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Home My WebLink About008-1074-10-000Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes (Privacy Law s 15 04 11)!m 1] Permit Holder's Name City Village Township Del Ziebart--DLZ Ent TOWN OF EAU GALLE CST BM Elev Insp BM Elev BM Descnp on TANK INFORMATION TYPE �ANUFACTUf�F,f� nv.to �a,U�i CAPACITY Septic I Coo Aeo Dosing C�K Aeratio Hol TANK SETBACK INFORMATION TANK TO P/L WELL BLDG Vent to Au Intake ROAD Septic t yso �gz yg Dosing (I tt kr 1 Ae on H01 PUMP/SIPHON INFORMATION Manufacturer rh GPM Model Number TDH Lift 5, Friction Loss System Head TD Ft l0 3 . z '�o . �-�, Forcemain Length / Dia r Dist to well 2. SOIL ABSORPTION SYSTEM 0 Z>1 ELEVATION DATA STATION BS HI FS ELEV Benchmark LIX.iI Ibo Alt BM Bldg Sewer f SVHt Inlet 7 St/HI Outlet Of Inlet J Of Bottom 9• `13-a5 Header/Man .br Dist. Pipe -cnro Bot System 3.6 3 qq o Final t_7rawde l2 `t rfp/� 0.4 OD 13 wt I Z .(v j02.6p q b IPIT DI NSIONS No Of ns Inside Dia Liguidd Depm� -••••- DLUU vvtLL LAKE/STREAM LEACHING Manuta urer INFORMATION Type Of System / CHAMBER OR S lQ / UNIT Mode u er DISTRIBUTION.SYSTEM / Header/Mandoli .0 Distribution ( Lr t 7- Peels) '1 ;.O x Hole Sizex Ir Hole Spacing Vent to Au Intake Length Dia Length -I Dia a Spanq 3 O enII r^nvco _ Depth Over - Depth Over --- 1..-- .- - o ..yo•mno vnry Bed/Trench Center Bed/Trench Edges xx Depth of Topsoil xx Seeded,Sodded xx Mulched Yes No Yes No V VMITI Grp r �• (Include code discrepencies. persons present. etc.) Inspection #1 ��(jt �/ $(311x$ Inspection #2 /3/ V2dZi Location: 198 CTY RD B 1.) All BM Description = 2.) Bldg sewer length = \ - amount of cover = i 2 L uL� • %+'4s (. �� '1 h•"��) �.r e�Q 3� 3 • r to t+ed �` 5 �t.+.lrei d �ri Iw ona. i Z . S' r n , ,� dTwuw. �► `Clio"f eedJc san�Z Plan revision Required? Yes No �f 3�i� Z � Use other side for additional informs - n. SBD-6710 (R.a/97) Date Insepctor's Signature Cent No S I)�a. COUII_____� ty O _ 1� V Safety and Buildings Dir/ialon /� 201 W. Waehington Ave., P.O. Box 71112 Sanitary Permit Number (to be filled in by Co.) JUN 10 2022 Madison, tM 53707-7182 I .., Co ^ne Applicati SteteTrrUnctionNumber /� In accordance with SPS 383.21(2). Wits. Adm. Code. submission of this form to the appropriate govern u8'tn+iPwIrs — Ufr220/0 5 —e, is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to Project the Department of Safety and Professional Services. Personal information you provide may be used for secondary Address (if different then mailing address) purposes in accordance with the Privacy Law, s. 15. I m Suits. I 1. Application Information — Please Print All la ntaHon Property Owner's Name Parcel N e I L T)L.Z ENf (00 — 7 11 -/v -OC) Property Owner's Mailing Address Property Location 1q Govt. Lot /. W 1/4 Section City. State Zip Code Phone Number . Z I 1235' (�,trcte "\ T 246 N; R 1 b West 11. 'type of Building (check all that apply) Lot s I or 2 Family Dwelling — Number of Bedrooms _ 3 Subdivision Public / commercial — Describe use Block a Stets owned —Described use No CSM Number 3(— �psp ❑ City of Village of f1 V I I 3-(-- y Town of 111. Type of Permit: (Check on one bolt on line A. Complete line B if applicable) A. New System eplacemem System TreatrtentlHolding Tank Replacement Only ❑ Other Modification to Existing System (explain) x B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner —� IV. Type of POWTS System/Component/Device: (Cheek all that apply) Nan -Pressurized In -Ground ❑ Pressurized In -Ground At-G Mound > 24 in. of suitable sot Mound < 24 in. of suitable soil Holding Tonk ❑ Other Dispersal Component (exploit Pretreatment Device (explain) V. DispenaVlYestmentArea Information: e r = (Z ,0 Design Flow (gpd) Design Sal Application Rate( f) Dispersal Area Required (sI) Dispersal Area Proposed (sf) System Elevation la"a L150 1 1-98.or— VI. Tank Info Capacity in Gallons Total Gallons a of Units Manufsaurcr J QicE71%fA -�i 1•i� New Tanks Existing Tanks 4 Septic Tank y( AL-.� X Lift Tank W VII. Responsibility Statement- 1• the uaders ass bigty fisrilastallatinin of the P0%TS shown on the attached plans. Plumber's Name (Print) I Plum 's Signioure MP/MPRS Number Business Phone Number Lewis Bork 253976 715-231-7375 Plumber's Address (Street, City. State, Zip C ) E7818 County_Road E Menorn6gie 54751 Vlll. Couety/Department Use Only ,IApproved ❑ Di roved Permit Fee Date Issued Issu' Agenr Si 5 b(�O a ❑ en Reason for Denial 22 S Conditions Approv 1 3% r _ll;,jt .s� Z SYSTEM 0 �'"p"p"� s'^� �w 1. Septic tank, hlter amyl affluent r dispersal cell must be serviced / maintained t f1 as per management plan provided by plumber. / r. _ / -rnuu� 2. All setback requirements must be maintained as per applicable code/ordinances. ('_;---pg l -(6c&� SBD-6398(R. II/11) ,,,aek &uAl es. ,k "f� plops, CHECK BOX AS APPLCABLE, [] SOIL EVALUATION Scale: 1"=aa SITE MAP '° 80 80 rzzy PROJ `CT NAME; # i '°' PP4MCTAWRESS: G( I( am By 8M Elevaeon: `I l v FT a Oascrl 1 /� Indicaa naM aSr Yates Mks (x) L t wall Symbd (tl applicable): Q m nvWm!ZW* a.. bECK BOX Aa APPLICABLE. SYSTEM PAGE 2 OF PLOT PLAN DEB;GN FLOW: 419D an Attach design flown caloulabone for commercial plena. Pipe Material ! ASTM Standard (Tables 381. & .30.5) SanaerySewer._ �! Fina Maln: 1 IbMRTANT: Show ground elevation oorWurs at suitable inwWs. i - t IV s�P� 2/�a m v 0L, ,k � ,CoP Igo bSpS sir � uc-s June 1, 2022 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 2024-06-01 Plan Review: PWTS-062201053-C LEWIS C BJORK E.7818 County Rd E Menomonie WI 54751 SITE: Del Ziebart -DLZ ent. - 198 County B Town of EAU GALLS St. Croix County Total Amount: $250.00 Description: 450 GPD (3 Bedrooms — Renlacement) Maintenance Required DIVISION OF INDUSTRY SERVICES 2331 SAN LUIS PL GREEN BAY WI 64304-5211 Contact Through Relay httplldsps.wi.gov/pmgramarindustry-servicss www.wisconsin.gov Tony Evan . Govemo► Dawn Crim - Secretary CondIYonary APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SEE CORRESPONDENCE Pressure Distribution Component Manual — Ver. 2.0, SBD-10706-p (N.01101, R 10/12) Mound Component Manual — Ver. 2.0, SBD-10691-P (N.01/01, R 10/12) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes 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. 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: • Preserve dispersal area prior and during construction to avoid disturbance, compaction and use of the site. • Any tall grasses, leaves and shrubs shall be cut short and removed prior to tilling the surface for installation to prevent matting under the dispersal area. All loose organic material to be removed from POWTS Dispersal Area. Prior to construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. Smearing and compacting of wet soil will result in reducing the infiltration opacity of the soil. Proper soil moisture content can be determined by roiling a soil sample between the hands. If it rolls into a 1 /4- inch wire, the site is too wet to prgpare. If it crumbles. site_prcnara6on can proceed. If the site is too wet to pro=. do not proceed until it dries. • Abandon Existing System per SPS 383.33 • Pump Floats to beset and verified per approved plan. Any changes may result in pump resizine to meet TDH and GP11 Specifications. • Divert surface water from POWTS Area. • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building sewer beyond 30 feet per SPS 382.30 (11)(c) • Tank Installation to follow all manufacture's recommendations. • Verify property lines) prior to installation. • Well setbacks to meet chs. NR 811 & 812. • Areas that are occupied with rock fragments, tree roots, stumps and boulders reduce die amount of soil available for proper treatment. 1 f no other site is available, trees in the basal area of the POWTS Dispersal Area must be cut off at ground level. A larger fill area is necessarywhen any of the above conditions are encountered, to provide sufficient infiltrative area. Owner Responsibilities • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval SPS 383."1). • 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. 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/instal lation/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. Thanks, e7161,r V..e."�«t POWTS Plan Reviewer — Wastewater Specialist Department of Safety & Professional Services I Division of Industry Services email: um.N:indcrl_cc u«�visccrosinZpc Cell: 608-516-6134 PAGE 1 OF 6 Mound Plan Index & Cover Sheet Component Manual Design References: Version 2.0, SBD-10691-P (N.01/01, R. 10/12) & Version 2.0, SBD-10706-P (N.01101, R. 10/12) Pg 1 of 6 Index & Cover Page Pg 2 of 6 Plot Plan Pg 3 of 6 Mound Cross -Section & Plan View Pg 4 of 6 Distribution Network Specifications Pg 5 of 6 Pump Tank Specifications Pg 6 of 6 Management Plan Attachments: Enclosures: Pump Curve POWTS Application for Review tank Soil Evaluation Report & Site Map effluenrt filter Project Name ! Description OwnerName(s): _bLZ- CN1 1W z►+-Oar Phone:Z�--8Z4 - (Z3S Owner Address: i91 Q l., CXxAOJIC _ Zip: S;40Z Project Address: I (IQ, ( O,EA R- c )ct,A . I' I,L tut Goat. Lot: r-,W 1/4ofNX 1/4, Section Zto TL N-R J�2 EQor W Township: EaLj GA kk County: _ • CZO ProJect Parcel ID #: CJ(-')i:-3 — ( O, `f — / p -- OC) C.) Designer Information Designer Name: Lewis Bjork Phone: Designer Address: E7818 County E Menomonie WI E-mail: lewisbjork@yahoo.com License Number: Master plumber # 253976 Remarks: 715 - 231 - 7375 Zip: 54751 co�arou..er APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SEE CORRESPONDENCE Si9 nature' ` `- Date: ' 28-Z6ZZ orlpmel munaWre requW on each w n ODPY. CHECK BOX AS APPLICABLE. NECK BOX AS APPLICABLE. SOIL EVALUATION D'� 40 SYSTEM PAGE 2 OF SITE MAP PLOT PLAN PROJECT NAME: ip, DES ON FLOW L �" OPD i }— / Attach design flow calculations for commwdsl plena. PROJECT ADDRESS �� Pipe Material / ASTM Standard (Tables 384. 8 .30-5) W BanllBry saws _�_ / - BM By $ BM Ele+sBon: FT Face Main eimPO icnm rwm br IMRTANT: d°{swd Arec (%) L l l well srvw (n w�cabe) p ar NV approp� m Stow grand elevation conlours at adtabN ineervab. 6, -k SIoP1, 2�xo �`-o l -I � °l Wwj o 5 - 0.50 TO 2.5 WASHED AGGREGATE (min. 6.0' beneath distribution pipe - mif.2.0' over distribution pipe and covered with approved synthetic fabric) Mr, ASTM C-33 SAND FILL min. 0.5 It W=ems Plowed Surface SINGLE -CELL MOUND DISPERSAL AREA D= I ft MIN. 6.0' OF TOPSOIL COVER E = t . cv ft min. 1.0 ft System Elevation = 9- It Lateral Invert Elevation = ft CROSS SECTION VIEW I--- A = ft (No Scale) surface Contour �^ Elevation = (Show force main, manifold, and flush valve locations on plan view.) I D % Slope , PLAN VIEW (No Scale) JS- 0 Schdl a0 t PVC Lateral G 3 ft ft (typical) I lhvtcep 1 r t r-------- — — I--------- a-------------------------------------------------------------3oiarvam,--�--------- I L-------------------------------------- -----------� i— B=�ft —I .11 LI K= Bend as necessary to follow contour DOWNSL04PE TOE I_ L=ft 93.6 Prohibit disturbance and vehicular traffic within 15 bat of downslope toe. ft RYPW* 9.3 D G) M W O n rn DISTRIBUTION NETWORK SPECIFICATIONS (No Scale) FLUSH VALVE DETAIL (No Scale) Orifice in Valve Box Lateral Sitcing Center of Threaded Cap^ ` (insulation optional) S - fl for Head Testing � (optional) \ Shield orifices for \ \ tlraveYesa applications / Ball Valve I \ (optional) (rise) '0 Schd140 PVC Force Main (slope to pump tank r for drain -back) .O Schdl 40 First Orifice PVC Manifold (typal) I S Laterals to be level Schdl 40 PVC Lateral 0 = , S in (typical) Lateral Length (P) = 7Z it Number of Orifices per Lateral = Orifices equally spaced: — \ 8) OR b) below] 1 _ a) along bodom of lateral Orifices equally spaced Flush Valve aking bottom of lateral b) along top of lateral Assembly, with every — th hole (typical - see detail) \ facing down Orince (typical) Orifice Spacing (X) _ in LATERAL INVERT ELEVATION = 9 T ft (bpi) (typical) Orifice Diameter = min OBSERVATION PIPE DETAIL (No Scale) Screw -Type or •y :� ' Sip Cap nOO�) Finished Grade (mulched & seeded) 40103 PVC Pepe Top" Cover _ Top of pipe to terminate (rain• f foot) at or above finished grade (4)1W-tr - x 80 Slots ® Spa" gnchot" Dew Infiltration surface Orifice Discharge Rate = 65- gpm Number of Laterals = Z Lateral Discharge Rate = 1 Z W gpm TOTAL DISCHARGE RATE= 1;' •1 GPM (typical) First CM to Mvical) END MANIFOLD ��1) Check � CONNECTION applicable box. stow First OrMoe (riser pipe optkmal) D (typical) G) X X/2 X/2 X A (typical) (typical) CENTER MANIFOLD n Manifold CONNECTION � (riser pipe optional) PAGE 5OF6 SEPTIC / PUMP TANK SPECIFICATIONS (No Scale) 4'e vent Pipe > 10 n from Buiding I Min. or 2.011 above Established Flood Elevaton (ty") Approved IMPORTANT: vent Cap Anchor tank(s) as necessary 7 pursuant to SPS 383.43(Bxg) I Finished Grede CAPACITIES @ 1= gain 4 Depth (in) Volume (gal) A 19 31 Z. 3 B 2.0 y [C] y k s -N. IS o ;.5 azz.3� *Pump Tank Liquid Level = in Force Main Diameter = 2 in Force Main Length = � o ft Electrical must oompy wxh SPS 316 and NEC 300 I t—Jundion Box Conduit /,time sw *T IlA 19 1 � B�� ' ICJ Pump TOD Extend manhole Aver as neossmy. Approved locking Manhole with Warning label Attached (typical) 3' Approved Baddmg Mrlerial Beneath Tank Force Main Void Volume = gal �6 [C] Total Dose Volume DV = �� `� gal/dose (5X total lateral void volume iE TDV < 0.2X design flow) + (force main drainback volume) MIN. PUMP DISCHARGE RATE _ ?�f . �] gpm 4' Min. or 2.0 it above Established Flood Elevation 1tyWaq Quick Disconnect G] 1a'Min. / (tyImo) �1 I D. - Approved Joints with Approved Pipe 3 ft onto Solid Ground (typlal) PUMP -OFF ELEVATION = ft INSIDE BOTTOM ELEVATION ft 90 I Vertical Head ft + Min. Supply Head =eft + FM Friction Loss = 15 ft + Fitting Loss' = 15� ft A,(min. supply head x 0.3) = TOTAL DYNAMIC HEAD = iTft PUMP TANK: SEPTIC TANK(S): Volume = (,y,^) 3 gal Total Volume gal Manufacturer: �3PU- '*AL3 11 Manufacturer(s): Pump Manufacturer. Pump Model: 1\x►S2wwwassievo (See attached pumpcurv+) Controls/Alarm Manufacturer:N•% Install approved effluent filter at the septic tank outlet immediately uostream of the pump tank inlet. Filter Manufacturer. 02E Controls/Alarm Model: Ate Filter Model: 17T-0822 I L4 13 Float switches containing_ mercury are prohibited. Mound Management Plan PAGE 6OF6 IMPORTANT: The owner of this mound system shall be responsible for its perpetual operation and maintenance pursuant to requirements of SPS 382-384, Wisc. Admin. Code. Pursuant to SPS 383.52 (2), Wisc. Admin. Code, this system shall be considered a human health hazard if not maintained in accordance with this approved management plan. Furthermore, all inspection and maintenance activities shall be performed by a registered POWTS Maintainer in accordancewith SPS 383.52 (3), Wisc. Admin. Code. Maximum Dispersal Area Operatina Limits: Design Flow = 4 Sc gpd; BODE 5 220 mgL-'; TSS 5150 mgL''; FOG 5 30 mgL" Inapection Checklist INSPECT EVERY 3 YEARS o type of use o age of system o nuisance factors (i.e. odors, user complaints, etc.) o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.) o material fatigue (i.e., leaks, breaks, corrosion, etc.) o solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (i.e„ distribution / drop boxes) o neglect or improper use (i.e., exceeding design capacities, prohibited activities, etc.) o extent of ponding in distribution cell prior to dosing o dosing irregularities (i.e., pump re -cycling, float switch settings, etc.) o electrical components (i.e., wiring, connections, switches, controls, timers, alarms, etc.) o distribution lateral or lateral orifice plugging (measure lateral distal pressure — compare to design specification) o surface discharge of effluent or sewage back-up into structure served Maintenance Chec_ Mist MAINTAIN EVERY 3 YEARS (or when necessary) o Septic and dose tank(sl shall be pumped by a certified septage servicing operator licensed under s. 281.48 Wis Stats. when the volume of solids in the tank(s) exceeds one-third (113) the liquid volume of the tank(*) or as required by local ordinance. Disposal of contents shall be pursuant to NR 113, Wisc. Admin. Code Effluent filter(s) shall be inspected every 3 years and shall be cleaned when necessary to remove any accumulated solids according to manufacturer's specifications. A servicing period will always be greater than 12 months. c Distribution laterals shall be flushed once every 3 years or when necessary. System maintenance reports shall be submitted to the proper local government unit In accordance with SPS 383.55 Wisc. Admin. Code. Report any component failure or malfunction to: �7 Name of individual or company: C, Phone: / t� -2;1 -13-745-- �7/� [J�2 Local government unit i �lj L - Phone: t " JC ` U 6� Local government unit address: l },l a Jul k l ai l) t'w ,iCc\) ZIP: �;;• Any defective part of this system shall be repaired, replaced, or removed pursuant to SPS 383,51 (1), Wisc. Admin. Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 383, Wisc. Admin. Code. No product for chemical or physical restoration of the POWTS may be used unless approved by the department in accordance with SPS 384, Wisc. Admin. Code. Contingency Plan In the event that any failed treatment component of this POWTS cannot be repaired, it shall be replaced pursuant to a plan submitted to the appropriate agency for review and approval. A failed mound dispersal component may be re -constructed within the originally approved area after removal of all failed components. System Abandonment If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wisc. Admin. Code. Zoeller Model BN151-153 Performance Curve ui ui PUMP PERFORMANCE CURVE MODEL 151/152/153 50 ®llllllllllM 12 44,■' _ ON ®► 107 .��35 25- • •1 ,MEN, i 15 MMI Mmm 21 5 0 10 20 I 30 40 50 70 60 GALLONS I 30 120 160 200 ' 240 280 320 Z q 1' FLOW PER MINUTE (APw- -� it "� Residential Biotube's Effluent Filters Applications Our patented' 4-inch (100-mm) Biotube Effluent Filters, Biotube Jr., Biotube Base Inlet Filters, and Biotube Insert Filters are ideal for residential septic tanks and have a lifetime warranty. They prevent large solids from leaving the tank, dramatically improving wastewater quality and extending the life of residential drainfields. 4-inch (1D0-min) Biotube Effluent Fifler 4-inch (100-mm) Biotube Jr. ( (4-inch Biotube cartridge avail- able separately as Insert Filter) 8-inch (200-mm) 4-inch (100-mm) Base Inlet Filter Insert Filler Orenco s superior ettt lent Idlers resist clogging better than all other brands. Our standard, h18-saed 4-inch (100-mm) Biotube Effluent Filter provides maximum fag -term protection in a comFlele package, with housing. Our 4-inch (100-mm) Biotube Jr, at halt the size of our sta i- dard model has more Idtervrg capacity than the full-sized titters sad by ofher manufacturers. For low-Frodte rands, there's the Base Inlet Filter And for tanks with existing outlet tern, lore Biotube ftworl Fdhr u ilhlal V m•ea by I'drere ram*ms .5 492.05 ma 4.439.323 To Order Call your nearest Orenco Systems", Inc. Distributor. For nearest Distributor, call Orenco at 800-348-9843, or visit www,orenco.com and click on 'Where to Buy." Standard Features & Benefits • Has 5.10 times more flow area than other brands, so lasts many times longer between cleanings, increasing homeowner satisfaction • Installs in minutes inside new or exist- ing tanks, extendible tee handle for easy removal • Easy to clean by simply hosing off whenever the tank needs pumping • Removes about two- thirds of suspended solids, on average, extending drainfield life • Corrosion -proof con- struction, to ensure long life • Lifetime warranty Optional Features & Benefits • Alarm available, to signal the need for cleaning • Flow modulating discharge orifices available to limit flow rate leaving tank, mitigating surges and increasing retention time • custom and commercial sizes available Biotube Filtering Process Effluent from the relatively clear zone of the septic tank, between the scum and sludge layers, horizontally enters the Biotube Effluent Filter. Effluent then enters the annular space between the housing and the Biotubes utilizing the Biotubes' entire surface for filtering. Particles larger than the Biotube's mesh are pre- vented from leaving the tank. Orenco" Oawleo Syst4tnnr, Incorporated APS-FT-1 Rev. 3.5 O 11I13 Page 1 Orenco Syapnn• Mc.. 814 Airway Ave., SAIIedin, OR 97479 USA See-349-9e43 • 541-454.449 • www.orenmcam 12'-6" 4" CAST -A -SEAL - - -- ------ I I IIII V I I A ICI 7 I Il i� 4 I I I I QI ' I FILTER OR j I BAFFLE IHI I II I 0 w < as w INLET - T a I 1 Ix � • 1 I •D -� cv a I Y cp II n U a D a I I•I a 3" tr I I I n WLP1000/600—MR TANK SPECIFICATIONS DIMENSIONS: WALL' 3" 4" CAST -A -SEAL BOTTOM: 3' COVER: S' MANHOLE: 24" I.D. PRECAST CONCRETE RISER HEIGHT: 56' LENGTH: 12'-6" WIDTH: 7'-0' BELOW INLET: 42' LIQUID LEVEL: 36 WEIGHT: 14.970 LBS. INLET AND OUTLET: 4' CAST -A -SEAL BOOT OR EQUAL GASKET INLET AND OUTLET BAFFLE AND FILTER: WISCONSIN, SEE DETAIL /10 (OTHER STATES SEE CHART) LIQUID CAPACITY: 27.88 GAL/IN (SEPTIC) 16.76 GAL/IN (PUMP) LOADING DESIGN: 8'-0' UNSATURATED SOIL TANK CAN BE USED AS: SEPTIC/SEPTIC. SEPTIC/PUMP, OR SEPTIC/SIPHON -4' VENT MITI FT � < I V e PUMP PAD TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS COVER: MIX DESIGN /8 (NO FIBER) TANK: MIX DESIGN #10 (STRUCTURAL FIBER) CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WIESER CONCRETE REVIEWED BY REVIEW DATE II DRAFORGAPPROVALTED11 II APPROVED BY: APPROVAL DATE: PRODUCTS NEEDED BY: OF 1 wisconsfn Department of commerce SOIL EVALUATION REPORT Pegs 3 of 3 Division of Safety and Buildings in accordance with Comm 85. Wis. Adm. Code !nA Attach nplete site plan on paper not less than B 112 x 11 inches in size. Plan must Ctxlrlly �� w \ rxx include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. - tom - to- Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, a. 15.04 (1) (m)). Property 0Wnef Property Location1 (M�/- / DLZ 1 �Jt- DPI-ZIt6ar� GovL Lot 1J►N 1141/4S�6T N R ((0EE 3(oO Property Owner's Mailing Address_ Lot # Block # Subd. Name a 1912 n ! Tq tt/`J- zip code Phone Number Village Town L! CN'ear" Road ;, - I iI, IL41 54028 (r 5)B11- l3 a A I < Cow C3 New Construction UseQ Residential / Number of bedroomis Code derived design flow rate 4�50 GPD Replacement Public or oomrn9rcial - Describe: Parent material L-0 t 5 OU . Till Flood Plain elevation if appllc" fL General oommerrls and reeormmerwatloms: _f r Il f1^a.wl S (� O Lk ,-- '�A qi� Boring K # Boring a Pit Ground surface elev. 99 ft. Depth to limiting factor _ in. Soil ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPOM in. Munsell Qu. Sz. Cont Color Or. Sz. Sh. 'EM1 'Efp#2 _ ,5 3 3 _ Sfl 2M ILIAL C AD T540 Z mG, C 5 . 6 a s lA --- 6 C y 6 z 2 -3 3.5 51 c2F IOiL biz � 2 2a-U IsLaq-A Qc 104,L q Z c - - - s 2 K � # U Boring no Pit Ground surface elev. —9_ ft. Depth to Ilrriftirlg factor _ ZJ�3 in. r a e,wJ= a.t. Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/fP 'EfN#1 'Eff#2 l5 3� — Si{ Z{ c t 6 `c3 7.— 3 '5� 1 -2 blo(/ IF -15 WIL51—' i 'Zr Zf';-3. �-S'k } 42F I �-"�z 5 iL � 3v►,,5�� — ti 5 s E wv Z �� dm ' Etfluerx 91 = BUD7 W C ZeU mgtL a<q G t bb T 1'�t ' Gnl:atl NC ' In/4! .TI I,�L V N , VV w •y� CST Name (Please Print) - - n e CST Number Lewis Bork ewis Bjork 253976 Address Dare Evaluation conducted Telephone Number E7818 County E Menomonie WL 547- -ZS Z02Z 715-231-7375 Property Owner O d ZI b�, f Parcel ID # w U J 1f `� " Pegs 2 of 3 Boring # [] Boring P a pit Ground surface elev. __� n. Depth to limiting factor, o _ in. c..a s.w(.-..t.... ow. ❑ Boring * Boring • Pit Ground surface elev. fL Depth to fl n*V factor In. c..a e....�.h.:..., oe.e Redox Description Qu. Sz. cont. Color BMW # R BOrklg Pit Ground surface elev. ft. Depth to limiting factor in. Sol Application Rate ® •_. •. .. • _ •ont C. ®® ®®®. c EflkmM #1 = BOD, > 30 5 220 mgA. and TSS >30 c 15O mg - ' EMuent 02 = BOO, 5 30 mglL and TSS 5 30 mglL 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. %BD4 T"(R.07/p1( • CHECK BOX AS APPLICABLE. CHECK BOX AS APPUrABLE. 'Pp \ 3 SOIL EVALUATION Scale: 1"=40' ❑ SYSTEM PAGE9;QF SITE MAP I 80 B0 PLOT PLAN PROD CT NAME:rZZ1031 a, DES GN FLOW: � GPO _ L /+ 1 Attach design flow Calculations for commercial pla1. ns. PROJECT ADDRESS. I li( BM srvlw + BBM EleA*m `I co FT N ant Deaenpiibn =T l a, F 1 V (i7 8bpe GraOMI� (%) I (, draws an arrow q of rated A'ee: _LLL. Well SY to aPW'C ): O dswMG.n �mn on the .oProo1+e..... r—/L (� �2 #�39 ?,6 Pipe Malarial / ASTM Standard (Tadao 381.30.4 & .30 5) S.ne.y Sewer / 2�0, Faroe Main: / IMPORTANT: Show ground elevation contours at sultade inbrvals. .� tt a \� 9 .`�— ICU 044) SEt C—S ST. Clzo e LJNTY SANITARY SYSTEM File Office Use Only OWNERSHIPIADDRESS FORM c�Vmr Community Development Department will utilize this information to provide the property owner with information regarding operation and maintenance of your new or replacement sanitary system! This information will be provided as part of our ongoing efforts to protect public health, your well, groundwater, surface water, property values, and county resources. Once approved, this completed form and educational information will be sent to you by email. OWNER/BUYER INFORMATION Owner/Buyer Del Ziebart Mailing Address 197 Count yRd B City/State/Zip Woodville, WI 54028 Phone Number (required)715-821-1235 Email Address (required) Parcel Identification Number 008-1074-10-000 (found on the property tax bill) NEW SYSTEM: LEGAL DESCRIPTION Property Location NW 1/4 NW 1/4 , Sec. 26 . T 28 N R16 W, Town of Eau Galle Subdivision Plat: , Lot # — Certified Survey Map # 1142764 Volume3l Page #7050 Warranty Deed # 1107304 (before 2006)Volume . Page # Number of bedrooms 3 Spec house 0 yes ■ no Lot lines identifiable ■ yes 0 no New Property Address (Staff Initials) OFFICE USE ONLY (Verification of new ad6ress required from Community Development Department for new construction.) (Date) This form must be submitted with all Private Onsite Water Treatment System (POWTS) applications. New System: Include with this form a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey mop if reference is made in the warranty deed. Community Development Department — Land Use Division 715-386-4680 St. Croix County Government Center 715-245-4250 Fax cdd@sccwi.gov 1101 Carmichael Road, Hudson, WI 54016 www.sccwLgov Lx Wiiscorssin Department f Comm 10 2022 SOIL E N REPORT Page! of 3 Division of Safety and ildings W - County 51 C(Lo Attach complete site an _ ti sdb>b 4/2�t 1 inches in size. Plan must • /` Include. but not limitand horizontal reference point (BM), direction and Parcel I.D. '► ^ �� percent slope, scale or dimensions, north arrow, and location and distance to nearest road. ( rQ Please print all information. Rqviewed by k Personal informstion be for Lew, 15.U4 (1) Date .,[� 7OZ'L you provide may used secondary purposes (Privacy s. (m)) ' Owner j- >� D� I - Z I f. ar T Property Location �] /- ` E(❑ E(a)W (61T 1,G D L Z_• fJ • GovL Lot �(J 1/4 NW1/4 S d N R Property Owner's Mailing Address Lot # Block # Subd. Name i n Od D GT City S Zip Code Phone Number Ity Village ■ Town Nearest Road W$ 540Z5jr5) /- Z P-a AIIL 13 aNew Construction UseO Residential / Number of bedrooms Code derived design flow rate s GPD ❑ Replacement Public or oomml / Parent material 1! 0 ( 6ou (L- 'TI I I Plain elevation if applicable fL General comments Lot1►.% and recommendations: �n A l ( r\-, lna qeA C YVM X7S O — 12k k Ir-A 98, loot — Boring b,,�s t&`6•■Kr) Bonne # aPit Ground surface elev. 91 ft. Depth limiting factor in: I Sod Application Rate Horizon Depth In. Dominant Color Munsdl Redox Description Qu. Sz Cont Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPOM 'Eff#1 'E1f#2 - 5 3 3 — sit 2 C . 8 4- -54t. - 6 — iL A'� (o Z 2 -3 S� �r�. ��Z{/F ioV`�12-/ 6[V�1�1� � G W 21:6--U ��S//J ) n 51 Al V-I t o • Y -Z � � 1 //�\� �y-� o • - J (/ham\1 !+ J ZBoring # u Boring _ Q Pit Ground surface elev. ft. Depth to limiting factor _ 65. in. Q,, e. r,l rm;i,; ,,, Rnrn Redox Description Ou. Sz. Cont Color MIJMWIO M �1®=WONJIMM%0 �w� ' e E �m�AOsMM Effluent #1 = BOD > 30 < 220 mg& and TSS > < 150 ' Emuent #2 = Boo < M mg7L and l Jb � %1 mgrL CST Name (Please Print) - - ig re CST Number Lewis Bork ewis Bjork 253976 Address Date Evaluation Conducted Telephone Number E7818 County E Menomonie WI 547. ZS " ZOZZ 715-231-7375 Property Owner O Zl C 6L f Parcel ID # OD S — 1074— t — Page 2 olfBoring # U Boring 3 • pit Ground surface elev. 1 ft. Depth to limiting factor W Sotl Applfcatlon Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont Color Texture Stricture Gr. Sz. Sh. Consistence Roots GPD/ff 'Eff#1 'EH#2 O'3 -76(y- — S1I Z r nw ;Mary 5r II-n t-Vr.sl — S; Z 1� MvW^ C - 6 lar n-z 41 — 5 3Vn C,5 r �l iowc �i2 bi l - cS - 6 Q 2- 5 2s) FzF Z- — 5� Boring # 1:1Bering • pit Ground surface elev. R Depth to Ilmitlng factor in. Soil Aoolicatiat Rate Boring ❑# gBoring Pit end surface elev. k. Depth to fimitlng factor in. c.,n s.,.,rL-� ana Qu. Sz- Cont. Color Effluent #1 = BODS > 30 < 220 nV& and TSS >30 < 150 mg/t ' Effluent #2 = BOD, < 30 ng/L and TSS < 30 mg/t. The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-833OTM (R07M) CHECK BOX AS APPLICABLE. CHECK BOX AS APPLICABLE. SOIL EVALUATION Scale: 1"=40' - ❑ SYSTEM PAGE SIR* SITE MAP I 40 A PLOT PLAN PROJECT NAME: DES,GN FLOW: GPD }— Attach design flow calculations for commercial plans. i PROJECT ADDRESS: C( I BM *"w3d: V BM Elevation: _ 1I ('o FT N BM Description: ]� ) I L"F 1+ V ( SloFe Gr&dWd it Indicate In Wall 9ymeoi (n app�caae) p anwna north ahw of Tested Ares: on the approprtu ar. IM, (f'��vw ?.6 ,3 rh (Lr Qn r� QW di 5G r� ow-mI/ ,.-C-S) Iy Pipe Material / ASTM Standard (Tables 384.3a j 8 .30-5) Sanitary Sewer / %(9 Force Main: ( / - 7 IMPORTANT: Show ground elevation contours at suitable intervals. IAw� 1 S�PG 212C) - I % S 6. Nu o4s sEfi 'rs r^s W. r4 JA II jt7 Q�pl�oew�.�ct—s�ew► CbIX couNrY NO. 644710 STATE SANITARY PERMIT OWNER -- PLUMBE TOWN OF ; SEC_,T N, AND OR LOT PERMIT EXPIRES AL PREVIOUS NO, LIC.#253176 BLOCK �� SUBDIVISION CHAPTER 145.135 (2) WISCONSIN STA The purpose of the sanity , p rpo sanitary permit is to allow Installation of the private sewage system described in the permit. (b) The approval of the sanitary permit is based on regulations in force on the date of approval. (c) The sanitary permit is valid and may be renewed for ■ specified period. (d) Changed regulations will not impair the validity of a sanitary permit. (e) Renewal of the sanitary permit will be based on regulations in force at the time renewal is sought, and that changed regulations may impede renewal. (f) The sanitary permit is transferable. History: 1977 c. 168;1979 c. 34,221; 1981 c. 314 Note: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. ISSUING OFFICER - DATE SS RENEWED BEFORE THATI)ATE POST IN PLAIN VIEW VISIBLE FROM THE ROAD FRONTING THE LOT DURING CONSTRUCTION SBD-06499 (RI1/20)