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HomeMy WebLinkAbout038-1239-21-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. CI"OIX Safety and Building Division INSPECTION REPORT Sanitary Permit No (ATTACH TO PERMIT) 592258 GENERAL INFORMATION State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)] Permit Holder's Name: City Village Township Parcel Tax No KEVIN & DAWN DIX TOWN OF STAR PRAIRIE 038-1239-21-000 CST BM Elev: 7~77 BM Description: Section/Town/Range/Map No: 17.31.18.1282 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt. BM Aeration Bldg. Sewer Holding St/Ht Inlet St/Ht 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 Holding Bot. System Final Grade PUMP/SIPHON INFORMATION Manufacturer Demand St Cover GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer. INFORMATION CHAMBER OR Type Of System: UNIT Model Number: DISTRIBUTION SYSTEM Header/Manifold Distribution ix Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Mulched Depth Over Depth Over xx Depth of xx Seeded/Sodded r Bed/Trench Center Bed/Trench Edges Topsoil Yes E] No ] Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 954 218TH AVE 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = Plan revision Required? ❑ Yes No Use other side for additional information. Date Insepctor's Signature Cert. No. SBD-6710 (R.3/97) ovt~s-rAiF:~r County Industry Services Division St. Croix APR n 1400 E Washington Ave Sanitary Permit Number to be filled in b Co.) SP Q 3 20P.O. Box 7162 ( Y `l S ST. CROD(COU Madison, WI 53707-7162 -7 Q `~~_nnz_z?v' - Sanitary Permit Application 2913 Transaction Number In accordance with SPS 383.2 t(2), Wis. Adm. Code, submission of this form to the appropriate i is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to the Department of Safety and Professional Services. Personal information you provide may be used for seconds Project Address (if different than mailing address) purposes in accordance with the Privacy Law, s. 15.04(1)(m), Stars. 954 218 Avenue 1. Application Inform to - Please Print All Information Property Owner's Name Parcel # Dix, Kevin & Dawn U 038-1239-21-000 Property Owner's Mailing Address Property Location 520 Clark Street Govt. Lot City, State "Zip Code Phone Number NE ''/a, NW %4, Section 17 Hammond, WI 54015 (circle one) T31 N R 18EorW II. Type of Building (check all that apply) Lot # ® 1 or 2 Family Dwelling - Number of Bedrooms 21 Subdivision Name 6k Squaw Lake Estates ❑ Public/Conunereial - Describe Use Block # O J~+C. ❑ City of ❑ State Owned - Describe Use CSM Number ❑ Village of AOVJ ® Town of Star Prairie X 7~ III. Type of Permit: (Check only one box on line A. Complete line B if applicable) -06 Ai, x, A. ® New System ❑ Replacement System ❑ Treatment/Holding Tank Replacemment Only ❑ Other Modification to Existing System (explain) B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of TR Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber n er IV. Type of POWTS System/Component/Device: (Check all that apply) ❑ Non-Pressurized In-Ground ❑ Pressurized ]n-Ground ❑ At-Grade Z Mound ? 24 in. Of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component e (explain) ❑ Pretreatment Device (explain) ~ V. Dis ersal/T'reatm t Area Information: t Design Flow (,-pd) Design Soil Appli iOil Dispersal Area Required (s Dispersal Area P posed (so System Elevation 450 Rate(gpdst) 750 1857 98.60" 0.6 VI. Tank Info Capacity in C D n Gallons Total # of Manufacturer u Gallons Units ~ 1/ 1a~ z~ - a- U o n ti Lz New Tanks Existing Tanks ~a r 2 V) Lz 5 E: Septic or Holding Tank 1000 1000 I Wieser Co Crete ® ❑ ❑ ❑ ❑ Dosing Chamber 650 650 I Wieser Concrete ® ❑ ❑ ❑ ❑ VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumb Sig tore MP/MPRS Number Business Phone Number John Schmitt ( 4/2 2l Z r 223760 715-760-0486 Plumber's Address (Street, City, State, Zip Code) 616 150`x' Ave. Somerset. WI 54025 VIII Count /De artment Use Only Approved ro d Permit Fee Daat ssue Issuing nt Signature -LZI C-1 El fl erGivenReason or ial $ G 46 -CO `P t/-77~ IX. Condt Iteas ns for. Disapproval 3) 6J C &N 6441L. Ief:ct oral Haar aftt> ! E; +nta'_ e& Ilt h 1"jpa l .,4pment plan pro`iiderl by plumber. C ? edt t4k tK+qow-AA's mwt tm &.M, int•1 so W cmdt I ~:MinandF:?, O t ei ~A" 2 r Attach to complete plans for the system and omitT.& ty only on paper not less than 8 trz x tl ' ches in size SBD-6398 (R03/14) AT PLOT PLAN N Project Name: Dix 3 Bedroom Mound Legal Description: NE114, NW1/4, S17, T31N, R18W P. 1. D: 038-1239-21-000 Subdivision Name: Squaw Lake Estates Lot 21 SCALE: 1" = 40' Township: Star Prairie Parcel Size: 1.910 Acres County: St. Croix Contour Line Elevation: 97.60' Cell Dimensions: 6' X 75' ` 4 inch Sch 40 -ASTM D2665 System Elevation 98.60' Mound Dimensions: 94.63' x 29.40' 2 inch Sch 40 -ASTM D1785 Slope: 16% 1112 Sch 40 -ASTM D1785 A BM1 Elevation: 100.00' To of 2" PVC pipe BM2 Elevation: 102.25' Top of 2" PVC pipe ■ Backhoe Pits: Tank: Wieser Concrete WLP1000/650-MR with Pol lok 525 See Aerial Photo, Page 4 of Soil & Site Evaluation for full view of parcel Q~ L q '°c CON TO Li L-i, pg~vr st ~ 1 E~C l 1 i i %G IV I i ~ }IwIS r ~ v~v c. so ~ ~ ' G S t- '1" r1 t~ ~ ~ S~PiiL~p - ~.f 10 Y n--- I I DIVISION OF INDUSTRY SERVICES Tom 3824 CREEKSIDE LN o` t HOLMEN WI 54636-9466 r<p Contact Through Relay P S, http://dsps.wi.gov/programs/industry-services \y w www.wisconsin.gov Scott Walker, Governor Laura Gutidrrez, Secretary March 06, 2017 CUST ID No. 223760 ATTN: PO PVTS Inspector JOHN F SCHMITT 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: 03/06/2019 SITE: Identification Numbers Kevin and Dawn Dix Transaction ID No. 2913092 954 218TH Ave Site ID No. 835827 Town of Star Prairie Please refer to both identification numbers, St Croix County above, in all correspondence with the agency. NE 1/4, NW 1/4, S17, T13N, RI 8W FOR: Description: Three Bedroom Mound System l Sloping site Object Type: POWTS Component Manual Regulated Object ID No.: 1694060 Maintenance required; 450 GPD Flow rate; 24 in Soil minimum depth to limiting factor from original grade System(s): 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); Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. of No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s. 145.06, DEPT stats. u The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made wi CC) 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 droved 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. JOHN F SCHM11-F Page 2 3/6,12017 Owner Responsibilities • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • 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). • 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. • 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. 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 y~ This Amount Will Be Invoiced. erard M Swim When You Receive That Invoice, POWTS Plan Reviewer, Division of Industry Services Please Include a Copy With Your (608)789-7892, Mon - Fri, 7:15 am - 4:00 pm Payment Submittal. jerry.swim cr wisconsin.gov WiSMART code: 7633 cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN i':C" ICIi::,kll: l 1r'JpICcilO(7 INDEX AND TITLE PAGE Project Name: Dix 3 Bedroom Mound Owners Name: Kevin & Dawn Dix Owner's Address 520 Clark Street Hammond, WI 54015 Legal Description: NE1/4, NW1/4, S17, T31N, R18W Township Star Prairie County: St. Croix Subdivision Name: Squaw Lake Estates Lot Number: 21 Block Number Parcel I.D. Number 038-1239-21-000 Plan Transaction No. t t l Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Vic Page 4 Lateral and dose tank mq~ Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Septic and Dose tank specifications Page 8 Effluent filter information r. Page 9 & 10 Pump specifications and curve I.'Page 11 Plot plan Page 12 Septic tank maintenance agreement Page 13 Warranty deed Page 14 CSM Attachment 1 Soil evaluation report Attachment 2 House Plans Designer: John Schmitt License Number: 223760 Date: 2/23/2017 Phone Number: 715-760-0486 Signature: ? 2 Designed Pursuant to the 7/1 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 (10/81) 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 Residential or Commercial Design Note: Sand till (D) calculations assume a i 300.00 Estimated Wastewater FIOW (gpd) Table 383-44-3 in-situ soil treatment for fecal coliform of 36 inches. 1.50; Peaking Factor (e.g. 1.5 = 150%) 450.00 Design Flow (gpd) 16.00' Site Slope 97.601 Contour Line Elevation (ft) 24.001, Depth to Limiting Factor (in) 0.601 In-situ Soil Application Rate (gpd/ft2) Distribution Cell Information 75.00; Dispersal Cell Length Along Contour (ft) = 6.00 Cell Width (ft) 1 00 Dispersal Cell Design Loading Rate (gpd/ft2) 1 f 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) I C' Center or End Manifold 3.00Lateral Spacing (ft) If N above, enter the elevation (ft) 4 Number of Laterals of the highest point. ; 0.188, Orifice Diameter (in) 2.501, Estimated Orifice Spacing (ft) = 7.50 ft2/orifice 2.00 j Forcemain Diameter (in) 60.00 Forcemain Length (ft) Does the forcemain drain back? Y 87.60, Pump Tank Elevation (ft) Enter Y or N 3.25 System Head (ft) x 1.3 9.79 Forcemain Drainback (gal) 10.58 Vertical Lift (ft) 67.32 5x Void Volume (gal) 1.92 Friction Loss (ft) 77.11 Minimum Dose Volume (gal) 0.00; In-line Filter Loss (ft) 39.32 System Demand (gpm) 15.75 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection in. dia. _ o tp ions choice in. dia. options choice 0.75 1.25 1.00 1.50 x I _X 1.25 x 2.00 X 1 1.50 x x 3.00 2.00 x 3.00 x t Gallons/inch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 1000.001, Septic Tank Capacity (gal) Total Working Liquid Depth (in) Wieser Concrete 1,Manufacturer gavin (enter result in cell B49) Dose Tank Information Effluent Filter Information 650.00; Dose Tank Capacity (gal) `PolyIok Filter Manufacturer 17.001 Dose Tank Volume (gal/in) ; 525 Filter Model Number Wieser Concrete ;'Manufacturer Project: Dix 3 Bedroom Mound Page 2 Mound Plan and Cross Section Views 1/108: `l Observation Pipe T A 5 B . z . . . . . . L Mound Component Dimensions ft B ft F 9.50 in 1 ft L ft A A12.00 ft E 23.52 in H [Aft ft K [Aft D in G 0.50 ft J W 450.00 (ftz) Dispersal Cell Area 1856.97 (ftz) 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 100.39 (ft) H G '•iiii ft) Lateral I F Dispersal Cell' 99.10 ( Invert 98.60 (ft)- Dispersal Cell Elevation :_D` U Eleva r...., ? Y 97.60 (ft) Contour Elevation 16.0 % Site Slope Geotextile Fabric Cover Shading Key d a I Dispersal Cell See lateral details on EL 1.5 ft Page 4 for number, size, 1~._' Topsoil Cap o and spacing of laterals, Q ©Subsoil Cap U) ° Laterals are equally © ASTM C33 Sand F spaced from the Tilled Layer c N 0.5 ft : Typical Lateral distribution cell's © Aggregate o centerline in the ".A-.T - distribution cell (AxB). Project: Dix 3 Bedroom Mound Page 3 Center Connection Lateral Layout Diagram Force main connection via tee or cross to manifold at any point. Laterals are identic at S I P Turn-upvtfbalivalveorIE }~-~1Fx12: I >.12~) Laterals 0 forcemain Sch 40 PVC cleanoutplug per SPS Table 354.30-6 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 15.75 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 i10 _ILL 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 ~ T Volume 17.00 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 20.70 351.89 C B 2.00 34.00 Plump off elevation (ft) C 4.54 77.111 1 88.52 D 11.00 187.00 D Total 38.24 650.00 Dose tank elevation (ft) Bedding un er tank. 87.60 Alarm Manuafacturer SJE Rhombus Note: Switches Alarm Model Number 1036378 containing mercury may not be used in Pump Manufacturer iZoeller this system. Pump Model Number 152 Pump Must Deliver 39.32 gpm at 15.75 ft T D H Project: Dix 3 Bedroom Mound Page 4 Mound System Maintenance and Operation Specifications Service Provider's Name John Schmitt Phone; 715-760-0486 j POWTS Regulators Name St. Croix County Zoning Department Phone; 715-386-4680 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/1- 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 •.,~,,..T Grade 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Sall Valve Distribution Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Dix 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. 10/12), 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. 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 mglL BODS, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BODS, 30 mg/L TSS, 10 mg/L FOG, and 104 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice 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. 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 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 8n-M/0001d-K :3-» 95t8-gZ2-008 0 \ r :00d-1SOd :31V0 00/00/00 :31V0 OSLb9 IM 'NOOH N301VW Ol 1.MH Sn 9LL£M -lyf1Nb'W OIld3S w o :00d-3W „0-,t=„b L :31VOS dOM -'Aa WAA 3138DtIDD 1353'M w \ 214-099/0001d-M V a w w r J w O > CD C) a ° D w w CY ^ W w O W W Q. m o Or ° n p a V' r ui 0 ° w o vwi a a _a ° Z o o Z L1' Z (n o °m p °l~ z ° x a z 3 o a Q F J Z 2 \Z \ U. V O a o w Oa aQU -J _j (ice U ¢ a o O Q 0..° cj 0i m~ JWW 00 p W Z ZN Y a s ~OQ r = m JQ W0 V) C-4 C) r V) a cn V) m LLJ N O of p < CL co 0 ~ U? Y ~ \ ° ~ Od (n \U r N~~O~j~j~ w<Q W < Li V) WU CDZ QO O W r7r ,~.-~tJ>d I v ~zcn z ° cnF Nc? in 0 a_ LOJOr "CC)zJ~ Oa V) z w OOW d w co oo NU z~~~Z~o~o~~ °zva °zv~ a ° z wx n- °Q°0Qww°w~ ¢as° U o a v,° f- J z Zr~n3UmSJ~s00J F- p O Y ~Y Q m w a w U Z >Z Z Z OJ OUP J a w I H W - p U F- > ° N F- Z d w z w I YI ~I ~ I~ I I II ~ N ;II II I ~ 5; 5; 11 II ~I ` II II ► w w Ii w o~ jE ° g~ ° x o: I `i 0~ Q I 0 ¢ m I I, „9 I „ 9t, w alI /II t M U a ih w a z f,£~ w 4032 a ~g SVGS V) a Dean )noon Uons in Prt c at, or, io i®e Zabel' t e+ f tv,?fer hio(Ificis A Division of Polylok Inc. ti l3j`y if N 1 <F~, The PL-525 Filter is rated for 10,000 GPD (gallons per day) making it one of the largest filters in its class. It has 525 linear feet of 1/16" filtration slots. Like the Polylok PL-122, the Polylok PL-525 has an automatic shut-off ball installed with every filter. When the filter is removed for cleaning, the ball will float up and temporarily shut off the system so the effluent won't leave the tank. Alarm Switch Rated for 10,000 GPD (gallons per day). (optional) 525 linear feet of 1 J16" filtration. 10`000 GP~ I~ Accepts 1" PVC Accepts 4" and 6" SCHD 40 pipe. Extension Handle Built in gas deflector. Automatic shut-off ball when filter is removed.r Rated for Alarm accessibility. 10,000 GPD Accepts PVC extension handle. r k' -3 ~ c ~ -.Yyt s q' 525 Linear Ft. Ideal for residential and commercial waste flows up to of 1/16" 10,000 gallons per day (GPD). Filtration Slots 1. Locate the outlet of the septic tank. 2. Remove the tank cover and pump tank if necessary. Accepts 4" & 6" 3. Glue the filter housing to the 4 or 6" outlet pipe. If SCHD 40 pipe ;i the filter is not centered under the access opening use a Polylok Extend & Lok or piece of pipe to center filter. 4. Insert the PL-525 filter into its housing. Certified to 5. Replace and secure the septic tank cover. NSFIFAB+ SO Standard 46 The PL-525 Effluent Filters will operate efficiently for several years under normal conditions before requiring cleaning. It is recommended 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 ~rMft~ ~ Gas Deflector needs servicing. Servicing should be done by a certified 'f septic tank pumper or installer. Automatic Shut-Off Ball 1. Locate the outlet of the septic tank. 2. Remove tank cover and pump tank if necessary. 3. Do not use plumbing when filter is removed. , 4. Pull PL-525 cartridge out of the housing. 5. Hose off filter over the septic tank. Make sure all solids fall back into septic tank. 6. Insert the filter cartridge back into the housing making t It+tcSeuu `>+narii~iite r i`;~larai 1is[end S Loh„ sure the filter is properly aligned and completely inserted. Polylok, Zabel & Best filters accept Easily installs 7. Replace and secure septic tank cover. the SmartFilter@ switch and alarm. into existing tanks. Polylok, Inc. 3 Fairfield Blvd. Wallingford, CT 06492 Toll Free: 877.765.9565 Fax: 203.284.8514 www.polylok.com i SECTION: 2.20.047 i 7 U,4117Y ZIMP9 lNCE 19,7,9 FM1919 0110 w / lnl Supersedes Product information presented here reflects conditions at time i~ t 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.zoeller.com (502) 778-2731. 1(800) 928-PUMP - FAX (502) 774-3624 Durable cast iron construction 151/1521153 EFFLUENT SERIES Model 151 comes standard with a glass-filled polypropylene base (For Pump Prefix Identification see News & Views 0052) Corrosion resistant powder coated epoxy finish Q ffde 4,r1. a ? ffid 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 -1/3 HP passes Y2' spherical solids . SM1.1 EFFLUENT Model 152 -A HP passes 3/d' spherical solids ` / / SUBMERSIBLE Model 153 -1/2 HP passes W spherical solids 2" NPT DISCHARGE Motor - 60 Hz, 3450 RPM, oil-filled, hermetically sealed, automatic reset thermal overload protected ~~®1 i~ i/i~1133 Carbon/Ceramic seals High Fl zid C us Efflucil'i, r r* Upper sleeve bearing and lower ball bearing running Tested to UL Standard UL778 and CerVW m CSA In bath Of oil Standard CSA22,2 No. 108 20 ft. UL Listed power cord with molded 3-wire plug 1 Y2' NPT vertical discharge BN and BE standard models include a 20 ft. variable N1511N152/N153 & E151E152E153 nonautomatic level float switch BN151BN152/BN153 & BE151/BE152/BE153 padded with Piggyback Variable Level Float Switch Operates at temperatures to 1300F (54oC) in effluent 1/3,.4& 112 HP, 1Ph 115Vor230V applications All models include a 1 Y2' x 2" PVC adapter fitting s 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," .0 aaxJK, IUloctci F3,11ia2(c:S'd153 r-!iclh -legit AL41L TO: P0. BOX 16347 f_ o t Louisville, KY 40256-0347 SHIP TO: 3649 Cane Run Road Louisville, KY 40211-1961 (502) 778-2731. 1(800) 928-PUMP FAX (502) 774-3624 Manufacturers of . Z ,QL/AL/TY /SUMPS 51NCE lff7g " o Copyright 2010 Zoeller Co. All rights reserved. w TOTAL DYNAMIC HEADIFLOW w PUMP PERFORMANCE CURVE PER MINUTE LL50 MODEL 151/1521153 EFFLUENT AND DEWATERING 14 45 153 MODEL 151 152 153 2 40 Feel Meters Gal. Liters Gal. Liters Gal. hers 3 5 1.5 50 189 69 261 77 291 I 1 10 152 10 3.0 45 170 61 231 70 265 U z 1 15 4.6 38 144 53 201 61 231 0 8 25 151 " 20 6.1 29 110 44 167 52 197 25 7.6 16 61 34 129 42 159 ° 5 20 30 9.1 - - 23 87 33 125 35 10.7 - - - - 22 85 t5 40 121 - - - - 11 42 4 ~ y tD Shut-oOHead: 30 R (9.1m) 38 ft. (11.6m) 44 IL (13.4m) '11 0145089 2 5 0 Model 151 Models 152 / 153 10 20 30 50 60 70 BO 90 100 GALLONS 87112 67(32 lJ7ER5 0 40 60 '.20 160 200 240 280 320 360 37R 4518 - 37/8 45B - FLOW PER MINUTE 014508A H 1 ~ H C 3718 3718 F u 3718 O 3718 • Timed dosing panels available • Electrical alternators, for duplex systems, are available and 7 NPT supplied with an alarm • Variable level control switches are available for controlling single phase systems • Double piggyback variable level float switches are available j for variable level long and short cycle controls v • Sealed Qwik-Box available for outdoor installations - See 1111/16 z,1e FM1420 - • Over 130°F (54°C) special quotation required - 41x16 sae 151 1i 5 211 `a -i l - SK2444 SK2064 1511152/153 MODELS Control Selection Model Volts-Ph Mode Amps Simplex Duplex N151 115 1 Non 6,0 1 2 or 3 BN151 115 1 Auto 6.0 Included 2 or 3 E151 230 1 Non 3.2 1 2 or 3 BE151 230 1 Auto 3.2 Included 2or3 "Easy assembly" N152 115 1 Non 6.5 1 2or3 BN152 115 1 Auto 8.5 Included 2 or 3 (pump & discharge pipe not included.) E152 230 1 on 4.3 1 2 or3 BE152 230 1 Auto 4.3 Included 2or3 N153 15 1 Non 10,5 1 2or3 BN153 115 1 Auto 10.5 Included 2 or 3 E153 230 1 Non 5.3 1 2 or3 BE153 230 1 Auto 5.3 Included 2 or 3 Ij t l E Ick! GUIIJE.: 'PI-IMP ~1is'~~),~li~. ~IU eTA 1. Single piggyback variable level float switch or double piggyback variable level fli Cis:}i'J~'.4. Reduces potential clogging by debris float switch. Refer to FM047Z Replaces rocks or bricks under the pump 2. See FM0712 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 W or 2" PVC piping d CAUTION Attaches securely to pump u fi,stauvtion of noillrols, hret 1iat1 aeviu° awl ;~ni",, should i7(~ <lone h;r a .~rluiCr-r Accommodates sump, dewatering and effluent applications licensed c lectrician. All docti,c 11 ,rnl sat y cot as should be foilased including the NOTE: Make sure float is free from obstruction. (dust mcmrt Notional RICCtriC:J cod^ (NI-C) :.ind tho oc:cup~ttlofvf Safety and liealill Pic"r (OSHA}. 1 if /l, ,41r p~v t" eC it, h',j For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. - © Copyright 2010 Zoeller Co. All rights reserved. PLOT PLAN N Project Name: Dix 3 Bedroom Mound Legal Description: NE114, NW1I4, S17, T31N, R18W P.I.D: 038-1239-21-000 Subdivision Name: Squaw Lake Estates Lot 21 SCALE: V = 40' Township: Star Prairie Parcel Size: 1.910 Acres County: St. Croix Contour Line Elevation: 97.60' Cell Dimensions: 6' X 75' 4 inch Sch 40 -ASTM D2665 System Elevation 98.60' Mound Dimensions: 94.63' x 29.40 2 inch Sch 40 -ASTM D1785 Slope: 16% 1112 Sch 40 -ASTM D1785 L BM1 Elevation: 100.00' To of 2" PVC pipe BM2 Elevation: 102.25' To of 2" PVC pipe ■ Backhoe Pits: Tank: Wieser Concrete WLP10001650-MR with Pol lok 525 See Aerial Photo, Page 4 of Soil & Site Evaluation for full view of parcel PI L OrAi cj tv 0' ® qD c ~CN, QoWTf if R w1J~' PP1VL of 4% e~C o-- l 1 PR0Pcsc,~ r Bti ~ NI c5c ~"'r 5 ~ Pil L (A - ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREiVIENT AND O'W ERSFIIP CERTIFICATION FORM Owner'Buver Kevin and Dawn Dix Ittiling Address 520 Clark St. Hammond, WI 54015 Property Aadt 954 218th Ave. (Verification required from Planning k Z_ n' tg Department for new construction.) City/State Somerset, WI parcelIdcntific~ ion ,Itmber 038-1239-21-000 LEGAL DESCRIPTION Property Location NE NW ` ~ . Sec. 17 _ T 31 N R 18 W. Town of Star Prairie Subdivision Plat. Squaw Lake Estates Lot 4~ 21 Certified Sui-vey Map VOILttpe Page Warrant-N, Deed # (before 2007)Volume . Page Spec house 01,esdto Lot lines identifiable Dyes[] no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of 'our septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three y ears or sooner. if needed. b' a licensed pumper. What yotr put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. 0WIler maintenance responsibilities are specified in §SPS. 383.52'( 1) and in Chapter I2 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix Count' Planning 8 Zoning Department a certification form. signed by the owner and by a master plumber. journeyman plumber, restricted plumber or a licensed pumper 'erifying 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 sludue. I we. the undersi«ned 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 Safev, And Professional Ser'ices and the Department of Natural Resources. State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix Count' Planning & Zoning Department within 30 days of the three year expiration date. I t'e certif'that all statements n this 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 warranty deed recorded in Register of Deeds Office. Number of bedroonis`~ 02,22 17 SIGNATt'RE OF APPLICANT(S) DATE *""Any information that is misrepresented may result in the sanitat- 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 made in the warranty deed. (REV. 04!12) LOTS 160,788 sq- ft- L. . o ^"T 964.,6. " e.~a fi 56# join t J t 30,9,27 R a tri R ~ cl~ a R 83, 08~ sq. ft. Cr) \0 ILP ;I'- (Z acres W ~0 e or- R } L `T 20 tr ti. a~ ~ o a cl~ HWL, P a 9 0,6* ,ERR / e v 1.66 'C R a µtr O.^ 1r XIQ er°1}F, {'ff J~'`J tjr. ~(r{1pn. + . Qv 6-J6ty.'i. ~1r. L~r v 4 ri: vlr', rrlSG"F[f+ry~--.~;:=c i; Y, ~riRAl ~n j 1 { r f m 52 iyt~~ly?.ei?. ;F~'~ 3,':4J,Sf,c~ ~V y cr {J~.~elY ca. i .Sat7. A 1. Pf i r , t (N) 0 . a s c C I~JI j"'~. P IL a 0 O ,j Z D i7 \ _ o:o 6 u 1 V ,o~x ®®®I~ILI LII~~®© MOM ~o F -71 a~ u~a ~o ED T Department of 7~ -I #1844 Ii SOIL EVALUATION REPORT S P Safet t Pa 1 of 4 t in accordance with Comm 85, Wis. Ad- 9e Professional Services M9R37RMAYSKP8 -Schmitt Soil Testing, Inc. l +County Attach complete site pi p el'kh4 ess~rah 8f x-1 1 inches in size. Plan must St. Croix include, but not limited :vertical and horizontal reference point (BM), direction and - percent slope, scale or dimensions, north arrow, and location and distance to nearest road. P038-1 9-2 000 Please print all information. RBy Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 1, Property Owner Property Location / Dix, Kevin & Dawn Govt. Lot NE1/4, N 1/4, 17, T31N, R18W Property Owner's Mailing Address Lot # Block # Subd. Name r CSM# 520 Clark St 21 Squaw Lake Estates City State Zip Code Phone Number City Village Town Nearest Road Hammond WI 54015 651-248-4863 Star Prairie 5 q 218Th Ave. 1 New Construction Use: I Residential ! Number of bedrooms 3 Code derived design flow rate 450 GPD 1 Replacement Public Parent material Glacial Till or commercial - Describe: (Amery Series) Flood plain elevation, if applicable NA - ft. General comments Area is suitable for a mound system. System elevation is 98.60' based off a contour line established t 97.60'. Slope of area is and recommendations: 16%. Depth to limi ' g factor is 25" Z ~J f r iq 7l0 O,:X~ a Boring # 'Boring ~i (L >I- G roY• Pit Ground surface elev. _ 98.00 ft. Depth to limiting factor ____25 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots G_PD/ftz - in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-11 10yr3/3 none sl 2fsbk mvfr as if,2vf 0.6 1.0 2 11-25 10yr3/4 none sl 2msbk mfr gw lvf 0.6 1.0 3 25-32 7.5yr4/6 c2d 7.5yr6/6 sl 1msbk mfr gw 0.4 0.7 7.5yr6/1 4 32-56 7.5yr4/4 c2d 7.5yr6/6 sl Om mfi 0.2 0.6 7.5yr6/2 Boring 2 Boring # ' Pit Ground surface elev. 98.00 ft. Depth to limiting factor 24 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 0-11 10yr3/3 none sl 2mgr mvfr as lf,lvf 0.6 1.0 2 11-26 10yr5/3 none sl 2msbk mfr gw if lvf 0.6 1.0 3 24-37 . 10yr4/4 c2d 7.5yr6/6 sl lmsbk mfr gw 1vf 0.4 0.7 7.5yr6/ 1 4 37-62 5yr4/4 m2d 7.5yr6/8 sl -_-Om mfi - 0.2 0.6 7.5yr6/2 Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD5 < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt i~fc 227429 Address Schmitt Soil Testing, Inc. Date Evaluation Conducted Telephone Number 1595 72nd St. New Richmond, WI 54017 11/11/2016 715-760-1978 SBD-8330 (R.07/00) Property Owner Dix, Kevin & Dawn _ _ Parce► ID # _038_1239-21-000 _ Page _2 -of _ 4 Boring 73 Boring # pit Ground surface elev. 94.50 ft. Depth to limiting factor 28 in. Soil Application Rate ' Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 _ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 1 0-9 10yr3/3 none sl 2mgr mvfr as lf,1vf 0.6 1.0 2 9-22 10yr5/3 none sl 2fsbk mfr gw lf,lvf 0.6 1.0 3 22-28 10yr4/4 nnone sl lmsbk mfr gw 1vf 0.4 0.7 4 28-36 7.5yr5/4 c2d 7.5yr6/8 sl lmsbk mfr gw 0.4 0.7 7.5yr6/2 _ - - - - - 5 36-62 7.5yr4/4 m2d 7.5yr6/8 sl Om mfr 0.2 0.6 - 7.5yr6/2 - - - i Boring F-1 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/112 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 `Eff#2 I _ 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/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 •Eff#2 Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 <150 mg/L Effluent #2 = BOD5 < 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. SBD-8330 (R.07/00) Schmitt Soil Testing, Inc. Page 3 of 4 Conducted b Y: Conducted For: Schmitt & Sons Excavating, Inc.. Name: Kevin & Dawn Dix Thomas J. Schmitt, CST 227429 Address: 520 Clark St. 586 Valley View Trail City, State, Zip: Hammond, W154015-- - Somerset,Wl54025 t _ Phone: 715-760-1978 PID: 038-1239-21-000 Signatur., Lot No. 21 Squaw Lake Estates Date Legal Description: NE1/4 NWI/4 S17 T31N R18W ■ Backhoe Pit Township, County: Star Prairie, St/ Croix County i A Bench Mark 1 El. 100.00' Top of 2" PVC Pipe - 0 Bench Mark 2 El. 102.25' top of the Air Conditioner disconnect box -j Slope= 16% Scale 1"= 40' Contour Line El. 97.60' Contour Line Length 75' - r - - - - t - i NOTE: For full view of Lot see Aerial Photo (Page 4 of 4) I ! i I i 3 i ~ i I , i I I ~ ti E o Xkv , e 7 T- t 6. t f f t j. { /612 y ` - n i i 1 i s s- s ' L ~ l0 O Y O NNyT O dm_ v U man C EN T i0 O J $ O ~O N O v~ d N N m C, U N n N N O C C m C C N c Lm a: .O C ¢ ° U m x d L" S m'n E °m O O N uEi c P C) m ' V~ J O 'fit ~ ~ • ; ii Y: fi 0, t CN ell) f 13 is 13 sa Oil Wlk t ' . ^g a ' At. /,,f