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018-2011-90-000
County: St. Croix .;onsin Department of Commerce PRIVATE SEWAGE SYSTEM rety and Building Division Sanitary Permit No: INSPECTION REPORT 600294 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)] 3027035 Permit Holder's Name: City Village Township Parcel Tax No: JASON & LINDSAY TOWN OF HAMMOND 018-2011-90-000 CST BM Elev: T sp. BM Elev: BM Description: Section/Town/Range/Map No: eq yS_ .44- 3~ Tp aF 30.29.17.1101D TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark ~ yL.g 1,w /fit 077 'I Dosing Alt. BM Aeration Bldg. Sewer ~dg Q Holding St/Ht Inlet St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. (Lento Air Intake ROAD Dt Inlet Septic 72 Dt Bottom Ay Ct 1 6-91.5 Dosing L+ / 3/ Header/Man. ~ t>•f rJ Aeration Dist. Pipe 3 5 3 Holding Bot. System J~ 15 err. Z 5~ 3f b PUMP/SIPHON INFORMATION Final Grade Manufacturer Demand St Cover 6 ~5 cs~ - S GPM Model Number L :5-1 Zz Z/ TDH Lift Friction Loss System Head 5 1TDH l Z~ Lt 1410 b 9. s G' Forcemain 1 Length Dia. ' 1 Dist. to Well Zy Z y1n 5 , i' SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenc PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ® '__1 SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type System: UNIT Model Number: 03 DISTRIBUTION SYSTEM Header/Manif~d i Distribution x Hole Size p' + x Hole Spacingg Ven it Intak pa Length Dia J` Length y 4';Dia / IV 7 V SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx MulcheWd Bed/Trench Center / . / Bed[Trench Edges - Topsoil r f3--w, e E] No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 1534 78TH AVE i 1.) Alt BM Description 2.) Bldg sewer length = 17 nn - amount of cover = it 7 4L Plan revision Required? ❑ Yes ><No ) ZS i~ Use other side for additional information. Date Insepctor's ignature Cert. No. SBD-6710 (R.3/97) 4c krv~.,}"'! ry County yd► Indust Services Division 1400 E Washington Ave Sanitary Permit Number (to be filled in by Co.) S(. 'f P.O. Box 7162 S w' Madison 5 07-7162 l~QW l rEms. W... inikA 30 `Sanitary Permit hrr . HA2Tg State Transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to tnc ur, VS unite is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POW t~~ ed to Project Address (if different than mailing address) the Department of Safety and Professional Services. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, s. 15.04(l)(m), Stats. 1. Application Information - Please Print All Information Property Owner's Name Parcel # Property Owner's Mailing Address Property Location 3L', 3`1 ` Govt. Lot City, St Zip Code Phone Number Alz '/a, ~bLt ''/a, Section (circle out T~ N R~! Eot ~i II. Type of Building (check all that apply) Lot # I or 2 Family Dwelling - Number of Bedrooms Subdivision Name Block ❑ Public/Commercial - Describe Use O~ El Cityof F-1 State Owned- Describe Use Y~ El Village of CSM Number ~I x ( - pul Town of III. Type of Pem'iit: (Check only one box on line A. Complete line B if applicable) A. New S stem El Replacement System El Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. ❑ Permit Renewal F-1 Permit Revision E] Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner It IV. Type of POWTS System/Component/Device: (Check all that apply) F1 Non-Pressurized In-Ground El Pressurized tn-Ground El At-Grade 0 Mound ? 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil F-1 Holding Tank El Other Dispersal Component (explain) El Pre treatmen evice exp aTtn) V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil Application Dispersal Area Re ired (sf) Dispersal Area Pro osed (st) System Elevation Rate(gpdsf) ell `I. ✓ VI. Tank Info Capacity in Gallons Pdl~ylor- .2 Total # of 'fl h-7 v N Manufacturer Gallons Units U w a, New Tanks Existing Tanks ;i Septic or Holding Tank ❑ ❑ ❑ ❑ Dosing Rtoz) ❑ ❑ ❑ ❑ ❑ VII. Respo ibility Statement- I, the undersigned, assume respons' i ity for installatiotp of the POWTS shown on the attached plans. Plum be ame (Pri PI umber" i ire MP/MPRS Number Business Phone Number ~latf Plumber's Address (Street, City, State, Zip Code) 4) VIII. Count /De artment Us pproved D proved Permit Fee Dat2e Issued Issu g A nt Signature Own n Reaso r Denial IX. Conditions of Approval/Reasons for Disapproval SYSTEM O\NNER: , Ws Ix~T~,• ot~ 1. Septic tank, effluent filter and dispersal cell must he serviced / maintained ' stem and submit to the County only on paper not less than 8 1/2 x I I inches in size 2 All setback requirements mus be maintained as per appiicable code/ordinances. SBD-6398 (R03/14) KIM A OCONNELL Page 2 11/28/2017 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. Sincerely, Fee Required $ 250.00 Fee Received $ 250.00 Balance Due $ 0.00 rard M Swim POWTS Plan Reviewer, Division of Industry Services (608)789-7892, Mon - Fri, 7:15 am - 4:00 pm WiSMART code: 7633 jerry.swim@wisconsin.gov cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm 't~RTtir~~ DIVISION OF INDUSTRY SERVICES ° , IF 3824 CREEKSIDE LN HOLMEN WI 54636-9466 CDs Contact Through Relay yt P http://dsps.wi.gov/programs/industry-services www.wisconsin.gov Scott Walker, Governor Laura Guti6rrez, Secretary November 28, 2017 OUST ID No. 224263 ATTN: POWTS Inspector KIM A OCONNELL ZONING OFFICE KO CONSTRUCTION ST CROIX COUNTY SPIA 504 3RD AVE E 1101 CARMICHAEL RD OSCEOLA WI 54020-8173 HUDSON WI 54016-7708 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 11/28/2019 SITE: Jason Jacobs Identification Numbers 78TH Ave Transaction ID No. 3027035 Town of Hammond Site ID No. 844716 St Croix County Please refer to both identification numbers, NE1/4, NW1/4, S30, T29N, R17W above, in all correspondence with the agency. Subdivision: Emerald Acres; lot 56 FOR: Description: Four Bedroom Mound System \ Sloping site Object Type: POWTS Component Manual Regulated Object ID No.: 1736369 Maintenance required; 600 GPD Flow rate; 26 in Soil minimum depth to limiting factor from original grade System(s): Mound Component Manual - Ver. 2.0, SBD -10691-P (N.01/01, R. 10/12), Pressure Distribution Component Manual - Ver. 2.0, SBD-10706-P (N.01/01, R. 10/12); Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. cf":Nn1T1 The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code aPP: , ` requirements. DEPT OF No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06PROFESSi(,, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders • A sanitary permit must be obtained from the county where this project is located in accordance with the ---,;0~ E requirements of Sec. 145.19, Wis. Stats. 4 ~ - , , • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. • All POWTS component piping material shall be SPS 384, Wis. Adm. Code compliant. • The area within 15' downslope of the dispersal cell shall remain undisturbed. Vehicular traffic, excavation or soil compaction is prohibited in this area. • A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors Note: The plan changes were approved by the system designer. MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Jason Jacobs Owner's Name: Jason Jacobs Owner's Address: PO Box 395 Somerset WI Legal Description: NE--NW--sec30-T29N-R17W Township: Hammond County: ST Croix Subdivision Name: Emerald Acres "JALLY "ED Lot Number: 56 Block Number: .TY AND Parcel I.D. Number: 018-2011-90-000 SERVICES RY SERVICES Plan Transaction No.: Page 1 Index and title Page 2 Data entry - Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Plot Plan Page 10 Soil Evaluation Designer: Kim Oconn I License Number: 224263 Date: 11/12/17 Phone Number: 715-381-7917 Signature: /r) Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SBD-10691-P (N. 01/01, R. 11/12), and both SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01, R. 10/12) Version 7.0 (R. 11/12) Page 1 of 9 Mound and Pressure Distribution Component Design Design Worksheet Site Information (F or C) R i I Residential or Commercial Design Note: Sand fill (D) calculations assume a Table 383-44-3 in-situ soil treatment for 400.00 Estimated Wastewater Flow (gpd) fecal coliform of 36 inches. 1.50! Peaking Factor (e.g. 1.5 = 150%) 600.00 Design Flow (gpd) 1.60; Site Slope 100.65Contour Line Elevation (ft) 26.00 Depth to Limiting Factor (in) 0.40 In-situ Soil Application Rate (gpd/ftz) Distribution Cell Information ~-100.00 Dispersal Cell Length Along Contour (ft) = 6.00 Cell Width (ft) 00 Dispersal Cell Design Loading Rate (gpd/ft2) Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution ; Y Pressure Disribution Information network? Enter Y or N E Center or End Manifold (,C or E) ; 3.00 Lateral Spacing (ft) If N above, enter the elevation (ft) _21 Number of Laterals of the highest point. 0.125 Orifice Diameter (in) 2.50; e=stimated Orifice Spacing (ft) = 7.50 ftz/orifice 2.00+ Forcemain Diameter (in) Y 55.00- Forcemain Length (ft) Does the forcemain drain back? i 91.00; Pump Tank Elevation (ft) Enter Y or N t.Z~ 6.50 System Head (ft) x 1.3 8.97 Forcemain Drainback (gal) f~ 10.32 Vertical Lift (ft) 90.53 5x Void Volume (gal) 1.27 Friction Loss (ft) 99.50 Minimum Dose Volume (gal) l'J 1 0.00; In-line Filter Loss (ft) 32.95 System Demand (gpm) 18.08 Total Dynamic Head (ft) r Manifold Diameter Selection Lateral Diameter Selection in. dia. options choice in. dia. options choice 0.75 - - 1.25 x i 1.00 1.50 x x 1.25 2.00 1.50 x x 3.00 2.00 x 3.00 x Gallonslinch Calculator (optional) Treatment Tank Information 1200.OOj Total Tank Capacity (gal) 1200.00 Septic Tank Capacity (gal) 36.00 Total Working Liquid Depth (in) Wieser _ Manufacturer WN Jj 33.33 gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 800.00 Dose Tank Capacity (gal) Ploylock Filter Manufacturer i 22.24 Dose Tank Volume (gal/in) PL 525 Filter Model Number Weiser Manufacturer Project: Jason Jacobs Page 2 of 9 Mound Plan and Cross Section Views T J 1/10 B : :Observation Pipe © _ 1 T K 00, A O D W is :.:.:.:.:.:.:::::I:::: B I L Mound Component Dimensions Down slope toe extension made. ft A 6.00 ft E 11.15 in H 1.00 ft K [Aft B 100.00 ft F 9.50 in z 9.00 ft L ft D 10.00 in G 0.50 ft J 6.08 ft W 600.00 (ftz) Dispersal Cell Area 1500.00 (ffz) Basal Area Available 6.00 (gpd/ft) Linear Loading Rate 10.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 103.28 (ft) G H 2 ,,,...,,..,i.. - 101.98 (ft) Lateral F Dispersal Cell Invert I 101.48 (ft) - Dispersal Cell ::E.. Elevation D s 4 100.65 (ft) Contour Elevation 1.6 % Site Slope Geotextile Fabric Cover Shading Key c I - Dispersal Cell See lateral details on Q ❑ Topsoil Cap c C 1.5 ft Page 4 for number, size, ❑ Subsoil Cap Z and spacing of laterals. 2 ~f • ° . Laterals are equally to T ASTM C33 Sand 2 F spaced from the ® Tilled Layer y 0.5 ft Typical Lateral distribution cell's Aggregate centerline in the A ♦ distribution cell (AxB). Project: Jason Jacobs Page 3 of 9 End Connection Lateral Layout Diagram C-?nr.-r the lar erat: r.:.-r rh..4 E•Lm-n_•r.r•- Turn-up •ni halt val±.a ~ r claanout Fduy P 1 All Iat?r als are i]?wo.1 l~ x-1 Hote-. drilled on the butrnm of the lareral = e•aua11V -paced Laterals: fl_rrce.rnao-n '>,_h 40 PVC: per SF". Table 384 30_5 F. ~n?e m sin = -.nne:.rL_ . a ree . r r. - r,r• --tc.I.] ar ang pomr Number of Laterals 2 Z Orifice Diameter 0.125 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.53 ft Lateral Length (P) 98.67 ft Orifices per Lateral 40 Lateral Spacing (S) 3.00 ft Orifice Density 7.50 ftz/orifice Lateral Flow Rate 16.48 gpm Manifold Length 3.00 ft System Flow Rate 32.95 gpm Manifold Diameter 1.50 in Total Dynamic Head 18.08 ft Forcemain Velocity 3.37 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 Alternate outlet Tank component is properly vented RF location main diameter Weiser Manufacturer 2 in. Capacity800.00 Gallons Volume 22.24 gal/inch A p hole or anti- Dimension Inches Gallons B n device 21.50 478.10 A B 2.00 44.48 C P♦ ump off elevation (ft) C 4.47 99.50 91.67 D _8.00 177.92 D Total 435.97 800.00 -Dose tank elevation (ft) 3" Bedding under tank. 91.00 Alarm Manuafacturer 7 RJS Rhombus ~Sj - e,>7 8v Note: Switches Alarm Model Number, tank alert containing mercury may not be used in Pump Manufacturer [Goulds _ this system. Pump Model Number [PE 51 Pump Must Deliver 32.95 gpm at 18.08 ftTDH Project: Jason Jacobs Page 4 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name Kim Oconnell Phone 715 381-7917 POWTS Regulator's Name LST Croix County Zoning Phone 715-386-4680 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1200 gal Maximum TSS 150 mg/L Soil Absorption Component Size 600 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 1.5 ears Mound Inspect for ponding and seepage once every 3 years Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to SPS 384.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished Grade v1 6-8" Diameter Lawn - Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Jason Jacobs Page 5 of 9 Mound System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General This system shall be operated in accordance with SPS 382-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD-10691-P (N.01/01, R. 11/12), SSWMP Publication 9.6 (01/81), and Pressure Distribution Component Manual Ver. 2.0 SBD- 10706-P (N. 01/01, R. 10/12)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with SPS 383.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1 /3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BODS, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BODS, 30 mg/L TSS, 10 mg/L FOG, and 104 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Pretreatment Units The information and schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment units or disinfection units are attached as separate documents and are considered part of the overall management plan for this system. t~ 0.1 WGOULDS r t~ p . Fes, PF sPIr E>ICRT1®I S MOTOIR EEATURS General: Eg Corrosion resistant Pump -General ° Single phase construction. ° Discharge: 1'h° NPT m Cast iron body. 60 Hertz o Temperature: 104°F (400C) Q 6Q5 volts CrI Thermoplastic impeller and maximum, continuous when ° Built-in thermal overload pro- cover. fully submerged. tection with automatic reset ^ Upper sleeve and lower ° Solids handling: maximum sphere. ° Class B insulation- heavy duty ball bearing • Oil -filled design. construction. • Automatic models include a ® High strength carbon steel w Motor is permanently APPL(CATIONs float switch. ® Manual models av shaft lubricated for extended Olable. service life. Specially designed for the . Pumping range: see PE31 Motor: Powered for continuous following uses: performance chart or curve. c .33 HP, 3000 RPM operation. • Mound Systems PE31 Pump: ' 12.0 Maximum amps, All ratings are within the • Le Pipe . Maximum capacity: 50 GPM ° Shaded pole design working limits of the motor. • Low ow pressure Pipe Systems • Maximum head: 25' TDH PE41 Motor. Quick disconnect power ® Basement Draining PE41 Pump: • .40 HP, 3400 RPM cord, 20' standard length, • Heavy Duty Sump/ Dewatenng Maximum capacity: 60 GPM ° 7.5 Maximum amps heavy duty 16(3 S1TW with • • Maximum head: 24' TDH • P5C design NEMA 5-15P, three prong, PE51 Pump: PE51 Motor: 115 volt grounding plug. Maximum capacity: 70 GPM ° .50 HP, 3400 RPM im Complete unit is heavy duty, • Maximum head: 37' TDH ° IS Maximum amps portable and compact. o PSC design o mechanical seal is carbon, ceramic, BUNA and stainles METERS FEET - 40 - -4 MODELS: PE31, PE41, PE511 steel. HP-. 33, Au, _50 rn Stainless steel fasteners. 35 - V LISTINGS 10 - 2 GPM AGENCY t FT 30 .i - ti w' Q PE31 w 25 c Tested to UL 778 and - i CSA 22.2108 Standards a 20 yz By Canadian Standards Assadation We A1138549 O ' Goulds Pumps is ISO 9001 Registered. - - - 5 - - 0 0 0 - 7 fl 20 30 40 So 60 70 GPM 80 0 5 10 15 m3/h Goulds Pumps CAPACITY 3 /c0 i a Z, Z JcviG w~ ? / n f i M f5 ,t3~.,J~ 1/l.•iL~'- Jr~J v~ ~l G~~ 1J7;4;;'1J'i ~-:C /(i'7, 7.7J C ~ r' Y ~1 S,' ( 70 s TV T14 Av E, i i 4 ST. CRO COSY SEPTIC TANX ~SA ~tANCE'AG ~;t~` Ash OVIhERSFAF C:ERT RC:A.TION FORM Ovverr./Btryer ] ASUo - , Ck-t L V c, / u lv ii; u Address 4` ('verification required ft m Plttmnbg & Zoning Dot far new wom=m) City."State + W ► Parcel Identificafion Number LE,G AL DESCRIPI N Property Locadon -J~L_ ll4 V,, Sec--"L,_, T R l ,7 W, `'owa o \ Subch-iision Plai: Lot Certified Survey -Map n Volume . Page Warranty Deed (before . )Val e .Wage Spec house it y4r o Lot Ifim idz ti bk i3 mo MTEM I AJ~.gMNANCE A MD OWNER CT~IZ.T`MCA.TJON improper use and mptmei+ance of your septic system could result iu 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 part into the system can affect ie function of the septic tank as a treatmeat stage in the A-,ste dxsposaj sys Owner maintenance responsf es are specified in §SPS. 38352(1) and in Chapter 12 - St. Croix County Sanitary Ordhx-ance Ybe grope V owner agrees to submit to St Croix County Plarnmg & Zone Departttent a cmit6cation foam, sinned by the owner and by a master plumber, journeyman plumber, resnaed plumber or a licensed pumper verify ng that (1) the on- site astewat w s than er disposal ludge. system is in proper operating condition and/or (2) after inspection and pumping Cifnaoessuy), the septic tank is I/we, the undersigned have read the above requirements and age to main am the private sewage disposal system with the stance as set ft harm as set by the Dqmrm= of Safizy And Pro'° . Sem-ocs and. The Dqmtm= ofNa aml Resources, State of W-mansm. Certif pion sum d your septic system has Couy Planning & Zoning D~ 34 must be- completed and rued to the St Croix ~s of the thrw year empn dom. Vive cerdt, that all segments on this 'fori n are true to the best of my/our knovdadge. Uwe am/am the owner(s) of the property described above, by vi me of a wwraz* deed recorded in Register offs Office. 'Number of bedrooms AT'r' OIL .APPLiCA_?~! 15, ~I A12 Y -my information that is misrepresented may result in the sanitary permit being revoked the P by leg cot Zoning I?eparimem include vth this application a recorded warranty deed i&om the Register of Deeds Office and a copy of the cetfied survey map If reference is made in the wmrmty deed. ~-RE'6% 04M) RECEIVED C.S-r- 1 - Ws. Dept. of Safety and Professional Sen6 0 4 ZI; t OIL EVALUATION REPORT Page _L of Division of Safety and Buildings ST•i ,Wis. Ads~e County S~ Attach complete site plan on OMMUNI Y paper not less than 8 1i2 x 11 Wse.21 include , but not limited to: vertical and horizontal reference p Parcel I Dpercent slope, state or dimensions, north arrow, and locatiroad, Q~~ • J 9d - dry Please print all infpr-90Q►Z~ Revi ed by Date Personal information you provide may be used for sec Wv ,,mayy s. 15.04 (1) (m)). ~Z Property Owner Property Location Govt. Lot 114 1/4 ~G T N R 17 E (or property Ownees Mailing Address Lot # 1307 # Subd. Na or CSW ' Zip Code Phone Number ' j ❑ City ❑ Village OTown Nearest Road New ruction Use. Residential / Number of bedrooms Code derived design flow rate GPD t ❑ Public or commercial - Describe: Flood Plain elevation if applicable 44 ft, nts _ ations: ~ - ~~~lrs,a c~~ e%S C n ~ z~ X Boring# F1 Boring F-/1 pit Ground surface elev. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color ~:Redox Description Texture Structure nsistence oundary Roots GPD/ft 2 in. Munselt . Sz. Cont. Color Gr. Sz Sh. ff#1 ff#2 ~ .5 7 Boring # Boring ® Pit Ground surface elev. > ft. Depth to limiting factor 2a in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure fstence undary Roots GPD/ft 2 in. Munsetl Qu. Sz. Cont. Color Gr. Sz. Sh. rons ff#l 'lfff#2 *F 7 ent #1 = BOD > 30:5 220 mg11- and TSS >30 < 150 mg/L ' Effluent #2 = BOO < 30 mg/L and TSS 30 mg/L CST NaA(p P ' S' e / CST Number Address Date Evaluation Conducted Telephone Number SBD-8330 (RI 1/11) Parcel ID # / Page of Property Ovmer t~~ Boring Boring # rc~f Pit Ground surface elev. ft Depth to limiting factor- in. Soil lication Rate l -Z~) 2 E L~ Texture Structure onsistence Boundary Roots GPD/ft Horizon Depth Dominant Color Redox Description ff#1 * ff#2 in. Munsell Cu. Sz. Conti Color Gr. Sz. Sh. Boring # Boring Ground surface elev. fL Depth to limiting factor in Soil ticafion Rate ❑ Pit GPDIft 2 Texture Structure nsistence oundary Roots ff#2 i f## I * Horizon Depth Dominant Color Redox Description Gr. Sz. Sh . Munsell Qu. Sz. Cant Color Boring in. Boring # Ground surface elev. R Depth to limiting factor Soil p flcation Rate ❑ Pit GPD/ft s Structure Horizon Depth Dominant Color Redox Descxipti°n Texture Sh. onslstence undary Roots * ff#1 * ff#2 in. Munsell Qu. Sz. Cont Color Gr. Effluent #1 BOD > 30_ < 220 mglL and TSS >30 < 150 mg/L * Effluent #2 = BOD s 30 mg/L and TSS :S 30 mg/L * = 6 oyer. u need assistance The Dept. of Safety and Professional Services is alternate forma,contact the department at 608- 6lb 3151toroTTY thro ugh Relay. equal opponity service access services or need material in an a M-8330(R11111) ty) i /DO v~ i 7~Z MV ~V ~ e i i 21 = "tea ~ci~-/r c~l vyv~xT~E~ DIVISION OF INDUSTRY SERVICES 3824 CREEKSIDE LN o~ s HOLMEN WI 54636-9466 Q Contact Through Relay P http://dsps.wi.gov/programs/industry-services y www.wisconsin.gov rZG ~ J 4a~~v f~OssroNPtis~ Scott Walker, Governor Laura Gutierrez, Secretary November 28, 2017 CUST ID No. 224263 ATTN: POWTS Inspector KIM A OCONNELL ZONING OFFICE KO CONSTRUCTION ST CROIX COUNTY SPIA 504 3RD AVE E 1101 CARMICHAEL RD OSCEOLA WI 54020-8173 HUDSON WI 54016-7708 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 11/28/2019 SITE: Jason Jacobs Identification Numbers 78TH Ave Transaction ID No. 3027035 Town of Hammond Site ID No. 844716 St Croix County Please refer to both identification numbers, NEIA, NW1/4, S30, T29N, R17W above, in all correspondence with the agency. Subdivision: Emerald Acres; lot 56 FOR: Description: Four Bedroom Mound System \ Sloping site Object Type: POWTS Component Manual Regulated Object ID No.: 1736369 Maintenance required; 600 GPD Flow rate; 26 in Soil minimum depth to limiting factor from original grade System(s): Mound Component Manual - Ver. 2.0, SBD -10691-P (N.01/01, R. 10/12), Pressure Distribution Component Manual - Ver. 2.0, SBD-10706-P (N.01/01, R. 10/12); Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code C OND1 requirements. AF No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, EFT O stats. lei` OFESSI The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. • All POWTS component piping material shall be SPS 384, Wis. Adm. Code compliant. • The area within 15' downslope of the dispersal cell shall remain undisturbed. Vehicular traffic, excavation or soil compaction is prohibited in this area. • A copy of the approved plans specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department which may include local inspectors. Note: The plan changes were approved by the system designer. KIM A OCONNELL Page 2 11/28/2017 ` r 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. Sincerely, Fee Required $ 250.00 Fee Received $ 250.00 Balance Due $ 0.00 rard M Swim POWTS Plan Reviewer, Division of Industry Services (608)789-7892, Mon - Fri, 7:15 am - 4:00 pm WiSMART code: 7633 jerry.swim@wisconsin.gov cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Jason Jacobs i Q~r CGp\~t~^` Owner's Name: Jason Jacobs Owner's Address: PO Box 395 Somerset WI Legal Description: NE--NW--sec30-T29N-R17W Township: Hammond County: ST Croix Subdivision Name: Emerald Acres Lot Number: 56 Block Number: Parcel I.D. Number: 018-2011-90-000 ®VALLY ED Plan Transaction No.: ;~FETYAND Page 1 Index and title AL SERVICES Page 2 Data entry STRY SERVICES Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan - Page 7 Pump curve and specifications Page 8 Plot Plan Page 10 Soil Evaluation Designer: Kim Oconnell License Number: 224263 Date: 11/12/17 / f Phone Number: 715-381-7917 Signature: v~ . Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SBD-10691-P (N. 01/01, R. 11/12), and both SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01, R. 10/12) Version 7.0 (R. 11/12) Page 1 of 9 Mound and Pressure Distribution Component Design Desican Worksheet Site Information (R or C) ~R Residential or Commercial Design Note: Sand fill (D) calculations assume a 400_.00 Estimated Wastewater Flow (gpd) Table 383-44-3 in-situ soil treatment for .~.l fecal coliform of 36 inches. 1.501 Peaking Factor (e.g. 1.5 = 150%) 600.00 Design Flow (gpd) 1.601 Site Slope 100.65! Contour Line Elevation (ft) 4 26.00; Depth to Limiting Factor (in) 0.401 In-situ Soil Application Rate (gpd/ ) Distribution Cell Information 100.00; Dispersal Cell Length Along Contour (ft) = 6.00 Cell Width (ft) 1.001 Dispersal Cell Design Loading Rate (gpd/ft) ;__.__-_.__r 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point - in the distribution L-_ Pressure Disribution Information network? Enter Y or t4 Center or End Manifold (C or E) 3.00 Lateral Spacing (ft) If N above, enter the elevation (ft) _ Z Number of Laterals of the highest point. 0.12_5; Orifice Diameter (in) 2.50 Estimated Orifice Spacing (ft) = 7.50 ft2/orifice 2. 0-61 Forcemain Diameter (in) 55.00; Forcemain Length (ft) Does the forcemain drain back? ----Y 91.004 Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 8.97 Forcemain Drainback (gal) 10.32 Vertical Lift (ft) 90.53 5x Void Volume (gal) 1.27 Friction Loss (ft) 99.50 Minimum Dose Volume (gal) 0.00 In-line Filter Loss (ft) 32.95 System Demand (gpm) 18.08 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 r 1.25 x 1.00 1.50 x x 1.25 2.00 1.50 x x 2.00 x 3.00 x Gallons/inch Calculator (optional) Treatment Tank Information € 1200-00 Total Tank Capacity (gal) 1200.00 Septic Tank Capacity (gal) 36.00 Total Working Liquid Depth (in) `Wieser I Manufacturer 33.33 gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information i Manufacturer 800.00; Dose Tank Capacity (gal) i ~ Ployl_ock Filter 22.241 Dose Tank Volume (gal/in) PL 525 Filter Model Number Weiser Manufacturer Project: Jason Jacobs Page 2 of 9 Mound Plan and Cross Section Views t . _ J 1/10.6: . Observation Pipe ~ T K 00, A O D W I ; B z L Mound Component Dimensions mown slope toe extension made. A 6.00 ft E 11.15 in H 1.00ft K 8.02 ft B 100.00 ft F 9.50 in z 9.00 ft L ft D 10.00 in G 0.50 ft J 6.08 ft W ft 600.00 (ft ) Dispersal Cell Area 1500.00 (ft ) Basal Area Available 6.00 (gpd/ft) Linear Loading Rate 10.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 103.28 (ft) - G t H frr~.rrrr~... 2 rr.,~.f.r~,f,. 1 ~ , frrrrrrrrrri~.:.!{rr~!{ri~,.rf•r.,~•: 101.98 (ft) Lateral F Dispersal Cell I 101.48 (ft)-► - Invert Dispersal Cell ( t : 3 Elevation E D . 100.65 (ft) Contour Elevation 1.6 % Site Slope Geotextile Fabric Cover Shading Key L2 T- Dispersal Cell See lateral details on 10 Topsoil Cap _o c 1.5 ft Page 4 for number, size, 20 Subsoil Cap y 1 0 / and spacing of laterals. © ASTM C33 Sand `6 T / - F T Laterals are equally a 2.1 spaced from the Tilled Layer y 0.5 ft Typical Lateral distribution cell's Aggregate o centerline in the _ A distribution cell (AxB). Project: Jason Jacobs Page 3 of 9 End Connection Lateral Layout Diagram ,-:ewer the Iyr:-rals o..-r It.e A Bdun r.srr..n Turn-up -ball valves or..1-m_•ut Fduq 1. P All I aver al s are identic al 1.- X-1 H- d es drilled on rf- t•orr, .m of the larer.al equallr4 -par: ed _ Laterals 3 forc:ernain Sch 40 P%07 per SF"_. Table 384 30_6 F r . e mare = r, .ec.ti•-•n ra r._=.- = r .>r c = r. m ar,rr.-.Id ar an„ F"= inr Number of Laterals 2 Orifice Diameter 0.125 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.53 ft Lateral Length (P) 98.67 ft Orifices per Lateral 40 Lateral Spacing (S) 3.00 ft Orifice Density 7.50 ftz/orifice Lateral Flow Rate 16.48 gpm Manifold Length 3.00 ft System Flow Rate 32.95 gpm Manifold Diameter 1.50 in Total Dynamic Head 18.08 ft Forcemain Velocity 3.37 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 Weiser Manufacturer 2 in. Capacityl 800.00 Gallons Volume 22.24 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 21.50 478.10 C B 2.00 44.48 Pump off elevation (ft) C 4.47 99.50 91.67 D 8.00 177.92 D Total 35.97 800.001 1 Dose tank elevation (ft) 3" Bedding under tank. 91.00 Alarm Manuafacturer ? RJS_ Rhombus (DES R140.41$dS Note: Switches Alarm Model Number ;tank alert containing mercury may not be used in Pump Manufacturer [Goulds this system. Pump Model Number LPE 51 Pump Must Deliver 32.95 gpm at 18.08 ft TDH Project: Jason Jacobs Page 4 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name Kim Oconnell Phone; 715-381-7917 POWTS Regulator's Name ST Croix County Zoning Phone[ 715-386-4680 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1200 gal Maximum TSS 150 mg/L Soil Absorption Component Size 600 f:2 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 every 3 years Pump and Controls Test once eve 3 ears Alarm Should test month) Pressure System Laterals should be flushed and pressure tested eve 1.5 ears Mound _ Inspect for ponding and seepage once every 3 years E.. 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 Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lon Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Jason Jacobs Page 5 of 9 Mound System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General This system shall be operated in accordance with SPS 382-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD-10691-P (N.01/01, R. 11/12), SSWMP Publication 9.6 (01/81), and Pressure Distribution Component Manual Ver. 2.0 SBD- 10706-P (N. 01/01, R. 10/12)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with SPS 383.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BODS, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L 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. 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. 0i w L PUMPS Submersible Yi~ * r Effluent Pump F , 0171 ~Ste, SPECIFICATIONS MOTOR FEATURES - General: IN Corrosion resistant Pump-Genera{: Discharge: 1'h" NPT ° Single phase construction. ® Temperature: 10410F (4000 ° 60 Hertz Ell Cast iron body. maximum, continuous when ° 115 volts C Thermoplastic impeller and fully submerged. ° Built-in thermal overload pro- cover. Solids handling: !A-" tettion with automatic reset r-, Upper sleeve and lower maximum sphere. ° Class B insulation. heavy duty ball bearing ® Automatic models include a ' Gil-filled design. construction. APPLICATIONS float switch. ° High strength carbon steel 0 Motor is permanently ° Manual models available. shaft lubricated for extended Specially designed for the 6 Pumping range: see PE31 Motor service life. followi • Mounnd d uses: Systems "performance chart or curve- ° .33 HP, 3000 RPM o Powered for continuous • Mou • EffluenVDosin9 Systems PE31 Pump: • 12.0 Maximum amps operation. • Low Pressure Pipe Systems • Maximum capacity: 50 GPM Shaded pole design All ratings are within the working limits of the motor. • Basement Draining ° Maximum head: 25` !UH PE41 Motor.? Quick disconnect power • Heavy Duty Sump/ PE41 Pump: ' •40 HP, 3400 RPM coed, 2 standard length Dewatering ° Maximum capacity: 60 GPM ° 7.5 Maximum amps heavy duty 16(3 d len with SJTVV ° Maximum head: 29` TDH • PSC design NEMA 5-15P, three prong, PE51 Pump: PE51 Motor. 115 volt grounding plug. ° Maximum, capacity: 70 GPM ° -50 HP, 3400 RPM 0 Complete unit is heavy duty, ° Maximum head: 37` TDH ' 9.5 Maximum amps portable and compact. PSC design 0 Mechanical seal is carbon, FE o METERS 4 ceramic, BUNA and stainless 4 _i. --tW{ODEI5:PE37,PE47,PE51; steel. PE5i ' Stainless steel fasteners. ;nP 33, _40_ 50 . 3 - i T - 10 2 GPM AGENCY LISTINGS 30 PE44 1 Fi- - - f Q PE31.___ ; - - t n u, 25 S U °I C us Z 2D Tested to UL 778 n r CSA 22.2108 Standards - 15 ByCanad+anStandards Assodation File #tR38549 _ _ . ~ Goulds Pumps is ISO 9001 Registered. 0 ! - - 0 0 10 20 30 ! _ 40- 50 - 60 70 GPM 80 0 5 10 - - - 15 m3/h Goulds Pumps CAPACITY n ~nm r uldc Pum°5 . n~ --Y sue' ~~~~tLS r 1 ~ -c J~UdG~ <cjoC.! l~ito~ Off s ` n j t N h l To 78 H A VC _ ~o t 9~ ~ ► 3, s~ a i Ws. Dept of Safety and Professional Services SOIL EVALUATION REPORT Page / of Division of Safety and Buildings in accordance with SPS 385, Wis. Adm. Code County e Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel LLD. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. i Please print all information. Reviewed by Date Persona[ informagan you provide may be used fnrsecondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location S Govt Lot 1/4 )t) 1/4 S` T N R / E (or Property Owner's Maifatg Address Lot # 83b7 # Subd. Name or CSM# city Zip Code -Phone Number 0 CitV""~'/Jj ❑ VBage Town Nearest Road r - ( y r N ew Construction Use.0 Residential/ Number of bedrooms Code derived design flow rate ' lQ' GPD ❑ Replacement Q Public or commercial - Describe: Parent material /J Flood Plain elevation if applicable ft. General comments and recommendations F Boring # Boring pit Ground surface elev. 7,:S ft. Depth to limiting factor 7 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure nsistence oundary Roots GPD/ft s in. Munsefl Qu. Sz. Cont. Color Gr. Sz. Sh. 01 102 '2-2 / s L2,--2 1 7 - / y r Boring # ~ Boring Pit Ground surface elev. zs - ft. Depth to limiting factor 3,2a_ in. Solt Application Rate t Depth Dominant Color Redox Description Texture Structure ronsistence undary Roots GPD/ft 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. tf#1 * ff#2 1,2 * Effluent #1 = SOD > 30:5 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD < 30 mg/L and TSS < 30 mg1L CST Na {P P ' Si e j CST Number r Address~~-~ Date Evaluation Conducted Telephone Number SBD-8330 (RI I /11), _ Property Owner ' IS Parcel ID # Page of Boring # ❑ Boring to limiting factor -m' Sod Application Rate EJ Pit Ground surface elev. An'-', 7`L Depth GPDHt 2 Horizon Depth Dominant Color Redox Description Texture Structure onsistence oundary Roots * * 02 f in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ~L- 1 y ❑ Boring # Baring Depth to limiting factor in soil tication Rate ❑ Pti Ground surface elev. ~ Roots GPDIft z Horizon Depth Dominant Color Redox Description Texture Structure nsistence oundary tfi#l * ffi#2 in. Munselt Qu. Sm Cant Color Gr. Sz. Sh. va Boring # Boring Ground surface elev. R Depth to limiting factor__ in. Soil A tication Rate EJ ❑ Pit GPDA 2 Roots Horizon Depth Dominant Color Redox Description Texture ::Orisisteme Boundary * ff#1 ff!#2 Gr. Sz. Sh. in. lyfunsell Glu. Sz Cant Color ` Effluent #1 =BUD 6 > 30 220 mg/L and TSS >30 < 150 mgfL * Effluent #2 = BOD ,:E 30 mg/L and TSS < 30 mg/L ual opportunity service need assistance The Dept. of Safety and Professional Services r q to forma contact the provider and ernployer. at 608- 66 3151Ior TI'Y through Relay. access services or need rnateriaenal in an o1.C11(1 lR 1 I /i 1 f ,Y) a r ~ /oc P %o ! r i r 1, ~ i I C i MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Jason Jacobs Owner's Name: Jason Jacobs Owner's Address: PO Box 395 Somerset WI 54025 Legal Description: N E--NW--sec30--T29N-R 1 7W Township: Hammond County: St Croix Subdivision Name: Emerald Acres Lot Number: 56 Block Number: Parcel I.D. Number: 018-2011-90-000 Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Plot Plan Page 10 Soil Evaluation Designer: Kim Oconnell License Number: 224263 Date: 11/12/17 Phone Number: 715-381-7917 Signature: Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SBD-10691-P (N. 01/01, R. 11/12), and both SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01, R. 10/12) Version 7.0 (R. 11/12) Page 1 of 9