Loading...
HomeMy WebLinkAbout030-2068-80-000 nsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix -Ay and Building Division Sanitary Permit No: INSPECTION REPORT 597358 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)] 2944742 -t Village Township Parcel Tax No: Permit Holder's Name: City JOHN & KRISTEN JOHNSON TOWN OF SAINT JOSEPH 030-2068-80-000 CST BM Elev: Insp. BM Elev: BM Description. SectionfTown/Range/Map No: 10 -f. ICp 35.30 t§09W 8 M I I y, 11 TANK INFORMATION ELEVATION DATA& / OU TYPE MANUFACTURE CAPACITY STATION S HI L Septic Benchmark Li Ile "SLA, ZOO Dosing 917- Alt. BM • t Aeration I Bldxq. Sewer 0 _ /S t Inlet ±U~ , 4. r~ SVHt Outlet 40 TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic , Dt Bottom la .1Q . Dosing / Header/Maru~ 16o . Aeration , Dist. Pipe ® pj O ' Q Hekfing Bot. System 1 I '1. C7 41 PUMP/SIPHON INFORMATION Final Grade 2.2`71 Manufacturer D mand St Cover j GPM r i + 6~j. 3 • t I . Model Numberr 3.3 5 ~.Aw 4 TDH Lift Friction o*r~ System Hea r•~ TD~;1 Forcemain Length , Dia. Dist. to well i SOIL ABSORPTION SYSTEM BED/TRENCH Width - Length No. Of3rppe5. f s a PIT DIMENSIO.~IS No. Of Pits Inside Dja. Liquid Depth ° J4" f .1 DIMENSIONS k L-J, 11 SETBACK SYSTEM TO P/L BLDG WELL LAKF,./STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR TYpe~ tl.~ 2;1 ~ UNIT Model Nu er: DIST U ION SYSTEM ! Head r/Manifgirt` Distribution 1 e x Hole Size ^ x Hole Spacing Ve o Air Intake 9 r n 17-- Leng s)_j"y , Len th Dia Len th Dia Spacing vMr f+ r r~ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only r;. Depth Over Depth Over jxx Depth of xx Seeded/Sodded xx Mulched Bed/Tregth Cj r Bed Trench Edges Topsoil ` j 'Z : + Yes No Yes No / r : Inspec ion #2 '0A COMNE TS: (In Jude code discrepencies, persons present, etc.) Inspection #11(4 9 1-fa v`k Location: 187 RIVERVIEW ACRS RD LZ 1.) Alt BM Description 110 t 15 2.) Bldg sewer length h S L v ti.v.~jC„ A< <'e- CJ 'tt\V- V' I a amount of cover `r J S~ L VV~~-00~~ Plan revision Required? Yes [V~ No other side for additional information. Date Ins pc r' Signature Cert. No. (R.3/97) Industry Services Division 1400 E Washington Ave Sanitary permit Number (to he filled in by Co.) ox 7162 } P. ~j 7162 ` 6 537- Madison "qa ``}`'f,v`ry ~Y J U O A State Transaction Number it Applica 1 2944742 tmental unit ode, submission of this form to the appropriate In accordance wittaPplK~ Q Project Address (if different than mailing address) Pe mit. Note: Application forms for state owned POW"LS are su milted to Riverview Acres RoadpW-' is the required Department prior of td 'o taSafetyming and a sanitary Professional Serv ices. personal information myou provide may be used for second n' 1187 ur oses in accordance with the Privacy Law, s. 15.04(1)( ) Slats ease Print All Information Parcel # 1. Application Information - 030-2068-80-000 Property Owner's arnCi 15 John & Kristen -,S,) ) V\ n property r ~ Location S L' • aZ(" d Property Owner's Mailing Address Govt. Lot 187 Riverview Acres Road SE y,, SE ya, Section 35 Phone Number (circle one) Zip Code R 20 E or ~ City, State 54082 L 30 N 1-loulton, WI ' Lot # Subdivision Name Il. Type of Building (check all that apply) ! ! Riverview Acres ® t or 2 Family Dwelling - Number of Bedroams ! f`r Block # ❑ City of ❑ Public/Commercial - Describe Use ❑ Village of ❑ State Owned - Describe Use ~1C1SM Number ® Town of St. Joseph Other Modification to Existing S Ill. Type of Permit: ( Check only one box on line A~ Tmatme~t/Hol Btg Lanp Replacement Only ❑ A. ❑ New System ® Replacement System Permit Transfer to New List Previous Permit Number and Date Issue ❑ Change of ❑ Permit Renewal ❑ Permit Revision Plumber Owner Before Expiration Check all that a ly) 24 in, of suitable soil ❑ IV. Type of POWTS S Stetn/Com portent Device. At-Grade ® Mound ? 24 in. of suitable soil Mound < lain Pressurized In Ground ❑ pretreaunent Device r ❑ Non-Pressurized In-Ground ❑ Other Dispersal Component (explain) Holding Tank (exp ) r ❑ - ~^"f`"'~ Dispersal Area;Proposed (sf) System Elevat~n Dispersal Area Required (st) 99.90 V. Dis ersal/Treatment Area Information: 1236 Design Soil Applicatiatt 1000 Design Flow (gpa) 600 Rate(gpdst) o ~ 0.6 Capacity in ° - VI. Tank Info Gallons Total # of Manufacturer o U Gallons Units b ❑ C Tanksr r ❑ ❑ New Tanks Existing 1200 1200 1 Wieser onerete ® ❑ ❑ ❑ [ Septic or Holding Tank Soo Soo I Wieser Concrete tans. Dosing Chamber 800 Business Phone Number Statement- I, the undersigned, assume responsibility fm' installation of the POW TS shown MP/MPRS onthe attached plans, 15 760 0486 VII. Responsibility Plumber' nat re 223760 Plumber's Name (Print)17~ i John Schmitt Address (Street, City, State, Zip Code) I lumbers Somerset, WI 54025 y ' 616 150`" Ave. Som ~ t Issuin Agent Signature Vill. Count /De artment Use Only Permit Fee Dati lssied b pproved ❑ Disapprovecf~ Co $ H ❑ Owner 6mven Reasou for Denial 'p X wry I j"e 4--~~ Disapproval IX. Condi jai Cell musa all yg,jn_ivi '_s ! Wi lny,a.r_ES; Lq ss,per .Apr,dyement plan ptu naedi bV N ~ io.~•,, rtluyt•t~e t r iitEd ,~I l .'r✓ , ,cJc'4,jrer tens • , U only on paper not less than 8 1l2 ~ 1 L inches in site I 1, per gikftbl9 GtS~ k' ! wtdinAMi~P ; _ i . Attach to complete plans for the system and su ~m~t tto °ty~ 4 PLOT PLAN N Project Name: Johnson 4 Bedroom Replacement Mound Legal Description: SE1/4, SE114, S35, T30N, R20W P.I.D: 030-2068-80-000 Subdivision Name: River View Acres Lot 0 Township: St. Joseph Parcel Size: 3.030 Acres SCALE: 1" = 60' County: St. Croix Contour Line Elevation: 99.15 Cell Dimensions: 7' X 85.72' 4 inch Sch 40 -ASTM D2665 System Elevation 99.90 Mound Dimensions: 101.60' x 20.04' 2 inch Sch 40 -ASTM D1785 Slope 3 11/2 Sch 40 -ASTM D1785 AL BM1 Elevation: 100.00' Top of 1-114" PVC pipe BM2 Elevation: 104.40' Top of garage floor at east door ■ Backhoe Pits: Septic Tank: 1200 gallon Septic Tank Dose Tank: 800 gallon Dose Tank with PQLYLOK 525 Effluent Filter II 1 Zr ~ a \ ® StN r-IC PVC FEF'CL (rilar~ Cr~2i~Gr \ P1 Z b 5c,d LIv P rI c CA2(~Gr /~S l{4p W c ~i f" .I t_xis%„U( ~Y5%~ 1}1 7C A8,, N")C A) i~5 ~r V ~~UL4S f C J S L Page 11 DIVISION OF INDUSTRY SERVICES 0 PTO 3824 CREEKSIDE LN o~ 1 9 HOLMEN WI 54636-9466 ®S a Contact Through Relay P S K http://dsps.wi.gov/programs/industry-services 9 www.wisconsin.gov 4 o~ssroNN Scott Walker, Governor Laura Guti6rrez, Secretary May 18, 2017 OUST ID No. 223760 ATTN: POWTS 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: 05/18/2019 SITE: Identification Numbers John and Kristen Johnson Transaction ID No. 2944742 187 Riverview Acres Rd Site ID No. 837817 Town of Saint Joseph Please refer to both identification numbers, St Croix County above, in all correspondence with the agency. SE1/4, SE1/4, S35, T30N, R20W FOR: Description: Four Bedroom Mound System \ Sloping site Object Type: POWTS Component Manual Regulated Object ID No.: 1704924 Maintenance required; Replacement system; 600 GPD Flow rate; 27 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Ver. 2.0, SBD -10691-P (N.01101, 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. APPR The following conditions shall be met during construction or installation and prior to occupancy or use: w PT Reminders • A sanitary permit must be obtained from the county where this project is located in accordance with the r s a if requirements of Sec. 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made wioth~ 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 m a explaining that periodic cleaning of the filter is required. • The existing POWTS shall be properly abandoned per SPS 383.33, Wis. Adm. Code. • 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 cow 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. JOHN F SCHMITT Page 2 5/18/2017 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. Si~®rard erely, o Fee Required $ 250.00 This Amount Will Be Invoiced. 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@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 INDEX AND TITLE PAGE Project Name: Johnson 4 Bedroom Mound Owners Name: Johnson, John & Kristen Owner's Address 187 River View Acres Hudson, WI 54016 Legal Description: SE1/4, SE1/4, S35, T30N, R20W Township St. Joseph County: St. Croix Subdivision Name: River View Acres Lot Number: Block Number Parcel I.D. Number 030-2068-80-000 Plan Transaction No.< ; ERV 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 Septic and Dose tank specifications Page 8 Effluent filter information Page 9 & 10 Pump specifications and curve Page 11 Plot plan Page 12 Septic tank maintenance agreement Page 13 & 14 Warranty deed Page 15 Aerial Photo Attachment Soil evaluation report Designer: John Schmitt License Number: 223760 Date: 5/3/2017 Phone Number: 715-760-0486 Signature: C .jt%? yL~ I1,6_ Designed Pursuant to the 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 fill (D) calculations assume a 400.E 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%) 600.00 Design Flow (gpd) 3.00 Site Slope 99.15 Contour Line Elevation (ft) 27.00 Depth to Limiting Factor (in) 0.601 In-situ Soil Application Rate (gpd/ft2) Distribution Cell Information 85J2~ Dispersal Cell Length Along Contour (ft) = 7.00 Cell Width (ft) 1.001 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)~ Center or End Manifold 3.50 Lateral Spacing (ft) If N above, enter the elevation (ft) _ 41 Number of Laterals of the highest point. i 6._I_56_1 Orifice Diameter (in) 2.001 Estimated Orifice Spacing (ft) = 7.14 ft2/orifice 2.001 Forcemain Diameter (in) 90.001 Forcemain Length (ft) Does the forcemain drain back? ( Y 89.00( Pump Tank Elevation (ft) Enter Y or N 4.55 System Head (ft) x 1.3 14.68 Forcemain Drainback (gal) 10.48 Vertical Lift (ft) 77.12 5x Void Volume (gal) 3.73 Friction Loss (ft) 91.80 Minimum Dose Volume (gal) 0.001 In-line Filter Loss (ft) 45.23 System Demand (gpm) 18.76 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 x x 111-1-11- 1.25 x [ 1 2.00 x I 1.50 x x 3.00 2.00 x 3.00 x Gallons/Inch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 1200 00 Septic Tank Capacity (gal) j Total Working Liquid Depth (in) ;Wieser Concrete ?Manufacturer u gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 800.001 Dose Tank Capacity (gal) POLYLOK(Filter Manufacturer 22.241 Dose Tank Volume (gal/in) 525 Filter Model Number Wieser Concrete Manufacturer Project: Johnson 4 Bedroom Replacement Mound Page 2 Mound Plan and Cross Section Views T 1/10 B : J Observation Pipe 5 T A W B. 1. I Q: • L Mound Component Dimensions ft A 7.00 ft E 11.52 in H 1.00 ft K aft B 85.72 ft F 9.50 in I 7.42 ft L ft D 9.00 in G 0.50 ft J 5.62 ft W 600.04 (ft2) Dispersal Cell Area 1236.35 (ft2) Basal Area Available 7.00 (gpd/ft) Linear Loading Rate 8.57 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 101.69 (ft) ► H iiiiii ii G Q u F~ DispersalCeil 100.40 (ft) Lateral 99.90 (ft)-►% a........ Invert Dispersal Cell Q: t Elevation;' . . . E D [3 99.15 (ft) Contour Elevation 3.0 % Site Slope Geotextile Fabric Cover Shading Key 2- T- Dispersal Cell See lateral details on Topsoil Cap o C 1.5 ft Page 4 for number, size, Subsoil Cap 0.0 R5:;•~'.•~~ and spacing of laterals. ©0 ASTM C33 Sand f0 ro Laterals are equally FAI Tilled Layer m 0.5 ft Typical Lateral spaced from the v.: distribution cell's Aggregate 0 centerline in the 0 A distribution cell (AxB). Project: Johnson 4 Bedroom Replacement Mound Page 3 Center Connection Lateral Layout Diagram Force main connection via tee or cross to manifold at ang point. Laterals are identical 49- "I ~E p S Turn-upy.aballvalveor ~FX---~ I(- x12 NFL-)) Laterals &forcema.n Sch40 PVC cleanoutplug per SPS Table 38430-6 Holes drilled on the bottom of the lateral Number of Laterals 4 Orifice Diameter 0.156 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.05 ft Lateral Length (P) 42.03 ft Orifices per Lateral 21 Lateral Spacing (S) 3.50 ft Orifice Density 7.14 ft2/orifice Lateral Flow Rate 11.31 gpm Manifold Length 3.50 ft System Flow Rate 45.23 gpm Manifold Diameter 1.50 in Total Dynamic Head 18.76 ft Forcemain Velocity 4.62 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and ~ SPS 316.300 WAC ~ 4 in. min. Disconnect Tank component is properly vented It E E Alternate outlet location Forcemain diameter Wieser Concrete Manufacturer 2 in. Capacit 800.00 Gallons T Volume 22.24 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 18.84 419.0$ B 2.00 44.48 C Pump off elevation (ft) C 4.13 91.80 89.92 D 11.00 244.64 D Total _ 35.97 800.00 Dose tank elevation (ft) 3" Bedding un er tank. 89.00 Alarm Manuafacturer ISJE Rhombus Nnte~ Switches Alarm Model Number 103637 containing mercury may not be used in Pump Manufacturer Zoeller _ _ this system. Pump Model Number J153p Pump Must Deliver 45.23 gpm at 18.76 ft TDH Project: Johnson 4 Bedroom Replacement Mound Page 4 Mound System Maintenance and Operation Specifications Service Provider's Name ~JohnSchmitt ! Phone 715-760-0486 ) POWTS Regulator's Name St. Croix County Zoning Phone 715-760-0486 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1200 gal Maximum TSS 150 mg/L Soil Absorption Component Size 600.04 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Inspect and/or service once eve 3 ears Effluent Filter Should inspect and clean at least once eve 3 ears Pump and Controls Test once eve 3 ears Alarm Should test month) Pressure System Laterals should be flushed and pressure tested eve 3 ears Mound Inspect for ponding and seepage once every 3 years Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to SPS 384.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished Grade 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Johnson 4 Bedroom Replacement 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. 10/12)) and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with SPS 383.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BODS, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L 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 an-ooe/NUM :311 95 8-~Z~-008 0 \ 5jnOd-1SOd :31V0 00/00/00 :3140 OSLbS IM 'N00d N301VW 01 .IMH Sn 9lLiM ~b (1Nb W OIld3S z :bflOd-3ad „0-,l= b l :3~VOS dOM :18 NMVaO 31380000 13331M = \ 8N-009/00Z ld-M C/) 0 w w w J V) U H Q z > ° co O Ld a J 0 0~ J r. O W w (n n. z ~0 G L)0- w a m ° tnQ U w 1- J w Z) a F- L'i < LL, z m crp EC )P ..w c~~ Z ~ co C) Om om z < z z a mm z 3 o a O Q U JJ U {i J O Q a .0 mU) Jww U' o_ a_ O< ° a/ a cc m U D t CO CU Q Q LL N z V) O Y M ¢ a V) 00 (L c ~°n00C V)J -mEAJ ACV O Q(jm t* O) Q d ` O t- ( N N I- M CV 'Co m F- (n ~ &i ~ d E- J O W M c Nr)(0t JGi Oo W QU JZ~ (jj WU Uz ZO O I. nL ~W~ ~ZWmU-- F- (n F: ~ D0P 0- F- D F--r Z) ..O x__~ ..~o= °vY °Ow w m Fv) o0 oU C.) LAJ (Z Y oQO oQww o°~? °z~ a °ZW zwm ~x W z U ~O ? z Z3m (.)mz:-j mJ3 Q`h0 `to F-- F- _ d U ~y~wJ Y OO W Q M J J J O Q Y 7 Z J- W Z Z z O F U I Q I `Z J ~ w ns£ a c¢ > O a a O~ ( I - Z l w II II I I I. w II IC ~ JI {I I w II II ~ I ~ V) 'II ` / I! ~ I I I w Q {I o J II o J L~ I I W ~ a I I, I „K I w M I p II Q II „9 I ° I~ r w II 1 II III j o W o- U M a HI D J Z Z Q [-V m w „96 Q SV 2S V) Y Z Q H Page 7 r Inc. nnavanons 6f Pnreeast, Drama e Zabel' ' e. -3z-D L" i,~ Uea a is k it se bJ3ste li8t2t !'IU{1i7f.(`s A Division of Polylok Inc. _55FII-e 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. CT 4__ Rated for 10,000 GPD (gallons per day). Alarm Switch 10 000 GPD 14 (Optional) 525 linear feet of 1/16" filtration. ,Accepts 4" and 6" SCHD 40 pipe. Accepts 1" PVC Extension Handle Built in gas deflector. Automatic shut-off ball when filter is removed. g Alarm accessibility. _ Rated for " 14; 10,000 GPD /Accepts PVC extension handle. Ideal for residential and commercial waste flows up to ~ d 525 Linear Ft. 10,000 gallons per day (GPD). of 1/16" Filtration Slots 1. Locate the outlet of the septic tan k. 2. Remove the tank cover and pump tank if necessary. Alm, Accepts 4" & 6" ~j 3. Glue the filter housing to the 4" or 6" outlet pipe. If SCHD 40 pipe 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. - 5. Replace and secure the septic tank cover. Certified to I'L-525 Maintenance: 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 needs servicing. Servicing should be done by a certified G~ Gas Deflector septic tank pumper or installer. Automatic z 1. Locate the outlet of the septic tank. Shut-Off earl 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. ~I 5. Hose off filter over the septic tank. Make sure all solids fall back into septic tank. V" 6. Insert the filter cartridge back into the housing making sure the filter is properly aligned and completely inserted. Polylo ylokl, Zabel lt<~ ~~te~t Alt s aacc ept Easily i Easily ~insCatalls l & Best fillt ls 7. Replace and secure septic tank cover. the SmartFilter(2) switch and alarm. into existing tanks. Polylok, Inc. 3 Fairfield Blvd. Wallingford, CT 06492 Toll Free: 877.7659565 Fax: 203.284.8514 www.polylok.com Page 8 vat/rY SECTION: 2.20.047 PUMPB ~NCE m`. FM1919 0110 Product information presented Supersedes here reflects conditions at time 1108 of publication. Consult factory regarding discrepancies or inconsistencies. MAIL TO: P.O. BOX 16347 • Louisville, KY 40256-0347 visit our web site: SHIP TO: 3649 Cane Run Road • Louisville, KY 40211-1961 www.zoeller.com (502) 778-2731 - 1(800) 928-PUMP • FAX (502) 774-3624 Durable cast iron construction 151/152/153 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 Stainless steel lifting handle _ ul 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 ~~r u l EFFLUENT Model 152 - .4 HP passes 3l<" spherical solids '1' SUBMERSIBLE Model 153 -1/2 HP passes '/4n spherical solids 1'/2" NPT DISCHARGE Motor - 60 Hz, 3450 RPM, oil-filled, hermetically sealed, automatic reset thermal overload protected ui oI 3A521N-ii 53 Carbon/Ceramic seals High Hoar! us r.,3'3 Upper sleeve bearing and lower ball bearing running Tested to UL StandardUL778 in bath of oil and Certified to CSA 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 N151/N152/N153 & E151/E152/E153 nonautomatic level float switch BN1511BN152/BN153 & BE151BE152/BE153 0 packaged with Piggyback Variable Level Float Switch Operates at temperatures to 1307 (540C) in effluent 1/3_4 & 1/2 HP, 1Ph 115V or 230V applications All models include a 1 Y2' x 2" PVC adapter fitting Note: The sizing of effluent systems normally requires variable level float(s) controls and properly sized ~I basins to achieve required pumping cycles or dosing timers with nonautomatic pumps. u POWDER COATED TOUGH' r ~ .zr a F Modal BN152iBN-i53 kt MAIL TO: P0. BOX 16347 - Mah Head Louisville, KY 40256-0347 arri SHIP TO: 3649 Cane Run Road Louisville, KY 40211-1961 (502) 778-2731. 1(800) 928-PUMP FAX (502) 774-3624.' Manufacturers of.. . Z QVr1L/TY /~VMPS ~NCE © Copyright 2010 Zoeller Co. All rights reserved. Page 9 w TOTAL DYNAMIC HEAD/FLOW w PUMP PERFORMANCE CURVE PER MINUTE so MODEL 1511152!153 EFFLUENT AND DEWATERING 14 4 153 e MODEL 151 152 153 12 40 0 35 Feet Met. Gal. Liters Gal. Liters Gk.---- --liters 10 152 5 1.5 50 189 69 261 77 291 30 10 3.0 45 170 61 231 70 255 15 4.6 38 144 53 201 61 231 8 25 151 20 6.1 29 110 44 167 52 197 2 25 7.6 16 61 34 129 42 159 30 9.1 - - 23 87 33 125 35 10.7 - - 22 85 (J 15 4 40 12.2 - 11 42 D Shut-of Head. 30 it. (9.tm) 38 fl. (11.6m) 44 ft. (114m) 2 0145088 D Model 151 Models 152 / 153 10 20 36 40 50 60 7D 80 90 100 GALLONS 67132 67132 LITERS 0 40 80 120 160 200 280 320 360 378 458 3718 - - 4 V8 - FLOW PER MINUTE 014508A _ ____T _ e e I1 37/8 37/8 a t) i ) u I f( FOR 6..*-, t S JPo bWtl` k Sh ~~f .c3 '4 _ e • _ 3 7/8 ~ 3718 • Timed dosing panels available i • Electrical alternators, for duplex systems, are available and 11a• NPT supplied with an alarm • Variable level control switches are available for controlling single phase systems ! j • Double piggyback variable level float switches are available for variable level long and short cycle controls • Sealed Qwik-Box available for outdoor installations - See 6 I 12118 FM1420 • Over 130°F (54°C) special quotation required 415116 S 16 ,ult rJ 1 tO3 S-';~:: SK2444 SK2064 1511152/153 MODELS Control Selection Model Volts-Ph TAW08 Simplex Duplex 1 115 1 2or3 BN151 115 1 Included 2 or 3 230 1 1 2or 3 RE 151 230 1 Included 2or 3 N152 115 1 1 2or3 "Easy assembly" BN152 115 1 .Included 2or 3 (pump & discharge pipe not inducted.) E152 230 1 Non 4.3 1 2or 3 BE 152 2 0 i Auto 4, Included 2 or 3 N153 115 1 Non 10.5 1 26r BN153 115 1 Auto 10.5 Included --2 -or 3 E153 230 1 Non 5.3 1 2 o13 8 E153 230 1 Auto 5.3 Included 2or 3 , l , i'J ` ~,C`M P/C 1 10d4 1. Single piggyback variable level float switch or double piggyback variable level _1PiIt)l.A l Reduces potential clogging by debris float switch. Refer to FM0477. 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 V or 2" PVC piping a cAUrtoN Attaches securely to pump All ulst cation of controls, prct et, l c--;~ u and , , 'ring Should c d nt by a gwdlf ~,-t, Accommodates sump, dewatering and effluent applications licensed el rtr:cit,n All electnc n n , s3i } c d,~s,hould he 1ollovied mclud nc r,tc NOTE: Make sure float is free from obstruction. most recent National . lrctric I CrtIe dbEC) and the Occupational Safety an. te_lt,, For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. © Copyright 2010 Zoeller Co. All rights reserved. Pa1aP in PLOT PLAN N Project Name: Johnson 4 Bedroom Replacement Mound Legal Description: SE1/4, SE1/4, S35, T30N, R20W P.I.D: 030-2068-80-000 Subdivision Name: River V iew Acres Lot 0 Township: St. Joseph Parcel Size: 3.030 Acres SCALE: 1" = so' County: St. Croix Contour Line Elevation: 99.15 Cell Dimensions: 7' X 85.72' 4 inch Sch 40 -ASTM D2665 System Elevation 99.90 Mound Dimensions: 101.60' x 20.04' 2 inch Sch 40 -ASTM D1785 Slope o: 3 11/2 Sch 40 -ASTM D1785 BM1 Elevation: L1O .00' Top of 1-1/4" PVC pipe ZN BM2 Elevation: .40 ' Top of ara e floor at east door ■ Backhoe Pits: Septic Tank: 1200 gallon Septic Tank Dose Tank: ~800 gallon Dose Tank with POLYLOK 525 Effluent Filter e QD ® fin' Z" $CH '-IV PVC 1 IV I 1 (s l;lE ll; 6 r v Roll Z. y„ 5Cia '-Ic Pk'C 4~1ci L L A (A 6, o r_x/5; ~,U SY5%~~f~1 rc iq C),~ 00C;r 6E H8,W;xn' i_+) A,S (~%s? C C 0t= PaPP 11 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer John & Kristen Johnson Mailing Address 187 Riverview Acres Property Address 187 Riverview Acres (Verification required from Planning & Zoning Department for new construction.) City/State Houlton, WI Parcel Identification Number 030-2008-80-000 LEGAL DESCRIPTION Property Location SE i/ , SE 1/ , Sec. 35 , T 30 NR 20 W, Town of St. Joseph Subdivision Plat: Riverview Acres Lot # Certified Survey Map # , Volume , Page # Warranty Deed # (before 2007)Volume , Page # Spec house Oyes[ lno Lot lines identifiable Elyes[]no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §SPS. 383.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Safety And Professional Services and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on 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 a warranty deed recorded in Register of Deeds Office. `t p` 7eNumb of drooms SIG ATURE OF APPLICANT(S) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 04/12) f~ U-~ y v f r rLG 21 ro ILI . ,a 40, s ti x ^n n - ~ ~ -I-`}, GZ T,k y_ to ro G> "e3 7~. . v . t s ( r. C) ri (36 , a V 1 ,t ; tE3 - .fit y~ •~11 , ~ ;i, ~p~ x ~~t r Xf . 5c£ S/ 4 ~ ? 1~1 4" 4-4 J ~ , t x w ~ ..1x v x~' v'y7 " t v ' v s , 561 ld. r 24 0 24 0 m Paan 1 S , DepartmentRECND #1875 SOIL EVALUATIO page 1 of 4 ~s Safety and SP $ y 6 f~M brdance with Co 5 .e - Professional ServiceJUN Schmitt Soil Testing, Inc. Attach complete site plan on paper 1)~qq U~NW q size. r County St. Croix include, but not limited to: ve tM0W ~If?t'ce p int M), percent slope, scale or dimensions, north arrow, and location and distant, crest road. Parcel I.D1 030~2068~80-000 _ Please print all information. - - Date Reviewed By Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location 7 I Johnson, John & Kristen Govt. Lot SE1SE14, S35, T30N, R20W Property Owner's Mailing Address Lot # Block # Subd. Na a or CSM# 187 Riverview Acres Road Riverview Acres city State Zip Code Phone Number City Village Town Nearest Road Hudson WI 54016 St.Joseph Riverview Acres Road New Construction Use: j' , Residential / Number of bedrooms 4 Code derived design flow rate - 600 GPD Replacement I Public or commercial - Describe: Parent material Clutwash (Antigo Series) Flood plain elevation, if applicable NA ft. General comments Area is suitable for a mound system. System elevation,is 99.65' based off a contoir line established at 99.15'. Slope of area is 3%. and recommendations: Depth to limiting factor i5 30". t lrr~- ✓..tf ,Jew( F-11 Boring # Boring Pit Ground surface elev. 99.45 ft. Depth to limiting factor 42 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots G_PD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 1 0-10 10yr3/3 none sil 2fsbk mvfr as 2vf 0.6 0.8 2 10-22 10yr4/4 none sil 2msbk mfr gw 2vf 0.6 0.8 3 22-42 10yr4/4 none sl Om mfi cs 1vf 0.2 0.6 4 42-58 10yr4/6 c2d 7.5yr6/8 vcbsl Om mfi gw 0.2 0.6 _7.5yr6/2- - 5 58-80 10yr5/4 none vgrsl Om mfi as 0.2 0.6 6 80-96 10yr6/4 none s Osg ml 0.7 1.6 I 2 ] F Boring # L Boring J Pit Ground surface elev. 99.90 ft. Depth to limiting factor 30 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistent Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 'Eff#2 1 0-11 10yr3/3 none sit 2mgr mvfr as 2vf 0.6 0.8 2 11-30 10yr5/3 none sil 2msbk mfr gw ivf 0.6 0.8 3 30-44 7.5yr4/4 c2d 7.5yr6/8 7.5yr6/2 sl Om mfi gw 0.2 _0.6 4 44-58 7.5yr4/4 c2d 7.5yr6/8 vcbsl Om mfi cs 0.2 0.6 _7.5yr6/2_ 5 58-94 10yr5/4 none vgrsl Om mfi 0.2 0.6 * Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD5 < 30 mg/L and TSS S.30 mg/L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt 227429 Address Schmitt Soil Testing, Inc. Date Evaluation Conducted Telephone Number 1595 72nd St. New Richmond, WI 54017 4/5/2017 715-760-1978 SBD-8330 (R.07/00) Property Owner Johnson, John & Kristen_ _ Parcel ID # _ 030_2068-80-000 Page 2 of 4 Boring - F3 u ],Boring # Pit Ground surface elev. --98.40ft. Depth to limiting factor 30 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots G_PD_/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 "Eff#2 1 0-10 10yr3/3 none sil 2mgr mvfr as 2vf 0.6 0.8 2 10-30 10yr4/4 _ _none sil 2msbk mfr gw_ _lvf 0.6 0.8 3 30-38 7.5yr4/6 c2d 7.5yr6/6 sl Om mfr Cs ivf 0.2 0.6 - - 7.5yr6/3---- 4 38-57 7.5yr4/6 none vcbsl Om mfr cs 0.2 0.6 5 57-86 10yr5/4 none vgrscl Om mfi 0.0 0.0 Boring [-4]Boring # Pit Ground surface elev. 100.30 ft . Depth to limiting factor 35 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. E•Eff#2 1 0-10 10yr3/3 none sil 2mgr mvfr as 2vf 0.6 0.8 2 10-19 10yr5/3 none sil 2fsbk mfr gw 1Vf 0.6 0.8 3 19-28 10yr4/4 none sicl 2msbk mfr gw 1Vf 0.4 0.6 4 28-35 10yr4/4 none sl Om mfi gw 1Vf 0.2 0.6 5 35-51 10 r4 6 c2d 7.5yr6/6 y / 7.5yr6L__-__ grsl Om { mfi gw 0.2 0.6 6 51-96 10yr5/4 none vgrlcos Osg ml 0.7 1.6 _i Boring Boring # Pit Depth g factor - ft. to limiting 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#t 1-R- D#2 i Effluent #1 = BOD5> 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 (x.07/00) Schmitt Soil Testing, Inc. + - , Page 3 of 4 Conducted by: Conducted For: Schmitt & Sons Excavating, Inc.. Name: John & Kristen Johnson l . Thomas J. Schmitt, CST 227429 Address: 187 Riverview Acres Road /I 586 Valley View Trail City, State, Zip: Hudson, WI 54016 - -a Somerset,Wl 54025 r Phone: 715-Z60-197) , /f PID: 030-2068-80-000 signature ~i _ Address: 187 Riverview Acres Rd Date L~ S- Legal Description: SE 1/4 SE1/4 S35 T30N R20W a Backhoe Pit Township, County: St. Joseph, St. Croix County A Bench Mark 1 El. 100.00' Top of 1 1/4" PVC pipe A Bench Mark 2 El. 104.40' Top of garage floor at east garage door - ! Slope= 3% { Scale 1"= 60' Contour Line El. 99.15' Contour Line Length 86 t - I I ~ I i I , f NOTE: For full view of Lot see Aerial Photo (Page 4 of 4) r I i I I t I ! I i t ~ ! 77 L, o 3 3 - 07 I r ; i i I ; BYVIil r i ; C7 i ~ I i ; : r f- r I l , t , i 1 ? I ! ; I ;