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HomeMy WebLinkAbout032-2037-10-200 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: 592232 ,?0^~3 „ ` Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)] G4 > Permit Holder's Name: City Village Township Parcel Tax No Preferred Builders TOWN OF SOMERSET 032-2037-10-200 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Ma No /0 .30.19.615C TANK INFORMATION 41 ELEVATION DATA TYPE MANUFACTURE , CAPACITY STATION BS HI FS ELEV. 1 N N , €3.1 100d oo . u Septic % pump.ql II.T'~ 2,0 -`U Benchmark Dosing „ Dmib 0 LOW Alt. BM Bldg. Sewer /S.55 t741 Aewftyr t! 1 LT"720 /_J^ to 616f7 , l~ 171 Ht Inlet Hal"Inr TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic `,lob t ) Dt Bottom Dosing a ~ Header an. , y J 77 Dist. Pipe .77 10~. ~3 Bot. System ~i 102' Final Grade PUMP/SIPHON INFORMATION Manufacturer / _ - ~ ~ GPM Demand ~ St Cover n ~O y~ ~o K Model Number lp 11 dQ ( /b TDH Li$-; Friction Losss~ System Head TDH Ft G 11 Dist. to well Forcemain I Lengt 2, Dia. Z SOIL ABSORPTION SYSTEM BED/TRENCH Width ` Lengt4 0, No. Of A, A PIT DIMENSIONS No. Of Pith Inside Dia. Liquid Dept DIMENSIONS /Vl l/(1J 011 SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer INFORMATION CHAMBER OR Type Of System: out / t UNIT Model Number: mm I TRIQUTION SYSTEM 1 Heade an'rfo`ld] Distribution ,P x Hole Size I S/~Z Vent to Air Intake 'w x 1 Hole 151~ Spacing g . ~ / , ~ pip Len th Dia Len th) V.54 _ ' s Dia S acing ► 62A4 i) CCC SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Law / Depth Over , t Depth Over xx Depth of xo Seeded/Sodded Mulched Bed/Trench ent Bed/Trench Edges I(I Topsoil >I I 1 ;W Yes E] No es ]N. COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: No Address Avail lae a-~~ C00d , 1.) Alt BM Description = I L, TM ( M12„ 1• ' 11 p 2.) Bldg sewer length = (45) - amount of cover = / 7 LA V o-F Co "V Per PkUMbe4_~ Plan revision Required? ❑ Yes No Use other side for additional informati 15 25 I SBD-6710 (R.3/97) Date nsepctor's Sig atur Cert. No. `!ra REVED County Safety and Buildings Division 201 W. Washington Ave., P.O. BOX 7162 Sanitary Permit Number (to be filled in by Co.) Madison, WL„,53707 7162 ~Qh7 SariltaPy PePri11t App State Transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental u-, ~i 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 u o ses in accordance with the Privac Law, s. 15.04 ] m , Stats. ' / 1. Application Information - Please Print All Information t/ Property Owner's ~m e Parcel # r L ~ (LD r11_ AV ~ -z Z"/) - Property Owne s Mailing Address Property Location ' ti A-!~y Govt. Lot City, State Zip Code Phone Number , / /a, ~ /a, Section J Zre~/ cJ f 3D~ U (circle one} v T Eo II. Type of Building (check all that apply) Lot # ❑ I or 2 Family Dwelling -Number of Bedrooms Subdivision Name Bloc ❑ Public/Commercial - Describe Use 6 ❑ City of CSM Number /d ❑ Village of ❑ State Owned -Describe Use ~ aTownof e:n --izna e 60 eLl r o III. Type of Permit: (Check only one box on line e e line B if applicable) A. ew S stem NN y El Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber El Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner IV. Type of POWTS S stem/Com onent/Device: Check all that apply) ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade t K Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) retreatnI Device (explain) V. Dis ersal/Tre ment Area Information: /'J 74011 / r7_ V Design Flow (gpd)_ J~ ~J Design Soil Application Rate(gpdsf) Dispersal Area Required s ~ Dispersal Area Prop e)(, System Elevation U ° .S VI. Tank Info HCapacity in Total of Manufacturer lons Gallons Units V o FE Existing Tanks o y r; 2 a C7 a.L v ~ Qn wC7 a Septic or Holding Tank Z &V _ l Z ie, ( n s__ Dosing Chamber R L' (J VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Si nature MP/MRS-Number Business Phone Number Plumber's dress (Street, City, State, Zip Code) G l1 C C V I. Count epartment Use Only Approved approve Permit F Date sue ' Issuing ent Signature water iven Reason for D ial IX. CondWY easons for Disapproval A t 1. W-tank, Eiflt nz l'dte* i+t1i w 1 I >~blljl~lr: -~11 nu5t ell be ttrat~i ~ ~ ~ ~ ` ' 3yemen! plan pto 4detl by Offew. 2.Ilr k rec4Jr rten:s moat t+erviinrtFild ` 1 ~y n _ 6G.S SO W i'c p codt, I ~-.rdinancm. aa&_ vv~e~ 4:01611; Id P Attach to complete plans for the system and submit t e Co ty only on pape not less than 8 1 x 1 inches in size du-!~w d b IIR~c..~ ~~..bu~n~1► SBD-6398 (R. 11/11) Plot flan Page Bof's ropeerty ner CF, P, n4. l"=40ft Legal Description (except where note VWA op ii-,wb pit Sntn Str- S7 CRrsrX CCU rry E.t,~S(±ptiStttl= if-k&o G'RiVe North K* 4 z= TCf OF P .1 WOLL -T 74 -z5- To k-Pw, Mw 41 ie, r~ 4~ L NiiO 131719c) F €Js a mat, " Fx:; ~s- V° fir.. , , d~ op DIVISION OF INDUSTRY SERVICES tiP_ E, 2331 SAN LUIS PL STE 150 GREEN BAY WI 54304-5211 t a Contact Through Relay 3i e s P l i http://dsps.wi.gov/programs/industry-services www.wisconsin.gov SRO ssroyti Scott Walker, Governor Eric Esser, Acting Secretary January 30, 2017 5k 0 E SAFL1 CUST ID No. 224832 ATTN: P0WTS Inspector S: 0 NA L. S MARY JO HUPPERT ZONING OFFICE HOLLISTERS SOIL TESTING & DESIGN ST CROIX COUNTY SPIA 28497 KING ARTHURS 1101 CARMICHAEL RD DANBURY WI 54830 HUDSON WI 54016-7708 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 01/30/2019 Iden fication N mbe Transaction ID N. 2899380 SITE: Site ID No. 835144111 - Garret A. & Jennifer A. Belisle Please refer to both i ificat' numbers, 170TH Ave above, in all correspondence with the agency. Town of Somerset St Croix County , S10, T30N, R19W Lot: 2, FOR: Description: Alound System (4 Bedrooms - New Construction) Object Type: POWTS Component Manual R lated Object ID No.: 1690046 Maintenance required; 600 PD Flow rate 38 i Soil minimum depth to limiting factor from on inal rade; System(s): Mound Com nt Manual - Ver. . BD -10691-P (N.01/0 1, 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 rolling a soil sample between the hands. If it rolls into a 1/4- inch wire, MARY JO HUPPERT Page 2 1/30/2017 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 (11)(c) • Well setbacks to meet chs. NR 811 & 812 • SPS 383.54(1)(e) The management plan for a POWTS shall specifically address the servicing mechanics of an aerobic or anaerobic treatment tank or a holding tank where either of the following conditions exist: 1. The bottom of the tank is located more than 15 feet below the elevation where the servicing pad is located. 2. The bottom of the tank is located more than 150 feet horizontally from where the servicing pad is located. • 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,( wisconsin.Qov I MARY JO HUPPERT Page 2 1/30/2017 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 (11)(c) • Well setbacks to meet chs. NR 811 & 812 • SPS 383.54(1)(e) The management plan for a POWTS shall specifically address the servicing mechanics of an aerobic or anaerobic treatment tank or a holding tank where either of the following conditions exist: 1. The bottom of the tank is located more than 15 feet below the elevation where the servicing pad is located. 2. The bottom of the tank is located more than 150 feet horizontally from where the servicing pad is located. • 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 resizing to meet TDH and GPM Specifications. • Areas that are occupied with rock fi-agments, 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 Z This Amount Will Be Invoiced. v~ 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(a wisconsin.gov I MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: GARRET A. & JENNIFER A. BELISLE Owner's Name: (same) NT Owner's Address: 611 Spring Street Somerset, Wi 54025 Legal Description: NW 1/4 OF THE NE 1/4, SEC. 10, T30N, R1 9W Township: SOMERSET County: ST. CROIX Subdivision Name: NA Lot Number. 2 Block Number: NA Parcel I.D. Number: 032 -2037 -10 - 200 Plan Transaction No..- ,l..xttlrgi'!~~.rr1P,'r Page 1 Index and title Page 2 Data entry a Page 3 Mound drawings Page 4 Lateral and dose tank { j'r a uu' ~F- 7 Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and s pecifications Page El Plot plan Designer: Mary Jo Huppert License Number: 1859 - 007 Date: 01125117 Phone Number: 715 - 821 -1440 Signature:` Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N_ 01/01), and both SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) and Pressure Distributi"FORGh ual Ver. 2.0 SBD-10706-P (N. 01/01) Version 7.0 (R. 03/2012) r ' ~ Page 1 of 8 Mound and Pressure Distribution Component Design Design Worksheet 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 fecal coliform of 36 inches. 1.50; Peaking Factor (e.g. 1.5 = 150%) 600 Design Flow (gpd) 17700 Site slope (°k) 104.00 Contour Line Elevation (ft) epth to Limiting Factor (in)- 0.40` ! situ Soil Application Rate (gpdfft2) Distrib Cell Information 60.00 Dispersal Cell Length Along Contour (ft) = 10.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ft2) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? Enter Y or N (C or E) a Center or End Manifold 333 Lateral Spacing (ft) If N above, enter the elevation (ft) 3 Number of Laterals of the highest point. 0.156 Orifice Diameter (in) 3.50 Estimated Orifice Spacing (ft) = 11.76 ft2iorifice 2.00 Forcemain Diameter (in) 8fi.00 Forcemain Length (ft) Does the forcemain drain back? Y 92.00' Pump Tank Elevation (ft) Enter Y or N 55 ystem Head (ft) x 1.3 14.03 Forcemain Drainback (gal) 2.09 ertical Lift (ft) 55.97 5x Void Volume (gal) riction Loss (ft) 70.00 Minimum Dose Volume (gal) In-line Filter Loss (ft) 27.46 System Demand (gpm) 18.06 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection in. dia. o tions choice in. dia. o tions choice 0.75 1.25 x x 1.00 1.50 x 1.25 x x..... 2.00 1.50 x 3.00 2.00 x 3.00 x Gallons/Inch Calculator (optional) nt Tank Information Total Tank Capacity (gal) 1200.00 eptic Tank Capacity (gal) Total Working Liquid Depth (in) Wie Manufacturer galfin (enter result in cell B49) Do bnk for mation Effluent Filter Information 00ose Tank Capacity (gal) PolyLok Filter Manufacturer 2 ose Tank Volume (gal/in) 525 ; Filter Model Number Weiser Manufacturer Project: GARRET A. & JENNIFER A. BELISLE Page 2 of 8 Mound Plan and Cross Section Views 1/10 B T-'t . • Observation Pipe K:: _ W B" ~ L Mound Component Dimensions A 10.00 ft E 26.40 in H Uft ft K 60.00 It F 9.36 ft 9.25 in ft L 78.73 ft 6.00 in G 0.50 ft yy 34.77 ft 600.00 (ft) Dispersal Cell Area 1875.00 (ft) Basal Area Available 10.00 (gpd/ft) Linear Loading Rate 6.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 106.27 (ft) G j 1 F I cell 104.50 (ft) - 105.00 (ft) Lateral Dispersal Invert Elevation © p . t 1 17.0 104.00 (ft) Contour Elevation % Site Slope Shading Key t, a Geotextile Fabric Cover Topsoil Cap ~ a ersal Cell Dtsp See lateral details on c 1.5 ft Page 4 for number, size, nSubsoil Cap a o 5 © ASTM C33 Sand and spacing of laterals. T T Laterals are equally ® C~ Tilled Layer c 0.5 ft Tyrpical Lateral F spaced from the © Aggregate a c o distribution cell's centerline in the A distribution cell (AxB). Project. GARRET A. & JENNIFER A. BELISLE Page 3 of 8 r End Connection Lateral Layout Diagram Center the laterals over the A & B dimension 410 P = Turn-u p wi' ba 11 va Iva or of ea n out plug All laterals are Wentical IE X l Holes drilled on the bottom of the lateral equally spaced S Laterals &forcemain Sch 40 PVC per SPS Table 384.30-6 S Force main connection via tee or cross to manifold at any point. Number of Laterals 3 Orifice Diameter 0.156 in Lateral Diameter 1.25 in Orifice Spacing (X) 3.66 ft Lateral Length (P) 58.56 ft Orifices per Lateral 17 Lateral Spacing (S) 3.33 ft Orifice Densit Lateral Flow Rate y 11.76 ft 2/orifice 9.15 gpm Manifold Length 6.67 ft System Flow Rate 27.46 gpm Manifold Diameter 1.25 in Total Dynamic Head 18.06 ft Forcemain Velocity 2.80 ft/sec Dose Tank Information Locking cover with warning label and locking rfPVWp and sealed watertight Electrical as per NEC 300 and SPS 316.300 WAC Disconnect ~ 4 in. min. Tank component is properly vented E-- Alternate outlet location We1S@r Forcemain diameter Manufacturer 2 in Ca acit 800.00 Gallons • Volume 22.24 gallinch A Dimension Inches Gallons Weep hole or anti- B siphon device ` A 19.92 443.1 B 2.00 C l Pump off elevation (ft) C 3.15 70.00 D 10.90 242.42 92.91 Total 35.97 800.00 D ` Bedding un er tank. ~_Dose tank elevation (ft) 92.00 Alarm Manuafacturer SJE Rhombus Alarm Model Number Tank Alert AB Note: Switches containing mercury Pump Manufacturer GOULD__ may not be used in Pump Model Number PE 49 r this system. Pump Must Deliver 27.46 9 at 8.06 ft DH Project: GARRET A.& JENNIFER . ELISLE Page 4 of 8 Rotund Sim Maintenance and ©neration Specifications Service Provider's Name ADVANCED SEPTIC Phone: 715-703- :33y POWTS Regulator's Name Croof i St x County Zoning Phone 715-386-4680 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 400 gpd Maximum BODS 220 mg/L Septic Tank Capacity 1200 gal Maximum TSS 150 mgtL Soil Absorption Component Size 600.03 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cFu1100 mL Service Frequency Septic and Pump Tank Inspect and/or service once eve 3 ears Ef vent 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 every - 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" Dint ,eter Lawn Threaded Cleanout Sprinkler Valve Bc P Plug or Bali Valve Distribution Lateral Lon Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: GARRET A. & JENNIFER A. BELISLE Page 5 of 8 Mound System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General This system shaft be operated in accordance with SPS 382-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD-10691-P (N.01/01), SSWMP Publication 9.6 (01/81), and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01)] and local or state rues 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 84nches in diameter shall be segued 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 shag 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 runless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shag be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shag 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 shag 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 shaft be inspected at least once every 3 years. All switches, alarms, and pumps shag be tested to verity 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 shag 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 dogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shalt be checked for effluent ponding. Ponding levels shag 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 wig 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. Pretreatrnent 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. &ykKKi~ y JE,4JAi]F9R PJE Lt SL.6 6 of Wastewater METERS FEET 40 . PE51 MODELS: PE31, PE41, PE51 - HP:.33, .40, .50 5 _ 10 2 GPM _ 30 PE41 - 1FT PE31 z 25 u _ T 15 O 10 . 5: _ 0 0 0 10 20 a 30 40 50 ` - 60 70 - GPM 0 0 5 10 15 m3/h CAPACITY PERFORMANCE RATINGS PE31 PE41 Total Head PE51 (feet of water) GPM Total Head Total Head (feet of water) 5 52 PM (feet of water) GPM 8 10 42 10 61 t0 67 15 29 15 46 57 15 59 20 16 20 2 50 25 0 25 33 25 5 39 16 30 H26 35 g Y 7 Plot Plan Page Bo 8 Property Owner C- . ` Tr-- Alk, !F&K A ~ E°--- Legal Description 1 " = 40, fx - z esm u, P,- (except where notego To cm l1t_w q Cp -T-fiF I x' 91 3,0,*j W41 91-- < _ c Ral C _ Pit D 3 Z 2031- io _ zap s North TH ~w t-1A+~ 170~~ :4V~fuE k- MA I Z= TVf of ~E.s tt R y.~: NC' rf fi?Y ti~ ° 7 as• To 5 *rtc TAU,( y 5-0 ro ~1cu l!fj Jgj fity. AMY Hof at~® • t, rf r ~45TM o rr d ~1~17?J ~ >1ST~y,~ ~ ~ ~ r + 01 arty Akq/ Prf:,,,f,r~pt~ X29~lrlprc 1 r xxx 270th Avenue Town of Somerset Plomher - Nelson Dusty Nelson Ply rnhing, ;1 p VOW INT < rutdtitd ~atrrr7e tt:,tl . 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I I i f II I I~ s I I I I ~ I ~e I l i E AI I `-Y i a$ h n~ Y I I, i I I fl I I I I u,«LO ~ I I o I n,e-1- I _ 111 ~ sml ~I lii 1 I j r~ la k`'~ I ~I T vs. c 9 e ~I I ~I ~ 3os g~5o s t6 tt! i§S~ 's,.as L~~~y5saa ~ I ar~ ~Snk "j IL h..~3i caz sass mt~ l i i I fi tto lav ~ ~I I 7 i I iriA YJd ~ fi £ ~ I' ' I _ I I vssw~ J ~ I ' I . J I i ~i ~I .I~ PLC I II r I ~ • f3 , m Wisconsin Department of Safety and Professional Services L S T - jo Division of (6~usq en~~'.'' 1V1 SOIL EVALUATION REPORT Page 1 of 3 7 1017 = in accordance with SPS 383, Wis. Adm. Code Attach compe('pftl"per not less than 81/2 x 11 inches in size. Plan must County ST. CROIX inc{ade, butpot➢lirj"PL. ply honzontal referem- noint (EM}t d ectivrt and Parcel I.D. 032 - 2037 - 1() --UM percent'slope, scale or dimensions, north arrow, and loc Z-00 Please print all informariv,s. iewed Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). h,7 - /Z1 Property Owner Property Location GARRET & JENNIFER BELISLE Govt. Lot NW 1/4 NE .14 S I T 0 N R 19 E (nr)® Property Owner's Mailing Address Lot # Block # Subd. Name or C M# 611 Spring Street 2 f#fff#jRg) Vz.-~ P&Z&d city State Zip Code Phone Number ity E ]Village Town Nearest Road Somerset, WI 54025 ( ) 170th Avenue New Construction Use0 Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD ® Replacement ® Public or commercial - Describe: Parent material loamy glacial till Flood Plain elevation if applicable . NA ft, General comments Mound System 0.50 ft. sand fill 0.4c loadin rate and recommendations: g /J - (8-12" frost) Boring # 11 Boring n Pit Ground surface elev. 99.90 ft. Depth to limiting factor 54 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-12 7.5YR3/3 1 Ifsbk mvfr cs 2vf-m 0.4 0.6 2 12-24 7.5YR3/4 sl lf--msbk mvfr cs lvf-m 0.4 0.7 3 24-54 7.5YR4/4 sl If--msbk mvfr 0.4 0.7 2 Boring # ® Boring 106.50 38 Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fg in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-14 7.5YR3/3 sl Ifsbk mvfr 0.4 0.7 2 14-38 7 5YR3/4 sl 1f--msbk mvf 0.4 0.7 3 38-43 7.5YR4/4 sl Om mfr 0.2 0.6 Horizon 3 is a heavy st/saturated * Effluent #1 = BOD > 30 < 220 rrxA and TSS >30 < 150 mg/L * Effluent #2 = BOD < 30 mg/L and TSS < 30 rng/L. CST Name (Please Print) Smt- Address CST Number MARY 3O HUPPERT (Hollister's Soil Testin &Desi n 224832 Date Evaluatio onducted Telephone Number 28497 King Arthur's Court, Danbury, WI 54830 01 - 23 - 2017 715-821-1440 SBD-8330 (807/13) i