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HomeMy WebLinkAbout002-1027-30-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 589751 GENERAL INFORMATION State Plan ID No: Personal information you provide may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)] 2730824 Permit Holder's Name: City Village Township Parcel Tax No: Jason Sundeen TOWN OF BALDWIN 002-1027-30-000 CST BM Elev: Insp. BM Elev: BM Description: /AA 1 GSection/Town/Range/Map No: MID 13.29.16.193B TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER K, f~t, CAPACITY STATION BS HI FS ELEV. 1 Septic T t' Benchmark 14- ► /L:66 • Idz. fop a Dosing Alt. B` J 7i5b 6-3 4s Aow*m r A Bldg. Sewer t I o 1.; 9/ , 1Z f l~i~~v e Holding St/Ht Inlet ~o )3.36 TANK SETBACK INFORMATION St/Ht Outlet 6411. TANK TO APeL~ WELL BLDG. Ventt Air Intake ROAD Dt Inlet i Dt Bottom 11' g b J d f 11 Septic -760' Dosing -75J' 0 1 L~ 391 9 44 L! ~ Header/Man. 113(0 161,19 Aeration JJ Dist. Pipe 1,3(0 Holding - Bot. System - ~ /,76 goo. G PUMP/SIPHON INFORMATION Final Grade (o O.31/ Manufacturer - Demand St Cover foGPM q'~•QT Model Number p AJ / '46 L ~o nt-ova Z .6 / a~ TDH Lit Friction oss System H ad T)H ~•Sfp /~.61 .55 S.7 r f). 3,3 /D •I •7 lM, 73 Forcemain Len th ® Dia. Jii Dist. to Well 2 qv) J Tlo U-ems SOIL ABSORPTION SYSTEM BED/TRENCH Width C Length No. Of Tr nche PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ✓ /zo FI SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION Type Of System: /4~ CHAMBER OR !Y 99 .41 its p ~4, _ UNIT Model Number: 7•. ~J 'v+ DISTRIBUTION SYSTEM 15 e Header/Manifold/ / Distribution Cj 1 x Hole Size x Hole Spacing Ve to Air Intake ,r Pipe(s) S / 1 Zl- / S ✓ ' S 3 Length 2 Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Mulched Yes No Bed/Tre ch Center / S Bed/Tre ch Edges Top oil h of xx Seeded/Sodded s [ No T_ r COMMENTS: (Include code dis r encies, persons present, etc.) Inspection #1: /Q ,31 Inspection #t~B: Location: 935 260TH ST 1.) Alt BM Description = Q I'B 2.) Bldg sewer length = ;3 1 - amount of cover tl.A revision Plan Required? Yes side for additional ~ ~No Use other i ~ information. Date Insepctor's SignatLA Cert. No. SBD-6710 (R.3197) ) \lfcl'AaTl1/Y Industry Services Division y/` 0 q 1400 E Washington Ave a i $ rt~ C `t Sanitary Permit Number (to be filled in by Co.) 11 P.O. Box 7162 J7 C P S 4 = Madison, WI 53707- of c ROIX COUfVI~I' 5 l c/ r 3 DZ n Number Sanitary Permit Application /V Transactio KpR33 ~ G In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate govt,=__ X3E Z / 3 O Z is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submittc. . the Department of Safety and Professional Services. Personal information you provide may be used for second ect Address (if different than mailing address) purposes in accordance with the Privacy Law, s. 15.04(1)(m), Stats.~;' f T 1. Application Information - Please Print All Informatio Property Owner's Name Parcel # lroa - 03? oo 1)c5 IJ Property Owner's Mailing Address Property Location 3 , X q , Govt. Lot City, State Zip Code Phone Number 'A, Section d 6 I~ AJ I , (circle one) T N R/4-- E oZlg) II. Type of Building (check all that apply) t~ Lot # [4JI'l-or 2 Family Dwelling - Number of Bedrooms f Subdivision Name ❑ Public/Commercial - Describe Use o k -*h Block # /`Qt~'!<~,~ CL~~~ ❑ City of Vt ❑ State Owned - Describe Use Village of ~ CSM Number ❑ X Zo R1 own of III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. ew System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. El Permit Renewal El Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS System/Component/Device: (Check all that apply) L., r ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) it V. Dis ersal/Treatment rea Information: Design Flow (gpd) Design Soil Application Dispersal Area Required I) Dispersal Area Proposed 0 System Elevation / Uf ` Rate(gpdsf) _ U C1 C~ `a~~ ✓ VI. Tank Info Capacity in c b N Gallons Total # of M a-C, turer Gallons Units 2 B o U Y 2 :n New Tanks Existing Tanks a U in N w CD p. A&L Septic or t= "W4og T-snk Z5' ❑ ❑ ❑ ❑ Dosing Chamber /-V,) c/_/)09?Gs ❑ ❑ ❑ ❑ VII. Responsibility Statement- I, the undersigned, assume re'sponsibi ty r installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's, ipn MP/MPRS Number Business Phone Number Todd L Sinz MP139462 715-235-2644 Plumber's Address (Street, City, State, Zip Code) E5609 708`h Ave Menomonie Wi 54751 VIII. County epartment Use Only Issui gent Sign re Approved 1 Permit~F(ee/~ Date sue//4F F r Given Reason for Den.001 ial $ TV o Ix. Condit~~r1~Y1~A? e s ns for Disapproval , {p +eel- c4G ptle n , et uen n e. and .3 dlsperss icell must all a sPivic,?s !ni.a ~n .rec. l $w mAnagement plan provided by plumber. 2. ai AA- must t* rrtainteiried as per applic" coda I ordinances, G zre Attach to complete plans for the system and sub it to the Count only on paper not less than 8 1/2 x 1 inches in size SBD-6398 (R03/14) r.~33~. ; S . r3, T z 9r1., iP. rLw; ®.~Q~ser•~~ar~ 13-z9. /f.. r93 J e,ri5 F'~ncc! r N J ,mow' _ RIO - 4! ~ ,s/off c . - - 1~ r - S % Sra~ i 9r L7 P [2 o _ ~ M VAL Todd o YY re fx r - new ~ ~p..r,~,;~ ~ v- ; ~ _ ~otieT+rF.~r DIVISION OF INDUSTRY SERVICES 3824 CREEKSIDE LN HOLMEN WI 54636-9466 j a Contact Through Relay 92~~ P S http://dsps.wi.gov/programs/industry-services www.wisconsin.gov ~o s'SION~tiSw Scott Walker, Governor Dave Ross, Secretary July 06, 2016 CUST ID No. 139462 ATTN: P0WTSinspector TODD L SINZ ZONING OFFICE TL SINZ PLUMBING INC ST CROIX COUNTY SPIA E5609 708TH AVE 1101 CARMICHAEL RD MENOMONIE WI 54751-5520 HUDSON WI 54016-7708 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 07/06/2018 SITE: Identification Numbers Jason Sundeen Transaction ID No. 2730824 935 260TH St Site ID No. 825947 Town of Baldwin Please refer to both identification numbers, St Croix County above, in all correspondence with the agency. NW1/4, SW1/4, S13, T29N, R16W FOR: Description: Four Bedroom Mound System / Sloping site Object Type: POWTS Component Manual Regulated Object ID No.: 1610416 Maintenance required; 600 GPD Flow rate; 31 in Soil minimum depth to limiting factor from original grade System(s): Mound Component Manual - Ver. 2.0, SBD -10691-P (N.01101, R. 10/12), Pressure Distribution Component Manual - Ver. 2.0, SBD-10706-P (N.01/01, 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. CONDII No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, APP! stats. DEPT OF S The following conditions shall be met during construction or installation and prior to occupancy or use: RPOFESSIOA Reminders DIVISION OF IND • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.19, Wis. Stats. .A6 ~C- JQ- • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made SEE COR the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per SPS 384 product approval conditions. • All POWTS component piping material shall be SPS 384, Wis. Adm. Code compliant. • The area within 15' downslope of the dispersal cell shall remain undisturbed. Vehicular traffic, excavation or soil compaction is prohibited in this area. • A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. 1 TODD L SINZ Page 2 7/6/2016 ' Owner Responsibilities • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. SPS 383.54(1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 der This Amount Will Be Invoiced. ard M Swim When You Receive That Invoice, POWTS Plan Reviewer, ivision of Industry Services Please Include a Copy With Your (608)789-7892, Mon - Fri, 7:15 am - 4:00 pm Payment Submittal. jerry.swim@wisconsin.gov WiSMART code: 7633 cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm Note: Effective January 1, 2012, all codes under the jurisdiction of the Division of Industry Services (formerly Safety & Buildings) will be modified. Code references with prefixes starting with "Comm" have been replaced with "SPS" to recognize the relocation of the Division of Industry Services from the former Department of Commerce to the Department of Safety & Professional Services. Additionally, all IS (formerly S&B) codes have been renumbered and addressed in a "300" series. For future reference, the Wisconsin Commercial Building Code will be addressed by SPS Chapters 360-366. TODD L SINZ Page 2 7/6/2016 Owner Responsibilities • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. SPS 383.54(1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 This Amount Will Be Invoiced. eSwim Wh en You Receive That Invoice, lan Reviewer, ivision of Industry Services Please Include a Copy With Your (608)789-7892, Mon - Fri, 7:15 am - 4:00 pm Payment Submittal. jeny.swim@wisconsin.gov WiSMART code: 7633 cc: Edwin A Taylor, Wastewater 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 (formerly Safety & Buildings) will be modified. Code references with prefixes starting with "Comm" have been replaced with "SPS" to recognize the relocation of the Division of Industry Services from the former Department of Commerce to the Department of Safety & Professional Services. Additionally, all IS (formerly S&B) codes have been renumbered and addressed in a "300" series. For future reference, the Wisconsin Commercial Building Code will be addressed by SPS Chapters 360-366. MOUND AND PRESSURE DISTRIBUTION COMPONENT DE-SIG.~L~___-__.__-.- RECDVEu INDEX AND TITLE PAGE JUN 2 3 2016 i Project Name: Sundeen Project LN7lJ S T RY L V i F_.-- S Owner's Name: Jason Sundeen Owner's Address: 1880 11th Ave Baldwin Wi 54002 Project Site; 935 260th St Baldwin Wi Legal Description: NW1/4 SW1/4 S13 T29N R16W Township: Baldwin County: St Croix Subdivision Name: Na Lot Number: Na Block Number: Na Parcel I.D. Number: 002-1027-30-000 Plan Transaction No.: ZONALLY 'OVER Page 1 Index and title 4FETYAN Page 2 Data entry AL SERV► LV Page 3 Mound drawings JST S Page 4 Lateral and dose tank RY S r~O~G' Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Tank specifications Page 9 Plot plan` Designer: Todd L S ' License Number: MP139462 Date: 06/20/1 Phone Number: 715-235-2644 Signature: D ed Pursuant to the Mound Component Manual for POWTS Version 2.0 SBD-10691-P (N. 01/01, R. 10/12), 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 Site Information 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) 5.00 Site Slope 100.00 Contour Line Elevation (ft) 31.00 Depth to Limiting Factor (in) 0.40 In-situ Soil Application Rate (gpd/ftz) Distribution Cell Information 120.00 Dispersal Cell Length Along Contour (ft) = 5.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ft2 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? C Center or End Manifold 2.50 Lateral Spacing (ft) If N above, enter the elevation (ft) 4 Number of Laterals of the highest point. 0.156 Orifice Diameter (in) 4.50 Orifice Spacing (ft) = 11.54 ft2/orifice 1.50 Forcemain Diameter (in) 210.00 Forcemain Length (ft) Does the forcemain drain back? Y j 85.00 Pump Tank Elevation (ft) P1 u 4.55 System Head (ft) x 1.3 19.27 Forcemain Drainback (gal) 15.13 Vertical Lift (ft) 108.73 5x Void Volume (gal) 14.53 Friction Loss (ft) 128.00 Minimum Dose Volume (gal) 0.00 In-line Filter Loss (ft) 28.00 System Demand (gpm X 34.20 Total Dynamic Head (ft) li Lateral Diameter Selection Manifold Diameter Selection b in. dia. options choice in. dia. options choice 2 0.75 1.25 x 1.00 1.50 x x 1.25 x 2.00 1.50 x x 3.00 2.00 x 3.00 x Gallons/Inch Calculator Treatment Tank Information Total Tank Capacity (gal) 1250.00 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Huffcutt Concrete Manufacturer gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 758.00 Dose Tank Capacity (gal) Lifetime Filter Filter Manufacturer 16.85 Dose Tank Volume (gal/in) LT1/8 Filter Model Number Huffcutt Concrete Manufacturer Project: Sundeen Project Page 2 of 9 Mound Plan and Cross Section Views T 1/10 B : J Observation Pipe 1 K O A W i B . I ::3.... e L Mound Component Dimensions A 5.00 ft E A in H 1.00 ft K 7.25 ft B 120.00 ft F in 1 7.50 ft L 134.50 ft D 6.OOin G ft J 4.67ft W 17.17ft 600.00 (ft2) Dispersal Cell Area 1500.00 (ft2) Basal Area Available 5.00 (gpd/ft) Linear Loading Rate 12.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 102.29 (ft) ► f,f,,.... ♦ H G 1 I F 101.00 (ft) Lateral Dispersal Cell 100.50 (ft)-*. - Invert Dispersal Cell © Elevation E D 3 i n4 0 100.00 (ft) Contour Elevation 5.0 % Site Slope Geotextile Fabric Cover Shading Key m a T Dispersal Cell See lateral details on 0 Topsoil Cap o 1.5 ft Page 4 for number, 21 Subsoil Cap w o O ~Q size, and spacing of ASTM C33 Sand / F laterals. Laterals are Tvpical Lateral equally spaced from the Tilled Layer y 0.5 ft distribution cell's 10 ~ ©0 Aggregate o H © centerline in the A distribution cell (AxB). Project: Sundeen Project Page 3 of 9 Center Connection Lateral Layout Diagram Farce main e:onnecti n .-ia tee or cross to mardold at anu point. L vpr.aL are idenr.ic al P S I Turn-up-Mbalivalveor X xi, 4 Lateral &f rrCrriryitt Sci, 40 P'di_ i Ir cleannut du.3 F per ' P T:ablr _J;-:430-5 Hole. drilled on r,lte botrom o t the I firer al Number of Laterals 4 Orifice Diameter 0.156 in Lateral Diameter 1.50 in Orifice Spacing (X) 4.74 ft Lateral Length (P) 59.25 ft Orifices per Lateral 13 Lateral Spacing (S) 2.50 ft Orifice Density 11.54 ft2/orifice Lateral Flow Rate 7.00 gpm Manifold Length 2.50 ft System Flow Rate 28.00 gpm Manifold Diameter 1.50 in Total Dynamic Head 34.20 ft Forcemain Velocity 5.08 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and SPS 316.300 WAC D 4 in. min. is connect Tank component is properly vented Alternate outlet location Forcemain diameter Huffcutt Concrete Manufacturer 1.5 in. Capacity758.00 Gallons T Volume 16.85 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 24.89 419.38 B 2.00 33.70 C Pump off elevation (ft) C 7.60 128.00 85.88 D 10.50 176.93 D Total 44.99 758.00 Dose tank elevation (ft) 3" Bedding under tank. 85.00 Alarm Manuafacturer SJE Rhombus Alarm Model Number Tank Alert ~rlt~lt~~~y I'll iCLliy Pump Manufacturer Zoeller Pump Model Number bn140 Pump Must Deliver 28.00 gpm at 34.20 ft T D H Project: Sundeen Project Page 4 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name T L Sinz Plumbing Inc. Phone 715-235-2644 POWTS Regulator's Name St Croix Zoning Phone 715-386-4680 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1250 gal Maximum TSS 150 mg/L Soil Absorption Component Size 600 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 every 3 years Effluent Filter Should inspect and clean at least once eve 3 years Pump and Controls Test once eve 3 years Alarm Should test monthly Pressure System Laterals should be flushed and pressure tested every 3 years Mound Inspect for ponding and seepage once every 3 years____.__ Call T L Sinz Plumbing for your service needs. 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 Ball Valve Distribution Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Sundeen Project 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.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 of 9 TOTAL DYNAMIC HEAD/FLOW LL PUMP PERFORMANCE CURVE PER MINUTE MODEL 140/4140 EFFLUENT AND DEWATERING 37/8 65116 55 4518 is MODEL 140/4140 50 Feet Meters Gal. Liters o 329132 14 5 1.5 86 326 0 45 + 10 3.0 80 303 15 4.6 73 276 0 0 0 12 4020 6.1 66 250 25 7.6 59 223 uz n vz NPT 35 140, 414 30 9.1 49 185 10 35 10.7 38 144 30 40 12.2 28 106 45 13.7 17 64 a 25 olosao Shut-off Head: 50ft.15.2m Ilk 1 g 20 i 1213132 15 4 I to- I 45132 2 SK1524A 5 o 10 20 0 40 50 60 70 60 90 Double Seal Design' GALLONS LITERS 0 80 T, Weight 63 lbs. - 160 240 320 I 4S/a FLOW PER MINUTE 3718 t-- 65116 CONSULT FACTORY FOR SPECIAL APPLICATIONS 111 0 3 29132 Electrical alternators, for duplex systems, are available and supplied with an alarm. 0 o • Mechanical alternators, for duplex systems, are available with or without 1112-111r2 NPT alarms. - Control alarm systems are available for 1 phase pumps used in simplex system. _ See FM0732. - Variable level control switches are available for controlling single phase sys- tems. - Double piggyback variable level float switches are available for variable level long cycle controls. 16118 Sealed Qwik-Box available for outdoor installations. See FM1420, Refer to FM0806 for applications above 130°F (54°C). 45132 SK1524B SELECTION GUIDE 140/4140 MODELS Control Selection 1. For automatic use single piggyback variable level float switch or Model Model Volts-Ph Mode Amps Simplex Duplex double piggyback variable level float switch. Refer to FM0477. 2. See FM1228 for correct model of simplex control panel.' N140 N4140 115 1 Non 12.0 1 or 2 3 _ 3. See FM0712 for correct model of duplex control panel. E140 E4140 230 1 on 6.0 1 or2 3 BN140 6N4140 115 1 Auto 12.0 o caurloN All installation of controls, protection devices and wiring should be done by a qualified BE140 BE4140 _2301 Auto 6.0 licensed electrician. All electrical and safety codes should be followed including the most - recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). *Single piggyback switch included. RESERVE POWERED DESIGN` For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL TO: P.O. BOX 16347 Louisville, KY 40256-0347 Manufacturers of.. - HIP TO: 3649 Cane Run Road Louisville, KY 40211.1961 www.zoeller.com 1(5S 02) 778.2731. 1 (800) 928-PUMP FAX (502) 774-3624 © Copyright 2005 Zoeller Co. All rights reserved. ','NOI1tltO0SStlr3L3217t10O 1StlO3ad N6NQ7SN1 NNOfLtlN g woD-}1no f fny M u x IIIL-£ZL (STL) XVJ 3 U I -31300 U03 NNVL OIid3S d0 dwnd d0 N38P13YV a3i 91S1-4Z6 (008) 944L-£2L (SID NO-1-M) OSL/092'I G 990 62L45 IA'Slltld VA3ddIH3 HOUJOH 11 3( ~Zld land a3L~ad3O 'b OWN o I§ 13381S PJ621 b91t .Q Z A 0 N Q z z ~ 1....5 uj _ 0 0 - W ° ~LQ7 J Q d' Q, ~ U W M Q 3 do > ° vQ ~ w .S4 J CL Q' of ° Q w x ,6 .84 z~ oca o 0 q Q U F- K O Qom' 3w F- Inw P .a: n w co WQ o! bm W w w W U W In f n Z Il W~ ZD 0 Q~ W W U U 0 II It J W > F- m 0 U CL U Q Q Z Q w w ± Z J H U U u J 0 W U \ Q W F. 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W e a js LL ~ ° .o w si t LF I i ~+e Lea Ohl }f: . rz o a i u x o ° s a°wssi1 _ Y f 8 F KKKUUU.nnu _ a _ o O~ X z~,.s )3 w....• .dew OI 5 cl a~i.s I ® Has:r<< I. T - + - - - - of w sp ~s7a w < ay S~° 4 I 3 z $ ° \ll i ~ a I T^jF_ n$ w : a o o ° 3~~ zy za ~ tt u w I o I L I I ait t r rrt ~ .v<<s - L m- rczs I of u : v ,o a rc d s ~8 4~ p~ w , S ~o ~ I I 8? SW ~ -_I - 33333 ''>s33~ 0 ~ 0000 J W,x"~ F7 m 1 ~ / f L i e I'o fr ~q dn ugmfo rc ~3a li S p t ~°mo~~ F p^ m , % o ~ ° x xlhlm O o; lQ I ~ I A I a m j l a I m t Wisconsin Department of Commerce SOIL AND SITE EVALUATION Page I of 3 Division of Safety and Buildings in accord with Comm 83.05, Wis. Adm. Code A.C.E. Soil & Site Evaluations Attach complete site plan on paper not less than 8'/2 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and St. Croix percent slope, scale or dimensions, north arrow, and location and distance to nearest road. - - - Parcel LD.# APPLICANT INFORMATION - Please print all information. 002-1027-30 11)#03.29.16.193B Personal information you provide may be used for secondary purpose5!(Privacy Law, s. 15.04 (1) (m)). Revie ed Date 2~2 Property Owner Property Location J to / Govt. Lot NW 1/4 SW 1/4 S 13 T 29 N,R 16 W Property Owner's Mailing Address Sr fix Lot # Block # Subd. Name or CS M# M/~# 1019 Interlachen Pkwy. C/36 Sr City State Zip'Code Ptlbt121~ififiber City Village Town Nearest Road - Saint Paul MN 55125 651-735-914 ' Baldwin 260Th Street New Construction Use: Residential!-Number of bedrooms 4 -j Addition to existing building Replacement Public or commercial describe Code Derived daily flow 600 gpd Recommended design loading rate 0 bed, gpd/ft2 .3 trench, gpd/ft2 Absorption area required 1200 bed, ftZ 2000 trench, ft2 Maximum design loading rate 0 bed, gpd/ft2 .3 trench, gpd/ft2 Recommended infiltration surface elevation(s) 101.0' at 12" above 100.0' contour. ft (as referred ~~~o~~site Pan benchmar ) Mound must be designed with a trech due to presence of platy silts. 1. the iCi Additional design 1 site considerations Parent material Glacial till Flood lain elevation, if applicable na ft S=Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U=Unsuitable for system D S -i U S I U S.] U S C U S U S U SOIL DESCRIPTION REPORT Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 Boring# in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0-9 10yr3/3 None sill 2fsbk mvfr as 2f&m 0.5 2 9-19 10 r4/4 None sil !thin 1 mvfr cw if&m NP Ground 3 19-34 7 5yr4/6 None sil 2msbk mfr cw if 0.5 elev 99.22 ft 4 34-40 7.5Yr4/6 f2f 7.5Yr5/8 sl 2msbk mfr cw - 0 5 i, - - Depth to - 5 40-52 - 5yr4/6 m2f 7.5yr5/8 scl I csbk mf - - 0.2 I, ~ 'I { limiting - - - - - - factor i 34" Remarks: 1 0-8 10yr3/3 - None I sil 2fsbk mvfr _ -I as 2f&m 1 0.5 2 8-13 10yr5/4 None sil Ithin 1 mvfr cw 1f&m Ground 3 I 13-18 10yr4/4 None st1 2msbk mfr cw if 0.5 elev - - - - - - - - 98.98 ft 4 18-31 7.5yr4/6 None sl 2msbk mfr cw - 0.5 Depth to 5 31-50 5yr4/6 m2f 7.5yr5/8 sl l csbk - - mfi - 0.2 limiting factor Remarks: CST Name (Please Print) Signature. Telephone No. James K. Thompson-' 715-248-7767 Address A.C.E. Soil & Site Evaluations Date CST Number Ref # 340 Paulson Lake Lane, Osceola, WI 54020 5/26/00 3602 1248 PROPERTYOWNER: Mike Dahl-_ SOIL DESCRIPTION REPORT ,24- ' Page ?__-of 3 - PARCEL LD.# 002-1027-30,ID#03.29.16.193_B A.C.E. Soil & Site Evaluations Depth Dominant Color Mottles Structure GP Horizon Consistence Boundary Roots -Bea 7"2 Texture in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 3 i 1 0-9 10yr3/3 - None sil 2fsbk mvfr as 2f&m 0.5 0.6 2 9-17 10yr4/4 None sl 2msbk mvfr cw if&m 0.5 0.6 -T- - Ground - - ---I - elev 3 17-32 7.5yr4/6 None Sil 2msbk mfr cw if 0.5 0.6 100.40 ft 4 32-41 7.5Yr4/6 f2f 7.5yr5/8 sl 2msbk m fir cw - 0.5 0.6 - - Depth to 5 41-55 5r4/6 limit in y m2f7.5yr5/8 scl lcsbk mfi 0.2 0.3 factor - - - - 32" i Remarks: Ground elev Depth to limiting factor Remarks: II Ground - - - - elev i I Depth to limiting factor I I Remarks: I - ~ I Ground elev I I Depth to limiting factor Remarks: NIL IL Mee //w~ ■ So,/C~se~cia,E'on P,'~ T. o{(.~i/)~ JCS CrO~X loy(ty/?l~liL~io~ ~e L X3.29. 14,. 193.8 Aulcc/'rte N Scale. • / ° S/p i6C 260 0 dri✓ew4y t! /g- QpPrUX. c~bandan~~! ou 5~' rto tee.(,( eUide~ ~ (3e c l rYc~K: rla; ~ ~,o% Lac e. e, lzu. I Y, 70 B3 ■ ~ S% S/oor zzo 8~ ,moo, ■ a2 E3' Lf . Top oFYy r'e bar ,Per; 12 ~/,r Parcel 002-1027-30-000 03/26/2007 12:06 PM PAGE 1 OF 1 Alt. Parcel 13.29.16.193B 002 - TOWN OF BALDWIN Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - DOORNINK, DOUGLAS & KELLY DOUGLAS & KELLY DOORNINK 130 WILLOW CIR BALDWIN WI 54002 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description 935 260TH ST SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 11.000 Plat: N/A-NOT AVAILABLE SEC 13 T29N R1 6W PT NW SW COM SW COR; TH Block/Condo Bldg: N 47 RDS;TH E 37.5 RIDS; TH S 47 RIDS; TH W TO POB Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 13-29N-16W Notes: Parcel History: Date Doc # Vol/Page Type 01/27/2005 785972 2738/385 LC 01/23/2005 817001 EZ-U 01/24/2001 637284 1578/255 QC 06/27/2000 625429 1522/59 WD more... 2007 SUMMARY Bill Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 10/25/2006 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.000 16,800 1,000 17,800 NO AGRICULTURAL G4 9.000 1,800 0 1,800 NO UNDEVELOPED G5 1.000 100 0 100 NO Totals for 2007: General Property 11.000 18,700 1,000 19,700 Woodland 0.000 0 0 Totals for 2006: General Property 11.000 18,700 1,000 19,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 04/17/2001 Batch PRGRM Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 lk