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0 to p ' 3 fl n � C S 4N N OT C U1 90 N c\, a s 3 a m c o G� ° N p m w co m m 3 ` cn 1 co cn CA 3 a o W F O O �i1 N N -` O O !Y v v D m a a N cri 3 c o= CD m 0 i "^ OZ CD W C/) O O O m� O O y C y 0 z CL 000• A rj � � o - .� vv'� 6 m m y cu O m N CL d N N z D D o 0 O c M s a N. C I CD c I w m ° ? Z m o in � n w {' O Q , CD m o Z a 3 A ;o m 0 3 N Z W CD A O O Oo CO Q Q C cp O = G N N 3 T N C C/) Z7 Z � y < O d 3 N• N I � N_ 01 CD CL 1 I Cl) co CD A ti Q ' I V A � A ( yp v � o Efl o 0 0 • '� r 1100 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Tom Schmitt Attach complete site plan on paper not less than 8 %x 11 inches in size. Plan must County St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, andiocation and distance to nearest road. Parcel I.D. 032- 2125 - 00-000 Please print all inforrriation'. Reviewed By Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location M & G Inc Govt. Lot SW 1/4 SW 1/4 S 5 T 30 N R 19 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1359 Awatukee Trail 'i "*V 10 1 Chabre City State Zip �PhV� urnber City Village ✓ Town Nearest Road Hudson WI ' 54A16 71 5 5971 Somerset 172Nd Ave. ✓ New Construction Use: ✓ Residential.% Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement Public or commercial - Describe: Parent material Glacial Till Flood plain elevation, if applicable na General comments and recommendations: Area is suitable for a mound system. System elevation is 99.11', based off contour line established at 97.86'. Slope of area is 2 %. Boring # Boring ✓ Pit Ground Surface elev. 98.56 ft. Depth to limiting factor 25 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDKF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 - Eff#2 1 0 -12 10yr3/2 none sil 2msbk mfr cw 1f .5 .8 2 12 -25 10yr3/4 none sil 2fsbk mfr gw 1f .5 .8 3 25 -39 10yr4/4 rn 2d 1 6/6 sicl 2msbk mfr gw - - - - -- .4 .6 4 39 -59 10yr4/6 m315 1 1 sl 1msbk mfr gw - - - -- .4 .6 5 59 - 7.5yr4/4 m3T5y,6/2 /6 sl 1 msbk mfr - - -- - .4 .6 ❑ Boring # Boring ✓ Pit Ground Surface elev. 98.23 ft. Depth to limiting factor 25 in. Sot Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 "Eff#2 1 0 -9 10yr3/2 none sit 2msbk mfr gw 1f .5 .8 2 9 -14 10yr4/6 none sit 2fsbk mfr gw 1f .5 .8 3 14 -25 10yr4/4 none sicl 2fsbk mfr gw - - - - -- .4 .6 4 25 -57 7.5yr4/4 m37.5yrb /1 /S sl 1 msbk mfr gw - - - -- .4 .6 5 57 - 7.5yr4/4 m37 5yrb/ 6/6 sl 1 msbk mfr - - -- - .4 .6 * Effluent #1 = BOD? 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD < mg /L and TSS < 30 mg/L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt 227429 Address Tom Schmitt Date Evaluation Conducted Telephone Number 586 Valley View Trail, Somerset, WI 54025 1/15/02 715- 549 -6651 .Property Owner M & G Inc Parcel ID # 032 - 2125 -00 -000 Page 2 of 3 F3 I Boring # Boring ✓ Pit Ground Surface elev. 97.74 ft. Depth to limiting factor 21 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr, Sz. Sh. *Eff#1 *Eff#2 1 0 -9 10yr3/2 none sil 2msbk mfr gw 2m,1f .5 .8 2 9 -21 10yr414 none sicl 2fsbk mfr gw 1f .4 .6 3 21 -34 7.5 r4/4 m2d yr6/1 J8 sl 2fsbk mfr w - - -- .5 .9 y 7.Syr6 /1 g 4 34 -64 7.5 r4/6 m2d 10yr6 /6 sl Oma mfr w - - - - -- .3 .5 y 10 r6 /1 g map 7.5yr6/6 ___ -- 4 6 5 64 -73 7.5yr4/4 7.5 6/1 sl 1 ms mfr - - -- F] Boring # Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 F-1 Boring # Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDtft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD 30 < 220 mg/L and TSS >30 < 150 mg /L * Effluent #2 = BOD < 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 —A —+—;.1 .itA. f, f — ni-- — f—f 0— .iA„o.+ --f of fr1R_7Af_21 G1 — TT V �hR_7��_R777 i I .0 r'�,,J��, y fa � Y "���j ..t- r�►C - �I�4 �Jr �`'� ,6,/., �J J � �C �n-i. • ` s i3s .�lw� �u =e r��' i esrl 79a 1p sW e fle a&, T. -a,/ ;r,-,.,a 7 o -7f 17 C,\ de S Q L iL y� Goy -- L' � 4 &L 160 � . �� :23 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building f 4ivision A INSPECTION REPORT Sanitary Permit No: 395280 GENERAL INFORMATION (ATTACH TO PERMIT) OZ– State Plan ID No: 1 Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. ��y 9 05 S• -7/-7 ` Permit Holder's Name: City Village X Township Parcel Tax No: M & G, Inc. I Somerset Township 032 - 2125 - 00.000 CST M m / a b r InsP 0o v� BM on: s yn xi TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELkV. 1 , ;%jr . 03.7 - ") /00 Septic Ben c�jtnP � ' Q '9 D7 9a " Z 6 /►t' /� FJ Dosing Alt. BM S/lae� d oter sM �. ° o�/- Aeration /I� Bldg. Seweq, (1 // -7 S 3,1 Holding St/Ht Inlet d /bl • (0 TANK SETBACK INFORMATION SUHt Outlet • 33 I D / - 3 TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet =i Dt Bottom G Septic � C2 /� p� /� (< •(0 1 3 Dosin / Head Aeration Dist. Pipe Jo �� b Holding Bot. System s� 3 t3 oz �� . ( A P UMP /SIPH INFORMATION Final Grade Manufacturer L Demand S over GPM Model Number qg- a,l C? cl t/ 0 H /-' TDH Lift � Friction Lost . �I Syste Hea TD Ft � � Spa - � r �� � � V,4 1 �,..f J Forcemain Length Dia. Dist. to Well / I SOIL ABSORPTION SYSTEM BED/TRENCH Width ii Lenat lNo. Of Trenches PIT DIME IONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS �) SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM L CHI Manufacturer: INFORMATION CHA OR Type Sys 3o - 7 b / 1 / I / Model Number. DISTRIBUTION SYST S Header / Manifold n ion j / x Hole Size x Hole Spacing Vent t o Air Intake Pipe(s '� J n �' 3 •� �� , Length Dial Lengtf / / Dia Spacing / SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over IDepth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center ed/Trench Edges Topsoil Yes No �] Yes ❑ No COMMENTS: ' (Include e code discrepencies, persons present, etc.) Inspection #1: - 7 1 / Inspecti #2� 1 l r QGyirY! � � Location: 453 172nd Street Somerset, WI 54025 (SE 1/4 SW 1/4 5 T30 R79W) Ct�rab 1 re0 - Parcel o. `00.1 .1118 1.) Alt BM Description = Sf 2.) Bldg sewer length ` - amount of cover = 3. Contour = ! Minsepctor's m /3 t 2 r�Z'� =c L ?/ � 1 It Plan revision Required? ❑Yes No Use other side for additional information. ` o Date Sig ature Cart. No. SBD -6710 (R.3/97) Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 r V seons w Madison, WI 53707 - 7162 Site Address Department of Commerce I V0 Zgzya 464E Sanitary Permit Application Sanitary Permit Number In accord with Comm 83.21, Wis. Adm. Code, personal information you Provide if Revision may be used for second Privacy Law, s15. 1 m I. Application Information - Please Print All Information E State Plan I.D. Number REC W 30 s Property Owner's Name 1 6 Parcel Number " �, K c ,���n1 A0.3 )� - S - 0 C) -00 Property Owner's Mailing Address O1 h GOU^� roperty Location S 1 cg OFFIGE btJ 7/ Rjv qe ., o S E , S u l TI z ON1NO 5 W A t^.'-A : 5 S T 3D N. ) J9 City, State 1 Zip Code umber Lot Ntt�►ber Block Number - 900 Subdivision Name CSM Number ff 14 -6 21= II. Type of Building (check all that apply) ❑City 1 or 2 Family Dwelling - Number of Bedrooms J7 ❑Village b Public/Commercial -/ Describe Use Township So h1 E 2 s 6 r ❑ State Owned / '6 rx n ip X -S U1/ d G � Nearest Road 7 - Z . 28" , e -C l 7R " Av e M. Type of Permit: (Check only one box on line A (numbering 6khern e for internal use). Complete line B if applicable) A For County use 1 P New 2 ❑ Replacement System 3 ❑ Replacement of 6 ❑ Addition to System Tank Only Exis ' S stem B. A Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Check all that apply)(numbering scheme is for internal use) 44 ❑ Non - Pressurized In- Ground 2119 Mound 47 ❑ Sand Filter 50 ❑ Constructed Wetland 22 ❑ Pressurized In- Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line 45 ❑ At -Grade 46 ❑ Aerobic Treatment Unit 49 ❑ Recirculating 30 ❑ Other V. D' ersaLTreatment Area Information: Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate S stem Elevation Final Grade Required Proposed Raw(Gals./Days/Sq.Ft.) (Ivfin.flnch) -Z;V Elevation 0 o lla� 1 /a / �q. ion. VI. Tank Info Capaci in r anufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks I Tanks Septic or Holding Tank JOOO — )000 ) t E KS Dosing Chamber goo 1 -- goo I 1 W E F K S VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber' Signature MP/MPRS Number Business Phone Number �oHN SG N I)1 / fi Y � a�)- 37 (Q 0 715 Plumber's Address (Street, City, State, Z' ode) �lG S oTN /�L) E SO t �5Er 1�1 s 5/0 S VIII. Aunt /De artment Use Onl Sanitary Permit Fee (includes Groundwater Date Issued em ing Signatu No Stamps) PProved El Disapproved Surcharge Fee) ❑ Owner Given Initial Adverse Determination EK. Conditions of Approval/Reasons for Disappfoval � c _ <� V p VW Attach rn plans (to the County only) for the system on paper not leas than Un x 11 inches In size SBD -6398 (R. 05101) Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 \ Visconsin www.w w ww.comm.state.vii.us/sb isconin.gov Department of Commerce Scott McCallum, Governor Philip Edw. Albert, Secretary March 13, 2002 CUST ID No.223760 ATTN: POWTS Inspector ZONING OFFICE JOHN F SCHMITT ST CROIX COUNTY SPIA 616 150TH AVE 1101 CARMICHAEL RD SOMERSET WI 54025 HUDSON WI 54016 CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 03/13/2004 Transaction ID No. 717941 SITE: Site ID No. 641982 M &g Inc / Mike Germain Please refer to both identification numbers, 172ND Ave above, in all correspondence with the agency. Town of Somerset St Croix County SWIM, SWIM, S5, T30N, R19W Lot: 10, Subdivision: Chabre FOR: Description: Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 832304 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Requirements: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD- 10691 -P (N.01 /O1) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD- 10706 -P (N.01 /01). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Per manual sited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c Conk • A Sanitary Permit must be obtained from the county where this project is located in accordance with the RION requirements of Sec. 145.135 and 145.19, Wis. Stats. Ap� c ol • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made w' OF desig coup official in accordance with the p rovisions of Sec. 145.20(2)(d), Wis. Stat � h' P E E • Comm 83.22(7) A copy of he 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. t JOHN F SCHMITT Page 2 3113/02 Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.55 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. 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 Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer II, Integrated Services WiSMART code: 7633 (608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday cbratz@commerce.state.wi.us r • r , SCHMITT & SONS EXCAVATING 586 Valley View Trail Somerset, *7 54025 715 -549 -6651 MOUND SYSTEM For: � { 4 TO C, 1 Is L'2Ele li714 C 14�B�r" C S T / a Address: l 3 S 9 J &047- t" KE /.:: To, �� >.� �'�� 5 `/D - Legal. S W ' /`l _S LTV �� 4 S 6 T ( 0 ts; R Township: S n n? 6eL> E 7 - County: C 7 j?f) / Y ontents Page 1 Plot Plan Page 2 System Cross Section �� ! ` %- Y,�, Page 3 Pipe Lateral Layout <1 Page 4 Dosing Chamber Page 5 Pump Curve �Q Page 6 Management Plan Attachment 1 Soil Evaluation Report Attachment 2 s'Li r2 y e 111 Mound Component Manual (Version 2.0) SBD- 10691 -P(N. 01/01) Pressure Distribution Component Manual (Version 2.0) SBD- 10706 -P(N 01 /01) 1 B r� A—kzmo- MPRSW f ,22,37 to 0 Date: - 'v ED 'MERCE, NG8 _ l ,N©ENCE f7a Air • r , OR�vt w r - rtsEmE4 CH14Boe(= L ©T I� P)?OPEeI"Y Liwc CH�Ie�c Le •T' /�' 3 7 GC i Brrl = TOP ;t" pi)c Po)r CL. /00,too n (.'r Brn = ro P o r a' PVC P i Pr 9L. l - - - -- CO M T - 0 L / ti c t L. V 7, 86 g7 - � PRo�s ( Ae4b 5 r6 3 B�t�Rar. 9� • Z � N�usc 1 'Li 340 I- P m �SC,acg 4 63 \ AL \ CO N TOu� - tr�yE ' R ? 1 VgAw/nvc ifnR. 3 q - 0,;t veA(,ornr& BV, M • fi G .z ry c. rl)) tc ( GEe /n,q tu arAl F 13s `1 4w 4T U P - EE - re. 6 /5`D Ta AL) e !-w ood W 5VO/ 6 Som t= .5cr W S -2 ,� f' ,� System Cross Section Page - of Straw, Marsh Hoy, Or Synthetic Covering ASTMC33 distribution Pipe Medium Sand H G 6 Topsoil =5 - - -��_- F .SYS. ELEV. Slope Bed Of Z — 2 %Z Force Main Plowed Aggregate Loye _ r _ (6 Below Pipe) I � D Cross Section Of A Mound System Using E Ft. A Bed For The Absorption Area F �� Ft. i; Ft. 1 � VF t H Ft . Signed: G� �'I /l. t License umber: 3 76 0 L Ft. Date: 3 `V —6) 1� J T Ft. Ft. W O1 Ft. Observation Pipe F10 115 To 1110 B From End of Bed K F r J ` \ Force Main ----- �Mw�----- ^ - - -_- - �Oistribution Bed Of 2 2 Pipe Aggregate Observation Pipe Permanent Markers 115 To 1110 B From End of Bed plan View Of Mound Using A Bed For The Absorption Area ' r , f valve Box PBrtorated �+igf Dole" Plaaic omr End Caps � C04 vi w PfttOpO�fa �✓ PVG P,pe wotee Located On iotto+e, 0 Ar tgo4lly Sooafe 'ihmaded End Caps i Q PVC P9►e9 #A" Disiti�ut +p+ Pip* PYC ma++t Pot Cisttitution Pi_ a Lcy Wit ' X � 7 0A InchRc Y 42 Inches 3 mole Diameter inch Signed: : , /^ �L�t �� ' Inch ( es) Lateral � { License N ber: aa3741 0 Manifold Inches Date: 3 _ G/ " � a ......�- �.- Force Main Inches # of holes /Pipe Invert Elevation of Laterals /F f F46 L L Of Pump CHAt'�P c.R CR05S SECT C*► APJO SPEOrF►Car10A.S VE LJT CAP 4 %.I. VENT PIPC � CATWCK PILOOF APPROVED LOCItIM& �"� �'nAwr11�L.1� CQVRIK aus3MOW pax • $ h' f Mari .I11juuw wA 1 AIK aiTAKE ! GRA DC { 4 /AIM. cowou IT I 1Il" 4u. u.. r.r.r .r .�A.i ..• la•r+4N. �ti $ PROVIDE 1111L.0 T r AiRT;444T $CAL ! I v 1 � � � JI,PIlt;0Vi0 JOIy1>I APPROVED Jofm A I I I W /C. FI PIC W /G.% PIPS ! ! EXTIL I p4i 3' EIITEN 3' , ( ALARM ONTO 50610 1041. ONYO 10610 t10I L • ( I I I O i LI.CV. '� Ft FuMP� ._J ,�, Off 0 COAlCRETE aLDt/l I R46cit cxrr PERMIT ED O/JLU IF TAMK MANUFACTURE-R HAS SUCH APPROVA6 apt tSCPTit f SPCCtFICATIOMS .... .... D05R � � � �' L� (� C ";' T�1 MAIJUFACTW%CK .r �� . 2 � =. 1� f , iG 1JUMbtN OF DCSCa: PER o" TANK MZC sZQo CsALLOI►1 DOSE VOLIJMC g�. ©/� � MAI a rAtrup rut: _S EPT20 A r T>4 K tt1 T� uJCLUOIa►IL t�wclt , I...:..� L/ QA«ow: MODCL W(AlAbCit: � - J CAPACITIES.' 11 • 1 {bCHCrI QR SWITCH ~lZ - w e bit IAiCNCti oil . � ,al y ;.� � ,, � a 'fi(11.i0Y3 UMP MAMUfAt Zo I t h� / .a ? .� C w, �l M.496 OR . GA4.WUS ^00CL MUMSCItt Do 1 IMCNES OR �. '7L'.�i.� GALLOLIC SWITC?a T11PK :. ill gg cwe . Y -- ,_.,, PUMP A130 ALJ.iIM ARE '1'Ci ►G MAMI DISCIARGE RATE OPM I INSM.LEG OM SEP&RAT£ CIKCLITB YEtTtCAL OIPI�CREII U OETWECU PUM OFV , D, GISTRIbtiTlO�.I PIPE- / 0 FEES' 1 74 + AI METWOKK SUPPI.� PItCbYLIRC .. . . . .. . . . . � 0 F>w.1`T 3 Z� + LSL:,... f Off FORCE MAIN X • FYo n F RIMO U iA['TOK. - -3 3 FEET �-- T OTAL. D HEA Z 5-, Q FEET 4#1T&RMA6 OIMLW6lQNp Of TAAIK: LENii7N -;wIDTH L.IQUIO DEPT M ..A.T..L.... St01.14:D: :... -�� uctnlst: IJUngIzFt: ,7 3 76 a ,o r Qpy� � r d� (�J ' r , HEAD /CAPACITY CURVE EFFLUENT and DEWATERING A CAUTION I Model 185/4185 should not be subjected to less than 30 feet TDH. MODEL 42 48 S3 98 737,139 140, 161, '1' 765, 1 786, 788. 189, 797 57 59 ata0 4167 16} gt65 at85 at86 at88 4189 N r7 ' "4Ty ". GAL. I,TR5 CAI. ILYRS. CAL. IiRS Cal. I LIRS GAL, lTRS CAI. I LVtSA M. G. lTRe K L . , GPI. LT M. 41 CAI. M. CK. - CAI. w _ 5 t5V' 15 ">57{ ' 32 '1211 .3 1631 72 273" 93 752' 91 344. 100 o 61 1f 61 ^13 56 ZD. 145 814 145 45 W W 1n J.OS %• 11 '42' IS '94 ". 34 129 -1 61 231- 79 280 84 31W 93 A62� 61 224;. 61 27, 36 7 1.0 110 330 .3 W 15 ;..57r. 6 ''23 15 157' 19 172' 45 170 63 242'. 76 286- 65 1722 60 `22 61 2Sn 56 R 134 135 b6 45 20 t.6.10 ' ;, •:fttt ...1 25 1051 l6 Mdse' 68 7372 79 x:286: 59 '223$ 60 56 126 131 45 140 75 ii ,7.452dr, a �! 7ddk1 r •; "5 6 4,,0(0 59 221%' 70 Z0.ti4 57 59 56 122 125 45 42 JO !i9L)4.Y', ** S.r9Ji 1�W }r 49 1W 52 55 56 65 56 116 120 43 135 40 }Ivw .', ". >Z fi t £1 21 i70: .5 1$,t1j 46 55 70 5e 104 109 .5 50 :.11&ZW,- 4fN fl',1f1„ 4ti.q . w i zo 1 50 51 58 90 97 45 60 1 1e.29% 'Min: 15 ctm 39 32 56 71 85 45 40 130 0 i'21J4P Ei Vii.: J7tl �: 23 7 9 52 51 69 45 Bo :24 44i'PI° ,7:ii Y7?r'. to 45 26 51 ,� .5 90 1".27.43.x ;'AMA E }',7 a r. 31 2 0. 34 .5 38 125 loo 'J0.4e4 rnx: ajoe'- Y:.K' i 16 17 .o 110 *:432.0BV. •, 18. !}"' i.. 4 30 120 36M7 'r r1!! ,, '4. 811 Lr. .q 8. 20 120 .7w,f'r t. 10 36 191 OCK VA VE: 19' 19' 1 49.25` 23 26' 46' 1 56' fib' 66.5' 1 73' 1 14' 91' 110' 131' 115 34 110 32 105 100 30 95- 28 90 186, 26 85 4186 24— 80- 165, 75 416 0 22 70 x c2 20- 65 z z 0 18- 60 1 1 4163 189, J 4189 0 55 r 16 50 14 45 12 40 140, 188, 35 4140 4188 10 30 137, 185, 8 139 4185 25 g 20 15 4 10 161, 2 5 48 4161 53,55 98 57,59 0 - 44 - 14� U.S. GALLONS 10 20 30 40 50 60 70 80 90 100 110 120 130 140 150 160 LITERS 80 160 240 320 400 480 560 640 0 FLOW PER MINUTE 009922a POWTS OWNER'S MANUAL 8. MANAGEMENT PLAN Pa ge � or� SYSTEM SPECIFICATIONS FILE INFORMATION j / ��� _ Nt � Septic Tank Capacity fl al ❑ NA Owner (rj . �� ref __ � Perm #. Septic Tank Manufacture 6 KS ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer Z ❑ NA ❑ NA Effluent Filter Model —/ ❑ NA Number of Bedrooms Number of Commercial Units I$ NA Pump Tank Capacity �0 0 pal 13 NA Estimated flow (average) d al/d Pump Tank Manufacturer fit,) I= r. KS ❑ NA Design flow (pea k Estimated x 1.5) alld Pump Manufacturer o E C c k,e 13 NA ), � Soil Application Rate Aq al/da fle Pump Model ❑ NA Influent/Effluent Quality Monthly average* Pretreatment Unit W NA ❑ SandlGravet Filter ❑ Peat Filter Fats, Oil & Grease (FOG) S30 mg/L ❑ Mechanical Aeration ❑ Wetland Biochemical Oxygen Demand (BOD MO mg/L ❑ Disinfection ❑ Other. Total Suspended Solids (TSS) 5150 mg/L Manufacturer Pretreated Effluent Quality . ;9 NA Monthly average" Dispersal Cell(s) Biochemical Oxygen Demand (GOD g 530 mg/L ❑ In -ground (gravity) 13 In-ground (pressurized) Total Suspended Solids (TSS) 5 ❑ At-grade pi Mound 30 mg /L ❑ Other. Fecal Cotiform (geometric mean) 510' dull ❑ Dri ine Maximum Effluent Particle Size Y Inch diameter values typical for domestic (non- cortrmercial) wastewater and septic tank effluent •• values typical for pretreated wastewater. MAINTENANCE SCHEDULE Service Event Service Frequency At least once every ❑ months ® year(s) (Maximum 3 yrs.) Inspect condition of tank(s) Pump out contents of tank(s) When combined sludge and scum equals one -third (Y,) of tank volume inspect dispersal cell(s) At least once every ❑ months CS years) (Maximum 3 yrs.) a Clean effluent filter At least once every f ❑ months ® year(s) P P At least once eve ❑ months l� year(s) ❑ NA Ins pump. pump controls & alarm every Flush laterals and pressure test At least once every ❑ months IN years) ❑ NA Other At least once every ❑ months ❑ year(s) ❑ NA Other. At least once every ❑ months ❑ year(s) ❑ NA MAINTENANCE INSTRUCTIONS rryi n one of the following licenses or Inspections of tanks and dispersal cells shall be made by an Individual ca g certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Inspe t t POWTS fy Maine s rig orbroken Servicing Operator. Tank inspections must induce a visual Inspection of r leaks, measure the volume of combined sludge and scum and to check for any back up hardware, Identify any cracks o or ponding of effluent on the ground surface. The dns o 1 cell(s) nt on the s a ponding of effluent on the in the observation pipes and to check for any po g authority. ground surface may indicate a failing condition and requires the immediate notification of more of the tank volume, the When the combined accumulation of sludge and cum in Servicing equals s on e - and dispose of in accordance with ch. NR entire contents of the tank shall be re Y 113 Wisconsin Administrative Code. an reattment components and The servicing of effluent filters, mechanical or pressurized POWTS componesp by a certified POWTS Ma ntainer. other maintenance or monitoring at intervals of 12 months or less shall be performed of com co m p letion of any service event. A service report shall be provided to the local regulatory authority within 10 days P START UP AND OPERATION For new construction, prior to use of the POWTS check treatme the dispers ) fh cell(s). n l of aii n ting p lions or other chemicals that may impede the treatment process and /or dam age detected have the contents of the tank(s) removed by a septage servicing operator prior to use. Page System start up shall not occur when soll'conditions are frozen at the infiltrative surface. g of During power outages pump tanks may fill above nominal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the ceU(s) and may result in the backup or surface discharge of eff pent To avoid this situation have the contents of the pump tank removed by a j Septage Serving Operator prior .&restoting power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and, dispersal calls. 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 POWTS: antibiotics; baby wipes; clgarede butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; tat; foundation drain pump) water, fruit and vegetable peelings, gasoline; grease; herbicides; meat scraps; medications; oll; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONOMENT When the POWTS fails and/or Is permanently. taken out of service the following steps shall bye taken to Insure that the system is property and safety abandoned in compliance with ch. Comm 83.33, Wisconsin Administrative Code: • All 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 disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails 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 required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. • A suitable replacementarea is not available due to setback and /or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. 91 The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the b)omat 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 POWTS MAINTAINER Name To hl >U SC H w i r( Name C9 L,,) N E,e Phone Phone SEPTAGE SERVICING OPERATOR PUMPER LOCAL REGULATORY AUTHORITY Name O WA) C/ -/6ICF Agency S;, C1P(9I X (foUlUT - Y ZO/JIA )& Phone Phone 7 3 6 This document was drafted by the staffs of the Green. lake, Marquette and Waushara County Zoning and Sanitation agencies. This document meets the minimum requirements of ch. Comm 83.22(2)(bx1)(d)r.(r) and 83.54(1), (2) & (3), Wisconsin Administrative Code. Use of this document does not guarantee the performance of the POWTS. GMW (210i) i 1100 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Tom Schmitt County Attach complete site plan on paper not less than 8% x 11 inches in size. Plan musk St. Croix include, but not iiniRed to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. 032- 2125- 00-000 Please print all information Reviewed By Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location M & G Inc Govt. Lot SW 1/4 SW 19 S 5 T 30 N R 19 W Property Owner's Mailing Address Lot # Blodc # Subd. Name or CSM# 1359 Awatukee Trail 10 Chabre City State Zip Code Phone Number City Village ✓ Town Nearest Road Hudson I WI 1 540161 715 -549 -5971 1 Somerset I 172Nd Ave. ✓ New Construction Use: ✓ Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement Public or commercial - Describe: Parent material Glacial Till Flood plain elevation, if applicable na General comments and recommendations: Area is suitable for a mound system. System elevation is 99.11', based off contour tine established at 97.86. Slope of area is 2 %. D Boring # Boring 6e Pit Ground Surface elev. 98.56 ft. Depth to limiting factor 25 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIft= in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Etf#1 "Eff#2 1 0 -12 10yr3/2 none sil 2msbk mfr cw if .5 .8 2 12 -25 10yr3/4 none sil 2fsbk mfr gw 1f .5 .8 3 25-39 10yr4/4 m2d 10 /t /6 sicl 2msbk mfr gw - -- 4 6 4 39 -59 10yr4/6 m3 sl lmsbk mfr gw ---- .4 .6 5 59 -71 7.5yr4/4 m3T 7. yr6 /6 sl 1 msbk mfr - -- -- .4 .6 a Z Boring # Boring ✓ Pit Ground Surface elev. 98.23 ft. Depth to limiting factor 25 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots Q in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Efl#1 'Eff#2 1 0-9 10yr3/2 none sil 2msbk mfr gw if .5 .8 2 9 -14 10yr4/6 none sil 2fsbk mfr gw 1f .5 .8 3 14 -25 10yr4/4 none sicl 2fsbk mfr gw - -- .4 .6 4 25 -57 7.5yr4/4 m3p51 /t/8 sl imsbk mfr gw - -- .4 .6 5 57 -72 7.5yr4/4 m3T .5 y j/6 s1 1 msbk mfr - -- - ---- .4 .6 ' Effluent #1 = BOD? 30 < 220 mg /L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS <_30 mg /L CST Name (Please Print) Signature: CS T Number Thomas J. Schmitt _�i "�° 227429 Address Tom Schmitt Date Evaluation Conducted Telephone Number 586 Valley View Trail, Somerset, WI 54025 1/15/02 715 - 549 - 6651 • Property Owner M & G Inc Parcel ID # 032 - 2125 - 00-000 Page 2 of 3 F Boring # Boring ge Pit Ground Surface elev. 97.74 ft. Depth to limiting factor 21 in. gory Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Et7#1 "Eff#2 1 0-9 1Oyr3/2 none Sil 2msbk mfr gw 2m,1f .5 .8 2 9 -21 1Oyr4/4 none sicl 2fsbk mfr gw if .4 .6 3 21 -34 7.5 r4/4 m2d 7.5yr6/8 Sl 2fsbk mfr gw .5 .9 Y 7.5yr6/] 4 34 -64 7.5 r4/6 m2d 10yr6 /6 Sl Oma mfr gw - -- .3 .5 y 10 r6 /I 5 6473 7.5yr4/4 m3p 7.5yr6/6 SI 1 msbk mfr ---- - -- . 4 .6 7.5 6/l F-1 Boring # Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 "Eff#2 F-1 Boring # Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ' Effluent #1 = BOD? 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD 15,30 mg/L and TSS -S 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or APP i . notPr:ol :n on oltomat„ fn'.not nloACn nnnto t *►.. lPno.tmo..t of rnQ-')!•4_Z19 1 . 7TV Ar12 -74A -2'777 rcti►.y fO 1i'' G .Z ric ;lliom¢s J..c..`' l �L Vo M= fort .0 07 / - o? / / 8 1 • r ]p,l• Kf7 Loo w 7K M.. WO477!•,V •fif! — j0..1' Y LSO' HIWaIAT SETYIICK + try •� '•�\ 1 S-F fz 9 2 . 4P 0 ra �y 4 z i�l Z Lo •tf F �......� I + > if 999W I a to �O rh �•. �I i I z ' I v V if f m0 at 0-4 cn c r, P 'EN r � � ,t.�n f • ]] Tr E F I ri w I a I ,� t ri g \ s o x �< j. a iCA I f t Y F §§ o o m 1 ,• a .n M ,.,ppq t'1]4 7177.7!' peMwe. •na Y RY Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 TD #: (608) 264 -8777 Visconsin www www.commerc .wis c ons .wisonsin.gov Department of Commerce Scott Ilum, Governor Philip dw. Secretary March 13, 2002 M CUST ID No.223760 ATTN.• POWTS Inspector S N R 1 1 ZONING OFFICE Z��NcXcoo 002 JOHN F SCHMITT ST CROIX COUNTY SPIA coo 150TH AVE 1101 CARMICHAEL RD SOMERSET WI 54025 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 03/13/2004 Identification Numbers Transaction ID No. 717941 SITE: Site ID No. 641982 M &g Inc / Mike Germain Please refer to both identification numbers, 172ND Ave L above, in all correspondence with the agency. Town of Somerset St Croix County SWIA, SWIA, S5, T30N, R19W Lot: 10, Subdivision: Chabre FOR: Description: Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 832304 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Requirements: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD- 10691 -P (N.01 /01) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD -10706 -j? (N.01/01). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Per manual sited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat • Comm 83.22(7) A copy of he 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. Y JOHN F SCHMITT Page 2 3/13/02 Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.55 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. 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 Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer II , Integrated Services WiSMARTjcode: 7633' (608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday cbratz @commerce.state.wi.us 3, Ave. SanitAry Permit Application Safety & Buildings Division ' In accord with Comm 83.2 1, Wis. Adm. Code 201 W. Washington Ave. See reverse side for instructions for completing this application PO Box 7302 l Visconsin Personal inforrnation you provide may be used for secondary purposes Madison, WI 53707 -7302 Department of Commerce [Privacy Law, s. 15.04(I) lj _^ (Submit completed form to county if not state owned.) Attach complete plans (to the county copy only) for s ,.brtpa er notless than 8 -1/2 x I I inches in size. County State Sanitary Permit Number ❑ C vision to evious application State Plan I. D. Number a?4 sa �� 633 I. Application Information - Please Print all Information Location: Property Owner Name Property Location Ch t � //n � ,�i If SE G G , i �E - 911 ft/ � 1/4 s 1/4, S 5-T3 R (or Prope Owner's Mailing Address T rY Lot Number Block Number T z�►cr O City, State Zip Code Phone Nuraber , Subdivision Name or CSM Number 5F7 Al� II. Type of Building: (check one) r ❑ city M I or 2 Family Dwelling - No. of Bedrooms : l ❑ Village ❑ Public /Commercial (describe use):_ �pQ,QOta) Qf Town of ❑ tate -Owned O SE $s% 5-0 Nearest Road o A v 0AeCoLov X 1 f t` _ II D 1 2 r Parcel Tax Numbers S kill Type of Permit: (Che only one box on line A. Check box on line B if applicable) / A) 1. M New 2. ❑ Replacement 3. ❑ Replacement of 4. 5. 6. ❑ Addition to System System Tank Only Existing System $) Permit Number Date Issued ❑ A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply) 4E 7ZX7 4 — in ❑ Non - pressurized In- ground JR Mound ❑ Sand Filter ❑ Constructed Wetland ❑ Pressurized In ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line ❑ At -grade ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other: V. Dispersal/Treatment Area Information: 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Required Proposed Rate (Gals. /day /sq. ft.) (Min. /inch) Elevation 15-0 "& O 8 VII. Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing crete structed Tanks Tanks ❑ ❑ ❑ ❑ E t /,006 / DQO / oa e00 - - VIII. Responsibility Statement I, the undersigned, assume responsibility for installation of the POWTS shown on th hed plans. Plumber's Name (print) PI b is Signature (no stamps): PRS No. Business Phone Number P lumber's A dress (Street, City, State, Zip ode) 5 Z- c — P IX, County/Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Iss 'ng Agent Signature (No stamps) )(Approved ❑ Owner Given Initial Adverse Surch a Fee) Determination 32S , /3 X. Conditions of A rov /Reasons for Disapproval. `tG is u a ic, S 1� !� o- 3A4 i44tce. t,KC4904 -e -A4. c,au.eA tom. � ,►� 4 ,vt act, t4 #ZS f Y EXC PHONE N0. 715 549 6651 Apr. 24 2001 08:04PM P2 /i.. I j Lt I i . t N , TR :i - - I + • �•- - •� -_.t. � � i , 1. ,. . I . -� � . t ' �oob roc. s::, � �.. fir`; � _ $00 I , i �:.. I_ _ _ t ..��; l iii •, i i . 1 i ' ; ' . . ` _. - -._ .. __ ._ ._ i 1 - i i i i sr rJf P, Li i I • T . /��ie)±Ce9 { 2. i _ -M. Safety and Buildings ♦ 4003 N KINNEY COULEE RD fl LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 isconsin www•commercestate.wi.us /sb ry rQ" www.wisconsin.gov Department of Commerce C r S1 C RO►r Scott McCallum, Governor C�OoN F%GE Brenda J. Blanchard, Secretary ZON April 26, 2001 CUST ID No.221741 4 TTN.`POWTS Inspector ZONING OFFICE DONAVIN L SCHMITT ST CROIX COUNTY SPIA 586 VALLEY VIEW TRL 1101 CARMICHAEL RD SOMERSET WI 54025 HUDSON WI 54016 RE: CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 04/26/2003 Transaction ID No. 633997 Site ID No. 628044 SITE• Please refer to both identification' numbers, SITE ID: 628044, M & G Inc, above, in all correspondence with the agenc St. Croix County, Town of Somerset SWIA, SW1 /4, S5, T30N, R19W Subdivision: Chabre - lot 10 FOR: Description: Three Bedroom Mound System Object Type: POWTS System Regulated Object No.: 786953 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD- 10572 -P (R.6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD- 10573 -P (R.6/99). • 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. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound manual, and section VI of the pressure distribution component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • The site must provide positive drainage away from the system area. DONAVIN L SCHMITT Page 2 4/26/01 Special Note: The Index sheet and page numbers within the bound volume of pages do not correspond with each other. However, the data submitted within the bound set of plans is detailed enough for approval. However, future plan submittals must follow the department signing and sealing policy or they will be put on hold pending submittal according to department signing and sealing policy. 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 Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, DATE RECEIVED 04/02/2001 FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 Gerard M. Swim BALANCE DUE $ 0.00 POWTS Plan Reviewer - Integrated Services 608 - 789 -7892 Mon - Fri 7:15 AM to 4:30 PM jswim @commerce.state.wi.us WSMART code: 7633 Safety and Buildings 4003 N KINNEY COULEE RD LACROSSE WI 54601 -1831 TDD #: (608) 264 -8777 www.vAsconsin.gov www.commerc .vAs c ons .wisonsin.gov Department of Commerce Scott McCallum, Governor Brenda J. Blanchard, Secretary April 26, 2001 CUST ID No.221741 ATTN: POWTS Inspector ZONING OFFICE DONAVIN L SCHMITT ST CROIX'COUNTY SPIA 586 VALLEY VIEW TRL 1101 CARMICHAEL RD SOMERSET WI 54025 HUDSON WI 54016 RE: CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/26/2003 Identification Numbers Transaction ID No. 633997 Site ID No. 628044 SITE• Please refer to both identification numbers, SITE ID: 628044, M & G Inc, above, in all correspondence with the agenc St. Croix County, Town of Somerset SWIA, SW1 /4, S5, T30N, R19W Subdivision: Chabre - lot 10 FOR: Description: Three Bedroom Mound System Object Type: POWTS System Regulated Object No.: 786953 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD- 10572 -P (R.6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD- 10573 -P (R.6/99). • 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. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound manual, and section VI of the pressure distribution component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Slats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • The site must provide positive drainage away from the system area. DONAVIN L SCHMITT Page 2 4/26/01 Special Note: The Index sheet and page numbers within the bound volume of pages do not correspond with each other. However, the data submitted within the bound set of plans is detailed enough for approval. However, future plan submittals must follow the department signing and sealing policy or they will be put on hold pending submittal according to department signing and sealing policy. 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 Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, DATE RECEIVED 04/02/2001 FEE REQUIRED $ 175.00 -= FEE RECEIVED $ 175.00 Gerard M. Swim BALANCE DUE $ 0.00 POWTS Plan Reviewer - Integrated Services 608 - 789 -7892 Mon - Fri 7:15 AM to 4:30 PM jswim@commerce.state.wi.us GViSMART code 7633 i SCHMITT & SONS EXCAVATING ` g 586 Valley New Trail Somerset, W7 54025 715 -549 -6651 MOUND SYSTEH � For: i me Address: 13 A ,4 7 rL z= TR "»sanc Legal: Su).& .5(4& .S ,r 7-,?o ,? /,� L or /d r f�i4Blr'� Township 6 �2 E ,� T County: c 2% r j?01jC Contents Page I Soil Evaluation Report Page 2 Work Sheet - Design of the Distribution Cell Page 3 Work Sheet - Pressure Distribution Page 4 Plot Plan Page 5 System Cross Section Page 6 Pipe Lateral Layout Page 7 Dosing Chamber ,Pp6 -6 ,ju i"ip cu Rv� pa &a 9 M ,4Ha 6c iIIEIV7 /' Ia By• Address: Vaft View Trail, Somerset, W 1 54025 Tel 715 -549 -6651 MPRSW # 112 y / Date 3 C A ppROVED ;. ENT OF COMMERCE DEPAR S TY AND BUILDINGS QIVISION SEE GORRE ONDENGE 02/22/01 THU 10:24 FAX 715 38(; 4686 ST CRX CO ZONING 10008 1Mb'Cohsin Department of Commerce SOIL AND SITE EVALUATION tt Division of Safety and Buildings Page t of E(weau of integ Services in accordance wit ` `y - ;rg;,ullis. Adm. Code Attach complete site plan an paper not less than $ /2 x 11 inches i � County include, but not ilrnited to: vertical and horizontal re •erence point (�lbf} rectJo�i 'an?F'� fg. r y ......, t / percent slope, scale Or dimensions, with arrow, an location and,r to nearest toad. ParC ! LD. ff APPLICANT INFORMATION . Please pmit all infer► Lion. ��. �;,; Rev ed by Date Personal information you provide may be used for secondary :)urposas (Prive�y taw, s. 15.04 (3(irr Property Owner Property Location r C vd GOVt rLot c � t14 / 1 / 4,S �G ,N,R q E (or�+ Property Owner's Mailing Address - __- f3liickM Subd. Name or CSM# /4y _ , ) _Atx k &_ -Cr- ( City State Zip Code Pho , e Number ❑ City ❑ Village (3R Town Nearest Roaa Ul (t } G�P Scs tvn.er 4- , ( New Construction Use: ® Residential / Nun )or of bedrooms 3 ti' Addition to existing building �] Replacement [ or common. sl - Describe: Code derived daily flow 0 U gpd Recommended design loading rate bed, gpd /flz tr rich, gpdfftz Absorption area required , , bed, fl � tr;nch, f12 Maximum design loading rata j 2- bed, gpd/fl? ,_,j_ tren:•h, gpd/it Recommended Infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design /site considerations 0- n4m ,_1 a(.c U Parent material .• t l Flood plain elevation, If applicable -14 L " ft S = Suitable for system Conventlonal Mound ln- Ground Prebsure AT•Grade System in Fill Holding Tank U • unsuitable for system [] S 1Z U S ❑ U ❑ S 0a.; ❑ S V I [- ❑ 5 U SOIL DESCRIPTION REPORT Boring # [ Horizon Depth Dominant Color Mottles Structure Texture Consistence Boundary Rc,ots GPDlit2 in. Munsell Ou. Sx. Cont, Color Gr. Sz. Sh. Bel! ,Trench IL 10 u 3 ter' f��r c Ground J Z2 �o Q elev. Z — Depth to limiting factor — -- a6 in. Remarks: Boring # 02./22%01 THU 10:24 FAX 715 386 4686 ST CRX Ct• ZONING 2009 SOIL DESCRIPTION RLQORT RROPERfY OWNER Page Z of •� PARCEL 1.04 Boring Horizon Depth Dominant Color Mottles Str !cture 2 In. Munsell Qu. Sz. Cont. Color Texture Gr. & Sh. Consistence Bounp3ry Roots Bed Tre r x , Ground elev. $ S° ft: Depth to Ilmlting ; faclQr in Remarks: Boring # � #, Ground tL Depth to llmlting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Eiou �dary 1o.- , GPOM2 in. Munsell Qu. Sz_ Cont. Color Gr. Sz, Sh, Bed Trench Boring # r Ground elev. tt. Depth to limlting tactor 02/22/01 THU 10:25 FAX 715 386 4686 ST CRX CO ZONING Z010 PAGE OF NAME LOT# /0 LEGAL DESCRIPTIONSg' /4w' /.,S S T 3c3.N,R IS E (or) SCALE: I BM I ELEVATION LOCH• d I3M I DESCRTPTION.V.0 ,,,( ; r. (o `eJ AN ,,Wj e!eo BM 2 ELEVATION tGb• C� BM 2 DESCRIPTION 1 ; A . ",c l w. SYSTEM ELEVATION f%P. 5 I ALTERNATE ELEVATION -!/ CONTOUR ELEVATIONS• bv' 3 son OR Lne►d COM"w,, O / f X. PRESSURE DISTRIBUTION WORKSHEET Information needed for Pressure Distribution Design: I Daily wastewater flow = y�t� gal/day Design loading rate = . a gaUday/P/ z System Configuration: 1. ft. system width 2. l /�• S ft. system length Proposed Lateral Layout: 3. _� number of laterals 4. C central or end manifold 5. 2 ft. manifold length Z. 6. S ft. distal pressure requirement (Based on orifice diameter, see Table 1) 7. 3 �° in. orifice diameter 8. ft. estimated lateral length Choose the Orifice Spacing: 9. -3 in. orifice spacing divided by 12 to convert to feet. 10. number of orifices per lateral n =Lx +.5 ._ Where: n = number of orifices r L = lateral length, in feet x = orifice spacing, in feet • �� - s X = 2. 4 0 Note: Networks with central manifold have laterals on each side of the manifold. Therefore the number of laterals are two times as many as a network with an end manifold. I 21 of 28 -- Re- evaluate the Lateral Length: 11. f L final lateral length C (# of orifices x 3 e spa cZ- 1/2 orifice g = optimal length) Choose the Lateral Diameter: 12. Z in. (Graphs 1 -6) Calculate the Lateral Discharge Rate: 13. ) Z•-�)7 gpm lateral discharge rate. Discharge ratepejorifice x # of orifices per lateral = lateral discharge rate. y X Choose the Manifold Diameter: 14. / � /Z in. (Table 5 ) Calculate the System Discharge Rate: 15. 60• ) to gpm. (# of laterals x lateral discharge rate) Calculate the Force Main Friction Loss: 16. J OO ft. force main length 17. Z in. force main diameter (Table 6) 18. S a gpm system discharge rate (from #15) 19. y tva ft. friction loss in ft/100 ft. x length =100 ft. (Table 6) Calculate the Total Dynamic Head: 20. . a $ ft. system head. (Distal pressure #6 x 1.3 ft.) 21. ft. vertical lift (pump off to lateral elevation) 22. 5,03 % friction loss (in the force main in feet #19) 23. ft. Total Dynamic Head (TDH) (sum of #20 through #22) I 22 of 28 a' Calculate the Dose Volume: 24. O2o / Z gal. based on system type. • 9 a X X �• Jam / 2 • / Z 25. • 3 gal. - drain back 3 26. g al. - actual dose volume ( #24 + #25) Pump Selection: 27. SO. 7, gpm ' pump discharge rate at TDH ( #23) , (not less than system discharge rate, #15) Dose Chamber Sizing: (Sizing of dose chamber serving a sand filter may have different requirements. See component manual or manufacturer's or designer's specifications for sizing criteria.) 28. Z in. tank bottom to "off' switch 26 Z..Z gal. 29. _� in. dose volume (from #26) 131 1 g al. ( "off' to "on" switch) 30. 2-- in. "on" switch to alarm switch y-3. al. 31. _ in. reserve capacity 3 7 U Mal. (residential = 100 gal/BR) 32. in. dose chamber capacity 8os.y. 23 of 28 K. MOUND WORKSHEET A. SITE CONDITIONS Evaluate the site and soils report for the following: • Surface water movement. • Measure elevations and distances on the site so that slope, contours and available areas can be determined. • Description of several soil profiles where the component will be located. • Determine the limiting conditions such as bedrock, high groundwater level, soil permeability, and set backs. Slope - - 6 - % Occupancy – One or Two - Family Dwelling # of bedrooms J Public Facility - NA - Daily wastewater flow Depth to limiting factor - inches In situ soil application rate used - gal/ft /day BOD value of effluent applied to component TSS value of effluent applied to component - D lAng/L Type of distribution cell - , Aggregate or _ Leaching chamber B. DESIGN WASTEWATER FLOW (DWF) One or Two - family Dwelling. DWF = 150 gal/day/bedroom x # of bedrooms = 150 gal/day/bedroom x 3 # of bedrooms 5 gaUday Public Facilities. DWF = Sum. of each wastewater flow per source per day x 1.5 = gal/day x 1.5 gal/day 23 of 38 C. DESIGN OF THE DISTRIBUTION CELL 1. Size the Distribution Cell a. Infiltration, rate of fill material =:5 1.0 gal/ft /day if BODS or TSS > 30 mg/L or <_ 2.0 gal /e /day if BODS or TSS 5 30 mg/L b. Bottom area of distribution cell = Design wastewater flow + 1.0 or 2.0 gal/ft 2 /day = y�O gal/day + gal/ft /day ft 2. Distribution Cell Configuration a. Distribution cell width (A) feet ( <_ 10 ft.) b. Distribution cell length (B) = Bottom area of distribution cell + Width of distribution cell B = yS0 ft2 (Distribution cell area) + ft(A) B= ft c. Check Distribution Cell Length (B) Design Wastewater Flow + Cell length (B):5 Maximum Linear Loading Rate yS0 gal/day + � IZO - 5 feet = gal/ft (Linear Loading Rate) Linear loading rate for systems with in situ soils having an effluent application rate of <_ 0.3 2 gal/ft/day within 12 inches of fill is less than or equal to 4.5 gal/ft/day Is the linear loading rate _< what is allowed? )�- yes no If no, then the length and/or width of the distribution cell must be changed so it does. Distribution cell length (B) = Design Wastewater Flow + Maximum Linear Loading Rate Distribution cell length (B) = gal/day + gal/ft/day Distribution cell length (B) = ft Distribution cell width (A) = ft (Distribution cell area) + ft(B) Distribution cell width (A) = ft 24 of 38 D: 'DESIGN'OF ENTIRE FILL 1. Fill Depth a. Fill depth below distribution cell (At least 6 inches if the in situ soil beneath the tilled area requires a minimum depth of 36 inches or less for treatment of fecal coliform At least 12 inches if the in situ soil beneath the tilled area requires a depth greater than 36 inches for treatment of fecal coliform) 1) Depth at up slope edge of distribution cell (D) = distance required by Table 83.44 -3 - distance in,inches to limiting factor D = inches - inches D =U- inches (>_ 6 or 12 inches, but not greater than 36 inches) 2) Depth at down slope edge of distribution cell (E) E = Depth at up slope edge of distribution cell (D) + (% natural slope expressed as a decimal x distribution cell width (A)) E = D + (% natural slope expressed as decimal x A) E inches + , 0 (p x --q feet x 12 inches /ft) E = 3 inches b. Distribution cell Depth for Aggregate Distribution cell. Distribution cell depth (F) for aggregate distribution cell = amount of aggregate below distribution laterals (6 inches min.) + nominal outside diameter of largest lateral + amount of aggregate over distribution laterals (2 inches min.). F = �D (?6) inches + 1,5 inches + Z (z2) inches F= Z. Z> inches c. Distribution cell depth (F) for distribution cell with leaching chambers = total height of leaching chamber. F = inches d. Cover material 1) Depth at distribution cell center (H) > 12 inches 2) Depth at distribution cell edges (G) >_ 6 inches 25 of 38 2. Fill length a. End slope width (K)= Total fill at center of distribution cell x horizontal gradient of side slope . . K = { (j(D + E) 2) + F + H) x horizontal gradient of side slope) + 12 inches/foot K = {([(inches + 3 �inches) + 21 + / , ._ inches + winches) x,�_ } + 12 inches/ft Z, LIq K= O.5 ft b. Fillll length (L) = Distribution cell length + (2 x end slope width) L =B +2K L= 5ft+ 2xUft L feet 3. Fill width a. Up slope width (J) = Fill P depth at u slope edge of distribution cell (D + F + G) x Horizontal P P g gradient of side slope x Slope correction factor { 100 + [100 + (gradient of side slope x % of slope) or (value from Table 5)] } J = (D + F + G) x horizontal gradient of side slope x slope correction factor 100 + [100 + (gradient of side slope x % of slope) or (value from Table 5)] p t r DJ J=( in + •�� in + � in) + 12 in/ft x 3 x j= 6.6 feet b. Down slope width (I) = Fill depth at down slope edge of distribution cell (E + F + G) x Horizontal gradient of side slope x Down slope correction factor { 100 -i- [100 - (gradient of side slope x % of slope) or ( value from Table 5)] } I = + F + G x Horizontal gradient of side slope x Down slope correction factor + (E ) { � 100 ' P P [100 - (gradient of side slope x % of slope) or (value from Table 5)]l - I- 3.�8 9,S �•ZZ = ( in + in + �in) + 12 in/ft x a x I= in 12 in/ft x 3 x 100 + I = ?(0 feet 4 26 of 38 c. File width (W) = Up slope width (n + Distribution cell width (A) + Down slope width (I) W =J +A +I t: W -6.6 ft:+ ft+ ft W I C D feet 4. Check the basal area a. Basal area required = Daily wastewater flow + infiltration rate of in situ soil = ySD gal/day + gaUft /day 2zSo ft2 b. Basal area available 1) Sloping site = Cell length x (Distribution cell width + Down slope width) B x (A + I) //Ls ftx( ft +8. Eft) �•S ftx ft _ ft2 2) Level site = Distribution cell length x Fill width =Bxw ft ft ft2 c. Is available basal area sufficient? _ yes X no Basal area required < Basal area available - 71 7 , , Z j J() ft < ft 7 52, ; 1 �Z- - 7, ON 27 of 38 _._ b. Basal area available 1) Sloping site = Cell length x (Distribution cell width + Down slope width) - = Bx(A +I) Z x ( ft + ft) IzS ft x ft — ft 5. Determine the location of observation pipes along the length of distribution cell Distance from end of distribution cell to end observation pipes = B -1- 6 Distance from end of distribution cell to end observation pipes = t1l9ft. T 6 Distance from end of distribution cell to end observation pipes = ' Sft. 28 of 38 FROM SCHMTT & SONS EXC PHONE NO. 715 549 6651 Apr. 24 2001 08:04PM P2 TR� c.'•l000 i ; /tivecva �� i3�2 I oc -3'I s p Y � � � 4� r J ! ' I ' ' i T 1 t Eq f�i��•rr , q r4. �•,.. �. , �. i. ;. d. der loot Vic. s.;. wL _! L. = I 1J I 1 I 1 I I I i � !• � i I � •�• �� 1 � i f � i I I ` ! ! I i i ' 1 1 I } i I ) 1 I 6_ !Wlaw- Iq 0 A r. Page —., Of — SEf /N LCiv�.lN t CtTL4 Synthetic Covering Distribution Pipe MAdium Snnd A ST!» 03 Cr 6 Topsoil _J t E D 3 Y . (� % Slope Bed Of 2 %2 Force Main Plowed Aggregate Layer (6 Betow Pipe) D II" E 13. Cross Section Of A Mound System Using A Bed For The Absorption Area G to i A Ft. H Signed: - TL "' B Ft. License Number: /Z y/ K Ft. L IL9.S Ft. Date: Ft. 3 , I Ft. t w 26,Q Ft. � L a Observation Pipe 6 K ---- l A -- - - -- — ------ - - - - -- - -- ------------ - - --•I j W - -- - - - - -•- - - - - - -- Distribution Bed Of 2 2 Pipe Aggregate ' Observation Pipe T,z,c Permanent Markers IN y L. EiYC tN /`AN : Plan View Of Mound Using A Bed For The Absorption Area C'L/AlRe /D Page 0 r Distribution Pipe Detail For A Four Lateral Network { Al ternate Position Of 7- ytEnoeDEnd Cap Force Kain P %% PVC Force Kain PVC Distribution Pipe P Holes Equally Spaced PVC Kanifold Pipe On Bottom �X F x X *� Last Hole Should Be next To End Cap `y P t. S ._Z Ft. x2fa—i nches Y Inches Signed: 3 �� Inch Hole Diameter License Number: gl�7,W— — Lateral Dlaaieter .L / Inches) Date: Martitoid Di tar � Iwcl�es Force Main Ol ameter,^Z Inches f Notes Per Pipe Invert Eievatlon Of Laterals $ Ft. �' � ,elm -# /U PAr t (;f .i Pt:1MP "ENP.M�ER CRGSS SECT�OI.! AI)G SPECIFJC4TJOkis 1 -- I I L� VCtilr CAP C.I. V E WT PI PC APPROVED LOLKIIUG WC0.TilERrItOOF jUL)CTIOM BOX MAM14OLE COVER L5' FROM DOOR, wu3b0w OR rRCs}t ii "Mtu. AIR INTAKE � GRADE l 4' AN. 1 I e MILD. IMLET • CCIJOUIT �"""' PROVIDE � _T AIRTItiFiT SEAL. t k * A AILAKA a f � 1 c *APPROVED Om , `7 JOINTS WITH ELEV. 17- D FT. APPROVED PIPE �uMP 3 ONTO w 1 o Orr SOLID SOIL LJ CONCRETE BLOCK i til5¢R EXIT PERMIWED OWLS IF TAW MAUUFACTURER HAS SUCH APPROVAL SEPTIC I F I'CAT l OA1 S DOSE TAuK% MAUUFACTURER: . 1 ` Ff 1� !s TANK SQE: -- R kluma6R OF uosts: PER DA.4 ` SALLOAiB DOSE VOLUME LARM PU wuFACT'LIREIt: L_ iUj� L Aiz lit IkIC UDI&IG SACKrL y Z 6 JIwL.LOA' /"LOI?iVL i.1UM6SR ---L- P u►rACiT1ES: A � Olt r y-� SwITCM Tupt: Q _._._.� GALLOU �� INC OR ! L+?s.L taAtLGIJ . PLi:MP �'' L � �.... G a OR MODEL NUMBER: — t yO 7 IN 1 r,ALL-0u 5wile H TAPE: — i f —Go � INC 14M OR 42._` SALLOW �' E: PUMP AuD ALARM ARE TO BE MIAL DI3EF{A►RGe< RATr _a _ GPM INSTALLED OM SEPARATE CIRCUITS VERTICAL DIFFEKE14CE BETWECJJ PUMP ORr AUO 0 PIPE FEE + MIL" KUM NETWORK SUPPL U PKtfiSURE .... . .... F S f.tE.f •Z I•�S' C�}L/ /fit '} - z_L_ FEET OF FORCE MAIM X L s _ , - f YOnFAICTI4U FAC*rM S M3 .�._ FEET TOTAL 0tiWJAMIC. HEAD ac 1,64 FEBT IUT£RAIAL. MEAfbt0lJsr OF TAtJKt y („} - l5/ 0 � et � ;`�iDTI•I �� ;LIQUID DEPTH - q �G........ . TO �IG►JE LICENSE UUM$%r:r� s - HEAD' CAPACt 1"e' CURVE ; 1, ,;i n , ,,�:: F ; o - •- _ _ Single Beat a ' GE'< b41•UTF _ Weight 53 lbs. J40--- MODELS "140/414 ! ;;r,U( AND mete;s .9110 05 R• 8 457 76 + zm 12 140,4 140 2 0 6.14 ss2C• ,u, __. .. ...._ _. .:._.. __.__I •5.' 19 711 S5 .0.6) g I 144 ' �25 - -1 45 13.72 I S 14 SK 1624A $ I l.w.w Vorra• I 45' T _��. - - -- F 4 I e s • e o U.S. .GALLO 10 2O 30 -- 40 5() u(: i 70 eO SO I'10 1 11f, 11i_RS 14 1 --{ -- eC 160 24C 320 4OC '�'• `�. 0 stow PER M!Kt1Tt: t ^tlwc 1 CONSULT FACTORY FOR SPECIAL APPLICATIONS • Electrical aftemators, for duplex systems, are available and sup pliad will, an alarrh. • Mecharic-al altemators: for duplex systems, are availab +e with orwi,hout alarms. • Control alarm systems are available for 1 phase pumps used in simplex system. See FM0732. • Variable ievel control switches are available for controlling single phase systems. • Oouble piggybaLh variable level float switches are available for variable SELECTION GUIDE level long cycle controls. I. Single pggyoack variable lever float swflch or double piggyback variable level • Sealed Wk -Box available for octdoor installefions. See FAt1420. float swirch. Refer to PKA77. • Over 1 30'F. (64`C.) special quotation required. 2. Mechanical altemator M -Pak 16.0072 or 10 -0075. • Refer to FMO806 for 200` F. applications. 3. See FM0712 for correct model of Electrical Altemator E 4. Variable ievel mArot sA,+ 1 q -0225 used as a control activator, scecify duplex (3'• or (4) float system. 5 Four (4) hole J -Pak, Junction ba. for watertight connection or vAT.d4n simptax 140 Series - 53.5s. 4140 Series - 73 lbs. or 2 pur:p operation +040002. r — � 14014140 MODELS �� Co ntrol 8eledon Model I Mod el I Volts -Ph I Mode , Mps_ I si mplex ' Dupl i I N140 I W4140 115 1 lion 1 15.0 1 1 or 186 2 or 3 8 4 CAUTIONS r E140 E4140 230 1 ' - Non 7.5 , It 6 _2 or 3 a _ All installation of conb ols, protection devices and wiring should be done by BN140. 81 Non � . _�1 .0 tor166 2or t - ---t- - a qualified licsllsed eleciriclan. All eiecU'ical and safety codes should be =80 I BE4140 23 0 _ 1 Non_ ' ?,5 ! 'or 1 &S , 2-)r followed including the most recent National Electric Code (NEC) and the C•juhle see• Wanes are evallabk with 1,p MI m*he. aersos. Sae! ^ A Mk to cgM avehU r NEW • er NEMA 4 Occupational Safety and Health Act (OSHA). tomrol parxl: RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. � -- - - -• _— _ - - - --_ 1NAfLTO: P.i).80X 16.147 _. [ ot 4 066 -0 3 4 7 Mernracfc7lus of . . SH Lo TO: TO: 5649 5848 Cane Run un H f( s ioulmVe, KY 40211.1 961 1 ,�al�r•' � 4 ✓PE 4 .� /NCL" �93y f PUMP !O. (502) 774-77 {9001928-PUMP FAX(502, 774.3824 f • Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code I _ 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. Co ing condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. Th outlet flit all be cleaned as necessary to e nsure proper o p er ation. The filter cartridge should not be removed unless provisions are s In a an that may sl` n� rich off the�'ilter removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if Ili" nituni In t1#41vr+l"11 "�uillnu�ninly Inl�uudlb:nil 11118+1 nLunin1111ry InIIJI isles nIplln Iltlwa oil till hnlu +n�tinil ctiII1I111111IIn Hiram. Illo 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, Safety and Buildings Division. 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 for frost protection. Influent quality into the mound system may not exceed 220 mg /L BOD5, 150 mg /L TSS, and 30 mg /L FOG. Influent flow may not exceed maximum design flow,specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and. any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manual [SBD- 10572 -P (R. 6/99)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component shall be Immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions on the operation or maintenance of this system should be directed to your county zoning or health inspector. I11. OPERATION, MAINTENANCE AND PERFORMANCE MONITORING f A. The component owner is responsible for the operation and maintenance of the component. The county, department or POWTS service contractor may make / 1►ori►ulir impe(lic►iis 411'Ihe components_ chee.khip. rot surraice dischirge. Ueate:d eilluent levels, etc. The owner or owner's agent is required to submit necessary maintenance reports to the appropriate jurisdiction and/or the department. B. Design approval and site inspections before, during, and after the construction is accomplished by the county or other appropriate jurisdictions in accordance to ch. Comm 83, Wis. Adm. Code. C. Routine and preventative maintenance aspects: 1. Treatment and distribution tanks are to be inspected routinely and maintained when necessary in accordance with their approvals. 2. Inspections of the mound component performance are required at least once every three years. These inspections include checking the liquid levels in the observation pipes and examination for any seepage around the mound. 3. Winter .traffic on the mound is not permitted to avoid frost penetration and to minimize compaction. 4. A good water conservation plan within the house or establishment will help assure that the mound component will not be overloaded. Names and phone numbers of local health authority: St. Croix County Zoning 715- 386 -4680 Name of service contractor incise of failure or malfunction: Schmitt & Son Excavating, 7115 -549 -6651 i OAF Wisconsin Department of Commerce SOIL AND SITE EVALUATION f Division of Safety and Buildings Page l of -Bureau of Integr`ated'8ervices in accordance wit t �q O5 09;.1Nis. Adm. Code Attach complete site plan on paper not less than 8 112 x 11 inches i'st`; Pla mug County , .„ include, but not limited to: vertical and horizontal reference point (vf),directio and percent slope, scale or dimensions, north arrow, and location andddistance to nearest road. Parcel I.D. # APPLICANT INFORMATION - Please print all information. RevWwe y Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 31t 0(J Property Owner Property Location Govt. Lot J 1/4<,C 1 /4,S 5- T ,N,R E (oQ Property Owner's Mailing Address Lot .# _. _ - Block# Subd. Name or CSM# 3 �L �u�te Tr- 10 1 1 C hai City State Zip Code Phone Number ❑ City El Village Town Nearest Road Lid n o� 0t p z194D7 I �r�t, �+ New Construction Use: ® Residential / Number of bedrooms -?� - / Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow U gpd Recommended design loading rate 2► bed, gpd /ft2 gpd /ft2 Absorption area required bed, ft ft Maximum design loading rate --22 g g 2- bed, gpd /ft gpd /ft Recommended infiltration surface elevation(s) 1 5 7 6. . SD ft (as referred to site plan benchmark) Additional design /site considerations (?- ✓mots r -c l-e t) . $ S. S c� Parent material :k.• Flood plain elevation, if applicable 1:�/ ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system ❑ S [Z U [i S ❑ U ❑ S �U ❑ S i U El S ❑ S U SOIL DESCRIPTION REPORT Boris # Horizon Depth Dominant Color Mottles Structure GPD /ft2 ^eu) Boring Texture Consistence Boundary Roots in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Gods ICS y r 314 mc cS t v. .2 , .3 .2- Z IO ZZ 3 O - r C _ . Cvv 5:1 Ground ) ZZ-lo a vv1 M C,S elev. fs 3 � tt. Depth to limiting factor [ a Q_ in. Remarks: Boring # Z. 2 Z 7- Z� S.1 2�k rr�-�r C5 3 O I j � 1 m. rn- -i c� Z Ground elev. Depth to limiting fa for 'S in. Remarks: CST Name (Please Print) ture / Telephone No. Address Date CST Number --/ - C) 6533 PAGE OF__�> NAME `7 J LOT# l'O LEGAL DESCRIPTIONS' /sw' /4 S S T 3c3 N R Iq E (or) SCALE: 1 BM 1 ELEVATION BM 1 DESCRIPTION ; ( ; h g w� PIaoL BM 2 ELEVATION _ Loo. 6 5 BM 2 DESCRIPTION vi w• SYSTEM ELEVATION ___ S62- • �© ALTERNATE ELEVATION C/ 14 } s �X CONTOUR ELEVATION ' S Sd Q GG f • 1 U C SIGNATURE DATE � 1_5 PROPERTY OWNER SOIL DESCRIPTION REPORT Page of .� %� PARCEL I.D.# Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots 2 evl in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ,Trench [OAC .Q ► � -� _ � 313 -- �� � �� � � � �� Z 1 2 rnabk -r c Ground elev. Depth to limiting fac r �i n. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Boring # .......................... Ground elev. ft. Depth to limiting factor in. Remarks: Boring # Ground elev. ft. ' Depth to limiting • " ` ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer � "UC- \ _ (1-C Mailing Address 13% P wArk ez — u vSo r� �.� I fLy u , Property Address !� 3 1 G m &.e' ) 5 U v x (Verification required from Planning Department for new construction) City /State Parcel Identification Number LEGAL DESCRIPTION J Property Location <S40 ' /,, SW - Sec. S � -R e l W Town of an°e rSt. Z__ o Certified Survey Map # Volume , Page # Warranty Deed # Volume ,, Page 11 97 Spec house _9 yes ❑ no Lot lines identifiable J& yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the systerr, can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewaterdisposal 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. 1/-c, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. ."2! , �" , "�\ I LVA-1- , - - SI�AT= APPLICANT DATE OWNF,R CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) ant (are) the owner(s) o' the pro . rq described above, by virtue of a �� arranty deed recorded in Register of Deeds Office. " /- SIG TURF 6F APPLICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed 02/19/01 MON 16;04 FAX 713 •'t86 466' REGISTER OF DEEDS ` ' { STATE BAR OF 'ISCONSIN FORM 2 - 1998 I Es3$L�31 1 WARkANTX DEED KATHLEEN H. WALSH l! REGISTER OF DEEDS Document Number V OL 1386 RAG: 471 S T. ca ©ix CQ. t WT ... . ,...,. ............ RECEIVED FOR RECORD This Deed, made between - I 42-19 -041 4 :40 NP4 li Rl"LLARn n, =0(12! and ;J —ST rs T- . zusband .. and w i f e _ - - -- . WARRANTY DEED - — {; EXEMPT A -- -------- - - - - -- — Grantor, +I CEltT CUpY FEE: and d,— G.,.......Z IU.C._ _ ........ ii Ci1PY FEE: TRANSFER FEE: 162.30 REWIND FEE: 10.00 PEE& 1 �' - - - -- .., ,.._,..,......----------- - - - - -- .,.... .....-- -• - - - Grantee. Grantor, for a valuable consideration, conv -ys and warrants to Grantee the following described real estate in St- Croix _. County, State of Wisconsin: '' R:�cUrdiny Arsa Lot 10, Plat of Chabre Town of Somerset ! -- —= St. Croix County, W isco nsin. ' N3m83ndFeiurn/tddres• ` " 13 S'� ,ca w Alin k�-e '( I 11 �.. �a •� w 1 SKoi U I it I , j l 032- 21.25__00 -0 Parcel Identification Number (RNI Ttlis iss ICt� — homestead property. iI1 li II I� I �i !1 IJ I� I! u I, 1: I li d li I: i� V 1 i j l Exceptions to warranties: easements, restrictions, rights -of -way and covenants I� of record. I� I II '; Dated this 16th day of February 2001 ll f� J, v (SEAL) (SEAL) ' I` airr� Jan et P. S tout " (SEAL) (S - ....._._.- ._.._.._.— — I; �i jl AUTHENTICATION ACKNOWLEDGMENT Signature (s) _ 1 State of Wisconsin, 55. — St- Croix . County Persona 16th da !I came before me this Y of authenticated this day of , 2 1 I ....Q.�._.. -___. the above named .chard -C1.- S i - n i and Janet P ' TITLE: MEMBER STATE BAR OF WISCONSIN Io ii Of not., me known to be the persons.. .... ._ who executed the foregoing authorized by §706.06. Wis. Stars.) ?� instrument and acknowledge the same. r, I THIS INSTRUMENT WAS DRAFTED BY � ��� ,�` � �`' •• !I, Janet P. Stout 13 53 Awatukee Tr. _ -- - Hudson, WI 54016 ��' "1 Notary Public, Stat f Wisconsin M y comrnissiorl is permanent. (if not, state expiration date: ;l (Signatures may be authenticated or acknowledged. Both are not necessar I y) l j • Names or persons :igning In any cup&ity must be typed or printed below thr...!r slgwtum STATE BAR Or WISCONSIN wiscensin i.ogal Blank Co.. Inc. WARRANTY DEED FORM No. Z - 1998 MUwoukee Wis. ':! HAB E N LOCATED IN PART OF THE SW1 /4 OF THE SWi/4 AND PART OF THE OF SECTION S, T30N, R1 9W, TOWN OF SOMERSET, ST. CROIX COUI PREPARED FOR: CureR DA TABLE RICHARD O. STOUT y! JANET P. STOUT "1/4 cOI1NER O 1Y 1363 AWATUKEE TRAIL SECTION s LOT o' tn3u11100III tw3ereot Maw u oy HUDSON, WI 64016 CHI �z a asa on 4 J � ♦ � a t•r.•o' r W a Yl : t•TA• 2 "x c i �, • tp.•• t Cs t•TA" a » • t•7" 0 T tgAe a � x a ao.•• s $ \\ a 167Ae 1 LOT 3 ar a 197.W e LOT 2 \ a aaa.oe a to aaaA• + C_S_AL_ IN _yo 8, _ _!'C 2146 ate" ' \ CIO M&W 3 ell S69 2186.94• Nowttt LINe OF TTI! sta OF THE em Cta ao oe ....................... _. ....... _.............. ..... Ct ••.•" a .... .. .. ... .... .. ... .. ... I* GCLW _. .. zi sm ov ... o 90.W .. 4 •e .... ... ....... C •O ..... ............................... ... ..................... ...:..... . ... .... ....... ._. . A .. ._ ... -: . .... . - .. A �::. ... _...... Cie sago" 017 t iaa.o" �. a: f : :: Cie taaa.ar A 3 . sAmAna• b . :_. 3 b Taa,MS aq rr .. 7 i t -? b : ......... + �.. ,_. ll,l � BE SIC KNETTO RE Y � an C W0011RI i 0. iSif :.... Z . 1 ilS1E# # irm 6 - .::::. :.. /- sr rslrE T n ot si I / McUmO6 In the I* � e T / I FZ Jean IMrw + I ^ I Costly Trwswr I � • . �¢ �, +� ` �& �� re•ww•w tat.ar W q I Rtrsaltnd, Idat t * I W ft hard LL Stwl a To wt lovi al J ti a • /� a f :: Z I Ed Sc acht w. I CarYh 1M V w ` :::tsT:roa_wrr g I by lfle TOan 10ar > JM Koester. TI `: NON- NAVI aT � .:. [� I W�7LAWD : fig I .. I g , n. alms muNrT �, A x STATE aF VISCDI n • Tear Trw sv ar duns ift spedeA en asseum I. the nt of c JI NI Koester R jy To•n Tr esm~ ST. Clim Cmw I ' � - x • ReadVad. that `_ ww _ _. •: Rlyard d Stout St cram Cantj von Ronald Raymond, F y CORNE stow fWar. SECTION ZarfO mvctor i N•9 - E 74 612 er°llr _ I - v by o �C SOUIH LINE OF THE SNIN BENCHMARc by Ida 3t Crab TOP OF P PON RE ELEVATION - ,003ST PJWPWRD 36 — & e4 Sr MUM MCJWAY u .9.o.a.oAwOF,m g, a K imm c