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HomeMy WebLinkAbout038-1127-90-075 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 592233 GENERAL INFORMATION State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 2814528 Permit Holder's Name: City Village Township Parcel Tax No: Daniel Mondor TOWN OF STAR PRAIRIE 038-1127-90-075 CST BM Elev: Insp. BM Elev: BM Description. ^ } Section/Town/Range/Map No: ijh15/50 UC- 31.31.18.520A-10 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION HI FS ELEV. Septic ^:'r 7 s Benchmark 06 Alt. BM Dosing 7.>" f -br Aeration V Bldg. Sewer Fling St/Ht Inlet Svpt Outlet TANK SETBACK INFORMATION TANK TO P/L . WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt Bottom Dosing Header/Man. Aeration Dist. Pipe 47(, Holding Bot. System Final Grade PUMP/SIPHON INFORMATION Manufacturer ^ Demand St CQ~er -,f { f 1 ! GPM kL C_,J ~q3 Model Number TDH Lift Friction Loss System_Head TDH~ Ft Forcemain Leng Dia.. Dist. to Well r SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside-Dia. Liquid Dept DIMENSIONS _ • SETBACK SYSTEM TO P/L BLDG WELL LAKE/ST AM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System 1 UNIT Model Number: DISTRIBUTION SYSTEM Header/Manifold Distribution Ix Hole Size Ix Hole Spacing Vent to Ai[ Intake 10 LDia [ L.i Pipe ngth y> .(J I DiaSpacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded rMulched Bed/Trench Center Bed/Trench Edges' Topsoil ' Yes No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 1885 80TH ST r` pPO/ 1.) Alt BM Description = I`' r 2.) Bldg sewer length f - amount of cover = , Al I ~ Plan revision Required? [ ] Yes ❑ No Use other side for additional information. * i Date InsB tor's Sign ure Cert. No. SBD-6710 (R.3/97) County Industry Se " St. Croix l K~, 1400 E Washington Ave t ~l s6q Sanitary Permit Number (to be filled in by Co.) S RECEIVED P.O. ox kt P S Madison, WI 5371-1102- 07-7162 J? 3 \AQ pr` `r B 1612011 Samtacy ?,erm1f pplication State Transaction Number 2814528 In accordance with SPS 383.2DG W\4W iQ[JMEWs form to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to Project Address (if different than mailing address) the Department of Safety and Professional Services. Personal information you provide may be used for secondary Same u oses in accordance with the Privacy Law, s. 15.04(1)(m), Stats. /Q'w~ 1. Application Infor tion - Please Print All Information ! a 1 Property Owner's Nam Parcel k Mondor, Daniel 038-1127-90-075 Property Owner's Mailing Address Pro a ocp~ n ~a 1885 800' Street 5 r ~ ~ , Govt. Lot City, State Zip Code Phone Number NW'/,,NW'/4, Section 31 Somerset, WI 54025 T31 N R18Eor(,jrcle one) II. Type of Building (check all tjapply) Lot # ® 1 or 2 Family Dwelling -Number Subdivision Name ❑ Public/Commercial - Describe Us/K.Qr Block # ❑ City of ❑ State Owned - Describe Use CSM Number El village of X 7,4 I ® Town of Star Prairie Ali III. T e of Permit: Check on1 one box on line A. Complete line B if a icable) A. ❑ New System ® Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) ❑ Permit Renewal ❑ Permit Revision [:3 Change of El Permit Transfer to New List Previous Permit Number and Date Issued B. Before Expiration Plumber Owner Q t~ IV. Type of POWTS System./Com onent/Device: (Check all that apply) ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ® Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreaunent Devrce (exp ain) V. Dispersal/Treatment Area Information: Design Flow (gpyfj Design Soil Applic 'on Dispersal Area Requ* (sf) Dispersal Area Pro osed (sf) System levation 450 Rate(gpdsf) 750 1971 98.54' 0.6 VI. Tank Info Capacity in o Gallons Total # of Man facturer w 2 0, `u Gallons Units I a U in h C7 d New Tanks Existing Tanks D !s ~7S Septic or Holding Tank 1000 1000 1 Wieser ncrete tt//~i ® ❑ ❑ ❑ ❑ Dosing Chamber 650 650 1 Wieser Concrete ® ❑ ❑ ❑ ❑ VI1. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. d MP/MPRS Number Business Phone Number Plumber's Name (Print) PI er' Si ature John Schmitt 223760 715-760-0486 Plumber's Address (Street, City, State, Zip Coe) 616 150th Ave. Somerset, WI 54025 i VIII. C un /De artment Use Only Approved =:.ven d sued Issuin nt Signature Reason [brBenial $ t 17 17 IX. Condit rf isapproval 3` i3lsEiet: i+t cell r wet a~ t~ ) "~I y as per rnar.3gement plan pro Aded by plumber. GO n _ 2. All~ ~rect irsMen s must be Mz nta ir.E d all as per Wkabhe crn~= / : rdlna b)v, Attach to complete plans for the system and submit to the County only on paper not less than 8 riz z I I inches in size SBD-6398 (R03114) PLOT PLAN N Project Name: Mondor 3 Bedroom Mound Legal Description: NW114, NW114, S31, T31N, R18W P.I.D: 038-1127-90-075 Subdivision Name: na Lot* 4 SCALE: 1" = 60' Township: Star Prairie Parcel Size: 10.750 Acres County: St. Croix Contour Line Elevation: 97.54' Cell Dimensions: V X 75' 4 inch Sch 40 -ASTM D2665 System Elevation 98.54' Mound Dimensions: 94.81' x 30.83' 2 inch Sch 40 -ASTM D1785 Slope: 17% 1112 Sch 40 -ASTM D1785 A BM1 Elevation: 100.00' To of 2" PVC pipe A BM2 Elevation: 99.91 To of well ■ Backhoe Pits: Tank: 1000 gallon Septic Tank with Pol lok 525, 650 allon Pump Chamber See Aerial Photo, Page 4 of Soil & Site Evaluation for full view of parcel Existing system to be abandonded as per code -'I*S 3151,33, VIA G POLE .514 E 0 p2►~t L)-E 0001""I r~ous~ t t sit M *t ® / Sr4t D ! i U i I_U N 5,pr(c/bv5i TO i< ®~2 y (©N10aR 0 \ 1i7- SOWTI-► P k C 4i TY' LAN E age 11 -P,RTA DIVISION OF INDUSTRY SERVICES 3824 CRFEKSIDE LN c~5 ~9 HOLMEN WI 54636-9466 Contact Through Relay 3 $ http://dsps.wi.gov/programs/industry-services 9 S www.wisconsin.gov .20 w Ado sloNScott Walker, Governor Dave Ross, Secretary December 08, 2016 CUST ID No. 223760 ATTN: POWTS Inspector JOHN F SCH 41TT ZONING OFFICE SCHMITT & SONS EXCAVATING ST CROIX COUNTY SPIA 616 150TH AVE 1101 CARMICHAEL RD SOMERSET WI 54025-6920 HUDSON WI 54016-7708 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 12/08/2018 Identification Numbers SITE: Transaction ID No. 2814528 Daniel Mondor Site ID No. 828682 1885 80TH St Town of Star Prairie Please refer to both identification numbers, above, in all correspondence with the agency. St Croix County NW1/4, NWIA, S31, T3 IN, R18W FOR: Description: Three Bedroom Mound System / Sloping site / Filled area Object Type: POWTS Individual Site Design Regulated Object ID No.: 1657514 Maintenance required; 450 GPD Flow rate; 24 in Soil minimum depth to limiting factor from original grade 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. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. COND'' No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, APP DEPT OF ! stats. The following conditions shall be met during construction or installation and prior to occupancy or use: PROFESSIO) DIVISION OF INC Reminders • This system has been reviewed and approved as an Individual Site Design due to the fact that it will be constructed over a filled area. lzk~~L • A sanitary permit must be obtained from the county where this project is located in accordance with the SEE CORRE requirements of Sec. 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. • All POWTS component piping material shall be SPS 384, Wis. Adm. Code compliant. • The area within 15' downslope of the dispersal cell shall remain undisturbed. Vehicular traffic, excavation or soil compaction is prohibited in this area. • 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. MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN INDEX AND TITLE PAGE Project Name: Mondor 3 Bedroom Mound Owners Name: Daniel Mondor Owner's Address 1885 80th Street Somerset, WI 54025 Legal Description: NW1/4, NW1/4, S31, T31N, R18W Township Star Prairie County: St. Croix Subdivision Name: 10.750 Acre Parcel Lot Number: NA Block Number Parcel I.D. Number 038-1127-90-075 Plan Transaction No. Page 1 Index and title Page 2 Data entry Page 3 Mound drawings 7"OVALLY Page 4 Lateral and dose tank `COVED Page 5 System maintenance specifications 3 Page 6 Management and contingency plan ,~ALE7'YAND Page 7 Septic and Dose tank specifications /US SERVICES Page 8 Effluent filter information TAY Sr~, ~r Page 9 & 10 Pump specifications and curve' Page 11 Plot plan Page 12 Septic tank maintenance agreement Page 13 Warranty deed NJF r Page 14 Map +~~E Attachment Soil evaluation report Designer: John Schmitt License Number: 223760 Date: 11//5/2016 Phone Number: 715-760-0486 Signature: Designed Pursuant to the 7 Mound Component Manual for POWTS Version 2.0 SBD-10691-P (N. 01/01) and both SSWMP Publication 9.6 Design of pressure Distribution Networks for ST-SAS (10181) and Pressure Distribution Component Manual Ver. 2.0 SBD- 10706-P (N. 01/01) Version 7.0 (R. 03/2012) Page 1 Mound and Pressure Distribution Component Design Design Worksheet Site Information (R or C) " R 1 Residential or Commercial Design Note: Sand fill (D) calculations assume a Table 383-44-3 in-situ soil treatment for 300.00 Estimated Wastewater Flow (gpd) fecal coliform of - 36 inches. i~ 1.50! Peaking Factor (e.g. 1.5 = 150%) 450.00 Design Flow (gpd) 17.00; Site Slope 97.54 Contour Line Elevation (ft) 24.00 Depth to Limiting Factor (in) 0.601 In-situ Soil Application Rate (gpd/ftz) Distribution Cell Information 75.001, Dispersal Cell Length Along Contour (ft) = 6.00 Cell Width (ft) 1.001 Dispersal Cell Design Loading Rate (gpd/fe) 11 Influent Wastewater Quality (1 or 2) Are the laterals the highest point_ in the distribution Pressure Disribution Information network? Enter Y or N (C or E) C'1 Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation eft) i 4j Number of Laterals of the highest point. i 0.1881 Orifice Diameter (in) 2.50; Estimated Orifice Spacing ft - 7.50 ftz/orifice 2.001 Forcemain Diameter (in) 7&_0d'1 Forcemain Length (ft) Does the forcemain drain back? ( Y 85.00; Pump Tank Elevation (ft) Enter Y or N 3.25 System Head (ft) x 1.3 12.23 Forcemain Drainback (gal) 13.12 Vertical Lift (ft) 67.32 5x Void Volume (gal) 2.40 Friction Loss (ft) 79.55 Minimum Dose Volume (gal) 0.00' In-line Filter Loss (ft) 39.32 System Demand (gpm J k 18.77 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. o tions choice 0.75 1.25 1.00 ~i 1.50 x x 1.25 x 2.00 x 1.50 x x 3.00 2.00 x 3.00 x _ Gallons/Inch Calculator (optional) Treatment Tank Information _I Total Tank Capacity (gal) P=-- '__T06_0.601 Se tic Tank Capacity al ; Total Working Liquid Depth (in) 'Wieser Concrete I Manufacturer ___1gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information Dose Tank Capacity (gal) Pol lok _ Filter Manufacturer 650.00 j 17.001 Dose Tank Volume (gal/in) 525 - _ Filter Model Number Wieser Concrete Manufacturer Project: Mondor 3 Bedroom Mound Page 2 Mound Plan and Cross Section Views T . . . J 1/10 B Observation Pipe A 5 B . I L Mound Component Dimensions ft A 6.00 ft E 24.24 in H Aft ft K Aft B 75.00 ft F 9.50 in I ft L ft D 12.00 in G 0.50 ft J W 450.00 (ft2) Dispersal Cell Area 1970.66 (ft2) Basal Area Available 6.00 (gpd/ft) Linear Loading Rate 7.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 100.33 (ft) ,r ; ve! H G I F Dispersal Cell 99.04 (ft) Lateral 98.54 (ft)-► Invert Dispersal Cell E D Elevation rll 1> 97.54 (ft) Contour Elevation 17.0 % Site Slope Geotextile Fabric Cover Shading Key D c. I Dispersal Cell See lateral details on 1❑ Topsoil Cap 0 c 1.5 ft Page 4 for number, size, Ca v, Subsoil and spacing of laterals. ❑ p o Laterals are equally ASTM C33 Sand F spaced from the z. v 0.5 ft `Typical Latera4 ' Tilled Layer c distribution cell's © Aggregate o centerline in the distribution cell (AxB). Project: Mondor 3 Bedroom Mound Page 3 Center Connection Lateral Layout Diagram Force main connection via tee or cross to manifold at any pont Laterals are identical S Turn-upw4ball valveor IF x-)IEx12 I : x/241 Laterals 8 forcemain Sch 40 PVC cleanoutplug per SPS Table 384.30-b Holes drilled on the bottom of the lateral. Number of Laterals 4 Orifice Diameter 0.188 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.53 ft Lateral Length (P) 36.69 ft Orifices per Lateral 15 Lateral Spacing (S) 3.00 ft Orifice Density 7.50 ft2/orifice Lateral Flow Rate 9.83 gpm Manifold Length 3.00 ft System Flow Rate 39.32 gpm Manifold Diameter 1.50 in Total Dynamic Head 18.77 ft Forcemain Velocity 4.02 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and SPS 316.300 WAC 4 in. min. Disconnect Tank component is properly vented Alternate outlet location Forcemain diameter Wieser Concrete Manufacturer 2 in. Capacit 650.00 Gallons Volume 17.00 gal/inch A Weep hole or anti- Dimension inches Gallons B siphon device A 20.56 349.45 C B 2.00 34.00 P~ ump off elevation (ft) 85.92 C 4 68 79.55 ~ D i 11.00; 187.00 D Total 38.24 650.00 Dom se tank elevation (ft) Bedding 4unr tank. 85.00 Alarm Manuafacturer `SJE Rhombus _ Note: Switches Alarm Model Number Tank Alert AB containing mercury - may not be used in Pump Manufacturer Zoeller _ this system. Pump Model Number 152 Pump Must Deliver 39.32 gpm at 18.77 ft TDH Project: Mondor 3 Bedroom Mound Page 4 Mound System Maintenance and Operation Specifications Service Provider's Name i John Schmitt Phone) 715-760-0486 POWTS Regulator's Name _ St_ Croix County Zoning Phone 715-760-0486 1 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450 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 eve 3 ears Alarm Should test month) Pressure System Laterals should be flushed and pressure tested eve 3 ears Mound Inspect for ponding and seepage once every 3 years _ Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to SPS 384.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis. Adm. Code- 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished Grade 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Mondor 3 Bedroom Mound Page 5 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. 10112), SSWMP Publication 9.6 (01181), and Pressure Distribution Component Manual Ver. 2.0 SBD- 10706-P (N. 01/01, R. 10/12)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with SPS 383.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent 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 BODS, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOOS, 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 specked 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. Contlngency 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. Project: Page 6 L a5ed an-ss/aoo -3-lU 99,-v8-5Z~-008 ° z 09Lti4 IM 'XMI N341VW OL AMH sn 9LL£M \ 3ivo ld(1N`dW ~I1d35 w o :Nnod-lsod 31vo 00 00/00 VJb :70d-3ad „o-,LS„r L :3]vos doM "A NMVaa 313881103 13531M 21W-059/OOOLdIM N W w -J x H Q N o co O k' a M V N a 0 aw LLJ W M LLI unQ W 00 z a° a L` r 0 F w U w~ w wO M U Z o o z U) LLJ Z r Xop Lo~ w a z 3 LL 'o a U) a °m p Q zz w~ o Q C c U rJ zQ1~ J Q U m0 U w a a o L O¢ F a0. 2 OW IQ-w 0Q to z d of5 N 0 a d O Q a ~ o O O Vi mN ~lw~ N O 7 W o w Z z t m J Ly O e di = Q CO < O J wa WW MO O Q Vd ppp N dM• M cD LL- p Lo m r N p r V) r Y ~U N\~pOrJ~ WQQ rN< 01) Z ~WCL U ZUz HO O W M° in -0. W~~ ~FI U (N~ ZU WN pO M "~J.. ••~?J^ OAF OZLr- N w Uw pw WU r OQW OOW Q W m FN (n z ..o~==0~o°-0 0 U) pv°iFS Q ° z w- X o0 O¢oOQwzpwCY- 6d(D a~° U Z V NO Z Z3mUZ=LJ`s~m~~3 r r p o ~11,.. o w w w O Q `1 cj Y U Q z Z OJ Q °N Q w I ~ o V) w r- ~ „lti a U z ~ w O ~ F d d d w i - - W LX YIIII - a II - I~ Ili .11 ~ I I I I 11 _ II I - ~ I~ 11 5 a I Iv I ~ W LLJ Li I =1 I O L I~ O g~ I (N w ~I c; m II o ~ I a I I 5 I j9b I S w 11 a I~ i I! I o U Q M w r D Q w w a038 Q ~s sv y Q r ~F s o Filters PL-525 EFFLUENT FILTER . olylok, Inc is pleased to add its new commercial filter to its existing line of quality effluent filters. The PL-525 is rated for over 10,000 GPD Alarm (gallons per day) making it one of accessibility Accepts PVC the largest commercial filters in its extension handle class. It has 525 linear feet of 1/16" filtration slots. Like the Polylok PL-122, the new Polylok PL-525 has an automatic shut off ball installed 525 linear feet with every filter. When the filter is of 11161, „ removed for cleaning, the ball will filtration slots ~N_ Rated for over 10,000 GPD float up and temporarily shut off the system so the effluent won't, leave the tank. No other filter on the market can make that claim! Accepts 4" & 6" .y SCHD. 40 Pipe ~ The Pt=525 Effluent Filter should - operate efficiently for several years under normal conditions before requiring cleaning. It is recom- mended that the filter be cleaned every time the tank is pumped or at least every three years. If the installed filter contains an optional' alarm, the owner will be notified by an alarm when the filter needs servicing. Servicing should be Gas deflector done by a certified septic tank A Automatic shut-off pumper or installer.`_ . ball when filter is removed 1. Locate the outlet of the U.S. Patent NG# 6,015,488 septic tank. 5,871,640 2. Remove tank cover and pump tank if necessary. 1. Locate the outlet of the 3. Do not use plumbing when septic tank. filter is removed. Ideal for residential and com- 2. Remove the tank cover and 4. Pull PL-525 out of the housing. mercial waste flows up to pump tank if necessary. 5. Hose off filter over the septic 10,000 Gallons Per Day (GPD). 3. Glue the filter housing to the 4 or 6 outlet pipe. If the tank. Make sure all solids fall filter is not centered under the back into septic tank. access opening use a Polylok 6. Insert the filter cartridge back Extend & Lok or piece of pipe into the housing making sure to center filter. the filter is properly aligned and 4. Insert the PL-525 filter into completely inserted. its housing. 7. Replace septic tank cover. 5. Replace the septic tank cover. s Page 8 'VSSINCE I~~~~r SECTION: 2.20.047 `Q.4L1TY1111M FM1919 0110 Product information presented / 1 \ \ ® L." Supersedes here reflects conditions at time 1108 of publication. Consult factory regarding discrepancies or inconsistencies. MAIL TO: P.O. BOX 16347 • Louisville, KY 40256-0347 visit our web site: SHIP TO: 3649 Cane Run Road • Louisville, KY 40211-1961 www.zoelter.com (502) 778-2731. 1(800) 928-PUMP • FAX (502) 7143624 Durable cast iron construction 959/152/153 EFFLUENT SERIES Model 151 comes standard with a glass-filled polypropylene base (For Pump Prefix /dentiFcation see News & Views 0052) Corrosion resistant powder coated epoxy finish Stainless steel lifting handle Assembled with stainless steel bolts Non-clogging engineered thermoplastic vortex FOR SEPTIC TANK - LOW PRESSURE PIPE (LPP) impeller design AND ENHANCED FLOW STEP SYSTEMS Model 151-1/3HP passes Ys spherical solids .lint[ EFFLUENT Model 152 -.4 HP passes 3/4" spherical solidsSUBMERSIBLE Model 153 - 1/2 HP passes 3 spherical solids 1'/2" NPT DISCHARGE Motor - 60 Hz, 3450 RPM, oil-filled, hermetically sealed, automatic reset thermal overload protected - Carbon/Ceramic seals A@ us Upper sleeve bearing and lower ball bearing running Testsdt.UL ShndardUL778 ` Stand Gar in bath of oil SQud CSA2U.2 No W . 708 20 fi. UL Listed power cord with molded 3-wire plug 11/2' NPT vertical discharge BN and BE standard models include a 20 ft. variable N151JN1521N153 & E151/E152IE153 nonautomatic level float switch BN1511BN152/BN153 & BE1511BE1521BE153 Operates at 130°F In effluent packaged with Pggyback variable Level Float Switch temperatures to (54'C) 1/3_4 & 112 HP, 1Ph 115V or 230V applications All models include a 1 Y2" x 2" PVC adapter fitting Note: The sizing of effluent systems normally requires variable level float(s) controls and properly sized - - - basins to achieve required pumping cycles or dosing timers with nonautomatic pumps. POWDER COATED TOUGH" MAIL T0: P.O. BOX 16347 Louisville, KY 40256-0347 SHIP T0: 3649 Cane Run Road Louisville, KY 40211-1961 (502) 778-2731. 1(800) 928-PUMP FAX (502) 774-3624 Manufacturers of . ® QL/,4L/TV PL/MPS ~/INCE r~ © Copyright 2010 Zoeller Co. All rights reserved. Page 9 TOTAL DYNAMIC HEADIFLOW w PUMP PERFORMANCE CURVE PER MINUTE 5 LL MODEL 151/1521153 EFFLUENT AND DEWATERING 50 4 45- 12 153 MODEL 151 152 153 40 Feet Meters Gal. Liters Gal. Liters Gal. Liters 35 5 1.5 50 189 69 261 77 291 10 152 - 10 3.0 45 170 61 251 70 265 30 15 4.6 38 114 53 201 61 231 8 26 151 - 20 6.1 29 110 41 167 52 197 25 7.6 18 61 34 129 42 159 30 9.1 - - 23 87 33 125 °r 6 20 35 10.7 - - 22 85 is 40 12.2 - - - - 11 42 4 Shut-off Head: 30,L (9.1m) 38 It (1Ism) 44 R 13.4m f0 014508B 2 5 0 Model 151 Models 152 1153 10 20 30 50 60 70 80 90 100 GALLONS i 57fiZ 67!32 LITERS 0 40 80 120 160 200 240 280 320 360 178 456 3718 4516 I PLOW PER MINUTE 014508A I } e g 3719 3718 y I i \ a 1 3 718 ® 3718 e • Timed dosing panels available - 1 1rr NPT • Electrical alternators, for duplex systems, are available and supplied with an alarm • Variable level control switches are available for controlling single phase systems I j • Double piggyback variable level float switches are available for variable level long and short cycle controls • Sealed Qwik-Box available for outdoor installations - See 1111116 12118 FM1420 i I 4 15H6 6318 • Over 130°F (54°C) special quotation required { I I t 1 SK2444 SK2064 15111521153 MODELS Control Selection Amps Simplex Duplex Model Volt;Phde N151 115 6.0 1 2 or 3 BN151 115 6.0 Included 2 or 3 E151 230 3.2 - 1 - 2or3 uded 2or3 Easy assembly" BE151 230 3.2 Incl N152 115 8.5 1 2 or 3 (pump 8 discharge pipe BN152 115 8.5 Included 2 013 not included.) 152 2 1 Non 4. 1 2 or BE152 230 1 Auto 4.3 Included 2 or 3 N15 115 1 Non 10.5 1 2or3 BN153 115 1 Auto 10.5 Included 2 or 3 E153 230 1 Non 5.3 1 2 or 3 BE153 2_301-1 Auto 5.3 Induded 2 or 3 E 1. Single piggyback variable level float switch or double piggyback variable level Reduces potential clogging by debris float switch. Refer to FM0477, Replaces rocks or bricks under the pump 2. See FMO712 for correct model of Electrical Alternator E-Pak. Made of durable, noncorrosive ABS 3. Variable level control switch 10-0743 used as a control activator, specify duplex Raises pump 2" off bottom of basin (3) or (4) float system. Provides the ability to raise intake by adding sections of 1 Y2" or 2' PVC piping o caunoN Attaches securely to pump ataliatior o,' controls p o :clo, shouid oro d Accommodates sump, dewatering and effluent applications szd electrician. All elkctucal uld be folly c NOTE: Make sure float is free from obstruction. rcent!lilon0lEi .tic;!C:wf!, For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. © Copyright 2010 Zoeller Co. All rights reserved. Page 10 PLOT PLAN N Project Name: Mondor 3 Bedroom Mound Legal Description: NW1/4, NW1/4, S31, T31N, R18W P.I.D: 038-1127-90-075 Subdivision Name: na Lot 4 SCALE: V= 60' Township: Star Prairie Parcel Size: 10.750 Acres County: St. Croix Contour Line Elevation: 97.54' Cell Dimensions: W X 75' 4 inch Sch 40 -ASTM D2665 System Elevation 98.54' Mound Dimensions: 94.81' x 30.83' 2 inch Sch 40 -ASTM D1785 Slope: 17% 11/2 Sch 40 -ASTM D1785 A BM1 Elevation: 100.00' To of 2" PVC pipe 0 BM2 Elevation: 99.91' To of well ■ Backhoe Pits: Tank: 1000 gallon Se tic Tank with Pol lok 525, 650 gallon Pump Chamber See Aerial Photo, Page 4 of Soil 8 Site Evaluation for full view of parcel Existing system to be abandonded as per code -S(~S 363'33 WAG Po+_ f- S'if~D i D 2►dt 3 g ;~,)~2oci't r,eusx 1 ~ Wf- 1_L, i i a fit Z a ED / ` / 514 & l~vo/~~ a t w ` `iE~'T Ic~Q~s~ T+aN IJI \ 13t ® \ lT~~o \ `~tKt a \ 50LITI.1 PRopc,ZTY L►N G age 11 t a ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mondor, Daniel Mailing Address 1880 80th Street Property Address 1885 80th Street (Verification required from Planning & Zoning Department for new construction.) City/State Somerset, Wl Parcel Identification Number 038-1 127-90-075 LEGAL DESCRIPTION Property Location NW NW , Sec 31 , T 31 N R 18 W, Town of Star Prairie Subdivision Plat: , Lot # Certified Survey Map # , Volume , Page # Warranty Deed (before 2007)Volume , Page # Spec house Dyes[3ro Lot lines identifiable Elyesono SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could remit in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §SPS. 383.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Safety And Professional Services and the Department of Natural Rewurces, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. Ilwe certify that all statements on th' 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 wa my deed recorded in Register of Deeds Office. Number of bedrooms 3 SIGNATURE SFAPPLICANT(S) DATE •a•Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is trade in the warranty decd. (REV. 04112) CJf --~~.,1 .i~f6 RECEIVED Department of #1839 It S III EVALUATION REPORT and ervicesOCT 17"2al6dancewith Comm 85,Wis. 369HpF4DNKPNW Page 1 of 4 SPS Professontals Schmitt Soil Testing, Inc. ST. CROIX COUNTY County Attach complete site plan on patl~Mlptq ~t> ITENELTIAMENTsize. Plan must St. Croix include, but not limited to: vertica and horizontal reference point (BM), direction and - - percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. 0381112 90-075--------- Please print all information. Re wed By Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 61,1 1 /Z Z71140 Property Owner Property Location Mondor, Daniel F. _ Govt. Lot NW1! , NW1/4, 531, T31N, R18W Property Owner's Mailing Address Lot # Block # Subd. N e or CSM# 1885 80th St. NA 10.75 Acres City State Zip Code Phone Number City Village Town Nearest Road Somerset WI 54025 651-341-9314 Star Prairie 80Th St. New Construction Use Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD ;Replacement _J Public or commercial - Describe: Parent material Glacial Till (Amery Series) Flood plain elevation, if applicable NA _ ft. General comments Area is suitable for a mound system. Sysytem elevaation is98.54' based off a contour line established at 97.54'. Slope of area is and recommendations: 17%. Depth to limiting factor is 24". Boring f ❑ Boring # Pit Ground surface elev. 99.04 ft. Depth to limiting factor 24 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots _G_P_ D/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-6 10yr3/4 fill sl 2mgr mvfr as 2vf 0.6 1.0 2 6-18 7.5yr4/4 none grsl 2msbk mvfr gw 1vf 0.6 1.0 3 18-24 5yr4/4 none grsl lmsbk mfr gw lvf 0.4 0.7 4 24-50 5yr4/4 c2d 7.5yr6/8 grsl Om mfi 0.2 0.6 7.5yr6/1 Boring 2 Boring # Pit Ground surface elev. 99.64 ft. Depth to limiting factor 39 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-8 10yr4/3 fill sl 2mgr mvfr as 2f,2vf 0.6 1.0 2 8-20 7.5yr4/4 fill sl 2msbk mvfr cs 2m,2f 0.6 1.0 3 20-28 10yr4/3 none grsl 2msbk mvfr gw 2m,2f 0.6 1.0 4 28-39 7.5yr4/4 none grsl imsbk mfr gw 0.4 0.7 5 39-44 5yr4/4 c2d 7.5yr6/6 sl Om mfr 0.2 0.6 7.5yr6/2 * Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = 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 St. New Richmond, WI 54017 10/7/2016 715-760-1978 SBD-8330 (R.07/00) Property Owner Mondor, Daniel F. Parcel ID# 038-1127-90-075 f Page 2-of 4- _ Boring Boring # ? Pit Ground surface elev. 94.89__ ft. Depth to limiting factor 25in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence) Boundary Roots _ _GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 1 0-8 10yr3/3 none sl 2mgr mvfr as 2m,2f 0.6 1.0 2 8-20 7.5yr4/6 none sl 2msbk mfr gw 2f,2vf 0.6 1.0 3 20-25 5yr4/6 none grsl lmsbk mfr cs 0.4 0.7 - 4 25-36 5yr4/4 c2d 7.5yr6/6 sl Om mf 0.2 0.6 7.5yr6/1 _ j Boring Boring # 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/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2 F-1 Boring Boring # Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD1ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 `Eff#2 Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L " Effluent #2 = BODS < 30 mg/L 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. SB13-8330 (R.07/00) Schmitt Soil Testing, Inc. ' li Page 3 of 4 _Conducted by: Conducted For: Schmitt & Sons Excavating, Inc.. _ Name: Daniel F Mondor Thomas J. Schmitt, CST 227429 Address: 1885 80th St. 586 Valley View Trait - City State, Zip: - Somerset, W154025 ' ! Somerset, W l 54025 Phone: 715-7 0-1978 PID: 038-1127-90-075 Signature _ L- LoYNo.: NA 10.75 Acre Parcel Date _ /V Legal Description:__ _NWi/4 NW114 S31 T31N.R18W i ® Backhoe Pit Township, County: Star Prairie, St. Croix County ® Bench Mark 1 El. 100.00' Top of 2" PVC Pipe` -Bench Mark 2 El. 99.91' Top of well Slope= 17% Scale 1"= 00" Contour Line E1. 97.54' Contour Line Length 75' It r NOTE: For full view of Lot see Aerial Photo (Page 4 of 4) PLC sNF~ . ; I i. ! ! /Ouse VV ! ELL 4 1 ; - ! ! ! 0 ' tom" D ! ! 63 ~r y 62 A ti 1 O'm all W T~~ ~ 1Yr~. f Z i yO" x. ®RA rt JA 3. e -ON k~ Ell ' t F n N ~ x, ~ i ~ RECEIVED TY402ONBH93VW Wisconsin DepartmenZL?'Mg T,Qc7 016 SOIL C V r%LUM I eve v 1 - .ART Page of Division of Safety and s ~ L in accordance with Comm 85, Wis. Adm. Code County ST. CROIX COUNTY Attach co t ® ~ o~f . T8 1/2 x 11 inches in size. Plan must indude, buf not invited to: vertica an onzonta reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Revi ed by Date x Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). V , Property Owner c Property Location Govt. Lot Al/ j 1 /4 p /4 T ~ N R/31. E (or) Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 9 0 1, 51, - City State Zip Code Phone Number Q1 City ❑ Village Town Nearest Road S S?^ S C~ - ((U i) 3,1 l- I r 7 t ❑ New Construction Use: ['Residential / Number of bedrooms Code derived design flow rate ";Or-T GPD Replaoement ublic or commercial - Describe: i Flood Plain elevation if applicable Parent material t-& General comments i4No,&~ 66k and recornmendations: ~ System Type owy en System Elevation ~r ✓ , Boring I Boring # a Pit Ground surface elev. 1 -7 t U ft. Depth to limiting factor v in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 1 0 - 13 r- VOL, ( s^ '11 L~ oil rI LA-I c~ Z I3d -1) . C7- ~ 1 U ? pit Ground surface elev.! ft. Depth to limiting factor ✓ in. Boling # Bonng 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 2- F -13 A- 42 14 6 r- A-1 Effluent #1 = BOD. > 30 < 220 mg/L and TSS >30 < 150 uent #2 = BOD, < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) "re CST Number Bird Plumbing, Inc. Shaun Bird /Joll 226900 Address Date Evaluation C nducted Telephone Number 1432 120th St, New Richmond, WI 54017 - 715-246-4516 Property Owner _ Boring Parcel ID # / Page of ❑ ✓ [3-1 Boring # r~t lLT pit Ground surface elev. ~ Q' ft. Depth to limiting factor ~~jn. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence BoundaRoots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 r 1 3IL~ ,ry ' 6V 30/1 47Z11- Rio 14 s ❑ Boring # ❑ Boring ❑ 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/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ❑ Boring F-1 Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil Application Rate Horizon ')epth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mgA- ' Effluent #2 = BODE < 30 mgft 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 (R.6/00) Soil Test Plot Plan Project Name Dan Mondor Shaun Bir Address 1885 80th St. Somerset Wi 54025 CS #226900 Lot Subdivision Date 9/1/16 NW 1/4 NW 1/4S 31 T 31 N/1318 W Township Star Prairie ❑ Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of wood post System Elevation 96.3' *HRpSame as Benchmark Scale is 1 = 40 unless otherwise noted Existing 3 Bedroom House Barn o Well Over Flow B-2 B-1 97' B.M.* 95' 10% Slope B-3 40 Acre Parcel 180' Scale = 14" = 10' 400' Property Line