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HomeMy WebLinkAbout038-1009-60-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No (ATTACH TO PERMIT) 597357 GENERAL INFORMATION State Plan ID No: Personal information you provide may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)] 2949355 Permit Holder's Name: City Village Township Parcel Tax No: DANIEL & SUSAN OLSON TOWN OF STAR PRAIRIE 038-1009-60-000 CST BM Elev: T~7 BM Description: Section/Town/Range/Map No: 02.31.18.25A TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing , Alt. BM Bldg. Sewer Aefatfen Holdina~ St/Ht Inlet TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic (r Dt Bottom r3 `-...1 4 r Dosing Header/Man. Aeration Dist. Pie Holding Bot. System Final Grade PUMP/SIPHON INFORMATION Manufacturer Demand St Covert r GPM Model Number TDH Lift Friction Loss System Head TI~H Ft 1.1 n. Forcemain Length Dia. Dist. to well SOIL ABSORPTION SYSTEM BED/TRENCH Width n t Length No. Of Trenches PIT DIMES No. Of Pits Inside Dia. Liq epth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL E M LEACHING Manuf ter: INFORMATION CHAMBER OR Type Of System, j\1%, I C_ 7 - UNIT Model Number: DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size Ix Hole Spacing Vent to Air Intake Pipe(s) Length~_ Dia Length r ? Dia ] Spacing_ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only xx Mulched Depth Over Depth Over r xx Depth of xx Seeded/So7Y/es Bed/Trench Center Bed/Trench Edges / Topsoil No vi Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 1219 CTY RD H 1.) Alt BM Description t 2.) Bldg sewer length = w~ 1 - amount of cover = I ; (t Plan revision Required? El Yes ❑ No Use other side for additional information. _ Date' Insepctor's Sig at a Cert. No. SBD-6710 (R.3197) r. ~r~l 1 ~ V IV r..W County ) y C ~f-Y1 Safety and Buildings Division / 0 s rte hty~ 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.) D (U Madison 5407-7162 State Transaction Number ;off Permit Apphcat... _ -r In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate s.,. nut e 0 is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to Project Address (if different than mailing address) the Department of Safety and Professional Servies. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, s. 15.04 1) m , Stats. Jam-- I •y ( 1 1. Application Information - Please Print All Information Property Owner's Name Parcel # ~J . Property Owner's Mailing Address Property Location 1,) ~i • tj .i Govt Lot City, SL Zip Code Phone Number_ Y4, Section / (circle one T J N; R E or.-W H. Type of Building (check all that apply) Lot # 1 or 2 Family Dwelling- Number of Bedrooms Subdivision Name `•i- t-A Block ❑ Public/Commercial - Describe Use « ~ ❑ City of CSM Number ❑ Village of ❑ State Owned -Describe Use - / _ r / Town of ~)/,.A in c,r III. Type of Permit: (Check only one oz on line A. Complete line B if applicable) A. 14New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner ' a IV. Type of POWTS System/Component/Device: Check all that a ly 0 3 ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade '0 Mound > 24 in- of suitable soil ❑ Mound 124 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment ISevicc (explain) 1 V. Di~Flo rsaVrreatment Area Information: +C Desigw (g pd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf)~ Dispersal Area Proposed System Elevation VI. Tank Info Capacity in Total of Manufacturer Gallons Gallons Units f a o II 1 New Tanks Existing Tanks iJ fj t'1 5Z!5 u o 0 = fl id m IY a U v5 ; 670 u. C7 P. Septic or Holding Tank - Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumb r' ame (Pri Plumbe 's Sign e MP/1v1PRS Number Business Phone Number °r Plumber's Address (Street, City, State, Zip Code) VIII. County/Department Use Only ❑ Approved ❑ Disapproved . = Permit Fee Date Issued Issuing Agent Signature ❑ Owner Given Reason for Denial / v IX. Condit easons for Disapproval a L e 1.: _ 'Ark, edflt3sm Ah rt Fi ~ ~ ~-10~ 6 dlkper sti cell must all bgL!t ,?s; t~ gtt-r s ~J~ n per ippralgement plan p! o Tided by plumbef. / - as pa rwp%%Nbla Cade ! VtnanratJE. t"31,- Attach to complete plans for the system and submit to the C5ounty only on paper not less than 8 Mx 11 inches in s j 9 SBD-6398 (R. 11/11) Q ALb 0,6 r"^.~t w r 2C-,l Z m ~ 'h I J, 1\ _ - / _JJ.. . ' ~r3 I' ~2 fog ~ S! ~ I-C -0 IL, F DIVISION OF INDUSTRY SERVICES 2331 SAN LUIS PL STE 150 GREEN BAY WI 54304-5211 Contact Through Relay ` P http://dsps.wi.gov/programs/industry-services . www.wisconsin.gov \RO~ESSror Scott Walker, Governor Laura Gutierrez, Secretary May 24, 2017 ATTN.; POWTS Inspector ~ . CUST ID No. 224263 ~no KIM A OCONNELL ZONING OFFICE KO CONSTRUCTION ST CROIX COUNTY SPIA 504 3RD AVE E 1101 CAR-MICHAEL RD OSCEOLA WI 54020-8173 HUDSON WI 54016-7708 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/24/2019 Identification Numbers Transaction ID No. 2949355 SITE: Site ID No. 838297 Daniel Olson Please refer to both identification numbers, 1219 Cty Rd H above, in all correspondence with the agency. Town of Star Prairie St Croix County NE 1/4, SWI/4, S2, T3 IN, RI 8W FOR: Description: Mound System (I Bedroom - New Construction) Object Type: POWTS Component Manual Regulated Object ID No.. 1707`288 Maintenance required; 150 GPD Flow rate; 24 in Soil minimum depth to liimitinL, 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. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s. 145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • Preserve dispersal area prior and during construction to avoid disturbance, compaction and use of the site. • With new construction; it is recommended not to activate the pump in the dose tank until the tanks are pumped prior to homeowner occupancy. • Wastewater generated from contractors cleaning of equipment and tools and/or left over construction products shall not be discharged into the drains discharging to the private onsite wastewater treatment system (POWTS). Waste generated shall be properly disposed of on-site or off site. • Any tall grasses, leaves and shrubs shall be cut short and removed prior to tilling the surface for installation to prevent matting under the dispersal area. All loose organic material to be removed from mound area. • Divert surface water from POWTS Area. • Prior to construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. Smearing and compacting of wet soil will result in reducing the infiltration capacity of the soil. Proper soil moisture content can be determined by rolling a soil sample between the hands If it rolls into a 1/4- inch wire, KIM A OCONNELL Page 2 5/24/2017 the site is too wet to prepare. If it crumbles site preparation can proceed If the site is too wet to prepare do not proceed until it dries. • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building sewer beyond 30 feet per SPS 38230 (11)(c) • Well setbacks to meet chs. NR 811 & 812 • Tank Installation to follow all manufacture's recommendations. • SPS 383.54(1)(e) The management plan for a POWTS shall specifically address the servicing mechanics of an aerobic or anaerobic treatment tank or a holding tank where either of the following conditions exist: 1. The bottom of the tank is located more than 15 feet below the elevation where the servicing ad is located. 2. The bottom of the tank is located more than 150 feet horizontal) from where the servicing ad is located. • Verify property line(s) prior to installation. • Pump Floats to be set and verified per approved plan Any changes may result in pump resizing to meet TDH and GPM Specifications. • Areas that are occupied with rock fragments, tree roots, stumps and boulders reduce the amount of soil available for proper treatment. If no other site is available, trees in the basal area of the mound must be cut off at ground level. A larger fill area is necessary when any of the above conditions are encountered, to provide sufficient infiltrative area. Owner Responsibilities • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval SPS 383.54(1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 Fee Received $ 250.00 Balance Due $ 0.00 Tim Vander Leest WISMART code: 7633 Private Sewage Plan Reviewer, Division of Industry Services (920)492-2214, Monday - Friday 6 am To 3:30 pm tiro.vailderleest_((-i,,wiscornsin.gov KIM A OCONNELL Page 2 5/24%2017 the site is too wet to prepare. If it crumbles site preparation can proceed If the site is too wet to prepare do not proceed until it dries. • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building sewer beyond 30 feet per SPS 382.30 (11)(c) • Well setbacks to meet chs. NR 811 & 812 • Tank Installation to follow all manufacture's recommendations. • SPS 383.54(1)(e) The management plan for a POWTS shall specifically address the servicing mechanics of an aerobic or anaerobic treatment tank or a holding tank where either of the following conditions exist: 1: The bottom of the tank is located more than 15 feet below the elevation where the servicing pad is located 2. The bottom of the tank is located more than 150 feet horizontally from where the servicing pad is located • Verify property line(s) prior to installation. • Pump Floats to be set and verified per approved plan. Anv changes may result in pump resizina to meet Tiii and '"I'm Speciffications. • Areas that are occupied with rock fragments, tree roots, stumps and boulders reduce the amount of soil available for proper treatment. If no other site is available, trees in the basal area of the mound must be cut off at ground level. A larger fill area is necessary when any of the above conditions are encountered, to provide sufficient infiltrative area. Owner Responsibilities • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval SPS 383.54(1)° • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 Fee Received $ 250.00 Balance Due $ 0.00 Tim Vander Leest WiSMART code: 7633 Private Sewage Plan Reviewer, Division of Industry Services (920)492-2214, Monday - Friday 6 am To 3:30 pm tim.vanderleest@wisconsin.gov MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE C,- , Project Name: Daniel Olson Owner's Name: Daneil Olson C. ' Owner's Address: 1219 CTY RD H New Richmond WI 54017 Legal Description: NE-SW-sec2-T31N-R18W Township: Star Prairie County: ST Croix Subdivision Name: CSM 8/2141 Lot Number: 2 Block Number: Parcel I.D. Number: 038-1009-60-000 Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Plot Plan Page 10 Soil Evaluation Designer: Kim Oconnell License Number: 224263 Date: 05/13/17 Phone Number: 715-381-7917 Signature: Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SBD-10691-P (N. 01/01, R. 11/12), and both 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) Version 7.0 (R. 11/12) Page 1 of 9 Mound and Pressure Distribution Component Design DF lion kNarksheet Site Information Ri Residential or Commercial Design Note: Sand fill D calculations assume a (R or Cl) ( ) 100.061 Estimated Wastewater Flow (gpd) Table 383-44-3 in-situ soil treatment for fecal coliform of - 36 inches. 1.50' Peaking Factor (e.g. 1.5 = 150%) 150.00 Design Flow (gpd) 6.70 Site Slope 101.00 Contour Line Elevation (ft) 24_.00 Depth to Limiting Factor (in) 0.401 In-situ Soil Application Rate (gpd/ft2) 1:771 .1-11, Distribution Cell Information 50.00 Dispersal Cell Length Along Contour (ft) = 3.00 Cell Width (ft) f 1001 Dispersal Cell Design Loading Rate (gpd/ft2) 1 ? Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y_ Pressure Disribution Information network? Enter Y or N (C or E) E' Center or End Manifold 0.00 Lateral Spacing (ft) If N above, enter the elevation (ft) 1 Number of Laterals of the highest point. 0.1251 Orifice Diameter (in) 1.50 Estirr ated Orifice Spacing (ft) = 4.55 ft2/orifice 1.50 Forcemain Diameter (in) 35.00 Forcemain Length (ft) Does the forcemain drain back? [ Y 94.50 Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 3.21 Forcemain Drainback (gal) 7.33 Vertical Lift (ft) 22.31 5x Void Volume (gal) 0.64 Friction Loss (ft) 25.53 Minimum Dose Volume (gal) 0.00 In-line Filter Loss (ft) 13.59 System Demand (gpm) 14.47 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 1.00 1.50 1.25 x 2.00 1.50 x x 3.00 2.00 x 3.00 x Gallons/inch Calculator (optional) Treatment Tank Information 1000.00 Total Tank Capacity (gal) 1000000 Septic Tank Capacity (gal) 51.00 Total Working Liquid Depth (in) Wieser J Manufacturer 19.61 gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 500.00 Dose Tank Capacity (gal) iPloylock Filter Manufacturer 9.84 Dose Tank Volume (gal/in) [PL 525 Filter Model Number Weiser Manufacturer Project: Daniel Olson Page 2 of 9 Mound Plan and Cross Section Views 1 1/10.6 J Observation Pipe ; K D A W g . : I L Mound Component Dimensions ft A 3.00 ft E 14.41 in H [Aft ft K Aft B 50.00 ft F 9.50 in T ft L ft D 12.00 in G 0.50 ft J W 150.00 (ft2) Dispersal Cell Area 617.96 (ftz) Basal Area Available 3.00 (gpd/ft) Linear Loading Rate 5.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 103.79 (ft) F Dis ersal Cell 102.50 (ft) Lateral 102.00 (ft)-► - p Invert Dispersal Cell Elevation E D . 4 F41 101.00 (ft) Contour Elevation 6.7 % Site Slope Geotextile Fabric Cover Shading Key d o- Dispersal Cell See lateral details on Q 0 Topsoil Cap c c 1.5 ft Page 4 for number, size, 2 Subsoil Cap y c 0 O and spacing of laterals. ASTM C33 Sand Z F Laterals are equally Tilled Layer y 0.5 ft Tvpical Lateral spaced from the © distribution cell's © Aggregate o centerline in the A distribution cell (AxB). Project: Daniel Olson Page 3 of 9 End Connection Lateral Layout Diagram L3teraLcenrered-_:erthe A6 Bdirner. i"n • = Turn-upwlball keah.eoraleanoutpluia P -~I rLI. hole- drilled next to end cep 7{ L:7t_.YyI_ TIJYI_FrIIaIr I c:Ch 40 P'+l_ illed on the bottom of the Lateral per SP S Table -384 30-6 paced Number of Laterals 1 Orifice Diameter 0.125 in Lateral Diameter 1.50 in Orifice Spacing (X) 1.52 ft Lateral Length (P) 48.64 ft Orifices per Lateral 33 Lateral Spacing (S) 0.00 ft Orifice Density 4.55 ftz/orifice Lateral Flow Rate 13.59 gpm Manifold Length 0.00 ft System Flow Rate 13.59 gpm Manifold Diameter 0.00 in Total Dynamic Head 14.47 ft Forcemain Velocity 2.47 fUsec Dose Tank Information Locking cover with warning label and locking device and sealed watertight i Electrical as per NEC 300 and 10 SPS 316.300 WAC 4 in. min. Disconnect Tank component is properly vented E Alternate outlet location Forcemain diameter Weiser Manufacturer 1.5 in. Capacityl 500.00 Gallons Volume 9.84 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 38.22 376.07 B 2.00 19.68 C P♦ ump off elevation (ft) C 2.59 25.53 95.17 D _.8.00; 78.72 D Total 50.81 500.00 Dose tank elevation (ft) 3" Bedding under tank. 94.50 Alarm Manuafacturer a RJS Rhombus Note: Switches Alarm Model Number ;tank alert containing mercury may not be used in Pump Manufacturer IGoulds this system. Pump Model Number PE 51 Pump Must Deliver 13.59 gpm at 14.47 ft TDH Project: Daniel Olson Page 4 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name Kim Oconnell Phone' 715 381-791_7 POWTS Regulator's Name ST Croix CTY Zornng Phone 715 386-4680 System Flow and Load Parameters Design Flow - Peak 150 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 100 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 150 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 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 • • • • • 000600000000900 Grade ~>1 Threaded Cleanout 6-8" Diameter Lawn Sprinkler Valve Box Plug or Ball Valve Distribution Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Daniel Olson Page 5 of 9 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. 11/12), SSWMP Publication 9.6 (01/81), and Pressure Distribution Component Manual Ver. 2.0 SBD- 10706-P (N. 01/01, R. 10/12)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with SIPS 383.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BOD5, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD5, 30 mg/L TSS, 10 mg/L FOG, and 104 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice 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. NGOULDS Submersible Effluent Pump N 'M F SPECIFICATIONS MOTOR FEATURES General: n Corrosion resistant Pump -General: - Single phase construction. Discharge: 1 1h' NPT ~ ¢ ` • Temperature: 1041F (40'C) ®60 Hertz ®Cast iron body. maximum, continuous when ° 115 volts Thermoplastic impeller and • Built-in thermal overload pro- cover. fully submerged.! section with automatic reset Upper sleeve and lower - Solids handling: h" maximum sphere. ° Class B insulation. heavy duty ball bearing • Automatic models include a • Oil-filled design. construction. APPLICATIONS float switch. • High strength carbon steel m Motor is permanently • Manual models available. shaft- lubricated for extended Specially designed for the . Pumping range: see PE31 Motor: service life. following uses: performance chart or cure- • .33 HP, 3000 RPM Powered for continuous • Mound Systems • 12.0 Maximum amps operation. • EffluenVDosing Systems - M Pump. O Shaded pole design All ratings are within the • Low Pressure Pipe Systems • Maximum head: 25 50 GPM GPM PE41 Motor. working limits of the motor. • Basement Draining • Maximum h head: 25 m Quick disconnect power PE41 Pump: • .40 HP, 3400 RPM cord, 20' standard length, Heavy Duty Sump( Dewatenng Maximum capacity: 60 GPM • 7.5 Maximum amps heavy duty 16/3 SJTW with • • Maximum head: 29` TDH .PSC design NEMA 5-15P, three prong, PE51 Pump. PE51 Motor. 115 volt grounding plug. • Maximum capacity: 70 GPM • .50 HP, 3400 RPM m Complete unit is heavy duty, • Maximum head: 37' TDH ° 9.5 Maximum amps portable and compact. • PSC design m Mechanical seal is carbon, METERS FEET ceramic, BONA and stainless 40 MODELS: PE31, PE41, PE51; steel. PE51 iHP_ 33, 40,.50 Stainless steel fasteners. 35 - a 2 GPM AGENCY LISTINGS 10 30 PE41 1 Fr . PE31 - - . u, - 25: _ C US UL 778 and < Tested 20 } ~A 22.2 108 Standards / Canadian Standards Assnc 'ation Q - . #LR38549 File _ 15 Goulds Pumps is 150 9001 Registered. 10 5 _ - 0 0 0 10 20 30 40 50 60 70 GPM 80 0 5 10 15 m3/h Goulds Pumps CAPACITY - - onm an,.I'k Pumps A~J I i ~ ( J1 f 1 ~JD JI i ~ 1 ~ M ( "iT ~r ~ U 1 _ 1 ! t ' ST. CROIX COUN'T'Y SEPTIC TANK MAINTENANCE AGREI~7T AND OWNERSHM CERTIFICATION FORM owner/Buyer i _s 1 Mailing Address Property Address & Zoning Department for new construction.) (Verification requiredf m Planning Parcel Identification Number _ City/State LEGAL DESCRIPTION l r T Y N R W, Town of X10 Property Location ° , Sec_ ._..L.r~_ _ Lot # ~ Subdivision Plat, Volume.. Page# Certified Survey MaP (before 2007)Volwne , Page # Warranty Deed # i~`> > y ~~"~Ty Spec house Cl yes no Lot lines identifiable" G no SYSTEM ANA WE AND OWNER CERTIFICATION t You put Improper use and maintenance of your septic system could result in its premature failure to handle wastes-~Proper consists of pumper out the septic tank every three yearsor sooner, if needed, by a licensed pumper maintenance . the system can affect the function of the septic tank as a treatment tae County m the wage m d~PSy s~ceer maintenance responsibilities are specified in §SPS. 38352(1) and in Chapter 12 The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the r, journeyman plumber, restricted plumber or a licensed pumper verifying that (I) the on-site owner and system is plumbern proper operating condition and/or (2) after' inspection and pumping Cif necessary'), the septic wastewater by a disposal master tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the _ -And Prof'sional Sces and standards set forth, herein, as set by the Department ofncafety m has been maintained must be the and returned end to the St Croix State of Wisconsin. Certification stating that your sep syste county Planning & Zoning Department within 30 days of the tlu ee year expiration date. Uwe certify that all statements on this form are true to the best of my/our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms DATE SIGNATURE-7- APPLICANT(S) ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning& Zoning DePmtnent_ ~ 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. TTST n"rrrei 50 x 48 (subtract 3" in width and length when setting up string line!) Project: Dan Olson feet inches 16 the Ribbon installed on eave only! 68 11 8 =string line diagonal measurement when set up 3" less in width and length!! Ribbon Height : measured from bottom of skirt to bottom of ribbon Number of Rows Including Ribbon: 8 Check #s! steel box / " sub / " skirt base / " play I " purlin / " heel rib mat / " 161.0 in 24.0 in 7.5 in 5.5 in 0.0 in 1.0 in 3.5 in 12.0 in 7.5 in = 158.0 in Page 2 of 3 Bid # 14.2039112 string line is to be set up 3" less than width Field Locate: Dan Olson Buyer(s) Initial and 3" less than length to allow for wall girls Eave Poles: 6.00 ft o.c. Initial see cross section for actual measurements Trusses: 6.00 ft o.c. 1214 County Road H New Richmond Wi 54017 r---------------------------------------------------------------------- ------------------------------i I j 8' 8' 6' 6' 6' 8' 8' i 10' j X Water Spigot i 6 FB Contractors Inc 6 i 6 l Dan Olson 50'x48'xl3'4" ceiling I 6' 6' I 6' j Util Hot & Cold i Eave Poles: 6.00 ft o.c. Drain sink Water Spigot I Trusses: 6.00 ft O.C. X X I Field Locate: shower W °w; 6' 1-36" steel framed service door - 7100-HL 5100 8x8 6' j 6' 2-36" steel framed service door - 5100 Utili Bath 4-3ftx3ft Vector Low "E" Windows 8'x8' O j 3-4ftx4ft Vector Low "E" Windows j 10'x48'x8' Opening :Lean-To ! only 5 I{Tuck under) N ;Roof Only 6' X Hot & Cold !90 degree returns j X Water Spigot j(no ceiling steel) = Can lights C0 I card ° I °w'ii 6' 5/18/2017 6' I I j 16'x28'x8' 9' High divide wall Open Above j 6' 6.11° v j 6' I I 12' Trench Drain I I I I 0 I oj~ 6 Table 6`;,". I 6' I I I I 5100 1 6' 6' 6' ! 7100-HL I I 4 a,,x_'_ J~._/ -M 14'x12' Ins R16 OHD 2 . 10'x10' Ins R16 OHD t!• , 4 _ 8' 10' w/ windows & opener w/ windows & opener 8' 4040 ! i---------------------------------------- Water Spigot 24" Soffits 10' 10' r 8' 8' 10' RECEI , 1 ICA c~ P4 W AEKI5GRR7F3CA OC ( 0 `1i'i'~ I ~ I Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and BuW_c0, 0IY, Ct7UN [ Y ^,OMMUNITY DEV oPb' encd with Comm 85, Wis. Adm. Code County , Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must f 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. g . _ C s Date Please print all information. Re 4 wed by L _ 7 f Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Lomotion r' /L "LC' l T i t, r Govt. Lot 1 /4 1 /4 Z' T. j N _R E (o W Property Owners Mailing Address Loot # Block # Subd. Na or CSM# iL7 City J e , Zip Code Phone Number ❑ City ❑ Village Town Nearest Road war /1 / J gNewCOnstruction User Residential / Number of bedrooms ~ Code derived design flow rate :d o o ~ s ?3 GPD Replacement Public or commercial - Describe: Parent material Flood Plain elevation if applicable f / ft. General cornments - C t' j 1~ C ~O C/ l I I crl , S g and reconunendations: ;3 1 I System Type J 'J Z) System Elevation ® Boiri ng # a Boring ' pit Ground surface elev. ft. Depth to limiting factor t./- in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 -51 '4<1 17-771 Boring # Boring !Pit Ground surface elevt' ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff# 10 _ rat r l.~ Effluent #1 = BOO. > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature./' CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date EvaluatiCon1iucted Telephone Number 1432 120th St, New Richmond, WI 54017 j 715-246-4516 Property Owner _ Parcel ID # Page of e Boring # ❑ Boring ® Pit Ground surface elew/io -,/ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 7 L~ 't L .e 1 ( / -7 -7o ❑ Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 -j- El Boring F-1 Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil Application Rate Horizon ')epth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mg/L ` Effluent #2 = BOD, < 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-8770 (R.6100) Pmper€y Cower _ Parce! U Page oY Bann # Q Boring r,r 9 Pit Ground surface eiev ft. Depth to limiting factor in. Soil Application -Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDKf in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 dV t ~ f 0 Boring # El Boring f pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/if in. Wtunsell Qu. Sz. Cont. Color, Gr. Sz. Sh. 'Eff#1 , 'Eff#2 i Boring # ❑ Boring { Ground surface elev. ft. Depth to limiting factor in. t ® Pit E Soil Application Rate Horizon 'lepfih Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 °Eff#2 a E i i i f Effluent #1 = PODS > 30 < 220 rngfl- and TSS >30 < 150 mgfL ' Effluent #2 = BOD$ < 30 mgfL and TSS < 30 mg/!.. 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-9330 (R.6M) r Soil Test Plot Plan Project Name Chuck Nutzmann Shaun ird f Address 1270 Cty Rd H New Richmond Wi 54017 CSTM #226900 Lot 2 Subdivision Date / 9/16 1/4 1/4S 2 T 31 N/R18 W Township tar Prairie Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of 1/2" pipe System Elevation TBD *HRpSame as Benchmark County Road H Scale is 1" = 40' unless otherwise noted 727' Property Line 180' 150' B-1 30' B-3 Old 35' foundation found 30' 6% Slope M. 10' B-2 100' 102' I