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HomeMy WebLinkAbout040-1327-28-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No (ATTACH TO PERMIT) 600308 GENERAL INFORMATION 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: DCCI Land Planners Inc TOWN OF TROY 040-1327-28-000 CST BM Elev: Insp. BM Elev: BM Descriptio Section/Town/Range/Map No: 12' Z - Z. ~i~ ( 17.28.19.2226 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark 9z, Z DosingO Alt. BM (pr ,G Sy,Oq Bldg. Sewer W v `0 17~ 0-15 W Holding SUHt Inlet ~ TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Weill f Septic / Dt Bottom 7 q//1 4 Dosing Header/Man. ~ c , Aeration Dist. Pipe ' (0.4 Vat Holding Bot. System PUMP/SIPHON INFORMATION Final Grade 3 yZ. Manufacturer Demand St Cove r~~ 1 GPM ! hi G Model Number lb TDH Lift_/` I Friction L s~ System H TDH F 7 t ~Z 5 S~ 3 Fome.main Len 1,56 Dia. Dist. to Well SOIL ABSORPTION SYSTEM O J .3 BED/TRENCH Width Length Nc. Of Tre]es~ PIT DIMENSIONS No. Of Pits nside Dia. Liquid Depth DIMENSIONS 3 SETBACK SYSTEM) TO P/L BLDG WELL LAKE/STREAM LEACHING Manufa er INFORMATION 11 CHAMBER OR Typg &Of S ytssttzb"6 ~41 1~' / UNIT Model umber: .iil DISTRIBUTION SYSTEM 94-1v Header/Manifold Distribution Ix Hole Size x Hole Spacing Vent to A~irtake 1t{~(, Pipe(s) ` '1••_ ei Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of ]7ed/Sodded xx Mulched Bed/Trench Center Bed/Trench Ed es To soil g p ~"°yes LJ No Ps ] No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 368 MEADOW VEAL EY LN 1.) Alt BM Description = v, ` - 2.) Bldg sewer length = Z'7 - amount of cover = ~ 6, e 7 g I, Plan revision Required? Yes No 1 J Use other side for additional information. Date Inse tors Sign re Cert. No. SBD-6710 (R.3/97) 250-SERIES 113 hp Sump/Effluent Pumps for Professionals! ALL MODELS FEATURE; MOTOR SPECIFICATIONS: • Rugged 1/3 hp motor, oil filled with 1/3 hp 115V 5.2 amps 60Hz thermal overload protection. Thermally Protected & Permanently Lubricated • 112" solids handling. (PSC) Permanent Split Capacitor • 1-1/2" discharge Maximum Fluid Temperature: 140°F . • Hermetically sealed motor and switch cavities, DIMENSIONAL DATA: and permanently lubricated bearings. Liberty's UNI-BODY casting - a solid, one- Height: 10.5" piece housing that eliminates the lower motor sea! ring found on ether pumps, Major ~Nr'i~ith: 5.6°' (manual model 250) • Epoxy powder coat finish PERFORMANCE CURVE • Vortex style impeller for superior PERFORMANCE CURVE solids-handling. Made of high temperature 25 engineering polymer. • Fasteners - all non-corrosive stainless steel. 20 6 • 416 stainless steel rotor shaft. v a u. 5 = 5 = 250-series Cord Lengths w ti a Model 10' 25'(-2) 35'(-3) 50'(-5) Fu 10 3 m 250 Standard Optional Optional Optional 5 2 ~ 251 Standard Optional Optional Optional 253 Standard Optional Optional N/A 0 so 257 Standard Optional N/A N/A o to 20 30 40 50 10' cord length standard on all models. For optional lengths, U.S. Gallons Per Minute add "-2, -3 or -5" suffix to model number. Example: for model 250 with 35' cord, order 250-3 38 76 114 156 192 Liters Per Minute EFFLUENTMODELS Model 250 Model 251 Model 253 Model 257 VMF Manual, no switch. Quick-disconnect Wide-angle float with VMF switch, magnetically wide-angle float, series (piggy-back) operated vertical float - mercury-free. plug, allows manual operates in a 10" operation of pump. diameter sump. caDual safety certification for r_-R1lFr-v c us Certified theunitedstatesand Canada. Specifications are subject to change without notice. Liberty Pumps • 7000 Apple Tree Avenue • Bergen, New York 14416 • Phone 800-543-2550 Fax (585) 494-1839 www.libertypumps-com Copyright © Liberty Pumps, Inc. 2017 All rights reserved. LLIT2500-85/17 Q,fety ty ~and Buildings Division ) !t> 9 2 1 Washington Ave.; P.O. Box 7162 ganitary Permit Number (to be filled in by Co.) DEC ! Madison, Wt 53707-7162 S coax 3 $ f and R_W4ftP iea ' l 95~$ State Transaction 1juglbm In accordauce with SPS 38321(2), Wis. Adm. Code, submission of this four to is required prior to obtaining a sanitary permit Note: Application forms fo* itted to Project Address (if different than mailing address) the Department of Safety and Professional Servies. Personal inform' ' 0011 for secondary purposes in accordance with the Privacy Law, s. 15. 1 m), Seats. L Application Information - Please Pr' t All Inf matt Property Owner's Name"+J Parcel # 0 -7 co Property Owner's Mailing Address Property Location ` a , City, State I' Zip Code Phone Number LL , ~q f Zv V` Section J C J~ C/ 21 (y` V C t l J T N, R/49 or W f II.;Type of Building (check all that apply)„- Lot # or 2_Family Dwelling -Number of Bcdr _ Z,, 3 Subdivision N e ❑ Public/Commercial - Describe Use 6y, 406 11&~ tt~ ❑ City of vrd~/ ❑ State ned -Describe Use CSM Number ❑ iltage of of Ce& \ L~,/ J 6L., III. Type of Permit: (Check only one x on line A. Complete line B if applicable) Zia A. system ❑ Replacement Sys tem ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. List Previous Permit Number and Date Issued ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New Before Expiration Owner t IV. Type ofPOWTS S stem/Com onent/Device: Check all that apply) 7-7 . Non-Pressurized In-Ground 11 Pressurized In-Ground ❑ At-Grade 11 Mound 24 ht. of suitable soil ❑ Mound < 24 in. of suitab a soil ❑ Hol er al component (explain) _ ❑ -treatment Device (explain) V. Dis rsal/Treat nt Area Information: t Design Flow (gpd) Design Soil Application Rate(gpdsf)Dispersal Area Required (sf) Dis Proposed (sf) System Elevation 1,7 I VL Tank Info Capacity in Total # of Gallons Gallons Units o o New Tanks Existing Tanks ~ • 1 c ~ ~ ~ ~ m M Septic or Holding Tank j~ C.1 ✓ f 1 Dosing Chamber ? C.:L I /n, VII. Responsibility Statement- the undersigned, - responsibility for installation of the POWfS shown on the attached plans. 7wiiber's Name ~Pnnt Pl ignature MP/MPRS Number Business Phone Number 17- Plumber's Address (Ste City: Sta Ziip - { VIIL atv/De artment Use Only _ pproved ~vd eI Permit Few Date Iss Issuing. t Signature ySs ,z ven Reason for enial DL Condtti ons for Disapproval 1. ' tan k a multi 3, 415ipf~rt::+i cell !r~Uet afl b bn•1 e `.i?i 'it. ;_s r ltc "ec J are 99 per i'narsgemen• plan ^-o nae i by plwnbe.. z '"'RelHw* rectitetae s rnlit>t lie r-:.;:rt, irE,; as per App M1.t cod / milannt F Attacb to complete plans for the system and submit to the County only on paper not less than S to 111 iwkes in size SBD-6398 (R. 11/11) System PLOT PLAN PROJECT DCCI Investments ADDRESS P.O. Box 445 New Richmond Wi 54017 SE 1/4 NW 1/4S 17 /T 28 N/R 19 W TOWN Troy COUNTY ST. CROIX SYSTEM ELEVATION 89.0/88.7/88.4' 4'below grade 12/20/17 BEDROOM 5 DATE CONVENTIONAL CONVENTIONAL LIFT XXX HOLDING TANK 1600 LIFT TANK SIZE1362 DOSE TANK SIZE MOUND SEPTIC TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 1147 # of chambers 54 BENCHMARK V.R.P. Top of telephone pedistal ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark AL iT Vent I ~uick4 Standard >6„ Leaching Chamber of Cover with 20.0 ft2 of Area 193' 5.6ft" 2/pair of end caps 3 ~ 4' Long 12" ~ Grade at System Elevatio 34" P- 1 Pro 5 Bedroom House Huffc t Comb an B-1 20, O• 46' 40' 2 o Slope B- Vk 13' 60' B-3 Vents 125' 3-3' X 74' Cells with >3' spacing All piping shall be ASTM SDR 30/34, within 10' of tank, piping shall be ASTM F891 Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 12/20/17 Owner: DCCI Investments Location: SE 1/4 NW 1/4 S 17 T28 N,R19W 368 Meadow Valley Trail Troy System type: In-ground absorbtion system (conventional) Manuals Used: In-ground absorbtion system (version 2.0) Pressure Distribution Manual (version 2.0) Page# 1. Cover Page 2. Plot Plan 3. Chamber Cross Section 4-6. Maintanance and Contingency Plan 7. Filter Specifications Sheet 8. Dose Tank Cross Section 9. Pump Curve n , f, Signature.. Licensesnumber #226900 System PLOT PLAN PROJECT DCCI Investments ADDRESS P.O. Box 445 New Richmond Wi 54017 SE 1/4 NW 1/4S 17 /T 28 N/R 19 W TOWN Troy COUNTY ST. CROIX SYSTEM ELEVATION 89.0/88.7/88.4' 4'below grade 12/20/17 BEDROOM 5 DATE CONVENTIONAL CONVENTIONAL LIFT XXX HOLDING TANK MOUND SEPTIC TANK SIZE 1600 LIFT TANK SIZE1362 DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 1 147 # of chambers 54 BENCHMARK V.R.P. Top of telephone pedistal ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark Vent >6" Quick4 Standard of Cover Leaching Chamber with 20.0 ft2 of Area 5.6ft^2/pair of end caps 12" 193' 4' Long 3411 Grade at System Elevation Pro 5 Bedroom House Huffcutt Combo Tank B-1 20' 86' 46' 40' 2% Slope B- 13' 60' B-3 Vents 125' 3-3' X 74' Cells with >3' spacing All piping shall be ASTM SDR 30/34, within 10' of tank, piping shall be ASTM F891 Cross Section of Quick 4 Standard Leaching Chamber Typical cross section for 2 of 3 cells Quick 4 Standard Leaching Chamber with 20.0 ft2 of Area per Chamber 5.6ft^2 pair of end plates To be >1' above grade Finish grade elevation Typical Installation 93.0' Vent G rade ~ Vent X30/34 Septic Tank ALo 4" 4' 5 4' Long 1 34" Grade at System Elevation 34" Grade at System Elevation Spacing- 5' 3-3' X 74' Cells Observation tube/Vent Same on other end To be located on end of Cells %A B System elevations: C A-89.0' B-88.7' C-88.4' 18 chambers per cell POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION SYSTEM SPECIFICATIONS Owner Septic Tank Capacity al El NA Permit # Septic Tank Manufacturer 1 ❑ NA 3ESIGN PARAMETERS Effluent Filter Manufacturer 0 NA Number of Bedrooms ❑ NA Effluent Filter Model ❑ NA i Number of Public Facility Units -ALNA Pump Tank Capacity al ❑ NA 2- g Estimated flow (average) al/day Pump Tank Manufacturer NA I Design flow (Estimated x 1.5 (peak), ) ~ aUda Pump Manufacturer DNA ~ Soil Application Rate f ai/da lflZ Pump Model ❑ NA Standard Influent/Effluent Quality Monthly average* Pretreatment Unit A Fats, Oil & Grease (FOG) 530 mg/L ❑ Sand/Gravel Filter O Peat Filter Biochemical Oxygen Demand (BODs) 5220 mg/L ❑ NA D Mechanical Aeration D Wetland Total Suspended Solids (TSS) :5150 mg/L ❑ Disinfection 0 Other. Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BODs) 530 mg/L n-Ground (gravity) 0 In-Ground (pressurized) Total Suspended Solids (TSS) 530 mg/LA ❑ At-Grade ❑ Mound Fecal Coliform (geometric mean) 5104 cfu/100ml ❑ Drip-Line ❑ Other. !Maximum Effluent Particle Size la in dia. ❑ NA Other. 0 NA !Other. NA Other: 0 NA "Values typical for domestic wastewater and Other ❑ NA septic tank effluent. IAINTENANCE SCHEDULE Service Event Service Frequency ❑ month(s) linspect condition of tank(s) At least once every: ears (Maximum 3 years) DNA (Pump out contents of tank(s) When combined sludge and scum equals one-third ('f3) of tank volume 0 NA (inspect dispersal cell(s) At least once every: Y 0 Inonth(s) 'SKyear(s) (Maximum 3 years) ❑ NA Clean effluent filter / months} At least once every: < ear(s) 0 NA ! nspect pump, pump controls & alarm At least once every: ❑ month(s) ❑ NA ear{s) f=lush laterals and pressure test At least once every: ❑ month(s) NA ❑ year(s) ether. At least once every: ❑ month(s) NA ❑ year(s) 1?ther. NA MAINTENANCE INSTRUCTIONS !Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Iter [Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must iinclude a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local 1-egulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third (f6) or more of the tank volume, the entire contents of j:he tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, land any servicing at intervals of <12 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority *Mthin 10 days of completion of any service event. Page of START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals tl*t may impede the treatment process and/or damage the dispersal ell(s). If high Concerit tjons are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are from at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal eel(s) in one large dose, overloading the dell(s) and may result in the badwp or surface discharge" of effluent To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank.. Do not drive or park Vehicles over tanks and dispersal eels. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWT$: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers: disinfectants, fat; foundation dralin (sump pump) water, fruit and vegetable peelings; gasoline, grease; herbicides; meat scraps; medications; oil; ping produc ils, pesticides; sanitary napkins; tampons, and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is propetfy and safety abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code:. • All piping to tanks and pits shall be disconnected and the abandoned pipe openings seated. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN code compli rri If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a replacement system: *'A-sultable replacement area has been evaluated and may be utilized for the location of a replacement sod absorption ern. The repiacement area should be protected from disturbance and compaction and should riot be infringed upon by uirled setbacks from existing and proposed structure, lot lines and welis. Failure to protect the replacement a will iYresulti ~ r*ed for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must effect at that time. 0 A suitable replacement area is not available due to setback and/or soil limitations. Baring advances in POWTS technologN a holding tank may be installed as a last resort to replace the failed POWTS. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a sail and site evaiusoon must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ❑ Mound and at-grade sod absorption systems may be reconstructed in place following removal of the biomet at the tnfdtralive surface. Reconstructions of such systems must comply with the rules in effect at that time. <<WARNiNG>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK[ UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE O~ A PERSON FROM THE INTERIOR OF A TANK MAY BE DiOFICULT OR IMPOSSIBLE ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name i~ game Phone ! > phone ~2 ; SEPTAGE SERVICING OPERATO UMPER LOCAL REGULATORY AUTHORITY Name E me ~t ,-77/ Phone Phhc 7 L. I meT 17 t) This downent was drafted in compliance with chapter SPS 383.22(2)(b)(1)(d)&(f) and 383..54(1), (2) & (3), Wiscorrsin Admin ve Code. a lirlI I~I ; k!lyil 1 i \ k kjk~; i i J i ~kiillil t I _A - V j 1 i u .0f, ILAJ I O 1 I .S o I C L ~ ~ Q z I r ~ ~ F C= ~ S F- w o v'i i C\! Septic-Dose Tank Cross Section And Pump Performance Specifications Tank Manufacturer Pump Manufacturer Tank Model Number r :L ~ Pump Model Number 21 & Total Tank Capacity ` j Alarm Manufacturer 12 . Max. Bury Depth ° Alarm Model Number Switch Type(' Filter Manufacturer Total Dynamic Head (TDH) - Feet ? Filter Model Number . Elevation Head Distal Pressure - - Network Loss Minimum Pump Performance Required Force Main Loss - GPM' @ j Ft TDH Total - Outlet Manhole Min. 4" Above Grade With Locking Deice. Inlet Manhole Manhole Min. 4" Above Grade < 6" Below Grade Sealed Watertight Secwely Mounted With Locking Device Weather-proof Junction Box Finished Grade - - - Vent Min. 12" Disconnect Above Grade Means With Vent Cap X4Jutlet Filter - - - - - - Inlet Inlet: Baffle Switch Settings and Reserve Capacity A Weep Volume GPI Dimension. Inches Volume Gal. $ Hole (reserve) A Off Elevation C (alarm} B 2 :5 ` (dose) C Ft Bottom (dead) D - D Elevation Total J % < - Z-Ft GENERAL INSTALLATION: The septic/dose tank is bedded and back filled in accordance with the manufacturer's product approval specifications. Maximum depth of bury as specified by the manufacturer may not be exceeded without prior approval. Manhole covers exposed to grade have an effective locking device (padlock) installed. Piping at the inlet and outlet is of approved material, connected to the tank with watertight fittings, and laid on stable soil to prevent settling or sagging. The force main is sleeved with 4" Sch. 40 PVC to bridge the tank excavation and the sleeve is sealed watertight. Electrical service complies with NEC 300 and Comm 16.28. 02105 U Page of TOTAL DYNAMIC H=AD/CAPACITY w HEAD C ITY CURVE PER DAINUTE MODEL 53 55/57/59 EFFLUENT AND DEWA.TERING 25 I I Model 53/55/57/59 i 20 o F -t. Meters 001. trs. = I 5 1.5 43 '63 i 5 ~ 1O ~ ~ , t-- 4 34 29 z 5 4.6 19 72 I 10 ~ o Shut-off Hecd 19.25 ft. (5.9m) 2 5 -~3 15/16j--6 5/32 1 c 5/8 I--'i G~ /2 -11 12 NFT I i U.S. GALLONS j ' 20 30 40 50 LITERS 1~ - 3 15/16 0 80 150 a t FLOW PER MINUTE 9897 1 - / 4 /1s Variable level float switches available. Variable level long cycle systems available. - Available with special cord lengths of 15', 25', 35' and 50'. Alarm systems available. ~I Duplex systems available. JII i f I I 3 3/32 ~ -j°V'•~ ~ SK858 Single Seal Control Selection listings 3WTOE:U Model volts Phase Mode Amps Simplex i Duplex CSA UL 1. Integral float operated mechanical switch, no external control rquired. M53/55 & M57/59 115 1 Auto 9.7 1 Y Y N53155 & N57159 115' - 1 Non 9.7 2 3 or 4 & 5 Y Y 2. Single piggyback variable level float switch or double piggyback variable level BN53 ! 115 1 Auto 9.7 Y Y float switch. Refer to FM0477. BN57 1 115 1 Auto 9.7 N y 3. Mechanical alternator "M-Pak° 10-0072 or 10-0075. BE53/57 230 1 Auto 4.8 _ y Y 4. See FM0712 for correct model of Electrical Alternator. D53/55 & D57/59 230 1 Auto 4.8 1 -Y Y 5. Variable level control switch 10-0225 used as a control activator, with Electrical 453/55 & E57/59 230 1 Non . 4.8 2 3 or 4 & 5 Y Y Alternator (3) or (4) float system. Single piggyback switch included. a cnur'oN For information on additional Zoeller products refer to catalog on Piggyback Variable Level Float Switches, FMO477; s c . G.. v:.es a n _ .,e _ :.i Electrical Alternator, FM04i95; Mechanical Alternator, FM0495; Sump/Sewage Basins, FM0487; and Single Phase eie„er a:,z! safer, -ties s's ouid _,e ~owec c:_,..ng try, most Simplex Pump ControVAlarm Systems, FM0732. _ ti... cC; : d *ne 0 uaL:r . a i Safe iy 2nd : 0„r a;. R~SERM P0'FfV PL'- DES"`,, For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL TO: P.O. BOX "G247 110 - , Louisville, KY 40250 Manufacturers of. . 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I-IWA MOCIY2N 996 - ~3s°s>aaF. o WW S ?N F 4 - - - - - - - - - - - - - - - - - - - - - - - - - I Y ~ I I ~~~I I I i I I I I I r-7 I r I I i I I I I I I I I I L - -t- - I I I ~ I I I AIY I I I z § ~ SA ii t iaSA F I m ~ ~ ~ y ~ Q~ s ~ a~ a ~ O ~ O >.u J e 9 g 9 9 KNIK s ? I ~1 I A ~-vd ~I \ ~yy'ii~ ~hLhL h1h Z k's$ ~ nt c T- rtrll !,'t t SOIL EVALUATION REPORT e~eo Page of -#1890 pS in accordance with Comm 85, Wis. Adm. Code(s-~~ SVSJOESECE9BO v Schmitt Soil Testing, Inc. ' Attach complete site plan on paper not c... i 1 inches in size. Plan must County N 3 tix include, but not limited to: vertical and horizontal reference point (BM), direction and ,~cR - percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.DLG~~\y. ZT Please print all information. - /32 • Revie Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ~L 7- Property Owner Property Location DCCI Land Planners Govt. Lot SE1/4, N41/4 17, T28N, R19W Property Owners Mailing Address Lot # Block # Subd. Name or CS V# 1505 Hwy 65 P.O Box 445 28 Meadow Valley Of Troy 1 St Addn City State Zip Code Phone Number City Village Town Nearest Road New Richmond WI 54017 , Troy Meadow Valley Trail New Construction Use: Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement Public or commercial - Describe: Parent material Outwash plain (Pillot Series) - - - Flood plain elevation, if applicable - NA General comments Area is suitable for a conventional system with a 07 gpd/sgft rate. Install system on the contour 4' below grade. Slope of area is and recommendations: 1%, Boring 1 Boring # Pit Ground surface elev. 92.54 ft. Depth to limiting factor - 96+ - in. Soil Application Rate Horizon Depth Dominant Color Red ox Description Texture Structure Consistence Boundary Roots G_PD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 1 0-8 10yr3/3 none I 2mgr mfr as lvf 0.6 0.8 2 8-12 10yr3/3 none I icsbk mfr cs lvf 0.4 0.6 3 12-22 10yr4/4 none 1 sl 2msbk mfr gw 0.6 1.0 4 22-30 10yr5/6 none grls icsbk mvfr gw 0.7 1.6 5 30-74 10yr5/4 none grcos Osg ml as 0.7 1.6 6 74-96 10yr6/4 none s Osg ml 0.7 1 1.6 Boring 2 Boring # Pit Ground surface elev. _ 92.24 ft. Depth to limiting factor 98+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 "Eff#2 1 0-13 10yr3/3 none sil 2fsbk 1 mfr as lvf 0.6 0.8- 2 13-26 10yr3/4 none sil 2msbk mfr gw lvf 0.6 0.8 3 26-32 10yr4/6 none grls Osg ml gw 2vf 0.7 1.6 4 32-75 10yr5/6 none grcos Osg ml as 1vf 0.7 1.6 - - - - - - - - - - - - 5 75-98 10yr6/4 none s Osg ml 0.7 1.6 I Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD5 < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt 227429 Address Schmitt Soil Testing, Inc. Date Evaluation Conducted Telephone Number 1595 72nd St. New Richmond, WI 54017 6/22/2017 715-760-1978 SBD-8330 (R.07/00) Property Owner DCCI Land Planners- - Parcel ID # Page ._2-of 3 Boring F 3]Boring # Pit Ground surface elev. ---_92.8-9_-_- ft. Depth to limiting factor ---96+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftZ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#t "Eff#2 1 0-12 10yr3/2 none I 2mgr mvfr as ivf 0.6 0.8 2 12-24 10yr4/4 none sil 2msbk mfr gw 1vf 0.6 0.8 3 24-36 10yr4/6 none grsl 2msbk mfr gw ivf 0.6 1.0 4 36-40 10yr5/6 none Is lcsbk ml ( gw 0.7 1.6 5 40-84 10yr5/4 none grs Osg ml as 0.7 j 1.6 6 84-96 10yr6/4 nonj s Osg ml 0.7 1.6 11 Ci -7 Boring 6 F-1 Boring # Pit Ground surface lev. ft. C pth to li iting factor in. S A li ation Rate Horizon Depth Dominant Color Redox Description Texture Structure !Consistence Boundary Roots G_ P_D/ftZ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 -Eff#2 - - - - - F-1 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/ftZ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#t `Eff#2 Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 <150 mg/L " Effluent #2 = BODS < 30 mg/L and TSS <30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SAD-8330 (R.07/00) Schmitt Soil Testing, Inc. A ~ I f Page 3 of 3 Conducted by: - - Conducted For: Schmitt & Sons Excavating, Inc.. Name: DCCI Land Planners Thomas J. Schmitt, CST 227429 Address: 1505 Hwy 65 586 Valley View Trail City, State, Zip: New Richmond, WI 54017 Somerset, W l 54025 Phone: 715- 60-1978 Subdivision: Meadow Valley of Troy 1st Addn Signatur Lot No. 28 Date G _12 -,2of Y Legal Description: SE 1/4 NWl/4 S 7 T28N RI 9W ■ Backhoe Pit Township, County: Troy Township St. Croix County A Bench Mark 1 El. 100.00' Top of Telephone Pedestal F Lot28 M O Bench Mark 2 El. 87.08' top of electrical box Slope= 1 % t f Scale 1"= 60' LTRJ47 l G rk/ Po rq!) wE T P zNJO j - - E -r 1 t F 197" p f L1 A --j t 1 I f ; } E 19-7 i 1 s 4 t yG' P I Ax f 13 a~~,D i (I% f s o f : P ~ 1 t 1 h'l ; eft _ ~ t v { ~ t f 1 f 1 f f.- ~ I ~ 1 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No (ATTACH TO PERMIT) 600308 GENERAL INFORMATION 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: DCCI Land Planners Inc TOWN OF TROY 040-1327-28-000 CST BM Elev: Insp. BM Elev: BM Descriptio Section/Town/Range/Map No: 12' Z - Z. ~i~ ( 17.28.19.2226 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark 9z, Z DosingO Alt. BM (pr ,G Sy,Oq Bldg. Sewer W v `0 17~ 0-15 W Holding SUHt Inlet ~ TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Weill f Septic / Dt Bottom 7 q//1 4 Dosing Header/Man. ~ c , Aeration Dist. Pipe ' (0.4 Vat Holding Bot. System PUMP/SIPHON INFORMATION Final Grade 3 yZ. Manufacturer Demand St Cove r~~ 1 GPM ! hi G Model Number lb TDH Lift_/` I Friction L s~ System H TDH F 7 t ~Z 5 S~ 3 Fome.main Len 1,56 Dia. Dist. to Well SOIL ABSORPTION SYSTEM O J .3 BED/TRENCH Width Length Nc. Of Tre]es~ PIT DIMENSIONS No. Of Pits nside Dia. Liquid Depth DIMENSIONS 3 SETBACK SYSTEM) TO P/L BLDG WELL LAKE/STREAM LEACHING Manufa er INFORMATION 11 CHAMBER OR Typg &Of S ytssttzb"6 ~41 1~' / UNIT Model umber: .iil DISTRIBUTION SYSTEM 94-1v Header/Manifold Distribution Ix Hole Size x Hole Spacing Vent to A~irtake 1t{~(, Pipe(s) ` '1••_ ei Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of ]7ed/Sodded xx Mulched Bed/Trench Center Bed/Trench Ed es To soil g p ~"°yes LJ No Ps ] No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 368 MEADOW VEAL EY LN 1.) Alt BM Description = v, ` - 2.) Bldg sewer length = Z'7 - amount of cover = ~ 6, e 7 g I, Plan revision Required? Yes No 1 J Use other side for additional information. Date Inse tors Sign re Cert. No. SBD-6710 (R.3/97) 250-SERIES 113 hp Sump/Effluent Pumps for Professionals! ALL MODELS FEATURE; MOTOR SPECIFICATIONS: • Rugged 1/3 hp motor, oil filled with 1/3 hp 115V 5.2 amps 60Hz thermal overload protection. Thermally Protected & Permanently Lubricated • 112" solids handling. (PSC) Permanent Split Capacitor • 1-1/2" discharge Maximum Fluid Temperature: 140°F . • Hermetically sealed motor and switch cavities, DIMENSIONAL DATA: and permanently lubricated bearings. Liberty's UNI-BODY casting - a solid, one- Height: 10.5" piece housing that eliminates the lower motor sea! ring found on ether pumps, Major ~Nr'i~ith: 5.6°' (manual model 250) • Epoxy powder coat finish PERFORMANCE CURVE • Vortex style impeller for superior PERFORMANCE CURVE solids-handling. Made of high temperature 25 engineering polymer. • Fasteners - all non-corrosive stainless steel. 20 6 • 416 stainless steel rotor shaft. v a u. 5 = 5 = 250-series Cord Lengths w ti a Model 10' 25'(-2) 35'(-3) 50'(-5) Fu 10 3 m 250 Standard Optional Optional Optional 5 2 ~ 251 Standard Optional Optional Optional 253 Standard Optional Optional N/A 0 so 257 Standard Optional N/A N/A o to 20 30 40 50 10' cord length standard on all models. For optional lengths, U.S. Gallons Per Minute add "-2, -3 or -5" suffix to model number. Example: for model 250 with 35' cord, order 250-3 38 76 114 156 192 Liters Per Minute EFFLUENTMODELS Model 250 Model 251 Model 253 Model 257 VMF Manual, no switch. Quick-disconnect Wide-angle float with VMF switch, magnetically wide-angle float, series (piggy-back) operated vertical float - mercury-free. plug, allows manual operates in a 10" operation of pump. diameter sump. caDual safety certification for r_-R1lFr-v c us Certified theunitedstatesand Canada. Specifications are subject to change without notice. Liberty Pumps • 7000 Apple Tree Avenue • Bergen, New York 14416 • Phone 800-543-2550 Fax (585) 494-1839 www.libertypumps-com Copyright © Liberty Pumps, Inc. 2017 All rights reserved. LLIT2500-85/17 Q,fety ty ~and Buildings Division ) !t> 9 2 1 Washington Ave.; P.O. Box 7162 ganitary Permit Number (to be filled in by Co.) DEC ! Madison, Wt 53707-7162 S coax 3 $ f and R_W4ftP iea ' l 95~$ State Transaction 1juglbm In accordauce with SPS 38321(2), Wis. Adm. Code, submission of this four to is required prior to obtaining a sanitary permit Note: Application forms fo* itted to Project Address (if different than mailing address) the Department of Safety and Professional Servies. Personal inform' ' 0011 for secondary purposes in accordance with the Privacy Law, s. 15. 1 m), Seats. L Application Information - Please Pr' t All Inf matt Property Owner's Name"+J Parcel # 0 -7 co Property Owner's Mailing Address Property Location ` a , City, State I' Zip Code Phone Number LL , ~q f Zv V` Section J C J~ C/ 21 (y` V C t l J T N, R/49 or W f II.;Type of Building (check all that apply)„- Lot # or 2_Family Dwelling -Number of Bcdr _ Z,, 3 Subdivision N e ❑ Public/Commercial - Describe Use 6y, 406 11&~ tt~ ❑ City of vrd~/ ❑ State ned -Describe Use CSM Number ❑ iltage of of Ce& \ L~,/ J 6L., III. Type of Permit: (Check only one x on line A. Complete line B if applicable) Zia A. system ❑ Replacement Sys tem ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. List Previous Permit Number and Date Issued ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New Before Expiration Owner t IV. Type ofPOWTS S stem/Com onent/Device: Check all that apply) 7-7 . Non-Pressurized In-Ground 11 Pressurized In-Ground ❑ At-Grade 11 Mound 24 ht. of suitable soil ❑ Mound < 24 in. of suitab a soil ❑ Hol er al component (explain) _ ❑ -treatment Device (explain) V. Dis rsal/Treat nt Area Information: t Design Flow (gpd) Design Soil Application Rate(gpdsf)Dispersal Area Required (sf) Dis Proposed (sf) System Elevation 1,7 I VL Tank Info Capacity in Total # of Gallons Gallons Units o o New Tanks Existing Tanks ~ • 1 c ~ ~ ~ ~ m M Septic or Holding Tank j~ C.1 ✓ f 1 Dosing Chamber ? C.:L I /n, VII. Responsibility Statement- the undersigned, - responsibility for installation of the POWfS shown on the attached plans. 7wiiber's Name ~Pnnt Pl ignature MP/MPRS Number Business Phone Number 17- Plumber's Address (Ste City: Sta Ziip - { VIIL atv/De artment Use Only _ pproved ~vd eI Permit Few Date Iss Issuing. t Signature ySs ,z ven Reason for enial DL Condtti ons for Disapproval 1. ' tan k a multi 3, 415ipf~rt::+i cell !r~Uet afl b bn•1 e `.i?i 'it. ;_s r ltc "ec J are 99 per i'narsgemen• plan ^-o nae i by plwnbe.. z '"'RelHw* rectitetae s rnlit>t lie r-:.;:rt, irE,; as per App M1.t cod / milannt F Attacb to complete plans for the system and submit to the County only on paper not less than S to 111 iwkes in size SBD-6398 (R. 11/11)