HomeMy WebLinkAbout010-1073-10-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
552381 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)]. '2 6,6'2---'
Permit Holder's Name: City Village X Township Parcel Tax No:
Omann, Tim & Ka teen Emerald, Town of 010-1073-10-000
CST BM Elev: Insp. BM Elev: BM Descc''ption: Section/Town/Range/Map No:
/o l/ • /QD 0 d 30.30.16.445
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark
.,tea-~L laoD `7. Z a7.2 .a a . o
Dosing Alt. BM 7 6
Aeration to Bldg. Sew
4?hk Y,
Holding St/Ht Inlet D . , 5
St/Ht Outlet i
TANK SETBACK INF N N GG
TANK TO P/L WELL BLDG. Vent to Air Intake ROAp Dt Inlet
Septic r I Dt Bottom f ~s 0
0 D n'
Dosin Head an.
g .-4 ° . .3' ax V✓ o D/. -
Aeration T d l Dist. Pipe /S d Or
7
Holding Bot. System
Final Grade
PUMP/SIPHON INFORMATION CP
Manufacturer
cmc~ Demand St ve '
GPM zf CrAywt- klaS
Model Number 6--p 0 n~ 00, v /
TDH Lift Friction Lomas- System~Wad Ft
0,,-7 d • `"J (p `j 5 to
For main Len t Dia/~ Dist. to well
I
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length No. Of Trenches A PIT DIM N NS o. Of Pits Inside Dia. Liquid Depth
DIMENSIONS t
SETBACK SYSTEM TO P/L BLDG WEL LAKE/STREAM L G Manufacturer:
INFORMATION CHA OR
Type Of ystem: Y 30 > Ipor
UNIT Model Number:
DISTRIBUTION SYSTE S ON( r{1Alt. 1~11'L
Header anifold Distribution dd C x Hole Size x Hole Spacing
Pipe(s) Ve it Intake
Ir />J.J'~ ~ • r __yq~7 C7 2~ C~~
Length r Dia Length Dia 2h Spacing
SOIL COVER x Pressure Systems Only xx Mound OrAt-G l4ide Systems Only
Depth Over Depth Over xx Depth of LXX Seeded/Sodd xx Mulched
Bed/Trench Center Bed/Trench Edges es No 0 Yes No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #I: Inspection #2: Z--
Location: 2191 140th Ave. Emerald, WI 54013 (NE 1/4 NE 1/4 30 T30N R16W) 40 acFes Lbt JJ~~ ~~~f Parcel No: 30.30.16.4--
1.) Alt BM Description = 19f P.vd->, YIC~YC,a I 65t-4J&A -old '04
2.) Bldg sewer length=
X/ b~.
= /
- amount of cover y
~ QQQ f
Plan revision Required? Yes No C ~i GLL~y~/hf
Use other side for additional information. L_ j 5
Date Insepctor's Sig ature Cert. No.
SBD-6710 (R.3/97)
J
G`LiC7 yi~`~
J
SO, GD 6'
SA %ERTIFIED SURVEY MAP
Tim and Kayleen Omann
Located in the Northeast 1/4 of the Northeast 1/4 of Section 30,
F 30 N, R 16 W, Town of Emerald, St. Croix County, Wisconsin
2V ZO 1
'kilt
cor ? r
CERTIFIED SUREY ASAP
VOLUME 4, PAGE 977
,~R = S 86!K,38 ) NORTH LINE NE 1/4 SEC. 30
- S89 °44'41"E 2630.20'--
S 89044,41"E 208.70' M VE.
NORTH QUARTER CORNER1968.86' (R = S 8603538 " E) , ' t 452.64' NORTHEAST CORNER
SECTION 30, T 30 N, R 16 W _ 33.o1 t 33.p1 - _ SECTION 30, T 30 N, R 16 W
(Found Berntsen Survey Nail) S 89°44'41"E 208.70' (Found Berntsen Survey Nail
ZI
~l N
LOT 1 a~
o' 2.159 ACRES
OR
W 94,051 SQ...FT,.-..._.....__._._.... _ y • • ,
E
v0 o0 2.001 A6ES °o w 4
'It t< OR) 87,164 SO. F
Qi (Excl.I$/W) )(`7 C) S
l ? 1 Scale in Feet 1" =100'
FXXXXkXXXX4
~+l Jl loo 50 o 100
4-I 4.1
Z Bearin&sarereferenced totheNorth lineoftheNE1/4
of Section 3o, assumed bearing N 89°4441" W.
O"MRS'ADDRESS
N89044'41W 208.70' Emerald, , W W1. I. g401
oi
Emera3
UNPLATTED LANDS
/ Y
f
.~5 C,ON,v LEGEND
O°°000 ppp O
°LAVIZE E p Indicates x"O.D. x 18" Iron Pipe Set
W. o (Min. Wt. -1.13 lbs./lin. ft.)
o MU
* * Section Corner Monument
p LS, FORTH, a ~a (as noted)
O o
pp,opp°°°.¢.AP -x- Indicates Fence
O LAND 9
DAT - (R= ) Recorded As
April 23, 0 2
'This Instrument Drafted by Mark W. Peavey SHEET 1 OF 2
I L+05 2ZO+" 5-4- NE ly NE'ly SAO TSa(~t ~16 w
r+1era{ wts- 5"10)3 pa col 7-9 o 1017,3 0ooc3
2.~' l~Ct~2s
p 13 &1
.f~ 3q
l d
,ate ~4. cl 14,
4e
SEE CORRESPONDENCE
f
14 3 coom`y~t- 6,eo 011 Y"
RFCF~ ED Safety and Buildings Division
a p " 201 W. Washington Ave., P.O. Box 7162 Sanitary permit Number (to be filled n by Co.)
e~ S p Madison, W1 53707-7162
JUN 2 2 12 5~j Z3S
State Transaction Number
FI
S m nYlication---
In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit L GG Z. - ! r'U ? Z
is required prior to obtaining a sanitary permit. Note: Application forms for gate-owned POWTS are submitted to Project Address (if different than mailing address)
the Department of Safety and Professional Servies. Personal information you provide may be used for secondary
/ o Ave_'
purlioses,inaooardance with the Privacy Law, s. 15.04(1 m , Stets. Z 1 ci t /j[
L Application Information - Please Print AN Information -
Owner's Name Parcel # (j /Q / 0 73 • ~d ' °
0/*+2 ) ` wYlan 0J& 19 av
Property Owner's Mailing Address Property Location
110 5 a D I/C Gook Lot
City, State Zip Code Phone Number N L= c, e- Y4, Section d
1 G / tr' A:2;2 ' ~32 T 70 N, R I Lcircl7W,
II. Type of Balding (check all that apply) Lot #
Subdivision Name
I or 2 Family Dwelling- Number of Bedrooms
~k cv r.. # GrG
❑ PUb1icJCommercial- Describe a Block
Use ❑ City of
CSM Number ❑ Village of
❑ State Owned - Describe Use ~ it Town of ,
M. Type of Permit: (Check only one boa on line A. Complete Hue B if applicable)
A- New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain)
B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Tramsfw to New List Previous Permit Number and Data Issued
Owner /
Before Expiration
IV. Type of POWTS S Com t/Device: Check all that apply)
❑ Non -Pressurized IrWmund ❑ Pressinued In-Ground ❑ AWrade V Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil
❑ Holding Tank ❑ Other Dispersal Component (explaut) Preheatmerrt Device (explain) 1/
V. Dle rsaUTrea nt Area Informs
Design Flow (gpd) Design Sod Appl on sf) Dispersal Area Req ' (st) Dispersal Area (st) System IIevation j ,4
VL Tank Info Capacity in Total # of Manufacturer
Gallons Gallons Units ~ id
New Turks Existing Tanks g o
C4 C~ vi m W C7 a
septic m Hotdiag Tank /,goo Dosing Chamber V- t, s!J l
VII, Responsilift Statement I, the nrde d, me resp?!a for installation of tine POWTS shown on the attacred pleas
Plumber's Name (Print) Plum s signature RS Number Business Phone Number
Plumber's Address (Street, C State, Zip Code)
3 11J0,1 4, t~-
vm. oam rtment Ilse Only
❑ Permit Fee Date ) Issu' gent S,
> Reason Denial $ < Z5 - to (p 21 / Z
O
C ns for Disapproval t sd^4 [b ~ft tank, ~~NM filter
ondit > l a 3) t~o,ti~1; g
oo-S
.dispersal cell must all be services I malntahied CA.i A-
ae per, mmtagement plan provided byplimilw.,
, " l 16' must be tom"`` yc 65VY1 ej: •
Attach to tbnnpkte plans tar the system and submit to the County emly[ela taper *0 ku thae 8 ~.r =in -46
rl o t~. G• eNb> S ~
SBD-6398(8.11/11) M,eC~" Ge.luC~ G'1 P ~r
~tTp Safety and Buildings
~~9tip. PTO 3824 N CREEKSIDE LA
oy tp HOLMEN WI 54636
0 m Contact Through Relay
3 SP www.dsps.wi.gov/sb/
9 S www.wisconsin.gov
w
N
A~P.o JOIN Scott Walker, Governor
Dave Ross, Secretary
June 18, 2012
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 Identification Numbers
PLAN APPROVAL EXPIRES: 06/18/2014 Transaction ID No. 2096662
Site ID No. 780578
SITE:
Tim Omann Please refer to both identification numbers,
Intersection 140TH Ave & 220TH St above, in all correspondence with the agency.
Town of Emerald
St Croix County
NE1/4, NE1/4, S30, T30N, R16W
FOR:
Description: Mound / Three Bedroom / Sloping Site
Object Type: POWTS Component Manual Regulated Object ID No.: 1377250
Maintenance required; 450 GPD Flow rate; 24 in Soil minimum depth to limiting factor from original grade;
System: Mound Component Manual - Version 2.0, SBD-10691-P (N.01101),
Pressure Distribution Component Manual - Version 2.0, SBD-10706-P (N.01101); Effluent Filter
The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes
and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in
chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements.
No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06,
stats.
The following conditions shall be met during construction or installation and prior to occupancy or use:
Reminders
• This system is to be constructed and located in accordance with the enclosed approved plans and with the
component manuals listed above.
• The pipe materials for the sewer pipe between the house and the septic tank shall conform to SPS 384.30 Wis.
Adm. Code. Required under plan submittal - SPS 383.22 (2)(a)4.b. Specification, including a description of
the materials for the project
Cond' .
• Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. AP P~
Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and
dispersal are prohibited.
• The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorptions.
area. chs. NR 811 & 812c SEE C
• 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.
JOE STANG Page 2 6/18/2012 r
• Inspection of the POWTS 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
• SPS 383.22(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:
• SPS 383.52 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.
SPS 383.54(1).
• SPS 383.52(2) A POWTS that is not maintained in accordance with the approved management plan or as
required under s. SPS 383.54(4) shall be considered a human health hazard.
• SPS 383.55 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 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
Charles L Bratz
POWTS Reviewer II, Integrated Services WiSMART code: 7633
(608)789-7893 , 7:45 am - 4:30 pm Monday - Friday
charles.bratz@wisconsin.gov
Note: Effective January 1, 2012, all codes under the jurisdiction of the Division of Safety& Buildings will be
modified. Code references with prefixes starting with "Comm" will be replaced with "SPS" to recognize the
relocation of the Division of Safety & Buildings from the former Dept. of Commerce to the Dept. of Safety &
Professional Services. Additionally, all S&B codes will be renumbered and addressed in a "300" series. For future
reference, the Wisconsin Commercial Building Code will be addressed by SPS Chapters 360-366.
ti
JOE STANG Page 2 6/18/2012
• Inspection of the POWTS 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
• SPS 383 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:
Y SPS 383.52 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.
SPS 383.54(1).
• SPS 383.52(2) A POWTS that is not maintained in accordance with the approved management plan or as
required under s. SPS 383.54(4) shall be considered a human health hazard.
• SPS 383.55 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 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
Charles L Bratz
POWTS Reviewer H , Integrated Services WiSMART code. 7633
(608)789-7893 , 7:45 am - 4:30 pm Monday - Friday
charles.bratz@wisconsin.gov
Note: Effective January 1, 2012, all codes under the jurisdiction of the Division of Safety & Buildings will be
modified. Code references with prefixes starting with "Comm" will be replaced with "SPS" to recognize the
relocation of the Division of Safety & Buildings from the former Dept. of Commerce to the Dept. of Safety &
Professional Services. Additionally, all S&B codes will be renumbered and addressed in a "300" series. For future
reference, the Wisconsin Commercial Building Code will be addressed by SPS Chapters 360-366.
MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN
Residential Application
INDEX AND TITLE PAGE
wrv~~t~
Project Name: Omann Mound R~cr
~ 2012
Owner's Name: Tim Omann N
Owner's Address: 1405 220th Ave.
Emerald, Wisc. 54013
Legal Description: NE1/4 NE1/4 S30 T30N R16W
Township: Emerald
County: St. Croix
Subdivision Name:
Lot Number: Block Number:
Parcel I.D. Number: 1017310000
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 Plot Plan
Page 9 Soil Evaluation Report
Designer: Joe Stang License Number: 223475
Date: 05/30,02 Phone Number: 1-715-684-5166
Signature: " - )nai&
Designed Pursuant to the VE 0
Mound Component Manual for POWTS Version 2.0 SD&10691-P (N. 01/01), and
SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) 11K~
Version 4.01 (R. 09/04) Page 1 of 9'OMDENC
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
300.00 Estimated Wastewater Flow (gpd) Table 83-44-3 in-situ soil treatment for
1.50 Peaking Factor (e.g. 1.5 = 150%) fecal coliform of 36 inches.
450.00 Design Flow (gpd)
7.00 Site Slope
100.00 Contour Line Elevation (ft)
24.00 Depth to Limiting Factor (in)
0.60 In-situ Soil Application Rate (gpd/ftz)
Distribution Cell Information
80.00 Dispersal Cell Length Along Contour (ft) = 5.63 Cell Width (ft)
1.00 Dispersal Cell Design Loading Rate (gpd/fe)
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
2.82 Lateral Spacing (ft) If N above, enter the elevation (ft)
2 Number of Laterals of the highest point.
0.125 Orifice Diameter (in) (e.g. 0.25)
3.00 Estimated Orifice Spacing (ft) = 8.34 ftz/orifice
2.00 Forcemain Diameter (in)
30.00 Forcemain Length (ft) Does the forcemain drain back? Y
86.00 Pump Tank Elevation (ft) Enter Y or N
6.50 System Head (ft) x 1.3 4.89 Forcemain Drainback (gal)
14.67 Vertical Lift (ft) 50.03 5x Void Volume (gal)
0.33 Friction Loss (ft) 54.92 Minimum Dose Volume (gal)
21.50 Total Dynamic Head (ft) 22.24 System Demand (gpm)
Lateral Diameter Selection Manifold Diameter Selection
in. dia. options choice in. dia. options choice
0.75 1.25 x
1.00 1.50 x x
1.25 x x 2.00
1.50 x 3.00
2.00 x
3.00 x
4
Gallons/Inch Calculator (optional)
Treatment Tank Information 650.00 Total Tank Capacity (gal)
1000.00 Septic Tank Capacity (gal) 38.00 Total Working Liquid Depth (in)
Wieser Manufacturer 17.11 gal/in (enter result in cell B49)
Dose Tank Information Effluent Filter Information
650.00 Dose Tank Capacity (gal) Best Filter Manufacturer
17.00 Dose Tank Volume (gal/in) GF10-8 10x18 Filter Model Number
Wieser Manufacturer
Project: Omann Mound Page 2 of 9
Mound Plan View
-
t
1/10B 3 J
Observation Pipe
. . Y . : • : j
FK
,
r
A
W B.
1~ .
L
Mound Component Dimensions
A 5.63 ft E 16.73 in H i1ft ft K 8.90 ft
B 80.00 ft F 9.25 in 1 ft L 97.81 ft
D 12.00 in G 0.50 ft J W 21.38 ft
450.40 (ft) Dispersal Cell Area 1260.00 (ft) Basal Area Available
5.63 (gpd/ft) Linear Loading Rate 8.00 (ft) 1/10 B Obs. Pipe Placement
Mound Cross Section View
Aggregate Dispersal Area
Finished Grade 102.77 (ft)
G H
: 101.50 (ft) Lateral
Dispersal "Cell
;
101.00 ft - F
O Invert
Dispersal Cell
Elevation E. D
K
1. .4,4,?. l•,i••i••i •i i• i,• j• i• i• i• i• iLi i, i, i, `i, i• i i_i A-
.
L~, V`i "~1.--1Y.].-],'i•~~•''i'+i.-'i'y--{-'j-'j'-i-_i ~i•_~i'_~i::i-~ii
A ~ . { i. 1.
100.00 (ft) Contour Elevation
7.0 % Site Slope
Geotextile Fabric Cover
Shading Key d c. Dispersal Cell See lateral details on
1❑ ® Topsoil Cap c C 1.5 ft Page 4 for number,
Subsoil Cap w C 1 I size, and spacing of
0 ASTM C33 Sand laterals. Laterals are
Tilled Layer 0.5 ft Typical Lateral F equally spaced from the
Q5 0 Aggregate a c distribution cell's
centerline in the
- A distribution cell (AxB).
Project: Omann Mound Page 3 of 9
End Connection Lateral Layout Diagram
Later alscentered overtPeA&B*mension •=Turn-up+Wball waive orcleanoutplug
All laterals are identical IE X-~~ Holes drilled on the bottom of the lateral S
equally spaced
Force main connection via tee or cross to mariN ild at ang point. laterals & force main of PVC 3ch 40
(per COMM Table 84.30-5)
Number of Laterals 2 Orifice Diameter 0-125 in
Lateral Diameter 1.25 in Orifice Spacing (X) 3.02 ft
Lateral Length (P) 78.52 ft Orifices per Lateral 27
Lateral Spacing (S) 2-82 ft Orifice Density 8.34 ft2/orifice
Lateral Flow Rate 11.12 gpm Manifold Length 2.82 ft
System Flow Rate 22.24 gpm Manifold Diameter 1.50 in
Total Dynamic Head 21.50 ft Forcemain Velocity 2.27 fttsec
Dose Tani( Information Locking cover with warning
label and locking device and
sealed watertight
Electrical as per NEC 340 and 1111. Comm 16.28 WAC 4 in. min.
Disconnect
Tank component is properly vented - < Alternate outlet
location
Forcemain diameter
Wieser Manufacturer 2 in-
Ca aci 650.00 Gallons
Volume 17-00 gal/inch A
Weep hole or anti-
Dimension inches Gallons s siphon device
A 23.00 391.08 C
B 2.00 34.00 Pump off elevation (ft)
C 3.23 54.92 86.83
D 10.00 170.00 D
Total 38.24 650-00
Dose tank elevation (ft)
$edding un er tank. 86.00
Alarm Manuafacturer SJE-Rhombus Controls
Alarm Model Number Tank Alert !
Pump Manufacturer Goulds /
Pump Model Number 3887 EP05 J
Pump Must Deliver 22.24 gpm at 21.50 ft TDH
Project: Omann Mound Page 4 of 9
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 450 gpd Maximum Influent Particle Size 1/8 in
Estimated Flow - Average 300 gpd Maximum BOD5 220 mg/L
Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L
Soil Absorption Component Size 450.4 ft2 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 month)
Pressure System Laterals should be flushed and pressure tested eve 1.5 ears
Mound Inspect for ponding and seepage once eve 3 ears
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: Omann Mound Page 6 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° cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum
design flow specified in the permit for this installation.
The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral
be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial
test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal
distribution within the dispersal cell.
Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and
any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring.
Contingency Plan
If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system
in proper operating condition.
If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately
repaired or replaced with a component of the same or equal performance.
If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or
replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and
dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating
condition.
See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider.
Project: Omann Mound Page 6 of 9
ITT GOULDS PUMPS
Wastewater
PERFOINMMMM w►MMS coMPONEKrs
H&W cations per Itan
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lllAsooersire t)epartnrent ofyt SOIL EVALUATION Page 1 of 4
Diwtioaasa6yr "1 -1
Caeerrer t3ri, Mfis. Men: code
f SL Croix
ANNA6ea ytatc .It in ohm Plan Mw
iw tleetlt !oc point direction and Parcel ID. /
11 peK+eatslnpRSaMe locator and distance to nearest road. @~8
by Date
Pemorwl infomrsilm you used for secondary purpoew th*vw* t.swr s 15.04 (f? -0-
Property Owner Prop" Location
Tim & Kayk= Omann Goat. Lot NE 114 1K 30 T 30 N R 16 E (00
Property Owners Mailing Address Lot #r Block #e Subd or CSC " -
405,220* SL e, a lz` /l
Ctiy Stele Zip Code Phone OVSage • own Nearest Road
Emerald Wisc. 54013 ( 7)5-684-3586 1401hAvc.
• New construction useEl Residential I Number of bedrooms 3/4 Code deitied damp flow rate GPD
Replacement Public or commercial - Describe:
Parent material Glacial Drift Flood Plain elevation if appk:able N.9 A tt.
General comments Mound System
and nrcnrrrnerrdations' Contour EL @100.00
( rr
0 Boring,
F1 Q Pit Ground surface elev. 97.8 R Depth to kniting factor 40 in. Soil Rye
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots- GPDONt
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. -ENI -EN#2
l 0-8 10YR3/3 sit lfbk mvfr cw If 0.4c 0.6
2 8-17 I OYR4/4 sic) 2mbk mvfr cw l of 0.4 0.6
3 17-40 10YR4/4 - sl 2mbk mfr cw - 0.6 1.0
4 40-50 7.5YR4/6 W.5YR5/8 sci 2mbk mfr cw _ 0.4 0.6
F 2 Boring 0 Bering 100.5 38
a Pit Ground surface elev. ft Depth to limiting factor in. Sol Application
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPI
it. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'EfM *002
1 0-7 10YR3/3 - sit 1 tbk mvfr ew if 0.4c 0.6
2 7-18 10YR4/4 - sicl 2mbk mvfr cw lvf 0.4 0.6
3 18-38 10YR4/4 - sl 2mbk mfr cw _ 0.6 1.0
4 38-55 7.5YR4/6 fd7.5YR5/8 scl 2mbk mfr cw - 0.4 0.6
* Etlluent #t1 = BOD > 30 < 220 mg& and TSS >30:E 150 mg/L ' Eftwit #2 = 801),:< 30 mg& and TSS < 30 mg&
CST Name (Please Print) Signature CST Number
Thomas W. GedaWs dpwZ 962178
Address Date Evaluation Conducted Telephone Number
Stang Plumbing & Electric P.O. Box 263 Woodville, Wisc. 54028 4/24/2012 715-684-5166
t,nr. e~+n mn+enn.
Property Owner Tiimm & Kayleen tom. Parcel ID 01017310000 page 2 of 4
II Pit Gro nM surface elev. 100.5 fL Depth to ii ling farmr 24 L sail
Horizon Depth Daunt Calm Radom Desvip~rw 7e* re 3lactlNe traneieierloe 10eole
in. Munee" on. Sr. Cant. Color Gr. Sz Sk "1M
1 0-7 t0YR3/3 - sil Ifbk mvfr cW If 0.4c 0.6
2 7-1 6 10YRV4 sicl 2mbk mvfr cw 1 of 0.4 0-6
3 16-24 10yR4/4 s1 2mbk mfr cw 0.6 1.0
4 2440 7.SYR4/6 f l7.5YR5/8 scl 2mbk mfr cW 0.4 0.6
eft 64101001006"W 11t. D@PWb;trrl>vwIoclor in.
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plicat
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in. Munsell ou. Sz. Cont. color Gr. Sz. Sh. 'EffAr1 'EtTitk2
Q Bores 4 H Bourg
Pit Ground surface elev. ft. Depth to Mnidng factor in.
Sal Rate Application
tioraon Depth tfomir+snt Calm Radox Description Texture SlnxXuFe Consistence Boundary Roots GPDff
in. Mures ou. Sz. Cont. Color Gr. Sz. Sh. 'EWM 'EffAr2
' Eillueat #1 = WD, > 30 5 220 rrgll and TSS >30:5150 rrV& • Efiluertt 02 = BW, 30 ffG& and TSS 130 ffa&
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.
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Parcel 010-1073-10-000 04/26/2012P AGE E I AM
P OF 1
Alt. Parcel 30.30.16.445 010 - TOWN OF EMERALD
Current ❑X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units
00 0
O = Current Owner C = Current Co-Owner
Tax Address: Owner(s):
O - OMANN, TIM & KAYLEEN
TIM & KAYLEEN OMANN
1405 220TH ST
EMERALD WI 54013
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description 2195 140TH AVE
SC 0231 SCH D BALDWIN-WDVILLE
SP 8020 UPPER WILLOW REHAB DIST
SP 1700 WITC
Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE
SEC 30 T30N R1 6W 40A NE NE Block/Condo Bldg:
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
30-30N-16W NE NE
Notes: Parcel History:
Date Doc # Vol/Page Type
04/21/1999 601632 1420/251 WD
04/07/1988 436046 807/275 LC
2012 SUMMARY Bill Fair Market Value: Assessed with:
Use Value Assessment
Valuations: Last Changed: 05/29/2009
Description Class Acres Land Improve Total State Reason
AGRICULTURAL G4 37.000 4,900 0 4,900 NO
UNDEVELOPED G5 2.000 200 0 200 NO
OTHER G7 1.000 1,000 5,000 6,000 NO
Totals for 2012:
General Property 40.000 6,100 5,000 11,100
Woodland 0.000 0 0
Totals for 2011:
General Property 40.000 6,100 5,000 11,100
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
ST. tstoKKOOURTY
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Y«I 1420 PAGE 251 6o z rs.~2
REGISTER OF WALSH
D m nt mbar WARRA NTY EED - ST. CROIX CO- 9 WI
RECEIVED FOR RECORD
John Omann and Williemina Omann, husband and wife, 04-21-1999 9:00 AM
conveys and warrants to Tim Omann and Kayleen Omann,
husband and wife, as joint tenants, the following described EXEMP7 DEED
real estate in St. Croix County, State of Wisconsin: CERT COPT FEE:
COPT FEE:
TRANSFER FEE: 255.00
West Half of Southwest Quarter (W'/2 of SW'/.) of Section RECORDIN6 FEE: 10.00
Twenty (20), Township Thirty (30) North, Range Sixteen (16)
West.
Rewrdl Area
Name and Return Address
North Half of Northeast Quarter (N'/2 of NE'/.) and West Half
of Southwest Quarter of Northeast Quarter (WI/2 of SW'/. of Thomas A. McCormack
NE'/.) of Section Thirty (30), Township Thirty (30) North, Bald,, ain St 54002 in, Wl
Range Sixteen (16) West.
This deed is given in fulfillment of that certain Land Contract
between the parties dated April 7, 1988, and recorded April
8, 1988, in Volume 807 of Records, at Page 275, as 010-1047-95; 010-1048-10;
Document No. 436046, office of the Register of Deeds for 010-1073-e10,-20,-40
arcel Ides , 20, -4 Number)
St. Croix County, Wisconsin.
Exception to warranties: all easements and restrictions of record, and except any liens
or encumbrances created or suffered to be created by the acts and defaults of the grantees,
their heirs, successors or assigns.
This is not homestead property. Dated this /(&fv day of 1999.
In Omann
`Williemina Omann
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) STATE OF WISCONSIN
ST. CROIX COUNTY ~/~j•+~
Personally came before me this day of
1999, the above named John Omann ~t~:,,, ill t4Tin he
authenticated this day of Omann, to me known to be the persor~(a exited
fo ing instrument a acknowledQeie same. `
signature si ature
'
type or print name type or print name 0
TITLE: MEMBER STATE BAR OF WISCONSIN Myytacomm1ss ontis permanent. (H not, t1ate:
(If not. -1 , i7-•)
authorized by §706.06, Wis. StatsJ l
THIS INSTRUMENT WAS DRAFTED BY 'Names of persons signing in any capacity should be typed or
Thomas A. McCormack printed below their signatures.
Baldwin, WI 54002
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