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Home My WebLink About032-2018-10-000 Nisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 556301 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: R & R S eciaities-Action Battery, c/o Tim Dove Somerset, Town of 032-2018-10-000 CST BM Elev: 11Insp. BM Elev: BM Descripti Section/Town/Range/Map No: 107-.01 0` A"," 05.30.19.537A TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. S p i Benchmark s / 02 O p Alt. BM I S77 6 er tion Bldg. Sr • ZS- olding - - S t Inlet Na~'j L(/ 8~ g-7.0-7 t outlet TANK SETBACK INFORMATION 1-is i O.OZ 1 G • 93 TANK TO P/L WELL BLDG. Vent to Air Intake ROAD et Cy lsv Nng) y 10D /0' J omS '?(/-7 3 He an. ~u 21- ~ Dist. P' e' •SI Bot. y5j~m / • ~ Final Gr e S"i2 PUMP/SIPHON INFORMATION Manufacturer 6j-x-1-j- V Demand St Coy@r_,~~~~G~'r GPM 2. O Model Number < TDH Lift Friction Loss zl<stem Head rDH Ft P-" Forcemain Length D' to well SOIL ABSORPTION SYSTEM - Ion' r S BED/TRENCH Widt Len h No. Of Tre PIT DIME ONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WEL LAKE/STREAM nHAMBER a ctuler: INFORMATION Typ Off, f System: /fit ~f / OR Model u ber: 1W w I DISTRIBUTION SYSTEM S Header/Manifold Distribution x Hole Size x Hole Spacing ent to ir,ntak Pipe(s) Length Dia Length~0 Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only S J7vrr xx Depth Depth oCenter Bed/Trench Edges Topsoil of xx Seeded/Sodded xx Mulched Bed/Trench r J Fw~ Yes 0 No 0 Yes 0 No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:.l / PCRSot Inspection #2: Loc ation: 484 Cty. V V (fka Hwy 35/64) Somerset WI 54025 (SE 1/4 NE 1/4 5 T30N R19W) metes & bouParcel No: 05.30.19 S37A 1.) Alt BM Description = -7-/ w' JMkr 2.) Bldg sewer length = /O r' 2 9~,(~-•7 S WOT - amount of cover = s t :J / 2 ¢ > 3. 2 T S'- #rJ-'1, 9'6.31. Plan revision Required? ❑ Yes Use other side for additional information. _ G SBD-6710 (R.3/97) Date Insepctor's Signature Cert. No. County "NIX artrriT•. St. Croix safety and Buildings Division 201 W. Washington Ave., P.O. Box 7162 San itary Permit Number (to be filled in by Co.) Sl $ Madison, WI 53707-7162 S State Transaction Number Sanitary Permit Application in accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit Project Address (if different than mailing is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to Project Da dres~ the Department of Safety and Professional Servies. Personal information you provide may be used for secondary Same purposes in accordance with the Privacy Law, s. 15.04 1 m , Stats. 1. Application Information - ease Print All Information Property Owner's Name Parcel # Parcel 18-10-000 ABW and R & R Specialties its • a ,e.+• Property Location FCounty Mailing Address VV Govt. Lot Zip Code Phone Number _SE_'v,, NE 1A, Section _5_ in 54025 (circle one) T_30 N; R_19_EorW ding (check all that apply) Lot # Subdivision Name ❑ 1 or 2 Fami ly Dwelling - Number of Bedrooms Block # 10 Public/Commercial - Describe Ulr~P l - ❑ City of CSM Number ❑ Village of ❑ State Owned -Describe Use Town of Somerset / ~-il III. Type of Permit: (Check only on box on line A. C plete line B if applicable) A' ® New System Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) List Previous Permit Number and Date Issued B. ❑ Permit Renewal ❑ Permit Revision 11 Change of Plumber 11 Permit Transfer o New t owl Before Expiration Owner •a J / 7 N. Type of POWTS System/ComponenttDevice: (Check all that apply) ® Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Pretreatment Device (explain) ❑ Holding Tank ❑ Other Dispersal Component (explain) V. DispersaUTreatment Area Informati : Desi Sod A lica ' n Rate(gpdsf► Dispersal Area 11 equired (sf) Dispersal Ar Proposed (s f) System Elevation Design Flow (gpdY PP 1554 1 1650 95.26' V/ 1087.5 J 0.7 7 Ci Capacity in Total # of Manufacturer w o g VI. Tank Info Gallons Gallons Units ~ 2CIO A. New Tanks Existing Tanks ii wp/4L 5ZS U a septic or Holding Tank 1250 1260 2510 ieser/Week's X Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTSMsPhownRS on the Number attached Bpla usiness Phone Number Plumber's Name (Print) Plumber's Si ature 223760 715-760-0486 John Schmitt Plumber's Address (Street, City, State, Zip Code) 616 150` Avenue, Somerset, WI 54025 VIII. County/Department Use Only Permit Fee Date Issued Issuin ent Signa re Approved tsa $ Al ~7- tven Reason nial 15. I ~J IX. Condi easons for Disapproval 3' n C~,dy~ ~.~/IN•~~ t toA~ 1. Septic tank, - u h all and , t~ ""'•~1 dispersal ce4ll must an in +eftRir t tralntained as per management plan provided by plumber. 2. AN as&ack recp*ements must be maintained If ordinances, not less than S to z 11 inches in size Attach to complete plans for the system and submit to the County only on papar SBD-6398 (R. 11/11) PLOT PLAN N Project Name: ABW and R&R Specialties Legal Description: SE1/4, NE714, 55 T30N, R19W P.I.D: 032-2018-10-000 Subdivision Name: NA Lot NA SCALE: 1" = 40' 1 Township: SOMERSET Parcel Size: 10 Acres County: ST. CROIX System Elevation: T1=95.26• Proposed 110' EZ Flow Trench Slope: T2=95.76' Existing 87' Biodiffuser Trench A BM1 Elevation: 102.07 Top of 2' manhole cover on tank B T3=95.26' Proposed 110' EZ Flow Trench BM2 Elevation: 100.00 To of bottom trim on pole shed T4=95.76' Existing 87' Biodiffuser Trench Backhoe Pits: T5=95.26' Proposed 110' EZ Flow Trench TANK SCHEDULE 4 inch Sch 40 -ASTM D2665 A Proposed 1250 gallon septic tank w/Pol lok 525 4 inch 3034 - ASTM D3034 B Existing 1260 gallon septic tank w/ Zabel A-100 C Pro osed Distribution Box D Existing 2000 gallon holding tank for catch basins NOTE: See page 11 for a complete plot of the parcel. 34 - 1 O / ` ✓ / V3 BITUMINOUS PAVEMENT L I~~ ~NMV iy c~a ~p BUILDING ,e qb 9S BI T OMINOUS PAVEMENT / / • 9tir,xTk~~ Safety and Buildings ti ~0 3824 N CREEKSIDE LA HOLMEN WI 54636 3 D $ Contact Through Relay j www.dsps.wi.gov/sb/ P $ V www.wisconsin.gov A sroNAScott Walker, Governor 25 7017 Dave Ross, Secretary S1 C(.Ulll ~GpFFtGE p1ANtNWG & June 29, 2012 CUST ID No. 223760 ATTN: POWTS Inspector ZONING OFFICE JOHN F SCHMITT ST CROIX COUNTY SPIA 615 150TH AVE 1101 CARMICHAEL RD SOMERSET WI 54025 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/29/2014 Identification Numbers Transaction ID No. 2106153 SITE: Site ID No. 781296 ABW and R&R Specialties Please refer to both identification numbers, 484 County Rd'VV above, in all correspondence with the agency. Village of Somerset St Croix County SETA, NEIA, S5, T30N, R19W Subdivision: CSM 12 Acre Parcel FOR: Description: In-Ground / Commercial / 50 Employees Object Type: POWTS Component Manual Regulated Object ID No.: 1380514 Maintenance required; Replacement system; 1,088 GPD Flow rate; 101 in Soil minimum depth to limiting factor from original grade; System: In-ground POWTS Component Manual, SBD-10705-P (N.01/01); Commercial System, 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 distribution of effluent in the cell is divided into five zones. The management of the cell for equal diti distribution is accomplished by use of the distribution box. Monitoring of the distribution and management of the distribution box may need to be preformed annually. Frost heave or other environmental disturbances may upset the equalization of the effluent. Some person or firm that can perform the evaluation and management will +1~ need to be listed in the owner's manual • The plumbing for this project discharges to a private sewage system. The approval covers only domestic/sanitary wastes directed into this system. The Department of Natural Resources must be contacted SIC~ CSI regarding the treatment and disposal of all industrial wastes. • The observation pipes must be located at a junction point between two polystyrene aggregate bundles so as not to create separation of the bundles within a product. 1 JOHN F SCHMM Page 2 6/29/2012 > • 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 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 ins ecp tors 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 $ 325.00 Fee Received $ 325.00 C ~ 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. JOHN F SCHMTI7 Page 2 6/29/2012 • The well must be a minimum of 25 feet from my 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 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 $ 325.00 Fee Received $ 325.00 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer II, Integrated Services W SMART code: 7633 (608)789-7893 , 7:45 am - 4:30 pm Monday - Friday charles.bratz@wisconsin.gov t 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. CONVENTIONAL COMPONENT DESIGN JUN 2 6 2i7f2 INDEX AND TITLE PAGE Project Name: ABW and R&R Specialties Owners Name: Tim Dove Owner's Address 484 County Road VV Somerset, WI 54025 Legal Description: SE1/4, NE1/4, S5, T30N, R19W Township Somerset County: St. Croix Subdivision Name: 12 Acre Parcel Lot Number: Block Number Parcel I.D. Number 032-2018-10-000 Plan Transaction No. Page 1 Index and title Page 2 Gallons per day and tank size calculation Page 3 Septic system overview Page 4 Septic Tank Specifications Page 5 Polylok Effluent Filter Information Page 6 Zabel Effluent Filter information Page 7 Distribution box specifications Page 8 System sizing & cross section Page 9 EZ Flow Installation Instructions Page 10 Plot Plan Page 11 Complete map Page 12&13 Management and contingency plan Page 14 Septic Tank Maintenance Agreement Page 15 Warranty Deed Page 16-18 Soil Evaluation Report orally Designer: John Schmitt Licnese Number: DE 1927-7 V ED Date: 6/25/2012 Phone Number: 715-760-0486 EY IN S Signature: l~7 L~17/ In-Ground Soil Absorption Component Manual Version 2.0 SBD-10705-P (N. 01/01) ESPONDENCEF Page 1 of 18 CALCULATION OF GALLONS PER DAY AND TANK SIZE For ABW and R & R SPECIALTIES The septic system will serve the office of ABW and R&R Specialties, consisting of 50 employees and 3 floor drains. Effluent should be residential strength. ABW and R&R Specialties (Table A-383.43-1) 50 Office Personnel 50 X 13 Gallons/ Day = 650 Gallons / Day 3 Floor Drains 3 X 25 Gallons / Day = 75 Gallons / Day Total = 725 Gallons / Day Design Flow by Table A-383.43-1 725 X 1.5 =1087.5 Gallons / Day Daily Wastewater Flow = 1087.5 Gallons/Day POWTS Treatment Tank Capacity Minimum Tank Volume= DWF + (11.61gallons/person/day/year x DWF - 75 gallons/day x 3years) + (46.77gallons x DWF _ 75 gallons/day) = Minimum Tank Volume = 1087.5 + (11.61 gallons/person/day/year x 1087.5 75gallons/day x 3 years) + (46.77gallons x 1087.5 - 75gallons/day) = 2270.7gallons Minimum Tank Size = 2270.7 gallons Proposed Treatment Tanks Existing Septic Tank - Week's Concrete Products 1260 = 1260 gallons Proposed Septic Tank- Wieser Concrete WLP 1250- MR =1250 gallons Total gallons of Treatment Tanks = 2510 gallons Septic System Overview. For AB W and R&R Specialties 484 County Road VV Somerset, WI 54025 Proiect Description: ABW and R&R Specialties is currently serviced by a septic system designed for 25 employees and 3 floor drains. This current system consists of a 1260 gallon septic tank with a Zabel A-100 effluent filter and two 87' Biodiffuser 11 inch chamber trenches (cells). Due to expansion, demand on the system will increase from 25 employees and three floor drains to 50 employees and three floor drains. To enable the septic system to handle the increase in daily wastewater flow(DWF) from a DWF of 600gallons/day to a DWF of 1087.5gallons/dayl a 1250 gallon septic tank with a Polylok 525 effluent filter will be added to the existing 1260 gallon septic tank that has a Zabel A-100 effluent filter installed in it. A distribution box will be installed to distribute the effluent to three new 110 foot EZ Flow cells and if possible to the existing two 87 foot biodiffuser cells. There elevation is limited between the existing septic tank and the existing biodiffuser cells, but it appears that the existing cells can be reconnected, once a distribution box is installed. If the existing cells can be reconnected, the access of the distribution box, will allow the existing biodiffuser cells to be rested for a period of time and then be used in a rotation of resting cells to extend the life of the septic system. System Maintenance At the startup of the new expanded septic system, the lines leading to cells T2 & T4 (existing biodiffuser cells) should be capped in the distribution box and these two cells should be rested for a period of 3-5 years. After resting the existing cells they should be put into a rotation of resting cells. The existing cells T2 & T4 should be considered as one cell in the rotation, so they are both used as each of the other new cells are rested, and then they both should be capped and rested together. ,D z X N D m 52j" AS 84" K REQD z -cn 41 „ 0 r- rri X m v o m -4 N~ Ps I a m m L 3" 5" N m N 36" < ra- A co UP 38" N r- 0 4" CAS m v m m m z o 39" a I D I m D r C D0 D Z = C Z Z v m I A o o C m m m D >arn X- mZ Z c) ~c~ n p~Z D~Z OrpmmD00D0 7l U) C7 0 =p*z~O==~OFtZn r Nv vx ~OJ °=N m DgD y 5!0p ;K D cnp ~m a to r 14z O mD0 -10.. icn j -a ~Z ON C r A z 0X. Q NNC '+~C oom~~-cn!'.r- K 71 Zo =N s DN z 0r-o aD< O OD ym W a~~ ~Dm Qr.--00N,Np mV s (J1 v v D X O Z D f~1 m O -0 -0 P' ~ fm~l co ~ cn r W P P\ N_ a (~j ~ 0 ~o m m V in NZ ~N d - {C ~ Np-n Dr co m o : -06 n n z- O n 580 OZ Z C) 0 mmr cn~ Opp __j M a m D m m ;e y. 0 O v ° g OW K r`1* O D No OFZ >0 ° ~ :U m co o m z ;a O z %O0 0~ > > ;a po C) O rrn "r1 N Z C0 M fr- r ~ m C) v O rr v O 0 C) C ~1 Z v Z r A F-1 H n 0 > ~ O m N Z mm z r - m m DRAWN BY: SME SCALE: 1/4"=l'-O" PRE-POUR: \ = WLP1250-MR MIERER ~0~~~~T~ °m+ SEPTIC MANUAL REV. \ Z W3716 US HWY 10 MAIDEN ROCK, WI 54750 DATE: JANUARY 2010 DATE:. POST-POUR: O REVISED JAN. 2010 800-325-8456 FILE: NPIM-W INSTALLATION INSTRUCTIONS AObsanofP*c*Inc. PL-525/PL-625 FILTER NSTALL.ATION INSTRUCTIONS Center filter with opening D ~ W ? J ~ MID Additional pipe or Polylok Extend & Lok' Glue for centering. itep 1: Step 2: Step 3: 4) Locate the outlet of the septic tank. (A) Before installation, place the (A) Glue the filter housing on the 3) Remove tank cover and pump tank filter housing on to the outlet pipe. outlet pipe. necessary. (B) Make sure that the housing (B) Insert the filter cartridge in the is positioned so the filter can be housing, making sure the filter removed from the tank for cartridge is properly aligned and maintenance and service. completely inserted in the housing. 1AINTENANCE INSTRUCTIONS ep 1: Step 2: Step 3: 1cate the outlet of the septic tank. (A) Remove tank cover and pump (A) Insert the filter cartridge back DO NOT USE PLUMBING if necessary. into the the housing making sure OVED (B) Pull the filter out of the housing. the filter is properly alighed WHEN FILTER IS REM (C) Hose off the filter over the septic tank. and completely inserted. USE RUBBER MOVES Make sure all solids fall back into the (B) Replace septic tank cover WHEN CLEAIMtlM FILTER septic tank. RME N UM i' F Al OONWON8 Series Filter The interval for servicing septic tanks is set by state and local code. Throughout the United States there Is a wide diflerence of opinion on what this interval should , but most regulatory agencies suggest two to five years. The Zaber filter, which does riot Increase the frequency of servicing for the tanK should be cleaned when the septic tank is normally inspected and pumped. How ever, our filter is virtually m The fall to the bottom continued action of the anaerobic organisms on the Zabel filter causes I dged particles to ~ and om of the tank. If your filer contains a SmartFifter' alarm, you will be notified by an alarm when the filter needs servicing. To service the fillet; "S9rvkin9 MYZaW Flhershould only be done by a cerl*d sep& tank pumper orlnstaller. 3 K,1'Tf tr Locatethe outlet of the septic tank. I~ and pump the tank 0 the neoessery+ to parent 1=rrm' Pj any solids from 9 f idleand j tot: field when the tW slide the 4~~)130 co is re Moved. While holding the cartridge over the access opening rinse off the cartridge with fresh insert the ltlter cartridge tack in water, being careful to rinse all the case making sure the filter material back Into theme and Before replacing cartridge be sure to deck iri case. for and clean If necessary the outlet screen, wlthh.,the case. Repkace the soc tank cover. F' 'Able: It 1smilt m08~b can d►esr'~ooe►~ae' 7Hebbme~s anShs;~r~hlr~t. ~ . proMandro x b/s~mahdieQl~r nac~'ste_a_?_KLAhe Redd=W =AM 46 The product(s) shown are covered by the following pate.- U.S. 4,710,295,5,593,5N Other Patents Pending Call for a free ZABEL ZONE* • 1-800-221-5742.Or Order Online: www.zabolzone.com 081102,427 o D v ~ v C O v < 70 r < -n x z v o O H m 1 00 /o /z m I?i Y 1 D N 000 <3 °m ~ D M 'SL co m O mm~m ILL v N NI s 0, ~ N D r-. Cco r------ C r fl - ' I I m D I I I D Z I I i I I 0 0 T V) M N I ~ ~ TT n\ I I co m a L n I D - - co r O X m LJ Li L7 o~ N s PRE POUR POST POUR U) ABW AND R & R SPECIALIZE SCALE: 3 4" - 1' REV NO. DATE: m PROJECT: SOMERSET, WI WIESEa COOCOETE v DISTRIBUTION BOX DRAWN BY:SWT NO. 1 7-2/12 o W3716 US HWY10. MAIDEN ROCK. WI 54750 [DATE: 6/22/12 800-325-8456 FILE:t tr t.~-aitYi t..-a11YY i SOIL ABSORPTION SYSTEM DETAIL / GRAVELLESS LEACHING UNIT Page_of Project Name: ABW and R&R Specialties 3 No. of Cells 11 Per Cell 3 ft Cell Width 33 Total No of EZ 12031 110 ft Cell Length 550 sq ft EISA Per Cell 3 ft Cell Spacing 1650 sq ft Total EISA Manufacturer Model Laying Length EISA Rating Infiltrator EZ1203H-5ft 5.0' 25.0 EZ1203H-10ft 10.0' 50.0 Gravelless Leaching Unit Manufacturer: Infiltrator Gravelless Leaching Unit Model: EZ 1203H Typical Cross Section Finished Grade 101 ft Observation Pipe with approved cap or vent - Soil Backfill in k r Geotextile Fabric a 95.3 ft Infiltrative Surface 12 in O it - - - 98.3 ft Limiting Factor 36 in Slotted and Anchored Vent/ _ . Observation Pipe with Cap , _ Plumber/Designer Signature:% License DE 1927-7 Date: 6/25/2012 Installation Instructions for EZf~ozv Systems in Wisconsin EZ OZLITM by INFILTRATOR • . • r • . • . • . r • • • . • . . . . . . . . . . . . . • . . . . . . . . . . . . . . • . . . . . . . . . Wisconsin Department of Commerce, Safety and Buildings : 5. The Absorption area (SF) necessary for a given site shall Division, has reviewed the specifications and/or plans for this be sized based on maximum daily sewage flow (GPD) and product and determined it to be in compliance with chapters the Permeability for the site. If certain criteria is met, the Comm 82 through 84, Wisconsin Admin. Code, and Chapters EISA sizing can be used in Wisconsin, resulting in a 40% 145 and 160, Wisconsin Statutes. All sites must meet the Site & Soil Conrlitionc smaller drainfield. & Locations & Isolation distances as noted in local regulations. 6. Place EZflow bundle(s) in the EZflow configuration ap- The approved products are 1203H (3-12" bundles with i proved by system design permit specified for the particu- Pilu in lar site. The top or center-most bundles containing pipe center bundle in 5' or 10' lengths) and 1203HP (3-12" bundles are joined end to end with an internal pipe coupler. Any with pipe in each bundle in 5' or 10' lengths. additional aggregate only bundles that may be required, A single pipe bundle contains a four inch perforated sur- should be butted against the other aggregate-only bun- pipe dies and do not require any type of connection. rounded by EPS aggregate and is held together with poly- ' ehtylene netting. A single aggregate bundle contains aggregate 7. The top of each GEO cylinder contains a filter fabric pre- only and is held together with polyethylene netting. manufactured in between the netting and aggregate. The fabric is inserted to prevent soil intrusion. The installer Materials and Equipment Needed shall make sure the the GEO is positioned upward and is • EZflow Bundles in contact with the fabric contained in the adjacent cylin- • EZflow Geotextile Fabric der before backfilling. • EZflow Internal Pipe Couplers • Pipe for Header and Inlet 8. The EZflow Drainfield Systems should be installed in a • Backhoe/Excavator : level trench in all directions (both across and along the trench bottom) and should follow the contour of the ground Installation Instructions surface elevation (uniform depth), with all continuous The instructions for installation of EZflow products are given : adjoining 10-foot cylindrical bundles placed end to end, below. This product must be installed in accordance with state rules defined in chapters Comm 82 through 84, Wisconsin Ad- ~ with central bundle distribution pipe interconnected, without any dams, stepdowns or other water stops. ministrative Code, and Chapters 145 and 160, Wisconsin Stat- utes, as well as the local health department's current design 9. The trench top shall be graded such that water will not manual. pond. Backfill should be seeded or sodded immediately 1. After the local health department has determined sizing, after completion to reduce erosion. configuration, and layout for the EZflow systems, stake 10. EZflow EPS bundles are flexible and can fit in curved or mark with paint the location of trenches and lines. Be ; trenches as may be necessary to avoid trees, boulders, or careful to set correct tank, invert pipe, header line or dis- : other obstacles. tribution box and trench bottom elevations before instal- ' lation of pipe bundles. 11. EPS aggregate is lighter than water, therefore, it might 2. Remove plastic EZflow shipping ba prior to - be expected that natural buoyancy forces would tend to 9s P placing cause EZflow assemblies to float out of ground when bundles in the trench(es). Remove any plastic bags in the ponding occurs. Field experience has shown, however, trench before system is covered. that this is not a problem when systems have a minimum 3. This product must have geotextile fabric that meets re- of 6" of soil cover as recommended by manufacturer. quirements of s. Comm 84.30 (6) (g), Wis. Adm. Code, installed directly on top of the product and extending down along the sides of the product to a point at least six 1203H-GEO inches from the bottom of product. Geotextile 4. When installed in a trench, the trench should be dug to Barrier Material a width of 36 inches. This not only saves labor in excava- 12• _ :oo tion, but also provides better load-bearing capacity after backfilling is complete. Project Name PLOT PLAN N : ABW and R&R Specialties Legal Description: SE1/4, NE1/4, S5 TIM 049W P.I.D: 032-2018-10-000 Subdivision Name: NA Lot NA { Township: SOMERSET SCALE: 1" = 40' Parcel Size: 10 Acres County: ST. GROIX System Elevation: T1=95.26' Proposed 110' EZ Flow Trench Slope: 0% T2=95.76' Existing 87' Biodiffuser Trench A BM1 Elevation: 102.07 To of 2' manhole cover on tank B T3=95.26' Proposed 110' EZ Flow Trench BM2 Elevation: 100.00 To of bottom trim on pole shed T4=95.76' Existing 87' Biodiffuser Trench Backhoe Pits: T5=95.26' Proposed 110' EZ Flow Trench TANK SCHEDULE 4 inch Sch 40 -ASTM D2665 A Pro osed 1250 allon se tic tank w/Pa 4 inch 3034 - ASTM D3034 B Existin 1260 allon septic tank w/ ZC Pro osed Distribution Box D Existing 2000 gallon holdin tank for NOTE: See page 11 for a complete plot of the parcel. / 63 BITUMINOUS / PAVEMENT / • 1 r- ~ i3 t 3e3-A BUILDING 00 ~gb`94 X III ~ ~ , ' BITUMINOUS - • / PAVEME%T ' J 17 / i . 0 4 Z ~o___- v W FLOOR ELEV. I' 935.59 / / - BILLBOARD O M\I N b / / ION O N sO 0 BUILDING E V- c < 30 II ~J .yr HO /'IN; 932.01' 3 o 1 / RIM-934.13' INV-932.71' / BITUMINOUS PAVEMENT NV- 932.39'' / g LEG ND ala to NV- 925.98' m 9 N PROPERTY LINE EXISTING SFT CONTOUR ` a •y _ _ 5 as S _ - - _ - _ o E: r d 'BITUMINOU _ PAVEMENT EXISTING IFT CONTOUR 8 r XX EXISTING SPOT ELEVATION MXX Ta' TOP OF WALL ELEVATION m / X / O V EXISTING BITUMINOUS EDGE .I..7 EXISTING CURB AND GUTTER R1 EXISTING CONCRETE EDGE i1 Q 0 EXISTING TREES AND BUSHES V"__ EXISTING WATER LINE S.S. EXISTING SANITARY SEWER LINE STM---- EXISTING STORM SEWER LINE F EXISTING UNDERGROUND FIBER OPTICS LINE C EXISTING UNDERGROUND GAS LINE E EXISTING UNDERGROUND ELECTRIC LINE Elevation Datum-NAVD 1988 derived T (r0m St Croix County (TARN EXISTING UNDERGROUND TELEPHONE LINE MonumeDis. O.E. EXISTING OVERHEAD ELECTRIC LINE N EXISTING GATE VALVE EXISTING HYDRANT V ) 0 EXISTING SANITARY MANHOLE N LL O ® EXISTING STORM SEWER MANHOLE H ® ® EXISTING STORM SEWER INLET I N cm EXISTING POWER POLE m W NORTH LI EXISTING TELEPHONE PEDESTAL Z ~ © EXISTING ELECTRIC PEDESTAL O SCALE 111 ORTRANSFORMER O ~ 0 SD 1 W EXISTING LIGHT POLE Lt m EXISTING GAS METER r l 1 . ' TRAFFIC SIGNAL v W~/~ O Q U) 0 ELECTRIC MANHOLE EXISTING SIGN, TRAFFIC OR SHEET NO. PRIVATE O I j j l l ~ \ 1 I II ~ p , 1 1 1 _ ~ / ~ ~l i i i (i i ~II ~~l%l (11\I\~'i/''•j)~\\\\ i////~ ~ i r/(/f~/~j/ i/~~~/ ~~i~~ I UILDING o /WELL FLOOR ELEV. y~ ll1~a ( ` 1 / / \ \ \ / / / / J/ 93413 , / _ /si -71 BITUMINOUS PAVEMENT BUILDING \ \ \ \ III \ V r._ J FLOOR ELEV. \ PoS ER LINE EASEMENT \ PAVEMENT I I y \ III ~ Q _ ~ ~ / NGK ~ / / ~ / / I, \ III r-- -3 ri i ~ \ ~Py SECe • / ~ IN,V- gi9y45`:.~ - IM-935.19' p INV-930.98' \ SNLBOARD \ \ \ SIT i POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION SYSTEM SPECIFICATIONS E ner: ABW and R&R Specialties Tank Manufacturer: Wieser Concrete l` NA mit # If Septic - Dose r- Holding Volume: 1250 gal DESIGN PARAMETERS Tank Manufacturer: Week's C. P. NA Number of Bedrooms: ILIA 0 Septic r Dose Holding Volume: 1260 al Number of Public Facility Units: I-- NA Vertical Distance Tank Bottom (s) to Service Pad: ft Estimated (average) Flow: 725 gal/day Horizontal Distance Tank(s) to Serivce Pad: ft Design (peak) Flow = estimated x 1.5: 1087.5 gal/day Specific servicing mechanics must be provide if vertical is>15 feet or if In Situ Soil Application Rate: 0.7 al/day/ft2 horizontal is > 150 feet. Specific instructions to be provided on back. Standard Domestic Influent/Effluent Monthly average Effluent Filter Manufacturer: Polylok/Zabel r NA Fats, Oils & Grease (FOG) s30 mg/L Effluent Filter Model: 525/A-100 Biochemical Oxygen Demand (BOD5) 5220mg/L NA Pump Manufacturer: NA Total Suspended Solids (TSS) 5150mg/L Pump Model: High Strength Influent/Effluent Monthly average Petreatment Unit Fats, Oils & Grease (FOG) 530 mg/L Manufacturer: Biochemical Oxygen Demand (BOD5) 5220mg/L 9 NA F' Mechanical Aeration - Peat Filter NA Total Suspended Solids (TSS) 5150mg/L Disinfection r Wetland Petreated Effluent Monthly average Sand/Gravel Filter r other: Biochemical Oxygen Demand (BOD5) 530mg/L Soil Absorption System Total Suspended Solids (TSS) :530mg/L NA VA In-Ground (gravity) F' In-Ground (pressure) ( NA Fecal Coliform (geometric mean) 5104cfu/100m1 _ At-Grade Mound Maximum Effluent Particle Size: Ye in dia. r N ' Drip-Line r other: Other: 6 Other. r NA MAINTENANCE SCHEDULE Service Event Service Frequency When combined with sludge and scum equals one-third ('/3) of tank volume Pump out contents of tank(s) When the high water alarm is activated month(s) r- Inspect condition of tank(s) At least once eve : 3 la yearw (Maximum 3 ears NA r- month(s) Inspect dispersal cell(s) At least once eve : 1.5 year(s) (Maximum 3 ears r NA month(s) Clean effluent filter At least once every: 1.5 ill year(s) r NA I- month(s) Inspect pump, pump controls & alarm At least once eve : year(s) lip NA Flush laterals and pressure test At least once eve : year(s) NA m month(s) r Other: Cap trenches T2 & T4 Let T2 & T4 rest for 3 r year(s) Other: Alternate Trenches Alternate Trenches every 1.5 years MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Insepector; POWTS Maintainer; Septage Servicing Operator (pumper). Tank inspections must include a visual inspeciton of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and a check for any back up or ponding of effluent on ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicated a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumualtion of sludge and scum in any treatment tank equals one-third ('/3) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Admininistrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, petreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 30 days of completion of any service event. (Rev.2/05) Page of START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products, solvents or other chemicals or sediment that may impede the treatment process and/or damage the soil dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During extended power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose and may overload them resulting in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) discharge; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks, pits and other soil absorption systems shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide the opportunity to obtain a sanitary permit for a code compliant replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at the time of their permit issuance. ❑ A suitable replacement area is not available due to setback and/or soil limitations. If the soil absorption system cannot be rehabilitated and barring advances in POWTS technology, a holding tank may be installed as a last resort. ® The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ❑ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. WARNING: TREATMENT TANKS AND HOLDING TANKS MAY CONTAIN POISONOUS GASSES AND LACK SUFFICIENT OXYGEN TO SUPPORT LIFE. NEVER ENTER A TREATMENT TANK OR HOLDING TANK UNDER ANY CIRCUMSTANCE. DEATH MAY RESULT. ESCAPE OR RESCUE FROM THE INTERIOR OF A TANK IS VERY DIFFICULT. ADDITIONAL INFORMATION: POWTS INSTALLER POWTS MAINTAINER Name: 70 K A) Sc Hlt-l r it Name: Phone: en o Y f C Phone 7/4 - 7 6 SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name: Name: St. Croix County Zoning Phone: Phone: 715-386-4680 This document is intended to meet minimum requirements of Ch. Comm 83.22(2)(b)(1)(d)&(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. Use of this document does not guarantee the performance of the POWTS. (Rev. 2/05) ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer -f 3\A) A m i0 -f . 5 .4,tT/ ,E S 7 01 ort4 `1 & V c' Mailing Address C ©u N Y 'V / Property Address 1/8 y CoV'4V T y 1Co V V (Verification required from Planning & Zoning Department for new construction.) City/State Parcel Identification Number ©3Z - ZOI V / O ~,Dmeies,,~ T 1~U LEGAL DESCRIPTION Property Location SF %4 , r V4 , Sec. S , T30 N R_J_?_W, Town of 5o04t:AJ_SC~_7- Subdivision Plat: , Lot # Certified Survey Map # , Volume , Page # Warranty Deed # (before 2007)Volume /-2-0 - , Page # 9 6 Spec house ❑ yes IC no Lot lines identifiable)d yes ❑ no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my/our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bed*ee m /178• > GPD IGNATU OF APPLICANT(S) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 09/07) turd NO. ~ 11[ .S.GU t ~q _ - = FEGMILKS CFM SECRMCIY sVA Jeffrey C. Lauck NOV _ 6 06 ( 100 P. m cmvcy aw wwfmm W T4 =14 Dnvn wnd hiAlt1\ Dear' 9jA red end tsiER l4i jimob ~ ~~rd~Mda< rtes tvroE n putt t~scflnooq o~►oM _ wwE ato aaTww nom" w or tltc wMow ft described real pate in St- Cc--4x COW[% state d vAwwtbt: 7 1 032.2017-95; 032-20 B-10 sere G E (See Attached Exhibit "A") I PJIR a ~f ` Thb_ is not homateadptopewly ~XX ps wo Eatxptiorttowaraatwx Easements, restrictions and rights-of-say of record, if any. 96 54""' 0*4obev D tcd " -day d A.R.19 +s (SEAL) X (U (SEAU AUTHENTICATION ACKNOWLEDGMENT Jeffrey C. Lauck State of Wisconsin, =&mlmw this 6 ( 96 Iawn* came before se do dW d 19- the sbore aged tristina drland 'RILE; MEMBER SATE MR OF WOCONW 01mi&abed by 8706,6. Wis. San.) to at imown w be the person who amcmd the for v ft f iosteaareac and admowlWp the store. IM Ml n%*AW WAS OP.*TW BY Attorney Kristine Ogland Hudson Wi 54016 Notay P&IC. Camtr% Wis. (Siptrtnas my be sudwmk md or mda►owkd@mL sorb arc aor M! aommialoa is permaeat Of sot. sate alpiadS dak: in \ w1207=497 EXHIBIT "A" A parcel of land located in part of the sw% of the NLJj and the St14 of t" wt of section 5, Township 30 North, Konge 19 Went, Town of Somerset, St. Croix County, Wisconsin further described as follows: Commencing at the A corner of said section 3; thence soi-31'06"L,.along the north-south % line of said section, 2240.44 feet; thence N88028054"E, along the north line of that parcel of land recorded and described in Vol. "4961, page 260 at the St. Croix County Register of Deeds attics, 515.00-feet; thence $010311060E, along the east line of said parcel, 139.76 feet to the c northwesterly right-of-way of State Trunk tlighusy "3S" s "64" and the int of beginning; thence 901931106"W, along the east line of said parcel being a line 515 fast distant from and parallel to the north-south log line of said section, 693.30 toot to the north line of the 5% of the NZ% of said section; thence N88024'22109, along said north line, 1800.87 test to the west line ot Lot 1 of Certified Survey Map recorded in Vol. 660, page 1716 at said . office; thence 301.17149"S, along said vest line, 13.54 toot to said northwesterly right-of-may; thence 869030102"N, along said right-of-way, 276.77 toot; thence 52002905902, along said-right-of-way, 41.79 toot; thence 309.30 1 02 "q, along said right-of-way, 790.73 , feet to the east line of the 04% of the 112% of said ssotion; thence 901024127•s, along said east line and said right-of-•tay, 8.73 rest; thence Ss903010201W, along said right-of-way, 631.13 feet to the point of curvature of s 2910.62 toot radius curve, concave southeasterly, whose central angle mossures 4-=0101", whose chord bears 667020101.5"Y and measures 220.09 feet; thence southwesterly along the arc of said curve and said right-of-way, 220.15 feet to the point of r beginning. i~ 5 i S s i John hf, $f, septic system V Design Sc tic vs n-, c s Evaluations v" Maintenance 61.6150t° Ave. Cell Phone: 715-760-0486 a a Somerset, W154025 Fax: 713-2474857 ~ Email: jschmitt@somtel.nt ~y Y June 28. 2012 ADDITIONAL .INF'ORMATIO' SITE: Transaction ID No. 2106153 ABW and R&.R Specialties Site ID No 781296. 484 County Rd V V Somerset, WI 54025 The three :floor drains included in the '.tn-GTound PO'T'S design for the location listed above will serve the office portion of the building and will receive only domestic waste. 1 Utility room floor drain. 2 Bathroom floor drains All other floor drains in the building go to an existing 2000 gallon bold' tank. ,John Schmitt DE 1927-7 0N0!' 3~0 tz r~ d o eb o F c C > > n 3 C) c M m CD - n O (A m z O A ,p (n O W • N (T 3 3 4) ':3 N w w O 0. N O CD (OA A (D N O O W ? V Oo O (p O 7 .O ~p (e co C C W C) .y.. O M 1 N N N N N O- 7 Q y (D - nS C cn A cOn n C o D o O c m c - 3 ° m o 0 c D O C L7 D O a 0 co' A ur d O CD N Q O 01 A \ W O N N N N 3 0 lot 2 O 00 L F:~ Z N OD W O~ N N o o° 0 r N fOn N N w O• CL 0 00 0 N o m 3 ~aa 5 (D 0 < 3 y ~l = o z z ZWZO1 O lei O n ~ ~ :F Uwi ON N K C• CY) "WA O> > M R y c c N 3 aft ~0.cD y CD C, f° A z ID 0.' A Z 3 C, C N (M j (n w (T m o (D m m (D z o c z I ! m m A v O y I ~ -4 d -0 vN D 3 No CD CLC CD a c N LL 'O CD O G 00(0 (O O O W O (D 7 (n N 7 •n 00 70 CL N y 0 O_ C V O -0 "O CD W 0 00c va =(n O (n3 o mp o ~a aCL(n I o~ Q?in D p w W J0 m jZ3 D oo 0 0 0 a 0 Nw c 0 a3 e A d O O 0) OD O no F N i`.` 00 A N N O CL V N Vv (O N (p p (D 7 N N O O O FL ~ ~ N ti o b N oo O fO ti o c e I °o fl- ti ,i Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix end Building Division INSPECTION REPORT Sanitary Permit No: cNERAL INFORMATION (ATTACH TOAPERMIT) State Plan ID No: 420443 0 'ersonal 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: R & R Specialties Somerset Township 032-2018-10-000 CST BM Elev: Insp. BM Elev: BM Description: /00 . b -h-n TANK INFORMATION EL ION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark . 3 /v7. i 170, a - e~ Q60 Dosing Alt. BM .S C e /b -1. Q.~~~te. d . D 77- Aeration Bldg. Sewer 0,47/ AIWGc:~'L o 35 Holding St/Ht Inlet OO/ c/ 6 ` q3 St/Ht Outlet 7 b 7 TANK SETBACK INFORMATION TANK TO P/L W L G. Vent t Air Intake ROAD Dt Inlet Septic / o Dt Bottom Dosing Header/Man. Aeration Dist. Pipe / b Z ~n •7 9~ b.L Holding ! Bot. System PUMP/SIPHON INFORMATION Final Grade ~S,b ~o•~S Manufacturer f GP and St Cover ~t J ~ 3 /Da . O Model Nu ber TDH Lift riction Loss System Head H Ft For ain Length 77t__f~,e I SOIL ABSORPTION SYSTEM BED/TRENCH Width 3 Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS -4 e Dl_ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM /LEACHING M nuf r: INFORMATION CHAMBER OR Type Of System: ~ I'D / , ' /y~ r~/ 7 X71 UNIT odel Number: DISTRIBUTION SYSTEM / W 1 G XJ Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air latake n Length ( q4- Length Q / bOY~' Dia Len th Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched ~ Bed/Trench Center Bed/Trench Edges Topsoil 1 [id Yes 0 No [y] Yes G No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:0/ 0 oU Inspection #2: Location: 484 Highway 35/64 Somerset, WI 54025 (SE 1/4 NE 1/4 5 T30N R1 9W) NA Lot Parcel No: 05.30.19.537A 1.) Alt BM Description 2.) Bldg sewer length= lJN c~ 1~17 S-44&14- - amount of cover = I UUU Plan revision Required? J Yes [40/No D I C / Use other side for additional information. O --1~ C¢ Date Insepctor's Si ature Cert. No. SBD-6710 (R.3/97) A Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 l NVIsconsin Madison, WI 53707 - 7162 Site Address Department of Commerce 0 - -•D z 3 Ka 1C . RW • 3 S Sanitary Permit Application Sanitary Permit Number L~ In accord with Comm 83.21, Wis. Adm. Code, personal information you provide ❑ Check if Revision / 90 3 ma be used for secondary purposes Privacy Law, s15. 1 m I. Application Information - Please Print All Information State P1aI.D. Number $ 00 7 P rty Owner's Name Parcel Number 3 o D 031-101.9-16- 00 Propeity Owner's Mailing Address Property Location vr.,) 9 VA z/ AM) Y' 3 S~ IF 'A !k;S - T N,R City, State Zip Code :ZOMNG um r Lot Number Block Number ROIX COUNTY" Subdivision Name CSM Number OFFICE ~yos c_ H. Type of Building (check all that apply) ❑aty ❑ 1 or 2 Family Dwelling - Number of Bedrooms ❑Village Public/Commercial - Describe Use L✓ s Township ❑ State Owned Nearest Road Z TieE~(Gt~(~S rv edam CG, 3' M. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable) A. 1 ❑ New 2 Replacement System 3 ❑ Replacement of 6 ❑ Addition to For County use stem Tank Onl Existing System B. ❑ Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Check all that apply)(numbering scheme is for internal use) 'F,rbdi • I l 44 9 Non -Pressurized In-Ground 21❑ Mound 47 ❑ Sand Filter 50 ❑ Constructed Wetland 22 ❑ Pressurized In-Ground 41 ❑ Holding Tank 48 ❑ Single Pass 5111 Drip Line 3p1, / qr Z-j 45 ❑ At-Grade 46 ❑ Aerobic Treatment Unit 49 ❑ Recirculating 3011 Other / 7/7• ~0 Cy V. D' ersal/Treatment Area Information: Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required Proposed Rate(Gals./Days/Sq.FQ (Min./Inch) Elevation 600 8~"7. f y 870. B , •7 A14. 9s 6- /oo, s VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Tanks Tanks (N t Kl ~7~7c Septic or Holding Tank Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) P is Signature MP RS Num r Business Phone Number 191y S^ -GG S Plumber's Address (Street, City, State, Zip Code) Al - 0 AF,:EX -fC- 7- 34v 2 VIII Count /De artment Use Only Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Is ent Signature o Stamps) Surchare Fee) I('/ ❑ Owner Given Initial Adverse 416 Determination EK. Conditions of Approval/Reasons for Disa roval / Cored ~ trn v~ ~i~ Sys rx, f 1 fan , . x'3.3? Ae s . A'LQ'~v~fat%►•► ,~.2t6ac•!2fl ,Gu2~wn, °'t/¢~°`E"f`.P-~'' ~ ~,~,2Q~r (~,'t,,r.. • 8'3.tf3 -ry ~~~--f?~ ~S erfe~ x 11 Inches in • e SBD-6398 (R. 05101) FROM SCHMTT & SONS EXC PHONE NO. 715 549 6651 Sep. 19 2002 10:29M P1 t.2 JI-11. _ I~f f I tXlS%/ ~G SFj4~IG S'~'7~~. ~ r~ _/4CT &9 DM iow- I em F4 F u E i3_ gl V - - I - ' _ .fit-3'x~•9y Irn ~ 05 A &L f ~St opE- . i S4_4 4F f I / 1 BoTTarr , i ' I ~ ) I I '6Z. =m4l r D I T#p o " IJC .ANA L. /44. 7,21 I - + I I ; .sl Oil, : UAL I _R~/._..j~JAL% 4! ' ~O~•~v~.v cSC~n►i: y Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 Piiconsin TDD (608) 264-8777 Www.commerce.statemi.us/sb us/sb Department of Commerce www.wisconsin.gov Scott McCallum, Governor Philip Edw. Albert, Secretary September 19, 2002 CUST ID No.221741 ATTN POWTS Inspector ZONING OFFICE DONAVIN L SCHMITT ST CROIX COUNTY SPIA 586 VALLEY VIEW TRL 1101 CARMICHAEL RD SOMERSET WI 54025 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/19/2004 Identification Numbers Transaction ID No. 788300 SITE: Site ID No. 645936 R & R Specialties / Tim Dove Please refer to both, identification numbers, 484 Hwy 35 & 64 above, in all correspondence with the a enc . Town of Somerset, 54025 St Croix County SE1/4, NEI/4, S5, T30N, R19W FOR: Description: Commerical (Warehouse/Maintenance Building)Non-Pressurized In-Ground Object Type: POWT System Regulated Object ID No.: 870846 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Requirements: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "In- ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD-10705-P (N.01/01). / • The leaching chambers must be installed in accordance with the manufacturer's printed instructions, the plan approval and Comm 83, Wis. Adm. Code system sizing criteria. If there is a conflict between the manufacturer's instructions and the plan approval, the plan approval and code requirements will take precedence. • The existing POWTS must be properly abandoned per Comm 83.33 Wisc Adm Code • The plumbing for this project discharges to a private sewage system. The approval covers only domestic/sanitary wastes directed into this system. The Department of Natural Resources must be contacted regarding the treatment an isposa o a mdustria wastes. Conte • State and federal regulations prohibit the discharge of hazardous wastes to a private sewage system. Accidental AP R discharge of any hazardous substance to a private sewage system must be reported to the Department of Natural Resources or the Wisconsin Division of Emergency Government. DEPARTMENT OF • 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. SEE CORRES • 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 DONAVIN L SCHMITT Page 2 9/19/02 • 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. • The changes made to this plan on 9/19/02 by this reviewer were acknowledged and approved by the system designer. 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 POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer Il , Integrated Services WiSMART'code: 7633 (608)789-7893 , 7:45 am - 4:30 pm Monday - Friday cbratz@commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 SCHMITT & SONS EXCAVATING 586 Valley View Trail Somerset, WI 54025 Tel: 715-549-6651 Fax: 715-549-6651 SEPTIC SYSTEM For. T/ M &Ij ti Rat A SjjqeC/A 6 T/~ s Address: v 3 6- 41 ~~,M~Ds~= r L Ije - S Legal: /`?LJ/ Township: SAM s -T Contents Page 1 Plot Plan- System Cross Section Page 2 Dosing Chamber Page 3 Pump Curve Page 4 Management Plan Attachment 1 Soil Evaluation Report Attachment 2 By: / MPRSW / 7-Y Date: - D -O 2 ajry RECEIVER 'n ) yitj) NWLmc SAFETY & GLDGS DIV,, D iVGs O D,,jVC FROM SCHMTT & SONS EXC PHONE NO. 715 549 6651 Sep. 19 2002 10:29AM P1 Vll . i _ I LILL 1 111. i ~ I r _ : 1 t~'Xf cT1 - r - I 1 I to ~ , !~~-r~rov~I o ~ ~ - - - i'~G-r'..- ~ I !r~•- i j~5 _G'~4-5'~ ~5;~00. . ~liv Fasr-7tS~ - F u E r. ; I ts 05 j ? ~ -I I 1 S444 'F i I pl.. I ~ J I GocaM p id'oi~Y3 Sf~c o. DO Rod leo, 7,z i X02 /SCR ~J/~ ~ ~ 1 J (J r ? r i f ► YS, Z f. l r 4~4,ls -I...... . r r , r rte' Hl.~U" . 1 r . I ? i I I ( ' i _ _ _ C;2 P411,144,41v v elflr"; T ' , YV'W 7'11, FROM SCHMTT & SONS EXC PHONE NO. : 715 549 6651 Sep. 19 2002 10:30AM P3 cZAx ttr w . i t^ /~~Of/G rlEKrv INS/~KfT/dN ~lN~ \a_ j y ox, 1!~A,4 Zee, a ~&v4 Fo4cF e /„(cF ~-".~6 )C $ 4, 7Y" 7'/P6wcifeS 1 y fflD Jiro a0 fFFGreA GIa'RPSA~,~S ~AcA' . . • 5GALE I''~ LO ` • OEM S ~nop t~rigzxla~ Rr~de { Rlwr. ?eet QQV e7' IMA. Inc es irc~.es 12 ircPAes . 0 s.nch$s mirz.' • Ks't31•l faCturer t s hang c31 ex product Name :~xd-~~- / 0-In situ e011-- =5 '],erg feet zlodel urqber: iT// ~~xeataaEat arzd--~ 7 Diapers, ~vr_w ~ gv4red by Table 83.44..3, Wis. Adm. Cede Idnitincr ..-444, "I'e M1 1 i I7 _INC n..,rc rr . of%n -tiT •rn YAA'Y ir. 'rn FROM SCHMTT & SONS EXC PHONE NO. : 715 549 6651 Sep. 19 2002 10:29AM P2 nU/•tF (^HA,MbZR CR6c5 ~t C'ror:_AND IPECIF'IC4 r,41E~. I ' VELIT CAP N'C.I. k;-,',7 P!PC I WEATHERPROOF APPROVED LOG IAJ[.- ZZ' = RO.h GOOra JLjIJCT10lJ 90' MAiJHOLE COVEF. WruboW OIL FRCSN 12"MILE. w/wA~t/{//IVb 4N►/t4 Alit W7AKe GRADE f 1 ( 4"MIA3. ~ r8"MIA1. CUN60T 1 INLET PROVIDE ( ~1 AIRTIGHT 5EA1, I I ( APPROVED JOIA17 A W/C.S. PIPE APPROVED Jolas EXTEWDIM& 3' I W/C.. PIPE ALARM EXTENDING 3' OWTO SOLID SOIL b I I l ONTO SOUP Spli:`.; ~ I c ow ELEV. pY ~ I . PUMP a OFF 0 COu1GitETE BLOCK f RISEK EXIT PERMIAED OWLy IF 'I"AQK MAWUFACTURE.R HAS SUCH APPROVAL SEPTIC f SPCE~`~'~ATlOi~IS DOSE TANKS MAAIUFACTURER: WMBER OF DOSES: T PER DAS , TANK SIZ><: lln .w GALLOWS DOSE VOLUME / i4LARM MMJUFACTURRR: rl>'B/V/G. S IrJCLUDIruG 6AGKFGOW2 , GALCDNS:.~ •y MODEL k3LIMgER:_.. MrTcT •;.n" CAPACITIES: An~._INCFICS OR GAlLON9: SWITCH TYPE; ~yd/~l'uQ B=---92 114CHESOR GALLOAIS,'h' PUMP MAIJUFACTLIRLIt: Dam"/ INLHE5 OR /oA. A CALLOUS, MODEL MUMDER: _ D w _L0--INCHES 0R ,,,x.17, y GALLOUS 5WI7C)4 TUPE: ),TOTE' PUMP AUp ALAarI gRta To b MIL31MUM DISCHARGE RArE_- & GpM INSTALLED OIJ SEPA>tA clRCuITS VERTICAL DIFFERi:NCE DETWEEIJ PUMP OFF AMO DISTRI:BUTIOU PIPE.. _,T FEET Norf. L/~/ sTil7x~n/:•' QM~Y -I- MIAJiMUM NETWORK SUPPLY P ESSLIRI: FEET + -JD- FLET OF FORcE t-►AIW X + jex*FR%CTIO&j FACToR.,. r--V~ / FE Y ~1 . TOTAL DtIUAMIC. HEAD FEET 1UTERMAL DI r IONS OF TALK: LE~.IC:TH _ ;Wlb7'd ;LIQUID DEPTH SIGIJED: LICENSE IJUMDER: 'J2L Y~ DATE: 09 ;v HEAD/CAPACITY CURVE EFFLUENT and DEWATERING O CAUTION Model 185/4185 should not be subjected to less than 30 feet TDH. MODEL 42 qg 53.11 5. g8 137 139 140 161, 1 165, 18 186, 188, 189, 191 57 59 4140 4161 4163 41fi5 4185 4186 4188 4189 F7. u, CAL. LJRS. CAL Lt N 5 ,SZ IS 57 SI 1 FS CAL. IfRS GAL L1tr; CAL. lT CAL L CAL. JtJtS WL. C GAL. CAL. CK. GAL. GAL.. CAL. - L J t F. 71 4J r6J. 72 2)3 93 :35I 91 ''J44: 100 -~79 61 23 r 61 2 Y 58 # J 145 145 45 W LJ 10 .SLOB 42 94 ]a 129 1J1 299 318 35$ ups 58 140 140 45 LL 15 4.!171 Z3 19 72 i?0 24I - - 20 b.10,' 1 4 135 45 140- 1J6 Fy ?S7 a 299 'i 60 l 58 128 131 45 25 '7 62 _ 30 IZy, I6S 59 58 122 t25 45 42 _ t83 y` 58 65 56 I16 t20 45 135 40 :7I.M ;7¢'; [12ti. S 55 70 58 104 t09 45 50 712a r J 51 58 90 97 45 40 60 32 58 71 65 45 130 70 21,y~ • - ,M 51 69 45 9 52 ` 80 24,36. -1 ~ 2T,a3. r i- -3a1« j 1 45 28 St 45 90 38 125 00 ao A6: < 3 t 2 34 45 6 17 40 110 3200 ' s JO 120 36'.58? 4' 4 120 - ' IG 130 39.52 :..a,. { 10 36 191 LOCK VA VE: 19' 19' 1 19.25 23 I6' 46' 1 56 66'r<r: 86.5' 73' 114' 91' 110' 137' 115- 34 110- 32 105 100 30 95 28 90- SL 186, 26 85 4186 24 80 165, 75- 70- S2 0 22 20 65-- z 0 18 60 163, 4163 4189 16- 189 55-- 0 50-- 14- 45- 12- 40 140, 188, 35 4140 4188 10 30- 137. 185, 8 25 139 4185 6 20 15- 10- 42 2 5 48 161, 4161 53,55 98 0 57,59 U.S. GALLONS 10 20 30 40 50 60 70 80 90 100 110 120 130 140 150 160 LITERS 80 160 240 320 400 480 560 640 0 FLOW PER MINUTE 009922a Wisconsin Department of Commerce SOIL EVALUATION REPORT 1137 Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Tom Schmitt Attach complete site an on County pl 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 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. 032-2018-10-000 Please print all information. W. t 0/9, / Re ewed Date d Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location ABW & R& R Specialties A e 6 L SE 1/4 NE 1/4 S 5 T 30 N R 19 W Property Owner's Mailing Address Blo k # Subd. Name or CSM# 484 Hwy 35/64 ) CSM 12 Acre Parcel City State Zip Code Phone Numb ~r 06 209'C Village of Town Nearest Road Somerset WI 54025 S erset Hwy 35/64 New Construction Use: Residential / Nu ber of bWdrwms c' ode derived design flow rate 400 GPD ✓ Replacement ✓ Public or commercial - Descri6e3 FloorTrams, 25 employees Parent material Outwash Plain Flood plain elevation, if applicable NA General comments and recommendations: Area is suitable for a conventional system with a 0.7 gpd/sgft rating. Possible system elevation ranges from 98.50' to 95.50'. 0% slope. Area appears to have been cut. ❑ Boring # Boring ✓ Pit Ground Surface elev. 100.52 ft. Depth to limiting factor >103 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-4 10yr3/1 none sl 2mgr mfr cs 2f .5 .9 2 4-8 10yr4/4 none sl 2msbk mfr gw .5 .9 T38-103 t?- Boring none ms Osg ml 1.2 a2 h 5 2~O n # Boring ✓ Pit Ground Surface elev. 100.93 ft. Depth to limiting factor >104 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fl' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-5 1Oyr3/1 none I 2mgr mfr cs 2f .5 .8 2 5-12 1Oyr4/4 none sl 2msbk mfr cs 1f .5 .9 3 12-26 1 Oyr4/6 none Is 1 msbk mvfr gw .7 1.2 4 26-104 10yr5/6 none ms Osg ml .7 1.2 11 tt * Effluent #1 = BOD5> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt Lzr- 227429 Address Tom Schmitt Date Evaluation Conducted Telephone Number 586 Valle View Trail, Somerset, WI 54025 8/23/02 715-549-6651 3 Property Owner ABW & R & R Specialties Parcel ID # 032-2018-10-000 Page 2 of 3 3 ] r J Boring Boring ✓ Pit Ground Surface elev. 100.55 ft. Depth to limiting factor >101 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GRD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-4 1Oyr3/1 none I 2mgr mfr cs 2f .5 .8 2 4-14 7.5yr4/4 none sl 2msbk mfr cs 1f .5 .9 3 14-18 1Oyr4/4 none sl 2csbk mfr cs .5 .9 4 18-101 1Oyr5/6 none ms Osg ml 7 1.2 r ~ i ❑ Boring # Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots P 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ❑ Boring # Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GpDtft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD5 < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or -A .~,orPr;~l - .11 -1. IF--.* _1.- -f.m rhA ,1P„-rt_-+ or fAQ_7AA_11 1;1 - T rV fn2_7AA_4777 "IN } 16Q, G - 03 \ aces"" S~~ A~Mlf E l rc.K k 187 hod r i i 4- cst of -fh; S 4e e S,diLL ` ~at~ cam ~Ce gqt 14- 0 z ?41C l a }w y A B by T~s ,,e _14 Are Tr, F Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD (608) 264-8777 ~sconsin I www•commercestate.wi.us/sb www.wisconsin.gov Department of Commerce a Scott McCallum, Governor Philip Edw. Albert, Secretary September 19, 2002 CUST ID No.221741 ATTN: POWTS Inspector ZONING OFFICE DONAVIN L SCHMITT ST CROIX COUNTY SPIA 586 VALLEY VIEW TRL 1101 CARMICHAEL RD SOMERSET WI 54025 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/19/2004 Identification Numbers Transaction ID No. 788300 SITE: Site ID No. 645936 R & R Specialties / Tim Dove Please refer to both identification 484 Hwy 35 & 64 numbers, above, in all Town of Somerset, 54025 correspondence with the agency. St Croix County SE1/4, NE1/4, S5, T30N, R19W FOR: Description: Commerical (Warehouse/Maintenance Building)Non-Pressurized In-Ground Object Type: POWT System Regulated Object ID No.: 870846 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Requirements: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "In-ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD-10705-P (N.01/01). • The leaching chambers must be installed in accordance with the manufacturer's printed instructions, the plan approval and Comm 83, Wis. Adm. Code system sizing criteria. If there is a conflict between the manufacturer's instructions and the plan approval, the plan approval and code requirements will take precedence. • The existing POWTS must be properly abandoned per Comm 83.33 Wisc.Adm. Code. DONAVIN L SCHMITT Page 2 9/19/02 • The plumbing for this project discharges to a private sewage system. The approval covers only domestic/sanitary wastes directed into this system. The Department of Natural Resources must be contacted regarding the treatment and disposal of all industrial wastes. • State and federal regulations prohibit the discharge of hazardous wastes to a private sewage system. Accidental discharge of any hazardous substance to a private sewage system must be reported to the Department of Natural Resources or the Wisconsin Division of Emergency Government. • 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 • 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. • The changes made to this plan on 9/19/02 by this reviewer were acknowledged and approved by the system designer. 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. e DONAVIN L SCHMITT Page 3 9/19/02 Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer II , Integrated Services (608)789-7893, 7:45 am - 4:30 pm Monday - Friday WiSMART code: 7633 cbratz@commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page / of FILE INFORMATION SYSTEM SPECIFICATIONS Owner Ltl - Rdtg e- 1A L. Septic Tank Capacity al ❑ NA Permit # 0 cL /0 Septic Tank Manufacturer _ . ❑ NA 1 74- WE DESIGN PARAMETERS r Effluent Filter Manufacturer L ❑ NA Number of Bedrooms MENA Effluent Filter Model ❑ NA Number of Public Facility Units C1113xc NA Pump Tank Capacity O/Ro al ❑ NA Estimated flow (average) al/day Pump Tank Manufacturer ujee r'5 ❑ NA Design flow (peak), (Estimated x 1.5) al/day Pump Manufacturer ❑ NA Soil Application Rate al/da /ft2 Pump Model ❑ NA Standard Influent/Effluent Quality Monthly average* Pretreatment Unit ❑ NA Fats, Oil & Grease (FOG) :_30 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BODd :5220 mg/L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg/L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BODS) :_30 mg/L Ain-Ground (gravity) ❑ In-Ground (pressurized) Total Suspended Solids (TSS) :530 mg/L ❑ NA ❑ At-Grade ❑ Mound Fecal Coliform (geometric mean) :_10° cfu/100ml ❑ Drip-Line ❑ Other: Maximum Effluent Particle Size YB in dia. ❑ dNA Other: ❑ NA Other: ❑ Other: ❑ NA 'Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: ❑0 ear( )(s) (Maximum 3 years) 11 NA Pump out contents of tank(s) When combined sludge and scum equals one-third (Y3) of tank volume ❑ NA Inspect dispersal cell(s) At least once every: ❑ month(s) (Maximum 3 years) ❑ NA 19 year(s) Clean effluent filter At least once every: ❑ month(s) ❑ NA t ® year(s) Inspect pump, pump controls & alarm At least once every: ❑ month(s) ❑ NA ® year(s) 'D month(s) Flush laterals and pressure test At least once every: ❑ year(s) NA Other: At least once every: ❑ year(s) (s) ❑ NA Other: ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third (Y3) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. Page Of--? START Uf AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or, must be taken, to provide a code compliant replacement system: A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ❑ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name c~c~/rriT ~-x Name - Phone _ Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name - Name j, Phone Phone _ This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(dM(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CLRTIFICATION FORM Owner/Buyer flat i 7-/,r-- S f /I`7 062,a Mailing Address y8 y CU ' Ze/G Property Address I&J e (Verification required from Planning Department for new construction) City/State T Parcel Identification Number 03.Z -10 15 /4 -0 00 LEGAL DESCRIPTION Property Location 5, %4, _ V4, Sec. T_© N-R. L2__W, Town of C So e"~i~.2 E T . Subdivision /2 ACRE &Ad e e= z Lot # Certified Survey Map # Volume ..Page # Warranty Deed # ~65 /B S9 , Volume Page # Spec house ❑ yes 00 no Lot lines identifiable X yes ❑ 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 mastorplumber, journeyman plumber, restrictedplumber or a licensed pumper 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 your septic system has been maintained must be completed and returned to the St. Croix County Zoning office within 30 days of the three year expiration date. / /02 ':2'.:~ - L:::~= F SIGNA OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. ~ L' - - 0_;-= 9 //,0/ 02 SIGNATURE OF APPLICANT 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 [ . » w . hy.; aR., .•Y .':ds i -r . i. JAI ~ F.. 'rf, • 0-A I elk 1, 4 9i. 4 ~3 j1,8J ( STATE BAR OF WISCONSIN FORM 2 - 1982 WARRANTY DEED !DOCUMENT NO. VOL 1207PAcf*496 A-M'SIER'S OFFICE Jeffrey C. Lauck ST.CROIXCTY,,WI fiteyt►liaoole Nov 6 1996 conveys and warrants to Ti mnthv civin anti Ti+a3 th A 1:30- P. M neg- hrrahand and mi "I~'V4. `4 ldj:h ft*2*.,!w of Moods THIS SPACE RESERVED FOR RECORDING DATA NAME AND RETURN ADDRESS the following drsctibed real estate in _ R t - rrCf X County, O State of Wisconsin: QG. L~7/ 032-2017-95; 032-2018-10 II PARCEL IDENTIFICATION NUMBER i (See Attached Exhibit "A") ! it II S R it ii This is not homestead property. ~l WXX (";W)- Exception to warrant= Easements, restrictions and rights-of-way of record, if any. Dated the day of o!! , A.D., 19 96 ~I (SEAL) X (SEAL) w- #A --I,- ~I (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGb1ENT Signature(s) Jeffrey C. Lauck State of Wisconsin, ss. C74, "a lcw- County. authenticated this y of Oc.ir 19 96 Personally came before me this day of (~v` , 19 , the above named Kristina gland TITLE: MEMBER STATE BAR OF WISCONSIN (if not, authorized by 9706.06, Wis. Stats.) to ma known to be the person who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY Attorney Kristina Ogland - Hudson WI 54016 Notary Public, Count Wis. (Signatures may be authenticated or acknowledged. Both are not My commission is permanent. (if not, state expiration date: necessary.) 19 J Naves of persons signing in any capacity should by typed or printed below their sigmturm WARRANTY DEED STATE BAR OF WISCONSIN Wlaeon , L%W BIaNcCo.Inc. Form No. 2 -1962 Milwale e. WiL ~ k'V1aa ' ;Gera4e , = k2'%4 E tww • a- : a~ cr.