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HomeMy WebLinkAbout030-1042-30-000 (2) Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St C(OIX Safety and Building Division INSPECTION REPORT Sanitary Permit No: 600229 GENERAL INFORMATION T C O P M State Plan ID No Personal information you provide may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village Township Parcel Tax No DANIEL & JOAN BRUSKI TOWN OF SAINT JOSEPH 030-1042-30-000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: X 1-11 ri 20.30.19.155 D TANK INFORMATION ELEVATION DATA TYPE MANUFACTUREq CAPACITY STATION BS HI FS ELEV. _ `f. A Septic Benchmark J-r (a ),yt L Al { { 19, Dosing Alt. BM s Comic. `i ~o0L Bldg. Sewer Nb- Ta Ln [Y cyu Hold>~ St/Ht Inlet r•~ St/F~t.Q1ltiGsfTANK SETBACK INFORMATION (X~-a TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt In el-__,,' -Septic ~~jG ~ ~~XJZ ' ~ J r_ Dt Bottom Dosing , ,3 f Header/Man. 4 p v Aeration Dist. Pipe p q~ 3~ HoWing--- Bot. System r PUMP/SIPHON INFORMATION Final Grade 71V Manufacturer oil- Demand St Cover d GPM .1 Model Number 30 TDH LifL_ Frictio Loss Syste ead TD Ft ~ . y 7- 15 l Forcemain Length, Dia. r., Dist. to well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Tren es PIT D1pi1Et1SIONS No. Q\PIfS Insid~n;a Liquid @eprii DIMENSIONS ( 17a7~\~, ~~\1 SETBACK SYSTEM TO P/L BLDG WELL LAKE(STREAM LEACHING Manufactu _ INFORMATION Type Of System: + CHAMBER OR Model Numbe DISTRIBUTION SYSTEM Header/Manifold Distribution ix Hole iZe x Hole Spacing Vent o Air Intake Pipe(s) [r / C 7 'D Length Dia Length. Dia Spacing.! 7~ 53 SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx seeded/Sodded xx Mulched Bed/Trench Center 1 Bed/Trench Edges Topsoil 1 Yes E] No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1y Inspection #2: Location: 1438 E OAKS TRL 1.) Alt BM Description = ~fJ Lp{C 2.) Bldg sewer length = 3 - amount of cover = % 'v L~ / .~u~/ 5 t ~y~LL `fit 1^ ✓ Plan revision Required? Yes No r~ Use other side for additional information. ~v/I l D e Ana _ Cert. No. SBD-6710 (R 3/97) Count ~YS'T RT.4/~ ~ ~ ` ~ y i _ _ Indust ervices Division St. Croix d 1400 E Washington Ave ECENEW Sanitary Permit Number (to be filled in by Co.) ,5; r S p P.O. Box 7162 w Ma n, WI 53707-7162 &0022,q (l/ I V V14 2011 is nr pp ST'ttCRC hW Permit App ILC Lion State 3 ra nsaction Number In accordanc'QM144 sb"3'Z submission of this form to~~LO!~~ ~101tal unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned Pow"I, C Submitted to the Department Project Address (if different than mailing address) gent of Safety and Professional Services. Personal information you provide may be used for secondary 1438 East Oaks Trail purposes in accordance with the Privacy O Law, s. 15.04 1(m)Stats. , 1. A lication Information - Please Print All Information Property Owner's Name Parcel # Bruski, Daniel & Joan 01 - 030 1042-30-1;99 u i SS . 3 Property Owner's Mailing Address Property Location 1438 East Oaks Trail Govt. Lot City, State Zip Code Phone Number NE'/,, SW Y<, Section 20 Houlton, WI 54082 fcikcle one) T30N R 18Eor II. Type of Building (check all that apply) Lot N ®1 or2Family Dwelling-Number ofBedrooms SubdivonName -C~ ❑ Public/Commercial - Describe Use Block 4 ❑ City of ❑ State Owned - Describe Use CSM Number Village of b ',X 75~ O 04/0. /1 L'}L ® Town of St. Joseph III. Type of Per heck o(x~o(n(• Com fete line B if applicable) A. ❑ New Sys en ® Replacement System Treatment/1-folding Tank Replacement Only ❑ Other Modification to Existing System (explain) Permit "Transfer to New List Prey~jous Permit Number and Date Issued 13 ❑ Permit Renewal ❑ Permit Revision ❑ Change of El Before Expiration Plumber Owner S~ JZ IV. Type of POWTS System/Com onent/Devic cc y ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground El t-Grade ® Mound ? 24 in. of suitable soil Mound <24 in. of suitable soil ❑ Holding Tank Other Dispersal Component (explain) ctreatment Device V. Dis er reatment Area Information: Design = w (gpd) Design Soil .Appt tion Dispersal Are equired (s0 Dispersal ea Pr sed (so System Elevation 450 R, gpdsf) 750 209997.70 0.6 Vl. Tank Info Capacity in Gallons Total # of Manufacturer 'O~ Gallons Units D' Y New Tanks Existing Tanks W( f, G ,7 Z~ V" = 0 Septic or Holding Tank 1000 1000 1 Wieser Concrete ® ❑ ❑ ❑ ❑ Dosing Chamber 750 750 1 Wieser Concrete ® ❑ ❑ ❑ ❑ VII. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plum . igt d' ac MP/MPRS Number Business Phone Number John Schmitt Z ~223760 715-760-0486 Plumber's Address (Street, City, State, Zip Code) 616 150'x' Ave. Somerset, WI 54025 VIII. Count /De artment Use Only pprovcd T1aitFe e 0~ Date ~(siIssuing Agent Signat 9=77 en ure a / Reason for I . ~V L~ h p IX. 9V8gi10ppl pJl4Woval/Reasons for Disapproval 3 CO(la~ ;~j M-j 61,11. S L ans 1. Septic tank, effluent filter and in C t n 4 P/ / 1"s ?e~m' dispersal call must st ed /maintained as per management t plan an provided by plumber. 2. All setback requirements must be maintained as pet Opf) uu. mlapf", plans for the system and sub it to the Coun I nF er not less than 8 t/z x I I inches in size SBD-6398 (803/14) PLOT PLAN N Project Name: Bruski 3 Bedroom Replacement Mound Legal Description: NE1/4, SW1/4, S20, T30N, R19W P.I.D: 030-1042-30-000 Subdivision Name: NA Lot SCALE: I"= 60' Township: St. Joseph Parcel Size: 5.100 Acres County: St. Croix Contour Line Elevation: 96.70 Cell Dimensions: W X 75' 4 inch Sch 40 -ASTM D2665 System Elevation 97.70 Mound Dimensions: 95'x32.45' 2 inch Sch 40 -ASTM D1785 Slope 18 1112 Sch 40 -ASTM D1785 A, BM1 Elevation;, 100.00' To of 2" PVC pipe BM2 Elevation 98.44' To of 2" PVC pipe -Sackfioe Pits: Septic Tank: 1000 gallon Septic Tank w/ POLYLOK 525 effluent filter, Dose Tank: 750 gallon Dose Tank yCtzL nr S\ C 5LCOE ~cSL.~gtJ~~ ~ 0155 UZ 5 Q I OCC C f~ L S GP'ri L i-G Zc.e a ibti~iiJ Ci ~l ~ i17 3 ~~CaS - r✓ 13 ih~ ~ co N + ~sd.~~Ci U`' LL J-0 EAs F x/ 5 NU' L 5 l ST E lti~ 7 C, E 0 \IR .6 I\ k, L J 1 . rrrnrr DIVISION OF INDUSTRY SERVICES 3824 CREEKSIDE LN 2~ \s HOLMEN WI 54636-9466 1 Contact Through Relay http:/idsps.wi.gov/programs/industry-services www.wisconsin.gov Scott Walker, Governor Laura Gut errez, Secretary October 03, 2017 CUST ID No. 223760 ATTN: POWT.S Inspector JOHN F SCHMITT ZONING OFFICE SCI IMITT & SONS EXCAVATING ST CROIX COUNTY SPIA 616 150TH AVE 1101 CARMICHAEL RD SOMERSET WI 54025-6920 HUDSON WI 54016-7708 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/03/2019 Identification Numbers SITE: Daniel Bruiski Transaction ID No. 3001311 1438 E Oaks Trail Site ID No. 842859 Town of Saint Joseph Please refer to both identification numbers, St Croix County above, in all correspondence with the agency. NEIA, SW I/4, S20, T30N, R19W FOR: Description: Three Bedroom Mound System \ Sloping site Object Type: POWTS Component Manual Regulated Object ID No.: 1727399 Maintenance required; Replacement system; 450 GPD Flow rate; 24 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. I' The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code s requirements. t No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145 06,PROFE S pis stats. k ""j Ji b F IN" The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of See. 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made ith 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. All POWTS component piping material shall be SPS 384, Wis. Adm. Code compliant. The area within 15' downslope of the dispersal cell shall remain undisturbed. Vehicular traffic, excavation or soil compaction is prohibited in this area. • 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. JOI IN F SCHMITT Page 2 10/3/2017 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. • The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. SPS 383.54(l). • 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. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. 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. erard M un When You Receive That Invoice, POWTS Plan Reviewer, Division of Industry Services Please Include a Copy With Your (608)789-7892, Mon - Fri, 7:15 am - 4:00 pm Payment Submittal. jerry.swim@wisconsin.gov WiSMART code: 7633 cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN RECEIVED INDEX AND TITLE PAGE i Project Name: Bruski 3 Bedroom Mound l~+.I n : 81---R VIp CE s' Owners Name: Daniel & Joan Bruski Owner's Address 1438 East Oaks Trail Houlton,Wl 54082 Legal Description: NE1/4, SW1/4, S20, T30N, R19W Township St. Joseph County: St. Croix Subdivision Name: NA Lot Number: 1 Block Number Parcel I.D. Number 030-1042-30-000 Plan Transaction No. 1. Page 1 Index and title q3 Page 2 Data entry SERV , 1c; Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Septic tank specifications Page 8 Effluent filter information Page 9 Dose tank specifications Page 10 & 11 Pump specifications and curve Page 12 Plot plan Page 13 Septic tank maintenance agreement Page 14 Warranty deed Page 15 Map Attachment Soil evaluation report Designer: John Schmitt License Number: 223760 Date: 9/7/2017 / Phone Number: 715-760-0486 Signature: %I / L'l x L L"A Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SBD-10691-P (N. 01101) and both SSWMP Publication 9.6 Design of pressure Distribution Networks for ST-SAS (10/81) and Pressure Distribution Component Manual Ver. 2.0 SBD- 10706-P (N. 01/01) Version 7.0 (R. 03/2012) Page 1 Mound and Pressure Distribution Component Design Design Worksheet Site Information - (R or C) RI Residential or Commercial Design Note: Sand fill (D) calculations assume a (gpd) Table 383-44-3 in-situ soil treatment for 300.001 Estimated Wastewater Flow fecal coliforrn of 36 inches. 1.50 ( Peaking Factor (e.g. 1.5 = 150°/x) 450.00 Design Flow (gpd) 18.00; Site Slope 96.70' Contour Line Elevation (ft) 24.00 Depth to Limiting Factor (in) 0.601 In-situ Soil Application Rate (gpd/ft2) Distribution Cell Information 6,00 Cell Width (ft) 75.00; Dispersal Cell Length Along Contour (ft) _ 1 00 Dispersal Cell Design Loading Rate (gpd/ft2) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest porn - - in the distribution Y network? Enter Y or N Pressure Disribution Information (C or E) C~ Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation (ft) 41 Number of Laterals of the highest point. 0.156i , Orifice Diameter (in) 33 2 50f Estimated Orifice Spacing (ft) = 7.50 ftzlorifice 2.00' Forcemain Diameter (in) Does the forcemain drain back? 1 i 0.0 orcemain Length (ft) Enter Y or N ump Tank Elevation (ft) 4.55 System Head (ft) x 1.3 9.79 Forcemain Drainback (gal) f 11.28 Vertical Lift (ft) 67.32 5x Void Volume (gal) 1.33 Friction Loss (ft) 77.11 Minimum Dose Volume (gal) 0.00': In-line Filter Loss (ft) 32.31 System Demand (gpm) 17.17 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice--~~ in. dia, options choice 0.75 1.25 x i; - 1.50 x l_ x x 1.00 1.25 x 2 00 1.50 x x 3.00 _ 2.00 x 3.00 x Gallons/Inch Calculator (optional) Treatment Tank Information I Total Tank Capacity (gal) Working Liquid Depth (in) 1000.00 ` Septic Tank Capacity (gal) Total i enter result in cell B49) ;Wieser Concrete Manufacturer ~J gal/in Dose Tank Information Effluent Filter Information - ` - 750. -00? Dose Tank Capacity (gal) tiPOLYLOK Filter Manufacturer 20.281 Dose Tank Volume (gal/in) 525 'Filter Model Number `Wieser Concrete 1Manufacturer Page 2 Project: Bruski 3 Bedroom Replacement Mound Mound Plan and Cross Section Views J 1/10 B Observation Pipe K 5 is W X.: I L Mound Component Dimensions 0.00 ft q 1.00 ft ft K W 32.45 1 ft g 75.00 6.00 ft ft 4.46 E 24.96 in H 94.99 ft F 9.50 in 1 21.99 ft L D 12.00 in G 0.50 ft z Dis ersal cell Area 2099.18 (ft) Basal Area Available 450.00 (ft } p 7.50 (ft) 1/10 B Obs. Pipe Placement 6.00 (gpd/ft) Linear Loading Rate Mound Cross Section View Aggregate Dispersal Area Finished Grade 99.48 (ft) H -I 98.20 (ft) Lateral F Dispersal Cell Invert 97.70 (ft) p Dispersal Cell Elevation y E r Elevation ;tom 96.70 (ft) Contou 18.0 % Site Slope Geotextile Fabric Cover Q I - Dispersal Cell See lateral details on Shading Key m Page 4 for number, size, and spacing of laterals- 1 Topsoil Cap o 1 5 ft U) o '5❑:` Laterals are equally ? Subsoil Cap • F spaced from the ASTM C33 San Z T 0.5 ft ypical-Lateral distribution cell's © ® Tilled Layer N centerline in the © Aggregate o A; distribution cell (AxB). Page 3 Project: Bruski 3 Bedroom Replacement Mound Center Connection Lateral Layout Diagram Laterals are identic at Force main connection via tee or cross to manifold at any Omt. S 1P l®=Turn-upv.i ball valuear `E X- `E'+2 xf2~J Laterals 8 forcemain SGh 40 PV(- clasnoutplug pet SPS Table 3°34.30-5 Holes dulled on the bottom of the lateral Lateral Number of Diameter Laterals in Orifice Spacing (X) 2.53 ft 417.17 Orifice Diameter 0.156 in 15 Lateral Length (P) ft Orifices per Lateral Orifice Density 7.50 ftZ/orifice Lateral Lateral Flow Spacing Rate (S) ft 3.00 ft gpm Manifold Length 1.50 in System Flow Rate gpm Manifold Diameter 3.30 'in Total Dynamic Head ft Forcemain Velocity ft1sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and ~1 4 in. min. SPS 316.300 WAG Disconnect --i##i 5 : E---- Alternate outlet location Tank component is properly vented Forcemain diameter 2 in. Wieser Concrete Manufacturer Ca acit 750.00 Gallons A Volume 20.28 gal/inch Weep hole or anti- Di device Dimension Inches Gallons B A 20.18 409.25 C Pump off elevation (ft) B 2.00 40.56 f- - 86.92 C 3.80 77.11 D 11.00 223.08 D Total 36.98 750.00 Dose tank elevation (ft) 86.00 3" Bedding un er tank. Note: Switches Alarm Manuafacturer ;SJE Rhombus containing mercury Alarm Model Number 1036378 _i may not be used in this system. Pump Manufacturer Zoeller _ Pump Model Number 152 Pump Must Deliver 32.31 gpm at 17.17 ft TDH Page 4 Project: Bruski 3 Bedroom Replacement Mound Mound S stem (Maintenance and O eration S ecifica ions John Schmitt Phonei 715-760-0486 Service Provider's Name - - Phone; 715-760-0486 POWTS Regulator's Name St. Croix County Zoning S stem Flow and Load Parameters 1/8 in Design Flow - Peak 450 gpd Maximum Influent Particle Size 220 in mg1L Estimated Flow -Average 300 gpd Maximum Maximum BOD5 TSS 150 mgiL Septic Tank Capacity 1000 gal Maximum FOG 30 mg/L Soil Absorption Component Size 450 ft2 Maximum Fecal Coliform >10E4 cfu/100 mL Type of Wastewater Domestic Service Frequency Septic and Pump Tank In ect 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 ever 3 ears Alarm Should test month) ears Pressure System Laterals should be flushed and ressure tested eve ar Mound inspect for ponding and seepage once eve 3 ye Miscellaneous Construction and Materials Standards ervation ipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap, 1. Obs p and are secured in as shown in the mound componenmanual Adm. Code. 2. Dispersal cell aggregate conforms to SPS 384.30 (6)(i), 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. prevent soil erosion 5. The mound structure and other disturbed areas will be seeded and mulched to p and help reduce frost penetration. Lateral Turn-up Detail Finished • • • • • • Grade Threaded Cleanout 6-8" Diameter Lawn Plug or Bali Valve Sprinkler Valve Box Distribution Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Page Project: Bruski 3 Bedroom Replacement Mound Mound System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General SPS ntained 84 2.0 SBD t and Pres urelD strib tion ComponentnManual iVerts' in accorda This system shall be operated in accord), SSWMP P b3Sation 9.6 (01Ad/81)m. Code, 10manuals ([SBD N. 01/0 , R. 1011(N.012}] /01, and local R. 10/12), maintenance and maintenance reporting. system al or state rules pertaining to No o No one e should R. 1uld 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 SIPS 383.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic service and assessmentrshall be sealed watertightoupon the completion of service. Any opening deemed unsound, defective, or accidental unauthorized zed entry into a tang og omponent $ inches in diameter shall be secured by an effective locking used for subject to failure must be device to prevent Septic Tank operating condition of then sStats. eptic to k h and outlet filter h shall septic The septic tank eshall be maintained by an individual to d of in accordance with NR 113, W is. Aldm. Code. service tank shall be disposed o assessed at least once every 3 years by inspection. are ala m the The outlet t filter in solids bn the tank that may slough off the fillterpwhen removed from , is enclosure. If the filteb is eremoved unless quipped with anp made to to retain filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. are not removed atdthe when the volume f sludge and scum in the tank excees 1/3 the liquid time of a triennial assessment, maintenance pe son nel shall advise thelowner of the The septic tank shall have tank. If the contents of f the when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. use by the enhance septict tank of performance is generally not required. However, if such products Commerce. The addition of biological or c emseptic ical additives are used they shall be approved Pump Tank dosin tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper The pump ( g) operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System nd's mound No trees or shrubs should necessary and to provide some protect on f om f st penettrration, Traffic (other than forall be seeded and mulched a to prevent ao dictate that the ion may vegetative ow compaction h in he winter will promote f ost penetration. Coldtwea her ns allationsl(October-Februar y) surface within the since soil mound and snow ent or septic tank eff mound be heavily mulched as protection from freezing. 50 mg/L , and flowgmay0notfexceed maximumludes gn flow 30 Influent quality into the mound system FOG, and 10 cfu//100 m2LOfor mg/L h gBOy ttrreated fflue t. Influent0 mglL GODS, 30 mglL TSS, 0 mg tial test specified in the permit for this installation. is recommend The pressure distribution system every with a flushin point the end of eah lateral, and months. When a pressure test is performed itlshould be co parethat d to eachinlateral flushed of accumulated solids at least once 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. levels Observation pipes within as an impending hydhaulkc allureffequiripg adagio alnmloge frequent shalmonitol be to the owner, an any levels above 6 inches considered 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. ired If the mound comipone fails to accept wastewar ation by increasing basal arearif t el leakage occu s or by remo ing biologically clogged absorpt onaand dispersal servi erprrovrideerating condition. replaced in its present sent l toc by stem media, and related piping, and the replacing said and telephone number your to al brregulatoring the See Page 5 of this plan for nt suchfasthis sbic treatment units or disinfection Pretreatment Units aero The information and schedule of mana a and aretco and maint part of the preterall atmen de evices units are attached as separate documents Page 6 Project: tin M"" 3111 99-tr9-9H-002 C5 -1SOd 0909 M 'NOOa N3aldw OL ,~MH Sn 9LL2M :2jnOd 3140 ~ynNdW OI1d3S 0000 00 =31d0 3138~110~ _ 'n3a {{I, ,Y1 !Y~ ?!Hood-3Nd L '-31'V OS dOM 1.8 NMV?!0 ~w-oooLd un 0 ILO W ~ J LAJ z Q o W O o a ~ J w N y w w to a m IL Z O X W~ 0 mw U1 M w LA Q w O O W 1- ~ J t lY m F U\ 00 t-OF~ Z C7 d W- U Z o o Z 3 s G Qi O wLn ~od aQL) Q oo ~ g a m c) H LL a u- 0 ° o 0 ow Z o~ CY n W 0c m m II LWL.a(f) OD (D o Giz Q ~ a s to < Q U ~UOp~~J V) MU' N Wd 00 O_3 tri~ 0 U cvw C~d`tO1~ h QU w1 .F- 0¢ Z V) UU z0 Y= U O O\ Win H c- c [i <D J (1 F- g U) COZJ :DU) DZp~ U ZF-J Ul WU Ow J ZNFO- {~{~,~~Z~~2~~=~ OUU) OU~ d r~ O ZW ~a OJJi- 7 zo-j Z. d ZOO U (SOU 0 dLd ~O d0 OdWW w_W$ drtU ZOd Z U OIL. sCD U~2J~s0nJ F- ? p ~J~k F- Q W Z > Z z q 0 O ~ O~ d U J d W Cl) I ~ d Z LLJ < I 6~ Q w U ~ O a w a 7) C7 w 0- lY N f~ 0~ w o 3: W w W a I I. O w 1 I I w C, w O w w N JI U Z d w „98 43b1nO32J S7 „~c9 w N Y Z d F- Page 7 0 an--ostdiM 3113 9S-V9-qZ2-009 z X1008 N301VH Ol LMH Sn 9LL£M doNyW OI1d3S w O w n3a :31y0 00 00 00 31d0 OSLtiS IM ~ anod-LSOd , NM'd2i0 313801100 ~lW-05LdlM U) :?J nOd-38d „0-.6=mob L :31v0J B W L J w w O m a ~ O D cy- w °w w w or_ V) a m V) T- (J7 Of Q X 1n co w t!1 Q ° Q Z O 0O w O w J sE m Fw °w ty- w r J J F- ¢ 1- .Z a w ° in z 0 _ tea a° mph a © G 0 Q ~ z ca ~ mz 3 LL Q a Q L) r J Q -I U J O p `Z D Li O a wto~ Ow ¢ ¢ ~w z CL O~ U f1~ a a o a m arr000 mcn wrw ca ° zcn Q (n J ~~N 00 ~J O F4 W ? O z do mm U O© NUJ W~ mW LL, U) O Ua ¢ 0 ¢ LLJ U) N H N ¢ w 00 Q n LAJ ~ U) ' U r iri N NQh _lt~ I QU LLJ Qo z U) O 0~ ZO J Cn -)Q - w 1 F' - N c.) 2 c~ ° win M 0 -j V) Ni-~F-OZ-'w V) ~ ~¢Y OOW a Q¢r Q m d U 0 x0 Z t%I 0wL~2-3OS pU(n G1N~ ¢ Z w -j z?~2 05 Z: ¢ z O U C9C» U ¢ to ~0 Q ¢OO¢w°wc~W~ ¢tc~ Z<CO Z U Ow F-- Z3mU~2Om-i r 0 O 0 Y 6Y F- F- w o 0 Q Oa Q z Z J S J r Ur J w W CO Z ¢ F W WJ LLJ Q ~ Q 2 2 n C? 0. Q cc N ~N I rr I. U U) C) ,Gl w r ° r r N o W w ¢ U- z tg (33dino,3~j sd w o: V) Y Z r Page 9 1 r tutovatran r F l,ta 5. ' 7~'I° "v, t^~7 f F.d(J I i0d! d, ~~%,7. D vision'If NIP* Inr.. The PL-525 Filter is rated for 10,000 GPD (gallons per day) making it one of the largest filters in its class. It has PL-525 linear feet of 1 /16° filtration slots. Like the Polylok PL 122, the Polylok has an automatic shut-off ball installed with every filter. When the filter is removed for cleaning, the ball will float up and temporarily shut off the system so the effluent won't leave the tank. „ 1! alt r%:: f ~ AlarnnSwitch U Rated for 10,000 GPD (gallons per day). (Optional) 10rQO~ GPD 525 Linear feet of 1/16" filtration. 7- < Accepts 1" PVC Extension Handle Accepts 4" and 6" SCHD 40 pipe. Built in gas deflector. r~ Rated for Automatic shut-off ball when filter is removed. t 10,000 GPD Alarm accessibility. ate;; . a Accepts PVC extension handle. lft~tl 525 Linear Ft. Ideal for residential and commercial waste flows up to of 1/16- 10,000 Slots 10,000 gallons per day (GPD). 1. Locate the outlet of the septic tank. 2. Remove the tank cover and pump tank if necessary. Accepts 4" & 6" 3. Glue the filter housing to the 4" or 6" outlet pipe. If SCHD 40 pipe the filter is not centered under the access opening use a Polylok Extend & Lok or piece of pipe to center filter. 4. Insert the PL-525 filter into its housing. /fertaffieal to +i. ¢c"i41G~1r75Y~1 .46 5. Replace and secure the septic tank cover. t The PL-525 Effluent Filters will operate efficiently for several years under normal conditions before requiring cleaning. It is recommended that the filter be cleaned every time the tank is pumped, or at least every three years. If the installed filter contains an optional alarm, t Gas Deflector the owner will be notified by an alarm when the filter ~P needs servicing. Servicing should be done by a certified Automatic septic tank pumper or installer.k Shut-off Halt 1. Locate the outlet of the septic tank. 2. Remove tank cover and pump tank if necessary. 3. Do not use plumbing when filter is removed. 4. Pull PL-525 cartridge out of the housing. 5. Hose off filter over the septic tank. Make sure all• solids fall back into septic tank. 6. Insert the filter cartridge back into the housing making Ali!i, Hash installs & sure the filter is properly aligned and completely inserted. Polylokthe S, martFilte Zabel Best switch filters and accept . into existing tanks. 7. Replace and secure septic tank cover. Polylok, Inc. 3 Fairfield Blvd. Wallingford, CT 06492 Toll Free: 877.765.9565 Fax: 203.284.8514 www.polylok.com Pane 8 sECTIoN: 2.20.047 FM1919 0110 ~l QL/ALITV P14 9 51NG'E Supersedes 1108 Product information presented here reflects conditions at time % visit out web site: of publication, factory KY 40256-0347 regarding discrepancies or MAIL T0. . P.O. BOX 16347 Louisville, yyyt/W,ZOeIter.COfn inconsistencies. SHIP TO: 3649 Cane Run Road • Louisville, KY 40211-1961 (502) 778-2731. 1(800) 928-PUMP • FAX (502) 774-3624 - iron construction 15 152/1 3 EFFLUENT` SERIES Durable cast Model 151 comes standard with a glass-filled (For Pump Prefix Identification see News & trews 0052) polypropylene base Corrosion resistant powder coated epoxy finish I Stainless steel lifting handle Assembled with stainless steel bolts FOR SEPTIC TANK - LOW PRESSURE STPIPE EMSLPF) Non-clogging engineered thermoplastic vortex AND ENHANCED FLOW STEP JTY M9 ■ impeller design EFFLUENT m s. Model 151 -113 HP passes 1/2" spherical solids r r SUBMERSIBLE tr f Model 152 -.4 HP passes 3/d' spherical solids - V/," NPT DISCHARGE Model 153 -112 HP passes 3/d' spherical solids motor - 60 Hz, 3450 RPM, oil-filled, hermetically protected sealed, automatic reset thermal overload p 0 4 \ w Y Y+ k Carbon/Ceramic seals G, US F„ n -w to uL siandacd urns K ' ~ a Upper sleeve bearing and lower ball bearing running 5 ~ndcedffiesWCSA sianaard GSA12-2 No. rob a in bath of oil f i 20 ft. UL Listed power cord with molded 3-wire plug _ 1'/2' NPT vertical discharge r BN and BE standard models include a 20 ft. variable N1511 N152/ 3 1 E151E1 11e`5nonautomatic h BN151BN152JBN153 & BE151BE15218E153, packaged with Piggyback VXi level float switch Ltd a''6x <j~~ Operates at temperatures to 130°F (54°C) in effluent vs, .4 & 112 HP,1Ph 115v or 23ov t applications d "53 4j tt t. :w . All models include a 1'/2' x 2" PVC adapter fitting Nate: The sizing of effluent systems normally requires variable level float(s) controls and properly sized dosing basins to achieve required pumping cyerly r POWDER timers with nonautomatic pumps. COATED 0-1 / .Ato y 3 ca-, ~ r t t~f: ;3tsc n MAIL TO: P.O. BOX 16347 Louisville, KY 40256 0347 ,aSHIP T0: 3649 Cane Run Road . Louisville, KY 40211 1961 ~r (502) 778-2731-1(800) 928-PUMP l ^ z~'.~ . FAX (502) 774-3624 Manufacturers of . Q~a~irr P~~P9 J`iacE /C93~9 ~~©Copyright 2010 Zoeller Co. All rights reserved. Page 10 TOTAL DYNAMIC HEADIFLOW PUMP PERFORMANCE CURVE PER MINUTE MODEL 15111521153 EFFLUENT AND DEWATERING so 14 45 153 MODEL 151 152 153 Feet Meters Gal. Liters Gal. Liters Gal. Liters 12 4 5 1.5 50 189 69 261 70 291 265 0 10 3.0 45 170 61 231 10 52 15 4.6 38 144 53 201 61 231 20 6.1 29 110 44 167 52 197 42 159 y 8 151 25 7.6 16 61 34 129 0 25_ 41 87 33 125 30 9-1 22 85 20 35 10.7 - 42 40 122 441L (13.4m) 4 15 shN-o0 Head: 30 fL (9-im) 38 R. t1 1.6m) 0745086 10 2 5 - - Model 151 Models 1521153 0 67132 - 10 20 30 40 50 60 70 80 90 100 67132 GALLONS -'-I--_'T- 370E - Asa - -'"4'- asre UTERS 0 40 80 0 200 240 200 320 360 3713 ,F PER 611NUTE , ~'--T- olaSOSA 37ro 3~ i '1<'< 3 718 3111 I € 3713 t- , 112" NPT Timed dosing panels available ~ I I I ~I • Electrical alternators, for duplex systems, are available and supplied with an alarm • Variable level control switches are available for controlling - - f single phase systems • Double piggyback variable level float switches are available for variable level long and short cycle controls z 1/6 111/16 • Sealed Qwik-Box available for outdoor installations -See FM1420 I _ ' ( 5 j e • Over 130°F (54°C) special quotation required 415116 I - sK206a SK2444 1 5111 5 211 5 3 MODELS Control Selection Model Volts•Ph Mode Amps Simplex DZ or 3 N151 115 1 Non 6.0 Included 2 or 3 BN151 115 1 Auto 6.0 2o r 3 E151 23o 1 Non 2.~ : aN "Easy assembly" BE151 230 1 Auto 3.2 Included 2 r3 (pump & discharge pipe N152 115 1 Non _ 8.5 1 2 or 3 _ not included.) BN152 115 1 Auto 8.5 Included 2 or 5 E152 230 1 Non 43 1 2 or 3 BE152 230 1 Auto 4.3 Included 2 or 10.5 1 2 or 3 BN1 N153 115 i Auto 6 115 1 Non 10 5 Included 2 or 3 E153 230 1 Non 5 1 2 or 3 .3 BE153 230 1 Auto 5.3 ncluded 2 or 3 1. Single piggyback variable level float switch or double piggyback variable level Reduces potential clogging by debris float switch. Refer to FM0477. Replaces rocks or bricks under the pump Made of durable, noncorrosive ABS 2. See FM0712 for correct model of Electrical Alternator E-Pak. p 2" off bottom of basin 3. Variable level control switch 10-0743 used as a control activator, specify duplex pRaises rovides the ability to raise intake by adding sections of 1'/:° (3) or (4) float system. or 2" PVC piping n CAUTION Attaches securely to pump Accommodates sump, dewatering and effluent applications NOTE: Make sure float is free from obstruction. For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. - © Copyright 2010 Zoeller Co. All rights reserved. Page 11 PLOT PLAN N Project Name: Bruski 3 Bedroom Replacement Mound Legal Description: NE1/4, SW1/4, S20, T30N, R19W P.I.D: 030-1042-30-000 Subdivision Name: NA Lot SCALE: 1" = 60' Township: St. -Joseph Parcel Size: 5.100 Acres County: St. Croix Contour Line Elevation: 96.70 Cell Dimensions: 6' X 75' 4 inch Sch 40 -ASTM D2665 System Elevation 97.70 Mound Dimensions: 95'x32.45' 2 inch Sch 40 -ASTM D1785 Slope W 18 1112 Sch 40 -ASTM D1785 BM1 Elevation: 100.00' To of 2" PVC pipe BM2 Elevation: 98.44' To of 2" PVC i e ■ Backhoe Pits: Septic Tank: 1000 anon Se tic Tank w/ POLYLOK 525 effluent filter. Dose Tank: 750 gallon ,.Dose Tank y} ;r L yr \ o. C u L D -F ~ ~ Ik°/,. SuGJc C 155 CZ) 1), . S L 0 ~ n ICe ~~L C1 I $Gh'TICft~N~` 1~6~cf~ A. )Lt 1 Iv X13 cp,x\ i ~t bL Tw As ~ X15r)I,JC- S~S~riti> TC, A b+A 1v` U KL 1'4n i '~t ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner(Buyer Daniel & Joan Bruski Mailing Address 1438 East Oaks Trail Property Addre 1438 East Oaks Trail (Verification required from Planning & Zoning Department for new construction) Houlton WI 030-1042-30-00 City/State s Parcel Identification Number LEGAL DESCRIPTION NE , SW '/4 Sec. 20 , T 30 N R 19 W, Town of St. Joseph Property Location > ,Lot # Subdivision Plat: Volume page # Certified Survey Map # jj~~ (before 2007)Volume Page # Warfybeed # Spec house 0yesoto Lot lines identifiable [Iyes[]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 §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 th orm are true to the best of my/our knowledge. I/we am/are the owner(s) of the property described aboZ ranty deed recorded in Register of Deeds Office. Number of bedroo_ ~ /'-'i7,.~-~•~~'~' DATE IGNATURE OF APPLICANTS) ""Any information that is misrepresented may result in the sanitary pcrmit 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) f§ + R a - x i a~ wm won, S r{3 ~ 1 too = «Yyr i *g+ r t : 4 x t'ri t y. t „di.. t r? ( 31~. i Liu fit TU! .4 iyi `F t ~ij Arm 34.31 gig ij 5 L4 1 >g Ali t a,,^= r _ ~ ~r >rt a s Mr ;i'cy` xy Prv - t''MT SC,ye ty g w.3° V.i t'.M , y - ,}T 7~~y ' t a 5 9 n _ f t, s t 11 Wo v + n, 'X5 W WAly Ate N~j t y y ak ry cZ k m:d $ x'' a%C f r tr r°PS 5~ y g' €r x h i,~..w. nOa is tr " i .+e t 3' & aM ' K t r < t e' s"CAF w y s $ a rS: a r i } TA" v. 3 N Z _4 Pi.a y 'fie"• * & N 6C' i 't Y ~y 147, A ~ I - I . do r -al C, t~ g +~"2 ~,t z~.y"` t'~` ~ ss., n ro. a ..a~r rt ~y~r,3ri ~°v4 i~ ~ j n;' # 4.~ n~' Y1.~:~ i s t s g a p a i 1 d.~ ~~'F 1 `is - i eM1 r o For 4 AV AS - ~ N, oil cv, "M t Rol? ~ca t ~ rMf'iA+rl ex~~yyri.^,y.,~-~++f a~ Y 7 ad' C s b ~.K!l.+~k' m 51...' 'Q _.F t+ a? q .ar 4 Kill 3.al . ...ab. .k k f A f.' .t MC T ' T-A a .k # i F n c~ ti3 WISP ski " t k e..~ a J C a,, ~.r £ st tY k i3r £ lea, SAW A SAW AIM, tow-IN a ilk y RECEIVED c sT - ao ► 7- I SS Department of AUG 02$1 ALUATION REPORT #1899 S P Safety and in actor ante with Comm 85, Wis. Adm. Page 1 of 4 3 Professional ServiceT. CROIX COUNTY pJZ Schmitt Soil Testing, Inc. -OMMUNITY DEVE OP~T~-- 3 ,r1ty Attach complete site plan on paper not less than 8V2 x 1 TinchY5'1Yt'Size. Pla°iaw~ 4C St. Croix include, but not limited to: vertical and horizontal reference point (BM), rect ~j - - - - - percent slope, scale or dimensions, north arrow, and location and dist0l dd. Parcel I .D. 030-1042-30-000 Please print all information. Z Re e d By Date 15.04 (1) (m)). /S /7 Personal information you provide may be used for secondary purposes t I _,~Z 7 Property Owner 7 Property Location v Bruski, Daniel, & Joan Govt. Lot NE114, SW1/4, 520, T30N, R19W Property Owners Mailing Address Lot # I Block # Subd Name or CSM# 1438 E Oaks Trail City State Zip Code Phone Number City Village Town Nearest Road Houlton WI 54082 715-549-6237 St.Joseph E Oaks Trail New Construction Use: Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement Public or commercial -Describe: Parent material Glacial till Flood plain elevation, if applicable NA_ General comments Area is suitable for a mound system. System elevation is 97.70' based off a contour line established at 96.70'. Slope of area is and recommendations: 18%. Depth to limiting factor is 24". Skofdod DClerf `fOnln Boring /,ZltiVt'!- Boring # rn~t S I ' Pit Ground surface elev. 97.0 ft. Depth to limiting factor 24 - Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consisteni;a oundary Roots GPD/ft2 in. Munsell - _ Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#t Eff#2 1 0-9 10yr3/3 none sil 2mgr mvfr as 2m,2f 0.6 0.8 2 9-24 10yr4/4 none sil 2fsbk mvfr gw 2f,lvf 1 0.6 0.8 3 24-34 7.5yr4/4 c2d 5.56%2/8 grsl lmsbk mfr gw lf,lvf 0.4 0.7 fIf 7.5yr6/6 4 34-56 5yr4/4 7.5yr6/2 _ grsl Om mfi 0.2 0.6 - - - - - - - - Boring 2 Boring # Pit Ground surface elev. 96.88 ft. Depth to limiting factor 2 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistent oundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#t *Eff#2 1 0-11 10yr3/3 none sil 2mgr mvfr as 2m,-2f 0.6 0.8 2 11-24 10yr5/3 none sil 2fsbk mvfr gw 2f,2vf 0.6 0.8 - 3 24-35 7.5 r4/6 m2d 10yr6/6 y 10yr6/2 grsl lmsbk mfr as lf,lvf 0.4 0.7 t c2d 10yr6/6 j - grsl Om mfr gw 0.2 i 0.6 4 35-56~ 7.5yr4/4 10yr6/2 - 5 56-72 5yr4/4 c2d 7.5yr6/8 sl Om mfr 0.2 0.6 7 5yr6/2- - i Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS <.30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt 227429 Address Schmitt Soil Testing, Inc. Date Evaluation Conducted Telephone Number 1595 72nd St. New Richmond, WI 54017 7/13/2017 715-760-1978 SBD-8330 (R 07100) Page 3 of 4 Conducted by: Conducted For: Schmitt & Sons Excavating, Inc.. Name: Daniel & Joan Bruski Revocable Trust Thomas J. Schmitt, CST 227429 Address: 1438 E Oaks Trail 586 Valley View Trail City, State, Zip: Houlton, W1 54082 Somerset, W l 54025 Phone: 715i-7W-1978 PID: 030-1042-30-000 Signature Lot No. NA Date 2-1 / 7 Legal Description: NE1/4 SWI/4 S20 T30N R18W a Backhoe Pit Township, County: St. Joseph, St. Croix County A Bench Mark 1 El. 100.00' Top of S2" PVC Pipe A Bench Mark 2 El. 98.44' Top of 2" Pvc Pipe Slope= 18% 141-1 Scale 1"= 60' Contour Line El. 96.70' Contour Line Length 75' i ~ °RYN' P2o~~>y NOTE: For full view of Lot see Aerial Photo (Page 4 of 4) /-40 ~iNC .s/ I4RS/1y kE,4 PT/G SyJT CL~ LInVe ~Aks ~ouS E~ Lo pC X ~f~ VV 13, P/Zo peg