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024-1047-05-000
PRIVATE SEWAGE SYSTEM county'- St, Croix VdSnO'iAlfl Jepatbnm`t 41 CJmme.'ce Safety rirJ ItuIra Di.isim, Sanitary Peron: No INSPECTION REPORT 605074 GENERAL INFORMATION (ATTACH TO PERt.111) sate Plan ID No FC'SOnal irfxrt at jr yUd pro, de aY' ne Vsad b' sere^_..1,11, Pn'pr.v25'Pn:aev % I1.:4 i 1: 1m11 31106901 Pe- llot:e- va--e Ciy '.'d 'age Lxenship nan:rl Ta. NT James & Shirley Shearer TOWN OF PLEASANT VALLEY 024-1047-05-000 CST BM CI!• Irip IMI FBM Devvrion Serl m'le,»-eRar9c11etap Na /b7r)~ a- 2 04.28.17.298 TANK INFORMATION ELEVATION DATA TYPE MAN UFACI l CAPACITY STATION HS HI FS' ELEV. Septic s Benchmark 3-:57-5 //b /0"1. /1 7- 50 Dosing r •j.-5 ..75b Alt. Bl=~rll... COJ ~•~7 o r'f G Bldg Sevier tw a a k 5z5 Holding _ SVHI Inlet 7• 142.7 St., It; Outlet TANK SETBACK INFORMATION TANK 10 P+L '✓JCL'_ RI D3 vcn•. IA'" mtakc ROAD Dt In'.el 43 Septic 72 l $ 1 Dt Ho'tcm JZ •3 5 -7. Dasrg / 41 Header: Wlar. •f/ b /d/^~~'~. Lrl -72, 7S `26 Aera:io,r Ost Pipe ! /W S Hold 1)9 Bet. S;eslem t~. C TT Final Grade 3• c> If e7. bet, A PUMPISIPHON INFORMATION naaru'actu er rn Demand St Cover 1'(0-7 /09. r) I.~OJ LX/j C;PM Model Nu•r'ber T 31 ( G .7 163. U S r GO,ns~O J ;Fo,r~vm I il~ Fndi.:IZLo<_s, I System Hem 2 TDFf, / Ft / r LergC7 f Dia~ rI Omt.'.c. O -1i A SOIL ABSORPTION SYSTEM BEO~TRENCH :rh I e'.gth A N'J` T/y,wh.. PIT DIMENSIONS N,. JI Pdg Psu1- C.~ Llano D-pth DIMENSIONS GU U ` n'ta-t.ne.. SETBACK SYSIFMT0 P!1- BLDG L:'c LL LAKE:ST KEAtd CRAM EIR OR Iola INFORMATION Iyp. ystem UNIT Leouel Nurnoc• 6v ~ DISTRIBUTION SYSTEM TO[ "O V6J+t1\ (WA) HE""- MUO bin / ILSP,r-tio- fir 11 x Hn.P7:7:; ie f K Hole S • ^io9 Lrer AR h' ke . e,,,h (jtiII7. Lenrln D a 26spa inc 3:5 U SOIL COVER it Pressure Systems Only xx Mound Or Al/Grade Systems Only DcpU C er Der1 x. Y'epL`ol x.. Sewed =oCtled .r ro1_mhcd 3er.Tru ':'i Certer / ,7 5 Ilcrll Trr ..h ctlgos ~ op red ( t'T'. - Yes - Nu No COMMENTS: (Include code disleperces, pe•sonssprresyyy„ eto.i t msoertan A•. -e 1(j/Jg Inspection a2 Location: W.-ASITIIAVE a Q PP``P~o~ dl: 1.; At B1a1 Description 14, Gn = r 10 2 'r Bldg sewer length = O. ~O ~ (JIW_~~ T 7 - an•.ouna of cover - 0 Yom. P.an revisior RequeeV Yes No C/ d Ise ether side for add tional nformation. Cec No Date I-seprtor's ual:,fe :HOtiT 1U IR 3l9 J', ~l- In rf Industry Services Division ~j7>. a n ( 3 2018 1400 E Washington Ave Snnilap Yrnnit Number (to he bled in fir Co ) I~`, Sp "i ~J { P.O. Box 7162 G ladisonryWII 53707-7162 /_Q✓~~ ~ U ilk T, T r C ` - -S-anltaly Permit Appllcatlo Sane -Iran,actionNumhcr In accordance nuh SPS 01 21(2l \%rs. Adm. Code. subnncsion of the tonal n. I ra le a a on 1. I 1 1 6"-) is required prior to nhwininr a.ennan peunil. Note Application tomes for sfucooned F l H\' (S arc submitted to the Depanmenl of Safety and Yr dr+siona'. S... ices. Pclx nal inlixmaW>n )ou pelted n u) he used tier sea+ndap. Prolcct Address (if different than nailing address) _ ur oxs in accordance „ith Ih I mr -a I u+t 15 U}_t ( )rml Staff. S y~ _ _ I Application Information P tse Print-Air Infornta_ C. f' _ 1 lopcn\ Ounce's ` J Parcel zx /L C p•lt) %%ncr's Million, ~Addn,, PropMp location o , d p _ r " aq Go"Lot NyK p Coal. Phone Nwnhcr Sc rion O:v. %lalc t kulde II "type of Building (check all that apply) ~ [.of ii 1 u 2 Family DoelhnG Number of Badruonu Subdninan Nano: ~ ❑Yubhc:Contnti r:ial [Rscrihc lkr _ ,l Black= C3 01N of 7 ❑State On ncd - Des^nhc l l>c ❑Clllarc of C'SM _ Number /v ~ [K/ / r rd✓ ~I non nl XII n _ `r'~< 111. Tv _ ' • Check only one bo\ on line A Complete ~ Vliline 6 if applicable)_ Ncn \)slcm 1 ❑ Replacanent S)stan ❑ frcauuenvilolding I ank Replacement lhd) ❑ Other M rddication to F\islmg S)stem (c\ptain) R ❑ Vennn Ruunal' ❑ Permit 12c\is[ott El Change of l ❑ Permit I mn,fer to Ncu List Ptcs,ou, Pcunn \umhermd Owe ],sued Before l \pn non i Plumber __J. Owl r / oe" L cL IV. type o[ PO1V 1B Sy stem!Con)ponent'Devl[.e. (Check all that apply) ❑ \.n-Prm,wved In-Ground ❑ Ynessuliicd ImGru slid ❑ ,\I-Grade ❑ Motmd '>24 in. c f ,uiuoble, I Mound < 14 iu- of >t ilabIc soil ❑ Hiddene tank ❑ Olhrt lli,pcoal Cunpwnenl (c\plailo ❑ I'rctrcnorent Der ice (c\pla:n1 I~ IAc ersalf freatmen_ re t Information: D I n Ilon (gpd) ps,I n Sn:l ;\pphu.liun pr +al 1na Rcq,. nd Ihspraal Arta,ngws >f Sy✓4t111 I. c nun ~ 6_6(c .pj,tl /I o o.~ to 'r ~i~' - VI. Tank Info Capacii) in Gallons local of z ° --I la) s-ft?u'rc~r'y/~ o lun6: roan. fi f: t~.tl s Gallon. Unu, )1J~4~'~ ~7 J ' J f L.l, Apbc or I loldmt lank Q ~ SU Dosonz Chamber NA 1. Respnnsibilit\ Statement- 1, fire undersigned, assume respan%ibilit\ for installallun of the PONI S shone on the attached plant, (lundxrs K;u a II'nnU ^ Plumbar~ I Ana nrrc - . 1F'. II RS Number Busma~s Phone Nunlhu 1 I :eoh:1~..Wdt It' L C ns, sIA 71It Cod :1 tr S III County/Department F ,c Onlr _ c pl:~ned ❑I eclair tic Uael urd Irwin :ant Sl~na1 - . - 446, CiLl1'IF ^ I I X. Con[ligt t r uv ~s~ Disapprn\al 31 / 1 ~a i~ ✓c.~ LGC+~ i. tt6E. r S(f l Cam, t, onpers:1L Ceti n' UM ust d1l all h~e~y~r_tc?s' 6)t'rytk$ *S pe[ 71ar3genieM plan pao nawf W plwnW:. 2 AU RNbfck ruc:lirameMmuut ue;-,W fu.E4 n per Ppowill h nays: I cMiumc6t. -,"lash W emnpleh plvn. fur Ire ...ten mrJ >ahmil to nh: ['ounh ooh nn paprr nut le.+Ilun 8 v1 \ I I inches in sire 13 - CID) ( b {J-~Y ~r C DIVISION OF INDUSTHY SERVICES 3824 Cl KSIDC LN HOLMEN WI 54636-9466 Contact Through Relay P S http:Rdsps wi.goviprograms;indcsby-services w•mv wsconsin.gov 111aN y Scott Walker, Governor Laura Gutoirrez, Secretary June 18, 2018 Cl1ST ID No. 22035? 4'17A' POt4'7:4Ins),count BRADY J LITGARD 7ONIN6 01:1ICL UTGARD PLI'MIiING k IILA I ING Sl CROIX COLSPIA POIIOX 113 1101 CARMIC'I]A]A RD AMLRY WI 54001 111 DSON 1V1 5.1016-?708 CONDI'T'IONAL APPROVAL PLAN APPROVAL EXPIRES: 061 1 81 2 11 2 11 SITE: Identification Numbers James Shcarcr k Trlion ID :So. 3110620 1708 5T111 Ave Site ID No. 849931 1 own of pleasant Valley Please refer to holh identification numbers, SI Croix County above, in all_corres tontience with the aaencv. N W 1.'•1, Nky' l r'•1, S4, T? gss, R 17 W FOR: Description: Four Bedroom Mould System' Slopinr site Object T}pc: POW I S Component Manual Regulated Object 1D No.: 1'•'•')546 Mainlcnance required; 600 GPI) Flow rate; 14 in Soil minimum depth to limiting factor from on inal grade System(s): Mound Componenl Manual - Ver. 2.0, SBD -10691-P (N.0 L01, R. 1012), Pressure Distribution Component Manual - Ver. 2.0, SIID-111706-1' (NAI!01. R. 10!12); Lllluent Filter The submittal described above has been reviewed for conlbrmance with applicable Wisconsin Administrative Codes and Wisconsin Slat kites. The subminal has been CONDIIIONALLY APPROVED. I his system is to be constructed end located in accordance with the enclosed apprm•ed plans and with any component m:muad(s) rclircnccd above. The owner, as defined in chapter 101.01(I0), Wisconsin Statutes, is responsible Tor compliance with all code COND~T requirements. No person may enf-aee in or work at plumbing in the stale unless licensed to do so by the Department per s.145.06, APPF stats. DEPT OF S Thu following conditions shall be met during cm»matMion or installation and prior to occupancy or use: PROFESSION DWIJON OF IND Reminders • A sanitary permit must be obtained from the county where this project is located in accordance with lite requirements of Sec. 141.19, Wis. Slats. • Inspection ufthe private xwage system installation is required. Arrangemems for inspection shall be made w. SEE C i2R1 the designated county of)icial in accordance with the provisions of Sec. 145.20(2)(d), Wis. Slats. • A .State approved effluent filter is required. Maintenance infrnnnation must be given to the owner of the lank explaining that periodic cleaning of the filler is required. • All POW FS componenl piping material shall he 51'5 384. Wis. Adel. Code compliant. • The area wilhin 15' downslope of the dispersal cell shall remain undisturbed. Vehicular tragic, excavation or soil compaction is prohibited in this area. • A copy of the approved plans, specifications and this Idler shall he stn-site durin5 construction and open to inspection by aulhorinn! Iipre cnlaliivcs of the Dcpartntenl. Mitch nmy include local inspector;. HRAUY'J DIG;ARIJ Parei br'I.W+`91S Oirner Responsibilities • 'file current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and mainlenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and or owner's manual for the POWTS dcserihcd in this approval. • 'I lie owner of a POWTS shall be responsible for ensuring that the operaalion and maintenance of the POW IS occurs in accordance with this chapter and the approved management plan under s. SP.S 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. • 4'he owner is responsible for submitting a maintenance verification report acceptable to the county liar maintenance u'ackinn, purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the p0\L"I'S. In ",ranting. this approval file Division of Industq Services reserves the rigltt to require changes or additions should conditions arise making them necessity) for code compliance. As per cote slats 101.12(21, nothing in this review shall relieve file desi„ner oflhc resporuibility for designing a safe building. structure. or component. Inquiries concerning this correspondence may be made to rile of the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide it copy of this letter and ttte VOW I S management plan to the owner and any others who are responsible for the installation, operation or mainlenance of the po\1'TS. Sincerch. Fee Required S 250.00 1 ce Recci ved S 250.00 Valance Due S 0.00 Ocraard M Swim POWTS Plan Reviewer, Division of Industry Services WiSMAR'I code: 76.13 16081'89-`89 2, Mon - Fri, '::I < a.m. - 4:00 p.m. jeny.swiniw wi.gov cc. Ldwin A I aylor, Wastewater Specialist, 15) 634-3:1&L Mon-fri. 8:00 A.M. - 1: 0 P.M. Rlcnl". It!.T6IjtU _ o".b;'OISI Owner Responsibilities • '1 he cn:'rew owner, and each suasequen: owner, shall receive a copy of this IeOer including insmiciions relating 10 nro?er use and maintenance of trtc Svztern Chvners shall receive a eoav of Ih- apnmpriatc operation and maintenance manual and or owae:'s manual for the POWTS descrfbcc in. this approval_ • I he owner of ;s KIW I'S shay. be responsihic fir ensuring that the operation and maintenance o- tnc POWTS occurs ir. aecorcance with this chapter and the approved management plan under s, SPS 383.51(11. • lit the even: this soil absorprior svstenl or airy of it.; componen: parts malfunctions se as to create a health :ia7ard, the properly owner mus: follow tilt coaungenc% elan a> described in lire approved plans. • The owner is responsible to: auritmr ing a maintenance verificauon report acceptable to the counh for maintenance n'ackin_' purposes. Re ports shall be sulvnine.d at intc.-vats apnropriatc for die components O utilized in the POW r'S. i:I -,anon: 'his approval lfic Division of indu.w- Services reserves the right to require changes or additions Should Il i!i 1.7?k!.^.i :h_^_ n_~ S:., rc tn. Con, -omnliance. A per Lale sarc lrl lothirlg it, rmz Cvw,' ;hal: relieve trig designer of the responsibilih fo: designing a safe building, structure. w component. InquirleS concerning this correspondence max 'ac made to me at the telephone number listed below, or at the address or tills i.a.rilead. I I:c hove let. address-: shall provide a copy of this letter and the POW fS management plan to the owner and arty F:I`^ jrY, !'csnors,l. I. rn: t'^e mgt.yl l:!;iOn pngrgtinr, nr majntena.t~ t,t rbo POWTS, Sinc-rch. Pe. Required 5 ?SQitO gee Received C 256+.00 Balance Due $ 0.00 Gerard A1 >wim W iSNL4RT code: ?633 POW I S Pratt Res I w,.r. Dix ision of tndt 1 ~ Services f 08i 8' b9:', AM1ol fr:. _ li a.m. -4rOC p.m. et'n. wtmla~wi.goa _ .c L'iw-.t'. A Tavi,r \kuslewaler Saki: Its„ !.71" h -34S4. NI n -f':. R7(KI N.M. - 4:311 P.M 0 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN INDEX AND TITLE PAGE Proiect Name- SHEARER ~P( 3 Q LL,' Owner's Name: JAMES SHEARER ^`}S~Q (S~~v1G~s Owner's Address. 1415 BRODWAY #30 HAMMOND WI. 54015 1708 57 TH. AVE. HAMMOND WI. 54015 Legal Description NW/ NW/ S4/ T28N/ R1 7W Township: PLEASANT VALLEY County: ST. CROIX Subdivision Name: MISSY MEADOWS Lot Number 5 Block Number ALLY Parcell.D Number: 024-1047-05-000 :OVED TY AND Plan Transaction No AL S'- 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 9 SOIL EVALUATION Designer BRADY UTGARD License Number 220357 Date 05/3 Pual Phone Number 715-760-0946 Signature ned Pursuant to the Mound ComponeWTS Versio n 2A SDS-10691-P (N. 01101), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/61) Version 3.11 (R. 06101) Page 1 of 9 Mound and Pressure Distribution Component Design Site Information R Residential or Commercial Design Note Sand till (0) calculations assume a 400.00 Estimated Wastewater Flow (gpd) Table 83-44-3 in-stu soil treatment for fecal' 1.50 Peaking Factor (e.g. 1.5 = 150%) coliform of 36 inches. 600.00 Design Flow (gpd) 7.00 Site Slope 107.14 Contour Line Elevation (ft) 14.00 Depth to Limiting Factor (in) 0.40 In-situ Soil Application Rate (gpd/fe) Distribution Cell Information 60.00 Dispersal Cell Length Along Contour (ft) = 10.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ft1) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution y Pressure Disribution Information network? c Center or End Manifold 3.33 Lateral Spacing (ft) If N above, enter the elevation (ft) 6 Number of Laterals of the highest point 0.188 Orifice Diameter (in) (e.g. 0.25) 3.00 Orifice Spacing (ft) = 10.00 ft2/orifice 2.00 Forcemain Diameter (in) 80.00 Forcemain Length (ft) Does the forcemain drain back? y 99.00 Pump Tank Elevation (ft) 325 System Head (ft) x 1 3 13 05 Forcemain Drainback (gal) 9.97 Vertical Lift (ft) 55 93 5x Void Volume (gal) 2.56 Friction Loss (ft) 68,98 Minimum Dose Volume (gal) 15.78 Total Dynamic Head (ft) 39.32 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in dia options choice 0.75 1.25 _ 1.00 x 1.50 125 x x 2 00 x x 1.50 x 3 00 2.00 x 3.00 x Gallons/inch Calculator Treatment Tank Information 750.00 Total Tank Capacity (gal) 1250.00 Septic Tank Capacity (gal) 46 50 Total Working Liquid Depth fin) weiser Manufacturer 16 13 qal/in (enter result in cell B491 Dose Tank Information Effluent Filter Information 750.00 Dose Tank Capacity (gal) POLYLOK Filter Manufacb_ire- 16 12 Dose Tank Volume (gal'in) PL525 Filter Model Number Weiser Manufacturer Project. SHEARER Page 2 of 9 Mound Plan View Obsenalion Pipe - J K O l 1.;.'. W A B i , I L t` Mound Component Dimensions A 10.00 ft E 30.40 in B 60.00 ft F H 1.00 ft K p 9.25 in r 15.00 ft 11.86 ft 22.00 in G 0.50 ft L 83.73 ft J ft W 32.70 ft ( ) Dispersal Cell Area 71500.00.70 ft (ftl) Basal Area Available 'NO (gpd/ft) Linear Loading Rate 6.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 110 74 (ft) ` JH F 108.97 (ft) - t Dispersal Cell Dispersal Cell 109.47 (ft) Lateral Elevation' : Invert 7-0 % Site Slope 107.14 (ft) Contour Elevation Shading Key v m Geotextile Fabric Cover Topsoil Cap 'Q I Dispersal Cell 127 Subsoil o 1.5 ft See lateral details on TM Cap a o Page 4 for number, size, l ASTM C33 Sand 0 /~Q and spacing of laterals. V Tilled Layer 0 0.5 ft Typical I ateral F Laterals are equally Aggregate o o spaced from the distribution cells A --i centerline in the distribution cell (AxB)- Project: SHEARER Page 3 of 9 Center Connection Lateral Layout Daigram Force main connection via tee or cross to manifold at any point Laterals are identical 5r S I< P s y =Tum-upm'ballvalveor IEX--+102 I x0241 Laterals& force mao of PVC Sch 40 elesnout plu g per COMM Table 84.30-5 Holes drilled on the bottom of the lateral in Lateral Diameter 1.25 in Orifice Spacing (X) It Number of Laterals 6 Orifice Diameter Aft/sec Lateral Length (P) 29.26 ft Orifices per Lateral Lateral Spacing (S) 3.33 It Orifice Density ft /orifice Lateral Flow Rate 6.55 gpm Manifold Length It System Flow Rate 39 32 gpm Manifold Diameter in Total Dynamic Flead 15.78 It Forcemain Velocity Dose Tank Information Locking cover with warning label and locking device and Electrical as per NFC 300 and sealed watertight Comm 16 26 WAC - 4 in min. Disconnect _ Tank component is properly vented' F-- Alternate outlet location Forcemain diameter weiser Manufacturer 2 in Capacityl 750.00 Gallons -fi Volume 16.12 gal/inch A Weep hole or anti Dimension Inches Gallons B siphon device A 34.25 552.06 B 2.00 32.24 C P= ump off elevation (ft) C 4.28 68.98 99.50 D 6.00 96.72 D Total 46.53 750.00 Dose tank elevation (ft) 3" Bedding un er tank 99.00 f F-- Alarm Manuafacturer LEVEL / Alarm Model Number DLV Pump Manufacturer GOULDS Pump Model Number EP05 Pump Must Deliver 39.32 gpm at 15.78 ft TDH Project: SHEARER Page 4 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name UTGARD Phone 715-760-0946 POWTS Regulator's Name ST. CROIX 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 BODS 220 mg/L Septic Tank Capacity 1250 gal maximum TSS 150 mg/L Soil Absorption Component Size 600 ft' Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 1cfu/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 INSPECT FILTER ONCE A YEAR Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, 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 Tum-up Detail Finished , Grade Dn 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: SHEARER Page 5 of 9 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 W,s, Adm. Code. and shall maintained in accordance with its' component manuals [SBD-10691 -P IN 01101) and SSWMP Publication 9 6 (01181)] 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 Comm 83.33, 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 watertightness 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. 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. T he 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 fitter 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 lank 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 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 sod 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 BOD., 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD;, 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 pending. Pending 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 ds' 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 Project. SHEARER Page 6 of 9 ITT GOULDS PUMPS Wastewater PERFORMANCE RATINGS COMPONENTS I.. Gailans Pe[ f ' Total Head Item fft. af,vateq mute Na !Des[rfpt~on - ENi{ I EPOS ~-pol_. i _ r 2 2 4 6 61 3 Pmac Cc+i~~ r5 36 55 5eal f a 20 2' .15 3 SallAea"ngs 0 R'rgs ino' tor H`.ca; -tur 31 IS _ - G Y 7. f. 1 - I L ~ EPOS 3 10 l 2 tut:: / Ci. 00 57 r 1 ~'1 2 o A tC 72 m:' i L i w-A \ / u( X 1 C~ F tp ' v ' \L r a. jun.= t0 O sy J r., L s a _ L, 1 . - es;n ,r+(Gt~J r ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buver_~L_i_ Mailing Address Property Address(/ 7 6 ( Verification required from Planning & Zoning Department for new construction.) City/State __Z/C cL -T Parcel Identification Number 0, 2V Gj - C6 C-% LEGAL DESCRIIf10N Property l ocation Sec. f J N R / LW, 'T'own of Jp~C Subdivision Plat:_ Lot Certified Survey Map # Volume - Page # Warranty Deed # (before 2007)Volume ^ Page Spec house Dyesfito Lot lines idenlifable0y"Ono SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to haudle wastes. Proper maintenance consists of pumping out the septic tank every do ec years or sooner, if needed, by a IICCnsed pumper. What you put into the system can affect die function of the septic lank. 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. llie property owner agrees to submit to St. Croix County Planning & Zoning Department a certification firm, signed by die owner and by a master plumber, journeyman plumber. restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (i (necessary), the septic tank is less than 113 lull of sludgc. IAvc, the undersigned have read the above requirements and agree to maintain the private sewage disposal system With die standards set ti rth, herein, asset by the IAparlment of Safety And professional Services and the Department of Natural Resources, Slate of Wisconsin. Certification stating that your septic syslen has been maintained must be completed and returned to the St. Croix County planning & Zoning Department within 30 days of the three year expiration dale. I/we certify that all statements on dtis ; rm are true to the best of my/our knowledge. )/we am/are the owner(s) of the property described above, by virtue or a wa [v deed recorded in Register or Deeds Office. Num of bedrooms_ S1C;W (TIRE OF APPLICANT(S) DATC TE +"Any inlurmation that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. Include with this application it recorded warranty deed tiom the Register of Deeds Office and a copy ofthc certified survey map if' reference is made in the warranty decd. (REV. 04/12) R'EECEIVE 7 zv(y-aoz ' CeW!mrert of Safety and Prefers ahal Services Diviiacin of Industry Serv1e JAN 1-5 ZO' E SOIL EVALUATION REggLgCIx COUNTY ''atile ! of /e^ `nacmndancewth SPS383,WS Adm. Cod Z0~1-`II11,:iTV nFVFI nP •F T Attach I county w mpN.Ye rte plan on paper not less than 8 112 s I t lnrlies in sze. Plan moat ST CROIX lop alclude, but r" Amded b: vertical and hll otal I r M point IBM), d reCron and I Pamem slope. scab Or oirnenslons, north arrow. and 1x_tlion and distance to nearest road pacd 10 1121 - 1(9 7 - 05 - (XX) tC Pfease print aff information. Reviav d by Care f . av~M.Mam..~o.yd, pavitle - arY w!DO G ^•.Ti be uaq !v any! ',Pny;y Lev. s 139a (1)rmll. rope . O r PmpenY l.ocaion AL LPN C'. & LINpn I NYIi 4fiEN Gp„t. Lot ___Nl$ ~ E _ 1/4 NW 1N 4 T x N R 17 E~rx; yy Prop" Owner s M8&M Address L ot~. Rbr1~ M Sr6d Nan+e CSW Gty 2952 2 1;2 Avenue _ Missv ~tc:aluws L~ Zip Code Pt-r,. Nuron Ljw IY Ljva'+g0 own Nearest Road ~I,~ New .kubum. I N'I I 54757 me SAALTIAl 57th Avenue }avE ❑ New Cunsnurdon Use(] Residanwit, N(anber of be.wd.ro..aom~.s ' Coda derwim dusw 40%, rake 450 nPO Replacement Pubac or comneroal . Lxgs rt' Parent _ 5aldst0-lC _ Flood PfamelevaaM d appipple ,l General CdrtntnLS R and reconvnennations- -Mmmd Systan 1.84 It. sand ;ill 0.4c loading rate Zo ..t_ ,~11C`~ f^) Soils on-site with County pcnunalcl, (Nu [rust) U J r71 8ortg a ❑ Bon^9 . Q P:t Ground surface erev I o3.00 _ R Onpol to irniltfg factor 14 _ in. Horuoh UepM L)0,he am Color Red- q14 Munseo rh Sz. Cont. „olor reeure Struotu~Consetence Boundary Roots Cr. St Sh 101 OY R 7, 11 1>- sandstone 'T , i 1m.t4 14 Pit Ground surface eP,v Decant to hnirm factor in. Horizon Deport Dammam Color Red- -T Sot Applloalan R-m~ Descriptor iexlufe . Struen;re r:pnsnlenca Bandary~ Root GPOM 4- ~_Murnerl Ou. St Cart. Cpror Gr Sz. Sh. I 'Efl1`1 'EIfa2 1 0-8 M_R]_ I 2fsbk mvfr cs 2vf-m 04 0.7 2 8.14 ' I0Y'R3 - - r osif _ ml ch I 1vf.m 0.5 I.n 14- <inldaone Effluent a' . FyCI} > 30 <Y20 rtglL and 1 SS->3U c 150 mg!L ERkaavd 82 -800.1 30 mq~L 'and TS 130 ff CST Name IPpase prrq S - - nID'L CST NUnby MA dress 111U1'PF:RI IHuihxlcYS tim Address I lc-stinR.@Ih•sirni bCtr !L r~.f _ 2'4%32 Dale E aeon Conducted 54i)2_ T rJe~7V I r W9R75 h91Rh Avenue, River Falls, %vi (11 - OR - 2016 715-426-1775 S8r> gl O(RO7111) Prcperty O«n NYtlAtAN-Alknt Linda F_r~,Da 0.4-1iN,-0S-QM - Page or - ' Bom9 ♦ r' ~ Ground surface etev 111 50 R ✓ 0 Pit _ Depth to SmOV facix - - 14- m. Sat icauori Ra:u NOnizdf Daps Do ant C07 Redo, Descs"On 1 Tenwa Stnrdum Cortatswics 9ounGary Rocls GPOrif ir. Mansell Cu. Sc Cord Cobr Gr. Sz -Sh-~ ~ 'Extol '£fK2 1 0-9 IM R3 ~ I 21'.bk mrlr cs 2%f-m 0.4 Il.? ? 9_I.3 I"YR?.i 1 - B 11.+ m1 Ivf-m 03 1.11 Ii- sandsumc ' f - * Ba9 F-1 Pit Greutxi surface ekv. It DntMr 10 limiting latlor m. Spite Ra:v i Hortzrn Depth Dfanelinl C:nla RntlOx l>e pon Texture Stratum ::OriSWen(x'I Boundary Roots GPO/ff m. Mansell Du Sz Cunt Cdor Gr. Sz. gh. I 'EfM! '062 ~ I I I smng u Fit Grurd suntace erov !1. Def%h to Yrrrtag lagor m H Sod Application Rate llw o Depth Dominant Cokr Redox Ilea pbon texture SUUCtum, i Consistence 90tuZ7ry Rmu; GPDrtf n. Murse# Du Sz cc", Color Gr. Sz. Sh L"I -EK112 I i 1 I i i I Ef menz #1 = BOO > 30 < 22o mg4 ant TSS >3C < 150 mgt ' EMUZnt a2 = 900.. < 30 mpt and TSS < 30 nVI- i Plot Plan p~,,,~~~ P~ 3n1,3 "`~'wsf' Owatt AGt Ent G €Lw ! , rN AG~~1-----~ Legal oA c~F s M 1 40-A ssv M_ En s OF (Gcvt WkerC bored) PRT, tw ~ OF 7itE klw`~y SF~, 4 12Kw TG t71d. BecUoepit t,~.t of R ~_NT lfk 4~Y ^r C'j~X Cum A7Ty tA)t Nor& W E t.~iO Af cAe /OI fS! . i D Q$Z 111. ~e \ yp9 F 91(ld pj~ a S Fyn42 _i0✓OF ~,cZovN~ Sw E~yµt~.~ .TeP of ZP, /D3.6; r' '45 MEp oO.OC Site Locadon: b 60 i'% i1vE. 1_0~ i - fIZMU /..,c. F ' w r ~t „A L•~ 13 L o TS ~Frinl (sr Div 4oP~ PROM ~3-7A,~-RE5~ 024- lboo 95000' C2-8,eaAG+2f5) a2`t-(boo-9o-roc Wisconsin Department of Commerce SOIL EVALUATION REPORT Page!__of 3 DKision of Safety and Buildlomgs in accordance With Comm 85. Wis. Prim. Ca1u Gx+rA' $ T- G R O I X Attach complete site plan on paper not less than B 12kl ~~inc~4s.ilt stm Pldn feusi include, but not hrrvted to: varlical and honrrnntel refert~ice Pohl direction wd Parcel ID. percent slope, scale or dimensions. north amaw, and lofatfar and distance to nearest roe . Phrase print alt infonnAdOn. Reviewed Data P'axonar hr6onrrs4on you p oWds mq be Used letaecandwy pppuees(R'rvacy taM.~lS.ek~(t)(m)1. ww AroperlyOwner P,io N Y k A C~~ I l Lot W 1&rAy 1114 S 4 T 28 N R E (or) Property Owner's Me" (Address L~ Block if Subd Name or CSM# acj52 2'/2 AVCPJ%AE M)55Y MEADOWS City State 4W Curio Phone Nunha ❑ City O village ® Town Nearest Road NleW AUbun WI 154 7r7 (715)2 1-2135' ~'1.6A5Al~17 M-LE OT''AJE New Carseucbon User]- Residential t Number otbedmors Code derived design flow rare _ b GPD ❑Replacement '0 PubGc or cormercial - Desrnbe: - fl. Parent material Flood plain elevation if afepsreble General comments and recormrenda•ons: Area Srof _ rested suitable (Or a rne,uno IP.7.A 1 S) system using ! Erc 4/ ~ l~ sand 1111. Boring # 8 © Pit Ground surface elev. q9' 29 A Depth to IMirtng factor 2 C1 h Soft Rah Redox Description Texture Structure ConAme rce Boundary Roots *M1 1 'Ef(#2 in. Qu. Sz. Cori Color Gr. Sz. Sh. Normon Depth 7I-LO)YR-7/1 1 0-12- 3/3 I bK M 6r a5 -3 olor 2 1229 5 05 M I dvf 5 /.O 297Q, nlh STONE (dS~pR C4<, # 0 Boning 2 2soft ® Pit Ground surface elev. 99.29 R Depth to railing fader 3 in. sea icabon Rate Horizon Depth Dominant Color Redox Description Texhue Struck" Consistence Boundary Roots GPDM in. Munsel Qu. Sz. Cons Color Gr. Sz. Sh. 'Efl#1 'Efl#2 1 0-I lowR313 - IL a5bkm rnfr aw 3v7t 8 1.o Z 15-32 Jnt/R'l). r 5 p I - avf 15 3 323 San 5f-one- JgedR0 • Efnuent #1 = BOD > 30 <220 mgt and TSS >30 < 150 rtg& • Effluent #2 = BOD 30 mgt and TSS < 30 mg1L CST Nano (fie Print) Signatune CST Number JENNY U L B12ic-H-r 858934 Address Date Evaluation Cordiwtad TeleP tone Number 2812 /O Trf AJF SPRr4f-r /ALL EY✓Wl 54767 4pn1 1'9-/l7~ ZC»S~'715~-~72~~F Ulbric'-' 1's jnsultants p ~ i v 54767 1y i UiDT,,;M & Associates i ivate Sewage Consultants 2812 10th Ave. Spliwl Va111--v 'A" 54767 L bT S b Z~}-loin-95-000 Prop" Omen/'yNA 6rE14 _ Parcem#_tiz9-loop-90-100 Page? Boring # ❑ e«ins 3 ® Pit Ground surfaceelev. 95 0,T. n. Depth to frrvfmg factor Sai r R to Roo Florimn Deptlt OorrfcraM Coiot Redox Description Texture Structure Cor>saV-moe Bound'uY Roots GPM _ in. Munsell Qu. Sx. Cent Color Gr. Sz Sh. 'CHI 'EM2 0-13 0l 2/✓/3 - X oZ k mfr 0.w 3V4 ~v .5 2 13-30 1vYR7/1 -Q ml - a~{ 5 1.O 3 3oz 5and5 ne Baring # ❑ Boring ❑ Pit Ground surface elev. R Depth to limiting factor in. Sol AMlicabon Race Horizon Depth Dominant Redox Description Texture Strucdrte Consistence Bandany Roots GPDAF C4DIM in. Mu sell Qu SZ Corti. Color Gr. Sz. Sh. 'EN#l 'Eff#2 F-I Boring # ❑ Bonny ❑ Pit Ground surfaceetev. R Depth to for iting factor in. Sop citation Rate Horizon Depth Dommnant Cdor Red°x DescdpNm, Texture Structure Consisterxx Boundary Roots GPDflF in Mtnsell Qu. Sz. Corn. Color Gr. Sz. Sh. -EB#1 -Ef#!2 ❑ Boring d Boring Grand surface elev. fl. Depth to knitting factor-.- in. F-I ❑ Pit Soil Apocabon Rate Harmon Depth Derrnmti Color Rerbx Description. Te,tUM StrutWe Consistence Ba Roots GPDIR tn. Mutsoll Qu. Sz. Cond. cow Gr. Sz. Sh. 'Etf#1 low U 9 ~ N D D D • • f l - D cJ1 ~ p tl I~ r I L l A ■1~7~ I 1 1 \ ~ 0 ~ 1111 V y ~ ~ 0 y ~ ,L 1 _ ~ N o o to T IL oc f -0 N J' 0 S f rj a IT) it I N~ D ~ t~ ST. CROIX COUNTY WISCONSIN _ _ PLANNING & ZONING DEPARTMENT F ° u n u ■ I - ST. CROIX COUNTY GOVERNMENT CEN I LIZ 1 101 Carmichael Road _ Hudson, W1 54016-7710 - Phone: (715) 386-4680 Fax (715) 356-4686 Memo to File From: Parn Quinn. Zoning Specialist/ Date: 9130/2005 L / Re: On-Site Soil Evaluations for Lots 3, 7, and 10 of Missy Meadows Subdivision (N 112 NW% Sec 4 , Town of Pleasant Valley) Oil September 26, 2005 Ryan Yarrington, Kevin Grrabau, and myself, met CSI' Donna Stark and Leroy Jansky of DCONIM for an on-site evaluation of soil conditions on the above-referenced lots. Our office had received three updated sail reports frtnn CST Stark for relocating POWTS system areas front the original soil reports completed by CST Jenny Ulbricht (who could not attend the on-site). Both soil testers had documented that fine sands were observed with dominant Nlunsell colors o1' either 10 YR 8A or 10 YR 8;2. Low chroma!'high value colors can be indicative of bedrock weathered in-place, as opposed to soils weathered and then deposited in another location. Per Conlin 83.44(3)(a) the infiltrative surface a POWTS must be located at least 24 inches above bedrock. Alter it review of the submitted soil reports, Nor. Jansky agreed that the soils should be evaluated to determine whether or not conventional POWTS were appropriate options for these lots. Following is a summary of Leroy's assessment of appropriate POWTS for each lot: Lot 3 - TNvo test pits were excavated (one in CST Stark's tested area, another in CST Ulbricht's area) and fine sands with banding were observed at 32" below grade in the latter pit. Leroy determined that the tine sands were weathered in-place from underlying sandstone bedrock and agreed with the original soil report's recommendation fir use of a mound PO\VTS. In addition, it appeared that some fill material may have been deposited in CST Stark's proposed area that would preclude its use for a mound or at-grade POWTS. Lot 10 A pit excavated within CST Stark's proposed POWTS area had sandy loans soils that extended approximately 60 inches below grade, overlying 10 YR WI line sands (weathered bedrock). The four test pits previously reported had 50 - 54 inches above the fine sands. A conventional POWTS would have to be installed at least 36 inches above the -bedrock" limiting factor, so must be extremely shallow and will require it minimum of 12 inches of soil cover mounded over the system (per In-ground Soil Absorption Component N~lanual). Lot -7 - A test pit was excavated within the proposed tested area and another approximately 20 leet NE of pit R1. As reported by CST Stark, fine sands (weathered bedrock) were encountered within 14 inches ofsurfacc grade, which would meet requirements in Comm 83.44 (3)(b)l Im a mound with at least 6 inches of in-situ soil. This site is not, however, suitable for a conventional PONVTS in either of the tested areas identified in submitted soil reports. Mr. Jansky will provide written documentation of his on-site evaluations and specific conditions to be included on sanitary permits issued by the county for each lot. A copy of this memo will be attached to all soil reports for this subdivision and, unless proven otherwise by county on-site, fine sands will be considered "weathered bedrock" fiu rise in designing appropriate POWTS for each site. Cc: James Henry, Subdivision Developer Jim Krueger, General Contractor Donna Stark, CST #221746 Jenny Ulbrich(, CST #859934 Leroy Jansky, DCOn4h4 Regional Wastewater Specialist Soil report file.