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HomeMy WebLinkAbout038-1241-09-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Co ty1, St. Croix Safety and Building Division INSPECTION REPORT nary Permit No: (ATTACH TO PERMIT) 600258 GENERAL INFORMATION e,6~~G State Plan ID No: ~O ~~0~ Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)] J v Permit Holder's Name: City Village Towns Parcel Tax No: TAMMY PREBISH TOWN O AR R IE 038-1241-09-000 CST BM Elev: Insp. BM Elev: BM Descripti /Range/Map No: (I r777ow 17.31.18.1311 TANK INFORMATION E ATION DATA TYPE MANUFACTU l , / CAPACITY STATION BS HI FS ELEV. Septic _ r j r5 ' / Benchmar 100O ,640 Dosing ~/v G Alt. BM ,J X4 60 A -k,"t o;l 7 a ~y Bldg. Sewer V t Inlet V73 gy, / I C St/Ht Outlet TANK SETBACK INFORMATIO 1~ J TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic / NA Rol, Dt Bottom Dosing 10 + A Header/Man. pd~ Aeration I", Dist. Pipe 7~0.~~ Holding Bot. System Ap Final Grade 71~. PUMP/SIPHON INFORMATION Manufacturer Demand St Cover GPM I• r ! (,O Model Number / lot ~p TDH Litt7• Friction Loss System Head / TDH'r Ft O q:7 6 Forcemain Length Dia. -7-7 o Well SOIL ABSORPTION SYSTEM BED/TRENCH Width , L( No. Of Trenches PIT DIMEN NS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS a j g / / S / SETBACK SYSTEM TO P/ BLDG F-:WEELLL LAKE/STREAM LEACHING Manufacturer: INFORMATION T e f S ste 1) CHAMBER OR yp v A UNIT Model Number DISTRIBUTION SYSTEM Gt4 ~e : ce// 10 Header/Manifold Distribution • Hole Siz x Hole Spacing Vent to Air Intake ,V1J 1* Length , Dia / Length Dia /-15- , Spacing r I /✓I~~ lam'„ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Ovepft Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Tren C • Bed/Trench Edges > 12- << Topsoil >17, I t / -Yes No Yes No COM N (Include crepencies, persons present, etc.) IW ctign #1: Inspection #2: Location: 931 216TH AVE We I ( IID+ %ns~ I ~d s y~c~ 1.) Alt BM Description = ` 2.) Bldg sewer length 1~ - amount of cover - ` • Ewa'` yt l"01 covet on al p'- pjok / Plan revision Required? n Yes No Use other side for additional informafof n. Date I pctor's Signature Cert. No. SBD-6710 (R.3/97) --)*17((A0 k t t '-Ye- c~~" VVOS _P(eq 0 s. County Industry Services Division 1400 E Washington Ave S in by Co.) ' s Q ~ Sanitary Permit Number (to be filled P.O. Box 7162 y S Madison, W{ 53707-7162 i S5. TSIONPV 1 Sanitary Permit Apn NI p N D J H D XAG H State Transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission-0 ""'i 13 is required prior to obtaining a sanitary permit. Note: Application i_. iur stattrwned POWTS are submitted to the Department of Safety and Professional Services. Personal information you provide may be used for secondary PI Address (if different than mailing address) u ores in accordance with the Privacy Law, s. I5.040)(m), Slats. I. Application Information-7D_ All Information Parcel # Property Owner's Name Property Locati ty Owners Mailing Address / Proper f7 ) - Govt Lot Zip Code Phone Number -5 ti(/ on secti City, State ` y p(circle T-5V N R~O E r II. Type of Building (check all that apply) Lot ® Subdivisi 1 or 2 Family Dwelling - Number of Bedrooms ok . ❑ Public/Commercial -Describe Use 90244 Blau k o OSt,~ ❑ City of ❑ State Owned - Describe Use ❑ CSM Nwnber Village of y Town of .9 Jh IiI. Ty a of Permit: (Check only one box on line A. Complete line B if a plicabie) c*NI A. New System ❑ Replacemefff System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued B. Plumber Owner Before Expiration V ' Lay ~v IV. Type of POVdTS Systern/Component/Device: (Check all that apply) ❑ Non-Pressurized In-Ground ❑ Pressurized hi-Ground ❑ At-Grade ❑ Mound > 24 in- of suitable soil JZ Mound <24 in- of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dis ersaUTreatme Area Information: Design Flow (gpd) Design Soil Application Dispersal Area Required O Dispersal Area Proposf~ System Elevation ` C Rate(gpdsf) ' 7 ? VI. Tank Info Capacity in o Gallons TOW r of - U Y y Gallons Units WJ d )4ia~ufu c U 0 .9 2 2 2 :2 C7 i= L" New Tanis ( Existing Tanis l Septic or Holdina Taafi n ❑ ❑ 11 11 Dosing Chamber ❑ ❑ VII. Resp risibility Statement- I, the undersigned, assume res si ility for installation of the POTS shown on the attached plans. Plum Y Nam (P I} / Plumber' t~atur MP/htPRS Number Business Phone Number Plumber's Address (Street, City, State, Zip Coyle) VIII un IDe artment Use Only Issuin sent Sigrat Permit Fee Date 711 Approved iven Reason for ial s IX. Condit5~>easous for Disapproval 3~ Q~ t;~ wt •5~ Z~' 1. Septw ark, ern: 01te end 1 ti;sper.:,i cell trust all be so ices !_to mta; ec 1- ro~ A ~ as per „tar.3gemen'. pion pruriaed by plumbee. f%O~.Jl~e~ r 6a- 2. AO xetbark rec> i+et:^.en:s mtrst.oE ~ rtt, it^e t O~w W~.- as per aprWb{a codl* ~,in :attach to complete plans for me system and submit to the Count}' only on paper not less than 8 r2 s t sil /16 G S3 - _ _ 1 !E5. ~~~y x7.~ F.~T DIVISION OF INDUSTRY SERVICES 2331 SAN LUIS PL STE 150 GREEN BAY WI 54304-5211 Contact Through Relay 'P http://dsps.wi.gov/programs/industry-services www.wisconsin.gov IN, N' Scott Walker, Governor 1510 Laura Gutierrez, Secretary October 26, 2017 =.Iiw ;lo, CUST ID No. 224263 ATTN.; POWTS Inspector KIM A OCONNELL ZONING OFFICE KO CONSTRUCTION ST CROIX COUNTY SPIA j 504 3RD AVE E 1101 CARMICHAEL RD OSCEOLA WI 54020-8173 HUDSON WI 54016-7708 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/26/2019 Identification Numbers Transaction ID No. 3013509 SITE: Site ID No. 843781 Tammy Prebish Please refer to both identification numbers, 931 216TH Ave above, in all correspondence with the agency. Town of Star Prairie St Croix County SW1/4, NW1/4, S17, T3 IN, RI 8W FOR: Description: Mound System (2 Bedrooms - New Construction) Object Type: POWTS Component Manual Regulated Object ID No.: 1731364 Maintenance required; 300 GPD Flow rate; 23 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), SSWMP Pub. 9.6; Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s. 145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • Preserve dispersal area prior and during construction to avoid disturbance, compaction and use of the site. • With new construction; it is recommended not to activate the pump in the dose tank until the tanks are pumped prior to homeowner occupancy. • Wastewater generated from contractors cleaning of equipment and tools and/or left over construction products shall not be discharged into the drains discharging to the private onsite wastewater treatment system (POWTS). Waste generated shall be properly disposed of on-site or off site. • Any tall grasses, leaves and shrubs shall be cut short and removed prior to tilling the surface for installation to prevent matting under the dispersal area. All loose organic material to be removed from mound area. • Divert surface water from POWTS Area. • Prior to construction of the dispersal area check the moisture content of the soil to a depth of 8 inches. Smearing and compacting of wet soil will result in reducing the infiltration capacity of the soil. Proper soil moisture content can be determined by rolling a soil sample between the hands. If it rolls into a 1/4- inch wire the site is too wet to prepare If it crumbles site preparation can proceed. If the site is too wet to prepare, do not proceed until it dries. • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 KIM A OCONNELL Page 2 10/26/2017 • Insulate building sewer beyond 30 feet per SPS 382.30 (11)(c) • Well setbacks to meet chs. NR 811 & 812 • Tank Installation to follow all manufacture's recommendations. • SPS 383.54(1)(e) The management plan for a POWTS shall specifically address the servicing mechanics of an aerobic or anaerobic treatment tank or a holding tank where either of the following conditions exist: 1. The bottom of the tank is located more than 15 feet below the elevation where the servicing pad is located. 2. The bottom of the tank is located more than 150 feet horizontally from where the servicing pad is located. • Verify property line(s) prior to installation. • Pump Floats to be set and verified per approved plan. Any changes may result in pump resizing to meet TDH and GPM Specifications. • Areas that are occupied with rock fragments, tree roots, stumps and boulders reduce the amount of soil available for proper treatment. If no other site is available, trees in the basal area of the mound must be cut off at ground level. A larger fill area is necessary when any of the above conditions are encountered, to provide sufficient infiltrative area. Owner Responsibilities • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval SPS 383.54(1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/install at i on/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 Fee Received $ 250.00 Balance Due $ 0.00 Tim Vander Leest WiSMART code: 7633 Private Sewage Plan Reviewer, Division of Industry Services (920)492-2214 , Monday - Friday 6 am To 3:30 pm tim.vanderleest@wisconsin.gov KIM A OCONNELL Page 2 10/26/2017 • Insulate building sewer beyond 30 feet per SPS 382.30 (11)(c) • Well setbacks to meet chs. NR 811 & 812 • Tank Installation to follow all manufacture's recommendations. • SPS 383.54(1)(e) The management plan for a POWTS shall specifically address the servicing mechanics of an aerobic or anaerobic treatment tank or a holding tank where either of the following conditions exist: 1. The bottom of the tank is located more than 15 feet below the elevation where the servicing pad is located. 2. The bottom of the tank is located more than 150 feet horizontally from where the servicing pad is located. • Verify property line(s) prior to installation. • Pump Floats to be set and verified per approved plan Any changes may result in pump resizinp_ to meet TDH and GPM Specifications. • Areas that are occupied with rock fi-agments, tree roots, stumps and boulders reduce the amount of soil avallaUlC IOf P1 UPC1 UCatlllClll. 11 DO OLH SLLC LS aVallabl8, 1rCCS in LhC basal area of die IDOLmdmust be cutoff at ground level. A larger fill area is necessary when any of the above conditions are encountered, to provide sufficient infiltrative area. Owner Responsibilities • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval SPS 383.54(1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 Fee Received $ 250.00 rr/~/i7 Balance Due $ 0.00 Tim Vander Leest WiSMART code: 7633 Private Sewage Plan Reviewer, Division of Industry Services (920)492-2214, Monday - Friday 6 am To 3:30 pm tim.vanderleest@wisconsin.gov MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application RFC I\! INDEX AND TITLE PAGE pCT 10 201 Project Name: Tammy Prebish (-EVIGES Owner's Name: Tammy Prebish Owner's Address: 931 216th AVE New Richmond WI 54017 Legal Description: SW--NW--sec17-T31N--R18W 17,53 Township: Star Prairie County: ST Croix Subdivision Name: Hidden Ponds Lot Number: 9 Block Number: Parcel I.D. Number: 038-1241-09-000 Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Plot Plan Page 10 Soil Evaluation Designer: Kim A Oconnell License Number: 224263 Date: 10/07/17 Phone Number: 715-381-7917 Signature: Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SBD-10691-P (N. 01/01, R. 11/12), and both SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01, R. 10/12) Version 7.0 (R. 11/12) Page 1 of 9 Mound and Pressure Distribution Component Design Desian Worksheet Site Information (R or C) _ R Residential or Commercial Design Note: sand till (D) calculations assume a 200.00; Estimated Wastewater Flow (gpd) Table 383 44-3 in-situ soil treatment for - fecal coliform of 36 inches. 1.50' Peaking Factor (e.g. 1.5 = 150%) 300.00 Design Flow (gpd) 7.30 Site Slope 96.05 Contour Line Elevation (ft) 23.00 Depth to Limiting Factor (in) 0.40 In-situ Soil Application Rate (gpd/ft2) Distribution Cell Information 50.00 Dispersal Cell Length Along Contour (ft) = 6.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ft2) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point Y in the distribution Y Pressure Disribution Information network? Enter Y or N (C or E) e' Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation (ft) 2 Number of Laterals of the highest point. 0.125 Orifice Diameter (in) 1.50 ~t'rnated Orifice Spacing (ft) = 4.55 ft2/orifice ! 2.00 Forcemain Diameter (in) _ i 100.00 Forcemain Length (ft) Does the Forcemain drain back? [ Y 87.50 Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 16.31 Forcemain Drainback (gal) 9.47 Vertical Lift (ft) 44.63 5x Void Volume (gal) 1.62 Friction Loss (ft) 60.94 Minimum Dose Volume (gal) 0.00! In-line Filter Loss (ft) 27.19 System Demand (gpm) _ 17.58 Total Dynamic Head (ft) 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 x 2.00 1.50 x x 3.00 2.00 x 3.00 x Gallons/Inch Calculator (optional) Treatment Tank Information 1000.00; Total Tank Capacity (gal) 1000.00 Septic Tank Capacity (gal) 36.00 Total Working Liquid Depth (in) Wieser Manufacturer 27.78 gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 600.001 Dose Tank Capacity (gal) i Ploylock Filter Manufacturer 16.76 Dose Tank Volume (gal/in) ; PL 525 Filter Model Number Weiser Manufacturer Project: Tammy Prebish Page 2 of 9 Mound Plan and Cross Section Views T 1/10 B . J Observation Pipe . . . . 1 . K 00, Q Q A W is--: B I :;:13I..' L Mound Component Dimensions ft A A13.00 ft E 18.26 in H Aft ft K [Aft B ft F 9.50 in I ft L ft D in G 0.50 ft J W 300.00 (ft2) Dispersal Cell Area 840.27 (ft2) Basal Area Available 6.00 (gpd/ft) Linear Loading Rate 5.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 98.93 (ft) ♦ H G 1 F Dispersal Cell 97.63 (ft) Lateral 97.13 (ft)-i - Invert Dispersal Cell f Elevation E D 3 r 41 n4 96.05 (ft) Contour Elevation 7.3 % Site Slope Geotextile Fabric Cover Shading Key o - Dispersal Cell See lateral details on -0 T 1J 0 Topsoil Cap o 1.5 ft Page 4 for number, size, 20 «ff•.. Subsoil Cap too ❑5 0 and spacing of laterals. © ASTM C33 Sand 6 ea / Laterals are equally v Z F spaced from the Tilled Layer 6 d 0.5 ft Tvpical Lateral N distribution cell's ©0 Aggregate o 0 centerline in the A distribution cell (AxB). Project: Tammy Prebish Page 3 of 9 End Connection Lateral Layout Diagram Gentar the lacer aL_ r.. er U,e E: drmensn-.r, Turn-up •ni ball vslva •r cleanout pluu All lateral- are i4entrcal 1~ X=.l Holes drillad on tha bc•tt- of the lateral equally -paced Lateral &forcernam Sch 40 PVC per SRS Table 38430-5 Fc.n_ e myin r._.nne, i -to-,et Cr _r=__ , m-.J p~•int. Number of Laterals 2 Orifice Diameter 0.125 in Lateral Diameter 1.50 in Orifice Spacing (X) 1.52 ft Lateral Length (P) 48.64 ft Orifices per Lateral 33 Lateral Spacing (S) 3.00 ft Orifice Density 4.55 ft2/orifice Lateral Flow Rate 13.59 gpm Manifold Length 3.00 ft System Flow Rate 27.19 gpm Manifold Diameter 1.50 in Total Dynamic Head 17.58 ft Forcemain Velocity 2.78 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and SPS 316.300 WAC 4 in. min. Disconnect -i- Tank component is properly vented A Alternate outlet location Forcemain diameter Weiser Manufacturer 2 in. Capacity600.00 Gallons Volume 16.76 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 22.16 371.46 B 2.00 33.52 C Pump off elevation (ft) C 3.64 60.94 88.17 D 3 8.00 134.08 D Total - 35.80 600.001 11 Doe tank elevation (ft) 3'r Bedding under tank. 87.50 Alarm Manuafacturer RJS Rhombus _ Note: Switches Alarm Model Number tank alert containing mercury may not be used in Pump Manufacturer Goulds this system. Pump Model Number PE 51 Pump Must Deliver 27.19 gpm at 17.58 ft T D H Project: Tammy Prebish Page 4 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name Kim Oconnell Phone; 715-381-7917 1 11-11-1-11 POWTS Regulator's Name ST Croix CTY Zoning Phonel_715-386-4680 System Flow and Load Parameters Design Flow - Peak 300 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 200 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 300 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu1100 mL Service Frequency Septic and Pump Tank Inspect and/or service once eve 3 ears Effluent Filter Should inspect and clean at least once eve 3 ears Pump and Controls Test once eve 3 ears Alarm Should test month) Pressure System Laterals should be flushed and pressure tested eve 1.5 ears Mound Inspect for ponding and seepage once every 3 years Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to SPS 384.30 (6)(i), Wis. Adm. Code. 3. 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 MLong Grade 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Sweep 90 or Two Degree Bends Same Diameter as Lateral Project: Tammy Prebish Page 5 of 9 Mound System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General This system shall be operated in accordance with SPS 382-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD-10691-P (N.01/01, R. 11/12), SSWMP Publication 9.6 (01/81), and Pressure Distribution Component Manual Ver. 2.0 SBD- 10706-P (N. 01/01, R. 10/12)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with SPS 383.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1 /3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BODS, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BODS, 30 mg/L TSS, 10 mg/L FOG, and 104 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Pretreatment Units The information and schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment units or disinfection units are attached as separate documents and are considered part of the overall management plan for this system. Submersible 7~7(,IOULDS PUMPS K' Effluent 7 r ~u. - SPECIFICATIONS MOTOR FEATURES General: Corrosion resistant o Pump Discharge: 1Genera{: Single phase construction. ti 'h_°NPT Temperature: 10410F (400C) ° 60 Hertz m Cast iron body. maximum, continuous when ° 115 volts o Thermoplastic impeller and 1 Y fully submerged. ° Built-in thermal overload pro- cover. ° tedon with automatic reset a Upper sleeve and lower Solids handling: 'Y maximum sphere. ° Class B insulation- heavy duty ball bearing • Automatic models include a ' Oil-filled design. construction- APPLICATIONS float switch. 5 High strength carbon steel M Motor is permanently © Manual models available. shaft lubricated for extended Specially designed for the e Pumping range: see PE31 Motor service life. followi • Moun uses: "performance chart or curve- o .33 HP, 3000 RPM o, Powered for continuous • Mound d Systems • Effluent/Dosing Systems PE31 Pump: • 12.0 Maximum amps operation. • Maximum capacity: 50 GPM • Shaded pole design m All working limits of the motor. • Low Pressure Pipe Systems ratings are within the • Basement Draining ° Maximum head: 25` TDH PE41 Motor. Quick disconnect power cord, 20' standard length, • Heavy Duty Sump/ PE41 Pump: ' 4 0 HP, 3400 RPM Dewatenng • Maximum capacity: 60 GPM ' 7.5 Maximum amps heavy duty 16/3 SJTW with • Maximum head: 29' TDH ® P5C design NEMA 5-15P, three prong, PE51 Pump: PE51 Motor. 115 volt grounding plug. • Maximum-capacity: 70 GPM • .50 HP, 3400 RPM ® Complete unit is heavy duty, • Maximum head: 37' TDH • 9.5 Maximum amps portable and compact. © PSC design M Mechanical seal is carbon, METERS FEET, ceramic, BUNA and stainless _ ..._SMDDErS: PE31, PE41, PE57; steel. 40 PESi - HP: 33_40-50 0 Stainless steel fasteners. 35 - - 1 o k - z GPM AGENCY LISTINGS 30 PE4i 1 FT ...gym 4 25 _PE31 _ w t - r Tested to UL 778 an 20 - CSA 22.2 108 Standards n r,, By Caaadarr Standards Asssadalion - - - - - the AR38549 o Goulds Pumps is 150 9001 Registered. 5 - ` 0 0 0 i 0 i ~0 30 4p . 50~: 50 70 GPM~80 0 5 10 15 m3/h Goulds Pumps CAPACITY s.. l 1 E A3, ~ U ri f v P4, ST. CROIX COUNTY AND 0"WNERSH P CER.TIFTCAnON FORM Own=Sayer m ~ L-t-k'-P~ z Add, 3~ - } (N17JAcsdon requite ft= P1=m& & ZM1mg I(Inmm far nm comsgx=faM) CYtp'State Parcel Mwi ficat on Number o 32S I d - c~y a LEG- Property ElE,._ i/a ,Sec. a?'I R (J, ''ovyrl OS c ~i a Tr A, e Subdivision Plat Lot Certified Survey Map # , Volume , Page # Wanvat3r Deed # ( ace )Volume pa-ft 0 Spec house oyes,' no Lot rMa AWti& eXyW a no MTEM MALKIT .rTANCE AND 0 W1wTER G'ERTII 'I'TOIY improper use and maintmaace of your septic system could resat in its premamm failure to handle wastes. Proper mai mince consists of Pumping out the septic tank every three years or sooners if needed, by a licensed pumper- ghat you p= into the system can affect the f oa of tho septic tank as a treatmem stage in the ,vaste disposal s3am ovM W nMh t mace :espoasb es are sped in §SPS. 383M(l) and in Chapter 12 - St Croix y Sanitary Ordinance. i be property ownw agress to submit to St C x= Cary Planubg & .Zm=g DeparM= a clam form. Aped by the owner and by a master plumber, journeyman pluatbe'r, restricted plumber or a licaused pumper v%-fyiag that (1) the on-site wastewater disposal system is in prom operating comditiom mWor (2) ate inspection and Ping (ifn y), the septic tank is less than I/3 full of sludge. Uwe, the undersigard have read the above requiremeaLa and tQ maintain the private sewage disposal system with the standards set ft1k bw=6 as set by the Dqartzaam of Sakly And PrWwoes and ft ofN I Rte, State of W-mmm tune sMM9 d= your septic system bas b am mamftmed must be. meted sad mftmed to the St CroiX Cody Pl WiWin 30 days of the dune rate. Uwe certify that all sta#emarts on form are true to the best of my/our 1¢towl04g& 14m am/are the owner(s) of the property described above, by of a deed receded m Register of Deeds Of Rce. ?dumber of bedrooms cz~ C ~ STOMATU" Or APPL!`CANTT(S'). DATE * Ain. ortnatian that is mzszegresetcted may result ffi the ssuitat3' Permit bed revoked by the Plamung & Zowg Depwiment * Inckode whir this application a recorded warranty deed Tram the Register of Deeds Of Bee and a copy of the cmt bed survey Map if reference is made in the wanwity deed (REV. *€/D?) x 104. 6 5.3 979.5 \ ~ 1 l ♦ f. 7' t ; 79.2 ~ 961.6 Ate, ~Y+ \ t \ "f r!, r' ~ {f = • • .Z .010 963.2 t t Y I f► ' 67.91 / ' 9 4 \ i 9 6rl 965 . 5 \ ♦ ~a \ \ 59 5. p ` ESA ♦ ♦ » 963.~ ,4964.9 fy, 79.7 Y i 9519. 1 t }962.4 969.1 x 960-3 ` ORES \ h`' OR FT. . 8.0 . 9675 i~ i> Wo e r ~Y 75.2 : w ~ . ♦ - , ~~f,, i f ~ ` fi.• •*..r..-• • I v+-4+ ,Y--r'u'm f:"2.030 A ` Y Y r1 '975.1 ft 26 *Atoll d 979 SURVEYOR: HIDDEN PONDS m" ZAW a OF IyI,GG COUNTY PLAT OF; SAN LAND RIM 2920 DUE SW ~POUCaLS," LOCATED IN PART OF THE SW1/4 OF THE NW1/4 AND IN PART OF THE SEl/4 OF THE Rim, N 51016 5 ~ 'All NW1/4 OF SECTION 17, T31N, R18W, TOWN OF STAR PRAIRIE, ST, CROIX COUNTY, WSCONSIN. PREPARED FOR: . 44DUS4. / y w: TTR OESTEOPIANT, LLC TABLE•DRAIINNADE TABLE•DRABIAAE 7ABLE,DRAp6AGE TABLE-DRAINAGE 775 PRATOE CENTER DPoNT 6 EASEMENT W EASEMENT 7T EASEMENT T EASEMENT'Y 160 FLAGS* C01 WTE CENTR , EDEN PRN16E, NN 55344 / mcmw 0sr. / a rm, mr. / W C70 X1 / mcnav usr, / OBEcmw 052 / MEC70 DST / WE PW asr / Dwcnm xr. / mcm v 054. Cl SM n7T 75601 W MIY919Y 44,ir NI -1127Y 71.26' n 5x768T 107855 0 N5779'J9T 88l' f 581'18}155 16681' J11 SLPJ70T M69' X NW"V 24.19' .04 59790055 5157' Y '-I G7 S40,1 jT 65755 GIONIIY71P55 6211' 441 SWiJ'955 1l1.i.i5 P 5001111- 1657' 0 N17951T 5110' ,0 7 79'855 8%' AJ N51371RT 171' 2#AW91W55 go 715 N8J97P055 5071' TABIF•DAAINAGE FI 01 %57YJIY 166.% 611 NU1Y60755 1577' Ni sPoAYBT IJ SWYI'8T SS11' 9 M1MNw 8r9' A %1W'u55 4449' dl N95601T 60655 ds N17M51T 1911' J%S7JOYWY 1481' EASEMENTT v 6 04 5765911097 1110' 611 A687817T 1126' NI 57J78'ISY 1065' N SWN}YV 959' 7)0 NkIJYYY 5151' JI 57077'955 x155 45 A'MN9'WT 57%' .556 M1WJ855 5516' 7775599'0055 99' 1fpt, G5 %19718T 6451 617 N01x15T 21.0 NS S731845T II8' 15 511905T x00' III N%'ISY9Y %P, J 445824'1155 JIJ5' J614#4971[ Mar 47NIJX38-076.61' A5173$H 555 5091' f wan 4772 _ _ _ _ _ W N75N9DIT In' 611 N1157J4N x00' 16 N75J111T 1918' N sw:tIT 114755 n7 NWW}7T .2861' d M17739Y 5226' 717 4445015567 JIA' 726444431'7)55 4419 755 577W'.mY 5219• 97 5=26T 4290' 447 N511159T 91.87' 1:1 56071'1955 6755' 67 Y( 12%' S5 N88717YY 15100' J7 T 15 A' J18 %9570AUY F5T 51.19' N%}I}0Y 6751' NJ 501'A579Y 6751' 68 A0497 MY'197tT 60.155 565%177YC 2107' NB At vyw)r 8171' Wn9w 448579017 1911' 719 M73YOn It 2616' 7950%77V55177 6510' Al 44998716 8761 / M 5900'955x255 Kt f15076T 1261' 9 22004 If 3905 770$ 01767 119' 415112J27'E 9161' 74 NpXYf M75' NBB°I7'27'M KS 447 XN' us6' / d056079WT 1831 771 k8x51T AA' 725091}16 5971' 7A7 44/197717 44755 ' K6 AWWx'Y 1x61' 61 016 M 711 SM704T 771445700077 816' 711 21764955 2917 V AI10Wx'Y 157.9 ULU, Ku DIST.- 131W \ e ` \ \ 449E-+6147 s mwff 21174 Tp \ \ P CJ Y WA / 99511 6' 8' '4c \ I. / _ \ 11 01j/' 8'l :'ICI T77 ° g ~p^758 \ \ 01 / aw9A¢ v` ) r~-avo NNE-1 LOT3 EA¢XN77 f W \ 2447 In I ptVl/¢ G¢INY~ NI CA4]G'Y ~ Ada { ri' I S\\ \ °G \ I iaa sa o FT. I v N9E.66ao I J r I. LOT 5 / 1 1 144 \ y'\\I 1 / 31 T4 / N un AAM sl 5{ 6 ..I 4 / /547/ / d I / I y \ ( / I (LIM N&0 1447 M I I '.1 \ '.017 \Y U• 1y1. a L7 . i ...7 AI/ HE. 9520 "I mwa P50 \ I SWT m 7)l I b 4792 ~ 6u15 V !I / a'LdY¢ 1, P I1 \ \ ` J. aP~\yr 7)1 t 7)e t4MTT' \ \NJ \ .iN -""F$ NN't4t/Y7 1DLrt 5 _ WI / / / ^ ee 447E415.75 \ \ Dry 9579= _-1 BKgtl'IM1°t - - _ _ _~_1_ 1yi1} dI / $ 1 _6t 6 / 4 ft \ 9 9 AVENUE-- I ml LOT 10 267 a "ti^ xrwxl IAa990. FT.l I Y h 4 TN ptgtr7 %&w 449_ 1'-_. wIO _.777 7 7)0 LOA - %7.15 I \ 9511 2 - rc• 6s2D 8'l %u -56zN- - N / I LOT9 % - 01 WR 3T 5T / R T'-"`IP11 ~cew+p 4h),_ _o a- m o~ ~ auExrY~ o ; ~¢3~1 / l8A •867.15 / P7- - / 01 \ NE-%{Y 1'~ BE F4AI6B9ED / p6~ I; D1 Y~a¢ ¢ ammUX 6 t / 1 PGJF#l9r Y / 15A' A a DRAMW . ati 141 ~ ~ u¢+ENr 7 c LOT7 e Lq I 1170 AM 441E444L0 44,511 S0. FT. LOT 6 / LOTS LAD. -910 tax A 5 ~ 20 AM SIX M FL f~ RA% °a FT. L&a . OLD O\ V.Lti:s~ ~-588°96"ZZ~P5N,15' ^ N¢E or, all Or ' TA %.1 -9152 I/{ 191 ASTABLE- DRAINAGE EASEMENNT TABLE•DRARABE 1 p v yw EASEMENT? / / Laxcm9+ 115T. W= 057 a_' •_f s EASEMENTV 1 - - a / 06YCmw asr / o'41 q; / XT / WLCmw 47 W 5ra14uY lan' 012 o'E7Y 1400' / AWoffm N or. pi rar x777'955 7260' P16 W A51N9YIY 5979' PS M.W4 MJ7,NY x7)' P44 S1I7tl7gT 0.19 W NxDY9Y 1770' olj OIJmn 00781x55 7755' TABLE•DRAINADE YI 6%2421155 10111' P7 SrVJOT 47.74 P17 12455 51.%' P9 4471955157 x7)' P47 91300T eW' 03 axUr955 4719 014 x1VOW9 x69 EASEMENT N n 52851T um TABLE•DRAIM Pi %805J,E 1870' P18 5167157t 1°44' P2 N20771 x17 P4825,48'%Yx.71' 01 N,U152Nt 1572' 015500VJRT X-V 91 5592WY /7455 ' EASEMENT I.• N 547807T 71.67' PIP Stl703655 107.71' P9 MO VOT 5714' PO SZN7 OT 4J8' 05 AW94011 447x' OH 511"T 1919 / =1. 032 W 557717155 AAY C P5 529N'S'Y xSr P20 S79711}17' 5.%' P9 NMX7 AIR' P505857011 COP' W N9907T 27%' 017MV22T 459' M x' / Arnw a52 / WScra 032 F5 SBtGO'S9558155 P11576787055 2964 P85615YJIT 9.91' PSI 5%18'166 x955 07 Wall 12655 OM IKDItlfifY 72A' 447 XC77ktlT I77J' LY wmyv a7'. 426. ' !1 M70111Y 67H' U N10'IYJ1T 965' P7 561267944 822' P22 AN MWV 2594 PJ7 2$WJ55111.54' P57 5719YIST 1969 Z 440055517)1' 2W 019 AWW11Y WK NJ 57955155 ISJY 557 %65550055299' Q !1 57900x55 2916 L9 SB1D1}7T 5595 Po 5579'055 x17 W NW9'14Y 817' P9 SWWWW J145' Pit "4T 4129' 09 N71uf5Y16 1945' 029AWW" 57.19 N4 Snid955 MY 558 MIWa55 6771' 1 U A'x7J00Y 7165' UO 58555446 72%' P9 S *'4J55 977 PN 4429741955 11.97' P9 AWN5NT 579, PR MUM 5575' 09 588175755 12955 071 AWW}6Y 9%' N5 5776'4455 7719' N M791Y6T 11.055 0 4417}615555 It%' Lil 55957255 JLBY *!I PIO h55}10755 ISOt Px 4419787}6 868' P40 292WY 171' P51511155955 x055 011 586000055 1000' % 447)950155 P.9' n05%24}0T %955 U WW.T 1116' !17 54492155 1218' Pit 44610156551600 ' P26 N0146217 ADM P41 NSIVWT 390 P56 SMY955701.11 N7 0726'dY%75' E k If %111141 7)59' 1114414//057 512, P12 A%N'Flf 2J9' P27AWVrX'N940' POMr9077)9' P5151 V2002718' AB N11W}7)+2J70' = u s%-vvt xix' PIJ NI/x'19552161' Px n95YT 299' PQ AWDIT 41.47' o9 s29N7NY 190 Al x61446}7 9&4 Pro Au7473155 no?' PN N794P552961 PN AR314JT 2915 P9 529447}155 16569 NIO SENXT 32.01 P15 1NRDYHY ax' Pm NMV" J171' Pty WWWT 977 PW 529YYN55 5665 i♦~ SCUF N FEET I' - su 2911 91sm>rm ae►rtD N WA NNE Al q 6115.06 0A1E 7)11517005 bfl@R 01/I5/SOD6 60' '0'60 SHEET 2 OF 3 SHEETS