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Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 605086 GENERAL INFORMATION State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 3101687 Permit Holder's Name: City Village Township Parcel Tax No: Charles & Susana Shaklee TOWN OF SAINT JOSEPH 030-2153-08-000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: 20.30.19.3078 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt. BM Aeration Bldg. Sewer Holding St/Ht Inlet St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt Bottom Dosing Header/Man. Aeration Dist. Pipe Holding Bot. System Final Grade PUMP/SIPHON INFORMATION Manufacturer Demand St Cover GPM Model Number TDH Lift Friction Loss System Head T DH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION Type Of System: CHAMBER OR UNIT Model Number: DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes [E No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 1464 48TH ST 1.), Alt BM Description = 2.) Bldg sewer length = - amount of cover = Plan revision Required? Yes Efl No Use other side for additional information. SBD-671 0 (R.3/97) Date Insepctor's Signature Cert. No. Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 605086 GENERAL INFORMATION State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 3101687 Permit Holder's Name: City Village Township Parcel Tax No: Charles & Susana Shaklee TOWN OF SAINT JOSEPH 030-2153-08-000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: 20.30.19.3078 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt. BM Aeration Bldg. Sewer Holding St/Ht Inlet St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt Bottom Dosing Header/Man. Aeration Dist. Pipe Holding Bot. System Final Grade PUMP/SIPHON INFORMATION Manufacturer Demand St Cover GPM Model Number TDH Lift Friction Loss System Head T DH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION Type Of System: CHAMBER OR UNIT Model Number: DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes [E No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 1464 48TH ST 1.), Alt BM Description = 2.) Bldg sewer length = - amount of cover = Plan revision Required? Yes Efl No Use other side for additional information. SBD-671 0 (R.3/97) Date Insepctor's Signature Cert. No. (~M ~D Industry Services Division St. Croix 1400 E Washington Ave Sanitary Permit Number (to be filled in by Co.) P P.0, Box 7162 '~i ~ SUN 2 7 2018 Madison, l 53707-7162 A., V pp{A~ ✓ SS U 0 't Application 310168 ansaction Number In accordance with P ; ' . Code, submission of this form o e approp Late gov tmen unit is required prior to o taining a sanitary permit. Note: Application forms for state-owned POWTS ar., submitted to project Address (if different than mailing address) the Department of Safety and Professional Services. Personal information you provide may be used for second 1464 48`" Street purposes in accordance with the Privacy Law, s. 15.04(1 (m , Stats. 1. Application Informati lease Print All Information Property Owner's Name ! Parcel - OaL) Shaklee , Charles & Susana 030 2153-08-991•4wQ-a 3d -7 5? Property Owner's Mailing Address Property Location 1135 Settlers Avenue Govt. Lot City, State Zip Code Phone Number SW 1/4, NE 1/4, Section 20 Stillwater, MN 55082 (circle one) T30N R19EorW II. Type of Building (check all that apply) # ® 1 or 2 Family Dwelling - Number of Bedrooms 8 Subdivision Name 6~ A Pioneer Ridge ❑ Public/Commercial - Describe Use Block # AA^- ❑ City of ❑ State Qwned - Describe Use ❑ Village of J CSM Number D 75 ® Town of St. Joseph 7 II1. T Check onl one box on line A. Complete line B if applicable) I:epla ystemRcement System El Treatment/Holding Tank Replacement Only Other Modification to Existing System (explain) ❑ Permit Renewal ED Permit Revision El Change of El Permit Transfer to New List Previous Permit Number and Date Issued B. Before Expiration Plumber Owner IV. Type of POWTS System/Component/Device: (Check all tha y ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ® Mound > 24 in. of suitable soi ® Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pre c t-c- V. Dis ersal/Tre ment Area Information: Design Flow (gpd) Design Soil Applicatio Dispersal Area Requir d (sf) Dispersal Area oposed (sf) Sys a Elevatio 600 Rate(gpdsf) 1000 1621 0.6 VI. Tank Info Capacity in a Gallons Total # of U 2 a; N Manufacturer Gallons Units o A - New Tanks Existing Tanks 9 a U ~ B Septic or Bolding Tank 12011 1210 1 ieser Concrete 0 0 ❑ ❑ ❑ Dosing Chamber 800 800 1 Wieser Concrete ® ❑ ❑ ❑ ❑ VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumbe ' re MP/MPRS Number Business Phone Number John Schmitt 223760 715-760-0486 Plumber's Address (Street, City, State, Zip Code) 616 150th Ave. Somerset, W154025 .01 VII onn Me artment Use Onl Approved Disapprove Permit Fee Date issued) / Issuin gent Signal e ❑ Given Reason for ial $ IX. Cond n, r Disapproval et 1 I ',,~J#!n~~Sc le'►'~.clt ~'7'~e~ rl.~.~ 2.~.~w ~ r~PW41*11 plan prct(k ed bV plumber. iA •om mud be rriainlzir Ed PW joFftr►t+ c J ~rrtirarnr;s H ti U ZD i $-r C~3 ate.. t Attach to complete plans for the system an ubmit to the County only on paper qot less than S t/2 x 11 inch Is in size dl.i,A SBD-6398 (R03/14) (~M ~D Industry Services Division St. Croix 1400 E Washington Ave Sanitary Permit Number (to be filled in by Co.) P P.0, Box 7162 '~i ~ SUN 2 7 2018 Madison, l 53707-7162 A., V pp{A~ ✓ SS U 0 't Application 310168 ansaction Number In accordance with P ; ' . Code, submission of this form o e approp Late gov tmen unit is required prior to o taining a sanitary permit. Note: Application forms for state-owned POWTS ar., submitted to project Address (if different than mailing address) the Department of Safety and Professional Services. Personal information you provide may be used for second 1464 48`" Street purposes in accordance with the Privacy Law, s. 15.04(1 (m , Stats. 1. Application Informati lease Print All Information Property Owner's Name ! Parcel - OaL) Shaklee , Charles & Susana 030 2153-08-991•4wQ-a 3d -7 5? Property Owner's Mailing Address Property Location 1135 Settlers Avenue Govt. Lot City, State Zip Code Phone Number SW 1/4, NE 1/4, Section 20 Stillwater, MN 55082 (circle one) T30N R19EorW II. Type of Building (check all that apply) # ® 1 or 2 Family Dwelling - Number of Bedrooms 8 Subdivision Name 6~ A Pioneer Ridge ❑ Public/Commercial - Describe Use Block # AA^- ❑ City of ❑ State Qwned - Describe Use ❑ Village of J CSM Number D 75 ® Town of St. Joseph 7 II1. T Check onl one box on line A. Complete line B if applicable) I:epla ystemRcement System El Treatment/Holding Tank Replacement Only Other Modification to Existing System (explain) ❑ Permit Renewal ED Permit Revision El Change of El Permit Transfer to New List Previous Permit Number and Date Issued B. Before Expiration Plumber Owner IV. Type of POWTS System/Component/Device: (Check all tha y ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ® Mound > 24 in. of suitable soi ® Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pre c t-c- V. Dis ersal/Tre ment Area Information: Design Flow (gpd) Design Soil Applicatio Dispersal Area Requir d (sf) Dispersal Area oposed (sf) Sys a Elevatio 600 Rate(gpdsf) 1000 1621 0.6 VI. Tank Info Capacity in a Gallons Total # of U 2 a; N Manufacturer Gallons Units o A - New Tanks Existing Tanks 9 a U ~ B Septic or Bolding Tank 12011 1210 1 ieser Concrete 0 0 ❑ ❑ ❑ Dosing Chamber 800 800 1 Wieser Concrete ® ❑ ❑ ❑ ❑ VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumbe ' re MP/MPRS Number Business Phone Number John Schmitt 223760 715-760-0486 Plumber's Address (Street, City, State, Zip Code) 616 150th Ave. Somerset, W154025 .01 VII onn Me artment Use Onl Approved Disapprove Permit Fee Date issued) / Issuin gent Signal e ❑ Given Reason for ial $ IX. Cond n, r Disapproval et 1 I ',,~J#!n~~Sc le'►'~.clt ~'7'~e~ rl.~.~ 2.~.~w ~ r~PW41*11 plan prct(k ed bV plumber. iA •om mud be rriainlzir Ed PW joFftr►t+ c J ~rrtirarnr;s H ti U ZD i $-r C~3 ate.. t Attach to complete plans for the system an ubmit to the County only on paper qot less than S t/2 x 11 inch Is in size dl.i,A SBD-6398 (R03/14) PLOT PLAN N Project Name: Shaklee 4 Bedroom Mound Legal Description: SW1/4, NE1/4, S20, T30N, R19W P.I.D: 032-2153-08-001, 030-2153 Subdivision Name: Pioneer Ridge Lot 8 SCALE: 1° = 60' Township: St. Joseph Parcel Size: 3.000 Acres County: St. Croix Contour Line Elevation: 98.90 Cell Dimensions: 8'X 75' 4 inch Sch 40 -ASTM D2665 System Elevation 100.00 Mound Dimensions: 84.56' x 27.09' 2 inch Sch 40 -ASTM D1785 Slope 10 11/2 Sch 40 -ASTM D1785 A BM1 Elevation: 100.00' To of 2" PVC pipe BM2 Elevation: 99.75 To of 2" PVC pipe ■ Backhoe Pits: Septic Tank: 1200 gallon Septic Tank w/ POLYLOK 525 Effluent Filter Dose Tank:! Boo gallon Dose Tank i OVA I ~u ~3 i ~l(~ / t3 ~StA2t?Gf°~ 1404,tsE Oki vE s e/ I Zoo/ IB00 &AL00 ~p O-WELL 49 ® , PLOT PLAN N Project Name: Shaklee 4 Bedroom Mound Legal Description: SW1/4, NE1/4, S20, T30N, R19W P.I.D: 032-2153-08-001, 030-2153 Subdivision Name: Pioneer Ridge Lot 8 SCALE: 1° = 60' Township: St. Joseph Parcel Size: 3.000 Acres County: St. Croix Contour Line Elevation: 98.90 Cell Dimensions: 8'X 75' 4 inch Sch 40 -ASTM D2665 System Elevation 100.00 Mound Dimensions: 84.56' x 27.09' 2 inch Sch 40 -ASTM D1785 Slope 10 11/2 Sch 40 -ASTM D1785 A BM1 Elevation: 100.00' To of 2" PVC pipe BM2 Elevation: 99.75 To of 2" PVC pipe ■ Backhoe Pits: Septic Tank: 1200 gallon Septic Tank w/ POLYLOK 525 Effluent Filter Dose Tank:! Boo gallon Dose Tank i OVA I ~u ~3 i ~l(~ / t3 ~StA2t?Gf°~ 1404,tsE Oki vE s e/ I Zoo/ IB00 &AL00 ~p O-WELL 49 ® , o~~~xTMp DIVISION OF INDUSTRY SERVICES Ham' ~o~ 3824 CREEKSIDE LN a` HOLMEN WI 54636-9466 3 j S Contact Through Relay P http://dsps.wi.gov/programs/industry-services yb S ow www.wisconsin.gov ~O sSIONP- Scott Walker, Governor Laura Guti6rrez, Secretary May 21, 2018 CUST ID No. 223760 ATTN: POWTS Inspector JOHN F SCHMITT ZONING OFFICE SCHMITT & SONS EXCAVATING ST CROIX COUNTY SPIA 616 150TH AVE 1101 CARMICHAEL RD SOMERSET WI 54025-6920 HUDSON WI 54016-7708 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/21/2020 Identification Numbers Transaction ID No. 3101678 SITE: Site ID No. 849186 Shaklee Please refer to both identification numbers, 1464 48TH St above, in, all correspondence with the agency. Town of Saint Joseph St Croix County SWIA, NE1/4, S20, T30N, R19W FOR: Description: Four Bedroom Mound System \ Sloping site Object Type: POWTS Component Manual Regulated Object ID No.: 1761666 Maintenance required; 600 GPD Flow rate; 23 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-10706-P (N.01/01, R. 10/12); Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. COND The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. AP No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, DEPT O stats. PROFESSI The following conditions shall be met during construction or installation and prior to occupancy or use: DrAJON OF Reminders • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.19, Wis. Stats. CO • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made wit the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. • All POWTS component piping material shall be SPS 384, Wis. Adm. Code compliant. • The area within 15' downslope of the dispersal cell shall remain undisturbed. Vehicular traffic, excavation or soil compaction is prohibited in this area. • 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. o~~~xTMp DIVISION OF INDUSTRY SERVICES Ham' ~o~ 3824 CREEKSIDE LN a` HOLMEN WI 54636-9466 3 j S Contact Through Relay P http://dsps.wi.gov/programs/industry-services yb S ow www.wisconsin.gov ~O sSIONP- Scott Walker, Governor Laura Guti6rrez, Secretary May 21, 2018 CUST ID No. 223760 ATTN: POWTS Inspector JOHN F SCHMITT ZONING OFFICE SCHMITT & SONS EXCAVATING ST CROIX COUNTY SPIA 616 150TH AVE 1101 CARMICHAEL RD SOMERSET WI 54025-6920 HUDSON WI 54016-7708 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/21/2020 Identification Numbers Transaction ID No. 3101678 SITE: Site ID No. 849186 Shaklee Please refer to both identification numbers, 1464 48TH St above, in, all correspondence with the agency. Town of Saint Joseph St Croix County SWIA, NE1/4, S20, T30N, R19W FOR: Description: Four Bedroom Mound System \ Sloping site Object Type: POWTS Component Manual Regulated Object ID No.: 1761666 Maintenance required; 600 GPD Flow rate; 23 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-10706-P (N.01/01, R. 10/12); Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. COND The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. AP No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, DEPT O stats. PROFESSI The following conditions shall be met during construction or installation and prior to occupancy or use: DrAJON OF Reminders • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.19, Wis. Stats. CO • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made wit the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. • All POWTS component piping material shall be SPS 384, Wis. Adm. Code compliant. • The area within 15' downslope of the dispersal cell shall remain undisturbed. Vehicular traffic, excavation or soil compaction is prohibited in this area. • 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. i JOHN F SCHMITT Page 2 5/21/2018 j 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. • The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. 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. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 A~ This Amount Will Be Invoiced. w` When You Receive That Invoice, Gerard M Swim Please Include a Copy With Your POWTS Plan Reviewer, Division of Industry Services Payment Submittal. WiSMART code: 7633 (608)789-7892, Mon -Fri, 7:15 a.m. - 4:00 p.m. jerry.swim@wi.gov cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Mon-fri, 8:00 A.M. - 4:30 P.M. ( 103 i JOHN F SCHMITT Page 2 5/21/2018 j 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. • The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. 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. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 A~ This Amount Will Be Invoiced. w` When You Receive That Invoice, Gerard M Swim Please Include a Copy With Your POWTS Plan Reviewer, Division of Industry Services Payment Submittal. WiSMART code: 7633 (608)789-7892, Mon -Fri, 7:15 a.m. - 4:00 p.m. jerry.swim@wi.gov cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Mon-fri, 8:00 A.M. - 4:30 P.M. ( 103 JOHN F SCI-MITT Page 2 5/21/2018- 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. • The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. 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. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 This Amount Will Be Invoiced. When You Receive That Invoice, Gerard M Swim Please Include a Copy With Your POWTS Plan Reviewer, Division of Industry Services Payment Submittal. (608)789-7892, Mon - Fri, 7:15 a.m. - 4:00 p.m. WiSMART code: 7633 jerry.swim@wi.gov cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Mon-fri, 8:00 A.M. - 4:30 P.M. t 7 1 JOHN F SCI-MITT Page 2 5/21/2018- 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. • The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. 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. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 This Amount Will Be Invoiced. When You Receive That Invoice, Gerard M Swim Please Include a Copy With Your POWTS Plan Reviewer, Division of Industry Services Payment Submittal. (608)789-7892, Mon - Fri, 7:15 a.m. - 4:00 p.m. WiSMART code: 7633 jerry.swim@wi.gov cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Mon-fri, 8:00 A.M. - 4:30 P.M. t 7 1 Residential ;application MOUND AND PRESSURE DISTRIBUTION CO 7INDUSTRYES INDEX AND TITLE PAGE Y 7 2018 Project Name: Shaklee 4 Bedroom Mound ~ Owners Name: Charles Susana Shaklee Owner's Address 1135 Settlers Avenue Stillwater MN 55082 Legal Description: SW1/4, NE1/4, S20, T30N, R19W Township St. Joseph County: St. Croix - Subdivision Marne: Pioneer Ridge ITIONALLY Lot Number: 8 Block Number 3ROVED SAFETY AND Parcel I.D. Number 032-2153-08-001, 030-2153-08-001 7NA TR 1DUSY SERVICES Plan Transaction No. Page 1 Index and title Page 2 Data entry _ x PONDENCE Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Septic and Dose tank specifications Page 8 Effluent filter information Page 9 & 10 Pump specifications and curve Page TT Pfotpran Page 12 Septic tank maintenance agreement Page 13 Warranty deed Page 14 CSM Attachment Soil evaluation report Designer: John Schmitt License Number: 223760 Date: 412812018 Phone Number. 715-760-0486 Signature: +-~~J C t~L! Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SBD-10691-P (N. 01/01) and both SSWMP Publication 9.6 Design of pressure Distribution Networks for ST-SAS (10/81) and Pressure Distribution Component Manual Ver. 2.0 S6D- 10706-P (N. 01101) Vermon 7.0 (R. 03/2012) Page 1 Residential ;application MOUND AND PRESSURE DISTRIBUTION CO 7INDUSTRYES INDEX AND TITLE PAGE Y 7 2018 Project Name: Shaklee 4 Bedroom Mound ~ Owners Name: Charles Susana Shaklee Owner's Address 1135 Settlers Avenue Stillwater MN 55082 Legal Description: SW1/4, NE1/4, S20, T30N, R19W Township St. Joseph County: St. Croix - Subdivision Marne: Pioneer Ridge ITIONALLY Lot Number: 8 Block Number 3ROVED SAFETY AND Parcel I.D. Number 032-2153-08-001, 030-2153-08-001 7NA TR 1DUSY SERVICES Plan Transaction No. Page 1 Index and title Page 2 Data entry _ x PONDENCE Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Septic and Dose tank specifications Page 8 Effluent filter information Page 9 & 10 Pump specifications and curve Page TT Pfotpran Page 12 Septic tank maintenance agreement Page 13 Warranty deed Page 14 CSM Attachment Soil evaluation report Designer: John Schmitt License Number: 223760 Date: 412812018 Phone Number. 715-760-0486 Signature: +-~~J C t~L! Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SBD-10691-P (N. 01/01) and both SSWMP Publication 9.6 Design of pressure Distribution Networks for ST-SAS (10/81) and Pressure Distribution Component Manual Ver. 2.0 S6D- 10706-P (N. 01101) Vermon 7.0 (R. 03/2012) Page 1 , T Mound and Pressure Distribution Component Design Design Worksheet Site Information _ (R or C) R Residential or Commercial Design Note: sand fill (D) calculations assume a 400.00 Estimated Wastewater Flow (gpd) Table 38344-3 in-situ soil treatment for 1.50 Peaking Factor (e,g. 1.5 150%) fecal colifoml of 36 Inches. 600.00 Design Flow (gpd) 10.00' Site Slope 98.90 Contour Line Elevation (ft) 23700 Depth to Limiting Factor (in) 0.60 In-situ Soil Application Rate (gpd/ft) Distribution Cell Information 75.0{3 dispersal Cell Length Along Contour (ft) - 8.00 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? Enter Y or N (C or E) C' Center or End Manifold 2.67 Lateral Spacing (ft) If N above, enter the elevation ft 6 Number of Laterals of the highest point. 0.156 Orifice Diameter (in) 2.57 Estimated Orifice Spacing (ft) = 7.14 fe/orifice 2.001 Forcemain Diameter (in) _ 75.061 Foreemain Length (ft) Does the forcemain drain back? 90.00 Pump Tank Elevation (ft) Enter Y or 4.55 System Head (ft) x 1.3 12.23 Forcemain Drainback (gal) 9.65 Vertical Lift (ft) 101.08 5x Void Volume (gal) 3.11 Friction Loss (ft) 113.31 Minimum Dose Volume (gal) 6.,b0 In-line Filter Loss {ft} 45.23 System Demand (gpm) 17,31 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection in. dia, options choice in. dia. options choice 0.75 1.25 1.00 x 1.50 x x 1.25 x 2.00 x 1,50 x x 3.00 2.00 x 3.00 x Gallons/Inch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 1200.00 Se tic Tank Capacity (gal) Total Working Liquid Depth (in) Wieser Concrete Manufacturer gain {enter result in cell 849} Dose Tank Information Effluent Filter Information 804.00} Dose Tank Capacity (gal) POLYLOK Filter Manufacturer 22.24' Dose Tank Volume (gal/in.) 525 Filter Model Number Wieser Concrete Manufacturer Project: Shaklee 4 Bedroom Mound Page 2 , T Mound and Pressure Distribution Component Design Design Worksheet Site Information _ (R or C) R Residential or Commercial Design Note: sand fill (D) calculations assume a 400.00 Estimated Wastewater Flow (gpd) Table 38344-3 in-situ soil treatment for 1.50 Peaking Factor (e,g. 1.5 150%) fecal colifoml of 36 Inches. 600.00 Design Flow (gpd) 10.00' Site Slope 98.90 Contour Line Elevation (ft) 23700 Depth to Limiting Factor (in) 0.60 In-situ Soil Application Rate (gpd/ft) Distribution Cell Information 75.0{3 dispersal Cell Length Along Contour (ft) - 8.00 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? Enter Y or N (C or E) C' Center or End Manifold 2.67 Lateral Spacing (ft) If N above, enter the elevation ft 6 Number of Laterals of the highest point. 0.156 Orifice Diameter (in) 2.57 Estimated Orifice Spacing (ft) = 7.14 fe/orifice 2.001 Forcemain Diameter (in) _ 75.061 Foreemain Length (ft) Does the forcemain drain back? 90.00 Pump Tank Elevation (ft) Enter Y or 4.55 System Head (ft) x 1.3 12.23 Forcemain Drainback (gal) 9.65 Vertical Lift (ft) 101.08 5x Void Volume (gal) 3.11 Friction Loss (ft) 113.31 Minimum Dose Volume (gal) 6.,b0 In-line Filter Loss {ft} 45.23 System Demand (gpm) 17,31 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection in. dia, options choice in. dia. options choice 0.75 1.25 1.00 x 1.50 x x 1.25 x 2.00 x 1,50 x x 3.00 2.00 x 3.00 x Gallons/Inch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 1200.00 Se tic Tank Capacity (gal) Total Working Liquid Depth (in) Wieser Concrete Manufacturer gain {enter result in cell 849} Dose Tank Information Effluent Filter Information 804.00} Dose Tank Capacity (gal) POLYLOK Filter Manufacturer 22.24' Dose Tank Volume (gal/in.) 525 Filter Model Number Wieser Concrete Manufacturer Project: Shaklee 4 Bedroom Mound Page 2 Mound Plan and Cross Section Views 1110 B Observation Pipe T U A W i i. B z L -o Mound Component Dimensions ft A 8.00 ft E 22.60 in H gift ft K Aft B 75.00 ft F 9.50 in T ft L ft D 13.00 in G 0.50 ft J W 600.00 (e) Dispersal Cell Area 1620.54 (ft2) Basal Area Available 8.00 (gpdtft) Linear Loading Rate 7,50 (ft) 1110 B 4bs. Pipe Placement Mound Cross Section View Aggregate: Dispersal Area Finished Grade 101.78 (ft) -rrrrrrirrrr~jL }irrriiiiirii G Dispersal Deli ` 100.48 (ft) Lateral 99.98 {ft}--► Invert Dispersal Cell i Elevation D[ 98.90 (ft) Contour Elevation 10A °1a Site Slope Geotextile Fabric Cover Shading Keyi I Dispersal Cell See lateral details on 1Q Topsoil Cap = 1.5 ft Page 4 for number, size, Subsoil Cap o and spacing of laterals. ASTM C33 Sand, T F Laterals are equally TYPicai Lateral spaced from the Tilled Layer c 0 ft distribution cell's Q Aggregate .t o centerline in the T A distribution cell (AxB). Project: Shaklee 4 Bedroom Mound Page 3 Mound Plan and Cross Section Views 1110 B Observation Pipe T U A W i i. B z L -o Mound Component Dimensions ft A 8.00 ft E 22.60 in H gift ft K Aft B 75.00 ft F 9.50 in T ft L ft D 13.00 in G 0.50 ft J W 600.00 (e) Dispersal Cell Area 1620.54 (ft2) Basal Area Available 8.00 (gpdtft) Linear Loading Rate 7,50 (ft) 1110 B 4bs. Pipe Placement Mound Cross Section View Aggregate: Dispersal Area Finished Grade 101.78 (ft) -rrrrrrirrrr~jL }irrriiiiirii G Dispersal Deli ` 100.48 (ft) Lateral 99.98 {ft}--► Invert Dispersal Cell i Elevation D[ 98.90 (ft) Contour Elevation 10A °1a Site Slope Geotextile Fabric Cover Shading Keyi I Dispersal Cell See lateral details on 1Q Topsoil Cap = 1.5 ft Page 4 for number, size, Subsoil Cap o and spacing of laterals. ASTM C33 Sand, T F Laterals are equally TYPicai Lateral spaced from the Tilled Layer c 0 ft distribution cell's Q Aggregate .t o centerline in the T A distribution cell (AxB). Project: Shaklee 4 Bedroom Mound Page 3 1 r Center Connection Lateral Layout Diagram Fotce main connection via tee or crass to rnar4old at any Quint. Latetals we alemic at s ! f' it=Turntrprdfasltvatvsor E } --3 +i zt xt2 l Laterals &forcett in Sch 40 PVC cleanout tug per SPS Table 384,30.6 Holes ds ed can the bottom of the latest Number of Laterals 6 Orifice Diameter 0.156 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.72 ft Lateral Length (P) 36.72 ft Orifices per Lateral 14 Lateral Spacing (S) 2.67 ft Orifice Density 7.14 felorifice Lateral Flow Rate 7,54 gpm Manifold Length 5.33 ft System Flow Rate 45,23 gpm Manifold Diameter 1.50 in Total Dynamic Head 17.31 ft Forcemain Velocity 4.62 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and SPS 318.300 WAC Disconnect 4 in. min. Tank component is property vented Aitemate outlet t location Forcemain diameter Wieser Concrete Manufacturer 2 in. Ca acit 800.00 Gallons T volume 2224 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 18.88 419.81 B 2.00 44.48 C Pump off elevation (ft) C 5.09 113,31 80.83 D 10.00 222.40 D Total 35.97 800.00 Dose tank elevation (ft) W Bedding un er tank, T 90.00 Alarm Manuafacturer nSJERhombus Not:ritches Alarm Model Number 78 containing mercury may not be used in Pump Manufacturer Zoeller this system, Pump Model Number 153 Pump Must Deliver 46.23 gpm at 17.31 ft TDH Project: Shaklee 4 Bedroom Mound Page 4 1 r Center Connection Lateral Layout Diagram Fotce main connection via tee or crass to rnar4old at any Quint. Latetals we alemic at s ! f' it=Turntrprdfasltvatvsor E } --3 +i zt xt2 l Laterals &forcett in Sch 40 PVC cleanout tug per SPS Table 384,30.6 Holes ds ed can the bottom of the latest Number of Laterals 6 Orifice Diameter 0.156 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.72 ft Lateral Length (P) 36.72 ft Orifices per Lateral 14 Lateral Spacing (S) 2.67 ft Orifice Density 7.14 felorifice Lateral Flow Rate 7,54 gpm Manifold Length 5.33 ft System Flow Rate 45,23 gpm Manifold Diameter 1.50 in Total Dynamic Head 17.31 ft Forcemain Velocity 4.62 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and SPS 318.300 WAC Disconnect 4 in. min. Tank component is property vented Aitemate outlet t location Forcemain diameter Wieser Concrete Manufacturer 2 in. Ca acit 800.00 Gallons T volume 2224 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 18.88 419.81 B 2.00 44.48 C Pump off elevation (ft) C 5.09 113,31 80.83 D 10.00 222.40 D Total 35.97 800.00 Dose tank elevation (ft) W Bedding un er tank, T 90.00 Alarm Manuafacturer nSJERhombus Not:ritches Alarm Model Number 78 containing mercury may not be used in Pump Manufacturer Zoeller this system, Pump Model Number 153 Pump Must Deliver 46.23 gpm at 17.31 ft TDH Project: Shaklee 4 Bedroom Mound Page 4 Mound System Maintenance and Operation Specifications Service Provider's Name John Schmitt Phone 715-760-0486 POWTS Regulator's Name ~-LS Croix County Zoning 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 1200 gal Maximum TSS 150 mg/L Soil Absorption Component Size 600 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 beast once eve 3 ears Pump and Controis° Test once eve 3 years Alarm Should test month) Pressure System Laterals should be flushed and pressure tested eve 3 ears Mound Inspect for ondin and seepage once eve 3 ears Other 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: Shaklee 4'Bedroorn Mound Page 5 Mound System Maintenance and Operation Specifications Service Provider's Name John Schmitt Phone 715-760-0486 POWTS Regulator's Name ~-LS Croix County Zoning 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 1200 gal Maximum TSS 150 mg/L Soil Absorption Component Size 600 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 beast once eve 3 ears Pump and Controis° Test once eve 3 years Alarm Should test month) Pressure System Laterals should be flushed and pressure tested eve 3 ears Mound Inspect for ondin and seepage once eve 3 ears Other 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: Shaklee 4'Bedroorn Mound Page 5 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, R. 10/12), SSWMP Publication 9.6 (01/81), and Pressure Distribution Component Manual Ver. 2.0 SBD- 10706-P (N. 01/01, R. 10/12)] 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 forsei vki 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, 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 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 en6mre. If the fitter is equipped with an alarm, the filter shall be serviced if the°afarm is activated continuously. lntermittent flter 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 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 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 BOD5, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L RODS, 30 mg/L TSS, 10 mg/LFOG, and 104 du/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. Continency 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. =ad". 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 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, R. 10/12), SSWMP Publication 9.6 (01/81), and Pressure Distribution Component Manual Ver. 2.0 SBD- 10706-P (N. 01/01, R. 10/12)] 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 forsei vki 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, 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 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 en6mre. If the fitter is equipped with an alarm, the filter shall be serviced if the°afarm is activated continuously. lntermittent flter 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 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 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 BOD5, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L RODS, 30 mg/L TSS, 10 mg/LFOG, and 104 du/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. Continency 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. =ad". 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 M omwil:3'lu 99-b8--9'Z2-008 oz :anOd-1SOd :3LV0 00/00/00 :31V0 05cb4 IM NOON N3OroW 0t 1,MH Sn 9lL£M ivnNVY4 OIld3S w a 31380000 m :an0d-38 a0-,1=«ti 4 :31V3S daM :.18 NMVa0 aw-ooe/ooa~d-w► w ~ a ~ m O w ~ ~w F0. a ~ `A a m V) v ww _j ,te a Q w 8 Z vi 68 mop &0, Ix ~ A < a oc ~ z 0 LL 09 'o Z (1) MD -q 6 0 con QP N QU' 3 2 R Z Q °d a © <C a N © L) L1 cS R• . R T o0 Q Q W N - Vj g v °d a 00 U- tp N _ 0 t *0. pd 170 41 m ~ MC4 p~\ Y~ d Y a~ oWa, 6 CH zt Q Z*0 0 0 J ~y3~ UZ *~G1~ Qd f9 Qtis 2_ UNO y.~ S. 6 Y1t Y to Q 2 z N Q Fi F- Q ~ W wZ as~ ~ a g uo I I: I I ! I ~ ~ I I I.I. I .I I / l k.III 1. ~ co III ` / II ( I I a LLJ I I a l r a „9£ I. ~i m l l k II U \1 II l II OR J V R Q M k J a~ Sv Y 3a ~ a96' a£ Y Page 7 M omwil:3'lu 99-b8--9'Z2-008 oz :anOd-1SOd :3LV0 00/00/00 :31V0 05cb4 IM NOON N3OroW 0t 1,MH Sn 9lL£M ivnNVY4 OIld3S w a 31380000 m :an0d-38 a0-,1=«ti 4 :31V3S daM :.18 NMVa0 aw-ooe/ooa~d-w► w ~ a ~ m O w ~ ~w F0. a ~ `A a m V) v ww _j ,te a Q w 8 Z vi 68 mop &0, Ix ~ A < a oc ~ z 0 LL 09 'o Z (1) MD -q 6 0 con QP N QU' 3 2 R Z Q °d a © <C a N © L) L1 cS R• . R T o0 Q Q W N - Vj g v °d a 00 U- tp N _ 0 t *0. pd 170 41 m ~ MC4 p~\ Y~ d Y a~ oWa, 6 CH zt Q Z*0 0 0 J ~y3~ UZ *~G1~ Qd f9 Qtis 2_ UNO y.~ S. 6 Y1t Y to Q 2 z N Q Fi F- Q ~ W wZ as~ ~ a g uo I I: I I ! I ~ ~ I I I.I. I .I I / l k.III 1. ~ co III ` / II ( I I a LLJ I I a l r a „9£ I. ~i m l l k II U \1 II l II OR J V R Q M k J a~ Sv Y 3a ~ a96' a£ Y Page 7 . i w PL-525 Effluent filter Innnvaliansin Pfes;rstUreinmya (Zabel" V' j latvatar Paidirc. A Division of Palylok Inc The PL-525 Filter is rated for 10,000 GPD (gallons per day) making it one of the largest filters in its class. It has 525 linear feet of 1/16" filtration slots. Like the Polylok P1,122, the Polylok PL-525 has an automatic shut-off ball installed with every filter. When the filter is removed for cleaning, the ball will float up and temporarily shut off the system so the effluent wont leave the tank. Peatilres: '1j16" Filtration Slot Alarm Switch Rated for 10,000 GPD (gallons per day). 10,010 GFD ti (optional) 525 linear feet of 1/16" filtration. Accepts 1" PVC Accepts V and 6' SCHD 40 pipe. Extension Handle Built in gas deflector. Automatic shut-off ball when filter is removed. Rated for Alarm accessibility. IOAW GPD Accepts PVC extension handle. PL-525 Iristallation- Ideal for residential and commercial waste flows up to 525 Linear Ft. of 1/16" 10,000 gallons per day (GPD). Filtration slots 1. Locate the outlet of the septic tank. 2. Remove the tank cover and pump tank if necessary. Accrpts 4" & b" 3. Glue the filter housing t0 the 4" or 6" outlet pipe. if SCHD 40 pipe the filter is not centered under the access opening use a Polylok Extend & Lok or piece of pipe to center filter. 4. Insert the PL-525 filter into its housing. Certified to 5. Replace and secure the septic tank cover- NSFIANSI standard 46 1'1,.,-wi `r7 Nj4111' tell a lice. The PL-525 Effluent Filters will operate efficiently for several years under normal conditions before requiring cleaning. It is recommended that the filter be cleaned every time the tank is pumped, or at least every three years. If the installed filter contains an optional alarm, the owner will be notified by an alarm when the filter Gas Deflector needs servicing. Servicing should be done by a certified septic tank pumper or installer. Automatic Shut4W Ball 1. Locate the outlet of the septic tank. 2. Remove tank cover and pump tank if necessary. 3. Do not use plumbing when filter is removed. 4. Pull PL-525 cartridge out of the housing. 5. Hose off filter over the septic tank. Make sure all solids fall back into septic tank 6. Insert the filter cartridge back into the housing making Outc(otrr' ;imarrtFilier!:, Alarm sure the filter is properly aligned and completely inserW& Polylok, Zabel & Best filters accept Easily installs 7. Replace and secure septic tank cover. rite SmartFillxrl~ switch and alarm. into existing tanks. Polylok, Inc. 3 Fairfield Blvd. Wallingford, CT 06492 Toll Free; 877.765.9565 Fax: 203.284.8514 www.polylok.com Page 8 . i w PL-525 Effluent filter Innnvaliansin Pfes;rstUreinmya (Zabel" V' j latvatar Paidirc. A Division of Palylok Inc The PL-525 Filter is rated for 10,000 GPD (gallons per day) making it one of the largest filters in its class. It has 525 linear feet of 1/16" filtration slots. Like the Polylok P1,122, the Polylok PL-525 has an automatic shut-off ball installed with every filter. When the filter is removed for cleaning, the ball will float up and temporarily shut off the system so the effluent wont leave the tank. Peatilres: '1j16" Filtration Slot Alarm Switch Rated for 10,000 GPD (gallons per day). 10,010 GFD ti (optional) 525 linear feet of 1/16" filtration. Accepts 1" PVC Accepts V and 6' SCHD 40 pipe. Extension Handle Built in gas deflector. Automatic shut-off ball when filter is removed. Rated for Alarm accessibility. IOAW GPD Accepts PVC extension handle. PL-525 Iristallation- Ideal for residential and commercial waste flows up to 525 Linear Ft. of 1/16" 10,000 gallons per day (GPD). Filtration slots 1. Locate the outlet of the septic tank. 2. Remove the tank cover and pump tank if necessary. Accrpts 4" & b" 3. Glue the filter housing t0 the 4" or 6" outlet pipe. if SCHD 40 pipe the filter is not centered under the access opening use a Polylok Extend & Lok or piece of pipe to center filter. 4. Insert the PL-525 filter into its housing. Certified to 5. Replace and secure the septic tank cover- NSFIANSI standard 46 1'1,.,-wi `r7 Nj4111' tell a lice. The PL-525 Effluent Filters will operate efficiently for several years under normal conditions before requiring cleaning. It is recommended that the filter be cleaned every time the tank is pumped, or at least every three years. If the installed filter contains an optional alarm, the owner will be notified by an alarm when the filter Gas Deflector needs servicing. Servicing should be done by a certified septic tank pumper or installer. Automatic Shut4W Ball 1. Locate the outlet of the septic tank. 2. Remove tank cover and pump tank if necessary. 3. Do not use plumbing when filter is removed. 4. Pull PL-525 cartridge out of the housing. 5. Hose off filter over the septic tank. Make sure all solids fall back into septic tank 6. Insert the filter cartridge back into the housing making Outc(otrr' ;imarrtFilier!:, Alarm sure the filter is properly aligned and completely inserW& Polylok, Zabel & Best filters accept Easily installs 7. Replace and secure septic tank cover. rite SmartFillxrl~ switch and alarm. into existing tanks. Polylok, Inc. 3 Fairfield Blvd. Wallingford, CT 06492 Toll Free; 877.765.9565 Fax: 203.284.8514 www.polylok.com Page 8 i , SECTION: 2.20.047 WZIAI/TYAZIAORS FIN--E /.X-79 p N W919 0110 d intimation presented ® supersedes of publication.~Consulult factory 1108 regarding d~saepaoaies or inconsistenaes. MAIL TO. P.Q. BOX 16347 • LwkvMe, KY 40256-0347 Visit our web site: SHIP TO. 3649 Cane Run Road • Louisville, KY 40211-1961 www.ZOellercom (502) 778-2731.1(800) 928-PUAAP• FAX (502) 774-3624 COMPARE THESE FEATURES • Durable cast iron construction 15111521153 EFFLUENT SERIES • Model 151 comes standard with a glass-filled polypropylene base (For Pump Pneft itdentdreadon see News & I/lews 0052) • Corrosion resistant powder coated epoxy finish • Stainless steel lifting handle " ®S E r M AT E " • Assembled with stainless steel bolts • Non-clogging engineered thermoplastic vortex FOR SEPTIC TANK - LOW PRESSURE PIPE (LPP) impeller design AND ENHANCED FLOW STEP SYSTEMS • Model 151-1/3 HP passes W spherical solids t~7 tr EFFLUENT • Model 152 -.4 HP passes Y4" spherical solids SUBMERSIBLE • Model 153 -112 HP passes Y4" spherical solids 1'/2"" NPT DISCHARGE • Motor - 60 Hz, 3450 RPM, oil-filled, hermetically sealed, automatic reset thermal overload protected Model • Carbon/Ceramic seals ® High Head 2/N153 • Upper sleeve bearing and lower ball bearing running To"toULSwrA dULM Effluent Cadiled bCSA in bath of oil aW SWAMI CSAW W 108 • 20 ft. UL Listed power cord with molded 3-wire plug • IY2" NPT vertical discharge MODELS AVAILABLE • BN and BE standard models include a 20 ft. variable N151IN152MI53 & E15IIE1521EI53 nonautomatic level float switch BN151BN152I3N153 & BE151BE152MI53 • Operates at temperatures to 130°F (54°C) in effluent 12 HP, h 115Vor2XV el Float " applications • All models include a 1 V x 2" PVC adapter fitting Note: The sizing of effluent systems normally requires variable level float(s) controls and properly sized basins to achieve required pumping cycles or dosing timers with nonautomatic pumps. POWDER COATED TOUGH' ) Model BN152/BN153 941L TO. P.O. BOX 16347 High Head Louisv&, KY 40256.0347 Effluent SHIP T0: 3649 Caw Rut Road Louisville, KY 40211-1961 (502) 778-2731.1(800) 928-PUA#P FAX (502) 774-3624 Manufacturers of.. . «/~WITY AZIAOAS AFIACE ,f,79 " 0 Copyright 2010 Zoeller Co. All rights reserved. i , SECTION: 2.20.047 WZIAI/TYAZIAORS FIN--E /.X-79 p N W919 0110 d intimation presented ® supersedes of publication.~Consulult factory 1108 regarding d~saepaoaies or inconsistenaes. MAIL TO. P.Q. BOX 16347 • LwkvMe, KY 40256-0347 Visit our web site: SHIP TO. 3649 Cane Run Road • Louisville, KY 40211-1961 www.ZOellercom (502) 778-2731.1(800) 928-PUAAP• FAX (502) 774-3624 COMPARE THESE FEATURES • Durable cast iron construction 15111521153 EFFLUENT SERIES • Model 151 comes standard with a glass-filled polypropylene base (For Pump Pneft itdentdreadon see News & I/lews 0052) • Corrosion resistant powder coated epoxy finish • Stainless steel lifting handle " ®S E r M AT E " • Assembled with stainless steel bolts • Non-clogging engineered thermoplastic vortex FOR SEPTIC TANK - LOW PRESSURE PIPE (LPP) impeller design AND ENHANCED FLOW STEP SYSTEMS • Model 151-1/3 HP passes W spherical solids t~7 tr EFFLUENT • Model 152 -.4 HP passes Y4" spherical solids SUBMERSIBLE • Model 153 -112 HP passes Y4" spherical solids 1'/2"" NPT DISCHARGE • Motor - 60 Hz, 3450 RPM, oil-filled, hermetically sealed, automatic reset thermal overload protected Model • Carbon/Ceramic seals ® High Head 2/N153 • Upper sleeve bearing and lower ball bearing running To"toULSwrA dULM Effluent Cadiled bCSA in bath of oil aW SWAMI CSAW W 108 • 20 ft. UL Listed power cord with molded 3-wire plug • IY2" NPT vertical discharge MODELS AVAILABLE • BN and BE standard models include a 20 ft. variable N151IN152MI53 & E15IIE1521EI53 nonautomatic level float switch BN151BN152I3N153 & BE151BE152MI53 • Operates at temperatures to 130°F (54°C) in effluent 12 HP, h 115Vor2XV el Float " applications • All models include a 1 V x 2" PVC adapter fitting Note: The sizing of effluent systems normally requires variable level float(s) controls and properly sized basins to achieve required pumping cycles or dosing timers with nonautomatic pumps. POWDER COATED TOUGH' ) Model BN152/BN153 941L TO. P.O. BOX 16347 High Head Louisv&, KY 40256.0347 Effluent SHIP T0: 3649 Caw Rut Road Louisville, KY 40211-1961 (502) 778-2731.1(800) 928-PUA#P FAX (502) 774-3624 Manufacturers of.. . «/~WITY AZIAOAS AFIACE ,f,79 " 0 Copyright 2010 Zoeller Co. All rights reserved. PUMP PERFORMANCE CURVE TOTAL PN MINUTES DIFLOW MODEL 151J152I153 EFFLUENT AND DEWATERING ,4 45 163 MODEL 151 152 153 12 Fed Myers Gal. Liters Gat ►;ma; Gal tliteere 35 1s2 5 U 50 189 69 261 77 291 1018 3.0 45 170 61 231 70 265 15 4.6 38 144 53 201 61 231 S 1125 151 20 6.1 29 110 44 167 62 197 25 7.6 16 61 34 129 42 159 6 20 30 9.1 - - 23 87 !il 125 35 10.7 85 4 40 12.2 - E- 42 z 30 ft. {9.1m) 988. tt.6m) 44 R (13.4m) SMn-off Nead: 1U 0145= s 0 Model 151 Models 1521153 f0 m 30 40 66 0 a0 80 ,W 67 57132 UTEIRS UTE1Z8 0 40 80 12o 1 2 260 -1 -Aii 7711 45M $716 - 454 FLOW PS MINUTE 0145080. CONSULT FACTORY FOR 374 3 F SPECIAL APPLICATIONS ® I 3716 ® 374 • Timed dosing panels available • Electrical aftemators, for duplex systems, are available and supped with an alarm • Variable level control switches are available for controlling j single phase systems I • Double piggyback variable level float switches are available j for variable level long and short cycle controls I • Sealed Qwik-Box available for outdoor installations - See 11,11,6 f 12118 FM1420 j • Over 130°F (54°C) special quotation required _ _ 4f5H6 15111521153 Series I SK2444 SK2054 15111521'153 MODELS control selection Model Volts-Ph Mode Amps Simplex Duplex N151 115 1 Non 6.0 1 2 or 3 8N151 115 1 Auto 6.0 included 2Or3 ro? E151 230 1 Non 3.2 1 2 or 3 E151 230 1 Auto 3.2 Included 2 a 3 "Easy assembly" N152 115 1 Non 8.5 1 2 or 3 (pump 6 discharge pipe 811152 115 1 Auto 6.5 Included 2 or 3 not mod,) -052 230 1 Non 43 1 2 or c uded or 152 2 1 Auto .3 included- N153 1 15 1 Non .5 1 or3 BN153 115 1 Auto 10.5 Incluuded 2 or 3 E153 230 1 Non 5.3 1 2 or 3 BE153 230 1 Aulo 5.3 Included 2 or 3 SELECTION GUIDE OPTIONAL PUMP STAND PIN 10-2421 1. Sine piggyback variable Wen tload switch or dicubie piggyback vans* ~ Reduces paw dogging by debris float switch. Refer to FM0477. Replaces rocks or bricks under the pump 2 See FM0712 for correct model of Electrical Alternator E Pak • Made of durable, noncorrosive ABS 3. Variable level control switch 10-0743 used as a control adivalor, specify duplex • Raises pump 2' off bottom of basin (3) or (4) float system. • Provides the ability to raise intake by adding sections of 1 Y2* or 2' PVC piping a CAUTION • Attat;nes securely to pump All installation of controls, protection devices and wiring should be done by a qualified . Accommodates sump, dewaterlng and effluent applications licensed electrician. All electrical and safety codes should be followed including the NOTE, Make sm float 16 fm from obstruction. most recent National Electrical Code (NEC) and the Occupational Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. 0 Copyright 2010 Zoeller Co. All rights reserved. PUMP PERFORMANCE CURVE TOTAL PN MINUTES DIFLOW MODEL 151J152I153 EFFLUENT AND DEWATERING ,4 45 163 MODEL 151 152 153 12 Fed Myers Gal. Liters Gat ►;ma; Gal tliteere 35 1s2 5 U 50 189 69 261 77 291 1018 3.0 45 170 61 231 70 265 15 4.6 38 144 53 201 61 231 S 1125 151 20 6.1 29 110 44 167 62 197 25 7.6 16 61 34 129 42 159 6 20 30 9.1 - - 23 87 !il 125 35 10.7 85 4 40 12.2 - E- 42 z 30 ft. {9.1m) 988. tt.6m) 44 R (13.4m) SMn-off Nead: 1U 0145= s 0 Model 151 Models 1521153 f0 m 30 40 66 0 a0 80 ,W 67 57132 UTEIRS UTE1Z8 0 40 80 12o 1 2 260 -1 -Aii 7711 45M $716 - 454 FLOW PS MINUTE 0145080. CONSULT FACTORY FOR 374 3 F SPECIAL APPLICATIONS ® I 3716 ® 374 • Timed dosing panels available • Electrical aftemators, for duplex systems, are available and supped with an alarm • Variable level control switches are available for controlling j single phase systems I • Double piggyback variable level float switches are available j for variable level long and short cycle controls I • Sealed Qwik-Box available for outdoor installations - See 11,11,6 f 12118 FM1420 j • Over 130°F (54°C) special quotation required _ _ 4f5H6 15111521153 Series I SK2444 SK2054 15111521'153 MODELS control selection Model Volts-Ph Mode Amps Simplex Duplex N151 115 1 Non 6.0 1 2 or 3 8N151 115 1 Auto 6.0 included 2Or3 ro? E151 230 1 Non 3.2 1 2 or 3 E151 230 1 Auto 3.2 Included 2 a 3 "Easy assembly" N152 115 1 Non 8.5 1 2 or 3 (pump 6 discharge pipe 811152 115 1 Auto 6.5 Included 2 or 3 not mod,) -052 230 1 Non 43 1 2 or c uded or 152 2 1 Auto .3 included- N153 1 15 1 Non .5 1 or3 BN153 115 1 Auto 10.5 Incluuded 2 or 3 E153 230 1 Non 5.3 1 2 or 3 BE153 230 1 Aulo 5.3 Included 2 or 3 SELECTION GUIDE OPTIONAL PUMP STAND PIN 10-2421 1. Sine piggyback variable Wen tload switch or dicubie piggyback vans* ~ Reduces paw dogging by debris float switch. Refer to FM0477. Replaces rocks or bricks under the pump 2 See FM0712 for correct model of Electrical Alternator E Pak • Made of durable, noncorrosive ABS 3. Variable level control switch 10-0743 used as a control adivalor, specify duplex • Raises pump 2' off bottom of basin (3) or (4) float system. • Provides the ability to raise intake by adding sections of 1 Y2* or 2' PVC piping a CAUTION • Attat;nes securely to pump All installation of controls, protection devices and wiring should be done by a qualified . Accommodates sump, dewaterlng and effluent applications licensed electrician. All electrical and safety codes should be followed including the NOTE, Make sm float 16 fm from obstruction. most recent National Electrical Code (NEC) and the Occupational Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. 0 Copyright 2010 Zoeller Co. All rights reserved. PLOT PLAN N Project Name: Shaklee 4 Bedroom Mound Legal Description: SW114_NE1/4, S20, T30N, R19W P.I.D: 032-2153-08-001, 030-2153- Subdivision Name: Pioneer Ride Lot 8 Township: St. Joseph Parcel Size: 3.000 Acres SCALE: 1" = so' County: St. Croix Contour Line Elevation: 98.90 Cell Dimensions: 8'X 75' 4 inch Sch 40 -ASTM D2665 System Elevation 100.00 Mound Dimensions: 84.56' x 27.09' 2 inch Sch 40 -ASTM D1785 Slope 10 11/2 Sch 40 -ASTM D1785 A BM1 Elevation: 100.00' To of 2" PVC i e BM2 Elevation: 98.75 To of 2" PVC pipe ■ Backhoe Pits: Septic Tank: 1200 gallon Septic Tank w/ POLYLOK 525 Effluent Filter Dose Tank: 800 gallon Dose Tank i / j;►N I r ~ C~ ~r uc.t a f7i IL LI IV I? g3 $ I w ~ ~ Er t 2 )6 BA g~Okt7~'tr1 Not,sE Oki vE q~ ►2oo/goQvai~~u owe"~ L s°> P11, PLOT PLAN N Project Name: Shaklee 4 Bedroom Mound Legal Description: SW114_NE1/4, S20, T30N, R19W P.I.D: 032-2153-08-001, 030-2153- Subdivision Name: Pioneer Ride Lot 8 Township: St. Joseph Parcel Size: 3.000 Acres SCALE: 1" = so' County: St. Croix Contour Line Elevation: 98.90 Cell Dimensions: 8'X 75' 4 inch Sch 40 -ASTM D2665 System Elevation 100.00 Mound Dimensions: 84.56' x 27.09' 2 inch Sch 40 -ASTM D1785 Slope 10 11/2 Sch 40 -ASTM D1785 A BM1 Elevation: 100.00' To of 2" PVC i e BM2 Elevation: 98.75 To of 2" PVC pipe ■ Backhoe Pits: Septic Tank: 1200 gallon Septic Tank w/ POLYLOK 525 Effluent Filter Dose Tank: 800 gallon Dose Tank i / j;►N I r ~ C~ ~r uc.t a f7i IL LI IV I? g3 $ I w ~ ~ Er t 2 )6 BA g~Okt7~'tr1 Not,sE Oki vE q~ ►2oo/goQvai~~u owe"~ L s°> P11, ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Charles & Susana Shaklee Mailing Addr 1135 Settlers Avenue Property Add Ys 1464 48th Street (Verification required from Planning & Zoning Department for new construction.) City/State Somerset, WI Parcel Identification Number 032-2153-08-001 LEGAL DESCRIPTION Property Location sW , ne Sec. 20 , T 30 N R 19 W, Towr of St. Joseph Subdivision Plat: Pioneer Ridge Lot # 8 Certified Survey Map # Volume , Page # Warranty Deed # (before 2007)Volume , Page # - Spec house 0yesOno Lot lines identifiable Oyesono SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance 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 the 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 (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the ` standards set forth, herein, as set by the Department of Safety And Professional Services and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. are true to the best of my: our knowledge. L'we am/are the owner(s) of the I/we certify that all statements on thI.eed d in Register of Deeds Office. property described above, by virtue of a warrrecorde Number of bedrooms 4 5 / 23 / 18 SIGNATURE OF APPLICANT(S) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department.,*** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified surrey map if reference is made in the warranty deed. (REV. 01/12) ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Charles & Susana Shaklee Mailing Addr 1135 Settlers Avenue Property Add Ys 1464 48th Street (Verification required from Planning & Zoning Department for new construction.) City/State Somerset, WI Parcel Identification Number 032-2153-08-001 LEGAL DESCRIPTION Property Location sW , ne Sec. 20 , T 30 N R 19 W, Towr of St. Joseph Subdivision Plat: Pioneer Ridge Lot # 8 Certified Survey Map # Volume , Page # Warranty Deed # (before 2007)Volume , Page # - Spec house 0yesOno Lot lines identifiable Oyesono SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance 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 the 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 (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the ` standards set forth, herein, as set by the Department of Safety And Professional Services and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. are true to the best of my: our knowledge. L'we am/are the owner(s) of the I/we certify that all statements on thI.eed d in Register of Deeds Office. property described above, by virtue of a warrrecorde Number of bedrooms 4 5 / 23 / 18 SIGNATURE OF APPLICANT(S) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department.,*** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified surrey map if reference is made in the warranty deed. (REV. 01/12)