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HomeMy WebLinkAbout038-1078-95-050Wisconsin Department of Commerce Safety and Building Division PRIVATE SEWAGE SYSTEM INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)J ane Rivard TANK INFORMATION TOWN OF STAR 97.76 Aq- z TYPE MANUFACTUR s yq CAPACITY Septic Dosing Cowrb Ovl J 50 Aeration n•! vl Lo 5ZS TANK SETBAdK INFORMATION TANK TO P/L WELL BLDG. Intake ROAD Septic ' x30 Dosing1/vN05D•2!`% l9 7 b FVent _ Aeration Holding PUMP/SIPHON INFORMATION )*f All m-lr- 37, 3 2- Manufacturer ze.49 Rr Oeman GPM `_f-4� .lI Model Number p� rQSysteea TDH LiW. 49O Frictig2Loi>g G rt<�j TD 1 Ft Forcemaln LeD p ia.Z �o• Dist to Well 571 SOIL ABSORPTION SYSTEM r _ 1 � _ _ fc DATA STATION •BS _ HIIz Ilj FS � ELEV. Benchmark i l 7 1 I '"17 ,7/ to All. 8�+ / l ..[ 1. W �r Q . b Bldg. Sewer y.37- SUHt Inlet lo,� 9�f,e5 St/Ht Outlet Dt Inlet Of Bottom lq, 91r17 Header/Man. SA ,83 Dist. Pipe Bot. System Final Grade St Cover ;1 LTJ 3, q7 ^, r BED/TRENCH DIMENSIONS Width r Length 7 ` es PIT DIMENSIONS No. Of Pits Inside Dia. Li id Depth SETBACK INFORMATION SYSTEM TO P!L JBLDG IWELL LAKE! LE HI G CH BER R UNIT nufac Ural: Type Of System: • �� 1 S q 4 Motlel Nu r'. UIJ 1111101.11 1 IVN JT, I LIVI Header/M—aannifold , t Z Distribution C/ 1 • Pipets)` ng(th 3�' I x Hole Size r x Hole Spacing Z Vent to Air Intakeyt ram. Length J Dia bia Z Spacing • 53 IDes�-- _7, SOIL COVER x Pressure Svstems Only xx Mnnnd CIr e6rr�d<Svnnm< nniv 4-1 W/u — L— n Depth Over Bed/Trench Center 1, Ir ® Depth Over Bed/Trench Edges �' 'Z �� xx Depth of Topsoil Z 11 xx Seeded/Sod 'yes No m Mulched Yes No COMMENTS: (Include code dis/crepencliees, persons present, etc.) Location: No Address Avail ]" Available ` dL`—� tf' 1. ,cl t 1.) Alt BM Description = R ) C pf�ri 2.) Bldg sewer length =fps - amount of cover = 714 r Plan revision Required? [-] Yes %iLNo �l % Use other side for additional information. I SBD-6710 (R.3/97) Date ie� Inspection#1: elow '71 Z)nspection#2: 1�19 Insepctor's Signature Can. No. 0 3 .wvM*tlevr� 1 �.,unwwc� " °'`'""'� Industry Services Division 10 E Washington Ave 40 County SLCroix ,a a 15 P.O. Box 7162 Sanitay Permit Number (to be filled in by Co.) Madison, WI 53707-7162 ''� OZOZ t ti 833 �p J S it Application �] ve stele Transaction Number 'I�1(rl In accordance g$ 63,'2��( submission of this form to a mal unit PWTS-022000214-C is required pri permit. Note: Application forms for state-owned POW ' ed to the Department of Safety and Professional Services. Personal informed ide may be used for secondary y prov Project Address (if diffgent than mailing address) 978 210' Avenue V purposes in accordance with the Privacyon Law, s. 15.04 1)(m , Slats. 01 1. Application Information - Please Print All Information Property Owner's Name L Parcel # Louis & Diane Rivard 038.1078-95-050 18,31- l�. 3aNg Property Owner's Mailing Address Property Location 2074 8Vh Streets Govt. Lot SE %, SE V., Section IS City, State Zip Code Phone Number Somerset. WI 54025 ;c{retc one T 31N RISE II. Type of Building (check all that apply) Lot # Subdivision Name ® 1 or 2 Family Dwelling - Number of Bedrooms 2 NA # ❑ Public/Commercial - Describe Use Block ❑ City of ❑ State Owned - Describe Use ❑ Village of CSM Number O 2e 3 ® Town of Star Prairie III. TYoe of Permit: Check only one box on line A. Complete line B ifapplicable) A ew System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner 7 IV. Type of POWTS Systern/Component(Device: (Check all that apply) f ❑ Non -Pressurized In -Ground ❑ Pressurized In -Ground ❑ At -Grade sold -. - i ❑ Holding Tank [:1Other Dispersal Component (explain) ❑ ne[reahnent Device (explain) V. Dispersal/Treatment Area Information: Design Flow (Spill Design Soil Applicati Dispersal Area Required (s Dispersal Area Proposed (sf) System Elevation ✓ 450 Rate(gplsf) 750 1567 99.13' 0.6 VI. Tank Info Capacity in cQ Gallons Total # of 'NiSnii New Tanks Existing Tanks Gallons Units sourer 0. U rn h 'v, U P. Septic or Holding Tank 1000 1000 1 Wieser Concrete ® ❑ 11 Dosing Chamber 650 650 1 Wieser Concrete ® ❑ VIL Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the anachcd plains. Plumber's Name (Prim) Plum r MP/MPRS Number Business Phone Number John Schmitt I �/ / 223760 715-760-0486 Plumber's Address (Street, City, State, Zip Code) 586 Valley View frail, Somerset, WI 54025 . Coun !De artment Use Only sssV��r,,,IIIII ; Approved ❑ Disapproved Permit Fee a Issue Is in Agent 4ignature I Owner Given Reason for Denial $ &5D �- 21X�I 2020 IX Co l p ��al/R aeons for Disapproval '3 NO K H^- e Ic n , tiers ter and ) t dispersal cell must be serviced / maintained 414-- W as per management plan provided by plumber, t1ip4rd j �Q S Ma pgl,K Let2. All setback requirements must be maintained `� `+V f a$ r applicable code/or in �� Anach to complete plans for the system and su roll to the Co ty ovly paper volles, `e. a . I II hall o eve SBD-6398 (R03/14) SOIL TEST PLOT PLAN Project Name: Rivard Mound Design Flow: 450 gallorWday Attach design flow calculations for ProjectAddress: 210th Avenue SM7 Symbol: A BM Elevation: 100.00' commercial plans. BM Descdptiom Top of 2" PVC pipe Pipe Materials f ASTM Standard Scale: 1" = 60' BM2 Symbol: L BM Elevation: 97.76' Tables 364.30-3 8 384.30-5 0 60 90 120'— SM Description: Top of 2" PVC pipe 4" SCH 40 PVC ASTM D2665 2" SCH 40 PVC I ASTM D1785 15' Slope Gradient of Tested Area: (12%) 1 1r2" SCH 40 PVC I ASTM D7785 Well Symbol (if applicable) Notes: See CSM for complete Plot Plan 92 94 98 9s `\ , \ � 28.32'x94.91' mound 100 •\ BM2 •, w/ 6'x75' ce6 \ 82 3� �. Contour Line El.=97.96' ,; ,� 12%ti t j \75' 2" Sch 40 PVC I 131 r Porce Main ■ B4 ` I BM1 WLP1000/650-MR $eptic/Dosf `Tank i B5 B7■ ■ B6 BB ■ 0 Proposed Well Driveway Ch 210th Avenue February 18, 2020 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 2022-02-18 Plan Review: PWTS-022000214-C JOHN F SCHMITT 616 150th Ave Somerset WI 54025 SITE: Louis and Diane Rivard 878 210th Avenue Town of Star Prairie Saint Croix County SE, SE, S31, T31N, R18W Total Amount: $250.00 DIVISION OF INDUSTRY SERVICES 2650 MIDWEST DR STE 1D4 ONALASKA WI 54650 Contact Through Relay http://dsps.vA.gov/programs/Defauf.wpx www.wisconsin.gov Tony Evers - Governor Dawn Crim -Secretary Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SEE CORRESPONDENCE FOR: Description: Three Bedroom Mound System \ Sloping site 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.01101, R 10/12), 22" depth to limiting condition from original grade, Maintenance reqired, New construction 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 • 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. • Prior to construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. 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. • 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. Stars. 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. 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. 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 I01.12(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, Gerard M Swim POWTS Plan Reviewer, Division of Industry Services (608)789-7892 — voice \ (608)785-9330 — fax ierryswirnC&wi.gov MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN INDEX AND TITLE PAGE Project Name: Rivard 3 Bedroom Mound Owners Name. Louis & Diane Rivard Owners Address 2074 80th Street Conditionally Somerset. W154025 APPROVED Legal Description: SE1/4, SE1/4, S18, T31N, R18WDEPT. OF SAFETY AND PROFESSIONAL SERVICES Township Star Prairie DIVISION OF INDUSTRY SERVICES County: Subdivision Name St Croix NA —�LYCi/1 Lot Number: 2 Block Nurr SEE CORRESPONDENCE Parcell.D Number 038-1078-95-050 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 Septic and Dose tank specifications Page 8 Effluent filter information Page 9 Pump specifications and curve Page 10 Plot plan Page 11 Septic tank maintenance agreement Page 12 Warranty deed Page 13 CSM Attachment Soil evaluation report Designer: John Schmitt License Number: 223760 Date 2/4/2020 Phone Number 715-760-0486 Signature: Designed Pursuant to the Mound Component Manual for POWTS Verson 2 0 SBD-10691-P (N. 011011 and both SSWMP Publication 9 6 Design of pressure Distribution Networks for ST-SAS (10161) and Pressure Distribution Component Manual Ver 2 0 SBD- 10706-P (N. 01101 j Version 7.0 (R. 03/2012) Page 1 Mound and Pressure Distribution Component Design Design Worksheet ) R or C i Site Information R 300.00 Residential or Commercial Design Estimated Wastewater Flow (gpd) Peaking Factor (e.g. 1.5 = 150%) Design Flow (gpd) Site Slope (%) Contour Line Elevation (ft) Depth to Limiting Factor (in) In -situ Soil Application Rate (gpdtft2) 1.50 450.00 12.00 97.96 22.00 0.60 1C or E) Distribution Cell Information 75.00 I Dispersal Cell Length Along Contour (ft) _ 1.00 Dispersal Cell Design Loading Rate (gpd/ftz) 1 Influent Wastewater Quality (1 or 2) Pressure Disribution Information C Center or End Manifold 3.00 Lateral Spacing (ft) 4 Number of Laterals 0.188 Orifice Diameter (in) 2.50 Estimated Orifice Spacing (ft) _ 2.00 Forcemain Diameter (in) 100.00 Forcemain Length (ft) 88.00 Pump Tank Elevation (ft) System Head (ft) x 1.3 Vertical Lift (ft) A Friction Loss (ft) In -line Filter Loss (ft) Total Dynamic Head (ft) Lateral Diameter Selection in. dia. options choice 0.75 100 125 x 1.50 x x 2.00 x 3.00 x Note Sand fill (D) calculations assume a Table 38344-3 in-sltu soil treatment for fecal coldorm of <= 36 inches. 6.00 Cell Width (ft) Are the laterals the highest point in the distribution network? Enter Y or N If N above, enter the elevation ft of the highest point. 7 50 ft/orifice Does the forcemain drain back? I Enter Y or N 16.31 Forcemain Drainback (gal) 67.32 5x Vold Volume (gal) 83.63 Minimum Dose Volume (gal) 39.32 System Demand (gpm) Manifold Diameter Selection in. dia. options I choice 1.25 1.50 x x 2.00 If 3.00 Gallonslinch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 1000 00 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Wieser Concrete IManufacturer gal/in (enter result in cell 1349) . Dose Tank Information Effluent Fitter Information 650.001 Dose Tank Capacity (gal) POLYLOK Filter Manufacturer 1 T00' Dose Tank Volume (gal/in)525 Filter Model Number Wieser Concrete Manufacturer Project: Rivard 3 Bedroom Mound Page 2 Mound Plan and Cross Section Views ii 450.00 (ft ) Dispersal Cell Area 1567.38 (ft) Basal Area Available 6.00 (gpd/ft) Linear Loading Rate 1 7.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 100.92 (ft) 99.13 (ft)�• Dispersal Cell Elevation I H G I 97 96 (ft) Contour Elevation 12.0 % Site Slope Geotextile Fabric Cover Shading Key w �'. T Dispersal Cell See lateral details on ® Topsoil Cap ' c ° m c 1.5 ft d y Page 4 for number, size. and spacing of laterals. Subsoil Cap O I Laterals are lY ASTM C33 Sand t F pacd from the Tilled Layer Aggregate c d v 0 5 ft 9distribution Typical Lateral © 1 cell's in centerline the A distribution cell (AxB). Project: Rivard 3 Bedroom Mound Page 3 Project: Center Connection Lateral Layout Diagram F OPP md�n CCnmdrOn VH tN O� cross to ma -fold ar any POW Laler all re ldepnt al I P S •= Turn-u P'rAOall.alve or �f x—al«d2 a!2♦I Laterals SfOrcemeln Sch40 PVC cleanoutplull per SP_ Tabe 384 30.6 Nobs drSed on the bovorr+or the la4ral 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 Manifold Length Manifold Diameter Forcemain Velocity Dose Tank Information Electrical as per NEC 300 and —0 SPS 316.300 WAC Tank component is properly vented Wieser Concrete capacityl 650.00 Volume 1 17.00 Manufacturer Gallons gal/inch Dimension Inches Gallons A 20.32 345.37 B 2.00 34.00 C 4.92 83.63 D 11.00 187.00 Total 38.24 650.00 A :�B C Alarm Manuafacturer JSJE Rhombus Alarm Model Number 1 1036378 Pump Manufacturer Zoeller Pump Model Number 152 �— Pump Must Deliver 39.32 gpm at 17.16 ft TDH Rivard 3 Bedroom Mound Locking cover with warning label and locking device and sealed watertight 4 in. min. E— Alternate outlet location Forcemain diameter 2 in. Weep hole or anti - siphon device Pump off elevation (ft) 88.92 all Dose tank elevation (ft) 88 00 Note Switches containing mercury may not be used in this system Page 4 Mound System Maintenance and Operation Specifications Service Provider's Name John Schmitt Phone 715-760-0486 POWTS Regulator's Name St. Croix County Zoning Phone 715-386-4680 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle SizeM>10E4 in Estimated Flow - Average 300 gpd Maximum BOD5mg/L Septic Tank Capacity 1000 gal Maximum TSSmg/L Soil Absorption Component Size 450 ftZ Maximum FOGmg/L Type of Wastewater Domestic Maximum Fecal Coliformcfu/100 mL Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Otrer Service Freauencv Inspect and/or service once every 3 years Should inspect and clean at least once every 3 years Test once every 3 years Should test month) Laterals should be flushed and pressure tested every 3 years Inspect for ponding and seepage once every 3 years Miscellaneous Construction 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 384.30 (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 •............ Grade \-"14 J 6-8" Diameter Lawn > Sprinkler Valve Box A Distribution Threaded Cleanout Plug or Ball Valve 1 Sweep 90 or Two wo Jegree Bends Same Diameter as Lateral Project Rivard 3 Bedroom Mound Page 5 Mound System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code This system shall be operated in accordance with SPS 382-84General Wis Adm. Code, and shall maintained in accordance with its' component manuals (SBD-10691-P (N.01/01, R. 10112), SSWIy1P Publication 9.6 (01/81). and Pressure Distribution Component Manuel Ver. 2.0 SBD- 10706-P (N. 01/01, R. 10/12)) and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with SPS 31 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 watertightness 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 fitter 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 fitter when removed from its enclosure. If the fitter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously_ Intermittent fitter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment. maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms. and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution system No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to Prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October -February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L SOD,. 150 mg/L TSS, and 30 mglL FOG for septic tank effluent or 30 mg/L SOD,, 30 mg/L 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 4 is recommended that each lateral be Rushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial lest when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring Continency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in Proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective components) shall be immediately repaired or replaced with a component of the same or equal performance If the mound component fails t0 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 it 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 Un(b The information and schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment units or disinfection units are attached as separate documents and are considered part of the overall management plan for this system. Project: Page 6 146" V-IIII 4" CAST -A -SEAL I IIII II 024 / II FILTER OR IIII I E I BAFFLE IIII Al e u 4" CAST -A -SEAL 4" VENT TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C--1227 REQUIREMENTS WLP1000/650- MR TANK SPECIFICATIONS DIMENSIONS: WALL: 3" BOTTOM: 3" COVER: 5" MANHOLE: 24' I.D. PRECAST CONCRETE RISER HEIGHT: 54 1/2" O.D. LENGTH: 146" O.D. WIDTH: 84' O.D. BELOW INLET: 43' O.D. LIOUID LEVEL: 38' WEIGHT: 14.M LBS. INLET AND OUTLET: 4" CAST -A -SEAL BOOT OR EQUAL GASKET, CAST -A -SEAL BOOT OR EQUAL INLET AND OUTLET BAFFLE AND FILTER: WISCONSIN. SEE DETAIL #10 (OTHER STATES SEE CHART() LIQUID CAPACITY: 27.00 GGALAN AI (PUMP) ) LOADING DESIGN: 8' O" UNSATURATED SOIL TANK CAN BE USED AS: SEPTIC/SEPTIC, SEPTIC/ PUMP OR SEPTIC/SIPHON COVER: MIX DESIGN j8 NO FIBER) TANK: MIX DESIGN /10 STRUCTURAL FIBER) CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WIESER CONCRETE DRAWINGS SUBMITTED FOR APPROVAL APPROVED BY: _ APPROVAL DATE: _ PRODUCTS NEEDED BY: W 11• N W C � CWa �o00 a 1 U7 CV M �o I p =NCIO � m J Q Z Q U H 0_ w PDLY 4K +•nr.MbMiN P:�asl CiaiFlage � ZGnr; PL-525 Fffluent Filter PL-525 Filter 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 PL-122, 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. F eattues- • 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. • Alarm accessibility. • Accepts PVC extension handle. PI -529 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. PI-q25 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 fitter 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. b. 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. I/16" Filtration Slots Alarm Switch 10,000 GPD (Optional) Accepts 1" PVC temion Handle Rated for 10,0 Mt GPD 525 Linear Ft of 1/I6- Filtration Skrtx r Accepts & SCHD 40 pipe ®LNISI SBd di NSPAN51 Standard 46 dr;C;as Deflector -inmatic ut-Off Ball t hd0o,n S mail l it l ci tlann Polylok, Zabel & Best filtersauept the SmartFilterg switch and alum 4n� I rtcud & I uk ° Easilv Installs into existing lank%. Polylok. Inc. 3 Fairfield Blvd. Wallingford, CT 06492 Toll Free: 877.765.9.10 Fax: 203.284.9514 auw.polylok.com Page 8 ME t2. PUMP PERFORMANCE CURVE MODEL 15111521153 so A ts3 � 35 1 1s 35 I l m 16 5 i ! pMLale areas o w w •m ,s za6 zw 2m 3m xo Flow c�a vxarr nvlaw CONSULT FACTORY FOR SPECIAL APPLICATIONS • Timed dosing panels available • Electrical ahemators, for duplex systems, are available and supplied with an alarm • Variable level control svntohes are available for controlling single phase systems • Double piggyback variable level float switches are available for variable level long and short cycle controls • Sealed Owik-Box available for outdoor installations - See FM1420 • Over 130'F (SVC) special quotation required 15111521153 Series 151111521153 MODELS Control selection Model yel941b --Mode _Amps Slmge. _Duplex N151 115 1 Non 6.0 1 Z or 3 -BN151 115 _ _ _ 1 Aub _--... 60 —_,_.—._ Ind_utle_tl . _ 2or3 E t151 130 1' NW-- -72 i _ Y_—ial BE151 1 Auto 32 Included 2or3 "2-_230 115 _ 1 Nan a 5 1-7- 2 or 3 BN1521 115 1 Aunt 85 -Ineludi 2u3 52 230 _ 7 Non'- 4 3 1 2603 Witt _ 431ndw 20-,T-' N753 11 1 Non' 705�-----1 �_2ar BMW 115 I Auld 10S Included i 2 w 3 E153 230 1 Non 5.3 • 1 - 2 or 3 BE153 230 1 Auto _ 53 Included - 2 o, 3 - TOTAL DYNAMIC HEADIFLOW PER MINUTE EFFLUENT AND DEWATERING MODEL 151 152 1 153 Feel Mees lief IAas by 1 OWL Lies 5 1.5 50 169 69 MI ]/ N1 10 30 45 170 61 231 70 205 t5 46 36 144 53 201 61 ml 20 61 29 110 N 167 62 197 25 ]6 18 81 36 to d2 +59 30 35 440 l 9f 1 107 122 - - 25 91 99 125 66 --_ --' 42 MA f9.1m1 9*. (116, - .._.uA fl3l e) S4 Heed Model151 4A _ems 1 vx 1 '\Gl ,1s _ t. •+SH SI(IW SELECTION GUIDE 1. Single piggyback variable level float swath or double pggybaa variable level float switch. Refer to FMO477 2. See FM0712 for correct model of Eiectnml Alternator E-Pak 3. variable level Control switch t 0A743 used as a control acbvatur, spray duplex 131 or i41 float system. • CAUTION All i11131ill., f collt'W1 p,cteck,Jr d,,,, enC xv-ny 1'11 d n- da. a ,,, enm; bcensed elearluan A4 eleclnra' and salary gym, sno.Ae be fol ewer n Wdi, Int moat wet,' National E,ekAnsai Code !NEC: If'r, rv' ,,ralloral S31ely a,,l ht'Y lb Aa ;OSHA JLs,se Models 152 / 153 ns ] rot 1 „rrwr i \ „a "Easy assembly' �i.✓�\\ I WmD 6 dsUaye type M ndudedl .t\ OPTIONAL PUMP STAND PIN 10.2421 Reduces potential dogging by debris • Replaces rocks or bricks under the pump • Made of durade, noncorrosive ABS • Raises pump 2' off bottom of basin • Provides the ability to raise intake by adding sections of 1 Y; or 2" PVC piping • Attaches securely to pump • Accommodates sump, dewatenng and effluent applications NOTE: Make sun float is free from obswcdpn. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor 1s engineered into the design of every Zoeller pump. 0 Copynghl 2010 Zoeller Co. All rights reserved. Page 9 SOIL TEST PLOT PLAN Project Name. Rivard Mound Design Flow 4509&lonsltlay ProfeclAddress: 210Ih Avenue Attach design flow calculations for BMi Symbol: A BM Elevation. 100.00 commercial plans: BM Description. Top of 2" PVC pipe Pipe Materials r ASTM Standard SM2 Symbol: A BM Elevation: 97. 76' Tables 384.30-3 8 384.30-5 BM Description: Top of 2" PVC pipe 4" SCH 40 PVC ASTM 02665 Slope Gradient of Tested Area (12%) P SCH 40 PVC ASTM ones Well Symbol (if applicable) SCH 40 PVC ASTM D1785 Notes. See CSM for complete Plot Plan 92 94 96 98 1D0 Contour El = 97.9 a B4 B7 ■ ■ B6 BB■ 26. 32'x94. 91' mound x75' cell 2" Sch 40 PVC rce Main 1001650-MR Dose Tank d Well x 210th Avenue Scale: 1" = 60' 0 60 90 120 5'VA Owner/Buyer ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Louis & Diane Rivard Mailing Address Property Address 2074 80th Street, Somerset, WI 54025 U (Verification required from PlanningW Zoning Department I City/State Somerset, WI Parcel Identification Number LEGAL DESCRIPTION Property Location SE Subdivision Plat: NA 1/. SE,1/,,Sec. 18,T Certified Survpy p # 1052631 Pe�so^� �1eµaean�k, N'd��3299 ee Spec house 0yes0no new construction.) 038-1 31 N R 18 W, Town of pt , Lot # 2 Volume o , Page # 10?80 Star Prairie (before 2007)Volume Page # Lot lines identifiable ElyesQno 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. 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 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. I/we certify that all statements on this form are true to the best of my/our knowledge. I/we am/are the owners) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms 3 SIGNATURE OF APPLICANT(S) Z/-5/Z6 DATE ***Any 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 trap if reference is made in the warranty deed. (REV. 04/12) Page 11 i V--x aTgN Im•-I•-O' FRONT IUVATION U4• - P-Q' MURLO C C. FOUNDATION 91. � IIW CCNNG S N N � FOR BIDDING ONLY NOT FOR CON5TRUCTION t I 1 np: AfM ` FOUL �S, FOJNJAT$01 FOR BIDDING ONLY NOT FOR CONSTRUCTION .n:io 4 4 [\ p0 y [ �a� • t YI a•0 x � i 4 Y i / E I x :.S I —1 C I I 1 � I 1 � 1 I � i MAIN LUM. PUN IX - 1'-O' 9.1 V -atUNG 0 WN ILV[L FOR BIDDING ONLY NOT FOR CON5TRUCTION �a JI #17-216 Parcel #: 038-1078-95-050 Valid as of 0226/2020 0920 AM Alt. Parcel #:18.31.18.324B Owner and Mailing Address: LOUIS RIVARD DIANE RIVARD PO BOX 494 SOMERSET WI 54025 Districts: Dist# Description 5432 SCH DIST OF SOMERSET 1700 WITC Abbreviated Description: Acres:20.296 SEC 18 T31N R18W PT SE SE CSM 28-6380 LOT 2 TOWN OF STAR PRAIRIE ST. CROIX COUNTY, WISCONSIN Co-Owner(s): RIVARD, DIANE Physical Property Address(es): Information Not Available Parcel History: Date Doc # Vol/Page Type 08/30/2017 11053299 / PR 08/172017 1052631 28/6380 CSM 0723/1997 1 1743/472 Plat _ Traci (S-T•R 401/4 160Y4 GL) Block/Condo Bldg " 6380-CSM 28-6380 038-017 18-31 N-18W SE SE LOT 02 2019 Valuations: Values Last Changed on 10/212019 Class and Description Acres Land Improvement Total G1-RESIDENTIAL 1 2.0001 27,000.00 0.00 27,000.00 G5-UNDEVELOPED 1 1.0001 800.001 0.001 800.00 G6-PRODUCTIVE FORST LANDS 1 17.2961 86,500.001 0.001 86,500.00 Totals for 2019 General Property 1 20.296 114,300.00 0.00 114,300.00 Woodland 0.000 0.00 0.00 0.00 Totals for 2018 General Property 1 20.2961 58,500.001 0.001 58,500.00 Woodland 1 0.0001 0.001 0.001 0.00 2019 Taxes BIII # Fair Market Value: Assessment Ratio: 14358 111,400.00 1.0260 And Due And Paid Balance Installments Net Tax 1,519.20 1,519.20 0.00 End Date Total Special Assessments 0.00 0.00 0.00 1 01/31/2020 759.60 Special Charges 0.00 0.00 0.00 2 07/31/2020 759.60 Delinquent Charges 0.00 0.00 0.00 Private Forest Crop 0.00 0.00 0.00 Net MITI Rate 0.013291392 Woodland Tax 0.00 0.00 0.00 Managed Forest Land 0.00 0.00 0.00 Gross Tax 1,711.43 Prop Tax Interest 0.00 0.00 School Credit 192.23 Spec Tax Interest 0.00 0.00 Total 1,519.20 Prop Tax Penalty 0.00 0.00 First Dollar Credit 0.00 Spec Tax Penalty 0.00 0.00 Lottery Credit 0 Claims 0.00 Other Charges 0.00 0.00 0.00 Net Tax 1,519.20 TOTAL 1,519.20 1,519.20 0.00 Interest Calculated For 0212612020 (Posted Payment Payments) Data Receipt a Type Amount Note 12/162019 109891 T 1 1,519.201 RIVARD CH#5067 CES P*7 Pot DepartT�t A i #1885 .w IL EVALUATION REPO�ECEIVED F_ Pr 5VBJOESECE9B0 ice with Comm 85,Wis.Adm.0 Page 1 of 1/ „ I Schmitt Soil Testing, Inc. ,.. ..- Attach complete site plan on paper not less than 8%2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Ptease print all information. Personal Information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (in)).a Coun fOlx P1 1 /8-9549t1 ev ed By Date Z r v Property Owner Soden, Doris P/ Louis Rivard(Buyer) Property Location Govt. Lot SE1 , SE7/4, S18, T31N, R18W Property Owners Mailing Address 2110 90th St. Lot # 2 Blodc # Subd. or CSM# CSM Pending (8� City State Zip Code Phone Number Somerset WI 1 54025 1 715-410-3207 ❑ City EI village [� Town Nearest Road Star Prairie 21OTh Ave. i New Construction Use: L- Residential / Number of bedrooms 3 Code derived design flow rate. 450 _GPD L] Replacement E Public or commercial - Describe: Parent material Glacial Till (Amery Series) Flood plain elevation, if applicable NA ft. General comments Area is suitable for a mounds stem. System elevation is 99.13' based off a cunt a established at 97.96'. Slope of area is and recommendations: 12%. Depth to limiting factor is 2'. �( ❑ Boring # C.Boring ,i Pit Ground surface elev. 98.41 ft. Depth to limiting factor 23 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* •081 '011112 1 0-6 10yr3/3 none sl 2mgr mvfr as lf,lvf 0.6 1.0 2 6-13 1Oyr4/6 none sl 2msbk mfr gw 1f,ivf 0.6 1.0 3 13-23 5yr4/4 none grsl lmsbk mfr gvv -- 0.4 0.7 4 23.64 5yr4/4 m2d 7.5yr6/8 7.5yr6/2 grsl Om mft ---- — 0.2 0.6 2] Boring 0 Boring Pa Ground surface stair. 98.61 ft. Depth to limiting factor 23 in. Soil Application Rate Hortzon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. consistence Boundary Roots GPDAF •EfA#1 •Ee#2 1 0-12 10yr3/3 rone A 2mgr mvfr as if lvf 0.6 1.0 2 12-23 1Oyr4/4 none sd 3msbk mfr gw 1f lvf 0.4 0.6 3 23-46 10yr5/3 0 2d 7.5yr6/8 7.5yr6/2 sit lmsbk mfr -- -- 0.4 0.6 4 46-62 10yr5/2 m3d /8 7.Syr6/1r6/1 sit Om mfr -- ---- 0.0 0.2 Ef0uent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BODS < 30 mg/L and TSS <30 mg/L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt ..227429 Address Schmitt Soil Testing, Inc. Date Evaluation Conducted Telephone Number 1595 72nd St. New Richmond, Will 54017 61=017 715-760-1978 SBP11330(R,07=) 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 TTTY 608-264-8777. SB 9330(R.07l00) Sdwa SON Teov, Bx. Conducted by:. Conducted For: Page 4 of 4 Schmitt & Sons Excavating, Inc.. Name: Doris Soden (Seller) / Louis Rivard (Buyer) Thomas J. Schmitt, CST 227429 Address: _ 2110 90th Street 586 Valley View Trail City, State, Zip: Somerset, W154025 Somerset,Wl 54025 Phone:715-76 -1978 PID: 038-1078-05-000 s _ Lot No. Date Legal Description: SE1/4 SEl14 S18 T31N R18W 0 Backhoe Pit ♦ Bench Mark 1 El. 100.00' Top 2" PVC Pipe. Township, County: Star Prairie Township, St. Croix County of Bench Mark 2 El. 97.76' top of 2" PVC Pipe Slope- 12% Scale 1"= 60' Contour Line Elevation: NJ 97.96, 4, &Ddrr Line Leng h: 75' f:!1„°3