Loading...
HomeMy WebLinkAbout040-1266-60-000 © O ° c- N o r,. - E c o @ a a n c N CA $a)@ N c .0 V) 3 y c Y N @ N @ L N N U O N C Z C U N 7 @ @ @ p T LL O O 2 a C p O O @ '0) < N I' C N o I Q �n ._ � i � I � � I Z ' N W LU E c = C V Z a m `° Z p c N o i o Z d .0 V ;p IX w V O N 2 O C I ', N Z N E 'O c7 0 ` N 4 N N a p •N - U) L - O '0 m Z N Q L C _ N CV NN CO t0 E E_ v N~ N N c N 0 G d c -° C7 a c) }r� O O O Z a c M .. N J V 'j o 0 } C4 Cq CN Z ) C) A ,. 0 'O N Q n G`? @ U) N r+ O M N c r=+ O Ih p E O CZ o - O > CO Fi GD 7 c C . N l., O 3 N N N c c N O 04 O !; C 7 C O N .0 o N o l r o ar y c E L LO • y' o `r H d o N X d c i 0 V .. I I VJ m V m E CL *k O. N M CL m 'o d a w tt `F�+i E L 'c c :: "'1 A U a M O U V Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 506194 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: Porter, Dennis L. I Troy, Town of 040 - 1266 -60 -000 CST BM Elev Insp. BM Elev: BM Description: _r Section/Town /Range /Map No: D 3. Yl" S/ di rr 16.28.19.1448 TANK INFORMATION ELEVATI DATA TYPE RE CAPACI.Ty STATION BS HI FS ELEV. MA UFACTU Septic Benchmark 4 (0 /03 , D�osi� N Alt. BM B OA-P4 O� Aeration Bldg. Sewer N Holding St/ t Iuk 13 3 2 3 TANK SETBACK INFORMATION StL.Ht Outlet • 2(, �T6. TANK TO P/L W LL BLDG. Vent to Air I ke ROAD Dt I n 1 G Q Septic > r Dt Bottom 24 ? 2- $_ )` Dosing ' 7a Head_ er /Man. ^ ,� s - r Aeration Dist. Pipe , Holding Bot. System Final Grade PUMP /SIPHON INFORMATION Manufacturer Demand St Cover GPM ' Model Number D ��. TDH Lift Friction Loss Syste Head TD�i Ft x.4.0 l • o � � � `i . 4J a err Forcemain Length Dia. Dist. to Pell SOIL ABSORPTION SYSTEM BED /TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO PiL BLDG WELL LAKE /STREAM LEACHING Man` rer: INFORMATION T S tem: CHAMBER OR Y�� � UNIT Model Number: _ DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded hed Bed/Trench Center Bed[Trench Edges Topsoil [—� Yes L] No 1 7 D Yes ::] No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: / . - V n j Inspection #2: / /__ Location: 332 Soo Line Rd Hudson, WI 54016 (NW 1/4 SE 1/4 16 T28N R19W) Glover Station 5th Add Lot '7 rq Parcel No: 16.28.19.1448 1.) Alt BM Description = 2.) Bldg sewer length = f j - amount of cover t Plan revision Required? D Yes [✓�No Use other side for additional information. X2 — SBD -6710 (R.3/97) Date Insepctor S nature Cert. IV o. ' commeree .Wl.gov Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 ' ��On �' Madison, WI 53707 -7162 Sanitary Permit umbe to be illed in by Co.) epartment of Commerce Sanitary Permit Application State Transaction Numb 6r In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note: Application forms for state -owned POWTS are Project Address (if different than mailing address) submitted to the Department of Commerce. Personal information r secondary p urposes in accordance with the Privacy Law, s. 15.04 1 m , Slats. 5 f � I. Application Information — Please Print All Information � :Property wner's Name Parcel # MAY 1 7 2007 Property Owner's ailing Addiess Pro Location (/ ST. CROIX COUNTY Govt. Lot !Z LA<-AA T e Zip Code - y,,e %, Section circle one O _ N; RE H . T ype of Building (check all that apply) Lot # Subdivision Name �I or 2 Family Dwelling - Number of Bedrooms 7 Block # - CS ❑ Public /Commercial - Describe Use ❑ City of CSM Num cr ❑ Village of El State Owned - Describe Use Town of III. Type of Permit: (Check only one box on line A. Complete line W1 applicable) A. ❑ New System ❑ Replacement System TreatmentignWig Tank Replacement Only ❑ Other Modification to Existing System (explain) , '6� C17 List Previous Permit Number and Date Issued B. ❑ Permit Renewal El Permit Revision El Change of Plumber El Permit Transfer to New Before Expiration Owner �D� 2 /3/6 IV. Type of POWTS System/Component/Device: Check all that appl ❑ Non - Pressurized In- Ground ❑ Pressurized In- Ground ❑ At -Grade ound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dis ersaUTreatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) s Elevation n/ u A �� VI. Tank Inid Capacity in Total # of Manufacturer Y e Gallons Gallons Units U d d N New Tanks Existing Tanks ��ev o °•_' Y p �° a U in to m w C7 Q Septic or holding Tank / s Dosing Chamber �- VII. Respon ibility Statement I, the undersigned, assume respons'bi 'ty for installation of the POWTS shown on the attached plans. Plumb e s .' me rint Plumber's igna t MP /MPRS Number Business Phone Number _ f Plu er's . ddress (Street, City, Stat , Zip Code) VIII. unto/Department Use Onlyr - ' roved Disapproved Permit Fee Date sued issuing Age Signa e PP ❑ Owner Given Reason for Denial S ✓`�`� d ��_ ��i�!'ti/ -� i `. Conditions of Appro aI/Reasons for Disapproval ` 6 U•�� r� County only on p aper not less than S t/2 x I i inches in size 4 " Att to complete plans for the system and submit to the Co ty y p p 7� SBD -6398 (R. 01/07) Valid thm 01/09 0 M 0 c 0 3 T O n d �1 m F C °.: C d 0 �' m(D m A v i " K -0 n `�° (D m d m I _ � 0 1 0 M 0 0 O O N O �,� O 0) [ /� 0 O O p � O> A `C �• O N a CD o p m p D A N 1 cD 3 CD I; 0 co rn � N fl. .:,� 3 N cr 0 0 N 7 a) R O o „ 3 C n K! N 0 l< O W O m 3 * W d p w o y N N N N N O C Cf) C Cl) t? v y w 4 0 0 1 v z> m 0 0 a CD a? I y u , a �- «, D� a � CO 0- O O CD tom. = O CD CD 0 w = � _ �r CL g N N C Z N O CL 0 r to (D .Zl o o N O O 0 Ul D W W 0 v 0 3 C P 0 CL o 0 0 0 0 0 0 Cri .. O N N N O N N N � p a T O O a) 0 Q O O m l o m m m W d m m m 3 K z ` �I z .. D O D 0 a . � p 3 7 O CD (D N @ N (� CD ? -p t @ w O CD 3 3 W O O 1 I a 3 m 3 a -1 N en O 3 C _ C ,p Z n cn v N d Q A z O v m cn D a 3 O O * - m m tW (D z 0 3 0 3 a 3 '' 3 C/) co N N N -OO A 0 N (n 0a cn y mmg0� > 3 0 m a 0 3 d< Q m mv�.0oo Q -0 v y m3 Q, omvLOmo o : CD CD o 1 a 3? o� w v °< 0= v CD 0•0y<o ° -1 3ma0 uu) u/ 3 cn N< d N N CD 5 O __ cp C� S CL v � 3w. 3 nm 0 CD - 0 ro_aw o �o w 3 C m F y a 3a� P CD N N O w v 0 w o o m 3 a a r 3wco3-4 0 0 ti F d v w m v CD 0 O CD O T. O N O N 4j N O _ 0 3 O ° 3 3 0 °'°'3. 0 C 3 fD CD ti m CD A n D'C V 69 0 69 II I O ° * ° * a 0 0 'O Q 0 , �, y l o� 19' 0 4mt � _ co -4 - 0 Q o y mOr vn �v z °-° O Z rn (P Nt 7 O M m r mn X o o b� l �Cl) m p n m � C O � z y ..� m Cl) p c z rn x o O z M r" z R �O > Z =� c v �nrn z z — 7C C� G7 m � C = v M a m X C) X rl m _ rn O -n --� Z F O l� O m < m m Z WZ5 « � Z UJ i a v 10 O i m O " cI CO v I p pas IF C � o« w nQ o $ Q o rno m CO n_ g I 3 - a� m C�� N O + O O b M Z ' ST. CROIX COUNTY 1� WISCONSIN PLANNING & ZONING DEPARTMENT St. Croix County Government Center n o n a r n n n■ — �• ■• 1101 Carmichael Road Hudson, WI 54016 -7710 Phone: (715) 386 -4680 Fax: (715) 386 -4686 F c" To: Denny Porter From: Monica — Zoning Fax: 612 -596 -8249 Pages: 4 Phone: Date: 4/25/2005 Re: Mound system CC: ❑ Urgent X For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle g PY • Comments: Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 420669 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: Porter, Penny I Troy Township 040 - 1266 -60 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: / 00 C) D b r p 16.28.19.1448 TANK INFORMATION ELEVATION DAT TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic 20 0 Benchmark Dosing Fd \ Alt. BM CJ 0 �o L Aeration / � b Bldg. Sewer S > . � 3 T6 • S3 Holding ! St/Ht Inlet /I / (f a TANK SETBACK INFORMATION St/Ht Outlet S• } 2 6- p TANK TO P/L WELL BLDG. vent to it Intake ROAD Dt Inlet v 9S FL Septic ��� Dt Bottom 0-"X 0 5 '72 V( Dosing f- Hea r /Ma b o rpS d •S� /'90, Aeration Dist. Pipe 3 3- 5� loo. Holding Bot. Systerp z/ 7Y . Z /md / PUMP /SIPHON INFORMATION Final Grade �- sf• bZ. Manufacturer Demand St Cover UL S GPM Y1St vs n a+- Model Number f , tf 03 `/ L Lf, Q I q 1 �-7 TDH Li System Head Loss Syste Head TDH Ft l Forc main Len i Dit ,, Dist. to Well ( r ' l o N N e0 1L ABSORPTION SYSTEM BEDITRENCH Width Length No. Of Trenches PIT DIMEN IONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 1' /Q� t'yQaQ SETBACK SYSTEM TO P/L BLDG IWELL LAKE /STREAM ACH Manufacturer: INFORMATION CH R OR Type O System: / Q / / /^ ,� IT Model Number: L � DISTRIBUTION SYSTEM Header /Manifold Distribution (/ 2 x Hole Size x Hole Spacing Vent to Air Intake / 6i Pipe(s) 0 " ✓ / ( � r' 3 -S / Length Dia Length Dia ' S Spacing / SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center 'I' J /� Bed/Trench Edges Topsoil 'lV. r] Yes No Yes No COMMENTS (Include J04 discrepencies, persons present, etc.) Inspection #1: /- / Inspection #2: 1 Location: 332 Soo Line ; Rd Hudson, WI 54016 (NW 1/4 SE 1/4 16 T28N R19W) Glover Station Addn. V I Parcel No: 16.28.19. 1.) Alt BM Description 2.) Bldg sewer length - amount of cover = / 3.) Contour Plan revision Required? J Yes !O -3 i G` Use other side for additional information. �� L _ _ SBD -6710 (R.3/97) Date Insepctor' Signature Cert. No. /S731 /go, 19 -J1 � W 6 11 fi � ,y Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7082 " —7vj ��?a N visconsin Madison, WI 53707 - 7082' Site Address Department of Commerce Sanitary Permit Application Salutary Permit Number `.f"G In accord with Comm 83.21, Wis. Adm. Code, personal information you provide ❑ Check if Revision may be used for secondary purposes P ivac I. Application Information - Please Print All Information , a i ` Ml rat Plan I.D. Number � g3 I OSb = Toav►S • t+p � Property Owner's Na me� ' r arcel Number l4 /Y4/� : -j /G• Property Own Ws M ailing ddress S Property Location 7, 2 -� - ! _��_ _.. iti S T N. R City, State Zip Code Phone Number of Number Bleek Subdivision Name II. Type of Building (Check a I that apply.) Cl S S '"'' ❑City 1 or 2 Family Dwelling - Number of Bedrooms 1W�2 N et' . ❑ Village ❑ Public /CommercA - Describe Use Township L ❑ State Owned �-' Nearest Road (o X !fi +NMtuIJ uQe ,�Dtt= (, 0" (0 Z)_ (1 III. Type of Per it: (Check only one box on line A. Numbering is for internal use.) (Complete line B, if applicable.) A. IA New 2 ❑ Replacement System 3 ❑ Replacement of G ❑ Addition to For County use Tank Only I System Existing System B. ❑Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of POWT System: (Check all that apply. Numbering is for internal use.) 44 ❑ Non - Pressurized In Ground 21$Mound 47 U Sand Filter 50 ❑ Constructed Wetland 22 ❑ Pressurized In Ground 41 Holding ❑ g Tank 48 ❑ Single Pass 51 ❑ Drip Line I 45 ❑ At - Grade 46 ❑Aerobic Treatment Unit 49 ❑ Recirculating 30 ❑Other V. Dispersal/Treatment Area Information: A FPL Design Flow (gpd) Dispersal Area Dispersal Area Soil Applicatibn Percolation Rate System Elevation Final Grade Required Proposed Rate(Gals. /Days /Sq.Ft.) (Min. /Inch) Elevation 1 0179 VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank _ y � Dosing Chamber 5 VII. Responsibility Statement- I, the undersigned, ostune responsibility for installation of the POWTS shown on the attached plans. Plumber's a me (Print) 7 :71u Si re 7 MP /MPRS Number Business Phone Number Plumber's Addre ss (Street, City, State, Zip Code L VIII. County/Department Use Onl Disapproved Date Issued I su' Agent Signature (No Stamps) ❑ Sanitary Permit Fee (includes Groundwater �( Approved Owner Given Initial Adverse Surcharge Fee) 3�s�- p7� w Determination IX. �C�gnditiRQs o f tlpproval /Reasons r Disapprpv4l l 5,27�o c 4-Pr wt�a r tM 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. 05101) Safety and Buildings 10541 N RANCH ROAD HAYWARD WI 54843 TDD #: (608) 264 -8777 I cons n www.wisconsin.gov .wis c ons .wisonsin.gov Department of Commerce James Doyle, Governor Cory L. Nettles, Secretary January 27, 2003 CUST ID No.224263 ATTIC• POWTS Inspector KIM A O'CONNELL ZONING OFFICE K.O. CONSTRUCTION ST CROIX COUNTY SPIA 504 3RD AVE 1101 CARMICHAEL RD OSCEOLA WI 54020 HUDSON WI 54016 CONDITIONAL APPROVAL (REVISED) PLAN APPROVAL EXPIRES: 01/27/2005 Identification Numbers Transaction ID No. 831080 SITE: Site ID No. 655059 Denny Porter Please refer to both identification numbers, Soo Line Rd above, in all correspondence with the,agency. Town of Troy St Croix County NW1 /4, SE1 /4, S16, T28N, R19W FOR: New mound, 600 GPD'h�.�► ° °'� • +'i Object Type: POWT System Regulated Object ID No.: 888676 O s 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 GI chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. ` Y "• �MSAFt� P' f The following conditions shall be met during construction or installation and prior to occupancy or use: L General Approval Conditions: O • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD- 1091 -P (N.01101) and SSWMP Publication 9.6, "Design Of Pressurized Distribution Networks For Septic Tank- Soil Absorption Systems." • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. Key Item(s) • A copy of this approval letter and index sheet shall be attached to plans that correspond with the copy on file with the Department. Changes to the approved plan must be submitted for review and approval. Failure to properly attach the approval and index page to plans that match the copy on file with the Department may result in enforcement action under s. 145. 10, Stats. Note • The designer proposes to install a state approved effluent filter to achieve the requirement of wastewater particle size. Pursuant to outlet filter product approval stipulations, maintenance information must be given to the owner of the POWTS explaining that periodic cleaning of the effluent filter is required. The access opening used to service the filter shall terminate at or above finished grade with a watertight cover. KIM A O'CONNELL Page 2 1/27/03 Reminder • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per COMM 83.44(6)(a)2. • Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual. • Surface water drainage shall be diverted away from the system area per Mound Component Manual. • Materials shall conform to the requirements of COMM 84. • Maintain well and waterline set backs per COMM 83.43(8)(i). Consult the Department of Natural Resources for well setbacks and exceptions to the setbacks. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this 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 aintenance of the OWTS. Sin a y, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Patricia L S - POWTS Plan Reviewer, Integrated Services Wi§MART code' :7W (715) 634 -7810, Fax: (715) 634-5150, M -F 7:45 am - 4:30 pm j pshandorf @commerce.state.wi.us cc: Leroy G Jansky, , Wastewater Specialist, (715) 726 -2544 MOUND AND PRESSURE DfSTRlBUTION COMPONENT DES*N Residential Application INDEX AND TITLE PAGE Project Name: DENNY PORTER Owner's Name: DENNY PORTER Owner's Address: 15734 HENNA CT_ APPLE VALLEY MN 55412 Legal Description; NW- SE- SEC1- 6- T28N -R1gW Township: TROY County: ST_ CROIX Subdivision Name: GLOVER STATION 5TH ADD. Lot Number: 87 Block Number: l- Y Parcel I. D. Number: Plan Transaction No.: :o Pagel Index and title Page 2 Data entry Page 3 Mound drawings Page 4- Lateral and dose tank � 3 t7 Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 PLOT PLAN Designer. KIM A OCO FI E LL License Number: 224263 Date: 01 /14/03 - Phone Number: 715-755-3145 Signature: / Designed Pursuant to the Mound Component Manual for POINTS Version 2.0- SDB- 10691 -P (N. 01/01) and SSWMP'Publication 9.6 Design -of- Pressure: Distribution Networks for ST -SAS (01/81) Version 3.0 (03/01/01) Page 1 of 8 Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) 4 - R Residential or Commercial Design Note: Sand fill (0) calculations assume a 400.00 Estimated Wastewater Flow (gpd) Table 83 -44 -3 In -situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150 %) coliform of « 38 inches' 600.00 Design Flow (gpd) 3.00 Site Slope ( %) 99.50 Contour Line Elevation 01) 34.001 Depth to Limiting Factor (in) t. 60 1 to =situ Soil Applic ian 'Rate 9N i Distribution Cell Information I—=--I Dispersal. CaI.I.Lsrlgth.Alang, Gaatnur. (f1). = f 11Q L',aU.,,lAlidxb_(ft).. 1.00f Dispersal Cell Design Loading Rate (gpd /ft LU! I Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution 9 Y y Pressure Disribution information network? Enter Y or N ►^ ^� °` E� Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation (ft) c Nur• bel yr 1a'lelaiti ar the hiyhrist pvirtt (�- 0.125 Orifice Diameter (in) (e.g. 0.25) 8:S@ Estimated Cr;fler Space ;ft = i v'. 34' {t 2.00 Forcemain Diameter (in) - 7f 70-00 . Forcemain Langih .(ft). Does the .forcemain. drain -back? I y 90.00) Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 11.42 Forcemain Drainback (gal) 9.83 Vertical Lift (ft) 90.43 5x Void Volume (gal) 0.89 Friction "Loss (ft) 101.85 Minimum "Dose - Volume (gal) 17.22 Total Dynamic Head (ft) 23.89 System Demand (gpm) (� Lateral Diameter Selection Manifold Diameter Selection r in. die. T antian Tchnice in. die. a ians .. chaise 0.75 1.25 x 1.00 � 1.50 x x 1.5U ... x x r 3.0U 3. 0 x (optional) Treat Tank Information 800.00 Total Tank Capacity (gal) 1200.00 S eptic Tank Caoacity.(gal). 36.00 Total Working Liquid Depth (in). LWEEKS Manufacturer 22.22 gal /in (enter result in cell B49) Dose Tank Information Efflu Fi lter Information 800.001 Dose Tank Capacity (gal) JZab Filter Manufacturer 11: %ti nose i ank Volume (gaihn%) fATUO , filter M Number WEEKS IManufacturer Project: DENNY PORTER Page 2 of 8 Mound Plan View T .............................•.....•.......... ..................•.•.........• J 1/10 B Observation Pipe 3 — K I I I .� I 3 :: L Mound Component Dimensions A 6.00ft E 8.16 in H 1.00 ft K 7.15 ft B 100.00 ft F 9.50 in z 6.50 ft L 114.29 ft D 6.00 in G 0.50 ft J 4.93 ft W 1 .43 ft 600.00 (ft Dispersal Cell Area 1250,00 (ft 2 ) Basal Ae6a 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 101.79 (ft) ---i m H .r • rr rrriiriiiriii .......... iii .......... /iiJiiiui y et r „� ,r rrnrrruir ,iiiiiiiiiuriiiriirri "? r F ni¢nPr�wi (wii ,• 100.50 ( ft) Lateral 100.00 ft --►♦ — Invert r 3: i oe C ell s sal C t I d w- t i u _. uu Fri ifO f' ^ntn..r Mnwsfinn 3.0 % Site Slope Geotextile Fabric Cover Shading Key V 8 �— Dispersal Cell See lateral details on 1� ,•,' Topsoil Cap .a 1.5 ft r , 4 Page 4 for number, l21 Sub - boil Cap size, and spacing of ASTM C33 Sand :6 ' I� �! i ! F laterals. Laterals are r -- -� i■ �i C ri Tynic �{ �.li vml s� I Tiiied Layer j equally spacea srom © = Aggregate the distribution cell's f--- A T can we nc a in the distribution cell ( AX B). Project: DENNY PORTER Page 3 of 8 End Connection Lateral Layout Diagram Laterals centered over the & dimension = Turn -up v.'be11 valve or oleo E P .l All laterals m identical {F X --4+ Holes drilled on the bottom of the lateral S equally spaoed Foroe main oonneotion via tee or oross to manifold at 44 point. Laterals be foroe main of PVC Soh 40 (per COMM Table 84.30.5) Number of Laterals 2 Orifice Diameter 0.125 in Lateral Diameter 1.50 in Orifice Spacing (X) 3.52 ft Lateral Length (P) 98.56 ft Orifices per Lateral 29 Lateral Spacing (S) 3.00 ft Orifice Density 10.34 ft /orifice Lateral Flow Rate 11.95 gpm Manifold Length 3,00 ft System Flow Rate 23.89 gpm Manifold Diameter 2.00 in Total Dynamic Head 17.22 ft Forcemain Velocity 2.44 ft/sec Dose Tank Information Locking ooverw)tlt 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 ':' E--- Aftemate outlet location Forcemain diameter WEEKS Manufacturer _� 2 in. Ca acit 800.00 Gallons Volume 21.76 gal /incli A l r ._ y _ I vveep hoie or and- Dimension Inches _ Gallons j B I ! siphon device B 1 2.001 43.52 1 i ! Pump off e levation (ft) f -- F.62 12? ?8 " I f�� I { 90.67 D 8.001 174.08 Total 1 36.761 800.001 D ' Du�elevaGon (ft 3 Badding un tank. I 90,00 Alarm Manuafacturer JSJ ELECTRO Alarm AAnricai Wi imhar HkA/ 100 Pump Manufacturer IGOULDS I tAlOn'34 41 Pump Must Deliver 23,89 gpm at 17.22 ft TDH Project: DENNY PORTER Page 4 of 8 M un S ystem Maintenance a nd ration Specific . Q T Y e a Oae o ca tions Service Provider's Name KIM A OCONNELL Phone `715 -755 -3145 F'CVVTS Reaulatcr'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 +n Estimated Flow - Average 400 gpd Maximum BOD5 220 mg /L Septic Tank Capacity 1260 gal Maximum TSS 150 mg /L Soil Absorption Component Size 600 ft Maximum FOG 30 mg/L Type of Wastewater Domestic 1 Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Inspect and /or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 y ears Alarm Should test month) Pressure System Laterals should be flushed and pressure tested every 1.5 years Mound inspect for ponding and seepage once every 3 years J Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn -up Detail Finished ..,����......••. �, .............�� Grade �/ rl 6 - 8" Diameter Lawn Threaded Cleanout Cnrinlrlar lioiyn R ey ; • ........ Plug or 13911 Valve te ..... . ............. ............. ............. ... 11 ........ ............. .... ........ .............. Distribution t-- -(:: ; : :::::::: Lateral Long Sweep 90 or Two its Degree Bends Came Diameter as Lateral Project: DENNY PORTER Page 5 of 8 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code Genstar This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with ifs' component manuals (SBD- 10691 -P (N.01101) and SSWMP Publication 9.6 (01181)1 and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, State. 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 fitter shall be cleaned as necessary to ensure proper operation. The fitter 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 shall have Its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shalt advise the owner of when fits 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. Pu g? n Tan The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution system No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since sod 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/L BOD5, 30 mg/L TSS, 10 mg/L FOG, and 10 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this Installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the Initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shad 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. Continency Plan If the 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 tank, pump, pump controls, alarm or related wiring becomes defective the defective components) 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 I& present location by increasing basal area if toe leakage occurs or, by removing biologically clogged absorption and dispersal media, and related and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: DENNY PORTER Page 6 - of '8 i Performance Submersible Effluent Curves Pump METERS FEET MODEL 3885 251 80 SIZE 3 /4 " Solids W 70 20 - ---f- - - _ _ _ 80 WE07H 15 50 WEOSH 40 10 30 WE03M 2 WE03L 5� I N OL 0 0 1 0 20 30 40 50 60 70 80 90 100 110 120 GPM _ _ _ i 0 1 0 20 30 m'ih CAPACITY �ZGOULDS PUMPS, INC, se*[U Fk" *W vCA )wU METERS FEET 120 M 0 D EL 3885 35 110 WE)SHH .._ .__ .._. SIZE 3 /4 " Solids i 3 100 � 90 25 80 i a 70 �— -- - ---f w , 60 WE05HH. 40 tU H 30 J- 20 I �f 5 10 0 0 0 10 20 30 40 50 60 K 90 100 110 120 GPM 0 0 20 30 m'r CAPACITY X85 Goulds Pumps, Inc. EH*COve July, 1 -85 ' I � �iJfil� 11 \ \ r; N \ r � I Ito \y kidh, gepartm ent of Indust SOIL AND SITE EVALUA�ft�T��RQRT Page of 3 Human Relations DivSafety & Buildngs in accord with ILHR 83 D5; Vbis. Ad Code COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches iry' Ze: Plan mutt include; but not limited to vertical and horizontal reference point (Blv% direction and % of slope, scale or PARCEL I.D. # w G dimensioned, north arrow, and location and distance to nearest road: APPLICANT INFORMATION PLEASE PRINT ALL INFORMATION R I DBY T 3�0 3 PROPERTY OWNER: 'PR OPE 10CA ffkD - �DEJt'1 \S S Cliu l.� Z GQVT -EeT IvW 14' 1 /4,S 1�T � ,N,R lq E (oi W PROPERTY OWNER':S MAILING ADDRESS • 10T BL „Jf;'� UBD. NAME OR CSM # CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE Oc rOWN ' NEAREST ROAD 1Z.1U� - 'R.. �'Cl.! -S t�1 5�•J,uZZ -hlSl �iZS - $!bf �"�c��{ ��ifc�- t�uu� O2, p(J New Construction Use Residential / Number of bedrooms _ �{ [ J Addition to existing building [ ] Replacement [ J Public or commercial describe Code derived daily flow boo gpd Recommended design loading rate 4 bed, gpd/ft - trench, gpd/ft Absorption area required SOD bed, ft Syb trench, ft - Maximum design loading rate 'f- bed, gpd /ft2 ' 6 trench, gpd/ft Recommended infiltration surface elevation(s) LOS . 5 ft (as referred to site plan benchmark) Additional design/ site considerations 'I' bUNA bJ/ b 'X b3' �� , l iv. lZ. or= S� �••+� Ft �� Parent material _Lu e53 o uL Vy.l1'oUG Rood plain elevation, if applicable ft I S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDWG TANK U= Unsuitable for s stem EIS ®U ®S [] U [] S ®U I [] S O U [] S O U I [IS 0 U SOIL DESCRIPTION REPORT - 3-, ( ?WOO; Depth Dominant Color I Mottles I I Structure GPD /ft Boring # Horizon Texture Consistence Boor l I Roots Bed rer>dt I in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. t r L�`t 2 1 Z st 1 Z'FsbJz Yn`�- mow` . 5 .6 • S Z 1 9 - Z$ )b 3! L — Ground 3 Z$-�� S`i2 31y sick lesblz wi�-S --z-. .� 2 LJ• _ 10 61 `l q•�, ft S `72- 3 Depth to limiting factor Remarks: Boring # El o - t0 L0`1.IZ - 1L Z s1( Z�bk vn`F>^ ery l� S _ •� - S'" !D`i1Z Ground 3 L &3y "� -S`2R Sly Stcl l �SbIZ 1>2'�L LS Depth to limiting factor _37 Remarks: TName: Please Print Arthur L. We erer Phone: 715- 425 -0165 ' V egerer So'1 Testing & Design Service -P.O. Box 74 River.Falls,WI.54022 . Signature: Date: CST Number. . � °'143 -87 S - -M 220254 ell PROPERTY OWNER _133`�1� f S'et�Ut_T2 SOIL DESCRIPTION REPORT Page?- of 3 , PARCEL I.D. # Ihl 6 Depth Dominant Color Mottles S Boring Horizon Structure g in. Munsell Qu. Sz. Cont. Color Texture Consistence Bounclary Roots GPD /ft .••...... Gr. Sz. Sh. Bed Trench (::{�\ tip: O -9 1p R s � 3�sb1 m�i• �w _ . s .6 , Ground s c_1 1 csb>z elev. ,� 1 98 _' Z y 3q–vb - �-SYrz 31 -• Lf rz 3l V s iC� Depth to S yU LS 8R - - limiting factor . j Remarks: Boring # ,. r w Ground elev. ft. Depth to — limiting factor Remarks: Boring # Ground elev. It. Depth to limiting factor � Remarks: 3oring # &n ,round 3lev. It. )epth to imiling actor Remarks: _ •rl rr •r •rnrn ..r ...... -s PLOT P LAN Page 3 of 3 CALE 1 "= SO ' vti r� �o \ tCt�t�, 31i{`'b�R NQ PA \`--5v �L.S acv 6 AUC 1 �iPE `v� c PLP r � D4 Np�' C°p�r'lPf�T O2. t D1ST1`� A ` 00.102 z.zozsy °1'r •�� S r �X - O� ( 715 ) 425 -01 S _ CST Signature Date Signed Telephone No. CST # SEPTIC TANK MAINTAINANCE AGREEMENT AND OWNERSHIP CERTIFICATE FORM Owner/Buyer Genv PC r4cc Mailing Address l� ✓]�� �} i�G4 Ci'"4- � Rp VC( u (f-C N)N z C Z4 Property Address 33 1 , S o o L ' I (Verification reouired from Planning Departrtrnt for new construction) City/State kj d5 o Y Parcel Identification Number p LEGAL DESCRIPTION q Property Location fJ V� %., S� �/. Sec.�T ` ) N -R (I W, Town of Subdivision G [ oy � l - 1 Un P',dd i f (O f1 `J Lot# e-) Certified Survey Map# . Volume - - - -- - Warranty Deed# —-- , Volume Page Spec house yes \ / / no Lot lines identifiable d es no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result 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 ent stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterplumber, jodmeyman 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 th Department of Commerce and use the Department of Natural Resources, State of Wisconsin Cerplication stating that your septic system has been maintained must be completed and returned to the St. ix County, i g Otlice within 10 days of the three year expiration date. SIGNA U F APPLICANT ATE OWNER CERTIFICATION 1 (we) certify that all st$tements on this form are true to the best of my (our) knowledge I (we) am (are) the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds ce. GNATU OF APPLICANT D TE •••••• Any information that is mismixesented nay result in the sanitary permit being revoked by the Zoning Dgartmeet• •• Include with this application a stamped warranty deed (tom the Register of Deeds office a copy of the catifled survey nap if reference is made in the warmly deed. r a 4 WARRANTY DEED 6251 5G KATHLEEN H. WALSH D REGISTER OF DEEDS Document Number: ST. CRDIX CO., WI RECEIVED FOR RECORD 06-21 -2000 10:15 AM Return Address: WARRANTY DEED //�� c r✓ EXEMPT K 1Je n' CERT COPY FEE: COPY FEE: TRANSFER FEE: 240.00 RECORDING FEE: 12.00 Parcel LD, Number (PIN): PAGES: 2 by-0- 0�0ic -l00 -Co This Deed, made between C. M. Bye, individually; Dennis R. & Sandra C. Schultz Revocable Trust, Dennis R. Schultz & S z, Trustees, both with full poser of sale or encumbrancing, Grantor, an tennis L. & Stacy A. Port r, Cjr, antpe Witnesseth, That the said Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin: r Glover Station 5th Addition, in the Tow n of T oy, St. Croix Count Y, Lot This is not homestead property. Together with all and singular the hereditaments and appurtenances thereunto belonging: And C. M. Bye, Dennis Schultz and Sandra Schultz warrants that the title 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 June, 2000. C. M. Bye Dennis R. Schultz, individually & as trustee of the Dennis R. and Sandra C. Schultz Revocable Trust K 7 � w andra C. Schultz, indivi wally & as tr tee of the Dennis R. and Sandra C. Schultz Revocable Trust I � ACKNOWLEDGMENT DRAFTED BY: STATE OF WISCONSIN) ss. C. M. Bye, Attorney at Law ST. CROIX COUNTY) River Falls, Wisconsin Personally came before me this day of June, 2000, the above named C. M. Bye, Dennis R. Schultz and Sandra C. Schultz, to me known to be the persons who executed the foregoing instrument and acknowledge the same. Dana Benedict Notary Public, St. Croix County, Wis. My commission is 8/3/03 \j v 89\ 2.655 ACRES 115,661 S.F. \ / , 88\ \ 2.502 ACRES 108,979 S.F. \ a \ Y 100• Ir te 76.5: N 88 °10' 2.506 87 ACRES\ - �\ \ *o\ 109,182 S.F. �0 18.12' 7r ?o 204.E w' a io j 0- 16 s�o\ , 22 io 570* 50' 220 5� E 53 9. "' " N 1 8 ° 10'' 1 150. N 11 °5 2 � i � 50' of O •' JO 93 C4 n 2.596 ACRES -sow '� S.F. N 2.510 ACRES N C I o 150 I _ _ 6�6 109,341 N o 50' 113 S.F. I 33' 33' � - - - NJ ") z 100' 200.00' 150.00' I NORTH LINE OF THE 50.1/4 °.� •.k,/ 1 •- SW OF THE SE 1 /4 ^ I �,� N 88 36" W 500. 0' i N 88° 10' 36" W 524.15' °�0 b V . -- I -- - 150.00' _ - 150.0 0' - _ 224 .15' w � e, vs too 40' v I 2.525 ACRES 150 N �_ I g 94 1 10,000 S. I to . 2.515 ACRES o N o 3 4.375 N �- Ln c ( I $ 109,547 S.F. Z $ N w 190, : • I N 26 0 03' 44" E 50.45 1.94' � 0) C ;;, N W 500.6 I $ ' $ e a, 200.00 149.91 172.30 N N 88;t'36" W 52 .15' o �I rn 0 ) $ -GO- N 88 0 10'36" W 50 N °' To N 88 W 470.07' • 84 _omm­ tI 3 w 1 249.49'- 220.58' - 2.508 ACRES 150 NI - $ ° 50' 88° 10' So 109,237 S.F. N '� I - _ P) 20' WIDE °'• 94.( ci DRAINAGE 0 r1950 I N EASEMENT - - 283.03 N 88 36" W 390.00' o c 1 50' i 50 , N 88° 10' 3 0.00' ' 0 200.00, (n z M - I I i � 83 I w p I� 96 w 50' 97 w N 2.501 ACRES 150' O il 2.840 ACRES - 2,511 ACRES 98 o 108,946 S.F. I r` :D 5 123,732 S.F. N 109,395 S.F. N r 0�, ` NI m 1 I �I 8 2.501 ACF Z ' L _ I W I L� _ J e �_ 1 e on 108.933 5 _J M - I I o o TEMPORARY Cl .9 I ( z _ z EASEMENT, SEE 4 4 240, 150.00' $ $ ti N 88.10' 36" W 390.00' o $ W ( '� ,R $I I $ 282.86' o r - Lo 33' 33' L_ - - 249.49 _ - - - - 220.58 - - - 89_57_ 2 42 .� '9 I 150' i N 88° 10' 36" W 752.93' - g 82 , ;-- - - CHATTANOOGA DRIVE 2.734 ACRES / / - - r� - S 88 E 757.65' e 119.071 S.F. - - - - - - - - - 315.67' 220.00' C39 \- �TEIPORARY CULDESAC / / i i $ c g 28.72 221. 4.0 EASEMENT. SEE NOTE 4./ c ,n z I 234.00' / � C'tz o u <Z C � 10.73' / i • / �s„