HomeMy WebLinkAbout016-1005-70-025Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
(ATTACH TO PERMIT) 642228
GENERAL INFORMATION It Stale Plan ID No:
Personal information you provide may be used for secondary purposes (Privacy Law, s 15.04 (1l(m)) C p ,. C RAW 1
Permit Holder's Name City Village Township Parcel Tax No
John Yoder TOWN OF GLENWOOD 1 016-1005-70-02
CST SM Elev Insp BM Elev BM Des iplion Seclion/Town/RangelMap No
l OL9 • % AwZ 1 03.30.15.49A
TANK INFORMATION Z 'r J .. c d n dj'fk r- 1,. ®, u.i ELEVATION DATA
TYPE
MANUFACTUR
CAPACITY
Septic
Dosing
-760
Ae ati
HoIdin
TANK SETBACK INFORMATION
TANK TO
P/L
WELL
BLDG.
Vent to Air Intake
ROAD
Septic
iL$ '
I
> sp
i
Dosing
M
�{
y
Aeral
Hold'
PUMP/SIPHON INFORMATION / . o#'k I-10i
STATION
BS
HI
FS
ELEV.
Benchmark
2
Alt. BM
Bldg. Sewer
z.3
>�
oa.s
SVHt Inlet
St/Ht Outlet
DtInlet
Dt Bottom
-7,
q
Header/Man.
Z
I
Dist. Pipe
Bot. System
-T
I
�.p
1
.�
al Grade
Ak
%06
At
e�
Cover
G9ra*' A)8
32'
Iw'
.Z
o MDwrcrllvPl0TaleM
Width Length r
DIMENSIONS 6 m /_O
i�
No Of TWpche
L
PIT DIMENSIONS No.
i
I is Li 'd Depth
SETBACK
INFORMATION
SYSTEM TTOv'
P/L
IBLDG
WELL
LAKE/S R
LEA HI
OR
CH 91T
Manu! clure
Type System,
Nu
1 I
/ ` �
Model
A4 T l
U10111I01.11 IIVIV ATOI tM �-' t11ai]R Vi1OY\
Header/Mamfoir �11 Dislnbuti r if z Hale Size x Hole Spacing Vent to Air Intake
Pipes) /4—PO' 1 if Length Dia Length__ Dia Spacing ! .
SOIL COVER v P..... a -- V_.._A A. C.
Depth Over
Depth Over
xx Depth of
xx Seeded6odded
xx Mulched
Bed/Trench Center
Bed/Trench Edges
Topsoil
Yes No
Yes No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: �U ]i ' /,2.4/Inspection #2
Location: No Address Available :21 o TD �� t•t JYiljl Srrr((QJJJ��rrr,,,,..tt,}}} �/ (� Z
1.) Alt BM Description = /Tc✓�r,-•rw-w`�33 J7 A'+..^--`�'1R/y
2 Bld I th - '
.) g sewer eng - Q
amount of cover = 1
3) fW'S
Plan revision Required? Yes XNo Use other side for additional information.
SBp-6 10 (R 3/97t Dat� ^ sepclors Signature
\\JJ 111(/////
C#44-4�
Cert No.
4F-
Safety and Buildings Division
1F �_ l
`
201 W. Washington Ave, P O Box 7162
Sanitary Permit Number (to be filled in by Co2021 )
Madison, WI 53707-7162
Q
Sanitary Pe mit Applica F �
State IrransacnonNumber
In accordance with-Sfj4-3"r T1�-VVi% Adm Code, submission of thn fomr to ttsc app TaiWnit
Project Address of different than mailing address)
is required prior to obtaining u sanitary pernut Note Application form, for stateimned POWI S am submitted to
the Dcparmient of Safety and Professional Sen ics Personal information you pros de may be used for secondary
purposes in accordance with the Prnac) 1-ass,, 15 044 litre). Stets
1. Application Information — Please Print All Information
Property OrvncTs Name
Parcel a
I6_ - lG�' `3 - 76 -�Z5
Propenv Orsner's Mailing Address
Property Location
iiI JJ
Id I
c0%1 Lot
�
L' '� /., Section
City, State
Zip Code
Phone Number
l �,\� I Ill
73
1 �' N. R /h, oreW
11. Type of Building (check all that apply)
Lot =
Subdss"sslon Name
❑ 1 or 2 Family Drscllmg Number of s BedroomLl{
m
Block a
❑ Public rCommercial Descnbc Use
❑ City of
❑ State Ors tied Descnbc t se
`❑— /Village of
rti,.nor-
CSM Number
>36 ack� P�ciYc i
ZUJ.
Ill. Type f Permit: (Check only one box online A. Complete line B if applicable)
A
tiers System ❑ Replacement Svstem
❑ I matmerit I loldmg I ank Replacement Only
❑ Other Modification to Existing System (explain)
B.
ElPemut Rcnerr al El Permit Rcciswn
❑Change of Plumber ❑ PermitTransfer to New
) tit Previous Permit Number and Date Issued
Before Lxpiration
I OWm:r
IV. T%py of POWTS System/Coin onent/Device: Check all that apply)
r
❑ Non-Pressuntcd In -Ground ❑ Pressurtied In -Ground ❑ At -Grade ❑ Mourxl > 24 in of suitable soil Mound < 24 m of suit lat�s�fl _s
❑ Holding lank gOlhcr Dispenal Component (explaur)� --i, r v�:L N \(: (A ❑ Pretreatment Des ice (explain) ,t it
V. Dispersal/Treatment Area Information: h s/f` =
Ihsign Flocs (gpd)
Design Soil App +cation Ra gpdstl
Us rsal A Rcywnd ( ) Dispersal) Area Prroop�se (sQ Systemki'vat s �L
VI. Tank Info Capacnv in
Gallons
total
Gallons
dof
)'nits
Manu(actu
L 1 4 r-
\err lank, Listing lank,
5, ✓�i cc
pl
�
7
jn
Sepuc or I loldmg I ank
Dosing Uh�lbi
Vin It. Responsibilih' Statement- 1, the undersigned, assume responsibility fur stallation of the POWTS shown on the attached plans.
Plumber's Name (Print)
-S
Plumber' Ssenature
MP MPRS Number
`jG3 7-7/5
Business Phone Number
7c33�3
c
Plumber's .Address (Stmet. City. State, Zip Code) C /
VIIL County/De artment Use Onh
Approved
❑ Dsapprmed Pemutt Ice
SCD /�•OC�
DIssue
rlat
z� Zl
Issuing Agent Ss ure
❑UrrnerGirenFj
IX. SpMWApproval/Rcasons for Disarlproval 3 d qrl ry {tit C
1. Septic tank. effluent filter and [w r 1 /
d,snersal call must be 9LY_1 d/mai lined i Lew-d Si y� !sr ar' T p !Ol"�
as par management plan p(ovded by piumhac II /1 /� P -j"1- 4Y % -/
77r-,�/"
"9 c�
2. All setback requirements mbst be mainta)riar L-1� /il I iOvyO) (,�-/roNS, r ��`t- `S " " r `8
as per opplkabte Code/br9l4il "'-1
Coach to complete pia os far the stem and submit to the C'ounly only oa paper not lees I hanill V2 x 11 inches in size
G loll of Zy' o-,L.s4,1�
/Q
SF�i1T-G39H(R Il'I I) �7r)tbr►M��r 1J0�t^
Designer Ryan Bethel 'All property lines not O Benchmark 1 SYSTEM NOTES
Certified Soll Tester. SP-111500001 44 ADVANCED drawn are >100ft from j� Septic Tank:
Designer of Engineering Systems: 0 2263-7 E N v' a 0 N sr r N T A c system $ Soil Bonno T skew 120050 gallon 2companment tank
Riv Nay -Berg liners P above final grade
aiv aiv -Do not route dear water sources into septic tank
SCALE aiv
20'
01 40' �� COPY
Pump Tank:
flmp needs = 26gpm @ 12TDH
-750 gallos
-Wl edl STF-100 pressure fib ulb alarm
/— Railroad Right -of -Way -W a lack as necessat, maintain al selbades.
-Recakvlate pimp Friction Loss and TDH after install
-Event canter, brie meler, or water meter recmmerdM
STA:
b.5Wr Groktat MxM
Skaw-25-absorption aft
-17• ASTn1 C33 sand -lift 117' rM GeoMat component;
1200/750 .cal senors Arsh to ground. avod diong
—nin .Ww awe aDsapOon aea and remove chi
nia Aia nia — AIN Roughen absorption area to deM of 6'-8'
AIN Orvert surlace water away train system
t 40' 4" i 20' 2" -Depth to resncom = 12• (Redonmrphk features)
sch 40 PVC } flj sch 40 PVC �an1oi=9700
i� sbve=ll%
r — —— ��o
Distribution:
i 00 \ 1 , cednlz99.08 eed +sta VD sides
to west P.L./ � waited HWY 128 N w R qme oC, \ @3 J2>13 sU wore aeatawMaeam� se prk�,
(per soil test map)
r I Q) \ -1j header, anted newk J' Was @71'srxu
Pored 15' donntbpcan ¢ adsorption area horn pacbon
�J O �9g \ �. \ damp canseucben
10
-Demand dose that settings per design
�9
f800' — + 'S 00 LOCATION MAP (not to scale)
9600
Nail south \ \ @z
' Sid 16" PIne Q \ \ \ �9� N SITE
01611005-50 000
�v • 4C
A A
96
'PIN PLANTATIONS q O
"Well to be located >50ft 1 11 �/ 900 170TH AVE
from system Components" }IU ,A I BM2 = 100.70
1
n�" R/R spike in north PREPARED FOR:
+ 1 side of 14" Pine John Yoder
1 1 Site Address:
l I TBD MWY 128
I l CL Glenwood City, WI 54013
I I rP
I ur PID: 016-1005.60-000 36.0 Acres
I
t t Legal: NW 1/4 SW //4
t t S03 T30N R15W
l Town of Glenwood
CaAMsd Stotrnrn: TN. Mtaa tm been d"Wed and weduated In owordanoe with State ant Lem oodee. The sa trmbrrd aria n* rernoin prolecbd from dehebanae and/or ooneocebn Wren and after
mrNeii, NO WI%WIfY IS MODE nAT TM SrSTEY WILL CONTVAX M Fuhimm INOuniNtr ly. Syvtwn mist be popwly rrakflM6 Rrvhew your rotem's narogwrsrrt plan for NrorngUan owl proper oan and
Stale' 1" = 90' Date: 11/3/21 .
November 15, 2021
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 2023-11-15
Plan Review: PWTS-102102505-C / REVISION
RYAN BECHEL
779 Spring Creek Road S
Red Wing MN 55066
SITE:
John Yoder — Site 1
Highway 128
St. Croix County
Town of Glenwood
NW'/<- SW - S3—T30N — R15W
FOR:
Description:
4 Bedroom GeoMat Mound — 600 GPD —
New Construction - 12" to limiting factor —
Effluent Filter - Maintenance reouired
DIVISION OF INDUSTRY SERVICES
10541 N RANCH RD
HAYWARD YM 548434MU
Cortaro Through Relay
http:ddlp&wi.GM/PrCP~r4LOVY49rvCft
wwwma cawn.gw
Tony Even - Governor
Dawn Crkn - 8•oretarn
REVISION TO PWTS-102102505-C
CONDMONALLY
APPROVED
DEPT OF SAFETY AND PROFESSIONAL SERVICES
DIVISION OF INDUSTRY SERVICES
SEE CORPESPONDENCE
GeoMat Mound Component Manual — Edition
1, 2017
Pressure Distribution Component Manual — Ver.
2.0, SBD-10706-P (N.01/01, R. 10/12)
The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative
Codes and Wisconsin Statutes. The submittal 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 persor 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:
Remin
• 24" oid shall be installed between the contour and the bottom of the GeoMat product.
• Orifice shields are required on each orifice.
• Maximum volume of a single dose is Y2 gallon per linear foot of GeoMat.
• 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(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
mairtenance 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,
CeCe (Elizabeth) Rudnicki
Wastewater Specialist/POWTS Plan Reviewer, Division of Industry Services
(608)400-3186
elizabeth rudnicki wisconsin Pov
GeoMat MOUND AND PRESSURE DISTRIBUTION COMPONENT DESKiN
Residential Application
INDEX AND TITLE PAGE
ner o
Project Name, John Yoder
Owner's Name: John Yoder
Owner's Address TBD HWY 128
Glenwood City, WI 54013
Op@ O
Property Address: SAME
Legal Description NW SW S 3 T 30 N R 15 W
Township Glenwood County: St Croix
Subdivision Name
Lot Number: Block Number CSM#.
Parcel I.D Number 016-1005-60-000
Plan Transaction No
n ex Pages
Page 1
Index and title
Page 2
Data entry
Page 3
GeoMat mound drawings
Page 4
Lateral and dose tank
Page 5
Distribution media
Page 6
System maintenance specifications
Page 7
Management and contingency plan
Page 8
Pump curve and specifications
Ryan Bechel
Date 11/04/21
Signature. &��— ge04
Designer Stamp.
Page 9 Tank cross sections
Page 10 Site Plan
Page 11 DSPS Soil Evaluation
Page 12 Soil Test
Page 13 Soil Test
Page 14 Soil Test
License Number: D2263-7
Phone Number 651-327-0074
State of Wisconsin Approval Stamp:
Designed Pursuant to the
Synergy Systems L L C . GeoMat Mound Component Manual (Edition 1, 2017), (N. 4/17)
SSWMP Publication 9 6 Design of Pressure Distribution Networks for ST-SAS (01/81) and
Pressure Distribution Component Manual Ver. 2 0 SBD-10706-P (N 01/01, R, 10112)
GeoMat Mound Edition 1, 2017 Page 1 of 14
Designer Ryon Bechel
Certified Sod Tester. SP-111500001
Designer of Engineering Systems: D 2263-7
SCAI I
20'
0' 40'
to west P.L./
HWY 128
(per soil test map)
i
ADVANCED
►1 C D- -Alproperty lines not (�) Benchmark
draA A 1, C -Al Pr are Property
>100fi from '
- system 7`Sod Bonng
Skaw
1200/750
9)
New 4BR Home 1 r
a7
I J •�9
±40' 4"
sch 40 PVC
Railroad Right -of -Way
±20' 2"
sch 40 PVC
11 I -T 10 \ \
±800' \ \ \ 9S 00
BM1 = 100.00 \ �96
Nail in south g? 00
side of 16" PIne \ \
9)
10
2 \ 98
o ` PINE PLANTATION \ 9 00
**Well to be located >50ft ` 1 900
from system components**
BM2 = 100.70
R/R spike in north
side of 14" Pine
I
I 1
1 t
I
i I
I I
I I
I
I I
i I
Certified Stdenwn: 7NB system how been designed OM evaluated In ocoadorwe with State ad Lord ooar. The •oY trea6rwn area must remain protected from AMubvv ad/or pprtppdton W r, ad ens
mwdmxtlon. RD WARRMnY is WADE mW T/wS Mv7W WILL COW14LX TO FLIPCOON *41DEFIarELYmolrvtfi�. `System must be prop" rrdntolron. Reds. yarr syslsn's rrudnogsryrw plat for wwmrwbn m Vepr coe ad
by Sl1U\01 ES
Septic lank:
-Straw 1200/750 gallon 2-compartment tank
Brpg risers 4' above final grade
-Do not route Clear water sources into wpbc tank
Pump I ank:
4Rmp "eds - 269pin @ 121 DH
250 gall
S.nTech STf-100 pessure Fia with alarm
4Lyt fek as necessary mantas al setbacks.
R, -,ik'ulwe ,1-JT Fncbw l oss ad I DH alle instal
2mt canter Dnx. M" n walla meter reconnftrdod
is 4.:
6 5'r60 CeAta kMrd
25 abscri width
1,'A S T IL C33 vnd Wit (12' whn (ook4w c..ia nt)
Cut Rumps Arse b gaud, avod dggrg
41 w cure absapw lea ad rarpw! dppmgs
.."..sgl,en absaplon aea b depth d 6'8'
Arot surface wale away, ken system
D" to resnction = 12' (Redoemorpri c teali
Cedar - 97 00
-Sbpe 11%
Distribution:
-(aaals Io be spat d 12'tom ed ut bed 5 24' b sdes
-Lalral rwal elevation - 9908
12)1 ! silt 40 pvc 4rtaals with dearq,ts use WnAlix
Doces lo, proecmn
.1: header endued network 4' orwpes @ 31'spaag
Fidcd 15w bm absorphon area lean cawpacben
durrg constucbm
Demand dose Poet witngs Per desgn
LOW ION MAP
(not to •cote)
0°
N
SITE
oib ian ;o win
�O
AaV'
Odd
p1r'
PREPARED FOR:
John Yoder
Site Address
TBD HWY 128
Glenwood City, WI 54013
PID: 016-Io05-60-000-- - 36.0 Acres
Legal: NW 1/4 SW 1/4
S03 T30N R15W
Town of Glenwood
Scale: V = 40' Date: 11/3/21
3fte
R Residential or Commercial Design ISD Required?
400-001 Estimated Wastewater Flow (gpd)
1.60 Peaking Factor (e g 1 5 = 150%)
Design Flow (gpd)
11.00 Site Slope (%)
97.00 Installation Contour Line Elevation (ft)
a
Depth to Limiting Factor (in)
In -situ Soil Application Rate (gpd/ftz)
Contour Length Available (ft)
y0vullOn e 8Mill
Cell Width (ft) 3 25 6 5 or 9 75 Only 60.00 Designer Input Cell Length (ft)
Dispersal Cell Design Loading Rate (gpd/ft') 60001 Dispersal Cell Length Required (ft)
Influent Wastewater Quality (1 or 2)
res ure s rma on
Center or End Manifold
Number of Laterals
Lateral Spacing (ft)
Forcemain Drainback (gal)
Forcemain Fitter Loss (ft)
Forcemain Diameter (in)
Forcema-n Length (ft)—
Inside Pump Tank Elevation (ft)
Orifice Diameter (in) (e g 0 25)
Estimated Orifice Spacing (ft) _
System Head (ft) x 1 3
Vertical Lift (ft)
Friction Loss (ft)
Total Dynamic Head (ft)
5x Void Volume (gal)
Minimum Dose Volume (gal)
System Demand (gpm)
ame er et: on
Lateral Diameter Selection
in c,a
options
choice
0 75
1 CC
1 25
5C x
x
2 OC x
3 CJ x
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?i Y
9.75 ft'/orifice
Manifold
Diameter Selection
in dia
I options
choice
125
x
1.50
x
x
2.00
3.00
an n
Treatment Tank Information Effluent Filter Information
12CJ CJ Seoti.: Tank Capacity (gal) NOT APPLICABLE Filter Manufacturer
�Ska% P ecast Manufacturer See Tank Pa a ji Fitter Model Number
Dose Tank Information Gallons/inch Calculator lophonal)
754 35 Dose Tank Capacity (gal) 754 35 Total Tank Capacity (gal)
'5 05 Dose Tank Volume ( allin) 47 00 Total Working Liquid Depth (in)
Skaw Precast Manufacturer 16.05 gaVin (enter result in cell DoseTankVolume)
Proect Jch, coder Page 2 of 14
Mound Plan Vlaw
-T
JJ
— T
A
I
L
mouna component Dimensions
qO.50
toe extension made
A 6 50 ft Ein H 1.00 ft K 10.70 ft
B 60.00 ft Fin I 18.50 ft L 81.40 ft
D 12.00 in Gft J 1 6 11 Ift W 31.11 ft
390.00 (ft2) Dispersal Cell Area 1500 00 (ftz) Basal Area Available
10.00 (gpd/ft) Linear Loading Rate 6 00 (ft) 1/10 B Obs. Pipe Placement
mouna crossec on view
GeoMat Dispersal Area
Observation Pipe
12" ASTM C 33 sand as GeoMat
required for Geo Mat
component 6
100.21 Finish Grade
99.08 Lateral Invert Elevation
98.00 Dispersal Cell
Elevation
Distribution Cell
GeoMat+ 12" ASTM C-33 sand
j, Cover Material
Slope 11.0
ContourElevation 97.00
Tilled Area
Forcemain
In situ sc.,
In s'tu soil
I
Topsoil Cap
2 Q
Subsoil Cap
3 Q
ASTM C 33 sand (F)
4 0
ASTM C 33 sand (0)
5
Tilled Layer
6 0
Geo Mat
See details on page 4 for number, size, and spacing of laterals
Project: Jcl'n Yoder
Page 3 of 14
End Connection Lateral Layout Diagram
1st orifice located at 2
orifices point down
_. _— I x 1—
P
Laterals & force main of PVC Sch 40 per SPS Table 384.30-51
Numbe, of Laterals 2 Onfice Diameter 0 188 in
Lateral Diameter 1 50 in Onfice Spacing (X) 3.10 ft
Lateral Length (P) 5945 ft Onfices per Lateral 20
Lateral End (Z) D 55 it Onfice Density 975 ft`/orifice
Lateral Spacing (S) 325 ft Manifold Length 3 25 it
Lateral Flow Rate 13 11 gpm Manifold Diameter 1 50 in
System Flow Rate 2621 gpm Forcemain Velocity 268 f isec
Dose Tank TrWorrWaVon
1 axAlnf a+.ar atth aamms 1, 1.
9
k+rAmg dv .cc• atld earn light µyl
a
4' Vrmed (oc cr
.M%i( Aa
u.d SPS J IA_'a w
rrt.;,
Ivan awl Rpc
C" ..l lull •.Le
wim 1,MM I Imirv: aou nv )
lucmtn+l apalaf vl
--
ri'll hang dined
rylkvul �prkn
Forcemaln diameler
Inlet dal l II�Y
11J6
^
2 In.
Ik i, stall
K ,- ASI%4 11011'1, ILI
atilt a alar
A. tight ga.Aet
I uMo
5•m / Tech Filter
u,cr rt..
STr ICO 1/16 111.0, a 311 .1 NMI
'—
B '
�'
tO
I Pump On i kw
t
!' C
Pomp OR elevation (R)
PUMP UC" I Coat•
I Pump F=,
90.83
E)
I", A '
Dose tank elevation (RJ
ma - .
-
90 00
Dimension
Inches
Gallons
A
3000
481 45
B
200
3210
C
5 00
8031
D
10.00
16050
Total
4700
75435
Filter Manufacturer I Sim I Tech Filter
Filter Model Number ISTF 100 1/16
Skaw Precast
Capacity754 35
Volume 16 05 gal/inch
Alarm, Manufacturer
I SJF Rhombus
Alarm Mcdel Number
Tan.k.Aien 1
Pump Manufacturer
Zoellel-Comparry
Pump Model Number
198 or BN152
Pump Must Deliver 26 21 gpm at 12 30 ft TDH
Note Swliches containing mercury may not be used in this system
Project John Yoeer Page 4 of 14
Geoi DIWbution Cell Meft Layout
6 50 Cell Width (ft) t 63 Sidewall to Lateral (ft)
Distribution Cell Cross-section Arranqements
Q Q...._
C Distribution Pipe With Pressure Lateral L.J Orifice Shield
. Turnup Enclosu,e - - - - - Pressure Lateral
GeoMat Is covered with approved geotextde fabric as per the their product approval
Distribution Cell Plan View Layout - Typical
6 50 Cel I Width - A (ft) 60 00 Cell Length - B (ft)
End Connection Lateral Layout Diagram
Sand Fill Recommended Distribution Lateral
1, 1 Orifice Shield
Pipe Dia ' Approved Infdt•ative Fabric
--- S
Mat
1-- �' 3-' •' -' •' •' p Component
14 lw.�lwioicnfre�-. . .
- Infiltrative Surface/Plow Layer
i
Vietl TiG rttfttt�
o ei ru+Se f 4 N r �e
\ PeW^
Ian �
1'Nn 3 ensue a: I d 1
]2' ASI11C17 fals�IGeai .
Topsoil Cap
Z 0 Subsoil Cap
3 0 ASTM C 33 sand (F)
4 ASTIR C 33 sand (D)
5 17-=1 Tilled Layer
6 � Gee Mat
See details on page 4 to, number size and spacing of laterals
Protect Joh^ Yocer Page 5 of 14
Mound System Maintenance and Operation SpecMentbns
Service Provider's Name Advanced Septic Installation Phone 715-703-3235
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 Size 1/8 in
Estimated Flow - Average 400 gpd Maximum BODS 30 mg/L
Septic Tank Capacity 1200 gal Maximum TSS 30 mg/L
Soil Absorption Component Size 390 ft Maximum FOG 10 mg/L
Type of Wastewater Domestic Maximum Fecal Coliform 10E4 cfu/100 mL
Septic and Pump Tank
Effluent Filter
Pump and Controls
Alarm
Pressure System
Mound
Other
Service Frequency
I Ins ect andL service once eve 3 ears
Ins ect and clean as necessary at least once every 3 years
Test once every 3 years
Should test periodically
Laterals should be flushed and pressure tested every 3 years
Inspect for ponding and seepage once every 3 years
Miscellaneous Construction and Materials Standards
1 Observation pipes are slotted and materials conform to Table SPS 384 30-1 have a watertight cap and are secured in as
shown in the Synergy Systems GeoMat Nluund 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 gectextile fabric
3 All gravity and pressure piping materials cci-trm to the requirements in SPS 384, Wis. Adm Code
4. Tillage of the basal area , accomplisnec ivi. , a mold ocaro 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" Diamete, Fmshec Threaded Cleanout
Lawn Sprinkler ` Grade \ Plug or Ball Valve
Box
Lateral Ends at Last Orifice Where
1 _1 F. f. ham. ^ ,
Distribution Lateral
Lateral Cleanout
1 6 Feet
Long Sweep 90 or Two
�45 Degree Bends Same
Diameter as Lateral
Project John Yoder Page 6 of 14
Mound System Management Plan
Pursuant to SPS 383.54, Wis. Adm. Code
General
This system shall be operated in accordance with SPS 382-84 Wis Adm Code, and shall maintained in accordance with its' component
manuals [Synergy Systems L L C . Geomat Mound Component Manual version 1, 2017. Pressure Distribution Component Manual Ver, 2 0
SBD-10706-P (N 01/01) and SSWMP Pubhcatlon 9 5 (01/81)j and local or state 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 water tightness and soundness. Access openings
used for seance and assessment shall be sealed watertight upon the completion of service Any opening deemed unsound, defective, or
subject to failure must be replaced Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking
device to prevent accidental or unauthorized entry into a tank or component
Septic Tank
The septic tank shall be maintained by an individual certified to service septic tanks under s 281 48. Stats. The contents of the septic
tank shall be disposed of in accordance with NR 113 Wis Adm Code The operating condition of the septic tank and outlet filter shall be
assessed at least once every 3 years by inspection
The outlet falter shall be cleaned as necessary to ensure proper operation The filter cartridge should not be removed unless provisions
are made t0 retain cnhc'a r thr talk that may cough off the filter when removed from its endusure If the filler is equipped with an alarm, the
filter shall be serviced if the alarm is activated continuously_ Intermittent filter alarms may indicate surge flows or an impending continuous
alarm
The septic tank shall have Its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the
tank If the contents of the tank are not removed at the time Of a triennial assessment, maintenance personnel shall advise the Owner 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 biologics! o, 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 verify 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 funabonal during pump operation. and it 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 eresinr and to provide some protection from frost penetration Traffic (other than for
vegetative mamterarce) cr tee mound is no, recommended since soil compaction may hinder aeration of the infiltrative surface within the
mound and s^ow comfact ror, I❑ the winter will orn—ate frost penetration Cold weather installations (October -February) dictate that the
mound be heaaly r,,onhec n5 orntecllon fror^ r•eez^c
Influent quality wo the mound system may not exceed 220 mg/L BOOS, 150 mgiL TSS, and 30 mg/L FOG for septic tank effluent or 30
mg/L BODS, 30 mg/L TSS, 10 mg/L FOG. and 10' cfu/100 mL for highly treated effluent Influent flow may not exceed maximum design flow
specified in the permit for this installation.
The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be
Flushed of accumulaled 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 If orifice clogging has occurred and If onfice cleaning is required to maintain equal distribution within
the dispersal ^ell
Observatio^ opes w thin the dispersal cell shall be checked for effluent ponding Forcing levels shall be reported to the owner, and any
levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring
Contingency Plan
If the septic tank or any Of its components become defective the lank or component shall be repaired or replaced to keep the system In
proper operating cordltion
If the dosing tank pump pump controls alarm or related wiring becomes defective the defective components) shall be immediately
repaired or replaced wth a component of the same or equal performance
If the mound ccmponent 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.
See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider_
Project Jch,i Yoder Page 7 of 14
W
W W
i W
5C
14 4'
12 4(
0 3!
� 10
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0 8 2!
r
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1,
4
1
PUMP PERFORMANCE CURVE
MODEL 151/152/153
ME
MENEM
19,01MMEMEME
11
hNIME
m
MENNEN
HERMEMEMME
N16
WEN
Emlow
Lim
MENEM
MEE
MEMINEWEEME
MEMMKIMMINEM
MEMMEMEMEM
0
10 20 30 40 50
GALLONS
LITERS D 40 80 120 160 200 240 280 320 360
FLOW PER MINUTE 014508
in
Lu
Lu
LijM w I PUMP PERFORMANCE CURVE
MODEL 98
25
o
a g 20
w
rt _
a
0
10
2
5
0
GALLONS;
LITERS c'
I
10 20 ! 30
u, . 2, rrapo*
80
40 I50 60 70 80
160 o 240
FLOW PER MI UTE
�,1
W10'NING DEATH MAY OCCUR IF TANK IS ENTERED
W DTOUT PROPER EQUIPMENT
NOTE _'e (NNFR'✓✓/111 11IIn70 �)N THE"EXCLUSN(I YATSKAWS"PACE
3 00
Lt
27 00 — — 27 00 -- 27 00
--�-2400- �--2400— I-24---�'
500� I—1600—` 100,
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900 OJT—�
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18 00
PRESS
4INCH PRESS
I
SEAL
SEAL GASKET
L
GASKET
INSTALLEDWHEN
POURED
FILTER
4700
3 00 7 SECTION VIEW OF TANK AND COVER —I 1- 3 00
Model Number: 1200 i 750 SKAW PRE -CAST Phone: (715) 967-2277
Approved for., SEPTIC/SEPTIC,SEPTIC/PUMP,SEPTIC/SIPHON OR HOLDING Toll Free: 1-800-924-8625
Weight Inlet Tm. Outlet Dim. 26255 105th Street, New Auburn
LTq, Depth GaL /In. Nom. Cap. Wisconsin 54757 Fax: (715) 967-2707
16,100 lbs. 52" 50" 1 47" 16.05 1 754.35 gal. www.skawprecast.com
tti-%- 0 r^0p1�!C�1
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ST. CRO LINTY SANITARY SYSTEM Oi
Of f ce ce Use Only
' OWNERSHIP/ADDRESS FORM creored212o21
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. If you would like to view your issued sanitary permit online, you can
do so by using the Property Files Scanned weblink.
OWNER/BUYER- INFORMATION
Owner/Buyer John Yoder C [�� TwLr—
Mailing Address N12742 110th st
City/State/Zip Downing W1
Phone Number r_cw-ec!) 715-672-5379
Email Address fret L. red. advancedsepticinstallation(c�yahoo.com
Parcel Identificat o^ Number �i (�S—
(found on the property tax bill)
NEW SYSTEM: LEGAL DESCRIPTION
Property Locatior NV'/, , S\�'/< , Sec. 3. T 30 N R 15 W, Town of GlenWOod
Subdivision Plat >35 76
Certified Survey Map
Warranty Deed # _ f l(!1D 3
Number of bedrooms 4
Lot #
Volume , Page #
____(before 2006)Volume Page #
Spec house 0 yes ■ no Lot lines identifiable ■ yes 0 no
OFFICE USE ONLY
New Property Address
(Verification of new address require from Comr-unity Development Department for new construction.)
7zlor 1 i , Z3 / "Z{
(Staff Initials) (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 71 S-245-4250 Fax
cddCDsccwi cov 1101 Carmichael Road, Hudson, WI 54016 www.sccweaov
vvmconsrn ueparan
Division of Industry rage or.4
:peWi"
3 2021SOIL EVALUATION REP ' N/
In with SPS 385, Wis. Adm. Code County
Attach to siteST CROIX
cemPle �y1 inches rn size. PWn rtwst include,
but not united to: ver), direction and percent slope, Parcel I.D.
scale a dimensions.cation and distance to nearest road. 06-1005-60-000
Please print all information. Reviewed by Date
Personal information you avvide may be used for seco Priv Law, s. 15. 1 m .
Property Owner Property Location ❑
JOHN YODER Govt. Lot NW % SW % S 3 T 30 N R 15 E (or) W
Property Owners Mailing Address Lot # Block # Subd- Name or CSM#
N12742 110'" ST
City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road
® New Construati0n Use: ® Residential / Number of bedrooms 3 Cade derived design flow rate 450 GPD
❑ Replacement ❑ Public or commercial - Describe:
Parent material weatherd sandstone & loess Flood Plan elevation if applicable n. a. ft.
General comments and recommendations. RECOMMEND A MOUND, HAVING A CENTERLINE LOCATED ON OR NEAR THE 97.0' CONTOUR
17 Boring * ®Boring ✓� l e T�i' rC�j°I/��Y%t SOr ls LK f I IS 1 r l Cerf(C'
pit Ground surface elev. 99.1 it Depth to limiting � in. ✓
Oki sor? ksv- A4q'' so4e,.
sod ration Rate
Horizon
Depth
In
Dominant Color
Munsell
Redox Description
Qu Az. Cont Cola
Texture
Structure
Gr Sz. Sh.
Consistence
Boundary
Roots
GPD/Ftz
,EfF#1
'EfF#2
1
0-9
7.5YR 3/2
-
cl
2fsbk
mfr
gw
2f
0.4
0.6
2
9-20
7.5YR 4/3
—
cl
2fsbk
mfr
gw
lm
0.4
0.6
3
20-36
10YR 4/4
m 1 d 7.5YR 5/8 &
m2d 7.5YR 612
scl
2fabk
mfr
di
1f
0.4
0.6
4
36-51
10YR 414
—
s
Osg
ml
gw
if
0.7
1.6
5
51-60
10YR 5/4
in 7.5YR 5/8 &
m2d 10YR 612
sc
m6
—
—
0.0
0.0
2] Boring # ❑ Boring
® PR Ground surface slew. 2LA ft. Depth to limiting factor a in.
Horizon
Depth
In.
Dominant Cola
Munsell
Redox Description
Qu. Az. Cont C Ion
Texture
Stnx lure
Gr. Sz. Sh.
Consistence
Boundary
Roots
w1 wkwwl raaw
GPD/FP
•ER#1
•Eff112
1
0-9
7.5YR 312
—
cl
2f5bk
mfr
gw
2m
0.4
0.6
2
9-20
7 5YR 413
—
cl
2fsbk
mfr
dw
100
04
06
3
20-38
10YR 4/4
f1d 7.5YR 5/8 &
2d 7.5YR 513
scl
2fabk
mfr
Ow
1f
04
0.6
4
38-57
10YR 5/6
—
s
Osg
ml
gw
1f
0.7
1.6
5
57-63
10YR 5/6
m1p 7.5YR 5/8 &
ggp10YR 66/2g
s
i>s
ml
gw
—
0.7
1.6
6
63-68
10YR 514
m1p 7.5YR 5/8 &
m 10YR 6/2
sc
—
—
0.0
0.0
CST Name (Please Print)
Sgnature
CST Number
CHRIS FREDERICKS
1618
Address
Date Evaluation Co4ucted
Telephone Number
499 4 12 Ave Clayton, WI 54004
4 / 10 / 2021
715.419.0127
StS"3W (Ro4/15)
L3 Boring •
_ l ®Pit �rou su elev. S.. ft_ Depth to limiting factor 19 in.
% 41
Sod Application Rate
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu Az Cont. Color
Texture
Structure
Gr. Sz Sh.
Consistence
Boundary
Roots
GPD/Ft'
'Efti1
'Efti2
1
0-10
7 5YR 3/2
—
sit
2fsbk
mfr
9w
2m
0.6
0.8
2
10-19
7.5YR 413
—
so
2fabk
mfr
9w
1f
0.6
0.8
3
19-39
7 5YR 413
fit 7.5YR 5/6 &
f2i 7.5YR 513
sit
2fabk
mfr
gw
1f
0.6
0.8
4
39-58
10YR 5/6
—
s
D59
ml
—
—
0.7
1.6
❑ Boring * ❑ng El—
PitGround surface elev. ft.
Depth to Iimiting factor — in.
Soil Application Rate
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/Ft'
'EfiIF1
'Etfk2
❑ Boring * ❑ Boring
❑ Pit Ground surface eiev. , ft.
Depth to limiting factor — in.
Soil Aonlirahnn Rate
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture
Structure
Gr Sz. Sh
Consistence
Boundary
Roots
GPD/Ft2
'EffJf1
'Eff/2
Effluent #1 = BOO, > 30 5 220 nl9/L and TSS > 30 5 150 mg/L 0 Effluent i2 = BOD, > 30 25 220 mg/L and TSS > 30 5 150 mg/L
U
3 Boring # t'►••�
U roun��'cer
®•Pit uelev. 94-8 ft. Depth to limiting factor 19 in.
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
wn w.awrww
GPD/Fe
'Eff#1
'Eff#2
1
0-10
7.5YR 3/2
—
sil
2fsbk
m6
gw
2m
0.6
0.8
2
10-19
7.5YR4/3
—
sil
2fabk
n*
gw
I
0.6
0.8
3
19-39
7.5YR 4/3
f1f 7.5YR 516 &
f2f 7.5YR 513
sil
2fabk
mfr
9w
if
0.6
0.8
4
3958
10YR 5/6
—
s
Osg
ml
—
—
0.7
1.6
1-1Boring # ElBoring
❑ Pit Ground surface elev. ft.
Depth to limiting factor in.
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
w.. .wuanrww
GPD/Ftz
`Eff#1
•Eft#2
❑ goring # ❑ Boring
❑ pit Ground surface elev. fl.
Depth to limiting factor in.
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
wn wuwr�aie
GPD/W
-Eflf1
I -Efl#2
Effluent #1 = BOD, > 30 s 220 mg& and TSS > 30 s 150 nxyL • Effluent #2 = BOD, > 30 5 220 ng/L and TSS > 30 5150 rng/L
S
boo
�kll- rr� iouTu <. o•,:
;9
SONr� YOAE��
ojG�rl�a,r�h 7JC��ft;4!�
9?'
RJ}'ILr?JA'J�,- hrGN'r -Jt
ig m 2.
El ev -- ! oo1
WR 5, 'Kwr I v jli-g
S, D r 0-= W 64e
0
i
1qO ry
a®
�xc�f 1NNE�� lJnTED
CeCe Rudnicki
Wastewater Specialist =/I �=
Department of Safety and Professional Services
Division of Industry Services ' /_
608-400-3186 Phone
elizabeth.rudnicki@wisconsin.gov Email
DATE
INSPECTION
COUNTY
October 25, 2021
St. Croix County
REPORT
Town of Glenwood
SITE ADDRESS
PARCEL NUMBER
PROFESSIONAL
1733 Highway 128
016-1005-60-000
Chris Fredericks, Soil Tester
NW-SW-S3-T30N-R15W
OWNER NAME
TYPE OF ONSITE
TRANSACTION NUMBER
John Yoder
Soils verification
INSPECTOR NAME
OTHERS ONSITE
CeCe Rudnicki
Kevin Grabau, Ben Hetzel
COMMENTS
Onsite verification of soils. Submitted soil report indicates A+9-11". Soils in this area are generally A+4" or
less with seasonal saturation being the limiting factor.
Site is red pine plantation on a north facing slope of 11%. Difficult to see soil colors in the plantation even
on a sunny day.
Dug boring with tiling spade. Observed soil in location near B3 on attached site plan.
0"— 8" 7.5yr3/2 sil 2mgr
8"-12" 7.5yr3/4 sil 2fabk
12"— 14" 7.5yr3/4 sil 2fabk with high and low chroma redox
Based on the observations at this location, there is A+4" of suitable soil. The mound designed for this site
is allowed 12" depth to limiting factor.
In addition, based on site conditions of this location, other items to consider:
1) Brush and grass needs to be cut to 6" or lower.
2) Cut brush, grass, limbs and needles need to be removed from the mound area by hand prior to
mound construction.
3) Work only from the upslope side of the mound during construction.
Contact me with any questions.
CeCe Rudnicki, Wastewater Specialist
Cro�1(
COUNTY
NO. 642228
STATE SANITARY PERMIT
OWNER
PLUMBER
TOWN OF
72-<
imp
6VA 5111ROV20 6
LIC.#Z?i632
SEC 3 ,T _N, R_ jr I
AND/OR LOT>& 4CK5 BLOCK
> 3S
PERMIT EXPIRES
SUBDIVISION
ZvkVk
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 may be renewed for a
specified period.
(a) 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.
(1) The sanitary permit is transferable.
History: 1977 c. 168; 1979 c. 34,221; 1981 c. 314
Vote: If you wish to renew the permit, or transfer ownership of
the permit, please contact the county authority.
OFFICER - DATE
SS RENEWED
Z/2/
IN VIEW
T DATE
VISIBLE FROM THE ROAD FRONTING THE LOT DURING CONSTRUCTION
SBD-06499 (R11/20)