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HomeMy WebLinkAbout008-1074-10-100 Q c° c _ f1 County Safety and Buildings Division St. Croix " 0 APR 19 2018 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.) P Madison, WI 53707-7162 a 5D/3 #3 St. Croix County P I D CpMMUnity Develo m n Sanitary Permit Applicatio State Transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit 3076219 is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to Project Address (if efferent than mailing address) the Department of Safety and Professional Servies. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, s, 15.04(1)(m), Stars. 1~~CTH B 1. Application Information - Please Print All Information Property Owner's Name Parcel # Ay -74 146 BeMSa*J4a bcAf~C,(- Property Owner's Mailing Address Property Location 1856 11 th Ave. Govt. Lot _ City, State Zip Code Phone Number NIP y, N E y, Section 26 (circle on Baldwin, W1 54002 T 28 N; R 16 E o 11. Type of Building (check all that apply) Lot# X 1 or 2 Family Dwelling -Number of Bedroom 4 _ Subdivision Name 6k. C-6 Block # ❑ Public/Commercial - Describe Use ❑ City of ❑ State Owned - Describe Use _ CSM Number ❑ Village of (07 X ~V c~ 10113 ®3Go Town of Eau Galle 111. Type of Permit: (Check only one box on line A. Complete line B if applicable) Zd~i -aA A. New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing Sy at B. El Permit Renewal ❑ Permit Revision El Change of Plumber El Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner O IV. Type of POWTS System/Component/Device: Check all that a I r~ O.J ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade X Mound ? 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) re rea men evice (explain) V. Dis ersal/Tr tment Area Information: Design Flow (gp Design Soil Application ate(gpdsf) Dispersal Area Required (S Dispersal Area Propose sfk System Elevation 600 .6 0 cxo -7 ( U 00 1,01c, VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units o New Tanks Existing Tanks o w _ 0.U v z C7 0. Septic or Holding Tank X 1400 2 L wis Bjork LLC X Dosing Chamber X 700 1 Lewis Bjork LLC X VII. Responsibility Statement- I, the undersign me respo ibi ty fo inst lation of the POWTS shown on the attached plans. Plumber's Name (Print) Plum er's S' e MP/MPRS Number Business Phone Number Lewis Bjork 253976 715-231-7375 Plumber's Address (Street, City, State, Zip Code) E7818 County Road E, Menomonie, WI, 54751 14 VIII. County/Department Use Only Approved Permit Fee Date Isssue Issuin gent Signature er Given Reason for Denial $ GYo ~ Ce 1X. Condii'1✓J&¢tY1l Reasons for Disapproval 1. Up(k4irk, eiflm l ltte vi4 , 3) ~o~,~l. •l o „5 ire 1 d~J~tC 61Sh2r"ii cell ^USi all p! v fc 5 a+c ~ltcbet t ~s' per +;larayemen* plan an p lwe~l t,y Nlu~nber. t ~ ~G~ ~•~,J~ 2 Aif ttt k e ct,ir~r snzs must tit, rr a nt it 11 as per a>p is cod! / tird natmm Al seztp CC- 61V4~ 1W. .t^- Attach to complete plans for the system ands mit to the Cou only on paper not lgss an 8 1/2 x i l inches in size SBD-6398 (R. 11/11) CHECK BOX AS APPLICABLE. CHECK B X 52N SOIL EVALUATION o Scale: 4°0 40 so eo PAGE 2 OF SITE MAP PROJECT NAME. 10z DESIGN FLOW: 600 GPD Ben Smigla Attach design flow calculations for commercial plans. PROJECT ADDRESS: 2697 59th Ave A ` Pipe Material / ASTM Standard (Tables 384.30-3 & 384.30-5) 1 v Sanitary Sewer. 4" / 3034 BM Symbol: BM Elevation: 100 FT Force Main: 2" / Sch 40 BM Description: Nail in tree west P/L Indicate north by IMPORTANT: Slope Gradient 9 well Symbol (if applicable): drawing an arrow Show ground elevation contours at suitable intervals. of Tested Area: on the approprlte line. fr 1 ! i ~ ~ ; \w ~ ~ t ryY-\ f Ana ,f~ C r i I t~ 7 7a> i 1 f ' P 1COPNI 47, L-Y rer'zr ( 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 t. www.wisconsin.gov Scott Walker, Governor Laura Guti6rrez, Secretary March 21, 2018 CUST ID No. 253976 ATT1V: POWTS Inspector LEWIS C WORK ZONING OFFICE LEWIS WORK LLC ST CROIX COUNTY SPIA E7818 COUNTY ROAD E 1101 CARMICHAEL RD MENOMONIE WI 54751-6637 HUDSON WI 54016-7708 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 03/21/2020 Identification Numbers Transaction ID No. 3076219 SITE: Site ID No. 847380 Ben Smi2la Please refer to both identification numbers, Cth B above, in all correspondence with the agency, Town of Eau Galle St Croix County NWl/4, NEIA, S26, T28N, R16W FOR: Description: Mound System (4 Bedrooms - New Construction) Object Type: POWTS Component Manual Regulated Object ID No.: 1752367 Maintenance required; 600 GPD Flow rate; 32 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Ver. 2.0, SBD -10691-P (N.01/01, R. 10/12), Pressure Distribution Component Manual - Ver. 2.0, SBD-t0706-P (N.01/01, R. 10/12), SSWMP Pub. 9.6; Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • Preserve dispersal area prior and during construction to avoid disturbance, compaction and use of the site. • With new construction; it is recommended not to activate the pump in the dose tank until the tanks are pumped prior to homeowner occupancy. • Wastewater generated from contractors cleaning of equipment and tools and/or left over construction products shall not be discharged into the drains discharging to the private onsite wastewater treatment system (POWTS). Waste generated shall be properly disposed of on-site or off site. • Any tall grasses, leaves and shrubs shall be cut short and removed prior to tilling the surface for installation to prevent matting under the dispersal area. All loose organic material to be removed from mound area. • Divert surface water from POWTS Area. • Prior to construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. Smearing and compacting of wet soil will result in reducing the infiltration capacity of the soil. Proper soil moisture content can be determined by 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 LEWIS C BJORK Page 2 3/21/2018 • 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(I)(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 serviciniz pad is located. 2. The bottom of the tank is located more than 150 feet horizontally from where the servicine pad is located. • Verify property line(s) prior to installation. • Pump Floats to be set and verified per approved plan. Any chany-es may result in pump resiziny- 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 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 u~ required by the state or the local m i Lzi1 ne obt tared pux.3' to ~20 mmcCicel 1) c[11 construction/installation/operation. In granting this approval the Divis S r~icc~ i:scnc d1(2 6 zt 1~> r:~i .re cl << <c> r r <idditi~~n~ ;Ftouid 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 r; dam/ 1i ~ee 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 coder 7633 (920)492-2214, Mon- Fri, 6:00 a.m. - 3:30 p.m. tim.vanderleest a wi.gov cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Mon-fri, 8:00 A.M. - 4:30 P.M. LEWIS C WORK Paoe 2 1'21/2018 • Insulate building sewer beyond 30 feet per SPS 382.30 (11)(c) • Well setbacks to meet chs. NR 811 & 812 • Tank Installation to follow all manufacture's recommendations. • SPS 383.54(1)(e) The management plan for a POWTS shall specifically address the servicing mechanics of an aerobic or anaerobic treatment tank or a holding tank where either of the following conditions exist: 1. The bottom of the tank is located more than 15 feet below the elevation where the servicing pad is located. 2. The bottom of the tank is located more than 150 feet horizontally from where the servicing pad is located. • Verify property line(s) prior to installation. • Pump Floats to be set and verified per approved plan. Anv chances may result in pump resizina 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 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 POW TS 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. i 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%installationi 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 stars 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 POINTS 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. Tim Vander Leest Please Include a Copy With Your Payment Submittal. Private Sewage Plan Reviewer, Division of Industrv Services PaWyment S code: 1. 7633 (920)492-2214 , Mon- Fri, 6:00 a.m. - 3:30 p.m. tim.vanderleestna wi.gov cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Mon-fri, 8:00 A.M. - 4:30 P.M. ~ t MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN INDEX AND TITLE PAGE P., E Project Name: Ben Smigla- New Mound Design Owner's Name: Ben Smigla Owner's Address: 1856 11th Ave Baldwin WI 54002 715-928-3656 Legal Description: NW NE S26 28 lB~nJ Township: Eau Gall County: St. Croix Subdivision Name: Fourty Acre parcel) Lot Number: na Block Number: na Parcel I.D. Number: Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Plot plan Page 11 ATT. Filter, Manhole, level alarm , soil report Page 12 Tanks used Designer: Lewi License Number: 253976 Date: 03 6/18 Phone Number: 715-231-7375 Signature: Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01/01), and both SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01) Version 7.0 (R. 03/2012) Pagel of 10 Mound and Pressure Distribution Component Design Site Information r Residential or Commercial Design Note: Sand fill (D) calculations assume a 400.00 Estimated Wastewater Flow (gpd) Table 383-44-3 in-situ soil treatment for 1.50 Peaking Factor (e.g. 1.5 = 150%) fecal coliform of - 36 inches. 600.00 Design Flow (gpd) 9.00 Site Slope 100.00 Contour Line Elevation (ft) 24.00 Depth to Limiting Factor (in) ..2~Kln-situ Soil Application Rate (gpd/ft2) ITT Distribution Cell Information 90.00 Dispersal Cell Length Along Contour (ft) = 6.67 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ft2) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? N c'i Center or End Manifold 3.34 Lateral Spacing (ft) If N above, enter the elevation (ft) 4' Number of Laterals of the highest point. 0.188 Orifice Diameter (in) 3.50 Stir-nated. Orifice Spacing (ft) = 11.54 ft2/orifice 2.00 Forcemain Diameter (in) 40.00 Forcemain Length (ft) Does the forcemain drain back? € Y 91.00 Pump Tank Elevation (ft) rater Y or N 3.25 Sy stem Head (ft) x 1.3 6.52 Forcemain Drainback (gal) .83 Vertical Lift (ft) 81.20 5x Void Volume (gal) 98 Friction Loss (ft) 87.73 Minimum Dose Volume (gal) 0.00 In-line Filter Loss (ft) 34.08 System Demand (gpm) 14.06 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 x 1.00 1.50 x x 1.25 x 2.00 1.50 x x 3.00 2.00 x 3.00 x Gallons/Inch Calculator (option as Treatment Tank Information Total Tank Capacity (gal) (2) 700 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Lewis Bjork LLC Manufacturer gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 700.00 Dose Tank Capacity (gal) orenco Filter Manufacturer 18.85 Dose Tank Volume (gal/in) Bio-tube Filter Model Number Lewis Bjork LLC Manufacturer Project: Ben Smigla- New Mound Design Page 2 of 10 Mound Plan and Cross Section Views 1/10 B J Observation Pipe 1 fKK o Q OX, A w::.:...:.. :B I 16 00 L Mound Component Dimensions ft A A12.00 ft E 19.20 in H 41ft ft K aft B ft F 9.50 in i ft L ft D in G 0.50 ft J W 600730 (ft2) Dispersal Cell Area 1669.93 (ft2) Basal Area Available 6.67 (gpd/ft) Linear Loading Rate 9.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 102.79 (ft) F Dispersal Cell 101.50 (ft) Lateral 101.00 (ft) ► Invert Dispersal Cell Elevation D a 100.00 (ft) Contour Elevation 9.0 % Site Slope Geotextile Fabric Cover Shading Key a- Dispersal Cell See lateral details on Fi-I C Topsoil Cap o c 1.5 ft Page 4 for number, size, 20 Subsoil Cap o and spacing of laterals. ASTM C33 Sand a Laterals are equally il- F spaced from the Tilled Layer 0 0.5 ft Typical Lateral © distribution cell's Aggregate centerline in the * A distribution cell (AxB). Project: Ben Smigla- New Mound Design Page 3 of 10 Center Connection Lateral Layout Diagram Fotce rr, rm r.onnesri,_.n via tee or c(o;_. to manitold at any point. L3tera1-- are idenro_ al 7- P S Turn-upAvballvshraor ~{-•~E:;l~ I x024 Lat. era1,s ~fort_ernain ;ch 40 PV+' 0109n out pl u g per S P ^a Table .384.30 Hafe_ drit{e,j on the t ~ .ttom r,t tf~e l a," al Number of Laterals 4 Orifice Diameter 0.188 in Lateral Diameter 1.50 in Orifice Spacing (X) 3.54 ft Lateral Length (P) 44.25 ft Orifices per Lateral 13 Lateral Spacing (S) 3.34 ft Orifice Density 11.54 ft2/orifice Lateral Flow Rate 8.52 gpm Manifold Length 3.34 ft System Flow Rate 34.08 gpm Manifold Diameter 1.50 in Total Dynamic Head 14.06 ft Forcemain Velocity 3.48 fUsec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and - SPS 316.300 WAC 4 in. min. Disconnect Tank component is properly vented F- Alternate outlet location Forcemain diameter Lewis Bjork LLC Manufacturer 2 in Capacityl 700.00 Gallons T Volume 18.85 gal/inch A Weep hole or anti- Dimension Inches _ Gallons B siphon device A 22.48 423.77 B 2.00 37.70 C Pump off elevation (ft) C 4.65 8773 91.67 D 8.00 150.80 D Total 37.14 700.00 Dose tank elevation (ft) 3" Bedding un er tank. 1.00 Alarm Manuafacturer SJE-RomBus Alarm Model Number 1011421 ccnfaF . , Pump Manufacturer Zohle_r Pump Model Number 152 _ Pump Must Deliver 34.08 gpm at 14.06 ft T D H Project: Ben Smigla- New Mound Design Page 4 of 10 Mound System Maintenance and Operation Specifications Service Provider's Name Lewis Bjork LLC Phone 715-231-7375 POWTS Regulator's Name st. Croix County Phone 715-386-4680 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 2 700 gal Maximum TSS 150 mg/L Soil Absorption Component Size 600.3 ftz Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Inspect and/or service once eve 3 ears Effluent Filter Should inspect and clean at least once eve 3 ears Pump and Controls Test once eve 3 ears Alarm Should test month! Pressure System Laterals should be flushed and pressure tested eve 1.5 ears Mound Inspect for ponding and seepage once every- 3 years Lewis Bjork for Pumping Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to SPS 384.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished • • • • • Grade 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Ben Smigla- New Mound Design Page 5 of 10 Mound System Management Plan Pursuant to SPS 383.54, Wis. Adm, Code General This system shall be operated in accordance with SPS 382-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD-10691-P (N.01/01), SSWMP Publication 9.6 (01/81), and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with SPS 383.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. T're contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BODS, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD5, 30 mg/L TSS, 10 mg/L FOG, and 104 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media. and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Pretreatment Units The information and schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment units or disinfection units are attached as separate documents and are considered part of the overall management plan for this system. Project: Page 6 of 10 150 Series Effluent Pumps I Zoeller Pump Company https://www.zoellerpumps.com/en-na/products/sump-effluent-pumps/ef... sn w w PUMP PERFORMANCE CURVE MODEL 151/152/153 50 14 45 153 12 40 0 35 w 10 152 30 z 0 8 25 151 1:< 6 20 A t' ~1vL 15 4- ilk ~ 10 2- 5 0-- 10 20 30 40 50 60 70 80 90 100 GALLONS LITERS 0 40 80 120 160 200 240 280 320 360 FLOW PER MINUTE 1 of 5 3/6/2018, 8:36 AM CHECK BOX AS APPLICABLE. CNEGK B X AS APPLICABLE. SOIL EVALUATION Scale: 1 =40' SYSTEM PAGE 2 OF& SITE MAP 0 ~T77~ 40 so so LOT PLAN PROJECT NAME: 10, DESIGN FLOW: 600 GPD Ben Smigla Attach design flow calculations for commercial plans. PROJECT ADDRESS: 2697 59th Ave Pipe Material / ASTM Standard (Tables 384.30-3 & 384.30-5) / Sanitary BM Symbol: BM Elevation: 100 FT N Sewer. 4" 3034 Force Main: 2" / SCh 40 SM Description: Nail in tree west P/L Slope Gradient Indicate north by IMPORTANT: pa I%) 9 Well Symbol (if applicable): 0 drawing an arrow Show ground elevation contours at suitable Intervals. of Tested Area: on the approprite Una. 4A10 51 a~ flt P F l / X16a'.+! Soy c~9 r 0j-e,,4 OJ AA 106' I 1 ~ I ~y~'fj~,p ' r p r j ( slop, ~ , , , ~ /00 - .f '1=' slit j=1 +t' i arc rr .fF ~t I t iT; I t' s ~ tl`' t t r a. i v ft CL Fi b a-r s CU t st t h Ul) i E. f I t Q3 a.~ r j Li lJ r 77 17 1 F. V _ s • a • s r : a t- cu ~I I i CL It .ye i ~ Y iM N tai ~ Yo 4 Ty ^rl f 4h "e 4 „ I l 1 TANK ALERV AB Indoor Alarm System (Auto Reset, Battery Backup) Function The Tank Alert® AB indoor alarm system monitors liquid level conditions in lift pump chambers, sump pump basins, holding tanks, sewage, agricultural, filters and other waste applications. The sleek design of the alarm features a user friendly touch E-Rho , u pad with colored LED indicators for easy visual detec- tion. The alarm horn and red LED indicator activate for a „ y high water alarm condition. Once the condition is cleared, the alarm automatically resets. The green LED indicates 120V primary power to the alarm. If primary power fails, the alarm continues to work due to 9V battery backup. NEMA 1 rated enclosure for indoor use Automatic alarm reset 9 VDC battery backup with low battery chirp Colored LED indicators: SIGNALING ~A Red alarm LISTED 288X • Green power on lh,stallation Diagram Alarm test switch door @g Horn silence switch External terminal block for easy float installation battery f 1 test' button "silence' button Ib "alarm" light Includes 15' SJE SignalMasterO control switch L' fl ; ~-primary "power on" fight Alternative float models for high and low level alarm Optional auxiliary contacts for remote devices attach float switch here mounting • tip:. • • flange power cord 1011421 TAAB, High, 15 Sir SigalMaster' OF, LL a www.sjerhombus.com Toll Free 1-888-342-5753 Phone 218-847-1317 glE-Rh .h,;sR-02;13 DIVISION OF INUUSIRY btKVIUta F,t_Ali1'A1jir PO BOX 7302 MADISON WI 53707-7302 Contact Through Relay I \l D http://dsps.wi.gov/programs/industry-services Y! P www.wisconsin.gov Scott Walker, Governor sslc~NP~ Laura Guti6rrez, Secretary May 19, 2017 Identification Numbers Transaction II) No. 2944957 _ Site ID No. Please refer to both identification numbers, above in all correspondence with die agency. CUST ID No. 253976 L 1,'WIS C13JORK. I. EWIS WORK LLC E7818 COUN'T'Y ROAD E. ME;NOMONIE; WI 54751-6637 CONDITIONAL, APPROVAL PLAN APPROVAL EXPIRES: 05/31/2022 Re: Description: SEWAGE TANKS, CONCRETE Manufacturer: LEWIS WORK, LLC Product Name: (tyrans id 2944957) SEPTIC, PUMP OR HOLDING (TANK AND ADAPTOR) Model Number(s): LB700, LB1150 (700 AND 1150 gals.) [LB700 BASE TANK; LB1150 CONSISTING OF 3 SECTIONS WITH THE 450- GAL. ADAPTOR AS THE MID-SECTION] [38 IN. L.L., 18.85 GAL/IN.; 96 IN. MAX. DEPTH OF BURY, 335 OR 551 GPD WHEN USED AS A SEPTIC TANK BASED ON A 3 YR. SERVICE INTERVAL FOR RESIDENTIAL WASTEWATER; TANK DIMENSIONS = 66 IN. L X 36 IN. W X 54 IN. H; ADAPTOR DIMENSIONS = 66 IN. L X 36 IN. W X 24 IN. HI Product File No: 20170/51 The specifications and/or plans for this plumbing product have been reviewed and determined to be in compliance with chapters SPS 382 through 384, Wisconsin Administrative Code, and Chapters 145 and 160, Wisconsin Statutes. The Department hereby issues an approval based on the Wisconsin Statutes and the Wisconsin Administrative Code. This approval is valid until the end of May 2022. This approval supersedes the approval issued on 6/28/2012 under product file number 20120193, This approval is contingent upon compliance with the following stipulation(s): • This tank must be designed to withstand the pressures to which it will be subjected. • The manufacturer must keep at the manufacturing plant a set of plans and specifications bearing the department's stamp of approval. The plans and specifications must be open to inspection by an authorized representative of the department. • All manhole covers terminating at or above grade must have effective locking devices. • When this product receives wastewater from dwellings, it will produce an effluent quality with a maximum monthly average value for BOD5 of less than or equal to 30 mg/L, TSS of less than or equal to 30 mg/L TSS and F.O.G. of less than 30 mg/L.. 82 J ~mgQ p m N f yx ~ .l S 3 ~ o - „ m a ~ 'J ~ ~ c, i a. fY ~ v Y o O )q L' C f m 3 S > °f m Z" Y v m w E A - c P 49 c m m m m o j m o m m Y" F z a ¢ ~ 23 lJ I ~ u p gp 777 T: "fill- K' Y}„'F~' d. 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Acs, ~ m Q d~ of m m w v m r E u o `m a a 'O $ br r o am n' o w c U a ~ c E pp ~ ~ m ~ ie w 2 K y a a ~ p F~~ C " Z gc' E t3 < a g U t m rn ° ° o ¢ w u .Q p 26 f OC i o m « c 7 in U m o_ 7 V m B m o 03 w .°a m F o > O w o S " N 'c r ' v r " ~tro-~ 3"y§r Y t. 04 a - " Wif v + } d T API, AM t ell .h f + ~v ~x j lk fi v lp;py - h:h P .fie n *ay ~ r ~ f`~ tL LLI C3 e r P F± r. , + n c S , t 1~ ~4t SFj` ~'M, Y , i a , py ~ 4 x ~.,~5 y s : ~ i It Yt x~ R r- ZV' t i ~ ~ ST. CROIX COUNTY SEPTIC TANK MAINTENANCE A GPEEI SN AND OWNTER.SI-HP CERTIFICATION FORM Owner./Buyer Miailing Address / 7 Property- Address ~ D a-Tment for new construction.) (Verification requaed , om PlanninQg ,o eP Ci'y/State Q~' ► 1~ w l Parcel Identification Number LEGAL DESCRIPTION ?Tn,-perty Location 1/a , 1/4 , Sec. T N RVJ, Town of # Lot Subdivision Plat: i Certified Survey Map # - , Volume Page # Warranty Deed # (before 2007)Volume > Page* Spec house D yes 4PIA0 Lot lines identifiable*'yes ❑ no SYSTEM MAIl`NANCE Ally OWNER CERTIFICATION Improper use and maintenance of your septic system could result m its premature fat7ure to handle wastes. Proper maurtenmce consists of pumping out The septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §SPS. 383.52(1) and in Chapter 12 - St Croix County Sanitary Ordinance. The property owner agrees to submit to St Croix County Planning & Zoning Department a certification form, signed by tlae owner and by a master plumber, journeyman plumber, restricted plumber or a lice-nsed pumper verifying that (1) the om-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above reclwements and agree to mamtam the private sewage disposal system with the ` standards set forth, herein, as set by the Department of Safety And Professional Services and the Department ofNatmal Resources' State of Wisconsin. Cerdfication lot ourr septic system has been maintained must be complfed and retumed to the St Croix stz:tmg County Planning & Zoning Department wi ' 30 days of the three year expiration date. I/we certify that ail statements on form are trae to the best of my/our knowledge. Uwe am/an the owner(s) of the property described above, by virtue of a deed recorded in Register of Deeds Office. N ber o edr SIGNA OF PLICANT(S) DATE 0 'Any information ' 7misrepresented may result m the sanitary permit being revoked by the Planning & Zoiing Department W Include with this applicaIIon a recorded warranty deed from the Register of Deeds Oise and a copy of the certified survey asap if reference is made in the warranty a°ed. (REV. 44/12) I r- o n C. 0 M o w o ^ N N i~ U fu as o _ m000 w w m r oo rn a Q m Q m m m m ~ n N o° a~ m 3 o c m U o m o c c U . c a 3 n m o Z o -a,r nL N E E Q a c m o o N h c Y n o o N- m m ca •Q m °O o E o o d m o d U m ? m v) 9 'o q " m o "m L m E m o 0 w N H f U > cn !n O J K - 7 U) U ° w=' EE a' Q' Q ~ `O' V J ❑ LU w~~ a O D U U E o~O qe ~ wo 17, r p ` 7 yr -Vil 1 ' - r win aE` t fv. 0 t•,,. ~ a=fix H• -vi LLJ C 4, r $np .;g lrqt~ a,, 41 Ir LLJ F. t 4 r r .,.._....a tw.-- ~ f -_"""-"ti l S ~ ..f.. {l$ t_ ~t; ~ L ~ ;~i;~ ~ ~ { E fl _ J -:+...~..a~xa~:u- . ~ __r. • ..r. III S i,h 3 ,~4... 1.