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HomeMy WebLinkAbout004-1058-30-100Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m)[. Permit Holder's Name: City Village X Township Beckman, Steve Cad Townshi CST BM Elev: Insp. B E lev: M BM Description: ~D~•O ~ y ~ ~G~7o r~ TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~ 1.~0 ( Dosing / (pJ~ ~ Aeration [,~J _ ~ - ~ Holding ~- TANK SETBACK INFORMATION TANK TO P L WELL BLDG. vent to Air Intake ROAD Septic ` / J O / ~ 1 j ~. S , Dosing Aeration ~_ Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Number ~ ~ /I ~~, ~ y TDH Lift y~ / Frictiop Lo~ Syste Jm ad TDH a t l ~i . Force~ain Leng / / i Dia. 2. „ Dist. to Weu ' ~ O , `~ SOIL ABSORPTION SYSTEM ELEVATION DATA county: St. Croix Sanitary Permit No: 429948 0 State Plan ID No: / Parcel Tax No: QU y 1 'l t7 Section/T'own/Range/Map No: 25.28.15..3°] STATION BS HI FS ELEV. Benchmark ,~~ (~ /U 7' ~~ •d Alt. BM ~~ ~~-, Of'. S/ / .N - ~!• (o~ ~ - d 3 Bldg. Sewer o • 3. .~ S Ht Inlet /. ~ J '7 . Z~ t Outlet Dt Inlet Dt Botton~T~ 6Q Heade anllHeade an. (~, O l ~/ Q 03• ~ Dist. Pi _,f, h~/• , ~3 `,~ d~Sr , ~d ~a3. i;~ Bot. syst m `~ ~ b ~. ~ 3 /~ 3 -d Final Grade v °~' st ~o ~~ ~ ~~ s •S ~~ - ' Z ~ . z D~• 9~ z~ 3 ~ 3.0 3. I ~F io ~ 37 3• I BED/TRENCH Width i Length ~ No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ~ ~ ~ ~ SETBACK SYSTEM TO P/L BLDG WEL LAKE/STREAM L C G Manufacturer: INFORMATION CHA R OR Type f ystem: ~ 2o(S~ ~ ~'~ ~ T Model Number. DISTRIBUTION SYSTEM Sdn'~.(G~ i~n~~r w.-f'1.ch..~u,~a Header/Manifold 1 h ~• Distribution / ~~ Pipe(s) Q ~.~ ~ // ~ ~ ~ x Hole Size /- ( (.~ x Hole Spaci 2~ i ~ Vent to Air Intake Length • Dia Length 0 • Dia_ Spacing ' g 7•~ !{~ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over ,r Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center ~ Ln " Bed/Trench Ed es g To soil p ~ Yes i No ~ Yes No 7 COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:~/"J /~~ Inspection #2:~/ s / ~3 Location: 141 320th St//Wl~ilson, WI 54027 (NW 1/4 SW 1/4 25 T28N R15W) A Lot 1 ~ Pa~rcelfNo: 25.28.L15. ~Q 1.) Alt BM Description = f~O~rn d ~' .Sl.1~//~¢ ~ S~r.~`~-~ ~'~' ~a'.`i/ ~'QO U~"-~~,y,~'"P/A~~/`' 2.) Bldg sewer length =~ ~ /~'~ 0~ „~t,(jUty-• - amount of cover = 3 ` 3.) Contour = ~ Q 1. 3 ~f' 4 L , ~-~-._ i ~ _. _ _.....- ------_ _ _ ~ ~ I,-- S Plan revision Re uired . Yes ~ ' No I ~ J -- ~.~ Use other side for additional information. i__~~~ L~ '~ - _ SBD-6710 (R.3/97) Date Insepctor's S' nature Cert. No. ~ ~t,~ Sanitary Permit Applic lon Safety & Buildings Division `~~ [n accord with Comm 83.21, Wis. Adm. Code 201 W Washington Ave. ~~ Sec reverse side for instructions for completing this application PO Box 7302 rseansfrt Oepertment of Commerce personal information you provide may be used for secondary purposes (privacy taw, s. 15.04(t)(m)] Madison, Wi 53707-7302 (Submit completed form to county if not state owned. Attach com fete Tans to the coon co onl for the stem, on a er not less than 8-1/2 x 1 I inches in siu. County Sta i e umber ^ Chcek if rcvisio 'ous application to Plan I. D. umber I. A lication Information -Pleas P 'tall nfor atio Location: Name Property Ownu ~/ ~ ~ / Property Location • 3G~~ ~ D 5-~eve C../t~-1'IQ ~ 2~~ /~ 1/4 ~l/4, S ?ST7.~,N, R~.~ W ss ailie-g A d d~e Property thvnefa M LotNumbu Block Number //l! ' / _ v~ ~v~~ ~-0 • /~ CROIX COUNTY / City, State Zip Code Z Subdivision ame or CSM Number 1.~,"/So~r, cJ/. S~Oa 7 7/,~ ro 9B-.2S8~ CS o•1. / . 3 7 II. Type of Building: (check one) one/ q ,,,,,, _ dntS, 3 r ~ ^ Cih' ~p32y ^ Vrl~gn 1 or 2 Family Dwelling - No. of Bedrooms : • B Cam[ own of ^ Public/Commercial (describe use):_ C:~ t ^ State-0wned ~ t) ~ Nearest Road ~ , O. r~ I ~ / X q ~ ~ ,^ ^ ~+M~ ~. n ~ ~ s ..ZO ~~ (~ • (p~' l ~ Paral Tax Number(s) _ III. T e of ermit: Check onl one box on line A. Check box on line B if a licable p) 1. B'fiew 2. ^ Replacement 3. ^ Replacement of 4. 5. 6. ^ Addition to S stem S stem Tank Onl Existin S stem B) Permit Number Date Issued ^ A Sani Permit was reviousl issued IV. Type of POWT System: (Check all that apply) ~ ~~ ~ Z~G(~~`f st ucted Wetl d d Filt ^ C ^ S ~ on r an er an ^ Non-pressurized In-ground nd ^ Pressurized In-ground ^ Holding Tank ^ Single Pass ^ Drip Line ^ At- de ^ Aerobic Treatment Unit ^ Recirculatin ^ Other: V. Dis ersal/Treatment Area Information: ~ /-~- -'!(?D ~~- = a 3 I. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Arra 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade 'Required Proposed v Rate (Galsldayls . tt. ~ (Mint c) ~ Elevation s~ ~. Sd .Ff• ysa . /'~• so i VII. Tank Cap ity in To # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing Crete structed Tanks Tanks ^ ^ ^ ^ `j t<i~C ~ GG~ - Gr'O Gc~: e.S~i Cpr~c. ^ O ^ ^ VIII. Responsibility Statement I, the undersi cd, assume res nsibili for installation of the POWTS shown on the attached tans. Plumber's Name (print) Plumbers ignature (no ps): MP/MPRS No. i3usiness I'; ore Nu:rber ~. e ~ ~j.so3G C~~sJ ~~- 8~~a Plumbers Address (Strcet, City, State, Zip Code) IX. County/Department Use Only ^ Disapproved Sanitary Pemrit Fee (Includes Groundwatu Date I su suing A nt Signa o ps) Approved ^ Owner Given Initial Adverse Surcharge Fce) ,(~- ~ ~ ~ ~~_ ~f ~~~ 6 3 ' Determination ~ X onditions of Approval /Reasons for Disapprovai• ~~ ~~~~ ~~~nd ~~~/ ~ j~~G%r~-~tJ Y 1~ ~/ . ~ 3 -S2. (~~U3'tAi1/ ~ ~ ~~ ~ , ~.~ f~yCO' ' Z /17~t~ti u~'~Z~"b~c'~~/7pA~GGvt°G~ ~ 3U- / ~1 ~ ~ ~ ~ -~-~ G V S 3,zo~`. F d M~ 1 i ~ -375'-' a h „ o ~ a ~ 0 e r,,, 9s.is' 0 97.1,5 ~<opos~ well yGB~ 38G ~f -~.i~ /. Co 5 . ' /~sti1 %h Cke~~y lev- = ,bs. Gib, proposed l,~OlGSv ~~.P. z"sue(. yo P. v. c. Ta-~ ~-4'o~cerha.r~. 83 ~ ~ ioi.~o' T ~~ ~~ ~ 1 ~~ 5~tede 13e~~m~~ p,-ao. nwrySwvY ycc, z 5 T.o~ ~~ ~ % Proposed moon d ~~ .t~ ~yX ///. bS '~ ~1 ~+,-/ •~'X 90` d:StJ'ibctFio.~ Ce !1. rwo~~ 4uu I i d,'sfi/bu.~'on /a~c~a/s ~t /%~"x BB.s~ of 37ya ~ 82 ~/ f'8"o~/f'~ Spaced of 3. as. " ~` % Slope ~ ,~ ~l ~ ,~ ~ ;~ I~ " ,- /o/.3B' l~ a~ o a -~~ ~ ~ ~ o ~~ 3e.nc.l,-+~a.rK ~ ToPo{' 3/~~'/'eba~: ~ ~ EX~S~'~9 Tice S~iac~b /. i+c ~ So; / ClbSe/'dafio.-~ P,- ~ ~ E/e da ~,vn ~j~E)ci~v %~q ,fence/h, Sca/~: /': yo, r--vmmrm e~n~ ~~~~~~a-~ P9.8 oFy w ~ { +Y f w~ `~ Wisconsin Department of Commerce Division of Safety and Buldings SOIL EVALUATION REPORT nr.Jonne un4h !'`ivv.m Ali 1A/ic Arlin (:rvlo 1311 page 1 of A.C.E. Soil 8~ Site Evaluations - County Attach complete site plan on paper not less than 8'/: x 11 inches in size. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and scale or dimemsions, north arrow, and location and distance to nearest road. percent slope Parcel LD. , 004-1058-30-000 ID# 25.28.15.396 Please print all ' i Q~~ (( ~ ~ ~ Dat ' y B vpcy , s. 15.04 {1j (mjj. rpbse pu [ Personal information you provide may be ~fo f ~ ~ ~ /!`~~~ (N~ Property Owner ~, p ~' ~ ~ ?~ ~ ~ , Property Location 15 W % IL~r~~ ` Duane Wiiman , ovt. Lot NW 1/4 S_W 114 S 25 T 2g t~ R Property Owner's Mailing Address ~ ° •- of # Block # Subd. Name or CSM# 104 320th Street ^-~ ~ ~ 6 Z~~a `_~ ' ~ 2 Proposed CSM a City S ;Zip Code tlgober City ~Ilage Town Nearest Road Wilson ~ •~ 4027 cot}r~Tv ~ Cad 320Th Street New Construction use: ~ idential / NvrnbeF s 4 _~ Replacement ,:~ Pub i crc~a'ty cribs: Parent material Glacial Till General comments and recommendations: System elev. = 103.07' at 20" above 101.40' contour. Code derived design flan rate Flood plain elevation, if applicable 600 GPD na Boring # --j Boring Pit Ground Surface elev. 98.86' ft. Depth to limiting factor 24" in• Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft' 1 0-12 10yr3/3 none sl 2fsbk ds as 2f,1m 0.5 0.9 2 12-24 10yr4/4 none sl 2msbk dsh cw 1fm 0.5 0.9 3 24-29 10yr4/4 f2d7.5yr5/8 st 2msbk dsh t:w if 0.5 0.9 4 29-38 7.5yr4/4 m2d7.5yr5/8 scl icsbk dsh gw if 0.2 0.3 5 38-51 7.5yr4/4 m2d7.5yr5/8 scl Om dh - - 0.0 0.0 Boring # --~ Boring ~~ e' Prt Ground Surface elev. 101.56 ft. Depth to limiting factor 2 in- Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D ft' 1 0-10 10yr3/3 none sl 2fsbk ds as 2f,im 0.5 0.9 2 10-22 10yr4/4 none sl 2msbk dsh cw ifm 0.5 a .~ 3 2 - 0 10yr4/4 f2d7.5yr5/8 sl 2msbk dsh cw if 0.5 0.9 4 30-34 7.5yr4/4 m2d7.5yr5/8 scl icsbk dsh gw 1f 0.2 0.3 5 34-45 7.5yr4/4 m2d7.5yr5/8 scl Om dh - - 0.0 0.0 * Effluent #1 = BOD ~ 30 < 220 mg1L and TSS < 150 mg/L * E #2 = BODS < 30 mg/L and TSS <.,30 mg/L CST Name (Please Print) Sign ure: CST Number James K. Thom son _ -y~~ 3602 Address A.C.E. Soil & Site Evaluations ate Evaluation Conducted Telephone Number Osceola, WI 54020 9/24/00 715-248-7767 Property Owner Duane Wilman Parcel ID # 004-1058-30-000 ID#25.28.15.396 Page 2 of 3 ~ Boring Boring # 100.15 ft. Depth to limitin factor 16" in. Pit Ground Surface elev. g Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots = *Eff#1 *Eff#2 1 0-10 10yr3/3 none sl 2fsbk ds as 2f,lm 0.5 0.9 2 10-16 10yr5/4 none Is imsbk dsh cw 1fm 0.7 1.2 3 16-24 10yr5/4 m3d7.5yr5/8 Is lmsbk dsh cw if 0.7 1.2 4 24-32 7.5yr4/4 m2d7.5yr51$~& fZd10 /2 5CI 2csbk dsh gw if 0.2 0.3 5 32-50 5yr4/4 m2d7.5yr5/8 scl Om dh - - 0.0 0.0 H#4 - Ped faces coated with 10yr6/3 fine sand. ^ Boring # ~ Boring J Pit Ground Surtace elev. _ ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Caor Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 ^ Boring # ~ Boring -- Pit Ground Surface elev.. ft. Depth to limiting factor in. Sal Application Rate Horizon Depth Dominant Caor Redox Description Texture Structure Consistence Boundary Roots = *Eff#1 *Eff#2 * Effluent #1 = BOD 5> 30 < 220 mglL and TSS >30 < 150 mglL * Effluent #2 = BODS < 30 mglL and TSS <30 mglL 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. • .~ 378 <+ ' . ~. ~'~ai/:h cheery tre,e• elev.' = ,bs. c~. /0% yO~Con~u/ 83 ~ ~o/.vo~ 38G' 3~.0~ Sir *~ yf.B' in j?-l t (~ ~ Ot 6 ~~ n` -~/-~--~ i P; ~ • E/e da ~b~ Sca/e: /': yo, L~ t.~ane. 1,~9 ~ l mc~, n p~cy0. nwvys~.as~Y, Sec. zsT.o~ ~dY~ SE . ~.r~o - k C'o ~ c,JG >p off' 3/p"r'e6ai: ~t ~PQ~ ~ /3!/ ~ ~ ~scons~n Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. commerce. state.wi. us/sb www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary Apri122, 2003- CUST ID No.225036 MICHAEL P MC DONELL A.C.E. SOIL & SITE EVALUATIONS 340 PAULSON LAKE LANE OSCEOLA WI 54020 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 ~ , ., _ ~ . , v~ CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/22/2005 SITE: Steve Beckman Residence 320TH Street Town of Cady, 54027 St Croix County NW1/4, SW1/4, S25, T28N, R15W Lot: / Identification Numbers Transaction ID No. 861864 Site ID No. 658087 Please refer to both identification numbers, above, in all correspondence with. the. agency. FOR: Description: Proposed Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 900122 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 COndih~~ 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 Requirements: ~~ ~ • This system is to be constructed and located in accordance with the enclosed approved plans and with the ... SEE CORRESi "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD-10691-P (N.O1/O1) and the SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST_SAS (01/81) • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. ~• Access to the filter for cleaning must be provided per Comm 84 product approval conditions. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required `~c • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • 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. Stat MICHAEL P MC DONELL Page 2 4/22/03 • Comm 83.22(7) 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. Owner Responsibilities: • Comm 83.52 Responsibilities. 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). • Comm 83.52(2) 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. • Comm 83.55 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. 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 POWT5. Sincerely, Cy~~~~~ ~~~~~~`- Charles L Bratz POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday cbratz @c ommerc e . state. wi. us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART coder 7633 cc: Leroy G Jansky ,Wastewater Specialist, (715) 726-2544 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Steve Beckman bedroom residential mound Owner's Name: Steve Beckman Owner's Address: 2820 Co. Hwy. N Wilson, WI 54027 Legal Description: NW1/4SW1/4, Sec.25, T.28N., R.15W. Township: County: Subdivision Name: Lot Number: Parcel I.D. Number: Cady St. Croix CSM Vol. 14, Pg. 3977 2 004-1025-90-100 Block Number: Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings RECEIVED Page 4 Lateral and dose tank Page 5 System maintenance specifications APR 21 2003 Page 6 Management and contingency plan Page 7 Pump curve and specifications SAFETY & BLDGS DIV. Page 8 Site Plan Page 9 Soil Evaluation Report Designer: Mike McDonell License Number: Date: 04/18/03 /~'~~ Phone Number: Signature: ~~ / ~r~~ 225036 n~lY >i~~D CaNMERCE ~° . Ncs ONDEryC 715-386-8692 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 (01181) Version 3.0 (03/01/01) Page 1 of 9 Mound and Pressure Distribution Component Design Design Worksheet Site Infor mation (r or c) R Residential or Commercial Design 300.00 Estimated Wastewater Flow (gpd) 1.50 Peaking Factor (e.g. 1.5 = 150%) 450.00 Design Flow (gpd) 6.00 Site Slope (%) 101.40 Contour Line Elevation (ft) 16.00 depth to Limiting Factor (in) 0.50 In-situ Soil Application Rate (qpd/flit) Distribution Cell Information 90.00 Dispersal Cell Length Along Contour (ft) _ 1.00 Dispersal Cell Design Loading Rate (gpd/ft2) 1 Influent Wastewater Quality (1 or 2) Pressure Disribution Information (c ore) a Center or End Manifold 2.50 Lateral Spacing (ft} 2 Number of Laterals 0.125 Orifice Diameter (in) (e.g. 0.25) 3.00 Estimated Orifice Spacing (ft) _ 2.00 Forcemain Diameter (in) 70.00 Forcemain Length {ft) 87.00 Pump Tank Elevation (ft) ~`,~~,,~ ~.V ~~ . ~~ 6.50 15.57 System Head (ft) x 1.3 Vertical Lift (ft) 0.95 Friction Loss (ft) 23.01 Total Dynamic Head. (ft) Lateral Diameter Selection in. dia. o tions choice 0.75 1.00 1.25 1.50 x x 2.00 x 3.00 x Treatment Tank Information 1000.00 Se tic Tank Capacity (gal) Wieser Concrete~Manufacturer Note: Sand fill (D) calculations assume a Table 83-44-3 in-situ soil tr~tment for fecal coliform of <= 36 inches. 5.00 Cell Width (ft) Are the laterals the highest point in the distribution ~Y network? Enter Y or N {f N above, enter the e{evation (ft} of the highest point. 7.50 ft2/orifice Does the forcemain drain back? ~~ Enter Y or N 11.42 Forcemain Drainback (gal) 81.16 5x Void Volume (gal) 92.57 Minimum Dose Volume (gal) 24.72 System Demand (gpm) Manifold Diameter Selection in. dia. o tions choice 1.25 x 1.50 x x 2.00 3.00 Gallons/inch Calculator (optional) 646.00 Total Tank Capacity (gal) 38.00 Total Working Liquid Depth (in) 17.00 gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 646.00 Dose Tank Capacity (gal) Zabel __ Filter Manufacturer 17.00 Dose Tank Volume (gal/in) A100 _____ Filter Model Number Wieser Concrete Manufacturer Project: Steve Beckman 4 bedroom residential mound Page 2 of 9 Mound Plan View 1- 1 1 /y1 ~_~:. 'Observation Pipe .0 . ?•",r~ s; ~~ Yee Y~'~ f •r•rCr•; :a•. S ~ . ~ `" ' •~ •C.••.°~a • ' • °• ~~•'~ 1~ ~.g - - - - .F' ~- Mound Cross Section View Aggregate Dispersal Area Finished Grade 104.86 (ft) -~ ft) Lateral Z F , . ; : ; : Dispersal~Cell ~ 103.57 103.07 (ft)--- - Invert Dispersal Cell ;~ : ~ ' ~' ~ ~ Elevation E ~ ~ D ~ ; ~3 6.0 °~ Site Slope Shading Key [~ ®Topsoil Cap © {{f{~ Subsoil Cap ASTM C33 Sand ~x . Tilled Layer 05 f':; :•:: Aggregate A 5.00 ft 90.00 ft D 20.00 in ~t Jj - i A L Mound Component Dimensions E 23.60 in F 9.50 in G 0.50 ft 1 H 1.00 ft K 10.83 ft z 11.92 ft L 111.65 ft J 7.52 ft W 24.44 ft . ~oo~' 1522.87 (ft2) Basal ail-able ~'~`' 9.00 (ft} 1 /10 B Obs. Pipe Placement 450.00 (ft2) Dispersal Cell Area 5.00 (gpd/ft) Linear Loading Rate / a 1.5 ft w o R ~° Z 0.5 ft ~ o ~ ~ 10 .40 (ft) Contour Elevation Geotextile Fabric Cover 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 (Ax6). Project: Steve Beckman 4 bedroom residential mound Page 3 of 9 End Connection Lateral Layout Diagram Pro}ed: Laterals oentered Doer the & B dimension + = Turn-u p wrba I I va Ive or cl ea pout pl u g P All laterals are iEentical If- }~-~I Holes drilled on the bottom of the lateral 9 equally spaced ~ r Foree main conneetlon uia tee or cross to manifold at any point. Laterals & force main of PwC Sch 40 (per CON1M Table 84.30-5] Number of Laterals 2 Orifice Diameter Lateral Diameter Orifice Spacing (~ Lateral Length (P) 88. Orifices per Lateral Lateral Spacing (S) 2.50 ft Office Density Lateral Flow Rate 12.36 gpm Manifold Length System Flow Rate 24.72 gpm- Manifold Diameter Total Dynamic Head 23.01 ft Forcemain Velocity Dose Tank Information Electrical as per NEC 300 and -~ Comm 16.28 WAC ~~ ~ pisconnect 0.125 in 3.05 ft 30 7.50 ft' 2.50 ft 1.50 in 2.52 f1J Locking cover with roaming label and locking device and sealed watertight i 4 in. min. -~.~ Tank component is properly vented Wieser Concrete Ca acit 646.00 Volume 17.00 Manufacturer Gallons gal/inch ~- A B C D Dimension Inches Gallons A 18.57 315.72 B 2.00 34.00 C 5.43 92.28 D 12.00 204.00 Total 38.00 646.00 3" u Alarm Manuafacturer LevelArm Alarm Model Number DLV Pump Manufacturer Zoeller _ _ Pump Model Number 137__ r-( Pump Must Deliver 24.72 gpm at 23.01 ft TDH Steve Beckman 4 bedroom residential mound ~ Alternate outlet location Forcemain diameter ~ 2 in. Weep hole or anti- siphon device P• ump ofF elevation (ft) 88.00 D~nk elevation (ft) 87.00 Page 4 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name ( J. Thompson, POWTS INSP.#4819 Phone 715-248-3271 POWTS Regulator's Name St. Croix Count Zonin Phone 715-386-4880 System Flow and Load Parameters Design Flow -Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow -Average 300 gpd Maximum BODS 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Freauencv Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Other Ins ect andlor service once eve 3 ears Should ins ect 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 Inspect for ponding and seepa a once every 3 ears 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 _''~-i Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Steve Beckman 4 bedroom residential mound Page 5 of 9 HEAD/CAPACITY CURVE N 1- TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE ~ EFFLUENT AND DEWATERING Y 1J7.1 JO 181 16J 166 166 186 1M 1N tra ~z GM Lln 72 27a Gd lxa 104 341 GPI. l.tra lab lot G61. Ltr, 61 ?)t Gtl. LYa. 61 2a1 GLL Lta. G.1 lta 66 220 Ci~L Lta.. ,s6 667 Gn lta. 166 6i7 71 6t ?JI 70 a0o 100 a7a 61 2a1 6t 2a1 bG 220 to bhp Ibl '672 Sa /S 170 61 212 DI au 60 227 60 227 68 220 tat 6,17 tIb 649 $7 26 46. a6 536 a2 a10 69 22a b0 721 6B 220 tab 816 1f0 6a0 B a0 71 260 67 214. 6a 71a Si 220 128 N4 IaJ 60.7 66 240 66 .206 61 2z7 90 a/0 61 210 121 466 127 '661 Ib 171 IB .172 66 206 76 2B3 68 22Jp 106 a97 114 u1 21 BO >J 12b bt 191. 66.218 N ?20 yp alt 100 :079 _ tb 67 1J 161 a6 1a6 68 ~~-710 71 2W 86 aT2 a0 151. 10 JO 62 .197 bl IyJ 70 266 14 W 45 :170. Z• tad ba 204 a7 i?1 2 • a7 140 11 i16 21 79 7 ,'~. 8 JD ' 2a' 26' N' N' 6T 7J' t t b' 81' 112' EFFLUENT &DEWATERING Warning: Model 185 should not be subjected to less than 30 feet TDH. Note: For Head Capacity on Model 112, industrial column-explosion proof pump, see FM 219. SEWAGE &DEWATERING WARNING: Model 293 should not be subjected to less than 15 feet TDH. W W .27, 14 6.R~. »7;ni.nurn su ! /Yi-{e r ~ 4 24 80 75 22 SERIES 262 ~ 70 G6i. Ltra. 20 90 341 65 80 227 22.5 BS 18 80 55 16 5 0 11 45 t 8' 12 40 35 10 30 8 25 6 ZO 4 15 10 2 r 5 TOTAL DYNAMIC NEAO/CAPACITY PER MINUTE SEWAGE AND DEWATERING 71-- 266 267 26B 262 24 1 'n' 284 0 I I I I I I I 282 288, ~ 287, T 288 280 281 285 1 I I I I I GALLONS 10 20 30 40 50 80 70 BO I 80 100 110 120 130 140 150 180 170 180 180 200 210 220 230 ~- Y-----F I I { I I I - f- -- LITERS 0 80 180 240 320 400 IBV 580 840 720 800 860 FT. M 5 1.52 t0 3.05 i5 1.57 20 6.10 25 7.82 30 9,11 a0 12.19 50 15.21 80 18.29 70 21.34 Lock Valve 282 283 165 700 16B 636 153 SEA 110 530 n s 435 88 337 59 223 25 95 77' (~. 71~ 9 M 3,Z.o~ 1. Sri S . ~ ~ d M v I i o0 -37.x" r ~ ~ o ~ a ` 0 e 9s.~s'' , g1.4S• Propos2d~ well ' ,tail:rl C-lcer~fr Cleu.- - ,fps. G~ proposed /,cdo~GSv ~4.P. t.~ $sib/G A- /~ eft'/uef ~ z"Sct . yo A. v. C. ~~a--. ~-f'o~cen'1a~r~. 83 S / 0/. y~4 ~~ T '~ ,38(0 ~ s ~ 1 1~ I~ 1 , 1~ ~~ 1 i~ 1 i 0/.39~A ~~ ~ i 1(~ ~ ~ ,. ~ .1 I~ " ~~ l . /°~'~ Sf eke Q¢~~Cirran p~~. l1WYg5c,,~1'y Scc.25T,o~' ~~,~ 5~.cr~o~k~;c.Jl. Proposes! /r(occndG-f .2~f s~4'x ///. bS w/ S'X 90' d:St/'i6c~Fior~ Ce //. T"wo~~ dr's'Eri bu,fron /afc~a/s 4t /:~"x 68.s~S. ^ g•2 W~ `8 "O~i 1 i ~ s/Du ced cLf 3. os ' ~1 3e.nc~l...~ar/C ~ Top o~ 3/~..i'ebw: ~~C,5fl~r~ Trle ~•S/ivc~b /. int P,- ~ • E/e da ~,v.~ 5cal~: l ': yo, Py. 8 oF~ Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code y /~ ~ q / / (~ C3eneral 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 wtth 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 a~cci~de/~njta~l or un~a/u~th~or~iz'ed `entry into a t(ank~or6c~o~ ,m, p1onent. ~~~~- / w " w "~`.~-"' ~~,~1~" _ ~l~s'U~ ~ Septic Tank y~. 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 finer shall be assessed at least once eve ,Gtll2p. The outlet filter shall be cleaned as necessary to ensure proper operation. The fitter 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 fitter is equipped wtth an alarm, the fitter 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 axumulation in the tank. The addttion 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. Pumo 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 fitter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution Svstem 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 BODS, 150 mglL TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BODS, 30 mg/L TSS, 10 mg/L FOG, and 104 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permtt for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and tt 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. Continaencv 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 componeM(s) shall be immediately repaired or replaced with a component of the same or equal pertormance. If 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 if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condttion. See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Steve Beckman 4 bedroom residential mound Page 6 of 9 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer ,~'`~r~-p /Q ~eL~~u..-, Mailing Address Property Address (Verification required from Planning Department for new City/State Pazcel Identification Number " QD~- /p mod'- 30-/UCH LEGAL DESCRIPTION r Sc~ r/. ' 3~1(~A a~. 3lkrit~ Property Location ~ /., ,Sec. zs ,, T ~ N-R /s"W, Town of ~~~ Subdivision `-" ,Lot # Certified Survey Map # ~ 3~ ~~ ,Volume Page # 39~ Warranty Deed # ~ ~~ ~ ~ .Volume / o ~ ,Page # Spec house ^ yes G~tlo Lot lines identifiable Comes ^ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterplumber, journeymanplumber, restricted plumber or a licensedpumper verifying that (1) the on-site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that ycur s.-ptic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 da of the three yeaz expiration date. ~Z?.~ d3 1 x DATE S NA OF APPLICANT OWNER CERTIFICATION I (we) certify that all statements on this form are hue to the best of my (our) knowledge. I (we) am (are) the owner(s) of th property des 'bed above, by virtue of a warranty deed recorded in Register of Deeds Office. . _.. ~-~- ~-i D 3 ~~~ SIGNATURE PLICANT X 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 deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed voL 1660P~~f 176 _ STATE BAR OF WISCUNSIN FORM I - 1995 WARRANTY DEED This Deed, made between Duatte F. Wilman, a single person Grantor, and Steven S. Beckman and Lynette M. Beckman, husband and wife as survivorship marital property Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St, Croix County, State of Wisconsin (The "Property"): Lot 0 of Certif-ice d Surv?v tvtan No 632422 Vohune 14, Pa yet, 3977, located e Northwest Quarter (NW 1/4) of the Southwest Quarter (SW 1/4) of Section Twenty-five (25), Township Twenty-eight (28) North, Range Fifteen (15) West, Town ofCady, St. Croix County, Wisconsin. It~e40300 Y.Fl-fNL.EEN H. WRLSH REGISTEk (]F DEEDS ST. CkOIX Cq.t WI kECETVED FOR RECDRD 03-13-2001 8:30 pM YARRA?1TY DEED EXEMP? N CERT C13PY FEE: CDPY SEE: TRAti5FER FEE: 126.00 RECORDI4G fEE: 10.00 GAGES: 1 ,~ Namc and Return Address ~ -J~~l N (~y SCHOFIELD & HIGLEY, S.C. ^ b~ /~. 700 WOLSKE BAY RD., #100 ~i MENOMONIE, WI 54751 ~~, _(~Sg -30- l ~ Parcel Identification Number (PIN) This is not homestead property. (~ (is not) Together with all appurtenant rights, title and interests. Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except easements and restrictions of record. Dated this O ~ day of Fe~uurg 2001 AUTHENTICATION Signature(s) Duane F. Wilman, a single person authenticatcd this day of February 2001 . Duane F. Wilman ACKNOWLEUG~IENT S"PATE OF WISCONSIN I ) ss. DUVN Counry. ) ~~ Personally came before me this ~ day of ~++~'+ 2001 the above named Duane F. Wilman, a single person +• John 1C Higley T[TLE: MEMBER STATE BAR OF WISCONSIN (lf not, authorized by § 706.06, Wis. Stats.) ~,,..•~ 1'H1S INSTRUMENT WAS URAFTGD BY ,,=A~ ~'~ John K. Higley, Atty. Menomonie, WI 54751 ^ (Signatures may be authenticated or acknowledged. Botha noE ~' to me known to be the person(s) who executed the foregoing instrument and acF~nowledge the same. .,~ ~ •Names of persons signing in any capacity should be typed or printed belo ttrE"y :gq~tureg.: •' ` STATE kWt$f0~1}IN ', WARRANTY DEED PO ;,~,~1 98_x.,!'_ ate of Wisconsin is permanent. (lf no[, state expiration date: PROFFSSIONALS COMPA`IY FOND DU LAC, W18a0-655-21121 D ~31 Q J~ 2 H WIAI.SH 6 ~ ~;~e of Deeds ~ ~ St.Cco-xCo.,WI v ~ ~ ~ ~-, r W ~' \3~ ~~~ n3Rni ~ ~ ~~il~~o Z~~Z WO Q Wti~m ~~zo ~~o~ ~~n~o ~3~j 2~OQ ocT 2 5 zooo 872, 647 SF/ 20.03 ACRES w/ ROAD R/W. ~--~ m X83 N B2~L 0 T 1 ° ~ I- -~ B 1 ~ ~ Wi 850, 8B8 SF/ 19.53 ACRES w/o ROAD R/W. ,~.i m ~I ~ 33.00' ~ S89'30'31"E 1322.02' 12es o2' ~ ~ =I . 2 ~ OI ~B3 g N~ ~B 1 ~ Z (~jl 872,891 SF/ 20.04 ACRES w/ ROAD R/W. LOT 2 0 0 ~ 851,131 SF/ 19.54 ACRES w/o ROAD R/W. ~ O 33.00' O 1289.38 ' N8g°26'11"W 1522 3 ' ~~ Q~ JI OI w ~- I al J Q.. Z ~~ 3 I ~ g ?xH,,.K.~-;:s:vxs.,~ ___ ~ F : •Y Stock No. 26273 632422 R7IFIED SURVEY MAP N0. X/OL UME ~ 4 PAGE 3977 L OCA TED IN THE NW 1 /4 OF THE SW 1 /4 OF. SEC TIDN 25, T2BN, R15W, TOWN OF CAD Y, . S T . CROIX COUNTY, WISCONSIN. APPROVED PREPARED FOR: Duane Wi 1 man . sT. cRO~x couNTv PREPARED B Y." Lee V111 eneU ve, R. L . S. planning Zoning and Parks Comm,tte~~ If not recorded within 30 days of approval date approval shall be WIS . D . 0 . T Approva 1 ~ 55-29-3140-2000 "~I ar'd V°'0 ST. CROIX CO. PIN w/ CAP FOUND AT WEST 1/4 I CORNEA OF SECTION 25, T28N, R15W, I I UNPLATTED LAND FOUNDRATXEAST 1/4MCORNERONUMENT 15s'I - ~ - - - ~ - - SECTION 25. I I E/W 1/4 LINE-TOTAL = 5278.09' S89 °34 ' 51 " E 1321.65 ' 33. oo ' 1288.65 ' - , (~ S89 34'51"E 3956.44' o~ ZI I a ( J ~ Oi m I ,I, ~ CU ~I " ZI a ~ ~ I 0 ~ ~ - I N ~ 1 v ti o I 3 (!) ~i/ I W Z /'jam J \~ w 6 E •.M ~~/! UNPLATTED LAND s"~~''~=~~~`~`~ ~~~ ~' ~~ a LEGEND t° ~ << ~:~~ _ ~ O = 3/4" x 24" IRON REROD SET.. Y ~ 'LF~ ~' m MIN. WT. = 1.502 LBS. / L.F. ~"~~~ ~ i'~ A. 1NIG~~ `~ T -~- = PUBLIC LAND SURVEY CORNER AS NOTED . y~' _, ,.~fs~ ~ ~C;~ m~