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HomeMy WebLinkAbout032-2071-60-020 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 592222 GENERAL INFORMATION State Plan ID No: )/g G Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)] ~S 10 Permit Holder's Name: City Village Township Parcel Tax No: Melissa Harshbager TOWN OF SOMERSET 032-2071-60-020 CST BM Elev: Insp. BM Elev: BM Description: n r Section/Town/Range/Map No: jr " V-i- , ! t " 13.30.20.7778-20 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS _ HI FS ELEV. Septic / Benchmark lOO 1 f V Dosing Alt. BM Aeration f Bldg. Sewer Holding St/Ht Inlet St/Ht Outlet _ TANK SETBACK INFORMATION TANK TO P/I; f WELL BLDG. Vent to Air Intake ROAD Dt hitet' tS J i 6,2S J Septic Dt Bottom 515 C? 5 S Dosing Header/Man. Aeration Dist. Pipe Z -y n J r✓ , Holding Bot. System Final Grade PUMP/SIPHON INFORMATION Manufacturer Demand St Cover GPM 14 1. 1 . Model Number [J / 7-7 - A TDH Lit Friction Lost r System Head TDH Ft Forcemain Length Dia M Dist. to Well SOIL ABSORPTION SYSTEM BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ft SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of $ysigrrl: UNIT Model Number: DISTRIBUTION SYSTEM rLengt eader/Manifold IListribution X Hole Size ix Hole Spacing Vent to Air Intake Pipe(s) Y hDia Length Dia Spacin SOIL COVER' x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over 1 Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Tren~fytiAter Bed/Trench Edges Topsoil r ^ es No Yes No COMM TS: (Include code discrepencies, persons present, etc.) Inspection #1: J inspection #2: vvv P., :3D Location: 1537 23RD ST P/ W: TN+k~• ml 1.) Alt BM Description 2.) Bldg sewer length = r 1l, V~` I 1 1 ~t I?A amount of cover = Plan revision Required? ❑ Yes 4 No Use other side for additional information.`' t 1, ' Date 1 Insepcto Signature Cert. No. " SBD-6710 (R.3/97) _ -S MCI I C: j C«ntty 56 >ti 1 t -7 - va ~ Safety and Buihi" s Divisio 201 W. Washington Ave., P.O. Box 7162 S atitary Permit Number (to be filled in by Co_) t Madison, Wl 53707-7162 'AN Appis State Transaction Number In accordance with SPS 38321(2), Wis. Adm. Code, submission of this form to tn.,, mental unit is required prior to obtaining a sanitary permit Note: Application form for state-owned Pu., to Project Address (if different than mailing addre the Department of Safety and Professional Servies. Personal information you provide may be uses ses in accordance with the Privacy Law, s. 15.114 1 ml, Stam , "Y' ~ - L Application Informs ' - Please Print All Information Property Owner's Name e t et_ Parcel Z Zd7 Q - Q Property Owner's Mailing Address Property Location 15;3tj Z; Sr ~Q t z&.T7a-Zo City, State Zip Code Phone N yl1 VL~ V4, y, Section / 3 h~ p VTe, VV 9 08 .(circle one) II. Type of Building (check all that apply) Lot T 3G~ N; R ~-t-` E or~ ❑ 1 or 2 Family Dwelling - Number of Bedroo 2_____~ Subdivision Name Olt az ~ Block # ❑ PubliclCommercial - Describe Use JAraj S.L. ' Dl V- ❑ City of ❑ State Owned - Describe Use / CSM Number Z ❑ village of 2S -7 p✓ '~A~(,7.[6~~Y Q~Jown of Sf~I~ RSCT 11L Type of Permit: (Check only one boa on line A. Complete line B if applicable) A. ew System ❑ Rat System ❑ Treatrnent/Holding Tank Replacement Only ❑ ter Modification to Existing Systeal (explr R. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before-Expiration Owner IV. Type of POWTS System/Component/Device: (Check all that apply) , ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ AL-Grade Mound > 24 in, of suitable soil ❑ Mound < 24 in. of sui 1e SOB i ❑ Holding Tank ❑ Dispersal Campoxient (explain) ❑ Pretreatment Device (explain) V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil Applicati Dispersal Area Req Dispersal Area ( System Elevation VL Tank Info Capacity in Total # of Manuhwturcr Gallons Gallons Units New Tanks Exsung $ , g Tanks ~ 4; t r a. U sn e, ua is C7 Septic or Holding Tank y 1 rr Dwing Chatnber VII. Responsibility Statement- L the undersigned, assume responsibility for in iallation of the Povi7S sborvn .be attached plans. Plumber's Name (Print) P! s Si a MP RS her Business Phone Number Plwllber's Address (Street, City, State„ Zip Code) ount artment use Onl ,Permit F,x D Issued t is Sigt ue en Reason for t( A--,, //;Z&4/171 IX. Con ' for Disapproval w r4 4'r- - tllwer *i cell r:u st ah ham : ic?s ! nR;lnt& *a per mwzown . plan pt'orjkM by Pk"b r. t A 2 `IK11 itl~bilrle a+q~ rnuht:t+er.^,aittt~ irad 86;W OPPAC" cok / c4nalm. Attach to complete phtas for the system and submit to the County only an paper not less than 8 in 111 inches in size SBD-6398 (R. 11/11) Lw~\a! 4>t tai ti tt //j r t' 1 s~ 1 .4 ' w ±_P.}Lo, 1 i ,r J 3 i, r' fz!a i t .w.~_.,..e.,_a.,.~~"_' ...ems r ~J ~9aTJf~ f.. DIVISION OF INDUSTRY SERVICES lqk 2331 SAN LUIS PL STE 150 O* GREEN BAY WI 54304-5211 C 31 t S K Contact Through Relay ~l P http://dsps.wi.gov/programs/industry-services v www.wisconsin.gov °~Zssro*~ti'~ Scott Walker, Governor Dave Ross, Secretary January 09, 2017 APPRO OF SCI CUST ID No. 223242 ATTIC- POTVRSInspector JEFFERY V FOX ZONING OFFICE JEFF FOX CONTRACTING & SEPTIC INC ST CROIX COUNTY SPIA 2188 100TH AVE 1101 CARMICHAEL RD DRESSER WI 54009 HUDSON WI 54016-7708 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 01/09/2019 Identification Numbers Transaction ID No. 2892968 SITE: Site ID No. 834765 Matthew Harshbarzer Please refer to both identification numbers, 23RD St above, in all correspondence with the agenc Town of Somerset St Croix County NE1/4, SWl/4, S13, T30N, R20W FOR: Description: Mound Svstem (4 Bedrooms - New Construction) Object Type: POWTS Component Manual Regulated Object ID No.: 1687573 Maintenance required; 600 GPD Flow rate; 24 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. • 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. • Divert surface water from POWTS 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 rollim} a soil sample between the hands. If it rolls into a 1/4- inch wire. JEFFERY V FOX Page 2 1/9/2017 ' 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. • All piping shall conform to SPS Table 38430-3 and SPS Table 384.30-5, • Insulate building sewer beyond 30 feet per SPS 38230 (11)(c) • Well setbacks to meet chs. NR 811 & 812 • Tank Installation to follow all manufacture's recommendations. • Verify property line(s) prior to installation. • Pump Floats to be set and verified per approved plan. Any changes may result in pump resizin2 to meet TDH and GPM Specifications. • 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 tim.vanderleest,"cDwisconsin.gov JEFFERY V FOX Pale 2 1/9/2017 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. • 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 (1 1)(c) • Well setbacks to meet chs. NR 811 & 812 • Tank Installation to follow all manufacture's recommendations. • Verify property line(s) prior to installation. • Pump Floats to be set and verified per approved plan Anv changes may result in pump resizin2 to meet TDH and GPM Specifications. • 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 round 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 h.- a: 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/op eration. 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 tim.vanderleest0wisconsin. gov I t MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application !~I 0 ='n'j' INDEX AND TITLE PAGE Project Name: Matthew Harshbager Owner's Name: ^ Owner's Address: 1539 23rd St Houlton WI (aa~ 54082 Legal Description: NW1/4 SW1/4 S13 T30N/R20W Township: Somerset County: ST. Croix Subdivision Name: Part of Volume 1 Page285 Lot Number: 2 Block Number: Parcel I.D. Number: 032-2071-60-000 Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 plot plan Page 9 soil test Designer: Jeff Fox License Number: MPRS 223242 Date: 12/29/16 Phone Number: 715-491-3458 I Signatur6° ~ wr 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-10706-P (N. 01/01, R. 10/12) Version 7.0 (R. 11/12) Page 1 of 9 Mound and Pressure Distribution Component Design Design Worksheet Site Information (R or C) R 11 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) 8.00 Site Slope 98.10 Contour Line Elevation (ft) 24.00 Depth to Limiting Factor (in) 0.40 In-situ Soil Application Rate (gpd/ft2) Distribution Cell Information 75.00 Dispersal Cell Length Along Contour (ft) = 8.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ft2) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? Enter Y or N (C or E) a Center or End Manifold 4.00 Lateral Spacing (ft) If N above, enter the elevation (ft) 2 Number of Laterals of the highest point. 0.156 Orifice Diameter (in) 2.30 Estimated Orifice Spacing (ft) = 9.38 ft2/orifice 2.00 Forcemain Diameter (in) _ 100.00 Forcemain Length (ft) Does the forcemain drain back? ~ Y '89.00 Pump Tank Elevation (ft) Enter Y or N 4.55 System Head (ft) x 1.3 16.31 Forcemain Drainback (gal) 9.69 Vertical Lift (ft) 67.41 5x Void Volume (gal) 2.51 Friction Loss (ft) 83.72 Minimum Dose Volume (gal) 0.00 In-line Filter Loss (ft) 34.46 System Demand (gpm) 16.75 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 1.50 x x 1.25 2.00 1.50 x x 3.00 2.00 x 3.00 x Gallons/Inch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 1250.00 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) lifetime Filter Manufacturer 22.00 Dose Tank Volume (gal/in) 8 Filter Model Number Weiser Manufacturer Project: Matthew Harshbager Page 2 of 9 Mound Plan and Cross Section Views 1/10 B _ _ Observation Pipe K C5 A W I I - B I L Mound Component Dimensions Down slope toe extension made. ft A 8.00 ft E 19.68 in H [Aft ft K Eaft B 75.00 ft F 9.50 in z ft L ft D 12.00 in G 0.50 ft J W 600.00 (ft2} Dispersal Cell Area 1500.00 (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 100.89 (ft) 3' 3 G H SP, rr1 rrrr r/r~rir 2 of rrr/rriirrr. . F Dispersal Cell 99.60 (ft) Lateral 99.10 (ft)-i invert Dispersal Cell} 1 u Elevation 3 98.10 (ft) Contour Elevation 8.0 % Site Slope Geotextile Fabric Cover Shading Key T_ Dispersal Cell See lateral details on 1~ = = Topsoil Cap o a 1.5 ft - t Page 4 for number, size, 20 Subsoil Cap c and spacing of laterals. ©0 ASTM C33 Sand Laterals are equally F spaced from the Tilled Layer ~ a 0.5 ft Typical Lateral distribution cell's ® Aggregate a o centerline in the A +-i- distribution cell (AxB). Project: Matthew Harshbager Page 3 of 9 End Connection Lateral Layout Diagram l Laterals centered over the & dirrwn{ion Turn-up Yd all valve or oleanoutplug P rFor!cva?mainn s are Wentical 1# X -;s Holes drilled on the bottom 0 the lateral 3 equall±d spaced eannection via tee of otoss to manifold at anv point. Laterals &torCemain Sch 40 PVC per 13PS Table 384,30-155 of Laterals 2 Orifice Diameter 0.156 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.37 ft Lateral Length (P) 73.47 ft Orifices per Lateral 32 Lateral Spacing (S) 4.00 ft Orifice Density 9.38 ft2/orifice Lateral Flow Rate 17.23 gpm Manifold Length t3502 ft System Flow Rate 34.46 gpm Manifold Diameter in Total Dynamic Head 16.75 ft Forcemain Velocity ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and r"" SPS 316.300 WAC 4 in. min. Disconnect y Tank component is properly vented Alternate outlet location Forcemain diameter Weiser Manufacturer 2 in. Ca acit 800.00 Gallons T Volume 22.00 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 19.66 432.48 C B 2.00 44.00 Pump off elevation jfr} C 3.81 83.72 89.91 D 10.90 239.80 D Total 36.36 800.00 Dose tank elevation (ft) 3" Bedding under tank. 89.00 Alarm Manuafacturer Rhombus Note: Switches Alarm Model Number MJ Plugger containing mercury may not be used in Pump Manufacturer Zoeller this system. Pump Model Number BN 152 Pump Must Deliver 34.46 gpm at 16.75 ft TDH Project: Matthew Harshbager Page 4 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name Jeff Fox Phone 715-755-2461 POWTS Regulator's Name L St Croix Cty Zoning Phone System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1250 gal Maximum TSS 150 mg/L Soil Absorption Component Size 600 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Inspect and/or service once eve 3 ears Effluent Filter Should inspect and clean at least once eve 3 ears Pump and Controls Test once every 3 years Alarm Should test month) Pressure System Laterals should be flushed and pressure tested every 1.5 ears Mound Inspect for ondin and seepage once every 3 years Other 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 SIPS 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 Lateral Lon Sweep 90 or Two 45 D a ree Bends Same Diameter as Lateral Project: Matthew Harshbager Page 5 of 9 Mound System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General This system shall be operated in accordance with SPS 382-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals (SBD-10691-P (N.01/01, R. 11112), SSWMP Publication 9.6 (01/81), and Pressure Distribution Component Manual Ver. 2.0 SBD- 10706-P (N. 01101, 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 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 Ias necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tanKthat 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 alarrp'is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. % The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1 /3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BOD5, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD5, 30 mg/L TSS, 10 mg/L FOG, and 104 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Continctencv 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. d' x Page 6 of 11 ' TOTAL DYNAMIC H> AAD(FLOW PER MINUTE EFFLUENT AND DEWATERING pLlhlP PERFORMANCE CURVE MODELS 5711521153 MODEL 57 152 153 Fad 44otars [dl bins t;al uWS Cd t!f~s ' S 1$ 43 16a 69 261 ri 99, to aJ0 34 129 61 at to ~ 40 16 4A 19 72 b7 61 239 tz ~ 6.t _ 4a t6t 52 1~ 7A _ _ 34 426 42 q83 'e 30 8.1 - R as 90 35 10.7 - 30 40 12.2 11 gtw-0N Hood; 16.25 R .9 m 6 11.6 is 8 016368 At i? is ~ 37W ~ 63114 4 4aW I 10 l 3716 2 4 5 6y 1S3 a 'I "ri tit 20 30 0 5o to Ta m ~ 7 t- , ur e+vt EtTERS 0 40 60 12o 160 200 240 200 FLOW PER MINUTE , CONSULT FACTORY FOR SPECIAL APPLICATIONS j These systems are not designed for Explosion Proof Environments. l Please consult factory for special options and requirements. +a M mimum sperating temperature range: 3= Purrlp: 130' (54'C) Switch: 170° (76°C) CHOOSE A PREPACKAGED SYSTEM: ~ Includes Pump, 10-1526 and 10-1528 (see tretow) 944-0005 N57 Pump .3 HP 32rns 4s9,A 940-0006 N152 Pump A HP 8404=7 N153 Pump .5 HP l ax7r BUILD YOUR OWN SYSTEM: I N57 Pump HP 3 21M N 152 Pump A .4 HP t N153 Pump .5 HP + 10-1527 Oil Smart@ Pump Switch -10 ft cord with Relay. 10-1528 Olt Smar* Pump Switch - 20 IL card with Relay. ' 10-1676 Oil Smar* Pump Switch - 20 k cord without Relay (requires carttrol Panel). 10-1526 OU Smart@ Alarm System with Lights, Audible Alarms and Dry Contacts. A CAunoN sue All installation of c ontro!s, prefection devices and wiring should be done by a qualified licensed sK2o64 electrician. All electrical anti safety cones should be followed including the most recent National E:ecuic Code (NEC! and the Occupational Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safely facfor is engineered into the design of every Zoeller pump. 0 Copyright 2W5 Zoeller Co. All rights reserved. i t ~Lt 6 S~'st's~?kta - _ Aj//~4, it ~14iR~it/w. p )t Y.•~ Yt,..'i~ i J~~~i~...~ ll~,l jr ~J. t J 6 { F III. S I Y I S F I I ~ S . 7 I i I J i ST. CROIX COUNTY SEPTIC TANK MAINTAMAtNCE AGREEMENT i AND OWNERSHIP C(,ERTIFICATE FORM OwrtcrBuyer I a ~7GC 4 y Mailing Addrest(~ 7 L•i ty ~~G At Zs Property Addres9 CCU Vh ey r 1..?2 (VaificalimrexlaicerifromPlmamgDepmclmmtfaneweao~u 'm~^ City/State~yw, T 'Parcel IdentificationNumbw LEGAL DESCRIPTION ` Property Location Sw''A Sec_5 _'F_j 914-R~ W, Town of `X fCt Subdivision Lot# Certified Survey MapN.~-(i=ce-, Volume - '7/7 Page Warranty Deed# t Volume ~_Page Spec house yes -_Xno Lot fines idedi$able Ayw no SYSTEM MAINTENANCE Improper use and-maintenance ofyourseptic system could result its premature failure to Dandle wastes. Proper maintenance consists of pumping out the septic tank ovety three years or sooner, if needed by a licensed pumper. Whatyoaput.inta the-system can affect the function of the septic tank as a treatmeat stage in the waste disposal system The property owner agrees to-submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterplumber, joumeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on site wastewater disposal.systentisinproper.operating condition and/or (2) after inspectitbn and pumping (ifnecessary), the septic tank is less than 1/3 full of sludge. _ Uwe, the undersigned:havaread_theabove- e t irements artd agree to maintain the private snwage disposal system with the standards set forth, herein, as set by th Department of Commerce and use the Department of Natural Resources, State of wsco Certification statiugtltat your.septic system has been maintained must be completed and returned to the St roix C ty Zoning Office within 10 days of the three year expiration date, sl_x OF APPLICANT DATE W proposed bedrooms ! OWNER CERTIFICATION I (we) certify that• all statements on this form are true to the best of my (our) knowledge I (we) am (are) the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office: ~-1109ATbl(E ` • LICANP DATE * r Any infarmmion that is murcpremrted may result in *e•sarraary pan* being revoked by the Zoning DTzhnn t*' s0 Inelude with this applicstim a damped wakrady deedfioan the ReSker of Deeds office a Copy of the certified survey map ifreferawe is made w1be wawa ty deed Ile 8# SOIL EVALUATION REPORT #1771 =r Safety and r , in accordance with Corn 8Y9 Adm. Code pap 1 of -5 Professionef %W13" Schmitt Sod Testing, Inc. Attach complete site plan or)-papetYrot46jW' eri8Y x 11 inchekin size Plan must County St. Croix Include, but not limited to: vertical:AW trorizontal reference point (BM), direction and percent slope, scale or din isf6 is, north arrow, and location and distance to nearest road. Parcel I.D. a Part of: 32- 71-60-000 Please print all infonnadon. R . By Date Personal infomradon you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 5 Property Owner Property Location Harshbarger, Matthew Govt. Lot NE1/4, W1/4, S13, T30N, R20W Property Owners Mailing Address Lo Block # Subd. Na or CSM# 1539 23rd St. 2 Part Of Lot 1 Vol 1 Page 285 City State Zip Code Phone Number City 0 Village ©Town Nearest Road Houlton WI 54082 651-402-7515 Somerset 23Rd St. New Constriction use: F,~ Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Sandy Loam Glacial Till Flood plain elevation, if applicable NA ft. General comments Area is suitable for a mound system. System elevation is 99.13' based off a contour line established at 98.13'. Slope of area is 8%. and recommendations: ❑ Borings ~ Pit Ground surface elev. 96.16 ft. Depth to limiting factor 24 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consists Boundary Roots GPD/W in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *001 *0102 1 0-14 10yr3/3 none sil 2mgr mfr as lvf 0.6 0.8- 2 14-24 10yr4/3 none sil 2fsbk mfr 9w 1Vf 0.6 0.8 3 24-37 10yr4/4 c1d 7.5yr6/8 sill lmsbk mfr Cs 0.4 0.6 7.5 /3 4 37-67 7.5yr4/4 m2d 7.5yr6/8 sl Om mfl 0.2 0.6 7.5yr6/2 ❑ Boring # Boring ® Pit Ground surface elev. 98.78 it. Depth to limiting factor 27 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/W In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'EW1 •ERi2 1 0-10 10yr3/3 none sil 2fsbk mfr cs 1Vf 0.6 0.8 2 10-27 10yr4/3 none Sid 2msbk mfr cs lvf 0.4 0.6 3 27-34 10yr4/4 c1d 10yr6/8 Sid 2fsbk mfr gw 0.4 0.6 10yr6/2 4 34-62 5yr4/4 c1d 7.5yr6/6 sl 0m mfi 0.2 0.6 7.5yr6/2 ' Effluent #1 = BOD5> 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent 02 = BODs <_30 mg/L and TSS <_30 mg/L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt 227429 Address Schmitt Soil Testing, Inc. Date Evaluation Conducted Telephone Number 1595 72nd Street New Richmond, WI 54017 1/2/2015 715-760-1978 SBD-8330 (807/00) Property Qwner Harshbarger, Matthew Parcel ID # Part of:032-2071-60-000 Page 2 of S El Boring F-1 3 Boring # ® Pit Ground surface elev. 98.68 R. Depth to limiting factor 28 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Fisflenoe Boundary Roots GPDNO in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. •Et 1 -EfW 1 0-7 10yr3/3 none Sii 2fsbk fr cs ivf 0.6 0.8 2 7-28 10yr6/3 none SO 2msbk rs ivf 0.6 0.8 3 28,43 10yr6/4 c1d 7.5yr6/8 fsl icsbk mfr CS 0.2 0.6 10yr6/2 4 43-65 5yr4/4 c1d 7.5yr6/6 SI Om mfi 0.2 0.6 7.5 /2 F41 Boring # Boring Depth to limiting factor 22 in. Pit Ground surface elev. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. 'E1f1N •Effa2 1 0-13 10yr3/3 none sii 2fsbk mfr cs 1Vf 0.6 0.8 2 13-22 10yr4/3 none Sil 2fsbk mfr gw 1Vf 0.6 0.8 3 22-30 10yr4/4 t1d 1yr6r2/ /6 Sid 2fsbk mfr gw 0.4 0.6 10 4 30-74 7.5yr4/4 m2i 10yr26/6 sl Om mfi 0.2 0.6 ❑ Boring F-s]Bodng # ® Pit Ground surface elev. R. Depth to limiting factor 25 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/W in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. TIM •Etra2 1 0-13 10yr3/3 none SO 2fsbk mfr a 1Vf 0.6 0.8 2 13-19 10yr4/4 none sicl 2msbk mfr gw 1Vf 0.4 0.6 3 19-25 7.5yr4/6 none sl lmsbk mfr gw - 0.4 0.7 4 25-72 5yr4/4 c1d 10yr6/6 SI Om mfi 0.2 0.6 10yr6/2 I I i Effluent #1 = BOD? 30 220 mg/L and TSS >30 <_150 mg/L ` Effluent 02 = BOD5 30 mgA. and TSS - 30 M9& I i~ The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBO4330 (IL07/00) Sdwdtt S01 Testtq, br- li I i i I i Properly Owner Harshbarger, Matthew parcel ID # Part of:032-2071-60-000 Page 3 of E] Boring a Boring # M Pit Ground surface elev. ft. Depth to limiting factor 16 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDNt' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'EfW1 'EfW 1 0-8 1"/3 none sl 2fsbk mfr a 1vf 0.6 1.0 2 8-16 Syr4/4 none sl ifsbk mfr a ivf 0.4 0.7 3 16-62 5yr5/4 cld 7.5yr6/8 sl Om mfi 0.2 0.6 7.5yr6/2 ❑ Boring Boring # Pit Ground surface elev. ft. Depth to limiting factor in. El Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Etrr1 •Etf#2 Bori ~ F-1 Boring # L] GI Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIft' In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'EfW Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 a.150 mg/L ` Effluent #2 = BODs 30 mg/- and TSS <_30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (x.07/00) Schmitt 508 Tesft Inc. 4 Page 4 of 5 4 ;C ondaeted-b : t'ondncted-For: Schmitt Soil Testin , Inc_____._-- Name:- Thomas J. Schmitt, CST 227429 Address: 1539 23rd Street - - 595 2nd 8t: --City, Stated Zip-- --HoWtea, WI New RichmondT WI 54017 - _ - Phone: 71-7 Q-1978 _ CSM No ~a.Z~07f _ LotNo: _.___Legal Description:.:_ NFAM SWI 513130 R20NK=-_-- Backhoe Beno-N 1490 Pit Township, County: Somerset Township,_ St. Crow Conn - - - • -_Ae-~_B;anch]liack21~L-97 0$'-Top.of.t4xv-stow conduit. - - _ - - - - - ..T._.-, slope- 8% - 606-1 4(T u/L L /Na - GEeYGTh~ _9D' - DIAI70 C - - - - N?ouie LING" - - - - - - - ~i aLO~t ea - - _ car - 1 3 1' /J .5047 0 N N t oQ m N . M ~ Y S m N r y L Q -W. ; fp Fx T. S I I ti 1 '