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020-1479-10-000
>lisconsin Department of Commerce PRIVATE SEWAGE SYSTEM county: St. Croix Safety and Building Division Sanitary Permit No: INSPECTION REPORT 556327 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: Bast, Kernon J. I Hudson, Town of 020-1479-10-000 CST BM Elev: Insp.BM Elev: BM Description: `,� 8W\ Section/Town/Range/Map No'. /X W" d.�_ jac r L.J: 36.29.19.3031 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER . CAPACITY STATION BS HI FS ELEV. `n, 5 Septic -d=71. Z / Benchmark •Z. w) /OZ•lr ��� l f z /ZC W ,,IL d� - Dosing Alt. BM Aeration � � � � � Bldg.Sewer ,I 7o q7 Holding St/Ht Inlet a S 3 d g•07 `1 f. Ht Outlet 1 90 c�Z 7 TANK SETBACK INFORMATI N d � � J TANK TO P/L WELL BLDG. Vent to Air Intake R AD 94i�Tr�t / 3 q/ Septic / 1 Dt Bottom //`/7 16Z g Header/Man. Z yJ Dosing / Y i zo m y 8G dam. Aeration V Dist. Pipe I Holding Bot. System ��. ' �. Final Grade X3.6 PUMP/SIPHON INFORMATION S 3 Manufacturer Demand St Cover GD.�A, v--- GPM jTA1C F Go✓w 7ZS 7. Model Number WOO—r A77) c4uvj 9 7 `7 TDH Lift Friction Loss System Head DH Ft Forcemain Length Dia. J C(/ b.75 Tt�,- 165.166 SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No Of Tye�c_hes� iKDIMENSI ONS No.Of Pits Inside Dia. Liquid Depth DIMENSIONS — SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: , � � ��.`� � � ]/L UNIT Model Number: DISTRIBUTION SYSTEM (i•�P,cS (� �/1"//T Header/Manifold / Distribution 1.145 x Hole Size l �� x Hole Spacing/ Ve o Air Inta e Length �✓ Dia 2 Length Dia Spacing a 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 —7 C Bedrrrench Edges Topsoil �J Yes No Yes ij No COMMENTS: (Include code discrepencies,persons present,etc.) Inspection#1: !2y 1 Z L Inspection#2:—/— Location: 853 Yost Drive��dson,WI 54016(SW 1/4 SE 1/4 36 T29N R19W) Cottonwood South'0�L_o 10 Parcel No: 3�6'.,2�9,.�1,9,.3031 1.)Alt BM Description= 1 '� .• F�c�� `��GCVe, �:�_ Gam.- t� "'� "" 'y 2.)Bldg sewer length= 1 2 1 -amount of cover= GItG✓� OJ �"�^�'� Z� ��� Plan revision Required? ❑ Yes No r e� l�i F_ Use other side for additional information. V — -at - -- - Date Insepc s Signat Cert.No. SBD-6710(R.3/97) County Safety and Buildings Division St.Croix _ 201 W.Washington Ave., P.O.Box 7162 Sanitary Permit Number(to be filled in by Co.) Madison,WI 53707-7162 State Transaction Number Sanitary Permit Application 2176651 rrrr to the ro ate o n it Wis.Adm.Code,submission of this form In accordance with SPS 38311(2), o app pd g�n� ., is required prior to obtaining a sanitary permit. Note:Application forms for state-owned POWTS are subm m i d Project Address(if different than ailing address) the Department of Safety and Professional Services. Personal information you provide may be used for se'condaty ��� r /1 purposes in accordance with the Privacy Law,s.15.04(1 m,Stats. Na i5-6 I. Application Information—Please Print All Information Property Owner'se Parcel# Kernon Bast WO - /4/,71— /D - COO Property Owner's Mailing Address Property Location /' 3631 948 LaBarge Road Govt.Lot City,State Zip Code Phone Number SE /.,_$W_'/., Section 36 (circle one) Hudson,WI 54016 715)386-8595 T 29N; R 19 E or W II.Type of Building(check all that appl Lot# ❑1 or 2 Family Dwelling-Number of B ms 4 er residence 10 Subdivision Name 6- 11 Cottonwood Ride South El Public/Commercial-Describe Use 6k t7d �•�• o(` 7 p�a.�.. Na ❑City of ❑State Owned-Describe Use CSM Number ❑Village of n, � � Na ❑Town of Hudson �D IIL Type ol Permit: (Check only one box on line A. Complete line B if applicable) A' ❑New System ❑Replacement System ❑Treatment/Holding Tank Replacement Only Other Modification to Existing System(explain) Addition to existing dispersal cell B• ❑Permit Renewal errnit Revision Change of Plumber ❑Permit Transfer to New List Previous Permit Number and D Issued Before Expiration Owner S310�' Z / 9�S �L IV.Type of POWTS System/Component/Device: Check all that apply) ❑Non-Pressurized In-Ground ❑Pressurized In-Ground ❑At-Grade ❑Mound>24' .of s ' soil ❑Mound<24 in.of suitable soil ❑Holding Tank ❑Other Dispersal Component(explain) treatment Device(explain) 75 V.Dispersal/Trestrltent Area Information:Symtech STF-100 effluent filter X 65 )C Design Flow(gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required(sf) / Dispersal Area Proposed(sf) System Elevation 3,600.00 G d 1.6 d/s .ft.native soil 2,250.00 s .ft. ✓ 2,520.00 S .Ft. �•• 9 ?j VI.Tank Info Capacity in Total #of Manufacturer , U_ Gallons Gallons Units New Tanks Existing Tanks U Septic or Holding Tank Dosingchamber 1,000 1,000 1 Wieser Concrete I X VII.Responsibility Statement-I,the undersigned,assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name(Print) Plumber's Signature MP/MPRS Number Business Phone Number William Schumaker I a)h_& I MP 227990 (715)386-2131 Plumber's Address(Street,City,State,Zip Code) 1070 Scott Road,Hudson, WI 54016 VIII. oun /De artment Use Only Approved isapproved Permit Fee Date Date I ued Issuing ent Sign n Reason for Denial �v Z 1� Z UL CondWW9QAQ*V*RI/Reasons for Disapproval 1. Septic tank,effluent filter and 'J'�eA dispersal cell must all be services I maintained as per management plan provided by plumber. 2. All setback requirements must be maintained ! /� as per applicable.code/ordinances. �✓a C4.�. 41atf,G, Lo 44� 1 re; Attach to complete plans for the system and submit to the Cototy only on paper not less than 8 1/2 a 11 inches idhize S, t,> c. a Cam - %s oln 4_r(a, t4-6 eA,6 UfL SBD-6398(R. 11/11) a, n /I'p� war &^ �r�,• C ,�ti Lp� K i 8084058 Document Number Document Title Tx:4069846 St. Croix County � 962883 BETH ST AEROBIC TREATMENT UNIT (ATU) REGISTER OF DEEDS SERVICING AGREEMENT ST. CROIX CO.f WI RECEIVED FOR RECORD Late Plan Transaction Number- W&IS 09/05/201210:39 AM EXEMPT#: REC FEE: 30.00 Name—(Owner)Typed or printed PAGES: 1 Being duly sworn,states,under oath,that: Fie/she is the owner/part owner of the following parcel of land located in St. Croix County,Wisconsin,recorded in Volume Zt?3 I Page 31 b Document Number St.Croix County Register of Deeds Office: Recording Area A arcel of land located in the m/4 of the A of Section Na and Re m Address T p N-R li4 W,T�of #U% St.Croix M.440 11 Court :-Wisconsin,being duly described as follows(include lot no.and Q+j�t 6 subdivision/CSM or detailed legal description): M70,54i I W:r 540 6 A4r" !O P144.4 Ca*a woa>r j644 ,SA" aid• o - SI7 9--/0-WO Com ws*4 ,S'eVrV.. 5YSMM 3&97,4 4-0 L Z Parcel Identification Number(PIN) Agreement Date: 111!1&Dt As an inducement to the county to issue a sanitary permit for a POWTS equipped with an Aerobic Treatment Unit on the above-described property. we agree to do the following: 1. Owner agrees to conform to all applicable requirements of Comm 83,Wis.Adm. Code relating to Aerobic Treatment Units(ATU)and the maintenance requirements for the proposed POWTS(Private Onsite Wastewater Treatment System)technology. If the owner fails to have the POWTS and ATU property serviced in response to orders Issued by the governmental unit or the Department of Commerce to prevent or abate a human health hazard as described in s.254.59, Stats., the governmental unit(St. Croix County)may enter upon the property and service the tank or cause to have the tank to be serviced and charge the owner by placing the charges on the tax bill as a special assessment for current services rendered. The charges will be assessed as prescribed by s.66.0703,Slats. 2. The owner agrees to maintain a contract with a licensed POWTS maintainer for the life of the system.The POWTS maintainer will perform periodic inspections and maintenance as required by the manufacturer and the Department,including,but not limited to:the blower.electrical controls, and treatment unit operation and sludge depth.These inspections are to be scheduled every 6 months for the first two years of operation and yearly thereafter. 3. The owner agrees to contact the POWTS maintainer immediately upon any malfunction of the treatment unit and to maintain the unit so as to not create a human heath hazard as described in s.254.59,Slats. 4. The owner recognizes that the county,Department of Commerce,or POWTS maintainer may make periodic inspections of the components to complete performance monitoring of the unit. 5. The owner or the owner's agent agrees to report to the department or designated agent at the completion of each inspection,maintenance or servicing event in a manner specified by the department or designated agent within 10 business days from the date of inspection, maintenance or servicing. 6. This agreement will remain In effect only until the county office responsible for the regulation of POWTS certifies that the aerobic treatment unit no longer serves the property. In addition,this agreement may be cancelled by executing and recording said certification with reference to this agreement in such manner which will permit the existence of the certification to be determined by reference to the property. 7. This agreement shall be binding upon the owner,the heirs of the owner,and assignees of the owner. The owner shall submit this agreement to the Register of Deeds,and the agreement shat be recorded in a manner that will permit the existence of the agreement to be determined by reference to the property where the Aerobic Treatment Unit is installed. Owner(s)Nome(s)-Please Print Subscribed and sworn to before me on this date: '96414-00---L Nota e(s atu s) Not pVubk Gore enta! a e,Title-Please Print t,+ty Commission Expires Governmental Unit Official Signature Draftedby�- ~ Personal information you provide may be used for secondary purposes(Privacy Law s. 15.04(1)(m)) Pamela A. Wiilnlan Notary Public - fda of Wisconsin "THIS PAGE IS PART OF THIS LEGAL DOCUMENT—DO NOT REMOVE" This information must be completed by submitter d1ocummt tale.name&return dress.acid&U(if required). Otherinfovmation such ss die t d rariting douses,/opt description,etc.may be placed on this first page of the document or may be placed on additional pages of the -iocumenr:'� Use of this cover page adds ore page to your document and 32.00 to the room im fee. Wisconsb Statutes, 59.517. oenxxn �� Safety and Buildings 141 NW BARSTOW ST FL 4TH in WAUKESHA WI 53188 3789 3 Contact Through Relay www.dsps.wi.gov/sb/ 4� www.wisconsin.gov ° ssrcNt+vS��' Scott Walker,Governor Dave Ross,Secretary November 08, 2012 CUST ID No. 227990 ATTN:POWTS Inspector WILLIAM C SCHUMAKER ZONING OFFICE SCHUMAKER PLUMBING ST CROIX COUNTY SPIA 1070 SCOTT RD 1101 CARMICHAEL RD HUDSON WI 54016 HUDSON WI 54016 CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 11/08/2014 Transaction ID No. 2170051 SITE: Site ID No. 785818 Cottonwood Ridge Common Please refer to both identification numbers, Cottonwood Ridge South Lots 6-11 above,in all correspondence with the Town of Hudson en St Croix County SE1/4, SW1/4, S36,T29N,R19W Lot:6-11, Subdivision: Cottonwood Ridge South FOR: Description: Addition/Alteration to Existing Pressurized InGround, ATU,6 Residence Object Type: POWTS Component Manual Regulated Object ID No.: 1400535 Maintenance required; 3,600 GPD Flow rate; 110 in Soil minimum depth to limiting factor from original grade; System(s):In-ground POWTS Component Manual, SBD-10705-P(N.01/01),Pressure Distribution Component Manual -Version 2.0, SBD-10706-P(N.01 101); Aerobic Treatment Unit, 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. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. 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: This system is to be constructed and located in accordance with the enclosed approved plans and with the 'Pressure Distribution Component Manual for Private Onsite Wastewater Treatment S terns",SB 06 (N.01/01)and the"In-Ground Soil Absorption Component Manual for Private Onsite tew T nP Systems" SBD-10705-P(N.01/01). N� G SPS 383.21(2)(c)4.The application for a sanitary permit shall be accompanied with docu teat the master plumber or master plumber-restricted service who is to be responsible for the installation or cation of the POWTS,has completed approved training on the proposed POWTS technology or method. SPS 383.52(3) The activities relating to evaluation and monitoring mechanical POWTS components after the initial installation of the POWTS in accordance with an approved management plan shall be conducted b_y a person who holds a registration issued by the department as a registered POWTS maintainer. WILLIAM C SCHUMAKER Page 2 11/8/2012 The current owner,and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. Per SPS 383.21(2)(c)5,Wis. Adm. Code, if any part of the POWTS management plan specifies required servicing or maintenance at an interval of 12 months or less,the activity must be recorded with the deed for the property. A sanitary permit may not be issued unless documentation that maintenance requirements for the POWTS technology or method have been recorded with the deed for the property. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition,the owner must insure that the operation, maintenance and monitoring duties as described in section VI of the pressure distribution component manual are complied with. A copy of this information must be given to the owner upon completion of the project. A state approved effluent filter is required.Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required.Access to the filter for cleaning must be provided per SPS 384 product approval conditions. A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. 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. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department,which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Safety&Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2),nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure,or component. WILLIAM C SCHUMAKER Page 3 11/8/2012 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$ 400.00 Fee Received$ 400.00 Balance Due $ 0.00 Julia Lewis-Osborne POWTS Reviewer 2 , Integrated Services WisMA.I code„1�0 (262)397-6005, Fax: (608)283-7481 julia.lewis@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. I b Common In-Ground Pressure Conventional POWTS W/ ATU Index & Tilte Sheet RECEIVED Project Name: Cottonwood Ridge South Common In-Ground Conventional POWTS 1`110 V —5 2012 Owners Name: Kernon Bast vti+ L_TY & BUILDINGS Owner's adress: 948 LaBarge Road,Hudson,WI 54016 Site address: Na Project Location: Subdivision: Lots 6,7,8,9, 10& 11,Plat of Cottonwood Ridge South Legal Description: SE1/4 SW1/4,Sec.36,T.29N.,R. 19W.,Town of Hudson,St.Croix Co.,WI. Parcel ID#: Na Page 1 Index and Title Sheet Page 2 Overview,Design Flow&Treatment Tand Calculations Page 3 Distribution Network&Dispersal Cell Sizing Calcuaations Page 4 Absorption area plot plan Page S System Cross Section Page 6 Plan View&Lateral Detail Page 7 Dose tank exit detail Page 8 Dose pump curve Page 9 General system management Page 10 System specific management Page 11 Genreral plot plan Attachments: Soil Evaluation Report ATU Agreement ATU Service Contract Mater Plumber Restricted Service: Bill Schumaker,Dep't.of Safety&Professional Services Credentia 22799 Signature: � � °' Date: age 1 of 11 Design pursuant to In-Ground Soil Absorption Component Manual for POWTS,version 2.0 SBD-10705-P(N.01/01;R.10/12) Overview,Design Flow & Treatment Tank Calculations JOB DESCRIPTION; An existing POWTS exists on this property,having obtained plan approval and a revision to those plans in 2007. Those plans indicated that 4 lots(6,7,8&9)within a platted subdivision would utilize. Each lot would accommodate a four bedroom home and be serviced by its own septic tank and a Bio-Microbics 0.75 FAST aeration treatment unit with treated effluent fed by gravity through a private interceptor main to a 1,000gal. pump chamber with duplex pumps with duplex controls. The duplexing pumps demand dose effluent to a common In-Ground dispersal cell consisting of six(6)dispersal trenches at 3'x 105' constructed with E-Z Flow synthetic aggregate. Equal distribution is accomplished by pressurized laterals installed through each trench. The system was installed in October of 2010 when lot 6 was developed. The three remaining lots are undeveloped. A new home is being proposed for construction on lot 10. PROPOSAL: This proposal is to reconfigure and expand the existing installation to accommodate two(2)additional Iots,lots 10& 11, with four bedroom residences. This will be accomplished by installing separate septic tank and Bio-Microbics 0.75 FAST aeration treatment units for each lot with treated effluent fed by gravity to the existing private interceptor main and the existing pump chamber. Two additional trenches will be constructed at 3' x 105' utilizing E-Z flow synthetic aggregate. The existing manifold will be reconstructed to create two(2)separate manifolds that will independently feed two independent cells consisting of four(4)trenches each. The existing effluent pumps will be replaced with duplex pumps sized to accommodate the new flow requirements,with each pump alternately dosing to its own and independent dispersal cell. Lateral sizing and orifice size&spacing will be the same as those previously installed. DESIGN WASTEWATER FLOW CLLCULATIONS: Individual Treatment Plant capacity required: 600.00 Gpd (I Residence)(400 design flow)(1.5 design safety factor) =600.00 gal.Design Flow Combined Dispersal Cell capacity required: 3,600 Gpd (6 Residences)(400 design flow)(1.5 design safety factor) =3,600.00 gal.Design Flow SEPTIC TANK CAPACITY CALCULATIONS: Manufacturer&Capacity: H4064 1,250/750 Combination treatment tank/settlingtank 1. Capacity per 1310-Microbics design specifications= 12 hr.—24 hr.retention time. 2. DWF=600Gpd gal.tank retention time=48 hrs.5 minutes(1,250 capacity/600 Gpd DWF) 4. P yLok PL-525 effluent filter at outlet of settling chamber. AERATION TREATMENT UNIT CAP I Y CAL LATIONS: Manufacturer&Capacity: Bio- icrobics#AST 0.75 ent ca aci of 750!Qpd or 1.376 bs)D/day Average daily flow as proposed—A600 G sumed at 220 mg/L B.O.D.= 1.10 Lbs BOD./day DOSE CHAMBER CAPACITY&DEMAND DOSE CALCULATIONS: Manufacturer&Capacity:Wieser Concrete WLP1000-MR(39.W'@,27.83 gal./inch= 1,085.37 gal.actual Duplex Control Panel:SJRhombus 1221WI24116AIOE17A Symtech STF-100 effluent filters to be installed on each pump. Sizing: A)Additional holding capacity: 15.00"= 522.25 gal. B)Alarm setting: 2.00"= 55.66 gal. C)Dose volume+flow back: 7.00"= 243.67 gal. (3,600 gal./5 doses per day/2 cells)+(.163)(35')=360.00+5.71 =365.70 gal.maximum dose volume (105'lateral length)(0.092)(4)(5)+(.163)(45')= 193.20+5.71 = 198.91 gal.minimum dose volume D)Reserve storage: 12.00"= 417.72 gal. TOTAL: 39.00"=1,085.37ga1. Pump selection: Manufacturer: goulds / Model number: 3885 WE03L J Min.discharge rate required: 55.76 gpm Pump discharge: 60 Wm a) 14.03'TDH Pg.2 of 11 Distribution Network & Dispersal Cell Sizing Calculations Effluent Distribution: Pressure distribution network to be constructed to equally distribute effluent throughout dispersal cells. See page 6 for lateral detail. Pressure Distribution Network: 1. Distribution pipe sizing: Laterals per cell: 4 Lateral length: 105.00' Lateral size: 1 YZ" Orifice size: 1/8" Orifice spacing(x): 36" 1 st hole at 18"from manifold entrance into endcap) Orifices per lateral: 34 Network discharge rate: 55.76 gal/minute(41aterals)(34 orifices/lateralx0.41ga1/orifice) 2. Manifold sizing: Location: End Length: 2 ' Diameter: 2" Friction loss Manifold: 2.58'(24')(4.55 ft./100ft.)= 1.09 ft.+.1.49'fittings 3. Force Main: Diameter: 2" Length: 30' Flow rate: 55.76 gal./min. Friction loss Forcemain: 1.60'(35)(4.55 ft./100ft.)=1.593 ft. 4. Total dynamic head: 14.03' Min.supply pressure: 5.00' Vertical lift: 4.35' Friction loss(Forcemain): 1.60' Friction loss(Manifold): .58' Friction loss(filter): 0.50' Total dynamic head: 14.03' 5. Fluid Flow Calculations:5.69 ft./second Effluent velocity=(.408)(55.76_gpm) =5.688 ft./second(flow through PVC pipe to be 2- 10 ft./sec.) 4 Lateral Construction Detail: 1. Pressure distribution laterals to be installed in accordance with manufacturer recommendations for E-Z flow synthetic distribution media. 2. Distribution lateral to start at entrance through end-cap. I"orifice located at 18"from entrance through end-cap,last orifice located at 18"from end cap. 3. ''/s"orifices to be drilled at 12 o'clock position with every 5t'orifice drilled at 6 o'clock position to allow effluent drainage upon completion of dose cycle. 4. 1'/z"lateral cleanout extension to be brought to finished grade by use of long sweep 90°elbow. Cleanouts to terminate within valve box at finished grade elevation.. Dispersal Cell Sizina Calculations: 1. Design Wastewater Flow:= 3_,600.00 go Design Flow 2. Infiltrative capacity of natural soil= 1.6 gpd/sa.ft. 3. Absorption area required: 2,250.00 sa.ft. 4. Absorption area as proposed: 2,520.00 sq.ft. Number of trenches: 8 Trench width: 3.0' Trench length: 105.0' Total system area w/4'trench spacing 27.0'x 100.0' Pg.3 of 11 ;1A 1 ii A 0.71'• 1 57.73' sowwse-w IV. • rr air - ra $-0 pr 0 'a -P. rp ;I .c;R 30'"c 30, % 0 0 00 1 C) 0 I M. - a 142.1T 89,5856-W SOMSBIW208 -Ao 3-W. 7137, 46. a- ru 11 1 1 5.29 OOM 240.03N. 0 :6 z U, -------------- Ic a 0 I- IN a 0. DOOR ;z 0 % Z.9 V .30. 00' 245Z7 I Z 0 225-40- 00 \�N�165.2 39.96' SOO'WSB'W SWAV 91-00 0 F 12991 MATCH LINE SEE SHEET 1 Z Vz zi wo -a t 11-J o co 0 8 a-, VY .6 L aT f�1 � O � \ ��nw..�v(�4 \`�� a•L7.,� d`^ — �ow,,,,� c7 v, J S�<[�..., \-1�¢,µ � IS 3p y � U I I I Ii 4J I �i " T f J � O � d �J T 1 0 O 0 3 — O d ° d a° e `� ✓iy 10 S f rp ; s J c4 333 d T L-21) -- ----------- v(", Pic l'o aj A LIS —(r 0 k PUMP CHAMBER CROSS SECTION Page Min.2'Vent Pipe with Gap 2 10' from door,window 01,Q_ ., or fresh air intake ��Vent Gap —Jai ^� Weather Proof T Junct ri Box Approved locking manhole cover w/warning label 12'MIN I Final Elev. Grade 4'MIN Conduit ` 18'MIN a4,s' a 11� 6, Approved \1 Provide I Joint A Airtight Seal ! !I � Approved Jonts i I Alarm // 1_L,tic C 11 V CClS 0 Pump�\ � I I On ELEV,ft ELEV,ft p Off /i Concrete Block Elev. Z 3'approved bedding material under tank rfl- liquid level 2�•8� gallons/in. SPECIFICATIONS Note: Pump and alarm are on separate Number of Doses: t 6,q Per Day circuits as per Wis. Adm. Code Gallons Per Day /# of Doses: Z\5-, 6 Gallons Volume of Backflow: 11. f. Gallons Tank Manufacturer: Total Dose Volume: 22�1,64- Gallons Tank Size: Gallons Alarm Manufacturer: Capacities: A J-0,0 inches or S S'b.b Gallons Model Number: B ')- inches or Gallons C G inches or�,ZZ,b4 Gallons Pump Manufacturer: D 9 inches or �sro.S� Gallons Model Number: Total........ inches or 'k- Gallons Minimum Discharge Rate: GPM Vertical Difference Between Pump Off and Distribution Pipe:............ : 4,c, Ft. Minimum Required Supply Pressure ........... + S=o Ft. . ..................................... 10 Ft. of Force Main x b,4-g Friction Factor/100 Ft. ................. + \,q¢ Ft. o,a Total Dynamic Head = V3-gWFt. Internal Pump Tank Dimensions: Length g Width i Depth to inlet Z,. Bulletin CL2.1A July 8, 1983 • For Homes 71' • Farms _ GOUL DS Trailer courts Model 3885 • Motels ' * (Supersedes Model 3870) • Schools • Submersible • Hospitals • Industry Effluent Pump Effluent Pumps - ---------- • Effluent Systems Pump Specifications anywhere effluent Solids Handling Cjp,,bilily to or drainage must be Discharge Size disposed of quickly, NI'T quietly and efficiently. Senu-Open impeller 3 back-Otl ",,,PrUje�tof Casing Vniul'' Heavy-Duty olids Handling Stainless Steel F istenero Y- Y 9 S'j e� Dependable Capability to 3/4" re;uttlnLe � - \ , Mechanical Seal cu�W ( Maximum Temperature 1/3, 1/2 H.P. 60 Hz Single Phase 115; 230 Volt. Capable of Hunning Dry wit o"! oani..y-_ --, Motor Specifications 1/2, 3/4, 1, 1 1/2 H.P. 60 Hz Motor Fully Submerged Single Phase 230 Volt. Three Phase 208-230, 460 Volt. �Ifca� Bearings s lain e mless Steel Shan., �, i pus single Phase Units 90 Al: 80 _T Three Phase units WE15H MODEL 3885 �WE10H RPM 1750/3450 Power Corc w 60 o �WEO7H --+— — — — — 2 50 U _ Q40 WE05H Single Phdnc unit Z Y WE03M 0 30 Q 0 20 WE03L ' 10 WITHOU1 NC):CE 0 10 20 30 40 50 60 70 80 90 100 110 120 1�GOULDS PUMPS, INC. GALLONS PER MINUTE System Management Management of this system is critical. As a condition of approval of these plans this system management section must be reviewed with the owner,and the owner must be provided with a complete set of plans including this management section, if problems develop with the adsorption system or any other system components,the installing plumber or the St. Croix County Zoning Office, 715-386-4680,should be contacted for assistance. General Proper functioning of an on-site disposal system, "septic system," is significantly dependent on the volume of water which flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants,the better and longer the system will function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils,a filter on the outlet of the septic tank to retain small particles of the same density as water,a dose tank or compartment to allow a dose to be accumulated,a pump and controls or automatic siphon, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. 1. If the septic tanks are installed prior to sheet-rock and/or painting,pump the septic tanks before normal use begins to ensure adherence to contaminant load design criteria. 2. Install water-saving appliances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. 4. Never pour grease or oil down any drain or stool. 5. Garbage disposals are not recommended; if you must have one,use it sparingly 6. No paper products other than tissue should go into the system. 7. No chemicals should go into the system. 8. Avoid surge flows of water;try to spread laundry throughout the week. 9. Aerobic tank effluent must be less than or equal to the design criteria specified in page 3 of these plans. 10. If septic,treatment or dose tanks are no longer used,they must be properly abandoned. 11. If construction timing and weather could create a frozen infiltration system, weather-proofing with plastic sheeting and heavy mulching may be required to maintain a functional system at start-up. Maintenance 1. The septic tanks must be inspected every three years by a properly licensed person. 2. If necessary,the septic tanks must be pumped to remove solids and scum;pumping is required if the combined scum and solids volume equals one third of the tank volume. \ 3. When the septic tanks are pumped, any solids in the bottom of the dose tanks and aerobic treatment tank must be pumped, and the filters must be back-washed into the septic tanks to remove accumulated material. System use may require more frequent filter cleaning; initial inspections of the septic compartment filters should be made every 6 months until a minimum time sequence is determined. 4. Periodic observation pipe inspections should be made by the owner to examine the state of the in-situ soil adsorption cell. Quarterly inspections are recommended; a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell. 5. This system has an aerobic treatment tank which must be inspected every six months according to specifications and contract. 6. The aerobic treatment system has a blower which runs continuously; if blower operation has stopped a licensed plumber should be notified for service as soon as possible. 7. The pumping components for this system include alarms which must be installed and remain on separate circuits from the pumps. If alarms are activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reserve capacity to accumulate some necessary flow until normal service can be restored;this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. 8. Avoid compaction such as vehicle traffic above or within 15'of the adsorption system. 9. Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 10. Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. 11. Surface drainage must be diverted around the system; avoid landscape changes which might send surface run-off into the system area. 12. The phone dialer connected to the dose tank alarm system must be directed to the contracted maintenance plumber and the contract must require pump service within 24 hours of a dialed alarm condition to minimize any system overload. 13. Warning: Do not enter septic, dose or other treatment tanks; death.may result because they may contain lethal gases or insufficient oxygen. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement;such-monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.54 (2). Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing, and/or installation of additional treatment components may be necessary. Page 9 of I I A System Specific Maintenance The developer is responsible for all required maintenance. A properly licensed, experienced plumber should be under a maintenance contract. Treatment Systems 1. The aerobic treatment unit blowers should be periodically checked and the inlet screens cleaned approximately every six months or after any periods when debris such as leaves or mowed grass might have been air-borne in quantities. 2. The aerobic treatment units should never smell septic; if unusual odor occurs, notify the installing plumber or contractual maintainer. 3. Annual inspection is recommended of sludge depths in the septic (trash) compartments and in the treatment compartments. 4. Unusual noise from the blower units should be referred to the installing plumber. 5. Manufacturer's specifications for initial inspections every six months for two years must be followed; follow-up inspections required at yearly intervals. 6. The installing plumber must include the required initial six month inspections in the installation price according to NSF specifications. 7. Individual septic (trash) tank compartments with effluent filters are located on each of the six lots served by this system. The effluent filters have alarms to notify the homeowners if filter service is needed. If alarms are activated the homeowners need to notify the developer or contractual maintainer. 8. House locations and topography may require combination septic-pump tank installations (STEP systems) where the effluent is pumped up to the system effluent collection piping. The pump compartments in these cases will be.equipped with alarms to indicate any problems with the pumping systems. If the alarms sound the homeowners need to notify the developer or contractual maintainer. 9. All alarm systems should be checked annually to ensure proper operating condition. \ 10. If any alarm sounds or indicates a problem, notify the installing plumber or contractual maintainer Dispersal System 1. The alarm system for the duplex dosing pumps is connected to an automatic dialer phone system to promptly notify the plumber under the maintenance contract of any alarm condition. 2. Pump servicing is required within 24 hours of a dialed alarm condition. 3. The dose alarm system should be checked at least annually to verify proper operating order. 4. The area above the dispersal cells should not be mowed after August 31 to allow vegetative growth prior to cold weather. 5. Traffic of any kind is not permitted across the dispersal area; the perimeter of the area must be delineated with a decorative fence/barrier which must be maintained in a manner to prevent incursions by vehicles, "four-wheelers," snowmobiles or other equipment which might compact or damage the area. 6. Annual inspections of the dispersal system must be conducted; the surface above the dispersal cells should be of relatively uniform appearance with no unusually wet locations. Observation wells must be inspected to look for evidence of significant or prolonged ponding in the trench system.. 7. Manufacturer's supplied operation and maintenance manuals will be followed. Page 10 of 11 v S+ lh .J' 1 r+ � ✓' `-� `-mob N p -1 � N � ✓` r J fl � � o• IJ � d S 3 r1 � u � =_ d � d � d �6 rlr n � 5 O D '� -7 #2020 Wsconsin SOIL EVALUATION REPORT Department of Commerce in accordance with Comm 85,Wis.Adm.Cod Page 1 of 4 Division of Safety and Buildings Steel's Soil Service Attach complete site plan on paper not less than 8%x 11 inches in size. Plan must County 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. Pending Please print all information. mac.`.'— Reviewed B Date � Personal information you provide may be used r sew Ey Law, .15.04(1)(m)). Zd 4 7 Property Owner „�- Pro rty Location Bast, Kemon 2006 Go .Lot na SE1/4,SW1/ ,S36,T29N,R19W Property Owner's Mailing Address Lot Block# Subd.Name or CSM# 948 Labarge Rd. lx COUNT 6-7 8-9 na Cottonwood Ridge South City State Zip C de Phone Number City ❑village ❑ Town Nearest Road y5-� !n Hudson WI 540 715-386-7775 Hudson I Cty Rd N New Construction Use: N Residential/Number of bedrooms 16 Code derived design flow rate 2400 GPD ❑Replacement ❑ Public or commercial-Describe: na Parent material outwash plains and stream terraces Flood plain elev ,' pp icabie _ General comments Conventional system.System elevation to be determined by rgner. and recommendations: '1 F-11 Boring# El Ground surface elev. 100.20 it. Depth to limiting factor 110 in. Soil ate IN Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 1 0-13 10yr3/1 none sil 2msbk mfr CS 1vf .6 .8 2 13-29 10yr4/4 none sid 2msbk mfr Cs na .4 .6 3 29-63 7.5yr4/4 none grcos osg mvfr CS na .7 1.6 4 63-110 7.5yr4/6 none ms osg ml na na .7 1.6 F2]Bodng# Z Ground surface elev. 100.00 ft. . Depth to limiting factor 110 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. T01 *Eff#2 1 0-11 10yr3/1 none sil 2msbk mfr Cs 1vf .6 .8 2 11-27 10yr4/4 none Sid 2msbk mfr gw na .4 .6 3 27-53 7.5yr4/4 none grcos osg mvfr Cs na .7 1.6 4 53-110 7.5yr4/6 none ms osg ml na na .7 1.6 *Effluent#1=BOD 5>30<220 mg/L and TSS>30<150 mg/L *Effluent#2=BODS S30 mg/L and TSS<_30 mg/L CST Name(Please Print) Signature: 2 CST Number David J.Steel 248956 Address Steel's Soil Service Date Evaluation Conducted Telephone Number 994 200th St.Baldwin,WI 54002 10/13/2006 715-760-0347 SBD4330(R.07M) Property Owner BaSt, Kemon Parcel ID# Pending Page 2 of 4 F3] Boring# Ground surface elev. 99.80 ft. Depth to limiting factor 110 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft: in. Munsell Qu.Sz.Cont.Color Gr_Sz.Sh. *01191 *Efr#2 1 0-13 10yr3/1 none sil 2msbk mfr Cs ivf .6 .8. 2 13-34 10yr4/4 none sicl 2msbk mfr Cs na .4 .6 3 34-58 7.5yr4/4 none grcos osg mvfr gw na .7 1.6 4 58-110 7.5yr4/6 none ms osg ml na na .7 1.6 4] Boring# F] ® Ground surface elev. 99.30 ft. Depth to limiting factor 110 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fe in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *Eff#1 -EM 1 0-11 10yr3/1 none A 2msbk mfr Cs ivf .6 .8 2 11-24 10yr4/4 none sicl 2msbk mfr CS na .4 .6 3 24-56 7.5yr4/4 none grcos osg mvfr gw na .7 1.6 4 56-110 7.5yr4/6 none ms osg ml na na .7 1.6 F-s] Boring# Ground surface elev. 99.35 ft. Depth to limiting factor 110 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. Vfr#1 *Etf#2 1 0-11 10yr3/1 none sil 2msbk mfr Cs ivf .6 .8 2 11-26 10yr4/4 none sid 2msbk mfr CS na .4 .6 3 26-64 7.5yr4/4 none grcos Osg mvfr gw na .7 1.6 4 64-110 7.5yr4/6 none ms osg ml na na .7 1.6 ! rl 2 *Effluent#1=BOOS>30<220 mg/L and TSS>30<150 mg/L "Effluent#2=BODS<30 mg/L and TSS<30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format,please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330(R.07/00) ms's Sod sevice Pro perty Owner Bast,Keeton Parcel ID# Pending Page 3 of 4 • ] Boring# ❑ ® Ground surface elev. 99.30 ft. Depth to limiting factor 110 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu.Sz.Cont.Color Gr.Sz-Sh. *Eff#1 *092 1 0-13 10yr3/1 none sil 2msbk mfr Cs 1vf .6 .8 2 13-28 10yr4/4 none sicl 2msbk mfr Cs na .4 .6 3 28-65 7.5yr4/4 none groos osg mvfr gw na .7 1.6 4 65-110 7.5yr4/6 none ms osg ml na na .7 1.6 / N F i Boring# G 100,00 ft. Depth to limiting factor � Ground surface elev. p 9 144 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. *Eft#1 *Efr#2 1 0-11 10yr3/1 none sil 2msbk mfr Cs ivf .6 .8 2 11-28 10yr4/4 none sid 2msbk mfr C5 na .4 .6 3 28-71 7.5yr4/4 none grcos osg mvfr gw na .7 1.6 4 71-144 7.5yr4/6 none ms osg ml na na .7 1.6 Ps� �0 Boring# M Ground surface elev. 100.10 8. Depth to limiting factor 144 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 0-13 10yr3/1 none sil 2msbk mfr Cs 1vf .6 .8 2 13-30 10yr4/4 none Sid 2msbk mfr Cs na .4 .6 3 30-66 7.5yr4/4 none grcos osg mvfr gw na .7 1.6 4 66-144 7.5yr4/6 none ms osg ml na na .7 1.6 t *Effluent#1=BODS>30<220 mg/L and TSS>30 a 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 need material in an alternate format,please contact the department at 608-266-3151 or TTY 608-264-8777. ssn-8330(x.07/00) steel's sdl serAce STEEL'S SOIL SERVICE 3 of 3 David J. Steel Kemon Bast 994 200 ' St. CST-POWTSM SE1/4,SW1/4,S36,T29N,R19W Baldwin, WI 54002 Lic.#248956 Town of Hudson,St Croix Co. Direct 715-760-0347 Cottonwood Ridge South, Lots 6-7-8-9 Fax 715-684-3449 This soil evaluation was conducted to satisfy a zoning requirement,it may or may not be suitable for your use. The location of this test may or may not be as shown,as permanent lot lines were not established at the time the soil test was conducted /41 Legend N 1"=407 I ♦ =Benchmark Ele. 100.00 ft 1 �. Top of 3/4"pvc pipe NU F //�� • =Alt Benchmark Ele. 100.05 ft Top of 3/4"pvc pipe ❑ =Borings (7 � Boring Elevations B1 = 100.20 ft 744k eTA- (p i /zi B2= 100.00 ft ,(,• 9q. B3= 99.80 ft 131 B4= 99.30 ft B5= 99.35 ft B6= 99.30 ft 14-�'�" ��� B7= 100.00 ft B8= 100.10 ft 13 - i commerce.wi �� Safety and Buildings Division County< , 201 W. Washington Ave. P.O.Box 7162 i sco ne s i rs 9 Jr Madison, WI 5 su,.:c„rr rv,-.0 L N nGcr(w be tiuece:n by co.) `��2 2 g' S so 3 D- ``\ State Transaction Number Sanita�,��G 2&Application In accordance with s.Comm.83.21(2y?M " .Code,submission of this form to the appropriate governmental unit is regdred prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are Project Address(if different than mailing address submitted to the Department of Commerce. Personal information you provide may be used for secondary purposes in accordance with the Privacy Lat/,s. 15.M(1)(m),Stats. I. Application Information–Please Print All Information Property Owner's Name Pare el# - 1d- coo - - Property Owner's Mailing Address Property Location . V Govt.Lot.. •7 4 City S to , Zip Code Phone Number y,� /,, Section tc� I .Type of Building(check all that apply) OR Lot# _ 1 or 2 Family Dwelling-Number of Bed.oo Subdivision Name �� ❑Public/Commercial-Describe Use — f CS umber �' i ❑'Village of --- �— — ❑State Owned-Describe Usu own of —— -- III.Type of Permit: (Cheitk only one box on line A. Complete line B if4plica)— A. w System 1 Replacemtmt System PreatmenU k�phwwrwwt Only. El Other Modification to Existing System(explain) B. ❑Permit Renewal ❑Perrn#4e+.ision ❑ Change of Plumber ❑Permit'fransf'er to New List Previous Permit Number and Date Issued Before Expiration Owner l/ S y 2 2- UG _ IV.Ty e of POWTS S stem/Com onent/Devic'e: eck a 77 ri�LL — ❑ Non-Pressurized!n-Ground ressw ized Ln-Ground At-Grade ound?24 in..�,,o,,ffs/suitable soil ❑Mound<24 ink.of suitable soil 4 ❑ Flolding"tank ❑other Dispersal Component(ex ) VSPretreahnent Device(explain)-ea ! Os� -1 V.Dis ersaLFf reatment Area Information: ---:!D�esiign Plow(g I d) Des' Soil Application e(gpd Dispersal Area Req fired(st) Dispersal Area Proposed(sf) S Elevation VI.Tank Info Capaci in I Total #of M• facturer C Gallons Gallons (Jails n c j New Tacks Existing T o °' o .00.. w U in W cn iw C7 a Septic or Holding Tank 7 d Dosing Chamber VII.Responsibility Statement-I,the undersigned •ibility t' stallation of the P TS s e attached plans. Plumber's Name(Print) Plu r nature MP RS Number Business Phone Number Plumber's Address(Street,City,State,Zip C ode V1 ount /De artment Use ----- Permi a Date Issued Iss ng Agent ignat re Approved U Disapproved $ ❑Owner Given Reason for Denial p(,cv ttom"myal/Reasons for Disapproval ��InLC� w'C•u 1 5S'teptictankk,effluent filter and A- dispersal cell must all be serviced/maintain 5 Pars as per management plan provided by plumber. CGf 2. All setback requirements must be maintained Q Pt: d A T(rc o compe gt ns'for tLe syste a d s it to the County only on paper not less h�p 8 th x nches in size �. a�tc�- �1C ��,e��l�'�W�'>b✓ �s/ h!�,t�u�5 �$D-6398 R 2/09) �� 4 Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 8/28/12 Owner: Kernon Bast Location: SW1/4 SE1/4 S36 T29 N,R19W 853 Yost Drive Hudson System type: FAST version .6, for existing shared powts Manuals Used: none Page# 1. Cover Page i 2. Plot Plan 3-5. Maintanance and Con ncy Plan 6-11. FAST unit cross se n specifications, tank cross section Signature License num 226900 PLOT PLAN PROJECT Kernon Bast ADDRESS 948 Labarae Road Hudson Wi 54016 SW 1/4 SE 1/4S 36 /T 29 N/R 19 W TOWN Hudson COUNTY ST. CROIX SYSTEM ELEVATION existinq svstem 4 BEDROOM CONVENTIONAL AT-GRADE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 750/1250 FAST unit version .6 DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE ABSORPTION AREA # of chambers BENCHMARK V.R.P. Top of survey iron ASSUME ELEVATION 100' ❑BOREHOLE O WELL *H.R.P. Same as Benchmark Settlement drive Yost Drive Pro 4 Bedroom House 90' 250 750/1250 trash tank/Fast Unit version .6 50' Sewer Line to shared powts 531' Property Line 218' Property Line POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION SYSTEM SPECIFICATIONS Owner iP r Septic Tank Capacity ❑ NA Permit # al Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer j NA Number of Bedrooms T ❑ NA Effluent Filter Model bd NA Number of Public Facility Units ':NA Pump Tank Capacity NA gal Estimated flow (average) al/day Pump Tank Manufacturer ,j;6 NA Design flow (peak), (Estimated x 1.5) -00 gal/day Pump Manufacturer _ NA Soil Application Rate e ' al/da lft2 Pump Model l 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 (BODe) 6220 mg/L --KNA Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 050 mg/L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BODs) <30 mg/L ❑ In-Ground (gravity) ❑ In-Ground pressurized) Total Suspended Solids (TSS) <_30 mg/L ❑ NA ❑ At-Grade ❑ Mound Fecal Coliform (geometric mean) X104 cfu/100m1 ❑ Drip-Line O Other: Maximum Effluent Particle Size in dia. NA Other; T C7 NA Other: Other: ~NA _ 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: ❑ monthis) (Maximum 3 years) ❑ NA ear s! Pump out contents of tank(s) - When combined sludge and scum equals one-third of tank volume ❑ NA Inspect dispersal cell(s) At least once every: _ q month+s) 74year(s (Maximum 3 years) ❑ NA Clean effluent filter At least once every: p y ar(s~s}NA Inspect pump, pump controls & alarm At least once every: ❑ monthis) ❑ year(s) A 1r P/ /7 NA Flush laterals and pressure test At least once every: ❑ monthis) Other: ❑ year(s) 'NA At least once every: q va=~lel 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 wirface. 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 or more of tl ie 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 nor limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of s1 ? months, shall be performed by a certified POWTS Maintainer. A service report shall be provided ti, the local regulatory authority within 10 days of completion of any service event. 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 or other chemicals that may impede the treatment procesi 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 Ooerator prior to restoring power to the effluent pump or contact a Plumbar 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 s; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain wipes; cigarette butt, (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 Septagf' 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 oe repaired the following measures have been, or must be taken, to provide a code compliant replacement system: * ( S A suitable replacement area has been evaluated and nay 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. DI=ATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS /7bz A, Z0 4~ -7 ely POWTS INSTALLER POWTS MAINTAINER lei NameName Phone FP hone SEPTAGE SERVICING OPERATOR PUMPPER LOCAL REGULATORY AUTHORITY Name Name t~ /Z Phone ) Phone J =?J~j ° This document was drafted in compliance with chapter SPS 383.22(2)(b)(1)(d)&(f) and 383.54(1), (2) & (3), Wisconsin Administrative Code. S'..iR(3 +C DfiTNT SEPTIC TAi ;~vIANTAN AO€E1T A7. . . t WNERSHIP CEERIViCA T fl V"FE7 Z OwncrBuyer J Bhrr . Mailing Address ~`f'Vd _ 4~ l~A1LeE Qogp - , wr SAIL Property Address 8~ 3 Vase ©ej A £Verration , *cqittred •£rata Pkmainj & Za mat far a7ew ooas#rttntian. j . G ryfs aze 60~Q,4et~J Parcel Idinfficatiop Nm3j o~~ x~ X P:ro erty Location AcJ i14 P= .,,..,.Sec. Tt art€ of ' l~cK2JwJ Subdivision ~tetuk~,'0 5rvrw Lot 10. C.ertWed Survey Mao VoluirYte: Page Warraa Deed # ? ty ~'oiue G page . Spec house I Lot,.iinm i t .le Improper use and maintemme of your septic "it.em.cordd •tesux.in its premature allure is hurdle wastes ,Prnpcr maintenance consists Of pt tsitlg suit the Septic: tarok every threes yyem orsomer: ff ec by a licensed pucriper..'%Ut you put into tllC Srtem can affect the f =dory of Ow Septic tank w treat nent,stage } W<15tE . " rdix sr araaitateatsuce onsibiiities are specified intti. $3:52f11 disposal systertt. Owtt resp '§C rx atzd Cl tei I2 - St._C county, &marY.Ordiztance. The pmperry owner agrees to 5ubtriir.to St Croix County PI g. & ZOniug Depart t a eertification forns. signed by the owner and by a master plumber.-30umeYniall P&nik, r, rerstdl*4 plumber or a Homed ptunpei vedfyio& that i;:i j the ott•slte.. wa=,Ir dispose! systerri is in proper operating cor4lionlatWor (2) Ma ins}»tiou and pump mg ( tseces*ry~);. the septic• tank is less tlaata l t3 full of sludge. L'we, the undersigned have .read the above regtuzeinents-ed a ee to snaintain'the oivak sewage disposat system with the . standards"set forth, herein, as set by thc,Di*tm , eat bf.Cosa w a3id.*o De mancnt of Natural Resvu;'ccs; State of WisconshL Cert Hkation stating that Yom sCPPde> system bas been waintamed now ,be comp red 'and renamed io the St Croix County Pl ring & oning. Dcpartmer t within 3t} Bays. of the In ee year:expisation. date. Uwe certify that all statements on this fbnh •are lrue.ta. the best of m}Iour losav i . Vwv amlare. the own s t qi the describ Property ve by • vitt:.eafa'' tusaxantY deed recoriieci in Ragtsf of Da~3s 0il~cc: N 74be TUBE OF;AFPLICANT(S) DATE * Aay: in formation that is misrepresented may iesutt iti doe sanitary pema bed revoked by the Planning; $"Zon tag Depatttiieni. luc.lude with Sts application a recorded warr~rty creed from for Register of Demos Offiis c and a cripy oft3te rued survey .tttap f. ;ztifaseace is made in the werrenty.deed. U 2?39 P 3 16 KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO.. WI STATE BAR OF WISCONSIN FORM 2- 2000 RECEIVED FOR RECORD Document Number WARRANTY DEED 01 /28/ 2005 03:15PE WARRANTY DEED THIS DEED, made between Neil L. Wilcoxson and Mary Jo EXEMPT # Wilcoxson, husband and wife, Grantor, and Kernon J. Bast and Donalda J. Speer-Bast, husband and wife, Grantee. REC FEE: 13.00 TR FEE: 90 PYSFEE: 4212. Grantor, for a valuable consideration, conveys and warrants to Grantee CO the following described real estate in St. Croix County, State of Wisconsin: CC FEE: PAGES: 2 SEE ATTACHED EXHIBIT A Recording Area Name and Return Address: Edina Realty Title, Inc. 400 S. 2"d St. - Suite H 5 Exceptions to warranties: Hudson, WI 54016 Easements, restrictions and rights-of-way of record, if any. 456780 020-1110-30-000... 020-1109-55-050 Parcel Identification Number (PIN) This is not homestead property. Dated this 28 y of January, 2005. !,k ,~k 5L77 X 6-Lq a H -VKHL.-Wilcoxigh * Mary Jo i oxson AUTHENTICAYTUT ~Pub~1C ACKNOWLEDGMENT Signature(s) ~0,a '~CQS,n STATE OF WISCONSIN ) c+2:~ ST. CROIX COUNTY. ) ss. authenticated this 28th day of January, 2005 Personally came before me this January 28, 2005 the * above named Neil L. Wilcoxson and Mary Jo Wilcoxson, husband and wife to me known to be the person(s) who TITLE: MEMBER STATE BAR OF WISCONSIN executed a fore oing instrument and acknowledged the same. (If not, authorized by § 706.06, Wis. Stats.) Wil ~ THIS INSTRUMENT WAS DRAFTED BY *Chen rown Notary Public, State of Wisconsin Peterson, Fram & Bergman - Steven H. Bruns My commission is permanent. (If not, state expiration date: 50 East Fifth Street, St. Paul, MN 55101 3/11/2007 ) (Signatures may be authenticated or acknowledged. Both are not necessary.) *Names of persons signing in any capacity must be typed or printed below their signature WARRANTY DEED STATE BAR OF WISCONSIN FORM No.2-2000 U. 2 7 3 9 P 317 EXHIBIT A Parcel 1: A parcel of land located in part of the SW '/4 of the NW and part of the NW '/4 of the SW '/a of Section 36, T29N, R19W, Town of Hudson, St. Croix County, Wisconsin; more particularly described as follows: Beginning at the W '/4 comer of said section 36; thence NO0° 16'1 0"E, along the west line of the NW 1/4 of said section, 1248.49 feet to the north line of Lot 1 of Certified Survey Map recorded in Volume 3, page 669 at the St. Croix County Register of Deeds Office; thence N63102'59"E 148.42 feet to the north line of said SW '/4 of the NW '/a; thence N89°26'58"E, along said north line, 1182.70 feet to the east line of said SW '/4 of the NW '/4; thence S00021'37"W, along said east line, 350.04 feet to the north line of Lot 73 of the Plat of Cottonwood Ridge First Addition recorded at said office; thence S89°26'58"W, along said north line, 10.00 feet to the west line of said plat; thence SO0°27'24"W, along said west line, 2096.76 feet to the centerline of County Trunk Highway "N" and a point on a 1999.00 foot radius curve, concave southerly, whose central angle measures 7'l 0'30", whose chord bears N84°30'41 "W and measures 250.16 feet; thence westerly, along the arc of said curve and said centerline, 250.33 feet to the point of tangency; thence N88°05'56"W, along said centerline, 83.64 feet to the point of curvature of a 2700.00 foot radius curve, concave northerly; whose central angel measures 3°17'53", whose chord bears N86126'59.5"W and measures 155.40 feet; thence westerly, along the arc of said curve and said centerline, 155.42 feet; thence N04°29'56"E 244.01 feet to the point of curvature of a 167.00 foot radius, concave westerly, whose central angle measures 34°24' 12", whose chord bears N12°42' 10"W and measures 98.78 feet; thence northerly, along the arc of said curve, 100.28 feet to the point of tangency; thence N29054'1 6"W 274.22 feet to the easterly extension of the north line of Lot 1 of Certified Survey Map recorded in Volume 12, page 3456 at said office; thence N89°' 12'45"W, along said easterly extension, along said north line, and along the westerly extension of said north line, 670.44 feet to the west line of the SW '/4 of said section; thence N00°37' 50"E, along said west line, 496.89 feet to the point of beginning. AND Parcel 2: A parcel of land located in part of the SW '/4 of the SE '/4 of Section 36, T29N, R19W, Town of Hudson, St. Croix County, Wisconsin; described as follows: Beginning at the South 1/4 Corner of said Section 36; thence N00°27'05"E, along the north-south'/4 line of said section, 1216.78 feet to the centerline of County Trunk Highway "N"; thence S76°47'47"E, along said centerline, 1354.82 feet to the east line of said SW '/4 of the SE 1/4; thence S00107'02"W, along said east line, 897.02 feet to the south line of the SE 1/4; thence S89°33'25"W, along said south line, 1326.80 feet to the point of beginning. I 3 iIm ~,g „ la1 I 1 ° ' J 5722• I 33 137 II I I I 70.71' a. i I O 1 ° ! 9 sa0"0655w 127.94' 37b.74• 527,8y. ! 4iN -Od ~ySP"o, i I i S F / O s~moo$r55~° c C mOm; gPmO t li + yip°ii Cl, 50°S7V7w>36.tt• ~St7z o~°; = me csm~ 3a 3Pi R'i !m s~j L 0'~ / u\\ 11 \ N /N~ I I 142.17 i B9°5858~V .ii SOO %uw 208.93' ° \ a W SS @'ty o yGGy ! O 9 3a0A', 77.77 40.36" 1 529' w 1720' ° Oil i m 7 24003__ 30.07 + 10717, 9 ° c soorosse•w' ` ; ~+487.4r \`0 ! i0 m y ; ° L j 201 x` ` m I N 9 \ 00000 i $ gV4 fiti 0mS.u If ~Ogo ZZO c 6z' m = L 24ssr i 00 3sz e5' \ \ \ [z p iP _ 25 OT'! i 323.18 22a y 185.25: i 39.96' 500'wsm 588.48' °~~m 7 i 1 0 l N \ V (A~; s -c 1~1 ) i f i ~a gqVP _ -4 z 1 7 :y I ~1 ° m c°ce S s o Z g _ m~ MATCH LINE SEE SHEET I f0 m -a " z 55 Z / C,2 80 NOo z~g~ rom s~ ~1 ! 717 i .a \ ~~N /15 \ ` 11 m y°f~z qIW m0 / J!0 W Om~ g mw 9° ti\ QUI Safety and Buildings 4003 N KINNEY COULEE RD commerceml.gov LA CROSSE WI 54601-1831 TDD M (608) 264=8777 ' O www.commerce.wi.gov/sb/ www.wisconsin.gov Department of Commerce Jim Doyle, Governor Mary P. Burke, Secretary April 17, 2007 CUST ID No. 222774 ATT - POWTS Inspector HENRY F GROTE ZONING OFFICE CERTIFIED SOIL TESTING ST CROIX COUNTY SPIA E4366 353RD AVE 1101 CARMICHAEL RD MENOMONIE WI 54751 HUDSON WI 54016 CONDITIONAL APPROVAL - PLAN APPROVAL EXPIRES: 04/17/2009 ieptzfication Numbers!; Transaction ID No. 1386134 Site ID No. 720623 SITE: Cottonwood Ridge South Please refer to both identification numbers, County Road N above, in all corres .ondeiice with the a epc Town of Hudson, 54016 St Croix County SETA, SWIA, S36, T29N, R19W Lot: 6-7-8-9, Subdivision: Cottonwood Ridge South FOR: Description: Pressurized In-Ground / Commercial (4 houses) / ATU Object Type: POWTS Component Manual Regulated Object ID No:: 1108003 Revision; Maintenance required; 2,400 GPD Flow rate; 110 in Soil minimum depth.to limiting factor from original grade; System: In-ground POWTS Component Manual, SBD-10705-P (N.01101), Pressure Distribution Component Manual - Version 2.0, SBD-10706-P (N.01101); Aerobic Treatment Unit, Biofilter 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, t stats. co # f+E h The following conditions shall be met during construction or installation and prior to occupancy or user Reminders .p F,RTMfty ' • This system is to be constructed and located in accordance with the enclosed approved plans and with the component manuals listed above. SEE CORD • The Biomicrobics, FAST 0.75 units (one installed at each house) must be installed in accordance with the manufacture's 'printed instruction and system sizing criteria found in Comm 83, Wis. Adm. Code. If there is a conflict between the manufacturer's instructions and the plan approval, the plan approval and code requirements will take precedence. • A maintenance and monitoring contract for the Biomicrobics, FAST 0.75 unit is required for as long as the units are in service. • The observation pipes must be located at a junction point between two EZ-Flow products so as not to create separation of the bundles within a product. i HENRY F GROTE Page 2 4/17/2007 • The wells 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 on • Comm 83.22(7 A copy of the approved plans specifications and this letter shall be on-site during constructi and open to inspection by authorized representatives of the Department, which may include local inspectors. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 75.00 Fee Received $ 75.00 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer II, Integrated Services WiS' 600: :7633 (608)789-7893, 7:45 am - 4:30 pm Monday - Friday charles.bratz@wisconsin.gov cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726-2544, Friday, 7:00 A.M. To 3:30 P.M. m EROSION CONTROL PLAN CHECKLIST _ Check appropriate boxes below, and complete the site diagram J CL with necessary information. ~JWV ~ F- O O U z Site Characteristics North arrow, scale, and site boundary. Indicate and name adjacent streets or roadways. ❑ Location of existing drainageways, streams, rivers, lakes, wetlands or wells. ❑ location of storm sewer inlets. f~ Location of existing and proposed buildings and paved areas. The disturbed area on the lot. Approximate gradient and direction of slopes before grading operations. ® Approximate gradient and direction of slopes after grading operations. ❑ 1~l Overland runoff (sheet flow) coming onto the site from adjacent areas. Erosion Control Practices ❑ Location of temporary soil storage piles. Note: Soil storage piles should be placed behind a sediment fence, a 10 foot wide vegetative strip, or should be covered with a tarp or more than 25 feet from any downslope road or drainageway. Location of access drive(s). Note: Access drive should have 2 to 3 inch aggregate stone laid at least 7 feet wide and 6 inches thick. Drives should extend from the roadway 50 feet or to the house foundation (whichever is less), ❑ Location of sediment controls (filter fabric fence, straw bale fence or 10 foot-wide vegetative strip) that will prevent eroded soil from leaving the site. ❑ Location of sediment barrier around on-site storm sewer inlets. ❑ Location of diversions. Note: Although not specifically required by code, it is recommended that concen- trated flow (drainageways) be diverted (re-directed) around disturbed areas. Overland runoff (sheet flow)from adjacent areas greater than 10,000 sq. ft. should also be diverted around disturbed areas. ❑ ( Location of practices that will be applied to control erosion on steep slopes (greater than 12% grade). Note: Such practices include maintaining existing vegetation, placement of additional sediment fences, diversions, and re-vegetation by sodding or seeding with use of erosion control mats. ❑ ( Location of practices that will control erosion on areas of concentrated runoff flow. Note: Unstabilized drainageways, ditches, diversions, and inlets should be protected from erosion through use of such practices as in-channel fabric or straw bale barriers, erosion control mats, staked sod, and rock rip-rap. When used, a given in-channel barrier should not receive drainage from more than two acres of unpaved area, or one acre of paved area. In-channel practices should not be installed in perennial streams (streams with year round flow). Location of other planned practices not already noted. ur co Uj V i- a Indicate management strategy by checking (ve) the appropriate box. a a Q V Z Management' Strategies 1f9 ❑ Temporary stabilization of disturbed areas. Note: It is recommended that disturbed areas and soil piles left inactive for extended periods of time be stabilized by seeding (between April 1 and September 15), or by other cover, such as tarping or mulching. Permanent stabilization of site by re-vegetation or other means as soon as possible (lawn establishment). Indicate re vegetation method: 04 Seed ❑ Sod ❑ Other • Expected date of permanent re-vegetation: !d/i /Z • Re vegetation responsibility of: X Builder ❑ Owner/Buyer • Is temporary seeding or mulching planned if site is not seeded by Sept 15 or sodded by Nov IS? ❑ Yes g) No O 10 Use of downspout and/or sump pump outlet extensions. Note: It is recommended that flow from downspouts and sump pump outlets be routed through plastic drainage pipe to stable areas such as established sod or pavement ❑ )19 Trapping sediment during de-watering operations. Note: Sediment-laden discharge water from pumping operations should be ponded behind a sediment barrier until most of the sediment settles out. Proper disposal of building material waste so that pollutants and debris are not carried off-site by wind or water: Maintenance of erosion control practices. • Sediment will be removed from behind sediment fences and barriers before it reaches a depth that is equal to half the height o f the barrier. • Breaks and gaps in sediment fences and barriers will be repaired imme- diately. Decomposing straw bales will be replaced (typical bale life is three months). • All sediment that moves off-site due to construction activity will be cleaned up before the end of the same workday. • Al sediment that moves off-site due to storm events will be cleaned up before the end of the next workday. • Access drives will be maintained throughout construction. • All installed erosion control practices will be maintained until the disturbed areas they protect are stabilized. For more assistance on plan preparation, refer to the Wisconsin Uniform Dwelling Code, the DNR Wisconsin Construction Site Best Management Handbook, and UW-Extension publication Erosion Control for Home Builders. The Wisconsin Uniform Dwelling Code and the Wisconsin Construction Site Best Management Handbook are available through the State of Wisconsin Document Sales, (608) 266-3558. Erosion Control for Home Builders (GWQ001) can be ordered through Extension Publications, (608) 262-3346 of the Department of Commerce, (608) 267-4405. Standard Erosion Control Plan for 7- v 2-Family Dwelling Construction Sites According to Chapters 1LHR 20 & 21 of the Wisconsin Uniform Dwelling Code, soil erosion control information needs to be included on the plot plan which is submitted and approved prior to the issuance of building permits for 1- bt 2 -family dwelling units in those jurisdictions where the soil erosion control provisions of the Uniform Dwelling Code are enforced. This Standard Erosion Control Plan is provided to assist in meeting this requirement. Instructions: 1. Complete this plan by filling in requested information, completing the site diagram and marking appropriate boxes on the inside of this form. 2. In completing the site diagram, give consideration to potential erosion that may occur before, during, and after grading. Water runoff patterns can change significantly as a site is reshaped. 3. Submit this plan at the time of building permit application. PROJECT LOCATION 95~ t'ot D2w>r l ~ wrt 5f011o Please indicate north BUILDER _ 9W- 6Air Z9+0 AuW (best, OWNER KtRn9oty s . gq3;° by completing the arrow. WORKSHEET COMPLETED BY J*-Wu e4Af r DATE $ /?y20/°Z SITE DIAGRAM - N Scale: finch = So feet EROSION CONTROL PLAN I LEGEND 7~ PROPERTY LINE EXISTING -'r DRAINAGE TD TEMPORARY DIVERSION IN A AIL, fio FINISHED DRAINAGE LIMITS OF GRADING I 41i SILT U& I FENCE STRAW BALES GRAVEL VEGETATION 0 SPECIFICATION 1 TREE PRESERVATION I STOCKPILED SOIL S