Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
040-1266-30-000
A y O a n tz �1 3 (D '< •'• ►^: v CD m co y 3 m d D. 7 7 CD 0 JO =' OD -� 01 ey '� •< O i. N m. O W O -� t9 D) DD O m O - O � d9 C C Q a Ul O to VI N N 7 .� Z n CD a (D D a 1 it m c _ W 0) rQ N ro O N W W M o N CD °o c7 m N y y o c m . c . a W I, z iT c o O O O C Z1 N c N A o 0M a V O O CD n m d N o c N i N »1 lr < . N O N 3 � � a M - N Z z 0 0 a q � O - < N m m T c O n O e N CL N � O 3 ° 3 W &' O O CD Oz n O N N O ? 7 Q' p U) O O N W C O� 3 a <� z 3 'a ° o cn c� N z A CD A n Ii < Q CD I N CL T O � C 3 o a cn o N A I (D � o 3 ?_ a o � rn I, 0 0 0 a o � � (D ry`1 w "+ V Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division IN 1 ;PECTION REPORT Sanitary Permit No: 488077 GENERAL INFORMATION - CATTACH TO PERMIT) State Plan ID No: l Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 2 5_5'3 = ItJs. j ib • #/ Permit Holder's Name: City Village X Township PArcel Tax No: Brushy Mound Partnership I Troy, Town of 040- 1266 -30 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: (cam • fl M'0 1,, 1 16.28.19.1445 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic 2. Benchmark (�S 100 S; aS Dosing L t Alt. im Aeration BI ewer r ll3D �3 •�s o ing St/ Ht Inlet , Il 00 TANK SETBACK INFORMATION S t/Ht Outlet TANK TO PIL WELL BLL)u. Vent o it IntaKe ROAD Dt Inlet ep is , 1 2 r Dt Bottom 5.23 ?711 • 1' osmg �. �• 2 5 eager an. Q /•657 f�.03r ra b e ion D Pipe \ '• ' ;.03 / Holding CA g o . System / Z. Z•3S i I va. 31 1 ina ra e ( r PUMP /SIPHON INFORMATION � J gnu ac urer � G PMan over m odel um er o ` _ s I ric Ion L oss System Flead _ ,J' 12.2$ '�•o� 6.So �5- a(- 33 r em m jLen�tn a . .� t• (boo DIMENSIONS G INFORMATION / f / CHAMBER OR UNIT ! , S Vi-10 via D 11 Pipes)r 25 I I 3 . Hole SIZE el it to Ail 11 ltdRu Length �• Dia Length Spacing x Pressure Systems Only xx Mound Or At -Grade Systems Only Bed /Trench Center Bed/Trench Edges Topsoii Yes No Yes No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: j Inspection #2: —' ; Location: 320 Empire 13 i r• rive Hudson, WI 54016 (SW 1/4 SE 1/4 16 T28N R19W�G o Station 5th Add Lot 84 Parcel 0 119.1445 _ �-1-. „u o h kjk Cdr T 64.4 D•) `�} �S S u""" !9 1.) Alt BM Description - 2. Bldg ewer length = ? c) 4,f IS 9 g 3 - amount of cover = �Z) �� . 4a ._--- -� F I T _ _ . -� Plan revision Required? � ' ]Yes No � r '^UL��,� �S � Use other side for additional informat o - - — - Insepctor nature---- c, - - -- - - -- - SBD -6710 (R.3/97) r �L SZ� Safdty and )buildings Division Coun� 201 W. Washington Ave., P.O. Box 7262 ` I N ` iscans W Madison, W! 53707 nary Permit Number be filled in by Co.) Department of Commerce (608 ` "��` g$ � Sanitary Permit Applica on Sta Plan I.D. Number In accord with Comm 83.21. WisLAdm. Code, personal inf youpr, v, eA i may be used for secondary p Law, sly. 1)(m) i p Proj ct Address (if different than mailing address) I. Application Information — Please P t A ST • C ` r Fj 1 � ��� Property Owner's Name -_. Parcel # Lot '4 Block# u n 1lYl ` �CT `fJIVC. O PP't Mailing Address P Lo ation a SW �f., S� /., Seaton City, State Zip Code Phone Number � � � � D� �� � � T N; R E W •I 1 II. Type of Building (check all that apply) of a2s el` Sib rh" Fl e Subdivision Name CSM Nun16q,� )(i or 2 Family Dwel ling — Number of Bedrooms o"VI /N✓ O Pubiie/Commcmial — Describe Use rAA Q i ,/� 1 0 State Owned - Describe Use t lllov 3 rS (ara.a a ( ❑City OVivage ownship of �b 112. Type of Permit: (Check only one box on line A. Complete One B if applicable) A. New System ❑ Replacement System 0 TreahnamfHak ing Tank Replacernert Only ❑ Other Modification to Existing System Ust B. 0 Permit Renewal Permit Revision 0 Change of ❑ Per aitTransfer to New Previous Permit Number and Date Issued Before Expiration Plumber owner 9 9 9 0 77 0 2 3 i0 IV. Type of POW" System: Check all that a o a 0 Non - Pressurized In- Ground Y Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil 0 At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In -Ground 0 Holding Tank 0 Peat Filter ❑ Aerobic Treatment Unit 0 Recirculating Sand Filter 0 1 Recirculating Syrithetic Media Filter ❑ Leaching Chamber 0 Drip Line G Pipe ❑ Other (explain) d V. DbpersaVrreatment Area Information: - ; Design Flow (gpd) Design Soil Application Rate(gpds0 Dispersal Area Requ' tl Dispersal Area Proposed System Elevation VI. auk Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Class xn. Existing w Pit, l o lz ,5 ZS F � ` Tsrjm Tanks ( or Holding Tank O t .l2 S i tlrA Aerobic Trasunca unit AA Ctmraber Vb i .RS aQJ� A p ►� VII. Responsibility tement- I, eandersign*,—respAndbilltyllo r hastalnutlon of the POWfS shown on the attached plans ber'a Name (Print P re IefP/MPRS Number Business Phone Number 71 D Ula 5 f Plumber's Address (Street, City, State, Zip Code) ` V1II. Condition un 1De artme se On Sanitary Permit Fee (includes Groundwater Da Iss Issu t Signature S Pproved ❑ tsapprove Surcharge Fee) �� G2 0 Owner Give, R for Denial �O 1X. ngi.leasous for Disapproval (( (� I w�n� L 3) I�J�� P� �b 6 f l�q 1. Septic tank, effluent filter andj ( _ all be services / maintain A�' .J ��' dispersal call must maintain � c ,, ��,(�- �o as per management plan provided by plumber. 2. AN setback requirements must be mau tairted M pit app""" - Soda / W&WIoes. \ ; �s c �• 1 o J "� r 'j Meech complete t dam (to the county only) for the sysum on paper act less than 51/2 x tl inches in aim SBD -6398 (R. 01/03) -pl tx vl--_ A)" � � �Trc 5t c m atrs�w x ir���c 5' TV ,� oy 411\ A P ro ev>e A y (C7C��JY" 7 \ G�it9Y'f R� Tr 5t c ro I./Z 3a0 A mT&r gI/co; it :6 ZZ „� ►��p�t�' Pk+s���� �- � /oaf llbX � 10' v At l Safety and Buildings 4003 N KINNEY COULEE RD commerce.wi.gov LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 i sconsin www.commerce.wi.gov /sb/ www.wisconsin.gov Department of Commerce Jim Doyle, Governor Mary P. Burke, Secretary March 27, 2006 CUST ID No. 220537 A7TN.• POWTS Inspector CALVIN W POWERS ZONING OFFICE POWERS EXCAVATING, INC ST CROIX COUNTY SPIA 1969 185TH AVE 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 03/27/2008 Identification Numbers Transaction ID No. 1255303 SITE: Site ID No. 709158 Derrick Construction Co Inc Please refer to both identification numbers, 320 Empire Builder Drive" abave, in all comes ondence with the a enc Town of Troy St Croix County SW1 /4, SE1 /4, S16, T28N, R19W Lot: 84, FOR: Description: Four Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 1060049 Revision; Maintenance required; 600 GPD Flow rate; 25 in Soil minimum depth to limiting factor from original grade; System: EZ- Flow Mound Component Manual, (N.6/03), 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, CnlPflr° 111 stats. , � ,r-w Avri The following conditions shall be met during construction or installation an d prior to occupancy or use: pEFA4TMEM'r' ( OF Reminders 0F i LY l� • This system is to be constructed and located in accordance with the enclosed approved plans and with the SEE CORRL6F component manuals listed above. • The pressure distribution network shall be sleeved through the 4 -inch corrugated pipe located in the EZ -Flow product. One out of every five orifices in each distribution pipe shall be installed at the 6 o'clock position to allow for thorough drainage of the distribution pipe following each dose. The remaining four orifices shall be installed in the 12 o'clock position. All pipes must drain after dosing. • The observation pipes must be located at a junction point between two EZ -Flow products so as not to create separation of the bundles within a product. • 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 CALVIN W POWERS JR Page 2 3/27/2006 • 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 • 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 $ 75.00 Fee Received $ 175.00 Refund Amt $ 100.00 `.J Charles L Bratz POWTS Reviewer II , Integrated Services WiS MART !code: 7633 (608)789 -7893 , 7:45 am - 4:30 pm Monday -Friday charlie.bratz@wisconsin.gov cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 EZFLOW MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE RFC p Project Name: DERRICK CONSTRUCTION CO INC. IWAR 2 42006 -04 Owner's Name: DERRICK CONSTRUCTION CO INC. Owner's Address: P O BOX 445 NEW RICHMOND, W154017 Legal Description: SW1 /4 SE1 /4 SEC16 T28 N R 19W Township: TROY County: ST CROIX Subdivision Name: GLOVER STATION #5 ADDITION Lot Number. 84 Block Number Parcel I.D. Number. PENDING Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 EZFlow mound drawings Page 4 Lateral and dose tank Page 5 Distribution media Page 6 System maintenance specifications Page 7 Management and contingency plan y(7!/P Page 8 Pump curve and specifications. Page 9 Plot Plan oRf; +q Page 10 Perk Test Page 11 Septic tank/pumpstation specs iNGS ONDEN i. Designer. CALVIN POVJERS License Number. 220537 Date: 03/22/06 Phone Number 715 - 246 -5135 f Signature: Designed Pursuant to the EZFlow Mound Component Manual (N. 06!03), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) EZF[ow Mound Version 1.2 (R. 02/04) Pagel of 11 EZFIow Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) r Residential or Commercial Design Mote: Sand flu (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) 2.00 Site Slope ( %) _ 102.75 Installation Contour Line Elevation (ft) ( 140.001 Contour Length Available (ft) 25.00 Depth to Limiting Factor (in) 0.40 In - situ Soil Application Rate (gpd/fe) Distribution Cell information 6.00 Cell Width (ft) 3. 4. 6, 7, 9. or 10 Only 100.00 = Dispersal Cell Length (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ft 1, Influent Wastewater Quality (1 or 2) Are the laterals the highest po ti in the distribuon Pressure Disribution information network? Enter Y or N (c or e) I c Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevatio (ft) 4 Number of laterals of the highest point. 0.1 Orifice Diameter (in) (e.g. 0.25) 2.00 Estimated Orifice Spacing (ft) = 6.00 fe /orfice ^ 1.50 Forcemain Diameter (in) 3_0.00 Forcemain Length (ft) Does the forcemain drain back? Y -i 9 5.00 Inside Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 2.75 Forcemain Drainback (gal) 8.25 Vertical Lift (ft) 90.37 5x Void Volume (gal) 4.24 Friction Loss (ft) 93.12 Minimum Dose Volume (gal) 18.99 Total Dynamic Head (ft) 41.19 System Demand (gpm) Lateral Diameter Selection Ma nifol d Diameter Selection in. dia. lions choice in. dia. options choice 0.75 1.25 x 1.00 1.50 x x 1.25 x 2.00 x 1.50 x -� x 3.00 2.00 x 3.00 x GallonsAnch Calculator (optional) T_ reat men Tank Information �.. 800.00 Total Tank Capacity (gal) 120 0.001 Septic Tank Capacity (gal) 1' 36. 00 Total Working Liquid Depth (in) I WIESER Manufacturer 22.22 gal/in (enter result in cell B49) Dose Tank Information Effluent Filter information t 80 000 Dose Tank Capacity (gal) l POLYLOCK Filter Manufacturer 22.2 Dose Tank Volume al/in) I PL525 Filter Model Number [ W IESE R C OMBO ! Manufacturer Project: DERRICK CONSTRUCTION CO INC. Page 2 of 11 Mound Plan View J 1110 B : : Observation Pipe : I( :rrr r { r rfrf r A W :' I — B z 3 :�: L Mound Component Dimensions Gown slope toe extension made. A 6.00 ft E AO.50 in H 1.00 ft K A21.84 ft B 100.00 ft F in I 5.00 ft L ft D 11.00 in G ft J 6.84 ft W ft 600.00 (fe) Dispersal Cell Area I 1500.00 (if) Basal Area Available 6.00 (gpd/ft) Linear Loading Rate 10.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 105.67 (ft) --10 . H G /NJ /JJ /JIJIIII /// IIJ /NJJN /J //N . /III! /I/ / /IIJIINIIIII/ NN/ / /IIIII / / /IIIIIII .+�i: 4 1 Dispersal F Dispersal 1 cell 104.17 (ft) Lateral 103.67 (ft)--11 Invert Elevation ...... ..... Dispersal Cell 3'���=':, • - :E D Elevation v t. r W .4 .� Y+.`s..� y.E � r / i, ,4Y.'4? L t z !....ti �Y ,� j,�X�, a + ;in�� � >< t 4h � '�Y� Y .i„5. s Y, �•:Y� l h..t� ',.1T•�� �. ms's ti h � x.x f Y�,,r /. x a.�� s��x 3, Y ` ?,Y t.i„ "6 ✓3,i�? ., 4: ; ;4� iY„Y`�7 rw {, �. "i;�. k,i``i.7.'s'i. - "s.>> 102.75 (ft) Contour Elevation 2.0 % Site Slope --T- Typical Dispersal Cell Shading Key a See Page 5 i ry Topsoil Cap —° 2.0 ft Geotextile Fabric Gover Q a / /, / „N/ Subsoil Cap a 0 ASTM C33 Sand V 1 +. 4•S•S••.. : VVL••�•1�'.. f.t•f. Tilled Layer c m a 0.5 ft '�' `ter' �: r�••r �rr'•r EZFIow Media o_ ❑ f +Y %i.fY 0rA See details on page 4 for number, size, and spacing of laterals. Laterals are located in the 4” gravity distribution pipes as shown on page 5. Project: DERRICK CONSTRUCTION CO INC. Page 3 of 11 Center Connection Lateral Layout Diagram Place Appropriate Lateral Diagram From Right Below Fora main oonrootion via we or cross to manifold at aM point LaWals are Wentical Orifices poird up, except every 5th one P points down for drainage. 0= Turn -up wtbali valve or f X.-- *J+ x12 W2� Latecats & ioroe main OF PVC Sch 40 olennoutplug per COW Table 84.30 -5 Number of Laterals 4 Orifice Diameter 0.125 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.01 ft Lateral Length (P) 49.25 ft Orifices per Lateral 25 Lateral End (Z) NA ft Orifice Density 6.00 ft /orifice Lateral Spacing (S) 3.00 ft Manifold Length 3.00 ft Lateral Flow Rate 10.30 gpm Manifold Diameter 1.50 in System Flow Rate 41.19 gpm Forcemain Velocity 7.48 ft/sec 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 �– Alternate outlet location Forcemain diameter WIESER Manufacturer_ 1.5 in. Capacity 800.00 Gallons Volume 22.24 gal/inch A Weep hole or anti - Dimension Inches Gallons B siphon devi e A 1 8.78 417.76 B 2.00 44.48 C Purr off elevation (ft) C 4.19 93.12 t � D 11.00 244.64 D Total -- 3 - 5. - 97r - 5.97 800.00 tank elevation (ft) Min. 3" Bedding under tank. 95.00 Alarm Manufacturer Alarm Model Number OB 10 0 M AY{y ry _ ____., Pump Manufacturer G OULDS Pump Model Number [W Pump Must Deliver I 41.19 gpm at 1 18.99 ft TDH Project: DERRICK CONSTRUCTION CO INC. Page 4 of 11 EZFIow Distribution Cell Media Layout 6.00 Cell Width (ft) 1.50 Sidewall to Lateral (ft) Distribution Cell Cross - section Arrangements Drag appropriate drawing to space below. 6 ft Wide Component Legend I 6" EZFIow Bundle - EZ0601A, 5 or 10 Foot Lengths 12" EZFIow Bundle - EZ1203H, 5 or 10 Foot Lengths 12" EZFIow Bundle - EZ1203HP, 5 or 10 Ft Lengths O 4" Distribution Pipe With Pressure Lateral Inside 0 Tumup Enclosure — — — — Lateral Distribution Cell Plan View Layout - Typical I 6.00 Cell Width - A (ft) 100.00 Cell Length - B (ft) Center Connection Lateral Layout Diagram Drag appropriate drawing from left to space below. �- Force Main -- — -- — — - — — — — — — 6ftWide Center Manifold i Mo und System Maintenance and Operation Spe � �tvice Provides Name _ CALVIN POWERS A _�� � Phone�715 -246 -5135 POWTS Regulator's Name_ S CROIX CO ZON —,_ Phoned 715- 386 -4680 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 118 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 Wastewaterl Domestic I Maximum Fecal Coliform >10E4 cfu/100 mL servIce Freguencv Septic and Pump Tank Inspect and/or service once every 3 ears Effluent Filter Should ins 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 eve 1.5 years Mound __ Ins t for pon din and seepage once every 3 years Other Miscel laneous Construction and Mate__Is Stan dards 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 EZFIow mound component manual. 2. Dispersal cell media conforms to EZFlow products approved for use with the EZFlow Mound Component Manual approved 6/3/03. EZFlow media is covered with an approved geotextile fabric. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished .... • • ... • . • • • • ..,.�......,... •""• .............. . Grade �f Threaded Cleanout 6-8" Diameter Lawn Plug or Bali Valve Sprinkler Valve Box Lateral Ends at Last Orifice Where Variable Length Cleanout Begins Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Ew Media 1.26 Feet Lateral —► Lateral Cleanout Project: DERRICK CONSTRUCTION CO INC. Page 6 of 11 Mound System Management Plan Pursuant to Comer 83.54, Wis. Adm. Code This system shag be operated in accordance with Comm 82-84 . Code, and shag maintained in accordance with its' component mane [EZFlow Mound Component manual 6!3103 and SSWMP Publication 9.6 (01181)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no lornger 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 shag 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 84nches in diameter shag be secured by an effective locking devioe to prevent accidental or unauthorized entry into a tank a component SeWc Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, State. The contents of the septic tank shall be disposed of in accordance with NR 113, Ws. Adm. Code. The operating condition of the septic tank and outlet filter shag be assessed at least once every 3 years by inspection. The outlet fisher 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 tha filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shag be serviced it the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shag have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the tare of a triennial assessment, maintenance personnel shall advise the owner of when the next service need to be perfomred 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 shag be tested to verify proper operation. If an effluent filter is installed within the tank it shag be inspected and serviced as necessary. Mound and Pressure DISITUR11196 Svatem No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, 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 infgbative surface within the mound and snow compaction in the winter wits promote frost penetration. Coif 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 rrrglt. BOD mg/L TSS, and 30 mgA. FOG for septic tank efguef►t or 30 mg/L BOD 30 mg/L TSS, 10 mg/L FOG, and 10 ctu/100 mL for highly treated effluent Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be it should be corn to the initial ire test is Pam When a P flushed of accumulated solids at leaner once every 18 months. Prey when the system was installed to determine if orifice c has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal Cell. levels shag be reported the owner. and any Observation pipes within the dispersal cell shag be checked for effkuant ponding. Pondin9 levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. conthraencv Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank lump, pump controls, alarm or related wiring becomes defective the defective componerd(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 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 blckSicsW clogged absorption and dispersal road, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Sea Page 6 of this plan for the name and telephone number of your local POWrS regulator and service provider. Project DERRICK CONSTRUCTION CO INC. Page 7 of 11 7 [Q GOULDS PUMPS Submersible } Effluent Pump M ODEL 388 WE Series PROSURANCE AVAILABLE FOR RESIDENTIAL APPLICATIONS. APPLICATIONS ■ Shaft Corrosion - resistant, Single phase (60 Hz): can be operated continuously Specifically designed for the stainless steel. Threaded • Capacitor start motors for without damage when fully following uses: design. Locknut on all models maximum starting torque. submerged. • Homes to guard against component *Built-in overload with ■ Bearings and Farms damage on accidental reverse automatic reset lower heavy duty ball baring • Trailer courts rotation. • STTOW or STOW severe duty construction. • Motels ■ Fasteners: 300 series oil and water resistant ■ Power Cable: Severe duty • Schools stainless steel. power cords. m om, oil and wafter resistant • Hospitals ■ Capable of running dry •'A —1 HP models have Epoxy seal on motor end • Industry without damage to NEMA three prong provides secondary moisture • Effluent systems components. grounding plugs. • 1'h HP and larger units have bm� in case of outer jacket � ■ Designed for continuous bare lead cord ends. damage and to prevent oil SPECIRCATIONS operation when fully wicking. Standard cord is 29. Pump ubmerged. Three phase (60 Hz): Optional lengths are available. p • Class 10 overload protection • Solids handling capabilities: MOTORS must b provided in seatin a ■ O Assures positive rust contaminants 3 l.° maximum. ■ Fully submerged in and o separately ordered starter g leakage. �. • Discharge size: r NP7 y unit. • Capacities: up to 140 GPM. high -grade turbine oil for • STOW power cords all have AGENCY LISTINGS • Total heads: up to 128 feet lubrication and efficient heat bare lead cord ends. TDH. transfer. Tested do w. 778 and • Temperature: ■ Class B insulation on N Designed Operation: Pump ratings Co acing are s • By c s 104°F (40 °C} continuous 'h-1 % HP models. mod„ 140 (60 intermittent ■ Class F insulation on 2 HP within the motorrrenufawees c us Me #038549 • See order numbers on models. recommended working limits, tout PMWS is ISO 9001 , reverse side for specific HP voltage, phase and RPM`s t"�� FEET i30 SERIES WE available. - wE,SHti - srzE 3 %'souus uo±-- s _ 35 _ ;RPM: 3500 & FEATURES 110; vVEzoH } 56 FM ■ Impeller: Cast iron, semi- 30 i00 sFr open, non -dog with pump - so wE-,sH °��. 4. + + + _ , out vanes for mechanical � zs 80 �` ' —�-- -; -.:— • _r�_,i seal protection. Balanced for i smooth operation. Silicon 20 7° 071 - y bronze impeller available as i; 60 an Option. a 15 50 ■ Casing: Cast iron volute 40 type for maximum efficiency. 10 ----- _ _ ___ - .. __ ._ _ 2" NPT discharge. ■ Mechanical Seal: SILICON 5 20 CARBIDE VS. SILICON 10 - 0- 01 CARBIDE sealing faces. 0 10 20 30 40 5o 60 70 80 90 100 110 720 130 140 150 160 GPM Stainless steel metal parts, + + + + + + �-' BUNA -N elastomers. 0 5 10 1s 20 25 30 35 m CAPACRY Goulds Pumps ® 2004 Iff wf1er Technology, Inc ITT Industries Effective December, 2004 www.goulds.com 83885 WisconsinDeparumntofIndustry SOIL AND SITE EVALUATION REPORT Page 1 of 3 tabor and Human Relations_ ;won of S�ffrity Buitdexjs or in accord with ILHR 83.05, Wis. Adm. Code - COUNTY Attach complete site plan on paper not less than 8112 x 11 inches in size. Plan must include, but • S k not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION e Piz- E f 9 is SCt Li Z 'IT s>~1 ua s� uas 1{,T Zf3 ,N,R Lq E( w PROPERTY OWNER'S MAILING ADDRESS. LOT;; I BLOCK SUBD. NAME OR CSM 2 Z S 21U0ZS LDE - DCuUE S4 I -- G SMox, S CITY, STATE ZIP CODE PHONE NUMBER OCITY [IVILLAGE 0fOWN ' NEAREST ROAD " S' zl-{'tP1{2E 6ut�OFQ, bR ;Kj New Construction Use W Residential I Number of bedrooms 4 (j Add•+tiQn to existing building (] Replacement (] Public or commer&l describe Code derived da►Ty flow la t )Q gpd Recommended design loading rate q _ bed, gpolf 2 --- trench, gpde Absorption area required Sk) bed, ft S fla trench, t1 ' Maximum design Loading rate • S bed, gpcW - -f- trench, gpoltt Recommended infiltrationsudace- elevations} - It (as referred to site plan benchmark) Additional design she cordderations W f %' Y- 1,3' %ZZ . 1" 1 Uv - - 2-4" OF- 31 � Flu Parent material L�nT g&—P Flood plain elevation, it applicable MIN ft S . Suitable for system I CONVE MON& maAll) I Vd• MIND PRESSURE AT -GARDE SYSTEM W Rll WLDING TANK U Unsuitable for tem O S O U I a S 0 U 0 S ®U 1 0 S ® U I 0 S QU 10 S. (RU SOIL DESCRIPTION REPORT inant Boring # Horizon) Depth Dom M e ll Color Sz. Cont Texture I Gr. Stu Sz re Consistence l Wjx* I Roots P D1ffZ Tmnch ( e7 -� 10`1 tZ 31 Z Ground 3 2. - 1 cN -1 n- 6 13 — I LS BR — !� Lvp elev. _ ic o fL Depth to linfi g factor ? 6y Remarks: Boring # =.6 Z Z q 16%1 l2. �)-/6 Ground elev. y Imo• t.rp 1 -O fL Depth to limiting factor Z S b Remarks: CST Names— Please Pr;nt Arthur L. We erer 715- 425 -0165 ' egO-rer Soil Testing & Design Service -P.O. Box 74 River.Falls,WI.54922 Signature. Date: CST Number: 22 _ . 0254 L- L4JAILCI� -------- -- ...... n. WUU.uu :S�JC'Wat,1 701 6ulll of tid •n� puno # 6uuo :qJE'wa}d J010E — - - - - - -- fwglw oI t4dac '11 AaJE punoif) 13 # 6upoe :s�IJE:wad Jopael 6u111wy of 41daa 'll •nala punoJE) i :s��ewet� . eO� JOloel Bull w l dt'y dr'Q o1 igda(l 1 �- 9 ZI ral f� 'ASP 5 {� qS (--.)-t s �tE ?I!, S L LTZ g punoJo �Ic �t,oT o-z Z Poe Z 7 E Zi i, a1 0110 31 /OdJ stood aoualWmo 4S zS 'Jo aJfilxal- "103 IWO - zS '�t) 1lasuniry ul ejnlonJlS SOMOVll JoloO lusulwoQ yldaa uozlJOH # 6ulios )o 910d IUOd3d NOIJ.dIHOS3t1 1 133F1Vd 105 zy-� H3NMo J h8 MOM P LOT PLAN Page 3 of 3 SCALE 1"= SD ' i bQ NAT COr' ?Pv -r 02 L U Y. 7S � � $>h' / - �Z. 100 .0 Om 1'r � C rl.lo 7 . - FL. toZ.S' P lPE I = t 1 i I i - i t t f � i 00. 03 -% oIC `h S - q - z zazs y CST Signature 1715 ) 4 2 � — n l s Date Signed Telephone No. CST 53" 96" 41" L w � m -a r oo O - n A � r U) N I n M v n6- rn � rn rn rn - r - 44" BL i t I I a C -k Z _ N D 39" - z � z M a z c -^ c a N 9 V D ° O Av to 2 o -4 a o r z K 0> Z D c m m m Z - 7C --4 m� 0 m z o D rn � ZOmpzMa r �' A Z O m v ''v n° =o °x��ii� C7 N rn D p >0 -1 * .. -i O .. c m n m N C1 m o cn c r- r w• U .r M U) n 0 N c Z D r a go ' o Fr Cn p N � O O N w ;oC 0�0� n O r- rri n y N 000 D -! t 00 - D = N 0 O) -- n r T t� 0o c p Z n c r m tv J Z Z Gay rn O 00 0 C1 D n Y r� a 4 O r 0 i / co N C Z^ ° .Z1 N� A V v m om T m Q � O �n D VI � n r m g r. n M ;o z rn SCALE: 1/4"-l' REV NO. DATE: \�° M iNL 200 800 -MR NIENE1 1111RETE DRAWN BY:SWT Z SEPTIC MANUAL W3716 US H"O. MAM ROCK. VA 54750 DATE: JANUARY 2001 0 �° REV. JAN. 2005 800- 325 -8456 FILE WLP1200 80D-MR Safety and Buildings Division County 201 W: Washington Ave., P.O. Box 7162 P t Madison, Wl 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) De ar e} mere (608) 266 -3151 O 2 SD P it Application State Plan I.D. Number 1 accord with C is. Adm. Code, personal information you provide n S. Y used for secondary purposes Privacy Law, s15.()4(1 gym) roiect Address (if (if-different than trailing address) I. Appli ' a Information - Please Print All Information ^Z � o I Property Owner's me Parcel # Lot # Block # r / ak ° r � � �, �o " (o Property er's Mailin ddress Property tion �® or 4 4 4 N; , S� Y,, Section i City, State 'Lip Cade Phone Number t W l l oC D (circle II. T R�E or� Type of Building (check all t t apply) S " �r s 1 or 2 Family Dwelling- Number of rooms 1 Subdivision Name CSM Number X Public/Commercial - Describe Use G! �dint^ S_k ❑ State Owned - Describe Use ❑City ❑village ffTownship of 111. Type of Permit: (Check only one box o line A. Complete line B if appli e) A. New System ❑ Replacement System ❑ Treatment/Holding Tank placement Only ❑ Other Modification to Existing System List Previous Permit Number and Date Issued B_ ❑ Permit Renewal ❑ Permit Revision Change of 9fermit Transfer to New Before Expiration PI ber [,Owner IV. Tjpe ofPOWTS S stem: Check art that a I ❑ Non - Pressurized In- Ground Mound > 24 in. of suitable soi! ElAound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank Peat Filter ❑ Aerobic Treatment Unit 11 Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching C r ❑ p Li vel-I Pi El Other (explain) �� t V. Dispersalfirreatment Area Information: 1 72 1 1 • = I 2 . �S J Design Flow (gpd) Design Soil Application Ritte(gp8o ispersal Area uired (sf) Dispersal Area Proposed (sf) System Elevation 7 / _77C) /p fo VI. Tank Info Capacity in Total mber Man user Prefab Site Steel Fiber Plastic Gallons Gallons fUnit tJ L S Concrete Constructed Glass New Existing Tanks Tanks vv Septic Holding Tank Aerobic Treatment Unit Dosing Chamba c r.S VII. Responsibility Statement- i, the a ersigaed, ks,;rne for iasta f the Po S shown on the attached plans. tuber's Nirt} =sa PRS tuber Business Phone Number C s 7 1 5 a V & Plumber's Address (Street, City, State, i Code) W ) t 0 VIII. County /L)e Partment Ulfon Approved ❑ Disa Sanitary Permit Fee eludes Groundwater Date Issued ssuin Agent Signatu (No Stamps) Surcharge Fee) _ El on for nial 2 IX. Conditions pp a 1 SYSTEM OWNER; 1 Septic tank, effluent filter and dispersal cell must all be serviced / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code /ordinances. Attach complete plate (to the County only) for the system at paper not less than 81/2 x 1 I inches in sin SBD -6398 (R. 01/03) - ► - - -- - ___� f- - ----_� Aut 0/7 is Ca -7r 100 tit oe I LL S s - 0 XV 0 { i , Safety and Buildings 4003 N KINNEY COULEE RD commerce.Wl.gov LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 i sco n s i n www.commerce.wi.gov /sb/ www.wisconsin.gov Department of Commerce Jim Doyle, Governor Mary P. Burke, Secretary February 06, 2006 CUST ID No. 220537 ATTN. POWTS Inspector CALVIN W POWERS ZONING OFFICE POWERS EXCAVATING, INC ST CROIX COUNTY SPIA 1969 185TH AVE 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 02/06/2008 Identification Numbers Transaction ED No. 1236097 SITE: Site ID No. 709158 Derrick Construction Co Inc Please refer to both identification numbers, 320 Empire Builder Drive above, in all correspondence with the agenc Town of Troy St Croix County SW1 /4, SE1/4, S16, T28N, R19W Lot: 84, FOR: Description: Five Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 1060049 Maintenance required; 750 GPD Flow rate; 25 in Soil minimum depth to limiting factor from original grade; System: EZ -Flow Mound Component (N.6/03), Pressure Distribution Component Manual - Version 2.0, SBD- 10706 -P (N.01 /01); 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, Coirdita0 "1l stats. The following conditions shall be met during construction or installation and prior to occupancy or use: fAr"RO DEPARTMENT OF CO Reminders OF EYAAN • This system is to be constructed and located in accordance with the enclosed approved plans and with the SEE CORRESPO component manuals listed above. • The pressure distribution network shall be sleeved through the 4 -inch corrugated pipe located in the EZ -Flow product. One out of ever five orifices in each distribution pipe shall be installed at the 6 o'clock position Y PP P to allow for thorough drainage of the distribution pipe following each dose. The remaining four orifices shall be installed in the 12 o'clock position. All pipes must drain after dosing. • The observation pipes must be located at a junction point between two EZ -Flow products so as not to create separation of the bundles within a product. • 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. CALVIN W POWERS JR r Page 2 2/6/2006 • The well must be a minim 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 • Comm 83.220 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 C_ h 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 l EZFLOW MOUND AND PRESSURE DISTRIBUTION COMPONENT DkSIGN Residential Application ✓ Z0 , INDEX AND TITLE PAGE qN2 5 Project Name: DERRICK CONSTRUCTION CO. INC 0 0 Owner's Name: DERRICK CONSTRUCTION CO INC. Owner's Address: P O BOX 445 NEW RICHMOND, WI 54017 Legal Description: SW 1/4 SE 1/4 SEC 16 T 28 N R 19 W Township: TROY County: ST CROIX Subdivision Name: GLOVER STATION #5th ADDITION Lot Number 84 Number. Parcel I.D. Number: PENDING Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 EZFlow mound drawings Page 4 Lateral and dose tank Page 5 Distribution media Page 6 System maintenance specifications Page 7 Management and contingency plan !ZN Page 8 Pump curve and specifications ,f fft p -,, l ERcE ,�� n.krC'��_ ,emu► S ADENCE Designer: CALVIN POWERS License Number 220537_ Date: 01121 /06 Phone Number. 715- 246 -5135 Signature: Designed Pursuant to the EZFIow Mound Component Manual (N. 06/03), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) EZFIow Mound Version 1.2 (R. 02/04) Pagel of EZF1ow Mound and Pressure Distribution Component Design Design Worksheet Site InfoRnabon Note: Sand fill (D) calculations assume a (r a r c) r Residential or Commercial Design Table 83-44 -3 in-situ soil treatment for fecal 500.00 Estimated Wastewater Flow (913d) coMorm of <= 36 inches. 1.50 Peaking Factor (e.g. 1.5 =150 %) 750.00 Design Flow (gpd) 2.00 Site Slope (%) 13 00 Contour Length Available (ft) 102.75 Installation Contour Line Elevation (ft) � - 1 25 .00 Depth to Limiting Factor (in) J0.40 in -situ Soil Application Rate (gpd/fe) Distribution Cell Information 7.00 Cell Width (ft) 3 4 6 7 9. or 10 Only r-- - 10 - 0 -- ol = Dispersal Cell Length (ft) 1.00 Dispersal Ceti Design Loading Rate (gpdW) Are the laterals the highest point 1 Influent Wastewater Quality (1 or 2) in the distribution � ,� Pressure Disribution information network? Enter Y or N (c or e) c Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevati (ft) 4 Number of Laterals of the highest point [� --i 0.125 Orifice Diameter (in) (e.g. 0.25) 2.00 Estimated Orifice Spacing (ft) = 7.13 ft /orifice 2.00 Forcemain Diameter (in) 30.00 Forcemain Length (ft) Does the forcemain drain back? E Y Enter Y or N 95.00 Inside Pump Tank Elevation (ft) 6.50 System Head (ft) x 1.3 4.89 Forcemain Drainback (gal) 8.17 Vertical Lift (ft) 99.69 5x Void Volume (gal) 1.21 Friction Loss (ft) 104.58 Minimum Dose Volume (gal) 15.87 Total Dynamic Head (ft) 44.49 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Sslection in. dia. o lions choic in. dia. o 'ons choice 0.75 1.25 x 1.00 1.50 x x 1.25 x 1 2.00 x 1.50 x x 3.00 2.00 x 3.00 x . Gallons/Inch Calculator (optional) Treatment Tank information L94 00. 00 Total Tank Capacity (gal) 565.00 Se tic 1 Tank Capac ty (gal) 0.00 ` Total Working Liquid Depth (in) WIESER Manufactu rer 25.00 gal/in (enter result in cell 649) Dose Tank information Efflu Fi tter Information 1000.00 Doss Tank Capacity (gal) POLYLOK Filter Manufacturer '--,-.---. e 25.00 Dose Tank Volume (gaUn) PL5 25 Filter Moodel l Number umb WIE - - ::]Manufacturer Project: DERRICK CONSTRUCTION CO. INC Page 2 of °f Mound Plan View :.:.: ::: observation Pipe s /F fi S S f y 1 A f .s S � fSJ f f s i. �- y :•.K..% y t 4.yy....s ti stssl fM S.. 1 y W f• ` ............. B. L Mound Component Dimenstlons Down slope toe extension made. A 7.00 ft E I 12.68 in H 1.00 ft K 8.96 ft B 110.00 ft F 12.00 in z 10.05 ft L 127.92 ft D 11.00 in G 0.50 ft J 6.84 It W 23.89 ft 770.00 (ft Dispersal Cell Area r 1875.00 (fe) Basal Area Available 6.82 (gpd/ft) Linear Loading Rate 11.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 105.67 (ft) H I '; l Cell - 104.17 (ft) Lateral F Disperse 103.67 (ft) - = 6 Invert Elevation Dispersal I Cell E D � 3 Elevation '.:i�„_•••+i ••. '.. .1 �E /„ R•. / y �`�Z 102.75 (ft) Contour Elevation 2.0 % Site Slope Typical Dispersal Cell Shading Key See Page 5 1[] Topsoil Cap C 2.0 ft Geotexdle Fabric fover 0 /,,, /,,,/ Subsoil Cap T ® ASTM C33 Sand " F �: a "Y •K • +NA •S `.`�CY M h.`N• hl Tilled Layer 0.5 ft 5 f. EZFIow Media ° -16 - See details on page 4 for number, size, and spacing of laterals. Laterals are located in the 4" gravity distribution pipes as shown on page 5. Project: DERRICK CONSTRUCTION CO. INC Page 3 of `) 0dfik= Point up, except every Rh one P pants down for drairwae. •= Turn -up wrbail wive or X-4 st2 d2 l awau 8 force main of PVC sch 40 clesnoutplug pa COMM Table 841'4-6 Number of Laterals 4 Orifice Diameter 0.125 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.05 ft Lateral Length (P) 54.33 ft Orifices per Lateral 27 Lateral End (Z) NA It Orifice Density 7.13 f /orifice Lateral Spacing (S) 3.00 ft Manifold Length 3.00 ft Lateral Flow Rate 11.12 gpm Manifold Diameter 1.50 in System Flow Rate 44.49 gpm Forcemain Velocity 4.54 ft/sec Dose Tank Information wing cover with warning label and tomcing device, and sealed watertight Electrical as per NEC 300 and - 4 in. min. Comm 16.28 WAC Disconnect Tank component is property vented x AMemate outlet location Forcemain diameter WIESER Manufacturer 2 in. Ca pacity 1 100 0.00 Gallons Volume 1 25.00 gai/inch A Weep hole or anti - Dimension inches Ga llons B siphon device A 21.82 545.42 C B 2.00 50.00 P�►P ° elevate°" (ft C 4.18 104.58 96. D 12.00 300.001 D Total 40.00 1(100.00 Dose tank elevation ft) Min. 3" Bedding under tank 1 95.00 Alarm Manufacturer SP _ Alarm Model Number I OBSERVER 100��� Pump Manufacturer I GOULDS 3885� Pump Model Number Pump Must Deliver 44.49 gpm at 15.87 ft TDH Project: DERRICK CONSTRUCTION CO. INC Page 4 of 9 7.00 Cell Width (ft) Distribution Cell Cross section Arrangements Drag appropriate drawing to space below. 7 ft Wide 6606"(99 Component Legend ® 6" EZFiow Bundle - EZ0601A, 5 or 10 Foot Lengths 12" EZF[ow Bundle - EZ1203H, 5 or 10 Foot Lengths 12" EZFIow Bundle - EZ1203HP, 5 or 10 Ft Lengths 4" Distribution Pipe With Pressure Lateral inside Tumup Enclosure - - - - Lateral Distribution Cell Plan View Layout - Typical 7.00 Cell Width - A (ft) 110.00 Cell Length - B (ft) Center Connection Lateral Layout Diagram Drag appropriate drawing from left to space below. Force Main -- ------ 7ftWide Center Manifold Design Flow - peak 750 gpd Maximum influent Particle Size 1/8 in Estimated Flow - Average 500 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1565 gal Maximum TSS 150 mg/L Soil Absorption Component Size 770 fl? Maximum FOG 30 mg/L Type of Wastewaterl Domestic 1 Maximum Fecal Coliform >10E4 cfu/100 mL Service Freauencv Septic and Pump Tank Inspect and/or service once every 3 rs Effluent Filter Should inspect and dean 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 ears Mound _ _ Inspect f pondi ancp seepage on every 3 year Gather! Miscellaneous Construction and Materials S tandards 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 EZFIow mound component manual. 2. Dispersal cell media conforms to EZFlow products approved for use with the EZFIow Mound Component app xtile fabric. Manua! roved 6/3103. EZFIow media is covered with an approved geote 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. prevent soil erosion 5. The mound structure and other' disturbed areas will be seeded and mulched to prey and help reduce frost penetration. Lateral Turn -up Detail Finished ••••••••••••••• Grade Threaded Cieanout 6-8" Diameter Lawn Plug or Ball Valve Sprinkler Valve Box Lateral Ends at Last Orifice Where Variable Length Cieanout Begins Long Sweep 90 or Two 45'Degree Bends Same Diameter as Lateral EZFiow Media 1.18 Feet 4 Distribution Lateral --* 4 Lateral Cieanout Project: DERRICK CONSTRUCTION CO. INC Page 6 of cousin Department Rela Industry and Human Relati SOIL AND SITE E V A L IJ� -T't(� R E P�Of�T Page I of 3 nor pion of Safety & Buildin , , f _ in accord with ILHR 83 �1 ;. Adm. Cpde ! �,... COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in ze: plan must include; bu not limited to vertical and horizontal reference point (W, direction a %of slft scat? or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road <: APPLICANT INFORMATION- PLEASE PRINT ALL INFORMA JON EWEpBY DATE PROPERTY OWNER: PROPERTY LOCA N �S, ti iA va,S I.6T Z.i::� ,N,R t q E( PROPERTY OWNER'. MAILING ADDRESS LOT - UBD. NAME OR CSM # �1 - ,;' SS 2 1 9 q�ZS 1DE �1�21UE 8 — 6L SMolu S FrbD . CITY, STATE ZIP CODE PHONE NUMBER EICITY OVILLAGE ®TOWN ' NEAREST ROAD 1�1U��(Z PCL!_S wl Syo ZZ hLS) �1 ZS - $lbt '�Zp`( tP1Re autLzMb?- jsq New Construction Use ICJ Residential / Number of bedrooms [ ] Addition to existing building [ J Replacement [ ] Public or commercial describe Code derived daily flow 600 gpd Recommended design loading rate • y bed, gpd/0 trench, gpd/ft Absorption area required &n bed, ft2 S r�D trench, ft - Maximum design loading rate S bed, gpd/ft � trench, gpd/ t Recommended infiltration surface elevation(s) 1�\ . --� S It (as referred to site plan benchmark) Additional design / site considerations _ Y ti U� h� I.J l �c 3 �� , M vi . - 2 - q OF S *�J Flu Parent material Lo >r sS oust TyA Rood plain elevation if applicable N A it S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem ❑ S O U ®S ❑ U ❑ S ®U I Cl S ®U ❑ S O- U I ❑ S Eau SOIL DESCRIPTION REPORT Depth Dominant Color Motes Boring # Horizon ttles Structure 9 in. Munsell ( Qu. Sz. Cont Color Texture I Gr. Sz. Sh. Consistence 18wxbfy I Roots � ed few 2 31Z - , b ( Z 1Z•�, i. ©`12 3t.6 _ s 1 cJ z�S m�� �S _ . �! .S r Ground 6 !3 elev. �SB1? — Vo o ft Depth to limiting factor Zp Remarks: Boring # 1 n -9 >-fl� iZ Utz - s � � z.`Fs �� �.�, 1� S • 6 • � Z C 49. tD`tiz 2�/6 E 6 3 lit Ground 2S S�1tZ31� s1cJ 1'F m'F eS _ z . 3 y elev. y 73 -y 0 l b 2 6 !3 - lS fl R — - - �� f.►p 1 03.0 fL Depth to limiting factor Zs" Remarks: T Name.— Please Print Phone: Arthur L. We erer 715- 425 -0165 egerer Soil Testing & Design Service -P.O. Box 74 River Yalls,WI 54022 ' Signature: �_ 103 - � Date: S _• A � CST Numbe 220254 • PROPERTY OWNER ��"� l Sy- 'Z ' SOIL DESCRIPTION REPORT Page? 2 PARCEL I.D.!! Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft �•,.n.,. in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tmnch 0 -1.0 LpL,1Z 312 Z t� - ZA 10`! �� Ground 3 Z) 2 - 1 D S `/2 31 S�1 C) 1 n S b m.� L° S • Z - 3 2 elev. ►6Z5 f1. y 3p- 9 Depth to ` limiting factor 30" Remarks: Boring # A ' ;{ Z ti:� ' Ground elev. ft. Depth to — limiting factor Remarks: Boring # ,..;` Ground elev. It. Depth to limiting + factor i. Remarks: 3oring # around ;lev. It. . )epth to imiling actor remarks: _ PLOT PLAN Pa 3 of 3 ` r SCALE 1 "= i b0 1v�•C' C�tPt�T o2 C`W►JTpUR trl 1oZ, t �L LUY.7S 3y �\ � $n� t+f - �• �uU.p� Orf i'r 0 1��ti �tPE LrLIo*L- �t bDZ s Z - @'t_ ioz.S' a>J 6 tGN, M). PVC ptPE w/ � 3•$' H16 Pi PVC wtptizh�;R r P lPC i j I i i I i I I I �'�'1PZRE l�L1l�p�Z � \ZIUE 00_)03 -84 VZO I S y �► S Q`dD ( 715 ) 425 - 0169 _ CST Signature Date Signed Telephone No. CST # ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/B Mailing Address w,/�yC, 14 E- 4EW (Z1 C.� M��St� C 5+01 Property Address ?27 le P I vL C ( — ) 2 , -A t e..p,:;t,, 0V21, V-:-7 _ VP (Verification required from Planning & Zoning Department for new construction.) City/State 0 S�t�_ W I Parcel Identification Number l Zto c0 - 3 'G ' :z LEGAL DESCRIPTION 6 Property Location 5W '/a , '/� ,Sec. 1)0 , T Z� N R 1 � W, Town of 11� \/ Subdivision �l.Vt °j'1 C�Y.I , Lot # S4 . Certified Survey Map # , Volume , Page # Warranty Deed # , Volume Page # q Spec housle6>0 Lot lines identifiabl yes o 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. I /we, 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. Uwe 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. Numbe edro Z /2A p SIG ATURE OF APPLI T(S) 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. 08/05) r FEB -20 -2006 11:0? FROM River Ualley Abstrac TO 17152464948 P.02 fl � .L e 7 tff'i 1 f21 5 a! . O SL KATHLEEN H. WALSH STATE BAR OF WI CO O M I - 1998 REGISTER OF DEEDS WARRANTY DEED ST. CROIX CO.. WI Document Number RECEIVED FOR RECORD This Deed, made between C. M. Bye, individually, and Dennis R. 01109/2004 09: 45AN and Sandra C. Schultz Revocable Trust, Dennis R. Schultz and Sandra C. Schultz, Trustees WARRANTY DEED EXEMPT Ie 27 Grantor, and Brushy Mound Partners, L.L.P., a Wisconsin limited REC FEE: 11.00 partnership COPY CC FEE: PAGES: I. Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (The "Property"): R oo nn Name and Return Address Lots 72, 82, 83 84 92, 93, 94, 96, 97, 98, 100, 101, 102 and 103, G lover C. M. Bye 258 Riverside Drive Station 5th Addi ion, Town of Troy, St. Croix County, Wisconsin P.O. Box 167 River Falls, WI 54022 040 - 1265 -10- 000,040 - 1268 - 00-000 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) This deed is given in satisfaction of that certain Land Contract between the parties dated June 5, 2002 and recorded in the office of the St. Croix County Register of Deeds on July 15, 2002 in Volume 1926 of Records, page 553 as Document No. 684104 Additional PIN numbers: 040 - 1268 -10 -000, 040 - 1268 -20 -000, 040 - 1266 -10 -000, 040 - 1266 -20 -000, 040- 1266 -30 -000, 040 - 1267 -10 -000, 040 - 1267 -20- 000,040- 1267 -30- 000,040 -) 267 -50 0 040 - 1267 -60- 000,040 - 1267 -70 -000, 040 - 1267 -90 -000 Together with all appurtenant rights, title and interests. Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except easements and restrictions of record and will warrant and defend the same. Dated this day of • Dennis It. Schultz , • C• M. B '�, aadra C. Schuh • AUTHENTICATION ACKNOWLEDGMENT STATE OF WISCONSIN ) ) 53. Signature(s) St. Croix County. ) Personally came before me this day of authenticated this day of —\iS 1 Azoe!")� I the above named Dennis R. Schultz, Sandra C. Schultz and C.M. Bye . �t•.r rr ,rr,7.,, TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person(s I& ex ' ed llte fds grog (If not, ins men t and acknowledge the e.' ' "1 N authorized by $ 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY C. M. Bye • • ..:. • ' Attorney at Low Notary Public, State of Wisconsin ., rr�� " -. `.. My Commission is pc maven[. (if nor, �isa�loj2- date: (Signatures may be authenticated or acknowledged. Both are not necessary.) 'Names of persons signing in any capacity should be typed or printed below their signatures Fr AT6 BAR OF W[SCONSM WARRANTY DASD FORM No. 1 - 199a INFORMATION FROFPSSIONALS COMPANY FOND DV LAC. Wl i00b55 - 2021 TnTal P PD - v 1n ' ��� , 75' " io �+ c - -- r � o � -� .so stns 3 »fZ.6f.00 N . vi �p� 2 Z �'N .fit r AI L--Jl Q .. �` -� •r-- :oa'�rs »fzsfao s ']ff18dW3- _ co N m 13 \ \ M F 3 1 Bus PY y CO OD t / t , t . �• .04 1 ai A ul cn ! t �,rt� ,.fBIOSr 3 dfZ.6fap N `�i • s 3 » • ofzo Iv >` `A �; : /'`. N • of . Q. .. LLJ � a < H ^ Q // � � . � its •„��` �0 � . � ' �\ .tf.p�• .. �4 '�• �'; ri �• r 1 1 �• t r 44.. 1" _ Nom' Ida' ► . � �i•- i ..:,a W . a3� M WQ a art !A � may .. �•_ <N 1.: �`,• . W��- 0 b ':•P co J v Trial And Road Map For Glover Station 0 N O 1 .-- . -.... ._l. •• ..... ... .... ...... ....... .�... ..- �l g 8 7 6 5 4 1 10 3 t, � •}•1 0 pUTAFU� ROAD 2 11 0 19 20 21 22 23 'QO 24 i 12 25 g � i - 13 N 1 8 17 30 31 �o 26 MLWr b 16 27 29 '0 32 28 14 15 .� 35 40 . 33 41 39 38 37 36 43 42 PACaF10 ROAD 44 0 47 48 55 50 59 52 53 b 54 45 0 46 49 60 .. 56 92 ' 168 0 ..... ° 67 57 *p 58 � •No 69 62 61 91 70 Al i 90 66 63 71 64 89 811 8 72 �E 87 74 73 SCALE IN FEET gs 93 79 80 400 800 �9 85 94 95 0 200 75 - 84 LE_GE_ND 77 78 Np►F �pTgtlgD RECREATION 7 s. 81 s 97 9 NED g c 83 98 E MAING! N : MI TI AT HOW Gymm ............•. IA T ION - 12W WIDE 82 • AT . 1/l•ESS cNATTANOOCA nlavE oTIERImsE NOfED). 20' 010WI&MIZED RECEATION 20• TRAIL. TO IIE MAINTAINED ENc � G CO. 101 Malt'�tHMMseIt 10E. okm Civil ngineers do and �0rve 100 g9 SI 113 W W� SL. Rtwa 103 102 E C I dAA�I LOT LIME). (715) 425 -7831 .......... } I.. ...... 1... 0 g DATE: 5- 30-00 DEMIIS R. SCHULTZ AND SAM" C. SCHU TZ C.M. on AM DIANE L. BYE 711 25 „2 AM" . 9 9 - 2-380 P.O. BOX 187 q MO. WISCONSIN 54829 RIVER FALLS. WISCONSIN 54022