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HomeMy WebLinkAbout040-1318-00-018 uilding epartment of Division commerce PRIVATE SEWAGE SYSTEM mit No: isin D INSPECTION REPORT 561038 0 .y and B rT/T St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) D No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. No Permit Holder's Name: City village X Township 040-1318-00-018 Tr0 , Town of ela Elev: Andrew& An sp. n/Range/Map No Krochalk, CST ST BM BM Elev: Insp. BM El ev: BM Description: ^ i / Z ^ SG~ i 1 1.28,19.2093 (3 ELEVATION DATA 11 11 TANK INFORMATION CAPACITY STATION BS HI FS ELEV. TYPE MANUFACTURER ~ _ Benchmark / Z 16 7g, g 1872 .7 Septic ~ Y Alt.~M d , lP 167 Dosing Z 8 of4o,-, J_' s' Bldg. Sewer Z ~ ~~7~0 • 7 Aeration ` St/Ht Inlet ~67 i Holding St/Ht Outlet TANK SETBACK INFORMATION vent to Airlntalce ROAD Dt Inlet TANK TO P/L WELL BLDG. ~J6J Dt Bottom 7,14 16-71, Septic /p ~ ~ ~ Q Header/Man. / S °J 16-I1-7, p Dosing Dist. Pipe b 1 16-77, Aeration Bot. System 5 5 7 , y Holding b Final Grade 1,6 PUMPISIPHON INFORMATION Demand St Cover GPM ] X77- 3 Manufacturer ~ ~ • ~ 3g . ~S Model Number 16 7 -5 3 TDH Lift Friction Loss ' System Held TDH J Forcemain Len hh Dia. Dist. to Well ~,lorJ SOIL ABSORPTION SYSTEM PIT BED/TRENCH Width Length No. Of ches DIMENSIONS No. Of Pits Inside Dia.Liquid Depth 1 DIMENSIONS S /r7 Q LAKE/STREAM LEACHING Manufacturer: SETBACK SYSTEM TO P/L BLDG WELL CHAMBER OR Type Of tem: Model Number. INFORMATION O u I~ UNIT L /V DISTRIBUTION SYSTEM Sp HeaderlManifol Distribution x Hole Size X Hole Spacing ven t Air Intake A K J C 4 7 Pipe(s) 3 J S Spacing 3 ~1~ Length Dia Length!, ✓ Dia SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only xx Mulched xx Depth of xx Seeded/S ded Depth Over Depth Over ` Topsoil Yes 0 No "Yes C No BedlTrench Center / , ~ BedlTrench Edges I 7 1 nspection #2: / / COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ; parcel No: 11.28.19.7.093 Location: 484 Summit Ridge Hudson, WI j~4016 (NE 1/4 NW 1/4 11 T28N R19W) Hills of Troy LQt'18 ~ LOJ-C.`.. INN 1.) Alt BM Description = C ' j dw- . ~ L i3 pro d t ~Z vl a ^ ^ b 2.) Bldg sewer length = 3 -7 - amount of cover = 6 LA_ a.LLX. 3.) Contour = t 4/ Plan revision Required? ~ Yes 4 e D Use o other side for additional information. Date Insepctor's Si atur Cert. No. SBD-6710 (R.3/97) -15 C. t',o,by\e w Kinc cn1 ft~- ~ 7 1~1 I~~T=RISE S ~ s i .Al t~ t -0 « ~r ► ~S SC,~ I !b s t cSF S~tt~ its L c~~t~ EL/ IC»S~3 t co-t2' ~ - county ' p Safety and Buildings Division 5T RAJ 1 J~b1 W. Washington Ave., P.O. Box 7162 Sanitary Pefmit Number (to filled in by Co.) i NMadison, tM 53707-7162 V State Transaction Number hon Sanitary P ca e ` A 1z 1z in accordance with SPS 38321(2), Wis. Adm. Code, s omT this fig to the approprie is m9uned prior to obtaining a sanitary permit Note: Applica~. forms for star awned POWIS ProjedAddrwi; (if di$imat than mine address) the Department of Sa£ety and Profmssicnal Servies. Personal information you provide may be used for I L Durposes iB acwrdm= with the Privary Lary s. 15_ 1 m , Stats. S ~wn✓K T 12, ` G L Application Information -Please Print All Ipkrznation Property Owner's Name J- Parcel f A~.o Eve c RL 6% -GO ~ eQ -Oi8 Property Owners Mailing Addt Property Location 011 m~ a9 2 3 V hb Govt Lot City, State Zap Code Phone Number V, Section M/ i (chicle onel i►`tiN T Z_N; R 19 Eo IL Type of Building (check all that apply) a k 45 Subdivision Name NJ or 2 Family Dwelling -Ntmmber of I _ ❑ pmmbihe/Commetcial -Descrffie Use . t G o City of CSM Number D W age of t T~ OState Owned-Describt Use Town of Troy $ x 75 /Yle.. ~,c III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A_ , System D Replacement System ❑ TreahnenVHoldins Tank Replant Only D Other Mndif cation to Existing System (explain) Previous Permit Number and Daft Issued B. D Permit Renewal D PermitRevision ❑ Chamee of Plumber ❑ Permit Transfer to New Before Fxpirrfs~ Owner Gu N. T e of POWTS System/Compouent/Devic e: Check all that apply) D Non-Pressurized ln-C&uund ❑ Pressurized ln-Grotmd ❑ At'Grade K Mouad> 24 in. of suitable soil D Mound <24 in. Of mit lbie soil ❑ Holding Tank D Other Dispersal CompmenR (explain) V. Dis rsalfT t Area Information: Area tem Design Flow (gpd) Design Soma Application Dispersal Area Dispersal (St) Sys evetion w / 01 t~0 ! 6~ l 6C6 l~7` , 9z VL Tank We Cvwity in Total 9 of Mantt#acam Gallons Gallons Units o n B v h 6 rIe►vTaa6z Eld=°Tads 0-0 um w e O r±. lak. 1~Z5 Septic m Hokling Taolc ZOO s~ Dosing Chamber 600 1 A 00 VII. Responsibility Statement- ly the enders tined, assume responsrb3i for installation of the POV M attached Pla- Plumber's Name (Print) s MP RS BtuiIIes3 Phone PTt>tnbGi OFF J&, 1° YZ 1-71:5 -IS5 Z Pluber's Address (Street; City. State Zip Code) / W 9 'P 0. 50)( 5 6~ VIII. on /De rtment Use On Permit Fee_ Date Issuing Signsttue proved Given for Denial s (025 , o0 3 Z'1 / 3 DL Cond jfqfk%1easons for Disapproval 31 Ne d9 die mnuf cdl must all be services / maintained so ;w management plan provided by plumber. ` J .'t. at tid&w* requirements must be maintained +l a^ 'A- .88 * #VNW* code l ordinances. ✓ : Atfach to complete plaffi for the system aid submit to the County aniY n Paper not than a In x 11 lathes in Sht SBD-6398 (R 11/11) 1~4 ZZ 7 roc 1~A►~~E ~ i _ fl / i i I I SCE PAL ! I b 46 lcfl~~ cop gad y`~oErt+RT+rF~ DIVISION OF INDUSTRY SERVICES TOE 10541 N RANCH ROAD HAYWARD Wl 54843 3 i S Contact Through Relay 7 5 www.dsps.wi.gov/sb/ www.wisconsin.gov ADO ssIONS Scott Walker, Governor Dave Ross, Secretary March 20, 2013 CUST ID No. 223242 A777V: POWTS Inspector JEFFERY V FOX ZONING OFFICE JEFF FOX CONTRACTING & SEPTIC INC ST CROIX COUNTY SPIA PO BOX 565 1101 CARMICHAEL RD DRESSER WI 54009 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 03/20/2015 Identification Numbers Transaction ID No. 2219250 SITE: Site ID No. 788965 Andrew Krochalk Please refer to both identification numbers, Summit Ridge above, in all correspondence with the agency. Town of Troy St Croix County NEIA, NWIA, S11, T28N, R19W FOR: Description: Mound, 4 bedroom residence Object Type: POWTS Component Manual Regulated Object ID No.: 1418097 Maintenance required; 600 GPD Flow rate; 25 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Version 2.0, SBD-10691-P (N.01101), Pressure Distribution Component Manual - Version 2.0, SBD-10706-P (N.01101), SSWMP Pub. 9.6; Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes P•0' 0 and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed Condit, and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. r The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. E No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, g+ stats. The following conditions shall be met during construction or installation and prior to occupancy or use: _ d ,0 Key Item(s) • 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 VIII of the mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • Care must be taken to preserve the bench mark during construction or establish a new bench mark with the elevation set to relate to the original bench mark. Reminder • The float switch shall be a type that does not contain mercury. 2009 Wisconsin Act 44 prohibits the installation of float switches or relays that contain mercury. • The designer proposes to install a state approved effluent filter to achieve the requirement of wastewater particle size. Pursuant to outlet filter product approval stipulations, maintenance information must be given to the owner of the POWTS explaining that periodic cleaning of the effluent filter is required. The access opening used to service the filter shall terminate at or above finished grade with a watertight cover. r JEFFERY V FOX Page 2 3/20/2013 • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per SPS 383.44(6)(a)2. • Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual. • Surface water drainage shall be diverted away from the system area per Mound Component Manual. • Materials shall conform to the requirements of SPS 384.10. No fixture, appliance, appurtenance, material, device or product may be sold for use in a plumbing system or may be installed in a plumbing system, unless it .is of a type conforming to the standards or specifications of chs. SPS 382 and 383 and this chapter and ch. 145, Stats. • Maintain well and waterline set backs per SPS 383.43(8)(i). Consult the Department of Natural Resources for well setbacks and other regulations and exceptions. 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. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 This Amount Will Be Invoiced. When You Receive That Invoice, i(715) ricia L Shandorf Please Include a Copy With Your WTS Plan Review r, tegrated Services Payment Submittal. 634-7810, Fax: 5) 634-5150, M - F 8:00 a.m. - 4:45 p.m. WiSMART code: 7633 pat.shandorf@wisconsin.gov cc: Charles L Bratz, POWTS Reviewer II, (608) 789-7893 , 7:45 am - 4:30 pm Monday - Friday 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. II t p MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN ~ niai ~NNn~.au~i i INDEX AND TITLE PAGE Project Name: Andrew Krochalk Owner's Name: Owner's Address: 14227 Vintage St. Andover MN 55304 Legal Description: Net/4 NW1/4 S11 T28N/R19 W Township: Troy County: St. Croix i Subdivision Name: Hills of Troy Lot Number: 18 Block Number: Parcel I.D. Number: 040-1318-00-018 Plan Transaction No.: ~ .S' ,pally Page 1 Index and title WED Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank r SUILDt Page 5 System maintenance specifications Page 6 Management and contingency plan PO O Page 7 Pump curve and specifications Page 8 Plot Plan ~S S Page 9 Soil Test Zz I ~ 2-5~' Designer: Jeff Fox License Number: MPRS 223242 Date: 03/13/13 Phone Number: 715-755-2461 Signature Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SBD-10691-P (N. 01/01, R. 10/12), and both SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01, R. 10/12) Version 7.0 (R. 11/12) Page 1 of 9 Mound and Pressure Distribution Component Design Site Information R Residential or Commercial Design Note: Sand fill (D) calculations assume a 400.00 Estimated Wastewater Flow (gpd) Table 383-44-3 in-situ soil treatment for 1.50 Peaking Factor (e.g. 1.5 = 150%) fecal coliform of - 36 inches. 600.00 Design Flow (gpd) 6.00 Site Slope 1074.00 Contour Line Elevation (ft) 25.00 Depth to Limiting Factor (in) 0.40 In-situ Soil Application Rate (gpd/ftz) Distribution Cell Information 75.00 Dispersal Cell Length Along Contour (ft) = 8.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ft) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? Y IN c Center or End Manifold 4.00 Lateral Spacing (ft) If N above, enter the elevation (ft) 4 Number of Laterals of the highest point. 0.156 Orifice Diameter (in) 2.00 Orifice Spacing (ft) = 8.33 flz/orifice 2.00 Forcemain Diameter (in) 50.00 Forcemain Length (ft) Does the forcemain drain back? Y 1067.00 Pump Tank Elevation (ft) q15 System Head (ft) x 1.3 8.16 Forcemain Drainback (gal) Vertical Lift (ft) 67.44 5x Void Volume (gal) Friction Loss (ft) 75.59 Minimum Dose Volume (gal) 0.00 In-line Filter Loss (ft) 38.77 System Demand (gpm) 13.62 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 x 1.00 1.50 x x 1.25 x 2.00 1.50 x x 3.00 2.00 x 3.00 x Gallonslinch Calculator Treatment Tank Information Total Tank Capacity (gal) 1200.00 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Wieser Manufacturer gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 800.00 Dose Tank Capacity (gal) PolyLok Commercial Filter Manufacturer 22.24 Dose Tank Volume (gal/in) 625 Filter Model Number Weiser Manufacturer Project: Andrew Krochalk Page 2 of 9 Mound Plan and Cross Section Views 1/10 B J Observation Pipe : . . K O A OX, W ::::I:: :::::......:::::::I::::: - B 7- z d. : e L Mound Component Dimensions A 8.00 ft E 16.76 in H 1.00 ft K 8.85 ft B 75.00 ft F 9.50 in 1 12.00 ft L 92.69 ft D 11.00 in G 0.50 ft J 5.61 ft W 25.61 ft 600.00 (ft2) Dispersal Cell Area 1500.00 (ft2) Basal Area Available 8.00 (gpd/ft) Linear Loading Rate 7.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 1076.71 (ft) - 0 „r:... H G ,rrrrrrrrrrrrr~rrrrr„rrrrr~:-.. F Dispersal Cell 1075.42 (ft) Lateral 1074.92 (ft) -0- 1 - Invert Dispersal Cell a Elevation D . . 1074.00 (ft) Contour Elevation 6.0 % Site Slope Geotextile Fabric Cover Shading Key a -r Dispersal Cell See lateral details on Q [ Topsoil Cap o ° 1.5 ft Page 4 for number, size, Subsoil Cap w c © T and spacing of laterals. © ASTM C33 Sand t0 ° / Laterals are equally 0 Tilled Layer C! 0 0-5 ft Tvpical Lateral F spaced from the distribution cell's Aggregate 14 c © ©0 centerline inthe n the A * distribution cell (AxB). Project: Andrew Krochalk Page 3 of 9 Center Connection Lateral Layout Diagram Force main cc nnectron via tea or crass to manifold at any point. Laterals are identi, al S P ~L Turn-upw balle,ahaeor x=.IFx1Z W'41 Laterals &forcemam Sch 40 PVC. oieanoutplug per SPv Table 3$4.305 Holes drilled on tf=e bottom of the lateral. Number of Laterals 4 Orifice Diameter 0.156 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.10 ft Lateral Length (P) 36.75 ft Orifices per Lateral 18 Lateral Spacing (S) 4.00 ft Orifice Density 8.33 ftZ/orifice Lateral Flow Rate 9.69 gpm Manifold Length 4.00 ft System Flow Rate 38.77 gpm Manifold Diameter 1.50 in Total Dynamic Head 13.62 ft Forcemain Velocity 3.96 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and SPS 316.300 WAC 4 in. min. Disconnect Tank component is properly vented E Alternate outlet location Forcemain diameter Weiser Manufacturer 2 in. Capacityl 800.00 Gallons Volume 22.24 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 19.67 437.51 B 2.00 44.48 C Pump off elevation (ft) C 3.40 75.59 1067.91 D 10.90 242.42 D Total 35.97 800.00 I I Dose tank elevation (ft) Bedding un er tank. 1067.00 Alarm Manuafacturer Septronics - Alarm Model Number MJJ1 Pump Manufacturer Zoller - Pump Model Number BN152 Pump Must Deliver 38.77 gpm at 13.62 ft TDH Project: Andrew Krochalk Page 4 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name Jeff Fox Phone 715-755-2461 POWTS Regulator's Name St. Croix Cty. Zoning Phone 715-386-4680 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1200 gal Maximum TSS 150 mg/L Soil Absorption Component Size 600 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Inspect and/or service once eve 3 ears Effluent Filter Should inspect and clean at least once eve 3 ears Pump and Controls Test once eve 3 ears Alarm Should test month) Pressure System Laterals should be flushed and pressure tested eve 1.5 ears Mound Inspect for ponding and seepage once every 3 years Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap, and are secured in as shown in the mound component manual. c. v.sNci oar cc-.u oyyrcya Lc ivi W i w w v. v vv~..w w1k.1, v r IQ. r,w i I. wwuc. 3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished Grade vl 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Andrew Krochalk Page 5 of 9 Mound System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General This system shall be operated in accordance with SPS 382-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD-10691-P (N.01/01, R. 10/12), SSWMP Publication 9.6 (01/81), and Pressure Distribution Component Manual Ver. 2.0 SBD- 10706-P (N. 01/01, R. 10/12)] 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 SPS 383.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BOD5, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD5, 30 mg/L TSS, 10 mg/L FOG, and 104 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Pretreatment Units The information and schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment units or disinfection units are attached as separate documents and are considered part of the overall management plan for this system. Project: Page 6 of 9 TOTAL DYNAMIC HEAD/CAPACITY HEAD CAPACITY CURVE PER MINUTE EFFLUENT AND DEWATERING MODEL 152/153 U w MODEL 152 153 50 Feet Meters Gal. Liters Gal. Liters 153 5 1.5 69 261 77 291 12 40 10 3.1 61 231 70 265 152 0 15 4.6 53' 201 61 231 = 20 6.1 44 167 52 197 30 z 8 25 7.6 34 129 42 159 30 9.1 23 87 33 125 0 Q 20 35 10.7 22 85 40 12.2 11 42 4 Lock Valve: 38.0 Ft. (11.6m) 44.0 Ft. (13.4m) 10 014M 0 20 40 60 80 100 GALLONS LITERS 0 80 160 240 320 6 1/4 3 2"7/32 4 5/8 FLOW PER MINUTE e CONSULT FACTORY FOR SPECIAL APPLICATIONS 3 27/32 • Timed dosing panels available. QQ • Electrical altemators, for duplex systems, are available and supplied with 3 27/32 an alarm. • Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable level long and short cycle controls. • Sealed (Wk-Box available for outdoor installations. See FM1420. • Over 130°F. (54°C.) special quotation required. I 1522153 Series 12 1/8 1521153 MODELS Control selection Model Volts-Ph Mode simplex DDuplex 5 1 /8 BN1 115 1 Non. n44.3 1 2 or 3 BN752 115 1 Aura kxiuded 2 or 3 E152 230 1 Non 1 2 or 3 s~¢osa BE152 230 1 Auto Included 2 or 3 N153 115 1 Non I 10.5 1 2 or 3 BN153 115 1 Auto 10.5 Included 2 or 3 SELECTION GUIDE E753 230 1 Non 53 t 2 or 3 1. Single piggyback varialole level that switch or double piggyback variable level that BE153 230 1 Auto 53 Included 2or3 switch. Refer to FM0477. A CAUTION 2. See FMO712 for correct model of Electrical Alternator E-Pak. All installation of controls, protection devices and wiring should be done by a qualified 3. Variable level control switch 10.0225 used as a control activator, specify duplex (3) licensed electrician. All electrical and safety codes should be followed including the most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). or (4) float system. it RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL T0: P.O. BOX 16347 Lousv&, KY 40256-0347 ` Menu/adurersor. . SF6PT0: 3649 Cane Run Road ® Y Lou. KY 40211-1961 Q~rP~~ S#cE /939 FAX (502) ht1PYAvww.zoe11er corn /PUMP !O. (502) 77~731- ~z28-P'MP 0 Copyright 2001 Zoeller Co. All tights reserved. 5~=~~►~~-~ tom. ~ , t -71~')C,1 L16 ST. CROIX COUNTY SEPTIC TANK MAINTAINANCE AGREEMENT AND ~1OWNERSHIP CERTIFICATE FORM Owner/Buyer, Andrew ti Av-, A 1~ 1r0 Y 1 a { ~C Mailing Address `1 a-2 M/J l Property Address tJ tlwi,n~1 i d ll't • 5 (Verificatian requked fi-om mmnmg Dep for new omstxudim) City/State WJ SOYI WT- Parcel Identification Number LEGAL DESCRIPTION Property Location Va, Sec: T_N R W, Town of Subdivision Low t Certified Survey Map# , Volume Page Warranty Deed# > Volume Page Spec house yes _X_no Lot lines identifiable __)~yes no SYSTEM MAINTENANCE Improper use andmaintenance of your•septic system could result its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. Whatyomput.into the.systemcan affect the fimction of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to-submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterplumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on site wastewater disposal systemisinproper.operating condition and/or (2) after inspection and pumping(ifnecessary), the septic tank is less than 1/3 Ul of sludge. I/we, the undersigaed4umeread the abovesecp irements and age to maintain the private sewage disposal system with the standards set forth, herein, as set by th Department of Commerce and use the Department of Natural Resources. State of Wisconsin.Cedifiea±ionstating that your.septic system has been maintained must be completed and returned to the St Croix County Zonin within 10 days of the three year expiration date, 2 7-0 SIGNATURE OF APPLICANT DATE #of proposed bedrooms 4 OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge I (we) am (are) the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Offi SIGNATURE OF APPLICANT DATE s*wsss Any mfermawn that is numvpreamted may resuk m the sanitary pains being revoked by the Zming Depatmat'°'' Include with this applicauca a tamped warranty deed from the Register of Deeds office a copy of the cutdW survey map if refamm is made kahe wammty deed. III I {1lII~Ii~lll!llillll 8021146 Tx:4015431 State Bar of Wisconsin Form 1-2003 932411 WARRANTY DEED BETH PABST REGISTER OF DEEDS Document Number Document Name ST. CROIX CO., WI 02117/2011 4:18 PM EXEMPT#: NA THIS DEED, made between M&I Marshall & 11sley Bank, a Wisconsin State REC FEE: 30.00 Banking Corporation TRANS FEE: 133.50 ("Grantor," whether one or more), PAGES: j and Andrew D. Krochalk and Angela J. Krochalk, husband and wife as survivorship marital property ("Grantee," whether one or more). Grantor, for a valuable consideration, conveys to Grantee the following described real Recording Area estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Croix County, State of Wisconsin ("Property"} (if more space is Name and Return Address needed, please attach addendum): River Valley Abstract & Title, Inc 1200 Hosford Street, Suite 201 Hudson, WI 54016 Lot 18, Plat of Hills of Troy in the Town of Troy, St. Croix County, Wisconsin File # 2806635 040-131"-018 Parcel Identification Number (PIN) This is not homestead property (is) (is not) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except: Easements, restrictions and rights-of-way of record, if any. Dated February 16 , 2011 M&I Mars I] ank (SEAL) (SEAL) + * Daniel J. l lstad, Vice President (SEAL) (SEAL) * AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF Minnesota ) ) ss. authenticated on Hennepin COUNTY ) ~R tilA h * Personally came before me on February i r , 2011 v+ the above-named Daniel J. Falstad, Vice President of M&I TITLE: MEMBER STATE BAR OF WISCONSIN Marshall & Ilsiev Bank Z W 3 (If not, to me k own to be the person(s) who executed the foregoing e s authorized by Wis Stat. § 706.06) Ic s instr nt and kno a ed the same. Y THIS INSTRUMENT DRAFTED BY: z Attorney Doug Berg Notary Public, State of Minnesota f `JY 1200 Hosford Street, Suite 201 Hudson, WI 54016 My 3(. (S Commission (is permanent) (expires: ) (Signatures may be authenticated or acknowledged. Bath are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED C 2003 STATE BAR OF WISCONSIN FORM NO. 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Adm. Code in accorjh County ST. CROIX size. Plan must Attach complete site plan on aper Ailer n include, but not limited to: ve i (IN direction and Parcel I.D. percent Inpa., sralp or dimensions, no tance to nearest road. Please print all ineview Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ` - Property Owner Property Location - NORTH DAKOTA STATE UNIVERSITY c/o Leo Beskar Govt. Lot NE 1/4 NW 1/4 S 11 T 28 N R 19 E (or) W Property Owners Mailing Address Lot # Block # Subd. Name or CSM# Rodli, Beskar, Boles & Krueger SC, 219 N. Main Street 18 Mills of Troy city state Zip Code Phone Number ity E ]Village ■ Town Nearest Road River Falls, WI 54022 ( 715) 425 - 7281 Coulee Trail New Construction Use[D Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD 0 Replacement Q Public or commercial - Describe: Parent material loess over till Flood Plain elevation if applicable NA ft• General comments Mound System .92 ft. sand fill 0.4 loading rate a commend ns: 0 Plow deph 12" (Ifpre-treatment - elow ground drip-irrigation system 0.6 loading rate) ❑ Boring # Boring 0 Pit Ground surface elev. 1072.78 ft. Depth to limiting factor 32 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Ef1#1 *Eff#2 1 0-7 10YR2/2 - sil 3fgr mvfr as 3vf-co 0.6 0.8 2 7-19 1 sil 2fgr mfr ai 2vf-m 0.6 0.8 I0YR3/4 - sicl 2fabk MR as 2vf-f 0.4 0.6 3 19-32 4 32-34 10YR3/4 c2d IOYR5/6 sicl lfabk mfi as lvf-f 0.2 0.3 5 34-36 10YR5/6 c2d 10YR5/8 c/lsbr 2fgr mefi 0.0 0.0 ❑ B Boring # 0 Boring 1075.33 30 0 Pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-7 10YR3/2 sil 3f-msbk mvfr aw 2vf-m 0.6 0.8 2 7-16 10YR3/4 sicl 2fabk mfr cs lvf-f 0.4 0.6 3 16-25 10YR3/4 sil 3fabk mfr as lvf-m 0.6 0.8 as lvf-f 0.2 0.6 4 25-30 7.5Y R3/4 sl Om mfr 5 30-33 7.5YR3/4 c2£7.5YR4/4 sl Om mfr 1vf--f 0.2 0.6 Horizon 4 has some gr. * Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signatur CST Number Ma Jo Hollister 1 224832 Address Date Evaluation Conducted Telephone Number W9875 690th Avenue, River Falls, WI 54022 05 - 06 - 05 (715) 426 - 1775 a Property Owner NDSU (Lot 18) Parcel ID # (Pending) Page 2 of 3 C Bbring # L Borinq 1072.41 LS Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-6 10YR3/2 sil 3fgr mvfr as 3vf-co 0.6 0.8 2 6-10 10YR3/2 _ sil 3f r mvfr as 2vf-co 0.6 0.8 3 10-19 10YR3/4 sicl 3fgr mfr as 2vf-co 0.4 0.6 4 19-25 10YR3/4 sicl 2fgr&abk mfr as Ivf--f 0.4 0.6 I 5 25-30 c/Isbr - I F-1 Boring # Boring Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDKf in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 Boring ❑ Boring # Ground surface elev. ft. Depth to limiting factor in. Pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 Effluent #1 - BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L Effluent #2 = BOD5< 30 mg/L and TSS < 30 mg/L _ _ The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330Te t (R.07/00) 4 Plot Plan for Hills of Troy Page 3 of j Town of Troy, St. Croix County, Wisconsin Lot ig 191= 40 ft Legal Description N~~Iv of WIE r 440 Stc, 11. TZSnI, 2 ft. contours RI~rW, TQWnt OF Azov = Backhoe pit 'Poll 1A \ IRON IPE ELEV TION = v -18A I X74.78" 18 I B-18B ® \ ` 40 BENCH RK: I I~Ty- - `STOP OF 1/4" IRON ~I.. PE \ . - \ \ \ \ ELEVATION = \ _B-18/19C\ G