HomeMy WebLinkAbout008-1038-70-051
Industry Services Division
4822 Madison Yards Way
Madison, WI 53705
P.O. Box 7302
Madison, WI 5302
County
St. Croix
Sanitary Permit Number (to be filled in by Co.)
Sanitary Permit Application
In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit
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 for secondary purposes in accordance with the Privacy Law, s. 15.04(1)(m), Stats.
State Transaction Number
PWTS – 032300380-C
Project Address (if different than mailing address)
994 193rd St., Hammond, WI 54015 I. Application Information – Please Print All Information
Property Owner’s Name Kurt & Dana Swanson
Parcel # 008-1038-70-051
Property Owner’s Mailing Address
322 265th Ave.
Property Location
Govt. Lot
SE ¼, SW ¼, Section 13
T 28 N R 1 6 W
City, State
Woodville, WI
Zip Code
54028
Phone Number
(715) 220-5380
II. Type of Building (check all that apply)
1 or 2 Family Dwelling – Number of Bedrooms 3
☐ Public/Commercial – Describe Use
☐ State Owned – Describe Use
Lot #
Na Subdivision Name Na. Block #
☐ City of
☐ Village of
Town of Eau Galle
CSM Number
III. Type of POWTS Permit: (Check either “New” or “Replacement” and other applicable on line A. Check one box on line B. Complete line C if
applicable.)
A. New System Replacement System 𗸴 Other Modification to Existing System (explain) Additional Pretreatment Unit (explain)
B. Holding Tank In-Ground
(conventional) At-Grade Mound Individual Site Design Other Type (explain)
C. Renewal Before
Expiration
𗸴 Revision Change of Plumber Transfer to New Owner List Previous Permit Number and Date Issued
IV. Dispersal/Treatment Area and Tank Information: PolyLok PL_525 effluent filter, EZflow distribution media
Design Flow (gpd)
450.00
Design Soil Application Rate(gpd/sf) 1.0 ASTM-C33 sand fill 0.4 native soil
Dispersal Area Required (sf) 450.00 sand fill 1,125.00 basal area
Dispersal Area Proposed (sf) 480.00 sq. ft. 1,409.09 sq. ft.
System Elevation 101.17’ at 20” above 99.50’ contour
Tank Information
Capacity in
Gallons
Total
Gallons
# of
Units
Manufacturer
Pr
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Co
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Pl
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New Tanks Existing Tanks
Septic or Holding Tank 1,000 1,000 1 Wieser Concrete X
Dosing Chamber 650 650 1 Triple X
V. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans.
Plumber’s Name (Print) James K. Thompson
Plumber’s Signature MP/MPRS Number
30021
Business Phone Number
(715) 248-7767
Plumber’s Address (Street, City, State, Zip Code)
340 Paulsen Lake Lane, Osceola, WI 54020
VI. County/Department Use Only
Approved ☐ Disapproved
☐ Owner Given Reason for Denial
Permit Fee
$
Date Issued Issuing Agent Signature
Conditions of Approval/Reasons for Disapproval
Attach to complete plans for the system and submit to the County only on paper not less than 8 1/2 x 11 inches in size
SBD-6398 (R. 02/22)
Project Name:Swanson 3 Bedroom Residential Mound
Owners Name:Kurt & Dana Swanson
Owner's address:322 265th Ave., Woodville, WI 54028
Site address:XXX 265th Ave., Woodville, WI 54028
Project Location:XXX 265th Ave., Woodville, WI 54028
Subdivision:Na
Legal Description:SE1/4 SW1/4, Sec. 13, T.28N., R.16W., Town of Eau Galle, St. Croix Co., WI.
Parcel ID #:008-1038-70-051
Page 1 Index and Title Sheet
Page 2 - 16 State Approved Mound Design Plans
Page 17 Septic/Pump Tank Cross Section
Page 18 Filter Specifications
Page19 Ezflow 1203H Distribuution Media Cut-Sheet
Page 20 Sanitary System Ownership & Address Form
Page 21 Parcel Map
Page 22 Warranty Deed
Attachments: None
Mater Plumber Restricted Service: James K. Thompson, DSPS Credential #30021
Signature:Date: March 29, 2023
Residential Mound POWTS Index & Title Sheet
Page 1 of 19
Design pursuant to In-Ground Soil Absorption Component Manual for POWTS, version 2.0 SBD-10705-P (N.01/01)
Wisconsin Department of Safety and Professional Services Phone: 608-266-2112
Division of Industry Services Web: http://dsps.wi.gov
4822 Madison Yards Way Email: dsps@wisconsin.gov
PO Box 7302
Madison, WI 53707 Tony Evers, Governor
Dan Hereth, Secretary
March 28, 2023
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 2025-3-28
Plan Review: PWTS-
James Thompson
340 Paulson Lake Lane
Osceola, WI
SITE:
Swanson
Xxx 265th St
Eau Galle Township
St Croix County
SE ¼ SW ¼ S13- T28N – R16W
FOR:
Description: 3 bedroom-450 GPD – 16” to limiting
factor- Effluent Filter - Maintenance required.
EZflow Mound Component Manual Ver 12/17
Pressure Distribution Component Manual – Ver.
2.1 (May 2022-2027)
The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative
Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be
constructed and located in accordance with the enclosed approved plans and with any component manual(s)
referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance
with all code requirements.
No person may engage in or work at plumbing in the state unless licensed to do so by the Department per
s.145.06, stats.
The following conditions shall be met during construction or installation and prior to occupancy or use:
Reminders
• The site shall be properly prepared prior to plowing. Any grasses longer than 6” shall be cut short and
removed. To avoid matting, any leaves or loose organic matter shall be raked up and removed. Cut trees
and shrubs flush to the ground and leave stumps. Avoid operating equipment on the
Mound site. If necessary, use only tracked equipment, during dry conditions, with minimal passes, to avoid
compaction.
• Components and soil removed from an existing drain field shall be properly disposed of so that there is no
risk to public or environmental health.
• A sanitary permit must be obtained from the county where this project is located in accordance with the
requirements of Sec. 145.19, Wis. Stats.
• Inspection of the private sewage system installation is required. Arrangements for inspection shall be made
with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis.
Stats.
• A state approved effluent filter is required. Maintenance information must be given to the owner of the tank
explaining that periodic cleaning of the filter is required.
• A copy of the approved plans, specifications and this letter shall be on-site during construction and open to
inspection by authorized representatives of the Department, which may include local inspectors.
Owner Responsibilities
• The current owner, and each subsequent owner, shall receive a copy of this letter. Owners shall also receive a
copy of the appropriate operation and maintenance manual(s) and be responsible for ensuring that POWTS is
operated and maintained in accordance with this chapter and the approved management plan under s. SPS
383.54(1).
• In the event this soil absorption system or any of its component parts malfunctions so as to create a health
hazard, the property owner must follow the contingency plan as described in the approved plans.
• The owner is responsible for submitting a maintenance verification report acceptable to the county for
maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s)
utilized in the POWTS.
In granting this approval the Division of Industry Services reserves the right to require changes or additions should
conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review
shall relieve the designer of the responsibility for designing a safe building, structure, or component.
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the
address on this letterhead.
The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and
any others who are responsible for the installation, operation or maintenance of the POWTS.
Sincerely,
Joshua Rowley
Joshua Rowley
POWTS Plan Reviewer, Division of Industry Services
(715) 634-5124
Joshua.rowley@wisconsin.gov
APPLICATION FOR REVIEW -Complete all pages- NOTE: Personal information you provide may be used for secondary purposes [Privacy Law s. 15.04(1)(m), Stats.]
Private Onsite Wastewater Treatment Systems
Division of Industry Services
Plans to be E-filed. Provide SharePoint User name below:
For plan status, check our website at http://dsps.wi.gov
Several counties have been delegated certain authority to review plans in lieu of Division of Industry services. For a current list of those counties and their designation check our website at http://dsps.wi.gov
1. Project Information - Fill in all known information. Project/Site Name: Swanson 3 Bedroom Residential Mound
Location, Number & Street of project (if unknown, indicated nearest road)
XXX 265th St., Woodville, WI 54028
Legal Description: SE1/4 SW1/4, Sec.13, T28N., R.16W.
County Tn. of Eau Galle, St. Croix Co., WI.
City Village Town of
Confirmation of assignment to a reviewer.
Transaction ID: _________________________________________
Previous Related Trans. ID: _______________________________
Estimated Completion Date: _______________________________
Assigned Reviewer: ______________________________________
Assigned Office: _________________________________________ Mail to your office of choice below: Hayward, LaCrosse, Waukesha NOTE: We reserve the right to re-distribute plans to another office if needed to reasonably balance turnaround times. Check http://dsps.wi.gov for office availability and next available review date
2. After plans are reviewed, please: (check all that apply)
Call customer 1, 2 (circle number)*
Requesting party will pick up
Mail plans to customer 1, 2 (circle number)*
*Refers to customer number from below.
3. Complete the following designer/owner/requesting information. Utilize the check boxes when designer, owner or requesting party is the same to avoid repeating information.
Designer Information (Customer 1) DSPS First Name Last Name Customer Number James Thompson 30021 Company Name A.C.E. Soil & Site Evaluations, LLC Address 340 Paulsen Lake Lane City State Zip+4 (9 digits) Osceola WI 54020 Phone Number E-mail address Cell phone (area code) (715) 248-7767 acesoil@frontiernet.net Check if applicable
Owner
Other Please Specify Below (Customer 2) DSPS First Name Last Name Customer Number Company Name Address City State Zip+4 (9 digits) Phone Number E-mail address Cell phone (area code) Check if applicable or specify relationship
Owner Other – specify relationship Information and Plan Submittal Checklists. POWTS pre-scheduling is not available. Plans will be assigned to a reviewer after receipt at a DSPS office. Submittals received may be assigned to offices other than the receiving office depending on reviewer availability. Submittal checklists can be found in each applicable component manual appearing on the POWTS Publications page, http://dsps.wi.gov/php/sb-ppalopp/prodcode_result.php/POWTSM/POWTS_COMPONENT_MANUAL. You may email technical code questions to DSPSSBPowtsTech@wi.gov.
Hayward DSPS 10541N Ranch Rd Hayward WI 54843 715-634-4870 Fax: 715-634-5150 Email: DspsSbPlanSchedule@wi.gov
LaCrosse Area DSPS 3824 N Creekside Holmen WI 54636 (NOTE CHANGE) 608-785-9334 Fax: 608-785-9330
Email: DspsSbPlanSchedule@wi.gov
Waukesha DSPS 141 NW Barstow St 4th Floor Waukesha WI 53188-3789 262-548-8600 Fax: 262-548-8614 Email: DspsSbPlanSchedule@wi.gov
Make Checks Payable to: Division of Industry Services OR Check box to invoice designer and sign below
Designer Signature _________________________________
TOTAL AMOUNT DUE
$ 250.00
Review Code 7633
SPS-10577 (R 10/15)
5. POWTS SUBMITTAL (check all that apply – incomplete forms may result in processing delays)
NEW Aerobic Treatment Unit(s) Chlorinator Tank Replacement Only
REPLACEMENT Commercial System UV Disinfection Unit Add Effluent Filter
SYSTEM TYPE(S) NOTE: Submit separate sheets for each system if submitting multiple systems on the same site Enter Fee
Revision to previously approved plan $85.00
Miscellaneous Review (i.e. replacement of a septic tank, addition of an effluent filter or pretreatment device to an existing system, etc.) $80/hr
Component Manual
At-Grade Component Manual - Ver. 2.0, SBD-10854 (N.03/07, R. 1/12)
In-ground Component Manual - Ver. 2.0, SBD-10705-P (N.01/01, R 10/12)
Mound Component Manual – Ver. 2.0, SBD-10691-P (N.01/01, R 10/12)
Pressure Distribution Component Manual – Ver. 2.0, SBD-10706-P (N.01/01, R 10/12)
Other - Please specify
Design Wastewater Flow in Gallons Per day 450 GPD
All treatment components are previously approved under s. SPS 384.10 (2) or (3): Design wastewater flow of the proposed system: 1,000 gpd or less $ 250.00 1,001 – 2,000 gpd $ 325.00 2,001 – 5,000 gpd $ 400.00
250.00
Soil Based Individual Site Design*
At Grade
Non-Pressurized In-ground
Pressurized In-ground
Mound
Drip-line
Constructed Wetlands
* Documentation must be provided to support treatment and dispersal claims. In a separate statement, provide rationale for the project and attach supporting documents (code sections, test reports, technical papers, research articles, etc.)
Design Wastewater Flow in Gallons Per day GPD
One or more treatment components are not previously approved under s. SPS 384.10 (2) or (3): (Individual site design/deviation from component manuals and use of components without product approval): Design wastewater flow of the proposed system: 1,000 gpd or less $450.00 1,001 – 2,000 gpd $600.00 2,001 – 5,000 gpd $750.00 greater than 5,000 gpd $900.00 plus $0.08 for each gallon over 5000 gpd
State-owned facilities:
Holding Tank Component Manual, Ver. 2.0, SBD-10855-P (N.03/07, R1/12)* * Non-state owned Commercial and Residential Holding tanks that completely utilize this manual and have an estimated daily flow of less than 3000 gallons per day must be submitted to the appropriate governmental unit for review instead of the Department. [see SPS 383.32(3)(a)]
Design Wastewater Flow in Gallons Per day GPD
Holding tanks previously approved under s. SPS 384.10 (2)(3). Design wastewater flow of the proposed system: 5,000 gpd or less $ 90.00 5,001 – 10,,000 gpd $150.00 greater than 10,000 gpd $225.00
Holding Tank Individual Site Design*, (i.e. site constructed, <5 day holding capacity, Co-mingled wastewater, etc.)
Please specify:
* Documentation must be provided to support the rationale for the project. In a separate statement, please include all code sections, test reports, technical papers, research articles, etc.)
Design Wastewater Flow in Gallons Per day GPD
Holding tanks including site constructed tanks NOT previously approved under s. SPS 384.10 (2) or (3). Design wastewater flow of the proposed system:
5,000 gpd or less $180.00 5,001 – 10,000 gpd $300.00 greater than 10,000 gpd $450.00
Soil Saturation Determination Report (using observation pipes) Interpretive Determination $240.00
Experimental System (One time additional fee). Submit fee for individual system as per appropriate above system type) Experiment Number $400.00
Prior approval from a section chief is required for a priority review.
If approval is granted, the priority will be reviewed within 5 days of receipt. Priority Review (enter same amount as normal review fee listed above) $ Priority review fee is double the normal review fee. Enter Total (rounded to the nearest dollar) $ 250.00
SPS-10577 (R 10/15)
Residential Application
Project Name:Swanson 3 bedroom replacement mound
Owner's Name:Kurt & Dana Swanson
Owner's Address:322 265th St., Woodville, WI 54028
Property Address: XXX 265th St., Woodville, WI 54028
Legal Description:SE1/4 SW1/4, Sec. 13, T.28N., R.16W.
Township:Eau Galle
County:St. Croix
Subdivision Name:Na
Lot Number:Na Block Number:Na
Parcel I.D. Number:008-1038-70-051
Plan Transaction No.:
Page 1 Index and title
Page 2 Data entry
Page 3 EZflow mound drawings
Page 4 Lateral and dose tank
Page 5 Distribution media
Page 6 System maintenance specifications
Page 7 Management and contingency plan
Page 8 Pump curve and specifications
Page 9 Site Plan
Page 10 Attached Soil Evaluation Report
Designer:James K. Thompson License Number:30021
Date:03/17/23 Phone Number:(715) 248-7767
Signature:
EZflow Mound Version 3.0 (R. 3/1/12)Page 1 of 10
Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01, R. 10/12)
SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) and
EZflow ® MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN
INDEX AND TITLE PAGE
Designed Pursuant to the
EZflow Mound Component Manual Ver. August 20, 2007,
Site Information
(r or c)R Residential or Commercial Design
300.00 Estimated Wastewater Flow (gpd)
1.50 Peaking Factor (e.g. 1.5 = 150%)
450.00 Design Flow (gpd)
4.00 Site Slope (%)
99.50 Installation Contour Line Elevation (ft)110.00 Contour Length Available (ft)
16.00 Depth to Limiting Factor (in)
0.60 In-situ Soil Application Rate (gpd/ft2)
Distribution Cell Information
6.00 Cell Width (ft) 3, 4, 5, 6, 7, 8, 9 or 10 Only 80.00 = Dispersal Cell Length (ft)
0.95 Dispersal Cell Design Loading Rate (gpd/ft2)
1 Influent Wastewater Quality (1 or 2)Are the laterals the highest point
in the distribution Y
Pressure Disribution Information network? Enter Y or N
(c or e)e Center or End Manifold
3 Lateral Spacing (ft)If N above, enter the elevation (ft)
2 Number of Laterals of the highest point.
0.156 Orifice Diameter (in) (e.g. 0.25)
3.00 Estimated Orifice Spacing (ft) =8.89 ft2/orifice
2.00 Forcemain Diameter (in)
120.00 Forcemain Length (ft)Does the forcemain drain back?Y
86.00 Inside Pump Tank Elevation (ft)Enter Y or N0.00 Forcemain Filter Loss (ft)
4.55 System Head (ft) x 1.3 19.57 Forcemain Drainback (gal)
14.67 Vertical Lift (ft)72.04 5x Void Volume (gal)
2.20 Friction Loss (ft)91.62 Minimum Dose Volume (gal)
21.41 Total Dynamic Head (ft)29.08 System Demand (gpm)
in. dia.options choice in. dia.options choice
0.75 1.25 x
1.00 1.50 x x
1.25 2.00
1.50 x x 3.00
2.00 x
3.00 x Gallons/Inch Calculator (optional)
Treatment Tank Information 653.13 Total Tank Capacity (gal)
1000.00 Septic Tank Capacity (gal)41.00 Total Working Liquid Depth (in)
Wieser Concrete Manufacturer 15.93 gal/in (enter result in cell B49)
Dose Tank Information Effluent Filter Information
653.13 Dose Tank Capacity (gal)PolyLok Filter Manufacturer
15.93 Dose Tank Volume (gal/in)PL 525 Filter Model Number
Wieser Concrete Manufacturer
Project:Swanson 3 bedroom replacement mound Page 2 of 10
Mound and Pressure Distribution Component Design
Lateral Diameter Selection Manifold Diameter Selection
Design Worksheet
A 6.00 ft E 22.88 in H 1.00 ft K 11.36 ft
B 80.00 ft F 12.00 in I 11.61 ft L 102.72 ft
D 20.00 in G 0.50 ft J 8.48 ft W 26.10 ft
480.00 (ft2) Dispersal Cell Area 1409.09 (ft2) Basal Area Available
5.63 (gpd/ft) Linear Loading Rate 8.00 (ft) 1/10 B Obs. Pipe Placement
Finished Grade 103.17 (ft)
101.67 (ft) Lateral
101.17 (ft)
Dispersal Cell
Elevation
99.50 (ft) Contour Elevation
4.0 % Site Slope
See Page 5
Topsoil Cap
Subsoil Cap
ASTM C33 Sand
Tilled Layer
EZflow Media
Project:Swanson 3 bedroom replacement mound Page 3 of 10
Mound Plan View
Mound Cross Section View
EZflow Dispersal Area
Shading Key
Invert Elevation
Typical Dispersal Cell
Mound Component Dimensions
W
L
B
K
A
J
I
E D
F Dispersal Cell
G H
Observation Pipe 1/10 B
Approved Geotextile Fabric Cover1
2
3
4
5
4
3
3
1
2
4
3
1
3
0.5 ftSc
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2.0 ft
See details on page 4 for number, size, and spacing of laterals.Laterals are located in the 4" gravity distribution pipes as shown on page 5.
6"
F
A
5 5
5
Number of Laterals 2 Orifice Diameter 0.156 in
Lateral Diameter 1.50 in Orifice Spacing (X)3.02 ft
Lateral Length (P)79.26 ft Orifices per Lateral 27
Lateral End (Z)0.74 ft Orifice Density 8.89 ft2/orifice
Lateral Spacing (S)3.00 ft Manifold Length 3.00 ft
Lateral Flow Rate 14.54 gpm Manifold Diameter 1.50 in
System Flow Rate 29.08 gpm Forcemain Velocity 2.97 ft/sec
78.52
Tank component is properly vented
Forcemain diameter
Wieser Concrete Manufacturer 2 in.
Capacity 653.13 Gallons
Volume 15.93 gal/inch
Weep hole or anti-
Dimension Inches Gallons siphon device
A 21.25 338.49
B 2.00 31.86 Pump off elevation (ft)
C 5.75 91.62 87.00
D 12.00 191.16
Total 41.00 653.13
Dose tank elevation (ft)
Bedding And Backfill As Per Manufacturer 86.00
Alarm Manufacturer SJ Rhombus
Alarm Model Number JB Plugger XL
Pump Manufacturer Zoeller
Pump Model Number BN152
Pump Must Deliver 29.08 gpm at 21.41 ft TDH
Note: Switches containing mercury may not be used in this system.
Project:Swanson 3 bedroom replacement mound Page 4 of 10
End Connection Lateral Layout Diagram
Dose Tank Information
Place Appropriate Lateral Diagram From Right Below
Electrical as per NEC 300 and SPS 316.300 WAC
Locking cover with warning label and locking device and sealed watertight
Disconnect
Alternate outletlocation
D
C
A
B
4 in. min.
6.00 Cell Width (ft)1.50 Sidewall to Lateral (ft)
Component Legend
SR1-7A Bundle - 5 ft or 10 ft lengths
SR1-12A or EZ 1201A in 5 ft or 10 ft lengths
SR3-12H or EZ 1201P or SR3-12H in 5 ft or 10 ft lengths
4" Perforated Distribution Pipe With Pressure Lateral Inside
Turnup Enclosure Pressure Lateral
Bundles are covered with approved geotextile fabric as per the their product approval.
6.00 Cell Width - A (ft)80.00 Cell Length - B (ft)
Project:Swanson 3 bedroom replacement mound Page 5 of 10
Center Connection Lateral Layout Diagram
EZflow ® Distribution Cell Media Layout
Distribution Cell Plan View Layout - Typical
Distribution Cell Cross-section Arrangements
6 ft WideEndManifold
Force Main
6 ft Wide
Service Provider's Name Phone (715) 248-7767
POWTS Regulator's Name Phone (715) 386-4680
Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in
Estimated Flow - Average 300 gpd Maximum BOD5 220 mg/L
Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L
Soil Absorption Component Size 480 ft2 Maximum FOG 30 mg/L
Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL
Septic and Pump Tank
Effluent Filter
Pump and Controls
Alarm
Pressure System
Mound
Other
1.98
Project:Swanson 3 bedroom replacement mound Page 6 of 10
Mound System Maintenance and Operation Specifications
St. Croix County Zoning Dep't
Jmaes K. Thompson
System Flow and Load Parameters
Service Frequency
Should test periodically
Inspect for ponding and seepage once every 3 years
Laterals should be flushed and pressure tested every 3 years
Test once every 3 years
Inspect and/or service once every 3 years
Inspect and clean as necessary at least once every 3 years
Miscellaneous Construction and Materials Standards
1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight capand are secured in as shown in the EZflow Mound Component Manual Ver. August 20, 2007. 2. Dispersal cell media conforms to EZflow products approved for use with the EZflow Mound ComponentManual Ver. August 20, 2007. Media is covered with an approved geotextile fabric.3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis. Adm. Code.4. Tillage of the basal area is accomplished with a mold board or chisel plow.5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosionand help reduce frost penetration.
Lateral Turn-up Detail
6-8" Diameter Lawn
Sprinkler Valve Box
Finished Grade
Threaded Cleanout Plug or Ball Valve
Long Sweep 90 or Two 45 Degree Bends Same Diameter as LateralEZflowSynthetic Media
Lateral Ends at Last Orifice Where Variable Length Cleanout Begins
Lateral CleanoutDistribution Lateral
Feet
Project:Swanson 3 bedroom replacement mound Page 7 of 10
Mound System Management Plan
Pursuant to SPS 383.54, Wis. Adm. Code
GeneralThis system shall be operated in accordance with SPS 382-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [EZflow Mound Component Manual 8/20/07, Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting.Septic and pump tank abandonment shall be in accordance with SPS 383.33, Wis. Adm. Code when the tanks are no longer used as POWTS components.Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component.
Septic Tank
The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection.The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm.The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner as to when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank.The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Wisconsin Department of Commerce.
Pump TankThe dosing (pump) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. If the force main has a weep hole, it should be noted if it is functional during pump operation, and if not, it should be cleaned.*****No one should ever enter a septic or dose tank since dangerous gases may be present that could cause death.****
Mound and Pressure Distribution SystemNo trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched as protection from freezing.Influent quality into the mound system may not exceed 220 mg/L BOD5, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD5, 30 mg/L TSS, 10 mg/L FOG, and 104 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation.The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 3 years. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell.Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring.
Contingency PlanIf the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition.If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance.If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition.See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider.
Wisconsin DepartRrri E=V onal Services Page 1 of 3
Division of Industry Services
AUG 17 2017 SOIL EVALUATION REPORT
ST. CROIX COUNTY In accordance with SPS 385, Wis. Adm. Code County
Attach complete -50M( rW(DEVEWPIl x 11 inches in size. Plan must incly~e;St. Croix
but not limited to: vertical and horizontal reference point (BM), direction and percerit^islon-'Parcel I.D.
scale or dimensions, north arrow, and location and distance to nearyst}Ppadj 008-1038-70-050 Ref #2484
Please print all information. JQO6~ ,Re ed by DatLz~luPersonalinformationyouprovidemaybeusedforsecondar.~Gw aw s. 15.040)(m) .
Property Owner
J TGovt.operty Location
Kurt & Dana Swanson Lot SE '/4 SW '/4 S T 2 N R 16 E (or) W
Property Owner's Mailing Address Lot #Block #Subd. Name or CSM#
302 265" St.Na Na Na
City State Zip Code Phone Number City Village Town Nearest Road
Woodville WI 54002 715) 220-5380 Eau Galle 265" St. & Co. Rd. N
New Construction Use: ® Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD
Replacement Public or commercial - Describe:
Parent material Glacial Till Flood Plan elevation if applicable na ft.
General comments and recommendations: Site suitable for mound POWTS. Recommended infiltrative surface elev. to be 101.25' at 21" above 99.50' contour.
1 Boring #Boring
Pit Ground surface elev. 99.53 ft.Depth to limiting factor 16" in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ftz
In.Munsell Qu. Az. Cont. Color Gr. Sz. Sh.Eff#1 Eff#2
1 0-8 10yr33 none sil 2fsbk mvfr cw 2vf,f 0.6 0.8
2 8-16 7.5yr4/4 none cosl 2msbk mvfr cw 1vf,f 0.6 1.0
3 16-18 7.5yr4/4 f2f 7.5yr5/8 cosl 2msbk mvfr cw 1vf,f 0.6 1.0
4 18-27 10yr5/4 m1d 5yr 5/8 fsl 1msbk mvfr gw 0.2 0.6
5 27-36 10yr5/3 m2d 7.5yr5/8 fsl 1 ccpr mfr gw 0.2 0.6
6 36-46 10yr6/3 m2p5yr4/6 cl 1 csbk mfi 0.2 0.3
2 Boring #Boring
Pit Ground surface elev. 99.51 ft.Depth to limiting factor 22" in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ftz
In.Munsell Qu. Az. Cont. Color Gr. Sz. Sh.Eff#1 Eff#2
1 0-10 10yr3/3 none sil 2fgr ds cs 1vf,fm 0.6 0.8
2 10-22 10yr5/4 none sil 1msbk dsh cw 1vf,fm 0.4'0.6
3 22-29 7.5yr4/6 f2d 7.5yr5/8 fsl 1msbk dsh cw lvf,fm 0.2 0.6
4 29-41 10yr5/3 m2p 7.5yr5/8 scl 1csbk mvfr 1vf 0.2 0.3
Effluent #1 = BOD, > 30< 220 m /L a d TSS > 0 150 m /L Effluent #2 = BOD, > 30 < 220 m /L and TSS > 30:5 150 m /L
CST Name (Please Print)Signat a CST Number
James K. Thompson s 30021
Address Date Evaluation ConductV Telephone Number
340 Paulson Lake Lane, Osceola, WI 54020-5413 August 9, 2017 715) 248-7767
SBD-8330 (R04/15)
El Boring #Boring
Pit Ground surface elev. 97.32 ft.Depth to limiting factor 18" in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ft'
In.Munsell Qu. Az. Cont. Color Gr. Sz. Sh.Eff#1 Eff#2
1 0-8 10yr3/3 none sil 2fgr mvfr cs 1vf,fm 0.6 0.8
2 8-18 10yr5/4 none sil 1msbk ds cw 1vf,fm 0.4 0.6
3 18-27 7.5yr4/6 f2f 7.5yr5/8 cement
Osg dsh cw 0.4 0.6edIvfs
4 27-36 10yr6/3 m2d 7.5yr4/6 cl 2msbk mfi 0.4 0.6
Boring #Boring
Pit Ground surface elev.ft.Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ft2
In.Munsell Qu. Az. Cont. Color Gr. Sz. Sh.Eff#1 Eff#2
Boring #Boring
Pit Ground surface elev.ft.Depth to limiting factor in.
l
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ft'
In.Munsell Qu. Az. Cont. Color Gr. Sz. Sh.Eff#1 Eff#2I
Effluent #1 = BOD, > 30 5 220 mg/L and TSS > 30 5 150 mg/L Effluent #2 = BOD, > 30:5 220 mg/L and TSS > 30!5 150 mg/L
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FOR APPROVAL
DRAWINGS SUBMITTED
APPROVED BY:
PRODUCTS NEEDED BY:
APPROVAL DATE:
PL-525 Filter
The PL-525 Filter is rated for 10,000 GPD (gallons per day) making it one of the largest filters in its class. It has
525 linear feet of 1/16” filtration slots. Like the Polylok PL-122, the Polylok PL-525 has an automatic shut-off ball
installed with every filter. When the filter is removed for cleaning, the ball will float up and temporarily shut off
the system so the effluent won’t leave the tank.
Features:
• Rated for 10,000 GPD (gallons per day).
• 525 linear feet of 1/16” filtration.
• Accepts 4’’ and 6’’ SCHD 40 pipe.
• Built in gas deflector.
• Automatic shut-off ball when filter is removed.
• Alarm accessibility.
• Accepts PVC extension handle.
PL-525 Installation:
Ideal for residential and commercial waste flows up to
10,000 gallons per day (GPD).
1. Locate the outlet of the septic tank.
2. Remove the tank cover and pump tank if necessary.
3. Glue the filter housing to the 4” or 6” outlet pipe. If
the filter is not centered under the access opening use a
Polylok Extend & Lok or piece of pipe to center filter.
4. Insert the PL-525 filter into its housing.
5. Replace and secure the septic tank cover.
PL-525 Maintenance:
The PL-525 Effluent Filters will operate efficiently for
several years under normal conditions before requiring
cleaning. It is recommended that the filter be cleaned
every time the tank is pumped, or at least every three
years. If the installed filter contains an optional alarm,
the owner will be notified by an alarm when the filter
needs servicing. Servicing should be done by a certified
septic tank pumper or installer.
1. Locate the outlet of the septic tank.
2. Remove tank cover and pump tank if necessary.
3. Do not use plumbing when filter is removed.
4. Pull PL-525 cartridge out of the housing.
5. Hose off filter over the septic tank. Make sure all
solids fall back into septic tank.
6. Insert the filter cartridge back into the housing making
sure the filter is properly aligned and completely inserted.
7. Replace and secure septic tank cover.
PL-525 Effluent Filter
Accepts 4” & 6”
SCHD 40 pipe
10,000 GPD
1/16” Filtration Slots
p p
& 6”
ipe
00 GPD00 GPD
ltration Slots
Accepts 1” PVC
Extension Handle
Alarm Switch
(Optional)
Rated for
10,000 GPD
Gas Deflector
Automatic
Shut-Off Ball
525 Linear Ft.
of 1/16”
Filtration Slots
Outdoor SmartFilter® Alarm
Polylok, Zabel & Best filters accept
the SmartFilter® switch and alarm.
Extend & Lok™
Easily installs
into existing tanks.
Ed&Lk™
Polylok, Inc. 3 Fairfield Blvd. Wallingford, CT 06492 Toll Free: 877.765.9565 Fax: 203.284.8514 www.polylok.com
GEOSYNTHETIC AGGREGATE TECHNOLOGY
EZflow by Infiltrator is an environmentally friendly
replacement to traditional stone and pipe drainfields using
an engineered geosynthetic aggregate modular design.
The EZflow system is designed to improve infiltration
performance by eliminating the fines associated with
crushed stone, and reducing compaction and embedment
associated with stone. Preassembled units include a 3” or
4” perforated pipe surrounded by aggregate and held in
place with a durable high-strength netting. This product
comes in easy-to-contour 5’ and 10’ lengths and in
diameters of 7, 8, 9, 10, 12, 13, or 14 inches.
Compared with stone and pipe, benefits include:
•Always clean and free of fines
•Bundles are quick to install, saving costs on heavy
machinery and labor
•Modular construction allows configurations to match
trench dimensions for most system shapes and sizes
•Engineered for optimal storage and absorption efficiencies
•Ability to contour along sloped sites and around trees or
landscaping
•Lightweight system is perfect for repairs and tight job sites
•Easily hand-carried into position reducing time and labor
•5’ or 10’ lengths with simple snap, internal couplers
•Easier cleanup at the job site with the elimination of stone
•Manufactured from recycled materials rather than a mined
natural resource
•A wide variety of diameters and configurations to meet any
installation professional’s needs
•Approved in many jurisdictions with an increased efficiency
rating, reducing drainfield size
•Backed by the leader in the onsite wastewater industry
Lightweight expanded polystyrene construction offers structural integrity and resists compaction. Engineered flow-channels increase void space creating improved water flow and greater storage.
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
SANITARY SYSTEM
OWNERSHIP/ADDRESS FORM
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
Mailing Address
City/State/Zip
Phone Number (required)
Email Address (required)
Parcel Identification Number (found on the property tax bill)
Property Location _____ ¼ , _____ ¼ , Sec. _____, T _____N R_____W, Town of .
Subdivision Plat: , Lot # _____.
Certified Survey Map # , Volume , Page # .
Warranty Deed # (before 2006)Volume , Page # .
Number of bedrooms Spec house yes no Lot lines identifiable yes no
New Property Address (Verification of new address required from Community Development Department for new construction.)
/ / (Staff Initials) (Date)
This form must be submitted with all Private Onsite Water Treatment System (POWTS) applications.
New System: Include with this form a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed.
NEW SYSTEM: LEGAL DESCRIPTION
File #: ______________ Office Use Only Created 2/2021
OFFICE USE ONLY
OWNER/BUYER INFORMATION
1500ft10005000
DISCLAIMER: This map is not guaranteed to beaccurate, correct, current, or complete andconclusions drawn are the responsibility of theuser.