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HomeMy WebLinkAbout030-2161-04-000 36-do,31&7 FIELD INSPECTION & SERVICE REPORT ' INSTALLATION AUTHORIZED SERVICE PROVIDER Installation Address: J'321SY.56, Ad- 5W Name: 0.6A -.,4, C 6. ,W%0 eft E✓~ S 0,11 C Owner Name: Aa &A Street: ' mail Address: /¢a „254-3'6•, WX SV4* Mail Address:3sO pn Ls i I CICV State Zip City GA i at S'W State Zip i Phone (457),343-s/S/;F p Phony (7<,S)ZlO-7767 Fax e-mail a-mail QC[.Sei/d.-,,E;y~tK ! INSTALLATION INFORMATION Model No. Blower Brand and Serial No. Date of Installation Date of last pump-out i Size s~o. 6G so<7 EQUIPMENT DETAILED COMMENTS OF SITE CONDITIONS - I OPERATION YES NO MAINTENANCE PERFORMED OR REQUIRED Electrical Panel s Visual Alarm 0 ratin I Audio Alarm Operating / (if resent /y1Cr»Gc I Slower s : I Air Inlet Filter Clean i Blower Hood Vents Clear Excessive Noise Excessive Vibration Treatment Unit s Unusual Odor S stem Vent Pum out. Re uired: ' Prima Settlin Zone Aerobic Treatment Zone EFFLUENT: LIMIT RESULT ' Estimated Dail Flow vLcl H Standard Units ' 6-9 S.U. Color Clear Tem erature Dissolved Ox in effluent 2m i Odor Slightly Musty odor ot~ not se 6 ' i OWNER SIGNATURE TE NICIAN TUBE SERVICE DATE JNA a0d i Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County. St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No (ATTACH TO PERMIT) 592234 GENERAL INFORMATION State Plan ID No Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)). 2898622 Permit Holder's Name: City Village Township Parcel Tax No: Mike & Anna Gallagher TOWN OF SAINT JOSEPH 030-2161-04-000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: 24.30.20.3187 TANK INFORMATION t ELEVATION DATA TYPE M NUFACTUREVO CAPACITY STATION BS HI FS ELEV. Septic Q( YOb 7 cur Benchmark del Alt. BM 4-W A R t Aeration _ Bldg. Sewer ~ p 1 Q Holding St/Ht Inlet St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Dt Bottom j• Septic -7 fla Dosing L 0 t _~3 , 1 ~ t Header/Man. z .-7 / Aeration Dist. Pipe Z.-7 b/f 7 Holding Bot. System 3 '41 166. '71 ` PUMP/SIPHON INFORMATION Final Grade 1,-7 14Z.3 Manufacturer Demand St Cver GPM Cc-'a Model Number TDH Friction Loss ISystem ead TDH Ft Forcemain Length. i Dia. t~ I Dist. to well SOIL ABSORPTION SYSTEMuQr>w. O BED/TRENCH Width Length No. f Tren h s PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 5 e \ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR UNIT Model Number: Type f Syste -2-7 I Z 3 / J m: DISTRIBUTION SYSTEM OJ Header/Manif d Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) JQ l "~J Length 7 Dia Length • `V Dia / Spacing IL/ g SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only F-Seeded/Sodded IT Mulched Depth Over Depth Over xx Depth of ~~7 Bed/Trench Center Bed/Trench Edges Topsoil d` s No Yes ❑ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 1432 25TH ST 1.) Alt BM Description 2.) Bldg sewer length - , r = J .,J amount of cover ✓1A0 Plan revision Required? [ Yes No Use other side for additional information. _ SBD-6710 (R.3/97) / Date atur Cert. No. sn f v ' a l -LT/ Cowtt~- S vh ^ Safety and Buildings Division t ' x F 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be fined in by Co-) Madison, W! 53707-7162 Sg2~3 Sanitary Permit Application StateTransaction Number In accordance with SPS 38321(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit Note: Application forms for slate-owned POWn we submilved to Project Address (if differeat than mailing addre: th pur e Deportment of Safety and Professional Servies. Personal information you provide may be used for secondary # /A143 ses in accordance with the Priv Law, s. 15.04(1)(m). Stats. r L Application Information - Please Print All Information Property Owner's Name Parcel V\~o<E f1~~=tom f~ (7 ~t~ (N '(Z,, Property Owner's Mailing Address y Location 3~. d, 3 is- -7 I Govt Lot City, State , Zip Code Phone Numbery,, y, Section _!~LL Z((C~rcle on II. Type of Building (check all that apply) " ❑ 1 or 2 Family Dwelling - Number ofBedroo Subdivision Nance B1oc1:tY C.kct C4-. , IJ C rw it, ❑ PubIWCommercial -Describe Use asie_ ❑ City of ❑ State Owned- Describe Use -1 C4M Number ❑ Village of X III. Type of Permit: (Check only one boa on line A. Complete tine B if applicable) a ^4-., A. q.Nevtr system ❑ Rqdacement System ❑ Treatment/Holding Tanis Replacement Only ❑ Other Modification to Existing System (expli B. ❑ Permit Renewal ❑ Permit Revision 0 Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before-Expiration owner TV. Type of POWTS System/Comp Q ouentlDeviee: (Check all that apply) ❑ Non-Pressurized In-Ground El Pressurized In-Ground ❑ At-Grade Round 2:24 in. of sj_mtable soil ❑ Mound < 24 in. of suitable on 0 Bolding Tank ❑ Other Dispersal Component (explain) atment Device (t)cpisin) h~\(, hk ' 1 4~.) T" r V. Dis aUTrea out Area information: Design Flow {gpd} Design Soil App ' Dispersal Area Required Dispersal Area SysteBt Elevation VL Tank Info Capacity in Total # of MamifisCaura Gallons GWlons Units p New Tanks Existing Tsks l ~ ~ c3e - ~ lit/ 7 I a` tg cil m iz G7 Septic or Holding Tack Vvlt EST-T7 Dosing Chamber VII. Responsibility Statement- 1, the undersigned, assume responsibility for instal lion of the POWTs shown on the attached plans. P7umbn s Name {Pratt) Si RS 13 yrhber Business Phone Number f- r._ Plumber _ LIZ T-21~'-&~"` 2- Plumber's Address (Street, City, State, Zip Code) ~TC=~f.-' J Lt o(,l" M Coma artment Use Only Issum t s4nazure Permit Fee Datrol Given R for Denial S-7 90 D //71 IX. Con ' . ns ter Disapproval J) •~r ti qf~ 1. -.septinlark, attltkm Whr end ahgierr ut cell must all be satyts~s ! r„~ ~nta;; :es It, C,P~C, "1f f~~ p e~ asAN',qMrAge"tent plan Pro4ded by plumber. ` I t e ~ 2 11N. mina be r, taintE it ed .J AL e, Y4 ItK` A`' n per tXkribis cAxkt / ,.rdinArtcElt. ac j Attach to emplete picas far the system and submit to the Casa Daly on paper not teas the e tl r/2 111 inchA in size SBD-6398 (R 11/11) 7,0 eC O 1'? - 60 t Gat,f~C. Iti ■ So, % .eda/u4 A 6 XiS bnAj ~ rac/< 2 / 5Ca/P: / = 30 flsi~/17an ~(/C(o~0/Yren L r!'~'S ~~yQra., ~r su, u duos. Q swl'E/Scl'y sec. 2f; T.~vR,, R. ~a~ T , o~SE. 5e,o~, SE . ero;,rC-0,', ,oc.l_ ccO Prop used F~ °nOJ< s be-d~~r►, dom. ~Q Wq~ (~(o~ oscd ~UO PfopaS~ uJ,G,sa.i Cu,arc.~C 8o75i~trea{/11~/~~~W ~~c/oFAs~o.7 4-rq aA;,V-_ Sy~++TtcL srF-irXJ v~CYu~,+~ ° o ~ t tb t c ~ G4 Cf e ~ K ~ Yj ZS~ ~/l Gt SysE e cif = sv'a ~6 a 6dut /tea c e,,~ccrCi~j ~/Tc~ (t~ diS6-r bu~on/a~va,Cs a~ l%1 Xs5!.~' ,.p~ `o/%g oc~{'cedSPac~c~aE~S3.' ~U~% DIVISION OF INDUSTRY SERVICES 10541 N RANCH RD HAYWARD WI 54843-6462 Contact Through Relay y~ P http://dsps.wi.gov/programs/industry-services www.wisconsin.gov Scott Walker, Governor Eric Esser, Acting Secretary February 06, 2017 CUST ID No. 223242 ATTN: POWTS Inspector JEFFERY V FOX ZONING OFFICE JEFF FOX CONTRACTING & SEPTIC INC ST CROIX COUNTY SPIA 2188 100TH AVE 1101 CARMICHAEL RD DRESSER WI 54009 HUDSON WI 54016-7708 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 02/06/2019 Identification Numbers Transaction ID No. 2898622 SITE: Site ID No. 835094 Hartman Development Please refer to both identification numbers, 1432 25TH St above, in all correspondence with the agency. Town of Hudson St Croix County SW1/4, SE1/4, S24, T30N, R20W FOR: Description: Atu to mound, 5 br res Object Type: POWTS Component Manual Regulated Object ID No.: 1689702 Maintenance required; 750 GPD Flow rate; 24 in Soil minimum depth to limiting factor from original grade; System(s): EZflow ound Component Manual, (R. 7/12), Pressure Distribution Component Manual - Ver. 2.0, SBD-10706-P (N.01/01, R. 10%12), SSWMP Pub. 9.6; Aerobic Treatment Unit, Effluent Filter C C)tr~ITI The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes att.+p and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed F 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. ~Of No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.0 , N15J0N stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Key Item(s) • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • The distribution cell is designed for wastewater strength with monthly averages of less than or equal to 20 mg /L of fats, oils and grease, less than or equal to 30 mg/L of biochemical oxygen demand and 30 mg/L total suspended solids and fecal coliform levels of less than 10,000 cfu/100 ml. • SPS 383.21(2)(c)4. The application for a sanitary permit shall be accompanied with documentation that the master plumber or master plumber-restricted service who is to be responsible for the installation or modification of the POWTS, has completed approved training on the proposed POWTS technology or method. - • SPS 383.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. SPS 383.54(1). • SPS 383.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. SPS 383.54(4) shall be considered a human health hazard. JEFFERY V FOX Page 2 2/6/2017 • SPS 383.52(3) The activities relating to evaluation and monitoring mechanical POWTS components after the initial installation of the POWTS in accordance with an approved management plan shall be conducted by a person who holds a registration issued by the department as a registered POWTS maintainer. • 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. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. • A component specified in this POWTS design requires servicing at an interval of 12 months or less. Pursuant to s. SPS 383.21(2)(c)5, Wis. Adm. Code, if any part of a POWTS requires servicing or maintenance at an interval of 12 months or less, a notice of the need for such servicing or maintenance must be recorded with the deed for the property. If the maintenance or service notice has not been recorded, a sanitary permit can not be issued by the sanitary permit issuing agent. • The gravelless system components must be installed in accordance with the manufacturer's printed instructions, the plan approval, and SPS 383 system sizing criteria. If there is a conflict between the manufacturer's instructions and the plan approval, the plan approval and code requirements will take precedence. Reminder • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per SPS 383.44(6)(a)2. • Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual. • Surface water drainage shall be diverted away from the system area per Mound Component Manual. • Materials shall conform to the requirements of SPS 384. • Maintain well and waterline set backs per SPS 383.43(8)(1). Consult the Department of Natural Resources for well setbacks and other regulations and exceptions. 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, Please Include a Copy With Your Patricia L Shandorf Payment Submittal. POWTS Plan Reviewer, Division of Industry Services WiSMART code: 7633 (715) 634-7810, Fax: (715) 634-5150, M - F 8:00 a.m. - 4:45 p.m. pat.shandorf@wisconsin.gov cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm JEFFERY V FOX Page 2 2/6/2017 • SPS 383.52(3) The activities relating to evaluation and monitoring mechanical POWTS components after the initial installation of the POWTS in accordance with an approved management plan shall be conducted by a person who holds a registration issued by the department as a registered POWTS maintainer. • 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. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. • A component specified in this POWTS design requires servicing at an interval of 12 months or less. Pursuant to s. SPS 383.21(2)(c)5, Wis. Adm. Code, if any part of a POWTS requires servicing or maintenance at an interval of 12 months or less, a notice of the need for such servicing or maintenance must be recorded with the deed for the property. If the maintenance or service notice has not been recorded, a sanitary permit can not be issued by the sanitary permit issuing agent. • The gravelless system components must be installed in accordance with the manufacturer's printed instructions, the plan approval, and SPS 383 system sizing criteria. If there is a conflict between the manufacturer's instructions and the plan approval, the plan approval and code requirements will take precedence. Reminder • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per SPS 383.44(6)(a)2. • Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual. • Surface water drainage shall be diverted away from the system area per Mound Component Manual. • Materials shall conform to the requirements of SPS 384. • Maintain well and waterline set backs per SPS 383.43(8)(i). Consult the Department of Natural Resources for well setbacks and other regulations and exceptions. 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, Please Include a Copy With Your Patricia L Shandorf Payment Submittal. POWTS Plan Reviewer, Division of Industry Services WiSMART code: 7633 (715) 634-7810, Fax: (715) 634-5150, M - F 8:00 a.m. - 4:45 p.m. pat.shandorf@wisconsin.gov cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm EZflow® MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Hartman Development Properties 5 bedroom residential mound W/ MicroFAS Owner's Name: Hartman Development Properties, LLC Owner's Address: 744 Ryan Dr., Suite #102, Hudson, WI 54016 u Property Address: 1432 25th St., Houlton, WI 54082 Legal Description: SW1/4 SE1/4, Sec. 24, T.30N., R.20W. Township: St. Joseph County: St. Croix Subdivision Name: Orchards of St. Croix Lot Number: 4 Block Number: na Parcel I.D. Number: 030-2161-04-000 p lo Plan Transaction No.: 2898622 Pagel Index and title Page 2 Data entry Page 3 EZflow mound drawings Page 4 Lateral and dose tank ENCE Page 5 Distribution media -POND Page 6 System maintenance specifications Page 7 Management and contingency plan Page 8 Pump curve and specifications Page 9 Treatment_ Unit Cross section Page 10 Site Plan Designer: Jeff Fox License Number: 223242 Date: 02/01/17 Phone Number: (715) 755-2461 Signatur ~ `J Designed Pursuant to the EZflow Mound Component Manual Ver. August 20, 2007, SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01, R. 10/12) EZflow Mound Version 3.0 (R. 3/1/12) Page 1 of 10 Bio Microbics Residential Mound POWTS Index & Title Sheet r, K '~Q'11 Project Name: Hartman Development Properties, Inc. 5 Bedroom Residential Mound - Owners Name: Hartman Development Properties, Inc. Owner's address: 744 Ryan Dr., Suite 102, Hudson, WI 54022 Site address: 1432 25th St., Houlton, WI 54082 Project Location: Subdivision: Lot 04, Plat of Orchards of St. Croix Legal Description: SWI/4 SEI/4, Sec. 24, T.30N., R.20W., Town of St. Joseph, St. Croix Co., WI. Parcel ID 030-2161-04-000 Page 1 Index and Title Sheet Page 2 Mound Design Package Page 3 MicroFAST 0.70 Tanks Specifications Page 4 Filter Specifications Page 5 ATU Agreement Page 6 ATU Service Contract Attachments: Soil Evaluation Report Mater Plumber Restricted Service: Jeff Fox, DSPS Credential #223242 Signatul'er Date: Page 1 of 6 I cee n pxirsuakLto in!Graand S64 Absorption eombonent Manual forPOA/TS, version .Q SBD-W7a3-'~i.B I/914' EZflow° MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN INDEX AND TITLE PAGE Project Name: Hartman Development Properties 5 bedroom residential mound W/ MicroFAS Owner's Name: Hartman Development Properties, LLC Owner's Address: 744 Ryan Dr., Suite #102, Hudson, WI 54016 Property Address: 1432 25th St., Houlton, WI 54082 Legal Description: SW1/4 SE1/4, Sec. 24, T.30N., R.20W. Township: St. Joseph County: St. Croix Subdivision Name: Orchards of St. Croix Lot Number: 4 Block Number: na Parcel I.D. Number: 030-2161-04-000 Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 EZflow mound drawings Page 4 Lateral and dose tank Page 5 Distribution media Page 6 System maintenance specifications Page 7 Management and contingency plan Page 8 Pump curve and specifications Page 9 Treatment Unit Cross section Page 10 Site Plan Designer: Jeff Fox License Number: 223242 Date: 01/17/17 Phone Number: (715) 755-2461 Signature: Designed Pursuant to the EZflow Mound Component Manual Ver. August 20, 2007, SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01, R. 10/12) EZflow Mound Version 3.0 (R. 3/1/12) Page 1 of 10 Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) rr Residential or Commercial Design 500.00 Estimated Wastewater Flow (gpd) 1.50 Peaking Factor (e.g. 1.5 = 150%) 750.00 Design Flow (gpd) 12.00E Site Slope 100.00 Installation Contour Line Elevation (ft) 75.OOContour Length Available (ft) 24.00 Depth to Limiting Factor (in) 0.501 In-situ Soil Application Rate (gpd/ t2) Distribution Cell Information 740' Cell Width (ft) 3, 4, 5, 6, 7, 8, 9 or 10 Only 55.00 = Dispersal Cell Length (ft) 2.00 Dispersal Cell Design Loading Rate (gpd/ft2 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) e Center or End Manifold 4 Lateral Spacing (ft) If N above, enter the elevation (ft) 2 Number of Laterals of the highest point. € 0.125° Orifice Diameter (in) (e.g. 0.25) P42.00 50 Estimated Orifice Spacing (ft) = 5.35 ft2/orifice Forcemain Diameter (in) 40.00 Forcemain Length (ft) Does the forcemain drain back? r Yr ( 94.00 Inside Pump Tank Elevation (ft) Enter Y or N 0.00 Forcemain Filter Loss (ft) 6.50 System Head (ft) x 1.3 6.52 Forcemain Drainback (gal) 6.00 Vertical Lift (ft) 49.13 5x Void Volume (gal) 0.76 Friction Loss (ft) 55.66 Minimum Dose Volume (gal) 13.26 Total Dynamic Head (ft) 29.66 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection 3 ~f in. dia. options choice in. dia. options choice O 0.75 1.25 x 1.00 1.50 x x 1.25 x 2.00 i 1.50 x x 3.00 2.00 x 3.00 x Gallons/Inch Calculator (optional) Treatment Tank Information 864.08 Total Tank Capacity (gal) 700/700/9 Septic Tank Capacity (gal) 56.00 Total Working Liquid Depth (in) Weiser Concrete Manufacturer 15.43 gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 864.08 Dose Tank Capacity (gal) ISvmTech Filter Manufacturer 15.43 Dose Tank Volume (gal/in) STF100A Filter Model Number Wei iser Concrete Manufacturer Project: Hartman Development Properties 5 bedroom residential mound W Page 2 of 10 I Mound Plan View T 1/106: 3 J Observation Pipe 5 A W I...:: l B I ::0: • L Mound Component Dimensions Down slope toe extension made. A 7.00 ft E 16.08 in H 1.00 ft K 8.76 ft B 55.00 ft F 12.00 in 1 20.27 ft L 72.52 ft D 6.00 in G 0.50 ft J 4.41 ft W 31.68 ft 385.00 (ft2) Dispersal Cell Area 1500.00 (ft2 Basal Area Available 13.64 (gpd/ft) Linear Loading Rate 5.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View EZflow Dispersal Area Finished Grade 102.50 (ft) W F Dispersal Cell 101.00 (ft) Lateral 100.50 (ft}-► a :6 Invert Elevation Dispersal Cell.....::::.... " t Elevation E D u~ W 100.00 (ft) Contour Elevation 12.0 % Site Slope Typical Dispersal Cell Shading Key ~ See Page 5 Topsoil Cap > a .0. 2 Subsoil Cap v 2 o 2.0 ft Approved Geotextile Fabric Cover 3 0 ASTM C33 Sand Cd 73 ®0 Tilled Layer c > a F 0 0 EZflow Media r .c Ca in 0 0.5 ft T A See details on page 4 for number, size, and spacing of laterals. Laterals are located in the 4" gravity distribution pipes as shown on page 5. Project: Hartman Development Properties 5 bedroom residential mound W/ Page 3 of 10 End Connection Lateral Layout Diagram Place Appropriate Lateral Diagram From Right Below •m Turn-uGrmt~ttlw~Ie~e~~r;l~~nutp=~+a I t~ I 1 .t iti ? in:,, t ci at '-yraic s print up except every 15th I one points down for drairta e. Plsrce main nn4CrtGon vq;a ter of ofo-.s to maroold at any point Laterals i fexce main-of P i~ Sch 40 AD Werals iderritical,,evitli otifrc:es egLiav pieced. per SP5; Table s84 M),5 Number of Laterals 2 Orifice Diameter 0.125 in Lateral Diameter 1.50 in Orifice Spacing (X) 1.53 ft Lateral Length (P) 54.28 ft Orifices per Lateral 36 Lateral End (Z) 0.72 ft Orifice Density 5.35 ft Lateral Spacing (S) 4.00 ft Manifold Length 4.00 ft Lateral Flow Rate 14.83 gpm Manifold Diameter 1.50 ill System Flow Rate 29.66 gpm Forcemain Velocity 3.03 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 Weiser Concrete Manufacturer 2 in. Capacity 864.08 Gallons T Volume 15.43 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 38.39 592.40 B 2.00 30.86 C Pump off elevation (ft) C 3.61 55.66 95.00 D 12.00 185.16 D Total 56.00 864.08 Dose tank elevation (ft) Bedding And Backfill As Per Manufacturer 94.00 Alarm Manufacturer SJ Rhombus_ wM„I Alarm Model NumberSJE 1011421 Pump Manufacturer Zoeller Pump Model Numbe BN151 s Pump Must Deliver 29.66 gpm at 13.26 ft T D H Note: Switches containing mercury may not be used in this system. Project: Hartman Development Properties 5 bedroom residential mound W Page 4 of 10 Ufiow® Distribution Cell Media Layout 7.00 Cell Width (ft) 1.50 Sidewall to Lateral (ft) Distribution Cell Cross-section Arran ments 7 ft Wide .,.:t.1"..:'::1??.. 1.. 1.". Component Legend SR1-7A Bundle - 5 ft or 10 ft lengths 1 SR1-12A or EZ 1201A in 5 ft or 10 ft lengths SR3-12H or EZ 1201 P or %1r SR3-1 1N in 5 it or i 0 ft ien~l i. .J 1. O 4" Perforated Distribution Pipe With Pressure Lateral Inside • Turnup Enclosure - - - - - Pressure Lateral Bundles are covered with approved geotextile fabric as per the their product approval. Distribution Cell Plan View Layout - Typical 7.00 Cell Width - A (ft) 55.00 Cell Length - B (ft) Center Connection Lateral Layout Diagram Force Main 7ftWide End Manifold Project.- Hartman Development Properties 5 bedroom residential mound W/ MicroFA Page 5 of 10 Mound System Maintenance and Operation Specifications Service Provider's Name Jmaes K. Thompson Phone 715) 248-7767''s P POWTS Regulator's Name St. Croix County Zoning Dept Phone (715) 3864680 System Flow and Load Parameters Design Flow - Peak 750 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 500 gpd Maximum BOD5 30 mg/L Septic Tank Capacity 00/700/90 gal Maximum TSS 30 mg/L Soil Absorption Component Size 385 ft2 Maximum FOG 10 mg/L Type of Wastewater Domestic Maximum Fecal Coliform 10E4 cfu/100 mL Service Frequency Septic and Pump Tank Inspect and/or service once every 3 years Effluent Filter Inspect and clean as necessary at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test periodically Pressure System Laterals should be flushed and pressure tested every 3 years Mound Inspect for ponding and seepage once every 3 years other) Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap and are secured in as shown in the EZflow Mound Component Manual Ver. August 20, 2007. 2. Dispersal cell media conforms to EZflow products approved for use with the EZflow Mound Component Manual Ver. August 20, 2007. Media is covered with an approved geotextile fabric. 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 Lateral Ends at Last Orifice Where Variable Length Cleanout Begins Long Sweep 90 or Two ....-r.,r;._,.,;-.. 45 Degree Bends Same ..5... a;;.u . Diameter as Lateral EZflow Synthetic Media r....a, 1~„.i 1 1.95 Feet - Distribution Lateral Lateral Cleanout Project: Hartman Development Properties 5 bedroom residential mound W/ Mic Page 6 of 10 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 [EZflow Mound Component Manual 8/20/07, Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. 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 as to 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 Wisconsin Department of Commerce. Pump Tank The dosing (pump) 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. If the force main has a weep hole, it should be noted if it is functional during pump operation, and if not, it should be cleaned. *****No one should ever enter a septic or dose tank since dangerous gases may be present that could cause death.**** Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BOD5, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD5, 30 mg/L TSS, 10 mg/L FOG, and 104 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 3 years. 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 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically 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 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. OC/ o r PUMP PERFORMANCE CURVE TOTAL DYNAMIC HEAD/FLOW MODEL 151/152/153 PER MINUTE 14 45153 EFFLUENT AND DEWATERING e 12- 40 MODEL 151 152 153 35 f0 152 Feet Meters Gal. Liters Gal. Liters Gal. Liters 30 5 1.5 50 189 69 261 77 291 10 3.0 45 170 61 231 70 265, 0 8 25 151 15 4.6 38 144 53 201 61 231 0 20 6.1 29 110 44 167 52 197 20 25 7.6 16 61 34 129 42 159 30 9.1 - 23 87 33 125 z4 i 4 IS E40 10.7 - - 22 85 t0 12.2- 11 42 ut-off Head: 30 fl. I. Inn) 38 fl. (11ism) 44 ft. (13.4m) 2 5 0145088 0 10 20 40 50 60 70 80 90 100 GALLONS LITERS 0 40 80 0 160 200 240 280 3 380 FLOW PER MINUTE 01450eA Model 151 Models 152 / 153 .29 ~GB.~o is1, ~tf ~nimcc M s~~o% l~(c rey CONSULT FACTORY FOR D SPECIAL APPLICATIONS 8732 6114 37/8 45/8 327/32 4St6 • Timed dosing panels available. • Electrical alternators, for duplex systems, are available and 3 L; 3 supplied with an alarm. ~ 3718 - \ 4 • Variable level control switches are available for controlling ® 3718 1 32' ' single phase systems. e 1 • Double piggyback variable level float switches are available for variable level long and short cycle controls. ~ I • Sealed QWk-Box available for outdoor installations. See FM 1420. • Over 130°F. (54°C.) spew quotation required. 1511152/153 Series H6 12118 15111521153 YODELS Control Selection i Yodel Volts-Ph Yode Amps Simplex Duplex 4318 5118 N151 115 1 Non 6.0 1 2 or 3 BN151 115 1 Aura 6.0 included 2 or3 El 51 230 1 Non 3.2 1 2 or 3 BE151 230 1 Auto 3.2 Included 2 or 3 SK7444 sK2064 N152 115 1 Nan 8.5 1 2 or 3 BN152 115 1 Auto 8.5 Included 2 or 3 El 52 230 1 Non 4.3 1 2 or 3 BE152 230 1 Auto 4.3 Included 2 or 3 N153 115 1 Non 10.5 1 2 or 3 BN153 115 1 Auto 10.5 Included 2 or 3 E153 230 i Non 5.3 1 2or3 SELECTION GUIDE BE153 30 1 Auto 5.3 Irtduded 2 ar 3 1. Single piggyback variable level float switch or double piggyback variable level float A CAUTIOW71 switch. Refer to FM0477. Ad mitaaladon of controls, protection devices and wiring should be done by a qualified 2. See FM0712 for correct model of Electrical Alternator E-Pak. In:ensed electrician. All electrical ano safety codes snouta be followed including the most recent National Electric Code (NEC) and the Occupational Satery and Health Act (OSHA). 3. Variable level control switch 10-0225 used as a control activator, specify duplex (3) or (4) float system. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. AIL TO, P0. BOX 16347 Lou;vilk, 1(V 4 02 56-034 7 Manufacturers of.. 0 SHIP T0: 3649 Cane Run Road 7p ® gLille, Xy 40211-1961 QgW17-Y PUMP6 S11l Iffy httpl7www.20eiter.com k'r?~ZrjP !O_ 1(502')w 778 2731. 1(743 9 PUMP FAX (502) 774.3624 4 © Copyright 2004 Zoeller Co. 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WCP REV.LE: 1/4"=l'-o" PRE-POUR: O~ z SEPTIC MANUAL W3716 US HWY 10 MAIDEN ROCK, WI 54750 DATE: 00/00/00 DATE: POST-POUR: p 800-325-8456 FILE: W700/700/900-P810111CROFAST 750 ~5 " yaFio N S0,% edalua ♦ cxis 6, i Sea/e: /=30" 1 1,7779 fis/'~/Ilan ~l/e.(D/O/Y7Z/~ L Pfo/0 S /•lK ds a,•,, ~ SS~o1o O sw~ScyS! sec. 2y, T,~OR. R 2o~J. T. of SE. ~~Se~O~ SE.~ro~rCa,~l, ~L/_ ft U3G-1/(o(- o t/-GCb i Proposed ,D t vP wQ/ ~CeSra~e h« (~~a~osed ~uo Pfopos~ ~.v;GSai Ca~c~efC 6 o75De--e4,(-ms 6- k1 w' i+l'c/ofi4:7'o,7 ~4Te{ un, f SyirtTi c STF- iitl 0411k hn-Z ~c ~ E" ~ Cf e 0 1 ~ Z-z Syff• e.TCV`' _ /dO.,~G~a.~(o i6d/lC /c~J. d e~i-~.j~ - ~lY ~jTi,b(tJ 0/iJ6'r~~Yl/aLe/4.~3 a~ l%Z';rsy,.~g' or, -jel'ce,51/oact4/441 o~~'~t /3, z5 5 w a O(D H F7 ~ d 0 ~ ~ D - Ul I- t -i D (T1 p CD C -D H T v d d 3 0 = 70 M ~u M V) D -1I c z 0l) zl ~ td D vj ~ f- -Tl o z_ C i r D o M ;;Dw Z~fU -DTl f ~7 D - d F7 F (Tl G1 Tl D w w- u o P D P-1 ~Dd~ D d rrl ED CD F- :K F9 FL) CD CD 75 CD Oll c/) If F9 r-rl r Y'OWTS SERVICT CONTRACT The proper oportilion and rnaimonance or tile components listed below will significantly inllueuoe file i performance 2111l life e\pectallcy of Illo POW'1'S (PI'Ivtllo On$ite Waste\valor Tl'ctt(11'leilt System), This ag1'comont authorizes A.C,13, Soil eft Silo fivallal(ions, L.L.C, personnel (Service Provider) or Ilicir represollmlivo aocess to Ilse POWfS Components during regular business )tow's to perform regillar inspeelions o-lnd roulino maintenance of those comporlonts. It Is herby agreed by and between Owncr and Service Provider (hat in consiclorn(ion of ifte pavnlents provided for herein, Service Provider wi II provide a manufacturer Irnined and Slate licensed inspector to perform periodic Inspections of Ills POWTS components as set forth below. Service Provider will prepare ,.I Nyrit(cr► inspection report allor eneh inspWion.contalning llny recommendations for the ciperetion, mill ntmill lice, allul or repair or the POWTS doomed appropriate by (it(; Service Provider, A copy of file report will be p1'ovitcd to Owner told (Ito oppropriale Covormnet1ltl Unit. Service Provider will supph' ndditional services, Imrls, or labor Only alter nuthodymion by purchaser. This agrecnlon( does not asstlllle any responsibilities or obligmions Mal are Itornl;tlh• lire responsibilities and obligations of the (Nvner mid does not Cover any costs associmod with operation, i ulintenance find or repair of tile, POWYS. 111110 ovont shall Service Provider bo responsible for tiny spceial or consequential clamaps, including but not limited lo, loss of lime. injury to person or property, or incidental economic loss I due to cqulpmo)1( railure ror arrt• reason wha(soover. 1 This ngreenlon( will be automatically renowed etlch year unless amendod or efalcelled by ei(twx party trill) 30 days written notice. This ogreeulcnt may be cancelled by Purchawr roily if replaced by it service con(mv( Willi another service provider itmliorired to inspcel mid mninuiln the specific POWTS components in I question. Purchaser agrees to pay Service PfOVICICI file sum 01':~,175.UO per inspection. four (4) inspections will be provided over the first thvo-yoar period tit six-month intervals. Payment for tho first four Inspections will, be included hl the cost of the POWTS design, One (1) hispection por yem, will be conducted lhcrcaflor with Inspection fees billed tit the lhno of inspection. Any additions) fees tar cfflucnl quality to5ling (if rleedccf) will be approved by POWTS owner prior to smnple collection sand submittal (o lab. POWTS DESCRIPTION: Wiesor Concreic W7001700/900-P 13)o tank wills Bio-Microbles' MicrO~►'tlsl 0.75" pre-treaMmil unit; pro-tr'crued erfitiem dischsrbe to Mound dispersal component comiructad in compliance with L-01ow-Mound Component Manion, Ver. August, 2008, t POVII'S LCATION: 1.132 25'1' tit,, known as: Lot d, Plat f Orchards of St, C.'roix, NWIXSEI/. Sec. 24, T, 30 N_ R. 20 V. Tn, ol'Sl, Joseph. St. Croix Co,, Wt. Ptrrcul 4 030-2161-O4-0OU Owner name in►[t adclress_ ~(u clfi Ila S~,la!(a vufa milu~ne) - - (Unto - i Senice Provider: ' A,C.E. Soil & Site Rvllluat.ions, L,L.C.'. les TI►0ntpson 3 I'attls m Lal<c Road a 540)0 OsCoo4i;id. (ti.. tec rgt;n nture) (I file) Instrument Drafted By: James K. Tliompsorl 1 t t 1 /T '3DFZd Intl ZC=60 LTOZ' :T'ge3 Document No. POWTS AGREEMENT ONN ner name and address: Hartman Development Properties. Inc. 744 Rvan Dr.. Suite 102 Hudson. WI >4016 This indenture. made by -'omier" and their successors in interest. o~Nn a POWTS (PriN°atc Onsite Wastetyater Treatment System) requiring regular monitoring and maintenance in accordance NN itch the manufacturers recommended Return to: procedures. These procedures must be performed by a manufacturer authorized A.C.E. Soil Site L.~al~eiti~ns Li _C' service provider licensed by the State of Wisconsin to perform these services. 340 Paulson Lake Ln_ Results of these procedures shall be reported to the appropriate Governmental Osceola. W1 540-20 Unit as required by code. Parcel ID#': 030-2 tGl-U4-U00 Location of POWTS: Lot: 4 Block: Na . Plat: Orchards of St. Croix. located in. NW'/,SE'/,. Sec. 24- T. 30 N.. R. 20 W.. Tn. of St. Joseph. St. Croix Co.. W1_ Parcel # 030-2101-04-000 POWTS DESCRIPTION: Wieser Concrete WLP700/700/900 >00FDL Bio 500 tank N~ith Bio-Microbics "Micro-fast 0.5` pre-treatment unit, pre-treated effluent discharged to Mound dispersal component conslntcted in compliance t~ ith EZllovv - Mound Component Manual. Vcr. August. 2008. OWNERSHIP RIGHTS AND RESPONSIBILTY FOR POWTS: Property "omicr° as described holds sole omiership rights. "ONyner is responsible for insuring inspcclion- operation and maintenance POWTS. -e I-- i(h~ner5ignauur) (llatc') - - f (h~ncr .Si ~nauir:) (t)rue) AeknoNv led ement led- Chad Hartman. Hartman Development Properties. Inc,-4lown to in to be the crson executinL the forging nsu~ient. bscribe sworn to before me this ~ day of 2016. rr- 7AR~ B~ta le ofisconsin q MN Commission Expires: 111strU111ent Draftcd B.N:-J_uncs K. Thompson