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HomeMy WebLinkAbout020-1395-31-000 (2)Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15 04 (1 [(m)1 Nikolas & Kelsey Newgard TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic 1 Q Dosing ion ^V 1 Holding TANK SETBACK INFORMATION TANK TO P1L WELL BLDG. Vent to Air Intake QOAD Septic Dosing 2 Aeration Holding PUMP/SIPHON INFORMATION M,AC Y�01iJlI f� Manufacturer Demand GPM Model Number TDH Lit =nction�Loss Systf rp Hsa5 T a � —r Forcer i.. -eng{q -z' Dia. tr Dist to Well -7 �O SOIL ABSORPTION SYSTEM TOWN OF HUDSON DATA STATION BS 2N4 HI FS ELEV. Benchmark r-1 �o,1.00 AIL BM 0h1A1 P f S Bid Sewer SU nlet S; utlet 5-66 %7, lei Dt Inlet 70 '7 �+t• Dt Bottom 23 5 2— Header/Man a r•$z Dist Pipe 2. �12- Bot. System 21o Final Grade .�� too -g 2. over Q o)a KaA4016 -A 0.74 t�1• Z3 opt Y-0 /ao. loi BEDRRENCH Wi th , 6.DIMENSIONS Length t No Of Trenepes ,e r pl PIT DIMENSIONS No. Of Pits Inside Dia Liquid Depth SETBACK INFORMATION SYSTEM TO W /!- BLDG WELL LAKE/STREAM LEACHING CHAMBER OR UNIT Manufacturer. T e Oi S le llll Model Number' DISTRIBUTION SYSTEM Header/Manifold 3 � N Distributioni t t • Pipe(s) 1� 2 3'1� x Hole Sae x Hale Spacing t Vent to Air Intake Length Dia Length Dia Spacing ?/ SOIL COVER x Pressure Svstems Ori xx Mound Or At -Grade Svstems OnIV�J �,�rme✓ Depth er \ Depth Over xz Depth of xx Seeded/Sodded xx Mulched Bed ench enter �I Bedrfrench Edges Topsoil Yes No �il( Na COMMENTS: (Include code discrepencies, persons present, etc.) Location: 771 KINNEY RD '_ur 1.)Alt BM Description — tFI+V- 2.) Bldg sewer length kxil. - amount of cover = Plan revision Required? - Yes '�i No �/ �f Use other side for additional information. /•(� �( Date SBD-6710 (R 3197) Inspection #1 Inspection #2 �U j�l jx (Q►'M'1 rd of teed rhlsu / "r7A1J A4 t 5i(t�yo 6p.t.s Signature Can No Ch-I� `QervC�j N-flu REcown �� Z021 I 111 XI{ W:ehulgtml •1tc I � CK77lX � AUG PS)&1va 7162 (SanUary ltnu¢Aemh.clm 7k l•Ilcd lub}1 o) . Is Stadtwn. 1CI 5771Pl 71fi2 �^� 9 ^J St. Croix County ' ' J V10 i comfrumly .DtEVEL(1QLT -- - Imr lransea.bon hamler ___.____; anitary Permit pplicatton yLt,cnnCuac v.nh XPS 3Hi) I(J). Wn tltlm It Me yllhtnts,llM1 u1'IFIy tx . O_ ! 2.1 DO 2.33 orttlmrcd mix to nbbmmng asonllan lrumt \Me Apphcalwnlam. lot 11.1 c mt nut s -• + m� Prot vt AJdr<.,(INIII-efwl than n,aping aJtlnvs) Ill,l)"Imllm"aofsatat7.unl Noro.smal Senme, Pawnal munn.Wml IM P11MU17w be ti-Cd Wr,eC,1 at) \ � pum+ws m amxSuce taut Ilre L A ylil ao bn informatbto - Most Print All infa mation PIUIKny (Mnc, . Cnm. Pam] rr iYt'rJlns__ ise u� OZp-134s�31- _- - _._ _ _ _------------' ----- -- icy I'mpany (1wnCr a )ia1llntp AJJra, / I I';opc•tt 1 a-nb� ter. �� /�,y �a� v L Gott 1 n1 ,1 1V,`1�� ` SUi '/. N� '/, Srcc nil C I VMS — oN,""' "'--'---- - D/G/ of J --- ✓0, IL'1) pe of ItuikllaR (check ail that apPlr) I I of — — +I II a121nmJ/ ❑wd Lng hundxr o111aJnnnn. _ ,_ SUlxhnston \Hine I I I!taF .: Iry v iC� 31 I] 1`„L111 ('nmm.nial 01111.11 I . I , ,- 05S1 i..'Smtc Utncd D.o.nW Lw iFunJvr �H.pla. men pt sl:m la• _I L] I a. nu, Nr,lcwat I'u un Nu....m I Mrurc I rpuninal J. Ir nrn II, Ilny "f w,n Hql cnnnt On\ !1 L](phcY LAdtlu•vxmt 1 ttgS+, m(,pIa 10 Ell: .'iNumlxl mx11)w Lu,jj OmAl Check all toot a Ir \OtLPit smVe.l ln'(irMlnA ❑ pre,St..OVI In GrmmJ 11 At Grade hound:_2l In ofsutub!tnl ---- UOutal- 291n of alulanlo HVl U lfoldutg lm+. 0WlCr Ulspcnll C(xnpunclu (c(pl.uni_ RMJ� rEX13i1NG Prnucaunrnt Z• 1. Reoponsibility Statement- 1, the e Unlit t M1anle (Prnn) M(j�MIF,r_ �UA�W�L-D mdwt's AJJre,e (tiHcet (Stt. tilnre 7.ip C OC6 e-1W • 55, RIV Cl nl.,pp.m.d rm Area nls In 7u(W cUf lUlm, I Ltut, med. now re o 1 418? G a t f J 00 . 35' �= Caviii o r �Za�1r.i IhS'?y�� P k�i 3 —4 P014-1S ahewa oa the anuh(d ntam. "unn lc< Datc ucJ -- 71uav@Agars Siyn.a Now 47S.de 8 6 2J %- t. Septic rank, effluem fftef and . - . Y{�P(Yi Y-0o 'Wr GvKC e ' _ l/ L �[ d'sllenal cell must SCt P1 v w ' "i l I "' r{/' �4 %l $ z . in per manaryemellt plot, ptmlded by plumMr, / 7. All sribacl(wqulre9,antS must be mandlltkd c t:�%bk$ !!1 �� S7'�q� G' P/&L4 / AL'� all pW appli6aBltl 1&te/ii/dllyd1llay, r AIM lalgR&�eu(M Iae it e00;W�•L *t Um Wpa /99iky /IR 1�i 91 ltl�r _. �r� J � 7rt gPp!ov4-d ,h S�e,Y ctrpyb-A ! �j> �vv�i�cr- 5ha11 fof-4VI '%2 S lCv'+ Nna1n Han( t � rinu.rt199(H.oa,l.t) l / ir`�o�ykatXt�v1 j��� A" cpWYe y� S�/1rtt�.�, fer Cep , ` Plot Finn PROPERTY OWNER: 5 �:AI,1 L,-HAyT—OAKiJS Legal Description: LT 31, AEU )� I LDS —SW/4 of "CRt NWY4' mac, E 1 ZqA) R t4WJ 1FoW%l oi= 4)kAx Sr CRely DpC jAy2y W*CoN51r1 O2D— /3q5- 31- 000 / 771 �A i N•i B�s-f ToP aF Pax; `` Plp� iN � 6F P!F"•-A55U a /DQ.DD` vi _ Site location: X CCppY nlW-Vi Pig a Azz-l4 (45` 0 4 Page 10 of )# 1" = 40 FT. (except where noted) (] = backhoe pit Ci = hid tvtrtl9 S, 3_,=9( yicl�s Nort C ( i Zo Or z 45z LLib� st t,4D oCcsaw N NEW ino QAu j 7'tk 4)i! Pt�.N.P E t,_rEY 285 COUNTY RIVER FALLS 800-828-3723 715-425.8466 7i28.2021 St Croix County Zoning Hudson W I Re:771 Kinne\ ECRR YEB AUG 05 2021 St, Croix County The drain field at 771 Kinne\ Road has lailed as per A\ I statute 145.245(4)(d). Fllluent is covering the ground Surface and is creating a health hazard. Michael Rodewald MPRS 4931834 July 27, 2021 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 2023-07-27 Plan Review: PWTS-072100233-1 MARYJO HUPPERT 28497 King Arthur's Court Danbury WI 54830 SITE: Susan Hart-Oakins 771 Kinney Road St. Croix County Town of Hudson SW%-NWY-S35—T29N—R19W FOR: DIVISION OF INDUSTRY SERVICES 10541 N RANCH RD HAYWARD WI 548436462 Coney Through Relay htlp lldsps wl.govlprogramsllnduslry-sennw w wlsconsln gov Tony Ever$ - Governor CO'11BIT/O, ALLY APPROVED DEPT OF SAFETY AND URoFESSIO^JAL SERVICES DIVISION OF ;:1UUSTRY SERJIcCs SEE CORRESPONDENCE Description: IIndividual Site Design as allowed by Table 4 Bedroom GeoMat Mound ISO — 600 GPD — 1383.22-1 Replacement - 27" to limiting factor — Effluent Filter - Maintenance required Pressure Distribution Component Manual —Ver. 2 0, SBD-10706-P (N.01/01. R. 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 • This approval recognizes the submitted plans as an Individual Site Design that does not conform to the approved "GeoMat Mound Component Manual — Edition 1, 2017". That is, a portion of the soil below the dispersal component is fill, rather than in -situ soil, as specified in the component manual. The fill has been in place for a sufficient amount of time that it has formed structure and is suitable for treatment of wastewater. There are no indications of seasonal saturation within or immediately below the fill layer. • A berm shall be placed upslope of the mound to divert ditch runoff away from and around the mound. 0 12" of sand shall be installed between the contour and the bottom of the GeoMat product. • Orifice shields are required on each orifice. • All electrical equipment and wiring shall meet SPS 316.300(1)(a) and Table 3 of the Pressure Distribution Component Manual. There shall be no more than 3% voltage drop in the wiring to the pump per the National Electric Cade. • All components shall be protected from freezing per SPS 383.43(8)(c). • Install and backfill Infiltrator tank per manufacturer's requirements. • Care must be taken to set the dose volume as approved in the plan design. If the minimum tether length of a single switch mechanical float does not allow the proper dose volume, two separate floats must be used. • Prior to construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. Smearing and compacting of wet soil will result in reducing the infiltration capacity of the soil. Proper soil moisture content can be determined by rolling a soil sample between the hands. If it rolls into a 1/4- inch wire, the site is too wet to prepare. If it crumbles, site preparation can proceed. If the site is too wet to prepare, do not proceed until it dries. • The mound site shall be properly prepared prior to plowing. Any grasses longer than 6" shall be cut short and removed. To avoid matting, any leaves or loose organic matter shall be raked up and removed. Cut trees and shrubs flush to the ground and leave stumps. Avoid operating equipment on the mound site. If necessary, use only tracked equipment, during dry conditions, with minimal passes, to avoid compaction. • 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. • 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 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. • 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. 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($) and be responsible for ensuring that POWTS is operated and maintained in accordance with this chapter and the approved management plan under SPS383.54(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. 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, Cei 1?udI2G� CeCe (Elizabeth) Rudnicki Wastewater Specialist/POWTS Plan Reviewer, Division of Industry Services (608)400-3186 ehzabeth.rudnickiPwisconsin Rov -d GeoMat MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN INDEX AND TITLE PAGE Owner Info Project Name: SUSAN L HART-OAKINS Owner's Name: (SAME) Owner's Address: 771 KINNEY ROAD HUDSON, WI 54016 Property Info Property Address: Legal Description. Township Subdivision Name Lot Number. Parcel I.D Number. Plan Transaction No Index Pages Page 1 Index and title Page 2 Data entry Page 3 GeoMat mound drawings Page 4 Lateral and dose tank a, Page 5 Distribution media Page 6 System maintenance specifications Page 7 Management and contingency plan Page 8 Pump curve and specifications MARYJO HUPPERT Date 07/07/21—, Signature: D Designer �Pm'� ; •' _ '' 47 rr�•j •��• - EtUPr=�E1i ' D 1ts52 771 KINNEY ROAD SW NW S 35 T 29 N R 19 W Hudson County. St Croix SCENIC HILLS 31 Block Number NA CSM#. NA 020 - 1395 - 31 - 000 Page 9 Tank crass sections Page 10 PUT PLAO } a9e II Sets tEsf — Page iz I�rr� 13 i pRce /N _ASRIA� t17?rAPnr16Nr: rNtXJko�uflc UTE Dft6161� Wes 1 P9V10L5_P-APERWeRK 1 CtoP) License Number: 1859-007 Phone Number, 715426-1775 C0fVD1TL0NJLL P APPROVED DEPT OF SAFETY AND DRCFESSIONAL SERVICES DIVISION OF INC STRY SERVICES C'E6, 1 Ck. SEE COFMESPONDENCE �,JI �j„a•••_.•r�i•> obd Pvrsvanlbthe tnd Component Manual (Edition 1. 2017), (N 4117), Synergy SystQms c SSWMP Publicatl6efl✓ ifili;ip `6%pressure Distribution Networks for ST-SAS (01181) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01101, R 10112) GeoMat Mound Edition 1, 2017 Page 1 of 11 Mound and Pressure Distribution Component Design Site Information R Residential or Commercial Design N ISO Required? 400.00 Estimated Wastewater Flow (gpd) 1.50 Peaking Factor (e.g. 1.5 = 150%) 600.00 Design Flow (gpd) 11.00 Site Slope (%) 100.35 Installation Contour Line Elevation (ft) 27.00 Depth to Limiting Factor (in) 0,40 Ir-situ Soil Application Rate (gpd/ff) 128.00 Contour Length Available (it) Distribution Cell Information 6.50 Cell Width (it) . - 75.00 Designer Input Cell Length (ft) 2.00 Dispersal Cell Design Loading Rate (gpd/ft') 60.00 Dispersal Cell Length Required (ft) 2 Influent Wastewater Quality (1 or 2) Pressure Distribution Information E Center or End Manifold 2 Numberof Laterals 3.25 Lateral Spacing (ft) 3.261 Forcemain Drainback (g al) 0.50 Foroemaln Filter Loss (ft) 2.00 Forcemain Diameter (in) 20.00 Forcemain Length (ft) 92.00 Inside Pump Tank Elevation (ft) 0.166 Orifice Diameter (m) (e.g 0.25) 2.00- - - Orifice Spacing (ft) _ 4.55 System Head (it) x 1.3'�' 9A3 Vertical Lift (ft) 0.66 Fnction Loss (ft) 15.14 Total Dynamic Head (ft) 117.44 5x Void Volume (gal) 120.71 Minimum Dose Volume (gal) 39.85 System Demand (gpm) Are the laterals the highest point in the distribution Y network? --. -- .-_ If N above, enter the elevation (ft) --. of the highest point. Does the forcemain drain back? F---6591 h2lod5ce Diameter Selection Manifold Diameter Selection in. dia. options I choice 1.25 x 1.50 x -... 2.0 x x 3.00 Manufacturer Information Treatment Tank Information Effluent Filter information +250.0& Septic Tank Capacity (gal) S!PA TECH IN SEPTIC TANK ; Filter Manufacturer Weser Concrete Products. Inc. Manufacturer A 100 IFilter Model Number Dose Tank Information GallonsiInch Calculator 1060.00' Dose Tank Capacity (oa0 ___-_- Total Tank Canariy (oa0 SEE CHARI Dose Tank Volume (gallin) _ Total Working Liquid Depth (in) - - INFILTRATOR Manu{ecturer gaVin(anter result in coil DosaTankVolume) Project: SUSAN L. HART-OAKINS Page 2 of 14 Mound Plan View —t Obsenahon Pipe ❑3. - I K j+ i AA w t B. O L Mound Component Dimensions A 6.5000 ft E 8 58 In B 75.ft F 15 00 In D 0.00 in G 0 50 It l ' 487.50 (ft) Dispersal Cell Area 8.00 (gpd/ft) Linear Loading Rate Mound Cross Section View H 1 00 ft 13.50 ft J 3.95 ft K L W 1 7.82 ft 1 90 65 ft 1 23 95 ft 1500 00 (ft2) Basal Area Available 7.50 (ft) 1110 B Obs. Pipe Placement GeoMat Dispersal Area Observation Pipe 12" ASTM C 33 sand as GeoMat required for Geo Mat Distribution Cell component GeoMat + 12" ASTM C-33 sand 102.60 Finish Grade --� 10143 Lateral Invert Elevation �1s1.. F.•.•. 10035 Dispersal Cell - •i�,•, Elevation Tilled Area Forcemain In situ soil In situ sod Shading Key I Q Topsoil Cap 2 Subsoil Cap 3 ASTM C 33 sand (F) 4 0 ASTM C 33 sand (D) g 0 Tilled Layer 0 0 Geo Mat Cover Material 11.0 Contour Elevation 10035 See details on page 4 for number, size, and spacing of laterals. Project: SUSAN L. HART-OAKINS Page 3 of 14 End Connection Lateral Layout Diagram — ---_ - - _-- =Tum•up w e 1 valve or cleanout plug i 19 orifice located at Z ,'All orifices point down % X P laterals & force main of PVC Sch 40 per SPS Table 384,30-51 Number of Laterals 2 Onfice Diameter 0.156 in Lateral Diameter 2,00 In Orifice Spacing (X) 2.00 ft Lateral Length (P) 7350 It Orifices per Lateral 37 Lateral End (Z) 1 50 ft Orifice Density 659 fttlonfice Lateral Spacing (S) 325 It Manifold Length 325 ft Lateral Flow Rate 1992 gpm Manifold Diameter 2.00 in System Flow Rate 39-85 gpm Forcemain Velocity 4.07 ft(sec Dose Tank Information L,,Anr_: de. w. a,N umrr uch, .col _ 1, vV" I'll l I—, i UIx,InRll1 r't Iran nu, I'Ira ' I llrn r.J Ir.,ll uF. t'Illu,rn lw�+nr J.+"J r rr+,I ,Nna Faecert,aln damnter Isla hurl,., 11,t ' 2m uml+aur „a.•+,,.nr A. bg61 gadc, v ixl [+rr-.1 unuu Sim/Tech Filter STF JUDO 1/16 11,1h url XWD,..i i'umpl m I In.e C r �' Pump oe eievaoon (1)1 I`uny, Ul I:on• 9200 D Done taM elevation (ft) ilitnn9tH.N,-n..v_..-._.r.._.....,an:B::..::,,:.:lll:ra.l^:,n::1„ialll! 9200 Dimension Inches_ A 27 o4 Gallons 1714.,70 B 2.001 52. C S•OD 5+2O D 10,00 ITL•60 Total r • 0 Fate, manufacturer Sim / Tech Filter _ Filter Model Number STF 100 1/16 INFILTRATOR Capauty 106000 Volume SEE C gallinch to TrMHEO) Alarm Manufacturer SJE Rhombus Alarm Model Number :AB TANK ALERT Pump Manufacturer GOULD Pump Model Number PE 41 - - - Pump Must Deliver 39 85 gpm at 15.14 ft TDH Project SUSAN L. HART-OAKINS Page 4 of 14 tNP I LTRATOR 1060-GALLON 1 AN I( VOLUME. _ 111JUiU VULUMF IN TANG rornt nniclFnl': (OTAL Lk1U,U AT I(dDII ATE tILIGII HEIGHT VOtUM( It, TMIN AT HEIGht LUMP%\NTP!f N'A ' f041PARTMTr11I, ___�INU!CA-EU lo0w, _J7/3 TOTAL VULUA-0t Gillrnl; JI 11/3 1 TO I At VO: U ME', witom __ Gal mn V _ __- 12 21-- 7tr.9 4 f. __-NSA__ -:•J - _— 279- 1 3 - 1475 04 7 49 A to 177,A t1!. Z Il - - - l`J4.9 _ 1)I7 _-'%_6 4`•G I] 221.5 1A 7.7 ,.IH -- if n1p / Ir4.5 L7 I4 7D ] :91 � •'•0' - 15 .98a ;9N7 ^99 ,b ?77.1 �21E 7 12S.0 _ t1�- 20 .129 9 1 ?:1( ;A?J '1 q55? 9pi.i 1S:' 358E 20 S91 ! T9S � 197 " i.J GJ',1 5141 lure - 31 _I i rgl. 13.E _. `SyE _34 312 n 1 p41._ /IC9 910,3 bit ' - 3U6 I -- - -- .q CROi - - J1_- 4a IO7i .0 A3A ;54 7 --- 46 1.2G1 JFSN t119 98 1153.2-- - 775 i _ 4A7 J dV 11A3 9 7RX 9 39+• 5 1247V GeoMat Distribution Cell Media Layout 6 50 Cell Width (ft) i 63 Sidewall to Lateral (ft) Distribution Cell Cross-section Arrangements Q Q Component Legend 0 Distribution Pipe With Pressure Lateral L-.J Orifice Shield • Tumup Enclosure — — — — — Pressure Lateral Ge Mal is covered with approved geotextile fabric as per the their product approval Distribution Cell Plan View Layout - Typical 6 50 Celi Width • A (ft) 75 —00--1 Cell Length - B (ft) Typical ispersal Cell Sand Fill Recommended Distribution Lateral --�� Orifice Shield Pipe Dia. - -- — Approved Infiltrative Fabric Gm Coponeponent Infiltrative Surface/Plow Layer Observation Pipes - / water T..h \ Ci c11` TaOH fa,I "Min sew, 1�EI instan at lrtC0.'". ar !M ...... :'i[.a : 4 M Shading ey 1 Topsoil Cap 2 Subsoil Cap Z 0 ASTM C 33 sand (F) a ASTM C 33 sand (D) �] Tilled Layer 6 Geo Mat See details on Page 4 for number. sne. and spacing Of laterals Project SUSAN L. HART-OAKINS Page 5 of 14 Mound System Maintenance and Operation Specifications Service Provider's Name DARRELL'S SEPTIC SERVICE _ i Phone 715-425-1025 POWTS Regulator's Name St Croix County SPIA - Zoning Office Phone (715) 386-4680 . System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Sizeall in Estimated Flow - Average 400 gpd Maximum BOD5 mg/L Septic Tank Capactty 1250 gal Maximum TSS mg/L Soil Absorption Component Size 487.5 f 2 Maximum FOG mg/L Type of Wastewater Domestic Maximum Fecal Coliformcfu/100 mL Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Service Frequency Inspect and/or service once every 3 years Inspect and clean as necessary at least once every 3 years Test once every 3 years Should test periodical) Laterals should be flushed and pressure tested every 3 years Inspect for pondmg and seepage. once everyAlears- _. 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 Synergy Systems GeoMat Mound Component Manual Version 1, 2017. 2. Dispersal cell media conforms to GeoMat products approved for use with the Synergy Systems GeoMat Mound Component Manual Version 1, 2017. Media is covered with an approved geotextile fabric 3. All gravity and pressure piping materials conform to the requirements in SIPS 384, Wis. Adm Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5 The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn up Detail 6-8" Diameter Finished Threaded Cleanout Lawn Sprinkler Grade \ Plug or Ball Valve Box \y Lateral Ends at Last Ori�,ehere Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Distribution Lateral Lateral Cleanout 3.5 Feet Protect: SUSAN L. HART-OAKINS Page 6 of 14 Mound System Management Plan Pursuant to SPS 383.64, Wis. Adm. Code General This system shall be operated in accordance with SPS 382-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [Synergy Systems L.L.0 , Geomat Mound Component Manual version 1, 2017, Pressure Distribution Component Manual Ver, 2 0 SBD-10706-P (N. 01/01) and SSWMP Publication 9 6 (01181)] and local or slate rules pertaining to system maintenance and maintenance reporting. Septic and pump tank abandonment shall be in accordance with SPS 383 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 watertightness and soundness Access openings used for service and assessment shall be sealed watertight upon the completion of service Any opening deemed unsound, defective, or subject to failure must be replaced Exposed access openings greater than 8-niches in diameter shall be secured by an effective locking device to prevent accidental of unauthorized entry into a tank or component Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s 281 48, Stats The contents of the septic tank shall be disposed of in accordance with NR 113, Wis Adm Code The operating contlnion of the septic tank and outlet filter shall be assessed at Least once every 3 years by inspection The outlet filter shall be cleaned as necessary to ensure proper operation The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filler when removed from its enclosure. If the fitter is equipped with an alarm, the fitter shall be serviced if the alarm is activated continuously Intermittent filter alarms may indicate surge flown or an impending continuous alarm The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank_ If the contents of the tank are not removed at the time of a thermal assessment, maintenance personnel shall advise the owner as to 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 Wisconsin Department of Commerce Pump Tank The dosing (pump) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verity proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary If the force main has a weep hole, It should be noted If it is functional during pump operation, and rf not, it should be cleaned No one should ever enter a septic or dose tank since dangerous gases may be present that could cause death 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 sod compaction may hinder aeration of the infiltrative surface within the mound and snow compacWn in the winter will promote frost penetration Cold weather installations (October -February) dictate that the mound be heavily mulched as protection from freezing Influent quality into the mound system may not exceed 220 mg/L BODs, 150 1 TSS and 30 mg/L FOG for septic tank effluent or 30 i BODs, 30 mg/L TSS 10 ni FOG, and 104 cfu1100 mL for highly treated effluent Influent flow may not exceed maximum design flow specified in the permit for this installation The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 3 years. When a pressure test is performed it should be compared to the initial test when the system was installed to determine it orifice dogging 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 Funding levels shall be reported to the owner. and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contirmencv Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system In proper operating condition If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective components) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Project C, 1 1 .. r I -�)4 i tJ `> Page 7 of 14 Wastewater METERS FEET 40 PE51 \ 35 10 30 PE41 x 25�31 V_ \ z 20 1 0 �►- 2 GPM 0 5 vI 10 CAPACITY PERFORMANCE RATINGS PE31 Toial Head _ (feet of water) GPM 52 0 42 29 20 16 25 PE41 Total Head (feet of water) GPM 8 6' 10 57 15 q6 70 35 25 'S MODELS: PE31, PE41, PE51 HP:.33, 40. 50 70 GPM 80 15 m3/h PE51 Total Head (feet of water) GPM 10 57 5 54 20 50 25 39 30 26 35 8 ! %Lr_c' 9 .,:-1 Mom 48" (1219 mm) 6" (152 mm) 6' (152 mm) 1ANKTOP 320 b5 (145 kg) -_-__ HALF TANK NILRIOR ALIGNMFNi DOWEL IM-1060 General Specifications and Illustrations The IM-1060 is an injection molded two piece mid -seam plastic tank. The IM-1060 injection molded plastic design allows for a mid -seam joint that has precise dimensions for accepting an engineered EPDM gasket. Infiltrator's gasket design utilizes technology from the water industry to deliver proven means of maintaining a watertight seal. The two-piece design is permanently fastened using a series of non -corrosive plastic alignment dowels and lacking seam clips. The IM-1060 is assembled and sold through a network of certified Infiltrator distributors. Must be backfilled and installed in accordance with Infiltrator Water Technologies, Infiltrator IM-Series Septic Tank General Installation Instructions and for shallow ground water conditions reference the Infiltrator IM- Series Tank Buoyancy Control Guidance. Please visit www.intiltratorwatercom/Images/pdf/ ManualsGuides/TANK01.pdf for the latest information. Working Capacity Total Capacity_. Airspace Width Length -to -Width Ratio Height j Liquid Level 4lInvert Drop Fiberglass Supports Coanpartments Maximum Burial Depth Minimum Burial Depth Maximum Pipe Diameter Weight__. 1094 gal (4141 L) 1287 gal (4872 L) 16.5 %' L 127" (3226 mm) 62. 2" (1580 mm) 1 � _547 23toi It 389 mm) . 44" (1118 mm) 3" (76 mm) 1w2 I 6lIM(. S1M1' IAI IK —,. M+u A — IIStP (ONtlllbN IrwP u: 1„n fY1iPk,ILF�Gh i TOP VIEW M r'LLr — @b II I,„ar y 1 mn 1� �I! EZIFPofA unMr r I END VIEW AA 8 i nn 1031 — —9_n to IU MCCN i11MMSH1rM �Jl.WG',FXU NEOfl MS r �04ilol. WC!Y r(Fr iEE 01 XMI'(PFfYY.Ip .1( 7111 R1 aAcr 1 _1 ria PrP L vrxl mawl.. _ aim. rmiecuss xu, rxPT» rtu I xn a,t I, jJ e IAk 1 SIDE VIEW CONTINUOUS GASKET SPAM CLIP TANKBOTTOM 4 aus Polk H. _ HA F PO Bo. ]fibit �I UW Sayoru k cr M71 6Eu-57b 1"-Fa. 960-51r- W, MID -HEIGHT SEAM SECTION INFILTRATOR www.InnKnta�wal,r.com U 9 Patwlia. 4,7W %1. 5.017.0a1. 5156A96, 5,336,017 5+ 1 116 5.401 n59 5.511,900 5 716 1E3, S.S�BB,IIB 5 639.9si Cmvlrwl P wm 11^9 959, 2,004,56a I]ttxr patxtts pelxlrp. MIN]IV tll,lalun ourxa :a slaew.a>» reanwee lradme'k9 or 11PP21v wmw TM.duya aaul..w Is a rgpbm aaaw+,an In Fula. nam,wor NMIa, r�,..,k>p� e a r�>tnb o-aeravx:n rea.,w. c.onwr Mcroimcnrry Ppinruil. CIrY»b�.rP V rnJePo- Poalnck a,Krcu wr.+vyr sr.ptcck aria swgmtma m. vma�,.xs a wxnuor wwu Im..wgm;. PMyl.r+ y a err,tl.man o' PMyLp Inc. TUF-TRE n a regSlnaE natlemark tf1 TLIF.TRE. Mh^, l9mMb �x a tratlanark of IPEM kx. n k"1r61nrnmla. Wwn latlwwkgMs. LLG M M1JIMa n-.vfveJ PM1xG m y SA IMU21116 Plot Plan Page 10 off4 PROPERTY OWNER: 5LlS4,ti1 (_. HAKKP—��{�KtN s 1" _= 40 FT. (except where noted) Legal Description: Tlit n$�4, 0- — backhoe pit SEC. &L I Z9J R r�W IOwk, cF �ltnr '� ST CR�tx (�cuUly L1 _ �Iuu� n�l�� t j/�1tsCCNSit.) C2G-13G5-3i-t?L� � 771 /�I,\,N�\) �.!!17 S�3�t ,r1�S North -� i h1 -i .' ' " `' irk` �� ` • �;' C ' / 1 0 4 {O v, Site location: 'P,v;,.' /0 of if �-., Al AA", At G u 7 rX I III Fe 453.3 3 BAB ,-J OY exi;2 25 X t\ 26 7 r t 802 EXi571N!-27 T Dt�gla �r .08 31 EmE N1 M j BAB 111� 11( Bxc 21 0 50 loo 150fi DISLLAIMEti. IDkrt�knd mnM to be - KCYfab.COfrK1.CVIRf1t, Vm�1eIO Wtl cOrKluevms N1mn am the nl4ilily A lM1e 32 INDIVIDUAL SITE DESIGN SUSAN L. HART-OAKINS LOT 31, SCENIC HILLS/TOWN OF HUDSON This design is for a site that has colluvial soil conditions. There is 13 to 30 inches of natural fill material over the original buried A Horizon. It is evident that this material has been in place for a long period of time as the roots in the fill material are the same size as the original roots in the buried A Horizon. There is no evidence of any redoximorphic features. This soil condition will not impede any wastewater entering the original ground surface or with the treatment per SPS 383 Wisconsin Administrative Code. Loading rate will be 0.� gpd/ft.2 to spread the water over a longer area so that it may be accepted into the soil slowly. A berm will be constructed to divert any water that may enter the site for the new private wastewater treatment system (POWTS). Attached is the elevation map from the County website showing elevations for this site. The elevations are higher on two sides and showing a steeper ravine to the southwest going into a concave area below the tested site which explains the natural fill material. The existing POWTS which is a below -ground system has functioned for 17 years. The soils are mapped as a Burkhardt-Sattre complex and near Fluvaquents. LOT 31 OFFSET STAKES AAE 1U x DENOTES WOOD LATH SET OENOTES WOOD HUB $ET 3&35 DENOTES EXIS' NO ELEVATION ON OFFSET HU8 1 I, Douglas J. Zohler, Registered Wisconsin Land Surveyor. hereby certify that this Stake —out Plan was prepared under my direct supervision and is correct to the best of my knowledge and belief. IQ1Y IOp to d w r M In 0 = to Li_J to V wW n w � cUn 9 iQi R T ST. CROIX COUNTY, WISCONSIN 19 loam; weak medium and coarse subangu- lar blocky structure; friable; strongly acid; clear wavy boundary. B3-16 to 20 inches; brown (7.5YR 4/4) loamy sand; weak very fine subangular blocky structure; very friable, about 15 percent coarse fragments by volume; strongly acid; clear wavy boundary. IIC-20 to 60 inches; brownish yellow (10YR 6/6) sand and gravel; about 25 percent coarse fragments by volume; loose; medium acid The solum thickness and depth to sand and gravel range from 12 to 24 inches. The A horizon is dark reddish brown, very dark brown, or black. It is 6 to 20 inches thick. The B horizon is sandy loam or light loam. The C horizon is mostly sand and gravel that originated mainly from igneous or metamorphic rock. It is 20 to 45 percent coarse fragments. The B horizon is strongly acid or medium acid, and the C horizon is medium acid or slightly acid. Burkhardt soils are near Dakota and Sattre soils. They are not so deep to sand and gravel, and they con- tain more sand and less silt and clay than Sattre soils. Also, they are not so deep to sand and gravel, their A horizon is not so thick, and they contain less silt and clay than is typical for Dakota soils. BrB—Burkhardt sandy loam, 1 to 6 percent slopes. This soil is on outwash plains and stream terraces. Most areas are elongated or irregular in shape and range from 10 to SO acres in size. This soil has a profile similar to the one described as representative of the series, but its surface layer is darker colored. Included with this soil in mapping are some areas in drainageways where the surface layer is loam or silt loam. Also included are small areas of steeper Emmert soils. Runoff is slow, and the hazard of erosion is slight. The hazard of soil blowing is moderate. This soil is suited to soybeans, corn, grasses, and alfalfa. Crop yields are generally limited by low avail- able water capacity. Where irrigated and fertilized this soil is well suited to corn, potatoes, and other row crops. Controlling erosion and soil blowing are impor- tant factors of good management. Capability unit IIIe-3; woodland group 3d1. BrC2—Burkhardt sandy loam, 6 to 12 percent slopes, eroded. This soil is on knolls of river terraces and pitted outwash areas. Most areas are oblong and range from 5 to 30 acres in size. This soil has the profile described as representative of the series. Included with this soil in mapping are small areas of Emmert soils and small areas in natural drainageways where the surface layer is loam or silt loam. Runoff is medium, and the hazards of erosion and soil blowing are moderate. In most areas erosion and soil blowing have caused tilth to deteriorate and have reduced the content of organic matter in the surface layer. This soil is poorly suited to row crops. It is suited to grasses, alfalfa, or pine tree plantations. Crop yields are generally limited by low available water capacity. Controlling erosion and soil blowing and maintaining organic matter content are important factors of good management. Capability unit IV"; woodland group 3d1. BxB—Burkhardt-Sattre complex, 2 to 6 percent slopes. The soils in this complex are on outwash plains and stream terraces. Most areas are irregular in shape and range from 10 to 60 acres in size. This complex is about 40 percent Burkhardt sandy loam, 35 percent Sattre loam and silt loam, and 25 percent other soils, mainly Pillot and Dakota soils. The Burkhardt soil is mainly on or near the crests of knolls and in the steeper, more eroded parts of the complex. The Sattre soils are on slightly concave, less eroded parts of knolls, drainageways, and depressions. Pillot and Dakota soils are in some drainageways, depres- sions, and concave areas_ Included with these soils in mapping are a few areas where the loam or silt loam extends to a depth of 5 feet or more. Also included are small areas on the crests of knolls where the surface layer is sandy and gravelly and the soil is severely eroded; and a few small areas where slopes are less than 2 percent or more than 6 percent. Runoff is slow, and the hazard of erosion is slight. Soil blowing is a moderate hazard on Burkhardt soils. Most areas of this complex are cultivated. These soils are suited to corn, oats, and alfalfa. In many areas crop yields are limited by low available water capacity. Con- trolling erosion and maintaining organic matter content are important factors of good management. Capability unit IIIe-3; woodland group MI. _,eTBxC2—BurkhardtSattre complex, 6 to 12 percent ,slopes, eroded. The soils in this complex are on pitted outwash plains and stream terraces. Most areas are irregular in shape and range from 10 to 200 acres in size. This complex is about 50 percent Burkhardt sandy loam and loam, 30 percent Sattre silt loam and loam, and 20 percent other soils, mainly Pillot and Dakota soils. The Burkhardt soils are mainly near the crests of knolls and on steeper, more eroded parts of this com- plex. The Sattre soils are mainly on concave, less eroded parts of the knolls, depressions, and drainageways. Pil- lot and Dakota soils are in some depressions and drain- ageways. The Burkhardt soils have a profile similar to the one described as representative of the series, but the sur- face layer is slightly thinner and lighter colored. The Sattre soils in many of the depressions and drainage - ways have a profile similar to the one described as representative of the series, but the surface layer is slightly thicker and darker colored. Included with these soils in mapping are a few areas where the soil is gravelly and sandy and severely eroded, and a few areas of wet soils. Also included are a few small, steep areas of Emmert loamy sand and a few small areas where slopes are less than 6 percent or more than 12 percent. Runoff is medium, and the hazard of erosion is moderate. Burkhardt soils are subject to soil blowing. Erosion and soil blowing have caused tilth to deteri- orate and have reduced the organic matter content in the surface layer. This complex is suited mainly to grasses and alfalfa, but some corn and soybeans are also grown. In many ST. CROIX COUNTY, WISCONSIN Most areas of these soils are cultivated. A few areas are in wetland pasture or trees. Representative profile of Floyd silt loam, 0 to 3 per- cent slopes, in a cultivated field, 200 yards south and 200 yyards east of northwest corner of the SEt/t, of sec. 24, T. 28 N., R. 17 W.: Ap-0 to 6 inches; black (N 2/0) silt loam; mod- erate medium subangular blocky structure parting to weak thin plates; friable; many roots; neutral; abrupt smooth boundary. Al2 6 to 10 inches black (N 2/0) silt loam; strong medium subangular blocky struc- ture; friable; many roots; neutral; clear wavy boundary. AIS--10 to 14 inches; black (N 2/0) heavy silt loam; weak and moderate medium gran- ular structure; friable; many roots; neu- tral; clear wavy boundary. B1-14 to 23 inches; brown and yellowish brown (10YR 4/3 and 5/6) heavy silt loam; moderate medium subangular blocky structure; friable; common roots; neu- tral; clear wavy boundary. IIB21t-23 to 27 inches; yellowish brown (10YR 5/4) loam; many fine and medium dis- tinct yellowish brown (10YR 5/6) mot- tles; moderate medium subangular blocky structure; firm; thick continuous clay films on surface of peds; few roots; com- mon pebbles and cobblestones; neutral; clear wavy boundary. IIB22tg-27 to 32 inches; grayish brown (10YR 5/2) heavy loam; many medium promi- nent yellowish brown (10YR 5/6) mot- tles; strong medium subangular blocky structure; firm; thick continuous clay films on surface of peds; few roots; com- mon pebbles and cobblestones; neutral; clear wavy boundary. IIB3tg-32 to 42 inches; gray (5Y 5/1) heavy loam; many medium prominent yellowish brown (10YR 5/6) mottles; moderate medium prismatic structure parting to moderate medium subangular blocky; firm; thick continuous clay films on faces of peds; common pebbles and cobble- stones; neutral; clear wavy boundary. IICg--42 to 60 inches; olive gray (5Y 5/2) heavy loam; many medium prominent yellowish brown GOYR 5/6) mottles; massive; firm; common pebbles and cobblestones; moderately alkaline. The solum ranges from 40 to 50 inches in thickness. The silt loam sediment is 20 to 30 inches thick. The A horizon is black or very dark brown and 10 to 20 inches thick. The lower part of the B horizon is heavy loam or clay loam. The lower part of the B horizon and the C horizon are 0 to 5 percent coarse fragments. Floyd soils are near Clyde and Skyberg soils. They are better drained than Clyde soils. They have a thicker, darker colored A horizon than Skyherg soils. FdA—Floyd silt loam, 0 to 3 percent slopes. This soil is on foot slopes and in drainageways of ground 29 moraines. Most areas are oblong and range from 5 to 60 acres in size. Included with this soil in mapping are a few areas where gravelly bands are in the subsoil and substratum and a few areas consisting of deep silty alluvium. Also included are small areas of Clyde and Skyberg soils. This soil has a seasonal high, perched water table at a depth of 1 to 3 feet. Runoff is slow. This soil is ponded or flooded, especially early in spring. Surface drains, water diversions and file drainage help remove excess water and benefit plant growth. Frost late in spring and early in fall is common on this soil. Most areas of this soil are used for corn. Where excess water is removed, the soil is well suited to most crops. Capability unit IIw-2; woodland group 4ol. Fluvaquents t Fe—Fluvaquents consist of nearly level, somewhat poorly drained soils that are on flood plains of rivers and streams. Most areas are elongated in shape and range from 5 to 120 acres in size. Slopes are 0 to 2 per- cent. These soils formed in light and dark colored loamy sediment deposited by flood waters. The sediment ranges from sandy loam to silty clay loam, but in most places it is stratified silt and fine sand underlain by loose sand at a depth of 3 to 5 feet. This sediment has been deposited too recently for distinct horizons to form. Native vegetation was mostly wetland grasses and sedges and some trees such as willows and elms. These soils have a seasonal high water table at a depth of I to 3 feet. Included with these soils in mapping are small areas of Duelm, Haider, Orion, Rib and Seelyeville soils, and Fluvaquents, wet; Saprists and Aquents; and Udiflu- vents. Runoff is slow. and the hazard of erosion is slight. The available water capacity ranges from moderate to high. Natural fertility ranges from medium to high. The organic matter content of the surface layer is mod- erate. Most areas of these soils are flooded frequently for brief periods, especially in spring. Some places are dissected by streams, sloughs, and old stream channels. Streambank erosion is a hazard in some places. Most areas of these soils are in pasture, trees, and brush. A few areas are in crops. If excess water is re- moved and the soils are protected from flooding, most areas of Fluvaquents are suited to crops. Capability unit IIw-13; woodland group 3o2. Fluvaquents, Wet Fm—Fluvaquents, wet consist of nearly level, poorly drained, and very poorly drained soils that are on flood plains of rivers and streams. Most areas are elongated in shape and range from 5 to 120 acres In size. Slopes are 0 to 2 percent. These soils formed in dark colored sediment deposited by floodwaters. The sediment ranges from sand to silty clay. In most places this sedi- ment is underlain by loose sand at a depth of 3 to 5 feet. The sediment has been deposited too recently for dis- tinct horizons to form. Native vegetation was mostly wetland grasses and sedges, some shrubs such as alder and willow, and a few scattered trees, such as elm and — _ Sf File #I CxouNTv SANITARY SYSTEM o(ficeUseOnly OWNERSHIP/ADDRESS FORM I offs 011 Community Development Department , ;Il 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. If you would like to view your issued sanitary permit online, you can do so by using the [Lgpeh(y Files �LLanned weblink. OWNER/BUYER INFORMATION Owner/Buyer Mailing Addrt City/State/Zip up%/y i bill 57,gb/& Phone Number (required) 7lS-5/5'/ 9"IL2 Email Address r uired 1 Parcel Identification Number (found on the property tax bill) NEW SYSTEM: LEGAL DESCRIPTION Property Location 1/4 , _pl W V4 , Sec. 7, T 2LN RAW, Town of 4441 Subdivision Plat. 5C. NLC !-i IL1S Lot # 3L. Certified Survey Map # k Volume NL , Page # LLh Warranty Dead # - t) i i 3� ef}6 ore 2006)Volume Page # Number of bedrooms - !V Spec house nYesxno Lot lines identifiable O yeo!f no New Property Address OFFICE USE ONLY (Verfeutlon of pw4dd. Ky„„ y from Con,n,uNir Ocvdupment 0eperunent for new consauabn.r (Starr Initials) (Date) This form must be submitted with all Private Onsite Water Treatment System (POINTS) applications. Now System: Include with this form a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if feference is made in the warranty deed. Community Development Department - Land Use Division 715-386-4680 St Croix County Government Center 715-245-4250 Fax 1101 Carmichael Road, Hudson, WI 54016 GENERAL INFORMATION Personal xdomresori You provide may be used Insp BM Elev: OD. o 104.0 TANK (ATTACH TO PERMIT) .ry Lew, a. is 04 0)Im)) TYPE MANUFACTURER Septic �CAPACITY Dosing 0 Aeralial Holding TANK SETBACK INFORMATION PUMPISIPHON INFORMATION ManlLfacturer '-no � GP Model Number TDH LIft Friction Loss ystem TDH Ft Foreemain D+a. Drit. to Wert SOIL ABSORPTION SYSTEM c - • a n. 14 17-- v PI FVATION DATA State Plan ID No Parcel Tax No 020-1395-31-000 Section(Tami/Rangs/Map No 25.29.19,2425 STATION BS HI I FS ELEV. Benchmark -0 / Y AIL BM Bwg.S 4-1.109 1.gy S3 Z .9 Sul St/Ht Outlet Dt Inlet -5C L_ / I 0 / O Ot Bottom eade an. I a 4••L+ Dist. Pipe Z 11. -7 3 z•O6 Bot. System I•I+' Final Grade i— 7S. 3 St Cover 2 / 3.q IL io9a� SLf•21 IZ719 IjQ Di rt. ? 1. 2 ,L( J.,s I 7z )o8•�S BED/TRENCH Wroth ) Length No Of Tren pIT DIMENSIONS No a one Inside Die Liqud Depth DCAENSION9 r I% �"1 SETBACK SYSTEM TO PIL BUD WELL LAKEISTREA LEACHI G Man INFORMATION CHAMSER0 (y Type System 7�'f� Model Numlb rr VIJ I MIOU I IVW J T J I CM -) "kA-1, . //_i 00 HB9depMgrijfpld 1 j�_ / ../ha1'i�a• Length I Ora Ofsinmoon / PI r h1�T 31 Length Die xaorip x Hole Size x hbb Spedrg Vent b M Intake �1'1 50iL COVER x Pressure Systems Onty xx Mound Or At -Grade Systems Only i !2(0 7 Depth O Over ver Depth Over xx Depih of xx SaWeWSoddeo rot Mulched eMrCenser edthre s Topsal Yes No Yea No w•-`.v _ (Include code dlsnep es, persons presen , tc.) Inspection g1:—U�j ! Inspection p2:1_I__ Locatlon: 771 Kinney Road HH�udson, WI 54016 (SW 114 NW V4 25 T29N R19W Scenic Hills Lot 31 ,n�'QrTZ Parcel No: 2529.19 2425 1 )Aft BM Description 27 �t j = 8 }' �{ S,fQ(�I �v wig r 2.) Bwg sewer length - amount of cover�eve-, Plan then side Required? yes !n '1 - - (v 4.fID�i/ Use other side for additional in(onnadm. _; / l/ V 7 5BU4710 (R.&971 Date InsepdCirs S lure�CerCert.No. µa7l,e�eld of 4•:1�hel4�iarL1, "Z/. V. :A j'1 Memo ST. CROIX COUNTY WISCONSIN ZONING DEPARTMENT ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016-7710 Phone:(715)386-4680 Fax (715)3864686 FromTodd i ni. POT e, In Frwle Pam Quinn. POTWS Inspector �jyt CC: Property Owners, Lots 31 and of Scenic Hdls Dain 7/21=04 As a follow-up to my POWTS inspections, the following items need to be corrected so that the systems comply with code requirements for building sewers that are greater than 100 feet long. During the 5/14104 POWTS inspection for Lot 59 we discussed the merits of code requirements for frost sleeves on building sewer cleanouts. Regardless of our opinions on the purpose frost sleeves serve or their effectiveness, Comm 82.35(5)(a) states: "Underground piping. Cleanouts installed in underground drain piping shall be extended vertically to or above the finish grade" and "2. A cleanout located outside of building shall be provided with a frost sleeve." The section then continues with specifications for acceptable pipe materials, where the frost sleeve must terminate above the top of the drain piping, and that it must have a removable watertight top. The appendix for Comm 82.35(5xa) shows a cross-section drawing of how the cleanout and frost sleeve must be installed The cleanouts on both Lots 31 and 59 consist of only the SCH 40 4-inch pipe extending above grade. Both building sewers had been installed and backfiiled prior to the date of inspection for the POWTS. The pipe on Lot 59 extends less than 12 inches above grade and has a vent cap instead of a watertight cap. This is apparently due to my requesting you make sure the system was vented, but putting a vent cap on the cleanout doesn't comply with Comm 82. The requirements for vents on observation pipes are contained in the In -Ground Soil Absorption Component Manual, Table 3 (page 8 of 33). These two sites need code compliant cleanouts with frost sleeves and Lot 59 needs to have the vent cap placed on one of the observation pipes that extends a minimum of 12 inches above grade. Wisconsin Departnnent of Sate�y. rvices CST —aQ Division of Ind �Vj ' SOIL ALUATI N EPORT page i of 5 ..�n1 Wi JrJ J J, W4. ^urn. Uuums (-UII! ecwra caw"' Attach oomip ete plan on paper not than 8 1 x 11 inches in size. Plan must include, but i lo:y� A al and point (BM), direction and percent slope, s le or dim�nr ,and bcellon and distance to nearest road. COmm ease print all information. Personal information you prowde may be used for secondary purposes (Privacy Law, S. 15 04 (1) (m)) County ST. CROIX Parcel I D. 020 - I395 - 31 - 000 Rev by Da p l Property Owner SUSAN L. HART-OAKINS Property Location Govt. Lot — SW 114 NW 1/4 S 35 T 29 N R 19 Property Owners Mining Address 771 KINNEY ROAD Lot i 31 I Block # 1 -- Sibd. Name or CSW SCENIC HILLS City HUDSON, State Zy Code Plum Number WI 1 54016 ( 715) 441 - 9128 ocity [:]1Akage LTown Nearest Road KINNEY ROAD New Construction UseQ Residential / Number of bedroorm Code denved design flow rate lo00 GPD Replacement rl Public or cormlercial - Describe. Parent material SANDY OUTWASH Flood Plain elevation if applicable NA ft. General comments EXISTING TRENCHES HAVE FAILED. THERE IS WATER (EFFLUENT) AT THE GROUND SURFACE. and recommendations. RE E ' REA NEEDS STATE ATION. THE HORIZON. ZdtgytnuAL STE D6510IJ i7,Gpu.1REb. ON-61-rG COMALLTED g'} CECE TE OF'W1SC09SWWA-'ITE"M lk Borrg i El Bong 11 Pit Ground surface elev c". z0 ft Depth to lirxbrg factor 76 in. Soil Application Rate Har¢on Depth in Dominant Gobi Munsell Redox Description Qu. Sz. Cont Color Texture Stnuture Gr. Sz Sh Consistence Boundary Roots GPD T 'Effi1 1 '002 1 0-12 7.5YR2.5/3 A 2 12-30 7.5YR6/2 -- S 3 30-38 7.5YR2.5/2 - sil 4 38-76 7.5YR4/4 - S 5 76-82 7.5YR4/4 c3f7.5YR4'6&7.5YR&3 S Berm i ❑ Boring 46 pit Ground surface elev. 47-Sri ft. Depth to limning factor in. Sod Application Rate Horizon Depth in- Dominant Color Munseli Redox Description Qu. Sz_ Cont- Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDIfF 'Effit •Effi2 I 0-14 7.5YR3/3 - sl 2 14-24 7.5YR2.5/2 SI 3 24-46 7.5YR4/4 s ` Effluent 91 = BOD > 30 < 220 mg& and TSS >30 < 150 nVAL ' Effluent #2 = BOO, < 30 rrglL and TSS < 30 nglL CST Name (Please Prxtd Sm0 CST Number MARY JO HUPPERT(Hollistel s Soil Testing & Design) - / /(� V� 224832 Address ��Date Evakiaboift ronducted Teleplwne Number 28497 King Arthur's Court, Danbury, WI 54830 05 - 21 & 06 - 03, 2021 715-426-1775