The URL can be used to link to this page

Home My WebLink About026-1155-20-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 592118 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)]. 2778993 Permit Holder's Name: City Village Township Parcel Tax No: William Carlson TOWN OF RICHMOND 026-1155-20-000 CST BM Elev: I bLMADU6~ AV Insp. BM Elev: B Description: Section/Town/Range/Map No: 22.30.18.1183 TANK INFORMATION LE ATION DATA off' TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic t4 V 5 luivi, Benchmark Z-1.4 01 W o LL Dosing ?VtMp: Alt. BM AAexa#eft U Bldg. Sewer IDS D g ~Vlt Inlet St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt Bottom Dosing. Header/Man. Aeration Dist. Pipe Holding Bot. System Final Grade PUMP/SIPHON INFORMATION Manufacturer Demand St Cover GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: UNIT Model Number: DISTRIBUTION SYSTEM Header/Manifold Distribution Ix Hole Size Ix Hole Spacing Vent to Air Intake Pipe(s) LDia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over 1xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil ❑ Yes ❑ No Yes ❑ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 1479 128TH ST 1.) Alt BM Description = 2.) Bldg sewer length = 7 S - amount of cover = *-1 y2'`0f Covtr oA X11 Plan revision Required? ❑ Yes ❑ No J LL Use other side for additional information. III - ~~J Date Insepctor's Signature Cert. No. SBD-6710 (R.3/97) t w PAGE--? of, i`trME j>e_t tc -10"# 00 IIiCTAL I?FSCRI_I'II()t'_,4t _;_rtl~,5 -T__N_IIL)r) SCALE: I"= -//Q 13M I. ELEVATION -IL02. J F\~] BM I DE-SCRIVIION -be I- BM 2E-1-17V A`I'ION kwo _ L-N-1 13M 2 DLSCRII'I'I<2j`, ef'oc~CCr-~_Z SYSTEM 'I~YYI.. eo y e ei 4 J ZI ex ~ CONTOUR ELEVATION 1 ~ Nql r lb C 6~\~ aty V~IA\ ~ 0~ ~ ~Dac ~ ~ sfi Gunto r SIGNATURE_ - - DATE. t rr f ~ r, z 0 D❑ < 1J m ~ N 181336 i-l-, x N N - ,~Cy`C V p N J N co CD +~rnv + N p KY, pj+ 4av rn... .riM+ ~ C O) drtyd v d fH O y N 4" ■ I m 4 -u 11110 ,54 a ' m (D ! L d Q Eo on CO Ap, o { y #I o~ m m f (D ` CD 3 a MI, -u U) '01 0 0 / ci 5 ~ .r C~ N E (n ~ E 9 3 V' 07 C 01, k o WMI o 3 gyn~ 3 3 b 3 m 3 0 0 141, RECEIVED Y County f )C i G E 2016 Safety and Buildings Division St. Croi \ p S 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co J ST. CF701Xi COUNTY Madison, WI 53707-7162 P S = UOMMUNITY DEVELOPMENT Sanitary Permit AppliCatio J4RV4S pOTD State Transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate govel-,.,._.- L NJ or t 2- -27 btaining a sanitary permit Note: Application forms for state-owned POWTS are submitted to the Department or an Project Address (if different than mailing address) ofessional Servies. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, s. 1 l Slats. 1. . Application n / ,L/l171 /2_v t/ Information -Please Pr' t All Information d'L~, operty Owner's Name Parcel 4 William & Yesenia Carlson 26-1155-20-000 Property Owner's Mailing Address Property Location 3A. , Govt. Lot City, State ip Code Phone Number NE _NE Y., Section 22 (circle one) 30___N, R 18 E or W II. Type of Building (check all that apply) 1 or 2 Family Dwelling - Number of Bedrooms ~ 3_j Subdivision Name Public/Commercial Describe Use lock# City of State Owned -Describe Use f SM Number Village of 75 n ( ~~~A ! 1 Town ofRichmond II. Type of Permit: (Check only one box online A. Complete line OBl if applicable) 46 ^4e, New System Replacement System Treatment/Holding Tank Replacement Only Other Modification to Existing System (explain) B. ❑ Permit Renewa ermit Revision ange of Plumber El Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration (.1 Owner / IV. Type of POWTS System ec all that apply) Non-Pressurized In-Ground ❑ Pressurized In-Ground X At-Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) Dispersalffrea ent Area Information: Design Flow (gpd Design Soil Application Rate( sf) Dispersal Area Required (st) Dispersal Area osed (sf) ysteoilevation 50 6 750 800 /16o z2Q' t 7 I. Tank Info Capacity in Total 4 of Units Manufacturer Gallons Gallons v o v New Tanks Existing Tanks P /VRr ' V'~ J U in in w C7 0.~ Septic or Holding Tank 1 000 1 600 1 Sl,aW Dosing Chamber 600 Skald II. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) lumber's Signature P/MPRS Number usiness Phone Number 21071 715-288-6225 Darrell Frazer IP /7") Plumber's Address (Street, City, State, Zip Code) 16317160th St. Bloomer, WI 54724 VIII. County/Department Use Only pproved isapprove ~ennit Fee ate Iss d Issuing Age tgnature Owns ven Reason for Denial r7 IX. ConditioW4 ons for Disapproval 1 S+irs'tank, effluent filter and 3)~, dl ai cell must all be el_tcas ! nr mta're is:pwper,tnar<agement plan pro sided by plumber. 2 'I! 1 ll it cements must be mainte Ired as par apFlialble coda / ordinanrsa. Attach to complete plans for the system and submit to the County only on paper not less than 8 1/2 x r t inches in size SBD-6398 (R. 11/11) PAGE ~OF~ NAME SJG f r ,"c LOT# ZO LEGAL DESCR TFTTt~N7 ~rZ Y I T N 16 F 0 SCALE: I"= va M BM I ELEVATION_ Z2 d t BM I DESCRIPTIONT~ c3-~ ~Y f jeacP q- BM 2 ELEVATION F9 /6 t BM 2 DESCRIPTIONT*L4 ~ H. o 46O C f S, ~C;Z Z r SYSTEM ELEVATION 26g • z Go... erFs= b6 SYSTEM TYPE / dAU:n-~ a~ai CONTOUR ELEVATION l 2 3d,2~ I ~ z J-- ~ ' y -F9 Y cocloi~ SIGNATURE ~ DATE...~~' LS/ ZZ~~7 f ~aRTr .r~, DIVISION OF INDUSTRY SERVICES 2331 SAN LUIS PL STE 150 -i ! GREEN BAY VVI 54304-5211 Contact Through Relay http://dsps.wi.gov/programs/industry-services t www.wisconsin.gov ~~~,5'S(ON? Scott Walker, Governor Dave Ross, Secretary CONDITII September 28, 2016 AP P RI DEPT OF S~ CUST ID No. 221071 ATTN: POW7SInspector PROFESSIONI DIVISION OF INDL DARRELL FRAZER ZONING OFFICE FRAZER EXCAVATING ST CROIX COUNTY SPIA 16317 160TH ST 1101 CARMICHAEL RD / J BLOOMER WI 54724-4476 HUDSON WI 54016-7708 SEC CV RkL~ CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/28/2018 Identification Numbers Transaction ID No. 2778993 SITE: Site ID No. 829220 _ William Carlson Please refer to both identification numbers, Cth G above, in all correspondence with the agency. Town of Richmond St Croix County NE 1/4, NE1A, 522, T3 ON, R18W FOR: Description: ,At-Grade (3 Bedrooms - New Construction) Object Type: POWTS Component Manual Regulated Object ID No.: 1625428 Maintenance required; 450 GPD Flow rate, 60 in Soil minimum depth to limiting factor from original Grade; System(s): At-grade Component Manual, Version 2.0, SBD-10854-P (N.03/07, R. 1/12), Pressure Distribution Component Manual - Ver. 2.0, SBD-10706-P-(N.0l/O1, 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, • With new construction; it is recommended not to activate the pump in the dose tank until the tanks are pumped prior to homeowner occupancy. • 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. • 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. All loose organic material to be removed from mound 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 ca act 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. D`RI ELL FRAZER Paae 2 9128/'_016 • Divert surface water from POWTS Area. • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building sewer beyond 30 feet per SPS 382.30 (11)(c) • Tank Installation to follow all manufacture's recommendations, • `,Pumn Flo,-ts i0 be set and verified Der aporoved clan. Any changes may result in numn resizing to meet TDTI and GPM Specifications. • Verify property line(s) prior to installation. • Well setbacks to meet chs. NR 811 & 812. • 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 at-b ade 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. • 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: I The bottom of the tank is located more than 15 feet below the elevation where the servicing toad is located.. 2. The bottom of the tank is located more than 150 feet horizontally from where the servicing pad is located. 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/installatiorv'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 tini.yanderleestc wisconsin.gov I DARRELL FRAZER Page 2 9/28/2016 • Divert surface water from PMA7TS Area. • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building sewer beyond 30 feet per SPS 382.30 (11)(c) • Tank Installation to follow all manufacture's recommendations. • Punin r log`s t0 be set and verified per am)roved T)I in. Any chances may resu!t in rump resizlnz to meet 'I DH and GPM1 Soecif3cations. • Verify property line(s) prior to installation. • Well setbacks to meet chs. NR 81 1 & 812. • Areas that are occupied with rock fragments, tree roots, stumps and boulders reduce the amount of soil available for proper treatment. lino other site is available, trees in the basal area of the at-grade must be cut off at ground level. A larder fill area is necessary when any of the above conditions are encountered, to provide sufficient infiltrative area. • 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 Dad is located. 2. The bottom of the tank is located more than 1 ~0 feet horizontallv from where the servicing pad is located. 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. L(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 S 250.00 g -A, 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 tim. vanderleestrOuwiscons in. gov JP23Z016 RESIDENTIAL AT-GRADE DESIGN ,NJALLY INDEX AND TITLE SHEET VED ETY AND L SERVICES Project Carlson Septicwy.a, yr ; ; I ~ .a Owner William & Yesenia Carlson Address :'ONDEiVuE Legal Description NE 1/4 NE 1/4 Sec. 22 Twn 30 N Rng 18W Township Richmond County St. Croix Subdivision Name Pond View Meadows II Lot No. 20 Parcel ID Number 026-1155-20-000 Plan Transaction Number Index sheet Page 1 Calculations Page 2 At-grade drawings Page 3 Laterals and dose tank Page 4 Specifications Page 5 Management & contingency plan Page 6 Pump curve & specifications Page 7 Site Plan Page 8 Designer Darrell Frazer License Number 221071 Signatures Phone Number 715-288-6225 Date 09/22/16 Designed pursuant to: At-grade Component Manual Ver. 2.0 for POWTS SBD-10854-P (N. 03/07), 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 (03/12) Page 1 Of 8 PRESSURIZED AT-GRADE DESIGN Flows and Site Data Entry. r Residential or commercial? 300.0 Estimated wastewater flow (gpd) 450.0 Design wastewater flow (gpd) 2.50 % Site slope 98.20 Contour elev. below lateral (ft) 60.00 Depth to limiting factor (in) 0.60 In-situ soil application rate (gpd/ft^2) Distribution Cell Information 1 Influent wastewater quality 10.00 Linear loading rate gpd/ft 10.00 Effective absorption width (ft) 10.00 Max. effective width permitted (ft) 75.00 Aggregate length (ft) Pressure Distribution Data Entry e Center or ens, 1 Number of laterals 0.188 Orifice diameter (in) e.g. 0.25 -2.00 Estimated orifice spacing (ft) r 2.00 Forcemain diameter (in) 2.55 Forcemain flow velocity (ft/sec) I 40.00 ` Forcemain length (ft) ;r Does forcemain drain back? 94.00 Pump tank elevation (ft) Are laterals at highest point? 3.25 System head (ft) x 1.3 NA 3.87 Vertical lift (ft) 6.5 Forcemain drainback (gal) 0.55 Friction loss (ft) 6070 5x Lateral void volume (gal) 0.00 In-line Filter Loss (ft) 66.5 Minimum dose volume (gal) 7.67 Total dynamic head (ft) 25.0 System demand (gpm) Lateral Diameter Selection Gallons/Inch Calculator (option ai; Pipe diameter Design options Design choice 600 Total Tank Capacity (gal) 1 in 38 Total Working Liquid Depth (in) rust selec? 1.25 in 15.8 Gal/in (enter result in cell G46) one latera 1.5 in 2 in x x Treatment Tank Information 3 in x 1000 Septic tank capacity (gal) !Skaw Manufacturer Effluent Filter Information Dose Tank Information Polylok Filter manufacturer 600.0 Dose tank capacity (gal) ;625 Filter model number 16.5 Dose tank volume (gal/in) iSkaw -Manufacturer Project: Carlson Septic Transaction Number: Page 2 of 8 AT-GRADE PLAN VIEW D --t 1/6 B Observation pipes (2 typical) A 10.00 ft D 1 B 75.00 ft _~_t 1/6 B 12.50 ft F C 12.00 ft W C D 5.00 ft E 2.00 ft B D L 85.00 ft 1 W 22.00 ft A x B 750.00 ft^2 L T - Cap = Total aggregate cell A x B Typical obs. pipe. Slotted in the lower 6", and Plowed area L x W I anchored securely. 6° AT-GRADE CROSS SECTION Svnthetic fabric cover • 100.03 ft Finished grade Lateral elevation invert elev. 98.70 ft • • Observation pipe at aggregate toe E Surface contour g8 20 ft C A 2.5 % Slope and system elevation D = 12 in. topsoil and subsoil plowed layer = 6 in. aggregate below below L x W pipe(s), and 2 in. above pipe. Project: Carlson Septic Transaction Number: Page 3 of 8 PRESSURE DISTRIBUTION AND DOSE TANK Lateral Diagram - Center Connection P Last hole drilled next to end cap k- x I Laterals & force main of PVC Sch 40 Holes drilled on the bottom of the lateral per SPS Table 384.30 equally spaced • =Turn-up vWbsll valve orcleanoutplug Lateral Specifications 0.188 Orifice diameter (in) Center Lateral connection point X 1.97 Orifice spacing (ft) 1 Number laterals 38 Orifices/lateral P 73.88 Lateral length (ft) 25.0 Lat. discharge rate (gpm) 2.00 Lateral diameter (in) 2.00 Forcemain diameter (in) 25.0 Sys. discharge rate (gpm) 40.00 Forcemain Length (ft) 7.67 TDH (ft) Typical Pump Chamber Layout Approved manhole cover with Weather-proof warning label and locking device junction box -7 di~connPr:t Final grade Tank component is 4" Altemate properly vented outlet location 18" min. Electrical as per NEC 300 and SPS 316.300 WAC Approved outlet Tank full joint Inches Gallons JA Provide 1/4" Di A 20.3 335.5 Alarm on weep hole or m B 2.0 33.0 g antisiphon e C 4.0 66.5 Pump on device. n D 10.0 165.0 94.83 ft C Totals 36.3 600.0 Pump off D 3" Bedding under tank I ` 94.00 ft Goulds Pump manufacturer SJE Alarm manufacturer EP04 Pump model number HW 1014 J Alarm model number Project: Carlson Septic Transaction Number Page 4 of 8 At-grade System Maintenance and Operation Specifications Service Provider's Name Darrell Frazer Phone 715-288-6225 POWTS Regulators Name ,Chi ewa County Zoning yr Phone 715-726-7940_ System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 750.0 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 Eff luent Filter 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 1.5 ears Mound Inspect for ondin 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 at-grade 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 at-grade structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. 6. Areas within 15 feet of the downslope toe will be protected from compaction. 7. All other construction details are as per the at-grade component manual SBD-10854-P (N. 03/07). Lateral Turn-up Detail_ Finished 6-8" Diameter Lawn Threaded Cleanout Plug or Ball Valve Distributions 98.70 ft Lon~gg Sweep 90 or Two 45 De ree Bends Same Diameter as Lateral Project: Carlson Septic Transaction Number: At-grade System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General This system shall be operated in accordance with SPS 382-384 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD-10854-P (N. 03/07), SSWMP Pub. 9.6 (01/81), and Pressure Distribution Component Manual Ver. 2.0 SBD- 10706 (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 fitter 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 maxmum 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. At-grade and Pressure Distribution System No trees or shrubs should be planted on the at-grade. Plantings may be made around the at-grade's perimeter, and the at-grade 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 at-grade 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 tha the at-grade be heavily mulched as protection from freezing. Influent quality into the at-grade 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 BODS 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 4 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 at-grade 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 renovating the biologically clogged absorption and dispersal media, installing new piping, and replacing other 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. Project: Carlson Septic Transaction Number: Page 6 of 8 Stev''tate; - P„11` . S LFEET - - - - - - - - 5 GPIM 30 -2-5 FT i _v 6 20 z 5 - - d - - - EP 04 o z0 25 30 40 50 6 I Minimum ff NUnimurre -'Aininumi Minimum i (tr(ax., 15nippinci ~FloatSwitch~ Cord' Discharge I On ( off Basin solids EWeig O ht rder No. 4 HP Volts ~AMP Circuit Phase Style i Length Connection Level Level i Diameter size lbslk Breaker zer7. Plus ! } 10 I 1 r•• Manual i 1lanual EPO411 I T.g vs~TGh e ( I ' .2g. ~ack : 10, 1 f•• 12" 21 / r j EP041 i A W-iide-AA e I 1t5 2 20.'9 f 20 Plug „anual ?vanual I EPO- 1 1 F : -C, :Z i;Gh r i, EP041 I AC It ide ~.ncle -7777 Piuc / i 1 Q' Manual Manual 20 P0412 . Igo s~vi:ch i I ;,i••C j 7U': a'1U 1 i m2nual EP0412F ( No i ( ?luc 1 ! 20. i 1ra ;Manual { Manual 22110 E?051 i F i( No S vii f1 f 1 - } Pluc : ?vlHnual a ! 22 ! 10 c?051 Zr ' 230 6.5 0 No w.•itcn PAGE ~OF~ i NAME f r ► k i OT# Zo LFCTA r nFSrR ttrrrn T . Y4 % q T 30.1%R. Wor SCALE: I"= yQ BM I EIEVATION_ BOG. d i I BM I DESCRIPTIORT-#Sp BM 2 ELEVATION ~~/d l I BM 2 DFSCRIPTION~~Q n M ,1~~ leo o~ ~C • Z Z t SYSTEM ELEVATION',,, 9G. z o Lo..r st Fs SYSTEM TYPE ~OAOtn~ CONTOUR ELEVATIO.Nk 9,?, 70 9~Z D z 3a~ zI- h s SIGNATURE DATE . Z / C- 7- ZZr-7 pF p.~tt r tff E Aunty ♦ , ` r ~'ti St. Croix Safety and Buildings Division L ^ is ,O SP I SEP ra J 2010 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.) Madison, WI 53707-7162 CROIX COUNTY S 5 9 2 llg' NITY DEVELOPMENT COMM Sanitary Permit Applieati NjY state Fransaeti°° N"ntber to accordance with SPS 383.2 1(2), Wis. Adm. Code, submission of this form to the apptcr PJZ T76Z789w for to btaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to the Ucp u , an 'toject Address (if different than mailing address} ofessional Servies. Personal information you provide may be used for secondary purposes in accordance with the I rixao Law, s. 15. ,Stets. 1. Application Informatio -Please Print All Information Property Owner's Name , Parcel William Carlson 26-1155-20-000 as "56" . ~ ls-3 Property Owner's Mailing Address Property Location Govt. Lot NE _NE section 22 City, State ip Code Phone Number (circle one) N; R _18_E or W If. Type of Building (check all that apply) L Lot a 1 or 2 Family Dwelling Number of Bedrooms _ :3 D 2 Subdivision Name Pond View Meadow 11 ❑ Public/Commercial Describe Use Blo ❑ City of State Owned - Descl i be Use se 'SM N rbc _ Village of 7 ` LJ Z p -Zl OCL X Town of Richmond 111. Type of Permit: (Check only one b online A. Complete line B if applicable) 2_76M, sle New System Replacement System Treatment/tloldini, Tan e cem<ut (blly Other Modification to Existing System (e-gain) Aft List Previous Permit Number and Date Issued B. ❑ Permit Renewal ❑ Permit Revision ~ Change o' I n 1 ❑ Permit Transfer to New Before Expiration Owner A /a rr.,o'Componcnt/Device: (Cheel, la y) Non-Pressurized In-Ground 11 Pressurized In-Ground ❑ At-(, Mound 24 in- of suitable soil ❑ Mound < 24 in of suitable soil ~LI Holding Tank ❑ Other Dispersal Component (exnlain) (l P,Mr-h1wn1 DO, - il-pl,iu) I iv. Dispersal/Treattnen free Itt. - Des* Flow (gpd) Design Sod Application RaI° pds1) Disperal Area Requi d (s( Dispewa' Ale,. "'op, 50 4 11'- 1140 1 -6.2 & 95.8 I VI. 'rank Info Capacity in total of Units Manufacturer l Gallons Gallons o ° existing l"anks Tanks :a c r c`a 1 Septic or Holding Tank ~ I I I 1000 1000 1 ska'~'+ x Posing Chamber ~I~imnbet's Name (Prnn) ~i'Inmb, rs signalure ~MPrMPRS Number Business Phone Number )arreli Frazer ~ ° L2107I 715-288-6225 Plumber's Address (Street, City State, Tp ( 1el on tylDcpartment Lsc (3Fai. erntit Fee Date I sued Issuing Age ignauuc rAApprov enildltio MtOWWtpns for Disapproval n t. Septic tank, effk ant fI rw, aid 3, 5 ' 1 C.ow~' er r ' disperxat cell must all be setitl o / ma t Wn-!K L ~ per:m~t plan provided by Plumber. 1"/\,4 J-~W -►"D 01- 2. 'i1fNfiMdk rigyl►orenter:tuske mtint¢itkd as W applicabb code / orditraness. ~L G auadt to complete plans for the system at d bmit to the ounty only on paper not less than 8 112 x 11 inches in size SBD-6398 (R. 11/11) i PAGE OF_,S i i ii Y7t~ t ~~~~e ~`f:s • ~ !j I q i 1 =y~\l } DESCFiZ_L 6 ilt lr ELEVA71 10 -3111A 2 DHSCRT -0 AL .LEI EV-A:i / - i ~-i,Ys=- IM TYPE e.0 CONTOUR =-VATITONT TO' 7- 4 r-o.. f 16 / &kl tr ark/ °,O✓ ~a t~ r 01 _ ' c uyi<T,L = ~T~ - i C 5'T Z- t 001 DA 1 -!Eco Cover Page Pi°oject Name: Carlson Septic Owner's Name: William Carlson Pl~on~~ Nul~~her: Legal Description: NE 1/4 NE Township: Richmond ('OLIfIty: St. Croix Subdivisi011: Lot NU FIIhur: 2t) Block: 11G.rcel ID Number: 026-1155-20-000 fable of Contents e . Cover Pa`!e Page 2 Calculations ind [~?rzt~ in s Page 3 Management and Contingency Plon Page 4 Management and Contingency P3ar1 Page 5 Filter Information Page 6 Septic Tank Cross Section P~;e e 7 Plot Map Designer Na}li Dalrcll 1 r;l, c 1_.icerise Number: 221071 Phone Number: 715-288-62.] Date: 09.08_-16 - Si~~natuI,c: G~~ Soli Abso o~ tem Crops Section ~'e Z f t Final -Grad~ 4' Schedule 40 PVC VWA P#* ft wft Vent COP Y- - Leaching Chamber - gystem Elevation - J ft ft Soil Absu~on Pura View ft Leaching Trench 1 Vent Or Observation Pipe Chambers ---1 4" Dia. Trench 2 j Header Chm SufWA-fig i ' . Manufacturer And Model Infiltrator Quick 4 EISA Rating 20 sq ft per chamber Soil Application Rate 7 9Pdfaq ft i r ~ 7 - soil Application Rate f 20 EISA = Chambers 9Pd Design Flow ~ J 2 l o- Z 2roversmf chambers each. Paged of 6 • {}fjYY l_': (}:S, ze C,'-C - .:t9~. .L ~ MANA"f'ii %TT//--P?. }s fib{ Septic faiik 514 ner a a r. F. 1-. r:.l~ai..i:`ei IG c. ilC2 .52C3i L:4.1 xi 8 iL - £i!uent t-:!t r i0 [arnber O f BedrOOMS : i oQ~' %r +a3tT5 r _ - ` ' aF a~ic~ Dump Y a7:~ ti ~'cil7liSt'f Of Ci_{7::t22r%3a3 Stt35 - • '?;;~n~t i 3^* F-s,imated Ilov (average) Desigi- $Oti' ;T_,W }t -estimated - t u-',a Zi.=,i~ r, 'u i- tt ~T~'. L*•r"tl.~ = _ L- - C~t;F~iiC2j;0a~i {fite a- tort _t.a a T (FOG) f f tt Cal ( aeR i1cTf13ftd L5iMj ?y Fola C I+~s?utL __US iiCS s t vrc'jS:tt'I~ ?iSS:? PTCt zed EmueRT Qtla{ttti i i - J N ,--Uno - _sd:i•= 71 tizen 251rT1tH{ iBMI n-caj Total rip-i 71,f _,r tetric :'t7ed-T5; sS n -FFl~ _ - t8ti eSa~ttaF2f - - n Fecal ~32: 7 1~ e i e' - Maximo n Etf.?uent Paatic!e S,ze r= icul D1:L~F' ARt3{5~3t?(3R T3£e Vanua! i did. r t?i}R e' - -rjc -I all -CC FiID7.-%1ccrh V011-rid component w-:S, ?z-, '~fvund Component' maruau" s 1~:L i i ~-i ~:ad~fC L=r-=7•• "t dri c. ii mac: F L f3 4PS -.{:c6..-Zi t?,,. {.i->F .;L. ^x z. ;ors ;~';Si__ _ c - tg F__'7UC_ _ . t?a2' ~i?iia}Yc:t:~.t r .U~~ }:S't,F i'"~ v : fi 1 ~ __~rZj~,,., v _ ..itTi~•ireI . - - Other - Secs{te;r€It _ - r L dispel of €at 1 1~5•. <P+s i ^ttrnp co -mro c ui'r?srTS_ gre tf i':. c.._ _ _ .Ri t urp _r° `ty_ _'i.•C. _ :tTQ}5°9'~..- I ` . sr lateral's m?y :mmpcde iht ;rearp•terS i3rocess and. jarnwac a r. y!ii-1 iii :isC tom. ~T RATIO ^'1! uaQ pr -duct- ,Zt al her C~ ~L725CaiS that ;{S ,t tine tam 1 i tmr o a s e D Cle )Pv aS. r . n,-)E occur ? x i-!en Soi Coniia`itnn at t{: _e ::?r cS??re:SG'cle .7'_ L' H0. _ 7 le vrope SS .;3 :be ; ti' i~ Et'3 Ot5 _ d _ L S.3. tilie d G:se '3?~ L. ' ;Sie + ate1,-3ieF ~T'L'd3T1 L~:l 1 : r t.c ~P{}eTi?Cf+ and ~ [ iFi3 3~°l; 10th,- YtC^z.r; treat- ' ~ . _ :t' r zl. t. t s {~L}'ie'FCfc$' ti?-Ief ~:-Sie'S>.tC:I tlitta.8tr• '+•t. n1- e h5~ y4'$LeIIi S~ z'I~+:.~.'tt :4 handle Cmeszic .aF.1L'.L! ntt•".t al ?~L i 3T:33 TiC?u Sa^F± 4 c ~~rE t•:a ~.a•sn Get ''i he _ 3:s: ~ed it paper iL. L SC L c;e he! L ''s _ L.L7. 3-~ +e.: *s CT CIS 6 0 vaer the S-"