HomeMy WebLinkAbout008-1025-95-050
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: 589753
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)] 2727009
Permit Holder's Name: City Village Township Parcel Tax No:
Nathan & Rebecca Leland TOWN OF EAU GALLE 008-1025-95-050
CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No:
6p b /Cr 09.28.16.133A-50
TANK INFORMATION ELEVATION DATA
ock
TYPE MANUFACTURER
CAPACITY STATION BS HI FS ELEV.
Septic
Benchmark
w / Z60 /00.5 ~d8 !3 A Dosing Alt. BM %4
Bldg. Sewer
1" - a 2,z4 AgUm, 9.5
Holding SUHt Inlet
g7• Z
TANK SETBACK INFORMATION St/Ht Outlet
TANK TO P/L WELL BLDG. ent Air Intake ROAD Dt Inlet
Septic / 89 ! 71 #1 Dt Bottom
Dosing I / 17~ 11 (03 i Header/Man. 9 S ,
Aeration ~ •
Dist. Pipe
5.i3 96•S
Holding Tot. System
. 5.79 y~9~
PUMP/SIPHON INFORMATION Final Grade
Manufacturer Demand St Cove
6b04GPM 014.
Model Number Z74
4p . Z f 15! Z
O~ J
TDH Lift FrictionaLoss ~ System Head ~5
TDt~Ft
Forcemain Length,,, Tia. ' Dist. to Well
SOIL ABSORPTION SYSTEM
/41. 94 -7 .3 . Sg L?
BED/TRENCH Width Length No. Of Trgnche PIT D Ml ENSIGNS No. Of Inside Li igLLd Depth
DIMENSIONS /6 (("6 be
SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer:
INFORMATION CHAMBER OR
O stem: n UNIT
Type Model Number:
~J 7 ~n
^ooCC~_ /
DISTRIBUTION SYSTEM
Header/Manifold of Distribution x Hole Size x Hole Spacing i Ve Air In e
/ Pipe(s) ~v 'l 3. 44
Length W#7 Dia Length S ` Dia Spacing 333 3z
SOIL COVER x Pressure Systems only xx Mound Or At-Grade Systems Only ,w
Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched
I Bed/Trench Center ' Bed/Trench Edges Topsoil Yes No Yes No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection#1: Inspection #2
Location: 2385 45TH AVE L.
1.) Alt BM Description = 53/ 0/ tj ®1®
7 Mai ~ r
2.) Bldg sewer length /
- amount of cover = 'YZ O rn7n 50". V-%
Plan revision Required? 1_ j Yes No ?
Use other side for additional '
information.
Date 4Ir'gnature Cert. No.
SBD-6710 (R.3/97)
r .o~r~`rr"r~rr Safety County
and Buildings Division S't ~r"c,
RECEIVED
p 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.)
rt SP JUL 14 2016 Madison, WI 53707-
S w 31411", 11 115169793
T tJsicisf, _QT "V
OMMUNMSPL"UM~ mlt Application cSKQFQG ` e Transaction Numbero
In accordance with SPS 38321(2), Wis. Adm. Code, submission of this form to the appropriate govemmentm -
is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POVv'TS are submitted to Project Address (if different than mailing address)
the Department of Safety and Professional Servies. Personal information you provide may be used for secondary
purposes in accordance with the Privacy Law, s. 15.04(1)(m), Stats.
Ave-
1. Application Information - Please Print All Information
Property Owner's Name Parcel
btu 'c
Property Owner's Mailing Address Property Location (9 Z3, j4,113
a _K 9 y U Govt. Lot
City, State Zip Code Phone Number Section
C~ (circle one)
EQv T N; R E or W
II. Type of Building (check all that apply) Lot #
or 2 Family Dwelling - Number of Bedrooms C~ Subdivision Name
lock # ❑ Public/Commercial - Describe Use Q g. meei_ ❑ City of
CSM Number Z El Village of
❑ State Owned -Describe Use p w L. 1
Town of
x 5ct S
m. Type of Permit: (Check only one box on line A. Complete line B if applic le)
A. w System Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain)
B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued
Before Expiration Owner
W. Ty e of POWTS Svstem/Com onent/Device: Check all that apply)
❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil Mound < 24 in. of suitable soil
❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain)
V. Dis ersal/Treat ent Area Information:
Desi Flow (gpd) Design Soil Application Rate( gpds Dispersal Area Required (sf) DispIe al Area Propos (sf) (System Elevation
o 000, 0o~ 39s VI. Tank Info Capacity in Total # of Mfacturer i
Gallons Gallons Units
New Tanks Existing Tanks o fl
W n o~. 5ZS C U V DO
Septic or Holding Tank 1 0~7
Dosing Chamber v` 6
VII. Responsibility Statement- I, 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
L- v;~0 7)~'76D -A5_3
OtA IT-o Plumber's Ad ess (Street, City, State, Zip Code)
VIII. un /De artment Use Only Z /7
Approved Permit Fee Date I sued Issuing nt Signature
Owne ED Reason for Denial
IX. CondiiTQReasons for, Disapproval c t
3) A/ ac
1. Sepia tank, esfluent fte* QM
disper sl cell must all b~] ~[ll ItlSiiLlS 7
0,;w.management plan pro-ided by plumber.
2 t C tlt 'er l+aust•peMgilntrhod
n per appb** code / ordmuwas. 4~ 65 4;.
a
Attach to complete plans for the system and mit towthee County only pa=nots an 1 2 x 11 inches in size
SBD-6398 (R 11/11) I/
Plot Plan Page8 o.fS
P'' wy Owfrer _ ~a ccA I----
,E
Legal Des • turn 1 » -40
AIF,vq Or- Tw SE 1/1, ISM C? Lorl. caw -g~ (except where noted,}
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nor -ru. vy A3 sip! . 9A'V19.ACS
North
f -76
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Site Location:
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tirgRrtrF. DIVISION OF INDUSTRY SERVICES
D ~-mot T
2331 SAN LUIS PL STE 150
GREEN BAY WI 54304-5211
/ t s <I Contact Through Relay
P S http://dsps.wi.gov/programs/industry-services
www.wisconsin.gov
~k8srol, PN Scott Walker, Governor
Dave Ross, Secretary
CONDI
June 20, 2016 APPI "
,FPT OF
CUST ID No. 224832 ATTN.• PO WTS Inspector i4:OFESSIONAL
'ON OF INDUST
MARY JO HUPPERT ZONING OFFICE
HOLLISTERS SOIL TESTING & DESIGN ST CROIX COUNTY SPIA
28497 KING ARTHURS 1101 CARMICHAEL RD
DANBURY WI 54830 HUDSON WI 54016-7708
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 06/20/2018 Identification Numbers
Transaction ID No. 2727009
SITE: Site ID No. 825526
Nathan and Rebecca Leland Please refer to both identification numbers,
2385 45TH Ave above, in all correspondence with the agency.
Town of Eau Galle
St Croix County
NE1/4, SE1/4, S9, T28N, R16W
FOR:
Description: Mound System (4 Bedrooms - Replacement)
Object Type: POWTS Component Manual Regulated Object ID No.: 1608647
Maintenance required; Replacement system; 600 GPD Flow rate; 16 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:
• Preserve dispersal area prior and during construction to avoid disturbance, compaction and use of the site.
• 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.
• Abandon Existing System per SPS 383.33
• Pump Floats to be set and verified per approved plan. Anv changes may result in pump resizina to meet
TDH and GPM Specifications.
• Divert surface water from POWTS Area.
• All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5
MARY JO MWERT Paee 2 6/20/2016
• Insulate building sewer beyond 30 feet per SPS 382.30 (11)(c)
• Tank Installation to follow all manufacture's recommendations.
• Verify property line(s) prior to installation.
• 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 horizontallv from where the servicing pad is located
• Areas that are occupied with rock fragments, tree roots, stumps and boulders reduce the amount of soil
available for proper treatment. If no other site is available, trees in the basal area of the mound must be cut off
at ground level. A larger fill area is necessary when any of the above conditions are encountered, to provide
sufficient infiltrative area.
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 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.
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
c onstruction/installation/operation.
In granting this approval the Division of Industry Services reserves the right to require changes or additions should
conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review
shall relieve the designer of the responsibility for designing a safe building, structure, or component.
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address
on this letterhead.
The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any
others who are responsible for the installation, operation or maintenance of the POWTS.
Sincerely, Fee Required $ 250.00
This Amount Will Be Invoiced.
When You Receive That Invoice,
Tim Vander Leest Please Include a Copy With Your
Private Sewage Plan Reviewer, Division of Industry Services Payment Submittal.
(920)492-2214, Monday - Friday 6 am To 3:30 pm WiSMART code: 7633
tvanderleest@wis c ons in. gov
cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm
Troy L Johnson, Johnson Quality Plumbing (Plans Mailed To)
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.
MARY JO HUPPERT Page 2 6/20/2016
• Insulate building sewer beyond 30 feet per SPS 382.30 (11)(c)
• Tank Installation to follow all manufacture's recommendations.
• Verify property line(s) prior to installation.
• 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.
• Areas that are occupied with rock fragments, tree roots, stumps and boulders reduce the amount of soil
available for proper treatment. If no other site is available, trees in the basal area of the mound must be cut off
at ground level. A larger fill area is necessary when any of the above conditions are encountered, to provide
sufficient infiltrative area.
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 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.
A copy of the approved plans, specifications and this letter shall be on-site during construction and open to
inspection by authorized representatives of the Department, which may include local inspectors. All permits
required by the state or the local municipality shall be obtained prior to commencement of
construction/installation/operation.
In granting this approval the Division of Industry Services reserves the right to require changes or additions should
conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review
shall relieve the designer of the responsibility for designing a safe building, structure, or component.
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address
on this letterhead.
The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any
others who are responsible for the installation, operation or maintenance of the POWTS.
Sincerely, Fee Required $ 250.00
This Amount Will Be Invoiced.
When You Receive That Invoice,
Tim Vander Leest Please Include a Copy With Your
Private Sewage Plan Reviewer, Division of Industry Services Payment Submittal.
(920)492-2214, Monday - Friday 6 am To 3:30 pm WiSMART code: 7633
tvanderleest@wisconsin.gov
cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm
Troy L Johnson, Johnson Quality Plumbing (Plans Mailed To)
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 DESIGN
Residential Application
INDEX AND TITLE PAGE
Project Name: NATHAN D. & REBECCA R. LELAND
.
Owner's Name: (sa i R9/1 C1,
me)
Owner's Address: 2385 45thAvenue
Woodville, W1 54028 Z-9-~
Legal Description: NE 1/4 of the SE 1/4, Sec. 9, T28N, R16W
Township: Eau Galle
County: St Croix
Subdivision Name: NA
Lot Number. NA Block Number: NA
Parcel I.D. Number 008 -1025 - 95 - 050
Plan Transaction No.:
~~ttgtEtttrtJf18t Page 1 index and title
entry
Page 2
• ~~lJ!''4~ Page 3 Mound drawings
Page 4 Lateral and dose tank
f~ °JMARYJO ~ ~ Page
5 System maintenance specifications
J{UpP.ERT Page S Management and contingency plan
Page 7 Pump curve and specifications
fA1Jl.r Page 8 Plot plan
I~UIa
Designer: Mary Jo Huppert License Number 1859 - 007
Date: 06/13/16 Phone Number. 715 - 426 -1775
Signature: ~JU VV Pursuant to the
Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01101), 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)
Version 7.0 (R. 03/2012) Pagel of 8
n`i
HIV ' FRVIrPq
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)
1.00 Site Slope
94.25 Contour Line Elevation (ft)
16.00 Depth to Limiting Factor (in)
0.60 In-situ Soil Application Rate (gpd/ft2)
Distribution Cell Information
60.00 Dispersal Cell Length Along Contour (ft) = 10.00 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?
e Center or End Manifold
3.33 Lateral Spacing (ft) If N above, enter the elevation (ft)
3 Number of Laterals of the highest point.
0.156 Orifice Diameter (in)
3.50 Orifice Spacing (ft) = 11.76 ft2/orifice
2.00 Forcemain Diameter (in)
X 40.00 Forcemain Length (ft) Does the forcemain drain back? Y
/j 88.00 Pump Tank Elevation (ft)
+ 4.55 System Head (ft) x 1.3 6.52 Forcemain Drainback (gal)
L~ 7.51 Vertical Lift (ft) 55.97 5x Void Volume (gal)
6 0.66 Friction Loss (ft) 62.49 Minimum Dose Volume (gal)
0.00 In-line Filter Loss (ft) 27.46 System Demand (gpm)
3 12.72 Total Dynamic Head (ft)
1 Lateral Diameter Selection Manifold Diameter Selection
in. dia. options choice in. dia. options choice
0.75 1.25 x x
1.00 1.50 x
1.25 x x 2.00
1.50 x 3.00
2.00 x
3.00 x
Gallons/Inch Calculator
Treatment Tank Information Total Tank Capacity (gat)
1200.00 Septic Tank Capacity (gal) Total Working Liquid Depth (in)
Wieser Manufacturer gal/in (enter result in cell B49)
Dose Tank Information Effluent Filter Information
800.00 Dose Tank Capacity (gal) PolyLok Filter Manufacturer
22.24 Dose Tank Volume (gal/in) 525 Filter Model Number
Weiser Manufacturer
Project: NATHAN D. & REBECCA R. LELAND Page 2 of 8
Mound Plan and Cross Section Views
T
1/10 B n J
Observation Pipe -
: .
K .
A
g
'
I
• L
Mound Component Dimensions
ft
A 10.00 ft E 21.20 in H 1.00 ft K [Aft
B 60.00 ft F 9.25 in 1 9.39 ft L ft
D 20.00 in G 0.50 ft J 8.56 ft W 600.00 (ft2) Dispersal Cell Area 1163.66 (ft2) Basal Area Available
10.00 (gpd/ft) Linear Loading Rate 6.00 (ft) 1/10 B Obs. Pipe Placement
Mound Cross Section View
Aggregate Dispersal Area
Finished Grade 97.69 (ft)
H
G
...rr.•..f.f..,•, 2 .F, frr...f.,,.
r~rrrrrrrrirrrrrrrrrrrrr~rirrirrirriir,-rr.,.
F 96.42 Lateral
95.92 (ft)-► Dispersal Cell (ft) Invert
Dispersal Cell
Elevation E ..D ❑3 : .
94.25 (ft) Contour Elevation
1.0 % Site Slope
Geotextile Fabric Cover
Shading Key a- Dispersal Cell See lateral details on
1❑ 0 Topsoil Cap e c 1.5 ft Page 4 for number, size,
❑ Subsoil Cap y o ❑ and spacing of laterals.
rrrrrrff
T
Laterals are equally
ASTM C33 Sand :6 0 7 / F
Tilled Layer H 0.5 ft Tvpical Lateral spaced from the
Aggregate v c H I distribution cell's
-a- centerline in the
0- A * distribution cell (AxB).
Project.- NATHAN D. & REBECCA R. LELAND Page 3 of 8
End Connection Lateral Layout Diagram
=enter rt.-lyrer ala .~:er rF,e Bdimer.aon •=Turn-up•r.4ba11 •al•re or cl.aannut plug
P
■
All I.yr.-cal .are i.i.nnc:.l 1.-. X Hole r dulled on the bc.tt•am of the lacer If
equ allq sP aced
Lateral, v.forcrmain `.,ch 40 P . _ per `_.P'. Table 7=3 30-5 t
Force main c.onnc•enon via ram or cros- ro mann.ld at anq Purnr
Number of Laterals 3 Orifice Diameter 0.156 in
Lateral Diameter 1.25 in Orifice Spacing (X) 3.66 ft
Lateral Length (P) 58.56 ft Orifices per Lateral 17
Lateral Spacing (S) 3.33 ft Orifice Density 11.76 fe/orifice
Lateral Flow Rate 9.15 gpm Manifold Length 6.67 ft
System Flow Rate 27.46 gpm Manifold Diameter 1.25 in
Total Dynamic Head 12.72 ft Forcemain Velocity 2.80 f!/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 4 in. min.
Disconnect ---------iii---
Tank component is properly vented F- Alternate outlet
location
Forcemain diameter
Weiser Manufacturer 2 in.
Capacityl 800.00 Gallons
Volume 22.24 gal/inch A
Weep hole or anti-
Dimension Inches Gallons B siphon device
A 20.26 450.61
B 2.00 44.48 C P off elevation (ft)
C 2.81 62.49 -t 88.91
D 10.90 242.42 D
Total 35.97 800.00
Do♦ se tank elevation (ft)
3" Bedding un er tank. 88.00
Alarm Manuafacturer SJE Rhombus
Alarm Model Number Tank Alert AB
Pump Manufacturer Gould
Pump Model Number PE31
Pump Must Deliver 27.46 gpm at 12.72 ftTDH
Project: NATHAN D. 8r REBECCA R. LELAND Page 4 of 8
Mound System Maintenance and Operation Specifications
Service Provider's Name Darrell's Septic Service Phone 715-425-1025
POWTS Regulator's Name St. Croix County 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 1200 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 eve 3 years
Effluent Filter Should inspect and clean at least once every 3 years
Pump and Controls Test once eve 3 years
Alarm Should test month)
Pressure System Laterals should be flushed and pressure tested every 1.5 years
Mound Inspect for ponding and seepage once every 3 years
Miscellaneous Construction and Materials Standards
1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap,
and are secured in as shown in the mound component manual.
2. Dispersal cell aggregate conforms to SPS 384.30 (6)(i), Wis. Adm. Code.
3. All gravity and pressure piping materials conform to the requirements in 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 \ ~t
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: NATHAN D. & REBECCA R. LELAND Page 5 of 8
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), SSWMP Publication 9.6 (01/81), and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N.
01/01)] 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 BODS, 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.
i
Project: y~Y} Page 6 of 8
_ Wastewater x
METERS FEET
40
E_. € 3 - . _ - -
PE5 1 MODELS: PE31, PE41, PE51?
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5 -
0 0
0 10 20 30 40 50 " 60 70 ,GPM 80
0 5 10 15 m3/h
CAPACITY
PERFORMANCE RATINGS
PE31 A PE41
PE51
Tot Head Total Head
(feet of water) GPM (feet of water) GPM (feeTotal Head
t of water) GPM
5 52 8 61 10 67
10 42 10
57
15 59
15 29 15
46
20 50
20 16 20 33 25 39
25 0 25 16 _30-
26
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ST. CROIX COUNTY RECEIVED
SEPTIC TANK MAINTENANCE AGREEMENT
AND JUL 14 2Ji
OWNERSHIP CERTIFICATION FORM
ST cRoix COUNTY
Owner/Buyer ~L COMMUNITY DEVELOPMENT
Mailing Address 172j '4Ln 'd G
Property Address 2-1; Z G2[ L 'Z
(Verification required from Planning & Zoning Department for new construction.)
City/State Parcel Identification Number J OZ-(~
LEGAL DESCRIPTION
Property Location UE'/4 , F '/4 , Sec. T a~__N R(.eW, Town of Cam
Subdivision Plat: , Lot #
Certified Survey Map Volume , Page #
Warranty Deed # (before 2007)Volume , Page #
Spec house ❑yes40 Lot lines identifiable ipyes❑no
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 three 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 full of sludge.
1/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 within 30 days of the three year expiration date.
I/we certify that all statements o is form are true to the best of my/our knowledge. 1/we am/are the owner(s) of the
property described above, by virtue of a arranty deed recorded in Register of Deeds Office.
Number of bedrooms
IGNATURE OF P LICAN ) 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.
(REV. 04/12)
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Wisconsin Department of Safety and Professional Services (-37 -,3,) b 1 `J a IF 11"k
Division of Industry Services
RECEiva) SOIL EVALUATION REPORT 3 1 of
in accordance with SPS 383, Wis. Adm. Code
JUN 45 5 Albh County ST. CROIX
Attach comp t paper not less than 8 1!2 x 11 inches in size. Plan must
ink o: vertical and horizontal reference point (BM), direction and Parcel I. 0 _ 10Y _ 95 _ 050
sions, north arrow, and location and distance to nearest road.
PP59print all information. Revie d by Dat
Personal information you provide may be used for secondary purposes (Privacy Law. s. 15.04 (1) (m)).
P 7.40
Property Owner Property Location
NATHAN D. & REBECCA R. LELAND Govt. Lot NE 1/4 SE 1!4 9 T 78 N R 16 E (or) W
Property Owner's Mailing Address Lot # Block # Subd. Name r CSM#
2385 45th Avenue 1 CSM 26 - 5959
City State Zip Code Phone Number ity Village ■ Town Nearest Road
Woodville WI 54028 ( ) Lail cialle 45th Avenue
New Construction Useo Residential ! Number of bedrooms 4 Code derived design flow rate 600 GPD
FlReplacement Public or commercial - Describe:
Parent material loess over till Flood Plain elevation if applicable NA ft.
General comments Mound System 1.67 ft. sand fill 0.6 loading rate
and recommendations:
IT] Boring # 11 Boring
Pit Ground surface elev. 94.00 ft. Depth to limiting factor 16 in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
1 0-9 7.5YR2.5/3 I 2fa&sbk mvfr Cs 2vf-111 0.6 0.8
2 9-16 10YR4,4 sil 2fa&sbk mvfr Cs 1vf-m 0.6 0.8
3 16-20 l 0YR4/4 ft f t OYR4 6& t of R6 2 sil 1 f-mabk nifr I vf-f 0.4c 0.6
F 2 ] Boring
Boring # 94.45 18
Q 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/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
1 0-8 7.5YR2.5/3 I 2fa&sbk mvfr cs 2Nf-ni 0.6 0.8
2 8-18 1OYR4/4 sill 2fa&sbk mvfr Cs I XT-111 0.6 0.8
3 18-28 7.5YR314 sl 1 fsbk invfr cs 1 of-f 0.4 0.7
4 28-32 7.5YR4/3 ft If 7.5Y R4 6
scl Otu ruff 0.0 0.0
,Horizon 3 has sonic er I °o
Effluent #1 = BOD5 > 30:< 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) Si e CST Number
MARY JO HUPPERT Hollister's Soil Testing&Design 224832
Address Date Eval ation Conducted Telephone Number
28497 King Arthur's Court, Danbury, WI 54830 06 - 09 - 2016 715-426-1775
SBA-8330 (x07 1 , )
LELAND, Nathan & Rebecca 008 - 1025 - 95 - 050 2
Property Owner Parcel ID # Page of
Boring
❑ Boring # ❑ Pit Ground surface elev. X4'70 16
ft. Depth to limiting factor in.
Soil A lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2
1 0-9 7.5YR2.5/3 1 2f--msbk uivfr cs 2vf-11-1 0.6 0.8
VI 2 9-16 10YR4./4 sit 2fsbk mfr cs Ivf-m 0.6 0.8
3 16-24 10YR4/4 ft ft 0YR4/6& I OYR6/2 sit Ifsbk mfr cs 1\,f--f 0.4c 0.6
4 24-30 7.5YR3/4 m2d 7.5YR5/4 set Om mfi 0.0 0.0
El I I
❑ Boring # LJ Boring
n 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/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2
IH Boring
Boring #
Pit Ground surface elev. ft. Depth to limiting factor in.
Soil A lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L
SBD-33 ±0 1 RU 7 131
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