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020-1439-35-000 (4)
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County St. Croix Safety and Building Division INSPECTION REPORT Saritary Permit No GENERAL INFORMATION (ATTACH TO PERMIT) 645422 Sta'e Plan 10 NonO �{ Personal information you provide may be used for secondary purposes [Privacy Law. s 15 Oa (1)(m)) u/js Permit Holder's Name. City Village Township Par_el Tax No JAMES D & BRENDA D PURDY TOWN OF HUDSON 020-1439-35-000 CST BM Elev / Insp. SM Elev: BM Description. / Section/Town/Range/Map No. r• 57-0 1 Teo of- 5-T..�AW tN,tyN 4— le -T 1 25.29.19.2761 TANK INFORMATION ELEVATION DATA tla -4 - I TYPE MANUFACTURER CAPACITY Septic r Dosing (� AeraC 01 TANK SETBACK INFORMATION as-- � =I �= PUMP/SIPHON INFORMATION moael Number 1 Q TDH Litt Friction Loss System Head TDH Ft 2. Forcemain Length I Dia. z 11 1131st to Well N OSr r SOILASSORPTION SYSTEM I ww1�M r��I1rs,� :. I MEWIPM1r 1 do MCI ��'�rr�' 'ryt�raavayj �r k i ENC V14dth 31 OIM S Length I / n No Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth SETBACK SYSTEM TO INFORMATION TYpe Yst4m: P P/L 2 • 1 e./ t jBLDG O� � I O� WELL 'y O�/ LAKEISTREAM / / LEACHING CHAMBER OR UNIt Manur ` Oyzk- Model Mf7trur— 19"6/ 1=1q a Pl C F7'67lla 2i Header/Mandel - Lenglh Oia �II Distribution t Pipets) Length I ` 1 Dia L 1 Spacing -' 20•o Ix Hole Size 3 /b It : Hole Spacing 19 r r Vent to Au Intake — 88 JVIL IvVYICK t Dro==uro Sv=fnm= nnla v. U/ ,...A A. ALA.n A. A.I. Depth Over Depth Over zx Depth of zz Seeded'Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil - - _ Yes No Yes No COMMENTS: (Include code discrepencies, persons present, etc) Location: 761 KILT CT 1.) All BM Description = 2.) Bldg sewer length = ! ' J era amount 3 n revisio Required? Yes No P 0 �.0 seeot side w`�additionaljnfofrrlation. r _ elrrv�%Fi'_K/•�f`I Date 1 4 ) gtA lra.lvts InsepcloYs Inspection #2_�_ �03•� , I 1.S 5AN-a001a -a vo County Industry Services Division St. (infix B = SEP 2 2 2022 1400 E Washington Ave Sanitary Permit Numbcr Uo be fined in by Co n p co P.O. Box 7162 Madison. W 53707-71 2 St Grolx ment vdo o anrtary Permit Applicati �aVm'en'1unh=mItt1cd I rartsacoou Number In accordance with SPS 393,21(2). Wis. Adm. Code, submission of this loan to the - nit L2 o L2 yr- C_ is required prior n obtaining a sanitary permit. Noce: Application forms for state II( to Pro)ecx Address (if different than mailing address) the Depamrernt of Safety and Prores tonal Servims. Personal information you pruv rde may be used for secondary 761 Kilt Court purposesin accordance with the Privacy Law, s. I5. I km). Stabs. 1. Application Information - Please Print All Information Property Owner's Name --- — Parcel a James & Brenda Purdy 020.1439.35-000 Property Owner's Mailing Address Property Localiun 761 Kilt Court Govt. Lot Si: /., NB '''A. Section 25 City. Slate Zip Code Phone Number Hudson. WI 54016 (circleone) T29N R 19Fort61 IL Type of Building (check all that apply) J I a a ® 1 or 2 FanniN [)wiling - Number of Redrooms 35 Subdivision Name Indigo Ponds Block a ❑ Publm C'omnnercral - Describe Use ❑ City of _ ❑ State Owned - Describe Use _ [IVillage of C SM Number —� ®Town of Hudson Ill. T of Permit: Check I one box on line oe. Complete line 8 if applicable) A ❑ New System ® Replacement System ❑ Treamentltloliling Tank Replacement Only ❑ other Modification to Fxisting System (explain) ❑ Perm,[ Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Die Issued B. Before Expiration Plumber Owner 514830; 7f2aM IV. Type of POWTS S stem/Com nent/Device Check all that a I ❑ Non -Pressurized In -Ground Rmssi d' w ❑ A14irade ❑ Mound > 24 in of suitable soil ❑ Mound . 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component iexplain) ❑ Pretrcatmenl Device (explain) V. Dis rsaVPreatment Area Information: ��— Design Flow (gpol Design Soil Applicnrirn Uispersal Area Required (sit Dispersal Area Proposed (sf) System Flevaion 601) Rate(gpdsf) 857 900 103.80', 103.2'. 1026' 07 Vt. Tank Info Capacity in Gallons _ coin Y g New Tanks Existing Talcs Gallons Unitscola 6 S;J 7 1 Septic or Holding Tank 1250 1250 1 HulTcuti DosingC-hambrr 750 750 1 Huffeutt VII. Responsibility Statement- L the aiaedjrssssaaorrcspoosiboillty Air iastaf than of fire 1'dtYfS shown ar the ■ttaebed ions• Plumber's Name (Pont) PI 's i MPIKIPRS Numtser Huscness Ifisnc NwnMr John Schmitt 2% C/l[.(.' 223160 715-7604WS6 Plumbers Address (Street. City. State, zip Cade) 586 Valley View Trail, Somerset. WI 54025 Vile. County/Department Use Only — Approved is vt IYr�m•A^Iec h�]yt Issued Ii i Agent Silipnat c n ner Ciiven Reason < Dermal 1?(.cat <.7 3),4lll LAO'. UPS—P�x,r_t5,�,�" tic tank, effluent filter and dispersal cell �� •Q>NV-C7,% ,:a' —C � ^� ' C 8vw n �`� t be serviced /maintained as per 4) Pe r ravt�oGt? bl to tool a for tkr srslea /ad aNnit t fplumber ►e Conan o la y en pa r not lee than a s I I incbcs in vsr - - --- - 2. All setback requirements miJsf'De maln�al�W y� at l obi IV r 3 applicable code /ordinances. S g VoLl `� B�n-69R IRn3•I4) i lML A •Tf � �, t�,era p�,,tecP eeresf ' � M ����� SYSTEM PLOT PLAN Purdy 4 Bedroom Soil Absorption Area Project Address: 761 Kilt Gouty BM1 Symbol: & SM Elevation: 111.50- BM ()ascription: Top of Filter Cover BM2 Symbol: Q BM Elevation: 106.45' BM Description: Top of septic tank outlet pipe Slope Gradient of Tested Area: (15%) Well Symbol (if applicable) Notes: See CSM for a corn" Design Flow, 600 GPO Attach design flow alwladons for commercial plans: Pipe Materials I ASTM Standard Tehln IRA 7rL t A iaa VIA 4" SCH 40 PVC pipe ASTM- D2665 2- SCH 40 PVC pipe ASTWD2265 1.5- SCH 40 PVC pipe ASTM- D2W5 T1- Existing 3'x60' Infiltrator trench EI.=105.50' T2- Existing 3'x60' Infiltrator trench EI.=104.60' T3- Existing 3'x60' Infiltrator trench El.=103,85' T4- Proposed 3'xff EZ Flow trench EI.=103.8' T5- Proposed 3'x ' EZ Flow trench El.=103.2' T6- Proposed 3'x EZ Flow trench El.=102.6' Proposed s are 60' long Lateral Equalization Ball Valves (Lateral equalization valve will be set at installation) 100' 2" PVC SCH 40 Force Main . Open ball valve 1 and close ball valve 2 to use trenches 1-3. Open ball valve 2 and close ball valve 1 to use trenches 4-6 c .J 2 Q. BM1rE \ BM2 ggHulTcut 1251N750 galbn Combo Tank Existing 4 Bedroom House 16 0 N Scale: 1" = 40' 0 40 60 80 R/W Kilt Court T2 l —1 to, Valves 10' Driveway a O Existing well Garage Wisconsin Department of Safety and Professional Services Division of Industry Services 4822 Madison Yards Way PO Box 7302 Madison, WI 53707 September 19, 2022 CUST ID NO.: 223760 JOHN F SCHMITT 616 150TH AVE SOMERSET, WI 54025 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/19/2024 MUNICIPALITY: TOWN OF HUDSON ST. CROIX COUNTY SITE: PURDY 4 BEDROOM IN -GROUND PRESSURE 761 KILT COURT HUDSON, WI 54016 SE1/4, NE1A, S25, T29N, R19W FOR: Design Wastewater Flow Value: 600 Bedrooms: 4 Limiting Factor(s): 96" Maintenance Required: Effluent Filter Phone:608-266-2112 Web: hmo://dsos.wi.aov Email: dsps(wwisconsin.¢ov Tony Evers, Governor Dan Hereth, Secretary Identification Numbers Plan Review No.: PWTS-092202245-C Application No.: DIS-092244524 Site ID No.: SIT-106705 Please refer to all identification numbers in each correspondence with the Department. CONDmONALLY APPROVED DW OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES e& C*J SEE CO ESPONDENCE Pressure Distribution Component Manual - Version 2.1 (May 2022-2027) In -Ground Soil Absorption Component Manual - Version 2.1 (May 2022-2027) SITE REQUIREMENTS • A full size 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. A Department electronic stamp and signature shall be on the plans which are used at the job site for construction. Thefollowingconditions shall be met during construction or installation and prior to occupancy or use: / • /Provide instruction in the management plan about how to operate the valves and at what times they will be turned. These valves must be accessible and protected from freezing. In addition, valves can greatly impact head loss. Be sure the Dpump installed operates within it's designed specifications after installation. Ensure equal distribution of each lateral in T4-T6. Minimum distal head pressure is 2.5'. 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 owners manual for the POWTS described in this approval and Wis. Admin. Code & SPS 383.54f 11. • 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 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. 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. The Division does not take responsibility for the design or construction of the reviewed items. Inquiries concerning this correspondence may be made to me at the contact information listed below, or at the address on this letterhead. Sincerely, CeCe Rudnicki Division of Industry Services Phone: 608400-3186 Email: elizabeth.rudnicki@wisconsin.gov Fee Required: S250.00 Fee Received: $250.00 Balance Due: $0.00 Refund Expected: S0.00 Project Name Owners Name: CONVENTIONAL COMPONENT DESIGN Res;dental Arv!icaF. INDEX AND TITLE PAGE Purdy 4 Bedroom Replacement Drain Field James & Brenda Purdy Owner's Address 761 Kilt Court Hudson, WI 54016 Legal Description: SE1/4, NE1/4, S25, T29N, R19W Township Hudson County: St. Croix Subdivision Name: Indigo Ponds Lot Number: 35 Block Number Parcel I.D. Number 020-1439-35-000 Plan Transaction No. CONDITIONALLY APPROVED DEPT OF SAFETY AND PROFESSIONAL SERVICES DMSION OF INDUSTRY SERVICES &C$: SEE COMtESPONDENCE Page 1 Index and title Page 2 Plot Plan Page 3 Septic & Dose Tank Specifications Page 4 Existing Tank Certification Page 5 Effluent Filter Information Page 6 Dose Tank Cross Section Page 7 Pump Curve & Specifications Page 8 System Siting & Cross Section Page 9 Pressure Distribution Network Page 10 Distribution Network Specifications Diagram Page 11 EZ Flow Information Page 12 Management and contingency plan Page 13 Sanitary System Ownership/Address Form Page 14 Warranty Deed Page 15 CSM or Plat Attachment 1 Soil Evaluation Report Designer: John Schmitt Licnese Number: MPRS 223760 Date: 9/3/2022 Phone Number: 715-760-0486 Signature: Zv i In -Ground Soil Absorption Component Manual (Version 2.1) , May 2022 Pressure Distribution Component Manual (version 2.1) May 2022 Pate 1 SYSTEM PLOT PLAN Purdy 4 Bedroom Soil Absorption Area ProjW Address: 761 KIN Godly SM7 Symbol: A BM Ebvatbn_ 111.50' amDescription Top of Filler Corr BM2 Symbol IS BM ElevWon: 105.45 BM Description: Top of Septic lark CUM pipe Slope Gradient of Tested Ana: (16%) Well Symbol (if apPkCBW) Notes. See CSM for a CW4"W lot vital. Design Flow 6W GPO Attach design bow colar.lfotr for commercial plans: Pipe Materials / ASTM Standard Tables 384.30.3 6 384.3M •' SCH 40 PVC plPet"ftO2WEJ5 r8cMeofwc PipeIs- BCH 40 PVC pip T1- Existing 3'x60' Infiltrator trench EI.=105.50' T2- Existing 3'x60' Infiltrator trench EI.=104.60' T3- Existing 3'x60' Infiltrator trench EI.=103.85' T4- Proposed 3' EZ Flow trench El.=103.8' T5- Proposed 3'x ' EZ Flow trench EI.=103.2' TB- Proposed 3'x EZ Flow trench EI.=102.6 Proposed S are 60' long iLateral Equalization Ball Valves (Lateral equalization valve will be set at installation) 100' 2" PVC SCH 40 Force Main , Open ball valve 1 and close ball valve 2 to use trenches 1-3. Open ball valve 2 and close ball valve 1 to use trenches 4$ BM1 \ BM2 EEx�y�lp 2t3M30 gabn Carlbo Tenk Existing 4 Bedroom House UN-1 R/W Kilt Court eta' i 16% Slopes i T5 T4 "'o�Tl —1as T2 T1 � —t1tY If Valves ` \�117 Driveway Garage O Existing Well HUFFCUTT' 1,250 750; I I TANK LADED WARNING LABEL EMBEDDED INTO COVER READS AS FOLLOWS, 2' HIGH CONCRETE CAUTION, CAUTION i FORMED LETTERS I DO NOT ENTER WITHOUT PROPER VENTILATIDN. I � COULD CAUSE DEATN..DANFfRMS GAS. I � I I i OUTLET SIDE ELEVATION (TOP VIEW) 2V DIAMETER CONCRETE COVER (TYPICAL) (TANK BASE, TOP, L COVER% i I i SEE 'ACCESSQt1Es• FOR OTHER COVER OP7IOUS LIFTING HDDM( S. INLET BAFFLE GALJ INCH = 2B.D7 LIDVID CAP. = i,263 GAL. SECTION (TANK BASE, TOP, L COVER) ❑ 4' DIA GAL./INCH . 161i3 LIDUID CAP.= 778 GAL. 4' � 5' DIA ouncTj` DIA f--- I a Nse.s � a R mOA�T A ONE ONM N 7 C3Oe R� aCL S ^� 2e2 ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF EXISTING SEPTIC TANK(S) This is to certify that I have inspected the existing septic and/or dose tank presently serving the following residence: (Street addmss)761 wit court located at: SE '/4, NE '/4, Section 25 , Town 29 N, Range 19 W, Town of Hudson , St. Croix County Wisconsin. Upon inspection, I certify that I have found the tank(s), to the best of my knowledge, will conform to the requirements of SPS. 384.25, and it (they) appear(s) to be functioning properly. Most recent date of inspection or service Did flow back occur from absorption system? (if no, skip next line.) Approximate volume or length of time: Tank Capacity: 125WSO Construction: Prefab Concrete x Steel. Manufacturer (if known): HuNadt Age of Tank (if known): 702008 Permit number (if known) 514M John Schmitt (L' nsed Plumbef Signature) (Print Name) MPRS (Title) jo S- (Date) Yes No x 223760 gallons Other minutes (License Number) MP/MPRS Form to be completed by licensed plumber (Dept of Safety and Professional Services Chapter 305 and s. 145.06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin Administrative Code) Rev. 2/2012 Pan 4 rMvi. c, a The interval for servicing septic tanks is set by state and local code. Throughout the United States, there is a wide difference of opinion on what this interval should be, but most regulatory agencies suggest two to five years. The Zabel filter, which does not increase the frequency of servicing for the tank. should be cleaned when the septic tank is normally inspected and pumped. However, our filter is virtually self-cleaning. The continued action of the anaerobic organisms on the Zabel filter causes lodged particles to disintegrate and fall to the bottom of the tank. If your filter contains a SmartFilter® alarm, you will be notified by an alarm when the filter needs servicing. Step 1: Locate the outlet of the septic tank and remove the tank cover. Shp 4: While holding the cartridge over the access opening, rinse off the cartridge with fresh water, being careful to rinse all septage material back into the tank. Shp 2: Remove the tank cover and pump the tank if necessary to pre"M any solids from escaping to the the drain field when the filter is removed. Step 5: Insert the filter cartridge back in the case, making sure the filter cartridge is properly aligned and completely inserted in the case. Replace the septic tank cover. Step 2: Firmly pull the filter handle and slide the cartridge out of the case. Residential Applications Certified toANSUNSF Standard 46 CapynVi1201/. PolyW. W AM WhIs Maw"d PmOvWs) mvered M oft a M" U. S an&w NMainaManal Parana Of/W U, S aria NlfanlalioMi pafanfa nuy be pandfn0 1-877-765-9565 I www.potylok.com Paris 5 PAGE50F6 SEPTIC / PUMP TANK SPECIFICATIONS (No Scale) IMPORTANT: - -- Anchor tank(s) as necessary pursuant to SPS 383.43(8)(g) Fnianed Gads CAPACITIES @ 16.85 gal/In WW Depth (in) A 24 B 2.0 ff [C] 7 D 12 Ebcbicsl must pornply wxn SP5 318 and NEC Joo Wearnertxoot Jurx�xM Box *Pump Tank Liquid Level = 45 in Force Main Diameter = 2�in Force Main Length = 100 Force Main Void Volume = 16.3 gal * I "r��N 41 mia Ilfl Ex1anC mennpy naer as naaaafery. Approved Lodrxy Manhole with Wammp Label AtlaUrad (NDnt) 4' Mn. a 2 0 }I aboxa Established Food E7avewn Quick piaopnnad A AWm +� Fumo 3- Approved Badd,rg Malenal Beneath Tank [C] Total Dose Volume (TDV) = 117.95 gal/dose (5X total lateral void volume <_ TDV S 0.2X design flow) + (force main drainbedc volume) MIN. PUMP DISCHARGE RATE = 29•7�gpm - Approved Jon Is with Approved Pipe J A Onb Solid GiaxW IMPb9 PUMP -OFF ELEVATION = 1.5 ft INSIDE BOTTOM ELEVATION = 102.5� It Vertical Head = ��ft + Min. Supply Head = ��ft + FM Friction Loss =��ft + Fitting Loss' _ '� •75 ft (min. supply head x 0.3) = TOTAL DYNAMIC HEAD =13.48ft PUMP TANK: SEPTIC TANK(S): Volume = 11250 gal Total Volume = 750 gal Manufacturer. Huffcutt Concrete Inc Manufacturer(s): Huffcutt Concrete Inc Pump Manufacturer: Zoeller Install approved effluent filter at the septic tank outlet immediately upstream of the pump tank InIeL. Pump Model: 98 ls,,,,,,d„d p„m ary.) Controls/Alarm Manufacturer. WE Rhombus Filter Manufacturer: Best Filter Controls/Alarm Model: AB Filter Model: GF10-8 Float switches containing mercury are prohibited, e�e� e r W W LL 25 0 6 20 0 15 13 -r�40 1D 02 5 0 GALLON LITERS 0 PUMP PERFORMANCE CURVE MODEL 98 20 60 l 100 2405 %A ff la �q FLOW Pp�,R�trw$M ONSULT FACTORY FOR TOTAL DYNAMIC HEADIFLOW PER MINUTE EFFLUENT AND DEWATERING MODEL 1 98 Fete Yelrs Gad. Leer 5 1.5 72 273 10 3.0 61 231 15 4.6 45 170 20 7.1 25 25 SfaEdllasQ 23l An SPECIAL APPLICATIONS r 1 rurm Electrical aftemalors, for duplex systems, are available and Variable level float switches are available for controlling single supplied with an alarm and three phase systems Mechanical alternators. for duplex systems, are available Double piggyback variable level float switches are available for with or without alarm switches variable level long cycle controls Refer to FM1922 and FMCB06 for temperatures above 130'F M ewks coma *owed" aeobl I Mob4Mh Noi I Asp shmplex d4b Mae 115 1 Anb 9.4 1 4 Note Its 1 1/on a.4 2a3 4 DOS 1230 1 1 Auto 1 4.7 1 1 4 E9e 1230 1 1 Non 1 4.7 1 21 7 1 SELECTION GUIDE 1. Integral float operated mechanical switch, no external control required. 2. For automatic use single piggyback variable level float switch or double piggyback variable level float switch. Refer to FM0477. 3. See FM1228 for correct model of simplex contra panel. 4. see FM0712 for oorect model of duplex control panel of FM1663 for a residential alternator system. For nlon naem on adds" Zoeller products Peter to catalog an Piggyback Variable Level Switches. FM0477; Electrical Allemelor. FM0436; Mechanical Alirltalor. FMD4W Six* Sewage Basins. FMO497: Sm* Phase Simplex harp Control, FM1596; Ahem Systems, FIX732. All installation or controls protection devices and wiling should be done of a qualified licensed electrician AN electrical and safely codes should be followed including the most recent National ENarical Code (NEC) and the Occupational Safely and Health Act IOSHAI 'Easy assembly' W " 4 a dndrrge Pipe not wit'd a 1 OPTIONAL PUMP STAND PIN 10-2421 Reduces r ,' - I dogging by debris. Replaces rocks or dicks under the pump Made of durable, niGNIMMININ ASS. Raises pump 2' off bolbm of basin Pmy" the abiity to raise intake by adding sections of 1 %; or 2"PVC piping. Athrhes securely to ixi p. Accommodates sump, dewatering and effluent applications. NOTE: Yoke aura goal Is free team obstruction. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is ergYtsered into the design of every Zoeller pump. ///���///��� tatahheA 1fY 4e23fFON7 Mrx�ardaars d Z� e1110 30M17�lo dPUMP !D. Win''P wWw.zciaawcam (reel • CApytefk 2013 21oMer Co. M nights reserved. Page 7 to IN -GROUND PRESSURE DISPERSAL AREA Stepped Elevation Trenches with EZ1203HP Bundles 3-ft Trench (down -sizing credit) :III • • • ♦. • ^ • . • • •' Highest Trench TYPICAL TRENCH CROSS SECTION VIEW (No Scale) Lowest Trench (as applicable) System Elevations = 103.8 ft: 103.2 ft. 102.6 ft: ft; ft Provide minimum 3 ft separation between trenches. Lateral Invert = 104.3 ft. 103.7 ft. 103.1 ft ft, ft Elevations TYPICAL TRENCH (Show force main, manifold, and flush vahre locations on plan view.) PLAN VIEW 1.5 ' 0 Schdl 40 O0ipmbon b • r'r bebe uF ft ° PVC Lateral M � e.a..� ••• Wwa (No Scale) (C Lab) ooae` a0« FVO ---�-------- B = 60 ft 0") INSTALL PER TRENCH: 6 10-ft bundles @ 50 fP EISA/unit = 300 ft' + 0 5-ft bundles @ 25 fP EISAIurdt = 0 ft = Proposed EISA per trench = 300 I It, 10 ft (nomad) A = 3.0 ft Ih�vl�> m W E71203H Bundle 0 Pocall TI (trdd M l dltrakw Sy&*=, Inc.) Intel pursuant 10 nWUf8C ffW% fttrucl Dm Required Infiltration Area = 857 ft x 3 trenches = Proposed Total EISA = 900 ft2 PRESSURE DISTRIBUTION NETWORK 1. Distribution pipe sizing Soil Absorption Area (3-3'X60' EZ Flow Cells) • Lateral per area: 3 • Lateral spacing: 4.00' • Lateral length: 60 • Lateral size: 1 1/2" • Orifice Spacing 48" • 181 orifice location 2' from end Orifice size: 3/16" Orifices per lateral: 15 Lateral discharge rate: 9.90 apm . Distribution network discharge rate: 29.70 apm 3 laterals x 15 orifices/lateral x 0.66gal/orfice = 29.70 gam 2. Manifold • Location: End • Length 20.00' • Diameter 2" • Flow rate 29.70cpm . Friction loss: 20.00' x 1.94ft/100ft = 0.39 ft 3. Force main: Diameter: 211 • Length: 100.00ft . Flow rate: 29.70 apm . Friction loss: 100' x 1.94ft/100ft = 1.94 ft 4. Total dynamic head: Minimum supply pressure: 3.25 ft Vertical lift: 7.90 ft Friction loss (forcemain) 1.94 ft Friction loss (manifold) 0.39 ft Total dynamic head: 13.48 ft S. Lateral Equalization: Ball valves will be used on the 2 lower laterals to match their head to the head of the upper lateral. Page 9 Y 4 DISTRIBUTION NETWORK SPECIFICATIONS (No Scale) BALL ✓ALV9 TO ADS usr j4eAD FLUSH VALVE DETAIL (No Scab) OriFice in — — Valve Box Center of Threaded Cap (insulation optional) for Head Testing (optional) r � � Ball Valve I \ (optional) / Orincw ewAft wooed: Ile Nark e) OR b) WWI _ \ e) n a wv boftn d WNW —/ b) n abrrp taq d lotonl Flush Valve AssemblyJ 5 bole Laterals to be level Scha 4o PVC Lateral 0 ■ 1.5 in Strleld arMoes for wevalleae applim"O s wMr every — (typical -see detel) Last Oam tackq down (typical) LATERAL INVERT ELEVATION = 1 Qy, 3 , J 03o 7� I �3. I ' (typical) OBSERVATION PIPE DETAIL (NO scale) Screw -Type or .� . Ffttmd Grade SIP Cap (ems) + ` (rrulched & seeded) 4'0 PVC Pips - �.. ` Taped Cover (min. 1 foot) Top of pipe to temt>nam ^ w at of above f)rllshed grade (4) 114--1X 60 slofs Q gb spot . Anchar" Device ..,..�: •... IriflUallon surface� Orifice spacing (X) = 48 In (typksl) 2 -0 small 4o PVC ForMain toank (s Igor d �to* Lateral Length (P) = 60 It Number of Orifices per Lateral = 15 Orifice Discharge Rate = 66 gpm Number of Laterafs = Lateral Discharge Rate - 9.9 gpm TOTAL DISCHARGE RATE. 29.7 GPM Orifice Diar = 1 mebin (typical) Fist OMtoe C 3�/b a f (tYf4Ce1) - �-- END MANIFOLD z Check CONNECTION applicable box. f I.,, First Orifice (dear *a OPUMN1) D (typical) G) I m �-- x�n�a) Xn-X '7^— ----� � CENTER MANIFOLD Manftw (deer ) ❑ CONNECTION Installation Instructions for EZflou) Systems in Wisconsin Wisconsin Department of Commerce, Safety and Buildings Division, has reviewed the specifications and/or plans for this product and determined it to be in compliance with chapters Comm tit through 84, Wisconsin Admin. Code, and Chapters 145 and 160, Wisconsin Statutes. AIL sites must meet the A Soil [renditions 3 I orations A Isolation distances as noted in local regulations. The approved products are 1203H (3-17 bundles with pipe in center bundle in 5' or 10, lengths) and 1203HP (3-12' bundles with pipe in each bundle in 5' or 10' lengths. A single pipe bundle contains a four inch perforated pipe sur- rounded by EPS aggregate and is held together with poly- ehtylerie netfing. A single aggregate bundle contains aggregate only and is held together with polyethylene netting. Materials and Equipment Needed • EZflaw Bundles • EZflow Geotextile Fabric • EZflow Internal Pape Couplers • Pipe for Header and Inlet • Backhoe/Excavator Installation Instructions The instructions for installation of EZfaw products are given below. This product must be installed in accordance with state rules defined in chapters Comm 82 through 84, Wisconsin Ad- ministrative Code, and Chapters 145 and 160, Wisconsin Stat- utes, as well as the local health department's current design manual. After the local health department has determined siting, configuration, and layout for the Mow systems, stake or mark with paint the location of trenches and lines. Be careful to set correct tank, invert pipe, header line or dis- tribution box and trench bottom elevations before instal- lation of pipe bundles. 2. Remove plastic Uflow shipping bags prior to placing bundles in the trench(es). Remove any plastic bags in the trench before system is covered. 3. This product must have geotextile fabric that meets re- quirements of s. Comm 84.30 (6) (9), Wis. Adm. Code, installed directly on top of the product and extending down along the sides of the product to a pant at least six inches from the bottom of product. AEZflou�� ............................................. 4. When installed in a trench, the trench should be dug to a width of 36 inches. This not only saves labor in excava- bon, but also provides better load -bearing capacity after backfilling is complete. 5. The Absorption area (SF) necessary for a given site shall be sized based on maxMrw rn daily sewage flow (GPD) and the Permeability for the site. If certain critena is met, the EISA stung can be used in Wisconsin, resulting in a 40% smaller drainfield. 6. Place EZflow bundle(s) in the Wow configuration ap- proved by system design permit specified for the parbcu- tar site. The top or center -most bundles containing pipe are joined end to end with an internal pipe coupler. Any additional aggregate only bundles that may be required, should be butted against the other aggregate -only bun- dles and do not require any type of connection. 7. The top of each GEO cylinder contains a filter fabric pre - manufactured in between the netting and aggregate. The fabric is inserted to prevent sod intrusion. The installer shall make sure the the GEO is positiioned upward and is in contact with the fabric contained in the adjacent cylin- der before backfilling. B. The Wow Drainfield Systems should be installed in a level trench in all directions (both across and Wang the trench bottom) and should follow the contour of the ground surface elevation (uniform depth), with all continuous adjoining 10-foot cylindrical brindles placed end to end, with central bundle distribution pipe interconnected, without any dams. stepdowns or other water stops. 9. The trench top shall be graded such that water will not pond. Backfid should be seeded or sodded immediately after completion to reduce erosion. 10. EZflow EPS bundles are flexible and can fit in curved trenches as may be necessary to avoid trees, boulders, or other obstacles. 11. EPS aggregate is lighter than water, therefore, it might be expected that natural buoyancy forces would tend to cause EZf ow assemblies to float out of ground when ponding occurs. Field experience has shown, however, that this is not a problem when systems have a minimum of 6' of soil cover as recommended by manufacturer. ^--'-1(tlk r Matenal Page 11 PAGE 6OF6 In -Ground Pressure Management Plan IMPORTANT: The owner of this in -ground pressure 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 accordance with SPS 383.52 (3), Wisc. Admin. Code. Maximum Dispersal Area Operating Limits: Design Flow = 600 gpd; 90Ds 5 220 mgL; TSS 5 150 mgL''; FOG 5 30 mgL'' Inspection Checklist INSPECT EVERY 3 YEARS o type of use o age of system o nuisance factors (i.e. odors, user complaints, etc.) o mecharvcal 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 i 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 Checklist MAINTAIN EVERY 3 YEARS (or when necessary) o Septic and dose tank(s) 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-4hird (113) the liquid volume of the tanks) or as required by local ordinance. Disposal of contents shall be pursuant to NR 113, Wisc. Admin. Code. o Effluent filterfs) 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. 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: Name of individual or company: Schmitt & Sons Excavating, Inc. Phone: 715-760-0486 Local government unit St. Croix County Community Developement Phone: Local government unit address: 1101 Carmichael Road, Hudson 715-386-4680 ZIP: 54016 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 in -ground dispersal component may be abandoned and replaced by a code -complying dispersal component in a pre -determined area of suitable soils. System Abandonment If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wisc. Admin. Code. Page 12 SANITARY SYSTEM Fite «: S I C K� l l N"I"Y Office Use Only OWNERSHIP/ADDRESS FORM craoteezrta=r 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. If you would like to view your issued sanitary permit online, you can do so by using the Property Files Scanned weblink. Owner/Buyer James & Brenda Mailing Address 761 Kilt Court OWNER/BUYER INFORMATION City/State/Zip Hudson, WI 54016 651-245-6865 Phone Number Email Address (required)brendapurdymail@gmail.com Parcel Identification Number 020-1439-35-000 (found on the property tax bill) NEW SYSTEM: LEGAL DESCRIPTION Property Location SE t/4 , NE 14, Sec. 25 T 29 N R19 W, Town of Hudson Subdivision Plat: Indigo Ponds Lot x 35 Certified Survey Map #Plat Volume . Page # �nacia-QWarranty Deed # 990740 (before 2006)Volume Page # 'rr Number of bedrooms 4 Spec house O yes ■ no Lot lines identifiable ■ yes O no OFFIC€ USE ONLY New Property Address -RK (Verification o(new address required from munity Development Department for new construction.) (staff Initials) (Date) This form must be submitted with ail Private Onsite Water Treatment System (POWTS) applications. New System: Include with this form a recorded warranty deed from the Register of Deeds Office and o copy of the certified survey map if reference is made in the warranty deed. Community Development Department — Land Use Division 715-386-4680 St. Croix County Government Center rddpsccwi.aov 1101 Carmichael Road, Hudson, WI 54016 715-245-4250 Fax wwwsccWWQy Page 13 .:�11�'': "t��w�y_ /. .. JtY�,�L I +� 1Y•-�Q � Lr/ • I � f � �{[ I Li r� s• :� I I I � � . � 1 \\,�� is ♦ 1, ii ii I � I jj fill o1 i w �•� I ��i rt�! - ..._......._... _.... ..! h {t {{ ■�, 5! � ;rxi i�• �` pq fill IL Iva Ica Jill 71.° WXI!/�t it • I �. ( -rswrtr ::s^.�- -g+g: •• Ytp�cifi_�riui own 3010.10. Page 15 N2m x 11 Uepertirrtenf or SOIL EVALUATION REVORT pop 1 d ' 4 In aooadanao with Conan e6, Wk. Aft. Code �hrn sdN Sol ToaWrd, fna8 A oAr...f�r sWAM Mr /IM M,� Itd MM ONO of s 11 bm" a aim NOMA Poom dIofps, owoa erd at vM�Mr.�nwNwmmovorow. w1�wN rdM room food. pyanor p" aN iofonnedon. ►.oar t�woon t� vow• rw w uaa a roona.n ate+ 1►�M�W tar, a is.a �>> pN. 8L Croix to 020.1499-36-000 RwAwm d By Ooa � M P Nora 6 Brenda OoN propMM Ouonh RUMM Addroa Lot 761 KK Gaud CRY stole ap Cade ft" Mwibor Hudson wf 5401e 661-2454M "o r# L000lior Ld SEIM, PE1M, S26, T28N. R18W a Nbfl d 8rbd Nuoo a CSM/ 86 N14pu Patde LJ Cly [] Vgwo 0 T� Nome Rood ffudeon Klt Cone O ws Liof ,,FOR UM Q Rm dw" I Munbor of bWMONA 4 Code dwMd design ba ma 800 OPO [] popopnwil ❑ PwOe or oomsrdal - f7wofb: Pownf mowW OUweeh (Choak-Onatrie Serbs) Flood POW patio W M oppkeW NA fL aCWMma b 1(d I bt dtI1U (ice Yw�cA1.1 dete & a0'7 Sldpos p d PMI o18symbn 1i dr for b mosco rd o ms WW ieoonwwrdoear: aso" • n Owqj p Ground roiodo OW. 107 65 It. Depth b Dopinrwq actor 98+ In 84 AppfooYon Raa OPOW Horloon DIn. Doodrronl Color Rodou Dooetabrt On SL OWL Color Todwo ftvd o Or. b. Sk. Bard" Roan -M I vw 1 0.8 10yr3/3 nor* d 2m muff as lvf 0.6 1.0nor*9r 2 8-18 10yr3/4 none d 2msbk n* 9w if 0.6 1.0 3 18-30 lOpS/3 nor fd 2msbk mfr 9w — 0.4 0.8 4 30.34 l0yM/4 nor d 2nfsbk h* 9w 0.6 1.0 100" oar Wig 0339 mf 9w _— 0.7 1.6 S 3+45 6 45 9B 10yr6/4 nave OR 099 rrd — -- 0.7 1.6 FC7w © pN (kpad ourtw elsv. 106.90 1L DoDh b nmllh,0 incow 96+ In. Sag Appbaoaen floto OPCIN' Mlaloon DYPh Dotrdnefd Color Mwwd RodaK DeodBYea flu. fis Cad. Cow Ttlw 8tuoano Bawdwy Roolo lOVrW3 none ! 2m9r nnRr as M 0 6 !A6-17 10OW none d 2mibh n* 9w ivf 0.6 1.0 F24 17-25 lOWW6 norr 9dt 0s9 Ud Ow --- 0.7 1.6 25-96 lOpW4 none ws 019 rtd — -- 0.7 1.6 FF- • ffNblwd dM f10D f 10 ! �O nIW� ano 1 OD say a �w ..y. _. �- _ C8T NNW "no P" f 227420 Thonrs J. BCMdIt Ouo Nwbueoa F; ;"Clod Tel p l o NuMW Addles. Sdwde80TMIM& Wpm y17fyp� 718-700-ii7N tftil6 72rd OL flew Mdortod4 VA GdM7 PrapM4r Owtw !RA Jln= & bards Pared ID 0 020-1439.35-000 Papa 2 of 4 3]OWN� O Q PR Gmww wrtaa emv. 10.65 e. Depth b tknRtrep rector in. Flubm Depth In. DorrrlrwdCWw Marlow Red,--Daaer4" Ou. 8:. Cont. Color Teed" Structure Gr. Sz. Se. Boundary Root GPDAr 'tit 'd1f2 i 0 6 1Oyr3/3 none 51 2rrgr rtMr as 1W 0.6 1.0 2 6.11 1005/3 none sR 2trsbk suds 9w if 0.6 0.8 3 11-17 10yr4/4 none sl 2tlsbk rrdr 9w — 0.6 1.0 4 17-23 10yr4/4 none grA 2msbk mfr 9w — 0.6 1.0 5 23-30 10yr5/6 none Wb Os9 ml 9w --- 0.7 1.6 6 30.96 10yr6/4 rlorte 9ts Os9 ml — — 0.7 1.6 o",Cl N PR Ground surface slow. 105.05 n. b Mrrrltlr+0 bu sou in. R Appdadn RM ort Doph in. OanYwtt cow Morsel Redor Ommor"m 0u. Ss Cow. Color Tied" Struct ra Gr. Sz Sh. Boundary Root GPON F 0-5 10yr3/3 none st 2rfW mvfr u 2vf 0.6 1.0 5-18 L&OW none sl 2msbk mfr 9w If 0.6 1.0 3 18-22 10yr5/6 node grb 099 ml 9s — 0.7 1.6 4 22-96 10yW4 now 9rs Os9 rnl — 0.7 1.6 B&VG B p Phi Ground euehoe Mw. n. Depth to 6mRYq hcior in. AMkwW PAS llod r Doh 6t. DOttaktarRCdw MustN RaftDeMfrgore Ou. Sz Cont. Color Tomb"Structure Gr. Sz SA. Bardry Boole flPDlll' `slut Elk aM 01 m BODO> 30 c 2" w4L and TSS »0 <150 m9k ' Merit 92 • WDe S R0 myl end TW <110 nV& The Department orCoommm is an ages) opportunity servia provider and employer. If you e>tad aasleNetoa b eset>.a aarvlaee or need material in an alunwe format, pk2w contact the department n 6W2663131 a TfY 604-26447'l1. $memo Taw* tK wma» PLenom rlD Conducted for: James 8 Brenda Purdy 761 Kift Court Hudson, WI 54016 Lot 35 Indigo Ponds PID: 020-1439-35-000 SE1/4 NE1A S25 T29N R19W Town of Hudson Conducted By: 14g.76 Thomas J. Schmitt ICST 8-17 267.W 60.65' 1 111.50' Top of Filter cover on exisfing septic tank 2 106.45' Top of septic tank outlet pipe filler is attached am 1 aM 2 Exlalnsgp Hu11aA 12;0Na galon Combo Tank HOUSE fjL SEE PAGE 4 of 4 FOR FULL VIEW OF LOT '.�1a' VA �i s"r. 84 �J �0 MP01 Replal oe Drain Feld Area X 60' Trendies e2 4kr �-110' 12` -� ft�` %% *% �— 11 z' GARAGE O WELL 1.=4 374.74' St Croix County, WI Legend 116110,3111111101 wb0h+r. sum io i cwarN-0", Uaad 11131M Nunc 11 11ch _"A"141 flew a0+d wq M 0 20 40 ext MC1AaE1r TM •Aq • M1 P+rtrr ID W amMW. dr tR pawl dfp�p111� � WdW+trwn r M'woa%eM 0100 �tMw WJU� • bD ai Industry Servioea Division Cam* St Croix = 1400 E M& glon Ave Sanitary Permit Number (to be flied in by Co.) P: P.O. Box 7162 Mathew, W 53707-7162 Sanitary Permit Application SuwTraeacrnonNumber In accordance with SPS 393.21121. Wis Aden. Code, submission of this form io die 9ppwpi govanmmtsl unit Projco Address (if different Non ensiling a &=) is requited prior to obtaining a sawlary perahit Note: Application forms for stsa>owned POWTS we submiaed Io the Depammm of Soft ad Professional Saviors, Personal mkwmuinn you provide maybe used for secondary 761 Kilt Court purposes in accordance with the Privacy Law, a. 15. 1 Mmh Stets. 1. Application Johmatims - Please Print AN laformation Property Owners Name PacrJ e02D-1439-35.000 Janes t Breda Purdy Property Owner's Mailing Address property Location 761 Kilt Cart Gout. La SE'/.. NE'A. Section 25 City. Stan Zip Codc Pbone Number Hudson. WI W16 (wdearnel T29N ; R 19Ece® 11. Type of Building (check aB that apply) Lot e ® 1 or 2 Family Dwelling - Number of Bedrooms 35 Subdivision Name Indigo Ponds Block s ❑ Puhltr/Camm=W - Descnbe Use Cl City of ❑ Stale Owned - Describe Use ❑ V illege of Fc--,mNumber ® Town of Hudson III. Type of Permit: Chock mab the box a (fee A Coco lde Bee B if opplicrabliel, A. ❑ New System ® Replacemn System ❑ TreaerratHoldirK Took Replwomm Only ❑ oth r Modification to Fxismin Systdn 4explatn) ❑ Prneit Renewal ❑ Permit Revision ❑ cwW of ❑ Permit Timelier to New I List Previous Permit Number and Doe Issued B Bhpne Expiration Phmmker Owner 914flie: 71MAN IV. TVVc of POWTS ! Plitawcomp ce: (Cbeck all that ❑ Non Presauriead lis.0 a ® Prawined la-Cr ❑ At['aade ❑ Mound > 24 in of nit" sea ❑ Mend < 24 in. of suital 'I soil ❑ IWdtng Tank ❑ Oear Dispersal Componaa (explain) ❑ Pretreatment Device (explain) V. Disporminreationt Aron Inkrtastiou: Design Flow Will Design sal Application Dispersal Area Regained (sl) Dispersal Ara Proposed (sn system FJevatien 103.W. t03.2'. 102.6 600 Rrggpdst) e57 900 0.7 VL Tank Ink Capecth' in Gallons Tay Galles a of Units AtaxnEanuer Now Tasks EsiniK Tasks U H u. O d Sqw or Holding Tent 1250 1250 1 Huffattl I)OSMCMndw 750 750 1 Huffcun V H. Respossiltift StaMeat- 1. Me Now" Ar Installation of the POMM abowo a the attached as. Plumber's Name (Print) PI MP/MPRS Number Business Phwe Number John Sdunitt := 223760 71s-7rio a4g6 Plumber's Address (Stroct. City. Sire. Zip Cork) 396 Valky View Trail. Somerset VA MM5 V11L Corn stoat Use Only ❑ Approved ❑ DbwMvW Permit Fee Dow Issued Issuing Apo Sigrutrre Owner Given Reason for Denial i M Conditions of Appmvel/Renou for Disapproval An w t Pa roves wr NOW eI w sues.. w .' -r rr~ -- SBD-6399 (1103/14) 1='Ps fommT"Ve"M QaiNlOk%te, I , May 31, 2022 Dept. of Safety and Professional Services Bureau of Technical Services Division of Industry Services Brad Johnson - Section Chief 4822 Madison Yards Way Department of safety and Professional Sen kes Division of psductrY services Pkrrrbbr8 Product Renew 4922 Madison Yards Way P.O. Do 7162 Madison, Wisconsin 53707-7162 "roe 60f4266-2112 C'..A�111111111111111 Ernal dspstawdsconsin.aov TTY: contact Throu{h Relay Madison WI 53705 Re: Description: POWTS Component Manual Manufacturer: Dept. of Safety and Professional Services Product Name: Pressure Distribution Component Manual for POWTS (Version 2.1); (May 2022-2027) Model Number(s): v. 2.1 eSIA PTO No.: PP-091800089-PTOVPCR The specifications and/or plans for this plumbing product have been reviewed and determined to comply with chapters SPS 382 through 384. Wisconsin Administrative Code, and Chapters 145 and 160, Wisconsin Statutes. The Department hereby issues an approval based on the Wisconsin Statutes and the Wisconsin Administrative Code. This tpproval Is valid until the end of May 2027. This approval is contingent upon compliance with the following stipulationis): 1. A copy of this approval letter shall be submitted with all plans using the Pressure Distribution Component Manual for POWTS (Version 2.1); (May 2022-2027) Plans submitted without a copy of this approval letter may be denied. 2. This approval recognizes that POWTS systems designed, installed and maintained in accordance with this manual will provide treatment and dispersal of domestic wastewater that is acceptable in the context of ch. 383 Wis. Adm. Code. 3. Systems Installed in accordance with this POWTS Component Manual shall use wastewater tanks approved by the department. If a given tank is approved and meets the published specifications contained in the manual, then redundant approval of the tank is not required. The installation shall not compromise the structural integrity of the tank. 4. Systems installed in accordance with this POWTS Component Manua 3shall be Installed, maintained 87 Wis. Adm. and this and s d in strict accordance with the manufacturer's published instructions, Chap tersct approval. If there is a conflict between the manufacturer's instructions and theWis. Adm. ode r this Plumbing Product Approval, then the Wis. Adm. Code and this Plumbing Product App rl shall S. Complete operation and maintenance instructions POWTS systems designed in accordance with this manual shall be provided to each system owner and remain onsite. 6. Systems designed In accordance with this manual shall be installed by persons holding the proper license or registration in accordance with Wis. Stats. 4 145. 7. Drain, waste and vent piping used to install these systems shalt conform to s. SPS 384.30 (1), (2) and (3) Wis. Adm. Code. Dept. of Safety and Professional Services May 31, 2022 Page 2 of 2 eSIA PTO No.: PP-091800089-PTOVPCR 8. Cleanouts shall be installed in drain piping associated with the installation of these systems in accordance with s. SPS 382.35 Wis. Adm. Code. 9. Commercial food processing, food production, food service, restaurants, taverns and similar establishments which may generate greases, fats, oils or similar substances; shall have state -approved grease interceptors installed upstream of POWTS systems designed In accordance with this manual in accordance with s. SPS 382.34 Wis Adm. Code. 10. DSPS POWTS plan approval shall be obtained from the department's Private Sewage Section, or the appropriate agent county, for: a. each Installation of POWTS systems designed in accordance with this manual; and b. high -strength and/or commercial POWTS systems designed in accordance with this manual. 11. A sanitary permit shall be obtained, in accordance with s. SPS 383.21 Wis. Adm. Code, from the county, or other local authority having jurisdiction, for each proposed installation of systems designed in accordance with this manual. 12. A complete and acceptable soil evaluation report, conforming to S. SPS 385.40 Wis, Adm. Code, shall be performed for all proposed systems designed in accordance with this manual. Technical notations: a. This approval supersedes the approval issued September 11, 2019 under product file no. 20180223. he department is in no way endorsing this product or any advertising and is not responsible for any situation which may result from Its use. Sincerely, Brad Johnson — Section Chief Department of safety and Professional Services Bureau of Technical Services Division of industry services Phone: 920 492-S605 ErnafC Bradley,lohnspn(coWexonsm_gov Department of Safety and Professional Services Division of Industry servkes Plum" Product Review 4822 Madison Yards Way P.O. floe 7162 Madison, Wiwisruln 53707-7162 rtwm 60a-266-2112 Walls ;„w y,> ,. Ema0dsP%@wW reieMAW TTy: contact7NrY0ft* 66wernvywyEwns Davin trim, secretary May 31, 2022 Dept. of Safety and Professional Services Bureau of Technical Services Division of Industry Services Brad Johnson - Section Chief 4922 Madison Yards Way Madison WI S3705 Re: Description: POWTS Component Manual Manufacturer. Dept. of Safety and Professional Services Product Name: In -Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems Version 2.1 (May 2022-2027) Model Number(s): v 2.1 eSLA PTO No.: PP-051700077-PTOVPCR The specifications and/or plans for this plumbing product have been reviewed and determined to comply with chapters SPS 382 through 384, Wisconsin Administrative Code, and Chapters 145 and 160, Wisconsin Statutes. The Department hereby issues an approval based on the Wisconsin Statutes and the Wisconsin Administrative Code. This approval is valid until the end of May 2027. This approval is contingent upon compliance with the following stipulation(s): 1. A copy of this approval letter shall be submitted with all plans using the In -Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems Version 2.1 (May 2022-2027). Plans submitted without a copy of this approval letter may be denied. 2. This approval recognizes that POWTS systems designed, installed and maintained in accordance with this manual will provide treatment and dispersal of domestic wastewater that is acceptable in the context of ch. 393 Wis. Adm. Code. 3. Systems installed in accordance with this POWTS Component Manual shall use leaching chambers that conform to ch. 394 Wis. Adm. Code. used in 4. Systems installed in accordance with this POWTS Component Manual38 R 8�6iWis Akdm. Code and thi, maintained s product strict accordance with the manufacturer's published instructions, Chapters approval. if there Approval, then thecWis between Code and this Plum's instructions and the bing g Product Approval sha. Adm. Code or this ll Plumbing alll take precedence. Product 5. Complete operation and maintenance instructions POWTS systems designed in accordance with this manual shall be provided to each system owner and remain onsite. 6. Systems designed in accordance with this manual shall be installed by persons holding the proper license or registration in accordance with Wis. Slats. § 145. 7. Drain, waste and vent piping used to install these systems shall conform to s. SPS 3$4.30 (1►, (2) and (3) Wis. Adm. Code. Dept. of Safety and Professional Services May 31, 2022 Page 2 of 2 eSIA PTO No.: PP-051700077-PTOVPCR B. Cleanouts shall be installed in drain piping associated with the installation of these systems in accordance with s. SPS 382.35 Wis. Adm. Code. 9. Commercial food processing, food production, food service, restaurants, taverns and similar establishments which may generate greases, fats, oils or similar substances; shall have state -approved grease Interceptors installed upstream of POWTS systems designed In accordance with this manual in accordance with s. SPS 382.34 Wis. Adm. Code. 10. DSPS POWTS plan approval shall be obtained from the department's Private Sewage Section, or the appropriate agent county, for: a. each installation of POWTS systems designed in accordance with this manual; and b. high -strength and/or commercial POWTS systems designed in accordance with this manual. 11. A sanitary permit shall be obtained, in accordance with s. SPS 383.11 Wis. Adm. Code, from the county, or other local authority having jurisdiction, for each proposed installation of systems designed In accordance with this manual. 12. A complete and acceptable soil evaluation report, conforming to s. SPS 385.40 Wis. Adm. Code, shall be performed for all proposed systems designed in accordance with this manual. Technical notations: a. This approval supersedes the approval issued May 9, 2017 under product file no. 20170147. The department is in noway endorsing this component manual or any advertising and is not responsible for any situation which may result from its use. Sincerely, Brad Johnson — Section Chief Department of Safety and Professional Services Bureau of Technical Services Division of industry Services Phone: 920 492-SM Ernst y) ,n�gn�YJn,:ons�ny,W W'Isconsln peparlmant of Commerce PRIVATE SEWAGE SYSTEM Safety aN Budding Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal Information you provide may be used for secondary purposes IPMacy Law. s.15.04 (1 xmq. Permit Holders Name: I City Village X Township TANK INFORMATION 1 CST ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic ✓� U IZ66 Dosing lv Holding l..) af� TANK SETBACK INFORMATION "Pe ' P1ub,� TANK TO P/L WELL BLDG. Yent to Air Ilitake J ROAD Septic 7 215 .76 Z-7' Dosing 7 ZtJ �A Aeration Holding PLIMPISIPHON INFORMATION Manufacturer Demand Cl ` GPM Model Number k7/� /,6-) ` TDH U07 Friction osp Systann TD Ft . (� , Forcemain Length / Dia. r/ Dist. ro well L Mel W-1 ct.-ie7:19 eta]: 1l ViFzt1:3l STATION BS HI FS ELEV. Benchmark ` j� t. B 6� .7� sC ai"Aa�.. yG /o1 Bldg. Sewer 9 • Z. /67• v St/Ht Inlet Q' a • 5 SUHt outlet \ Of Inlet � 1 Dt Bottom 1 a Z• Header/Man. . 1 Dist Pipe . b M Sol. System 7� / . /04• (* Final •re , st dva G 6.6 Tr j 13.1 1.63. �.-7 46 15."1 Paz. I ok BEWMENCH Width / Length / No. Of Tnsnches PR DIMENSIONS No Of Pits Inside Dla. ` [Liquid tlh DIMENSIONS l� ' rG `- SETBACK SYSTEM TO P/L BLDG IWELL LAKEISTREAM LEACHING Manufacwrar INFORMATION CHAMBER OR UNIT Type aSt1,6YW r O ^ ' —/ '5� ) /� A)A- �/� A /tom- Model nISTRIFILITION SYST IFM A-w aa— � e Number. 1 t' t Vent b Ak fak Headedmanifold ,I Distribution x Hole Size x Hob Spacing �7O u i Pipes) ` �%. Lengah` Dio Lengtn Dos Spacing SOII COVFR - n.���.... e.�.�.... n-I- -- U-.....r n. erJ_..d. S..a•.ma net. 4/ - - Depth Over Depth Over v Depth of m SeedediSodded Mulched Bed/Thenc h Canter S. ( Bed/Tre ch Edges \ Topeott Yna [,I No Yss (] No COMMENTS: (Include code discrepancies. persons present. etc.) Inspection 41:_1_1_ Inspection #2:_I_1_ Location: 761 Kilt Court y�p�q WI 54 (SE 114 NE 1/y 25 T29N R19W) Indigo Ponds Lot 35 parcel 25.29 19.2761 d'It!iJt� Glti.t+►6 1.) Alt BM Description par a+� 2.) Bldg sewer length -amount of cover E 41 J f�•SJ1o�. J Cl Jt. FC h1 Plan revision Required? [I Yes o i - -- Use otter side for additional Information. L_� Date Insepct s S' re Can. No. SRDA71n lR :ir971 e cam/ cr 01/22/05 TUB 06:30 FAX 715 386 4080 ilool eddn;�UQ� ]Ol W. ft and oa a .o� Sa(lb wd B.7dr0 ..0-! M N kdrsa...w( 337( ww ba rby asnitary~Permit V Sa Application (ne.�dwe vxba Comm LU21MW& Ada Cab. Mme afdb bon adw mok is w*&ed pier a aYwrs a awbo I pwmk Now fx aoaeawaad POW18 f IN d= MlilReddwa) =Aodmd a to Dopalnal or Camomm Pwwrl bAomauw pa�dlw is mwori rvft do f6vacy Laws S l w ITT _ ' C/ L A• LM+r(iaa e � JUN 2 6 200 o -o - / - 35 - Pmpwey Orw•e bfelliws Adbw 2L Li) ST CROIXCOUNTY P�wra LAM= / 2 7(0 1 C W i oe�ra�L.w S VI �^ Yi sa°a°�° C' Ty Cab svo) 1.0 T2-7— R DdFMI EL of Bria8 (ebak *5 bM y!b) � 2 Fwdly o.eois-Naweierar8edtaaia O - Dewfba u» � a Ca or OS=Owwd-DmmUUw ❑ d CMI"� Taw of IfL Ty6aof r*omk (Cbek aab aaa bw M Um A. Comoro Yde • Y ) A.;84;v. %M ❑ Repawuw SYVMM ❑ T+w+w^NbNYi T.* orr D oom mdlRaeaw a Ed(=Om) L OPanwillrawd Raiiw aCbaydfYaia O Panaa T.w.fw I*"" Lit Mierslawa Nurwad Urr(wrd o � Owww m►oe 0►w■aimdb►41od OA►awb aMowd>Nb.afadrblamw ❑bees<xN.eheimbrw ONdNyTeak MMWDia MWC(eafbk ahwswnaDmim Y. Aew )deebalbw Dsf Plow (wd) Dsir'eilApliewiw RandPd.q D+MrAaw�(oQ DiopwdAwa ReOoaed (e0 f)ow� 9 J a,7. Q , VL TMA kdb dPob k 011ie" Tart cwkm I doe Udw $%WAC aw I Www" �� N f 'AI I� SgbwroldeT.i VA. MovendbOW 8826w60- L is mmmWARw b.a6lYa ellbe PO'Mfi abw.a w tlbe aeaeked MmWo"WAS(rda) Pbwbef NIPMPRS Nrabw Platy Nawkw = PWm*w Ad dl e /� L Ilaa APpw7d O Diwppmd ftwA FFm : Otle - l>wmd ARse OOwwTowv ReevefefDae�l uc.c..dlll.w.rANe.rrix..wa�n l,:�l:is ��jorrt.�d•�' This re /Y�IiHi%Hlll�+l -rhi �w7q twvj-,< �-4 %S' So7t�� Fula north /o/ /ti)e- atW-de •Sloe.'/ rvv42r3�tAIh wl// GOSS Arwfr wambb OEM rw raawr.r.wr r Lar aw "POW.. 1m�6 `✓ d /}y�+��wayyy� /ns SBDfi39t (R ilfd Oin OIN➢. - -C%�11 � /*T k6,A .$l�f� P��n.� �•�iie � �d �-s����/� ��radn O r � 7 PROJECT Chris Leffner SE 1./4 NE 1/4S 25 /T 29 MPRS Shaun Bird 226900 CONVENTIONAL X)0( IN -GROUND Test and System PLOT PLAN kDDRESS 2234 White Pine Rd. Hudson Wi 54016 19 W TOWN Hudson COUNTY ST.CROIX 5130/08 4 BEDROOM DATE tE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE765 DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 917 # of chambers 45 kh BENCHMARK V.R.P. TQPOf eleotrlC box ASSUME ELEVATION 100' Filter BEST Filter ❑ BOREHOLE O WELL • H. R. P. Same as Benchmark k M. 'p Cs�n�✓ l00' �( 15' CP lr Vents 30' 1 ' 7 �b B-3 3-3' X 62' with `,may >3'Spacing 49% SI pe �Y se4r., ar N SYSTEM ELEVATION 102.3/101.9/101.5 Huffcutt combo tank >6" Quick4 Standard-W of Cover Leaching Chamber with 20.0 ft2 of Area 5 8f ^2/ f Property Line v �• 50' _ Ipp Pro 4 Bedroom House Well is to meet all setbacks required by WDNR 4' Lon12" t parr o end caps Plans Designed Using g Conventional Powts 141, Grade at System Elevation Manual Version 2.0 EcopY 2022 S IL EVALUATION REVORT tl2zzs Old In with Comm 86, VYk. Adm. Cone Page 1 of 4 I Wounty ant Schmill Soil Tesft, Inc. mmunity Deverw•,._. Absch or>tnpkM tr nel lass Own ax x f 1 Irtciw In stm. Plan must ktcirfde, but net lmllad b. vadpl and lratrallal relere m PoW ( men and peroam elope, scale a dinterwlons, nonh crow, and location wd dimnce to neamm road. Please prat all kdbrwAdon. Pe.arW Ykb left you grantee may be uad ra esoordoy pipow IPavacy Len, S. 15.04 (1) (n1l. Count' St. CrobE Panel I.D. 020.1439-3"W R @y Aete `1 Ply Orstw James & Brenda Govt. Pmpwy Location Lot SE1/4, NEV4, S25. T29N, R19W Propsriy Owners Melt4p Address Lot 761 Klt Court a 35 I Bbdr 0 Subd. Name or CSw 1 Indigo Ponds - City SWa Mp Code Phone Number Hudson I WI 1 54018 651-245-6885 1 U Chy U VaOaye [] Tewn Nearest Road Hudson I ►Uh Ca'„ n Nw Corabudbn We: 0 Realder" f Number of bedmwna 4 Code deMsd deelyn flow rate ISM GPD O Replecermt ❑ Pubbc or commercial - 0esabe: - Parent malar(al Oulwssh (Cha ak-Onemis Series) _- Flood plain elavdor4 llapplicable NA R. General oorrutwnb Rsplsoa ,m ares is sullable for a convendorrd s va a 0.7 gpdW rate. Pmfti6 ayalem ebvatlon kx hhe replacamsrd am and noonarwndadorw: Is 103,W (High bench).10t32(T (Wdda ha 102.W (Low bench). Slope d arse Is 1 6 a eon° a so" Pe (round whas elev. 107.65 It Depth to flrnOV fac7or 98+ in. Sol Apogallm Rate Nodaon Osplh In. DoaIMwM Color ULWA s Rodeo DmaiPson Ga. fit. Coat Cebr Texture 6tructms 1consistance Or. Sa. Sk Bouttdrry Roeb GPOW 'feat 1 0.8 1Dyr3/3 none sl 2mgr _ mvfr as lvf 0.6 1.0 2 B-18 10yr3N none sl 2msbk mfr 9w if 0.6 1.0 3 M30 10yr5/3 none fsl 2msbk mtr 9w -- 0.4 0.8 4 30-34 1"/4 none sl 2msbk h* 9w -- 0.6 1.0 5 34-45 10yr5/6 none gris on ml 9w 0.7 1.6 6 45-98 10yr6/4 none grs ml - -- 0.7 1.6 C 1 enrols, Pit Ground surleoe ebv. 106.90 ti Dap1h b amtlhrg lector 46+ In. Sol Appleatlon Rats Nortaan Depth yr. Danlnlad Color Monaca Rsdox Daeo0lbn Cu. Sm Corot Color Tadum Ruch a I eengUMM or. St. Sh. Bou dM Rools OPOW 'Etch EIM2 1 0-6 10yr3/3 none 51 2107 mvfr as 2vf 0.6 1.0 2 6.17 10pW none 5f 2msbk mfr gw 1vf 0.6 1.0 3 17-25 10vr5/6 none gda 019 ml 9w - 0.7 1.6 4 25-96 10yrW4 none 9rs 099 ml - 0.7 1.6 • Effiilefd S1 � e00s> 30 s �p rllpal ono r as eau � r w nqr� �....o... -_ - --_5 -__ . _ ___ _Ca I _ _ _ CV Niles "SO Pft nmmu : Ylihbef ThofnM J. BehmlM 227429 Addreu SOWN 80 Tararny, Ina Dare avaluaaon Condudad Telephones Number 16116 72nd SL Now Rlolrntard. W SQ17 8/17/2022 716760.1m Property omw Purdy. Janus & Brenda Parcel IDS 020.1439_ 35-000 Pape 2 01 4 a❑ eo,trW b . 0- a /vrrt -TC P " 10 c.�iM eorMg • p PR Ground ornate etsv. 10.65 n. to Ipnnhrp factor 8+ in. I ApWkation Matson Depth I In. Dominant Cater MuruM Radox D"criplbn Ou. Ss Cont. Dolor Texture MmcW a Gr. Si. Sh. ConsiMencel Bowwwy Roots GPOAr -EMt T�lrs2 1 0-6 10yr3/3 none 51 2mgr myfr as ivf 0.6 1.0 2 6-11 10yrs/3 none sil 2msbk mfr gw if 0.6 0.8 3 11-17 10yr4/4 none sl 2msbk mfr gw — 0.6 1.0 4 17-23 10yr4/4 none grst 2msbk mfr gw - - 0.6 1.0 5 23-30 10yr5/6 none grls On ml gw 0.7 1.6 6 -V-% 10yrW4 none grs Osg ml — 0.7 1.6 47 Cl Beft f� S P• "INS C'J Pit Ground surface slay. 105.05 fG Depth to Nmltlnp fades _ 6+ in. Soil Application Rate ftbm Depth in. Dominant Cotsr Mun"I Redox DeaaWn Qu. SL Cont. Color Texture Sinica" Gr. Sz Sh. Consistence Bowgary Roots OPOW lewl -EM2 1 0-5 IDyr3/3 none sl 2rngr mvfr as 2vf 0.6 1.0 2 5-18 10yr5/3 none si 2msbk mfr gay if 0.6 1.0 3 18-22 10yr5/6 none grls Osg mi gs — 0.7 1.6 4 22-% 10yr6/4 none grs 039 ml — — 0.7 1.6 r OZ. o i ❑ oor" S ❑ Pin � Ground surface aim. R. Depth to limiting factor in. Soll Apr Rele tlMlaon Depth in. Dominant Color Munsan Redox Description Ou. Sz Cont. Cohn Texture Sinndure Gr. Sz Sh. Cantistence Boundary Roots GPDV -FM -Ent • Etrkrerrl i1 a 8001113,30 <_ 220 ff4& and T88 3-30 160 nV& ' Ef hant 02 m BDDS < 30 mg& and TSS -C110 M& The Department of Commerce is an e*W opponuMty service provider and employer. If you need aMWna to scam arvkm or need MsWd l in as dwilift lbrmsL please contam the department at 608-266.3151 or TTY 60&2644777, eewel M Telerq, in v 0 0 V CD M Q. Conducted for: James & Brenda Purdy 761 Kilt Court Hudson, WI 54016 Lot 35 Indigo Ponds PID: 020-1439-35-000 SE1/4 NE114 S25 T29N R19W Town of Hudson Conducted By 14978' Thomas J. SOmitt CST 227429 8,17-2022 26796 60 65' BM 1 1 11 50' Top of Filter cover on exisding septic tank BM 1G6 45' Top of septic lank outlet pipe filter is attached i /134' i 'v,re �106' �' roposed Replacement / tharn FieW Area "- B2 (3) 3 x 60Trenches N_ii0 17 �� f1( 1250/750 gallon \ Combo Tank 374.74' HOUSF L: jD L SEE PAGE 4 of 4 FOR FULL VIEW OF LOT ic' GARAGE O WELL �4 St Croix County, WI Legend *60 w 6 Us'" sw »qh.. Ci * r4m 0 L, Roru %VCR ' Run R-rV o' Wsty• ' R��•osds N (ti 1 0 20 40 60ri o1SLV.JKR tlae. mml4 wn .dl C ORwW' mrtKl [�I,oN. O� CM'q�tl041W i,yrwnv.�v VJM.Ys IM �os�u•,art,ley n:IM u:t� c- -1 1 -tit !149.78. -... .�,. .. ..��..... rH-�. I.C_, :j...a{+.-i.- •-..+-....•-. fl- 1., ......�. Zq�.,b. ... r .:.--+wy:r-y►. -♦�. ,-�•...! Tz- 374.74 •yy" � 'ri � 4! r+ ui V n >v7.. -G i JM•iY !� t � r Rro}r�r.rWp S•L :_....a. - V . l ,88, � • •max s .- - r` , _ 601:. At fly A..t 4 11 , Oak couNN NO. 645422 STATE SANITARY PERMIT PREVIOUS NO. MLT-777�--Ij An � 1111!!.11111 1 1 PLUMBE TOWN AND/OR LOT SUBDIVISION CHAPTER 141135 (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 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 THAT DATE POST IN PLAIN VIEW VISIBLE FROM THE ROAD FRONTING THE LOT DURING CONSTRUCTION SBD-06499 (RI1/20)