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HomeMy WebLinkAbout030-2075-70-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No 538820 0 I GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Buckentin, Harold & Ma ry I St. Joseph, Town of 030 - 2075 -70 -000 CST BM Elev: Insp. BM Elev: BM Description: Section /Town /Range /Map No: /6Z. dq I A &N I I 26.30.20.642A TANK INFORMATION A ELEVATION DATA TYPE MANUFACTURE / :3 CAPACITY STATION BS HI FS ELEV. Septic =I. Benchmark 3 - 3 t 16✓ /6z 07 Dosing n Alt. BM ,1 - A I lot.. � Aeration r 1311, Q . ldg Sewer q W i Holding ' 7 4 Inlet f . / St/Ht Outlet / TANK SETBACK INFORMATION 7 I TANK TO P/ WELL BLDG. vent to Air Intake ROAD Dt Inlet U. / Z .'T Septic / jw Dt Bottom /,Q3 zs C `Z / Dosing / / Header /Man. . / 146. Aeration Dist. Pipe Y- 14d Holding Bot. System 5. /6b • / u I PUMP /SIPHON INFORMATION Final Grade 3-73 161- 1•0 % Manufacturer ` Demand St Cover y i GPM ��t{�, Z . • /6 2 `� OF. Model Number 11, 11-5 ' TDH Lift Friction System Head J� TD� � O Ft Forcemain Lengt / Dia. # / Dist. to Well — SOIL ABSORPTION SYSTEM BEDITRENCH Width Length No. O rench PIT DIMENSIONS No. Of Pits Inside Dia Liquid Depth DIMENSIONS 5 SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION Type System: ) UNIT Model Number: CHAMBER OR _ fl( /6 / 1 w �/� _ DISTRIBUTION SYSTEM Header /Manifold Distribution / x Hole Si x Hole Spacing / Very�rn A r Intake Pipe(s) \ p� Length Dia Length Dia A Spacing \ A O SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only _ Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center /. 3 Bed/Trench Edges Topsoil 1 R: NI yes J No l Yes No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: g / 36 / 0 Inspection #2: Location: 135 Cty. Rd. E HOULTON, WI 54082 (SE 1/4 NW 1/4 26 T30N R20W) Dres hler Heights Lot 1b1k2 Parc I No: 6.30.20.642A f 1 1.) Alt BM Description (,.0 vim_ S l2. = � 2.) Bldg sewer length A&w �y�pr� �5 r fbLJ - amount of cover = 7 ;oe nn Plan revision Re uired? ❑ Yes No Use other side for additional informatio Date Insture „ert No SBD -6710 (R.3/97) Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No 538820 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: city Village X Township Parcel Tax No: Buckentin, Harold & Ma ry St. Joseph, Town of 030 - 2075 -70 -000 CST BM Elev: Insp. BM Elev: 7 Description: Section/Town /Range /Map No: 26.30.20.642A TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt. BM Aeration Bldg. Sewer Holding St/Ht Inlet St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt Bottom Dosing Header /Man. Aeration Dist. Pipe Holding Bot. System Final Grade PUMP /SIPHON INFORMATION Manufacturer Demand St Cover GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION Type Of System: CHAMBER OR UNIT Model Number. DISTRIBUTION SYSTEM Header /Manifold I D istribution x Hole Size i x Hole Spacing Vent to A intake Pipes) Length Dia Le ng t h Di Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes � No ] Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: Location: 135 Cty. Rd. E HOULTON, WI 54082 (SE 1/4 NW 1/4 26 T30N R20W) Dreschler Heights Lot 1 blk2 Parcel No: 26.30.20.642A 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = Plan revision Required? ®Yes ❑ No Use other side for additional information. SBD -6710 (R.3/97) Date Insepctor's Signature Cert No commerce Safety and Buildings Division County R ri i as gton Ave., P.O. Box 7162 St. Croix t ric sco n s' . ` adiso , WI 5370 16 Sanitary Permit Number (to be filled in by Co.) g mrtmertt of cotnme 5 3 � 2- Sanita P t A�it 1 lic tion t Tra nsaction 19 71 In accordance with s. Comm. 83.21(2), s. AdmS�daQC3Ubfthis f rm to the appropriate gove tal unit is required prior to obtaining a s iti$ N" "011N�f?l tins for state -owned POWTS ar Project Address (if different than mailing address) submitted to the Department of Commerce. ersol ovide may be used for secondary Same / L // purp oses in accordance with the Privacy Law, s. 15.04 1 m , Slats. J (,¢ ( y l /T I. Application Information - se Print All Information Property Owner's Name I Parcel # 030 - 2075 -70 -000 Harold & Mary Buckentin Property Owner's Mailing Address Property Location 135 Co. Hwy E ( p`T Govt. Lot City, State Zip Code Phone Number NE %,,NE /<, Section 26 Houlton, WI 54082 715 - 549 - 6294 (circle one) H. Type of Building (check all that apply) L # T 30 N; R 20 W ®1 or 2 Family Dwelling - Number of Bedroo 1 Subdivision Name 31 Plat of Dreshler Heights ❑ Public /Commercial - Describe Use 2 City of ❑ State Owned - Describe Use / CSM Number ❑ Village of X SLR /' /ovti� �,Q�� Na ® Town of St. Joseph III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A, ❑ New System E Replacemen ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) System B. ❑ Permit ❑ Permit Revision ❑ Change of ❑ Permit Transfer to List Previous Permit Number and Date Issued Renewal Before Plumber New Owner Expiration IV. Type of POWTS System/Componen Check all that appl ❑ Non - Pressurized In- Ground ❑ Pressurized In- Ground ❑ At -Grade ❑ Mound > 24 in. of suitable soil ® Mound < 2 4 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dispersal/Treat ent Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Requil sf) Dispersal Area Propose sf) System Elevation 150 / 1.00 / 150.00 sq. ft 150.00 sq. ft. 5 100.00'@ 19" above J /7 98.42' contour VI. Tank Info Capacity in Total # of Manufacturer w Gallons Gallons Units 6 w U 0 c ¢ U U a a [= New Tanks Existing Tanks &,/// O L , Zo /r- Septic or Holding Tank 7 J1 V 750 1 Wieser C ncrete ® F-1 ❑ F1 ❑ Dosing Chamber / 750 1 Wieser Concrete ® ❑ ❑ ❑ ❑ VII. Responsibility Statement- I, the and signed, ass a responsibility for i a ' of the POWTS shown on the attached plans. Plumber's Name (Print) Plumb s Signature MP/MPRS Number Business Phone Number James K. Thompson �--- 30021 (715) 248 -7767 Plumber's Address (Street, City, State, Zip Code) 340 Paulson Lake Lane, Osceola, W1 54020 V . Coun /De artment Use Onl Approved _ Permit Fee Date Issued Issuing ent Signal e Owner Give easo Denial $ / — e , ao -7 1 IX. Condit ��(Reasons for Disapprova 9. .5sptc tank, effl[lent fitter grid - dispersal cell must all be servtceg I maintained as pa( management plan provided by plumber. 2. All setbacktequirements must be maintained as per applitnble code / ordinances. Attach to complete plans for the system and submit to the County only on paper not less than 81/2 x 11 inches in size SBD -6398 (R. 01/07) Valid thru 01/09 i ,Pei ■ So:/ Z dalaa -& L ♦ ex1s1i hq I �roP S�fiE 6 u c-ee-76 -- 1-i C.. < yoLc�, �/_ S 82- 1--6 / X014 l &f'y s: z 4, - 4 6 0 30- -20 7S -70 - �? y n- C qi 9 rAVLI � � rOP07P Cc�jeSC.r' .LyC�f. Ong Fyrdroo a y e M U,ri r/ u��c Itt;c s SC�af a t S�rvicC duo! �i. bt pmt —b / 04 o' ddr u rlt�bea64nc►on�d t GA del denL2 I O ✓ D � � � \ � �(lt w1� /,ne, DF h ��q� bof.1 f1'I o u.�tc� o pe /a y cJca r 1, Proposed n'(o��a� z�; 9 /:Y �,z,s�' P�o pos.ul w; QS¢r' cJ� � ;� ©'°1,3�1`Sa /C.L / /� /aeu✓u� /.58 o� /off $ �crebe Lo75vrn� 6<r- lnF " /fl�Erv2 Sur�acC G/ed = 16 04 .4ssu.,�Gd�zlx�! /Od. ,,�� oe Lir1 /sZ { , ce.S �Oacee/a t /.8^s �,r��� Safety and Buildings of 3824 N CREEKSIDE LA Z HOLMEN WI 54636 3 l Contact Through Relay www.commerce.wi.gov /sb/ www.wisconsin.gov � Pti Scott Walker, Governor Paul F. Jadin, Secretary August 08, 2011 CUST ID No. 30021 ATTN: POWTS Inspector JAMES K THOMPSON ZONING OFFICE ACE SOIL & SITE EVALUATIONS ST CROIX COUNTY SPIA 340 PAULSON LAKE LN 1101 CARMICHAEL RD OSCEOLA WI 54020 HUDSON WI 54016 CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 08/08/2013 Transaction ID No. 1978760 SITE: Site ID No. 767513 Harold Buckentin Please refer to both, identification numbers, 135 Co Hwy E above, in all correspondence with the agency. Town of Saint Joseph, 54082 St Croix County NEIA, NEIA, 526, T30N, R20W FOR: Description: One Bedroom Mound System / 12% slope Object Type: POWTS Component Manual Regulated Object ID No.: 1316313 Revision; Maintenance required; 150 GPD Flow rate; 17 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 101), Pressure Distribution Component Manual - Version 2.0, SBD- 10706 -P (N.01 101); Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The approved chances will become an addendum to the plans that were previously approved on6 /3/11 under Transaction ID No. ROM 1944671. This system is to be constructed and located in accordance with the enclosed approved plans and with any C ii component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is 1. (t 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, APPR 17 � stats. DE PARTFAE. DIVISION OF SAFEI The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders SEE CORRE; • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 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. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • The area within 15' downslope of the dispersal cell shall remain undisturbed. Vehicular traffic, excavation or soil compaction is prohibited in this area. • 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. JAMES K THOMPSON Page 2 8/8/2011 Owner Responsibilities: Y 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 owner's manual for the POWTS described in this approval. • The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. 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 Safety & Buildings 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, Fee Required $ 85.00 Fee Received $ 85.00 Balance Due $ 0.00 Gerard M Swim POWTS Plan Reviewer, Integrated Services (608)789 -7892, Mon - Fri, 7:15 am - 4:00 pm WSMART code: 7633 jerry.swim@wisconsin.gov cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 828-5902, Monday, 7:00 A.M. To 3:30 P.M. EZFLOW MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: REVISION: Harold Buckentin 1- bedroom residential mou ni4/i��� G ?, 0 1 Owner's Name: Harold Buckentin Owner's Address: 135 Co. Hwy E Houlton, WI 54082 Site Address: Same Legal Description: NE1 /4NE 1/4, Sec.26, T.30N., R.20W. Township: St.Joseph County: St. Croix Subdivision Name: Plat of Dreshelr Heights Lot Number: 1 Block Number: 2 Parcel I.D. Number: 030 - 2075 -70 -000 T �+ Plan Transaction No.: 1944671 on, ally Pagel Index and title WE D Page 2 Data entry F COMMERCE Page 3 EZFIow mound drawings Y AND BUILDINGS Page 4 Lateral and dose tank Page 5 Distribution media Page 6 System maintenance specifications ;P , DENCE Page 7 Management and contingency plan Page 8 Pump curve and specifications Page 9 Concave Distribution Cell Calculat Page 10 Site Plan Page 11 Attached Soil Evaluation Report Design 2Jame Thom so n License Number: 30021 Date: Phone Number: (715) 248 -7767 Signature: Designed Pursuant to the EZFIow Mound Component Manual (N. 06/03), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) EZFIow Mound Version 1.2 (R. 02/04) Page 1 of 11 EZFIow Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) R Residential or Commercial Design Note: Sand fill (D) calculations assume a 100.00 Estimated Wastewater Flow (gpd) Table 83 -44 -3 in -situ soil treatment for 1.50 Peaking Factor (e.g. 1.5 = 150 % fecal coliform of - 36 inches. 150.00 Design Flow (gpd) 12.00 Site Slope ( %) 98.42 Installation Contour Line Elevation (ft) 120.00 Contour Length Available (ft) 17.00 Depth to Limiting Factor (in) 0.60 In -situ Soil Application Rate (gpd /ft Distribution Cell Information 3.00 Cell Width (ft) 3, 4, 6, 7. 9, or 10 Only 50.00 = Dispersal Cell Length (ft) 1.00 Dispersal Cell Design Loading Rate (gpd /ft 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution F Y� Pressure Disribution Information network? Enter Y or N (c or e) a Center or End Manifold 0.00 Lateral Spacing (ft) If N above, enter the elevation ft 1 Number of Laterals of the highest point. F_ 0.125 Orifice Diameter (in) (e.g. 0.25) 1.75 Estimated Orifice Spacing (ft) = 5.36 ft /orifice 1.50 Forcemain Diameter (in) 40.00 Forcemain Length (ft) Does the forcemain drain back? Y -� 93.00 Inside Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 3.67 Forcemain Drainback (gal) 6.50 Vertical Lift (ft) 22.30 5x Void Volume (gal) 0.54 Friction Loss (ft) 25.97 Minimum Dose Volume (gal) 13.54 Total Dynamic Head (ft) 11.53 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 1.00 1.50 1.25 x 2.00 1.50 x x 3.00 2.00 x 3.00 x Gallons /Inch Calculator (optional) Treatment Tank Information 750.36 Total Tank Capacity (gal) 750.001 Septic Tank Capacity (gal) 37.00 Total Working Liquid Depth (in) Wieser Concrete IManufacturer 20.28 gal /in (enter result in cell B49) Dose Tank Information Effluent Filter Information 750.361 Dose Tank Capacity (gal) Pol Lok Filter Manufacturer 20.281 Dose Tank Volume (gal /in) PL - 525 Filter Model Number Wieser Concrete Manufacturer Project: REVISION: Harold Buckentin 1- bedroom residential mound Page 2 of 11 Mound Plan View ................... ............................... 1/10 B ....... ..' ..........:............::::: : :::: J Observation Pipe::: K A ; . 1a . 5 W B .............................................. ......... ............................................. M ..... .: : : : :: : : : : : : : : : : :: ::: :::::::: ........ :: : :: : : ::: : : I ............................................. ... ........................................... ........................................................ ....................................................... ........... ....................... .............. ...................................................... ................................. ................ ............ -- ....................... ...... L Mound Component Dimensions A 3.00 ft E 23.32 in H 1.00 ft K 11.29 ft B 50.00 ft F 12.00 in z 16.14 ft L 72.58 ft D 19.00 in G 0.50 ft J 6.80 ft W 25.94 ft 150.00 (ft Dispersal Cell Area 957.03 (ft) Basal Area Available 3.00 (gpd /ft) Linear Loading Rate 5.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 102.00 (ft) —♦ { { { {,,... ♦ H / / / / /! / /!/ /III .. I F t "' Dispersal Cell 100.50 (ft) Lateral 100.00 (ft) —► 6" Invert Elevation Dispersal Cell t ... Elevation E D x � • • x •. :4 •. A� . {� }.. A �. {�' ' - J. .�). .{ 1. J. A.. }< - - - 4 Elevation 12.0 % Site Slope Typical Dispersal Cell Shading Key $- See Page 5 E l ® Topsoil Cap o r- Geotextile Fabric over 0 " " "" Subsoil Cap 0 2.0 ft t :. �o cc ASTM C33 Sand ;a Z � �•:.f, r::'' 1 ••::r� /�fti. F Tilled Layer = tiftirr. EZFIow Media 0 IR 05� { 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. Project: REVISION: Harold Buckentin 1- bedroom residential mound Page 3 of 11 End Connection Lateral Layout Diagram Place Appropriate Lateral Diagram From Right Below i s Turn- upvWbail valve orol"noutplug P Utoi Es & Fotoo tn4in QF PVC Sch 40 1st orifice Orifices port up except every Sth (pot COMM TAk 8+.30.61 located at Z one points dawns for drainage. Number of Laterals 1 Orifice Diameter 0.125 in Lateral Diameter 1.50 in Orifice Spacing (X) 1.80 ft Lateral Length (P) 49.30 ft Orifices per Lateral 28 Lateral End (Z) 0.70 ft Orifice Density 5.36 ft /orifice Lateral Spacing (S) 0.00 ft Manifold Length 0.00 ft Lateral Flow Rate 11.53 gpm Manifold Diameter NA in System Flow Rate 11.53 gpm Forcemain Velocity 2.09 ft/sec Dose Tank Information Locking cover with warning label and locking device, and sealed watertight Comm isconnect Electrical as per NEC 300 and -► 1� m 16.28 WAC 4 in. min. Tank component is properly vented MFor Alternate outlet location diameter Wieser Concrete Manufacturer t 1.5 in. Capacity 750.36 Gallons Volume 20.28 gal /inch A _ Weep hole or anti - Dimension Inches Gallons B siphon device A 21.72 440.47 B 2.00 40.56 C P ump off elevation (ft) C 1.28 25.97 94.00 D 12.00 243.36 D Total 1 37.001 750.36 11 Do se tank elevation (ft) Min. 3" Bedding under tank. F 93.00 Alarm Manufacturer JSJ Rhombus Alarm Model Number C Tank Alert SJE101142 Pump Manufacturer JZoeller _ Pump Model Number BN53 —� Pump Must Deliver 11.53 gpm at 13.54 ft TDH Project: REVISION: Harold Buckentin 1- bedroom residential mound Page 4 of 11 EZFIow Distribution Cell Media Layout 3.00 Cell Width (ft) 1.50 Sidewall to Lateral (ft) Distribution Cell Cross - section Arrangements Drag appropriate drawing to space below. 0) 3 ft Wide Component Legend ® 6" EZFIow Bundle - EZ0601A, 5 or 10 Foot Lengths 12" EZFIow Bundle - EZ1203H, 5 or 10 Foot Lengths 12" EZFIow Bundle - EZ1203HP, 5 or 10 Ft Lengths 4" Distribution Pipe With Pressure Lateral Inside Turnup Enclosure — — — — Lateral Distribution Cell Plan View Layout - Typical 3.00 Cell Width - A (ft) 50.00 Cell Length - B (ft) Center Connection Lateral Layout Diagram Drag appropriate drawing from left to space below. Force Main ---.♦ 3 ft Wide --------------------- End Connection Project: REVISION: Harold Buckentin 1- bedroom residential mound Page 5 of 11 Mound System Maintenance and Operation Specifications Service Provider's Name James K. Thompson Phone 715 248 -7767 POWTS Regulator's Name St. Croix County Zoning Dep't. Phone 715 386 -4680 System Flow and Load Parameters Design Flow - Peak 150 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 100 gpd Maximum BOD5 220 mg /L Septic Tank Capacity 750 gal Maximum TSS 150 mg /L Soil Absorption Component Size 150 ft Maximum FOG 30 mg /L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu /100 mL Service Frequency Septic and Pump Tank Inspect and /or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test month) Pressure System Laterals should be flushed and pressure tested every 1.5 years Moundl inspect for ponding and seepage once every 3 nn Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap, and are secured in as shown in the EZFIow mound component manual. 2. Dispersal cell media conforms to EZFIow products approved for use with the EZFIow Mound Component Manual approved 6/3/03. EZFIow media is covered with an approved geotextile fabric. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, 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 Finished �• . • • • • ........ • • • • • • • • • • • • • • • Grade ................. ......... .. ...... .. ................ 6 -8" Diameter Lawn .... Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Lateral Ends at Last Orifice Where Variable Length Cleanout Begins Long Sweep 90 or Two 45 Degree Bends Same EZFIow Media Diameter as Lateral 1.90 Feet Distribution Lateral Lateral Cleanout Project: REVISION: Harold Buckentin 1- bedroom residential mound Page 6 of 11 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [EZFlow Mound Component manual 6/3/03 and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, 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 finer 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 113 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the 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 BOD 150 mg /L TSS, and 30 mg /L FOG for septic tank effluent or 30 mg /L BOD 30 mg /L TSS, 10 mg /L FOG, and 10 cfu /100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice 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 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Continnency 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. Project: REVISION: Harold Buckentin 1- bedroom residential mound Page 7 of 11 , r TOTAL DYNAMIC HEAD /FLOW M U- PUMP PERFORMANCE CURVE PER MINUTE MODELS 53/55157/59 EFFLUENTAND DEWATERING s 20 MODEL 53/55/57/59 = Feet Meters Gal. Liters /3 6y1 15 5 1.5 43 163 10 3.0 34 129 10 15 4.6 19 72 o 009897 Shut-off Head: 19.25 ft. (5.9m) 2 5 37/8 83118 ��,Ot •�• d �� 4yg 112 -7112 NPT 0 !( I 10 20 30 40 50 3 7/8 GALLON I //. 5 39✓l.,1. n- i;n,'ma,,, Sc� �cGd LITERS �— D - - +- + 0 80 160 FLOW PER MINUTE ® 4 I CONSULT FACTORY ! I I FOR SPECIAL APPLICATIONS i i I • Variable level float switches available. I i • Variable level long cycle systems available. • Available with special cord lengths of 15', 25', 35' and 50'. ' i • Alarm systems available. i i 10 1116 I I Duplex systems available. i i 3W2 i SK868 Sin eseat Control Selection Listens SELECTION GUIDE Yodel Volta Phase Mode Amps Simplex Duplex CSA I UL 1. Integral float operated mechanical switch, no external control required. M53755 & M5769 115 1 Auto 9.7 1 -- Y Y 2. Single piggyback variable level float switch or double piggyback variable level N53156 & N57159 115 1 Non 9.7 2 3 or 4 & 5 Y Y float switch. Refer to FM0477. • BN53 115 1 Auto 9.7 -- Y Y 3. Mechanical aHemator •M -Pak' 10 -0072 or 10-0075. B57 115 1 Auto 9] --- N BE53r57 23 1 Auto 4.8 Y Y Y 4 See FM0712 for correct model of Electrical Alternator. • I D53155 & D5769 230 0 1 Auto a.e 1 Y Y 5. variable level control switch 10-0225 used as a control activator, with Electrical E53r55 & E5769 1 230 1 1 Non 4.8 1 Z 1 3 or 4 & 5 Y Y Alternator (3) or (4) float system. • Singto piggyback swiich included. ♦ CA ON ForNtiormallion on additional Zoeller products referto cataiogon Piggyback Vciriable Level FloatSwitches, FMO477; All installation of controls, protection devices and wiring should be done by a qualified BeclicalARemalor, FMO486; MechanicaMlernator, FMO495; SurnpJ SewageBasins ,FM0487;andSinglePhase licensed electriclen. All electrical and safety codes should be followed including the Simpex Pup Contol/Alarm Systems, 1#10732. most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. -- —- - — — Mai ro: Po. Box 16347 ��{ieA1La�/V o louisvi8a, KY 4 02 56034 7 Alanuraclurers o/.. SHIP 'sv 3848 Cane Run Road Louisville, Ky 40z11 -1961 Q�r�rr SAICT lff& httpJAwww.zoe11er.com PU !O. (502) 778 U (502) 7 74.3624 PUMP © Copyright 2004 Zoeller Co. All rights reserved. ( 80 q Buckentin Concave Distribution Cell Calculation Concave Distribution Cell Calculation: Cell Length = [(% deflectionx.00265) + I] [ Effective length] 1. Percent deflection: (1.08'deflection/50' down slope effective cell length)(100) = 2.16% 2. Adjusted cell length: [(2.16% x 0.00265) + I] x 50' contour effective cell length = 50.29' 3. Cell length along contour to be = 50.29' Pg.9 of 1 I yo ly EX /S�inq G�c1e e /ur • �ucn �cd �OioP S�'e 0 13 &. 9y E yea, 667" w/- sS�o82 pu /. 030 -.2 70 � ow � of y `a l 9ravtl a• � 3 �ara v � drive�,3ay P � 00 JI �opo�ed ccJ;esc� .u,c�c.E� � � v rvs voj u.1eil f-tvde U rle; ltilwr �° � t3a- r TP of �y„ue.'� Well M Stzbp a.t S2rvitz dcvr �► o � 99.a� Vvl4.Plefl'e� ` ^�-� EY /�S�%✓ �1�' bd /►not'e`d'` `j0- ' d clr ul�l/ v b('q�4dvn�( O9$ l�)A Ne;Bkb� ;n I � I colas 3o3 o f'CS�den2'e i �araJce �' ` � f k�F�oX. /oQREior� � �3 LFf /ue /ink owed • � . of n elk ban's rvt rvta�ure v�� �ae -t/'tcs �. 9 y 8i cJcv r Propo SU. M e c4idGt ropcs.er! w; eser u�/ 3�S pa1 , 31`Sa /cc! / /acLC✓ crvle w7SvmQ rnE: /f1m�rv2 Srer�'aeG Glee!`= /Gd. �9� .4ssu.ne.d rzLe�! �> / oell e Liitisz 0 @ </� /aEe�a/ a� l %� c � ®.w/ e0lluW P��.hp. / B , D) , - " -, �, /oof'I1 "' - ----'° ° 2243 Wisconsin Department f Coml' � SOIL EVALUATION REPORT Page t of 3 Division of Safety and B ildings in accordan with Comm 85, Wis. Adm. Code A.C.E. Soil & Site Evaluations � Attach complete sit plan on I� ot9e� t�h � '8 x 11 inc es in size. Plart� County t St. Croix include, but not limit to: vertical�and ho ' grence nt (BM), direr,,,, arcel I. percent slope, scale r dimem�ipr>� tt4 a8 *"W nd distance to neares !(m)). i R & 2 NNt G 030- 75 -70 00 rm rmation. evie By Date Personal infoation you provide may be used for secondary purposes (Privacy Law, s. 15.04 ( $' j 7 �� Property Owner Property Location Harold Buckentin Govt. Lot NE 1/4 NE 1/ S 26 T 30 N R 20 W Property Owner's Mailing Address Lot # Block # Subd. Name ir CSM# 135 Co. Hwy E 1 2 Plat Of Drechsler Heights City State Zip Code Phone Number _j City _j Village _e Town Nearest Road Saint Joseph Wt 1 54082 1 715 -549 -6294 St.Joseph I Co. Hwy E I New Construction Use: 60 Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD ej Replacement J Public or commercial - Describe: Parent material Glacial Till Flood plain elevation, if applicable Na General comments and recommendations: Site suitable for replacement mound system with 19" sand lift placed on 98.41' contour. System elevation to be 100.00'. Boring # J Boring Pit Ground Surface elev. 97.62 ft. Depth to limiting factor Soil Application 17" in. ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -9 10yr3/2 none sl 2fgr mvfr cs 3fmc 0.6 1.0 2 9-17 10yr3/3 none gr sl 2msbk mvfr cw 3f,2mc 0.6 1.0 3 17 -32 7.5yr4/6 m3f 7.5yr5/8 Is Osg ml aw 1f 0.7 1.6 4 32 -51 10yr5/4 m2d 7.5yr5/8 sicl 1fsbk mfi - - 0.2 0.3 Boring # J Boring I/ Pit Ground Surface elev. 96.61 ft. Depth to limiting factor 24 " in. Soil p g Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-14 10yr3/2 none I 2fgr mvfr cs 3fm2c 0.6 0.8 2 14 -24 10yr3/3 none Is Osg ml gw 2fm,1c 0.7 1.6 3 24 -33 10yr4/4 f2f7.5yr5/7 sl 1msbk mvfr aw 1fm 0.4 0.7 4 33 -50 10yr4/4 m2d 7.5yr5/8 scl 1 csbk mfr - - 0.2 0.3 1 1 1 - T I I I d Horizons #2, 3 & 4 am rox. 30% cobble & stone. Saturated flow observed at 43" below grade * Effluent #1 = BOD 30 < 220 mg /L nd TSS >30 < 150 mg /L Effluent #2 = BOD < 30 mg /L and TSS < mg /L CST Name (Please Print) Signat re: CST Number James K. Thompson 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, WI 54020 5/3/2011 715- 248 -7767 t Property Owner Harold Buckentin Parcel ID # 030 - 2075 -70 -000 Page 2 of 3 3] Boring # -� Boring bel Pit Ground Surface elev. 98.61 ft. Depth to limiting factor 21" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -9 1 Oyr3 /2 none I 2fgr mvfr Cs 2f,1 m 0.6 0.8 2 9 -18 1Oyr4/4 none sl 2msbk mvfr Cw lfm 0.6 1.0 3 18 -21 7.5yr4/6 none Ifs Osg ml aw 1f 0.5 1.0 4 21 -31 7.5yr4/6 f2f 7.5yr5/8 sl lfsbk mvfr gw - 0.4 0.7 5 31-40 7.5yr4/6 m2f 7.5yr5/8 scl 1fsbk mfr - - 0.2 0.3 Horizons #2, 3, 4 & 5 contain approx. 30% cobble & stone. Saturated flow observed at 35" below grade F-1 Boring # I Boring _J Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots PD in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 F-1 Boring # J Boring J Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots G P in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD 5 > 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD < 30 mg/L and TSS <30 mg/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. SBD -8330 (R.07 /00) A.C.E. Soil & Site Evaluations ~ 5ca /e ♦ EX /5t�i.�q��de e�cv • �uca f ,W A -oP S �*fie O Os Cam. awl E �{ou- �z<vn� CJ /. Sya82 T Sdrt., 7., of P-1 # 030 -2075 X) 5e. o.8 y ac� es e g0. y � i 31 1 0 �x - 5 h I 6tdrao v fws�inq uJet( r.ald� 3 U f>:S�4n(�( s /02.09 � o 9�a WlaPlefrt `` O♦ tt `. bt protcc*� / ai. d c{r �[ /� b4 abrncb.��d y o, lel. Nei�kburin 1 ♦yGC3G . �' 1 1 ` 1 0 63 oFn e i�(�bors ►Mound ■ � A r.8f" \ L e �. � sib(X ♦ 1\ \\ rvta e wb; ? eye «s g o y 81 u.�cu r b QW etn, - STATE DOCUM BJl ft UU r o3f*a l # , a • �^ i+ INt$ `SarCCP NESFAyr�R -!P -A ACE f ': ra:nc s - '-Rube and Barbara_ J -Ru3�ei- C15Tf� �� ` BY THIS DEED, r 1d'i( Y t sw - -- fro , - 3 ga �Iarol H. ah B uckentsne d Xar ° ?c — Granter conveys and Wwiasls 19 A Buckent:i.n -e, husband and w 'T . tenan ts, -*ee cr . for a valuable consideration RETtMt! i� the foLloWing described real estate ice, "C•3CC?3 X Coaaiy, SU8teofWiscurisin C" A parcel of land_-ocatd in Drechsler Heights, T � in the Southeast Quarter of the Northwest Quarter Tliis:;s Y �:'aop,estead fi r` s :{ of Section 25, Township 30 Forth -, Range 20 Test, Town of 5t. Jose described as foilO_Ws: - Tne. West 141'.43 fret of tk�e - p =` 7 � Snuffs 231 feet r°.f Lot i of Block 2 of -� Drechs?er Heights 3 y ' ' c " [7 a Exception to Warranties: Conveyance nee of. the North. 7 feel.. t o St. Croix Zo , highway purposes recorded in Vol=e 387, page 602, document- 2697 7 � Vypp - Executed at t/ non -i sen +wily this_ day of a r ' n ?. • a M 4 u,.t IN AND SEALED I PRESENCE OF if t� I} - 4- ,W f s J 4 r r (BEAD s , r L s 5q f� Signatures of �3 {� authenticated tki,•_ - -- day of 19 —' I. Title: Member State Bar of *isconsin or Glher' Party . Authorized under Sec. 106.06 viz.._:, 9:: l w" i Ir i l ih NI I l r ws E 1 dr Ir 7S v} ":'! Ar n( ue tt++ ag .hl �'�CI I .€F 'r vP'yy "r xt > 4 �.l p fll '! �. Yp 16 M l S.r IG ck a. .�., tlf ri — x�d!,ila 3 r N b..dd r +� ° .Ik l �•'r rIq� ..r, I li `�s;`; 1. l ir f..kpv :�,.�� .� rr ,fi r r., r v r "F... �au w s�l w 'I'r s d' d r Fa rl tis h, II, ,. I I r d 1 r ti r , Y AW x u, ; k l � vm r " �,�y�yy AW IT" I " 4 1 1 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address Wv e . ,-- Property Address _ (Verification required from Planning & Zoning Department for new construction.) City /State 1 �/ GD( 1 ,s-y4a,_7? Parcel Identification Number X30 -`. -D = M -db LEGAL DESCRIPTION Property Location 176 '/< , I'�� /4 , Sec. , T 30 N R PD W, Town of • - 1_05 0 Subdivision Plat: Dred4je r , Lot # _�,(�li�' Z_ Certified Survey Map # �0. , Volume -- , Page # Warranty Deed # .33`1 (before 2007)Volume Sa , Page # Spec house ❑ yes P<O Lot lines identifiable es ❑ no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I /we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. I /we certify that all statements on this form are true to the best of my /our knowledge. I /we am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Nu 77;z - ; ms �/0.2j & SIGNATURE OF APPLICANT(S) DATE ** *Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * ** Include with this application 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. (REV. 09/07)