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HomeMy WebLinkAbout034-1045-60-025 YvSsconsin Cepartmen: of Ccmmerce PRIVATE SEWAGE SYSTEM County Safety and Builc nq C vision St. Croix INSPECTION REPORT Sanitary Hermit No. GENERAL INFORMATION ;ATTACH TO PERMIT) State Plan IC No 584786 Perscna irtonnahon you orovide may be used fur e:ar_rmdary pu~poses (Privacy Law, is 15 C4 (1)!m)] 2709726 Perrrt Holder's Narre City Village Towrship Parcel Tax `Jo Chris & Amber Rykal TOWN OF SPRINGFIELD 034-1045-60-025 CS BM Flev Insp bM Elev RM Descriptio sectron;TowwRangeiMap No: 0C> YYA l G 20.29.15.310A TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER < CAPACITY STATION BS HI FS ELEV- r Septic r it y BerchmarK 16-7 Dosing - Alt, BM Co,M,~~ ri•CC. - Ib7•`i , 64 /t>•2.`f ati0n I Bidg. Sewer r : Ltr tip.. 7r 3.3`7 /d 51, 07 Holding SUHt Inlet 17,14 cl 7 -'S TANK SETBACK INFORMATION St/Ht Outlet TANK TO ( P/L VdELI BLD!~. Vent t6V - ntake ROAD Dt Inlet Septic Dt Bottom Dosvig ! HeaderiNilar. r ~ 1 a~ f b S Aerator Dist. Pipe Holding Bot. System Ell Final Grade PUMP/SIPHON INFORMATION G Manufacturer ,A-, q rr Demand. St Cover- - GPM Mndel Number ,S&- o~ atJ Zr(o~ /b~- 3 TDI-I Lift Friction Loss System I eac TDH 41 ti r l fr 1'l ~ _ / r u Forcemain Length t Dia. Dist 1o the SOIL ABSORPTION SYSTEM BED/TRENCH iii Length No Df Tfenchds PIT DIMENSIONS No Of Pits Inside Dia Liquid Deptn DIMENSIONS ~ ~t SETBACK SYSTEM TO P!L BLDG OXI I LAKE.fSTREAM LEACHING Mar:dacturer INFORMATION CHAMBER OR ipe Of Sys'em UNIT f 1 r C.~ J ti,~ti' ~ ~ Made! Vurnber - DISTRIBUTION SYSTEM Header'Manifgld Distribution 1 x Hole Size ix Ho,e Spacing vent t Air Igtake Pe{s; 0 IlLength_ i Dia Lip ent th 15 ~is `5 ~ Spacrny= • _f ~ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only ~w Depth Cve• Deoth Over jxx Deotn of xx SeededrSodded zx Mulched Bed,-rench Center ned'TreneY Fdyr_s Topsoil Yes ~ tJe ~ Yes `Jc COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Z91 a p Ins ection #2: Location: 2605 90TH AVE {!J1 to L I J 1.) Alt BM Description = 72- r C 4'- f • V/ -6e©l 2.) Bldg sewer length = 1 _ O - amount of cover = i f d ^ ~V~G ; Vie) i a v Plan revision Required? Yes No 79 Ir~ Use other side for additional information. Cate Insepctor's Signature Cert No Cate (R.3!97) 1 ~~arMg T\ County - RECEIVE p Industry Services D s X' S 1400 E Washington Ave Sanitary Permit Number (to he filled in by Co.) PS ~I P.O. Box 7162 MAY 3 Madison, WI 53707-716 G~ 79 `sttrvl +ST (Roiw 44 c Transaction Number C0M%Mfk* pplication In accordance with SPS 38321(2), Wis Adm Code, submission of this form to the appropriate governmental unit 9 7 Z• is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to - - the Department of Safety and Professional Services Persotud information you provide maybe used for secondary Project Address (if different that, mailing address) p . .s in accordance with the Privacy Law, s. 15.04(t)(m), Stats. L Application Information - 'leas Print All Infor on Property er s Name,. Parce 19 L1#4 S D - o i4f- zpo - 6 ZS Property Owner's Mailing Address Property Location,) U, • iS. ~ 10A (0 J I C~ Govt. Lot /v(AJ'/:. Section City, State / Zip Code Phone ~Number &)I~v Ut T_ LAl l ; Q Z~ l~ -7 IS -33-9- f2- T a 9 N R t. ?F 1 r0 r 1 Il. Type of Building (check all that apply) Lot u r .y8 r or 2 Family Dwelling - Number of Bedrooms Subdivision Name ❑ PubliclCommercial - Describe Use Block 5o ~ AQ_ ❑ City of ❑ State Owned -Describe Ilse - I ❑ Village of ~ SNumber d Z & T YQ'iown Of EL 0 l -7 t.A AT J III. Tv of Permit: ((:heck only one boa on line A. Complete line B if a IicablEi 0_Q_ A. Ci(New System ❑ Replacement System ❑ 'IYeatmcnvHoldtng'I an], Replacement Only ❑ Other Modification to Existing System (explain) B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit. Transfer to New List Previous Permit. Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS System/Corn nenuDevice: (Check all that a pl)') r PO Ld &Tb 6; ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade CK Mound > 24 in. of suitable sod ❑ Mound < 24 in. ursuitable soil ❑ Holding 'I ank _ ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain') V. Dis ersal/Treatme Area Information: A. PT t Design Flow( pd ) Design Soil Application Dispersal Area Required Dispersal Area Proposed System Elevation r r Rate(gpdsfl 3 I. Tank Info Capacity in Gallons u Total of u O anufacturer , t Gallons Units `R 2 ii Gs M New'I ettkti Existing Tanks . 1 y n s &n Ci 6 W T /7 Septic or Weldtugi:ank t~t7 ri rv /7 ❑ ❑ ❑ ❑ Dosing Chamber - i'1yll3o El ❑ 1:1 El VI I. Responsibility Statement- I, the undersigned, assum re pousibility for tallation of the POW'I'S shown on the attached plans. Plumber's Name (Print) Plumber's Sign r MPiMPRS Number Business Phone Number Todd L Sinz l /L_ MP139462 715-235-2644 Plumber's Address (Street, City, State, Zip Code) F5609 708'b Ave Menomonie Wi 54751 VIII ounty~'Department Use Only Approved Perm/it Fee llate slue / Issuin ent Stgnatu Ow en Reason for I $ O / IX. Condi#`~easons for Disapproval \ n i ' , x011 1. ` k, a Mlterrt fYtin aritf 3 \J r1 c dwpwrrcai exit. must aft lie services ! nlslntaire£ ` J J 06 Mf "nagement plan pro jided by plumber. G f~1~ h li~(1t'r'ej Gv~~W 2. All WA Ck r4q4WTl9" must.gt:lwkiried I tK PK ~PFliCable code l crdirtaicas. S 1' 1 Ism.. V F. Attach to complete plans for the system and mit to the County o4ty on pa er not les an 8 1.12 x I I inches in size 7. SBD-6398 (R03114) 6L. ~,afgG elt+~~ l U 1 i ' N ~e J o vi ~ o I 3 zl~ C'4~ e~ w ti Lq- 47 ` • ~ I ~ - ry +I r~ c4 r- n C- Y t o;cocy C 1 > ~ II :i 1; it I ' Ic ~ W i ry a ~El F d N ! O ..r I N ~ ~ I L (b r1 J r / ' Gn i ^I / / \o l xi IF / L \ci f N O / as r. aEP"nr.~rF~.\ DIVISION OF INDUSTRY SERVICES 3824 CREEKSIDE LN D HOLMEN WI 54636-9466 aS Contact Through Relay ~t \ P S i. 1 http:/tdsps.wi gov/programs/industry-services www.wisconsin.gov Scott Walker, Governor Dave Ross, Secretary May 24, 2016 CUSP 1D No. 139462 ATTN: POJfTS Inspector TODD L SINZ ZONING OFFICE TL STNZ PI.UMI3ING INC ST CROIX COUNTY SP1A E5609 708TH AVE 1101 CARMICI-IAEL RD MENOMONIE WI 54751-5520 HUDSON WI 54016-7708 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/24/2018 SITE: Identification \umbers Chris Rykal Transaction TD No. 2709726 90'1 H Ave Site ID No. 824091 'Down of Springfield Please refer to both identification numbers. St Croix County above, in all correspondence with the agency. NW1/4, NW1/4, S20, T29N, R15W FOR: Description: Three Bedroom Mound System /9% slope Object Type: POWTS Component Manual Regulated Object ID No.: 1601604 Maintenance required; 450 GPD Flow rate; 24 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 (\-.01.1`01, R. 10112); Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Admiuatrati%c Cocks and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constnicted 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, DEPT stats. D1V1SlO PROFS&. l he following conditions shall be met during construction or installation and prior to occupancy or use: N OF !!V Reminders • A sanitary permit must be obtaited from the county where this project is located in accordance with the requirements of Sec. 145.19, Wis. Stats. SEE CORR • 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 See. 145.20(2)(d), Wis. Stats. • 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. • All POWTS component piping material shall be SPS 384, Wis. Adm. Code compliant. • The area within 15' do%vnslope of the dispersal cell 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 inky include local inspectors. TODD L SINZ Page 2 5J21l2Q15 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 andor 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 wider 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. • 1 he owner is responsible for submitting a maintenance verification report acceptable to the cownty 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 chances 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 concerting 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 an,, others %vlno are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required S 250.00 This Amount Will Be Invoiced. yard M Swim When You Receive That Invoice, POW'TS Plan Reviewer, Division of Industry Services Please Include a Copy With Your (608)789-7892, Mon - Fri, 7:15 am - 4:00 pm Payment Submittal. jerry,.swim w.wisconsin.gov WiSNIART code: 7633 cc: Ed,,vin A Taylor, Wastewater Specialist, (715) 654-3484 , Monday - Friday 8:00 am'I'o 4:30 pm 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 "Cumin" 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 1S (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. T.J7`1 L SE Z Owner Responsibilities • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relatin-L, to proper use and maintenance of the system. Owners shall receive a cope of the appropriate operation anc maintenance manual and~or owner's manual for the POVv7S described in This approval. • Th,, owner of a POWTS shall he responsible for ensuring that the operation and maintenance of the POV TS occurs in accordance with this chapter and the approved management plan under s. SPS 383.54(1). • it the event fhis sot absorption system or an) 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. • Tiie owner is responsible for submitting a maintenance verification report acceptable to the county fo- maintenance tracking purposes. Reports shall be submitted at interval appropriate for the component(s) ur_lized in the POWTS. in granting this approval the Division of 1ndustr Services reservt:s the right to require changes or additions shol:ld conditions arise malcin; them necessary for code compliance. As per state stats 101. 12(22), nothuig in this reviexs shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this, correspondence i:la) be made to me at the telephone number listed below, or at die addres on this letterhead. The above left addresses, shall provide a copy of this letter and the POWTS management plan to the owner and am others who are responsible for the installation, operation or maintenance of the POVi'TS_ Sincerely, Fee Required $ ?50.00 t This Amount Will Be invoiced. raid M Swim When You Receive That Invoice. POWTS Plan Reviewer, Division of Industry Services Please Include a Copy With Y our (608)789-7892, Mon - Fri, 7:15 am - 4:00 pm Pavment Submittal. jem.swim(d?wisconsin_gov VdiSIIARTcode: 76;; cc: Edwin A Taylor, Wastewater Speciahst, (715) 634-3484 , Monday - Friday 8:00 am To 4:30 pm Note: Effective January 1, 2012, all codes under die jurisdiction of the Division of industry Se--ices fo-merh Safety h. Buildings) w211 be modified. Code references with prefixes starting with "Comm" have been replaced with "SPS" to recognize the relocation of the Division of Indusir Services from the former Department of Commerce to the Depa--tment of Safcty & Professional Sen ices. Additionally, a:1 IS (former)SRB) code, have been renuribercd and addressed in a "300" l'or -,~11:.~' by SPS Cha:~ierti ~6(V- ` MOUND AND PRESSURE DISTRIBUTION COMPONENT DES'lbN ^ INDEX AND TITLE PAGE Project Name. Rykal Septic System Owner's Name: Chris Rykal Owner's Address 638 215th Ave 54025 715-338-8284 Legal Description: NW1/4 NW1/4 S20 T29N R15W Township: Springfield County St Croix Subdivision Name: Na PROVet) Ep Lot Number: Na Block Number: Na tS NAL A STYAIVD Parcel I.D. Number: 034-1045-60-025 -"uST YRVifCFS RY SFR~i~~ Plan Transaction No. Page 1 Index and title , - - - Page 2 Data entry ;Pc<)NDF~ Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Pape 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Tank specifications Page 9 Plot plan Designer Todd L Sinz ' License Number: MP139462 Date: 05/03116 Phone Number 715-235-2644 Signature: Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SBD-10691-? {'N. 01/C1. R 1C02), and oar! SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01181) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01. R. 10/12) Version 7.0 (R. 11112) Page 1 of 9 Mound and Pressure Distribution Component Design Site Information R Residential or Commercial Design Note Sand fill (D) calculations assume a 300.00 Estimated Wastewater Flow (gpd) Table 383-44-3 in-situ soil treatment for 1.50 Peaking Factor (e.g. 1.5 = 150%) fecal coliforrn of 36 inches. 450 00 Design Flow (gpd) 9.00 Site Slope 104.35 Contour Line Elevation (ft) 24.00 Depth to Limiting Factor (in) 0.60 In-situ Soil Application Rate (gpd/ftz) Distribution Cell Information 75.00 Dispersal Cell Length Along Contour (ft) - 6.00 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? E Center or End Manifold -3-0 0 Lateral Spacing (ft) If N above, enter the elevation (ft) 2 Number of Laterals of the highest point. 0.156 Orifice Diameter (in) 3.50 Orifice Spacing (ft) = 10.23 ft`/orifice _ 2.00• Forcemain Diameter (in) 80.00 Forcemain Length (ft) Does the forcemain drain back? Y 80.00 Pump Tank Elevation (ft) q.0010 System Head (ft) x 1.3 13.05 Forcemain Drainback (gal) Vertical Lift (ft) 67.44 5x Void Volume (gal) Friction Loss (ft) 80.49 Minimum Dose Volume (gal) 0.00 In-line Filter Loss (ft) 23 69 System Demand (gpm) 30.53 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 Treatment Tank Information Total Tank Capacity (gal: 1000.00 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Huffcutt Concrete Manufacturer gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 640.00 Dose Tank Capacity (gal) Lifetime Filter Filter Manufacturer 15.23 Dose Tank Volume (gal/in) LT1/8 Filter Model Number Huffcutt Concrete Manufacturer Project: Rykal Septic System Page 2 of 9 Mound Plan and Cross Section Views T 1/10 J Observation Pipe K - O 0 A W I I - C B I Mound Component Dimensions A 6.00 ft E 18.48 in H 1.00 ft K 9.19 ft B ft F 9.50 in z ft L 93.37 ft D in G 0.50 ft J W 23.05 ft 450.00 (ft2) Dispersal Cell Area 1322.77 (ftz) Basal Area Available 6.00 (gpd/ft) Linear Loading Rate 7.50 (ft) 1110 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 107.14 (ft) t H 2 G F rrDispersal Ce 105.85 (ft) Lateral 105.35 (ft) - Invert Dispersal Cell © t Elevation E D s 104.35 (ft) Contour Elevation 9.0 % Site Slope Geotextile Fabric Cover Shading Key a T Dispersal Cell See lateral details on Topsoil Cap V C 1.5 ft Page 4 for number. 22 Subsoil Cap 0.0 © Q T size, and spacing of ASTM C33 Sand a r~ laterals Laterals are Tilled Layer 4) 0.5 ft Typical Lateral F equally spaced frcm t-,-. © distribution cell Aggregate v o _y centerline in th t A - * distribution cell iA:• U,Project. Rykal Septic Systern Page 3 of 9 End Connection Lateral Layout Diagram -r.:-Ji•v~r rfw R1lm:•n<I~-r, lung a e.i Ga 11 srah. d_Q - r a :.r.71.=.en _utFluQ P All I3ler A_ arm i.ji-nr A 1«- x ._.I Hol e_ J1111••.1 or. rFir bow rorr. of el- I eer 3l Fpf4u f'I ilfi _gl(ii.Cld if'V13loo IT; i(ill~ilC i' -irl9 pi.lyd L./G_ dl. T•.1 'r-r'Li u' _ -t-:jlr. _ Ij _.F' _ -.9!"I,• ;4 Number of Laterals 2 Orifice Diameter 0.156 in Lateral Diameter 1.50 in Orifice Spacing (X) 150 ft Lateral Length (P) 73.50 ft Orifices per Lateral 22 Lateral Spacing (S) 3.00 ft Orifice Density 10.23 ftl/orifice Lateral Flow Rate 11.85 gpm Manifold Length 3.00 ft System Flow Rate 23.69 gpm Manifold Diameter 1.50 in Total Dynamic Head 30.53 ft Forcemain Velocity 2.42 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- Alternate outlet e CailOn Forcemain diameter Huffcutt Concrete Manufacturer 2 in. Ca acity 640.00 Gallons Volume 15.23 gal/inch A Weep hole or anti- Dimensio Inches Gallons _ B siphon device A 24.24 369.14 B 2.00 30.46 C Pump off elevation (ft) C 5 28 80.49 80.88 D 10.50 159.92 Total 42.02 640.00 D I iF- Dose tank elevation (ft) 3" Bedding under tank. 80.00 Alarm Manuafacturer SJE Rhombus Alarm Model Number Tank Alert Pump Manufacturer Zoeller Pump Model Number bnl52 Pump Must Deliver 23.69 gpm at 30.53 ft TDH Project: Rykal Septic System Page L o` Mound System Maintenance and Operation Specifications Service Provider's Name T L Sinz Plumbing Inc. Phone 715-235-2644 POWTS Regulator's Name St Croix Zoning Phone 715-386-4680 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 300 gpd Maximum BOD5 220 mg1L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Inspect and/or service once eve 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once eve 3 ears Alarm Should test monthly Pressure System Laterals should be flushed and pressure tested every 3 years Mound inspect for ponding and seepage once every 3 years Call T L Sinz Plumbing for your service needs. 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 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Long Sweep 90 or Two 45 Degree Bends Same friar~~~t~r as __'.?r,7; Project: R,;k~i Septi_ Sys-c'n pa Mc 5 Df S Mound System Management Plan Pursuant to SPS 383.54. Wis. Adm. Code General This system shall be cperated in accordance with SPS 382-84 Wis. Adm Code, and shall maintained in accordance with its' component manuals [SBD-10691-P (N.01101 R 10112). SSWMP Publication 9.6 (01/81), and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N D1/01, R 10/12)] 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 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 sub ect to failure must be replaced Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device w ureven; acc dental or unauthorized entry into a tank or component. Septic Tank T he septic tank snail oe maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment.. maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is gene,a ly no: required. Hcurever 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 shail be tested to verify proper operat on. 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 an 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 mgiL BOD5, 150 mgiL TSS, and 30 mg/L FOG for septic tank effluent or 30 mgtL BOD<, 30 mgiL TSS, 10 mg~L FOG, and 104 cfu!100 mL for highly treated effluent. Influent flow may riot exceed maximum aesign 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 latpra, 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 Pondmg levels shall be reported any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitonr Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep .n system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan fur the name and telephone numoer of your local POWTS regulator arid service provider. Pretreatment Units The information ano 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 9 N PUMP PER'ORMANCE CURVE T CTRL CYti'A~11C '-4: MODAL 15''1152,(153 PER h'INUTE EFFLLENTANE) CE'NATERING 2 1 53 _ _ 12 `0 I - ".10CE L 15', j6 9 J6 ~eot M,111, Gal. L:erf Liters ~ri Liters , y~ tr 'S2• ~ 5 1 S 5) 189 2c1 ! J 1: 30 o - - 45 170 i . 231 'C 265 - - i31 61 2N 1 2a 181 15 a,6 38 ta4 52 Y .•.167 19, 6 20 - 25 7.6 15, 34 179 42 159 C..•-f+ 3C 9.1 73 27 133 125 :2 !5 1f 'r..._ - 39 IC 1 - 1 - _ - a 4C 12 2 - - - - 1 J2 1 ~A 1.6m'U Y,. 13An1 1°' 5ruho° Hee9_ 3C (S 1 2- S - C'a5f A5 0 ' '0 20 30 aC So 8o TO A,,^. 90 ':0 GALLONS LITERS 0 a0 k 120 I" 232 240 280 327 780 F." PER m NJTE C!AlraA Model 151 Models 152 i 153 CONSULT FACTORY FOR SPECIAL APPLICATIONS Timed dosirg panels available. -T • Electrical alternators, for dup'ex systems, are avai'ace and supplied with an 3*'r, d • ldarlabla level comm switches are available for 3rya single p'naee sy'a'.emr;. ~ - double.pIggyback. variable level'loat swi`Ghes are available for var'eble level Iona and short cycle controls. Sewed Qwlk•Box available for cutdocr installatiers See ~111~ FM' 420. wer 130'---. 154'C } special quotation required. I r -T. --T 151!152!153 Series "'a6 L 7 "f 13111121isS 1106FLT Control Se action P Model Velts•104 mode A rps sir ex 9.,pls a - t a ys s.,a N151 '1s 1 Non 6.6 1 2cr? '~j'°s-- _j r `r"1 r BN151 115 1 Auto 6.o nduded 3 lra!'r s E151 23C 1 . i Non 3.2 1 2 or j BE161 23C 1 ALtD' 3.2 Guded cr a 8K7... 5,1pea N1S2 "5 1 Non b.s 1 2 cr 3 I. BN152 1'S 1' AO!0' 1 8.5 Included i3 E182 23C Nor, 43 - 2 Bf-IF, _ 1'- . XT10 .4 3 Included - 2 c• 3 N153 ' 115 1 Jo 1o.s 1 2or3 BN153 115 1 Auto 10..5 Irc'udad 2cr3 SELECTION GUICE E153 239 1 Nan 5.3 1 : 2r 3 ---Ts 37 30 .1 Auto ~ 5.3 I Ire'Uded 3 S rg e PiggytarK variable level float swildh or ccjtle p'gg'rback q'aoat a Irvel coat n C-.-- ON 5*1ch ;e'er lc F'dC477, All instal atlon of cenhols, protection devices end wfrirg s`1oj d be cone by a a=a' !led 2. See F1.1-712 !or CorreC' m0'.el of E'ec;riczl A;ipmalCr E-Pak. ILansed electrlclan. A:! elactncal and sa'aby codes shoild Ce fa '.lowed !r-- Ldlrg're rest n liar able 12':21'^N'0 SW11Ch ',0-C22J'..Sed as a cOr.Irol OCIi'.alCf, S' r d'C'E^ gin') recent National Electric Cede fNEC) and the Occupeilona' Safety and ilea th A_: (GShA}. o' f41, P;3a: system, RESERVE POWERED DESIGN For umisi21 conditions rese'r° SaiC;y'acl s eng reset nto t'ne design o` Even 7.oCl er purrp. MAIL TC- P. C'. 80X'63er 'l!"sv'116 KY 4025e 5' d SNa'0:3fid9Coro F.;,rRoad i''ll = Lc :'J: * Kv W11.1st 1 Q~urr P:c.~s Ncf /9a~ii htlp'y2WYW.J011i1LQOn1 PL//~P !O. FA1 rc,12; rlt.?87d - Z°o r to ~ D ~ N N -v d m I I D i1 7 7C ss' yo rT f 47• g y ~z,l OC' 3' nA O 44' s < > a to vN ru A Z m C7 N _a CDc Z - O~ r n, w r' D Z 7C r N o - N m I*1 v ~ 1' 2' O ti u n Z o A rt, ri (l k ti ~1U N < (1'1 T ~ f 1 D I` f-1 U A _ 6.' ❑ r £7 ci oam nZ c 1> M b D z d - D rl ti C Ii 3 C ❑ L J r•' D CZI ti rz f7D S T f'1 tl ❑ - = M I A f"f < m T ^i 11 A f~" m a~ C z A f•1 c rn rl' z H N 3 n~ r r.. tt MW rJ A) A q r'1 r .1 ~ 1 >F t%j t1 M rl 4 m v❑ E3 o z-u r- UA r.> rn f `1 ''O r- X ❑'D V El C n Z f'1 F N A r- Ct r ri NZ t, r , c i C I T il/9 N.P.C. A. cER PLaNi PROJECT) y s,? HUFFCUTT 4154 123rd STREET aitrPEva FALLS, v1 ::4729 1,nr1!(,DD GALI -Oh (715) 7?3-7446 ■ (B00) 924-1516 T s = NFMFFP. (k, PUMP' DR SEPTIC TAN! C 0 n C R E T E. inC : pk (715) -723-7111 ■ w~w.hL Ff-utt r on z s HOONAL k NISCONSN PRFrAS" ":1NCRFTEA UUAilONS I _ a C ` e 'try a i rych o v N a A a ~c m l r~J ~ ~ ~ CJ 1i t ~ O co ~ ~ a.o°°ococ, ti ~1 = S!- d I v r ~t• V ry b 0 I ~ ~ {l S m ~ L N h ~ y~y ~ PQ1 `t 14~ N fy w I3t e - a m ESI n \ ; to rl ~ ~ _ r ~T ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT Ai`tD OVY'NERSHIP CERTIFICATION FO1IRtit Owner/Buyer t'~i t' L, e 4i 7 Y Mailing Addre s ' X6,1 "1)1!11 vOCA-v i 4-6 n 1 5 1. 1"~ =-E Property Addres n (\'eriti;atinn required from Planning K. 7or.in Dcparmicnt for new const.uction.l City State t`(~1 1~ VParcel Identification Nunlibe.r LEG-A1 DESCRIPTION Property Location Nti0 Sf~ L,";, Sec, n'() T N R -t W, Town o_ Subdivision Lot : Volume c~ I Pap„ # Certified Survey Map - 1 Warrauty Deed # I o E"~ %tilulnc , Page i. Spec [rouse yes no [,or lines identifiable yCS ro SYSTEM MAINTENANCE RIND OWNER CEIMFICATION Improper use and maintenance of your septic system could result it, its premature f ilure to handle v antes. P oper maintenance consists of pumpuis out the septic tank every three years or sooner, if needed, by a licensed purnper. Wliat you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Ovrner rrraintcaan;.e responsibilities are specified in §CorrLm. 33.52(1) and in Chaptpr 12 - Sr Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning Zoning Department a certine ation form, signed by 11;_ owner and by a master plumber, jourricynv.n phtmbar, restricted plumber m a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection anti pumping (if necessary), the septic 'awl. is less than 1/3 full of sled; e. I/we, the undersigned have read the above requirements and rgrcc to maintain the private scv agc <lisposia system w;th the standards set forth, herein, as set by the Department of Corrur,:rce and the De-partmcnt of \alwal Resources, State o ti;; iscot;sin. Certification staling that your septic system has been rnaintained must be co:r,l±icted avid returned to the St. Croix County ?Ianning & Zoning Department %vithin 30 days of tare three year expiration date. Uwe certify that all statements on t s firm are true to the best of tny!our knowledge. I/we anvare the owner(s) of cite prope-fy descri bed ahnve, by virtue of a N. rarity deed recorded in Register of Deeds Office, Number of bedrooius SIGNATUTRI Or APPLICANT(S) DATE ,.-7 1 information that is misrepresented may result in the, sanitary permit being revoked by the Planning & Zonin ft Departrncnt. lnciade with this application a recoruded warranty deed from the Regisrer of Deeds Office and a copy of the certified survey wrap if reference is mad:: in the warranty deed. (REV, 06/05) Esc: n...: _ waa~py tuwe.~ ~tg u6•ad {M'~1t:1 I wm ~;urynid~n01rnp3.+nv15 a~xe~o `nn.eic 034JO N48b IcMAa plIng88d r4 _ ~Jy 1NV12iOd NI ~Wq IS 1a1-49. a^°1S dutl sapS 5109E R1*Qjd S3WOH NVW~~OH as 9 a o' _HT F F~~I~ Its( j j ! z~ I Ow i1' ~ II, If II ~ z~ III ~II,I ~ - I U~ I I Ii~I O a ~i 1 I 1 I~ Q z i 111 I Ili I I I ? a J '~lil I pi _I Q: W I rI 03 ) III IIII !III J. 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I ~ Ill 'f w` 3 I I I, I 5 J s RE SOIL EVALUATION REPORT c. Q #1262 Spy ' Department of SafP ~~1(( d Professional Services Mme' 4-' ` `'page 1 of 3 ` Division otyalidTuldings Cull CY in accordance with Comm 85; Wis. Adm. Code_ Attach complete ite p~tC~ri~ ~,~n 8% x 11 inches in size. Plan must County include, but not I ~t4 and horizontal reference point (BM), direction and St. Croix Keith E. Stoner percent slo dimensions. north arrow, and location and distance to nearest road. Parcel I. Please print all information.-1 5 25 Personal information you provide may be used for secondary purposes (Privacy Law, s. 15 04 (1) (m)). Rev, By Date Property Owner Property Location I'L_rt eA W1 4, S20. T29N, R15W Jerry Nolan Govt. Lot NW1/-5265 Pro party Owner's Mailing Address Loi # Block # Subd. Na CSM# 610 Oak Street #1 _ 1 ! CSM #2 City State Zip Code Phone Number City Village Town Nearest Road Baldwin i WI 154002 1 Springfield 2805 90Th Ave New Construction Use Residential / Number of bedrooms 3 Code denved design flow rate 450 GPD Replacement Public or commercial - Describe: Parent material Glacial T,II Flood plain elevation, if applicable NA ft. General comments Propose a 6 x 75' mound cell located along the 104.35' contour with a system elevation =105.35'. Upslope contour staked onsite. and recommendations. Zap Boring # Boring Ph Ground surface elev 100.57 ft- Depth to limiting factor _ 24 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ t' in. Munsell Qu Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 1 0-10 10YR2/2 sil 2msbk I mvfr cs 3f-m 0.6 0.8 2 10-191 10YR3/4 - sil 2msbk rrI gs 2f-m 0.6 0.8 3 19-24 10YR5/4 _ 8il 2m sbk mvfr gs 2f -m 0.6 0.8 4 24-28 10YR5/4 c2d5YR5/8~ sil 2msbk mvfr gs 21' 0.6 0.8 5 28-51 7.5YR4/4 1 c2d5YR5/8 sl1scl 1 _ msbk/m mfr 11' 0.0 0.0 I Boring # Boring Pit Ground surface elev. 101.27 ft. Depth to limiting factor 24 in. So,l Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDMI in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. -Ef~fp1 •Eff*2 - 0-7 MY 212 Sill 2msbk mvfr cs 3f-co 0.6 0-8 2 7-14 10YR3/4 - - sil 2msbk mvfr gs 311 0.6 0.8 3 1422 ` 10YR4/4 - sl 2msbk l mv(r s 2f-co g 0.6 1.0 4 _ 22-24 7.5YR4/4 - 51 2msbk 17MVIIII gs 2f-co 0.6 1.0 5 24-40 I 7.5YR4/4 I c2d5YR5/8 T sl 2msbk mvfr gs 2f-m 0.6 1.0 6 ~40-66 5YR4/4 c2d5YR5/8 Sill m - mfr I 1f 0.2 0.6 Effluent #1 = BOD 5> 30 < 220 mg1L and TSS >30 < 150 mg1L Ef Iuent #2 = BODS 30 mg/L and TSS < 30 mg,L CST Name (Please Print) Signature CST Number Keith E. Stoner 224059 Address Keith E Stoner to Evaluation Conducted Telephone Number 23220 Wood Creek rd. Siren, WI 54872 9/18/2014 715-653-2324 SRD-8330 M I U1 1 Property Owner Jerry Nolan Parcel ID # 034-1045-60-025 Page 2 of 3 Boring 3 ] F Boring # Pit Ground surface elev. 105.27 ft- Depth to limiting factor 30 in Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD1ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •EW 1 0-9 10YR2/2 sil 2msbk mvfr Cs 3f-m 0.6 0.8 2 9-19 10YR5/4 - sil 2msbk mvfr gs 2f-m 0.6 0.8 3 19-30 10YR4/4 - sl 2fsbk mvfr gs 2f-nn 0.6 1.0 4 30-34 10YR4/4 c2d5YR5/8 sl 2fsbk mvfr gs 2f 0.6 1.0 5 34-60 5YR4/4 c2d5YR5/8 sl m mfr - if 0.2 0.6 Boring # Boring F4] Pit Ground surface elev. 101.37 ft. Depth to limiting factor 34 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDMI in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. -Eff#1 `Eff#2 1 0-6 10YR2/2 - sil 2msbk mvfr 1 cs 3f-co ! 0.6 0.8 2 6-13 10YR3/4 - SO 2msbk mvfr gs 3f-m 0.6 0.8 3 13-27 10YR4/4 - sil 2msbk mvfr gs 2f-m 0.6 0.8 4 27-34 5YR4/4 - sl m mfr gs if-m 0.2 0.6 5 34-72 5YR4/4 c2d5YR5/8 sl m mfr gs if-m 0.2 0.6 6 __72-76 5YR4/4 - - Is Osg ml - - 0.7 1.6 - 'Soil saturated at b9" Boring 5 Boring # Pit Ground surface elev. 99.47 ft. Depth to limiting factor 27 in- Soil l Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD.V in Munsell Qu. Sz Cont. Color Gr. Sz. Sh. `E(fiti •Eff*2 1 0-10 10YR2/2 - sil 2rnsbk mvfr cs 3f-m 0.6 0.8 2 10-24 10YR5/4 - sil 2msbk mvfr gs 2f-m 0.6 0.8 3 24-27 T 10YR4 4 - - - / sl 2msbk mvfr 1 gs 2f -m 0.6 1.0 4 27-36 10YR4/4 c2d5YR5/8 sl 2fsbk mvfr gs 2f 0.6 1.0 5 36-59 5YR4/4 c2d5YR5/8 sl m mfr - if 0.2 0.6 Effluent #1 = BOD? 30 < 220 mg,'L and TSS >30 < 150 mg/L ` Effluent #2 = BOD< < 30 mg/L and TSS <30 mg/L I he 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. UC c ~ T 3~ ~ p 0 0 ~ o Y ~I v in .L. 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