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HomeMy WebLinkAbout024-1032-10-300 (2) sconsin Department of Commerce PRIVATE SEWAGE SYSTEM County St. Croix ,afety and Building Division INSPECTION REPORT Sanitary Permit No (ATTACH TO PERMIT) 597427 GENERAL INFORMATION State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)] 2973204 Permit Holder's Name: City village Township Parcel Tax No: PVF LLC GERALD SCHOEN TOWN OF PLEASANT VALLEY 024-1032-10-300 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: i o 28.28.17.2030 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER ^ 5 S CAPACITY STATION ,DFjI FS ELEVQ Septic Benchmark r. Dosing ~d .n r ay All. BMA ~a lam, 5 . -7 9's r7 Bldg. Sewer -7. Z `17- Holding St/Ht Inlet TANK SETBACK INFORMATION St/Ht Outlet TANK TO P`\ WELL BLDG. ent to it intake ROAD Dt Inlet Septic AG Pp Dt Bottom /2-6 ':J12t ~ll Dosing Header/Man. 101 . Z 766 116 Aeration Dist. Pipe Holding Bot. System L PUMP/SIPHON INFORMATION Final Grade • J d (p . Manufacturer errand St Cover a GPM v ca / .7 Model Number Z '9 TDH Lift Friction Los System H~d L I TDH Forcemain Length if Dial Dist. to Well (Or-~a SOIL ABSORPTION YSTEM BED/TRENCH Width Length No. Of r nches PIT DIMENSIONS No Of Pits Inside Dia. Liquid Depth DIMENSIONS 7/s SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION Type tem: CHAMBER OR ttt UNIT Model Number: o~.t. 7 DISTRIBUTION SYSTEM Header/Manifold/ stribution x Hole Size + T7Hole Spacing Vent to Air Intake Pi e s 7 ~7Length ~ Dia' Length 't j* Dia Spacing J ✓'ti ~ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over d Depth Over xx Depth of 1Xx Seeded/Sodded 1xx Mulched Bed Trench Center Bed Trench Edges Topsoil t ~ -'1 Yes No ?Yes E No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: q /Z ( i Inspection #2: Location: 117 170TH ST (r tS r. 1.) Alt BM Description = I~ 2.) Bldg sewer length U ,t rig/ . d~~L.i - amount of cover = ~ 3 C ~ Plan revision Required?' Yes No X Use other side for additional information. Date Inse or'e C ert. No. SBD-6710 (R.3/97) / • l1 ~ safety and~:~' .dims tiv€s~o~€ ~►RQIl ~ ro~~pM~ 7 201 W. Was hina on Ave., r O. Be '162 Satst ann F'cnliit \taut (to is M led to iati~ DEVE Madison, W1 537,07-7162 Stag Ttan<tclion Nun,bx r Tn =:c. .t}t Sl'S Coda. ,uhni-ion of r.i. &c n-o to t(ac al r opn ai g<a,E_nn r.>.al atnil t 3Z ! s r ,<.c:ad r n,,; o[ rtE ,u.i a nit. Note: Application io tx 1;,; statcK, ~d i t )XTS .uL ,ubnnojcd ;o Proicct AdJre-s ,i d ftc-cnt than mailing. address) :e zsaa t n f p : 4 1 I' g.1 a( to atlcn tic l ,,~,a:3 t t ::>r s .vnda y Jurs c, U r' h t- ac%'I a s 5.44(1)a-sty Slat'- p \ :5f,Kt, - 1, 70- * 1.r s€t c;ezitsta it ttla eea Ott u P' ,tape Print ,Ui Information u:5,n ag~l7,ao3C, t Chi; swe "Ir Cod Yi.e iv ''`t bcr itST ~y 4V t t >r• { T a IL i Vac til` statlcltnr chrck slt tl t2 al+ sh } oa - _ ~ Subcit~ ux,n \ azr>c ',r . FanvL ,~a~ etla t = - ~urnt~U. a_f $ed ata.. ,,,w ~ f'ubti tot t cFal l~ scr?s: csc C':: _ _ _ ~heJzc. ~a~ i ~J to t., t_.. _7~~.<<5... ! FuNknof (SL 1 N' l'en rift htci ttl% one b t Fza `arnp a^.n Reny i. g 2x xSJi: p r11~ VNI faihe, ,4: i;hc'..tan to Ft ; Stir Tl_ p c,r_ati I t ,iztit R ~e ~~A T la.:ia I :,a 1 r~T of PE""c S+stem`C'uc+t <>+eczt,i3 kare; df'ttc k all tAt .a?s} n ures,a J„-C c a a 3 t su r t r L :fit-G!aJa L iii .x:.<. _ 1 of ,u not it I loured - '_9 o s svi hir soil ~ D -;Cc fe plain) ,~sn2t~~ai,~ k'rc:at€t=esa # rep ~ttl`csa~tnatiaa. - - - ~ J. ~1loa~ i i u,i~n S>! ,gestic _,E ,.d,• cr= ni krcn 12E ta..cn3 a ?ropc Sc ,-.rn 1 ,a.,>a 4'(-.ttt.fo i atat 6a€EOS7, .ails I - ~ j t '4 4 cxpt)n4tt- alb, atatettlolzt 3, the under,igued. -,w;um< et.fttxnstfralit~ for inatallzhon of the PONN TS,howit on the attached pima. l'It ,t Za . t. ,.r:' i' r } bt r ,~trc M \111RS :e a .Sc:- ~ 13u5in~ ~aonc \tt^alxt 1 _ 71 t'Itt t c'sAd Sir r C .,,.4 J 0 .~-'l i•~ i.- # i tY"ly `D j J i "I urlf Di t.arttnent Use Onli , .,ir i cr` ! Z)^x 3=<u n= n ~~igo.nnsrc ~~':.C•csa.<~l<~I~~~i••. rK~a>4~.~€ct~I~x~,.tltao+ai ~ ~~+r't0 tj OJ ftbi calf nttst aq +lt ` n+~ n plan Prwided by plumber. ae, M rr 21'il4^MRl+rt,be r tairs4 irEd I a* per spFlw n* r 1 ctdinaneat. ,%tt:r.'h 40 -my test p4::.. ,t; i}a, s.etn auu vnt,,aa €a t..: t-asunt~ sc3, x ,~»ipcr so. i-5_ s., is Y 5::: i S f iae;aty in e6ac Plot Plan Pirgge ~f ~b;~ p DRe~rz W~rY Properly Owner YY LegidDescrj~Wojj Lzl-z (accept where nerd) o ~ -tip sw1~j sec 2 ~ ~ Tz~tit ~ctr~ rr,1~~,1 a~ _ tl aoe pit C ~~t s!~ N T V' u E ~ B2 of x' t_.a..,.', ~f~ f iT G a 6t~V T ~ ttt i 5 GC~r~C , _ NoTA s_ Z?l f~Zprt~ WcZC OF°,7.~` ~crti, 5~ ~,c :C FPoAA DP,,AjUFleL Lnnavfjr sVsrv~~ 9 jarggoo C-A j ~ v Fu 51 7406F SPIM W COMEC -7ytE15" f+ I,Ioo',AtTDVE C~DUAID t~ f'c=SLtM~D ! a ~fl ~ _1 o - 8 a 3- - 'C Sott.J fYL a 1 3 t i. 2y ' ~~vR7.1iF, DIVISION OF INDUSTRY SERVICES c 2331 SAN LUIS PL STE 150 GREEN BAY WI 54304-5211 ~D Contact Through Relay i http://dsps.wi.gov/programs/industry-services www.wisconsin.gov Scott Walker, Governor Laura Gutierrez, Secretary July 20, 2017 CUST ID No. 224832 ATTV: POIt'TS Inspector MARY JO HUPPERT ZONING OFFICE HOLLISTERS SOIL TESTING & DESIGN ST CROIX COUNTY SPIA 28497 KING ARTHURS 1101 CARMICHAEL RD DANBURY WI 54830 HUDSON WI 54016-7708 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 07/20/2014 Identification Numbers Transaction ID No. 2973204 Site ID No. 840349 SITE: PVF, LLC Please refer to both identification numbers, 170TH St above, in all corres ondence with the agenev. Town of Pleasant Valley St Croix County SW1 4, SWV4, S28. T28'N, R17EN' FOR: Description: 'Hound Sti:stem (4 Bedrooms -New Construction) Object Type: POWTS Component Manual Regulated Object ID No.: 1716355 Maintenance required. 600 GPD Flow rate. 14 in Soil minimum depth to limiting factor from original Grade; System(s): Mound Component Manual - Ver. 2.0, SBD -10691-P (N.01 101, R. 10(12), Pressure Distribution Component Manual - Ver. 2.0, SBD-10706-P (N.01,1101, R. 1012); Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • Preserve dispersal area prior and during construction to avoid disturbance, compaction and use of the site. • With new construction; it is recommended not to activate the pump in the dose tank until the tanks are pumped prior to homeowner occupancy. • Wastewater generated from contractors cleaning of equipment and tools andor left over construction products shall not be discharged into the drains discharging to the private onsite wastewater treatment system (POWTS). Waste generated shall be properly disposed of on-site or off site. • Any tall grasses, leaves and shrubs shall be cut short and removed prior to tilling the surface for installation to prevent matting under the dispersal area. All loose organic material to be removed from mound area. • Divert surface water from POWTS Area. • Prior to construction of the dispersal area check the moisture content of the soil to a depth of 8 inches. Smearing and compactin a of ,,Net soil will result in reduein2 the infiltration capacity of the soil. Proper soil moisture content can be detennined by rolling a soil sample between the hands If it rolls into a 1'4- inch wire. Page 2 7/20017 MARY JO Ht;T'PERT the site is too wet to prepare. If it crumbles. site re aration can proceed. If the site is too wet to prepare. do not proceed until it dries. • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building sewer beyond 30 feet per SPS 382.30 (11)(c) • Well setbacks to meet chs. NR 81 1 & 812 - • Tank Installation to follow all manufacture's recommendations. • SPS 383.54(l)(e) The management plan for a POWTS shall specifically address the servicing mechanics of an aerobic or anaerobic treatment tank or a holding tank where either of the following conditions exist: 1. The bottom of the tank is located more than 15 feet below the elevation where the servicing ad is located. 2. The bottom of the tank is located more than 150 feet horizontally from where the servicing ad is located. • Verify property line(s) prior to installation. • Pump Floats to be set and verified era roved plan. Anv chancres may result in um resizin- to meet TDH and GPNI Specifications. • Areas that are occupied %%ith 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 around level. A larder 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 38354(1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. A copy of the approved plans, specifications and this letter shalt 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 construct ion'installation-operation. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required S 250.00 This Amount Will Be Invoiced. r~ree~7' when You Receive That Invoice, Please Include a Copy With Your Tim Vander Leest 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 y wisconsin.gov MOUND D PRESSURE DISTRIBUTION COMPONENT DESIGN Residential ; ppli alion INDEX AND TITLE PAGE Project Name: PVF LLC Owner's Name: (same) Owner's Address: 15370 Afton Blvd. S. Afton, MN 55001 Legal Description: SW I/4 of the SW114, Sec. 28, T28€tii, R17W Township: Pleasant Valley County: St. Croix Subdivision Name: Lot Number: 2 Block Number: NA Parcel I.D. Number: 024 - 1032 - 10 - 300 Plan Transaction No.` ¢is~r19t1~#lflr Page 1 Index and title Page 2 Data entry Page 3 Mound drawings f Page 4 Lateral and dose tank Page 5 System maintenance specifications sf _ Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Plot plan ~rtt ~pM i31..,ss Designer Mary Jo Huppert License Number 1859 - 007 Date: 06124/17 Phone Number. 715 -426 -1775 t ~ Signature: r Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01101), and both SSW MP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01181) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01101) Version 7.0 (R. 0312012) Page 1 of 8 Mound and Pressure Distribution Component Design Design, ',Afo 1sh ' d, Site Information or C) R Residential or commercial Design Note: Sand tilt t03 calculations assume a 400.00 ` Estimated Wastewater Flow (gpd) Table 383-44-3 in-situ soil treatment for 1.50` Peaking Factor (e.g. 1.5 = 150%) fecal coFrtorm of r_ 36 inches. 60fl.00 Design Flow (gpd) 6.00 Site Slope (°lo) 102.50 Contour Line Elevation (ft) 14.00 Depth to Limiting Factor (in) 0.40 In-situ Soil Application Rate (gpolft~) Distribution Cell information 75.00 Dispersal Cell Length Along Contour (ft) = 8.00 Cell Width (ft) 1.00: Dispersal Cell Design Loading Rate (gpdfff ) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution _ Y Pressure Distrbution Information network? e Enter Y or N G or E) a Center or End Manifold 4.00 Lateral Spacing (ft) If N above, enter the elevation (ft} rv _ 2 Number of Laterals of the highest point. 0.156' Orifice Diameter (in) ~ 3.00, Estimated Orifice Spacing (ft) = 12.00 ft?/orifice 2.00; Forcemain Diameter (in) 93.00 Forcemain Length (ft) Does the forcemain drain back? Y 91.00; Pump Tank Elevation (ft) Enter Y or N \A4 4.55 System Head (ft) x 1.3 15.17 Forcemain Drainback (gal) ' 13.17 Vertical Lift (ft) 67.38 5x Void Volume (gal) 1.48 Friction Loss (ft) 82.55 Minimum Dose Volume (gal) 3 0.00 In-line Fitter Loss (ft) 26.93 System Demand (gpm) 19.'19 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 125 x 1.00 1.50 x x 1.25 2.00 1.50 x 3.00 2.00 x 3.00 x - Gallonsllnch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 1'266.00 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Wieser Manufacturer altin enter result in cell 849, Dose Wank Information Effluent Filter Information 806.001 Dose Tank Capacity (gal) Lifetime Fitter Manufacturer ".24, Dose Tank Volume (gattiin) L7 9 Fitter Model Number Weiser Manufacturer Project: PVF LLC Page 2 of 8 Mound Plan and Cross Section Views 1/108........_..: 3 Observation Pipe K C3 A I. z 41 L - Mound Component Dimensions A 8.00 ft E 27.76 in H [A7-94 ft K 11.60 ft B 75.00 ft F 9.50 in 1 ft L 98.19 ft D 22.00 in G 0.50 ft J ft W 29.13 ft 600.00 (ft2) Dispersal Cell Area 1589.18 (fly) Basal Area Available 8.00 (gpolft) Linear Loading Rate 7.50 (ft) 1110 B fibs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 106.13 (ft) - 11! H E ctl 104.83 (ft) Lateral Dispersal 104.33 (ft)-~► Invert x Dispersal Cell t Elevation = = = D. 102.50 (ft) Contour Elevation 6.0 % Site Slope Geotextile Fabric Cover Shading Key ffi Dispersal Cell See lateral details on ® Topsoil Cap 1.5 ft ~ Page 4 for number: size, Q " Subsoil Cap o L? l ~ and spacing of laterals. Q ASTM C33 Sand W fit Laterals are equally ® [ Tilted Layer o It if 0.5 ft Typical Lateral F spaced from the distribution cell's © Aggregate centertine in the A distribution cell (AxB). Project: PVF LLC page 3 of 8 End Connection Lateral Layout Diagram Laterals centered over the A Zc dimension • = Turn-up vdbsll valve or cle3noutplug P .l Rll Wetals aleidentical{- i Holes drilled on tf-p- bottom of the lateral S equra4 spaced Force main connection Oa tee of cross to manifold at am cont. Laterals B,Morcemain Sch 40 PVC per SRS Table 384.30-5 Number of Laterals 2 Orifice Diameter 0.156 in Lateral Diameter 1.50 in Orifice Spacing (X) 3.06 ft Lateral Length (P) 7144 ft Orifices per Lateral 25 Lateral Spacing (S) 4.00 ft Orifice Density 12.00 ft2/orifice Lateral Flown Rate 13.46 gpm Manifold Length 4.00 ft System Flow Rate 26.93 gpm Manifold Diameter 1.50 in Total Dynamic Head 13.19 ft Forcemain Velocity 2.75 ft/sec Chose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and 1-40, SPS 3 6.300 WAC 4 in. min_ Disconnect Tank component is properly vented - Alternate outlet location Forcemain diameter Weiser . Manufacturer = 2 in. capacityl 8{74.0(3 Gallons Volume 22.24 ga!linch A _ Weep hole or anti- Dimension inches Gallons B siphon device A 22.26 495.05 B 2.00 44.48 C Pump off elevation (ft) C 3.71 82.55 91.67 D 8.00 177.92 D Total 35.97 800.00 Dose tank elevation (ft) 3" Bedding un er tank. 91.00 Alarm Manuafacturer mote: Switches Alarm Model Number Tank Alert AB containing mercury may not be used in Pump Manufacturer Zoeller this system. Pump Model Number 152 Pump Must Deliver 26.93 gpm at 13.19 ft TDH Project: PVF LLC Page 4 of 8 Mound Swtem Maintenance and Otaeration Specifications Service Provider's Name Advanced Sept<c fnstaflations Phone 715-703-8337 POWTS Regulator's Name St_ Croix Count Zonin Phone 715-386-4680 System Flaw 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 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Colifonn >10E4 cfu/100 mL Service Freguency Septic and Pump Tank Inspect and/or service once eve 3 years Effluent Fitter Should inspect and clean at least once eve 3 ears Pump and Controls Test once eve 3 years Alarm Should test months Pressure System Laterals should be flushed and pressure tested eve 1.5 ars 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 ~Op~B~MfYOO~~~ s~~~raos~P° 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: PVF LLC Page 5 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 [SBD-10691-P (N.01t01), SSWMP Publication 9.6 (01181), and Pressure Distribution Component Manual Ver. 2-0 SBD-10706-P (N. 01101)] 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, Slats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm_ Cade. The operating condition of the septic tank and outlet fritter 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 fitter 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 113 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 shalt be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shaft be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation- If an effluent fitter 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 10¢ 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 pending. 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 faits 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: y L L Page 6 of 8 1Su series - /-oeuer rump uompany ra~;c ► vi All ins llt e~ by a w FPUMP PERFORMANCE ACE CURVE qualifi d I- a followed MODEL 151/152/153 i ! "n ap tional nc ud g 50 Safety, an 14 45 C 12 40 Piggyback ° 35 -e_l~o_at s u, 10 152 switch i 30 Simple Ell 3ne s a 8 25 151-r, Variabi L_E- PPuum_~p_s_t_an I l~ 15 4- 10 2- 5 Copirig 0 htt :I /W 10 20 30 40 50 60 70 80 90 100 GALLONS LITERS 0 40 80 120 160 200 240 280 320 360 FLOW PER MINUTE 034508 Models 151/152/153: 60 Hz I Corporate Governance (/en-na/oorporategovemkce) Site Map (/en-na/sitemap} Pti LL-c http://www.zoellerpun-ips.com/en-naJproduct/382-150-series 6/24/2017 Plot Plan p e as.JFg Property Owner YYF Li-C Legal es On ~erceprt where noied) 0'F THE sw' Backhoe pit tEr°sSft ~ t1 Lf aFOIX Cb tC1 T Lt1 IS ACA Ct1 : ~'f~F~ t'~ 7 t704h st: 7}zy - I e, - m 5bo C&:, Ttlt f ZFD WELL { {Z p!Y SF- r AJ d~ c? `750' FROM DtZ>41tJFf~ ~ i i Nt L ° pt FICTEP- w s~ ~~,bt ca ~ `~-~~t.~ 'Top dr SPIKE rN COM80 ?R~ t,~.o`.ABr~v~ ~ROUaL7 r; A:5stv%u art - o. f 1 -a ~ fryJ r. ~ 1tr f~V~~ SUL- C s o K SRS ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address ~5 ?C~ } 1 C -f } ' ' r 4f A Property Addre;~ I (Verification required from Planning & Zornng tn-,ent for new construction.) City/Stated Parcel Identification Number, JC' LEGAL DESCRIPTION dl~ 'G 5C a `x 'C ~~c`:L ' '/4 , Sec. T f~ S"N R /7 W, Town of Property Location Subdivision Plat: Lot# fir' Certified Survey Map # f _,Volume < Page# Warranty Deed # (before 2007)Volume , Page# Spec houseOyesE:Ino Lot lines identifiable0yespno SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper useand maintenance of your septic system could result in its premature fail ure to handl e wastes. Proper maintenance consists of pumping out the septic tank every three yes or sooner, if needed, by a licensed pumper. What you put into the system can affect the f unction of the septic tank as a treatment stage i n the waste di sposal system. Owner m4 ntenance responsibilities are specified in §SPS. 383.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agreesto 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) theon-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is Iessthan 1/3fulI of sludge. I /we, the undersi gned have read the above requi rements and agree to mai nta n the private sewage disposal system with the standards set forth, herei n, as set by the Department of Safety And Professi onal Services and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must becompleted and returned to the St. Croix County Pi anni ng & Zoni ng Department withi n 30 days of the three year expi rati on date. I/we certify that all statements on thisfor aretrue tothebest of my/our knowledge. I/wearrdaretheowner(s) of the property descri bed above, by vi rtue of a warrant deed recorded i n Regi ster of Deeds Office. l~ Numer of bedrooms SIGNATURE OF APPLICANT(S) DATE " Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. " I ncludewith this application a recorded warranty deed from the Register of Deeds Office and a copy of thecertified survey map if reference is made i n the warranty deed. (REV. 04/12) - - - - - - - I ~ Im's1wa aan,a ho~B p y~~]7 6g ; S4'va S7 5 n io o ao o 3Pa4. [[~S±, 4ka S St~g f vB ~ I ~3e .S x~ .y f$ ym 6 8$46 '9~%~'Pg~dg#d t .y 1 a . ~ r ~ . f m o, o 0 37N34193Z! 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Wisconsin Department of S and Professional Serw t Division of I l r~ 9d 3 RE C3C0YGNT2PYS6=_P0RT' Page l of 1 in accordance with SPS 383, Wis. Adm. Code 1 2Q County ST. CROIx Attach cc pl`ete sit pe~rt less than 81/2 x 11 inches in size. Plan must incl tw ' ,Rtki horizontal reference point (BM), direction and Parcel I. 024 - 1032 - 10 - 300 perce rven*sions, north arrow, and location and distance to nearest road. j 11 Please print all Information. Revie by Date LZ,~ Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location PVF LLC Govt. Lot SW 1/4 S 1/4 S 8 T/28 N R 17 ©))WW Property Owner's Mailing Address Lot # Block # Subd. Name or r-SM# 15370 Afton Blvd. S 2 21 -5219 City State Zip Code Phone umber tiY ❑Village ■ own Nearest Road Afton, MN 55001 ( 651) 503 - 4956 170th Street n New Construction Use[D Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD © Replacement ® Public or commercial - Describe: Parent material loess over till Flood Plain elevation if applicable General comments Mound System 1.84 ft. sand fill - 0.4 loading rate and recommendations: New site evaluated because of location of previous site. Soil on-site w/Ryan Yarrington, Zoning Specialist. PROPERTY ADDRESS: 117 170th Street ❑ Boring # u Boring Q Pit Ground surface elev. 100.40 ft. Depth to limiting factor >17 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eft#1 *Eff#2 1 0-7 10YR2/1 I 2fabk mvfr cs 3vf-co 0.6 0.8 2 7-17 10YR3/3 - sl Ifsbk mvfr lvf-m 0.4 0.7 ❑2 Boring # ® Boring 102.60 14 Pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-10 IOYR2/2 - sil 2fa&sbk mfr cs 3vf-co 0.6 0.8 2 10-14 10YR4/4 - sil 2fabk mfr as 2vf-co 0.6 0.8 3 14-20 10YR4/4 cld 10YR4/6&l0YR6/2 sil Ifabk dsh lvf-m 0.4c 0.6 * Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD < 30 mg(L and TSS < 30 mg/L CST Name (Please Print) Sign CST Number MARY JO HUPPERT Hollistees Soil Testing&Design) 224832 Address Date Eval Conducted Telephone Number 28497 King Arthur's Court, Danbury, WI 54830 06 - 21 -2017 715-426-1775 SBD-8330 (R07/13) Property Owner PVF LLC Parcel ID # 024 - 1032 - 10 - 300 Page 2 of 3 11 Boring 3 Boring # ID Pit Ground surface elev. 102.30 ft Depth to limiting factor >24 in. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-10 10YR2/2 sil 2fabk&gr mfr cs 3vf-co 0.6 0.8 2 10-24 10YR3/4 sil 3fabk dsh 2vf-m 0.6 0.8 ❑ Boring # 11 Boring Pit Ground surface elev. ft. Depth to limiting factor in. n Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2 H Boring ❑ Boring # Ground surface elev. ft. Depth to limiting factor in. Pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ' Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BODS < 30 mg(L and TSS < 30 mg/L SBD-8330 (R07/13) 67v v MIn'sr,,.'S Fa R s '.Cf+, c Vr 15. _ e ryr cNix w+ ` v lowilm" k! AP4 wrl, , f z 14 40 k 1 S rr %t t k. Z J C l6 ~ C a~ wm g :ter . rn p r #1693 . Wisconsin SOIL EVALUATION REPORT in accordance with Comm 85, Wis. Adm. Code Page 1of 3 Department of Commerce Division of Safety and Buildings Steel's Soil Service, Inc. Attach complete site plan on paper not less than 8'% x 11 inches in size. Plan must County St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. 13- Please #or- ~tr-j~tt Reviewe Date Personal information you provide may be useiTfoT secondary pfirpdses (Priv oY Law, s. 15.04 (1) (MA Property Owner Property Location K & D Holdings LTD UL Q $ Nu Govt. Lot na SW11, S 1/4, S28, T28N, R17W Property Owner's Mailing Address Lot# Block # Subd. Name or CSM# 15370 Afton Blvd. SO 2_ a CSM -eeadiu- .J1 )-I City St Ite Zip City - Village ] Town Nearest R ad Afton mn 55001 651-998-0540 Pleasant Valley 170Th St 1 New Construction Use: Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement Public or commercial - Describe: na Parent material Low ridges and foot slopes of ground moraines Flood plain elevation, if applicable na ft. General comments Mound design, system elevation 100.49ft based on contour line elevation 99.40ft. and recommendations: I Boring # _j Boring Pit Ground surface elev. 99.70 ft. Depth to limiting factor 24 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/f12 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-9 10yr3/2 none sil 2msbk mfr cs is .6 .8 2 9-24 10yr4/4 none sicl 2msbk mfr cs na .4 .6 3 24-48 10yr4/4 c2d5yr5/6 scl om mfr na na .0 .0 2 Boring # Borin - ! g Pit Ground surface elev. 99.70 ft. Depth to limiting factor 24 in- Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistenc Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-11 10yr3/2 none sil 2msbk mfr cs is .6 .8 2 11-24 10yr4/4 none sicl 2msbk mfr cs na .4 .6 3 24-48 7.5yr4/4 c2d5 r5 6 scl om mfr na na .0 .0 Effluent #1 = BOD? 30 < 220 mg/L and TSS >30 < 150 mg/L ` Effluent #2 = BOD5 < 30 mg/L and TSS <30 mg/L CST Name (Please Print) lSignature - = CST Number David J. Steel 248956 Address Steel's Soil Service, Inc. Date Evaluation Conducted Telephone Number 994 200th St. Baldwin, WI 54002 6/9/2005 715-760-0347 Property Owner K & D Holdings LTD Parcel ID # Pending___ Page 2 of _ 3 Boring # 1 Boring Pit Ground surface elev. 96.60 ft. Depth to limiting factor 23 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#I -Eff#2 1 0-9 10yr3/2 none sil 2msbk mfr cs 1c .6 .8 2 9-23 10yr4/4 none Sid 2msbk mfr CS na .4 .6 3 23-48 7.5yr4/4 cid5yr5/6 scl 2msbk mfr na na .0 .0 Boring Boring # Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth T Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#t 'Eff#2 ❑ Boring F-1 Boring # ~ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 Eff#2 " Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 <150 mg/L ' Effluent #2 = BODS < 30 mg/L and TSS <30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (R.07100) Steel's Soil Service, Inc. STEEL'S SOIL SERVICE INC. 3 of 3 David J. Steel K&D Holdings LTD 994200 th St. CST-POWTSM SWl/4,SWl/4,S28,T28N,R17W Baldwin, WI 54002 Lic. #248956 Town of Pleasant Valley, St. Croix Co. Direct 715-760-0347 CSM Pending Lot, 2 Fax 715-684-3449 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of this test may or may not be as shown, as permanent lot lines were not established at the time the soil test was conducted. Legend N - - 1 " = 40' ♦ = Benchmark Ele. 100.00 ft j Top of 3/4" pvc pipe • = Alt Benchmark Ele. 100.20 ft Top of 3/4" pvc pipe = Borings Boring Elevations Bl = 99.70 ft ttrB2 = 99.70 ft ~~1\;4 = 96.60 ft 4" ~b j y~~