HomeMy WebLinkAbout018-1000-60-050 (2)
-snor'prr.-IT'c'CC,.^ere ~ PRIVATE SEWAGE SYSTEM cnrrnr,• St. Cl
INSPECTION REPORT Sa-itajPvTmstNn 605066
GENERAL INFORMATION (A I I ACH TO PERNII I) sta-e Plan ID Nu
PetSu-.r 'f, ' IUC' ,.-nI"nwd- ma/ ne 1 sed'C - roc ':try µr t '•'rr:acy Lan, s.'.5 ra II:ITT FTI 3112612,
Pprmit [i w s NJ.w City VII Tra-.Shin Patrol Tax NC
Gary Boldt-Glenda Anderson TOWN OF HAMMOND 018-1000-60-050
CST R'.1 Re's I1°;0. 6M F w ETA Oe.w p6c',. Serl.ar: Tiinn~Ra:'Je+Map IT.,
DOD yk G6 01.29.17.4A-10
TANK INFORMATION ELEVATION DATA
I YPE MANUFACIOREIR CAPACITY STATION HS HI FS ELEV.
Septic s Henct+mark
t x Alt. Hkl
Dosing ~o o ./..p 7 650 Go A Z. 33 p16• Zzlo
T"11 H'rq Sevier X G 0 7 • p; /
; ~ sz
t told'Pq stiHl In.et
S W, a/
~
TANK SETBACK INFORMATIO of :il±lIIOutlet
TANK TO WL ViELL HLDC Ve'x' Intake ROAD DIIIIII
Septic y DI Botlorl
Dosrlg / Header8dall 77 •~S
Zoo 4 z . ~ 7I Aeralvw Dis: Pine Z ,(p '/7-45.1
I t:adinq Hot systenT Z'9 / / • L
. (trade ! r (p /QQ .117
PUMP/SIPHON INFORMATION FFre'
Dem nd S: Cove, ~ 2 -3 'T(--ZV
Manutacb.ron -raer~ IGPA
Model Number G l ( egg'
l 5 z 3z . ~ r~: b :.i-~
LC~ G • ut~ .
TDH Li •
00 f-'i::l o Zn• Lcs 7 s L Sys'e'r' 3Hea•rtZS J TDH ZJ• F n Z' qli7
y~
F ctCWnain Lenq:n Cla I t Crsl.:c W;ll
SOIL ABSORPTION SYSTEM 6.'n- .3
BED,TRFNCH :^J dlh 1-r Tth No. TC".h 3 PIT DIMENSIONS Nu C' P I=. 11'wr a oo Lqu 7I:-I'.P
DIMENSIONS 6-6 6-6
SETBACK SYSTEM TO P;I BLDG :'JELL t.AKE'STRI-A[o1 LEACHING D,lan.tact_rg \
INFORMATION CHAMBER OR
T•L'. t~ dd 7s / UNIT D,IOdcl NUmter \
DISTRIBUTION SYSTEM
H^a_u. n.1.n 4ab: /f Dist•it:U Y HUIr JICI' / x l•C. e Saari-~ Ve" A.n Int 'F
3.2.5 P:•el y9 / 5 3. ZS ,b Z r,
' r :;rot. rig _
Lc'q•,P L•ingl 3
SOIL COVER x Pressure Systems Only xx Mound or At-Grade Systems Only
I>P: to ("'c' ` Depth r xx I?e:M x. Seecec >oddc.n xx I hr ^ne_
Iferlr Tfenc. .,en:..' /r~✓ DT,c Tr, - td:;es luG'itl ' _ Yes V~: Yr~s Nc
.
COMMENTS: Qnclude code discrepencles persons present. etc i Inspection #1 P e ~ d IT Insoecton a2.
Location: 2075 117TH A\, \ ! J S~
I 1 Alt BM Description - •`/w/~yT/~~ 6J !`Cl•' 1(~y(~~~J~~ ` " ,
2 i Bldg server reng!h = 57 1 • l~W D~
- a Tcunt cf cover = „ws d.- O
Plar revision Required? _ Yes No
Use oiler side for addcona: mforq'.ation. ` V _
L'ati 1-xep-ter' 'rgnat..re Ce't. No
S6CS•?'0 (R Dv1
1 / I
- C X
• t<~ ~~C~ I`~ r I ~i~ Safety and Buildings Division ~7 r c
201 W. Washington Ave.. P.O. Box 7162 Sam urp permit Number (to he filled in by Co l
r
2 9 Madipo~, WV. 53707-7162
n•
i ~I ~ Vlall' I'rdntALllfln Vl+mhl'r '
Santta*-'Permit Appli(a )an - T 3~l C /.2
In acux I:+nec wnlj SP$ fiR AVir iim. (.Kle suhmissloo of this Inm) to the appropriate guvcmmcidw unit
is regaxal pnor lo. hlammIg a sim ar, permit. Note Applica/wn fomu for statc,,wacd N )%A rS we submitted to Project Address (if different than mailing address)
live D'pa tillenl of Safdy and 1,10cuwnal Sc vics. Personal mfunuauon you pr%tdc inn) be used for u- lndart
„Z c, j 6 /7y Lj /{f. 2.
pqp,ncs ,I accordance wnh the Prnacv I aw. s I s WI I Hot), Slats
_ I. Application Information - Please Print All Information ) !ya rr ~r> C-7
proper;, Ih,wr - Name ll ~1 / J > -parcel a
G- 2- er/ V-/ C~c., uK T7 it Q"r< ~'~i> C?i u.. /b l-) 't, 'r
I'Inpal, U vncr'. Madulu Addr,,% - j pmpcrl, I ~tialion / - 1
.So f c. Za Govt rLot _
i-lty. Stitt Zip(ak Phone Number I N4 'G, w''L Sccuon
ridrclcuncl
B ~c t-v1 c o2 2~1~ R 17 1. w
If. I ype of Buildi (check all that apply) Lot d
subdrvuwn Vmnc
I;uml., th,clluie Number of Bedrxne,
I'uhhc:( ommcrcial - Ikscnte I. se
/7
' /l CS!vl Number 7 / LNF' F1 Villageof -
i State llwned --Ikscnhe C se /L•.~j [~~/~~(y///~'
_ L1'Sr.'_ l -V ~C ~~~f, f" l i,wn of a.>r> m T O~ _
III. Type of Permit: IChcck onl n It A. ('.ampicte lino R if applicable)
it I `J- (4s r
Vcw C,.1cm Rcpla.,ertmm \y,lcm i, frcuwem'Hulding Iard Replacement (hilt' I (htlcr Mtalilicatum m Islsling System !usplumi
✓ I
❑ Permit Trm+sfer to New List 1lcv ions form l \umher and Date Imed
B. i I'crmd Rr.ncwal 11'emul Revivu.n i i haace of Plumber
Below L>pirahwl Owner
1\. I ape of POINTS System/Component/1)n 'icc (('heck all that apphj--'
-Preseu,ifed io e' ma0 I e"U'iico in ldound ❑ Al-Gi4 Mound - 2-1 In of .mtuhle-tint IJ Mot"Ri 'd m t sun'"" "A I
it, lt.ue lmiA jilllh<r lhcp „al ( 'omponum ',cxDlaml _ ~ Ir,acalnum Device lcxplumi _
V. Drs ersal/Treatm t Area Information cc s, / Y' c { , Cd 'P..-ca/ Ce//
)c': n 11"" g:)di Iholgn S. i Nppham+on Ratcigpetsl'I/ ispersal Arta Required IsI D I-Area Vror..ed h T7N}stifit qGla'mion
lank Into l:ywcd) i1) Tolal N of Manufacturer - 'p/j)
(lallons (lalluns~ t:nns c v 'u J /k-~r
_Vev Tanks 1.]I+t111Y I:nd. ~ / G ~ f ~ ~ s d ~ ,V`
fit// d /d ~ ~z Z.- y
~.,IS.. !+lao>a rink (7 ~r"'Dr>I ff_-(/,c.r r.. x O.
\ 11. Responsibility' Statement- Lille undersigned, assume iesponsibilifq far inslallaliamof the POM, IS shown on the altached plans.
Pli.mh/r N-un; ~Ynnti / Nuoll,CAU)oatue %Ilsq )qti VUmhtr lfusmcss Phone Number A4
I'Iunhc: , l.:dlcs, ! Stwcl. L' il}. Sl:tlc. lip C Ixtc1
~'II ( uunty/Uepartment Use Only
X 1- hf71 TPenna I'ce Dale ued IssuingA Signature
s c(~ a S~ t~ 7 /pj
' 1 `wn u1 Keaton lie L 1 i _
11. (undi - easo.-(I i~iDisa ruval / 1 e r
~atfMtY rnrai r.aWwal plan ~a^ pill Adad M. Went W
ss p pariTlKaM4 MW
r pNatWer.
2 N rbn>1f Irgt~roexras rnuftbs Iw1IrY.N ~
•P~►,piyp►pl!rattS!l,nfluruf. ~ ~ _ f ~ ~4~~
Urach tv mmplere plain fur the syetam xml .nhalil +n the ount W v ou paper not bs, than a 17 , 11 owhee in siu
1
Gc~
rive r ~a~ ~ Tics (D s iG
PROPERTY OWNER:_ 'L~714Py tiot_ixr/ :~cEnLc~t •Anlvt9. &0V of 1' 40 FT.
(except where noted)
Legal Description: Z-04 2, CS" VS it. 136 t, 6or4. 4&+ 2, T2iN, K 17 W Cl = backhoe pit
lON1A/ dl- '+AMMQ&V~, ST, CIZOIX ezK4-rX LV l.SedN gI/J• 5.850 AC.P&77)
Za~ti Ir~'~'h~vr=. ~:8- tad- 60-c5d
4 j I North
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k t
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wtef
f tic' 115T TANK 4P"S f
♦ - .s~
Sri S TQE~ L C5 ~+BpN
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Site location:
copy
N 5 117th Y
Au:
( r
7
eu
n w n
//e iti S.JG.
'ptrsa nr+.~~ DIVISION OF INDUSTRY ShRVII
2331 SAN LUIS PL STE 150
D GREEN BAY WI 543045211
Conta:" I hrough Relay
P •S ittp adsps.`n`rgovipro9ra•rs"rtdustry-serv.ces
wmu v11sccrsn q%v
Scott Walker. Governor
Laura Gutierrez, Secretary
lpno 2o. zols f- E PTrOF SAFEI
IIS I 11) No. 11`18_'_ -11'!N: P011 "1Shry;rrro+ L•~'.' I(~!~~" l._ S
i.. OF ii t.~JJ 110
MARY aO IILPI R I ZONI\(i 0PP1(l?
1101.1 ISI FRS St)IL I LS 'I'INor & DESIGN SI ('I?OIX (t)I INIY SPIA
849,K I NG A K I IIIIRS 1101 CARMICIIALL IM J~ p
D.AMWRY \Ill ~J330 lit DSON \PI 54016-7708
CONDITIONALAPPR(ri':U: -
PLAN APPROVAL EXPIRES: 06;20(21120 Identilicalion Sumbers
Transaction ID No. 3112612
SITE: Site ID NO. 850062
Please reler to both identification numbers,
Gary Boldt Glenda Anderson ahoe'c. in all correspondence with the agency.
_'11-611'1-II \
"town of I lannnond
$t Cli cotlw:
Government I oil SI7. SI. L'9\. R17\V
FOR:
Description: i;far Wound Seyent (3 Bedrooms - Replave+ril
Object lypc: POW IS Componern Mancal Ke_ulated Object ID No.: 17, 7989-
Nlaintc11:111r, w,lo rc<i: Renlacement system: 450 (;Pl) Plow rile: 211 in Soil minimum depth to limiting factor
from original grade: Ss,tcm(s). Pres,ure Di,tribulion C'ompnnem MaTIRlal - 4'er. '.0, SHID-10706-13 (N.0101. R.
In I ";I- SSVvV11, Pub. 9.6 Svncr:~p Sp,acros I,Li 6COMat Mound Component Manual (Ldition I, 201?I. IN4!17):
1 fl](Icnt I`iltcr
I he Sulnui0al described above has been rcvicwed tir cunt; rm:mce with applicable AA isconsin Administrative Codes
and \4`isconsin Statutes. I he submittal has been Cf_1NDIll(_1NALLY APPR(AL:D. This system is to be constructed
and localcd in accordance with the enclosed approsed plans and with any component m.mual(s) referenced above,
I he owner. as dctinccl in chapler 10 L01(10). Wl'Comin SCUUICS• is respon<ihle Ibr compliance with all code
requirements.
No person may cn,-,alee in or work at plumhing in the state unless licensed to do so by the Department per n. 145.06.
I-he 1611m,ing condition, hall I+e mcl during construction or installation and prior to oceupanvy Of use,
• Preserve dispersal area prior and during construction to avoid disturbance, compaction and use of the site.
• AI tall grasses, leaves and shrubs shall be cut short and r,•movcd prior to tillim_ the surlace titr installation to
prevent mattmL under the dispersal area. All loose organic material to he removed from mound area.
• Prior to construction of the dispersal area, check the moisture content ofthe still to :I depth ofR inches.
Smearing and compacting of vrl soil will result in r:~iarin- _he infiltration capacit; ofille,oil, Proper soil
moisture content can be delenninad by rollinu- a sort samoic between the hands. 11-i1 rolls into a 14- inch wire,
the it,: is too wet k, prepare, If it crumble; site preparation can Proceed it the site is too wet to prepare, do not
proceed unlit it dries.
• Abandon Keisling System per SPS
• PLImp Floats to he set and verified per apnroved plan. Any challocs nr.+v result in pump resizing to meet
TDH and GPN1 Soccificalions
• Divert surface water from POW IS Area.
0 All piping shall conlirrm to SPS fable 84.30-3 and SPS 1-able 18.1 ;0-S
'.11:1 u,LI rrl t:l l-,:_<, Jrl9
• Insulate builtlittg sewn' beyond I0 I:❑ per "I'S 38 iti i I I III I
• Tank Installation to tollow all manutaci recommrendalions.
• Vt•rify property line(s) prior to installation.
• Nell setbacks to nice( cite. NR 81 1 & 813.
• Area. that arc occupied 1,II!I nlcf taumer u'. Tree runty, suunps and boulder, reduce the annrunt of coil
.IC.t.l.d,'.c Ihr jlioi i tlc.ar,,rtit . 11 no ):her site i. tvchlal trees in the basal area of the mound must he cut off
-I i~.~.: Id .,,cl. .Ahc-,till :irca nneceent~„het:;u)Of the ::hovecooditio!IS:Ire encountered. to prov ids
0%%ner Responsibilities
• The current owner, and each subsequent owner, shall receive a copy ol'this letter including uhtructions
relating ut proper use ;uul maintenance of the s'esl Owners shall receive a copy of the appropt ime operation
and maintenance manual and~or owner's manual for the POW TS described in this approval SPS 383.51(1).
• In (he event this soil absorptimt system or any of its component parts malfunction so as to create a health
hazard, the property owner must lidlow the contingency plan as Jcscribal fn the approved plans.
:1 cnpq of (hc approved pans, specilic;uiom and this letter shall be on-site during construction and open to
inspection by audwrizcd representatives of the Department, which n&tv include local inspectors. All permits
required by the slate or the local municipality shall be obtained prior to commencement of
constructionintallat ion: operation.
In grantirn' this approval the Division ol'lndustry Services reserves the riehl to require changes or additions should
conditions arise making them necessary I-or code compliance. As per state stars 101.1313). nothing in [his review
shall relievo the designer of [he responsibility for designing a sate building. structure or component.
Inquiries concerning this correspondence max be made to meat the telephone number listed below, or at the address
on thi< letterhead.
The ahove left addressee shall provide a cope of this letter and the Pi I S management plan to the owner and any
others who arc responsible l6r the installation, operation or maintenance of the Pokk r s
Sincerely. I'ee Required $ 250-
K I this ~\mount W ill Be Invoiced.
When You Receive That Invoice,
Please Include a Copy W ith Your
1 im Vander l.cest Payment ~uhmiual,
Priv:de Sewage Plan Reviewer . Division of Industry Services WiSMAK'f colt. 76,3
9 1092-22 14 , Mon- Fri. 6:00 a.ut. - 3:30 p.m.
i.n t luuleri ce st'u n%i. ,ao I
cc GJwin A I ardor, \lhastewater Specialist. (715) 6}1-3181, Mon-fri. 8:00 A.\1. - J:'0 P.\1.
loseph 0 aher Jr Jr. \4'a l lets l -.Ice[ric I Icatim=- & I'humhme 1 Plans Mnlerl I o.
GeoMat MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN
Residential ,A,cp!~c-jtian
INDEX AND TITLE PAGE
Owner Info
Project Name: GARY BOLDT/GLENDA ANDERSON at at
Owner's Name: (SAME)
Owner's Address: 730 FLORENCE STREET
BALDWIN. WI 54002
Property Info
Iropeny Address: 2076 117TH AVENUE
Legal Description. _ S 1 T 29 N R 17 _W
Township Hammond
County: St._Croix
_
Subdivision Name: GOVT. Lot 2
Lot Number 2 Block Number: NA CSM#: 5/1301
Parcel I.D. Number. 018 - 1000 - 60 - 050
Plan Transaction No..
Index Pages
Page 1 Index and title Page 9 Tank cross sections
Page 2 Data entry Page 10 Plot elan
Page 3 GeoMat mound drawings -
Page 4 Lateral and dose tank - -
Page 5 Distribution media
Page 6 System maintenance specifications
Page 7 Management and contingency plan
Page 8 Pump curve and specifications
Mary Jo Huppert License Number. 1859-007
Date: 05/21/1)8 Phone Number 115-4261775
Signature J4~ PL4
Designer Stamp State 61,Wls60n`sin AppeoW6tegip
Oespned Pursuant to the + 1
Synergy Systems 1-1 C., GeoMat Mound Component Manual (Edition 1, 2011) (N 4(17
SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01181) and
Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01. R. 10/12)
GeoMat Mound Edition 1, 2017 Pagn. 1 of 10
Mound and Preasure Distribution Component Design
Design Nlorksheet
Site Information
R Residential or Commercial Design - - -
300.00 Estimated Wastewater Flow N ISD Required?
1.50 Peaking Factor (e.g. 1.5 = 150%)
450.00 Design Flow (gpd)
3.00 Site Slope
97.00 Installation Contour Line Elevation (ft)
20.00 Depth to Lirriding Factor (in)
0.60 In-situ Soil Application Rate (gpd/f)
80.00 Contour Length Available (ft)
Distribution Cell Information
6.50 Cell Width (ft) 3.25, F.5 or 9.75 Only
2.00 Dispersal Cell Design Loading Rate 50.00 Designer Input Cell Length Require
2 Influent Wastewater Quality (1 or 2) (gPd/ft') 45.00 Dispersal Cell Length Regmretl (11)
Pressure Distribution Information
E Center or End Manifold Are the laterals the highestpoint
2 Number of Laterals in the distribution - - -
3.25 Lateral Spacing (ft) Y
fietwork?
orcemain Drambaek (gal) I
f N above. 0.50 orcemain Fitter Loss (it) If N enter the elevation h)_
_ Forcemain Diameter (n) of the highest point _
30.00 Forcemain Length (ft) Does the forcemaln drain back?~
87.00 Inside Pump Tank Elevation (ft)
0.188 Orifice Diameter (in) (e.g. 0,25) Z .-7 c---
2.00 u❑ated Orifice Spacing (ft) = 6.50 ft'/orifice II
System Head (ft) x 1.3 Q V~
Vertical Lift (0) r Z
Friction Loss (ft) Zl~
Total Dynamic Head (ft) 5x Void Volume (gal)
Minimum Dose Volume (gal)
ki System Demand (gpm)
Diameter Selection
latPDm lection Manifold Diameter Selection
in. diachoice
0.75 1.25 1.50 x 2.00 3.00
Manufacturer Information
Treatment Tank Information
1000.00 Septic Tank Capacity Eftluent_Fitte_r Information
Wieser Concrete Products, Inc. (gal) POlylok - - Filter M u
Manufacturer _ 122.. Filter Model otlel Numb
mber
Dose Tank Information Gallons/Inch Calculator (optional)
650-00 Dose Tank Capacity (gal)
17.00 Dose Tank Volume_ (galrn) - Total Tank Capacity (gal)
Weser Concrete Products, Inc. - Total Working Liquid Depth se
Manufacturer ~ gal/in (Doter result in cell DoseTankVolume)
Project: GARY BOLDT/GLENDA ANDERSON or at Page 2 of 10
Mound Plan View
1/106 a J
} - Observation P'
- I
K.
6 A
W 1
B
3 I
Mound Component Dimensions
Davin s!oce toe exterlSicn made
A 6 50 ft E 634 in H 1 00 ft K 7 92 ft
FS 50.00 ft F 14 50 in 1 8.50 ft L 65.841
D 4-00 in G 0.50 ft J 5.62 ft W 20-62 ft
325.00 (fta) Dispersal Cell Area 750.00 (ft Basal Area Available
9.00 (gpd/ft) Linear Loading Rate 5.00 (ft) 1/10 B Obs. Pipe Placement
Mound Cross Section View
GeoMat Dispersal Area
Observation Pipe
12" ASTM C 33 sand as GeoMat
required for Geo Mat Distribution Cell
component GeoMat + 12" ASTM C-33 sand
H G
99.54 Finish Grade - Cover Material
98.41 Lateral Invert Elevation - t
97.33 Dispersal Cell Slope 3.0
Elevation E
- Contour Elevation 97.00
R\ Tilled Area
1 Forcemain
In situ soil
In situ soil
Shading Key
I Topsoil Cap
2 Q Subsoil Cap
0 ASTM C 33 sand (F)
. 0 ASTM C 33 sand (D)
5 Tilled Laver
6 Q Geo Mat
See details on page 4 for number, size, and spacing of laterals -
Project: GARY BOLDT/GLFNDA ANDERSON et al Page 3 of 10
End Connection Lateral Layout Diagram
Wup w oat valve or deanwt Plug
I st "Ifice looted at 2
All orifrzs point down
X _
/ wterals a force main of PVC Sch 40 per SPS Table 34.30-51
Number of Later als 2 Orifice Diameter 0.188 in
Lateral Diameter 1.50 in Orifice Spacing (X) 2.00 It
Lateral Length (P) 49.00 It Onhces per Lateral 25
Lateral End (7) 1.00 ft Orifice Density 6 50 W/orifice
Lateral Spacing (S) 3.25 it Manifold Length 3.25 it
Lateral Flow Rate 16 38 gpm Manifold Diameter 1.50 in
System Flow Rate 32 77 gpm Forcemain Velocity 3 35 tVsec
Dose Tank Information
♦~m na .A-
.t,Vi ar ::11.
.,,J ti•, au 't 1\ V
Famamkin dill
n....,: .:i 2 in
Sim /I odi Filter
STF 100 V16 ' ILmy+Pr l:..i
~ I'nupr ni'I'..:,u• Pwnp off ale a (it)
88.00
Dose Unit OW46M Pu
• ItrJJuu•wdcr tan: 67.00
Dimension Inches Gallons Wieser Concrete Products, Inc
A 21 36 363 LY; ca aclt 650.00
D 2.00 34.00 Volume 17 O(1 galnnch
C _ _ 2.88 48.94
D 12.00 _ 204 00
Total 3B 24 650 00
Fitter Manufacturer Sim / TeU1 Filter_
Filter Model Number S?{' 100 1/16 --_-Jt
Alarm Manufactures SJL Rhombus
Alarm Model Number AS Tank Alert
Pump Manufacturer Goulds Water _Technology _a xylem brand
Pump Model Number PE 41
Pump Must Deliver 32.77 gpm at 14.85 it TDH
No;c Switches eontalniog mercury may nct be usect j7 this system.
Project GARY BOLDT/GLENUA ANDERSON et or Page 4 of 10
GeoMat Distrtbution Cell Media Layout
650 Cell Width (R) 1_63 Sidewaff to Lateral (n)
Distribution Cell Cross-section Arrangements
_a----- Q
-
ComponentLegend
C Distribution Pipe With Pressure Lateral L.J Orifice Shield
Turnup Enclosure _ _ _ _ _
Pressure Lateral
GeoMat is covered with approved gootextile fabric as per the thar product approval.
Distribution Cell Plan View Layout - Typical
6 SO Cell Width - A (n) r50 00 Cell Length - B (R)
d Cor, rsc!icr Celar;.,_eyotn'ieao/arr
~n..wr . . .
Typical Dispersal Ceil
MR01L FA.,MUIMN.1MrDYl
^ t _ r • , i- nNCrM.eSU,•.nMwt..er
Observation Pipes Shading Key
Topsoil Cap
Subsoil Cap
3 ASTM C 33 sand (F)
4 ASTM C 33 sand (D)
5 Tilled Layer
n C~ Geo Mat
See details on page l for nu" Wr size. 1-4 sparing or laerale-
Project. GARY BOLOTIGLENDA ANDERSON et at Page 5 of 10
Mound System Maintenance and Operation Specifications
Service Provider's Name Ulbricht Pumping Phone, 715-703-8337
POWTS Regulator's Name St. Croix County Community Development Phone 715-3864680. f
System Flow and Load Parameters
Design Flow- ak 450 gpd Maximum Influent Particle Size 1!8 in
Estimated Flow - AvePerage 300 gpd Maximum BODS 30 mgrL
Septic Iank Capacity 1000 gal Maximum TSS 30 mglL
Soil Absorption Component Size 325 f1Z Maximum FOG 10_ mglL
Type of Wastewater Domestic Maximum Fecal Coliform 10E4 cful100 mL
Service Frequent:
Septic and Pump lank _Inspect amyor service once, every 3 years
Effluent Filter Ins ect and clean as necessary at least once eve 3 ears
Pump and Controls Test once every 3 years
Alarm Should test periodically
Pressure System Laterals should be flushed and pressure tested every 3 years
Mound Inspect for ponding and seepage once every 3 years
Miscellaneous Construction and Materials Standards
1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap and are secured in as
shown in the Synergy Systems GeoMal Mound Component Manual Version 1, 2017.
2. Dispersal cell media conforms to GeoMat products approved for use with the Synergy Systems GeoMal Mound Component
Manual Version 1, 2017. Media is covered with an approved geotextile fabric
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
Diameter finished I hreaded Cleanout
Lawn Sprinkler Grade \ Plug or Ball Valve
Box \y
Lateral Ends at last Orifice Where.
Varia ble t ength Cleanout llv.ins
Long Sweep 90 or Two 45
Degree Bends Same
Diameter as Lateral
Distribution I ateral t Lateral Cleannut~
2.5 Feet
Project. GARY BOLDT/GLENDA ANDERSON et al Page 6 of 10
Mound System Management Plan
Pursuant to SPS 383.54, Wis. Adm. Code
General
TMs system shall be operated in accordance with SPS 382-84 Wis. Adm. Code, and shall maintained in accordance with its' component
manuals (Synergy Systems L.L.C., Geumat Mound Component Manual version 1, 2017, Pressure Distribution Component Manual Vol. 2.0
SBD-10706 P (N. 01/01) and SSWMP Publication 9.6 (01181)1 and local or state rules pertaining to system maintenance and maintenance
reporting.
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 complefion of service. Any opening deemed unsound, defective. of
sub)ed to failure must be replaced. Exposed access openings greater than 8-inches in diameter stall be secured by an effective locking
device to prevent accidental of unauthorized entry ado a tank or component.
Septic Tank
The septic tank shall be maintained by an individual certified to service septic tanks under a. 281.48. Slats. The contents of the septic tank
shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet fitter shall be assessed
at least once every 3 years by inspection.
The outlet fitter shall be cleaned as necessary to ensure proper operation. The filer cartridge should not be removed unless provisions
are made to retain solids in the tank that may slough off the fitter when removed from is enclosure. It the fitter is equipped with an alarm. the
filter shall be serviced if the alarm is activated continuously. Intermittent filter alorrns may indicate surge (lows or an impending continuous
alarm.
The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 113 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 as to
when the next service reeds to be performed to maintain less than maximum scum and sludge accumulation in the tank,
The addition of biological of chemical additives to enhance septic tank performance is generally not required. However, it such products
are used they shall be approved for septic tank use by the Wisconsin Department of Commerce.
The dosing Pump Tank
(pump) tank shad be inspected at least once every 3 years. AO switches, alarms, and pumps shall be tested to verify proper
operation. If an effluent fitter is installed within the tank it shad be inspected and serviced as necessary. If the force main has a weep We, it
should be noted if it is functional during pump operation, and if not, it should be cleaned.
No Otte should ever enter a septic or dose tank since dangerous gases may be present that could cause death.""
Mound and Pressure Distribution System
No trees or shrubs should be planted on the mound. Plantings may be made around the mounds 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 sod compaction may hinder aeration of the infiltrative surface within the mound and
snow compaction in the winter will promote frost penetration. Coll weather installations (October-February) dictate that the mood be heavily
mulched as protection from freezing.
Influent quality into the mound system may not exceed 220 mg1L SOD- 150 mglL TSS, and 30 mg/L FOG for septic tank effluent or 30
mgrL SOD.' 30 mg1L TSS, 10 mg/L FOG, and 10' cfW100 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 3 years. When a pressure test is performed it should be compared to the initial test when the
system was installed to determine if orifice dogging 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 shad be reported to the owner. and any
levels above 4 inches considered as an impending hydratdic fadnre requiring additional, more frequent mondoing.
It the septic tank or any of its components become defective the lank or component shad be repaired of 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 6 of this plan for the name and telephone number of you local POWTS regulator and service provider.
Project: GARY BOLDT/GLENDA ANDERSON et al Page 7 of 10
• a s s s
Wastewater
METERS FEET
- -
40
PE51 .MODELS: PE31, PE.41, PE51,
HP. 33. .4U..SU
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CAPACITY
PERFORMANCE RATINGS
PE31 PE41 PE51
Total Head Total Head Total Head
(feet of water) GPM (f(-Wt of water) GPM (feet of water) GPM
S 52 10 67 _
10IU 51 15 59
15 29 11 46 20 507 -
20 16 -20- 33 2% 39
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'~N'STE`+ AkEYMNAL-1CE A-N-D OWNER CERTIFICATIONS
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Form- ST C- 104
AS BUILT SANITARY SYSTEM REPORT /
OWNER &,Ia614 TOWNSHIP ~,ninnil>n/Jr7 SEC 7 N-R W
ADDRESS ST. CROIX COUNTY, WISCONSIN
T r
SUBDIVISION 1 J7 LOT z LOT SIZE
PLAN VIEW
Distances and dimensions to meet requirements of IS.NR 83
SNOW EVERYTHING WITHIN 100 FEET OF SYSTEM
24
57
lZ n 35 ~ kp 'c m
-50
a.m. GS
i'rC ~t-.Q J1 INDICATE NORTH ARROW
BENCHMARK: Describe the vertical reference point used 9pA 0
7 iib.d S'/O7C eei7/x/
Elevation of vertical reference paint: /!j0• o/ Proposed at site:
SEPTIC TANK: Manufacturer: ~ra _Liquld Capacity: /dOOGY~~
/ i
Number of rings used: A1041-- Tank manhole cover elevation- /OZ X100/
Tank Inlet Elevation:/ %:$O Tank Outlet Elevation: /G10 98 ~
Number of feet from nearest Road: Front0 Side 0 Rear, O An:7t feet
From nearest-property line Front 05ide 0Rear, 0 rf_~ feet
Number of feet from: well
.y_L, building:
(Include this information of the above plot plan)( 2 reference dimensions to septic tank)
SP.P. REVERSE SIDE
Wiscansi `~T-W i3 _V_
oval Services
Division o'(-rrgit~s+
` 2 2 18 `SOIL EVALUATION REPORT Page I of_,'
~i r+ in a ordance with SPS 383. Wis. Adm. Code
r unCf County CKOIX
Attach co lplete s pfanDith p~' g5Adt4~s an 8 12 x 11 inches in site. Plan must
include. b~t not ST.
- onzontal reference point (81d). direction and Parcel I. 01 - I (W - 60 - 050
percent sl Imens(ons, north arrow, and location and distance to nearest road.
Please Print all information. Revi W by Date
Per onai information you orande may be used to, secondary pmWW5 iPrrvacy I aw, s. 15.04 11) nim) 7 /O
' Property Owner Property Location ' 11 ❑
Gi\RYHOLDT~GLLND.4ANDERSON ETAI. Govt. Lot 2---- t?4----- 1?4 t T "I N R I"? E(or)W
Pi operty Owners Mailing Address Lot # Block # Subrf. Name or CSM#
730 Florence Street 2 V5. PG 1301
City State Zip Code Phone Numbs ity []Village Town Nearest Road
Haldwin- WI 54002 ( ) 117fh Avcnue
❑ New Comlruction UseO Residential I Number of bedrooms 3 Code derived design flow rate _ 450 GPD
n Replacement ❑ Public of commercial - Describe:
Parent rnatenal Glacial oulwash _ - Flood Plain elevation if applicable N a B,
General comments Mound Sysfew 1.34 ft, sand fill 0.6 loading rate guanat s stem
I and recommendations: C' y'
I~ Boring# ❑ Bonny
n Pit Ground surface elev. 91A I B. Depth to limiting factor 24 in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texhxe Struchre Consistence Boundary Roots GPOM
in. Munsell Du. St. Cont. Color Gr. Sz. Sir_ •Eff#1 'Eff#2
1 0-8 MYR2 %2 sil 2fsbk mvfr as 2%f-m
fl.b 0.8
2 8-17 10YR4%3 sit '_fabk mfr cs Ivf=m 0.6 0.8
3 17-24 IOYR4;6 sil Ifsbk mfr as Ivf-f 0,4c Olt
4 24-28 10ti'R4 6 ,2t'10YR5'6 A Ifsbk mvf~ _
OA 0.7
wader ob.md:n 25*'
a Boring # Bonny 91,87 24
Q Pit Ground surface elev. B. Depth to limning factor in Soil Apolication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD?ff
in. Munsel Do. St. Coot Color Gr. Sz. Sh. •Eff#t 'Ef#2
1 0-8 I0YR2r'2 sil 2f'-msbk mvfr as 3vf-co 0.6 0.8
1 8-16 I0YR4.'•1 - sit 21'abk mfr es 2off-m 0.6 0.8
3 10-24 10Y1t4+6 sil Ifxbk 111ft as I 0.4c Q6
of-m
4 24-28 10YR4,6 c2f 10YR++6 sl I fsbk n)vfr 0.4 0.7
water nha7vad 6n 24"
' Effluent #1 = BOD, > 30 <220 mgfL and TSS >30 < 150 mg& ' Effluent #2 = BOD. < 30 mg1L and TSS < 30 mglL
CST Name (Please Punt) Signa re CST Number
MARY JO I ILPPLRT l Iollister s Soil Testin &Dcsi ,n) / G / n24812
Address Dafe Eva liftion Conducted Telephone Number
2 8497 King Arthur's Court, Danbury, W 1 54930 05 - 02. 2018 715426-1775
proprnly Owner BoldV/A lldcraun crt al Parcel ID # 11I ri - 1 0011 - 60 - 1110 ' 7
r - _ Page of
r 1 Boring Boring
Pit Ground Surface elev- g6.95 20
-ft. Depth to limiting tailor - in.
Horizon Depth Dominant Color Redox Description Texnae Structure Consistence Boundary Roots Sod GFD n Rate
in. Mansell Ou. Sz. Cont. Color . 'Eft#1 •EfW2
I 0-8 If1YR2.'2 A mvfr as 3vf-co 0.6 11.8
k_ 2 8-16
I -
OYR•13 A mfr cs hf-co 0.6 0.8
3 16.20 101'R416 sil mfr as Ivfin 0.4c. 0.6
4 20-24 IOyR4r 6 eldIOYR5;6 sl m% fir 0.4 0,7
water (w 24
Boring # H Boring
f pit Ground surface elev. Depth to limiting factor _ in.
Soil ication Rate
L
Fhorizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDlfF
h~ in. Mansell Ou. Sz Cont. Color Gr. Sz Sh. •Eff#1 •0102
I
t
L.
Boring -
JI Boring #
Pit Ground surface elev. ft. Depth to limiting factor _ in.
Soil licaton Rate
Horizon Depth Dominant Color Redox Description Texture Strucure Consistence Boundary Roots GPD/ff
in. Mansell Ow Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Efl#2
I
' Effluent #1 =800, > 30 < 220 mg4 and TSS =,30 < 150 mgl1. ' Effluent #2 = BOq 30 mg t and TSS < 30 mg ,'L
Plot Plan PMe 3 of
PROPERTY OWNER:_ (17>- y of lrr~ e~ui t y NDER oN eI- a/ 1` 40 FT.
(except where noted)
Legal Description: L erf Z, C-50 1301, 6op4- 1#+ Z SFC . / T-.ORM iz,7W p = backhoe pit
ewy cr-tAMM&V7, ST C 0jX 6NNT4 w,-seoNS,N• 5.850 r4ePE~
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