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HomeMy WebLinkAbout002-1022-10-100!isconsin Department of Commerce PRIVATE SEWAGE SYSTEM ..afety anu Building Division ' - INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) 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 Mueller, Robert J. Baldwin Townshi CST BM Elev: Insp. BM Elev: BM Description: Ob ~ lOD ' ~r.~ ox~ .Sv~t.~ ~ ~ TANK INF()RMATICIN ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic bd Dosing s1. ~ ~ Aeration Holding ' TANK SETBACK INFORMATION Manufacturer Model Number GCl1~~Y1 TDH L~t •~~ Fri i~ oss ~ Forcemain Length Dia. a a S(111 ARSnRPTInN SYSTEM ~J arm ~` 2 l 3 Head TDH ~, 22 . '.~ t. to Well ~ /~ ._ n. i.,, _i ._ ~ County: St. CroiX Sanitary Permit No: 408215 0 State Plan ID No: Parcel Tax No: 002-1022-10-100 STATION ~z BS 3,07 HI 0 .o FS ELEV. oo' Benchmark 3.~ ®~. Alt M J o~ ~ ~. Bldg. S wer ' St/Ht Inlet o ~ o y`3~ SUHt Outlet o• '3 y3- ~- D nlet X03, o ia.Z qd~8~~ Dt Bottom/ /s S S7• a ader/Man. /b3.o"7 ~ ai • ~ ~ Dist. Pipe d o i ~~~' ~7 Bot. $ystem yK ~ . Final ra of o'l~p y f io2.3~F S~ r 'se r No t~~- ~~ ne0 D ED RENCH DI NSIONS Width ~ Len th v No. Of Tre hes .a PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth SEl'BACK INFORMATION SYSTEM TO P/L BLDG WELL LAKE/STREAM L CH CHA R OR Manufacturer: Type Of System: ~~~ CQ , ~~ a1~ / Model Number: DISTRIBUTION SYSTEM .~ U. _ .,., /al ",~',/v~r»,..Qi.,~./s Header/Ma(nifold Length /~~~Dia ~ ` Distribution ~ L ngth~' Dia l • ~ r c 2 Spacing ~ • J x Hole SizeQ ' 0 `' x Hole Spacing ~ ' Ven Air Intake SOIL COVER Y Prassuro Svsfpms Anly YY Mound Or At-Grade Systems Only v v Depth Over ~. Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center I "' ~ ~J•b ^" Bed/Trench Edges Topsoil ice, Yes ;. ~ No `_ __j Yes !_ J No ~3- oK COMMENTS: (Inclu~code discrepencies, persons present, etc.) Inspection #1: / ~ / U ~v,~-,~InJspection #2: ~' / l I~oJL Location: 2591 110th Ave Baldwin, WI 54002 (NE 1/4 NE 11411 T29N R16W) NA Lot 2 `^ f1 K~T"" ~ - Parcel No: 11.29.16. 5Z6 1.) Alt BM Description = ~~ ~ ~~ ~~ 2.) Bldg sewer length = ~ C7 ~ -amount of cover = ~ ~~ ~' 3.) Contour = ~ ~ rl y~'~ 1~ ' ---- _ _ - ~ Plan revision Required? ,~; Yes !No 9 ,r, / /o /~ (''~~ Use other side for additional Information. ~ ~ ` v I __ l./I~ ". `t " ~~ _ Date Insepctor' ignature Cert. No. SBD-6710 (R.3/97) PUMP/SIPHON INFORMATION 'z' ~~D-`x ~~. $ y.Z . o,z ' „~ ~.~ • /ocat~r prbParty stalt'~ pps~i ~k : ~. ~_ ~ I~ Ro ~~t s ~uc~k~,~~~-, ntvynE-yy,,k~. ~, T,,. o~ Jay ~jaGdwl~~ S~.CroiKCo•~~I, '(-'~UIM-2~ p~aposed ~, ozJO~aG. 5ep~c 4.y babe 1 A- ivo e~lu~t ~; I atouflet. h~ ~x, ~ ~~~r qp c^ Qc,nc,~ mo.rK~ op of /vt.s~a~t'.e. 'Y' ~~~~ ~lss umc.d e c~` - /a~. d~.' ~ d~ ~~ ^ ~ ~ Pro posed Sao ~a.0. ~,'~ ~~ / / / z a^I~ i ,,~° $~ ~ %~ °'~'~ ~ / c~'.''%~ / /P~% ~ i b3 nlaihEa~n r+~;nimkm by Coin n1.83.0 ''f% / ~.,b /a% / c~"~ / ~~Y "o v+ t .~ w_ ~~ TO''" ,2.p ' 170± -~ ~o f S/ope. (•~-oposed w~ou.nd~,,~,2S.3s'X//.z.S3' ~/S X 90' d;sPlaa'Sc(Ce/% ~W ~atci..(s mt /Yy z 5/S!.z9,rv/ y8 ..o~;F'cx S ~oac¢d at.~.ob. ~.80~ 9 y b /ocn~."an o{ PropoS~ 3 bcd~ooh, rc 5~~d e,r ce ~°A•S,T.IYI.303Y ~ bic;/di iJ ~J 32wc/' Proposed ~t u App,-ter , ~ ~4 de a-6 b4;tdinq S:tc._ 98,0,, I~.erna~c t3. ~ nw~l in2'1', Oa~t'free • Ele~r. =9Sz5'~ ' Safety do buildings Division Sanitary Permit Application 201 W. Washington Ave. `~ PO Box 7302 seonsin In accord with Comm 83.21. Wis. Adm. Code Madison, wt 53707-7302 Department of Commerce Personal information you provide maybe used for secondary purposes (Submit completed form to county if not [Privacy Law, s. 15.04(1)(m)) ~,s3' j D state ownod. Attach com lute ens o the count co onl for the s stem on a er not less than 8-1/2 x 11 inches in size. County State S itary Permit Number ^ Check if revision to previous application State Plan I. D. Npmbe vZ/ ~ O ~ I. A lication Information -Please Print ail Information Location: 5 f~ //O Property Owner Name Property 1_ocation t~JZ. u _ _ / ,N ~/ E Property Owner's Mailing Address ~ v Lot um ei- Block Number -~- ~'~- State Zip Code Phone Number Sr)btti~isidri ~ SM N mbe . ..5 ~~ ~ ~ ~ ~~~~'o~ ~ ~ (~a3 9 II Type of Building: (check one) O~ 1 2 F il D lli N f B d 3 ~ ~ ~ "~ '''~'~ ~ orF~cE ~ villa e or am ~ y we ng - o. o e rooms: g ~~ O Public/Comrnercial (describe use): ° ~ o state-owner ------- ------------ ~./d ~ III Type of Permit: (Check only one box on line A. Check box on line B if applicable) Neares ~ oad,~j of s J p) 1• 'New System 2. ^ Replacement 3. O Replacement of 4.. ^ Addition to Parcel Tax Nun rber(a) S stem Tank Onl Existin S stem Q - /~~ - /(~ - B) O A Sanita Permit was reviousl issued Permit Number Dale Issued IV. Type of POWT System: (Check all that apply) isT ELG S X W ~ e ~e a ~rq ~. 5- ^ Non-pressurized In-ground ound ~ Sand Filter ^ Constructed Wetland~~~ D-- ^ Pressurized In-ground O Ilolding "('artk ^ Single Pass O Drip Line C~.~3 O At-grade O Aerobic'freatment Unit O Recirculating ^ Other: V Dia ersaUTreatment Area Information: I. Design Flow (gpd) 2. DisperaalArea ~ 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade ~'0 Required ~Sb Proposed / y Sv Rate als./day/sq. (t.) ~~° , ~~~cs~' (Min./inch) so,rs ~ Z,~ i o0'3~ ~ Elevation I~~~I~ ~ VI Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons 'Tanks ~ Q Con- Con- glass New Tanks Existing Tanks ~~ ,, w~i~~ ~~ ~-~ crate slructed 5t ; ~ ~ ~. -- t ~ ~~ ~ -----_ --~ -- ~ _l1r~e~.---- ----- ---~-- ------- o --, 0 0 0 ~~.Y., I - ~ ~~ I W a r ~ o 0 0 0 VII Respons bility Statement 1 the undersi ned assume res onsibilit for installation of the POW'I'S shown on the attached plans. PI~ s N print) Plumber's Si taro; o atarrrpa): ~ MP/MPRS No. Buetneu Phone Number t ~~ ~ 1 _ _ _ Plumber's Address (Street, City, Slate, Zip Code ~ ~'~~ ~ ~ v VIII County/Depa ment Use Only ^ Disapproved Sanitary Ptxrrtil Fe (Includes Groundwater Date Issued ssuing A ntSignatu (No stamps) Approved ^ Owner Given Initial Adverse Surcharge Fee) 3 1J~- ~ 7 / 3 Determination 0 ( ~ ~ GG IX. ~C,~o~nd~it~iopns of Apptroval /Reasons for Disapprovalt G ~~~ lOi? i ~ ~~ ~_ ed ~r- S~~ ~ da-~d a..a-4o c'~v`'a C~ ~a~ Co-n~ `o -"'` ~ , r, rn, ~ v - ~~ ~~Ph»u-f'. Nam. ~l~rat »~.e-f ,b.~ u~~'trtd,e1 '~` ?DN tiw~a-ads ~~~'~-Q2A..•.~~ ~aG}~ruc-t' l~cQct.~~o -' a~°.i~-~~.uy-.~-~'tr~~,%tt< r~~ S-~J},U~l~G2~;~~~r, . (~l.vYlA~t~ it ,d p v v - ZI T- ~ s ~scons~n Department of Ccmmerce Safety and Buildings 10541 N RANCH ROAD HAYWARD WI 54843 TDD #: (608) 264-8777 www.com merce.state.wi. us/sb www.wisconsin.gov Scott McCallum, Governor Philip Edw. Albert, Secretary Apri130, 2002 CUST ID No.222904 JAMES W BOUMEESTER 1070 HWY 35 N HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/30/2004 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 SITE: Robert J Mueller 110TH Ave Town of Baldwin St Croix County NE1/4, NE1/4, S11, T29N, R16W FOR: New mound, 450 GPD Object Type: POWT System Regulated Object ID No.: 848944 Identification Numbers Transaction ID No. 729807 Site ID No. 643813 Please refer to both identification numbers, above, in all cones ondence with the a enc . The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in P ~ chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. <t.~ .~ <~ The following conditions shall be met during construction or installation and prior to occupancy or use: >r General Approval Conditions: • This system is to be constructed and located in accordance with the enclosed approved plans and with the , .~.,~ pF yS E ,J1Glound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD-10691-P ( N.O1/O1) and SSWMP Publication 9.6, "Design Of Pressurized Distribution Networks For Septic Tank- _ ~2.~--~ Absorption Systems." ~_E CORRI • 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. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • 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. • The maintenance plan for this system must be given to the owner of the POWTS. // Key Item(s) The actual gallons per inch for the specified pump tank is 21.76 and the liquid level is 37" per product approval. The ro osed um settin shave been adjusted provide a dose volume that is greater than 5 times the void volume and less than 20% of the design wastewater ow p us am ack. JAMES W BOUMEESTER Note Page 2 4/30/02 • The propos°d pump is near its.limit wi.~ proposed total dynamCc head. If upon installation, the total dynamic head increases, the nronosed Damn must ~e reevaluated and may be inadequate. tom- S.i~G ~~~ ~~~`~ • The designer proposes to install a state approve outlet filter to achieve the requirement of wastewater particle size. Pursuant to outlet filter product approval stipulations, maintenance information must be iven to the owner of the POWTS explainine that periodic cleanin outlet filter is reauired. The access openine to service the filter shall terminate at or above finished grade with a watertight cover. Reminder • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per COMM 83.44(6)(a)2. • Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual. • Surface water drainage shall be diverted away from the system area per Mound Component Manual. • Materials shall conform to the requirements of COMM 84. • Maintain well and waterline set backs per COMM 83.43(8)(1). • Provide frost protection per COMM 83.43(8)(c). • Holes must be drilled with a sharp bit and all buns and foreign matter removed before installation. 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. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. 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 to the owner and any others who are responsible for the installation, operation,oi~mainteiance of the POWTS. ~ aLSh o POWTS Plan Reviewer , grated Services (715) 634-7810, Fax: (7 634-5150 , M-F 7:45 am - 4:30 pm pshandorf @ commerce. state. wi.us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WSMART code: 7633 cc: James K Thompson Leroy G Jansky ,Wastewater Specialist, (715) 726-2544 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Robert J. Mueller 3 bedroom residential mound Owner's Name: Robert J. Mueller Owner's Address: 1330 Curbs St. Baldwin, WI 54002 Parcel address: 110th Ave.. Legal Description: NE1/4NE1/4, Sec. 11, T.29N., R.16W. Township: Baldwin County: St. Croix Subdivision Name: CSM Vol. 14, Pg. 3856 Lot Number: 2 Block Number: na Parcel I.D. Number: 002-1022-10-100 Plan Transaction No.: Page 1 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 Pump curve and specifications Page 8 Site Plan Page 9 Soil Evlauation Report Designer: Jim Boumeester License Number: 222904 Date: 04/14/02 Phone Number: 715-386-1794 Signature: Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) Version 3.0 (03/01/01) Page 1 of 9 ~E r... 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 300.001 Estimated Wastewater Flow (gpd} Table 83-44.3 in-situ soil treatment for fecal __-_---__.-._ cdrform of <= 3g inches. 1.50 Peaking Factor (e.g. 1.5 = 150%) 450.00 Design Flow (gpd) ~ 6.00 i Site ''-9830] Contour Line Elevation (f~ .Depth to Limiting Factor (in) -. - - - -., 0.50( In-situ Soil Application Rate (gpd/ft2) '~ Distr' 'on Cell Information P_ re__ss_ u_re Disribution Information (c ore) c Center or End Manifold 2.50 Lateral Spacing (ft) _ __4 Number of Laterals ,~_- 0.125 Orifice Diameter (in) (e.g. 0.25) _. 2 00 Estimated Orifice Spacing (ft) _ 2.OOI Forcemain Diameter (in) _ 30.00 j Forcemain Length (ft) __88.00; Pump Tank Elevation (ft) 6.50 System Head (ft) x 1.3 I ~~~( 11.83 Vertical Lift (ft) 0.83 Friction Loss (ft) 19.16 Total Dynamic Head (ft) _ _ 90.0 ~ Dispersal Cell Length Along Contour (ft) _ .00~ Dispersal Cell Design Loading Rate (gpd/ftz) '__ _______-1~ Influent Wastewater Quality (1 or 2) Treatment Tank Information 1000.00! Septic_Tank Capacihr (gal) _ _ _~- --- ; Weeks concrete I Manufacturer Lateral Diameter Selection in. dia. o tions choice -- 0.75 - -- ---__''~ -_.__ 1.00 ____ _-- .._, x 1.25 x x - ~ 1.50 -- - x 2.00 x 3.00 x 5.0 ell Width (ft) Are the laterals the highest int in the distribution Y _ i network? Enter Y or N If N above, enter the elevation eft) _ of the highest point. L_,______ 5.11 ftz/or~ce Dces the forcemain drain back? ~ Y Enter Y or N 4.89 Forcemain Drainback (gal) 56.44 5x Void Volume (gal) 6 3 Minimum Dose Volume (gal) 36.25 System Demand (gpm) Manifold Diameter Selection in. dia. o tions hoice 1.25 1.50 c x ! ___ l % ~ x 2.00 -~-~~ 3.00 , _--------~ Gallonsllnch Calculator (optional) 800.10 Total Tank Capacity (gal) _ 42.00 Total Working Liquid Depth (in) 19.05 gal~n (enter result in cell B49) Dose Tank Information fflue t_Filter Information 800.10. Dose Tank Capacity (gal) ;Zabel _____ _ ~ 'Filter Manufacturer 19.05; Dose Tank Volume (gal~n) iA100 ~ Filter Model Number 'Weeks concrete i Manufacturer Project: Robert J. Mueller 3 bedroom residential mound Page 2 of 9 Mound Plan View T- '~ 1/10 B ..•..... . Observation Pipe • .0 K :~¢: .5: .......................................... ......................................... ......................................... ......................................... ........................................ ........................................ L Mound Component Dimensions ~~ ~ A 5.00 ft E 25.60 in B 9 .00 ft F 9.25 i D 22. 0 in G ~ ft 450.00 (ft2) Dispersal Cell Area 5.00 (gpd/ft) Linear Loading Rate H 1.00 ft z 12.45 ft J 7.89 ft -T -~ -I -` K 11.26 ft L 112.53 ft W 25.35 ft 1570.88 (ftZ) Basal Area Available 9.00 (ft) 1 /10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 102.10 (ft) .~~ ,2 ~ ~ , :,,,,,. F 100.33 (ft) ~ Dispersal Cell ~ ~ ::: Elevation Dispersal Cell ~.' .'~'7'.'.'.•.'. •. -I ,~y7{~ 9$.50 (ft) Contour Elevation 6.0 % Site Slope /~` Geotextile Fabric Cover Shading Ke ~ y ~ , ~~ Topsoil Cap c = 1.5 ft Q 0 Subsoil Cap ~ 0 1 ©0 ASTM C33 Sand ~ Z T ® ~?:"~,`~`~' Tilled Layer ~ ~ 0 .'''°'.~''~°."°''~ Aggregate v o 0.5 ft I -i - Dispersal Cell '•' Typical Lateral °r°r . :~ Ll' A ---~ See lateral details on Page 4 for number, size, and spacing of laterals. Laterals are equally spaced from the distribution cell's centerline in the distribution cell (A~). H 100.83 (ft) Lateral Invert Project: Robert J. Mueller 3 bedroom residential mound Page 3 of 9 Center Connection Lateral Layout Daigram Force mai n connection via tee or cross to manifold at any point. y~r~ Laterals are identic al I P •=Turn-up+m'ballvalve or IfX-~~Exi2 I xl2~l Laterals&forcemainofPVCSch40 r:leanoutplu9 per COMM Table 84.30-5 Holes drilled on the bottom of the lateral. S Number of Laterals 4 Orifice Diameter 0.125 in Lateral Diameter 1.25 in Orifice Spacing (X) 2.06 ft Lateral Length (P) 44.29 ft Or~ces per Lateral 22 Lateral Spacing (S) 2.50 ft Orifice Density 5.11 ftz/orifice Lateral Flow Rate 9.06 gpm Manifold Length 2.50 ft System Flow Rate 36.25 gpm Manifold Diameter 1.25 in Total Dynamic Head 9.16 Forcemain Velocity 3.70 ft/sec Dose Tank Information Lockin cover with warning Electrical as per NEC 300 and -~ Comm 16.28 WAC _ Tank component is properly vented Weeks concrete Ca ac' 800.10 Volume 19.05 Dimension Inches Gallons A B 2.00 ~~A C D Total ~ -4~~$ Sf].98 ._ _ 12.00 ~25~@6 42.00 800.10 4 in. min. ~_ ~- Alternate outlet location Forcemain diameter ~ 2 in. Weep hde or anti- siphon device ~ Pump off elevation (ft) ~- 89.00 Dose tank elevation (ft) 88.00 Alarm Manuafacturer LevelArm Alarm Model Number DLV Pump Manufacturer Zoeller Pump Model Number 137 ~ ~ ~~ ~f S . Pump Must Deliver 36.25 gp at 19.16 ft TDH Pro~ect: Robert J. Mueller 3 bedroom Idential mound Page 4 of 9 J 9 label and locking device and sealed watertight HEADICAPACITY CURVE EFFLUENT and DEWATERING WARt~'ING: Model 185(4185 should not be subjected to less than 30 feet TDH TOTAL UYNAk11C HEADICAPACITY PER MINUTE -j f --'~ sJ.ss '--*---- '~„J~ SI_!IIES_ _ _7 11 -57_39 9e 1]7.119 1w11110 1f 111161 1f 1!116] 1(SNIe f_ IIY~IIS IW/116 IdL111/_ 1!911119 19 ~ ~ 71 M. G.I, ll G+I lbs. G.I. L( G I ln9 G I. Lb1 G+1. Eb9 GII, lH G+I. Wt G1I. lbl. G+I ltn. Gal. lhw GII. (.1n G+I ltr+ 1G '. lr1 t q G - S,._ 1 1 i6.f IZ ~ 29-10( /1 II] 77 17] 91 3JI N J36 10f 101 61 2]1 el 7J1 --~ SI 170 ISS SI/ 135 Shc (13 1~'1 4 [' ' -'- 1+_ _ 1. S 11.1_ 50 1 71 17 N 119 61 711 19 700 10 J/I 100 l1{ _(I J7i {I _ 771 --- SI 210 /l1 S(0 ISI _f it IS 1'0 I ._.. 1.__. _--_ -- - _ _ _ __ ~_ jl3` -- !5-!;7 i_9-}~ ,~ Is T i/_~_ ~s do w-~4 u.~l/ 9t 6o T _w 127 _--- 31 11e 111 1 I~y._s!5 (s__I:a 1C 1.10 7.3 9 l J i3 75 I1 J( I]( it 77( 11 ]10 39 217 {0 I7I 31 210 1J( 513 Iw Sk /S i'p q~~ X130- _ _?s--7.a: __! -'~-_ --- __.- -- 1 ]a _u 7u 7( lro n -ltt s9 lI] ~-_-_-_ sl 219 I:e ru _u_1 sa] Is cp I JO L4 _ ---- __- -__ S1 701 (S 7µ SS JO{ 31 170 90 NO SI 110 111 fll 1Sl 41 IS 1'p 1C 12.11 - JO 111 If 111 . If :.171 SS 70f )s 707 fl IIO 10J rT 111 UI IS f!0 tfi ~--It 2 SO 11.1.1 ~------- -~-- --- --~ -- -71 M 11 '. 125. S1 111 51 719 SI ZI9 90 kl. 100 719 IS I'6 -10~ 10.79 -_____ -_ ___. _- __--_ _- ___. ___ ___-- - -_ ___ ___ ___ _ _ 1f - Sl U 1f1 1( 11( fl 220 I1 IH l5 ~ ]7 1 1~9 ] _ I __ _ _ 10 11~ 10 71 f2 197 S1 197 10 /S - 1'0 ~E --~- 191 le 711f _------j--~- --- --- ---- --- -- f1--]7 __ a ne a_ soe s1 _Ia_~ a r.p_ 1 1 ` - - 90 17.1 - - - - -- -- 1 1 ' IGv k1d _--- -_._ -_ - -1-_.-- „tj: __,- - --.i --- -_- .-- _. _.~_. __ ____- IE fl 111 71 l0 to 1 1 G n5 Jz.JO __-_- .. - - ----- ____ ----- -- - / I6 -~ e ~ k ]p 1 ~. u0 Jasl - .- -- --- - - - - - - --- - ---... -- '--- ---- --I--- - __ -_- -_._ ---1-------' 3c - _- - f- ---- i laf V+1.1. 13.1' 21' 1975' 17' 76' K' 5(' K' If IJ- 115' fl' ~ I1J I I'7' '1GG I I 3G -- ~ ---I-- ~- -- -----~- - -- - ~ ~ - {I -- - - -- - - ' 9 0 -- ~ t a~~, --{ -- ---- - - .1,; ____ l a t as ~ 85 - -t-~- - --i---j- --- ~-~~- -- -- -- t ss, i i --. BG 4 165 :.-- ~- - -~ - - -- --- - --'- - - - ' I j 75 --~ ~ ~ 2:--'- ~ -~--~ -- - ------ - 17 0 - ~ - ~- - -~- - -- -- -- 21_ -- _ r gS I ~ ~,- -1 - - - 60 - 1 63. I -I - -- --~~ 4 1 63 ~~~ -~- --1 - - - t 89, ~ 4189 55 r - - j ~- - - - - 1 6 ---- 50- -i-- i- - - - - -- - - 4`- 1~i -- i - - I- ---I-- --- - -- I -i -I- - I .-G- --- _ --- --~ -.,;1-- - - - ; --I ; ~~, - -j---,- -- --- 35-- - -~--- --_'1O I I j a 188 --, -• r-r -- -I - - -- - --- -- I l~ - --- I 3~- - ! -~-- - ~- - -~- -- -i- _ , 37 i ~ ~ ~~- -16~, ~ 2S- _ 139 ~_~,_ - I 4185 r -~- --- I /9 /6 T , 2 0 _ _ I __ --~ - --~-- l o - ---- ! ~ - -- -- --- I- ---~ - - - -I-- -j - -- - --- - -- - - --- __ I I I _ I 5-- ~ ~ ~ _ i ; } i 48 -1- 5 1..5 ---.--- ~ 98 -- -I 1 G 1 , ---- -- - -- ' ~ 5 ,`;9 II i 141Gt 1 0 ---- ~ ~ ,.... »...o,..,..., I i ~ I i S . _~_ONS-~ 1 C 20' 30 t 71. 5 s GUI 7G 80 I 9U 100 1110 1 20 1130 1 4U I1 50 i G0 I - i _-- -- t------f--- -t t---t- {- TER_ u~J ~; 240 320 400 480 580 640 q "LOt4 PEF' 1.11NUir_ uovsl, ~~q 70~ F .3G.~SG.P,i-(. /Yi;nlmla~ sc5o /f~r'a~e /'~6t~/'cc(, dd taote: For f-iead Ca,~acty on Prlo ei 11:Z, mdustria olun~n-explosion prooof pump, see FM0219. -----_ ` //dam ~~. $y.1.oz' `J fr X11 ~ ~x, op ~n d~~~ mafK~ op of /at.s 'Y' ~~~o- I~ .Scn/e . / "= S/O~ n~YynEyy, Scc. /, Tom. of ~C.C. ~ 002 /02L' /O-/o0 P~opcsed 1, o~JO ~aG. SepE+'c ~aa ~ ''~ babe l A-,UO eff ~u~t ~'~ I ~r at out f e~. 83 /vta;h~a;n -+~;n;m by emM m. 83 ,(/ ~4pprcX. /O cam: o n o { Propose-d 3 bcd~oon, rc5~~dence . `I i4' S.T. Ir1..~03 y o /xli/afi i~' SP,c+.~~ p~ Pl~ Ap p~~z . ~ ~~ d.e w£ b4;Id~~~ 5:te.- 98,0 / 6~F 1~,r ^ . Pao poxd Sao ~aQ. ~,~ ~~ 1 / ~ ~ ~ a^~ / ~ /oz / ~~ ~ ~~~ ~ / ~ ~~'~ ~ ~ ~ %~ ~~ 'ice ,~~I /~/ ~% ~ a ~ S/opt ~,~,~% A-o po~-d who km ~pC~`"~ ~/S X 90' d Ts red --Y at /iy X yy29 '0 0.•E' ~.ob. w L QQ~free. Elegy; =9S.z5' ~~ 2~0 ~~ _~r u.nd at.2.S.~S~X //.2.53' ~.80~ 9 Mound System Maintenance and Operation Specifications Service Provider's Name J Thomson, POWTS Maint'r #30021 ! Phone; 715-24$-7767 _! POWTS Regulator's Name ~ __ St. Croix Coun _ Zoning Deet~ Phone 715-386-4680 1 System Flow and Load Parameters Design Flow -Peak 450 gpd Ma~amum Influent Particle Size 1/8 in Estimated Flow -Average 300 gpd Ma~amum BOD5 220 mg/L Septic Tank Capacity 1000 gal Mabmum TSS 150 mg/L Soil Absorption Component Size 450 ftz Mabmum FOG 30 mg/L Type of Wastewater Domestic Mabmum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tanh Effluent Filter Pump and Control; Alarm Pressure System Mound .111c1 . ,~ Ins t and/or service once eve 3 ars Should ins t and clean at least once eve 3 ears Test once eve 3 ears Should test month) Laterals should be flushed and ressure tested eve 1.5 ears ____ _ _In~t for pending and seepage once every 3 years Miscellaneous Construction and Materials Standards p~ SE~AG~ ~~dP• 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 mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 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 Distribution ' ' ' ' Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Robert J. Mueller 3 bedroom residential mound Page 5 of 9 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 tts' component manuals [SBD-10691-P (N.01/01) 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. Cade when the tanks are no longer used as POWTS components. Septic or pump tank manhde 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 nice every 3 years by inspection. The outlet fitter shall be cleaned as necessary to ensure proper operation. The fitter cartridge should not be removed unless provisions are made to retain sdids 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 rf the alarm is activated continuously. Intermittent fitter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the vdume of sludge and scum in the tank exceeds 1/3 the liquid vdume 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 ma~dmum scum and sludge accumulation in the tank. The addition of bidogical 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 finer is installed within the tank tt 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 lie 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 sdl compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Colo weather installations (October-February) dictate that the mound be heavily muk;hed as proection from freezing. Influent quality into the mound system may not exceed 220 mg/L BODS, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L GODS, 30 mg/L TSS, 10 mg/L FOG, and 10° cfu/100 mL for highly treated effluent. Influent flow may not exceed ma>amum design flow specified in the pennit for this installation. The pressure distribution system is provided with a flushing print at the end of each lateral, and tt is recommended that each lateral be flushed of accumulated sdids at least once every 18 months. When a pressure test is performed tt should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and 'rf orrfice 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 contrds, 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. ff the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, tt will be repaired or replaced in its' present location by increasing basal area rf 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: Robert J. Mueller 3 bedroom residential mound Page 6 of 9 ' 1530 Wisconsin Department of Commerce SOIL EVALUATION REPOT p~ 1 ~ 3 Division of Safety and Buildings in accordance with Comm 85. Wis. Adm. Cade ~ A.C.E. Soil 8< Site Evaluations ~~ Attach com ete site Ian on not less than 8%: x 11 inches in size. Plan must pl p paper St. Croix __ include, but not Gmfted to: vertu and horizontal reference print (BM), direction and Parcel I D percent slope, scale or dimemsions, oath arrow, and location and distance to nearest road. . . 002-1022-10-100 Please prin all in~~b"~V E D eviewed Date Personal information you provide may be for secondary purposes (Privacy Law, s. .04 (1) (m)). ~,Ujy(!y~ '~ 3 U Property Owner Q P R ~ 5 7 Q Q 2 r~y Lacatron Robert J. Mueller N E 1 !4 N E 1 k S 11 T 29 N R 16 W Property Owner's Mailing Address ST. CROIX COUNTY of # Block # Subd. Name or CSM# 1330 Curtis Street ZONING OFFICE 2 CSM Vol. 14, Pg. 3856 City State Zip Code Phase N ;,;, j City ;~ Yllage jib Town Nest Road Baldwin ~ WI 54002 715-698-3385 Baldwin 110Th Ave. New Construction Use: ; Residential / Number of bedrooms _ 3 Cade derived desgn flow rate .:J Replacxenent ~;;;~ Public or canrnercial -Describe: _ Parent malarial Glacial outwash 8 loess over glacial till _____ Flood plain ele~ration, if applicable General camrnerrts and recommendatia~s: Recommend installing mound system at elev. 100.34' at 22" above 98.50' contour. 450 GPD nor Boring # ~ Boring Pit Ground Surface elev. 97.28 _ ft. pepth to limiting factor 20° in. Sal Application Rate Horizon Depth Dominard Cdor Redox Description Texture Structure Consistence Boundary Roots GP D/ft= *Eff#1 *Eff#2 1 0-8 10YR3/2 None sl 2mgr mvfr as 2fm 0.5 0.6 2 8-16 10YR4/4 None sl 2msbk mfr cs 1fm 0.5 0.6 3 16-20 7.5YR4/4 None Ifs 1 csbk mvfr cw - 0.4 0.6 4 20-38 7.5YR4/4 12d7.5YR5/6 1 msbk mvfr - - 0.4 0.6 Pit Ground Surface elev. 98.41 ft. Depth to limiting factor 15° in. Sal AppNcation Rate ~~ # ~ ~~ Horizon Depth Daninant Cda Redox Description Texture Structure Consistence Boundary Roots GP D/itz *Eff#'I *Eff#2 1 0-8 10YR3/2 None sl 2mgr mvfr as 2fm 0.5 0.6 2 8-15 10YR4/4 None sl 2msbk mfr cs 1f 0. 0.6 3 15-20 7.5YR4/6 f2f7.5YR5/6 sl 1 msbk mvfr cw 1 f 0.4 0.6 4 20-38 10YR4/4 t2d7.5YR5/6 Ifs 1 msbk mfr - - 0.4 0.6 Effluent #1 = BOD ~ 30 <_ 220 mglL and >30 < 150 L uent #2 = BOD <30 mg/L and TSS a 30 mg/L CST Nave (Please Print) 'gnature: CST Number James K. Thompson ~.~~-_ 3602 Address A.C.E. Sal 8< Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson lake Lane, Osceda, WI 54020 4/10/02 715-248-7767 property Owner Robert ]. Mueller Parcel ID # 002-1022-10-100 Page 2 of 3 >~ Pit Ground Surface elev. 98.50 ft. Depth to limiting factor 14" in. Soil Application Rate ~~ # ~ ~~ Horizon Depth Dominant Cda Redox Description Texture Structure Consbtence Boundary Roots 'Eff#1 *Eff#2 1 0-9 10YR3/2 None sil 2fsbk mvfr as 2fm 0.5 0.8 2 9-14 10YR4/4 None sil 2fsbk mfr cs 1fm 0.5 0.8 3 14-21 10YR5/4 f2f7.5YR5/6 sil 1 msbk mvfr cw 1 f 0.2 0.3 4 21-38 7.5YR4/4 m2d7.5YR5/6 sl 1csbk mfi - - 0.4 0.6 o ~~# ~~~ M' Pit Ground Surface etew.._ 99.79 ft. Depth to limiting factor <9" in. Sal Application Rate Horizon Depth Dominant Cokx Redox Description Texture Structure Consistence Roots *Eff#1 *Eff#2 1 2 0-9 9-13 10YR4l4 None f2f7.5YR5l6 sil sil 2fsbk 2fsbk mvfr mfr as cs 2fm 1fm 0.5 0.5 0.8 0.8 3 13-21 10YR5l4 f2d7.5YR5/6 sil 1 msbk mvfr cw 1 f 0.2 0.3 4 21-38 7.5YR4l4 m2d7.5YR5/6 sl 1csbk mfi - - 0.4 0.6 Sal unsuitable for standard POWTS. :J Pft Graand Surface elev. ft. Depth to limfing factor in. Sod Applcation Rate ~~ # ~ ~~ -- Horizan Depth Dominant Cda Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 * Effluent #1 = BOD ~ 30 < 220 mg/L and TSS >30 < 150 mg/L " Effluent #2 = BODS < 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. ---------- f3y.Z.oz' • /oCat cd P~oae/~ Star's ^ So./ Ob~~t/a6~on P°~ • El~da-~1on ~ I .~cn /e : / ~= 5/D IV Ro~~t~T rr1uc/kr~4~°/°., ne`ynFyy,,~~. ~, Tn. of PJaCdwl~~ Sf..C-t'piKGe.~~l. ~Jc.C• ~ ooz- /011- /0-/00 /~t.z, cs.~ ry/~gs~ /~PP~cX. /O cad." o n o { p~,pos<.ar 3 bcd~oo.,, ~c 5 ~~de„ ce ~I'~ ~ sys~ I~erna~e 6. na;r .n z4'~ QQ,~~ee. Eles - 1p` 170 ~•3of3 -~ ~ ~ l~cons~n Department of Commerce RECE ~V p MAY o 8 X002 ST. CRO/ X COU Z~G OFFS NTY Apri130, 2002 CUST ID No.222904 JAMES W BOUMEESTER 1070 HWY 35 N HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/30/2004 A7TN: POWTS Inspector ZONING OFFICE C.~i~R6D'; COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 SITE: Robert J Mueller 110TH Ave Town of Baldwin St Croix County NE1/4, NE1/4, S11, T29N, R16W FOR: New mound, 450 GPD Object Type: POWT System Regulated Object 1D No.: 848944 Safety and Buildings 10541 N RANCH ROAD HAYWARD WI 54843 TDD #: (608) 264-8777 www.commerce.state.wi. us/sb www.wisconsin.gov Sco`.t McCallum, Governor Philip Edw. Albert, Secretary Identification Numbers Transaction ID No. 729807 Site ID No. 643813 Please refer to both identification numbers, above, in all cones ondence with the a enc . The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Conditions: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD-10691-P (N.O1/O1) and SSWMP Publication 9.6, "Design Of Pressurized Distribution Networks For Septic Tank- Soil Absorption Systems." • 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. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound component manual aze complied with. A copy of this information must be given to the owner upon completion of the project. • 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. • The maintenance plan for this system must be given to the owner of the POWTS. Key Item(s) • The actual gallons per inch for the specified pump tank is 21.76 and the liquid level is 37" per product approval. The proposed pump settings have been adjusted provide a dose volume that is greater than 5 times the void volume and less than 20°10 of the design wastewater flow plus drain back. JAMES W BOUMEESTER ivote Page 2 4/30/02 • The proposed pump is near its limit with the proposed total dynamic head. If upon installation, the total dynamic head increases, the proposed pump must be reevaluated and may be inadequate. • The designer proposes to install a state approve outlet filter to achieve the requirement of wastewater particle size. Pursuant to outlet filter product approval stipulations, maintenance information must be given to the owner of the POWTS explaining that periodic cleaning of the septic tank outlet filter is required. The access opening used to service the filter shall terminate at or above finished grade with a watertight cover. Reminder • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per COMM 83.44(6)(a)2. • Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual. • Surface water drainage shall be diverted away from the system area per Mound Component Manual. • Materials shall conform to the requirements of COMM 84. • Maintain well and waterline set backs per COMM 83.43(8)(1). • Provide frost protection per COMM 83.43(8)(c). • Holes must be drilled with a sharp bit and all burrs and foreign matter removed before installation. 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. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. 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 to the owner and any others who aze responsible for the installation, operatio~,~or mainterance of the POWTS. Sincerelyy., 5~-•"-_ ~afri a L Sh o POWTS Plan Reviewer , grated Services (715) 634-7810, Fax: (7 634-5150 , M-F 7:45 am - 4:30 pm pshandorf @commerce.state. wi.us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 cc: James K Thompson Leroy G Jansky ,Wastewater Specialist, (715) 726-2544 isconsin Department of Commerce Apri130, 2002 OUST ID No.222904 JAMES W BOUMEESTER 1070 HWY 35 N HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/30/2004 SITE: Robert J Mueller R EC vE~ GROixOFF cEY S ZONtN-~ ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 Safety and Buildings 10541 N RANCH ROAD HAYWARD WI 54843 TDD #: (608) 264-8777 www.commerce.state.wi. us/sb www.wisconsin.gov Scott McCallum, Governor Philip Edw. Albert, Secretary Identification Numbers Transaction ID No. 729807 Site ID No. 643813 Please refer to both identification numbers, above, in all correspondence with the agency. 110TH Ave Town of Baldwin St Croix County NE1/4, NE1/4, S11, T29N, R16W FOR: New mound, 450 GPD Object Type: POWT System Regulated Object ID No.: 848944 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Conditions: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD-10691-P (N.O1/O1) and SSWMP Publication 9.6, "Design Of Pressurized Distribution Networks For Septic Tank- Soil Absorption Systems." • 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. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • 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. • The maintenance plan for this system must be given to the owner of the POWTS. Key Item(s) • The actual gallons per inch for the specified pump tank is 21.76 and the liquid level is 37" per product approval. The proposed pump settings have been adjusted provide a dose volume that is greater than 5 times the void volume and less than 20% of the design wastewater flow plus drain back. JAMES W BOUMEESTER Page 2 4/30/02 Note • The proposed pump is near its limit with the proposed total dynamic head. If upon installation, the total dynamic head increases, the proposed pump must be reevaluated and may be inadequate. • The designer proposes to install a state approve outlet filter to achieve the requirement of wastewater particle size. Pursuant to outlet filter product approval stipulations, maintenance information must be given to the owner of the POWTS explaining that periodic cleaning of the septic tank outlet filter is required. The access opening used to service the filter shall terminate at or above finished grade with a watertight cover. Reminder • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per COMM 83.44(6)(a)2. • Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual. • Surface water drainage shall be diverted away from the system area per Mound Component Manual. • Materials shall conform to the requirements of COMM 84. • Maintain well and waterline set backs per COMM 83.43(8)(1). • Provide frost protection per COMM 83.43(8)(c). • Holes must be drilled with a sharp bit and all burrs and foreign matter removed before installation. 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. All permits required by the state or the local municipality shall be obtained prior to commencement of construction installation/operation. 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 to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Patricia L Shandorf POWTS Plan Reviewer ,Integrated Services (715) 634-7810, Fax: (715) 634-5150 , M-F 7:45 am - 4:30 pm pshandorf@commerce. state. wi.us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 cc: James K Thompson Leroy G Jansky ,Wastewater Specialist, (715) 726-2544 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OvmerBuyer ~oBF_2-/~ ~ ~7 ~J~~(~. Mailing Address ! 3 3 d ~ ul~-T[ c 5 ~ ~A~Dcy «1 r~ l~ ,~Y~ Property Address a`SS / ~ l0 ~ .BRLDw<.~1 w r _ _ (Verification required from Planning Department for new City/State Parcel Identification Number J ' fl~~~ ~/0 -~D~ i_.EGAL DESCRIPTION Property Location ~ '/+, '/•, Sec. ~, T~N-R~W, Towrm of "~ ~bdivision _ .Lot # Certified Survey Map # ~ ~ -~ ~ 9.,~ ;Volume / Page # ~~ ~' _ ;~ . Warranty Deed # to rl ~ ,3J~ ~ ~ .Volume / ~ Page # J'~f~ house ^ es Lei' no Lot lines identifiable ^ yes ^ no ~ Y ,,,gin Sy~'I'EIVi MAi1VTENANCE~ Improper use sad maintenance of your septic system couid 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. The property owner agrees,to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterplumber, joumeymanplumber, restrictedplumber or alicensed pumper verifying that (1) the on-site wastewaterdisposal system is is proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements sad agree to maintain the private sewage disposal system with the standards net forth, herein, as set by the Departmcnt of Commerce and the Department of Natural Resources, State of W isconsin. Certification stating that your septic system has been maintained must be completed and returned to~the St. Croix County Zoning Office within 30 days of a three year expiration date. ,~~~ S~/Y~/ ~a. SIGNATURE OF APPLICANT DATE ~~, •~.r~WNER CERTIFICATION ~~i; i'(we) certify that ali statements or; this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the p ~ ; de a by virtue of a warranty deed recorded in Register of Deeds Office. ~ l/lml®~ GNATURE OF ' PI.YCANT DATE ****** Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. ****'* ** Include with this application: a stamped warranty decd from the Register of Deeds office % ,, •a copy of the certified survey map if reference is made in the warranty deed f /1~~ce l/~ Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In-Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWYS) shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In-Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- Table 1: SYStem Design Specifications Sanitary Permit Number 0~ ~-! S Number of Bedrooms Desi n Fiow -Peak (gpd) ~ ~U Estimated Flow - Avera a (gpd) 3 (3l,'~ Septic Tank Capacity ( al) ~ OUP Soil Absorption Component Size (ftZ) ~ U Type of Wastewater Domestic Table 2: Soil Absorption Component -Limits of Reliable Operation Septic Tank Component Soil Absorption Component Desi n Flow -Peak (gpd) 5 U Maximum Influent Particle Size (in) t ~ 1/8 Maximum BODE (m !L) ~ 0 220 Maximum TSS (mg/L) S U 150 Table 3: Maintenance Schedule Septic Tank Inspect and/or service once every 3 years Outlet Filter Inspect once a year and clean at least once every ears Soil Absorption Component Inspect once every 3 years 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 (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). 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 a ~(~i~~ • Management Plan for a Septic Tank and Soil Absorption Component 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 scum and sludge 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 an 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. 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 the tank. No one should enter a septic or other treatment or holding tank for any reason without being fn full compliance wfth OSHA standards for entering a conffned space. The atmosphere within the septfc or other treatment of holding tank may contain lethal gases, and rescue of a person from the Interior of the tank maybe difficult or impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. 2 - - Mandgement Plan fora Septic Tank and Soil Absorption Component - Plantings of deep-rooted trees and shrubs directly over or within ten feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow. When system fails, we will replace with another system at owner's expense. Alternate area must be left undisturbed. St Croix County Zoning Office 386-4680 Boumeester & Sons Excavating 386-9020 Tri-County Sanitation 386-2130 3 • r FILED 2 ~9AY 2 4 2000 - KATHLEEN H. r•,'Als~ 3 Register of Deeds SLCfolxcu.,Wl E;?~~599 y z -1 0 Al V ~ iv ~ ~ _~ ~ N SECTION 11 -FOUND NORTHEAST CORNER T/8" IRON REBAR SECTION 11 -FOUND 7/8" IRON REBAR • UNPL ATTED LANDS .............................. NORTH L 1 NE OF THE NE 1 i4 2669. 30' I I I I I ~-- S8T°39' 22"E - -- •~•1,.~~_ _ _ _ S8T°39' 22"E _ - 1334_65' I 1334.65' - ___4 ,~ ~ ~- ---_ y \ ~`~.r/ CER T 1 F 1 ED SURVEY MAP THE NE I /4 OF THE NE 1 /4 OF SECT 1 ON 1 1, 7. 29N. , R. 16W. , TOWN OF BAL DW 1 N, ST. CR01 X COUNTY, W 1 SCONS I N. PREPARED FOR: NORTH QUARTER CORNER PH 1 L 0' CONNOR NW COR NE-NE :C r n v ~n :N ~ oI ~~o SW-NE ~!m 492.53' _ ~ ` ` "- - - -~~..02 _ ~ - - w , w SBT°39' 22"E w 808.99' -~ r--- - o ,,, .................... o... ~... ... 1301. J2' ... w H f GFiWA Y ~+! O O .............. SETBACK ..... LINE .... . I I~ c~c O ~ v I x I I:O I• ~' v ~ ; I y I`= ~ ~ qo LOT 2 ~ I s e~ ~" ~ 20.01 ACRES '~ : I I I v 8T 1, 710 S0. FT. C E R /W I ly I p rn H ' C 18. 40 A R S EXC. : y l ~ 801, 330 S0. FT. $I Ip ~ ~I I~ ~ Z :a ~ V s y; R1 : I '~i" I ID I " m .lam V ~ :y : -'t ue, ~ : ^'I I a :d LOT 1 s of Ir41v ~ o 20.41 ACRES ~ ~I w ~ 888, 8T4 S0. FT. I~ ~ , 20. 03 ACRES EXC. R/W o~, ~_ I R77. 620 SO FT st z ' 1 001 " SW COR. NE-NE NW-NE zl i m m; I •`si~. ~ I I I:yt I I:~ 1297.83' I I:rn IOT0.88' 33.03' I'y N87° 3 I ' 44" W 1330, 86' 226.9T' I 260. 00' I SOUTH LINE OF THE NEli4-NEli4 I ~ I SE COR. I i 2 UNPL ATTED LANDS NE-NE APPROV~I`~ ............................ _}o ST. CROIX COUNTY w I ° Planning Zonino and Parka Committee EAST GUAR TER CORNER :" MAY 2 4 2000 COUNT~SURVEYFNA~~ co If not recorded within 30 days of approval date approval 6hatl be ~»~tl an<i vc~:d LEGEND ~ SET 1" X 24" 1 RON P 1 PE WE 1 GH 1 NG t ~~~, 1. 13 LBS. PER LINEAR FOOT. ,~~S~~s/~. BEARINGS REFERENCED TO THE NORTH L 1 NE OF THE NE I i4. MEASURED AS S8T° 39' 22" E. ST. CROIX CO. COORD. SYSTEM. 1" -300' o -50 30o soo SHEET I OF 2 88303 THIS I NSTRU-bENT DRAFTED BY J 1 M WEBER ` JAMES M. ~ ~~ ~ ll b18~04/ ey :.`i fir" w~a JAMES M. WEBER S-1804 NELSEN-WEBER LA((~~D SURVEYING DATED 1Z-10 -"~°t Voi.74 Page 3856 STATE BAR OF WISCONSIN FORM 19 ~ II ~ ~~iS6P 508 ~~' WARRANTY DEED Y Robert J. Mueller, a single person cronveys and warrants to ^a °•,. ~1T--A. Ge~~lRtanrt-, a s~ngAe the following described real estate in SI r'YG13.7C County, State of Wisconsin: RETURN TO 67S3S2 KATHLEEN N. YALSH REGISTER OF DEEDS ST, CROI% CO., YI RECEIVED FOR RECORD 04-03-2002 3z00 PM I~RRI'tNTY GEED EXEhfpT # REC FEE: 11.00 TRANS FEE: 630.00 COPY PEE: 2.00 CERT COPY FEE: PAGES: 1 Robert J. Mueller ~, 1330 Curtis Street Baldwin, WI 54002 002-1022-10 Parcel Identification Number (PIN): Part of the Northeast Quarter of the Northeast Quarter (NE '/. of NE '/.) of Section 11, Township 29, Range l6, described as follows: Lot 2 of Certified Surve Map filed May 24,2000 in Volume 14, page 3856, Document No. 62;599, St. rolx County, Wisconsin. This ~, s „ qg~ homestead property. (is) (is nol) Exception to Warranllas: Dated /is /_29 day of 4.1grr•h ; 2nn2., -L-J f/ -/. /`/' h./-~~----'- (SEAL) (SEAL) (SEAL) AUTHENTICATION Signature(s) authenticated this day of ,1g~ TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.08, Wis. Slats.) TH(S INSTRUMENT WAS GRAFTED BY (Signatures may be authentlrated or acknowledged. Both are not necessary.) ACKNOWLEDGMENT (SFJ1L) STATE OF 5~196fn?c Minnesota ss. -~a-tikSe3' County. Personally Came before me this ~ Q day of March ,iBSc2O0-2 Ina above named to me known to be the person who executed the foregoinginstrument end ac aowled eme. f r ---~-~+- Sad"!«F~~ Notary Pu i~^+'c~ 1~ NOTARY Puat tr ~rr,;.tir ~r,.c~u , yyls, My Commlas'taM~~rl>'~WrliSflorCNcpYltitJ•31i200S a iratton date: _,) Is of parsons aigr,w,p in any tapacMy Mould ba IYPad a p4aed Wlor IMIr slpna4uw. SB2 NiF 0021A WAAAANTY oEED STATE BAR OF WISCONSIN Nalco, Inc., P.O, Box 10208, Green neK WI 54307-020a Form No. 2 - 1898