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HomeMy WebLinkAbout040-1271-20-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division Sanitary Permit No: INSPECTION REPORT 578997 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)j. 2S5 L/ 2 Z Permit Holder's Name: City Village X Township Parcel Tax No: McNulty, Tim & Shelly I Troy, Town of 040-1271-20-000 CST BM Elev: Insp. BM Elev: BM Description: Sectionrrown/Range/Map No: too 10 r eO ,Q CST- $20.28.19.1499 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark OO `O Dosing Alt. BM Aeration Bldg. Sewer e5~i~-~ rvtj,y T 2,0 ~D, 2S Holding St/Ht Inlet ys ~ pqr 'T" O TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic O I Dt Bottom C/- Dosing k Ilk Header/Man. Aeration f~ Dist. Pipe /03 87 Q4t 7$ Holding Bot. System la3 S. r IT 09 Final Grade PUMP/SIPHON INFORMATION 1O;'~3 $ 75 Manufacturer Demand St Cover z O'er- GPM loryt Model Number k- ZZ~011 ~.~S 1 44 TDH Lift Frictie Ls System Head' TDH Ft 1_ J 103, y p/ 70 Forcemain Lengt Dia. Dist. to Well A11,4 l Al`"" SOIL ABSORPTION SYSTEM ~O BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS o. Of Pits Inside Dia. Liquid Depth DIMENSIONS *1-5' SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEA ING Manufactu INFORMATION CHAMBER Type Of System: filOa .l !p lil UPI tud Number: 0 V&D ,4 DISTRIBUTION SYSTEM Header/Manifold, i5iPstribution `q x Hole Size Ix Hole Spacing , Vent to Air Intake rt (s) r Z Length_&~ gth Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodde xx Mulched Bed/T ench Ce ter > Bed/Tr nch Edge / GI Topsoil Yes No Yes 0 No COMMENTS' (Include,cop di re encies, a ns present, tc.) Inspection #1: q /S Inspection #2: q / q 157 Lieu On ocatlon: 453 Windy Hill Road Hudson, WI 54016 (NE 1 NW 1/4 20 T28N R19W) Troy Woo ~2,3!p Parcel No: 20.28.19.1499 1.) Alt BM Description = 4 100 i0 - IN4(- 1'D 2.) Bldg sewer length = L{ f 1 ( 0411( ~ 03Sne V/ivao Pipes ~ r"duAet= ~,4 - - amount of cover = (00 (5, Wt/pr) r/ l4~ Plan revision Required? Yes * No / itinal information. LTT Use other side for add - Date Insepctor's Signature Cert. No. SBD-6710 (R.3/97) x ODD O e A r ~ w ~i4 ' ~ e ~ u p a n w Q ~ vu ~ ao a a I o ~ ~D w a l~ pa( po~ Industry Services Division county 4 1400 E Washington Ave .Sr, ~/taX By A 62 Sanitary Permit Number (to be filled in by Co.) 7 7162 89a -7 1 Sanitary Pest A IctL'autf8i - State Transaction Number In accordance with SPS 383.31(2), Wis. Adm. Code, submis" "Gtdb*Vopriate governmental unit L4 is required prior to obtaining a sanitary permit. Note: $!Wt#W ®E*.*L(@" are submitted to Project Address (if different than mailing address) the Department of Safety and Professional Services. Personal information you provide may j>e used for secondary purposes in accordance with the Privacy Law: s. 15.04(t)(m) Slats. 1. Application Information-PleaseP'rintA.llltt.ormation V53 lbwy 100. Property O LNuer's Name Parcel' D ' 12~ 1- 20- Obi Property Owner's Mailing Address Property Location O 8 L7,Y-V /0!l e sr lnl. Govt. Lot I R9 City, State Zip Code Phone Number IV/ F _4/ ~/Y Section ,?O / , (circle one G✓60,O,BU /V/'I/ 9 GS/ 12C 9- 96 g3 T .78 N: R 19 it ot' O H. Type of Building check all that apply) of r 5rl or 2 Family Dwelling - Number of Bedrooms 7 )WAk4 ' a7 Subdivision Name / Bloch it b \ G ❑ PubiiclCommercial - Describe Use f ❑ State Owned - Describe Use CSM Number 43-~e of 1 ,9,)( O ON n 9 Town of V-44 Y HL T er heck only one box: on line A. Complete line B if applicable) ONew System ❑ Replacement System ❑ TreatmentlHotding Tank Replacement Only C1 Other Modification to Existing System (explain) B. Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New Ltst Previous Permit Number and Date I e d Before Expiration Owner o n-mo a- p 7.0 IV. Type of POWTS System/Com onentlDe:vice: (Check all that aDDI ' ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-G Mound 2:24 in. ofsnitabie soil Mound <24 in. ofsuitablesoil ❑ holding Tank ❑ Other Diispersal Component (explain) retreatment Device (explain) V. Dis rsaU'1'reatment Area Information: Design Flow (gpd.) / Design Soil Applicati Rate(gpdsf} Dispersal Area Requi W sf) Dispersal Area Pro (sf) System Elm e" rd mA- 0, L Gao Id ~w Ga$ 98.0 ' 9,7a Gao d VT. Wank Info cipacity in Total J/#oF Manufacturer Gallons Gallons Units 'o New Tanks E.vsting Tanks &FID a U in m V Scpu`°`Ibldi°gTaa{ /o?SO Sd `✓/ESE,t ~c.✓[.t)'6 Y Dosing Chamber 7-:~-O 7SD ~r V 31€. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's MPIDS Number Business Phone Number o y,✓ AEL/!E ~3/3yL /S G7a-S744 OoO' Plumber's Address (Street, City, State, Zip Code) 60?98 -<r. q) A?S ,t/VX.4.40 lJI 6-y7J.1 VIN. ConntvlDe rtment Use Only te lsstredIssuing Agent Sigetatu Approved ❑ , P it Fee Da 5ed teen Reason for iai $ goo Irc. Co d pglllleasons for Disangroyal 1. Septic tank, effluent filter and J 1J 1 " r Ok Tau dispersal cell must be servi0-0 / maintained as per management plan provided by plumber,'/ LA~b 2. All setback requirements must be maintained 7 ~ Attach to complete plans for the system and submit to a Coun _ Daly oa paper not less than tt It2 x It inches is size SBD-6398 (R- 08/14) + DIVISION OF INDUSTRY SERVICES ' ~pAR7:t1E~ 2331 SAN LUIS PL STE 150 ti ~ o GREEN BAY WI 54304 ~R•` Contact Through Relay a ,3 i S _ P httpa/dsps.wi.gov/programs/industry-services www.wisconsin.gov ADO 'ssrorScott Walker, Governor Dave Ross, Secretary June 12, 2015 CUST ID No. 231346 ATTN: POWTS Inspector JOHN HERBERT PELKE ZONING OFFICE PELKE PLUMBING ST CROIX COUNTY SPIA N6298 ST HWY 25 1101 CARMICHAEL RD DURAND WI 54736 HUDSON WI 54016 CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 06/12/2017 Transaction ID No. 2554222 SITE: Site ID No. 813553 Tim & Shelly Mcnulty Please refer to both identification numbers, 453 Windy Hill Rd above, in all correspondence with the agency. Town of Troy St Croix County NE 1/4, NW1A, S20, T2 8N, RI 9W FOR: Object Type: POWTS Component Manual Regulated Object ID No.: 1539809 Maintenance required; 600 GPD Flow rate; 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. 45.06, A stats. Div1SK* The following conditions shall be met during construction or installation and prior to occupancy or use: DEPT-OF Reminders • Pursuant to outlet filter product approval stipulations, maintenance information must be given to the own r of the POWTS explaining that periodic cleaning of the septic tank outlet filter is required. The access open g used to service the filter shall terminate at or above finished grade with a watertight cover. • The pump chosen for the design is at the limits of its capacity. If the total dynamic head is calculated to be higher at the time of construction, a pump that meets or exceeds the system demand will need to be installed. It is recommended that the actual pump-off elevation be determined when the dose tank is installed to establish vertical lift and TDH pump demand early in the installation process. The County POWTS inspector will verify adequate pump capacity upon inspection. Performance specifications (pump curve) for the employed pump shall be made available at the job site upon inspection. • Asper the Mound Component Manual, activities shall be limited in the mound area. Vehicular traffic, excavation and soil compaction are prohibited in the basal area and 15 feet downslope of the basal area. • The orientation of the mound system must be such that the mound's longest dimension is perpendicular to the direction of the slope. • This POWTS dispersal component and septic system shall follow all setback requirements per s. SPS 383.43(8)(i), Wis. Adm. Code. JOHN HERBERT PELKE Page 2 6/12/2015 I 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 others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 r Fee Received $ 250.00 Il Balance Due $ 0.00 Rachael E Huempfner POWTS Plan Reviewer, Division of Industry Services WiSMART code: 7633 (920)492-7726, M-f 7:45 am To 4:30 pm rachael.huempfner@wisconsin.gov cc: Pelke Plumbing & Well Drilling Inc Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 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 "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. 1 Private WwWwabw hideml -,Au ry g,vao eo,urS V1llydaC a~ tVildt ~r N ommesAftem 1,0390 wg,o apt0r /,I. 6✓ooD,Bas.Y /Y-V SS/J 4 ' - ~S! al 9- 953 XAgdDendpdm- &g. agow -p - v~T ~ReiX ;onditionally • - PROVED Lot JF INOUSTjkY SERVICES ~~~211s r/r.-I Slf E RRESPONDENCE pfts 2 tilos' 6'L /w/ . e 3 _ ~1L oss - fie- sr_& LIZ s.J rA 2 WE!utlt Id u ;,A,✓K ~w~rar ,~ipSPrsd&A aAEfS Slcr1o,J _ [~sa.ea ~ t~ It 1♦ sa .i~ l6 T ~Jf wJ Dalm ao1^ Jo &sPoUDwjAgP0 -95P S 91-85: „fee-/©~9l ~ ~~el, affo~11 --/-"IZF.SS~4,~ .fs'/.:CTr~cl.~~31-aa~t--~o~s.~~,a~;~-.;,,du.~t Cl~e'1stia~-~=~-•-r$~-,le~~ ~ lri~_J. ~lfs!„~ qD $ 1° A : a c p At n® n 1C ~ 1t 7 0 ~ ti lk on o ti O e I h kit U, tA ti O t p c ~ v o nb sae n ~ k A n w O ~ vu ~ 0 G ° Ir 1 ~ p r ~ w Okla~ a k all w `c ° A 'a - r • s it ~ lit call T oil t ' * a► -r, : % tN,. td go Z .4 o - ~w K to b O O N 6K. : s ~ ~ t t t tn ! 7 Z. L } 1n V _ -Z X ~ w ltV a~ ~ R~ t+ I.% IS, Op M h n . to% C t ~ih1 b ~ o o a u ~ . = Page -SEPTIC TANK 9-PUMP CHAMBER CROSS SECTION AND SPECIFYCATIONS 4" CI. VENT PIPE 12" MIN. ABOVE GRADE WUTHERPROOF /V FROM DOOR, WINDOW OR JUNCTION BOX APPROVED FRESH AIR INTAKE WITH CONDUIT MANHOLE COVERS a W/ PADLOCK s WARNING LABEL ,~,,te m►" 4" MIN. I$" LIM. INLET =c ~ • !1 t 6 WATER TIGHT SEALS GAS- i BESr 77 TIGKTE ~ A SEAL RPPROYEO G /o + c APPROV Fit rra. ,..L- r LNG APPROVED WITH PIPE PIPS B ~ flN r PUMP OFF ELEV. ,S FT. - C , OFF ' RISER EXIT D PERMITTED ONLY IF TANK ' MANUFACTURER 3" APPROVED BEDDING UNDER TANK HAS APPROVAL CONCRETE PAD SPECIFICATIONS SEPTIC, / DOSE TANK MANUFACTUREk: j,/~`csE-,c ~oM turd NUMBER- ROSES PER DAY: 5- y y TANK SIZES: SzPfTIC x3a /G7A}L. ' DOSE VOLUME ~I'{NCrL~UyD/I~~I7IS\.rAN/IG //i! 3 DOSE 7S~ le ~113Lir S LOYYa ~7AL♦ ALARM MANUFACTURER: _ ,sTE ~;eas, CAPACITIES: A INCHES a _ yB~GAL. MODEL NUMBER: _ r~p✓X .~ta„yt,/r SWITCH TYPE: INCHES w 3~ a GAL. , PUMP MANUFACTURER: C z APL INCHES = as GAL. MODEL NUMBER: !3l ~t SWITCH TYPE: ,_1lECNw ✓iait D » 8_o INCHES = ~ P GAL. REQUIRED DISCHARGE RATE _o8.og GP PUMP 9 ALARM WIRING AS PER ILHR 16:23 WAC VERTICAL 'DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE . /y a FEET + MINIMUM NETWORK SUPPLY PRESSURE . . . . . . ,3.skxa; .-._!94 FEET + 9"0' FEET FORCEMAIN FT/ 100 FT. FRICTION FACTOR . FEET TOTAL DYNAMIC HEAD _ 23. 2_ FEE INTERNAL DIMENSIONS OF PUMP TANK: LENGTH SS N ; WIDTH 8oDIAMETER LIQUID 35EPT_ y8 " /F ~'D~ Ex~fE,os ao' usE Zo. ~ Et ttF'a !,S'J ~a~ TOTAL DYNAMIC HEAD/FLOW PUMP PERFORMANCE CURVE PER MINUTE MODEL 151/152153 EFF AND DEWATERING 14 461 52 153 t2 40 MODEL M383 reel Lfts set. Ulm 35 10 5 261 7 7 281 3D 10 3.D 231 70 265 15115 4.6 201 1 258.1 167 52 197 7.6 129 42 159 ,1T 4. 30 9.1 - 23 87 33 125 15 a 35 10,7 - _ 22 85 4 = 40 12 2 _ - - - 11 42 to a 8h"ft d: 30I .1m) 380. (11.6m 4411 13AM 5 2 0'45= Mod 151 Models 1521153 to SQ_ 40 tb t 40 1 GAMM 1) 61 V Wig- fiTd~ 87132 0 40 1 180 240 app 300 FlONrPBiAdtP3trE 3718 ride 3718 45de 014MM 3748 & C 37J8 • Timed dosing panels available. I 7B i 3rre • Electrical alle an alarm duplex systems, are available and supplied with i 1 • Variable level control switches are available for controlling single phase systems. I I • Double piggyback variable level lost switches are available ; I for variable level long and short cycle controls. • Sealed Gwik-Box available for outdoor installations. See 11 line 72 7M FM1420. • Over 13VF (54°C) special quotation required. _ I 5 alerts 5 {I~ CLIO% SK2444 SKM 151/110153 lY10Dp,8 C*i&d Sete fan Model Voits•Ph ltOde N151 115 1 Non B.0 1 2 or 3 SN151 115 1 Auto 6.0 Included 2or3 E151 230 1 Non 3.2 1 2 or 3 aE151 230 1 Auto 32 Included 3 or 3 N152 115 1 Non 6.5 1 20r3 "Easy asserribly" aN152 115 1 Aub 8.5 included 2 or 3 (PIM d dedow pipe E152 23D 1 Non 4.3 1 2 or 3 1nt eK9lded.) aE152 230 1 Aub 4.3 licluded 2 or 3 N153 115 1 Non 10.5 1 2 or 3 BN153 115 1 Aub 10.5 Included 2or3 E153 230 1 Non 5.3 1 2 or 3 BE153 230 1 Aub 5.3 Included 2 or 3 87- "T i 1. Single piggyback variable iew float S9Pft or double piggyback varable level G< ; t 'ea': NN It Y ? float switch. ReW to FMO477. Reduces potential clogging by debris. 2. See FM0712 for correct model of Electrical Alternator E-PalL z Replaces rocks or bricks under the pump. 3• Variable level control vk tC1110-0743 used as a Control ad ivator, specify duplex ` Made of durable, noncorrosive ABS. (3) or (4) float system. d Raises pump 2" off bottom of basin. Provides the ability to raise intake by adding sections of 1Y2* c or 2" PVC piping. Ab&m securely to pump. 1 fd a.` ~.~tS s 1 .Y ~ Y=t- 'fY} s fit {ear 3 16 rh{-xir mi ka=~ i3-3 Jt"? USr i G~ icF i{£u t r= : r.iz~2 > s i i r: d c= z n d d 1 ru h ('W6 o a cttc-acs Src!u e 3 za= ° Accommodates sump dewatering and effluent applications. wok 5i .-o 41. e, f"~~ t A "v sex "NEC! 6 ~Wy^,rt, -usllSttL'1 safet_ are fl~d:k1 NOTE- mane sure ffk3at is free frorrr obsbucOwL For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. ® Ckjyright 2008 Zoeler Co. All POWTS OWNER'S MANUAL AND MANAGEMENT PLAN FILE INFORMATION SYSTEM SPECIFICATIONS Owner w d' Nu Y Septic Tank Capacity O gal p NA P t # Septic Tank Manufacturer ClWeA, D NA DESIGNPARAIMETERS EflluetrtFilterManufacturer h3EST pNA Number of Bedrooms 100 dlbeidroom Effluent Filter Model r- /o ❑ NA Number of Commercial Units - Punt Tank Capacity SO Z!j D NA Estimated flow (average) yO0 da Pump -Tank Manufacturer Es`x Ceue,e. Q NA Design flow (DWF), estimated x 1.5 ,-*oo gal/day Manufacturer Z441-4" p NA Soil Application Rate A O da Model S/ DNA Influent/Muent Quality (p NA) McmihlyAve W Pretreatmernt Unit (I'NA) Fats. Oil 8t Grease (FOG} p SandlGravel Filter' p Peat Filter 5 30 mg/L pMechanical Aeration pWetland Biochemical Oxygen Demand (BODs) 5 220 mg/L D Disinfection p Other. Total Suspended Solids (TSS) Manufacturer. Model: :9 150 mPrated Effluent Quality (p NA) Monthly Average Soil Absorption Component (DNA) 13 Biochemical Oxygen Demand (BODs) 5 30 mg/L p AI tro d p hi-gro ounrnttd (pressurized) Total Suspended Solids (TSS) 1~Maund Fecal Colif= (geometric mean) 5 30 mg/L p Drip-line p Other. 510 Afu/100m1 p Dispersal Units Manufacturer Maximum Effluent Particle Size 1/8 inch diameter p Aggregate Cell(s) Model Calculations: Sail Dispersal (EiSA) or WF Aanlit 0On rate = Area fired rdthD Uriis or Total Lmgtb Of 111W an 4,60 - 0 zoo DESIGN CRITERIA p "Design of Pressure Distribution Networks for Septic Tank-Soil Absorption Systems" Publication 9-6 (SSWMP Manual) p "iCC Flowtech Mound Component Manual" Version 1.2 D "allow Motmd Component Manual" Version 8/20/2007 p SBD - 10954--P (R1/12) "At-Grade Component Manual Using Pressure Distn'brrtion" Version 2.0 C3 SBD -1070 a-P (N-01101) -In Ground Soil Absorption Component Manu ai" Version 2.0 0 SBD -10691-P (N.01101) `Mound Component Manual" Version 2.0 p SBD -10657-P (86/99) "Drip-line Effluent Disposal Component Manual" fE( SBD -10706-P (N.01/01) "Pressure Distribution Component Manual" Version 2.0 p Other - MAINTENANCE MONITORING SCHEDULE - MAINTENANCE AND MANAGEMENT Service Event Service Frequency P Inspect Pump u tan s in cells clean filter At least once every 13 rnanths lid 3 ears © Other - & arm controls alari% unit At least once e p mvrrtlus 3 ears DNA Flush and pressure test laterals At least once every- . p months 3 years p NA ST~t?T UP AND Mtt ATION: For new construction, prior to use of the POWTS check tra&nent tank(s) for the presence of Painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing opemwr prior to arse. System start up shall not occur when soil conditions are fmzen at the infiltrative surface. The property owner is responsible for the operation and maintenance ofthe POWTS and submission of required reports. The quantity and quality of the wastewater stream will affect the performance and longeviW of your POWTS. The installation of water-saving appliances and fixtures along with prompt repair of less reduces the wastewater volume. Also the brine or waste from water softeners, iron removal units, other clear water treatment devices and foundation drains should be discharged to the ground surface whenever possible. Note: this does not include laundry waste, showers, dishwater, etc. This system is designed to handle domestic strength wastewater, however the disposal of flood based greases and oils, vegetabie/fiuit peels and seeds, bones, and food solids such as those produced by a garbage disposal should be minimized. Toilet tissue is the only paper that should be discharged into the system. Other non-biodegradable items such as baby wipes, tarripons, sanitary napkins condoms, cigarette butts, dental floss, and cotton swabs should not enter the system. Chemicals such as petroleum products, paint, Page 7 of 9 diSlctants, P des, i dcs, solvent,4, etc., should not be Rushed into the and contaminate your drinking water supply, system as t&ey can seriously damage your POwTs Maintain a regular study low by spreading kum*y washing throughout the week. Avoid vehicle traffic over an Sara of snow over the disperW unit may cause it to fiteze up, sYsn carnponenta. PECTIONS - ~ Ingaectim shall be made by an individual carrying one ofthe following uons: Master Pi m*w, Masater Plumber Restricted Sewer, POWTS Maintalner or S"P licenses Servicing (pert Maine Schedule). Tank inspections must include a visual ' ~ n h he attached - identify any cracks or ;nPctior► of the tank to identify any mfg or broken hardware; ground surface and tenth all electrical the volume of combined sludge I scrum and check for any backup m. P08ding of effluent to the equip greater shall be than 8 inches in diameter secured with effective such as Pumps and enin Warnis. Any defects shall be promptly corrected. &pwW op t . locking devices to prevent accidental or unauthoriznt " the tanks. When the combination of sludge and scum in any tank exceeds one-third 0 13) or more of the tank vol, tents tank shall be removed by a Septage Servicing Operator and um the ensure cx~rs dmi of the Cade. diapered of in accordance with ~ NR 113, Wiscxrr~in Administrative The outlet filter(s) shall be inspected and cleaned to remove ated solids according to manur's fi~~. Solids washed from the filter shall be retained in the tank. Filter cleaning any accumul be necessary at maintenance schedule to keep the system open~g, may more frequent intervals than stated in the Alarms should be tested on a regular basis by the home owner. If an alarm so "There is normally a t day reserve under unds, contact an individual licensed to service POWTS, system are operating conditions, however water should be conserved until any problems with the regular cOnuted to prevent back-up of sewage into the dwelling or sure mg, - N .if s When the POWTS fells and/or is Pe me mn* taken out of service the following that the system is proPedy and safely abandoned in compliance with Ch. SPS 383.33, Wisconsin Addm'nharadve Code. to etsurd - All Piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed, The contents of all tanks and pits shall be removed and properly disposed of by a Sept%e Semicing - After Pumping, all tanks and pits shall be w vated and removed or their covers Operator. removed an soil, gravel or other inert solid material. d the void space filled with & coW G-'W pr If the POWTS fails and cannot be repaired the foe a code compliant replacement system: lowing measures have been, or must be taken, to Provide Cl A suitable replac et area has been evaluated and may be utilized for the location, of a The replacement area should be protected from disturbance and cram ► in* eat soil absorption system. P~~ and should not t be be inged upon by Modred setbacks from existing and proposed struck lot lines and wells. Failure to protect the replant area reps Replacement systems must comply with the rules in effba at the time of replacement it unusabl e. D A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the haled POS. The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be pu*rm ed to locate a suitable repl t areea., If no t+eplac c mem area is available a holding tank may be installed as s last resort to replace the failed POWTS. Q~ Mound and at grade sail absorption systems may be reconstructed in place f+allowin surface. ltseonstructions of such system must comply with the rules in ei'fact at aw time. removal of the biomat at the infiltrative ,Q<WARNINNG>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTIAN LETHAL OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UND R ANYIC[RC Sib°i' DEATI0 MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR IMPOSSIBLE. OF A TANK MAY BE DIPF![CULT OR . ADt3 ZONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name Phone 46 av y Et rE =0?4 Name .J-0" "4 SEPTAGESERVICING OPE13A►TOR Phone - s-a1~ Name ~Al"d LOCAL R$GULATORV AUTHORITY Phone Phone r aw s ©v 36-1✓eo PageAof 9 i~ Y ~ : rom co o ~ Q .,a ~ r- aa _ 8°A! O N eOS~ ry ~ Cl1' y I n O' m C- ?ppo~t'ys o 713 6 CL. n P3 39 Hwi-u FBI m'" w Rama .a. t? Q . 2 S O 3 kr ~ p c 3 N ?'q..'~ m s.' a ep 7S' E Cl v+ to ° ' e O ~r.e~of0~ i E A,oT 3 n C~ 72. G Q t i. t7 v c. +y . s9 m ~J G :9 SL V W a Q 3 O Q ' z .3. a - e`SD rb m .a 7c7 m or y p~ CL GO for Q r+ = El 8Og M fD ° t, i m d ? Q C~Dr ? o -4 d r Q I~ Off m m G 4 0 rD CT 1=0 3 -a < f~4 roc A z 9p (D ^y r". g} cD - y •O m m w n Y' Bde r I t4 3-. e SEE t 1 TANK iY4A11Y 1 t'FNA.lyCF A. t.JA'\..f 1:MFi ! 1 ~)~~~\ii✓l'~5;1~_~ C'~.I~T.t1 lC~:'~T~.{..~~TT'C~IZ~1 ai,in r~c~dx l03 Grd Fcj-c e s+ La rn e kJ(X)4bU~ A~ ~ Seri;` t lees 5 3 IhJ r~c~(~ c ~jQA,U kid, Svc'? ~/j S ln ...T . "ure(I rro t i~ riz inl~ c~ 40 it 1')e partnletll tcu =.ev" construction.!. 0 ty St to Parcel IdeiviSaWn Number Property Locatio Subdivision ('er ified Survey l4ap,A , Whim,e Pa !se yes no Lot li uc.s idesltifiaMe yet no SYSTEM tv'IAINTE NANCF AND OWNER CrWFIFICA.TX(JN 'r,prop u e and Ina. I tenant o your septic sti tern could use h hots prematme f':lilure w hwdle wmtes l per S , i Cran e C(T?1 ! t5 6I 77i ?:hln vLI# I't S ti,ti Id 't: eVCt J tl9re@ nears i7. S(7pntr., ]fneC`.['if.ti, f{•ly IICePSK;{3 PTjrrnel. '0111 put into tc rII an htsc t 1h function of di s puc f nk as a treatment stage in the waste disposal system.. ~)SVr er n~atntc~n:ITice ,},;4h,Idaml.ttcs are ,Specie ` l ni &~MML 81511) an! in Chapfor :2 - (;roix (7ount,Y" Sans taay Ordlzlax7~e. T% pi-ope vy Sutlct s= ces to submit to 5o cloiz coulity Planning & Zoning Department a ce.rti,.Icatiori form., signo'd by t o and by a r !.stet plil: ,'F a Ic,tan,, s I)In plumber, restricted pluMcr c r liu nsed puinptr xc ifyinr that (1) the can-site ~,'.e itCr disp al syslenn is in pioret op( -arinn cokition x;C Or (2 i nt .;3SIJectiou f?ltj punij uiI , Oft . ~,ti y), Oie ss I:c ' A is ~ IV Tian 1/3 fill! of shl,l _ i I 1.'f, t11 Ia1 cI4 geed ha ttI the above requuerivr'its and app e to 21112th s m Pri1'<'zte sewn dispo-21 S1,Steni `+'✓ith th wI],:matd sot fort herem, , so 1 t l y Departn ert (t nn i e"Ce dnd tin L)q'ari ni'mi of Natural pcsnurc~s, State o ~ isconsm- t croft mm , Wn , that you; ;xptm ys en has teen n1 alnt n ed must h comp feted and returned to the St. Croix County lllaunitic S- Iisr [mcl ar't t~-ut wi:lan 30 days o+, flh tares y,,ar o,%piration date. crtlfr th Il(staterttcras c>is ferry are W x to be best 01 Ixli1rots +,vled hxe ar>`x e the ov"ner(s) of titc prop<Tty dc-scribed alw,)vc, b I~ritu rranty dc:F,i T rded in Registry of Deeds Office, ,vumber of bedroom, l L qT DA TE **'A.n), intornnatlon. th t is nay result in the ~ 7 puma hNg r{'wkt: d b)"the Pjanninp, /o uuk 1.)CparLrPnt. Acltide A& this appli mbn a recorded warranty dud f.alna nj ~t~r of L> .etis Qffice and a Coj)y t>f`tllG erttred s!u:~'e)' Wrap if rt ferencc is rnadc in the arrall y -?c zd. € REV. 08M WINDY HILL r R=23#.00I L=12$.44'1 I U CR m 4? w T m 23 I 52,281 SQ. t s so.lr • PROPOSED HOUSE b b \ 2S' S~\ 25 \ \ 'rso\G\ \ / N SBV45'02"W 205.22' NORTH LEGEND ~o DRAINAGE DIRECTION i x -WRE FLAG SET ® =WOOD HUB SET AT OR 70' OFFSET OR ON BUILDING EXTENSION FOUND 7' OUTSIDE DIAMETER IRON PIPE . • • • • • • • SETBACK LINE 1, Ty R. Dodge, Wisconsin Professional 7Y UTILITY EASEMENT Land Surveyor, hereby certify that this survey was prepared by me or under my direct supervision and is correct to the best of my knowledge and belief. ELEVATIONS SHOWN ARE NAVD 7989 DATUM. I MCCORMACK CLASSIC CONSTRUCTKIN LOT 23, 1ROYWOOD X T OUT PLAN SMW ® h1o u g b f f' N Na l 5 ~oy Z d' ~m i -i #a E ~ m sp N s ~ a a Aar KP~ N y8 I y4 P I 4¢ ~g 58 ® 1~~~AA -077 ® L1 ® F b D ®rm b~ 1 4E ✓f I l7 \ O DRAWINGS PROVIDED BY: m Classic M PROIcNuECullli;iHoup7I0N: se M O, dOPTION BY pAh TNESE DRAWINGS ARE THE PR g m McCormack lty OPE OF CONTAINE OPRIETARY WARN PRODUCT ANp t..A O l.o nstrllction ~MdrR¢s 16 _MK9RNRCK CLASSIC CONSTRUCIT0N, DEVELAPEp I.. 572 V.~R ave I CVNSTRUCTI N . .USE OFTNESEE D INRGSwAND CONCEPTS NSA' Sa0D TNE0.EIN WMOUT THE WRTREN pERMISSIEN3 ]151160-2111 - IMCCORMAC!( CLASSIC CONSTRUCf10N LS pROHDllTED AND OF MAY F AYW ONY 031IpINDYd SI NOllJNr15NOJ JISSYtJ JDYWN031yy - JO SSLL-09L (SSL NOI55tWV3d N31-LILM 3N11(IONLrM luadaHl (SNIV1NN 95065 !m'uotynN Ln SIdS]lIW a ONV NV 50NIMYNa 333NL1035N'NpLrJNyySNOJ - .r WpLl z" N JfS5V1J MJVyrrppW l035N 3NSItD%33FI1 ~d UO~~ SUO' F~ waalSM1Sa -pCY N 'NOLL]NWSNpJ J155V1] MJVWtlOYW a0 ALVp aSnO LLl I L'rnaoYaMaomNav,LanwoYd3NL~arsoNlmraaaspNL az Ap rroLaY po 'oN H ~Is5anNOW ~ISSBl~ ~OBW.10~(d~ a w :Nauanu LJ~roua .LE watnoaa p~NIm"a p f+rj .99 AL- I .91n l l-s a a Wry I I i N I I I I I I I ~ b AWL L4•,I & • If I I R 'I 4 I .wt a-dz s ~ I I I I ~ I I I ~ I I ~ g9 / I I § iFxi oX r~4 fm~ ,n h m ~ ~ h F- b a h - I11:N I W I ~ Q ? m ' 3 lu o- N jq } ~ p ~ ,9E q ry a o Oil H Wm o4 - I}- - ~ X <m b• z f ' 1y E hl ?t S u~ X: we I ffiF rv Ul Y 90 in Nr ~ .LL 0•.Ot F - AML-9 E L-.E A-SH~-.E•5 1 _ ' „9l/ l Y JUL E "A-'L ""-+g lb 4-.L A•Al _ ,r9 AY -AE AYW ONr a31I91HONd 51 NOIL'N1ay5N0] ~255Y7] ~IJtlWNITPN I • TR219 SStC !0 NO[59[Wtl3tl N31ASaM 3NA 100H13M N13ll3NA 03NItlJ1/W 9TO M SM ~asPM 51,d3JNOJ aNY S:1NLWra0353H1 d03511'N011>OaASNOJ _ YV39osuS 0159Y77 HOrYTtl00sW p 350 3AISOpK3 3H1 aM a3am3A3a'NOU]nucsxo»SSSrL7 MOrwLD7oW d0 ALr3tl0ad asnoH '4tnN~ DSSe uojjon.1}SUO~ t{! {Sj awr ~naoaa anom AarA9laeoaa 3iLL 3ar soNSmvaa 393NA 31tlo A NOSid a053 'ON W ! I~ ~~ewao~W Q N w ' F NOLdIUJ930103[Oad •A9 030 AOVd SMMMraa p N I;I I:I ICI I'I I I I S I=:1 I'I 1-',I I",I I I I.I 1':I lil t' i I, I I"1 li;l I^I 11 b ~ t'I 1 1 II ICI 1-=1 l'1 !fi I:;I t',I I;I I 9c I : I 1 1 Z I 1 I L._ - - - - - - - - - - - - - - - - - - - - - - m l - I i 1 I I IRI I `I I~ I Y I:. <I l it A ~ 1-.. al lil o- Ic 'I Icl .Lt M,E I'1 z f 1 ~ 1 7 I L o ffi^ ~ I I ~Z ` I L-`{ I I,FI LL I' I 4 g I mo I I 'I 1;:1 S ~ F a ~I I ,I i;rl za I a/6 o-.9c I g a ~ I I;::I a I t oh I I I I I L - - s 1 4 I 1 t- -t I I I ''I I I I 1 I .arE o-oc - It ( lTti ~'j I a W I a 'I Iii tr I x rl I"~:I 6 ! 1hl )tr I I , I Z z % I I I h I ~b ~ Ij:! ~ I ~ F i I I I:t ~ tv €1 I Kb Kb ~ ..:i- ~I h I I ~~N x :I 77 o I I a fL wN ^ ~I ^ .l 'S .CJI tr,pL AVN aNY 0317BTNObd Il NOLl]litALSNO] ~ISSyI] JAYNb H I - l lzr- L STL) i0 NOteSINv3 NaW 9N inON[1M Njaw9WN,,M NOS IM'-P171 M SId37N00 ONr SONIMYMI 359FLL 30 asn 'NOl{JNHlsN07 r Weil ZLS 0795rp kJYY1N091Y i03503N5(fp%33Nl vQi >~PPr uui~n.ia${aN 1-. a3ew,ea'NOTnnaLSxm~TSSns>t~ruao~aydaunaaoroa 2SnoH /a0y~-jinN~wr0iitl Dlssel~ 4J2WJ0^~ F Z UJ ONr 1.7TIOOUd A 59MMYL0 B53N1 Ltl0 A8 NO' N 530 :NOlldI :Ae a34N0ad S9N M pJ p ry a cn I h a zrt r,~l ~ .o-z - ell V& z .vt 1-b o x 4 g ~ aTS l•.1 o a .rzl-~ .ato-a g ~ ~ .lam .tJl 1I•b- f 0 Wisconsin Department of Safety "R D Division of Industry Services SOIL EVALUATION REPORT Page / of J ' a w+th SPS 383, Wis Adm Code Attach complete site plan on paper A6PM &TN Indies in size. Plan must County ✓5rr fit of X include, but not limited to: v,"M(06fiY4%r9%%8WBM), direction and Parcel I.D. /I Percent slope, scale or dimensions, north arrow, and location and distance to nearest road. % 0 Please print all lnformabon. R Date Personal information You provide may be used for secondary purposes (Pnvaey taw. s.1s 04 (1) (m))• Property owner Property Locatron Ella T EL Y c ud r GovL Lot E 114 !r! 114 S,?p Tag N R p Property Owner's Malting Address Lot # Block # SutxL Namen or CSM# 143 S d 0 /moo t~sr -V 123 ~K->✓ W 001 CRY State Zip Code Phone Number qQ1Y f3viflage own Nearest Road ~ooD.f34R y //N SA? f (GS/ ) o?d - d 83 Ito S3 4-11w>r a xo. New Construction Use J3 Residential 1 Number of bedrooms ~Y_ Code derived design hoar rate 440 GPD Replacement CIPublic or cornmenial - Describe. Parent material I oE" o&,t c S,4 vo v La d.y ric 4 Flood Plain elevation if applicable *V,4 ft, General comments Ga,~ 0 ~orlrS ' and recommendations: / / -f 440 L/,-r/ Yf SzePE/ oPEA✓ 44ass `LECOry~JEiJO S.~L, - 98.0 /an! ?7-6 /LoNToua/ y!o G6NL.FVer DEFGFGT/o~~ Boring # Boling ® Pit Ground surface elev. 97,0 fL Depth to rimiting factor p? in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots PD in. Munsell Ou. Sz. Cont Color Gr. Sz. Sh. *EM 'Eff#2 d- 0 31 - Mu r 45 G 3 . V J Yx Y1,1 - Si / az ri sjk r s - . G NEAUY /a Y2 S/ .7 7--Ye 5-/G Fs/~ i .2 k t W G NEAP Y a Boring# n Boring - ® Pit Ground surface elev. 93, 7 ft. Depth to limiting factor 9 in. Sal Appi itxtion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsetl Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 oY'Z 10YA S13 - Si/ n as uzt= G 3 /'/-2/ /om Y/y S,I .Z rr s6 - . G 8 5/ .t!- a . S Ya /y - /s s er w - 7 S ,?9-ye /OM s-/y era ssa S,/ / / r - y G Effluent #1 = DOD > 30:5 220 mgA- and TSS >30:E 150 mWL NCNA#2 = BOP < 30 nVL and TSS < 30 mg& CST Name (use IMichael J. Hassett s-igr"dure CST Number 1503 Fairway St. Address Eau Claire, W1 54761 Date E Telephone Number 715-834-8610 715-571-4383 CST, MPRS-224974, D-1152 s13D-9330(R07113) PmMVOwner .~it~ tc ~wc rY Parcel ID# Page _ ? of 3 F -1 Borkv U # Bor9 3 [S Pit Ground surfaoa elev. _ 0,1.3 ft. Depth to kn& g factor 3 o in Soti Rate Horizon Depth Daninant Color Redox Desc iplJon Texture Structure Consistence Bow&" Roots GPDHF In. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. "8101 'Efit#2 16 YA J/3 e w .P 8 a 9-is A s - s 6 /o ra. ti A e. !yj d . 8 Y ?J- 30 r / - 51 +r bk e w Z .o s 3e-y r ad 5- J14 fs3 --0 r►~ P ❑ Boring # BOFIIV Pit Gmund surface elev. ft Depth to lard ft in. Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Car a Bowdary Roots GPDM in. Munselt Qu. Sz. Cont Color Gr. Sz. Stx `Eff#1 'EfP#2 Boring # S Pit Ground surface elev. R. Depth to kni n9 factor in. SO Applicatlon Rate, Horizon Depth Dominant Colin' Redox Description Text" Strumm Consistence Boundary Roots GPDfif in. Munsell tau. Sz. Cont Color Gr. Sz. Sh. 'EW1 *8112 ' Effluent #1 = 8005 > 30:S 220 rnglL and TSS >30:5 150 nQ L Effluent # = BOD5 ` 30 mgfL. and TSS 30 nv& SHD 3fl (R(rlt131 t Fill Property Owner r+~.Si►~ ttY Ji/yat rY Parcel ID# Page ? of 3 Bming# Boring a [S Pit Ground surface elev.5941 .3ft. Depth to limiting factor 3 D in Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots - GPDHf in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. *Effffif *Eff#2 - o~ rr v .P 8 1 6-9 16 Y, .3 13 4.5 a 9-/S a A s S 1 6 :5 .L /a ra y - 3/ / ,•r `k rt. - c G 8 Y d-3v S y g? "f S SO- vV r ryad sm S4 fS/3 -<i k /V - _ y G 17 Boring # ~t Boling Pit Ground surface elev. ft Depth to limiting factor in. Soil "cation Rate Horizon Depth Dominant Color Redox Description Texture SMlaturee Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#9 *EffQ I I Boring * F]Bot nng PGround surface elev. ft. Depth to limi6'ng factor in. Soil tigtion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD in. Munselt Qu. Sz. Cont. Color Gr. Sz %L *Eff#1 *Ef #2 * EMuent #7 = BOD5 > 30 < 220 mg/L and TSS >30-,< 150 mg/L * Effluent 42 = BODE c 30 mgt- and TSS < 30 mg/L SE0,030(RO7I13) T p ■z w ^ cn 0 ~ ro H 67 H O O r ( M M c cHi ~ H H CxJ C XT I L' C4 0 C93 0 a g ~ ry+ a ~ ~ x A o r 44 n ` ~ 0 Q ~ pt ~ u O N \ a Q D N a a. o a i 1n ` 1 to wwa~, N Za y M O` M a a. A c~ ~ ~ ~ A 0 - Z e w w w I~ a o o E» 04 d a Z 0 ° N ~ C) n p N E U y a ~ NU L) m a 3 a) c = .0 c Z E o ~U li c o m X U Q ~ ~ I m rn ~ z ~ z w z zt 11 m d C) C14 C\l z a m 0 N o z U m Z a c W F- r a> d E o ~ o a) N 0 O 0 Z Z Cl) M N t a E a c O _ d - L O 0) y d C O a o s 0 cn (1) U) IL 0- 2 O O O maaa d o N J U = o N Z c O o -a S Cl) co c NN > p m ¢ Z U) t 3 w O (n U) 0 C w O° _ atS O a E N (D 5 o E V N C L 6' Cl) ° > C H Z 0) 2 ~ O N p O U V- C) 1- 0 cn C13 0 C) C,4 Lo 0 co z 0) M U w I w vs E a (D EL L: w • ca Q m 2 I' 4) E 0) 3 rrww Kevin Grabau Subject: PLOW- 578997--Pelke Location: Town of Troy Start: Fri 9/4/2015 11:00 AM End: Fri 9/4/2015 12:00 PM Recurrence: (none) Meeting Status: Accepted Organizer: Julie Peterson Required Attendees: Kevin Grabau Categories: POWTS Tim and Shelly McNulty 453 Windy Hill Road, Hudson 20.28.19.1499 040-1271-20-000 1