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HomeMy WebLinkAbout010-1028-20-200 ~ N o °c °; ~ ~ co ~ ~ ~ I 3 I n m m N O c a m I ~ i u 5 5 c o a ~ a ~ v rr . 7 7 fD N i _ O 7 N c 7 ,n ~ ~ .p Q~ Q Q N ~ N O C A n C N ~ C i 3 ~ N c ~ m D N d a o . rn c ~ W a .. ~ ° 3 ~ P N ° . ~ BAs I ~ z I ° rn rn m c~ I ~ v v v 3 O O O m o _ '0 ~ ~ ~ n n a Ic N N N- ~ v G~ I o 7 ~ m '' w H ~ O ~ ~ - ~ .. ~ m w N d Z •• O = D D o ~ ~' ~ ~ I o ~ a ~ I ~ ~ N I c ~ v I w d ~ ~ ~ A m Z O C ~ ~ Q O fD N W ~ a 3 O K tl! Z A a a C O C O o a m I I N I I o I fD I o O ° ~ o - 3 w o ~ ~ 3 o ~? ~ m ~ o N ~ m wo Q' 6 ~ N rn w Q v N v O N O ~ O yon 3 ;~. ~ .. o D N O O ~ ~ N A ~ A ~ ~ O N J_ TZ T C~ d A m H r~ O ~'! A'+ rti ~• 0 (~~ • ~f O ~y.~ • `~ ~1 A a ~o 0 A N O O o~ A w ti ti Op N R ~y ~ ~ ~' WlSCOnSIn Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) 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 Eliason, Mark & Heidi Emerald, Town of CST BM Elev: Insp. BM Elev: BM De ri tion: /UV. 03 ~vo.o3 G~~ ~ va .,.~. Hi~n ~rvrvr~inH ~ tvrv TYPE MANUFACTURER CAPACITY Septic ~~ ~ ~A• ~ pd w~-~~ ~ ~Od~ Dosin ,~ aUv Aeration of ing TANK SETBACK INFO,ION ~~ e o it na e ep lc z osmg era ion o mg PUMPISIPHON INFORMATION .,, ,1 _!iA anu ac urer ~ ~ "' ~ ~ eman GPM o e um er / ~~tJ ~ 5 I y L , i ~~.3 nc ion oss (~ 1 ~ ys em ea ~. S 3~ R~ rc ai g ~ I ~~ Z County: St. CroiX Sanitary Permit No: 488114 0 State Plan ID No: Parcel Tax No: 010-1028-20-200 SectionlTown/Range/Map No: 12.30.16.177A20 GLG V /1 1 1 V 19 1.//9 1 /1 STATION nchmark BS .(~~ HI FS ELEV. ~~ ~ D3 o3s~' ~• 3 • r5 Bidg. ewer ~ ,~ 7 ~lp. ~ ~/ $ 3 V t ut et l~ ~ V ~s ~~ lI ~t net I ~- 33 S-. 25. ~ 0 om '3. ~ .a~ 1.8 p b ,~Q~ ea er .~ y ~' ' r is . ipe ~ ~ /63.03 o . ys em -~ ,~.~~ -,~ ~, ,~ ti v2~y3 ma r e over O ,.;,,~ S ST Q a7 ~ J!_ ~ IA1 ' ~~ /ri3. S ~~ ~a C In ~1., e sT ~ p.~ _ Bye _ . 7 DIMENSIONS ~ ~ / / ~, • -~ ~ INFORMATION CHAM R OR NI ~~~ uta i ruatr><wly ~7 T ~7 1 clvl don ~~ Length G • Dia ~• z s Length Dia I r~ Spacing `'~ ' . ~ 2 ~ !i JVIL VVYL1~ JC rrC55urC JY~tC111A Vluy ~ nn nrvu~w v~ r.~ v....... ..~...-.... _...~ Bed/Trench Center BedlTrench Edges Topsoil T Yes ~ ! No Yes No 1 COMMENTS: (Include code discrepencies, persons present, etc.) ~speCUOr/n ~i:y~ `a v-~~ ~r~sp~clw~~ +*~• Location: 1627 260th Street Emerald, WI 54,,//01~~3,,(NW 1/4 SW 1/4 12 T30N R16W) NA to~ 1 Parcel-i~F .30.1 77A20 1.) Alt BM Description = ~ ~ $lGtivr ~ ~ 'i `,, '. ~~~ ~ ~ f 2.) Bldg sewer length = 2 ~ ~ Q i - amount of cover = ~ (QQ ~ ~'~~ .. uired. I.. Yes No -..~ ___ _ i__ --- --- -------,,, - T_-- ~ i I_ Plan rewslon Req ~ ~~ ~ t r ~' Use other side for additional information. I L6ate-~ ______-____-{nSepc~rs-Signature---- - - cert.-No- -' SBD-6710 (R.3/97) r Safety Buil ' ounry , C ~ ~ ~ 201 W. Washi gton Ave., P.O. Box 7162 ( ~seons~n Malt , WI 53707 - 71 2 ( g) 26~~1~,1 Q ~ 2006 nitary Permit Number (to be filled in by Co.) // ~ Department of Commerce 7 t Q r Sanitary Permit Applies ionsT. Ix LINTY S to Plan I.D. Number ~ ~ ~ _ 7-2/t'NS' ' In accord with Comm 8321, Wis. Adm. Code, personal info scion y provi may be used for secondary purposes Privacy Law, sl Project A tng ~~rl ~~ /62~ ~~ formati t All I Pl P i li ti I f ti [ A P n on ease r n ca on n orma on - . pp Property Owner's Name I Lot Block # ~• ~ - - - e Property Owner's Mailing Ad r ss Property Location ~ nr 1l } ~ Ci S Code Zi Phone Number ~" tate ty, p G (circle ej T y~ N; R~E or J~ l ) (c eck all that a e of Buildin II T y pp g . yp 5 „"~_~ s - Number of Bedrooms ~ XA•tti or 2 Fatuity Dwellin . , CSM Number g j~ 2 5 S ~/ ~PSd~ D ib U i l bli lC ^ escr e se ommerc a - Pu c ^ State Owned -Describe Use ~City_^Village ownship of of Permit: (Check only one box on line A. Complete line B if applicable) p pe II[. Ty f ~ - -o -24 - ZrJ'D f ~ A ~2 ~ A' `` ,~- LV'New System ^ Replacement System ^ TreatmenUHolding Tank Replacement Only ^ Other Modification to Existing System B. ^ Permit Renewal ^ Permit Revision ^ Change of ^ Permit Transfer to New List Previous Permit Number and Date Issued Before Expirat?on Plumber Owner 1V. T e of POWTS S stem: Check all that a 1 = ~~~ ^ Non -Pressurized In-Ground ^ Motmd > 24 in. of suitable soil ~ Mound < 24 in. of suitable soil ^ At-Grade ^ Sing a Pass Sand Filter ^ ' Constructed Wetland ^ Pressurized Tn-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating Sand Filter ^ Recirculating Synthetic Media Filter ^ Leaching Ch ^ Drip ine ^ vel-I s Pipe Other (explain / V. Dis ersallTreatment Area Information: S k /2D - ~ t7 Design Flow (gpd) Design Soil Application Rate( f) Dispersal Area Required (sfj Dispersal Area Proposed (st) System Elevation ~CY,~ ~ yC7 (/ a sue) ~ ~p a~ /off ~ ~ a VI. Tank Info Capacity in Total Number Manufacturer Prefab Sire Steel Fiber Plastic Gallons Gallons of Units ~ /,2 ~ o Q ~, l~ "` oncrete Constructed R Glass New Existing / t,~~ ~ /~ l Tanks Tanks Septic or Holding Tank ~ n ~_ ~ ~~ ~x Aerobic Treatment Unit Dosing Chamber IPOG~ ~ c; <' ~' X VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. tuber's Name (Print) Plumber's Signature MP/MPRS Number Business Phone Number Plumber s Address (Street, Ciry, State, Zip Code) - VIII. Coun /De artment Use Onl Approved ~ ^ Dis< ed Sanitary Permit Fee ('ncludes Groundwater Date Issued Issuing en`Signature o Stamps) ` ~ Surcharge Fee) . ~~~ al ^ caner eason for D iX. C:onditions of pro a Re I &1fSYEM OWNER: 1 Septic tank, effluent filter and dispersal cell mlJ~t all be serviced / meintained as per mana~ment plan provided by plumber. 2. wi setback fequirements must be maintained as per appNcable cod$/ordinances. when complete pum tco me a:ouary omy~ rot me system oa paper aor Mesa ,nano„~ : a, .ocoea .o size -Q.~) SBD-6398 (R. 01/03) ~, ,:2 ~ ~t _1 ~ (~~~ Sf~eet ~zO~t c 0 ~~ a ~a ~ °~ o - ~ 3 ~`Q -!L~ ~°~~ Sca/e: / '= s/O' • ~X>s~n~ ~9~°le clew ~e~% '`t/9/7 E/;asvr~ /o pop. , ncv scJ ~ yc , ~z, T . o f Ei+~t¢ttla~ 5~•CroiX tai; ~~ a ~ ~. ~~•ade ut /J~o o~s~o~ • bu; I d; s;f = 93 ~9' u U~ ro° I ~ Proposed t,J;esa.~C,,,cre~r~ WL 1 c0~/s7D m6:.,Q-~'o.-+ s.T./~e. +~06~ li s~~( as ~p ~s`oL`'c~~c! ~~/,¢ioO eFF/lien 6 ~c;-/~Cer ~ bc:.,s{~.//<a/a~E ~ outl~~ o F Seco.,c~. Clm-,•, ~v. w ~,'' ~ ~'opostd c,J,c.s~/Co»CIe~P tJLP/,cG~-~IQPu-.r~jOCliar~bEr: ,z "sG(. 5~0 P. J.C. Force r,-ta;~. ~ro pow Mou..-d at ~z. 89;r ~y0.38' kY S' X l•24' d7.spsrsa/C.e/% /~srcr C`~ /¢~4/sa.~ ~Sj('rS9. ZZ'c.Y yp'cr.~'aeS ~,ol! C ed a-~ ~ . S2 ~~oP~' sy ~- _ _ _ _ ---_ __ ~_~\ a ~. _ _ - - --- _~ ioo.o0' ~~ t \ "', ~~ ~~.~.TP°{/14;/gin G"E/.s, dec. ~~, E/¢ v~ _ ice. 03 /3e,-w~ h?w~!• Toy, of ~.t." sc.,~. std P. d, e . elec. Ca~d~:;~. Assu.n~.d e%cC =iG~.CtJ,' ~. P a~ commerce.wi.gov isconsin Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LACROSSE WI 54601-1831 TDD #: (608) 264-8777 www. commerce.wi.gov/sb/ www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary July O8, 2005 CUST ID No.220853 DALE E HUDSON BOLDT'S PLUMBING & HEATING, WC. 820 MAIN ST PO BOX 78 BALDWIN WI 54002 ATTN.' POWTSlnspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 07/08/2007 Identification Numbers Transaction ID No. 1151822 SITE: Site ID No. 701131 Mark & Heidi Eliason Please refer to both identification numbers, 260TH Street above, in all comes ondence with the aQenc . Town of Emerald , St Croix County NWl/4, SWl/4, S12, T30N, R16W FOR: Description: Four Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 1027232 Maintenance required; 600 GPD Flow rate; 18 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual -Version 2.0, SBD-10691-P (N.OI/O1); 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, COjtdit stats. /~ The following conditions shall be met during construction or installation and prior to occupancy or use: /~ • RTMENT Approval Requirements: ~~'E~OF~Ff • This system is to be constructed and located in accordance with the enclosed approved plans and with the $EE "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD-10691-P (N.01/O1) and the SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST_SAS (01/81) • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(4), Wis. Stat • ~ DALE $ HUDSON Page 2 7/8/2005 • Comm 83 22(71 A coQy of the approved plans specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department which may include local inspectors. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them riecessary 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, Charles L Bratz `~ POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday cbratz@commerce. state. wi. us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Owner's Name: Owner's Address: ~~~l~ '~N 3 ~ 1p05 ~QQ GS 1L~5"cnption: ~P~~~Township: County: Subdivision Name: Mark 8~ Heidi Eliason 4-bedroom residential POWTS Mound Elaison Family Trust 2572 Co Hwy S Glenwood City, WI 54013 Parcel Address Pending NW1/4 SW1/4, Sec. 12, T.30N., R. 16 W. Emerald St.Croix Proposed CSM Lot Number. 30 Block Number. Parcel I.D. Number. Pending from 010-1028-20-000 Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings i'. ~,~ ,: Page 4 Lateral and dose tank ' ~ ,`~ .. Page 5 System maintenance specifications l j °"" ~~ Page 6 an Management and contingency p ~ ~ ~ Page 7 Pump curve and specifications ACer~' `°~:~~rS ~ r'~ 'S Page 8 Site Plan j ` s Page 9 Soil Evaluation Report ,oN,_' C --E,"VCE Designer. Dale Hudson License Number. 220853 Date: 06/13/05 Phone Number. (715) 684-3378 Signature:~a-~- ~ ~~ Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) Version 4.01 (R. 09/04) Page 1 of 9 Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) R Residential or Commercial Design Note: Sand fill (D} cxlculado~ assume a 1 treatment far fecal ~ 400.00 Estimated Wastewater Flow (gpd) Tate 844-3 m-s+ soi cdiform of <= 36 inches. 6 5 = 150%) 1 d 0 1. . or (e.g. Peaking Fa 600.00 Design Flow (gpd) 5.00 Site Slope (%) 100.70 Contour Line Elevation (ft) 18.00 Depth to Limiting Fador (in) __~ 0.4J In-situ Soil Application Rate (gpd/ ) Distributio 0.00 12 n Cell Information Dispersal Cell Length Along Contour (ft) = 5.00 Cetl Width (ft) . 00 1. Dispersal Cell Design Loading Rate (gpd/ft2) _ ~___ 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y ' Pressure Distribution Information network? Enter Y or N (c or e) ~i~- c~ Center or End Manifold enter the elevation (ft) tf N above 2.50 Lateral Spacing (ft) , ~ 4 Number of Laterals of the highest point. 0.125 ~~~ Orifice Diameter (in) (e.g. 0.25) 25 ft2/orifice (ft) = 6 in S a if 2.50 . g p c ice Estimated Or 2.00 00 310 Forcemain Diameter (in) rcemain Length (ft} Does the - forcemain drain back? Y . ~ __J82.00 Pump Tank Elevation (ft) Enter Y or N 3.2~ 6.50 System Head (ft) x 1.3 ~~ ~- 19 Vertical Lift (ft) 10.02 'lion Loss (ft) . 2 Total Dynamic Head (ft) Lateral Diameter Selection in. dia. o ions choice 0.75 i 1.00 1.25 x x _~ ~--- 1.50 x ~ _ 2.00 x i _ 3.00 x i Treatment Tank Information 1500.00 Septic Tank Capacity (gal) Wieser Concrete ~or~ Manufadurer 50.57 Forcemain Drainback (gap 75.47 5x Void Volume (gal) 126.03 Minimum Dose Volume (gap 39.54 System Demand (gpm) Manifold Diameter Selection in. dia. o tions choice 1.25 x x 1.50 x 2.00 x 3.00 Gallons/Inch Calculator (optional) 1001.88 Total Tank Capacity (gal) 36.00 Total Working Liquid Depth (in) 27.83 galrn (enter result in cell 649) Dose lank Information Effluent Filter Information 1001.88 Dose Tank Capacity (gal) Zabel Filter Manufadurer 27._83 Dose Tank Volume (gaUn) A100 Fitter Model Number Wieser Concrete, ~ Manufadurer Project: Mark & Heidi Eliason 4-bedroom residential POWTS Mound Page 2 of 9 Mound Plan View 1_ 1/10 B ~ -observation Pipe 'Q-. 1,~ .•B . - - ~ ~ . ~. -f _} -~ -i I L A 5.00 ft B 120.00 n D 18.00 in -----• Mound Component Dimensions E 21.00 in F 9.25 in G 0.50 ft H 1.OOft K 10.19ft z 10.66 ft L 140.38 ft J 7.23 ft W 22.89 ft 600.00 (ftZ) Dispersal Cell Area 5.00 (gpd/ft) Linear Loading Rate 1879.41 (ftZ) Basal Area Available 12.00 (ft) 1110 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 103.97 (ft) F 102.20 (ft) -- Dispersal Cell Elevation ......... ___._._ti~. H .. --- Dispersal cell ~ 102.70 (ft) Latera Invert :D ~: ~ 5.0 °~ Site Slope Shading Key 10 ®Topsoil Cap © ~~~~~ Subsoil Cap © :: ~: =: ASTM C33 Sand ® '~. ~ ";~ Tilled Layer Aggregate ~ ~ c a 1.5 ft a o 1 1° ~ T 0.5 ft 0 ~ ~ ~I *---- q 100.70 (ft) Contour Elevation Geotextile Fabric Cover See lateral details on Page 4 for number, size, and spacing of laterals. Laterals are equally spaced from the distribution cell's centerline in the distribution cell (A>d3). Project: Mark & Heidi Eliason 4-bedroom residential POWTS Mound Page 3 of 9 Center Connection Lateral Layout Daigram Force mai n correction via tee or cross to marifold x any point. I P • =Turn-u p rr'ba II as hre or ~ x-~ ~xf2~r12 ~I Laterals & force main of PYC Sch 40 cl ea n out pl u g per CONNA Table r34.3NS Holes dried on the bottom of the lateral. S Laterals are identical Number of Laterals 4 Lateral Diameter 1.25 in Lateral Length (P) 59.22 ft Lateral Spacing (S) 2.50 ft Lateral Flow Rate 9.89 gpm System Flow Rate 39.54 gpm Total Dynamic Head ~ 36.221ft Orifice Diameter 0.125 in Orifice Spacing (~ 2.52 ft Orifices per Lateral 24 Orifice Density 6.25 ft2/orifice Manifold Length 2.50 ft Manifold Diameter 1.25 in Forcemain Velocity 4.04 ft/sec Dose Tank Information ~ockirtg cover Mrith reaming Electrical as per NEC 300 and -~ Comm 16.28 WAC label aril locking device and sealed watertight 4 in. min. Disconnect -_~_ Tank component is properly vented Wieser Concrete Capacit 1001.88 Volume 27.83 Manufacturer Gallons gal~nch _~ A B C D Dimension Inches Gallons A 17.47 486.23 B 2.00 55.66 C 4.53 126.03 ____ _-_ D 12.00' ; 333.96 _ - Total 36.00 1001.88 3" tank. . _ __.. _ Alarm Manuafadurer l_evelArm Alarm Model Number' DLV - -- - -- - Pump Manufadur Gould_ s . , __ Pump Model Num r3885 WE07H Pump Must Deliver 39. gpm at 36.22 ft TDH ~- Aftemate otrtlet location Forcemain diameter ~ 2 in. Weep hole or anti- siphon device P~ ump off elevation (ft) 83.00 ~ta~kc elevation (ft) 82.00 Project: Mark & Heidi Eliason 4-bedroom residential POWTS Mound Page 4 of 9 Mound Svstem Maintenance and O eration S ecifications -- Service Provider's Name ~ Dale Hudson Phone 715-684-3 _ POWTS Regulator's Name ~ St. Croix County Zoning _~ Phone 715-386-4680 Svstem Flow and Load Parameters Design Flow -Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow -Average 400 gpd Maximum GODS 220 mg/L Septic Tank Capacity 1500 gal Maximum TSS 150 mg/L Soil Absorption Component Size 600 ftz Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 du/100 mL Service Fre4uency Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound _~tner Ins d and/or service once eve 3 ears Should ins d and Gean at least once eve 3 ears Test once eve 3 ears Should test month) Laterals should be flushed and ressure tested eve 1.5 ears Inspect for ponding and seepage once every 3 years ---___._ Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Tum-up Detail Finished •.. .....•••• ............... .. Grade 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral \~ Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Mark & Heidi Eliason 4-bedroom residential POWTS Mound Page 5 of 9 Mo~lnd System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD-10691rP (N.01/Ot) and SSWMP Publication 9.6 (01!81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective ticking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance wtth NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent fitter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have tts contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be pertormed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Puma Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank tt shall be inspected and serviced as necessary. Mound and Pressure Distribution Svstem No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surtace within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavity mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BODS, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L GODS, 30 mg/L TSS, 10 mg/L FOG, and 10° cful100 mL for highly treated effluent. Influent flow may not exceed maximum design lbw specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and tt is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed tt should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. CoMinaencv Plan If the septic tank or any of tts components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal pertormance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' presets location by increasing basal area if ice leakage occurs or by removing b'rologically cogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Mark & Heidi Eliason 4-bedroom residential POWTS Mound Page 6 of 9 ~GOULDS PUMPS APPLICATIONS Specifically designed for the following uses: • Homes • Farms • Trailer courts • Motels • Schools • Hospitals • Industry • Effluent systems SPEUFiCATIONS Pump • Solids handling capabilities '/," maximum. • Discharge size: 2" NPT. • Capaaties: up to 140 GPM. • Total heads: up to 128 feet TDH. • Temperature: 104°F (40°C) continuous 140°F (60°C) intermittent. • See order numbers on reverse side for specific HP, vohage, phase and RPM's available. FEATURES ^ Shaft: Corrosion-resistant, stainless steel. Threaded design. Locknut on all models to guard against component damage on acdderltal reverse rotation. ^ Fasteners: 300 series stainless steel. ^ Capable of running dry without damage to components. ^ pesigned for continuous operation when fully submerged. MOTORS ^ Fully submerged in high-grade turbine oil for lubrication and efficient heat transfer. ^ Class B insulation on '/3-1'/: HP models. ^ Class F insulation on 2 HP models. METERS FEET ~ r 130 ^ Impeller: Cast iron, semi- 30 open, non-clog with pump- o out vanes for mechanical W zs seal protection. Balanced for smooth operation. Silicon ~ 20 bronze impeller available as o an option. ~ 1s ^ Casing: Cast iron volute 3G•~Z'o type for maximum efficiency. 10 2" NPT discharge. 34 ' ^ Mechanical Seal: SIUC N 5 CARBIDE V5. S1LiCON k CARBIDE sealing faces. Stainless steel metal parts, BUNA-N elastomers. ®2004177 Water Technology, Inc Effective December, 2004 83885 VyE15HH 1zo' 11o wl:zoH 100.... 90' WE15H 80'' 10H 70' _ O7H 60' 50~~~ ~~~ aoi .. 30'_WE03M- -. zo weo3i. 10 00 10 20 30 n 5 Submersible Effluent Pump ~~ :: WE Series PROSURANCE AVAILABLE FOR RESIDENTIAL APPUCATIONS. Single phase (60 Hz): • Capacitor start motors for maximum starting torque. • Buih-in overload with automatic reset. • S1TOW or STOW severe duty oil and water resistant power cords. •'/3 -1 HP models have NEMA three prong grounding plugs. • 1'fz HP and larger units have bare lead cord ends. Three phase (60 Hz): • Class 10 overload protection must be provided in separately ordered starter unit. • STOW power cords all have bare lead cord ends. ^ Designed for Continuous Operation: Pump ratings are within the motor manufacturer's recommended working limits, can be operated continuously without damage when fully submerged. ^ Bearings: Upper and lower heavy duty ball bearing construction. ^ Power Cable: Severe duty rated, oil and water resistant. Epoxy seal on motor end provides secondary moisture barrier in case of outer jacket damage and to prevent oil wicking. Standard cord is 20'. Optional lengths are available. ^ 0-ring: Assures positive sealing against contaminants and oil leakage. AGENCY LISTINGS Tested to Ul. 778 and S ~ o csA 22.2 108 standards py Cana~in Standards Association C US Fle #tR38549 Goulds Pumps is Iso 9001 Registered. SERIES: WE I ' SIZE:'/: SOLJDS ~ _ . r ._ , ,RPM: 3500 & - S C>PM _. , ,v~o ~, 50 60 70 g0 90 100 110 120 130 140 150 160 GPM 15 20 25 30 35 m3/Fu UIPAOTY 39.s~~P•M. m:~•%»~~, s~~y~a.-fie ~'~d. G~ou,,lds Pumps ITT Industries www.goulds.com "~ 7 oF9 Wisconsin Departrrrent of Commerce Division d Safety and Buildings SOIL EVALUATION REPORT ,.. ,,.,.,,.a,..,.s ..,~~ r.,....., nS ~nr~ e,~.., rs,rla 1917 Page 1 of 3 A.C.E. Shc 8 Site Evaluations County Attach oanplete site plan on paper not less than 8'/x x 11 irx~es in size. Plan must St. CfODc ircJude, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I D percent slope, scale or dimemsions, north arrow, and kxxtion and distance to nearest road. . . 101-1028-20-000 Please print al/ information. Reviewed By pate Personal infortnarion you provide mai be used tar seaor>dery Dr+P~s (Privacy te+v, s. 15.04 (1) (m)). Property Owner Property Location EGason Family Trust Govt. lot NW 1/4 SW 1/4 S 12 T 30 N R 16 W Property Owr>ers Mailing Address Lot # Block # Subd. Name w CSM# 2572 Co. Hwy S City State Zip Code Phone Number J City J Village /_} Town Nearest Road Glenwood City ~ WI 154013 (715) 684-3673 Emerald 260Th Street New Construction Use: J/ Residential / Number d bedrooms 4 Code derived design fk>wv rate 600 GPD J Replacement J Public or commercial -Describe: Parent material Glacial till Fkxxi plain elevation, ff applicable nor General and re~r~ comments rnrr~da6o ns: Site suitable for mound with 5' x 120.0' dispersal cell. Minimum system elevation = 102.20.' at 18" above 100.70' contour. ~~ # J ~~ ~ 8~~ i R 1/ Pit Ground Surface elev. 99.52 ft n. . Depth to limiting factor ate Sal ication ApPI horizon Depth Dominant Cobr Redox Descriptor Texture Structure Consistence Boundary Roots GP D/ft' ' in. Murrsell Qu. Sz. Cont. Cobr Gr. Sz. Sh. 'Eff#1 Eff#2 1 0~ 10y13/3 none sid 2fsbk mvfr as 2vf,f 0.4 ! 0.6 2 8-13 7.Syr4/6 none sd 2fsbk mfr cw 1vf,f 0.4 ~ 0.6 3 ~ 13-18 10yr4/6 none sl 1msbk mfr cw 1vf 0.4 ' 0.7 4 18-28 10yr4/6 f2f 7.5yr5/8 sl 1 msbk mfr cw 1vf 0.4 ~ 0.7 5 28-45 10yr6/6 m2d7.5yr5/8 & mad llUlyr6/2 ~ 1 msbk mfr - - 0.4 0.7 Many 10yrf3/2 sand grains observed on ped faces in horizons # 4 8 5. /~ Pit Ground Surface elev. 99.69 ft. Depth to limiting factor 21 ~ in. SaI Appligtan Rate a~~# JB~~ Flaizon Depth in. Dominant Cokx Munsell Redox Description Qu. Sz. Cont. Cokx Texture Stn~cture Gr. Sz. Sh. Consistence Boundary Roots GP 'Eff#1 D/ft~ 'Eff#2 1 0-8 10yr3/3 none sid 2fsbk mvfr as 2vf,f 0.4 0.6 2 ~ 8-18 7.5yr4/4 none sid 2fsbk mfr cw 1vf,f 0.4 0.6 3 18-21 10yr4/6 none d 2msbk mfr cw 1vf 0.6 1.0 4 ~ 21-31 10yr4/6 f2f 7.5yr5/8 sl 1 msbk mfr cw 1 of 0.4 0.7 5 31-48 10yr6/6 -n2d7.5yr5/8& mad 1 !2 sl 1m&csbk mfi - - ~ 0.4 0.7 I Many 1 grains observed on ped faces in twrizons # 4 8 5. 'Effluent #1 = BOD ~ 30 < 220 mg/L and SS >30 < 150 L Effluent #2 = BOD < 30 mg/L and TSS <~0 mg/L CST Name (Please Print) ignature: CST Number James K Thompson ~.~- 3602 Address A.C.E. SoU & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, 154020 5/24/2005 715-248-7767 .Property Owner Eliason Family Trust Parcel ID # _ 101-1028-20-000 Page 2 of 3 a ~ng# ~~ /_J Pit Ground Surtace elev. 101.04 ft. Depth to limiting factor 36" in. ~;l Application Rate Hor¢on Depth Dominant Color Redox Description Texture Structure Consistence Bourx/ary Roots in. Murrsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-9 10yr'3/3 none scl 2fsbk mvfr as 2vf,f 0.4 0.6 2 9-16 10yr5/4 none sil 2fsbk mfr cw 1vf,f 0.4 0.6 3 16-36 7.5yr4/6 none sl 2msbk mfr cw 1vf 0.6 1.0 4 36-36 7.5yr4/6 f2f 7. SyrS/8 sl 1 csbk mfr - 1 of 0.4 0.7 1 _ Many 1 Oyrtir2 sand grains observed on ped faces in hor¢ons # 4. ganng # -~ Bonng J Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate lior¢on Depth Dominant Cobr Redox Description Texture Stnrcture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Pit Ground Surface elev. ft. Depth to limiting factor in. Shc nation Rate a # ~~~ Flor¢on Depth Dominant Cobr Redox Description Texture Structure Consistence Boundary Roofs in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 I - -j -- ' Effluer>t #1 = BOD ~ 30 < 220 mg/L and TSS >30 < 150 mg/L 'Effluent #2 =GODS< 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. 1f 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. ~•~3 ~, ~Z6OtQ S~reef . I ~Y ~.~. ~~ /off 1~,,. /~P. o. ~. Z--{~ ScA/e: /'= s/O' ^ Sa% eJa ua.~on p/£ ~Pe~% ~"/ 9/ 7 E/~a.so~ ro pop. , tocv scJ ~c , /Z, Tn. o f Ernealof 5~ ~ CfOtX ~; ~i C~a.de ut p~dpoa~d w i ~F ~ 5~0p~ s9 s ~, ^"_ ____ __ %~c ~- n ~~,~, a 1¢~ t.e ` ~ - ~ ` ~. C,o ` ~~ h~h~e 83 v ` ~. ~~ .` .` !~. fS. '• ~to°{ljai l %n (o"E/rn z~/'et. Ele v.~ _ inv. 03 ' 'to/.~O' /~e, x~ h'!w~(! Tod of %i` sc.,(. std P. d, e . elec. cvndk;,~. /~ssu.ned e(eti' =ic~.dJ,' 30~'.~ ~ SOIL EVALUATION REPORT Division of Safely and Buildings in acxardance wdt- Wis. Adm. Code 1917 Page 1 of s A.C.E. Soti & Site Evaluaarions ~J ~~ Attach complete site plan on paper not less than 8'/: x 11 arctres b size St Crobr include, but not kmited to: vertical and horizontal reference point (BM), Parcel I D percent sbpe, sr~e a dNnetnsions, north arrar, and location and 6stance _ . . 101-1028-2 0 ~~ i i d B id P C d t~ ~ Law ~ 15 Reviewed ey ~ Date ' i ornm ~an tau pmr e may eisane . use e~i> p . , (O ~ property Owner Properly Lncafion Ekason Family Trust ,~ U N 0 2 Q ~- Lot NW 1!4 SW 1!4 12 T 30 N R 16 W Property Owner's Mai~g Address Lot # Bbdc # Subd. Name a CSM# 2572 Co. ~Y S 57. CROiX COUNTY" Ciy State ~ Cily ~ YdYdge t+ Town Newest Road Glenwood City ~ WI 54013 (715) 884-3873 Emerald 260Th Street ~ ~, C.or>sf~on Use: ~ Residential / Number of bedroorr~ 4 Code derived design flow rate 600 ~ Repiacerrrerrt ~ Pufriic or corrxtrercrat - DescrA~e: Parent materraf Glaaal tiM Fkad plain elevation, if applicable na General corrwrrerNs and nixa~nendations: Site suitable for mound with 5' x 120.0' dispersal ceH. Minimum system elevation = 102.20.' at 18" above 100.70' oorrtour~--' --' ~~ GPD ~ Q~ ~# ~ w~MR/ A V Pit Ground Surface elev. 99.52 ft. Deptit to limiting facto 18 in. Sod Application Rate Horan Depth Daninant Cabr Redox Description Texture Structure Carsistence Boundary Roots GP Dlfiz in. MunseB Qu. Sz. Cori. Color Cyr. Sz. Sh. `EtT#1 ` Eff#2 1 0-8 10yr3/3 none sid 2fsbk mvfr ~ 2vf,f 0.4 0.6 2 8-13 7.Syr4l6 none sd 2fsbk mfr cw 1vff 0.4 0.6 3 13-18 10yr4l6 none sl 1msbk mfr am 1vf 0.4 0.7 4 18-28 10yr4l6 f2f 7.5yr5/8 sl 1 msbk mfr cvv 1 of 0.4 0.7 5 28-45 10yr6/6 ,ii2i3dd'1~ sl lmsbk mfr - - 0.4 0.7 Many 10yr6/2 sand grins observed on pad faces in horizons # 4 & 5. Z ~9 # N~' PR Growrd Surface elev. 99.69 ft. pepth to hmrting factor 21 ~ ~ Sal AppC Rate ~~ Horimn Dep#h Dan~ant Color Redox Description Texture Stnxtwe Consistence Boundary Roots Gf' D/fE in. Munsell tarr. Sz. Cart. Cobr Gr. Sz. Sh. `Efflf1 `Eff#2 1 0-8 10yr3l3 none sid 2fsbk mvfr as 2vff 0.4 0.6 2 8-18 7.5yr4l4 none sid 2fsbk mfr cw 1vff 0.4 0.6 3 18-21 10yr4/6 none sl 2msbk mfr cw 1vf 0.6 1.0 4 21-31 10yr4f6 f7r 7 5vr5ra sI 1 msbk mfr cw 1vf 0.4 0.7 5 31-48 10yr6/+6 mad l~yr6g2 ~ 1m&csbk mfi - - 0.4 0.7 Many grains observed on pad faces in horizons # 4 & 5. ` Eifive~ #1 = BOD y~ 30 < 220 mglL and S >30 < 150 Effluent #2 = BOD < 30 mg/L and TSS <~30 mg/l. CST Name (Please Prtirt) ignature: CST Number James K Thompson ~~ 3602 Address A.C.E. Sotl 8 Site Ev~ations Date Evaluation Conducted Telephone Number 340 p r ~. Off, l 5402Q 5!242005 715-248-7767 ~_ -P ,, State Bar of Wisconsin Form 2-2003 WARRANTY DEED Document Number Document Name THIS DEED, made between James W. Eliason and Don E. Eliason ("Grantor," whether one or more), and Mark E. Eliason and Heidi L. Eliason, husband and wife, holding as survivorship marital property ("Grantee," whether one or more). Grantor for a valuable consideration, conveys and warrants to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Croiz _ County, State of Wisconsin ("Property") (if more space is needed, please attac~addendum): Part of the Northwest Qua er of the Southwest Quarter (NW 1/4 of SW 1/4) of Section Twelve (12), Township Thirty (30) North, Range Sizteen (16) West, Town of Emerald, St. Croiz County, Wisconsin, more particularly described as follows: One ~of Certified Survey Map filed August 5, 2005, in Vollun~e 20 of led Survey Maps, at Pag~ a 5038 as Document No. 802557, office of the Register of Deeds for St. Croix County, Wisconsin. _ Exceptions to warranties.: Easements and restrictions of record. Dated ~~ (~C p * Signature(s) authenticated on AUTHENTICATION 81'97'3 KATHLEEN H. WALSH REGISTER OF DEEDS sT. cROIx co. , WI RECEIVED FOR RECORD 03/02/200b 02:00PM WARRANTY DEER EXEMPT lk REC FEE: 11.00 TRAKS FEE: 27.00 COPY FEE: CC FEE: PAGES: 1 Recording Area Name and Retum Address Thomas A. McCormack PO Boa 2120 Baldwin WI 54002 olalo2s-2o _ _~arecl~>"dentircation Nlrlrtber (PIN) This is not homestead property. (as) (is not) ' ~~~ (SEAL) ~~j-r2.QQ °~, ~~,QAb~2:~ (SEAL) * ames W. Eliason (SEAL) ~yl ~ ~Q,~j ~ (SEAL) * Don E. Eliason TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by Wis. Stat. § 706.06 ) ACKNOWLEDGMENT STATE OF WISCONSIN ) ss. ST. CROIX COUNTY ) Personally came before me on ~,~ 23~ 1X0 , the above-named James W. Eliason and Don E. Eliason ;. tom own to the person(s) v~ha;~b~ecuted< ' ; ing ins nt and ac1al le ed the sam~~''''~ ~ ~) 9 THIS INSTRUMENT DRAFTED BY: * _ , a k 1 Thomas A. McCormack Notary Public, State of WISCONSIN ~>'•~. Baldwin WI 54002 My commission (is permanent) (expires: ~' 1' ~ ~) .,.-~. ; - (Signatures may be authenticated or acknowledged. Both are not necessary.) '" NOTE: THIS IS A STANDARD FORM. ANY MODIFICATION TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED STATE BAR OF WISCONSIN FORM NO.2-2003 'Type name below signatures. ®State Bar of Wisconsin 2003 INFO-PROTM Legal Fortes • (800552021 • ~nroPrororms.ean