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032-2076-60-010 (3)
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No (ATTACH TO PERMIT) 600279 GENERAL INFORMATION State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)] 3014763 Permit Holder's Name: City Village Township Parcel Tax No: CHRISTOPHER & ANDREA KAYE TOWN OF SOMERSET 032-2076-60-010 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: ~~dp t}a t,,;~, 14.30.20.7900-10 TANK INFORMATION ELEVATION DOA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic / Benchmark G t b~-i S ~ d~Od 'l, b'~ Para Dosing Alt. BM g. Z4 t5 Bldg. Sewer Holding St/Ht Inlet St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. ent to it Intake ROAD Dt Inlet 140 *y Septic ` ~O 7 0.11~ /d Dt Bottom Dosing 7L 3 1 3A Header/Man. 3, 7Z C) (v Aeration JJ Dist. Pipe 3. 72- /66 Holding Bot. System ~l 3 /~r0.33 PUMP/SIPHON INFORMATION Final Grade Z. 7 IDS - Manufacturer Demand St Cover it'- '74.5 GPM ✓ Model Number 1.6 Z 3Z.31 & aao U t,~ • 13 Cf c~ , s`j TDH Lift Friction Los System Hea $ 5 TDH Ft Forcemain Length Dia. 1 Dist. to well _ 23>s Z __j SOIL ABSORPTION SYSTEM 1-7.47- BED/TRENCH Width Length No Of rench PIT DIMENSIONS No. Of Pit ` Inside Di1 Liquid Depth DIMENSIONS ` 75 E \ \ \ SETBACK SYSTEM TO ✓ P/L JBBLDG WELL LAKE/STREAM LEACHING Manufacturer a INFORMATION CHAMBER OR Type Cstem: 7Z ~ 75 - ' A UNIT Model Number: t t DISTRIBUTION SYSTEM rLength_ ader/Manifolfi "If Distribution jxHale ize x Hole Spacing Ve Air Int e Pipe(s) 34 L,J Z. 53 _D ia /'6 Length '"A Dia H Spacing t .31 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 Bed/Trench Edges Topsoil QC No Yes E No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 1'7 Inspecti #2: r Location: 193 ANDERSEN COUT CAMP RD o5 - 1.) Alt BM Description = P. of 2.) Bldg sewer length = - amount of cover 6 ~Vlnsepctor' Plan revision Required? ❑ Yes No Use other side for additional information. J I__ ~ 1~ Date ignature Cert. No. SBD-6710 (R.3/97) I ST. CROIX COUNTY ZONING OFFICE CERTIFICATIOISTATEMENT FOR UTILIZATION OF EXISTING SEPTIC TANK(S) This is to certify that I have inspected the existing septic and/or dose tank presently serving the following residence: located (Street address) 193 Andersen Scout Camp Road at: NE '/a, SE 1/4, Section 14 Town 3 , Range 20 W, Town of somerset , St. Croix County Wisconsin. Upon inspection, I certify that I have found the tank(s), to the best of my knowledge, will conform to the requirements of SPS. 384.25, and it (they) appear(s) to be functioning properly. Most recent date of inspection or service Did flow back occur from absorption system? Yes No (if no, skip next line.) gallons minutes Approximate volume or length of time: _ _ g Tank Capacity: 1000/800 Other Construction: Prefab Concrete X Steel Manufacturer (if known): Week's Concrete Age of Tank (if known): 24 Years Permit number (if known) 193356 John Schmitt Print Name) (L' ensed Plumber Signature) MPRS 223760 (Title) (License Number) MP/MPRS w3o- i-7 (Date) Form to be completed by licensed plumber (Dept of Safety and Professional disposer Services Chapter 305 and s. 145.06, Wisconsin Statutes) o licensed (NR 113 Wisconsin Administrative Code) Rev. 2/2012 Page 14 is trr~iE?~;r~ County St. Croix Industry Services Division wiis oft N ~ ;lD S P 1400 E Washington Ave Sanitary Permit Number (to be filled in by Co.) P.O. Box 7162 S ~ / rI ~;?t^ Madiso 153707-7162 ~/t/l Z•7 N0~ UVV ~illt App 11C 11 State Transaction Number ST. YY 3014763 In accordance wil I q is. Adm. Code, submission of this form to the app ner al unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are su mitted,a Project than mailing address) ersen Address (if udtifC feamp rent Road the Department of Safe and Professional Services. Personal information you provide may be used for seconda Purposes in accordance with the Privacy Law, s. 15.04(1)(m), Slats. 193 L Application Information se Print All Information Property Owner's Name Parcel.4 Kaye, Christopher & Andrea 032-2076-60-010 OG-- Property Owner's Mailing Address Property Location 193 Andersen Scout Camp Road Govt. Lot City, State. Zip Code Phone Number NE ''/a, SE 14, Section 14 I loulton, WI 54082 circle one) f30N R20Eo 'A," II. Type of Building (check all that apply) Lot ft ® I or 2 Family Dwelling - Number of Bedroot 1:5 Subdivision Name ❑ Public/Commercial - Describe Use a Block 4 ❑ City of ❑ State Owned - Describe Use ❑ Village of Z-- CSM Nutt er 0 C 75 j4za5 ®Town of Somerset k III. Type of Permit: (Check only one box on line A. Complete line B if applic, le) A. ❑ New System ® Replacement System ❑ TreannenUl lolding Tank Replacement Only ❑ Other Modification to Existing System (explain) ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Perin it Number ~D4e Issu d B. V Before Expiration Plumber Owner IV. Ty e of POWTS System/Com onent/Device: (Check all that apply) J Cb ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ® Mound > 24 in of auitabl_~~=il ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dis ersal/Treatm nt Area Information: Design Flow (gpd) Design Soil Application Dispersal Area equired (sf) Dispersal a Proposed (s0 System Elevation 1357 100.28' 450 Rate(gpdsf) 750 0.6 VI. Tank Info Capacity in o o Gallons Total # of Manufacturer 71 Gallons Units E New Tanks Existing Tanks ' = U v ' O ~I N► Septic or I Iolding'hank 1000 1000 1 kJeek's C. P. ® ❑ ❑ ❑ ❑ Dosing Chamber 800 750 1 Week's C. P. ® ❑ ❑ ❑ ❑ VII. Responsibility Statement- I, the undersigned, assume responsibility for installations of tale POWTS shown on the attached plans. Plumbers Name (Print) Plumb igr.ature MPIMPRS Number Business Phone Number 1 G~i'7 C 223760 715 760-0486 John Schmitt Plumber's Address (Street, City, State, Zip Code) 616 150`x' Ave. Somerset, WI 54025 VI . Count /Department Use Only Approved Per//m~~itjFeeee Date ssue) Issuin gent Signatur . ven Reason for Denial S V 7T/ IV Condih I /Reasons for. Disapproval 3 ~.e Ct av~O t. eptn ark, erfltxn: nfte-vni OtSlxt:::,, crll rust afl be tc?s ' its _ ec ~ A~,~,~'~-+ as per maragement plan o!o rnoed by pluinbe:. 2. A& retfilet k frctJt3 ^en4s mtrit ue ma.nt. it E 4 Attach to complete plans for the systeni and submit to the County onI on paper not less tha, v2 x I t inches in size SBD-6398 (803/14) V PLOT PLAN N Project Name: Kaye 3 Bedroom Replacement Mound OW Subdivision Legal Description: eSN 14,S14 , T30N, R2Lot SCALE: 1" = 50' P. I. D: KX22.70- vision Name: Parcel Size- Township: County: 4 inch Sch 4D -ASTM D2665 Contour Line Elevation: Cell Dimensions: 2 inch Sch 40 -ASTM D1785 System Elevation Mound Dimensions: 1!2 Sch 4D -ASTM D1785 Slope W O BM1 Elevation: m of sidin on the house A BM2 Elevation:of dose tank manhole cover ® Backhoe Pits: Existing Septic Tank: 1000 gallon Week's C P Septic Tank Existing Dose Tank:iou01yal. Week's C. P. Dose Tank w/SIMITECH STF 100 Effluent Filter C( i 33~ ~ ~ cf ` ~ ~t I 0 \ ~ I 1 tl`~/c I I I Co TOU ~i~l` ~ a SrhL 17 3 6G00cg,v~ I r11i>,iN' H~triS'- x ~ ©6 LI I;^}C15-i ilk L, { ~J~~ Qi:iwS~I Page 12 ,tirn1r DIVISION OF INDUSTRY SERVICES v, )J 3824 CREEKSIDE LN HOLMEN WI 54636-9466 Q~ Contact Through Relay I P http://dsps.wi.gov/programs/industry-services y+ www.wisconsin.gov ryJG~ Scott Walker, Governor su Laura Gutierrez, Secretary November 10, 2017 CUST ID No. 223760 ATTN: POWTS Inspector JOHN F SCHMITT ZONING OFFICE SCIIMITT & 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: 11/10/2019 SITE Identification Numbers : Christopher Kaye Transaction ID No. 3014763 193 Andersen Scout Camp Rd Site ID No. 843928 Town of Somerset Please refer to both identification numbers, St Croix County above, in all correspondence with the agency. NEI/4, SEI/4, S14, T30N, R20W FOR: Description: Three Bedroom Mound System \ Sloping site Object Type: POWTS Component Manual Regulated Object ID No.: 1731997 Maintenance required; Replacement system; 450 GPD Flow rate; 27 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Ver. 2.0, SBD -10691-P (N.01/O1, R. 10/12), Pressure Distribution Component Manual - Ver. 2.0, SBD-10706-P (N.01/O1, 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. t~~~ The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. APPF 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. r The following conditions shall be met during construction or installation and prior to occupancy or use: "ij Reminders • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made wi the designated county official in accordance with the provisions of See. 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. • 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 0"y 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 ms ec~ tors- JOHN F SCHMITT Pagc 2 11/10/2017 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(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. • 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. Sincere/Y Fee Required $ 250.00 ~ This Amount Will Be Invoiced. and M Swim 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@wiscoi)sin.gov WiSMART code: 7633 cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pin MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Kaye 3 Bedroom Mound Owners Name: Christopher Kaye Owner's Address 193 Andersen Scout Camp Road Houlton, WI 54082 Legal Description: NE114, SE1/4, S14, T30N, R20W Somerset Township County: St. Croix Subdivision Name: NA Lot Number: 1 Block Number Parcel I.D. Number 032-2076-60-010 a-D Plan Transaction No. Ac Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications ~o a Page 5A Septic System Maintenanve and Operation _ Page 6 Management and contingency plan Page 7 Septic tank specifications Page 8 Dose tank specifications Page 9 Effluent filter information Page 10 & 11 Pump specifications and curve Page 12 Plot plan Page 13 Septic tank maintenance agreement Page 14 Existing tanks certification Page 15 Warranty deed Page 16 Map Attachment Soil evaluation report Designer: John Schmitt License Number: 223760 Date: 10/12/2017 Phone Number: 715-760-0486 Signature: ~ 1/77 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) Page 1 Version 7.0 (R. 03/2012) Mound and Pressure Distribution Component Design Design Worksheet Site Information (R or C) R` Residential or Commercial Design Note: Sand fill (D) calculations assume a Table 383-44-3 in-situ soil treatment for 30Q.00 Estimated Wastewater Flow (gpd) fecal coliform of 36 inches. 1.501 Peaking Factor (e.g. 1.5 =150%) 450.00 Design Flow (9pd) 0 0 11.001 Site Slope ) 99.53` Contour Line Elevation (ft) 1 27.00; Depth to Limiting Factor (in) 0.60' In-situ Soil Application Rate (gpd/fe) Distribution Cell Information 6.04 Cell Width (ft} 75.00; Dispersal Cell Length Along Contour (ft) = L 1.00Dispersal Cell Design Loading Rate (gpd/ft ) Are the laterals the highest point 1 Influent Wastewater Quality (1 or 2) in the distribution Y network? Enter Y or N Pressure Disribution Information (C or E) C Center or End Manifold 3.04 Lateral Spacing (ft) If N above, enter the elevation (ft) 4' Number of Laterals of the highest point. 0.156 Orifice Diameter (in) 2.50; Estimated Orifice Spacing (ft) = 7.54 fC/orifice 2.00` Forcemain Diameter (in) 230.00 Forcemain Length (ft) Does the forcemain drain back? Y Enter Y or N 87.231 Pump Tank Elevation (ft) 4.55 System Head (ft) x 1.3 37.52 Forcemain Drainback (gal) E 2.63 Vertical Lift (ft) 67.32 5x Void Volume (gal) 5.11 Friction Loss (ft) 104.84 Minimum Dose Volume (gal) 0.50; In-line Filter Loss (ft)4 32.31 System Demand (gpm) 22.80 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. o tions choice 0.75 1.25 x x x _ 1.00 x 1.50 I 2.00 1.25 x _ 1.50 x x . 3.00 2.00 x 3.00 x Gallons/Inch Calculator (optional) Total Tank Capacity (gal) Treatment Tank Information Total Working Liquid Depth (in) 1000.0 Septic Tank Capacity (gal) ,W al/in (enter result in cell B49) eek's C. P. Manufacturer g Dose Tank Information Effluent Filter Information SIM/TECH ~iFilter Manufacturer 80021..-7-'6'; 40Dose Tank Capacity (gal) - ~ Filter Model Number Dose Tank Volume (gal/in) STF-100_. _ ,Wieser Concrete ;Manufacturer Page 2 Project: Kaye 3 Bedroom Replacement Mound Mound Plan and Cross Section Views T ; J 1110 B : Observation Pipe K A W 1.... I... B z . L Mound Component Dimensions ft A A9.00 ft E 16.92 in H 1.00 ft K Aft B ft F 9.50 in 1 12.10 ft L ft D in G 0.50 ft J 4.61 ft W 450.00 (ft2) Dispersal Cell Area L1357.28 (ft2) Basal Area Available 6.00 (gpd/ft) Linear Loading Rate 7.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 102.07 (ft) 0 H G I l F Dispersal Cell (ft) Lateral 1100.78 ( Invert 100.28 (ft)---11- - Dispersal Cell D Elevation - E ~ q 99.53 (ft) Contour Elevation 11.0 % Site Slope Geotextile Fabric Cover Shading Key fl Dispersal Cell See lateral details on Fil Topsoil Cap o fl 1.5 ft Page 4 for number, size, G and spacing of laterals. 0 Subsoil Ca = Laterals are equally spaced from the © ASTM C33 Sand F ® Tilled Layer C4 N 0.5 ft i Tpical Lateral distribution cell's © Aggregate d o centerline in the _ •A• distribution cell (AxB). Project: Kaye 3 Bedroom Replacement Mound Page 3 Center Connection Lateral Layout Diagram Force main connection via tee or cross to manifold at any point. Laterals are identic at I P •=Turn-upVballvalve or FX---+-02 ( u12->j Laterals aforcemanSch40PVC cleanoutplug I Per SPS Table 384.30-6 Holes drilled on the bottom of the latetal Number of Laterals 4 Orifice Diameter 0.156 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.53 ft Lateral Length (P) 36.69 ft Orifices per Lateral 15 Lateral Spacing (S) 3.00 ft Orifice Density 7.50 ft2/orifice Lateral Flow Rate 8.08 gpm Manifold Length 3.00 ft System Flow Rate 32.31 gpm Manifold Diameter 1.50 in Total Dynamic Head 22.80 ft Forcemain Velocity 3.30 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and SPS 316.300 WAC 4 in. min. Disconnect Tank component is properly vented -E- Alternate outlet location Forcemain diameter Wieser Concrete Manufacturer 2 In. Capacit 800.00 Gallons T Volume 21.76 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 18.95 412.28 C B 2.00 43.52 P♦ ump off elevation (ft) C 4.82 104.84 88.15 D 11.00 ! 239.36 D Total 36,761 _ 800.00 Dom se tank elevation (ft) 3" Bedding under tank. 87-23 Alarm Manuafacturer SJE Rhombus Note: Switches Alarm Model Number 1036378 containing mercury may not be used in Pump Manufacturer rZoeller this system. : I I— - I-_ -11-11,11, i -_1______1_1 11,11-1 1 / Pump Model Number `152 Pump Must Deliver 32.31 gpm at 22.80 ft TDH Project: Kaye 3 Bedroom Replacement Mound Page 4 Mound Svstem Maintenance and Operation Specifications Service Provider's Name John Schmitt Phone 715-760-0486 POWTS Regulator's Name St. Croix County Zoning Phone 715-386-4680 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size Xcfu/100 in Estimated Flow - Average 300 gpd Maximum BOD5 mg/L Septic Tank Capacity 1000 gal Maximum TSS mg/L Soil Absorption Component Size 450 fe Maximum FOG mg/L Type of Wastewater Domestic Maximum Fecal Coliform 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 3 ears Mound Inspect for ponding and seepage once every 3 years Other SEE PAGE 5A Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to SPS 384.30 (6)(i), Wis. Adm, Code. 3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5, The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished Grade Threaded Cleanout 6-8" Diameter Lawn Plug or Ball Valve Sprinkler Valve Box Distribution tea, Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Page 5 Project: Kaye 3 Bedroom Replacement Mound Septic System Maintenance and Operation The Private Onsite Wastewater Treatment System at 193 Anderson Scout Camp area as well as the existing In- Ground soil Road will consist of a Mound soil absorption absorption area. Both areas will be utilized and fed from the existing dose tank, The mound soil absorption area will be used for 6 years or 2 septic tank pumping cycles, at which time the In- Ground area should be inspected to make sure there is no ponding in the vent/inspection pipe. If the pipe is dry (no ponding) then the In-Ground area should be utilized for a year and then alternated with the Mound area annually. Semi annual inspections to check for ponding in the vent/ observation pipes of the system in use should be completed. If over 4" of ponding is detected, switch to the other area. Both areas will have their own pump so switching from one area to the other will be accomplished by unplugging the pump in use, and plugging in the other pump. Access to the plugs will be in the electrical box located at the existing dose tank. Any problems or questions should be directed to the Service Provider listed on Page 5 or to the Pumper Page 5A 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. 10/12), 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 SODS, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BODS, 30 mg/L TSS, 10 mg/L FOG, and 104 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Pretreatment Units The information and schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment units or disinfection units are attached as separate documents and are considered part of the overall management plan for this system. Project: Page 6 SAFETY AND BUILDINGS DIVISION Plumbing Product Review commerce.wi.gov P.O. Box 2658 Madison, Wisconsin 53701-2658 ■ iscons'n TTY: Contact Through Relay Department of Commerce Jim Doyle, Governor Richard J. Leinenkugel, Secretary February 16, 2010 WEEKS CONCRETE PRODUCTS RAY WEEKS 1832 215TH STREET NEW RICHMOND WI 54017 Re: Description: SEWAGE TANKS, CONCRETE Manufacturer: WEEKS CONCRETE PRODUCTS Product Name: SEPTIC, HOLDING, OR PUMP Model Number(s): 1000 (49 IN. L.L., 21.76 GAL/IN., 84 IN.MAX. DEPTH OF BURY 511 G.P.D. WHEN USED AS A SEPTIC TANK BASED ON A 3 YR. SERVICE INTERVAL FOR RESIDENTIAL WASTEWATER;. TANK DIMENSIONS = 84 IN. L X IN. W X 49 IN. H) Product File No: 20100040 The specifications and/or plans for this plumbing product have been reviewed and determined to be in compliance with chapters Comm 82 through 84, Wisconsin Administrative Code, and Chapters 145 and 160, Wisconsin Statutes. The Department hereby issues an approval based on the Wisconsin Statutes and the Wisconsin Administrative Code. This approval is valid until the end of JUNE 2015. This approval is contingent upon compliance with the following stipulation(s): • This tank must be designed to withstand the pressures to which it will be subjected. • The manufacturer must keep at the manufacturing plant a set of plans and specifications bearing the department's stamp of approval. The plans and specifications must be open to inspection by an authorized representative of the department. • When this product receives wastewater from dwellings and is used as a septic tank, it will produce an effluent quality with a maximum monthly average value for BOD5 of greater than 30 mg/L and less than or equal to 220 mg/L TSS, or greater than 30 mg/L or less than or equal to 150 mg/L TSS, and F.O.G. of less than 30 mg/L. • Approval is issued for this product as being equivalent to a floor outlet water closet when the fixture drain is installed in the vertical position. The design meets the intent of s. Comm 82.32 (5) (c) and 84.20 (5) (n), Wis. Adm. Code, which requires water closets to discharge through a minimum diameter 3" drain pipe or fitting and the bowl to conform to ANSI Standard Al 12.19.2M. The intent of the code is met since this product provides the same functional performance as water closets that meet ANSI Standard Al 12.19.2M. • BEDDING: Bedding material shall be used to provide a uniform bearing surface. A min. of 4-inch base of sand or granular bed on top of a form and uniform base is recommended. The tank should not bear on rocks. Sites with high ground water tables should have specially designed bedding. Soils should be compacted under the tank. This approval supersedes the approval issued on 4/21/2005 under product file number 20050106. This approval letter shall be incorporated with your previously approved plans and/or specifications approved under product file number 20050106. As of May 15, 2008, a copy of a successful water tightness test report for this product must be AVAILABLE FOR INSPECTION AT THE MANUFACTURER'S PLANT prior to this product being used as a POWTS holding or treatment tank in Wisconsin. The department is in no way endorsing this product or any advertising, and is not responsible for any situation which may result from its use. Sincerely, Jean M. MacCubbin, CST Engineering Consultant--Plumbing Product Reviewer Commerce; Safety & Buildings Div.; PO Box 2658; 201 W Washington Ave.; Madison WI 53703-2658 Phone: 608-266-0955; Fax: 608-283-7456; E-mail: Jean. MacCubbin@wisconsin.gov SBD-10564-E (N.10/97) File Ref: 10004003.DOC Page 7 SAFETY AND BUILDINGS DIVISION ~`,wnarniL;`,r Plumbing Product Review o~ P.O. Box 2658 y~ Madison, Wisconsin 53701-2658 t ®S TTY: Contact Through Relay Scott Walker, Governor Dave Ross, Secretary \ssioN January 12, 2012 WEEKS CONCRETE PRODUCTS RAY WEEKS 1832 215TH STREET NEW RICHMOND WI 54017 Re: Description: SEWAGE TANKS, CONCRETE Manufacturer: WEEKS CONCRETE PRODUCTS Product Name: SEPTIC, HOLDING OR PUMP Model Number(s): 800 LOW PROFILE (cylindrical) (37.0 IN. L.L., 21.76 GAL/IN., 84 IN. MAX. DEPTH OF BURY, 848 gals. actual capacity for holding tank; 386 G.P.D. WHEN USED AS A SEPTIC TANK BASED ON A 3 YR. SERVICE INTERVAL FOR RESIDENTIAL WASTEWATER; TANK DIMENSIONS = 85 in. I x 80 in. dia. x 37 in. h) Product File No: 20120019 The specifications and/or plans for this plumbing product have been reviewed and determined to be in compliance with chapters SPS 382 through 384, Wisconsin Administrative Code, and Chapters 145 and 160, Wisconsin Statutes. The Department hereby issues an approval based on the Wisconsin Statutes and the Wisconsin Administrative Code. This approval is valid until the end of January 2017. This approval is contingent upon compliance with the following stipulation(s): • This tank must be designed to withstand the pressures to which it will be subjected. • The manufacturer must keep at the manufacturing plant a set of plans and specifications bearing the department's stamp of approval. The plans and specifications must be open to inspection by an authorized representative of the department. • When this product receives wastewater from dwellings and is used as a septic tank, it will produce an effluent than or quality with a maxim monthly raess for OD5 or equall tof15greater than 30 rng/L and 0 mg/L TSS, and O G.lof less than 30umg/Lal to mg/L TSS, or greater than 30 m9/L o • This product is approved to use the following: Two inch schedule 40 PVC cast in riser for electrical wiring. Pipe materials constructed in conformance with Table 84.30-2 or 84.30-11, Wis. Admin. Code poured into tank cover or access cover. - Department approved effluent filter designed to be installed in a four inch diameter tee with extension an installed in accordance with the product approval for the filter including a properly sized and located access opening for service and maintenance. - Department approved EZ Set and Polylok Inc., 24" riser cast into the tank cover. • BEDDING: Bedding material shall be used to provide a uniform bearing surface. A min, of 4-inch base of sand or granular bed on top of a form and uniform base is recommended. The tank should not bear on rocks. Sites with high ground water tables should have specially designed bedding. Soils should be compacted under the tank. File Ref: 120C'""' --C SBD 10564E (N.10/97) PaEe 8 1 i~ PRESSURE FILTER INSTALLATION & SERVICE INSTRUCTIONS FI LTER. 1455 Lexamar Drive Toll Free 888-999-3290 Office 231-582-1020 Boyne City, MI 49712 l%ax 231-582-7324 Email s~~l~°s_ir u;r~_yin~t~ch_c,nl Web INSTALLATION: When installing an STF-100, screw filter into discharge port of any pump that has a 2" National Pipe Thread. Pumps with a smaller discharge port maybe adapted to fit. When installing an STF-100A2 a tailpiece and male adapter will need to be added to the inlet end of the filter (end opposite of the cap) to the desired height and a 2" union will need to be added to the outlet end (the end closest to the cap & on the side of the filter). Always install the filters in a position where they can be easily serviced. 'Always use caution when starting threads to avoid cross threading''. Plumb force main into the 2" sch 80 PVC union. **We recommend that the union remain together during gluing to insure that glue or cleaner does not ruin O-ring or sealing surface**. SERVICE: Service of filter screen is dependent on usage as every system is unique. For most residential systems we recommend inspecting the filter within the first year to determine the necessary service intervals for the filter. In high volume systems we recommend inspection within the first 6 months to determine necessary service intervals for the filter. Once the service interval is determined it should be consistent unless something changes in the system. Always inspect the filter screen for any damage or corrosion and replace if necessary. If our STF-101 service alarm switch has been installed and adjusted properly it will alarm when the filter requires service. It should be serviced no less than when periodic pumping of the septic tank and pump chamber is performed. Servicing will be more frequent if using any one of our optional filter socks (600 micron, 150-190 micron, and 100 micron). Check your local health department for septic system servicing recommendations. If the screen becomes clogged before the periodic pumping requirements, a high level alarm or light will indicate the need for service. If system is equipped with a "pump on light" that stays on longer than normal, this also may indicate a need to service filter. To service filter screen, unscrew the 4" cap. Pull filter screen from canister and wash out thoroughly in appropriate location with proper protection. In some cases an additional filter screen allows quicker service allowing the dirty filter to be washed later at the shop. Note that in cold conditions the filter cap may be difficult to remove. Keep the filter in a warm area or pour warm water over the cap before removing. Once the filter is installed in the tank it maintains a stable temperature and removing the cap will not be a problem. If the system is equipped with our Service Alarm Switch, the filter screen does not need service until the Service Alarm Switch activates a light or audio alarm. We still recommend that the filter be inspected once a year for damage or corrosion. NOTE: The total dynamic head loss of the system must be increased by 0.5 feet of head to overcome friction loss through the filter. SERVICE ALARM SWITCH The alarm switch is available in three pressure ranges, low head, medium head, and high head. Installation is simple, on SIM/TECH FILTER systems, remove 1/4" plug from base of filter chamber and connect tube fitting. Next, run the tube up into the tank riser and connect to service alarm switch. The alarm switch is fastened to the side of the riser via the nylon strap provided. Run alarm wire to alarm box. The service alarm switch can be wired with its own alarm or with the high water alarm. Pressure adjustment is made by removing the end plug, and inserting the 7/32 alien. Clockwise increases pressure. One turn equals approximately 3 PSI. The low head alarm switch comes factory preset at 8 PSI and is completely field adjustable within it's range (3 to 24 PSI). We recommend the use of a ball valve when using an alarm switch. Once you have installed the filter and alarm switch, the ball valve can be closed off to simulate a plugged filter so that you can make sure the alarm switch is working correctly. ****TRY OUR LID/SCREEN REMOVAL WRENCH. Our wrench holds filter lid firmly and hooks screen for easy removal and installation. Made of PVC plastic. WARRANTY All products are warranted against defects in material and workmanship for a period of two years from the date of purchase. In no event shall GAG SIM/TECH FILTER, INC. be liable for any consequential damages or any labor, material, freight or expenses required to replace, correct or reinstall the product. GAG SIM/TECH FILTER, INC.'s liability is limited to repair or replacement of the part. All warranties are void if the product has been improperly modified, applied or installed, subjected to misuse or abuse. Except as stated herein, there are no warranties expressed or implied, including the warranty of merchantability or warranty of fitness for a specific purpose. EFFECTIVE September 13, 2005 D- SECTION: 2.24.047 M FM1919 Z,(U.r11 /TY / UMfr9MCE f~~J " ' ~t 0110 - Q Supersedes Product information presented 1108 here reflects conditions at time „ of publication. Consult factory regarding discrepancies or visit our web site: inconsistencies. MAIL T0: R0. BOX 16347 -Louisville, KY 40256-0347 SHIP TO: 3649 Cane Run Road • Louisville, KY 40211-1961 www.zoeller com (502) 778-2731. 1(800) 928-PUMP • FAX (502) 774-3624 Durable cast iron construction 151/152/153 EFFLUENT SERIES Model 151 comes standard with a glass-filled polypropylene base (For Pump Prey Identification see News & Views 0052) Corrosion resistant powder coated epoxy finish I "Stainless steel lifting handle Assembled with stainless steel bolts FOR SEPTIC TANK -LOW PRESSURE PIPE (LPP) im clogging engineered thermoplastic vortex AND ENHANCED FLOW STEP SYSTEMS mpeeller ller design EFFLUENT Model 151 -113 HP passes 1/2" spherical solids ~~~tcl SUBMERSIBLE Model 152 -.4 HP passes 3/4' spherical solids % 1 ~lz" NPT DISCHARGE - Model 153 -112 HP passes 3/4' spherical solids Motor - 60 Hz, 3450 RPM, oil-filled, hermetically sealed, automatic reset thermal overload protected Carbon/Ceramic seals c icp us Upper sleeve bearing and lower ball bearing running Tested XUL StmdA 778 and Cert" to CSA In bath of oil SWdardGSM.xro.108 T s g.. t ;h 20 ft. UL Listed power cord with molded 3 -wire plug 1 Yi' NPT vertical discharge; BN and BE standard models include a 20 ft. variable N151IN1521N153 & E151052/E153 nonautomatic j level float switch BN151BN1521BN153 & BE1511BE152(BE153 packaged with Piggyback Variable Level Float Switch r 1, 1/3, A & 1/2 HP, lPh l15V or 230V r ' r Operates at temperatures to 130°F (54°C) in effluent applications All models include a 1'/z' x 2" PVC adapter fitting M`~ d Note: The sizing of effluent systems normally requires _ r r variable level float(s) controls and properly sized basins to achieve required pumping cycles or dosing , timers with nonautomatic pumps. g , POWDER COATED TOUGH a MAIL TO: PO. BOX 16347 x, . Louisville, KY 402%0347 q SHIP TO: 3649 Cane Run Road Louisville, KY 40211-1961 (502) 778-2731. 1(800) 928-PUMP f FAX (502) 714-3624 i" Manufacturers of . I QLl&41) 'LIMPS _J711vz f ~r9~J v © Copyright 2010 Zoeller Co. All rights reserved. Page 10 w TOTAL DYNAMIC HEAD/FLOW w w PUMP PERFORMANCE CURVE PER MINUTE LL50 MODEL 151i152l153 EFFLUENT AND DEWATERING 14- 45 153 MODEL 151 152 153 40 12- Feet Meters Gal. Liters Gal. Liters Gal. Liters 0 35 1525 1.5 50 189 69 261 77 291 z 10 "4, 10 30 45 170 61 231 70 265 U 15 4.6 38 144 53 201 61 231 0 8- 25 151" 20 6.1 29 110 44 167 52 197 25 7.6 16 61 34 129 42 159 0 6_ 2p _ 30 9.1 - - 23 87 33 125 ?2 85 ~ 35 10.7 - - - - 15 - 46 122 - - - - 11 42 ,v 4 44 R 13.4m ) + "n 38 It. 11.6m) Sh A-o ad 30 fl. 9.1 m + ftHe t b , t0 0145006 2- 5- Model 151 Models 152 / 153 10 20 30 -00 50 60 70 80 90 100 GALLON S 6762 I LITERS 0 40 80 120 __160 200 240 67132 200 320 360 3Wit - - 45(3 37m - 45'8 FLOW PER MINUTE - -_fl _ 014503A i ~t 37B 3718 3 7M a ire - • Timed dosing panels available 11/Y NPT • Electrical alternators, for duplex systems, are available and supplied with an alarm • Variable level control switches are available for controlling single phase systems I I l • Double piggyback variable level float switches are available for variable level long and short cycle controls t I • Sealed Qwik-Box available for outdoor installations - See 11116 I 12118 FM1420 _ I ! I - - - • Over 130°F (54°C) special quotation required 415il 6 SK2444 SK2064 1511152/153 MODELS Control Selection Model Volts-Ph Mode Amps Simplex Duplex N151 115 1 Non 6.0 1 2or3 BN151 115 1 Auto 6.0 Included 2or3 E 151 230 1 Non 3,2 1 2 or 3 RE 1-51 N1 5 2 1230 1 Auto 3.2 Included 2or 3 "Easy assembly" 5 15 1 Non 8.5 1 2or 3 ((pump & discharge pipe BN152 115 1 Auto 8.5 Included 2or3 not included.) E152 1 Non 4. 1 2 or 3 BE15 2 0 1 Auto included 200 W153 15 1 Non 10.5 1 oo i 115 1 Auto 10.5 Included 2or 3 153 230 1 Non 5.3 1 2or 3 B 230 1 Auto 5.3 Included 2or 3 i 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 2. See FM0712 for correct model of Electrical Alternator E-Pak, Made of durable, noncorrosive ABS 3. Variable level control switch 10-0743 used as a control activator, specify duplex Raises pump 2" off bottom of basin (3) or (4) float system. Provides the ability to raise intake by adding sections of 1 %i or 2" PVC piping D CAUTION Attaches securely to pump All ii., ,W,11" I; I I;i~t = Accommodates sump, dewatering and effluent applications rents I olcr ciJ n ? L r;-a:ur, d wd sa c y r; !ec -1u°uid inci' 6 ;i ?sit; NOTE: Make sure float is free from obstruction. most trt Prationz,i Elccii uol ;ud, INEG) and ilw QCCU a itlondl aliti, 3ni F :dth n, s rn;;:lfti. a' c. . '~.J For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. © Copyright 2010 Zoeller Co. All rights reserved. Donn 11 i PLOT PLAN N Project Name: Kaye 3 Bedroom Replacement Mound Lot 1 SCALE: 1" = 50' Subdivision Name: Township: Parcel Size: 6.320 Acres Legal Description: E94.52'To 14, T:tank P.I.D: 032-2076-60-010 Coun ty: 4 inch Sch 40 ASTM D2665 Contour Line Elevation: Cell Dimensions: 6' X 75' Mound Dimensions: 92.23'X22.70' 2 inch Sch 40 -ASTM D1785 System Elevation 11/2 Sch 40 -ASTM D1785 Slope BM1 Elevation: om of e house AL BM2 Elevation: of dohole cover ® Backhoe Pits: Existing Septic Tank: 1000 al Ion Week's C. P. Se tic Tank Existing Dose Tank: 800 al. Week's C. P. Dose Tank w/SIMITECH STF-100 Effluent Filter Cx11'ti1f ~3 ' f,3 / . t i t ole I r C:~) P~ Ca , ,DU iiJ~ SELL C ll set"t~ 230 3 ~>1AiN 14et 5 0 iaNd !Z1~ ~ 13iaf 2 Page 12 t..' 1 1I AN i"VI Ii', i , ;Nc.,t tllrt'~I-,f-,NII AND t VN:J',-,K.SJUPf:LK~Il'ION FC)KM t~ Lr~~a tip,<. Christopher Kaye Mallirit.;Acidwss 19 Andersen Scout Carp Road r liC11GIr~: i S 103 Andersen Scout Camp Road _ t. l`L..iik: alt n l qulic(: IIt?i11 Phl,1111?~' , 4{?_1111" I ,:j7ui;?1MI[ itli' HOulto n W1 Parcel itlenilficaticlit Number 032-20 % 0-00-010 1.1•:(IA1, D FitIPTI0N NE SE 14 30 N 20 Town C", Somerset, ~I subdivision Plat. Lo Certified Stirvcv Map 4 Pa ,e 4 'err<,it-y' Deed P (before 2007)VC}l1F11IC~ 1'<t~=c S ST;vNT XlAINI NANC'E AND ONVINER CERTIFICATION w!.j7vopc.- 145t? tw4i L1)4.unionnnc,`, A V`r;111 I( tetiL.'ll<c?l':}U 1,:,t?il IT, .t.;}%i1i~". .T,: L! "I I(_! ._:iaij}c arnt t fl11ce~ utlsisf~ :u?ii t !i' qui :r.4 ,4~rtt<: 1_nt} iu c t, ate ? ?.,;rncr., it rtcc~S c3, ;.-t ~e~ct't,°_<! ttutn;~ :r V .t:.; "ou I'm* r)lo ti\'_5x1011 C 'm f!lc ,1.['t4'.il :a 1 QC 1j,C 11413}t :I o ITC,11111 'l:i >':h c € tc; ?\a;ic djs w i N\-. 1,mn. (..1\\rtt'i tT 1721c 1:1:11 and in, i ' .`):.1..;.31;4' -T'j, rt r ti t ; ? ~ti Ij ~f, (..r;Y[?. ( .~;L7lI~,- ~~}87T:)l;3`.'~ c~.- ~d1;1.LC!' 11, C' )alltliz;i4l a c-CIc;~1Cd3t{irP, a;,si' i .'1,.;liCY~ 1`i :.}T t: t r4' }'~'1~: 17.1111<2 ah.a.l-S 't. wLt. 1 i~! _ ~ } c d ~11.it1141t'l 1'C"11' liter 111:71 { j',, i'tTt t'-Yl-.tia, al1t I;C1 ilild 10, ;t "(it; Si d" ~?ittal7t7ti1_ K'~llll~ I_: 1'! II!LirIa?CI', !,:SY2'1Ci4:a i1.t.:j-L, 1 ~~:>tc.l:.i~a-~I! j7~7~,::j s..ci~1 is r=1 }7ltiaiact . t'3c°~;U.L7:: c~ua3tii_~al ::ni?14~: t,.., aftai ies,lucli+ !1 cnt~> I?s :n~-i~r tf'lecx~~ arv~~5: iC S ljial? lll1'i of !l_i~'rC ir1'',C.. LhL: LfsC}CI"al;'1'sC.'_ hW,,: aiid i0 1,:.iT: 1114 :;h , ir, 5 C 1,h t~'_~z 14 i- s 1 ICtS t tt ?i i?Fi,i° ~La' 11.x. t c a !7 .)rtl tt Nai4ir'd t ! f S C 1 7_ iTC ! i, tli 1:...;w i 11:11 vi,iT' 171._ ,i4,[t :GiS ITia:eli,llS;cit l,hani i}L :ra.ft,;'1111".!} ;11w .tciui,lcd ti? 1111..' 2I-~:Xt` iUtil-111 Ji,a,: I bt c)VA;1C't l:.l i}7C to trul taS 10)19. 3}} tt 1~)c I' u .}1 , } 11T l X k: 1 ? hC }~c t1 Y?ll t11II d.;1 +'t .l,!.4. A7:'.~ L1Fl rill L f71C to rIht ,c. Ilv v,t,.lc d'~= d 1.JCj .JtUJ Ek: u..,'. L,t "~~urtll3er ot- iledr~raeazs. SJGTN-, 1-RF OF Ai l>i JC N 1'(S) DATE `.t2jl?r;13Flitfi111il1r Is 2i1t>liz?(i}'103["0+.1 ilkJV' C~:.>"s1iE in i}1c ai' ri:1131it t3, l7 [cwKcA4 11v 1111"_ z'i llT~'atTb` •~;.?OII?? D):panrncPL. ;<ty `1U}LIJi :111 Lj-.l dCt:Ci f=t`IT1 t" L' pL;ha'of Dcol]s (j icc audl , copj5 o ij. ;;cxficll }1171'\cv 111;q) 11 1 2.:JI,:IICC i> YTl cic nl :hc -ECEIVED Departmenfof #1912 ~S Safety and SOIL EVALUATION REPORT P Y koV ® 3 Mc,6ordance with Comm 85, Wis. Adm. Code Page 1 of 4 Professional Servic Schmitt Soil Testing, Inc. FtOIX COUNTY Attach complete site plan on in County ~t9PI~tI~~T' size. Plan must St. Croix include, but not limited to: ve n are erence point (BM), direction and - - - percent slope, scale or dimensions, north arrow, and I on di it arest road. Parcel I.D _ 032-2_07 -_6 10 Please print all informat' i Review By _ Date Personal information you provide may be used f( 7 MV750ATHXOFG6 l(m)) Property Owner Property Location Kaye, Christopher Govt. Lot 1/4, SE 4, T30N, R20W Property Owner's Mailing Address Lot # Block # Subd. Name or SM# 193 Andersen Scout Camp Rd 1 1 CSM 16/429 6.32 Acres - - - - - - - - - City State Zip Code Phone Number City Village Town Nearest Road Houlton I WI 54082 651-324-1068 Somerset Andersen Scout Camp Road New Construction Use: Residential / Number of bedrooms 3 Code derived design flow rate 4_50 GPD Replacement Public or commercial - Describe: Parent material Loess over Till (Onamia-Antigo Complex) Flood plain elevation, if applicable NA _ ft. General comments Replacement area is suitable for a mound system. System elevation is 100.28' based off a contour line established at 99.53'. Slope and recommendations: of area is 11%. Zia ^A- Boring 1 Boring # Pit Ground surface elev. 99.97_ ft. Depth to limiting factor 54 in. Soil Application Rate - - Horizon Depth Dominant Color Redox Description Texture Structure Consistenc Boundary Roots GPD/ft2 _ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 *Eff#2 1 0-3 10yr3/3 none sil 2mgr mvfr as 2m,2f 0.6 0.8 2 3-11 10yr5/3 none sil 2fsbk mvfr gw 2f,2vf 0.6 0.8 3 11-28 10yr4/6 none sil 2msbk mfr gw 2f,2vf 0.6 0.8 - - - - - 4 28-54 5yr4/4 none grsl Om mfi 0.2 0.6 Boring Boring # - Pit Ground surface elev. 99.97 ft. Depth to limiting factor 27 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistenc Boundary Roots _ GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-3 10yr3/3 none sil 2mgr mvfr as 2m,2f 0.6 0.8 2 3-15 -10yr5/3 none A 2fsbk mvfr gw 2f,2vf 0.6 0.8 3 15-27 7.5yr4/6 none grsl 1msbk mfr gw 2f,ivf 0.4 0.7 - - 4 27-72 5yr4/4 clf 7.5yr6/6 7.5yr6/2 9rsl Om mf 0.2 0.6 * 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 ` i 227429 Address Schmitt Soil Testing, Inc. Date Evaluation Conducted Telephone Number 1595 72nd St. New Richmond, WI 54017 10/6/2017 715-760-1978 SBD-5330 (R.07/00) Property Owner d-Ye, Ch9i 0-P er-- - Parcel ID # 032-2076-60-010 / Page 2 of 4 Boring 3 ]Boring # pit Ground surface elev. 98.32_---- ft. Depth to limiting factor 64 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color ~ Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-4 10yr3/3 none sil 2mgr mvfr as j 2c,2m 0.6 0.8 2 4-19 10yr5/3 none SO 2fsbk mvfr gw 2m,2f 0.6 0.8 3 19-35 10yr4/4 none sicl 3msbk mfr gw 2f,2vf 0.4 0.6 4 35-64 5yr4/4 none j grsl Om mfi 0.2 0.6 Boring F4 Boring # pit Ground surface elev. 99.97 ft. Depth to limiting factor 68 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence; Boundary Roots GPD/ft2 _ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Eff#1 *Eff#2 1 0-5 10yr3/3 none sil 2mgr mfr as 2c,2f 0.6 0.8 - - 2 5-15 10yr5/3 none sil 2msbk mfr - ---gW - --2c,2f I--0.6 i_0.8 3 15-21 10yr4/4 none sil 3msbk mfr gw 2f,lvf 0.6 0.8 4 21-36 10yr4/6 none sil 3msbk mfr cs 2f,lvf 0.6 0.8 5 36-68 5yr4/4 none grsl Om mfi 0.2 0.6 - - - Boring Boring # Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 I i * Effluent #1 = BOD5> 30 < 220 mg/L and TSS >30 <150 mg/L * Effluent #2 = BOD5 < 30 mg/L and TSS <30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (R.07/00) Schmitt Soil Testing, Inc. Page 3 of 4 Conducted by: Conducted For: Schmitt & Sons Excavating, Inc.. _ Name: Christopher Kaye - r - - ± - Thomas J. Schmitt, CST 227429 Address: 193 Andersen Scout Camp Rd. _ 586 Valley View Trail City, State, Zip: Noulton, WI 54082 Somerset, W l 54025 Phone: 715- 6 1978 Parcel Id: 032-2-76-60-010 53gnatur~ Lot No.: I CSM 16/4295 Date 1(2 G ab ~7 Legal Description: NEI/4 SE1/4 S14 T30N R20W ■ Backhoe Pit Township, County: Somerset Township, St. Croix County A Bench Mark 1 El. 100.00' Bottom of siding on house where shown on site plan L, Bench Mark 2 El. 94.52' Top of manhole cover on dose tank - Slope= 11 % 1 ~ Scale 1"= 50' 6c) Tc~L{ 2 L_ / /,/,!5 ZZ. S-3 Corr-roct[. L/r11,✓ GEN6.7H B o r-ro A CS t 7,_4 Apil2o:Y/ rn a 716~_ -F v 12G L r►-~ 4V/Y E I M~ ~ G cY f3 ` , B3 r T \ a c7 4 I CD tA)EL L O le Sh M PUMP N 'Rik t-W i7 4 P 3~- Ksv ` vr.~m~~ ptyt F " c'4 * tom- "4, 4W Fynt~ e ~ t iy'. ~ ~ Y d, k ~ y, t off' ic- x. ~e NXI 460 399,83 'mot e_'h 415.95.:~.~ .i:b L i xz' }='e i •a4. s Lit w + ! n . v ~ y FFF a Viv 4 V 416.95 b .1 is f STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER_ __~j~gpffE/V l'7~4~ EGOS K I ADDRESS [ c5C0u7 Caalp Hw~a~ GU,' rya-25 SUBDIVISION / CSM# LOT SECTION__Ly T3QN-R_,La_W, Town of f5',Q 7EC5e7- ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM c ur c !y . d a' t .~UAc~~ ARceL 1 1 I j -3cL- I /8X' 5-3 S&ErpAe-I W pace ► I 1 ! ~9o Bra EL, fQ9, 0 i jDov ~ [ FoR~c.'~ ~ ivN .~c 80040 4 , C1z /Tic f' INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. i i r BENCHMARK: TQ p / ` S %t EL P~ QA1' OC/' fENC~ ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: (~~~/rS Liquid Capacity: /pQ© Setback from: Well House Other Pump: Manufacturer ZQ,~ii.G Model# 1,32 Size Float seperation Gallons/cycle: Alarm Location 2 Ft 3 SOIL ABSORPTION SYSTEM Width: Length S3 Number of trenches 3 L/NC 13eO Distance & Direction to nearest prop, line: E,}S% Setback from: well: House 30' Other ELEVATIONS Building Sewer ST Inlet: ST outlet PC inlet~,~; g PC bottom___27, _3_ Pump Off ___2,R,3 _ Header/Manifold__VZ.2_ Bottom of system_10,_;1_.2__ Existing Grade Final grade DATE OF INSTAL LATIO 3 I ' PLUMBER ON JOB: LICENSE NUMBER: "3-20 5 INSPECTOR: 3/93:jt ~ .~."~~r.;%r:~r~ ~7 •j(~ r~QG~~i' c~nUy ~~Mp 'sr~~nrt~ r',st,~• 20. 4PRIVKTYEVIIK(iE 5Y$TEIVf RD • County: Gabor and Human Relations INSPECTION REPORT Safety arfid Buildings Division GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary rmit 1 -56 Permit Holder's Name: ❑ City Village (Town o : State Plan o.: f 1:1 14F. Tq()MRRqFT I-721nRp B E ev.: BM Description: pp/~ Parcel Tax No.: B E ev.: A* D ' o /00,0 / rid l..a.. f _N L.4. ~1 !'C_1l 4 f6d_, . , non-1 111-06-1 no V C, TANK INFORMATION ELEVA ION DATA A9300016 SIAW3 M TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic S 6000 Benchmark Dosing goo Aeration Bldg. Sewer Holding St/Ht Inlet ;14, TANK SETBACK INFORMATION St/Ht Outlet )l,•aa- TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet 17,3Y Air Intake Septic NA Dt Bottom ~0 33 Dosing NA Header / Man. Q, SS 9 a a" Aeration NA Dist. Pipe q, `1 1.o-7 Holding Bot. System lp,Cg O,aY PUMP/ SIPHON INFORMATION Final Grade. q~.v Manufacturer Demand ii ; L~krat /l,wbg $ r Model Number GPM aft GfZ, TDH Lift Friction System TDH Ft Loss Forcemain Length Dia. Ff Dist.Towell SOIL ABSORPTION SYSTEMS BED/TRENCH Width Length No- Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 DIMENSIONS LEACHING Manufacturer: SETBACK SYSTEM TO P/ L BLDG WELL LAKE /STREAM INFORMATION Type O CHAMBER Moe Number: System: OR UNIT DISTRIBUTION SYSTEM Header/Manifold L.f Distribution Pipe s) I r 1 r 11 x Hoe Size x Hole Spacing Vent To Air Intake Length Dia- Length / Dia. ! Spacing A 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 pd, d Topsoil E] Yes ❑ No ❑ Yes ❑ No Bed /Trench Center Bed /Trench Edg COMMENTS: (Include code discrepan s, persons present, etc.) LOCATION: HUDSON ~Y ;2-.~ 20 41OG,SE,NE, SCOUT C Cc11' I J r/ Plan revision required? ❑ Yes ❑ No Use other side for additional information. Jt' / q 3 lr ~'y~ lit SBD-6710(R 05/91) Date Inspector's Signature Cert. No.