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HomeMy WebLinkAbout040-1322-09-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: GENERAL INFORMATION (ATTACH TO PERMIT) 582016 State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 2613277 Permit Holder's Name: City Village Township Parcel Tax No: Scott & Sonja Baumann TOWN OF TROY 040-1322-09-000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: ~IV1 65T 19.28.19.2173 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER r ys CAPACITY STATION BS HI FS ELEV. Z • /6Z -U, Z66 Septic ; S D, , /zaa Benchmark '3- A Q 3 / Dosing CA vWb v 1 Z, `aC~t' Alt. BM At 7 q7- G'z n Bldg. Sewer 0 1a SZ~ 3.5 95(• TZ Holding St/Ht Inlet 7-n Y1, 5Y TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. ent Air Intake ROAD Dt Inlet Septic 105 /r ^r (7e) Dt Bottom 9d 74 Dosing ! os / - Meade f/ f~ 9~ / I' S ► r/ an. . R / Aeration Dist. Pipe Holding Bot. System PUMP/SIPHON INFORMATION Final Grade gy Manufacturer C LAL- Demand St Cover. J 7 9.7 •4 GPM , fj Model Number TDH Lify_ 3~ Friction osss~ System Head S` TDHI 4 t r , Forcemain Len35 Dia.Z {I Dist. to Well I 1 SOIL ABSORPTION SYSTEM BED/TRENCH Width TngtF~ No. TEer~h PIT DIMENSI NS No. Of Pits Inside Dia. Liquid Dept DIMENSIONS I~//\ UL SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Ty Of r 0 I3; UNIT Iv Model Numb . DISTRIBUTION SYSTEM Header/Manifold t ( Distributio I ) ix Hole Size 1~ ix Hole Spacing Vent to Air Intakk Pipes /c Length 5~ Dia i Length Dia iSpacing,5 Z ' J SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only C Depth Over Depth Over 3 xx Depth [ Seeded/So7,er 11xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil I I No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / S Inspection #2: S M W Location: 393 PEACEABLE HILL RD c~., s•Xe, pro ~ ~ 1.) Alt BM Description = r,• I VV Gb`~ ell_ /n~O t/~ 2.) Bldg sewer length = too - amount of cover 4b 6- q7 Plan revision Required? ® Yes No Use other side for additional information. Date Insepctor's S Cert. No. SBD-6710 (R.3/97) J.r n: F G fy\ RECEIVE C et ~`~QFy i.R7d(~, ,TOE Coun Industry Services Division QK6j D a 1400 E Washington CT 1 P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.) ST. CROIX COUNTY Madison, WI 53707-7162 06 6 / roNAti ,J Q ~j :!C)Mmi IN DEVELOPMENT Sanitary Permit Application ransactionNumber ' J In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit Z(~- ' 3Z 1 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. Personal information you provide may be used for second Project Address (if different than mailing address) purposes in accordance with the Privacy Law, s. 15.04(1)(m), Slats. 3 ! J `PeAC. Ft) tjLC N 1 LIL R 1. Application Information - Please Print Information Property Owner's Name Parcel # Sez7T ► ,t1Nlfl~l~ ~~l0.. 1322- ~9 ow Property Owner's Mailing Address p Property Location 11 s 1q_ Q) -73 M F£P6cF U,6 H (LL fti Govt. Lot 1 City,,, State , ZipLCode ) Phone Number tJWI/0, 5E '/4, Seyction 4L)MO~ y ~ I4v 5 7~1 T 243 N R I~ciEoe~ >41 .,Type of Building (check all that apply) Lot # 1 or 2 Family Dwelling - Number of Bedrooms Subdivisio`n/ Name l / El Public/Commercial - Describe use 6k cy~ Block # 7 05 R L ✓ ❑ City of ❑ State Owned -Describe Use CSM Number ❑ Village of X d A. [KTown of .00 X 6o III. Type of Permit: (Check only one box on line A. Complete line B if applicable) Z6 E,► A. New System ❑ Replacement System ❑ Treatment/Holding Tank 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/Component/Device: (Check all that apply) (_16 Al-hie -7 ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dis ersal/Treatme Area Information: Design Flow (gpd) Design Soil Application Dispersal Area Re ' (sf) Dispersal Area Pro ed (sf) System Elevation / Rate(gpdsf) 1 p . n r ~D ~J 4C V loco 9 q. 40 VI. Tank Info Capacity in Gallons Total # of 2 o N o Manufacturer b U N Gallons Units w - y, Y New Tanks Existing Tanks Ib a U vz v~ i 0 p Pa LA-1 [L! 52 5. 1- e ~ 4 ' Septic or Holding Tank .Z co ' W S ❑ ❑ ❑ ❑ Dosing Chamber 8lo ❑ ❑ ❑ ❑ ❑ VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plums Name (Print) Plu s Signa M R umber 1 S Business Phone Number J2 Plumber's Address (Street, City, State, Zip Code) P_ e) - go J5 (0 5 011 VIII. Coun evartment Use Only Approved Permit Fee Date I ued Issuing Ag Signature Reason for Denial $ !.J • IX. Cond l+pgToWWReasons for Disapproval 3 1. "&ept~ Tank; efttuanh Itlter end ! h dispersal cell',mllst'all be aeNY f f'malntainee4 I%A- a L,.1 t ~ ?er. I as per management plan providtlsl by plumtr, l 2. iAll selb ck fequkernwft t'11ttSI lMaln7~d Attach to complete plans for the system and submit to the County only on paper not less than 8 1/2 x 11 inches in size SBD-6398 (1103/14) 4141,1 41j ~tr Ct.72~ AS ~ '~Z- CL oC 1 -c/~, ~ c~}r1~ a:/mome4 -,V Vz-zz~~.3' 'Cis , xv rF~r DIVISION OF INDUSTRY SERVICES n . 10541 N RANCH RD HAYWARD WI 54843-6462 3 S rt Contact Through Relay P $ / http://dsps.wi.gov/programs/industry-services Yo"` www.wisconsin.gov ,5'S[ON N Scott Walker, Governor Dave Ross, Secretary October 08, 2015 CUST ID No. 223242 ATTN.• POWTS Inspector JEFFERY V FOX ZONING OFFICE JEFF FOX CONTRACTING & SEPTIC INC ST CROIX COUNTY SPIA PO BOX 565 1101 CARMICHAEL RD DRESSER WI 54009 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/08/2017 Identification Numbers Transaction ID No. 2613277 SITE: Site ID No. 817815 Scott Baumann Please refer to both identification numbers, 393 Peaceable Hill Rd above, in all correspondence with the agency. Town of Troy St Croix County NWI/4, SEI/4, S19, T28N, R19W FOR: Object Type: POWTS Component Manual Regulated Object ID No.: 1558480 Maintenance required; 600 GPD Flow rate; System(s): Mound Component Manual - Ver. 2.0, SBD -10691-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. P.®.W.T No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, Conn idol stats. The following conditions shall be met during construction or installation and prior to occupancy or use: A D E FRF SAF~7f ! • A copy of this approval letter and index sheet shall be attached to plans that correspond with the copy on file>flt with the Department. Changes to the approved plan must be submitted for review and approval. Failure to properly attach the approval and index page to plans that match the copy on file with the Department may re in enforcement action under s. 145. 10, Stats. E CORR • This system is to be constructed and located in accordance with the approved plans, and the "Mound Component Manual for Private Onsite Wastewater Systems Version 0691_P 1/~vT.O1/01 2.0" SBD-1 R. 10/12). • This system is to be constructed and located in accordance with the approved laps and with the Pre p sure Distribution Component Manual for Private Onsite Wastewater Treatment Systems Version 2.0" SBD-10706-P (N.01/01). • Prior to construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. Smearing and compacting of wet soil will result in reducing the infiltration capacity of the soil. Proper soil moisture content can be determined by rolling a soil sample between the hands. If it rolls into a 1/4- inch wire, the site is too wet to prepare. If it crumbles, site preparation can proceed. If the site is too wet to prepare, do not proceed until it dries. JEFFERY V FOX Page 2 10/8/2015 • The system was designed to meet the influent quality defined in SPS 383.44(2)(a) The quality of influent discharged into a POWTS treatment or dispersal component consisting in part of in situ soil shall be equal to or less than all of the following: 1. A monthly average of 30 mg/L fats, oil and grease. 2. A monthly average of 220 mg/L BOD5. 3. A monthly average of 150 mg/L TSS. • SPS 383.54(3)(b) (b) The servicing frequency of an anaerobic treatment tank for a POWTS shall occur at least when the combined sludge and scum volume equals 1/3 of the tank volume. • The inspection, maintenance and servicing reports shall be submitted to the governmental unit within 30 calendar days from the date of inspection, maintenance and servicing. • The owner is responsible for the operation and maintenance of the private onsite wastewater treatment system (POWTS) in accordance with SPS 383 and the approved management plan • The owner of a POWTS shall be responsible for ensuring that access opening covers remain locked or secured except for inspection, evaluation, maintenance or servicing purposes. • Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Provide a copy of the approved POWTS plans and this letter to the owner. • Prohibit vehicle traffic and soil disturbance within 15 feet of the downslope edge of the mound pursuant to "Mound Component Manual Version 2.0" SBD-10691-P (N.01/01, R. 10/12). • Insulate 4" 0 conveyance pipe as necessary pursuant to SPS 382.30 (11)(c), W.A.C. • Install cleanout(s) as required in 4" 0 conveyance pipe pursuant to SPS 382.35 (3)(b)l., W.A.C. • Maintain a minimum 1/8" per foot pitch on any 4" 0 conveyance pipe pursuant to SPS 382.30 (5)(a)2., W.A.C. 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 TEwin This Amount Will Be Invoiced. When You Receive That Invoice, A Taylor Please Include a Copy With Your Wastewater Specialist, Division of Industry Services Payment Submittal. (715)634-3484, Monday - Friday 8:00 am To 4:30 pm WSMART code: 7633 edwin.taylor@wisconsin.gov I MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Scott Baumann Owner's Name: Owner's Address: 393 peaceable Hill Road Hudson WI 54016 Legal Description: NW1/4 SE1/4 S19T28NIR19W Township: Troy County: St. Croix Subdivision Name: Troy Overlook Lot Number: 9 Block Number: Parcel I.D. Number: 040-1322-09-000 Plan Transaction No.: Page 1 Index and titles , Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Nit 1i Page 5 System maintenance specifications OM VE7 Page 6 Management and contingency plan Page 7 Pump curve and specifications ONDesigner: Jeff Fox License Number: MPRS 223242 Date: 09/16/15 Phone Number: 715-491-3458 Signature. Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SBD-10691-P (N. 01/01, R. 11/12), and both 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. 10112) Version 7.0 (R. 11/12) Page 1 of 7 Mound and Pressure Distribution Component Design Design Worksheet Site Inforrnation (R or C) a. R Residential or Commercial Design Note: sand to (D) calculations assume a 400.00 Estimated Wastewater Flow (gpd) Table 363-44-3 insitu sod treatment for 1.50 Peaking Factor (e.g. 1.5 = 150%) fecal co6form of 36 inches. 600.00 Design Flow (gpd) 4.701, Site Slope Me 97.60§ Contour Line Elevation (ft) _ 12.00 Depth to Limiting Factor (in) i 0.60 In-situ Soil Application Rate (gpolft') Distribution Cell Information 60.001 Dispersal Cell Length Along Contour (ft) = 10.00 Cell Width (ft) L00j Dispersal Cell Design Loading Rate (gpolfe) rvA1 I 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) el Center or End Manifold 3.33 Lateral Spacing (ft) If N above, enter the elevation (ft) L_--- 34 Number of Laterals of the highest point.~ 0.1i;61 Orifice Diameter (in) 2.501 Estimated Orifice Spacing (ft) = 8.33 ft2torifice 2.00 Forcemain Diameter (in) _ ~tl 30.001 Forcemain Length (ft) Does the forcemain drain back?Y nW 91. Pump Tank Elevation (ft) Enter Y orYN 4.55 System Head (ft) x 1.3 4.89 Forcemain Drainback (gal) 7.59 Vertical Lift (ft) 80.40 5x Void Volume (gal) 0.93 Friction Loss (ft) 85.30 Minimum Dose Volume (gal) 100 In-line Filter Loss (ft) 38.77 System Demand (gpm) 13.08 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 1.00 1.50 x ~x 1.25 . _ _ . _ 2.00 x 1.50 x 1 X_,.3.00 2.00 x 3.00 x Gallonslinch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 11200-2 .00 Septic Tank Capacity (gal) Total Working Liquid Depth (in) WieserManufacturer L gal/in (enter result in cell 1349) Dose Tank Information Effluent Filter Information 800.001 Dose Tank Capacity (gal) iPolylok Commercial ;Filter Manufacturer 22.241 Dose Tank Volume (gal in) 1 525 Filter Model Number iWeiser ..lManufacturer Project: Scott Baumann Page 2 of 7 Mound Plan and Cross Section Views fi -11108 Observation Pipe . K- 4 Q A r• p tai: I L Mound Component Dimensions A 10.00 ft E 29.64 in H 1.00 ft K 12.08 ft B 60.00 ft F 9.50 in s 13.14 ft L 84.16 ft D 24.00 in G 0.50 ft J E 8.65 ft W 31.79 ft 600.00 (ft2) Dispersal Celt Area 1388.24 (ft2) Basal Area Available 10.00 (gpd/ft) Linear Loading Rate 6.00 (ft) 1110 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 101.39 (ft) _ H rrrirrrrrr 2 rrrrrrrrr G t rrrriirrirrrrrr rrrrorrrrrirr. I F Dispersal Ceti 100.10 (ft) Lateral 99.60 (ft) Invert Dispersal Cell Elevation . 97.60 (ft) Contour Elevation 4.7 °k Site Slope Geotextile Fabric Cover Shading Key v I -T Dispersal Cell See lateral details on Q [ Topsoil Cap 1.5 ft Page for number, size, and Subsoil Cap w o Q pacing of laterals. F2_1 rrrrrrrr n5 © : ASTM C33 Sand a Z F Laterals spaced fare rom the4y ® Tilled Layer 0.5 ft Typical Lateral 1 distribution cell's © Aggregate o 0 centerline in the A distribution cell (AxB). Project: Scott Baumann Page 3 of 7 End Connection Lateral Layout Diagram Center thr laterals over the A 6.. a dimension 410= 'turn-up viball valve or aleanoutplu9 P -=i +'Jualiq Spaced PForc*main bC al 1+ X -*I Holes drilled on t h-0 bc: tt rn of the lv*,al l e4:=rala . forc.ern*in Sch 4n PVC per ,PS Table 384.31;1-F. c tic n via is # .ar crossg to manifold at ang paint Number of Laterals 3 Orifice Diameter 0.156 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.54 ft Lateral Length (P) 58.42 ft Orifices per Lateral 24 Lateral Spacing (S) 3.33 ft Orifice Density 8.33 fta/orifice Lateral Flow Rate 12.92 gpm Manifold Length 6.67 ft System Flow Rate 38.77 gpm Manifold Diameter 1.50 in Total Dynamic Head 13.08 ft Forcemain Velocity 3.96 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 Disconnect 4 in. min. Tank component is properly vented MForcuemain Alternate outlet location diameter Weiser Manufacturer 2 in. Ca acit 800.00 Gallons Volume 22.24 gal/inch A Weep hole or anti- Dimension . Inches Gallons B siphon device A 19.24 427.81 C B 2.00 44.48 Pump off elevation (ft) G --3..84 85.30 -t 92.51 D 10.9_01 242.42 D Total 35.97 800.00 11 Dose tank elevation (ft) 3' Bedding under tank. 91.60 Alarm Manuafacturer 'Rombus ..i Note: Switches Alarm Model Number JB containing mercury _ may not be used in Pump Manufacturer Zoeller is system. Pump Model Number BN 152 Pump Must Deliver 38.77 gpm at 13.08 ft TDH Project: Scott Baumann Page 4 of 7 Mound System Maintenance and Operation Specifications Service Provider's Name Jeff Fox Phone F715-755-2461 POWTS Regulator's Name I ix St.Croix Cty Zonin „ ryo ss „ J Phone! v715 386 4680 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 118 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1200 gal Maximum TSS 150 mg/L Soil Absorption Component Size 600 ft? 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 ears Effluent Filter Should inspect and clean at least once eve 3 ears Pump and Controls Test once eve 3 ears Alarm Should test month! Pressure System Laterals should be flushed and pressure tested eve 1.5 years Mound[___ Insect for~onding and seepage once every SearI 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 °•°sa°•°°e°°eO° •°°°°°areas°° Grade 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Bali Valve Distribution Lateral 45nDe reeep Be dsrSame Diameter as Lateral Project: Scott Baumann Page 5 of 7 Mound System Management Plan Pursuant to SPS 333.54, Wis. Adm. Code General This system shall be operated in accordance with SPS 382-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD-10691-P (N.01101, R. 11/12), SSWMP Publication 9.6 (01181), and Pressure Distribution Component Manual Ver. 2.0 SBD- 10706-P (N. 01101, 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 subject to failure must be replaced. Exposed access openings greater than 84nches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. The contents of the septic tank shag 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 fitter shah 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 shah be serviced if the alarm is activated continuously. Intermittent f~ter alarms may indicate surge flows or an impending continuous alarm. The septic tank shalt 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 generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shah be inspected at least once every 3 years. AN switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BOD5, 160 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD5, 30 mg/L TSS, 10 mg/L FOG, and 104 efu/100 mL for highly treated effluent. Influent flow may not exceed maximum design now specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shah be checked for effluent ponding. Ponding levels shah be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan if the septic tank or any of its components become defective the tank or component shah be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shalt be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. reatment Units Pro The information and schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment units or disinfection units are attached as separate documents and are considered part of the overall management plan for this system. jT:so FAZ all 73, l STT 174W pEotfpOX COW URJOE)ff AND MOMS /ts2ji~3 t5t t52 t53 CIA. OL w udw OIL 13 46 20 78 m X3 2-W 39 m 9.4 ~ ~t at S 4 40 l" Sal tt~od: R it 10 440 u+o a yp 240 3m ~oddsI 37A • ~nLb. ~_r 37A ~ 3 1 p,~ l A SIM& 1 ~ JL low- *Now 3 au~+, And .441 f lack, Aol,-- r f _ !co 4 ~ 4 j) $ F~ ~ lam, I3a*i~ V 71-1 ''rV ' - X6.3 ~~y~~~~`':~'' ;'y.r;.~"r;n-,u. !{,~~S,r7 cIt'L,•v-4„5G`~a 1~~ ~ ~ ~ ~ ►~Y~1. 4 .t. e~„~u- `7•:^':-v.s:. 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Dept. of Safety and Professional Services SOIL EVALUATION REPORT Page / of Division of Safety and Buildings in accordance with SPS 385, Wis. Adm. Code County Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D percent slope, scale or dimensions, north arrow, and location and distance to nearest road. ~1 40 ; Please print all information. Revi ed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 16 Property Owner Property Location Govt Lot Allf) 14:~ 1/4 T N R E (oQ!!P Property Owner's Mailing Address Lot # BI # Subd. Nam or CSM# 3~ z City State Zip Code Phone Number City ❑ village JZTown Nearest Road ( ) ® New Construction User Residential/ Number of bedrooms Code derived design flow rate d412 GPD [3 Replacement ❑ Public or co merc ial - Describe: Parent material 77 Flood Plain elevation if applicable ft. General comments and recommendations: 0,j Cup ~C~.~~ q 74, Boring # EI~] ] Bonn E pit Ground surface elev. 'fz_ It. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure nsistence Boundary Roots GPD/ft Z in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. ff#1 ff#2 f Boring # ❑ Boring ® pit Ground surface elev. - ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Stricture ~onsistence Boundary Roots GPD/ft 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ff#1 * ff#2 * Efflu #1 = BOD > 30--< 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD < 30 mg/L and TSS < 30 mg1L CST Name se n Sign CST Number 3 Address Date Evaluation Conducted Telephone Number - , - SBD-8330 (Rl i/11) Property Owner A~sss~ lr/ Parcel ID Page Of_ ❑ Boring # Boring W+ Pit mound surface slay 7 R. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. * ff#1 * ff#2 Q-7 t& r ;go F] Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. * ff#1 * ff#2 Boring ❑ Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil 6ppfication Rate Horizon Depth Dominant Color Redox Description Texture Structure nsistence oundary Roots GPD/ft 2 in. Munseil Qu. Sz. Cont. Color Gr. Sz. Sh. * 01 * ff#2 * Effluent #1 = BOD s > 30 <220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD $ 30 mg/L and TSS < 30 mg/L The Dept. of Safety and Professional Services 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. SBA-8330 tR1 VI if Property tiwror s;<t1IS Amt Paroei m # f? 1~,-.I 7 - A Page . of 51 B°~"° IQ pit Ground surface elev. yZ fk Depth to Wrkkg factor in. Sa1A IlcationRc Hot= Depth Dw*w t Color RAadox Desatptloo TeAn Stn cture 3wubWm Bowxlmy Roots GPDNI: = in. Mureell tau. Sz. Cont Color Gr. SL Sh. 1 EJ ❑ Pit Ground mfaoe elev. ft Depth to kl t facer In. Horbwn Oepfh Don*ent Color Redox Texture ShIctura Roots GPOM s In. M nseh Qu. SL Con. Cola- Gr. SL Sri. 9 ' ❑ Pit Grorunf aurtace elev. ft Depth to WrIft factor In, F ❑ Sol Fis Horizon Depth Don m t Color Redox Deecriptim Texd" Struck" Roots C'PDM $ !n. Munsm Qu. Sz. Coa color Gr. SL Sh. ' t?fNuentfl i = 80D s > 3a no nglL and TSS :.m T 150 "V& ' gent JR ¢ WD a:30 u g& aW TSS 30 rrV& The Dept. of Safety and frofesstottal Services is an equal opportunity service provider and employer. If you need assistance to access mm or need material to an alternate format, contact the &Wrtraeut at 609-2M-3151 or TTY through Relay. sso-se3etrurnr! a - fio~as~~ 9b o 16© 6~- ~ r co, 1ar; 97.E p8 =o s4,9 s4ca f Visconsin SOIL EVALUATION REPORT #1979 Department of Commerce in accordance with Comm 85, Wis. Adm. Code Page 1 of 3 Division of Safety and Buildings Steel's Soil Service Attach complete site plan on paper not less than 8'% x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and St. Croix percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. - Please print all information. Rev' ed By Date Personal information you provide may y Law, s. 15.04 (1) (m)). ~a lo (,p Property Owner Property Location Tom And Renee Patnode Govt. Lot na NW1/4 SE /4, S19, T28N, R19W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 225 Cty Rd F 9 na Troy Overlook City Stat ~ZipZbd~ROJ* =ber ❑ City ❑ Village ❑ Town Nearest Road Hudson W Troy Cty Rd F New Construction Use: ❑ Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD ❑ Replacement ❑ Public or commercial - Describe: na Parent material Limestone uplands covered by glacial till Flood plain elevation, if applicable na ft. General comments Mound design, system elevation 101.41ft based on contour line elevation 100.00ft. Minimuum 17 inches and recommendations: of ASTM33 mound sand. F-11 Z Boring # ❑ Boring Pit Ground surface elev. 100.00 ft. Depth to limiting factor 29 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistenc Boundary Roots GPD/ftZ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 `Eff#2 1 0-10 10yr3/1 none sil 2msbk mfr cs 1c .6 .8 2 10-29 7.5yr4/4 none sicl 2msbk mfr cs na .4 .6 3 29- 10yr7/4 none =racturec Limestone na na na .0 .0 Boring # ❑ Boring ❑ Pit Ground surface elev. 100.00 ft. Depth to limiting factor 21 min. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consisten Boundary Roots GPD/ftZ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-10 10yr3/1 none sil 2msbk mfr cs 1c .6 .8 2 10-21 10yr4/4 none sicl 2msbk mfr cs 1vf .4 .6 3 21- 10yr7/4 none =racturec Limestone na na na .0 .0 Effluent #1 = BOD? 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BOD5 < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature: ~--1 CST Number David J. Steel 248956 11 Address Steel's Soil Service Date Evaluation Conducted Telephone Number z- 994 200th St. Baldwin, WI 54002 10/3/2006 715-760-0347 SBD-8330 (R.07/00) Property Owner Tom And Renee Patnode Parcel ID # pending Page 2 of 3 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. 98.55 ft. Depth to limiting factor 19 11, in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Eff#1 I •Eff#2 1 0-10 10yr3/1 none sil 2msbk mfr cs lc .6 .8 2 10-19 7.5yr4/4 none sicl 2msbk mfr cs na .4 .6 3 19- 10yr7/4 none =racture( Limestone na na na .0 .0 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 -Eff#2 * Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 <150 mg/L * Effluent #2 = BODS < 30 mg/L and TSS <30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (R.07/00) Steel's Soil Service STEEL'S SOIL SERVICE 3 of 3 David J. Steel Tom & Renee Patnode 994 200th St. CST-POWTSM NW1/4,SE1/4,S19,T28N,R19W Baldwin, WI 54002 Lic. #248956 Town of Troy, St Croix Co. Direct 715-760-0347 Troy Overlook, Lot 9 Fax 715-684-3449 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of this test may or may not be as shown, as permanent lot lines were not established at the time the soil test was conducted. Legend N 1" = 40' = Benchmark Ele. 100.00 ft Top of 3/4" pvc pipe • = Alt Benchmark Ele. 100.00 ft Top of 3/4" pvc pipe ❑ = Borings Boring Elevations BI = 100.00 ft B2 = 100.00 ft B3 = 98.55 ft B4 = 0.00 ft -7 7'3 71 L% 7 i - 00 00 _ 930 UNPLA ,i TED aGR UI OUTLOOT 1 ZONED: NORTH LINE OF THE NW 4 J {NSERVATfO ' v 0 CIO ~5 8921' 1 f 16 1~\l ----705.15'----- A c66.0 N 89'42'0 w Z M21 0; - 07 p 264.1 ~ - _ f ; - - - - 91 4. -4 T 15 i ~9~0 LOT 14, LOT- IN 9W CA -960 3L57, I a i f L ; r f l CID i~ L 6 c = ~Y 3 / f 1. _Jl Z I LOT 10 1 L _ 040-.__..._ I i~ of I . _ A Y I 1 ~ r- Jam" , ~ ~0 ~ 5a' 66 z - 7 - Al, s`; 0 ^ 188.80' 0 p---------- i EAST 26' CA- p -1 co I to EAST 26' r cn f` ti . 4J O I I - 85 7 .71 w _ 9j~ Lo "5 / O i X 1 _ Z XJ1 IAT 7 - - i 1 ' o jf r~ A rF T I ON M - ' p i w d y r ; fib,,