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HomeMy WebLinkAbout022-1018-30-030 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No GENERAL INFORMATION (ATTACH TO PERMIT) 600278 Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)j State Plan ID No 3020474 Permit Holder's Name: City Village Township Parcel Tax No: TIM & KRISTEN RIESER TOWN OF KINNICKINNIC 022-1018-30-030 CST BM Elev: Insp. BM Elev: esc ption: SNo: I h/ %qkio 07.28.18.103A-13 TANK INFORMATION LA-EVATION DATA TYPE MANUFACTUR CAPACITY ` STATION ltd BS JAI FS Septic ~ -Ai l,l - ti enchmark 2Z JOD, Dosing o Alt. BM Aeration Bldg. Sewer C e~'a j q. 17 Holding- S he St/ t Inlet &7. 0 TANK SETBACK INFORMATION f ~~(`f St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic 1 Z D Dt Bottom ym C/o. Head Ian. Aeration i Dist. Pipe ~~j Holding - 1 $f;/ Bot. System to 13l to l 2 - PUMP/SIPHON INFORMATION Final Grade Manufacturer Demand St Cover d~ GPM Model Number ^ t~ TDH Li Frictio Lo b System He TDH t Forcemain Le~gh Dia/ 1 Dist. to well 1 SOIL ABSORPTION SYSTEM / BED/TRENCH Width Length PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS r VpNjofTrenches SETBACK SYSTEM TO DG W LL LAKE/BYRE LEACHING Manufacturer: INFORMATION Tye f System,; CHAMBER OR f i UNIT Model Num 0 DISTRIBUTION SYSTEM 3 Hea anifold Distribution a , x Hole Size / x Hole S acing Ven o Air Intake { pipe(s) z r J / . Length ~ Dia Length Dia I ' Spacing ~J~ /I SOIL COY x Pressure Systems Only xx Mound Or At-Grade Systems Only % l V ~Y Depth Over Depth Over T-95-- xx Depth xx Seeded/Sodded xx/Vulched Bed/Trench CE4 r Bed/Treench Edges soil i p I Z Yes No es i No COMMENTS: (Include a discrepencies, npersons present, etc.) Inspection #1: II 2Z/~~~ Inspection #2: _ Location: 455 90TH ST ■ ~t ~M, [ 9 7 I [ r~ 1 (S ) k~ All W( 0, 5 n Lr M ! . L l y 1.) Alt BM Description Vff ca t 2.) Bldg sewer length = n~ KOVNO [OW"L~~ t M~>%~~ jllXX~ [-L!!(i//(II - amount of cover = < r~ Awl Mt Plan revision Required? ❑ Yes No '1 Use other side for additional information. SBD-6710 (R.3/97) Date Insepctor's Signature Cert. No. ~cm x-4/11 ~ :A 1A/ a"~ County ' Safety and Buildings Division S' ` Q S 201 W. Washington Ave., P.O. BOX 7162 Sanitary Permit Number (to be filled in by Co.) PS y, l NOV I D Madison, WI 53707-7162 ST. CROIX COUiry1 P ~ ~ Sanitary Permit Ar State Transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission a 4 ~~ernmental unit 3 C~ s- is required prior to obtaining a sanitary permit. Note: Application forms xo~ tied to oject Address _(if.di mailing address) the Department of Safety and Professional Servies. Personal information you proviu„ _ purposes in accordance with the Privacy Law, s. I5.04(I)(m), Stats. NNjTn- 1. Application Informatio - Please Print All tnformat' A9' Property Owner's Nam Parcel # Property Owner's ailing Address J/ Property Location 0G'~ Govt. Lot City, State Zip Code Phone Number 6,' t , ~ .j T ~ ,JU 4J /a, Section /vfr' ✓ , t e, 0, T N; R /8 E cle ore) 11. Type of Building (check all that apply) Lot # _ ❑ I or 2 Family Dwelling - Number of Bedrooms Subdivision Name Block # ❑ Public/Commercial - Describe Use City of U / ❑ State Owned- Describe Use NBC P~ El CSM Number ❑ Village of J Town of /t Art I c.kin In rc 111. Type of Permit (Check only one box on line A. Complete line B if applicable) A. New System ❑Rcplaccmcnt System ❑ Trcahnent/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) List Previous Permit Number and Date Issued B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New Before Expiration Owner IV. Type of POWTS System/Component/Device: (Check all that apply) ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ ound ? 24 in.,of suitable soil )K Mound < 24 in. of suitable soil ' Y r ❑ Holding Tank ,Other Dispersal Component (explain) Pretreatment Device (explain) V. Dispersal/Treat ent Area Information: 4 Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (st) System Elevation 3 7s" > jf T4, 61t 2 VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units New Tanks Existing Tanks v 77, a L U cf) L. CJ C Septic or Holding Tank ' C' r✓ Dosing Chamber c VII. Responsibility Statement- 1, the undersigned, assume responsibility f 9r installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plurober S gnat e MP/MPRS Number Business Phone Number 1 7f~- ~~i -~`2t•c> 41i Ch Ae /~~c Fit Lid r 13 "-3 9 Plumber's Address (Street, City, State, Zip Code)` 7 . e'~) Al tl a ~V,IIIII. County/ epartment Use Only IXApproved ❑ Permit Fee Dat Issued Issuing nt Signature n Reason for Denial IX. Condit o' v . .WW,fisapproval uisper :d cell mus? all he 5_ic?s ".;~'ntg~.76c' I `c t As per niarzigemen' plan nto (iced by pluMbef. 2 Ap aeRberk refit iw•r^en:s mtra6.bt r.wt ir.1 Kit.. ae per apF # ood / crdinam sa. th ."ArAecok 6 CL186i :L P-4 Attach to complete plans for the system and submi to the 'County only on paper not less than R lit x 11 n hes in s' 1 SBD-6398 (R. 11/11) 4,3 SLOT FEAA/ . r ' 2 _ ro p ~f 5"We ptt t t r 4 - GO i%? S oll ~ > t `v 01 - ~.Ja =V3 V b of 455 4th STREET ~ 1 c4~ tJ JJ ~ 3 LpT S, C 5M a.3/ 5SZfr 1 n / 4 SWIy OF ThE )JW)ly 9A _ J SEC, ? T ZIA) ~ K I QW ~ t4 KIAINICKIAWIC 5T- e- Rtvc cc "-ty ,;elf LC I / 117 WlEra- 3 a ~xc- o ,d ~s•~~aarE t. iur,t~~',G►t~~•Tio,tt.,,,s _ ~ r •0p® -PAO 2, g~?ART~1~tir DIVISION OF INDUSTRY SERVICES c ° P 2331 SAN LUIS PL STE 150 GREEN BAY WI 54304-5211 Contact Through Relay v\, http://dsps.wi.gov/programs/industry-services www.wisconsin.gov ~~O~Zssro'v Scott Walker, Governor Laura Guti6rrez, Secretary November 09, 2017 Mk.,., S E,r CUST ID No. 224832 ATTN: POWTS Inspector ZONING OFFICE MARY JO HUPPERT ST CROIX COUNTY SPIA 28497 KING ARTHURS 1101 CARMICHAEL RD DANBURY WI 54830 HUDSON WI 54016-7708 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 11/09/2019 Identification Numbers Transaction ID No. 3020474 SITE: Site ID No. 844515 Timothy & Kristen Rieser Please refer to both identification numbers, 455 90TH St above, in all correspondence with the agency. Town of Kinnickinnic St Croix County SW1/4, NW1/4, S7, T28N, R18W FOR: Description: EZ-Flow Mound (I Bedroom - New Construction) Object Type: POWTS Component Manual Regulated Object ID No.: 1735387 Maintenance required; 150 GPD Flow rate; 17 in Soil minimum depth to limiting factor from original grade; System(s): EZflow Mound Component Manual, (R. 7/12), Pressure Distribution Component Manual - Ver. 2.0, SBD- 10706-P (N.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 (P TS). 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 V prevent matting under the dispersal area. All loose organic material to be removed from POWTS dispersal 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. MARY JO HUPPERT Page 2 11/9/2017 • The distribution pipe being inserted into the 4" corrugated pipe located in the EZflow product shall have one out of every five orifices installed at the 6 o'clock position. The remaining four orifices shall be installed at the 12 o'clock position. The laterals shall drain fully after every dose. • The lateral turn-up ends shall extend out past the exterior end of the cells at both ends. The observation pipes shall be located in between where bundles come together. These requirements must be followed so that the aggregate bundles will not be damaged during the installation process • Divert surface water from POWTS Area. • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building sewer beyond 30 feet per SPS 382.30 (11)(c) • Tank Installation to follow all manufacture's recommendations. • Well setbacks to meet chs. NR 811 & 812 • Verify property line(s) prior to installation. • Pump Floats to be set and verified per approved plan. Any chances may result in pump resizing to meet TDH and GPM Specifications. • This system is to be constructed and located in accordance with the approved plans and with the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems Version 2.0" SBD-10706-P (N.01/0 1). • This system is to be constructed and located in accordance with the approved plans, and the "EZflow Mound Component Manual " (R.7/12). • 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. • 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 serviciniZ pad is located. 2. The bottom of the tank is located more than 150 feet horizontally from where the servicing pad is located. 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). 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. MARY JO HUPPERT Page 2 11/9/2017 • The distribution pipe being inserted into the 4" corrugated pipe located in the EZflow product shall have one out of every five orifices installed at the 6 o'clock position. The remaining four orifices shall be installed at the 12 o'clock position. The laterals shall drain fully after every dose. • The lateral turn-up ends shall extend out past the exterior end of the cells at both ends. The observation pipes shall be located in between where bundles come together. These requirements must be followed so that the aggregate bundles will not be damaged during the installation process • Divert surface water from POWTS Area. • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building sewer beyond 30 feet per SPS 382.30 (11)(c) • Tank Installation to follow all manufacture's recommendations. • Well setbacks to meet chs. NR 811 & 812 • Verify property line(s) prior to installation. • Pump Floats to be set and verified per approved plan Anv chances may result in pump resizin2 to meet TDH and GPM Specifications. • This system is to be constructed and located in accordance with the approved plans and with the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems Version 2.0" SBD-10706-P (N.01/01). • This system is to be constructed and located in accordance with the approved plans, and the "EZflow Mound Component Manual " (8.7/12). • 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. • 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. 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). 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. MARY JO HUPPERT Page 3 11/9/2017 Sincerely, Fee Required S 250.00 This Amount Will Be Invoiced. When You Receive That Invoice, Please Include a Copy With Your Tim Vander Leest Payment Submittal. Private Sewage Plan Reviewer, Division of Industry Services WiSMART code: 7633 (920)492-2214, Monday - Friday 6 am To 3:30 pm tim.vanderleest a wisconsin.gov cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm Mike Rodewald , Bettendorf Excavating (Plans Mailed To) EZflow° MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN INDEX AND TITLE PAGE Project Name: TIMOTHY & KRISTEN RIESER Owner's Name: 280 COVE ROAD b Owner's Address: HUDSON, WI 54016 Legal Description: SW1/4 OF THE NW1/4, S 7, T28N, R18W Township: KINNICKINNIC County: ST. CROIX Subdivision Name: NA Lot Number: 5 Block Number: NA Parcel I.D. Number: 022 - 1018 - 30 - 030 Plan Transaction No.: %NN~~e41118 Page 1 Index and title b, Page 2 Data entry Page 3 EZflow mound drawings w • r MARY JD Page 4 Lateral and dose tank HUE PERT Page 5 Distribution media D 1859 Page 6 System maintenance specifications ';RIVER FAQ%: Page 7 Management and contingency plan % 1 W1 Page 8 Pump curve and specifications 41DA~t~;",,,~1,~~ Page 9 Plot plan '~j`~~tttrIIno"110 Designer: Mary Jo Huppert License Number: 1859-007 Date: 10/16/17 Phone Number: 7L5- 421. - t 77S` Signature: Designed Pursuant to the EZflow Mound Component Manual Ver. August 20, 2007, SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01) RECOVED EZflow Mound Version 3.0 (R. 3/1/12) Page 1 of 9 OCT IS 2017 Mound and Pressure Distribution Component Design Site Information {r of c) r Residential or Commercial Design 100.00 Estimated Wastewater Flow (gpd) 1.50 Peaking Factor (e.g. 1.5 = 150°/x) 150.00 Design Flow (gpd) 4.00 Site Slope _ 99.70 Installation Contour Line Elevation (ft)100.00 Contour Length Available (ft) 17.00 Depth to Limiting Factor (in) 0.40 In-situ Soil Application Rate (gpd/ft2) Distribution Cell Information 9.00 Cell Width (ft) Dispersal Cell Length (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ft2) 1 influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution y Pressure Disribution Information network? i" 3 t;, Y or N - e Center or End Manifold 3 Lateral Spacing (ft) If N above, enter the elevation (ft) 3 Number of Laterals of the highest point. F_ 0.250 Orifice Diameter (in) (e.g. 0.25) 2.00 -stin',at„r Orifice Spacing (ft) = 6.00 ft2/orifice 2.00 Forcemain Diameter (in) 100.00 Forcemain Length (ft) Does the forcemain drain back? (Y 90.00 Inside Pump Tank Elevation (ft) Enter Y or N 0.00 Forcemain Filter Loss (ft) 3.25 System Head (ft) x 1.3 16.31 Forcemain Drainback (gal) 10.78 Vertical Lift (ft) 25.52 5x Void Volume (gal) 2.57 Friction Loss (ft) 41.83 Minimum Dose Volume (gal) 16.60 Total Dynamic Head (ft) 34.95 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 1.00 1.50 x x 1.25 x 2.00 x 1.50 x x 3.00 2.00 x 3.00 x Gallons/Inch Calculator,~% Treatment Tank Information Total Tank Capacity (gal) 00 Septic Tank Capacity (gal) Total Working Liquid Depth (in) [Weiser Concrete Manufacturer gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 500.00 Dose Tank Capacity (gal) Pol lok Filter Manufacturer 11.82 Dose Tank Volume (gal/in) 122 Filter Model Number Weiser Concrete Manufacturer Project: TIMOTHY & KRISTEN RIESER Page 2 of 9 Mound Plan View T 1/1013 J Observation Pipe - K 5 A W B 3.... : L Mound Component Dimensions ft A 9.00 ft E 23.32 in H 1.00 ft K [Aft B 20.00 ft F 12.00 in z 11.74 ft L ft D 19.00 in G 0.50 ft J 8.26 ft W 1 180.00 (ft2) Dispersal Cell Area 414.77 (ft2) Basal Area Available 7.50 (gpd/ft) Linear Loading Rate 2.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View EZflow Dispersal Area Finished Grade 103.28 (ft) H r, r,.:•rr. r,rrra~,`:. G rrr. ~rrrrrrr.:rrrr, r.•rrrrrr,rrrrirri F Dispersal Cell 101.78 (ft) Lateral 101.28 (ft)-► - 6" Invert Elevation Dispersal Cell 1 E►evation . :.D . E...•:...••::.. 1 99.70 (ft) Contour Elevation 4.0 % Site Slope Typical Dispersal Cell Shading Key See Page 5 0 Topsoil Cap > 2.2- a- 0 Subsoil Cap ~ ° c 2 0 ft Approved Geotextile Fabric Cover 3 ASTM C33 Sand d ° 1 - ~ 75 :6 ® Tilted Layer Z 1 5 Q [ H F Q EZflow Media (nn~ 0 0.5 ft - A 7 See details on page 4 for number, size, and spacing of laterals. Laterals are located in the 4" gravity distribution pipes as shown on page 5. Project: TIMOTHY & KRISTEN RIESER Page 3 of 9 End Connection Lateral Layout Diagram Turn-up vWball valve orcleanoutplug ~f IP -Z 1 st orifice located at Z I,(- x-~I All laterals identical, with oriftes equally spaced. S Force main connection via tee or cross to manifold at any point. Laterals & force main of PVC Sch 40 per SPS Table 384.30-6 S Orifices point up except every 5th one points down for drainage. Number of Laterals 3 Orifice Diameter 0.25 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.06 ft Lateral Length (P) 19.27 ft Orifices per Lateral 10 Lateral End (Z) 0.73 ft Orifice Density 6.00 W/orifice Lateral Spacing (S) 3.00 ft Manifold Length 6.00 ft Lateral Flow Rate 11.65 gpm Manifold Diameter 1.50 in System Flow Rate 34.95 gpm Forcemain Velocity 3.57 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 F- Alternate outlet location Forcemain diameter Weiser Concrete Manufacturer_ 2 in. Capacity 500.00 Gallons Volume 11.82 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 24.76 292.69 B 2.00 23.64 C Pump off elevation (ft) C 3.54 41.83 91.00 D 12.00 141.84 D Total 42.30 500.00 Dose tank elevation (ft) Bedding And Backfill As Per Manufacturer 90.00 Alarm Manufacturer SJE Rhombus Alarm Model Number AB Tank Alert Pump Manufacturer Gould Pump Model Number I PE 41 Pump Must Deliver 34.95 gpm at 16.60 ft TDH Project: TIMOTHY & KRISTEN RIESER Page 4 of 9 Uflow® Distribution Cell Media Layout 9.00 Cell Width ft 1.50 SidewaIl to Lateral ft Distribution Cell Cross-section Arrangements 9 ft Wide Component Legend ® SRI-7A Bundle - 5 ft or 10 It lengths SR1-12A or EZ 1201A in 5 ft or 10 ft lengths SR3-12H or EZ 1201 P or @X96 SR3-12H in 5 ft or 10 ft lengths O 4" Perforated Distribution Pipe With Pressure Lateral Inside Tumup Enclosure - - - - - Pressure Lateral Bundles are covered with approved geotextile fabric as per the their product approval. Distribution Cell Plan View Layout - Typical 9.00 Cell Width - A (ft) 20.04 Cell Length - B (ft) Force Main 9ftWide End Manifold Project: TIMOTHY & KRISTEN RIESER Page 5 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name Darrell's Septic Service Phone 715-425-1025 l POWTS Regulator's Name NSt. Croix County Community DevelopT,1 Phone' 715-386-4680 System Flow and Load Parameters Design Flow - Peak 150 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 100 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 840 gal Maximum TSS 150 mg/L Soil Absorption Component Size 180 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Inspect and/or service once eve 3 ears Effluent Filter Inspect and clean as necessary at least once eve 3 years Pump and Controls Test once eve 3 ears Alarm Should test periodical) Pressure System Laterals should be flushed and pressure tested eve 3 ears Mound Inspect for pondin and seepage once eve 3 ears Other 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 EZflow Mound Component Manual Ver. August 20, 2007. 2. Dispersal cell media conforms to EZflow products approved for use with the EZflow Mound Component Manual Ver_ August 20, 2007. Media is covered with an approved geotextile fabric. 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 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Lateral Ends at Last Orifice Where Variable Length Cleanout Begins Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral EZflow S nthetic Media 1.96 Feet ~ Distribution Lateral 11 4 Lateral Cleanout Project: TIMOTHY & KRISTEN RIESER Page 6 of 9 Force Main - Force Main ~y Force Main Mound System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General This system shall be operated in accordance with SPS 382-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [EZflow Mound Component Manual 8/20/07, Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. Septic and pump tank abandonment shall be in accordance with SPS 383.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner as to when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Wisconsin Department of Commerce. Pump Tank The dosing (pump) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. If the force main has a weep hole, it should be noted if it is functional during pump operation, and if not, it should be cleaned. *****No one should ever enter a septic or dose tank since dangerous gases may be present that could cause death.*-* Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L 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 3 years. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: TIMOTHY & KRISTEN RIESER Page 7 of 9 Wastewater _ . METERS FEET 40 _ PE51 MODELS: PE31, PE41, PE51 HP:.33, .40, .50 35 10 2 GPM 30 P 1 FT = 25 PE31 - z 20 la- 15 O H 10 5 0 0 0 10 20 30 40 50 60 70 GPM 80 0 5 10 15 m3/h CAPACITY PERFORMANCE RATINGS PE31 PE41 PE51 Total Head Total Head (feet of water) GPM GPM Total Head CP (feet of water) (feet of water) 5 52 8 61 70 - 10 42 ; 10 57 15 15 29 15 46 20 - 20 16 20 33 - 25 0 25 16 - - PUr FLAA/ r ° 103 1.. 4~ ~a m q, a iDb Of Q " lA op b w wig Amur ss t a, v 455 qc S F.~~l s y `t L , a ~r 5r e:5M Z3 f SS2 ` 2GA _ . > o s~ .svj/y of THE A}wi~~1, =Q0 SEC. 7, T7-3A), K 1 QW N ~7 TDOA) OF K1NAUCKI W[C ST C RtA)IL CC "Ity [ $ a r © 't a 3 O -rot ~3o~N©rp2 y ;~D ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORNI Oxvner/Buyer Tim Rieser Mailing Addre 2560 Swan Ave North St Paul 55109 612-703-9600 455 90th street Property Address (Verification required from Planning & Z g Department for new construction.) Citr/State Hudson Parcel Identification Number 022-1018-30-030 LEGAL DESCRIPTION sw '14 nw '/4, 7 28 18 Kinnickinnic Property Location Sec. , T N R W, Town of Subdivision Plat: Lot # 5 Certified Survey Ma # 23/5528 p , Volume Page # Warranty Deed # (before 2007)Volume Page # Spec house I]yesEito Lot lines identifiable Byes[]no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §SPS. 383.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that ( I ) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1.3 full of sludge. I/eve, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Safety And Professional Services and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on this form are tru o the best of my/our knowledge. Uwe am./are the owner(s) of the property described above, by virtue ofa warranty deed re rded in Register of Deeds Oflice. o w"eli.a bed Number of bedrooms SIGNATURE OF APPLICANT(S) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 04112) 7a~ti 00 i Ob\ VI ~v WkomWn Daprbnerd of Cannrerce SOIL' ION REPORT pow ~ of 3 D)uWMofsafMyandSrdId W in accordance with calm 85. r 5*• GR Oi 3L Atbdr aompbea eNe pen an paper not lass than 6 W x Inch,de but rrol timbd to: vaBOal and 2 t~ O 2, Z. 10/8 p rcentdope.scaleordfmawiom odr r arddlstarroe Please pint / ~Qu.. IL (r) (ML WOM r Dols t■.earrelorre.eoerWwoaa:~rraa.w ply tiOwrrer A. RAY COUNT ProkftUmation Lot 5W 1H AlWl 4 s 7 T 3 9: 449 A W(; OFFICE 2.8 N R E( W MaftAddlress 70% 70 H T R vt,o~R # ter. s„bd Norm or cSW 6- ~M Z3 2 I ❑ City O volapa ®Tann Neared Road v Sow wl• SYM& 715 425 W21 KiAW k.',vvi• C 51.0 ft- ST. 90 N-Car n Use:PdRasidarS 1Mffnbarafbe*oo= 2- J~ Codaderireddesipflow rate GM 0 ReptamnwM • 0 Pubic or- nrrracbl - Dewibe: Parentnwbrlal 71tsq, IM S5 C~4A AURA. F1oodP1W etevWmlfappicUe tL F/:uF Tit/S . x I/1~1 U 1T ,,t /o f 1rhe e - Area._ Spot .-Tasted suitable for act ~2o y7. /u pZ IS - mound (P.O.W.TS.) system using sand fill sss ❑ Boft e 70 a vPil Graodsrrbceelev. 91. X Depth blMltpfaclor h sal AnDkellon Rite Llatmoee Depth Dan*wt Re Da8cF%ftn Ta4se SbuAure Caulsence 8orardwy Reds GF`Dff in Mrawai ak SL Cat Cdor Gr. Si Sh IM ,5 bt AMfR CS 3 .6 . 8 / o-~ 16 yR 3 3 $/L _207- 2 9-12. /o YR 5 L 1056 AM f k CS 2 rt g- G V ./t 7•5 YR sit ,sbk 2.5 C2-0 MofS /CL s l 2 3 Sy S 9 O eakw .S.S.S' . 17 Z Groad wraoe.bv. 9 70 Depth to WOM taftr 17 n pB Sol AmkWm wb Halms Depth DarWn" Cokx Redac Desco"m Too" strucsae Cormisterrce Soundry Rook GPM im Murmei Ou. SL Cori Cdlar Or. Sz. Sh. *ew •Efd2 3 io Y,e 31 SQL fsh& /io" FR cs 310 G 7- 3 0 /o Y2 s l,6 fsb ,►,1 R cs 7T 3 .16-17 7•S Y2 (p fsb n+r ie ar /f AP 2.5 b C 1-- H&EF s/e*L Aca AN-f.' • Z 3 s Y2 r/p •BawdS1-DOD >M1noROILandTSS3.30<1S0ROIL •Mart 102=BOD<30rrgLandTSS_WrrQL. csTlLnr. d ~T 741-BR (Gl1T eI e ~ ZZ 3375 Address Dab evaitaism Ca ikl ided Tdoprow Nutbr ' 7AA. g -2.008 71s•77.2.3gi12 Ulbricht Private Sewage Consultants 4.ZOMe CcwOlTio,L).s SVIVIvy 2812 10th Ave. " FRos/-- Spring 3.4`0,,- /-P_-F3 ~or.l` ;Z Spring Valley, WI 54767 • a J;v& cc.;, CIO CA-0-t- . I i M p5A"NG0 property. 5 A- RAY Parce.. Oz)-- 101JO•30 OZs Pa" Z or 3 a soft0 ❑ Borirg 9e.67- Pit Ground surface elev. 1L Depth to &nNbV factor in. sw Application Rate Horimn Depth Dorninam-Wor Radar DesaipUon Textue SUUC6ee C.o Boundary Rotas . GPW in. Munsd Qu. SZ Cont. Color Gr. Sz Sh. 'Blrt / 0 0 yR S/G Z -6Sbe n,f2 CS -F 6 y S G fshK 4m-F4 Gs L • to . P 7 s R A G fs ~,-fi2 ms's -F -s C2 HO-k /c'L f hk i . Z 3 s y2 s ❑ Boring 0 ❑ eae1s ❑ Pit Ground surface elm R Depth to renNg factor in. SolAWkvl~m Rye Hmizo n Depth DoininargColof Redmt Desaiption Town Shckn Cawkwioe Boundary Roofs GPDOE in. Moved t]u. SL Dort Color Gr. SL Sh •~1 '~2 ❑ Boring 0 ❑ Boft ❑ Pit Grouts surface elem. ft. Depth b bnft factor In Sal Rde Hodmn Depth DontinantWor Redac Description. Taxlae Stnckse B=Wwy Roofe GPM In. Mussel Qu. Sn: Cont. Color Gr. Sz Stv 'EIId2 ❑ Pit (around snafaoa ebv. II Depth b tinridrg fedo h. Sol Applicallion Raba rm Depth 00111111W It C4W Redoot Tendue SBuchm CalStetertne Bouri ty Rarts f3PDAE In. Murael flu. SZ.Cotes Gr. Sz Sh `dlFt i ..-Tor M - P5MA) Property Dtvrter 5 A• RAY Parcel io a o z Z- /O/JO • 3 0 OZ-S' 2- 3 soft or- soft it ❑ F3_1 x Pit Ground surface elev. ~ 6& Depth to an ft factor in Sol Rate Halms Depth Don* and Redotr Dssutp9an TwAse structure Consistence Boundary Rolls GPOIR to Munson Qu. SL Can. Coor Gr. Sz Sh 'BfK7 *ENV / D o yR ~Y sip Z-Fslr~fR. c s .00 s L fSh,,C' 4m f4 GS 2,:-F .4, 4, 00 r s R fs A.* -IX 4=5 -F 17-16 ~ as Y!k C2 Hods /~L f h~ ~►.fY r 2 3 S YR Sly Borkv# a ❑ Borim ❑ PH Groundaslaceetev. R Depth to fmtitng factor In. 3Di RED Haimn Depth Dmr tanf Redox Desalpnat TO&vs StrwWre Caere Botstdmy Roots GPON is Mutsen CAL SL CMIL Coto Gr. Sz. StL •e9d .tom zl~ Bomt9 ❑ N G+otetd surface elev. n Depth to hnkV facto In. Bon Applicellon Rate Halms Depth Denman Cdcr Redac Description. Texture St uciors BototfaryRoots GPW In. Mansell Qu. Sz. Cott. Cater Gr. Sz 'EM 'E19~ ❑ Boling 6 ❑ eatr>9 ❑ Gnxad stafaoeelev. ft Depth to 9nt16tp fmcto it PR . Son Applicalon Rene Haimn Depth Dondi mtt Oullor Red TeMure Structme Cp toe Boundary Roots GPM kL thsoet Qa. Sz Coca Gr. SL Sh 'em 'EM2, i i F sf.~ p 2- -rop o X03 I,I~ 1 d\ '~y. • ~ o a~ 0 3 Ulbricht & Associates - Private Sewage Consultants 2812 10th Ave. 0 Spring galley, WI 54767 10 c • a o Ste' D ~ Tod of Yy' ~ Z-0 4AW 5 f v 4 3 44Q I r Ulbncht 8 Associates i Pri13a SOW49e Consultffl* 5Il+ 54767 _ I I i 33 ,30 vN12rt)O- l ~v 62 78 297.41 61 51 60 0 2.6249ACRES w 114340.032SQ. Fr. y ?Fsr r 6 1 48 46 407.49' 47 100 ~I TEST- N 90 N N L D r 2.i3nACRES c 0 92837.142SQ. Fr. 3 i "a boo 79 67 :68 406.88' 76 72 70 Ulbricht & Associates Private Sewage Consultants N 2812 10th Ave. rrsT T 2.0389ACRES D Spring Valley, WI 54767 00 88812.549SQ. Fr. I c es >4. 124y 75 406.30' 73 q71 N / I' t?+`~ N 1~'1 V/ V Fit' 0°0 2.00i0ACRES \ib ° ° ~yyZ C" 8n64.000SQ. Fr. _ ~1 ~.~N.vi ~"pGtl•J wKKAWuzes,7 7' av /0 w 20 )'4 405.92' Pa 17 SS Wisconsin DeparftmtofCommerce SOIL EVAL ION REPORT page Division of Safety and Buildings of in accordance with Comm 85. Ad Attach complete site plan on paper not less than 81/2 x ize. ust County S f • G Q I include, but not limited to: vertical and h dire d percent slope. scale or dimensions, north or row, and distance t ar roc" ' arcel J.D. 0 Z 2. ' /0/<)o . 3 0 11 42 Please print s~fl informafio,t?j~ Reviewed b* Date . /3 Peisooel urf«marion you provide maybe uses toy secondary p~eposa3KPmaey Lawn, a.1 .04 (1) (m)). l 1 h Property Owner '()iJNT P rtyLocation 11idG UrFiCF= 3~r•~ S A- RAY Lot J~ w 1/4 ~~llj/4 S 7 T 2.8 N R A? E (or W Property Owner's Mailing Address t Lot # Block # Subd Name or CSM# . 6 7~ 90 - s r B041 9 y I/V - CgAl ~y State ZIP Phone NUDSoSY01& ( 715) 4.2 !°Kc kip ®C Nearest 10 ST. New Construction Use: 04 Residential/ Number of bedrooms ❑ Replacement Code derived design flow rate 4 ' 40 GPD ❑ Public or commercial - Describe: Parent material _71(o;4. loess An ocr RA, s /9~iR1 Flood Plain elevation if applicable i R General cormrerrts JCl;( ' and recommendations: /0f %hr 1i f L, - Area..! ' t 0o stec' suitable for a 7,& ,kL~, fj 2 I-S 4) mound (RGM.T.S.'i system using Annri fill F-/1 B'im Boring y q. o s s s Pit Ground surface elev. R Depth to limiting factor in. Sod Appication Rate Norimn Depth Dom1r%artC0lrA Redox Description Texture Structure Consistence Boundary Roots GPD/ff M. Munsetl Qu. Sz. Con. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 r a-~ is Y~ 3 3 Sic afsb,~-f->e cs 3-F . G 9.1a is YR s re G PSA& /►,n t f 2 cs 2 + . 1- . G a 5 YR sic le$hk fR cs ! . g- • 6 2. S + Co c2 O Mo f-S' !CL f Z 3 s yR s k Boft 2- Borlng P -70 17 it Ground surface elev. ft. Depth to limiting factor ar. Sad Application Rate Hortzon Depth Dominant Col Redox Description Texture Struchue Consistence Boundary Roots GPD/fft in. Munsell Qu. Sz. Con. Color Gr. Sz Sh. 'Eff#1 'Etf#2 3 /0 ye 3/ S/L 2fsh& / t FR cs 3~ , 3• o /o Y2 s G ~Sh . m R C,s z f oil 3 0 ~•s Y12 fshe A-% f/e t^s • ~ • ~ 7•,36 1.5 G c xd Hofs S/CL / s~j fi • 2 .3 -s Y2 s/~ • Eft ent #1 = BOO > W < 220 mg& and TSS >30 < 150 mg1L • Eftiuent #2 = BOD < ao _ mglL and Tss < 3o mg/L Csr Name (Please Prim) Signature Z z csrnxar ben TR d a ER r W L B R i c GtT izz&eq- Co 3 -7 5 Address Date Evaluation Conducted T elephone Number ~1, q - Z. d o 8 7is • 77.2.3q`1-.. Private Sewage Consultants e-v..vJ7Z e coAvDiT110WS 2812 10th Ave. - " "uFvitv~oy ,sT-- Spring Valley, WI 54767 , r W CS M WA" 5 A. RA Parcel ID # 0 z2. - /dfoO . 30 - OZ f Page 2 of 3- Propeify Owner Bod ❑ Boring pG Z. ~ # Ground surface elev. ~0 • fi. Depth to limiting factor in. Pit Sol Application Rate Horhm Depth Dominant Col Redox Description Texture Structure Consistence Boundary Roots GPDAif in. Munson Qu. Sz. Cant Color Gr. Sz Sh. 'Eff#1 'Eff#2 p • io W T sl4(- a -Fsht jw%fR. c s -F- . 6 . oO z o s fshk' 4H 1F/2. e-- s Z. . 00 6.1 ~s R ( G 1~s~jefi2 ms's .6 xofs Cshk . z 3 s y2 s F-I Boring # ❑ Boring ❑ Pit Ground surface elev. fL Depth to finning factor in. Sod Application Rate Horizon Depth Dominant Col Redox Description Texture Struch a Consistence Boundary Roots GPD/tfr in. Munson Qu. SZ Court. Color Gr. Sz Sh. 'Etf#1 'Eff#2 i Boring # ❑ PBoring it Ground surface elev. fL Depth to limiting factor in. Sod Application Rate Horizon Depth Dominant Redox Description- Texture Structure Boundary Roots GPD/tt? In. Munson Qu. Sz. Cont. Color Gr. SZ Sh 'EMI *Eff42 $ f Bori r ® Boring 1g# ❑ Pit Ground surface elev. fL Depth to limiting factor in. t _ J Sod AppUcation !021 }tom Depth Dominant Color Redooc Texture Structure Consistence Boundary Roots GPD1f1? l. Munsell Qu. Sa /bont Color Gr. S7- Stu. •t f#1 'E5 2- Y qle 70 - o 0 3 - v ' O O Ulbricht & Associates Private Sewage Consultants 2812 loth Ave. ` Sprinq Valley, WI 54767 I a° 1 ~Ov w 676 ~D p L/ SST: D t Tod°fy~ ~i. 30 o~ o~ o Ulbricht & Associates Pri"16 -S@Wage Consultants 2812 10th Ave. SP`j O V4110* M 54767 j3 0 v v y ~ 33