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Home My WebLink About020-1363-10-000Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT sanitary Permit No: (ATTACH TO PERMIT) 642273 GENERAL INFORMATION State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)) Permit Holder's Name: City Village Township Parcel Tax No: Poucher Properties TOWN OF HUDSON 020-1363-10-000 CST BM Elev: Insp. BM Elev: BM Description: Secdon/TownlRange/Map No: 27.29.19.2147 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic Dosing Aeration Holding PUMP/SIPHON INFORMATION Ft SOIL ABSORPTION SYSTEM STATION BS HI FS ELEV. Benchmark Alt. BM Bldg. Sewer SUHt Inlet SVHt Outlet Dt Inlet Dt Bottom Header/Man. Dist. Pipe Bot. System Final Grade St Cover BEDITRENCH DIMENSIONS Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth SETBACK INFORMATION SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING CHAMBER OR UNIT Manufacturer: Type Of System: Model Number. UIS I KItlU 1 IUN SYS I tM Header/Manifold lDistdbution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing AUIL GU V tK x Pressure Svstems Only xx Mnund Or At -Grade Systems Only Depth Over Depth Over xx Depth of roc Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil I El Yes R� No ® Yes Lj� �No COMMENTS: (Include code discrepancies, persons present, etc.) Location: 651 COMMERCE DR 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = Plan revision Required? Ej Yes ❑ No Use other side for additional information. SBD-6710 (R.3197) Date Inspection #1: Insepctors Signature Inspection #2: LJ I _1 Cart. No. Industry Services Division - 4822 Madison Yards Way Madison, WI 53705 �a P.O. 16 y peveloPmeDt MadisonWI 53 7 71 11 Sanitary Permit Applicati r In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this forth to the governmental unit is required prior to obtaining a sanitary permit. Note: Application fortes for state-owned POWTS are submitted to the Department of Safety and Professional Services, Personal information you provide may be used for secondary purposes in accordance wilh the Privacy Lew, s. 15.04(1)(m), Slats. I. Application Information — Please Print All Information &g2273 bog- ,9-c `tea od-0 - (3 Property Owners Mailing Address �,n S i Prope Location 2 24 . 19 . 7- 1 n m / try sct-ti Govt. Lot City State Zip Code Phone Number �^ S�27 1 �j/., 1/1ection 11.Type ofBuilding{check all that/ apply) Lot4 T�/ N R E rW r 2 Family Dwelling - Number of Bedrooms Subdivision Name Block ublic/Commercial — Describe Use 1 ��/b�" City of 7StateOwned —Describe Use /'CL1nC� illage of CSM Number 7 V j/ �- wn of III_ Type of POWTS Permit: (Check either "NeeWl or "Repplaaccement" and other applicable on line A. Check one box online B. Complete fine C if app]'cable. A.PlIew System ❑Replacement System OOlher Modi cation to Existing System (e plain) Additional Pretreatment Unit (explain) tk:�- G B. Holding Tank ]53-Ground E�t-Gmde Mound DIndividual Site Design Other Type (explain) (conventional) C. ❑ Renewal Before ❑ Revision hauge of Plumber �1 ransfer to New Owner List Previous Permit Number and Dale Issu Expiration 3 S" IV. Dispersal/Trea meptAri ormation Design Flow (gpd) esign Soil Application Rate(gpd/s Dispersal Area Required (s S Dispersal Area Proposed (s Syste Elev iott 3L Capacity in Tolal k of anufac rer Tank Information Gallons Gallons Units s - / f New Tanks Existing Tanks ZOO Lt T""7"f l r 1J,r _ w is a U ,v, in y sn A g O a V. Kesponsinittty Statement- 1, the undersigned, a responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) PI er's Signature MP/M%PRRS Number Business Phone Nuralber %Plumecrr'ss Address (Street, , State, C e Ad L / � /o 010 IApproved ❑Disapproved Permit Fee Date ued Issuing Ag ignature Cl Owner Given Reason for Dania] 0 Conditions of Approval/Reasons for Disapproval44 n TX-e 5TC jG SOWNER: l 1.Sept'cfilter / � tank, effluent f ]ter and i Ie�4r a t`yt e��c� I,t17 7%t dispersal cell must serviced/maintained as per management plan provided by plumttttt�� vYt'v 6Cr�T OI•ytJ► (J� r Y. All aatback rayuirptnentf must be ItlaiMYit" as Wr npplieal>N eetilJ®ftll►ten€i4 / Yt /pr"kR q&% 1 _ Attach to complete plans forth¢ system and submit to the County ODIV paper not less than 8 In x I I Inches in size SBD-6398 (R. 03/21) �hW P%h/AG�j�/� WCLSTc(i(JQTL// a�I01�C0' 7Ti too to -if System PLOT PLAN Pgoji ECT Poucher Properties ADDRESS 579 Schommer Drive Suite B Hudson Wi 54016 Silt/ 1I4 SE r/ds, 27 /T 29 N/R 19 W TOwN Hudson COUNTY ST. CROIX I SYSTEM ELEVATION 96.0/95.9/95.8 2/8/22 GPD 96ti � DATE 'CONVENTIONAL, XXX AT -GRADE CONVENTIONAL LIFT XX( HOLDING TANK MOUNT) SEPTIC TANK SIZE 2021 LIFT TANK siml302 DOSE TANK SIZE. HOLDING TANK S1'ZE LOAD RATE •5 ABSORPTION AREA 1939 # of Chainbers96 BENCHMARK V R.P. Top of W' pipe ASSUME ELEVATION 100' Filter Lifetime ❑ BOREHOLE WELL *H.R.P. same as benchmark Property Line Huffoult Combo'septic tank and Scale = 1W = 1'0' 20/0Slope Huffcutt pump tank 040' gp` Slight slope; thus no, contours Pro OfficeMarehouse Facility B-1 6 floor drains and 38 employees 6 floor drains at 150 gpd 38 employees at 494 gpd total gpd 644 gpd. Design flov4 966 gpd. 966 gpd 4.5 = 1932ftA2 going to use 96 chambers and 3 sets of end plates Septic tank size is 9660pd X 2.088 _ 2017 gallons going to use a huffcutt 2021 combo septic tank B'M•Ano catch basins are to. discharge into the septic'system -� CI l B�3 i Property Line �JCO I` IL Property Line B _ 2 610/151 Ccmfnerce Drive DIVISION OF INDUSTRY SERVICES 2331 SAN LUIS PL GREEN BAY WI 54304-5211 Contact Through Relay http://dsps.wi.gov/programs/industry-services www.wisconsin.gov Tony Evers - Governor Dawn Crim - Secretary February 21, 2022 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 2024-02-21 Plan Review: PWTS-022200229-C SHAUN R BIRD 1432 120th St New Richmond WI 54017 SITE: Poucher Properties 651 Commerce Drive Town of Hudson St. Croix County SW, SE, S.27, T29N, R19W Total Amount: $250.00 FOR: Commercial Non -pressure In -Ground POWTS In -ground Component Manual - Ver. 2.0, SBD-10705-P (N.01/01, R 10112), 966 GPD, 124 inches to limiting factor from original grade, Maintenance required, Effluent filter, New construction The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.19, Wis. Stats. • 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. • This POWTS approval has been reviewed for proper treatment and disposal of the domestic wastewater generated by this facility. It does not include approval of the POWTS that is needed if non -domestic wastewater is generated by this facility. Please contact the DNR non -domestic review staff if this facility is to generate non -domestic wastewater. 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(7). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department which may include local inspectors. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. S,, iinynceerely,, e POWTS Plan Reviewer —Wastewater Specialist Department of Safety & Professional Services I Division of Industry Services email: Katie. Petzela_wisconsin.00v Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond WI 54017 715-246-4516 Date: 2/8/21 Owner: Poucher Properties Location: SW 1/4 SE1/4 S27 T29 N,R19W 651 Commerce Drive Hudson System type: In -ground absorbtion system(conventional) Manuals Used: In -ground absorbtion system (version 2.0) Pressure Distribution Manual (version 2.0) Page# 1. Cover Page 2. Plot Plan 3. Chamber Cross Section 4-5. Maintanance and Contingency Plan 6. Filter Specifications Sheet 7. Dose Tank Cross Section 8. Pump Curare Attachments: Soil IS Signature v License n er #226900 PROJECT Poucher Prooerties SW 1/4 SE 1/45 27 /T 29 SYSTEM ELEVATION 96.0/95.9/95.8 CONVENTIONAL XXX AT•GRADE System PLOT PLAN ADDRESS 579 Schommer Drive Suite B Hudson Wi 54016 N/R 19 W TOWN Hudson COUNTY ST. CROIX 2/8/22 GPD 966 DATE — CONVENTIONAL LIFT XXX HOLDING TANK MOUND SEPTIC TANK SIZE 2021 LIFT TANK SIZE1302 DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 1939 # of Chambers96 BENCHMARK V.R.P. Top of 3/4" pipe ASSUME ELEVATION 100' Filter Lifetime ❑ BOREHOLE O WELL *H.R.P. same as benchmark 2% Slope Slight slope, thus no contours Property Line Property Line Huffcutt Combo septic tank and Huffcutt pump tank B - 1 Pro Office/Warehouse Facility Property Line Scale = 1/4' = 10' 0' 40' 80, 1 1 1 6 floor drains and 38 employees 6 floor drains at 150 gpd 38 employees at 494 gpd total gpd 644 gpd. Design flow, 966 gpd. 966 gpd 4.5 = 1932ftA2 going to use 96 chambers and 3 sets of end plates Septic tank size is 966gpd X 2.088 = 2017 gallons going to use a huffcutt 2021 combo septic tank no catch basins are to discharge into the septic system B - 2 /651Commerce Drive Cross Section of Quick 4 Standard Leaching Chamber Typical cross section for 2 of 3 cells Quick 4 Standard Leaching Chamber with 20.0 ft2 of Area per Chamber 6.6ft^2 pair of end plates Typical Installation Vent Grade 4" �'30/34 Septic Tank 4' Lon2l1 N 5' Grade at System Elevation Spacing 5' 4' To be >1' above grade Finish grade elevation 100.0 ,Vent 1 " at System Elevation Observation tubeNent Same on other end To be located on end of Cells 32 chambers per cell A B System elevations: C A 96.0' B_95.9' C 95.8' nE Oa Z, C1 n A.Z.. ggC-m OOw m Cf0Z 0w n� <r D m cz Am rNim mm A am u ty ci aE tzj m _= ad 0 NN tfC �z Z~ r0 f0'1 A r O Om £ CmN PROJECT, 4154 123rd STREET BAN N.P.C.A. cERTIFImPLANT nrmlqo) NUFFCUTT CHIPPEWA FALLS, VI 54729 1,250/750 GALLON (715) 723-7446 (800) 924-1516 a MEMBER OF: PUMP OR SEPTIC TANK I C 0 R C R E T E. A C FAX (7L5) 723-7111 wwwhUffCUtt,Con -R � A o NATIONAL & RISCONSN PRECAST CONCRETE ASSMA71ONS od z 0 m m D t] d zz a r m a m r m 0 A cl A m a N m 2 1 m A n m v 1 0 A C 3 llC g o ' rz; tf O am Hz mA tl xx a z� mA Mo cm NA ci < am NZ 1 r z PROJECT, 4154 123rd STREET wm N.P.C.A. CERTIFIED PLANT 1,250 GAL. LOW PROFILE �' HUFFCUTT CHIPPEVA FALLS, 54729 igQ FU PUMP, SEPTIC, HOLDING, (715) 723-7446 ■ (800) 924-1516 MEMBER OF: OR GREASE INTERCEPTOR C 0 A C R E T E. I A C FAX (715) 723-7111 www,huffcutt,con NATIONAL a wSCONSN PRECAST CONCRETE ASSMATIONS POWTS OWNER'S MANUAL. & MANAGEMENT PLAN Page —of 91 ILE INFORMATION wnerermit h # LP ESIGN PARAMETERS Number of Bedrooms _ �� A Number of Public Facility Units ❑ NA j Estimated flow (average) Z elide I Design flow (peak), (Estimated x 1.5) I Soil Application Rate _5 al/daylftt i Standard Influent/Effluent Quality Monthly average` Fats, Oil & Grease (FOG) s30 mg/L Biochemical Oxygen Demand (BODE) <220 mg/L ❑ NA Total Suspended Solids (TSS) 5150 mg/L Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand (BODs) Total Suspended Solids (TSS) S30 mg& ,sW mg/L "< NA Fecal Coliform (geometric mean) 5104 cfull00ml _ :Maximum Effluent Particle Size l(, in dia. ❑ NA Other. i A 'Values typical for domestic wastewater and septic tank effluent. eneletToeteury crNFntn P SYSTEM SPECIFICATIONS Septic Tank Capacity a r7 a gal ❑ NA Septic Tank Manufacturer [�- lr ❑ NA Effluent Filter Manufacturer ❑ NA Effluent Filter Model �� ❑ NA Pump Tank Capacity oal ❑ NA Pump Tank Manufacturer ❑ NA Pump Manufacturer ❑ NA Pump Model p ❑ NA Pretreatment Unit NA ❑ Sand/Gravel Filter ❑ Peat Fflter ❑ Mechanical Aeration ❑ Wetland ❑ Disinfection ❑ Other. Dispersal Cell(s) ❑ NA n-Ground (gravity) ❑ In -Ground (pressurized) ❑ At -Grade ❑ Mound ❑ Drip -Line ❑ Other: Other: ❑ NA Other: ❑ NA Other: ❑ NA Service Event Service Frequency Inspect condition of tank(s) At least once every: ?> ea��s)s) (Maximum 3 years) ❑ NA Pump out contents of tank(s) When combined sludge and scum equals one-third (Ys) of tank volume ❑ NA inspect dispersal cell s) At least once every: ❑ month(s) ear(s} (Maximum 3 years) ❑ NA — -- - (Clean effluent filter — - At least once every: _ ❑ months) L� 1 year(s) _ ❑ NA !nspect pump, pump controls & alarm At least once every: ❑ month(s) 3kyear(s) ❑ NA Mush laterals and pressure test At least once every: ❑mar(!)) ❑ year( ❑ NA �ther. _ _ At least once ovary: ❑ month(s) ❑ year(s)A_3 JNA MAINTENANCE INSTRUCTIONS linspectlons of tanks and dispersal cells shall be made by an individunt carrying one of the following licenses or certifications; Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Mainta!r+or; Septage Servicing Operator. Tank inspections must Include a visual Inspection of the tank(s) to identify any missing or broken hardware, Identify any cracks or leaks, measure the volume of wmbined sludge and scum and to check for any back up of pondtng of affluent on the ground surface. The dispersal cell(s) shall be visually Inspected to chock the effluent levels in the observation pipes and to cheek for any ponding of effluent on the ground surtace. The pondtng of effluent on the ground surface may indicate a failing cxmdltjov and requires the Immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum In any tank equals uno-thid ('h) or more of the lank volume, the entire contents of !.he tank shall be removed by a Septage Servicing Oporafar and disposer) of in accordance with chapter NR 113, Wisconsin Administrative Code. iNI other services, including but not limited to the servicing of eYluenl filters, mechanical or pressurized components, pretreatment units, Lind any servicing at Intervals of 512 months, shell be perrormtrd by a certified POVV TS Maintainer. A service report shall be provided to the local regulatory authciil)� within 10 days of completion of any service event.