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018-2019-38-000
7Z` . 17 # Y9q 13y V FIELD INSPECTION & SERVICE REPORT INSTALLATION AUTHORIZED SERVICE PRO 11) 1 9 Mani ---77io.Tt ner Name: t*t4 Street: dress Mail ~d sh~Lt ~z State l J~. Zip 5 S/O?Li - mnlaho tate av%• Zip SV&5' j City ( C---v ~-4 - I Fax Phone (7/5_,Z W- 77C7 F<ix INSTALLA'T'ION INFORMATION coil V'o. Blower Brand and Serial No. Date of Installation Date of last pump-out ~o c eG,'es Size 1/0 ~0~ QUIYMENT DETAILED COMiIMENTS OF SITE CONDITION-S - )PERATION YE NO :MAINTENANCE PERFORMED OR REQUIRED t^c:tl Panel s) _ ! .\larm Operating ---,~c',o .-alarm Operating / i present) t/ Inlet Filter Clean 3!~~,er Hood Vents Clear \cessive Noise ssive Vibration _ suncrtt Unit(s): ~ I Odor 1 -~.S:em Vent cl, _ , r! ut Required: n' Sertling Zone 1-- - - ✓ ~~bicc Treatment "Lone Ef FLUENT: LINIIT RESULT Fstimated Daily Flows Ii (Standard Units) 6-9 S.U. 19 ,"uior Clear D~ UT QU -~O ;nprrature Dlssckvd Oxygen (effluent) ? mg/L Slightly ,MUSty odor nn not Sept' OWNER SIGNATURE TEC -INICIAN SIG ' RE SERVICE DATE :Nisco^SinDepartment ofCommerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 499134 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:~/ [7 Rollin Hills of Hammond LLC Hammond, Town of 0 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: jP_ .4_7.4 A 166 . `f Q I CST -wV TANK INFORMATION ELEVATION DATA Z TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic ' q~ _ Benchmark as Dosing ~Sn .s ' Alt. BM ' Aeration Bldg. Sewer Holding S Ht Inlet .A St/Ht Outlet A I ~l TANK SETBACK INFORMATION l TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic 2V 2-5 'f O2C) I Dt Bottom Za $ ~y Dosing 7-1 i , t I Header/Man. / /~3 5 4 . Z6 Aeration Dist. Pipe 2 5 ~ , ss Holding Bot. System Lf, 75 16J , 6S PUMP/SIPHON INFORMATION Final Grade 3- Lb Manufacturer i9u Lbs Demand St over I'd L~ GPM Gw 6 y' T ~/S Model Number Z• Cow~-a~r 5.~ 9l• TDH Lift Friction Loss IS stem Head TDH Ft y o Tp P1.4- X) lkw l+ 5 /a z • 5 Forcemain Length , Dia. it Dist. to Well 216 /,35 4' p v J, SOIL ABSORPTION SYSTEM D ` CrD BEDITRENCH Width t Length No. Of Trench PIT DIMENSIONS No. Of Pits Liquid Depth DIMENSIONS e~. g (~Cc O O SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type OfS y0t 1 3 / + 1 41 7 AC , N; Y UNIT Model Number: DISTRIBUTION SYSTEM r T p w(~ D • 9•~ Header/Manifold r Distribution (4 ix Hole Size / x Hole Spacing Ve0.t to Air Intake 1~1 LDia Length Dia Spacing T I Z G 6v t SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of jxX Seeded/Sodded/ xBed/Trench Center Bed/Trench Edges Topsoil Yes E] NYes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: f / Z / o to I pection #2:~/_j ~ Z 7ZO Location: -pendMg 163r Street Hammond, WI 540 55 (NW 1/4 SE 1/4 29 T29N R Rolling Hills of Ha nd Lot 38 Parcel No: 2 . . .445 ~ N►S l.e.l~. = r C ( 1.) Alt BM Description , 2.) Bldg sewer length = '2•~•, a a~ +000, J amount of cover a = 4% 'Itt, GI P 16 qjo 0 v` Plan revision Required? ❑ Yes ~rNo !I b 61 D Use other side for additional information. Date Insepctor Sign e Cert. No. SBD-6710 (R.3/97) MGOULDS PUMPS Submersible Effluent Pump MODEL 3885 WE Series - PROSURANCE AVAILABLE FOR RESIDENTIAL APPLICATIONS. APPLICATIONS ■ Shaft: Corrosion-resistant, Single phase (60 Hz): can be operated continuously stainless steel. Threaded • Capacitor start motors for without damage when fully Specifically designed for the design. Locknut on all models maximum starting torque. submerged. following uses: to guard against component • Built-in overload with • Homes damage on accidental reverse automatic reset. ■ Bearings: Upper and • Farms lower heavy duty ball bearing rotation. • STTOW or STOW severe duty construction. • Trailer courts ■ Fasteners: 300 series oil and water resistant power • Motels ■ Power Cable: Severe duty • Schools stainless steel. cords. •'hand 'h HP models have rated, oil and water resistant. • Hospitals ■ Capable of running dry NEMA three Epoxy seal on motor end • Industry without damage to prong provides secondary moisture • Effluent systems components. grounding plugs. HP and larger units have barrier in case of outer jacket ■ Designed for continuous bare lead cord ends. damage and to prevent oil SPECIFICATIONS operation when fully wicking. Standard cord is 20'. submerged. Three phase (60 Hz): Optional lengths are available. Pump • Class 10 overload protection m 0-ring: Assures positive • Solids handling capabilities: MOTORS must be provided in sealing against contaminants /4" maximum. separately ordered starter ■ Fully submerged in high- unit. and oil leakage. • Discharge size: 2" NPT. rode turbine oil for lubrication • Capacities: up to 140 GPM. g STOW power cords all have AGENCY LISTINGS • Total heads: up to 128 feet and efficient heat transfer, bare lead cord ends. Tested to UL 778 and TDH. ■ Class B insulation on ■ Designed for Continuous CSA 22.2 108 Standards • Temperature: 1/3-11/2 HP models. Operation: Pump ratings are ® By Canadian Standards 104°F (40cC) continuous ■ Class F insulation on 2 HP within the motor manufacturer's CM us Association models. File #LR38549 140OF (60cIC) intermittent, recommended working limits, Goulds Pumps is ISO 9001 Registered. • See order numbers on reverse side for specific HP, METERS FEET voltage, phase and RPM's 40- 130, available. WE15HH SERIES WE 120= - SIZE. /4" SOLIDS 35 RPM: 3500 & 110, 1750 FEATURES wt20" 30 100: " - 5 FT _5 GPM ■ Impeller: Cast iron, semi- 90 "WE15H open, non-clog with pump-out < 25 80, wE16H" _ _ _ _ , . , vanes for mechanical seal protection. Balanced for 2 20 E07, " smooth operation. Silicon ; 60 bronze impeller available as ° wEOS c 15 50 an option. o 40 EoSH ■ Casing: Cast iron volute type 10 I 2'rNPTxdlschargeciency. 5 207W17037;; i _ ■ Mechanical Seal: SILICON 10. ~ - CARBIDE VS. SILICON o 00 i o zoo 30~ ao so 60 7~0 ao~ 90i oo 110 120 130 140 " i~ CARBIDE sealing faces. so 160 GPM Stainless steel metal parts, 0 5 10 15 20 25 30 35 m3/hr BUNA-N elastomers. CAPACITY Goulds Pumps © 2003 Goulds Pumps Effective July, 2003 www.goulds.com ITT Industries i - Safety and Buildings Division C y --2111 W. Washington Ave,, P.O. Box 7162 1*hscon ~~Madison, WI 53707 - 7162 S ry Pcamit Nu ben (to be tilled in by Co.) Department of Commerce I (648)266-3151 L3 LL . Sanitary Permit Application State Plana q Num6cr 7L- _ In accord with Comm 53.21, Wis. Adm. Code, personal information you provide / a } t►' c~-t may be used for secondary purposes Privacy Law, sI5,04(l Xm) lCy C C ddre ifte Mailing address)- I. Application Information - Please Print All Information - - t1G r Property Owner's Name Parcel # Lot # ST. CR01 COUNTY d' LF 5' ' .t A, ?~-B Property Owne, s Mailing Address Pro e S'7"' e_0 an j I D ~e G ✓ c < '/4, Section City, state Zip Code Phvne Number a circle I' ~J N; R1 F rW Ta(N73 ~Q 11. Type of Building (check all that apply) _ l / Nv or 2 Family Dwelling -Number of Bedrooms -7-!/ _ ~wief/ Subdivision Name ~ Public/Commercial - Describe Use ~.2 l6 T ~Q3 li! ve ❑StateOwned-DescribeUsz ❑City_❑Village~Towtslripof f/~/y+C t/GL Ill. Type of Permit: (Check only one box online A. Complete line B if applicable) A. i ZNew Svstem L Replacement System ❑ Treatment/Holding Tank Replacement Only i L1 other Modification to L-xisting System i I B. ❑ Permit Renewal U Permit Revision Change of Permit Transfer to New List Previous Permit Number and Pate Issued Before Expiration Plumber Owner F / 1 l ' IV. T e of POWTS System: - Check all that apply) /"~i 0 - ~ ❑ Non -Pressurized In-Ground `Mound > 24 in. of suitable soil ❑ Moturd < 24 in. of suitable soil ❑ At-Grade ❑ Single Pass Sand Filter ❑ Constructed Weiland ❑ Pressurized 1n-Ground ❑ Holding Tank 0 Peat Filter JkAtv..)hic'Treatment Unit ~i~L❑ Recirculating Sand Filter ❑ i Recirculating Synthetic Media Filter ❑ Leaching Chamber [I Drip Line ❑ Gr -less Pipe Other (exL/~ V. Dis ersal/Treatn ent Area Information: Design Flow (gpd) Design Soil Applic ion Rate(gpdsf'-) T Dispersal Area Requ , (st) Dispersal Area Proposed (st) System Elevation l ~v EEEEE / • o ~ I ~ 4 v 9.S' il~ SU 6 VI. Tank Info Capacity i Total Number Manufacturer P efab Site Steel Fiber Plastic l Gallons Gallons of Units i Concrete Constructed Glass i New Existing l I Tanks Tanks Septic or Holding Tank ! A74-T tineni I'n,t / / $ Y3 011, ! P sin wtnbrs /-7 V11. Responsibility Statement- I, the undersigned, assume responsibility for instpllation of the POWTS shown on the attached plans, P PRS Number Business Phone Number Plumber's Name (Print) Plumber's Signature Lc,!rl~ ~c m SG hc~ h» y Z2 7 q' F,:2 Plumber's Address (Street, City, Stag, Zip Code) VIII. C n IDe artment Use Only -i 1,04(P"'Oved ❑ Dtsappro,,•ed Sanitary Permit Fee includes Groundwater Date lssued Issuing Age Signa e t ps} Surcharge Fee) ~ ~/3() J ~Z ~ ~ C~❑ Owner Given Reason for Denial IX. Conditions of Approval/Reasons for Disapproval TVl, J YSTEM OWNER: T;;ttN_Jl_ -jrlll7l.~t ;'Y Spa 7 Septic tank, effluent filter and Q dispersal cell must all be serviced / maintained A~ as per management plan provided by plumber. 7-U 2. All setback requirements must be maintained Q~ as per applicable code/ordinances. _A 1Af1)_1zM -A u Oc.~l, Attach complete plans (to the County onl ~or the system an paper not its$ than 112 x l1 inches in e 2V 034-j-~ Ginn 9V( R. 0 a/kv SBD J~ 1 - / L d eZ U R~ /0 TO -5- s~~ ®V 5 ~ LA's one ~ 1it&;1~G77 nl Q~ tti~~ y 081 ./.03/2006 09:32 FAA 715 233 0398 Certified Soil Testing LaX Commerce l~]003 ~ ro S eb `1:•~'~~~ ~E~awv~ ~ CGc4~ 1 (:.A 'r- --t, IA:~ w i:ok \ ~ 7 tt1 (J b • 1~ R..l~s t„l o-p , o~ aV . y.~ o ~ 4-0 0. r 4, v / 5. je 2zy' 22 o 0 Lck ' 1111.1.1. / t a 4sr dS S m l.5 G• L~ fl Safety and Buildings commerce.wi. 4003 N KINNEY COULEE RD gOV LA CROSSE WI 54601-1831 TDD (608) 264-8777 sin / isconsin www.commerce.wi.gov/sb/ www.wisconsin.go .gov Department of Commerce Jim Doyle, Governor Mary P. Burke, Secretary August 04, 2006 CUST ID No. 222774 ATTN. 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: 08/04/2008 Identification Numbers Transaction ID No. 1289242 SITE: Site ID No. 715495 Rolling Hills Farm Please refer to both identification numbers, Town of Hammond above, in all correspondence with the agency. St Croix County NE1/4, SW1/4, S29, T29N, R17W Lot: 38, ✓~&VFOR: ~I Description: Twelve Bedroom (Three Homes) Mound System Object Type: POWTS Component Manual Regulated Object 1D No.: 1086165 Maintenance required; 1,800 GPD Flow rate; 31 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual - Version 2.0, SBD-10691-P (N.01/01), Pressure Distribution Component Manual -Version 2.0, SBD-10706-P (N.0110 ;Aerobic Treatment Un , Biofilter f { The submittal described above has been reviewed for conformance with applicable Wisconsin ms -ative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in .RT chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. / t" OF No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, - - stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders • This system is to be constructed and located in accordance with the enclosed approved plans and with the component manuals listed above. • The dose from the pump tank is to be field calibrated at time of construction as specified in the plan. • All subsequent connections to the pump tank are to have a pretreatment unit installed upstream that produces highly treated effluent that meets the requirements of. BOD less than or equal to 30 mg/1; TSS less than or equal to 30 mg/l; and fecal coliform with a geometric mean less than or equal to 104 cfu/100 ml. • The FAST unit 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 FAST unit is required for as long as the unit is in service. • 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. HENRY F GROTE Page 2 8/4/2006 • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the POWTS installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat • Comm 83 22(7) A copy of the approved plans specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department which may include local inspectors. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 225.00 Refund Amt $ 50.00 Charles L Bratz POWTS Reviewer II , Integrated Services WiSMART code: 7633 (608)789-7893 , 7:45 am- 4:30 pm Monday -Friday charlie.bratz@wisconsin.gov cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 Rolling Hills Farm Mound Additional Information regarding Transaction # 1289242 Construction Materials and Techniques All materials must comply with Comm 84 and be installed in accordance with manufacturer's specifications. Construction methods must comply with the following Component Manuals: Mound, SBD-10691-P (01 /01) Pressure Distribution, SBD-10706-P (01/01) Location: NE '/4, SW '/4, Sec. 29, T 28 N, R 17W Town: Hammond County: St. Croix Date: August 4, 2006 Owner: Rolling Hills of Hammond, LLC Address: 400 Second St. \\Xx k N i Hudson, WI 54016 ` G /V Designer: He Zi~r, M k Signature: License: WI D- 1 9-007 DE S;G% EANMr Fir, u - ~:sP(3tyt3ENC Attachments: SBD-10577 - Plan Approval Application SBD-8330 w/ potential subdivision area details, see previous application w„ ly Page 1: cover Cr) I a. overview 2: design criteria & calculations ~MmLtRrrs- 3: plot plan 3a: potential future plot plans 4: system cross section 5: plan view, lateral detail 6: pump tank exit detail E L- 7: pump curve 8: system management ' 2000 a €t,,~ aw page l of 8 Overview This system design is intended to be of sufficient size to be capable of handling an increased wastewater load in the future. The intent here is to comply with the St. Croix County Code of Ordinances, Land Use and Development, Chapter 12, Sanitary, Enacted July 1, 2005. Specifically, Section 12.4.A.3.c. (Common Systems, General, Submittal Requirements), requires state approval from the Wisconsin Department of Commerce for an onsite disposal system. A pending Conservation Development, Rolling Hills Farm, is proposed in the area around the current designed system. If final plat approval is granted, the Rolling Hills Farm development will have 77 lots serviced by a proposed 22 adsorption/dispersal components located on common ground. This design is intended to serve as proof of concept and be a model design in essential components and features for future system designs. Appropriate easements and maintenance language are required by the ordinance prior to preliminary and final approval. The dashed lines on the plot plan for this design indicate potential future lot lines. Immediately adjacent to and upslope from the dashed lines are two, addi ' nal potential future to s. Conceptually, each future lot is projected to accommodate four bedroom residence. Each residence will have a combination tank with a septic/trash tank compartment ahead of an aerobic treatment compartment. Thus, highly treated effluent could potentially be created in estimated flow of 1200 gallons per day or design flow to 1800 gallons per day. Conceptually again, this effluent will flow downslope to a dosing/pump tank located upslope from the adsorption/dispersal component mound system. This system is designed with surge capacity and timed dosing of the mound component. Surge capacity is approximately 989 gallons represented by the pump tank volume between the timer off float and the alarm float. The surge volume is about 82 percent of the estimated daily flow assuming potential future loads. Timed dosing is designed to spread the full potential future design load of 1800 gallons per day over 24 hours in 16 separate dosing events. With minimal drain-back of 4.45 gallons, a dose of 117 gallons translates to an effective dose of 112.5 gallons into the mound component. At a calculated total dynamic head of 17.55 feet the Zoeller 152 pump is estimated to yield 48.4 gallons per minute which indicates a timer on setting of 2.4 minutes or 144 seconds. Since sixteen doses per day are anticipated at full design load, the timer off setting should be 87.6 minutes. Careful measurement of pump tank liquid level drop is required to field calibrate these estimates and assure a 117 gallon timed dose. The liquid level drop should be 2.36 inches per dose. It can be noted that the 112.5 gallon delivered dose is slightly greater than five times the lateral volume and will provide 5.3 doses per day for a one residence load at full initial design load. Page 1 a of 8 08•/03/2006 09:31 FAX 715 233 0398 Certified Soil Testing 3 LaX Commerce a 002 Design Criteria & Calculations ` Y g q L 43- Residential Wastewater Contaminant Load: 30 mg/L < BOD5 < 220 mg/L Anticipated septic tank effluent 30 mg/L < TSS < 150mg/L Fecal Coliform > 10,000 cfa/100 mL Treated Residential Wastewater Contaminant Load: 30 mg/L < BOD5 Septic tank + "highly-treated" effluent 30 mg/L < TSS Fecal Coliform < 10,000 cfu/100 mL G- Bedrooms x 100 gal/bedroom/day x 1.5 (P gallons/day hydraulic load, current , 12 Bedrooms x 100 gal/bedroom/day x 1.5 potential future In situ designed loading rate gallons/sq. ft. per day Depth to estimated high ground water 3 _ in. Depth to bedrock Cross slope at systezxi a % Force main length 2 5' ft. of 7., in. 4 , o Manifold/headerlength ft, of 1L/2, in. Drain-back gallons Lateral length ft, of in. Lateral elevation i9 U ft. @ bottom of lateral Lateral bole size in. *L, I ft.) Spacing 2, b holes/lateral ` 04, holes total Lateral volume gallons Total lateral discharge rate Z ¢ gallons/minute @ ft, head Network pressure compensation losses ft. Elevation difference b ft. Friction loss O ft. @ 4 gallons/minute kilter head loss ft. Total dynamic head ft. Pump gpm @ 2 ft. of head Manufacturer o e-`Model # Dose volume gallons Lift tank S M e~ 2 e~ gallons Pump tank filter Septic tank gallons, 1 current + 2 potential future Septic tank effluent filter 1 current + 2 potential future ATU 1 current + 2 potential future Measurement pump timer enabled on-oft' 3 in. Dose pump timer on setting C4 2 min.; field verify dose @ gallons Dose pump timer off setting between doses -4, tD min. Height alann ftom tank bottom in. Reserve capacity { Zf 3 b - 5~ gallons spcas.caIcs Page Z of 08/.03/2006 09:32 FAX 715 233 0398 Certified Soil Testing LaX Commerce X1003 f L: i 1 L a _ lye-Sw~2q -z~-1~rw ~ ~.0 4} 1 O Ca. i~9M AL (D') IaA . ~ ~ 111 J IA- ' ~ ~ rte., '~~-cs-d t~ Cz, ~ ~r YYrr o S~ P~ P. 08/03/2006 09:32 FAX 715 233 0398 Certified Soil Testing Lag Commerce 2004 ~~1l~ ~11111~ ~ {Scale: = ao'} J ; Potential future W 475-1425 BIO + i tank locations w/ 0.75 FAST ATU units POTENTIAL FUTURE OT 1,782 FT.v POTENTIAL FUTURE 1 0 • 1QO ~ ?1,781 SQ. F A ~Zrrs ohs 4,/0 97S`142 1057.50 7,~FA s$rQ / POTENTIAL FUTURE _ Potential future lot lines OT Potential future 4" service to pump tank > 42» below S Q. FT. grade to top of pipe .0.=1057.50 --t C4 - J 3 mock ~ ~ 06 ve 46~t ~ ~ lam" ~c,po~•, ~ 1 o,s~ l.(oz c..Sj tM44 to i~bco 1 w t~ 1 O Z.a. o T i I+~-dot' --~I I~ y ~rOh QK~US O+ Y~O C.~L 2" ` n l QVC- `4CJ ~i~~a.< ~►a'~•~ ''Z`1 1- V C lc,h ~t'J ? t . ,atar~`S PVCt~4o .al. `bl I I 4.0 2 ,Z; ~ I 2 ,2s' ~ ~3,~ 15,5 I 2,Zj' I 2,25 ~ ~ o\ a. S o 1 ~1~ C.. Vr LILT 1~'r Vp ~ ' 1 1O h \ ~ ~i. 'S ~o a w b+~ U 0,$/03/2006 09:32 FAX 715 233 0398 Certified Soil Testing 3 LaX Commerce U005 . Page of min. 2'vcntPipe+v+shcap PUMP CHAMBER CROSS SECnON Z SO' from door. window or freth air intakc Vent Cap 7- ~a Z 4 wca*w proof ;Y N , luncClon Dox Approved fCGklrng manhole r I GOver w/ wam[rig label ; 12, MIN Final l b 1, © l 1 ° Grade i 11 4' MIN i i 1,5. MIN CondU+t ~ ~ _ ,..I Approved 'r ( Q.7 k~- Provide I Joint 11 ^ NrGtghC Seal I Approved ~ ~ I 11 i Joln'c5 /i ~ { ~ t Alarm pump l 1 On ELEV. fti I ELEY. ft Q 1 ! ConcreV4 Nock r 11 q r o p approved bedding mauriai under tank SPECIFICATIONS Note: Pump and alarm are on separate Number of Doses: Per Day circuits as per Wis. Adm. Code Gallons Per Day of Doses: tt7s' Gallons Volume of Backflow: Gallons Tank Manufacturer: Total Dose Volume: Gallons Tank Size: Gallons / Alarm Manufacturer: S Lta~ Capacities: A zs,~ inches ort7" 66- Gallons Model Number: t ° 1 W _ B inches or 40'`9 Gallons C 3 inches or I Z, Gallons Pump Manufacturer. 7~D inches or44s,1 Gallons s4 t 2. al inches or2 Gallons Pr; Tot Model Nurnb 8 Minimum Discharge Rate: GPM Vertical Difference Between Pump Off and Distribution Pipe Ft. Mlr imum Required Supply Pressure: + 'd Ft.4, ZS Ft. of Force Main x ,3'}`- Friction Factor/100 Ft + o~ Ft.(-~ 6,1 ~ w Total Dynamic Head = k;. Ft. Internal Pump Tank Dimensions: LengthW , Width %!R Depth to inlet ' PUMP PERFORMANCE CURVE TOTAL DYNAMIC HEAD/FLOW MODEL 151/152/153 50 PER MINUTE 14 45153 EFFLUENT AND DEWATERING 2 4g MODEL 151 152 153 i Q 35 w 10 152 Feet Meters Gal. Liters Gal. Liters Gal, Liters 30 5 1.5 50 189 69 261 77 291 d 10 3.0 45 170 61 231 70 265 o a 25 151 15 4.6 38 144 53 201 61 231 20 6.1 29 110 44 167 52 197 ° g 20 25 7.6 16 61 34 129 42 159 30 9.1 - 23 87 33 125 1- IN 5 35 10.7 - - - 22 85 4 40 12.2 - - 11 42 0 Shut-off Head: 30 ft. 191 m) 38 h. (11.6m) 44 h. (13.4m) 2 5 OIa50a6 0 f 10 20 30 40 50 W 70 80 90 100 GALLONS LITERS 0 40 80 120 160 200 240 280 320 360 FLOW PER MINUTE 014508A Model 151 Models 152 If 153 CONSULT FACTORY FOR 6 7/32 3 7j6 I a 5/8 1 I SPECIAL APPLICATIONS ~ 6 3 27/32--~--+-I~-4 5/h-17 • Timed dosing panels available. 3 7/8 • Electrical alternators, for duplex systems, are available and supplied with an alarm. e - - • Variable level control switches are available for controlling ®O 3 7/6 single phase systems. • Double piggyback variable level float switches are available for variable level long and short cycle controls. • Sealed Qwik•Box available for outdoor installations. See FM1420, - l • Over 130°F. (54°C.) special quotation required. I I I it 11/16 12 1/8 ~ i 15i11521153 Series 'Itall 15111521153 MODELS Control Selection ' 3/e Model Volts-Ph Mode AM P3 Simplex Duplex N151 115 1 Non 6.0 1 2or3 1 j 1 -L BN151 115 1 Auto 6.0 Included 2 or 3 E151 230 1 Non 3.2 1 2 or 3 BE151 230 1 Auto 3.2 Included 2 or 3 151 sxzow N152 115 1 (Jon 8.5 1 2 or 3 BN152 115 1 Auto 8.5 Included 2 or 3 E152 230 1 Non 4.3 1 2 or 3 BE152 230 1 Auto 4.3 Included 2 or 3 N153 115 1 Non 10.5 1 2 or 3 BN 153 115 1 Auto 10.5 Included 2 or 3 E153 230 1 Non 5.3 1 2or3 SELECTION GUIDE BE153 230 1 Auto 5.3 Included 2 or 3 1. Single piggyback variable level float switch or double piggyback variable level float switch. Refer to FM0477. A CAUTION 2. See FM0712 for correct model of Electrical Altemator E•Pak. ,kii ostailadon 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 i3i icansed electrician. All electrical and safety codes should be followed including the most a: ent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA), or (4) float system. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. . MAIL TO: P.O. BOX 16347 Louisville, KY 40256-0347 Manuiacfurers of. ~r . SHIP TO: 3649 Cane Run Road pp M ® Louisville, KY 40211.1961 Q/ry PUMPS SNCE y ® (502) 778-2731 • 1 (800) 928-PUMP http✓/wwwzoeller.com PUMP ~O FAX (502) 774.3624 - © Copyright 2003 Zoeller Co. All rights reserved. 6 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. 3 1. If the septic tank is installed prior to sheet-rock and/or painting, pump the septic tank 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 2 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. 12. The upslope toe of the mound system must be landscaped with additional fill to blend this area into the upslope natural grade; this will minimize the possibility of the system trapping surface run-off; final settled slope should be 2-3% over the system or 2-3% diverting surface run-off around the ends of the system. Maintenance 1. The septic tank must be inspected every three years by a properly licensed person. 2. If necessary, the septic tank 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 tank is pumped, any solids in the bottom of the dose tank and aerobic treatment tank must be pumped, and the filter must be back-washed into the septic tank to remove accumulated material. System use may require more frequent filter cleaning; initial inspections of the septic compartment filter 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 an alarm which must be installed and remain on a separate circuit from the pump. If the alarm is 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 within 15' down-slope 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. 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 for low effluent strength systems; 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 or repair/replacement of the adsorption system may be necessary. Page 8 of 8 I L111 lVisconsin SOIL EVALUATION REPORT #1873 Department of Commerce in accordance with Comm 85, Wis. Adm. Page 1 of _ 3 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 locat and distance to nearest road. Parcel I.D. Pending Please print Ainfor n. Rev we B a Date Personal information you provide may be usepurposes ( rivacy Law, s. 15.04 (1) (m)). pe r_ Property Owner t'~ 06 Property Location 11 ~ Rolling Hills Of Hammond LC. Govt. Lot na NIIAM, SW1/4, S29, T29N, R17W Property Owner's Mailing Addres Lot # Block # Subd. Name or CSM# 400 2nd st GO y na Rolling Hills Farm City Stat zip Cl~ Pho umber City Village Town Nearest Road Hudson WI 54016 715-386-0230 Hammond 160Th St New Construction Use: R sidential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement Public or commercial - Describe: na Parent material Silty sediment and underlying reddish sandy loam till Flood plain elevation, if applicable na ft. General comments Mound design, system elevation 100.10 based on contour line elevation 99.60ft. Minimum of 6 inches of and recommendations: ASTM C33 mound sand. ❑ Boring # Ground surface elev. 100.40 ft. Depth to limiting factor 54 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistency Boundary Roots L_ GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 1 0-10 10yr3/1 none sil 2msbk mfr cs 1vf .6 .8 2 10-30 10yr4/4 none sicl 2msbk mfr gw na .4 .6 3 30-54 10yr6/6 none sl/Is om in gw na 2 .6 4 54-86 5yr4/4 c2d 7.5yr5/6 scl om na na na .0 .0 ❑ Boring # - Ground surface elev. 100.40 ft. Depth to limiting factor 31 __in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure I Consistenc Boundary Roots GPD/_ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 1 0-12 10yr3/1 none sil 2msbk mfr cs lvf .6 .8 2 12-18 10yr4/4 none scl 2msbk mfr cs na .4 .6 3 18-31 7.5yr4/4 none sl t__2msbk mfr cs na .6 1.0 4 31-86 10yr5/3 c2d 7.5yr5/6 sicl om na na na .0 .0 Effluent #1 = BODs> 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD s < 30 mg/L and TSS < 30 mg/L - - CST Name (Please Print) ;)Signature: / CST Number David J. Steel 248956 Address Steel's Soil Service ~ Date Evaluation Conducted Telephone Number 994 200th St. Baldwin, WI 54002 6/12/2006 715-760-0347 SBD-8330 (R_07/00) Property Owner Rolling Hills Of Hammond LLC. Parcel ID # Pending Page 2 of 3 • Boring # Ground surface elev. 96.20 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. *Eff#1 `Eff#2 1 0-11 10yr3/2 none sl 2msbk mfr cs 1vf .6 .8 2 11-19 10yr4/4 none sicl 2msbk mfr cs na .4 .6 3 19-110 10yr6/6 none Is 0m na na na .7 1.6 i 7.5yr5/6 staining 2" layers at 62 inches. ❑ Boring # Ground surface elev. ft. Depth to limiting factor 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 I ❑ Boring # Ground surface elev. ft. Depth to limiting factor 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 I -Eff#2 i i Effluent #1 = BOD5> 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-8330 (R.07/00) Steel's Soil Service t STEEL'S SOIL SERVICE 3 of 3 David J. Steel Rolling Hills Of Hammond LLC 994 200" St. CST-POWTSM N W/4,Sw1/4,S29,T28N,RI7W Baldwin, WI 54002 Lic. 4248956 Town of Hammond, St Croix Co. Direct 715-760-0347 Rolling Hills Farm Lot 38 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. Legend N I" = 40' = Benchmark Ele. 100.00 ft Top of 3/4" pvc pipe • = Alt Benchmark Ele. 100.00 ft ❑ Top of 3/4" pvc pipe = Borings Boring Elevations BI = 100.40 ft B2 = 100.40 ft B3 = 96.20 ft B4 = 0.00 ft S d ~1 l ` 7~ j ..J C1 r c i V i ST. C' (AX COUNTY SEPTIC `L'ANK MAINTENANC.I? AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Z Z - - Mailing; Address "e-1, Property Addi f~ rification required from Planning c 7.oning Denartincnt for new construction.) City/Siate Gt7 / Parcel Identification unber 30-- Property Location IV Sec. T- 29--N R j 7 W, Town of Subdivision C;~-~ Lot # f`ertifled Survey .tal # Valtune Page t Warrauty Deed Volume ~~211 2- e # :ipcc house OCS 10 Lot lines identifiable yea no SYSTEM itI!!t.Iid7"i±;l`dAI'tiCE AND OWNER 'l~+ fl g, t17jQN'~ Improper use and maiutemarrce «f your .eptic system corrld result in irs premature failure to handle A rites. Proper maintenance consists of pumping out ~lic septic tank every three years or sooner, if needed, by a licensed puuuper. What you pot into the systern can affect the function ofthe septic tank as a tteatt;tent stage in the waste disposal system. Owner nuinteni.ance reslxui,ihilities arc specified in §Comm. 83,52(l.) and in Chapter 12 - St. Croix County Sanitary Ordinance, The property owner agrees to submit to St. Croix County Planning & Zoning Depamnent a certification: form, signed ny the owner and by a master plumber, ,p>m-neymau plr,mber, restricted g himber or a licensed pttrmp er verifying that ( . I ) the on-site I rspr:aioacid pumping ('if ;necessary), tha septic t ark is wastewater disposal sy^,tern i in proper operating couditiciu and'ur (2) after, less tht+n 1/3 .full of sludge. Uwe, the undersigned lave read the above requi-renr-Ints and agr'ec to imiinmin the private sewage disposal system Wit], the standards sct lortir, herein, as set by the Department of Commerce and the. Department of Natural Resources; State of, wisconsin. Certification stating that your septic system has been maintained must be coorpletted and returned to the St. Croix County Planning Zoning Department "vilhhi 30 days ofthe three year expiration date. 1/v+e cerrity that all statements on this f<mn are true to the, best of my/coat' knov/ledgo. Irwe am/are the owners; of the property described above, by viiine of a warranty (iced recorded in Register of Deeds Office. NiJ a of bedrooms 040 ? O G SIGNATURE OI APPLIC ANT(S) DATE 'Any information that is misrepresented any result in ilie sanitar3` permit b4irtg revoked by tine Planning & Gorring Deparunen:. lw;lode with this applicai.ion a recorded vvarrar;t} 0,.ed hom th'-, RQl lister of Deeds Office and a copy of the certified scuvev map reference is made in the warrmov deed Yv. 08/0.