HomeMy WebLinkAbout004-1048-95-000
tNv_onsln Depanment of Ccmmeice PRIVATE SEWAGE SYSTEM Courty. St. Croix
Satuty and Hwldmg Dw s,pr
INSPECTION REPORT sani:ay Per-t No
fArTACH FO PERMIT) 600371
GENERAL INFORMATION State Plan ID N. 30$4331
vacY , J Is 34 •'dm;l
Pws'.1" l wit a,nzt on yc. crov Je r--ay be, used lur sewrrcary pdr poses [Fir ,
r'¢m` t rtoln=r's Nnrne iI V age Toxnship Pafee. Tax No.
Earl Vraa Family Trust TOWN OF CADY 004-1048-95-000
CST BM F e'e 11 so SM Elev: BP,I Devrlptlou. Sect nr.To Nn;Rarge.'MaP Nn
21.28.15.328
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STAIION BS III FS EI FV
Septic - Benchmark
L- 2 2 IL
Dosing y AI:. Bfe1 07 7-7
Aefet'rM Bldg. Sewer
=,I taC,Ia~ SZ
Holding b SUHt Inlet
y,
TANK SETBACK INFORMATION SUHt Outlet ¢ , 5 02
TANK TO P1L WELL HI. DG -nt 14 A Intake ROAD Dt Inlet
A-I l *
Septic 7 /eo Dl Bottom
Dosing / ~I y Header.-Mar O IAD
4tv ;7 y.s b7
Aeration 4.3y Dist. Pipe Or 9.3 JO! ' 6-7
Holding Bot. Systen y. 9 r5
PUMPISIPHON INFORMATION F Pal Grade 162-4o7 Manufacturer Dema•rd St Cover -7
2n r GPM it 3 zl /67,-7
Model Number I -
I UI I L Fricroc I oss System HeaQ L TD t x i ~,r j a r .
Forcemam Length D'a it Cast t, vdcI _ .uc.
SOIL ABSORPTION SYSTEM
BEDfTRENCH *lclF / Lcu,C' IN, CI I aches PIT DIMENSIONS Ne. Of R Ins de D a. I ~~r. ~a Deph
DIMENSIONS r 7S e
SETBACK SYSTEP41 TO P.-'L H1 DG 'dlCLL LAKE;Sf REAM LEACHING ManuWCwrEr
INFORMATION CHAMBER OR
pe i'I Q✓ 1)160 3aq UNIT RI.J40 Numoer
DISTRIBUTION SYSTESA
I:e.adi-ntdari'c J; ! J,. :e; vwn I x Hole Spaong ve. rir hr
Lengl•3 Dia Z Lcn,lh 7t, ~ I: a / I ~ SPaomg ~ L -
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only n
Depth Ova Ucp:h Over zx Decal o' Seedec. Socd¢d xx I& en¢C
Bea.Trencr Cur9Cr / _ 6ed`nr-cr Eeges rnpc~il c No YP-5 I No
COMMENTS: (Include code discrepencies. persons present, elc j Inspection *1 S Inspection #2
v Su.'
Location: 292330TH AVCPIt _T ~JU, Gw•r't(,L ~'e"
1.) All HM Description = /I r h~ 145. e_" Q Y`
2.) Bldg sewer length =
- amount of cover = 1
4L_ JN-
Plan revision Required2 Yes )i (No ` Ct `g 6 3 7f
Use other side for adddional information. l I
Dal¢ Ins¢aelo Sgnalu Cert. No
Sill) 6 !ID IR.3;971
'O-hkI k":(DIVISION OF INDUSTRY SERVICES
_ 3824 CREEKSIDE LN
I IOLMEN V41 54636 9466
Contact Through Relay
J S P S http:iidsps.wi.gov:programsrmriustry-services
vnnv wisco•tsm.gov
Scott Walker, Governor
Laura Gutierrez, Secretary
April 04). -101 8
CINF ID No. 224580 :1I'OI4"I:S lxe'nrcrr»
LORF I FA LARRARIiL ZO\ING 01:1 I(-
I. AN I. PF.RC TFSTING ST CROIX C01 ' NSPIA
C(_)L.N I N' ROAD Y 1101 CA R %11 C I IA P.I. RD
MLNOMONIL 1v1 54?51-652'5 HUDSON WI 54016-7708
CONDITIONAL APPROVAL
PLAN APPROVAL LXPIR@S: 04;09121120
S11 E: - Identilw ation Number;
Furl Vraa Transaction 11) No. 31184331
0111 Ave Site 11) No. 83?928
Town of Cadv Please refer to both identification numbers.
St Croix County above, in all correspondence with the aeencv.
NWIF.\W121.S_'1.*1' 8N,RI5W
FOR:
Description: Three Bedroom Mound System Sloping, site
Object Type: POIVTS Component Manual Regulated Object ID No.: I755572
Maintenance required; I50 GPD Flow rate; 25 in Soil minimum depth to limiting factor from original grade
Svstcm(sy Alound Component M4 usual - Ver. 2.0, SRD -10091-P (N.0I?01, R. 1012). Pressure Distribution
Component Manual - Ver. 2.0, SLID-1 0-06-P (N.01 01. R. 10!1_'); lF luent I ilter
'fire ho, i:tal described above has been reviewed litr conformance with applicable Wisconsin Administrative Codes
and Nrisconsiu Statutes. The submittal has been CONDITIONAH N APPROVED. This svstcm is to be constructed
and located in accordance with the enclosed approved plans and with any component manual(s) referenced above.
I :ae owner, as defined in chapter 10 L01(10), 1t: isconsin Statutes, is responsible for compliance with all code
req tl ircments. ONDIT
No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s. 145.o6. APP
,tats. f OF S
The tiollowinr conditions shall be met during construction or installation and prior to occupancy or use: SION
~IVL,ION yr INGI
Reminders
• A sanitary permit mist be obtained from the county where this project is located in accordance with the
requirement of Sec. 145.19, Wis. Stats.
• Inspection of the private sewage system installation is required. Arrangements for inspection shall he naJ nh ` the designated county official in accordance with the
provisions of Sec. 145,20(2)(d), Wis. Stals.
• A state approved cllluent filter is required. Maintenance information most bu given to Ilse owner of the tank
eeplioom! that periodic cleaning of the filler is required.
• A copv of the approved plans. specilications and this letter shall be on-site during cnnuntction and open to
inspection by authorized representatives of the Department, which may include local inspectors.
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. Owaters shall receive a copy ollhc appropriate operation and
maintenance manual and or owner's manual for the 110WI S described in this approval.
4ranb l3
• I I:e owner of a 110%k l ' shall oc responsibic for encuring I)o: I11C opcra0on al::! mainlemmcc o`-Ihc POW IS
occur. in accordance with this chapter and Ike approved mana!!emem plan under s. SRS 383.54(1).
• In the event this coil absorption system or any of its component parts InalliutcIions so as to create a health
hazard, the property owner must IbIlow the contim~eney plan as described in the approved plans.
• The owner is responsible lift submitting a maintenance verification report acceptable to the cuunty fur
maintenance tracking purposes. Reports shall be submi0cd at intervals appropriate Ibr the component(.) utili/ed
in the POW"f S.
In tmmting this approval the Division of Industry Services reserves file ristt to require changes or additions should
conditions arise making them necessary Ibr code compliance. As per state slats 101.12(2), nothing in this review
shall relieve the designer of the responsibility Ibr designing a sate building, structure, or component.
Inquiries concernay this correspondence may be made to me at the telephone number listed below, or nl the address
on this letterhead.
The above left addressee .hall provide a copy of Ibis letter and the POV.W'TS ntanagentent plan to the owner and any
others aho arc respors:blc Ibr the ;rsfaaation, operation or maintcnuncc o1'1hc POWTS.
Sawerelk:, Fcc Rcquircd S '_50.00
I~cc Received S 250.110
Balance Due S 0.00
Gerard M Ssvim
I'M IS Plan Reviewer, Division of Induary Services WiSMART coda ?033
(608)?89-7892, Mon - Fri, I5 a.m. - 1:00 p.1w
)e'O1'.ti3t'l I1VU WL~',Ov
cc: Ihiwin A I at Ior. kkastcwaler Specialist, (715) 634-:484. Mon-tai. 8:00 A,M. - 4:i0 P.\t.
PHN ate On-Site NVastei+ater Treatment System (PONN TS)
Mound and Pressure Distribution Component Design
Index and Title Sheet
Project fume: VRAA
Owner: Lad Vraa
30°i Ave., WI
Site Street Address
N W 14.SW 14,S2l ,T28,N'R 15 W
Legal Description
Cady township. St. Croix county
I'ownshipiCounty
ONALLY
Contents: Paee l : index and title
Page 2: general inlinrmation & lateral diagram
Page 3: mound drawings
Page 4: dose tank
page 5: pump in1brination
Page 6: septic tank detail
page 7: pump tank detail
Page 9: filter infimnation
Page 9: management plan
Page 10: contingency plan
Paee 11: site plats
:Attachment: soil test attached to state plan
Designer's name and license no: Loretta Larrabee 41872-007
Address: N2089 Cty Rd. 1'' x~~t t t U 11II~7
Menomonie. WI 54751 ~~~x~~9COps~ i~.
Phone: 715:664-8184 :`IORETTAA?
Fax: 855;(019-1.363 URRABEE
Cell: 715,•'505-1628 y 1872 c*=
e-mail: 1..nl pc..• r:.'.i,s„o.,v..,rI ~MONIE,.•~¢•~
WIS.
~ s`S~ONAI D~yN
Designer's Signature:_~„` Date: March 19",..2018
I the undersigned submitted these plans under my authority
Mound component manual for POW I S Version 2.0 S13D-10691-11 (N.01+01), and Pressure Distribution component
manual- Version 2.0 S13[)-10706-P (N.OIr'Ol )
pogo I of I I
G1,NF;RAL INFORMATION
Three bedroom home, 450eal EINNT end led system NNr`2 laterals
9% slope system area dispersal cell design loading rate 1.0
0.4 soil application rate linear rate 6.00
25" limiting soil factor orifice sq?ft. 7.50
1000gal Wieser septic tank with Polylok 525 lilter
750gal Wieser pump tank
elfluent quality PI
V,/. l'l~'IZIr LAVOI DIAGR%I (not to stalc)
End Fed ` Nstem
Number of laterals 2 orifice dia. 5132in. (0.156)
Lateral dia. I orifice spacing (Y) 30 in. (2.5 )
Lateral length (P) 72 Sft. orifice per lateral 10
Lateral spacing (S) 3.0ft. lateral discharge rate 16?0gpm
Manifold dia. I in total system rate )2.40gpm
Force main dia. 2.0in
S.r Ir1 "nf' 1!1 I'll n1 r-1111 LIl [r.l
turn-up end on 1:11e] ;11 a( M:011C 1 :'nr aLVL1C 01 1: al at hl_,tL cud (11r ,tic r r.i~ in!~ C_-~
4_Va1cc ho>. ` /
wt h;u_ tinisL
_ r r
tf 'll~~ fT Mira oritlrc nc l to litlin;.
l fr
rv,
r~ tlrilice` hx'alcd on bottom A latclal
I Last :r1 ic: > i ti> l itti:r,
orce main 2" dia.
project: VRA:\ pane 2 of I I
J- 5.5' D= 0.92' (I l") K 9.0' required bed 450sq.11
A= 6.0' E- 1.46' (17 1 i2") B= 75.0' proposed bed 450sq.ft.
I - 11.5, F° 0.33' (10") I. 93.0, required base[ area 1 125.Osq.ft.
W= 21.0' C= 0.50' (6-') proposed base) area 1312.5sq.ft.
H- 1.00' (12") observation pipe ;cif 7.5'
Observation pipe
- - A
O 6.0'
H -
K I ~ Fi-7i' _ 1
9.0' 1 11
I._93 '
' 11:li nd ross Section View (not to scale)
Finished grade elev.102.71' _
u
Lateral invert elev. 101.42 11
,•`i~/i ri//i
Dispersal cell elev. 100.9 H i h Ji ! r,l; i
:
dispersal cell = 2"
04- lateral O
n----- - Aggre-at to bed 6" -
D -
- -
tilled layer 1 r tilled layer
ontour
~ - -9% site slope elev. 100.0'
Numeral Key -
topsoil cap
subsoil cap 1.5ft.
AS I'M C33 sand 4in. dia. observation pipe
.1 synthetic cover over cell with LAin slot
aggregate
O.ift.
Closest Flanpe to secure observation*
project: VRAA page 3 of 1 1
PUMP CI{F/4\g,-;9 CRI SS SECTION AtJD SpECIFCAt IDIJS
2
W Enii1L RP0.00F ~ I rr u;;YE fi I.OC.t
„IJUC'10AI BOX : ^t'•~UHOLC rp•,tl
T 4.1
GRADE I I L, nt m~,
+ ~ _T h•• Mq.l. f
COAIDUIT
LIS
N Y I,
PROVIDE ITb.`~-
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WLET AIRTIGHT SEAL I( 'i- -!-1
APPROVCD JOINT A - hole APPROVED JOIWTS
i>(./ LIe: PIPE a~ARN, r~ W/ '40 PIPF.
EXTENDING 3' L-,I EY,TEUDUdG 3•
OUTO SOLID SOIL B ONTO SOLID SOIL
I
tl
^`F l
C.
PUMP 1~1
D
COUCKETE 6LOCK
rcr\ k0 6e can f:e~1'c~EC c,r~ull<,
5PE C.IFICAT IOAJS
DOSE G
TANK MAUUFACTURER: '`-~I~ -i E `i l .cl •1 l'_C2 c-tt i;C_ f/~~1-~u; i- - A(n ;J
_ r
TANK SIZE: 5) 1, GALLONS X~ 1n'TC141ci (04;• ~.X.,
ALARM MAUUFACTURER:
~ rk --i~y,•n "IO SCI rf j-Yv~ "!'j'Y 2y ~:3> !'non}
MODEL 'DUMBER' iae,~ i11.P K r 1 L,.~., APACITIES A- •90•5 IUCHCS OR 3e-;>_tL CALLOUS
SWITCH TYPE: • 'm r ,v•,, . t I
J B L' L IUUIES OR I~~I • S ° CALLOUS
PUMP MAUUFACTURER: T•"L'1~ I_ti C= 'k") INCHES OR 41'Zb GALLONS
MODEL UUMBER1 D- IJ INCHES OR GALLONS
SWITCH TJPE: _-l~-,c ;•.'c,a_n,c.<. 1 In{-~I '7 gc6ey u2 •ZSD_3k" E•ALL~.V,
MINIMUM DISCHARGE RATE GPM .2a, I
VERTICAL DIFFEREUCE BETWEEL PUMP OFF AUD DISTRIBUTION PIPE., 2:Y 2- FEET '
+ MIAIIMUM NETWORK SUPPLY PRESSURE . . . ..•;-i `>I? FEET
T/
} FEET OF FORCE MAIN X' - F/op rr FRICTION FACTOR- `-°C,-•l
FEET
n,;, •~~--~:1.~_ TOTAL OyWkMIC HEAD = -14 FEET
project VRAA page 4 of l 1
IL J
1 lr'7-11 1/2 Vbf
i
6,0
r-rote re :.u..:r= _ _
95 Go Cy~ E
_ aouo.s xt.r..a ~I:•.. L~ .
' vz rs x:. I \
m i ? 1 v_r
6 ♦ G ~ Up
I 17
u 6.1 0>
:Nlrp:
Electrical alternators, for duplex systems, are available and Variable level float switches are available for controlling single
supplied will) an alarm. and three phase systems.
Mechanical alternators, for duplex systems, are available Double piggyback variable- level float switches are available
with Or without alarm switches, for variable level long cycle, controls.
I Irlagr3l poll operated 2 pole. mec-mnlcaf swictr. no external control required.
2 Sirgle piggyback vanab!a level goal smtrn or couole piggyback variable level,
98 Series _ Control Selection float switch. Refer to FIA0477.
Model Volts-Ph ' Mode Amps Slmplox Duplex -j 3 Mechanical alternator 10-0072 or 10.0:175
A198 I t 5 _ t Auto 9.4 __1 m -J& 7 I 4 See (:0712. for axrect model of Electrcal A'Jemator.
N98 115 t Nrn 9.4 2 or 2 R 6 3 or 4 8 5. Control switch 10-022h wed as control aclivater, specify duplex (3) or (4)
D96 230 1 Aulo 4 7 1 a & 7 6. Four (4) hole J-Pak, pmrbnn box ru walartight connection or wired-in
E98 230 Non - 4.7 2 of Y A h 3 or 4 8 5 simolex or dip ex opemlion, 10 0032.
7 Two (2) hole J-Pak, for walenight connection or spice
.
Fo' nfionawri on aldngral Zoeie' fru:kcle ruler :o galo7 4n Pggioark Vanab'e Level Snitches.
FIn7477:E1(-t~SglNtmnaltt A10465;%fmcarlicaAfterralnr I M0495. Sulrp•Sewage.8asirs. I M0487.
Srgle Pnase Simpex Rem,^. Ccnu9. F Ala" Systems, FL53,732
For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump.
_ ieAR io' ( BOY n- r r
H / J0256 ON Alawrxl,remr..
K
SHIP 70 264 n4wo
fff..•..;;;..,....,., _I „ i - uv. / r 4^
Z ! 195 ppp
PUMP lO- 5 21 L213i 7 BrUI O/&clAC /ULUTY PUMPS SNCl ~
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VI REV.
~i y SEPTIC MANUAL g13716 _S HWY iD VAIDEN RCC<. Vn 54750 DATE: 00 00 00 DATL' PolOUR:
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i,,n iiwY ir. uAIOER Rcck. W, sa7,o
:4/F 80C 2S-8456 HL'c:MP75PUe ~cFI
~;Dlylc!c, IS please:"1 to add its
ew c.,mmerctal filler to its existing f
ir!i; Of q;:al h; effluent filters. The
-.:525 :s r-.azl for over '10,000 GPD ~ , .
Alnuv
JallarS per d2yj nta ing it One vi accessibility <1~~ Accepts PVC
;i?e Iarg.es- °onn ?1 icr.i! iliti2fS in its extension handle
ass. It `;as 525 linear feet of 1 '%1'
ti'!, atit.- slots. Like the P olyW,
i221 the new Polylok P( 2F hers
an a2crn vc shut off Ball installed s2s linear feet
ai h evsn;• f tten Whdn the 51ta1 is of Ill G"
!emceed f cieanind, Me hall will filtration slots hated for over
ficat UL ann ten-mpc•rarily 3hUt off, tc,ooo GPD
the systern so the e`fiuent %vcWt
leave the tank. AN other`iheron the mart:et can mare that ctarm! Accepts 4" & G" i
SCHID 4GP"ne \ - The PL;;, Ffffuent =ilter should
operate lc:entt} for several years
::nder nornipi conditions before
reclulrin-~ c!eariing. It is recom
a
mended that tile 5ttef be cleaned every t nin the Lank IS PUrnped or
at least every three years. If the
mstalicci f leer contains an optional - i
alarm, The owrier +:viff he notified
by an alarm ;+,'han the filter needs
servicing. Sarvicing should be Gas deflector
i
lone by a rrcifi<:cf septic:ank I
A11t0(113LIC shut-Gf(
R1.4??,7ca - ball when filter
7. Locate 0::1181 Of the ! I P,t[Ctll NCB S (IIi!2:Yi is removed
2. n=_n,c:s tank cover and Pump
tack if necessary. 7 . In -
- - 1 Locate the outlet of the
3. Do net use Clumbing when Septic tank.
filler is removed. Ideal for residential and com- 2. Remove the tank cover and
i. Puil P'~-c25 Out Of the housing. mzfcial -,;caste flolvS up t0 Pump tank it necessary.
5. `.-';ose ^ f fittsr over the septic 10,000 Gallons Per Day (.GP^). 3. Gtue the filter housing to the
tank. f:iake sure all solids fall filter er or is o;dlet pipe. If the
is not centered under the
back irrc seritic rani,. access opening use a PolYlol:
6. Ins.' tie fiber artridge bard: (ixtencl & I-ok or piper. of pint.
inC-) the hncl>i+u3 ;raking sure to center filter.
the =r is cr -r..erfy a!!gned and 4. Insert the PL-525 filter into
_cn p(eest :7serted. its housing.
7. f;Epia:e tank cover. 5. Replace the septic ttutk
+ Frvre~E; \•(:111 't ,r
'Mound tivstcot ~iaua:;cntcnl flan
Pursuant to DSPS 383.54, Wis. Ache. Code
General
This system shall be operated in accordance with DSPS 382-384 Wis. Adm. Code. and shall maintain in accordance
with the component manuals 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 DSPS .383.33, Wis. Adm. Code when the tanks arc no
longer used as POWTS components.
Septic or pump tank manholes risers, access risers and covers should be inspected for ++atcr lightness and soundness.
Access openings used for service and assessment shall be scaled watertight upon the completion of service. .Any opening
deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8" in diameter
shall be secured by an effcetivc locking device to prevent accidental or unauthorized entry into it tank or component.
Septic Tank
The septic tank shall be maintained by an individual certified to service septic tanks under x.281.48, Stats. The
contents of the septic tank shall be disposed of in accordance with NR I 13, Wis. Code. The operating condition of the
septic tank and outlet filter shall be assessed at least once cverv 3 years by inspection.
fhe outlet filler shall he cleaned as necessary to ensure proper operation. The filter cartridge should not be removed
unless provisions arc made to retain solids in the tank that may slip off the filer when removed from its enclosure. If the
filter is equipped vvith an alarm, the filter shall be serviced if the alarm is activated continuoush.
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 lank. If the contents of dte tank are not removed at the time of a triennial assessment, maintenance
personal shall advise the owner of when the next service needs to be done to maintain less than maximum scum and
sludge accumulation in the tank.
Pump 'l ank
The pump (closing) 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 Svstent
No Irces or shrubs should be planted on the mound. Plantings maybe made around the mound's perimeter and the
mound shall be sealed and mulched as necessary to prevent erosion and to provide some protection from frost
penetration. frafftc (other than for vegetative maintenance) on the mound is not recommended since compaction may
hinder aeration of the surface within the mound and snow compaction in the winter will promote frost penetration.
Cold weather installations dictate that the mound be heavily mulched as protection front freezing.
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 at ]cast once every 18 months. When it pressure test is performed is should be compared to
the initial test when the system was installed to determine if orif ice clogging has occurred, if clogging has occurred
orifice cleaning is required to maintain equal distribution within the 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" considered impending Iiailurc requiring additional, more frequent monitoring.
Contingency Plan
If the septic tank or any of its components become defective the tank or components shall be repaired or replaced to
keep the System in proper operating condition.
If the dosing tank or its components become defective the defective contponents(s) shall be immediately repaired or
replaced with a component of same or equal performance.
If the mound fails to accept wastewater or discharges wastewater to the ground surface, it will be repaired or replaced.
Increasing basal area if loc leakage or by removing biologically clogged absorption and dispersal media and related
piping and replacing components as deemed necessary to bring the systent into proper operating condition.
See page 10 of this plan for the name and telephone number of your local POWTS regulator and service provider.
project: V RAA page 9 of I I
1
Mound System Maintenance and Operation Specifications
POWTS Regulator's Name. St. Croix Courtly Zoning Dept. Rhone: 715,386-4680
System Plow and Load Parameters
Desi,n Plow Peak 450gpd Maximum Influent Particles Sire ll8in
Estimated Plow Average 300gpd Maximum BOD5 220mg?I-
Septic tank Capacity I000gals Maximum TSS I501ItgfL
Soil absorption component Size 450bed Ma\inuun FOG 3011 tp"'1.
Type of Wastewater residential Maximum Fecal Coliform 10171 cflu/100rn1.
Service Frequency
Septic and Pump Tank --------Inspect and/or service once every 3 years
Effluent Filter------------- ----Should inspect and clean at least once every I- ; years
Pump and Controls lest once every 3 years
Alarm----------------------------Should test monthly
Pressure System ---------------Laterals should be flushed and pressure tested every 1.5 years
Mound --------------------------Inspect fir ponding and seepage once every 3 years
1111111CtiCYCicc,:hcvIa1C
l air, . - .IIJ G', 'o' 'C'.;'.'. JIlnu;lA 111I'~411;h~~111 IhC A%eek
\yoid inter tiallic such as shkling or sno\\mobiling \\liich might lead to mound l*rcete-up
Miscellaneous Construction and Materials Standards
Observation pipes are slotted and materials conform to Table DSPS 384.30-1, have a watertight cap and are secured
as shown in the mound component manual.
Dispersal cell aggregate conforms to DSPS 384.30 (6)(1). Wis. Adm. Code.
All gravity and pressure piping materials confrm to the requirentenfs in DSPS 384, Wis. Adm. Code.
i, Tillage of the halal area is accomplished with a mold board or chisel plo\\.
The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce
frost penetration
6 Lateral'1 urn-up to finish at grade or above. enclosed in a 6-8" diameter lawn sprinkler valve box or similar product.
(lateral turn-up consists ota long sweep 90 or two 45degree bends same diameter as lateral)
Lateral Turn-up on end of distribution laterals after the last orifice.
project: \ RAA page 10 of I I
JJ`~.S%.
SITE PLAN
o
N\l'% & NW/4 S21'l'N1R1 111'
Cady township s_ `N
Y
St. Croix county ~ ~
LEGEND t J
X- back hoe pit
# - hand borings 1 1'~ l~ 1
A - grade elevations
contour
No DSPS 383 set back 11 `
problems I U
Scale I 30" except v-
where indicated % ~ I I I 1 i
Part of 40A.C.
v
ra ah 2J ~ 1 i
r ! 'lIv Z1 SCt40 CGtS(M ZLEj,
'Yfo 190{0
t (7j ~ QL (~~t {{'Y
`Aeuc ScA 3: ;y ~
t2a roS.=d 'k
3 r?,y. r. 1k w.L a \
Ji J~ t
Wes`'--
project: VRAA\ page 11 of I I V
qL
ST. CROIX COUNTY
SEPTIC TANK MAINTENAN(T AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner'Buyer---r`Y tr. r r_i:3
Mailing Address_ vJ 7 Rifle ~1r, ) -~urrlncl.,nn~~ 1 .54? i~
Property Address 1 `12 3, 3c, T-{ 14VZT
(Verification required from Planning, & Zoning Department for new construction.)
CityiState Parcel Identification Number 60' /Ohlg- `~15 - a)D
LEGAL DESCRIPTION
Property Location few , PUIL,~ Sec. A 1 , T '1~ N R I r~ \V, Town of . 3A
Subdivision Plat:
Certified Survey Map # , Volume , Page #
Warranty Deed # ~5' .S'c,3 (before 2007)Volume Page It
Spec house ovcs u Lot lines identitiableA' vesono
SYSTEM MAINTENANCE.kNID OWNER CERTIFICATION
Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper
maimcnancc consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into
ehc system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance
responsibilities arc specified in §SRS. 383.52( 1) and in Chapter 12 - St. Croix County Sanitary Ordinance
I*hc property owner agrees to .suhrnit to SL Croix County Planning & "Zoning Department a certification firm, signed by the
owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site
isnstewater disposal system is in proper operating condition an(Por (2) alter inspection and pumping (if necessary), the septic tank is
less than 113 full of sludge.
lhvc, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the
standards set firth, herein, asset by die Department of Safety And Professional Services and We Department of Natural Resources,
State of Wisconsin. Certification staling that your septic system has been maintained nmst be completed and returned to the St. Croix
County Planning & Zoning Department within 30 clays of the three year expiration date.
I/we certify that all statements on thJJJ,t'N form are one to the best o f my/our knowledge. 1/we am/are die owner(s) of the
property described above, by virtue of a tvat/ranty decd recorded in Register ol'Dccds Office.
Number of bedrooms /
r /
SIGNATURE-: OF APPLICANT(S) D.ATL'
0 "Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department.
Include with this application a recorded warranty deed from the Register of Dceds Office and a copy of die certified survey map if
reference is made in the warranty deed.
(REV. 04/12)
Lonmv
I ISdcly and Buildings Dlci:ion \t Clul\
Wisconsin
Z(11 I;A N'ashim Pun Avc., I (1. liaa ? IB? Sanitary I'cmw MlmAcr Un Ac tillcA in he f'o.l l
I)CI)al'nllCnl Sal Cl}' E311(j Madison AAI i3707 1
Prolcssional Services` ` '4ulal
1.)') (od037 j k 1, rtitala Plan LIP. Number
State Sanitary Permit A i Ili l~~1111
t Addre~s UI'ddli:rcm Ihwl mailing aJdress
In accord with'OS 3X3.21 1-'I N1. Adm. ( ode ul nussum I do, limo t uppnlPmicc
una is teywrcd par I h oblannn I cams {unm V +Ic rppla \linn lixm I ra oc-owtnd IN VA PS arc / I
ud.milled a+Ihc I lep.uunon+ f 1 dell and I ,,ks+iunal Scrnces. Yen u l hrl'' nnalin Nm pnnude ~rA ,r~ L~
may he lw%i IOr.CLiinLIr\ lam "c' 111 n, ori'm_cc wall tit Nnacs 1.1. 15.0411 Oro Stats G_/G
1. APplicalinn Information - Please Print :111 Information
Propcny Owner's \anic Patcel
\1I'.1IF1%raa el,+.,.Ict CDq~(6Lg'LS-OcC;
Properly( Owners Mlliline Address Irropcny I ocatinn y, I, 07`6 I
Govt Lot
(ilS. llalc l I /ip('alc I Phone\umhcr _N\9 Section _
I)'.11and.
II, Type of Building (check all that apply) l,v - -
Suhdormon Mmtc'.
I or 1 anuly Dwelling Nund+el of Bcdunnns I ill rc j
.0 Ae-fe2N
PuhhcA annallercial- D"cnlu (I" ISh\k 4 A~(
~K ~ ~ (nn J4Q-- lily -
1dh. ('SM Nun+her Ydlage of
Salle 0e, tied Ucsenl>e l >c ~
I '/n~//~,~I \ Town ul l1ul%
75 !moo
I 11. Type of Permit: (Check only fine bos on line 1. Complete line B if applicablef - - Z~•a,-
-n Spstcm
Ncw Sy,IeroI 1 I renntcia Bolding lank Hcplaccmcnt Onh (yeller \Itdilicaliun to FsisrinF Syslcm
it. Velma Renuw;d [ 1'ennil Revision _ L hanpe. Of 1 'crlll it frmulcl In SCw I.nl Presaoas 11clout Nundwr and Dale Issued
i /
li.line i spunlioll Phapher Owficr
IV. 'rvpr of I'O~V'fS tiyslcmJ( heck all Thal apply) _ 1. ysa~^
_ Non 11!cssun/ed In-liround _ I ru,unicd In Groand _AI-Glade \ Mound --24m ofswtabic sod 'bond .?.Ain of,atilahlc soil
Iloldmg fade I hh,r lluperza: C vuponcnl Icsplainl Plelreaullent Ileviee lc+pla/mml
V. Dis ersaUTreal tent Area information:
lx-,nn 11nw lgpdi Ihsign Sn~it Apphcahlat ICI VPlI, l DFspraal \rca Required iv Duper+al Area Proposed (sl' S~stcm I Icxation j -
l~U Y'>i 0 I C~ II; II. I'1-, •~r.tt. IIII'i'
VL 1'nnk Into Capacu\ in final Number hlanoltwhtrer 1'rclah Silc Steel Fiber Plalic
Gallon (iallurls of 1, "it, Conctelc C'onshuclcd (ilaa
New I +.Iing , I
I mks IW _ 44-1
Scpiic or uemmg 1000
r,Ull 41 C n
Iank
Dosing C'hamhr I;() ~ 71
t'I,or(ln'irrit'
VII Rupnnsibdity Statement- I, the fin ler-mgn 1 assunu• r • ponsihilin' for inst ll coon of the 1'110"I'S shown on the attached plans.
Planth N,nne,A rad I'hunhe, :11111111
All' kill (ti \:unher Inciue Phone \umhcr
;~11 \ I;rrv.nlll A'~ v11, V';Il - - _1~ 4IS 1,141)
I'lunthel WJIe 11barC Uh Slue ,rt-I.+JC;
VIII County/Department Use Only
ppr ve:i 1 1 Ill .O r+ Pe"Int I'cc Dal Issu//`,'d Issui r \,cnn Signa
_ 11uw tT cr I (,wm li+r li ~ ~ D y o
Conditions of lpprovaVReasons for Disapproval
a = Cev.6 ~a+~ ;n $b..le -
SYSTEM OWNER:
Stpl(e t11N(, trlkwl: tYlta' en1
- n - . -
--.It&_SC La.tA- . ti G-i+-CscX• W iwN pPfa(w~~- ,
era oat all S rISn
is per Iw sgement plan p•orioe^. Av Flu. noe.. I
1f, ^an s mWt bur a,Ill, u' It
2. M aeltwk rac(n
Y per 11Nicilb{it (4F1 i Cfd ^a.w?.
Attu ch complete plans Ito the ('oun) onlI for the system on paper not less than Rl:: s I I inch.-%m +ive
'
SITE PLAN -
T'W!.!:&_NW 44 S2lTNIR1IW
Cady twwnship
St. Croix county
w
LEGEND
Ix back hoe pit 1 ! ~ s
4' - hand borings
0 - grade elevations
No DSPS 383 set back
problems t' I 1 ! y $ c
Scale F - 30- except 1 ~~i I 11 l
where indicated
Pan of 40A.C.
I
<.A 40QJ _ ~ I Oi
I 1
1
r ~ ` 7 1 L".ch 4n l(=^.T^'•zb65~
1 x
7
h r_ -
I
1\ ( 5a
project: V-RAA n _ page 11 of 11
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. ST_, o18 ~~07 f Z
Wsconsin DepalNao ziFSaio(y-grid'f?hbf#8$bgdl rvlces C-
Page _ o`
Divisionoflndu1t0pinvicbs 1 , -
SOIL EVALUATION REPORT
Ina Iordancewith SPS385, Wis. Adm. Code County
Attach complete site plan on pope, not less, th9n 8 2 11 inches in size Ran must include, c'd lit- l~ I
but not limited to: vertical and horizontal-rsfAtgnbG-Pahl( (BM), d-rection 41110 pgyent ~yl~a Parcel I.D.
state or dimensions, north~trow,-and tocadon and distance fo r . st d .i..-,jd! Qo Y- to (Y 'f s - 6~
Please print all information I Revie by Dat
Porsonalinformahonyouprovidemaybeusedforsec C6BMNKXHV8V8R I ~J hg
Property Owner Property Location ff 016
qt~a f r Ca_ C.~ Govt, Lot N>„3 Ya W S o~ T~g N R E (or) W
Property OwneYS Mailing Address Lot # Block # Subd. eme or CS #
City State Zip Code Phone Number j ❑ City ❑ Vi age 11 Town Nearest Road
*New Construction Use: &Residential/ Numberof bedrooms sjCode derived design flow rate 5^UGPD GQ / I
❑ Replacement ❑ Public or commercial - Describe:
Parent material re- 64&1 ^.r..`_ ft
Flood Plan elevation if applicabletia
. I
General comments ano recommendations:
1 Boring# Boring ✓
Pit Ground surface elev.q-,k ft. Depth to limiting factory Vis
Soil ADDlication Rate
Horizon T Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Fe
In. Munsell Yqu. Az. Cont. Color Gr. Sz. Sh.
EHe1 .1102
b 3,4
_ ? _ yZro?G s A",
i 0.7
[n6")io. 5 Y (g - - p -7 -6
s -tom ss ✓
y~ 7/
C4 frc
Boring # ❑ Boring
aPA Ground surface elevo t) /
R. Depth to limiting facto - in. ✓
Soil Application Rate
Horizon Depth Dominant Color Redox Description ' Texture i Structure ' Consistence Boundary Roots GPD/Fe f
In. Munsell Qu. Az. Cont. Color Gr. Sz. Sh, -
f ( 6 y 3 _ 'Effp1 ^EfF#2
- z H 1~ 4- r J o-~ -G
Ll a C ! S - r n S` ~a
L13 a .a.rti S
'Effluent M1 BOD; > 30 5 220 m /Lend TSS > 30 s 150 mplL • Effluent #2 - BOD > 30 S 220 mgA- and TSS > 3o s 150 m /L
CST Name (Please Print) Ig Iu, CS? Number
Address b%d3503' He I11C~C ' Date aluation Conducted
Telephone Numbet7
~
nHF cevl tit G17 >
L4 STU~c
;'15 579-0-5g,! -
~ SBD-8330 (RM115)
J
Boring # ❑ Bonng
C ® Pd Ground surface elev/oc, n Depth to limiting factor
Soil Application Rate
Horizon Depth Dominant Color Redox Descrption Texture Structure Consistence i Boundary Roots GPD/Fe
In. Munsell Qu. Az. Cont. Color I Gr. Sz. Sh. • •Eff#1 'Eff#2
- -
trl /C5 IcV. 5
s /o _ U ems" ss
1
1
Boring # r♦ Boring
❑ Pit Ground surface eleve~ it Depth to limiting factor~~ in.
Sal Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure I Consistence Boundary Roots GPD/Ft~
In. i Munsell Cu. Az. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2
1 0~; 04 Y ----o~E
11~t
3-- Le S1T ecr, ro- _ -
g 4-
Boring # ❑ Boring
❑ Pit Ground surface elev. Depth to limiting factor _ in.
' Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots ! GPD/FP_
In. Munsell Qu. Az- Cont. Color Gr. Sz. Sh.
Eff#1 •Eff#2
s
Effluent #1 = BOD. > 30 5 220 mg/L and TSS > 30 5 150 mg/L ' Effluent #2 = BOD. > 30 s 220 mg/L and TSS > 30:5 150 mg!L
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