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HomeMy WebLinkAbout030-2068-80-000 (2)County Industry Services Division St. Croix tpn Ave Sanitary Permit Number (to be filled in by Co-) 1 46D E Was111ng P .0. Box 7'162 S► p Madison,lN1 53767-7'162 State Transaction Number lication 2944742 Permit App Sanitary his form to the appropriate governmental unit pr©' ect Address (if different than mailing address) SPS 383.21(2}, Wis- Adm. Code, submission of � nce withApplication forms for state-owned POVJTS are submitted to ame In accords 4 permit. Note: be used far secondary required r' or to obtaining a sanitary p Personal information you provide may S 197 Riverview Acres Roo is req p the Department of Safety and Professional Services. e m Stats. purposes in accordance with the Privacy Law, s. 15.©4(1}( }, ` formation —Please Print All Information Parcel # - I, Application In 030-2068-80 000 Property Owner's Name John & Kristen Property Location Property Owner's Mailing Address Govt. Lot 187 Riverview Acres Road p Cade Phone Number SE 1/4? SE �%4, Section 35 ( zip circle one) City, State 54082 T30N R20Eor Houlton, W 1 Lot # Subdivision Name Ih Type e of Building (check all that apply) Riverview Acres 1 or 2 Family Dwelling —Number of Bedrooms Black # City of Public/Commercial — Describe U5e Village of State owned — Describe Use CSM Number Town of St. Joseph Complete line B if applicable) System (explain} • 1 one box on line A. CornP other Modification to Existinn y III. Type of Permit. (Check only TreatmentlHolding Tank Replacement Only Replacement System A. ❑New System � ermit Number and Date Issued han e of Permit Transfer to New List Previous P C g � Permit Renewal Permit Revision plumber Owner B. Before Expiration Device: (Check all that a lY) anentl le soil � Mound < 24 in. of suitable soil IV. Type of POSITS SYSte n1 -" At -Grade Mound ? 24 in. of suitab Y lain zed In -Ground ❑ Pressurized In -Ground pretreatment Device (explain) Non -Pressure Holding Tank Other Dispersal Component (explain) Dispersal Area Proposed (s� System Elevation • atment Area Information: Dispersal Area Required (sf) 99.90 V, its ersallTre P 1236 Design Soil Application 1000 Design Flaw (gpd} Rate(gpdsf) 600 0.6 -0 U Capacity in # of Manufacturer VI, Tank Info Gallons Total °-' Gallons Units New Tanks Existing Tanks Wieser Concrete 1200 1 e tic or Holding Tank 1200 800 1 Wieser Concrete laps. Sp Dosing Chamber 800 installation of the gp'�TS shown on the attache P e Dumber onsibility for installs Business Phan atement- t, the undersigned, assume resp ,. MPIMPRS Number VII. Responsibility St plumber na e 223760 715-760-0486 Plun ,J 2 Plumber's Name (Print) � Sohn Schmitt Code} City State, Zip plumber's Address (Street,t VdI 54025 616 150th Ave. Somerse , Issuing Agent Signature VIII. Count IDe artment Use Onl permit Fee Date Issued Approved n Disapproved $ owner Given Reason for Denial IX. Conditions of App roWallReasans for Disapproval only on paper not less than S 112 s 11 inches in size complete plans for the system and submit to the County y Attach to cam P SBD-6398 (R03/14) ,0,�WkRT.A. CJ � SS10-N May 18, 2017 OUST ID No. 223760 JOHN F SCHMITT SCHMITT & SONS EXCAVATING 616 150TH AVE SOMERSET WI 54025-6920 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/18/2019 SITE: John and Kristen Johnson 187 Riverview Acres Rd Town of Saint Joseph St Croix County SE114, SE114, S35, T30N, R20W DIVISION OF INDUSTRY SERVICES 3824 CREEKSIDE LN HOLMEN WI 54636-9466 Contact Through Relay http:Ildsps-wi.gov/programs/industry-services www.wisconsin.gov Scott Walker, Governor Laura Gutierrez, Secretary A TT .- PO WTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016-7708 Identification Numbers Transaction ID No. 2944742 Site ID No. 837817 Please refer to both identification numbers, above, in all correspondence with the agency. FOR: Description: Four Bedroom Mound System 1 Sloping site Object Type: POWTS Component Manual Regulated Object ID No.: 1704924 Maintenance required; Replacement system; 600 GPD Flow rate; 27 in Soil minimum depth to limiting factor from original grade; Systems): Mound Component Manual - Ver. 2.0, SBD-10691-P (N.01101, R. 10112), Pressure Distribution Component Manual - Ver. 2.0, SBD-10706-P (N.01/01, R. 10/12); 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. 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. ,PPRO The following conditions shall be met during construction or installation and prior to occupancy or use: T OF SAI Reminders KPRo IONA iop & • e county where this project ect is located in accordance with the A sanitary permit must be obtained from the o ty p �VNISK)N 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. • The existing POWTS shall be properly abandoned per SPS 383.33, Wis. Adm. Code. • All POWTS component piping material shall be SPS 384, Wis. Adm. Code compliant. • The area within 15' downslope of the dispersal cell shall remain undisturbed. Vehicular traffic, excavation or soil compaction is prohibited in this area. • A cony of the aDDroved Dlans, specifications and this letter shall be on-site_durin construction and open to inspection b authorized representatives of the Department, which mqy include local inspectors. JOHN F SCHMITT Page 2 5/18/2017 Owner Responsibilities • The current owner., and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or 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. 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 scats 10 1. 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, 1'ard M Swim POWTS Plan Reviewer, Division of Industry Services (608)789-7892, Mon - Fri, 7:15 am - 4:00 pm jerry.sw]-LM@wisconsin.gov Fee Required 250.00 This Amount Will Be Invoiced. When You Receive That Invoice, Please Include a Copy With Your Payment Submittal. WiSMART code-. 7633 cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Re's-identia! Application INDEX AND TITLE PAGE Project Name: Johnson 4 Bedroom Mound Owners Name: Johnson, John & Kristen Owner's Address 187 River View Acres Hudson, W1 54016 Legal Description: SE1/4, SE1/4, S35, T30N, R20W Township St. Joseph County: St. Croix Subdivision Name: River View Acres Lot Number: Block Number Parcel I.D. Number 030-2068-80-000 Plan Transaction No. Page I Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Septic and Dose tank specifications Page 8 Effluent filter information Page 9 & 10 Pump specifications and curve Page 11 Plot plan Page 12 Septic tank maintenance agreement Page 13 & 14 Warranty deed Page 15 Aerial Photo Attachment Soil evaluation report Designer: John Schmitt Date: 5/3/2017 Signature: Designed Pursuant to the 7 Mound Component Manual for POWTS Version 2.0 SBD-10691-P (N. 01/01) and both SSWMP Publication 9.6 Design of pressure Distribution Networks for ST-SAS (10/81) and Pressure Distribution Component Manual Ver. 2.0 SBD- 10706-P (N. 01/01) Version 7.0 (R. 03/2012) Page 1 NALLY VED _U ETY AND L SERViCtS 3 T R,, Y SEFW-1Crr� License Number: 223760 Phone Number: 715-760-0486 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 400.O0 Estimated Wastewater Flow (gpd) Table 383-44-3 in -situ soil treatment for 1.501 Peaking Factor (g. 1.5 " e. 150% } fecal coliform of Cw 36 inches. 600.00 Design Flow (gpd) 3.00 Site Slope (%) 99.151 Contour Line Elevation (ft) 27.00 Depth to Limiting Factor (in) 0.50 In -situ Soil Application Rate (gpd/ft2) Distribution cell Information 85.72 Dispersal cell Length Along contour (ft) = 7.00 cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpolft) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? EI;ter `! ur N (C or E) C I Center or End Manifold 3.50 Lateral Spacing (ft) If N above, enter the elevation (ft) 4 Number of Laterals of the highest point. 0.155 Orifice Diameter (in) 2.00 Estimated Orifice Spacing (ft) = 7.14 ft�/orifice 2.00 Forcemain Diameter (in) 90.00 Forcemain Length (ft) 89.00 Pump Tank Elevation (ft) 4.55 System Head (ft) x 1.3 Vertical Lift (ft) Friction Loss (ft) 1 In -line Filter Loss (ft) Total Dynamic Head (ft) 10.48 3.73 0.00 18.76 Lateral Diameter Selection in. dia. options choice 0.75 1.00 1.25 x 1.50 x x 2.00 x 3.00 x Treatment Tank Information 1200.001 Septic Tank Capacity (gal) Wieser Concrete Manufacturer Does the forcemain drain back? I_Y J Enter Y or N 14.68 Forcemain Drainback (gal) 5x Void Volume (gal) Minimum Dose Volume (gal) System Demand (gpm) 77.12 91.80 4523 Manifold Diameter Selection in. dia. options choice 1.25 1.50 x x 2.00 x 3.00 Gallons/Inch Calculator (optional) Total Tank Capacity (gal) Total Working Liquid Depth (in) gal/in (enter result in cell 649) Dose Tank Information Effluent Filter Information 800.00 Dose Tank Capacity (gal) POLYLOK Filter Manufacturer 22.24 Dose Tank Volume (gal/in) 525 Filter Model Number Wieser Concrete Manufacturer Project: Johnson 4 Bedroom Replacement Mound Wage 2 W Mound Plan and Cross section Views 1110 B :.::•:•::::•:•:•:•:•::•:•:•:: Observation Pipe ::: • :•::•:•:•: • '`a •. v► •. ■, `• • y• •+ a• .v •• w• rr .• ■.! v• as a.a •. ■. a. .r'a.^r. r ,■ r f ., sw s r■ /•r• a• . .• y. va•". r.•ar l++ram er••rr••/a'•r ty/i,.� r •• •`: •••, a•h■'•w'•w"ser+� Fa":,':a•■� •a,►� •� r.. r••a� /+r�aa •••s rt+� r•r as/r•+a r yar'r `•a'r •.►"r +'.•i■■•rf•.••e••s •'•►', •+ .lri•rs•..•r..Rr•,a .S.•y r'•r'a.••lg Rta.■••.■. .•.. •..•.="aRrr•rv•Rr.•+!a `•••.••.• • +y.+•a•s■� . •ram h +1 •ram r r •a •• • . • a "• r•r • rr: r!b ..+a •• r• •' •arrr'•: +.•r.l r: rr`•r•r••a ".,� .� rar a.a.. ,� .t+taw•a• a. a• a• r � ■• r•*.• a. . as . . r � • • +yrfRr• a t•r+� ■•ar •ty Y.y. eRaa•r. 4. a. •!•..".•ae■a. a•r.••••a a• •.••y!!R■Rr; i�J*Y a`!f •'.+lrae•a rr•'i "•.•■r a.•.. Si � !.•••r_•% a rwf'•.r/f•••!=.i•i'•Rlak ■r". •r♦r*F•'. �•YF /yaa •� •� •f{r •Sw►• . • . 'r.+ laaR•a•yafa aaa. •••/ • f Yr +.••. ,■a r a i •rr■ . •ra rk • ,■ a • •,•a. ■+. a • • !• •■•a1 .• • . .`r •aa• • • r.•• •/ •+: a.•, ••!t •.,`aa'r ••,� s • .". r .••.'y ar�.r a• Ys` r a•• .•..•`r .•.r•rr: .••r: i er la +.a .••. ra, •aFr •r••r•a�•. •�■•• a•a.•�r• ..••• •r•• .rtia�a, ■+.iraarr 1. l�. r•'r.*•r••••'.•av•`.•Y.••r.wr. fr �.a . ........."....•...•......... B .•.•...... ...........•.. •:•:•:• T J -T A z L Mound Component Dimensions A 7.00 ft E 11.52 in B 85.72 ft F 9.50 in DI 9.001 in G 0.50 ft 600.04 (ft2) Dispersal Cell Area 7.00 (gpd/ft) Linear Loading Rate H 1.00ft K 7.94ft z 1 7.42ft L 101.60ft J 5.62 ft W 20.04 ft 1236.35 (ft2) Basal Area Available 8.57 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 101.69 (ft) ■ rrrrrirr..r. H rrrrrrrrrrr�'rrrrrirrr... r+ /a rr//////r/,�/r rr/.. G 7/J//l//11///1///1/!//1/!l/!/J!///// . Y ; ......................� F Dispersal Cell 1 Do.4o eft} Lateral 99.90 eft} �--�► I nvert Dispersal Cell Q r Elevation E D . . . . . . . . . . . . . . . . . ..`-_�,r..—;.fti- •.i`► a f . va J..}'ar �ti'� s{�.• _f�w,\li�'� �ti�� f�r���� .'^ r•". ✓'�r•Y��\�'1• '�,� `r� r, y-•�''�1 "' {yw •./, � F�r�� � ."�,.� V ��''���y'�� �4 /� t+ �.,� � ti� �" \�. \ ar^ S � ��, � � � ' 1 �. �y ..R��,� _lk . �] �.. ...� � .... - �� 1...-�: 99.15 (ft) Contour Elevation 3.0 % Site Slope Ge©textile Fabric Caner Shading Key i� Dispersal Cell See lateral details on 0 Topsoil Cap 1.5 ft :,....,. �. ..::.;:. Page 4 for number, size, /77777770 p � � � �'•'' .ra+.■ }� y-•;-.�, : fa and spacing of laterals. Subsoil Cap +rr �.+:. � = r ., . r Y, rR . © Laterals are equally ASTM C33 Sand `� � ••.•••...•a`•'`yr•+.. 'a•rr'-.r-.f-r..r�!••..,!•• !� •� : rw''r•+: •:+: ors'■ra•: ■.■•.''.••.�+■ ry .•.F spaced from the FAI. Tilled Layer 0.5 ft Typical Lateral :•;<.'.;•,.:': } �'\�`.: �• C '.! a ' ■`• .• as ar'.a• a,'■i v•"r a�.r ••• •. .� : ,r.•;.'..•r.•;:+:.,.•� ; ;•:.,,k;: • ..� distribution Ge11 S rr r•r v•.ar. AtrrV reg ate i�•.�.�ssars.rr++�w'.aaae ,�a■.saf�lry^.•., R .• rr� v ..,; ..,,-:::•- centerline in the H - i IL A distribution cell (AxB). Project: Johnson 4 Bedroom Replacement Mound Page 3 Project: Center Connection Lateral Layout Diagram Force main connection via tee or cross to manifold at and point. P Laterals are identical • = Turn-u p W ba l I ,•a hte or — IIfx12-4I O2 4E Laterals & forcerrna:n Scn 40 PVC clean out pl u g per SPS Table 384.30-6 Holes drilled can the bottom of the lateral. Number of Laterals Lateral Diameter Lateral Length (P) Lateral Spacing (S) Lateral Flow Rate System Flow Rate Total Dynamic Head 4 Orifice Diameter in Orifice Spacing (X) ft Orifices per Lateral ft Orifice Density gpm Manifold Length gpm Manifold Diameter ft Forcemain Velocity 1.50 42.03 3.50 11.31 45.23 18.76 nr%aa Tank Infnrmn*inn Electrical as per NEC 300 and L SPS 316.300 WAC Tank component is properly vented Wieser Concrete Capacity 800.00 Volume 22.24 Dimension Inches Gallons A 18.84 419.08 B 2.00 44.48 C 4.13 91.80 D 11.00 244.64 Total 35.97 800.00 S AL 0.156 in 2.05 ft 21 7.14 ft2/orifice 3.50 ft 1.59 in 4.62 ft/sec Locking cover with warning label and locking device and sealed watertight t 4 in. min. J Alarm Manuafacturer SJE Rhombus Alarm Model Number 103637 Pump Manufacturer lZoeller Pump Model Number 153 Pump Must Deliver 45.23 gpm at 18.76 ft TDH Johnson 4 Bedroom Replacement Mound �- Alternate outlet location Forcemain diameter a 2 in. Weep hole or anti - siphon device Pump off elevation (ft) $9.92 Dose tank elevation (ft) 89.00] Note- Switches containing mercury may not be used in this system. Page 4 Mound System Maintenance and Operation Specifications Service Provider's Name John Schmitt Phone 715-760-0486 POWTS Regulator's Name St. Croix County Zoning Phone 715-760-0486 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 118 in Estimated Flow - Average 400 Igpd Maximum BOD5 220 mg/L Septic Tank Capacity 1200 gal Maximum TSS 150 mg/L Soil Absorption component Size 600.04 ft2 Maximum FOG 30 mg/L Type of Wastewaterl Domestic Maximum Fecal Coliform >10E4 cfu1100 mL Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Other Service Frequenm Inspect and/or service once every 3 years Should inspect and clean at least once eve 3 ears Test once every 3 years Should test month) Laterals should be flushed and pressure tested every 3 Lears Inspect for ponding and seepage 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 cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to SPS 384.30 (6)(i), Wis. Adm. Code. 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 Finished *••.......•••• ........•••�•.. Grade ,, ..::.: Threaded Cleanout 6-8 Diameter Lawn ..... . Sprinkler Value Box �:::;:;:;:;:;:;::: :;:.:;::;:;:, Plug or Bail Valve P .. ... Distribution .... .. .. . . Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Johnson 4 Bedroom Replacement Mound Page 5 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 (SBD-10691-P (N.01101, R. 10/12), SSWMP Publication 9.6 (01/81), and Pressure Distribution Component Manual Ver. 2.0 SBD- 10706-P (N. 01101, R. 10/12)] 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 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 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. Gold 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 mg1L BUDS, 1.50 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BODS, 30 mg/L TSS, 10 mg/L FOG, and 104 cfu1100 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. 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 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. P retreatm a nt U n its The information and schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment units or disinfection units are attached as separate documents and are considered part of the overall management plan for this system. Project: Page 6 16 4" IIII I I 4" CAST -A -SEAL I I IIII J II 024 I CD � III ° IIII I I FILTER Off I I I BAFFLEII �I Ii. IIII a Tna \n C7%Ar SIDE VIEW TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C--1227 REQUIREMENTS WLP1 200/800— MR TANK SPECIFICATIONS DIMENSIONS. - WALL: 3" BOTTOM: 3" COVER: 6" MANHOLE: 24" I.D. PRECAST CONCRETE RISER HEIGHT: 53" O.D. LENGTH: 164" O.D. WIDTH: 96" Q.D. 4" CAST -A --SEAL BELOW INLET: 41" Q.D. LIQUID LEVEL: 36" WEIGHT: BOTTOM 12,000 LBS. COVER 8,170 LBS. INLET AND OUTLET: 4" CAST -A -SEAL BOOT OR EQUAL GASKET, CAST- A- SEAL BOOT OR EQUAL INLET AND OUTLET BAFFLE AND FILTER: WISCONSIN, SEE DETAIL #10 (OTHER STATES SEE CHART) LIQUID CAPACITY: 33.46 GAL/IN SEPTIC) 22.24 GAL/IN PUMP) At' 'fEN T OUTLET ' PAD LOADING DESIGN: 8' 0" UNSATURATED SOIL TANK CAN BE USED AS: SEPTIC/SEPTIC, SEPTIC/PUMP OR SEPTIC/SIPHON COVER: MIX DESIGN #8 (NO FIBER) TANK: MIX DESIGN #9 (SMALL FIBER) CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WIESER CONCRETE DRAWINGS SUBMITTED FOR APPROVAL APPROVED BY: I APPROVAL DATE: IPRODUCTS NEEDED BY: IL 0 0 d c: 0 g 0 a J O LL La ul 0 Ln �8Lo C.a w o0 o I L �m N IWO � c0 r SHEET N0. OF 1 Inc. Innovations in Precast Drainage Zabel, & Wastewater Products A Division of Polylok Inc. PL-525 Filter YL-,JY.J unuent tilter 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. 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. FL-525 instaiiation: 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. -1 M Off V-111 1 "0 1-1. .11.1 el L11 Alarm Switch (Optional) 10,000 G;P �D j Accepts 1" PVC Extension Handle Accepts 4" & 6" SCHD 40 pipe Outdoor SmartFilterg Alarm Polylok, Zabel & Best filters accept the SmartFilterg switch and alarm. Rated for 10,000 GPD 525 Linear Ft. of 1/16"' Filtration Slots Certified to N-19FIAN-115111 cte rd 46 Gas Deflector Automatic Shut -Off Ball Extend & LokT11 Easily installs into existing tanks. Polylok, Inc. 3 Fairfield Blvd. Wallingford, CT 06492 Toll Free: 877.765.9565 Fax: 203.284.8514 www.polylok.com Page 8 SECTION: 2.20-047 FM1919 �MW �VozITY Y A.Ik_ A/ 0110 Supersedes Product information presented 1108 here reflects conditions at time A7_1 1A of Z7 T"�77 of publication. Consult factory regarding discrepancies or visit our web site: inconsistencies. MAIL TO: PO. B©X 16347 - Louisville, KY 40256-0347 SHIP TO: 3649 Cane Run Road - Louisville, KY 40211-1961 www.zoellercom (502) 778-2731 - 1 (800) 928-PUMP - FAX (502) 774-3624 COMPARE THESE FEATURES 0 Durable cast iron construction o Model 151 comes standard with a glass -filled polypropylene base Corrosion resistant powder coated epoxy finish C Stainless steel lifting handle Assembled with stainless steel bolts Non -clogging engineered thermoplastic vortex impeller design Model 151 - 113 HP passes Y2It spherical solids Model 152 -.4 HP passes3/4" spherical solids Model 153 - 1/2 HP passes3/4" spherical solids Motor - 60 Hz, 3450 RPM, oil -filled, hermetically sealed, automatic reset thermal overload protected Carbon/Ceramic seals Upper sleeve bearing and lower ball bearing running in bath of oil 20 ft. UL Listed power cord with molded 3-wire plug 1 '/2" NPT vertical discharge BN and BE standard models include a 20 ft. variable level float switch Operates at temperatures to 130°F (54°C) in effluent applications All models include a 11/2" x 2" PVC adapter fitting Note: The sizing of effluent systems normally requires variable level float(s) controls and properly sized basins to achieve required pumping cycles or dosing timers with nonautomatic pumps. . . . . . . . . . . . . . . . ............ Zr MAIL TO: P.C. BOX 16347 Louisville, KY 40256-0347 SHIP TO: 3649 Cane Run Road Louisville, KY 40211-1961 (502) 778-2 731- 1 (800) 928-PUMP FAX (502) 774-3624 Manufacturers of .. - 151/152/153 EFFLUENT SERIES (For Pump Prefix Identification see News & Views 0052) LL RA ATC" lam EM FOR SEPTIC TANK -LOW PRESSURE PIPE (LPP) AND ENHANCED FLOW STEP SYSTEMS EFFLUENT V %Tr N��� NN111-1 SUBMERSIBLE � A4mAGa 1 '/2" NPT DISCHARGE Adsofth, C Tested an Stand AA0 � N1 - BN Pa .. LrQL.TY ��rr.,17,ffL FINcF 194 79 .. @ Copyright 2010 Zoeller Co. All rights reserved. Page 9 LU LLU U PUMP PERFORMANCE CURVE MODEL 151/152/153 14 50 153 45 12 40 0 35 u� 1 p 152W,. 30 n 8 25 151 �� Kam, o g 20 15 4 rv. 2 5 0 10 20 30 40 50 60 70 80 90 100 GALLONS LITERS 0 40 80 120 160 200 240 280 320 360 FLOW PER MINUTE 014508A CONSULT FACTORY FOr% R 4;pF:r......._ ..... _ _j _ _._.___ TION.R __ ____� Timed dosing panels available Electrical alternators, for duplex systems, are available and supplied with an alarm Variable level control switches are available for controlling single phase systems Double piggyback variable level float switches are available for variable level long and short cycle controls Sealed Qwik-Box available for outdoor installations - See F M 1420 Over 1307 (54°C) special quotation required 15111521153 Series 151/152/153 MODELS Control Selection Model Volts -Ph Mode Amps Simplex Duplex N 151 115 1 Non 6.0 1 2 or 3 BN151 115 1 Auto 6.0 Included 2 or 3 E151 230 1 Non 3.2 1 2 or 3 BE151 230 1 Auto 3.2 included 2 or 3 N 152 115 1 Non 8.5 1 2 or 3 BN152 115 1 Auto 8.5 Included 2 or 3 E152 230 1 Non 4.3 1 2 or 3 BE152 230 1 Auto 4.3 Included 2 or 3 N153 115 1 Non 10.5 1 2 or 3 BN153 115 1 Auto 10.5 Included 2 or 3 E153 230 1 Non 5.3 1 2 or 3 BE153 230 1 1 Auto 1 5.3 1 Included 2 or 3 TOTAL DYNAMIC HEAD/FLOW PER MINUTE EFFLUENT AND DEWATERING MODEL 151 152 153 Feet Meters Gal. Liters Gal. Liters Gal. Liters 5 1.5 50 189 69 261 77 291 10 3.0 45 170 61 231 70 265 15 4.fi 38 i44 53 201 61 231 20 6.1 29 110 44 167 52 197 25 7.6 16 61 34 129 42 159 30 9.1 — — 23 87 33 125 35 10.7 — — — — 22 85 40 12.2 -- — -- — 11 42 Shut-off Head: 30 ft. (9.1 m) 38 ft. (11.6m) 44 ft. (13.4m) Model 151 -■ 6 7132 3 718 4 5l8 � r ' 3 718 3 7ll1$ � � 1 I 1 11 11116 I 41Sh6 I SK2444 SELEC T i&N GUIDE 1. Single piggyback variable level float switch or double piggyback variable level float switch. Refer to FM4477. 2. See FM0712 for correct model of Electrical Alternator E-Pak. 3. Variable level control switch 10-0743 used as a control activator, specify duplex (3) or (4) float system. A CAUTION All instaiiation or controls, protection devices and wiring should be dune by a qualified licensed electrician. All electrical and safety codes should he followed including the most recent National Electrical Code (NEC) and the Occupational Safety and Health Ac: (0SHA). 014508E Models 1521153 Gilt W, f8 1B SK2064 "Easy assembly" (pump & discharge pipe not included.) OPTIONAL PUMP STAND P/N 10-2421 Reduces potential clogging by debris Replaces rocks or bricks under the pump Made of durable, noncorrosive ABS Raises pump 2" off bottom of basin g Provides the ability to raise intake by adding sections of 1 %" or 2" PVC piping Attaches securely to pump Accommodates sump, dewatering and effluent applications NOTE: Make sure float is free from obstruction. For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. O Copyright 2010 Zoeller Co. All rights reserved. Page 10 PLOT PLAN Project Name: Johnson 4 Bedroom Replacement Mound Legal Description: SE11/4, SE11/4, S35, T30N, R20W P. 1. D: Subdivision Name: -River View Acres Lot #: Township: St. Joseph Parcel Size: County: -St. Croix Contour Line Elevation: 99-15 Cell Dimensions: System Elevation 99-90 Mound Dimensions: 030-2068-80-000 0 3.030 Acres T X 85.72' 101.60'x 20.04' Slope %: 3 A BM1 Elevation: 100.00' Top of 1-1/4" PVC pipe BM2 Elevation: ,104.400 Top of garage floor at east door ■ Backhoe Pits: Septic Tank: 1200 gallon Septic Tank Dose Tank- 800 ciallon Dose Tank with POLYLOK 525 Effluent Filter SCALE: 1= 60' 4 inch Sch 40 -ASTM D2665 2 inch Sch 40 -ASTM D 1785 111/2 Sch 40 -ASTM D 1785 01 S,04 LIV PVC cc O)Awl :5 i:-4)'r I—NS INS P6 0, -4 'A 17 C, C C)li SEE CORRESPONDEFdCt Page 11 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer John &Kristen Johnson Mailing Address 187 Riverview Acres Property Address 187 Riverview Acres (Verification required from Planning & Zoning Department for new construction.) City/State Houlton, W1 Parcel Identification Number O3O-20v8-8O-000 LEGAL DESCRIPTION Property Location SE '/4 SE '14 ,Sec. 35 Subdivision Plat: Riverview Acres Certified Survey Map # Warranty Deed # Spec house Elyes Ono T 30 N R 20 W.Town of St. Joseph , Volume . Page # (before 2007)Volume ,Page 4. Lot lines identifiable [Dyes[]no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Lot # 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 §SPS. 383.52(l) 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 Safety And Professional Services 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. Numbe of drooms 4 SIG ATURE 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. 04/12) STATE BAR OF WISCONSIN FORM I -- 2000 Document Number WARRANTY DEED THIS DEED, made between Steven J Berghs and Debra I Berghs Husband and Wife, Grantor, and John A. Johnson and Kristen S. Johnson, Husband and Wife, Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (the "Property"): SEE ATTACHED EXHIBIT A Together with all appurtenant rights, title and interests. 8107416 Tx:4084807 967831 BETH PABST REGISTER OF DEE ST. CROIX CO., 11 11/19/2012 3:42 EXEMPT#: NA REC FEE; 30.00 TRANS FEE: 1530. PAGES: 2 Recording Area ]`Name and Return Address: Title One Premier Group File# 18417 706 19th Street South Hudson, wI 54016 n110-?06R-90-000 Parcel Identification Number (PIN) This is homestead property. �t M Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except Roadways Easements &. Restrictions of Record Dated this 25th day of October 2012. * Steven J Berghs AUTHENTICATION Signature(s) authenticated this * TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.0+6, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Michael H. Forecki, Attome (Signatures may be authenticated or acknowledged. Both are not necessary.) *Names of persons signing in any capacity must be typed or printed below their signature * Debra I Ber hs ACKNOWLEDGMENT STATE OF WISCONSIN ST. CROIX COUNTY. } ss. Personally came before me this 25`h day of October, 2012 the above named Steven J Berghs and Debra I Berghs to me known to be the person(s) who executed the foregoing instru t an acknowledged the same. r I *Lacki O'Neill i Notary Public, State of Wisconsin My commission is permanent. (If not, state expiration date: 8/14/2016 �r JACKIE ONEILL NOTARY PUBLIC STATE OF WISCONSIN r1 1 of 2 WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 1-2000 Page 13 EXHIBIT A Part of Government Lot "4" of Section 35, Township 30 North, Range 20 West described as follows: Commencing at Southeast I Place of comer of said Section 35; thence North on East line of said Section 35, 811.87 feet; thence West at right angles 593.64 feet to Beginning; thence South 37'43'53" West 403.96 feet; thence South 7750" West 367.4 feet to Easterly shore of Lake St. Croix; thence Southeasterly on said Easterly shore line 30.0 feet; thence East 433.9 feet; thence North 30'00'04" East 409.4 feet to the centerline of a 66' roadway; thence Northwesterly along said centerline 97.16' to Place of Beginning. SUBJECT TO roadway easements ove No rtheasterly 33.0 feet and Northwesterly 10.0 feet and TOGETHER WITH 6 6. 0 foot roadway as described in Volume "44 5", page 7, and SUBJECT TO 20 foot roadway easement as described in Volume "437", page 329, and further subject to any other easements, I reservations, or restrictions of record. AND 1 Part of Government Lot "4", Section 35, Township 30 North, Range 20 West, Town of St. Joseph, described as follows: Comme I nc - ing, at the Southeast comer of Section 35, Township 30 North, Range 20 West; thence North along the East line of said Section 35 bearing North 00'00' East or West for 713.86 feet; thence North 90'00' West for 467.96 feet to the POINT OF BEGINNING of this description; thence South 23'0 1'50" West for 703.97 feet; thence North 00'00' East or West for 329.00 feet; thence North 30100,'04" East for 409.40 feet; thence on a curve concave to the North, radius of 161.27 feet central angle of 28125'41 "' for 80.0 feet to the � POINT OF BEGINNING. Subject to a roadway easement being the Northerly 33 feet of the above described tract of land. Together with access to the St. Croix River beach and the right of use of said beach. Together with a 66 foot road easement as described in Exhibit A attached to the deed to the grantor, recorded in the Office of the Register of Deeds in Volume "439", Page 461, as Document I No. 291105. 2 of 2 Page 14 L1l c-I bio {U CL Department of SOIL EVALUATION REPORT #1875 1 S Safety and in accordance with Comm 85, Wis. Adm. Code Page of 4 P Professionai Services Schmitt Soil Testing, Inc. County St. Croix Attach complete site plan on paper not less than 81/-z x 11 inches in size. Plan must include, but not limited to-. vertical and horizontal reference point (BM), direction and Parcel 1.D. percent slope. scale or dimensions, north arrow, and location and distance to nearest road. 030-2068-80-000 Please print all information. Reviewed By Date Personal information you provide may be used for secondary purposes (Privacy Law, s, 15.04 (1) (m)), Property Owner Property Location SEI/4, SEI/4. 535, T30N, R20W Johnson, John & Kristen Govt. Lot Property Owner's Mailing Lot # Block Subd. Name or CSM4 Address Riverview Acres 187 Riverview Acres Road Village Town Nearest Road CityState Zip Code Phone Number City St.joseph To Riverview Acres Road Hudson W1 54016 4-- Code derived design flow rate 600 GPD New Construction Use: Residential Number of bedrooms Replacement Public or commercial - Describe-.--... _T�.- . ft Parent material Outwash (Antigo Series) Flood plain elevation., if applicable NA General comments Area is suitable for a mound system, System elevation is 99.65' based off a contoirline established at 99.15'. Slope of area is 3%. and recommendations: Depth to limiting factor is 30 Boring Boring # Pit Ground surface elev. 99.45 ft. Depth to limiting factor 42 i n. !Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft2 E ff# 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - . .................... 1 0-10 10yr3/3 none sil 2fsbk mvfr as 2vf 0.6 0.8 2 10-22 10yr4/4 none sil 2msbk mfr gw 2vf 0.6 0.8 3 2?-42 10yr4/4 none S1 orn Mfi CS lvf 0.2 0.6 4 42-58 10yr4/6 c2d 7,5yr6/8 7.5yr6/2 vcbsl Om Mill gw 0.2 0.6 5 58-80 10yr5/4 none vgrsl Om mfi as ------ 0.2 0.6 6 80-96 10yr6/4 none s 05g Ml 2 Boring # Boring Pit Ground surface elev. ___99ft. 1 -90 ­­ . Depth to limiting factor De 30 in. Soil Application Ratel Horizon Depth Dominant Color Re Description Texture Structure Consistence Boundary Roots GPD/ft 2 'Eff#2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 0-11 10yr3/3 none sil 2mgr mvfr as 2vf 0.6 0.8 2 11-30 10yr5/3 none sil 2msbk nift gw lvf 0.6 0.8 � . _ c2d 7.5yr6/8 Om gw ------ 0.2 o.6 3 30-44 7.5yr4/4 7.5yr6/2 44-58 7.5yr4/4 c2d 7.5yr6/8 7.5yr6/2 vcbsi Om Mfi cs - ------ 0.2 0. - 6 ___ 5 58-94 10yr5/4 none vg rsi orn M ---- ------ 0.2 0.6 20 mg/L and TSS >30 < 150 mg/L Effluent #2 60D_ �< _30 mg/L and TSS30 mg/L Effluent#1 = BOD_> 30 < 2 CST Number CST Name (Please Print) Signature'. 227429 Thomas J. Schmitt __ �_�_ _.__. ___v___�-_�-_ _____..�._. _�_ .__�.__ - Date Evaluation Conducted Telephone Number Address Schmitt Soil Testing, Inc. 4/5/2017 715-760-1978 1595 72nd St. New Richmond, VVI 54017 1k,07-00) ku - .......... ..... R } ENT L oTv�-4 1 .1 4P P I vw�'N 420 5 IAW St Croix County, W1 Legend Site Addiess Toww' Cities Villages Sections St Croix Co Olher Counties Lakes and Rivers Rivers and Streams Dom h1r.1flOe"t P t! I f kTt ' i A Conveyance Division WROC 12 in (2015) (Color) ElPurl WPM- I II Solid 0 1341Jk1 WROC 12 in (2010) (Color) 0 it-w RA&F-el * I ElC're":1 Band, 2 ElNo.) D"stO I N 0 20 40 60ft DISCLAIMER: This n op is no t Uuaranleed to be accurate, correct, currani, or complete and conclusions drawn are the responsibility of the user. D4,11 lit? T1-% I 1F.1 A