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Home My WebLink About040-1297-30-000 Wisconsin Department of Comme county: St. Croix ce PRIVATE SEWAGE SYSTEM Sanitary Permit No: Safety and Building Division INSPECTION REPORT 569553 (ATTACH TO PERMIT) State Plan ID No: GENERAL INFORMATION Personal information you provide may be used for secondary purposes[Privacy Law,s.15.04(1)(m)]. Parcel Tax No: Permit Holder's Name: City Village X Township 040-1297-30-000 Town of Kast, Clifford &Sarah Troy, Section/Town/Range/Map No CST BM Elev: Insp.7 Ele v_: BM Description: 6 (V\ ��00 /) •� 1 g.2g,19.1715 TANK INFORMATION ELEVATION DATA D CAPACITY STATION B HI FS E LLEEVV.. TYPE MANUFACTURER /a , Benchmark /�� Septic �I,e�+ �sg5 � Al.Dosing � � Alt. B � J S.(„e °J'7 ,�� 7 Bldg.Sewer 11. 3 96 A+ertrtion • F'k St/Ht Inlet q Holding St/Ht Outlet TANK SETBACK INFORMATION _ TANK TO A i`L WELL BLDG. ent Air Intake ROAD Dt Inlet Dt Bottom 15, $5 Septic -750 /l / ---� --► -Al Header/Man. I ,!� 93- Dosing 7 J C6 // / V Dist.Pipe Aeration V Bot.System —7 2 G13 Holding !, Final Grade g PUMPISIPHON INFORMATION / S Demand St Cover PM 9 a Manufacturer `° G � q 6 el Model Number ,. I 1 L11. TDH Lift Friction Loss System Head /T/D/� 0 6Z s 4' Forcemain Leng`TIc> Dia.Z/I Dist.to Well SOIL ABSORPTION �F SYSTEM �b Length No. rench s 71 5 PIT DI IONS No,Of Pit'�� Inside Dia. Liquid Depth BEDITRENCH Width g/ DIMENSIONS - P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer. ------SETBACK SYSTEM TO CHAMBER OR INFORMATION Type ystem: / 7 s UNIT Model Number: �— ^a V%. DISTRIBUTION SYSTEM x Hole Size x Hole Spacing ven r Intak HeaderMlanifold �� Distribution 7 1� S3 v Length �' Uia /�� Length 41 Dia 1 1 5 Spacing �/ a SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only ulched Depth Over xx Depth of xx Seeded/Sodded Depth Over , ✓J Topsoil No Yes No Bed/Trench Center / Bed/Trench Edges` - � COMMENTS: (Include code discrepencies,persons present,etc.) Inspection#1:�/ / spection#2: / / Parc No: 8.19.1715 Location: 359 Mitchell�d Hudson, 54016(SW 1/4 SE 1/4 19 T28N R1 9W) ;rebus Valley Estate;Lo W3 ��Q� 1.)Alt BM Description= pla 2.)Bldg sewer length= qz- I, - . -amount of cover Plan revision Required? Yes No '� 1 Cert Use other side for additional information. - -- .No Date Insepctoes Signature SBD-6710(R.3197) � d• T� Safety and Buildings Division County` n RECEIVE C E IVY 201 W.Washington Ave., P.O. Box 7162 Sanitary Permit Number(to be ed;n by Co.) p r' � Madison,WI 53707-7162 � �� JUL 16 2014 61, State Transaction Number �oM� - Application - Z `� v in accordance with SPS 38321(2),Wis.Adm.Code,submission of this form to the ap overnmental unit Z-L' is required prior to obtaining a sanitary permit Note:Application forms for state-owned POWTS are su d to Project Address(' e;eLt than m address) the Department of Safety and Professional Servies. Personal information you provide may be used for secondary '��J1. 4 r oses in accordance with the Privacy Law,s.15.04(1 m,Stats. S w\(�6 L Application Information- t ion parcel# M Owner's Nanle log. _ Z9-7- 066 -0 Property Location , 1 7/5 Property Owner's Mailing Address 3Scr N%kN0 tI12 01 I2� Goy Lot i'y City,State Zip Code � Phone Number 5W '/<, � '/4, Section f ' �y17 �p(circle one �1V�50(`) �/�� /� TAN; RJ 1 —Eor� ) Lot II.Type of Building(check all that apply S Z� ;Subd:ivisio:::: 1 o r 2 Family Dwelling-Number of Bedroo 1AL�y Bloc'L�Public/C ommercial-Describe Use ity of CSM Number ❑Village of ❑State Owned-Des se ,,o D `� -Town of cnb 7R f� y IIL Type of Permit: (Check only one bog on line A. Complete tine B if applicable) A. ❑ Other Modification to Existing System(explain) New System El System ❑Treatment/Holding Tank Replacement Only B. ❑Permit Renewal Permit Revision ❑ Change of Plumber hermit Transfer to New List Previous Permit Number and Date Issued Before Expiration IV.Type of POWTS S stem/Com onentIDevice: Check all that apply) Q w u(- ❑Non-Pressurized In-Grround ❑Pressurized In-Ground ❑At-Grade Mound>24 in.of suitable soil ❑Mound<24 in.of suitable soil ❑ Holding Tank El Other Dispersal Component(explain) ❑Pretreatment Device(explain) V.Dis ersal/Trea ent Area Information: Design Flow(gpd) Desigo Soil Applic te(gpdsf) Dispersal Area Requir sf�b Dispersal a Pro e�( System on 5� �5 6 7 ' Manufacturer VL Tank Info Capacity in Total #of y c b t Gallons Units Gallons New Tanks Existing Tanks .r_ f �✓ ►r4-C.Y;/N(� i��Fi, a U 'rte cn w C7 0. Septic or Holding Tank Dosing Chamber VII.Responsibility Statement-I,the undersigned,assume responsibility for installation of the POWTS sshownatt ched Business Phone Number Plumber's Name(Print) Plumber's Signplure c U 22321-iZ 7 (s 7SS Z`-1�1 P_OMd ess(Street.,City,State,Zip Code) VIII Coun /De artment Use Only Permit Fee Date Is ued Issuing t Signature Approved ❑ isapprove g ❑ ,en Reason o al `J IX Cond Reasons for Disapproval 3� G/a4 �,t�,,p ,A �p(a �• ' J. Septic'tank,effltt'entfilterand' dispersal cell must all 6e se (h as per management plan provided by 2. All setback rRgtdlsinents;mtict�z; ; '.{) Attach to complete plans for the system and submit to the County onip on paper t less than 8 12 z 11 inches in size ��+�Me _ 11/11 SBD 6398(R- ) yew— �fF JEFFERY V FOX Page 2 7/11/2014 + Reminder • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per SPS 383.44(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 SPS 384.10.No fixture,appliance,appurtenance,material, device or product may be sold for use in a plumbing system or may be installed in a plumbing system,unless it is of a type conforming to the standards or specifications of chs. SPS 382 and 383 and this chapter and ch. 145, Stats. • Maintain well and waterline set backs per SPS 383.43(8)(i). Consult the Department of Natural Resources for well setbacks and other regulations and exceptions. 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 Industry Services 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 and the POWTS management plan to the owner and any others who are responsible for the installation,operation or maintenance of the POWTS. Sincerel Fee Required$ 85.00 This Amount Will Be Invoiced. When You Receive That Invoice, atrici h orf Please Include a Copy With Your POWTS Plan Revie er,,In grated Services Payment Submittal. (715)634-7810, F x:(7 634-5150,M-F 8:00 a.m.-4:45 p.m. WiSMART code:7633' •.. pat.shandorf @wisco gov cc: Edwin A Taylor,Wastewater Specialist, (715)634-3484,Monday-Friday 8:00 am To 4:30 pm Note: Effective January 1, 2012, all codes under the jurisdiction of the Division of Industry Services(formerly Safety&Buildings)will be modified. Code references with prefixes starting with"Comm"have been replaced with "SPS"to recognize the relocation of the Division of Industry Services from the former Department of Commerce to the Department of Safety&Professional Services.Additionally, all IS(formerly S&B)codes have been renumbered and addressed in a"300"series. For future reference,the Wisconsin Commercial Building Code will be addressed by SPS Chapters 360-366. p�pARTA, DIVISION OF INDUSTRY SERVICES 10541 N RANCH ROAD °N '°• HAYWARD WI 54843 F' Contact Through Relay �r a 3 I°. �"P •e 1-,, ` `` www.dsps.wi.gov/sb/ www.wisconsin.gov Z� G A�°0S5f0142`�S� Scott Walker,Governor T. CrPQ1X COUNTY Dave Ross,Secretary 1T-VPI E J July 11,2014 CUST ID No. 223242 ATTIC•POWTSInspector JEFFERY V FOX ZONING OFFICE JEFF FOX CONTRACTING&SEPTIC INC ST CROIX COUNTY SPIA PO BOX 565 1101 CARMICHAEL RD DRESSER WI 54009 HUDSON WI 54016 CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 07/11/2016 Transaction ID No.2421968 Site ID No. 796779 SITE: Please refer to both identification numbers, Cliff&Heather Kast above,in all correspondence with the agency, 359 Mitchell Rd Town of Troy St Croix County SW1/4,SE1/4, S19,T28N,R19W FOR: Description:Mound 5 bedroom residence Object Type:POWTS Component Manual Regulated Object ID No.: 1454639 DONDITI Revision;Maintenance required; 750 GPD Flow rate; 27 in Soil minimum depth to limiting factor from original grade; APPR System(s):Mound Component Manual Ver.2.0, SBD-10691-P(N.01 101,R. 10/12),Pressure Distribution Comp06'EP r OF S Manual-Ver.2.0,SBD-10706-P(N.01 101,R. 10/12),SSWMP Pub.9.6; Effluent Filter PROFESSION The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative VISION O D and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s)referenced above. The owner,as defined in chapter 101.01(10),Wisconsin Statutes,is responsible for compliance with all code requirements. SEE CORR 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: Key Item(s) • 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. • This approval is for a revision to previously approved Transaction number 2321265 and 2394923. The approved changes are:the location for all components of the POWTS has changed(see plans). • The approved plans will replace the previously approved plans., • The bottom of the distribution cell shall be level per the Mound Component Manual. The"D"dimension shall be a minimum of 9". The maximum finished slope of the mound surface shall not have,a slope ratio steeper than 3:1 per the Mound Component Manual JEFFERY V FOX Page 2 7/11/2014 Reminder is oriented along the surface • The orientation of the mound system must be such that the longest dimension g contour per SPS 383.44(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 SPS 384.10.No fixture,appliance,appurtenance,material, device or product may be sold for use in a plumbing system or may be installed in a plumbing system,unless it is of a type conforming to the standards or specifications of chs. SPS 382 and 383 and this chapter and ch. 145, Stats. • Maintain well and waterline set backs per SPS 383.43(8)(i).Consult the Department of Natural Resources for well setbacks and other regulations and exceptions. 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 Industry Services 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 and the POWTS management plan to the owner and any others who are responsible for the installation,operation or maintenance of the POWTS. Sincere Fee Required$ 85.00 This Amount Will Be Invoiced. When You Receive That Invoice, atrici� h orf Please Include a Copy With Your POWTS Plan Revie er,In grated Services Payment Submittal. (715)634-7810, F :(7 634-5150,M-F 8:00 a.m.-4:45 p.m. WiSMART code:7.633 w........._,__.- pat.shandorf @wisco .gov cc: Edwin A Taylor,Wastewater Specialist,(715)634-3484,Monday-Friday 8:00 am To 4:30 pm Note: Effective January 1,2012, all codes under the jurisdiction of the Division of Industry Services(formerly Safety&Buildings)will be modified. Code references with prefixes starting with"Comm"have been replaced with "SPS"to recognize the relocation of the Division of Industry Services from the former Department of Commerce to the Department of Safety&Professional Services.Additionally,all IS(formerly S&B)codes have been renumbered and addressed in a"300"series. For future reference,the Wisconsin Commercial Building Code will be addressed by SPS Chapters 360-366. s w 1 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN INDEX AND TITLE PAGE I Project Name: Cliffod Kast Owners Name: Owner's Address: 92 Bridgewater Hudson WI 54016 Legal Description: SW1/4SE1/4 S19 T28N/R19W Township: Troy County: St. Croix Subdivision Name: Trebus Valley Estates Lot Number: 23 Block Number: -)NALLY - )VLD Parcel I.D. Number 040-1297-000 YETY AND %L SERVICES Plan Transaction No.: 1STRY SERVICES Page 1 Index and title Page 2 Data entry --ZJ Page 3 Mound drawings ------- Page 4 Lateral and dose tank UPON N E Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 plot plan Page 9 soil test Designer: Jeff Fox License Number. MPRS 223242 Date: 06/19/14 Phone Number. 715 755 2461 Signature Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SBD-10691-P(N.01101, R. 11112),and both SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS(01/81)and Pressure Distribution Component Manual Ver.2.0 SBD-10706-P(N.01/01,R. 10112) Version 7.0 (R. 11/12) Page 1 of 9 Mound and Pressure Distribution Component Design Site information R Residential or Commercial Design Note: Sand fill(D)calculations assume a 500.00 Estimated Wastewater Flow(gpd) Table 383-44-3 in-situ sod treatment for fecal GDffitorm of-36 inches. 1.50 Peaking Factor(e.g. 1.5= 150%) 750.00 Design Flow(gpd) 7.00 Site Slope(%) 92.40 Contour Line Elevation (ft) 27.00 Depth to Limiting Factor(in) 0.60 In-situ Soil Application Rate(gpd/ft2) Distribution Cell Information 100.00 Dispersal Cell Length Along Contour(ft) = 7.5 Cell Width(ft) 1.00 Dispersal Cell Design Loading Rate(gpd/ft2) 1 Influent Wastewater Quality(1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? c Center or End Manifold 3.75 Lateral Spacing(ft) If N above, enter the elevation (ft) 4 Number of Laterals of the highest point. 0.156 Orifice Diameter(in) 2.50 _ Orifice Spacing (ft)= 9738 2/orifice 2.00 Forcemain Diameter(in) 40.00 Forcemain Length (ft) Does the forcemain drain back? Y 86.00 Pump Tank Elevation(ft) 4.55 System Head(ft)x 1.3 6.52 Forcemain Drainback(gal) 6.74 Vertical Lift(ft) 90.53 5x Void Volume(gal) 1.51 Friction Loss(ft) 97.06 Minimum Dose Volume(gal) 0.00 In4ine Filter Loss(ft) 43.08 System Demand(gpm) 12.811 Total Dynamic Head(ft) Lateral Diameter Selection Manifold Diameter Selection lJ I / . dia. options I choice in. dia. options choice 0.75 _ 1-25 1.00 1.50 x x !/(V 1.25 x 2.00 x l� 1.50 x x 3.00 2.00 x 3.00 x Gallonslinch Calculator Treatment Tank Information Total Tank Capacity(gal) 1585.00 Septic Tank Capacity(gal) Total Working Liquid Depth(in) Wieser Manufacturer gal/in(enter result in cell B49) Dose Tank Information Effluent Filter Information 9.50.00 Dose Tank Capacity(gal) Lifetime Filter Manufacturer 25.00 Dose Tank Volume(gal/in) 01/08/14 Filter Model Number Wieser Manufacturer Project- Cliffod Kast Page 2 of 9 Mound Plan and Cross Section Views . . . . . . . . . . . . . . . - - - - 1/10 B . . . . . . . --- - - - - - - Observation Pipe 7-7—%) - 1411�---F-K � 0 0 C� A W . . . . . . . . . . . . . . B . . . . . . . i . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . L Mound Component Dimensions B 7.5 E 15-3 in H 1.0 ft K 8.41 B 100.00ft F 9.50 in 1 9.7 It L 116.8 D 9.00 in G 0.50 ft J ff 5.06 ft W A2231 I 750.001(ft2)Dispersal Cell Area 1 1724.681(ft2) Basal Area Available I 7.501(gpd/ft)Linear Loading Rate 1 10.001(ft) 1/10 13 Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 94.94(ft) G H 12 :F 93.65(ft) Lateral Dispersal Cell [I I-� - ' :;. Invert 93.15(ft)---► Dispersal Cell Elevation E D . . . . . . . . . . . . . . . . . . 0 .40(ft)Contour Elevation 7.0%Site Slope Geotextile Fabric Cover Shading Key 4 in. + Dispersal Cell See lateral details on Topsoil Cap dia. 1.5 ft Page 4 for number,size, slotte 0 and spacing of laterals. Subsoil Cap d --*0 Laterals are equally ASTIVI C33 Sand obse F spaced from the Tilled Layer rvati 05ft Typical Lateral distribution cell's Aggregate 0!1 H I centerline in the pope distribution cell(AxB). Project: Cliffod Kist Page 3 of 9 Jul 11 14 09:33a Jeff Fox 1-715-755-2464 P.1 Center Connection Lateral Layout Diagram Id at alrqj Point t-?C-Or"Ic's"r tc-rr-arjfo F0 crr re F, ti) r 1- 40 PVC LatEm-al-t- z,forcerru.ir,Sr Per .214;gn"Utptuo -U al. Number of Laterals 4 Orifice Diameter in Lateral Diameter 1.55 in Orilice,Spacing(X) Lateral Length (P) 49.3�ft Orifices per Lateral 20 Lateral Spacing (S) 3.75 ft Orifice Density 9.38 ft2forif ice 10.77 gpm Manifold Length 3.75 ft Lateral Flow Rate 43.0 gpm Manifold Diameter 1.5c.in System Flow Rate Forcemain Velocity 4.40 fVsec 1 Total Dynamic Head 12.8111 a Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electricai as per NEC 300 and SPS 316.300 WAC nne 4A%Hfflte outlet o TIon Tank component is propeTry—vents d- Forcemain diameter Wieser Manufacturer 2 in. Capacity l 950..00 Gallons Volume 25.00 gal/inch Weep hole or anti- siphon device Dimension Inches Gallons I A 21-22 530.441 2.00 60-0 pump off elevation(ft) O 01 3.88 97. D 10-90 272.501 Total 38.00f 950.0 Dose tank elevation(it) F-8-6070 3"Bedding under tank. L--------- Alarm Manuafacturer Rhombus. Alarm Model Number JB Plugger Pump Manufacturer Zoeller pump Model Number DNI62 pump Must Deliver 43.0 gprn at E_ 811ft TE)H Page 4 of 9 Project: Clifford Kast -7111 Q6 Septic-Base Tank Cross Section And Pump Performance Specifications Tank Mannufacturer tr' 't _ Pum Manufacturer Tank Model Number F `�; C, Piuinp Model Number Total Tank Capacity Alarm Manufacturer Max.Bury Depth ` Alarm Model Number _ Switch Type Filter Manufacturer i. = i t w� Total Dynamic Head(TDM-Feet Filter Model Number 1 Elevation Read Distal Pressure Network Loss Minimum Pump Pm-fi zance Required Force Main Loss GPM (c Ft TDH Total Outlet Manhole Min.4"Above Grade With ManhO}e Min_4"Above Grade Lockuig Device. Inlet Manhole With g Device <6"Below Grade Sealed Waberti�rt Securely Mouzibed Weather-Woof --� hmdion Box -- -- Finished Grade •• — _ ® Depth of Vent Min. Ir Disconnect Cover Above Grade Means Ft With Vent Cap >t> t < t>t,t><>tttttt <>< < < < < < < t < t < < < t < < 2 t S< "t outlet Outlet Filter ---� 1 _-- -_ Inlet ?' — Inlet Baffle �; ----- - - ?� < > t r t i > < Switch Settings and Reserve Capadty 't A >< 24» Weep a Tank Volume= GPI >< > Hole B >c a< Dimension Inches I Volume Gal _ (reserve)A (alarm) B 2 OffElevation _ C spa (close) Clf: t�(- Ft Bottom >t> (dead) D ;-T L l .. �� D ;< Elevation t �+ �+ 's' to .�.►��{"°;. s; a;,;st,t,,{:t,sat ;t L- a r s a ta ' a >a > <>t> s s> r> a t a t t t s t tr<a ta< t a r s{r tr<a a a t r ta<rc s:t e r t a ts<a t r!:t s t c>t a t c c>t ac e > GENERAL INSTALLATION: The septiddose tank is bedded and back filled in awordance with the manufacturer's product approval specifications. Maximum depth of bury as specified by the manufacturer May riot be exceeded without prior approval. Manhole covers exposed to grade have an effective locking device(padlock) installed. Piping at the inlet and outlet is of approved material, connected to the tank with watertight frmngs,and laid on stable soil to prevent settling or sagging. The force main is sleeved with 4"Sch.40 PVC to bridge the tank excavation and the sleeve is sealed watertight. Electrical service complies with NEC 300 and Comm 16-28 WAC. 02/05 U Page of Mound System Maintenance and Operation Specifications Service Provider's Name Jeff Fox Phone 715 755 2461 POWTS Regulator's Name Pierce County Phone 715 273 6747 System Flow and Load Parameters Design Flow-Peak 750 gpd Maximum Influent Particle Size 1/8 in Estimated Flow-Average 500 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1585 al Maximum TSS 150 mg/L Soil Absorption Component Size 750 W Maximum FOG 30 mg/L Type of Wastewater!Domestic Maximum Fecal Coiifo > E4 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 eve 3 years Pump and Controls Test once every 3 years Alarm Should test monthly Pressure System Laterals should be flushed and pressure tested every 1.5 years Moundl Inspect for ponding and seepage once every 3 years Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to SPS 384.30(6)(i), Wis.Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in SPS 384, 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 MGrade 6-8"Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral g Sweep 90 or Two Degree Bends Same Diameter as Lateral Project: Cliffod Kast Page 5 of 9 Mound System Management Plan Pursuant to SPS 383.54,VAs.Adm.Code General This system shall be operated in accordance with SPS 382-84 Ws.Adm.Code,and shall maintained in accordance with its' component manuals[SBD-10691-P(N.01/01,R.11/12),SSWMP Publication 9.6(01/81),and Pressure Distribution Component Manual Ver.2.0 SBD-10706-P(N.01101,R.10/12)]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 SPS 383.33,V16s.Adm.Code when the tanks are no longer used as POWfS components. Septic or pump tank manhole risers,access risers and carers 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 84nches 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 shag be maintained by an individual certified to service septic tanks under s.281.48,Stats. The contents of the septic tank shall be disposed of in accordance with NR 113,Wis.Adm.Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet fitter shag 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 fitter when removed from its enclosure. If the filler is equipped with an alarm,the MW shag be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shag have its Contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment,maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However,if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump(dosing)tank shall be inspected at least once every 3 years. All switches,alarms,and pumps shag be tested to verify proper operation. if an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution 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 soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations(October-February)dilate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BODS,150 mg/L TSS,and 30 mg1L FOG for septic tank effluent or 30 mg/L BODS,30 mg/L TSS,10 mg/L FOG,and 104 du/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 shag be checked for effluent pondmg. 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. Contingency Plan if the septic tank or any of its components become defective the tank or component shag be repaired or replaced to keep the system in proper operating condition. If the dosing tank,pump,pump controls,alarm or related wiring becomes defective the defective component(s)shag be knmediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface,it will be repaired or replaced in its'present location by increasing basal area if toe leakage occurs or by removing biologically dogged absorption and dispersal media,and related piping,and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Pretreatment Units The information and schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment units or disinfection units are attached as separate documents and are considered part of the overall management plan for this system. i M4i TWO :1 •i - f Lsl �- � r 1 ti v ALLC-1 pf VLSI Y - - 4 -j IT to i } �, tx�'t; �3 t•�u itrf!-=�'�' ?1iltit` /j �� A1 �a -Sit EVALUA #1216 r= Department of Safety and Professional Services 2014 Page 1 of 3 N,---� Division of Safely and Buildings Keith E.Stoner , in accordance with Comm 85 Wis.Adm.Code -1 " Attach complete site plan on paper not less than 8%x 11 inches in size, la l,!*t St.Croix include,but not limited to:vertical and horizontal reference point(BM), irWd laEV percent slope,scale or dimensions,north arrow,and location and distance to nearest road. Parcel I. Please 040-1 7-3 print all Information. Rev' By Date, Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). 7/Y 7h Property Owner Property Location Clifford Kast Govt.Lot XW114,/E114/,S19,T28N, R19W Property Owner's Mailing Address Lot# Block# I Subd.Narnor CSM# 92 Bridgewater 23 Trebus V ley Estates City State Zip Code Phone Number City ❑Village ® Town Nearest Road Hudson I WI 1 54016 1 roy 1 359 Mitchell Rd ®New Construction Use: ® Residential/Number of bedrooms 5 Code derived design flow rate 750 GPD ❑Replacement ❑ Public or commercial-Describe: Parent material Pitted Outwash Plains Flood plain elevation,if applicable NA ft. General comments Propose a 7.5 x 100'mound cell located along the 92.49 contour with a system elevation=93.16. Upslope mound contour staked and recommendations: onsite. I 1 I Boring# ❑Boring Pit Ground surface elev. 91.40 ft. Depth to limiting factor 27 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fts in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *01111 1 *Eff#r2 1 0-10 10YR3/2 - sil 2msbk mvfr Cs 3f-ao 0.6 0.8 2 10-27 10YR3/4 - sil 2msbk mvfr gs 3f-CO 0.6 0.8 3 27-42 10YR4/4 c2d5YR5/8 sl imsbk mvfr gs 2f-co 0.4 0.7 4 42-75 10YR4/4 c2d5YR5/8 Ifs Osg ml - 2f-m 0.5 1.0 *Soils saturated at 36" #4-1-3"bands of 7.5M/4 sil/Ifs 2]Boring# ❑Boring ®Pit Ground surface elev. 91.00 ft. Depth to limiting factor 28 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consisten Boundary Roots GPD/ft in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. •Eff#1 I -EW2 1 0-7 10YR3/2 - sil 2mgr mvfr Cs 3f-co 0.6 0.8 2 7-28 10YR3/4 - sl 2msbk mvfr gs 3f-co 0.6 1.0 3 28-41 10YR4/4 c2d5YR5/8 sl 2msbk mvfr gs 2f-m 0.6 1.0 4 41-55 10YR4/4 c2d5YR5/8 s Osg ml - if 0.7 1.6 *H20 in pit bottom at 49" 'Effluent#1=BOD?30<220 mg/L and TSS>30<150 g/L *Effluent#2=BODs<_30 mg/L and TSS<_30 mg/L CST Name(Please Print) CST Number Keith E.Stoner 224059 Address Keith E.Stoner Date Evaluation Conducted Telephone Number 23220 Wood Creek rd.Siren, 154872 6/4/2014 715-653-2324 SBn-8330 OL 11/11) Property,Owner Gifford(Cast Parcel ID# 040-1297-30-000 Page 2 of 3 F Boring# ❑Boring ®Pit Ground surface elev. 93.30 ft. Depth to limiting factor 37 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/R= in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *Eff#1 *Eff/{2 1 0-12 10YR3/2 - sil 2msbk mvfr Cs 3f-co 0.6 0.8 2 12-23 10YR3/4 - si 2msbk mvfr gs 2f-m 0.6 1.0 3 23-37 10YR4/4 - s OSg ml gs 1f-m 0.7 1.6 4 37-67 10YR3/4 c2d5YR5/8 sil 2-ifsbk mvfr - - 0.4 0.6 #4-1-2"bands of 10YR4/4 sand E]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 F-I ❑Boring Boring# E]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/ft= in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *Eff#1 *Eft#2 ,7-.qos� Effluent#1=BODS>30<220 mg/L and TSS>30 a 150 mg/L 'Effluent#2=BODS<30 mg/L and TSS<_30 mg/L The Department of Safety and Professional Servicese is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format,contact the department at 608-266.3151 or TTY through Relay. Page 3 of 4 Mitchell Rd FN#359 Soil Test Site Plan For: Clifford Kast Lot 23 of Trebus Valley Estates SW1/4 of the SE1/4 Sec. 19 T28N-R19W Town of Troy-St.Croix County 0 2s so ar pbb sow MOO Drainage Easement 4.21 Acres 91.00' 92.00'92.40'94.00' 1B 1 7% Wooded Area /B B I I B #2 I Proposed Combo Tank Garage P/L BM Mound site is a Cleared Slope Five Bedroom Home Elevation Data B#1 =91.40' Note:Maintain w fl and waterline setbacks per SPS 383.43(8)(1) B#2=91.00' B#3 =93.30' Top of Footing=91.00' Proposed Tank Grade=93.20' A BM=Top of Concrete Wall Open Space * HRP=Same ASSUMED ELEV.= 100.00' June 4th 2014 =Backhoe Pit Keith E.Stoner ST#224059 /, ` " �'► dam.._--- -' � '��.� r LO T 21 4! 11172 1.\F. ` \ 2.57 Ac. ONANAO[ ,/ / ` ♦* M.1 = 903 , f . � � wwe - anal ,,� � � � �'� ��► \ -1 EWiftT r LOT 22 170984 S.F. \ i \ 3.93 Ac, LOT 23 . / \ 183329 S.F. 4.21 Ac. M.F.E. = MY LOT. 24 171 990 S.F. 1 3.95 Ac. M.F.E. 893' 7v 15 M�ti O UTLO I g CONSERVATION 860719 Sq. 5 AWJeW E 477.161' 19.76 Ac J .. � �� ! �' �� '�' ABM '"i°"�. ��' 201 W VVW&* rEAve.,P.O Box 7162 ypwAWwnb iWmdi�byCa) � 537U7-7162 SCE 55/5 3 Saahary Pu mR Applicadon Z�Z�ZL�S >n a ;�s3�s.2kC�?,arsaim calf � �o A3da�s(�fd�ermt�m7MOT s) jonquiWWWID&UMM Ud i mf - ; d 3 s1 M I�jyowucrswmc O U — /Z17 �7' 3o- r0 yc�s R 1-7rs i � C?z S-IR-k0G6 U jjV IL Type of (aeck an dint SFtb9) � "� Snbffiviseoa2fame t ar2Iy Dwe+l VW IIrobbc/on�ae �—r>csa�u� ' fG C yl II csw x 5 0L 'R CSM aT9peeyPe>wmjft {Che&only me bm onruseA. rmeBifs A. p p D � ( Aw IL Q i i ❑ i B 0wM �� awe owe iv ofPOwTS p tl a b►-c��a II ,i. >24 iL af su ❑ <24�-of wo , p II omen ( � CI Ib�e t ` V.M- ft on Awa - �0 Gov - m TOW -Of �LTaft aE d NaorTasta _adm CK O L+. C emu° m m . PrOvt. C 1 50 i. Elb"Meat-16 me rum:Aaa c w- zpo� BOY, S l6S DOSSER 1�1!I S'1 DO DL SY� 31 C STEM n OWNER: I.Septic tank,effluent filter and ir'ir�cam' T'Vt - dispersal cell must be serviced/m� ._ aintained / � j d. 4t, as per management plan provided by plumber. "'a � a� 2.All setback re ui as-per applicable ces SBD-6398(R.1 VI3) - JEFFERY V FOX Page 2 4/25/2014 • Surface water drainage shall be diverted away from the system area per Mound Component Manual. • Materials shall conform to the requirements of SPS 384.10.No fixture,appliance,appurtenance,material, device or product may be sold for use in a plumbing system or may be installed in a plumbing system,unless it is of a type conforming to the standards or specifications of chs. SPS 382 and 383 and this chapter and ch. 145, Stats. • Maintain well and waterline set backs per SPS 383.43(8)(i). Consult the Department of Natural Resources for well setbacks and other regulations and exceptions. 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 Industry Services 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 and the POWTS management plan to the owner and any others who are responsible for the installation,operation or maintenance of the POWTS. Sincerely, Fee Required$ 85.00 This Amount Will Be Invoiced. When You Receive That Invoice, at cia L S andorf Please Include a Copy With Your POWTS Plan Reviewer, ted Services Payment Submittal. (715)634-7810, Fax: ( -5150,M-F 8:00 a.m.-4:45 p.m. WISMART code:7633: pat.shandorf @wisconsin.gov ce: Edw n A Taylor,Wastewater Specialist,(715)634-3484,Monday-Friday 8:00 am To 4:30 pm ' otet Effective January 1, 2012,all codes under the jurisdiction of the Division of Industry Services(formerly Safety&Buildings)will be modified. Code references with prefixes starting with"Comm"have been replaced with "SPS"to recognize the relocation of the Division of Industry Services from the former Department of Commerce to the Department of Safety&Professional Services.Additionally,all IS(formerly S&B)codes have been renumbered 'and addressed in a"300"series. For future reference,the Wisconsin Commercial Building Code will be addressed by SPS Chapters 360-366. nxr � DIVISION OF INDUSTRY SERVICES 5 , "S 06 10541 N RANCH ROAD HAYWARD WI 54843 3 d /fir Contact Through Relay www.dsps.wi.gov/sb/ www.wisconsin.gov A�0 slotv?�1'S� Scott Walker,Governor Dave Ross,Secretary April 25,2014 CUST ID No. 223242 ATTN POWTS Inspector JEFFERY,V FOX ZONING OFFICE JEFF FOX CONTRACTING&SEPTIC INC ST CROIX COUNTY SPIA PO BOX 565 1101 CARMICHAEL RD DRESSER WI 54009 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/25/2016 Identification Numbers Transaction ID No.2394923 SITE: Site ID No. 796779 Cliff&Heather Kast Please refer to both identification numbers, 359 Mitchell Rd above,in all correspondence with the agency. Town of Troy St Croix County SWIA, SETA, S19,T28N,R19W FOR: Description:Mound 5 bedroom residence Object Type:POWTS Component Manual Regulated Object ID No.: 1454639 Revision;Maintenance required; 750 GPD Flow rate;23 in Soil minimum depth to limiting factor from original grade; System(s):Mound Component Manual-Ver.2.0, SBD-10691-P(N.01 101,R. 10/12),Pressure Distribution Component Manual-Ver.2.0, SBD-10706-P(N.01/01,R. 10/12), SSWMP Pub.9.6; Effluent Filter ICONT)ITIONA APPROVE The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative.CottPT OF SAFE and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be Whstru and located in accordance with the enclosed approved plans and with any component manual(s)referenced ab"OFESSIONAL The owner,as defined in chapter 101.01(10),Wisconsin Statutes,is responsible for compliance with all ctMnStO F INDUS" requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s 1$$0 _ stats. The following conditions shall be met during construction or installation and prior to occupancy or use: SEE CORRESPO Key Item(s) • 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. • This approval is for a revision to previously approved Transaction number 2321265. The approved changes are: the location of the septic tank/pump tank has changed and the length of the force main is shorter(see plans)the residence is now 5 bedroom instead of 4 bedroom and the mound and septic tank/pump tank is accordingly larger,the area for the mound has changed. See plans. Reminder • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per SPS 383.44(6)(a)2. • Limit activities in the area 15'beyond the down slope edge of the mound per Mound Component Manual. JEFFERY V FOX Page 2 4/25/2014 • Surface water drainage shall be diverted away from the system area per Mound Component Manual. • Materials shall conform to the requirements of SPS 384.10.No fixture,appliance,appurtenance,material, device or product may be sold for use in a plumbing system or may be installed in a plumbing system,unless it is of a type conforming to the standards or specifications of chs. SPS 382 and 383 and this chapter and ch. 145, Stats. • Maintain well and waterline set backs per SPS 383.43(8)(i).Consult the Department of Natural Resources for well setbacks and other regulations and exceptions. 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 Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance.As per state cats 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 and the POWTS management plan to the owner and any others who are responsible for the installation,operation or maintenance of the POWTS. Sincerely, Fee Required$ 85.00 This Amount Will Be Invoiced. When You Receive That Invoice, atricia L S andorf Please Include a Copy With Your POWTS Plan Reviewer,Inte ted Services Payment Submittal. (715)634-7810, Fax:( 34-5150,M-F 8:00 a.m.-4:45 p.m. WiSMART code 7633' pat.shandorf@wisconsin.gov t-cc. Edw n A Taylor,Wastewater Specialist,(715)634-3484,Monday-Friday 8:00 am To 4:30 pm . 3 `" N6te� Effec ive January 1,2012, all codes under the jurisdiction of the Division of Industry Services(formerly Safety&Buildings)will be modified. Code references with prefixes starting with"Comm"have been replaced with "SPS"to recognize the relocation of the Division of Industry Services from the former Department of Commerce to the Department of Safety&Professional Services.Additionally,all IS(formerly S&B)codes have been renumbered T' `'94addressed in a"300"series. For future reference,the Wisconsin Commercial Building Code will be addressed by SPS Chapters 360-366. MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN INDEX AND TITLE PAGE Project Name: Cliff Kast Owner's Name: 92 Bridgewater TR Owner's Address: Hudson WI 55016 Legal Description: SW1/4 SE1/4 819 T28 N/R19 W Township: Troy County: ST. Croix Subdivision Name: Trebus Valley Estates Lot Number. 23 Block Number. Parcel I.D. Number: LLY D Plan Transaction No.: -Y AND Page 1 Index and title ERVIG � ES YS IS Page 2 Data entry Z E Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan N -N Page 7 Pump curve and specifications Page 8 plot plan Page 9 soil test Designer. Jeff Fox License Number. MPRS 223242 Date: 04/16/14 Phone Number: 715 755 2461 Signature: -ii C�311 Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SBD-10691-P(N.01/01, R. 11/12),and both SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS(01/81)and Pressure Distribution Component Manual Ver.2.0 S1313-10706-P(N_01/01,R_ 10/12) Version 7.0(R. 11/12) Page 1 of 9 r Mound and Pressure Distribution Component Design Site Information R Residential or Commercial Design Note: sand fdl(D)calculations assume a 500.00 Estimated Wastewater Flow(gpd) Table 383.44-3 kn du sod treahnent for fecal cofiform of---36 inches_ 1.50 Peaking Factor(e.g. 1.5= 150%) 750. Design Flow(gpd) 6.00 Site Slope(%) 97.00 Contour Line Elevation (ft) 23.00 Depth to Limiting Factor(in) 0.60 In-situ Soil Application Rate(gpd/ft2) Distribution Cell Information 76.00 Dispersal Cell Length Along Contour(ft) = 10.0 Cell Width(ft) 1.00 Dispersal Cell Design Loading Rate(gpd/ft2) 1 Influent Wastewater Quality(1 or 2) Are the laterals the highest point in the distribution Y Pressure Disrrbution Information network? .................. e Center or End Manifold 3.33 Lateral Spacing(ft) If N above, enter the elevation(ft) 3 Number of Laterals of the highest point 0.126 Orifice Diameter(in) 2.75 Orifice Spacing(ft)= 9.2 2/orifice 2.00 Forcemain Diameter(in) 140.00 Forcemain Length (ft) Does the forcemain drain back? Y 88.00 Pump Tank Elevation (ft) [A3.3 System Head(ft)x 1.3 22. Forcemain Drainback(gal) Vertical Lift(ft) 101.2 5x Void Volume(gal) Friction Loss(ft) 124.1 Minimum Dose Volume(gal) 0.00 In-tine Filter Loss(ft) 33.37 System Demand(gpm) 19.48 Total Dynamic Head(ft) Lateral Diameter Selection Manifold Diameter Selection in. dia. options I choice in. dia. options choice 0.75 1.25 x 1.00 _ 1.50 x x 1.25 x 2.00 x 1.50 x x 3.00 2.00 x 3.00 x Gallons/inch Calculator Treatment Tank Information Total Tank Capacity(gal) 1585.00 Septic Tank Capacity(gal) Total Working Liquid Depth (in) Wieser Manufacturer gaUln (enter result in cell B49) Dose Tank Information Effluent Filter Information 950.00 Dose Tank Capacity(gal) Bear On site Filter Manufacturer 25.00 Dose Tank Volume(gal/in) Bear Onsite Filter Model Number Wieser Manufacturer Project: Cliff Kast Page 2 of 9 Mound Plan and Cross Section Views J 1/10 B . . . . . ... . . . . . . . . . . . . . . . Observation Pipe .K 0 C� A r Wj . . . . . . . . B . . . . . . . . . . . . . . . . . . . . . . . . . . . . - - - - - - - - - - - - - - - - - - - - -- - - - - . . . . . . . . . . L Mound Component Dimensions A 10. E 20.20 in H F 1.5aft K 9.53 Ift B 75.0 F 9.50 in 10.8 L 94.05 ft D 13.0 i r, G 0.50 It J �6. W 26.9 ft 750. (W)Dispersal Cell Area 1 1566.311(W) Basal Area Available I 10.0 (gpd/ft)Linear Loading Rate 1 7.5 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 99.88(ft) ► __: ::: _ H G 9 F Dispersal Ceti l 8.58(ft) Lateral 98.08(ft)---► Invert Dispersal Cell Elevation . . . . . . E . . . . . D _ o '� a 97.00(ft)Contour Elevation 6.0%Site Slope Geotextile Fabric Cover Shading Key 4 in. + Dispersal Cell See lateral details on Topsoil Cap dia- 1.5 ft Page 4 for number,size, Slone Subsoil Cap d + W and spacing of laterals. ASTM C33 Sand obse 0 /--*o T Laterals are equally F spaced from the Tilled Layer rVati 0.5 ft Typical Lateral distribution cell's on N nterline in the F51 Aggregate pipe .14 distribution cell(AxB). A I Project Cliff Kast Page 3 of 9 ^ . / End Connection Lateral Layout Diagram Latenal� 4Q per SPS Table 384 30-6 Number of Laterals Orifice Diameter '0.13 in Lateral Diameter 1.50 in Orifice Spacing(X) 2.83 ft Lateral Length(P) 73.58 ft Orifices per Lateral 27 Lateral Spacing(S) 3.33 It Orifice Density 9.26 ft2lorifice Lateral Flow Rate 11.1 pm Manifold Length 6.67 ft System Flow Rate 33-37 gpm Manifold Diameter 1.5 in Total Dynamic Head 19.48 ft Forcemain Velocity 3.41 sec Dose Tank Information LOTCkinger=with'Viaming label and ing device and seated t Elechicai as per NEC 300 and .4AeMW o" Forcen win diameter Wieser Manufacturer 2 in. Capac!W 950. Gallons )A -Volume !25.0 gal/inch Weep I vole,or anti- Dimension Inches Gallons siphon device A 20.14 503-40 8 2.00 50.00 Pump off ekwation(11) F;�D 10.90 272.501 Dose tank elevation(ft) 3"Bedding under tank. F-88.00 Alarm Model Number MJJI Pump Manufacturer Zoeller Pump Model Number BN152 Pump Must Deliver pm at ��TDH Project: Cliff Kast Page of 9 ( i Septic-Dose Tank Cross Section And Pump Performance Specifications Tank Manufacturer Pump Manufacturer Tank Model Number �VLp Pump Model Number 13)\3 152. Total Tank Capacity Alarm Manufacturer Rk 1W t!5 Max.Bury Depth ' Alarm Model Number F .l 660P, Switch Type I mo—[ Pc j P—_ Filter Manufacturer SENK Total Dynamic Head(TDH)-Feet Filter Model Number S'�2 GiJ:Si f� Elevation Head g,(08 Distal Pressure 6,50 Network Loss Minimum Pump Performance Required Force Main Loss 3 GPM @ Ft TDH Total Outlet Manhole Min..4"Above Grade With Locking Device. Inlet Manhole Manhole Min.4"Above Grade <6"Below Grade Sealed Watertight Securely Mounted With Locking Device Weather-proof ° Junction Box i — -- Finished Grade ® T Depth of Cover Vent Min. de Disconnect Ft Above Grade Means With Vent Cap t a > > > r r t s t t < t t t < s t t t t t e t t < t t t t t t t t t t >t a r > > > > > t Outlet ,t Outlet Filter Inlet Inlet Baffle >t ----- - -----— 't t e t ><> >S A ?t Switch Settings and Reserve Capacity ;; >< '/4" >t> Tank Volume= GPI >` Weep Hole >{a Dimension Inches Volume Gal. }{ B ` St ?�> (reserve)A 644 5t3.40 i�< (alarm) B 2 � (�� Off Elevation C s� < Ft >`> (dose) C 14, z''j. P, >` Bottom Tty (dead) D 2725 D Elevation at> Total > Ft a a s r t t c t t < t t 3< a > > > > r Y } Y > Y ! ! 3 Y > } 3 3 t Yt! t3<>t <}t< > i>< t t i t>t t < 2 < 2 << t t 4 t t < t i t < t < < t i t t t i t t t t t t < t Y > 3 > 3 > S >tY ! Y Y t Y Y > S a ! Y 3 } 3 } > } ! 3 > > } 3 ! > Y ! ! S GENERAL INSTALLATION: The septic/dose tank is bedded and back filled in accordance with the manufacturer's product approval specifications. Maximum depth of bury as specified by the manufacturer may not be exceeded without prior approval. Manhole covers exposed to grade have an effective locking device(padlock) installed. Piping at the inlet and outlet is of approved material, connected to the tank with watertight fittings, and laid on stable soil to prevent settling or sagging. The force main is sleeved with 4"Sch.40 PVC to bridge the tank excavation and the sleeve is sealed watertight. Electrical service complies with NEC 300 and Comm 16.28 WAC. 02/05 LJ Page of TOTAL DYNAMIC HEAD/CAPACITY HEAD CAPACITY CURVE PER MINUTE EFFLUENT AND DEWATERING MODEL 152/153 w MODEL 152 153 w Uj r' 50 Feet Meters F61 Liters Gal. Liters 153 5 1.5 261 77 291 12 40 10 3.1 231 70 265 15 4.6 201 61 231 20 6.1 44 167 52 197 30 25 7.6 34 129 42 159 } 8— 30 9.1 23 87 33 125 a a 20 35 10.7 -- -- 22 85 0 40 12.2 — 11 42 4 Lock Valve: 38.0 Ft. (11.6m) 44.0 Ft. (13.4m) 10 ousoa 0 20 40 60 80 100 GALLONS LITERS I 6 1/4 0 80 160 240 320 3 27/32 4 5/8 FLOW PER MINUTE 3 27/32 CONSULT FACTORY FOR SPECIAL APPLICATIONS •Timed dosing panels available. ® 3 27/32 •Electrical alternators,for duplex systerns,are available and supplied with an alarm. •Variable level control switches are available for controlling single phase 1 systems. l •Double piggyback vanatAe level float switches are available for variable level long and short cycle controls. I •Sealed Qwik-Box available for outdoor installations.See FM1420. i •Over 130°F.(54°C.)special quotation required. i 1521153 Series 121/8 1521'153 MODELS Control Selection Model VoHs-Ph lode Anvs Simplex Duplex 51/8 N152 - 115 1 Non 8.5 1 2 or 3 BN1 BN152 115 1 Auto 85 hduded 2 or 3 slczoss E152 230 t Non 4.3 1 2 or 3 BE152 M 1 Auto 43 Included 2 or 3 N153 115 1 Non 10.5 1 2or3 eN153 115 1 Aub 10.5 klduded 2or3 SELECTION GUIDE E153 I 230 1 Non 5.3 1 1 2 or 3 1. Single IH99l eve)float switch or double Pi99 variable lave{float BE153 230 1 Auto 5.3 Included 2or3 switch. Refer to FM0477. s cnurtoN 2. See FM0712 for correct model of Electrical Altemator E-Pak. All installation of controls,protection devices and wiring should be done by a qualified 3. Variable level control switch 10-0225 used as a control activator,specify duplex(3) licensed electrician. All electrical and safety codes should be followed including the most recent National Electric Code(NEC)and the Occupational Safety and Health Act(OSHA). or(4)float system. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. M TO:P.O.BOX 16347 Louisviye,KY 40256-0347 Manulacdseisof.. L = SW T0:3649 Cane Rim Rm d ® Louis-rrt KY 40211-1961 Qu4urrPreWW SVAF ® (502)778-2731.1(800)928-PtANP httpYAv n,,,�16r:carr, PUMP !O_ FAX(504 774-3624 0 Copyright 20011 Zoeller Co.All nigh%reserved. Mound System Maintenance and Uperation Specifications Service Provider's Name Jeff Fox Phone 715 755 2461 POWTS Regulator's Name St Croix Cty Phone 715 86 4680 Ste'/stem Flow and Load Parameters Design Flow-Peak 750 gpd Maximum Influent Particle Size 118 in Estimated Flow-Average 500 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1585 gal Maximum TSS 150 mg/L Soil Absorption Component Size 750 ft2 Maximum FOG 30 mg/L Type of WastewatedbTm-e-s-fi-cl Maximum Fecal Col'fform >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 years Alarm Should test monthly Pressure Systeml Laterals should be flushed and pressure tested every 1.5 years Moundl inspect for ponding and seepage once every 3 years Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to SPS 384.30(6)(i), Wis.Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in SPS 384; 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 to...aauaa.aa� ■aua�aaaaaaaaad Grade \ . . . . . . . . . . 6-8"Diameter Lawn Threaded'Cleanout Sprinkler Valve Box - - - - - . . . Plug or Ball Valve Distribution - - - - . Lateral Long Sweep 9 or Two 45 Degree Bends Same Diameter as Lateral Project: Cliff Kast Page 5 of 9 Mound System Management Plan Pursuant to SPS 383.54,ors.Adm.Code General This system shall be operated in accordance with SPS 382-84 Ws;.Adm.Code,and shall maintained in accordance with its' component manuals[SBQ10691-P(N.01/01,R.11/12),SSWMP Publication 9.6(01/81),and Pressure Distribution Component Manual Ver.2.0 SBD-10706-P(N.01/01,R.10112)]and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank same dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with SPS 383.33,Wis.Adm.Code when the tanks are no longer used as POWfS 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 shag be maintained by an individual certified to service septic tanks under s.281.48,Stats. The contents of the septic tank shall be disposed of in accordance with NR 113,Wis.Adm.Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm,the filter shag be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shag have its contents removed when the volume of sludge and scum in the tank exceeds 113 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment,maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However,if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump(dosing)tank shall be inspected at least once every 3 years. All switches,alarms,and pumps shall be tested to verify proper operation. if an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around 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 soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations(October-February)dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BOOS,150 mg/L TSS,and 30 mg/L FOG for septic tank effluent or 30 mg/L BODS,30 mg/L TSS,10 mg/L FOG,and 104 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 dogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shalt 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. Contingency Plan If the septic tank or any of its components become defective the tank or component shag be repaired or replaced to keep the system in proper operating condition. If the dosing tank,pump,pump controls,alarm or related wiring becomes defective the defective component(s)shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface,it will be repaired or replaced in its'present location by increasing basal area if toe leakage occurs or by removing biologically dogged absorption and dispersal media,and related piping,and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Pretreatment Units The information and schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment units or disinfection units are attached as separate documents and are considered part of the overall management plan for this system. L- c,-W —�,cl 14 cl -T Z- "D FF , N\ Ei I q 6 r gWJLLtV FP- TIZ. L C C Z -FR-CRu< r- A RE5,3Cf-WMfV-?,L :P;f,;c -c-L Cl I vo u flux mil, 9 ANI K ST.CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnedBuyer jt ' elf Mailing Address W4 ft r Y d H14 4/T Property Address. 70 A l�f vl It (Verification required from Planning& Wing partment for new construction.) a e �" Parce`I eutl lcahon umber LEGAL DESCRIPTION Property Location i/,, i/,,Sec. ,TN R W,Town of_ Subdivision Plat: liW-S V4Aly ,Lot II . Certified Survey Map N [,� �/�j Volume ,Page# Warranty Deed#_ 9� // 6 v (before 2007)Volume ,Page tI Spec house � Lot lines idenlifa a no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner,if needed,by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in¢SPS.393:52(1)and in Chapter 12-St.Croix County Sanitary Ordinance. The property owner agrees to submit to St.Croix County Planning&Zoning Department a certification form,signed by the owner and by a master plumber,journeyman plumber,restricted plumber or a licensed pumper verifying that(1)the on-site wastewatcr disposal system is in proper operating condition and/or(2)after inspection and ptunping(if necessary),the septic tank is less than 1/3 full of sludge. Uwe,the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth,herein,as set by the Department of Safety And Professional Services and the Department of Natural Resources, State of Wisconsin- Certification stating that your septic system has been maintained must be completed and returned to the St.Croix County Planning&Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my/our knowledge. Uwe am/are the owner(s)of the property desc ' d above,by f a warranty deed recorded in Register of Deeds Office. Numb droo s SIGNATURE OF APPLICANT(S) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planing&Zoning Department.**" Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV.04/12) bra•— EA MANY / Y LOT 21 ,p • f ��';5%.za I \ 2.57 Act 0, / / �. \ '� M.h�. 903' CRAIMME / b ,i��T LOT 22 \ / r 170984 S.F. 3.93 Ac. -; 0 LOT 23 /0\ cis _ _ 183329 S.F. 4.21 Ac. v ' � / 1 ` � \ �► \ M.F.E. _ X93' 1 t LOT 24 171990 S.F. 1 ' 3.95 Ac. ` � add AA.F,E. 893 �`6. may, OUTIJOI �s g CONSERVATION 860719 Sq. 5 AW306" E 427.61' 19.76 Ac a STATE BAR OF WISCONSIN FORM I - 1998 8 1 9 6 7 9 9 WARRANTY DEED TX:4163438 Document Number 989480 o4o— oq-7—,3o—oo BETH PABST Parcel Identification Number(PIN) REGISTER OF DEEDS ST. CROIX CO., WI THIS DEED, made between Eagle Valley Bank, N.A., a National 11/22/2013 12:25 PM Association,Grantor,and Clifford Kast,Grantee. EXEMPT#: N/A Grantor, for a valuable cons) era on, conveys to Grantee the following REC FEE: 30.00 described real estate in St. Croix County, State of Wisconsin (the TRANS FEE: 247.50 "Pro erty"): PAGES: 1 Lot 23, rebus Valley Estates,Town of Troy,St,Croix County, Wisconsin This is not homestead property. Together with all appurtenant rights,title and interests. Recording Area Name and Return Address: Grantor warrants that the title to the Property is good, indefeasible in �,� /� fee simple and free and clear of encumbrances except ,(�'wyl, �J r J r1 � Dated this. 750 5li.-� �4 2A Eagle Valley N.A. _ (SEAL) (SEAL) Cheryl Barwin,Vice President,Controller (SEAL) (SEAL) * AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF .41trIVl edc hL/ }SS. COUNTY. WgAkrWkrt authenticated this cUI Personally came before me this I`i� day of 014w. u-- , 6100 , the above named Cheryl * Barwin,Vice President,Controller, Eagle Valley,Bank, .NA, TITLE: MEMBER STATE BAR OF WISCONSIN a National Association, to me.known to be the person(s)who (If not, executed the foregoing instrument and acknowledge the same. authorized by§706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Bankers Title 750 South Plaza Drive#221 Mendota Heights, MN 55120 (Signatures may be authenticated or acknowledged. Both are not necessary.) Notary Public,State of Wiseettsi& *Names of persons signing in any capacity must be typed or printed below their My commission is permanent. (If not,state expiration date: signature. BRENDA l PETERSON NOTARY PUBLIC.MXNESOTA * Biki4r1.31,2015 J 1929 ' 130 proposed roofing materials; i.e., metal,cedar shakes,cement shingles,etc. is encouraged but not required and will be reviewed by the Architectural Control Committee at the time of plan submittal as outlined within these covenants. E. Exposed metal chimney stacks and flues are permitted at the rear of roof ridge line and flues must be enclosed by a chase compatible with the dwelling's materials and proportions with metal flue extending not more than 16"above said chase. All efforts shall be made to locate roof attic box vents at rear side of the dwelling unit and not exposed to view fronting the street. Heat pumps,propane tanks, solar devices,hot tub pumps, swimming pool pumps and filtration systems,satellite dishes,and all similarly exposed mechanical equipment shall be aesthetically concealed from view on all sides and shall be shielded to minimize noise and safety concerns. F. Driveways to be covered with asphalt,cement,or equal permanent road surfacing material within two years after construction. G. All grass yard and or natural areas are to be covered with sod or restored to their natural state at first possible opportunity and to be included in the original building contract price and purchaser's mortgage. H. Prior to construction,all structures shall be located and certified to by a professional licensed to do so.(Architect,engineer,or land surveyor). 1. All efforts shall be made by lot owners to preserve any existing trees and to prevent erosion and gullies. All culverts(if required)under individual lot driveways shall have manufactured end sections installed. J. Areas designated as"pond"space or"drainage easement"on all lots and outlots shall not be altered after their construction has occurred. These areas are required stormwater management and erosion control devices for the Trebus Valley subdivision. Furthermore, upkeep of said"pond"areas and"drainage easements"will be the responsibility of the Trebus Valley Homeowners Association. No grading, filling„or alteration shall be done in these areas without approval from a licensed engineer, the Trebus Valley Homeowners Association members,and the Town of Troy. K. All lots and outlots belonging to the Trebus Valley Homeowners Association shall be equally responsible for the costs of maintenance of those stormwater management and erosion control devices,though such costs may also be shared with landowners outside of the platted lands who have agreed to join the Trebus Valley Homeowners Association. L. Areas designated as open space(except for lots 1.8 and 20)on each such lot shall be areas where not buildings or man-made structures or improvements of any kind can be built, placed or located,and that said"open space"areas shall stay in their natural, undeveloped state so as to serve as buffer space between area of residential development and those platted areas encumbered by conservation easement. ARTICLE II Easements and Setbacks A. All lots are subject to easements,access ways and road right-of-way as described on the Plat or other recorded instruments and no lot owner shall interfere with said rights so as to 1625 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with m 85,Wis.Adm.Code Steel's Soil Service,Inc. County Attach complete site plan on paper not less than 8%x 11 inches in size Ian must St.Croix include,but not limited to:vertical and horizontal reference point(BM),dire and percent slope,scale or dimemsions,north arrow,and location and distance nearest road. Parcel I.D. 040-1076-40-000 Please print all information. \-\" e ewed By ^Date � Personal information you provide may I used forftEftf9y Law, 50411) m)). Property Owner Property Location Thone,Tim JAN Govt.Lot na SW 1/4 SE 1/4 S 19 T 28 N R 19 W Property Owner's Mailing Address Lot# Block# Subd.Name or CSM# 2242 Cottage Grove Dr CRUX IX COUNTY 23 na I Trebus Valley Estates City State Fip C0009nOto(90ROW 1 City _j Village a Town Nearest Road 55129 651-436-2443 1 Troy I Mitchell Rd ✓J New Construction Use: 01 Residential/Number of bedrooms 4 Code derived design flow rate 600 GPD I Replacement I Public or commercial-Describe: Parent material Pitted outwash plains and Stream Terraces Flood plain elevation,if applicable na General comments and recommendations: Mound Design,system elevation 97.69ft based on contour line elevation 97.69ft. Boring# I Boring Y' Pit Ground Surface elev. 95.60 ft. Depth to limiting factor 24,, in. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/W in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 1 0-10 10yr3/2 none sl 2msbk mfr gw 1f .6 1.0 2 10-24 10yr4/4 none sl 2msbk mfr gw na .6 1.0 3 3"8 7.5yr4/4 f1f 7.5yr5/6 sl 2msbk mfr gw na .6 1.0 4 48-50 5yr4/4 c2d7.5yr5/6 scl om mfr na na .0 .0 Boring# I Boring ✓0 Pit Ground Surface elev. 95.60 ft. Depth to limiting factor 7 _in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 1 0-27 10yr3/2 none sl 2msbk mfr gw 1f .6 1.0 2 27-42 10yr4/4 none sl 2msbk mfr gw na .6 1.0 3 42-74 7.5yr4/4 none sl/Is 2msbk mfr gw na .6 1.0 4 74-96 7.5yr4/4 c2d7.5yr5/6 sl om mfr na na .2 .6 *Effluent#1 =BOD?30<220 mg/L and TSS>30<150 mg/L *Effluent#2=BOD5<30 mg/L and TSS s.30 mg/L CST Name(Please Print) Signature: CST Number David J. Steel / 248,956 Address Steel's Soil Service,Inc. Date Evaluation Conducted Telephone Number 994 200th St.,Baldwin,WI 54002 1/11/2005 715-6845680 Property,Owner Thone,Tim Parcel ID# 040-1076-40-000 Page 2 of 3 3 ]F Boring# Boring V1 Pit Ground Surface elev. 97.10 ft. Depth to limiting factor_23 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots PD in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 1 0-10 10yr3/3 none sl 2msbk mfr gw 1vf .6 1.0 2 10-23 10yr4/4 none sl 2msbk mfr gw na .6 1.0 3 23-48 7.5yr4/4 c2d 7.5yr5/6 scl/sl om mfr gw na .0 .0 ❑ 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 GP D ' in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 F-1 Boring# I 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 PD in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 *Effluent#1 =BOD 5>30<220 mg/L and TSS>30<150 mg/L *Effluent#2=BOD5<30 mg/L and TSS<30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format,please contact the department at 608-266-3151 or TTY 608-264-8777. 3 of 3 STEEL'S SOIL SERVICE INC. David J. Steel Tim Thone 994 200'x' St. CST-POWTSM SW1/4,SE1/4,S19,T28N,R19W Baldwin, Wl 54002 Lic. #248956 Town of Troy, St Croix Co. Bus.(715) 684-5680 Trebus Valley Estates Fax.(715) 684-3449 Lot, 23 C� kj% Legend N 1"=40' Benchmark Ele. 10_ 0.00 ft 6r Top of 3/4 pvc pipe L 0 Alt Benchmark Ele. --3100.10 ft Top of 3/4"pvc pipe ❑ =Borings Boring Elevations B 1 = 95.60 ft B2= 95.60 ft B3 = 97.10 ft B4= 0.00 ft i tU7� � her b b fG''P 6 i 5 - || !| ! § � § � 4 | . . . . § _ | E=3§ � _ ) � ■ § � § # � ! � ! m � � § ) ! & � } § # � ! ! 3 | a | - $ ) 7 ] || ! � / \ •! | |! § | ■ . . . § | § [ ] 107 / | \ � 2� �� 22 � r7f-f EDEl"!AE ILL] I 2� / � �� 22 � mx mz EIA |{! > \ |)i \ ( �S4 R , loll 00 L LL ia Ile - Al O Ht - -- ------ -- ------------ 0 .6-.f .O,OI � w.o-A - �09 � 4 Q U11 i® ----------------------------- ----------------------------- ----------------------------- iul F 7 Q � g5 os e �a }g> rco� m qo o i ® m pig -$o geoo u ° � S rciS mm� m9Q 4 r 0 E Z 2 I I I I A •, I• V LL'� I I I I r '�•Nlr,l i I �F S All r i---- ------; qq � a mfg V � 0 p0 G eD - e0 p0 n Q Q yl > _ r 1 — — o n of 1 I I w r I I N C Q I r _ r u� y a r I r I "76 LI'�0> � r I r r r r r r r 9 d I n 0 u r m Fe L� 8 4 s � I r g m 0 -I- b 0 C 4 F � �O C Q� IL LL 0 a J`n v4 7 i a Y S2 0 l _ a Q e O ,614,11 .o-,4 A-,II ............ m oo �I oo O u 11 II , 1 1 a m 9 0 ,o-,9fi 8 1r fin+cn rann�oolJ � +oelJ+odds 411m p wall EMI 4 4v�1! 4 { idolfiPH i 's -- 'a'o,bL.vovoul ol»v -- ------------------------------ 9I { LI 'sin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix -,y and Building Division Sanitary Permit No: INSPECTION.REPORT 499234 0 GENERAL INFORMATION (ATTi}t;�H TQpERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes[Privacy Law,s. li.04(1)(m)). Permit Holder's Name: City Village X Township Parcel Tax No: Marsollek, Mike Troy, Town of 040-1297-30-000 CST BM Elev: Insp.BM Elev: BM Description: Section/Town/Range/Map No: 19.28.19.1715 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt. BM Aeration Bldg.Sewer Holding St/Ht Inlet SUHt Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt In Septic Dt Bott Dosing a er/M Aeration ist. ipe Holding ot. tem 'nal Grade PUMP/SIPHON INFORMATION 7 Manufacturer tmn S t over Model Number TDH Lift Friction Loss S y s t qoffrf ad H Ft Forcemain Length Dia. Dist. w I 1 1 T SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No.Of Trenches PIT DIMENSIONS No.Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L jBLbG jVfLL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: 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 xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes No Y COMMENTS: (include code discrepencies, persons present,etc.) Inspection#1: ! ! Inspection#2: Location: 359 Mitchell Road Hudson,WI 54016(SW 1/4 SE 1/4 19 T28N R19W) Trebus Valley Estates Lot 23 Parcel No: 19.28.19.1715 1.)Alt BM Description= 2.)Bldg sewer length= -amount of cover= Plan revision Required? Yes i ij No Use other side for additional information. Date Insepctor's Signature Cert.No. SBD-6710(R.3/97) IV Safety and Buildings Division County W N 201 W. Washington Ave., P.O. Box 7162 _ tPYO 1sConsiin MadisonAVI 53707-7162 Sanitary Permit(608) to be filled in y Co.) # Department of Commerce (608)266-3151 X97 ?� Sanitary Permit Applieat` -— ,State Plan T.D. Number In accord with Comm 83.21,Wis.Adm.Code,personal inform n yo 3 .3 5-W=mss. A& may be used for secondary purposes Privacy Law,sl Project Address(if different than mailing address.) j I. Application Information-Please Print All Information /_J,/CJ (4 � M /?'Gff6-LL "AD) i _ CProperty Owner's Na me I Lot# Block N ch c _0a�sa�1�� 4 -1, �s Property Owner's M ailing Address Property ovation 2 •'7-C c// Ad ST.CROIX COUNTY' -5 '� 'k,Section City,State Zip Code Phone Number I (circle } II. Type of Building(check all that apply) g - T N; R E or l or 2 Family Dwelling-Number of Bedrooms_- �_ Subdivision Name CSM Number -1 ❑ Publia'Conunercial -Describe Use j ❑State Owned-Describe Use ❑City ❑Village*ownship of7y-,,X f III.Type of Permit: (Check only one box on line A. Complete line B if applicable) jo 410_ ,ZcJ.7 - JVD-Ca A. New System ❑ Replacement System Trea din Replace ❑ Other Modification to Existing System T - List Previous Permit Number and Date lss;ued B. ❑ Permit Renewal ❑ Permit R ision C n Permit Transfer to New Before Expiration Plum r Owner t rr IV.Type of POWTS System: (_Check tha 0 ,33 = /b,0 ' �I—C1 Non-Pressurized 1n-Ground Mound '24 in. of suitable so 1 ❑ Mound < 24 in, of suitable soil ❑ At-Grade ❑ Single Pass Sand Filter Constructed Wetland ❑ Pressurized In-Ground ❑ Holding Tank ❑Peat Filter ❑ Aerobic Treatment Unit ❑Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter_ [_i Leaching Chamber ❑Drip Line L.l Gravel-less Pipe ❑Other(explain) _ r V_ Dispersal/Treatment Area Information: — _ l!�:[ Design Flow(gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required(sf) Dispelrsat Area P posed(sf)Fystem Elevation VI. Tank Info Capacity in Total Number Manufacnturer i - Pr fab Site Steel Fiber Plastic Gallons Gallons of Units 4J f� ��t+ Concrete Constructed Glass New I Existing F Tanks Taniw - _ _ ---- —_----+- _ Septic or Holding Tank Aerobic Treatment Unit (/ ' Dosing Chamber _ `c VIL Responsibility Statement- I,the undersigned,assume responsibility for Installation of the POWTS shown on the attached plans. Plumber's Na me(Print) Plumber's Si gnature /MPRS Number I Bus ness Phone Number i —mil _.. ate?� Qd _ i7�s -3e4 3/2/_J �e _ Plumber's Addre ss(Street. City.State, Zip Code) j VIII. County/Department Use OnlyS Approved ❑ D' prew® Sanitary Permit Fe includes Groundwater Date ss lssuin Agent Signature( tamps) Surcharge Fee) ❑ Owne ' en Reason for Denial I - fLX. Conditions of1ppfov t Pkiamf9c Elleapprima*> J '5Y5 SYSTEM ER: nn 1 Septic tank,effluent filter and IMA�L 6e_ &.-*S D P&J S PAC& t'r dispersal cell must all be serviced/maintained Cr� N l i as per management plan provided by plumber t St,.�.�wt`s1e,1 2. All setback requirements must be maintained COOIL— , i 5 l*S�b w; i as per applicable code/ordinances t3 o n S t/-55lMn. Ct!-c.� �1�►� L Attack complete plans(to the County only)for the system on Paper not Tess than 81/2 x J1 1 ches to size CRTI_A'2Q2 /I? ni m•ai e" Safety and Buildings 4003 N KINNEY COULEE RD commerce.wi.gov LA CROSSE WI 54601 -1831 i . TDD #: (608) 264 -8777 scons' www.commerce.wi.gov /sb/ www.wisconsin.gov I t , , e of Commerce Jim Doyle, Governor Mary P. Burke, Secretary October 24, 2006 CUST ID No. 227990 ATTIC• POWTS Inspector WILLIAM C SCHUMAKER ZONING OFFICE SCHUMAKER PLUMBING ST CROIX COUNTY SPIA 1070 SCOTT RD 1101 CARMICHAEL RD HUDSON WI 54016 HUDSON WI 54016 CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 10/24/2008 Transaction ID No. 1335902 SITE: Site ID No. 718295 Michael Marollek Please refer to both identification numbers, Mitchel Road above, in all correspondence with the 'agenc Town of Troy, St Croix County SWIA, SE1 /4, S19, T28N, R19W Lot: 23, Subdivision: Trebus Valley Estates FOR: Description: Mound / Four Bedroom / Concave Sloping Site Object Type: POWTS Component Manual Regulated Object ID No.: 1097684 Revision; Maintenance required; 600 GPD Flow rate; 27 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual - Version 2.0, SBD- 10691 -P (N.0110 1), Pressure Distribution Component Manual - Version 2.0, SBD- 10706 -P (N.01 /01); Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: DEPARTMENT i �MOF iii Reminders SEE CORRL.,' • This system is to be constructed and located in accordance with the enclosed approved plans and with the component manuals listed above. • The changes made to this plan on 10/24/06 by this reviewer were acknowledged and approved by the system designer. • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. WILLIAM C SCHUMAKER Page 2 10/24/2006 • 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 $3.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 75.00 �) Fee Received $ 175.00 Refund Amt $ 100.00 Charles L Bratz POWTS Reviewer 11, Integrated Services WSMART`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 J MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Michael R. & Jennifer L. Marollek 4 bedroom Residential Mound Owner's Name: Michael R. & Jennifer L. Marollek Owner's Address: 398 Mitchell Road Hudson, WI 54016 Legal Description: SW1 /4SE1 /4, Sec. 19, T.28N., R.19W. Township: Troy County: St. Croix Subdivision Name: Trebus Valley Lot Number: 23 Block Number: na Parcel I.D. Number: 040 - 1297 -30 -000 Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications t3 -r;t p y Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Site Plan co,g Page 9 Deflection calculations r In►c Cl) T NDE Page 10 Soil Evaluation Report S CD � ��NC& M m 90 n 00 P71 Designer: Bill Schumaker License Number: 227790 C o v Date: 10/12/06 Phone Number: (715) 386 -3121 Signature: W Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB- 10691 -P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) Version 3.0 (03/01/01) Pagel of 10 it Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) RI Residential or Commercial Design Note: Sand fill (D) calculations assume a _ 400. Estimated Wastewater Flow (gpd) Table 83 -44 -3 in -situ soil treatment for fecal 1.56 Peaking Factor (e.g. 1.5 = 150 %) coliform of <= 36 inches. 600.00 Design Flow (gpd) 4.00 Site Slope ( %) 99.00! Contour Line Elevation (ft) 26.00', Depth to Limiting Factor (in) l 0.60 In -situ Soil Application Rate (gpd /ft D Cell Information _ 101.33; Dispersal Cell Length Along Contour (ft) = 6.00 Cell Width (ft) 0._99: Dispersal Cell Design Loading Rate (gpd /ft 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest po in the distribution -- Y Pressure Disribution Information network? Enter Y or N (c or e) ! c Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation ft 4� Number of Laterals of the highest point. � 0.1_25'; Orifice Diameter (in) (e.g. 0.25) 2 .50 Estimated Orifice Spacing (ft) = 7.60 ft /orifice 2.00; Forcemain Diameter (in) 210.00 Forcemain Length (ft) Does the forcemain drain back? 87.50 Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 34.25 Forcemain Drainback (gal) 11.83 Vertical Lift (ft) 40.71 5x Void Volume (gal) 4.84 Friction Loss (ft) 74.97 Minimum Dose Volume (gal) 23.18 Total Dynamic Head (ft) 32.95 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. o tions choice in. dia. o lions choice 0.75 1.25 x _ 1.00 x x 1.50 x x_ 1 1.25 x 2.00 _ 1.50 x 3.00 2.00 x 3.00 x Gallons /Inch Calculator (optional) Tr Tank Information 7S 3-76! Total Tank Capacity (gal) 1200.00 Septic Tank Capacity (gal) / "� 48 Total Working Liquid Depth (in) _.- _ _ _ Wieser Concrete Manufacturer 16.12 gal /in (enter result in cell B49) Dose Tank Information Effluent Filter Information 773.76 Dose Tank Capacity (gal) PolyLok Filter Manufacturer 16.12 Dose Tank Volume (gal /in) PL -525 Filter Model Number Wieser Concrete Manufacturer Project: Michael R. & Jennifer L. Marollek 4 bedroom Residential Mound Page 2 of 10 Mound Plan View .O: J 1 � 1 B Observation Pipe . ' . 3 . �: � •�.•••, •••.•:�.:: �: . �,•. • . . . . . . . . . . . . W ............. -,_� . . . . . . . . . . . . . . . . . l?t........ .. .. .. I L Mound Component Dimensions A 6.00 ft E 12.88 in H 41ft ft K aft ft B 101.33 ft F 9.00 in z ft L 1ft D 10.00 in G 0.50 ft J W 607.90 (ft Dispersal Cell Area 1410.47 (ft) Basal Area Available 5.92 (gpd /ft) Linear Loading Rate 10.13 (ft)1/10 B Obs, Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 101.58 (ft) ----► F ; : ; : Dispersal Cell 100.33 (ft) rrirrr r r r rr• 1 Lateral 99.83 (ft)- -- Invert Dispersal Cell Elevation E D ' y 99.00 (ft) Contour Elevation 4.0 % Site Slope Geotextile Fabric Cover Shading Key o. T Dispersal Cell See lateral details on Q Topsoil Cap c 1.5 ft : r ; f Page 4 for number, © rrrrr Subsoil Cap 0 0 5 ON size, and spacing of ASTM C33 Sand � � '�f� �'• =`• �'� �'••�� ••. F laterals. Laterals are Z 'Typical Lateral Tilled Layer a 0.5 ft equally spaced from ❑5 ::•: �f: Aggregate a o _ :' the distribution cell's �--- A ---* centerline in the distribution cell (AxB). Project: Michael R. & Jennifer L. Marollek 4 bedroom Residential Mound Page 3 of 10 Center Connection Lateral Layout Daigram Force main connection via tee or cross to manifold at any point. Laterals an identical RIP P S ,k •- Turn -up vrlbaII valve or IE X-- >IExl I x12 +I Laterals & foroe main of PVC Sch 40 clean out pl u p per COMM Table 84.30.5 Holes drilled on the bottom of the lateral. Number of Laterals 4 Orifice Diameter 0. in Lateral Diameter 1.00 in Orifice Spacing (X) 2.56 ft Lateral Length (P) 49.92 ft Orifices per Lateral 20 Lateral Spacing (S) 3.00 ft Orifice Density 7.60 ff /orifice Lateral Flow Rate 8.24 gpm Manifold Length 3.00 ft System Flow Rate 32.95 gpm Manifold Diameter 1.50 in Total Dynamic Head 23.18 ft Forcemain Velocity 3.37 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and ---- -� Comm 16.28 WAC A in. min. Disconnect ----111 --- ------- Tank component is properly vented E- Alternate outlet location Forcemain diameter Wieser Concrete Manufacturer ` fi 2 in. Ca acit 773.76 Gallons Volume 16.12 gal /inch A Weep hole or anti - Dimension Inches Gallons B siphon device A - 2a.3 . 4Z-I 2`3 B 2.00 32.24 C Pump off elevation (ft) C 7.87 426.85 88.50 D 12.00 193.44 D Total Y 7 4"0 1 77376 7 `'� I'll Dose tank elevation (ft) 3" Bedding un er tank. 87.50 Alarm Manuafacturer LeveiArm Alarm Model Number DLV Pump Manufacturer Goulds Pump Model Number 3871 EP05 Pump Must Deliver 3 5 gpm at 23.18 ft TDH Project: Michael R. & Jennifer L. Marollek 4 bedroom Residential Mound Page 4 of 10 Mound System Maintenance and Operation Specifications Service Provider's Name Bill Schumaker Phone (715) 386 -3121 POWTS Regulator's Name St. Croix County Zoning Dep't. Phone (715) 385 -4680 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg /L Septic Tank Capacity 1200 gal Maximum TSS 150 mg /L Soil Absorption Component Size 607.9027 ft Maximum FOG 30 mg /L Type of Wastewater Domestic 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 years 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 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 6 -8" Diameter Lawn . • . . • . . Threaded Cleanout Sprinkler Valve Box :. Plug or Ball Valve Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Michael R. & Jennifer L. Marollek 4 bedroom Residential Mound Page 5 of 10 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD- 10691 -P (N.01/01) and SSWMP Publication 9.6 (01/81)) and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that 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, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions filter equipped are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the i to is equ pp with an alarm, ithe filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 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 shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around 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 soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October- February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg /L BOD 150 mg /L TSS, and 30 mg /L FOG for septic tank effluent or 30 mg /L BOD 30 mg /L TSS, 10 mg /L FOG, and 10 cfu /100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a 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 shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. I Project: Michael R. & Jennifer L. Marollek 4 bedroom Residential Mound Page 6 of 10 I GOULDS PUMPS Submersible Effluent Pump EPO4 y 3871 EP05 APPLICATIONS • Fully submerged in high ■ EPOS Impeller: Thermoplas- ■ Bearings: Upper ,and lo�, grade turbine oil for tic enclosed design for heavy duty ball bearing Specifically designed for the lubrication and efficient improved performance construction. following uses. • Effluent systems heat transfer. ■ Casing and Base: Rugged ' J •Homes Available for automatic and thermoplastic design provi AGENCY LISTING • superior strength and corrosion Farms manual operation. Auto- SP resistance. Canadian Standards Association • Heavy duty sump matic models include • Water transfer Mechanical Float Switch ■ Motor Housing: Cast iron Goulds Pumps is ISO 9001 Registered • Dewatering assembled and preset at the for efficient heat transfer, factory. strength, and durability. SPECIFICATIONS ■ Motor Cover: Thermoplastic FEATURES cover with integral handle and • Solids handling capability: float switch attachment points. maximum ■ EPO4 Impeller: Thermoplas- m Power Cable: Severe duty • Capacities. up to 60 GPM. tic Semi -open design with rated oil and water resistant. • Total heads: up to 31 feet. pump out vanes for mechanical • '' Discharge size 1'/2 NPT seal protection. 9 P • Mechanical seal: carbon - rotarv/ceramic- stationary, BUNA -N elastomers. • Temperatures. 104 F (40`C) continuous 140 F (60 Intermittent. METERS FEET • Fasteners: 300 series + stainless steel. 9 3° GPM • Capable of running � ► dry without damage to 8 2 5 Fr components. 2s X 3 .8 "0 Motor: r � _ • EPO4 Single phase: 0.4 HP, 6 20 15 or 230 V, 60 Hz, 1550 Z 5 RPM, built in overload with o 5 automatic reset. c 4 EP05 • EP05 Single phase: 0.5 HP, o 115 V or 230V, 60 Hz, 1550 — 3 0 RPM, built in overload with EPO4 automatic reset. 2 • Power cord: 10 foot 5 standard length, 16/3 S1TOW with three prong L grounding plug. Optional 20 ° ° 0 10 20 30 40 50 GPM foot length, 16/3 S1TW with three prong grounding plug o 2 4 6 a 1 12 MI /h istanda(d on EP05) 32.9SD..r�.mini .1 CI C r"�wrca� C Y Go ulds Pumps 2002 Goulds Pumps < V ITT Industries -ect :e �e;rtemoer, 2002 �/ �'/6 i J�o,% l da /ac �ibn ♦E,tis�.'�_q Made 2 /e�/ P ro po 5&C-J �o ct % 6l • c!ae /dTe�4'A,- /e�'P�v/°, (�opos cc! c vt!/ 4ot23, / off TrG6us tla./�c S Scc. /9, ? P /9 u; Toy, 5t. C.c»;x CG � c.J � 6e. //4eces. gq,01 Cumbina�cn S,T. /Pe. � S ',/• w /Po /y,4�,oz s s dW 371'to ` l4-op 54-d 5.T 6�/��• 93S' �' � 6c � d „S� slop ✓.c. ''�p� - /po. cc' x , i c o i t � • � T O{ � ' � 2 6�ua �S4 ra. 6s �fi e s 4 1r7 5J /o S/ I ZS'//ac ray• '�' S�d/✓lorc.,� 9s0/r 117 s' p�OLn Q u cJ i E3 rus� /S� ��'c s 3 !o' to I A Distribution Cell - Concave Deflection Worksheet i Marollek 4 bedroom residential mound Lot 23, Plat of Trebus Valley Estates, Tn. of Troy, St. Croix Co., WI. Site Information: 1. Design wastewater flow: 600 gpd (4 bedroom)(100 gal/bedroom)(1.5 peaking factor) 2. Depth to limiting factor: 26" Land 3 an slope: 4% 4. Infiltrative capacity of soil at system elevation: 0.60 gpd 5. System elevation: 99.83' at 10" above 99.00' contour. Dispersal cell sizing: 600 sq.ft. required (600 gpd / 1.0 gpd/sq.ft. ASTM C33 med. sand) Cell length (B) 100.00' Cell width (A) 6.00' Dispersal cell deflection: 1. Percent deflection: (5'deflection/100' down slope effective cell length)(100) = 5.00% 2. Adjusted cell length: [(5.00% x 0.00265) + 1] x 100' contour effective cell length= 101.33. 3. Actual cell length along contour = 101.33'. i Pg. 9 of 10 av DepeAmerxof commerce SOIL EVALUATION REPORT Division of Safety and Buildings Page of in accordance with Comm 65, Wis. Adm. Code County ' ': � �-•, ' Attach complete site plan on paper not less than 6 12 x 11 inches in size. Plan must - include, but not limited to: vertical and horizontal reference point (Slut), direction and Parcel I.D. Percentslape, scale or dimensions, north arrow, and location and distance to nearest road. Please print al! Information. Reviewed by Date Personal kilortnanon you prawao maybe used for escondery purposes (Privacyl-aw, s. 15.04 (1) (m)►. i Property Owner Property location i � - -i �OCJ r (, it Lr t I ?- Govt. Lot � � � 114 _ f 4 , '- 1/4 S � 7 fti R E (dr) W i Property Owner's NNding Address Lot Block Subd. Name or CSMO Cfty ! State Zlp Coda Ph N ber ity OViilage own Nearest f�osd New Construction Useo Residential I Number of - ' bedroottl5 -� Code derived design flow rate '3 � ` GPD Replacement El Public or comrneraat - Desctillbe I - Parent matenal CLr f j f� � CJ (/ Flood Plain elevation it applicable General corrvnents and recommendations: Boring �` � Boring Pit Ground surface elev, � i Sy (t. Depth to hmiting facbr in. Sol A.Wicallon Rate Horizon Depth Dominant Color Redox Description Texture StructtAe Consistence Boundary Root, GPDAV In. Mttnseil Qu. Sz. Cord. Color S Gr. Sz, Sh. t 'Etf91 `Eff#2 G ° i i Boring # E ] Boring .. Pit Ground surface elev. L ff- Depth to 6mi3ing factor _ in. Horizcr. Depth Dominant Color Redox Description oli lication Rate ptlon Tenure Structure Consistence Boundary Roots GPD,?F in. Munsell Qu. Sz Cont Color ar. Sz . Sh. 'Eff#i 'Effd2 LIE �- r C K , ALAI Effluent $1 BOO > 30 < 220 mglL and T 150 Effluent #2 = B _ and TSS < 30 ctxyL CST Name (Please } fg re f_. CST Number Address Date Evaluation Conducted Telephone Number Z - 1�0'd>i NNd � VSII 8 6Z:L0 90 90 1�O r Property owner Parcel ID 8 A p Q Boring # Boring Ground surface eiev. c�: k�D Pit �'� h. Depth to {inviting factor 5oi1 icatiort Rate Horizon Depth bominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/tf in. MunseN Qu. Sz. Cont. Odor Gr. Sz. Sh, yy 'Elf #1 'Eft#2 < -z /y 1�L Q �-, AA Boring # 11 Boring I---� M Pit Ground etev. ft. Depth to limiting factor in. Soif lication Rate Horizon Depth Dominant Color Rerlox pesgfp6on Texture Structure Consistence Boundary Roots GPD" in. MunseK Qu. Sz. Cont. Color Gr_ Sz. Sh. "Elf#i •Erf4f i L j Boring # o Baring © Pit GrDund surface elev_ tt. Depth to limiting factor in. Horizon Soil ic:a ion Rate Depth Dominant Color Redox besaiption Texture Structure Consistence Boundary Roots GPD" in. Munseu Qu. Sz_ Cont. Color Gr_ Sz. Sh. 'Eff #1 'Eff#2 Effluent #1 BOD > 30 < 220 mg/L and TSS >3o < i so mgA_ ' Etnuent #2 = BOD S 30 mgrL and TSS < 30 rngA- 'f he Depanment of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or creed material in an alternate format, please contact the department at 608- 266 -3151 or 7T'1 608- 264 -8777. WD- W.30Tc.t (a.TW= C•d LL 7OWi NNb VSI� e6Z '.L0 90 90 }C)0 � t PAGE -' OF --�L NAME l z j e.S T�`. LOT# Z Z LEGAL DESCE2IPT10N6Lr� Ala � /a T (�tE(0RC SCALE: 1 BM 1 ELEVATION Q7 BM 1 QESCRc ,-D +,D ?��.�� "A BM 2 ELEVATION '7• \ + BM 2 DESCRIPTION t A, r - SYSTEM ELEVATION q SYSTEM TYP _ M Q V iti d i 0 • oe p\ l SI D ATE �i d bb�Z LL 11O2J>1 NNV V611 P-OE:LO 90 90 Po ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP C'-RTIFICA T ION FORM Owner/Buyer 1<E vOL Mailing Address t �� LL. fD- U �G N , D �, Property Address �J�9 i LL (Verification required from Planning Department for new construction) T City /State Parcel Identification Number a 4 - 0 — / 29 7- ✓D-- DDD LEGAL DESCRIPTION Property Location '!<, Sec. �, T 2.8 N -R. J / W, Town of T \OY Subdivision E VA\ � ,�< 'A ts.5 Lot # 2 Certified Survey Map Volume Page # Warranty Deed # $ 2 g g S . Volume . Page # Spec house ❑ yesX no Lot lines identifiable X yes ❑ no SYSTEM MAINTENANCE Imptnper use andmaiatenar=of your septic system could result in its premature failure to handle wastes. Propermanrtenance consists of pumping out the septic tank every throe years or sooner, if needed by a licensed pumper. What you put into the system can affect the finnction of the septic tank as a treatment stage in the waste disposal system - Tae property owner agrees to submit to St. Croix Zoning Department a certification fonn, signed by the owner and by a master, PIumber.Journeymanplumber, resorictedplumber or a licemedptmnpervedfying that (1) the on -site wasteviaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than I/3 full of sludge. llwe, the undersigned have zead the above requiremeats and agree to maintain the private sewage disposal system with the stand set forth, herein, as set by the Departm t of Co—erce and the Department of Natural Resources, State of wisconsin_ Certification stating that your tic system has b maintained must be completed and tetarned to the St. Croix County Zoning Office within 30 days of the e ear exp' o SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) cerdy that all stateniqp Us form are true to the best of may (our) knowledge. I (we) am (are) the owner(s) of the property d W f a warranty deed recorded is Register of Deeds Office. � /lick S[ OF AP LICANT DATE Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning DepartmecL '• Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is wade in the warranty deed Z'd bttz 702:N NNV VSII at :80 90 LO deS < is 1625 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with; m 85, Wis. Adm. Code Steel's Soil Service, Inc. County Attach complete site plan on paper not less than 8'% x 11 inches in size Ian must St. Croix include, but not limited to: vertical and horizontal reference point (BM), di r and percent slope, scale or dimensions, north arrow, and location and distance 0 st road. Parcel I.D. 040 - 1076 -40 -000 Please print all information. a ewed By Date Personal information you provide may used for u WDY Property Owner P \ ro J perty Location Thone, Tim I � Govt. Lot na SW 1/4 SE 19 S 19 T 28 N R 19 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 2242 Cottage Grove Dr R IX COUNT? 23 na Trebus Valley Estates City State Zip Cod(jV1W* N500W J City J Village N' Town Nearest Road 55129 651 - 436 - 2443 Troy I Mitchell Rd Yt' New Construction Use: V1 Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD I Replacement J Public or commercial - Describe: Parent material Pitted outwash plains and Stream Terraces Flood plain elevation, if applicable na General comments and recommendations: Mound Design, system elevation 97.69ft based on contour line elevation 97.69ft. Boring # I Boring mil/ Pit Ground Surface elev. 95.60 ft. Depth to limiting factor 24� in• Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -10 10yr3/2 none sl 2msbk mfr gw 1f .6 1.0 2 10 -24 10yr4/4 none sl 2msbk mfr gw na .6 1.0 3 ?448 7.5yr4/4 f 1f7.5yr5/6 sl 2msbk mfr gw na .6 1.0 4 48 -50 5yr4/4 c2d7.5yr5/6 scl on) mfr na na .0 .0 F2 ] Boring # I Boring i/ Pit Ground Surface elev. 95.60 ft. Depth to limiting factor min• Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -27 10yr3/2 none sl 2msbk mfr gw 1f .6 1.0 2 27-42 10yr4/4 none sl 2msbk mfr gw na .6 1.0 3 42 -74 7.5yr4/4 none sl/Is 2msbk mfr gw na 6 1.0 4 74 -96 7.5yr4/4 c2d7.5yr5/6 sl om mfr na na .2 .6 * Effluent #1 = BOD? 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L CST Name (Please Print) Signature: CST Number David J. Steel 248 Address Steel's Soil Service, Inc. Date Evaluation Conducted Telephone Number 994 200th St., Baldwin, WI 54002 1/11/2005 715- 6845680 Property Owne Thone, Tim Parcel ID # 040 - 1076 -40 -000 Page 2 of 3 3] Boring # Boring I/ Pit Ground Surface elev. 97.10 ft. Depth to limiting factor _ 2�� in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots PD in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -10 10yr3/3 none sl 2msbk mfr gw 1vf .6 1.0 2 10 -23 10yr4/4 none sl 2msbk mfr gw na .6 1.0 3 23-48 7.5yr4/4 c2d 7.5yr5/6 scl/sl om mfr gw na .0 .0 F-1 Boring # I Boring Pit Ground Surface elev. ff. Depth to limiting factor in. Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ❑ Boring # J 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 P in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 I * Effluent #1 = BOD 5 > 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD < 30 mg /L and TSS -s-30 mg /L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608- 264 -8777. f ' STEEL'S SOIL SERVICE INC 3 of 3 David J. Steel Tim Thone 994200 th St. CST - POWTSM SWl /4,SE1/4,S19,T28N,R19W Baldwin, Wl 54002 Lie. #248956 Town of Troy, St Croix Co. Bus.(715) 684 -5680 Trebus Valley Estates Fax.(715) 684 -3449 Lot, 23 Legend N 1 " =40' �7, �� ♦ Benchmark Ele. 100.00 ft ( g6 C 6 ' Top of 3/4" pvc pipe Y Alt Benchmark Ele. 00.10 ft Top of 3/4" pvc pipe ❑ = Borings Boring Elevations B 1 = 95.60 ft B2 = 95.60 ft B3 = 97.10 ft B4 = 0.00 ft t' 1- 0�rC, 1D 3 ' 7 J 1 l �2,V v FROM :RELIANT HOMES Ltd FAX NO. :715 -381 -0212 9 Dec. 10 2004 11:17AM P2 Co •...y.�.y�r• .� � �,y.'fd!i' k, •'rNaj�� i {� +,,yy;,h'f3.:'':.; ±r,!y.. 'f' V � a 100 , ' I L.r m \\ / 99 6Z9 Z 5 o w of � g . / v \ It °° " cn TV i w w / u � P \ \ re .a � `O 0� 6Z N Co 'd C11 w j �4 LOT 3 , ` 2.1 VAc. I E._g• ti 101994 S. F ` � • 2.34 AC.... -� 1 LOT 2 L. - -.- '' �► 113988'5. F. # ' � 2.62 Ac. LOT 1 � _� , 151952 S.F. t '�� T �/ 3.49 Ac. fit /�. •.-- M.F.E. = 890 . , * �ioRArlAat / HIE • il1. " . � -- � ♦ T DoT 2 . r _ w 170984 S �s L1z \ 3.93 Ac LOT \ 7 Lo ` \ 183329 g t Le - 4.21 Ac, 1 LOT 24 174990 S. F. � � 1 3.95 Ac. M.F.E. 993 ' A, am g r I y� y r 5 �•.jW56" E 4 77.61' (S9'41'34'W) T 1" N 6903W5r w 2640.64' SOUTH LINE OF THE SE 1/4 OPL&TMQ JANQM Wisconsin Department of Commerce SOIL EVALUATION REPORT ht.�f` s3 av $ 1 Page I of 4 Division of Safety and Buildings in accordance with Comm 85, Wis, Adm. Code A.C.E. Sal & Site Evaluations Attach complete lete site an on not less than 8% x 11 inches in size. Plan must County R a P� St. Croix _ include, but not limited to: vertical and horizontal reference pant direction and parcel I.D. percent slope, scale or dimemsions, north arrow, and I sorest road. °�. 040- 1078 -40 -000,10 #19.28.302 Please print all info �� %� By Date Personal information you provide maybe used for \ purposes (W*cy taw, s. tS.oA,(fi) , Y't-o-Q� Property Owner Property foaaion J.T.B. Properties, L.L.P. C/O John W. le n Govt. Lot SW 1/4 SE 114 S 19 T 28 N R 19 W Property Owner's Mailing Address of #Z Block # Subd. Name or CSm# 1564 West University Avenue "- i r ST CROl?`. 2,4 i Trebus Valley Estates City State Zip C orv± Nu City i Village e Town Nearest Road x ONt OFFtC S aint Paul MN 55104 �0'�51 - 646 - 1967 Troy County Highway "F" 0 New Construction ik+" Residential / N -. bedrogii 3 Code derived design flaw rate 450 GPD _f Replacement _f Public or commercial - Describe: Parent material Glacial drift _ _ Flood plain elevation, if applicable na General comments and recommendations: Recommend installing mound system at elev. = 101.12' at 9" above 100.37' contour. F-1 Boring # J Boring a.o ° � r l+6 Pit Ground Surface elev. 100.35 ft. Depth to limiting factor 32" I Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *E GPDIfl2 ' 1 0 -8 10yr3/3 none sl 2fsbk mvfr cs 2fm 0.5 0.9 r{ 2 8 -16 1Oyr4/3 none sl 2msbk mfr cw 2f,1m 0.5 0.9 3 16 -32 7.5yr4/4 none sl 2msbk mfr ai 1f 0.5 0.9 4 3 -48 1Oyr4/4 f2f7.5yr5/8 Is /sl 2msbk mfr gw if 0.5 0.9 5 48-60 1 Oyr4 /4 f2d 7.5yr5/8 sil 1 msbk ds cw 1 f 0.5 0.8 6 60 -74 1 Oyr6 /4 f2d 7.5yr s /sl Osg /Om dl - - 0. 0.5 H#6 contains 1/4 " -1/2" bands of 10yr4/4 Om sl at 2" - 4" intervals. Redox concentrations appear at intertface of textural changes throughout horizon. Loading rate reflects most restrictive permiability within horizon. ❑ Boring # �j Boring im Pit Ground Surface elev. 100.40 ft. Depth to limiting factor 60° in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIft= *Eff#1 *04112 1 0 -21 1Oyr3/3 n o n e sl 2fsbk mvfr cs 2fm 0.5 0.9 fo 2 21 -29 1Oyr4 /3 none sl 2msbk mvfr as 1 f 0.5 0.9 . (p 3 29 -36 1Oyr3/2 none sil 2msbk mvfr gs 1 f 0.5 0.8 , 4 36-42 1Oyr4/2 none sit 2msbk mvfr gs 1fm 0.5 0.8 5 42 -51 1Oyr3/4 none sl 2msbk mfr gw 1f 0.5 0.9 6 51-60 7. none sl 2msbk mfr aw 1f 0.5 0.9 7 60-68 1Oyr5/6 f2f 7.5 Is Osg ml - - 0.7 1.2 * Effluent #1= BOD 5 > 30 < 220 mg/L and TSS >30 < 150 mglL * E #2 = BOD S 30 mglL and TSS a 30 mglL CST Name (Please Print) Sig nat . CST Number James K. Thompson 3602 Address A.C.E. Sal & Site Evaluations ate Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, W1540 1215101 715- 248 -7767 L property owner J.T.B. Properties, U.P. C/O John parcel ID # 040- 1078 -40 -000, ID# 19.28.302 Page 2 of 4 F31 Boring # Boring j Pit Ground Surface eiev. _ 99.43 fl. Depth to limiting factor in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots ' *Eff#1 *Eff#2 1 0 -9 1Oyr3/3 none $ l 2f mvfr as 2fm 0.5 0.9 (� 2 9 -21 1Oyr4/3 ' none sl 2msbk mfr Cw 2f,1m 0.5 0.9 3 21 -27 7.5yr4/4 none sl 2msbk mfr Cw 1f 0.5 0.9 , 4 27 -32 7.5yr4/4 f 7.5yr5 /8 sl 2msbk mfr cw 1 f 0.5 0.9 5 32 -36 5yr4/4 f2f 10yr6/2 scl 1 m sbk ds aw 1 f 0.2 0.3 6 36-66 1Oyr6/4 c2d 7.5yr5/8 Is /swsil Osg /Om /Imsbk di - - 0.2 0.3 -' H//6 contains stratified layers of colluvial Osg s, 1 msbk tfs, Om sl, 1 msbk sil. Loading rate reflects most restrictive permiability within horizon. F-1 Bonng # �j 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 PDW *Eff#1 *Eff#2 Boring I F # � - — Pit Ground Surface elev. fl. Depth to limiting factor in. Sod Applicaltiom Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 I i * Effluent #1 = BOD ? 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD < mg/L and TSS <30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608- 264 -8777. i SOIL AND SITE EVALUATION 1515 Page 3 of 4 PROPERTY OWNER: J.T.B. Properties, L.L.P. CIO J ohn W. Nielsen PARCEL LDJ 040 - 1078 -40 IDID# 19.28.302 A.C.E. Soil & Site Evaluations REPORT MEMO Soil evaluation completed for plat review purposes and prior to clearing or lot monumentation. Results indicate that the soils at this location are suitable for a mound septic system. This site is physically limited. Additional soil evaluation and clarification of system location /design may be required prior to POWTS design and sanitary permit acquisition. r - Tow,, 12azd P° ® So il eda /ua P , '%- (- L / e Sca/ N - Slav` 100. If . �� lj-e b Topof'/s'pv' Si . j P;pt. Ass u.ncd T 0 ,63 ■ s( k / ftl an G I r 8�8as� ll KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO., WI STATE BAR OF WISCONSIN FORM 2- 2000 RECEIVED FOR RECORD Document Number WARRANTY DEED 07/05/2006 11: 00AH WARRANTY DEED THIS DEED, made between Timothy A. Thone and Michele I. Thone, EXEMPT I A/K/A Michelle I. Thone, husband and wife, Grantor, and Michael R. REC FEE: 11.00 Marsollek and Je nnifer L. Marsollek husband and wife, as Survivors p TRANS FEE: 292.50 artta roperty, Grantee. COPY FEE: Grantor, for a valuable consideration, conveys and warrants to Grantee CC FEE: PAGES: 1 the following described real estate in St. Croix County, State of Wisconsin: Lot , Plat of Trebus Valley Estates in the Town of Troy, St. Croix County, Wisconsin . Recording Area Name and Return Address: Fiaa- Reedy �iila*rtc. nd 4. 5 Exceptions to warranties: HvdsoR; tlf - 5"16 p Easements, restrictions and rights -of -way of record, if any. 5948 040 - 1297 -30 -000 Parcel Identification Number (PIN) This is not homestead property. Dated this 15th day of June, 2006. * Timothy A. Thone * Mic W e I. Thone AVA Mi helle I. Ahone * * AUTHENTICATION ACKNOWLEDGMENT Signature(s) 1 B��Wn STATE OF WISCONSIN ) U ST. CROIX COUNTY. ) ss. authenticated this 15th day of J , 20 � State named 1SC0 Personally came before me this June 15, 2006 the above named Timothy A. Thone and Michele I. Thone, A/K/A * Michelle I. Thone, husband and wife to me known to be the TITLE: MEMBER STATE BAR OF WISCONSIN person(s) who executed the foregoing instrument and (If not, acknowled 4the same. authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY oukj f!D� *Cheri Brown Peterson, Fram & Bergman — Steven H. Bruns Notary Public, State of Wisconsin 50 East Fifth Street, St. Paul, MN 55101 My commission is permanent. (If not, state expiration date: ) (Signatures may be authenticated or acknowledged. Both are not necessary.) 3/1112007 *Names of persons signing in any capacity must be typed or printed below their signature WARRANTY DEED STATE BAR OF WISCONSIN FORM No.2 -2000 toff Sefety and Buildings Division ,. 20) W. Washington Ave., P. A4adisQn WT 53707 �$CO=rce Sant P >rmit Number (to be filled m by f'o) aepar irnent of (6t?8) 266 - 3I51 j Sanitary Permit Application State Plan I.D. Nu r In accord with Comm 83 21, Wis. Adm. Code, personal it n maybe used for secondary purposes Privacy La $ I S.OAEC E I V E Q Project Ad s (if different than mailing address) L In f matloa - Please Print All Information I , Property Owner's Name cei Lot M Riock ay _ ST. CROIX COUNTY �,3 ! i A ge Owner's Mailing Addres Propetry Location Cip, Stale Zip Code Phone Number Section So Bo✓ l!J s p (sin e o a) r �— — - - - - -- - T -V 6 N: R Z� E . Il. 'fYpo of Building (ehsck all that ap ,Y-1 or 2 Family Dwelling- Number of Bedmo m Subdivision Namc 'SM Nuber Q Public /Commercial -- Describe Use LJ State OH�ied - Describe Use —� -- [City- OVillage i shipof 1IL Type of Permit: (Check on on e box on iin . Complete it if appli A New System ❑ Re p le Y C p cement S stern Treatmen oldie Tank Ro lacement Only (v' Other Modi n g syscrrn �. B• + C! Permit Renewal A Permit Revision of 0 Permit Transfer to Now List Previo umteer and Date Lssuad Before Expiration Plum Owner 1 IV. I'v of POWTS S stem: Check all that a t �r Non - Pressurized In- Ground Mound > 24 i/T We soil \0und<24jn.ofsuitAb le soil Si ngle Pass Send Filter Constructed Wetland D Pressurized In - Ground g Tank lter C3 Aerobic T a it 0 Recirc tint Filter Recirculating Synthetic Media Filter ❑Leeching u Drip Gravel -less Pi tltor V. Dls ersaVTrestment Area Information: Design Flow (g pd) Design Soii Application ,gpdsf) Dispersal Area Req (sf)' Dispersal Area Proposed (i vs eni Flevation VI. Tank Info Capacity in Total NumberPrefa Site Steel Fiber Ply Gallons Gallons of Units CoZ Glass { New { Tanks _t T S' 9k AL eptic or Holding Tank A r D e;r — awc 7Yea#mcnt Una Dosing chi, �-°�� VII. Responsibility Sta ent- I, the undersigned, ass untr rrsponslbi for fast ano of the n the attached plans. I � Plumber's Name (Print) Plumber's Sign awre PR S Numb Business Phonc•'Number { �� G'�► �.2 7 r Plumber's Address C t, City, State, Zip Code) VII[. Ctig astment Use O nly I _4 ❑ Approved D Disapproved Sanitary Permit Fet (includes Grounlawatcr Isvd Issuing Agrnt Signature (No Stamps) Surcharge Fte) L Owne Given R eason for Dmia! A 0; �J% IX. { onditions of Approvallkesisons for Disapproval i Attach trimPlett ptans (to 11w Counts only) for the system on paper not less than Sill x 11 inches la size SBD -6398 (R. 01103) 1 +aY�:ncazFicfA+«� �'Mi9 d'�'MN"e :. nw�YM^� l `t• T 14 1 o wl l® r I i< 0'., r r� J 1929.' 130 proposed roofing materials; i.e., metal, cedar shakes, cement shingles, etc. is encouraged but not required and will be reviewed by the Architectural Control Committee at the time of plan submittal as outlined within these covenants. E. Exposed metal chimney stacks and flues are permitted at the rear of roof ridge line and flues must be enclosed by a chase compatible with the dwelling's materials and proportions with metal flue extending not more than 16" above said chase. All efforts shall be made to locate roof attic box vents at rear side of the dwelling unit and not exposed to view fronting the street. Heat pumps, propane tanks, solar devices, hot tub pumps, swimming pool pumps and filtration systems, satellite dishes, and all similarly exposed mechanical equipment shall be aesthetically concealed from view on all sides and shall be shielded to minimize noise and safety concerns. F. Driveways to be covered with asphalt, cement, or equal permanent road surfacing material within two years after construction. G. All grass yard and or natural areas are to be covered with sod or restored to their natural state at first possible opportunity and to be included in the original building contract price and purchaser's mortgage. H. Prior to construction, all structures shall be located and certified to by a professional licensed to do so. (Architect, engineer, or land surveyor). I. All efforts shall be made by lot owners to preserve any existing trees and to prevent erosion and gullies. All culverts (if required) under individual lot driveways shall have manufactured end sections installed. J. Areas designated as "pond" space or "drainage easement" on all lots and outlots shall not be altered after their construction has occurred. These areas are required stormwater management and erosion control devices for the Trebus Valley subdivision. Furthermore, upkeep of said "pond" areas and "drainage easements" will be the responsibility of the Trebus Valley Homeowners Association. No grading, filling„ or alteration shall be done in these areas without approval from a licensed engineer, the Trebus Valley Homeowners Association members, and the Town of Troy. K. All lots and outlots belonging to the Trebus Valley Homeowners Association shall be equally responsible for the costs of maintenance of those stormwater management and erosion control devices, though such costs may also be shared with landowners outside of the platted lands who have agreed to join the Trebus Valley Homeowners Association. L. Areas designated a open spac (except for lots 18 and 20) on each such lot shall be areas where not buildings o an -made structures or improvements of any kind can be built, placed or located, and that said "open space" areas shall stay in their natural, undeveloped state so as to serve as buffer space between area of residential development and those platted areas encumbered by conservation easement. ARTICLE II Easements and Setbacks A. All lots are subject to easements, access ways and road right -of -way as described on the Plat or other recorded instruments and no lot owner shall interfere with said rights so as to Safety and Buildings 4003 N KINNEY COULEE RD • commerce.wi.gov LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 i sconsin www.commerce.wi.gov /sb/ www.Wsconsin.gov Department of Commerce II Jim Doyle, Governor Mary P. Burke, Secretary September 18, 2006 CUST ID No. 227990 ATTN.• POWTS Inspector WILLIAM C SCHUNL KER ZONING OFFICE SCHUMAKER PLUMBING ST CROIX COUNTY SPIA 1070 SCOTT RD 1101 CARMICHAEL RD HUDSON WI 54016 HUDSON WI 54016 CONDITION PPROVAL PLAN APPROV EXPIRES: 09/18/2008 ratification Numbers Transact' ID No. 1 7 SITE: Site ID . 718295 Michael Marollek Ple refer to ification numbers, Mitchel Road -abo , in all corre Bence with the agenc Town of Troy, St Croix.County SW1 /4, SE1 /4, S19, T28N, W Lot: 23, Subdivision: Trebus ey Estates FOR: Description: Mound / Four Bedroo Concave Sloping Site Object Type: POWTS Component ual Regulated Obj ID No.: 684. Maintenance required; 600 GPD Flow e; 27 in Soil d inviting factor from original grade; System: Mound Component Manual - Ve ' on 2.0, SBD -P /01), W � Pressure Distribution Component ual - V ion .0, S - 10706 -P (N.01 1 iofilt The submittal described above has been reviewed fo ornvance plicabl isconsin A a ve C and Wisconsin Statutes. The submittal has been CO TIONALLY ONV.%e owner, as e in XW*\ chapter 101.01(10), Wisconsin Statutes, is responsi compliance wi 11 co%requirements. No person may engage in or work at plumbing in a state ess licens by the De pa nt pe .06, C e 1(<ril stats. I 1.: The following conditions shall be met during nstruction or ins ation and prior to o u or use: A F • DEPARTMFN'T t Reminders OF I=TE • This system is to be constructed located in accordance with the clo roved d the SEE C0R;�L` component manuals listed abov • Per manual cited above, 1' d activities are allowed in the area 15 feet do slo f the mponent area. Soil compaction, excavati , vehicular traffic and other similar activities that pact the atment and dispersal are prohibited • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of et absorptioaA , area. chs. NR 811 & 812c a • A Sanitary Permit must be obtained from the county where this project is to ed ' e with th requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the POWTS installation is required. Arrangements for inspection shall be made a designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat �F � f r n a�, WILLIAM C SCHUMAKER Page 2 9/18/2006 • Comm 83.22(7) A copy of the approved plans specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department which may include local inspectors. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Charles L Bratz J POWTS Reviewer II , Integrated Services WiSMART code: 7633 (608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday chartie.bratz@wisconsin.gov cc: James K Thompson, A.C.E. Soil and Site Evaluations Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Michael R. & Jennifer L. Marollek 4 bedroom Residential Mound Owner's Name: Michael R. & Jennifer L. Marollek Owner's Address: 398 Mitchell Road Hudson, WI 54016 Legal Description: SW1 /4SE1 /4, Sec. 19, T.28N., R.19W. Township: Troy County: St. Croix Subdivision Name: Trebus Valley Lot Number: 23 Block Number: na Parcel I.D. Number: 040 - 1297 -30 -000 Plan Transaction No.: Page 1 Index and title Page 2 Data entry co Page 3 Mound drawings C3 Page 4 Lateral and dose tank z Page 5 System maintenance specifications C) o g Page 6 Management and contingency plan a,1,.wY ? �,Z > Page 7 Pump curve and specifications '* R r L m Page 8 Site Plan °d Page 9 Deflection calculations LLJ Page 10 Soil Evaluation Report NGS Q Designer: Bill Schumaker License Number: 227790 Date: 09/05/06 Phone Number: (715) 386 -3121 Signature: �� Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB- 10691 -P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) Version 3.0 (03/01/01) Pagel of 10 i r Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) R Residential or Commercial Design Note: Sand fill (D) calculations assume a 400.00! Estimated Wastewater Flow (gpd) Table 83 -44 -3 in -situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150 %) coliform of - 36 inches. 600.00 Design Flow (gpd) 4.00 Site Slope ( %) 98.50 Contour Line Elevation (ft) 27.00 Depth to Limiting Factor (in) 0.60 In -situ Soil Application Rate (gpd /ft Distribution Cell Information 101.59 Dispersal Cell Length Along Contour (ft) = 6.00 Cell Width (ft) 0.99 Dispersal Cell Design Loading Rate (gpd /ft 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? Enter Y or N (c or e) c Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation (ft) 4 Number of Laterals of the highest point. 0.126 Orifice Diameter (in) (e.g. 0.25) 2.50 Estimated Orifice Spacing (ft) = 7.61 ft /orifice 2.00 Forcemain Diameter (in) 250.00' Forcemain Length (ft) Does the forcemain drain back? Y 88.75 Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 40.78 Forcemain Drainback (gal) 10.00 Vertical Lift (ft) 40.87 5x Void Volume (gal) 5.77 Friction Loss (ft) 81.65 Minimum Dose Volume (gal) 22.27 Total Dynamic Head (ft) 32.95 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options I choice 0.75 1.25 x 1.00 x x 1.50 x x 1.25 x 2.00 1.50 x 3.00 2.00 x 3.00 x Gallons /inch Calculator (optional) Treatment Tank Information 773.76 Total Tank Capacity (gal) 1200.00 Septic Tank Capacity (gal) 48.00 Total Working Liquid Depth (in) Wieser Concrete Manufacturer 16.12 gal /in (enter result in cell B49) Dose Tank Information Effluent Filter Information 773.76: Tank Capacity (gal) PolyLok Filter Manufacturer 16.12 Dose Tank Volume (gal /in) PL -525 Filter Model Number Wieser Concrete Manufacturer Project: Michael R. & Jennifer L. Marollek 4 bedroom Residential Mound Page 2 of 10 • Mound Plan View F 1/10B • ,� J KK _ Observation Pipe W : g : - 4 — : ..•.. :.:. :. • z .. .. .: . . .. .. .. ....... ...I . ......................•.... Mound Component Dimensions A 6.00 ft E 11.88 in H 1.00 ft K 7.86 ft B 101.59 ft F1 9.00 in z 7.64 ft L 117.31 ft D 9.00 in G1 0.50 ft J 5.36 ft W 18.99 ft 609.14( ) Dispersal Cell Area 1384.86 (ft) Basal Area Available 5.91 (gpd /ft) Linear Loading Rate 10.16 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 101.00 (ft) ---- -► ,,, ♦ H 2 i�riiir� G 1 F — 99.75 (ft) Lateral Dispersal Cell 99.25 (ft)--► — Invert Dispersal Cell Elevation E _ A. A {• • %. J.i --] -] i_. { ) ]i i. %. -_,+. ]. _.i .{ ��i.�11J._ }_•_ { /. �. 4 ,.`,.� %. J �{ 1 Vii. ~ - -{ FL f ] ] J.,JI, - . , ' ] ] '] 1 %. ~] %~ -]` -] _ - 1, -] - ]`~]'! J. J, ~% .] i v - ]. .+. a- . - `]�'1. ' .), ,. _] _1 _i-�• - 98.50 (ft) Contour Elevation 4.0 % Site Slope Geotextile Fabric Cover Shading Key Dispersal Cell See lateral details on Topsoil Cap C 1.5 ft - Page 4 for number, f� © 7 /f Subsoil Cap 4 a size, and spacing of ASTM C33 Sand 2 F laterals. Laterals are Tilled La m 0.5 ft Typical Lateral Layer c equally spaced from 05 Aggregate v o .; the distribution cell's er *---- A ---* centerline in the distribution cell (AxB). Project: Michael R. & Jennifer L. Marollek 4 bedroom Residential Mound Page 3 of 10 Center Connection Lateral Layout Daigram Force main connection via tee or cross to manifold at any point. Laterals are identical P S • - Turn -up m ba11 valve or I� X IFx12 I 02+1 Laterals & Force main of PVC Sch 40 of ea n out pl u g per COMM Table 84.30.5 Holes drilled on the bottom of the lateral. Number of Laterals 4 Orifice Diameter 0.125 in Lateral Diameter 1.00 in Orifice Spacing (X) 2.57 ft Lateral Length (P) 50.12 ft Orifices per Lateral 20 Lateral Spacing (S) 3.00 ft Orifice Density 7.61 ft /orifice Lateral Flow Rate 8.24 gpm Manifold Length 3.00 ft System Flow Rate 32.95 gpm Manifold Diameter 1.50 in Total Dynamic Head 22.27 ft Forcemain Velocity 3.37 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and —► — Comm 16.28 WAC 4 in. min. Disconnect Tank component is properly vented E-- Alternate outlet location Forcemain diameter Wieser Concrete Manufacturer 2 in. Cap acityl 773.76 Gallons Volume 16.12 gal /inch A Weep hole or anti - Dimension Inches Gallons B siphon device A 26.05 419.92 B 2.00 32.24 C P�um off _ elevation (ft) C 7.95 128.16 —t- 1 89.75 D 12.00 193.44 D Total 48.001 773.76 1 D ose tank elevation (ft) 3" Bedding un er tank. 88.75 Alarm Manuafacturer LevelArm Alarm Model Number DLV Pump Manufacturer Goulds Pump Model Number 3885 WE05H Pump Must Deliver 1 32.95 gpm at 22.27 ft TDH Project: Michael R. & Jennifer L. Marollek 4 bedroom Residential Mound Page 4 of 10 Mound System Maintenance and Operation Specifications I Service Provider's Name Bill Schumaker Phone (715) 386 -3121 POWTS Regulator's Name St. Croix County Zoning Dep't. Phone (715) 385 -4680 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 118 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg /L Septic Tank Capacity 1200 gal Maximum TSS 150 mg /L Soil Absorption Component Size 609.1371 ft Maximum FOG 30 mg /L Type of Wastewater Domestic 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 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 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 p ravity and pressure piping in materials conform to the requirements in Comm 84, Wis. Adm. Code. 9 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 6 -8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral g Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral I Project: Michael R. & Jennifer L. Marollek 4 bedroom Residential Mound Page 5 of 10 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD- 10691 -P (N.01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that 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, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 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 shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around 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 soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October- February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg /L BO0 5 , 150 mg /L TSS, and 30 mg /L FOG for septic tank effluent or 30 mg /L BOD 30 mg /L TSS, 10 mg /L FOG, and 10 cfu /100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a 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 shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. I Project: Michael R. & Jennifer L. Marollek 4 bedroom Residential Mound Page 6 of 10 GOULDS PUMPS Submersible Effluent Pump to 3885 PROSURANCE AVAILABLE FOR RESIDENTIAL APPLICATIONS. APPLICATIONS ■ Shaft: Corrosion - resistant Single phase: ■ Bearings: Upper and stainless steel. Threaded • Built -in overload with lower heavy duty ball bearing Specifically designed for the design. Locknut on three phase automatic reset. construction. following uses. models to guard against • All single phase models ■ Power Cable: Severe dut • Homes component damage on feature capacitor start rated, oil and water resistant. • Farms accidental reverse rotation, motors for maximum Trailer courts Epoxy seal on motor end • Motels ■ Fasteners: 300 series starting torque, provides secondary moisture • Schools stainless steel. •' /3 and 1 12 HP — 16/3 SJTOW barrier in case of outer jacket • Hospitals ■ Capable of running dry with 115, 208 and 230 Volt damage and to prevent oil • Industry without damage to three prong plug. wicking. Standard cord is 20. • Effluent systems components. • 3 14-2 HP — 14/3 STOW with Optional lengths are available bare leads. ■ Desi ned for continuous ■ O -ring: Assures positive 9 Three phase: sealing inst contaminants SPECIFICATIONS operation when fully • Overload protection must il a g submerged. and oil leakage. be provided in starter unit. Pump •Solids handling capabilities: •' / -2 HP — 14/4 STOW with bare leads. maximum. MOTORS AGENCY LISTINGS • Discharge size: 2" NPT. ■ Fully submerged in high- ■ Designed for Continuous • Capacitiesi up to 140 GPM. grade turbine oil for lubrication Operation: Pump ratings are Tested to UL 778 and • Total heads: u p to 128 feet and efficient heat transfer. within the motor manufacturer's CSA 22 2 108 Standards TDH recommended working limits 8y Canadian Standards • Temperature: ■ Class B insulation can be operated continuously ic p us File #LR38549 104 =F (40 continuous without damage when fully 140=F (60 intermittent. Submerged. Goulds Pumps is ISO 9001 Registered. • See order numbers on METERS FEET reverse side for specific HP, 40 130 ES 3a SERIES a5 Ri voltage, phase and RPM's zo WE15HH SERI S OLIDS 85 available. 3S '.. -_ - - - -- _._�_ RPM 3500 & 110'. 17.SQ WE20H ..� —► FEATURES 30 fS GPM ,r 100 FT 90 WE15H ■ Impeller: Cast iron, semi- ° a open, non -clog with pump -out = 25 8 E10H vanes for mechanical seal Q 20 ' 70 E07H protection. Balanced for Z 60 smooth operation. Silicon ° WEDS bronze impeller available as o 1 5' So E05H an option 0 40. 0 , 30 WE03M ■ Casing: Cast iron volute type .2,2, 27 for maximum efficiency. Tv, 5 20 _ 2 NPT discharge. 10 ■ Mechanical Seal: SILICON o'' o CARBIDE VS. SILICON 0 10 20 30 40 50 60 70 80 90 100 110 120 130 140 150 160 GPM CARBIDE sealing faces. o - _ -___ ._._ 10 i'-- �__--- ___� -- 5 20 ZS 30 35 m 3 hr Stainless stee4 metal parts, AP 32.95 .P.n�.m7n�'n�um �4f c �t�uir'ed. BUNA -N elastomers. Goulds Pumps 2002 Goulds Pumps ITT Industries E`feci,ve October, 2002 www.goulds.com w !� �I .,:385 0 r�,7 f ♦E 0 ,-ade, eAz/ Pro dr;ve N A Ca/ : / -/0" to die/ � oQ � {�- opos�d i,c)c.r( Lot2�3, Al�o�'Ti'e,6 dam. / /c�,� /vca �,on S40 lYys& -Se c. {s4l.s�oP,de. T. oFToy, 5t. ere ;,rCo' � cJ / 6e., bu %ng�Cv�e r V. A 9s.ct�- yl6cd�oo� -, Qt Si �lar�u Pro posed wrestr Cvre-r s.T. /r?e, w� Pa/y�o(' PAC -sus 0 p dr uz 15 rcc bs es pP.Gn aoee g 0 63 b Pro S V sy 42 I (0 4 a B�u.s� S c es o � ��u fJ' / �/ jk Q 3 ro to 6A 0 T f+ o{ cJi41 S , ,4ss cd eI&A ,41 6. 6- &f. : To off' Ere : 98 72 ' . Distribution Cell - Concave Deflection Worksheet Marollek 4 bedroom residential mound Lot 23, Plat of Trebus Valley, Tn. of Troy, St. Croix Co., Wl. Site Information: 1. Design wastewater flow: 600 gpd (4 bedroom)(100 gal bedroom )(l.5 peaking factor) 2. Depth to limiting factor: 27" 3. Land slope: 6% 4. Infiltrative capacity of soil at system elevation: 0.60 Bpd 5. System elevation: 99.25' at 9" above 98.50' contour. Dispersal cell sizine: 600 sq.ft. required (600 gpd / 1.0 gpd/sq.ft. ASTM C33 med. sand) Cell length (B) 92.30' Cell width (A) 6.50' Dispersal cell deflection: 1. Percent deflection: (6'deflection /100' down slope effective cell length)(100) = 6.00% 2. Adjusted cell length: [(6.00% x 0.00265) + 1] x 100' contour effective cell length= 101.59'. 3. Actual cell length along contour= 101.59'. Pg. 9 of 10 4tii AM R W 2 5 Z b cjk L. oT# LEQAL btesC P ?tON '�/�islS� �J4 8 T N R GC d 13M I DE8CM IFTION j L► Lt1r o c+� S„ n[ �P G 4� 13 M 2 F- LKVw 5� g. a o BM 2 DESQRiPTION . +2 al 5 YSTRF4 r 0rVATiO O� A yr l'-- s r SY$TRM T YPz tiY l� C., q -7 n a 0 ern \� [v V� 9V I U 5 SfONATU*F- � C=am DATtR tr d V"Z 11lMJN NNb' b'SI1 d6tr :£0 90 £Z 8nV 4UT 4546 S S 89'35'25" E 396.64' 77.7 104.58' 292.06' cn Ln ►a _ SEE SHEET 2 �a �, 10 _- - - - U'� � LOT 4 7 °,- °� 9 � \ / z 94260 S/F. - 1 LOT 3 2.16/Ac. o o MMNNF E. = 900' �• ! ° 101994 S.F.A ro •%Cb 2.34 Ac. M.F.E. = 900 DRAINAGE O �'i/ HWE - � ' / •'�°� may. 901.2 3983'S.F. HWE = h o , a' 897.4' s 6 ` g A ' L23_ � L25 r6 2 Ac. / 8 - - �2o EASEMENT ` v J- 7 7 a' , ��• � / 8.9 5 0 E 224. �j s N 79. 4y8 l — 34 � � / �\ g '54.,8~ W 224.70' - T 2 7 X3.48 11 S.F o 2.57 Ac. M.�"f . = 90� DRAINAGE 9S ' S� °A• \ WE = 891.0' EASEMENT .o % LOT 22 170984 S.F. \ I_ - — L „ L,2 3.93 Ac. _ L13 0 T 2 3 - -- _ _ L \ 18 F. / \ 4.21 Ac. w a s \ M.F.E. = 893',,x/ ' LOT 24 171990 S.F. \ 3.95 Ac. ,,rod 1 M.F.E. = 893' �gy y6 6yy;z 0 UTLC CONSERVATION 860719 S S 89'30'55" E 427.61' 19.76 2550.61' (S89'41 '34 "W) N 89'30'55" W 2640.64' SOUTH LINE OF THE SE 1/4