HomeMy WebLinkAbout020-1063-60-000 (3)Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM
Safety and Building Division
INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT)
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)].
EDWARD M QUINN RVCBL TRS
I M •o' 1 100,01
TANK INFORMATION
TYPE
MANUFACTURER
CAPACITY
Se is
WEE See,
acao
sing
L7
Aeration
Holding
TANK SETBACK INFORMATION
TANK TO
P/L
WELL
BLDG.
Vent to Air Intake
ROAD
Septic
r
y
/
1
/
Dosing
Aeration
Holding
PUMP/SIPHON INFORMATION
Manufacturer
Demand
GPM
Model Number
TDH
Lift
Fllon Loss
System Head
TDH Ft
ForcemaIn
Length
Dist. to wen
SOIL`ABSORPTION SYSTEM
TOWN
DATA
STATION
BS
HI
FS
ELEV.
Benchmark
61 :r
0.
100 '4
l�ofl
Alt. BM
Bldg. Sewer
St/HtInlet
f
S�
7 l .'
1
SUHt Outlet
/
DtInlet
Dt Bottom
J
Header/Man.
Dist. Pipe
Bot. System
G
Final Grade
St Cover
3-10
r10rM44a:���i:��
BRUJITRENW
DIM NS
Width f
3
Length r
No. Qf Trenches
C�
PIT DIMENSIONS
No. Of Pits
Ins Dia.
Liquid Depth
SETBACK
SYSTEM TO
P/L
IBE57
WELL
LAKE/STREAM
LEACHING
Man ufaryyer
INFORMATION
CHAMBER OR
UNIT
Type Of System:
A O
�
� f
f
7
Model N er
ot►�
DISTRIBUTION SYSTEM
4 w
Header/MVa,
Distribution
x Hole Size
x Hole Spacing
Vent to Air Into
f
0q
Pipe(s)
1 / /
t0
Lengthia
Leng Dia Spacing
t
SOIL COVER x Pressure Svstems Only xx Mound Or At -Grade Svstems Only
Depth Over
Depth Over
xx Depth of
xx Seeded/Sodded
xx Mulched
Bed/Trench Center
Bedfrrench Edges
Topsoil
Yes 0 No
El Yes � No
COMMENTS: (Include code discrepancies, persons present, etc.) /Inspection #1: 517'g17P22'
L1 SY V•
Location: 815 BRADLEY DR -n r • $•�
1.) Alt BM Description =
2.) Bldg sewer length �2
amount of cover = c c 1S
Plan revisionRequired?Yes No No 5
Use other side for additional information.
Date Insepctor s Signature Cert. No.
SBD-6710 (R.3/97)
U b v�l,.,,� FxQeq ►�nn�i' l a i,�.. ,eye. .(�►P,vp,�.� �P.tn6�� d� Vim'. t
t
Sr;, l.6
I�C�Lll ((vv"
County
Industry Services Division
St. Croix
P $ 18 2022
1400 E Washington Ave
P.O. Box 7162
Sanitary Permit Number (to be filled in by Co.)
MAR =,
,
Madison, WI 53707-7162
Community rTnit Application
State Transaction Number
In actor 1 PS 383.21(2), Wis. Adin. Code, submission of this form to a vemmental unit
�—
is required prior to obtaining a sanitary permit Note: Application forms few state-owned POWTS7MrSubnolacd to
the Department of Safety and Professional Services. Personal information you provide may be used for secondary
Protect Address (if different than mailing address)
purposes in accordance with the Privacy Law, s. 15.04 I m Stals.
815 Bradley Drive
1. Application Information - Please Print All Information
Property Owner's Name
Parcel #
Edward & Pamela Quinn Revocable Trust
020-1063-60-000
Property Owner's Mailing Address
Property Loco 4n Z ,6 /)
`'f'.��
815 Bradley Drive
Z3.*.) - .
Govt. Lot
SE'G, SE'b, Section 23
City, State
Zip Code Phone
Number
Hudson, WI
54016
circle one)
T29N R19Eorit
II. Type of Building (check all that apply) /1 Lot
#
Subdivision Name
® 1 or 2 Family Dwelling - Number of Bedrooms % 1
NA
#
❑ Public/Commercial - Describe Use Block
❑ City of
❑ State Owned - Describe Use
❑ Village of
,A- CSM
Number
2 — 5^�
®Town of Hudson
III. Type
of Permit: Check only one box on line A. Complete line B if applicable)
A.
❑ New System
® Replacement System
❑ TreatmentlHolding Tank Replacement Only
❑ Other Modification to Existing System (explain)
B.
❑ Permit Renewal
❑ Permit Revision
❑ Change of
CO Permit Transfer to New
List Previous Permit Number and Date Issued
Before Expiration
Plumber
Owner
135431, 2/23/1990
V. TvDe of PO m/Com onent/Device: Check all that apply)
Non Pressurized In Ground ❑Pressurized Inl,round ❑ At -Grade [I Mound > 24 in. of suitable soil El Mound < 24 in. of suitable soil
o mg Tank Other Dispersal Component (explain) ❑ Pretreatment Device (explain)
V. Dis ersaUTreatmea
es Information:
Design Flow (gpd)
Design Soil Application
Dispersal Area Requued
Dispe Ara posed (sf)
System Elevation
600
Rate(gpdsf)
857 ✓
900
85.25', 94.35'. 83.4L,,,,--
0.7
VI. Tank Info
Capacity in
Gallons
Total
#
Gallons
of
Units
Manufacturerk
c
N 2
y
New Tanks
Existing Tanks
55!„)
irl �,
V)
Septic or Holding Tank
1000
1000
2
Wieser /Weeks
0
❑
Dosing Chamber
VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans.
Plumber's Name (Print)
PlumbeP; i "" ore !,
MP/MYRS Number
Business Phone Number
John Schmitt
223760
715-760-0486
Plumber's Address (Street, City, State, Zip Code)
586 Valley View Trail, Somerset, W154025
Fl!k Count /De ar'tment Use Only
Approved ❑Disapproved
Fee
Date su�
Issuing Sign
Ej Owner Gi
$it
O O
3 Z
1XgtigllitMlglWApproval/ Reasons for Disapproval 1�
1. Scot c tr*,-. effluent fitter and /
A+s!�tYsal rat! mast be serviced/maintained ,,, t� /
plan provided by Plumber.
2.Ali re•to+tM 41kiltpmanNmustbemaintained Q
�1M�t t 4las
tWkn /
per appal( e eode/willunm OV
Attach to complete plans for the system and submit to the County only on paper not less tangs 1/2 Ill omen to size
SBD-6398 (R03/14) /
1)•�o
w� Y
r � '"-
SYSTEM PLOT PLAN
Quinn 4 Bedroom Septic System Design Flow: 600GPD N
Attach design flow calculations for
Project Address: 815 Bradley commercial plans:
BM1 Symbol: & _ BM Elevation: 100.00' Pipe Materials / ASTM Standard Scale: 1" = 60'
BM Description: Top of existing septic tank manhole cover Tables 384.30-3 & 384.30-5
0 60 90 120
BM2 Symbol: Q BM Elevation: 87.05' 4" SCH 40 PVC pipe ASTM- D2665
BM Description: Top of vent pipe on existing drainfelid. 4" 3034 PVC pipe ASTM-D3034
Slope Gradient of Tested Area: (14%) 15'
Well Symbol (if applicable)
Notes: See CSM for a complete lot view
if r �.
1
Copy
Garage
Existing Well Existing
e 4 Bedroom
House
l Deck
Existing 1000 gallon
Septic Tank
i
92'--_____
14%Slope
90'_ _ t B2 _1irS
T1 q— —'3%�
88'--�T
T3 `
86'---- o
Proposed WLP1000-MR
Distribution Box
____ --
84"— Existing ITxU' Drainfe8d
CONVENTIONAL COMPONENT DESIGN
ip;�Hcati_
INDEX AND TITLE PAGE
Project Name: Quinn 4 Bedroom Septic System
Owners Name: Edward & Pamela Quinn Revocable Trust
Owner's Address 815 Bradley Drive
Hudson, WI 54016
Legal Description: SE1/4, SE1/4, S23, T29N, R19W
Township Hudson
County: St. Croix
Subdivision Name:
Lot Number: 1 Block Number
Parcel I.D. Number 020-1063-60-000
Plan Transaction No.
Page 1
Page 2
Page 3
Page 4
Page 5
Page 6
Page 7
Page 8
Page 9
Page 10
Page 11
Page 12
Attachment 1
Designer: John Schmitt
Date: 3/2/2022
Index and title
Plot Plan
Existing Tank Specifications
Existing Tank Certification
Proposed Septic Tank Specifications
Effluent Filter Information
System Sizing & Cross Section
EZ Flow Information
Management and contingency plan
Sanitary System Ownership/Address Form
Warranty Deed
CSM or Plat
Soil Evaluation Report
Licnese Number: MPRS 223760
Phone Number: 715-760-0486
Signature: L 1/i// LL-
In round Soil Absorption Component Manual Version 2.0 SBD-10705-P (N. 01/01)
Page 1
SYSTEM PLOT PLAN
Quinn 4 Bedroom Septic System
Design Flow: 600 GPD
Attach design flow calculations for
Project Address: 815 Bradley
commercial plans:
BM1 Symbol: - BM Elevation: 100.D0'
Pipe Materials I ASTM Standard
BM Description: Top of existing septic tank manrwle cover
Tables 384.30-3 & 384.30-5
BM2 Symbol: 0 BM Elevation: 87.05'
4" SCH 40 PVC pipe
ASTM- 02885
BM Description: Top of vent pipe on existing drainfeiid.
4" 3034 PVC pipe
ASTM-03034
Slope Gradient of Tested Area: (14%)
Well Symbol (if applicable)
Notes: See CSM for a complete lot view.
Existing 1000 gallon
Garage Septic Tank
Proposed WLP1000-MR
Existing Well Existing
4 Bedroom M1
House
Dedc /
/ / Dis
14%Steps �� / r
82 / / !
_ i /
Ti
$a'' 72 / !
T3 / /
as'---- B3 — //
BM1 /
. _ _ — _ .
64- Existing 12'42' Drainfeild
Box
commerce.wl.gov
isconsin
Department of Commerce
February 16, 2010
WEEKS CONCRETE PRODUCTS
RAY WEEKS
1832 215TH STREET
NEW RICHMOND WI 54017
Re: Description: SEWAGE TANKS, CONCRETE
Manufacturer: WEEKS CONCRETE PRODUCTS
Product Name: SEPTIC, HOLDING, OR PUMP
Model Number(s): 1000
SAFETY AND BUILDINGS DIVISION
Plumbing Product Review
P.O. Box 2658
Madison, Wisconsin 53701-2658
TTY: Contact Through Relay
Jim Doyle, Governor
Richard J. Leinenkugei, Secretary
(49 IN. L.L., 21.76 GAL/IN., 84 IN .MAX. DEPTH OF BURY 511 G.P.D. WHEN USED AS A
SEPTIC TANK BASED ON A 3 YR. SERVICE INTERVAL FOR RESIDENTIAL
WASTEWATER;. TANK DIMENSIONS = 84 IN, L X IN. W X 49 IN. H )
Product File No: 20100040
The specifications and/or plans for this plumbing product have been reviewed and determined to be in compliance with
chapters Comm 82 through 84, Wisconsin Administrative Code, and Chapters 145 and 160, Wisconsin Statutes.
The Department hereby issues an approval based on the Wisconsin Statutes and the Wisconsin Administrative Code. This
approval Is valid until the end of JUNE 2015.
This approval is contingent upon compliance with the following stipulation(s):
• This tank must be designed to withstand the pressures to which it will be subjected.
• The manufacturer must keep at the manufacturing plant a set of plans and specifications bearing the department's
stamp of approval. The plans and specifications must be open to inspection by an authorized representative of the
department.
• When this product receives wastewater from dwellings and is used as a septic tank, it will produce an effluent quality
with a maximum monthly average value for BOD5 of greater than 30 mg/L and less than or equal to 220 ni TSS, or
greater than 30 mg/L or less than or equal to 150 mg/L TSS, and F.O.G. of less than 30 mg/L.
• Approval is issued for this product as being equivalent to a floor outlet water closet when the fixture drain is installed
in the vertical position. The design meets the intent of s. Comm 82.32 (5) (c) and 84.20 (5) (n), Wis. Adm. Code, which
requires water closets to discharge through a minimum diameter 3" drain pipe or fitting and the bowl to conform to ANSI
Standard At 12.19.2M. The intent of the code is met since this product provides the same functional performance as water
closets that meet ANSI Standard Al 12.19.2M.
• BEDDING: Bedding material shall be used to provide a uniform bearing surface. A min. of 4-inch base of
sand or granular bed on top of a form and uniform base Is recommended. The tank should not bear on rocks. Sites
with high ground water tables should have specially designed bedding. Soils should be compacted under the tank.
This approval supersedes the approval issued on 4/21/2005 under product file number 20050106. This approval letter shall
be incorporated with your previously approved plans and/or specifications approved under product file number 20050106.
As of May 15, 2008, a copy of a successful water tightness test report for this product must be AVAILABLE FOR
INSPECTION AT THE MANUFACTURER'S PLANT prior to this product being used as a POWTS holding or treatment
tank in Wisconsin.
The department is in no way endorsing this product or any advertising, and is not responsible for any situation which may
result from its use.
Sincerely,
Jean M. MacCubbin, CST
Engineering Consultant --Plumbing Product Reviewer
Commerce; Safety & Buildings Div.; PO Box 2658; 201 W Washington Ave.; Madison WI 53703-2658
Phone: 608-266.0955; Fax: 608-263-7456; E-mail: Jean.MacCubbin@wisconsin.gov
SBD-10564-E (N.10/97) File Ref: 1r4l
ST. CROIX COUNTY ZONING OFFICE
CERTIFICATION STATEMENT
FOR UTILIZATION OF EXISTING SEPTIC TANK(S)
This is to certify that I have inspected the existing septic and/or dose tank
presently serving the following residence:
(Street address) 815 Bradley Drive located
at: SE '/4, SE '/4, Section 23 , Town 29 N, Range 19 W,
Town of Hudson , St. Croix County Wisconsin.
Upon inspection, I certify that I have found the tank(s), to the best of my
knowledge, will conform to the requirements of SPS. 384.25, and it (they)
appear(s) to be functioning properly.
Most recent date of inspection or service 3— a
Did flow back occur from absorption system? Yes No
(if no, skip next line.)
Approximate volume or length of time:
Tank Capacity: 1000
Construction: Prefab Concrete x Steel
Manufacturer (if known): Weeks concrete Products
Age of Tank (if known): 51411990
Permit number (if known) 135431
.L_�✓l�/ John Schmitt
(101censed Plumber Signature) (Print Name)
MPRS
(Title)
(Date)
223760
gallons minutes
Other
(License Number) MP/MPRS
Form to be completed by licensed plumber (Dept of Safety and Professional
Services Chapter 305 and s. 145.06, Wisconsin Statutes) or licensed disposer
(NR 113 Wisconsin Administrative Code)
Rev. 2/2012
Page 4
vi
4" CAST-
WLP1000—MR
TANK SPECIFICATIONS
DIMENSIONS:
WALL: 2 1 /2"
4" CAST -A -SEAL BOTTOM: 3"
COVER: 5"
MANHOLE: 24" I.D. PRECAST CONCRETE RISER
HEIGHT: 53 1 /4"
LENGTH: 8'-8"
WIDTH: 7'-2`
BELOW INLET: 42"
UOUID LEVEL: 36"
WEIGHT: 6,790 LBS.
INLET AND OUTLET:
4" CAST -A -SEAL BOOT OR EQUAL GASKET
INLET AND OUTLET BAFFLE AND FILTER:
WISCONSIN, SEE DETAIL #10
(OTHER STATES SEE CHART)
O
w
ao
w
INLET - _ OUTLET
e N
Ln I U
N
II "1 O I 7 sf
I I I
2�,.---J-------- r - �-
-PUMP PAD
(TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1
LIQUID CAPACITY: 27.83 GALAN
HOLDING TANK:
OUTLET HOLE PLUGGED
ACTUAL CAPACITY: 1,085 GALLONS
LOADING DESIGN: 8'-0' UNSATURATED SOIL
TANK CAN BE USED AS:
SEPTIC / HOLDING / PUMP OR SIPHON
COVER: MIX DESIGN #8 (NO FIBER)
TANK: MIX DESIGN #10 (STRUCTURAL FIBER)
CUSTOMIZED TANKS:
FOR CUSTOM TANKS CONTACT WIESER CONCRETE
REVIEWED 8Y
REVIEW DATE
DRAWINGS SUBMITTED
FOR APPROVAL
APPROVED BY:
APPROVAL DATE:
PRODUCTS NEEDED BY:
w
a
0
/OF/I
PaL��.��c~I�r
!nnooatiaminV ust,Drainage Zabel"
6 wasaexate(Ro]uif5 A auttxi of Pcy ok Inc
PL-525 Effluent Filter
Pt-525 Filter
The PL-525 Filter is rated for 10,000 GPD (gallons per day) making it one of the largest filters in its class. It has
525 linear feet of 1/16" filtration slots. Like the Polylok PL-122, the Polylok PL-525 has an automatic shut-off ball
installed with every filter. When the filter is removed for cleaning, the ball will float up and temporarily shut off
the system so the effluent won t leave the tank.
Features:
• Rated for 10,000 GPD (gallons per day).
• 525 linear feet of 1/16" filtration.
• Accepts 4" and 6" SCHD 40 pipe.
• Built in gas deflector.
• Automatic shut-off ball when filter is removed.
• Alarm accessibility.
• Accepts PVC extension handle.
PL-525 Installation:
Ideal for residential and commercial waste flows up to
10,000 gallons per day (GPD).
1. Locate the outlet of the septic tank.
1J16" Filtration Slots
Alarm Switch
10,000 GPD I°p`7OIIdll
2. Remove the tank cover and pump tank if necessary.
Accepts 4" & 6" =t�>'
3. Glue the filter housing to the 4„ or 6 outlet pipe. if SCHD 40 pipe
the filter is not centered under the access opening use a
Polylok Extend & Lok or piece of pipe to center filter.
4. Insert the PL-525 filter into its housing.
5. Replace and secure the septic tank cover.
PL-525 Maintenance:
The PL-525 Effluent Filters will operate efficiently for
several years under normal conditions before requiring
cleaning. It is recommended that the filter be cleaned
every time the tank is pumped, or at least every three
years. If the installed filter contains an optional alarm,
the owner will be notified by an alarm when the filter
needs servicing. Servicing should be done by a certified
septic tank pumper or installer.
1. Locate the outlet of the septic tank.
2. Remove tank cover and pump tank if necessary.
3. Do not use plumbing when filter is removed.
4. Pull PL-525 cartridge out of the housing.
5. Hose off filter over the septic tank. Make sure all
solids fall back into septic tank.
6. Insert the filter cartridge back into the housing making
sure the filter is properly aligned and completely inserted.
7. Replace and secure septic tank cover.
a-cepis 1" PVC
tension Handle
Rated for
10,000 GPD
525 Linear Ft.
of 1/16"
Filtration Slots
0 Certified to
NSF!ANSI Standard 46
rAuto
GasDeflector
matic
Shut -Off Ball
OutdoorSmarttiltee�''Alarm Extend&- LokI"
Polylok, Zabel & Best filters accept Easily installs
the SmartFilter® switch and alarm. into existing tanks.
Polylok, Inc. 3 Fairfield Blvd. Wallingford, CT 06492 Toll Free: 877.765.9565 Fax: 203.284.8514 www.polylok.com
Page 6
IN -GROUND GRAVITY DISPERSAL AREA
Stepped Elevation Trenches with EZ1203HP Bundles
3-ft Trench (down -sizing credit)
..._..._
.�...min 12"
-
IIL..SOIL COVER
Cover
12*
min. trench
depth
Septic Tank(s) Manufacturer.
Weeks C P/ Wieser Concrete
Septic Tank(s) Volunne(s):
1000 gal 1000 gal gal gal
Effluent Filter Manufacturer.
Polylok
Effluent Fitter Model #: 525
TYPICAL TRENCH
CROSS SECTION VIEW
(No Scale)
Highest Trench Lowest Trench (as applicable)
System Elevations = 85.25 ft; 84.35 ft; 83.45 ft; ft;
TYPICAL TRENCH (Show location of inlet / outlet pipe connection on plan view.)
PLAN VIEW Orr 0 Observation pipe shall be installed
(No Scale) Perforated Lateral atjunchonbetween two units. 10 ft
Observation Pipe
(typical) (typical) (typical)
- -/` — — — — — — — — — — — — — — — — — — — — — 1
r
(typical)
o INSTALL PER TRENCH:
to
v
6 10-ft bundles @ 50 ff EISA/unit = 300 ft2
+ 0 5-ft bundles (a. 25 fF EISA/unit = 0 ft2
Provide minimum 3 ft
separation between trenches.
OBSERVATION PIPE DETAIL
(No Scale,
_ ft Screw -Type or
Slip Cap loci .
4"0 PVC Pipe
Top of pipe to terminale
at or above finished grace
(4) 114Slots
@J 90 90 apart
t
Anchoring Device
I �A=3.0 ft -D
m
_ J ctypical>
VEZ1 203H
Bundle W
(typical) O
(ndd by Infiltrator Systems, Inc) 71
Install pursuant to manufacturer's instructions. 'P
F,rushed Grade
ulched & seeded)
Topsoil Cover
(min- 1 foot)
if ltrafon
Surfaw
= Proposed EISA per trench = 300 ft2 Required Infiltration Area = 857
x 3 trenches = Proposed Total EISA = 900
ft2 Distribution Method:
ft2 distribution box
Installation Instructions for EZf Dunn
EZflow Systems in Wisconsin Jby INFILTRATOR
...........................................................................................
Wisconsin Department of Commerce, Safety and Buildings
Division, has reviewed the specifications and/or plans for this
product and determined it to be in compliance with chapters
Comm 82 through 84, Wisconsin Admin. Code, and Chapters
145 and 160, Wisconsin Statutes. All sites must meet the Site
& Soil Conditions & Locations & Isolation distances as noted in
local regulations.
The approved products are 1203H (3-12' bundles with pipe in
center bundle in 5' or 10' lengths) and 1203HP (3-12' bundles
with pipe in each bundle in 5' or 10' lengths.
A single pipe bundle contains a four inch perforated pipe sur-
rounded by EPS aggregate and is held together with poly-
ehtylene netting. A single aggregate bundle contains aggregate
only and is held together with polyethylene netting.
Materials and Equipment Needed
• EZflow Bundles
• EZflow Geotextile Fabric
• EZflow Internal Pipe Couplers
• Pipe for Header and Inlet
• Backhoe/Excavator
Installation Instructions
The instructions for installation of EZflow products are given
below, This product must be installed in accordance with state
rules defined in chapters Comm 82 through 84, Wisconsin Ad-
ministrative Code, and Chapters 145 and 160, Wisconsin Stat-
utes, as well as the local health department's current design
manual.
After the local health department has determined sizing,
configuration, and layout for the EZflow systems, stake
or mark with paint the location of trenches and lines. Be
careful to set correct tank, invert pipe, header line or dis-
tribution box and trench bottom elevations before instal-
lation of pipe bundles.
2. Remove plastic EZflow shipping bags prior to placing
bundles in the trench(es). Remove any plastic bags in the
trench before system is covered.
3. This product must have geotextile fabric that meets re-
quirements of s. Comm 84.30 (6) (g), Wis. Adm. Code,
installed directly on top of the product and extending
down along the sides of the product to a point at least six
inches from the bottom of product.
4. When installed in a trench, the trench should be dug to
a width of 36 inches. This not only saves labor in excava-
tion, but also provides better load -bearing capacity after
backfilling is complete.
5. The Absorption area (SF) necessary for a given site shall
be sized based on maximum daily sewage flow (GPD) and
the Permeability for the site. If certain criteria is met, the
EISA sizing can be used in Wisconsin, resulting in a 40%
smaller drainfield.
6. Place EZflow bundle(s) in the EZflow configuration ap-
proved by system design permit specified for the particu-
lar site. The top or center -most bundles containing pipe
are joined end to end with an internal pipe coupler. Any
additional aggregate only bundles that may be required,
should be butted against the other aggregate -only bun -
dies and do not require any type of connection.
7. The top of each GEO cylinder contains a filter fabric pre -
manufactured in between the netting and aggregate. The
fabric is inserted to prevent soil intrusion. The installer
shall make sure the the GEO is positioned upward and is
in contact with the fabric contained in the adjacent cylin-
der before backfilling.
8. The EZflow Drainfield Systems should be installed in a
level trench in all directions (both across and along the
trench bottom) and should follow the contour of the ground
surface elevation (uniform depth), with all continuous
adjoining 10-foot cylindrical bundles placed end to end,
with central bundle distribution pipe interconnected,
without any dams, stepdowns or other water stops.
9. The trench top shall be graded such that water will not
pond. Backfill should be seeded or sodded immediately
after completion to reduce erosion.
10. EZflow EPS bundles are flexible and can fit in curved
trenches as may be necessary to avoid trees, boulders, or
other obstacles.
11.EPS aggregate is lighter than water, therefore, it might
be expected that natural buoyancy forces would tend to
cause EZflow assemblies to float out of ground when
ponding occurs. Field experience has shown, however,
that this is not a problem when systems have a minimum
of 6' of soil cover as recommended by manufacturer.
1203H-GEO
xtile
r Material
..........................................................................................
Page 8
PAGE 4 OF 4
n-ground Gravity Management Plan
IMPORTANT:
The owner of this in -ground gravity system shall be responsible for its perpetual operation and maintenance pursuant to
requirements of SPS 382-384, Wisc. Admin. Code. Pursuant to SPS 383.52 (2), Wisc. Admin. Code, this system shall
be considered a human health hazard if not maintained in accordance with this approved management plan.
Furthermore, all inspection and maintenance activities shall be performed by a registered POWTS Maintainer in
accordance with SPS 383.52 (3), Wisc. Admin. Code.
Maximum Dispersal Area Operating Limits:
Design Flow = 600 gpd; BODs 5 220 mgL''; TSS:5 150 mgL"; FOG 5 30 mgL"
Inspection Checklist INSPECT EVERY 3 YEARS
o type of use
o age of system
o nuisance factors (i.e. odors, user complaints, etc.)
o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.)
o material fatigue (i.e., leaks, breaks, corrosion, etc.)
o solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (i.e., distribution i drop boxes)
o neglect or improper use (i.e., exceeding design capacities, prohibited activities, etc.)
o extent of ponding in distribution cell prior to dosing
o dosing irregularities - if applicable (i.e., pump re -cycling, float switch settings, etc.)
o electrical components - if applicable (i.e., wiring, connections, switches, controls, timers, alarms, etc.)
o distribution lateral or lateral orifice plugging (measure lateral distal pressure — compare to design specification)
o surface discharge of effluent or sewage back-up into structure served
Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary)
o Septic and dose tanks) shall be pumped by a certified septage servicing operator licensed under s. 281.48 Wis.
Stats. when the volume of solids In the tank(s) exceeds one-third (113) the liquid volume of the tank(s) or
as required by local ordinance. Disposal of contents shall be pursuant to NR 113, Wisc. Admin. Code.
o Effluent filters) shall be inspected every 3 years and shall be cleaned when necessary to remove any
accumulated solids according to manufacturer's specifications. A servicing period will always be greater than 12
months.
System maintenance reports shall be submitted to the proper local government unit in accordance with
SPS 383.55 Wisc. Admin. Code. Report any component failure or malfunction to:
Name of individual or company: Schmitt and Sons Excavating, Inc
Local government unit: St. Croix County Community Developement
Local government unit address: 1101 Carmichael Road, Hudson
Phone:
715-760-0486
Phone: 715-386-468
ZIP: 54016
Any defective part of this system shall be repaired, replaced, or removed pursuant to SPS 383.51 (1), Wisc. Admin.
Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 383, Wisc. Admin. Code.
No product for chemical or physical restoration of the POWTS may be used unless approved by the department in
accordance with SPS 384, Wisc. Admin. Code,
Contingency Plan
In the event that any failed treatment component of this POWTS cannot be repaired, it shall be replaced pursuant to
a plan submitted to the appropriate agency for review and approval. A failed in -ground dispersal component may be
abandoned and replaced by a code -complying dispersal component in a pre -determined area of suitable soils.
System Abandonment
If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wisc. Admin, Code.
Page 9
File #:
S-r. C�i- UN-FY SANITARY SYSTEM Office Use Only
OWNERSHIP/ADDRESS FORM Created212021
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
OWNER/BUYER INFORMATION
Edward & Pamela Quinn Revocable Trust
Mailing Address 815 Bradley Drive
City/State/Zip Hudson, WI 54016
Phone Number (required) 715-222-5944
Email Address(reqt,ired)peskyroyalwin@gmail.com
Parcel Identification Number 020-1063-60-000
(found on the property tax bill)
NEW SYSTEM: LEGAL DESCRIPTION
Property Location SE 1/4 , SE 1/4 , Sec. 23 T 29 N R 19 W, Town of Hudson
Subdivision Plat: NA L t # 1
Certified Survey Map # 346224
Warranty Deed # 1049878
Number of bedrooms 4
o
Volume2 Page #541
(before 2006)Volume , Page #
Spec house 13 yes ❑ no Lot lines identifiable 0 yes ❑ no
c OFFICE USE ONLY
New Property Address rJa n4(—
(Verification of new address required from Community Development Department for new construction.)
(Staff Initials) (Date)
This form must be submitted with all Private Onsite Water Treatment System (POINTS) 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
-cdd._@scc_wi.aov 1101 Carmichael Road, Hudson, WI 54016
715-245-4250 Fax
Nww,Sccwi,_qt!y
Page 10
Soy G
Department 2021 SOIL EVALUATION REORT
,.
' S P S Saf��r�an inlaccordance wW ZomF1M, W-eA m. Code
s Professional Servic�unty
' , ,-,-n x -It
65F aca 1—;44
#2181
Page 1 of 4
Schmitt Soil Testing, Inc.
'�_,.... y�. �•- ��,..,._
Dev'e
County
Attach complete site ply SS than 3%: x 11 inches in size. Plan must
St. Croix
include. but not limited ertical and horizontal reference point (BM), direction and
Parcel I.D.
percent slope, scale or dimensions, north arrow, and location and distance to nearest road.
020-1063-60-000
Please print all information.
Re ' of By Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).
Z Z
Property Owner
Property Location
Quinn, Eward & Pamela RVCBL Tt2S
Govt. Lot SE1/4, SEV4, S23, T29N, R19W
Property Owner's Mailing Address
Lot #
Block # Subd. Name or CSM#
815 Bradley Drive
1
I I CSM 2/541
City State Zip Code Phone Number
❑ City F1 Village Q Town Nearest Road
Hudson WI 1 54016 I 715-222-5944
Hudson I Bradley Drive
New Construction Use: Q Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD
Replacement C' Public or commercial - Describe:
Parent material Outwash (Burkhardt Series) Flood plain elevation, if applicable NA ft.
General comments Replacement area is suitable for a conventional system with a 0.7 gpd/sgft rate. Possible system elevation for replacement area is
and recommendations: 85.25' (High trench), 84.35' (Mid trend)), 83.45' (Low trench). Slope of area is 14%. Z O /'4
❑ Boring
Boring #
u pit Ground surface elev. 88.95 ft. Depth to limiting factor 96+ in. Soil Application Rate
Horizon
Depth
Dominant Color
j Redox Description
Texture
Structure
Consistence
Boundary
Roots
GPDNe
in.
Munsell
Qu. Sz. Cont. Color
Gr. Sz. Sh.
'EfM
'EfW2
1
0-9
10yr3/3
none
sl
2mgr
mvfr
mvfr
as
gw
2vf
2f,2vf
0.6
0.6
1.0
1.0
2
9-19
10yr5/6
none
grls
lcsbk
3
19-48
10yr6/4
none
s
Osg
ml
as
- --
0.7
1.6
4
48-96
10yr6/4
none
grs
Osg
ml
----
-----
0.7
1.6
qqv
+r
,
❑ Boring
2]
Boring #
Pit Ground surface elev. 88.95 ft. Depth to limiting factor 96+ in. Soil Application Rate
Horizon
Depth
Dominant Color
Redox Description
Texture
Structure
Consistence
Boundary Roots
GPD/R'
in.
Munsell
Qu. Sz. Cont. Color
Gr. Sz. Sh.
•Eff#t
•Eff#2
1
0-11
10yr3/3
none
sl
2mgr
mvfr
as
2m,f
0.6
1.0
2
11-22
10yr4/4
none
sid
2msbk
mfr
gw
lf,lvf
0.4
0.6
3
22-31
10yr4/4
none
grsl
2msbk
mfr
gw
ivf
0.6
1.0
4
31-38
10yr5/6
none
girls
Osg
ml
cs
------
0.7
1.6
5
38-96
10yr6/4
none
grs
Osg
ml
--
— --
0.7
1.6
a
5
IZ6
1
I!
. Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mglV ' Effluent #2 = BODS a 30 mg/L and TSS <_30 ri
CST Name (Please Print) Signature: CST Number
Thomas J. Schmitt / 227429
Address Schmitt Soil Testing, Inc. Date Evaluation Conducted Telephone Number
1595 72nd St. New Richmond, WI 54017 9/8/2021 715-760-1978
SBD43300 07/00)
Property Owner Quinn, Eward & Pamela RVCBL Parcel ID # 020-1063-60-000 Page 2 of 4
3
❑ Boring
Boring #
❑ Pit Ground surface elev. 86.20 _ ft. Depth to limning tailor 96+ in. Soil Application Rate
Horizon
Depth
in.
Dominant Color
Munsell
Redox Description
Ou. Sz. Cont. Color
Texture Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/ft'
'Eff#1
•Eff#2
1
0-8
10yr3/3
none
sl
2mgr
mvfr
as
2Vf
0.6
1.0
2
8-14
10yr4/4
none
sl
2msbk
mfr
gw
1Vf
0.6
1.0
3
14-23
10yr4/4
none
vgrsl
2msbk
mfr
gw
1Vf
0.6
1.0
4
23-29
7.5yr5/6
none
s
Osg
ml
gw
-- —
0.7
1.6
5
29-
10yr6/4
none
grs
Osg
ml
--
---
0.7
1.6
Boring
Boring # El Pit Ground surface elev. ft. Depth to limiting factor in.
�_ Soil Application Rate
Horizon
Depth Dominant Color
in. Munsell
Redox Description
Qu. Sz. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPDfie
Tff#1
•Eff#2
i
❑ Boring
Boring # Pit Ground surface elev. ft. Depth to limiting factor in,
❑ Soil Application Rate
Horizon
Depth
in.
Dominant Color
Munsell
Redox Description
Qu. Sz. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/ft'
•Eff#1
`Ef #2
. Effluent #1 = B0D5> 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = B0D5 < 30 mg/L and TSS <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 alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777.
SBD69330 (R.07/00) Sdwy t Sill Tesft, Inc.
Conducted for:
YQV
Edward 8r Pamela Quinn Revocable Trust
815 Bradley Drive
Hudson, WI 54016
Lot 1 CSM 21541
SE1/4 SE S23 T29N R19W
Town of Hudson
163'
Exisitng
1000 Gal Septic
Weeks tank
HOUSE
BM 1 12'
WELL /92
90, 171'
116
/ 84'
90' '•:` Slope •/•
B2 ;
till' �•^.
Proposed 3' X 60' Trenches i
86'� 3
(STING
12'xa4'OF
BM?�.r• LD
BM 1 100.00' Top of existing septic tank man hole cover
BM 2 87.05' Top of vent pipe on existing drainfield
Septic tank outlet pipe. 96.55'
lit =60'
321'
Conducted By:
Thomas J. Schmitt
CST 7429
9-8-2021
St Croix County, WI
Legend
Lakes and Rivers
Rivers and Streams
Interstates
US Highways
State Highways
County Highways
Local Roads
-- Rustic Roads
Ramps
Road Right of Way
•e•renra arias
mrse.e
sr•»e
vry Iro+i
Railroads
Conveyance Division
0 20 40 60f1
DISCLAIMER: This map is not guaranteed to be
accurate, correct. current, or complete and
conclusions drawn are the responsibility of the
r St Croix County, WI
Legend
4t Lakes and Rivers
Rivers and Streams
0
l } ,ted�' C r qr eY.m:ryn,
xi ddl�^'Yn .a
Interstates
� nw US Highways
a
� - ' ' R �f�P � State Highways
I
County Highways
Local Roads
+"
Rustic Roads
Ramps
Road Right of Way
-' rmrem.e n.um.e
wvy.aoM
1 �1'
P Railroads
t 1f $1 Conveyance Division
d
4 eR r
N
j
0 50 100 150ft
. �s+a �:ua awl "la;•t�ra.w,+rar��m, �,�sx+trF
DISCLAIMER: This map is not guaranteed to be
eaurele, corral, current, or complete and
conclusions drawn are the responsibility dike
user.
iT
� oe,n. eze ra
a•
e 15
courvrir
OWNER K,#vo&&6Lc TrtJS-F'
;mj I/ bra
NO. 641911
ARY PERMIT
PREVIOUS NO. 136
nn
PLUMBER Told. Stkw,44-LIC.# ZZ3 7G6
TOWN OF AL jJcer%
SECZ:� ,T_Zft_N, R M E/W
AND/OR LOT i BLOCK
CSI(M 7- -'5q) SUBDIVISION
PERMIT EXPIRES
20kA,
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.
(d) Changed regulations will not impair the validity of a
sanitary permit.
(e) Renewal of the sanitary permit will be based on
regulations in force at the time renewal is sought, and that
changed regulations may impede renewal.
(f) The sanitary permit is transferable.
History: 1977 c.168; 1979 c. 34,221; 1981 c. 314
Note: If you wish to renew the permit, or transfer ownership of
the permit, please contact the county authority.
ISSUING OFFICER - DATE 3
UNLESS RENEWED
Zi// Z.Z
AIN VIEW
THAT DATE
VISIBLE FROM THE ROAD FRONTING THE LOT DURING CONSTRUCTION
SBD-06499 (RI1/20)