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030-2101-40-000 (2)
Depa" `f`c-errn PRIVATE SEWAGE SYSTEM St. Croix SB',?I'J J^n ~J .ul, ln) C ,islC'~ INSPECTION REPORT Sanitary Perron No 606938 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No. Pc sonal wlotnel ;m te.. uro, de may to used rot se:onnar.• p_rposes IPr. vary _uw• s 15.74 It iimjl °,rr t •1~-:IJcr's Narnc. Ciy Vil age Townsh p Pence Tax No Derek & Tracy Nelson TOWN OF SAINT JOSEPH 030-2101-40-000 G Es69 Cev I"su. Btat Elev. Brvl Desr:: prin. Sec[ 3w lvlao No 29.30.19.823 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION HS HI FS ELEV. Septic Benchmark 3,88 /03.06 100. 0 Dosing A 1. Oki Aeration B cg. Sewer Ho ding I 7 S7Ht Islet Gf/ rl7''~, ~ ' S71 It Out1w TANK SETBACK INFORMATION TANK TO Pr_ *ELI. BLCG Vent to A • Intake ROAD DI Inlet Septic DI Bottom -7(p Dosing Aeration / Dist Pipe Ho cmg Rol System 8. e! y. lb• 3 Final Glade q Grp PUMPlSIPHON INFORMATION 6 J V Marufachne• 11 r errianc St Cover 1 GPM Mope Nurnccr C cyo I./ ` TDt1 Ldl 2 r iceon tics System Head TD H 7 Ft (pr Forcerna I, Leroth/00. Dia 2,. Dist tP :vcn ~ y SOIL ABSORPTION SYSTEM y 5 f c/•~ BED:TRENCH v'.-eV- LengV No. Cf Trenches PIT DIMENSIONS Nc Of Pis Insioe Di~ L qu d Dept DIMENSIONS t J SETBACK SYSTEM TO Pi BLDG WELL LAKE/STREAIvt LEACHING Nlan.fapldre' L.//,,G'(/~ INFORMATION CHAMBER OR It) 11 hvpc C' Sys:c-' 1 / UNIT Motlel No -r `J j`` c~ 51, 7- L(AvL7V D At. (o 9 DISTRIBUTION SYSTEM ^/p✓ ( PJ L Hcace4"1'.n Ivan Iiiariln.Lan X Here Size a Hole Sparing 6`ent to A r I^lake Pi gaT;l _or L1 n _ _ L¢^t11n_ _ _ p3cirg -QUi SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only der-h ever It Ceptt Over r r xx Depth CI xx Seeded 5cddeit •x Nlolched 3ec'Trers•1 Cv- k:•I 7f Z BC 9:1•¢^„q 1_q'ei / 1g:r5.p11 ;7 ~ vns I _ No -T-=-Yes..-)=No COMMENTS: prclude code discrepencies persons present, etc i Inspecticr Inspection #2 Location: 454 HIGHLANC VIE-A' 1.; All I Desc'rnhon 2 ; Bldg sewer origin - amours of cover Plan revision R ad fltl?w Yes )0 No I _ IT Use other side for for a^nal Informatio' r+ I Cate X J/. Ire :cc en Nc SgD.r,'C.;R Y6'i PROPEMOWYER Joanne lprsim - SOIL DESCRIPTION REPORT Page 2 ol PARCELID.! - T, t #23 Depth Dominant Color mmm Structure Roots GPOrR 8unngM Horizon in. Munse'I W. Sz. Cont. Co., Teztute Cr. Sz. Sh. C Bed jiir 3 1 0-12 LOyr3 3 1 none sl _-2msb% cs_-! 2m _ _.5 ,6 2 12-40 10yr4/4 -~_nme sl2mebk mfr _cTw if I .5 1.6 • .7 8 Ground 3 40-901 7.5yA 6- hone ms o j ti ml na na ON t f,0.4 It. _ Depth lo WIN tecrot I 1 Remarks:__ 8onng I 1 ' 1 0-12 _ 10yr3/3. _ _none sti ZasWc mfr - 2m S, .6 4 It 2 _ 12-46 7. Syr4/4. ( norw-_ 31 _ 24%Q4ic _ gr :5-_6 - Grouts 3 46-84 ; 7.5Yr4/6none - _ Cos _ ml j -na 1 -•7_ r~BZ+t SYj Depth to T _ - - / - - - - - - - Irifirlg / [/7j fx gq, a -I{ _ - Llf 7= /t- Remarks string P t 10-12 10 r3/3 _ rime 2ms1NC mfr _ gw _2m_.5 .6 5 'v 2 .2-36, 7, 5yr4(4 rime sl 2msDk_ mfr _9w lm 5 .6 _ na 3 36-80 7.5yr4/6 rcne ms 05-%-- j mfr na . Ground .7 .8 elev. r*w J 1 to Romarks: 13onng# - - . Gimmtl - - - : - ocahw Ilmling eam ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF EXISTING SEPTIC TANK(S) This is to certify that I have inspected the existing septic and/or dose tank presently serving the following residence: (Street address) 464 Highland View _ located at: NE '/4, Sw ''/4, Section 29 Town 30 N, Range 19 W, Town of Sc. Joseph St. Croix County Wisconsin. Upon inspection, l certify that I have found the tank(s), to the best of my knowledge, will conform to the requirements of SPS. 384.25, and it (they) appear(s) to be functioning properly. Most recent date of inspection or service Did flow back occur from absorption system? Yes No (if no, skip next line.) Approximate volume or length of time:___ _ gallons minutes Tank Capacity: 12001600 Construction: Prefab Concrete x Steel Other _ Manufacturer (if known): Midwestern Age of Tank (if known): 20 Permit number (if known) 307722 John Schmitt (Li nsed Plumber Signature) (Print Name) MPRS 223760 (Title) (License Number) MP/MPRS (Date) Form to be completed by licensed plumber (Dept of Safety and Professional Services Chapter 305 and s. 145.06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin Administrative Code) Rev. 2/2012 Page 10 ~gR53 rsnrut i r~ ~ar County Industry Services Division \f f fO1 3, I p S isl 1400 F Washington Ave Sanitmv Permit Numhcr no he filled in by C o.) \l PS , ou 1 201f} P.O. Box 7162 Madison, WI ?3~07 -M 62- L I l -jm 1 It Application > Slate --insuchnnNumhcr InI gin Aancc with SI S tqi 211~I. Wts. rWnl. Cudc. sot Mission at dos loon to the apps pnatc goecrnmculal nil I, retained pnnr lo obtaining a'wntw\ rstnnl Note Application lomrs tor state-ow ed r Ms IS we >Ublllllled At - - - - Ihc ,part t ern of Sall(\ and Pr t n.d Sen I - I •son.J minmrauun loo provide may be used Ihr secondary Pro!eu tiddress (i -0iMrent than mailing address) pw ; s in o..ulrl mcc svnh !hv I nsavs I :ov, l i ",.I I I•;uu. Spit>_ _ r1_ 4?4 { liehland Vicw - 1. Application Infor Please_P_rial Alt Information - 1 - Pn pv n' t at ner-> Nato Parcel 030_? 1111-III-00(1 Nd t n D rck AI ra. ! a _ aq.~o.19.8a 3 Propcny Owner's Mailing Address N,)Pcrty Location ;454 l ligldand Vices Govl I.ot Cn,, Stale Zip Coth; 1'hone Number NI. s,, S0.' SS. Section 29 i louluel. WI 54092 Icirde one) 130N 81915 errW' 11. Type of Building (check all that apply) Lot a _ - I 'la 2 fanny Ilwcllinp- \nmh-r cf ecdrooms 2i Subdivision Namc IhChlind Hilk ❑ Public:( ommercial - Dcscnlm l!u - Block n ❑ City or ❑ Staic Owned - Dcwrihe I i,e - - S M Village of n 1~ N1 J r . C\I Number . U I ['JI ~ ~s ~ ®Torcn of Gl. Jthcph 111. Type of Permit: heck nn - _ e A._ Complete line B if applicable) - A. ❑ Ncw Syslelrl ED Replacement Svslan ❑ ltealincr nldutg I ank Replacement orris ❑ Olhct Modification illI, %y%a a tevplaho it. ❑ Peann Rut w,a ❑ Proton itul I ion I [ C Mnec of ❑ Permit *1 ransfer to \'csv LFu Prruu%iions Pcrmn Number ant lute I. ucd Heturc l aplldo"I 1'mnher lhwlcr 30 77Z- :~L' V/5~4~ 1\•. Type of POWTS Sy stctniContponcn Dcvitt (Check all that apply-) - ~Fr-,~~t±~._ - Nan-NressuntcJ In-Grmnd ❑ Pres umed In-<Jround ❑ :\t-Grate Mound - 23 in. ol'suitable soil ❑ Mound 24 in of suifahle soil I loldinp I:mk t _11 hour Ifi>pcn;I. ~•.nnpoocnl !csplain) ❑ Prcocalmcill Device (esplaial ~/~~-y 4 V'- Drspersali I7eatnt Area Information: / r tH1C Y. ✓ Dcsl n Il tr lrpol J' Ik I{.n 1 oil .\p{!licaliuu i Dispersal Aica Requit Rl) DuPer>al :\rca I 'Po>ed 1,Q Syuent Llcv9lion /v 61Lr f ILaluepJ. ti I %i7 900 91.66'. 95 21', 9467, 94.20' Gc 1; 7 V I. 'l ank Info Cop! item „ [ tllm- ° Tool n at Gallons InM1S Manwacturer ` - I / yi y " o s N w 1.::... .:.,one larks 111 S v. 7: _ J / I Scpuc or l loldhtg Iwal, - 1200. 1200 1 \lidwcsarn C] ❑ ❑ ❑ ❑ rkxil,~('hnmhr kol) 8(111 I Midts c9tcrn _ © ❑ ❑ V11. Responsibility Statement- 1. the undersigned, assenne revponsibifiIN for installation (,title POW"I'S shown on the aloched plans. - Plumnn's\an•,c;Pnnl; PlumbL'~//s 7Sip rhtr. Mi'r\II'RS \umhcr 13usinc>. Phone \umhu John Schmill 'I 4'611-iMo Numbers Vidre.. Ntreel ('arc Stale. Zip Codcl 616 111)°i Ave. Nomcr.ct. WI 54025 VII o_untyiDepartment Cse Only - r _ - \pr I s:,' r:ac K _ I 1 Sl e UD I UCd I I's •lgenl Snal of nC ( I\ Rl uoa fn lethal / Z V 9 IX- Condit 9P 5 r Disapproval r as px .aar3yamen! p'a.a ? c IN-, l~: Diu nu' . L2. M R~,k reccir1nt 8ns moat t-o r c . as pff wb1il ox1':; :Id.;avar. \ 5 W ht . annplere plans for the systrm and s b t ro the ('nnnr) an) on pa rlhan % r loehes in s've I w SBD-6798 I R03 14) dG~li ~~-A~e kT1va~ 5) ~ ~ bin ~s Pr~ar~ U~ ,1W CV w9_ SYSTEM PLOT PLAN - eoUG~C Project Name: Nelson Ues:ynFlo'w ---wab Nei - Attacn aesi{lr, flow ::alcuia6ors for Project Address: 4,54 I l ahand V&,, - ez rntrWrtla. plans. 131011 symbol ♦ B1d ElovaUa:, uC.oa Pipe ld'atonals i ASTM standard - Scale: 1" = 50' BM Descripl,on: Top o' Nbv b_stakc rabies 384-3C--3 8 384.30-5 0 50 75 100 BM2 Symbol- A BM LMVahon. 1CI' 4' SCH4C PVC ASTM D2365 BM Description: 4' SCri 3J34 ASTAt D3U34 J _ - - 12.5' Slope Gradlen: of Tesler! Aron: 15a..1 SCH40 PVC ~ AS I N 01 785 :'Veil Symbol (if noplimble) _ Notes- Nonce _ 7.13 Acre Parcel See CSM for complete map 98 2 ~ 100 I f ~ y~ 2~ / F)(0 ert Une < 3 ■ 63 BS o BM1 Existing 52'x48' Drain Field \ \ gq, fl Box / ~-Existing Force Main 62 Driveway Landscaping ~ New 100'2" SCH40 PVC Force Main =xlsting 12001800 Septic/Dose tank 1-3'x45' EZ Flow Trench EL=95.65' I 2-3'x45' EZ Flow Trench EI.=95.24' Garage j 3-3'x45' EZ Flow Trench EL=94.62' 4-3'x45' EZ Flow Trench E1.=94.20' e 4 Be roo Well j House f> I~ I~ Im : Pro erf Ey 1~. . I CONVENTIONAL COMPONENT DESIGN INDEX AND TITLE PAGE Project Name: Nelson 4 Bedroon Replacement Septic System Owners Name: Derek & I racy Nelson Owner's Address 454 Highland View Hudson, WI 54016 Legal Description: NE1/4, SW1/4, S29, T30N, R19W Township St. Joseph County: St. Croix Subdivision Name: Highland Hills Lot Number: 23 Block Number Parcel I.D. Number 030-2101-40-000 Plan I7ansaction No. Page 1 Index and title Page 2 Plot Plan Page 3 Dose Tank Cross Section Page 4 Pump Curve & Specifications Page 5 Effluent Filter Information Page 6 System Sizing & Cross Section Page 7 EZ Flow Information Page 8 Management and contingency plan Page 9 Septic Tank Maintenance Agreement Page 10 Existing Tank Certification Page 11 Warranty Deed Page 12 CSM or Plat Attachment 1 Soil Evaluation Report Designer: John Schmitt Licnese Number: MPRS 223760 Date: 10/14/2018 Phone Number: 715-760-0486 Signature: n z ! y1L In-Ground Soil Absorption Component Manual Version 2.0 SBD 10705-P (N. 01/01) r-- SYSTEM PLOT PLAN Design rlow: e00GPD Project Name: Nelson - N Aftacn design now Calwiatiom for Project Address. 454 Highwd View commercial plans- BM1 SymW AL BM Elevation. 10(:.00 Pipe Materials / AS7 M Standard Scale: 1" = 50' BM Description- Top of NW Iot stake Tables 384.30-3 & 384.30-5 0 50 75 100 BM2 Symbol- Q BM Elevation: 102.71 4' SCH4C PVC AS7M 02665 BM Descnpbow 4' SC„ 3034 ASTM 03C34 J~Zlezzlllj - - Slope Gradient of Tesled Area: le?: 2' SCH40 PVC ASl N 01785 12'5' Well Symbol (if applicable) _ Notes. Notes 7.13 Acre Parcel See CSM for complete map A 98 100 1 Line 4 32 ■ B3 / Pro er1 BM1 6% B5_ \ Bti Existing 12'x48' Drain Field 64 Box --Existing Force Main B2 J Y~ Driveway Landscaping j ew 100'2" SCH40 PVC Force Main Existing 1200/800 Septic/Dose tank 1-3'x45' EZ Flow Trench E1.=95.66' 2-3'x45' EZ Flow Trench El =95.24' Garage 3-3'x45' EZ Flow Trench E1.=94.62' 4-3'x45' EZ Flow Trench EL=94.20' 0 Well 4 Be o0 House 3 S a c tp L O1 ~-1 Pro ert Line SEPTIC / PUMP TANK SPECIFICATIONS (No Scale) 4.0 Verl Plea '701/ fro, Bullaing Ftectncai+v::tu Diywdh I2 Mil, or 7.0 ft above CO%IM 16 and NEC 300 FA, d"anholo'iser as rot»ssary. P:u;:bbshed Fbnrf Elevation yQoefhemNN (tyacal) ,,.rnclwn ApprtrveC 130. APPlOVed Lxk:na ManhoY+ Vent Cap eith W... ronq Lubot Attached I MPOF2 iANT: (typic"l) Anchor tank(s) as necessary Conduit A' Min. or 2.0 It above. pursuant to SAS 383.43(8)(9) FslatAehed flood Eia"tion (lwtcw) ~i.inlgnl Baal Fig 9'4d Grade Ouk;a 0 s onoe l a' Mn. CAPACITIES @ gal/in Q 0. tnpi~atl Depth (in) Volume (gal) * - ' --Alw(ov.d J.inu*an A 20 420 L I~:veep Arp,nved FN. 3 M and Liquid ..dole solto G'.': B 2.0 42 A Depth Force Main wcical) _ I Filler* [C] 6.0 126 i tl Alan,, `install and maintain pursuant D 10 210 It L- I,to- a, to manufacture's instructions. PUMP-OFF P"mn ELEVATION = 80.79 ft * Pump Tank Liquid Level = 38 in -or Force Main Diameter = NOW o c INSIDE BOTTOM Blmk 79.96 ELEVATION ft 100 tt Y Aoort x. f Badd -g Mntorle: 8enoolh Ten< Force Main Length 15.21 Force Main Void Volume = 16.30 .gal + Min. Supply Head = 0 it [CJ Total Dose Volume TDV = 126 gal/dose EM.N~ + FM Friction Loss 6 - (5X total lateral void volume < 7DV < 0.2X design flaw) + (force main drainback volume) + Fitting Loss* = 0.5 *If m n. supply head . 0.31 - lifter loss: MIN. PUMP DISCHARGE RATE =20~gpm i = TOTAL DYNAMIC HEAD = 21t PUMP TANK: SEPTIC TANK(S): Volume = 800 gal Total Volume = 1200 gal Midwestern Manufacturer(s): Midwestern Manufacturer: Pump Manufacturer: Gould Install approved force main filter pursuant to Pump Model: EOP05 lSeeata hMn. rna, m nuf turer's instructions. Controls/Alarm Manufacturer: Unknown Filter Manufacturer: SIM/TECH Controls/Alarm Model: Unknown STF-100 MEN Filter Model: Float switches containing mercury are prohibited Page 3 1 ~ Wastewater METERS FEET 10 - - i 9 30 --W=---SGPM 8 _ ~2.5 FT J 25 U_ 6 20 Q Y S p 15 Q q EPOS O 3 10 EP04 z 5 1 / U 00 10 t 30 40 50 GPM 0 2 4 6 8 10 12 m'/h CAPACITY MODEL INFORMATION Minimum- T -1M-inimu Minimum Minimum Maximum Shipping Order No. NP'Vohs/Amps Circuk Phase Float Swhchl Cord Discharge On Og Basin Solids Weight Breaker Style Length Connection Level Level Diameter Size Ibs/k larval :1ua 1J' 20'x.1 1A . W ide Angle IU 12' 6• S21/95' ~1.1`041 ,2 20Plug/ 20/9.1 Ea041 I F No 5w tch 20' 1 h" Marual Manual is, _i_._ha(ck / 70 r,. 1a'- 21 /9S F"0411ACi 09Y 4 ; t Yz' 12" 6' Fiquyb k PL, ! E?0412 1 No Sw•tch iC 116Manual Manual 1S" 20 / 9.1 - - 230 6 IU - EP 15' 20/9.1 FI"q, ' 20' 1'H Manual Manual Od12F - No Switch rl1,y ! EP0511F' 11S 13 20 No Swflcu 20 1'i" -Manual Manual IS-~ 22/10 FP0511AC S 9gYhack/ 20' 1Yi• 12' 6' 15" 23/10.4 Wide-Angle I - ='PI )'1^f I. l'.: ~ G 5 li: I'6,• Nan.ial PAaru.l I S' :7! 10 Page 4 e „ a PRESSURE FILTER INSTALLATION & SERVICE INSTRUCTIONS WAS Lc~am;u Drnc FILTER Tul(Ai:; 8N6-'~`w. ~?4p p(J:~e 2il-sx?-1020 no,nc C~i1'. Ml 49712 l.ac 211-18'1121 L.. Of'vh INSTALLATION: When installing an STF-100, screw filter into discharge port of any pump that has a 2" National Pipe Thread. Pumps with a smaller discharge port maybe adapted to fit. When installing an STF-10OA2 a tailpiece and male adapter will need to be added to the inlet end of the filter (end opposite of the cap) to the desired height and a 2" union will need to be added to the outlet end (the end closest to the cap & on the side of the filter). Always install the filters in a position where they can be easily serviced. "Always use caution when starting threads to avoid cross threading". Plumb force main into the 2" sch 80 PVC union. **We recommend that the union remain together during gluing to insure that glue or cleaner does not ruin O-ring or sealing surface". SERVICE: Service of fitter screen is dependent on usage as every system is unique. For most residential systems we recommend inspecting the filter within the first year to determine the necessary service intervals for the filter. In high volume systems we recommend inspection within the first 6 months to determine necessary service intervals for the filter. Once the service interval is determined it should be consistent unless something changes in the system. Always inspect the filter screen for any damage or corrosion and replace if necessary. If our STF-101 service alarm switch has been installed and adjusted properly it will alarm when the filter requires service. It should be serviced no less than when periodic pumping of the septic tank and pump chamber is performed. Servicing will be more frequent if using any one of our optional filler socks (600 micron, 150-190 micron, and 100 micron). Check your local health department for septic system servicing recommendations. If the screen becomes clogged before the periodic pumping requirements, a high level alarm or light will indicate the need for service. If system is equipped with a "pump on light" that stays on longer than normal. this also may indicate a need to service filter. To service filter screen. unscrew the 4' cap. Pull filter screen from canister and wash out thoroughly in appropriate location with proper protection, In some cases an additional filter screen allows quicker service allowing the dirty filter to be washed later at the shop Note that in cold conditions the fitter cap maybe difficult to remove. Keep the filterin a warm area or pour warm water over the cap before removing. Once the filter is installed in the tank it maintains a stable temperature and removing the cap will not be a problem. If the system is equipped with our Service Alarm Switch, the filter screen does not need service until the Service Alarm Switch activates a light or audio alarm. We still recommend that the filter be inspected once a year for damage or corrosion, NOTE The total dynamic head loss of the system must be increased by 0.5 feet of head to overcome friction loss through the filter SERVICE ALARM SWITCH The alarm switch is available in three pressure ranges, low head, medium head, and high head. Installation is simple, on SIM/TECH FILTER systems, remove plug from base of filter chamber and connect tube fitting. Next. run the tube up into the tank riser and connect to service alarm switch. The alarm switch is fastened to the side of the riser via the nylon strap provided. Run alarm wire to alarm box. The service alarm switch can be wired with its own alarm or with the high water alarm. Pressure adjustment is made by removing the end plug, and inserting the 7/32 allen. Clockwise increases pressure. One turn equals approximately 3 PSI. The low head alarm switch comes factory preset at 8 PSI and is completely field adjustable within it's range (3 to 24 PSI). We recommend the use of a ball valve when using an alarm switch. Once you have installed the filter and alarm switch, the ball valve can be closed off to simulate a plugged filter so that you can make sure the alarm switch is working correctly. "`"TRY OUR LID/SCREEN REMOVAL WRENCH. Our wrench holds filter lid firmly and hooks screen for easy removal and installation. Made of PVC plastic. WARRANTY All products are warranted against defects in material and workmanship for a period of two years from the date of purchase. In no event shall GAG SIM/TECH FILTER, INC. be liable for any consequential damages or any labor, material, freight or expenses required to replace, correct or reinstall the product. GAG SIMITECH FILTER, INC.'s liability is limited to repair or replacement of the part. All warranties are void if the product has been improperly modified, applied or installed, subjected to misuse or abuse. Except as stated herein, there are no warranties expressed or implied, including the warranty of merchantability or warranty of fitness for a specific purpose. EFFECTIVE September 13, 2005 Page 5 a~ ~s u & E p °6 L 'i' n'E to c ~ y~ J LL 1 C L• x l = X C W .0 0 co N O S] c a _ a c E y a s + r o E w 02 Cl) O m~ n a 'D c o 79 Q c W O co r_ p v 1_ I '0 i d O ca N N n y 9 y a ,C Oki C! Q m £ - r=im o ' E 2 I I^ oN o o Q m W o la I j~ W Z? R rn ul, J a = a II I E„ Q M :t'' C I I o ui N i- H W w I /w x II o r W S = Cn N v UI ? _ °a I II I v E` ~W acn - I II I o y •N o m o v I " I g o to 3 N U o xo I I c a > to 3 J a) n m I II I II Q o p t ` o' I I N II ~ -0 E o W C I U N {I ~ 0 0- a, r• I II n ~NI 101 NI VI II II II II X 0 >C; 1 J_T Tm a a Z ~ c ~°mal I 7 o I I w g o In rn is ~ a I I _ Ln N U U @ N - L I I Z n y Z +r I -I_~ v 111 m ° g~ mm H I I a n d c v N .I I w •'r, w II - Q _ = I II j Z I II I J I Q ww~ I II I z O H > U + m J Z N I w UgZ° L_J E a a a) Page6 Installation Instructions for EZ OF LTNAT WM E2;/10)),, Systems in Wisconsin JeY'r"Nr Wisconsin Department of Commerce, Safety and Buildings 5. The Absorption area (G~ necessary for a given site shall Division. has reviewed the specifications and/or plans for this be sized based on maximum daily sewage flow (GPD) and product and determined it to be in compliance with chapters the Permeability for the site. If certain criteria is met, the Comm 82 through 84, Wisconsin Admin. Code, and Chapters EISA sizing can be used m Wisconsin, resulting in a 40% 145 and 160, Wisconsin Statutes. All sites must meet the ite smaller drainfield. & Soil Co 'i n & ations 8 Isolation distances as noted in local regulations. 6. Place EZflow bundle(s) in the EZflow configuration ap- proved by system design pc,.mit specified for the particu- The approved products are 120311 (3-12' bundles with pipe in Iar site. The lop or center-most bundles containing pipe center bundle in 5' or 10' lengths) and 1203HP (3-12' bundles are oined end to end with an internal pipe coupler. Any with pipe in each bundle in 5' or 10' lengths. additional aggregate only bundles that may be required, should be butted against the other aggregate-only bun- A single pipe bundle contains a four inch perforated pipe sur- dies and do not require any type of connection. rounded by EPS aggregate and is held together with poly- chtylenc• netting. A single aggregate bundle contains aggregate Y. The top of each GEO cylinder contains a filter fabric pre- only and e, held together with polyethylene netting. manufactured in between !he netting and aggregate. The fabric is inserted to prevent soil intrusion. The installer Materials and Equipment Needed shall make sure the the GEO is positioned upward and is • EZflow Bundles in contact with tine fabric contained in the adjacent cyiin- • Ullovr GeotexAt fabric der before backlihing. • EZflow Internal Pipe Couplers • P pe for Header and Inlet 8. The EZflow Drainfield Systems should be installed in a • Backnoc,Excavator level trench in all directions (both across and along the trench bottom) and should follow the contour of the ground Installation Instructions surface elevation (uniform depth), with all continuous the nstructions for inr lation of Zflov: products are given adjoining 10-foot cylindrical bundles placed end to end, belov/. This product must be installed in accordance with state v:iV central bundle distribution pipe interconnected, r~lcs defined in chapters Comm 82 through 84, Wisconsin Ad- without any dams, stepdowns or other water stops. m r,ishative Code, and Chapters 145 and 160, Wisconsin Stat- utes, as well as the local health department's current design 9. The trench top shall be graded such that water will not manual. pond. Backfill should be seeded or sodded immediately after completion to reduce erosion. 1. After the local health department has determined sizing, configuration, and layout for the EZflow systems, stake 10. EZflow EPS bundles are flexible and can fit in curved or mark with paint the location of trenches and lines. Be trenches as may be necessary to avoid trees, boulders, or csrcfirl to set correct tank, Invert pipe, header line or dis- other obstacles. it but on box and trench bottom elevations before instal- I::tign of pipe bundles. 1 L EPS aggregate is lighter than water, therefore, it might be expected that natural buoyancy forces would tend to 7. Remove plastic EZflow slipping bags prior to placing cause EZflow assemblies to float out of ground when l:undles in the trench(es). Remove any plastic bags in the ponding occurs. Field experience has shown, however, trench before system is covered. that this is not a problem when systems have a minimum of 6' of soil cover as recommended by manufacturer. c;. This product must have geolextile fabric that meets re- quirements of s. Comm 84.30 (5) (g), Wis. Adm. Code, installed directly on top of the product and extending 1203H-GEO cowl) along the sides of the product to a point at least six G°°t`.51e nrhes from the bottom of product. v !.I By[ cr material -6,•r w~ 4. 'Jncen installed in a trench, the trench should be dug to 6 a wridth of 36 inches. This not only saves labor in excava- ton, but also provides better load-bearing capacity after backflling is complete. ;r; Page 7 In-ground Dosed-Gravity Management Plan IMPORTANT: The owner of this in-ground dosed-gravity system shall be responsible for its perpetual operation and maintenance pursuant to requirements of SPS 382-384, Wisc Admin Code. Pursuant to SPS 383.52 (2), Wisc. Admin. Code, this system shall be considered a human health hazard if not maintained in accordance with this approved management plan. Furthermore, all inspection and maintenance activities shall be performed by a registered POWTS Maintainer in accordance with SPS 383.52 (3), Wisc. Admin. Code. Maximum Dispersal Area Operating Limits: Design Flow= 600 gpd; BODS 220 mgL''; TSS :5 150 mgL''; FOG 30 mgL-' Inspection Checklist INSPECT EVERY 3 YEARS o type of use 0 age of system o nuisance factors (re- odors, user complaints, eta) mechanical malfunction (i.e., pumps, valves, switches, floats, etc.) o material fatigue (i.e., leaks, breaks, corrosion, eta) o solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (i.e-, distribution / drop boxes) o neglect or improper use (i.e., exceeding design capacities, prohibited activities, etc.) D extent of ponding in distribution cell prior to dosing o dosing irregularities - if applicable (i e , pump re-cycling, float switch settings. etc.) o electrical components - if applicable (i.c., wiring, connections, switches, controls, timers, alarms, etc.) o distribution lateral or lateral orifice plugging (measure lateral distal pressure - compare to design specification) o surface discharge of effluent or sewage back-up into structure served Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary) o Septic and dose tank(s) shall be pumped by a certified septage servicing operator licensed under s. 281.48 Wis. Stats. when the volume of solids in the tank(s) exceeds one-third (113) the liquid volume of the tank(s) or as required by local ordinance. Disposal of contents shall be pursuant to NR 113, Wisc. Admin. Code. o Effluent filter(s) shall be inspected every 3 years and shall be cleaned when necessary to remove any accumulated solids according to manufacturer's specifications. A servicing period will always be greater than 12 months. System maintenance reports shall be submitted to the proper local government unit in accordance with SPS 383.55 Wisc. Admin. Code. Report any component failure or malfunction to: Name of individual or company John Schmitt Phone, 715-760-0486 Local government unit: St. Croix County Community Development Phone: 715-386-4680 Local government unit address: 1101 Carmichael Road, Hudson, WI ZIP: 54025 Any defective part of this system shall be repaired. replaced, or removed pursuant to SPS 383.51 (1). Wisc. Admin. Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 383, Wisc. Admin. Code. No product for chemical or physical restoration of the POWTS may be used unless approved by the department in accordance with SPS 384. Wisc. Admin. Code. Contingency Plan In the event that any failed treatment component of this POWTS cannot be repaired, it shall be replaced pursuant to a plan submitted to the appropriate agency for review and approval. A failed in-ground dispersal component may be abandoned and replaced by a code-complying dispersal component in a pre-determined area of suitable soils. System Abandonment If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wisc. Admin. Code. Page 8 9W.'13'* -13:49'6?itl5W.'Tl'0 HS1GS ja I ST CROIX COUNTY SEPTK: TAW., iv1A11MNANq AGREEMENT AND OWNERSHIP CERTIFICATION FORM O'a' :rfBu) cr NELMfia Doaob S Tnoxg . i i t ~ lYFal ire At 6:,::s dnc4 Pond-tank Qhaxe- Eagan Prol ,ny A:h h i as .a ~ (Vtrlneition required nom raMcwi Depuhnem fu now eoojtvwbon) I i at) State -.tlotr.ttex, V1. Parcel Ideatifirnaion Nuatbcr t~30 a c ! ,cf~ Lv! Prof .yty b ,c u : ion A&// sm. ~2'5p- T-N-RL_ W, Town of Sub,Milos , LOi $3. _Nit;H(~1~(LS Znd ADDITION _ Lot rl 2 . Cer.:Mod :vr dy Map f Volume Page N ~ Wu Wty.fh,d # r p=er . Volume IM- . Page p 531 Spa. house I~ jes ac Lot Linn idcntifiab(c' O no ingn l • ,,w and ma:otsnanenof your Septic eystam could Kant in its ptemb Aue rail= m haadY whew Proper m. i MMMe coca ss of Pt wit. tg out the a:ptie tank avory three ycan or sooner, if aeedod by a Ilceoud Paorptr. Wlul yqn put law r rystcm cm ; ,Tar dit f.w aion or the teptio tuk u& vaocxot stayc in tha vans dispotal synem TM: Pff c.: xty owner agrees to au6r3it w SL Ctoix Zonal Depatta eat a ocnification ftxm, sipaed dm aiwiw it od by a mut rplumb:r,i:mmcymwptumber, restikWpltaatbrroralloemedpiomptaverttyingtLat(1)Lhcoa-slkwwA0va0willpwrl-tipma is iu coyer u w n,'ing conditiea aadlor (2) 4a impeca m and pumping (it aoeesvsy), the zc0q; tack it Leas *6 W lull rv' AW9c. Vwc. the mud :r ii ud have recd the above; requirameaa and apex to maftdaio the privats sewage disposal Sys" with the :eandatds set 4. 46. hen to, t ad by an Dcpanm= of Coaaasrtee sad the IkPsms ear ofNatsaal7tsaetsreu,Stare of W i~ssrisfa CereOcatioa eaHr .1 that Y!+s ::ptic system bas beta maineimd mys! be comptoW and retomed m the St Ccoix Coaafy 7.00 0M0d •4bbie 30 daysdtsys r•~on te. / 1 ~1 1 l SIGs ~TL1RI APPLICAI T DA S2Y4 ' '3;►~ ~1'IQL~ I wl•)'.:-•Hfy tan etataasacu oa this frwm we traw to the bat of my /em) knovAedgc. I (we) ami{uc) the rrvt er(a) of the t - it ibe , by view of a waccucy doed mcmded in Rather of aveds offim I3 . SI l t' P ANT DAA ••r• o Any:,it Ir.smtioaOut ismis-repraeatedcoy Veg ai.themoitary;.ermitbciugrevokedbytheZoningDeparuuni.`r•vo• It And* wll' i I lilt appliesdon: it dumped waranry decd Nom tftr Ryl7tcr of Dccds offieo j a copy of the certined survey sup it rsfaence is made is the warreary d" d t i Trl 3rvd 17,9f cs a0:3e 8e6;/60/oe Page 9 ST. CROIX COUNTY ZONING DEPARTMENT AS BUILT SANITARY REPORT Owner ev. ~Li AItLsB d f nn Address ~6~/z~fj~a`aP" //,-'fw sr l 159 City/State rc/~J.' raga 9 Legal Description: Lot ~?3 Block _ Subdivision/CSM # o/j L a~ d Xs %s,(/~ S Sec. K~ T30 N-R.& W, Town of 7/ ~6s Q,o A PIN # 630 0 - d Cpl SEPTIC TANK - DOSE CHAMBER - FOLDING TANK INFORMATION: Sao Tank manufacturer a,`.(cd oslp ✓ Size ST/PC /a!o/7SG Setback from: House Well &V t-2 PIL.S19~ Pump manufacturer Model of .p,, S /l Alarm location wl-41-9G (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM: Type of system: Co Width Length yg'~- Number of Trenches / Setback from: House -7z l' Well 1{j7 P/L S' Vent to fresh air intake 2 -4- ELEVATIONS: Description of benchmark Elevation 16r• Q Description of alternate benchmark y~r Elevation qT7< Building Sewer -?Y -Z/ ST/HT Inlet ST Outlet PC Inlet PC Bottom 7f, 96 Header/Manifold 97 S / Top of ST/PC Manhole Cover 90-`TG Distribution Lines q7. 5/.Z ( ) Bottom of System ( ) ~G - Gl ( ) Final Grade ( ) Alo z ( ) i Date of ins ation / / Per number_10*77;;'2 State plan number Plumber's signature License number Date Inspector Ad CL `K" <:onpkw plot plan fbleeonwhcrre""`. SOIL AND SITE EVALUATION REPORT Pape 1 0112- W.<awn Z..; re in era -Devon d Sefery a suiwros in accord wlm ILHR 83.05. Wm. Adm. Coln FA t. Croix Attach complrta site plan on piper not lean then 812 x t 1 inches in eza. Ran court include. tan not Emaed in vertical and honzocsal reimm,a pDid (W. Rrec4on and %of !lope. scale a Qmeneioned, nosh craw. and location and distance b "vast mad. ng_-_ Y GATE APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION - - TION PROPERTY OWNER. ppOPERTY LAL:A Joarme PersicO OO r Lo NW to SE vAS 297 30 :N,R 19 d'. (a)W PRPWWYOWNER'S VAIL'40 ADDRESS- IOTA BLOCK# SUED YA1[OR CSU8 400 S 4eeond St ry2•3 na Highland Rills Second Addn. GTY,S-ATE 21PCOOE PHONE NJM3EH QCIn' aIRUOE dOJfGIlN NEARco. RRRd. OAD SE Itudecin, WT. 54016 1714 386-9060 St. J oseph W Nee Carstruclcn User Einderild I NuMW of L edroons 3 Addition b among builo,ng 1 1 peparEnnern I Pudt or commercw desorte_ -2 Code derived daily Dow 452 Wd Remmmmc d design badi.'9,ow bed. g9d$? _.8_ trench, gpdA Aborpson area regtdred _ - 643 bed. R2 563 _ eentlE *2 N'awnu n design loading lase - • 7 bed. 9pMR2 - bean. 0"2 Ramimronded rW w*on wrl am etavalme; _.97.00 _ M fas referred b sine plan 6erndmarkt A0fl8onA design 1 sRa wMidmilli alt. area=- t 9013 P6 96..5_& -7' Pxentmalerial- Pitted-g al driEt. __-....-..FloodoeinetdvaEOn.iapptcabie_-»- -R $.$uN7le fp Syelem VWINTONAI 1Ca)ID NOFOMD P9ESWNh. AT3RAUt I SYSTEM f~FLL V10li7Nd TAV( ❑u (B$ nu, rS ❑U 1L$ ❑U ~U U=UrLSUlable tor. Mm VS ❑U a$ 13 SOIL DESCRIPTION REPORT GPU/ll Depth Dominant Color Mrvtlac Texture SLruclure Congw5lerwe BptRiyy 80019 Bed T BonngA Horizon in Muneell Ou.Sz.Cori. Color ' ..Sz.Sh. 1 0-7 10yr3/3none ail _2mebk mfr - cs 2f .5 .6 1 4 none_1 2tsebk mfr _ I ra?h 2 17_22 7.:tyr4/ if 4 .5 T l if al 2zpiD mfr gw 5 Gmud 3_ 22-36 7.5y-- 4 _ noes I 7 r4/6 none ..ma oag M1 TO ra .7 ..8 1100.CL 4 36-82 b__ 1nB lam I Boring N - - - ca T2 f .5 .6 1 0-6_. 1 z3 3 , none. eicl 2e2msbk ebk mfr ~ lf-I.4 L-_ .5 2 i6-20 7.5 r 4 Male _ gv I l Tna .5 j.6 3 12024 7.5yr4none 81 2MSbic mfl 9s`, _II oeg _ e .,_4 24-8Q 7.Syr4/6 _ none-__ _ ! mvfr na ` a :7-~.8 ID Iimibng F-- ~ tacb +80• VVV Remarks: CST Namc:--PI<a+<ttrnt Cinrv L. Stccl Ph :715-246-6200 .addren 1554 201 ve. New' c Wl5 17 $ixcvu~~rt DAM' CST Numbrf: m02298 t - PWPERTY D11MEP Joanne Persico SOIL DESCRIPTION REPORT Pape _2_-d-~ PAMELID. t_ Lot #23 p ipygs Structure i~ Room M Depth Dominant Color Texture Bed T Boring Rorizon in. GPD/It in. Mansell W.Sz.Gae. Color Gr. SL. Sh. y/ r3 - 1 0-12 1 r313 'YL~ I 2 _ 12-401 LOyr4/4 rime 61._ 2msbk _ mvfr - ._grr~ if _5A-6 3 40-90 t~7.5yt4/6 rime tI me - - o®g_ ml na na •7 .8 Ground ekic - - 100.4 tt Depmp - - Ymtlng - , -_1 _ - - .90. RemFKS: Boring N i 1 0-12_ IQyr3/3 rime---... ail 3mEk_~mfr 2m .s - 4 ~ - 2 12-46 7.5yc-- - 1 - .IINfi_-- nA. III~~_ r4/6 - nnne - - .Z...•Q 3 -841 7,5V GnAnd I elw Deph p IdCb +84" Rema ks, Boring N - 1 0,12~10yr3 3 rime ail 2mabk mfr ! 2m 5 .6 3 36-00 7.5yr4~ -[mete ai- 2mebk mfr k 1m 5 i.6 -2T-2-36 1 03 - _ I mvfr _ I na na .7 `_B 7.5Yr4/6 note me Glelyd 10Q~O tt -1jl-- - _ II- Deplhp - r--- f -I~ - Remarks: swing # i t I GrounJ Deemp Im" fstr STEEL'S SOIL SERVICE Gary L. Steel Joanne Petsico 1554 200th Ave. CSTM2298 KV&SE} 529-130N-R19W New Richmond, W1 54017 MPRSW-3254 town of St. Joseph (715) 248-6200 r lot 1123-Highland Hills Second Addn. v I.. M.- top ofNW lot stake 0 el. 100' I 231 a1` Z0. ! A° e9 v, ewe I Wry L. Steel 11-13-96 - - i 2422 Enterprise Drlve 4eIi to k eight,. MN 55120 (612) 681-1914 FAX:681-9488 1 MN 4JR\CYINiS n. Nl EIMpNEERS 1N.E. * nginaBritng ANR PUNNFRS . IANDSCME AROII CPS 525 .;0 M Olane, N5444 * 612) 783-1880 FAX:783-1883 certificate of survey for CLASSIC HOME DESIGN House Address: A4-47 Hiahlan 'ew SO034'57"E 518.67 _ _ n t a rn ~ . d'~5~''O S': 23 = p ! IE'MHIICE E. VVV RO ~fNBAChip P LIN rl 'f e r 24 O r I{ ~ O 'mot ~ of" ~ PROPOSED HOUSE EJ rti 2 m.q -7-- N`i9 30r / a siel arm _4e! 22 2 ze®- ar O'f, Irop 'Oja °rar', 1' mm -.ezsz y ~ wtac.er / SY ~r.la 8 lzl]8 lero ~Se7" he„n. clwol:.nt ~ ~Rrr. w _ „l of ' c7~i.n~ arcavat:.n 4o j 'y E►Ar Mr.4 1... oral rt>°k• .fl •1°~+ V. r ala~K..~t elw i.sl:~ .3`.2i4~4 e X18 ~~HIGHLAND I 1! PROP03E^ °i R7-nrNr. c7ry~7/OM4 .ono D les Exiting Etevolbn Lotrest F1001' Etewtlan: 3';'o Elewlton lop or Block Elewtlon: q ;•t Denotes Vropose Prop I a ---Denotrn Nal"Ove no. Orreclom Geroge Stab Erewtlon. 92.7 Denotes Drotnage A Utility Eorrrnent NOTE: I 'poem twe11m9 me 919914 ti Ie oeereoea .1101 Iti -+r Denotes VorNwrlent 09en9 pons eppewe ►y 9re <Ny •1g~. Denotes Ortut Yon Bearings Mown we oesulnee HOYE.. convector rr.nI vrntr ON a1nwlYrnr e: bHweer d"ir. LOT 23 HIGHLAND HILLS 2N-DgelADD.