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HomeMy WebLinkAbout026-1290-07-000 (2)Wisconsin Department of Commerce Safety and Building Division PRIVATE SEWAGE SYSTEM INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s 15.04 (1)(m)) Jerome A. Carey TOWN OF RICHMOND a mf- II earrw TANK INFORMATION TYPE M_ANUF CTURER Rays— -lo CAPACITY Septic Dosing Aeratio Holding — TANK SETBACK INFORMATION WNIns d, PUMP/SIPHON INFORMATION Number to SOIL ABSORPTION SYSTEM ELEVATION DATA STATION BS HI FS ELEV. Benchmark (A,' Alt. BM CA -A Bldg. Sewer f Rw I 93'8o SVHt Inlet SVHt Outlet DtInlet Dt Bottom �'10 <�g.^ r Header/Man. frr 101r30r Dist. Pipe r.t 'G•� �rGr I0I'30f Bot. System r 5 r0 c na ade 'j -, � I �, r� —> St Cover 6rfi`D� r 9gq,to a) S r .1" (Doxr air® r 2 03-6 rM zZoa3 5-.-_0 I IDS- I W 0 f j BED/TRENCH Width Length No Of Trenches PIT DIMENSIONS No Of Pits Inside Din. Liquid Depth DIMENSIONS �� SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING M acturer INFORMATION CHAMBER OR 11 Type 01 System: D + („ Model Nu UNIT nterorot trtnu cw�+ru■ Header/Manddd Dislributio(n `� r 1 I Ir Length 5T'D 3•� x Hole Size -/3AZ ■ MaN Spacing 7J•Or Vent to Air Intake Length � Di Din `•I_ Spacing .�V IL It UV I x Pressure 8vatems Dow xx Mound Or At.Grado 3uatnma Only Depth Over Depth Over d u Seeded/Sodded u Mulched BedfTrench Center Beclarench Edges FDep", 0 Yes [�] No J Yes No COMMENTS: (Include code discrepencies, persons pr ee etc) Ins f� #1 `I (�l Inspectionill V12 f.3 WLiI naf'inrKJf � T1Um �i"&•,rr/ff'v r —I4G f-F�1,K 4fn¢�S Location: 141,? 129TH ST 1.) All BM Description = �'" t 6L�—ZbA Le) I`"'1 2.) Bldg sewer length � � �% Crn1�A4n �—Cy�rge �'1eamt t twl% elue,a�l .!-4.T , /h1. - amount of cover = _4 nirr t�BYI 3�,41L p�52rs wlu.(%lekl'LL Plan revision Required? ❑� Yea No (�P F/ � 6) Use other side for additional information. i l0 SB 710 (R.�19,7�)_ , Data I re Signature pew Cart. No. r _ / /It 12-0?-Y, ep Chi Im Industry Services Division County C X 4822 Madison Yttrds Way Sanitary Permit Number (to be filled in by Co ) MILdison, WI 53705 V 3 0 7Q2z P.O. BdEW62 J Madison, WI t WE — &,q 5t. Croix ermit Application State Transaction Number -L ComMuni D it �� Z a ?- In (2), Wis. Adm. Code, submission of this form to the appropriate govermnental Project Address (if different than mailing address) is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to the Department of Safety and Professional Services. Personal information you provide may be used f r secondary purposes . inaccordance with the Privac Law, s. 15.04(1 xm), Stats. 2 9�` Avc- Property Owner's Name n l Z ` ParceliLIq ORAJ 41 3c-avmr- 1. 1 —1 Z —0 — 060 Property Ownes Mad ing Address Propertyocaucin -T11 091111ZIE L- JE Govt. Lot �Z Y.. ��'/.. Section City, State Zip Code / Phone Number mot, 6-Vo b / `1SQ T J 0 N R E oA Lott M Subdivision Name t �pl or2 Family Dwelling- NumberofBedrooms py 'Yfi�'•• �r []Ptrblic/Commercial - Describe Use AJ Block A OCiry of fate Owned - Describe Use Ovillage of CSM Number —� Town of g XAl& l G A./7s E "[If. T� pe'ofPOWTS 1'ermrt: (Ct k'cither "\ew"'i "Replacernerit^ and'uther applicable'on Iiiii A Check one box o`nlirie I3: Complet'e' Iirie C i "PPfi ble; a A. ew System L1 Replacemem System ❑Other Modification to Existing System (explain) ❑Additional Pretreatment Unit (explain) B' aolding Tank ❑Jln.Grourd [:)4t-Grade Mound Individual Site Design Other Type (explain) (conventional) C. ❑ Renewal Before ❑Revision hange of Plumber Dransfer to New Owner ist Previous Permit Number and Date Issued Expiration mw� on Design Flow (gpd) Design Soil Applicazi n Rate(gpd/sfj rsel Area Required (sf) Dispersal Area posed (sfj System Elevation �D Dv OCi 7=9 . ' Tank bformation apaciry in Gallons Total Gallons g of Units Manufacturer pp�� tt f� , t _ �y $ Now Tutu Existing Tutu Pe,ST Ho LTA� sopuc or Mowing Tank (L 0 v ' I Dosing Chamber 0 Plumber's (Print) Plumber's Signature MP/h4%" Number Business Phone Number 91NNe e ��fo� zz` �q7 ris 273 yvvx Plumber's A drc (Street, City, State, Zip Code) �(.� Sw ovt-•-� c� � ( t1 fail Approved ❑ Di ved Permit Fee Date I ued 1guinAgent Signature rven nforDenial i �- IZ/ W12 Conditions o A ro I M OWNER: 1 3/�{°`S e t5 r.�� OSPS 1Yjau Septic tank, effluent filter and dispersal cell ot..Q_ CAA iSt1 rl must be serviced / maintained as per l V �` —Pry management plan provided by plumber. AD must setback requirements be maintained S } 10 BOO p Q v-•-- --- ••--•• .a r amr u paper nor teas man a InA r r ao m tat SBD-6398 (R. 03/21) o••WW_ Rym Bedtd o 2022Advanced ADVANCED W pmp"`'' Wvs not o °rk UMW Sol Tester1330632 Envlronrnente! LLC drawn an >100rt fran DWW of EnOwI ley Symtems: D 2M-7 A# rights mwvad. ENVIRONMENTAL srbin -$� Soll Bo&q SCALE 20' 0' 40' LOT 08 Alt. BM = 103.30 Top } pipe M 100.00 Top }" pipe LOT 07 Na � 3m i C / i I 1 Wleser 1200/800 j/ -Z5 1 w/ Best GF-10 ii Q rL _ _ I I t70' 4" Z —y sch 40 PVC II Garage I r— —�- I New 4BR i Home __1_ _j—J n_ LOT 06 910 PA P� 4 LOT 05 **well to be located >50ft from soil treatment area & >25ft from tanks** SYSTEM NOTES SePdc Tadr: -WWw14001900gdon2off" wAW * a" ecru 4' etas &al grade 4kdGF-1091a1Ydam � -0o rd m& des weer sw= r b sepW W* Prue Tack 400 plow •� -Purylwdc•3)i&mA17RMi - 4bra b* a raaay: 1 5 W d aoeda 4bX WaparpFidonlacadTDHdIrpwd &Wws r.taemlr,oraWm w,Kolmrrded O sou Trwabneat Area: -10 x W AWvgdi Abed (A x B) -MI' x 2pI mbw rlrriaa (L x PI) 97W germ dadml ae p7.09 =aar -rAFrMC-Mwndet(D) - -W dlerp Wxh to Fwxd arddd9ft 4bwa h cbaapir su ad wmac4#9 -Fbw daerppon art dps d" *Ad adra wruv Iran aaean ~ 19 dowRdopa daaDidR ar tan anpadon does WwAdr -0epU pratakfon = 3p' (Peda6molptlo%ohm) -0) V Wj I { as 40 PVC Wmk r d.aada•aa op W*baneforaalaaal -Ire tp alydon • Zia -1 � hadr, arldlad nciaak$ alkr g as cwdro -LAW* b bs"*Ir+am add bad a 1a' b der -Dr.ddmkd@WW •di* MAP 001 to aada) 29TH ST 14166/41 YOVi PREPARED FOR: Jer "& Morgan Carry 1414 129TH Sr New NdMW, W1 54017 KD: 026-1290-07-M 1.67 Acres LIDO: Lot 07 Lundy's North Lots SW 1/4 SE 1/4 S72 T30N R18w asead aerrare Tnr WAw" Ir a.r selves ar a>drrad M aaaadar aea slat a"d Lmd ease. The ad 4aaYnat am and Mn* PWMW era A*Aa NWa mrpolen ache ad der mltNdeaL czar• �• an Iwo• i r ncm Wisconsin Department of Safety and Professional Services Division of hdustry Services 4822 Madison Yards Way PO Box 7302 Madison, WI 53707 November 28, 2022 CUST ID NO.: 1330832 RYAN GARY BECHEL 779 SPRING CREEK RD S RED WING, MN 55066 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 11/28/2024 MUNICIPALITY: TOWN OF RICHMOND ST. CROIX COUNTY SITE: MONZANIDINMOMCAMIRY 1414 129TH ST NEW RICHMOND, WI 54017 LOT 07 LUNDY'S NORTH LOTS SW 1/4 SE 1/4 S22 T30N R18W TOWN OF RICHMOND FOR: Design Wastewater Flow Value: 600 Bedrooms: 4 Limiting Factor(s): 36" Maintenance Required: Effluent Filter Phone.608-266-2112 Web: hut, d..1,, %%, "„ Emaili d s t , ekl[ III , Tony Evers, Governor ;a Dan Hereth, Secretary Identification Numbers Plan Review No.: PWTS-I 12202854-C Application No.: DIS-112257386 Site ID No.: SIT- 110014 Please refer to all identification numbers in each correspondence with the Department. corxuuoivany APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SEE CORRESPONDENCE Mound Component Manual - Version 2.1 (May 2022-2027) Pressure Distribution 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. The following conditions shall be met during construction or installation and prior to occupancy or use: • Preserve dispersal area prior and during construction to avoid disturbance, compaction and use of the site. • With new construction; it is recommended not to activate the pump in the dose tank until the tanks are pumped prior to homeowner occupancy. • Wastewater generated from contractors cleaning of equipment and tools and/or left over construction products shall not be discharged into the drains discharging to the private onsite wastewater treatment system (POWTS). Waste generated shall be properly disposed of on -site or off site. • Any tall grasses, leaves and shrubs shall be cut short and removed prior to tilling the surface for installation to prevent matting under the dispersal area. All loose organic material to be removed from POWTS Dispersal Area. • Divert surface water from all POWTS Areas. • 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. • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building sewer beyond 30 feet per SPS 382.30 (11Xc) Well setbacks to meet chs. NR 811 & 812 • Tank Installation to follow all manufacture's recommendations. • Verify property line(s) prior to installation. • Pump Floats to be set and verified per approved plan. Any changes may result in pump resizing to meet TDH and GPM Specifications. • Areas that are occupied with rock fragments, tree roots, stumps and boulders reduce the amount of soil available for proper treatment. If no other site is available, trees in the basal area of the mound must be cut off at ground level A larger fill area is necessary when any of the above conditions are encountered, to provide sufficient infiltrative area Owner Responsibilities The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owners manual for the POWTS described in this approval SPS 383.54(l) 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. OWNER RESPONSIBILITIES • The current owner, and each subsequent owner, shall receive a copy of this letter includin instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation d maintenance manual and/or owners manual for the POWTS described in this approval and Wis. Admin. P 3 3.5 I . • 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/i n stal l ati on/operati on. 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. Asper state stets 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, Fee Required: $250.00 �� //% /� Fee Received: $250.00 rJ //IY 7/RH� � ,C9ee4l Balance Due: $0.00 Tim Vander Leest Refund Ex $0.00 POWTS Plan Reviewer Division of Industry Services Phone: 608-516-6134 Email: tim.vanderleestnawisconsin.gov ADVANCED F N V I R O N M E N T A L Property Owner/Client: Jerome & Morgan Carey PIN: 026-1290.07-" Site Address: 1414129TH ST, New Richmond, WI 54017 County: ST Croix FLOW. INDEX PI. 2 SITE PLAN PI. 3 SOIL DISPERSAL COMPONENT Pg 4 EFFLUENT DISTRIBUTION LATERALS Pg. 5 TANK SPECIFICATIONS Pg 6 DOSING AND PUMP SELECTION Pg: 7 FILTER MAINTENANCE Pg. 8 MANAGEMENT PLAN Pg 9 MANAGEMENT PLAN DESIGN PARAMETERS Wastewater Type: Residential Estimated Wastewater Flow: 400 gpd Design Flow: 600 gpd SOIL & SITE EVALUA770N.• POWTS Type: At -Grade Limiting Condition Depth: 36" Maximum System Depth: Above Grade Contour Elevation: 97.00' Limiting Condition Elev: 94.00' Land Slope: 5% Pg 10 SOIL TEST Pg 11 SOIL TEST Pg;12 SOIL TEST P& 13 PLAT Oor WonNly APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SEE CORRESPONDENCE # Bedrooms (residential): 4 # Occupants (per capita flow): Public Facility Flow: NA Treatment Level: Effluent 1 Code Required Separation: 36" Soil Texture: CL In -situ Soil Application Rate: 0.4 Dispersal Cell Loading Rate: NA POWTS DESIGNED PURSUANT TO: At -Grade Component Manual (Version 3.0) Pressure Distribution Component Manual (Version 2.1) _Com_m_enLA______ New 4 bedroom home. No home business. No sewage ejector/grinder proposed. SIGNED: ��__�� 11/25/2022 RYAN G. 's BECHEL D-2263-7 RED WING c MN ADVANCED ENVIRONMENTAL LLC 779 Spring Creek RD S, Red Wing, MN 55066 (651) 327-0074 Cer¢lr. Ryan t4r _ --- E Zoz2 �n�A DVA N C E D Certified Sol Tear. 1JJOE32 Environmental I.I.C.. Deel¢rr of ErtpMww" SWArnm D 2253-7 All rights reserved. SCALE 20' 01 40' Alt. BM = 103.30 Top J" Pipe MM 100.00 Top }" pipe LOT Wieser 1200/800 w/ Best GF-10 f70' 4" sch 40 PVC r 2ww 1 'All property lines not - -- ' Soil Bon Septic - -sic SYSTEM rBn ES drown sre>100n from 0 Benchmark Seodw: Taro: sysbm 7 ng Wieser 120(Y8(10 2 f lank I i a9 rears V above trial grade / BeOGF-102lerwlalaim � -Do not rode dear wafer sources No sepec lark � / I New 4BR Home l_ _ _ _1_ r J **Well to be located >50ft frorn soil treatment area & >25ft from tanks** LUI U5 i arleltl malworrt TN aI hn bww "Fud and ewamaW In amodaoe dN sk" and load rides Tlwa ad bosh r one weal wsnw h Paameed frown da NWM WWW awrredYn baAsa and der aarwmwaeen n r..nv r .rne man ma evewnv .rw rwwaar � aarnwnw wwamrra�v ��� �.r � �.+. - - wwra� .�.� �.�.�•. ___ - ..� a.. __ — ..�.� �� —� Pump Task -000 pros '-Pwr resdt • 33pp @ l7rDH -Moos lads at naoaawy. rr - n d sebads -Reodcdas puny Film loss rd TDH dlr in" -Even motor, We mMr. or rarer m ear mwmiadsd Soil Treatment Ayer. -10xWAWill atkard(AxB) -75 V x 296 atub d'mewraa (L x W -97 W syabm dsvafm on 97.W mMaa 4 ASTMC-33wdbft(D) Cul rw"bdh lo pound avad dppr g 4AD*& s dco"on rr and rmuve d%M -Raw aburpor am t0 dw mdV.8' -Ow WIM *OF eear from sydo. -Read I dowacps *wow a" can o r"Cam devil oo vkudm DOM10reshclm=3lr(Redwrophc% wes) DI Mibutbn: 43) ST lap 1 t rh /0 PVC Iderah Nth dmrowh-me wvt* bow« ar 1.00M uw lop owabon • 9B.10 '-1{'Meda, endNd nraork, �'aikat®30rpaanp lairds lo bs opwol Ir from and d bad 6 IB'to odes -Dorn dm katsMerVw(MW LOCATION MAP— (xe! ta- 129TH ST Jerome & Morgan Carey Site Address: 1414 129TH Sr New Richmond, VVI 54017 PID: 026.129D-07-000 1.67 Acres Legal: Lot 07 LundyFe North Lots SW 1/4 SE 1/4 S22 T30N R1 SW Town of Richmond Scale: 1' - 40' Date: 11/25/22 MOUND DISPERSAL AREA W Obs. pipes J A 10.0' L F 9.3" J 4-6' 5.1 B 60.0' G 6.0" K 7.6' D 6.0" H 12.0" L 75.1' E 12.0" 1 15.0' W 20 61 30.1 Observation Pipes (1/10th of B) 6.0' Dispersal Area Required: 1500 ft2 Absorption Width (A+I) 25.0' Dispersal Area Proposed: 1500 ft2 Dispersal Cell Media: .1/2"-2-112"Aggregate 97.00' Geotextile Fabric �� 5% OBSERVATION PIPES Screw -type or slip -top G 4" SCH 40 PVC pipe Top of pipe to terminate e or above finished grade J" - I" x 6" slots spaced 900 apart Anchoring Device (Toilet flange) 99.27' Plow 6"- 8" deep (min.) prior to placing sand Finished Grade (mulched & seeded) Topsoil cover (1' minimum) �filtrative surface Nno 3 DISTRIBUTION NETWORK SPEC/F/C4 TONS Manifold Detail 98.10' 7.0' E1/4"0 11/4" 2'r 1 Pipe Selection Forcemain Diameter: 2" Header Diameter: 1 1/4" Lateral Diameter: 1 1/4" "All pressure piping to be Schedule 40 PVC unless otherwise specified" Cleanout Detail / Sprinkler box \ Y valve Tbre&W cap reCommI 1� I Sweep 90 or (2)'S eral Discharge Rate (OriJlces Per Latera/X OrMce Discharge Rate) Orifices/Lateral 20 X 0.54 gm Orifice Discharge Rate = 1.0.8 gom (stem Flow Rate (Orlf9ces Per LateraiX 0 Laterais X OHM* Discharge Rage) Orifices/Lateral 20 X --3 -- Laterals X 0.54 gpm Orifice Discharge Rate = -------------------------------------------------------------------------------------------------------------------- Orifice Density (BedAraa + Tota/Number ofOrMces) _ PwnP 4 TANK SPECIFIC4 TONS • Minimum cover = 6 inches; Maximum cover - 8 feet (unless specified by manufacturer) • All manhole covers shall extend 4 inches above final grade • If the tank is within 2 feet of final grade, insulate the lid to an R-Value of 10 • Minimum 18" of cover required over building sewer; insulate if greater> 30' long and <42"from grade or if < 60"from grade under all high traffic/snow cleared areas (driveways etc.) • If forcemain will have a J-Hook, assembly, drill a weep hole in the •hook' • Building sewer. No 90's, keep 3 feet between 45s, maintain 1 inch in 8 feet (1%) slope, install cleanouts Walenl]M cCw4 of W..4h separate pump ane alarm c"ewes �� 99.00' 96.50E Quick Chaconned Clean Chll Shaw lor[erlsNn �n 4• SCH 90.00E 00.75E ea wt: p t a pr Ia N M p • l.CMalgn to prtalnl pipe senln� a' H EIINueM Filler 1'•1.5' PVC I . Foal Tree I 70E 86.08r ---- - (PunIP OTC • . Weep Hole 85.00E —• 4- Pump Block Tank Manufacturer/Model: Wieser - WLK200/800-MR Filter Manufacturer/Model: Best -GF-10___ -- _-- Panel Manufacturer/Model: S1E Rhombus - Tank Alert 1 --w»� WLP1200/800—MR TANK SPECIFICATIONS 164- DIMENSIONS 3' WALL. BOTTOM: 3* I a COVER: 6- MANHOLE: {4- I.D. PRECAST CONCRETE RISER ' HEIGHT: 53 O.D. _ LENGTH: 164. O.D. WIDTH: 96. O.D. BELOW INLET: 41. O.D. Y`Jtt T -A-SEAL 4- CAST -A -SEAL LIQUID LEVEL: 36- WEIGHT: BOTTOM l2AQO LBS. COVER 8.170 lOS AND OUTLETI INLET 4" CAST -A -SEAL BOOT OR EQUAL \ I GASKET. CAST -A -SEAL BOOT OR EQUAL I II I I I IWET AND OUTLET BAFrLE AND FILTER: 8 FILTER O R IIII WISCONSIN. SEE DETAIL 010 ! r ..yy II BAFFLE IIII I (OTHER STATES SEE CHART) S o G LIQUID CAPACITY: 33.46 CAL/: (SEPTIC) _ 2224 CAL/e4 (PUMP) ♦� x LOADING DESIGN: 6' 0- UNSATURATED SOIL = ; TOP VIEW Y a Y�DOi TANK CAN BE USED AS: SEPTIC/SEPTIC. SEPTIC/PUYP OR 9<pnc/svHON a M o l N I Q 4- VENT COVER: DESIGN /6 FBFIB TANK: MU!ix DESIGN /Y (SMALL FIBER) EO CUSTOMIZED C TANKS: F — _ FOR CUSTOM TAMES CONTACT NIESER CONCRETE 2 ^Q OUTLET rl J- C� J �_ _ -- —s-J F PQua PAD DRAWINGS SUBMITTED SIDE ME w FOR APPROVAL APPREV ED 4.• ___ __ SHEETNO. APPROVAL DATE: 1 TAMES ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REOUREMENTS MODLOS %LIDLU Fv: �� ) Pano rE DOSE SEMINGS & PUMP SELECRON Elevation Head: 12.0' Distribution Head: 4.55' Equipment Head Loss: 0.0' Forcemain Friction Loss: 0.4 ft TOTAL DYNAMIC HEAD = 17.0 ft TDH MINIMUM FLOW RATE = 32.3 gpm DOSE REQUIREMENTS Minimum Dose: 54.7 gallons Maximum Dose: 120.0 gallons Design Dose: 108.0 gallons Forcemain Feet: 20' Forcemain 0: 2.001 Drainback: 3.3 gallons TOTAL DOSE = 111.3 gallons Mtion 1: I Goulds - PE-41 I FEET 40 na+ 35 25 88.25' 86.75' 86.50' 86.08' 85.25' MODELS ►E31. ►E41, PE 51 so L l c 10 20 30 40( 50 60 70 GPM e0 96.S0' 89.42' n 400.3 gals 18.0" --66.7 gals 3" 111.3 gals 5.0" 222.4 gals 10" FEET 30 2S 20 1s 10 5 0 A (RESERVE) B (ALARM) C (DOSE) D (PUMP COVER) j----------ter --. •.I Option 2: Goulds - EP-05 sc i � 1 NT 5 20 30 40 ti0 GPM J 1, l i v Installation Instructions for the GF10 Filter DI Sip 1: locate and remove the septic tank cover, on the outlet side of tank Still: Glue the filter case onto the outlet pipe. Insert the filter cartridge Into the case. (Make sure the filter Is completely Inserted Into theca case.) 0TOCKNOLOGY 2] Step T Before Installation, place the filter case on to the outlet pipe. Make sure the case Is positioned so the filter can be removed from the tank for makrtc nonce and service DI Step 3: For Installations that require or desire additional support. Of additional support is not needed, go to Step 4) Glue a section of 1' Sch. 40 pipe to the two hubs located on the bottom of the case and the hub located on the side of the case Step S: For Installations where it will be dHficult to reach the handle, place 1' Schedule 40 pipe Into the tee on the handle and extend it to height that will make it easy to remove the filter. Installation of an Siemens now "ern onytheseptictank existing system. must be pumped prior to Im tallation. ' Maintenance of the GF10 Filter A time frame In which septic tanks arc serviced is set by state and local codes Although they may be different most regulatory agencies suggest two to five years ft recommend the GF10 filter be cleaned when the septic tank is normally cleaned and pumped, or as needed. WARNING: If the liquid level in the tank is above the top of the filter, pump the tank prior to removing the filter cartridge. OCAUTION: USE RUBBER GLOVES WHEN HANDLING FILTERSI Stop 1: Remove the septic tank cover and pump the tank if necessa ry to prevent any solids from escaping to the field when the filter is removed. Stop 2: Pull the filter Stop 3: While hokfhg the handle and slide the filter filter cartridge over the out of the case. access opening of the tank, Anse the cartridge off with fresh water. Take care to make sure all solid material falls bade Into the tank J BEST / TECHNOLOGY 3 Fairfield Blvd, Wallingford, CT 08492 1.877.7W966b Fax 203 284 8514 �5 0 Step Al., Insert the cartridge back Into the case making sure that It Is property aligned and completely Inserted Into the Case. 1" 1 MANAGEMENT PLAN The owner of this Private Onsite Wastewater Treatment System (POWTS) shall be responsible for Its perpetual operation and maintenance pursuant to requirements of SPS 382-384, Wisc. Admin. Code. This management plan identifies operation and maintenance activities necessary to ensure long-term system performance. Tasks that should be performed by the homeowner are Identified. Professional management tasks shall be performed by a registered POWTS Maintainer in accordance with SPS 383.52 (3), Wisc. Admin. Code, however, it is the homeowner's responsibility to ensure all tasks get accomplished In a timely manner. 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. ► Keep this Management Plan with your Septic System Owner's Guide. ► Keep copies of all pumping records, maintenance activities and repair invoices with this document. ► Review this plan with your POWTS Maintainer at each visit; discuss any changes in product use, activities, or water -use. MANAGEMENT Parameters Number of Bedrooms Design Flow (gpd) W Soil Loading Rate (gpd/ft2) O.' Standard Effluent Quality IEHluent 1 Biological Oxygen Demand (BOD) 220 mg4 Total Suspended Solids (TSS) 150 nw Fats, Oils, Greases (FOG) 30 ntg/l Treated Effluent Quality Biological Oxygen Demand (BOD) - mg/l Total Suspended Solids (TSS) - nwl Fats. Oils, Greases (FOG) - mg/l Max Effluent Particle Size (in) Iva Septic Tank Manufacturer Septic Tank Capacity (gallons) _ Effluent Filter Manufacturer _ Effluent Fitter Model Pump Tank Manufacturer Pump Tank Capacity (gallons) Pump Manufacturer Pump Model Dispersal Cell Type Pretreatment Unit Description Homeowner Management Tasks I Professloml Menagement Tasks Check (listen, look) for leaks in toilets and dripping Repair leaks promptly. Regularly check for wet or spongy soil around your soil treatment area. Contact service provider if Issues allse. Control burrowing animals (gophers, groundhogs, etc.) Keep bikes, vehicles, snowmobiles and other traffic off treatment area. Alarms - Contact your service professional If any alarm signals. Lint Flter- check for lint buildup and dean when necessary. If you do not have one, add one after washing machine. Caps - Make sure that all caps and lids are Intact and in place. Inspect for damaged caps often. FIx or replace damaged caps. - Check and dean per Weser 1205 Best GF-10 Weser 801 Per Installer Per Installer At -Grade NA Liquid levels - Check sludge/scum/effluent levels in all system tanks. Recommend if tank(s) should be pumped. Pump all compartments every 36 months at a minimum. Inspect tank Inlet and outlet baffles (If applicable) Check drainfield effluent levels (if applicable) Verity pump and alarm system functions (if applicable) Inspect wiring for corrosion and function (if applicable) Clean drainfleld laterals (If applicable) Check event counter/elapsed time meter and evaluate water usage rate compared to system design flow. Check dissolved oxygen and effluent temperature in tank. Check for surfacing of effluent or other signs of problems. Verity Inspection pipes are capped and Intact. Provide homeowner with list of management results and any action to be taken. SopW alestem rep&c&7 ertterm PwapM&9vortdarysys0&m aft fham bvift camPscdan, eta (if applicable) r _ POW15 motai roR.• ST Atadr countizon/ng O/IAce -Y--- j ADORE' - 1101 l.5nnichoW RD, Sidle 1200, Htdat, W154O16 PHONE: (715) 3864680 Pane R START-UP & OP£RA77ON For now constnxllwe Prior to system operation, check septic/pump tanks for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cells. If high concentrations are detected, have the contents of the tank removed by a licensed septic professional prior to use. System start-up shall not occur when soils are frozen at the infiltrative surface. Pump tanks may fill above normal high water levels for system utilizing pumps. When power is restored, the excess wastewater will be discharged to the dispersal cell in one large dose potentially resulting in overloading of the cells. Backup or surface discharge of effluent may also result. To avoid this situation, it is highly recommended to have the contents of the pump tank removed by a licensed septic professional or have a septic professional manually dose the system to return the pump tank to normal operating levels prior to restoring power. Do not drive or park vehicles over any septic system components. Do not drive, park over, or otherwise disturb or compact the area within 15 feet downslope of any mound or at grade system or secondary septic system site. Inspections of tanks and dispersal cells shall be made by an appropriately licensed individual or business. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum, and to check for any backup or ponding of effluent on the ground surface. Access openings used for service and assessment shall be sealed watertight upon completion of service activities. Any uncrnmd/defective access openings shall be replaced immediately. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. Ponding of effluent on the ground surface may indicate a failing condition that requires immediate attention by a licensed septic professional. Tanks must be pumped when sludge accumulation is within 12 inches of the bottom of the outlet baffle, or whenever the scum layer is within 3 inches of the bottom of the outlet baffle. In no case shall total sludge and scum volume occupy greater than 25% of the tank liquid capacity. The effluent filter shall be cleaned as necessary to ensure proper operation. The filter should not be removed unless provisions are made to retain solids in the tank that may slough off the filter during removal. If the filter is equipped with an alarm, the filter shall be serviced If the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm and should be evaluated by a licensed septic professional. Pre-treatment components shall be maintained and serviced by a licensed septic professional according to the manufacturer's recommendations. or any of it's components, become defective the tank or component shall be immediately repaired or replaced according to the original system design specifications. If a dosing tank, pump, pump controls, alarms, or related wiring becomes defective, they shall be immediately repaired or replaced with components of equal performance. If the soil treatment component fails to accept wastewater or discharges wastewater to the ground surface, it shall be repaired or replaced by; increasing basal area (if toe leakage occurs), rebuilding the component at the secondary system site (if identified), or removing and replacing biologically clogged absorption and dispersal media and associated piping. If repairs or rebuilding is not possible, a new soil and site evaluation must be performed to locate a suitable replacement area if one has not already been identified. If no replacement area is available, a holding tank may be installed as a last resort replacement POWTS. septic system fails and/or is permanently taken out of service, the system shall be abandoned according to Admin. Code abandonment regulations. Requirements include: - All piping to tanks shall be disconnected and abandoned pipe openings sealed. - The contents of all tanks shall be removed and disposed of by a licensed septic professional. - Tanks shall be crushed & filled, or removed. - A septic system abandonment notification shall be submitted to the appropriate local governmental unit. WARN/MG/1 SEPTIC, PUMP, AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC TANK, PUMP TANK, OR OTHER TREATMENT COMPONENT UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ALWAYS CONSULT A LICENSED SEPTIC PROFESSIONAL BEFORE DOING ANY WORK PAr , q RECZCamM, n D vMaoat n oeoertnerrt or C"n*rc@ JA N 0 EPORT wageOtywdn d So" end OuddMsin ' Aden. Code`"` cantrAtlach oomplele sits plan on paper ®lan must ittrJuda, bul not meted to: vertical and horizontaland Parcel 1.0/lpoem dope. scow or dimensions, north anew, and loo nearest road. Z vl V — o7 Date Please print all infomwtlon. 15.04 (1) (m)l l d o MEN - Eff&wt 91 a SCO > 30 1220 mWL and TSS 130 1150 rr1WL- CST Name Plena Print) 5i9nasa■ CST ra. Bird Plumbing, Inc. Shaun Bird 226900 Date Evalushm Cond Telephone Number Address 715-246-4516 1008 192nd Ave, New Richmond, WI 54017 /r" —/ � Page 10 Property Owner _ Parcai ID • 3 Boryq tl k Plt Ground surim aiev.� ft Dope+ to irrtidrg tacior L= rt Page __ d Sod AmIcabon Rate I 112iT�JPJ I MF."MM ©MMMI EM 8 M��MMM® ' Eff uers 01 a SOD, > 30 < 220 mg/L and TSS >30 1150 rnWL - Ef m t tR a BODE < 3o mgiL and TSS 5 30 rttglL The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact dre department at 608-266-3151 or TTY 608-264-8777. Page 11 ' . Soil Test Plot P Project Name Environmental Holdings LLP Address 70619th St. Hudson Wi s4016 CSTM #226900 Lot 7 Subdivision Lundy'sNorth Date 12/1/04 S 1/2 SE 1/4S 22 T 30 N/R16 W Township Richmond Boring 0 Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of 1 /2" pipe System Elevation 97.1 *HRPSameasBenchmark Alternate Benchmark Top of 1/2" Pipe @ 103.3' Scale is 1" = 40' unless otherwise Please note: soil test noted _ may not be suitable for owners desired building location, Soil test was done to satisfy zoning requirements, please verify system location before excavating. F 96' 15' 97'� B-3 164' Property Property Line 5% Slope 9- 2 274' Property Lane Pape 12 ST. CRo LINTY SANITARY SYSTEM File#: 0 Office Use Only OWNERSHIP/ADDRESS FORM crroted z7zo2t 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 OWNER/BUYER INFORMATION Morgan and Jerome Carey Mailing Address 511 Prairie Lane City/State/Zip Hudson, WI, 54016 Phone Number (required) 715-781-1509 Email Address (required) Morgan.teske95@gmail.com Parcel Identification Number 026-1290-07-000 (found on the property tax bill) NEW SYSTEM: LEGAL DESCRIPTION Property Location fjd t/4 , S t/4 , Sec. 7 T _3.Q N P W, Town of R IClf.vt� ✓� Subdivision Plat: Gu nJ0 f/y 4JOA-off Lot # 7 . Certified Survey Map # Volume . Page # Warranty Deed # (before 2006)Volume . Page # Number of bedrooms !— Spec house O yes Kno Lot lines identifiable *yes O no New Property Address OFFICE USE ONLY 12`t% A-,f& (verification of new address required from Community Development Department for new construction.) ,l2 0l ZZ (Staff Initials) ( e) This form must be submitted with oil Private Onsite Woter Treotment System (POWTS) applicotions. New Sysbm: Include with this form a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey mop if reference is made in the warranty deed. Community Development Department - Land Use Division 715-386-4680 St. Croix County Government Center 715-245-4250 Fax cdd sccwi.gov 1101 Carmichael Road, Hudson, WI 54016 www.sccwi.gov 11 i l .A��Y �1�W�Y�i� .r�wY�Yti, � •yl����r ti Y.�rrl� Y���ti �...�iw���� tt y F 'IR r��j�I''f „EsioENru 1eYer SERVICE DESIGN_. h� Ll E i , lop. i��11 lilt, io, lib .4ii, iull Ill lilt ill 1#1111111 ���'��9Li Q meYE RRRJJ j}s' PI�'�'!f 1 195ioixrut ocsww_ ! �r m eYe r hhhddtl fi SERVICE Acsm[en•i DESIGN_ 2:241 well 5G: CKU, 4 Mail r I VE � �DWiscorwn Department of Commerce6Q� V Zlocation SPORT Page of Division of Safety and Buildingsth Gomm 85. is. Adm. CodejjN County S4Attach complete site plan on paper t 6s in s e. Plan must include, but not limited to vertical anBM), irection and P� I,Dpercent ia- b slope, scale or dimensions, ion and dis nce to nearest road. a O- — Please print all information. viewed Date Personal information you provide may be used for secondary purposes (Privacy Law. s 15 04 (1) (m)). r Property Owner Property Location �� �� L Govt. Lot 1l S 1!4 S T N R E( Property Owners Mailing Addr ss Lot # Block # Name CSM# S S. JPhone — City State Zip Code Number City ❑ Villa e T Nearest Road New Construction Used Residential / Number of bedrooms Code derived design flow rate �¢Ga GPD ❑Replacement �J /❑ Public o/r.commercr. Describe. Parent material _,d�iJ G�lJiLt/ Flood Plain elevation if applicable General comments and recommendations: s�/,,,y.. �� f.G���"" 7 4✓ 6:/e"Oe� % /—,f Boring # Boring J Pit Ground surface elev. S ft. Depth to limifirlg factor in. SdI Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDRF in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. 'EfF#1 'Eff#2 Z ang #ng �s Pit Ground surface ft. Depth to limiting factor n. Snit Andication Rate 7. ©� E ■. i1L as MMWIM� _ 'Effluent 01 - BoD > 30 < zzu mgri. anti I SS >3u < tau mgrL -'Amuem e( - ouu : .r, rryy, mR, ,,yam CST Name Pease Print) Signature CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conduc ed Telephone Number 1008 192nd Ave, New Richmond, WI 54017 Z 715-246-4516 Property Owner _ Parcel ID # ng Bonng 3t # ❑ Pit Ground surface elev. ft. Depth to limiting (actor —Y-4L in. Page Of Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. SalSal A�ication Rate MWO a Boring # ❑ Boring ClPit Ground surface elev. 11. Depth to Ifrnfing factor in. Soil Aydicatbn Rate EMuent #1 = BODE > 30 < 220 rnWL and TSS >30 < 150 mg(L ' Effluent #2 = BOD, 5 30 mg1L and TSS < 30 rng(L The Department of Commerce is an equal opportunity service provider and employer. if you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. S604330(R M) a Boring # ❑ Boring ClPit Ground surface elev. 11. Depth to Ifrnfing factor in. Soil Aydicatbn Rate EMuent #1 = BODE > 30 < 220 rnWL and TSS >30 < 150 mg(L ' Effluent #2 = BOD, 5 30 mg1L and TSS < 30 rng(L The Department of Commerce is an equal opportunity service provider and employer. if you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. S604330(R M) Soil Test Plot Project Name Environmental Holdings LLP Address 706 19th St. Hudson Wi 54016 Lot 7 Subdivision Lundy's North S 1/2 SE 1/4S 22 T 30 N/R18 W Dat rd e Township Richmond ❑ Boring 0 Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of 1 /2" pipe System Elevation 97.1 *HRPSameasBenchmark Alternate Benchmark Top of 1/2" Pipe @ 103.3' Scale is 1" = 40' unless otherwise Please note: soil test noted _ may not be suitable for owners desired building location, Soil test was done to satisfy zoning requirements, please verify system location before excavating. 10, 96' 15, 97'� B-3 164' Property Li Property Line AL 5%Slope � 2 0 274' Proaertv Line 45 . UO 1K couNTr low &47r"K STATE SANIT 4 /y/f 10, dlwAx li-EVA"A IAL OWNER ;_ C! -Jr \ � TOWN OF _A A.f e A%ND/OR LICX No. 645485 4RY PERMIT PREVIOUS NO. SUBDIVISION 145.135 (2) WISCONSIN STATUTES (a) The purpose of the sanitary permit is to allow installation of the private sewage system deserWed In the permit. (b) The approval of the unitary permit b based on regulations in force on the date of approvaL (c) The sanitary permit Is valid and may be renewed for a specified per" (d) Chaaged regulations will not impair the validity of a sanitasy pert (e) Renewal of the unitary permit will be based on regulations in force at the time renewal b sought, and that changed regulations may Impede remewaL (1) 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. "% AjjjPPRJjZED ISSUING OFFICER - DATE PERMIT EXPIRES (jw I 1=11UNLESS RENEWED BEFORE THAT DATE VISIBLE SBD-06499 (R11/20) POST IN PLAIN VIEW FROM T O FROV 1N�G THE OT DURING TRI CTIOONO MAW Ilil'I In -In W lip ��.� Ito