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HomeMy WebLinkAbout032-2103-40-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No:; 592208 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, 5.15.04 (1)(m)]. 2789848 Village Township Parcel Tax No: Permit Holder's Name: City Greg & Jodi Heichert TOWN OF SOMERSET 032-2103-40-000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: 14.30.20.977 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Jg 'G~~ p AIVL6Y, ISM Alt. BM "1D _t Aeration Bldg. Sewer iy•3 Hold, St/Ht 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 Job O Holding Bot. System Final Grade PUMP/SIPHON INFORMATION Manufacturer Demand St Cover GPM Model Number TDH Lift Friction Loss System Head TDH Ft C 1 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 [Lengt der/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) h Di a Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil [A Yes ❑ No Y Yes 7L:]No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: I /j y O~~k Inspection #2: Location: 1513 HIDDEN VALLEY CIR 1.) Alt BM Description = r--8fC4_4d 2.) Bldg sewer length = • 7 1 e f 9 - amount of cover P(ocw CG(1[~~ Plan revision Required? Yes No ~ /vim, I~ - ~Z2 Use other side for additional informati n. / - J __L~ Date 41nsepcto' Signature Cert. No. SBD-6710 (R.3/97) i. j s - f\ o--- w - - ~ ~0~'0lsF0 \ \ 3-~aal~ a^ N3aa1H ~ / j ~ r $r ' / o mbp5 Imo( moo' All aR2 i L R C71„ .a sod 1 ~`r~ ' 30 gc F y ou I Hi Y>' :R S it NSF ~ 'o.,ia 1 =gg9q ~ r2 l Fa~sFp n HEICHERTRESIDENCE u"E ciu I.ANf7 P~516N 5TUt710 SITE PLAN LOT 75 1818 G"2at ff AV~uf • EAII UAAM, `M 54-01 N TOWN OF SOMERSET, WI to-i+-ie - - X715) 831-0654 . E6Y~L: UFO~KI County Safety and Buildings Division I , 201. W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.) S Madison, Wl 53707-7162 "O State Transaction Number Sanitary Permit Application in accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS 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. J t I: Application Information -Please Print All Information Property Owner's Name Parcel # F Z Property Owner's Mailin dd e s r ` Property Location t 7 J+ 3c. / Govt_ Lot City, State i _ Zip Code Phone y.,R: Section / I.OPM - (circle on _ 1 1% Xi i= OW 40 r< N; P, E orb II. Type of Building (check all that apply) Lot # - Subdivision Name 1 or 2 Family Dwelling - Number of Bedrooms Block # ❑ Public/Commercial -Describe Use ❑ City of CSM Number El Village of El State Owned - Describe Use e W Town of Y~i, cr~~ r III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. ❑ New System ❑ Replacement System ❑ Treatment[Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) List Previous Permit Number and Date Issued B. ❑ Permit Renewal, Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New 7 Before Expiration Owner oil j V ` I V. Type of POWTS System/Component/Device: Check all that apply) ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suits a soil 04lound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) / V. Dispersal/Treat ent Area Information: ' Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation_,, - VL Tank Info Capacity in Total # of Manufactu r „ Gallons Gallons Unitsb~~/0(i~r ° y t~ ww u U U U t6 [d New Tanks Existing Tanks i o 2 «3 ^ a.U Ln y u) u.,v a Septic or Holding Tank 1 Dosing Chamber VII. Respolnsibility Statement- I, the undersigned, assume resp si 'lity for installation of the POWTS shown on the attached plans. Plumber' ame rint Plumber' Sig ore MP/MFRS Number Business Phone Number Plumber's' ddress (Street, City, State, Zip Code VIII. Coon /De artm'ent Use Onl i Permit Fee Date Issued Issuing Agent Signattrq ;4ppwved ❑ Disapproved $ f~l~ Owner Given Reason for Denial IX. Conditions of App rova [/Reasons for Disapproval ,c^ ~on~ ]Vf) 1 lle SYSTEM OWNER. -1--h 1-5 1. Septic tank, effluent filter and pi dispersal cell must to serviced / maintained as per management plan provided by plumber. t.? Mnt A(e Pjol ~ - ~ 2. All setback ' l r t e em a County only on pager not le an 8 /2 x 11 inches ue _ aA IS ~ ~°e/ordinances. ~1 „r 0 a~L Y IS SBD-6398 (R. HA I) t/"' ~~T FL IN, \ ~ ~ 31Oa1O A3'1~tlA N3OO1H ~ ~ / / I8 / L \ i , ; tw= cQa,;R 8 Y >14 _ ~o IV ir CA.oJ 6 5l me~g~ sip ~8 F ~ 91p QQ ' Lug $6i Ly.b a 4 4 A~ ~ F ~ / 9 ~ AY i ~NS i $ 'I. ~ $ i , ! . MIN op.. n HEICHERT RESIDENCE ~SITE PLAN LOT 15 KMM LAW M516N 5TU910 'J TOWN OF SOMERSET W18(M. (71,) 851-067 4 . ~,Wl1 1N'O4A "4f DIVISION OF INDUSTRY SERVICES 10541 N RANCH RD HAYWARD WI 54843-6462 Contact Through Relay http://dsps.wi.gov/programs/industry-services www.wisconsin.gov A Essio~sti~ Scott Walker, Governor Laura Guti6rrez, Secretary May 08, 2017 CUST ID No. 224263 ATTNe POWTS Inspector KIM A OCONNELL ZONING OFFICE KO CONSTRUCTION ST CROIX COUNTY SPIA 504 3RD AVE E 1101 CARMICHAEL RD OSCEOLA WI 54020-8173 HUDSON WI 54016-7708 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/08/2019 Identification Numbers Transaction ID No. 2931645 SITE: Site ID No. 829949 Greg Heichert Please refer to both identification numbers, 1513 Hidden Valley Ln above, in all correspondence with the agency-.-j Town of Somerset St Croix County SE1/4, SEI/4, 514, T30N, R20W FOR: Description: Mound, 4 bedroom residence Object Type: POWTS Component Manual Regulated Object ID No.: 1629079 Maintenance required; 600 GPD Flow rate; 33jIiSoil minimum depth to limiting factor from original grade; System(s)~kpP Mound Component Manual - Ver. 2.0, SBD,--T-0691-P (N.O1/01, R. 10/12), Pressure Distribution Component Manual - r- : T OF SAS Ver. 2.0, SBD-10706-P (N.01/01, R. 10/12), SSWMP Pub. 9.6; Effluent Filter SSIiJia1 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Coles; jrq OF IPA' 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 45.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Key Item(s) • 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. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. Reminder • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per SPS 383.44(6)(a)2. • Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual. • Surface water drainage shall be diverted away from the system area per Mound Component Manual. • Materials shall conform to the requirements of SPS 384. KIM A OCONNELL Page 2 5/8/2017 • Maintain well and waterline set backs per SPS 383.43(8)(i). Consult the Department of Natural Resources for well setbacks and other regulations and exceptions. • Insulate building sewer per SPS 382.30(11)(c). 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. I 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 Fee Received $ 250,00 Balance Due $ 0.00 Patricia L Shandorf WiSMART code: 7633 POWTS Plan Reviewer, Division of Industry Services (715) 634-7810, Fax: (715) 634-5150, M - F 8:00 a.m. - 4:45 p.m. pat.shandorf@wisconsin.gov cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm KIM A OCONNELL Page 2 5/8/2017 • Maintain well and waterline set backs per SPS 383.43(8)(1). Consult the Department of Natural Resources for well setbacks and other regulations and exceptions. • Insulate building sewer per SPS 382.30(11)(c). 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 Fee Received $ 250.00 Balance Due $ 0.00 Patricia L Shandorf WiSMART code: 7633 POWTS Plan Reviewer, Division of Industry Services (715) 634-7810, Fax: (715) 634-5150, M - F 8:00 a.m. - 4:45 p.m. pat.shandorf@wisconsin.gov cc: Edwin A Taylor. V, si~~,;, Corr - t':0 _Ii-: Tc .i pn MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE „~~,R202017 Project Name: Greg Heichert SERVhu~ Owner's Name: Greg Heichertl y~Y Owner's Address: 1513 Hidden Valley Circle Houlton WI 54082 Legal Description: SE--SE-sec14 T30N- R20W Township: Somerset County: St Croix Subdivision Name: Green Acres CTY Esates 1 add Lot Number: 15 Block Number: Parcel I.D. Number: 032-2103-40-000 AND Plan Transaction No.: ICES RVICES } Y Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank JNDENCE Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Plot Plan Page 10 Soil Evaluation Designer: Kim Oconnell License Number: 224263 Date: 04/10/17 Phone Number: 715-381-7917 7 Signature: Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SBD-10691-P (N. 01/01, R. 11/12), and both SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD-107WP (N. 01/01, R. 10/12) Version 7.0 (R. 11/12) Pagel of 9 Mound and Pressure Distribution Component Design Design ~~Iorksheet Site Information (R or C) 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) 8.80 Site Slope 104.60 Contour Line Elevation (ft) 33.00 Depth to Limiting Factor (in) 0.60 In-situ Soil Application Rate (gpd/ftz) Distribution Cell Information 75.00 Dispersal Cell Length Along Contour (ft) = 8.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ftz) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y _ Pressure Disribution Information network? Enter Y or (C or E) E Center or End Manifold 4.00 Lateral Spacing (ft) If N above, enter the elevation (ft) 2 Number of Laterals of the highest point. 0.125 Orifice Diameter (in) 2.50 Estimated Orifice Spacing (ft) = 10.00 ie/orifice 2.00 Forcemain Diameter (in) 165.00 Forcemain Length (ft) Does the forcemain drain back? Y 91.00 Pump Tank Elevation (ft) Enter ` or 1i q.22 System Head (ft) x 1.3 26.91 Forcemain Drainback (gal) Vertical Lift (ft) 67.32 5x Void Volume (gal) Friction Loss (ft) 94.23 Minimum Dose Volume (gal) 0.00 In-line Filter Loss (ft) 24.72 System Demand (gpm) 22.67 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 x 1.00 1.50 x x 1.25 x , 2.00 1.50 x x 3.00 2.00 x 3.00 x Gallons/Inch Calculator (optional) Treatment Tank Information 1200.00 Total Tank Capacity (gal) 1200.00 Septic Tank Capacity (gal) 36.00 Total Working Liquid Depth (in) Wieser Manufacturer 33.33 gaUn (enter result in cell B49) Dose Tank Information Effluent Filter Information 800.00 Dose Tank Capacity (gal) Ploylock Filter Manufacturer 22.24 Dose Tank Volume (gal/in) PL 525 Filter Model Number Weiser Manufacturer Project: Greg Heichert Page 2 of 9 Mound Plan and Cross Section Views 1/10 B ; Observation Pipe J O 5Q A F.. . I L Mound Component Dimensions ft A 8.00 ft E lift in H 1.00 ft K [Aft B 75.00 ft F in z 10.17 ft L ft D 6.00 in G J 4.25 ft W 600.00 (fe) Dispersal Cell Area 1362.94 (ft2) Basal Area Available 8.00 (gpd/ft) Linear Loading Rate 7.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 106.89 (ft) ./J/fJ ~'!!f/fJf/// /f///fffll/If1/ F Dispersal Cell 105.60 (ft) Lateral 105.10 (ft) Invert Dispersal Cell Elevation E D 104.60 (ft) Contour Elevation 8.8 % Site Slope Geotextile Fabric Cover Shading Key m a T Dispersal Cell See lateral details on Q Topsoil Cap _o c 1.5 ft Page 4 for number, size, Subsoil Cap 0 o ~ ~ O 1 - ~ and spacing of laterals. ASTM C33 Sand Laterals are equally Tilled Layer 0 0-5 It Typical Lateral F spaced from the © Aggregate v c distribution cell's centerline in the * - A distribution cell (AxB). Project: Greg Heichert Page 3 of 9 Mound System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General This system shall be operated in accordance with SPS 382-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD-10691-P (N.01101, R. 11/12), 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 fifter 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 fitter 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 dogged 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. Mound System Maintenance and Operation Specifications Service Provider's Name Kim Oconnell Phone 715-381-7917 POWTS Regulator's Name ST Croix CTY 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 fe Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Inspect andlor service once eve 3 ears Effluent Filter Should inspect and clean at least once eve 3 ears Pump and Controls Test once eve 3 ears Alarm Should test month) Pressure System Laterals should be flushed and pressure tested eve 1.5 ears Mound Inspect for ponding and seepage once every 3 years Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to SPS 384.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished Grade 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lon Swee 90 or Two 45 Pie gee Bends Same Diameter as Lateral Project: Greg Heichert Page 5 of 9 End Connection Lateral Layout Diagram !_::_-nr.=rrh.- lir.-ral_ ova, r he P. Y. Ed--on •=Turn-up -ibali ...a h3 or cleano.tpl.q I P All titer ais -e i lenric al 1- X=~ I Hole= drilled on rt- b-trorn of tr.e larersl -quallef =G .,y._ ed Laterals S6fore-emaln Sch 40 FVC per SPIS Table 334 30-fi Forme maer. onn-rion via ree or c tro>_= to manifold at anti point. Number of Laterals 2 Orifice Diameter 0.125 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.53 ft Lateral Length (P) 73.37 ft Orifices per Lateral 30 Lateral Spacing (S) 4.00 ft Orifice Density 10.00 ft2/orifice Lateral Flow Rate 12.36 gpm Manifold Length 4.00 ft System Flow Rate 24.72 gpm Manifold Diameter 1.50 in Total Dynamic Head 22.67 ft Forcemain Velocity 2.52 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 4 in. min. Disconnect Tank component is property vented E 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 21.73 483.37 B 2.00 44.48 C Pump off elevation (ft) C 4.24 94.23 91.67 D 8.00 177.92 D Total 35.97 800.001 11 Dose tank elevation (ft) Bedding under tank. 91.00 Alarm Manuafacturer ! RJS Rhombus Note: Switches Alarm Model Number tank alert containing mercury may not be used in Pump Manufacturer Goulds this system. Pump Model Number PE 51 Pump Must Deliver 24.72 gpm at 22.67 ft TDH Project: Greg Heichert Page 4 of 9 L(FGOULDS PUMPS Submersible Effluent Pump t . 3 , ~'!UEFr PUls'!P SPECIFICATIONS MOTOR FEATURES K Pump -General: General: n Corrosion resistant ® Discharge: 1'fi" NPT ° Single phase construction. r • Temperature: 104°F (400C) • 60 Hertz a Cast iron body. maximum, continuous when ° 115 volts M Thermoplastic impeller and - fully submerged. o Built-in thermal overload pro- cover. • Solids handling: section with automatic reset a Upper sleeve and lower . maximum sphere. ° Class 8 insulation. heavy duty ball bearing • Automatic models include a • Oil-filled design. construction. APPLICATIONS float switch. • High strength carbon steel E Motor is permanently Specially designed for the • Manual models available. shaft lubricated for extended following uses: Pumping range: see PE31 Motor: service life. • Mound Systems performance chart or curve. • .33 HP, 3000 RPM M Powered for continuous • Effluent/Dosing Systems PE31 Pump: • 12.0 Maximum amps operation. • Low Pressure Pipe Systems • Maximum capacity: 50 GPM • Shaded pole design All ratings are within the • Basement Draining • Maximum head: 25' TDH PE41 Motor working limits of the motor. - • Heavy Duty Sump/ PE41 Pump: • .40 HP, 3400 RPM E Quick disconnect power coed, 20`standard length, Dewatering • Maximum capacity: 60 GPM • 7.5 Maximum amps heavy duty 16/3 d siTw length, with • Maximum head; 29` TDH • PSC design NEMA 5-15P, three prong, PE51 Pump: PE51 Motor: 115 volt grounding plug. • Maximum, capacity: 70 GPM • .50 HP, 3400 RPM W Complete unit is heavy duty, • Maximum head: 37` TDH • 9.5 Maximum amps portable and compact. • PSC design E Mechanical seal is carbon, METERS FEET ceramiG BUNA and stainless 40 MODELS: PE31, PE41, PE51} steel. -33,.40,,!50 E Stainless steel fasteners. 35' K 10 _ j 2 GPM AGENCY LISTINGS 30 --PE41 v_ w_ - . IF S ,a 25 PE31 z Tested to UL 778 and a 2`'20 CSA 22.2108 Standards 4 - - - BY Canadian Standards Assodation O 15 We #LR38549 1 Gouds Pumps is ISO 9001 Registered. 5 30 40 50 60 70 GPM 80 o 10 15 m3ih Goulds Pumps -i - - ~nt77 re!!Idc Pumps CAPACITY - r t -30 tz \ -Ilk Wis. Dept. of Safety and Professional Services EVALUATION REPORT Page of Division of Safety and Buildings ( in accord is. Adm. Code ~S )~i 1 aZ County ✓ Attach complete site plan on paper not less t► x 11 inches in size. Plan must include, but not limited to: vertical and horizontal referenctPQi t~t), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, i6n gdd distance to nearest road. Please print all infor q9t,00UNT y Reviewed %by l Date ` Personal information you provide may be used for se ~ ri aacry Law. s. 15.04 (1) (m)). 612.1 Property Owner Property Location Govt. Lot 1/ 114 S I:Z T N R E (or Properly Owner's ailing Address Lot # Block # Subd. Name or CSM# City Stag Zi a Phone Number ❑ City ❑ Village OTown a est Road New Construction Use: Residential / Number of bedrooms Code derived design flow rate GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Flood Plain elevation if applicable ft. General comments / and recommendations: 0 7O ❑ Boring Boring # Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. * ff#1 * ff#2 -3 a Boring # ❑ Boring Pit Ground surface elev. 1<~'2 ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft z in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. * ff#1 * ff#2 * Efflu nt #1 = 130D > 30 < 220 mg/L and TSS >30 < 150 mg! * Effluent #2 = BOD < 30 mg/L and TSS 30 mg/L CST Nam ease P t) 2~ L'12 S' atur CST Number Address Date Evaluation Conducted Telephone Number SBD-8330 (RI 1/11) PropertyOwner Parcel ID # Page . of Boring # ❑ Boring 'Ll ® pit Ground surface elev. ft- Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft 1 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ff#1 ff#2 - 5 All ❑ Boring # F1 Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft s in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ff#1 ff#2 ❑ Boring D Boring # El Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft s in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ff#1 ff#2 L ' Effluent #1 = BOD , > 30 < 220 mg/L and TSS >30 < 150 mg/L ` Effluent #2 = BOD s < 30 mg/L and TSS < 30 mg/L The Dept. of Safety and Professional Services is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, contact the department at 608-266-3151 or TTY through Relay. IBD-83301R 1111 11 Property Owner Parcel ID e~/i2~ ° - f~Dfl Page of n Boring # ❑ Boring F w ® Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft I in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. * ff#1 ff#26 Z 307 S O Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. * ff#1 ff#2 a Boring # Boring Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. * ff#1 ff#2 * Effluent #1 = BOD , > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD 5 < 30 mg/L and TSS < 30 mg/L The Dept. of Safety and Professional Services is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, contact the department at 608-266-3151 or TTY through Relay. SBD-8336 (R) 1/11) sJ ~ ~ ~J ;•t1 0 r \ - - - _ o 2 ! 4 - - c.- a~ ! o ~ 41 j~ 0 i y_ . 41 i y ST. CROIXI,6~- C. Land Use j~Planning & Land Information V Resource Management Community Development Department January 3, 2017 File#: LUP-2016-060 Gregory & Jodi Heichert -i c o P y 1513 Hidden Valley Circle Houlton, Wl 54082 i Re: Conditional Approval LUP-2016-060, Shoreland Overlay District Chapter 17.30 Parcel ID Number 032-2103-40-000; Green Acres First Addition Lot 15 Project Site Address: 1513 bidden Valley Circle, Gregory & Jodi Heichert, Community Development Department staff have reviewed the Land Use Permit application for the construction of a new single-family dwelling, driveway and Private Onsite Wastewater Treatment System (POWTS) within the Shoreland Overlay District, Chapter 17.30. The request has been conditionally approved based on the application submission and the following findings. Please see the enclosed site plan to reference the general erosion control and grading notes. • All structures will meet the required 75-foot setback from the waterbody. • There will be more than 2,000 square feet of land disturbance activities on slopes less than 12%; approximately 30,000 sq. ft. • Proposed impervious surface will be less than 15%; approximately 8%. • Erosion control plans have been submitted that are compliant with WDNR Technical Standards for Erosion and Sediment Control. • The proposed structure will not be greater than 35-feet in height. Based on these findings, approval of LUP-2016-060 is subject to the following conditions: 1. The `Rear Yard Plateau' will not be used for any structural improvements. 2. Prior to any site work, the following areas must be flagged to the closest point of the structure, including any roof overhang or eave: a. 75' setback to Shoreland near all proposed structures, including the concrete patio for the pool. b. Proposed dispersal cell area for the POWTS - this is to avoid disturbance until the mound cell is constructed. 3. Erosion control (silt fence, erosion control log or equivalent) is to be installed according to the site plan and product specifications prior to any land disturbance activities. 'f . a. The applicant/agent is responsible for inspecting stormwater and erosion control measures immediately following a major rainfall event. Phone 715.386.4680 Government Center, 1101 Carmichael Road Hudson W154015 Fax 715.386.4686 www.sccwi. us/cdd www.focebook.com/Stcroixcountyw i cddPco.saint-croix. wi. us Community Developm i Department Page 2 b. St. Croix County reserves the right to require additional erosion control measures to be installed during construction if found necessary due to site-specific conditions. 4. The applicant or agent shall notify Community Development Department staff once the items in condition #2 are flagged and erosion control measures are installed so that a pre-construction inspection can be conducted. 5. Once the site has reached final grade, all disturbed areas will be seeded according to the Restoration and Seeding Plan. If another method is used it must be complaint with WDNR Technical Standards. a. Phosphorus fertilizer shall. not be used to establish and/or maintain vegetation, unless a soil test confirms phosphorous is needed. 6. _A post-construction inspection will be required prior to removing erosion control measures to determine the entire project site has reached a point of 70% permanent vegetative cover. it is the applicant/agent's responsibility to schedule this with Community Development Department staff. 7. The applicant shall be responsible to secure any other required local, state or federal permit(s) and approval(s) prior to land disturbance activity. 8. Failure to comply with the terms or conditions above may result in the revocation of this permit by the Zoning Administrator according to Chapter 17.30 (13). This approval is subject to the conditions listed above; it does not allow for any additional construction, structures, grading, paving, filling or clearing of vegetation beyond the limits of this request. Your information will remain on file at the St. Croix County Community Development Department suite. It is your responsibility to ensure compliance with any other local, state, or federal permitting or regulations, including contacting the Town of Somerset and the Wisconsin Department of Natural Resources to inquire if additional permissions are required. This permit is valid for one year, with the possibility of up to two (2) six month extensions if the applicant submits the appropriate permit extension fee and documentation to the Zoning Administrator. The permit card should be posted on the job-site. Please feel free to contact me with any questions or concerns. I am typically available Monday-Friday from 8:00-5:00 PM. If you would like to schedule an inspection, please call the main office so they can direct the next available staff member to accommodate your request as soon as possible; (715) 386-4680. Respectfully, Sarah roher Land Use Technician Enclosure: Grading Erosion Cfntrol Plan EC: Town Somerset CC: File Phone 715.386.4680 Government Center, 1101 Carmichael Road, Hudson, W154016 Fax 715.386.4686 www.sccwi. us/cdd www. focebook. com/stcroixcountywi cdd Pco.saint-croix. wi. us ro ' Z m 7m T~ o X Oc T M Z f N ro f m o Z -iOm-v ]1 SI m~ r C x OD_D t Ty 2 O m~T,~ r T pm O 0~T -Zfn ~Oti T NC DOOT'TDXm ( .X1 m m - Oy 2 -m m Z D (7TT - tZ»~N O Tt. T-Z.I vpT-Dip OD ~fZn fDdDmv 71?3 m~ CZJ D92 m A°m2~n31p ~vDZ L)z C) vn D mZjpSO ZS.ZCI r-+00~ Ot^~m rD O .2, R yZZ pm~p 0>>" wmm>mm ~M-M2>y0 Z Zm-I O8>0=0 pm OT MN 005. D m p Z DST m Nmap OC OTi F 0 ONOMs< w wq o 112OOD,-NV Omtmn2 rm T O pF ~23m y-o m Z Kp -N1Z~ OZ = ?t Np2i0~'[CI C m-i~ m C CNJ ~ lm rn Z'DZ~ D Om rN0 Om D O 2 T D Z S C D m n m m m j 0 tpn m = N O m p 0 m m p O T y m S N mzmmmND pOD TODZT t%CN T-nmmm ZO m-~I NC f cm Sym N ro~ NA O O CZZ ;Z" 00 O m O,ZIyZ 0,> O m 201E O O GO p Zm O 'v pmD Z O O p p m p D m mrD O 2 ti O C Dm T N prp Smy OC 2 ,m N.11 SD SZ NZ Z mS~ N V <OmDOo DAT N ooDm G0 MM 00 ZZ Cm m~ZJTO mom, TO y yN m mp N 21P' Tm mm Z~ p m Ufa OOIH \ ~ 3'lOTltO ~'11tlA N3 ~ f f / c r 25' cyl I Ax, , % I , , , 5 f' 0% @ I J ° i i - m~~=Ars Z 6 n HEICHERT RESIDENCE W~ K~'Alvl~~ ~ANn n~51GN 511.ln10 . p EROSION CONTROL PLAN LOT 15 aK sac 5„~ ~~Z 1818 6f KKCT1 ACME . EAll Q Ali, YN 59701 TOWN OF SOMERSET, WI wiz-is is Fl (715) B51-0654. EMAIL: INFO~KLCS.f Ib County s' O ST ~ / Industry Services Division ( 1 q 1400 E Washington Ae 1 p ~Q I F.0 Sanitary Permit Number (to be filled in by Co.) Inx 7162 ' ti P J_ 8M 7162 ._'~a yn~o S ~4' r _ +ti,OU" Madison. [/Q Y / Z Z6 6 ITY tPAE~l ~a'ss/or nti ~anitary Permit Application ~V~~XsE State Transaction Number Q in accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental un L 27 p4/ p ~ Q is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to project Address (if different than mailing address) the Department of Safety and Professional Services. Personal information you provide maybe used for secondary ~ purposes in accordance with the Privacy Law, s. 15.04(1)(m), Stats. 1. Application Informatio - Please Pri All Information Property Owner's i jame Parcel # 1 r I / Property Owner's Mailing Address Property Location 61 ^ d, Govt. Lot City, State Zip Code Phone Number Section (circle o ) -,Z s~ T N R .-rC E of II. Type of Building (check all that apply) Lot # Subdivision Name 1 or 2 Family Dwelling -Number of Bedrooms F] Public/Commercial - Describe Use OK Block _wJ El City of ❑ State Owned - Describe Use C El Village of k 7J / / !D✓ CSM in rk Town of 6-X , S III. Type of Permit: (Check only one box on line A. Complete line ica e) A. New System ❑ Replacement System El Treatme ldi ank Replacement Only ❑ Other Modification to Existing System (explain) F1 Permit Renewal El Permit Revision El Chan o ❑ Permit Transfer to New List Previous Permit Number and Date Issued B. Before Expiration Plumbe Owner IV. Type of POWTS System/Component e ce: heck all that apply) O o ❑ Non-Pressurized In-Ground ❑ Pressurized In and At-Grade P Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ er Dispersal Component n) ❑ Pretreatment Device (explain) t V. Dis ersal/Treatm nt Area Information: Design Flow (gpd) Design Soil Application Dispersal Area Required (s Dispersal Area Propos System Elevation Rate(gpdsf) i _ VI. Tank Info Capacity in a 2 0 1 Gallons Total # of o Manufacturer Y Gallons Units o ° - New Tanks Existing Tanks U C N V) ~z 0 Septic or Holding Tank ❑ ❑ ❑ ❑ r.- 1:1 El ❑ ❑ ❑ Dosing Chamber VII. Respo sibility Statement- I, the undersigned, assume responsibiln -fir installation of the POWTS shown on the attached plans. Plumber's Sia ature " P/MPRS Number Business Phone Number Plumber's ame Vu) l Plumber's Address (Street, City, State, Zip Code) VII Count iDepartment Use Only Approved Permit Fee Date I ued Issui gent Signat yY ❑ O iven Reason for enial $ 141400 12- 1-7 1 4 IX. Condlil o Disapproval tti i cgi cell must all be selticos ! by m~ intere f r "~D as per management plan pra iidedby plumber. / A. 2. All-setback iw i0'r ien`<s must be maint~.ir:Ed a1 , ` as per aKJkz * cads 1,. dinanom. 7 &J; a11►b 1G`µ Attach to complete plans for the system and submit to the County only on paper t ss tha 8 1/2 x 11 incj~e; ip size I ~~1A `~d~ SBD-6398 (R03/14) TY o fill; 72 a 3._ t ,y 3 3 r~ ~2 o a G 4J r~ ^n O . Vz) \2 Y ~ tz !N 7C 130 ~l LW IM `13S213WOS =10 NMOl /P alt[ IV/•~ 1NI~t'~/i~~F'o6G~J91SI sz~ei 016 SL lOl NVId 311S A2IVNIWIl3Md 3ON301S3N 1N3HO13H I~ O Z° - e- ll 04 gig ail,°',%ll %I r,'r gti ~aM1. / DEN VALLEY CIR DIVISION OF INDUSTRY SERVICES 10541 N RANCH RD vii HAYWARD WI 54843-6462 aS Contact Through Relay http://dsps.wi.gov/programs/industry-services 1 i www.wisconsin.gov Scott Walker, Governor Dave Ross, Secretary October 28, 2016 CUST ID 7-1o. 224263 ATTN: PO WTS Inspector KIM A OCONNELL ZONING OFFICE KO CONSTRUCTION ST CROIX COUNTY SPIA 504 3RD AVE E 1101 CARMICHAEL RD OSCEOL,A WI 54020-8173 HUDSON WI 54016-7708 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/28/2018 Identification Numbers Transaction ID No. 2789848 SITE: Site ID No. 829949 Greg Heichert Please refer to both identification numbers 1513 Hidden Valley Ln above, in all correspondence with the agency. Town of Somerset St Croix County SE1/4, SE 1/4, S14, T3 ON, R20W FOR: Description: Mound, 3 bedroom residence Object Type: POWTS Component Manual Regulated Object ID No.: 1629079 Maintenance required; 450 GPD Flow rate; 26 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Ver. 2.0, SBD -10691-P (N.01/01, R. 10/12), Pressure Distribution Component Manual - Ver. 2.0, SBD-10706-P (N.01/01, R. 10/12), SSWMP Pub. 9.6; 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, construct and located in accordance with the enclosed approved plans and with any component manual(s) referenced abov . The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage it or work at plumbing in the ,state unless licensed to do so by the Department per s. 4-7.06 stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Key Item(s) • In thtr event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, th : property owner must follow the contingency plan as described in the approved plans. In addition; he owner must insr!rc that the operation, rnainti_nance and monitoring duties as described in section VIII of the mound component manual are c nnt)he(, -it 7. A copy of this information must be 20,en to the owner I on completion of the proicct. Reminder • The ocienui;ion of tfie mound system must be. such thal the IorAgest dimension is oriented along the surlace contour per SPS 383.44(6)(a)2. • Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual. • Surface water drainage shall be diverted away from the system area per Mound Component Manual. • Materials shall conform to the requirements of SPS 384. KIM A OCONNELL Pase 2 10/28/2016 • Maintain well and waterline setbacks per SPS 383.43(8)(1). Consult the Department of Natural Resources for well setbacks and other regulations and exceptions. • Insulate building sewer per SPS 382.30(11)(c). 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 1101 /'I S mana«emem pla,7 ;o the o"timcr and anv others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 Fee Received $ 250.00 Balance Due $ 0.00 Patricia. L Shandorf WiSMART code: 7633 POWTS Plan Reviewer, Division of Industry Services (715) 634-7810, Fax: (715) 634-5150 , M - F 8:00 a.m. - 4:45 p.m. pat. shandorf@wisconsin.gov cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday- Friday 8:00 am To 4:30 pm