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HomeMy WebLinkAbout008-1043-80-000 (3) in Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix And Building Division Sanitary Permit No: INSPECTION REPORT 597361 JERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: anal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)] nit Holder's Name: City Village Township Parcel Tax No: ANDALLL& MELANIE DURRENCE TOWN OF EAU GALLE 008-1043-80-000 ST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: /e e~ a V_ 5 15.28.16.223A TANK INFORMATION ELEVATION DATA TYPE MANUFACTURE CAPACITY STATION BS~ !O~ I FS ELEV. A,13 a /db Septic (,j 12,60Benchmark O •Za mo Z 166 Dosing ~ Sd v Alt. BM V 2-CA 17. 57 Ae"t n Bldg. Sewer • N-0(o '76 'F1 r; ) a 605 Holding St/Ht Inlet • fZ•b~ St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. ent t Air Intake ROAD Dt Inlet `~r a`k Septic 56 1 7:5 Z 7 Dt Bottom 1J • $G ~ s 11 Dosing c7 d 1 Z7 / Header/Man. *7 Y. Aeration 7 Dist. Pipe t 9 L Holding Bot. System Z q 7 PUMP/SIPHON INFORMATION Final Grade 3 (I 10 Manufacturer 24 e-ALe.6- Demand St GPM 11 Cover c LG; J 9 r, ✓ G.15 93• Model Number (3 AJ 1:5-1 3Z-(31 /Q /11~ TDH Lift Frictions Loss System He d TDH F Forcemain Length DiaZ Dist. to Well SOIL ABSORPTION SYSTEM z BED/TRENCH Width Length ` No. O Trenc s PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: o` INFORMATION CHAMBER OR Type O ystem: 90 i I UNIT Model Number: 1 p U n. / 1 DISTRIBUTION SYSTEM 0 Header/Manifold filDistribution Ix Hole Size Ili Ix Hole Spacing jVej~4d'` it Int ~j Pipe(s) ` t L 7.53 C✓~O1.r~v~ Dia r 7 Spacing-,5- 7 Length Dia Length -75 SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only 04 Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center / Bed/Trench Edges Topsoil 1-~ vP [:7N, * Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 369 CTY RD BB r( ~~r 'S k'4 fl,4 rGo 1.) Alt BM Description 2.) Bldg sewer length Or amount of cover = C > ~71nnsepct Plan revision Required? E] Yes No ~Z 7 Use other side for additional information. Date Signatur Cert. No. SBD-6710 (R.3/97) ~a~rwnri,r~ . County ti~ ^ o qry Safety and Buildings Division St. Croix E 201 W Washi on Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.) Madis I 07 6 • fir" Il~~ $ r C'iRM CC1lJIdTY ( / 3 l uK~~ 1TY DEVELOP 9'b J Sanitary Permit Application State Transaction Number ) In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate goftrnmental unit Na is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to Project Address (if different than mailing address) the Department of Safety and Professional Services. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, s. 15.04 1 (m), Stats. Same 3 V 1. A lication Information - Plea int All Information Property Owner's Name / Parcel # Randall & Melanie Durrence 008-1043-80-000 Property Owner's Mailing Address Property Location S , 'dg, / 369 Co. Rd. BB Govt. Lot City, State Zip Code Phone Number SW_'/<, _NW_ Section 15 (circle one) Woodville, WI 54028 .715 684-9527 'r 28 N; R 16 E or W Il. Type of Building (check all that apply) Lot # ❑ I or 2 Family Dwelling - Number of Bedrooms 3 Subdivision Name ~C Block# CSM ❑ Public/Commercial - Describe Use Na ❑ City of ❑ State Owned Describe Usk CSM Number ❑ Villla f 76 Z of a~ CSM Vol. 12, Pg. 3262 " Eau Galle III. Type of Permit: (Check only a box on line A. Complete line B if applicable) A-4, e A' ❑ New System a lacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) List Previous Permit Number and Date Issued g/7 B. ❑ Permit Renewal Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New 597361 -Emergency tank rep). 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 ❑ Mound > 24 in. of suitable soil ound < 24 in. of suitable soil ❑ Holding Tank ❑ Oth r Dispersal Component (explain) ❑ retreatment Device (explain) Y V. Dispersal/Treat m t Area Information: G Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation p 450 Gpd 0.6 750.00 sq. ft. 1,389.71 sq. ft. ..45.5' at 21" above 93.25' contour VI. Tank Info Capacity in Total of Manufacturer Gallons Gallons Units o d Y New Tanks Existing Tanks L o y y a D ~D t~ SZ a, v ~ ~ ~ is. c7 a Septic or Holding Tank Na 1,200 1,200 1 Wieser Concrete WLP X Dosing Chamber Na 800 800 1 Combination ST/PC X VII. Responsibility Statement-f, the undersi ned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber' Signature MP/MPRS Number Business Phone Number James K. Thompson ✓ MPRS 30021 715 248-7767 Plumber's Address (Street, City, State, ode) 340 Paulson Lake Lane, Osceola, WI 54020 VIII-County/Department Use Only Approved Permit Fee Dat/sued Issui gent Signatur r ven Reason fr Denial 3.7 IX. Condit easo as for.. Disapproval 1t .ailhlsn li w` 1 3) Cev~, eQ J ti~ 41A, d6oi mlla C08 frtust a8 ~t+t :ices~!ntsa ^.e5 as=per;yW.ayen*nt plan p•orided by plumber. Lf1a4,,., AXe- 2 i4t tEel4ist k tagl(ristents •mtr,,t• ua t;tatrtt, it E.d 1 n per Ws code 1 srdiftwA3. ~ / IIJ Attach to complete plans for the system and submit t the County only on paper not less than 8 1/2 x I I inches in size SBD-6398 (R 11/11) Mound POWTS Index & Title Sheet Project Name: Durrence 3 Bedroom Replacement Mound Owners Name: Randall & Melanie Durrence Owner's address: 369 Co. Rd. BB, Woodville, Wi 54028 Site address: Same Project Location: Subdivision: CSM Vol. 12, Pg. 3262 Legal Description: SW%NW%, Sec. 15, T.28N., R.16W., Town of Eau Galle, St. Croix Co., WI. Parcel ID 008-1043-80-000 Page 1 Index and Title Sheet Page 2 State Approved Mound Design Page 3 Septic Tank Maintenance Agreement Page 4 Septic Tank/Pump Chamber Cross section Page 5 Filter Cross Section Page 6 Certified Survey Map Page 7 Warranty Deed Attachments: None Mater Plu stricted Service: James K. Thompson, DSPS Credential #30021 Signatur . J s-- Date: '?-017 Pagel of 5 Design pursuant to In-Ground Soil Absorption Component Manual for POWTS, version 2.0 SBD-10705-P (N.01/01) ~otiPnxTels~ DIVISION OF INDUSTRY SERVICES T°,n 3824 CREEKSIDE LN p HOLMEN WI 54636-9466 Q Contact Through Relay http://dsps.wi.gov/programs/industry-services ow www.wisconsin.gov ssr0'l N Scott Walker, Governor Laura Guti6rrez, Secretary August 23, 2017 CUST ID No. 30021 ATTN. POWTS Inspector JAMES K THOMPSON ZONING OFFICE ACE SOIL & SITE EVALUATIONS ST CROIX COUNTY SPIA 340 PAULSEN LAKE LN 1101 CARMICHAEL RD OSCEOLA WI 54020-5413 HUDSON WI 54016-7708 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/23/2019 SITE: Identification Numbers Randall and Melanie Durrence Transaction ID No., 2986458 369 County Rd BB Site ID Village of Woodville No. 841461 V Croix County Please refer to both identification numbers,- SW1/4, NW1/4, S15, T28N, R15W above, in all correspondence with the agency. FOR: Description: Three Bedroom EZFlow Mound System \ Sloping site Object Type: POWTS Component Manual Regulated Object ID No.: 1721473 Maintenance required; Replacement system; 450 GPD Flow rate; 15 in Soil minimum depth to limiting factor from original grade; System(s): EZflow Mound Component Manual, (R. 7/12), Pressure Distribution Component Manual - Ver. 2.0, SBD-10706-P (N.01101, 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 CONI requirements. AF No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, DEPT ®I stats. PROFESSI The following conditions shall be met during construction or installation and prior to occupancy or use: DIVISION OF II Reminders • A sanitary permit must be obtained from the county where this project is located in accordance with the 74~,Z requirements of Sec. 145.19, Wis. Stats. SEE C • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made w the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. • The existing POWTS shall be abandoned per SPS 383.33, Wis. Adm. Code. • The area within 15' downslope of the dispersal cell shall remain undisturbed. Vehicular traffic, excavation or soil' compaction is prohibited in this area. • A cop, of pproved 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. FREC! ED EZflow° MOUND AND PRESSURE DIST IBUTIONJreCY'MPQt;ENT DE IGN Residential Appl cation INDEX AND TITLrJ?A1 I Jgs~, ' S1 WC Project Name: Durrence 3 bedroom replacement mound Owner's Name: Randall & Melanie Durrence Owner's Address: 369 Co. Rd. BB Woodville, WI 54028 Property Address: Same Legal Description: SW1/4 NW1/4, Sec. 15, T.28N., R.16W. Township: Eau Galle County: St. Croix TIO NALLY Subdivision Name: CSM Vol. 12, Pg. 3262 ROVED Lot Number: 1 Block Number: Na SAFETY AND rNAL SERVICES Parcel I.D. Number: 008-1043-80-000 JUSTRY SERVICES Plan Transaction No.: Page 1 Index and title 4PENCE Page 2 Data entry Page 3 EZflow mound drawings Page 4 Lateral and dose tank Page 5 Distribution media Page 6 System maintenance specifications Page 7 Management and contingency plan Page 8 Pump curve and specifications Page 9 Site Plan Pagel 0 Attached Soil Evaluation Report Designer Jame K. Thompson License Number: 30021 Date: 08/03/ 7 Phone Number: (715) 248-7767 Signature. s--- Designed Pursuant to the EZflow Mound Component Manual Ver. August 20, 2007, SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01, R. 10112) EZflow Mound Version 3.0 (R. 3/1/12) Pagel of 10 'I Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) R Residential or Commercial Design 300.00 Estimated Wastewater Flow (gpd) 1.50 Peaking Factor (e.g. 1.5 = 150%) 450.00 Design Flow (gpd) 5.00 Site Slope 93.25 Installation Contour Line Elevation (ft) 105.00 Contour Length Available (ft) 15.00 Depth to Limiting Factor (in) 0.60 In-situ Soil Application Rate (gpd/ft2) Distribution Cell Information 6.00 Cell Width (ft) 3 4, 5 6, 7, 8, 9 or 10 Only 75.00 = Dispersal Cell Length (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 I Pressure Disribution Information network? Enter Y or N (c or e) E Center or End Manifold 3 Lateral Spacing (ft) If N above, enter the elevation (ft) 2 Number of Laterals of the highest point. E_ 0.156 Orifice Diameter (in) (e.g. 0.25) 2.50 Estimated Orifice Spacing (ft) = 7.50 ft2/orifice 2.00 Forcemain Diameter (in) _ 120.00 Forcemain Length (ft) Does the forcemain drain back? ( Y - f 86.60 Inside Pump Tank Elevation (ft) Enter Y or N 0.00 Forcemain Filter Loss (ft) 4.55 System Head (ft) x 1.3 19.57 Forcemain Drainback (gal) 7.98 Vertical Lift (ft) 67.32 5x Void Volume (gal) 2.67 Friction Loss (ft) 86.89 Minimum Dose Volume (gal) 15.20 Total Dynamic Head (ft) 32.31 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 x 1.00 1.50 x x 1.25 2.00 1.50 x x 3.00 2.00 x 3.00 x Gallons/Inch Calculator (optional) Treatment Tank Information 800.64 Total Tank Capacity (gal) 1200.00 Septic Tank Capacity (gal) 36.00 Total Working Liquid Depth (in) Wieser Concrete Manufacturer 22.24 gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 800.64 Dose Tank Capacity (gal) PolLoklFilter Manufacturer 22.24 Dose Tank Volume (gal/in) PL525 Filter Model Number Wieser Concrete Manufacturer Project: Durrence 3 bedroom replacement mound Page 2 of 10 Mound Plan View ~1/10~ B~ • 'observation Pipe 3 ..l • K : LjT ;~X~XJ} T 'J.r=rY,r•d=d=d•J•r•r•d•r.J•d.d'r:d:r:r=r:r:r:r:r:r:d:.r:•r:r:d:J:r:J:,r.:r:d: . r . ~ I 1x S.i. L.b=L x1.1.1=1x.•.1+b.Lxt.1x1.•L.S.txLxb.......b.t.b,b.'.xbrb=yxb=... yvy=• . L=1y..• ".x1"L.1. .L=1=Lx1x..x 1x1=1=•. 1.••xyx••x y.1...yx1x.•xL..•,•,=1=1=1• yx1.• A •J"d"d xJxr: r; drr=J=Jxd ~ xrrd=dxr~Jxdxr=ro dxrxdxdrd=d•rrdx J*Jkd•d.d•dxd=d•r r~r=rxr•d • t.tx Lxyx•..yxy.lxyx:..1x ".x•.xL x'..y"1x1.y.'"y" :..i.:•xLx'..L.'..1x•.x."yxa•.'4.0...1.1.Lx .1x1.1.1. W :I :t: _ . B 3 I • L Mound Component Dimensions A 6.00 ft E 24.60 in H 1.00 ft K 11.70 ft B 7 12.00 in z 12.53 ft L 98.40 ft D 21.00 in 0.50 ft J 8.48 ft W 27.01 ft 450.00 (ft2) Dispersal Cell Area 1389.71 (ft2) Basal Area Available 6.00 (gpd/ft) Linear Loading Rate 7.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View EZflow Dispersal Area Finished Grade 97.00 (ft) -10 ♦ H G 1 1 F Dispersal Cell 95.50 (ft) Lateral 95.00 (ft)-►` - :6 Invert Elevation Dispersal Cell Elevation D 3 . . . . . . . . . { t I,"YL~4`t'c~~~.t ,4 •,,~;.~~`-;~,.Yx'y,.~~.~i~Ct"`{~`Y``-5~~1~? ~,y~~.t",.'~~`~'? ~YA`?,:~.i"3. y. .x`'+~ ' .+,s3~'..A e~.K~. 93.25 (ft) Contour Elevation 5.0 % Site Slope Typical Dispersal Cell Shading Key See Page 5 ❑ Topsoil Cap > a) o. a V 'o Approved Geotextile Fabric Cover 2 © Subsoil Cap ~ 2 2 0 ft 13 0 ASTM C33 Sand o 1 r11x r1,1 Tilled Layer v y 1x1f1.1= M. 4 1"t=1 1Y1 y1 5 1x1 L Jxr= ~Y r rxrxr rj r.r r• .y=dam r r. dx 0 1 1 yr1 EZflow Media w r1r~r~r~s r~a:Jx J s~P rtid rxr r r. F L+1=1• Lx1•Lx1=1x1= 1.1r1=1x1 1 xJxdxdxJxr= =r ."xrxr.r. ~.`.rxdx rx,'+. V ~ 1.1.1"L= 'i.=lxbxy.. L.yx L.1 0 0.5 ft .rxrxrx xdxrxrx ,rxr.r* See details on page 4 for number, size, and spacing of laterals. Laterals are located in the 4" gravity distribution pipes as shown on page 5. Project: Durrence 3 bedroom replacement mound Page 3 of 10 End Connection Lateral Layout Diagram Place Appropriate Lateral Diagram From Right Below 't"a~cra•e~ p a~5 ~at~ +ra~w~ or ~t~~noettu~ Z i st cfftoa located at Z Orif es po" up excepill every Sh ~s down ft r drainer . mat ~c farn k eof rote m al tat ►p : , N.a~rr l r yin ip Al W ads ~ ~ eft otiftes eW* spaced. SPS r Number of Laterals 2 Orifice Diameter 0.156 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.53 ft Lateral Length (P) 74.19 ft Orifices per Lateral 30 Lateral End (Z) 0.82 ft Orifice Density 7.50 ftz/orifice Lateral Spacing (S) 3.00 ft Manifold Length 3.00 ft Lateral Flow Rate 16.16 gpm Manifold Diameter 1.50 in System Flow Rate 32.31 gpm Forcemain Velocity 3.30 ft/sec Dose Tank Information Locking cover with warning label and locking device and / sealed watertight Electrical as per NEC 300 and 1~ SPS 316.300 WAC 4 in. min. Disconnect Tank component is properly vented E Alternate outlet location Forcemain diameter Wieser Concrete Manufacturer 2 in. Capacity 800.64 Gallons Volume 22.24 gal/inch A Weep hole or anti- Dimension Inches Gallons . B siphon device A 19.09 424.63 B 2.00. 44.48 C Pump off elevation (ft) C 3.91 86.89 -t 87.52 D 11.00 244.64 D Total 36.00 800.64 ilL Dose tank elevation (ft) Bedding And Backfill As Per Manufacturer 86.60 Alarm Manufacturer SJ Rhombus Alarm Model Number SJE 1011421 T Pump Manufacturer Zoeller Pump Model Number BN151 Pump Must Deliver 32.31 gpm at 15.20 ft TDH Note: Switches containing mercury may not be used in this system. Project: Durrence 3 bedroom replacement mound Page 4 of 10 Uflowe Distribution Cell Media Layout 6.00 Cell Width (ft) 1.50 Sidewall to Lateral (ft) Distribution Cell Cross-section Arrangements 6 ftWide Component Legend ® SR1-7A Bundle - 5 ft or 10 ft lengths SR1-12A or EZ 1201A in 5 ft or 10 ft lengths SR3-12H or EZ 1201 P or GxM SR3-12H in 5 ft or 10 ft lengths o 4" Perforated Distribution Pipe With Pressure Lateral Inside .0 Turnup Enclosure - - - - - Pressure Lateral Bundles are covered with approved geotextile fabric as per the their product approval. Distribution Cell Plan View Layout - Typical 6.00 Cell Width - A (ft) 75.00 Cell Length - B (ft) Center Connection Lateral Layout Diagram Force Main 6 ft Wide End F-7, 7777. Manifold Project: Durrence 3 bedroom replacement mound Pa9e 5 of 10 Mound System Maintenance and Operation Specifications Service Provider's Name Jmaes K. Thompson Phone (715) 248-7767 POWTS Regulator's Name [St. Croix County Zoning Dept EE Phone (715) 386-4680 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1200 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450 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 years Effluent Filter Inspect and clean as necessary at least once eve 3 years Pump and Controls Test once eve 3 years Alarm Should test periodically Pressure System Laterals should be flushed and pressure tested every 3 ears Mound Inspect for ponding and seepage once every 3 ears Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SIPS 384.30-1, have a watertight cap and are secured in as shown in the EZflow Mound Component Manual Ver. August 20, 2007. 2. Dispersal cell media conforms to EZflow products approved for use with the EZflow Mound Component Manual Ver. August 20, 2007. Media is covered with an approved geotextile fabric. 1 All gravity and pressure piping materials conform to the requirements in SPS 384, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished Grade / ♦ 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Lateral Ends at Last Orifice Where Variable Length Cleanout Begins Long Sweep 90 or Two 45 Degree Bends Same EZflow Synthetic Media Diameter as Lateral 2.13 Feet Distribution Lateral Lateral Cleanout Project: Durrence 3 bedroom replacement mound Page 6 of 10 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 [EZflow Mound Component Manual 8/20/07, Pressure Distribution Component Manual Ver, 2.0 SBD-10706-P (N. 01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. Septic and pump tank abandonment shall be in accordance with SPS 383.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, 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 as to when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Wisconsin Department of Commerce. Pump Tank The dosing (pump) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. If the force main has a weep hole, it should be noted if it is functional during pump operation, and if not, it should be cleaned. **"**No one should ever enter a septic or dose tank since dangerous gases may be present that could cause death.**** Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BOD5, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD5, 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 3 years. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. I Project: Durrence 3 bedroom replacement mound Page 7 of 10 PUMP PERFORMANCE CURVE MODEL 151/152/153 TOTAL DYNAMIC HEAD/FLOW so PER MINUTE 14 45 153 EFFLUENT AND DEWATERING z aD - MODEL 151 152 153 35 152" w feet Meters Gal. Liters Gal. Liters Gal. Liters Y 10 30 5 1.5 50 189 69 261 77 291 10 3.0 45 170 61 231 70 265 Q B 25 15 4.8 38 144 53 201 61 231 s 20 6.1 29 110 44 167 52 197 r 6 20 25 7.6 16 ' 61 34 129 42 159 ~S. ao r 30 9.1 23 87 33 125 D. a 35 10.7 - 22 85 10 40 12.2 - 11 42 Shut-off Head: 30 ft. (9. lm) 38 k (I 1.6m) 44 fl. (13.4m) 2 5 0145088 0 10 20 30 40 50 60 70 80 90 160 C,PLLONS LfIF.RS D 40 BO 1 1 240 280 3 3 ROW PER MINUTE 014508A Model 151 Models 1521153 1 37r 3r9p.rc.r4,4rPKum s~lopiyCwt /1d. CONSULT FACTORY FOR SPECIAL APPLICATIONS 67132 - 81/4 3718 1 4518 327132 45/8 • Timed dosing panels available. -I • Electrical alternators, for duplex systems, are available and i e 321112 supplied with an alarm. 3718 ® a_ 4 327132 • Variable level control switches are available for controlling ® 3 „B single phase systems. • Double piggyback variable level float switches are available for variable level tong and short cycle controls. • Sealed Qvvik-Box available for outdoor installations. See FM 1420. I ~ • Over 130•F. (54°C.) special quotation required. I I 1511152/153 Series 11HS 12 /B 15111521153 MODELS Control selection I Model _ volts-Ph Mode Amps Simplex Duplex s ve N151 115 1 Non_ 6.0 _ 1 2 of 3 4 BN151 115 1 Auto _ 6.0 Included 2 or 3 E151 230 1 Non 3.2 1 2 or 3 BE151 230 1 Auto 3.2 Included 2 or 3 SK2444 SK2084 N152 115 1 Non 8.5 1 2 or 3 BN152 115 1 Auto 8.5 Included 2 or 3 E152 230 1 Non 4.3 1 2 or 3 BE152 230 1 Auto 4.3 Included 2 or 3 N153 115 1 Non 10.5 1 2 or 3 BN153 _115 1 Auto 10.5 Included 2 or 3 E153 230 1 Non 5.3 1 2or3 SELECTION GUIDE BE153 30 1 Auto 5.3 Inducted 2 0r 3 1. Single piggyback variable level float switch or double piggyback variable level float o CAUTION switch. Refer to FM0477. Ail instalahon of controls, protection devlces and wiring should be done by a qualified 2. See FMO712 for correct model of Electrical Alternator E-Pak. licensed electrician. All electrical and safety codes should be followed including the most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). 3. Variable level control switch 10-0225 used as a control activator, specify duplex (3) or (4) float system. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL TO, P.O. BOX 16347 v-- ` LouvilkY 40258-0347 Manufacturers of.. SHIP " 3 , K649 Cane Run Road Loursvllk, Ky 40211-1981 QU1LVTY P!/MP$ SNCE ~~~j7 PUMP To' hrrp;/7WWW.z0 1 er.com /LIMP L O. 5021 ~FAX (502)l774-03624 © Copyright 2004 Zoeller Co. All rights reserved. 7e, ta 43.~s'\ 03\ i 4-0 P~OpOSF~YY('auwo( a~ Z7.0/X 9B.S/D\\ ~a2 5`p.ii!' ~Q.nc/a~~ii(C/an~'el~u~CC„cG W/ ("iriS~~i3~lcrSt./Ca//, Zn~'/~'✓l{ ~ C'a. Qd.av° Svr~atC a/cv°= 9S.sZ:) 4al'~bouc \ \ 3G~' 93.25' Corr aw. Two (A) d;5fr~ bw~►. ~ ` ~ \ ~ Lod / e5M t1e/ /Z, 3.2 (02, /a,6crar~sct,6ltzx74119'W3/,164a".1Cai UO~J SwY~/~lu~y} ScC.tS, TZd~•, Spa cLd aL 2.53 (30,Jw 7-A - o e -6-4 u Ga //er ~ ? /G • \ 5 ~ • C ro ik C'o., ~.J 1, ~13-do - Cleo btri~q /o.3/mcte.S 33 r \ et,~op IAwN ~ca r. (Y ~ /(ea ~r ~ 5~-1.. vo P,J.C , e..~~od.ed 0 ~ caw„ e proposed mil,eui4a"crebc w~p1.2co/,Vco yLo~~~-S.zS Qa~nb%iaEian 'ZIpc1 4ara~e „AS7-4-4) i781- 6cJ• !/O P. d.~. bai/o",, 5~--- e /yam/ - _ _ _ _ A. s .382• t.~o)G~.XcJ ~I ~xlsG~ - eXr'Sbh we-(I 3 bcd~w►, ~K~SFi%±S :5e,44-c- '6o.t f Drywe// 4- be a 6Qn did 4.5 .cr eodt. c®~~~SQ0~1 39 -,4 P~ 9aF/o ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Randall & Melanie Durrence Mailing Address 369 Co. Rd. BB., Woodville, WI 54028 Property Address Same b (Verification required from Planning & Zoning De meet for new construction.) City/State Parcel Identification Number 008-1043-80-0000 LEGAL DESCRIPTION Property Location SW '/a , NW 1/a ,Sec. 15 , T 28 N R 16 W, Town of Eau Galle Subdivision Plat. Na , Lot # 01 Certified Survey Map # CSM , Volume 12 , Page # 3262 561692 Warranty tY Deed # (before 2007)Volume 1 248 , Page # 504 Spec house Oyes Ono Lot lines identifiable OyesOno SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §SPS. 383.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge., I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Safety And Professional Services and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on Ibis form are true to the best of my/our knowledge. I/we am/are the owner(s) of the property described above, by virtue of a w anty deed recorded in Register of Deeds Office. Number of bedrooms 3 SIGNAT 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) P9.3T A Z N 53" AS 961, D m 41" REQD < z D Tl~`j m o .I I I I~ / D II m N I 44. 6„ D ° I x 0 I 1I ~A D I~ 36" 0 o I O II m° II A F`' I I I ° II / II' m III m 7I / II' 1 I I I I I II II fE ill II II. C ~ a o m a 39 zc y ° m cn i I D I LI) C yp z Z o p --1-1 -4 m D z p c: a) n WAN z -90 ~ 0 ~C ~mz O O p`zD °z ~~pzmD<OODO N xx 0 > :v0 0 =0003-Z* I F Z R V) ~ m m X ~o cn c m° mom cn n ~°z°'~cDn° Vic,, N N-1 Nm G7 U) ~-ip Fn2~ _ ma, a TJ zz z~ °mm z -v,)2 o> ooAFc) -WN a`x M O z Nip 00 SDI t n N W (n (n N ~7 0 a n z.. cDn 0 N P wmy V')> L' oK obo -11 co o n can KZ °zm c ~rn (np I r C7 -0 mm co ~vN o -o O Do z m e 00 0 D ° D O F 21 0 L7 rr nD mo A D o i7 n o 71 z D o A D o OH D C X 0;0 z z ~ op0 pm N O m -4 m j My D ti' O 0 m (n n z~ m D to v FA o o U) 0 Ln v m r A ;a C r j O o0 < °z DH r~ m m 0 \ U) WLP1200/800-MR m DRAWN BY. WCP SCALE: 1/4"=l'-O" PRE-POUR: ° SEPTIC MANUAL MIESER conDRETE REV. I \ z W3716 US HWY 10 MAIDEN ROCK, WI 54750 DATE: 00/00/00 DATE: POST-POUR: ° 800-325-8456 FILE: V12W/806-WR Pa.q oF7 `technical Secifcatio:ns p PL-525,,,,, ~~L`tJEJVT` FItTEA, (OD ~~N~' Ekf f'il". ~ 6112• BALL CHECK _ 11 - EXCEPTS6'SHD10 FOR INLET EXTENTICN ILS7 14,35 OUPLET BUSHING EXCEPTS _ ~y^ :"SCH 46&6'SCH 40 i \ 870 1 1 lq~7 _ T-,- - ~ 5.13 11 11 I ~I , 1 \J ~~/JI 3102 PL-525 FILTER HOUSINGS i - 1834 PART NO -30142525 MATERIAL: P 14 H OUSING POLYPROPYLENE 1 ` f OUTLET BUSH14G-PVC i I f 6.5 BALL -HOPE S=ET EXCEPTS FLOAT SW TCri EXCEPTS iSCN 40 __>♦8 FORHANM' EXTENTION 1064 - J 53fY Of ttl6'SLOTS 624 SOCKETEXCEPTS - 6776.01 BOLL PUSH ROO CpENING I ! x 7.09 E ~1~``4 Irnz~ - I ~I OPEMNG ` au. of N1.71 kiga j 1- - ~,:.smJ I I _ I I I = ~A I i POLYLOKPL-525 FILTER CARTRIDGE c PART NO, - 30141.525 MATERIk -POLYPROPYLENE IM i r 9&F7- 16 2 Wisconsin Departr F frEtVIEEGional Services Page 1 of 3 Division of Indust S rvices AUG 17 2017 SOIL EVALUATION REPORT In accordance with SPS 385, Wis. Adm. Code County Attach complete ROiMa COUNTY 2 x 11 inches in size. Plancmust ~ dP St. Croix si te IR~~O W~ but not li mited tocY'hbe'f redint (BM), dire ion per' C¢' . Parcel LD scale or dimensions, north arrow, and location and distance to n st r Q00 008 104 0 000 Ref #2483 Please print all information. Q5 Revie d by Date Oro* Personal information you provide maybe used for second,-C~,v maw, s. 15.04 1 m Property Owner ` Property Location ❑ Randall & Melanie Durrence Govt. Lot SW NW '/4 S 16 T 28 /FR 15 E (or) W Property Owner's Mailing Address Lot # Block # Subd. ame or CSM# 369 Co. Rd. BB 1 Na CSM Vol. 12, P g. 3262 City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road Woodville WI 54002 (715) 684-9527 Eau Galle Co. Rd. N ❑ New Construction Use: ❑ Residential/ Numberof bedrooms 3 Code derived design flow rate 450 GPD ® Replacement ❑ Public or commercial - Describe: Parent material Glacial Till Flood Plan elevation if applicable na ft. General comments and recommendations: Site suitable for mound POWTS. Recommended infiltrative surface elev. to be 95.00' at 21" above 93.25' contour. 1❑ Boring # ❑ Boring ® Pit Ground surface elev. 93.25 ft. Depth to limiting factor 17" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ft2 In. Munsell Qu. Az. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-7 10yr3/2 none sil 2fgr mvfr cw 2fmc 0.6 0.8 2 7-17 10y5/4 none sil 2fsbk mfr cw 2fmc 0.6 0.8 3 17-25 10y5/4 f2d7.5yr5/8 sil 2msbk ds cw 1fmc 0.6 0.8 4 25-36 7.5y4/4 c2d 5yr 5/8 sl 2msbk dsh cw 1fm 0.6 1.0 5 36-46 5yr4/4 f2p 7.5yr5/8 scl 1csbk dsh 1vf 0.2 0.3 4==1 2❑ Boring # ❑ Boring ® Pit Ground surface elev. 92.30 ft. Depth to limiting factor 15" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ft2 In. Munsell Qu. Az. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-7 10yr3/2 none sil 2fgr mvfr cs 2fmc 0.6 0.8 2 7-15 10yr5/4 none sil 2fsbk ds gw 2fmc 0.6 0.8 3 15-18 10yr5/4 f2d 7.5yr5/8 sil 2msbk ds cw 2fm1c 0.6 0.8 4 18-23 7.5yr4/4 c2d 7.5yr5/8 sl 2msbk dsh gw 1vf,fm 0.6 1.0 5 23-37 5yr4/4 f2d 7.5yr5/8 sl 1 csbk mfr - 0.4 0.7 ' Effluent #1 = BOD, > 30:5 220 m / and TSS > 30:5 150 m /L * Effluent #2 = BOD, > 30 220 m /L and TSS > 30:5 150 m /L CST Name (Please Print) Signature f CST Number James K. Thompson ° - 30021 Address ate Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, WI 54020-5413 June 6, 2017 (715) 248-7767 SBD-8330 (R04/15) Boring # ❑ Boring ® Pit Ground surface elev. 93.29 ft. Depth to limiting factor 16" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ft2 In. Munsell Qu. Az. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-3 10yr3/3 none sil 2fgr mvfr cs 2fmc 0.6 0.8 2 3-12 10yr4/4 none sil 2fsbk ds cw 2fmc 0.6 0.8 3 12-16 7.5yr4/4 none sl 2msbk dsh gw 2fmc 0.6 1.0 4 16-27 7.5yr4/4 f2d 7.5yr5/8 sl 2msbk dsh cw 1fmc 0.6 1.0 5 27-41 7.5yr4/4 f3d 5yr4/6 sl lcsbk mfr 0.4 0.7 4❑ Boring # ❑ Boring ® Pit Ground surface elev. 90.00 ft. Depth to limiting factor 12" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ftz In. Munsell Qu. Az. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-3 10yr3/3 none sil 2fgr mvfr cs 2fm1cf 0.6 0.8 2 3-12 10yr4/4 none sil 2fsbk mvfr cw 2fmc 0.6 0.8 3 12-17 10yr5/4 none sil 1msbk mvfr cw 1fmc 0.4 0.6 4 17-24 7.5yr4/6 c2d 7.5yr5/8 sicl 2msbk mfr cw 1fm 0.4 0.6 5 24-38 7.5yr4/6 m2p 7.5yr5/8 fsl 1csbk mfi 0.2 0.6 ❑ Boring # ❑ 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. Az. Cont. Color Gr. Sz. Sh. *Eff#1 *EfF#2 * Effluent #1 = BOD, > 30 5 220 mg/L and TSS > 30!5 150 mg/L * Effluent #2 = BOD, > 30<_ 220 mg/L and TSS > 30 5 150 mg/L ' 92.15 3/.75 93 7s'V 03v i ~ 4/6 PfO dSEdlYtaunal a~ Z7.o/K ~BS/0\ 82 5~> ol 44 C4/ W/ ~'x9s'o~;spetsa/Cr//, zn{,itr 'eP\ \ 36y,0..Qd.zlt3 Se.r~aee a/ev' = 9s.sv <Ezi"abavr \ I"Jcadj/,Y/e 93 z5 CvrrEQcN Two Cr~ d%s~i~bw~n. \ {1 Lod / esr~ ✓v/. /1, f~. 32 4 Z /li u.a/3 0 /12 r 7f~~'ul' %6 AiF'r45 ` U ~J 5pu tt-c! a~ 2.53 ' (~O~r /a'~a.l~. ~ ~ ~ ~ \ 0 Q. /to sJ, T . off' EF u ~'Q//E CroiX Cv, ~JI \ ~ E~lin /G. ,3/uclG.S ~dwr~ j y, /lea r ~ " 5c.{,. Flo Q.d.C . ~ t,~u>oll~ ~crcc ~a.n / rI Lawn a I~ropoSe cvcrcbr WLi°/ZCOleCc ~ eo~,b,%,~-6•N, s.T/~?c. w~,QoiyGo.c~~L--szs aro e 14 S 7-4 - -S ~'X,"s6h w~.~l 3 k~ad~w,►, I I CK,-s6~ SelaE, bywta6-0 be } ~ ~6c..,d~d 4s /o.u C_'odc. i Q. 319