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032-2125-70-000 (2)
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 597384 GENERAL INFORMATION State Plan ID No Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)] 2893089 Permit Holder's Name: City Village Township Parcel Tax No TIM & TRACI WAALEN TOWN OF SOMERSET 032-2125-70-000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: • -7-6 d~p /71.z -.4a 05.30.19.1125 TANK INFORMATION LEVATION DATA efeu•e-~ TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic rr, Benchmark Dosing / Alt. B ~'b~~,.v ~~v CpJ ~•'S 'IL•/tS AeelmhvtiT ghQQ /66 Bldg. Sewer ~f 1151'. r c ti d-7` K $1 `6' Holding St/Ht Inlet Z TANK SETBACK INFORMATION St/Ht Outlet %49 X71 TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet 4 to. 7Z Septic Dt Bottom Y Dosing fj Header/Man. z .4.1 477 -47a Aeration Dist. Pipe 2.G* 71 Holding ' Bot. System s~ 9 71 I g PUMP/SIPHON INFORMATION Final Grade 1• (07 9T Manufacturer Demand St Cover Z43 -C ILL^, GP P Model Number ~ • TDH jLift,,6.4a__tFriction, oss~ System Head~~ TDH'' Forcemain Length / Dia. p if Dist. to well ID z 10 SOIL ABSORPTION SYSTEM BED/TRENCH Width Lengt/ :5 Ns DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type f ystem: UNIT Model Number: 16 ? ~d 117 DISTRIBUTION SYSTEM Header/Manif f Distribution/ d II x Hole Size t Ix Hole Spacing I Ve Air Int jPipe(s) ~Ij ~Q 3Zi Length Dia Lengt h Dia Spacing 26 SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over T -Depth of ^ xx Seeded/Sodded xx Mulched Bed Trench Center 7S Bed Trench Edges ` Topsoil _ E: No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspectiol_142: Location: 421 172ND AVE / Y/V a I I 1.) Alt BM Description - P,.,.p 2.) Bldg sewer length / - amount of cover = p Q Plan Ie s! n bR uired? Yes ?No iL~ ~'?SUse other side for additional informs on ~ ~ i / L I CJ SBD-6710 (R.3/91) Date Inse tor's S ature Cert. No. CoJ ~ County ~ - 3 C~VEDBuildings Division St Crop J 01IJ~~ j 7 i~ (x 4g W. Washington ngton Ave., P.O. Box 7162 sanitarN Permit N~umbel (11) he tined to b. CO.) Jl\~ 1 In, WI 53707-7162 ~g !Fj~ 7 3 4NW fate Transaction Number Sanitary LiVMR~K~I 1H`~i1T1V CL 49 Ili accordance with SPS 383.21(2). A~ ts..Win Code. submission ofthis form to the a tpro pl- ~mt is required prior to obtaining a sanitary permit. Note. Application forms for stated .ratted to Project Address (if different than mailing address) the Department of SafetN and professional Ser% ices. Personal information oil prox -or secondary purposes in accordance with the Privacy Law, s. 15.04(1 )(in). Stats Saine I. Application Informatio lease Print All Information n Property Owner's Natne ( Parcel Tim & Traci Waalen 032-2125-70-000 Property Owners Mailing Address Property Location(>!'° 30, Govt. Lot 121 172"d Ave. SW {,n. SW ' ,5 c'ChUn VJ City, State Zip Code Phone Number - - - - (circle one) Somerset. WI 54025 r 30_N; 8_19 > or j 11. Type of Building (check all that apply Lot i ~ 1 or 2 Family DNtelling -Number of Badrooms 3 177 Subdivision Nana Block r- Plat of Chabre I 1PnblicComnterctal Descnhe [ s. 0(!W Na ❑ C;iv of P State Owned Describe l ,el CS M Number Village of - - gown of Somerset Na - - 04-A- D coo, I11. Type of Permit: (Check onh one box on line A. Complete line B if applicable) ❑ New System Replacement System ❑ Treatment Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) Permit Renewal ❑ Perntit Revision List Previous Permit Nuutber and Date Issued ❑ Change of I lumber ❑ Permit Transfer to New Before Expiration Owner IV. Type ofPOWTS System/Component/Device: (Check all that apple) Non-Pressurized In-Ground ❑ Pressurized In-Ground At-Grade ❑ Mound _ 24 in. of suitable soil ❑ Mound 24 in. of suitable soil Holding Tank ❑ Other Dispersal Component (explain) Pretreatment Device (explain) - 1 2 V. Dispersal/Treatment Area Information: Existing Gabe] A-100 effluent filter Design Flow (gpd) Design Soil Application Rate(gpdst) Dispersal Area Required (st) Dispersal Area proposed (sf ~]c%ation LO gpd/sq.ft. ASTMC-33sand 96.49' t 12" above 150.0 Gpd 0.5 gpd/sq.ft. native soil 450.0 sq. ft. 450.0 Sq. Ft. 95.49' contour iiij- j VI. Tank Info Capacity in Total o Matlutacturer Gallons Gallons t nits 71 -9, I New Tanks Existing "banks -~5 r Z~ •A- ~Gb F= J ° n - ep c or xola;ng Tank 0 1.000 1.000 1 Weeks Concrete X ),sing chamber 0 800 80) 1 Weeks Concrete X V11. Responsibility- Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Nance (Print) Plumber's signatur, MP-MPRS Number Business Phone Number William Schumaker MP 227990 (715) 386-2131 Plumber's Address (Street. City. State. Zip Code) 1070 Scott Road, Hudson, W1 54016 VIII , tunt~/Department Use Only y roved Permit Fee Date ssued Issuing . rat Signature PP sapprove }iven Reason for Dental S 6~ ' C Z'7 ' -7 IX. Condit V ~Reasuns for Disapproval 3 /tom . t _ A ho 1 bi;rk tEflltasn filter ~~1f i . ~i 0 f►/ 1 I S~ ~ IMP Ai%pet uo cell rust all be sea ices! , • 2c Q tiaJ~ f~ 1.41% es per;Wdgement plan pa, sided b~ t, nb: 2. ~M S0bW*' rectaar rnenm must ue r : r.. it n per o"Aw tr, codt I Crdinance3% .Attach to complete plans For the system and submit to the C'ounth only on paper not Icss than 8 112 s t I inches in tizx SI~I)-f;~tlyilZ !lilil So•1 e✓~faa~'~~i~ ' ~ EXi'S ferry gradr t Tiy~ t TAG (,c?aa lc ~ fJrafJ, ~ 4121 17-z =``.f✓e- - 5om~~-~. rte/, S`foz,~ it r7; P/lf of ~b~f~ Exs~.~ cvcs.~s ~~,bc.~~ sc.~s'~Sr~Yy, Scc, oS, T.3o~(y ~rp fw^plti+n~7d a/aria to be SE. Celt' fey u7! inc„ ~(o/C C'®vwr Elm=2'~ fire/aecc4..~/Cm4 /,~•,~L~ is 7o_ ow E ✓~OS/, pry , n~ S y S 6hr~ y ~/e /~G/. O yZ -2/2:~ , . EX.s~'x.~ I,dr149e.~ cJ~ Conu'~ Gc,' 3.cnecras r'bS a O~ ln.SPe 177 SO Cpl eaGal,,~-/mr !'~eY'~ dvkd 3/iS~e?. eft'/G.cnC ~ rf v' m~ o~~' - ~.ri:3flWeil 3a~ own &dnam tb / _ _ _ Kir; dsnC~ ~ ~ < i ~ara?C \ ~ ~%m~ Slr~or 5ys~e.►r,/✓e4 ~ I 93,5' _ ``~ave~+td Coyfs«t:os.~te✓.5o+r d fs bt ~s~e✓cll di~o/aetd, See c{.r~q-trocru cn f--A &C q Index & Title Sheet Waalen 3 Bedroom Residential Replacement Mound POWTS Project Name: Waalen Residential Mound Owners Name: Tim & Tracie Waalent-= Owner's adress: 421 172nd Ave., Somerset, WI 54025 JAN 6 2011 7 R Site address: Same _ Project Location: Subdivision: Lot 17, Plat of Chabre Legal Description: SWl/4 SW1/4, Sec. 05, T.30N., R.19W. Town of Somerset St. Croix Co., WI. Parcel ID 032-2125-70-00 Page 1 Index and Title Sheet Page 2 State Approved Mound Design Page 3 Septic Tank Maintenance Agreement Page 4 Warranty Deed Attachemnts: Soil Evaluation Report Mater Plumber Restricted Service: Bill Schumaker, Dept. of Safety & Professional Services Credential #227990 f1 Signature: Date: Page I of 4 Design pursuant to In-Ground Soil Absorption Component Manual for POWTS_ version 2.0 SBD-1070 -P (N.01/01:8.10/12) ~9tiYxRlarF~T DIVISION OF INDUSTRY SERVICES 3824 CREEKSIDE LN 0 1 HOLMEN WI 54636-9466 Contact Through Relay 92~ P S ` http://dsps.wi.gov/programs/industry-services www.wisconsin.gov ~Po sSIONScott Walker, Governor Eric Esser, Acting Secretary January 31, 2017 CUST ID No. 227990 ATTN: POWTS Inspector WILLIAM C SCHUMAKER ZONING OFFICE SCHUMAKER PLUMBING ST CROIX COUNTY SPIA 1070 SCOTT RD 1101 CARMICHAEL RD HUDSON WI 54016-7302 HUDSON WI 54016-7708 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 01/31/2019 Identification Numbers Transaction ID No. 2893089 SITE: Site ID No. 834769 Tim and Traci Waalen Please refer to both identification numbers, 421 172ND Ave above, in all correspondence with the agency. Town of Somerset St Croix County SW1/4, SW1/4, S5, T30N, R19W FOR: Description: Three Bedroom Mound System / Sloping Site / Dispersal Cell Re-construction Object Type: POWTS Component Manual Regulated Object ID No.: 1687606 Maintenance required; Replacement system; 450 GPD Flow rate; 24 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Ver. 2.0, SBD -10691-P (N.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 OOND requirements. A P No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, D f7F T OF stats. PROFESSIO The following conditions shall be met during construction or installation and prior to occupancy or use: `0N Off' )N Reminders • A sanitary permit must be obtained from the county where this project is located in accordance with the e~; , requirements of Sec. 145.19, Wis. Stats. - - - • All contaminated POWTS materials and components shall be abandoned/removed per SPS 383.33, and NR 113, Wis. Adm. Codes. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. • The area within 15' downslope of the dispersal cell shall remain undisturbed. Vehicular traffic, excavation or soil compaction is prohibited in this area. • A copy of the 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 WILLIAM C SCHUMAKER Page 2 1/31/2017 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. Sincerely, Fee Required $ 250.00 Fee Received $ 250.00 ✓~Z °L~--~ Balance Due $ 0.00 erard M Swim POWTS Plan Reviewer, Division of Industry Services (608)789-7892, Mon - Fri, 7:15 am - 4:00 pm WiSMART code: 7633 jerry.swim@wisconsin.gov cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm WILLIAM C SCHUMAKER Page 2 1/31/2017 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. Sincerely, Fee Required $ 250.00 Fee Received $ 250.00 r 'Balance Due $ 0.00 erard M Swim POWTS Plan Reviewer, Division of Industry Services (608)789-7892, Mon - Fri, 7:15 am - 4:00 pm WiSMART code: 7633 jen-y.swim@wisconsin.gov cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Res>idential Application IINDEX AND TITLE PAGE Project Name: Waalen 3 bedroom mound Owner's Name Tim & Traci Waalen Owner's Address: 421 172nd Ave., Somerset. 1N1 54025 Property Address: Same Legal Description: SW1/4SW1/4.. Sec.05, T.30N., R.19W T(.)wnship: Somerset iCNgLLY County: St. Croix 'ROVED Subdivision Name: Plat of Chabre SAFETY AND WAI Lot Numbers 17 Block Numbe USTRYaSERVICt ,s Parcel l D. Number: 032-2125-70-000 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 Site Plan Page 9 Attached Dispersal Cell Replacement Proceedures rage 10 Attached Soil Evaluation Report Designer: Bill Schumaker License Number: Date: 12/16/16 Phone Number: (715) 386-3121 Signature: &I zI 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. 11112) Page 1 of 10 Mound and Pressure Distribution Component Design Design Worksheet Site Information P o; 1 _ R1 Residential or Commercial Design Note: Sand fill (D) calculations assume a 300.00 Estimated Wastewater Flow (gpd) Table 383-44-3 in-situ soil treatment for fecal coliform of 36 inches. 1.501 Peaking Factor (e.g. 1.5 = 150%) 450.00 Design Flow (gpd) 6.00 Site Slope 95.49 Contour Line Elevation (ft) 24.00. Depth to Limiting Factor (in) 0.50# In-situ Soil Application Rate (gpd/ft2) Distribution Cell Information 77 Q Dispersal Cell Length Along Contour (ft) = 6.00 Cell Width (ft) 1.001 Dispersal Cell Design Loading Rate (gpd/fta 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 - - - - cl Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation (ft) 4'i Number of Laterals of the highest point. 0.11561 Orifice Diameter (in) 1.60' Estimated Orifice Spacing (ft) = 4.89 ft2/orifice 2.001] Forcemain Diameter (in) 160.00; Forcemain Length (ft) Does the forcemain drain back? Y 82.211 Pump Tank Elevation (ft) Enter Y or N 4.55 System Head (ft) x 1.3 26.10 Forcemain Drainback (gal) 13.78 Vertical Lift (ft) 67.30 5x Void Volume (gal) 7.84 Friction Loss (ft) 93.40 Minimum Dose Volume (gal) 0.00 In-line Filter Loss (ft) 49.54 System Demand (gpm) 26.17 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 ~ I - 1.00 1.50 x x i 1.25 x 2.00 x 1.50 -Xx 3:'_ 2.00 x 3.00 x 1 Gallons/Inch Calculator (optional) Treatment Tank InformationM M 808.45 Total Tank Capacity (gal) t 1000.001 Septic Tank Capacity (gal) 37.00 Total Working Liquid Depth (in) Weeks Concrete ;Manufacturer 21.85 gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 808.45 Dose Tank Capacity (gal) ;Zabel (existing) -Filter Manufacturer i 21.85 Dose Tank Volume (gal/in) A-100 'Filter Model Number Weeks Concrete _-Manufacturer Project: Waalen 3 bedroom mound Page 2 of 10 Mound Plan and Cross Section Views T 1/10 B Observation Pipe LI - K O A W l: : l A7 B z r3j: L - Mound Component Dimensions A 6.00 ft E 16.32 in H 1.00 ft K 8.92 ft B 75.00 ft F 9.50 in z 9.70 ft L 92.83 ft D 12.00 in G 0.50 ft J 5.83 ft W 21.53 ft 450.00 (ft2) Dispersal Cell Area 1177.59 (ft2) Basal Area Available L 6.00 (gpdfft) Linear Loading Rate 7.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 98.28 (ft) H 1 6 99 F Dispersal Cell ~9 (ft) Lateral 96.49 (ftj-i d Invert Dispersal Cell . 1 :<< Elevation E y l l 95.49 (ft) Contour Elevation 6.0 % Site Slope Geotextile Fabric Cover Shading Key a- Dispersal Cell See lateral details on Topsoil Cap o 1.5 ft Page 4 for number, size, Subsoil Cap 0.2 and spacing of laterals. ASTM C33 Sand C4 > F Laterals are equally spaced from the L4~ 0 Tilled Layer 0.5 ft Typical Lateral v, distribution cell's 0 Aggregate o _ centerline in the .flstrlbaiiorce!I ,,.xgi ------a A [project: Waalen 3 bedroom Mound Page 3 of 10 Center Connection Lateral Layout Diagram >viak.e-rrro, --torr,argf_71iat a,grFxTir. Laterals are ~den,'~- al ---I.- R S Turn-up Wb3[I vaNee o IrX-,.I."z71"l~ 02 Literals, `..Ti7tr.ef2t~.iin £cfi40 P4.fz_". fa.an, 1 plug { H .w•9n:+ n:the,,ortomo zF!a' gat € _J Number of Laterals 4 Orifice Diameter 0.156 in Lateral Diameter 1.50 in Orifice Spacing (X) 1.63 ft Lateral Length (P) 36.68 ft Orifices per Lateral 23 Lateral Spacing (S) 3.00 ft Orifice Density 4.89 ft'-/orifice Lateral Flow Rate 12.39 gpm Manifold Length 3.00 ft System Flow Rate 49.54 gpm Manifold Diameter 1.50 in Total Dynamic Head 26.17 ft Forcemain Velocity 5.06 ft/sec Dose Tank Information Locking cover with darning label and locking device and sealed watertight Electrical as per NEC 300 and -10 SPS 316.300 WAC 4 in. min Disconnect -----!ll--- Tank component is properly vented: Alternate outl< location _ Forcemain diameter Weeks Concrete Manufacturer 2 in. Capacity 808.45 Gallons -T Volume 21.85 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 18.73 409.15 B 2.00 43.70 C P♦ ump off elevation (ft) ! C _ 4.27 93.40 ~ 83.21 D 12.00. 262.20 ! Total 3,'.00 808.45 D ~ _ Dose tank elevation (ft) Bedding under tank. 82.21 c_ Alarm Manuafacturer€Levelarm Note: Switches Alarm Model Numbe Lp (existing) ~containing mercury may not be uses; in Pump Manufacturer iZoeller this .system. Pump Model Numberr BN140 (existing) Pump Must Deliver 49.54 gpm at 26.17 ft T D H Project: Waalen 3 bedroom mound Page 4 of 10 Mound System Maintenance and Operation Specifications 3 5 Sera: ice Pro,, ider's Name Bill Schumaker_ Phone (715) 386-2131 POWTS Regulator's Name ' St. Croix County Zoning Dept. Phone (715) 386-4680 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450 ft2 Maximum FOG 30 mg/. Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfuI, i C,u iTL Service Frequency Septic and Pump Tank Inspect and/or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test monthly Pressure System Laterals should be flushed and pressure tested every 1.5 years Mound Inspect for ponding and seepage once every 3 years 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, 1 16 ,v L " U yi I 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 •.......ss....• Grade 6-8" Diameter Lawn ~ Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral - t - - Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Waalen 3 bedroom mound Page 5 of 10 Mound System Management Plan PulrSU ant to SIPS 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' cornponent 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 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 ar 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 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 approves, 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 ✓egetative 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 101 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 - I LL TOTAL DYNAMIC HEAD/FLOW PUMP PERFORMANCE CURVE PER MINUTE I MODEL 140/4140 EFFLUENTAND DEWATERING 378 ~ 6y16 55 4 518 16MODEL 140/4140 so Feet Meters Gat. uters 32932 5 1.5 86 326 14 45 10 3.0 80 303 + 15 4.6 73 276 ° 12 40 20 6.1 66 250 35 25 7.6 59 223 1 v2 - n 1,2 NPT 140 4140 30 9.1 49 185 10 35 10.7 38 144 30 40 12.2 28 106 ~f 45 13.7 17 64 Shut-off Head: 50 ft. 15.2m T~. , / 2s Glow H' s 6- 20- 1213!32 15 4 532 10 SK1524A 2 5 10 20 30 40 60 70 80 80 GALLONS I a, LFUiS 0 80 180 240 320 FLOWPERMI 3718 6 Y16 V9.xu.n~o~~` r 4516 CONSULT FACTORY FOR SPECIAL APPLICATIONS 34132 • Electrical alternators, for duplex systems, are available and supplied with an + alarm. • Mechanical alternators, for duplex systems, are available with or without 112-111/2 WT alarms. • Control alarm systems are availablefor 1 phase pumps used in simplex system. See FM0732. • Variable level control switches are available for controlling single phase sys- tems. • Double piggyback variable level float switches are available for variable level long cycle controls. 16 u6 • Sealed Qwik-Box available for outdoor installations. See FM1420. • Refer to FM0806 for applications above 130°F (54°C). r 4132 i SK152413 SELECTION GUIDE 140/4140 MODELS Control Selection 1. For automatic use single piggyback variable level float switch or Model Model Volts-Ph Mode Amps Simplex Duplex double piggyback variable level float switch. Refer to FM0477. 2. See FM 1228 for correct model of simplex control panel. N140 N4140 115 1 Non 12.0 1 or 2 3 3. See FM0712 for correct model of duplex control panel. E140 E4140 230 1 Non 6.0 1 or 2 3 BN140 BN4140 115 1 Auto 12.0 ' O CAUTION All installation of controls, protection devices and wiring should be done by a qualified BE140 BE4140 230 1 Auto 6.0 licensed electrician. All electrical and safety codes should be foilowed including the most recent National Electric Code (NEC) and the Occupational Safety and Heahh Act (OSHA). `Single piggyback switch included. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MALL T0: P.O. BOX 16347 ` Louisvlle, KY 4 01 56-034 7 Manufacturers of.. 0 SHIP T0: 3649 Cane Run Read Op ® Louisville, KY 40211-1961 Q7warYPUMPG SINCE I,pd_7 PUMP PUMP !O. 2)778-273 .1 778 X (502) (800) 92 www.zoe!ler.com FAX (502) 774-3624 14 © Copyright 2005 Zoeller Co. All rights reserved. ~ E}riSfi7~y ~adr e(1✓ Tip t TraC,; [.Jaa /c 17Prop. 40(9/ 172 tf Son~~~. u~/, 5yo2S Lot rr P/a~ of ~br~~ Ex s~.~l~J cJts s rc ~c 8a~~aP SwYyScJYy Scc o! T. jolf. rnG"kweCo*,ev Eft✓n9Z.M' F/po~rF+^~cun1od alarm ~o fit! SE. C{bi+' ~ti Cam. /,s•~z:<'/acts a09 5y36hr, 17~/aeGc4..3/ C' Ay 0" EX.'sf.' dda 9af cJ Ponef bc.'.~y 3. coo Qu'at tea 6i1-ado' C/ i a S&LUaOv~ i n Spec6'an Sgo 11-91 re pd,. d *d S`/;51a1. ~ Yl~ an ~f cr a f au ~d ' EX;s~+n5 wet/ Sol cxsE: 'suf. sa ~yQ O P.l.C • /`a^cc man Ex: s~ ~ ~ / ~ , r / 3 btdraom ty / ~ Qir: d~.+cC t ( 1 ; i~ ; $araaG ~ ~ rKdrr. Slcyoe i \ Cap O ~ l ~t ~ COi/'mKl ~ ~ 7P 99.S' _ Gave-C [+cd ~n'f~.~t:ac~{J-e✓.So+~ d-fp 6t ~~n~.s✓s..d ,r1-V1acrd, ~i[e p ~f+r/A-yoaru on At fA VC 'I I-eta/at~.r+~„tProc~al rJ. Site Preparation & Procedures for Reconstruction of Existing Mound Dispersal Cell =t i3 DESCRIPTION- Tina & Traci Wallen residential property: The existing 3 bedroom mound system serving the Wallen residence has developed a clogging mat at the sand/gravel interface. Effluent surfaces at the top of the mound when applied to the system under pressure. Evaluation of the system has revealed that the clogging mat extends approximately 3" below the gravel into the sand fill. The sand fill beneath this depth is clean and di-\_ as is tlnc sand/nati\c soil intcrficc. PROPOSAL Remove the existing mound system and rebuild a new mound in approximately the same location as per owner preference. The existing 1.000 gallon Weeks Concrete septic tank containing a Zabel A- 100 effluent filter and existing 800 gallon Weeks Concrete pump chamber will be left in place with all existing plumbing, effluent filter, electrical connection and pump left in place. Mercury pump and alarm control floats will be removed, disposed of in compliance with regulations and replaced \\nth code compliant mechanical control floats. Both septic tank and um chamber have been inspected and foundto be structurally sound with fiberg ass a cs in lace. CONSTRUCTION! PROCEDURES: The existing pump will be disconnected for a 30 day period prior to system replacement, allowing the sand fill within and beneath the dispersal cell to adequately dry prior to commencement of dispersal cell replacement. Tanks will be pumped as needed during this period. The topsoil and cover soil will be removed from the surface of the svstem. All contaminated sand till and aggregate will be removed from the existing system by use of a track mounted backhoe. An additional 3" of sand fill beneath contaminated laver will be removed, approximatel-v 6" in total Caution will be used when removing the sand fill to prevent the underlying native soil from being disturbed. The remaining sand fill will be evaluated to detennine compliance with ASTM C-33 standards. Any noncompliant sand fill will be removed and replaced with compliant inaterial. The underlying soil will be re-p owe using a steel shank mounted on backhoe arm. The backhoe will not travel ono system area - reaching as far a posse e across system area from ea`e5`c7d anted en p rcman r o new sys area as per normal installation. The existing distribution network will be removed and replaced using new pipe to build a distribution network complying with this design. The dispersal cell will be rebuilt as per this design with cover soil replaced as per approved mound svstem component manual. Pg. y of 10 f NON-NAVIGABLE ±f WETI ANa ~ TOWN ROAD 8 O'44 W W 740.5r 147.W 1 18 H.W. _ 9W.00 16 130775 SO !T 3.004 meets ~ ao ~t 3 . 17 Z.OM III A H.W.L. 9".00 . A TRANS 233 srr.a, 4!'tlrl.3V 234A* i°1 S`13 181 d.63' SOU N UNE of TM Sw1>4 PROPOSED STATE TRUNK HIGHWAY 35-& 64 ).T, NOTES PER TRANS 233: :)weer I hereby restrict all Lots and Blocks so that that no owner, possessor, r. licensee or other person may have any right of direct vehicular ess from or egress to any highway lying within the right-of-way of trunk Hiahwaty "VI; A 84", as ntw%mn nn WA lanel t*vitie~ rmm it swrY el, ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer /0v) Mailing Address 44) ' ( f Property Address A r (Verification required from Planning & Zoning Department for new construction) City/State !'~SC' ~arcel Identification Number j3 0 ' OQ G LEGAL DESCRIPTION Property Location,S(,) V4 /4 Sec. S T U N R C/ W Town of (j/n ers- e~ Subdivision Plat: 07._ IU0 - G NA"6) L_ 0 3~- 00 - Lot # ~ ~ . Certified Survey Map # Volume Page # Warranty Deed - (before 2047)Volume Page # Spec house Clyes Lot lines identifiable yes(]no SYSTEM MAINTEN ANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper am i=j4anance consists of pumping out the septic; 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 sy' nem is in proper operating condition and/or (2) atter 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 Ehrce year expiration date. I/we certify that all statements on this form are true to the best of my/our knowledge. [/we am/are the owner(s) of the property described above, by virtue of a w ty deed recorded in Register of Deeds Office. Number of bedrooms SIGNATURE OF-APPLICANT(S) _ 6 /-L/~ 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 ~e~~~ce ss made in the warranty deed. d? Fv.04/12) T to Wisconsin Department of Commerce SOIL AND SITE EVALUATION Page of Division of Safety and Buildings J Bureau of Integrated Services in accordance with C,-m 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in site. Pian mtpt a County include, but not limited to: vertical and horizontal reference point (BK, direction and 1 < percent slope, scale or dimensions, north arrow, and location and distance to nearest road.' Parcel LD. # 9. I APPLICANT INFORMATION -Please print all information. Review b Date Personal information you provide may be used for secondary purposes (Privacy'"W, s. 15.04 (t)'(+ lPa 3 Z Property Owner Property Loc n r 1 Govt. Lot SW ,"1/45aJ 1/4,S S T ;~3N,R E (or) W 03 Property Owner's Mailing Address Dot # _ . Block# Subd. Name or CSM# City State Zip Code Phone Number ❑ City ❑ Village Town Nearest Road J New Construction Use: Residential / Number of bedrooms 3 j Addition to existing building Replacement ❑ Public or commercial - Describe: Code derived daily flow 0 6 gpd Recommended design loading rate / -5- bed, gpd/fF trench, gpdAt2 Absorption area required 120c-~ bed, ft2 lQ 0 0 tro,ch, ft2 Ad"m design loading rate r bed, gpd/ft2 L G trench, gpd/ft2 Recommended infiltration surface elevation(s) 9 Ste - it as-of rred to site plan benchmark) Additional design/site considerations oc)4W-e ms Parent material 7V _ Flood plain elevation, if applicable ~ ft S = Suitable for system Conventional Mound In Ground Pressure AT-Grade System in Fill Holding Tank U = Unsuitable for system ❑ S U OS ❑ U El S U ❑ S U El S U ❑ S CU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure GPD/ft2 he W Consistence Boundary Roots in. Munseil au. Sz. Cont. Color Gr. Sz. Sh. Bed . Trench c oj, S t~, F G s 3 14 Ground 3 O xp& 316 elev. 96 00ft. Depth to limiting factor Z zin. Remarks: ' S r i LS S Boring # ' O 7c) Y'Z X Z G 70 (L S L Z CS S: G S 'VQ Ground elev. , ?3o ft. Depth to limiting 11-tor - 2~_in. Remarks: CST Name (Please Print) Signatur ' Telephone No. Address Date CST Number Z~- S s 5330 PROPERTY OWNER SOIL DESCRIPTION REPORT Page Hof ~ i PARCEL I.D.# Boring # Horizon Depth Dominant Color Mottles Structure Gpp/it2 hew in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Trench off[ Z Z~+ to / s S elev. and 2 0 31 L LS 7 C15 /o ft. Depth to limiting factor. 7-1y in. Remarks: Boring # ~T Ground elev_ ft. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Boring # Ground elev. ft. Depth to limiting factor in. Remarks: Boring # Ground elev. ft. ' Depth to limiting factor in. Remarks: SBD-8330 (R.9/98) f r`PAGE__~,_OF_j_ NAME ~~av 4 LOTS LEGAL DESCRIPTIONS ~43w'~4 SS T-Ao N,R kQ E (or)0 SCALE: I"= Z s BM I ELEVATION (~j(~ • U BM I DESCRIPTIONh pwbtc c~ N BM 2 ELEVATION ()C). C> BM 2 DESCRIPTION SYSTEM ELEVATION 1 5-~ ALTERNATE ELEVATION CONTOUR ELEVATION J N•w.~, • b3 SIGNATURE ; DATE ~S G~ G Wisconsin DeparUnent of Commerce PRIVATE SEWAGE SYSTEM County. St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 395271 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)]. Permit Holder's Name: F City Village Township Parcel Tax No: M & G Inc. Somerset Townshi 032-2125-70-000 CST BM Elev: Insp. BM Elev: BM Description: ~.z~ . 166 (.do- I l TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. v Septic Ben ark & y.~ .o~ = 3 q9 !a3- Dosing ~ M W2 All OD Bldg. Sewer Holding t hletr, 1 / o D J 71 TANK SETBACK INFORMATION S t Outlet q2 TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet I t J /41 0 Septic Dt Bottom /kd ' , b 2 Heade~a%,,& Dosing Aeration Dist. Pipe Holding Bot. Syste 6 c~O (p,~ q~ Final Grade PUMP/SIPHON INFORMATION Manufacturer Demand St ver G~ a to `tGPM ' Model umber ! qU at 6 6 0= 4 D /03.y /00 i TDH Lift Friction Loss System Head TDH Ft nTTbr» pW p rq '5- FO~ain L th of Dia.2 ti DisttoWell L ~y~ YE f ~f Cpl ~.~5 7 T t) SOIL ABSORPTION SYSTEM it i ' BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P DG WELL rr qt,: LAKE/STREAM L Manufacturer: INFORMATION AMBER Type OF System: t: (r -33 0 UNIT Modei Num - I Ae "2^ ~~I DISTRIBUTION SYSTEM U6 u~0 'M Hea'Distribution x Hole Size x Hole Spacing Vent t Air Intake s W Pipe(s) tt as LDia 2 Length Dia Spacin SOIL COVER . } ure Systems Only xx Mound At-Grade Systems Only Depth Over Depth Over xx Seed odded Mulched BedIT n Center Bed/Trench Edges Topsoil y~ No Yes ©No C MMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:-f l~ Inspection #2: [-~I ~D /f~~~ bre L 17 Parcel o: OS 30.19.TT1S' , Location: 421 172nd Avenue Somerset, WI 54025 (SW 114 SW 114 5 T30N ~19t1Y) Cha t 1.) Alt BM Description = b ~ I~ r~ a tn1. k au X" (VIAVE or wd 04 p(J14 rye 5 ~/6.~- 1 2.) Bldg sewer length = f (i i, - amount of r = ? 2 3.) Contour p. r. 6 P. y~ = y I _ Plan revision Required? Yes ~No Use other side for additional information. Date Insepctor's SI nature Cert. No. SBD-0710 (R.W97)