upon tallure oil the POWTS a soU and site eveluation must be performed to locate a suitable replacement area. If no replacement anas is available a holding tank may be installed' as a last resort to replace the failed POWTS. Mound and et -grade soil absorption systems may be reconstructed in place following removal of the blomat at the Infiltrative surface, Reconstructions of such systems must comply with the rules in effect at that time. <<WARNING>., SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS — POWTS INSTALLER Norm Phone POWTS MAINTAINER Name orii.�/i✓2 SEEPPT�AGE SERVICING OPERATOR PU PER LOCAL REGULATORY AUTHORITY 1. Name � Name Di SC i�.cc�YJ Phone ,t7 ��. i Phone 71J �,?4 This document was drafted In compliance with chapter MPS 383.22(2)(bxt)(d)&(rj and 383.54(1), (2) & (3), Wisconein Administrative Code. 20140048A p54S20o ,9e000 ,SAM I I /A .1921 t \ 9A m 9.3759 ham, 1 .OICap between Cole wd Serpentine 9.4356 J � xl JA 10 C SAFE 71 u �v+LJ1I1(1a� SECTION A -A r ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERS�W CERTIFICATION FORM OwnerBuyer ,�� t k, � r Mailing Address / ,,L+cr r! . �- t nA.t ti�✓=5 / �� Property Address A) e, e j -." `/ 00 per (Verification required from Planning & Zoning Department for new construction.) City/State LEGAL DESCRIPTION Property Location 45! /ad(,c/ tY" Subdivision Certified Survey Map # Parcel Identification Number D Z0-11491- O%- ZZO 11 T G9 N RI? W, Town of /,c Lot # �"�-- Volume — , Page # Warranty Deed # Volume _, Page # — Spec house yes no Lot line. identifiable (S) no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper wainttahance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system Owner maintemnCe responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St Croix County Sanitary Ordinance. The property owner agrees to submit to St Croix County Planning & Zoning Department a certification foray signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on this form are true to the best of my/our knowledge. Uwe amlare the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Offs e. ZIM, of b 7 ,ao SIGMA OF ICANT(S) ATE ***Any information that is Misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Departarent *** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) ;i I ❑ ® ® f _ REAR ELEVATION w.re O e O 1:3 W U SIDE ELEVATION BIDE ELEVATION g9 � 8W� � I _ I - l _ Iann nnnn ,I1G;\�f FRONT ELEVATION GUIEL�0H UVIn;lf i 3 �.., o y�waau^tvcc moo rxwd�E� mare a�oe �aeem�mswoc+ �. .- AA LLI UA wu It Ww " FOUNDATION PLAN � '' 77 GENERAL NOTES --------------------- ISFA EX MAIN rLOOR PLAN i ROOF PLAN A-4 vnm n 01 Wc�.-,nsin Deparenerdofcommerce .�...`%..--- m"' EVALUATION REPORT Pageof Dion of Safety and Buildings 0 7 Q 9. t 9. 3a o ,. in accordance with Comm 85, Wis. Adm. Code /n/•� Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must Colr7ty ` ! iJl ^ include, but not NmM to: vertical and horizontal reference point (BM), direction and percent slope. sole or dimensions, north arrow, and location and distance to nearest road. Parr• - oao- )ys�.aao ._ Please print all information. Reviewed by Oala Personal iMormnuon you , mids may be used for secondary ` y + [�• ZD 7 purposes fPr+vaoY law. t. 15.bt (11 (mll- I 17 Property Owner Property Location �11 ,.e��CZ NW T �I(�:!\r. %n I Govt. Lot)1)1'_ 1/4(,L }Il4_S_ CIFL*—•I!WM4Elk."w City State 7.tp Phone Number ❑ city❑ 9e own Nearest Road IoAt/ b ( ) 9 u l�iG New Construction Use: %Zesidenhal / Number of bedroom 1 Code derived design flow rate i,Jv _ GPD ❑ Replacement/�)//)� ❑ or menial - De be: Parent material �.(XJ�/G✓Llama _ Flood Plain elevation if applicable iL saw General comments MO J Np (� 2fS� j Z " (vlD U NG C ( N0'r and remrmlendae«g -P /S M E7', @- i2o`ltD ZO Pro / J /� / ! lil System Type / � ... t f+N1 N System Elevation 2 122 as k fj j� Boring # Bonng rO� �QJTQYt 'J 7�F�Pit Ground surface aley. / / R to writing YL Sod Application Rate F1oriLon Oominartf Redox Description TexMe StructureCafsistenoe Boundary Roots GPON h /M�unsel Ou. Sz Cont. Color Gr. Sz Sh. �Eff#1 'E1fp21,7 �M, 0W/11),L AHAMW,/mil 007APAA WS�MOIN ' EMuant #1 = BOD. > 30 < 220 mWL and TSS >30 < 150 ' E16uent #2 = BOD. < 30 ng/L and TSS < 30 mg& CST Name (Please Print) CST Number Bird Plumbing, Inc. Shaun Bird 226900 1432 120th St, New Richmond, WI 5407 / /,L —//� --/ i 715-246-4516 Property Owner Parcel ID # Page *2--- of -- a _ • �" Z IFA� AI M =®�w MMMwM Boring # ❑ Boring ❑ pit Ground surface elev. ___ ft. Depth to limiting factor in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Ou. Sz. Cont. Cola Texture Structure Gr. Sz. Sh. Coruistence Boundary Roots GPDM •Eff#1 •Eff#2 Boring # ❑ Boring ❑ pit Ground surface elev. _ ft. Depth to limiting factor in. Soli Aoolication Rate Effluent #1 = BOD, > 30 < 220 mg4 and TSS >30 < 150 mxpL ' Effluent #2 = BODs < 30 nxpL and TSS < 30 nglL The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an altemate format, please contact the department at 608-266-3151 or TTY 608-264-8777. seoa�w (fc..aal PAct Name NWP Holdings Soil Test Plot Address 1844 River Ridge Rd. Hudson Wi 54016 Bird SSTM #226900 Lot 22 Subdivision Whispering Oaks III Date 12/10/17 NE 1/4 S W 1/4S 7 T 29 N/R19 W Township Hudson ❑ Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of 3/4" pipe System Elevation TBD *HRpSame as Benchmark Scale is 1" = 40' unless otherwise 98.5' noted B-z 1 96.5' 94.5' 404' Property Line / 40' B.M.* A / 40// 4;�A�13% Slope 135' Autumn Oak Lane IC 3't3 WHISPERING OAKS - PHASE III ,1P10.1 LOT YE..IL.011GB.O.LgIL♦,WM (SOILS AND C8A MAP) oI-E�rMYLE-=D �r91s��Ls� � LSD JUL 01 N18 SCALE IN FEET F PROPOSED DRJ sNAY st ; raa Co..no, ♦ SOIL 60RNGS / Oeveloomen[ WIN. � SEE 4sE- SE16AfM� o M: CONTIGUOUS N ¢ 3 BUILDABLE AREA s 8C 40I 0 80I I Qom. I s, B3 BS CBA=1.00 ACRES Br 02 aJ ♦ ♦ MA-0.56 ACRES 61 CBA=1.01 ACRES CBA=1.06 ACRES B/ BI 0 A ^\ '7 83 A f B> / J� _ A 83 CSA=0.60 ACRES S2 62 A A 53 MA-0 79 ACRES ♦ Bf ♦ B3 ♦ MA-0.11 ACRES CBA=0.M ACRES 33 B/ A A _ B2 %1 m 82 N Bs C9A=0.61 ACRES Aas ' I 1 — ------ J A A 82 _ A 82 T A A D P I BJ A Rp h 950 81 S2 B3 A A A _ _ _ _ _ _ _ _ B2 A CEIV Projfrct Name Soil Test Plot Plan NWP Holdings Shaun Address 1844 River Rid a Rd SEP 0 4''2018 St. Croix County Hudson Wi 54016 CSTM #226900 Lot 22 Subdivision Whispering Oaks III Date 12/10/17 y 30 aUl NE 1/4 S W 1/4S 7 T 29 N/R19 W Township Hudso ❑ Boring Q Well PL Property Line County ST. CROIX % BM or VRP Assume Elevation 100 ft. Top of 3/4" pipe System Elevation TBD *HRpSame as Benchmark Scale is 1" = 40' unless otherwise noted /0' -4 B-2 . i 94.5' 404' Property Line / 40' 40' 13% Slope B.M.* 45' -3 Area of disturbed soils and fill, shift system 8 as far north as possible B-1 135' Autumn Oak Lane jPro�pertty Owner- Parcel ID k Page _of_ ❑m Bonn3 lu Pit Ground surface elev. t 2 R Depth te wr&V tactor _t' in. Soi Rffie MENEM �. � /AM c r TL It Ground surface elev. t u ' �R Depth to fs^+6n9 taUor `� in. Raw MA Moj� < F�lkrent C7 = BODr > 30 < 220 mprL and TSS >30 1150 rtgiL ' FJfluerd t12 = BODr _ 30 mgR and TSS 130 OIWL The Department of Commerce is an equal opportunity service provider and employu. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TfY 608-264-8777. saotuo iasaot , t;p �u WHISPERING OAKS - PH�, y `"`°"�"°"`°`M"��"°" (SOILS AND CBA MAP) O e CONOGVOUlf 4 E/u1LDAERLE MFJ1 SCALE IN FEET +- RRO^OSEO OI w.y 8040 0 8 ♦ SOL BO W 920 965 .BRIP 9Bp ♦ A y� C9A-1 ao ACRES • � - Br .9RS S99 ♦ BY y ♦ CBA-O.SB ACRES CBR-1.01 ACf1E5 ' O CBA.L06 4CRE5 BJ. so • ♦ 9(_ 950 • BB '' CBA-060 ACRES BY p ♦ BY 9R CBA-0J9 ACRES A Br - APPRO% M1 AREA CEA-0.24 ACRES , CBA-O.72 ACRES Br B9 = • 940 a Br r � Rop BY A BB MA-0.51 ACRES `R J. e -- 1 _- as _ A A Alp 950 er A _,___ ,y EVALUATION REPORT aega�a pr`a.dera 07,.24,14, 3oG�G JIM Mir. • `, . MMMM� @1 4 wig W Mr,=I WEM w_MF..1 II a®l. MY MOM ©Wrr#M�FOAMM WOFMM AMM tM0TW,rl i'�'r/, MAfXMINAMA ■Jr.M m1l7 " Ella" 01-60.>305 ffla owrSSIM1I0 'awuwnrt•aw,34ue9'L� w_wnY� CST Name (Please Print) CST Number Bird Plumbing, Inc. Shaun Bird 226900 Awdr Dole A%sk M Cordwood TMeOton+ Nwroer 1432 120th St, New Pachmond, WI 7 715-246-4516 6 u4 a ►smartty 0w PuW 0 P" _a_ uoon ©FO ,._ ... IrlIF3�s?IQIl�Ed©�lrF IWANIOVJMIR 1i�6�A.7 mwi MWAWM� Fdwr..mr=rasa "WA MWAVW1J© MMO.2 MIR REMIO RFa 7r ©m I �l��i!ii ®� �'�Id�►7 ©��ll��1 ---- 'I°SAu n. wo,. 70 S= MOL and T55»0_ISO MQ& - Ef,1% 02. Epp, Sm n9twd T55_<JO opt T6c Depumew of Commccce is m equal oppacamJry wniu pmvlder cad employa. If you need a imc to scow wrvlooc ar and =W rial fa an altuouc fonan, please contra d+c dMmumvt at 60E-26&7151 or TTY 603-264.6TTy, aaeLMpK01 Soil Test Plot Project Name NWP Holdings Address 1844 River Ridge Rd. Hudson Wi 54016 >TM #226900 Lot 22 Subdivision Whispering Oaks III diWe 12/10/17/8/30/18 NE 1/4 S W 1/4S 7 T 29 N/R19 W Township Hudson Boring 0 Well PL Property Line County ST. CROIX k\BM or VBP Assume Elevation 100 ft. Top of 3/4" pipe System Elevation TBD *HRpSameasBenchmark Scale is 1" = 40' unless otherwise noted 404' Property Line 40' I:1fulEi 8' B-1 135' Autumn Oak Lane 40' 45' 40' a 13% Slope ffm Area of disturbed soils and fill, shift system as far north as possible