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018-1043-60-000
Wisconsin ry Building Department of Commerce PRIVATE SEWAGE SYSTEM Salaand Buildingding Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes (Privacy Law. s 15 04 r 1 p m)j Permit Holder's Name i City Village Township Tom & Greg O'Connell TOWN OF HAMMOND CST BM Elev Insp 8M Eev IBM Description TANK INFORMATION TYPE MANUFACTILffIR CAPACITY Septic O Dosing v Aeration Holding TANK SETBACK INFORMATIcIIM I .,1,_ '� -I _ t- . TANK TO P/L WELL BLDG .- vent to it make ROAD Septic n, 1 , �, Dosing t -7 I 3i Aeration Holding PUMP/SIPHON INFORMATION Manufacturer I Demand GPM } J IV� Model Number r 1 pForcemain Lift Fnctio ss Syste Head Ft T tf Len h Dia w Dist to well SOIL ABSORPTION SYCTFM ELEVATION DATA St. Croix Sanitary Permit Nc 644764 Tax No 018-1043-60-000 r/Town1RangerMap No 0.2.11 19.29.17.303 a,)JIL -- STATION BS HI .1 FS ELEV Benchmark A�L B E!MtS g. Se r ll. u r StlHt Inlet SIIHt Outlet DI Inlet Dt Bottom ;�Zl-6 91.7 HeaderlMan. 3. I Dist. Pipe 06 3. Bot. System Final Grade r Cover UT BEDITRENCH DIMENSIONS�� WidthySyste nt tElIff es PIT DIMENSIONS No Of Pits Inside Dia Li wd De th G PSETBACK INFORMATIONye SYSTE LDG WELT LAKE/STREAM LEACHING Manufacturer 1 , CHAMBER OR � /„ tU � 1 Oy ` UNIT Model Number r11STRIRI ITin QV07Cu HeaderrMandold t 1 /1 Length VV Distr rr11 I t\ pipels)qq x Hole: S��ZZe z Hole m 9 Vent to Air Intake Dia Length Dia Spacing SOII CnVFR - riooauitl systems V Depth Over t D11 epth Over Bed /Tra Center H Bad/Trench Edges COMMENTS: (Include code discrepancies, persons pres Location: 1554 CTY RD TT 1 ) Alt BM Description = l � 2.) Bldg sewer length =`It - amount of cover my xx mound ur At -Gracie systems Only *. Deptn of .. Seeded Sodded xx Mulched Topsoil Yes No Yes - No ent. etc.) Inspection �#1 -�gW I (W ?z '-Kz Inspection #2. Pa Plan revision Required? Yes .j/� No l� Use other side for additional inlormatiofi. _l/ SBD-6710(R. 3/97) ate nsepctors Signature Cart No Industry Services Division 'oun St. Croix a 2 a 2�22 1400 E Washington Ave Ju` P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.) St. Croy County t Madison, WI 537 16 /_ qq 7/ / "r velopme , ll� % CP ariltary Permit Application Transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental wit PWTS-072201663-C is required prior to obtaining a sanitary permit )46te: Application forms for state-owned POWTS are submitted to Project Address (if different than mailing address) the Department of Safety and Professional Services. Personal information you provide may be used foci secondary purposes in accordance with the Privacy Law, s. 15.04(1 m Stats. '111 94 Rd. TT, Hammond, WI f. Application Information — Please Print All Information Property Owner's Name /// r6h 14 Parcel # y - Tom R Greg O'Connell t7 Yet. 1I i7krm From 018- 043r60-000 Property Owner's Mailing Address Pro Property Location 1510 Co. Rd. 77 Govt. Lot SW'/4,S£'/., Section 19 City, State Zip Code Phone Number Roberts,Wl 54023 (715)821-2494 (circle one) T29N17; RwEor� II. Type of Building (check all that apply) Lot # ®lor2Family Dwelling -NumberofBedrooms .3 01 Subdivision Nara; Eltne Public/Comrcial —Describe Use Proposed CSM Block # ❑ City of ❑ State Owned— Describe Use no ❑ Village of 1 , xProposed CSM Number _ CSM ®Town of Hammond III. TYpe of Permit: Check only one bore on line A. Complete line B If applicable) A. ❑ New System ® Repl slem ❑ Treatment/Holdin 8 Tank Replacement Only El Other Modification to Existing System (explain) B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Perm t Number and Date Issued Before Expiration Plumber Owner a /'4 Z 4L _ " IV. TYPO of POWTS System/Component/Device: Check all that apply) 6� — ❑ Non -Pressurized In -Ground ❑ Pressurimd In -Ground ❑ At -Grade ® ound > 24 in. of suitable 5oi ❑Mound < 24 in of suitable soil ❑ Holding Tank ❑Other Di real Component (explain) Do ( P ) ❑ Pretreatment Device (explain) ' V. Dis ersaVIrrestment Area Information: Design Flow (gpd) Design Appligptioo Dispersal Area R ired (��^ I Dispersal Area posed (sf) System Elevation (f� 450.00 0.6 native soiVl.OUsand fill 9000 . f2 I 58.23 2 92.50 at 9' above 91.75' oontour VI. Tank Info Capacity in re 5 Z5 Gallons Total # of Gallons Units Manufacturer y q New Tanks 3i�. Existing Tanks cG N rA C7 W Septic or Holding Tank 1000 1000 l Wieser Concrete Dosing Chamber 1 750 750 1 Wieser Concrete VII. Responsibility Statement- f, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumb is Signature I MP/MPRS Number Business Phone Number HenryNechville AA4-222781 (715)220-6054 Plumber's Address (Street, City, State, Zip Code) 967 Hwy. 65, Roberts, WI 54023 III. County/Department Use Only Approved ❑Disapproved ' it Fee �75.O17 Daze ucrqQ Q Z/ ZZ Issuing Agent Si a Owner Given Reason for Denial S IX. C o f itpprovaVReaaons oval 3 v s ipN yp 5 s ^ i f. r4KW 1. Septic tank• effluent filter and 4 1 ularogd • v,-var �,b�, Ao prZy pt• / • w r c r— dispersal cell roust 1 as per ma nagenxnt plan provided by plyn bK 2. All setback roQuvYmenet mwl be W.&W" 4A-11 ad no pat %xil"hia radnAnrill .._-- ...-_...,.. ,,..... •.,..«� .�,. .....wo...„ we ..---,y onry no poper nor rasa mace a rn art "Ines rn size I �Z r Leo wt �S �S a V-c I n t �.ILI ,� SBD 6398 (R03/14) ) i�t�� s/. f �V ) �i rt ResidentiafMotn&POWTS Index & Title Sheet Project Name: O'Connell 3 Bedroom Residential Mound Owners Name: Greg & Tom O'Connell Owner's address: 1510 Co. Rd. TT, Hammond, WI 54025 Site address: 1544 Co. Rd. TT, Hammond, WI 54025 Project Location: Subdivision: Legal Description: SW Parcel ID #: Froi 01 EI/4, Sec. 19, T.29N., R.17W., Town 038-I 1136-80-000 Croix Co.. W1. Page L Index Od Title Sheet Page 2 Stat Approved Mound Design Page 3 F. er Specifications Page 4 epticTank Cross Section Page 5 p Tank Cross Section Page 6 0 rship/Address Form Page Preli ' ary CSM Pa 8a & b Warran Deed Mater Plumber Restricted Service: Henry Nechville, DSPS Credential #222781 Signature: Date: Page 1 of 8 Design pursuant to In -Ground Soil Absorption Component Manual for POWTS, version 2.0 SBD-10705-P (N.01/01) Residential Moun&IPOWTS Index & Title Sheet Project Name, O'Connell 3 Bedroom Residential Mound Owners Name: Greg & Tom O'Connell Owner's address: 1510 Co. Rd. TT, Hammond, WI 54025 Site address: 1544 Co. Rd. TT, Hammond, WI 54025 Project Location: Subdivision: Lot 01 of Pending CSM Legal Description: SWIASE1/4, Sec. 19, T.29N., R.17W., Town of Hammond, St Croix Co.,WI. Parcel ID #: From 038-11136-80-000 Page 1 Index and Title Sheet Page 2 State Approved Mound Design Page 3 Filter Specifications Page 4 SepticTank Cross Section Page 5 Pump Tank Cross Section Page 6 Ownership/Address Form Page 7 Preliminary CSM Page 8a & b Warranty Deed Mater Plumber Restricted Service: Henry Nechville, DSPS Credential #222781 Signature: Date: Page 1 of 8 Design pursuant to In -Ground Soil Absorption Component Manuel for POWTS, version 2.0 SHD-I0705-P (N.0I/01) DMBION OF INDUSTRY SERVICES 10641 N RANCH RD HAYWARD WI 54843 WO CWAMTMaphRNry �-WWODiWn4WV KR TMy Ewr• • 0 aIIOr Dw orborb� July 25, 2022 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 2024-07-25 Plan Review: PWTS-072201663-C JAMES THOMPSON 340 Paulson Lake Lane Osceola WI 54020 SITE: Greg and Tom O'Connell 1554 Co Rd TT St. Croix County Town of Hammond 5W X - SE'/. - S19 —T29N — R17W I&J.; QDNDnZONALLY APPROVED DEPT OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES et&j 2wuciL SEE COMESPONVENCE Description: Mound Component Manual for POWTS—Ver. 3 Bedroom Mound —450 GPD — 2.1 (May 2022-2027) Replacement - 27" to limiting factor— Pressure Distribution Component Manual for Effluent Filter - Maintenance required POWTS — Ver. 2.1 (May 2022-2027) 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: Reminders: • The building sewer shall be installed/insulated per SPS 382.30(11)(c). Cleanouts shall be installed per SPS 382.35. They are required within 5' of where the building drain and building sewer connect, immediately upstream of the Private Interceptor Main and not more than 100' apart along the building sewer. Frost sleeves shall be provided and the caps shall be watertight and of sufficient strength to sustain the weight of anticipated traffic. All electrical equipment and wiring shall meet SPS 316.300(1)(a) and Table 3 of the Pressure Distribution Component Manual. There shall be no more than 3%voltage drop in the wiring to the pump per the National Electric Code. • 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 capacity of the soil. Proper soil moisture content can be determined by rolling a soil sample between the hands. If it rolls into a 1/4- inch wire, the site is too wet to prepare. If it crumbles, site preparation can proceed. If the site is too wet to prepare, do not proceed until it dries. • The mound site shall be properly prepared prior to plowing. Any grasses longer than 6" shall be cut short and removed. To avoid matting, any leaves or loose organic matter shall be raked up and removed. Cut trees and shrubs flush to the ground and leave stumps. Avoid operating equipment on the mound site. If necessary, use only tracked equipment, during dry conditions, with minimal passes, to avoid compaction. • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 14S.20(2)(d), Wis. Scats. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter isrequired. • 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 • The current owner, and each subsequent owner, shall receive a copy of this letter. Owners shall also receive a copy of the appropriate operation and maintenance manual(s) and be responsible for ensuring that POWTS is operated and maintained in accordance with this chapter and the approved management plan under s. SPS 383.54(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. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of 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, ce-cel /i CeCe (Elizabeth) Rudnicki Wastewater Specialist/POWTS Plan Reviewer, Division of Industry Services (608)400-3186 elizabeth.rudnicki@wisconsin.gov MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE CONDITIONALLY Project Name: O'Connell 3 bedroom residentail mound APPROVED DEFT OF SAFETY AND PROFESSIONAL SERVICES Owner's Name: Greg & Tom O'Connell DIVISION OF INDUSTRY SERVICES Owner's Address: 1510 Co. Rd. TT, Roberts, WI 54023 I C a� 4 SEE CO ESPONDENCE Site Address: 1544 Co. Rd. TT, Hammond, WI 54015 Legal Description: SW1/4SE1/4, Sec, 19, T.29N., R.17W. Township: Hammond County: St Croix Subdivision Name: Proposed CSM Lot Number. 1 Block Number: Na Parcel I.D. Number: From 038-1136-80-000 Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings �111r11rru1� Page 4 Lateral and dose tank �a\SCONSjj Page 5 System maintenance specifications Page 6 Management and contingency plan 1WES K Page 7 Pump curve and specifications '_ Page 8 Site Plan o E 2 Page 9 Attached Soil Evaluation Report op OSCEOLA O Vr15. "11fNG10 Designer: Jarnes.K. Thompson License Number. 2390-7 Date: 07/13/22 Phone Number. (715) 248-7767 Signature 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 SBD-10706-P (N. 01/01. R. 10112) Version 7.0 (R. 11112) Page 1 of 9 Mound and Pressure Distribution Component Design Design Worksheet (R or C) Site Information Residential or Commercial Design Estimated Wastewater Flow (gpd) Peaking Factor (e.g. 1.5 = 150%) Design Flow (gpd) Site Slope (%) Contour Line Elevation (ft) Depth to Limiting Factor (in) In -situ Soil Application Rate (gpd/ftz) R 300.00 1.50 450.00 10.00 91.75 27.00 0.60 (C or E) Distribution Cell Information 75.00 Dispersal Cell Length Along Contour (ft) _ 1.00 Dispersal Cell Design Loading Rate (gpd/ft2) 1 Influent Wastewater Quality (1 or 2) Pressure Disribution Information e Center or End Manifold 3.00 Lateral Spacing (ft) 2 Number of Laterals 0.166 Orifice Diameter (in) 3.00 Estimated Orifice Spacing (ft) _ 2.00 Forcemain Diameter (in) 40.00 Forcemain Length (ft) 65.00 Pump Tank Elevation (ft) 4.55 System Head (ft) x 1.3 7.00 Vertical (-ift (ft) 0.63 Friction Loss (ft) 0.00 In -line Fitter Loss (ft) 12.18 Total Dynamic Head (ft) Lateral Diameter Selection in. dia. o tions I choice 0.75 1.00 1.25 1.50 x x 2.00 x 3.00 x Note: Sand fill (D) calculations assume a Table 383-44-3 in -situ soil treatment for fecal coliform of <= 36 inches. 6.00 Cell Width (ft) Are the laterals the highest point in the distribution highest network? Enter Y or N If N above, enter the elevation ft of the highest point. 9.00 ft2/orifice Does the forcemain drain back? u Enter Y or N Forcemain Drainback (gal) A 5x Void Volume (gal) k1linimum Dose Volume (gal) System Demand (gpm) Manifold Diameter Selection in. dia. options choice 1.25 x 1.50 x x 2.00 3.00 Gallonslinch Calculator (optional) Treatment Tank Information 1 750.361 Total Tank Capacity (gal) 1000.001 Septic Tank Capacity (gal) 37.00 Total Working Liquid Depth (in) Wieser Concrete IManufacturer 20.28 galtiin (enter result in cell B49) Dose Tank Information Effluent Filter Information 750.361 Dose Tank Capacity (gal) JPolyLok Filter Manufacturer 20.281 Dose Tank Volume (galtiin) PL-525 Filter Model Number Weiser Concrete Manufacturer Project: O'Connell 3 bedroom residentall mound 4 Page 2 of 9 A n 0 W CL a 9 m m iu 0 0 c _ a ©EE00 ca =icc om mo o N � 0 — (—� f�D W 9 01 a 4 in. dia. slotted observation pipe r m fCD cr N m m . 61 A CD 03 W "' m mO m Gt 0 O Ce �.»�CRI 7 m m 7 m m m -n : co^.� $ o 3 n $ 3$ m g_ v M. c m W m W t0 m 0 o CD �. Q _ N c CD cr. 0 m_a < H 0 N Al 01 _ co a N m cm O c D a cc 0 a) O m v� N N m I: -o am N C O A 00 �v y r� ofDi o m v = n t:3 CU m m B. =;* 0-nm RCCOO', = > > r � N N CD wc�nw ;*? ;* =0 f=~ r I I H-0 >—*--C-- -* 3 Project: End Connection Lateral Layout Diagram me n a W CWT"Mon 0 a Turn -up w'boll valve or olunoutplup f P A/ labrals wo ldentioal I(- X-3,I Holes dMed on the bottom of"late+al 0"W4 spaced S Force main eonneetion uia the or arcs to mangdd at arq print Laterals Rforcerrletn Sch 40 PYC per SPS Tebie 384.30-6 Number of Laterals Lateral Diameter Lateral Length (P) Lateral Spacing (S) Lateral Flow Rate System Flow Rate Total Dynamic Head 2 1.50 in 73.44 ft 3.00 ft 13.46 gpm 26.93 gpm 12.18 ft Orifice Diameter Orifice Spacing (X) Orifices per Lateral Orifice Density Manifold Length Manifold Diameter Forcemain Velocity Dose Tank Information Electrical as per NEC 300 and --110 SPS 316.300 WAC Tank component is properly vented Weiser Concrete Ca aci 750.36 Volume 1 20.28 Manufacturer Gallons gal/inch Dimension Inches Gallons A 19.36 392.53 B 2.00 40.56 C 3.64 73.91 D 12.00 243.36 Total 37.00 750.36 3" Disconnect T A jv B C D under tank. Alarm Manuafacturer SJE Rhombus Alarm Model Number JJU Plugger XL Pump Manufacturer jZoeller Pump Model Number JBN 151 Pump Must Deliver 26.93 gpm at 12.18 ft TDH O'Connell 3 bedroom residentail mound 0.1561 in i 1e Locking cover with warning label and locking device and sealed watertight i 4 in. min. �— Alternate outlet location Forcemain diameter 2 in. Weep hole or anti. siphon device Pump off elevalion (ft) 86.00 Dose tank elevation (ft) 85.00 Note: Switches containing mercury may not be used in this system. Page 4 of 9 Mound System Maintenance and Operation Specifications Service Providers Name He Nechville Phone 715 220 6054 POWTS Regulator's NameI St. Croix County Zoning De 't. Phone 715 386-4680 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Septic and Pump Tanim Effluent Fiftei Pump and Controls Alarm Pressure System Mound Other Service Freauencv Inspect and/or service once every 3 years Should inspect and clean at least once every 3 years Test once every 3 years Should test month) Laterals should be flushed and pressure tested every 1.5 years Inspect for ndin 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 Tum-up Detail Finished Grade \ 6 8" Diameter Lawn �/-♦ Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: O'Connell 3 bedroom residentail mound Page 5 of 9 Mound System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General This system shall be operated in accordance with SPS 382-84 Wis. Adm. Code, and shall maintained in accordance with ifs' componerit manuals [SBD-10691-P (N.01/01, R. 11/12), SSWMP Publication 9.6 (01/81), and Pressure Distribution Component Manuel Ver. 2.0 SBD- 10706-P (N. 01/01, 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, 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 shah be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches In diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, State. The contents of the septic tank shall be disposed of In accords nos 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 filler when removed from its enclosure. If the fitter Is equipped with an alarm, the flier 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 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 flier 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 mounds 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/1- 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 dogging 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. Corrtlnnencv Plan If the septic tank or any of its components become defective the tank or component proper operating condition. Po shall be repaired or replaced to keep the system in 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 fags 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 managentent plan for this system. Project Page 6 of 9 r. PUMP PERFORMANCE CURVE MODEL 16111521153 I ROINFEnaf311E .2&.93 pJ/40 jn,'hd4 c 4a4r01.d1sck6e r7c' CONSULT FACTORY FOR SPECIAL APPLICATIONS 17e ' Tmed dosing paltds sovilo . • Eledi iced eMai rwime, for dlgle7t syelarru e7e exeiebls ald e14PW with an deem ' %1w e61e Iseal tw n sail l l ere avai" for corrto@rg **phreewsw - Do" piggyback varleble Isysi Aoet sr Ww ers WeI lebie for vedebM WM long and short cycle co tais. • SeeleclQek-Bu araiehls for wtdocr inslidwic m gee FM1420. • Over 130'F. (54'C.) special QucEegm regrind. 1511152/153 Series lnerxm MOCHA called aal.oam role( 1kaaAb rode N151 115 1 Nm t0 t 2or3 BN151 115 1 AM l0 tiell7dad 213 Et51 230 1 Non 3.2 1 2cr3 BE151 230 1 Auld 3.2 2 a 3 N152 its 1 Non 55 1 2a3 8M 1t6 1 Aub 65 tadLkbd 2a3 E152 230 1 Nm 43 1 3 2N23 t 230 1 43 taa70td 53 tta 1 Nm f0.5 7 OMP 115 1 Aub 10b YdlrOsdE163 230 1 Nm 53 1 BE153 30 1 sib b.3 tldt0ad TOTAL DYNAMIC HEAD/FLOW PER MINUTE EFFLUENT AND DEWATERING MODEL '1 152 153 Feet NVAM 09 Mae oat Iba Br horror 5 1b 00 1n 0 Ml 71 391 10 30 46 170 61 231 70 285 1a 46 3e 1" 53 201 91 231 20 41 s 110 4r 157 62 in 25 7b 16 01 3r 121 42 Is 30 91 23 67 33 126 36 107 _ _ _ _ 22 m 40 � 11 42 tau4ateas 301 .tn 3atl 11 46113A Model 151 6702 494 37e 4 37a Models 1521153 32702 SELECTION GUIDE 3= 4 aa73t 1. SugW pppybsck yafi9bp byd last awllch or datbl9 pi�bsck 9xubl9 INI91 lOr " J ^ r swddt Re* to FM0477. All Inatelatian of control., proesco n d00004 and vArIng should be done by a qualned 2 See FM0712fOf carted model of BsctrioslAlMrrrlor E-Pak 110ansed *10WClan. All alabacel and safety eodaa should be fallowed Inoludln0 oro mnel recent National Elecbic Code (NEC) and the Oceupa0m81 84%ty and Health Act (OSHA). 3 Vlerlsidelavaieontd"00hiO4MwWwaealtdadnasior.peeilydtpkx(3) or (4) lase aydxn. RESERVE POWERED DESIGN For urneewl COndiS = a reserve safety feclur Is engineered inio tits design of every Zoeler pump. 1110411. Lowery vo.01564NIT Laa9reA Ky 40T6eAir7 S#Wl& 3MC&7aAln Road tea.. . Lalw^ KY 4att1-fart /a�alMwwseleaiawe PUMP !D_ � ; „I 0 Copyright 2004 zoaesr Co. AN rgttt9 reserved. P6,7ag9 11 Map e-*$AdLe7resrt/ Ce„ersbe 1, rcCyL+t. SSeE:cf-Kra/ Ioo/ L./IPL.-SzS 2H�/u en,E F+'/Ev A_�-D �-ressaf.r� a� E'Xi�.-n!"�g StpdGT� �e bt i�doadar.�d a5- PvsRs3IJ.83.` Errsb��,+,yuaal� bt a.b" dined &.s Pu^?e3d3. 0 0 ^ EXI:s&V V Mde. 4&/ AX Pv 2479 /ssy Ce. �2d'f'r AZI/. 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SANITARY SYSTEM Office Use Only OWNERSHIPIADDRESS FORM Created212021 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 Greg & Tom O'Connell Mailing Address 1510 Co. Rd. TT City/State/Zip Roberts, WI 54023 Phone Number (required) (715) 821-2484 Email Address (required) GTOFarm@DishUp.US Parcel Identification Number From 018-1043-60-000 (found on the property tax bill) Property Location SW 1/4 , SE 1/4 , Sec. 19 T 29 N R 17 W, Town of Hammond Subdivision Plat: Proposed CSM Lot # 01 Certified Survey Map # Pending Volume Page # Warranty Deed # _940M //6108S (before 2006)Volume Page # Number of bedrooms Spec house 0 yes ■ no 4 Lot lines identifiable 0 yes ■ no New Property Address G / (Verification Iof ew address required from Co nity Deve m t Department for new construction.) k 6z Zf / 22 (Staff Initials) (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 certirted survey map if reference is made in the warranty deed. Community Development Department — Land Use Division 715-386-4680 St. Croix County Government Center cddC�sccwi.aov 1101 Carmichael Road, Hudson, WI 54016 4 715-245-4250 Fax WWW. SCCWLppQOV (Q OF'V 4" CAST-A-SI 0 w N as w INLET ijr N Q., CAST -A -SEAL -- -- � OUTL T -�- I I �Q nl I n PUMP PAD SIDE VIEW MANUFACTURED TO MEET OR WLP750—MR TANK SPECIFICATIONS a a i DIMENSIONS: o WALL-2 1/2- a BOTTOM: 3" COVER: 5' MANHOLE 240 I.D. PRECAST CONCRETE RISER HEIGHT: 5e OUTSIDE DIAMETER: 7'-0" BELOW INLET: 42" w LIQUID LEVEL• 3r WEIGHT: 6,150 LBS. 'oi INLET AND OUTLET: $ E 4" CAST -A -SEAL BOOT DR EQUAL GASKET N o 0 N � m O � INLET AND OUTLET BAFFLE AND FILTER: W WISCONSIN, SEE DETAIL #10 a w (OTHER STATES SEE CHART) vV o o La .9 LIQUID CAPACITY: 20.28 GAL AN HOLDING TANK: C OUTLET HOLE PLUGGED ACTUAL CAPACITY: 790 GALLONS C LOADING DESIGN: 8'-0' UNSATURATED SOIL pz G.7 o co I `n TANK CAN BE USED AS: < M SEPTIC / HOLDING / PUMP OR SIPHONLu o COVER: MIX DESIGN /IB (NO FIBER) O y = � TANK: MIX DESIGN #10 (STRUCTURAL FIBER) CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WIESER CONCRETE ; � J a z O N d Q U REVIEWED BY REVIEW DATE' w N DRAWINGS SUBMITTED FOR APPROVAL APPROVED BY: SHEET NO. APPROVAL DATE: 1 Z PRODUCTS NEEDED BY: / OF ) .o CERTIFIED SURVEY MAP LOCATED IN THE SW 114 OF THE SE 114 OF SECTION 19, TOWNSHIP 29 NORTH, RANGE 17 WEST, TOWN OF HAMMOND. ST. CROIX COUNTY, WISCONSIN. N 1l4 Comer j Sec. 1 D-T29"17'W The parcel(s) shown on tlls Fond Survey Nei SW 114 - SE 1 /4 A.,126.76 Coo ty and Tot1oo State. R:126.30 County and Town laws, lobs SEC. 19-T29N-R17W R123.3629 and regulations (Le., CA.CB:Ng734�S' OW fiends. mlNrrum lot size, n la L rW CB:ND78 arcea to parcels, etc.). LL.RJI�_§_ � Before pindmuing or oenterane 14 tool wide shed dsvelopN any perce9s), electric eaaemerd contact the SL CrWa County Cotnmtnon am wl 599-1133W 316.06 DeperrrrrMN and the Town for r 1 advice. shed 1 11) Rir4' vo.N. 0 /Il � 1 house wed � _. Power' a LOT 1 lwb ❑ Area Inducing Road RN. 96,965 Square Feet 2.2724 Acres 8 114 Corner r 0 Area Etrluiling Road RAN: i Sea 19429N-R17W 67.570 Squan Feet Found tlemtaen Mon. 2.0103 Acres N Na&1 — 3—.91 — r- v� N6g-1133E 346.69 e _ — AN99.1133E 15.00 _TZ---------— T — ---1slbQ----- -- Q,92t2- I 4,uau- I �1nolcMmt 911A119figMLgL I 9 qWa% yh%1L 9ad17S T Volume 24,Psys 5550 Y2lWMJ42J29_vR I Ya__�4.P�ALkS D_auubn!Namts�99 lL_I 9sa_nw 09W 3±7 I �OCuB"gl a I6_ I I I I I I Bearings are based upon the St Croix Courdy.Coordinate System, NAD 1983, (1991) Adjustment. The north -south 1/4 line beers N00-38-33W. Bearings are expressed In degrees -minutes -seconds. Distances are expressed In decknal feet. See County Surveyor's Office for Section data. Legend Found County Monument as noted. O Set 3/4" x 18" Iron Reber welghing 1.52 Lba. Per Lineal Ft. 0 100 200 Scale: 1 Inch = 100 feet Note: electric easement to be seated by separate document. &W.AA w' /� 6.13.2022 SCONg7� k .Brandon W. King S-2632 Eau Gelle 9vvi 0 by tiQ Jam$` Brandon King Land Surveying, LLC PREPARED FOR: N324 County Rd D Eau Galle WI 54737 Greg omnnell FIELD WORK DATE: 607-2022 SHEET 1 OF 1564 County Road TT MAP DATE: 6-13-2022 2 SHEETS Phone: 715-639=5243 Email: bklsllc@gmail.com Hammed %M s4615 Is . 70r-8 CSC -,iZd Ad _ I a $ 1nlsconsin Department of P� 1 of 3 Division of Industry Services \>> � -D hm JUN 1 2Q22SOIL EVAL REPORT n accordance SPS 385, Wis. Adm. Code County St. CroixCo. Attach complete site plan on pa r not Igss thal� 1(?,,*&I inches in size. Plan must include, but not limited to: vertical andph rtzontal fei�i� �t f Ai n and percents", Parcel I.D. b j $ - 10 4 (o 0 -coo scale or dimensions, north a a crest road. from 0361i36 8a+76G Ret Ar2679 Please print all Information. Rev' by Delp I Personal information you provide may be used for seconds Prly Law, s. 15. 1 m 7 Z Property Owner Property Location Paul & Dolores Ford Trust (Greg 8 Tom O'Connell buyers) Govl Lot SW '% SE '/. S 19 T 29 N R 17 E (or) W Property Owner's Mailing Address Lott Block t Subd. Name or CSMt I 1544 Co Rd TT Na Na Proposed CSM City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road Hammond WI 54015 Hammond 150 St. ❑ New Construction Use: ® Residential / Number of bedrooms I Code derived design flow rate 450 GPD ® Replacement ❑ Public or commercial - Describe: _ Parent material Glacial drift S<v-At+4 Flood Plan elevation if applicable rj ft. 70yv- General comments and recommendations: Site suitable for Mound POWTS. Recommended sysem elev. = 92.50' st 9" above 91.75' contour. goring t ❑ Boring ®Pit Ground surface elev. 91.73 ft. Depth to limiting factor M in. Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft' 'Ef1t1 'EfW2 1 0-4 10yr2J1 none all 21gr mvfr css 2fmc 0.6 0.8 2 4-14 110yr314 none sil 2msbk mvfr ow 211mc 0.6 0.8 3 14-26 7.5yr4/6 none ad lmnsbk mvfr gW tvf,f 0.4 0.7 4 26-33 7.5yr4/6 none fal lcsbk mvfr cw - 0.2 0.6 5 33-45 7.5yr4/6 c2d 7.5yr5/8 Ifs 099 ml 0.5 1.0 I 2 Boring t [-IBoring �J ® Pit Ground surface elev. 88.64 ft. Depth to limiting factor W in. Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 -001 1 -EfM2 1 0.6 10yr211 none sit 2rgr nrvfr ca 2fmc 0.6 0.8 2 6-18 10yr3/3 none sil 2fsbk mvfr cw 2fmc 0.6 0.8 3 18-31 10yr4/4 none sil 2msbk mvfr cw 21`1 me 0.6 0.8 4 31-38 1 10yr4/4 none sl 2msbk dsn Cw 1fm 0.6 1.0 5 3&52 7.5YR4/6 c2d 7.5YR5/8 Ifs 0" ml 0.5 1.0 • FMirnr mi = nnn � On < i" rmn e!A TCC -� An e 1 C —A � In a 11n .n CST Name (Please Print) ASigma re CST Number James K. Thompson L — 30021 Address ate Evaluation Conducted Telephone Number 340 Paulson Lake Lane Osceola WI 54020-5413 May 10 2022 15 248-7767 ZOU-0 30 (1104/15) Boring. ❑ Boring ® Pit Ground surface elev. 91.86 fL Depth to lirnkft factor -Z7' in. sdi Annrvamr. RAM Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/FP 'ERs1 'EAs2 1 0-7 1Oyr211 none sil 2fgr mvfr aw 2vf,f 0.6 0.8 2 7-12 10yr3/4 none all 2fsl* mvfr cw tvf,fm 0.6 0.8 3 12-27 7.5yr4/6 none Old 2mshk mfr cw 1vf 0.4 0.6 4 27-40 10yr5/4 c2d.7.5yr5/8 ad 1M51* mfr cw 0.2 0.3 5 40-58 7.5yr4/6 c2d7.5yr5/8 Ifs 059 ml 0.5 1.0 1-1Boring❑ Boring ❑ Pit Ground surface elev. _ ft. Depth to limiting factor in. c..ii An. h.# .n RMn Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 TM1 'EBi12 Boring s ❑ Boring ❑ Pk Ground surface ebv. _ R. Depth to limiting factor Q! in. CLM A,.tL f". 0.4. Horizon Depth In. Dominant Color Munsell Redox Description Qu- Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 'Effs1 'E1fs2 Effluent 01 = BOD, > 30 s 220 mg& and TSS > 30 s 150 mg/L 0 Effluent 02 - BOO, > 30 s 220 ng/L and TSS > 30 s 150 mg/L 91 3 a r•✓N caeo. ro tY aband.►odo 0 t hCro` \ 2 \ 8 \ \ ,O,bs6- �Clr�e to be dn.ida�- �s Et,36 HJ dytr*u(,6o 6t a6&^dn.td Lt P� 3e3.j3- o v .0 1 r 3 4. P,'E EX�JtS'�t•s 9Mde f(l✓ 4 4,4 to 2 /6Sj/ fie. Qd T'r' ,pond, �/. Sf'O/,r p,�pna.d (snm oc -W , Q. i7w. T. oFh4,nm�d O Se_ "y eo., &Jz bs•uh/rGil/ � �y�+...of 5,1,' {Tisumcds/srf.:/cro Gn�dca.E kru.SCC.�'s��c9� ek' '•t Gz�� 6.3 or t ? S10 couNnr NO, 644764 STATE SANITARY PERMIT rmi - /455 V (4 0?) 77" OWNER PLUMBER TOWN OF LU LICa# ZZ7 781 SEC _,T Z9 N, R13 E9) A D/OR LOT /uq BLOCK-- Awlka C,5$1 SUBDIVISION THIS PE POS US\NO. CHAPTER 145.135 (2) WISCONSIN STATUTES (a) The purpose of the 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 a 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 farce 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. UING OFFICER - DATE UNLESS RENEWED AIN VIEW Z THAT DATE VISIBLE FROM THE ROAD FRONTING THE LOT DURING CONSTRUCTION SBD-06499 (R] 1/20)