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HomeMy WebLinkAbout040-1125-30-250 Nisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 597466 (ATTACH TO PERMIT) GE&RAL INFORMATION State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)] 2944960 Permit Holder's Name: City Village Township Parcel Tax No: DENNIS & NANCY FEYEREISEN TOWN OF TROY 040-1125-30-250 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: (0.06 . v% - 33.28.19.522C-10 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. 1. &2 /0 l~ fit Septic Benchmark D~ Alt. BM Aeration Bldg. Sewer Holding St/Ht Inlet ld -k -r C 7- St/Ht Outlet i. r v TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic 00J) DtBottom Y,~f Dosing Header/Man.d 6 d Aera n Dist. Pipe Holding _ Bot. System ~j PUMP/SIPHON INFORMATION Final Grade Manufacturer Demand St Cover .,UA GP I~u tle~ Model Number L1/ 3 q y 1.2 TDH Lift a Frictio 11 Loss System Head [D~~. Ft Forcemain Length Dia. it Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width j Length No. Of Trenches PI D -YE ONS No. its Inside Dia. Liqui In DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LA /STREAM LEACHING Manuf urer: INFORMATION CHAMBER OR __r;(Z a Type Of Syste , I UNIT Model Numbe ; f O - - DISTRIBUTION SYSTEM Header/Ma fold Distributions 0 3 Ix Hole Size X Hole Spacing Vent to Air Intake f / Pipe( s) Length Dia o Length Dia Spacin SOIL COVER -136treW- x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over y Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed Trench Center Bed/Trench Edges Topsoil Yes No Yes ❑ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: nspection #2: Location: 18 SERENITY CT 1~~L f2.(~Ftr 1.) Alt BM Description 2.) Bldg sewer length - amount of cover = 1! Plan revision Required? [ Yes ❑ No Ll q Use other side for additional information. Cert. No. Date Insepctor's SBD-6710 (R.3/97) (1,0 1/ Ei; ar:i,roj Coun,-,-- /Safety and Buildings Division X AUG 2 8 2U1 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co ) i P Madison, WI 53707-7162 ST. CROIX COUNTY 7# Sanitary Permit Application State Transaction Num/b~er in accordance with SPS 383 21(2), Wis. Adm. Code, submission of this form to the appropriate governmental u4toPTojjS ~ b v is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted ect Address (if different than mailing address; the Department of Safety and Professional Servies. Personal information you provide may be used for secondu oses in accordance with the Privac Law, s. 15.04(1 (m), Slats. e, 7, 1. A lication Information - Please Print All Information ~C r(f t Property Owner's Name Parcel # s C gets a 040- J/j s--36-~so Property Owner's Mailing Address Property Location 33- g- ~9 • C 111 Govt. Lot 4 City, State Zip Code Phone Number 3 3 Section ► ~'t / Z 'L Q(circle one If. Type of Building (check all that apply) Lot T a N; R l-1 E or &1 or 2 Family Dwelling - Number of Bedrooms l Subdivision Name ok as BlOe 1 ❑ Public/Commercial - Describe Use ❑ City of ❑ State Owned - Describe Use / CSM Nu>er i✓ ❑ Village of k ~ d ✓ J~~ G i ~ O 1 ' ✓ ~ Town of D y 111. Type of Permit: (Check only one box on line A. Complete line B if appli ble) A. ~yr New System El Replacement System El Treatment/Holding Tank Replacement Only El Other Modification to Existing System tq ~ Y (explain) 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) sy~ ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade K Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dis ersal/Trey ent Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required Dispersal Area Pro sed f) System Elevation n o ev ® 60 oop ~o VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units ~j_ ~ n ~ o° New Tanks Existing Tanks )~IPci /I" g y 1 r ~ Pd lt' a U V) Z i, C7 is O~ Septic or Holding Tank /900 Dosing Chamber 000 -----1 8a o VI1. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plu tier's Signature MP/MPRS Number Business Phone Number ~0. v ( dr- O SS ~i Sl Q~ 8S-~' Plumber's Address (Street, City, State, Zip Code) VIII. County/Department Use Only Permit Fee Date I sued Issuing nt Signature proved isappro $ 6.00 t 7 r Given Reason enial J IX. Condilli ;"Reasons for Disapproval 1 4 ~5ip at3llt.igNt~ir(R~ar,4100 cii"Ousi cite AI WAIlt" LM*ft. 4S: n pK 1willi plan pro tided by plumber. Qt~°. i ''✓I d 2 `N mlttimlt r4qL*w..-Ammust be maittttirAd as W opparbg 00& / cmiluet ss. Attach to complete plans for the system and submit to the County only on paper not less than 8 1/2 x 11 inches in size SBD-6398 (R. 11/11) Plot Plan PageS qfg. Properly Owner bs,jm Is W. 1"=40.t Legal Description 2-017~ SWIA (except wkere noted) s- -ri4 Sv►►` Q. s( + i~ (nJ 7p~~ OF TRau ° BacMoe pit sr CRocx l~vunr~V~ WiSCA1~5itJ - ;4A )t C3 0JK I-k)C- b~o- t t z~- 3o-Zs~ ~~es North _ s~~w t~-y CouRT Tb~ f i.li qls -R s i >Frr- k-x IU W-5 w Z, 0 C, Lit EW u,leseK 795; y N fzoa/7oe r-*,-LDV cQ s. r PI L C- LL- I'D ~ wls 9{.95 1 . as:, To .SEPrIc Tm $Q f /Yl ft(/VD SWTeA Site Location: GT, M M S=~• 53 "Al C 00 ~~Ee*R~-trF,~~~~ DIVISION OF INDUSTRY SERVICES 2331 SAN LUIS PL STE 150 GREEN BAY WI 54304-5211 Contact Through Relay http://dsps.wi.gov/programs/industry-services www.wisconsin.gov Scott Walker, Governor Laura Gutierrez, Secretary May 10, 2017 CUST ID No. 224832 ATTV: POWTS Inspector a . 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 vZ CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/10/2019 Identification Numbers Transaction ID No. 2944960 SITE: Site ID No. 837838 Dennis and Nanev Feyereisen Please refer to both identification numbers, Serenity Ct above, in all correspondence with the agency. Town of Troy St Croix County SW1/4, SWI/4, S33, T28N, R19W FOR: Description: Mound System (4 Bedrooms - New Construction) Object Type: POWTS Component Manual Regulated Object ID No.: 1705081 Maintenance required; 600 GPD Flow rate; 30 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Ver. 2.0, SBD -10691-P (N.01/01, R. 10/12), Pressure Distribution Component Manual - Ver. 2.0, SBD-10706-P (N.01/01, R. 10/12); Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s. 145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • Preserve dispersal area prior and during construction to avoid disturbance, compaction and use of the site. • With new construction; it is recommended not to activate the pump in the dose tank until the tanks are pumped prior to homeowner occupancy. • Wastewater generated from contractors cleaning of equipment and tools and/or left over construction products shall not be discharged into the drains discharging to the private onsite wastewater treatment system (POWTS). Waste generated shall be properly disposed of on-site or off site. • Any tall grasses, leaves and shrubs shall be cut short and removed prior to tilling the surface for installation to prevent matting under the dispersal area. All loose organic material to be removed from mound area. • Divert surface water from POWTS Area. • Prior to construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. Smearing and compacting of wet soil will result in reducing the infiltration capacity of the soil. Proper soil moisture content can be determined by rolling a soil sample between the hands. If it rolls into a 1/4- inch wire MARY JO HUPPERT Page 2 5/10/2017 the site is too wet to prepare If it crumbles site preparation can proceed If the site is too wet to prepare do not proceed until it dries. • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building sewer beyond 30 feet per SPS 382.30 (11)(c) • Well setbacks to meet chs. NR 811 & 812 • Tank Installation to follow all manufacture's recommendations. • Verify property line(s) prior to installation. • Pump Floats to be set and verified per approved plan. Any changes may result in pump resizing to meet TDH and GPM Specifications. • Areas that are occupied with rock fragments, tree roots, stumps and boulders reduce the amount of soil available for proper treatment. If no other site is available, trees in the basal area of the mound must be cut off at ground level. A larger fill area is necessary when any of the above conditions are encountered, to provide sufficient infiltrative area. Owner Responsibilities • 'The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval SPS 383.54(1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Industry Services reserves the right: to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 This Amount Will Be Invoiced. When You Receive That Invoice, Please Include a Copy With Your Tim Vander L,eest Payment Submittal. Private Sewage Plan Reviewer, Division of Industry Services WaSMART code: 7633 (920)492-2214 , Monday - Friday 6 am To 3:30 pm tim.vanderleest-i)wisconsin.gov MARY JO HUPPERT Page 2 5/10/2017 the site is too wet to prepare If it crumbles site preparation can proceed If the site is too wet to prepare. do not proceed until it dries. • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building sewer beyond 30 feet per SPS 382.30 (11)(c) • Well setbacks to meet chs. NR 811 & 812 • Tank Installation to follow all manufacture's recommendations. • Verify property line(s) prior to installation. • Pump Floats to be set and verified per approved plan Anv chances may result in pump resizing to meet TDH and GPM Specifications. • Areas that are occupied with rock fragments, tree roots, stumps and boulders reduce the amount of soil available for proper treatment. If no other site is available, trees in the basal area of the mound must be cut off at ground level. A larger fill area is necessary when any of the above conditions are encountered, to provide sufficient infiltrative area. Owner Responsibilities • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval SPS 383.54(1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 This Amount Will Be Invoiced. 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@.wisconsin.gov MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: DENNIS W. & NANCY E. FEYEREISEN Owner's Name: (same) Owner's Address: 1664 Rodao Road River Falls, WI 54022 Legal Description: SW 1/4 of the SW 1/4, Sec. 33, T28N, R19 Township: To County: St. Croix Subdivision Name: NA Lot Number: 4 Block Number: NA Parcel I.D. Number: 040 -1125 - 30 - 250 Plan Transaction No.: tl.,, Page 1 Index and titre p Page 2 Data entry 0 N4"°a~°~ Page 3 Mound drawings ' •Q"f"&ZI'~•••'. Page 4 Lateral and dose tank w HouP ~ Page 5 System maintenance specifications 0 01853 e Page 6 Management and contingency plan RIVER FAII-11-8, Page 7 Pump curve and specifications Page 8 Plot plan Designer. Mary Jo Huppert License Number: 1859 - 007 Date: 04/25/17 Pho a Number: 715 - 426 -1775 Signature: Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01/01), 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) Version 7.0 (R. 03/2012) R EC E EVE D Pagel of 8 'V"M 0 3 L0 ~Jn(.)5 i RY SEI VIDE Mound and Pressure Distribution Component Design Design Worksheet Site Information (P or C) Residential or Commercial Design Note: Sand fill (D) calculations assume a 400 00 Estimated Wastewater Flow (gpd) Table 38344-3 in-situ sal treatment for 1.SO i Peaking Factor (e.g. 1.5 = 150%) feel cdiforrn of 36 inches. 600.00 Design Flow (gpd) 10.00? Site Slope 96.75: Contour Line Elevation (ft) 30 00 Depth to Limiting Factor (in) 0.60; In-situ Soil Application Rate (gpdW) Distribution Cell Information 60 00 Dispersal Cell Length Along Contour (ft) = 10.00 Cell Width (ft) 1 00 Dispersal Cell Design Loading Rate (gpd/ft2) 1' Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution y Pressure Disribution Information network? Enter Y or N (C or E) a Center or End Manifold 3.33 Lateral Spacing (ft) If N above, enter the elevation (ft) 3 Number of Laterals of the highest point. 0155; Orifice Diameter (in) 3 .50, Estimated Orifice Spacing (ft) = 11.76 frz/orifice 2.00= Forcemain Diameter (in) 20 00 Forcemain Length (ft) Does the forcemain drain back? Y 88 00' Pum Tank Elevation ft - _0 p O Enter Y or N 6 System Head (ft) x 1.3 3.26 Forcemain Drainback (gal) 8.84 Vertical Lift (ft) 80.60 5x Void Volume (gal) Friction Loss (ft) 83.86 Minimum Dose Volume (gal) 0.0W In-line Filter Loss (ft) 27.46 System Demand (gpm) ~q~ 13.72 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection in. dia. bons choice in. dia. o bons choice 0.75 k_ 1.25 x 1.00 1.50 x x 1.25 x 200 _ z.. 1.50 x s _ ~.x f 3.00 2.00 x 3.00 x Gallonslinch Calculator (optional) Treatment Tank Information m Total Tank Capacity (gal) 1"200 00 Septic Tank Capacity (gal) Total Working Liquid Depth (in) W ieser ' Manufacturer gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 800 00' Dose Tank Capacity (gal) Poly Lok Filter Manufacturer 22-24 Dose Tank Volume (gain) Filter Model Number Weiser : Manufacturer Project: DENNIS W. & NANCY E. FEYEREISEN Page 2 of 8 Mound Plan and Cross Section Views t 1/10 B . - - J ObservaWn Pipe . Q - . A W .I- B L Mound Component Dimensions ft A 10.00 ft E 18.00 in H [Aft ft K Aft 8 60.00 ft F 9.50 in 1 ft L ft D 6.00 in G 0.50 ft J W 600.00 (ft2) Dispersal Cell Area 1317.86(ft2) Basal Area Available 10.00 (gpd/ft) Linear Loading Rate 6.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 99.04 (ft) ---0 Oil, • H G •I I F _ Dispersal Cell 97.75 (ft) Lateral 97.25 (ft)-► . Invert - Dispersal Cell . Elevation " 96.75 (ft) Contour Elevation 10.0 % Site Slope Geotextile Fabric Cover Shading Key .0 11D Dispersal Cell See lateral details on Topsoil Cap o 1.5 It Page 4 for number, size, a o and spacing of laterals. Subsoil Cap ASTM C33 Sand -1°~ T 01 '000 ~ F Laterals are equally Tilled Layer Z ® 0. ft Tvpical lateral spaced from the distribution cell's © Aggregate : i centerline in the - A distribution cell (AxB). Project: DENNIS W. & NANCY E. FEYEREISEN Page 3 of 8 End Connection Lateral Layout Diagram Center the laterals over the A & B dimension Turn-up wfball valve or apes nout plug f P ' All laterals are identical IE X-31 Holes drilled on the bottom of the lateral *waft spaced S Lederals &forcemai n Sch 40 PVC per SPS Table 384.30-6 3 Force main connection via tee or cross to manifold at aM point. Number of Laterals 3 Orifice Diameter 0.156 in Lateral Diameter 1.50 in Orifice Spacing (X) 3.66 ft Lateral Length (P) 58.56 ft Orifices per Lateral 17 Lateral Spacing (S) 3.33 ft Orifice Density 11.76 f6orifice Lateral Flow Rate 9.15 gpm Manifold Length 6.67 ft System Flow Rate 27.46 gpm Manifold Diameter 1.50 in Total Dynamic Head 13.72 ft Forcemain Velocity 2.80 ft/sec Dose Tank Information Locking cover with warning label and locking device and lie1 sealed watertight Electrical as per NEC 300 and SPS 316.300 WAC 4 in. min. Disconnect Tank component is properly vented = E- Alternate outlet location Ir- _ Forcemain diameter Weiser Manufacturer 2 in. Capacit 800.00 Gallons Volume 22.24 gal/inch A Weep We or anti- Dimension Inches Gallons B siphon device A 19.30 429.25 B 2.00 44.48 C Pump off elevation (ft) C 3.77 83.86 88.91 D 10.90! 242.42 D Total 35.97 800.00 1 Dose tank elevation (ft) 3" Bedding under tank. 88.00 Alarm Manuafacturer SJE Rhombus Note: Switches Alarm Model Number 'Tank Alert AB containing mercury may not be used in Pump Manufacturer GOULD this system. Pump Model Number " PE 41 Pump Must Deliver 27.46 gpm at 13.72 ft TDH Project: DENNIS W. &I NANCY E. FEYEREISEN Page 4 of 8 Mound System Maintenance and QDepAon Specifications Service Providers Name Darrell 's POWTS R Septic Service Phone.715-425-1025 egu toes Name St, Croix County Zoning 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 1200 gal Maximum TSS 150 mg/L Soil Absorption Component Size 600.03 fe 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 years Effluent Filter Should inse2d and clean at least once every 3 years Pump and Controls Test once eve 3 years Alarm Should test month) Pressure System Laterals should be flushed and pressure tested eve 1.5 years Mound Inspect for 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. A I 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 Cieanout Sprinkler Valve Box Plug or Ball Valve Distribution Lon8, Sweep 90 or Two 45 gree Bends Same Diameter as Lateral Project: DENNIS W. & NANCY E. FEYEREISEN 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.01/01), SSWMP Publication 9.6 (01181), and Pressure Distribution Component Manual Ver. 2.0 SBD-1070&P (N. 01/01)] 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 84iches 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. 281.46, 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 fitter 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 shad be serviced if the alarm is activated continuously . Intermittent After alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the Liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. A I switches, alarms, and pumps shall be tested to verify proper operation. If an effluent fitter is installed within tote 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 sal 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 BODr,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 trued effluent. Influent flaw may not exceed maximurn 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 dogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal call. 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. Continsw icy Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to proper operating condition. keep the system in If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shaft be immediately repaired or replaced with a component of the same or equal performance. It 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 mananagemennt 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: I .2~I5 4,RAWy F~ki~es~~ Page 6 of 8 Wastewater ,A METERS FEET PE31 MODELS: PE31, PE41, PE51 .40..50 35 - - - 10- 2 GPM --!L 30 PE - - u' 25 PE31- ; - - - - - - s - - 1- _ - ~ f 20 O 15 a_µ _ _ EQ Z - , 10 p 00 10 20 30 40 50 - - 6 -70 GPM 80 0 5 10 ~~~l5 m3/h JV tr--, CAPACITY PERFORMANCE RATINGS PF-31 PE41 TOW Head PE51 (feet of water) GPM Total Head GPM Total Head (feet of water) 5 52 (feet of water) GPM 8 10 42 10 61 10 67 15 29 ~5 57 15 59 20 t6 EE25 0 46 20 50 25 0 33 25 39 16 30 26 35 8 L*A A) J5 &Aj Ace 7 of Plot Plan Paged ofd. Property Owner t)SW.f►S W. j MA.Vey 9. Fey 1 " = 4D,~ al Descrrptton ,,o Swim (except where noted) 6t= Tii- SWV4 ee. ,33, Tz~nl1 R igal TDv~1/l) DF 7R4?Y~ Bad&oe pit sT C.ROV)c /►ot h-ry'i W_ SCOt~Str~_ - ~+AA)D (3 L) 1K IA)C b40- i t Z~- 30-Z,50 y-s1, A:° s North s~l~N rty CouRT' ~v - -Ibf OF Lo ya Call e~?~ i 1 t`Qa I -RQ 4, Frr5 o" (wpm ~ 's'' 5 0 0 New ,~,,ES~>z T T ~ ~ y V (zoo/Too e,eLIOA) 7ArvK W/ FttYER PtA AOL-P acs - nth , - q d 4 ,0' ZO Not Q 9~~ _ RRE'~W rsrkItd \ `'c Pf L T (AAA Rket., ' ~~~0►'05~ b Lt? E LL- fi G~ Site LoCatio►tt• 50 ` 70 ivt otrNn sISVeA T K SAC ..53 0 i Q SW > ~ also .tt+s~+en+ - X Jt ` ~l rt. an ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer 4,111 )Is Mailing Address s cI c) C - (I ) ! tt J Property Addre i' e, I'll~ L 7 (Verification required from Pla g Department for new construction) City/State 1~ t.1 b-v"-parcel Identification Number d~ ~~z~7 30 - LEGAL DESCRIPTION Property Location '/4, '/4, Sec. -3-3.., T' N-R_2 2_W, Town of Subdivision Lot # Certified Survey Map # Volume Page # c?~ Warranty Deed # , Volume , Page # Spec house ❑ yes no Lot lines identifiable A3 yes ❑ no SYSTEM MAINTENANCE 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. The property owner agrees to submit to St. Croix 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 Commerce 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 Zoning Office within 30 days of the three year expiration date. C- `7 SIGN, OF/APPLIC DATE OWNER CATION, I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the propzrty described, ove, by virtue of a warranty deed recorded in Register of Deeds Office. SIGN OF APP ANT DATE * Any informon that is mis-x-resented may result in the sanitary permit being revoked by the Zoning Department. Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed A Wisconsin 5ional Services Division of Indus SOIL EVALUATION REPORT Page 1 of 2 t1 i in accordance with SPS 383, Wis. Adm. Code MAY 0 l County TROY Attach complet0Fe®FtW ss than 8 1/2 x 11 inches in size. Plan must include, but £ "I reference point (BM), direction and Parcel I.D. 040 - 125 30 - 250 percent slut a or dimensions, no arrow, and location and distance to nearest road. Please print all information. Review y Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). g 3/ / Property Owner Property Location DENNIS W. & NANCY E. FEYEREISEN Govt. Lot SW 1/4 S 1/4 S 33 T 28 N R 19 E (or) W Property Owner's Mailing Address Lot # Block # Subd. Name CSM# 1664 Rodao Road 4 CSM V. 7, Pg. 2017 City State Zip Code Phone Number ity ®Village ■ own Nearest Road River Falls, WI 54022 ( 715 ) 425 - 8429 Serenity Court El New Construction UseE] Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD D Replacement E] Public or commercial - Describe: Parent material loess over till Flood Plain elevation if applicable NA - ft. General comments Mound System 0.50 ft. sand fill --.6 loading rate and recommendations: Additional borings required to move system area. Original test 08-21-99. 1❑ Boring # Boring Pit Ground surface elev. 94.95 ft. Depth to limiting factor 33 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-8 7.5YR3/3 sil 2fgr&sbk mvfr 0.6 0.8 2 8-16 7.5YR4/4 sil 2fsbk mfr 0.6 0.8 3 16-33 7.5YR4/4 - 1 1 fsbk mfr 0.4 0.6 ® F2 Boring # Boring 94.50 30 E3 pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-6 7.5YR3/3 - sil 2fgr&sbk mfr 0.6 0.8 2 6-20 7.5YR4/4 sil 2fsbk mfr 0.6 0.8 3 20-30 7.5YR4/4 l 1 fsbk mfr 0.4 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) Si toe CST Number MARY JO HUPPERT Hollister's Soil Testing&Design) 224832 Address Date Evaluatio nducted Telephone Number 28497 King Arthur's Court, Danbury, WI 54830 04 - 20 - 2017 715-426-1775 SBD-8330 (R07/13) I~ Plot Plan Page z of-7- Property Owner bstiN,s w. n1ANry. F"ER~,SC-p,j I"=40 ft. Legal Description 2-D 17, (except where noted) _b` rt+AE S!AV'L1, sSe-- 334 Tz~nl~ R 11iW 'TDWAJ OF TRIDY; Backhoe pit sr. CR~~x (~ntt-tv-t~l~ W~St'.GKy Stitt. o~►o- z5- ao-zsa U Sb ~e~z~s North s~~~Nrry ~ouRT f i ~ : ~fibp o F" C 1 Aa-f15StA y t7 ~19.1D t^ 1 f offi- f us UV Gt~S ~ ~ ~ ~ RG. oo X o f ~l c*K _,_.u rtr p(L ' TD sEPrt c TfvVY `j SQ 70 10 OUND s~1!3TeA Site Location: ~.T 1r J lf- Wisconsin Departnent of Industry, SOIL AND SITE EVALUATION REPO Page of Lafx.r and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code ~t SOD ?i " '^rcG COUNTY • Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but S`~ . J ;C not limited to vertical and horizontal reference point (BM), cJireofiot~arjdo caf,slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance tq n'e~6st';idad,.. ~-11 S-~ .22 APPLICANT INFORMATION-PLEASE PRINT"ALt INFORWTION R IEWEDBY DATE 3 - I -'f- 2BaD PROPERTY OWNER: PROPERTY LOCATION 7, l~SETv etr* £61± ~'J 1l4 114,533T Z NR l~ E(or OW o A- PROPERTY OWNER':S MAILING ADDRESS. ' LOCK # SUBD. NAME OR CSM # l0 5 . G`~ cw~c -Z T-;~: - cS'r~1 V o Zo t't CITY, STATE ZIP CODE PHONE NUMBER ❑CTY,. VILLAGE [MOWN NEAREST ROADD~ ~~LUf=~C'~P L4j,I j4v~Z (x.57 L! S-* {7q.C~1~~( 0L ~7-~2 1~. -YQ New Construction Use [x] Residential / Number of bedrooms AdditiQn to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow L~,_ So gpd Recommended design loading rate o bed, gpd/ft2 - trench, gpolft2 Absorption area required bed, ft2ti trench, ft2 Maximum design loading rate o S bed, gpd1ft2 o trench, gpd/ft2 Recommended infiltration surface elevation(s) l 0 • 'L_S ` ft (as referred to site plan benchmark) 9g' z Additional design / site considerations n ) / 3 ' sc 4` -7 ' ~E v-; ; ) t ;rn 'J r.j N Z''oi= '2 J74. Parent material L I) ovi^+2 __1_I L_ ~ Flood plain elevation, if applicable ~ r1 ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem ❑ S ® U 5 S ❑ U ❑ S ❑'U ❑ S Q U ❑ S [ZU ❑ S q U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bourcbiy Root 4Trer& in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Ba»:l>::>:7 O lD `'1 R~/' Ground ViV _ ! elev. ft -1 Depth to limiting factor L4 Remarks: Boring # o~ j . Ground L E elev. y 3 9 0 S 2 %`i ,.S k -/8 L ~r~ 1v1 t - ~1 Z ft Depth to limiting factor Remarks: CST Name:-Please Print Phone: Arthur L. We erer 715-425-0165 Megerer Soil Testing & Design Service-P.O. Box 74 River Falls,WI 54022 Signature: i~y 7 Date: CST Number: I I,~.'~l t.rjy„ CJ4-1) y 220254 PROPERTYOWNEFi~t~~z~~s~1 , SOIL DESCRIPTION REPORT Page ' of ' PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Consistence Boundary Roots Bed Trench 1 0 8 Lo f t~ 31 2 S i Z 1~ `rZ w, '1- c, S Ground 3 Z`-I 3y S 1 P S!/cr m `f t~ `l S elev. o ft. y > ` s.S S ~ ~L yl y ~ is tj Depth to limiting factor Remarks: Boring # i Ground i elev. t ft. Depth to - limiting i factor Remarks: Boring # Ground elev. ft. Depth to limiting factor i. Remarks: 3oring # i i around ?lev. ft. )epth to imiting actor Remarks: I PROPERTY OWNER SOIL DESCRIPTION REPORT Page of ` PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Structure GPD/ft 9 Texture Consistence Bourxiary Roots Bed Trench in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. wl t2 31 .Z sit z :_;1~ v a. S - 5 lf r~ Ground 3 Z.~I 3y S P V/ Yo T~- elev. oft. ~I ~`~(_SS S ~c~. yl~~ ~ - • 3 y Depth to limiting factor Remarks: Boring # Ground i elev. ft. Depth to - limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: 3oring # f around - - ?lev. f t. )epth to imiting actor - I I I I I I FT Remarks: _ Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of 3 Lab:;r and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code Ono COUNTY Attach complete site plan on pthan 8 1/2 x 11 inches in size. Plan must include, b6 ut:.., not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCE I.D. # dimensioned, north arrow, and location and distance to nearest road. ? /as- APPLICANT _INFORMATION-PLEASE PRINT ALL INFORMATION REVIEW DBY DATE j PROPERTY OWNER: ~Vt~ . L PS1J6~~plS PROPERTY LOCATION f , 1V C Z = ~~1J} j S F `Lf Z E, S El-"j -GBVfi-.tOT 114 SIX 1/14;S33 T -2. 23 N ,R 1 E (orCWW PROPERTY OWNER':S MAILING ADDRESS. LO BLOCK # SUBD. iVAME OR CSM # VD S N . G ~16 vL ST - L~ CS'Nl V O L , 3' Z t)1-i CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE MOWN ' NEAREST ROAD 7ZLuETL %lJ S~{ozz 015) 14~_S-t314Z„9 0L 1J F ~ Cz.T New Construction Use [x] Residential / Number of bedrooms = [ J AdditiQn to existing building Replacement [ ] Public or commercial describe Code derived daily flow L~_ Sn gpd Recommended design loading rate o bed, gpd/ft2 - trench, gpd/ft2 Absorption area required S bed, ft2 3'iS trench, ft2 Maximum design loading rate _ o S bed, gpd/ft2 S3, trench, gpd/ft2 Recommended infiltration surface elevation(s) l 0 L" S ft (as referred to site plan benchmark) Additional design / site considerations F'1U ',J/ 8 'x L4 -7' P_a~, i ;-I m 1Z'- Jt= Fr" , Parent material L,o ov~`y2 __T'! a Flood plain elevation, if applicable >j ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE I AT El -GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem El S ® U I RI S❑ U I❑ S CCU S Q U ❑ I S dU i❑ S Q U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence GPD/ft Roots in. I Munsell I Qu. Sz. Cont Color I I Gr. Sz. Sh. I 1130-rclary ( Bed (Trench L S b'2 `M `C~r ~L S - S z 7-ZY LZ-tLZYIY ^ g1J ? ~Sp~ ~M CS •S b Ground 3 2,q-3 ~ VIV elev. a.9,o y 3b-off S -1~~ ~/ly ~~t2S~ ~f~ w~tl' - €.y Depth to limiting factor Remarks: Boring # -g lD`11L 3~2 S? 1. ~~SL'r, w1 \ S Ground elev. y 39-So S Lt 2 V /y S u 2 S 18, fL Depth to limiting factor3Ct Remarks: CST Name: Please Print Phone: Arthur L. We erer 715-425-0165 dress: egerer Soil Testing & Design Service-P.O. Box 74 River.Falls,WI 54022 Signature: Date: CST Number: ( CZd'lrlL= .''7't ~.c ~J9-Z1g ~S-Zl--1 220254 PLOT PLAN Page ~ of 3 `SCALE 1"= v0 ' I I Nil >K 1.crJ t 'r .yam fit, 1`~0.L1 j~, ➢tfl. ~Ije 27 t'1 4b - s , I ~ ~ LDS 4 '-ZT V >11 S17E J ~ E0~''~ uF C3c~ ZzeISy (715 ) 425-0-165 C~~~ 1 eitiw,t CST Signature Date Signed Telephone No. CST # WEGERER SOIL TESTING and DESIGN SERVICE SOIL TESTING - SEWER SYSTEM DESIGN ATTN : WL ~Z_ DATE ! 2 l- °L CC: SUBJECT: THE FOLLOWING ITEMS ARE ENCLOSED NO. OF♦ DESCRIPTION COPIES "i R' fn 1 e r `~1b',r~~~rr SENT TO YOU FOR THE FOLLOWING REASONS: FOR YOUR USE FOR REVIEW AND COMMENT INFORMATION DESIRED kJ(,- ► s XjUr U s1,,2 is C11SL~ Ti ki" TOLD WEGERER SOIL TESTING AND DESIGN SERVICE P.O.BOX 74 421 N.MAIN ST. RIVER FALLS,WI 54022 PHONE 715-425-0165 Parcel 040-1125-30-250 07i25i2007 04'39 PAGE 1 OF 1 F 1 Alt. Parcel 33.28.19.522C-10 040 - TOWN OF TROY Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - FEYEREISEN, DENNIS W & NANCY E DENNIS W & NANCY E FEYEREISEN 1664 RODAO RD RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description 18 SERENITY CT SC 4893 RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 4.560 Plat: 2017-CSM 07/2017 SEC 33 T28N R19W SW SW LOT 4 CSM 7/2017 Block/Condo Bldg: LOT 4 Tract(s): (Sec-Twn-Rng 40 1 /4 160 1/4) 33-28N-19W SW SW Notes: Parcel History: Date Doc # Vol/Page Type 615351 1477/419 WD 2007 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/21/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.560 68,000 0 68,000 NO Totals for 2007: General Property 4.560 68,000 0 68,000 Woodland 0.000 0 0 Totals for 2006: General Property 4.560 68,000 0 68,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 135 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00