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032-2103-90-000
ii r """"°r PRIVATE SEWAGE SYSTEM " St. Croix Sal I :~1'ucv ~I' - INSPECTION REPORT 5aroay r•erw NC 607015 GENERAL INFORMATION (Al EACH t! PLRMITI bGtc " ar I:> N. I'-. zonal nd::rmauon you pm,.12 fray Cv "-C fur :x+;nndary eurDQse I aw I:4 umt 2877902 =ertni: •uae nr'- N.n,1 GI) "11', -,,r -,11.1 -a, NC Eric Bjurstrom and Kathy Wilson TOWN OF SOMERSET 032-2103-90-000 ;T RM 7^v I'll-4; RN E w, 7" L-:vai I CAA p:vo" oernonRawr.~ka°oelraac. Na: ~o p - I / e f 14.30.20.982 TANK INFORMATION ELEVATION DATA fYP= NfiNJVA;;lURF;v CAI'ACITV SIA I')N RS H $ LLt'•:' b!¢nr: I-LO Benchrnaa. ^.O L L fop ws!ny Alt BW rr QQ • V ~ u I SZ LIgq SUVA!. Io3L `IS L I lo_drnc Stmt Inter 1 Z G ~ Z TANK SETBACK INFORMATION SBHt UWlct ANN I a '-JELL HI li:: :.n• to Ar n;ala ROkD Jt fnle: A f~ , D; mr,. - ~>J I I i ~ U I -X aonolr, 7 Is (al i-A o:gq Sol r HeoderrMan. c 5 I 0c)- .crahor: ors nlpe Z. q.5 0D o ,oid:nll Bol. System tx `l9.5z PUMP/SIPHON INFORMATION -1nal radE 5 ~ 0 idancla!:hner 1lomanr S Cover 9? . G 4A Mode N.fmner 17 7 yb ~S.oo -nH rr10. Z7 rnclfgr L Sysle Head To- r L 17 I I P 9.l 5 a b. 15 96,37 T. F:nrema!r _enoth U!a o. ru Duel SOIL ABSORPTION SYSTEM BCD'rRFNCH AA-f l0 1 erq{Ir. D I N: fJt Irc^.:••e:, PH DIMENSIONS r.:. !i' Fr•- P Jia _.paid GeC:r DIMENSIONS \ \ \ SETBACK SYSTFId TO 3_JG 4'de. - I AKEiS-R[ldyi LEACHING Llarmra_tur INFORMATION CHAMBER CUR Tyne o::: 0,A r 5 y' A NA UNIT DISTRIBUTION SYSTEM Fna< Llonibld U d...lu:" 1x HQE Sne ¢I -mp 'Je-' [5 4v Intake ' Z "efnli_ 3 t~ 5 Nr~ SOIL COVER x Pressure Systems Only xx Mound or At-Grade systems only d I r, r curo• { V T:1^ <.n.,^ cd9es -o CID vr~. vcs COMMENTS: (Indlutle s:Kle dis<re{wncies. pe•surrs present etc ; Inslxollon pt .711 7I'(n IrspedUOO #2 Location. :iAr RIDGE. _N 1 Al: 31,1 ✓c:scrlpuor = (08 cc l _ G.~.C{ `vIJ 't l 0 k5 2.i Bldc scwcl Iengtn = p v ~--y "m a o' covet = 1-{ Z N q I Plan Required'' Yes p y I p I Q e'~ I( _ lN/ I ~ Use other ther Sloe r! 45 lo• aatllllonal mf:,rmatloor - 17 r 1 p 1 r~~'/W►~►yV/•J{/(/ U9IC InseOCtG to Y..a_re ^rt No `0o Q PRIVATE SEWAGE SYSTEM St. Croix Saleiy:nnl nw:lmn Devis'on INSPECTION REPORT Sa-nary Perin No GENERAL INFORMATION ATTACH TO PERMIT) &LSie:'Ian ID No PeTtonal in'ermaucn you provide -nay tic w,-ed for Sex.^day Purpof.i, lrne:c:y Lazy is 0e i i gnpl Pe R111•alSu (;rh• ape Township P:ncel l:u No Gerald & Susan Bjork TOWN OF SOMERSET 032-2103-90-000 CST RN rlm• 1 Insp. BM be nit Cv::+:r pion. U"M":, Nu 14.30.20.982 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPiu;;iTY STATION BS III rS CLCV Septic Benchmark Dosing Alt HP,9 iteration H:ng Sevter a Holding S;tat Intel SUM Outlet TANK SETBACK INFORMATION LANK I C Pit WELL BLDG- •enl :u A., crake ROAD Dt Inlet Septic Dt 30nom Dosing -leader.-Man Aeration Drsl Pipe Holding &N Syslvm I anal Gracie PUMP/SIPHON INFORMATION Manufacturer Demand SI Caver GPrn Idodel Numtxr TDH Lifl Friction Loss. Syslein Head TDl I Ft orcemain Length ::ia D,:t. to 90111 SOIL ABSORPTION SYSTEM BED;IRENCH 71' eu9Rr No. Q Trenches PIT DIMENSIONS N. OI fs In::.;L: Dm Liawd Cv,p:n DIMENSIONS SETBACK .SYSTE IA TO PI 1717* 1.4'LLL LAKLiSTHEAM, LEACHING Nanu'acure- INFORMATION Tvp1 Of 5 s-t1m. CHAMRFR OR UNIT Model NumCer DISTRIBUTION SYSTEM Heade,14andold 1re.Int, xltae Sizc xHob Spacing 'dolt to Wrlntaa¢ Prpe.;sl 1 en ,o- Din Length Um SFaGn2 SOIL COVER x Pressure Systems only xx Mound Or At-Grade Systems Only Depth Over Crp:h 0'.rr x~ :h::*- of xk SecdeaSoddeo v Murched ESect Trench Center R,:o Trc-;h Ec>cs oP:roll yr< Vo Vcs No COMMENTS: pnclu;le rotle discrepencies. persons present clr. I Inspection #L Inspection #2-. Location: 1515 OAK RIU(3E I N 1.1 Alt BM Description - 2.) Bldg sevrer length = amount of cover Plan revision Required? Yes No Use other side for additional information Liam 'oq N" SRGti: ' p f H b1g;1 [,,,GOULDS PUMPS Submersible Effluent Pump J. PE - -i. SPECIFICATIONS MOTOR FEATURES ;yts r+:,h; ' •Mf;'. Pump - General: General: ■ Corrosion resistant i~8..'• • Discharge: 1'h' NPT • Single phase construction. • Temperature. 1041(40cC) • 60 Hertz ■ Cast iron body. u maximum, continuous when • 115 and 730 volts ■ Thermoplastic impeller and fully submerged. • Built-in thermal overload pro- cover. F:i'~'KV~p,~ • Solids handling: 'h" tection with automatic reset ■ Upper sleeve and lower maximum sphere. • Class B insulation. heavy duty ball bearing • Automatic models include a • Oil-filled design. construction. APPLICATIONS float switch. • High strength carbon steel ■ Motor is permanently Specially designed for the • Manual models available. shaft, lubricated for extended • Pumping range: see PE31 Motor: service life. following uses: • Mound Systems performance char, or curve. • .33 HP, 3000 RPM ■ Powered for continuous • E(FluenUDosing Systems PE31 Pump: • 115 volts operation. • Low Pressure Pipe Systems • Maximum capacity: 53 GPM • Shaded pole design ■ All ratings are within the working limits of the motor • Basement Draining • Maximum head: 25' TDH PE41 Motor: ■ Quick disconnect power • Heavy Duty Surnpi PE41 Pump: • .40 HP, 3400 RPM cord, 20' standard length, Dewaterin9 • Maximum capacity: 61 GPM • 115 and 230 volts heavy duty 16/3 S1TI I with • Maximum head: 29' TDH • PSC design 115 or 230 volt grounding PE51 Pump: PE51 Motor: plug. • Maximum capacity: 70 GPM • .50 HP, 3400 RPM ■ Complete unit is heavy duty, • Maximum head: 37' TDH • 115 and 230 volts portable and compact. • PSC design ■ Mechanical seal is carbon, METERS FEr,ET/~- ceramic, BUNA and stainless 47 f - - ,oorlr vr3 , er4,. Pr"* steel. PE51 HIP 33, 4o..50 ■ Stainless steel fasteners. 35 10 2 GPM - AGENCY LISTINGS 30 PE41 1 rr ) 00 a 25 PE31. a x CSA 22.2108 Standards By Canadian 5Und4rds ASSOCiaGon z 20 i02*0 Tested to UL 778 and 15 File #LR38549 Goulds Pumps is 150 9001 Registered. 10 040 50 60 70 GPM 80 0 5 10 is m3/h Goulds Pumps _ cnrnaty Ef 2004 2004 i TT water Technology, W: Effective JUne, 2004 ITT Industries Plot Plan Page$of8 Phvelrty Owmer &EKA o A. S-1. Cl p FOK-K ~---I 1 e,. 1 " = 40,J~ u Q7ptlolt Lpt ,0 6Wx-VV qe Ms 1-54~ An r (era" where noza* pRT, of sue'/q of nrE s6 /u, see 14, -r_ W P 2z M Ba ck)hoe pit o~ sou:QSFt sr Cszo~x LNTY0 Ll c tisW 0 3Z- Z►o3-4o-C~QD North 15~1.DD~6yL~~-~KCiE EX~sr~6 Dniv6wAY `j - b - TOPa o4i4 R OR,W Y I Pft1~ i SSG ~ f^ _ iy N<~ inO.CO L°T 20 V QR C 5 000 ,ncR s ?A 4 4 Dose 0 9r. SM p~' F~j ~ J~(r.~ etc, ~a SE: #2= a 99ep' lye '725 FrZt0& 5EPTi.^^ Af~~ =PIK@ IN Y fG't~+ ` 4S•'~" J >-50, FROM 1~R.5lNF Epp (MOUNp) J Its 'byp ~ ~s' YRoFD ED 93V5 Rr-, ° R1VT IA n'- N Od ^`e~ Q O i ,Site Locatlion. y ^ ~ _=o fit e y~E SAi%j of4-oio v4'ar`!ti. I Comm _ lr{ ~,!9IC •t° I ~~;I Safely, anc Buildings Division - 0 + D S r 201 r Washin9for .Ave., ? 0- Box 7162 L Smnrsrl PenniL Numoc-(ty it, Co _i Madison. VA 53707-7182 tv fdiec to i !'~rort'~ St. Cru T, 76/5 ~rar t P-etaiz,Appkauon t~~Z Glr Ma - -T h SM 310- 1 RisAd.-n Cc i_, submis for of too fnr,ce the apptupriine inn O 6 i I un a [K.01 to osmunc a ca at ptntil Noe. Appllaior fm cis fv- state-owno: POPTS we suivaiuec to Itma-.Sddrni ,if dit3ertn: Ihxr, mailing addiessi rp.ntmn. of Saict. a:.c Pnfcssinrs $uvia. Pennon: h,fnn:mGon VOL pmvix may he mscd fo: srcu:xiarc pu sc., In a<::<r t.mcc vnck "r Ones, :aw c SCxi`I Iimt~Swlt 1 Application Information - Please Print .All I ation Pronan Ch.•L>c. Nxac- W 1 50/~ Pacclb i-_]' 7/l•'.-. __C/il- Property Vwna s \•fm mg /dress r r .-~Troucnr Lo:anon) J Cr. Sjor _ Zup Code Phone Numbr LL Type of Buildjng (check all that apply) Lo: k N, R-}~-/'. E rn R' 7 I it t Fannh Dwclimg - Numxr or Hedroucm Suhdiv ion Nano ❑ Nv,l'Z C( ...I.. t r .od ) scone t isc Z PIS _ C11\ of C Stale Uwxd - Descnbc ere n CSN - V dugs of llL Type of Permit I Check only one box on line :L Complete line B if applicable) Neu S\ =n. 1 I [I Replxemcm Svncn, C TtoatrtcmHoldmg Tani: Replac-mem Unly h~ Oth= Modificative to anrnog Sya-ICm (ta; ho:, Fame Rc.nc Nc x.. kcris;or. CWmpc n' Piunn,r Prmit'Irarser m Nervy Premie, P,=nn Number as: P ucd ^forc-rx urwion 5"7zza. 7 7 IN'. Type of PON17S $vstem'CtnnponcrLTleyice: !Check all that appki ❑ Noo-Presstmzcd hr-Gunaic' Praae~ed L,-inuuu:i r .'..-Grade J ]found _?t m of mean ; sod Y h1o-..4 [e c.. of .:nable son _ Iioldmp Yank Cxhn DoPe:sal C Freeceancat _krvite. (raplainl _ Jr has ersib'I'rea •nt Area Information. _ r DesuJ F,ew ;;x••ni' Pcsieu Suil Ap Ap>lICS]o Rate;FFdsll P spew .4i s f e a In V4 ~ispercTl rich Roposod SI st m lacvxtinn l /W r, Iti°D ~ r ~-1. T-ink Info Capxc:q' I:; TnIxI C of \Qanui:n:nacr Gxl1v>s Craliutn , Uai~ - ~ ~ o New Tula'aoxs ' c Y my S.pW m Hulorr'. niu - - ..-rte :Maim : Lamlxx _ - •-f _ • _ - - Nell. Rmpgrtsibilit, Statement- L the ondcrsipoed. axsamr rrsp.nsibibrt foci p)alhoooo nr ibe FOtCTS shown un tl¢ nmched plans P;,Lmhy hxmc tl imli~. , r'lumt~a': tittnaWrc - hKS Ntanxi Busincs: Fbune Nunhe 1 A "-tom _ l~ i s y - anb ;.:4caer~ (Snctt~itt. Stara. ZiF Ccdc - / - - X1,17 ` ~ - t - p ; it 1- = ~r_?;-^~ VIII bunhvmcpartmco lust ant, Appmved isapomv - Perms Pet Pate. sued isaumg ISignature S `/0 • bO / 3 / /9 rvrn keasun io: Orsini IS. Condifao . Qcawns for Disapproval 1. Septin ark,t;fl.. - ~ilr-. n.{ v ♦F Cell i[ dll C=' a `,l_ m r (y~~is pnr aar a5erni plan n i v ,au one. afL ' 21-iRtA' ~ M.• 2. AN iMneck rest r on,- m / t l it c as per ttppprebnnr:; r;«Lr.arn;tt. Amrh m rnmptrm plain fur We n•rteac and enLwi m Wr Coaory only nn paper not kas Wag t nr: I I inthm m xv S13D-62%, IT. I !'I 1 _ fIV13. O4J _:F;;ICUST 'f-,-R'.ICES 2331 SAN LU'S PL STE 150 GkEEN NAY VVI 54304-$211 D S Contact Through Relay \ PS. httplrdses.wi.govip,ograms;,ndustry-services l wvw.w~sconsin.gcv i3~ R s r r Scott Walker, Governor _ _ A` _ Dave Ross, Secretary COhJClT10^L December 21, 1-016 APPROVE DEPT OF SAFE CI_ISSU ID No. 2243=2 ATTV~ POU•TSIm ecrur PROFESSIONAL ! DW1510N OF INDUSTI 69ARY.IG {Il'l'PI?RT ZONISG OFPIC'I; POI 1 IS I LRS S rIl TI:S, FING DESIGN ST CROIX CO(;NTv SI'iA 9 ~ hING ~RTIR ~Ft 1101 ('~R~4ICII:1 1. RD DANBI'RY 11 - R;t) HUDSON M 44116 i0fi -1L_z S_L l,Jl.i.. CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 17..21 .013 Idcntilica:ion Numbers _ Transaction II) No. 287'902 ~Il F': Site IU No. 834250 (;crald & tiusan G. Riork 1'iz:~s. r.'er?o both iil:ui(ic :ion numb,rs, 1'10 Eliddzn V':.Ilcy Cr.'clz : ~nr. in a -r_;rv.'a r~ v.'ri r -_nrv. nt n of $ome!wt ?I (-i'oix Coanty' ~:[:'4, SL1 1, SI4, T39N. R2~'~'r'l i, I 20, Sr l.'iviricn: (,rc, r. I i>. I ~ ..i~, ~.:n 1OR ~=~'-iptiml; 1lnund Srcran (4 Brdroontc - Rrnla<r•raenti ~<;ct Type r'lriVl'S Component blancul Rc_d::?ed Object ID No : in--15:13 +',r,r:znarce rcyuired; 600 GPD Flog rate: 20 in Soil minimum depth to limhin,; facto. from ori"ina! "rack: aemfs) N11-und Component .Nix u:d - Ver. ^.i;, SBD -Ibo91-1' ~;N 01 (1, R- ] 1 rs_;ure Dstributi +n ( rn;:ar.zat .1.ta:.al - V er 2.0, SBD-! ti:?o -P (N.ii Vo l . R- i o ! 2'I; Lff.uent Fi ltcr .-:lethal de cribad above has been rev'icwcd for ennfixmance with applicable 11'isum~in A:iministrative Cod,; ,,r:~ i -.zonsin Sta races. I I;e subn:inal has beer. CONDITIONALLY APPROVED. 'This svstzm is to be ca?s;ru~tcl :.:rd locsled in accordance with the cncioseJ approved plans and •.:iI` .1cy component manual(s) refererced ~ ''.e Droner, as defined in chapter IC 1.(1100. Wiscon;:n Su:l;nrs. is re;pc risible Cur compliance with 311 IL d:: -ai c is ements. '':u person may engage in or work at plumhiag in the state u:r'ecc licensed t:o J:> so by' the Depan:rc;c p.:r .-:.l a_,-i`~r, ;hc ib~ln•.cing condi?toes sha'.I he met during construction or insttdiation and prior to occupancy or u;r • Vresm e dispersal area prior and durin_ construction to avoid disttubance, compaction and a Cnr • th new construction; it is recon, tended not to activate the pump ur the dose tank until the [:,r.i.s ::ri: ,a:I hr r,r to homeowner occupancy. • ~1:nlcwater generated from contractors clearing of equipment am: tools andior leti over construction :.`.u'ts shall not be discharged into (he drahls dischargir?~ to the private onsite waMCt%atcr trcahnent systern ( PUNTS! Waste geaeratcd sliA be properly= disposed of on-sire or off site. • An- tali gasses, leaves and shrubs shall be cut shoe and removed prior to tilling the surrace for its?~Iluti~ n ;:ors cr,l ma-ruw under thz dispersal a%a. All loose or:,aeic materia! to be removed i%om :rouma zre-a. • Divert vrr n(•e M_nrer; ~r,n; Po tI .1':-loop. - - • Prior to construction of the dis pl,rsal arza. check the moisture content ofthe w;l to a dmi;i of .S m ci, s. Snli t-i7~T c mp;:etin- '.f ,:e: ¢nr_u'if. re;nl? n rcdt cin_,. N:e infiIirsuu n c_i _a. ts_u „s:,iL P: r ,.r,.-u err Ify_Jnh'- ,L r i „t, ;t II I 1, ,_i"1 'fCl I_ I:irr I.i,.'ry .:1 i:v~'a ',vi:-r, J 1 12 Ir jig e:1LI r -nnmc ._1 ,c sir i. t..,^iA-etc ~L"nrc.. rl,rx aroceed until it dries. • All piping shall conform to SPS Table 384.30-3 and SPS I able 383.30 • Insulate building scwer beyond M feet per SPS 352.30 (11)(c) • well setbacks to meet chs. NR 811 fit 812 • Tank Installation to R,llow ali manufacture's recommendations. • Verify property line(s) prior to 4ns:a1!x:on. • Pump Floats to beset and verified per unproved plan. Anv changes may result in pump resizin2 to meet TDH and GPM Specifications. • Areas that are ace apied s+ith rncl: ;c[ts, tree IonlS, ^no p, an-' bou'.de.s reduce the amount of soil n ^le for proper t-znrrcu. !fl site av aaa~:e the '-anal area of tl-c mound mast be cut off at -round I ccl. % ]at zr '.11 a: ea is r y vhen rw: o: ta. axroc cnndi:inns are encountered, :o pi pox de sucigient inLlnacve ..Tea, Owner Responsibilities j "I'he M-rent o.vner, and each sabs=icn: o%vacr, shad receive a copy of this letter ;rcluding insmi nuns rela:ins to proper use and maintenance ()'the System. C +ncrs shall receive a copy of the appropriate operation and maintenance manual and or owner's manual far ;he POW IS described in this apP:oval SPS 383.53(1). • in the event this soil absorption system or any of its component parts maacne;>i ns so as to create a hcaltt hazard, the property owner must follow the. contingeacy plan as do:+c-:Led m :I e I . copy of the approved plans, sPecificatior:c and :Lis letter shat: he nr:-:iir .iuri:c c~a reructL n nn:' ooe.-, to i:Tspcc:ion by authorized:cpresentativcs of the D)pza_rtmcnt, whici, . it„lui .,11 .!1 U:, -,~:,,r:, 9'. p.. nirs ny.c:cd by the state or the local mcnicipaLty stall be obtained prior to cccmtcnecmcn: a:- conswctie[V itutallatior,%operation. In granting tfus approval the Division of Industry Services reserves the ri_•ht to require chx: cs addi:nn, conditions arise making them necessary for code compliance. As per state scats 101. 12(-',). nothing in a:is rc~ is•.e shtal relieve the designer of the resporsibEiry• for desitmir. a safe building, structure, or component. i _ Inquiries concerning this correspondence may be made to me at the telepbone number listed below, or at the ad,hrss uu dus letterhead. I he above left addressee shall provide a copy of this lever and the POWTS management p'an to the owner and any ut:'mrs who are responsible for the installation, op er,:tion or maintenance of the POWTS. Sincerely, Fee Required S 250.00 zlcl ~ This Amount Will Be Invoiced. When Yon Receive That Invoice, Vandcr Lees; Please Include a Copy With Your Prorate Sewage Flan Reviewer, Division of Industry Sewioes Payment Submittal. (9'0)492-2214 , Monday - Friday 6 am To 3:30 Pan, WISNIART code: 7633 tier, v:aac:9resn r:'.vi,ronsin.^ov MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN erisidential Apallralinri INDEX AND TITLE PAGE Project Name: GERALD A. & SUSAN G. WORK IYA',) Owner's Name: (same) 'ERVIC,-3 Owner's Address_ 3196 Vaughn Park Road ZY SERVICC"~ Danbury, WI 54830 Legal Description: SE1/4 of the SE1/4. S 14, T30N. R20W Township: Somerset County: St. Croix Subdivision Name: Green Acres Estates 1st Addn. I of Number. 20 Block Number. NA Parcel I.D. Number: 032 - 2103 - 90 - 000 Plan Transaction No.: .d Page 1 Index and title v . Page 2 Data entry r.~nv+•7 ' Page 3 Mound drawings Page 4 Lateral and dose lank 11`£~J Page 5 System maintenance specifications '_E q • . Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Plot plan iT0 i.~l1v Designer: Mary Jo Huppert License Number: 1859 - 001 Date. 12/11116 Phone Number: 715 - 821 - 1440 Signature./''Cl.:.i i Designed Pursuant to the Mound Component Manual for POINTS Version 2.0 SDB-10691 -P (N. 01/01), and both SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01181) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706 P (N. 01/01) Version 7.0,(R , 03/2Q1[4- - r,- Pace 1 of 8 Mound and Pressure Distribution Component Design Site Information R Residential or Commercial Design Note.- $~ntl m_(6) calculations asaun 400.00 Estimated Wastewater Flow (gpd) Taae 383-44-3.0 Ou s"l buatment iriv,ra 1.50 Peaking Factor (e.g. 1.5 = 1 SO%) real colifonn of 3fi mrhes - co0A0 Design Flow (gpd) - 10.00 Site Slope 98.00 Contour Line Elevation (ft) 20.00 Depth to Limiting Factor (in) 0.40 In-situ Soil Application Rate (9Pdlft') Distribution Cell Information 60.00 Dispersal Cell Lenglh Along Contour (ft) - 10.00 Cell Width (It) 1.00 Dispersal Cell Design Loading Rate (gpd/W) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point Pressure Disribution Information in the distribution Y network? e Canter or End Manifold 3.33 Lateral Spacing (fl) If N above, enter the elevation (ft) 3 Number of Laterals of the highest point. 0.156 Orifice Diameter (in) 3.50 ura:-[:Orifice Spacing (ft) = 11.76 f[`/orifice orcemain Diameter (in) 2.0 remain LenglLi (ft) Does the forcemain drain hack? 88.00 Pump Tank Elevation (ft) V ~-1 - _4.55 System Head (R) x 1.3 3.59 forcemain oraVolume inback (gal) Z~ 10 93 Vertical Lift (fl) 80.60 Sx Void 0.36 Friction Loss (ft) (gal) 84 1 Minimum Dose Vol",, (yal) 0.00 In-line Filter Loss (ft) 27.46 . tin 15.84 Total Dynamic Head (ft) ern Demand (gp`r,) MLatera iameter S- election Manifold Diamet er Selection options choice in. dia. o lions choice 1.25 x 1.50 x X 2.00 x x x 3.00 x x Treatment Tank Information Gallons/Inch Calculator i o: l ` 1200-00 Septic Tank Ca aril Total Tank Capacity (gal) P Y (gal) Total Working Liquid Depth (it)) Wieser Manufacturer II I I~___J gal/in (enter result in cell Fi49) Dose Tank information Effluent Filter Information 80000 Dose Tank Capacity (gal) PolyLok Filler Manufacturer 22.24 Dose Tank Volume (gal/in) 525 Weiser Filler Model Number Manufacturer Projrct_ CCRALD A. & SUSAN G- RJORK Page 2 of 8 Mound Plan and Cross Section Views 111013 © - II K 0 0 A B W 1 fl T Mound Component Dimensions A 10.00 k E 28.00 jn H 1.00 ft 10.88 If B 60.00 If F 9.501 1 in 15.54 ft 8135 If D 16.00 in G 0.50 ft J 6.06 It 31.59 If 600.00 (ft) Dispersal Cell Area 1532.14 (ft) Basal Area Available 10.00 (gpd/ft) I inear Loading Rate 6.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 101.13 (ft) I. - G -2: _I IH F 99.33 (ft) Dispers-A Cell " 99.83 (ft) Lateral - Dispersal Cell © Invert Elevation _ E p © - 1 © 98.00 (ft) Contour Elevation 10.0 % Site Slope Shading Key y a Geotextile Fabric Cover _ T Dispersal Cell See lateral details on 1Q Topsoil Cap o 1,5 k Page 4 for number. size. 20. Subsoil Cap + 0 1 n O and spacing of laterals. ASTM C33 Sand 10 7 Laterals are equally F-71 Tilled Layer ~c m 0.5 ft Tvw A i awrai F strrrf from the on cell's n 0 Aggregate e o dislributi centerline in the A distribution cell (AxB). Projecl- GFRAI F) A. 8 SUSAN G. BJORK Page 3 of 8 End Connection Lateral Layout Diagram P ~~~urn-up Mb~rl vwNS Or elunrv.tdrre I -•1 n111Nay ala ..r<W.nrcy I. x-YI rbl<s dlMA OnrM Ddtem OlrM r<rMil .o>. W9 ~D<c<e 5 laderNS 8rerCemMn SC1i 40 PVC per SPS Table :300 30L 5 I Fr+rc<mam com.drnn VrarM Or orra:.~. ro m..yb1A.)r any1~. (Number of Laterals 3 Orifice Diameter 0.156 in Lateral Diameter 1.50 in Orifice Spacing (X) 3.66 ft aleral Length (P) 58.56 ft Orifices per Lateral 17 Lateral Spacing (S) 3.33 ft Orifice Density 11,76 nZ/orifice Lateral Flow Rate 9.15 gpm Manifold Length 6.67 it System Flow Rate 27.46 gpm Manifold Diameter 1.50 in Total Dynamic, Head 15-84 ft Forcemain Velocity 2.80 ft/sec Dose Tank Information Loekmy cover wilh wa«:mg label and la:kmg CF-,,, and Seakvl w'aterwht Ftectrical as per NEC 300 and - - ~ SPS 316.300 WAC 4 rn. min Disconnect ank cornrr,nent e; ProPcdy vonled E--- Allemate o.lllrct lefabrnt Forcemain diametrr N-0a', ser Manufacturer 2 in. acit 800.00 Gallons r ume 22 .24 gal/inch A 1 Dimension Inches Gallons Weep tole or anti- T g Sipnonde~ce A 19.29 428.92 ttt B 2.00 44.48 C Pump if elevation (it) C 3.79 84.18 C..-. 88.91 D 10.90 242.42 Total` J5 97 800.00 D Dose IAnk clue- ,on (rF 3" Bedding Lin er lank - S8 00 Alarm Manunfacturer SJE Rhombus Note Swich.- Alarm Model Number I ank Alert AB ronteinirr. rney not Pump Manufacturer Zoeller Pump Model Number 98 Pump Must Deliver 27.46 gpm at 15.84 ft TDH Project: GERALD A- & SUSAN G WORK Page 4 of 8 Mound System Maintenance and Operation Specifications Service Provider's Name Darrell's Septic Service Phone 715-425-1025 POWTS Regulators Name St. Croix County 7oning 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 Site 600 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cful100 ml. Service Frequent Septic and Pump Tank Inspect and/or service once every 3 ears Effluent Filter Should inspect and clean at least once ever 3 years Pump and Controls Test once: eve 3 years _ Alarm Should test month) Pressure. System Laterals should be flushed and pressure tested eve 1.5 years Mound inspect for ponding and seepage once every 3 years Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to SPS 384.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in SPS 384. Wis. Adm. Code. 4 Tillage of the basal area is accomplished with a mold board or chisel plow. S. I he 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 6-6" Diameter Lawn / - Threaded Cleanout Sprinkler Valve Box _ Plug or Ball Valve Distribution Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: GERALD A & SUSAN G BJORK Page', of 8 Mound System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code TMs system shall he operated in accordance with SPS 382.84 Wise Adm Code and shall maintained in manuals [SBD-10691-P (N_011011. SSWMP Publi,,hon 9.6 (01!81), and Pressure Distribution Can accordance with its' component porcvcf Manual Ver_ 2.0 SB1110706-P IN 01101i an local or state rules pertaining to system maintenance; and maintenance reporting No one should ever enter a septic a 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. Cafe when the tanks am no longer used as POWTS components. Septic or pump tank manhole users, across users and rovers should be inspected for water tightness and soundness. AcuxS opalirgs used for service an assessment shall be se ifod watertight upon the r-omplefion of Service. Any opening doomed unsound, detective. or subject to failure must be replaced. Exposed across 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 lank shall be maintained by an inrvidual certified to Service septic tanks under s. 281 48. Slats. The contents of the Septic tank shall be disposed of n accordance with NR 113. Wis Adm Dille. The operating condition of the septic tank and outlet fitter shall be. assessed at least once every 3 years by uispeicbee, The outlet fitter shall be leaned as nassary, to ensure proper operation. The fcftac ed unless previsions are made to retain solids in the lank that may slougli off he filter when removed closu e fitter is a stauld rot be re equipped with an alone, the fitter shall be Sernced l the alarm is activated antiu^ ously. Intermmentalarms its may indicate surge flows or an impending continuous alarm. The septic tank shall have Iis contents removed when the volume of sludge and scum in the tank exceeds 113 the liquid v'okan , of the tank lithe cxntants of the took are net removed at the time of a triennial assessment. maintenance personnel Shall advise the owntr of when the next savcce roods to be purlxrmid to maintain k---s than maximum scum and The addition of biological or chemical additives to enhance Septic lank podormarn:o is ge Is gioararallaecunet required 0a f lank are used they stag be approved m y net . kwvever, A such products 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 s. tdas, alarms, and pumps shill be tested to ve^ty proper operation. If an efluent fitter is installed within the tank a shall be inspected and serviced as necessary. Mound and Prossure Distribution SVaterl No trees or shrubs should be planted on the mown. Plantings may be made around the mound's perimeter, and the mound shall the seeded an mulled as necessary to prevent erosion and to provide some protection from fast penetration Traffic (otter than for vr:getative maintenance) on the- rerun is not recxlmmerwed sex. soil compaction may hinder aeration of the ingging a surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound tie heavily mulched as protection from ha.vng. Influent quality into Uo mound systan may net exceed 220 mgn. BODs, 150 RgiL TSS, an 30 mgrL FOG fox septic tank effluent a 30 mg1L BOD„ 30 rrglL TSS. 10 nW- FOG, and 104 du/100 mL Ion highly heated effluent Influent flow may not exceed maxmum design flow spo:ufied in the permit fa INS Installation. the pressure distribution system is provided with a flushing point at the. end of each lateral, an it is recommended that each lateral be gushed of accumulated solids at least once every 18 months Wb-m a pre sum test is ppdf edd should be aimpamd to the initial test wdlen the system was installed to determine it orifice clogging has occurred and if orifice leaning is required to maintain equal distribution "thin the dispersal cell Obsebon pipes within the. dispersal cell shall be checked for effluent pondwq Pending levels shelf be reported to the owner, and any levels above 6 inches considered as an impending hydraulic fa hum acquiring addibna1. more frequent monitoring. ConbnoencY If do uiptic tank or oo of its coin Plan Proper opemtino co dition. tS become defective the tank or cerrponent shah be repaired or replaced to keep the system in It the dosing tank. pump. pump controls. alarm or relate wiring becomes detective the defective component(s) shall be immediately repaired or replaced with a component at the same or equal performance It the mound component fails to accept wastewater or begins to discharge wastewater to the ground Surface. it will to mpaired Of replaced in its' present location by increasing basal area if too rrwdia, an related piplrg, an re leakage occurs a by remonrg biologically clogged absorption an dispersal See Page 5 related this plan lor n the n~ a me and saki let coin~ its, as doomed necessary to bang the system into props Operating condibon- ephone number of your liraI POWTS regulator an service Provider. Pre 1 he information an schedule of manantreatRMnt Units units am attached as separate rll xmenu arid arre consOnn-d pad of tfor hvall ~sTiagenen plan such lur !I~ylstematmen; ands or disinlection Project, C-t.F:ALt:` `l1 `11h CAjcK r Page 6 of 8 Iw HEAD CaP r=ll J YYO o i/♦ _T4 w 400E '9~ 5/8 n n 20 ' 1s u - + - i O A a ,d 4 3/16 2 e 5 n 1 U;. caEa_10_ o N +o A 112-11 112 NPT ec ]o ao im uc 0 ao 60 2b fl PER aW1E flM Yelwz lalez 5 h ,3 ]h ,1 ~1 U to . 12 4 31/16 CONSUL I FAC-I"ORY FOR SPECIAL APPLICATIONS u~ae wan a ~x . are avail bile and - Do Variable level float swildles are available for c w*oils sw Mechanical aNamalom. for duplex systems. are available Doubt P be P SYsterrs wim or wilhoot alarm swildles. ie level t variable level float swildlcs are available for variable level bn9 cycle mrrtds. SEIX-CTION cube Standard all models -Wei ght 39 Ibs. - FI.(] il. . ~SOON ,pwibE2Pais m 1 ~ MM11drlralarldt rloudlmlack . N 6, 9B Saries Conbr♦ Salec" f 7 OMoet SrpwjAV6~ YwfaMl brel9oel'ai~ard0,61e Wae6eda w.a61a 1erc1. ll0001 VOasA iflede ~ ~ BiAyt Referb riDlT7. l6B lfs 1 Alb 8.A t Q 1 8 7 _ ~,°1 aBlr 10002 o i000I5. See FWMIZ Am mnBd nOtlYaBU~r~I raga tts 1 Non 44 _ z v2 a 6 J v4 a S S. Oaltd awI 1Pea5 ~ as a mYd aciivow. gmcdy dulaw (J) ar (4) Iii Z10 _ 1 hb 47 1 ar 1 a 7 _ good wjzhart CM ?]0 1 Non 4.T 2ar786 JQ185 8 F' (4) h 14J 1,Amcftn ib t br'yrp04,Kpp,are0lu,vlY46i, - l^Vd+erdaplmtcpwawu 10008 7. T"(2) hole 34Pak for w*Mdi94 mrecfon or 6yMce. Fa.doasi0on m ,:AInW)H afiliary 7td,.+pod,rb dzr b.ayaa m gnl6ark Vuirl► Np1l7T°~-••~ - p~~...~_ Earal9r611~ AN i,WaRiflon of canOdz. Pmbs4on 4nm aM ~Aing .6mW br rkxa by .a ~rz+lifirn S,yeRaSYeieann9~,l rilllBpala9rlnq pQ)y'^_'r^_4ewfe 804/; 6wicndelec4irlan. n0elec4iolnM safae/adrz zhPWtl hefWlarmlincYkfvg na m~i mceN Rarbnal rizceb; Code (MCI and W. Orcupalbaal Satr1Y and W:allb Pcl (05Wit, RE:SEi.RVE POWERED DESs{;r; For mwual cw&jons a reserve sBdety PaClor is engineered into the design of every Zoeber Pump. `S 4M( lft P.Q Bat rso - - - larln3KY 402$y9rl 9178 3MOlaNlfbll -NA06*1=W.. !at®i8E M 4071}Y%'f '11Z - - PUMP !Q I~Jp7Bf .1(a(lg6rf fL..e ^e 58, FAXOM774Ja2/ - l 1~;{.S^ t SERA LD J~~s:. a 8-ioRY~ ----~1 Plot Plan Page$ol8 Property Owner C-eRAW A. Su sa) P SrxtK F-- - 4 1"=40JE Legal Description Lot zO G,~ Acmes 1- n (fit wlkae noted) ~toF sE'/y OF rffE sp_Y41 see 14--r3o , R2D To,,~1 N=Bacuoepit 2SET ST (pn~Y np KA''FYf Wf>cOnIsW 3• em Ackvs Q 3z- Z1o3-4o-OCD North Dh IVEWAV W ~Mp Top or Cut's J 's AP.cµE ~'-OR'KNI;DpY W flssuME7 raO.Op LoT Zo C S. ono ACR s (?A gP d° k J J 8 e ~EFfi ~1~ ~ ~a c To BE ~M'#Z= 9900' W ~ZSFROM yEPTiC TflNY~ C 'KE IN 6~3s' el Aou,upAT \ 3 p >50 FRoM 1~Qr1N FiElI~ (MOUNp) ~.byl iAf Re~ 't 4d - 4 i0\ \U~s7-4 u g~RpoM .00 v~ A ~ kg ° ,yu DWEwNC, 3 7 F. 'v ~y EC, Site LocatlOn. ~o T yfT~ "I. (_:Ro fX C'01-,NIA SEk'"TI T`,.visUAINTzNA.NC:AiikEEML•NT AND ~w vFRSHIP CRRTIF'IC:ATION F0RIv1 Jvrne:,'fu:ci !=l-lL. t ~~rn fsd 1_Saly- - ~kAFNV , ~ Add!ess 6. Asa t,__ ~J l"0! c;/?V,. env 35/2 (Vei ification rewired from Placating-& Zoning Depmtinent for c onstrucuon.; u:' tats _ <'L 7O A Para-1 Idencitication Number _ b? 2 U - c~ t? -DUD t.EGAL DESCRIPTION 21FAf P; cuerti Location ' To, m of chdivision Plar.__G~ G r ES -.Lot 2 2c7 Certified Survey Map Voluttie Pate r \N arranty Deed # (before 2007)Volume . Pave r ipec house yes 0110 Lo: lines identifiabic yes no SYSTEM NLUNITENANCE ANN) OWNER CERTIFICATION Improper use and maintenance of your septic sysicnt could result in its pren,arure failure to handle wastes. !Toper maintenance consists of pumping out the septic tank even, titres years or sooner, if needed, by a iiccused pumper. What you out into the system can affect the function of tit:, septic tank as a treatmern stare in the waste dispusa! system. Owner maintenance responsibilities are specified in §SPS. ?9353(1) and tE Chanter 12 - Si. Croix Coumy Sanitary. Ordinance, The Propcm owner agrees to submit to St. Croix County Planting.@ Zoning, Department a certification form, signed bg the owner and by a master plumber. joutncyrran plumber: restricted plumber or a licensed pumper vcriA~ing that (1) the on-site wastewater disposal system is in proper operas in- condition an&or (2) ancr inspection and pumping (if neccssary), the septic tank is less titan V3 full of sludge. Vwe- the undersignze have read the above requirements and agree to maintain the private sewage disposal system with tilt- standards set forth, herein:. as set by the Department of Saic;y And Professional Services and the Deparunent of Natural Keso'urces. State of Wisroasin. Certification stating that your septic system has been maintained must be compicted and reamed to the St. Cross County Planning & Zoning Department within 30 days of the three Year expiration dare,. L'wc ccr•.ifv that all statement.: on this form are true to the best of myrour knowiedge.. Vwe am!ane tine owner(s) of the proocny described above, by virtue of a w•arr[m y decd recorded in Register of Deeds Office. Number of bedrooms _ r siGN \F OF AYI'LlC Al\'I(S) DA71'L ,*-Any information that is misrcprescilux! ma? result at the sanirarv permit being revoked by the Planning & Zoning Department. Include with this application a recorded wmranty deed from the Register oMeeds Office and a copy of the certified survey map if reference is made in the watranp, deed, f RG V. 04113) /p7,ti ` D ~ \ N p_LLEY_. .m ` ~1 m ' 1 co O~'. /~NW N4 ~ O QO, QN M O O a a 0 : rn z - - ~o`- \ z'' _._..~OOn Via, 0.. n O z co W \ J r C a 09 r ser ,y - - . 'r s •~2 P N r •i ~ _ N P O % W/ 4 W F \ Y V W 4 N N N N O h KF W O W ~ n V U U O V \ Q♦ Q__ 0 dd ~ d ,SOH. O n n d T Q N n O N~ N J rn w ~P 1 A~ N 3.9£ , I LOON ` yq w r4) V ® C N Q J \ ` M1 Q PI N O n Y, go iO Y; 3 , Q 99'644 M•Z O Y tY MI F _ _ SONY -1 031lV-ld Nn v tu - q~rl L D ~~N ~01~7 O/y --~vC ' - Cnunn F "'"ma"r G _ rr'%! , Safety and Buildings Division fa - S * ' ~V F r 1, ^ 201 W. Washington Ave.. P O Box 7102 Coulon Pomn Numbo (lo be lilted hr by Cat R, Madison, VA 53707--7142 S ST. C. MUNI ii Smir fran_wcnoo NumLxr SanltarN Permit Applicatim I "-9 I yr dame NNnh MK te. : 1 l r• .t th1- I..nn I 1 appropmtc F. N mowntal min - µlircd Pnu u . hl u u p n t u I cm t N-41 fL n n 11m: l.. r t ,wtad IM)N IS are submmed to 14olcel ,1d d,t, imnt l an Kuhng 191[c 1 IMpnnminl 1 1 1 1Ny r i I 1 ♦v. nal n u I axon I n. rm vuon v 1. pwNlde may he us d I'or secondmy t f u•>:.scs m;u. ud.mu %kau the l nwa law . Is n4(I 4Ir1, SUI, t_-ll4 r 1. 1 Ipn ication Information - Please Print %it Information ;'T-171 'IN 0111$1 S Name I':ncd V J-~)c/Os'-) -21d3' i I rgmny O smt s MatingAddrecs Pmplny I oca. l . 3~. ac ql '1_ _3 ~rq n) 1~ f'cli l< ~CGUCr GoN.Lot_ _ l t State r /Ip Codc Phone Numlar -5 S Section Y 0(, (arclronc) lJ"7Cl 13 N. R 2c cow i II 1 ypc of Buildi ' (cheek all that apply) It - - i ~v SOd -on Na FS I n Fanuh Ihvrlhng Nundmr nl'1lcdramu - - / I ~S Block a ~J C rt? Publm(ooicrml - Describe Uye_ 1 p CSM11 uuo.hcr start hmc of 1 r.wled - Dcxnly V st \ ~ - I +wn of $ 9 X MoD - Ill.l ypc of Pcrmi : (('heck on y oln bus on line (nmplclc a N' rhaablr _ S stam- - - I I Allier Modification to Existing System exphIoI ( Rid arm nt . I L•Inm I Ic n hdN' ~ A k`tla N SV: ¢ e Ioicli r/!~r cN gnus Pa nui Number and Dat/ It n Pclnul Kan"al C1 pcrnat 6oo I V I'nmha: c I rci•L ro Nca ' I Iic•Ib1 I.xp ration .I _ ~ I\' Ly nr utl (1N'1'V Sy alem!(umLunentl ice: if -ck all Irat ap / C,' !+'l c~✓~a _ L N,, I'rr J In Cmo 1 1 I II In , \ I 2; iu t.l au M1I mod ° 7a Io 01 wdaMr soil L II 'd.up l :A i_1111 ten U I xal l'anl not (eN pia nl .e TsblRnl lk•Ndlc (axplainl \ Dlsper.al troll ealt %raa Information: - - r U- yn I'ur. I l d', D. : Gnf .1pph. h I IL..W(q,d: I Dl+lx-N licgl I I) I I I ,bea Noplrs 00 System hic, son 1. lank Info 1'P 1910 Idol u„l I \1anuhu.ti,rcr c ' ( III nx ~ Oallols Ifv's s J RT- ib IJf_. \ II I(esplrnuhilily Slnlcment- I-I. I~Lh< undtni~nrd, a cumr respoml I IIN m inslailatian of Ibr P(1N I ti ahuwn on Iio auachrd plan. I umltl's N o w IIS inp Plwnlar s NI r Iqa.^ -~11': J11'I(S Numx Kuslm cs Phone Numhel J I Inhf!'s N 1II Itil r\:l ("IN . SUC.fall/ tale) \ I ant '1De rarlmnll 1'se Unly o 1ppm,N.d I'cnnn ftt Uatc sand Issu:n} Slgalurc 1NCn It . m IN'. I coal S &#,D • co & • t I I IV onditlb 1r~ 1lp casons for Disapproval j i U; per. al rill rust n I he , q ~ f'=,_ as per mar 39emen'. pan p-., noel by plumt)e . 2 AN OR"reQl. nt4 moat tw r•.a.nk'r.1 i n per eppkrb)R rM I crdina.iaet. - VnJi.or. mplem pLn.ro.lbr...o-~n and tuhmil la Ne Cnunn only m. palror nut lrx. iLunS b;. ll lmh-n. y.. Still-b?98(K 11 11)