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032-1060-50-000
i rin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix y and Building Division Y INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 399511 jENERAL INFORMATION State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)i. Permit Holder's Name: City Village X Township Parcel Tax No: Ja , Jason Somerset Township 032 - 1060 -50 -000 CST BM Elev. Insp. BM Elev: BM Description: 9- 0 �d I T 1- ORD 13 TANK INFORMATION U ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Z9 Benchmark v 1'a �? O opd nl � ,r 7 Dosing Roo Alt. BM O ration � e _ v Bldg. Sewer Holdin S t Inlet / • � p3r S � St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic , , Dt Bottom Dosing /i � � , � � .�-� i Header /Man. Aeration J Dist. Pipe p- 0 C/ `��• Holding Bot. System G- Final Grade PUMP /SIPHON INFORMATION Manufacturer Demand St Cover GPM Model Number Z� ox" DI•r� -` / T /a��� t/ TDH Lift, / �� Friction Lo System He d TDH Ft Forcemain Lenglh� Dia. Dist. to well y SOIL ABSORPTION SYSTEM M BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. W Liquid Depth y DIMENSIONS W-:76- SETBACK SYSTEM TO v P/L JBLDG IWELL LAKE/STREAM LE G Manufact fer: INFORMATION Type Of System: ^� f A MBE OR �v DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake l' ,1 Pipe(s) t,l ' ? ' + / / 1 1 / Length Dia_ Length Dia Spacing — SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil ] Yes [W No Yes [] No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: /1 / (2� Inspection #2: Location: 674 207th Avenue Somerset, WI 54025 (SW 1/4 NE 1/4 23 T31N Whitetail Trails L Parcel No: 23.31.19.305 1.) AIt BM Description =�7o nT tell `�765�r u��r,, P'�e 6 1 w 6 �pol 1 w Z" 2.) Bldg sewer length = - � { C 41'h e y /o e V - P I Gvh—, CY - amount of cover= 7 3' YJ 5 5 �reh Plan revision Required? [] Yes No Use other side for additional information. / Date / Insepctor's Sign re // / Cart. No. SBD 6710 (R.3/97) /W-T- 3 &*.- W Y � �' / 7 / 10 (11 - Safety and Buildings Division may 201 W. Washington Ave., P.O. Box 7162 N visConsin Madison, WI 53707 - 7162 Site Addr r1 Department of Commerce 67e- v 7 — lT v Sanitary Permit Application Sanitary Permit Number In accord with Comm 83.21, Wis. Adm. Code, personal information you provide ` ( Q may be used for secondary purposes Privacy Law, s15. 1 m Check if Revision I. Application Information - Please Print All Information State Plan I.D. Number Property Owner's Name Parcel Number Z-3. T C) :3 � — ICCC Property Owner's Mailing Address Property Location HT lam: t. �1:� �l, 144; S T -3/ N, R E City, Stan Zip Code Phone Number Lot Number Block Number Subdivision Name CS Number 6 7 II. Type of Building (check all that apply) Elcity t34 or 2 Family Dwelling - Number of Bedrooms []Village ❑ Public/Commercial - Describe Use ownship ! ❑ State owned Nearest Road III. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable) A. 1 )<New 2 ❑ Replacement System 3 11 Replacement of 6 ❑ Addition to For County use stem Tank Only Existing stem B. ❑ Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Check all that apply)(numbering scheme is for internal use) 44 )kNon - Pressurized In- Ground 2111 Mound 47 ❑ Sand Filter 50 ❑ Constructed Wetland 22 ❑ Pressurized In- Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line 45 ❑ At-Grade 46 ❑ Aerobic Treatment Unit 49 0 i=ctrlating Other V. DispersalfUreatruent Area Information: 12 Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required Proposed Rate(Gals./Days/Sq.Ft.) (Min./Inch) T /:- C / 7, /3 / Elevation VI. Tank Info Capacity in Total Number _ Manufacturer Prefab Site , Steel Fiber Plastic Gallons Gallons of Tanks Concrete Consttuc d Glass New Existing a Tanks Tanks G Septic or Holding Tank Id S O ` Dosing Chamber VII. Ili Statement - the � Responsibility I, u ndersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) P S' lure RS Number Business Phone Number �r Plumber's Address (Street, City, S te, Zip e) �- 11017 VIII. Coun me artment Use Onl Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) KApproved ❑ Disapproved Surcharge Fee) ❑ Owner Given Initial Adverse Determination � V ,,e�qq . 0 ( L o IX. Conditions of ApprovalMeasons for Disapproval 1. System shall be installed <34 inches below uniform contour line to ensure adequate separation distance from a limiting factor. 2. Major portion of chamber louver shall be installed in soils with a soil application rate of .7. 3. The septic system is sized for a 3 bdrm residence. A violation of the state administrative codes would be created if any modifications are made to the structure that increase the # of bdrms /design wastewater flow. The septic tank is oversized, because the original mound plans were p not dens than sin. 11 inch n In adze 4. This revision was submitted to reflect a change in system location - they were able to find a conventional site because the lot line changed. SBD -6398 (R. 05101) `3 A Pt f b v C) C- N� 6 r p3 {7 fo r`�S We p/ �S -- S ✓ I �NkoS "re bow �� ��-� = 9y•$" � 13 x �� as N� _aB � -a i " l� PAr,F GF PUMP CHAMBER CRO55 SECTIOIJ AMD SPECIFICATIOkJS VENT CAP 4 "C,I. VENT PIPE _fT_T WEATHERPROOF APPROVED LOCKI(\1G 1- 25' FROM DOOR, JUAICTIOAI BOX MAIJHOLE COVER WIMDOW OR FRESH 12 "MIU. AIR IAITAKE I GRADE I Y" MIIJ. I COIJDUIT -- M I - - - - -- 11� IMLET PROVIDE I - - - -- _T AIRTIGHT SEAL I / * A I III I II ALARM D I �I. I *APPROVED I rl> O m JOINTS WITH ELEV. FT. APPROVED PIPE I 3' ONTO PUMP —� ` J OFF D SOLID SOIL CONCRETE BLOCK : g EXIT PERMITTED OIJLy IF TAWK MANUFACTURER HAS SUCH APPROVAL SEPTIC E SPECIFICATIOUS DOSE ` TAWKS MAN UFACTURER: IJUMBER OF DOSES: ' PER DAy TAWK SIZE: GALLOLIS DOSE VOLUME ALARM MAMUFACTUR L A - - IMCLUDIMG BACKFLOW�:: � GALLONS MODEL IJUMDER: ,L / � 4 l� CAPACITIES: A= LL4MCHESOR � SWITCH TSPE: B= = IIJCHES OR 3 2 0' GALLOUS I PUMP MAM UFACTUR E R: h ��1 � C = ��.. IAILHES OR GALLOWS I MODEL NUMBER: - 1 G S D = INCHES OR GALLOWS j SWITCH TYPE: MOTE: PUMP AND ALARM ARE TO DE MIMIMUM DISCHARGE RAT GPM INSTALLED OM SEPARATE CIRCUITS VERTICAL DIFFERENCE CE BETWEEN PUMP OFF AND DISTRIBUTION PIPE.. FEET + MIIJIMUM NETWORK SUPPLY �y Ylo PRESSURTT , E��. , , , , , . , , ,a,b FEET + 10 FEET OF FORCE MAIN Y, ortFRICTION FACTOR... Z' � — u FEET TOTAL Dti JAMIC. HEAD = _A a EE INTERNAL DIMEWSIO S OF AIJK: LENGTH ;WIDTH ;LIQUID DEPTH SIGNED: ` LICENSE HUMBER: ^7,36) 5 DATE: Goulds Submersible Effluent Pum 3871 EPO4 EP05 APPLICATIONS • Fasteners: 300 series • Fully submerged in high ■Motor Housing: Cast iron Specifically designed for the stainless steel. grade turbine oil for for efficient heat transfer, following uses: • Capable of running lubrication and efficient strength, and durability. • Effluent systems dry without damage to heat transfer. ■ Motor Cover: Thermoplas- • Homes components. tic cover with integral handle Motor: Available for automatic and • Farms manual operation. Automatic and float switch attachment • Heavy duty sump EPO4 Single phase: 0.4 HP, models include Mechanical points. • Water transfer 115 or 230 V, 60 Hz, 1550 Power Cable: Severe duty RPM, built in overload with Float Switch assembled and y • Dewatering automatic reset. preset at the factory. rated oil and water resistant. SPECIFICATIONS • EP05 Single phase: 0.5 HP, ■ Bearings: Upper and lower 115 V. 60 Hz, 1550 RPM, FEATURES heavy duty ball bearing Pump: EPO4 built in overload with construction. ■ EPO4 Impeller: Thermo- • Solids handling capability: automatic reset. plastic Semi -open design /a" maximum. • Power cord: 10 foot AGENCY LISTING "- •Capacities: up to 55 GPM. standard length, 16/3 SJTO with pump out vanes for mechanical seal protection. SP Canadian standards Au0ciation • Total heads: up to 24 feet. with three prong grounding • Discharge size: 1 NPT. plug. Optional 20 foot •EPOS Impeller: Thermo- (CSA listed model numbers • Mechanical seal: carbon- length, 16/3 SJTW with plastic enclosed design for rotary/ceramic - stationary, three prong grounding plug improved performance. end in "F" or "AC" ) BUNA•N elastomers. (standard on EP05). ■ Casing and Base: Rugged • Temperature: thermoplastic design provides 104 °F (40 °C) continuous superior strength and 140 °F (60 °C) intermittent. corrosion resistance. • Fasteners: 300 series METERS FEET stainless steel. 10 • Capable of running + dry without damage to s 30^ - ��5GPM components. Pump: EP05 8 —2s Ft • Solids handling capability: 0 25 1 /4 " maximum. a W • Capacities: up to 60 GPM. X s 20 • Total heads: up to 31 feet. • Discharge size- 1 %2" NPT. z s • Mechanical seal: carbon- 0 15 rotary /ceramic-stationary, a 4 O EP�O5 BUNA•N elastomers. o • Temperature: 3 10 104 °F (400Crcontinuous EPO4 140 °F (60 °C) intermittent. 2 5 1 0 00 10 20 30 40 50 GPM 0 2 4 6 8 10 12 ml/h CAPACITY i — 7 1995 Goultls Pumps P G�� < � � Elfecliva May. 1995 8387 v C .,�.1 Wisconsin Department of commerce SOIL EVALUATION REPORT Page 1 _ of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must St O1X include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. R we y Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location Forest Oaks Condos Inc. Govt. Lot SW 1/4 NE 1/4 S 23 T 31 N R 19 YE (or) W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 11160 190th. Ave. N.W. 10 na Whitetail Trails City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road Elk River MN 1 55330 (612) 441 -8888 Somerset v ❑i; New Construction Use: ® Residential / Number of bedrooms 3 Code derived design flow rate \ GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Pitted glacial drift _ Flood Plain elevation if applicable ft. 1 � General comments -A recommendations: and co � A` (Y 4 7�1�� trencehs @ el. 97.13', area of B -3 system el. 96.35' STCAOtx Cot�tttry Boring # n Boring F i g Ek pit Ground surface elev. 99' $0 ft. Depth to limiting factor 70 in. Soil (cation Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roos GPD /ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -5 10 4/3 none sl 2mgr mvfr gW 2f .5 .0 ./ 3 2 5 -70 10yr4/6 none is Osg mvfr na 7 ✓ 1-2 ✓ a Boring # ❑ Boring 99.80 70 2 ® Pi( Ground surface elev. ft. Depth to limiting factor in. Soil I lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 < 0 -22 10yr4/3 none is Osq mvfr qW if 2 < 22 -32 10yr3/3 none sl 2mqr mvfr '/ 3 32 -70 10yr4/6 none ms 0sq f • Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L #2 = BO < 30 mg/L and TSS 5 30 mg/L CST Name (Please Print) Signature . CST Number Gary L. Steel X 02298 Address ate Eval ation nducted Telephone Number 1554 200th. Ave., New Richmond, WI. 54017 11 -7 -2 715- 246 -6200 r v Property Owner F orest Oa Co ndos, Inc parcel ID # pending Page 2 of 3 F Boring # 0 Boring 3] 2 pit Ground surface elev. 98.60 ft Depth to limiting factor 63 in. — Soi�lApplicatiori Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIN in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff #1 I 'Eff#2 1 0 -3 10yr3/3 none sl 2mgr mvfr gw if .5 Y .9 2 3 -63 10yr4/6 none ms Osq mvfr qw na .7 1.2 3 63 -85 10 3 3 non M na na na .2 .3 ✓ Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDtff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 'Eff#2 F-1 Boring # F] Boring 11 pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2 Effluent #1 = BOD > 30:5 220 mg/L and TSS >30 < 150 mg/L ` Effluent #2 = B0D < 30 mg/L and TSS 5 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an altemate format, please contact the department at 608 - 266 -3151 or TTY 608 -264 -8777. SBD -8330 (8.6/00) STEEL'S SOIL SERVICE 1554 200th Ave. Gary L. Steel New Richmond, WI 54017 CSTM2298 (715) 246 -6200 MPRSW -3254 Forst Oaks Condos, Inc. Sw NEi4 S23 -T31 N -R19W town of Somerset lot #10- Whitetail Trails N 1 " =40' BM.= top of 1 t' pvc pipe @ el. 100.00' li alt. BM.= top of 1" pvc pipe @ el. 99.80' ef v �o e I Gary L. Steel 11 -7 -2001 34 t 0;z0 . .............................. -- ------ -- - ................. .................... .. ----------- ------ - ------------------------- ............ SEPTIC TA.I�K;NA.AII\TTE AGF1-,EN1-FNT AND MVNER. ('ERTIFICA'! P4 F0 44 .-Y . ....... _74 Prop. ty Ad,14. — 7 (Verifica:ion requirrd funn Planning Department for new construction). Pa rcol Identification Nunibe.r 03a 60-,50 LEC, a D F UPTKYN 4 T Prop' - LV Lo-La! 1 1 " fj /U'/5 'V4, SC-C, -; N-.R._2,.9 \V,ToWtl0f.-,5 sur -xE -Z, J_. 4t. _Z Q .. j ��— -fz . ....... Certi. led Sur .1 M-ap -H Volurmv P ag rr W-,--u tats Ve i,,I -ff r g tula e. Spec louse fA)t tines ide-utffiable;K yes Q 11.) lmprc!x- r jie and maintenance of your septic system could result in its premature laiture to handle wastes. Proper maintenance consiv of p=ip i:r , out the septic tanl; every three ye.= or sooner, if nee, ded by a licensed pumper. What you pm: into Ow, system can all- the Tilt r.;l tan of the loptic tank as a treatment stage in the waste disposal system, The pm ty owner agrees to submit to SL Croix Zoning Department a certification form, signed by the. ov%=r.;,tvd by a master Liccusetipumper verifying that (1) the on-sitewastewaterdi#POS 41- SYMM, is in F: Per op-n.tu: ig condition and/or (2) after inspection and pumping (if necessary) the septic tank is less than 113 full ofjAudge. Itwe. -:. ic undersi n have reac; the above requirements and ag.ee to maintain the private sewage disposal system With tbr,-� ;t9ji4ards set foua heiebt. ,:et by the Department of Cow=rce a-ad the Department of Natural Resources; State of 'Wisconsin. Cer�Acatiori sutimtrzthat yorr tsl aic system 1:.as been maintained. ust be completed and rehmned to the St. Croix County Zoning: l Off ce--kqAin 30 (ha o rhr. e,2- -c it empiratin.." datc- -4 "T °t � Pk'l l� DIATE ICE I I (wc):c-!,oify that all aztements on this form g•e true to the best of my. (our) knowledge. I (we) am (are) die own-orW of the or-ierty dcs(!i-v k:3d above, E y virtue of a warranty deed recorded in Register of Deeds Office z SIGN' 11- T: TATE Any ii-& that i.�; rnis�represented may result in the sanitary peimit being revoked bv Zoning lui, ude with , 4101 appileati. a stamped warranty deed from the Register of Deeds oiEcc a copy of the certified swvev rimp if reference is made W the warranty decd POWTS OWNER ,NFORNATION SYSTEM SPECIFICATIONS . • Septic Tank Capacity �� al ❑ NA Owner Owns S/ Septic Tank Manufacturer ❑ NA Permit # 3 "1 Effluent Filter Manufacturer ❑ NA DESIGN PARAMETERS ❑ NA Number of Bedrooms � C3 NA. Effluent Filter Model /� _ Number of Commercial Units ❑ NA Pump Tank Capacity CJ gal ❑ NA Estimated flow (average) \�� G gal /day Pump Tank Manufacturer L ❑ NA Design flow (peak), (Estimated X 1.5) gaVday Pump Manufacturer ❑ NA Soil Application Rate gaVday /ft' Pump Model ❑ NA * Pretreatment knit ❑ NA Monthly average Inftuent/Effluent Quality ❑ Sand /Gravel Filter ❑ Peat Filter Fats, Oil a Grease (FOG) 5530 mg/L ❑ Mechanical Aeration ❑ Wetland Biochemical Oxygen Demand (BODs) 5_220 mg /L ❑ Disinfection ❑ Other: Total Suspended Solids ( TSS) 5150 mg /L Manufacturer Pretreated Effluent Quality ' ❑ NA Monthly average* * Dispersal Cell(s) Biochemical Oxygen Demand (BODs) 5_30 mg/L ❑ In- ground (gravity) ❑ In- ground (pressurized) Total Suspended Solids (TSS) _530 mg/L [3 At-grade ❑ Mound Fecal Coliform (geometric mean) 5_10 cfu /100ml ❑ Drip -line ❑ Other: Maximum Effluent Particle Size A inch diameter * Values typical for domestic (non - commercial) wastewater and septic tank effluent. * * Values typical for pretreated wastewater. MAINTENANCE SCHEDULE Service Event Service Frequency 3 yrs Inspect condition of tank(s) At least once every L 2 ❑ months Wyear(s) (Maximum Pump out contents of tank(s) When combined sludge and scum equals one -third (Ys) of tank volume Inspect dispersal cell(s) At least once every ❑ months ❑ year(s) (Maximum 3 yrs.) Clean effluent filter At least once every ❑ months A year(s) Inspect pump, pump controls ex.alarm At least once every ❑ months J6 year(s) ❑ NA Flush laterals and pressure test At least once every ❑ months ❑ year(s) ❑ NA Other: At least once every ❑ months ❑ year(s) ❑ NA Other: At least once every ❑ months ❑ year(s) ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be m by an individual S M aintainer; Septage Servicing l Operator. Tank inspectio Plumber; Master Plumber Restricted Sewer; PO Inspector; entify any cracks or leaks, measure t must include a visual inspection of the tank(s) to identify an missing o of t o the ground s broken hardware, I urface. The dispersal volume of combined sludge and scum and to check f any cell(s) shall be visually inspected to check the effluent levels In the observation p e faili gtcoondition f and pondi of effluent immediate the ground surface. The ponding of effluent on the gr ound surface may Indica a notification of the local regulatory authority. tank euas one the entire When the combined accumulation of slud and sc Servicing Operatorland ) e vo disposed ed of in accordance with h NR 113, Wiscon contents of the tank shall be removed a Y P Administrative Code. other The servicing of effluent filters, mechanical or pressurized POWTS components, pretreatement components, and any maintenance or monitoring at Intervals of 12 months or less shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. START UP AND OPERATION t tank(s) For new construction, prior to use of the POWTS check trea eacell(s)f o If high concentrations a o th er re detected have the con e that may impede the treatment process and/or damage the d p nr rl,o ranir(s) ramovPd by a sentaste 5ervicing operator prior to use. Page System start up shall not occur when soil conditions are frozen at On Infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be e bad up u th discharged to the dispersal cells) In one large dose, overloading the celt(s) and may result In N or surface discharge of tMuent. To avoid to the effluent or contact Plumber or POWTS MiIntalner o assist in pe adng the pump cone ring ob to P restore ncrmal levels within the pump lank. Do not drive or park vehicles over tanks and dispersal ceQs. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade sot( absomdon area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers disinfectants; (at; foundation drain isump pump) water; hit and vegetable peelings; guollne, grease; herbicides; meat scraps; medications; oil; Painting eroducu: aesticides. sanitary naokins: tampons; and water softener brine. ARANDONEMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to Insure that the system is properly and safely abandoned in compliance with ch. Comm 83.33, Wisconsin Administrative Codes • All piping to links and pits shall be disconnected and the abandoned pipe openings sealed. The contenu of all tanks and pits shall be removed and property disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, grave( or another Inert solid material. CONTINGENCY PLAN If the POWTS falls and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: 0 A suitable replacement area has been evaluated and may be utilized for the location of a replacement $oli absorption system. The replacement area should be protected from disturbance and compaction and should not be Infringed upon by requlred setbacks from existing and proposed strucwre, lot tines and wells. Failure to protect the replacement area will result In the need for a new soil and site evaluation to establish a sultaNe replacement area. Replacement systems must comply with the rules In effect at that time. 17 A suitable replacement area Is not available due to setback and /or soil llmltatlons. Barring advances in POWTS technology a holding tank may be Installed as a last resort to replace the failed POWTS- 0 The site has not been evaluated to Identify a Sultab(e replacement area. Upon (allure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area h available a holding tank may be Insulted as a last resort to replace the failed POWTS. O Mound and at-grade soil absorption systems may be reconstructed In place following removal of the biomat at the 1nfllva0ve surface. Rrconstrualotu of such systems musL.comply with the toles in effect at that time. wAR < < NING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE Of A PERSON FROM TILE INTERIOR OF A TANK MAY RE DIFFICULT OR IMP MUR1 F. ADDITIONAL COMMENTS POWTS INSTAL POWTS MAINTAINER Name Na me Phone - c Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL RirGULATORY AUTHORITY Name Apncy Phone n# 7T - V,J;- 1 E 53 655 929 STATE BAR OF WISCONSIN FORM 2 -1999 . (HL'--EN H. WALSH Document Number WARRANTY DEED OF DEEDS �--.Jlx CO., W1 This Deed, made between Forest Oaks Condos, Inc. R'ECEIVED FOR RECORD jy-04-2001 4;30 PM WARRANTY DEED UPT III Grantor, and Jason R. Jay and Rachel S. Jay, CRT COPY FEE: husband and wi e, - Oo T RANSFER FEE: 106.00 ' ", FE 10.00 Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): , Recording Area Lo I tIO hitetail Frails in the Town of Somerset, St. Croix County, Name and Return Address Lot 21:.Onsi7n. Pt 032-1060-50 & 032-1060-60 Parcel Identification Number (?IN) This is not homestead property. QE) (is not) Exceptions to warranties: Easements, restrictions and rights-of-way of record, if any. Dated this day of August 2001 =05, Inc. Gerald J. Smith, iderit AUTHENTICATION ACKNOWLEDGMENT Signature(s) Forest Oaks C _ ondos, Inc., by Gerald J. Smith, STATE OF WISCONSIN President, ) ss. County day �),, Aui; August authenticated this d- Personally came before me this -__ day of the above named Kristilra land TITLE MEMBER STA BAR OF WISCONSIN — -------- (if not, to me known to be the person(s) who executed the foregoing . ..... .. instrument and acknowledged the same. authorized by § 706.06, Wis. Stats.) THIS INSTRUMEN WAS DRAFTED BY Attorney Kristina Ogland Notary Public, State of Wisconsin ffwdion,W1 - My Commission is permanent. (if not, state expiration date. (Signatures may be authenticated or acknowledged. Both are not necessary.) -- - ---- - - -') I Names of persons signing Inf—M.- Prof..—I, Compan Fon d. t., M , in any capacit must be typed or printed below their signature. 600655-2021 WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 2 - 1999 of the Northeast Quarter and part of the Southeast Quarter of the Northeast Qu Range 19- West, Town of Somerset, St. Croix County, Wisconsin. NOTE: WHEN FUTURE DEVELOPERS USE, OR ARE REQUIRED TO USE THE PORTION OF PLATTED TOWN ROAD BETWEEN LOTS 10 AND 11, SAID DEVELOPER SHAL BE RESPONSIBLE FOR CONSTRUCTING THE ROADWAY IN ACCORDANCE WITH CURRENT COUNTY STANDARDS. NEITHER THE TOWNSHIP NOR THE OWNERS OF LOTS 10 OR 11 WILL BE HELD LIABLE FOR ANY COSTS INCURRED IN CC SAID ROAD. THIS NOTE IS PER SOMERSET TOWNSHIP REQUEST. - - - - -- N88'45'04 "E 2132.06'----- - UNPLATTED LAND f'I� 66.00' ,3 .46' �� v 334.05' H 14z.51 334.05' • ��� I I`� �sy4 �n ------ 1029.91' -- I I H.W.L. 66 s w W. . -487.7 I . I 133 I 1 i 33' e LOT 1 0, LOT 9 SQ. FT. 131050 W S O. I FT g ?ES I N 'Q � I Z 131 , 050 SQ. 3.01 A CRES N 3.01 ACRES E. =491.7 i w w► r �_. I N rn 1 I S_ N '� MINIMUM F.F.E. =49 1 -C44 1 278:71' L 1 O iV I I I J (V , N = I .F MIN IMUM F .E 491 7 .... ; ..... ..................i............ ............................... I I 20' Drainage Easement " 12' UTILITY EASEMENT S88 45 03 W -- - - - - -� , I - -- 285.45' - - -- -- -- - - - - -- 334.05'----------- ----------------------- 334.04' S88'45'03 "W 776.58' 207TH AVENUE - -- � - - - -- S88'45'03 "W 1128.48' - - - -- TO BE DEDICATEE ` 9729 _._.. 224.55 -- 69.32' ------- - -� - -- ------- �- ' - -- 298.31' - -- - t-1 - 297.99'- - - - - -- - - - - -- 1 �oa4•E. H. W.L:/ 12' UTILITY �ASEMENT '? :� ° - - _ _ _ \ H.W.E. =488.0 .................... ......... ........................ .... ....... \I ... ............................... M; LOT 2 1` ?�� a3 . z i \ !0 o = I LOT 2 0 c 132, 339 SO. FT • ' • •' h �� to --t '" 3.04 A CRES a o o I 133, 809 SQ. FT 0. MINIMUM F.F.E. =492.0 �;n^ z 3.07 ACRES �W�ryh � = W . 5j771.06�2 \Z 3: MINIMUM F.F.E. -492.0 � �ry�' go N' \� U �tH.W.L.� A L °: w o �' 0 /,�• J I ,4 (�X Ae a // ? as T 7 z T 7 7P7 Sanitary Permit Application Safety & Buildings Division ' In accord with Comm 83.21, Wis. Adm. Code 201 W. Washington Ave. See reverse side for instructions for completing this application PO Box 7302 W isconsin Personal information you provide may be used for secondary purposes Madison, WI 53707 -7302 Department of Commerce [Privacy Law, s. 15.04(1)(m)] (Submit completed form to county if not state owned.) Attach complete plans (to the county copy only) for the system, on paper not less than 8 -1/2 x 11 inches in size. Coun State Sanitary Permit Number ❑ Check if revision to previous application State Plan I. D. Number k 5_0 } I. Application Information - Please Print all Information Location: Property Owner Name Property Location V a_4 C3 T 5" /4 /U64, S T 3 IN, I) (or W Property Owner's Mailing Address Lot Number Block Number �s 6 � /o City, State ip Code Phone Number Subdivision Name or CSM Number P..& yam - T II. Type of Building: (check one) J ❑ City 1 or 2 Family Dwelling - No. of Bedrooms: r r 1 C) Village Public /Commercial (describe use):_ ` down of ❑ State- wned n d 1 u Nearest Road / (0 u u^ O, CO III. Type of Permit: (Check only on6 box on line A. lie -.box on m applioble) �j , 3 ( o A) 1. New 2. ❑ Replacement 3. ❑ Rep 3rc�ftt _..4_ ,,. `_`,` i' 5. 6. ❑ Addition to System System Tank Only -- ' ! ' i _ Existing System $) Permit Nuin � Date Issued ❑ A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply)-4. ❑ Non - pressurized In- ground 0Mound ❑ Sand Filter ❑ Constructed Wetland ❑ Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line ❑ At -grade ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other: V. Dispersal/Treatment Area Information: 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Required Proposed Rate (GalsJday /sq. ft.) (Min. /inch) r Elevation 60 /// - lol-sa VII. Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks . Con- Con- glass New Existing crete structed Tanks Tanks � X30 "� �,�? � � j�(� -� � ❑ ❑ ❑ ❑ Boo ❑ ❑ ❑ ❑ / VIII. Responsibility Statement I, the undersigned, assume responsibility for inst4llation of the POWTS show n the attached plans. Plumber's Name (print) 1`1u is Si ature (n MP PRS No. Business Phone Number G Rd o ,- ? Plumber's Address (Street, City, State, Zip Code IX. County/Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps) Approved ❑ Owner Given Initial Adverse Surcharge Fee) a p - A 3 ( II I Determination 2 f • - �c4 t o( X. Conditions of Approval /Reasons for Disapproval: tcGe�n w�4.�a,�Q etit,S . SBD -6398 (R. 07/00) Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but St. Croix not limited to vertical and horizontal reference point (BM and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distan n aIr s r 0> pending APPLICANT INFORMATION - PLEASE P N'�t`L INORMR E EWED BY DALQ/29'o °/ PROPERTY OWNER: i ti, t PERTY LOCATION Forest Oaks Condos, Inc. . LOT SW 1/4 NE 1/4 23 T 31 AR 19 :R (or) W PROPERTY OWNERS MAILING ADDRESS i U t 3 # BLOCK# SUBD. NAME OR CSM # t -. 11160 190th. Ave. N.W. ! STC4OX na Whitetail Trails CITY, STATE ZIP CODE , , -IF HONE NUI ITY ❑VILLAGE MOWN NEAREST ROAD Elk River, MN. 55330 '? Somerset 207f Ave, [� New Construction Use [ Residential/ Nu ref r rb�rr�s 4 [ ] Addition to existing building (] Replacement [ ] Public or commercial descn Code derived daily flow 600 gpd Recommended design loading rate .5 bed, gpd /ft .6 trench, gpd /ft Absorption area required 500 bed, ft 500 trench, ft Maximum design loading rate .5 bed, gpd /ft _ trench, gpd /ft Recommended infiltration surface elevation(s) 102.00 ft (as referred to site plan benchmark) Additional design/ site considerations system el based on contour line of el. 101.00 Parent material Flood plain elevation, if applicable ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem El ® U EIS ❑ U EIS ®U ❑ S C U ❑ S [2U E] S 12 U SOIL DESCRIPTION REPORT 'zbm —� Depth Dominant Color Mottles Texture Structure Consistence Roots GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. I Bed ITrench 1 '< 1 0 -17 10yr4/3 none sl 2msbk mfr gw if .5 .6 .S^ 2 17 -51 7.5yr4/6 none ms Osg mvfr gw if .7 .8 Ground 3 51 -70 5yr4/4 c2d 7.5yr5/6 scl M na na na np .2 elev. 10 ft. Depth to limiting factor 51" Remarks: Boring # 1 0 -12 10yr4 /3 none sl 2msbk mfr gw if 1 .5 `:.6 2 2 12 -43 7.5yr4/6 none ms Osg mvfr gw if 1 .7 .8 3 43 -65 5yr4/4 c2d 7.5yr5/6 scl M na na na np .2 .-- Ground elev. 10 .7 ft. Depth to limiting factor 43" Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 Address: 1554 200th. Age. New Richmond 54017 I Signature: Date: 6 -13 -2000 CST Number: m02298 - PROPERTYOWNER Forest Oaks Concos, IngOIL DESCRIPTION REPORT Page 2 of 3 PARCEL I.D. # pending Depth Dominant Color Mottles Texture Structure Consistence Roots GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench •ii4:vv }ii:•ii::•:v: <' 1 0 -10 10yr4 /3 none sl 2msbk mfr gw if .5 .6 .5 -- 3 2 10 -27 10yr4 /4 none sl 2msbk mfr gw if .5 .6 Ground 3 27 -33 7.5yr4/4 none sicl 2csbk mfr gw if .4 .5 , elev. 4 33 -55 7.5 r4/4 c2d 7.5r 5/6 scl M na na na n .2 98 ft. Y Y p Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # .................. Ground elev. ft. Depth to limiting factor Remarks: Boring # ................. Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) I s ` STEEL'S SOIL SERVICE Gary L. Steel Forest oaks Condos, Inc. 1554 200th Ave. CSTM2298 SW-'a NE - 1 4 S23- T31N - R19W New Richmond, WI 54017 MPRSW -3254 town of Somerset (715) 246 -6200 lot #10- whitetail Trails /N - =40' ABM.= top of 1 pvc pipe C el. 100.00 - 'Alt. BM.= top of 1 pvc pipe @ el. 96.50 2 � G � 4 ,o 0 3 -` Gary L. Steel 6 -13 -2000 Safety and Buildings 10541N RANCH ROAD HAYWARD WI 54843 TDD #: (608) 264 -8777 Nvisconsin www. w ww.commerce.statemims/sb wisconin.gov Department of Commerce Scott McCallum, Governor Philip Edw. Albert, Acting Secretary October 12, 2001 CUST ID No.220357 ATTN. POWTS Inspector ZONING OFFICE BRADY J UTGARD ST CROIX COUNTY SPIA 110 KELLER AVE N APT 112 1101 CARMICHAEL RD AMERY WI 54001 -1034 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/12/2003 Identification Numbers ' Transaction ID No. 675507 SITE: Site ID No. 636095 JASON JAW Please refer to both identification numbers, o7 7 -1-%Ti AVE L above, in all correspondence with the agency. TOWN OF SOMERSET ST CROIX COUNTY SW1 /4, NE1 /4, S23, T31N, R19W FOR: NEW MOUND, 600 GPD OBJECT TYPE: POWT SYSTEM REGULATED OBJECT ID NO.: 812040 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Conditions: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD- 10691 -P ( N.01 101) and SSWMP Publication 9.6, "Design Of Pressurized Distribution Networks For Septic Tank- Soil Absorption Systems." i 3A • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In additio - -- - the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of `_L ' F the mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated count official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. g Y P • The maintenance plan for this system must be given to the owner of the POWTS. i Site Specific Conditions: • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per COMM 83.44(6)(a)2. • Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual. BRADY J UI'GARD Page 2 10/12/01 • Surface water drainage shall be diverted away from the system area. • Materials shall conform to the requirements of COMM 84. • The revised soil test on which this approval is based shall be recorded with the original soil test. • The actual gallons per inch for the specified pump tank is 20.6 and the liquid level is 38" per product approval. The proposed pump settings provide a dose volume that is greater than 5 times the void volume and less than 20% of the design wastewater flow plus drain back. The reserve capacity ( "A" dimension) may not be less than 400 gallons. • The proposed pump is near its limit with the proposed total dynamic head. If upon installation, the total dynamic head increases, the proposed pump must be reevaluated and may be inadequate. • The designer proposes to install a state approve outlet filter to achieve the requirement of wastewater particle size. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the septic tank outlet filter will be required. The outlet filter shall be installed per product approval stipulations. • Maintain well and waterline set backs per COMM 83.43(8)(1). • Provide frost protection per COMM 83.43(8)(c). A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this corr on nce may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 PATRICIA L SHANDORF POWTS PLAN REVIEWER, EGRATED SERVICES WiSMART'code: 7633 (715) 634 -7810, FAX: (715) 634-5150, M -F 7:45 AM - 4:30 PM PSHANDORF @COMMERCE. STATE. W I. US cc: JASON JAYS v y , MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: JASON JAYS Owner's Name: JASON JAYS Owner's Address: 1475 HWY65 NEW RICHMOND WI 54017 WHITETAIL TRAILE SOMERSET Legal Description: SW] NE[ S23[ T31[ R19W Township: SOMERSET County: ST. CROIX Subdivision Name: WHITETAIL TRAILE Lot Number: 10 Block Number: Parcel I.D. Number: Plan Transaction No.: T � y ` � H Page 1 Index and title ° Page 2 Data entry Page 3 Mound drawings -� Page 4 Lateral and dose tank : Y Pa System e 5 maintenance i Y > UrN s g Page 6 Management and contingency plan Page 7 Pump curve and specifications SPON!DE C Page 8 SOIL TEST Page 9 PLOT PLAN Designer: UTGARD License Number: 220357 Date: 09/1Q101 Phone Number: 715 268 6995 Signature: Designed Pursua the Mound Component Manual for POWTS Version 2.0 SDB- 10691 -P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) Version 3.11 (R. 06/01) Page 1 of 9 f Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) R Residential or Commercial Design Note: Sand fill (D) calculations assume a 400.00 Estimated Wastewater Flow (gpd) Table 83 -44-3 in -situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150 %) coliform of <- 38 inches. 600.00 Design Flow (gpd) 9.00 Site Slope ( %) 101.00 Contour Line Elevation (ft) 33.00 Depth to Limiting Factor (in) 0.50 In -situ Soil Application Rate (gpd /ft Distribution Cell Information 100.001 Dispersal Cell Length Along Contour (ft) = 6.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd /ft 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? Enter Y or N (c or e) c Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation ft 4 Number of Laterals of the highest point. 0.188 Orifice Diameter (in) (e.g. 0.25) 3.00 Estimated Orifice Spacing (ft) = 9.38 ft /orifice 2.00 Forcemain Diameter (in) 135.00 Forcemain Length (ft) Does the forcemain drain back? Y 89.00 Pump Tank Elevation (ft) Enter Y or N 3.25 System Head (ft) x 1.3 22.02 Forcemain Drainback (gal) 12.33 Vertical Lift (ft) 62.81 5x Void Volume (gal) 4.86 Friction Loss (ft) 84.83 Minimum Dose Volume (gal) 20.45 Total Dynamic Head (ft) 41.94 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 1.00 1.50 x 1.25 x x 2.00 x x 1.50 x 3.00 2.00 x 3.00 x +_ Gallons /Inch Calculator (optional) Treatment Tank Information 1 800.001 Total Tank Capacity (gal) 1280.001 Septic Tank Capacity (gal) 1 42.001 Total Working Liquid Depth (in) WIES I Manufacturer 19.05 gal /in (enter result in cell B49) Dose Tank Information Effluent Filter Information -800.001 Dose Tank Capacity (gal) Zabel Filter Manufacturer 19.051 Dose Tank Volume (gal /in) IA100 Filter Model Number WIESER Manufacturer Project: JASON JAYS Page 2 of 9 Mound Plan View 1/106• .3 J Observation . . . Pipe K . •. —. .•�••.••.••.•�••.••.. _ l ti••..•.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . . . . . . L Mound Component Dimensions A 6.00 ft E 12.48 in H 1.00 ft K 7.62 ft B 100.00 ft F 9.25 in z 9.50 ft L 115.25 ft D 6.00 in G 0.50 ft J 4.18ft W 19.68ft 600.00 (ft Dispersal Cell Area 1 1549.66 (ft Basal Area Available 6.00 (gpd/ft) Linear Loading Rate 1 10.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 103.27 (ft) —► .rri rte.,. ♦ H � .riirrrrrr 2 rrrriiii,. G • 1 r r :' F 101.50 (ft)-101 — 102.00 ( Invert Dispersal Ceff ( ft) Lateral Dispersal Cell Elevation E D 101.00 (ft) Contour Elevation 9.0 %Site Slope Geotextile Fabric Cover Shading Key a T Dispersal Cell See lateral details on 10 — Topsoil Cap °• 1.5 ft Page 4 for number, size, Q r'rr' Subsoil Cap H .;;�''• •" ' and spacing of laterals. © ASTM C33 Sand Z F Laterals are equally Tilled Layer W 0.5 ft ' Typical Lateral c:r:' spaced from the 05 Aggregate c 5:• distribution cell's '� A'!� centerline in the distribution cell (AxB). Project: JASON JAYS Page 3 of 9 Center Connection Lateral Layout Daigram Force main connection via tee or cross to manifold at any point. Laterals are identical P S • = Turn-up w1ba I I valve or I<-X-->J<-x12 — ( xl2 j1 Laterals & force main of PVC Sch 40 cleanoutplug per COMM Table 84.30 -5 Holes drilled on the bottom of the lateral. Number of Laterals 4 Orifice Diameter 0.188 in Lateral Diameter 1.25 in Orifice Spacing (X) 3.18 ft Lateral Length (P) 49.29 ft Orifices per Lateral 16 Lateral Spacing (S) 3.00 ft Orifice Density 9.38 ft' /orifice Lateral Flow Rate 10.49 gpm Manifold Length 3.00 ft System Flow Rate 41.94 gpm Manifold Diameter 2.00 in Total Dynamic Head 20.45 ft Forcemain Velocity 4.28 ft/sec Dose Tank Information Locking cover with warning label and locking device and seaied watertight Electrical as per NEC 300 and -- ► Comm 16.28 WAC 4 in. min. Disconnect Tank component is properly vented y Aftemate outlet location Forcemain diameter WIESER Manufacturer_ 2 in. Ca aci 800.00 Gallons Volume 1 19.05 gal /inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 27.54 524.67 B 2.00 38.10 C Pu off e levation (ft) C 4.45 84.83 1 89.67 D 8.00 152.40 D Total 1 41.991 800.00 D ose tank elevation (ft) 3" Bedding un er tank. 89.00 Alarm Manuafacturer LEVEL Alarm Model Number DLV Pump Manufacturer GOULDS — � Pump Model Number EP05 �- Pump Must Deliver 41.94 gpm at 20.45 ft TDH Project: JASON JAYS Page 4 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name [— UTG ARD Phone 715 - 268 -6995 POWTS Regulator's Name ST.CROIX 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 BOD5 220 mg/L Septic Tank Capacity 1280 gal Maximum TSS 150 mg/L Soil Absorption Component Size 600 ft 2 Maximum FOG 30 mg /L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Inspect and /or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test month) Pressure System Laterals should be flushed and pressure tested every 1.5 years Mound Inspect for ponding and seepage once every 3 years Other FILTER ONCE YEAR Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn -up Detail Finished • .............. ................ Grade 6 -8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral . Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: JASON JAYS Page 5 of 8 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD- 10691 -P (N.01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. 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 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 filter when removed from its enclosure. If the filter is equipped with an alarm, the fitter 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 of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October- February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BOD 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD 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 accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 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 tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) 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. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: JASON JAYS Page 6 of 8 G' -c- 7 1 '� v l o g / A l - -�