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OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SEE CORRESPONDENCE All water treatment systems shall be kept out of septic system Site Information R Residential or Commercial Design N ISD Required? 400.00 Estimated Wastewater Flow (gpd) 1.50 Peaking Factor (e.g. 1.5 = 150%) 600.00 Design Flow (gpd) 5.00 Site Slope (%) 101.50 24.00 Depth to Limiting Factor (in) 0.40 In-situ Soil Application Rate (gpd/ft2) 80.00 Contour Length Available (ft) Distribution Cell Information 6.50 Cell Width (ft) 3.25, 6.5 or 9.75 Only 60.00 Designer Input Cell Length (ft) 2.00 Dispersal Cell Design Loading Rate (gpd/ft2)60.00 Dispersal Cell Length Required (ft) 2 Influent Wastewater Quality (1 or 2) Pressure Distribution Information E Center or End Manifold Are the laterals the highest point 2 Number of Laterals in the distribution Y 3.25 Lateral Spacing (ft) network? 37.52 Forcemain Drainback (gal) If N above, enter the elevation (ft) 1.90 Forcemain Filter Loss (ft) of the highest point. 2.00 Forcemain Diameter (in) 230.00 Forcemain Length (ft) Does the forcemain drain back?Y 89.50 Inside Pump Tank Elevation (ft) 0.188 Orifice Diameter (in) (e.g. 0.25) 3.00 Estimated Orifice Spacing (ft) =9.75 ft2/orifice 3.25 System Head (ft) x 1.3 12.25 Vertical Lift (ft) 3.47 Friction Loss (ft) 20.87 Total Dynamic Head (ft) 54.04 5x Void Volume (gal) 91.56 Minimum Dose Volume (gal) 26.21 System Demand (gpm) Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 x 1.00 1.50 xX 1.25 2.00 1.50 xx 3.00 2.00 x 3.00 x Manufacturer Information Treatment Tank Information Effluent Filter Information Optional 1200.00 Septic Tank Capacity (gal) Filter Manufacturer Manufacturer Filter Model Number Dose Tank Information Gallons/Inch Calculator (optional) 800.00 Dose Tank Capacity (gal) Total Tank Capacity (gal) 22.24 Dose Tank Volume (gal/in) Total Working Liquid Depth (in) Manufacturer gal/in (enter result in cell DoseTankVolume) Project: COLE & ERICA SMALL Page 2 of 14 Wieser Concrete Products, Inc. Mound and Pressure Distribution Component Design Design Worksheet Lateral Diameter Selection Manifold Diameter Selection Wieser Concrete Products, Inc. Polylok Inc./Zabel 3014-525-1/16-10,000 GPD Mound Component Dimensions Down slope toe extension made. A 6.50 ft E 3.90 in H 1.00 ft K 7.11 ft B 60.00 ft F 14.50 in I 18.50 ft L 74.23 ft D 0.00 in G 0.50 ft J 4.46 ft W 29.46 ft 390.00 (ft2) Dispersal Cell Area 1500.00 (ft2) Basal Area Available 10.00 (gpd/ft) Linear Loading Rate 6" End of B Obs. Pipe Placement Mound Cross Section View 103.71 102.58 101.50 5.0 101.50 Topsoil Cap Subsoil Cap ASTM C33 Sand Tilled Layer GeoMat Media Project: COLE & ERICA SMALL Page 3 of 14 See details on page 4 for number, size, and spacing of laterals. Mound Plan View GeoMat Dispersal Area Shading Key W L B K A J I Observation Pipe 1/10 B 3 3 6 Observation Pipe GeoMat12" ASTM C 33 sand as required for Geo Mat component Finish Grade Lateral Invert Elevation Dispersal Cell Elevation Tilled Area Forcemain In situ soil Contour Elevation Distribution Cell GeoMat + 12" ASTM C-33 sand Cover Material SlopeED F GH In situ soil Number of Laterals 2 Orifice Diameter 0.188 in Lateral Diameter 1.50 in Orifice Spacing (X) 3.10 ft Lateral Length (P) 59.45 ft Orifices per Lateral 20 Lateral End (Z) 0.55 ft Orifice Density 9.75 ft2/orifice Lateral Spacing (S) 3.25 ft Manifold Length 3.25 ft Lateral Flow Rate 13.11 gpm Manifold Diameter 1.50 in System Flow Rate 26.21 gpm Forcemain Velocity 2.68 ft/sec 58.90 Dose Tank Information Forcemain diameter 2 in. Pump off elevation (ft) 90.33 Dose tank elevation (ft) 89.50 Dimension Inches Gallons A 19.85 441.56 800.00 B 2.00 44.48 22.24 gal/inch C4.1291.56 D 10.00 222.40 Total 35.97 800.00 Filter Manufacturer Filter Model Number Alarm Manufacturer Alarm Model Number Pump Manufacturer Pump Model Number Pump Must Deliver 26.21 gpm at 20.87 ft TDH Note: Switches containing mercury may not be used in this system. Project: COLE & ERICA SMALL Page 4 of 14 End Connection Lateral Layout Diagram 280 AB Tank Alert SJE Rhombus Liberty Pumps Capacity Volume Wieser Concrete Products, Inc. Clearflow NSSCFF324 NSSCFF324 1st orifice located at Z All orifices point down = Turn-up w/ball valve or cleanout plug Z X P Laterals & force main of PVC Sch 40 per SPS Table 384.30-51 Clearflow A B ` ` C D 6.50 Cell Width (ft)1.63 Sidewall to Lateral (ft) Distribution Pipe With Pressure Lateral Orifice Shield Turnup Enclosure Pressure Lateral GeoMat is covered with approved geotextile fabric as per the their product approval. 6.50 Cell Width - A (ft)60.00 Cell Length - B (ft) Sand Fill Recommended Project: COLE & ERICA SMALL Page 5 of 14 GeoMat Distribution Cell Media Layout Distribution Cell Plan View Layout - Typical Distribution Cell Cross-section Arrangements Component Legend See details on page 4 for number, size, and spacing of laterals. Typical Dispersal Cell Observation Pipes Shading Key End Connection Lateral Layout Diagram Distribution Lateral Orifice Shield Approved Infiltrative Fabric GeoMat Component Infiltrative Surface/Plow Layer Pipe Dia. . D 4"Min Water Tight Slots Install at sand/GeoMat Rebar Toilet Flange 1" Min 1" M i n 1" Min 1" M i n 12 " Phone 715-425-1025 Phone (715) 386-4680 Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 400 gpd Maximum BOD5 30 mg/L Septic Tank Capacity 1200 gal Maximum TSS 30 mg/L Soil Absorption Component Size 390 ft2 Maximum FOG 10 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 1.6 Feet Project: COLE & ERICA SMALL Page 6 of 14 Inspect and/or service once every 3 years Inspect and clean as necessary at least once every 3 years 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 Mound System Maintenance and Operation Specifications System Flow and Load Parameters Service Frequency Service Provider's Name POWTS Regulator's Name St Croix County SPIA - Zoning Office DARRELL'S SEPTIC SERVICE Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap and are secured in as shown in the Synergy Systems GeoMat Mound Component Manual Version 1, 2017. 2. Dispersal cell media conforms to GeoMat products approved for use with the Synergy Systems GeoMat Mound Component Manual Version 1, 2017. 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 erosion and help reduce frost penetration. Lateral Turn-up Detail Lateral Ends at Last Orifice Where 6-8" Diameter Lawn Sprinkler Box Finished Grade Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Lateral CleanoutDistribution Lateral Threaded Cleanout Plug or Ball Valve Project: COLE & ERICA SMALL Page 7 of 14 Mound System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General This system shall be operated in accordance with SPS 382-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [Synergy Systems L.L.C., Geomat Mound Component Manual version 1, 2017, 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 System No 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 Plan If 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. 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.If you would like to view your issued sanitary permit online, you can do so by using the Property Files Scanned weblink. 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 Cole & Erica Small 2245 Namekagon st Hudson WI, 54016 507-696-5653 colesmall10@gmail 022-1017-60-060 SE NE 72818 KINNICKINNIC 6 30-6856 1154642 4