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HomeMy WebLinkAbout016-1066-50-000 f Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 600270 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village Township Parcel Tax No: Thomas Caress TOWN OF GLENWOOD 016-1066-50-000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: /60 31.30.15.462 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic ',n Benchmark t .a. Dosing C Yw P„ ~ ~ Alt. BM (1 Asrettit>T ~`_~L A~ Bldg. Sewer 7/ 1d.2 . S Holding St/Ht Inlet 74 i'Sq TANK SETBACK INFORMATION St/Ht Outlet 111-1 TANK TO ` OP(1L WELL BLDG. 12Lent to it intake ROAD Dt Inlet Septic ,S I % Dt Bottom `Z Dosing ~S 5b / 63 Header/Man. Z ' 1 /X, as- Aeration - Dist. Pipe add • zg 2.1 Holding Bot. System r . `F 2 •73 /0, 0, G S PUMP/SIPHON INFORMATION Final Grade Odz • Z49 Z(. Manufacturer Deman(~b. St Cover v ~!ti b 77,'97- Model Number ~y Oak TDH Li Friction Los System Head TD Ft S3 7: . s s co a T, 3.14 $I Ir Z5 7IT. 3~ Forcemain Lengt Dia. Z Dist, to Well SOIL ABSORPTION YSTEM BED/TRENCH Width Length i No.Trench PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION Type stemte: CHAMBER UNIT OR Model Number: ,A% Z 1 _rj DISTRIBUTION SYSTEM Header/Manifold DistributiCon i x Hole Size Ix Hole Spacing Ve Aii`r'Ike 3 G J 1 Length Dia Pipe(sLength) A Dia Spacing /'J'2 SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over T Depth of xx Seeded/Sodded jxx_Mulched Bed/Trench Center Bed/Trench Edges Topsoil ! s [ No es ❑ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: n ~ Location: 2735130TH AV ar 4, ulllz.~ 1.) Alt BM Description 6 v~ 2.) Bldg sewer length - amount of cover 42, Plan revision Required? U Yes No Ll ' 4 I ~jff Use other side for additional information. Date Insepctor's Sign ure Cert. No. SBD-6710 (R.3/97) J I ; iv 3 i~YAaT~1yTO\ County r/^3 , ; Industry Services Division 51' 1 1400 E Washington Ave S S itpry Permit Number (to be filled in by Co.) P S P.O. Box 7162 Madison, WI 53707-71 z,~~ UFLSyIC1N Ply • 'uvN~ T (O v a State Transaction Number ~ rmit Applic & In accordance with SPS(~383. 21(2), Wis. Adm. Code, submission of this form ?Rwt5-e appro- ovemmental unit C] d is required prior to obtaining a sanitary permit. Note: Application forms for state-o OWTS are submitted to the Department of Safety and Professional Services. Personal information you rovide may be used for secondary Project Address (if different than mailing address) purposes in accordance with the Privacy Law, s. 15.040)(m), Slats. 7.735 /3b(' I. Application Information - Please Print All Information qK Property Owner's Name Parcel # Oi ~SS of(0 - (O(plP_5c~ -Lco0 Property Owner's Mailing Address , Property Location ` l J~ 1 ~v v Govt. Lot Cit State c Section 31 Zip Code r Phone Number (ircle one) ~L, E or F? r D ` ✓-LQFSL I q y057 T -';50 1`1 R Ie c 11. Type of Building (check all that apply) Lot # S1 or 2 Family Dwelling - Number of Bedrooms Subdivision Name ❑ Public/Commercial - Describe Use ~t ' Block # ~ _ dl~st~ ❑ City of ❑ State Owned - Describe Use/ ❑ Village of I /IZ t ~ A J C Number \ I ® Town of (11 1 v (.9-)dam - III. T pee of Permit: (Check only one box on line A. Complete line B if applicable) J~ A. g New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing Syste f lai B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Yermit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner / IV. Type ofPOWTS System/Component/Device: (Check all that apply) ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade Q Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) nn V. Dispersal/Treatment Area Information: _ Design Flow (gpd) Design Soil Application Dispersal Area Required (s Dispersal Area Proposed System Elevation Rate(gpdsf) + p~0 _7~ VI. Tank Info Capacity in 0 Gallons Total # of .n ° ° Gallons Units ) ~ufacturer w U ; New Tanks Existing Tanks P, U 6~ V) w C7 P. 01 Septic or Holding Tank /2_50 1 5St ❑ ❑ ❑ ❑ Dosing Chamber - I W,ESEP ❑ ❑ ❑ ❑ VII. Responsibility Statement- I, the undersigned, assu re ons' ' 'ty f installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's igna re MP/MPRS Number Business Phone Number Todd L Sinz MP139462 715-235-2644 Plumber's Address (Street, City, State, Zip Code) 85609 708`h Ave Menomonie Wi 54751 VIIL County . /De artment Use Only pproved oved Permit Fee Dat ssued ]ssuin ent Signature W~p rven Rea for Denial 4~• w 1 / IX. Condit1 i OilbVh "r~~fl(~ ffiDisapproval - n J - t P r. c 3>~ di-Wet ::,I crll must alt be ic s~+ ;-s ' s.+; ec ' I es per gw.agement plan p!o doed by plumber. IRS awelEleck fEenLS lnlltt>llf! r eei ttt~ It":E 1 1 / 2. oo per "*k& M 006t / co irlame'l. A l6 t Attach to complete plans for the system and sub it to the Coon only on paper n^ess than 8 1/2 x if inches in size pla SBD-6398 (803/14) ~ 0 o J A PAGEQ4 OF 4 ~ZO M 1 - MM 96.00' C N Cm W W oZ O N W v~ I o lD # W iD pan i i r Z- LJ M U M b > Q ~ -W = W ¢ wo C- Lr? ~CD 3. Wx 3 o z U o l17°~~X-+ ° o I 1~ t~L,.1~~f-~ J W>l U W LLJ I- ~D u u W o Li Q Q v oC~) °o° ~cU3z_ w C) 1,3 1 L - o , z3° ~ A o Z I w w a m > ti_J zz aO ¢M 0 i D zQw QO Q Q~ Q-' w I' w w W ~ N Q W po fI Z) o a 'I ~ ~ Nx a 0 ~z vW DQ r- "v , DIVISION OF INDUSTRY SERVICES APPR )V L 2331 SAN LUIS PL STE 150 DEPT. OF SAFETY AND PROFESSIONAL SERVICES GREEN BAY WI 54304-5211 >ja'O a OF 1NDUSTRr SERVICES Contact Through Relay S P http://dsps.wi.gov/programstindustry-services e~~wr ~utluus~` www.wisconsin.gov - - - Scott Walker, Governor Laura Gutierrez, Secretary October 12. 2017 CUST ID No. 139462 ATTN POWTS Inspector TODD L SINZ ZONING OFFICE TL SINZ PLUMBING INC ST CROIX COUNTY SPIA E5609 708TH AVE 1101 CARMICHAEL RD MENOMONIE WI 54751-5520 HUDSON WI 54016-7708 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/12/2019 Identification Numbers Transaction ID No. 3004859 SITE: Site ID No. 843276 Thomas Caress Please refer to both identification numbers, 2735 130TH Ave above, in all correspondence with the a encv. Town of Glenwood St Croix Countv NE 1/4, NWl/4, S31, T30N, R15W FOR: Description: Mound System (3 Bedrooms - New Construetion) Object Type: POWTS Component Manual Regulated Object ID No.: 1729144 Maintenance required; 450 GPD Flow rate; 11 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Ver. 2.0, SBD -10691-P (N.01/01, R. 10/12), Pressure Distribution Component Manual - Ver. 2.0, SBD-10706-P (N.01/01, R. 10/12), SSWMP Pub. 9.6; Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • Preserve dispersal area prior and during construction to avoid disturbance, compaction and use of the site. • With new construction; it is recommended not to activate the pump in the dose tank until the tanks are pumped prior to homeowner occupancy. • Wastewater generated from contractors cleaning of equipment and tools and/or left over construction products shall not be discharged into the drains discharging to the private onsite wastewater treatment system (POWTS). Waste generated shall be properly disposed of on-site or off site. • Any tall grasses, leaves and shrubs shall be cut short and removed prior to tilling the surface for installation to prevent matting under the dispersal area. All loose organic material to be removed from mound area. • Divert surface water from POWTS Area. • Prior to construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. Smearing and compacting of wet soil will result in reducing the infiltration capacity of the soil. Proper soil moisture content can be determined by rg a soil sample between the hands. If it rolls into a 1/4- inch wire, I 'ODD 1, SINZ Page 2 1012112017 the site is too wet to prepare. If it crumbles, site preparation can proceed. If the site is too wet to prepare. do not proceed until it dries. • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building sewer beyond 30 feet per SPS 382.30 (11)(c) • Well setbacks to meet chs. NR 811 & 812 • Tank Installation to follow all manufacture's recommendations. SPS 383.54(1)(e) The management plan for a POWTS shall specifically address the servicing mechanics of an aerobic or anaerobic treatment tank or a holding tank where either of the following conditions exist: 1. The bottom of the tank is located more than 15 feet below the elevation where the servicing pad is located. 2. The bottom of the tank is located more than 150 feet horizontally from where the servicing pad is located. • Verify property line(s) prior to installation. • Pump Floats to beset and verified per approved plan. Any changes may result in pump resizine to meet TDH and GPM Specifications. re as that are 91cc181 lcd 11!ill 1'o':K 11i1'-;3llcllls. (Sl'ti f00[J_ [ttt31]~~ 81111 bOtli&IS ItiUULL 01C ~11110ill1i 01 501 ,available for proper treatment. If no other site is available- trees in the basal area of the mound must be call oll' et ground level. A large ~Ilrrici."-m in-illralk 1,. 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 oii ner's manual for the POWTS described in this approval SPS 383.54(1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/instal lation/operation. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 This Amount Will Be Invoiced. When You Receive That Invoice, Please Include a Copy With Your Tim Vander Leest Pavment Submittal. Private Sewage Plan Reviewer, Division of Industry Services WiSMART code: 7633 (920)492-2214 . Monday - Friday 6 am To 3 :30 pm MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN INDEX AND TITLE PAGE Conditionally Project Name: Thomas J Caress Septic System. APPROVED DEPT. OF St -ROFESSI0"1 Owner's Name: Thomas J Caress DIVISION SERVICE Owner's Address: 2735 130th Ave Q/f Glenwood City Wi 54013 v'~'1 U Z.~GiI~l~l o~C.df 715-684-9657 Legal Description: NE1/4 NW1/4 S31 T30N R15W Township: Glenwood County: St Croix Subdivision Name: Lot Number: Block Number: Parcel I.D. Number: 016-1066-50-000 Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 effluent filter Page 9 Plot Plan r' r ff Designer: Todd L Sinz - License Number: MP 139462 Date: 09/07/17 Phone Number: 715-235-2644 Signature: U Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SBD-10691-P (N- 01/01, R. 10/12), and both SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01, R. 10/12) Version 7.0 (R. 11/12) Page 1 of 9 Mound and Pressure Distribution Component Design Site Information R Residential or Commercial Design Note: sand fill (D) calculations assume a 300.00 Estimated Wastewater Flow (gpd) Table 383-44-3 in-situ soil treatment for fecal coiiform of 36 inches. 1.50 Peaking Factor (e.g. 1.5 = 150%) 450.00 Design Flow (gpd) 6.50 Site Slope 98.50 Contour Line Elevation (ft) 11.00 Depth to Limiting Factor (in) 0.20 In-situ Soil Application Rate (gpd/ft2) Distribution Cell Information 112.50 Dispersal Cell Length Along Contour (ft) = 4.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ft2 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? C Center or End Manifold 0.00 Lateral Spacing (ft) If N above, enter the elevation (ft) 2 Number of Laterals of the highest point. 0.156 Orifice Diameter (in) 2.00 Orifice Spacing (ft) = 8.04 ft2/orifice o ~j 2.00 Forcemain Diameter (in) 540.00 Forcemain Length (ft) Does the forcemain drain back? Y ~ ,rte 66.00 Pump Tank Elevation (ft) P1 ,,*n 1 qO.5 System Head (ft) x 1.3 88.08 Forcemain Drainback (gal) 3Vertical Lift (ft) 50.97 5x Void Volume (gal) Friction Loss (ft) 139.05 Minimum Dose Volume (gal) 0.00 In-line Filter Loss (ft) 30.16 System Demand (gpm) 49.20 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 1.00 1.50 1.25 2.00 1.50 x x 3.00 2.00 x 3.00 x Gallons/inch Calculator Treatment Tank Information Total Tank Capacity (gal) 1250.00 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Wieser Concrete Manufacturer ~J gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 750.00 Dose Tank Capacity (gal) Lifetime Filter Manufacturer 16.12 Dose Tank Volume (gal/in) LT1/8 Filter Model Number Wieser Concrete Manufacturer Project: Thomas J Caress Septic System. Page 2 of 9 Mound Plan and Cross Section Views T J 1/10 B Observation Pipe yy ~ T T rK C~ : Q A W B . T ::3........ 1 L Mound Component Dimensions r,_ ~IE:alu, bi~f ft B ft F 9.50 in z ft L 1ft A A25.00 ft E 28.12 in H [Aft ft K aft D in G 0.50 ft J W 450.00 (ft2) Dispersal Cell Area 2250.00 (ftz) Basal Area Available 4.00 (gpd/ft) Linear Loading Rate 11.25 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 102.38 (ft) • H G 1 101.08 (ft) Lateral F Dispersal Cell 100.58 (ft)-* - Invert Dispersal Cell [ t D 3 Elevation E..:; 4 98.50 (ft) Contour Elevation 6.5 % Site Slope Geotextile Fabric Cover Shading Key a _a Dispersal Cell See lateral details on Q = Topsoil Cap o C. 1.5 ft Page 4 for number, 02 Subsoil Cap (A c © size, and spacing of ASTM C33 Sand ° laterals. Laterals are v is F equally spaced from the Layer d 0.5 ft Tvpical Lateral Tilled 0 H distribution cell's Q 0 Aggregate c centerline in the A distribution cell (AxB). Project: Thomas J Caress Septic System. Page 3 of 9 Center Connection Lateral Layout Diagram P • - X I -{If LStrr.°,1 per P Table ~4 rll?d on I., bcnom_•1 I y-r A. •=Turn-u r, va I1-at• .:-r .:1- nc.u: 1:4uq Number of Laterals 2 Orifice Diameter 0.156 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.02 ft Lateral Length (P) 55.55 ft Orifices per Lateral 28 Lateral Spacing (S) 0.00 ft Orifice Density 8.04 ft2/orifice Lateral Flow Rate 15.08 gpm Manifold Length 0.00 ft System Flow Rate 30.16 gpm Manifold Diameter 0.00 in Total Dynamic Head 49.20 ft Forcemain Velocity 3.08 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 750.00 Gallons Volume 16.12 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 23.90 385.27 B 2.00 32.24 C Pip off elevation (ft) C 8.63 139.05 67.00 D 12.00 193.44 D Total 46.53 750.00 iF- Dose tank elevation (ft) 3" Bedding under tank. 66.00 Alarm Manuafacturer SJE Rhombus Alarm Model Number Tank Alert Pump Manufacturer Goulds Pump Model Number Gouwe1012h - - - or W N Pump Must Deliver 30.16 gpm at 49.20 ft TDH Project'. Thomas J Caress Septic System. Page 4 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name T L Sinz Plumbing Inc. Phone 715-235-2644 POWTS Regulator's Name StCroix County Zoning Phone; 715-386-4680 ; System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1250 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450 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 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 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 6-8" Diameter Lawn -i Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Thomas J Caress Septic System. Page 5 of 9 Mound System Management Plan Pursuant to SIPS 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 BODS, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD5, 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. Continuency 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: Thomas J Caress Septic System. Page 6 of 9 Wastewater APPLICATIONS SpecificaV'y designed for the following uses: power cords OW severe duty oil and water resistant • Homes, Farms, Trailer Courts, Motels, Schools, • 7/3 - 1 HP models have NE Hospitals, Industry, Effluent Systems MA three ~ plugs. prong grounding SPECIFICATIONS • I ?/2 HP and larger units have bare lead cord ends. Pump Three phase (60 Hz): • Solids handling capabilities: 3/4" maximum. • Class 10 over)c,ad protection must be provided in • Discharge size: 2" NPT separately ordered starer unit. • Capacities: up to 140 GPM. • STOW power cords all have bare lead cord ends. • Total heads: up to 128 feel TDH. • Temperature: • Designed for Continuous Operation: Pump ratings 104'F (40°C) continuous, 140'F (600C) intermittent. are kingilimits, the motor an b manufacturer's recommended • See order numbers on reverse side for specific HP out damage working damage when opL riined continuously with fully s rria rnerged. voltage, phase and RPM'S available. • Bearings: Upper and lower heavy duty ball bearing MOTORS construction. • Fully s t1iirnergF,t) in h;~.,}1 • Power Cable: Severe duty rated, oil and water resis- grade turbine oil for lubri_ tant. Epoxy seal on motor end provide,, second;Fgy cation anc;t efficient hr=,rt transfer. - mois3ure barrier in case of outerjacke-t damage and • Class B insulation on %3 - 17/2 HP models. to prevent oil wicking. Standard corgi rs 20'. Option- Class F insulation on 2 IIP models, al lengths are availal:lle. Single phase (60 Hz): • O-ring: Assures positive sealing against contami- • Capacitor start motors for maximum starting torque. AGENCY LISTINGS • Built-in overload with automatic reset. Tested to UL77E3 and CSA22.2 708 Sta,iavds c s By Canadian Standards Association File 4R:38549 METERS FEET 40~ 130 WETS HH - 35 120, SERIES: WE ; _ _iSIZ SOLIDS 110 WE20H~ ;RPM:35 30 100 _ 1750 5 GPM Q 90._WE95H C_ 5 FT w 251_ z I 80 E14 i - - s 20 70, E07 11 60, . WE05 tQ 15- 50 40 30 .WE03Na 5 J 20 WE03t 79 1 10 I (M) 0 10 20 3 40 50 _ (L) 60 70 80 90 5 10__ 100 110 120 130 140 150 160 GPM 20 25 30 1._._ ~r,~~ f_ a CAPACITY 35 m3/hr The Best Just Got Better The most efficient, the lowest maintenance, the most economical wp effluent filter! • Nearly Twice the Filtering Capacity • Estimated to go 3 Times • Longer Between Cleanings • f • Cleaning Made Easy • • Does Not Retain Solids Between Plates • • Lowest Price • - Eliminates the collection.of solids inside the cartridge. - Nearly twice the filtering capacity of any other filter. UMAaWO - By eliminating solids between plates drastically reduces the need to clean. - Cleaning made simple and efficient. - LET-1/8: 3500 GPD/Residential Strength Filtration 1/811 - LT - 1/16: 3350 GPD/ Residential Strength Filtration 1/1611 LT -1 /32: 3000 GPD/Recommended for Commercial use with Residential Strength - Filtration 1 /32" Y/~ T 1/64: 2500 GPD/Recommended for Commercial usage with Residential Strength - Filtration 1/6411 _ 77nn inrhnc ni 1 inner 911tra it n IN Jonrly TlA/;ra thn ('mmnPf;f;nnl • o O J A ~0 PAGE 4 OF 4 F wzo I G 0(4 , 96.00' d N a1I o W U z o ~ i, fl 0i W l0 an to 1. I -ate r z - o tea , La1 M U w a Y I I w Z m Ld W~ > a°n W n CID x 33 w Ln I W p Q' 0 ; U O O x U-) O co D I 1~ ~W~DC \ W>"C1, U W af Q3U-) %,D U X, I w~ c~~U2 q Q U-) C7 U 0000 Z Q Oz 1 r-, C] , J CD I A w = L~ wa- U z~ J ~ 'ct O I ~ Z ' w o - z Q F- ~ w 0 ~ z a 1: (M cr o~ w w aN CL 7 a a❑ = a o zw ¢wo 0 LD Of w l w n zz a w O ~ m, x 0 z a n Q~ W Z<r 7D Q f Sarah Droher From: Sarah Droher 2e" Sent: Tuesday, November 7, 2017 10:36 AM To: 'thomas.caress@apA-ersorrcorp:cco"m' c.44-v-`6" c%&r', . 4 n-- Subject: Site Plan for Parcel ID 016-1066-50-000 Attachments: 016-1066-50-OOO.pdf; 20171107100857212.pdf; LiDAR and floodplain_Caress.pdf Good morning Tom, Here is the map that I was referring to which has the Flood Hazard Area mapped by FEMA (I referred to as Floodplain). This property is mapped Zone A, which does not have information regarding the Base Flood Elevation. In order to approve the sanitary permit, we will need a more detailed site plan regarding the house location. I suggested getting two measurements to the most western corner of the house, one from the northern property line and one from the eastern property line. I've also scanned in a copy of the site plan submitted for the sanitary permit, which shows the house location relatively close to the area which is mapped Floodplain. Thank you! SurttiG~. j~rv~ier (715) 386-4680 Land Use Technician Community Development Department. T. CR O I G-(W 1 1 N 1-Y St Croix County, " ~ LpM~d wFlRienwen Fled Irrtl Ai Me'dMIW13" RedtlM~ '",`\0 weed F" ID Ld M AMM ' TO Pr1i cow ' w0 3. Wnr x ORGIYG . 1 U"Wdlire iNreed Geer ' Ii~nefeYe f ..r U801W @I mod, = ' > e ~r l~r Deere s " ,ate IaAeRnr• - FAmae ~ ; wed N ~ ' n: ~ ~ dYIM x~ ram pr14(~l o as IN low t` " 'oec.iire e` ~RrRlRerrneRRe d!e r ~ ~'T ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer ea i S S Mailing Address 7 5 13 o `off 6- Property Addres VcP--72 s' 1 - (i ~`~S ~7 ~i~l wuC O 4:Z CUB ~yC13 ( . (Verification required from Planning & Zoning Department for new construction City/State 4~_tle,1~7LV001_1 ( c Parcel Identification Number LEGAL DESCRIPTION Property Location r/4 Sec. , T C, N R l W, Town of 6/0~_- 4--c6e Subdivision Lot # Certified Survey Map # , Volume , Page # C / Warranty Deed # , Volume / ~ , Page # - 70 Spec house yes no Lot lines identifiable yes 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 §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge, I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Conunerce 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. Uwe certify that all statements on s form are true to the best of my/our knowledge. I/we am/are the owner(s) of the property described above, by virtue of a w rranty deed recorded in Register of Deeds Office. Numb bedrooms SIGN OF APPLICANT(S) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV, 08/05) hw PWII:~-l AREA :.J ^ r d... P6 r ,r 1i'~IPw'~l^' ~o i 1 4p, yam, _ { rFJJ ~ I r rf:,C oom "3 f' 1 12° M i a ~I MATH e S 1-Y Y 17 `4 " A L., 12X ISArt:. Ek ent of Safety and Professional Services Page 1 of 4 RaPli industry Services SOIL EV LUl,TIOjiFPORT - - r In accorda tth . 85, Wis. Coda County less than 8 1/2 x 11 in sins,,, ~U~ St. Croix AM , par" reference point d (RML todirerest road. perenttsloplee P1 rcel I. - ~ ~ nsionsrnoalo! horizontal ndnot Please print all information. Review )y ~te Personal intormation_-you provide may be used for secondary purposes (Privacy I aw;_s.. 15.04(1)(m)j. Property Owner Property Location Thomas J. Caress Govt. I-ot NF '/a NW 1/4 S 31 1 30, N R 15 E or) W Property Owners Mailing Address lot # i Block # Subd. Name or SM# 2735 130" Ave ll City State Zip Code Phone Number ❑ City ❑ Village M Town Nearest Road Glenwood City - WI- 1 54013 Glenwood - L130' Ave. ® New Construction Use: M Rosidential / Numberof bedrooms 3 Code derived design flow rate 450 GPD / ❑ Replacement ❑ Public or commercial Describe: Parent material Glacial Till Flood Plan elevation if applicable NA ft. General comments and recommendations: Install mound with 25 inches sand lift along the 98.50' contour line as staked. Use 0.2 soil appliation rate and 4.5 L I-53. dor 1 Boring # ❑ Boring / ® Pit Ground surface elev. 98.70 ft. Depth to limiting factor 17 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ftz In. Munsell Cu. Az. Cont. Color Gr. Sz. Sh. Fff#1 'Eff#2 1 00-08 10YR 3/2 sil 2m-csbk mfr aw lm 0.6 0.8 2 08-11 10YR 3/2 sil 2mpl mfr as 1m 0.0 0.2 3 11-17 10YR 4/4 sil 2msbk mfr cw 0.6 0.8 4 17-27 10YR 3/6 c2f 10YR 4/6 & 6/3 scl 2msbk mfr cw 0.4 0.6 5 27-36 1.5YR 4/4 cad 7.5YR 5/6 & 6/3 sl 1csbk mfr 0.6 1.0 Boring 2 Boring # Pit Ground surface elev. 96.20 ft. Depth to limiting factor 15 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ft? j~ In. Munsell Qu. Az. Cont. Color Gr. Sz. Sh. 'Eff_#1 'F_ff#2 1 00 11 10YR 3/2 sil 2m csbk mfr as 1 m 0.6 0.8 2 1-1 15 10YR 4/4 sil 2msbk mfr as 0.6 0.8 3 15-32 7.5YR 4/4 cif 7.5YR 4/6 & 5/3 scl 2msbk mfr - 0.4 0.6 - Effluent #1 ROD, > 30 220 mg/I and TSS > 30 s 150 mg/I Fffluent #2 BOD, > 30 < 220 mg/l_ and TSS > 30 < 1,50 mg/l. CST Name (Please Print) Signatu CST Number Leroy G lansky 941wt,-71599 - - - - Address Date Fvaluation Con uctcd Telephone Number 12/58 43rd Ave Chippewa Falls, WI 54729.6610 8/30/201/ 15) 7230408 SBD 8330 (804/15) Page 2 of 3 3 Boring # ❑ Boring ® Pit Ground surface elev. 98.60 ft. Depth to limiting factor 11 in. Soil A plication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ftz In. Munsell Qu. Az. Cont. Color Gr. Sz. Sh. *Eff#1 Fff#2 1 00-07 10YR 3/2 sil 2m csbk mfr as 1m 0.6 0.8 - - 2 07-11 10YR 4/4 sil 2msbk mfr as tm 0.6 0.8 3 11-16 7 5YR 4/6 f2f 10YR 5/6 scl 2msbk mfr cw 0.4 0.6 4 16-30 5YR 4/4 cif-d 5YR 4/6 & 5/3 sl 1 msbk mvfr 0.4 0.7 - Boring # ❑ Boring L-1 ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate_ Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ft2 In. Munsell Qu. Az. Cont. Color Gr. Sz. Sh. Eff#1 Fff#2 Boring # ❑ Boring Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ft2 In. Munsell Qu. Az. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 Effluent #1 = BOD, > 30 s 220 mg/I. and TSS > 30s 150 mg/L. 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