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HomeMy WebLinkAbout040-1303-00-049 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 572811 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: 040-1303-00-049 C&J Builders Inc., C/o Jeff J. Husby Troy, Town of CST BM Elev: Insp.BM Elev: BM Description: Section/Town/Range/Map No: 16 0 AM J 615T- 22.28.19.1784 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURERR`�wys CAPACITY STATION BS HI FS ELEV. •? /0 ZS Septic 1 ^y,� r 7 ZO Benchmark 3• ,,.I la3 � too Dosing Alt. BM /,e. d Bldg.Sewer Q,0 �5• �/ ►L,, Pa a 6225 7 Holding St/Ht Inlet � `�� 95 • x3 TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic 4431 75 /Z 1 Dt Bottom 79 Dosing � I •,_,_ Header/Man. yz ' 75 IZ 7-41 2. 55 99. 3 Aeration Dist. Pipe Z.95 �V Holding Bot.System `� 3.31 �7 7 - ate, Final Grade PUMP/SIPHON INFORMATION 7_2 A6 •`� Manufacturer Demand St Cover ,6'e_ GPM Model Number I cis Z7,17 TDH Lift- l� Friction L System He( � TD ;t I .` � B b � Forcemain Length Dia.Z#I Dist.to well 75 r SOIL ABSORPTION SYSTEM S• qn BED/TRENCH Width I Length No.Of TAhches PIT DIMENSIONS No.Of Pits Inside Dia. Liquid Depth DIMENSIONS C? 76 &IOV SETBACK SYSTEM TO P/ ,,4- BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION Type Of System 1:5 3t �a �� CHAMBER OR UNET Model Number: ` DISTRIBUTION SYSTEM Header/Manifo)d Distribution x Hole Size x Hole S acing / Venilp Air Intake Pipe(s) '3 Z3 t 3. Length Dia Z Length � Dia ��Z Spacing Z(� ✓ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over qr Depth Over xx Depth of xx Seeded/Sodded xx Mul hed Bed/Trench Center J, ! Bed/Trench Edges Topsoil ' �� ._. Yes No es No COMMENTS: (Include code discrepencies,persons present,etc.) Inspection#1: / 7-1 / ✓ iz Inspection#2: /oWj OK Location: 206 Walnut Hill Wayy River Falls,WI 54022(NW 1/4 SE 1/4 22 T28N RI 9W) Walnut Hill Farm aka the Pa cel : 22.28.19.1784 1.)Alt BM Description= 6'f & L'k GO:�-+ 1^, 2.)Bldg sewer length= 1� -amount of cover= it 7 1� o4\ Plan revision Required? Yes No ZZ y y 7 Use other side for additional information. f SBD-6710(R.3/97) Date Insepctor' Signat a Cert.No. Plot Plan Page I of,,? Property Owner L'' ��T T-;�>u t Ltia+es sN c. I" = 4oft Legal Description Lcr v,.A"UT t+i LL PAKAL (except where noted) (rRiMU-Tt-), fttt: OF THS JVWlJ4 oF- -rrfE. SZV4. sec'. Backhoe P it TZ,f i4 i 'Zlq W -MWa VF -i-JOY, ST C-Koix Ca i;+.fiTj, W t North Zoto WA"La- t ILL VAY j iZD -A KES s 2 § ri ~� (Are m ' \ ©© 1 cJ @C l �R0>03 Car LV 1 E)E nv?D o I�01OS�P (�Cl"' uj X74{xra`�r� �G Court �j Safety and Buildings Division r 201 W.Washington Ave., P.O. Box 7162 Sanitary Permit Number to be filled in by Co.) Madison, 37 7— s pg1 J`7 Zg g 1P M :ry Permit Application State Transaction Number /- In accordance with 1(2),Wis.Adm.Code,submission of this form to the appropriate governmental unit is required prior to aining a sanitary permit. Note:Application forms for state-owned POWTS are submitted to Project Address(if different than ail'ng ddress the Department of Safety and Professional Servies. Personal information you provide may be used for secondary ` �7 u oses in accordance with the Privacy Law,s. 15.04(1 (m,Stats. d G L,9-al A I. Application Information—Please Print nformation Property Owner / Parcel# . pp L 0 v 9 Property Owner's Mailing Address ` (� Property Location J / l 43 J 7� bcdo Y r , Govt.Lot 4R City,State Zip Code Phone Number , , 7 � I 9/S7 _/., /L/,, Section a��c d A� T L' N; R 4circle on II.Type of Building(check all that apply) Lot r or 2 Family Dwelling—Number of Bedrooms q Subdivision Name �/nn 6k 4A XA, / ❑Public/Commercial—Describe Use �e�.` ❑City of ❑State Owned—Describe Use CSM Number ❑Village of J V•own of �!-6 III.Type of Permit: (Check only one box on line A. Complete line B if applicable) 2A x A. New 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) ❑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) // gi 44 22:7 V.Dispersal/Treatplent Area Information: a�W r Design Flow(gpd) Design Soil Application Rate(gp Dispersal Area Required Dispersal Area Propo ( System Elevation / 00 D. ©o / 60 6 30 X,q$ �D VI.Tank Info Capacity in Total #of Manufacturer Gallons Gallons Units ° New Tanks Existing Tanks w c u is Septic or Holding Tank 61 b© ----- Dosing Chamber PC,70 X00 r- VII.Responsibility Statement- I,the undersigned,assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name(Print) Plum er's Si nature MP/MPRS Number Business Phone Number �Q,Y I Ae;_S"-e �� 1�s/ - �9 °g � Plumber's Address(Street,City,State Code) a 2)o Code) I v-1/ rt,1)) VIII.Court /De artment Use Only Approved Permit Fee Date I sued Issuin ent Signature iven Reason for Denial `,Z 5' °� 1d 13 J IX.Condt „Reasons for Disapproval 3 ��t,jd[1n, /d��o� J iti='3eptic tank,ef )"u 0 Alt w rWn . dispersal cell must all be J2!ykaes t maifita_jtutd W:k1,, as per management plan provided 4y plum#apf. ..�•ll mgt��►i�lvt�ill� / II as / ,. idbm't C.OAJ t Attach to complete plans for the system a tQthe County only oq p not less than 81n x 11 inch n size C (.rJ(I SBD-6398(R. 11/11) r MARY JO HUPPERT Page 2 10/1/2014 { 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. • 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. SPS 383.54(1). • 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 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 others who are responsible for the installation,operation or maintenance of the POWTS. Sincerely, Fee Required$ 250.00 This Amount Will Be Invoiced. Gerard M Swim When You Receive That Invoice, POWTS Plan Reviewer,Integrated Services Please Include a Copy With Your (608)789-7892,Mon-Fri, 7:15 am-4:00 pm Payment Submittal. jerry.swim @wisconsin.gov WiSMART code:7633 cc: Edwin A Taylor,Wastewater Specialist,(715)634-3484,Monday-Friday 8:00 am To 4:30 pm ��ySRTilg,y DIVISION OF INDUSTRY SERVICES 3824 N CREEKSIDE LA HOLMEN WI 54636 Contact Through Relay K http://dsps.wi.gov/programs/industry-services t �' wi nsin. ov �a mow Lei �'I www. sco g ° ssION�vSw Scott Walker,Governor Dave Ross,Secretary October 01,2014 CUST ID No. 224832 ATTN:POWTS Inspector MARY JO RUPPERT ZONING OFFICE HOLLISTERS SOIL TESTING&DESIGN ST CROIX COUNTY SPIA W9875 690TH AVE 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/01/2016 SITE: C&JBuilders Identification Numbers 206 Walnut Hill Way Transaction ID No.2462736 Town of Troy Site ID No. 806617 St Croix County Please refer to both identification numbers, NWIA, SE1/4,S22,T25N,R19W above,in all correspondence with the agency. Lot:49, Subdivision:Walnut Hill Farm FOR: Description:Four Bedroom Mound System/ 11%slope Object Type: POWTS Component Manual Regulated Object ID No.: 1505577 Maintenance required; 600 GPD Flow rate; System(s):EZflow Mound Component Manual,(R.7/12),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. CO NDIr No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, DEP APpR stats. r OF$1 The following conditions shall be met during construction or installation and prior to occupancy or use: DIVI O FESSIONq Reminders: N OF iNpU� • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19,Wis.Stats. • Inspection of the private sewage system installation is required.Arrangements for inspection shall be ma wi 6C the designated county official in accordance with the provisions of Sec. 145.20(2)(d),Wis.Stats. RRE a • 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 SPS 384 product approval conditions. • The area within 15' downslope of the dispersal component shall remain undisturbed.Vehicular traffic, excavation or soil compaction is prohibited in this area. • 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. MARY JO HUPPERT Page 2 10/1/2014 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. • 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. SPS 383.54(1). • 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 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 others who are responsible for the installation,operation or maintenance of the POWTS. Sincerely, Fee Required$ 250.00 This Amount Will Be Invoiced. Gerard M Swim When You Receive That Invoice, POWTS Plan Reviewer,Integrated Services Please Include a Copy With Your (608)789-7892,Mon-Fri, 7:15 am-4:00 pm Payment Submittal. jerry.swim @wisconsin.gov WiSMART code:7633 cc: Edwin A Taylor,Wastewater Specialist,(715)634-3484,Monday-Friday 8:00 am To 4:30 pm I II 1 EZflow® MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential P.oplicatior INDEX AND TITLE PAGE Project Name: C&J BUILDERS INC. i Owner's Name: (same) !`1 w L cn Owner's Address: 243 Steelhead Drive River Falls, WI 54022 Legal Description: NW 1/4 of the SE 1/4, Sec. 22, T28N, R19W Township: Troy County: St. Croix Subdivision Name: Walnut Hill Farm (Tribute) ONALLY _ OVED Lot Number: 49 Block Number. NA FETYAND Parcel I.D. Number: 040- 1303-00-049 L SERVICES 'rRY SERVICE Plan Transaction No.: S Page 1 Index and title r��t�rirtx�ttt4>lNiWtu,��,,',i Page 2 Data entry NDENCE Page 3 EZflow mound drawings •,.••""''•..• ' Page 4 Lateral and dose tank •= MARY JO •': C = Page 5 Distribution media HUPPERT Page 6 System maintenance specifications D 185J Page 7 Management and contingency plan .RIVER l A,L1..," Page 8 Pump curve and specifications •, �nkl Page 9 Plot Plan Designer: Mary Jo Huppert License Number: 1859-007 Date: 09/19/14 Phone Number: 715-426-1775 Signature: JJA Designed Pursuant to the EZflow Mound Component Manual Ver.August 20,2007, 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) EZflow Mound Version 3.0(R. 3/1/12) Page 1 of 9 1 rFMeein aoone[tion ua tee or CrM to manifold at any point. Laterals&taro*main or PVC Sch 40 5 per SPS TaWa 304.304 Orifices poird up except every 5th one po"s down for dreekuge. J r Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) ....._____ r Residential or Commercial Design _ 400.00 Estimated Wastewater Flow(gpd) 1.50 Peaking Factor(e.g. 1.5= 150%) 600.00 Design Flow(gpd) _ 11.00 Site Slope(%) _ CO8.25 Installation Contour Line Elevation (ft) ,_ 100. 0 Contour Length Available(ft) 14.00 Depth to Limiting Factor(in) _0.40, In-situ Soil Application Rate(gpd/ft) Distribution Cell Information 1 _ 9.00 Cell Width (ft) 3, 4, 5, 6, 7, 81 9 or 10 Only 70.00 = Dispersal Cell Length (ft) L _ _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 F Y Pressure Disribution Information network? Enter Y or N (c or e) c Center or End Manifold 3 Lateral Spacing (ft) If N above, enter the elevation ft 6 Number of Laterals of the highest point. _ 0.125 Orifice Diameter(in)(e.g. 0.25) 3.00 Estimated Orifice Spacing (ft)= 9.55 ft2/orifice 2.00 Forcemain Diameter(in) 42.00 Forcemain Length (ft) Does the forcemain drain back? r�--Y�� 1 91.00 Inside Pump Tank Elevation (ft) Enter Y or N 0.00 Forcemain Filter Loss(ft) 6.50 System Head (ft)x 1.3 6.85 Forcemain Drainback(gal) 8.75 Vertical Lift(ft) 65.43 5x Void Volume(gal) 0.68 Friction Loss(ft) 72.28 Minimum Dose Volume(gal) 15.93 Total Dynamic Head (ft) 27.19 System Demand (gpm) Lateral Diameter Selection Manifold Diameter_Selection in. dia. o tions choice in. dia. options choice 0.75 x - 1.25 x x 1.00 x 1,50 x 1.25 x _ x 2.00 ^ _ 1.50 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) Weiser Concrete Manufacturer gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information r 80000 00 Dose Tank Capacity(gal) Poilok ��Filter Manufacturer _ 22.24!_Dose Tank Volume(gal/in) 525 _ ___ _ _ Filter Model Number Weiser Concrete lManufacturer Project: C &J BUILDERS INC. Page 2 of 9 Li-t 49 Mound Plan View 1110 B ........:.....:...:...:....... .. . . . . . . J Observation Pipe ;LJ : . s A 5 A W — i g t .� I . . . . . . . . . . . — . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . L Mound Component Dimensions A 9.00 ft E 33.88 in H A7.52 ft K 12.99 ft B 70.00 ft F 12.00 in I ft L 95.97 ft D 22.00 in G 0.50 ft J ft W F 35.88 ft 630.00 (fe) Dispersal Cell Area 1 1985.07 (ft) Basal Area Available 8.57 (gpd/ft) Linear Loading Rate 1 7.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View EZflow Dispersal Area Finished Grade 102.08 (ft) 11 1 15 I F 1 Dispersal CeII _ 100.58 (ft) Lateral 100.08 (ft)—� .:;: : :::;:. 6" ::; .•.•.•.• Invert Elevation <. . Dispersal Cell y, ; ; ; 1 v . E D 3 '01 1,N.,k- 01 98.25 (ft) Contour Elevation 11.0 %Site Slope Typical Dispersal Cell Shading Key See Page 5 MM Topsoil Cap > m n //!/r/i 01 c a Approved Geotextile Fabric Cover 2 Subsoil Cap � c 2.0 ft 3 ASTM C33 Sand m 9 1 Layer 4 Tiled V m d -t- ebe; F 5 EZflow Media s= H! ti °,r.:r.eti or:, rtia�• See details on page 4 for number,size,and spacing of laterals. Laterals are located in the 4"gravity distribution pipes as shown on page 5. Project: C&J BUILDERS INC. Page 3 of 9 Ut y9 Center Connection Lateral Layout Diagram Place Appropriate Lateral Diagram Frcn3 Rkcrht Below Force main-m�via to*or oross to maraow at wd paint. dig K----- P •= Turn-up W ball valve ar I X— 'f Y)2 ( W2a1 Lattrals&farce maift of PVC Sch 40 oteanoutpluil par SPS Table 3$4."4 Ortifices point up,emept every 5th om points down far drainage, Number of Laterals 6 Orifice Diameter 0.125 in Lateral Diameter 1.25 in Orifice Spacing (X) 3.26 ft Lateral Length (P) 34.23 ft Orifices per Lateral 11 Lateral End (2) NA ft Orifice Density 9.55 fe/orifice Lateral Spacing(S) 3.00 ft Manifold Length 6.00 ft Lateral Flow Rate 4.53 gpm Manifold Diameter 1.25 in System Flow Rate 27.19 gpm Forcemain Velocity 2.78 ft/sec Dose Tank Information Locking cover with warning label and locking device and 0/11— sealed watertight Electrical as per NEC 300 and ---"► SPS 316.300 WAC Disconnect 4 in.min. Tank component is property vented 1E Alternate outlet location Foncemain diameter Weiser Concrete Manufacturer �_ 2 in. Capacity 800.00 Gallons Volume 22.24 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 20.72_ 460.84 C B 2.00 44.48 P� ump off elevation(ft) C 3.25 72.28 –t 91.83 D , 10.00' 222.40 D Total 35.97 800.00 tank elevation(ft) Bedding And Backfill As Per Manufacturer 91.00 Alarm Manufacturer SJE Rhombus Alarm Model Number AB Tank Alert Pump Manufacturer Zoeller .......... Pump Model Number 98 Pump Must Deliver 27.19 gpm at 15.93 ft TDH Note: Switches containing mercury may not be used in this system. Project: C&J BUILDERS INC. Page 4 of 9 Ufibwo Distribution Cell Media Layout 9.00 Celt width(ft) 1.50 Sidewall to Lateral(ft) Distribution Cell Cross-section Arrangements s ft wise 66"SQW" Component Legend ® SR1-7A Bundle-5 ft or 10 ft lengths SR1-12A or EZ 1201A in 5 ft or 10 ft lengths SR3-12H or EZ 1201 P or SR3-12H in 5 ft or 10 ft lengths Q 4"Perforated Distribution Pipe With Pressure Lateral Inside • Tumup Enclosure — — — — — Pressure Lateral Bundles are covered with approved geotextile fabric as per the their product approval. Distribution Cell Plan View Layout -Typical 9.00 Cell Width-A(ft) 70.00 Cell Length-B(ft) Center Connection Lateral Layout Diagram Force Main - - — — — — — — — 9 ftWide Center Manifold - - - - - - - - - - - - - - - - - - - - - - - - 0 - - - - - - - - - - - - - - - - - - - - - - - - Project: C&J BUILDERS INC. Page 5 of 9 LZT y9 Mound System Maintenance and Operation Specifications Service Provider's Name Darrell's Septic Service Phone 715425-1025 POWTS Regulator's Name St. Croix Coun r Zoning FOffcel 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 630 f:2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Inspect and/or service once every 3 years Effluent Filter Inspect and clean as necessary at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test periodically Pressure System Laterals should be flushed and pressure tested eve 3 ears Mound Ins ct f_ or pondin and seepage once eves 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 EZflow Mound Component Manual Ver. August 20, 2007. 2. Dispersal cell media conforms to EZflow products approved for use with the EZflow Mound Component Manual Ver. August 20, 2007. Media is covered with an approved geotextile fabric. 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 6-8"Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Lateral Ends at Last Orifice Where Variable Length Cleanout Begins Long Sweep 90 or Two 45 Degree Bends Same Xk EZflow Synthetic Media 1.27 Feet Diameter as Lateral �--Distribution Lateral 14 Lateral Cleanout Project: C&J BUILDERS INC. Page 6 of 9 L �q Mound System management rian Pursuant to SPS 383.64,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[EZflow Mound Component Manual 8120107,Pressure Distribution Component Manual Ver.2.0 SBD-10706-P(N.01/01)and SSWMP Publication 9.6(01/81)]and local or state rules pertaining to system maintenance and maintenance reporting. Septic and pump tank abandonment shall be in accordance with SPS 383.33,Wis.Adm.Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers,access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound,defective,or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s.281.48,Slats. The contents of the septic tank shall be disposed of in accordance with NR 113,Wis.Adm.Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm,the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment,maintenance personnel shall advise the owner as to 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 Wisconsin Department of Commerce. Pump Tank The dosing(pump)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. If the force main has a weep hole,it should be noted if it is functional during pump operation,and if not,it should be cleaned. "****No one should ever enter a septic or dose tank since dangerous gases may be present that could cause death.''*' Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter,and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic(other than for vegetative maintenance)on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations(October-February)dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BODS, 150 mg/L TSS,and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD5,30 mg/L TSS,10 mg/L FOG,and 104 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral,and it is recommended that each lateral be flushed of accumulated solids at least once every 3 years. 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 4 inches considered as an impending hydraulic failure requiring additional,more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank,pump,pump controls,alarm or related wiring becomes defective the defective component(s)shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface,it will be repaired or replaced in its'present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media,and related piping,and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: C&J BUILDERS INC. Page 7 of 9 L-M-47 e HEAD CAPACITY CURVE MODEL "Wr 30 4 5/8 —1 s I zs 0 s za 3 5/8 `-' •4J 7Z# m -(- 4 p 1 ° to 4 3/16 z s 0 1 1/2-11 1/2 NPT US. CAILONS l0 ZO 40 50 60 70 80 LITERS —"r- 0 80 160 240 FL PER MINUTE MODEL 98 60 CYCLE Feet Cottons Meters Liters 5 72 1.5 273 10 81 3.1 231 1s 45 4.6 170 20 25 41 a5 12 tad Valve: 23• ✓' 000871 4 3/16 SK1102 CONSULT FACTORY FOR SPECIAL APPLICATIONS Electrical altemators,for duplex systems,are available and - Variable level float switches are available for controo ft single supplied with an alarm. and three phase systems. • Mechanical altemators,for duplex systems,are available - Double piggyback variable level float switches are available with or without alarm switches- for variable level long cycle controls. SELECTION GUIDE Standard all models-Weight 38 lbs.-1/i H.P. 1• Inte�tbetoperated2pole mechanical no external control required. y6 2- Sw*b pWybeck variable level float switch or doable pi�ybacit variable level,series Contact Sermon float SvAlch.Refer to FN04T7. Model VOHS-Ph Made Amps Simplax Dupkw 3. Mechanical allernafor 10.0072 or 10.0075. M98 115 1 Auto 9.4 1 or 1&7 — 4. See FMOT12,for correct model of Electrical Aftemator• N96 115 1 Non 9A 2 or 2&6 3 or 4&5 5. Canhol switch 10-0225 used as a control activator.Specify duplex(3)or(4) 098 230 1 Aldo 4.7 1 or 1&7 — goal syst an• 6. Four(4)hole J-Pak,junction boot,for watertight connection or wired-in E98 230 1 Non 4.7 2 or 2&6 3 or 4&5 simplax or duplex operation.10.0002. 7.Two(2)hole J-Pate,for watertight connection or splice. CAUTION ,bmaforn on ad ZoeOwp kpds(dwiurMalog a P%Wbad Vats t,eM$wk hm Alt installation of controls.protection devices and-firing should be done by a qualified M0477;BeokicaiAf6etnatar,RltkMMOd—MBIAMnndw FM04W Sartp(Sew8geBa9irhs,RK1W licensed electrician.All electrical and safety codes should be followed including the most &xilePhamiSimplexPunwConlrd.M15116 AlarmSyslems,FM0M recent National Electric Code(NEC)and the Occupational Safety and Health Act(OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAI TM P.O.&K 16347 r KY.417 Q SWT&313n19Caa9iRa PAW LotdvftKY40211-1961 Q n'f sSfvcE / 45' or-cam PUMP !O_, 778aJf•1 � - F"M774,W4 = �° C 5 ISLLI L.pzl-s :WC-- LOT L4 9 Plot Plan Page I of,9 Property owner 64, to u i is zv c. I" = 40f� Legal Description L07- �,+ �,,�k-r , p,�RAt (except where noted) OF Ml� )yW)I4 DF -Ttte sZV4 SEC. Q = Backhoe pat TZgN,pia v� �o�w - Y sl c ADI x Co 040T, W1 North =(O w."x- to LL w*y ' i-i2Z at7 h al 2 � d \ 3 a wS WfT'*w � TO wl Al �j G-s { `F I sevV,00M CNot' fl }opo zr> ,,�i� c � Oct-19-2010 01:5g PM St. Croix County Plan/ton ng 715-386-4686 1;1 ST. CROIX COUNTY SMITIC TANK MAINTENANCE AGREEMENT AND �1 OWNERSHIP CERTIFICATION FORM OwnerBt.►yel-_` Ei' Mailing Address Pr•opel•ty Address 00 io(111a (Verif cation rec)uired Cran PIanniny a Zoning pep mcnt for new co action.) City/State r �n .� S Parcel Identification Number 04 11-- e9 —pp --fig 49 LEG LL DESMPTYON Property Location r JUL/'14. ►/ ,Sec. c1 ,T 2� N R W,Town of 7 t Subdivision Plat: I H it L � Lot# 4q , Certlfled Survey Map# ,Volume ,Page# Warranty Deed# �? 2 (before 2007)Volunte page# Ta Spec house yes r Lot lines identif9ablo no SYSTEM MAINTENANCE AND OWNER CERT FICATI N Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Paper maintenance consists he bnction out the septic tank every three years or sooner,ifneedad,by a licanaed pumper. What you put into the system can effect the fttnctiorh of the septic tank as a treatment stage In the waste disposal system. Owner maintenance responafbilities arc specified in§Contnt.83.52(1)and In Chapter 12-SG Croix County Sanitary Ordinance. The property owner agrees to submit to St.Crc"County Planning&Zoning Department a certification form,signed by the owner and by a master plumber,journeyman plumber,reatricted plumber or a licensed pumper verifying that(1)cite on-site wastewater disposal system is in prol,er operating condition and/or(Z)after inspection and pumping(if necessary).thr septic tank is less than P3 11111 orsludge. l/we,the undersigned have read the above requirements and agree to maintain the private sewage disposal system whit the standards sot forth,herein,as set by the Department of Commerce and the Department of Natural Resources,$fate of Wisconsin, Certification stating that your septic system has been maintained must be completed and returned to the St.Croix County Planning 8c Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form eye true to the best of my/our knowledge. I/we am/are the owners)of the property described above,by virtue of a warranty d recorded in Register of Deeds office. Number bedrooms—4?— NATURE OF APPLICANT(S) —� 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.08/05) r34' W 197.79r w •'' $; .: � � �q / ( ion � �` ( �r "�►' 1� o '� �/� vi u rl 3 GZ.tLW N w �+ P$ phi a �' '� Z• -�' . W I Iq ttJ r i F— a Z l.- !i LA- V) z o o o C%j < Qaa cr. ZCn ,4A _ M a. CL y .... 7'bDl7 1.31 E P S TE©T Property Parcel ID# L o 7-- y f ZOf 3 n3 p-t Gr�u,d surface etev. ft. Depth to 9 taa� io. soli NT Rate Horizon €lepth Dominant Color Re*wDescription Texture Structure Consistence Bors►dary Roots GOW In. Musa Qr,,Sz. Cora.Color Gr.Sz.Sh. •Eff#f / 0- 40 10/2 L cS s . z �•/a /o c / Ic • y 3 0 •/� <� ZfshK Iv a s .s A7 6 F—] i D Bones pit Ground surface etev. ft. Depth to uniting factor in. Sod AmAlcation Rate Horizon Depth Domini Cogor Redax Description Texture Structure Consistence Boundary Roots GPDffF in. Munson Qu.SZ. Cont.Color Gr.Sm Sh. TM .EfFg2 t_! pit Grotrn surface elev. St. Dep limiting factor in. Sod Application Rate Horizon Depth Dominant Ret�a Descsipbiot:_ Texhme Structare ConsWei Bouxfary Roots t in. MurrseR Cdr.Sz. Cora.Color GF.Sz.Sh.' 'EW1 `E!f#2 GPOW ( a ftdng# [�z Boring Es pit Groin surface elev. ft. Depth to firm"factor in. Soil Rate Horizon Depth Dominant Color Redox 96cription. Te ftm Structure eonststence Boundary Rots 43POff In. Munsell Qu.Sz lborc Color Gr.Sz.Sh. 'E1f#1 'Etf#2 Efitrrent#1=BOD,>30<220 nV&and TSS>30<150 mglt. •Effluent#2=BODs<30 mgit.and TSS<30 mgIL The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or geed material in an alternate format, please contact the department at 608-266-3153 or TTY 609264-8777. SOD-8330(pow) r Moorisin Department of Commerce SOIL EVALUATION REPORT Page / of 3 Division of Safety and Bdk fts Aftach comp in accordance with Comm 85,Wis. Adm. Code county sT• C-A Or 1— •V Include, EROSION CONTROL PLAN must be Parcel I.D. 0T slop completed before sanitary permit issuance fad. Pff Cr-- ' Date Pe SO"hramatKM You provide may be used for secondary purlmes(PMMY taw.s.15.04(1)(m)). Propertyowner TORO Property A. Cj To pD B3 ERS Te'fl T— % AJI�#At GoA Lot A/ era �1/4 Z" T N R (or)W Property Owners Mauling Addrew Lot# I Block# I Subd Namdor CStut# lP o 15 CA Kj LL AU-p- 1/71 1 IVALVO r Kill FA-JeAf � City SM MR State Zip Code Phone Number ❑City ❑Village (�Town Nearest Road � (riPOVE7 H7-5 MA) 5S074r ( CSI)2-y8•.lo`�� TR4y so. &j0vER. oa New Construction Use: Residential!Number of bedrooms _ Code derived design flow rate GPD ❑Replacement ❑ Public or commercial-Describe: CA Parent material IO E5 S 4IJ,Gt_ y 0<o M% Flood Plain elevation if applicable General comments and recommendations: ���/� �v`7,• /�`� r� �� �4 �vvv sysJ-• � WSI•xi G-- 22 N aBoiling# f f,5 Z ® Pit Ground surface elev. ft. Depth to limiting factor in. Sod Applicabon Rate Horizon Depth Dominant Color Redox Desa�ption Texture Structure Consistence Boundary Roots G IM Munsefl Qu.SL Cont Color Gr.Sz Sh. •ENM1 VFW b / 0-6 ioye z L 2&"Sh d54 CS -3 F . S Z (e • io G Zf-0S C dS 11 C • S a 6�!L ), 5h& C-5 0 _ n 1 ! Boring# egg 9�•s�' /J. /� • ® Pit Grand surface elev. ft. Depth to hutting factor in. Sol Application Rate � Horizon Depth Dominant Color Redgx Description Texture Structure Consistence Boundary Rods GPDW inn. Mtmsell Qu.Sz. Cont.Color Or.Sz Sh. •Eff#1 'Eff#2 n 1 o• S i6 f L 2", ShK CS 3f , S • �' N z 0 zf,s hk- S t, C S 3 110. t 51t, a-FS h k dS cS 1 f • s /S" DD%n/ > So , Effluent#1=BOD >30:S 220 mgf L and TSS>30<150 mg/L •Effluent#2=BqPj 130 mg&and TSS 130 mg/L CST Name(Please Print)•�•.0 t G Signature I 'j22 S Address Date E O Uibricht &Ass9ciates 7f 73 y l:Eoa. -2 Private 2812 10th Ave. Spring Valley, WI 54767 _ _ °yCJ � /off S • so • o� ©,y© . /a,f( . /o - can dyp • /0*(p - 240 - OVO 0y0- /08& 60 • M oyo • /0*6 - 70 • 060 0 149 L PLOT PLAN WALNUT HILLS FARM. LOT # Pg. 3 of 3 = Contour elevation lines. i • = Backhoe Soil pits. �n��v Benchmarks set, maRKED WITH FLAGGED V U p lathes. 1/2" steel conduit pipes. 11A,11A,5 N• U) SCALE: 1 " = 3o FI �a �M , 0 �3 96 , 21? G o-r yo � f3z T iyo S ° S y