Loading...
HomeMy WebLinkAbout020-1067-60-000Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM -ouruy St. Croix Safety and Building Division INSPECTION REPORT sanitary Permit No (ATTACH TO PERMIT) 633826 GENERAL INFORMATION Stale Plan ID No Personal information you provide may be used for secondary purposes [Pnvacy Law, s 15 04 (1)(m)I Permit Holder's Name pty Village Township Parcel Tax No Chad Johnson & Burdette Shiltz TOWN OF HUDSON 020-1067-60-000 CST BM Elev Insp BM Elev BM Description SecboNTownlRange/Map No NM Z 24.29.19.257F3 TANK INFORMATION TYPE MANUFA TURER I ; CAPACITY Septic W'le r ri it Zvv Dosing o Gov AteralkiliFa ► � L 4� wA-t Holding TANK SETBACK INFORMATION 2.,i I(- Cklaf rlS TANK TO ki WELL BLDG. Vent to Air Intake ROAD Septic ` Z C ' 1 I I I Dosing �ZS r / • N ( ( t Aeration Holding PUMPISIPHON INFORMATION ,•1 II 3ti' q b Manufacturer Demand ZU2 �C@ GR Model Number ^ , TDH Li�-r Frictio Lr �( eAdAJ' ;J� SystefntH 5J5 T5HO.7/�t c Porcemain Lenl_ , Diaz . • Dist to Well A'^ SOIL ABSORPTION SYSTEM ELEVATION DATAil ) I STATION n 6 I -Z FS E v-7 Benchmark 17 V r 6Q I130 I C . Alt 7 toyfe 8 IDrS Bldg. Sewer 3 / SUHt Inlet lO 3 / SUHt Outlet Dl Inlet Dt Bottom I QA Header/Man p D I/6q p I Dist. Pipe 8. l,i Bot. System b' (' Final Grade St Cover -7 0 /IO A5 =j BED/TRENCH DIMENSIONS Width ,ID (K/ Lenylh t 7 NO'Oi �R S PIT DIMENSIONS No. Of Pds Inside Do Liquid Depth SETBACK SYSTEM TO BLDG WELL LAKEISTR AM LEACHIN Man cturer INFORMATION CHAMBER UNIT Type Of System , ZS' I 'a odel Number DISTRIBUTION SYSTEM HeaderlMamfold d 4 I Distribution x yt t Pipe(s �' x Hale Size .i L • t x Hole Spacing Vein to Air Intake �% 2- Length I Dia ' Length��' • Dia Spacing Z SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only rNMO . rmmla�tr Depth Over xx Depth of xx SeededlSodded xx Mulched / Bed/Trench Edges Topsoil 7 1 Z II Yes No yI Ves [] No t COMMENTS: (Include code discrepancies, persons present, etc) Inspection #1. • Inspection #2 Location: 852 BADLANDS RD t, r - JV'a wi-! 1 nvt o�-� ins�ec itcl,, 1 )All BM Description =QJ � (8 M 2 ) Bldg sewer length =) -amount of cover = 718" Plan revision Regwredo Yes /[`�}''1 No Use other side for additional mforro n. 26 _2.1 SBD-6710 (R 3l97) Date Insepdor's Signature Cart No Gy ys (p� LN2 �1 Sdely and Draw, 1 W. Wad iigWn Ave., P.O. Box 7162 Medism, M 53T(17-7162 r — golsaty Nambar(IRboU dial n 7 In aocordence wiW 3PS 58331('l,TaW. iarca Add_.'e'.+a WtsillLro / Y�ttdrm to the appuelt n required prior to obtaim" a tzfary permit. Note: Application forme for sMeawaed POWTS am submitted to Poe Department of Safety, and Profeat =d Sardes. Pmom) hufbrmelion you provide rosy, be used for aetmdwy pupom in accadaoce with thePdvwy Lw a 15. 1 m Stan. ,sum Tnareaiw Number �7 r Yv� ' C�'L` 101 Z. rJ 4_ Pmjw Ad&m (if di8ertot then wwUA G OIS7 2- 1. Apputadem, b atwwAtlor - Pleam Print All Isfermatimt Property Owner's Neon jI&o 3t►R bCT - Sf0LTz Patsal9 GZb-XYv7.60 -01 Pmyagoth-BwonAM= � 6 z`I•Iaadm •2j�� GIRL Lot T N. A�� E� Cf, Saw U ) W !;) zip Code Phone SL OI Number EL Type of BaNdbw (chair m that apply) or 2FamflyDwdit-NumbcrofBMroom�_ Blockil ❑ PkMdCowm=W - Describe Use ❑ State Owned- Deambe use C zoN� ❑ CRP of ❑ wor of gTewnor ujYI00 SM Numb" 3 S - G58 II of Puruft (Cbeadk amly are bra m Yee A. Camplek lbw E tut pMedde> A- 0Nev ❑ RVImomvmt System ❑ TtattmtlAddmg Tuck Rcpiac®ent oldy ❑ Odur Mommication in Brlthog gym= 8. ❑ Po®t Renewal Before ❑ Pandt Rcviwn ❑ C ofpkb,❑ Permo Tramkr ro New parser 1rt Pavians Pereril Nuatbrs mad Dane b IV. 7ypa of POWTS 8 m/Com ert/Device: Cheek an that ❑ Nor-Ptnemized b-Ground ❑ Pmwur ed In -Ground ❑ At.Gm& Mw�> Y4 in. of miubb eoi ❑ Mond c 24 o(maimme No ! e e ❑ HNtliog Tank ❑Other Dispenat Compoomt ( `') ❑ Pusfia�mt Deviu (aplaio� dJ GL Ilt�--}} to V. t Area Informatlor: e u (7✓t V C- Deaigb Flow Dear Sm'1 Appll ' raperurl,Ara ef) Diapereal Area ( k-6 Syatam VLTook L6 CaGollitow poeRys Tow alum did ` SM bilmlowbifinifir ...ggptgt e: U a $ v. Nero Taab Edo" Taokr Septic orb Tatir (zz) Doaaf Cbaatbz CYD 1 (r-) boa VIL RoapondblUty Statement- 1, the aurora r hadaRadoa of the POWTS sows ere W attaehed Phuudbcr'sNam (Prim) T1— MP 1z3Z 1c Br®esaPhomNrm 5 yq� -3' Plumber's Adbau (Shoat, City. Stan, Zip Code) Po' -Bb s eTSrf; W' Aypaw ❑�a� ❑ o.asraiam PbmitPee 7$. t7o nrr 7 G Z! Imak{AYeat IO ri1 ll�fi,El4:"�a...u�e.wswrD o.d J�1► covdt+ie,tis J. 5eptiC tank, efbuera finer and dlspelsal cell must be s�rvlretl/meimsined ! eT1"C as per management plan pfovided by p'umbe!. (� P! t/ N?) S ( �( 2.All fe+atkliMgV, tilde/%r"uStbe almaitted '17// / .Lt NA as M pp i n f r )r- Im6f i�.. �n Sfctfe a )(bOv04 5✓STLNn Vl4ulI7NIKV\6f, SBD-h9S6(IL 11/11) 64M SOtIW-W s RUMEnE SfitIL't� £lk! Sw')i S 2-4 -rzq Nirt v✓ �IuasvN TowA.ts�'iP IpCppl, IZc�lBbo Tnu� UB� �,F, u 17uis iLfeC3FY� AiLcA � 5 ��-%A��/ � , eic b moun,a \ i d BOL1C41MhiLK /. T6F 6F 60AFIZ'1Z. Piro E1 W 3 bEucNenat?2 7iP6f yfttcw�z"P,P< s rbH.7 V SbIL 2bKjJb June 15, 2021 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 2023-06-15 Plan Review: PWTS-062101285-C JEFFERY V FOX PO Box 565 Dresser WI54009 SITE: Chad Johnson &burdette Shilts Badlands Road Town of Hudson St. Croix County E, SW, S24, T29N, R19W Total Amount: $250 00 DIVISION OF INDUSTRY SERVICES 2850 MIDWEST DR STE 104 ONALASKA WI 54650 Contact Through Relay http://dsps.wi.govlprograms/Default aspx www.wlsconsin.gov Condotionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SEE CORRESPONDENCE Tony Evers - Governor Dawn Crim - Secretary FOR: Description: Four Bedroom Mound System 1 Sloping site Mound Component Manual — Ver 2 0, SBD-10691-P (N.01/01, R 10/12), 600 GPD, 32" depth to limiting factor, Maintenance required, Effluent filter, 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. a Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. a 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. 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 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Gerard M Swim POWTS Plan Reviewer, Division of Industry Services (608)789-7892 — voice 1(608)785-9330 — fax ierrv.swim(d)wi.gov MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name Chad Johnson & Burdette Shilts Owners Name Owners Address: 846 Mcdiermid Drive Hudson WI 54016 Legal Description: E114 SWIA S24 T29N/R19W Township Hudson conainm.uy County St. Croix APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES Subdivision Name. csm3/658 DIVISION OF INDUSTRY SERVICES Lot Number 3 B Parcel I Number 032-1038-20-100 SEE CORRESPONDENCE Plan Transaction No Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Designer: Jeff Fox License Number MPRS 223242 Date--05//2�2012111 Phone Number. 715-4913458 Slgnstur ,CC/L.,,_ l Z Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SBD-10691-P IN 01101, R. 11112), and both SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01181) and Pressure Distnbution Component Manual Ver 2 0 SBD-107WP (N. 01101, R. 10112) Version 7.0 (R 11/12) Pagel of 7 64M Jb*J-560 4 3i1RDEiTE Si11L1 c'�q Sw"I sZ4 -rzR NIrrikvv +luOSuhJ IDWA;SilIP 47 � �) Z Z3 ZyZ �( �pF5 IZWj9b3 -rAUIG U u1-:n1sruemw ARr.A 15 Sw1Al� sA 3Etcw,! Noun i1 1Ir 6 BELCOAR2K �l 7EP eF iOOAP ,'lz` PPc- st uu 16Eli m;AA,t?-2 7DPDr yEulcv�r"P,�� s �b`i.7 SOIL Eboz,ub -neAuc 1 "- 90, / Mound and Pressure Distribution Component Design Design Worksheet Site Information (R or C) �r Residential or Commercial Design 1 400.50 Estimated Wastewater Flow (gpd) lgo.*reo 0Peaking 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 (gpolft') (C or E) � 13 2_� �b Distribution Call Infonmation 75.00 Dispersal Cell Length Along Contour (ft) _ 1.00 Dispersal Cell Design Loading Rate (gpolft') 1 Influent Wastewater Quality (1 or 2) Pressure Disribution Information Center or Manifold 455 Lateral Spacing ft) 2 Number of Laterals 0.166 Orifice Diameter (m) 2.30 Eshmatad Orifice Spacing (ft) _ 2.00 Foroemam Diameter (in) B0.00 Forcemain Length (ft) 94.00 Pump Tank Elevation (ft) Note Sand N (0) celaJa M seam. s T.bk 383J -3 e . " tre.trnem to fecal cwN of — M in ' 8.00 Cell Width (ft) Are the laterals the highest point in the distribution Y� network? Enter Y or N If N above, enter the elevation (ft) of the highest point 0 9.38 ft/orifice Does the forcemain drain back) �Y Enter Y or N ASystem Head (ft) x 1 3 9.79 Forcemain Drainback (gal) Vertical Lift (ft) 6741 5x Void Volume (gal) Friction Loss (ft) 7720 Minimum Dose Volume (gal) In -line Filter Loss (ft) 34,46 System Demand (gpm) Total Dynamic Head (ft) Lateral Diameter Selection in dia options choice 075 1 00 1 25 150 x x 200 x 3.00 x Manifold Diameter Selection in. dia options choice 1,25 x 1,50 x x 2.00 300 Gallonsflnch Calculator (ophonall Treatment Tank Information Total Tank Capacity (gal) 1200 00 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Wieser Manufacturer gaUn (enter result in cell B49) Does, Tank Information 800 001 Dose Tank Capacity (gal) 22 W Dose Tank Volume (gavin) Weiser Manufacturer Effluent Filter Information lifetime Filter Manufacturer 8 Filter Model Number Project Chad Johnson & Burdene Shilts Page 2 of 7 Mound Plan and Cross Section Views Mound Component Dimensions ft ft D B[: 76 00 n G 10 50 It J 14 00 ft W f�a It 600.00 (ft') Dispersal Cell Area 8 00 (gpdKt) Linear Loading Rate 105.50 (ft)�I F Dispersal Cell Elevation 1531.49 (ft') Basal Area Available 7.50 (ft) 1110 B Obs Pipe Placement Mound Cross Section View Aggregate Dispersal Area I 106 00 (ft) Lateral Invert 30 (ft) Contour Elevation 11.5 %Site Slope Geotextde Fabric Cover Shading Key =+ $ T Dispersal Cell See lateral details on i❑ 2❑ _ Topsoil Cap Subsoil Cap c > e a 1 5 ft 1� - t -II - ' 1,?!`ri<;�:_ i Page 4 for number, size, and spacing of laterals. ASTM C33 Sand c ;`;:°;i., .:• :i:: '=; F Laterals amequallythe spaced from the 141 0 Tilled Layer y 5 � . Typx:al Lateral ,; ., 0 5 ft :r r_ rl tlistnbuhon tail's ©0 Aggregate a'o .;!?L;:":�- "'i )":. i:'.. i-t oenledine In the h A t distribution call(AxB) Project Chad Johnson 8 Burdette Shdts Page 3 of 7 End Connection Lateral Layout Diagram aei A.cerawe a o denrns.w �-Turn-up elball �slre«olsenouLWuq-- wr P J Ak Nrenls ere iderertat le- X—j Ibtes drAied on the E to of the bleol 5 epaaXy spxM 1 Furee Sc LNereN_ lSt ataCmc ian ei n w tegw cross to,SPOTtroll h 40 PVC per SPS Tabb,b 384 30S Number of Laterals 2 Lateral Diameter 1 50 In Lateral Length (P) 73 47 It Orifice Diameter 0.156 in Orifice Spacing (X) 2.37 It Orifices per Lateral 32 Orifice Density 9 38 ft'lorifice Manifold Length 4 00 ft Manifold Diameter 1.50 in Forcemain Velocity 3 52 ft/sac Lateral Spacing (S) 4 00 ft Lateral Flow Rate 17 23 gpm System Flow Rate 34 46 gpm Total Dynamic Head 17.15 ft Dose Tank Information 4 Ele icel ee pm NEC 3W end —� SPS 316 300 WAC Dlacwvac Tank component a property versed Weiser Capacityl 80000 Volume 1 22.00 Manufacturer Gallons gallinch Dimension Inches Gallons A 2005 441 20 B 2.00 44.00 C 351 77.20 D 1080 237.60 Total 36.36 80000 _ T 1B C Alarm Manuafacturer Rhombus Alarm Model Number MJ Plu er Pump Manufacturer Zoeller' Pump Model Number bn1,6* 1, L Pump Must Deliver 34 46 gpm at 17.15 ft TDH Loch nq cover vah warninglabel and locking device and sealad watertlghl ala mn E Alternate oWet a ation Fwumen 6emNer 2 in Weep hob w anti- aphondewce Dose tank elavation ft 94.00 Note Switches containing mercury may not be used in this system Project. Chad Johnson & Burdette Shilts Page 4 of 7 Orifice Diameter 0.156 in Orifice Spacing (X) 2.37 It Orifices per Lateral 32 Orifice Density 9 38 ft'lorifice Manifold Length 4 00 ft Manifold Diameter 1.50 in Forcemain Velocity 3 52 ft/sac Lateral Spacing (S) 4 00 ft Lateral Flow Rate 17 23 gpm System Flow Rate 34 46 gpm Total Dynamic Head 17.15 ft Dose Tank Information 4 Ele icel ee pm NEC 3W end —� SPS 316 300 WAC Dlacwvac Tank component a property versed Weiser Capacityl 80000 Volume 1 22.00 Manufacturer Gallons gallinch Dimension Inches Gallons A 2005 441 20 B 2.00 44.00 C 351 77.20 D 1080 237.60 Total 36.36 80000 _ T 1B C Alarm Manuafacturer Rhombus Alarm Model Number MJ Plu er Pump Manufacturer Zoeller' Pump Model Number bn1,6* 1, L Pump Must Deliver 34 46 gpm at 17.15 ft TDH Loch nq cover vah warninglabel and locking device and sealad watertlghl ala mn E Alternate oWet a ation Fwumen 6emNer 2 in Weep hob w anti- aphondewce Dose tank elavation ft 94.00 Note Switches containing mercury may not be used in this system Project. Chad Johnson & Burdette Shilts Page 4 of 7 Lateral Spacing (S) 4 00 ft Lateral Flow Rate 17 23 gpm System Flow Rate 34 46 gpm Total Dynamic Head 17.15 ft Dose Tank Information 4 Ele icel ee pm NEC 3W end —� SPS 316 300 WAC Dlacwvac Tank component a property versed Weiser Capacityl 80000 Volume 1 22.00 Manufacturer Gallons gallinch Dimension Inches Gallons A 2005 441 20 B 2.00 44.00 C 351 77.20 D 1080 237.60 Total 36.36 80000 _ T 1B C Alarm Manuafacturer Rhombus Alarm Model Number MJ Plu er Pump Manufacturer Zoeller' Pump Model Number bn1,6* 1, L Pump Must Deliver 34 46 gpm at 17.15 ft TDH Loch nq cover vah warninglabel and locking device and sealad watertlghl ala mn E Alternate oWet a ation Fwumen 6emNer 2 in Weep hob w anti- aphondewce Dose tank elavation ft 94.00 Note Switches containing mercury may not be used in this system Project. Chad Johnson & Burdette Shilts Page 4 of 7 Manufacturer Gallons gallinch Dimension Inches Gallons A 2005 441 20 B 2.00 44.00 C 351 77.20 D 1080 237.60 Total 36.36 80000 _ T 1B C Alarm Manuafacturer Rhombus Alarm Model Number MJ Plu er Pump Manufacturer Zoeller' Pump Model Number bn1,6* 1, L Pump Must Deliver 34 46 gpm at 17.15 ft TDH Loch nq cover vah warninglabel and locking device and sealad watertlghl ala mn E Alternate oWet a ation Fwumen 6emNer 2 in Weep hob w anti- aphondewce Dose tank elavation ft 94.00 Note Switches containing mercury may not be used in this system Project. Chad Johnson & Burdette Shilts Page 4 of 7 _ T 1B C Alarm Manuafacturer Rhombus Alarm Model Number MJ Plu er Pump Manufacturer Zoeller' Pump Model Number bn1,6* 1, L Pump Must Deliver 34 46 gpm at 17.15 ft TDH Loch nq cover vah warninglabel and locking device and sealad watertlghl ala mn E Alternate oWet a ation Fwumen 6emNer 2 in Weep hob w anti- aphondewce Dose tank elavation ft 94.00 Note Switches containing mercury may not be used in this system Project. Chad Johnson & Burdette Shilts Page 4 of 7 Pump Must Deliver 34 46 gpm at 17.15 ft TDH Loch nq cover vah warninglabel and locking device and sealad watertlghl ala mn E Alternate oWet a ation Fwumen 6emNer 2 in Weep hob w anti- aphondewce Dose tank elavation ft 94.00 Note Switches containing mercury may not be used in this system Project. Chad Johnson & Burdette Shilts Page 4 of 7 Mound System Maintenance and Operation Specifications Service Providers Name [— Jeff Fox Phone 715-755-2461 POWTS Regulators Name St Croix CountyZorn Phone 715-381-0382 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 400 gpd Maximum BODS 220 mg/L Septic Tank Capacityl 1200 gal Maximum TSSI 150 mg/L Soil Absorption Component Sizel 600 ft� Maximum FOG 30 mg/L Type of Wastewaterl Domestic Maximum Fecal Colrform >10E4 dull00 mL Septic and Pump TanD Effluent Fillet Pump and Controls Alarm Pressure System Mounc Gthei Service Freduencv 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 1 5 yews Inspect for pondmg 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, Ws 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 sod erosion and help reduce frost penetration Lateral Turn -up Detail Finished MLono .. Grade �� 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve BoxPlug or Ball Valve Distribution Lateral Sweep 90 or Two Diagree Bends Same Diameter as Lateral Project Chad Johnson 8 Burdette Shilts Page 5 of 7 Mound System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General The system sled be operated In acoorda. wrath SPS 382-64 Wb Adm Code, and sled maintained in scoordarce with tar' component manuals IWD-10691-P (N.01/01, R. f V12), SSWMP Pubicabon 98 (01181), and Pressure DsbtiAon Component Manual Ver. 2.0 SSD- 10706-P (N. 01101, R. 10112)l and local or state Mrs pertaining to system mantanance and mamss a ice repabp. No one should ever emer a septic or Pump tank sloes dangerous gases may be present Mat could tames dnth Septic and pump tank abardanmem Gall be in accordance with SPS 383 33, Wis. Adm Code when the lank, are ne knger used is, POWTS components Septic or pump tank mantle deem, access risen and coven should be ampecled for wale tightness and soundness. Access opeings used for service and assessment shall be sealed waterfight upon the completion of smite. Any opening deemed around, detective, or subject to failure must be replaced. Exposed a¢eas openings greeter than airhes in diameter $hat be secured by an effect" locking device to prevent accidental or uamtar¢ed entry Into a tank or component. Septic Tank The septic tank shall be maaarrd by an individual camped to service septic tanks ,der a. 281 M, Stab. The omens of" septic tank shell be disposed of In accordance wM NR 113. Wis. Adm Code. The operating condition of the septic tank and outlet Isar that be assessed M bast once every 3 yeas by irpecbon The gbet star that be cleaned as necessary b ensure proper operation- The Mar ca midge should not be removed unless provaons are made W ratan act& in the lank tat may slaugh of sm Mar when removed from As enclosure t the Mar Is ekpyped with an alarm, the Mar shall be "Mced t the alarm he activated corabarously. Imm mitMt Aber alarms, may ididde aunts now, or an impending continuous alarm The septic tank al have as contents removed When the volume of sledge and sum In tic tank exceeds 1/3 the bgid vokme of the tank t the contana of to tank arc not removed et the tame cl a fiennal neaeeement, mahrtenence personnel shall advlae thus owner of when Aar ears service needs to be performed W maintain lass than manmum scum and sludge accumulation in the tank The addition of biological or chemical additives to enhance septic tank perfomnance is generary, not required However, d such producer are Lead they shal be approved for septic tank use by the Department of Commerce. Pump Tank The pump (do") bank alai be inspected at IeN once every 3 years. AN eeMdes, slams, and pumps shag be tested to verify proper opembo i If an effluent Mar is Installed wMM the tank 9 "A be iopected and serviced as necessary Maud and Pressure Dlabibuton Simulated No trees or slobs should be planed gin to mood Plantings may be made around the mounds pennetar, and the mood and be seeded and mulched as necessary to prevent a arson and to provide acme protector from hest paetrabn Traffic (star than for vegetables makutenance) on the mound is not recommended since ad compaction may tender aeration of to infiltrative i uface vrlthnn the Maud and saw compaction n tr venter ors Previous host penetration Cold weather arbhtlons (October -February) closet that the Mound be baavity mulched as prole ton from fraeang. Influent yatily, Mo the marl system may not exceed 220 mgL SOD, 150 mg4 TSS, and 30 mW. FOG for septic tank effluent or 30 mWL BODr, 30 mgAL TSS, 10 myL FOG, and 1 W chJ100 mL for highly treated eAWem Influent flow may not exceed madman design Aow specified n Me permit for tie installation The pressure distribution system is prowded with a flushing Port el the end of each lateral, and 9Is recommended tat each lateral be flushed of accumulated solids M hest see every 18 months When a pressure beets performed A should be compered ro tie Mal test Wan Me system was Mounted to detemne d orifice dogging has occurred and if ortke doming is requred b maiden equal dlatrbudon wthn the dispemal cea Observation pipes wMn the dia"mal eel steal be checked for atl ienl pwcbng Pouting levels stall be reported to the owner, and try levels above 6 inches considered as an impamfng hydraulic failure requmng additional, more frequent monitoring. fYPLt It the septic lank or arty of Ib components become defective the tank or component dal be Imported or replaced b keep the system in proper dowsi hg condition. If tie doming brie, pump, pump controls, alum or related wing becomes defective the defective compserps) and be immediately reserved or replaced with a component of Me same or equal pe forma ce If the mound component tale W accept wastewater or begins b discharge waata val1w b the ground surface, it w9 be repaired or replaced in Aa' present location by sure sing basal me it We leakage occur a by removing biologically clogged absorption ad 6apenal media, and related ppng, ant replacing sed components as deemed necessary W hang the system Ho proper operating condition See Page 5 of Ma plan for the name and telephone number of you local POWTS regulate and service powder. Pretreatment Units The ttormation and schedle of mananegement and maide ence tar patrestmem devices such as verb. treatment under or disinfection units arc atadad a separate documents and are considered part of Ice overall management pion for this ayatem. ---------------- ll----------- IIII � 4" CAST -A -SEAL jj U j U I I 0'LQ I fl I µ - I i III III_, ' IIII III l FILTER OR l l BAFFLE IIII ------ - " 4" CAST -A -SEAL w VENT OUTLET II n v I II U I d rn a a -L1.-__.r s__ —j n \-PUMP PAD (TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 WLP1200/800-MR TANK SPECIFICATIONS DIMENSIONS: WALL: 3" a BOTTOM: 3" COVER: 6" MANHOLE: 24" I.D. PRECAST CONCRETE RISER o HEIGHT: 53" > LENGTH: 13'-B" WIDTH: 8'-0" BELOW INLET: 41" LIQUID LEVEL: 36" o WEIGHT: BOTTOM 14,800 LBS. COVER 8,170 LBS. II 3 INLET AND OUTLET: 4" CAST -A -SEAL BOOT OR EQUAL GASKET w 0 3 INLET AND OUTLET BAFFLE AND FILTER: o o WISCONSIN, SEE DETAIL #10 W oN (OTHER STATES SEE CHART) LIQUID CAPACITY: 33.46 GAL/IN (SEPTIC) C 22.24 GAL/IN (PUMP) Ln o � LOADING DESIGN: 8'-0" UNSATURATED SOIL O z OO G.7 w o TANK CAN BE USED AS N SEPTIC / HOLDING / PUMP OR SIPHON o COVER: MIX DESIGN #8 (NO FIBER) 0 TANK: MIX DESIGN #9 (SMALL FIBER) W CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WIESER CONCRETE 3 of J i I a J O Z ro a I REVIEWED BY p U REVIEW DATE a w DRAWINGS SUBMITTED N FOR APPROVAL APPROVED BY: SHEET NO. APPROVAL DATE: / PRODUCTS NEEDED BY: OF / 14C,048A 04 ]! rn('i flue, Y• ' y{S G /.'. f••��-'.!M .,y- B _ SECTION A -A MtpJhvww.weile glenm+aisaib /amemch7swch=ts2 612nO t ff EIPVATION 1/8' 9 wu wn�.•.e...�..nnu..n�t REAR ELEVATION 1/8' - I'-O' FRONT ELEVATION 1/4' - I'-0 8'-0'PDURED CONC FOUNDATION b+I /W CEIDNG ® MNN LEVEL ICI-1 I/M COILING GREAT ROOM FOR BIDDING ONLY NOT FOR CONSTRUCTION 3 0 s RIOFIT=VATION 1/6'=I•-0' #21-105 H 9 I II 1 I ,v.ca .c l 47 'I � I �WU3 I _ I Iv<i,dXr L�.a ___ �-r G$i ae c¢au�Gi�,':Y Glv siic'z zcca afi� L I OI ____________ II I <,o v 111 I J I � 1 I I F� I vxr Vwvn� j I I I II I I � I I I I I I I I I I I I--J 1 II I I 5 V POIRZO CONC. FOUNDATION FOR BIDDING ONLY 9 NOT FOR CON5TRUCTION� � 999 o 0 021-105 m I ------------ a v,aoa li - �A 111 oll -- ♦ II III , ------------- ' II I :• 11 I pN I PMW3 )Ulrt I * V' ^ II ql _ ____ _ L - J CD 1 y I � �oW m I ,comae I - Igo of it i�n< 41�, I I - co n1 lei u11 ie I P cCn I nL __ n rout. n '' aiu. n ®®cv u \ ------------- 0 11 I ----------- MAIN LEVEL PLAN 114'- 1.9 & I 18' CEILING m "IN IEVEL IC -1 I18'QINNG @ GREAI ROOM FOR 50DING ONLY E NOT FOR CONSTRUCTION & s e s 0 #21-105 � | ) \ 51 H�2,Ym &_=� AL ! \.\ a R \ ¥ ST. C -0 = VO;N X SANITARY SYSTEM Filece Vi:+rnrr.rm- Office Use Only OWNERSHIP/ADDRESS FORM Created2/2021 Community Development Department will utilize this information to provide the property owner with information regarding operation and maintenance of your new or replacement sanitary system! This information will be provided as part of our ongoing efforts to protect public health, your well, groundwater, surface water, property values, and county resources. Once approved, this completed form and educational information will be sent to you by email. Owner/Buyer OWNER/BUYER INFORMATION Chad Johnson & Shilts Mailing Address 846 Mcdiarmid Drive City/State/Zip Hudson, WI 54016 Phone Number (required) 715-307-0405 Email Address (required) chad.4@hotmail.com Parcel Identification Number 020-1067-60-000 (found on the property tax bill) NEW SYSTEM: LEGAL DESCRIPTION Property Location E 1/4 , SW 1/4 , Sec. 24 T 29 N R 19 W, Town of Hudson Subdivision Plat: Lot # 03 Certified Survey Map # 3SI I �S Volume Page # �58 Warranty Deed # t,6I z6 �Z8 (before 2006)Volume Page # Number of bedrooms _q Spec house Cl yes $ no Lot lines identifiable ❑ yes ❑ no New Property Address (Staff Initials) OFFICE USE ONLY S Z M (Verification of new address required from Community Development Department for new construction.) 7 2 1 S- L Z-f -T (Date) This form must be submitted with all Private Onsite Water Treatment System (POWTS) applications. New System: Include with this form a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. Community Development Department - Land Use Division 715-386-4680 St. Croix County Government Center 715-245-4250 Fax cddC@sccwi.gov 1101 Carmichael Road, Hudson, WI 54016 www.sccwi.aov Wisconsin Department of Safety and Professional Services Page D of Division of Industry Se � � D I J ` `D _ SOIL T ��ff'' In accordance with SPS 385, Wis. Adm. Code County (^ Attach cc plete sit n%rppa 4ot less an 8 1/2 x 11 inches in size. Plan must include, S I T v r Q 1 X ��^^ but not li led to. 1 and horizontal refe ence point (BM), direction and percent slope, Parcel I.D. /, - f Q /_ 7 _ / O - w� scale or di ensions, north arrpqwwr f locati and distance to nearest road. V b G y.. (,ro'X I.v Community De ent all Information. Revie d by )�� / D e�1 Personal info ou rovide may be used for seconds purposes Pnvac Law, s. 15.04 1 m . H lT�r ( 7 � A Z/ Property Owner Property Location N I I 1 U n e 'r G Govt. Lot /�2 a W '/. s 2 T 29 N R J E (or) W Property Owners Mailing Address QSe ^�Block# Subs. Name ,00r E] r CSM# City State Zip Code K Phone Number CityEl ®Town Nearest Road J G n4 P LK E Z L- 1600,0 cI 1 14t-Li6son I 5aDLP1J05 RI) New Construction Use: ® Residential/ Numberof bedrooms Li Code derived design flow rate 600 GPD ❑Replacement/ Public orco e.�G�al-Descpp'be: /�/�r Parent material Lr� �V e.125lt 1/VVr'✓. Flood Plan elevation if applicable r ft. Ge eral mmen and r mmenda ns: v it t rk#-n' t�rr'e-s EllBoring # ElBoring 'Pit Ground surface elevI�5• 1 ft Depth to limiting factc��5 in. Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft? •Eff#1 'Eff#2 I O 20 /0 2- — 61 2 rn gr re) C S 2 .(, 1.0 20-y2 IOx R Y 3 5 aMSbK Yn I Q5 , .3 y2 95 ld R4 - OMSG vn - Boring # ❑ Boring ®Pit Ground surface eled ft. Depth to limiting fac or in. Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ftz 'Eff#1 'Eff#2 1 O-I 10 I<z Z - -,I 2m r 1 OS 2 .b !,O N 32 5V R l 2m5 K ;r CS . (0 .8 2-�' Sri 5i �msbK M- -1 — . 4C CST Name (Please Print) G►a� S Signature CST Number 22Z3�f� .afi,lA Address 'o Sm;tht�.s`�tl(c wr�l Date E% atio ?7,d�utct Telephone Number 7/-y'/U SBD-8330 (R04/15) 131 Boring # >�, ._..� El Bonng ® Pit Ground Surface elev. ' / ft. ZdY3 Depth to limiting facto?`5o in. Soil Aonlication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft' `Eff#1 'Eff#2 I (> ro Rz a SI zh� c5 3co 2 50 p 22/2 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Snd nnnl firatlnn Rats Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr Sz. Sh. Consistence Boundary Roots GPD/Ft' 'Eff#1 'Eff#2 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. —ft. Depth to limiting factor _ in. Cnll nnn� Lrnnnn Rath Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Fe 'Eff41 'Eff#2 Effluent #1 = BOD, > 30 :5 220 mg/L and TSS > 30 !t 150 mg1L ' Effluent #2 = BOD, > 30 5 220 mg/L and TSS > 30 5 150 mg/L TSwing 0 ❑ Bonw EPh Ground surface elev? yR F 2a-'3 `— Depth to M1ngh®�✓O M. F;11...a.rv., or•�nm�c��smmam■m��� o� ❑ Boring ❑ PR Ground suit ekv. R Depth to Iim" fedor _ In- H.. I ° I II T.due I °� �Cont. ColorIGr . I I FI---m. I oBoron; El Pit Ground arface aWu. fL Depth b Wn" fector_ In. SOB Application Rine Horizon Depth In, Damuurrt Color Laneell Redox Dawiption Ou. Az Cae. Color Te Str m Gr. Sz SR Comistence Boundary Roots GPD/FF 'ERMi .E�y2 'EiAuent C1=BOD,>30s2 mg/L and TSS>305150 mgOL •EflhrentY2=BOD,>30s 220 mgA-andTSS>30s 150 mg2 _1~ k\l -L Z-Z ri .LS-0 IZ/�I/5 / i / y 0 ' / vCO L c c 1�b a n r Z Sr�- Cro+X COUNTY NO. 633826 STATE SANITARY PERMIT RS7, &,Artws, PLUMBER TOWN OF SEC2.&/ ,T Zq N, AND/OR LOT THIS PERMIT EXPIRES POS LIC.# ZrL3Z Z BLOCK SUBDIVISION s7za"A X CHAPTER 145.135 (2) WISCONSIN STATUTES (a) The purpose of the sanitary permit is to allow installation of the private sewage system described in the permit. (b) The approval of the sanitary permit is based on regulations in force on the date of approval. (c) The sanitary permit is valid and maybe renewed for a specified period. (d) Changed regulations will not impair the validity of a sanitary permit. (e) Renewal of the sanitary permit will be based on regulations in force at the time renewal is sought, and that changed regulations may impede renewal. (f) The sanitary permit is transferable. History: 1977 c. 168; 1979 c. 34,221; 1981 c. 314 Note: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. ISSUING OFFICER - DATE % %ESS RENEWED I` /OZ/ AIN VIEW THAT DATE VISIBLE FROM THE ROAD FRONTING THE LOT DURING CONSTRUCTION SBD-06499 (RI1/20)