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040-1310-00-016
7 77!~ llns'nDep~artmpnt of Commerce PRIVATE SEWAGE SYSTEM county: St. Croix fety and Buding Division ` 4 INSPECTION REPORT Sanitary Permit No: 506265 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)j. Permit Holder's Name: City Village X Township Parcel Tax No: Divine LLC, Custom Home Builder- I Troy, Town of 040-1310-00-016 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: OGI~ 17.28.19.2003 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER i CAPACITY STATION BS HI FS ELEV. I Septic ,Qtr T~ 1ZS0 Benchmark j.5 14-7-IR yyZ sly, Dosing 611, ( 1- Alt. BM 1-71 e70Ti/+ ? Ov n+~G) J /c7 J Atram %k Bidg~ Sewer 40 3. r L 9yS .3 Holding St/Ht Inlet 9 St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic 2_0 4,# (100' Dt Bottom 731 6Z- Dosing Za 1 54+ Co 6 (Ob f i Header/Man. ' Z4 11l` 1% Aeration Dist. Pipe I 7. ZZ 7q/, 2 Holding Bot. System 7 ctZ IL-NO -S Final Grade 1.ILL - j7+is PUMPISIPHON INFORMATION 7 Manufacturer GPM and St Cover c` 5_79 cAlY . 63 Model Number TDH LW7,Friction Loss System HadG TDttD, .Ft C' Forcemain Lengtti,©i Dia.Z of Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width / Length / No. O Trenc s PIT DIMENSIONS No. Of Pits Inside Dia. liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of/Si(stem: UNIT Model Number: .~1 DISTRIBUTION SYSTEM -AR E Header/Manifolds Distribution 3 / x Hole Size ) x Hole Spacinfg~ / A'a ()Air Mak- Length"' W, 1 Dia "25 Length' Dia' 25 Spacing 3-33 :311(. SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over --Trench xx Depth of xx Seeded/Sodded c xx Mulched BedlTrench Center Bed/Trench Edges Topsoil Q q + es No e COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 0 / ~to 1 a 7 Inspection #2: / ' Location: 485 Meadow Rid e one Hudsyn, WI 54016 (NE 114 SE 1/4 17 T28N R19W) Meadow Rid e of Troy Lot 16 Parcel No: 17.28.1 1.) Alt BM Description = 1145 6Y`. 2.) Bldg sewer length = I -32 - amount of cover = t 1 lZ Ova.. Plan revision Required? Yes XNo Use other side for additional information. ~t SBD-6710 (R.3I97) Date Insepctor's ignature 4 ~ z M ~ N~ 2~~3 ~ N° Ce PPPPP_ commeree.wil.gov Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 5d . C s V o n s n Madison, WI 53707-7162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce 56 C p Z (o!5 Sanitary Permit Application State Transaction Number In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental i ~ 1 r s 1 unit is required prior to obtaining a sanitary permit. Note: Application forms for state-o d POWTS are Project Address (if different than mailing address) submitted to the Department of Commerce. Personal information you provide may b for secondary purposes in accordance with the Privacy Law, s. 15.04(1 (m , Slats. qbS Mto'dow F1 d96 LfM6 1. Application Information -Please Print All Information N, a, Pr rty Owner's Name Parcel # oo- O l l~ vi n S 1~ rn RECEIV HO - 1310 Property Owner's Mailing Address Property Location ~y 0 D CA. C JUL 1 8 2007 Govt. Lot l ll City, State Zi Code Phone Number c p NE SE Section 5 U I ST. CROIX COUNTY circle one) T_,Q 1?) N; R EorW II. Type of Building (check all that apply) L Subdivision Name X, 1 or 2 Family Dwelling- Number of Bedrooms 1 Lie X6~; cj? ICL%^- Block # O I To ~ ❑ Public/Commercial - Describe Use ~J ❑ City of t ❑ State Owned - Describe Use x C CSM Number 11 Village of Town of } III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. X New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. El Permit Renewal El Permit Revision Change of Plumber 11 Permit Transfer to New List Previous Permit ,N/ume~ble~r and Date 1 sued Before Expiration / / an? d Owner T/ IV. Type of POWTS S stem/Com onent/Device: Check all that apply) D J~ o~ ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) 5 V. Dispersal/Treat ent Area Information: , Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (st) Dispersal Area Proposed (sf) System Elevation VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units c o New Tanks Existing Tanks w o V t=: P a U n v w (7 P. Septic or Holding Tank / Z 50 Dosing Chamber 5b 'S I X VII. Responsibility Statement- I, the undersigned, assume responsibility for inst ation of the P TS shown on the attached plans. Plumber's Name (Print) Plumber's Signature MP/MPRS Number Business Phone Number ~ ~ bULLA Plumber's Address (Street, (-ity, state, Zip Code) , VIII. Count /De artment Use Only Approved ❑Dis proved Permit Fee O Date Issued Issuing A t Signature ❑ Owner ven Reason fo Denial $ v D 07 IX. Condi "$W- easons for Disapproval ' • ~..:muatt INtsr and dlspersal cell must all be servlees / mdrdairted as per management plan provided by pkxnbe(. 2. AN selbeck requirements trust be maintained the system and submit to the County only on paper not less than 8 1/2 x I I inches in size SBD-6398 (R. 01/07) Valid thru 01/09 : ,r-03PWO M3TZY8 Wit =0041 VW!!HN :x'14! x t ,t 0~~~~ow c2:~ - .0 Lod 40-1J\0- ( `20.-0w. 1\tqJ~. L.a~n.g X ~oU~ Y o~1~ C(2~LI 1 ~,u t ~D o c. L' Jv\ ~(r t 0. 1 w 4g _ S' p Q 8L', n o r. ~ ~~w PQ C. a-s aa,,1z~e-sv r cam-: V L 44-L> \ 9y-2J J X3~ o~« u~ (c") Z, ~ q. GN O~`i . Jd ~fS l QY~~ t90 I~ TY e. e1i ce)iL N~-S~-i~_z~-haw Q I : dC. qJZ w ~..Q~ { X (o O H o c.t~ t , ,n \ 4n~ 3 ~ ~43Z.-c5 ~ J Can(~ nn g 30 a~ ~ ~ <q 34 ,S~ ~ a ~ I = ~JYOnna.bG b~~~Q lgSy~~ "~Z~~ 43b~ n ~ ~ ~RCk, Q 44.0 / 2za.plo f X:~ -~L all 1 Gl V ^ ~ Vt 0 I` aSctb~2 ~ -a Safety and Buildings 4003 N KINNEY COULEE RD commercemi.gov LA CROSSE WI 54601-1831 TDD (608) 264-8777 i sco n s i n www.commer n / Department of Commerce www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary July 11, 2007 CUST ID No. 222774 ATTN.- POWTS Inspector HENRY F GROTE ZONING OFFICE CERTIFIED SOIL TESTING ST CROIX COUNTY SPIA E4366 353RD AVE 1101 CARMICHAEL RD MENOMONIE WI 54751 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 07/11/2009 Identification Numbers Transaction ID No. 1413554 SITE: Site ID No. 727349 DCCI Land Planners, Inc. Please refer to both identification numbers, 485 Meadow Ridge Lane above, hi all correspondence with the agency. Town of Troy St Croix County NEIA, SEI/4, 517, T28N, R19W Lot: 16, Subdivision: Meadow Ridge of Troy FOR: Description: Four Bedroom Mound System / New construction / 2:1 toe slope Object Type: POWTS Individual Site Design Regulated Object ID No.: 1139587 Maintenance required; 600 GPD Flow rate; 110 in Soil minimum depth to limiting factor from original grade System: Mound The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes . and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system has been reviewed and approved as an Individual Site Design. The system shall be constructed in accordance with the approved plans and ch. Comm. 83, Wis. Adm. Code. • 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 private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • The area within 15 feet horizontally down slope of the dispersal cell shall remain undisturbed. Vehicular traffic or soil compaction in this area is prohibited. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • Comm 83.22(7) - A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department which may include local inspectors. P.Q.W.T.S. Conditroraal'v A nF%r%n'tA' rFK.UVE D DEPARTMENT Of COMMERCE HENRY F GROTE Page 2 7/11/2007 Owner Responsibilities: • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Comm 83.52(1)(a) - The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per-state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 300.00 Fee Received $ 300.00 Balance Due $ 0.00 erard M Swim POWTS Plan Reviewer, Integrated Services (608)789-7892, Mon - Fri, 7:15 am - 4:00 pm WiSMART code: 7633 jerry.swim@wisconsin.gov cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726-2544, Friday, 7:00 A.M. To 3:30 P.M. 03 A s co DCCI Land Planners, Inc. - Mound Old j . ' Construction Materials and Techniques Wil materials must comply with Comm 84 and be installed in accordance with manufacturer's specifications. Construction methods must comply with the following Component Manual: Pressure Distribution, SBD-10706-P (01/01) Mound by Individual Site Design Location: Lot 16, Meadow Ridge of Troy NE '/a, SE '/4, Sec. 17, T 28 N, R 19W Town: Troy County: St. Croix Date: July 12, 2007 Owner: DCCI Land Planners, Inc. Address: 1505 HW 65 New Richmond, WI 54017 ra.J,f1l Designer: He y Grote HENRY F. GROTE ~C. D-1699 Signature: 11 , MENOMONIE WIS. License: WI D - 169 -007 .Q ~~flll~~~ Attachments: SBD-10577 - Plan Approval Application SBD-8330 Page 1: cover 2: design criteria & calculations 3: plot plan 4: system cross section 5: plan view, lateral detail r Nn~ bu~~u~rscs 6: pump tank exit detail 7: pump curve SEE CORRESP DENCE 8: system management 8a: construction addendum page 1 of 8 I Design Criteria YCS Residential Wastewater Contaminant Load: 30 mg/L < BOD5 < 220 mg/L Anticipated septic tank effluent 30 mg/L < TSS < 150mg/L Fecal Coliform > 10,000 cfu/100 mL Fats, oils, grease < 30 mg/L 4 Bedrooms x 100 gal/bedroom/day x 1.5 0-0 gallons/day hydraulic load Design Calculations In situ designed loading rate o .4 gallons/sq. ft. per day Depth to estimated high ground water ? 6,0 in. Depth to bedrock t in. Cross slope at system % Force main length 2,<' ft. of in. , o g Manifold/header length b b ft. of k`/4 in. o 4 Z. Drain-back 4, S' gallons Lateral length 3 @ S b, 0 ft. of in. Lateral elevation Q4k. 0 ft. @ bottom of lateral Lateral hole size in. @ 4r2, o in. ( ft.) Spacing holes/lateral S I holes total Lateral volume ,~S Z gallons 3 3, b~ l Total lateral discharge rate gallons/minute @ ft. head Network pressure compensation losses Elevation difference ft. Friction loss bs ft. @ S gallons/minute Total dynamic head l 3 ft. Pump/siMon 3 P, gpm @ (S ft. of head Manufacturer Model # 1 Dose volume gallons Lift/siphon tank gallons Septic tank gallons Effluent filter Cr Measurement pump on and off in. Height alarm from tank bottom in. Reserve capacity gallons specs.calcsses Page of 8 ~~Z . ~ Z w ~s~ e•~G j ~ w it Zu o i, n c14t~.s' ► n~TM w~a~ \ \ b Z~`oco:1 °t o k cl, o' 01, <0 v Q'A' CAS V' ~ ~ J ~ ~S' ` Q-~Q,T. 'C.~ ~n x..10...., a~ j "ia.~.~ ~ o J d~ i i p T ,,.L .1 T , ,;c, ^++w«e...._ _ . ~ ' 213 i y `~ww 2,0~ ~vww O•- `r•t~4 Nti:~ QAO, 4' X~ U ~ O ~e 14yr~ w-i': o y al l ~ i•~ b • ~ o c~ o c. 1C - I - ~ I l I I I 333 I T S 1, o • x~C c~ ~k~vR.~o+a u '6*'- IL •/I,~,i, O\ C-t, O r 1 fZJr Qah~ 0 O \ C~ll A /S / s ~L - e w ca, s o~ g , , . x1T TXA IL_ WEATI~ERPROOF LOCKJWG+COVfiR JvNCT10N 6csrc GvA,'N, Ud CdLICK DI~CGV~~GT--~ 00 Claw. ~~`~3 > ttii 12i 4 P,Jc. 4t0 PI"r 3 oK1b Nols%Rea SOIL 24~ Z.D, I d,. j MA►iyCLF Y E NT ~ i i Appan,,tn "WLLP A 31. o,. Ho:c 6, nv~ ;W(ET 3~~tT'J sal 0.F F L E Au. PI/'i 4 AL s'~ 3' oKro G RouKo ELeV. D C ~ 2 `t q .g ~ ~ Pt"`P C L V. BLOCK SEPTIC i _SPEC. IFI'CATIQ►JS DOSE c THIJKS MA►JUFACTURE R: IJUMBER OF DOSES: PER DA"j TAWK SIZE: GALLOWS DOSE VOLUME ALARM MAAIUFACTUFrR: S~ ~`aa}r° IMCLUDING BACKFLOW: ~0 10 GA L ONS MODEL ►JUMCCK: _3L,0 4a9,~ ' CAPACITIES; A -IIJCNCS OR WL L0,~, 5 SWITCH TYPE: w°~"`"`~ Z ~t•Z B ~ tA1CHE5 OR C.~~~Oa~S PUMP h1AUUFACT URER; C• SQ WCMESOR ~db GA L .OUS MODEL QUMDER: l~ o, 9.0 II.ICHES OR 145,0 8 ~..~ti~ 5WITCH TYPE; MOTE' PUMP A1JD ALARM ARE TO DC MIWIMUM OISCHAR64 RATE GPM INSTALLED OW 5EPARATE CIRCL!TS VERTICAL DIFFEKEAJCE OfTWCEIJ PUMP OFF AJJO OISTRIbUTIOW PIPE.. FEET + MI►UIMUM IJETWORK SUPPLY PREtLUKE . . . . , . . . . . . . FILET / + 25 FEET OF FORCE MAIW X 2'Sg FYovtFKICTIOW FACTOR.. FEET , TOTAL DyWAMIC HEAD = 13' FEET P. IWTER►JAI_ DIMLW%%oW% OF TAIJK: LEIJC+TH ;WIDTH ;LIQUID DEPTH pk 6 R g PUMP PERFORMANCE CURVE MODEL 151/152/153 TOTAL DYNAMIC HEAD/FLOW 50 PER MINUTE 14 45 153 EFFLUENT AND DEWATERING 12 40 MODEL 151 152 153 = 10152 Feet Meters Gal. Liters Gal. Liters Gal. Liters 11 5 1.5 50 189 69 261 77 291 10 3.0 45 170 61 231 70 265 0 8 2 t51 15 0 38 144 53 201 61 231 20 6.1 29 110 44 167 52 197 ° 6 20 25 7.6 16 61 34 129 42 159 30 9.1 - 23 87 33 125 15 4 35 10.7 - - - 22 85 t0 ' 40. 12.2 11 42 Shut-off head: 30 tt. (9.1m) 38 ft. (11.6m) 44 ft. (13.4m) 2 5 0145obE 0 ~ I . ! LONS 10 20 30 % 40 50 so 0 80 90 100 GAL LITERS 0 40 gp 'TO 160 200 240 2e0 3 0 360 FLOW PER MINUTE _ 014SWA Model 151 Models 152/ 153 CONSULT FACTORY FOR +-5 7/32 SPECIAL APPLICATIONS ~ 5 3 7j8. - a 5/8 3 27/32- ! 4 5/8~ • Timed dosing panels available. • Electrical alternators, for duplex systems, are available and ' 7/8 supplied with an alarm. e - • Variable level control switches are available for controlling ® 3 ; 6 single phase systems. - • Double piggyback variable level float switches are available for variable level long and short cycle controls. • Sealed Qwik-Box available for outdoor installafions. See FM1420, - • Over 130T. (54°C.) special quotation required. ' ~i I 11 l1/16 12 1/8 15111521153 Series I 151/1521153 MODELS Control Selection = Model ' Volts Ph Mode Amps Simplex Du lex 4 3/e ! - N151 115 1 Non 6.0 1 2 or 3 t j t -_1- BN 151 115 1 Auto 6.0 Included 2o(3 E151 230 1 Non 3.2 1 2 or 3 BE151 230 1 Auto 3.2 Included 2 or 3 151 SK20e4 N152 115 1 14on 8.5 1 2 or 3 BN152 115 1 Auto 8.5 Included 2or3 E152 230 1 Non 4.3 1 2 or 3 BE152 230 1 Auto 4.3 Included 2 or 3 N153 115 1 Non 10.5 1 2 or 3 BN 153 115 1 Auto 10.5 Included 2 or 3 E153 230 1 Non 5.3 1 2or3 SELECTION GUIDE BE153 230 1 Auto 5.3 Induded 2 or 3 1. Single piggyback variable level float switch or double piggyback variable level float switch. Refer to FM0477. v CAUTION 2. See FM0712 for correct model of Electrical Alternator E-Pak. Hf iilsiallation of controls, protection devices and wiring should be done by a qualified 3. Variable level control switch 10-0225 used as a control activator, specify dupiei (3) licansed electrician. All electrical and safety codes should be followed including the most rant National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). or (4) float system. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL TO. P.O. BOX 16347 Louisville, KY 40256.0347 Q SHIP TO. 3649 Cane Run Road Manufacturers of . . Louisville, KY 40211.1961 PUMP CO. (502) 778.2731.1(800) 928-PUMP hitp✓/wwwzoeller.com ~J~y PUMPS J~NCE FAX (502) 774-3624 0 Copyright 2003 Zoeller Co. All rights reserved. mac, e System Management Management of this system is critical. As a condition of approval of these plans this system management section must be reviewed with the owner, and the owner must be provided with a complete set of plans including this management section. If problems develop with the adsorption system or any other system components, the installing plumber, Eau Galle Plumbing, 715-283- 4851, or the St. Croix County Zoning Office, 715-386-4680, should be contacted for assistance. General Proper functioning of an on-site disposal system, "septic system," is significantly dependent on the volume of water which flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the better and longer the system will function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as water, a dose tank or compartment to allow a dose to be accumulated, a pump and controls or automatic siphon, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. 1. If the septic tank is installed prior to sheet-rock and/or painting, pump the septic tank before normal use begins to ensure adherence to contaminant load design criteria. 2. Install water-saving appliances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. 4. Never pour grease or oil down any drain or stool. 5. Garbage disposals are not recommended; if you must have one, use it sparingly 6. No paper products other than tissue should go into the system. 7. No chemicals should go into the system. 8. Avoid surge flows of water; try to spread laundry throughout the week. 9. Septic tank effluent must be less than or equal to the design criteria specified in page 2 of these plans. 10. If septic or dose tanks are no longer used, they must be properly abandoned. 11. If construction timing and weather could create a frozen infiltration system, weather-proofing with plastic sheeting and heavy mulching may be required to maintain a functional system at start-up. 12, The upslope toe of the mound system must be landscaped with additional fill to blend this area into the upslope natural grade; this will minimize the possibility of the system trapping surface run-off, final settled Slope should be 2-3% over the system or 2-3% diverting surface run-off around the east end of the system. 13. Note: System area must be staked and fenced off prior to any site construction activities; the proposed driveway must be located west of the west system end and the east system end must be located west of the surface drainage along the nominal east lot line; final drive location to be determined after staking to avoid conflict. Maintenance 1. The septic tank must be inspected every three years by a properly licensed person. 2. If necessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volume equals one third of the tank volume. 3. When the septic tank is pumped, any solids in the bottom of the dose tank must be pumped, and the filter must be back-washed into the septic tank to remove accumulated material. System use may require more frequent filter cleaning; initial inspections of the filter should be made every 6 months until a minimum time sequence is determined. 4. Periodic observation pipe inspections should be made by the owner to examine the state of the in-situ soil adsorption cell. Quarterly inspections are recommended; a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell. 5. If this system contains specific treatment components other than those mentioned here, maintenance requirements will accompan% their specifications. 6. The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump. If the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. 7. Avoid compaction such as vehicle traffic within 15' down-slope of the adsorption system. 8. Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 9. Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. 10. Warning: Do not enter septic, dose or other treatment tanks; death may result because they may contain lethal gases or insufficient oxygen. 11. Note: The system side and end slopes are relatively steep at 2:1 and could pose a tip-over hazard if mowed with a riding mower: leave un-mowed, hand mow, or weed whip. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for low effluent strength systems; such monitorin, may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.54 (2). Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing. and/or installation of additional treatment components or conversion to a holding tank may be necessary. Page 8 of 8 DCCI Land Planners, Lot 16, Construction Addendum Stake system prior to any site work; locate drive west of west system end; locate east system end west of surface drainage along nominal east lot line. See point 13 prior page. The individual site design for this mound system has 2:1 slopes upslope, end-slope, and down-slope from the rock cell. This design is appropriate here to minimize system footprint and construction materials while providing a cost effective design. This design requires extra care in construction primarily because the steeper slopes somewhat increase construction hazards relative to the standard 3:1 slope design. The 2:1 design will locate the system on relatively moderate slopes above the critical slopes of 29-30 percent. Good access will be available to the mound site via the proposed driveway upslope of the system. Temporary construction access can be constructed north of the driveway and east above the mound site. Materials and equipment may be then brought into the area from the northwest and staged or deployed from the south of and upslope from the mound site. Following construction, additional soil backfill shall be placed upslope to blend the system into the existing slope diverting surface runoff around the system to the east and the entire disturbed area seeded to minimize erosion. In general, caution is advised with equipment working the slopes; in particular, equipment travel should be perpendicular to the slopes rather than parallel to the slopes. Following this procedure will minimize any roll- over potential. Standard site preparation requires removal of excess vegetation over the entire footprint of the mound system. Vegetative removal should be followed by placement of ASTM C-33 sand upslope of the mound footprint. An alternative technique is to arrange sand delivery to coincide with site chisel plowing. Chisel plowing may be undertaken only under relatively dry soil conditions such that soils do not form a '/4" wire when a sample of the upper 8" is rolled between the hands. Chisel plowing of the mound footprint should be accomplished with chisel teeth fixed to the bucket or boom of a tracked excavator of sufficient size and boom length to plow the footprint area parallel to the surface contours from an upslope position. Plowing shall be accomplished without compacting the footprint area and shall be followed by the immediate placement of sand onto the plowed surface. Sand placement is to be by bucket from the tracked excavator. Once sufficient sand has been placed to meet depth requirements above the design contour, the rock cell and lateral layout may be constructed on the sand fill. Again, rock placement is by excavator bucket. Geo-textile fabric may be placed by hand following rock cell :construction. Soil cover material is then placed by excavator bucket over the resulting sand and cell structure until the specified depths of material are in place. The soil cover is graded by excavator bucket to final 2:1 slope specifications. The upslope portion of the mound should be blended into the natural slope with additional fill in such a manner as to prevent any dam effect which might trap surface runoff upslope of the structure. If site conditions permit, it is ideal to blend the upslope into the natural slope to achieve a final settled slope of at least 2% so that surface drainage runs off the mound structure. If fine grading is necessary, a wide tracked dozer may be used operated perpendicular to the slopes to achieve a finished slope. Seeding should by hand spreading and the use of anti-erosion matting is strongly recommended on the down-slope portion of the finished structure. Page 8a of 8 Wi_~con-in Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety • a d Building Division • INSPECTION REPORT Sanitary Permit No 499218 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 Homes, Divine Custom bl~( " ~ w La-4 Troy, Town of 040-1310-00-016 CST BM Elev: Insp. BM Elev: M Description: Section/Town/Range/Map Na -Z Q 17.28.19.2003 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark b 9~/$ 5 l 2. S Dosing Alt. BM Aeration Bldg. Sewer Holding St/Ht Inlet St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt Bottom Dosing Header/Man. Aeration Dist. Pipe Holding Bot. System Final Grade PUMP/SIPHON INFORMATION Manufacturer Demand St Cover GPM Model Number 1S16. 9 TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM (o.1 7,(.. BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: UNIT Model Number: DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size ix 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 xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 1'2-1 / d Inspection #2:___/ / Location: 485 Meadow Ridge lane Unknown (NE 1/4 SE 1/4 17 T28N R1 9W) Meadow Ridge of Troy Lot 16 Parcel No: 17.28.19.2003 1.) Alt BM Description 2.) Bldg sewer length = - amount of cover = Plan revision Required? Yes No Use other side for additional information. - Date Insepctor's Signature Cert. No SBD-6710 (R.3/97) l _ i safety and Buildings Division County _ !7P 201 W. Washington Avtt,,P.O. Box 7162 iscon'~" Madison, Wl 5 - 7162 ~YiSanitary Permit Number (to be filled in by CDepartment of Comm(608) 26 - 51 q l / Zl0 i Sanitary Permit Application State Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal information you prov /3 Z5f 7 may be used for secondary purposes Privacy Law, stS.04(1)(m) Project Address (if different than mailing address) 1. Application Information -Please Print All Informatio E C E l V E D [operlty AA~~v / Property Owner's Name Block p► 0i6 ctA5 I /7h~?'Ls 0CT 2 0 2006 Property Owner's Mailing Address Location o ST. CROIX COUNTY _ i Ciiy, Sta e ( Zip Code ~•_'I, SectionL7 N -J ~L/O i{ H. Type of Building (check all that apply) o k 44 T12& N; R-! ~E o g - Number of Bedrooms OJ T I p~4 Subdivision Name CS Number j I KI or 2 Family Dwellin I ❑ Public/Cotttmercial - Describe Use AJ' ' ❑ state Owned - Describe Use -1A/- /f---- ❑City ❑Villa a ownshi of E III. Type of Permit: (Check only one box on tine A. Complete line B if applicable) A' New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System U. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number mid Date Issued Before Expiration~ Plumber Owner _%V. T e of POWTS System: Check all that apply)._ t) ❑ Non -Pressurized In-Ground Iklound_>24 in. of suitable soil ❑ Mound ❑ Single Pass Sand Filter ❑ 24 in. of suitable soil 11 At-Grad' Constructed Wetland ❑ Pressurized hi-Cnound ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel-less Pipe ❑ Other (explain) 5q p V. Dis ersaUTreatment Area Information: Design Flow (gpd) Design Soil Application Rate(opdst) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation l~ao v/ 15do t5 z 1 9 .S VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons _ Gallons of L'niis Concretc Constructed Glas I Glass New Existing Tanks Tanks rJQ~ Septic or Bolding Tank ldvo I Adoo Aerobic Treatment Unit l~ I Dosing Chamber I 1-VI I. Responsibility Statement- l the undersigned, asSu n r installation of the POWTS shown on the attached plans. Pluurber Name Prmi ( Piu ber's to 1L 'MPRS Number Business Phone Number I gStrw., .G9 Plumber's AddresCity-state, Zip Co e) VIIL Coun /De artment Us Onl Approved ❑ D approve Sanitary Permit Fee (includes Groundwater Date Issue Issuing A Signatur (No t C ❑ riven Reason eaial Surcharge Fee) 55 C) • Ott ~D~z`f Otv n IX. Conditions of Approval/Reasons for Disapproval 3) vr'e SYSTEM OWNER: f~J.l'd[e(A' ~f o✓~ ~a otJu~~. : o.~ cG~_ 1. Septic tank, effluent filter and p a ak • ,A 2w lnew.a e..~~ dispersal cell must all be services ! maintained / as per management plan provided by plumber. 2. All setback r"Wromwits must be maintained / J Ur,~✓e t..~~-~y rti~i5~- ✓lo~ , %~~}^,t a ygt9~ev~ as per appkable code /ordinances. /VI J Attach complete plans (to the County only) for t e syste paper not less than 81/2 x t 1. inches in size SBD-6398 (R. 01/03) w c~ 40-130-00_(Jt~ 1y~-St-1~-Z7-yaw 1, b C~1. CA,0 ,sly V ~o~~o-y q~p,b C e.,t l 1- Ile ~eo,~3 s w n ~2, S'IQ x111, b~ 4n dt3o,o~~ 'r ~gt4S~ ~~a~2 _ ~~onnw~' ~Q 1gS lt,~ \22~1~ (-q 'Sb,, 0 Zo 2." P- c- sc~ 6,0 Srov.{ ~o.;H co ~~o 1 / N ^ 44-t.) S aX , C- R. ? ~I Z" t N ors u>n ~c~ Z, C, T i z~ ~-S I mo*m 1 ~ • s ,rr 7. 10 ~ t i oe O o s Z . i t "'ej e-S' C 1 t opq ~VVIGI%1%10 1C4wnWn SOIL EVALUATION REPORT #2489 Department of Commerce in accordance with Comm 85, Wis. Adm. Code Page 1 of 2 Division of Safety and Buildings Certified Soil Testing, LLC Attach complete site plan on paper not less than 8'/2 x 11 inches in size. Plan must County St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. 04 13 ~-00-016 Please print a QMED Revie By Date Personal information you provide may b used f purposes (Privac Law, s. 15.04 (1) (m)). Property Owner 5 2006 Property Location DCCI Land Planners, Inc. SEP 2 Govt. Lot NE1/ , SE/1/4, S17, T28N, R19W Property Owner's Mailing Address OtX COUNTY of # Block # Subd. Name or CSM# 1505 HW 65 ST. CR 16 Meadow Ridge Of Troy City State ip Code umber ❑ City Village ® Town Nearest Road New Richmond WI 54017 Troy 485 Meadow Ridge Lane New Construction Use: ® Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement ❑ Public or commercial - Describe: Parent material loess over till Flood plain elevation, if applicable NA ft. General comments supplement to Nelson report, 9/18/05; install 10' x 60' rock cell mound on 940.0 as upslope edge of rock w/ and recommendations: 0.5' sand via individual site design @ 0.4 gpd/sq ft loading Boring 1 Boring # Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 I I see Nelson report, 9/18/05, for pit profiles; recommend mound due to massive sl at depths _j Boring Boring # ~ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 i poor loading rates at depths suggest better longevity w/ mound system Effluent #1 = BOD5> 30 < 220 mg/L and TSS > < 150 m /L ' Efflue #2 = BODS < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Sig t e: CST Number Henry F. Grote 4 222774 Address Certified Soil Testing, LLC Date Evaluation Conducted Telephone Number E. 4366 353rd Ave. Menomonie, WI 54751 9/21/2006 715-233-0398 SBD-8330 (R 07/00) ~ 4 0-13~o-oo-c~+b N~-SL-+~-Z~-haw ? ZS SII I~ 2aD~Ow 1`IItD~gJL ~we.~ 1 d .o l ~ ~ 0. chi I b! b X110 U~~' ;uNb \0, 'S~) 44.0 Q. sMI ~ w\\ ® ~ ~o~a1=o~. Ive~so~, z d~ z 40-~J\ o-oo -OkL, ~l'~s ~ ~ 2A~0,... 1~~~~ ~w~..Qr ~ k (v0~ Y o~~C ~1 ~ ~`N. ~ (qvt q4> I s¢h~;~e ? 4Z„ o~K uH N Lc~ z, ' Safety and Buildings 4003 N KINNEY COULEE RD commerceml.gov LA CROSSE WI 54601-1831 TDD (608) 264-8777 isconsin www.commerce.wi.gov/sb/ www.wisconsin.gov Department of Commerce Jim Doyle, Governor Mary P. Burke, Secretary September 29, 2006 CUST ID No. 225094 ATTN: POWTS Inspector MICHAEL P ROGERS ZONING OFFICE ROGERS PLUMBING ST CROIX COUNTY SPIA E4457 HWY 12 1101 CARMICHAEL RD MENOMONIE WI 54751 HUDSON WI 54016 CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 09/29/2008 Transaction ED No. 1325197 SITE: Site ID No. 718739 Dcci Land Planners Please refer to both identification numbers, East Cove Road "above, in all correspondence with the agency. Town of Troy St Croix County NEfIA, SETA, S17, T28N, R19W Lot*16 Subdivision: Meadow Ridge of Troy FOR: Description: Mound / Four Bedroom / ISD (2:1 slope fill) Object Type: POWTS Individual Site Design Regulated Object ID No.: 1099616 Maintenance required; 600 GPD Flow rate; 110 in Soil minimum depth to limiting factor from original grade; System: Mound; Pressure Distribution SBD-10706-P (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, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders • This system is to be constructed and located in accordance with the enclosed approved plans and with the component manuals listed above. • Maintenance of the vegetative cover on steep slope sites poses a hazard to the maintainer. The methods of maintenance for this site are listed in the owner's manual found on page 8 of this plan. These methods are to be reviewed with the owner.,. • i .i • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. C:- "Fi7 -N Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and 5ze5~, N ;v,f dispersal are prohibited. Z SEE CC:. J,\ • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. MICHAEL P ROGERS Page 2 9/29/2006 • 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 $ 300.00 1 Fee Received $ 300.00 Balance Due $ 0.00 J Charles L Bratz POWTS Reviewer II , Integrated Services WiSMART 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 Henry F Grote , Certified Soil Testing DCCI Land Planners, Inc. - Mound Construction Materials and Techniques All materials must comply with Comm 84 and be installed in accordance with manufacturer's specifications. Construction methods must comply with the following Component Manual: Pressure Distribution, SBD-10706-P (01/O1) Mound by Individual Site Design Location: Lot 16, Meadow Ridge of Troy NE '/4, SE '/4, Sec. 17, T 28 N, R 19W Town: Troy County: St. Croix Date: September 27, 2006 Owner: DCCI Land Planners, Inc. Address: 1505 HW 65 New Richmond, WI 54017 Plumber: Mike Rogers I Signature: VZA vjjA4,yav~ License: 225094 Attachments: SBD-10577 - Plan Approval Application SBD-8330 Page 1: cover 2: design criteria & calculations 3: plot plan to 4: system cross section C3 5: plan view, lateral detail `°o z 6: pump tank exit detail W 7: pump curve > 8: system management V 8a: construction addendum W w page 1 of 8~ C~ cnj CN`jt~NCE Q Cl) 3 f Design Criteria Residential Wastewater Contaminant Load: 30 mg/L < BODS < 220 mg/L Anticipated septic tank effluent 30 mg/L < TSS < 150mg/L Fecal Coliform > 10,000 cfu/100 mL Fats, oils, grease < 30 mg/L 4 Bedrooms x 100 gal/bedroom/day x 1.5 (o u-d gallons/day hydraulic load Design Calculations In situ designed loading rate o A gallons/sq. ft. per day Depth to estimated high ground water ? 40 in. Depth to bedrock t ° in. Cross slope at system % u Force main length 2 f t. of Z in. 4 , o g Manifold/header length b b ft. of V/4 in. o 4 Z. Drain-back gallons Lateral length 3 @ S b n ft. of in. Lateral elevation 44~. 0 ft. @ bottom of lateral Lateral hole size 3~~b in. @ 2- o in. ft.) Spacing l holes/lateral S I holes total Lateral volume S Z gallons Total lateral discharge rate 3 bto l gallons/minute @ ft. head Network pressure compensation losses ft. Elevation difference 9, ft. ~ Friction loss 0 16S ft. @ S gallons/minute Total dynamic head 3 '4 ft. Pump/si*n 3 g gpm @ ft. of head Manufacturer °e" Model # Dose volume gallons Lift/siphon tank gallons Septic tank gallons Effluent filter Measurement pump on and off in. Height alarm from tank bottom b e in. Reserve capacity gallons specs.calcs.res Page Z of 8 .C~o4:s S 4L 4L ~-;ov~ 4i, o z QAj fn co 2 ~ 5 ~ z,~,t c.~I \ h 1 T ~..a~ \ \ b i~bco71 ILI vv k k y 1 1 Q'. 4~ ~-4~)p~ PVC ob54~rv...i-:oy al `S b.~to.+. 04 roc.K b+~. 40 1`l4' 40 -7F I I I 1 I 41 I / yw~6- t S~,pl Ir t•ta~i Uw`vt ~o•XaC Ot~a:v~low 1 T ~ c.~ 4r. \ 4~ III-- J~ ~ > ~ ~1 0\ t S 4-O t .-X (o 6 ~ Mn~N 7c iT 1L. WE'LTKERPROOF LACKING+COvCR JUNCTION 6cac CvA~'nr,wc ABED . Cs- eee . 4 P~ . 3' oKTti No1bTuRBED la, I 4„ ~o \SOIL. 24 T.. D. ",.L,LP A 31. o,. Ha.c p~a~vtD 4 P ~ ~ CRSI(FET 3bK ,S WFLE iAL 3' owTo Au. PI/l a C s~ GQKH E LT 10 KS G RouKo Ovo" ~T0 ~t3~,s 14~~ Ow PtAp C12 ~q.q cq c L 7\J BLOC,< SEPTIC t _SPECIFI•CATIOU$ 005E T^WKS M^WUFACTUKER: IJUMl!IER OF DOSES: PER TAWK SIZE: \~Y-ID -4,GALLOWS DOSE VOLUME S ~1aa~ro . ~ (o ALARh1 /"LAAIUi'ACTURCR: IWCLUDING 6ACKFIOW; 0 GA~~ONS MODEL 1JUMb'ER: kO1 CAPACITIES" A=~1iO IuCNCS OR WLLOuS SWITCH TtIFE: w.a~.~..°~ 8 c WCHES OR ,L Z C.AL L 0 5 PUMP h1AWUFACTURER: J C■ iUCHfS OR $010 GA 1~ .0 U5 MODEL 1JUMbEK, D~ 9`0 INCHES OR ly-~'~ Q 3 K,,_0~.15 SWITCH TYPE; w`n~.aw"y WOTE' PUMP AWD ALARM ARE TO CE MIWIMUP'1 DISCHARGE RATC GPM INSTALLED Ow 5EPARATE CIRCU,TS VERTICAL DIFFEKEWCE bETWCC►I PU^P OFF AUO DISTRIbUTIOW PIPE.. FEET + Mikiih1UM AIETWORK SUPPLY PKtSSURE FCET io + ~S FEET OF FORCC f1AIW X 2-Fly O~b~ ~S loo FtFRICTIOU FACTOR. FEE T TOTAL DyWAMIC HEAD = 13' FEET o P`. IQTER►JAL. DIMEW610Wi OF TAWK. LEkl(,TH _L , 9" ` .;WIDTH ~ -;LIQUID DEPTH F? a PUMP. PERFORMANCE CURVE MODEL 151/152/153 TOTAL DYNAMIC HEAD/FLOW 50 PER MINUTE 14 a6 153 EFFLUENT AND DEWATERING t 12- 40 MODEL 151 152 153 35- 10- 152 Feet Meters Gal. Liters Gal. Liters Gal. Liters 30 5 1.5 50 189 69 261 77 291 9 151 10 3.0 45 170 61 231 70 265 ° 25 15 4.6 38 144 53 201 61 231 0 20 5.1 29 110 44 167 52 197 8 20 25 7.8 16 61 34 129 42 159 30 9.1 - 23 87 33 125 5 4 35 10.7 - 22 85 10 40. 12.2 - - 11 42 Shut-off head: 30 ri. (9.tm) 38 ri. (11.6m 44 ri. (13.4m) 2 5 0145A66 J 10 20 30 40 50 e0 70 80 90 100 GALLONS LITERS 0 40 a0 120 160 200 240 280 3k 340- FLOW PER MINUTE 0145MA Model 151 Models 152 / 153 CONSULT FACTORY FOR 6 7/32 SPECIAL APPLICATIONS I 6 v 3 7/8 4 5/8 3 27/32- 4 5/8 • Timed dosing panels available. j • Electrical alternators, for duplex systems, are available and 3 7/8 supplied with an alarm. - • Variable level control switches are available for controlling ® 3 7/8 single phase systems. • Double piggyback variable level float switches are available for variable level long and short cycle controls. • Sealed Qwik-Box available for outdoor installations. See FM1420. - • Over 130°F. (54°C.) special quotation required. I I I ' 151/1 X2/153 Series 11 11/16 12 i 1/8 151/1521153 MODELS Control Selection -1- , ; 1; LIL Model ' Volta-Ph 4 3/8 L.J Mode Am Slm bx Du lex N151 115 1 Non 6.0 1 2 or 3 BN 151 115 1 Auto 6.0 Included 2 or 3 E 151 230 1 Non 3.2 1 2 or 3 BE 551 230 1 Auto 3.2 Included 2 or 3 151 sKZOe N152 115 1 Non 8.5 1 2 or 3 BN 552 115 1 Auto 8.5 Included 2 or 3 E152 230 1 Non 4.3 1 2o(3 BE 152 230 1 Auto 4.3 Included 2 or 3 N153 115 1 Non 10.5 1 2or3 BN153 115 1 Auto 10.5 Included 2 or 3 E153 230 1 Non 5.3 1 2or3 SELECTION GUIDE BE 153 230 1 Auto 5.3 Included 2 or 3 1. Single piggybabk variable level float switch or double piggyback variable level hoal switch. Refer to FMO477. O CAUTION 2. See FM0712 for correct model of Electrical Alternator E-Pak. Ali istallation of controls, protection devices and wiring should be done by a qualified 3. Variable level control switch 10-0225 used as a control activator, specify duplex (31 tensed electrician. All electrical and safety codes should be followed including the most scent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). or (4) float system. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL ro: P.O. BOX 16347 i4w, Loe, KY 40256 0347 Manufacturers / SHIP T0: 3649 Cane Run Road Louisville, Y 4021 I 778.2731K 1(800) 928 -PUMP UMP QML?r PUMPS S,vcE /9,99 w (502) http://www.zoeller.com PUMP !O. FAX (502) 774.3624 ® Copyright 2003 Zoeller Co. All rights reserved. e f System Management Management of this system is critical. As a condition of approval of these plans this system management section must be reviewed with the owner, and the owner must be provided with a complete set of plans including this management section. If problems develop with the adsorption system or any other system components, the installing plumber, Rogers Plumbing, 715-235- 1132, or the St. Croix County Zoning Office, 715-386-4680, should be contacted for assistance. General Proper functioning of an on-site disposal system, "septic system," is significantly dependent on the volume of water which flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the better and longer the system will function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as water, a dose tank or compartment to allow a dose to be accumulated, a pump and controls or automatic siphon, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. 1. If the septic tank is installed prior to sheet-rock and/or painting, pump the septic tank before normal use begins to ensure adherence to contaminant load design criteria. 2. Install water-saving appliances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. 4. Never pour grease or oil down any drain or stool. 5. Garbage disposals are not recommended; if you must have one, use it sparingly 6. No paper products other than tissue should go into the system. T No chemicals should go into the system. 8. Avoid surge flows of water; try to spread laundry throughout the week. 9. Septic tank effluent must be less than or equal to the design criteria specified in page 2 of these plans. 10. If septic or dose tanks are no longer used, they must be properly abandoned. 11. If construction timing and weather could create a frozen infiltration system, weather-proofing with plastic sheeting and heavy mulching may be required to maintain a functional system at start-up. 12. The upslope toe of the mound system must be landscaped with additional fill to blend this area into the upslope natural grade; this will minimize the possibility of the system trapping surface run-off; final settled slope should be 2-3% over the system or 2-3% diverting surface run-off around the east end of the system. 13. Note: System area must be staked and fenced off prior to any site construction activities; the proposed driveway must be located west of the west system end and the east system end must be located west of the surface drainage along the nominal east lot line; final drive location to be determined after staking to avoid conflict. Maintenance 1. The septic tank must be inspected every three years by a properly licensed person. 2. If necessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volume equals one third of the tank volume. 3. When the septic tank is pumped, any solids in the bottom of the dose tank must be pumped, and the filter must be back-washed into the septic tank to remove accumulated material. System use may require more frequent filter cleaning; initial inspections of the filter should be made every 6 months until a minimum time sequence is determined. 4. Periodic observation pipe inspections should be made by the owner to examine the state of the in-situ soil adsorption cell. Quarterly inspections are recommended; a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell. 5. If this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany their specifications. 6. The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump. If the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. 7. Avoid compaction such as vehicle traffic within 15' down-slope of the adsorption system. 8. Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 9. Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. 10. Warning: Do not enter septic, dose or other treatment tanks; death may result because they may contain lethal gases or insufficient oxygen. 11. Note: The system side and end slopes are relatively steep at 2:1 and could pose a tip-over hazard if mowed with a riding mower; leave un-mowed, hand mow, or weed whip. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for low effluent strength systems; such monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.54 (2). Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing, and/or installation of additional treatment components or conversion to a holding tank may be necessary. Page 8 of 8 s DCCI Land Planners, Lot 16, Construction Addendum Stake system prior to any site work; locate drive west of west system end; locate east system end west of surface drainage along nominal east lot line. See point 13 prior page. The individual site design for this mound system has 2:1 slopes upslope, end-slope, and down-slope from the rock cell. This design is appropriate here to minimize system footprint and construction materials while providing a cost effective design. This design requires extra care in construction primarily because the steeper slopes somewhat increase construction hazards relative to the standard 3:1 slope design. The 2:1 design will locate the system on relatively moderate slopes above the critical slopes of 29-30 percent. Good access will be available to the mound site via the proposed driveway upslope of the system. Temporary construction access can be constructed north of the driveway and east above the mound site. Materials and equipment may be then brought into the area from the northwest and staged or deployed from the south of and upslope from the mound site. Following construction, additional soil backfill shall be placed upslope to blend the system into the existing slope diverting surface runoff around the system to the east and the entire disturbed area seeded to minimize erosion. In general, caution is advised with equipment working the slopes; in particular, equipment travel should be perpendicular to the slopes rather than parallel to the slopes. Following this procedure will minimize any roll- over potential. Standard site preparation requires removal of excess vegetation over the entire footprint of the mound system. Vegetative removal should be followed by placement of ASTM C-33 sand upslope of the mound footprint. An alternative technique is to arrange sand delivery to coincide with site chisel plowing. Chisel plowing may be undertaken only under relatively dry soil conditions such that soils do not form a'/4" wire when a sample of the upper 8" is rolled between the hands. Chisel plowing of the mound footprint should be accomplished with chisel teeth fixed to the bucket or boom of a tracked excavator of sufficient size and boom length to plow the footprint area parallel to the surface contours from an upslope position. Plowing shall be accomplished without compacting the footprint area and shall be followed by the immediate placement of sand onto the plowed surface. Sand placement is to be by bucket from the tracked excavator. Once sufficient sand has been placed to meet depth requirements above the design contour, the rock cell and lateral layout may be constructed on the sand fill. Again, rock placement is by excavator bucket. Geo-textile fabric may be placed by hand following rock cell construction. Soil cover material is then placed by excavator bucket over the resulting sand and cell structure until the specified depths of material are in place. The soil cover is graded by excavator bucket to final 2:1 slope specifications. The upslope portion of the mound should be blended into the natural slope with additional fill in such a manner as to prevent any dam effect which might trap surface runoff upslope of the structure. If site conditions permit, it is ideal to blend the upslope into the natural slope to achieve a final settled slope of at least 2% so that surface drainage runs off the mound structure. If fine grading is necessary, a wide tracked dozer may be used operated perpendicular to the slopes to achieve a finished slope. Seeding should by hand spreading and the use of anti-erosion matting is strongly recommended on the down-slope portion of the finished structure. Page 8a of 8 i Wisconsin Department of Commerce IL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings with m 85, Wfis. Adm. Code county St. Croix Attach complete site plan on paper not a include, but not limited to: vertical and ho=r Parcel I.D. Pending percent slope, sole or dimensions, north nd on and distance to nearest Revle y D Please print all info don 4. P 2 l 2005 Personal infomtation you provide may be used for secondary (Privacy Law, s. 15.44 (1 ) (mt )Z)S Property Owner ST. CROIX OUR"Loci 'on DCCI Land Planners Inc ZONING E 1/4 SE 1/4 S 1 T 28 N R 19 ( Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1505 HWY 65 lb Meadow Ridge Of Troy City State Zip Code Phone Number ity ©Vlitage own Nearest Road New Richmond WI 54017 ( East Cove Road E]New Construction useE] Residential /Number of bedrooms 3 to 4 Code derived design flow rate 450 to 600 GPD Replacement 0 Public or commercial - Describe: Parent material Loess over glacial till Plain elevation tf app n~ a A ft. nerments ~ comm mmenclations: ~a v + o C S--11~.l.1a w 1 e, Pav S Ap 1 r ►JB~- Ma.. r. -a.: ti ~o rj Sd EWE. ~Ve4o^.. 4-t" Jam. t ~OG.dK i / /~C~1M l U a 4 ke- -6 mAh1lje-- -5 c4- Boring # 0 Boring 0 Pit Ground surface elev. 938.99 ft. Depth to limiting factor >110 in. Sail App~ Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDff in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 •Eff#2 1 0-11 10yr3/2 - sit lmsbk dsh as 2f .4 .6 2 11-16 1 3/2 - sil 2msbk dsh Cw if .6 .8 3 16-30 10yr4/4 Is Osg dl cw - .7 L6 4 30-110 7.5yr4/4 - st Om dh - - .2 .6 F2 Boring # ~ Sonng 942.12 >140 El Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consisteno Boundary Rooks GPDff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'E1f#1 'Etf#2 1 0-11 10yr3/2 - sii 2msbk dsh as 2f .6 .8 2 11-24 i /4 is Osg d} cw If .7 L6 3 24-140 7,5yr4/4 - sl Om dh - _ .2 .6 Effluent #1 = BOD > 30:5 2W mg& and TSS >30 < 150 mg& ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/1- j , CST Name (Please Print) Signature CST Number Thomas C Nelson 227387 Address Date Evaluation Conducted Telephone Number 1432 120th Street, New Richmond, WI 9/18/05 715-246-2454 Y.TT I.i+.T TNSITn~ I Property Owner DCCI Land Planners Inc Panel ID # Pending Page 2 of 3 3 Boring# Boring 936.10 >120 El Pit Ground surface elev. ft. Depth to limiting factor M. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munseff Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *011102 1 0-10 10yr3/2 - is Osg di as 2f .7 1.6 2 10-36 1 4J4 _ Is OS dl cw if .7 1.6 3 36-120 5yr4l4 - sl Om dh - - .2 .6 ❑ Boring # S Boring Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Colo Redox Description Texture Structure Consistence Boundary Roots GPD1fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Efr#1 *Eff#2 a Boring # Boring Pit Ground surface elev. ft. Depth to limiting factor irr. Sort Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/W in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Efr#1 *Eff#2 * Effluent #1 = BOD, > 30:a 220 mgfl_ and TSS >30:5 150 mg& * Effluent #2 = BODS a 30 NO& and TSS r 30 NO& The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-9330Test (R07/00) DCCI LAND PLANNERS INC. Lot # 16' -MEADOW RIDGE OF TROY ® SOIL BORING • `"T'" NE 1/4 OF THE SE 1/4 OF SECTION 17, BENCHMARK + \ T28N, RI 9W, TOWN OF TROY, ST. -TOP OF CONDUIT CROW COUNTY, WISCONSIN. ALT BENCHMARK • t • -TOP OF CONDUIT • • • • • ' TOM NELSON CST - LIG. # 227387 N NOTE THE CONTOURS IDENTFIW • ENVIRONMENTAL BY DESIGN ARE PRIOR TO CONSTRUCTION. , WIN- 1438 1510TH ST, CONSTRUCTION GRADING WAS IN PROCESS OURMIG SOIL TESTING. ►•rir wsir NEW RICHMOND, WI 54017 CONTRACTOR MAY NEED TO ph. # 715-246-2454 CONFIRM FINAL CONTOURS • DURING INSTALLATION. SCALE IN FEET Y - 40 • 100 0 100 wits - 9 I~ o~ t 10 83 .10 ` 36. i 29,78 8 3 .7B 2 942.52 J t 0 It t ~ 1> ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer ~ k1,0 C_QZ-s 7(IA 4S~rit 2 S c~1 l . Lt_~ Mailing Address co the e o CJSo n'1 S C"~ ((p PropertyAddress s M Dw ~to C IC41C Uldl('A INCA S" (Verification required from Pl ing Departme t for new construction.) City/State 14 UCISOPI l~ J 1 Parcel Identification Number Dq-D j 310 LEGAL DESCRIPTION Property Location 5W V, 1/4 , Sec. , T _2bN R_ft_W, Town of Subdivision - (J o w K- td v of -T(o~i , Lot # r. Certified Survey Map # , Volume , Page # Warranty Deed # Volume , Page # Spec hour yes no Lot lines identifiabl yes no • SYSTEM MAINTENANCE 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 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 a Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification statim that your se stem has been maintained must be completed and returned to the St. Croix County Zoning Dep~thix 0 e year expiration date. /l l / 6 OF APPLICANT DATE OWNER CERTMCATIO Uwe c i tha all this form are true to the best of my/our knowledge. I/we am/are the owner(s) of the property de gibed abo warranty deed recorded in Register of Deeds Office r SIG T OF APPLICANT DATE • Any information that is misrepresented may result in the sanitary permit being revoked by the Zoning Department. Include with this application a stamped warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. A&Mound, At-Grade, In-Ground Pressure The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory o authority. Pondin g greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. The pressure distribution system is provided with an opening at the end of each lateral to be used for flushing. The laterals should be flushed at least once every three (3) years. Pressure checks of systems with multiple laterals should be done to ensure that equal distribution of effluent is occurring to promote the longevity of the system. REPORTS Reports for maintenance, inspection, and monitoring shall be submitted in accordance with COMM 83.55 Wisconsin Administrative Code. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to ensure that the system is properly and safely abandoned in compliance with Ch. COMM 83.33, Wisconsin Administrative Code. - All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. - The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. - After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or other inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: O A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. d A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. m The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. Cl Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. <<WARNIN+G>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTIAN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS d POWTS INST POWTS MAINTAINER, , Name l~rjJ Name f Phone Phone - TS" SEPTAGE SERVICING OPERATOR (Pumper) LOCAL REGULATORY AUTHORITY Name Agency Phone Phone - v Y- WPDATAM"OWn OWNER'S MANUAL.doe Page of START UP For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. OPERATION The property owner is responsible for the operation and maintenance of the POWTS and submission of required reports. The quantity and quality of the wastewater stream will affect the performance and longevity of your POWTS. The installation of water-saving appliances and fixtures along with prompt repair of leaks reduces the wastewater volume. Also the brine or waste from water softeners, iron removal units, other clear water treatment devices and foundation drains should be discharged to the ground surface whenever possible. Note: this does not include laundry waste, showers, dishwater, etc. This system is designed to handle domestic strength wastewater, however the disposal of food based greases and oils, vegetable/fruit peels and seeds, bones, and food solids such as those produced by a garbage disposal should be minimized. Toilet tissue is the only paper that should be discharged into the system. Other non-biodegradable items such as baby wipes, tampons, sanitary napkins condoms, cigarette butts, dental floss, and cotton swabs should not enter the system. Chemicals such as petroleum products, paint, disinfectants, pesticides, antibiotics, solvents, etc., should not be flushed into the system as they can seriously damage your POWTS and contaminate your drinking water supply. Maintain a regular steady flow by spreading laundry washing throughout the week. Avoid vehicle traffic over all system components. Compaction of snow over the dispersal unit may cause it to freeze up. ❑ 'Valves Valves shall be operated in the following manner: J!kAlarms Alarms should be tested on a regular basis by the home owner. If an alarm sounds, contact an individual licensed to service POWTS, There is normally a I day reserve under regular operating conditions, however water should be conserved until any problems with the system are corrected to prevent back-up of sewage into the dwelling or surfacing. INPECTIONS Inspection shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Maintainer or Septage Servicing Operator (per the attached Maintenance Schedule). i j :eptic Tanks Component Tank inspections must include a visual inspection of the tank to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any backup or ponding of effluent to the ground surface. Access openings used for service or assessment shall be sealed and/or locked upon completion of service. Any defects shall be promptly corrected. Exposed openings greater than 8 inches in diameter shall be secured with an effective locking device to prevent accidental or unauthorized entry into the tank. When the combination of sludge and scum in any tank exceeds one-third (1/3) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with Chapter NRI 13, Wisconsin Administrative Code. The outlet filter(s) shall be inspected and cleaned to remove any accumulated solids according to manufacturer's specifications. Provisions are to be made to retain solids in the tank. Filter cleaning may be necessary at more frequent intervals than stated in the maintenance schedule to keep the system operating. dump Chamber/Treatment Tanks Component The inspection must include a test of all electrical equipment such as pumps, alarms and floats. A visual check must be made for leaks, backups, surfacing, missing or broken security devices and other hardware and the condition of the filter. Any service needs or repairs shall be promptly taken care of. p In-Ground Gravity Component Dispersal Cells The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Ponding at depths greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. Page of POWTS OWNER'S MANUAL MANAGEMENT PLAN FILE INFORMATION SYSTEM SPECIFICATIONS Owner Septic Tank Capacity gal ❑ NA Permit # Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer , y ❑ NA Number of Bedrooms 100gpd/bcdroom p NA E _ffluent Filter Model p NA Number of Commercial Units NA Pump Tank Capacity Estimated flow averse * Pum Tank Manufacturer g DNA ( g) dQ gaUday p ❑ NA Design flow (peak), estimated x 1.5* gal/day Pump Manufacturer " o - ❑ NA Pump del C3 Soil Application Rate gal/day * * Pretreatment Unit 0 NA Influent/Lffluent Quality (NAD) M nthly Average ❑ Sand/Gravel Filter ❑ Peat Filter Fats. Oil & Grease (FOG) < 30 mg/L ❑ Mechanical Aeration ❑ Wetland Biochemical Oxygen Demand (BODs) -5 220 ❑ Other. Total Suspended Solids {TSS} mg/L D Disinfection 5 250 mgt Manufacturer: Model: Pretreated Effluent Quality ❑ Monthly Average*** Dispersal Cell(s) D Biochemical Oxygen Demand (BObs} In-ground (gravity) ❑ In-ground (pressurized) S 30 mg/L p At-grade ZWound Total Suspended Solids (TSS) Fecal Colifonn {geometric mean} 5 30 mg/L ❑ Drip-line ❑ Other: <-l0+aW100m1 ❑ Leaching Chamber Manufacturer Maximum Efllueat Particle Size 1/8 inch diameter Model Approval Stipulation * Wastewater Flow Verification on and calculations: Soil Application Rate____gpd/f0 Area Req, ft (Other than bedroom based) Absorption Area Credit per unit ft2 Minimum Number of Chambers ❑ Aggregate Design Flow/Loading Rate= min Values typical for domestic (non-commercial wastewater Materials: all materials must comply with WI Adm. Code and septic tank effluent. COMM84 and be installed per manufacturers specifications ***Values typical for pretreated wastewater. and approval letters. DESIGN CRITERIA ❑ "Wisconsin At-grade Soil Absorption System, Siting, Design & Construction Manual" (Converse et.ai.1990) ❑ "Wisconsin Mound Soil Absorption System: Siting, Design & Construction Manual" Converse, J.C. and E.J. Tyler. Publication 15.22 ❑ "Design of Pressure Distribution Networks for Septic Tank-Soil Absorption Systems" Publications 9.6 El "Design of Conventional Soil Absorption Trenches and Beds". R.J. Otis - ASAE Publications 5-77 and "Design Manual - Onsite Wastewater Treatment and Disposal Systems". EPA 625/1-80-012 October 1980 O SBD -10570-P (86/99) "At-Grade Component Manual Using Pressure Distribution" ❑ SBD -10567: P (8.6/99) "In Ground Absorption Component Manual" 0 SBD -10705-P (N.01I01) "In Ground Soil Absorption Component Manual" Version 2.0 D SBD -10628-P (N.6199) "Recirculating Sand Filter System Component Manual" ❑ SBD -10656-P (N.6199) "Split Bed Recirculating Sand Filter System Component Manual" [3 SBD =10572"P (86/99) "Mound Component Manual" JWSBD - 10691-P (N.01101) "Mound Component Manual" Version 2.0 ❑ SBD - 10595-P (8.6/99) "Single Pass Sand Filter Component Manual" D SBD - 106S7 -P (R-6/99) "Drip-line Effluent Disposal Component Manual" ❑ SBD - 10573-P (R 6/99) "Pressure Distribution Component Manual" D SBD - 10706-P (MO 1/01) "Pressure Distribution Component Manual" Version 2.0 ❑ Drip-line Effluent Dispersal Component Manual for Multi-flo Onsite Wastewater Treatment Units Q MAINTENANCE AND MANAGEMENT MAINTENANCE MONITORING SCHEDULE Service Event Service Frequency inspect condition of tank(s) At least once every O months M year(s) (Maximum 3 yrs.) Pump out contents of tank(s) When combined sludge and scum equals one-third (1/3) of tank volume inspect 'spersal cell(s) At least once every ❑ months ERyear(s) (Maximum 3 yrs.) [Clean effluent filter Atleast.once every O months 4Nyear(s) Inspect pump, pump controls & alarm At least once every C3 months ,year(s) ❑ NA Flush laterals and pressure test At least once every ❑ months year(s) ❑ NA Valves At least once every ❑ months ❑ year(s) ❑ NA Other: At least once every ❑ months ❑ year(s) ❑ NA Page of 1) - • 834685 • KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO., WI THIS DEED made between DCCI Land Planners Inc., a RECEIVED FOR RECORD Wisconsin Corporation ("Grantor'") and Divine, LLC, a Wisconsin 09/18/2006 10:00AM Limited Liability Company, ("Grantee"), WITNESSETH, that the said Grantor, for valuable consideration WARRANTY DEED conveys to Grantee the following described real estate in SL Croix EXEMPT # County, State of Wisconsin: REC FEE: 11.06 TRANS FEE: 330.00 COPY FEE: Lot Sixteen (16), Plat of Meadow Ridge of Troy, in the Township Name of Name an Area and Realm F* ~e Troy, St. Croix County, Wisconsin 31VER VALLEY AI3 RkT & TITLE ,:`00 HOSFORD STREET, SUITE 20 HUDSON, WI 54016 040-1310-00-016 (Parcel Identification Number) This la not homestead property. Grantor agrees to sell this lot to Grantee on the condition that Derrick Homes, LLC, Divine LLC, or Dreamstructures, Inc. will be the builder of the home to be constructed on this lot. Dated this 21 at day of jj=, 204¢. DCCI Land Planners. Inc A rporate a sic rd R. Stevens S tary STATE OF WISCONSIN ST. CROIX COUNTY Personally came before me this 21st day of June. 2006, Ronald L. Derrick, President, and Michael R. Stevens, Secretary of the above named Corporation, to me known to be the persons who executed the foregoing instrument and to me known to be such President and Secretary of said 'rand ack edged that they executed the lp" foregoing instrument as such officers as the deed of said re tion, its a rity. THIS INSTRUMENT WAS DRAFTED BY ame g DCCI Land Planners, Inc. PAMELA J. RUTLEDOE PO Box 445 Notary Public St. Croix County, 4C. nsin. New Richmond, WI 54017 My Commission Expires: July 27, 2008. Mob" Pub0c Stag of n tOf I FINAL PLAT OF: MEADOW RIDGE OF TROY S&N LAND SURVEYING INC. LOCATED IN PART OF THE SEAM OF THE SETA, PART OF THE MEIN OF THE SE114, PART OF THE 1104 DOUGLAS I XAHLER OF THE SE114, PART OF THE SW114 OF THE SE114, PART OF THE SWIM OF THE HEIM AND PART OF THE 2920 ENLOE STREET SE114 OF THE NW114 OF SECTION 17, T20N,110, TOWN OF TROY, ST, CROIX COUNTY, WISCONSIN, SUITE IN HUDSON, WI 54016 UNPL1'1 'DLANDS IRISrm\~ PREPARED FOR ,Qf0PK ~ OCCILAND PLANNERS D+C, MAIN 915,5' ~ 1505 HWY 65 H88`54191 2042.11' ,7569 x6eW9WE961r~' NEW RICHMOND, YIN 54017 PINCH 35.00 .7 52 NO: TOP A \ \ p 56,75 1821 N60W'IWC 565.14' 7 I' ,MW PIPE, OUTlOT3 HIT. 13TH IS9.p1' 79145{.76 MATCH j7,fi Sq CN&BY HW "CA OKO a / ' I I \ 5`91 ^ \I rsYr.Arcx w I 1 v;l $ I /JAG 1 n.3r,• NA 96.0 HIE- ( W I u : LOT 10IV2~ 9240 \ ( Q• LOT 2 1Q / LOT 11', \F W I~ I uu~ P 0 u~LOT12.°ni~921o =LOTH LOTS LOT4 ; aoPaE LOT5 I l ' a A a~ p `a R ~ I I I ''&,r(~M~AdE' ( lows I I i 2. ~ q0 \ r W ? n I A° I LOT6 f II \ N~ i LOT10.Sg7p 0Ty R 0?~ I q ~3 , G0.91a1 Y: LOT7 1 eCN1o I L p j I <^l, 2 I i t I+ I IBO.911D j ~I ^ I,V iQ \ \ J~ \ I I I C i . ~ I I1, I ! 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NMt4tOt \ /i , 011 li .1 v°1 .111 \a~• + LIST 1S' 711 \ ~Bp r o• i $1 LOT 16' WM27.7 LoT20' ;1$ ,~Ra 6d+~a'~ ' 1 1~ 111 _ LOT is ' o A N.' rOAAU'AQ J \ \ \ \ 6 `I I I \ B \ 21 Aa 1 \ \ \ \ ' V ° EARN rN 1 446 ~ amEpr 0 55 ' o I 1',' 1 \ \ (E~% I t 9=48' s~ raw mlfl- f~NOT 19 LOT 14 1 W I i', ) A 1p4{ IRa977.7 T ~t Of 5* v DPI °pl vnra AREA xG aS :a m 5 6+ " n ASYAAnGN 16 , o a' \ :.AI I I 57s~' e '.1 et dl OUTLOT 4' J , 3vA 587°4440'1 \ 'I I cGeQGV9oW wEA oANEO ~ 1a 184.91' Sy 1EANOME95 'i M. b ti0 ~~~1 A>SroAaa~ i3Wl I o~W SURVEYOR'S CERTIFICATE O~a0 I 4r y 1, oWaAS A wWER ACDEAO wsccxGN wL mRWWR HENST QRIWN THAT n FN2 WNPAANCE wN THE PRCW9ras Q aAPNR zW Q THE I=% swurs a M mmMsW vaARDID Q M TON Q Tarr. NO MR M w6clla Q DW LAND FLAMM PC, OWNER Q SO wa I HAW SLRM QNEO NO NAPPED "ON INK Q TROY; THAT W PUT OMMY Rw6mn5 NS ix1DAa RANDAaES AV M &RIG W OF M LW OM. AND THAT Ms PAT 15 LOCATED M PART Q M SOUTHEAST WAITED Q M aPNW CAJAM 4 PART Q THE NORTHEAST WARNG Q M SWTHUST WAVER PART Q THE NGRM661 WARNG Q M SWMAST QUARm PMT Q TIE 62, 71 SWMW9 WAR16 Q THE SWIWT WARIER PART Q THE WI IEST 9140 Q THE NORTHEAST WARIR PART Q ME SO1T16T QUARTER (INEAST 01 WAItt, IM"; CCNT ! X102 AM Nam DEOW AS Pw ~ rnW n. TOM 9e xaRM RANGE a 6> 7~8~ i N I ° II N7)y64BTyS5 ~ i OJAND MST, T~ a TTRRm ST. ARTOL AM PART y `PL1 zsr ~1 BECOMING AT THE I" QUARTER CODING Q $0 9ECIEN n; wMOE AEec THE NCRWI - SWIG WARIER NNE OF SAID SECIW 17 AM16797 A ° 17 FEECITOK WECT OULARS SAM 79 asir OF l FEET TO M 5~0JTHHWO9 GLOM OF SO SOTIME LMSSr Wx m a THE NORTHWEST WARaGan HENCE 761 fCE ~ ui a ! 6i%'1~jj 0y ~ ~ DR 114 SAID SWREAFT WARIER Q M NORMIEST WAGER R00M491 A DISTANCE OF X.75 FEET TO M KM Q A 1167A/ FOOT NIDUS WAVE. 1 O1~. CONCAVE NORMRLY, WITH A CORN NICE Q 2156'44. A DIM THAT BEING x71113YE NCO KAM IN1B7 FEET: THENCE EASik%Y ALM 1 y~ Z ~ I ~ ° I ~ ~ tiy~! O. COG ~ THE ARC OF $4 OW ADISTANCE Q1037.52 FOOT TO M PONT Q TNNQUUT; 1NEf1 H5614E A CME Q MOD FEET TO SO NWM- 1(I✓ a P 97 V.pWQ 1j K SCUM WMNR IN% THENCE ALM UST $AL UW SDOTN3YW A DISTANCE Q 13229 TER THENCE x6654197 A DISTANCE Q DUN FEET; R A A 1 7.~A I € MENQ SCM21 A INSTANCE Q 41144 FEET; THENCE INIVIf7 A DISTANCE Q 204211 FEET TO THE CNIEALNE Q Toxsv ICY m SAO 'I..IN ~ I 3 9 p 0 Sk. c0 q 0MIL E BAND M ARC Q A 3754,00 FOOT R1oN5 WNW, MOVE S00THNSNRY, WIN A CEXMA ANGLE Q 97970, A C10 THAT SEARS - - 539'44431 NCO NEAGAW W24 FEET MNCE SCOTHEASI06Y AAA SAID CENTIP IIE At ME ANC Q SAG OA%E A CSTANC Q 62091 TOOT N Q I I S q °t M EAM LIE Q M SWTW QUARTO Q SAL 01101117: R16RCE ALONG $4 EAST UREA11C20 A DISTANCE Q 72139 FEET THENCE NQW'451 A OWAM Q 11527 FEET THENCE 117171161 A DISTANCE Q MIT FEET; MNCE SUOMI A INSTANCE Q 47160 FEET TOM '1~1 r a ~I P LOCATION SKETCH „R BECKKND Q A 511.00 i00i RAMS PMW'. CWCAW OSRRY, WM A QNIAII ANGLE Q 77674. A MOIM THAT CEAIb $32171910 AU91R3 MAI OF TROY 2351 73.56 FOOT: THENCE SWMASI AY ALONG THE NCO Q S40 WK A DISTANCE Q 7164 CET TO THE PONT Q TLVQINCP, THENCE SSSV32-E A DISTANCE Q 6467 FEET TO MFONT OF WYALEE Q A=FOOT HAWS [WYE WOW MSRAT WIN A EEIIMAA NA7E Q 243952,3 OORD THAT BURS sN74x7 NCO NEAME51411 FEET: PENCE SOUTNOAT ALONG M MO Q UL 06RW A DISTANCE Q 141.51 FEET 1 M 1 17` 1,i 1 ~R PONT Q ANRNCY; MME SMIATIE A CSIA CE Q ION FEET THENCE SI2.197EW A INSTANCE Q 66,00 PET: THENCE X°710441 A STANCE ,1 11 N _I I, DIY SIN Nog Q 1151 FEET A M PW Q CAWARME Q A 07.00 FOOT RAINS CURIE CWUW NOTEDLY, IM A CENTM NA7£ Q 20'957, A 00 THAT GEARS 11211131 AND OM 107.43 CET MaAQ AaAMELY ALONG THE ARC Q SIR OMW A DISTANCE Q 10151 FEET 70 M PONT Q ANQRCI; REVS x3550391 A 04TA U Q 67.67 FEET TOM PO NT Q MARXE Q A 63JAD FOOT RAM CMW MOVE EATERY, WM A $0µE W EEEI I' =HEW' 0NNNµ ,MACE Q 16'4137', A 00 THAT CARS H27Y4R1 AND NEA9RY 1&.13 FEET MME NQMERY ALONG THE ARC Q 5AO WYE A 45'1 J• ' GLANCE Q 164.791EET MEHCE NI076'4WW A DI9ANC Q 10.25 FEET DRNCE 1103111 A MAINE Q 321.591FET M OE NflW211 A ~"cAYY 1 NS7WCE Q 167.71 FEET, MADE 133/14521 A [STANCE Q 169.9 FEET; MU4Q 91T4C401 A pSANEE Q IeA17 CET; VOCE X19'147011 AEAST GLOM 100 0 10 INSTANCE Q 621,10 FEET; MADE 513'49'75'W A OVNUE Q 25131 FEET; MNCE 51041517 A DISTARM Q 297A CET MEDS ND414TE A ` AND DISTANCE Q 53523 PET: TOM 5175r067 A INSTANCE Q 24532 FEET THENCE MAIZE A INSTANCE (110.59 FEET, THENCE W41M A D DISTANCE Q 10042 W. MNCE 51044'151 A DISTANCE Q 401!7 FEET THENCE 5697547 A INSTANCE Q 101664 FEET THENCE 512TIn A ih::e Ar, r0 ohjea m 1, Is p1a1 vahR0tQ1,, omwCE Q 5662 FEET A M ZUTH LINE Q go SOUTHEAST QUARTER Q RICH 17; M OE WAG SAID EDITH LINE SI W111 A MIANCE Or Srts.216,1i, H16,23620 d?M71(3)to,(2)'I ~ JtpOJ ~ 'A 1 + 162212 FEET TOM PONT Q KILNING, Wis STN. 99 prsidedh, 7+6.1'., Wis SG.. G e4 = ~ DATED MM /9 DAY Q L S ~ CP r7Np.Oa U~ A( y CcniOcd b D aP~JO \ ti aA R V J o~ ".['74139 AI~I/; J II/Y \//1 W'~`M'• 7me_ ~ , G SECTION 17, THIN, R19W DOUGLAS A wEm w 2145 °p 1 `n q 11 s I 1 wro CURWMC NO. g1~~7rS ~ . ~ I , 2920 EILOE SMCT 7~ d Gepmmu, A2:4mm'sN6!:oa 515 18.74 WTE 101 10'40'E WAmIA W NMI \j 1804'. 'Sol' 4Or1OdO0 jSSYA9'20'W56X THIS WSMUWXT ORM 6Y WAWN XAE 0110,01-0 OAE 00/01/2105 REM 091016/2005 SHEET 2 OF 3 SHEETS