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HomeMy WebLinkAbout040-1318-00-008 Wisconsin Department of Commerce PRIVATE E YST ', 04 County: St. Croix 'afety and Building Division TES WAGE S E INSPECTION REPORT Sanitary Permit No: 488163 0 GENERAL INFORMATION w (ATTACH TO PERMIT) 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: Marquette & Lee Builders Troy, Town of CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: O(a(a g "v rolv� gv n1 11.28.19. TANK INFORMATION ELEVATION DATA TYPE MANUFACTURE, - ^ CAPACITY STATION BS �H FS ELEV. Septic Benchmark X 12 Dosing Alt. BM Aeration Idg. e r Holding St /Ht Inlet oPo. 3 / 1 - (01 61 TANK SETBACK INFORMATION t t ut et TANK TO P/L WELL BlLuu. V ent o it In ROAD Dt I n l e t ep is > 440 r y CD i I B ottom � t /off �•/ 3 D osing Lc Header/Ma µ ' u 10-7a.vi A eration Dist. Pipe 15 z / 3S o mg Bot. bystern 9.ou 1o'71.63 94 mnal Gracle PUMP /SIPHON INFORMATION m anuf act urer Demand Tiouil"r Ig +tt 3m p GPM t�f ,h.►.�'�C ��c� m odel um er i 11- • 2 � nc ion os ys em / S� '• / /�� a Y orcemam eng ia. 3S' VK- A —4 3• s - s' �op'66 Ian •�8 SOIL ABSORPTIUN SYSTEM DIMENSIONS /D I 2 INFORMATION CHAMB R JIT I / Length ia� Length� Dia l ` t Spacing 3, x Pressure Systems Only xx Mound Or At rade Systems Only Bed /Trench Center Bed/Trench Edges Yes No 1 Yes No COMMENTS (Include code discrepencies, persons present, etc.) Inspection 1: /• V Inspection #2: d 2 2 t / 2kv—t ' Location: 483 Prominence Way Hudson, WI 54016 (NE 1/4 NW 1/4 11 T28N R19W) Hi roy Lot 8 Parcel No: 11 1.) Alt BM Description = F44wQi 6 b _ s � /W � �Y V .2 1n 2.) Bldg sewer length = �1l p (�(td �' �!S knn 6Vrne r- D.�►1Fn 1 UGA� rLe � S - amount of cover = 7 Q �t/= S ✓t'�� y �ltV� G��i✓t . ! I�zUJt�-' Plan revision Required? Yes o 1 r Use other side for additional information. J /{ / /)/, 20Od / C�� r Yt JI L Date � l !! - -insepctofs Signature SBD -6710 (R.3/97) .� �ns r , I 2 Safety an uildings Division coutty �- ` 201 W. Washington Ave., P.O. 71 Madison, — anit it Nu er (to be filled in by Co.) Department of Commerce (608)) 266 -3156-315 1 3 I.D. NtimUUUUber 1 37 F7 5—S T17AuS Sanitary Permit Application In accord with Comm 83.21, Wis. Adm. Code, personal informatiot Z Std /p• may be used for secondary purposes Privac FN Project Address (if different than mailing address) L Application Information — Please Print All Informati l � „ 11G A 1 Property Owner's Name Parcel # Lot 9 Block # lac,— Property Owner's Mailing Address Property Location . ;! W/4 , Section _ City, State Zip Code ✓ Phone Number Q a e- W ( �q / l�� .3 91 .5 - 3 3 U ircle one) Type of Building (check all that apply) �r o✓ T N; RE or K 1 or 2 Family Dwelling - Number of Bedrooms [ Subdivision Name CSM Number ❑ Public /Commercial - Describe Use + 2 t o t r (C-L S d —f - 6-0 ❑ State Owned - Describe Use ❑City_❑Village V4-Fownship of Ptd III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. New System y El Replacement System ❑ Treatment/Holding Tank Replacement Only ❑Other Modification to Existing System List Previous Permit Number and Date Iss B 31// ❑ Permit Renewal Permit Revision ❑ Change of ❑ Penn it Transfer to New A Before Expiration Plumber Owner a \t / S tJb IV. Type of POWTS System: Check all that a 1 D x ❑ Non - Pressurized In- Ground ❑ Mound > 24 in. of suitable soil (Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravei -less Pipe ❑ Other (explain) V. Dis ersalfrreatment Area Information: O Design Flow (gpd) Design Soil Application Rate(gpdsf) Dis ersal Area Required (so Dispersw osed (so tern Elevation V�1J) � 0 - 1059 V1. Tank Info Capacity m Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic oe Holding T:rnk Aerobic Treatment Unit w Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plum is Name (Print) f Plumber' Signature MP/MaNg— lumber Business Phone Number 2?3'�YY Plumber's Address (Street City, State, Zip C t UJ Q VIII. County/Department Use Onl Approved t ved _� Sanitary Permit Fe includes Groundwater Date Issued Is uing gent S:71 ❑ No Stamps) Surcharge Fee) 7s ❑ Owne R n for Denial 7 0 IX. Conditions ppro v p � SYSTE Ek 3) 1 Septic tank, effluent filter and 6-- OtlA WJ4E dispersal cell must all be serviced 1 maintained ' 8s per management plan provided by plumber. � 2. All setback requirements must be maintained as per applicable code /ordinances. Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size SBD -6398 (R. 01/03) Plot Plaai .Wage of R i 4V=Vol Properry DIVjW mfarm1w ? LTcE lakal- e-Z. I » =40ft: L gal Dwer4odon 1 T & ikKs of - 1p"04 (except where noted, rr`ly, of 1W kA, soc. �., � � � o� ,�� n = .Backhoe pit - -� cw� co•nW,�} v�oas►N North a s �1_a31 *cis) o o , �! n T i � '�✓ m - gc are. g, OF `i i� �i: ALL • � �? b-D (c ' Safety and Buildings 4003 N KINNEY COULEE RD Co111t11erCeml.gov LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 isconsin www.commer sin.go www.wisconsin.gov Department of Commerce Jim Doyle, Governor Mary P. Burke, Secretary August 14, 2006 CUST ID No. 224832 AT77V.• POWTS Inspector MARY JO HOLLISTER ZONING OFFICE HOLLISTERS SOIL TESTING ST CROIX COUNTY SPIA W9875 690TH AVE 1101 CARMICHAEL RD RIVER FALLS WI 54022 -4011 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/14/2008 Identification Numbers Transaction ID No. 1308758 SITE• Site ID No. 711921 Marquette &Lee Builders Please refer to both identification numbers, above, in all con : correspondence with the agency. . Prominence Way Town of Troy . St Croix County NE1/4, NW1 /4, S11, T28N, R19W Subdivision: Hills of Troy; lot 8 FOR: Description: Proposed Four Bedroom Mound System; Revision Object Type: POWTS Component Manual Regulated Object ID No.: 1072265 Revision; Maintenance required; 600 GPD Flow rate; 17 in Soil minimum depth to limiting factor from original grade System(s): Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 101); Pressure Distribution Component Manual - Version 2.0, SBD - 10706 -P (N,01101); Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The approved chan eg s will become an addendum to the plans that were previously approved 4/28/06 under Transaction ID No. 1265332. 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: • This system is to be located and constructed in accordance with the enclosed approved plans and with the component manual(s) referenced above. • 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 POWTS installation is required. Arrangements for inspection shall be made with the' designated county official in accordance with the provisions of See. 145.20(2)(d), Wis. Stats. • The area within 15 feet horizontally below the system shall remain undisturbed. Vehicular traffic or soil compaction in this area is prohibited. • 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. Access to the tank/filter for maintenance purposes must be provided per Comm 84.25(7), Wis. Adm. Code • Comm 83.22(7) - A copy of the a roved 1 ns and this letter shall be on -site durin construction and open to ins ection b y a orize s • of the De artment which May include local inspectors. 1% P ROV MARY JO HOLLISTER Page 2 8/14/2006 Owner Responsibilities: • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Comm 83.52(1)(a) - The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. 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. n 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 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 to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, T Fee Required $ 75.00 2 Fee Received $ 75.00 Balance Due $ 0.00 Oerard M Swim POWTS Plan Reviewer, Integrated Services (608)789 -7892, Mon - Fri, 7:15 am - 4:00 pm WiSMART code: 7633 jerry-swirn@wisconsin.gov cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 ' h RECEIVEI) AX16 - 2 2006 MOUND AND PRESSURE DISTRIBUTION COMPOIq Residential Application DIN('7S INDEX AND TITLE PAGE Project Name: Hills of Troy Owners Name: Marquette & Lee Builders Owners Address: 1810 Crestview Drive Hudson, WI 54016 Legal Description: NE 1/4 of the NW 1/4, S11, T28N, R1 9W Township: Troy _ County: St. Croix Subdivision Name: Hills of Troy Lot Number 8 Block Number. NA Parcel I.D. Number: Plan Transaction No.: 1265332 � Page 1 Index and title N Page 2 Data entry Page 3 Mound drawings • MARY ,SO •• �; �• Page 4 Lateral and dose tank HOi.US*f EA Page 5 System maintenance specifications 1859 Page 6 Management and contingency plan FtN E R FALLS J Page 7 Pump curve and specifications WI Page 8 Plot plan Q• �•� Page 9 Deflection �ES1GN,:�• \ Designer Mary Jo Hollister License Number. 1859 -007 Date: 08/01/06 - Phone Number. 715 -426 -1775 1 Signature: 7,G a Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SOB- 10691 -P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) Version 4.0 (R. 04/03) Page 1 of 9 ptV1S it Ot S ETY Anti bu +L! t1GS SE F- GOR PONDENCE 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 <= 36 inches. 600.00 Design Flow (gpd) 12.00 Site Slope ( %) 1070.00 Contour Line Elevation (ft) 17.00 Depth to Limiting Factor (in) 0.40 In -situ Soil Application Rate (gpd/fe) Distribution Cell Information 62.001 Dispersal Cell Length Along Contour (ft) Cell Width (ft) 1.001 Dispersal Cell Design Loading Rate (gpd/ft?) 1 I Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution F Y Pressure Disribution Information network? Enter Y or N (c or e) a Center or End Manifold 333 Lateral Spacing (ft) If N above, enter the elevation ft) 3 Number of Laterals of the highest point. 0.156 Orifice Diameter (in) (e.g. 0.25) 2.50 Estimated Orifice Spacing (ft) = 8.26 ft 2.00 Forcemain Diameter (in) 20.06 rcemain Length (ft) Does the fotcemain drain back? Y J Pump Tank Elevation (ft) Enter Y or N 4.55 System Head (ft) x 1.3 3.26 Forcemain Drainback (gal) 2� 1.0 Vertical Lift (ft) 83.24 5x Void Volume (gal) Friction Loss (ft) 86.50 Minimum Dose Volume (gal) 16.31 Total Dynamic Head (ft) 40.39 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 2.00 x x I 1.50 x x 3.00 2.00 x 3.00 x Gallons/Inch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 1200.001 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Wieser I Manufacturer I I gal/in (enter result in cell 1349) Dose Tank Information Effluent Filter Information 800.001 Dose Tank Capacity (gal) JZabel I Filter Manufacturer 22.241 Dose Tank Volume (gal/in) K — 00 1 Filter Model Number Wieser Manufacturer Project: Hills of Troy Page 2 of 9 Mound Plan View T ............................. ..... ..... .......•.•.... ... J 1 Observation Pipe ..'.- :: -: -:- K -t-' -�► A :c5 w — a. :. I L Mound Component Dimensions A 10.00 ft E Aft in H Mft K 11.87 ft B 62.00 ft F in 1 ft L 85.73 ft D 19.00 in G ft J w -5*.94 ft 3 5ML 5 r 600.16 (fe) Dispersal Cell Area (fe) Basal Area Available ( 80 5F 9.68 (gpd/ft) Linear Loading Rate 6.20 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 1073.38 (ft) no H I F 7 Dispersa cell : 1072.08 (ft) Lateral 1071.58 (ft) Invert Dispersal Cell - Elevation E D Q: �... vLc 1 < r 1 r) 1 1h -.K ti ll 11 A r t .tia ))xa• n�titi)1 1 �t�� ,1 ��. 1 �1,'ta�'�I4 ._.t ti, il.. ;.1 1 ��. � . ..j j �r l.tt , ♦ z 3 1 �l �t,t 1 1 1 1.,:i1` , 1 i� ... 1 V.��.r`.:<441 4 ti1- l.Q l A;✓ I�?.{ .�A - tiA - (l�:A�rl ,l .l ). .l , 1070.00 (ft) Contour Elevation 12.0 % Site Slope Geotextile Fabric Cover Shading Key I — Dispersal Cell See lateral details on 10 ®Topsoil Cap 1.5 ft Page 4 for number, size, [?� Subsoil Cap a 0 °: :; :`.....,'. `._- °.:..: _ ; : and spacing of laterals. w Laterals are equally ASTM C33 Sand .a F g Tilled Layer c g 0.5 ft Typical ical l- : spaced from the 3 distribution cell's ❑5 M Aggregate �+ o centerline in the �---- A —� distribution cell (AxB). Project: Hills of Troy Page 3 of 9 End Connection Lateral Layout Diagram Center the laterals over the A ec 8 dimension 410 - Turn-up wt be It we Iwo or ol son outplua P FFa.ece laterals are identical k- X —;• i-bles drilled on the bottom of the tateral S egtaa ft spaced Laterals 8 force main of PVC Soh 40 (per COMMA Table 84.30 main canneodon via tee or cross to mardlold at ang point. i Number of Laterals 3 Orifice Diameter *25 Lateral Diameter 1.50 in Orifice Spacing (X) Lateral Length (P) 60.48 ft Orifices per Lateral Lateral Spacing (S) 33,3 ft Orifice Density 8.00 fe /orifice Lateral Flow Rate 13.46 gpm Manifold Length 6.45 ft System Flow Rate 40.39 gpm Manifold Diameter 2.00 in Total Dynamic Head 6.31 Forcemain Velocity 4.12 f 1sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and - Comm 16.28 WAC 4 in. min. Disconnect �..__ Tank component is properly vented a Alternate outlet location Forcemain diameter Wieser Manufacturer �_ 2 in. Ca ac' 800.00 Gallons Volume 22.24 gaVinch A Weep hole or anti - Dimension Inches Gallons B siphon device A 18.08 402.14 B 2.00 44.48 C P ump off elevation (ft) C 3.89 86.50 1061.00 D 12.00 266.88 D Total I 35.97 800.00 Dose tank elevation (ft) 3" Bedding uncler tank. 1060.00 i Alarm Manuafacturer ITank Alert Alarm Model Number I 101 HW Pump Manufacturer Gould 41 -51 series Pump Model Number 13871 Pump Must Deliver 40.39 gpm at 16.31 ft TDH Project: Hills of Troy Page 4 of 9 I I I _Ii - I Mound S stem Maintenance and operation Specifications Service Providers Name E� �Darrell's Se tic Service Phone P1715-386 5 -425 -1025 POWTS Regulators Name Croix County Zoning _ Phone -4660 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 1200 gal Maximum TSS 150 mg/L Soil Absorption Component Size 600 fe Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Conform >10E4 cfu1100 mL Service Frequency Septic and Pump Tank Inspect and/or service once every 3 years Effluent Fitter Should inspect and clean at least once every 3 ears Pump and Controls Test once every 3 years Alarm Should test monthl Pressure System Laterals should be flushed and pressure tested every 1.5 years Mound Inspect for ponding and seepage once every 3 years Other I I 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 Tum-up retail Finished .. .......... �4! •...••..•.....• Grade \J4 Threaded Cleanout 6-8" Diameter Lawn - -> Plug or Ball Valve Sprinkler Valve Box I Distribution Lateral `y Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral P roject Hills of Troy Page 5 of 4 P � y I I I 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 ISBD- 10691 -P (N.01 101) 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 souk! 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 84nctes 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 filter shall be serviced if the alarm is activated continuously. Intermittent fitter alarms may indicate surge flows or an impending continuous alarm. The septic tank shalt have its contents removed when the volume of sludge and scum in the tank exceeds 113 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 time mound's perimeter, and the mound shaft 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 BOD5, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg& BW 30 mg/L TSS, to mg& FOG, and 10` cfu/10o 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 dogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. 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. Conti Plan nasncv 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 compoment(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 dogged 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: Hills of Troy Page 6 of Q: I U (3UULU5 PUMPS Submersible Effluent Pump - P PE >105 mom RX1 Pump — GenMl: General: ■ CoRoSion resistant • DisdOW.1 W NPT • Single phase construction. • Temperature: 1 04OF (40 ' 6 0 FeW ■ Cast irmt body. ma)dmum, continuous when • 115 and 230 v olts ■ Thermoplastic impeller and fully • Solids ha 'A' • tection ausomalk rest ■ upper sleeve and Iowa maximum *M. •Class 8 insulation. heavy duty ball bearing APPtKATIONS • Automatic models include a ' OfUlled design. construction. float switch. • High strength carbon steel ■ Motor is permanently Specialty designed for the • Manual models available. shaft, lubricated for extended following uses: • Pumping range: see PE31 Motor service life. • Mound System performance chart or curve. • 33 14P, 3000 RPM ■ Powered for continuous • Effluerrt/Dosfng Systems Pei Punyx • 115 VOhs Operation. • tow Pressure Pipe Systems ' Mardmum apadty: 53 GPM • Shaded pole design ■ All ratings are within the • Basement Draining • Maximum head: 25' TDH PE41 Motor. Quid ng li mits the mo tor. • Heavy Duty Sump/ P641 Pump: • .40 HP, 3400 RPM p ower Dewatering : Maximum capacity; 61 GPM 115 and 230 votes cord, 20' standard length, Maximum head: 29' TDH PSC design heavy duty 166/33 S1TW with 115 or 230 volt gmundaV PE51 Pump; PE51 Motor. p l ug . • Maximum capacity: 70 GPM • .50 HP, 3400 RPM ■ Complete unit is heavy duty, • Madmum head. 37' TDH • 115 and 230 volts portable and compact. METERS FEET • PSC design ■ Mechanical seal is carbon, 40 , — , ceramic, BUNA and stainless - i - i t ' T' MOM& PB1. P641. PE51 i Steel. x - 35 -t-fi: - �,., —! _ ►+P 3s, j+o..so { • Stainless steel fasteners. 30 AGENCY USnWA 1 Fr w 25 —r I • -,— ''T'- r 20' • ; Tested to U1778 and CSA 22.2108 SWndards BY Cam" AssodAon file Ouu" 10 . � r a t r , - T CM tds Armes is so "M pegisftra Cq 0 0 1 0 20 — 30 0 60 70 GPM 80 �� 0 s 10 1 5/n Gou Pu 5 I'ADAFIrV X Plot Plan Page 0 of q i"_ yo' tip ffly Owner I hftQky CTE k t&x iatim its I"= Oft Legal Des on was of o whem NOW mh OF-n*"" aw- �., , R��- -rMY, n = Backhoe p cawx coi w ,,�, Nom* Ct_a3�) 1W�o. J r pROA►y��gE, vJ}c`� � � d/ .� � X o� n z47 e: • �' C F 1ow3M Mound Deflection: Proposed Mound: . Ft x ft f i 8 O The deflection of a distribution cell on concav�lopcs is calculated using Formula 8. Formula 8 Percent of Deflection = (Deflection 2- Effective distribution cell length) x 100 Where: Deflection = Maximum distance between the down slope edge of a concave distribution cell to the length of a perpendicular line that intersects furthest points of the contour line along the down slope edge of the distribution cell Effective distribution cell length = Distance between the furthest points along the Exam fe: contour line of the down slope edge of the concave distribution cell G�10 X (7 85 ft) x 100 = g -2 percent deflection The actual distribution cell length must be checked to determine if the cell area is sufficient. The actual distribution cell length is calculated using Formula 9. Formula 9 Actual distribution cell length = f t of deflection x 0.00265) + 1) x efFective distribution cell length Where: %of deflection = Determined by Formula 8 0- 00265= Conversion factor from percent to feet Effective distribution cell length = proposed measured cell length at down slope edge of cell f B 1 = Constant EXa — in t)ie: Actual Distribution cell length = ((8.2 x -00265),+ 1 = 1.02173 x 90 ft = 91.9 ft or 92 ft. s to be increased b ft to f 1 l e n g t h need Y Cef f gt � �L.., t- 44 lu--5 ()F -r5?,DV- ZzT � r Safety and Buildings Division County 4 I t 201 W. Washington Ave., P.O. Box 7162 s 1 IvC 21F � Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) De artment o r (608) 266-3-151 t fig / 3 e Plan I.D. Number anitary Mmit Applicati f n K_ IVED -Z z In accord with o dm. Code; petsonal informan you provide pr ect Address (If different than mailing address) may be used for secondary purposes Privacy Law, s15.0 1)(m� WY r ) 1 2006 1 I. Application Information - Please Print All Information � � Q fN �� V. C COUNTY �/ Property Owner's Na me Pa eel N Lot b Block N 1►'!40, 67 4 tz 4, 6: R ul1- 0Ms Property Owner 's M ailing Address /0 /� f / P ert / Ci 0 Cf P_ r� L)CG'w ' ` f/ � �C.� Ik, 41 W ,Section City, S tate w �i� d Zip Code Phones Number VI. 0 5 i V - " ✓ i / 71— � !7 q (circle T a N; R�E o II. Type of Bull (check all that apply) OK Cv5 QP f A /1 Subclivi CSM Nu er ' I or. 2 Family Dwel - Number of Bedrooms t) t O 1) Pubiic /Coinmercial - D ibe Use 0) ck.✓\-- _ /� L ❑ State Owned - Describe Use k r. Daly — Village kownship of Ar III. Type of Permit: (Chec oillkn box on line A. Complete line plicable) A. 9 Ne w System ❑ Replacer t System ❑ Trearment/Hold' ank Replacement ly ❑ Other Modification to Existin m B. ❑ Permit Renewal ❑ Permit Revision � ►Cha , nge of_ a alit. fer List Previous Permit Num to Issued Before Expiration Plu wner Y r' $ 1V. T ype of POWTS System: (Check all that a ❑ Non - Pressurized In- Ground El Mound > 24 in. of sui soil Mound in. of suita it rad 7Single d Filter ❑ Constructed W etland ❑ Pressurized In- Ground 01 d Ta ❑ Peat Filter ❑ o e ten RFilter ❑ Recirculating Synthetic Media Filter El Leaching Ch ip Line 11 Gravel -less O (exp ) y / V. Dispersal/Treatment Area Information: 1 Design F low (gpd) Design Soil Application Ra g f) tspersa ' Re aired spersa re oposed �0 Systern Elevatiaij' ] I /� D 4) O din VI. Tank Info Capacity in To Number ufacturer Prefab 7 Site reel Fiber P15SIiC Gallons y o ns f Units Co n to Construct Glass New Existii Tanks Tai !.� �q v . � Septic or Holding Tank / � , Aerobic Treatment Unit y Dosing Chamber �[ NS I VII. Responsibility Statem t , t ul 1 ed, assume rdspons hlstallitlon of dhe PO S sh n on the attached plans. PI ber's Na me (Print) i 's Si gnature MP /Mi?R - Nuplber Business Phone Number lu the s Addrrc ss (Street, t State, Z de) VII Count /De men Use Onl Approved D a awry it Fee (includ Groundwater D Iss d Issui Agent Sig r o PS) j} L 5 ❑ G eason for De ' 1 Surcha ee) OQ lE{ J IX. Conditions of Appr.ova Reasons for Disap al 1. Se i OWNER: 3 UL VWQS� -- 6 a ' ir�r� �. septic large, PNttar snd �� �- eve.(' w�u.�,n. c,Q_ dispersal cell must bs servlc /make as per manapemeM mvkled by phtm 2. AN setback requirements as Per applicaele code / ordirtartoes. 4) C� � �,� � �• 5�.� db�.Q �� Attach complete plans 4- the County only) for the system on paper not less than 91/2 x 11 inches in size SBD -6398 (R. 01/03) 1 ra ., 4 r r � t aIAJ 4 , wlowo M3T2ya t;n ?qf st trs;.ar!? test o+igs2 J ,,,+ "Apr" 26 06 10:44a MaryJo 7154264827 P.5 Plot Plan Pa o ag - f Property Owner mARQu-vvm L ��s 8v kk- tires Le al Desc ' dan = 40 ft g � (except where noted, Wr of c N w 1 J4 SEC. i% �zn..� R �qw - cam ,) oT y n = Backhoe pit �'. ca co•�azy w\scoa�N, North Cf_oat � -coo of X14 o - �o+la,aZ Y� iro � 'ro r l.J W yQ1 PRovosEp � � \ WELL \ 24'x'. St' '• •'Rpe 26 06 10:44a MaryJo 7154264827 p.5 Plot Plan page q of q Property Owner MArQWeVcE Lis av�«oE�s 1 » = 40,fx Legal Description except where noted, 1`1y of -rte ntw��y, sec. 1 ►. �za..,� R �qw - row, o� - rRpY n = Backhoe pit sc, cao�x co �a'ty, v��scoalV, North �I. o3t �tcs�s) to of i�W J � a' rd h p Df+ ER o0 0 A � 0 0 z o`- 0 we« F x„34 Safety and Buildings commerce.wi. OV 4003 N KINNEY COULEE RD g , LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 iscons i n www.commer isco govsbt Department of Commerce www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary April 28, 2006 CUST ID No. 224832 ATTN.• POWTS Inspector ZONING OFFICE MARY JO HOLLISTER ST CROIX COUNTY SPIA W9875 690TH AVE 1101 CARMICHAEL RD RIVER FALLS WI 54022 -4011 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/28/2008 Identification Numbers Transaction ID No. 1265332 SITE: Site ID No. 711921 Marquette & Lee Builders Please refer to both identification numbers, Prominence Way above, in all correspondence with the agency. Town of Troy St Croix County NEIA, NW1 /4, S11, T28N, R19W Subdivision: Hills of Troy; lot 8 FOR: Description: Proposed Four Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 1072265 Maintenance required; 600 GPD Flow rate; 17 in Soil minimum depth to limiting factor from original grade System(s): Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 /01), Pressure Distribution Component Manual - Version 2.0, SBD - 10706 -P (N.01 101); Biofilter 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. 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: • This system is to be constructed and located in accordance with the enclosed approved plans and with the component manual(s) referenced above. • 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 POWTS 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. • The area within 15 feet horizontally below the system shall remain undisturbed. Vehicular traffic or soil compaction in this area is prohibited. • 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. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • Comm 83.22(7) - 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, COIZditio lallj' AP DEPARTMFNT nc MARY JO HOLLISTER Page 2 4/28/2006 t Owner Responsibilities: • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Comm 83.52(1)(a) - The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of 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 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 to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Gerard M Swim POWTS Plan Reviewer, Integrated Services (608)789 -7892, Mon - Fri, 7:15 am - 4:00 pm WiSMART code: 7633 jerry.swim@wisconsin.gov cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Commercial Application INDEX AND TITLE PAGE Project Name: Hills of Troy Owner's Name: Marquette & Lee Builders Owner's Address: 1810 Crestview Drive Hudson, WI 54016 Legal Description: NE 1/4 of the NW 1/4, S11, T28N, R1 9W Township: Troy County: St. Croix Subdivision Name: Hills of Troy Lot Number. 8 Block Number. NA Parcel I.D. Number. Plan Transaction No.: r� Page 1 Index and title RECEIVED Page 2 Data entry Page 3 Mound drawings APR 2 0 2006 Page 4 Lateral and dose tank Page 5 System maintenance specificatf�M & BUILD Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 it Page 9 Plot Plan Designer. Mary Jo Hollister License Number. 1859 -007 Date: 04/19/06 Phone Number. 715 -426 -1775 Signature: C Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB- 10691 -P (N. 01/01), and SSWMP Publication 9.6 Design of Pressyre, Vjod§ution Networks for ST -SAS (01/81) IViSIp SAfETYAND BUILDINGS Version 4.0 (R. 04/03) � Page 1 of 9 SEE CORRES DENCF_ Rpr 26 06 10:44a MaryJo 7154264827 p.3 Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) r Residential or Commercial Design Wrote: Sand flu (o) calculations assume a 400.00 Estimated Wastewater Flow (gpd) Tattle 83-44 -3 in -situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150 %) conform of - 36 inches. 600.00 Design Flow (gpd) 12.00 Site Slope ( %) 1069.00 Contour Line Elevation (ft) 17.00 Depth to Limiting Factor (in) 0.40 In -situ Soil Application Rate (gpd /ft Distribution Cell Information 60.00 Dispersal Cell Length Along Contour (ft) = 1Q.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/fe) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution F Y Pressure Disribution Information network? Enter Y or N (c or e) a Center or End Manifold 3.33 Lateral Spacing (ft) If N above, enter the elevation (ft) 3 Number of Laterals of the highest point. 0.188 Orifice Diameter (in) (e.g. 0.25) 2.50 Estimated Orifice Spacing (ft) = 8.33 ft /orifice 2.00 Forcemain Diameter (in) 20.00 Forcemain Length (ft) Does the. forcemain drain back? l� 1060.00 Pump Tank Elevation (ft) Enter Y or N 3.25 System Head (ft) x 1.3 3.26 Forcemain Drainback (gal) 10.08 Vertical Lift (ft) 80.40 5x Void Volume (gal) 0.90 Friction Loss (ft) 83.67 Minimum Dose Volume (gal) 14.23 Total Dynamic Head (ft) 47.19 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 1.25 2.00 x x 1.50 1 x I x 3.00 2.00 x 3.00 x Gallons /Inch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 1200.001 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Wieser IManufacturer galfin (enter result in cell B49) Dose Tank Information Effluent Filter Information 800.00 Dose Tank Capacity (gal) JZabel Filter Manufacturer 22.241 Dose Tank Volume (gal/in) JA100 Filter Model Number Wieser IManufacturer Project: Hills of Troy Page 2 of 9 Mound Plan View T : =: :1/10 B : �:•:-:-:-:-:•:•:--•--•:•:':-:•:•:•:- :•:- :.;,..• ..... ....... . ;._.;.. . ... -..• J Observation Pipe 3 : :: :•;. :K: : _ l �{ T A W _ B J I L Mound Component Dimensions A 10.00 ft E 33.40 in H [ Aft ft K 11.86 ft B 60.00 ft F 9.25 in z ft L 83.73 ft D 19.00 in G 0.50 ft J W 35.30 ft 600.00 (ft Dispersal Cell Area 1740.23 (ft Basal Area Available 10.00 (gpd/ft) Linear Loading Rate 6.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 1072.35 (ft) ► ♦ H 2 G j F Dispersal Cell 1070.58 (ft)—o-1 1071.08 (ft) Lateral — Invert Disper Cell Elevation E D =_•` 3 == l � 1 : 1.- :1 N 1 �x t a J 1 4 11.1 - 1Jv�2 �R •. f j,� �<l r a h1z N� 11 rl�nt_ ��<�ul•NNr c tl�l r - �� _ �ti �1 ` �11�u.1 ✓�Nk4tt't�1.�tT<<1• � 1•<U�1•ttiscN•r. A+.+x X12 t�?�1 �,.t:�r �N�- f_'�1�111'c5` xNt "U ,t -cit 4�� .t'•�1•lr� - .ti,TN �.N....,tx l� - <•.. > �. _ .- .��c�',.tl.T. 1.1, a , > 1 . ; - .1�.C.2.;11•JvlT n � J.,i . 1 , 12.0 %Site Slope 1069.00 (ft) Contour Elevation Geotextile Fabric Cover Shading Key m a Dispersal Cell See lateral details on Q Topsoil Cap c 1.5 ft Page 4 for number, size, Subsoil Ca p a o .�g.,; ;;:;'r:'� :� - �;_:��;• and spacing of laterals. © ASTM C33 Sand 1° i° " Laterals are equal) ® Tilled Layer c a 0.5 ft Typical Lateral spaced from the EM Aggregate v c 5 distribution cell's "�`' • "" centerline in the A — * distribution cell (AxB). Project: Hills of Troy Page 3 of 9 Apr 26 06 10:44a MarBJci 7154264827 p.4 End Connection Lateral Layout Diagram Center the laterals over the A&8demension •m Tu rn -u p vW be 11 valve oP ales n out pi up P - A11 laterals are Identical I<- ;< Holes drilled on the bottom of the lateral s equally spaced Laterals 6 force main of PVC Soh 40 S (per C0f~ Table 54.30 -6) Foroe main oonneotion via tee or Dross to manifold at any point. Number of Laterals 3 Orifice Diameter 0.188 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.54 ft Lateral Length (P) 58.42 ft Orifices per Lateral 24 Lateral Spacing (S) 3.33 ft Orifice Density 8.33 ft /orifice Lateral Flow Rate 15.73 gpm Manifold Length 6.67 ft System Flow Rate 47.19 gpm Manifold Diameter 2.00 in Total Dynamic Head 14.23 ft Forcemain Velocity 4.82 ft/sec Dose Tank Information Locking cover with warning label and locking device and �~ sealed watertight Electrical as per NEC 300 and -- - i Comm 16.28 WAC 4 in. min. Disconnect Tank component is property vented l Alternate outlet location Fomemain diameter Wieser Manufacturer _ 2 in. Capacityl 800.00 Gallons Volume 22.24 gallinch A Weep hole or anti- Dimension Inches Gallons B 6 siphon device A 18.21 404.97 C B 2.00 44.48 Pu off elevation (ft) C 3.76 83.67 —f 1061.00 D 12.00 266.88 D Total 35.97 800.00 Dose tank elevation (ft) 3" Bedding under tank. 1 1060.00 Alarm Manuafacturer I Tank Alert Alarm Model Number 1101HW �— Pump Manufacturer I Gould 41-51 series J Pump Model Number 13871 Pump Must Deliver 1 47.19 gpm at 14.23 ft TDH Project: Hills of Troy Page 4 of 9 i Mound System Maintenance and Operation Specifications Service Provider's Name Darrell's Septic Service �� Phone 715 -425 -1025 POWTS Regulator's Name St. Croix County Zoning 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 mg1L Septic Tank Capacity 1200 gal Maximum TSS 150 mg/L Soil Absorption Component Size 600 ft Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Freauencv 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 Moundl Inspect for ppnding and seepage once every 3 years Other 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 Tum -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: Hills of Troy Page 5 of 9 Mound System Management Plan Pumard to Comm 83.54, Witt. Adm. Code General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' corrWrinOnt mhanu t ISBD- 10691 -P (N.01101) and SSMW Publication 9.6 (0181 )1 and beat or stare rules perwining 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 comers 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, Slats. 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 filler 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 is 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 113 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shag advise the owner of when the next service needs to be performed to maintain less than maximum scum and skdge accumutation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, t such products are used they shag be approved for septic tank use by the Department of Commerce. Pmno Tank The pump ( dosing) tank shag be inspected at least once every 3 years. All switches, alarms, and pumps shag 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 systern No trees or shrubs should be planted on the mound. Plantings may be made around the mound's peririeter, and the mound shag 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. Colo weather arstallations (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 mgll 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 f tahing 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 dogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell drag bedecked for effluent pondi g. Pording levels shag be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Conbnh7eFWV Plan If the septic tank or any of its components become detective the tan or component shag be repaired or replaced to keep the system in proper operating condition. If the dosing tan, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shag be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begin 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 nacre and telephone number of your local POWTS regulator and service provider. Project Hiff of Troy Page 6 of 9 - - -- - �- to uv r /vv �. GO1LD5 IMPS Submersible Effluent Pump PE SPEOFK' Mrz mom FMTUM ►tarp — C�etsoral: GM".' . Corrosion nmkRam • Disd t at�e_ t'I�'wr • Shtgle phase y ft • RmpKawre:104aF (4WQ • 60 Ham ■ Cast 40R body. - ntaftunt, oori tuow when • 115 votes • 7 hdotop63dc inpekr am . WHY"Wrierged t ha�. � sec tl n � otRrlo � cover. ma i U PPer mtt)vrrtwn Sphere. • CIM111 MAW uty b og q A11WM* modeb htdudea • 094AW � and low 9 APPLKATIOM3 311 float sit. • W10 h soengdt cAW Reel • Mww;S w", , . Spedaltlr desltted for tlse • Manual models avaiable, shag Ivbrttated far atended idbwing uses • Pumpeg range: we PE31 Moeor. urvice We. • Mound Sysft 1�etfonnance d:tltt tx awe. • 33 PIP. 3000 RPM ■ rowed for axmnuous L P rezvj* P4 9ystetns FBI PU MP : � 12.0 Msdnwtn amps oper S oma • Bo:ement Draining 50 GPM Shatsod pole dttslgn ■ N r "sate rM h the ^M9 head: 2S' Tom PF41 Nbtor, wort" *oft of the raptor. • � Sul PE4f PUMP: .40 HP. 3400 RPM! Q cried power • Matdmtn cepedy.. 0G • 7.5 Matta!! n � mY W rfih Ma►dMUM heat!: 29' desip 1 FBI Pump: PESt M0ftr HI MA 5.15P, lira pW"j, Mauinnsn Gapadty: 70 GPM • .50 HP, 3100 RPM 11S volt 9ft6diry p1vg • Matatraen head. 37' ID" • 15 Min amp w portable and o �' METERS 0 ' PSC dt slyn sew b tarbm aundC RM and standow WOKU MI. W411. 00 33 70 - -- r_ _T,. 7. �. 1b .i0 • Slaw m sled bfift4 S . Fr y - • --••• -.t-. �' • r.-- C VS TON MO to 0 fi t} IV _ . -••y i : a " t•- »�. -" « .,� . .1 20 30 .4 50 60 : 70 GPM 80 0 s 10 is n"s/h Puffuz '� �' FACE 7 of 11�/•?I r�+4��rJ 3UMBeFbIONe 4 . '"" "uent Pump :7 EPO4 & EP05 9 3 _ 5 4 Sa 3 nes 1 - �%0 2 COMPONENTS O!M E NS ONS (al dimensions we in Indies. Do not use fm o on PpPvses3 item Ne Dsawm 1 Impeller 2 Bast t 3 Pump Casing 4 Medmnw Seal t 5 Bab Bembigs 6 oAngs 7 Paver Cotd 7% - -{ 17 - - - - 1'bNPT 8 Oil Filed Mahn t 9 Mato► t __Iz States Assetr�6ly QL 10 maw covv 4vt PERFORMANCE SARUGS 6' MINN" WATER LEVEL WHEN Total Head Daft" Per n S l"M w11H RMT Swli01 (f6 of crater) Mb ft (l/ lociT EPOS 5 53 - 10 46 62 1s 36 55 20 21 46 35 0 33 30 - 11 MODEL infORMAf10N RNaltatps Fim a ni : caid Rlattitar.t Order Na NP Volts Amps C;� /hase Co� on OR Basin Seals areaker • Litrd Lend abot!er Sae bft M11 Pla INoSW" f0' 156• UNAW MWAW 15' 2019.1 EPO41IA /WkleAngle 10' 153 it C 15• 21193 EPO411F .4 115 12 20 NoSvrit1h 2d' 1W manw iFb; 15• 2019.1 EPO411AC / 2d IW 12' 6' i5• 21145 E M412 F 2 1 / Wo Slv7lrb iQ 153• 111110" M� 15' W 2019.1 PO41230 6 10 Plug! no SvreM 20' I W UWAd mama! 15' 2019.1 EPOS1 iF k230 13 20 / No 5vr" f0' f 53' No" NHtrnl 15' EP0511AC S . PkjWba&jWde-Angln 2Q 1X• 1 2' 6' is 23/1 EP0572F 6S 10 / No Sm" 20' 153 ma"d aCrmal 15• 22110 1 .souldi Pumps nd ps the XT! Eogneered Blotlrs Symbol art GJI ps Revs xvnered rradeema& and awenomcs of 1T!' h&wvim www.f�ulds cwn YQ � crF ' - ° w ' 00" E .00' N 0236.81' ..�- i cni Zi Wes' j I i w w! N J �_ I - L —C66,_ . _ 6Z .0 — — — ZS . C17 Cal ..�OMINENCE Cs1 w WAY � " s N - - y 0 Z_ _ M „.90 to 2 2 1 � 9l0 0 N ----- - - - - -. o : ( 1 N; .. t 5 rrZ 22 00..E 53.E t7 � y oo'\ �•� �6'�' ° �Z S 1.0 4 o ti ; d+ j X00 w X029 ,825 SF S .� i \ �" • o O ' ... p ° - --- ._ ._. � fq us 04 .. W j , •— • - --- - 2 - 9 — - - - - -- go f � 1 .. -• —•� N � �I —s ,so . •• W 32 .10 N 02°QO 132.52 ;'••;; 142.08' __. - - -- 20 ......• ., - - , 0�.:1 W 1 406.92' NSLL °�4' 0" E r 02°00 \ o i 40 I i i O w o \ \ c* N D CO j i U) �Ig 1cn .� I I U)o y � �gc y, �I rn rro Apr 28 06 08:17a MarBJo 7154264827 p.10 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM 1 ' ^ OwnerBuyer e- Mailing Address — I"lLr0 4 Bl' all 5 ' Property Address Lkj A (Verification required from Planning & Zoning Department for new construction.) City /State Parcel Identification Number e4\ LEGAL DESCRIPTION Property Location NE 1 /4 , NVJ '/4 , Sec. It , T Z$ N R 19 W, Town of I M Subdivision 4A % lLS or- Tr-Tr Lot # g Certified Survey Map # Volume , Page # Warranty Deed # 5 9 75 , Volume , Page # Spec house es no Lot lines identifiabl t yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system Owner maintenance responsibilities are specified in §Comm 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin.. Certification stating that your septic system has been maintain must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on this form are true to the best of my /our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms / SIG A OF PLICANT(S) DATE ** *Any information that is misresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * ** l? Include With this application 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. (REV. 08105) l� STATE BAR OF WISCONSIN FORM 2 - 1998 3 9 3 9 WARRANTY DEED KATHLEEN H. WALSH REGISTER OF DEEDS Document Number ST. CROIX Co., WI RECEIVED FOR RECORD This Deed made between Troy Development Corporation 04/28/2006 02:00PK a WARRANTY DEED Grantor, EXEMPT # and Ylarquette & Lee Builders, LLC REC FEE: 11.00 TRANS FEE: 419.70 COPY FEE: Grantee. " CC FEE : PAGES: PAGES: 1 Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Cro x County, State of Wisconsin: Bre F'hoord'u�g a _ Lot 8 of the Plat of Hills of Troy, Town of Troy, St. Croix . County; �ti s con si n . i hie eturn Address - -_ e & ilders, LLC Subject to the terms and conditions of the Declaration of Covenants s 'ew Drive and Restrictions for Hills of Troy recorded January 17, 2006 as document number 816569 and the terms and conditions of a Landscaping Easement recorded January 17, 2006 as document number 816571 all being recorded in the office of the Register of Deeds for St. Croix County, Wisconsin and FURTHER being subject to easements, restrictions, reservations of record, or in use, and the "Buyer" obligations and Part of 040- 1047 -50-0 conditions contained in the Purchase Agreement for this lot and any Pam �dentlflcation Number (PI addendum thereto between Grantor and Grantee herein, which includes This iS not homestead property. without limitation, recd rements for approval of plans by an (is) (is not) Architectural Review Canmittee, approval of home builder by Grantor, compliance with Grantor's approved builder requirements and potential fees related thereto and a mencerrent of construction deadlines together with related rights of redemption and /or lot maintenance fees, all of which shall survive closing and conveyance of this _ property and shall be binding upon Grantee, and his /her /their successors and assigns. Exceptions to warranties: Dated this 28th day of Apri 1 2006 • !1 (SEAL) (SEAL) �I * Ric and Halu tzok, Vice - President r y Development Corporation (SEAL) (SEAL) Si AUTHENTICATION ACKNOWLEDGMENT t Minnesota Signatures) State of #)@90QX, SS. i� Anoka County. Personally came before me this 28th day of �( authenticated this day of Apr11 2006 the above named 4 " 'sIM'eeNnsnnliW �{�' I - Z 'oN Mod aflfla ALN� Mvm oul ' op )IuBle Ill ulsu-sl � � Sim do ava RIVIS elmiulls ilogl — laq p;nuwd jo pedf4 eq lsnui fC71oedoo Cue ul 8ury8ls suosmd jo sourvN # :. TE p11UL[' 7 ou an tpog pa$palmou�e io pa;voRuayine aq data sa njvA I ' :aiep uope.Tdxa aieis IOU ,b 'ivauetuaad sF uoissTt=oo S WOP PaJd `*M 'S Sal eM. 140SaUU I{W 'f4UnM p)" JO OMS 'oi[gnd km S p �� uo j -4� x'J - 4 uado Lanaa Moil t7 As a3.LAVaa SVM 1N3WfldlSNl SIHI li I -gums atp aspelmoups pus ivaum isul (SIMS 'SIM '90'905 4q pazlaoW10 8ulo8aao; atp painoaxa oqA& uoslad aqi aq of umou)l atu 3I) F� of MSNOOSIM 4O U'a RIVIIS SH9yq K :H'I, u j: uo F :pe -4 Lanaa — a,id -ao MA fWz4 dnLl 2 H PAq M Wisconsin Department of Commerce, r d TION REPORT Page 1 of 3 on of Safe anr' g.i`�` Divis Safety � gs jina ance with Comm 85, Wis. A Code County ST. CROIX Attach complete site plan on paper not less khan 81/2 x 11 inches iq Ai ��,,Ee . Pla ust include, but not limited 6a: riz ntal reference point(BM),'.d'tfectio and Parcel I.D. (PENDING) percent slope, scale or dimensions, north a ow, and location and distance to , arest road. Please p rint ' I mj 4 , ✓IX l'UU, - R ewed P Dat ._. ��OFFICE / -7 X / Personal information you provide may be used for secondary purposes 5.04 (1) (m)). ! / U V Property Owner Property Location ;- )W NORTH DAKOTA STATE UNIVERSITY C/O Leo Beskar Govt. Lot ---- NE 1/4 NW 1/4 S 11 T 28 N R 19 E (or) W Property Owner's Mailing Address Lot # Blodc # Subd. Name or CSM# Rodli, Beskar, Boles & Krueger SC, 219 N. Main Street 8 - -- Hills of Troy City State Zip Code Phone Number flY E] village Town Nearest Road River Falls, WI 1 54022 ( 715 425 T40Y i Coulee Trail New Construction Use[D Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD E ] Replacement Public or commercial - Descrilpe: Parent material loess over t 11 / Flp / od ►' In elevafi n If ayplicab n ft. General comments U Mound System - N 1S9 sand i1 -- 0.4 ( g rate and recommendations: �— , S Cl � ✓ � ���� � � ,4-�' w• l � D . o S /Ohl !Ipre-treatment sys em - .59 ft. mound sand - 0. loading rate)' K� F Boring # 0 Boring :: --- Q Pit Ground surface elev. 1C6q• 0'7 ft. Depth to limiting factor 17 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 1 0-4 10YR3/3 - cl 3fabk mfr as 3vf -co 0.4 0.6 2 4 -12 10YR3/3 -- cl fabk mfr as 2vf -co 0.4 0.6 3 12 -17 10YR4/6 - c 3fgr mfi cw 2vf -co 0.2 0.3 4 17- -- - s -- -- - -- S C - F B ] Boring # � Boring 18 pit Ground surface elev. 10io4. U . -Depth to limiting factor in. Soil Application 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 -3 10YR2 /1 sil 3fabk mvfr cs 3vf -co 0.6 0.8 2 3 -10 10YR3/2 - sil 3fabk mfr as 2vf -co 0.6 0.8 3 10 -18 10YR3 /4 scl 3fabk dh as 2vf -co 0.4 0.6 4 18- -- lsbr -- H orizons 1&2 have some gr. Effluent #1 = BOD > 30 220 mg/L and TSS >30 < 150 mg /L ' Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) i a tAre CST Number Mary Jo Hollister Wv 224832 Address _ Date Evaluation Conducted Telephone Number I W9875 690th Avenue, River Falls, WI 54022 09-06-05 (715) 426 - 1775 Property Owner NDSU (Lot 8) Parcel ID # ( , Pendin - /g) � p Page 2 �age of 3 !` Boring # Boring �n j �, 5 �27/ 2� `1 "'� ' 00� 0& ❑ Pit Ground surface ele . 0 � 6. DS 1 v De ✓ pth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 I *Eff#2 1 0 - I 10YR3 /2 -- sil 3fabk ds cb 3vf-co 0.6 0.8 2 10YR3/2 -- sil 3fabk ds as 2vf -co 0.6 0.8 3 12 -23 10YR3 /4 -- sil 3fabk dsh as 2vf -m 0.6 0.8 4 23-25 10YR3 /4 -- sl lmabk dsh cs lvf -m 0.4 0.7 5 25-28 -- -- till /lsbr -- -- -- ❑ Boring # F Boring a pit Ground surface elev. ft. Depth to limiting factor in. Soil Application 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 Boring Boring # Ground surface elev. ft. Depth to limiting factor in. F-1 El pit 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 *Eff#2 * Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD < 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. SBD- 8330Te t (R.07 /00) u Plot P&n for Hills of Troy Page 3 of 3 Town o}° Troy , St. CroLx Counly Wisconsin Lot S 1 " =4Dft. Legai .Description jw.yy Qr--tt%c- tAwh,, te 91 2fL contours R19W . of = Backhoe pit 000 • +--._ — �y 4• a 1 0 FvA _ R D BI- a R -8B GL 4 a \ RTOP MARK. 0 0 8C IRO IR A I oN T F�ARK: A TtON b l\ r - Wisconsin Department of Commerce ' County: PRIVATE SEWAGE SYSTEM St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 488086 0 GENERAL INFORMATION (ATTACH TO PERMIT) 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 X Township Parcel Tax No: Troy Development Corporation I Troy, Town of CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: 11.28.19. TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt. BM Aeration Bldg. Sewer H olding MMt in j TANK SETBACK INFORMATION ` St/H 0 u� e TANK TO P/L WELL BLDG. V ent o A ir I ROAD Dt I o a t ep Ic Pt B ottom a osmg ea er an. era ion e, Dist Pipe o Ing Bo t. System r Ina ra e PUMP /SIPHON INFORMATION anu ac urer bernana bt cover GPM m oael NumFe f i nc i n oss s ystem rle or em in Lengin na. LUIlyin rrrTrME14V01MS NO. Y1 [quid Depin DIMENSIONS 7ST INFORMATION CHAMBER, OR ypt: 01 SybWl 11. UNIT Mudel 1101111301. N jLJ1b111UUL1U11 JA 1111 1 Q1 Pipe(s) Length Dia Length _T_ Dia Spacing x Pressure Systems Only xx Mound Or At -Grade Systems Only c� Bed /Trench Center ed/Trench Edges Topsoil ( J, Yes Nh I Yes j �No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: Location: Hudson, WI 54016 (NE 1/4 NW 1/4 11 T28N R19W) Hills of Troy Lot 8 Parcel No: 11.28.19. 1.) Alt BM Description = 2.) Bldg sewer length = amount of cover = Plan revision Required? Yes a No F Use other side for additional information. Date — - SBD -6710 (R.3/97) Safety and B r County s 2O I W. Washingto Ave. ED S7' /1 ! ®SC? offtommm Madison, 53707 — 7 162 �� Sa itary Permit Number (to be filled in by Cis.) Department (608) 66- ' O n 28 Sanitap"Re i �pplieati n ST rp St to Plan I.D. Number In accord with Comm $3.21, Wis. Adm. Code, personal infotmat n you prbJfti 01 X COUNTY ( Z 4S/ 36 = Tr c may be used for secondary purposes Privacy Law, s15.0 P t Address if different than mailing address; ^ Application Information — Please Print All Information �j I P ?iVl r, � ! pert Owner's Name Parc # t# Block# ; Praperty 0 er's Mailing dre Property Location �^ 1. i!1•: State Zip Code Phone Number -- F�- r� +, Section I 1 t % s`Z c/ g circle o U. Type of Building (check all that ap° ) T N; RE oU MA OJV s 6t�s or 2 Family Dwelling — Number of Bedrooms* S Subdivision Name CSM Number J. 4 '29 1 a'uulic /Carnmereial — Describe Use � U State Owned — Describe Use s ❑City ❑Village MTown 'p of _T ye. Type of Permit: (Check only one box on line A. C*plete line B if applicable) r�. I 64-N-W System ❑ Replacement System ❑ Treatn nt/Holding Tank Replacement Only ❑ Other Modification to Existing System I ` fir a 17 • ❑ Permit Renewal ❑ Permit Revision ❑ Chan e of ;. List Previous Permit Number and Date Issued $ ❑Permit Transfer to New P i Nb i Before Expiration Plumber Owner r AA � '. type of POWTS System- Check all that a 1 X (V 0 I : 2 ❑ Non — Pressurized In- Ground ❑ Mound> 24 in. of suits it $Mound < in. of suitable soil ❑ At -Grade ❑Single Pass Sand Filter ❑ i :ot:suucted Wetland ❑ Pressurized In- Ground ❑ Holding Tank, ' ❑ Peat Filter Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ I ! Recirculating Synthetic Media Filter ❑ Leaching Chamber Q Dt Line ❑ Gravel -toss Pipe 11 Other (explain) ersaUTreatment Area Information: ";} = I O j Design FIow (gpd) Design Soil Application Rate(gpds Dispersal Area Requ red (s Dispersal Area Pr s d fj ystem Elevation �p �a AdW& i V I. `T ank Info Capacity in Total /Number Manufacturer Prefab Site Steel Fiber Gallons Gallons of Units Plastid Concrete Constructed Glass New Exis ' g Tanks Septic or Bolding Tank Dosing Chamber VII. Responsibility Statement- I, the u dersigned, assum P tu e responsibili installation of the POWTS shown on th ttached plans. Plumber's Name (Print) m 's igna MP/MPRS Number siness Phone Number f it �o d G C Plumber's Addr s (Street, City, State, Z' o e 3 v I I 3• VIII. County/De artment U O 1 t niary Permit Fee includes Groundwater Date Issued Issuing Agen ignature (No Stamps) Approved ❑ D� appr d Sanitary Surcharge Fee) 130 en Reas Denial S✓ Vim+ �� IX. Conditions o Approva 1 SYSTEM OWNER: 1 Septic tank, effluent filter and r p2rw. r i ^ dispersal cell must all be serviced It maintained I { as per management plan provided by plumber, h 2. All setback requirements must be maintained n , ^� 6 � re , as per applicable code /ordinances. J t""�' Attach complete plans (to the County only) for the system on Pape not less than 81/2 1 inches in size rte_ CAn G SBD -6398 (R. 01/03 �'`� S�eS �� i ✓�'' 6 o '' '� C.b ty Jo l� n r „ cli r o 1-11r 1 � f—VO 0 s -- CA cl- J 0 d -� fl r rj o ov* Safety and Buildings 4003 N KINNEY COULEE RD commerce.wi.gov LA CROSSE WI 54601 -1831 i TDD #: (608) 264 -8777 s c o n s i www.commerce.wi.gov /sb/ www.wisconsin.gov Department of Commerce Jim Doyle, Governor Mary P. Burke, Secretary February 23, 2006 CUST ID No. 225094 AT7N.• POWTS Inspector MICHAEL P ROGERS ZONING OFFICE ROGERS PLUMBING ST CROIX COUNTY SPIA E4457 HWY 12 1101 CARMICHAEL RD MENOMONIE WI 54751 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 02/23/2008 Identification Numbers Transaction ID No. 1245130 SITE: Site ID No. 709811 Leo Beskar Please refer to both identification numbers,' Coulee Trail above, in all corres ondence with the agenc Town of Troy St Croix County NEIA, NW1 /4, S11, T28N, RI 9W Lot: 8, Subdivision: Hills of Troy FOR: Description: Four Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 1063453 Maintenance required; 600 GPD Flow rate; 17 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 /01), Pressure Distribution Component Manual - Version 2.0, SBD- 10706 -P (N.01 101); Biofilter 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. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, Condit, stars. The following conditions shall be met during construction or installation and prior to occupancy or user ``�� Reminders �EPl2TMEMT 0 OF E • This system is to be constructed and located in accordance with the enclosed approved plans and with the SEE CORRES component manuals listed above. • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • 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 POWTS 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. Stat ' MICHAEL P ROGERS Page 2 2/23/2006 • Comm 83.22(7) A copy of the approved plans specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department which may include local inspectors Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 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. 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 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 to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 /) Fee Received $ 175.00 Balance Due $ 0.00 3 Charles L Bratz POWTS Reviewer II , Integrated Services WiSMART code: 7633 (608)789 -7893 , 7:45 am - 4:30 pm Monday -Friday cbratz@commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 Henry F Grote, Certified Soil Testing 2 Leo Beskar -Hills of Troy, Lot 8 - Mound x ' 200 6' ` Construction Materials and Techniques �/�/ All materials must comply with Comm 84 and be installed in accordance with manufacturer's specifications. Construction methods must comply with the following Component Manuals: Mound, SBD - 10691 -P (01 /01) Pressure Distribution, SBD- 10706 -P (01 /01) Location: Lot 8, Hills of Troy NE 1 /4, NW 1 /4, Sec. 11, T 28 N, R 19W Town: Troy County: St. Croix Date: March 6, 2006 Owner: Leo Beskar Address: 219 N. Main St. River Falls, WI 54022 Plumber: Mike Rogers`" Signature: License: MP 225094 Itv Attachments: SBD -10577 - Plan Approval Application SBD -8330 F coW4ERCE Revised plot plan with correspondence�� Page 1: cover P ONCENC€ 2: design criteria & calculations 3: plot plan 4: system cross section 5: plan view, lateral detail 6: pump tank exit detail 7: pump curve 8: system management page 1 of 8 , Design Criteria Residential Wastewater Contaminant Load: 30 mg/L < BOD5 < 220 mg/L Anticipated septic tank effluent 30 mg/L < TSS < 150mg/L Fecal Coliform > 10,000 cfu/100 mL Fats, oils, grease < 30 mg/L Bedrooms x 100 gal/bedroom/day x 1.5 0- 1 , 0 gallons /day hydraulic load Design Calculations In situ designed loading rate o z�� gallons /sq. ft. per day Depth to estimated high ground water in, Depth to bedrock '>1 in. Cross slope at system 12 ' % Force main length ft. of 2 in. q �$ Manifold /header length ft. of 1`� in. Drain -back ° S� gallons Lateral length @ ft. of L`lz, in. Lateral elevation '0 ft. @ bottom of lateral Lateral hole size 3 /t b in. @ 16,o in. ( '-- o ft.) Spacing ` holes /lateral S C° holes total Lateral volume 4 c(co 4- gallons Total lateral discharge rate 3I.9 gallons /minute @ 2 ft. head Network pressure compensation losses (0 , -5' ft. Elevation difference t9' ( ft. Friction loss ft. @ gallons /minute Total dynamic head 1 ° ft. Pump /si�on S 3 gpm @ ft. of head Manufacturer ° 0 '`r Model # 1 � �- Dose volume �1 ���Z gallons Lift /siphon tank 'Ls-'O S,o L O ILO gallons Septic tank gallons Effluent filter R t - q-0 01V 0 °,^^°o 7- \4'3#� Measurement pump on and off in. Height alarm from tank bottom o in. Reserve capacity 3 gallons specs.calcs.res Page of � 06 9 ; c �Qj rr y o �1 o �l � 60 00 C)o A o/�J p 3r ti y I v \ 0 0 d • d d cA a rj —� Jn • - ' ;'`..vw 4: S � ! Q. �•- � ova 0. 3 ea ZS�h q, I Z V . 1 46 o dop 1 aQ w . 1 01, � 1 t1tTM �o �• o �p t � � 1 3 I d 3brZ� . ... ..... 4 . �1 Cd•1^ � �� i 1 N 4, - T 2 o , b ' Z� 1 ►� ( 1 I.o C r ♦ 0 G'4 LA r �, 4^ � a. � U � � v C O �O l �r v �i; o y �..'a1 \ � i-O b e �• � o .., O � � o c. K b 1y •+a , e a rva. 1. a � Q/. a.� �J L T • \ PVC- i , 1 1a.� 4 ����a. w�1r V C 40 V L S Lh � S � op a•�C �•O �(J+ �1� � � w�� 1 ` 46A G \- a� ar16\ S 1(i P V� S �� .. ♦�, ail i vj v �eew 6r KiVb �e..�'i • /�� �.01 �S o .. 1 . A - Lt �.� �ft...'T..r 1O 0 o� \ •• (� � � d 0+►T l �, U 2 oa�� �c>T k' TGIL. WEATl�ERPQOOF — LOCKIW G�GOVER JU NCTION box 4�LW, lvWC. A I40th% , t 61U GI4C bd4&cT—'\ ee S PION 3' oFrTO 7ISTuR ' Sol L- 24" I.D. Y E 1lT KAXU LE r A�' QOvLQ P v L r,1iSK> =T ZU 34r,15 WFLE iAL ' 0--TO R v. PI p z � ON LQrw E C.T l 0?ib �— - z - .., .JL 1 \ - ` l�Q T G RD U mo Fl.ev, qb.o o� pulp Co�vc - rrF . 6coCK SEPTIC i SPEC.IFI'CATIOIJS DOSE TAWAS MAIJU FACT URE �' WUMEER OF DOSES, � � PER DMZ TAWK SIZE ; \%Y GA LLOWS DOSE VOLUME i� F��a.,�o IWCLUOING 6ACKFLOW: glo'�Z ALARM /'4MlUFACTURCR GA��ON$ MODEL WUMDER: `' CAPACITIES: A= 30 o ILJCNES OR GALLO►:5 SWITCH TyPt: -- wt�.L�v II ti�b 5 . Z WCHES OR L . 2 GAL LOU$ PUMP /1AWU FACT URCR: �O t:4�oX C ■ IQLHES OR GA L L0QS MODEL WUMDER, 1S Z D ■ q "� INCHES OR '° 8 uA,L0kJS JWITCH TYPE; WOTE: PUMP AUO ALARM ARE TO DC MIWIMUM DISCHARGE RAT C, % -:�_GPM INSTALLED Ow SEPARATE CIRCLiTS VERTICAL DIF FERfWCE CETWEELI PUMP OFF A'J0 OISTRIbUTION PIPE.. –� `-- FEET + MIAJ ►JETWOKK SUPPLY Ppt;suRE ``�`�S . T ✓ .......... FE,17 + 60 FEET OF FORCC ftlW X_ /o FACTOR... ��' FEET 4 TOTAL OtWWIC. HEAD = FEET IQTERWAL. DIMLW61OWC OF TAWK: LEWCYTH `7.1-L 1 � ._.._;WIDTH � � " ;LIQUID DEPTH IL TOTAL DYNAMIC HEA15/CAPACITY HEAD CAPACITY CURVE PER MINUTE EFFLUENT AND DEWATERING N MODEL 152/153 -� CX W MODEL 152 153 50 Feet Meters Gol. L tell Gal. Liters 153 5 1.5 69 1 261 77 291 12 40 152 10 3.1 61 231 70 265 0 15 4.6 53 201 61 231 a ? 20 6.1 44 167 52 197 Lj 30 8 25 7.6 34 129 42 1 59 0 30 9.1 23 87 33 - 25 20 35 10.7 -- -- 22 63 0 40 12.2 -- -- 1 42 4 10 Lock V oive: 38.0 Ft. (1'.6m;i44 F1 ('?4r^;' — o�.soe 0 20 40 60 80 100 GALLONS LITERS 0 80 160 240 320 �- o a 3 27132 a 5/8— FLOW PER MINUTE - -` CONSULT FACTORY FOR SPECIAL APPLICATIONS 3 • Timed dosing panels available. 9 • Electrical alternators, for duplex systems, are available and supplied with ® 27:� -, : an alarm. Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable level long and short cycle controls. I, Sealed Qwik•Box available for'outdoor installations. See FM1420.# n Over 130 °F. (54 °C.) special quotation required. - 1521153 Series 12 /5 1521153 MODELS Control Selection Model _ Volts•Ph Mode Amps Sim lox Duplex N152 t 15 1 Non 8.5 1 2 or 3 i BN t 52 t 15 1 Auto 8.5 Included 2 or 3 SK2064 - - E15 2 _230 1 1 Non 4.3 1 2 or 3 _ B_E 152 1 Auto 4.3 Included 2 or 3 N153 1 15 1 Non 10.5 1 2 or 3 8N 153' 1 1 Auto 10.5 Included 2or3 SELECTION GUIDE E 153 230 t Non 5.3 i 2 or 3 BE 153 230 1 i Auto 5.3 1 Included 2 or 3 1. Single piggyback variable level float switch or double piggyback variable level float switch. Refer to FMO477. O CAUTION 2. See FM0712 for correct model of Electrical Altemator E•Pak. All installation of controls protection devices and wiring should be done by a qualified 3. Variable level control switch 10 -0225 used as a control activator, specify duplex (3) licensed electrician. All electrical and safety codes should be followed including the most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). or (4) float system. M RESERVE POWERED DESIGN O For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL TO: P.O. BOX 16347 Z Louisville, KY 40258.0347 Manufacturers of. . SHIP TO: 3649 Cane Run Road Louisville, KY 40211.1961 p 4 ij r - (502) 778.2731.1(800) 928-PUMP QUaI /Tr PIMP SN�E /9,99 http : / /www.zoeller.com FAX (502) 774.3624 © Copyright 2000 Zoeller Co. All rights reserved. System Management Management of this system is critical. As a condition of approval of these plans this system management section must be reviewed with the owner, and the owner must be provided with a complete set of plans including this management section. If problems develop with the adsorption system or any other system components, the installing plumber, Rogers Plumbing, 715 -235- 1 132, or the St. Croix County Zoning Office, 715- 386 -4680, should be contacted for assistance. General Proper functioning of an on -site disposal system, "septic system," is significantly dependent on the volume of water which Flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the better and longer the system will function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as water, a dose tank or compartment to allow a dose to be accumulated, a pump and controls or automatic siphon, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. 1. If the septic tank is installed prior to sheet -rock and/or painting, pump the septic tank before normal use begins to ensure adherence to contaminant load design criteria. 2. Install water - saving appliances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. 4. Never pour grease or oil down any drain or stool. 5. Garbage disposals are not recommended; if you must have one, use it sparingly 6. No paper products other than tissue should go into the system. 7. No chemicals should go into the system. 8. Avoid surge flows of water; try to spread laundry throughout the week. 9. Septic tank effluent must be less than or equal to the design criteria specified in page 2 of these plans. 10. If septic or dose tanks are no longer used, they must be properly abandoned. 11. If construction timing and weather could create a frozen infiltration system, weather - proofing with plastic sheeting and heavy mulching may be required to maintain a functional system at start-up. 12. The upslope toe of the mound system must be landscaped with additional fill to blend this area into the upslope natural grade; this will minimize the possibility of the system trapping surface run -off; final settled slope should be 2 -3% over the system or 2 -3% diverting surface run -off around the ends of the system. Maintenance 1. The septic tank must be inspected every three years by a properly licensed person. 2. If necessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volume equals one third of the tank volume. 3. When the septic tank is pumped, any solids in the bottom of the dose tank must be pumped, and the filter must be back - washed into the septic tank to remove accumulated material. System use may require more frequent filter cleaning; initial inspections of the filter should be made every 6 months until a minimum time sequence is determined. 4. Periodic observation pipe inspections should be made by the owner to examine the state of the in -situ soil adsorption cell. Quarterly inspections are recommended; a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell. 5. If this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany their specifications. 6. The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump. If the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. 7. Avoid compaction such as vehicle traffic within 15' down -slope of the adsorption system. 8. Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 9. Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. 10. Surface drainage must be diverted around the system; avoid landscape changes which might send surface run -off into the system area. 11. Warning: Do not enter septic, dose or other treatment tanks; death may result because they may contain lethal gases or insufficient oxygen. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for low effluent strength systems; such monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.54 (2). Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing, and /or installation of additional treatment components or conversion to a holding tank may be necessary. Page 8 of 8 t CERTIFIED SOIL TESTING, LLC Henry F. Grote CSTM, Licensed Designer E. 4366 353` Ave., Menomonie, WI 54751 RE CEIVED 715 233 -0398 FAX: 715 233 -0398 E -Mail: GROTEH UWSTOUT.EDU FEB 2 2 2006 ST. cROlx COUNTY February 17, 2006 TO: Pam Quinn, Zoning Specialist CC: Mike Rogers FROM: Henry Grote SUBJECT: Hills of Troy, Lot 8 S7avity Having reviewed the Pam Quinn letter of January 19, 2006 to Craig Lilja and reviewed the Zoning Department copy of the submitted plot plan for lot 8, Hills of Troy, I noted the extreme concavity of the kirged, airplane -flown contours. My calculation of the concavity of the 1070 contour was approximately 19 percent. On February 15, 2006, Mike Rogers and I evaluated the site to determine the potential for a code compliant onsite system. The concavity of the contours was obviously more extreme towards the lower, eastern, portion of the lot while the area near the boundary of the woods and the open ground, about ten feet below the erosion control fence, was considerably less concave. Accordingly, we established a contour working exactly 10 feet upslope from the pit stake marking Hollister pit B. The contour is flagged on -site with five flags marked 100.0. Concavity was measured as 7 feet upslope from the 86' long cord of the contour at the point 10 feet upslope from pit stake 8B. Concavity was measured at 6 feet from the other two interior flags. I calculate the maximum concavity of the defined 100.0 contour as (7/86) x 100 =8.1 percent. Noting the more extreme concavity downslope, I have applied the mound manual calculation to determine effective length assuming 19 percent concavity. This calculation, actual cell length = [(19% x 0.002650 + 1 ] x 78 = 81.93', was done assuming a non - concave cell length of 78 feet for an eight foot wide cell. A design will accordingly be submitted for state plan review using an 8 foot by 83 foot cell which will fit the site and more than accommodate the defined concavity of the 100.0 contour. The design will be submitted relative to a new bench mark established as 103.0 as the base of a flagged steel stake located 4 feet below the erosion control fence and 12.5 feet south of the lot line established nearby by a surveyor's stake marked P.O.L. Please add this correspondence and the enclosed plot plan to your file for this project. Wisconsin Certified Soil Tester Licensed Designer of Engineering Systems CSTM 222774 WI D 1699 - 007 r /` so Jcv Q) - � a 06 4 b S d rt, 1 ; n 19 f s J / S a A I �� o `' --- ----- J a 00 r `� s U Z � f rj 9 " fl rj �r POWTS OWNER'S MANUAL MANAGEMENT PLAN !q FE INFORMATION SYSTEM SPECIFICATIONS owner Septic Tank Capacity pa NA 4 a e tt Septic Tank Manufacturer DESIGN P TERS Effluent Filter Manufacturer^ ❑ NA Number of Bedrooms 100gpd/bedroom 77 ❑ NA Effluent Filter Model ❑ NA Number of Commercial Units NA Pump Tank Capacity ov NA 'estimated flow (average)* c� al A Dc7 gaUday Pump Tank Manufacturer 2 ❑ NA Design flow (peak), estimated x 1.5* o o gal/day Manufacturer 7v ❑ NA i Soil Application Rate Pump Model a5 gaUday s ❑ NA influent/Effluent Quality (NA ❑) Monthly Average ** Pretreatment Unit ❑ NA i Fats. Oil & Grease (FOG) 30 Sand/Gravel Filter 13 Peat Filter Biochemical Oxygen Demand (BODs) mg/L ❑ Mechanical Aeration ❑ Wetland ' S 220 m ❑ Disinfection Total Suspended Solids {TSS) � ❑Other: 5 250 mg/L Manufacturer: Model: Pretreated Effluent Quality E] Monthly Average * ** Dispersal Cell(s) Biochemical Oxygen Demand (BODs) < 30 mg/L ❑ - ground (gravity) Wle in d (pressurized) Total Suspended Solids (TSS) ❑ At -grade i Fecal Colifonn (geometric c mean) 30 mg/L ❑ Drip -line f 510 + cfu /I OOml EAbsorption Chamber Manufacturer timum Effluent Particle Size 118 inch diameter Approval Stipulation *Wastewater Flow Verification on and calculations: on Rate _ gp d /f Area Req. �— (Other than bedroom based) rea Credit per unit ft2 ? mber of Chambers Design Flow/Loading Rate= * Values typical min for domestic (non - commercial wastewater Materials: all materials must comply with WI Adm. Code a and septic tank effluent. COMM84 and be installed per manufacturers specifications ' I ** *Values typical for pretreated wastewater. and approval letters. DESIGN CRITERIA "Wisconsin At -grade Soil Absorption System, Siting, Design & Construction Manual" (Converse et.al.1990) "Wisconsin Mound Soil Absorption System: Siting, Design & Construction Manual" Converse, J.C. and E.J. Tyler. e Publication 15.22 "Design of Pressure Distribution Networks for Septic Tank -Soil Absorption Systems" Publications 9.6 ❑ "Design of Conventional Soil Absorption Trenches and Beds ". RJ. Otis — ASAE Publications 5 -77 and "Design Manual — Onsite Wastewater Treatment and Disposal Systems ". EPA 625/1 -80 -012 October 1980 i Cl SBD — 10570 —P (86199) "At -Grade Component Manual Using Pressure Distribution" f ❑ SBD 10567 —P (8.6/99) "In Ground Absorption Component Manual" j ❑ SBD — 10705 =P (N.01 101) "In Ground Soil Absorption Component Manual" Version 2.0 ? ❑ SBD — 10628 —P (N -6199) "Recirculating Sand Filter System Component Manual" ❑ SBD — 10656 —P (N.6/99) "Split Bed Recirculating Sand Filter System Component Manual" ❑ SBD - 10572 P (R 6/99) `Mound Component Manual" � SBD - 10691 —P (N-01101) "Mound Component Manual" Version 2.0 ❑ . D - 10595 —P (R.6I99) "Single Pass Sand Filter Component Manual" ❑ SBD - 10657—P (R -6/99) "Drip -line Effluent Disposal Component Manual" ❑ SBD - 10573 —P (R 6199) "Pressure Distribution Component Manual" SBD - 10706 —P (N.01101) "Pressure Distribution Component Manual" Version 2.0 ❑ Drip -line Effluent Dispersal Component Manual for Multi-flo Onsite Wastewater Treatment Units a MAINTENANCE AND MANAGEMENT MAINTENANCE MONITORING SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every ❑ months "-year(s) (Maximum 3 yrs.) Pump out contents oftank(s) When combined sludge an scum equals one -third (1/3) oftank volume Inspect dispersal cell(s) At least once every ❑ months ear(s) (Maximum 3 yrs.) Clean effluent filter At least once every 7 ❑ months r(s) Inspect pump, pump controls & alarm At least once every ❑ months year(s) ❑ NA Flush laterals and pressure test At least once every ❑months ear(s) ❑ NA Valves At least once every ❑ months ❑ year(s) dS_NA Other: At least once every ❑ months ❑ year(s) A Page of S'-'ART UP -or new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. O- PERATION The property owner is responsible for the operation and maintenance of the POWTS and submission of required reports. The quantity and quality of the wastewater stream will affect the performance and longevity of your POWTS. The installation of water - saving appliances and fixtures along with prompt repair of leaks reduces the wastewater volume. Also the brine or waste from water softeners, iron removal units, other clear water treatment devices and foundation drains should be discharged to the ground surface whenever possible. Note: this does not include laundry waste, showers, dishwater, etc. this system is designed to handle domestic strength wastewater, however the disposal of food based greases and oils, vegetable /fruit peels and seeds, bones, and food solids such as those produced by a garbage disposal should be minimized. Toilet tissue is the only paper that should be discharged into the system. Other non - biodegradable items such as baby wipes, tampons, sanitary napkins condoms, cigarette butts, dental floss, and cotton swabs should not enter the system. Chemicals such as petroleum products, paint, disinfectants, pesticides, antibiotics, solvents, etc., should not be flushed into the system as they can seriously damage your POWTS and contaminate your drinking water supply. Maintain a regular steady flow by spreading laundry wasting throughout the week. Avoid vehicle traffic over all system components. Compaction of snow over the dispersal unit may cause it to freeze up. 0 Valves Valves shall be operated in the following manner: alarms Alarms should be tested on a regular basis by the home owner. If an alarm sounds, contact an individual licensed to service POWTS, There is normally a 1 day reserve under regular operating conditions, however water should be conserved until any problems with the system are corrected to prevent back -up of sewage into the dwelling or surfacing. LNPECTIONS Inspection shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Maintainer or Septage Servicing Operator (per the attached Maintenance Schedule). .Septic Tanks Component Tank inspections must include a visual inspection of the tank to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any backup or ponding of effluent to the ground surface. Access openings used for service or assessment shall be sealed and/or locked upon completion of service. Any defects shall be promptly corrected. Exposed openings greater than 8 inches in diameter shall be secured with an effective locking device to prevent accidental or unauthorized entry into the tank. When the combination of sludge and scum in any tank exceeds one -third (1/3) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with Chapter NR113, Wisconsin Administrative Code. The outlet filter(s) shall be inspected and cleaned to remove any accumulated solids according to manufacturer's specifications. Provisions are to be made to retain solids in the tank. Filter cleaning may be necessary at more frequent intervals than stated in the maintenance schedule to keep the system operating. *Pump Chamber/Treatment Tanks Component The inspection must include a test of all electrical equipment such as pumps, alarms and floats. A visual check must be made for leaks, backups, surfacing, missing or broken security devices and other hardware and the condition of the filter. Any service needs or repairs shall be promptly taken care of. 0 In- Ground Gravity Component Dispersal Cells The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Ponding at depths greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. Pag of 0 ound, At- Grade, In- Ground "Pressure �� I'he inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Ponding greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. The pressure distribution system is provided with an opening at the end of each lateral to be used for flushing. The laterals should be flushed at least once every three (3) years. Pressure checks of systems with multiple laterals should be done to ensure that equal distribution of effluent is occurring to promote the longevity of the system. PORTS Reports for maintenance, inspection, and monitoring shall be submitted in accordance with COMM 83.55 Wisconsin Administrative Coce. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to ensure that the system is properly and safely abandoned in compliance with Ch. COMM 83.33, Wisconsin Administrative Code. - All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. - The contents of all tanks and pits shall be removed and properly 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, gravel or other inert solid material. CONTINGENCY PLAN if the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: Q A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area Replacement systems must comply with the rules in effect at that time. 0 A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. L The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such stems must comply with ith the rules in effect t p y ff a that time. <<W.ARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTIAN 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 TM INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS i POWTS INSTALLER POWTS MAINTAINER Name , fj» 0 /01 Name Phone Phone SEPTAGE SERVICING OPERATOR (Pumper) LOCAL REGULATORY AUTHORITY Name Agency ST'. c.Ra Cc9us, Y LAejW /ur, Phone Phone �!S 4�ro8o K.\WPDATAIEHTOWTS OWNER'S MANUAL.doe Page of ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM 1 , Owner/Buyer f ' 4 I t 0*9 Mailing Address / Property Address c` � � ff (Verificati from Planning & Zoning Department for new construction.) City /State Parcel Identification Number LEGAL DESCRIPTION Property Location IZZ�_ 1 /4 , &41/ 1 /4 , Sec. l , T _ R_ W, Town of Subdivision Z4 Lot # O Certified Survey Map # , Volume , Page # Warranty Deed # g :t/y tv , Volume 9S , Page # 5 9 Spec house yes no Lot lines identifiable yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within. 30 days of the three year expiration date. I/we certify that all statements on this form are true to the best of my /our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms GNA OF APPLICANTS) DATE ** *Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * ** Include with this application 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. (REV. 08105) i IY \ r J dD yfr V -� 90 '/h FEB -88 -2006 t� 15 :14 FROM River Ualle Abstract TO 3777681 • 6m ? U 2 8 9 5 P 2 5 9 KATHLEEN H. MAL STATE BAR OF WISCONSIN FORM 7 .20M REGISTER OF DEEDS TRUSTEE'S DEED ST. CROIX Co., MI Document Number RECEIVED FOR RECORD JASON L WoHLMAN, ASSOCIATE EXECUTIVE DIRECTOR, 09 /26/2805 10:10AN TRUSTEES DEED as Trustee of NORTH DAKOTA STATE UNIVUS1TY DEVELOPMENT FOUNDATION AS EXEPPT 0 l . !0 T RUSngOF 11. THEDAVIDROMERCHARITABLER NDERUNI7RUST REC FEE: 1 x•98 TRANS FEE: B for a valuable consideration conveys, without warranty, to TROY Cap" FEE DEVELOPMENT CORPORATION, A MINNESOTA _ CC S 1 CORPORA PAG win described real estate in ST CROIX . Grantee, the following County, State of Wisconsin (If more space is needed, please attach ad dendum ) : NWIA OF THE NE' /. AND THE NE' /. OF THE NW' /. OF SECTION 11, TOWNSHIP 28 NORTH, RANGE 19 WEST, ST. CROIX COUNTY, Recording Area WISCONSIN. THE NWY. OF SECTION I I, Not and Return Address S` % OF TAE NE% AND SE% OF A. BESKAR TOWNSHIP 28 NORTH, RANGE 19 WEST, ST. CROIX COUNTY, R LI BESKAR BOLES & KRUEGER, S.C. WISCONSIN LYING NORTH OF THE TOWN ROAD. Zl NORTH MAIN STREET, PO BOX 138 R FALLS, WI 54022 040- 1047 - 30.000 040-104740 -000 040 - 1047 - 20400 040. 1047 - 50-000 Parcel tdentifta vion number (PM This Is a0t homestead property. �(7ic (i not) Dated this 22ND day of SEPTEMBER 2005 • JASON . WOHLMAN, ASSOC. EXECUTIVE D OR Trustee AUTHENTICATION Trustee ACKNOWLEDGMENT Signature(s) JASON 1.. WOHLMAN STATE OF ) ) SS. County ) Personally carne before tine this day of au this ZZND jL,0ay of stIPTE rsER 2005 the above named LE ES TITLE: MEMBER STATE BAR OF WISCONSIN to six known to be tho person(s) who executcd the foregoing (If not, instrument and acknowledged the stone, authorized by § 706.06, Wis. Stotts.) THIS INSTRUMENT WAS DRAFTED BY + LEO A. BESKAR _ Notary Public, State of RODLI SESKAR BOLES Qt KRU EGER, SC. My Commission is permanent. (If not, state expiration date: (Signatures may be au&wndc4W or aclutowtedW. 1301h are not necessary.) ) • Names of persons signing i any capacity must be typed or printed below their signature. STATE FO RM o. WISCONSIN INFO - PRO (800)655 - 2021 www.inloprororna.001" 77tli5TEE'S DEED FORM N o. 7 - 2000 -09 -2006 15:15 FROM .River Valley Abstract TO 3777681 P.03 B t2y74¢i5 U 2- 8 9 S P Z B KATHLEEN H. W ALSH REGISTER OF DEEDS Document Numbw WARRANTY DEED ST. CROIX ca.. WI RECEIVED FOR RECORD 09/26/2005 10:19AM This Cued, made between Leonard J. DesLauriers and Margaret A. DesLauders, husband and wife, Grantors, and Troy WARRANTY DEED Development Corporation, Grantee. fXEIIPT Grantors, for a valuable consideration, convey to Grantee, REC FEE s 11. N the following described real estate in St. Croix County, State Of TRANS F FEE s 3754.50 COPY Wisconsin "Prop the CC FEE: ( PAGES: 1 NEY4 of the NEY. of Section 10, Township 28 North, Range 19 West, St. Croix County, Wisconsin, EXCEPT that part lying South of the Town Road; ALSO EXCEPT Certified Survey Map in ReaordM Area Volume 7, Page 1894 and Certified Survey Map in Volume 16, Nome and Return Address Page 4332. NWY. of the NWY. and SWY. of the NWY. of Section 11, Township 28 North, Range 19 West, St. Croix County, Wisconsin, lying North of the Town Road EXCEPT Certified Survey Map in Volume 16, Xzf1T ZG �; 9'" 3 Page 4332. 040- 1044 - 10480, 040- 1047 -80 -100, 040- 1047 -70-050 (Parcel Identification Numbws) This hornestead property. Together with all appurtenant rights, title and interests. Grantors warrant that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except: subject to all easements, rights -of -way, covenants, conditions, and restrictions of record, and will warrant and defend the same. Dated this ZZ� day 1 X Y 2005. Roger D. BeverS Notary Public State of Wisconsin - (SEAL) ' (SEAL) (SEAL) L� J. DB auriers Qld (SEAL) 9 ud*t "e 5 x - / � - (SEAL) 'Marg ret A. DesLauriera AUTHENTICATION Signatures) ACKNOWLEDGMENT STATE OF WISCONSIN ST, CROIX CptlNTY authenticated this day of , 2005. Pgf�gnaj y� m afore me this �it0 mo 201YS. # above named of Signature �evrytrtl J. DesE aun*m ■nd Margaret A. C)osL.aurlers, to me known to be the Type or print name inatrl/ t E v persons who executed the foregoing edge the same. TITLE: MEMBER STATE BAR OF WISCONSIN (If not. stt uwrizad rn by 4708.06. Wis. Stets.)E sss Pu eofw in. THIS INSTRUMENT WAS DRAFTD BY C. L. Gaylord Attorney at Law P. 0. Box 46 River Falls. WI 54022 (Signatures may be authsnt1cmed or acknowledged. Both are not - Nan+ss of parsons slpnlnp M any gaps neosasary.) printed t »low their slpnewres. s�u� typ or wORNAT6/ MpKM10MK1 CD��AN'r FOND OV LAC. V"cMdow MAN &M I i rcit)er val leu Hbstr - .act TO 3777681 P.04 U 2895P 26I 49 0 ?406 KATHLE£K H. WALSH pp, STATE BAR OF WISCONSIN FORM I •2000 REGISTER OF DEEDS Documeet Humber WARRANTY DEED ST. CROIX CO., V1 O OR RECORD CRD This Deed, trade between RONALD M. HANDLOS and HELEN RECEIVED RECEIVED F 1A; C G. HANDLOS, husband and wife, WARRANTY DEED EWT# Grantor, and TROY DEVELOPMENT CORPORATION, A REC FEE • 11. SO MINNESOTA CORPORATION TRAILS PEE: 3294.30 COPY FEE: CC FEE: Grantee. PAGES: 1 Grantor, for a valuable consideration, conveys to Grantee the following described real estate in ST. CROIX County, State of Wisconsin (the "Property') (if more space is needed, please attach addendum): NE' /. OF THE NEt /. AND THE SETA OF THE NEIh OF SECTION 11, TOWNSHIP 28 NORTH, RANGE 19 WEST, ST. CROIX COUNTY, Recording Area WISCONSIN EXCEPT CERTIFIED SURVEY MAP IN VOLUME 9, Namc and Return Addres PAGE 2427 AND EXCEPT CERTIFIED SURVEY MAP IN VOLUME EO . BESKAR 13, PAGE 3629 AND EXCEPT PART TO ST. CROIX COUNTY IN O LI BESKAR BOLES & KRUEGM S.C. VOLUME 800, PAGE 356, 2 NORTH MAIN STREET, PO BOX 138 FALLS, WI 54022 040.1047 -40-000 040-1047- 10-000 Parcel Identification Number (PIN) This is sot homestead property. Together with all appurtenant rights, title and interests. Kit) (is not) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except EASEMENTS, RESTRICTIONS AND RIGHTS OF WAY OF RECORD, IF ANY, Dated this 22ND day of SEPTEMBER 2005 " RON D M. HANDLOS • + HELEN G. HANDLOS AUTHENTICATION ACKNOWLEDGMENT Signature(s) RONALD M. HANDLOS and HELEN G. STATE OF ) HAN OS ) ss. County ) such this 22 D day of sE s r+teaa , 2005 Personally carne before me this day of the above named *LEO . BESKAR TITLE: MEMBER STATE BAR OF WISCONSIN (If not, to me ]mown to be the persons) who executed the foregoing authorized by § 706.06, Wis. Stats.) —` instrument and acknowledged the same. THIS INSTRUMENT WAS DRAFTED BY . — — — -- — -- — — - -- -- — _.. —.� LEO A. BESKAR Notary Public, State of RODLI BESKAR BOLES & KRUEGER, S.C. My Commission is permanent. (If not, state expiration date: (Signamm may be authenticated or acknowledged. Both are not necessary.) • Names of persons signing in any capacity must be typed or printed below their si ) gnature. WARRANTY DEED STATE BAR OF WISSCONSNN FORM No. 1 - 2000 INFO -PRO (80o>e58 -2021 WwWjnfomtorms.com TOTAL P.04 -�.' � w.• . s ,rte' �. � �P�/l � 1 r /- _ _ - � -��,� � ��� �, c am. , �� ,,��� � sar �r r�•`'�;�.' � `'`.� 1 �� � ��, �7' \` � \ ►lam .1� �. ��� 1 ir. � �� wkw '���n T, .r At ,/ �,_ �• �/ a �' I It 4 ♦ IN WIN I fl ''�`� i-'`�: ,;; ' © �` • �� a + '' � 1 � •�,,�!► 19.00 ' ...........,..i � � 1 t ♦ •V -• 1.031 ACRES ` 44,895 S.F. c / a . � f . ` r L x . • • >2fi.0Q" 2fi .5 1 32.04' 131.601' 019 S 84a 1 009E N 90 a4" E 377 S g4�3Q OOn W 28 «5�' k1 " R w o Q. w 1. ES �� ca A .41fi A a <, 44,908 S.F. "R = O U T �L C �� RES . ^•wt C� _...�+ S CE cx t _�, "�,,,,...... -• 279,484 oot OOP 00#0 E ec) QOol 00 Wo 1 r 1' w ' L `° t'� r1(�� R Ga � t w.,/,,. w .+"^'" w . a � ` 0 00 A A S «F ACRES i 44;5" f S.F. S.. f � 1 0 � � 33 33' �. 1.261 ACRES `.. Q'p 54,922. S.F. 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