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018-2005-07-000
.sconsin Department of Commerce safety and Building Division • PRIVATE SEWAGE SYSTEM INSPECTION REPORT county: St. Croix Sanitary Permit No: 463030 0 State Plan ID No: Parcel Tax No: 018-2005-07-000 Section/Town/Range/Map No: 31.29.17.933 GENERAL INFORMATION (ATTACH TO PERMIT) Personal inforrnation you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Miller, Sam Hammond Townshi CST BM Elev: Insp. BM Elev: BM Descripti ~~~ r~~ ~~ti ~ ~ ~ ~ TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ' ~,~~-,v C~.~ Dosing Aer~tt+on F. _ ~ ~ f Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~ 7 / ~~i ~ ~.,~ ~ ~ ~~ ~ *,J _ Dosing .) / ~ / S ~ • l / ,~ S/ ~ i J Aeration Holding PUMP/SIPHON INFORMATION Manufacturer ~ Deman - ~~ GPM r ' Model Number . - ~ ~ ~ ~ ~ g !l!~ ~ TDH Lift, `~ p Friction LQs~ `"' System F~eadr~~ l~ ~ TD ~ ~~ Forcemain Len~ , Dia. ~ Dist. t Well ~ ' 7 o ~ ~ / J STATION BS HI FS ELEV. Benchmark -T.(oc~ ~b~,fv ~a Alt. BM "6z~~ lam Bldg. Sewer 7 7S /~~ ~~ St/Ht Inlet S ~ ~ /~ r/ ~~ St/Ht Outlet ~ ~~ JQ ~ .~ r Dt Inlet Dt Bottom ,3.az 9y `.~~ Header/Man. G • Z /d Dist. Pipe ` Z~ ' ~' • Bot. system L . ~~ /b d •~ Final Grade C J~Z~t ~d~. st Cover F`'~~ ~~~ / 6 L ~SS C C ~~G ~ z ~ ~ JS ~1 ~ J ((Jt.~ ' Z.~ yr -'-~, ELEVATION DATA SOIL ABSORPTION SYSTEM BED/TRENCH Width ~ Length ~ No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Li uid Depth DIMENSIONS ~ ~ ,~, ' ~ ~ \~ \ SETBACK INFORMATION SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING CHAMBER OR Manufacturer. \ Type Of System: i ; ' UN T ~~ P ~ I C'r„~ ' ~ ,A I Model Number.. O J DISTRIBUTION SYSTEM Header/Manifold • t / 1 , Distribution ~~ , r~ r Pipe(s) ~L ~ ' x Hole Size 7 ~ x Hole Spacing ~ V~ to Air Intake ~/ z Length ~• S Dia ` Z • 5 Length T Dia ` ~ Spacing ~ z `'J 3 SOIL COVER x Pressure Systems Only xx Mound Or At•Grade Systems Only Depth Over ~ Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center / 1 ~ ~ J Bed/Trench Edges \ Topsoil , ~- ~ es ~ No h y~fes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ~~ I / ~ Inspection #2: / / ..-. Location: 653 153rd Street Hammond, WI 540.15 (SW 1/4 NW 1/4 31 T29N R17W) Highland Ranch Lot 7~ R~ `_ ~ ~ P rcel o: 31.29.17.933 1. Alt BM Descri tion = ~ ~ ~~ ~~ v~ °`~ ~'~`~~ ~~ I ~.~ ~~ ~t~~~ p , ~- ~, ~ f1 ~ ~ lc" c i /l,j 2.) Bldg sewer length = ~S y ---~ ~~ c~ 5 ~ r r -amount of coves = 3 s ~ / ~ ~..~ ~ . t ~S_l , Z•5 ~ - --~ -- Plan revision Required? i, 'i Yes o {, ~~ ~ 1 Use other side for additional information.' l ~ u i l l _a~ ;__ _ __ _ ~0 3 Dated Insepctor's ignatu Cert. No. SBD-6710 (R.3/97) Safoly and Buildings Division .. ~ ~ 201 w. ~SCQ~~~~ M son,('Z~~~~~~L= ~ (608) 26ti-3151 De artment of Commerce Sanitary ' 'App 'cater ~ ~?OQ4 In accord with Comm 83.21, Wis. Ode,•persoasal information you provide nsay tx used for secondary purposes Privacy w, sl5~j{I~p~S~IX LV UIV I ' county S T Cro ~ X Sanitary Permit Numbsr (to bt filltd fill by C:. ~'(a3o3o ~- )os2g53 =Terms. ~p~ Project Address (ifdiflerent than mailms addr_ss; ' le S 3 1 S3 rtf ST ys.th ~ e n ~ t-v/ Parcel R Lot p Bla', ~-- 5~~i_. s t ~ ._ S ~ i~ ~~,, section 3 / p" ~-t'//~ s/ ~ ~~ "~ /4sp- Z 7~D / q ~ ,(citrlt o (~ SOK T2/N; R Eor4~ I ll. Type of Building (check all that apply) ~~ g'r~ at/ ~{'a-us a- - i ~ I or 2 Family Dwelling -Number of Bedrooms ~ ( ... Subdivision Name CSM Numi~.; .~ `t~ ~, IQK~ {~atiGh J PublidCotrwsercia! - Describe.Uu State Owned -Describe Use ~ ~ S X O ~D o0 ,2S ^Ciry_^VUlage l~fosvash;p of~~~ _ y--'' ` - _ Ill. Type of Permit: (Check only one boz on Ilse A. Complete line B ea e) ~IQ~ 9ri~S= O~ _g~p ~} 3'~T i I. ,~pplicationlnformadon-PleasePrlntAlllnformatlon ~- - li P-opcrty Owncr's Name 5~ M 1M I L [ ~K- P-operty ownu's Mailing Address Ci;y, Srate Zip Code Phone Number A. ~,/ ]New Systtsn ^ Rtplacetnmt System ^ TreatsnmVHolding Tank Replacement Only ^ other Modification to L'xi:ring Systte, b, ^ Permit Renewal ^ Permit Rtvision ^ Change of ^ Permit Transfer to New List Previous Permit Nuosbtr and Date lssutd - Beforc Expvation Plumber Owner I ~. type of YUW1S System; (Check all that apply) ^ Noo -Prtssurized ln-Ground ~Mound> 24 is o[suitable foil ^ Mound <24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Fiher Constnscted Wetland ^ Ptasurized !n-Ground ^ 1-lolding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating Sand f filter kxirculatin S lhdic Media Filter ^ 1_eachin Chamber ^ Dri line ^ Gravel-less Pi ^ Other ex lain) ' ~'. Disnersal/i'rcatment Area Infnrmatlnm / n o r7 Sz Uesign Flow (g}sd) Design Soil "~licadoa Rate(gpdsn Dispersal Ar ' td (sQ ~ Dispersal Ar Proposed (sQ System EI SID /,a F,,~jl p, ~ 7 /ZS ~1a"o ~ /~Zs ~/se ~l ~p0. 7~ vL Tank Info Capacity m Total Number Manulneturc Prefab Site Steel -- - Fibe: ! ~j,;; ; Gallons Gallons ofUr>iu ) I~-~D~ zasltl Concrete Constructed Glass New l;siytinY a ~ ~ Tanks Tankr /Q/ / ~ ', S-piK or Holdi nk Tank r rOQ~ ~' {,~m-~ Sdf /~ ~ l.: robk Trcumcm Uuii ~, Dslny Chambca k ~~~ war s ~.- x '. I I'll. Ftesponslblll Statement- 1, the under red, aattast raponslbWt for lnstaWUon of the POWI'S shown on Use atucbcd plans. Plua>Ccr's Name (Print) f Plumbc's Signature MP/MPRS Number Bu 'ass !'bone Number ~- ';/71%ka. ~ ~ Oo-,~.ll ;~ ~ Z2S03 !o ~ -FlloS,. s? 7 Plumbtr's Address (Strut, Ciry, State, tip Code) '',/ono ~/~K7m,-~,'~r~ Gz~O, /~~~sa~ ~~ syvi~ - ~'11L Coun /Dc artment UseOnl _ I Approved ^ Disapproved ~~' Permit Fee (includes Groundwater Date Issut~,; is g gtnt Signature (: S.zn~s; Surcharge Fee) 2 _ ^ Owner Given Reason for Denial 3~-- 09 ~ l.ti Conditions of ApprovaUReasons for Disapproval SYSTEM OWNER: 1 Septic tank, effluent filter and dispersal cell must all be serviced I maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code/ordinances. AttacE complete ptsus (to the County aoly) for l6c system oa Asper no! Icsr lbau 61r2 s I I lucbes la s!<c r! , Mw. A , SBD-6398 (R. 01/03) ~C-dc- Sac, Is3 :05 AM ^ ~a1/c~ta/aa~fa-on~o:E • El`~~~+ SC.a/ : s ~ Rai; ~`id3/ rt~aper~al ,rtoia-d •~ /G.B3X/~'-~D' ~Pdctd Q,~r.s3: A.C_E. Soil & Site E~al 715 248 7764 P. 02 ~pif'/ed Jdt+~t. .v~"A/~ .G ~ s /A~.CO, commerce.wi.gov isconsin Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commerce.wi.govlsb/ www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary September 02, 2004 CUST ID No.225036 MICHAEL P MC DONELL MILLER CONSTRUCTION 1070 HUNTER RIDGE RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/02/2006 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 Identification Numbers Transaction ID No. 1052953 SITE: Site ID No. 688229 Sam Miller Please refer to both identification numbers, 653 153rd Street above, in all comes ondence with the a enc . Town of Hammond St Croix County SW1/4, NW1/4, 531, T29N, R17W Lot: 7, Subdivision: Highland Ranch FOR: Description: Proposed Three Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 975827 Maintenance required; 450 GPD Flow rate; 38 in Soil minimum depth to limiting factor from original grade System(s): Mound Component Manual -Version 2.0, SBD-10691-P (N.O1/O1), Pressure Distribution Component Manual -Version 2.0, SBD-10706-P (N.O1/01); Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stets. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the approved plans, and the "Mound Component Manual for Private Onsite Wastewater Systems Version 2.0" SBD-10691-P(N.O1/O1). • The pressure network is to be constructed in accordance with publications SBD-10706-P(NO1/O1) "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems -Version 2.0" and/or the sizing methods of publication "SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stets. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stets. • The area within 15 feet horizontally below the system shall remain undisturbed. Vehicular traffic or soil compaction in this area is prohibited. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. (~_"'a ¢~~~, /111.. MICHAEL P MC DONELL Page 2 9/2/04 • Comm 83 22(71- A copy of the approved plans specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. Owner Responsibilities: • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Comm 83.52(1)(a) -The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. 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, Gerard M. Swim POWTS Plan Reviewer -Integrated Services (608}789-?892, Mon. -Fri. 7:30 am to 4:15 pm jswim@commerce.state.wi.us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 T coder 7633 cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 .. '~Fc ~~ J ~ ~0 e~ wG MOUND AND. PRESSURE DISTRIBUTION COMPONENT DESIGN ~~` ~ Residential Application INDEX AND TITLE PAGE y~7 ~ ,' ~i; Project Name: Sam Miller 3 bedroom residential mound system Owner's Name: Sam Miller Owner's Address: P.O. Box 151 Trout Brook Road Hudson, WI 54016 Pcl. Add.: 653 153rd Street Legal Description: SW1/4NW1/4, Sec. 31, T.29N., R.17W. Township: Hammond County: St. Croix Subdivision Name: Highland Ranch Lot Number: 7 Block Number: na Parcel I.D. Number: 018-2005-07-000 Plan Transaction No.: 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 Concave distribution cell calculations Page 10 Soil evaluation report Designer: Mike Mc Donell License Number: 225036 Date: 08/12/04 ~~ ~/f~ Phone Number: 715-386-8692 Signature: y~1~~7h"v Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) Version 3.0 (03/01/01) Page 1 of 10 ,•,~ ut SAFE7YANfi~E{W~~`r UFMGS SEE CORRE ONDE~G~ Mound and Pressure Distribution Component Design ;~. Design Worksheet Site Information (r or c) R Residential or Commercial Design Note: Sand fill (D) calculations assume a 300,00 Estimated Wastewater Flow (gpd) Table 83-44-3 in-situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150%) coliform of <= 36 inches. 450.00 Design Flow (gpd) 3.00 Site Slope (%) 100.25 Contour Line Elevation (ft) 38.00 Depth to Limiting Factor (in) 0.50 In-situ Soil Application Rate (gpd/ftz) Distributio n Cell Information 90.00 Dispersal Cell Length Along Contour (ft) = 5.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ft2) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point_ in the distribution ~ Y ~~ Pressure Disribution Information network? Enter Y or N (c ore) ~ c Center or End Manifold 2.50 Lateral Spacing (ft) If N above, enter the elevation (ft~_ - 4 Number of Laterals of the highest point. ~_~ ___ __ ] 0.125 Orifice Diameter (in) (e.g. 0.25) 2.50 Estimated Orifice Spacing (ft) = 6.25 ft2/orifice Z.00 Forcemain Diameter (in) 50.00 Forcemain Length (ft) Does the forcemain drain back? ~_~ _Y_ _ __] 93.25 Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 7.00 Vertical Lift (ft) 0.95 Friction Loss (ft) 14.45 Total Dynamic Head (ft) 8.16 Forcemain Drainback (gal) 81.25 5x Void Volume (gal) 89.40 Minimum Dose Volume (gal) 29.66 System Demand (gpm) Lateral Diameter Selection in. dia. o tions choice 0.75 1.00 x 1.25 x 1.50 x x 2.00 x 3.00 x Manifold Diameter Selection in. dia. o tions choice 1.25 x ___ 1.50 x x ---_~_. 2.00 ~~ 3.00 Gallons/Inch Calculator (optio~ial) Treatment Tank Information 750.36 Total Tank Capacity (gal) 1000.00 Se tic Tank Capacity (gal) 37.00 Total Working Liquid Depth (in) Wieser Concrete Manufiacturer 20.28 gal/in (enter result in cell 649) Dose Tank Information Effluent Filter Information 750.36 Dose Tank Capacity (gal) ZabelFilter Manufacturer 20.28 Dose Tank Volume (gal/in) A100 Filter Model Number Wieser Concrete Manufacturer Project: Sam Miller 3 bedroom residential mound system Page 2 of 9 Mound Plan View 111~__/~~~1__0 ____B--• 'Observation Pipe '0 :T~' ~.r~•r r r r•r: ••r•r• r•. • r• r• r•r• •• r• .; ~.,r•r•r•r•r•r•r•r•~;.r; • r•r•r•r•r•: •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. B - ____ ___ ~~~ i-, •. . T L Mound Component Dimensions -T -~ -~ A ~ 5.00 ft E 7.80 in B 90.00 ft F 9.50 in D 6.00 in G 0.50 ft 450.00 (ft2) Dispersal Cell Area 5.00 (gpd/ft) Linear Loading Rate H 1.OOft K 7.10ft I 6.40 ft L 104.20 ft J 4.93 ft W 16.33 ft 1026.10 (ft2) Basal Area Available 9.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area, Finished Grade 102.54 (ft) . ~iiiii F 100.75 (ft) --- - Dispersal Cell 3[~• Elevation .,.:: :... G • • hi i;rirfrr 2 iiriiiir. llfl Dispersal Cell 101.25 (ft) Lateral Invert :D ~ ~ ''' ..... ....• ...... ......• .• .• ....... .• ........ .. ... ~~. ~~~- 100.25 (ft) Contour Elevation Shading Key 1~ ~''~' Topsoil Cap © ~f~~~ Subsoil Cap © ~'~'.'~~.'~'. ASTM C33 Sand `~`?`?. Tilled Layer 0 Aggregate 3.0 % Site Slope Geotextile Fabric Cover ~ ~. ~- Dispersal Cell See lateral details on c ~ 1.5 ft .;;: ; j,; ;: ;r;; ,r,:•::;: • ~ ~•• •~•ti•• • ~~~• •~ ~' Page 4 for number, ;~ size and s acin of : . - - •- F Laterals are laterals a ~ H 0.5 ft ;; , :ti: r; Typical Lateral ::r:' . equally spaced from v o ~ '~••r:r'••:r:,:rr ~r.•u;•e ~ • the distribution cell's * A ~ centerline in the distribution cell (AxB). Project: Sam Miller 3 bedroom residential mound system Page 3 of 9 Center Connection Lateral Layout Daigram Force main connection Mia tee or cross to manifold at any point. Laterals are identical --7~~ "I' I P ~ •= Turn-up v.~ ball valve or IF X~IExl2 I xr"2•~I Laterals & Force main of PVC Sch 40 cl ea n out pl u 9 per COMM Table 84.30.5 Holes drilled on the bottom of the lateral. Number of Laterals 4 Orifice Diameter 0.125 in Lateral Diameter 1.50 in Orifice Spacing (~ 2.53 ft Lateral Length (P) 44.28 ft Orifices per Lateral 18 Lateral Spacing (S) 2.50 ft Orifice Density 6.25 ft2/orifice Lateral Flow Rate 7.41 gpm Manifold Length 2.50 ft System Flow Rate 29.66 gpm Manifold Diameter 1.50 in Total Dynamic Head 14.45 ft Forcemain Velocity 3.03 ft/sec Dose Tank Information Locking cover with warnirg label and locking device and sealed watertiyht Electrical as per NEC 300 and -~ Comm 16.28 WAC ~L, ~ 4 in. min. ~ Disc~ect _,____~ Tank component is properly vented Wieser Concrete Ca acit 750.36 Volume 20.28 Manufacturer Gallons gal/inch A B C D Dimension Inches Gallons A 18.48 374.81 B 2.00 40.56 C 4.52 91.63 D 12.00 243.36 Total 37.00 750.36 3" Beddino under tan Alarm Manuafacturer LevelArm _ Alarm Model Number DLV ~- Pump Manufacturer Zoeller ---~ Pump Model Number 98 Pump Must Deliver 29.66 gpm at 14.45 ft TDH ~- Alternate outlet location Forcemain diameter ~i 2 in. Weep hole or anti- siphon device P~um_p off elevation (ft) 94.25 Do• se tank elevation (tt) 93.25 Project: Sam Miller 3 bedroom residential mound system Page 4 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name Jim Thom son #30021 Phone 715-248-7_767 i POWTS Regulator's Name St. Croix County Zoning Dept. Phone ~715v386-4680 System Flow and Load Parameters Design Flow -Peak 450 gpd Maximum -nfluent Particle Size 1 /8 in Estimated Flow -Average 300 gpd Maximum BOD5 220 rng/L Septic Tank Capacity 1000 gal Maximum TSS 150 rrtg/L Soil Absorption Component Size 450 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 rnL 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 age once every 3 years_ _ __ Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code, 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral 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: Sam Miller 3 bedroom residential mound system Page 5 of 9 Mound System Malnagement Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance wfth 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 fitter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuousty. 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 pertormance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Puma Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. if an effluent filter is installed within the tank 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 sncw 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 104cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flcw 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 pertormed 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 v+itnin 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 additlona-, more frequent monitoring. Continaencv 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 falls 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 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Sam Miller 3 bedroom residential mound system Page 6 of 9 T. d, HEAD CAPACITY CURVE ~ EFFLUENT MODELS 3 ~ Ia0 e2 I JS -- .0 130 125 38 - 20 i i 36 IIS 191 -_ 3a 110 T r __ .. 105 }2 - 100 30 95 28 90 ~ IB6, 26 BS aI88 90 2a 165. 75 alb 22 70 20 65 60 I6 } IB , x163 189. ( 55 x189 ~ 16 I I 50 la a5 12 a0 u0, IBB, 35 a1a0 x188 t0 30 X37 185. 8 25 x185 6 20 - I 10 161, 2 5 x161 53,57 98 0 U.9. GALLONS 1 0 10 0 a0 50 60 70 80 90 10 0 I1 0 12 0 13 0 Ia 0 15 0 16 7 LITERS 80 160 200 320 s00 x80 560 ba0 f al CAUTION t\ICdcl 1 ?5%-1 ', 65 s ~.~ ~' i not be subjected to less tnan 30 ieel T~!, ( ~~ ,LUW YtN MINUIt TOTAL DYNAMIC HEAD~CAPACITY PER MINUTE EFFLUENT AND DEWATERING ~ ~ ~ ~ Moaei 57/57 I 98 1}7 u0/x140 161/x161 163/alb} 165/x165 185/x185 186/a lg6 188/x168 i c, 6a/al_9 uz; e:s I Gol ltr s. Gal. Llrs. Col. Llrs. Col. Llrs. Col. Llrs. Gal. Llrs. Gol. LIrS. Gal. llr 5. Gol. L!rs ~ -~ ---( of L s - -._,- ! G ul -..s -^-.c ~ ~-- r -- - 5 1.5 T a} 163 72 273 93 752 91 3aa 100 379 61 231 61 231 58 22C i 'a~ _ ~a- ~.a9 < '~T? t ~ }a 129 61 ' 7B r _ T ~T _ - . 231 299 Ba }Ig 93 }5p 61 231 61 2}I 58 220 a'J ~ SA I a a'' 3_ ~ <.Ef t9 72 a5 170 6a N2 76 288 85 }22 60 227 61 231 58 _ 21C r 13T-507 ~]>T n ,-a -- I 6-i 2~ ~ 25 95 36 136 68 257 79 299 59 223 60 127 58 220 '~28 a8a !3~ 'I :96 Ta; 1 1-- _. ~ .b 8 }0 59 22} 70 265 57 216 59 223 58 220 '2? x62 '2':~-~75 a' ~ _ 7~1 ~ a9 185 62 235 55 206 58 120 BS 322 58 220 1~ ~ -- T--z'~~-,Sa T~ -'T~ -. t2.i I 21 79 a5 170 a6 172 55 106 70 265 58 27G T 'pa -. 9< J.-~ IS Ta T - '' -T--r -' -2 '~. "7~ ~ ` 20 76 33 IS 125 57 50 39 189 lab 51 32 193 121 58 SB _ 220 220 _ 9J+ Sa 7'~ 269 _ _ 3- ~b7 _a ~ -- 3: 2 ~ ) ~- ' )T1.} i 23 87 9 3a _ 52 157 5' ~ 19? I ~4~ _6, -i -- _ ~ 10 }8 a5 170 2d 106 5. ~ '93 r. ~, "'~ ~ - 31 117 -{ r ~ 8 3a~-29~~~~a --- `} ~~ 16 - 6} _f- ~ _- _ _ __ ,T-o< '~ s S .~` c =3J i 39.6 i __ ~__ ~ ~ ~ T_ _. ~___._ _._ __._ __ _ 2 i _ __ *-i Lou varot Ic.} ry. (5.9m) 23 I!. (7m) 26 11. (7.9m) e6 It. (lam) 56 II. ( IZIm) 66 IL ( 20.Im) 86.5 IL (26.am) 73 II. ( 22.3m) 11a II (Sa 7m) 91 II (27.7m) l IC P_r}a 5 ;11?7 t (a1 ~- ~, p A ,v <d~;~ MEMBER ~ ti~ °y, i -l ~L l vuuv ucas. +ssn. © Copyright 1998 Zoeller Co. All rights reserved. 9 70TH' / AUG-30-2004 09:05 AM A.C.E. Soil & Site E~al 715 248 7764 F'l~rt = /Da.7l.' C.u.C-dc.- Sac I~ ~~ e, f ~' ~3 ~' ~~''~ . _-,~ e.. ~~ _ Bx ~i'epoos~cl u~b'ea~ w`P ~st~--•cR --- p ct.,~~ rte.., -~' ,~ "A. SST. nj. a ~r~e. P,,,p.se~c wres•,•~ wcP/,crao•M e~/~Q,bt ~ s~lGd a!t4~lC+~tJ'L ~r~~ w' ~as~! Irf~ wtlJ Pr.~•itd 3 ~~~/ r+esTdenu. ~~ ~ "sue. ~a p d C. ~•mc+~w'~t. Ifa~~.~o P.r.C. P. 02 ~~p.f'led s~. .c ~ _ ~aa.ao. ~ ^ .Boll Cub/ka~a-on~o: ~ • E/~~t~a~.+ • /o~~pr.~o.s~,t'c ~s~,:; - .c~~ ~ rr~,E...r,~-,r,4.~d~.,~t, Red ~/d3/ WIS~XQas~'d.'~p~•'~~ ce.rl. fir" C~1 d.~f,-,~jw~o-~~e~e.,(r ~.~ 9fb-~ Q,,Er. s3: ~~~ ~ Distribution Cell -Concave Deflection Worksheet Sam Miller 3 bedroom residential mound Lot 7, Plat of Highland Ranch, Tn. of Hammond, St. Croix Co., WI. Site Information: 1. Design wastewater flow: 450 gpd (3 bedroom)(100 gal/bedroom)(1.5 puking factor) 2. Depth to limiting factor: 38" 3. Land slope: 3.0% 4. Infiltrative capacity of soil at system elevation: 0.50 Bpd 5. System elevation: 100.75' at 6" above 100.25' contour. Dispersal cell sizing. 450 sq.ft. required (450 gpd / 1.0 gpd/sq.ft. ASTM C33 med. sand) Cell length (B) 90.0' Cell width (A) 5.0' Dispersal cell deflection: 1. Percent concave deflection: (5'deflection/88' down slope effective cell lengtlr)(100) _ 1.8% 2. Adjusted cell length: [(1.8% x 0.00265) + 1] x 90' contour effective cell length = 90.44' 3. Actual cell length along contour = 90.44'. U~ a ~F ~n • Wisconsin Department of Commerce SOIL EVALUATION REPORT Division of Safety and Buildings in accordance with Comm 85, Wls. Adm. Code ~. County Attach complete site plan on paper not less than 8'/ x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Parcel I.D. Please print all information. Reviewed By Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location 1831 Page i _of 3_ A.C.E. Soil & Site Evaluations St. Croix 018-2005-07-000 _ --- -----Date ------- - Sam Miller Govt. Lot SW 1/4 NW 1/4 S 31 T _ 29 _N_R 17 V'J___ Property Owners Mailing Address Lot # Block # Subd. Name or CSM# P.O. Box 151 7 Highland Ra_nch________ __ __ City State Zip Code Phone Number City j Village /J Town Nearest Road Hudson ~ WI 54016 (715) 386-2769 Hammond 653 153Rd Street New Construction lJse: , / Residential / Number of bedrooms --_ 3 Code derived design flow rate _ 450____ _ GPU J Replacement Public or commercial -Describe: __ , ____ Parent material Glacial drift Flood plain elevation, if applicable na _ _ General comments and recommendatio ns: Install mound system at elev. 100.75' at 6" above 100.25' contour. Boring # ~~' Boring 42 /uf Pit G round Surface elev. 99.99 ft. _--- Depth to limiting factor _ in. Soil Application Raie Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPOIflz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2 1 0-15 10yr3/2 none sit 2fsbk dsh cs 2f,1 m 0.6 0.8 ` 2 15-24 10yr5/4 none sit 2fsbk dsh cs 2f,1 m 0.6 ~ 0.8 3 24-35 10yr4/4 none gr sl 2msbk dsh gs 2f,1 m ', 0.6 1.0 4 35-42 10yr5i4 none gr Is 0 sg dl cw 2f i 0.7 ~ 1.6 5 42-77 10yr5/6 f2d7.5yr5/8 scl,lfs,sl 1csbk dl - 1f ~ 0.2 , 0.3 H#5 Insists of an unsorted mixture of lcsbk scl, 0 sg Ifs, & Om sl. i Redox. concentrations observed at interface of textural changes a Boring # i=l"' Boring --- - // Pit Ground Surface elev. 100.58 ft. Depth to limiting factor 38 In. Soil Application Rare Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texiure Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ft2 `Eff#1 !! Eff#2 1 0-14 10yr3/2 none sit 2fsbk dsh cs 2f,1 m ii 0.6 0.8 2 14-27 10yr5/4 none sit 2fsbk dsh cs 2f,1m 0.6 0.8 3 27-38 10yr4/4 none gr sl 2msbk dsh gs 2f,1 m 0.6 1.0 4 38-82 10yr5/6 f2d 7.5yr5/8 scl,lfs,sl 1csbk mfr - 2f 0.2 0 3 i H#5 Insists of an unsorted mixture of sbk scl, 0 sg , & Om fsl. Redox. concentrations observed at interface of textural cchanges. ' Effluent #1 = BOD ~ 30 < 220 mg/L and CST Name (Please Print) James K. Thompson Address A.C.E. Soil & Site Evaluations 340 Paulson Lake Lane, Osceols >30 < 150 mglL uen = BOD < 30 mg/L and TSS < 30 mg/L g ture: CST Number 3602 Date Evaluation Conducted Telephone Number ~n 8/12/2004 715-24 8-7767 • 018-2005-07-000 Page _ 2 _ot _ 3 _ Property Owner Sam Miller Parcel ID # • '~`' Boring 99 56 ft Depth to limiting factor 52'~ in. Soil Application Rate a goring # y-( Pk Ground Surface elev. . . t i Boundary Roots :__ ti n i Texture Structure ence s Cons •Eff#1 "Eff#2 Horizon Depth Dominant Color o p Redox Descr Sh. Sz Gr in. Munsell Qu. Sz. Coni. Color . . 1m 2f 6 0 0 8 sil 2fsbk dsh cs , _ _ ___ __ 1 0-17 10yr3/2 none - sil 2fsbk dsh cs 2f,1 m 0_6- 0.8. _ _ 2 17-26 10yr5/4 none gr sl 2msbk dsh gs ~ 2f,1 m 0.6 1.0 3 26-45 10yr4/4 none 6 1 gr Is 0 s9 dl cw Ilr 2f 0.7 --- . - --_ __ 4 45-52 10yr5/4 none 3 0 5 52-80 10yr5/6 f2d7.5yr5/8 scl,lfs,sl 1csbk dl -__ ~ 1f _ 0.2 ____ . ____ - H#5 Insists of an unsorted mixture of 1 csbk scl, 0 sg Ifs, & Om sl. Redox. concentrations observed at intertace of textural changes. Effluent #2 = BODS <_30 mg/L and TSS ~ 30 mg/L ' Effluent #1 = BOD ,? 30 < 220 mg/L and 7SS >30 < 150 mg/L The Department of Commer alternate format, P~~ ~ tact the depeartment at608--266 3151 o rTTY~G08-2t64a8777 service; or need matenal m an f cry •S~E~a.,~g /~S'8~ ~ E`leY: ~ i0a.7q' . a°~~- e3 ~~ C~c,~(-de- Sam ~'~' 1~5~flP~ /~3 ~'~ 81 " '' ^ ~ -' / SEr'c~f ' % _ ~,~-'~~ / _~` ~ , wI J v 7~ r 3~nG{t ark,: /dPOf ~Crc .S'6~1. ^ ~;/ei/aluaf;o~~~, E /f _`d11 ) / /~~~ / /n R~~', ~`~s3/ ~~~~' Pay. 3 ~ .3 Wisconsin Department of Commerce Division of Safety and Buildings ~S 2 so ~ ~ ~ ~ --- -- - -- ~ r ~~ --_--- .r----= SOIL EVALUATION REPORT .n ennnr.Jennn unit. Cnmm Rte. 1A/ic Arlm Rrx'le 1831 Page I of 3 A.C.E. Soil 8 Site Evaluations County Attach com lete site Ian on r not less than 8'/ x 11 inches in size. Plan must P P Pape St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I D percent slope, scale or dimemsions, north arrow, and location and distanc t road. . . 018-2005-07-000 Please print all information. / ~r°a tl '' } s ~ 5:9i (m)) feZl fm' ~9r9t1 purposealaw ou rovide ma be u l Personal information Re 'eyed By ~ Date p , . g . y t p p y ~" ~" . O I Property Owner Property Location Sam Miller Govt. Lot SW 1!4 NW 1 /4 S 31 T 29 N R 17 W Property Owner's Mailing Address ` ~ i; trot # Block # Subd. Name or CSM# P.O. Box 151 7 Highland Ranch City State ,ip Code' Phony tUarnber _f City ~ Village !~ Town Nearest Road Hudson ~ WI ~ ~ (71b~769. _. . Hammond 653 153Rd Street 1/ New Construction Use: y~i Residential /Number of bedrooms 3 Code derived design flow rate J Replacement ~ Public or commercial -Describe: Parent material Glacial drift Flood plain elevation, if applicable General comments and recommendations: Install mound system at elev. 100.75' at 6" above 100.25' contour. 450 na GPD Boring # _::~ Boring Pit Ground Surtace elev. 99.99 ft ~~ . Depth to limiting factor _~~in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP Dlftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 •Eff#2 1 0-15 10yr32 none sil 2fsbk dsh cs 2f,1m 0.6 0.8 2 15-24 10yr5/4 none sil 2fsbk dsh cs 2f,1m 0.6 0.8 3 24-35 10yr4/4 none gr sl 2msbk dsh gs 2f,1 m 0.6 1.0 4 35-42 10yr5/4 none gr Is 0 sg dl cw 2f 0.7 1.6 5 42-77 10yr5/6 f2d7.5yr5/8 scl,lfs,sl 1csbk dl - 1f 0.2 0.3 H#5 cnsists of an unsorted mixture of 1 csbk scl, 0 sg Ifs, & Om sl. Redox. concentrations observed at interface of textural changes. Boring # ~ Boring i/ Pit Ground Surtace elev. 100.58 ft. Depth to limiting factor -~~in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 1 0-14 10yr32 none sil 2fsbk dsh cs 2f,1 m 0.6 0.8 2 14-27 10yr5/4 none sil 2fsbk dsh cs 2f,1 m 0.6 0.8 3 27-38 10yr4/4 none gr sl 2msbk dsh gs 2f,1 m 0.6 1.0 4 38-82 10yr5/6 f2d 7.5yr5/8 scl,lfs,sl 1 csbk mfr - 2f 0.2 0.3 H#5 cnsists of an unsorted mixture of sbk scl, 0 sg , & Om fsl. Redox. concentrations observed at intertace of textural changes. ' Effluent #1 = BOD 5> 30 <_ 220 mg/L and TS >30 < 150 mg/L uen = BOD < 30 mg/L and TSS <~0 mg/L CST Name (Please Print) Sig ture: CST Number James K. Thompson 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane. Osc~la. 20 8/122004 715-248-7767 ,~ • Property owner Sam Miller ~ Boring a Boring # ._.. Pit Horizon Depth Dominant CoU in. Munsell 1 0-17 10yr3/2 2 17-26 10yr5/4 3 26-45 10yr4/4 4 45-52 10yr5/4 5 52 ~0 10yr5/6 H#5 Insists of an unsorted 018-2005-07-000 Page 2 of 3 Parcel ID # 56 ft. 99 Depth to limiting factor 52" in. Soil Application Rate Ground Surface elev. . Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 Qu. Sz. Cont. Color Gr. Sz. Sh. sil 2fsbk dsh cs 2f,1m 0.6 0.8 none sil 2fsbk dsh cs 2f,1m 0.6 0.8 none grsl 2msbk dsh gs 2f,1m 0.6 1.0 none gr Is 0 sg dl cw 2f 0.7 1.6 none f2d 7.5yr5/8 scl,tfs,sl 1csbk dl - 1f 0.2 0.3 ~- __ mixture of 1 csbk scl, 0 sg ifs, & Om sl. Redox. concentrations observed at interface of textural changes. * Effluent #2 = BODS< 30 mg/L and TSS <_30 mg/L * Effluent #1 = BOD ~ 30 < 220 mg/L and TSS >30 < 150 mg/L _ The Departn-ent oaten~al in an alternate forma please con ct the dePartmcet at608-266-3151 o TTY 608-2164-8 77 7 maces or need m • Elegy: = i0o.?9.' ~ • Elev~~;a.~ Cam(,-de.- Sac ~ ~~ ~51oPe /oca~~~ro; . s•E.zKe .- SErcc.f • ~-'~,/ ~ : ~ Ica/e: / _ ~ ,~ ~~-/ i 5/olis~' ~I 1 Py. 3 ~ ~ x _ } _ .:. ,..,.` _ _ -,,.,mss „- a~ ~ ,#~J ,,~~,,~~...,{{~~,, '.2~. .:'NZ•.Y1'~~J~Cb~~ c~..qv~. fv-'RC ~;' r :~..L~3i': i:,a': x ~ t.A{~~+~ ~ r ~~ ~-. 1~ , J C. T' 4 ~'~ .y /~ M r 4~ ~~ Jc o Y fi`~ :.`~ r~ a' ~ :;ca. ...:•.~na--.:w-.~:w .;,, . y~.y: :C. ~`~.3 _. ~~.t~"z ' .~ -~ .- r-- ~~- . ~~k -- t W~~ ~~r~,t ~ ~n„r,~~ SOIL EVALUATION REPORT Page DivNion of Safely and Buildings in aocordarM:e wiff t ~_ ~~~ n AUSCh wmplete st6e plan on paper rat less thane 1!2 x 11 in std :1~l~rt rrn~` include. but not Ilmiled to: vertbal and horimrrtal nsleronce (BM), d~ecdon and ID. percent sbpe, scale or ~mensbns, north arrow, and boon a dtstan¢e to nearest road ; Date l.i !'~ r 2 Q Q.~ Reviewed by Please print all lnibrmadon. ; Personal iarormatbn you Pie may ba uteG for stacondary purpoaes ( ~YL~'(+~. i$.~1t,('~ (m)). -; ~G `~UOn Property Owner UCZ ~ :_. Q -~---~-----~ Govt Lot S'W 114 ,Uw1l4 S 3 T 2 Q N R J~ E {or~( j property Owner's Mailing Address ~ Lot # ~ Bbdc # Sub'd./ Name ar CSM1it ` tCGi //__ ~G /lG rl '~ ,.A /~ ~ ~ ~ g T n Nearest Road City ~ ~ Phone Number ~ aw ^ Cray ^ Viiage ~'~ -~a n'I ~a ~ ~ t~ l o/S (7~ ) ~9Ce Sy ~ m m a rid y n Aow rab d desi i d `L ~o/l ~ o GPD ti tr n f ~ g ve er Code : 5~ Resid~i I Number of bedn~ ~ U uc o Neer Cons 'P ' se Replacement ^ h ^ Public or commercial- Descxibe: ~ ( ~ FbodPlainelevationl7applicabie ft• Parent material - General ccnxnents , ,~ ..{Ais C}- -- S ~~ N'~ C,(e tf . ,~ ~ ~I-r e ~C ~ ~0 Z ~ So ~ilv e ~ T 0 Z. o O and recommendations: ~ ~9 O ~' /V ft. D th to Umitir-g factor _~ in. D Borfn9 # ® Pft Ground surface elev. eP Soi lion Rate Hor¢on Depflt Dominant Color Redox Description Texture SWdure Cons~tence Boundary Roots GPD1f(r •Eff#1 'Elf#2 in. Munsei tlu. Sz. Cont. Cobr Gr. Sz. 5h. Z 1y -z.~ v / - ~. ~ ~ ~ C - ~ S ~ `/ Z 7~, '~ ! ~/a , / N/~n J~ ~ ~`v ~ ~ _ ~ / ^ Boring Borfng # ~ Pit Ground surhaoe elev. ~~~~ft. Depth to NmiOng factor ~~ in. 3oi lion Rate t R GP DIft= Horizon D~th Dominant Cobr Redox D~criptbn Texture Structure Consist~ce Boundary oo s 'EB#'I ~~ in. Mansell Qu. Sz. Cont Cobr Gr. Sz. Sh. ~,~ /~ /' Z w - SL ~ cs ~S - - _ • Effluent tM'1= 80D > SD < 220 rng/L and TSS >30 < 150 rrglL CST Name (PleasQ Prird) /~~ . S~nLO~Sk~r ~.Jl ' EAtuertt #2 = BOD, < 30 mglL. aril TSS ~ 30 mg CST Number Date Evaluatxm t;onaucaea ~~wMR,•w.-•^ -/3 ~-63 pis- ~~ -oz ~9 J ~ -: ~ m p l I Paroel ID # .1~~ ~ Page ~ ~~~ Property Ovm~ Boring # ^ Boring Grorerd surface elev. 03, ft. Depth to ti~9 factor ~- rn• Soi Ra Pit Texture Structure Consistence Boundary Roots GPDIft? Hor¢orr Depth Dornhrant Cobr Radox Gr. Sz Sh. •Eff#1 'EfflY2 in. MrrrrseN ~• ~• Copt Cobr / - a - ,~ - , ~ ,~ a Boring # ~ Bonng Ground surface elev. R. D~th to listing factor in• ~~ Rate O Pit Horaon Depth Dominant Color Redox Damon Texture Structure Consistence Boundary Roots GPDIfP Qu. Sz Cunt Cobr Gr. Sz Sh. 'EtT#1 'Eff#2 in. MunseU (J Boring Boring # Ground surface elev. R Depth ~ fartfing factor in. ^ Pit Soi tart Rate ~~ D~~ p~~tColor Redox Descxiption Textrae Strudure Consistence Boundary Roots GPDIfp in. Munsei{ Du. Sz Cont Color Gr. Sz Sh. `Eff#1 'Eftft2 ` Effluent #1 = BODS> 30 < 220 mgJL and TSS >30 <_ 150 mgiL ' Etfk-ent #2 =GODS <_ 30 mgil. and TSS <_ 30 mglL The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need ~~~ in an alternate format, Please contact the department at 608-266-3151 or 7'TY 608-264-877?. sao-r3ao ra.mrom ~ r ,.-~ PAGE~OF~ ~T a 1~~E rnU I l T OT# ~' LEGAL DESCRIPTIOl~L 14 tiw `4 ,~ ~( T 2 q ,rl,$, 1 ~- E(or~ - - - ~~2 gm.I ~Z..f ° ~~,, " g_t ~~ C k" (~ b~~J ~ ~ g 2 SYS~ twl .~ ~..r ~~ ...__, ~ r oyS ~' 3~ SIGNATURE ~~~ ~ DATE - /S - c~ POV1/TS OWNER'S MANUAL & MANAGEMENT PLAN Page I c! Z rMATION ~ E , N~. I LC.-C, .!GN PARAMETERS ~u^rbe, o' Bedrooms ~ ^ NA ' ..^,he~ of Public Facility Units A ~s;mated flow (average) ~~~ al/da Design flow (peakl, (Estimated x 1.51 ~/S'o al/da Sc~~ Application Rate ~ al/da /ft~ standard Influent/Effluent Quality Monthly average' Fats, Oil & Grease (FOG) 530 mg/L ochemical Oxygen Demand (BODE) 5220 mg/L ^ NA Total Suspended Solids ITSS) 5150 mg/L r e•~eated Effluent Quality Monthly average B~ochemlcal Oxygen Demand (80D6) Total Suspended Solids ITSS) 530 mg/L 530 mg/L ~NA Fecal Coliform (geometric mean) 5104 cfu/100m1 "+ax mum Effluent Particle Size Ya in dia, ^ NA -.~F, ^ NA '`.'aloes tvp~cal for domestic wastewater and septic tank effluent. SYSTEM SPECIFICATIONS Septic Tank Capacity /OOO ~-~- al ^ NA Septic Tank Manufacturer (,Jm,~ S ~~, ^ Na Effluent Filter Manufacturer Za-6~, ~ ^ NA i Effluent Filter Model ~ ~O ^ NA Pump Tank Capacity '~ jC7 al ^ NA Pump Tank Manufacturer l.c~c; S ~ ^ NA Pump Manufacturer 2~„ ~ tom, O NA Pump Model ~ ~ ^ NA Pretreatment Unit ^ Sand/Gravel Filter ^ Peat Filter ^ Mechanical Aeration ^ Wetland ^ Disinfection ^ Other: O NA Dispersal Cell(s) ^ NA ^ In-Ground (gravity) ^ In-Ground (pressurized) ^ At-Grade ~ Mound ^ Drip-Line ^ Other'-- Other: ^ NA Other: ^ NA Other: ^ NA iirr~i n r,inr ~nuen~ n e Service Event Service Frequency !rsoect condition of tank(s) At least once every: (, ^ month(s) (Maximum 3 years) ~' ear(s) ^ NA "uric out contents of tankls) When combined sludge and scum equals one-third (Y,1 of tank volume C NA -soect d.spersal cell(s) At least once every: ~ ^ year(sl(s- (Maximum 3 years) ^ NA C'~ean effluent fiher At least once every: /, ~ ^ month(s) ear(s) ^ NA I -soect pump, pump controls & alarm At least once every: ^ month(s) ^ year(s) ^ NA ~'osh laterals and pressure test At least once every: ~ ^ month(s) ^ year(s) ^ NA I ~'e~ ~ At least once eve r1': ^ month(s) ^ yearlsl ^ NA ~ _ _ ^ NA ~.",AINTENANCE INSTRUCTIONS '~saections of tanks and. dispersal cells shall be made by an individual carrying one of the following licenses or certifications. '."aster Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank ~rsoections must include a visual inspection of the tankls) to identify any missing or broken hardware, identify any cracks or leaks. measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. '~e dispersal cellls) shall be visually inspected to check the effluent levels in the observation pipes and to check for any pondln ~' e`fluent on the ground surface, The ponding of effluent on the ground surface may indicate a failing condition and requires the ~mr^,edfate notification of the local regulatory authority, '','hen the combined accumulation of sludge and scum in any tank equals one-third (Y31 or more of the tank volume, the entire c^ntents of the tank shall be removed by a Septage Servicing Operator and dispo$ed of in accordance with chapter NR 113. wlsconsln Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event, 1D OPERATION Page T o~ ~/ instruction, prior to use of the POWTS check treatment tankls) for the presence of painting products or other chem~ca'~s impede the treatment process and/or damage the dispersal cell(sl. If high concentrations are detected have the contents ~nklsl removed by a septage servicing operator prior to use, n start up shall not occur when soil conditions are frozen at the infiltrative surface. ~g power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater win be ,charged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of iiuent To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring Dower to the effluent pump or .contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to ~estcre normal levels within the pump tank. Dc not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area w~th~n 1 5 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the PO'~/TS antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain Isump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; o~; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT '~'/hen the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system s properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled svu~ soil, gravel or another inert solid material. CONTINGENCY PLAN lr the POWTS fails and cannot be repaired the following measures have been, or.must be taken, to provide a code compliant replacement system: ~~ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorptio^. system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells, Failure to protect the replacement area wi!~ result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ^ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ~~ T N alua a o ing ank be a ai a ~>ZD4-118 1T~~ ~~- l~l~/ ~-0rV57Rcl~l n~ ~', 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, c <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES, DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ;DDITIONAL COMMENTS OWTS INSTALLER Name ~ p~rr~~ ~~~ Phone ~ ~Z. OIOS~ ~ I Z POWTS MAINTAINER Name Phone EPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name S C ( d 20r~1~~C1 Phone Phone "r/S. 3~~_ ,.s document was drahed in compliance with Chapter Comm 83.22(21(blltl(dl&(fl and 83.64111, (21 & 131, wsconsin Administrative Code. ST CROIX COUNTY c~.~; SEPTIC TANK MAINTENANCE AGREEMENT AND OWNBRSI-IIP CERTIFICATION FORM ' OwnerBuyer ~ ~ ~'- ~1 ~ L L ~ /~.--.- .. - Mailing Address ~ox'~/S,/ /~~c~S ~~•• (,l~/ S ~~ /G f'o S 3 / ~ 3 r c~ S~ /~ 4 .+~ n.~ o ... mac' W I ,,n=,. Property Address (Verification required from Planning Department for new City/State ~ d ~ ~ e~ ~ L~ ~ Parcel Identification Number t~v S- o ~. ~ trIIO G 9 33 018'- 2 ~ LEGAL DESCRIPTION property Location S ~ %,, ~ `'~ '/<, Sec. ~ ~ . T L 9 N_R ~ ~ ~ Town of ~ a-•y,~~ ~* ~ . Subdivision ~~ k /a •~ c~ ~a-h ~ ~ .Lot # ~ 7 3 70 7 3 ,Volume °~ _,.Page #~ 2 Certified Survey Map # "7 G ~ ~ 9 9 __, Volume Z S 8 ~ ,Page # ~ Z ~ Warranty Deed # Spot house yes ~ no Lot lines identifiable ~ yes ~ no SYSTEM MAINTENANCE Improper use and mainteaaneeof your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage is the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterplumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three ear expiration date. ~ ~a So TURF APP CANT DATE ti OWNER CERTIFICATION x- I (we) certify that all statements on this form are true to the best of my (our) knowledge.. I (we) am (are) the owner(s) of the ro erty described abov , by virtue of a warranty deed recorded in Register of Deeds Office. . ~zs;o T(JRE APPLICANT DATE sss««« sssss« Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. i •• Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed ~1- 2587P 62y 764699 KATHLEEN H. MALSH STATE BAR OF WISCONSIN FORM 2.2000 REGISTER OF DEEDS WARRANTY DEED ST. CROIX G0. , MI Document Number RECEIVED FOR RECORD This Deed, made between Bruce J. Moll and Thomas S. Aaby 86/03/2004 10:30AK NARRANTY DEED EXElPT ~ Grantor Sam E. Miller, a si y e erson _ REC FEE: 11.08 TRAIiS FEE : 792.00 COPY FEE: ---- - CC FEE PAGES: 1 Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum:) Lots 4, 5, 6~7, 8, 9, and 10, Plat of H~hland Ranch in the Town of Hammond, St. Croix County, Wisconsin.. -' i •~ F Exceptions to warranties: Easements and restrictions of record. "Recording Area Name and Return Address F~= c Q 018-1069-00-400 Parcel Identification Number (PIN) This is not homestead property. bid (is not) Dated this rte' day of , 2004 *v AUTHENTICATION Signature(s) authenticated this ` day of TITLE: MEMBER STATE BAR OF WISCI~T' (If not, = -i authorized by § 706.06, Wis. Stats. ! .Qz THIS INSTRUMENT WAS D"l~I Thomas A. McCormack ~t-- Baldwin, WI 54002 ~~i (Signatures may be authenticated oracknowkdged. Bot ! • Names of persons signing in any capacity must be t WARRANTY DEED Bt~c * Bruce J. --;7a'-~~ yft,~ - -- *Thomas S. Aaby ACKNOWLEDGMENT STATE OF WISCONSIN ) ss. St. Croix County ) i~ !~ rsonally came before me this ~`-` day of 2004 the above named Br J. Moll and Thomas S. Aaby to m~'kno~/rt ~6 be the person(s) w~e~cut~~'e tottaoing .~. Nv, iii ~w~ ~ ~ ti,ww.icu ~ ~ % 4/ ~'~~ ~ _~ ~=^~ Notary Public, State of CONSIN My Commission is penman t. (If not, state expiration date: rrrFare~2 • a-- ~ ..~ ~> ~Il~rlM?~~ 7 or printed below their signature. STATE BAR OF WISCONSIN FORM No. 2 - 2000 INFO-PRO (800)655-2021 www.intoprotorms.com \~ • ~ ~I~i ~ aLa.~..cr.ii /.K•J Uutr Wi.liV VV CIW INI 'v U Ll...icYa~V ~Wl/(.L V I • NLW/ all 1J N4W )il O )fl 1W3 -- ` b8'CZY 1 a .9Y. ~ 1.00 N -- -- - - -- - __ao~~ iL~ - ~ ~r1 tip K-M JOW ~ .NIOi - •1 ~K3.t ~ fJ 4 fo rli R 11 \ "W I . ~ ~ ~ •\ "w~ ~ ~ r.~-011 ~ LJ RIILON ~( ~',~ ~~ ~ _ - +`~.. A ~.. 4 ~ ... 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