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HomeMy WebLinkAbout040-1322-06-000Wisconsin Department of Commerce Safety and Building Division GENERAL INFORMATION Personal information you provide may be used for Zack Hartman TANK INFORMATION PRIVATE SEWAGE SYSTEM INSPECTION REPORT (ATTACH TO PERMIT) purposes [Privacy Law, 5 15 04 (1)(m)l TYPE MANUFACTURER R, In CAPACITY Septic WlJ Dosing " V Aer lion �O Holding TANK SETBACK INFORMATION 11 RMIM-M-2rdvlxffoff—• MMW.WaIMIN Milk M. M - MM�M PUMP/SIPHON INFORMATION M M r A Manufacturer / a a 4311 Model Number � TDH Lift �'i•3 nctio L s { ystem Hea t .5� TD it i Forcemain Length 01 la. . k% Dist to Well 1� OF TROY STATION BS HI FS ELEV. aory Benchmark Vi (OO.00 WW7 �11 Bldg Sevver S f A 7 SUHt Inlet 1 IA; SVHIOutlet VOW* Y . Dt Inlet Dt Bottom 1 AJ LI •N a Header/Man Dist. Pipe �, • UJ Bot. System i7 l Final Grade • 4 St Cover FT fif ftA OA"i IN it1 cCJ✓C( jO.dD IW(.r1 1b b SOIL A55UKY 1 IVN STS I tM BEDRRENCH DIMENSIONS Width 1 LengM Ot No Of Trenches QQ J PR DIMENSION lal�(d No, Of Pits side Dia Depth SETBACK INFORMATION SYSTEM TO P/Llja LDG IWELL LAKE/STREAM LEACHING CHAMBER OR UNIT ManufacturerU Type OtUSYste �� ( 5 2 Model Number i n nIRTRIRI ITIfIN RYRTFM I—r.1 11\' in _i V_tx /_ /•f Heatler/Man'rfol ��yy Distribution Plpe(s) 1 I1 3'3 x Hole Sue x Hole Spacing Vent to Air Intake Length Dia Length Dla Spacng Cull CnvFR f- In-1 ., o..,«...e Q..cte...= n. 1- /.. Mnund nr At_nrwdn Rvstems Only Depth Over /'1 h Depth Over xx Depth of xx SeededlSodded xx Mulched Bed/Trench Center 1 Bed/Trench Edges Topsoil t — es � No Ves 0 No J IOV I COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1 Inspection #2: rrZa-Iq {4�k-oln1 (�{ooa Location: 390 PEACEA E HILL RD y C VlQ(� Al 1.) Alt BM Descrition=Wkv Cep✓ in• 6F D 1Rf"Ekw l g6vev- OP Sewer $-15-l9 (('tiPP��1 o �bcK� 2.) Bldg sewer length = G -amount of cover =� Plan revision Reqt Use other side for SBD-6710 (R.3/97) yA � �- Date P � Ins ors Signature Cent No SAN - as - o a Industry Services D'vi 'oa County ¢. 1400 E Washington eNow x ` ' si < MAR 07 2019 P. Box 7162 - - • Madiso 53 16 Sanitary Permit Number (m be filled in by Co.) ao f �p +' i Applicatn_ State Transaction Number �� �� C In accordance with SPS 383.21(2), Wis. Adm. Code, su mission of this form to the appropriate gov rntal unit Project Address (if different than mailing address) 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 second purposes in accordance with the PrivacyLaw, s. 15.04 I m Slats. n W UU 3 9 Q ���Ce QU� t\' Pi I. Application Information- lease Tint AI mation Property Owner's Name Z AoG +kP"z %Q .. Parcel H B 10 • i3ZZ Property Owner's Mailing Address Prope abon $ q 305 ce, AI.Cove ►� Go V SF /, semi. City, State Zip Code Phone Number dB/uVilding 8 4 (cycle one T 2 N; R f E oi' H. Type of (check all that apply)I - Lot # ,d " U�.t or 2 Family Dwelling -Number of Bedrooms Subdivision Name 6k as jr� `T� E1e boor Block ❑ Public/Commercial - Describe Use ❑ City of ❑ State Owned - Describe Usry / ❑ Village of O,, 'T2Uy CSM Number Jr+� Town of M. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. ❑ New System ❑Replacement System ❑ Treatment/Holding Tank Replacement Only ❑Other Modification to Existing System (explain) B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner IV. Type of POWTS S tem/Com onent/Device: Check all that apply) ❑ Non -Pressurized In -Ground ❑ Pressurized In -Ground ❑ At-Gr Mound?: 24 in. of suitable soil Mound < 24 in of suitable soil ❑ Holding Tank ❑ er Dispersal Component (explain) Pretreatment Device (explain) �� t V. Dis rsal/Tre ment Area Informatio Design Flow (gpd) Design Soil Appfic5jef Ratigpdsf) Dispersal Area Requi, Dispersal Area Propw s Sys � Elevation VI. Tank Info Capacity in Total n of Manufacturer Gallons Gallons Units Uo, F2' New Tanks Erosring Tanks �% z• t 'v c & V in to d in g C7 ii Septic or Holding Tank ��J G• 1 K, hosing Chamber D VII. Responsibility Statement- I, the undersigned, assume responsibility for' stsllation of the POWTS shggqjW the attached plans. Plumber's Name (Prim) 's Si e MWEELbamber Business Phone Number PlumberdL9 IV ' Address(Street, City, State, Zlr7 5 b G 2 • V ci ! DO f VIl oun /De artment Use Only Approved PermiCCFee Date Issu Issui Agent Signe 3 a 'IX. Wjvmason for ial Condi sops for-D tsapprovalram.PtFt . OISyM a tall p .. fipaf rlonyortnent plan po,iideA by lWNn'b' e�!. 2. 11KII f(jfw aforemrar4uur.a.1d:n:r rLprfoplaflwiwtit l.fdirarwst. Ansth to wmplete plans for the mum and submit to the County only on paper not less than a N ill inches in sin SBD-6398 (R. 08/14) INIK 4ken \ at`J Ltrt- 6 `rR)l mclz Dok Nhl Vq SE Va S VR -TZ8 N ) p la W TRO -iiS�UrJs+i r R s u32'1 z O 17 p qa a� SGUAIx\PkQy. Id I Tar' 6F y � � �� EL. -roc)' A SlaylF\ IAWL L-3t Z EL ICO f m SotL Emu 6S 5� I" 40' m March 5, 2019 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 2021-03-05 Plan Review: PWTS-031900178-C JEFFERY V FOX SITE: Peaceable Hill Road Saint Croix County Town of Troy FOR: Description: 600 GPD (4 Bedrooms — New Construction) Maitenance Required DIVISION OF INDUSTRY SERVICES 2331 SAN LUIS PL GREEN BAY WI 54304-5211 Contact Through Relay http://dsps.vvi.gov/programs/industry-semices www.wisconsin.gov C r Tony Evers - Governor Dawn Crim - Secretary Mound Component Manual — Ver. 2.0, SBD-10691-P (N.01/01, R 10/12) 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 as been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance *ith 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: • 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 mound area. • Divert surface water from POWTS Area. • 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 wine, 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 & 812 • Tank Installation to follow all manufacture's recommendations. • SPS 383.54(1)(e) The management plan for a POWTS shall specifically address the servicing mechanics of an aerobic or anaerobic treatment tank or a holding tank where either of the following conditions exist: 1. The bottom of the tank is located more than 15 feet below the elevation where the servicing pad is located. 2. The bottom of the tank is located more than 150 feet horizontally from where the servicing pad is located. • Verify property line(s) prior to installation. • Pump Floats to be set and verified per approved plan. Any changes may result in pump resizing to meet TDH 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/instal lation/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. Sincerely, � 1 dim 7/.¢aalA eC:� Tim Vander Leest Private Sewage Plan Reviewer, Division of Industry Services (920)492-2214 , Mon- Fri, 6:00 a.m. - 3:30 p.m. tim.vanderleest@wi.gov MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Zack Hartman Owner's Name: Owner's Address: 744 Ryan Drive Hudson WI 0 Legal Description: NW114 SE1/4 S19 T28N/R19W Township: County: St. Croix Subdivision Name: Trov Overlook Lot Number: 6 Block Number: Parcel I.D. Number: 040-1322-0r-000 Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Designer: Jeff Fox License Number: Date: ` 02121/19 Phone Number: Sgnature:\ �✓ �� ,,z-1 %/ z Z t MPRS 223242 715-491-3458 Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SBD-10691-P (N. 01101, R. 11/12), and both SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01181) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01, R. 10112) Version 7.0 (R. 11/12) Pagel of 7 Mound and Pressure Distribution Component Design Design Worksheet Site liftir nation (R or C) Residential or Commercial Design R 400.00 Estimated Wastewater Flow (gpd) 7.50 Peaking Factor (e.g. 1.5 = 150%) Design Flow (gpd) 600,00 2.50 Site Slope N 100.00 Contour Line Elevation (ft) 24.00� Depth to Limiting Factor (in) 0.40, In -situ Soil Application Rate (gpd/ft2) `400 Pressure Disribution Information (� (C or E) a Center or End Manifold j� 4.00 Lateral Spacing (ft) 2 Number of Laterals 5 / 3 211 0.1 Orifice Diameter (in) 2.50 Estimated Orifice Spacing (ft) _ % Z 2.00 Forcemain Diameter (in) 100.00 Forcemain Length (ft) 37.00 Pump Tank Elevation (ft) 4 .55 ' System Head (ft) x 1.3 13.58 Vertical Lift (ft) 2. 2 3. Friction Loss (ft) 0.00 IrNine Filter Loss (ft) 20.36' 21, Total Dynamic Head (ft) Lateral Diameter Selection in. dia. options choice 0.75 1.00 1.25 x 1,50 x x 2.00 x 3.00 x Treatment Tank Information 1200.00 §Ttic Tank Capacity (gal) Wier_ Manufacturer Distribution Cell Information 75.001 Dispersal Cell Length Along Contour (ft) - _ 1.001 Dispersal Cell Design Loading Rate (gpolft2) 1 Influent Wastewater Quality (1 or 2) rtaWe Sand M (D) caWalions seeume a 36341-3 Inalfu sal treelmaM for fecal collform of a 3e Inches. 8.00 Cell Width (ft) Are the laterals the highese t point-, in the distribution F Y network? Enter Y or N If N above, enter the elevation of the highest point. 10.00 ft2/orifice Does the forcemain drain back? Enter Y or N 16.31 Forcemain Drainback (gal) 67.32 5x Void Volume (gal) 83.63 Minimum Dose Volume (gal) �2 System Demand (gpm) 32.4 GPM Manifold Diameter Selection in. dia. options choice_ 1.25 x _ 1.50 x x 2.00 3.00 _ G411orlsllnch Calculator (optional) [EHTotal Tank Capacity (gal) Total Working Liquid Depth (in) gal/in (enter result in cell B49) Dose Tank Information Efttrawd Filter Information 800.00 Dose Tank Capacity (gal) rdatime _Filter Manufacturer 22.24 Dose Tank Volume (gal/in) S Filter Model Number Weiser Manufacturer Project: Zack Hartman Page 2 of 7 Mound Plan and Cross Section Views � :::ObwvaWn Pipe Ke B �: ..................................... L Mound Component Dimensions Down slo e toe extension made. Al8.00 ft E 14.40 in H 1.00 it K I 8.66 ft B 75.00 ft F 1 9.50 in I I 00 ft L I 92.35 ft DI 12.00 in G 0.5D It J 6.40 ft W 26.40 It 600.00 (ft2) Dispersal Cell Area 1500.00 (ft) Basal Area Available 8.00 (gpd/ft) Linear Loading Rate 7.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 102.79 (ft) —► H rrrrrrrr. rrrrra G t uuruuaur rrnurnaui. ��.�.. ' .,.,.'.'Y.. F � plop � 101.50 (ft) Lateral 101.00 (ft)--► — Invert Dispersal Cell y,,y�r..::;i_E�!;'• �y;. ..,};ill'?'``�ii6`: "Eii!iEi�:;�":" Elevation : D _ ..... h {jFT ALIAhJ.fi1 ; L4 Y�l A J _ A 4 (A.i ` 4' � G.['.�4. •''� !" L � A AS LY _ Z�A ZA -t.\ S1`ii,.•• r4�• J ?:AZ'i .L-Aj L�,l4 4)�1w3a.3 A Ji�`si1�14.'Y`�J•-.1� ~.lf A4~liAt, A.i J 7e ('7',}��.A.i ,x: l'�y {��.nFJ!\ na. 141i)�•. d'.. t`L,4t 4.ArZ II.IAAlM1.1 100.00 (ft) Contour Elevation 2.5 % Site Slope Geotextile Fabric Cover Shading Key c T mWeraal Cell See lateral details on 1❑ _ Topsoil Cap 1.5 ft Page 4 for number, size, 2❑ J rrJ Subsoil Cap a o � � ��Q � and spacing of laterals. © ASTM C33 Sand v / Laterals are equally 2 1 F spaced from the ' ® Tilled Layer 0.5 It Typical Lateral Q IT distribution tail's 0 Aggregate Ito ©' centerline in the i A _* distribution cell (AxB). Project: Zack Hartman Page 3 of 7 End Connection Lateral Layout Diagram Laterals centered over the A 6 e dimension 4,=Turn-up Ydball valve or ol"nout plug k P All laterais are idemioal IE X--3I Holor driiledon the bottom of the lateral a4eaalr spaced Force main ootutaotion via tee or oross to manifold at ant point. Laterals Rforcemain Sch 40 PVC per SPS Table 384.30.6 Number of Laterals Lateral Diameter Lateral Length (P) Lateral Spacing (S) Lateral Flow Rate System Flow Rate Total Dynamic Head Orifice Diameter Orifice Spacing (X) Orifices per Lateral Orifice Density 15 . 2 Manifold Length 3 2 .4 Manifold Diameter Forcemain Velocity Dose Tank Information Electrical as per NEC 300 and —o SPS 31 &300 WAC "D�� Tank component is properly vented Weiser Capecityl 800.00 Volume 1 22.24 Manufacturer Gallons galtinch Dimension Inches Gallons A 19.21 427.25 B 2.00 44.48 C 3.76 83.63 D 11.00 244.64 Total 35.97 800.00 A 1B C Alarm Manuafacturer Rhombust/ I Alarm Model Number bW Plu Pump Manufacturer Zoeller Pump Model Number BN152 Pump Must Deliver ®gpm at ®ft TDH 2" Locking cover with wafting label and tocki g device and sealed watertight 4 in. min. -E Alternate outlet location Forcemeat diameter --- 1 2 In. Weep hole or an& siphon device P.� ump off elevation (tt 87.92 Dose nk elevation ft 87.00 Note, Switches containing mercury may not be used in this system. Project: Zack Hartman 32.4 GPM at 20.361 TDH Pap 4 of 7 Mound System Maintenance and Operation Specifications Service Provider's Name Jeff Fox Phone[715-755-2461 POWTS Regulators Name St Croix CouM�r:7raN� Phon. System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 118 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1200 gal Maximum TSS 150 mg/L Soil Absorption Component Size 600 ft' Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu1100 mL Septic end Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Other Service Frequency Inspect and/or service once every 3 years Should inspect and dean at least once every 3 years Teat once every 3 years Should test month) Laterals should be flushed and pressure tested every 1.5 years Inspect for p"Inq and seepe_e once every 3 years Misce lansous_Constmction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to SPS 304.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis. Adm. Code, 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn -up Detail Finished '�............ 0 .. .a ............. Grade 6-8" Diameter Lawn .—_� Threaded Cieanout Sprinkler Valve Box Plug or Ball Valve Distribution ........... Lateral g p Long 90 o Same Diameter as Lateral Project: Zack Hartman Page 5 of 7 Mound System Management Plan Pursuant to SPS 303.54, 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 [SBD-10691-P (N.01101, R. 11112), SSWMPPubfication 9.6 (01181), and Pressure Distribution Component Manual Ver. 2.0 SBD- 10708-P (N. 01101, R. 10112)] and Beal or elate riles pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with SPS 383.33, Wis. Adm. Cade u 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 foraerNce and assessment shall be sealed watertight upon the compfation 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 accidents] 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 As, Stets. The contents of the septic tank shaft be disposed of in accordance with NR 113, Wis, Adm. Code. The operating condition of the septic tank and outlet fitter shall be assessed at least once every 3 years by inspection. The cutter filler shag 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 filler when removed from its enclosure. If the filter is equipped With an alarm, the fitter shall be serviced if the alarm Is activated continuousty. Intermittent fitter alarms may Indicate stage lbws or an Impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum In the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain fees than maximum scum and sludge accumulation In the tank. The addition of biological or chemical addgNes to enhance septic tank performance is generally not required. However, g such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation If an effluent fitter is Installed within the tank it shall be inspected and serviced as necessary, Mmnd and Pressure Distritadlon 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. Trefgc (other than for vegetative maintenance) on the mound is not recommended since sell compaction may hinder aeration of the Infiltrative surface within the mound and anow 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 mglL BODs, 150 mg/L TSS, and 30 m91L FOG for septic tank effluent or 30 mg1L BODs, 30 mg/L TSS, 10 mg/L FOG, and 104 CU100 mL for highly treated effluent. Wuont flow may not exceed maximum design flow specified In We permit for this Installation. The pressure distribution system is provided with a flushing point at the and of each lateral, and it Is recommended that each lateral be gushed of accumulated solids at least once every 18 months. When a presage test is performed it should be compared to the initial test when the system was bstafied to determine if orifice clogging has occurred and if office cleaning Is required to maintain equal distribution within the dispersal cell. Observation pipes wihhin the dispersal cal shag be checked for effluent pending. Pending levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Continpencv Plan If the septic tank or any of its components become defective the tank or component shag be repaired or replaced to keep the system In proper operating condition. If the dosing tank, pump, pump tombola, alarm or related wiring becomes defective the defective components) shall be immediately repaired or replaced with a component of the same or equal performance. It the mound component fags to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced In its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Pretreatment Units The information and schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment unite or disinfection units are attached as separate documents and are considered part of the overall mane lemem plan for this system. 7JICK 4kn N AN Lfm- *lr-L TRU`I ovcvLmIC NwVq sGYll 'SR -rZ8 N I Z la W TR61-mwx1g+1r 2 S ZZ3Z'1Z M� ''1 8ED 1-�vS E 00, She-0 )AP RC -�d 1 BF `��Y 4 4'VC c EL..100 A 81 Lrk1�A21C-st? m SN(, W) bS 40' 3� M ?- PUMP PERFORMANCE MODELS Mummmool ■■.���q1.■■WAVA II I ■■,,'E,1. \KII.��`�� , ��NII'm0 ON ON U1Fas 0 4 to lib lie 17a 110 oia fLONPERI M11E CONSULT FACTORY FOR SPECIAL APPLICATIONS These systems are not designed for Explosion Proot Environments, Please consult factory for special oplbns end requirements. MaAmum operating temperature range! Pump: 130' (WC) Switch: 170' (75'C) CHOOSE A PREPACKAGED SYSTEM Includes Pump, 10.1526 and 10-1528 (see below) 94G-M N57 Pump .3 HP 9"D6 N152 Pump .4 HP 94D.M7 N153Purnp AMP BUILD YOUR OWN SYSTEM: A57 Pump .3 HP N152 P1trop .4 HP N153Ptonp .5HP Page 6 of 11 TOTAL DYNAMIC HEAD/FLOW PER MINUTE FFFI IIFNT ANn nFWATFRINC MODEL 1 57 152 163 Fen IiY[ CA uuae CbL Lan om taaa t u u xa a1 yet n rn b as a{ lm 91 1 ro M Q U m n N 91 ai to 4.11 - - M {t IV 35 7A - 34 111 a its !1 Q o B SI to.? a n 4o Ill - - - - m Q owea e1a[ m wt m.an N[ 11A 10-1527 O8 Snla * Pump Switch -10 R card with Relay. 10-1528 ON Smarty Pump Switch - 20 fl. cord with Relay. 10.1678 08 Smart® Pump Switch - 20 fL cord wilhaut Relay (requires Conlrol Panel). 10-IM 01 Smart®Alann System with Lights, Audible Alarms arid Dry Contacts. MoHrl 57 tea_ ewa�aet�r Model 1521153 n A CAUTION s a All rmtNYtlon of conbola,proYctla W rites and wifinp ehoWd be done by ■ quahfiad licensed olecerichn. All alaclnmlwMaoklysadee snuuldbe followed Including ae meal re *NeliorW esaoes Eneuk Code INECI and IN eccopaaaml Sakty and HCNth Act (OSHAI. RESERVE POWERED DESIGN For unusual conditions a reserve sar" facior is engineered into the design of every Zoeller pump 0 Copyright 20a5 Zoeller Co. All rights reserved. ;1 Owner/Buyer Mailing Addregs 113Gs Property ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM required from Planning & Zoning Department for new v City/State ffi if syl /T by Parcel Identification Number C)10 • 13ZZ`d 6 - 6 u LEGAL DESCRIPTION Property Location Nw '/4 , 5re 1/4 , Sec. Ict , T Z 8N R�W, Town of �:TEDD yy Subdivision Plat: 7riziJy n V 6 Q.�IL Lot # �. Certified Survey Map # Warranty Deed # Spec house ❑yesow Volume Page # (before 2007)Volume , Page Lot lines identifiablee yes❑no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §SPS. 383.52(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 form, 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. Uwe, 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 Safety And Professional Services 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. Uwe certify that all statements on form are true to the best of my/our knowledge. I/we am/are the owner(s) of the property described above, by virtue of It" "deed recorded in Register of Deeds Office. Number o!�Wrooms _ I-/7/�L? DATE information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. *** 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. 04/12) Z BENCH MARK J =1039.29' \309188.80'- - � 12 C3 EAST f o' _ _ �p � � -PEACEABLE `�BENCH MARK t B�OOffA�,�� EAST =1038.40' G J 9.71 ' - '� ,' '/2 2' DRIVEWAY AND UTILITY I tN O / \ i EASEMENT J cn E. LOT 7 72859 S.F. 1.67 Ac. 6 i ��/ 830044 S.F. 10'- 11 I 1.91 Ac. OL 80 10 f 3� 0.91 cr 9e12,0a E ' 216.46' ; Lp o cn 0 7_07' ! �/ - `-2 2' L-6 22' DRIVEWAY AND UTILITY V/ j�/ i rnccAAElk IT i � ' C3 EAST 267 120' Q tiR ---PEACEABLE HI] IBENCH MARK 0 EAST 26, =1038.40' 00 "O.� G5 ;---0 .71__--_150 10--wj 10'- 2, DRIVEWAY p L( AND UTILITY I v (CONS EASEMENT v EASE L N B59 S.F. �, ��=i G 67 Ac. LOT 6 . 83044 S.F. 10'_I-- ry/ / P, 1.91 Ac. , I 10' I I I N 10' 1 E 37p.97' o 16.46'un J / 106-35 -- - 1, 7g•12'0a _ _.- �'�` -- 01 o. 7 0 1�I-"w --2 2 •xve wnf.ic�i �nonun fin r nnr w y. n mna p um w�.� w.+. wnw �e��.n u�..�w•^•'^^•^ MAIN LEVEL PLAN I/4'� 1'-d' 9'-I I/G' CEILING ®MAIN LEVEL .n,a•�..... s--n..... mom. COTUGE UPPER LEVEL PUN 1/4- - I'-0- 6•-I IIV CEILING @ UPPER LEVEL #W& . ; fpv.. x'ru 1 or eC[UR•CM9 II II it 4 /- I, YceI.MN II �' CI I 9w�vm ouuf I�q '�l(4 I 4(4( i ?J]I II ar• � I -wb�m1'•..Y i� eat�� �i; SS MM u.ua x.vv , tjjjj �- e ___ ___ ;+ n ,I ; wm:.amEn—x ; , ,M II F. n � vewv'w, ; m_m-„-w-. -- _______ _Kwmm�_rv_.r ___?_l iI 1 u-rt _t_S___ LOEPUN I A 9-0- FOUD CONIC FOUNDATION #Wlz rf s�0 vr 57 Vinconsin Department of Commerce Division of Safety and Buildings SOIL EVALUATION REPORT in accordance with Comm 85, Wis. Adm. Code #1976 ...,,Page 1 of 3 Steel's Soil Service Attach complete site plan on paper not less than SY: x 11 inches in size. Plan must County St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D.A percent slope, scale or dimensions, north arrow, and location and distance to nearest road. O— don Please print aH information. E R BY Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). �y y Property Owner RECEIVED PlopertyLocation Tom And Renee Patricide G vt. Lot na NW , Si S19, T28N, R19W Property Ownefs Mailing Address L t # Block # Subd. Name or CSM# 225 Cty Rd F OCT 12 2006 6 ne Troy Overlook City State Zil Code Phone Number City ` Village _] Town Nearest Road TM Hudson WI 018 T. CR�g?�525 Troy I Gly Rd F ❑ New Construction Use: ❑ Residential! Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement ❑ Public or commercial - Describe: na Parent material _Limestone uplands covered by glacial till Flood plain elevation, if applicable na ft. General comments Mound design, system elevation 101.00ft based on contour line elevation 100.00ft. Minimuum 12 inches and recommendations: of ASTM33 mound sand. �— Boring # L Boring J ,' . j Pit Ground surface elev. 100.00 ft. Depth to limiting factor 24 in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description ou. Sz. Cont. Color Texture Structure Gr. Sz. Sh. ConsistenceBoundary Roots GPDlft' 'EM#1 -EffW2 1 0-12 10yr3/1 none sil 2msbk mfr a lvf .6 .8 2 12-24 7.5yr4/4 none sicl 2msbk mfr cs na .4 .6 3 24- 10yr7/4 none =racturec Limestone na na na .0 .0 Boring # L Boring J Pit Ground surface elev. 100.00 ft. Depth to limiting factor 24 in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Cu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDtft' 'Ee#1 'Elf#2 1 0-12 10yr3/1 none sil 2msbk mfr cs ivf .6 .8 2 12-24 7.5yr4/4 none sicl 2msbk mfr cs na .4 .6 3 24- 10yr7/4 none Yacturec Limestone na na na .0 .0 • Effluent #1 = BOD,> 30 < 220 mg/L and TSS >30 < 150 mg/L ' Efn uent #2 = BOD, < 30 mg/L and TSS <30 mg/L CST Name (Please Print) Si atu CST Number David J. Steel 248956 Address Steel's Soil Service Date Evaluation Conducted Telephone Number 994 200th St. Baldwin, WI 54002 1013a006 715-760-0347 a6D-833U(IL07/00) Prop" Owner Tom And Renee Patnode Parcel ID # Pending Page 2 of 3 Boring # —] Boring ✓ [] Pit Ground surface elev. 99.00 ft. Depth to limiting factor 30 in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/R° 'Eff#t I •Eff#2 1 0-12 10yr3/1 none sil 2msbk mfr cs lvf .6 .8 2 12-30 7.5yr4/4 none sid 2msbk mfr Cs na .4 .6 3 3D- 3Oyr7/4 none =radurec Limestone na na na .0 .0 ❑ Boring# �,�Boring L Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ft' •Eff#1 'Etf#2 ❑ Boring # Boring ] Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/W 'Eff#t •002 Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 <150 mg/L ' Effluent #2 = BODS < 30 mg/L and TSS <_30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBIM330 (R.07/00) Steel's Soil servke STEEL'S SOIL SERVICE David J. Steel Tom & Renee Patnode 994 200' St. CST-POWTSM NW1/4,SE1/4,S19,T28N,R19W Baldwin, WI 54002 Lic. #248956 Town of Troy, St Croix Co. Direct 715-760-0347 Troy Overlook, Lot 6 Fax 715-684-3449 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of this test may or may not be as shown, as permanent lot lines were not established at the time the soil test was conducted. Legend 1" = 40' ♦ = Benchmark Ele. 100.00 ft Top of 3/4" pvc pipe • = Alt Benchmark Ele. 100.00 ft Top of 3/4" pvc pipe t / _ Boring Elevations 100.00 ft 100.00 ft 99.00 ft 0.00 ft N 3 of 3 AY IjNF, 4 Ay vj OF cou, TRUNK_ HIGH AY "F" 2 . Pfp v - P. 154 t i� SS 6 N 00"50'46 W 03 T N. , .��. E 395.14'_ _ _ _ I / ` NI 01' 9'43" E 601 ` w r —\ dt r ,,..13$:7 _ 91.72' so \ il. —)-- C I I 10 I .6L'LL Loll 62.22 ' —cetay \\ N 01'1_34" 21f ,, (T 75' 00 i�75'OD c /— 157r M „8£.60.Z N m rry o o I /F � x � ®i N N i I � C7i.8Z•9 �Ili�I y A ��1 ` v� 00