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032-2167-39-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: Safety and Building Division St. Croix INSPECTION REPORT Sanitary Permit No: GENERAL INFORMATION (ATTACH TO PERMIT) 592 1 Personal information you provide may be used for seconds State Plan l ry purposes [Privacy Law, s.15.04 (1)(m)] -0, [//5O' 7 Permit Holder's Name: Ci Villa e Township I Gary Zylstra g p Parcel Tax TOWN OF SOMERSET - -39-000 CST BM Elev: Insp. BM Elev: BM Descrip n: Section/Town/Range/Map No: 9 61t 26.31.19.1419 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURE% CAPACITY Ir..gS STATION BS HI FS ELEV. Septic Z,~ yJ Benchmark , 3•^~ Dosing AIt.sM C~~ 5 t O tA f _ y _ • Bldg. Sewerr Holding i-~~ • 1 • q St/Ht Inlet TAN BACK INFORMATION SUHt Outlet I [ TANK TO ~/L WELL BLDG. xent to AirIntake (,~„y~ ROAD Dt Inlet Septic 9 Qf Dt Bottom Dosing ~ ^ • Header/Man. Aerati L Dist. Pipe 3 Holdin O. 3 1 o 7-5 m Bot. System U PUMP/SIPHON INFORMATION C~ C~~- ~utw~-p Final Grade + Manufacturer Demand St Cover GPM y~ X21 Q3O~ Model Number u - ec [ ( 7 TDH Lift Friction Loss System e d TDH 7 Ft 7.1 t,r 3 /~•C( F~~~in Length Dia. ~ Dist. to eJ SOIL ABSORPTION SYSTEM OVSf SI•Gl l~ f1f „ B-4 ,rda 11 ids ED/TRENCH W th Len th J DIMENSIONS 7 F 1 No' ® PIT DIj16E S No. Of Pits Inside Dia. Liquid Depth SETBACK SYSTEM TO YJ P/L BLDG WELL LAKEE/STREA LEACHIN Manufact INFORMATION Typo Qf S stem: CHAMBER OR ~V~,_p~ 5 6D UNIT /Model UA DISTRIBUTION SYSTEM ;1 41 e 1 Header/Manifold Distribution x Hole Size / t► Pipe(s) h ` x Hole Spacing Ve t to Air Intake Length Dia Len9th /`//"l4M Dia /,-3* Spacing L ,3 ~ 7 777 444 4 SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only lifill, Depth Over Depth Over xx De th of BedlTrench Center Bed/Trench Edges t t Topsoil Seeded/So M hed s o Yes ~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: t0 Z Z /ZOi -7 Inspection#2: v6 (/'I Location: 667 196TH AVE Roy Il ejel fOdk 1.) Alt BM Description = Pw~. L t?,~ r 2.) Bldg sewer length ~Gl44 amount of cover = N S ~1N Plan revision Required? Yes No ~ / Use other side for additional inform on. V Z 7 L_ ' 7 SBD-6710 (R.3/97) Date Insepctor's ature Cert. No. ~[¢~J( S .1r.BaFe> and Buildings QINiSiott county ~=„~.iJ-_p 201 W. WashiVon Ave., P.O. Box 7162 Sanitary Permit Number (to be Shod in by Co-) ! x f Madiwn, lM 53MT 7162 2Z I l r 5of Applicati 11 State Transaction Number In accordance with SPA 383.21(2), Wis. Adm. Code, submission of this mm to the appropriate governmental unit cf.5 Q 7Z- _ is required prior to obtaining a sar itffiy permit. Note: Application forms for state-owned POWTS are submitted to project Address (if different than mat3mg adtic the Department of Safety and Professional Swvies. Personal information you provide may be used for seeort purposes in soomdanee with the Privacy l.aw, s. 15. I m), Stars. I. Application Information - Please Print All Information -u a Pmpcrty Ownes Name parcel ~ ~y K E N L25T 032- Z I &7 -31 Property Owner's Mailing Address Property Location 1 tZ s r Govt. Lot city, stale Zip Code Phone Number 5 ilk' l~ G v,, Section SZ;}v\ o~5 ~/II/ C~ (circle one T RD M Type of Btrftiling (check all that app}y) Lot # S N; R t ! E o Name or 2 Family Dwelling - Number ofBcdroomus % Subdivision tj BMclt f ~ e CL ❑ PubliclCommmmial Describe Use city of CSM }dumber D Village of 0 State Owned - Dmn~'bge~Use awa of tZ-5 t 7 S" I W/V~/ / G ~Z GP-1 I MY TII. T (Ch my one box on pine A. Complete pine B if applicable) i A ew System System ❑ TmannentlHotding Tank Replacxanemt Only ❑ Other Modificabon to Existing (exp}r Permit }renewal 11 Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number- and Qom Tssued Before Emtprrarion Owner t! G" IV. T of POWTS S stemlCom nenVDevice Check all that a } - L--- A Q Non Pressurized In-Ground ® Pressurized In-Ground ❑ At-Gtadc ❑ Mound _a 24 in. of suitable ,~Mownd <24n, of suitable soli ❑ Hauling Tau- ❑ Other Dispersal cou"Pow (Orplain) ❑ Pretreatment Device (explain) V. Die reatment Area Informs ' n; r Design Blow (gpd} Design Soil App ' on Dispersal Area Q sf) Area sf} S yErl , VI. Tank Info Capacity in T M-"20,U er Gallons alts units New Famtcs Existing Tanks Ito/ ► L~~i~ Septic or Holding Tanis I Dosing Chamber -n - VII. Responsibility Statement- 14 the undersigned, assume responslbibiy for is lation of the P(3pV 15 sbovm a e 2eftebed plans Plumber's Nam {Print) Plumber's Si a RS N bet Business Phone Number -S E ~=1- 0 k-- . L:IL C/ 4~ tier's Address Sweet, City, Stage, Zip Code) i b c S l~ c VUL ~ ~1Z~SS~'rc 1 ~ ~i G Cone artment Use Only 0 ponnit lee Date lowd Zsserirrg Zignetttte Reams flibdalal - S 90, 1;2 M Al D 6,=W06 & i ~ DL Ceadidons of Approval/Reasons for Disapproval SYSTEiyi OVVNE k: AwAr"' -h FfroV GILL 1. Septic tank, affluent filter and dispersal cell roust be serviced I maintained as per management plan pr(, ided L 1!: r. v OW - -41- A -k A r 4 armtg ally ea paper sot less than ti mIS ashes is sirs ttach 16 X" to ttce C"" as pe app ica e cos seat 81a SBD-63" (R.. 41111) f NININI i Y f= 4$ , o f l i i "s S~ 1 i o` s c r_k PUMP PERFORMANCE CURVE PUMP PERFORMANCE CURVE PUMP PERFORMANCE CURVE SUMP I EFFLUENT MODELS LL 318",112"83/4"SOLIID ASDSNGCAPACITY 318", 112" & 314" SOLIDS PASSING CAPACITY 40 42 MODEL 48 53155 t3 57159 72 76 98 1371139 14014140 151 152 153 4 Feet Meters Gal. Liters Gal, Liters Gal. Liters Gal. Liters Gal. Liters Gal. Liters Gal. Liters Gal. Liters Gal. Liters Gal. Liters 1a 191 5 1.5 29 110 43 163 38 144 50 189 72 273 93 352 86 326 50 189 69 261 77 291 10 3.1 22 83 34 129 30 114 40 151 61 231 79 299 80 303 45 170 61 231 70 265 3 12 15 4.6 10 38 19 72 14 53 30 114 45 170 64 242 73 276 38 144 53 201 61 231 20 6.1 17 64 25 95 36 136 66 250 29 110 44 167 52 197 12 25 7.6 - - - - - - - - - - 8 30 59 223 66 61 34 129 42 159 3 4886 30 9.1 - - - - 49 185 23 87 33 125 11 40 12.2 - - - - - - - - 28 106 11 42 3 50 15.2 - - - - - - - - - - - - - - - - - - - 60 18.3 - 32 to 70 80 213 213 , - - - - - - _ _ - - - - - - - - - 0 90 27,4 - - - - - - - - - - 30- 100 30.5 ss 110 33.5 - - - - - - - - - - - - - - - - - - 2 120 33.6 130 39.6 - - - - - - - - - - - - - - - - - - 2 as Shut-off Head: 18 ft. 5.5m 19.25 ft. 5.9m 18 ft. 5m) 1 25 ft. 7.6m 23 R. 7.0m 26 ft. 7.9m 50 ft. 15.2m 30 ft. 9.1 m 38 fL 1.6m) 1 44 ft.13.4m 11 2 80 165 4165 75 0 22 70 16114161 16314163 165/4165 18514185 186/4186 18814188 18914189 191 0 4 63 Gal. Liters Gal Liters Gal. Liters Gal. Liters Gal. Liters Gal. Liters Gal. Liters Gal. Liters 2 65 100 379 61 231 61 231 58 220 145 549 145 549 45 170 93 352 61 231 61 231 58 220 140 530 140 530 45 170 1 60 161 189 85 322 60 227 61 231 - - 58 220 134 507 135 M4 45 174161 4189 79 299 59 223 60 227 58 220 128 484 131 45 170 55 70 265 57 216 59 223 SB 220 122 462 125 45 170 1 140 62 235 55 206 58 220 85 322 58 220 116 439 120 45 170 4140 188 45 170 46 172 55 206 70 285 58 220 104 394 109 45 170 1 4188 20 76 33 125 50 169 51 193 58 220 90 341 97 367 45 170 45 15 57 39 148 32 121 58 220 71 269 85 322 45 170 23 87 9 34 52 197 51 193 69 261 45 170 12 4 152 10 38 - - 45 170 26 106 51 193 45 170 153 31 117 2 8 34 129 45 170 35- - 7 dle 16 80 1 64 40 151 1 30 4 15 0 4 785 _ _ - - 20 76 g 4185 _ _ _ _ _ 10 38 25 56 iL(17.1 m) 66 ft.(20.111) 89 ft.(26.4m) 73ft.(223m) 114 ft.(34.7m) 91ft-(277m) 110ft.(33.5m) 137 ft.(41.8m) 20 98 009922 `2 A CAUTION Model 185/4185 should not be subjected to 5 less than 30 feet TDH. 48 12 53,55 57,59 137139 NOTE: For Pump Performance on Model 112, Industrial column 0 10 zo 30 ao 59 66 70 ea so 100 110 120 139 140 150 explosion proof pump, see FM0219. GALLONS LITERS 0 80 160 240 320 400 480 560 2b FLOW PER MINUTE SEWAGE AND MODEL 211 264 266 267 268 27014270 28214282 28414284 292J4292 29314293 29414294 29514295 -Iw 18, 179 676 'Q DI DEWATERING - 11 1 . 221 .1 1 "1 1.1 1 1. Is 7~ "1 1. '21 11 1 12 Ill 11 11 111 "1 51 1 1 211 212 1. .1 1. 4flI3 lie u7 165 125 24 80 75 _ 42 iI9 545 212 a2 "1 '21 Q III 22- 1,1 2 w - - 70 - , _ ss s so I s, _ n o I ,ISRS Oti ss r110 mm 421 1-1 6-1.7, 20 . : , z, ,smt : s e 65 s~tssm~ 0 18-11 60 n 009904 u~ 55 x v 16 < 50 z 0 14 45 i 293 2 40 PUMP PERFORMANCE CURVE 10-l 35 SEWAGE MODELS 8 25 2" SOLIDS PASSING CAPACITY 266,1 282 270 6 20 267, i 15- 4- 10- 2- 5 21 1 264 292 284 294 295 A CAUTION Model 293/4293 should not be 0 [subjected to less than 15 feet TDH. 7~0 20 30 40 5~0 60 70 80 90 100 110 120 130 140 150 160 170 180 190 200 210 220 23 GALLONS LITERS 0 80 160 240 320 400 480 560 640 720 800 FLOW PER MINUTE © Copyright 2003 Zoeller Co. All rights reserved. 6 I _ Installation and Maintenance Instructions Installation Step l Dry fit the filter case onto the outlet pipe going to the drain field. Ensure it is centered directly under the access opening. (if outlet pipe is already in a fixed position, additional pipe may need to be added) Step 2 If utilizing the additional single side support and the two bottom supports: While the case is still dry fit to the outlet pipe, measure and cut 1"schedule 40 pvc pipe to the length needed to extend from the hubs that are pre-molded into the case to the side wall and the inside floor of tank. solvent weld pipe into the hubs that are pre-molded onto the case. Step 3 Solvent weld the case to the outlet pipe. Insert the filter cartridge into the case pressing down on the cartridge until it locks into place at the bottom of case. Step 4 if utilizing a vertical read switch: Insert switch into the hole pre-molded into the top of the filter. Press straight down until it locks into place Maintenance 1) Remove the access lid of the tank. Note: To ensure undesirable solids do not exit the tank and into the drain field, the tank should be pumped out until the level of effluent is below the outlet level of the tank. 2) To remove the filter cartridge from the filter case, pull up firmly on the handle of the cartridge dislodging it from the case. (if utilizing a vertical read switch, removal of switch is optional) 3) Usir;g an ordinary garden hose, rinse the filter cartridge ensuring all visible septage material is removed. 4) Place the filter cartridge back into the-filter case pressing down on the cartridge until it locks into place. 5) Place the access lid back onto the tank ensuring it is secure. Lifetime filter has a lifetime limited warranty: Lifetime filter LLC warrants the filter will be free of manufacturing and workmanship defects during normal use for the period of time the original purchaser owns the product. Lifetime filter will provide a replacement filter in the event that the original filter was not damaged during the installation or maintenance process. Damage to this product caused by accident, misuse or abuse will not be covered under this warranty. Improper care or malfunctions resulting from product not being installed, operated or maintained properly will void this warranty. Lifetime filter assumes no responsibility for labor charges, removal charges, installation or other incidental or consequential costs. Contact: mike Callifetimefilterllc.com Phone: 502-7242231 ~nrar DIVISION OF INDUSTRY SERVICES f 10541 N RANCH RD HAYWARD WI 54843-6462 Q' Contact Through Relay http://dsps.wi.gov/programs/industry-services www.wisconsin.gov Scott Walker, Governor io. Laura Guti6rrez, Secretary June 09, 2017 CUST ID No. 223242 ATTN: POWTS Inspector JEFFERY V FOX ZONING OFFICE JEFF FOX CONTRACTING & SEPTIC INC ST CROIX COUNTY SPIA PO BOX 565 1101 CARMICHAEL RD DRESSER WI 54009 HUDSON WI 54016-7708 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/09/2019 Identification Numbers Transaction ID No. 2950172 SITE: Site ID No. 838557 Gary & Karen Zylstra Please refer to both identification numbers, 62ND St above, in all correspondence with the agency. Town of Somerset St Croix County SW 1/4, NE 1/4, S26, T31N, R19W FOR: Description: Mound, 4 bedroom residence Object Type: POWTS Component Manual Regulated Object ID No.: 1708738 _i, Maintenance required; 600 GPD Flow rate; 20 in Soil minimum depth to limiting factor from original grade; SysteROVE Mound Component Manual - Ver. 2.0, SBD -10691-P (N.01/01, R. 10/12), Pressure Distribution Component Manual= _ Ver. 2.0, SBD-10706-P (N.01/01, R. 10/12), SSWMP Pub. 9.6; Effluent Filter -ONAL S The submittal described above has been reviewed for conformance with applicable Wisconsin Administra tn s T and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constru and located in accordance with the enclosed approved plans and with any component manual(s) referenced ab e. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all co e requirements. E CORPESPOI 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: 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. • This approval does not include plans for the general plumbing systems or sewer piping leading to the septic/holding tank that may be required for this project. See section SPS 382.20, Wis. Adm. Code, to determine if plan submittal and approval is required. 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. JEFFERY V FOX Pale 2 6/9/20T7 • 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 Fee Received $ 250.00 Balance Due $ 0.00 Patricia L Shandorf WiSMART code: 7633 POWTS Plan Reviewer, Division of Industry Services (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 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN INDEX AND TITLE PAGE Gar & Karen Z {stra ' ; ~ ~ ` Project Name: Y ; Owner's Name: Owner's Address: 196th St Sommerset WI 54026 Legal Description: SW114 NE114 026 T31 N/R19 W Township: Somerset County: St. Croix Subdivision Name: pinecfiff - Lot Number: 39 Block Number: Parcel I.D. Number: Plan Transaction No.: 'RV!c", Page 1 index and title page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications E Page 6 Management and contingency plan Page 7 Pump curve and specifications 7~ Designer: Jeff Fox License Number: MPRS 223242 Phone Number: 715-491-3458 Date: 05117/17 Signature. Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SBD-10691-P (N. 01!01, R. 11112}, and bath SSWMP Publication Component Manual Ver. 2.0 'SBD-10706-P (N. 01101, RQ110112}nd Pressure e Dis Ponentt Page 1 of 7 Version 7.0 (R. 11/12) Mound and Pressure Distribution Component Design Site Information j or 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 1.50 Peaking Factor (e.g. 1.5 = 150%a) fecal coliform of - 36 inches. 600.00 Design Flow (gpd) 3.00 Site Slope 97.00 Contour Line Elevation (ft) 20.00 Depth to Limiting Factor (in) 0.60 In-situ Soil Application Rate (gpd/ft) Distribution Cell Information 75.00 Dispersal Cell Length Along Contour (ft) = 8.00 CelI 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? E' r 1 e Center or End Manifold 4.00 Lateral Spacing (ft) If N above, enter the elevation (ft) 2 Number of Laterals of the highest point. 0.156 Orifice Diameter (in) 2.30 Orifice Spacing (ft) = 9.38 ftz/orifice 2.00 Forcemain Diameter (in) 120.00 Forcemain Length (ft) Does the forcemain drain back? Y 89.00 Pump Tank Elevation (ft) Enter kr or q3O System Head (ft) x 1.3 19.57 Forcemain Drainback (gal) Vertical Lift (ft) 67.41 5x Void Volume (gal) Friction Loss (ft) 86.99 Minimum Dose Volume (gal) 0.00 In-line Filter Loss (ft) 34.46 System Demand (gpm) 16.48 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 x 1.00 1.50 x x 1.25 2.00 1.50 x x 3.00 Z00 x 3.00 x Gallons/inch Calculator x .i t Treatment Tank Information Total Tank Capacity (gal) 1200.00 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Wieser Manufacturer gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 800.00 Dose Tank Capacity (gal) lifetime Filter Manufacturer 22.00 Dose Tank Volume (gal/in) 8 Filter Model Number Weiser Manufacturer Project: Gary & Karen Zylstra Page 2 of 7 Mound Plan and Cross Section Views 1/10 B J Qbserva.. Pipe j K fl... - I W I ~ A B - L Mound Component Dimensions A 8.00 ft E 18.88 in H 1.00 ft K B 75.00 ft F 9.50 in I 9.74 ft D 16.00 in 9.45 ft L 94.47 ft G 0.50 ft J 7.22 ft W 24.67 ft 600,00 (ft2) Dispersal Cell Area P130!8.38 (ft2) Basal Area Available 8.00 (gpd/ft) Linear Loading Rate 7.50 (ft) 1110 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 100,13 (ft) 98.33 (ft) Dispersal cell 98.83 (ft) Lateral Dispersal Cell x x. • • • Invert Elevation ` D 3 l f S 97.00 (ft) Contour Elevation 3.0 % Site Slope Shading Key a 1 Geotextile Fabric Cover 0 M Topsoil Cap 9 a --I- Dispersal Cell See lateral details on Subsoil Gap 2 0 1.5 ft 5 Page 4 for number, size, F21 0. © ASTM C33 Sand eau and spacing of laterals. ® Tilled m f` F Laterals are equally Layer c ~0.5 ft Typical t ateral spaced from the © Aggregate a o + distribution cell's T,. centerline in the distribution cell (AxB). Project: Gary & Karen Zylstra Page 3 of 7 End Connection Lateral Layout Diagram L 3terat~ cortere, aser tht. F E dimension • =Turn-up v`~` bal l valve ,~r cl a n,1ut pl u9 P All lateral> are tdenttuat It- X ~ Hole= drilled on the bottom of the later 3t < •.a!l ally =p aced Fc~7a_ e main vizongetion vi a t9p or tyros-I to manifold at .anti Point.. Lattal:_ forcernait, '_~~t- 40 F't,'C pet Talalc _1F~ _5~.: 1{_ Number of Laterals 2 Lateral Diameter Orifice Diameter 0.156 in 1.50 in Orifice Spacing (X) 2.37 ft Lateral Length (P) 73.47 ft Orifices per Lateral 32 Lateral Spacing (S) 4.00 ft Lateral Flow Rate Orifice Density 9.38 ft2/orifice 17.23 gpm Manifold Length 4.00 ft System Flow Rate 34.46 gpm Manifold Diameter Total Dynamic Head 16.48 ft 1.50 in Forcemain Velocity 3.52 ft/sec Dose Tank Information Locking cover with warning label and locking device and Electrical as per NEC 300 and sealed watertight SPS 316.300 WAC Disconnect ~ 4 in. min. Tank component is properly vented F - - Alternate outlet 1 location Weiser Manufacturer Forcemain diameter Ca acit 800.00 Gallons __.t._ 2 in. Volume 22.00 gal/inch A Dimension Inches Gallons Weep hole or anti- A B siphon device 19.51 429.21 B 2.00 44.00 C C 3.95 P___ ump off elevation (ft) 86.99 D 10.90 239.80 89.91 Total 38.36 800.00 D 3' Bedding un er tank. Dose elevation (ft) 89.00 Alarm Manuafacturer Rhombus Alarm Model Number MJ Plugger Note" switches Pump Manufacturer Zoeller e.. play not oe sed, m Pump Model Number BN 152 this syt 17,. Pump Must Deliver 34.46 gpm at 16.48 ft TQom} ` Project: Gary8t Karen Zylstra$ Page 4 of 7 Mound System Maintenance and Operation Specifications Service Provider's Name Jeff Fox POWTS Regulator's Name Phone 715-755-2461 St. Croix County _ Phone System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size in Estimated Flow - Average 400 gpd Maximum BOD5 mg/L Septic Tank Capacity 1200 gal Soil Absorption Component Size 600 ft2 Maximum TSS mg/L Type of Wastewater Domestic Maximum FOG mg/L Maximum Fecal Coliform EEcfu/I 00 mL Service F requency 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 years Alarm Should test month) Pressure System Laterals should be flushed and ressure tested eve 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" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Gary & Karen Zylstra Page 5 of 7 Mound System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General This system shall be operated in accordance with Spy 382-84 W is. Adm. Code, and shall maintained in accordance with its' component manuals (SBD-10691-P (N.01/01, R. 11/12), SSWMP Publication 9.6 (01/81), and Pressure Distribution Component Manual Ver. 2.0 SBD- 10706-P (N. 01/01, R. 10112)] 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. Sept- ~c Tank The septic tank shah be maintained by an individual certified to service septic tanks under s. 281.48, Slats. 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 shah be cleaned as necessary to ensure proper operation. The fitter 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 alarm. filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous 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. Pumi) 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 fitter is installed within the tank it shall be inspected and serviced as necessary. No trees or shrubs should be planted an the mound and Pressure Distribution S stem 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 BODE, 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 dispersal cell. the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the 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. prayer operating condition. If the septic tank any of its components become defective the tank amponent shall be repaired or replaced to keep the system in If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective corn 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 su ace, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged 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 bprovider, and dispersal media, and The information and schedule of mananagement and maintenarnce or pretreatment devices such as aerobic treatment units or units are attached as separate documents and are considered part of the overall management plan for this system. disinfection NEAR CAPACITY CURVE TOTAL DYNAMIC DEAD/CAPAl PER MINUTE it MODEL 52/1 53 tFFLUENT AND DEWATERING I MODEL I 1J3 50 I 152 Feet Meters Gal. Liters C> i 153 r------ ol. Liters 12 40 15 5 1.5 59 261 77 291 ca 10 3.1 61 231 70 265 i ~ 15 4.6 53' 201 61 231 30 8 <C'` %y 44 167 52 197 o 25 7.6 34 I 129 1 42 159 ~a 30 9.1 23 87 33 125 Vi ° 'F 35 10.7 I 22 85 4 ' • 40 12.2 _ - } 1 42 10 I acf: Valve: 138.0 Ft. (I 1.6,n) 44.0 Ft (I3 4m)~ OS450R 0 GALLONS 20 40 60 80 100 LITERS 0 8 160 240 320 1 l 6 1/4 ~ I FLOW PER MINUTE s 23,1-12 _ ~ '_'I".-e `.•iR-"~ lr. a 3 2,/32 • Timed dosing panels available. • I • Electrical alternators, for duplex systems, are available and supplied with an alarm. 2,/ 2 • Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable level long and short cycle controls. • Sealed Qwik-Box available for outdoor installations. See FM1420. • Over 130'F. (54°C.) special quotation required. 2 1/8 I 1521133 MODELS control flon I Model Vohs -Ph Mode Am S1m N152 115 1 Non 8,5 1 I 8N152 115 1 Auto 2w3 °I E152 ' 230 1 8.5 Included 2 or 3 Non t 4.3 1 I 2 or 3 BE152 230 1 Auto 4.3 Included } f N153 i 115 1 Non 2 or 3 9~ sKZOGa BN153 115 1 Auto 10.5 1 2 or 3 E 153 230 1 10.5 Included 201`3 Non I 5.3 1 2 or 3 BE153 230 1 Auto 5.3 included 2 or 3 1. Single piggyback variable level float switch or double piggyback variable level float D CAUTION switch. Refer to FM0477. _ 2. See FM0712 for correct model of Electrical Alternator E-Pak. ^ 3. Variable level control switch 10-0225 used as a control activator, specify duplex (3) or (4) float system. For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. M41L TO., P.o BOX 16347 ~Q Lowsvilfe, KY 40256-0347 - - SHW TO. 3649 Cane Run Road Manutactavers of. . Louisville, KY 40211-1961 dttio //www,zoefler corn kjeAA~Jp tQ. (502) 778-2731.1(800) 928-PLUMP fll~n f'uerros SA'cE /939 FAX (502) 774-3624 Copyright 2001 Zoeller Co. All rights reserved. Wisconsin Department of PY01L EVALUATION REPORT Page--,) 0 Division of Saf* and Buildings in accordance with Comm 85, Wis. Adm. Code Attach complete site plan on paper not less than a 1/2 x 11 inches in size. Plan must county Include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please pant all Information. Rev wed by Date Personal information you provide may be used for seconds purposes (Priv-acy Law, s. 75.04 (1) (m)j. 02-- Tn Prop Property Location ner.in 7 .0~ zl/,.,- 1, Govt. Lot t J 114 114 S T N R 19 E (or& Pr~P~ Owner Malting Address e r` ` y q Lot # Block Subd. me or C M# J f, 1-?9 1 ` _ i1 ,C1 City State Zip Code Phone:Nun>ber; ❑ city ❑ Village Town Nearest Road ( New Construction Use. Residential / Number of bedrooms Code derived design flow rate e,, X01 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Ocr. Z11A '14 Flood Plain elevation if applicable i~ ft General comments and recommendations: ~µr Boring # ❑ Boring / 1 ❑ Pit Ground surface elev.! g. Depth to limiting factor_ in, , Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary 'Fldots GPDMI in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 l 2,7- 2 -7 I 5- "'l a ` R f r { ~ % 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 ~ 1 r 3 A 6 sf Call 7 r E cent #1 = SOD, > 30 < 220 mg/L and TSS >30 < 1,50 ma/L ' Effluent #2 = BOD, < 30 mg1L and TSS < 30 mg/L CST Na a lease nt) Slgnatur CST Number Address D Evaluation eon-ducted Telephone Number cl C SBD-8330 (1107/00) It q_~I Property Owner Parcel ID # ? Boring # ❑ Boring jot 39 Page of 0 Pit Ground surface elev. ft Depth to limiting factor `42T in, Soli Application Rate Horizon Depth Dominant Color Redox Description Texture Structure CorSSisfence Boundary Roofs /tt2 In. Munsell Qu, Sz. Cont, Color Gr. Sz. Sh. { Eff#1 'Eff#2 9- ~evl 1-0-7 Z J2 / 1.7 ~ ✓ 5 lV :fit Boring # ❑ Boring Pit Ground surface elev, ft. Depth to limiting factor in, Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots Soil Application Rate in, Munsell Qu. Sz, Cont. Coles GPD/ftGr. Sz. Sh. 'Eff#1 'Eff#2 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Horizon Depth dominant Color Redox Description Soil Application Rate Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 'Eft#'L Effluent #1 = BOOS > 30 < 220 mg/L and TSS >30 < 150 mg/L ` Effluent #2 BOD 30 a < _ mglL 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. SRD•8330 M07/00) -,~Y'~°•!'~/-sec ~,?l - T..3~~ ~°i 9~,.% Joi-. ~rse.f Sta 1 ~,C ~ s I t fi~ 9• z 'v. ye 1.1 AZ e 39 ,