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HomeMy WebLinkAbout022-1095-80-103 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: GENERAL INFORMATION (ATTACH TO PERMIT) 600347 State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 3074437 Permit Holder's Name: City Village Township Parcel Tax No: Andrew & Jesse Rudisell TOWN OF KINNICKINNIC 022-1095-80-103 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: 33.28.18.516A-06 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. YAd Septic 00 Benchmark Dosing Alt. M 60 Aeration 'Bldg. Sewer ~ - y-1o lug. l Holding St/Ht inlet q~ 9.7-0 1,71? TANK SETBACK INFORMATION St/H outlet TANK TO P/ WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic [ Dosing - lmxo. g Aeration ist. Pipe c, Holding ;nal t. S m Grade PUMP/SIPHON INFORMATION U Manufacturer Demand St Cover L GPM Model Number v3(~ TDH Lift ( Friction Los System Heal TDH Ft m~ Forcemain Length Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH d L (p No. Of Tren s PIT DIMENONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ( SETBACK SYSTEM TO P/L BLDG WELL LAKE~ST AM LEACHING Manufacturer: 4 INFORMATION Type O Sy tem: d ` CHAMBER OR 4,*/ 9dt UNIT Model Number. _ t j DISTRIBUTION SYSTEM [Headth er/Manifold Distribution to ix Hole Siz~ Ix Hole Spacing Vent to Air Intake Pipe(s) f oe Dia Length Dia Spacing__ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of T Seeded/Sodded i" xx Mulched Bed/Trench Center Bed/Trench Edges - Topsoil Yew No .KYes ❑ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1 7-40-1 Inspection #2: Location: 60 EMERSON VALLEY DR'' ky) 1.) Alt BM Description = - J-E~j-~ ~ CS~cilf 2.) Bldg sewer length = q~ - amount of cover = 7 4' Plan revision Required? ❑ Yes ❑ No I Use other side for additional information. Date nature Cert. No. SBD-6710 (R.3/97) ILI& a3 ' Court 1 i1 22 Buildin _Dj , , 7L 'C8 DL..IGGE 011J~ #on Ave`'t Sanirary Permit Number (to be fined in by Co.) - ►Ua Vsf1 53747 7 ~a20Nm'~~ 1 ransacti Sanitary Permit ApplicationTonNumber In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this fonu fo t ~ aW gDvemment}tI unit 6 7Y Y3 is required prior to obtaining a sari tart permit Note: Application forrl ot7 5} +ui~iydd' . lS;a o-subm>#ted to Project Address (if different than mailing address) the Department of Safety and Professional Servies. Personal information you provide ` jtse3 for'§et`ondary' oses in accordance with the Pqvacy Law, s. 15.04(1 m), Stats. L A lication Information - Please Print All information Property Owner's Name y f Parcel 0; ?6-10- /03 Property Owner's Mailing Address o Property Location City, State Zip de Phone Number Go~Lot ESL Section _5 I G~ Icon 11. Type of Building (check all that apply) Lot # T Z (L N; R g 4tr 1 or 2 Family Dwelling- Number of Bcdroo / Subdivision Name Qh ~ ❑ Public/Commercial - Describe Use Block # ❑ City of ❑ Sr=cri a be Use __ofA Town of/ ` . "-r'. III. Type of Permit: (Check only one box on line A. Complete line $ if applic ble} i A. ew System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner / IV. T orPOWTS Svstem/Com orient/Device: Check all that a 1 . ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil onnd < 24 in. of suitable soil ❑ Holding Tank ❑ er Dispersal Component (explain) _ ❑ Pretreatment "ce explain) V. Dis rsaUTrea ent Area Information: Design Flow (gpd) Design Soil , canon Dispersal Area Requir s Dispersal Area Prop (s System Elevation CJ t t T~ L~ t] (~~~IJii✓✓~ - i VL Tank Info Capacity in Total # of >v J Gallons Manufacturer Gallons Units Q -1 New Tanks Existing Tanks J , v Septic or Holding Tank `C % Dosing Chamber t VII. Responsibility Sta ent- i, the undersigned, s me responsibility for installation of the POWTS shown on the attached plans. Plum 's Name lu (Print) PI 's Signature MP/MPRS Number Business Phone Ntmlber ZZ, Plumber's Address (Street, City, State, Zip 191 VIII ounty/De artment Use Only Approved isappr Permit Fee Da Issued I Issuing t Signature eason for Denial ]X Conditrgns -nom pproval , 4tS} 2f:':+i cell Must all t~LkRivic; s I w4ln K.r gas per in8r,3loement plan R,a4cled by pluinber. 4Ae - LQ1 2. 'AM eelbsrk recl,irtneris marator. itirtrWE-i I as per VNICON* cr)h.' / ~.rdi SAMBF. i~ let-- cite` Attach to complete plans for the system and submit to the County only on papeyna less than 8 12 z 11 inches in size Z81 LO-3 SBD-6398 (R. 11/11) 80=SERIES 12 hp Submersible Effluent/Sump Pumps he Liberty 280-Series provides a cost effective "mid- Performance Curve: 280-Series -angel, pump for on-site waste water systems, liquid 40 1 1 I I ' 1 ! I 12 waste transfer and commercial heavy-duty sump pump 35 1 ' III I i 1 i 11 applications that require higher head or more flow. 1 Designed around Liberty's unique "Uni-Body" casting, 30 1 j 9 the 280-Series will provide years of reliable performance. 25 8 i ~20 6 All Models Feature: • Vortex style impeller permitting passage of solids CZ 15 5 ~ I I I i 10, up to Y4" 3 • 416 stainless steel rotor shaft 5 2 • Permanently lubricated upper and lower ball bearing i l • Epoxy powder coat finish 0 0 • All fasteners - corrosion-resistant stainless steel 0 5 10 15 20 25 30 35 4 45 50 55 60 65 70 U.S. Gallons Per Minute • 1 t/2" Discharge • Stainless steel bottom screen - easily removable 0 38 78 114 156 192 228 270 • Maximum fluid temperature: 140°F. Liters Per Minute 280-Series Cord Lengths Dimensional Data: Model 10' 25'(-2) 35'(-3) 50'(-5) Weight: 29 lbs. 280 Standard Optional Optional Optional Height: 13" 281 Standard Optional Optional Optional Major Width: 10" (model 287) 283 Standard Optional Optional N/A 287 Standard Optional N/A N/A Minimum Sump Diameters: Model 281, 283...14" 10' cord length standard on all models. For optional lengths, Model 281 V 83...1 0" add "-2, -3 or -5" suffix to model number. Example: for model 280 with 35' cord, order 280-3 Factory switch Model 281, 283 Model 287 settings VMF Motor Specifications Turn on level 13" 9.51- 1/2 hp 60 Hz 3450 RPM Turn off level 7" 4.0" Oil filled, thermally protected (PSC) Permanent Split Capacitor The Model 283 features a fully adjustable wide-angle float. Differential 8.0 amps (115V) adjustments can be made easily by tethering the float to the dis- charge pipe or other mounting point. Vertical float model 287 is not 4.0 amps (208/230V) adjustable. Model 280 Model 281 Model 283 Model 287 Manual, Wide angle Wide angle VMF-Series no switch float switch float switch Vertical mag- with quick- with series netic float for disconnect (piggy-back) smaller pits - _ plug will operate in d a 10" diameter sump SSPN~► C co-us Certified specifications are subject to change without notice. Liberty Pumps • 7000 Appie 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. LLIT 2000 R05/17 I Y Page POWTS OWNER.5 MANUAL & MANAGEMENT ZN FILE -INFORMATION SYSTEM SPECIFICOwne (7"! .L; eptic Tank Capacity c r al Permit # SephC -Tank Manufacturer i~ Effluent FIte1~ Ntanufacturer DESIGN PARAM RS ❑ Number of Bedrooms 13 NA Effluent Filter Modem Number of Commercial Uni Pu Tank Capacity al N~ Estimated flow (average) aUd Pump Ta Manufacturer - Design flow (peak), (Estimated x 1.5) gal/day :Pump Manufa rer ONA Sol Apprcation Rate al/da /ftz Pump Model ❑ NA Influent/Effluent Quality Monthly average` Pretreatment Unit Fats, Oil & Grease (FOG) 530 mg/L ❑ Sand/Gnovel Filter ❑ Peat Filter Biochemi I ter; [demand (BODS) Q20 mg/L ❑ Mechanical Aeration Wetland Total Suspended Solids S) 5150 m /L ❑ Disinfection ❑ ther. nufacturer Pretreated E ent Quality A -Meajthtty average" Dispersal Cell(s) Biochemical gen Demand (BODS) S30 filgk ❑ In-ground (gravity) \`Q I -g hand (pressurized) Total Sus nded Solids (TSS) s30 mg/L ~ ❑ At-grade \oundl Fecal Coliformn metric mean) 510` cfu/100,4`-,0 Drip-line \ ❑ Other. Maximum Effluent Particle Size Y inch diameter Values typical for domestic (non-cammerclap wastewater and \ - w +a + c u uc \ Va ` s typicalfor pretrtsated wastewater. MAINTENANCE SCHEDULE Service Event Service Frequency., inspect condition of tank(s) At lea once every ❑ months ear(s (Maximum 3 yrs.) Pump out cunt tank(s) When co*tned sludge and scum equals on third (3 .of tank volume Inspect dis rsal cell(s) At least once a ry ❑ months earO ( aximum $ yrs.) Clean effluent r At least once every ! months ar(s) ) st once every ❑ months -year(s) ❑ NA ie~ Inspect pump, pump ntrols & alarm A Flush laterals and pressu test At least bi19e every ❑ months -06y-ear(s) 0 NA Other A~ At feast once ery \Q months ❑ year(s) 0 NA Other At least once every ❑*onths ❑ year(s) 0 NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall\~be made by an individual carryi one o e following licenses or certifications: Master Plumber, Master Plumb&\Restricted Sewer, POWTS Inspector OWTS Maintainer, Septage Servicing Operator. Tank inspections must indude 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 efflfieni o`n-thesround surface. The cis I cell(s) shall be visually inspected to check the effluent levels in the observatio ipes and to k for any ponding of ffluerlt on the ground surface. The ponding of effluent on the ground surrace ma indicate a failing ition and require's the immediate notification of the local regulatory authority. When the combined accumulation of sludge a scum in an},, tank equals one-third or more of the tank volume, the entire contents of the tank'shall be removed by a tage Se icing Operator and disposed of in accordance with ch. NR 113, Wisconsin Administrative Code- J The servicing of effluent filters, m cal or pressurized POWT'S components, pretreattment components, and any other maintenance or monitoring anervals of 12 months or less shall be performed by a certified POWTS Maintainer. A servic d report shall be provided to the, focal regulatory authority within 10 days of completion of any service event START UP AND OPERATION For new construction, prior to use of the 0OWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatmenV process andfor damage the dispersal cell(s). If high concentrations are detected have the contents of the tanks removed by a septage servicing operator prior to use. 0 System PLOT PLAN PROJECT Andrew Rudisell ADDRESS 60 Emerson Vallev Drive River Falls Wi 54022 SE 1/4 NE 1/4S 33 /T 28 N/R 18 W TOWN Kinnickinic COUNTY ST. CROIX SYSTEM ELEVATION 105.5' 2.5' sand lift 2/19/18 DATE BEDROOM 3 CONVENTIONAL AT-GRADE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 452 # of chambers none BENCHMARK V.R.P. top of electric box pad ASSUME ELEVATION loo' Filter Lifetime Filter BOREHOLE O WELL *H.R.P. same as benchmark Property Line B-1 B-2 424' Property Line Scale = 1/4" 10' ~ i 0% Slope, System elevation to be based on 103.0' contour 3.7 Acre Lot Huffcutt Combo Tank B-3 B. M. Tank is to be properly bedded and provided with lockdown covers with Pro 3 Bedroom approved warning labels House Wei I is to meet al I WDNR setbacks x Emerson Valley Drive ~J y ~tiy~xT_vrEwr DIVISION OF INDUSTRY SERVICES 2331 SAN LUIS PL STE 150 GREEN BAY WI 54304-5211 Contact Through Relay http://dsps.wi.gov/programs/industry-services www.wisconsin.gov °s'sroN+~sw Scott Walker, Governor Laura Gutierrez, Secretary March 19, 2018 r CUST ID No. 226900 ATTN: POWTS Inspector SHAUN R BIRD ZONING OFFICE BIRD SELF STORAGE ST CROIX COUNTY SPIA 1432 120TH ST 1101 CARMICHAEL RD NEW RICHMOND WI 54017-6409 HUDSON WI 54016-7708 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 03/19/2020 Identification Numbers Transaction ID No. 3074437 SITE: Site ID No. 847262 Andrew Rudesill Please refer to both identification numbers, 60 Emerson Valley Dr above, in all correspondence with the agency. Town of Kinnickinnic St Croix County SE1/4, NE1/4, S33, T28N, R18W FOR: Description: Mound System Q Bedrooms - New Construction) Object Type: POWTS Component Manual Regulated Object ID No.: 1751536 Maintenance required; 450 GPD Flow rate; 6 in Soil minimum death to limiting factor from original grade; System(s): Mound Component Manual - Ver. 2.0, SBD -10691-P (N.01 /O1, R. 10/12), Pressure Distribution Component Manual - Ver. 2.0, SBD-10706-P (N.01/01, 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 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: • Page 3 - "I" = 13.8 Feet • Palle 3 - "J" = 13.8 Feet DID • Page 3 - W - 39.6 Feet • 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. SHAUN R BIRD Page 2 3/19/2018 • Prior to construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. Smearing and compacting of wet soil will result in reducing the infiltration capacity of the soil. Proper soil moisture content can be determined by rolling a soil sample between the hands. If it rolls into a 1/4- inch wire, the site is too wet to prepare. If it crumbles, site preparation can proceed. If the site is too wet to prepare, do not proceed until it dries. • 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(l)(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 be set and verified per approved plan. Any changes may result in pump resizing to meet TDH and GPM Specifications. • Areas that are occupied with rock fragments, tree roots, stumps and boulders reduce the amount of soil available for proper treatment. If no other site is available, trees in the basal area of the mound must be cut off at ground level. A lar«er fill area is necessar% when anv of the above conditions are encountered, to provide sufficient infiltrative are Owner Responsibilities • The current owner, and each subsequent owner, shall receive a copy of this letter including mslructions relating, to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval SPS 383.54(1). • 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/installation/operation. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 This Amount Will Be Invoiced. When You Receive That Invoice, Please Include a Copy With Your Tim Vander Leest Payment Submittal. Private Sewage Plan Reviewer, Division of Industry Services WiSMART code: 7633 (920)492-2214 , Mon- Fri, 6:00 a.m. - 3:30 p.m. tim.vanderleest@wi.gov SHAUN R BIRD Page 2 3/19/2018 • Prior to construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. Smearing and compacting of wet soil will result in reducing the infiltration capacity of the soil. Proper soil moisture content can be determined by rolling a soil sample between the hands. If it rolls into a 1/4- inch wire, the site is too wet to prepare. If it crumbles, site preparation can proceed. If the site is too wet to prepare. do not proceed until it dries. • 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 horizontaliv from where the servicing pad is located. • Verify property line(s) prior to installation. • Pump Floats to be set and verified per approved plan. Any changes may result in pump resizing to meet TDH and GPM Specifications. • Areas that are occupied with rock fragments, tree roots, stumps and boulders reduce the amount of soil available for proper treatment. If no other site is available, trees in the basal area of the mound must be cut of; at ground level. A larger fill area is necessary when any of the above conditions are encountered, to provide sufficient infiltrative area. Owner Responsibilities • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval SPS 383.54(1). • 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/installation/operation. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 This Amount Will Be Invoiced. When You Receive That Invoice, Please Include a Copy With Your Tim Vander Leest Payment Submittal. Private Sewage Plan Reviewer ,Division of Industry Services WiSMART code: 7633 (920)492-2214 , Mon- Fri, 6:00 a.m. - 3:30 p.m. tim.vanderleest@wi.gov Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 2/1917 Owner:Andrew Rudisell Location: SE1/4 NE1/4 S33 T28 N,R18W 60 Emerson Valley Drive Kinnickinnic Manuals Used: Mound Component Manual Version 2.0 (N.01/01, R. 10/12) Pressure Distribution Manual Version 2.0 (N.01/01 R. 10/12) Page# 1. Cover Page 2. Mound Plot Plan 3. Mound Cross Section 4. Pipe Cross Section/Pipe Layout 5. Pump Chamber Cross Section 6. Pump Curve 7-8. Maintance and Contigency plan 9. Filter Specifications and cross section Attachments: Soil Test Shaun Bird , Signature . License number 6900 , $ScPage 1 of 9 F~1~ 2 2 2018 System PLOT PLAN PROJECT Andrew Rudisell ADDRESS 60 Emerson Vallev Drive River Falls Wi 54022 SE 1/4 NE 1/4S 33 /T 28 N/R 18 W TOWN Kinnickinic COUNTY ST. CROIX SYSTEM ELEVATION 105.5' 2.5' sand lift 2/19/18 DATE BEDROOM 3 CONVENTIONAL AT-GRADE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1 .0 ABSORPTION AREA 452 # of chambers none BENCHMARK V.R.P. top of electric box pad ASSUME ELEVATION 100' Filter Lifetime Filter BOREHOLE O WELL *H.R.P. same as benchmark Property Line 00 B-1 B-2 424' Property Line 0 Scale= 1/411 = 10' 0% Slope, System elevation to be based on 103.0' contour 3.7 Acre Lot Huffcutt Combo Tank B-3 B.M.* Tank is to be properly bedded and provided with lockdown covers with Pro 3 Bedroom approved warning labels House Well is to meet all WDNR setbacks Emerson Valley Drive t, 9 Mound System Cross Section and Plan View Dimension Feet 77 77- J\~ 777 -7- 77 i 777 A B r.r.''.r.r'^r'r'rYY•r'vw'.}-r.r~~"~"r.r•~.$1r.ry'•••r.r1••'r r '1,r,r}rryrtir~:nf.r.r•1 D ti. .`ry.r`r'r•.••rY.r•~rYYYY•lYYel. ~•.ri •.'.b.•~M1 ti•~•YM•r.r.rJ ~K~ `+w.'"'"`+.wwti.ti.a.ti^^r'r`ra+•rr'r•r•r•n`nnrirv1r"~+`Sww.+.•.••.•L. ti.ti..,.y,ti,y E fj... ' ww.r.r. •a.+•+-+-+.ti.r.ti-+-ti.1.•.• r > ±rtiiL{:~".+{ir.~~: L o[ w .r.r,r ww•'^rY.r~r wix"~•.+rv's"aY• avrti-~-a.wrti~,r{ ywCY{.wv^`r+~+.+.i.wti:'r".f.r.r•r ' - _ .•r•+•r.r•nr.r•r•r.r.r.r.r.rY.r.r.rY.r•r.r.r.r.r~, F r G , I t3 L K 13~~ w Z L T Slo e % = Topsoil = ASTM C-33 Clean aggregate Cap Material O = 4 in. sch. 40 pvc sand fill Kw 1/2 to 2 1/2 in. dia. observation pipe Geotextile Fabric H ~r r.µ F.~~ rJ"t't D 0 Ft Contour Plowed Surface Slope Direction --may GENERAL INSTALLATION: The mound area is staked out along the design contour. Existing vegetation is mowed and raked off the site. The mound basal area L x W) is plowed with a moldbo I ard or chisel plow. Plowing may not proceed if the soil is wet enough at the plow epth to form a %a inch soil wire when a sample is rolled between the palms of the hands. ASTM C-33 quality sand is placed immediately after plowing. Sand is placed with a tracked machine keeping 12 or more inches of sand under the tracks or is placed overhead by a backhoe. Special care must be used when placing sand of less than one foot thickness to minimize compaction of the plowed surface. After the topsoil cap is placed, the entire mound is seeded and mulched to promote vegetative growth, limit erosion and protect from freezing. The observation pipes are slotted in the lower 6' inches and secured in place with rebar or a closet flange. 10/071gj • ~ !~-1 Page of" - Pressure Lateral Layout Two Laterals - End Manifold .4 Threaded ` Cleanout Lateral Turn-up Plug Manifold M L Long Force Main Sweep 90 Bend 0 0 r, Q r Distribution Network Specifications Pressure System Construction Lateral Diameter " In. Manifold Diameter In. Laterals are constructed of Schedule 40. PVC Orifice Diameter 3 I ` In. pipe. Orifices are drilled perpendicular to X Orifice Spacing) _ In. the pipe with a sharp drill bit and face down. L (Lateral Length) Ft. Lateral turn-ups terminate with a threaded M Manifold Length) S Ft. ceanout plug and are enclosed in a 6-8 inch Force Main Diameter `Z. In. diameter lawn sprinkler valve box accessible Force Main Lenj Ft. from finished grade. Grade • 6-8 Inch Lawn Sprinkler Valve Box Page of I 03/05 l9j i Septic-Dose Tank Cross Section And Pump Performance Specifications Tank Manner Pamp Mangy Tank Model Number 1777n I Pump Model Number rZ. Total Tank Capacity 3 Alarm ~r l/ S Max. Bury Depth j Alarm Model Number switch Type //%,I? s Filter Mangy 11 I Total Dynmic Head (TDH) - Feet Filter Model Number Elevation Bead l7istal Pressure Network LOSS Muumum Pump ~ erformancc Required Force Main Loss GPM Ft TDH Total Outlet Manhole llin. 4" Above Grade With Locking D". Inlet Manhole Manhole Min. 4" Above Grade < 6" Below Ch de Sealed Watertiaht Securely Mounted With Locking Device Weather-Proof Junction Box Futished Grade vent Min. 12" Disconnect Above Grade Means With Vent Cap ,~r `a`, a s i`r :+`r~1`a<:.{:, •;~;~<a{> t+t>t:>ti i ,t>{►`a `i ,<at►` {i r~ Outlet Filter --:.~i kW Inlet Bale - switch settings and Reserve Capacity A Tank Volume = /J GPI ' s Weep ; > • Hole Volume Oral. B Dimension 1whes (reserve) A 6 7 a (alarm) B : 2. 3 > Of Elev'on C <r ' > Pt (dam) C C,5 -4 - Bottom {dead} D D Elevation L t7 •::::.><>a t Ft Total 6 3 ` '`>atant s<s a{a <t: a:t t af{<.. t<<:t 2{oaa <<st <.~~:~<:~. t,>.{t{ttat{st to a<<.sa.at .a<a,a• sa`►a•aa>.,,a►>►•>>a ►►a`►`ia iaa>,ar>,+>,>•.+ `r,a.+ +>+,r►+a ~,,>►r a`►►aar►►~s iis>. s{< t a< a t t t{{{ a<{<<{ i t i t t i t< f t{{{ t t t<<<< t t<<: a>t a< t a: i t<< s>< < t>i < a t a a s a{ << t t a<< t{< < i t< t l•a• GENERAL TNSTAMAnON: The septicldose lank is bedded. and.back filled in accordance with the manufactnuer's grocuct.approval s}~ecifications: Maximum depth of buiy-as. std. by.dw manufacunr may not be exceeded without pxior. 4pproval.. Manhole covers exposed to grade have an effoctive locking device (padlock) installed. Piping at the inlet and outlet is of approved material, connected to the tank with wit fittings, and 4» PVC to bridge the tank ith laid on stable sod to prevent s or.aa~ing. Thee ttaain is sl .,v.,ed a excavation and the .sle4ve. is se~led.watcrtight ; Electcal` 'ce/rompt~es with NEC 304 and Comm 1623. P4ge Of 02105 I, TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE HEAD CAPACITY CURVE EFFLUENT AND DEWATERING Ln MODEL 152/153 153 ! MODEL 152 W W 50 Feet Meters Gal. Liters I Gal- Liters 153 5 1.5 69 261 77 291 10 3. i 61 231 l 70 265 12 40 152 15 4.5 53 201 61 231 20 .1 6.1 I 44 167 52 197 W ~ 30 25 7.6 34 129 42 159 Z 8 30 9.1 I 23 87 33 i 125 ° 35 1 - - 22 85 20 ^ ^ tl 42 0 40 12.2 j 4 j Lack Vaive: 138.0 Ft. (11.6m)144.0 Ft- (13.4-n) 10 oi4W I I 0 20 60 80 100 GALLONS 6 1/a LITERS 0 80 160 240 320 _ FLOW PER MINUTE I 7-7 I-~ 3 27/32 CONSULT FACTORY FOR SPECIAL APPLICATIONS _ • Timed dosing panels available. ® 3 27/32 • Electrical alternators, for duplex systems, are available and supplied with an alarm. • Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable T- level long and short cycle controls. • Sealed Qwik-Box available for outdoor installations. See FM1420. ! • Over 130°F. (54°C.) special quotation required. 12 1/8 !-T- 1571153 Series' 191153 MODELS Control Selection I Model Volts-Ph Mode S' ex Du lex 1 ~ S 1/5 N152 115 1 Non e.5 1 2 or 3 I j 8N152 115 1 Auto . 8.5 included 2 or 3 _L SK2064 E152 230 d Non 4.3 1 2 or 3 RE152 230 Auto 4.3 Included 2 or 3 N153 115 1 Non 10.5 1 2or3 SELECTION GUIDE BN153 115 1 Auto 10.5 Included 2 or 3 t variable level float E153 . 230 . 1 Non 5.3 1 2 or 3 1. Single piggyback variable level float switch or double piggy BE153 230 1 Auto 5-3 Inducted 2 or 3 switch. Refer to FMO477. o CAUTION 2. See FM0712 for correct model of Electrical Alternator E-Pak Alt installation of controls, protection devices and wiring should be done by a qualified 3. Variable level control switch 10-0225 used as a control activator, specify duplex (3) licensed electrician. AN electrical and suety codes should be followed including the most or (4) float system. recent National Electric Code (NEC) and the O=padonal Safety and Health Act (OSHA) RESERVE POWERED DESIGN For unusual Conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL TO: P.O. BOX 16347 Louisville, KY 40256.0347 Manufactureaof.. SNIP T0: 3649 Cane Run Road ff ® Louisville, KY 40211-1961 :grwrr /JuMP9 SKLE /~9.9~9 d (502) 778.2731. I (OM 926-PUMP httpJ/www.zoeller corn 1/am"10 1M FAX (502) 774-3624 - 0 Copyright 2000 Zoell , Co. All r~hts-reserved. POWTS OWNER'S MANUAL $ MANAGEMENT PLAN Page of FILEINFORMATION SYSTEM SPECIFICATIONS i Owner Septic Tank Capacity al ❑ NA _LT f-J Permit Septic Tank Manufacturer ❑ N~A DESIGN PARAMETERS Effluent Filter Manufacturer ; ~-~I~ p NA Number of Bedrooms PNA Effluent Filter Model ❑ NA Number of Commercial Units Pump Tank Capacity G3 D al ❑ NA Estimated flow (average) 3 0': b gal/day Pump Tank Manufacturer NA I Design flow (peak), (Estimated x 1.5) ~;O aVd Pump Manufacturer ❑ NA Soil Application Rate i7 aUd /flF Pump Model N I Z ❑ NA Influent/Effluent Quality Monthly average' Pretreatment Unit NA Fats, Oil & Grease (FOG) 530 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD5) 5220 mg/L ❑ Mechanical Aeration O Wetland Total Suspended Solids (TSS) 5150 /L ❑ Disinfection ❑ Other. Manufacturer Pretreated Effluent Quality Monthly average" Dispersal Cell(s) Biochemical Oxygen Demand (BODs) 530 mg/L ❑ In-ground (gravity) ❑ In-ground (pressurized) Total Suspended Solids (TSS) 530 mg/L ❑ At-grade 7r`~f~Mound Fecal Coliform (geometric mean) 510` cfu/100m1 ❑ Drip-line ❑ Other. Maximum Effluent Particle Size Y. inch diameter values typical for domestic (non-oommercL4 wastewater and septic tank effluent. Values typical for pretreated wastewater. MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every ❑ months ❑ year(s) (Maximum 3 yrs.) Pump out contents of tank(s) When combined sludge and scum equals one-third (Y) of tank volume Inspect dispersal cell(s) At least once every El months ar(s) (Maximum 3 yrs.) Clean effluent filter At least once every ❑ months ❑ year(s) Inspect primp, pump controls & alarm At least once every 3 El months ❑ year(s) ❑ NA j ❑ months ❑ year(s) NA Flush laterals and pressure test At least once every Other. At least once every ❑ months ❑ year(s),NA Other: At least once every ❑ months ❑ year(s) A MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Inspector, POWTS Maintainer, Septage SerWchV Operator. Tank inspections must include 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 regulatory authority- When the combined accumulation of sludge and scum in any tank equals one-third (X) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with ch. NR I T3, Wisconsin Administrative Code. The servicing of effluent filters, mechjlnical or pressurized POWTS components, pretreattment components, and any other maintenance or monitoring at irltervals of 12 months or.iess shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event 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 that may impede the treatment process and/or damage the dispersal cell(s). If high concei?trations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. Page of START UP AND OPERATION ce of painting products or other chemicals th`jt For new construction, prior to use of the POWTS check treatment tank{ s} for the presence may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the cOrrtents of thO tank(s) removed by a septage servicing operator prior to use System start up shall not occur when soil conditions are frozen at the infiltrative surface. i During power outages pump tanks may fill above normal highwater levels. When power backup or the surface excess discwastewater harge of e will ll ble discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in is the restored _ owe/ to rior to restoring effluent avoid uthis m situation gave the nor POWTS Ma stainer to assist in manually operating the p mp copntrols to restore normal levels pump or r contact a Plumber , within the pump tank. the area within Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, 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 prokmig ~ the life of the Pfoundation4WTVT$: antibiotics; baby wipes; curette butts; condoms; cotton swabs; degreasers; dental floss; diapers; painting products; (sump pump) water, fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps, medicsfilons; oil; 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 takers to insure that the system is properly and safety abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code:. • Alt piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and property 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 If the POWTS faits and cannot be repaired the following measures have been, or must be taken, to provide a code comp i.p replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption systelm. The replacement area should be protected from disturbance and compaction and should not be infringed upon by Ike requited setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement a ~piy with the a e:l in for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be Installed as a last resort to replace the failed POWTS. 4_ he site has not been evaluated.to Identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. It no replacement area is available a holding tank may be installed) as a last resort to replace the failed POWTS. nd and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative 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 40T ENTER A SEPTIC, PUMP OR OTHER A TANK MAY BE TDIFFICULT ANK UNDER OR CIRCUMSTANCES. DEATH MAY RESULT. RESCUE O~ A PERSON FROM THE INTERIOR ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name c~ u 7 v E blame S Phone ~]1 j O.'C6`~ ' ~o Phone 7lS- 0 T~ SEPTAGE SERVICING OPERATOR PUMPER LOCAL REGULAT Y AUTHORITY Name 01 V-11 O r Name ~yL Phone j`Z Phone t J ~ i0l r This document was drafted in compliance with chapter SPS 383.22(2)(b)(1)(d)&(t) and 383.54(1), (2) & (3), Wisconsin Administrable code, N P P , 1 i S + t +I C I- Y P ;r O .i Y L_.J J i a '15 / :.A.. Lu q f ~o EO i a i ti~ m c c m a 2 + N ~ 'S D Q U Q 1+ v Z 3 O Q ' H- fit N o : i i Safety And Buildings Division 4003 N. Kinney Coulee Rd COfYtfllermml.gOv LaCrosse Wl 54601-1831 ■ www.commerce.state.wi.us/sb ~sconsin •rarapr Department of Commerce p hr + . rewn -Cr f Jury 2 7 2005 ~ November 08, 2004 S7 CRO1X COUNTY ZONING OFFICE CUST ID No. 224832 ATTN: Inspector MARY JO HOLLISTER ZONING OFFICE HOLLISTERS SOIL TESTING ST CROIX COUNTY SPIA W9875 690TH AVE 1101 CARMICHAEL RD RIVER FALLS WI 54022-4011 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 11/08/2006 Identification Numbers Transaction ID No. 1075603 SITE: Gloria Plunkett Site ID No. 691537 Emerson Valley Dr Please refer to both identification numbers, Town of Kinnickinnic, St Croix County above, in all corre dente withthe agency. SE 1/4, NE 1/4, S33, T28N, R18W Lot: JkrSM 1 , 14 ~Si~1 Lc~~ FOR: Description: INTERPRETIVE DETELATION Object Type: Soil Saturation Determination Regulated Object ID No.: 988777 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy Or use: • Approval is hereby granted pursuant to s. Comm 85.60(2), Wis. Adm. Code, to estimate the depth to seasonal soil saturation based on an interpretive determination process. Approval of the interpretive determination negates the requirement in s. Comm 85.30(2)(b), Wis. Adm. Code to designate the ground surface as the higest level of soil saturation when redoximorphic features are less than 4 inches below the bottom of the A horizon. • The estimated highest level of prolonged soil saturation approved under this determination is 9 inches below grade. At least 30 inches of sand lift on top of 30 inches of unsaturated, in-situ soil is required for adequate treatment and dispersal. • The basal soil application rate for the mound shall be 0.2 gpd/sf, and the linear loading rate 4.0 gpd/ft. • Chisel plowing to a depth of 12 inches immediately prior to sand placement is required to improve vertical water movement into the soil solum. • Landscaping up slope of the mound shall be incorporated into the POWTS design to prevent surface water from concentrating along the up slope edge of the mound and to divert surface water drainage away from the system. • This approval shall remain valid unless the site is altered in such a way that the depth to soil saturation would change or if saturated conditions are observed for seven consecutive days at depths less than 3 feet below the infiltrative surface of the POWTS distribution component. • This approval in no way relinquishes the use of color patterns to estimate the depth to high groundwater on any other parcels or portions of parcels. • A copy of this approval letter and attachments must accompany the mound system design for this site for purposes of plan approval and sanitary permit issuance. i MARY JO kOLLISTER Page 2 11/8/2004 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. If plan index sheets were submitted in lieu of additional full plansets, a copy of this approval letter and index sheet shall be attached to plans that correspond with the copy on file with the Department. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Safety & Buildings 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. Sincerely, Fee Required $ 100.00 Fee Received $ 100.00 Balance Due $ 0.00 Leroy G. J sky, W water cialist Integrated Services Bureau WiSMART code: (715)726-2544 Ijansky@commerce.state.wi.us oS ~ Co P VAScormi n Departrnertt of SOIL ALUATION REPORT Page 1 of 3 Division of Son and Bun bW in , wls. Adm. code Courk ST. CROIX Attach ccarplebe site plan on not lei 8112x Plan must ~S b nClude, but rat tmnited b and Parcel LD. 022 -1095 - 80 - pemeraslope. scale or road. Please by tJsla Pe wmseorr Ycrr Pr'~~ maybe •ssd for Nammu" purpa s (PNVWBW law. a Pnoperly°wner ylr, 1:1 0• DONALD JA ) Govt Lot - SE 114 NE 114 S 33 T 28 N R 18 E (00 yl, Property s Adrkess Lqt# Bbdl# r~ - J 1202 C.T.H. M V - 244 ON Stele Zip Code Phorm UP* Village • own cfwww River Falls, W( 54022 ( 715) . 425 - 5753 Emason Valley Rd. lKinnicidmnic New Carrstrtrctior► lWaReaidenEial I Nkxrrber d bedroonns 3 or 4 Code derived design low rate 4 or 600 GPD ❑ Replaoament ❑ Pubic or amnerdal - Describe: Parent rrlalerial loess over till Flood Plm elem dion if qVk able NA General conwim s Mound System - 0.2 Late - 2.50 ft sand fill and me rrxrletndeko System Contour 102.94' - 4 x I (w bad v (See Interpretive Determination Report) C eodrg # ❑ Boring a Pit Ground surface elev. 10294 R. Depth to 1.0 factor 11 R Son Rabe Hermon Depth Do *wd Color Redoc Deea"m Texture Sbuckxe Corsisienoe Boudary Roots GPDIR im bmunsell flu. Sz. Cord. color Gr. Sz. Sh. 'EW1 `Etris2 1 10YR3/l - sil 2f mabk mfr cb 3vf-co 0.6 0.8 2 3-11 10YR3/1 - sil 2f-mabk mfr as 2vf-co 0.6 0.8 3 - 5 10YR3/4 c2f 10YRSM err 10YR4/4 sil 2f-mabk mfr as lvf-f 0.6 0.8 4 15-20 - c/dn - - - - - I i F2 ❑ Boring Boreg # 0 Pit Ground sutaoe elev. 102.42 R Depth to i ding factor 9 in. Rabe Horizon Depth Do *wd Color Redox Desa"m Tw*xe Structure Conde Boundary Rods GPQf(E kt M resell Qu. Sz. Cont. color Gr. Sr- Sh. 'E1 'E 1 10YR312 - sil 3fabk mfr cb 3vf-co 0.6 0.8 2 oe, 3-9 10YR3f2 - sil 3f-ma&sbk mfr as 2vf-oo 0.6 0.8 i 3 10YR3/4 c2d10YR5/6 & 10YR4/4 so 2fabk mfr cw 2,fm 0.6 0.8 4 13-18 10YR2t1 c2d 10YRSM cl 2fabk mfr cw lvf-f 0.4 0.6 5 18 - - c/till - - - - - • Eflluent #1 = BOD > 30 < 220 ffq& and TSS >3015 150 mg& ' mart #2 = BOD 30 mg+L and 7W :S 30 mglL CST Name (Please ft* CST Number Mary 10 Hollister 224832 Address Dote E%mkgffim Oonducbed Telephone N w6w W9875 6901h Avenue, River Falls, WI 54022 (Reviser! 11- 01- 04) UPDATED: (715) 426 -1775 Pew 17=01