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HomeMy WebLinkAbout030-2006-60-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 597496 GENERAL INFORMATION State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)] 2989419 Permit Holder's Name: City Village Township Parcel Tax No: LENARD & DEBBIE KUDLUBOY TOWN OF SAINT JOSEPH 030-2006-60-000 CST BM Elev: Insp. BM Elev: IBM Description. Section/Town/Range/Map No: j 1~ fJ 34.30.19.373B TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. .4. OZ, /loci Septic Benchmark Lj 100.0 Dosing r Alt. BM to 17•`3$ Aeratic5fi' Bldg. Sewer Holding St/Ht Inlet 11• ZS St/Ht Outlet TANK SETBACK INFORMATION TANK TO IP/L/ WELL BLDG.I "Vent Air Intake ROAD Dt Inlet k Septic s` Dt Bottom Dosing d; t Header/Man. Aeration Dist. Pipe 'i • '42 y7, lj ~c Holding Bot. System PUMP/SIPHON INFORMATION Final Grade • 74L ~7 !o Manufacturer J Demand St Cover / act Model Number TDH Lift Friction Loss System He d ` TDH Ft 140 '13 Q. Forcemain Lei gtthh Dia Dist. to "'nil }y eL.pa• 4f• SOIL ABSORPTION SYSTEM , BED/TRENCH Width Length No. CVrenclhes PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 4F ri, SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: d INFORMATION CHAMBER OR Type 91System: UNIT Model Number: 6 7 DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size 1 f x Hole Spacing + Vet Aiirr Intalfe Pipe Length Dia ' ngthDia c Spacing 7 / SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded r Mulched Bed Trench Center /d Bed/Trench Edges Topsoil t C4-. Yes Noi -Yes L_ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: V h3/ ZV Inspection #2: Location: 669 PERCH LAKE RD 1-- TLDW. Chtestl Plan) 0r f 1.) Alt BM Description= r A_ +b plow,, 2.) Bldg sewer length = - amount of cover = a Plan revision Required? ❑ Yes No ~b 7-(* tl x Use other side for additional information. SBD-6710 R.3/97 Date Insepctor's Signatur Cert. No. 3f) yv sq Safety and Buildings Division County St. Croix p 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.) S P S Madison, W1 53707-7162 5 ` t r . jF< 517 q1t9 *1.~ .^0MMUNn QP%0ItMDtit Apt State Transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of tm. -mental unit 2989419 is required prior to obtaining a sanitary permit. Note: Application forms for state-.,.-' • 71Vj~ Y Project Address (if different than mailing address) the Department of Safety and Professional Servies. Personal information you provide may be 14 98 purposes in accordance with the Privacy Law, s. 15.04(1)(m), Stats. 1. Application Information - Please P ' All Information Same Property Owner's Name I Parcel # Lenard and Debbie Kudluboy 030-2006-60-000 Property Owner's Mailing Address Property Location 3q, / 3o, 19 3.7 3 669 Perch Lake Rd. Govt. Lot City, State Zip Code Phone Number NW y,, NE y,, Section 34 Hudson W. 54016 T 30 N; R 1 .IciretE or w H. Type of Building (check all that apply) e- L-' Lot # I or 2 Family Dwelling - Number of Bedrooms Subdivision Name ® 5 _ Block # ❑ Public/Commercial - Describe Use - ❑ City of CSM Number ❑ Village of ❑ State Owned -Describe Use 9~~ t x 9 ~ I ,/IW{n cey C4- t bta3 e Town of St. Joseph III. Type of Permit: (Check only one box on line A. Complete line B if applicable) le~ V, X, A. ❑ New System I$ Replacement System ❑ Treatment/Holding Tank Replacement Only 11 Other Modification to Existing System (explain) B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber El 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) ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade IN Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain)_ V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil pli n Rate(gpdsf) Dispersal Area R~OiWAW~ Dispersal Area Proposed (sf) System Elevation 750 1.0 .6 750 125 1874 96.35 VI. Tank Info 77apacity in To # of Manufacturer 3 t~s Gallons Units F~, Poly-lok 525 New Existing Tanks $ .n ti w C7 Septic or Holding Tank 1585 1585 Wieser X Dosing Chamber 950 950 Combo ix- I .11 VII. Responsibility Statement- I, the undersigned, ass *e respo ility i tallation of the WTS shown on the attached plans. Plumber's Name (Print) Pin e s Signat MP/MPRS Number Business Phone Number Keith Knudtson 8443 651-470-1737 Plumber's Address (Street, City, State, Zip Code) 927 150th Street Roberts Wi. 54023 VIII. County/Department Use Only Permit Fee Date Issued Issuin Agent g re pproved Disapproved A eason Denial IX. Conditions of Approval/Reasons for Disapproval fr+ 1) Cpy t li o~ Sxo ta. $ -t a►~-t )1A U4!, SYSTEM OWNER: „ 1. Septic tank, effluent filter and dispersal Cell must be_serviced maintained as per management plan provided b lumb r. Z. All Setback requlrermfatb t71E99t11 Ml&"IfMrS,~jUystem and submit to the County only on paper oot less than 8 in x 11 inches in size as per applicable code/ordinances. SBD-6398 (R. 11/11) ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Lenard or Debbie Kodluboy Mailing Address Same Property Address 669 Perch Lake Road (Verification required from Planning & Zoning Department for new construction.) Hudson Wi. 54016 -2 06-60-000 030 0 City/State Parcel Identification Number LEGAL DESCRIPTION Property Location NW NE '/4 , Sec. 34 T 30 N R 19 W, Town of St. Joseph Subdivision Plat: , Lot # Certified Survey Map # , Volume , Page # Warranty Deed # (before 2007)Volume , Page # Spec house Dyes[ao Lot lines identifiable Elyes❑no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in ASPS. 383.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. "The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Safety And Professional Services and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. li""we certify that all statements on this form are true to the best of my/our knowledge- 1/we am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Nu ber f bedro T", s 5 11 SIG JRE OF APPLICANT(S) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 04/12) sR7+TF. , DIVISION OF INDUSTRY SERVICES °n 2331 SAN LUIS PL STE 150 GREEN BAY WI 54304-5211 Contact Through Relay t http://dsps.wi.gov/programs/industry-services www.wisconsin.gov AA l ~~~ISS(O SY~/ Scott Walker, Governor Laura Gutierrez, Secretary September 05, 2017=' T OF SAFET„ CUSTIDNo. 224059 ATTN: PO WTS Inspector E:-,,j' 10NAL p~E KEITH E STONER ZONING OFFICE KEITH STONER SOIL TESTING SANITARY DESIGN ST CROIX COUNTY SPIA _ 23220 WOODCREEK RD 1101 CARMICHAEL RD SIREN WI 54872-8728 HUDSON WI 54016-7708 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/05/2019 Identification Numbers Transaction ID No. 2989419 SITE: Site ID No. 842499 Lenard Kodluboy Please refer to both identification numbers, 669 Perch Lake Rd above, in all correspondence with the agency. Town of Saint Joseph St Croix County NW1/4, NEIA, S34, T30N, R19W FOR: Description: Mound System (S Bedrooms - Replacement) Object Type: POWTS Component Manual Regulated Object ID No.: 1725723 Maintenance required; Replacement system; 750 GPD Flow rate; 60 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. • 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. • 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, the site is too wet to prepare. If it crumbles 0e preparation can proceed. If the site is too wet to prepare, do not _preee~d unto dries: • Abandon Existing System per SPS 383.33 _t~n~ Floats to be set and verified per approved plan. ~1ny changes may result in pump resizina to meet TDH and GPM-Specifications. • Divert surface water from POWTS Area. • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 1 KEITH E STONER Page 2 9/5/2017 • Insulate building sewer beyond 30 feet per SPS 382.30 (11)(c) • Tank Installation to follow all manufacture's recommendations. • Verify property line(s) prior to installation. • Well setbacks to meet chs. NR 811 & 812. • 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/instal lation/operation. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 Aeeo` 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: Kodluboy Lenard Replacement Mound System 7 Owner's Name: Lenard and Debbie Kudluboy Owner's Address: 699 Perch Lake Rd. Hudson WI 54016 Site Address: 669 Perch Lake Rd. Legal Description: NW 114 - NE1/4 Sec. 34 T30N-R19W Township: E. St. Joseph County: St. Croix Subdivision Name: Na Lot Number: Na Block Number: Na Parcel I.D. Number: 030-2006-60-0000 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 Plot Plan Designer: Keith E. Stoner \\\,~U~tt►tttlrry~~i~i License Number: Designer 1575-007 Date: 08113/17 C~NSv+Vhone Number: 715-653-2324 J S Signature: •~i t<EITH E. STOWSP D-1575 D4%ignPArsuaht toAhe Mound Component Manual f6tPTS ~[~ceitin 2.Q~DB-10691-P (N. 01/01), and both SSWMP Publication 9.6 Design ~Networks for ST-SAS (01/81) and Pressure Distribution CompongtWO;MM Ver. 2.0 SBD-10706-P (N. 01/01)IL•/"'//.)- Version 7.0 (R. 03/2012)Page 1 of 8 !BUG 1 201/ ~pi~STRY SERVICES Mound and Pressure Distribution Component Design Design Worksheet Site Information (R or C) R Residential or Commercial Design Note: Sand fill (D) calculations assume a 500.00 Estimated Wastewater Flow (gpd) Table 383-44-3 in-situ soil treatment for 1.50 Peaking Factor (e.g. 1.5 = 150%) fecal coliform of - 36 inches. 750.00 Design Flow (gpd) 11.00 Site Slope 96.35 Contour Line Elevation (ft) 60.00 Depth to Limiting Factor (in) 0.60 In-situ Soil Application Rate (gpd/ft2) Distribution Cell Information 94.00 Dispersal Cell Length Along Contour (ft) = 7.98 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) C Center or End Manifold 3.99 Lateral Spacing (ft) If N above, enter the elevation ft 4 Number of Laterals of the highest point. 0.188 Orifice Diameter (in) 2.67 Estimated Orifice Spacing (ft) = 11.03 ft2/orifice 2,00 Forcemain Diameter (in) 35.00 Forcemain Length (ft) Does the forcemain drain back? 85.75 Pump Tank Elevation (ft) Enter Y or N 3.25 System Head (ft) x 1.3 5.71 Forcemain Drainback (gal) y/ 10.77 Vertical Lift (ft) 84.78 5x Void Volume (gal) 1.41 Friction Loss ft 90.49 Minimum Dose Volume al 3 0.00 In-line Filter Loss (ft) 44.57 System Demand (gpm) 15.43 Total Dynamic Head (ft) y t Lateral Diameter Selection Manifold Diameter Selection F in. dia. options choice in. dia. options choice 0.75 1.25 1.00 1.50 x x 1.25 x 2.00 x 1.50 x x 3.00 2.00 x 3.00 x Gallons/inch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 1585.00 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Wieser Concrete Manufacturer gallin (enter result in cell B49) Dose Tank Information Effluent Filter Information 950,00 Dose Tank Capacity (gal) PolyLok - Filter Manufacturer 25.00 Dose Tank Volume (gal/in) PL-525 Filter Model Number Weiser Concrete Manufacturer Project: Kodluboy Lenard Replacement Mound System Page 2 of 8 Mound Plan and Cross Section Views T 1/10 B Observation Pipe J • . K .r=r.{.{x{.t"r=r•d.{={"{Ly'1d•t.dvr•r•r•r={.,"x ..::x .:?•r•d•t•{..°x L•L.L,,,".° L.',..,"L"L~,a,~^ L"L=L••,,. :L=L•L, L'• t..,".,".,=L,L?~l pd~r~ryd'prLd~d ;1 Y,~,.,1 . r, r; r.r,rxJJJJJaaar•r*r.d• d•l.r•d"r• r; x•rx; s; :~..°,d": •,*"r. L=^.~ L. L. L=•.. e,v Lx L. L".,"L,.. L t L.., {.{xr"r"~J~i:r` .f".f to r;itr. r. a.r.r.{.t,Jx{,r•;"t"r. y,,`r"s~ .,.wL..,..,". L.L A . 1=b=L.'b• L"S •b•L`L,•.•Lx•..L=1^S 1= 'r".t.t.l,{,{"r".' .''"{.x`•t{tt`l=rx" fa{ " 1.r=t"r,d =d.l ."..'.{".•.{,r=r"L'• e L..,..,.L...^L=•,"••.',.L.°o.L. L",.".."1. . L"•,•L=L..,.L.L.•r.L, rrxd.t"d;{~c~y:e~T{=.'~.f~.=•"r~.•^r~r...'~~`x. r" M% 4=L••,.L=L"•0.,,..,..,".•... , . , . W r.d•d.rx{=r=r"t={,r+rxr•t=l"d.r•." , 1•L eL ~L=•,••,.•, - - FF •t=,`•r+r"J~r. r+.l*r=t.{.{.{=r"..• .{.r"d B Ir~. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . L Mound Component Dimensions ft A 7.98 ft E 16.53 in H Elft ft K Aft B 94.00 ft F 9.50 in z ft L ft D 6.00 in G 0.50 ft J W 750.12 (ft2) Dispersal Cell Area 1873.69 (ft2) Basal Area Available 7.98 (gpd/ft) Linear Loading Rate 9.40 (ft) 1110 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 98.64 (ft) . rrrrrr'y~rrrr,,.. H G t rrrrrrrrriiirin 7 Yrriiirrrrrrn,. j ririiiirrrrrrrir... ri...... rrrriiiii F 97.35 Lateral 96 85 (ft) Dispersal Cell (ft) Invert Dispersal Cell Elevation E - . D i,"~'1 , ] 'Lv ? A { ; l l { t ,t ~ { t ~t. •l a + . ~ f . 1.yi 96.35 {ft) Contour Elevation 11.0 % Site Slope Geotextile Fabric Cover Shading Key m Q I - Dispersal Cell See lateral details on Q ® Topsoil Cap c 1.5 ft ,,L.L.L=L,: L= a Page 4 for number, size, © rr~ Subsoil Cap y ao and spacing of laterals. ~ + s'd~~ •i"( 1r.d ^.r.r. .r Nr Vr.. ASTM C33 Sand Laterals are equally 1 ® a f, ° r F spaced from the Tilled Layer 0.5 ft Typical Lateral r r C h ,r,;~;r=r; ,•=r°{ •=°=r•r..: distribution cell's ti"c © ~ri•t•t• Aggregate r=r=r,r,t o ' L"1""°°_•° ' '„"°"L"'°"`°' centerline in the A distribution cell (AxB). Project: Kodluboy Lenard Replacement Mound System Page 3 of 8 I Center Connection Lateral Layout Diagram li Forot a r<aonnecsian A* ttr ov cross to marWW at swag pokx, L4W&fs Wo i MIC Al P IF I~-- S ffi Tum-wp ifWb ll valve or lt. x l-~W2 ' W2,*I Laterals ~crb emsin SCh 40 PIVC 0140nnutplaq per SPS Table 384 _W t a#s *M#d on th# bottom of the 6w al. Number of Laterals 4 Orifice Diameter 0.188 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.80 ft Lateral Length (P) 46.20 ft Orifices per Lateral 17 Lateral Spacing (S) 3.99 ft Orifice Density 11.03 ft2/orifice Lateral Flow Rate 11.14 gpm Manifold Length 3.99 ft System Flow Rate 44.57 gpm Manifold Diameter 1.50 in Total Dynamic Head 15.43 ft Forcemain Velocity 4.55 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and ► SPS 316.300 WAC Disconnect 4 in. min. Tank component is properly vented E Alternate outlet location Forcemain diameter Weiser Concrete Manufacturer _t 2 in. Capacityl 950.00 Gallons Volume 25.00 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 22.38 559.51 B 2.00 50.00 C Pump off elevation (ft) C 3.62 90.49 -t 86.58 D 10.00 250.00 D Total 38.00 950.00 Do♦ se tank elevation (ft) 3" Bedding un er tank. 85775 Alarm Manuafacturer SJE. Rhombus Note: Switches Alarm Model Number Tank Alert 1 containing mercury may not be used in Pump Manufacturer Goulds-~ this system. Pump Model Number EP05 Pump Must Deliver 44.57 gpm at 15.43 ft T D H Project: Kodluboy Lenard Replacement Mound System Page 4 of 8 Mound System Maintenance and Operation Specifications Service Provider's Name Powers Sanitation Phone 715-246-5738 POWTS Regulator's Name St. Croix County Zoning I Phone 715-485-9279 System Flow and Load Parameters Design Flow - Peak 750 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 500 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1585 gal Maximum TSS 150 mg/L Soil Absorption Component Size 750.12 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Inspect and/or service once eve 3 ears Effluent Filter Should ins ect and clean at least once eve 3 ears Pump and Controls Test once eve 3 ears Alarm Should test month) Pressure System Laterals should be flushed and pressure tested eve 1.5 ears Mound Ins ect for ondin and seepage once eve 3 ears Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to SPS 384.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished Grade 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Bail Valve Distribution Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Kodluboy Lenard Replacement Mound System 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 (01/81), and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-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 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BODS, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BODS, 30 mg/L TSS, 10 mg/L FOG, and 104 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Pretreatment Units The information and schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment units or disinfection units are attached as separate documents and are considered part of the overall management plan for this system. Project: Page 6 of 8 Page 7 of 8 GOULDS PUMPS Submersible Effluent Pump EPO4 3871 EPOS WOR W, APPLICATIONS • Fully submerged in high ■ EP05 Impeller: Thermoplas- ■ Bearings: Upper and lower Specifically designed for the grade turbine oil for tic enclosed design for heavy duty ball bearing lubrication and efficient improved performance. construction. following uses: heat transfer. • Effluent systems ■ Casing and Base: Rugged • Homes Available for automatic and thermoplastic design provides AGENCY LISTING • farms manual operation, Auto- superior strength and corrosion Cer~an • Heavy duty sump matic models include resistance. • Water transfer Mechanical Float Switch ■ Motor Mousing: Cast iron (CSA listed model numbers end • Dewatering assembled and preset at the for efficient heat transfer, in "C or "F") factory, strength, and durability. SPECIFICATIONS ■ Motor Cover: Thermoplastic Golds ft pa is rso soar Ri g maned. • Solids handling capability: FEATURES cover with integral handle and 314" maximum. ■ EP041mpe8er: Therrrioplas- float switch attachment points. • Capacities: up to 60 GPM. tic Semi-open design with 0 Power Cable: Severe duty • Total heads: up to 31 feet* pump out vanes for mechanical rated oil and water resistant. • Discharge size: 1'h" NPT. seal protection. • Mechanical seal: carbon- rotary/ceramic-stationary, BUNA-N elastomers. • Temperature: 104°F (40') continuous 140T (60°C) intermittent METERS FEET • Fasteners: 300 series 10 stainless steel. 5 GPM s 3Q' • Capable of funning dry without damage to s t25 components. zs 0 7 Motor: _ • EP04 Single phase: 0.4 HP, Lj 6 20 115 or 230 V, 60 Hz, 1550 RPM, built in overload with o 5 15 automatic reset. J 4- • EP05 Single phase: 0.5 HP, a EP05 115 V or 230V, 60 Hz, 1550 ° 3 10 RPM, built in overload with automatic reset. 2 EP04 • Power cord: 10 foot s standard length, 16/3 1 StrOW with three prong grounding plug. Optional 20 ° °o io 20 3o 40 so GPM foot length, 1613 S1TW with three prong grounding plug (standard on EP05). ° 2 4 6 s 10 12 m'/h CAPACITY Goulds Pumps E Goulds Pumps ITT industries 0 2 2°01 001 May, 2001 83671 Page 8 of 8 Sanitary Site Plan For: Lenard and Debbie Kodluboy Parcel in the NW1/4 - NF,1/4 o zo 40 Sec. 34 T30N-R19W Town of E. St. Joseph - St. Croix County Graphic Stele (Feet) Ro.W. 9635' 97.35' 94.35' \ FN# 669 Perch \ Lake Rd. Il \ 3.80 Acre Parcel Proposed 8'x 94 Mound Dispersal Cell w/a System Elev. of 96.85' \ BM#1 10% Shed ~#p BM Proposed 2"Sc . 40 PVC F.M. Proposed WLP15851950 Combination Tank w/a Poly-Lok PL525 Filter-~ Proposed continuationof Bldg. 406.06' sewer with 4'Astm D 3034 PVC Pipe Existing D.F. Abandon Failing System per SPS Existing Septic Tank 383.33 S Inlet Elea = 90.26' P/L ~ P/L Garage Note: Insulate building sewer per SPS WELL 382.30(11)(c) and provide frost protection Existing 4"Bldg. Sewer per 383.43(8)(4)c 5 Bedroom House Elevation Data Grade @ Proposed Dose Tank = 95.66' Inlet of Existing Septic Tank = 90.26' - BM = Top of black Rubber Mat on NW Corner of Pole Shedd * E RP = Same / ASSUMED ELEV. = 100.00' BM#2 = Bottom of Siding on S. W. corner of Pole Shed Elev. = 98.44' 365.73' p/L 'RECEIVED , Ail 9 a7 y Pragt a. _ t:af .tinYy r;e re ?lr STCCIXtUP C our7ty ~,c Yi',afiCSltTt ri ~ per t„t I( .5 i1 t ti , x 1 1 iit z t n );tt ~Ar 2) f d 1 llt rl L 9 tE,'i 0: Clt nt -,r d nofi7 li t! I^t8, n,~, t~,ttl' ri i» 1, i~ rn t Oil af) ~,r.i ~.ent a rn lr. , rf~r^e 1 i-;ions, ,2r,1 h ar n,'~ !J d it (1_nrlo nAn, It) n :,bees road ~ iate i~ R2! ed by Please print all lnforrtxat0 i ~~Ktt t-' C,71 :C - t b III, T N P_ (or W 1 C 4Nt# t a'tr-1x°-:: 31 r.1, # ubd N~rtte or r` ,.N.nc.r.. iji811 >•.cicire.:c i 0dre.t Road i i t"~itr ftttthnr avt.i7 t7ri ~ t. NSr ~1 WrNa>`tc 3~fio.roit - (1,. ,1r nvrct design. ftnw ra e use ~ t'ywllrtt ~3 Mw-nL-t.l of tr,rr1~ _ t -PD 7,7 0~ .3 s o tO 5 < C nr 1. ~ rn ~ I r t• n ~ rj a~,,, v,_j ~ ")k C3 5 o ft, e I ('crtnca r nc t.+ + ~ ~ "1 C~ pit ~~irt£iU.lYt'.;.Ir <**+r _ z?iFS.• `:'I. F,.k?l Ylitl 70 tlf ;itl`1Ll (c'lY'f;}( ~ ~ _ 1(t_ ~ ~,talt J~a~tlC8tl4r' ~COIE ii 3x !r SI 6twI C _'ons,s'enc-,e nUt'1dary moots ,`aPD/Ift ' Fy Yr rit Ian ~ )tr t~ 7nt rlo° ~ i rrao,c C E ,rr,p t , - - -I C" x t. I I ,r , F-d ..~SS`a~r t fL.t l ' f r k 1 r I [-scsrlrlq tf ring r i+ t.•, [oa. Soil r l )ii,.;aIivn Fate lC ri ixi ar 4 u n I.fr rre ltdtrtrliiy Boor, - _GPf}/ft r !7r}~ rn rn nt L :It IT r r I r f' 1_ ff#2 - r 4 f rJtl r , oc, z. ~ L ,`~fu t. ,,.1 <~rtr°t ='.R ,it.. t ~lir~•:n? fit' ~.d:,C~ ~i: ~~!Clll<. alsi T':~5 ' 3fl r;~n,`I_ { 4'C U amh~r ~"1 , t,:1~ r~,i,; *lor,,nncltir:teed ielophoneHurnhel ltl'}F 0(Rttrtil > r iJl _ (d C',c',EdC #r ~b Cflgt ,_of~ . ~ roaert >~orln~ ~ 8ortnct f ! ~ 3t 1__i ,~r 1= ii ik pth to tiinlhn 7 f~r.,tnr in. rn lnc' ccli, r 1~ Snit A lication Rate Iirriznn tJ..ptl~ ~.mnru~~nsi.r,,© f' 'o i) Sri ~~~4t turn rrlicfntc 16naiMencr ol.lnd r)r Rnota GPD7ff z _ r munsell _ C S. car C 'nt fF#? . I. Ut rte'' I ~ I - [ia~,r3g f,or;nrl =z cr tlllc; Surtacp alev to fimitmg fartc~r in_ Solf A sficatian Rats I ari7r,n netrtl3 Dnminar!Gtatar R ir,rC)t riff tort e xt1ir ~lnxt~eF Onsistance Boundary Roots GPD/A ' in. Munsei( (Ont 1 t. Gl h!t (f#1 ff#T t ,atrn 3 sur , ;?lrrv Depth $c limiting fartor PIS in. Sail Apji iration Rate lr;hnn Depth I I edr.)yBestripfin CYtrl~ `'trut.tore nnsi tance<oundary Roots GP[~fft . ! nritlnSE'Ei ! i~t! 7 f'OT7i f Cil~ g (`il i'y ifl~:. ._......_.`~~._T w f#2 _V B t'fluoni #1 = S f.) w 2:?f? ~,at..7,3r i71 _/JE_ hlcnt R'J F~c3p 10 mg/L. and.1 ;S 30 rrgIL i 14, tTcr! ,,,t n;d 111-ol ~~4€3i ``itl i<'t~"4 y f3?'; i it~4t '')C4 .1 Ltlii;it v., i'>-iC<; t7P~)V'7C{(`C €Y.i"I C~. CI'YJ ~".SEi117 c,-t. [{vo tl Ileed £3141 -tg lice 1,0 lIMlcs Ia! I m'' "n a1- -J.i .a nrl-i,l<:: %11e ~i jzar1.1t3G;n? at 6,(N-266-3151 or TI Y throtig)) Retry. . T So p Am, 77 f 3 j F ~ ~ P A Mub ~'M gym. . c S a 107V{7 R 7 > > e ~ T t Sl~ \ l S h' a r { s , ' ~sT 2a RECEIVED S 5 aF&A a~ n(~ ~5f REPORT 3 N~ CGJ f p~ Professiorai Ser ices ` A' s_ 4_ti / , l ?a Page of Wis. Division of Safety and 9uiidings ST. CROIX COUNTY in accordance with Sr", 385. V,is. ndin. Code County :OMM NI ry ~1 A~tacIi )oPf 4itCp Upaper not less th^n 8 1 /2 x 11 inches ir; size. °lan muse " n(-l ode but no. frmted ,o: wei,ical and horizontal iefere rc pow! (3f~/~;, dlre:'ion an( .13 r ? Pei cent slope, scale or dimensions, north arrow and location an_ iicia ice to 1) erires1 road. Please pr'inf all infor aleos~. Rei ed by Da^^t~~e I r,:rc ~n21 in '?,rn~tic! you provide "'~y t. u,ed Se~~^Cary ru ,=:et tltvai ;r L 15.0, [1 (r~ij- ~~i M I~Property 0%11r .'r r o'c,edy Location ` f @ r, i n )vt.I of N k)9//1 fv h.1 14 T 3D N R C~ E (or VV Pr;,nsr',v Owners Mailirg Address I Lot 1131oc,k# Suhd_ NarneorCSM# City State- Zip Code Phone NUmOer p j Cit~r ❑ Village X T cwn Nearest Road 1 f-? Nenv Consiructinn Use: Residential 1 Number of bedrooms Code derived design flow rate L;:)~ GPD ~(F r nhc ei ienP E pub[r or comr m lal - srrih(-, n~ s5 r o a. 3". rno "inn, ,I,va inn if anpli able l r.enn it co rmen~ ~ _ c~ ♦ ~ - ~ r 3 • -and recemmenda,inns 1 ~V CJ~JCS4- C~PJ p 13 3.'?.5 <`a , , . a?~t~.~ 6• , r... ~ Sq9) G>N J I ` a'-~' 9 7, 9 ' b~~ r-~a s ~ Boring } pit G~aund surface elev Depth to limiting factor_ _ in. Soil A lication Rate z Horizon Depth Dominant';nlT Redox Descf-p ion extur l Structure ;onsistence Boundary Roots GPD/ft n. MILinsell n. r. Sr. Cont. Ccflo~ t,r. SZ Sn T1 1 ff#2 I ' - l , ~ r I i I -3-31 a ~ l , I I I _ _ l I s Boring # Bonne D Pii err,~j~ Depth to limitiirr factor .3 a T- Hooizon Deoth DemirantColor) PDfRedcx Descrp inn Struciure ,onsistence Boundary Roots G n Mrn elf Cu s om. L Dion z- SI _ ffttl ff#2 r-- i 5', L~5 1 vvj I ~ I I I e Fluent (30D :~0 t mc'l- a_nrl Ss :7c) F uen; l#2 = ROD < 30 mglL and TSS < 30 mglL C.S i v ,mle, (please t rirtj CST Number /V n0/ a ~O }-h S"I", atF F=waluation conducted Telephone Number ~ _ SRD-8330 (R11!1 1) Property Owner 4e~l+ UQIp V bp~ Parrei ID ~t Page of Fj] E] Boring Boring # 54 Pi; Ground surface ele~.r.,'1S iepth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description-~ Tayture I Structure onsistence oundary Root-, GPDlB n. Uunsell Qu. Sz. Cont. Color- Gr. Sz. Sh. ffi#1 ff#f2 3 l d ' ~a l pYR e:= _ _..5~ Sb~ rr r ~r1 (s 8 6 ! f Boring # 0 Boring El Pit Ground surface eiev. Depth to limiting factor in. r- - - _ Soil Application Rate Horizon Depth Dominant Color Redox Description Texture plp Structure onsistence Boundary Roots GPD/ft in. Munsell i Ou. Sz. Cont. Color Gr. Sz. Sh. ff# 1 ff#2 e e I 9 Boring Boring ~I. Pit Ground Surface elev. _ Depth io limiting factor in, Soil Application Rate Horizon I Depth (D rani C nIar _ Redox Deserfptinu q Texture Structure onsistence o€.rndary Roots P hell ( Qu- Sz. Cunt. Color GPD/ft Gr. Sz. Sl ff#1 ff#2 , Effluent #1 = BCD _ > 30 220 mg/L and T S ~,G rti mg/L. - ' r_ifluent #i = ROD < 30 mg/L and TSS < 30 mg/L E hies DOI)i of Si ict~' and Professional Scr -i,(s is r11 `i~poltutiii'v scrV ice t~rol idcr and employer. If You need assistance to acci.~ vcr~~ir es or nlam~ i..l in ml Ilr.~ nat~ ,r~rtn2t c,rr€`tact the depari.mcnt ai 605-266-'3151 or T FY thz'ou,h Relay. Sri D-?;:;; jP. i ; •i i - 3. $ acs c W 5 ac. 3 y 'i' 3c N R 19 PQ~cc t_. C5t a t 7 lp a oo -r 9~ ava t 6 ~L tjE 4 VV~~ ( vs € a + PoiE - ~ 1 q V Q r at5c p 1..} .}hD Er.2 c _ Ip14c k= gM 1QOivP 4cfeicco&t 6tn ~ rn ~ f Q wti t~1 ~.J 1 ~,m a. 9$ y P~' S ~ ~ ~ Go,r~er- v~ ~o~e. s~►a ~ ~ g 59 FT I 1 a s e S~J Gocn~¢r- of i ~