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HomeMy WebLinkAbout008-1038-30-100 . Croix Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St Safety and Building Division INSPECTION REPORT Sanitary Permit No: 538884 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Moe, Thomas Eau Galle, Town of 008-1038-30-100 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: /46 /3 M CSI 13.28.16.193C TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER ►~~S CAPACITY STATION / BS HI FS ELEV. - 425 1/f, 65 zo:~ Septic Benchmark wiG C ~ IF.~ f 2-e5 //Z•~5 16U Dosing (O~~ t. BM 64jeA.. 1Z-% /6/. 25 Go~.bo I o tr. 525 Bldg. ewer 1/4,j 17. :5 Holding St/Ht Inlet 17• St/Ht Outlet TANK SETBACK INFORMATION TANK TO r P~ BLDG. Vent to Air Intake ROAD Dt Inlet ` Septic W 67 I Dt Bottom 2j• 43 62. Dosing / c7 7 7 /Q Header/Man. .7 .?(pb 1/2.65 Aeration Dist. Pipe ?,tan 1/Z. b5 Holding Bot. System . 2h 11/ • 9 C PUMP/SIPHON INFORMATION Final Grade •7 Manufacturer / 404 ! /IS GP Rand St C ver !Z. Model Number i -2.-)' 5 /o . f 2.3'9 116. Z7 TDH Lift Friction Loss System Head G..s TD 125 (At . 3 .t! .7 Length Dia. 2 ry Dist. to Well Forcemain 17-66 SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. OfTrencheAl PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 0 &J I ~ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type /OOff~System : / j A UNIT Model Number: ~ r. DISTRIBUTION SYSTEM !off Header/Manifold x71 Distributio,nQ~ 'l x Hole Size 7 of x Hole Spacing I( Vert t;Air ake # Pipe(s) 11-ength_ Dia • Dia 1125 Spacing t0 SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded jxx Mulched Bed/Trench Center d Bed/Trench Edges Topsoil / N Yes 0 No Yes 0 No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 16111 Inspection #2: Parcel No: 13.28.16.193C Location: 2637 Cty. Rd. Woodville, WI 54028 (NE 1/4 SW 1/4 13 T28N R16W) NA Lot 1 Gl,~ ice- 4 1. Alt BM Description = oGDae..- • p'°, 2.) Bldg sewer length = '~Z L O - amount of cover = I G~- Plan revision Required? Yes o 't~ Use other side for additional information. . Cert. No. Date Inse or's Sig re SBD-6710 (R.3/97) 08/27/07 YON 15:28 FAX 715 386 4686 Q001 tmtntmerrce viri gav Safety and BuMags Division Cmudy t(ij „ 201 W. P.O. Box 7162 tin Sanitary PermitNumber(to be Iffikd is by Co.) L.~ 5 3134915Y Sanitary Permit Ap 'ca~t San~TrrarractkMNmnba in accordance with s. Comm 832](2), Wis. Adm. Cole, wbnissian rids f U~ 3 f 125 r - 7 94 ?`Y~ ail is -w*cd prim to "Wag a sanitary pen& Note: fours for WTS 1CtAddress(lfdifferemtdtmtmaiiargadd,ess) submitted to dne Department of Commerce. ft--w W-matioubw at accords ca with lbePrivacy Law, s.1 s. 1 m Stars PLANN W ` J .26 1. Lnformadm-P PnstAB / (V k~ PrupertyOwner'sName / Parcel# Property Owner's Mailing Address Property Location !24'49 14, N Free, Coovi. Lot ~g City, State Zip Code Phone Number V, Ya Section 3 ,f:Ve"2 7 ca /1S til-T S~~lcr22 7/ VD ~Y ~e«K) II. Type of Baadiog (check all that apply) Lot # T N; R '~E or W Subdivision None I or 2 funnily Dodling - Number of --I, Block f ❑ PuNiclCommercial - Describe Use I Q City of 0 Ste Owned -Describe Use CSM Nmber 0 Vineac of V 6 1 (~c`Pownof L l~~t G.L~I-L III. Type of Petm(t: (Cbeek only onebox on Not A- Complete rme B Napplicable) A. 0 New System ( Reph►cement System 0 TrealrimalHoiding Tank RcOaamera Only Odter Modification m Existing system (404am) IL 0 Permit Renewal 0 Permd Revision 0 Change of Photber O Pemut Transfer to New List Previous Permit Number and Date issued Before Expiration owner IV. Type of POWTS SysWeaACemponeaMey1ce: Cbeck A that apply) J 0 Non-Presuaized br-Ground 0 Presstinzed in-Caound OM-Grade O Wand a X in. of suitable sml 1.Moand < 24 is of suitable soil O WdntgTamk OOther Dispersal Compooeat(explain) O Pretreatment Device (explain V. PkMMkTrea Area Infortaatioa: +r r sf) Sy Design Flow WO Design Soa Application f) Dispersal Area Dispers vT/ , G~ D. 5 7 v 0, oD 3al ~ Area stem Elevation U 3~ 1 It, VI. Tank Info Capacity in Total # or 14mulD uffei , Gallons Gallons Units o NewT"h edubsTanks 2 F, V ink, H u.V a Septic or Holding Tad: 1 0CW i S Dosing Chamber &CC" +sJ.,`Sc VII. Statement I, Area respaA001y of tie PO Wn Show an the attk6ed PAMM PhnoWs Name (Print) Sigma /MPRS Nomber %mvess Phone Number Phnmbees Address (Smear; C" , State, Zip Code) P c1, / 3 " C> k, VIIL a admatUseOnly lamlog igrattwa oved ❑ ~=::Rcasw Permit Fee Dole ❑far ill a ( Q~~ ]X. Cend' ferIIisapproval t t 1. ''`Septic tank, of ia*tNMr and 3 L0~; 9 0~-S r Jam . Q :dispersal cell must all be serhm I mantained. eVe as per managetment plan provided by plumber. / 2. Al setback regtprements must be maintained A ~ big code f AttxiMleteltufreajs~a~saiaitM Csaahod9aNtaper hearts taxit/.eirs:.me .lot SBD4M (R. 01)07) Valid tbru 01/09 08-27-07 17:35 TO: FROM:715 386 4686 P61 At ~ 14 1V v fib' y ` v Z,gEQ ~ U~j LLj /Vag lob. is ro -s ~ l~o.r ,Aa ~ lib.~7 t t ' 5-1 4 ~ t ~ t c, 8. bS ~J ~t y,r, 'A 01 W ~ .y ; i r ry 4Z 1 C1 s 261 7 . 0.1 tkj ` 14 00 Tod =QI 60:60 TT-90-0 y y ooh v~;v~n7~n""r~VT~s Safety and Buildings 3824 N CREEKSIDE LA 0 M HOLMEN WI 54636 5 S Contact Through Relay P S www.commerce.wi.gov/sb/ www.wisconsin.gov ~OssioNP~~w Scott Walker, Governor Dave Ross, Secretary October 05, 2011 CUST ID No. 223475 ATTN: POWTS Inspector JOE STANG ZONING OFFICE STANG PLUMBING & ELECTRIC ST CROIX COUNTY SPIA PO BOX 263 1101 CARMICHAEL RD WOODVILLE WI 54028 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/05/2013 SITE: Identification Numbers Tom Moe Transaction ID No. 2003175 2637 Cty Rd N Site ID No. 772342 Town of Eau Galle Please refer to both identification numbers, St Croix County above, in all correspondence with the agency. SE1/4, SWl/4, S13, T28N, R16W FOR: Description: Two Bedroom Mound System / 4% slope Object Type: POWTS Component Manual Regulated Object ID No.: 1337649 Maintenance required; Replacement system; 300 GPD Flow rate; 22 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual -Version 2.0, SBD-10691-P (N.01/01), Pressure Distribution Component Manual - Version 2.0, SBD-10706-P (N.01/01); 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. pkiV't.T; L-,. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. 'q "r „ 1 G, i! 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. t f, The following conditions shall be met during construction or installation and prior to occupancy or use: D IVIS 0 110 F S.~1y. Reminders • 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.~(7Fcl4i • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • The area within 15' downslope of the dispersal cell shall remain undisturbed. Vehicular traffic, excavation or soil compaction is prohibited in this area. • The existing POWTS shall be properly abandoned per Comm 83.33, Wis. Adm. Code. • 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 JOE STANG Page 2 10/5/2011 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. Comm 83.54(1). • A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 Fee Received $ 250.00 Balance Due $ 0.00 Gerard M Swim POWTS Plan Reviewer, Integrated Services (608)789-7892, Mon - Fri, 7:15 am - 4:00 pm WiSMART code: 7633 jei-ry.swim@wisconsin.gov JOE STANG Page 2 10/5/2011 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. Comm 83.54(1). • A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 Fee Received $ 250.00 Balance Due $ 0.00 Gerard M Swim P©WTS Plan Reviewer, Integrated Services (608)789-7892, Mon - Fri, 7:15 am - 4:00 pm WiSMART code: 7633 jerry.swim@wisconsiii.gov + f MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN SEP 19, 2013 Residential Application' & INDEX AND TITLE PAGE Project Name: Moe Replacement Mound Owner's Name: Tom Moe Owner's Address: 20010 N Freemont River Falls, Wisc. 54022 Legal Description: SE1/4 SW1/4 S13 T28N R16W Township: _Eau Galle County: St. Croix Subdivision Name: Lot Number. Block Number: Parcel I.D. Number: 008-1038-30-100 %GE SYSTEM Plan Transaction No.: °t~a~ Page 1 Index and title Page 2 Data entry Page 3 Mound drawings (AN3 V RE D D BUILDINGS Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan PO ENCE Page 7 Pump curve and specifications Page 8 Soil Evaluation Report Page 9 Plot Plan Designer: Joe Stang License Number: 223475 Date: 09/1 11 Phone Number: 1-715-684-5166 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 4.01 (R. 09/04) Page 1 of 9 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 200.00 Estimated Wastewater Flow (gpd) Table 8344-3 in-situ soil treatment for 1.50 Peaking Factor (e.g. 1.5 = 150%) fecal coliform of - 36 inches. 300.00 Design Flow (gpd) 4.00 Site Slope 110.27 Contour Line Elevation (ft) 22.00 Depth to Limiting Factor (in) 0.50 In-situ Soil Application Rate (gpd/fe) Distribution Cell information 60.00 Dispersal Cell Length Along Contour (ft) = 5.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ft) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? Enter Y or N (c or e) a Center or End Manifold 2.50 Lateral Spacing (ft) If N above, enter the elevation (ft) 2 Number of Laterals of the highest point. 0.156 Orifice Diameter (in) (e.g. 0.25) 3.00 Estimated Orifice Spacing (ft) = 7.50 ft2/orifice 2.00 Forcemain Diameter (in) 170.00 Forcemain Length (ft) Does the forcemain drain back? Y 89.50 Pump Tank Elevation (ft) Enter Y or N 4.55 System Head (ft) x 1.3 27.73 Forcemain Drainback (gal) 21.60 Vertical Lift (ft) 37.29 5x Void Volume (gal) 1.79 Friction Loss (ft) 65.02 Minimum Dose Volume (gal) 27.94 Total Dynamic Head (ft) 21.54 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 x x 1.00 1.50 1.25 x x 2.00 1.50 x 3.00 2.00 x 3.00 x Gallons/Inch Calculator (optional) Treatment Tank Information 600.00 Total Tank Capacity (gal) 1000.00 Septic Tank Capacity (gal) 36.00 Total Working Liquid Depth (in) Wieser Manufacturer 16.67 gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 600.00 Dose Tank Capacity (gal) Best Filter Manufacturer 16.67 Dose Tank Volume (gal/in) GF10-8 10x18 Filter Model Number Wieser Manufacturer Project: Moe Replacement Mound Page 2 of 9 Mound Plan View _t :1/10B• J : . . Observation Pipe 3 : ' 3 K B Lt . I L 00 Mound Component Dimensions A 5.00 ft E 16.40 in H Eilft ft K 9.11 ft B 60.00 ft F 9.25 in z ft L 78.23 ft D 14.00 in G 0.50 ft J W IA ft 300.00 (ft2) Dispersal Cell Area 839.49 (ft) Basal Area Available 5.00 (gpd/ft) Linear Loading Rate 6.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 113.21 (ft) I F 111.94 (ft) Lateral Dispersal Cell 111.44 (ft)~ - Invert Dispersal Cell : • Elevation E D t., i,._ ~•Y~,,fk. f;,. ~,._,iti_,;,.~,i,.Y i,,_ ; i i : fi, i i Al { { { d. i, i. i. i J L • ; 7 4 "i ~•i i -i i ; i i, i';i, •{i•{i~)'"i-~;. ~ =I ; ~ 1. f+4 ; ; i,. i, i i ; ~ 7. ; Vii, :i i i i i ; . ~ 1 _ _ _ _ 110.27 (ft) Contour Elevation 4.0 % Site Slope Geotextile Fabric Cover Shading Key d - Dispersal Cell See lateral details on Q _ Topsoil Cap c a 1.5 ft , -4 or Page 4 for number, © Subsoil Cap c Via: e size, and spacing of laterals. Laterals are ASTM C33 Sand 2 Tilled Layer 0.5 ft Typical Lateral F equally spaced from the .ti. distribution cell's ~5 EN Aggregate v c ' 11 Ir • 5• °A'x centerline in the distribution cell (AxB). Project: Moe Replacement Mound Page 3 of 9 End Connection Lateral Layout Diagram Laterals centered over the A & B dimension 0 = Turn-up vdball valve or cleanoutplug P All laterals are identical I<- X --).l Holes drilled on the bottom of the lateral equally spaced Force main connection via tee or cross to manifold at any point. Laterals & force main of PVC Sch 40 (per COMM Table 84.30-5) Number of Laterals 2 Orifice Diameter 0.156 in Lateral Diameter 1.25 in Orifice Spacing (X) 3.08 ft Lateral Length (P) 58.52 ft Orifices per Lateral 20 1 Lateral Spacing (S) 2.50 ft Orifice Density 7.50 ft2/orifice Lateral Flow Rate 10.77 gpm Manifold Length 2.50 ft System Flow Rate 21.54 gpm Manifold Diameter 1.25 in Total Dynamic Head 27.94 ft Forcemain Velocity 2.20 ft/sec H Dose Tank Information Locking cover with waming label and locking device and sealed watertight Electrical as per NEC 300 and Comm 16.28 WAC 4 in. min. Disconnect _ Tank component is properly vented E- ARemate outlet location Forcemain diameter Wieser Manufacturer 2 in. Capacityl 600.00 Gallons Volume 16.67 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 20.09 334.94 B 2.00 33.34 C Pump off elevation (ft) C 3.90 65.02 ♦ 90.33 D 10.00 166.70 D I Fl Total 35.99 600.00 11 1 Do♦ se tank elevation (ft) 3" Bedding un er tank. 89.50 Alarm Manuafacturer SJE-Rhombus Controls Alarm Model Number Tank Alert! Pump Manufacturer Goulds Pump Model Number 3887 EP05 f Pump Must Deliver 21.54 gpm at 27.94 ft TDH Project: Moe Replacement Mound Page 4 of 9 I Mound System Maintenance and Operation Specifications Service Provider's Name Joe Stang Phone 715-684-5166 POWTS Regulator's Name St. Croix County Zoning Phone 715-386-4680 System Flow and Load Parameters Design Flow - Peak 300 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 200 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 300 fe Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 ml Service Frequency Septic and Pump Tank Inspect and/or service once eve 3 ears Effluent Filter Should inspect and clean at least once eve 3 ears Pump and Controls Test once eve 3 ears Alarm Should test monthly Pressure System Laterals should be flushed and pressure tested eve 1.5 ears Mound Inspect for ponding and seepage once every 3 years Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30-1, have a watertight cap, and are secured in as shown in the 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: Moe Replacement 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 its' 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. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BOD5, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD5, 30 mg/L TSS, 10 mg/L FOG, and 10° ctu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. 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 cogged 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. Project: Moe Replacement Mound Page 6 of 9 ITT GOULDS PUMPS Wastewater RARN c ars 'PENWOMMMUWA TOW HeW erns Per No oesQipdon EP04 8105 1 Impeller 5 53 - 2 ease 10 46 62 3 Pump Casing tU 15 36 55 8 20 2i 45 4 Meohari®I Seal 7 5 Bag Bearings 6 25 0 33 6 0-IGngs 30 - 11 7 Pourer fond 9 1477 5 c r w,-. 8 OR I" Motor 4 ; Motor Housing/ 3 9 Stator Assembly t + y,~ T 10 Motor Cover METERS FEET 10- - 3 - r SGPM - - 9- 301 7. 9,14 7 Lu - 6 20F - } 5 r- - - - Q 4 ? t - i -EP05 - 3 10f _ - - _ = - - r - - - - ' - EP04 - Ei 0 00 10 ^2 30 40 50 ` GPM U L 4 b 8 10 1 Z hY/h CAPACITY AIM 3 pa,~ p 7 L Sep-02-2011 0832 AM St. Cre:x County Plan/Zoning 715-386-4686 13 SOIL AND SITE EVALUATION REPORTL '03=104= 1 ad* & smap In e00W With ILHR 83.08, Wbr: Adm. COO St ~ReIK Akaoh canpiaM SIR p1m an pow emt Im 9- a In Am kxkiK ~ ~ AR1;El IA.:► wain or ms 11.atov rkat ono. ntwrolir.no. aas_,Q 38 -JQC y tlrrwneioned, tazr adaPAr, end focatlon and dl 4~ _ ATE . , Ob APPLICANT INPORNAYION-PLEASE PR LLINFORMATION -#WEFIfY A z ST GRpx LACFY a B~ocl(s ~~d~ of ITY OmAaE b CIA { ~fwld C7bx) [ Usej.ReslMMINwWcIWd00me [ j Pdblbbrod ~ e C C~a'/'L'.(ac'..~ Q/(,Ol~f` itoN►~ 9Pd Retxwmlended bedbg role . S bs0, - ~ 7erwfi' ' Abwp9m ww m .,%75 bed, lt2 37S tf dL, k2 Lm ►bog ram .z bed, I _ ..5~ 411P ReOOraaierbed etemoe deY~laKe) ° 09 mWW to ehe plan bwdmmq Ad~Oneldeelpe/9b9amliidlA~e ~S'~-' ...a/tr 6„ySX 64 h Ft /f 1116"4 E3 -0 =SMrmm "136"blf SOIL pp.$cRIPY10N REPORT Depth 8truafirre GPDfltY ~tirig # Harizon In. 0o Wmse8 Q LSLMt CObr Ta><dmi (ar. St. 3h. Core Aoob3 t3PC1 rarfr Him ..Z Iq Gmuid IO S GIN. 1G ~ meu~na ~s ~'6 dko~- aa. 5 1 y p Remarks: e# ! oYK a `J S 9 o %K Li -Z S A G GS r ~ 9mwld ek+r. I~IL ~mYY _22L Remarks: Nor-P1~u P,at ,E 7iS' _ ~ g 71~ ~ ~ U4 k U%; •SY7G7 mw 99-82-I1 10:50 TO: FROM:715 356 4686 Pei Sep-02-2011 08:32 .4M St. Croix County Plan/Zoning 715-386-4686 2;3 OWNER SOIL DESCRIPTION REPORT r QTY RMLLD. (tQ8 !d c t c.+ D Depth Dominant Color MWO Terre Strut ure ~ y Rom /it . ' Owing # Hoften In. Munsell Chu, SL Cmt color Cjr. Sx. Sh. f rr r b E~~_ b"o~6 S v Y►1,~r 1 &or•xl stay j~•a 7It ter Remarks: ©-7 t3 0,11z ~p V. 6 --jams cad - } s>sar. a l Rama", Boring # E3 Brand . ~81►• tG 1 tow I L .1 1 Remarks: Boring # 13 r, Ground elatr. ft, flemarks: 88D.SSM(R.OM2) 69-62-11 19:51 TO: FROM:715 386 4686 P02 S,gp-U-2Q i1 D8:32 AM St. Croix County Plan/Zoning 715-386-4686 3 3 Hale, 3 -t <rA It IV Is V corn } a . a v IF P, 100. mitt ~ $d#}q„,~ o F Ekv. ltQ.a~ ` t ~ ~.3tt1 Act ~ Flo. llovf'7.7~ 09-02-11 10:51 TO: FROM:715 386 4686 P03 e)•~~{~' Al ~ X 13 ' 2Y r4 o C-rH LLJ jj LL-j L-Lj co r,+<_ too- . > t}~•~ EL 1 od =QI 6:60 TT-S0-0 NOV 09,2011 09:35A IMAGING WORLD 7154252852 page 1 ST CROIX COUNIN spjr 'IC -rANIC. A+MAIITrENtiWE A(PJ ANA OWNERS" CERTIRCA11014 FORM MailmS Addt+ess y ~ _ G 7"Y Al InlclaV 1 J` lw ° Joq fm pbmmeg & 74MMS for mw ooo cdon.) City/Stoc O Ems Nom. - i L - pwpefty iAK% im S' , S d1 V., Sec J,3 T 2C-KN R-)-l-W, TOM' Of Z4, SubdivWco Cad servo Nl*p # q/ ~ Volume Pale # Wwy*at r Din! # f G VOID ,Page # Sp;r home yes nct dot liaa Aida a Y= m Impsopor use s#i~n ar yow septic "skm mWd rw& as its pK=D= n t 4 Laeedlc w#stas Ptvp w aVjMftn aoaMU of nt ibe septic Mk cvaay three yens or womr ifnm&4 by a ficamadpwWa. W1tst 1W * iem the system cm nit the f thg septic bt* es a itt in ft .."m dimd tZya=m Owner makftwm -'e ata spo ~n $332( 1) mad in fhmpW 12 - St: CYaiz Co®Ly Stna~-y Oldh wc. "nm pmpaq a as m= to std to St. C -m (.:utudy Pl--g & lamas Die} "mum a m"=4m + by to owner and by a afraeer jo®e~ntatt pleoolbar, d pie saber of a licett9ed pn dtmt (1) ~e aaalia wastew~ dbomal s" m is proper opftaftt =dWm mdfus (2) dyer nopccdm sect pump*g (if Wyk ma m vdc Ink is ten tbrap I* sett of4aw. Y we, tbo mdaxaumW n ad tbt= abater raquaftwaft and mg me to namma the povale t &Wpm l sy d m d* aundm* met fit. bet'Cm, as by the Uepatm n of Camrmm slid ft Deraftm of?OmW Resomres, %ft Riau sU ft that yartr syWzm but beett glrioWwd >mest be curtcl and. rmbznc d~ to *e Sit Crak t~* r~g a Zoeang ~ with 30 of tie tbo t yvw aaIittn dtae. i ihm onwy tbd an an" ft= pm tme 1v dw hest a(myAxwb wwkd & YIaNe amhee tilt tt+var,(6) of~ pttttltattlr dwczbed abate b9 - of a why doed t~aoot3eaf n Rrg~itr of 13~eadt~ Olf~ I~htteb~r e~f ~1t F APPLWANIXS) PATE "r•A" tatomaitim dw is am tcmk n fm tanWay pmmdtbeft vvvoimd by dw leg dti Dep wbt met Iwhede volt rich appUceb o a t; car" waaady deed ft m dm R of fit Office wd a cttipy attire coetiied mtvoy W~ if rClk o is etude in this deed. i (mv- ) TA:r 11-0g-11 10:53 TO: FROM:7154252852 PO1 State Bar of Wisconsin Form 6-2003 945477 SPECIAL WARRANTY DEED BETH PABST REGISTER OF DEEDS Document Number Document Name ST. CROIX CO., WI RECEIVED FOR RECORD 11/10/201108:17 AM THIS DEED, made between FEDERAL NATIONAL MORTGAGE EXEMPT # 2 ASSOCIATION a/k/a FANNIE MAE, organized and existing under the laws of the REC FEE: 30.00 United States of America PAGES: 1 ("Grantor," whether one or more), and THOMAS MOE **The above recording information verifies that this document has been electronically recorded ("Grantee," whether one or more). & returned to the submitter Grantor for a valuable consideration, conveys to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in Recording Area ST. CROIX - County, State of Wisconsin ("Property") (if more space is Edina Realty Title needed, please attach addendum): 400 South 2nd Street #115 Part of the Southeast Quarter (SE 114) of the Southwest Quarter (SW V4) and part of the Northeast Quarter (NE 1/4) of the Southwest Quarter (SW'/) of Section Hudson, WI 54016 Thirteen (13), Township Twenty-eight (28) North, Range Sixteen (16) West, St. Croix County, Wisconsin, described as follows: Lot One (1) of Certified Survey Map filed December 5, 2000, in Volume 14, page 4004, Document No. 634761. 008-1038-30-100 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) This transfer is exempt from transfer tax return and fee under Wis. Stat. Sec. 77.25(2). Grantor warrants that the title to the Property is good, indefeasible, in fee simple and free and clear of encumbrances arising by, through, or under Grantor, except: municipal and zoning ordinances, recorded easements for public utilities serving the property, recorded building and use restrictions and covenants, all other easements or restrictions of record and general taxes and special assessments. Dated November 3, 2011 FEDERAL I MORTGAGE ASSOCIATION (SEAL) (SEAL) * * BY L Y & MERMAN, S.C., P.O.A (SEAL) OHN GMAN, VICE PRESIDENT (gFAI * * AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ) ss. authenticated on I MARATHON -COUNTY Personally came before me on Novem4;0,. I ..mss * the above-named JOHN B. WAGM.~V~ r' TITLE: MEMBER STATE BAR OF WISCONSIN - V Z = . (If not, t own to be the p son( v xec t~~fore~ authorized by Wis. Stat. § 706.06) s nd acknowl d s m~i ~y`•• Q A r_ THIS INSTRUMENT DRAFTED BY: A JO . DIERS ATTORNEY JOHN A. CRAVENS Notary P blic tate of WISCONSIN PO BOX 479, WAUSAU, WI 54402-0479 My commission (WP&4KXddK (expires: 7/6/14 ) (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATION TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. SPECIAL WARRANTY DEED 02003 STATE BAR OF WISCONSIN FORM NO. 6-2003 *Type name below signatures. INFO-PRO' Legal Fortes • (800)655.2021 • infoproforms.com 1 of 1 +3 LOCAYD IN 1NE NE to i4 aW 1.4 ARD T€ & L 111 i, t W - Vr tea . CCVNT 4tf1 ' ."17GNH I- Ole rte., s . . .rte ~ rd' m u z.Cyv..j~{ 5 H + Av..ir_. o ao loo no SHEET' i OF a JALV 1. ii"49 S-1004 NELBr VMS LAND "VEYINa pATt'il..+ ~...n aaeoeeIA cols NrsrauWNT WNT90 NY JIU WWR Vol. 14 Page 4004 ~soons to Dgpprtment of Industry, SOIL AND SITE EVALUATION REPORT Page of s •'.kbor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/ X"O iihdfies in size. Plan must include, but not limited to vertical and horizontal reference poi (@ directioa#And % of slop'N scale or PARCEL I.D. # dimensioned, north arrow, and location and dista c~t~s near r1 1;; d 3' 30 -/O c) APPLICANT INFORMATION-PLEASE PR ALL INFORMATION D DATE PROPERTY OWNER: -jj PROP ~a LOCATION VJct h S©~` ST . C,-,OIX G IiOT 1/4~ 1/4,S T N,R b E o W cour4TY (3 Q PROP ER' MA S C ~N;N OFIC T` BLOCK# BD. NAME CS Z. 77 Nw - CITY, STA ZIP CODE PHON E A t A CITY ❑VILLAGE OWN NEAREST ROAD I A) [ ] Use [Residential / Number of bedrooms [ ] Addition to existing buildin Ze placement [ j Public or commercial describe Simon ' c~ d yflow ~4'O gpd Recommended design loading rate s bed, gpd/ft2 , b trench, gpd/ft2 Absorption area required 375- bed, ft2 3 7 S trench, ft2 Maximum design loading rate . S bed, gpd/ft2trench, gpd/ft2 .6s o~ o E Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design / site considerations c, ~✓c'; ~;~'~~0~ (uS ~d Parent material 5 ~sc« c Flood plain elevation, if applicable '1)'4- ft S = Suitable for system CONVENTIONk- MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL . HOLDING TANK U = Unsuitable fors stem ❑ S efJ 0-6' ❑ U ❑ S Epp, ❑ S 0-6 ❑ S 9-11- ❑ S SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trends -/9 1 x ~J U S Ground _ (C7 ~I 5 Irvt r 0. u elev. 101-oft. ~l . S c 5 c - S r Depth to limiting factor Remarks: sh 7L Boring # `v f 11 -3 yy~ LL) Ground ~s C- 0C. S~ L- - Iv _3 elev. IiL12 ft. Depth to limiting fact Remarks: CST Name:-Please Print r Phone: e 7/S -7~ Address: 1 `79 Signature: Date: CST Number: 0-.D0- 9 ~~9~ PROPERTYOWNER (,L)e-5le- SOIL DESCRIPTION REPORT Page pf PARCEL I.D. # bD 8 - Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 77 c-N Ground elev. 17 ?ft. Depth to limiting factor Remarks: Boring # t~F XZ: C) \1 1Z J Ground i J r 3 elev. (Ih,yft. Depth to limiting factor Remarks: Boring # X44^::....:•`.\i~ ti~4 Ground elev. ft. Depth to limiting factor F-T Remarks: Boring # i y-y'y .t••• Ground elev. ft. Depth to limiting factor Remarks: III SBD-8330(8.05/92) PROPERTYOWNER~ SOIL DESCRIPTION REPORT Page._:-•of_= PARCEL I.D.# OD 1a 7cj Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence BaxxWy Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ranch 1640 luv Lj ~1 S Ground ~ t of ,,s elev. ~LQ,g 7ft. Depth to limiting factor Es'~ Remarks: Boring # Ground elev. 6ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # 13 Ground elev. ft. Depth W limiting factor Remarks: SBD-8330(R.05/92) Wisc&sin'Departrnent of Industry; SOIL AND SITE EVALUATION REPORT Page I of -3 LAbor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY . Attach complete site plan on paper not less than 8 1 jp9h s e. Plan must include, but S C not limited to vertical and horizontal reference irecti a of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and di to' near t roa CO $ 3ff - 7c-, APPLICANT INFORMATION-PLEASE -1I T ALPIRY ATI REVIEWED BY DATE PROPERTY OWNER: ` Wcc vt So i CT , 1 199-1 9 w P LO LOCH ION 4S W 1/4,S T ~ S 13 g N,R (b E 109/~.~ .1~►J PROPERTY OWNER' MAILING ADDRESS e - PT # BLOCK # SUBD. NAME OR CSM # Z 7 f/w 3 - - CITY, STATE I ZIP CODE M--NUMBER CITY VILLAGE N NEAREST ROAD I New Construction Use (Residential / Number of bedrooms (J Addition to existing building jg4eplacement [ ] Public or commercial describe Code derived daily flow 15,4.5'0 gpd Recommended design loading rate . '5- bed, gpd/n2 , b trench, gpd/n2 Absorption area required 3 7 S bed, 1112 3 7 S trench, ft2 Maximum design loading rate _ 5 bed, gpdm2_, - .8a C trench, gpoln2 e~ o Recommended infiltration surface elevation(s) / -V q 4 s n (as referred to site plan benchmark) Additional design / site considerations /I S e4 - e/e• - ~ F~ ~~.0~ . ((mss ~'d . ~ -X 6 o Parent material 5./l- ns~, cw f`// Flood plain elevation, if'appicable __22,4- ft S = Suitable for system GONVEN-n MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL , HOLDING U = Unsuitable fors stem 11 S ~ 11 U ❑ S Oa ❑ S lau ❑ S ~-t9"" ❑ S TANK SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bourd3y Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed tench -/y 0A W - IJ ~S 13- Vq I C-) yk W I V Ground - (C7 y u~j , S icy va- Depth to limiting factor " 1!5~ Remarks: Boring # t icylC sal yr C W Ground... elev. Ian. Depth to limiting factor~- Remarks: T Name: Please Print Phone' 7/SJ \ 7> % at Address: V 76 V:E e) C) c, Signature: Date: CST Number: N) 90 r A1 ~ d A' v tv 3 7.,L j i a. M. + 1;.1Q, IP, I OD, i O r~ ~Cx~ r LL)e Eleo, uo.9'7 N7 ~rh Ft I\C'L ~ Fk' I io.a 'DI it -E' WCS.tn S~ I ' V II i j I se slly l ~On'~"Ollr c.J~l1 ~ ~ w~ l I H<u, Uo,97 y 1"~ T Bko.l I.1~8 Ar~t- Fem. y` 110.0 13~ 00 ILE. D 634 761 s iEC ; 2000 FEB 19 2001 KATHLEEN H. W Register o1 pee SSH Cron Co., WI CERTIFIED SURVEY MAP r L OCA TED IN THE SE 114 OF THE SW 1 /4 AND THE NE I -,e4 OF THE SW 114 OF SECTION 13, T. 28N. , R. 16W., TOWN OF EAU GAL L E, ST. CRO I X COUNTY, W I SCONS 1 N PREPARED FOR: KURT SWANSON NORTH QUARTER CORNER I SECTION 13 - FOUND 1 ALUMINUM CAPPED MONUMENT I7,, ~o 1 Iti UNPL A TTED LANDS co 1N .TRE HIG - - - - I M • 00' S 06° 33 32 W H b ! T. 00' t 1IVE-SW N 83026' P8 i /9_00' HOUSE W g S 83026'280E 76. 48' N o, t t ~ S 83026'28* e • SHE $ N t 70. 80' HIGHWAY SETBACK L I N M 2; t O: 2 I J: N J; N BARN W : W) CL. y e W LOT 1 Q: 1 Mf N c, J: J . 2.00 ACRES w 2 ~1N" 87, 180 SO. FT. j 1 W i M N 83°26' 28-W 3 a 2 82, ~ UNPLATTED LANDS I ST. CROIX COUNTY t ~ I Plannino Zonino and Parks Committee D E C 0 5 2000 SOUTH QUARTER CORNER If not recorded within 30 days of SECTION 13 - FOUND approval date approval shall be ALUMINUM CAPPED MONUMENT null and void toot, abed KIM 031Va y383M WIr AG 031JVHO 1NWHISNI SIHl VIQZOOOZ 9NIA3Avns ONd7 8363M-N3913N boe l -S 213839 •11 SMVP Z .40 1 133HS 09-7 001 os o 0010.1 VA 713TI1M t)NItNS , LOO.4 ad3N I i M3d 'S8l £ 1 'I "Oil ~ DN I NJ 1.3M 3d 1 d N081 J13 X .1 IN O 00 yi 'W~S`3WV(r QIV 3 '(W31SdS 31VNIOUOOO A1NROO X10210 '18) A.B£ loze00S V 005~, ► St/ 03!lRSd3l , 'Cl N011038 dO N ~~niun1111M 3N11 M31aVnO H1ROS - H121ON