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HomeMy WebLinkAbout038-1239-30-000 WS iconsir Department c•Comrie•ce PRIVATE SEWAGE SYSTEM County St. Croix safety and BL, ding Division INSPECTION REPORT sanitary permit No ATTACH TO PERMIT) 584720 GENERAL INFORMATION ,slate Plan I~i No Personal irformahon ycj )mv de may be used for secondary purposes (Privacy Lay, s 1504 (1;{m;] 2672702 Perin t Holder's Narre: -ity 'v age Township Parcel -ax No Darren & Angela Nordskog TOWN OF STAR PRAIRIE 038-1239-30-000 CST BM Ele•: Insp. BM Elev: ©td Description Section/Tewn;RangelArap No: t 6 s 17.31.18.1291 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER by CAPACITY STATION ~BS I FS ELEV. r Septic Benchmark t e t / d~ 7. s5 X07. / Dosing V 4 alt. eryr~ CoJ , g ra 111,10 in T ~lal.r• D l dK~ J~~ (o Bldg Sewer Z~ Holding L SCIHt Inlet TANK SETBACK INFORMATION SUHt Outlet TANK TO Pll WELL BLUG, Vent to ntak^ ROAD D; Inlet Septic 7 yQ r Dt Bottom l~ y// a 3 Dosing T/ N^ I leaderiMan. 3 I A Z 45 'r"aeration Dist- Pipe Z . 3 /a~Cz Holding - _ - - ° - Bot. System 3 Z( !61, z PUMP/SIPHON INFORMATION Al, final Grade 1r 31/63. Mnnufarhire' Demand St Cover q. C3 99• w a~A LIT-, Model Nurnber /60 6, r 1 t, 4 ►~.To '724 1 9 cal. (a$ TDH Lift J r` Fiction Lcss System H ad TDI d j Jlrul z• 51 155 ) D IJfJ►.lt ~(Vr~ -6 Forcemain Length Dia. cst to Well Z UofA'a 155 SOIL ABSORPTION SYSTEM BEDITRENCH 'Width Lenath INo Trenc is PIT DIMENSIONS No, C` Pis Inside Die. Liquid Depth DIMENSIONS / 75 p SETBACK 13YS7EN1 TO P;L BLDG WELL LAKE/STREAM LEACHING Ahundach.wr INFORMATION CHAMBER OR ype yste-n UNIT Model Number a~ 1?zs 3q A 7 166' DISTRIBUTION SYSTEM a~ Heau--l"N nduld Dist, ouson i Ix"o.e Size x Hole Spacing Ve A r nt e J r Le 3 L Pipe(si 74 Die L Spac s Z_ IT Length Dia enatn r •J rig SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Q I:epth Cover Depth Over xx Depth c` ~ xx Seedec'Sodded xx Mulched BedlTrench Center r ~I BediTrencri Sdyes \:2 Topsoil I Yes J No es No COMMENTS: (.nclure core discrepencies, persons present, etc.) Inspection #1: 5 ZS ~~{r I spection #2: Location: 2183 95TH ST All. r 1.; Alt BM Description = ~ ~ t / 2.; Bldg sewer length = q = G ~~S lGrab f a>~ O 6 mount of cover - amount of caver Plan revision Required' _ Yes )KeN ZtU r_ se other side for additional information _ J V U CaL Inseprinr ; sjr at.ua Cent No S6D-671J (R.3197} I/r I+ ( ,lllnr ~i Safety and Build ngs Division St. Croix r' 6 2(71 VV. tI~JaShington A P O Box 7162 c;u,itar. Pe,mil \untbcri0.' be tilled in be Co.) SpsRu' Madison, VVI . 7- 2 "r,: t;R01X CoUNTY --~~1ViMU~~TY D~PMENT Sanitary Permit Application State'1'rans,r,ior\nmher I,t accordance pith SPS ts+ Ii21 ~'i;..1um- (',,Jc. >unnus un ofth,s fnm to the appropriate eo~ernmental unit / y is required pr;cr to ohlamink a saniian perr~il Note..lpnlicatr.m hu,l,ls for state-ovoied POLL'TS :ae suhrnincd to Pro_e;t :1ddr ss I ifditicrent than mailingaddr;s) 9`e Depirimcm ,I' Satciti and Prol"sional Services. Pu.,mal ;rl.'rm:,tion %olt provide ma. be used for cecondan purpo e, ill acv ,rd:,ncr' ith the PH%ac•. Late s I5.Ua,1 )u,u. Ntah f Q 2 ~C to ` vJ h _~tlicaticrn Information - Ph.asc Print All Information _ i'ropert.' O.cner. \an,c - 1 I Farrel " . Darren & Aneela Nordskoe _ I O;S-12.;9-3O-tn o I'ropert% O"nets mail:ng Address PrOrerts I.uc':a:ort - Grist I ut ? .g Plnin Trcc. Lattc C'ih. State 7.ip CuJc Phone \nmhcr -N`V - ---NE Section 1 7_ (cinle one;- Somerset. A~,'tr 31 a 18 u j~0?i 11. TM pe of Building (check all that apply) Lot - - - 1 or 2 Fanuic Ihcrllin ; Number of Hedrooms Subdrcisio» Name 3u ~ a k atD Bl n. k Public Commercial Dc rrihe i se Squaw Lake Eslales YWJ~ p I a✓~ Nit L I Cit. of State (Jane) De>cnhe I'.e I CS\t Number H Village of I 75 I i Tot.n of Slar Pm1rie `/OJrl1 Ce Na 11. Type ol• Permit: (Check only" one box on line A. Complete line B if applicable) ~ ~ O Non Scste,n I Rcrlacen,cnt S.slcal I I 'I remmem Ifolding Tank Replacement Ontr (blot Modification to Lsisting Scslcm (explaiul li I I Prrmil Rone.. al Penmt Rtcistun C'iangc otI'lumhcr I Permit I ranstar to Ne%e list Previous Perm,t Number and Da,e Issued Before ENpii.dion ~ O'rner i IV. Type of POW 1'S System/Component/Device: (C'heck all that appl at , `5 I Non-Pressurizcd In-Ground . PCessul•IZCd rn-(nuund 1t-Crade found _ 2a in. of suitable soil I l -Mound 24 in of suitable sail holding tank Otier Dispcr.al ComponentIetiplain) I Pretreatmeru Dcsice(.explain) s V. Dispersal/Treat ent Area Information: i'olLok I'[,-52~ effluent filler t f llcsign Flue ;grd:' lA'lut tioii 1,'plicali tt 1211c(r;rdst) ~lspersai Area Re;prireri (sl i )i;r,rsal \rca Proposed t.f Srstem Iae':rtinn 1 1.0 gpd/sq.f~. ASTMC-33sand 101.77 at 1 I•• abo.c 450.00 Gpd 0.6 Kpd/sq.fl. naliy'e soil 450.00 sq. ft 4550-00 Sq. Ft_ 101).30, contour VL Tank Info-~-- C'apactla in Total o Manutacturer - Gallons Gallons i nits J ?Jew Tnr~k: hsr+hn~ Tanks ~v _ - ~Y ~ v J: v J w tP s2s L -..~:~+tc or Hn'~drng T<.nk i I •OOO - U 1,000 I ~1% escr Cot rctc X 1 _ 1 ~'Vioscr Concrete l V 11. Responsibility' Statement- I, the undetaigucd.:vssume responsibility for installation of the PO\ I S shown on the attached plats. Plumber's \cnne i Prim) Plumber's Si1~rtaturc \1P \1PRS Numhcr BusineSY Phone Number ~~'illiam Schulnaker -y.v- A1P 227990 (71 X46-2131 I'luvnhm , %ddres~ (Street. C;t% Ntat,% /rp Codc) 1070 Scott Road. Hudson, WI 14016 V11L "ountclDc artment Usc Onl%- lppnn'ed Ill l,n,rc; I Ym;t fee Date . slued Issuing nt srgnatur (h, ,:r ( 11 Rea or Dana) S V Y6 • Co ~i/ I0 IX. C'ondi : I ~oNjp .Reasons fur Disapproval 1. Septic tank, Eiflt:Cn; tilte- vnd 1 ft~ /V1x G ~~J a disper- -n cell m. gust all be ~-JC ,s ! rr•- nta:rer ~ as per management plan pro naed by piumbet. G✓1 O~ wL eN'~ ~Irt~ S 7"' 2 AIl~tstblidt reg4iret~ents rnust t o inalnt--,r Eid O J ; t Q 1 tJ a~ pw cods, ordinances. P ~ - ~ CO~i~t t 1~ ~~~M~~ 0.(~ \r(:u•h to u,n,Ple,e Plans kir They astcm and submit la the Cow I an Paps nut I A ~(qquo A IR z 1 inch- in aze SI Sll-b +9!{ (IZ l ll i l l t1 G tt.J~ ~F"SA.::S ~Q(tiVti. , - - - - -~0 is E'r G.'u4 r~Cn/cj~- . -V ds`, l _.Lr' ~ ~4'. ~.~in~Gw*Cl ^',4n/~. ~ ~{r~ r:~,q'-.os ^~~%(=L...i :.1~1•~.~_S W-:~: C I t'E~n~, inn, ~ "I I I o 1 ..y r 1 I `1 I I ' I i //1777"`~~7 i / uli~Cr'' /GC<.^arSvL , t"IcJ /co. & g ' i Nordskog 3 Bedroom Residential PUWTS Mound Index & Tilte Sheet Project Name: Nordskog Residential Mound Owncrs Namc: Darren & Angela Nordskog Owner's adress: 238 Plum 'Tree Ln., Somerset WI 54025 Site address: 2183 95th St. Project Location: Subdivision: Lot 30, Plat of Squaw Lake Lstates Legal Description: NrF Va NW 1 /41, Sec. 17, M, N.. R.18W., Toxin of Star Prairie, St. Croix Co., WI. Parcel ID rr: 038-12,9-30-000 Pa-C I Index and Title Sh,:ct Noe 2 State Approved Mound fh i i Page 3 SeptiG Pump Tank Cross sect];' Page 4 Effluent Filter Cross Section Page 5 septic Tank Nlaintenance Agreement Page 6 Parcel map Pauc 7 Warranty Deed Attachments: Soil Evaluation Report Mater Plumhcr Restricted Service: Bill Schumaker, Dep't. of Safety & Professional Services Credential 9227990 Siumature: < - !rte Datc: '2,1-"1-5 - Page 1 W'7 Dcsi! rr pursuant to hi-Ground SotI ;Ahsorption ( omponent Manual fir P( Iti. version -.2.0 5131)-IU7(6-I' (N.0 P91 JR 10! 1 ''•'Fi : DlVi510N CF INDUS I KY SEHNAUES 3824 CREEKSIDE LN HOLMEN WI 54636-9466 Contact Through Relay P S http.1,dsps.wi.gov!proWarnsFndustry-services 't www.wisconsin.gov Scott Walker, Governor Dave Ross, Secretary February 22. 2016 CUS I' ID No. 227990 A1TV- 1'011'1S'hupec~ku WILLIAM C SCHUMAKLR ZONING OFFICE SCI IUIIAKER PLUt1131NG ST C:ROIX COUNTY SPIA 1070 SCOTT RD 1101 CAR'01CHAH, RD ffUDSON ~V[ 5-1(116-?3112 HUDSON WI 54016-7708 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 01_i22i2018 SITE: - Identification Numbers Darren & An-ela Nordsko-, ? 183 95TH St Transaction ID No. 2672702 Site ID No. 821470 Town of Star Prairie Please refer to both identification numbers. St Croix County N1V 1 NL 11. S I I 1 N, K l BVv; above, in all correspondence with the agency. FOR: Description. Three Bedroom Mound Systcrn I Ma slope Obiect Type: POWTS Component Manual Re`,ulated Object ID No.: 1588071 Miuntenance required; 4~0 G PD Flow rate; 25 in Soil minimum depth to limiting factor from original grade System( '`I Mound C omnoncm Manual - Ver ''.il, SBD -10691-P (N-0 F01, R- 1(i: 1 Z Pre>sure Distribution Component Manual - Ver. 2.0, SHD-10?06-1' (N.0Ir) 1, R. 10/l?); Effluent Filter The submittal described above has been reviewed for cimtormance with applicable. 14'isconsin Administrative Codes and 1V isconsin 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 Im compliance with all code CONDITI requirements. APPF No person may env=age in or work at plumbing in the state unless licensed to do so b} the Department per s.1 -;.06, DEPT OF S, stats. PROFESSION The following conditions shall be met durim_2 conslrUCtion or installation and prior to occupancy or use: DIVISION OF INDI Reminders • A sanitar permit mus: be obtained from the counly where this project is located in accordance with the requirements of Sce. 145.19, Wis. Stalls' SEE ORRE • Inspection ofthe private scwal-~c system instillation is required. krrangernents for inspection shall be mad, with the desi`nated county official in accordance with the provisions otSee. 145.20(2)((1), Wis. Stats. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explainin;= that periodic cleanin of the filter is re.luircd. Access to Ore filter for cleaning must be provided per SPS 384 product approval conditions. • The area wit:rin 15' do%%nslope of the dispersal cell shall remain undisturhed. Vehicular traflic. excavation or ,oil 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. '.ll; l.'' ( tiC I II \1 `.hl l: I'a•c ~ ~ ?,r,rili; Owner Responsibilities • The current o`.vner. 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 nr_rintenance manual andior owner's manual for the POW I S described in this approval. • 1 he owner of a POWTS shall be responsible t6r ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved manager grit 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 owncr must 1011uw the contimmicy plan as described in the approved plans. • I he owner is responsible for subrnilting a ►nainten<ince verification report acccptahle to the county for maintenance tracking purposes Reports shall be submitted at intervals appropriate for the component(s) utilized n :hc POWTS. in -ranting, this approval the Division of Industry Services reserves the right to require changes or addition-, should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing ir. this review shall relieve the dcsic>ner of ibc responsibility for designing a sate building, structure, or component. Inquiries concerning this correspond. nce may be made to me at the telephone nurnbur listed below, or at the address on t:nis letterhead. The above left addressee shall provide a copy of this letter and the POW I S management plan to the owner and am czar rs who ate responsible for the installation, operation or maintenance ofthe PC)WTS. Sincerely, I ee Required S 250.00 Fee Received S 250.00 Balance Duc $ 0.00 ,erard it1 ~S-wirn~ POWTS Plan Reviewer. Division of Industry Services (608)789 892, Mon - Fri, 7:15 am - 4:00 pm WiSMART code: 7633 jerrv.swimr'Lz'wisconsin.`~oa' cc- Ld%v`,n A Ta\ lor. 4Vastewa:er 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 (t6nnerly Safety & Buildings) wi:l be modified. Code references with prefixes starting with "Comm" have been replaced with "SPS" to rcco~!nizc the relocation ofthe Division of Induspti' Service, from the former Department ufCornrnercc to the Department of Safety & Prof:ssiona': Services. Additionall\, all 1S (form:riy S&B) codes have been renumbered and addressed in a "300" series. For future reference, the Wisconsin Commercial Building Code will be addressed b\ SPS chapters 360 366. 0-vi ner Responsibilities • Th,.currcn, owner, and each subsequent oxxner. steal: r_ceix: a c•op~ a this l::tlcr inclu:iin« instructions rclatin_,, to proper use and maintenance ofthe system. Owners shall receive u copx of inc appropriate operation and n,:r:ntenance manual and'or owver•s wanua' 1'67 tn(: P;)WTS described it this a-pproval • J he ov ner of a POU'TS shall be rCSP0r.Sihie for ensuring tha: the operation and maintenance o_ the POWTS occurs in accordance with this chapter and the approved management plat: under s. SPS 383.54(1). • In the event :his soil absorptior- system or any of its component parts uralfunctions se a, to create a health } ari. the proper-} owner must follow the contin2tuc\ plan as described in the approved plans. • Th: owner is responsible for submittin_,' a maimenance verification report acceptabie to the county for maintenance tracking purposes. Reports shall be submitted at ctten als appropriate fo- tine component(s) utilized i:i the PO«'TS. In ,ranting this approval the Division of 111&,trx Services rescrves the ri<_tnt to reat:ire changes o- addi-ions should conditions arise makin: them necessan for code compliance. AS per state Stats 101.12(2 nothing in this review shall relieve the desipaier of tae responsibaity for :iesignilnE: a safe building. structure, or component. Inaui ies concernin th:s corresnondence may be made to me at the telephone number listed below, or a: the addr,..> on tais lcttcnccad. The above left addressee shall provide a cope of this lcaer and the POWTS management plan to the owner and ethers who are responsiole for tag installation. onoratior or maintenance of the PO T S. tiincerel,. Fee Reouired S 2>0.00 Fee Received S 250.00 Balance Due S 0.00 Lq~erarj ?A Sx+im POWTS Plan Reviewer. Division of L-tdusm Services f 60S)-, Sv-7892, IN,101- . - Fri, 7:1 ain - 4:00 pm NViSNIART code: 76 ir:-t-x.su°izn'a~xxisconsin.eo~i cc: Edwin Tayio:. WL~ Aexxater Specialist. (71S) 6; 1~' Ixlordax Fridax 8:00 am To 4:30 Dm Note: Effective January 1. 2012, all codes under the iurisdictiot: of thL. Did ision of Industry Servi :::s (formerv Sa:c-,, & Ruilc in.7si wili be moditied. Code references wiftt prefixes staninu With "Comm" have been replaced with "SPS" to reco_*nize the relocation of the DlvlSlon of Industr. Services from tine former Department Of Commerce to the Department ofSatet-, & Professional Scrrices. Additionalh. all IS iformerl•, SA B) codes have been renumbered and addressed in a "300" series. For fu.ure reference, the '\isconsir. Commercial Buildin, Code will be addressed bx SPS Chapters 360-360. 4 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application _ INDEX AND TITLE PAGE RECEIVE-7) FEB 19 r71ti Project Name: Nordskog 3 bedroom mound fSTRY SERVICES Owner's Name: Darren & Angela Nordskog Owner's Address: 238 Plum Tree Ln. Somerset, WI 54025 Property Address: 2183 95th Street Legal Description: NW1/4NE1,W Sec. 17, T.31N., R.18W.N Township: Star Prairie County: St. Croix Subdivision Name: Squaw Lake Estates Lot Number: 30 Block Number: Fla ONALLY Parcel I.D. Number: 038-1239-30-000 OVED 1FETY AND Plan Transaction No. AiL SERVICES Page 1 Index and title JSTRY SERVICES Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications ONDENCE Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Site Plan Paqe 9 Attached Soil Evaluation Report Designer: Bill Schumaker License Number: 227990 Date: 02/111116 Phone Number: (715) 386-3121 Signature: Designed Pursuant to the Mound Component Manual fo, ?O'JvTS Version 2 C SBD-10591-P (N 01101, R 11112) and bosh SSWNIP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01181) and Pressure DistrlbUtlon Component Wa^ual Ver. 2.0 SBD 10706-P (N. 01101, R 10112) Version 7 0 (R. 11 112) Page 1 of 9 Mound and Pressure Distribution Component Design Design Worksheet Site Information (R or C) R, Residential or Commercial Design Note: Sand •ill (U; calculations assume a 300.00; Estimated Wastewater Flow (gpd) Table 383-44-3 in-situ soil treatment fc~ fecal roliform of 36 nches W1.501 Peaking Factor (e.g. 1.5 = 150%) 450.00 Design Flow (gpd) - 10.001 Site Slope 100.30' Contour Line Elevation (ft) 25.00, Depth to Limiting Factor (in) µ 0.60', In-situ Soil Application Rate (gpd/ft`) Distribution Cell Information 75.001 Dispersal Cell Length Along Contour (ft) = 6.00 Cell Width (ft) 1.00 i Dispersal Cell Design Loading Rate (gpd/ft) JT-- 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution j-Y---_- Pressure Disribution Information network? Enter Y or N iC or E; e' Center or End Manifold 3.00 Lateral spacing (ft) If N above, enter the ele_v_a_tio_ n (_ft) 2 Number of Laterals of the highest point. 1 0.156; Orifice Diameter (in) - 2.301 Estimated Orifice Spacing (ft) - 7.03 ft /orifice f main Diameter (in) - 100.001 Fpemain Length (ft) Does the forcemain drain back? Y _ Pump Tank Elevation (ft) Enter Y or N 4. Systern Head (ft) x 1.3 16.31 Forcemain Drainback (gal) 12.7 -Vertical Lift (ft) 67.41 5x Void Volume (gal) -2.51 Friction Loss (ft) 83.72 Minimum Dose Volume (gal) 0.00; In-line Filter Loss (ft) 34.46 System Demand (gpm) 107 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 x 1.00 - - 1.50 x --------x j 1.25 2.00 1.50 x x - 3.00 2.00 x 3.00 x Gallons/Inch Calculator (optional) Treatment Tank Information 602.82' Total Tank Capacity (gal) 1000.000eptic Tank Capacity (gal) ; _51.00 Total Working Liquid Depth (in) (Wieser Concrete Manufacturer 11.82 gal 'in (enter result in cell B49) Dose Tank Information Effluent Filter Information 602.82; Dose Tank Capacity (gal) fRlyLok - - _J Filter Manufacturer 11.821 Dose Tank Volume (gal/in) :PL-525 iFilter Model Number !Weiser Concrete -Manufacturer Project: Nordskog 3 bedroom mound Page 2 of 9 Mound Plan and Cross Section Views 1/10 B Observation Pipe J ll K - T O A W Z 1 • L - Mound Component Dimensions A 6.00 h E 18.20 in H 1.00 ft K 9ft B 75.00 ft F 9.50 in - 12.04 ft L ft D 11.00 in G 0.50 ft J 5.10 ft W 450.00 (ft`) Dispersal Cell Area 1352.68 (ft Basal Area Available 6.00 (gpolff) Linear Loading Rate 7.50 (ft) 1 /10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area ► - - Finished Grade 103.01 (fl) "NZ G F Dispersal cell 101.72 (ft) Lateral 101.22 (ft) - Invert Dispersal Ccll D E Elevation ` ❑3 r ❑ 4 4 100.30 (ft) Contour Elevation 10.0 % Site Slope Geotextile Fabric Cover Shading Key 2- T Dispersal Cell See lateral details on Topsoil Cap o a 1.5 ft 71age 4 for number, size Subsoil Cap w o ❑ 4 and spacing of laterals © ASTM C33 Sand > v F Laterals are equally FA] 0.5 ft Typical Lateral spaced from the Tilled Layer c N distributioncel'b ~-:~----7 t - - -i Aggregate ~ o 15 cen'.erlme in `.ne A distnbut on ce I (A B i Project: Nordskog 3 bedroom mound Page 3 of 9 L End Connection Lateral Layout Diagram - - AL W*t als are Wenter a,1 I4- x I NorFS dr gaC ar, ti r bottom or the lattrar 1 S equagy spaced t, 1 Forcp main (0anocrron via loo or erms< to mamicAd at inq point, ` L:~tcrai : forrrrru3,r) Sch 40 PVC per SPS Table 384 36-6 Number of Laterals 2 Orifice Diameter 0.156 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.37 ft Lateral Length (P) 73.47 ft Orifices per Lateral 32 Lateral Spacing (S) 3.00 ft Orifice Density 7.03 ft orifice Lateral Flow Rate 17.23 gpm Manifold Length 3.00 ft System Flow Rate 34.46 gpm Manifold Diameter 1.50 in Total Dynamic Head 19.77 ft Forcemain Velocity 3.52 ft/ser- Dose Tank Information label and iock r:_ J vi :r_ and seaied vlatertight E ~'ctrical as per NEC 300 and ► SPS 31 e 300 WAC - 4 in. min. Disconnect Tank compnnent is properly vented < Alte nate outlet loca' ;r J c,r~crlan it - .t: Weiser Concrete Manufacturer Capacity 602.82 Gallons T Volume 11.82 gal/inch A Dimension Inches Gallons _ B siphon device A 29.92 353.62 B 2.00 23.64 C Port C 7.08 83.72 ~r D 1_2.00; 141-84 D Total _ 51.00 602.82 3" Bedding un er tank. I u~.~ul Alarm Manuafacturer iSJ Rhombus Note: Switches Alarm Model Number LSJE 1011421 T _ containing mercury may not be used in Pump Manufacturer Goulds this system. Pump Model NUrriberiEP05 Pump Must Deliver 34.46 gpm at 19.77 ft T D H Project: Nordskog 3 bedroom mound Paqc 4 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name Bill Schumaker I Phone; (715) 386-2131 1 - - - - r-----------_ POWTS Regulator's Name St. Croix County Zoning Dep't. i Phone°f (715) 386^4680; System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1!8 in Estimated Flow - Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg!L Soil Absorption Component Size 450 ft` Maximum FOG 30 mglL Type of Wastewater Dornestic Maximum Fecal Coliforrn >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 every 3 years Alarm Should test monthly Pressure System Laterals should be flushed and pressure tested every 1.5 years Mound Inspect for ponding and seepage once every 3 years 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 SIPS 384. Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board w 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. - - - bread! Clear. Sprinkler Valve Box Plug or Ball Valve Distribution Lateral - Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Nordskoq 3 bedroom mUurrd Page 5 of 9 Mound System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General Tn s system shall be operated r accurdance +vr,h SP5 362-1`1 iPJis Adm. Code, art: seal maintained in accordance vvith its' component marr.als [SBD-10691-P (N.01r01, R. 1112), SSWMP Publication 9.6 (01(81). and Pressure Distribution Component Manua Ver 2.0 SBD- 10 06-P (N, 01;01. R. 10,12)1 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 SIPS 383.33. Wis. Adm. Code wrnen he tanks are no longer used as ?10VVTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness Access openings used for service arid assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective u subject to failure must be replaced Exposed access openings greater than 8-inches in diameter snal. be secured by an ef`ectrve lock r device to prevent accidental or unauthorized entry into a tank cr componen-. Septic Tank I he septic tank shall be maintained by an individual certi`ied to service septic, tanks under s. 281.48, Stats The contents of the septic tank: sha l be disposed of in accordance ll NR 113. Wis. Al Code. The operating ccndition of the septic tank and outlet fitter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions a,e 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 fi ter shall be serviced if the alarm is activated continuously Intermittent filter alarms may indicate surge flows or an impending continuous a a1m The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1,13 the liquid volume of 1:= tank. If the contents of the tank are not removed at the time of a triennial assessment. maintenance personnel shall advise the owner of o'nen the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank The addition of biological or cl-emical additives to enhance septic tank performance is generally not requi,ed. H::wever, If such products are used hey shall ;-e approved fur septic la- ; use by tl•e Department of Commerce. Pump Tank The pum ;;dosing( tank shall be Inspected at least rice e,,eiy 3 years. All svrntches, alarms, and pumgs shall be tested to verify pr..er operation. If an effuen- filter is installed v; thin the tank it shall be inspected and serviced as necessary Mound and Pressure Distribution Syste_m_ Nc trees or shrubs should be planted on the mound. Plantings may be made around the mound's uenrneter and the mend seall be see::Pd and mulched as necessary to prevent erosion and to provide some orotection 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 mi'cned as protection from freezing Influent quality into the mound system may not exceed 220 mq1 DOD, 150 mg,L TSS, and 30 mg,L FOG for septic tank effluent or 30 mgrL BOD:, 30 mg,,L TSS. 10 mg.+L FOG, and 104 i 100 mL for highly treated effluent. Influent flow may not exceed maximum des gr f specified in the permit for this installation. -he Pressure distribution system is provided with a flusning point at the end of each lateral, and it is recommended that each lateral Le rushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test rnen the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution r thin the dispersal cell Observation pipes with'- the dispersal cell shall be checked for effluent pond c P_-id ra !e\ o a,ial be reported to the evvrer and ar~, Fels above 6 inches considerec as an irrr -i Jng hycru,Jllc fa lure requiring a:::i, -ra r : e :r: nt .,r ni Continciencv Plan If the septic: tan,, or airy of ins corrpcrents heanme r_.efectlvc the tank or ccrl~,o le,: ;ha:l be -pa!rl td nr _I r ke=:: CI - .:steer i~~ roper opera-ing condition If the dosing tank, comp, pinup controls. alarm or related wiring becomes defective the defective component(s) shall be immed ::l repaired or replaced with a component of the same or equal performance. If the mound component `ails to accept wastewater or begins to discharge wastewater to the grourc surface, it will be repaired replaced in its' present location by increas ng basal area if toe leakage occurs or by removing biologically clogged absorption ann. iced a, and related piping. and replacing said components as deemed necessar; `o hl tie lz--, rt.. +i See Page 5 of *his plar for the name and telephone -i Jmher of your local Pretreatment Unit Tie information and Sche::Lle of rrananagement and maintenance for pretr disinfection UnltS are at.acied as separate :UhlentS and are ccnslder ed part _r a 1 n rill it till r GOULDS PUMPS Submersible r Effluent Pump kill iI- EP04 3871 EP05 APPLICATIONS • Fully submerged it nign ■ EP05 Impeller: Ihe-moplas- ■ Bearings: Cppcr ar l grade turbine oil for tic enclosed design for heavy duty ball bearir riifically designed for :he ludrication and efficient improved perfor lance. .0-MI (t nn alov"ing uses: heat transfer. • effluent systems ■ Casing and Base: Rigged • Homes Available for automatic and therm--plastic design provides AGENCY LIIN~~ • Farms superior strength and corrosion manual operation. Auto- ' @P' Canadian stancaidsA55o ixau • heavy duty sur,F, matic models include resistance • ,'dater transfer Mechanical Float Switch ■ Motor Housing: Cast in n Debvate'irl V Cfficicrt heat transfer, Goulds Pumps is 150 9001 Registcrec g facto assembled and preset at the strergth, and durability. factory. SPECIFICATIONS ■ Motor Cover: Thermoplastic FEATURES cover vith integral handle and • Salics han;:iirg ca::abi ity: fL;at sw tch attachment points. it maximum. ■ EP04 Impeller: -I-errnoplas- E Power Cable: Severe cuty • apaciJes: up to 6C GPM. :ic Semi open design w th rated oil and water res stars:. • Total I-eads: up to 31 feet. pump out vanes for mechan cal • D scharge s ze 111)," NPT. seal projection • r:lechanical seal: carbon ctayicerami:-statianar•;, ?UN.A-"J elastomers • Temperature: 1 J< F 140 Q cortirucus 140-F .60"C) in-ermittent. r,oE`ERS rET 10 • Fas:ene-s: 300 series r_ sta nless steel. • -apzble of runnlny 4 3J -~U• - r cry witl•out damage 10 s s components. 25 o a Motor: 7. _ • FP04 Single phase: 0.4 HPp - 115 or 230 V, 60 Hz, 1550 a 5 7 RPM, built in overload :with > automatic eset. Q a • EP05 Single phase: 0.5 HP, cPOs 0 115 V or 230V, 60 Hz, 1550 3 c F,Pi :.wilt it overload with Eaoa automatic reset. 2 • `:ewer cord: ' 0 foot 't.rindard lergth, 1 bra 1 SJTOtN ,vita three prong grounding plug. Optional 20 C0 1 J 20 30 40 5 GW nOt length, 16,:3 SJ 14'V %vith .il prone grounding plug 0 a b 10 1? m 'h istarard on EP05? CAPACITY 3,y~y of,:i,%»ui;q~5 Vo/y /e~ oV l~!! Goulds Pumps Industries &ITT , 5.7of9 de clc~. ~J, lop'. r'- g~.cJEa{ .3 re-, C,OC`t_a'lk~,,Sc1 7- .jr^ S7;/f%C u;; F ~,t 't~'.~.CS•T i ~-ScJ`-S~C/Ov'C. ~ ~:C:.YtQ. J Ir \ i 54 u4t 3 it I I-- - ~ J Eiedr iei+, 1 , ~~J•"duce ~ IJ ~ 8 ~ U°ra~ J I I I ! 11 \ i'~ J ~ i r ,I ~ I j r , l- it ! ! e l r is 71, n 75 /U,s~•r'sc ! 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O N CVO = N ZO z V> Q O (n 2 Y (D U c n 0 Lo 0 W 0 W F 'M W H Of Q Cj a0 0 d Z V, cs a3 I-, z O W \r''Jc cr) N W Q0 co ZLn W U 0Z x~ V) zx OF- OQW 8 Q Co w U W pW ~N O v JF~2_~ 302 c)Y U~ a w m F v) ° nU LLJ ) O x NX Y olo-o<wwOwcw Q~CQ." <U C-5 Q (f Z WmU~2J~Q]J3 O Q U W(WY O ~ J J 3 Q Z Z >Z f'1 Z J Q OU < U a LLI Q un w H ' 0 4S a a z ~ w 4 i~ ~ II 6 a j U- L, 11 (L LLJ ~w a ~i S l9 W m i CL - ~ O ct Lv Z U 003 z a „4 E Sv ,.f69 W ;n Y Z Q Technical Specifications PL-525 EFFLUENT FILTER (COMMERCIAL) 'I - EiO~P'S 6'3D 1 II~.x~\\. ~I c.RNFTEc-~hpJ, ^S! i1 1, "S II{ }I ;y'r•E'&1S'iN;E?~PfS I p '~1'iTND •3~4<; 53c UAER.AL t- T tiCrJSINL PC0PR0P'KEVc Y - XTIETkHIN', -PVC c 58kL • NDFE t' J t WL 1 r~tiWJXEEf1E.~"✓, Yom: I i;•~ \ 1 dill F'.'Sa FCJ '.}ENU,7 a t i r w PQ'rtB ;'L-525 FILT:RCARMIGGE :'ART NO 3+1141-525 VATFR A- 7 ST. CROiX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSi UP CERTIFICATION FORM Owner.'I3uyer &Y ~r v i Wt Mailing Address ins P won, it ~ L/) S4n1PYSe.~-, k kiT Property A ddres~ ` p~ 0 3 g s-~-'h lvT 0 (Verification required from Planning & Zoning Department for new construction.) City,'Stalc P_w RLJAMPu-J Parcel identification Number a.~q -3p 00 C.) LEGAL. DESCRIPTION Property Location !4, Sec. N R jW. Town of STA'~ -PrPti r( e Subdivision Plat:, -i-) LLot. Certified Survey Map # Volume Page -.4 N'Varranty Deed # (before ?007)Volume Page 4 Spec house ❑yes[~no Lot lines identifiable ❑yes[]no SYS'1'E.VI MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premauue failure to handle \eastcs. Proper maintenance consist; of pumping out the septic tank ever} three years or sooner, if needed. by a licensed pumper. What } ou put hits, the system can affect the function ofthe septic tank as a treatment stage in the waste disposal system. Owner maintenan, k responsibilities are specified in §SPS. 383.5'_( 1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. CYoi\ County Planning & Zoning Department a certification firm, signed i,~ I:, owner and by a master plumber, journeyman plumber. restricted plumber or a licensed pumper verifying that i ) the on-site wastewater disposal system is in proper operating condition and/or t_') atier inspection and pumping (if necessary). the septic tank less than I fill[ of sludge. Uwe, the undcrsicned have read the above requirements and agree to maintain the private sewage disposal system with the standards set tbrth, herein, as set by the Department of Safety And Professional Services and the Department of Natural Resources, State of NVisconsin. Certification stating that your septic system has been maintained must he completed and returned to the St. Croix County Planning & Zoning Department within 3 days of the three year expiration date. irwe certify that all statements on thi form are true to the best of my/our knowledge. Uwe an1'are the owner(s) of the property described above, by virtue of a ~iarr my deed recorded in Register of Deeds Office. Num of bedrooms 2 r_Y SIGNATURE OF i,ICANT(S) DATE ***Any intormation 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 reterence is made in the warranty deed. (REV. U4112) 10 O. H. }7•: M.: ~'r Z 7i ccres t a r 1 y , I 3 r.B.0.=9x4.946.3 11 1 ikk I o I 480.55 I \ e I o wt f 23.E • 0,00 I -i !Ij 66 t I o e" 2.i0 55 LOT 29 , ~ I a ! "o eF' % 96,601 ft. - ° • \ ~ uc~ 4' • ' .eti4/ .26 acres I ~ . \ \ a0 Z dl P/~, Areo to CI-14 WV-: Je• i. 72 acres t I _ rn Wter Mark \ \ \ o JV- y 94' 's. (O. H. W. M.) ti 3- ti c' _ 529 50.00 S, 940.69' (GS m P N83'1407~i p't determined ! it no IT) 1.4 w} c7 r- 'r o'u~7 by D.NIZ.) l' c~ \ 273 >~rn3A9.66 I S7 prcnc?r o'0 I LOT 0,330, Q,264 Sq. ft. _ I` p0 \ H.wt = \ tDi raJ ^ 2.60 ecres _ x 1L4. a _ 1290 1 2.19 C ` o n' - 27 S Sy. to O. H- acres 7 } j' Lt~T34 e - i' ' / A?286 sq. ft. , S 4L R.0.=959.1' 6,',,, L 1.66 aces 1 ~}1 5 954.1' R.O. = 965 2' of 1 V` Nwc.- 948.2' 555.0' h ; LOT 31 l 965.3 1 I '~``,~0~ ah° • 85,727 sq. lI l ' l 2.04 cr.-re,' V ,r LOT 33% Areo !0 0.H-W. M.: ~y ~r _ r 743 sq- ft. - 1.:6 acres f o ~ry = t M LOT 32 - 1.74 r: ores ± r r V t 35 135.162 sq. ft. y L.R.0.=950. R'' `sue I ` ~ I i J. 70 aCr_ng 1 bv; S88 .33'45'E 419.65' ? 2.1E acres f 'i 046 B' c.. f: FS' Llnvewq> O.~e.'Tre 1 + i 47 Access 795 47'- c a o ' -4' 9.96'- 73 44' a J 4:6i 214.86' v _ - •r N88'33'4~"W _ -1289.37' x r Soul rive I I L the NW- i%4 of 80' 1?cd'ua i e.^ pc C✓, ►►~~V'/i the NC-114 £csmeot to trr. cxtogwshed uFrn extens;cn Of the rood) T I~ G4q I U - ~W7 2015 Property Record I St Croix County, WI OWNER CO-OWNER(S) DARREN M & ANGELA J NORDSKOG 238 PLUM TRFF LN SOMERSET. WI 54025 FORMER OWNERS L j GRAND PROPERTIES LP PROPERTY INFORMATION Parcel ID: U38-1239-30-000 PROPERTY DESCRIPTION Alternate ID: SEC 17 T31 N R1 8W PT NW NE SQUAW LAKE ESTATES LOT 30 Sr.hool Districts: Property Address: 5l-'H DIST NEW RICHMOND Uther Districts: 2183 95TH ST SQUAW LAKE RHAB & MANAGE Municipality: TOWN OFSTAR PRAIRIE VJITC Section Town Ranae Qtr Qtr Section Qtr Section DEED INFORMATION Block: Volume Pape Deuurnent # Plat Name:~ J1>> SQUAW I AKE ESTATES COUNTY PLAT LOTS 1/42 038-05 91 . Plat History SQUAW LAKE ESTATES COUNTY PLAT LU 1 S 1 42 038-05 TAX INFORMATION LAND VALUATION Net Tax Before: 528.54 Valuation Date: 20131010 Lottery Credit: .00 Code Acres Larrd Value Improvements Total First Dollar Credit: .00 131 2.600 30,500 0 30.5G0 Net Tax After- 528.54 2.600 30,500 0 30'50 Amt. Due Amt. Paid Balance Total Acres: 2.&OC Tax 528.54 264.27 264.27 Assessment Ratio: 0.9565 Special Assmnt .00 .00 .00 Mill Rate: 0.0173287' Special Chrg .00 .00 .00 Fair Market Value' 31.900 _ Delinquent Chrg .00 .00 .00 Private Forest .00 .00 .00 Woodland Tax .00 .00 .00 INSTALLMENT Managed Forest .00 .00 .00 Prop. Tax Interest 00 .00 Period Spec. Tax Interest .00 .00 1 01131116 264.' Prop. Tax Penalty 00 .00 2 07131!16 264.27 Spec. Tax Penalty .00 .00 Other Charges .00 .00 .00 TOTAL 528.54 264.27 264.27 Pav Now Over-Payment .00 PAYMENT HISTORY (POSTED PAYMENTS) General Special Date Receipt 4 Source Tyne Amoun; Tax Status Assess. Status Interest Penal y Total ~1 I 1 ~4 1 I ' ~ I1 / ~ 1 ~ I / I ~ / / I ~ ' 11 J' , II ~ ' ' _ i' ' ~ ~ ~ ~ I ~ ~ -.v ~ yM L- J' i i I l i ` i ! 1 r---- ~ I' 1 I ~ 1 ~ ~ L ~ ~ _ - -r r. - _ i ~ ~ I f ~ I` i 1 i i` ~ e: A = r IM "91MIVMd 2fVLf'1-T9?JL HJi96 BIZ Muffin ~d LUOOjj BUIMDJQ S,UiDI r z O v , z f- O ~ ~ z z O - 0 C) 0 - I,IIII I I I i I' II~ I I I u 4 i II - tt-. l) CJ UJ tu U J - W O S Z d ~ LL C, I II Ili l i ~ I I M1 FH f I,~I I ~I III Iii 1 I'I l - t£~ F r _ wt 2 ~ t ru k, rca 4~: ~ n IM'-Ml"d 2id1.PIT;Wi f446 -;giZ 90~1,/a270fJ ~1~9tJ~ 'F ~bb~Q W0021 GUIMD.IQ S.UIDI K 5 N noa x;u~vrs~ o e - ~ z - O IY z ~ 0 0 O z LIL o p II ~i I;ii III j'I' (n LL O O h Z Q z J 'f n O I :I 13 O w i ~ 1 ~ fi rz I I M11 C LJ LI - ~I L IIIII 4 yJ _ LLJ y r`, dG~ 1 - r X I J ~~~~wlw 1 fib t -TIM ~i 1 1 earn laiwxb I DOW-0jow V-I-QDN V d N 1UU V Q WOOZJ 6UIMDJQ SIUIDI w7 ~ t z O F z LL- a LL I' I 2 1 i I ~ z r II C _ I I 1 I I J W LI J J I I I I I z 1 ~ A LL~ n f J - Y V,J .mw%pw I" ; - JONJtJUON V f~~N Y d N ~UU VQ -f1z - Wood rymwd JUP1 Z rl V 1 - 1 f - - LCL f t a I I Iwr- I p 1 '.1J L~J\ ~ _1 ~ r I \ d d I U 1 - i u c V _ U Q i i _ 41 - I f.` I .LI Y I _ i I Q .-s I JI J I I li, J I I I ~ U.: 7J - a I yl_: ht, 0 H . M - -U7 - Q v ,c F r ~rt I I ado,. 4 C ~ = r L. 21 ~ ~ Ask natsr~asz.ag: - Mirm. IM `QIblV2]d 21V1.f'1~~2f1J~4K6 4'SlZ nuunca woob Gulno~a s uin~ r 90%radoW V1~9WY V WQ?Jdvd I: Ln z O O z z - o m o oo Ll- z , I I i I i I , I I ? , I I - I I ' I I 7t I - - - I < I ( J ---i lL I ~ I _ I I i2Z I , I I i I I I I I ~ I i ~ I j 3 4 E --------------}-----------------J i-`-~- rj 4 f _ _ EsyC A _ - 051