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008-1064-70-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 597386 GENERAL INFORMATION State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)] 2951 762 Permit Holder's Name: City Village Township Parcel Tax No: LINDA STURTEVANT TOWN OF EAU GALLE 008-1064-70-000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: b0 (3 YA 1 GS T 22.28.16.332 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION B HI FS ELEV. iad Septic Benchmark GC o C#'`f Dosing ! Alt. BM nHoid,ng Bldg. Sewer ; St/Ht Inlet C TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. ent tofir Intake ROAD Dt Inlet Dt Bottom ~B ~!S Z 1 Septic 204 S-7 Dosing f 37 Header/Man. / I V y` I 7~~• o~ 2--7 ,9 I Aeration Dist. Pipe 6V 6 Holding _ Bot. System 2 5 / i.4 PUMP/SIPHON INFORMATION Final Grade 6, Ink 9 aZ. 4 Manufacturer %0" 1 Demand St Cover Ot~l GPM 4-;11.... ) 4.,_ 1 ~ O% 163-14t Model Number V 51 a 4, 4 , 6 ~.J6 i q TDH Li , Friction •Lgs System Head • T yjt 66, Forcemain Len g~h~ Dia. Dist. to Well SOIL ABSORPTION YSTEM che'si PIT DIMENSIONS No. Of Pits Inside DiLiquid Depth en BED/TRENCH Width Length No. S,f?e DIMENSIONS 76 + SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer. INFORMATION CHAMBER OR Type Of System: _ UNIT Model Number: DISTRIBUTION SYSTEMt Header/Manifold i Distribution C x Hole Size / x Hole Spacing Ive Air Intakg . S Pipe(s) Q Length Dia / Length 76 Dia Spacing V r I SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded Mulched Bed Trench Center 1 - Bed Trench Edges Topsoil 1 Q- • ~ No ~J 1~c~r, No J rT - 1 l COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection Location: No Address Available / 1 .(Al plD t,J 1 C_~11 1.) Alt BM Description 2.) Bldg sewer length = 7, 7 - amount of cover = / C IS 111///~~~ s a a Plan revision Required? C Yes No •h Use other side for additional Informatidn.' / SBD-6710 (R.3/97) Date Insepctor's ignature Cert. No. -Jlr1-7 ~ ,vsatr,a~y County RECEIVED Safety and Buildings Division C Ic D $ tt 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.) S „r JUN ~ Q 20 j ~ Madison, WI 53707-7162 Per CROLY, COUNTY :*MMUNRAWN7M t A] State Transaction Number r~ In accordance with SPS 383.21(2), Wis. Adm. Code, submission al unit ~ 1-5 ~6 e` is required prior to obtaining a sanitary pennit. Note: Application forms for state-owneu r _ _ ttid to Project Address (if different than mailing address) the Department of Safety and Professional Set-vies. Personal information you vide may be used for secondary ur oses in accordance with the Privacy Law, s. 15.04(1)(m), Stats. '11l/1J~ (j~TV 1. Application Information - Please Print All Information # Property Owner's Name Parcel # 71+Ryv~ -4 Zidl~~! S'fuv~'/ltd C7G')v'-104 - 76 -oDQ Property Owner's Mailing Address Property Location - 2'~ / lJ d ( Govt. Lot City, State Zip Code Phone Number y, 4~Lj Y/, section 2- ('4, J S0A-) (Jt~ T Zy N R (circle o f Il. Type of Building (check all that apply) r~ Lot # g I or 2 Family Dwelling - Number of Bedrooms Subdivision Name ~ 6e<) 'rR r eel) (~iS~~ISlt'i Block# 'r6 ❑ Public/Commercial - Describe Use - f u El COQ City of ❑ State Owned - escribe Use CSM Number ❑ Village of .L kfown of 67 + lie - Jr 76 AJZ~iil It 111. Type of Permit: (Check only on box oI Igo C* n 1 e Complete line B if applicable) A. y ❑ Replacement System ❑ Treatment /Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) ew S stem B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner IV. Type of POWTS S stem/Com onent/Device: Check all that apply) LA ❑ Non-Pressurized In-Ground El Pressurized In-Ground El At-Grade k -Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) Pretreatmen-t*Device (explain) / V. Dis ersal/Tre ment Area Information• Design Flow (gpd) Design Soil Applicati ate(gpdsf) Dispersal Area Required Dispersal Area Propose s System Elevation old llk A60 /0 e3 VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units ; U New Tanks Existing Tanks o u W d 1bk. ` av C/5 iii a Septic or Holding Tank i7 /tlL/ Dosing Chamber _576 C,6Yk-%6 to J*?_S e A- X VII. Responsibility Statement- I, the undersigned, assume responsibilit For installati n of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber' gna lr MP/MPRS Number Business Phone Number l q3 i 3t3 ~f ~rs~- ~s--~Z 41a Plumber's Address (Street, City, State, Zip Code) !~.r,_ (o y?v _55S RtJeli_ 60tea Z7- VIII. /De artment Use Only Approved sapprov. Permit Fee Date sued Issuing ent Signature $ ( Q even Reason for De al 1-7 IX. Condit_ easons for Disapproval L _ A M rk', etfluGnt ilfter isfid 3, r r`I u+ r,/t a~G rep 1. :SeP1~ usper *n cell r e all be pi icas' nu into ec fi~Jl e V4~r ss.per tttanement plan pl o nde%i by lumber fC.~ 1 N 2. Ail:ee4W*1regWren9nt5 must bt 1a rte it t l a1► per cam= J adilmXv,?. Attach to complete plans for the system and submit to the County only on paper not less than 8 1/2 x I I inches in size SBD-6398 (R. 11/11) r-v 1 F,-W ~ ~ N 1d~~ ~ ~'G CJ Il~y\f?_~ L I'>\]1~,r '~t'T U r ~TC',t~';r,J7'" ~j 76 - via, i s5- y ~/y Sec r 710m << 16 J Z~ r}Aj44RF f 7; 31y rif 4 n ' I A t / 4O it ~ww 4 1 {t / > p i i ~ f;T~ V-~ JYIr~ 17 zt i y, J V 72 5' Y ii=~+ tt ~ lJ NJ \ 't1, is a ~Rf~f -A DIVISION OF INDUSTRY SERVICES 2331 SAN LUIS PL STE 150 GREEN BAY WI 54304-5211 Contact Through Relay P S http://dsps.wi.gov/programs/industry-services www,wisconsin.gov ssiotial' Scott Walker, Governor Laura Gutierrez, Secretary June 15, 2017 APPR' OF Si CUST ID No. 224832 ATTN.• PO WTS Inspector MARY JO HUPPERT ZONING OFFICE HOLLISTERS SOIL TESTING & DESIGN ST CROIX COUNTY SPIA 28497 KING ARTHURS I101 CARMICHAEL RD DANBURY WI 54830 HUDSON WI 54016-7708 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/15/2019 Identification Numbers Transaction ID No. 2951762 SITE: Site ID No. 839212 Aaron & Linda Sturtevant Please refer to both identification numbers, 20TH Ave above, in all correspondence with the agency. Town of Eau Galle St Croix County SE1/4, SW1/4, S22, T28N, R16W FOR: Description: EZ-Flow Mound (4 Bedrooms - New Construction) Object Type: POWTS Component Manual Regulated Object ID No.: 1712267 Maintenance required; 600 GPD Flow rate; 26 in Soil minimum depth to limiting factor from original grade; System(s): EZflow Mound Component Manual, (R. 7/12), Pressure Distribution Component Manual - Ver. 2.0, SBD- 10706-P (N,O1/01, 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 101.0 1(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: • Note Proposed POWTS Dispersal Area is designed for 4 Bedrooms; the proposed tanks are sized for 2 bedrooms. Future tanks to be sized for 4 bedrooms. • 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 POWTS dispersal 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, MARY JO HUPPERT Paee 2 6/15/2017 ` 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. • The distribution pipe being inserted into the 4" corrugated pipe located in the EZflow product shall have one out of every five orifices installed at the 6 o'clock position. The remaining four orifices shall be installed at the 12 o'clock position. The laterals shall drain fully after every dose. • The lateral turn-up ends shall extend out past the exterior end of the cells at both ends. The observation pipes shall be located in between where bundles come together. These requirements must be followed so that the aggregate bundles will not be damaged during the installation process • Divert surface water from POWTS Area. • 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) • Tank Installation to follow all manufacture's recommendations. • Well setbacks to meet chs. NR 811 & 812 • Verify property line(s) prior to installation. • Pump Floats to be set and verified per approved plan. Any changes may result in pump resizin2 to meet TDH and GPM Specifications. • This system is to be constructed and located in accordance with the approved plans and with the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems Version 2.0" SBD-10706-P (N.01/01). • This system is to be constructed and located in accordance with the approved plans, and the "EZflow Mound Component Manual " (R.7/12). • 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). 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/instal lation/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. MARY JO HUPPERT Pase 2 6/15/2017 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. • The distribution pipe being inserted into the 4" corrugated pipe located in the EZflow product shall have one out of every five orifices installed at the 6 o'clock position. The remaining four orifices shall be installed at the 12 o'clock position. The laterals shall drain fully after every dose. • The lateral turn-up ends shall extend out past the exterior end of the cells at both ends. The observation pipes shall be located in between where bundles come together. These requirements must be followed so that the aggregate bundles will not be damaged during the installation process • Divert surface water from POWTS Area. • 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) • Tank Installation to follow all manufacture's recommendations. • Well setbacks to meet chs. NR 811 & 812 • Verify property line(s) prior to installation. • Pump Floats to be set and verified per approved plan. Any chanizes may result in pump resizing to meet TDH and GPM Specifications. • This system is to be constructed and located in accordance with the approved plans and with the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems Version 2.0" SBD-10706-P (N.01/01). • This system is to be constructed and located in accordance with the approved plans, and the "EZflow Mound Component Manual " (R.7/12). • 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). 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. MARY JO HUPPERT Page 3 6/15/2017 Sincerely, Fee Required S 250.00 This Amount Will Be Invoiced. When You Receive That Invoice, Tim Vander Leest Please Include a Copy With Your Payment Submittal. Private Sewage Plan Reviewer, Division of Industry Services WiSMART code: 7633 (920)492-2214, Monday - Friday 6 am To 3:30 pm tim.vanderleest@wisconsin.gov EZflow® MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN INDEX AND TITLE PAGE l.. e Project Name: AARON & LINDA STURTEVANT AN D Owner's Name: same) RV'ICES Owner's Address: 192 Starr Wood w a a Hudson, W1 54016 Legal Description: _SE 114_of the SW 1/4, Sec. 22, T28N, R16W Township: Eau Gaffe County- St. Croix Subdivision Name: NA Lot Number: NA Block Number: NA Parcel E.D. Number: 008 - 1064 - 70 - 000 Plan Transaction No.: ~ti,~~t~!Ittttt'tft~t'~f~1~~~' Page 1 Index and title 411 Page 2 Data entry ~i~ Page 3 EZflow mound drawings I~'• . Page 4 Lateral and dose tank • Page 5 Distribution media luP `'T =Page 6 System maintenance specifications D 1859 F. Page 7 Management and contingency plan Page 8 Pump curve and specifications ` rya Page 9 Plot plan Designer: Mary Jo Ruppert License Number: 1859 - 007 Date: 05/21/17 Phone Number 715-426-1775 Signature: Designed Pursuant to the EZflow Mound Component Manual Ver_ August 20, 2007, SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01101, R. 10/12) EZflow Mound Version 3.0 (R. 3/1/12) Page 1 of 9 i Mound and Pressure Distribution Component Design Site Information Residential or Commercial Design 400.00` Estimated Wastewater Flow (gpd) 1.50. Peaking Factor (e.g. 1.5 = 150%) 600.00 Design Flow (gpd) 200; Site Slope 101.009 Installation Contour Line Elevation (ft) 104.00 Contour Length Available (ft) 26.00 Depth to Limiting Factor (in) 0.601 In-situ Soil Application Rate (gpd/ft2) Distribution Cell information 9.00; Cell Width (ft)~ 70.00 = Dispersal Cell Length (ft) 1.00i Dispersal Cell Design Loading Rate (gpd/ft2) n _ y 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest int in the distribution Pressure Disribution Information network? - v~ or N e1 Center or End Manifold 3 Lateral Spacing (ft) If N above, enter the elevation ft) Number of Laterals of the highest point. 0.125; Orifice Diameter (in) (e.g. 0.25) 2.50. Orifice Spacing (ft) = 7.50 ftz/orfice 2.00 Forcemain Diameter (in) 250.00 Forcemain Length (ft) Does the forcemain drain back? Y 96.00 Inside Pump Tank Elevation (ft) y 0.00; Forcemain Filter Loss (ft) 6.50 System Head (ft) x 1.3 40.78 Forcemain Drainback (gal) 5.58 Vertical Lift (ft) 94.39 5x Void Volume (gal) 6.31 Friction Loss (ft) 135.17 Minimum Dose Volume (gal) 18.39 Total Dynamic Head (ft) 34.60 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia, options choice 0.75 1.25 G x 1.00 ~ 1.50 x x 1.25 x - 2.00 x 1.50 x x 3.00 1 . 2.00 x f_- J 3.00 x Gallons/Inch Calculator Treatment Tank Information Total Tank Capacity (gal) -8-46.00 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Weiser Concrete Manufacturer 1LLj gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 500 00 Dose Tank Capacity (gal) Pook Filter Manufacturer i 11 82 Dose Tank Volume (gal/in) 122 Filter Model Number eiser Concrete Manufacturer Project: StuKiEVft/t' i Page 2 of 9 Mound Plan view t 1110 B J Observation K• • - s A W _ 8 . ~3 z L Mound Component Dimensions ft A 9.00 ft E Ain H Aft ft K Efift B 70.00 ft F in ft L ft D 10.00 in G ft J W 630.00 (ft2) Dispersal Cell Area 1191.49 (ft2) Basal Area Available 8.57 (gpdtft) Linear Loading Rate 7.00 (ft) 1110 B Obs. Pipe Placement Mound Cross Section View EZttow Dispersal Area Finished Grade 103.83 (ft) /IIf/// IIIIIIfi. j y°1' t H 2G F 1 Dispersal Cell 102.33 (ft) Lateral 101.83 (ft)-* -=i6" i ':`c'::=:::•. Invert Elevation Dispersal Cell 1 Elevation p : s D- n,.i 101.00 (ft) Contour Elevation 2.0 % Site Slope Typical Dispersal Cell Shading Key See Page 5 0 Topsoil Cap > m 2 Subsoil Cap c o = Approved Geotextile Fabric Cover 3 EHASTM C33 Sand 'i Q 2-0 ft 4 Tilled Layer a f; 5 t ti. { $ :ti:;: -CE Uflow Media t tir.r. r r.l. :r. :.•'i 'r.r.rtil:i::• v 11tif1a'ti~1. . 5:....'.. L.L. t.•..4.ti. W a o 0.5 ft H lk 0 - - A See details on page 4 for number, size, and spacing of laterals. Laterals are located in the 4" gravity distribution pipes as shown on page 5. Project: tipTEVA~JT- Page 3 of 9 End Connection Lateral Layout Diagram - ~ - _r ..Jf1 tf. 'tea Turn-up wtbsllvalve orclosnoutptug IE P Z I<- X- ~I All leaerals identical, with orrtces equally spaced S Farce main connection tilt tee or cross to manaotd at any point. Laterals & force main of PVC Sch 40 S per SPS Table 384.30-6 J Orifices point tip except every 5th one points down for drainage. Number of Laterals 3 Orifice Diameter 0.125 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.54 ft Lateral Length (P) 69.29 ft Orifices per Lateral 28 Lateral End (Z) 0.71 ft Orifice Density 7.50 ftz/orifice Lateral Spacing (S) 3.00 ft Manifold Length 6.00 ft Lateral Flow Rate 11.53 gpm Manifold Diameter 1.50 in System Flow Rate 34.60 gpm Forcemain Velocity 3.53 ft/sec Dose Tank Information Locking cover with warning label and locking device and seated watertight Electrical as per NEC 300 and SPS 316.300 WAC 4 in. min. Disconnect Tank component is property vented Alternate outlet location Forcemain diameter Weiser Concrete Manufacturer 2 in. Capacity 500.00 Gallons Volume 11.82 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 19.87 234.81 B 2.00 23.64 C Pump off elevation (ft) C 11.44 135.17 T 9615 D 9 00 106.38 D Total 42 30 500.00 "A0 too F, 1 -:1 Dose tank elevation (ft) i~ Bedding And Backfie As Per Manufacturer 96.00 Alarm Manufacturer Si Rhombus Alarm Model Number AB Tank alert Pump Manufacturer Gould Pump Model Number PE 51 Pump Must Deliver 34.60 gpm at 18.39 ft TDH Project. Page 4 of 9 EZflow® Distribution Cell Media Layout 9.00 Cell Width (ft) 1.50 Sidewali to Lateral (ft) Distribution Cell Cross-section Arrangements 9 ft Wide O"Oeqn(SOD Component Legend SRI JA Bundle - 5 ft or 10 ft lengths SR1-12A or EZ 1201A in 5 ft or 10 ft lengths SR3-12H or EZ 1201 P or 646 SR3-12H in 5 ft or 10 ft lengths 0 4" Perforated Distribution Pipe With Pressure Lateral Inside Tumup Enclosure - - - - Pressure Lateral Bundles are covered with approved geotextile fabric as per the their product approval. Distribution Cell Plan View Layout - Typical 9.00 Cell Width -A (ft) 70.00 Cell Length - B (ft) Ge Connection Lateral Layout Diagram Force Main - 9 ft Wide End Manifold - - - - - Project: Sturtevant Page 5 of 8 Mound System Maintenance and Operation Specifications Service Provider's Name L Bettendorf Excavating Phone 715-425-6200 POWTS Regulator's Name ISt Croix County Phone 715-386-4680 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 840 gal Maximum TSS 150 mg/L Soil Absorption Component Size 630 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 Inspect and clean as necessary at least once eve 3 ears Pump and Controls Test once eve 3 ears Alarm Should test periodically Pressure System Laterals should be flushed and pressure tested eve 3 ears Mound Inspect for ondin and seepage once eve 3 ears Other ~J Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap and are secured in as shown in the EZflow Mound Component Manual Ver. August 20, 2007. 2. Dispersal cell media conforms to EZflow products approved for use with the EZflow Mound Component Manual Ver. August 20, 2007. Media is covered with an approved geotextile fabric. 3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished Grade 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Lateral Ends at Last Orifice Where Variable Length Cleanout Begins Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral EZtlow Synthetic Media 1.92 Feet Distribution Lateral Lateral Cleanout Project: Sturtevant Page 6 of 8 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 [EZf/owMound Component Manual 8/20/07, Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. Septic and pump tank abandonment shall be in accordance with SPS 383.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner as to when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Wisconsin Department of Commerce. Pump Tank The dosing (pump) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. If the force main has a weep hole, it should be noted if it is functional during pump operation, and if not, it should be cleaned. " No one should ever enter a septic or dose tank since dangerous gases may be present that could cause death. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BOD5, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L 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 specked in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 3 years. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls„ alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept Wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project* Sturtevant Page 7 of 8 Wastewater METERS FEET 40 -iMODELS: PE31, PE41, PE51. - H _33, -40, _SO 35 10 2 GPM 30 PE4f_ _ t L, i.PE31 , = 25 _ - - -s u f z 20 - - - - ~v o 15 O _ C 10 W, t i 5 - - - - - - _ 0 10 _ 20 3Q 40 - 50 T 60 70 GPM 80 0 5 10 CAPACITY 15 m3lh KRFORMANCE RATINGS PE31 41 Tots! Head PE51 (feet of water) GPM Total Head GPM Total Head 5 52 (feet of water) 8 (feet of water GPM 10 42 10 61 10 67 15 29 i5 57 15 59 20 16 46 20 20 50 25 0 33 25 25 16 39 30 26 35 g a ' f7 lYJ rt Z.(~ Lr>uD~ I r •>i 4~L i~ ~ .f~ ~~.tn ii -Fo I ~4S(Z y r~ f. ~ \ V,(13 t !f~tl~p Albl f~Kc,r~^` y /r alp /00 { ~aM ~ k f ~ ';~~jp ( jb 4 I-S ~ ' r C l t r ~i \ f i SJ 3 c w/ P~lylo 91- ~ I i T , 7.25 l3 C Si- 1 l t, t~ -`l ` D Nd I \M1 M f t t 7 •f 1 t fi ~6 l~ if PROJECT SUMMERY A 40 x 80 structure is to be constructed now with a one bedroom apartment- * future home is planned to be constructed at a later date (several years). Mound is designed at 600gpd DWF to accommodate the future home and future septic tank location. It is assumed the future design will convert the apartment septic tank to gravity flow to the future home's septic tank. ~'C Ew~D ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT ,O )(r UL pME AND MuN >~-'OWNERSHIP CERTIFICATION FORM Own' Buyer Aaron Sturtevant Mailing Address 275 pintail drive hammond wi 54015 Property Address 2440 20th ave J, J~ ( Verification required. fi-om Planning & Zoning Department for new construction.) City/State V V oodyille W1 1 _ Parcel Identification Number 008-1064-70-000 LEGAL DESCRIPTION Property Location SE '/4 SW '/4 , Sec. 22 , T 28 N R 16 W, Town of Eau GaIIe Subdivision Plat: , Lot # Certified Survey Map # Q , Volume , Page # Warranty Deed # 539387 (before 2007)Volume 1161 Page # 14 Spec house Dyes[210 Lot lines identifiable 0 yes[] 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. 1/we certify that all statements on thi 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 Warr my deed recorded in Register of Deeds Office. Number of bedrooms 1 6/ 21 / 17 SIGNATURE 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) 1 2 3 4 _a 6 7z~ B 9 t0 11 12 13 fl~ Z 3p (Y J o~3 Cm P -th a _ v` m E ~ I I I I I I I I 3 0 a ,o ~a.u~.F.oQO~ ~ I e t ~ 8 Y © ~ o~asZ i e=o I, , oa~ I I I I o f 07 R ,os ,p ,d o A-101 ye - v As indicated R I Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of __:S Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1 /2 x 11 inches in size. Plan must include, but 0/ not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. v U 0 6 V - ---)0- APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIErBY DATE ` Y PROPERTY OWNER: P PERTY LOCATION O r~ 5 E 1/4 SW 1/4,SZZ T Z8 N,R ) 6 E(o I P OWNERS MAILING` ADDRESS `r L61# BLOCK # SUBD. NAME OR CSM #/ZA 111 ITY, STATE ZIP CODE PHONE NUMBER [-]CITY ❑VILLAGE DOWN aNE EST ROAD woopvt~tv~, i,~) S(4 [5) 698-281b ~Prk- z o Yrh Avg [ New Construction Use Residential / Number of bedrooms _ 4jfdlltlQn 41exisbng building j J Replacement ( J Public or commercial describe- Code derived daily flow gpd Recommended design loading rate o .3L bed, gpd/ft2_ trench, gpd/ft2 Absorption area required bed, ft2 Sod trench, ft2 Maximum design loading rate o • s bed, gpd/ft2 ° trench, gpd/ft2 Recommended infiltration surface elevation(s) 1 O ft (as referred to site plan benchmark) Additional design / site considerations '-A k~ \,j >rl-~ L-j/ - ti'-1 t/v • 1 , '3 1::: S RjvU F=t r✓L_ . Parent material _ S L (Z, y q~t Flood plain elevation, if applicable! P) - ft S = Suitable for system CONVENTIONAL MOUND IN GROUND PRESSURE AT GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem ❑ S 0 U US ❑ U ❑ S L9U ❑ S gU El S all ❑ S ZU SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont Color Texture Gr. Sz. Sh. Consistence Baxxry Roots >1:>I>: ) o_ 9 1 O `t VL- 3! Z - S L Z ,'F 5D J C .S Z 9-L8 V/ _ sL) ZmSbk wL'~~ cS - o-S o l Ground 3 l -30 . S L/R 31 4 o S elev. - 1o~.0 ft. 30.13 IDtiR 5/Z Li 1Z S)g C~ o Depth to 3 Cp S L `1 R S 1 s L L~1-- C4 S limiting factor 30 ` Remarks: h (I Boring # ` p_9 l~`t2 3 fZ _ St, Z~S~IT wl'jr CS --S Z Z g_zo ~o~~y[ S1S ?k'X Sbkr cS - o-S o.~ 3 zb 3q SY IZ 31 y - s tc I 3 n~ a. wt C S - v. V o S Ground elev. V 39-sS S VA' SIB c o v~t'4 I apt .S ft. - Depth to 3 S ~c~► tv o ` T limiting factor - - - Remarks: CST Name: Please Print Arthur L. We erer Phone. 715-425-0165 ~egerer Soil Testing & Design Service-P.O. Box 74 River Falls,WI 54022 Signature: Date: • CST Number: qS-3o3- 3 V?__U-q_1s M00576 r 3 PROPERTY OWNER ZO~U ~'tTL SOIL DESCRIPTION REPORT Page Z. of PARCEL I.D.# Oo$- 1~bU- 60-`~U Depth Dominant Color Mottles Texture Structure Consistence Bou GPD/ft nda Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Y Roots Bed Trerxfl 3IZ - si l Z'FSb~ wt~t. LS - a.s o.~, Z 9-[6 >oy~ st l Z,sbtT ~r ~s - 0.5 0-~ Ground 3 16-Z 6-SYR 31 s i c 3 m elev. 10l Zft. Z~-yl ~•S yR ~/b ~-j.syR SJ6 C "3 Depth to 3 s tvo - s RT limiting factor Remarks: Boring # Ground elev, ft. Depth to limiting factor Remarks: Boring # rL I Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev, ft. - Depth to limiting factor Remarks: -nn tt'tZ~~R nr'n" PROPERTYOWNER SOIL DESCRIPTION REPORT Page Vof 3 PARCEL I.D.# 008- -1~ 6V- 60- D 0 Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bax>dary Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Tmnch 1*0 I o~ 102 3IZ - St z`FSb6c wt LS 3 ry Z 9 - 16 to `1 t2 u! - s l l Z w S btT t>n ~r ~ S - ~ • S a fv Ground 3 )vz -)-S`Yfz.31 cs - o-y aS elev. S , C 'O wt low ft. Z6-y`1 y 2 Y/6 -I. T yV sJ Depth to 3 S H tvo 3 PVT- I3 limiting factor Remarks: Boring # Ground elev, ft. Depth to limiting factor Remarks: Boring # 114 bf\kLtib~::c~i> ~ Ground elev. ft. I Depth to limiting factor Remarks: Boring # i Ground elev. ft. Depth to limiting factor Remarks: - - r,nrn nit,)nrn J PLOT PLAN Page 3 of 3 SCALE 1"= UO ' ~7~-~T Rg s!{o ~ r.l c~w►.!~"C2 Vt6LA _Rz0u ~1~- Np, 008=106U~ 60 -10 ~o 'vuT ~"t P RAT oR O 1 s'i-v-o-B rAA ! s q-tZ" C i l w / L 1'rTN z°1o a~ ~sr~vt- tia'tipT' olSlutiR~ - Loo = 0 ~ L i 1 1 a.Z J ZS' Wit. tp ~ S z8' ,Q tVoTN. x Is 1~r'~(3►~r tL~DL~ F-c~2 A 3 B~,czuoE"1 ~~c~wtE. f 1a- a . 3 S ~ .1-_~'o c.Y. ~t h3Q« qs-~~~_ 3 1i- lL- cts 715 425-n1 n5 M00576 CST Signature Date Signed Telephone No. CST #