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HomeMy WebLinkAbout022-1065-10-200 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 582010 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)]. 2613529 P it olders Name: City Village Township Parcel Tax No: Max & Kristin Ericson 022-1065-10-200 TOWN OF KINNICKINNIC CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: pp p fv\. ` G S ( 23.28.18.3538 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Id`.1 Dosing Alt. BM (,J: ese,~` ~ SD ~ Loy . 9 ~'1 • $ Aergien Bldg. Sewer t a (o `f i o S. 3 Holding St/Ht Inlet TANK SETBACK INFORMATION St/Ht Outlet `I$ • 3 TANK TO P/L WELL BLDG. ent o Air Intake ROAD Dt Inlet 19-1 q J Z Septic AA- Z- / Dt Bottom 112.5 Dosing 62 1 ) T,/5 1 g, Header/Man. 7 T Aeration /v Dist. Pipe ,.7 V+ / Y3 Holding Bot. System cM. 7 PUMP/SIPHON INFORMATION Final Grade L' Z7 160,143 Aft- Manufacturer Q GPM Demand St Cover Ca J /Ib 7 16 /1 '9 V T o Model Number &I ~Q 7_41 I O~ ~ c~ TDH,',Ft 0 TDH Lift Friction Loss System Head .5 f Z3 6 , 3. Z Forcemain Length I Dia. rI Dist. to Well SOIL ABSORPTION SYSTEM BEDITRENCH Width Y Length / Nog Tren s PIT DIMENSIONS No. Of Pits Inside Dia. 11-i DIMENSIONS y/ P SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION 7~ CHAMBER OR i` Type ystem: UNIT Model Number: OJ Weak- DISTRIBUTION SYSTEM Header/Manifold) ` it Distribution y ix Hole Size f x Hole Spacing Ven Air In e Length Dia Length 73' Dia S Spacing 3 7r dg Pip 's' SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center ' 73 Bed/Trench Edges Topsoil , No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: In/s1pection Location: 284 SHERWOO FOREST ~_M ' v 1.) Alt BM Description Lo JCpl., o%J ao 2.) Bldg sewer length = a . h - 4, 26 s - amount of cover = 35 C > '4 6 ^ 6A G Plan revision Required? ® Yes % No 1,5 (d v 7~ Use other side for additional information. 'T j, (7 Date Insepctor's ignature Cert. No. SBD-6710 (R.3/97) KIZ County Safety and Buildings Division S' , r^d 201 W. Washington Ave., P.O. Box 2 O~, 1 4 NS Number (to be filled in by CoJ Madison; WI 53707-7162 7NTY, ST. CROIX COU`~- - _ CE Lopm 5~ Z 0 /p Sanitary Permit Application State Transaction Number In accordance with SPS 383,21(2), Wis. Adm.. Code; submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to Project Address (if different than mailing address) the Department of Safety and Professional Servies. Personal information you provide may be used for secondary u oses.in accordance with the Privacy I,aw s. 15.04 1 . m Stats, 1. Application Information - Please Print All Informatio Property Owner's Name Parcel # Property Owner's Mailing Address Property Location V .3S3B Govt. Lot City, State Zip Code Phone Number f~ , J 'h, " Section I/lJ(1 ® f ircle one) 11. Type of Building (check all that apply) Lot # S ~ N; R E or W 1 or 2 Family Dwelling -Number of Bedrooms Subdivision Namef~ ak 4. Block # ❑ Public/Commercial -Describe Use /0 ❑ City of ❑ State Owned - Describe Use, / CSM Number ❑ Village of Std S9 Zs J9Town of lei ~7n l - ,'6141716 X 75 ►e✓J Ilia' ! 1 IIIi. Type of Permit: (Check only one box on line A. Complete line B if applicable) 2e A' XNew System ❑ Replacement System. ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. ❑ Permit Renewal C1 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 ,K Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil i/ ❑ Holding Tank ❑ Other Dispersal Component (explain) Pretreatment, Device (explain) 40 V. Dis ersal/Treatme t Area Information: Design Flow,,ss(gpd) esign Soil Application R (gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed System ~Elevation V I ~tJ Q 6~ VI. Tank Info Capacity in Total # of Manufacturer , Gallons Gallons Units o v New Tanks Existing Tanks POC41 d 3 b Z r S N r~ c~ a Septic orf vtdlRg"fank JC ~ Dosing Chamber v VII. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plum r' Signature MP/MPRS Number Business Phone Number 17gS g? Plumber's Address (Street, City, State, Zip Code) VIII. County/Department Use Only Approved ❑ Dis Permit Fee Date sued Issuin gent Signature ❑ O er tea4son-foDe 'al I &Z'S i1X. CondipgAt!RI/Reasons for Disapproval .3> Co ~1,'atiS ti ~.t`C.r AmlhenL. G 1. ' Septic tank, eftluent lifter and dispersal cell must all be serVKes I main d ^ G h)/ as per management plan provided by plumber, 2 AirsEck;rac~i,u►emmustba~tCtslMen'd n per apps code / ordinances, Attach to complete plans for the system and submit to the County only on paper not less than 8 r!2 x 11 inches in size SBD-6398 (R, 11/11) t~ ~ --r«: r~ PIM Plarn gip' co Page a, y, Property Owjw _A'IAz A. ~R. ~stw L. €)wsa I tlDn Lla't Z, CSM l OF w hem mmao 1 'rHE N f 5 . 23;~ 7ZSn; itt ts2~ D.&& riF BQCAOe pit .C I~GKT~Y P¢'- 3~t-38` 1 North ' T Z n o® u • F it !f 0, 8 3 Q'gIA TaP O~ ?y'j y ` iE o o- p~fc Fir . Sg~A cv~ 7~ 4 I/ `t ` lj Q ,50` ~n Er M Dy~teS Si•~f 3D ~0 Rlx~.q 4n( 1 750 'r1kgl4 A FAJA9 7ucK $ 3 SfTG 2 1 Q OAK Pp- 0, A~ _ SAZ 3 i ~p Wit L Ste: o a~ } 25~ To TjjAfr, lip e _f /JEW Vt7iC,E,' O% Q d 1000 SE~GTfk'N~ ~ ~ _ ' YARTVF~~ DIVISION OF INDUSTRY SERVICES 3824 CREEKSIDE LN HOLMEN WI 54636-9466 Contact Through Relay D 1 1" it-u/~i 5 P S http://dsps.wi.gov/programs/industry-services www.wisconsin.gov r~s'S o5w~ Scott Walker, Governor Dave Ross, Secretary October 07, 2015 CUST ID No. 224832 ATTN: POWTS Inspector MARY JO HUPPERT 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: 10/07/2017 SITE: Identification Numbers Max A. Jr. and Kristin L Ericson Transaction ID No. 2613529 Sherwood Forest Site ID No. 817837 Town of Kinnickinnic Please refer to both identification numbers, St Croix County above, in all correspondence with theagency. NEIA, NE1/4, S23, T28N, R18W FOR: Description: Three Bedroom Mound System / 7% slope Object Type: POWTS Component Manual Regulated Object ID No.: 1558623 Maintenance required; 450 GPD Flow rate; 34 in Soil minimum depth to limiting factor from original grade System(s): Mound Component Manual - Ver. 2.0, SBD -10691-P (N.01101, R. 10/12), Pressure Distribution Component Manual - Ver. 2.0, SBD-10706-P (N.01/O1, 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 CONDITI requirements. APPIZ 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 OF S stats. PROFESSION The following conditions shall be met during construction or installation and prior to occupancy or use: DIVISION OF INDLIReminders • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be mad with SEE CORRES the designated county official in accordance with the provisions of Sec. 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. • The area within 15' downslope 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 may include local inspectors MARY JO HUPPERT Page 2 10/7/2015 Owner Responsibilities i • 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. rard M wim When You Receive That Invoice, POWTS 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@wisconsin.gov WiSMART code: 7633 cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm MARY JO HUPPERT Page 2 10/7/2015 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. rard M wim When You Receive That Invoice, POWTS 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 cr wisconsin.gov WiSMART code: 7633 cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm SEA= 2 2015 ` ors MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: MAX A. JR & KRISTIN L. ERICSON Owner's Name: (same) Owner's Address: 533 90th Street Hudson, WI 54016 Legal Description: NE1/4 of the NE1/4, Sec. 23, T28N, R18W Township: Kinnickinnic County: St. Croix Subdivision Name: NA )NALLY Lot Number. 2 Block Number. NA WED Parcel l.D_ Number: 0221-1065-10-200 EETY AND l SERVICES Plan Transaction No.: 'TRY SERVICES Page 1 Index and title Page 2 Data entry CQS~ Page 3 Mound drawings 'ONOENCE !c ,1. Page 4 Lateral and dose tank ~~a`~''.••••••..• 'i~ ~i~ Page 5 System maintenance specifications Page 6 Management and contingency plan MARY * Page 7 Pump curve and specifications Page 8 Plot plan • D 169 c~ RIVER FALLS,' J0 p >°4~ ' S "'rrnrnrlnt~iigner. Mary Jo Huppert License Number: 1859 - 007 Date: 09/11/15 Phone Number: 715 - 426 -1775 Signature: jk/u z~v 77 Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01/01), and both SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01) Version 7.0 (R. 03/2012) Page 1 of 8 t Mound and Pressure Distribution Component Design Design Worksheet Site Information (R or C) Y ^ R Residential or Commercial Design rye: sand fill (o) calculations assume a 300.00, Estimated Wastewater Flow (gpd) Table 383-44.3 in-situ som Vestment for 1.50 Peaking Factor (e.g. 1.5 =150%)l °00Rn of 36 450.00 Design Flow (gpd) 7.00 c Site Slope 97.00 Contour Line Elevation (ft) 34.00 Depth t0 Limiting Factor (in) 0.50 In-situ Soil Application Rate (gpdtftz) Distribution Cell Information 75.001 Dispersal Cell Length Along Contour (ft) = 6.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/fe) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? Enter Y or_ N (C or E) a Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation (ft) 2 { Number of Laterals of the highest point. 0188;' Orifice Diameter (in) 4.00. Estimated Orifice Spacing (ft) = 11.84 felorifice 2.00! Forcemain Diameter (in) 30 ~ Forcemain Length (ft) Does the forcemain drain back? Y 92.00; -00Pump Tank Elevation (ft) Enter Y or N 3.25 System Head (ft) x 1.3 4.89 Forcemain Drainback (gal) 5.09 Vertical Lift (ft) 67.38 5x Void Volume (gal) 0.41 Friction Loss (ft) 72.28 Minimum Dose Volume (gal) 0.00 In-line Fitter Loss (ft) 24.90 System Demand (gpm) rt. 8 75 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection in. dia. o lions choice in. dia. o ions choice 0.75 1.25 x 1.00 ...:v 1.50 x x 1.25 2.00 1.50 x 3.00 2.00 x 3.00 x Gallons/inch Calculator (optional) Treatment Tank Information _ Total Tank Capacity (gal) 1000.00 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Wieser Manufacturer gain (enter result in cell B49) Dose Tank Information Effluent Filter Information _.750.00: Dose Tank Capacity (gal) PolyLok r Filter Manufacturer 20.28 Dose Tank Volume ,(gain) 525 Filter Model Number Weiser Manufacturer Project: MAX A. JR & KRISTIN L. ERICSON Page 2 of 8 Mound Plan and Cross Section Views _ 1110 g . _ Observation Pipe : - K - .t.r.r.i.r.~-.r..=:r.,nr.i.r.}•:.I•.t `.r.t.i.'.r.'•.~.i.}.r-r .w~.r-r.i•i•rar•r•}.}• i•i.}•r • 1.1.5.4.4• ti.4.4.S.S+4•Y4•S.4.Y 4•S•S S•S•4.4•Y1.Y4•S.S•S.4.YY1•'.•4K S•S•S• J.f,r• r.r-..•,.•J=r.r.r.r.r.J f:,aY.r•r.r.r.r.r.r.r.r.r•r-r•r.r.r.r. f•r•rr 1.1.1.1• 1.4.1••x•1.1+x•4.1.1.1• 1•••1.1. 1. 1•YL•L.1.1.1•L.t•1.1•L•1•w R• .r=rar. r=r,r,r•r•r•r.r•r•r.rr.r:rrvr.r.r-r•r-r•r.r•r.r.r.r•r•r.r, r•r r=f r • A • `,a„S.~w ..L•5.4•..L•L•.•1e1.•••1. 5.11.1-YSvY1.4•S•4.1••.•4*YSe4•S.-. YS.4.4.1. _ 'l:•L+'~L~1:~4a1:4~1r1r•4~1:1~YS/.'`.~:~i:i~S~:~:i~ti,ti 4 L~LeL e.Y.1~4:5~'°.r•`.i1iSt.`.J•1+4 4 4:'4:5~`YS~ W l.. B . I L Mound Component Dimensions ft K 7.51 It A 6.00 ft E 11.04 in H Eaft B 75.00 ft F 9.50 in I ft L 90.01 ft D 6.00 in G 0.50 ft J ft W 18.84 450.00 (fe) Dispersal Cell Area 1079.91 (fe) Basal Area Available 6.00 (gpd/ft) Linear Loading Rate 7.50 (ft)1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 99.29 (ft) - ..f/fJ../.ff,. ♦ H - JJJJJJJ.JfJJJJJ,iiiJJ.JJJJJJJJfJ.,.. I F _ Dispersal 98.00 (ft) Lateral Can 97.50 (ft) Invert Dispersal Cell Elevation 4 97.00 (ft) Contour Elevation 7.0 % Site Slope -t- Geotextilo Fabric Cover Shading Key ` Dispersal Cell See lateral details on Topsoil Cap o a 1.5 ft • •J r. r.r r.r.r.r.r-f.r:r.r•r Page 4 for number, size, -4•i.YS.4•S.b4•YY4.S<S•Y r. of Laterals. r .•-r.rerY•r-r`'1.••"•.r•fwr• ^~v ^J Jf/NI/ S 1•bL ~-•~I Q~~S P.e ".~Y/'{UaIIy 0 Subsoi Laterals Q l Cap 0 11't an spac.fiftr sp . d m tihK. ASTM C33 Sand from e di stribution ce1Ps K.1.0Tilled Layer C t .r•r• r.r.Nr.r.r•;-r.r.Ar•1 d •S.YYS+Yi•4 L~S•S•1•Y. •t;.yr.r•r.r,r., r.rr.r. i centerline in the © M Aggregate V O •4.1.4.5.4r~:Y ~1'1~•1 orM A distribution cell (AxB). Project: MAX & KRIS ERICSON Page 3 of 8 End Connection Lateral Layout Diagram tax alscc ereaoe 0wA B#www0M OIL TUM-wP% ti0wsrwor *1"noutplup P - Awtx~raka l al I+x-;l MOOS dr 40"W60"Mofehsta patrol T ROW 111360 cation oiataa of am to manota at Am oaanr_ Lahwala Wbrceman Sch 40 PVC per SPS Tab* 384--IM Number of Laterals 2 Orifice Diameter 0.188 in Lateral Diameter 1.50 in Orifice Spacing (X) 4.08 ft Lateral Length (P) 73.44 ft Orifices per Lateral 19 Lateral Spacing (S) 3.00 ft Orifxe Density 11.84 R2torifice Lateral Flow Rate 12.45 gpm Manifold Length 3.00 ft System Flow Rate 24.90 gpm Manifold Diameter 1.50 in Total Dynamic Head 8.75 ft Forcemain Velocity 2.54 ft/sec Dose Tank Information LO&V cover with warring heel and to duM device arai sealed watertight ElecbV8l as per NEC 300 and - SPS 316.300 WAC Disconnect 4 in. min. Tank component is properly ven6ed F- Alternate outlet kcotion Forownain diwreter Weiser Manufacturer 2 in. 750.00 Gallons Volume 20.28 gal/inch A Weep hole or anti- Dimension Inches Gallons B 3W= device A 20.52 416.11 B 2.00 40.56 C Puny o f elemwn ft) C 3.56 72.28 -t 92.91 D 10.90 221.05 D Total 36.98 750.00 3" Bedding under tank. 92.00 Alarm Manuafacturer SJE Rhombus ` Notes: Switches Alarm Model Number Tank Alert AS containing mercury may not be used in Pump Manufacturer Zoeller -r ~ this system. Pump Model Number 98 Pump Must Deliver 24.90 gpm at 8.75 ft TDH Project MAX A. JR & KRISTIN L. ERICSON Page 4 of 8 Mound System Maintenance and Operation Specifications Service Provider's Name Damelrs Septic Service Phone 715-425-1025 POWTS Regulator's Name St. Croix CSwn Zoning Phone 715-386-4680 System Flaw and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450 if 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 Should inspect and clean at least once every 3 years Pump and Controls Test once e 3 years Alarm Should test monthly Pressure System Laterals should be flushed and pressure tested every 1.5 years Mound Inspect for pond' and page once every 3 years tuber, 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. Ali 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 Diameter as Lateral Project: MAX & KRIS ERICSON Page 5 of 8 Mound System Management Plan Pursuant to SPS 383.54. Wis. Adm. Code QWWW TMs system shall be operated in accordance with sPS 382-84 W is. Code, and shag maintained in accordance with its' component manuals PBD-10691-P (N.01/01), SSWMP Publication 9.6 (01181), and Pressure Mtri cation Component Manual Ver. 2.0 SBD-10706-P (N. 01/01)] and local or state rules pertaining to system mionteronce 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 tar* abandonment shell 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 ricers, access risers and covers should be inspected for water tightness and soundness. Access openings u subject to sed for service and assessment shall be sealed watertight upon the completion of service- Any opening deemed unsound, defective, or failure must be replaced. Exposed access openings greater that 8-ir aches in diameter shag be secured by an effective device to prevent accidental or unauthorized entry into a tank or component.locl ' SAC Tank The septic tank sari tank shag be mamlamed by an individual certified to service septic tanks under s. 281.48, Slats. The contents of the septic disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tondo and outlet finer shag be assessed at least once every 3 years by inspection. The outlet truer shag 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 triter when removed from its enclosure. If the filter is equipped with an alarm. the filter shag be serviced if the alarm is activated continuously. Intermittent fillet- alarms may indicate surge flaws or an impending continuous alarm_ The septic tank dull hove 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 reproved at the time of a triennial assessment, maintenance personnel shag advise the owner of when the next service needs to be performed to maintain less than maimnum scum and sludge accumulation in the tank. used The addition of biological or chemical additives to enhance septic tank perkinnanee is generally not required. However, if such products are they shall be approved for septic tank use by the Department of Commerce. Pumo Tardc The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shag be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Disb'ikWon Svsiern No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shag 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 sod compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the wader will promote frost penetration- Cold weather it abons (October-February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the rnormd system may not exceed 220 mg& BOD5,150 mg& TSS, and 30 mglL FOG for septic tank effluent or 30 specified in the permit for this installation and 104 du/100 mL for highly treated effluent irmguent tkhw may not exceed maximum design flow The pure distribution system m provided with a bushing point at the end of each lateral, and it is recommended that each lateral be gushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be rwrnpared to the initial test when the s was installed to determine if orifice dogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal Observation pipes wrtham the dispersal cell shag be decked far effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. If the septic tank or any of its components become defacti i the tank a P~ Proper operating condition. component shat) be repaired or replaced to keep the system in If the dosing tank, repawed or replaced pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately with a component of the sane or equal parkirmance, If the mound component fads to accept y or begins to dwharga wastewater to the ground surface, it will be repaired or replaced in ifs' presort location by increasing basal if toe Wattage occurs or by removing biologically dogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provide corxborL Prdreatilm" Units The information and schedule of mananagenment and mauhtenance 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: /V A;x' KRIS &KI CS"Al Page 6 of 8 E rr r: HEAD GPACay cuRVE J I/ O B/1 3D ~ 45/8 s ti m g 3 SA L 15 • + 0 u 1 9 4 3/16 s 00 1 1/2-11 1/2 NPT ML Gnmalls 10 20 Ja so 50 j,0 0 es Ulm o , PMM 'I ZED aaoa~ go so craE Fed Cstbns rd.. f; S 72 ,3 773 a d yt zs, is +s as us m ss 6, ss 12 e.a! ■rne ar asav~ ~r,. 4 3/16 CONSULT FACTORY FOR SPECIAL APPLICATIONS ' Eleckmal a>ierrlators, for dupim syslams. we avalable and • Variable level Boat w&tdm are available for oonWft she steppftd wAlh an alarm and three phase slrsle im medrardCol aftmakm for duple[ sysleam are amiable - Double variable variable level float wAches are avaft* will orv bout alarm swfttm& for IoM cycle corroro~. Standard aH models -We! ht 39 lbs. -'/s H.P_ 1 aPQ~d2PakaeadmiA1*a de, na ~ae4daad ltSaeis Cool Z3~ar4&5 9MaridfietsrtilatMrds~iePigOdbedcMudd lrais~ g"7 Amos 3. 104)1M Qr Im 115 1 Alb aA 1 etrt &T 4. SwRAU?12~fareesd--QfEb dcidAftw akx fm 115 1 QA art & 6 5. Om mi smirk 1044 aced as a a1 dWm ~ or flan Aids 4L7 1 or I A T P96 230 1 47 2ar288 S` Faor(4)hd&J-PMkjancimbmcirs ~mastlrosoratedii simple[c rdnpkKapae>iian. 10609M Z T,aoMhaesJ*Wfor Me 1W ownacilonarsoke. FarreraimefosaiadileseiaeaM►piaelreliwirbaYLyasprAlgiiadleLmeel qp•} 8wft m 6 An i ubdleffm of eentrais, protection devices and wing should be done br a qualified CAUT" S~fsflvtstr~wPCwial.RflS~Nem$PUaa HN7?g d AO skctricatandsaEetycaksshaaldbefailoaedamgusaioat recent thdiolni Et tbk Cade (t4EC) OW Um O uW saMy sad tk&M Act tONM RESERVE POWERED DESJGN FOr unusud conO n a nmerve Y SDI' is engmeemd ffft the dmW of ery pump. Y~7dt P.Q.601CltlQ Zioe1w ZOI/I - - / how AMMA.M.- li a z KRIS Lr_>ZtC_->0Af : = Floc Plan Page 6 ©fy PrOPemy Owxet - MAX A. I»=4Q~ Legal DeC*dm Lot Z. CSM r ~31/ ~ PR2' ~ Ttf& { 11~C ~t ~ 'rHE N e~y s~c• _4 Tz8 Zz.a oj y_ 7bWa n4~ • BA'C oC - Pit KIAWleA s ~C S7 agiXamary. +SdoNSiflf = ~ie~~t~ Tuck '{ZalEb ~L /~CftTN PIS- 3~1-38` 1 Norsk Low z i Ni h°9 '4}4 t w , o / o Fve- PrOC . 58 A50u& aA1.0 j1.SSR# eD in q l /oar' ~30~~~2 5+1.40 ` o --N vj E 750 FR /AR TUCK 51T~ ~ 4 49AK SAC, 2 3 i ~s~o W~L Ta .8C: } a5 To -to D~~ItNF1El.1~ AJEW [/{p Dtttif D~ p~ 1eSE~ ° 1000 AA 0 ~;SpncTPtNK A-ID Technical Spec if cat on PL-525 EFFLUENT FILTER (COMMERCIAL) ~ r. ' - ~srsoa . / e FON METEXI9tl10N its lix WUT9lil9WFF~8 sic" l4a to Aw- NOW _ _ 71111 ~ r sass PL-OFUERHMNG PMT NO AMM gATERIAL • H01151NG-POLYPROPYLENE OUTLETMJ94NG-PVC (I ~I 6.Mi -HDPE ~L t ,nz1 FORIVIIIIIIIEEMBN f ~ i gm - ~7aor,raaoro J 'L-ao - SOCKUDEEPTS _ is WLL, PUBHOW o F OE" L %110 aµ o + POLM PUM FLIER GIrtTR M PARTNOL - 30410 MAlE M-POLYPROPYLENE ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer .~GbC 1F ~t' i-§tl n kr C_-S'd Mailing Address Property rs$,Fa b S r w 0S 7 Gz ((Verification required from Planning & Zoning Department for new construction.) City/StateR11/p f f'a /Is, Parcel Identification Number Qy? /c%t '/d " ®Id LEGAL DESCRIPTION Property Location ff Sec. T N R_,LfW, Town of Y~l ~i r~ p r C~ Subdivision Lot # Certified Survey Map # , Volume , Page # Warranty Deed # , Volume , Page # Spec house yes no Lot lines identifiable yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal-system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on t 's form are true to the best of my/our knowledge. I/we am/are the owner(s) of the property described above, by virtue of a w anty deed recorded in Register of Deeds Office. Number of bedrooms • /U S &O'ASIGNATUtOF AP ANT(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) I n umar" lift l! ! t ! tB I I I GGGG 3 ~ ,III I11 14 LI x ~Q !s!i ~i~ is i ddd I II I I ~ I I ' I ' I ' I II I I ' .r,Ye I I sX A.o AFC I dru Fns rF .r ;c I I ' r• pr n~a+r,. I I I d ' I ' i I ;ag I I I g I ! Ant u I n_ ippaall~ II 100 111 II{hh71~741f JS I t ---pa tc I y sJ ~ @ 4 I 6A i ; Arse I I 4Iyf41,s. 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