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HomeMy WebLinkAbout034-1088-40-110 Vdisconsm Depad°ent of Crrmerce PRIVATE SEWAGE SYSTEM Courry St. Croix Safety and Building D vision INSPECTION REPORT Sarnar; Permit Na 60515$ GENERAL INFORMATION (ATTACI I TO PERMIT) State Ran ID No Pe'SJnal trfonnat on ycb osev+ce may to :sec `o• secorday Durooses lP'vaoy Law, s 15.74 it )int)f 3123794 Per-•.t Holdei s Name City Ur age Tarrnshp Parcel Tax Ns Glenn MalDien TOWN OF SPRINGFIELD 034-1088-40-110 Cid * Ld' L,v. nsp 311 Elev BSI DesC'ip:wn nn Secoc-.-O&n+Ra-ge:Map No 9b e~~( r 28.29.15.570A-15 TANK INFORMATION s ELEVATION DATA TYPE MANUFACTURER Jr- / CAPACITY STATION BS HI FS ELEV. 'f 161 L - Z_ septic e J / Q Benchmark 94 IC. 5 /60. Dosing Alt. (0q 9 Ae*erorr d rBN V, Bldg. Sewer (o . ! 9T• Holding SUHt Inlet 9.9 9i' s5 TANK SETBACK INFORMATION 0 SvHtOuttet /d - zi ti -Z TANK TO W P:L r _ :NE I.L BLDG Vent to it Ina.e ROAD Of Inlet 111 Seotic 5 I G~ ZZ IF D: Bogor /J 7 ~ 05 D::slrg 7- 0 ZZ( Z I Headerhtar Z • / D . / Ae'at on G Dist. Pipe ~T+ 41 2-11 98. Holding got. Systerr 3- c?-7 -Q Final Grade PUMP/SIPHON INFORMATION (p Manufacturer ZG/I (l./ Demand St cover ~l~... i GPIv1 Model Numcer 5Z ✓ Z1 ' Z' 66 e,4-ou r 3. 7 c~7 I/ TDH LN •/V Head dT FriCliat LOSSOl ~ System 5 IUF~~ p67 / Foroema In Lel Da. 1 t Dis:. tc bZ 2 $4 SOIL ABSORPTION SYSTEM BEDJRENCH V: d'h Longtn Ve. Trcn s PIT DIMENSIONS No O' Pis Inside Die Liquid Dear DIMENSIONS 143 76 SETBACK SYSTEM TO Pi BLDG WELL LAKE;STREAPaI LEACHING Marurai. INFORMATION CHAMBER OR type' 'tem. UNIT 1,•ucCl NUmDer ~J ~ A-1 DISTRIBUTION SYSTEM dead=dlMani`c'J 1 11 Dis•riputicn I xHOIe,Size x'161e SD'deir'g V tCAr r,he Lenctn Jia Lengtr _ Dia Spacing _ SOIL COVER IT Pressure Systems Only xx Mound Or At-Grade Systems Only n Deptn G;ar I)era,. Ole, xx Not9 _0,_ I xx Seeded'sodcee xx oMilched BeJi Frencr wine' 1--7 BcJ+Ticnch Edges Tepsoil -•-~,Yes No _-7-4,l 1 No COMMENTS: ;Include code d scre.pencies persons present. etc.;. Inspection ii Inspect on A2- _ Location: 74TH ANTE e ,.t////}}} t~5~ Gl• r S~. P/o a~..7 IIr~K-1/d-/I t) At! BM Desorption = I t"~o"'~ a ` ~I I(J I 2.) Bldg sever length = 5'0 1 -amount of cover= / 4 I/ d\d Z ad- k&)'-w, gt,-- 4L aJ Plan revision Regured7 Yes ~NO L71 Q iO of Use other s,de'of additional Information. G 0 t0 O 7 I/ Dale Insext s gnat~r Cert. No. a~ /'n5d~o~ ,eve 6n erd-I~~ !o) 16 eWill I I \ I[ J I I ~ Counrv 1 2 20~~ Safely and Buildings Division St. Croix SP JUG. 201 W Washington Ave. RO Box 7162 Sanitary Pcrnot \un:hcr in, he filled m III, Cu ) 8 r Madison, WI 3707-7162 60 D 5 15!9 Stj! Sanitar< Permit Applic5 e'f1 e"""N""''er L, accord,mce ,qth SPS i.V7Iu7.. 14is Adm. Code. ,uhn reim al't'u form to the Irrol hate governmental urn! 3123794 i rcyured nn or t bwrone a sannan le-niit Note,'. Appli,ati,n, torus ter vane-ewr<J PUN'Iti arc submitted to Prt,recn Address I it different than mailing address)) the [kpacncnn ul Satcn .1 -,1 Ro&ssuutal Serv.cv Perxnia! mtimtation ,ou Procude mss' M used for swnndarv •ur of I:'. accord-mIc e ith:nc Pnvacy l a,, x IS):Lil I N mi. Slap lip lication It IF on - Please Print AH Information - 934 Hwy 12 I nPcrt Uwr r - N:nn ~ _ P.ucd v - Glenn MaIclen 034-1088-40'-T110 S I rupcrly (h,ncr . M;uhng Address - - P opcm I.ucauon r e 1058 County Road D co' I 1 I CO Srne L,p(rn:c PhoneNumhe: NW NW $ttillUa 12 Woodville, WI 54028 715-505-1446 1 29 N. R 16iC1fic .x - - 11. 7)pe of Building jchcek all that apply) Lrt # XIor:lam,!<D,,vIh tt Number ofBcdrooms 3 Sjid".imnNamm7e A(~+ Bloek u I. ~ Pu9hdCommacal - Dcscnhc l ise L J Cut' of State Owned- IkccriFa L,e y CSh1 Numhr ❑ YiHugc of _ 1p.y,+3 X ~lf~ ro,,nof Springfield III. Ts pe of Permit: ((Check not one box (oil lines A. ((~om'plleete line R itapplicable) - - % T w Syavm Rcplaccmcnt Systca, Treulm tatHolding Tank Rcplacemcrt Ow; Outer Momlicauon to [ruling System (explain) nt Rcncwul ' ❑ Permit Revsion ❑ Chnnge of Plumber I-: er nu l ratxtcr to Ncw List Previous PI Number and Date, Issued I-xitumion Owner 11 Tv a of PONI TS Svslem/C omponent/Device:_(Check all that apps _ i] \on-Prcesu um In-Gourd Press:n in.J In-(;round ❑ A(Udde ❑ Mound 4 in. ofnntahles it 2XMOund --_'4 m ofsmlahlesoi: EflolJmglank I_O:herl)spe"!('ompooeu:Iexplain I _ PPrcircuunentUevicc(explaml Des ersal/I'reat ent Area htformauonl r _ Z ~ lksign Floss (go) LYsivn S..I Aprl,eatien R. ipfshq Uispcrsal rea Reywrcd Isti Disperw Area i nposeI II, Salem Lievelio 450 .6 y j L(* 50 cr J 98ft \'1, 'tank Info ('apaci;v in Total R of Manul'ac;urcr T Gallons Gallons !inns - New Tanks I .Img Tanis c L v N r. 'l. LL D C r" S ~.hc sHmdmg'I ark X 1150 1 Lewis Bjork LLC X 700 I)~"erg"~a°1 1 Lewis Bjork LLC esponxibility Slalement- 1, the undersienc(, t , me resp iblliq-[ insla timr of the 110xv"1 S shown on the attached plans, Plumber'sName (Print) ~P'.umbor's Si MPNPRS Number Business Phone Number Lewis Bjork _ 253976 715-231-7375 Pbunh(s Address{area'. I`. t',. S:a:c./:P lode} E7818 County Road E, Menomonie, WI 54751 \-111. '-uuc/Dcir_artmew I sc_O_ my ~ 'kPPnr. aas+.aJ I Pei nil1 Ile Dale I 'ucd ~Q' 1>suin cut SWriaturc O„ncr e Re[suo tiv teal ~ S 6 t~ ~ / V IX. onond,*" p W a{( emirs for Disapproval i~ I. 'iSep&- tank, etlkxn. low m1 3) : ~tsQ1x%l .Il (aJZ,Q uYSpen'tu cell must eh t&A3 jllm 'rar mk.-S It q n pK rar.ayamen' plart yo riders by plu•noe-, It, (,.,/`t, M r os off Iffft "t c11dt / Aiumili. r R NV .xmrh to complete pignq air lhe,y,rem and mil W the ('o h omit paper not less thin a 1:2> I I incheI in seat 5) Ql d1 e ~ ~~1/f~lq Lee, a /rf J SISD-(+798 (k. IL`I I) J)/~ Un ) z tL1 4 I3 ~M ? 0' ~t J ~ - 1 I `o\ r, 00 1n r a.. 11 IN. Tom` i I ` p.\a l \II UI`•fISION OF INUU:iIRY SCRVICFS 733' SAN LUIS PI STE :5C GRFFN BAY 4VI 54304-521' s P = Contact Through Relay S 'dtp r,dsps.wi govinrogramsiindustry-services - •-AMW vrisconsm. gov Scott Walker, Governor Laura Gutierrez. Secretary luh~06,2018 f I SSf ID So . 253976 Ill)V: 1'0F1'lS LIvpei lur - I.I\VIS( RI(_)kh /ONIN(i 01:1 ICL: LEWIS WORK LL(' ST I I(OIX ('Uli\TY SPIA 1 7818 CTl' RD L 1 Ipl (ARMIC'I IALI. RD _ MI:A0X'10V'll': WI 517 1-G6'. III DSON \A'I 5101(1-7708 CONDITIONAL APPROVAL _ PLAN APPROVAL 1-'XPIRI S: 117!062020 Identification Numbers I ransaction ID No. 3123791 SUIT: Site ID No. 850934 Please rc•Ier to both identilic'ation numbers. Glenn Malcien above. in 11I colTCSpundencc kith the agency _')'411 \cr I' llnv'n of SP`Illtllield SI Clop Count< SHV4. S\V1:9, S:).8. 1?9\, It 15\4 FOR: Description: 3lounrlS•t'.ae+n 1`3 /lerlroonn - R •nlacemenr Obiect kpc: I,(_)%\ IS( ompoucnt Manual Re-4ulalcd Obµ•d ID\o.. 178181+ Maintenance required: Replacement svstenr 450 CPD Flow rate; 'd in Soil minimum depth to limilin factor from uri•inal rade ti).tcm(sr Mound Component tv9anucd - Ver..'.,0. SIM-1(l691-I' (N.01 01, R. 10!1 Pressure Distribution Component Manual - \'cr. 2.0. Sp[)-I(1706-P 1\(1L111. R. I0 P), SS\L'MP Puh. 9.6: Effluent filter I he ,uhmittal described above has been reviewed for cunlormance with applicable Wisconsin Administrative ('oda and Nrisconsin Statutes fhe submittal has been CONDIll O ALA Y APPROVIiD. I his system is to be conctructcd and localed in accordance \vilh the enclosed approved plans and milli ;my component m;mual(s) referenced above. I ho owner, as defined in chapter WITH( 10), "isconsin Statutes. is responsible ror compliance with all code rCy a ir'cmcnls. No person may engage in or work at plumbing in the slale unless licensed to do so by the Department per s.145.06, star. 11w following condition, 'hall he tile( donne construction or installation and prior to occupancy or mc: • Presc•nc dispersal area prior and during construction to avoid disturbance. compaction and ❑.ce of the Nile. • Any tall grasses, leases and shrubs shall be cut short .md remmed prior to tillim', the auiacc Ibr installation to prewnl matting under the dispersal area. All loose organic material to be rentnved from mound area. • Prior to construction of the dis ersaI area, check the moisture content orthe soil to a denth of 8 inches. Smearing'" and compactiii-q0fwet Null will result in reducing the infiltration ca aciu orthe soil. Proper soil moisture content can be determined by rollin_q a soil sample bcorecn the hands. Wit rolls into a 1 'a- inch mre. the site is tuu wet to prepare, If it crumbles, site preparation can proceed. Irthe site i, too Fuel in preparc_ do not proceed until it dries. • Abandon F:visling System per SPS 3,83,.3.3 • 1'onoij Float, Ip be set and eerified per appnrced olan An\ ch•tmre nri I-( [ill in pump rc\irim, lu IIICCt TDII and GI'M Snccificatinns. • Divert surface waler from P(Ak IS Area. • All piping, shall conrnrm to Sill, lLble ~8d. 0 and ti11S l able -;84 ',(P 'i 111,"1RA~Kt. CIS • Insula lc building actter bceond "0 tc,t ps SPti ?u I I I IIC V • farlk Instalhllioll Ili 161low :dl m:uuditcturc's rccunlnlcndatinn:. • Verify property' line(s) prior to installation. • Well setbacks to meet chs. NR 811 & 81 1 • \rcas ""t are occupied Ili] nu t. 11.1_.n~nl.. flcc!11111,. >w11r11 ❑nl !¢:.tldCt 1111AC tLC u:riol.n; oI soil rtlllcn:- It :1,, '1111"' tltc 1, !n:l !,:Ilea !!,1 .1 itl th ,cti;t ,1: 11IC itl").Ind nu::;t P( :;lt I'll t -I. 1 Ltl: t. Itil :Irce is 11!"!,.11! 1111.!11 rill) Id Ii I' ,F`l0% 1:1 o rr anu:ur lc red. 111 prat do '.III it It I.trl l'. I% l J l raja 01%ner Responsibilities • The current owner. and each subsequent oener, hall rescue a copy of Ito, letter including instructions relating to proper rise and maintenance of the System. Owners Shall receive a copy of [he appropriate operation and maintenance manual and or owner', manual lit the I'(1\\'TS described in this approval SPS 383.54(1). • In the went this soil absorption syslem or alrv of its component parts m;dltmc:ions so as to create a health Itaiard. the propcrh ottner nnlst Iblltm the contnnpcmcc plan as tlcwrih d in thr approved plans. A apt of tits apptuved p'.an srecil:ca[Lom :utd this Iettca '11111 he on-sitC .lur im! construct ion and upon In utspt ton by Innhuniied reptcPettatitrs nflhe Dcp:vtmont, uhlCh uup include load inspectors. All permits required by the slale or the local Inunicipalily shall be obtained prior to eomnleocculent of coy utruct ion'insta I lat ion operation. In ;'ranting this approval the Division of Industry Services reserves the right to require changes or additions Should conditions arise makum them neces,an for code compliance. As per state slats 101, 12(2). nothing in this review Shall Ieliete the tl"iuncr of the responsibility for desi-ning a Safe buildm„ structure, or component. Inquiries concernitg Ihis correspondence may be made to me at the telephone number listed below, or at the address on Ihis lellenccad- I ho above left addressce Shall provido a copy of this letter and the POM'S management plan to the owner and an\ others w11o arc responsible tor the installation, operation or maintenance ofthe 1'O\\ I S. Sirccrch' fce Required S 250.00 - - phis :Amount Will Be Invoiced. \V hen You Receive 1 hat Invoiee. Please hlclude a Copy With Your Tim Vander 1-ccst Paynlc•nl SubmiOal. I'riv;tc See-rv'c Plan Reviewer. Division ol'Indnstn Services \\iS\4ARTcode: 7633 { o JX h I0-61 ' 1 , Von- I-ri. 6-00 :t.nl. - :1>0 11 n. cc: I dtuin I al, tor. \\`.t.tctt,uct Sped t:IM. 1.? I `,1 6.;4 IS I Talon lri. Sall) ;\.\1, - 1:30 PAL MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN INDEX AND TITLE PAGE "-,I t= iJN 2 ~ ,n,t~ Project Name: Glenn Malcein -Replacment Mound Design Owner's Name Glenn Malcein J? Owner's Address, 1064 County D Baldwin w 715-505-1446 Legal Description: NW NW 12 2916W Township: SpringField County. St.Croix Subdivision Name NA Lot Number: 2 Block Number: Parcel I D. Number. 034-1088-40-110 Plan Transaction No Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Plot plan Page 10 Attchments : Effluent filter / septic & dose tanks /manhole Page 11 Soil report Designed -Lewis B or c License Number. 253976 Date ~6? Phone Number: 715-231-7375 Signaturt< Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01/01), and both SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01) Version 7 0 (R. 0312012) Page 1 of 10 Mound and Pressure Distribution Component Design Site Information r Residential or Commercial Design Note Sand `II (D) calculations assume a 300.00 Estimated Wastewater Flow (gpd) Table 383-44.3 in-situ soil treatment for fecal colifonn of 36 inches. 1.50 Peaking Factor (e g. 1.5 = 150%) 450.00 Design Flow (gpd) 8.00 Site Slope 97.00 Contour Line Elevation (ft) 24.00 Depth to Limiting Factor (in) 0.60 In-situ Soil Application Rate (gpolft ) Distribution Cell Information 70.00 Dispersal Cell Length Along Contour (ft) = 6.43 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ftz) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? e Center or End Manifoid F--3-2-21 Lateral Spacing (ft) If N above, enter the elevation (ft) 2 Number of Laterals of the highest point. 0.188 Orifice Diameter (in) 3.50 Orifice Spacing (ft) = 11.25 ft' /orifice 2.00 Forcemain Diameter (in) 60609, 00 Fo cemain Length (ft) Does the forcemain drain back? Y D Q Pump Tank Elevation (ft) System Head (ft) x 1.3 9.79 Forcemain Drainback (gal) Vertical Lift (ft) 6293 5x Void Volume (gal) (1b Friction Loss (ft) 72.72 Minimum Dose Volume (gal) 0.00 In-line Filter Loss (ft) 26.21 System Demand (gpm) 12.89 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in, dia, options choice 0.75 1.25 x 1.00 1.50 x x 1.25 2.00 1.50 x x 3.00 2.00 x 3.00 x Gallonslinch Calculator Treatment Tank Information Total Tank Capacity (gal) 1150.00 Septic Tank Capacity ,gal) Total Working Liquid Depth (in) Lewis Bjork LLC Manufacturer gauin (enter result in cell B49) Dose Tank Information Effluent Filter Information 700.00 Dose Tank Capacity (gal) orenco Filter Manufacturer 18.85 Dose Tank Volume (gal/in) Bio-tube Filter Model Number Lewis Bjork LLC Manufacturer Project Glenn Malcein -Replacment Mound Design Page 2 of 10 Mound Plan and Cross Section Views -t 1110 B J Observakcr. Pape - K 'Tl' • O ❑ (Jr A I W t - L Mound Component Dimensions A 6,43 ft E 18.1 in H 100 ft K 9,15 ft B 10 00 ft F 9.50 in 1 11,08 ft L 88 29 ft D [A in G 0 50 ft J 5 54 ft W 23.05 ft 450.10 (ft2) Dispersal Cell Area 1225-46 (ftz) Basal Area Available 6 43 (gpd/ft) Linear Loading Rate 7 00 (ft) 1110 B Obs Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 99 79 (ft) G f H I o spersa! Ceu 98.50 (ft) Latera. 98.00 (ft)-► Invert Dispersal Cell E] Elevation ~ D •••I r-~ 0 F4] \ 97.00 (ft) Contour Elevation 8.0 % Site Slope -t- Geotexble Fabric Cover Shading Key d c - Dispersal Cell See lateral details on 1Q Topsoil cap o c 1.5 ft Page 4 for number, size, ❑2 Subsoil Cap o 5 © O and spacing of laterals, ASTM C33 Sand Laterals are equally 0 Tilled Layer c q 0 5 ft Typical Lateral F spaced from the ©0 I Aggregate a o © centenineninetlhe 0- A distribution cell (AxB). Project. Glenn Malcein -Replacment Mound Design Page 3 of 10 End Connection Lateral Layout Diagram ~rr1 )li the. r- :d.mer, n:___-•-TUrn.u✓rd C.e l l valva2 ill ejn aut i- Iu f I P - - All laWais nerdent," I- X-1 Holes dnllod On the tonom or the lateral f +gJJy spaced _ F orcq m.nnrpn"ctron via tqq or cioss to mi anilNd ar In4 Loin, Larterala A. forremarn Soh 40 PVi per SPS Table `1~4 0-5 Number of Laterals 2 Orifice Diameter 0.188 in Lateral Diameter 1.50 in Orifice Spacing (X) 3.61 ft Lateral Length (P) 68.59 ft Orifices per Lateral 20 Lateral Spacing (S) 122 It Orifice Density 11.25 ft2/orifice Lateral Flow Rate 13,11 gpm Manifold Length 3.22 ft System Flow Rate 2611 gpm Manifold Diameter 1.50 in Total Dynamic Head 12 89 ft Forcemain Velocity 2.68 ft/sec Dose Tank Information Locking cover with warning label and locking deJ.ce and Ir/ sealed watertight Electrical as per NEC 3C3 and - in. min I Di SPS 316.300 WAC qqq JA I Tank comporent is properly vented Alternate outlet locatlor main diameter ewis Bork LLC Manufacturer _t 2 in L Ca aci 700.00 Gallons Volume 18,85 gaUinch A Weep hole or anti- Dimension Inches Gallons B siphon device A 2128 438.78 B 2.00 37 70 C Pump off elevation (N) C 3 86 72 72 89.77 D 8 00 150 80 D Total 3714 700.OC Dose tank elevation dding un er tank. F--8-9-71 .0 Alarm Manuafacturer SJE-RomBus Alarm Model Number 1011421 Pump Manufacturer Zohler ~ J Pump Model Number 152 Pump Mus' Deliver 2621 gpm at 12.89 ft TDH Project Glenn Malcein -Replacment Mourd Design Page 4 of 10 Mound System Maintenance and Operation Specifications Service Provider's Name Lewis Bjork LLC Phone 715-31-7375 POWTS Regulator's Name St-Coix Phone 715-386-4820 System Flow and Load Parameters Design Flow - Peak 450 ;gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1150 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450 ft2 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 every 3 years Effuent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once e.-n 3 years Alarm Should test month) Press.ire System Laterals should be flushed and pressure tested every '.5 ears Mound Inspect for ponding and seepage once every 3 years Lewis Bjork for Pumping Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384 30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to SPS 384.30 (6)(i), Wis. Adm. Code. 3 All gravity and pressure piping materials conform to the requirements in SPS 384, Wis, Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5 The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce'rost penetration. Lateral Turn-up Detail Finished Grade vi 6-8" Diameter Lawn - Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distributor Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project IMNOW-New Mound Design Page 5 of 10 Mound System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General This system shall be operated in accordance with SPS 382-84 W is. Adm. Code and shall maintained in accordance with itscomponent manuals [SBD-10691-P (N.01i01), SSWMP Publication 9.6 (01181), and Pressure Distribution Component Manual Ver 2.0 SBD-10706-P N. 01101)] and local or state rules pertaining to system maintenance and maintenance reporting, No one should ever enter a septic or pump lank 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 watertightness and soundness. Access openings used for service and assessment shall be sealed watert ght upon the completion of service- Any opening deemed unsound. defective. or subject to failure must be •eplaced. Exposed access openings greater than 8-inches in diameter shall be severed 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 carried 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 fitter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The fitter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the fitter when removed from its enclosure If the filter is equipped with an alarm, the filler 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 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 lank performance is generally not required However, d such products are used they shall be approved for septic lank 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 shat be tested to verity proper operation. if an effluent filter is installed within the lank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs shoi.td be planted on the mound Plantings may be made aroand 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 Tay 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,r, 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 flashing 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 lest is performed R should be compared to the initial test when the system was installed to determine if orifice dogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell Observation pipes within the dispersal cell shall be checked for effluent ponding. 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 defectwe the defective componenfisl shall be immediately repaired or replaced with a component of the same or equal performance . If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping. and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Pretreatment Units The information and schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment units or disinfection units are attached as separate documents and are considered part of the overall management plan for this system. Project- Page 6 of 10 150 Series Llllucnt Pumps Zoeller Pump Company hnps:\%Nm.zoellerpuntps.comien-na'products /sump-effluent-pumps/ef:.. Lu w tL LU PUMP PERFORMANCE CURVE MODEL 151/152/153 50- 45- 14 153 12 40 0 10 35 152 - u 30- < 0 8 25 151 g 20- 15- 4- + 10 "k 2 5 0 10 20 30 40 50 60 70 80 90 100 GALLONS LITERS 0 40 80 120 160 200 240 280 320 360 FLOW PER MINUTE Chat now 1 of 5 6'12 2018, 11:04 ANI ~s 0 w o U c3~ u] 4 -A L e C~l -41 Ile. z Di VISION OF INDUSTRY SERVICES PO 00X 7302 MADISON WI 53707-7302 S Conlact -hrough Relay PS hllp:!!dsps.wi.guv+prograrns,induslry-se.rvices wnw.wisconsin.gov Scott Walker. Governor Laura Gutierrez, Secretary )fay 19, 2017 IdenGircanon Numbers Transaction ID No. 2944957 Site 11) No. Please rck-i lu holh idenlificnliun numbers. Llhoce, in all correspondence with the a enc CUS'I 11) No. 253976 L EWIS C WORK LLWIS WORK LLC F.7a 18 COUNTY ROAD F: MENOMONIE WI 54751-6037 CONDITIONAL APPROVAL. PLAN APPROV AT, KXPIRl 05/31/2022 Re: Description: SEWAGE TANKS. CONCRETE Manufacturer: LEWIS BJORK, LLC Product Name: (tyrans id 2944957) SEPTIC, PUMP OR HOLDING (TANK AND ADAPTOR) Model Number(s): LB700. LB1150 (700 AND 1150 gals.) [LB700 BASE TANK: LB1150 CONSISTING OF 3 SECTIONS WITH THE 450- GAL. ADAPTOR AS THE MID-SECTION] [38 IN. L,L., 18.85 GALIN.: 96 IN. MAX. DEPTH OF BURY, 335 OR 551 GPD WHEN USED AS A SEPTIC TANK BASED ON A 3 YR. SERVICE INTERVAL FOR RESIDENTIAL WASTEWAI EH; TANK DIMENSIONS - 66 IN. L X 36 IN. W X 54 IN. H; ADAPTOR DIMENSIONS = 66 IN. L X 36 IN. W X 24 IN. H[ Product File No: 20170151 The specifications and.or plans for this plumbing product have been reviewed and determined to be in compliance with chapters SPS 382 through 384. Wisconsin Administrative Code, and Chapters 145 and 160, Wisconsin Statutes. The Department hereby issues an approval based on the Wisconsin Statutes and the Wisconsin Administrative Code. This approval is valid until the end of May 2022. This approval supersedes the approval issued on 6/2812012 under product file number 20120193. This approval is contingent upon compliance with the following stipulation(s): • This tank must be designed to withstand the pressures to which it will be subjected. • The manufacturer must keep at the manufacturing plant a set of plans and specifications bearing the department's stamp of approval. The plans and specifications must be open to inspection by an authorized representative of the department. • All manhole covers terminating at or above grade must have effective locking devices. • When this product receives wastewater from dwellings. it will produce an effluent quality with a maximum monthly average value for BOD5 of less than or equal to 30 mg,4_ TSS of less than or equal to 30 mg+4 TSS and F.O.G. of less than 30 mgt. Tuf-Tice Riser System_ 'ties • E ,'e Cass. dC~IICct:CrS iser Lids r~ ?crete Lid s r, ^ ccrcre-.e Snfety lid - " a; ce ~s-- Riser Fans Grey >.:fety Pan - Sdfe; Tall Riser - rsr p,r Tall Riser VIY $,I 1:. _iep'>F/ -Menu r ik Adapter f oUSF6 I,. [r ltp Bkte' - f hP-v hd%e d e f cw a, 2 or a fUi1 size nite; it, age for;hort 5eptK tanks 100tithP f I-Serve, BaSe tenet are 05talled un lhP''xhedu1e 40 ur Type 3034 uuttet exr_trng, t.=.nk ihev r nn r wl!h a FltPr r;x-tr!Ag_ e PVC ex;,_ nu, rt t',. oxh agh (557r art) hat ,Irlp t-~Eagl . mh (3-min - %10R-prr:.-. 'rkl' to 1- -v to CIPx .,:l al WPf ^nal fl (Y3' - I-FVC'. f. b.let She-t ST. CROIX COUNTY SITTIC 1 AN'K MAINII:NANICF. AGREEMENT AND OWNERSHIP CFR I'II'ICATION FORM Owner Buyer Glenn Malcien Mailing Address 1058 County Road D Property Addre,.4~ag3~ St ~~e (\'erilication required from Planining Zoning Department for new couslntction.) City.:State Wilson, WI Parcel Identification Number 03y` ~FS~ - 0 -//0 LEGAL DESCRIPTION Property Location SE ,.1, SW i4. Sec. 28 r 29 N R 15 W. Town of Springfield Subdivision Plat: - - I ot-1 Certified Survey Map # Volume Page # Warranty Deed Af (before 2007)Volume Page Spec house OyesE1) Lot lines idcntifiablel7y/e.a❑no S1'STENI 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 lank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §SPS..i8i.52(1) and in Chapter 12 - St. Croix CoumM Sanitap~ Ordinance. I he 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 untrue after inspection and pumping (if necessary'), the septic lank is less than 1I. full of'sludge. 1we. 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 ol'Safcry 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 ;0 days of the three year expiration date. I; we eerily that all statements on is firm are true to the hest of rn our knowledge. Iwe am: are the owner(s) of the property described above, by virtue of a w- rranty deed recorded in Register of Deeds Office. Number of h Brooms - - - - 10; S SIGNATURE OF APPLICANT(S) DATE s»..\it\ 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 f,un the Register of Deeds t mice and a copy of the certified survey map if reference is made in the warranty deed. (RIA. oar12) J top- -T V"-T A v 'Q6 1 A Ste.. r N i •air! *d, yi~•8 1" ~ ~ N' ~ Q y,f F v .:s t 4w Lr) Y ~Tll Z" 1 .a.w 149' 'ice ':~(d T SST-Qo /33 Wisconsin Department of Commerob 1 SOIL EV AOFT Page of 3 Division of Safety and Buildings 0 ~'"I% cordahce with Comm 85. Wis. Adm. Code County SLC7oix Attach complete site plan on paper not less than 8 t Y~ x 11 inches in size. Plan must include, but not limited to. vertical and horizontal reference point (BM), direction and Parcel I.D 03 - I ORR-40- 110 percent slope. scale or dimensions, north arrow. and location and distance to nearest road. Please print all information. Revi ed by Date Personal m'Ormatlon you provide nmy be usod for a -Qndw l pi+rposcs f i'MaCi, Law, s 1504:1.(W.1; . Property Owner Proper Location Glenn Nialcein Govt. Lot NW 114 11' Il 12 T 2) N R 16 E( r) W Property Owners Mailing Address Lot # Block # Subd. Na or CSM# 1064 County 1) 2924 State road 12 City State Zip Code Phone Number ity ❑ Village a Town Nearest Road Baldwin 1\'I 547022 ( 715_505-1446 State How 12 New Construction i i Residential I Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement Public or commercial - Describe: N A Parent material Loess over glacial till Flood Plain elevation if applicable 4% ft General comments and recommendations: glacial soil with loses deposited cap !whether funning factors loosed !added structure to upper horizons allowing air! gas transt'er, To maintain 36' treatment - dispersal . Install new mound s)stenn on the 100' contour. use I..' sand till upslope 6.43 ' X70' rock cell Install new mound system un the 97' contour, BI Boring # ❑ Boring / vl! i 1 r'. l Pit Ground surfaceelev. 9° h. Depth to limiting factor 24 G1 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDiff in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh 'Ef #1 'Elf#2 A 0-8 10%0:2 None 0hscryed Nil 'fgr nn'fr cis 2f C, R 1 8-15 I0vr4/4 None0hacrecd sit 2fsbk nn 'IF its If .6 .8 B 15.24 10)r514 NoneObxnrJ sit 2. itsbk mvf} rs if 6 8 B 24.28 IOyr5 4 C'rs~rs 110(112 siI 2lnsbk mvfr C 2R 5vr46 grscl Om ntfi 2_ Boring # El Boring 95 6 F25 Q Pit Ground surface elev ft. Depth to limiting factor in Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDrff in. Munsell Qu. Sz. Cont Color Gr. Sz Sh. •Eff#1 •Eff#2 .A 0-8 1O.N6, 3 None Obscr.ed ,it _ti 2', - .8 r nn•lr es 2 .f .6 L 8-16 I(Nr4;4 None Observed sil 2fsbk mvfr Ks 2f lot .6 .R B 16-25 IONr5;4 NuneOhscrvcd sit 2msbc m% IF gs it- .6 .8 6 25-29 IO)r5%4 (''Piyr ~~3.:~nrYa= 2 sit ntsbk C 29 ` 5yrl6 - grsel Out - - - - r r ' Effluent #1 = BOO, > 30 < 220 mgil and 7SS >30 < 150 • Eli it mgA. and TSS < 30 mgrL CST Name (Please Print) a CST Number I ewis Biork r 253976 Address Date Evaluation Conducted Telephone Number 67818 County L Menomonie W154751 6-1 1-2018 715-231-7375 PropertyO%vner Malcein _ Parcel ID# / Page of -If + Boring# Boring 97 F" 24 pit Ground surface elev. N. Depth to limiting factor is Soil A lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD* in. Muns0 Ou. Sz. Cont. Color Gr. Sz Sh -Efl#1 'Eff#2 A 0-8 IOyr, .3 None Observed sit 21'gr nil cs 21' .6 ,8 L 8-14 Illvrl4 None Observed sit 2 ,s 21' .6 .8 fsbk rtni} U 14-23 10.6 4 None Observed sil 2msbk mvfr ?;s It' .6 .8 R 24-310 IOyr6;4 C'2P5%r Sib, 10vr6sil 2msbk - C 30+ 5c46 - scl - 0111 - - - - Boring # Boring apit Ground surface elev. Depth to limiting factor in. Soil A licatior Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD* in. Munsell Ou. Sz. Cont. Color G'. Sz. Sh. 'Eff#1 •Eff#2 ❑ Boring # Boring ■ Pit Ground surface elev. fl. Depth to nrnRing factor in. Soil A licahon Rate Horizon Depth Dominant Color Redox Desuiption Texture GStructure Consistence Boundary Roots GPDM in Munsell Qu. Sz. Corn. Color r Sz. Sh . "EN#1 'Eff#2 Effluent #1 = BOD, > 30 < 220 mgA- and TSS >30 < 150 mgrL ' Effluent #2 = SOD, < 30 rrgrL and TSS < 30 mgrL I'fie Department of Commerce is an equal opportunity service provider and employer. II'% ou need assistance to access scrv i;cs or need material in an alternate format, please contact the department at 608-266-3 151 or T`I Y 60,4-26.1-8777. 55D ~ unl~+rtlt o'~ rr M r ~ to ~ N r- w O - Oo- O MI Q ~`o N w T' <0 O ~ O ~ 03 W 15 3 V W 1`7 W T _~II C3` ~ c` 11.1 ~ `.J 1 J c5 tt iI ~5 O ~J Ci' I- f- 7 V O ~;Ja