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HomeMy WebLinkAbout030-2161-03-000 '.'Nisxnsin Department of Commerce Safety and Building Division PRIVATE SEWAGE SYSTEM c St. Cr INSPECTION oREPORT sanitary Permit No Croix GENERAL INFORMATION (ATTACH TO PERMIT) 578969 0 Personal in`crmabor you Provide maybe r.sed for se. ondarr paFuses IP i;ac Law. s 1.. 64 1 : State F. aii ID Nc rH mut Holcers Narne y 5 t) m:I Z1;7 b City village X Townsh P Pavel Tax No ol - o; -ooD artma n Homes, Inc., C/O Michael J. Hartman T BM E e:: Ins, BM Elew St. Jose h, Town of 086 SRYIrt~ BM Descripton: r7 1a~, 00 Gw ' V n u SectiorrTo.vn'Range plTANK INFORMATION 'J 7 51 AKE 0-20.•75 TYPE ELEVATION DATA - MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Z-DC 17.~~ IIZ.oV (vo.oo G O I~ p3 0 ~ L~ lJ Alt. BM Aeration _ 7b`> FoLLN-?~T13M' 11Z..O(o 1.75- 110-31 fnGt, `"f L ~iK- Sz5 Bldg. Sewer Holding IlL•ab 3.75 (J$.3I StiHt Inlet TANK SETBACK INFORMATION 117 '~0 1 3 ~/Z Tg. 6~ SUHt Outlet TANK TO PiL WELL BLDG Vent to Air Intake ROAD Dt Inlet Septic _ > } !DD ± Liv - Dt Bottom Dosing k /lZ.olo i •7 3y HeadenMan. Aeration Dist. Pipe Holding ~ri~ OS Z Bot System PUMPISIPHON INFORMATION F nal Grade Manufacturer DeMand St over / c r `fZ r L! Model Number w JIZ,Dfo ~,~s ~oZ 3! TDH Lift r i Friction Loss System Head u y °c 1G0,~~~ toO'c f TDH Ft s Forcemain Length i/' 7Z Dia. Dis ;o well r r.' r SOIL ABSORPTION SYSTEM BEDlTRENCH W dth Length DIMENSIONS p r No Of Trenches PIT DIMENSIONS No. Of Pits D = Inside Dia Lit, d Depth SETBACK -11 INFORMATION SYSTEM TO P/L BLDG WELL LAKE.rSTREAM LEACHING Manufacturer Type Of System- I , Z / CHAMBER OR (C~-GL-,<< Nlf Ll1 ~ -`IG lg I 4 I((1 I S UNIT Model Number DISTRIBUTION SYSTEM G _ r HeaderrMarifolo Distribu'.iom 9 I ~C-' S{*n•~.-,~~'~~' D ' Pipets) i x Hole Size x Hae 'pacing Length I Dia Len_ 7 S / G- f N vent to Air Intake 9'h 7' D a/~ Soacing_ l y k SOIL COVER % 3Z ' Z "S x Pressure Systems Only zx Mound Or At-Grade Systems Only Depth Over a, Depth Over Bea.Trench Center Bed.'Trenoh Edges T / Depth xx -hed W Yes J No J Yes No COMMENTS: {Include code discrepencies, persons present, etc ; Inspection #1: I Z ; Z Z; ?R Location: 1430 25th Street Houlton, WI 54082 (SE 1i4 SW 1,14 24 T30N R20Wj Orchard, The Lot 3 Inspection #2: I Z +'h r a~tltY a G.~ • G . Parcel . Dad tLJ c oRnye No: 24.30.20, 4 475 1.) Alt BM Description = ~P or F~n1D0rW0AJ dF 11C- 2.) Bldg sewer length = g•S - D PG°`~ ~'vDr] o~tiLY ~~y« A.~. , - amount of cover = ~r SixFq~' so ~ Col/s ~~fc A7 ,o44 6k '~'vD ow.d ~TEr~w• Plan revision Required? F Yes No Use other side for additional information SBD-6710 (R.3r97) Date sepctors Signature Cert. No ---{vE,4ART%I♦;ti~,.i _ C.OUnt}' - "sue Industry Services Division Six ` OS 1400 E Washington Ave - S - - P.O. Box 71 fit Sanitary Permit Number (to be filled in by Co.) fLSS10NAti S S111taI'y' Permit A I1 0 1 ti State Transaction Number pp(~ 0 , , ' In accordance with SPS 18 1-21(2), Wis. Adm. Code. submission of this form to the appropriate governmental unit 2 7~ is required prior to obtaining a sanitary permit. Note. Application to. of3 t (v llf~~FF are submitted to - the Department of Safety and Professional Services. Personal in'"11Men;ffgN~d4 _*T secondary Project Address (if different than mailing address) purposes in accordance with the Privacy Law, s. 15.04(1)(m) Stars L Application Information - Please Print All Information Property Owner's Name Parcel {I z j (o ( - O 3 - U C3 O 030 Property Owner's Mail' % Address Properly Location ! 75 'I L, y i~~/►~ ly R) U tr _ Govt Lot City, State / 7.ip Code) J Phone Number 5 iv✓ y,, 5 E Section Z U c)l~ `~e/(C' T N R ~('irrclene) (J Ill. Type of Building (check all that apply) Lot u C~ L7I 1 or 2 F'armly Dwelling - Number of Bedrooms Subdivision Name ❑ Yublic,'Commercial - Describe Use _ Bluck /3 G Q~ t ❑ City of %x' El State Owned - Describe I Ise / D ;5*-. Gw' ❑ Village of CSI Number - , 75 J <Tuwn of / ATISF pw III T ' e of Permit: (Check only one box on line A. Complete line B. if applicable) p A. New System ❑ Replacement System ❑ Treatment/Hold'uig lank Replacement Only ❑ Other Modification to Existing System (explain) B. ❑ Pennit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer ro New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS SystenL CotnponentlDevice: (Check all that apply) o f ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade 2541ound > 24 in, of suitable soil Mound < 24 in. of suitable soil ❑ Holding'rank ❑ Other Dispersal Component (explain) ❑ Pretreatmen vice exp am - it V. Dispersal/Trestme Area Information: t Z Desi.-n Flow (gpd) Design Soil APplicatiot Dispersal Area Required ( Dispersal Area Propo (sQ System Elevation Rate{gpdsf) (vc~ 5 Cow -co /OCR 5 VI. Tank Info Capacity in Gallons Total A of r? $ u L Manufacturer o t_ a, ar ; New Tanks Existing Tanks Galluns knits I J r, L L. U in _ l✓ h~ LP~T L_ y 'w :7 a t Septic orlfolding Tank f /ZX W~E - ❑ ❑ ❑ Dosing Chambcr C-~ ❑ ❑ ❑ VII. Responsibility Statement- 1, the undersimned, assunte responsibility for installation of the POWTS shown on the attached plans, Plumber's Name (Print) Y]umb 's Signature MYS her Rosiness Phone Number it Plumber's Address (Street, City, State, Zip Code) 'r^ . &7` JIG' SS"E JI SLYCV c1 VIII. County/ eartment Use Only _ 1 proved Iszpproved Pennil Fee Darellsstied L Signatu rerCi ven Reason for Denial S 25 ' 6 1 M CondifWAT4*9I WReasons for Disapproval 1. Septic tank, effluent ffter and dispefsul cell must all services i- airtained as per management plan proviLed by plumber. 2. AS fatback requirements must be maintained I 1/11 L as per spplloabls o0e W ordinances. 4) ~ 1--~ ~ 1~l'•w ,T Lv 05y Attach to complete plans for the system and submit to the County only on paper not less than 8 to %1111 inches in size U,d p , 4d SBD-6398 (R03d l) 1 Q^ J r~~~ y i y y ~ 1 NI i 4,1 I V/ eV, ~f _ r??ir DIVISION OF INDUSTRY SERVICES 2331 SAN LUIS PL STE 150 GREEN BAY VVI 54304 D S _ Cortact Through Relay P S httpl!dsps wi gov,programs/industry-services wwvcwisconsin gov !<s.10N.4 Scott Walker, Governor Dave Ross, Secretary Mai 0-1. 201 CUS F ID No. 223242 .4 TTV: POIf"TS Inspector JEFFERY V FOX ZON[NG OFFICE JEFF FOX CONTRACTING & SEPTIC INC S 1' CROIX COUNTY ';PIA PO BOX 565 1101 CARMICI[AEL RD DRESSER WI 54009 HUDSON 1~'I 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/0'!201? Identification Numbers- Transaction ID No. 2539176 SITE: Site ID No. 812125 Hartman Homes Please refer to both identification numbers, 25TH St above, in all correspondence with the agency. Tovoi of Saint Joseph St Croix County SW I ?4, SE 1 S24. T30N, R _10W FOR: Object Type: POWTS Component Manual Regulated Object ID No... 1533791 Maintenance required: 600 DVS F, System(s): Mound Component Manual - Ver. 2.0, SBD -10691-P (N.01?OL 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 CONDI I IONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and vvith any component manual(s) referenced above. The owner. as defined in chapter 101.01( 10). Wisconsin Statutes, is responsible for compliance with all code requirements. No person mar cngajze in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, ~O~Mj stats. ~~1 R The following conditions shall be met during construction or installation and prior to occupancy or use: A O~~ P 01 • The orientation of the mound system must be such that the mound's longesT dimension is perpendicular to the PROFESS# direction of the slope. V OMSK* OF • The pump chosen for the design is at the limits of its capacity. If the total dynamic head is calculated to be hiJrer at the time of construction, a pump that meets or exceeds the system demand will need to be installed. is recommended that the actual pump-off elevation be determined when the dose tank is installed to establish vertical lift and TDH pump demand early in the installation process. The County POWTS inspector will verify SEE GO adequate pump capacity upon inspection. Performance specifications (pump curve) for the employed pump shall be made available at the job site upon inspection. • The dispersal component and septic system shall be setback per s. SPS 3834, MO. Wis. Admn. Code. A copy of the approved plans, specification; and tHs lever shall be on-site during construction and open to inspection by authorized representatives of the Department, which ma) include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction,Iinstallation,'operation. In granting this approval the Division of Industry Son ices reserves the right to require changes or additions should conditions arise makin- them necessary for code compliance. As per state stats 101 12(2), nothing in this review shall relieve the designer of the res~onsibilin fo- cesi nin<_ a safe huildin-, structure, or component. JEFFERY V FOX Pax , 5;7,201 5 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. r5iw, ercly, Fee Required $ 270.00 This Amount Will Be Invoiced. ~~CJt~1 WVhen You Receive That Invoice, Rachael E Huempfiier U Please Include a Copy With Your POWTS Plan Reviev`er. , Division of Industry Services Payment Submittal. f920'092-7726, M-f 7.45 am To 4:30 pm WiSMAR'l code: 763 e ach.acl.huempfner ii wisconsin._ov cc Ed\ti in A Ta, lor. Wastewater Specialist, ( 7 1 ? 634-345- . Monda% - I ricav K•ti0 am To 4:30 prTI Note: Effective January 1, 2012, all codes under the jurisdiction of the Division of Industry Services (formerly Saten & Biiilcings) will he mild~ied. Code references %A ith prefixes starting with "Comm" have been replaced with "SPS" to reco~,,nize the relocacon of the Division of Industry Services from the former Department of Commerce to the Department of Safety Az Professional Services. Additionally, all IS (formerly S&B) codes have been renumbered and addressed in a "300'' seres. For future reference, the Wisconsin Commercial Building Code will be addressed by SPS Chapters 360-366, 1 j MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name Hartman Homes Owner's Name: Owner's Address: 774 Ryan Drive Hudson WI 54016 Legal Description: SW1/4 SE114 S24 T30N/R20W Township: St. Joseph County: St. Croix Subdivision Name: Orchards of St. Croix Lot Number: 3 Block Number: Parcel I.D. Number: 'TIONALLY Plan Transaction No : 'ROVED SAFETY AND Page 1 Index and title 7NAL SERVICES Page 2 Data entry !DUSTRY SERVICES Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan DpN0 Page 7 Pump curve and specifications Page 8 plot plan Page 9 soil test Designer. Jeff Fox License Number: MPRS 223242 Date: 04/21/15 Phone Number: 715 755 2461 Signature. Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SBD-10691-P (N. 01101, R. 11/12), 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, R. 10/12) Version 7.0 (R. 11/12) Page 1 of 9 Mound and Pressure Distribution Component Design Design Worksheet S_ite_ Information (R or CJ R Residential or Commercial Design Note: Sand fill (D) calculations assume a 400.00) Estimated Wastewater Flow (gpd) Table 383 44 3 in situ soil treatment for 1.50 Peaking Factor (e.g. 1.5 = 150%) fecal coliform of<= 36 inches. 600.00 Design Flow (gpd) 10.001 Site Slope 1.00.00: Contour Line Elevation (ft) 30.00, Depth to Limiting Factor (in) 0.40, In-situ Soil Application Rate (gpd/ft`) Distribution Cell Information 75.001 Dispersal Cell Length Along Contour (ft) = 8.00 Cell Width (ft) 1.00' Dispersal Cell Design Loading Rate (gpo1ft2 1, Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disrbution Information network? Enter Y or N (G or E) a Center or End Manifold 4.00 Lateral Spacing (ft) If N above, enter the elevation (ft) 2 Number of Laterals of the highest point. .0.156; Orifice Diameter (in)^~ 2.50; Estimated Orifice Spacing (ft) = 10.00 2brifice 2.00; Forcemain Diameter (in) 50.00` Forcemain Length (ft) Does the forcemain drain back? 82.00! Pump Tank Elevation (ft) Enter Y or N 4.55 System Head (ft) x 1.3 8.16 Forcemain Drainback (gal) 8.09 Vertical Lift (ft) 67.32 5x Void Volume (gal) 1.11 Friction Loss (ft) 75.48 Minimum Dose Volume (gal) 0.00: In-line Filter Loss (ft) 32.31 System Demand (gpm) 13.75 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 x ` 1.00 1.50 x x! 1.25 2.00 I 1.50 x _ x 3.00 2.00 x 3.00 x G_ allons_/inch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 1200.001 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Wieser ;Manufacturer L~ gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 800.00; Dose Tank Capacity (gal) 'lifetime 'Filter Manufacturer 22.24 Dose Tank Volume (gal/in) 01108/14 ;Filter Model Number Wieser ,Manufacturer Projects Hartman Homes Page 2 of 9 Mound Plan and Cross Section Views 1110 B Observation Pipe . J 0- K O 1=1 _ A W B : : t ~'4 L Mound Component Dimensions Dowr slope toe extension made. A 8.00 E 15.60 in H 1.00 K 8.08 B 75,00 F 9.50 in 12.0 L 91.15 D 6.00 in G 0.5 J 4.13 W 2413 600.00 (ftz) Dispersal Cell Area 1500.00 (ftz) Basal Area Available 8.00 (gpolft) Linear Loading Rate 7.50 (ft) 1110 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 102.29 (ft) irri.... H rrrrirrr z rrirrrr:.. G I 1 ,rrrrrrrrrrrrir rrrrrrrirrii., 101.00 (ft) Lateral F Dispersal Cell 100.50 (ft) - Invert Dispersal Cell / []3 t Elevation E D . 100.00 (ft) Contour Elevation 10.0 % Site Slope Geotextile Fabric Cover Shading Key 4 in. t Dispersal Celt See lateral details on dia. Page 4 for number, size, Topsoil Cap slotte 1.5 ft t and spacing spacing of laterals. Q rrfr Subsoil Cap d © I Laterals are equally © ASTM C33 Sand obse F spaced from the Tilled Layer rvati 0.5 ft Typical Lateral distribution cell's © Aggregate pipe centerline in the distribution cell (AxB). A Project: Hartman Homes Page 3 of 9 End Connection Lateral Layout Diagram Laterals certered over the A & B dimensior' ♦ = Turn-up I v a valve oral eanout plug ) I P pForcp li irk identical IE- X -.I Holes dr~lied on the- hn+tr~m w the lateral J equally spaced main cOnr, o iori vl i t4F or cfos5 1G m~nllbld at ~n~ Point Lalteral~- Motcemam Scf- 40 PVC per --PS Table : 384.330 i Number of Laterals Orifice Diameter 0.16 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.53 Lateral Length (P) 73.37 Orifices per Lateral 30 Lateral Spacing (S) 4.00 Orifice Density 10.00 2/orifice Lateral Flow Rate 16.16 gpm Manifold Length 4.00111 System Flow Rate 32.31 gpm Manifold Diameter 1.50 in Total Dynamic Head 13.75 Forcemain Velocity 3.30 sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and SPS 318.300 VI AC Tank component is pr e v 'A-emaf, location Forcemain diameter Wieser Manufacturer 2 in. Ca acity 800.00 Gallons Volume 22.24 gal/inch Weep hole or anti- Dimension Inches Gallons siptron device A 19.68 437.63 B 2.00 44.48 Pump off elqvation ft C 3.39 75.48 92-91 D 1 t). 90 242.42 Total 35.97 800.00 Dose tank elevation (ft) 3" Bedding under tank. 92.00 Alarm Manuafacturer Rhombus Note. Switches Alarm Model Number JJ Plu er g ; containing mercury _ may not be used in Pump Manufacturer +Zoeller v I this system. Pump Model Number 1.BN151 Pump Must Deliver 32.31 gpm at 13.75 TDH Project: Hartman Homes Page 4 of 9 Septic-Dose Tank Cross Section And Pump Performance Specifications g- er Tank Manufacturer W /E E l-Z aMannufacturer N Tank Model Number ADC?? ber Total Tank Capacity V - rer [1_1 Bury Dpmber Manufacturer i. rt--N6 Total Dynaruic Head (TDH)_- Feet F ilter Filter Model Number I Elevation Head Distal Pressure _ Network Loss Minimum Pump Performance Requir!Ft Force Main Loss GPM TDH Total Outlet Manhole Min. 4" Above Grade With Manhole Min. 4" Above Grade Locking Device. Wet Manhole With Locking Device < b" Below Grade Sealed Watertight Securely Mounted Weather-proof Junction Box - Finished Grade Depth of T Vent Min. 12" Disconixat cover Above Grade Ft Mesas With Vent Cap > + < t't <><,<,c a <'<'c c'c <~<'< e'.'+'s > t < + + ? Outlet + Outlet Filter -~i - - - Inlet Inlet Baffle - >t> < > - A Switch Settings and Reserve Capacity < >s V<» Tank Volume = GPI weep > < B Hole Dimension Inches Volume Gal. t ' t (reserve) A ' > (alarm) B 2 Off Elevation - C (dose) C t Botts (dead) D tT< D Elevat Total as 't t t t't t < e d~ t + t e s + + c < < c + + + < + s < e < s c < t < t < < t + : e e < < < s t < < < < < < s + t < < 4 < s c < t e e > s s > > s > > > s s s s s > s s > > s > > > > a s s s > > a > > > > > > a a > a > a~ > > > > > > a a > > > a GENERAL INSTALLATION: The septicidose tank is bedded and back filled in accordance with the manufacturer's product approval specifications. Maximum depth of bury as specified by the manufacturer may not be exceeded without prior approval. Manhole covers exposed to grade have an effective locking device (padlock) installed. Piping at the inlet and outlet is of approved material, connected to the tank with watertight fittings, and laid on stable soil to prevent settling or sagging. The force main is sleeved with 4" Sch. 40 PVC to bridge the tank excavation and the sleeve is sealed watertight Electrical service complies with NEC 300 and Comm 16.28 WAC. 02/05 LJ Page of Mound System Maintenance and Operation Specifications Service Provider's Name JeffFox ' _ Phone 715 755 2461 POWTS Regulator's Name I St. Croix Ct Zonin _ y g.... Phoney 715 3864680 ~ System Flow and Load Parameters Design Flow - Pea 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 t' Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tan Inspect and/or service once every 3 ears Effluent Filter Should inspect and clean at least once eve 3 years Pump and Controls Test once every 3 ears Alarm Should test monthly Pressure Syste Laterals should be flushed and pressure tested every 1.5 years Mound Inspect for ponding and seepage once ever 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 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 \__/4 . . 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Hartman Homes Page 5 of 9 Mound System Management Plan Pursuant to SPS 383.54, 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. 11112), 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 oath 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 8-inches 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, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet 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 are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the fitter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent fitter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds t/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 shall be inspected at least once every 3 years. All 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 BODS, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BODS, 30 m91L TSS, 10 mg1L FOG. and 10'cfu1100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each 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 it orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. 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. Contingency Plan If the septic tank or any of its components become defective the tank or component shall 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) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by Increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Pretreatment Units 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. sT : a e pAl 111 731, lT..~? ^s1 oarrlll~ • M ARM" Ti Tl1L "WFLOW ~ PEWONWICEts3 153 152 red XdW 26 OL -0 ,a Ls x 44 7A MMLA a V s13 $ ` a ao iLn/c 3J OL .a.d 9 im c~ru•~ y1'1~:i 320 Am woomw 7A f 1!a u. svt 3 7p Zwe, nom. t >i two ~ i 1 ~ 7 { ~ s t 7101~i1e01~~- oil' FWAWw- • ~pc sv films evmw P7l - and - . Rt ; l , . '.;1,,_. r ~-'del ! ~ ' ..f - - - ~~7 rs ~ ~,l i t t f ~ ~ 4 F ,p, ` ~ ~ i r ~g i _ - i - _ ' _.7 i i ? ~ - i _ i _ ~ . ~ _ C_ _ f i I t,, ~ . Z_ 1`r S_y ` r.., r ~ _ ' r~ _ i _ 'i ,r,, ~r_ _ r' l4 , 1. i l' i r ~J. t.. .1 - ~ t 2 0 1 4 0 0 4 i F t Y43 €Y ` ' Fs3 ~2~ s. t 34M%: t h~`'~ Y ~4 f' 4 atYk*-~~r I lad 'F` L v , Installation and Maintenance Instructions Installation Step 1 Dry fit the filter case onto the outlet pipe going to the drain Reid. Ensure it is centered directly under the access opening. (if outlet pipe is already i^ a fixed position, additional pipe may need to be added) Step 2 If utilizing the additional single side suppcrt and the two bottom supports: While the case i is still dry fit to the cutlet pipe, measure and cut 1"schedule 40 pvc pipe to the length needed to extend from the i hubs that are pre-molded into the case to the side v,all and the inside floor of tank. solvent weld pipe into the j hubs that are pre-molded onto the case. Step 3 Solvent weld the case to the outlet pipe. Insert the filter cartridge into the case pressing down on the cartridge until it locks into place at the bottom of case. i Step 4 If utilizing a vertical read switch: Insert switch into the hose pre-molded into the top of the filter. Press straight down until it locks into place Maintenance 1) Remove the access lid of the tank. Note: To ensure undesirable solids do not exit the tank and into the draii' field, the tank shou'd be pumped out until the level of effluent is below the outlet level of tl^e tank. 2) To remove the filter cartridge from the fi ter case, purl up firmly on the handle of the cartridge clWodging it from the case. (it utilizing a vertical read switch, removal of switch is optional) 3) Using an crdinary garden hose, r'nse the filter cartridge ensuring all visible septage material is removed. L) Place the filter cartridge back into the filter case pressing down on the cartridge until it locks into place. 5 Place the access lid back onto the tank ensuring it is secure. EE G Lifetime filter has a lifetime limited warranty. Lifetime filter LLC warrants the filter w1f be free of manufacturing and workmanship defects during normal use for the period of time the original purchaser ow-is the product. tifetirte filter will provide a replacement filter in the eventthat the original falter was not damaged durine'.he installation or ma'ntenarce process. Damage to this product caused by accident, misuse or abuse will not be covered under this warranty. Iriproper care or malfLrctions resulting from product not being Installed, operated or mainta ned properly will void this warranty Lifetime filter assumes no responsibility for labor charges, removal charges, installation or other ncldentaI or consequential costs. I Contact: mike[ulifetimefilterlic.com Phone! 502-724-2231 i i i ST. CROIX COUNTY SEPTIC TANK MAINTAINANCE ACREEAWNT AND OWNERSHIP CERTIFICATE FORM Owaier/Buyer Mailing Address Z y le Vof i.. e'>"[ es h tN tA)' . Property Address. ' ,7 • /-1 sus y / 4 Z (V c~tim ed fiatn ?]arnmg DegaY:,,,mr for new cm4n:xim) City/State ~ Patcel Identification Number LEGAL DESCRLk HON Property Locations 0 a, G6% S,.~ Z / T ~\-R z T, Town of Sumvision _Lot_ Curtified Survey )V1ap4' , Volume Page , arranty DeeV Volume Page___ Sp~i housa yes no Lot lines identifiable SYSTEM MAINTENANCE Improper rise aedrnaintvmamce of your s,_T c system could result its premature flihm'to h role ! Proper maintenarce consists of pumping out the c~;tic tank every three years or szounur, if ne_jod by a IiceV C. 1 r pumper. What-1."![ disposal system. o.tirer and by a mastcrplumbci, joumc}rtan plLwNtr, r.,_trictcd plurl~;r ura :ic zt_ lpwnp..r ~cn y+ t h>t t l j tlta c:r site wastewater disposal system is in proper operating condition and/or (2) after insp xtiun and pumping (ifn~c&;sary), d,,e septic tank is less than 1/3 full of sludo. _ U,ve, the tmdcrsi~tcxi-havcrcad the abuvc requircmcnts and agr~ to inaLitain the private wvagc disposal systc.-in with the standards set forth, herein, asset by th Department of Commerce and ure the Departmait of Natural Resources. State of W'iscousia.Certificationstating that your.septic system has been maintained most Tk. completed and returned to the St. Croix County Zoning OlTicc within 10 days of the thrc:: year expiration date. SIGNATURE OF APPLiCANP DATE ,,.of proposed bedrooris OWNER CERTIFICATION I (we) certit`y that all statements on this form are true to the best of iry (our) knowledge I (%%'e) am (are) the owne s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office.. SIGNAT-_RE OF APPLIC.AlYr DATE '*»•s• Any uzfam=m that is w-mMremwei may result m the saaitay permit. Icing revoked by the Zoning DepztrneTA****, " Include with this appli=an a A=ped %wranty deed from the Register of Deeds oGs a ropy of the certified survey n2p if rd-cren is wade ia.tbs warnoty deed. 40 A } y\,` 3.03 AC ~t 905 H.'N 99E.7 i 1,11 ' l as~.y o •3.00 AC's 9\ D N I t 2 ~ as + l r 404. V S J / 3.03 ACS' TT l , / I 3.02 AC) , ,r 2015 Property Record I St Croix County, WI c~MAY19201510:21Ph1 . OWNER CO-OWNER(S) HARTMAN DEVELOPMENT PROPERTIES LLC 744 RYAN DR #102 HUDSON. WI 54016 FORMER OWNERS 2~ 013) ROETTGER FAMILY MANAGMENT COMPANY LLC PROPERTY INFORMATION 20071 DONALD H ROETTGER Parcel ID: 0300-2036-20-000 Alternate ID: 24.30.20.475 PROPERTY DESCRIPTION School Districts: SCH DIST OF HUDSON SEC 24 T30N R20W SW SE Other Districts: Prooerty Address: WITC 1399 25TH ST Municioality: TOWN OF SAINT JOSEPH Section Town Ranae Qtr Qtr Section Qtr Section Block: DEED INFORMATION Plat Name: Volume Pa°e Document NOT AVAILABLE 993424 Plat History: 878944 (2015) NOT AVAILABLE 1250 325 209 TAX INFORMATION LAND VALUATION Net Tax Before: .00 Valuation Date: 20141021 Lottery Credit: .00 Cade Acres Land Value Improvements Total Fr,st Dollar Credit: .00 G5 26.000 78,000 0 78,000 Net Tax After: .00 G6 14.000 84.000 C. 84,000 Arnt. Due Amt. Paid Balance 40.000 162,000 0 162,000 Tax .00 ,00 .00 1 otal Acres: 40.000 Special Assmnt .00 ,00 .00 Assessment Ratio: .0000 Special Chrg .00 .00 .00 Mill Rate: 0.000000000 Delinquent Chrg .00 .00 .00 Far Market Value: 0.00 P,ivate Forest .00 .00 .00 Woodland Tax .00 .00 .00 Managed Forest .00 .00 .00 INSTALLMENTS Prop. Tax Interest .00 .00 Spec. Tax Interest .00 .00 Period Er id r Prop. Tax Penalty .00 .00 Spec. Tax Penalty .00 .00 Other Charges .00 .00 .00 TOTAL .00 .00 .00 Over-Payment .00 PAYMENT HISTORY (POSTED PAYMENTS) General Special D~LS Receipt # Source Type Amount Tax Status Assess. Status Interest Penalty ilu SOIL EVA AT E .RT #2791 ' S p cimomeni of'Safety an0rofesstonal Services X41' x 20 2 01 'Page 1 of 3 Dyision of Safety and Buildings >I rr in accordance with Corn e C~~ ite Evaluation, LLC , Attach complete site lan orr Coun)loM1; _ . LpPMENT P p6l Nadi less than 8% x 11 inches in size Plan must St. Croix include, but not limited to: vertical and hor,zontal!reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. ,+r~ a Please print all information. Revie d By Date Personal information you provide may be used for sea~nr r; purposes (Privacy Law, s. 15.4 (1) (m;). 1 /J < Property Owner Property Location 11~ -4 HARTMAN HOMES Govt. Lot W1/4 SE1 S24, T30N, R20W Property Owner's Mailing Address Lot#--Block # Subd. Nam or CSM# 744 RYAN DRIVE #102 3 ORCHARDS OF ST. CROIX City State Zip Code Phone Number City Village ( x~ Town Nearest Road HUDSON WI 54016 715-377-1555 St.Joseph I 25TH STREET New Construction Use Residential,' Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement Public or commercial - Describe: NA Parent material GLACIAL TILL _ Flood plain elevation, if applicable NA ft. General comments Requires a 6' sand fill mourd component. Upslope edge of distribution cell to be installed along the flagged '00.00' ground contour. and recommendations: Maximum base! SLR = 0.4 (off #1) Maximum 10% design slope at flagged Con?our. Boring # Boring j - j Pit Ground surface elev. 100.00 ft. Depth to limiting factor 34 in. Soil Application ,Rate- Horizon Depth Dominant Color Redox Description Texture Structure Consistent Boundary Roots GPDift 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#l *Eff#2 1 0-11 10YR 3/2 SIL 1 C SBK MVFR GS 117-M 0.4 0.6 2 11-24 10YR 3/3 LFS 05C. MVFR GS IF 0.5 1.0 3 24-34 7.5YR 3/4 SL 1 C SBK MFR GS IF 0.4 0.7 4 34-40 5YR 3/4 13F 5YR 5/8 GRSCL 0M MFI 0.0 0.0 10YR 5/3 I Boring F2 Eoring # Pit Ground surface elev 98.50 ft. Depth to limiting factor 30 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistent Boundary Roots GPD'ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Erf#1 'EN#2 1 0-11 10YR 3/2 SIL 1 C SBK MVFR GS 1F-M 0.4 0.6 2 11-24 IOYR 3/3 LFS 0 S G MVFR GS IF 0.5 1.0 3 24-30 7.5YR 3/4 SL 1 C SBK MFR GS IF 0.4 0.7 4 30-40 5YR 3/4 F3F 5YR 5/8 GRSCL 0M MFI - 0.0 0.0 10YR 5/3 I I I i Effluent #1 = BOD5> 30 < 220 mg!L and TSS >30 < 150 mg!L ' Effluen #2 = BOD< < 30 mg/L and TSS 00 mgiL CST Name (Please Pnnti Signature: CST Number William J. Bergh yfl/!'/'~ 227819 Address Geo Tech Soil 8 Site Evaluation, LLC Date Evalu I Conducted Telephone Number 11091 30th Avenue Chippewa Falls, WI 54729 10123/201 715-577-6838 srso-a?;o~x I i ~ -Voperty .'.Yner HARTMAN HOMES _ Parcel ID # Page 2 of 3 F3 L Boring ]Boring # Pit Ground surface elev. 100.00 ft. Depth to limiting factor 32 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 1 0-9 IOYR 3/2 SIL 1 C SBK MVFR GS 1F-M 0.4 0.6 2 9-23 IOYR 3/3 LFS 0 SG MVFR GS 1F 0.5 1.0 3 23-32 7.5YR 3/4 SL 1 C SBK MFR GS 1F 0.4 0.7 5YR 4 32-40 5YR 3/4 F10YR 5/38 GRSCL OM MFI 0.0 0.0 Boring F-1 I Boring # p t Ground surface elev ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure ',Consistence Boundary Roots GPD.'It2 in. Munsell Qu Sz. Cont Color Gr. Sz. Sh. •Eff#1 •Eff#2 Boring Boring # Pi., Ground surface elev. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description i Texture Structure Consistence Boundary Roots GPDlft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 1 i Effluent #1 = BOO, > 30 220 mc/L and TSS >30 <-1 50 rrgrL ' Effluent #2 = BODS < 30 mgt and TSS <30 my~L Thc~. Dep.;rlr-ne ' of Safe:v and Professional Set icesc :s ar. eyaal opponunit} service provider and ernploycr. If you need ass s:ancc to access services or need material in an alternate format, contact the deparUnent at 608-266-3151 or TTY through Relay. SBD A I I D-est (R It M Geo Tedt Soil R Site Fvdhjdtk:+i, I C (25TH STREET) r _ 1J_1.. W I 1 1J !_I..J 1 o~_I.1 JJ I_JJJ_~~JJJJ JJJ_~=JJJJ 1JJJ_°°JJ JJJJ_y m~ J_J JJJ_N J_JJJ z t: \ 1 s * ~el ~Ott r J - r7. U. _r x its W o W`~~` a~t ici fm ° zZ V = 2 ;7 m U ~ C) V'1 ~ Q 0 0~ Z (n m° n c~~ na W 3 Sz 'z pc nOQn J G v N r ~ j32 b~~~ w r w V J~cp~R=o ~zi!S a~ a oFA O3z :-~LLZOru d u p nOwo7~ 2 - 2 uL'~~< r U y z ?~~z2CL W c` !2 Au 2LD 2i ~3 V3 L~JI~J~ :UL O L,vJOc)rL. co L Z , Ci A®*®e9 Reuse OF DXA-Ji; GEO TECH, LLC ORCHARDS OF ST. CROIX t+sxcu-enthasb"nd"kpalkseseezw 1109130TH AVENUE JOBSITEINFORMATION: SW-SE-24.30-20W eopsemon and not for general use Theretcrecma, HARTMAN HOMES LOT #3 n_tbeused vmn_a'he vnim;ppm.a d CHIPPEWA FALLS, WI 54729 25TH STREET ST. JOSEPH TOWNSHIP PLOT PLAN Geo Tech. LLC Urupvrwe? use is Ne sok PH' (715577.6838 FAX: 06814664573 ,e$;.3-s b ht) cl tie una.munzed use, email: N;1y,gwastewatcrpres.con HOULTON, WI $T. CROIX, WI Pr^,RCFI DFSC~iIFFD AS 3.0 RC