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HomeMy WebLinkAbout040-1303-00-046 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 572806 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes[Privacy Law,s.15.04(1)(m)]. Permit Holder's Name: city Village X Township Parcel Tax No: Troy, Town of 040-1303-00-046 , Paschke, Mark&Joanna Section/Town/Range/Map No: CST BM Elev: Insp.BM Elev: BM Description: OD At V j "j 22.28.19.1781 TANK INFORMATION • ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION B HI FS ELEV. Septic Benchmark '� dg' /v9.d add 00 / Alt. BM Dosing nA Aeration v✓ SGT{ 0 Ht Inlet Holding �•� �b Ht Outlet t/ t TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. WIntake Dt Inlet Dt Bottom Septic / II 2v ,Z.Dosing / Header an. 5 L16 3 Aeration Dist.Pipe ,� �p7• b Holding Born Tug �/ 6.B 49 . Final Grade PUMP/SIPHON INFORMATION �'- / Manufacturer (�►"�^" d Demand St Cover O�t 3.76 0 7.3Y GPM Model Number TDH Li Friction OP- Sys t�rm TDH Ft S to, ..Cl Forcemain Lengths Dia. Dist.to well SOIL ABSORPTION SYSTEM PIT DIMENSIONS No.Of Pits Inside Dia. Liquid Depth BED/TRENCH Width Length 1 No.Of Tres , DIMENSIONS /b SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM CHEAc ER OR Manufacturer: INFORMATION Type System: I �/ UNIT Model Number: ) DIST5MUT49N SYSTEM N Hea er/Mani Distribution r�� x Hole Size x Hole Spacing Vent to Air Intake /r// pipe($) It / 3 , 3�, G 44 Length_Dia Length Dia 's Spacing J SOIL COVER x Pressure Systems Only xx Mound O At-Grade Systems Only xx Mulched Depth pth Over xx Dept �►; xx Seed e�•S,o, dd d Edges �G' Ye E] No Yes No COMMENTS: (Include code discrepencies,persons present,etc.) Inspection#1: / �3/ &11nsp ectionLocation: 214 Walnut Hill Way River Falls,WI 54022(NE 1/4 NE 1/4 22 T28N R19W) Walnut Hill Farm aka The T Parcel No: 22.28.19.1781 Quin. P�o.•J O �Z a.l� 1.)Alt BM Description=#,&K 66(;lit,. Quin. 2.)Bldg sewer length= 301 J L-- M6'1 r -amount of cover= � q1 Plan revision Required? Yes No /0 Use other side for additional information. Date Insepctor s Sig ture Cert.No. SBD-6710(R.3/97) Page 8 of 8 Sanitary Site Plan For: Mark and Joanna Paschke Lot 46 of the Walnut Hill Farm Sub. NE1/4-NE1/4 Sec.22 T28N R19W Town of Troy-St. Croix.County Wooded Slope w/White and Burr Oak 0 20 40 o BM#1 1 s-. ter) I=&_ 40 R A BM #2 P2 Open Grass Fallow Field Slope 104.00' � �- B #3 8% 106.00' 0 Proposed 6'x 100' Mound Dispersal Cell 0 107.00' w/a System Elev. of 106.8 ' Proposed 2 14 'Vch0 F.M. Proposed Wieser Concrete WLP12001800 Combination 109.00' 0 09.34' Tank w/a Poly-Lok PL-525 Filter Walk-Out ° Look- Proposed 4"Sch. 40 ••--"PVC Bldg.Sewer Note:Maintain Well and Waterline Setbacks per SPS ° P 108.00' Proposed 4 383.43(8)x) Bedroom Home Garage Proposed Basement Floor=104.00' P/L P2 BM#2= Top ofT-Post on N.W.Lot Corner Elev. =103.58' 1.06 Acre Parcel Elevation Data FN#214 Walnut Hill B#1 = 103.89' Way B#2 = 106.64' B#3 =104.37' A BM= Top of 3/4"Re-Rod Iron on N.W.Lot Corner * HRP=Same ASSUMED ELEV.= 100.00' ' =Backhoe Pit ' fR County //�� rW Nk, . Safety and Buildings Division S,r C 1^4:)him ton Ave. P.O. Box 7162 Sani Permit Number(to a filled in by Co.) 201 W.Was g tart Mad• on 507 5 7 Z ? 6 Co QME State Transaction Number A.,64", y Permit Application �SIn accordance witlal0lirtm.Code,submission of this form to the appropriate governmental unit is required prior to%btaming a sanitary permit. Note:Application forms for state-owned POWTS are submitted to Project Address(if different than mailing address) the Department of Safety and Professional Servies. Personal information you provide may be used for secondary ourposes in accordance with the Privacy Law,s.15.0 1 m,Stats. 2� / P -) �L I. Application Information-Please Print All Information Parcel# - vv Property Owner's Name P d T Property Owner's Nkiling Address Property Location 240 L PD fy -Q Govt.Lot City,State Zip Code Phone Number L.�y, 7r Section r , ,�' f ,Z� ,_Jccircle ona .^ Gt 5 l,[J v T _N; R�L—E c� H.Type of Building(check all tha apply) Lot# j„ Subdivision Name Q�2 Family Dwelling-Number of Bedrooms Cl/ ak � Bloc El Public/Commercial-Describe Use ❑City of J CSM Number El of ❑State Owned-Describe Use [4'Iownof�� III.Type of Permit: (Check only one box on line A. Complete line B if applicable) A ew System ❑Replacement System ❑Treatment/Holding Tank Replacement Only ❑Other Modification to Existing System(explain) B. ❑Permit Renewal ❑Permit Revision ❑Change of Plumber ❑Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner IV.Type of POWTS System/Component/Device: Check all that apply), 6 r'V OJ ❑Non-Pressurized In-Ground ❑Pressurized In-Ground ❑At-Grade Mound>24 in.of suitable soil ❑Mound<24 in.of suitable soil ❑Holding Tank ❑Other Dispersal Component(explain) ❑Pretreatment Device(explain) V.Dis ersaVTreatment Area Information: Design Flow(gpd) Design Soil Application e(gpdsf) Dispersal Area Requir (sf) Dispersal Area Propo ( System Elevation /ILP I.Tank Info Capacity in Total #of _ anufacturer Gallons Gallons Units �a �p� o ;? �j 2 y New Tanks Existing Tanks c U in rn w c7 a Septic or Holding Tank oD f ei e,- Dosing Chamber DD VII.Responsibility Statement-I,the undersigned,assume responsibility f r installation of the POWTS shown on the attached plans. Plumber's Name(Print) Plumb ' Sigma MP/ Number Business Phone Number sue, �f`f3 a -- ,D- 7 Plumber's Address(Street,City,State,Zi Code) sr~ � � �� is az VI oun /De artment Use Only Permit Fee Date I sued Issuing Ag ignature )KApproved tsappro $ ��/•i7D � � � r ven Reason for De G✓• �f IX.Condit seasons for Disapproval f TSepiktank,effluent fifter and PP 3 l�0✓la � '� dispersal cell must all be servk:es I maintained �l� L'k�LC� L,,)/ { p e as per management plan provided by plumber. / 2. At-set>mck requirements.must be maintained ss per appRuille code./ord Attach to complete plans for the system and submit to the County only on paper not less than 81/2 x 11 inches in size SBD-6398(R. 11/11) Q�yARTy�NT DIVISION OF INDUSTRY SERVICES 2331 SAN LUIS PL STE 150 1P GREEN BAY WI 54304 3 ,= Contact Through Relay hftp://dsps.wi.gov/programs/industry-services 9� www.wisconsin.gov A " RO sSIONPV Scott Walker,Governor Dave Ross,Secretary September 23,2014 CUST ID No. 224059 ATTN.•POWTS Inspector KEITH E STONER ZONING OFFICE KEITH STONER SOIL TESTING SANITARY DESIGN ST CROIX COUNTY SPIA 23220 WOOD CREEK RD 1101 CARMICHAEL RD SIREN WI 54872 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/23/2016 Identification Numbers Transaction ID No.2453456 SITE: Site ID No. 805649 Mark Paschke Please refer to both identification numbers, 214 Walnut Hill Way above,in all correspondence with the agency. Town of Troy, 54022 St Croix County NEIA,NEIA, S22,T28N,R19W Lot:46,Subdivision:Walnut Hill Farm FOR: Description:Residential Mound-New Construction Object Type: POWTS Component Manual Regulated Object ID No.: 1500951 Maintenance required; 600 GPD Flow rate; 26 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual-Ver.2.0,SBD-10691-P(N.01/01,R. 10/12),Pressure Distribution Component Manual- Ver.2.0,SBD-10706-P(N.01/01,R. 10/12); Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s)referenced above. 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, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Key Items(s)-POWTS Design Approval • 'This system is to be constructed and located in accordance with the approved plans and with the"Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems Version 2.0" SBD-10706-P (N.01/01). • 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.01/01). PF • The proposed system area shall be fenced off or protected from construction activity on the site. j\/{ • Wastewater generated from contractors cleaning of equipment and tools and/or left over construction products shall not be discharged into the drains discharging to the private onsite wastewater treatment J system(POWTS). Waste generated shall be properly disposed of on-site or off site. • Any tall grasses,leaves and shrubs need to be cut short and removed prior to tilling the surface for installation to prevent matting under the dispersal area. KEITH E STONER Page 2 9/23/2014 • Prior to construction of the dispersal area,check the moisture content of the soil to a depth of 8 inches. Smearing and compacting of wet soil will result in reducing the infiltration capacity of the soil.Proper soil moisture content can be determined by rolling a soil sample between the hands. If it rolls into a 1/4-inch wire, the site is too wet to prepare.If it crumbles,site preparation can proceed.If the site is too wet to prepare,do not proceed until it dries. • The owner is responsible for the operation and maintenance of the private onsite wastewater treatment system (POWTS)in accordance with SPS 383 and the approved management plan • The owner of a POWTS shall be responsible for ensuring that access opening covers remain locked or secured except for inspection,evaluation,maintenance or servicing purposes. • Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Provide a copy of the approved POWTS plans and this letter to the owner. 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 Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance.As per state stats 101.12(2),nothing in this review shall relieve the designer of the responsibility for designing a safe building,structure,or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below,or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any _ otl�er�w e ponsible for the installation,operation or maintenance of the POWTS. / iSiric4rel , Fee Required$ 250.00 i This Amount Will Be Invoiced. When You Receive That Invoice, S Finger Please Include a Copy With Your P P�' O S Waste ter S e i list,Inte ated Services Payment Submittal. (60J8 '574-118.8 , Fax: 6 267-9566,M-f 7:OOAM-3:45PM WiSMART code:7633 mark.fmger @wisconsin.go'v cc: Edwin A Taylor,Wastewater Specialist,(715)634-3484,Monday-Friday 8:00 am To 4:30 pm Keith E Knudtson (Plans Mailed To) Note: Effective January 1,2012, all codes under the jurisdiction of the Division of Industry Services(formerly Safety&Buildings)will be modified. Code references with prefixes starting with"Comm"have been replaced with "SPS"to recognize the relocation of the Division of Industry Services from the former Department of Commerce to the Department of Safety&Professional Services.Additionally,all IS(formerly S&B)codes have been renumbered and addressed in a"300" series. For future reference,the Wisconsin Commercial Building Code will be addressed by SPS Chapters 360-366. 7� .J 1� G� S AUG 2S 2014 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGNJTRY SERVr'C, ' Residential Application INDEX AND TITLE PAGE Project Name: Mark Paschke Mound System Owner's Name: Mark and Joanna Paschke Owner's Address: 960 Leroy Lane River Falls WI 54022 Legal Description: Part of the NE1/4-NE1/4 Sec.22 T28N-R19W Township: Troy County: St. Croix Subdivision Name: Walnut Hill Farm Lot Number: 46 Block Number: Na Parcel I.D. Number: 040-1303-00-046 Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings L --'DITIONALLY Page 4 Lateral and dose tank APPROVED Page 5 System maintenance specifications `,.� SAFETY AND Page 6 Management and contingency plan I! , r,L SERVICES Page 7 Pump curve and specifications ND, TRY SERVICES Page 8 Plot Plan � E P Designer: Keith E. Stoner `✓ ` • �'••.-ie Number: Designer 1575-007 Date: 08/20/14 m`��^KErrHE• kon&Number: 715-653-2324 ,TONER i 0-1575 Signature: 66ren, Dei ned?Pumuerit to the Mound Compon nt Manual for POW"ft Version 2.0 S013-10691-P(N.01/01),and both SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS(01/81)and Pressure Distribution Component Manual Ver.2.0 SBD-10706-P(N.01/01) Version 7.0(R. 03/2012) Page 1 of 8 r 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 400.00 Estimated Wastewater Flow(gpd) Table 383-44-3 in-situ soil treatment for 1.50 Peaking Factor(e.g. 1.5= 150%) fecal coliform of<=36 inches. 600.00 Design Flow(gpd) 8.00 Site Slope(%) 106.00 Contour Line Elevation (ft) 26.00 Depth to Limiting Factor(in) 0.60 In-situ Soil Application Rate(gpd/fl?) Distribution Cell Information 100.001 Dispersal Cell Length Along Contour(ft) r_____6_0_01 Cell Width(ft) 1.00 Dispersal Cell Design Loading Rate(gpd/ft) 1 Influent Wastewater Quality(1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? Enter Y or N (C or E) E Center or End Manifold 3.00 Lateral Spacing(ft) If N above, enter the elevation ft 2 Number of Laterals of the highest point. 0.125 Orifice Diameter(in) 2.33 Estimated Orifice Spacing (ft)= 6.98 ft2/orifice 2.00 Forcemain Diameter(in) 42.00 Forcemain Length (ft) Does the forcemain drain back? Y 98.50 Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft)x 1.3 6.85 Forcemain Drainback(gal) 7.92 Vertical Lift(ft) 90.56 5x Void Volume(gal) 1.11 Friction Loss(ft) 97.41 Minimum Dose Volume(gal) 0.00 In-line Filter Loss(ft) 35.43 System Demand(gpm) 15.52 Total Dynamic Head(ft) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 x 1.00 1.50 x x 1.25 2.00 1.50 x x 3.00 2.00 x 3.00 x Gallons/Inch Calculator(optional) Treatment Tank Information Total Tank Capacity(gal) 1200.001 Septic Tank Capacity(gal) Total Working Liquid Depth(in) Wieser Concrete I Manufacturer gal/in(enter result in cell B49) Dose Tank Information Effluent Filter information 800.64 Dose Tank Capacity(gal) I Pol -Lok Filter Manufacturer 22.241 Dose Tank Volume(gal/in) PL-525 I Filter Model Number Wieser Concrete IManufacturer Project: Mark Paschke Mound System Page 2 of 8 Mound Plan and Cross Section Views T 1110 B :-. . : :•:•:•:•:•:•:•:•:•:':-:. ' • . • •:• • •:• .:... . . . . .:.:.:.. . . . . J Observation Pipe K • L•L•L•L•L L•L•L 1•L•L•L•L•L�L•L L•L•L•L�L L•L L L L L L L L•L L•L L L L L L L L•L•L•L .••�r;•r r r,fM•:r r r•r r•r r•r t r•.•r•rY•f,1'•l•l•fMY•J•Ar•r•r•rY•r•1'•'l•r•r•r• L•L• L•L•L•�.•L�L+L•L•L•L•L•' •L•L•L•L•L•L•L•L•L•L•L•L•L•L•L•L•L•L•L• •yK.y.L i'.r.r•r•'j'}��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. A r�riririrTj:fijiri•"irir:d rnri,(i" � L•L.L.'.1.1•L•\.y.•.M1..y.L•L•L•L.L.L.L L•L•L•L+L f1 L+L•L•L•L•L•L+L•L+L•L•L•L• r• }•r•r•r r.r.r.r•r.r;r.r•r.r•r.r•r..••r• r.r•r•r•r• . L•Lf1,�.L.L•L•L•L.L•L•L•L•L•L•.•L•L•L•L•L•L•L•L•L•L•L•L•L•L•yy r•r•r•r•hAr•rY•r•r•r•r•r•r• r•Nr•r•Nr•r.r•r•r,r•r•r•r•r•r•r+r•r•rY•r•r•r•r•r•r•r. W • B L Mound Component Dimensions A 6.00 ft E 15.76 in H 1.00 ft K pnft ft B 100.00 ft F 9.501 in 1 10.28 ft L ft D 10.00 in G 0.50 ft J 5.14 ft W 600.00 (ft) Dispersal Cell Area 1 1628.29 (ft )Basal Area Available 6.00 (gpd/ft)Linear Loading Rate 1 10.00 (ft) 1110 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 108.63 (ft) --► G H I F Dispersal Cell 107.33 (ft) Lateral 106.83 (ft)—► Invert Dispersal Cell [ Elevation D :� `. ' '`' ::::•. . . . v 4 106.00 (ft)Contour Elevation 8,0 %Site Slope Geotextile Fabric Cover Shading Key -08. Dispersal Cell See lateral details on 1Q Topsoil Cap � a 1.5 ft L•L ti.s•1•L•L L•L•L•L•L•1•L yL.L Page 4 for number,size, O C r•r•r•i•r•r•r•r•r.r•}•r•r• L:�L�.jL.�L.L.L.L.L.L.L•LK•L•YL Subsoil Cap W c ��7( Y'L'Lr' Lf1•LfL and spacing of laterals. L•1�1i:L1..Sr1� •.�L•L• r•r•r• ASTM C33 Sand `� 10 r r•:•r.r.r•r. r•r•r•r. Laterals are equally L•L•L•L•L•L• L•�.•L••.�L:L�L••.•L•L ;.s., �s�fLf: spaced from the d 0. ft L.L.T iCel Lateral L•L•'ti•L Tilled Layer r•r.,- r r. W L.L.y.'•.y.ti:{:{:{:=S:i:4•L• �. distribution cell's © E:r r: Aggregate O ?•:•r r r•r•r.r•r M1•r•r•r.r.r. centerline in the �--A --* distribution cell(AxB). Project: Mark Paschke Mound System Page 3 of 8 End Connection Lateral Layout Diagram Lateralsoenwred~the,A4cBdimension • turn-up vil bell wsivooroloan out plug ,1 P All laterals ate identioal 1(-X--+l Holes drilled on the bottom of the lawral e4ualtspaced S Force main connection via tea of efoss to mani m at am point Laterals Worcemain Sch 40 PVC per SPS Table 384.311-6 Number of Laterals 2 Orifice Diameter 0.125 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.35 ft Lateral Length(P) 98.70 ft Orifices per Lateral 43 Lateral Spacing (S) 3.00 ft Orifice Density 6.98 ft2lorifice Lateral Flow Rate 17.71 Jgpm Manifold Length 3.00 ft System Flow Rate 35.43 gpm Manifold Diameter 1.50 in Total Dynamic Head 15.52 ft Forcemain Velocity 3.62 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and --� _ SPS 316.300 WAC 4 in.min. Disconnect _ . ` Tank component is properly vented E- Altemate outlet location Forcemaln diameter Wieser Concrete Manufacturer _� 2 in. Ca aci 800.64 Gallons Volume 22.24 gal/inch A _ Weep hole or anti- Dimension Inches Gallons B siphon device A 18.62 414.11 B 2.00 44.48 C P� ump off elevation(ft) C 4.38 97.41 1 99.42 D 11.00 244.64 D Total 36.00 800.64 IF Dose nk elevation(ft) 3"Bedding uncTi tank. 1 98.50 Alarm Manuafacturer I SJE. Rhombus Note: Switches Alarm Model Number I Tank Alert1 containing mercury _ may not be used in Pump Manufacturer JGoulds this system. Pump Model Number EP05 Pump Must Deliver 35.43 gpm at 15.52 ft TDH Project: Mark Paschke Mound System Page 4 of 8 Mound System Maintenance and Operation Specifications Service Provider's Name Powers Sanitation Phone 715-246-5738 POWTS Regulator's Name St. Croix County Zoning Phone 715-386-4680 System Flow and Load Parameters Design Flow-Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow-Average 400 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1200 gal Maximum TSS 150 mg/L Soil Absorption Component Size 600 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Freauencv Septic and Pump Tank Inspect and/or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test month) Pressure System Laterals should be flushed and pressure tested every 1.5 years Moundi Inspect for ponding and seepage once every 3 years Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to SPS 384.30 (6)(i), Wis.Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in SPS 384,Wis.Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished ..,�•��......•• ........•••••.. Grade \>1 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution --- Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Mark Paschke Mound System Page 5 of 8 Mound System Management Plan Pursuant to SPS 383.54,Wis.Adm.Code General This system shall be operated in accordance with SPS 382-84 Wis.Adm.Code,and shall maintained in accordance with its'component manuals[SBD-10691-P(N.01/01),SSWMP Publication 9.6(01/81),and Pressure Distribution Component Manual Ver.2.0 SBD-10706-P(N. 01/01)]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. abandonment shall be in accordance with SPS 383.33 Wis.Adm.Code when the tanks are no longer used as Septic and pump tank aband , 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 finer 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 flours 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 removed at the time of a triennial assessment maintenance personnel shall advise the owner of tank. If the contents of the tank are not pe when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However,if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump(dosing)tank shall be inspected at least once every 3 years. All switches,alarms,and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter,and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic(other than for vegetative maintenance)on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations(October-February)dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BOD5,150 mg/L TSS,and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD5,30 mg/L TSS,10 mg/L FOG,and 104 cfu 1100 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 components)shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface,it will be repaired or replaced in its'present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media,and related piping,and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Pretreatment Units The information and schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment units or disinfection units are attached as separate documents and are considered part of the overall management plan for this system. Project: Page 6 of 8 Page 7 of 8 GOULDS PUMPS Submersible Effluent Pump 3871 EP04 EP05 APPLICATIONS •Fully submerged in high ■EP05 Impeller:Thermoplas- ■Bearings:Upper and lower grade turbine oil for tic enclosed design for heavy duty ball bearing Specifically designed for the lubrication and efficient improved performance. construction. following uses: heat transfer. ■Casing and Base:Rugged • Effluent systems thermoplastic design provides AGENCY LISTING • Homes Available for automatic and superior strength and corrosion • Farms manual operation.Auto- 41.Canadian sranda�auor etion • Heavy duty sump matic models include resistance' • Water transfer Mechanical Float Switch ■Motor Housing:Cast iron (CSA listed model numbers end • Dewatering assembled and preset at the for efficient heat transfer, in"C"or"F".) factory. strength,and durability. SPECIFICATIONS ■Motor Cover:Thermoplastic Gam Pmp is ISO 9001 Plagswed FEATURES cover with integral handle and •Solids handling capability: float switch attachment points. 1/4"maximum. ■EP04 lq*Her:Thermoplas- 0 Power Cable:Severe duty •Capacities:up to 60 GPM. tic Semi-open design with rated oil and water resistant. •Total heads:up to 31 feet. pump out vanes for mechanical •Discharge size: 11/2'NPT. seat protection. •Mechanical seal:carbon- rotarykeramic-stationary, BUNA-N elastorners. •Temperature: 104°F(40cQ continuous METERS FEET - __ 140°F 60QC}intermittent. •Fasteners:300 series 10 _...� __.... stainless steel. 9 •Capable of running 3Q' s�M dry without damage to a 2.5 Fr components. 25 ; i o 7 ... Motor: •EP04 Single phase:0.4 HP, s 20 115 or 230 V,60 Hz,1550 ..... ! RPM,built in overload with 5 n 15 h automatic reset. 4 •EP05 Single phase:0.5 HP, 115 V or 2 V,60 Hz,1550 " s 10 -' RPM,built in overload with EP04 J automatic reset. z f •Power cord:10 foot 5 _. ... .......... , ._.. .. standard length,16/3 .. ..... S1TOW with three prong grounding plug.Optional 20 0 0 0 10 20 30 40 50 GPM foot length,16/3 S1TW with three prong grounding plug o z 4 6 a 10 12 ml/h (standard on EP05), CAPACITY Goulds Pumps ®2001 Goulds Pumps ITT Industries Effective May,2001 83871 r .' hge 8 of 8 Sanitary Site Plan For: Mark and Joanna Paschke Lot 46 of the Walnut Hill Farm Sub. NE1/4-NE1/4 Sec.22 T28N R19W Town of Troy-St. Croix County Wooded Slope w/White and Burr Oak t�3 Ix 0 20 40 - BM ° (am) i inch - 40 tt ,�BM #2 P/L Open Grass Fallow Field Slope 104.00' B N3 'x 8% 106.00' Proposed 6 100' 0 Mound Dispersal Cell O 107.00' w/a System Elev.of 106.8 ' proposed 2"Sch. 40 F.M. / Proposed Wieser Concrete WLP1200 1800 Combination 109 00, 0109.34' Tank w/a Poly-Lok PL-525 Filter Walk-Out Look-Out Proposed 4"Sch. 40 PVC Bldg.Sewer Note.Maintain Welland Waterline Setbacks per SPS 108.00' Proposed 4 383.43(8)(1) Bedroom Home Garage Proposed Basement Floor=104.00' PIL P/L BM#2=Top of T-Post on N.W.Lot Corner Elev. =103.58' 1.06 Acre Parcel Elevation Data FN#214 Walnut Hill 13#1 = 103.89' Wes, B#2 = 106.64' 13#3 =104.37' At BM=Top of 3/4"Re-Rod Iron on N.W.Lot Corner * HRP=Same ASSUMED ELEV.= 100.00' ' =Backhoe Pit SOIL EVALUATION REPORT . . , w G . �..��., #1250 { S p Depart" I,Services .D ` , i; Page 1 of 3 a Division o�S I � Keith E.Stoner In accordance withm 85,Wis.Adm.Code —owe P.1• ;4 p� County Attach com lete' ' 8�1 on paper not less than 8/:x 11 inches in size. Plan must p �yl p pe St.Croix include,but 1 ed to:vertical and horizontal reference point(BM),direction and percent slopd,scale or dimensions,north arrow,and location and distance to nearest road. Parcel I.D. 04 1303-00-046 Please print all information. Revie Date z / Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). Property Owner Property Location Mark Paschke Govt.Lot ,S22,T28N, R19W Property Owner's Mailing Address Lokf Block# Subd.Name or CSM# 5--AU- 0 960 Leroy Lane 46 1 Walnut Hill Farm City State Zip Code Phone Number City ❑Village ® Town Nearest Road River Falls WI 1 54022 1 Troy 1 214 Walnut Hill Way ®New Construction Use: ® Residential/Number of bedrooms 4 Code derived design flow rate 600 GPD ❑Replacement ❑ Public or commercial-Describe: Parent material Loamy Till Flood plain elevation,if applicable Na ft. General comments Propose a 6'x 100'Mound Cell located along the 106.00'contour w/a System Elevation of 106.83.Upslope mound contour staked and recommendations: onsite. []Boring 1 Boring# Pit Ground surface elev. 103.89 ft. De Depth to Jim factor 34 in. ® P 9 Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fl2 in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 1 0-8 10YR3/3 sit 2msbk mvfr cs 3f-m 0.6 0.8 2 8-14 10YR5/4 sil 2msbk mvfr gs 2f-m 0.6 0.8 3 14-34 10YR4/4 sil 2msbk mvfr gs 2f 0.6 0.8 4 34-38 10YR5/3 c2d 5YR5/8 sicl 2fsbk mfr gs 2f 0.4 0.6 5 38-57 10YR4/6 Bedrock sil 1fsbk mvfr --- if 0.4 0.6 #5 Bedrock limestone fragmented 75% Boring# ❑Boring ®Pit Ground surface elev. 106.64 ft. Depth to limiting factor 27 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. *Efl#1 *EfW 1 0-7 10YR3/3 A 2msbk mvfr cs 3f-m 0.6 0.8 2 7-17 10YR5/4 sil 2msbk mvfr gs 2f-m 0.6 0.8 3 17-27 10YR4/4 A 2msbk mvfr gs 2f 0.6 0.8 4 27-36 5YR4/4 c2d 5YR5/8 grsl ifsbk mvfr gs 2f 0.4 0.7 5 36-42 5Y5/4 c1d5YR5/8 c m mfr --- if 0.0 0.0 *Effluent#1=BOD5>30<220 mg/L and TSS>30<150 mg/L *Effluent#2=BOD5 S30 mg/L and TSS S30 mg/L CST Name(Please Print) Signature: CST Number Keith E.Stoner 1 224059 Address Keith E.Stoner Date Evaluation Conducted Telephone Number 23220 Wood Creek rd.Siren,WI 54872 8/19/2014 715-653-2324 SBD-8330(K 11/11) Property Owner Mark Paschke Parcel ID# 040-1303-00-046 Page 2 of 3 F F] Boring 3 Boring# ® Pit Ground surface elev. 104.37 ft. Depth to limiting factor 26 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 *EfW 1 0-9 10YR3/3 sil 2msbk mvfr cs 3f-m 0.6 0.8 2 9-14 10YR5/4 sil 2msbk mvfr gs 2f-m 0.6 0.8 3 14-23 10YR4/4 sil 2msbk mvfr gs 2f-m 0.6 0.8 4 23-26 10YR4/4 sicl 2fsbk mfr gs 2f 0.4 0.6 5 26-36 2.5Y6/4 c2d5YR5/8 c 2msbk mfr gs if 0.2 0.3 6 36-48 10YR4/6 c2d5YR5/8 sil ifsbk mvfr -- -- 0.4 0.6 Horizon#6-70%fragmented(limestone F-1 ❑ Boring Boring# h limiting factor Depth to Pit Ground surface elev. ft. P 9 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 'EfW F-1 ❑ Boring Boring# Pit Ground surface elev. ft. Depth to limiting factor in. ❑ Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *Eff#1 *EfW r *Effluent#1=BOD?30 _220 mg/L and TSS>30<150 mg/L *Effluent#2=BOD5<30 mg/L and TSS-30 mg/L The Department of Safety and Professional Servicese is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format,contact the department at 608-266-3151 or TTY through Relay. Page 3 of 3 Soil Test Site Plan For: Mark and Joanna Paschke Lot 46 of the Walnut Hill Farm Sub. NE1/4-NE1/4 Sec. 22 T28N-R19W Town of Troy-St. Croix County Wooded Slope w/White and Burr Oak 0 20 40 - BM #1 a�scab c ONO 0 -BM #2 P/L Open Grass Fallow Field Slope 104.00' -- ,B #3 8 0° 106.00' ,B #2 107.00' / Proposed o Combination Tank P2 109.00' 0 09 .34 Walk-Out Look-Out Proposed 4 Bedroom Home Note:Maintain Well and Waterline Setbacks per SPS 108.00 383.43(8)(1) Garage 1.06 Acre Parcel Proposed Basement Floor=104.00' P/L BM#2 = Top of T-Post on N.W.Lot Corner Elev. =103.58' Elevation Data FN#214 Walnut Hill B#1 = 103.89' Way B#2 = 106.64' B#3 =104.37' AL BM=Top of 3/4" Re-Rod Iron on N.W.Lot Corner HRP=Same ASSUMED ELEV.= 100.00' aiag August 19th,2014 =Backhoe Pit keith E.Stoner CST#224059 it "° o E o ! �• vi "� ! s f �► I �o 4K i" V. s c N co c 4ot AimAh C4 p • 041V , 1 . • `' /' ' coo cv ° `tf c ' .•ter. —J02 w fit'! IV ro3 401 �1 r. t f , N s •tip � � � � cn t f oo .: T' ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/13uyer Mark Paschke Mailing Address Property Address 214 Walnut Way (Verification required from Planning&Zoning epartment for new construction.) City/State River Fails Wi Parcel Identification Number 040-1303-00-046 LEGAL DESCRIPTION Property Location N E '/. , NE 1/. , Sec. 22 ,T 28 N R 19 W,Town of Troy Subdivision Plat.Walnut Hill Farm , Lot# 46 Certified Survey Map# 2 ,Volume ,Page# q Warranty Deed# / 3 J 3 (before 2007)Volume ,Page# Spec house[3yesono Lot lines identifiable ElyesQno SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of 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 in the waste disposal system. Owner maintenance responsibilities are specified in§SPS.3$3.52(1)and in Chapter 12-St.Croix County Sanitary Ordinance. The property owner agrees to submit to St.Croix County Planning&Zoning Department a certification form,signed by the owner and by a master plumber,journeyman plumber,restricted plumber or a licensed pumper verifying that(1)the on-site wastewater disposal 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 Safety And Professional Services 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 Planning&Zoning Department within 30 days o he three year expiration date. I/we certify that all statements on this form true true to the best of my/our knowledge. I/we am/are the owner(s)of the property described above,by virtue of a warranty dee recorded in Register of Deeds Office. Number of bedrooms 4 a4A SI NATURE OF APPLICANTS) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning&Zoning Department.** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV.04/12) i 8022452 Tx:4016422 STATE BAR OF WISCONSIN FORM 3-2000 933317 Document Number QUIT CLAIM DEED BETH PABST REGISTER OF DEEDS THIS DEED, made between Citzens State Bank, Grantor, and Mark ST. CROIX CO., WI and Joanna Paschke Revocable Trust,Grantee. 03/09/2011 2:42 PM Grantor qu t Maims to Grantee the following described real estate in St. EXEMPT#: NA Croix County,State of Wisconsin(the"Property"): REC FEE: 30.00 Lot 4 of Walnut Hill Farm, in the Town of Troy, St. Croix County, TRANS FEE: 135.00 Wisconsin. PAGES: 1 Recording Area Name and Return Address: ,--r,41 e OrZ Together with all appurtenant rights,title and interests. 040-1303-00-046 Parcel Identification Number(PIN) This is not homestead property. Dated this. 313111 Citzens State Bank ,Z42== *Citzens State Bank by o,,,,, Vo„pt j r f)7f 5- s- * * AUTHENTICATION ACKNOWLEDGMENT STATE OF WISCONSIN ) Signature(s) COUNTY. )ss. authenticated this Person Ily came before me this 3,04 day of MA r 7,01( the above (named Citzens * StateBankby �,t\ VVIAO','f! f/es-^4,4-- TITLE:MEMBER STATE BAR OF WISCONSIN to me known to be the person(s) who executed the (If not, foregoing instrument and acknowledged the same. authorized by§706.06,Wis.Stats.) THIS INSTRUMENT WAS DRAFTED BY * C- Michael H. Forecki,Eau Claire WI Not ub ic,State of Wisconsin My commission is permanent. (If not,state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) ) *Names of persons signing in any capacity must be typed or printed below their signature EMM] QUIT CLAIM DEED STATE BAR OF WISCONSIN FORM No.3-2000 1 of 1 Parcel #: 040-1303-00-046 08/29/2014 08:25 AM PAGE 7 OF 1 Alt. Parcel#: 22.28.19.1781 040-TOWN OF TROY Current '��]X ST. CROIX COUNTY,WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type #of Units 00 0 Tax Address: Owner(s): O=Current Owner, C=Current Co-Owner O-PASCHKE, MARK&JOANNA TR MARK&JOANNA TR PASCHKE 960 LEROY LN RIVER FALLS WI 54022 Property Address(es): "=Primary *214 WALNUT HILL WAY Districts: SC =School SP=Special Type Dist# Description SC 4893 SCH DIST RIVER FALLS SP 0100 CHIP VALLEY VOTECH Notes: Legal Description: /'� �� Acres: 1.060 SEC 22 T28N R1 9W PT NE N ALNUT HILL FARM LOT 46(1.060AC Parcel History: �/C� Date Doc# Vol/Page Type c� 03/09/2011 933317 QC 03/05/2010 912825 SD 03/28/2006 821266 WD 12/10/2003 748768 2471/594 WD more... Plat: *=Primary Tract: (S-T-R 40%160%GL) Block/Condo Bldg: *09-092-WALNUT HILL FARM 1/75 040-03 22-28N-19W NE NE LOT 046 2014 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 11/09/2009 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.060 52,000 0 52,000 NO Totals for 2014: General Property 1.060 52,000 0 52,000 Woodland 0.000 0 0 Totals for 2013: General Property 1.060 52,000 0 52,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 ►wz x�r z�a � , T � ca flc�u�nida Q t I t I ---- S FTII I.- a oe m Z a d �p z u T N m-. EX: _ 4 - I -- F I u I it � 4 I �� n m a Y °x Jas omorad Awl. ------------- 3 ----------- ------------ ; m g K I I Vim' fill I ; I I ; I Z I a LL S - ------------ ------ w x tt NwM� I — IF Cs� lJ �ro a[ ax a - g y � I nxe uixi an[xi 't'K