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HomeMy WebLinkAbout042-1016-10-910 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No (ATTACH TO PERMIT) 584771 GENERAL INFORMATION State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 2703275 Permit Holder's Name: City Village Township Parcel Tax No: Brenten & Gabrielle Ellwanger TOWN OF WARREN 042-1016-10-910 CST BM Elev: Insp. BM Elev: BM Description Section/Town/Range/Map No: 07.29.18.97K TANK INFORMATION ELEVATION DATA TYPE MANUFACTU JN&,S CAPACITY STATION UHI • rFS ~6E&V. 'l Septic Benchmark 103 tg Dosing f yf Alt. BM Aeration Bldg. Sewer 3.73 I 0L Holding Ht Inlet 'D qr7,o TANK SETBACK INFORMATION C WfI l J St/Ht Outlet TANK TO P/ WELL BLDG. Vent to Air Intake ROAD Dt Septic ,p rAol NIR Dt Bottom ' 1.3C ct-U-04 Dosin T,c Wj ) / Head r/Ma . ~J Aeration Dist. Pipe I 9,q5 Holding Bot. System PUMP/SIPHON INFORMATION At/ Final Grade Manufacturer L.- Ir 1--op I 10- Demand St Cover I ' • GPM (J Model Number V~L f u t~ TDH ify' A,1 Fricti n Lossn System Head " l TDH Ft Forcemain Lenuilih t Dia. Z f Dist. to Well 1 SOIL ABSORPTION SYSTEM ,V BED/TRENCH Width Len th No. Of Tr ches PIT DIMENSI NS No. Of Pits Inside /Dia. Liquid Dept DIMENSIONS I,/ 7 / SETBACK SYSTEM TO P/L BLDG WELL LAK TREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of stUern: 1215, it p 'v UNIT Model Numb DISTRIBUTION SYSTEM 51- Manifold Distribution ~jox x Hole Size J 0 Ix Hole Spacing V to Air In I Pipe( s)//~ Length + Dia_ Length '1 (p• 2 Dia Spacing G3 ' (J SOIL COVER k x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth 4f xx Seeded/Sodded Mulched Bed/T ch C r, 0 r Ad/Trench Edges Topsoil 1 h es G No es L] No COM TS: (Include \Pje Ise pencies, persons present, etc.) Inspection #1: a I/,~ I• t h1~~ Inspection #2: _ ~Lbwo 2 -trees c~f-~ ~rzdc,, Location: 972 107TH AVE `p ti $ Y114.J 1.) Alt BM Description= rte ~vr w w'_' l 2.) Bldg sewer length = amount of cover oil I ~ 11 b~ I o *A~ `-fiX 0 ewes on a\~~. tnS~~,-n~ Plan revision Required? ❑ Yes No Use other side for additional information. ` tors Signature Cert. No. SBD-6710 (R.3197) Date Inse c ' _vitnni~rrwr~ County yy. C EIVED Industry Services Division St. Croix 7 Dr ~A 1400 E Washington Ave S F I~ P.O Sanitary Permit Number (to be filled in by Co.) S / P.O. Box 7162 Madison, WI 53707-71 511-7-71 -,Ff~c1oA*al. f. ©~~`~i ermit Application Transaction Number Y In accordance with SPS 383.2](2), Wis. Adm. Code, submission of this form to the appropriate governmental unit 2703 is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POW FS are submitted to the Department of Safety and Professional Services. Personal information you provide may be used for seconda Project Address (if different than mailing address) purposes in accordance with the Privacy Law, s. 15.04(1)(m), Stats. 972 10T" Avenue 1. Application Information se Print All Information Property Owner's Name Parcel # Ellwanger, Bremen & Gabrielle 042-1016-10-910 Property Owner's Mailing Address Property Location c 7, )`i , f.. 1 87020 51h Avenue Govt. Lot City, State =54025 Phone Number NW ''/A, NE '/4, Section 7 Somerset, WI (circle one) T29N R18EorW II. Type of Building (check all that apply) L ® 1 or 2 Family Dwelling -Number of Bedrooms 10 Subdivision Name ❑ Public/Commercial - Describe Us 61c"Block # i ❑ City of ❑ State Owned - Describe U y CS Number O Z. ❑ Village of g Town of Warren III. Type of Permit: (Check only one box on line A. Complete line B if plicable) Za X-, 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 sued Before Expiration Plumber Owner IV. Type of POWTS System/Component/Device: (Check all that apply) Q ❑ 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 evice exp V. Dis ersal/Treatme Area information: 774 01 Y Design Flow (gpd) Design Soil Application Dispersal Area R ire (sf) Dispersal Area Pr ose (st) System Elevation 750 Rate(gpdsf) 1583 ~ 2570 ~ 97.83' 0.6 VI. Tank Info Capacity in o Gallons Total # of Manufacturer o U Gallons Units o y New Tanks Existing Tanks /to k- SLS a. U C Z 3 0. Septic or Holding Tank 1585 1585 1 Wieser C crete ® ❑ ❑ ❑ ❑ Dosing Chamber 950 950 1 Wieser Concrete ® ❑ ❑ ❑ ❑ VII. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Signature MP/MPRS Number Business Phone Number John Schmitt 223760 715-760-0486 Plumber's Address (Street, City, State, Zip Code) 616 1501h Ave. Somerset, WI 54025 VIII.-County/Department Use Only Xpproved isarGiven Permit FF[ee/ee~ DDat Issued Issuin gent Signat re son for Denial SIX. Condi~ioo i aW43 Disapproval 3 'tHalpemsd cell must all be setvlcps eint~ya,t_g~ ' ~n~~ f as per maragement plan provided by plumber. 1~ 2 1%kt,faintziry°stf 89 Per WN"Age Cod? / WdWanc+fs. Attach to complete plans for the system and submit to the County only on paper not less than 8 1/2 x It inches in size SBD-6398 (R03/14) PLOT PLAN Project Name: Ellwanger 5 Bedroom Mound Legal Description: NW1/4, NE1/4, S7, T29N, R18W P.1. D:'042-1016-10-910 Subdivision Name: NA Lot 10 Township: Warren Parcel Size: 2.144 Acres SCAT E I' = ao County: St. Croix Contour Line Elevation: $97. Cell Dimensions: 8' X 93.75` 4 inch Son 40 -ASTM D2665 System Elevation Mound Dimensions: 113.2 inch Sch 40 -ASTM D1785 i Slope: " 1/2 Sch 40 -ASTM D1785 A BM1 Elevation: Top of 3/4" PVC pipe v BM2 Elevation: .1Tor) of 3/4" PVC pipe ■ Backhoe Pits: Septic Tank: 1585 gallon Septic Tank Dose Tank: X950 gallon Dose Tank with POLYLOK 525 Effluent Filter I fvt~r~Ti-F ~~e~calT Liw~ ill 7 i s- 1~ Y w S 13~ p~~~l~ L !y E, 1 rv, G Ale,4c 4 v.) It sc42 ~rJ L►~ { ~ S j j s ~Wei L ~ L~ ~~Ltitct; 52 IV E i cv C OW T-01_0,2 17 r7c Pa e 11 TOTAL DYNAMIC HEAD/FLOW w PUMP PERFORMANCE CURVE PER MINUTE MODEL 151/152/153 EFFLUENT AND DEWATERING 5 .14 45 153 MODEL 151 152 153 z Feet Meters Gal. Liters Gal. Liters Gal. Liters a 35 5 1.5 50 189 69 261 77 291 i 10 152 10 3.0 45 170 61 231 70 265 r-' 30 15 4.6 38 144 53 201 61 231 z I 0 8 25 151 20 6.1 29 110 44 167 52 197 a 25 7.6 16 61 34 129 42 159 ° 5 20 30 9.1 = = 23 87 33 125 35 10.7 22 85 15 40 122 - - - - 11 42 4 1_ Shut-oB Head: 30 ft. (9.tm) 38 ft. (11 6m) 44 ft. (13.4m) 11`~~ o 014508e 5 n Model 151 Models 152 1153 10 20 30 40 50 60 70 80 90 100 GALLONS 57132 67132 LITERS 0 40 80 120 16 04 280 320 360 3718 S L 4 5/6 37/8 ---i-'I « FLOW R MINUT 014508A } e ® 3718 3718 ' e G e Oo 3718 I• Timed dosing panels available + 1 • Electrical alternators, for duplex systems, are available and I I supplied with an alarm • Variable level control switches are available for controlling single phase systems • Double piggyback variable level float switches are available I for variable level long and short cycle controls • Sealed Qwik-Box available for outdoor installations - See 1111/16 12118 FM1420 • Over 130°F (54°C) special quotation required 45/6 5118 i 1. I _1 i SK2444 SK2064 151/1521153 MODELS Control Selection Model Volts-Ph Mode Amps Simplex Duplex N151 115 1 Non 6.0 1 2or3 3N151 115 1 Auto 6.0 Included 2 or 3 E951 230 1 on 3.2 1 2or3 BE 151 230 1 Auto 3.2 Included 2 o r 3 Easy assembly" N152 115 1 Non 8.5 1 2 or 3 (pump & discharge pipe 13 N152 115 1 Auto 8.5 Included 2 or 3 not included.) E152 230 1 on 4,3 1 2 or 3 9E152 230 1 Auto 4.3 Included 2or3 N153 115 1 Non 10.5 1 2 o r 3 BN153 115 1 Auto 10.5 Included 2 or 3 E153 230 1 Non 5.3 1 2 or 3 BE153 230 1 Auto 5.3 Included 2 or 3 1. Single piggyback variable level float switch or double piggyback variable level Reduces potential clogging by debris float switch. Refer to FM0477. Replaces rocks or bricks under the pump 2. See FM0712 for correct model of Electrical Alternator E-Pak. Made of durable, noncorrosive ABS 3. Variable level control switch 10-0743 used as a control activator, specify duplex Raises pump 2" off bottom of basin (3) or (4) float system. Provides the ability to raise intake by adding sections of 1 %z" or 2" PVC piping a cauTloN Attaches securely to pump Accommodates sump, dewatering and effluent applications ed electrician. All el= toHowed inciudL NOTE: Make sure float is free from obstruction. 4afety and For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. © Copyright 2010 Zoeller Co. All rights reserved. -7 7 SECTION: 2.20.047 QKIWTK PUMP6 SNCE /~/1/,,/ FM1919 ~7n 0110 Supersedes \ ® L Product information presented here reflects conditions at time 1108 of publication. Consult factory regarding discrepancies or inconsistencies. MAIL TO: P.O. BOX 16347 • Louisville, KY 40256-0347 visit our web site: SHIP TO: 3649 Cane Run Road • Louisville, KY 40211-1961 www.zoeller.com (502) 778-2731. 1(800) 928-PUMP • FAX (502) 774-3624 Durable cast iron construction 151/1521153 EFFLUENT SERIES Model 151 comes standard with a glass-filled polypropylene base (For Pump Prefix Identification see News & Views 0052) Corrosion resistant powder coated epoxy finish Stainless steel lifting handle Assembled with stainless steel bolts Non-clogging engineered thermoplastic vortex FOR SEPTIC TANK - LOW PRESSURE PIPE (LPP) impeller design AND ENHANCED FLOW STEP SYSTEMS Model 151 -113 HP passes %2r spherical solids EFFLUENT Model 152 -.4 HP passes 3/a° spherical solids (.71 SUBMERSIBLE m = Model 153 -112 HP passes spherical solids 1'/z" NPT DISCHARGE G9 ~RAa Motor - 60 Hz, 3450 RPM, oil-filled, hermetically sealed, automatic reset thermal overload protected - Carbon/Ceramic seals C CIP U5 Upper sleeve bearing and lower ball bearing running Tested to UL StandardUL778 and Certified to CSA in bath of oil Standard CSA22.2 No. 108 20 ft. UL Listed power cord with molded 3-wire plug # 1 %2n NPT vertical discharge BN and BE standard models include a 20 ft. variable N151/N152/N153 & E151/E152053 nonautomatic level float switch BN151/BN1521BN153 & BE1511BE152/BE153 packaged with Piggyback Variable Level Float Switch Operates at temperatures to 1307 (54°C) in effluent 113,.4& 1/2 HP, 1Ph 115Vor230V applications All models include a 11/2" x 2" PVC adapter fitting Note: The sizing of effluent systems normally requires variable level float(s) controls and properly sized basins to achieve required pumping cycles or dosing k timers with nonautomatic pumps. M POWDER COATED TOUGH" MAIL TO: P.O. BOX 16347 Louisville, KY 40256-0347 SHIP TO: 3649 Cane Run Road Louisville, KY 40211-1961 n~ (502) 778-2731. 1(800) 928-PUMP FAX (502) 774-3624 r t Manufacturers of . Z © Copyright 2010 Zoeller Co. All rights reserved. I tTy- DIVISION OF INDUSTRY SERVICES t v`"-=wT~ 2331 SAN LUIS PL STE 150 s GREEN BAY WI 54304-5211 Contact Through Relay services S P http://dsps.wi.gov/programs/industry S ; www.wisconsin.gov v ~cFSS ~ sj Scott Walker, Governor Dave Ross, Secretary May 16, 2016 CUST ID No. 223760 ATTN: POWTS Inspector JOHN F SCHMITT ZONING OFFICE SCHMITT & SONS EXCAVATING ST CROIX COUNTY SPIA 616 150TH AVE 1101 CARMICHAEL RD SOMERSET WI 54025-6920 HUDSON WI 54016-7708 CONDITIONAL APPROVAL rn ntification Numbers PLAN APPROVAL EXPIRES: 05/16/2018 D No. 2703275 23795 SITE:o both identification numbers, Ellwanger , orres ondence with the a enc I, 972 107TH Ave Town of Warren St Croix County NW 1/4, NE 1/4, S7, T29N, R18W FOR: Description: Residential Mound-New Construction Object Type: POWTS Component Manual Regulated Object ID No.: 16001 10 Maintenance required; 750 GPD Flow rate; 26 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Ver. 2.0, SBD -10691-P (N.01/01, R. 10/12), Pressure Distribution Component Manual - Ver. 2.0, SBD-10706-P (N.01/01, R. 10/12); Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Key Items(s)- POWTS Design Approval 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 2.0" SBD-10691-P(N.01/O1). This system is to be constructed and located in accordance with the approved plans and with the „Pressure 1) E. t' Distribution Component Manual for Private Onsite Wastewater Treatment Systems Version 2.0" SBD-10706-P F (N.01/01). N Fence off dispersal area prior and during construction to avoid disturbance, compaction and use of the site. With new construction, it is recommended not to activate the pump in the dose tank until the tanks are pumped prior to homeowner occupancy. SE q( Wastewater generated from contractors cleaning of equipment and tools and/or left over construction products shall not be discharged into the drains discharging to the private onsite wastewater treatment system (POWTS). Waste generated shall be properly disposed of on-site or off site. JOHN F SCHMII'T Page 2 5/16/2016 • Any tall grasses, leaves and shrubs shall be cut short and removed prior to tilling the surface for installation to prevent matting under the dispersal area. • 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. • SPS 383.54(1)(e) The management plan for a POWTS shall specifically address the servicing mechanics of an aerobic or anaerobic treatment tank or a holding tank where either of the following conditions exist: 1. The bottom of the tank is located more than 15 feet below the elevation where the servicing pad is located. 2. The bottom of the tank is located more than 150 feet horizontally from where the servicing pad is located. • Insulate building sewers beyond 30 feet per SPS 382.30 (11)(c) • Provide surface water diversion around the treatment tanks and mound dispersal component. • 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. 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 e responsible for the installation. operation or maintenance of the POWTS. 4((8)5 rey Fee Required $ 250.00 This Amount Will Be Invoiced. When You Receive That Invoice, k S Finger Please Include a Copy With Your S Wastewater Special t , Division of Industry Services Payment Submittal. 4-11$9, M-f 7:00AM - 3:45PM WiSMART code: 7633 mark.fi er@wisconsin.gov cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484 , Monday - Friday 8:00 am To 4:30 pm MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN INDEX AND TITLE PAGE Project Name: Ellwanger 5 Bedroom Mound Owners Name: Brent & Gabrielle Ellwanger (y ! ,r y Y Owner's Address 870 205th Avenue Somerset, WI 54025 Legal Description: NW1/4, NE1/4, S7, T29N, R18W Township Warren County: St. Croix Subdivision Name: NA Lot Number: 10 Block Number Parcel I.D. Number 042-1016-10-910 Plan Transaction No. Page 1 Index and title Page 2 Data entry Page 3 Mound drawings -ROVED Page 4 Lateral and dose tank Page 5 System maintenance specificationsT IN D Page 6 Management and contingency plan AI" SERVICES Page 7 Septic & Dose tank specifications v' A00 "T Y SERVICES Page 8 Effluent filter information Page 9 & 10 Pump specifications and curve Page 11 Plot plan Page 12 Septic tank maintenance agreement Page 13 Warranty deed tJ ' 'Flu" Page 14 CSM Attachment Soil evaluation report Designer: John Schmitt License Number: 223760 Date: 4/24/2016 Phone Number: 715-760-0486 Signature: Designed Pursuant to the ,Mound Component Manual for POWTS Version 2.0 SBD-10691-P (N. 01/01) and both SSWMP Publication 9.6 Design of pressure Distribution Networks for ST-SAS (10/81) and Pressure Distribution Component Manual Ver. 2.0 SBD- 10706-P (N. 01/01) Version 7.0 (R. 03/2012) Page 1 Mound and Pressure Distribution Component Design Design Worksheet Site Information R Residential or Commercial Design Note: Sand fill (D) calculations assume a 1 500.00 Estimated Wastewater Flow (gpd) Table 383-44-3 in-situ soil treatment for 7 1.50 Peaking Factor (e.g. 1.5 = 150%) fecal coliform of - 36 inches. 750.00 Design Flow (gpd) 17.00 Site Slope 97.00 Contour Line Elevation (ft) 26.00 Depth to Limiting Factor (in) iL__0.60 In-situ Soil Application Rate (gpd/ft2) Distribution Cell Information 93.75 Dispersal Cell Length Along Contour (ft) = 8.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ft2) 1~ Influent Wastewater Quality (1 or 2) Are the laterals the highest po in the distribution F_ Y Pressure Disribution Information network? C Center or End Manifold 2.67 Lateral Spacing (ft) If N above, enter the elevation (ft) 6 Number of Laterals of the highest point _ 0.156 Orifice Diameter (in) 2.67 Estimated Orifice Spacing (ft) = 7.35 ft2/orifice 2.00 Forcemain Diameter (in) 50.001 Forcemain Length (ft) Does the forcemain drain back? Y i 88.00 Pump Tank Elevation (ft) Enter Y or N 4.55 System Head (ft) x 1.3 8.16 Forcemain Drainback (gal) 9.50 Vertical Lift (ft) 127.17 5x Void Volume (gal) 2.97 Friction Loss (ft) 135.33 Minimum Dose Volume (gal) 0.00 In-line Filter Loss (ft) 54.93 System Demand (gpm) 17.02 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 1.25 x 2.00 x x 1.50 x x 3.00 2.00 x 3.00 x Gallons/Inch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 1585.00 Septic Tank Capacity (gal) Total Working Liquid Depth (in) ~Wieser Concrete Manufacturer gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 950.00 Dose Tank Capacity (gal) POLYLOK Filter Manufacturer 25.00 Dose Tank Volume (gal/in) 525 Filter Model Number `Wieser Concrete Manufacturer Project: Ellwanger 5 Bedroom Mound Page 2 Mound Plan and Cross Section Views 1/10 B ; JJ Observ ation Pipe U.'' - !77% -717777777- K Q A 7 -77 1 W •f, B - t I i : • • L Mound Component Dimensions ft A A10.00 ft E 26.32 in H 1.00 ft K Aft B ft F 9.50 in 1 21.34 ft L ft D in G 0.50 ft J 4.22 ft W 750.00 (ft2) Dispersal Cell Area 2750.32 (ft2} Basal Area Available 8.00 (gpd/ft) Linear Loading Rate 9.38 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 99.63 (ft) ♦ H F Dispersal Cell 98.33 (ft) Lateral 97.83 (ft)~' :.•:•:t-,_:, Invert Dispersal Cell ~3] D Elevation 1 97.00 (ft) Contour Elevation 17.0 % Site Slope Geotextile Fabric Cover Shading Key Dispersal Cell See lateral details on 10~ Topsoil Cap o a 1.5 ft Page 4 for number, size, Q 0 Subsoil Cap y and spacing of laterals. ©0 ASTM C33 Sand 16 Laterals are equally ® Tilled Layer 0.5 ft Typical !_atera{ F spaced from the w distribution cell's © Aggregate o lyI centerline in the T A distribution cell (AxB). Project: Ellwanger 5 Bedroom Mound Page 3 1 Center Connection Lateral Layout Diagram Force main,: onnection via tee or cross to manifold at any point. Laterals are rdenuc al T 5 1 T P s • = Turn-up,. 4ball valve or (f- X 5+j,-:02 , :f241 Latera+s & forcema:n Sch 40 PVC cleanoutplug per SPS Table 384 30.6 Holes drilled on the bottr_.m of the lateral. Number of Laterals 6 Orifice Diameter 0.156 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.80 ft Lateral Length (P) 46.20 ft Orifices per Lateral 17 Lateral Spacing (S) 2.67 ft Orifice Density 7.35 ft2/orifice Lateral Flow Rate 915 gpm Manifold Length 5.33 ft System Flow Rate 54.93 gpm Manifold Diameter 1.50 in Total Dynamic Head 17.02 ft Forcemain Velocity 5.61 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and --0 SPS 316.300 WAC 4 in. min. Disconnect Tank component is properly vented F- Alternate outlet location Forcemain diameter Wieser Concrete Manufacturer 2 in. Ca acit 950.00 Gallons Volume 25.00 gal/inch A _ Weep hole or anti- Dimension Inches Gallons B siphon device A 20.59 514.67 B 2.00 50.00 C P~ ump off elevation (ft) C 5.41 135.33 88.83 D 10.00 250.00 D Total 38.00 950.00 f Dose tank elevation (ft) 3" Bedding un er tank. 88.00 Alarm Manuafacturer SJE RHOMBU Nlote: Swi4c hes Alarm Model Number °Tank Alert AB containing mercury may not be used in a® Pump Manufacturer Zoeller this system. Pump Model Number ' 140 Pump Must Deliver 54.93 gpm at 17.02 ft T D H Project: Ellwanger 5 Bedroom Mound Page 4 Mound System Maintenance and Operation Specifications Service Provider's POWTSRegulator's Name St. Croix County Zoning Phonei 715-760-0486 System Flow and Load Parameters Design Flow - Peak 750 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 500 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1585 gal Maximum TSS 150 mg/L Soil Absorption Component Size 750 ft2 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 3 ears 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 SPS 384, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished Grade 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Bali Valve Distribution Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Ellwanger 5 Bedroom Mound Page 5 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.01/01, R. 10/12), SSWMP Publication 9.6 (01/81), and Pressure Distribution Component Manual Ver. 2.0 SBD- 10706-P (N. 01/01, 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 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 filter 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 filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter 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 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 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 BOD5, 150 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 cfu/100 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 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 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. Project: Page 6 abed ors 98SLd1N 303 95 b8-5Z~-008 0 \ OSL4S M 'NOON N301bW OL kMH Sn 941zM z :8nOd-1SOd 3140 00/00/00 31v(1 ivnNdW OI1d3S Nf10d-3Nd „0-,4 :3~vos dOM l8 NMVNO = 77 4 n38 31383003 13531M W 096/989ldlM ~ O w~ w (w z w (W M w Q U ¢ Ua V) V) § a m z ° m Or 12 V) Q in LO Q o vwi° ¢ ,,w a l7 r w a O')( p moX vZ (X Wm z z w ¢ w q (nom ° Z p mE o H O In LL- W qJU cqn U 3 LL o a 00 LO 0 W ° o~°oo~ m Gov coo = N z ?N z a s °o s- 0,M00t7T q qwW~ c^00 p Q = in. a c MM~shM~w N (n vw)W 'd'N ui CL !to o ° F UI V .I N I ~j:~Z~t- I F- Fq- °D w d \ Z c~O Jq H U Z U YI- Mm gOW W N W = MWL;jtt7-oZP2 ANN Z S (nF v)N Q= V) =Z~ U N W U W pw z vi a ..~0 ..~01 1--oQ OOw Q W m G (n in EQ- ~a00 MLLJ waL~~wU~,.1ZZ. z~n00 V a. 0 Q (n LLJ O NO F F- LLI o z z U f- Wz 7 J.~ d- ~ O II q II III h w jI ~~J II I ui II Q Il' l c ~I ~ IE I a I < I I` I f N I~--- / w - A W U 1I 1- II I w a ~I 1 I~ o E o II II, ~ I ~ o II O~ II x W ~f W ai w ~m II I „g~ f II Q IL I o II U I~ ~ r~ I h III ~ _ - = a= - a w Z q W W J w Z q (1038 (n Y Z sv to l „~s F- „ INSTALLATION INSTRUCTIONS ~Mlne. Innovations erPrecast,Dranage Zabel' p ov~~okn PL-525/PL-625 FILTER & 6vastewaterProdui Is INSTALLATION INSTRUCTIONS Center filter with opening loom U WZ N J ~ LLO x Additional pipe or Polylok Extend & Lok- Glue for centering. Step 1: Step 2: Step 3: (A) Locate the outlet of the septic tank. (A) Before installation, place the (A) Glue the filter housing on the (B) Remove tank cover and pump tank filter housing on to the outlet pipe. outlet pipe. if necessary. (B) Make sure that the housing (B) Insert the filter cartridge in the is positioned so the filter can be housing, making sure the filter removed from the tank for cartridge is properly aligned and maintenance and service. completely inserted in the housing. MAINTENANCE INSTRUCTIONS } ~ r ~ 1 1 I n 1 Step 1: Step 2: Step 3: Locate the outlet of the septic tank. (A) Remove tank cover and pump (A) Insert the filter cartridge back l}„ • if necessary. into the the housing making sure (B) Pull the filter out of the housing. the filter is properly ali9hed i ' (C) Hose off the filter over the septic tank. and completely inserted. USE RUBBER GLOVES Make sure all solids fall back into the (B) Replace septic tank cover WHEN CLEANING FILTER septic tank. Page 8 PLOT PLAN N Project Name: Ellwanger 5 Bedroom Mound Legal Description: NW1/4, NE1/4, S7, T29N, R18W P.I.D: 042-1016-10-910 Subdivision Name: NA Lot * 10 SCALE: V= 40' Township: Warren Parcel Size: 2.144 Acres County: St. Croix Contour Line Elevation: 97.00' Cell Dimensions: 8' X 93.75' 4 inch Sch 40 -ASTM D2665 System Elevation 97.83' Mound Dimensions: 1113.58'x 33.56' 2 inch Sch 40 -ASTM D1785 Slope: 17% 11/2 Sch 40 -ASTM D1785 A BM1 Elevation: 100.00' To of 3/4" PVC pipe BM2 Elevation: 100.00' To of 3/4" PVC i e ■ Backhoe Pits: Septic Tank: 1585 gallon Septic Tank Dose Tank: ~950 gallon Dose Tank with POLYLOK 525 Effluent Filter t rZeJe~r ; /Nr P_ T)+ r~ Iv ~ ,L )1~Sc2 W l Y~S~ G L~ ~~c~r~~'r sz V IE g3 ED COOTOL(,e 3i ~ D I ~/o 5 t- c P la Page 11 Q)~til 07TH Avi= ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Brenten & Gabrielle Ellwanger Mailing Address 870 205th Avenue, Somerset, WI 54025 V,,(- PropertyAddry972 107th Avenue (Verification required from Planning & Zoning rtment for new construction.) City/State Roberts, Wl Parcel Identification Number 042-1016-10-910 LEGAL DESCRIPTION Property Location NW '/4 NE ,/4 , Sec. 07 , T 29 N R 18 W, Town of Warren 10 Subdivision Plat: Lot # Certified Survey Map # Volume Page # Warranty Deed # (before 2007)Volume , Page # Spec house❑yes[Zlro Lot lines identifiable ElyesOno SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every tluee years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §SPS. 383.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 fill of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Safety And Professional Services and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department withi 30 days of the three year expiration date. I/we certify that all statements on ris form are true to the best of my/out- knowledge. I/we am/are the owner(s) of the property described above, by virtue of a rranty deed recorded in Register of Deeds Office. Number of bedrooms-5- A SIGNA E OF APPLI A T(S) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. 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U n 1 n I T- II k~ `ni - - - _ I I oK;4 1 it I mo I ([^~?l~''<,~z ' - o a~anlownwvw 89d I I I ^ ( °--~-I I - Cl snaA aoov I I K l o~ i I Q o ~ ><0 1- ~ I I ,I < I I I 1 ~Y i II b9bn)OVJnNVw bad 't m a / x - I I I 0 I) ssssnzA boo~J `'1 x'I i°n~ I I I :o 0 4 i I - I I o c I I I i I t5 b9bnl'JVJfIN a ~9d - ~i S I I I s l 81 0,Z II ssssn~ 6J ~(lr~ < i 1 I ' < I I II Q I Fi-I i ~9bn»vJnwvr, 9 I I I I 1 9964nb1 J00 J - ' L-----I I 'N'O MZ-ZS9 AAY999 IN 9Y 99 IYYO A?d0 d 7 9'7'19 MOON I M 9 0?1 ON Vt 1~-,SZ 1£ t 1 I-11 1 I 1I-I~ I I ,9 191 ,01-,£ I ,9 , I I ,0 ,ZL ,0-,L ,0-,6i. Wisconsin SOIL EVALUATION REPORT #2112 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'/z x 11 inches in size. Plan must County St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. Please print all information. R iewe Date Personal information you provide may be used for secondary purposes (Priv aw, s. 15.04 (1) (m)). Property Owner P Property Location Francis Lands, LLC Govt. Lot na NW1/4, NE1/4, S7, T29N, R18W Property Owner's Mailing Addre 2 ZO Lot # Block # Subd. Name or CSM# E. 1404 First National Bank Building 10 na CSM 2 City State Zip Code Phioh tAG FF~~ity Village T in Neayres Road Saint Paul MN 55101 PLA1 651 222-5555 Warren 72- 107Th Ave. New Construction Use: Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement Public or commercial - Describe: na Parent material Pitted outwash plains Flood plain elevation, if applicable na ft. General comments Mound Design, System elevation 98.93ft based on contourline elevation 98.10ft. Minimum 10 inches ASTM33 Mound Sand. and recommendations: Boring 1 Boring # Pit Ground surface elev. 94.00 ft. Depth to limiting factor 42 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Bounda 1 Roots GPD/ft' Boundary in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 -Eff#2 1 0-12 10yr3/2 none sil 2msbk mfr cs 2vf 0.6 0.8 2 12-26 10yr3/4 none sic, 2msbk mfr gw lvf 0.4 0.6 3 26-42 10yr4/4 none sicl 2msbk mfr gw na .7 1.6 10yr6/4 c2d7.5yr5/6 cl 0M na na na .0 .0 i Boring 2 Boring # Pit Ground surface elev. 94.00 ft. Depth to limiting factor 96 in. Soil Application Rate 2 Horizon De in. pth Dominant Color Redox Mun ell Qu. Sz. Co t. Color Texture GrSrucure t Szt Sh. Consistence Boundary Roots GPD/ft 'Eff#1 "Eff#2 1 0-12 10yr3/2 none s, 2msbk I mfr cs 2vf 0.6 1.0 2 12-38 10yr4/4 none scl 2msbk mfr gw lvf 0.4 0.6 ~ 3 38-96 .5yr4/6 none ms osg na gw na .7 1.6 t an~ Effluent #1 = BOD? 30 < 220 mg/L and TSS >30 < 150 mg/L " Effluent #2 = BODs < 30 mg/L and TSS < 30 mg/L - CST Name (Please Print) ignature. CST Number David J. Steel` , 248956 - - - - Address Steel's Soil Service Date Evaluation Conducted Telephone Number 1699 150th St New Richmond, WI 54017 C 5/19/2009 715-760-0347 $RD-s ;o (R.07~00) Propeity Owner Francis Lands, LLC Page 2 _ of 3 Parcel ID # Boring F3]Boring # Pit Ground surface elev. 98.100 ft. Depth to limiting factor 26 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 0-15 10yr3/2 none - sl 2msbk mfr cs lvf 0.6 1.0 2 15-26 10yr4/4 none sl 2msbk mfr gw na 0.6 1.0 3 26-41 I 7.5yr4/6 f2d 7.5yr5/6 scl 2msbk mfr gw na 0.4 0.6 4 1 41-60 5yr4/4 flf 7.5yr5/6 scl om na na na .0 .0 _L I 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 ! I Boring F-1 Boring # Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Red ox Description ! Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 I I " 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. ICyou need assistance to access services or need material in an alternate format, please contact the department at 608-266-3 15 1 or FTY 608-264-8777. Steel's Soil Service SBD-813D (R.07/00) STEEL'S SOIL SERVICE 3 of 3 David J. Steel Francis Lands LLC 1699 150th St. CST-POWTSM NW1/4,NE1/4,S27,T29N,R18W New Richmond, Wl 54017 Lic. 4248956 Town of Waren, St. Croix Co. Direct 715-760-0347 CSM Lot 10 Fax 715-246-0318 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 i • Alt Benchmark El 100.00 ft Top of 3/4" pvc pipe = Borings Boring Elevations BI = 94.00 ft 1-`- 132 = 94.00 ft B3 = 98.10 ft ~i qj, i7 + B4 0.00 ft f~. Mk A i ZZ, 4 e / h