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HomeMy WebLinkAbout020-1363-19-000 State of Wisconsin Scott Walker, Governor Sfa DEPARTMENT OF NATURAL RESOURCES Daniel L. Meyer, Secretary 101 S. Webster Street ' ~"Telephone 608-266-2621 11 ? IF C Box Mad son WI 53707-7921 a b FAX 608-267-3579 MDEPT.OF TTY Access via relay - 711 RALRESOUR CES C i ! ST (::ROIX COUNTY October 11, 2017 ,Lit,JITY DEVELOPMENT Project No. S-2017-0705 Mr. Todd Sinz T.L. Sinz Plumbing, Inc. E5609 708th Ave. Menomonie, WI 54751 Subj: Holding Tank Installation for Current Properties, LLC Hudson, WI Dear Mr. Sinz: The Department of Natural Resources has received and reviewed your recent transmittal of completed WDNR form 3400-185 in reference to your proposal for installation of one new 3,000 gallon wastewater holding tank to serve the vehicle / equipment building for Current Properties, LLC, located at 6)A CQ~~ymymerce Dr., Hudson, WI. According to your transmittal, the proposed holding tank will be used to store novn-domestic wastewater (precipitation drippings and wash water from vehicles / equipment), and the stored wastewater will be hauled by T.L. Sinz Plumbing, Inc. to the Menomonie, WI municipal wastewater treatment facility for ultimate disposal. Based on this review, the proposed installation is acceptable to the Department of Natural Resources. As part of this acceptance, please also review and discuss the conditions of approval as outlined on page 3 of WDNR form 3400-185 with the owner prior to installation and startup of the proposed holding tank. In addition, please note that Department of Safety and Professional Services is responsible for review and approval of any catch basins, sewer lines / connections, and other plumbing appurtenances associated with the installation of the proposed holding tank. If any questions concerning this acceptance notice, please contact Steve Smith, WDNR Madison office, (608)266- 7580. Sincerely, Stephen J. Smith, P.E. Wastewater Section Bureau of Water Quality Cc: Current Properties, LLC owner, 2723 Cherry Blossom Ln., Menomonie, WI 54751 ----Mr. Kevin Grabau Admin., St. Croix County Community Development Office, 1101 Carmichael Dr., Hudson, WI 54016 Pete Skorseth, P.E. Baldwin Service Center dnr.wi.gov wisconsin.gov Naturally WISCONSIN Pd Yded Paper i State of Wisconsin DEPARTMENT OF NATURAL RESOURCES Scott Walker, Governor 101 S. Webster Street Cathy Stepp, Secretary Telephone 608-266-2621 Box 7921 RECEIVED NSIN FAX 608-267-3579 WISCO1 7 Madison Wi 53707-7921 TTY Access via relay - 711 DEPT OF NATURAL RESOURCES DEC. 01 November 23, 2015 ST. CROIX COUNTY Project No. S-2015-0678 COMMUNITY DEVELOPMENT Ms. Mary Jo Huppert Hollister's Soil Testing & Design W9875 690th Avenue River Falls, WI 54022 Subj: Holding Tank Installation For Truck Transfer Shop Building For Holm Companies, LLC - Hudson, WI Dear Ms. Huppert: The Department of Natural Resources has received and reviewed your recent transmittal of completed WDNR form 3400- 185 in reference to your proposal for installation of one new 2,000 gallon wastewater holding tank to serve the truck transfer shop building for Holm Companies, LLC, located at 628 Commerce Drive, Hudson, WI. According to your transmittal, the proposed holding tank will be used to store non-domestic wastewater (residual precipitation and motor fluid drippings from vehicles), and the stored wastewater will be hauled by Marko's Septic Service to the Roberts municipal wastewater treatment facility for ultimate disposal. Based on this review, the proposed installation is acceptable to the Department of Natural Resources. As pant of this acceptance, please also review and discuss the conditions of approval as outlined on page 3 of WDNR form 3400-185 with the owner prior to installation and startup of the proposed holding tank. In addition, please note that Department of Safety and Professional Services is responsible for review and approval of any catch basins, sewer lines / connections, and other plumbing appurtenances associated with the installation of the proposed holding tank. If any questions concerning this acceptance notice, please contact Steve Smith, WDNR Madison office, 608/266-7580. Sincerely, L~ G~X Stephen J. Smith, P.E. Wastewater Section Bureau of Water Quality Cc: Mr. Scott Holm owner, Holm Companies, LLC, 684 Baker Rd., Hudson, WI 54016 -Mr. Kevin Grabau Admin., St. Croix County Community Development Dept., 1101 Carmichael Rd., Hudson, WI 54016 Pete Skorseth, P.E. - Baldwin Service Center dnr.wi.gov wisconsin.gov Naturally WISCONSIN Printed on Recycle d Pa P., Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No (ATTACH TO PERMIT) 600207 GENERAL INFORMATION State Plan ID No Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)J 2994918 Permit Holder's Name: Co Village Township Parcel Tax No: ERIC FANETTI TOWN OF HUDSON 020-1363-19-000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: 27.29.19.2156 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER,,,,) CAPACITY STATION BS HI FS ELEV. Septic !ti $ Benchmark Poe met Alt. BM , " ; ~t Bldg. Sewer Holding St/Ht Inlet TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. en to Air Intake ROAD Dt Inlet Septic , / v rw Dt Bottom Dosing Header/Man. Aeration Dist. Pipe Holding Bot. System 74 t Final Grade PUMP/SIPHON INFORMATION 3.2,;- I d Manufacturer Demand St Cover rr PM 1V Model Number TDH 1_ift riction Loss Syste TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION YSTEM BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 I - SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufae ' ~ / k•7/_~~ L~ INFORMATION CHAMBER OR J-A Type 9f System: ,q 83 UNIT Model Nu ber. 7 g.) v1 J~ a DISTRIBUTION SYSTEM e Header/Manifold Distribution ix Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over 7De Over Depth of Seeded/Sodded Mulched Bed/Trench Center rench Edges Topsoil Yes F- No I-- Yes F--, No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 620 COMMERCE DR 1.) Alt BM Description = .:j 2.) Bldg sewer length = 17 - amount of cover = D d I ~ Plan revision Required? ❑ Yes No l0 f A wC f Use other side for additional information. SBD-6710 (R-3197) Date Insepctor's Sig"ture Cert. No. l ~,~EYPa_tA/Fy~\ .P 1` f' County rc b . 0 Industry Services Division gr Q J & SP RECEIVED 1400 E Washington Ave P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.) S^~p Madison, WI 53707-7162 ~ Y 2 5 201 (p~0 2,0 ' OF{:Yy Iota P~ ST. mg-- ° wit Appli( K'`9 Stale Transaction Number In accordance witDomw is. Adm. Code, submission of this toi- _ Wren. O it f ! ~C is required prior to obtaining a sanitary permit. Note: Application forms for state-ownc~ . PG eject Address (if different than mailing address) the Department of Safety and Professional Services. Personal information you provide may be us., Y u !poses in accordance with the Privacy Law, s. 15.04(I)(m , Slats. / I. Application Information - Please Print All Information C tvo~C~ tU myhC fCZ - Property er's Name Parcel # `~a Ov-j31q Property Owner's Mailing Address / Property Location p(7 • r~ • 1 /V L/o'' `'SJp& *1 Govt. Lot City, Stipe Zip Code Phone Number qo p~ 7 /a, Section / / (circle on ~iv~ Td 5N R/~ Eor IL Type of Building (check all that apply) Lot # ( _ E:1 1 or 2 Family Dwelling - Number of Bedrooms ' Subdivision Name A Public/Commercial - Describe Use wle Block ❑ City of ❑ State Owned - Describe Use ❑ Village of ~S CSM Number C Z G 5 [Mown of III. Ty a of Permit: (Check only one box on line A. Complete line B if applicable) Za A. 6New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Before Expiration F1 Permit Transfer to New List Previous Permit Number and Date Issued Plumber Owner IV. Type of POWTS System/Component/Device: (Check all that apply) ooud4 FHoFdi-ng on-Pressurized In-(,round ❑ Pressurized In-Ground ❑ At-Grade E] Mound > 24 in. of suitable soil Mound < 24 in. of suitable soil Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dis ersal/Treatmen Area Information: Design Fl w (gpd) Design Soil Application Dispersal Area Required (so Dispersal Area Proposed 0 System Elevation af (e * Rate(gpdsf) .&9q 1 SZ~ ~Z~ V ~J'~ VI. Tank Info Capacity in ) c Gallons Total # of acturer Gallons Units New Tanks Existing Tanks 1 / 1/ i A.,` w U y c7 a Septic or tng ank ❑ ❑ ❑ ❑ Dosing Chamber ❑ ❑ ❑ ❑ ❑ VII. Responsibility Statement- I, the undersigned, assu a espon i for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Si a MP/MPRS Number Business Phone Number Todd L Sinz MP139462 715-235-2644 Plumber's Address (Street, City, State, Zip Code) E5609 708th Ave Menomonie Wi 54751 VIII. t epartment Use Only Approved Permit Fee Date ssued Issuing nt Signature Owner iven Reaso r Denial $ ~ 711,7 • 0 2,7 / IX. Condit5 Re ns for Disapproval \ : 44" V~L& as pelf ylrrt!,plr :,fiber.( 1 ^ E'kt~Gt. ` 1 2. All n` . L6 u per c4dr: 1 Q C~ ref . _j, Attach to complete plans for the system and su it to the ounty only on paper not less than 8 to x l t inches in size SBD-6398 (R03/14) 9 J , 1 ~I t 9 - a I J i 3 C •1 Conditionally APPROVED DIVISION OF INDUSTRY SERVICES N 2331 SAN LUIS PL STE 150 DEPT. OF SAFETY AND PROFESSIONAL GREEN BAY WI 54304-5211 $ SERVICES Contact Through Relay P $ DIVISION OF INDUSTRY SERVICES http://dsps.wi.gov/programs/industry-services www.wisconsin.gov ` 1T Scott Walker, Governor A.1X Laura Gutierrez, Secretary September 20, 2017 SEE CORRESPONDENCE CUST ID No. 139462 ATTN: POWTS Inspector TODD L SINZ ZONING OFFICE TL SINZ PLUMBING INC ST CROIX COUNTY SPIA E5609 708TH AVE 1101 CARMICHAEL RD MENOMONIE WI 54751-5520 HUDSON WI 54016-7708 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/20/2019 Identification Numbers Transaction ID No. 2994918 SITE: Site ID No. 842512 Please refer to both identification numbers, Current Properties LLC 626 Commerce Dr above, in all correspondence with the agency. Town of Hudson St Croix County NE1/4, SW1/4, S27, T29N, R19W FOR: Description: Gravity In-Ground System (Office) Object Type: POWTS Component Manual Regulated Object ID No.: 1725756 Maintenance required; 368 GPD Flow rate: 120 in Soil minimum depth to limiting factor from original grade; System(s): In-ground POWTS Component - Ver. 2.0, SBD-10705-P (N.01/01, R. 10/12); Commercial System, 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. • Prior to construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches below the system elevation Smearing and compacting of wet soil will result in reducing the infiltration capacity of the soil. .P.roRer 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, site preparation can proceed. If the site is too wet to prepare, do not proceed until it dries. • Divert surface water from POWTS Area. 9 All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 TODD L SINZ Page 2 9/20/2017 • 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. 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 6111.E rr2dz°r~~.tii'a N~ i"O t15I,2. (n Construction Materials & Techniques All materials must comply with Comm 84 and be installed in accordance with manufacturer's specifications. Construction methods must comply with the following Component Manual: In-ground Absorption (v. 2.0) - SBD - 10705- P Location: NE 1 /4 S W 1 /4 S27 T29N R19W Town of Hudson County: St Croix Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL Date: 8-30-2017 SERVICES DIVISION OF IINeyDUSTRY SERVICES Owner: Current Properties LLC ' U''u~ Address: 2727 Cherry Blosson Lane SEE CORRESPONDENCE Menomonie Wi 54751 Plumber: Todd Sinz Signature: License # MP 139462 Attachments: 6748 Plan Approval Application SPS 381-385 Page 1: Cover 2: Design criteria and sizing 3: Plot plan 6: Effuent Filter 4: Plan view/system cross section 7 :Owners Manual 5: Septic Tank 8: Management Plan Page 1 of 7 Design Criteria Yes Wastewater Contaminant .Load: 30 mg/t, < 130D5 < 220 mg/L Anticipated septic tank effluent 30 mg/L < TSS 150 mg/L Fecal Conform > 10,000 cfu/100 ml. Fats, oils, grease 30 mg/L 15 FTE 15 x 13 x 1.5 = 292.5 gallons/day 2 floor Drains 25 x 2 x 1.5 = 75 gallons/day Min.Design Flow = 367.5 gallons/day Dramfield Design Flow - 367.5 Gallons/day Design Calculations In situ designed loading rate 367.5 gallons/sq. ft. per day Depth to estimate high ground water >120 in. Depth to bedrock. >120 in. Cross slope at system Flat% Septic tank Wieser 1000 gallons New Effluent filter Lifetime LTl /8 Septic Tank Sizing And Liftstation. Minimum septic tank size required for 3 years service frequency is 1000 gallons by spreadsheet Calculation; Using Wieser 1000 gallon septic/lift tank.. Trench Sizing 367.5 gpd/.7 per sq ft = 525 sq. ft minimum effective area for medium sands Install 26 infiltrator, Quick 4-W shells which @ 20 sq. ft each EISA plus 1 x 5.8 sq ft for a pair of end caps gives 525.8sq ft EISA. System loading rate is 367.5 gpd /525.8 sq ft =.699 gpd per sq. ft. 1f ~~f 'a; ` ;'.J j ,r ~ : r:^ ~ j i ~ G i t ~ i ~ aa~ ~.J ~ . i. ,1 a F~ J ~ { { ~.7 ~,t '1 ~f i ~ , ~ ~ j , M ~ ~ ~ ` V K ~~t'~ ~ iii ~ ~ ~ ~ `\l~ ~ a ~ T ' m.... a a...-.... . ~ m. e...~e.m. _f ~ i 4 1; ! p`1 ~ ~ 4 ~ ~ ,.,~.M..,..~,,...,_.,..~ 3 i ~ is ~w- a ~ ~n i~ 0 d y¢9 y~e . , ~ . . . Soil Absorption System Cross Section 4' Schedule 40 PVC Vent Pipe f , With Vent Cap__ i` Leaching Chamber ~h Soil Absorption System Plan View - - I Vent Or Observation Pipe Trench Leaching Chamber Specifications Manufacturer And Model EISA Rating sq ft per chamber Soil Application Rate gpolsq ft gpd design Flow + Soil Application Rate + EISA Chambers f~0r~ row: of chambers each. Page of u I an-0001W :31Id 95t~8-SZ~- 008 0 anod-lsod :3wo 00 00 oc aldo osLtis IM 'K08 N3oit~w 01 AMN sn eimA ~b'(1NdW OIld3S Z A3~! W LLJ 313dauoa \ dnod-321d „0 -,L=„b t :3]VDS dOM :AA NMd?JQ _ NW-0001dW 0 LLJ vwi c J ce Q H Q ' o } z co O x -j Li O o CC Dct~ Ill c.) p ¢ ftf Z a' az CO Cn p ci CY o o V) w n J W z Ue W~ J J F- J U1 Q o F- ¢ O tL O F- Q X Q O Q 1- } w o 0 (n\ om ~ Z 0 (h ~af C) Z ~ " < w Cy F- U M F- J Z J= CO ~ m~ Q H O o z < ~N Od '¢¢U JQ 00 C7) tiD 3 u- o a F z a- 0 V Q a c 1 U CLW p mN JjW C7 i7 6> p s x (n j I O (Wn M j e U' Ziv u7 a a °o O C) OOQ~Mm W¢I mw(n -i o a&j 0 z go z a V) me Q W W N 4 O W t j ~ W Q Q W Q N J 0 ui O Z U Z (~Z Y~ U) < 00 n J J? I ~ } O Z (1) O Z0 L'i O WOJ F- - -r_ OdlaJ o`ow Q z w¢ W LJm U °o Q-J1 F~- >-lzoz Q~~CZ.~ ZU4 ~U) d ~IJ --F=- O ZW :2 ~U QO O`m wC7 Q~U 4s~0 U OOU U` ¢(n S`~ N~ V)3zm VMSJ mI ZO"L Z U ~O LLJ J J a O Q Z >Z O~ O ? Z J S OUF U J Q W (n i a C yE U) EI~ „6S o w CL c a w CC, 0 _j U- C, U- ~I w ~ li W I W U) m a I U) I I J ~I ! a I „9(2 Q O X , F- 0 N L, w, F' r' < W a32fi(103b Sd 4S w Lf) Y Z Q F- I LMj The Best Just Got Better 00"M The most efficient, the lowest maintenance, the most economica effluent filter! • Nearly Twice the Filtering Capacity • Estimated to go 3 Times ' cLonger Between Cleanings Cleaning Made Easy • „ " • Does Not Retain Solids Between Plates Lowest Price • 10.1 MO 09 k - Eliminates the collection,of solids inside the cartridge. - Nearly twice the filtering capacity of any other filter. 0 ~94 GS&QQ= - - - By eliminating solids between plates drastically reduces the need to clean. - Cleaning made simple and efficient. r r ~ LT-1/8: 3500 GPD/Residential Strength Filtration 1/8,1,' LT - 1/16: 3350 GPD/ Residential Strength Filtration 1/16" - LT - 1/32: 3000 GPD/Recommended for Commercial use with Residential Strength - Filtration 1/32" , - LT 1/64: 2500 GPD/Recommended for Commercial usage with Reside tial Strength - Filtration 1/64" - 2700 Inches of Linear Filtration (Nearly Twice the C omnP itlon) POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION SYSTEM SPECIFICATIONS Owner. ors 9 L~ Tank Manufacturer: ~j~ _ ❑ NA Permit # Septic ❑ Dose ❑ Holding Volume: gal Tank Manufacturer: NA DESIGN PARAMETERS Number of Bedrooms: ;~BA ❑ Septic O Dose ❑ Holding Volume: gal Number of Public Facility Units El NA Vertical Distance Tank Bottom(s) to Service Pad. _ tft~ Estimated (average) Flow : gal/day Horizontal Distance Tank(s) to Service Pad: Specific servicing mechanics must be provide if vertical is >15 feet or if Design (peak) Flaw = estimated x 1.5: 5o'7, gal/day horizontal is > 150 feet. Specific instructions to be provided on back_ In Situ Soil Application Rate: gal/day/ft Effluent Filter Manufacturer: 0 NA Standard Domestic InfluentiEffluent Monthly average Effluent Filter Model: TQ _ - - Fats, Oil & Grease (FOG) s30 mg/I_ Pump Manufacturer: `NA Biochemical Oxygen Demand (BOD,) <_220 mg/L ❑ NA Total Suspended Solids (TSS) <150 m /L Pump Modcl: High Strength InfluenVEffluent Monthly average Pretreatment Unit Fats, Oil & Grease (FOG) >30 mg/L Manufacturer: A Biochemical Oxygen Demand (BOD5) >220 mg/L ❑ NA ❑ Mechanical Aeration ❑ Peat Filters N~ Total Suspended Solids (TSS) >150 mg/L ❑ Disinfection ❑ Wetland Pretreated Effluent Monthly average ❑ Sand/Gravel Filter _❑Other: Biochemical Oxygen Demand (BOD,) s30 mg/L Soil Absorption System Total Suspended Solids (TSS) s30 mg/L ❑ NA Fecal Coliform (geometric mean) 510,efu/10oml Z-4 -Ground (gravity) ❑ In-Ground (pressure) ❑ NA j At-Grade ❑ Mound Maximum Effluent Particle Size: 'k in dia. ❑ NA ❑ Drip-Line ❑ Other: _ Other: ❑ NA Other: ❑ I MAINTENANCE SCHEDULE Service Event Service Frequency Pump out contents of tank(s) When combined sludge and scum equals one-third Q,) of tank volume ArTmen the high water alarm is activated Inspect condition of tank(s) At least once every: ❑ month(s) (Maximum 3 years) ❑ NA 11-1,5 ffyear(s) Inspect dispersal cell(s) At least once every: ❑ month(s) Eg4ear(s) (Maximum 3 years) ❑ NA Clean effluent filter At least once every: El month(s) ❑ NA year(s) Inspect pump, pump controls & alarm At least once every: ❑ month(s)- El NA year(s) Flush laterals and pressure test At least once every: ❑ month(s) IRA- Other: - _ ❑ Year(s) - _ O ther: At least once every: ❑ month(s) NA ❑ year(s) ,IE_'rNA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator (pumper). Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and a check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of eff Lleni. on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any treatment tank equals one-third (f,) or more of the tank volume, the eritire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Cade. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of S12 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 30 days of completion of any service event. (Rev.8/14) Page of~ START UP, AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemlr that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the conte of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater wil discharged M,the dispersal call(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge effiuenL,;T,p avoid this situation; have the contents of the pump tank removed by a Septage Servicing Operator prior to resto power to,. the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls restore norMala,(evgis within the pump tank. e Do not drive Qr'park vehicles over tanks and dispersal cells, Do not drive or park over, or otherwise disturb or compact, the within i 5', feet down slope of any"mound or at-grade soil absorption area, Reduction or elimination of he following from the wastewater stream may improve the performance and prolong the life of POWTS; antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the syster properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled v soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS falls and cannot'be repaired the following measures have been, or•must be taken, to provide a code compli replacement system: ❑ A suitable replacement area .has been evaluated and may be utilized for the location of a replacement soil absorpt system. The replacement area should be protected from disturbance and compaction and should not be Infringed upon required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems m comply with the rules in effect at that time. D A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POb~ technology a holding tank may be installed as a last resort to replace the failed POWTS. The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding t may be installed as a last resort to replace the failed POWTS. ❑ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING > > SEPTIC; PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO N ENTER A'Sr PTiC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE Of PERSON :FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL. COMMENTS POWTS INSTALLER POWTS MAINTAINER Name Phone me Phon° lJ Z-2-7 7 7 SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name ~Z_ i~2 Name Phone Phone f (ri~~ ,asas ,osas ~ ~ 1 5 W ~ lam' Zg6,03~ O wa ,OS'2[I ,Sb'LEb 3 .,10,00.00 N Nlp'15 - ml O m a N N 190' N nNm II yw Cu N 3 N E-, ~N 3 MI m a a F'I ~I J Y 1 p ~7 nNl m ' 1 N v l os zn ,L01r24 3„22,LT.00N jl OI 0 V1 ~I. dT'9L4 3 ,.10,00.00 N - -~o 04I "E 311. ail I W w4 / SIC-14'40 N m aN I a co I o Er <N oL 33' Fl oil N Ojv~N w4 jm r tN) h~o ~ O 1 ~ _ / A" a y W a o- ~ 3 O 190176E M„917,80.C0S L- ,z9oze - - -J ® _ Q 61 N 'gyp to L9'b IL 3 1.94,80.00 N m ~6SJ6 Z r N NdItIQ 997FIF0.9 - ^ ` o 0 C3 ,69'4 TL n „94,80.00 S _ _,SO'46E_ -49'OZ£ ~fc~ \ N 281.09' m. •6 1 \ b 1 N 1 ~ 6f a W 1` W tip` w4 cum co ~o OS w W p N 1 ©+~I N ^u'~^ ~Qy c~ Fpm rOT ~3.Q u~ N 50 3 m a a o E~ m O n w. ~ u w 1 y ~P yN^ NN O~o 6 L7 m J ~ `r' I~ - Z 1 W \ y O m i; 0'0£6 = 'l'M'H °m V321V NOLLN31321 H3-LVM Y12101S m as'ese ~ m sset ,os'ozE szaroa setae ~ ~ ,22'i9E ~,.OC.RO.MN .~t1'R86 M„8T,8£•TON EC... SEP ST. CROIX 30MMUNITY D~ AE.. RECEIVED SEP 2 0 , ST. CROIX COUNTY COMMUNITY DEVELOPMENT ST. CROIX COUNTY RECEIVED SEPTIC TANK MAINTENANCE, AGREEMENT SEP i i AND OWNERSHIP CERTIFICATION FORM ST. CROIX COUNTY -OMMUNITY DEVELOPMENT Owner/Buyer Mailing Address L4 C- Property Address u JWC~ I~~ (Verification required from Planning & Zoning Department for new construction.) City/State Parcel Identification Number C)`l'> 1-]?2 LEGAL DESCRIPTION Property Location 1/4 , '/4 , Sec. , T N R -W, Town of Subdivision Lot # -~-~---Certified Survey Map # _ Volume Page # Warranty Deed # , Volume _ Page Spec house yes Lot lines identifiable cri,,s> 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 Worm-n. $3.52(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/ve, 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 Planning Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on this form are true to the best of my/our knowledge. 1/we an-Yare the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms Cj SIGNATURE 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. 08/05) ~ .JL I Z \ _ > n a v a / \\l/ a f u 9 ~ r J ° w n r ~ 6 as 94 _ i - - - - ~ T 4~~ /i vy vv ~ o n i `R z a _ - o _ o ' s '-v o p a F O - w £ N h 4 ~ o O 3 9 = 1 z 8- 5 n s ? c = i -rrm n 1 n ~F b .aF r- Sa 4 a 4 a a P F a 1 n F^ m r r P i . s r IE > a ,Y R = I q ai Job No: 130-064t) W alters Bu IpgS Drawn By. JES 7ne ENT PROPEKt-lES ERIC PANETTI Ch ecked Ry: b Date:9/12/17 4ppioved RyRevised RY: DSON, WI Sh t Nn 2 of 9 Revised Date: an ED RLLSL 1 1 r r I ~ fi ~I RR (r ~,lr~ J Cl '~r~ I F ~ P F Sv II I I L Q I ~ -'v II d 1 ~ ~ ~I ~ II III Y~ - I 1 '~~c~ ~ l I-_ ~ V I I I snap U~.:1~ ~il I - ~ba a - _ ~ I i I All - ° i. 166 @ @S@ Ii~~B ~ , a, e F 0 a y/rye _ Ag P@~F :t v"1 x ~ i x I c ~ ~ I I w I I - I I n I i og _ I , _w rte. ° I i-ariM n ~ .I Q. s ' I I s~ a V ~ _ I ~ I m I I ° I III y ou _ I ae I I ~ x I I r I I I L ~ 6 I ~ d a8 ° s I ~ m B ~ nn t ~ t _ I a- J bNo.W-OW Walters Buildings Drawn B, JES Owner CURRENT PROPER PIES ERIC FANETH (hckedBy: Datc 9/12/17 plorco lg ved By Re I ed BY: Location I IUUSON, ti'I Sr-cr No: of 9 Revl ed Date: Dealer/Salesmen. ED BEESE Wisconsin De V)1aR Professional Services Page ofz- Division of Indvo G A~aonl.l X GpUN p Eft[accordance _ iQ r. Adm. Code County S r Attach complete site ~ than 8 1/2 x 11 1- v .-ran must include, T~ r but not limited to: ve[~► reference point (B. ~~9, in and percent slope, Parcel I.D. scale or dimensid'~c rft rth arrow, and location and distance nearest road. Please print all information. Reviewed Da)7.Z7 Personal information you provide may be used for secondary purposes Privac Law, S. 15.04 1 m 1-7 Property Owner C Property Location ❑ ),4, Govt. Lot '/4 S T R E (or) W 7 Property Owner's Mailing Add ess Lot # Block # Subd. Name r CSM# a7~? G~~ \oi ~ Ciitty}y~ State ip Code Phone Number ❑ City ❑ Village ~ Town Nearest Road t Meng CWP_ U " II q O*,,M trc , New Construction Use: ❑ Residential / Number of bed rooms Code derived design flow rate GPD ❑ Replacement Public or commercial - Describe: Parent material Flood Plan elevation if applicable ft. z~-~x General comments and recommendations: FAI Boring # Boring Pit Ground surface elev%..9 ft. / Depth to limiting factor42 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistenc undary Roots GPD/Ft2 in. Munsell -Qu. Az. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ~b 7~Y z s ( n•~' G? 5Y 1P1 ;y! `n_ 17y is o.? ZZ-~Z C 4S ~S or c~~ d-S Boring ❑ Boring ] Pit Ground surface elev. . Depth to limiting factor/WD in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ft2 In. Munseil Qu. Az. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 M ~?o C. T '0 ~ oak * Effluent #1 = BOD, > 30:9 220 m IL and SS > 30 5 150 m /L * Effluent #2 = BOD, > 30 s 220 m /L and TSS > 30 s 150 m /L CST Name (Please Print) g to ! . CST Number Address , Data valuation C ducted Telephone Number . ~ ~ ~ ag 61 5 ~ ~ SBD-8330 (R04/15) Ce5.r (II; -a ~s Uc a%UT d, -•C, ~ boring # ❑ Boring I ~J e6 Pit Ground surface elev.aft. Depth to limiting factortZb 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. F 3 S *Eff#1 *Eff#2 F-4~-. El Boring Boring # F-1 - ❑ 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/Fe In. Munsell Qu. Az. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ❑ 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 s 150 mg/L * Effluent #2 = BOD, > 30 5 220 mg/L and TSS > 30:5 150 mg/L 4r Ili tt L ~ F ~ 4 f. V 13 I e 4, ~ BUJ T lr •~~1 l ~ v 1