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Home My WebLink About018-1098-18-000~~ . Department of Commerce ~ PRIVATE SEWAGE SYSTEM .i Building Division INSPECTION REPORT ERAL INFORMATION (ATTACH TO PERMIT) ~ ~ i f mal information you provide maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. nit Holder's Name: City Village X Township Iclnnis, Bill Hammond Township >p. BM Elev: IBA Description: roo.oc~ F7r~~dr 1 TANK IN FORMATION TYPE MANUFACTURER CAPACITY Septic w~,; ~,`. ~~~o ,~ .:a,~ ~ s~ Dosing „~ ~jG.~ Aeration Zo.•b•,-,~ _ .. Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~ = !~~ r . r- I~ s.. • ~.. ,_ Dosing - Aeration Holding r PUMPlSIPHON INFORMATION Manufacturer . ]:( ~ : 5 Demand p ~ , . , GPM Model Number ~`;s8~1141~~v ~-~ ~l~ i/,A , tYr ~Q,V~ TDH Lift Friction Loss /, ~, `,ystem H ad TDH ~ Ft Forcemain Len th ~ ~ ~ Dia. ~ Dist. to well ,~, ~;,^- ~ , - SOIL ABSORPTION SYSTEM - I - °~ ELEVATION DATA County: St. CI'OiX Sanitary Permit No: 430340 G ~. - ; -~~- State Plan iG rvo: Parcel Tax No: 018-1098-18-000 Section/Town/Range/Map No: 30.29.17.825 STATION BS HI n FS t d: ELEV. -~w~ Benchmark F,. 5g ~ vS . / oG. c~ Alt. BM Bld . Sew r j d St/Ht Inlet ~ I ~ ~ y j St/Ht Outlet Dt Inlet I f ~ q3 ~~ Dt Bottom / S. / ~ t7 • ~~ Header/ n. 3.2~ Io~.Z(A Dist. Pi sa-'J 3.3~ 1 ~?.Z~ Bot. Sys m 5-r N ~/ . d r- /t~/- ~~ Final Grad St Cover L' e 0.`E'o v.,v 5 5. I S t oG . ~-I ~ '~ ' - I - ~-( t t. L , I . G ~'/s rrj~ a 1~,.~t,~-2-Z ~,--~ BEDITRENCH Width Length ~ No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liqu' aV' DIMENSIONS r _ ~ ' ~ r ~_ - ~ U~~ ~'/ ICy s I-.o SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufa turer: : NFORMATION CHAMBER OR ~" ~ Type Of System: ~ ~ 1 G, 1 j N o T UNIT Model ~ ber. ~ o v. ~ ~ )ISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size ~ x Hole Spacing Vent to Air Intake P O ,Qj~ ~{ ~ Length .3G5 Dia z •, Length !f'V .~ "Dia~Spacing J" ~ ~~ ' t ~--- SOIL COVER ?'`OP~~'`'~ j Pressure Systems Only xx Mound Or At-Grade Systems Onlv Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched BedlTrench Center ~ !-~ Bed/Trench Edges .~ Topsoil __. ~ Yes ~~ No ~ _ 1 Yes L_ 1 No ,'~ S COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ~ f / /Z- /~ Inspection #2: i( / lZ/ 63 Location: 1524 76th Avenue Hammond, WI 54015 (SE 1/4 NW 1/4 30 T29N R17W) Emerald Acres Lot 18 Parcel No: 30.29.17.825 /- ;r,; ~ 1.) Alt BM Description = ~d, -.~` 11 ~ ~ ~ ,~~ b~' ~ sS F°w~ ~ ~o' '~'' 1 ~' a ~~ (~lou..:w djf J 2.) Bldg sewer length = "~~ ~ ~s~-t~, ~ 1_ ~Q k ~ a,'~ S[ P ~ cor ~/L - amount of cover = 3' I I " ti+-tow -{ ~ ~. ~ ~ w4.vl 62 ,.,h. u.. d> ~ Lv ~~ t . ~ ((~ 53. ~? w t. p li --,:,.C ~ `-'y. t.v+ Q1 v,^ w etiL( i a, t h ~ ~ ~ ~^ (~Q o .- 1 h~ ~.1 i S, ---, _ -- Plan revision Required? [°,i Yes f No I // ~ ~~' ~/~ Use other side for additional informati ,~/ / 731 ~_-_ ~ _ -- --- __J L! `~`~'~~ - SBD-6710 (R.3/97) Date Insep is Signature Cert. No. RECEIVED OCT 2 g p003 Saf a ~ ~uil ~ s Division ~bY ~ty ~~ ~ , t ® Box 082 20 • ~ X r i ,~~On~In Sanitary Permit Number (to be filled in by Co,) De artment of Commerce -~~_j Sanitary Permit ppl~~ti~p 2003 state Plan `°' Number ~ ~'~ In accord with Comm 83.21, Wis. Adm. Code, nal information you provide , may be used fot secondary purposes "vary ~tv,(s~5,.(ih(11(tS} ~7 `J~~ C:Ull Project Address (ifdifferent than mailing address) Y ~ I. Application Information -Please Print All Informa to ~~~~' ~~ ~~ T f,~ Property Owner's Name , i r~ ,~ ~ Parcel # Lot # Block # O/eS''_~ f' / ~ / -~ e7l~t~' Property Owner's Mailiug/jAddress t Proper ty Location j~'~'t,.~ ~ %3[~ ~~ ~~ / ~C ti ~~ S ~~ ~~ ~~ City, State ip Code Phone Number . - ec on ` `~ ~ctrcle ) ~ p g p / t T .~ / N; R / ! E oIIrW ) II. T pe of Building (check all that apply) ~/ I or 2 Family Dwelling - Number of Bedrooms Subdivision Name CSM Number ~ / ~ ~ ^ PubliclCommercial-Describe Use ~ ' Gi~ 1~?C ~"r~ (~, f/S ^ State Owned -Describe Use )[ `Q v ~4 ~ Q = ~•~ ~ City ^Village ownship of L9 I~ [II. Type of Permit: (Check only one box on tine A. Complete line B if applicable) A' New S em yst ^ Replacem tem ^ TreatmentlHolding Tank Replacement Only ^ Other Modification to Existing System B ^ Permit Rene Permit Re ' on Change of ^ Permit Transfer to New ist Previous Permit Number and Date Issued Before Expirat n Plumber Owner (~~ ~ ([O • ~S' 7~7 (~ [[ ~•V.~J IV. T e of POWTS S stem: Check all that a 1 ^ Non -Pressurized (n-Ground ^ Mound > 24 in. of suitable soil Mound < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Filter ^ Constructed Wetland ^ Pressurized In-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating Sand Filter ^ Recirculating Synthetic Media Fitter ^ Leaching Chamber ^ Drip Line ^ Gravel-less Pipe ^ Other (explain) V. Dis ersal/Treatment Area Information: O O Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (st) Syste Elevation VI. Tank Info Capacity in Tota! Number Manufacturer Prefab Site Steel ~ er Plastic Gallons Gallons of Units Concrete Cons ed Glass New Existing Tanks Tanks Septic or Hokting Tank ~'•"~~ ~- /~jD P ~ ~ Aerobic Treatment Unit Dosing Chamber 5 ..~- ~ n V ~ ~.. VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) ~ u ~ PI tier's Signature `' MP/MPRS Number ?0~5~ ~ ? Business Phone Number 3 ~~7~ 71 E ~ 5pi~v t , ~*~ ,~ ~ ~ .. .. ~.. , . Plumber's Address (Street, City, State, Zip Code) r--~ ? ~~D~ ' ~'~O ~ll~ ~~ ~~ ~ ~ ~ , _ ~. ~ Gt, r - R VIII. Coun fDe artment Use Ont Approved ^ Disapproved Sanitary Permit Fee includes Groundwater Date Issued ng Agent Signatur (No Stamps) ^ Owner Given Reason for Denial Surcharge Fee) ~ r_ C ~O 3 `~3 IX. Conditions of ApprovaUReasons for Disapproval 3~ t3 tn-.,. ~ ~ ~- r~'^^~ ~R.P+~ ' SYS ~$A OWNER: ~" 1 Septic tank, effluent fAter and "~i~A . ~,p- lo~~~ dispersal~cell must all be serviced /maintained - - ~~~ `~ as per mapagement pl8n provided by plumber °f ~ ~~ . 2 A11 tb . se ack requirements must be maintained (~ ~p~ Sv-c~ ~~ .~ as e li p r app cable code/ordinances. Attach compkte plans (to the Coaaly oaly) for the system oa paper aot less Hraa 81R : l I caches is sloe `O~ ~ '/ Q~s~ SBD-6398 (R. 08/02) r :- ~. -a Soi/2 t/a/ua`t!ion p;~ i _~ /oca.~ed,o~op. S~ I '= F__ ~/ ~ .Jos ~ ~ /39 `' /c~E /i~! ~ C I ~~ ~,I a .~ i ~/~',~ A. ~ c. p: pc. Proposed nQeund of Z0.3SX /07.x.3 ~ A55ri.,.a~cf elcw = /Gi~.~." ~.~y S'X 90' o~~'s /aLera/s of /%'y 88.SS w/ %d' ~~ . o r. Fi u s sio.c c ed ~f s. s3,' 99.0 ' ~ ca~4 ~~c°') >j~ ,k j~ Q~°.~~ z'~.s~.f . sJO o% e. ~'orct~rra:n Qjti~.t p G, thracc~l~ -' ~4 u ivt/o i` lrtq. ~ y"'s~~. yo P, c. iIt'o ~' o wf off' ~~~ 4 - t ,2, proposed w~ese-r ~.v[.Pp~-~t~ P~opos~d 3 bt~oo~ d we.l I Ong U e ropose_d wets P ~_ d b a z7~zs~ ~G~Av~. Pao posed w, cscr ~c.P I,o~/eco- M1tf Co.~ bina~o.~ ,Ea~,(~-Ev~ a scd aS Septic, far,~!,~b~/.f-iu~ eF~YaanE<,•/~era~ occflQ~ i .8. :TopoF'j8" 8a~'9 isc~nsin Department of Commerce Safety and Buildings 2331 SAN LUIS PL STE 150 GREEN BAY WI 54304 TDD #: (608) 264-8777 www. com merce. state.wi. ustsb www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary October 24, 2003 CUST ID No.220853 DALE E HUDSON BOLDT'S PLUMBING & HEATING, INC. PO BOX 78 BALDWIN WI 54002 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 1012412005 SITE: Bill Mcinnis 76TH Ave Town of Hammond St Croix County SE1/4, NW1/4, S30 T29N R17W ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 .Identification Numbers Transaction ID No. 937606 Site ID No. 667643 Please refer to both identification numbers, above, in all. cones ondence with the a enc . Condi~ FOR: ~ ~ APP R Object Type: POWT System Regulated Object ID No.: 928521 DEPARTMENT YtSlt~ OF SAFE The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative f and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined ' `~'~ ~,~ ~ chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. SEE ~ ORRE The following conditions shall be met during construction or installation and prior to occupancy or use: This plan action is subject to designer comments on the plan. 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 to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Wesley C Gru Plumbing Plan Reviewer ,Integrated Services (920)492-5613 , M-r 7:00 - 16:30, F 7:00 - 11;00 wgrube@commerce. state.wi.us Fee Required $ 350.00 Fee Received $ 350.00 Balance Due $ 0.00 WiSMART code: 7633 r~ ~. ti t MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Bill & Susan McInnis 3 bedroom residential mound J'~FCF~VE D Owner's Name: Bill & Susan McInnis QCT 1 ~ ?003 Owner's Address: 1651 60th Ave. `SgFE]'Y& B(DG Hammond, WI 54015 S' ~~V Site Address: 1524 76th Avenue Legal Description: SE1/4NW1/4, Sec. 30, T.29N., R.17W. Township: Hammond County: St. Croix Subdivision Name: Plat of Emerald Acres Lot Number: 18 Block Number: Parcel I.D. Number: 018-1098-18-000 Plan Transaction No.: ^nally NA EVE D COMME E 4ND BU tNGS ~~ ONDENCE Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Site Plan Page 9 Soil Evaluation Report Designer: Dale Hudson License Number: 220853 Date: 10/10/03 ~ ~ Phone Number: 715-684-3378 Siynature:~ ~ ~r,Gn~~-fJ~'`' 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 NeMorks for ST-SAS (01/81) Version 3.0 (03/01/01) Page 1 of 9 V ~ Mound and Pressure Distribution Component Design Design Worksheet Site Inform ation (r or c) R Residential or Commercial Design 300.00 Estimated Wastewater Flow (gpd) 1.50 Peaking Factor (e.g. 1.5 = 150%) 450.00 Design Flow (gpd) 8.50 Site Slope (%) 100.50 Contour Line Elevation (ft) 24.00 Depth to Limiting Factor (in) 0.50 In-situ Soil Application Rate (gpd/ft2) Distribution Cell Information 90.00 Dispersal Cell Length Along Contour (ft) _ 1.00 Dispersal Cell Design Loading Rate (gpd/ftZ) 1 Influent Wastewater Quality (1 or 2) Pressure Disribution Information (core) a Center or End Manifold 2.50 Lateral Spacing (ft) 2 Number of Laterals 0.125 Orifice Diameter (in) (e.g. 0.25) 2.50 Estimated Orifice Spacing (ft) _ 2.00 Forcemain Diameter (in) 95.00 Forcemain Length (ft) 85.00 Pump Tank Elevation (ft) 6.50 System Head (ft) x 1.3 16.00 Vertical Lift (ft) 1.80 Friction Loss (ft) 24.30 Total Dynamic Head (ft) Lateral Diameter Selection in. dia. options choice 0.75 1.00 1.2.5 1.50 x x 2..00 x 3.00 x Note: Sand fill (D) calculations assume a Table 83-44-3 in-situ soil treatment for fecal coliform of <= 36 inches. 5.00 Cell Width (ft) Are the laterals the highest oint in the distribution Y network? Enter Y or N If N above, enter the elevation ft of the highest point. 6.25 ftz/orifice Does the Forcemain drain back? ~~ Enter Y or N 15.50 Forcemain Drainback (gal) 81.25 5x Void Volume (gal) 96.74 Minimum Dose Volume (gal) 29.66 System Demand (gpm) Manifold Diameter Selection in. dia. options choice 1.25 x 1.50 x x 2.00 3.00 Gallons/Inch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 1000.O~ Septic Tank Capacity (gal) Total Working Liquid Depth (in) Wieser Concrete Manufacturer #VALUE! gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 750.00 Dose Tank Capacity (gal) Zabel Filter Manufacturer 20.28 Dose Tank Volume (gal/in) A100 Filter Model Number Wieser Concrete Manufacturer Projecf: Page 2 of 7 t~ 1 Mound Ptan View ..................................... 1y 10 B " "Observation Pipe 'Q' .K. »_~»=•»»A »•e»''~°~.',".,:a,.Y,,ti..,»•~•»~,,µYie,e,:.,s~.;=.._~,•.*,,Y,kE,.X„'y• _•..~. °'4"101 e4»•'4~•: '.» .=S~•.yS 5 S•". S °' S ' S t '_ '• °.:': . °S!,SaS'.~S;SES;S~S%S~ ~S•S S S S S S S S S S S S S°S• :~.. 'l: ' ~- B 4 • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I L -T _~ _~ _l Mound Component Dimensions A 5.OOft E 17.10 in H 1.OOft K 9.01ft B 90.00 ft F 9.50 in z 10.94 ft L 108.03 ft D 12.OOin G 0.50ft J 5.48ft W 21.42ft 450.00 (ft2) Dispersal Cell Area 1434.56 (ft2) Basal Area Available 5.00 (gpd/ft) Linear Loading Rate 9.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 103.29 (ft) ff/fls F 101.50 (ft) --- - Dispersal Cell :~ Elevation ........ ... .. ............... .,, ~I H Dispersal Cell 102.00 (ft) Lateral Invert _ -p a: _.... .... ......• ......• .• ...... ....... .. .. ....... .... 100.50 (ft) Contour Elevation 8.5 % Site Slope Geotextile Fabric Cover Shading Key ~ fl. ~ Dispersal Cell See lateral details on Q -,y Topsoil Cap ® ~~ Subsoil Ca c °- ~+ c 1.5 ft 1 ~••.•~•_.•_.,_.•~_•.• .•_.•_.• =~': ~~° ' »~~:• 5 • • Page 4 for number, size, and spacing of laterals p ` ° ° T r_ r ; , ~'' ~ "~~`'~"~"~j " . l a ll L t © ~] ASTM C33 Sand - ~ ~ ~~=x~ a era s are ua ® ~. ~. Tilled La er ~ 0.5 ft =L,`r' Typical Lateral ,=;,~:r spaced from the S.S.S Q :••: •,••, Aggregate ~ ~ o ~ r•r=R ~`°~=~'=r ~.s•t~Y .~:°.•:'"t•S.=••S;;.a.•.•,..,, 5 '•"`°'~°°~'° "''~'°'""~ distribution cell's centerline in the A -~ distribution cell (AxB). Project: Page 3 of 7 L r ~ End Connection Lateral Layout Diagram Laterals centered over the A & B dimension ~ =Turn-up tm ball valve or cleanoutplug E P All laterals are identical ~E X~I Holes drilled on the bottom of the lateral c equally spaced y Force main connection t~ia tee or cross to maniFold at any point. Laterals & force main of PVC Sch 40 (per COMM Table 84.30-5J Number of Laterals 2 Orifice Diameter Lateral Diameter 1.50 in Orifice Spacing (X) Lateral Length (P) 88.55 ft Orifices per Lateral Lateral Spacing (S) 2.50 ft Orifice Density Lateral Flow Rate 14.83 gpm Manifold Length System Flow Rate 29.66 gpm Manifold Diameter Total Dynamic Head 24.30 ft Forcemain Velocity Dose Tank Information Electrical as per NEC 300 and -- rr~~,, Comm 16.28 WAC I I Disconnect II ~- Tank component is properly vented Wieser Concrete Ca acit 750.00 Volume 20.28 Manufacturer Gallons gal/inch Dimension Inches Gallons A 18.21 369.34 B 2.00 40.56 C 4.77 96.74 D 12.00 243.36 Total 36.98 750.00 A B C D ng under tank. Alarm Manuafacturer LevelArm _ Alarm Model Number DLV ~~ Pump Manufacturer Goulds _ Pump Model Number 3885 WEO 5H Pump Must Deliver 29.66 gpm at 24.30 ft TDH 0.125 in 2.53 ft 36 6.25 ft2/orifice 2.50 ft 1.50 in 3.03 ft/sec Locking cover with warning label and locking device and sealed watertight I~4 in. min. ~ Alternate outlet location Forcemain diameter ~ 2 in. Weep hole or anti- siphon device Pump off elevation (ft) ~- 86.00 ~ Dose tank elevation (ft) ~ 85.00 Project: Page 4 of 7 Mound System Maintenance and Operation Specifications Service Provider's Name Boldt's Plumbing -Dale Hudson Phone 715-684-3378 POWTS Regulator's Name ~ St. Croix County Zoning Phone 715-386-4680 System Flow and Load Parameters Design Flow -Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow -Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450 ftZ Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Other Ins ect and/or service once eve 3 ears Should ins ect and clean 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 Ins ect for ondin and see a e once eve 3 ears 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 Turn-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: Page 5 of 7 . ~ Mound 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-10691-P (N.01/01) 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 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, Stats. 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 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 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 GODS, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BODS, 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. Project: Page 6 of 7 ~ ~ ,~.~~ r ~ c ~•. ~ L: _ ~ ~ ~~ a r~ - ~, . ~ ~ ~ ~ ~` x~~ ,: ~: ~; .~ ~ . a ':~~ ~; ME'EhS (EF --- _ _ 8~ - -- - - - r_.~ _~ - _ - ~-- --- ~ _,_ MOUE' 35 ,, ~ i 72 is --°-- _-;- -~ 1- __ i - 6- ~ , - _ I t ~ --i U I. _.__-..__.._._.~_-._. _ .__.. _ __. __ i. 4 ~ Z J _._._.__ .. .._ -_~ _._._ __ _ _-_-~ - ` ~ -_ - ___ Z., ~ t 1 __._- .. FJ ~ I - __ ~ ~-_.. __~_~. ~._ .. _... ~ J 0 L__._._. I ~. .~1~_ -- ~ _ _ 0 1 ~ 20 30 a~) 50 6~ 7'. . S. G: d .___ __ C 6 6 v10 tP ! is .,; i CAi'AGI?•, " througl 1'/Z HP U~ to 130 GPM Maximum head tc 123' D~scharge s~~ze 2" NPT Solids: '/a° filaXlnlUn1 Motor A!I motets feature bail 7caring construction. A~~ailable in Single and Three Phase 115, 200, 230. 460, area 57~~V. .All single phase models ewe capacitor star motors !Ytaterials of Construction ~<tst iron Gainless sleet •AI! ~riotlels feature siiicon carbide mechanical seal faces log superior abras,ve resistance and extra long life. • Cast iron semi-open non-clog impeller with pump-out vanes for mechanical seal pro action. • Rugged cast iron volute type casing adaptable for slide ra~~~l s~~/stems. • Corrosion resistant t~t~eaden stainless steel shaft. • Motor is fully submerged in high quality oil for lubrica'~ion and efficient heat tra~~~sfer. • Optional silicon bronz~,~mpeller mailable. • CSA listed models av~~:ilabl,. ~~ Underwriters Lai~orato ies P~rnp SE~eciicaiions '/z H i~ Up to 75 uPM Ma.~imum lead to 18' Discharge size ?° f~,PT ScIIdS: 2~ r~~aXlr~rlf!1 Motor All motors `eature ball bearing c~rstrtctiort. Singe pha:~e: 1 ':5y Materials of Const,uctior ~~~ast lion ~her~7~Opi3~~~IC :eta Mass st:;el F=eatures and Qeneiits • Glass'ii~ed, thermoplastic vo~1a:~ impeller with stainless steel insert and pump ova va~~es ~cr mec~ian~~cal seal protection. • Rugged glass-f~lled thermcpL~~stc casing and base design pro,~ide~ superior strength and corrosion res~~stance. • Cast iron motor housinG for efficiera heat transfer, strenc;t~ anc~ dur<i~iliri • Coy ro~'cn res~srant thre~dea std nlE-ss s~eel shaft. • Fwt~ila~le in antcmatFc acid ~~~ i~ut~. modes. • CS~a lst~~d models r,vail~:bi~~. Ail Models are designed for o~~ ~Ghuous oparat~'o.~ and ieatura s`aiNess steel h~,raware. ~~ '7c{ G~ .~ ' ~ ~c~ 1'~aL To o,~' 3 , ' A.d.c. P;pt. Proposed /trtaunoi of Zo..3,SX /07.a.~ ~ Assu..h2d efts _ /OD•c~, io~.o' c~,yS'Y. 90' a~,s/~ri-sa/ cc//, Two( ~ So,/Q,/a/ua~ior~i0:~. , B , /a~era/s a¢ //2 X 8 SS'w/ %fi ~~ ~ • E/2dct~ o.-> o r i Fi ct s Spa c Gd c.f 2 . s,?,' ce.-E~w~ • /oCQ•~ed,D~oo S~ ~. 99. o , ~~~ ~i ~ i~~~ ~fea) iii ~.~~ / 9T.0' .l~ .:~i~~ ~~~~ ~/'=~ ~^~os ~ /p~ /in! 3 /~ --~ C ~~ ~I 0 ~~ .~ .~, /39 ~ B3 ,Z"Scf . d0 lid. ~. ~'ooce~rai,~ ~,~ p, ~, th~u~/. i4 u MP /` I/=~. y"5~~. yo P,d.C. ~'rlfo B occ~ off' ~~<a~,raanf 'C~+~~s, P~opos~d 3 bedrooms d~e~~;n~ e roposes.~ We(I P ~~b / ~~~ / o Q~ i ~ ~. d .` ~. 0 a Proposed wces~+- w~P~- p~.-, P c,1.a.nber: proposed w~csc.r~..~t~P~~/6co-~bQ Corn bina~'on l~~.r-+S~6e u s<d a5 eF~'/uen~C'I~e~-aE 0 occ~lQ~ i~.8, ;TvpoF'j8, ,27G. 2 3 Wisconsin Department of Commerce Division of Safety and Buildings SOIL EVALUATION REPORT in nrrnrrhnro u~i4h rlnmm Rai \Alic Grlm Cnrie 1730 Page 1 of 3 A.C.E. Soil 8 Site Evaluations County Attach com lete site Ian on p p paper not less than 8'/z x 11 inches in size. Plan must St. Croix - include, but not limited to: vertical and horizontal reference point (BM), direction and ----------- Parcel LD percentslope, scale or dimemsions, north arrow, and location and distance to nearest road. . 018-1098-18-000 ___ Please print all information. __ Reviewed By Date Persona! information you provide may be used fa secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location Bill & Susan McInnis Govt. Lot SE 1/4 NW1/4 S 30 T 29 N R 17 W - Property Owners Mailing Address --r----- Lot # Block # ------- Subd. Name or CSM# 1651 60th Ave. 18 I _ Plat Of Emerald Acres _ __ City State Zip Code Phone Number __ _ _ _ iJ City ~ Village /J Town Nearest Road Hammond ~ WI 54015 715-796-5488 Hammond 1524 76Th Ave. J New Construction Use: ~ Residential /Number of bedrooms 3_^ Code derived design flow rate J Replacement '` Public or commercial -Describe: Parent material loess over weathered sandstone _,__ _____ Flood plain elevation, if applicable General comments and recommendations: Install mound system at elev. 101.50' at 12" above 100.50' contour. 4S0 _GPD ___ nor Boring # Boring r-Q Pft Ground Surface elev. _ 100.64 _ ft. Depth to limiting factor _ 24~~ In. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh "Eff#1 'Eff1'F2 1 0-8 10yr3/3 none __ _ _ sl _2fsbk - ds as --- 2f,1 m- +- 0.5 '; 0.9 2 8-12 10yr4/6 none sl 2fsbk ds cw 1fm 0.5 0.9 3 12-24 10yr6/6 none s 0 sg dl aw 1f 0.7 1.2 4 24-47 10yr6/2 f1 d 7.5yr5/8 Ivfs 1 msbk ds aw 1f 0.4 0.6 5 47-54 10yr6l8 m2d 7.5yr5/8 vfs 1 csbk ds - - 0.4 0.6 H#5 is sandstone residuim -not resistive to knife penetration. Boring # Boring ~/ Pit Ground Surface elev. u 98;85 ft. Depth to limiting factor _- 26'~ , in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fiz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh 'Eff#1 'Eff#2 1 0-12 10yr3/3 none sl 2fsbk ds as 2f,1m 0.5 0.9 2 12-21 10yr5/4 none sl 2fsbk ds cw 1fm 0.5 0.9 3 21-26 10yr7/6 none Ifs lmsbk ds cw 1f 0.4 ~ 0.6 4 26-29 10yr7/6 f1 d 7.5yr5/8 Ifs 1 msbk ds aw 1f 0.4 0.6 5 29-63 10yr82 m2d 7.5yr5/8 vfs 1csbk ds - - 0.4 0.6 H#5 i~-sandstone residuim -not resistive to knife penetration. -- 'Effluent #1 = BOD ~ 30 < 220 mg/L and TS >30 < 150 mg Eff ent #2 = BODS< 30 my/L and 7SS < 30 mg/L CST Name (Please Print) 'nature: CST Number James K. Thompson _-_ 3602 Address A.C.E. Soil & Site Evaluations _ Dato Evaluation Conducted ^ Telephone Number 340 Paulson Lake Lane, Osceola, WI 20 10/8/2003 715-248-7767 _ _ _ ___ w ' • Prop~ty,Owner Bill & Susan McInnis `. Parcel lD # _018-1098-18-OOU i I 3 I Boring # Boring Y!I Pit Ground Surface elev. _ 100.85 ft. Depth to I imiting factor 40" _ in. Page 2 of 3 Soil Application Rate H i th D i lo D t C tion Redox Descri Texture Structure Consistence Boundary Roots P ' or zon ep in. om r nan o Munsell p Qu. 5z. Cont. Color I Gr. Sz. Sh `Eff#1 *Eff#2 1 0-7 10y~3/3 none ~ sl 2fsbk ds as 2f,1m 0.5 0.9 2 7-14 10yr4/4 __ -~ none ~- Ifs _` 2msbk _ ds ~ cw 1fm 0.5 0.9 3 14-28 10yr4/6 _ none ~ Ifs - 2msbk dsh cw 1f 0.5 0.9 4 28-40 7.5yr4/6 none Ifs 1msbk dsh aw 1f 0.4 0.6 5 40-63 5yr4/6 f2f 7.5yr5/8 f lfs 1 csbk dh - - 0.4 0.6 Boring # -=~ Boring ^_ cl Pft Ground Surface elev. _ ft. Depth to limiting factor in. Soil Application Rate Horizon De th Dominant Cdor Redox Descri tion Texture Structure Consistence Boundary Roots ' p in. Munsell p Qu. Sz. Coni. Color Gr. Sz. Sh `Eff#1 "Eff#2 ~ - _ -- - -- ~i _ I --- ^ Boring # ~ Boring _ Pit Ground Surtace elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots ' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ~ ~ *Eff#1 'Eff#2 ~~ ---I- I - ~ -__ I - - i ----- ~ - I ~ I i * Effluent #1 = BOD ~ 30 < 720 mglL and TSS >30 < 150 mg/L "Effluent #2 = BODS<30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-265-3151 or T'"I'Y 608-264-8777. 1 ' r ^ Soi/et/a/uatG~o~~:f • /oc~.~ed/~o~ S~ Scale: /" ' Wo5 ~ :ut/in! ~ ,C ~v ~ ~{ O i ~/ \~ ~I i3q' B3 / tc ~'~ %~ '~~ X60 ~?r-ch trta~,t~: Top off' 3/sl •. ~ } p.d.C.,o, pc. ^ yo' +°°~ mm 99. o ,I/ \~r,~, . ~~ ~ o~'~ 4~~' 93.io Prop o sc.d 3 be~drooM dwell;h~ 3~8 '=` d .` `tl b r~ 0 a z7~. ,~ 3 ' off' j8 , ~` ,. t _.. _ K . _ ~_..__..-~.~ F ~: ~.:• ~:_ ~ 1730 " n Department of Commerce SOIL EVALUATION REP RT ,~ ~ !Page 1 of 3 2GG3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code A.C.E. Sal & Site Evaluations Countyl . : '~ Attach canpiete site pbn on paper not less than 8'r4 x 11 mches m size. Plan must , ~ Cfooc ~ include, but not limited to: vertical and txxizontal reference pant {BM), direction and a~..,,.1.~: _ _ .~,:,~. ~.~~~_~.. percent slope, scale or dimemsions, rxxih arrow, and bcation and distance to nearest road. 018-1098-18-000 Please print all information. a By Date Pewonal information you provide may be used for aecondery PwP~ (P+n'~r Law, s. 95.04 (1) {m)). ~ /O~o r) 3 Property Owner Property Location Bill & Susan McInnis Govt. lot SE 1/4 NW 1/4 S 30 T 29 N R 17 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1651 60th Ave. 1 B P{at Of Emerald Acres City State Zip Code Phone Number J City J Vllage ~ Tawm N~rest Road Hammond ~ WI 54015 715-796-5488 Hammond 1524 76Th Ave. t>~ New Construction Use: ~ Residential ! Number of bedrooms 3 Code derived design flow rate ,,,~ Replacement _] Public or commercial -Describe: Parent material loess over weathered sandstone Flood plain elevation, if applicable General comments arxf recommendations: Install mound system at elev. 101.50' at 12" above 100.50' contour. 450 GPD na o~~# ~~~ V_.J Pit Ground Surface elev. 100.64 ft. Depth to limiting fade 24" in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/R~ in. Mra-seli Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-8 10yr3/3 none sl 2fsbk ds as 2f,1m 0.5 0.9 2 8-12 10yr4l6 none sl 2fsbk ds cvv 1fm 0.5 0.9 3 12-24 10yr6/6 none s 0 sg dl aw 1f 0.7 1.2 4 2-47 10yr6/2 f1 d~ 7.5yr5/8 Ivfs 1 msbk ds aw 1 f 0.4 0.6 5 47-54 10yr6/8 m2d 7.5yr5/8 vfs 1 csbk ds - - 0.4 0.6 H#5 is sandstone residuim -not resistive to knife penetration. o~~# ~~~ Pit Ground Surface elev. 98.85 ft. Depth to limiting factor 26" in. Sal Application Rate Horizon Depth Dominant Color Redox Desaiption Texture Structure Consistence Boundary Roots GP Dlft~ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 Eff#2 1 0-12 10yr313 none si 2fsbk ~ as 2f,1m 0.5 0.9 2 12-21 10yr5/4 none sl 2fsbk ds cuv 1fm 0.5 0.9 3 21-26 10yr7/6 none tFs lmsbk ds cai- 1f 0.4 0.6 4 26-29 10yr7/6 f1 d 7.5yr5/8 ~----~ lfs 1 msbk ds aw 1f 0.4 0.6 5 29-63 10yr82 m2d 7.5yr5/8 vFs 1 csbk ds - - 0.4 0.6 H#5 ita(re residuim -not resistive to Imife penetration. Effluent #1 = BOD ~ 30 < 220 mglL and TS >30 < 150 E #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) "nature: CST Number James K. Thompson 3602 Address A.C.E. Soi18 Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson lake Larre. Osceaa. Wl 10/82003 715-248-7767 piny O~ Bill 8< Susan McInnis Parcel ID # 018-1098-18-000 Page 2 of 3 ~~ # ~ Bonrtg Pit Ground Surface elev. 100.85 ft. Depth to limiting factor ~}Oj in. c,,oil pppluxtion Rate ` ' - Horizon Depth in. Dominant Cobr Munsell Redox Descripiion Qu. Sz. Cont. Color Texture Stnucture Gr. Sz. Sh. Consistence n Bou dary Roots `Eff#1 *Eff#2 1 0-7 10yt3/3 none sl 2fsbk ds as 2f,1m 0.5 0.9 2 7-14 10yr4/4 none Ifs 2msbk ds cw 1fm 0.5 0.9 3 14-28 10yr4~ none Ifs 2msbk dsh cw 1f 0.5 0.9 4 28-40 7.5yr416 none Ifs 1msbk dsh aw 1f 0.4 0.6 5 40-63 5yr41!6 f2f 7.5yr5l8 Ifs 1 csbk dh - - 0.4 0.6 ~~ # ~ Boring _J Pit Ground Surface elev. ft. Depth to limiting facts in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu_ Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Raots *Eff#1 *Eff#2 ^ ~~ # ~ Bonng ~ Pit Ground Surface elev. ft. Depth to limiting factor in. Sal Application Rate Horizon Depth Dominant Color Redox Descr~tion Texture Structure Consistence Boundary Roots in. Munsell Glu. Sz. Cont. Cobr Gr. Sz. 5h. *Eff#1 *Eff#2 ` Effluent #1 = BOD y~ 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS <30 mg/L and TSS <30 mgll The Department of Commerce is an equal opportunity service provider and employer. ffyou need assistance to access services or need material in an alternate format, please contact the department at 608-2b6-3151 or TTY 608-264-8777. _~ ~ soi/2/ct/ua~ioi7~0:~ E~B~Q..~'on • /oca.~f ed ~o~op ~~t~+~(e Was ~ /u E /:~ ! Y c ~% ~I 0 ~~ 4. X39 B nc.l~ t1'ta ~~' 7`~ a,~' 3 r ,'{ssu.--red el~~r. = iG'U~c~, a ~ ~o~ /~ ~°~~ 99. o ' 0~ ~~/ co~w~ ~. ,,I/ ~,r%~ s ~Fyi~ ~ ~~ 9~c' CDC ~ i t°`~~~ 0 ~6D ~ /~ ,• ~. f r } Wiscone`.~ DPoa"tment of Commerce PRIVATE SEWAGE SYSTEM Safety a'd B~ilding Divls~an INSPECTION REPORT GENERAL INFORMATION '` (ATTkGH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: McInnis, Bill City Village X Township Hammond Townshi CST BM Elev: Insp. BM Elev: BM Description: TANK IN FORMATION TYPE MANUFACTURER CAPACITY Septic Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM ELEVATION DATA county: St. Croix Sanitary Permit No: 430340 0 State Plan ID No: Parcel Tax No: 018-1098-18-000 Section/Town/Range/Map No. 30.29.17.825 STATION BS HI FS ELEV. Benchmark Alt. BM Bldg. Sewer SUHt Inlet SUHt Outlet Dt Inlet Dt Bottom Header/Man. Dist. Pipe Bot. System Final Grade St Cover BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: UNIT Model Number: DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Oniv xx Mound Or At-Grade Systems Onlv Depth Over Depth Over xx Depth of xx Seeded/sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil ~ Yes L No ~ , l Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: / /_ Location: 1524 76th Avenue Hammond, WI 54015 (SE 1/4 NW 1/4 30 T29N R17W) Emerald Acres Lot 18 Parcel No: 30.29.17.825 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = Q ~~ No i Use otherls de foruadditional`informationl ~~_~ __~ ~ __ _ _ -___ __ Date Insepctor's Signature Cert. No. SBD-6710 (R.3/97) Safety and Buildings Division ~"r'~' 201 W. Washington Ave., P.O. Box 7082 ~~o' fX isconsin Madison, WI 53707 - 7082 Sanita Permit Number (to be filled in by Co.) (608) 261-6546 ~ (~ De artment of Commerce State Plan I.D. Number Sanitary Permit Application ~~ ~j [n accord with Comm 83.21, Wis. Adm. Code, personal information you provide may be used for secondary purposes Privacy Law, s15.04(I xm) roject Address (if different than mailing address) 7~ '~ I. Application Information-PteasePrintAllInformation RECEIVE /~pl / /?~e- . Parcel # t Block # Property Owner's Name c n ~ i SEP ~ ~ 24d~ ~ / Property Location Property Owner's Mailing Address ~ j CROIX t;Ol7NT`~' ' (ova ~ IOv 1 "~ /J ~ ~ ;OFFICE ~y., /tfWy., Section -~G~ ~ City, State Zip Code er ~'~~ ~} ~ ~D ` „ ctrcl ' ~ y l /n 0 -~O~ T'~ ~ N; R~E o W II. Type of Building (check all that apply) A~s 5 ~'~'~ ®/ ~ ` +~ w Subdivision Name/ CSM Number 1 or 2 Family Dwelling - Number o edrooms rv""+'~''~- s' ~~L~~,~ /~ //~ ~~,5 ^ pablidCommercial - Describe U ~ 0 ( 1~ t ~ t M ~ Q C' _^Village ownship o Q/rl!?a?Y^ ^ State Owned -Describe Use ~ ~t III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A' New System ^ Replacement System ^ TreatmenUHolding Tank Replacement Only ^ Other Modification to Existing System List Previous Pemtit Number and Date Issued B. ^ Permit Renewal ^ Permit Revision ^ Change of ^ Permit Transfer to New Before Expiration Plumber Owner tV. 1 e oI YV vv l~l D 5acur. ~.~ ca.n an ~,.... - -- i ^ ^ Non -Pressurized [n-Ground ound > 24 in. of suitable soil Mound < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Fi)ter Constructed Wetland ^ Pressurized In-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating Sand Fi)ter ^ Recirculating Synthetic Media Filter ^ Leaching Chamber ^ Drip Line ^ Gravel-less Pipe ^ Other (explain) V. Dis ersaU'I'reatment Area Information: .Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation VI. Tank Info Capacity in Tota] Number Manufacturer Prefab Site Stee] Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks ~ s ~ _ ~ V or HolAmg 7anx IIc~'%. _ I _! i 17 Uos~ngt..namvcr ~~ r ~ (~ .r VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans, P bet's Si afore MP/MPRS Number Business Phone Plumber's Name (Print) Sn Plumber's Address (Street, City, State, Zip Code) t VIII. Coon /De artment Use Onl Sanitary Permit Fee (i lodes Groundwater Date issued Issuin A t Approved ^ Disapproved Surchazge Fee) ? ~),~ ~ ~ J ^ Owner Given Reason for Denial j J M :7 IX. Conditions of Approval/Reasons for Disapproval SYSTEM OWNER: 1 Septic tank, effluent filter and dispersal cell must all be serviced ! mailumber as per management plan provided by p 2. All setback requirements must be maintained as per applicable code/ordinances. Attach complete plans (to the County only) for the system oa paper sot less than 81R z I1 Inches is size SBD-6398 (R. 08!02) =33 7 .~ 1` ~, t r r ~sconsin Department of Commerce Safety and Buildings 2331 SAN LUIS PL STE 150 GREEN BAY Wl 54304 TDD #: (608) 264-8777 www.commerce.state.wi. uslsb www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary July 16, 2003 CUST ID No.227819 WILLIAM J BERGH GEO TECH 2667 113TH ST CHIPPEWA FALLS WI 54729-6575 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 07/16/2005 SITE: Bill Mc Innis Residence 150TH Street Town of Hammond St Croi ounty FOR: Description: MC INNIS Object Type: PO System A7TN: POWTS Inspector ZONING OFF E ST CROIX Cd TY SPIA 1101 CARMI EL RD HUDSON WI 5 16 +t • 1, Regulated Object ID No.: 911130 The submittal described abov been reviewed for conformance with and Wisconsin Statutes. The sub al has been CONDITIONALLY A: chapter 101.01(10), Wisconsin Statu is responsible for compliance v Ldentification Numbers -ction ID No. 885475 I 0.661721 refer to both identification numbers, _ in all comes ondence`with the a enc_ On,7 APPI DEPARTME' onns~oH of s~ ,~, /,lam ,~.~ C. Ali a Wisconsin Administrative Co es SE COR ED. The owner, as defined in all code requirements. The following conditions shall be met dur construction or installa ' nand prior to occupancy or use: This plan action is subject to designer comme on the plan. Provide the homeowners with a user's manual on t operati and maintenance of this POWTS system. A copy of the approved plans, specifications and this a all be on-site during construction and open to inspection by authorized representatives of the Dep ent, 'ch may include local inspectors. All permits required by the state or the local municipality sh a obtained 'or to commencement of construction/installation/operation. In granting this approval the Division of Sa & Buildings reserves right to require changes or additions should conditions arise making them necessary f code compliance. As per sta tats 101.12(2), nothing in this review shall relieve the designer of the respons' ility for designing a safe building, cture, or component. Inquiries concerning this correspon ce may be made to me at the telephone ber listed below, or at the address on this letterhead. The above left addressee shall ovide a copy of this letter to the owner and any othe ho are responsible for the installation, operation or main enance of the POWTS. Sincerely, Fee Required 175.00 Fee Received $ 175.00 / ~ ., a. Balance Due $ 0.00 Wesley C G be Plumbing Plan Reviewer ,Integrated Services WiSMART code: 7633 (920)492-5613 , M-r 7:00 - 16:30, F 7:00 - 11:00 wgrube@commerce.state.wi.us ~ _ ~. , WILLIAM J BERGH Page 2 7/16/03 cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 William J. Bergh, Geo Tech r ~' + t _ a ,1u-v 3 0 2003 Covey Sheet BILL MC INNIS 76051 60TH Avenue -Hammond, WI 54015 MOUND COMPONENT SA~<;Tlrr & BLDGS. D111~. Reference Component Manuals Mound Component Manual SBD-IOS72-P-P(R.6/99) Pressure Distribution Component Manual SBD-10573-P (R.6/99) Job Location: Designer's name and license # Designer's signature: Designer's address: Designer's phone number: Contents SE'/.~, N W '/<, Sec. 30 T 29 N, R 17 W Town: Hammond County: St. Croix William. J. Bergh (License No. 1577-007) 1 the undersigned state that these plans were ' ned and submittedd 'u'nder my authority (.'"' 2667113' eet Chippewa Falls, WI 54729 715-723-5555 voice 715-723-7535 fax 715-577-6838 cellular Page I-cover sheet Page 2- system calculations Page 3- site plan Page 4- cross section of mound component Page 5-plan view of mound component & distribution lateral schematics Page 6- septic & pump chamber schematics Page 7- pump curve Page 8-maintenance/management & contingency plan. Page 9-maintenance/management & contingency plan onatly ~v~C~ ~F COM ER y pF{ UILOIMGS SPONDENCE • 'I~ ~` ILLiAM ~. ~ WBERCH '~ Page 1 of 9 SYSTEM CALCULATIONS USING HUFFCUTT TANKS residential dwelling with total of 3 bdrm calculated at 450 gpd design wastewater flow LR (linear loading rate) L 6~0 al/da /ft _ DLR desi n/soil loadin rate 0^5 gal/saft/day 900.0 effective basal area depth to limiting factor 31 inches stem area cross slope ^-2% e>~ rcent forcemain length 65 feet using 2 inch -SCH 40 PVC manifold and/or header length 2_5 feet using 2 inch -SCH 40 PVC forcemain volume 10.6 alg Ions length of each lateral 74.000 feet using 1_5 inch -SCH 40 PVC total number of laterals 2 invert elevation 98.3' (bottom of lateral). orifice diameter 0.1875 = 3/16 tenths/inches 97.8' system elevation distance between orifices 24 inches or 2.00 feet total orifices per lateral 38 total orifices all laterals 76 lateral volume each lateral 6.81 allons g--- 25.08 lateral discharge rate system discharge rate 50.2 gallons calculated at 3.25 distal pressure x 1.3 ft. vertical lift 10.0 feet friction loss in the forcemain 3_3 feet calculated at 50.2 gal/min discharge rate TDH total dynamic head) 16.5 feet minimum pump discharge 50.2 apm at 16.5 TDH (total dynamic head) pump manufacturer estimated total dose volume L GIANT 7$.7 mode! number alo ions 9EH 79.0 actual dose (total-forcemain) pump tank model 600 actual tank size 627 alg Ions se tic tank model 1000 actual tank size 1029 ala Ions manufacturer of tank(s) HUf'fCUtt pump float on/off measurement 6~0 inches alarm float from bottom of tank 19.0 inches Page 2 of 9 ~~ ~~ vutsv.-.~sin,I~epartmentofCommerce SOIL EVALUATION REPORT - Page ~ of -3 Division of Ssfety and Buildings _ __ - - in accordance wim Comm uo, wis. raom. a.uuC County - Croy -~ t Pl i - an mus ze. Attach complete site plan on paper not less than 8 1/2 x 11 inches in s but not limited to: vertical and horizontal reference point (BM), direction and inGude Parcel I.D. , north arrow, and {ovation and distance to nearest road. scale or dimensions ercent slope , , p Please print all informatfon. 1 (m)) 04 15 Re 'ewed by ate ~ , ) . ( . Personal infom~ation you provide may be used for secondary purposes (Privacy Law, s. , Property Owner Property Location ~'~~, -1- Govt. Lot s~ 1/4 ~1/4 S ~ T Z q' N R / 7~'' E (or Property Owner's Mailing Address Lot # Block # 18, Subd. Name or CSM# ~d es -n ~ ~- 53 ~ee T - t ma City State Zip Code Phone Number ^ City ^ Village [Town Nearest Road [~, New Construction Use: [~ Residential / Number of bedrooms _ 3 - y Code derived design flow rate ~ s~J ~ ~+ 0 d GPD ^ Replacement T ^ Public or commercial -Describe: ~ /<+~i- ft Parent material (~~ ~ ~ Flood Plain elevati on if applicable ~~ • General comments Y -2 tl , , a ~ • ~'J ~` ~ ' ~ ~ and recommendations~G^ ~ J ~ G't v, ~y ~~ ~~ / ~ ~ ~ ~ ,~ (~ ~ s- D~ U Boring ' ~ ~ ~i3`~~- Fe~'~ '-..~ Boring # ~ ~ Oft. De th to limiting factor ®Pit Ground surface elev. p oil Appiicati~ Rate tion Descri R d Texture Structure Consistence Bounda~ • Roots G Horizon Depth in. Dominant Color Munsell p ox e Qu. Sz. Cont. Color Gr. Sz. Sh. `~ ~ *Eff~1^" *Eff#2 ~ D~1 Z I~ r3/Z - s,~l 2,-)-~~ -~-~-~ ~ S i v - 5 - Z 1 Z-,33 16 /3 -- .5~ c/ Zrn k r ~s -- . ~~ 3 3-42 (~ ~3/~ F 2P 7•S r `llr~ ~S I rn ~ fir' - - • -7 / - Z Boring o/ Boring # ®Pit Ground surface elev. /(/' ~ O ft. Depth to limiting factor 3 Z in. Soil Application Rate l tion dox Descri R Texture Structure Consistence Boundary Roots GPD/ft2 Horizon Depth in. or Dominant Co Munsell p e Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 D-1 ~ ~o r ____ 2n~r~ m~ r 1 ~-~•' • 5 •8 3 2-~l /0 r-3/~ FZP 7.5 r ~f/~ ~ l n-~5 r - ~ . '7 ~. Z- _„ * Effluent #1 = BODS > 30 < z"LO mgrL ano - ss >su ~ you mgrs ct~wcut a~ - ~..r~.5 _ vv ...y.~ .........-- _ -- .•-o- - CST Name (Please Print) Si nature ~~ CST Number ck1 c..h make, Z s33a9 Address Date Evaluation Conducted Telephone Number 2113 ~' ~ ~ -~bt'?~e 5e-f- Cc_)1 `~d Z 5 / Z-/ 7-0 / ~'7is) Zy~ _ yao~ ent~ e~~n rvmrnm ST CROIX COUNTY r SEPTIC TANK MAI1 ~4~G'L:ACifREEMENT • OWNERSHIP CERTIFICATION FORM Owncr/Buyer ~~ ~/ ~ ~ rr~ c~• ~C.. ~~~/?/S Mailing Address Property Address ~~~ from Planning Dcpattcaeat for new City/State LEGAL DESCRIPTION Parcel Identification Number ~/~-/C, ~~ -/~- ~Pl,~ Property Location S~ %, //~ y, Sec. 3p , T 29 N-R /7 W, Town of ~r~?ir/DV~(I . Subdivision ~i~P ~' ~ ~Gl' /~~ ,r',e S L,ot # ~_. Certified Sarvey Map # _ ~--- Volume ~- ,Page # Warranty Deed # % ~/9Z ~ Volume ~-~~O .Page # /~ ~ Spec ~oase ~ yes I~' no Lot lines identifiable ~ yes ^ no SYSTEM-~yIAIlVTENANCE - - Inscandmamkaanceofyoursepticsystcmooaldtcmltmrts~atzai~fa~unctobaadlewastes.Propermaiabeaan~oe consists of pauopmg oat tfbe septic tank every thrx y~ oc sonnet, if Handed by i :Hocusod pamper, what you put iazo the sysbcm cmiffoct~c-oftlbesepti~ctaalc~.atrettmeacstagGia~e~aisstefiisposa_ I.system. . _ ~ pY~ owatr agxecs to ss>~t~tA St. (k+oac 7.oaiag Dcpattmcat i ratification fa~cm, signed by the ~owncr and ~r a ~p jocrrmcymaaptumbe~ ratdc~odplua~bcrori IiACa9odpnntpixr~fj-nng that (Ij the onaite wutcwaterdisposal system u is proper operating condition aadlor (Z) after won and pampiag_C¢Y). ~ septictank-is less than 1/3 ~fuII of sludge. . ~. ~ ~ have read the above rogairememts and a,groe to maimtaia tine private sewage disposal system with file standards ~ fit, ha+cia,'as set by the Dcpattim,cat of Coma~ve sad the Dcpattarat of Ilatcual Resoarecs;State of Wisconsin.. Certification year sc~tic sysGcm has been maintain~ad mast be completed and rctumed to the St. Croix. days ~e three year expintian date. ~' ~~ Office within 30 q ~~ X03 GNA O APPLICANT DATE oWrlE>~. cERTio~xCATZON I (we} oatify that all s on this form are true to the best of my (our) lmow(cdge. I (we) am (arG) the owacx(s) of ~ ProP~Y d~'bod above, by virtue of a warranty decd recorded is Register of Deeds Office. SIGNATURE OF APPIICANT / / DATE «ts««• «««««« Any information that is mis-ceprescntod may result is the sanitary permit being revoked by the Zoning Deputment. •« Iadude Frith this application: a starnpcd warranty decd iinm the Register of Deeds office a copy of the. certified survey map if e+cfercnce is made in the warranty deed ~. 1 2330P 126 .N K ~ ~`I STATE BAR OF WISCONSIN FORM 2 - 1998 WARRANTY DEED Document Number This Deed, made between ., I _RI~H~11iL1 O STp iT and .TANF.T P.__~OII_T.,____-- _ husband ~n~.w~., ___.__-_~ _ _ _ Grantor, and _ W-&~~-Ai'4-J.-~~^-~^:NTS--a~tc~,SB~A(3--K.-M~ rNN-s..__w~-~ !' _ httchand and rui f8, ~_^.--- l __ _~ _,_ _„_ Crantec. Grantor, for a valuable consideration. conveys and warrants to Grantee the following described real estate in _~ Croix _. County, State of Wisconsin: of 18 let of Emerald Acr s, Town of ond, St. roix County, Wisconsin. (SEAL) l~bt~ 018-1098-18-000 Parcel Identification Number (PIN) This 1S nOt hornestead property. (is) (is not) Exceptions to warranties: easements, restrictions, rights-of-way and covenants of record. Dated this 27th day of Jung . _ZQ~__. ICa ' ~~ (SEAL) ~ ~_~/ tr"" (SEAL) Richard O. Stout ~ Janet P. Stout AUTHENTICATION Signature(s) authenticated this ., day of TITLE: h1EMBER STATE BAR OF WISCONSIN (If not, authorized by §706.06, Wis. Stets.) THIS INSTRUMENT WAS DRAFTED BY Janet P. Stout 1353 Awatukee Tr. Hudson, WI 54016 73 1 9G~+ I ii KATHLEEN H. MALSH REGISTER OF DEEDS ST. CRilIX CO., NI !' RECEIVED FOR RECORD 07/24!2003 09:45AM MARRAHTY DEED EXEMPT k II REC FEE: 11.00 TRANS FEE: 204.70 COPY FEE: i CC FEE: PAGES: 1 ~xl ,- ,. _ , G~"w"' Nameturn Ad ress „r~/,/ / j~/j7~"J/"f~__/ ~i 186f~ ACKNOWLEDGMENT (SEAL) State of Wisconsin, ss. St. Croix County. Personally came before me thu ~~_ day of Jane , 2 0 0 3 ,the above named Richard f7_ Rtrnit and .Tenet P_ - - __~___ - iO me known to be the person $.___ who executed the foregoing instrument iiuQ~cknowledge the same. Pamela A. Willman Notary Public ~ ~~~t.[..~~rac,,.~ ~__ State of Wisconsin Notary Public, State of Wisconsin My commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Bothare not __ ~ _~~~`_._-____..-___. ~Q _~) necessary.) Names of persons signing In any capa<iry must be typed or primed txlow their signature. STAT£ BAR OF W ISCON55N Wisconsin te9at 81ank Co., trx. WARRANTY DEED FORM No. 2 - 1998 Milwaukee. Wis ~. ~ '.. r isconsin Department of Commerce July 16, 2003 Jim Doyle, Governor Cory L. Nettles, Secretary CUST ID No.227819 WILLIAM J BERGH GEO TECH 2667 113TH ST CHIPPEWA FALLS WI 54729-6575 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 Safety and Buildings 2331 SAN LUIS PL STE 150 GREEN BAY WI 54304 TDD #: {608) 264-8777 www.commerce.state.wi. us/sb www.wisconsin.gov Identification Numbers. Transaction ID No. 885475 SITE: Site ID No. 661721 Bill Mc Innis Residence ~ '("` ~ ~ Please refer to both identification numbers, 150TH Street above, in all corres ondence with the a enc Cvn~ Town of Hammond a~~ A P P St Croix County FOR: DEPARTM CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 07/16/2005 The submittal described above has been revtewed for conformance venth apphcabie Wiseonsm Admmistrarive 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. Description: BILL MC INNIS DIVISION OF Object Type: POWT System Regulated Object ID No.: 911130 ,/ d~?< < , , ~--r. SEg COF The following conditions shall be met during construction or installation and prior to occupancy or use: This plan action is subject to designer comments on the plan. Provide the homeowners with a user's manual on the operation and maintenance of this POWTS system. 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 approvai 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. lit/ C _ , ., ., ... Wesley C G be Plumbing Plan Reviewer ,Integrated Services (920)492-5613 , M-r 7:00 - 16:30, F 7:00 - 11:00 wgrube@commerce.state.wi.us Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 WILLIAM J BERGH Page 2 7/16/03 cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 William J. Bergh, Geo Tech ~~~~~~~ BILL MC INNIS 16051 60TH Avenue -Hammond, WI 5401 S MOUND COMPONENT Covey Sheet Jug 3 0 2003 SAFETI(& BLDGS. DIV. Reference Component Manuals Mound Component Manual SBD-10572-P-P(R.6/99) Pressure Distribution Component Manual SBD-10573-P (R.6/99) Job Location: SF,'/4, NW '/4, Sec. 30 T 29 N, R 17 W Town: Hammond County: St. Croix Fionally Designer's name and license # William J. Bergh (License No. 1577-007) 1 the undersigned state that these plans were designed and submitte under my au o Designer's signature: Designer's address: 2667 1 3'~' treet Chippe Falls, WI 54729 Designer's phone number: 715-723-5555 voice 715-723-7535 fax 715-577-6838 cellular Contents Page 1-cover sheet Page 2- system calculations Page 3- site plan Page 4- cross section of mound component Page 5- plan view of mound component & distribution lateral schematics Page 6- septic & pump chamber schematics Page 7- pump curve Page 8-maintenance/management & contingency plan Page 9-maintenance/management & contingency plan :®VED OF COMMERCE .TY AN~UILDIN~ .-1-4z ~ ~ _f% -- :SPpNDENCE .•'•~~e~SG S~~a~~'•. ~ 'WILLIAM ~ • ~• Page 1 of 9 SYSTEM CALCULATIONS USING HUFFCUTT TANKS residential dwelling with total of 3 bdrm calculated at 450 gpd design wastewater flow LLR (linear loading rate) 6.0 al/g day/ft DLR (design/soil loading ratel 0,5 gal/sgft/dav 900.0 effective basal area depth to limitina factor $~ inches system area cross slope ~2% ep rcent forcemain lenath 65 feet using 2 inch -SCH 40 PVC manifold and/or header length 2,5 feet using 2 inch -SCH 40 PVC forcemain volume 10.6 alg Ions length of each lateral 74.000 feet using 1.5 inch -SCH 40 PVC total number of laterals 2 invert elevation 98.3' (bottom of lateral). orifice diameter 0.1875 = 3/16 tenths/inches 97.8' svstem elevation distance between orifices 24 inches or 2.00 feet total orifices per lateral 38 total orifices all laterals 76 lateral volume (each lateral) 6,$1 allons 25.08 lateral discharge rate system discharge rate 50.2 gallons calculated at 3.25 distal pressure x 1.3 ft. vertical lift 10.0 feet friction loss in the forcemain $,$ feet calculated at 50.2 aal/min discharge rate TDH (total dynamic head) 16.5 feet minimum puma discharge 50,2 mat 16.5 TDH (total dvnamic head? pump manufacturer L GIANT model number 9EH estimated total dose volume 7$,7 alg Ions 79.0 actual dose (total-forcemain) pump tank model 600 actual tank size 627 allons septic tank model 1000 actual tank size 1029 alg Ions manufacturer of tank(s) Hu'ffCUtt pump float on/off measurement g,0 inches alarm float from bottom of tank 19,0 inches Page 2 of 9 3 3 a. ~_ = Y Izz Np0 O t+) p X Izo Z~U 1 g c!i T N z Q W (!7 z z_ U z ;, D W O ~ V 0 d `` E n ao o -- a ,~ V va° N N C ~ 'o in U v w ° w a II ~ _ N I ~ N M I II O .~. a i Z_N r.j i Z ~ ~ ~ (~ °m a ~ a > JJ O pw J^OOC~ m W U ~ ~ U Y °'wOO w w a ~- Z Z a p ~ .... O O t1 J = o f= ~= a w v Qa a a U w~ p 0 0 Q m.:J-~Z a ~ a ''- -~- ~f- p z I.J_I C~ I..1.~ J ;:i^ ~ ~ OY o~ oo°a ~~ ~~ ~F ~w 2 VI v a~ a~ M W O N M c C7 az I p O ~ ... ~ t 0] ~ ~ n J N rv a a^ O~ I p ~:. U ~ UU N~ ~- a ~ 00 ~o ~z ar7 wN ~so0 wU O O 0 U ~ O= U= m 3 ~ ~ Y ~ V ~ aaz ,~ o OV W ~ ~Z O ~ aW C9 M ~~ U Z Q O as W J Q rU/~ V \~ .~ r J Z W W UZ ZO oa ~~ ~O ¢1 V ~ Z N~ O ~ ~ OQ ~~_ x _ ~~ ~, -.~pR~N~B~~5~~~5 .~ ~. ~AR, SRPP~ ~p~5ZUR8 ,~ `VEN~CV CAMP . NG~ ,p0 ,;rn N ~ ~~ ~ ~ O ,'w~' ON \ ~.O '...\ ...... ...~Z , ~O ~~ ~ m ,. . M .. `. `, ~ ~ ` ~~ O W ~ N m _ ~a~^ 0 m p W N ' ^ W s u / pia ZO_ c- ~ `RWR' N U W J ~ u+ o W ~VECN Z; O N y-y G PAGE 3 OF 9 MOUND COMPONENT ~ CROSS SECTION (drawing not to sc01e) observation pipe(s) synthetic cover moterial soil to promote plont growth elevation at top of sand fill (bottom of distribution cell) 97.80' 12" 8„ elevation 97.30' tilled/plowed area 1.3' -- 3.8' --- 6.0' - 18.8' 7.5" ASTM C- 33 fill moterial 6.0' ^-15 yards of rock required N4o yards of sand fill required ~2% system area cross slope 90o total basal area (sgft) 10" original grade 6 1.6' .... Distribution cell ,M, `'~ 0.5" - 2.5" washed hard aggregate, 6" below & 2" above the distribution lateral Ail material and piping specifications os per the Mound & Pressure Distribution Component Monuols. page 4 of 9 PLAN VIEW OF MOUND COMPONENT (Ali material specifications per the Mound Component Manual) (limit activities in the ores 15' beyond the downslope edge of mound) Typicol loterol detail showing sidewoll and loterol spacing (all loterals may not be shown) Distribution lateral(s) terminate 6" from the end of the distribution cell W --- Effective aggregote area Basal absorption areo DISTRIBUTION LATERAL (typical) (all dischorge orifices ore located on the center bottom fine of the distribution lateral) threoded cap occess box 1 1/2" distribution lote I ,J 74.0' (- 24" -I- 24" -I- 24" - 3' 2" monifold discharge orifice diameter 0.1875 = 3/16" distance between orifices 24" number of orifices per loterol 38 Total number of orifices 76 (drawing not to scale) poge 5 of 9 SEPTIC/PUMP CHAMBER CROSS SECTION (DRAWING NOT TO SCALE) Final grade (slope ground away from risers for drainage) Actual depth may increase see COMM 82.30 (11), (c) and (d). tank vent access riser 18" m bottom of inlet invert 3" filtered water level } _ _ effluent inlet ~~ 4" inlet I tee or baffle I ; approved effluent filter required on tank outlet L-~_.- - Minimum of 3" of suitable bedding beneath tank Access riser with locking cover (cover must be properly marked with an approved warning label) OF power & alarm cable (must use seperote power and alarm circuits) \ (externally mounted) 1 junction box EFFLUENT FILTER ZABEL (A-100) (or equivalent) Tank manufacturer HUFFCUTT septic/pump chamber capacities 1000/600 GALLON Alarm monufocturer S.J. ELECTRO (or equivalent) Alarm model number HW 101 (Or equivalent) Type of float switch MERCURY (or equivalent) Effluent pump monufocturer LITTLE GIANT Effluent pump model number 9EH Minimum pump discharge rate (gpm) 50 2 Vertical lift (pump off to lateral elevation) 10.0' System head (distal pressure x 1.3 ft.) 3.25 Friction loss in the force main ^-3.3 Total Dynamic Heod (TDH) X16.5 4" min. force main reserve alarm on off ~ ~ ~ 88.3' -- ~ . pump pod DWF (doily wastewater flow) 450 Number of dioly doses ,,,,5.7 (OWF /actual dose volume) Forcemoin volume 10.6 Actual dose volume (gal) (total dose vol. - forcemain vol,) 78.98 CAPACITIES reserve above alarm 21 inches = 313.53 gallons alarm above pump on 2 inches = 29.86 gallons on/off measurement 6 inches = 89.58 gallons off to tank bottom 13 inches = 194.09 gallons TOTAL 42 inches = 627.06 gallons PUMP CHAMBER DIMENSIONS length 49" width 70.0" liquid depth 42" gallons / inch 14.93 Page b of 9 9EH SERIES SUMP/EFFLUENT PUMP Specifications MODEL CAT. IISTINC HP VOLTS SOLIDS SIZE RUNNING PERFORMANCE IGPM @ HEAD) SHUTOFF PWR. CRD. WEIGHT DIMENSIONS ND. N0. (Oia,ln.l AMPSlWATTS 5' tp~ ty Zp~ (Ft) P.S.I. (Ft,) (Ws.) (HxLxW) 9EH-CIM 509330 UUCSA 4110 115 3/4 13.0 1000 71 68 60 49 32 13.8 20' 27 9.11 z 11.64 x 8.94 9EH-CIM 509340 UUCSA 4/1 D 230 314 6.5 1000 71 68 60 49 32 13.8 20' 27 9.11 x 11.64 x 8.94 9EH-CIA-RFS 509350 UUCSA 4/10 115 314 13.0 1000 71 68 60 49 32 13.8 20' 27 9.11 x 11.64 x 8.94 9EH-CIA-RFS 509360. UUCSA 4/10 230 3/4 6.5 1000 71 68 60 49 32 138 20' 27 9.11 x 11.64 x 8.94 30 W zo a w to 0 0 20 40 60 80 FLCIW- GALLONS/MINUTE PUMP PERFORMANCE CURVE 115V 60HZ Construction Motor Housing j Epoxy Coated Cast Iron i Impeller Material I Poly Carbonate i Impeller Tvne . C1nePri Vane IO ~ Volute I ABS _ _ 'i Power Cord _ -~I SJTW -A Mechanical Shaft Seal _ ~I Nitrite with carbon and ceramic faces I Fasteners I Stainless Steel Shaft _ ~ Stainless Steel ~ ' Bearings ~ Upper Sleeve and Lower j Ball Bearings ~.s W W f s a° z.s 0 .SSpl~ walerRq, s~~~ / !P!/NP G - e'~ ISO 9001 CERTIFIED Little Giant Pump Co. PO Box 12010 `Phone: 405.947.2511 Okla. City, OK 73157 Fax: 405.951.5674 . .i ~ .C ~~ ~ Form 995235 - O 1 /00 FLC1W- LITERS/HOUR POVVTS OWNER'S MANUAL MANAGEMENT PLAN PERMIT NUMBER: Owner: BILL MC INNIS POWTS Maintainer: Geo Tech Soil & Site Evaluation -Chippewa Falls, WI 715-723-SS55 Local Regulatory Authority: St. Croix County Zoning Department -Hudson, WI 715- POWTS Installer: Septage Servicing Operator DESIGN PARAMETERS Influent/Effluent quality (values typical for domestic (non-commercial wastewater and septic tank effluent) Fats, Oil and greases (FOG) <30 mg/L, Biochemical Oxygen Demand (BOD) <220 mg/L, Total Suspended Solids (TSS) <150 mg/L Soil loading rate (SLR) = 0.5 SYSTEM SPECIFICATIONS The components of this septic system are intended to serve athree-bedroom (450-GPD) single-family residence. The components include: a Huffcutt model 1000/600 septic/pump tank with an approved outlet filter and a Little Giant effluent pump, alarm & controls and a 75.0' x 6.0' distribution cell within a mound POWTS component. All components must comply with WI Adm. Code COMM 84 and be installed per manufacturers specifications and approval letters. DESIGN CRITERIAL / SBD - ]OS72-P (R.6/99) "Mound Component Manual" o .SBD - 10691-P (N.OI/O1) "Mound Component Manual" Version 2. o SBD - I OS70-P (R.6/99) "At-Grade Component Manual Using Pressure Distribution'' o SBD - 10567-P (R.6/99) "In Ground Absorption Component Manual" o SBD - 10705-P (N.OI/O1) "In Ground soil Absorption Component Manual'' Version 2.0 / S$D - 10573-P (R.6/99) "Pressure Distribution Component Manual" o SBD - 10706-P (N.O1 /01) "Pressure Distribution Component Manual" Version 2.0 MAINTENANCE & MANAGEMENT Inspect the condition of the treatment tank(s) and dispersal cell(s) a minimum of every three years. The septic tank contents must be removed in accordance with Chapter NR 113, WI Adm. Code when the combined sludge and scum equals one-third (1/3) the tank volume. The effluent filter(s), effluent pump, controls & alarm and distribution lateral(s) should be inspected annually to ensure maximum performance. Lateral inspection/maintenance should include flushing of the laterals and pressure testing. START UP For new construction prior to use of the PO WTS check treatment tank(s) for presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a Septage-servicing operator prior to use. OPERATION The property owner is responsible for the operation and maintenance of the POWTS and submission of required reports. The quantity and quality of wastewater will affect the performance and longevity of your POWTS. The installation of water-saving appliances and fixtures along with prompt repair of leaks reduces the wastewater volume. Also, the brine or waste from water softeners, iron removal units, and other clear water treatment devices and foundation drains should be discharged to the ground surface whenever possible. Note: this does not include laundry waste, showers, dishwater, etc. The system is designed to handle domestic strength wastewater, however the disposal of food based greases and oils, vegetable/fruit peels and seeds, bones, and food solids such as those produced be a garbage disposal should be minimized. Toilet tissue is the only paper that should be discharged into the system. Other non-biodegradable items such as baby wipes, tampons, sanitary napkins, condoms, cigarette butts, dental floss, and cotton swabs should not enter the system. Chemicals such as petroleum products, paint, disinfectants, pesticides, antibiotics (medications), solvents, etc., should not be flushed into the system as they can seriously damage your POWTS and contaminate your drinking water supply. Maintain regular steady flow by spreading the laundry washing throughout the week. Avoid vehicle traffic over all system components. Compaction of snow over the unit may cause it to freeze up. o Valves Vah~es should be operated in the following manner / Alarms Alarms should be tested on a regular basis by the homeowner. If an alarm sounds, contact an individual licensed to serve POWTS. There is normally a one day reserve capacity under regular operating conditions, however tivater should be conserved until any problems with the system are corrected to prevent back-up of sewage into the dwelling or surface discharge. Page 8 of 9 PNSPECTIONS Inspections shall be made by a person carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Maintainer or Septage Servicing Operator (per the attached Maintenance Schedule) / Septic Tank Component Tank inspections must include a visual inspection of the tank to identify any missing or broken hardware, identity any cracks of leaks, measure the volume of combined sludge and scum and to check for any backup or surface discharge of effluent. Access openings used for service of assessment shall be sealed and/or locked upon completion of service. Any defects shall be promptly corrected, Exposed openings greater than 8 inches in diameter shall be secured with an effective locking device to prevent accidental of unauthorized entry into the tank. The outlet(effluent) filter(s) shall be inspected and cleaned to remove any accumulated solids according to manufacturer's specifications. Provisions are to be made to retain solids in the tank during cleaning. Filter cleaning may be necessary at more frequent intervals than stated in the maintenance schedule to keep the system operating properly. / Pump Chamber/Treatment Tank(s) Component The inspection must include a test of all electrical equipment such as pumps, alarms and floats. A visual check must me made for leaks, backups, surfacing, missing or broken security devices and other hardware and the condition of the filter. Any service needs or repairs shall be promptly taken care of. / Mound, At-Grade, In-Ground Pressure The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any discharge to the ground must be prompth~ reported to the regulatory authority. Ponding greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. REPORTS Reports for maintenance, inspection, and monitoring shall be submitted in accordance with COMM 83.55 Wisconsin Administrative Code. ABANDONMENT When the POWTS tails and/or is permanently taken out of service the following steps shall be taken to ensure that the system is properly and safely abandoned in compliance with Ch. COMM 83.33, Wisconsin Administrative Code. - All piping to tanks and pits shall be disconnected and the abandoned pipe opening sealed. - The contents of all tanks and pits shall be removed and properly disposed of be a Septage Servicing Operator. - After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or other inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliani replacement system. o A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure(s), lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. o A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. o The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. / Mound and At-Grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. WARNING SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OF OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAYBE DIFFICULT OR IMPOSSIBLE. Page 9 of 9 LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF HAMMOND COMPUTER NUMBER 018-1098-18-000 Parcel Number 30.29.17.825 OWNER NAME: First WILLIAM J & SUSAN K Last MCINNIC PROPERTY ADDRESS: Hse # 1/2 PD --Street Name-- Type SD Apartment 1524 76TH AVE SECTION 30 TOWN 29N RANGE 17W '/4160 NW '/440 SE Line Description Line Description TOTAL ACREAGE 5.000 PLAT EMERALD ACRES 1/35 018/02 LOT18 BLK 01 SEC 30 T29N R17W PT SE NW 15 02 EMERALD ACRES LOT 18 16 03 (5.OOOAC) 17 04 18 05 19 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1-General, F4-Prev. Parcel, F5-Next Parcel, F7-Valuations, F8-History, F10-Exit RECEIVED OCi 2 8 2003 Saf ~uil ' Division ~!bY County ~~ ~ ® Box os2 20 . ` ~ n; 'SCO~S,~ Sanitary Petmit Number (to be filled in by Co.) De artment of Commerce ~~~} Sanitary Permit ppliF~ti~i} 2003 State Plan LD. Number ~~'~ In accord with Comm 83.21, Wis. Adm. Code, nal information you provrde may be used for secondary purposes 'vacy i~v,`s1~,0At1~(~) NTY U Project Addrtxs (if different than mailing address) I. Application Information -Please Print AlI Informa to ~ /~~~/' ~~ ~~`~~~ ~ Property Owner's Name , ~ , Parcel # Lot # Block # Property Owner's Mailing Address Property Location ~~ e ~ Ltf' Section ~© "~ ~~`~~ ~~' City, State Zip Code ~ Phone Number ' l~J~? Q'~l ) -~ "lL~~~ T/.. / N; R / / E o~''W J II. Type of Building (check all that apply) ~./ ~ / ~ Subdivision Name CSM Nu b ~ 1 or 2 Family Dwelling - Number of Bedrooms m er /~ ~ ~ ^ Public/Commercial -Describe Use ~ ~ • ~ /~G ~~ G ~~/~ ~nA ^ State Owned -Describe Use K 9 ~ VK ~ Q = ~•~ ~Z City ^Village ownship of L7 /!~ III. T ype of Permit: (Check only one box on line A. Complete line B if applicable) A' New S tem ys ^ Repla tem ^ Treatment/Holding Tank Replacement Only ^ Other Modification to Existing System B ^ Petmit Rene Permit R on Change of ^ Permit Transfer to New ist Previous Permit Number and Date Issued Before Expirat Plumber Owner ~~ ~ T~ -'S ~3 T w., IV. T e of POWTS S stem: Check all that a I ^ Non =Pressurized [n-Ground ^ Mound > 24 in. of suitable soil Mound < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Filter ^ Constructed Wetland ^ Pressurized In-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating Sand Filter ^ Recirculating Synthetic Media Filter ^ Leaching Chamber ^ Drip Line ^ Gravel-less Pipe ^ Other (explain) V. Dis ersaUTreatment Area Information: O O Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) ' Dispersal Area Proposed (sf) Syste Elevation ~~ v r ~l•° .~ O .~~ ~ VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel er Plastic Gallons Gallons of Units Concrete Cons ed Glass New Existing Tanks Tanks Septic or Holding Tank Os'~ ~- /~D G7 ' i r Aerobic Treattnem Unit Dosing Chamber 5 ~„ 7~1. ~~ ~ ~. VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Nam,~e'(~Print) PI ber's Signature ~/~ ~ MP/MPRS/N~umber Business Phone Number ~7 Plumber's Address (Street, Cjity, State, Zip Code) j~ VIII. Coun /De artment Use Onl Approved ^ Disapproved Sanitary Permit Fee includes Groundwater Date Issued ss ng Agent Signatur (No Stamps) ^ Surcharge Fee) ~ ~_ ~O 3p ~3 Owner Given Reason for Denial J IX. Conditions of ApprovaVReasons for Disapproval ` r ~) ~w~3tv'+~. -['o N~.e~.~. ~e+- ' . SYS P~M OWNER: ~ ~ ~~.c 1 Septic tank, effluent faker and 'e~,~a>e - ~~- ~n dispersal~cell must all be serviced / maintainetf ~ - ~~~ `~. as per magagement plan provided by plumber °` ~ ~~ . Ail etb ~ k • s ac requirements must be maintained C~ ~~,,, ~'-( ~4 . ) as er a li bl p pp ca e code/ordinanabs. \ ` Attacp complete pleas (to the Connty only) for the system on paper not less flan atrz s 1 s tskaes la uze '~~ iL '/ Q~s ~ SBD-6398 (R. 08/02) ~' ~: s0//el/Q~4Q~io~Pi~ ~-.~_~, ~~,.~ ProP S~ /'=~ ~--.Jas ~ %,E ~:~~ 'V' .`c ~~~ ~,I 0 o, t .' ~ /~ -~ /.~4, ~Scn~ rNa~K•• Top o.~ 3~'' /' P. d. c. ,o.;oc. P~opoSed /yteuna~ av' 10.3SX /47.D.j~ f{SS4..n2d elt~ _ /pD.C~.' ~ ' iacr-sQ/ Cc//. Two(, IaI•o !t~ S X 90 di S /etera/s of /%2 'y 88.SS'w/ %d' ~~ ^ ortFiccs s~acGdcf s.s3.' ~~~a) <~.~ / 9 z o rj~ ~' ,~ j/ Q~°, ~ ~'orcenra;,~ Qjtifs P. c. th~u~l. _ IO u Mlo /~ !/i~. ~ Proposed wces~.r c~c.P~sO•~c~ pu.~ p cJ•ambe..^ y"s~~. vo P .~. " info Il ouaf off' P~opos~d , 3 bt~oo.~ r1we.(I;n~ e ~oposed weel P ~- d a ,z7G. z 3 ~~ ~,~~. pPOpostrl wtcscr W~P1~/bco-^tf Cc~ biiJa~or~ f4.~.t'-Eode a scd a5 eF~'/tc¢nEC'I~era~ occElQ6. lf.. B. :7opo{' j8', 80'9 isconsin Department of Commerce Jim Doyle, Governor Cory L. Nettles, Secretary October 24, 2003 OUST ID No.220853 DALE E HUDSON BOLDT'S PLUMBING & HEATING, INC. PO BOX 78 BALDWIN WI 54002 A77N: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/24/2005 Safety and Buildings 2331 SAN LUIS PL STE 150 GREEN BAY WI 54304 TDD #: (608) 264-8777 www.com merce.state.wi. us/sb www.wisconsin.gov .Identification Numbers Transaction ID No. 937606 Site ID No. 667643 Please refer to both identification numbers, above, in all comes ondence with the a enc . Condi~ FOR: APP R Object Type: POWT System Regulated Object ID No.: 928521 DEPARTMENT VISI~ OF SAFE The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative l and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined ' ~ ` '~'" ` ~~ chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. SEE ~ ORRE SITE: Bill McInnis 76TH Ave Town of Hammond St Croix County SE1/4, NW1/4, S30, T29N, R17W The following conditions shall be met during construction or installation and prior to occupancy or use: This plan action is subject to designer comments on the plan. 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 to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, ~"'" Wesley C Gru Plumbing Plan Reviewer ,Integrated Services (920)492-5613 , M-r 7:00 - 16:30, F 7:00 - 11:00 wgrube@commerce. state.wi.us Fee Required $ 350.00 Fee Received $ 350.00 Balance Due $ 0.00 WiSMART code: 7633 f ~. Y t MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Bill & Susan McInnis 3 bedroom residential mound f~~C~iV~ D Owner's Name: Bill & Susan McInnis ACT r . ~ 2003 Owner's Address: 1651 60th Ave. SAFE]'Y& B(p G S ~~~ Hammond, WI 54015 Site Address: 1524 76th Avenue Legal Description: SE1/4NW1/4, Sec. 30, T.29N., R.17W. Township: Hammond County: St. Croix °nally Subdivision Name: Plat of Emerald Acres EVE D Lot Number: 18 Block Number: NA COMME E 0 QNO BU iNGS ~~ Parcel I.D. Number: 0 018-1098-18-0 ~, Plan Transaction No.: ONDENCE Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Site Plan Page 9 Soil Evaluation Report Designer: Dale Hudson License Number: _220853 Date: 10/10/03 ~ ~ Phone Number: 715-684-3378 Signature: ~ ~ ~i,C.~~~TY""~ Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01101), and SSWMP Publication 9:6 Design of Pressure Distribution NeM~orks for ST-SAS (01181) Version 3.0 (03/01/01) Page 1 of 9 ~~ Mound and Pressure Distribution Component Design Design Worksheet Site Inform ation (r or c} R Residential or Commercial Design 300.00 Estimated Wastewater Flow (gpd) 1.50 Peaking Factor (e.g. 1.5 = 150°l0) 450.00 Design Flow (gpd) 8.50 Site Slope (%) 100.50 Contour Line Elevation (ft) 24.00 Depth to Limiting Factor (in) 0.50 In-situ Soil Application Rate (gpd/ft2) Distribution Cell Information 90.00 Dispersal Cell Length Along Contour (ft) _ 1.00 Dispersal Cell Design Loading Rate (gpd/ftZ) 1 Influent Wastewater Quality (1 or 2) Pressure Disribution Information (c or e) a Center or End Manifold 2.50 Lateral Spacing (ft) 2 Number of Laterals 0.125 Orifice Diameter (in) (e.g. 0.25) 2.50 Estimated Orifice Spacing (ft) _ 2.00 Forcemain Diameter (in) 95.00 Forcemain Length (ft) 85.00 Pump Tank Elevation (ft) 6.50 System Head (ft) x 1.3 16.00 Vertical Lift (ft) 1.80 Friction Loss (ft) 24.30 Total Dynamic Head (ft) Lateral Diameter Selection in. dia. o tions choice 0.75 1.00 1.25 1.50 x x 2.00 x 3.00 x Note: Sand fill (D) calculations assume a Table 83-44-3 in-situ soil treatment for fecal coliform of <= 36 inches. 5.00 Cell Width (ft) Are the laterals the highest oint in the distribution Y network? Enter Y or N If N above, enter the elevation (ft of the highest point. 6.25 ft2/orifice Does the Forcemain drain back? C~ Enter Y or N 15.50 Forcemain Drainback (gal) 81.25 5x Void Volume (gal) 96.74 Minimum Dose Volume (gal) 29.66 System Demand (gpm) Manifold Diameter Selection in, dia. o tions choice 1.25 x 1.50 x x 2.00 3.00 Gallons/Inch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 1000.00 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Wieser Concrete Manufacturer #VALUE! gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 750.00 Dose Tank Capacity (gal) Zabel Filter Manufacturer 20.28 Dose Tank Volume (gal/in) A100 Filter Model Number Wieser Concrete Manufacturer Project: Page 2 of 7 Mound Plan View ..................................... '• 11 10 B ' 'Observation Pipe 'Q' K'; .»"".""¢"»r" •*"M^~~"~~ ~~ ®~ ~;,;~,~*tl~~" ~.y,~R 6+s s"s"":"e i9 F" ~" :" ip":»" F." :X"ai. ,~ ,. i~ . . •~ ~»r•"•""r~r•r»r»r•r.r=r; ~"r r.r"r.r.r.r.r.r.r.r.r"r. :'r'~'•r" . .I.• ~l. '~ B 4 ( L -T _} _~ _l Mound Component Dimensions A 5.00 ft E 17.10 in H 1.00 ft K 9.01 ft B 90.00 ft F 9.50 in z 10.94 ft L 108.03 ft D 12.00 in G 0.50 ft J 5.48 ft W 21.42 ft 450.00 (ft2) Dispersal Cell Area 1434.56 (ft2) Basal Area Available 5.00 (gpd/ft) Linear Loading Rate 9.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area F 101.50 (ft) --- - Dispersal Cell [3] - Elevation E . .• ...• .... Finished Grade 103.29 (ft) I I~ ~ Dispersal Cell 102.00 (ft) Lateral Invert ~D D~: , .. . . .. . ......• ......• . . ,. ......• ... _ _ .... ........ . ... ~~~'~~`~~ '` ~°~~ "~~~~~~ " ~~ 100.50 (ft) Contour Elevation 8.5 % Site Slope Geotextile Fabric Cover Shading Key ~ c. ~ Dispersal Cell See lateral details on Q ~"+41 Topsoil Cap ® {~'rf' Subsoil Cap o a ~ .~ 1.5 ft ..„" •~;;~;-° , :~t'4:» ~ Page 4 for number, size, and spacing of laterals. ASTM C33 Sand .. ~ ~ ~ ti ;"r.r" r" Laterals are a uall ® '~ :'~ ` ~. ~. Tilled Layer m ~ 0.5 ft M:r Typical Lateral .;;';~» » ". .. . . " .., . : .• » spaced from the y,ti ,~ 5 r•~", A re ate ~, •- ,Q ~r , , , w ,, ,, . A . ,. ::="r»r"r"r"r•r"r; r" ; r$: °~.•':~,°: ;»::.~,.°: ;"' 5 » I j distribution cell's centerline in the A --~ T distribution cell (Ax6). Project: Page 3 of 7 r End Connection Lateral Layout Diagram Laterals centered over the A & B dimension • =Turn-up nPball valve or aleanoutplug .I E P All laterals are identical ~E- X--~~ Holes drilled on the bottom of the lateral I equallg spaced S Force main connection pia tee or cross to maniFold at any point. Laterals & force main of PVC Sch 40 (per COMM Table 84.30-5] Number of Laterals Lateral Diameter Lateral Length (P) Lateral Spacing (S) Lateral Flow Rate System Flow Rate Total Dynamic Head 2 1.50 in 88.55 ft 2.50 ft 14.83 gpm 29.66 gpm 24.30 ft Orifice Diameter Orifice Spacing (X) Orifices per Lateral Orifice Density Manifold Length Manifold Diameter Forcemain Velocity Dose Tank Information Electrical as per NEC 300 and ---- Comm 16.28 WAC i- ~ Disconnect Tank component is properly vented Wieser Concrete Ca acit 750.00 Volume 20.28 Manufacturer Gallons gal/inch Dimension Inches Gallons A 18.21 369.34 B 2.00 40.56 C 4.77 96.74 D 12.00 243.36 Total 36.98 750.00 3" tank. Alarm Manuafacturer LevelArm _ Alarm Model Number DLV ~~ Pump Manufacturer Goulds _ _ __ Pump Model Number 3885 VNEO 5Fi ~~~~ Pump Must Deliver 29.66 gpm at 24.30 ft TDH A B C D 0.125 in 2.53 ft 36 6.25 ft2/orifice 2.50 ft 1.50 in 3.03 ft/sec Locking cover with warning label and locking device and sealed watertight ~4 in. min. ~- Alternate outlet location Forcemain diameter ~ 2 in. Weep hole or anti- siphon device P~ um~ off elevation (ft) 86.00 Dom se tank elevation (ft) 85.00 Project: Page 4 of 7 t Mound Svstem Maintenance and Operation Specifications Service Provider's Name Boldt's Plumbing -Dale Hudson-] Phone 715-684-3378 POWTS Regulator's Name (- St. Croix County Zoning ~ Phone 715-386-4680 Svstem Flow and Load Parameters Design Flow -Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow -Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Other Ins ect and/or service once eve 3 ears Should ins ect and clean 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 Ins ect for ondin and see a e once eve 3 ears 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 Turn-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: Page 5 of 7 Mound 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-10691-P (N.01/01) 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 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, Stats. 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 BODS, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BODS, 30 mg/L TSS, 10 mg/L FOG, and 10° 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. Project: Page 6 of 7 t' through 1'/z HP •AI models feature silicon {carbide Ua to 130 GPM mechanical seal fa^e~ or superior Maximum heaa to 123' abrasive resistance and ex':ra D.scharge size 2" NPT long life. solids: '/~° maximum • Cast iron semi-open r~on-clog Motor impeller with puiY~p-out vanes A!I motors feature bail for mechanical seal pro~_ec?ion. gearing construction. • Rugged cast iron ~~o!ute type casing ^,~~ailable in Single and adaptable for slide ra~l s/stems. Three Phase 115, 200, .Corrosion resistant t~~~eadea ?:~0 46~), ana 575V. stainless steel s Batt III single phase models . Motor is fully submergE~~d in high n<:ve capacitor star motors. qua;iry oil for hubrica,fon !ti1alerials of Construction and efficient heat tra-t~far. east iron • Optional silicon bronze-n~peller stainless steel mailable. • CSA listed models a~~~ iL~bl ;. ~r~ Underwriters Laticratories -; ~ r x r, ~~~ k ~ n ~ y e: "f '~ ay ~~`P,, ~; z i` hlE'. EHS FEE r ^'~ 8~'r __-- -I ~- - _T ~~ -~ MOUE 3b72! is ---- -•--,- ~ ~ -- ~~ ; 6' c7 __ - _~_ ! w Si 15 -_ ~~ -_ ~-. _ r r - {~- II __--Ir !-~-~ --- - _ __ ~ _ _-Y- ~ _. r .~__~ ._ _.. O , _. .. 'i _.. ~ 5 V _._..-_ . .. ,_ ~ ~ , 6 t ~ 2r, .___ __~.._. 30 a~~ 5[' 6~ 7~_ . S. GA C - S i._._._.___.__.__._____. 8 ,~ IP ~ it ., i cn7a~;irr P~rnp S~,eciications ~ ._._ ___ Features and Eieneiits '/z H? • Glass ~i'~ed, thermoplastic vote; Up to i5 GPM impellerwith stainless Steel Ma:~intuni Head to 18' inset and pump out vanes icy Discharge Size ?° f~iPT rnecnan~cal seal protection. Scuds 2` tnaxir.~ut~i • Rugged glass-f'lled the~m~p~last s Motor casing and base desgn pro~,~ide~ All orators 'eature ball superior strength and corrosion bearing curstr~.ction. resistance. Single phase: 1 ? 51 • Cast iron motor housin~ for Materials of Const,uctior eificier'~t heat transfer, strenct~~ anc dar_t~ilir~ east i~ on ~hef~T'~Ot)la3'IC • Coy ros'~on res'~stant thre~~dE-e ~t ~ rl~;ss steel sta Mess s~eel shat • F;v~ilar,le it autcmat~~c a~rJ n iru~~~ ~~io~9e~~s. •CS;a fst~~h models availc'.ble. Arl Models are designea fvr continuous operat%o~~ ;~na' re ~tu,~e :>aiNess 3tr~~l h~~ia~ vare. ~) . ~'~ ~~ e ~ ~~.• ToP o,~ 3 r ' A. d. c. ,o: pc. P~opased /Nau~~ of 20.3sX /07.0. ~ f~5su.,n2d elGw = /OD.c~.~~o~,o' ~ So,/eda/ua~io~ 0:~. (a/ S ~ y 4p' di S ~acr-sa / Cc //. Two ~,~ , , ~ ~~ ~ w/ %fi ~ /a~era/s of //2 x 88.sS ' ® ~l2dQ.~r'or> O f i Fi CCs Spa c Ld c.'t ~ . 5~, ~O irLv K/ ,sue .;~ a ~ f i~ ~,~~ ~i~ ~~`~ 970 ~ ~ .'ice ~k)'~ ~i p~ .~ -'-' ~ = az ' -E-- ~~'-Eo i.39 ~ 1os ~ ~ u 83 %~ `TAY-a' ~- ea ~ . !crE li/1! o, b~~j QC~~/ ~~ ,~'~sGf. ~!o o.d. e. ` ~'o~c~ma:,~ ~~;~ Proposed wreSa+° t~LA~•M~ ~ P.G.thiza~ti ~~.-~P cka„nber: of ~ u MP /` J/iq. v ~ o, ~ y"s~~,, yo,~d.c. ,Ylfo }r' au~ off' PPO posed Co,~ bi~a~'or~ ~aq,~"fv6e 4 scd ¢S ti'<a~ir22nf,'~v+r~s, ~ _~ 0 ems'/[t¢nfC'I~eraE P~aPas~d o~~ie~ . . - 3 be~'ooM dwe(I ing 3/~,.~ e , ~ ~E. B, :Togo{'/B. Eled.-= 9/ S7.' reliar I . Proposed u.~(~ ~_ d .~ ti 0 0 a 27G. 2 3 ' 7G~,9~`e• __ ~.80~9 Wisconsin Department of Commerce Division of Safeiy and Buildings SOIL EVALUATION REPORT in accordance with Comm 85, Wis. Adm. Code 1730 Page t of 3 A.C.E. Soil & Site Evaluations County Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and ------ - - percentslope, scale or dimemsions, north arrow, and location and distance to nearest road. Parcel I.D. 018-1098-18-000 __ Please print aJl information. _ __ Reviewed By _ Date Persona! information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)) Property Owner Property Location Bill & Susan McInnis Govt. Lot SE 1/4 NW 1/4 S 30 T 29 N R 17 W - ------ Property Owner's Mailing Address --r---- Lot # Block # Subd. Name or CSM# 1651 60th Ave. 18 _ _ _ Plat Of Emerald Acres _ _ City State Zip Code Phone Number City ~ Village /_J Town Nearest Road Hammond ~ WI 54015 715-796-5488 Hammond 1524 76Th Ave. New Construction lJse: 1/ Residential /Number of bedrooms 3 , Code derived design flow rate _ 45_0 _GPD J Replacement Public or commercial -Describe: _ _ ___ ___ Parent material loess over weathered sandstone ___ _ ~____ Flood plain elevation, if applicable na General comments and recommendat ions: Install mound system at elev. 101.50' at 12" above 100.50' contour. ^ Boring # ~ Boring 24~~ Pfl Ground Surtace elev. 100.64 ft. /~ _ Depth to limiting factor _ - in. Soil lication Rate App Horizon Depth Dominant Color Redox Description Texture Structure Gonsistence Boundary Roots _ GP D/ftz in. Munsell Qu. Sz. Coni. Color Gr. Sz. Sh 'Eff#1 'Eff#2 1 0-8 10yr3/3 none sl 2fsbk ds as 2f,1m- 0.5 ~ 0.9 2 8-12 10yr4/6 none sl 2fsbk ds cw 1fm 0.5 0.9 3 12-24 10yr6/6 none s 0 sg dl aw 1f 0.7 1.2 4 24-47 10yr6/2 f1 d 7.5yr5/8 ivfs 1 msbk ds aw 1f 0.4 0.6 5 47-54 10yr6l8 m2d 7.5yr5/8 vfs 1 csbk ds - - 0.4 0.6 H#5 is sandstone residuim -not resistive to knife penetration. "" Borin 2 Boring # g !f/ Pit Ground Surface elev. __ 98_85 ft. Depth to limiting factor _- 26 __in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft~ in. Munsell Qu. Sz. Cont. Color Gr. Sz. 5h 'Efi#1 'Eff#2 1 0-12 10yr3/3 none sl 2fsbk ds as 2f,1m 0.5 0.9 2 12-21 10yr5/4 none sl 2fsbk ds cw 1fm 0.5 0.9 3 21-26 10yr7/6 none Ifs 1msbk ds cw 1f 0.4 0.6 4 26-29 10yr7/6 f1 d 7.5yr5/8 Ifs 1 msbk ds aw 1f 0.4 0.6 5 29-63 10yr82 m2d 7.5yr5/8 vfs 1 csbk ds - - 0.4 0.6 H#5 i~~sandstoPe residuim -not resistive to knife penetration. ' Effluent #t = BOD ~ 30 < 220 mglL and TS >30 < 150 mg ` Eff ent #2 = BODS< 30 mg/L and TSS < 30 mg/L CST Name (Please Print) nature: CST Number James K. Thompson -_~ 3602 Address Date Evaluation Conducted Tele hone Number A.C.E. Soil 8 Site Evaluations p 340 Paulson Lake Lane. Osceola. WI 020 10/8/2003 715-248-7767 w ' , PropaFty,Owner B'tll & Susan McInnis __ Parcel ID # _018-1098-18-OOU ~_ ` I $ I Boring # Boring --v--- Pit Ground Surface elev. ~ 100.85 _ ft. Depth to limiting factor Page 2 of 3 40" _ in. Soil Application Rate H ri D th lo D i t C Red x Descri tion Texture Structure Consistence Boundary Roots P o zon ep in. om nan o r Munsell p ~ o Qu. Sz. Cont. Color Gr. Sz. Sh `Eff#1 •Eff#2 1 2 0-7 7-14 10yr3/3 10yr4/4 none _`~ none I sl Ifs _,_2fsbk _ 2msbk ds ds as cw 2f,1m 1fm 0.5 0.5 0.9 0.9 3 4 14-28 28-40 10yr4/6 7.5yr4/6 none' ~ none ~ Ifsi Ifs 2msbk 1msbk _dsh dsh _ cw/ aw 1f 1f 0.5 0.4 0.9 0.6 5 40-63 5yr4/6 f2f 7.5yr5/8 Ifs 1 csbk dh - - 0.4 0.6 ~~ Boring # .~ Boring '_ rrl Pft Ground Surface elev. _ ft. Depth to limiting factor in. Soil Application Rate Horizon De th Dominant Color Redox Descri tion Texture Structure Consistence Boundary Roots ' p in. Munsell p Qu. Sz. Cont. Color Gr. Sz. Sh ~ `Eff#1 •Eff#2 - i --_- ~_ --- -- - - - -----7 -- -- ~-- -- -- - ----- j --- ^ Boring # :-~ Boring - Pit Ground Surface elev. ft. Depth to limiting factor in. Soif Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots = in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 i i i - ---- - -- -- -- --------- ------i -- ----~-- ---- I r - - i - --- ----- ---- - - 7 ---- ~ -- - I -- ' ~ i ' Effluent #1 = BOD ~ 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BODS< 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or T1'Y 608-264-8777. ~~ . r. ® sod/21~Q~uQLLionPi'~ El21iCL.~ orb ' /oca.~ed P~oN 5~ „~- ~/ =~ Wos ~ :ut/ice! o, ,C ~ i .~ ~I 0 C cam, / .C 3/8 '=` L~ p.c%C. p;,oc. f{SScc.rt~cl Q~GU:~ = /(.JO.df~: 10.0 ~ X39 $3 P~opos~~ 3 be~ao.~ cl~.•~el l ;ng ^ yo' /~ °°, 99, o .~/ ~~J e~ ~r %~ o°~~ ~i ~r t°~~~ `'~y' ~ d'- 8z ,'~o ~~~ ~6°~ tea' 4~C'' 93.io ' /. 7~'~~v~. r, . ,... ,.~. ~ .~.H tAkscensin Department of Commerce SOIL EVALUATION REP~RT ~ ~ Division ~ Safety and Buildings ~ ~ ~ ~ ~ ~ in accordance with Comm ti5, Wis. Adm. Code Attach complete site plan on paper rx>t less than 8'/ x 11 inches in size. Plan mgt Courrtyi . , include, fwt not limited to: vertical and horizontal reference pant (BM), direction and percent slope, scab or dimemsions, north arrow, and location and distance to nearest road. arce~Ti:tS. Freese print all infonnatyon. o_,~ ,_, By Personal irdormation you provide may be used for secondary ptuposes (Privacy Law, s. 15.(14 (t} (m)}. ~`" ~ 1730 Page 1 of 3 5oi1 & Site Evaluations S~. Crour ~ 018-1os8-18-000 ~,Q Date Bill & Susan McInnis Govt. Lot SE 1/4 fVW 1/4 g 30 T 29 N R 17 W Property Owners Mailing Address Lot # Block # Subd. Name or CSM# 1651 60th Ave. 18 Plat Of Emerald Acres City State Zip Code Phone Number _J City J Village ~ Town Nearest Road Hammond ~ WI 54015 715-796-5488 Hammond 1524 76Th Ave. Property Owner Property Location f/ New Construction D~~ Y~ ResMential t Number of bedrooms 3 Code derived cosign flow rate Rephacement J Public or commercial -Describe: Parent material loess over weathered sandstone Fkod plain elevation, if applicable General comments and recwnrr-endations: Install mound system at elev. 101.50' at 12" above 100.50' contour. 450 GPD na a ~~ # J eori~ /~ Pit Graind Surface elev. 100.64 ft. Depth to limiting facts 24" in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP DIft~ in. Muese{i 4u. Sz. Cont. Cobr Gr. Sz. Sh. 'Eff#1 'Eff#Z 1 0-8 10yr3/3 none sl 2fsbk ds as 2f,1 m 0.5 0.9 2 8-12 10yr4/6 none ~ 2fsbk ds cw 1fm 0.5 0.9 3 12-24 10yr6/6 none s 0 sg dl aw 1f 0.7 1.2 4 2-47 10yr62 f1 dr 7.5yr518 Ivfs 1 msbk ds aw 1 f 0.4 0.6 5 47-54 10yr6/8 m2d 7.5yr5l8 vfs 1 csbk ~ - - 0.4 0.6 H#.5 is sandstone residuim -not resistive to knife penetratan. Boring # ~ Boring i/ Pit Ground Surface elev. 98.85 ft. Depth to limiting factor 26~ in• Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP Dlft~ in. Munsell Qu. Sz. Cont. Cobr Gr. Sz. Sh. •Eff#1 'Eff#2 1 0-12 10yr3/3 none sl 2fsbk ds as 2f,1m 0.5 0.9 2 12-21 10yr5/4 none ~ 2fsbk ds cw 1fm 0.5 0.9 3 21-26 10yr7l6 none Ifs lmsbk ds cwr 1f 0.4 0.6 4 26-29 10yr7/6 f1 d 7.5yr5/8 ~---- Ifs 1 msbk ds aw 1 f 0.4 0.6 5 29-63 10yr82 m2d 7.5yr5/8 vfs 1 csbk ds - - 0.4 0.6 H#S ' residuim -not resistive to knife penetration. 'Effluent #1 = BOD 5> 30 <_ 22p mg/L and TS >30 < 150 E nt #2 = BOD < 30 mg/L and TSS <~30 mglL CST Name (P~ase Print) 'nature: CST Number James K. Thompson 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane. Osceola. WI 10/82003 715-248-7767 property Owner Bill >~ Susan McInnis Parcel ID # 018-1098-18-000 Page 2 of 3 a ~~ #~,:~ Boring Pit Ground Surface elev. 100.85 ft. Depth to limfing factor 40j in, Sal Applicaton Rate - Horizon De th Dominant Cobr Redox Description Texture Structure Consistence Boundary Roots p in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 *Eff#2 1 0-7 10yr3/3 none sl 2fsbk ds as 2f,1 m 0.5 0.9 2 7-14 10yr4/4 none Ifs 2msbk ds cvv 1fm 0.5 0.9 3 14-28 10yr4/6 none Ifs 2msbk dsh cw 1f 0.5 0.9 4 28-40 7.5yr4/6 none Ifs 1 msbk dsh aw 1f 0.4 0.6 5 40-63 5yr4/6 f2f 7.5yr5/8 Ifs 1 csbk dh - - 0.4 0.6 -~. ^ Ong # ~ Boring _j Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon De th Dominant Cola Redox Description Texture Stnucture Carsistence Boundary Roots p in. Munsell Qu. Sz. Cont. Cobr Gr. Sz. Sh. *Eff#1 *Eff#2 ^ Bonng # ~ Borng ~ Pit Ground Surface elev. ft. Depth to limiting factor in. Sal Application Rate Horizon Depth Domir~nt Color Redox Description Texture Struciure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. 5h. *Eff#1 'Eff#2 "Effluent #1 = BOD ~ 30 < 220 mglL and TSS >30 < 150 mglL 'Effluent #2 = BODS < 30 mg/L and TSS <30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 of TTY 608-264-8777. ,, ~ ~ _ ^ soi/Q/ct/ua~iorJ~O;~ • /oCa-~f~ed /~~op, 5~e I ~i ~_ ~ / ~= fc wos ~ /u E /in C Y o. ,C `!~i ~I 0 C i o'~, / .~ X39 g3 / ~c ~~y~ , . ~ o' S ~b0 l~ ;: ~e nc-~ iota ~K' Too o,F' 3 p.~.c. p.~pc. ,~ssu.r~ecf e(Cv~ = /lJD~o ® yo' oo. fU , i 0~~/ p ~~ ~~ %~ ~' ~~ ..~. ~o~. 99.~o/~~' ~/lLL µi 4~.v'" i I r F ' Wiscone ~ G~=pa'Iment of Commerce PRIVATE SEWAGE SYSTEM Safety ai'd B~~IdingDivi~vn 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: McInnis, Bill City Village X Township Hammond Townshi CST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. vent to Air Intake ROAD Septic Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM :LEVATION DATA County: St. Croix Sanitary Permit No: 430340 0 State Plan ID No: Parcel Tax No: 018-1098-18-000 Section/Town/Range/Map No: 30.29.17.825 STATION BS HI FS ELEV. Benchmark Alt. BM Bldg. Sewer SUHt Inlet SUHt Outlet Dt Inlet Dt Bottom Header/Man. Dist. Pipe Bot. System Final Grade St Cover BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: UNIT Model Number: DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only zx Mound Or At-Grade Systems Onlv Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil [~ Yes No ~ ,.', Yes 1, No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: / / Location: 1524 76th Avenue Hammond, WI 54015 (SE 1/4 NW 1/4 30 T29N R17W) Emerald Acres Lot 18 Parcel No: 30.29.17.825 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = Plan revision Required? Yes ~j No -- -- _ - Use other side for additional information. J Date Insepctor's Signature Cert. No. SBD-6710 (R.3/97) T - , `Safety and Buildings Division County ~+ C ' ` 201 W. Washington Ave., P.O. Box 7082 ,,%. >o '® PX ,~~O ~~,~ Madison, W[ 5370? - 7082 Senile permit Number (to be filled in by Co.) r r De artment of Commerce (608) 261-6546 ~ O Sanitary Permit Application State Plan I.D. Number ~~ ~~ [n accord with Comm 83.21, Wis. Adm. Code, personal information you provide may be used for secondary purposes Privacy Law, s15.114(lxm) roject Address (if different than mailing address) Z~ , I. Application Information -Please Print All Information RECEIVE ~~~ y - ~~1~ Property Owner's Name Parcel # t Block # ~ ~ , SEP ~ 4 2003 ~ / i Property Owner's Mailing Address Propery Location ~~~ ~ ~~ .x-t, ,{~r,.p ST. CROIX COUNTI' OFFICE 1 _ t /J V `s 7~7 ~ y ~~~~~ Section 3L.~ Ciry, State Zip Code ~ . ~~~ T N; R~E o ~W 5 ~~ II. pe of Building (check all that apply) Ore ~ i i N CSM N b S bdi 1 or 2 Family Dwelling - Number o edrooms ~ ~ S v s on ame um er u ~ C/~1~/' r CS ^ Public/Commercial -Describe Us ~ O ~ ~ I ^ State Owned -Describe Use ~ ~ r ~, ~ C' _^Village ownship o Qi/110",b-'~ III. T ype of Permit: (Check only one box on line A. Complete line B if applicable) A' New System ^ Replacement System ^ TreatmenUHolding Tank Replacement Only ^ Other Modification to Existing System B • ^ Permit Renewal ^ Permit Revision ^ Change of ^ Permit Transfer to New Ltst Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. T e of POWTS S stem: C eck all that a 1 OD ^ Non -Pressurized In-Ground ound > 24 in. of suitable soil Mound < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Filter ^ Constructed Wetland ^ Pressurized In-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating Sand Filter ^ Recirculating Synthetic Media Filter ^ Leaching Chamber ^ Drip Line ^ Gravel-less Pipe ^ Other (explain) V. Dis ersal/Treatment Area Information: .Design Flow (gpd) Design Soil Application Rate(gpdsfJ Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation s j~ 5'~ ~ ~ ~D ~~D 97~ ~O . . VI. Taak Info Capacity in Total Numbcr Manufacturer Prcfab Site Steel Fibcr Plasfic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank iC*' ~~. ' /SGY Auobic Treatment Unit Dosing Cbambcr ~.C r~ rc,,,~ VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) f P er's Signature MP/MPRS Number 3 ~o X5 Business Phone Number ~ 33 ~$ d sdr~ ~. ~ . ~ ~ ~ Plumber^'~s Address (Street, Ciry, State, Zip Code) VIII. Coun /De artment Use Onl Approved ^ Disapproved Sanitary Permit Fee (i ludes Groundwater Date Issued Issuin A t Signatur tamps) ~~ Surchazge Fee) 3c' 1.i_ ~~ VV ^ Owner Given Reason for Denial . IX. Conditions of Approval/Reasons for Disapproval SYSTEM OWNER: 1 Septic tank, effluent filter and dispersal cell must all be serviced !maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code/ordinances. wtuch complete puns ([o the t:ounty only) for me system ow paper wor wess ,x.w o..~ . „ ......~.... ,.~ SBD-6398 (R. 08/02) _ ~ ~.:IJ:w nn 7 2 J L 7 7 Y (/i U w Q ~ O m Q o '-'-' o ~' I v M II Z t~ r''i I Z ~ F ~ (~ ma ~ a ~ 0 0 0 J v Z w (' W U aww pp (n J ~ w ~. a~zza ~ ~,._ooa J = o ~- ~ o- w U aQ Q Q U w~ p O p Q m ... J J z a 4 '_~ ~ ~' ~ ~ ~ J~ rv aN a^_ 0°0 Ov U~ UU N^ ~- Q ~ (~ gp ~Z ~M wN ~N ~_ ~ w U ~~ O~ Z p o U ~ ~ = U = m3 OJT Y ~ U ~ ~O Z Wo o~ W O ~, z W ~ w C7 z ~, ~ E U t ~ V oa n ao o- a Y V ~a s q N C ~ O ID .~i -n _, a ~ ~D Z o~ °o~ F- ~ ~~ 4F W ~ W SN a~ v~ '~ w M ~ C7 az ~o _O ~ 2 m a a R jFtP C ~G~ \v~N~G GpMP P \ DO ~ •. C~ ~ ~ rn w ~ 0(n \. a ,`gym ,, ~ \ 4. I ,,...,. \ •,M,~'` ~ ~' ~ ~ ~~ ~ W ~ m WN W Q , ^ ~ . ~ i u J i. ,`T =om, O ~ V ` ~ ~ <W`~W U ~~~ ~ ~g ~o ~r ~ J Z W W L UZ ZO oa „~. ~~ ~o m ~o E ~z N ~ O ~ ~~ b ri _. ~ a ~ '- x ? x ;~ r ~~ • N~g~~EG~~s . ` )RB SD s ,~ . • ~ ~ ~ WILLIAM J BERGH Page 2 7/16/03 cc: Leroy G Janslcy, Wastewater Specialist, (715) 726-2544 William J. Bergh, Geo Tech T . ~ 1 -' 7 JUN 3 0 2003 Covey Sheet BILL MC INNIS 76051 60TH Avenue -Hammond, WI 54075 MOUND COMPONENT SAF~TI(& ~L.DGS. DIV. Reference Component Manuals Mound Component Manual SBD-10572-P-P(R.6/99) P>^essuNe DistNibution Component Manual SBD-10573-P (R.6/99) Job Location: Designer's name and license #: Designer's signature: Designer's address: Designer's phone number: Contents SE'/4, N W '/4, Sec. 30 T 29 N, R l 7 W Town: Hammond County: St. Croix William J. Bergh (License No. 1577-007) I the undersigned state that these plans were ' ned and submittedd under my authority (~ I 2667113`11 ~eet Chippewa Falls, WI 54729 715-723-5555 voice 715-723-7535 fax 715-577-6838 cellular Page 1-cover sheet Page 2- system calculations Page 3- site plan Page 4- cross section of mound component Page 5-plan view of mound component & distribution lateral schematics Page 6- septic & pump chamber schematics Page 7- pump curve Page 8-maintenance/management & contingency plan Page 9-maintenance/management & contingency plan ovally ~VE~® 1F COM ER Y pp UILDINGS SPONDENCE .••'~SG~NS ~~~''• ~~WILLIAM ~:= ct ~': gERGH `v Page l of 9 ~ - r ,' SYSTEM CALCULATIONS USING HUFFCUTT TANKS residential dwelling with total of 3 bdrm calculated at 450 gpd design wastewater flow LLR (linear loading rated 6,0 gal/day/ft DLR (design/soil loadingrate) 0,5 gal/sgft/day 900.0 effective basal area depth to limiting factor 31 inches system area cross slope -2% ep rcent forcemain lenath 65 feet using 2 inch -SCH 40 PVC manifold and/or header length 2,5 feet using 2 inch -SCH 40 PVC forcemain volume 10.6 alg Ions length of each lateral 74.000 feet using 1.5 inch -SCH 40 PVC total number of laterals 2 invert elevation 98.3' (bottom of lateral). orifice diameter 0.1875 = 3/16 tenths/inches 97.8' system elevation distance between orifices 24 inches or 2.00 feet total orifices per lateral 38 total orifices all laterals 76 lateral volume (each laterals 6,81 alg Ions 25.08 lateral discharge rate system discharge rate 50,2 gallons calculated at 3.25 distal pressure x 1.3 ft. vertical lift 10.0 feet friction loss in the forcemain 3_3 feet calculated at 50.2 gal/min discharge rate TDH (total dynamic head) 16.5 feet minimum pump discharge 50.2 qpm at 16.5 TDH (total dynamic head) pump manufacturer L GIANT model number 9EH estimated total dose volume 78,7 alg Ions 79.0 actual dose (total-forcemain) pump tank model 600 actual tank size 627 alg Ions septic tank model 1000 actual tank size 1029 alg Ions manufacturer of tank(s) HuffClutt pump float on/off measurement 6,0 inches alarm float from bottom of tank 1 g,p inches Page 2 of 9 S ~ ~ 3 a ~zr ~- cn ~- Izz ~~o I ~ U O r") p X 3d~ Z ~ U ,~, a ~ (n = (n p Z W C.7 W J V w a ~ 'o ~ a W i° N ~ j n ~ ,-. ~ I _ZNr.j I Z ~ I.v. O O Q. Q J J w~0 ~ U m W U ~ ~ U Y ~' O O w w Q ~- Z Z d O ~.~O~d J = 0 1= F- a w U aQ 4 Q U w~ p 0 0 Q mvJ J z a ~ a -:~~ r~ ... } v a ~_' a~ o°p o" "~ UU N~ H Q ~ O ~ Z 3~ ~c=.~ ~~ O~ ZO 03 U F o= ~_ m3 ~3 Y ~ Z ,~ o OV z Q W z z_ U Zv Q A ~ ~ `` E > a ao o~ vY = U ~ A N C I O tp .~.. - ~~ ~ ~ Y O ~ naa ~~ ~~ ~~ ~w _~ U a~ v~ "' w o~ M n C7 V 2 Ip O J Z 47 w~ (7 Z w~ a~ 00 ~ M a~ ~~ ao as ~~~ o0 ~~ O N W2 ~ ~ ~~ ~ ~m ~\ W r ~ppZ~ ~ N 0 l~,I ~N m J Q L,(~ ~ W W~ '+ ~ 3 0 U ~- ~ <~W~ W W V ~/ N ~~ '32 Z (~jWU .. ~ ~ M r rn '-!. ~~ ~ '1 ,PfF\C pR0UR8~5p~~5 SR -~ ~p~5 ~~C pMP PG . ., w~' ., \' ~ O az •~'. ~O ~ .` a m M ~r J Z W W U Z Z~ oa ~~ 7~ 6] V ~Z rn ~ o~ oa x= r ng . `~7' ~ PAGE 3 OF 9 s . a _ , M~OU N D COM PON E\ T CROSS SECTION (drawing not to scale) observation pipe(s) elevation at top of sand fill (bottom of distribution cell) 97.80' synthetic cover material soil to promote plant growth 12" f 6" 1.3' -I 3.8' elevation 9730' tilled/plowed area 6.0' - 18.8' 7.5" \ ASTM C-33 fill material 6.0' ~15 yards of rock required N40 yards of sand .fill required ~2% system area cross slope 90o total basal area (sgft) 10" original grade 6" 1.6' Distribution cell 0.5" - 2.5" washed hard aggregate, 6" below & 2" above the distribution lateral All material and piping speci€ications as per the Mound & Pressure Distribution Component Manuals. page 4 of 9 ~ ' PLAN VIEW OF MOUND COMPONENT (All material specifications per the Mound Component Manual) 3' (limit activities in the areo 15' beyond the downslope edge of mound) Typical laterol detail showing sidewall and loteral spacing (all loterols may not be shown) Distribution lateral(s) terminate 6" from the end of the distribution cell Effective aggregate area Basal absorption area DISTRIBUTION LATERAL (typical) (oll dischorge orifices ore locoted on the center bottom line of the distribution lateral) MANIFOLD PLACED 6" FROM END threaded cap access box 1 1/2" distribution lateral 74.0' I- 24" -I- 24" -I- 24" -I I- 24" -I- 24" -I 2" manifold discharge orifice diameter 0.1875 = 3/16" distance between orifices 24" number of orifices per lateral 38 Total number of orifices 76 (drawing not to scale) page 5 of 9 S + ~ SEPTIC/PUMP CHAMBER CROSS SECTION (DRAWING NOT TO SCALE) Final grade (slope ground away from risers for drainage) Actual depth may increase ', see COMM 82.30 (11), (c) and (d). Access riser with locking cover (cover must be properly marked ._...~ __ _......,..,.a ...,.......,, ~,.~e~~ Minimum of 3" of suitable bedding beneath tank EFFLUENT FILTER ZABEL (A-100) (or equivolent) force moln pump pad Tank monufocturer HUFFCUTT DWF (daily wastewater flow) 450 septic/pump chamber capacities 1000/600 GALLON Number of Bialy doses ~5.7 S.J. ELECTRO (or equivolent) (DwF / actual dose volume) Alarm monufocturer Forcemain volume 10.6 Alarm model number HW 101 (Or equivalent) type of (loot switch MERCURY (or equivalent) Effluent pump monufocturer Effluent pump model number LITTLE GIANT 9EH Minimum pump discharge rote (gpm) 50 2 Vertical lift (pump off to lateral elevation) 10.0' System head (distal pressure x 1,3 ft.) 3.25 Friction loss in the force main ^'3.3 Total Dynamic Head {TDH) N16.5 Actual dose volume (gal) (total dose vol. - forcemoin vol.) 78.98 CAPACITIES reserve above alarm 21 inches = 313.53 gallons alarm above pump on 2 inches = 29.86 gallons on/off measurement 6 inches = 89.58 gallons off to tank bottom 13 inches = 194.09 gallons TOTAL 42 inches = 627.06 gallons PUMP CHAMBER DIMENSIONS length 49" width 70.0" liquid depth 42" gallons / inch 14.93 ~ ;3' ; ~ Poqe 6 of 9 e ~ , ' / ~ Y r 9EH SERIES SUMP/EFFLUENT PUMP Specifications MDDEL CAi. LISTING HP VOLTS SOLIDS SIZE RUNNING PERFORMANCE (GPM @ HEAD) SHUTOFF PWR. CRD. WEIGHT DIMENSIONS NO. NO. (Dia. In.l AMPSIWATiS 5' 10' 15' 20' (~,) P.S.I. (Ft.l Il6s.) (H x L x WI 9EH-CIM 509330 UIICSA 4/10 115 314 13.0 1000 71 68 60 49 32 13.8 20' 27 9.11 x 11.64 x 8.94 9EH-CIM 50934p UI/GSA 4/10 230 3/4 6.5 1000 71 68 60 49 32 13.8 20' 27 9.11 x 11.64 x 8.94 9EH-CIA-RFS 5D935D UUCSA 4/10 115 3/4 13. D 1000 71 68 60 49 32 13.8 20' 27 9.11 x 11.64 x 8.94 9EH•CIA•RF5 509360. UUCSA 4/10 230 3/4 6.5 1000 71 68 60 49 32 13.8 2D' 27 9.11 x 11.64 x 8.94 30 t- W zo Q W = l0 0 FLOW- LITERS/HOUR 10 H ~.s w s ' 0 a z.s 0 Construction I Motor Housing ~ Epoxy Coated Cast Iron I ~ Impeller Material ~ Poly Carbonate Impeller Type _ I Closed Vane ~T l.. a.. t nnn Power Cord I SJTW-A Mechanical Shaft Seal I ~~ Nitrite with carbon and I ceramic faces I Fasteners Stainless Steel Shaft - ~ Stainless Steel ~ Bearings ~ Upper Sleeve and Lower Ball Bearings SSPMA ,..RR, 4~ 0~ 1 ISO 9001 CERTIFIED Little CI<iant Pump Co. PO Box 12010 `Phone: 405.947.2511 Okla. City, OK 73157 Fax: 405.951.5674 p i .C =' Form 995235 - O1/00 0 z0 40 60 80 FLOW- GALLt]NS/MINUTE PUMP PERFORMANCE CURVE 115V 60HZ K POWTS OWNER'S MANUAL MANAGEMENT PLATY PERMIT NUMBER: Owner: POWTS Maintainer: Local Regulatory Authority POWTS Installer: Septage Servicing Operator BILL MC INNIS Geo Tech Soil & Site Evaluation -Chippewa Falls, WI 715-723-555 St. Croix County Zoning Department -Hudson, WI 715- DESIGN PARAMETERS Influent/Effluent quality (values typical for domestic (non-commercial wastewater and septic tank effluent) Fats, Oil and greases (FOG) <30 mg/L, Biochemical Oxygen Demand (BOD) <220 mg/L, Total Suspended Solids (TSS) <150 mg/L Soil loading rate (SLR) = 0.5 SYSTEM SPECIFICATIONS The components of this septic system are intended to serve athree-bedroom (450-GPD) single-family residence. The components include: a Huffcutt model 1000/600 septic/pump tank with an approved outlet filter and a Little Giant effluent pump, alarm & controls and a 7~.0' x 6.0' distribution cell within a mound POWTS component. All components must comply with WI Adm. Code COMM 84 and be installed per manufacturers specifications and approval letters. DESIGN CRITERIAL / SBD - 10572-P (R.6/99) "Mound Component Manual" o .SBD -10691-P (N.01/O1) "Mound Component Manual" Version 2. o SBD - 10570-P (R.6/99) "At-Grade Component Manual Using Pressure Distribution" o SBD - 10567-P (R.6/99}"In Ground Absorption Component Manua]" o SBD-1070-P (N.O1/01) "In Ground soil Absorption Component Manual" Version 2.0 / SBD - 10573-P (R.6/99) "Pressure Distribution Component Manual" o SBD - 10706-P (N.01/O1) "Pressure Distribution Component Manual" Version 2.0 MAINTENANCE & MANAGEMENT Inspect the condition of the treatment tank(s) and dispersal cell(s) a minimum of every three years. The septic tank contents must be removed in accordance with Chapter NR 113, WI Adm. Code when the combined sludge and scum equals one-third (1/3) the tank volume. The effluent filter(s), effluent pump, controls & alarm and distribution lateral(s) should be inspected annually to ensure maximum performance. Lateral inspection/maintenance should include flushing of the laterals and pressure testing. START UP For new construction prior to use of the POWTS check treatment tank(s) for presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage-servicing operator prior to use. OPERATION The property owner is responsible for the operation and maintenance of the POWTS and submission of required reports. The quantity and quality of wastewater will affect the performance and longevity of your POWTS. The installation of water-saving appliances and fixtures along with prompt repair of leaks reduces the wastewater volume. Also, the brine or waste from water softeners, iron removal units, and other clear water treatment devices and foundation drains should be discharged to the ground surface whenever possible. Note: this does not include laundry waste, showers, dishwater. etc. The system is designed to handle domestic strength wastewater, however the disposal of food based greases and oils, vegetable/fruit peels and seeds, bones, and food solids such as those produced be a garbage disposal should be minimized. Toilet tissue is the only paper that should be discharged into the system. Other non biodegradable items such as baby wipes, tampons, sanitary napkins, condoms, cigarette butts, dental floss, and cotton swabs should not enter the system. Chemicals such as petroleum products, paint, disinfectants, pesticides, antibiotics (medications), solvents. etc., should not be flushed into the system as they can seriously damage your POWTS and contaminate your drinking water supply. Maintain regular stead}~ flow by spreading the laundry washing throughout the week. Avoid vehicle traftic over all system components. Compaction of snow over the unit ma}~ cause it to freeze up. o Valves Valves should be operated in the following manner / Alarms Alarms should be tested on a regular basis by the homeowner. If an alarm sounds, contact an individual licensed to serve POWTS. There is normally a one day reserve capacity under regular operating conditions, however water should be conserved until any problems with the system are corrected to prevent back-up of sewage into the dwelling or surface discharge. Page 8 of 9 ~ t M R INSPECTIONS ' Inspections shall be made by a person carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Maintainer or Septage Servicing Operator (per the attached Maintenance Schedule) / Septic Tank Component Tank inspections must include a visual inspection of the tank to identify any missing or broken hardware, identify any cracks of leaks, measure the volume of combined sludge and scum and to check for any backup ar surface discharge of effluent. Access openings used for service of assessment shall be sealed and/or locked upon completion of service. Any defects shall be promptly corrected. Exposed openings greater than 8 inches in diameter shall be secured with an effective locking device to prevent accidental of unauthorized entry into the tank. The outlet(effluent) filter(s) shall be inspected and cleaned to remove any accumulated solids according to manufacturer's specifications. Provisions are to be made to retain solids in the tank during cleaning. Filter cleaning may be necessary at more frequent intervals than stated in the maintenance schedule to keep the system operating properly. / Pump Chamber/Treatment Tank(s) Component The inspection must include a test of all electrical equipment such as pumps, alarms and floats. A visual check must me made for leaks, backups, surfacing, missing or broken security devices and other hardware and the condition of the filter. Any service needs or repairs shall be promptly taken care of. / Mound, At-Grade, In-Ground Pressure The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any discharge to the ground must be promptly reported to the regulatory authority. Ponding greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. REPORTS Reports for maintenance, inspection, and monitoring shall be submitted in accordance with COMM 83.55 Wisconsin Administrative Code. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to ensure that the system is properly and safely abandoned in compliance with Ch. COMM 83.33, Wisconsin Administrative Code. - All piping to tanks and pits shall be disconnected and the abandoned pipe opening sealed. - The contents of all tanks and pits shall be removed and properly disposed of be a Septage Servicing Operator. - After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or other inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system. o A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure(s), lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. o A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. o The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. / Mound and At-Grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. WARNING SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OF OTHER TREATMENT TANK UNDER ANY' CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY" BE DIFFICULT OR IMPOSSIBLE. Page 9 of 9 Wi~'.nsin .department of Commerce Divi~ ior~of Safety, and Buildings SOIL EVALUATION REPORT ~ Q ~~/~ Page r of c u~ a~.w~uanw wun vv~nn~ vv, vna. nuns. van~c County -} C y Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must . ro X inGude, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print aN information. Re 'ewed by ate Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ~ Property Owner Property Location Q,~~~ "~ Govt. Lot S~ 1/4 X1/4 S ~ T Z. 9' N R / 7~' E (or) Properly Owner's Mailing Address Lot # Block # Subd. Name or CSM# I~ 5 -ee T• 18~ ~mer~~c~ es Cityj~ State Zip Code 'Pjhlo~ne Nu~m(bjeQr / ~ ~~~ ~ ^ City '^ Village [Toown Nearest Road /' ~ ~ ~ 1 tom) ~.1 7 ! "`ifJ i I ~ ~ ~tG rl'l rYt.o /L of s ~f ~~ [~ New Construction Use: [~' Residential / Number of bedrooms 3 - ^ Replacement T ^ Public or commercial -Describe: Parent material / ~ General comments $ Y ~ ~„/~ ~ ~-e t! , 9(/ ' ~ ~ i and recommendations: i~ Code derived design flow rate ~ SQ ~ ~ O d GPD Flood Plain elevation if applicable /~ ~ ft. ~~ ~,,` ~ ,, / ~., r ~' ..~ ^ Bonn ! v - `.~ ,_ ~~ ~ Boring # g -7~ ~ ~ ~`a~~. rF~G ®Pit Ground surtace elev. ~ ~ 7"ft. Depth to limiting factor ~ ~~ oil Applicatie Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Bound ~ '°,Roots G in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *E *Eff#2 o~z I~ r3/2 - s/l Z,r~~k -~~ ~ s I ~ - 5 - Z 12-3 3 /b l3 -- 5~ c / Zrn k ~~ - . y - 3 3-42 (U /3/~ F ZP 7•S r ~ll~ ~S 1 n~ vn fir" -- - • ~ / • 2 a Boring # ^ Boring Q/ [~ pit Ground surface elev. /(1' ~ ft. Depth to limiting factor ~ 2"" 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 D-al ~U _- 2~rr-~ m~ ~ I ~-~ . 5 •8 Z l l- 3 2 /U r 3 •c Zm56/C m-(~ ~~ -- 3 Z-yl ~0 r3/~ FZP 7.S r ~/~ ~ l rns r - ~ . ~ ~. Z * Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L CST Name (Please Prim Si nature CST Number ~J,-~t mo~ke-~ ~ '~ - 253309 Address Date Evaluation Conducted Telephone Number 2113 ~'' ~_ ~me Se's Cc..~l ~d2 5 /z-/7-o ~ <7is~zy~-yoa~ 1 ._ , •~ , ,~ Property Owner j-~v v-~ Parcel ID # Page 2- of 3 a Boring # ^ Boring ~ J Pit Ground surface elev. . Sd ft. Depth to limiting factor ~ ~-in. Soil Application Rate Horizon th De Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz p in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 ~ a-Z IrJ 2 sil ~mQ..h~ c (~ .8 3 3/- ~lS ~l~ F2 ~ ~ ~v ~S I ~ ~ ~ ~ ~ Z ^ 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 GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ^ Boring # ^ Boring ^ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDift2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 'Effluent #1 =GODS > 30 < 220 mg/L and TSS >30 < 150 mg/L 'Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SB0.8330 (R.07/00) ~ ~ r L .' y t l PAGE~OF~ NAME S`~OU I LOT# (~ LEGAL DESCRIPTIONSF ~IUGJ 14~S3U T Z~{ ,N,R, I ~E(or~W SCALE: 1"= ~/O BM 1 ELEVATION // 7(1 . O __ - ~ BM 1 DESCRIPTION, ~~~ D v~ I ~1 O v c BM 2 ELEVATION q l O BM 2 DESCRIPTION fc~D 4~ ~ 0 ~C SYSTEM ELEVATION y ~', OG SYSTEM TYPE ~'+ cTVV~- c~ ~~ y ~ ~C_ieh CONTOUR ELEVATION ~ ~-, 36 N ~ ~ ~a V ` ~ Qt~~' ~~~ ~~ ~~-~ Z~ ~~ ~ o ~'C - µ N. ~! 0 a \~ i +~ - ~ C SIGNATURE~~i~~:. -~, .-~'"r `~ ~' - DATE -` _~~ -°~' _ C' ~~ . ST CROIX COUNTY >- ~ SEPTIC TANK MAIN~ATs~G~ AGREEMENT - OWNERSHIP CERTIFICATION FORM Owncr/IIuyer ~s //r l~ m.. c1 > ~~ ~~~rS Mailing Address Property Address ~~~ from Planning Dcpartracat for acw ~t3'~~ Parcel Identification Number C7/P-/A ~'~ -/~~ Cep LEGAL DESCRIPTION Property Location S~ %<, //~ y, Ste, 3 p , T Z 9 N-R ~'~ W, Town of ~~°~~n~l . Subdivision _ ~i~aP /'G? ~`~' /UL~ f ~ S Lot # ~_. Certified Survey Map # ~-~--- Volume ~- ,Page # Wamuaty Deed # _ ~.319Z ~ Volume ~~~® .Page # ~~ ~ Spot ~oase ^ yes L+~ no Lot lines identifiable ~ yes ^. no SY~~KAIl~T''~NANCE Imp.~er use and mam~aaocof your septic systcmooald exalt is its faun to handle wastes. Proper~aintxaaaoe oo~istr ofpe~piag art the sepeic taalc every-throe ~ ar• soane~ if nectd~od by a licensed pamper. What you put into &e system eaai iffoct~ of the scptbc taalru. a tteatimeat stage i+a $rc ~raste_system. . . 11a~ ProP~Y' owa~ agues to sabmit~to St. Cinoac Zoaurg Dot i .catific~tioa form, siguod by tb~e owner and iry a 'P7o~Y~P~4 reshic~odplrrmbetoci ~odpam~pcxreafying that (1) the oaaxto wasteartLerdisposal system is is proper opeta&ng condition aadlor (2) sftet boa and P.Cif 3')> ~ septiatank-is less .than 1/3 ~~rll of sledge. . ~. ~ tmdaxign~od have read the above rogr:it and:gtze to mai~aia tibe pavatc scarage disposal system with the standards set fad, heneia, ~as set 6y the Department of Commet+oe snd the Dcpaztimcat of Platural R~csoances;State of Wisconsin.. Catificatiou YOtl°~' ~c system has Boca maiaxain~od mast be oompleUod and to tb,c St (~oix. days tla; t3ux yrar expiration date. ~ ~1' ~~ Office within 30 GNA O APPLICANT ~ / ~ / O 3 DATE O`4VNER. CER1`IP'ICATTON I (we) oatify Hutt all statements on this form arc true to the best of my (our) knowledge. I (we) am (arc) the owner(s) of ~ PmP~y descxr'bod above. by virtue of a warranty decd rccordod is ~egistcr of Deeds Office. SIGNATURE OF APPL;I(`.ANT / / DATE t*««ts •"`7 lnfotnlahOa that >S mLS-ICpt~CSCatCd Qffiy PCSalt lII the ttaita[y pC[II]It bCing PCYOked by the ZOniilg DCpartnlCnt. 4R~R4~ `~ Include with this app[icatioa: a stampod vvruranty dood from the Register of Deeds ofrce a copy of the certified survey map if rcfcncacc is made in the warranty decd J 2330P 126 -e K ~ STATE BAR OF WISCONSIN FORM 2 - 1tJ98 I WARRANTY DEED Ij ,II Document Number <,..: _ This Deed, made between __ ,'. ~j.~ARD O STOQm andd ,TA`N~_ P._~TQI1T-,_-_~_- _ husband ~~wife~ _~___-- _ ~,~' _ _-- ------- Grantor, ~ and _IejTr.~a?i~,rnti?~T M-r-._.v-s.~TN~7TC~~vz._n vrl ci3SAFI-i{r-MC- TN.'TZS.>r- --hllghanA anA. wif.P, - --..------- - ~' l! ~' ----- --- ~ _- Grasuee, i Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in $f CLDiX __.- County, State of Wisconsin: of 18 lot of Emerald Acres, Town of ' ond, St. roix County, Wisconsin. , AUTHENTICATION 018-1098-18-000 Parcel Identifwation Number (PIN) This iS nOt homestead property. (is) (is not) , Exceptions towarrant;es: easements, restrictions, rights-of-way and covenants of record. Dated this ~'jth day of June _ _, _~_.. ,u~~ ~~)-Lt~`^~\ (SEAL) /~//~~~ •-,/~~'~ ~.~ (SEAL) Richard O. Stout Janet P. Stout Signature(s) (SEAL) 73 1 924 KATHLEEN H. MALSH REGISTER OF DEEDS ST. CROIX CO., NI RECEIVED FUR RECORD 07/24/2003 09:95AH MAkRAHTY DEED EXE!iPT # REC FEE: 11.00 TRANS FEE: 209.70 COPY FEE: CC FEE: PAGES: 1 r~ri a ,. ,. -_ -_ Name and Retum Ad ress ~ rte,/ , f ~1~b$ ~~,,~,,,~, v/,F -sv6o~ - 186 £~ ACKNOWLEDGMENT (SEAL) authenticated this . _., day of , TITLE: h1EMBER STATE BAR OF WISCONSIN ([C not, authorized by §706.06. Wis. Stats.) State of Wisconsin, ss. St. Croix County. Personally came before me this ~7th~ day oC June , 2~ Q~, the above named Richard Q, Rtnttt and .Tanat P - - -- ~ to me known to be the person $__ who executed the foregoing !, Pamela A. WII{man Pot gctcf~cknowtedge the same. n a.-_- - THIS INSTRUMENT WAS ORAFTEO BY Notary PubllC._--~~.-1.,l~~tL~/lryt~. Janet P. Stout $fate Of WISCOftSifi 1 353 Awatukee Tr. _-,_~ J- _- ~a ' ~--~=~-t-(~~r~----- HUdSOn, WI 5401 6 Notary Public. State of Wisconsin My commission is permanent. (If not, state expiration date: (Signatures may be aut}ten[icated or acknowledged. Both are not __ ,~,t~s.~__.__-.-_-,_-.~~._~) necessary) I . __. ..._ __.. _.. -. - -. _. _.__ - __ _. _.-... --. .. _.. _.._ -:1 'Names of persons signing in any capacity muu be typed or primed below their signature. STATE BAR OF WISCONSIN Wisconsin ta9ai Biank Co., inc. WARRANTY DEED FORM No. 2 - 1998 Miwaukee. Wis '. :• y, ~. ~ M ~,. 9o99PhA4~@J~t ~R ~~C W ~~ ~ ~~~ ~a~f~ D ~~~ . ~i~ ~ ~ ~ ~ ~t ~` W~~~ .. ~~~~ * 4 ~~ ~ ~~t i i ~ i ~ I ~ ~ 6 C N~L ; I ~ I ~` ~a~~ ~ L \~k\ N q ~ I N~^ ~ t j ~ I ' i~ ~\ \ \~ ~ al II _ \ ~ ~ ~ . ~,T~ i I i j _ \ ~ I ._. _^ __. _.. _. _. ~. ...t....._.. ,r tK11 r•,M' R R ", ~----~-----TOWN-- ~ - ~--ROAD ~ ------ ~ ~ ------- i aa+. ,.~..~ ~ ~ t_-- -_ ~ _ I ~___ ~~ ~ ~~~ i11 ~~~ E _}__, ~ ~ I ~ i,' I; i o i I i ~~~ I ,,i'T, ~ ~ I Q I ` ! !~ ~ ~ k J ~ ~S'; Mt ,_ tR I a .. ~,/ ~~ ~ ~~ ~`~ ;• i I Y ~ ~ MY 4~ '~g \ \ +I gg ~ t A ~ \ 3 ~ \ ~ ~ ` 1 I a ~ ~e ~ ~.,~.•`, x5 i b ~ ~ F-+~,--~- ~f. ~.I Y i O ~g RR{ ~Y - ~~5 ~ ,,j I~ ~\ f \ ~ r ~ ~ i£ ~ s~ ~ ~~_ ~~\ \+ i i _ s } I \ ~ ~\ ~ O i - - - -- ~ ~ -~ov+r+r~~nw ~ $ i ~ N 0) i ~! 44~ aPlS~&!~~lryAtlti ~ ~.~.,~ ~ ^ ' .e~w.nw ~ r ~ii y ~er.srrr~r~r •d ~~ • ~ ~ ~scons~n Department of Commerce Safety and Buildings 2331 SAN LUIS PL STE 150 GREEN BAY WI 54304 TDD #: (608) 264-8777 www.commerce.state.wi. us/sb www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary July 16, 2003 CUST ID No.227819 WILLIAM J BERGH GEO TECH 2667 113TH ST CHIPPEWA FALLS WI 54729-6575 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 07/16/2005 ATIN.• POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 Identification Numbers Transaction ID No. 885475 SITE: Site ID No. 661721 Bill Mc Innis Residence )) -- ~ Please refer to both identification numbers, 150TH Street ~ ~ ~ above, in all cones ondence with the a enc .> , L'OjZ, Town of Hammond a~~ A P P St Croix County FOR: DEPARTM Description: BILL MC INNIS DIVI~ ION OF Object Type: POWT System Regulated Object ID No.: 911130 ~Q,(,< < ~ The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes SE COF and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: This plan action is subject to designer comments on the plan. Provide the homeowners with a user's manual on the operation and maintenance of this POWTS system. 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/instailation/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. Sin/cer/ely, Lit/ C .... ... Wesley C G be Plumbing Plan Reviewer ,Integrated Services (920)492-5613 , M-r 7:00 - 16:30, F 7:00 - 11:00 wgrube@commerce. state.wi.us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 WILLIAM J BERGH Page 2 7/16/03 cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 William J. Bergh, Geo Tech Cover Sheet .BILL MC INNIS 76051 60THAvenue-Hammond, WI 54015 MOUND COMPONENT Jug ~ ®Z003 SAFETI' & BLDGS. DIV. Reference Component Manuals Mound Component Manual SBD-10572-P-P(R.6/99) Pressure Distribution Component Manual SBD-10573-P (R.6/99) Job Location: Designer's name and license # SE'/4, NW '/4, Sec. 30 T 29 N, R l7 W Town: Hammond County: St. Croix tionally :®VE D OF COMMERCE JY AN UILDIN~S ~~--_ :SPONDENCE William J. Bergh (License No. 1577-007) I the undersigned state that these plans were designed and submitte under my au o Designer's signature: Designer's address: 2667 1 3`~' treet Chippe Falls, WI 54729 Designer's phone number: 715-723-5555 voice 715-723-7535 fax 715-577-6838 cellular Contents Page 1-cover sheet Page 2- system calculations Page 3- site plan Page 4- cross section of mound component Page 5- plan view of mound component & distribution lateral schematics Page 6- septic & pump chamber schematics Page 7-pump curve Page 8-maintenance/management & contingency plan Page 9-maintenance/management & contingency plan ~~ LIAM J ~;.WIL GH 'Z~ O . BER : ~ :~. ~••.;S~ONA~-~••~ Page I of 9 SYSTEM CALCULATIONS USING HUFFCUTT TANKS residential dwelling with total of 3 bdrm calculated at 450 gpd design wastewater flow LLR (linear loading rate) 6.0 aal/day/ft DLR (design/soil loading rated 0.5 gal/saft/day 900.0 effective basal area depth to limiting factor 31 inches system area cross slope ~2% ercent forcemain length 65 feet using 2 inch -SCH 40 PVC manifold and/or header length 2,5 feet using 2 inch -SCH 40 PVC forcemain volume 10.6 allons length of each lateral 74.000 feet using 1.5 inch -SCH 40 PVC total number of laterals 2 invert elevation 98.3' (bottom of lateral). orifice diameter 0.1875 = 3/16 tenths/inches 97.8' system elevation distance between orifices 24 inches or 2.00 feet total orifices, per lateral 38 total orifices all laterals 76 lateral volume jeach lateral) 6.81 alq, Ions 25.08 lateral discharge rate system discharge rate 50.2 Gallons calculated at 3.25 distal pressure x 1.3 ft. vertical lift 10.0 feet friction loss in the forcemain 3,3 feet calculated at 50.2 gal/min discharge rate TDH (total dynamic head) 16.5 feet minimum pump discharge 50.2 gpm at 16.5 TDH (total dynamic head) pump manufacturer L GIANT model number 9EH estimated total dose volume 78,7 alg Ions 79.0 actual dose (total-forcemain) pump tank model 600 actual tank size 627 alq Ions septic tank model 1000 actual tank size 1029 ala Ions manufacturer of tank(s) HuffCUtt pump float on/off measurement 6.0 inches alarm float from bottom of tank 1 g,p inches Page 2 of 9 3 ~a ~i} ~- izz N Q ~ O r7 p X ~O~ Z~U W'QF- (n 2 U') z Q w z z_ U p z w C,~ W J z~ a W O V W G' ~ O. ao o~ Y Y V ~v a ~ N N C ~ O t0 v cn ~I U w Q ~ O m Q w o N ~ ~ II O~~ I z ~ ,.,~ I ~ c m° a ~ J J W ~,,,~ O O ~U 0] W U ~ ~ U Y a0 0 w N W Q~-ZZ Q ~ ~.~ooa J = o~_~=a w vaaaa v ,Z ~ooo a 0~`.J J Z d ~ a ~ -~ ~f- I^ ,~ ~~ O Y o~ °oa ~~ r- ~ r~ ~F W ~w 2 1!1 V a~ v~ M W O N c C7 az ig O_ ~ 2 m }- D n J `'i r~ 0.N a _~ o °0 g0 `. V ~ v~ ~~ ~d ~~ ~~ g~ ~ O J Z ~ M W (/') W N ~ _ 'S a0 ~U N ~ O ~ ZV O~ O= ~_ m~ o~ Y~ 0 2 ,~ o OV W ~ (~ Z 7 W ~ W C7 ~~ ~o ~a w J Q U (% J u J F- J Z W W VZ ZO o °- ,.._,,....,, ~ O ~~ m V ~ Z N ~ O~ ~ O Q ~_ xZ ^g ,~ PFF~G PSOURB~~Sp~LS . v~o \~OSPCO~P PCZ ~~ o ~~ N ~ ~, O W In ~,.p0 .4S ,a .0~. ~ m `d I ., .... •~M., O F2 ~ ~ ~~m ~ =~UaO o ~aZ"' ~ N 1 ^ W u / ~ W Z i c-- _ ~ c Z ~ V) <J~WW J 4 w ~~~a z ~ ~ U O N y'y O PAGE 3 OF 9 MOUND COMPONENT ~ CROSS SECTION drawin not to scale ~ 9 observation pipe(s) elevation at top of sand fill (bottom of distribution cell) 97.80' synthetic cover moterial soil to promote plant growth 12" ,, ~„ 1, 3' -~--- 3.8' elevation 97.30' tilled/plowed area 6.0' 18.8' 7.5" \ ASTM C-33 fill moterial 6.0' N15 yards of rock required ~4o yards of sand fill required ~2% system area cross slope 90o total basal area (sgft) 10" original grade 6 1.6' r._az ~,~~' Distribution cell `,.~~, --. °' 0.5" - 2.5" washed hard aggregate, 6" below & 2" above the distribution lateral All material and piping specifications as per the Mound & Pressure Distribution Component Manuals. page 4 of 9 PLAN VIEW OF MOUND COMPONENT (All material specifications per the Mound Component Manual) ~- 13.0' L 1.25' 3.5' I .~'I C 1.25' T- - 7.2' distlribution cell +- 75.0' 89.4' observation pipe (limit activities in the oreo 15' beyond the downslope edge of mound) Typical loterol detail showing sidewall and lateral spacing (all laterals may not be shown) Distribution lateral(s) terminate 6" from the end of the distribution cell -- Effective aggregate oreo Basal absorption area 3' DISTRIBUTION LATERAL (typical) (all discharge orifices ore located on the center bottom line of the distribution loterol) MANIFOLD PLACED 6" FROM END OF CELL threaded cap access box 1 1/2" distribution lateral 74.0' II I I~ (- 24" --I-- 24" T 24" -I I- 24" -I- 24" -I 2" manifold discharge orifice diameter 0.1875 = 3/16" distance between orifices 24" number of orifices per lateral 38 Total number of orifices 76 (drawing not to stole) forcemoin page 5 of 9 SEPTIC/PUMP CHAMBER CROSS SECTION (DRAWING NOT TO SCALE) Final grade (slope ground away from risers for drainage) Actual depth may increase see COMM 82.30 (11), (c) and (d). tank vent Access riser with locking cover (cover must be properly marked with an approved warning label) OF power & alarm cable (must use seperote power and alarm circuits) \ (externally mounted) 1 junction box " min. .force main access riser 18" mi bottom of inlet invert~ 3I" ~ __L___ L_ ' filtered reserve water level } effluent inlet I alarm I t on 4" inlet ~ tee or baffle ~ off approved effluent filter required on tank outlet I 88 3' I n'a -, Minimum of 3" of suitable bedding beneath tank pump pod EFFLUENT FILTER ZABEL (A-100) (or equivolent) Tank manufacturer HUFFCUTT septic/pump chamber capacities 1000/600 GALLON Alarm manufacturer S.J. ELECTRO (or equivolent) Alarm model number HW 101 (Or equivolent) Type of float switch MERCURY (or equivalent) Effluent pump manufacturer LITTLE GIANT Effluent pump model number 9EH Minimum pump discharge rote (gpm) 50.2 Vertical lift (pump off to lateral elevation) 10.0' System head (distal pressure x 1.3 ft.) 3.25 Friction loss in the force main ~3.3 Total Dynamic Head (TDH) X16.5 DWF (doily wastewater flow) 450 Number of dooly doses ^, 5.7 (OWF / actual dose volume) Forcemoin volume 10.6 Actual dose volume (gal) (total dose vol. - forcemoin vol.) 78.98 CAPACITIES reserve obove alarm 21 inches = 313.53 gallons alarm obove pump on 2 inches = 29.86 gallons on/off measurement 6 inches = 89.58 gallons off to tank bottom 13 inches = 194.09 gallons TOTAL 42 inches = 627.06 gollons PUMP CHAMBER DIMENSIONS length 49" width 70.0" liquid depth 42" gollons/ inch 14.93 Page 6 of 9 9EH SERIES STUMP/EFFLUENT PUMP Specifications MODEI CAT. US11NG HP YOUS SOLIDS SIZE RUNNING PERFORMANCE (GPM @ HEAD) SNUTDFF PWR. CRD. WEIGHT DIMENSIONS NO. ND. (Dia.In.) AMPSIWATiS 5' 10' 15' 20' IFtI P.S.I. IFti (Lhs.) (NM Lx W) 9EH-DIM 509330 UUCBA 4/10 115 3/4 13.0 1000 71 68 60 49 32 13.8 20' 27 9.11 x 11.64 x 8.94 9EH-CIM 509340 UUCSA 4/10 230 3/4 6.5 1000 71 68 60 49 32 13.8 20' 27 9.11 x 11.64 x 8.94 9EH-CIA-RFS 50935D UUCSA 4/10 115 314 13.0 1000 71 68 60 49 32 13.8 20' 27 9.11 x 11.64 x 8.94 9EH-CIA-RFS 509360 UUCSA 4/10 230 3/4 6.5 1000 71 68 60 49 32 13.6 20' 27 9.11 x 11.64 x 8.94 Construction I Motor Housing i Enoxv Coated Cast ir- on-~ 30 W zo w = to 0 0 20 40 60 80 FLOW- GALLONS/MINUTE PUMP PERFORMANCE CURVE 115 V 60HZ Impeller Material I Poly Carbonate 'I Impeller Type 'i Closed Vane ___ Volute ~ ! ABS_ _ Power Cord SJTW-A Mechanical Shaft Seal ~I Nitrile with carbon and , ceramic faces I I Fasteners ~ Stainless Steel ~ I Shaft ~ Stainless Steel Bearings I Upper Sleeve and Lower '~ Ball Bearings ~i 10 N 7.s w 5 ' a e.s 0 s•~.. '~ SSPMA .,,`.R" / ~ wxra ~ ~'1 ISO 9001 CERTIFIED Little C><iant Pump Co. PO Box 12010 `Phone: 405.947.2511 Okla. City, OK 73157 Fax: 405.951.5674 A~'. ~ ~ lii .C ~~-:~ Form 995235 - O1/00 F-LCIW- LITERS/HOUR P0~1'VTS OWNER'S MANUAL MANAGEMENT PLAN PERMIT NUMBER: Owner: POV1'TS Maintainer: Local Regulatory Authority POWTS Installer: Septage Servicing Operator BILL MC 1NNIS Geo Tech Soil & Site Evaluation -Chippewa Falls, WI 715-723-5555 St. Croix County Zoning Department -Hudson, WI 715- DESIGN PARAMETERS Influent/Effluent quality (values typical for domestic (non-commercial wastewater and septic tank effluent) Fats, Oil and greases (FOG) <30 mg/L, Biochemical Oxygen Demand (BOD) <220 mg/L, Total Suspended Solids (TSS) <150 mg/L Soil loading rate (SLR) = 0.5 SYSTEM SPECIFICATIONS The components of this septic system are intended to serve athree-bedroom (450-GPD) single-family residence. The components include: a Huffcutt model 1000/600 septic/pump tank with an approved outlet tllter and a Little Giant effluent pump, alarm & controls and a 75.0' x 6.0' distribution cell within a mound POWTS component. All components must comply with WI Adm. Code COMM 84 and be installed per manufacturers specifications and approval letters. DESIGN CRITERIAL / SBD - 10572-P (R.6/99) "Mound Component Manual" o .SBD -10691-P (N.Ol /01) "Mound Component Manual'' Version 2. o SBD - 10570-P (R.6/99) "At-Grade Component Manual Using Pressure Distribution'' o SBD - 10567-P (R.6/99) "In Ground Absorption Component Manual" o SBD - 10705-P (N.O1/Ol) "In Ground soil Absorption Component Manual" Version 2.0 / SBD - 10573-P (R.6/99) "Pressure Distribution Component Manual" o SBD -10706-P (N.O1/O1) "Pressure Distribution Component Manual" Version 2.0 MAINTENANCE & MANAGEMENT Inspect the condition of the treatment tank(s) and dispersal cell(s) a minimum of every three years. "I'he septic tank contents must be removed in accordance with Chapter NR 113, WI Adm. Code when the combined sludge and scum equals one-third (1/3) the tank volume. The effluent filter(s), effluent pump, controls & alarm and distribution lateral(s) should be inspected annually to ensure maximum performance. Lateral inspection/maintenance should include flushing of the laterals and pressure testing. START UP For new construction prior to use of the PO WTS check treatment tank(s) for presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a Septage-servicing operator prior to use. OPERATION The property owner is responsible for the operation and maintenance of the POWTS and submission of required reports. The quantity and quality of wastewater will affect the performance and longevity of your POWTS. The installation of water-saving appliances and fixtures along with prompt repair of leaks reduces the wastewater volume. Also, the brine or waste from water softeners, iron removal units, and other clear water treatment devices and foundation drains should be discharged to the ground surface whenever possible. Note: this does not include laundry waste, showers, dishwater. etc. The system is designed to handle domestic strength wastewater, however the disposal of food based greases and oils, vegetable/fruit peels and seeds, bones, and food solids such as those produced be a garbage disposal should be minimized. Toilet tissue is the only paper that should be discharged into the system. Other non-biodegradable items such as baby wipes, tampons, sanitary napkins, condoms, cigarette butts, dental floss, and cotton swabs should not enter the system. Chemicals such as petroleum products, paint, disinfectants, pesticides, antibiotics (medications), solvents, etc., should not be flushed into the system as they can seriously damage your POWTS and contaminate your drinking water supply. Maintain regular steady flow by spreading the laundry washing throughout the week. Avoid vehicle traffic over all system components. Compaction of snow over the unit may cause it to freeze up. o Valves Valves should be operated in the following manner / Alarms Alarms should be tested on a regular basis by the homeowner. If an alarm sounds, contact an individual licensed to serve POWTS. There is normally a one day reserve capacity under regular operating conditions, however water should be conserved until any problems with the system are corrected to prevent back-up of sewage into the dwelling or surface discharge. Page 8 of 9 IkNSPECTIONS Inspections shall be made by a person carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Maintainer or Septage Servicing Operator (per the attached Maintenance Schedule) / Septic Tank Component Tank inspections must include a visual inspection of the tank to identify any missing or broken hardware, identify any cracks of leaks, measure the volume of combined sludge and scum and to check for any backup or surface discharge of effluent. Access openings used for service of assessment shall be sealed and/or locked upon completion of service. Any defects shall be promptly corrected. Exposed openings greater than 8 inches in diameter shall be secured with an effective locking device to prevent accidental of unauthorized entry into the tank. The outlet(effluent) filter(s) shall be inspected and cleaned to remove any accumulated solids according to manufacturer's specifications. Provisions are to be made to retain solids in the tank during cleaning. Filter cleaning may be necessary at more frequent intervals than stated in the maintenance schedule to keep the system operating properly. / Pump Chamber/Treatment Tank(s) Component The inspection must include a test of all electrical equipment such as pumps, alarms and floats. A visual check must me made for leaks, backups, surfacing, missing or broken security devices and other hardware and the condition of the filter. Any service needs or repairs shall be promptly taken care of. / Mound, At-Grade, In-Ground Pressure The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any discharge to the ground must be promptly reported to the regulatory authority. Ponding greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. REPORTS Reports for maintenance, inspection, and monitoring shall be submitted in accordance with COMM 83.55 Wisconsin Administrative Code. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to ensure that the system is properly and safely abandoned in compliance with Ch. COMM 83.33, Wisconsin Administrative Code. - All piping to tanks and pits shall be disconnected and the abandoned pipe opening sealed. - The contents of all tanks and pits shall be removed and properly disposed of be a Septage Servicing Operator. - After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or other inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system. o A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure(s), lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. o A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. o The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. if no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. / Mound and At-Grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. WARNING SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OF OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY" BE DIFFICULT OR IMPOSSIBLE. Page 9 of 9 LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF HAMMOND COMPUTER NUMBER 018-1098-18-000 Parcel Number 30.29.17.825 OWNER NAME: First WILLIAM J & SUSAN K Last MCINNIC PROPERTY ADDRESS: Hse # 1/2 PD --Street Name-- Type SD Apartment 1524 76TH AVE SECTION 30 TOWN 29N RANGE 17W'/160 NW'/40 SE Line Description Line Description TOTAL ACREAGE 5.000 PLAT EMERALD ACRES 1/35 018/02 LOT18 BLK 01 SEC 30 T29N R17W PT SE NW 15 02 EMERALD ACRES LOT 18 16 03 (5.OOOAC) 17 04 18 05 19 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1-General, F4-Prev. Parcel, F5-Next Parcel, F7-Valuations, F8-History, F10-Exit