HomeMy WebLinkAbout008-1067-10-000 (4)
veU ^~1e01 °r ° 'le'e PRIVATE SEWAGE SYSTEM ~e~hty St. Croix
^afeth and BuAdnlg Ursrn
INSPECTION REPORT omrrPermitNO yy
(ATTACH TO PERMITi ~JJ 2~~
GENERAL INFORMATION rite n an ID No
pe-sonal inful'"w'm you pnmv le my be used'cr 5eandary purposes IPnvacy Lave. 5.'5 ~4 ( Ili ml 2656472
I
Permit HGd,, . Na". city agn T.~am:r,ip Pomel I ex NO'
Garland & Sharon Fregine TOWN OF EAU GALLE 008-1067-10-000
5- BV Fro, u+p UL1 Elev 131A U
60• l~ scnplicti^ t r Y\CL~!C 'tit'c.1 SecnonrTow*vR:u:genaa228.16.344
TANK INFORMATION ELEV N DATA 107 q9 78
TYPE MANUFACTURER CAPACI IY STATION DS HI FS ELEV.
Septic P,epchrr)aik 4 lYUV ICIO-
t •~C.f y' a ~4:.~.; 10 UtNM + I SI
Dosing R BM ` Ly ~,l It "J"8, (3
Aeration s Bld Sewer _
I Wiz,
Holding
Sut n Outlet
TANK SETBACK INFORMATION
TANK TO P1 VvELL BLDG V T11 It, Au Inla•:e R,)AD DI Inlet
-•L 1
Septic DI Bottom
Dosing _ -eadeu man r 9 j O S. ! 8
Aeration Dist Pine
Holding Rot. Syslern _
PUMP/SIPHON INFORMATION Final Grade
iAv • i &
Manufacturer - nd St Cover
Model Numbcl / VI 02• r r/
1 ,1. f/r r I
TDH Lift friction Loss. Syslern Head ,.5 I ft
. 3 .5 /B.
Forrenlain Length Dia Dist Io*Aol
SOIL ABSORPTION SYSTEM
BEDfTRENCH Aldrh Length klo Of cn-llep, PIT OIMENSIONS Na C9I C5 Ins.de Una. Lgaid Depth
DIMENSIONS y - 1 L~
c
SETBACK SYSTEM TO P;I BI Dil V,LLL '_AKF'STRFAM LEACHING Vanu'act~fcr
INFORMATION Ty p.o ~I tic .Ic CHAMBER OR
✓ UNIT NhdH Nnrrmer
f
DISTRIBUTION SYSTEM
Header, Mandc•d Di,nihutiln x Hoe Sao x gate Spacma VenUo Air I14ke
Fwe!sl i (
t.nngv) Dia Lcngth IAn Spnnng J
SOIL COVER x Prossuro Sysloms Only xx Mound Or At-Grade Systems Only ✓
OuF'h Oee: Dcrrh O'.ea X. CeP[h of xx Seedel SOddec 1 xx M"':ned
BrdTle°ch .'.¢^I¢' nTc"::h rcgn•. Tcr,cil _{(1- Y¢5 No i YOS No
COMMENTS: (Include code disciopendes, persons present. etc.) Inspection #1. 8 Z ! 20/8 Inspection 02.
Location: 2548 25TH AVE rrt an L.Of Ga J Imo, ~~O~e O~ !
1.) All BM Description = i~ tE• ~),,,5 Lo dz d
2.) Bldg sewer length= - amount of cover = i !''I J
Plan revision Required? - Yes No 1 Z `g / _ ~J 7 h
Use other side for additional mformaliwl. l/*~-
Date Insepctofa:fS:gnatu .an No.
SBD 5710 (R 1:97)
J
~R^• l_ (noon'
IAi. Safet s Division St Croix
~vtD yand Buildin9
201 W. 'Washington Ave.. P O Box 7162 \mnan' I' min Nm¢ha m, hr filled in h\ Co .1
Madison by 53707-7162
s ZIJF3 k6315
P NIaLL I-a,ar aon Atunber
awlafv ternlit Application, 23,1
ud r oo.c- q-__ frn ♦ W In 1 ic_>ubnli "i a It Ilan( n I.~~7?
I. ,gmr J poor r,I hl conga, ,ii n peon V tic \pph I Io Innm 1u 1AI IsneJ I! 1A5 I C a 1, IIe 1 to - -
Ih IIc runup, It S.1 in I'J I u k. I mnl Ncn I I..,u d ml :nn:mon , r pmcldr may III: u,cJ li: scnnuhtn. I n I'zl ;\JJ s itl dl llcrcnc than ntalhnp. aJdre.,i
Jmrp es -n accr'Id tine ellh Ih I rn I , 1 a„ nu `,n,.
I. :\pPlicatima lnfonualion •ase Plmt:\Il Information Same G r'II\
Pn'garly Uen; 1. \;unc / - P:arc,lu _
iindend R' Sh:lron I'icprlc 008-1067-10-000
fmpclF, tie.....
l'IV1Kll\ ft\allurl
li48 "i" \\Vi', Iloyl I.CA _
l o' V:ae /ml'I~Jc 'hone \unai^cr _SF -NV N,,hor. 23
- tciudc once
ll oodvillc. 11 I 54028 (715) 698-2804 1' 28 y, R 16 r or w
1 v pe of Building (check all that apply) - L "I
I u• _ .uuik Ua-.Ihnp \umlm A licdl m Nubdl...um Nam,
lit.,, k Na
~ I'uhh,K'ummerc: r.J Dacnbe I WCQ.~Is"•'~'~ i -
\a I l'Ill 'A -1 1 N(:e lie, ned ilc,eribetw, I (N4'. Wmhr vlll:reIII
3 X~~~D~~h/Sb(JL. Na f KII Lau Galle
111. Type of Permit: (Check only one boy on line omplele line IF if applicahle)
N:., ♦y.0.:m I I I epl:lucmaa Ns a:m llcatrn:nul 11411111V .l:nnk Rgd;lttaocul [fill I (rlhrr Mndnieauon to I`yi,ting NUICnI leypl:uni
\ - -
H. 1 1 Vnot Kcnc,cu Perms[ Rcsllion . t'h.r:;:c rt I':nniler 1 - I'a:ua I wn.ler lu \"I I.ISt I'll'iou> Pt'Jt11a Numhermd Ilase [,,tied
I
itelnrclApn;r,i~nl (ricnoa
die of I'OVN YS Sy,tem:('nnlentif)" ire: !('heck all thol apply)
-Pn:.,ur'.ra In-I ih4m. PTI,,uri/ J 1!, lhou::J M. and `.I ht ul xutahic v"I ~ Nlow"I J-I na nl sunahle v."I
I:.4!in laof I_Ulhcr Unpcr.:d (1•nlaua,ILL!.ypl:tini L~ vicl%:nmcnl lky:c,rcyplaml
b. Ulspa rsal l7ealf nt Area Informaturo t'nl, l Ilk P_I-Sni cllluuu Idt,r I.h • iu,lal f u S I oudel, s IOO' ,b, x r II cell - -
I p I n I I. gpd I ) ,:rn v II Ap pli;;ni u K n .pd>I'I li.per a "Ica Rcklur d ,,l f hcp r-:d Aral I r r, o,.J i,f I SNfun I Ic',m.m -
J HI (ipd cy W +1v I M1I iatn 101 ,0' at 0- above
.f10 ('rd (L(+ (;pit ,q_ It n ulvc soil II .100.00 Sq. 1 t. 10' 00' Commit 1. lank Info ~ Cap) u. m I n:d of \ muf:atisr
(;all a llallom L nlla L/~
W c _
.:II nri~l::n. Na 1000 11100 I 1blc,cl Concrete X -
Na (11111 _ 600 1 Conlbinutinntif`PC
Y It. Responsibility Slatcment- L die mnh•r,i>;lard, a,auur re,pon,ilatih'far in,lafla(on ,fine Pfa\\ IS.hoon Co.) the attached plan,.
°umher A Im: Ilnl l 4111 NnniN Number !3mi c , l ft,n- Vanher
James K 1Lom n J~ 'sue
Pw /rrnlcA_ MPKS300''1 (71~1248776'
' Plnmhr . AJ::r:, ISbccl. l'iq \t.n. / tic -
.,40 Paukun lake Lane. ()sccola. LVI 540220
Vl ion y Im a, Inrnl l~sc Qnk
Xmrowd Pcrmil I cc Dale •-,u,J I.,une• •:nt ]r•nat .
y_y+
is r IliJ~dll loI Uaual t
rW ~ I
I\. Condi8afWIEFA\{ijiMR6tL'Reasnns for Disapl rural
1. seol, lark, c:ih.c2: lilte- l'n1 ~1 p
<hmper:':::cell -U.,l a'.1 he
6"_I~'S`r''1,1;.-. e~ La~lhfwD 1~
4s permar9(emerv r.2•t,^.,!., i'lel U'r ylu,nbe,. a~ IA (y~~p^~vµ~~
2. rte
S r W rbmtw-an'n m1nc1 w i-a,r:t, it
Soper
il~llUbl] (aY.r; ! :fdivlrt F, r~- ~1 1)
:Marl: to romplm. pl:m.Inr thr .y.rcm nnA .I miI IC f . r':mnl, pn nn paper not le,. nun D I , 11 mahe, in i,e
\Ill )-G 278 tR. IIIII n
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w a rim ds/o~,avec/%TwoCrf • iX,s6 iao(ie/v
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Stonee.dat / s1.
ALL Care er"t le.
c..,ccfr fewnoLGon. ~ ~ILCLd~J~yl•''~2~✓12L
t/ee
'(~//sn cad S~.uon~rr9;.
R "s ~.(.ioP.✓.C. ~ lt~oLl~l/://~, c.7/,, S`/~.78
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29
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Mound POWI'S Indcx & Title Sheet - Raised Dcsiuyn
Project Namc: I ivuine 22 Bedroom Mound
owners Name: Garlcnd k Sharon frerinc
0%lner'%addrecc 2i IS 225th Avc- lVoochille, W1 541128
Site address: Same
ho+iccl Locution:
Subdivision: Na
Ix.gal Description: SLN\1'%, Sec. 21. 1,28N., R.IGI> - lows of I.au Gallia. St. Croix Co.. M.
Parcel 11) 008-1067- M-000
Pace I Index and 1 ide Sheet
Pa,x ? State Apprmed Mound Design - Revised tank location .t manifold
Attachments Slate apprmal later
Muter Plumber Restricted Service: lame, K. Thompson, DNPN Credential 4.3002 1
Sid rtnturC DAIC
Past I of~
tk,w-n puma^I 1. In-61"w a SO:. Ah,,,rpuon (anp,marl M.ar..al n>r I'm1 ♦ wr,wn sill) -7115.1' fN.tiI III i
DIVISION OF INDUS T RV SF RVICFS
_ 10541 N RANCH RD
D I IAYWARD WI 54343-6452
S `I Contact Tnroagh Relay
P http.:Asps.wi.goviprograrr.slindus:ry services
't~'.• -ww wiscons,r gov
? w.^. s` Scott Walker, Governor
Laura Gutierrez, Secretary
October 11. 2018
CI1S'I ID No. 30011 AI POII'I S Imyecror
J;\NILS K -I-HOWSON /ONI\O Of FICF*
A( F SOH. R' SITF EVALCATIONS SF CKOIX COON I Y SPIA
.0 I'ALLSL'N LAKL LN 1101 CARMICHALI. RD
OSCLOLA WI 54020-5413 IILDSON k\ I 54016-7708
('ONDITIONAI. APPROVAL.
I'L:1N APPROVAL ):XPIRF:S: 11171 U2020 hICTILification Numbers
'I ransactimr ID D No No. . 3 31_'922
SII'F: Site 11) No. 820413
Garlcnd R. Sharon f rc:jre Plruse retie to Binh itlemitlcarinn numbers,
3S1S 25111 Ave above, in al! corlti•spondeoce with the a,ency.
To•.vu of F.au (dal le
St roiv County
SI'I;1.M\ 1/ d.S2t•128N.KI5W
FOR:
Ob:eel Typc: Soil Saturation Deter minmion Real .dx :d Object ID No.: I
Rc\ isi0n
I Itc submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes
and AA'isconsir. Statutes. The submittal has been CON, DI I IONAI.LY APPROVI.1). phis system is to be constructed MN-
and located in accordance with the enclosed approved plans and wilh any component manual(s) referenced above.
I he owner, as dJlae~l in chapter 101.01(10), Wisconsin Stan.tes. is responsible fix compliance vvdh till code AP
r,•,;uircmcnts. DEPT OF SAFETY AND
DIVISION OF I
:A cup} of [he approved plans sp-ulicanons and th letter shall b (,:I site during corr,nucttun and ten to
rspecnon by atll:064Cd reltlelcl.tatives oflhe Department, which nary include local inspectors. AI pcnnits
rcgaired by the state or the local nvmicipalih shall be obtained prior to eununencemelr, of i
construction!installation ioperation. I
lu ;Canrin;l this approval the Div'IS;Oll 01'htdustry Services reserves the right to require changes or additions should _
cor.dl Ion :rise making them necessary for code comp I auce. As per state stats 101.1_'(2 nothing iu this review
,hail relieve the dcsit?ncr ofthc responsibility fix dc_Igninp- a cafe building,, structure, or component. SEE cope?
Inquiries concernin', this correspondence may he made to tire at the telephone number listed below, or at the address
on this Icucnceed.
The above Iefi addressee shall provide a copy of this letter and the POW I S management plan to the owner and an\
others who are. responsible tot the installation, operation or maintenance ol'the POW IS.
Sincerely, Lee Required S 31.00
Fee Received S 35.00
Balance Due 5 0.00
~1 aylor
%krast ewaler Specialist . Division of Industry Services WiSMAKI code: 7633
(715)634-3484, Mon tri, 8:00 a.m. -4:30 p.m
edwin.tavloi umi.aov
EZWW`MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN
Residential Application R~Gt, v
INDEX AND TITLE PAGE
Project Name RLVISION - Garend & Sharon Fregine 2 bedroom replacement Hd " l
Owner's Name: Garlend & Sharon Fregine
Owner's Address 2548 25th Ave., Woodville. WI 54028
Property Address: Same
Legal Descnphom SE1f4 NW1/4. Sec 23, 1 28N R 16W.
Township: Eau Galle
County St Croix
Subdivision Name Na
Lot Number Na Block Number Na
Parcel I.D. Number 008-1061-10-000
Plan Transaction No.: 2656472 ILLY
v'ED
Pagel Index and title -IROFESSIONAL SERVICES
Page 2 Data entry .DUSTRY SERVICES
Page 3 EZf/ow mound drawings
Page 4 Lateral and dose tank
Page 5 Distribution media
Page 6 System maintenance specifications
Page 7 Management and contingency plan -
Page 8 Pump curve and specifications
Page 9 Ste Plan - NDesigner . Jim Thompson License Number 30021
Date 1010408 Phone Number. (715) 248 7767
Signature:- - s -
i
Designed Pursuant to me
Uf7ow Mound Component Manual Ver August 20. 2007,
5SN1NlP Publication 9.6 Design of Pressure Distribution Networks for St -SAS (01181) and
Pressure Distribution Component /:Manual Ver. 2A SOD-10706-P (N 01101, H 10/12)
EZRov/ Mound Version 3 0 (R 311.12) Page 1 of 9
Mound and Pressure Distribution Component Design
Design Worksheet
Site Information
(r or c) r; Residential or Commercial Design
200.00; E=stimated Wastewater Flow (gpd)
1.50: Peaking Factor fe g 1 5 = 150%)
300 00 Design Flow (gpd)
7.00; Site Slope
102.19 Installation Contour Line Elevation (ft) 130.OOiContour Length Available (ft)
6.00 Depth to Limiting Factor (in)
0.60 In-Situ Soil Application Rate (gpd/ft`)
Distribution Cell Information
3.00; Cell Width (111 3, 4, ~ 6 ?,_8, 9 or 10 Only 100 00 - Dispersal Cell Length (ft)
1.00; Dispersal Cell Design Loading Rate (gpdift)
1' Influent Wastewater Quality (1 or 2) Are the laterals the highest point
rn the distribution F-Y
Pressure Disribution Information network? Enter Y nr N
c or cy ei Center or End Manifold
0 Lateral Spacing (ft) If N above, enter the elevation ift
1 Number of Laterals of the highest point
0.125 Orifice Diameter (in) (e g 0 25)
2.50 Fstimated Orifice Spacing (ft) = 7 50 ft'/orifice
1.50 Forcemain Diameter (in)
65.00 Forcemain Length (ft) Does the forcemam drain back? F-vy
93.00 Inside Pump lank Elevation (ft) Enter Y or N
0.00 Forcemain Filter I oss (ft)
6 50 System Head (ft) x 1 3 ,5 .96 Forcemain Drainback (gal)
1' 19 Vertical Lift (ft) 45.27 5x Void Volume (gal)
' SU 69 Friction Loss (ft) 51 23 Minimum Dose Volume (gal)
l] 19 38 Total Dynamic Head (fl) 16.48 System Demand (gpm)
J
Lateral Diameter Selection Manifold Diameter Selection
in dia. options choice in. dia. options choice
0 75 - 1.25
1 00 1.50
1 25 2.00
1.50 x x 3.00
2.00 x
3 00 x
Gallons/Inch Calculator (optional)
Treatment Tank Information 603.36 Total Tank Capacity (gal)
1000 00 Septic Tank Capacity (gal) 36.00 Total Working Liquid Depth (in)
Weiser Concrete Manufacturer 8. i6 gal: in (enter result in cell 649)
Dose Tank Information Effluent Filter Information
663-376 Dose Tank Capacity (gal) PolLok Filter Manufacturer
16 76 Dose Tank Volume (gal.in) PL525 Filter Model Number
Weiser Concrete (Manufacture
Project REVISION - Garlend & Sharon Freglne 2 bedroom replacement m; Page 2 of 9
Mound Plan View
--1
110e I J
+ ~ o sovau~ ~ =~u~ -
K
AA
W - S-__ -
i
L
Mound Component Dimensions
D 1C0.00 It IF in 15 99 It L 1 127 631ft
in G 1 OE f
C t J 5 921111 W 28 90 ft
3C0.00 I) Dispersal Cell Area 1898 73 (ft') Basal Area Available
3 00 (gpd?ft) Linear Loading Rate 10 00 (ft) 1110 B Obs. Pipe Placement
Mound Cross Section View
Hflo w Dispersal Area
Finished Grade 106691 fti ►
C- - G H
F 1spersatU111 105 19 (ft) Lateral
104.69 (ft)--*I - 6 ! Invert Elevation
Dispersal Cell U
Elevation E L) 0
Q
102.19 ifti Contour Elevation
7 0 % Site Slope
Typical Dispersal Cell
Shading Key See Page 5
1 U -0 Topsoil Cap > a a
Approved Gcotexti1 Fabric C;t r
Subsoil Cap ~ 2 0 2.0 It
3 ASTM C3:3 Sand
4 1 Bled Layer D 75 v Z
5] 0 H flow Media t y j F
rn°0 U 05ft
t 0- A 1
See details on page 4 for number size, and spacing of laterals.
Laterals are located in the 4" ynavity distribution pipes as shown on page 5.
Project REVISION Garlend & Sharon Fregine 2 bedroom replacement mot Page 3 of 9
End Connection Lateral Layout Diagram
Place "~pprcp~rcrta Latcr ai+ Diagram rrom Right Below
• = Turn•up dWII valve or cbanoutplup
F P d
-Z~ 6-X~l Latarals6to("mw oll PVCScha0
1 gt orifice Canines prwri up except every 5th per SPS Tabk 384 30.6
located at 2 one poirds down to drainage
Number of Laterais 1 Orifice Diameter 0 125 in
Lateral Diameter 1 50 in Orifice Spacing (X) 2.53 ft
Lateral Length (P) 99 34 ft Orifices per Lateral 40
Lateral End (Z) 0.67 ft Orifice Density 750 ft- , ./Orifice
Lateral Spacing (S) 11.00 ft Manifold Length 0.00 fl
Lateral Flow Rate 16 48 gprn Manifold Diameter NA in
System Flow Rate 16 48 gprn Forcemain Velocity 2 99 ft/sec
Dose Tank Information
Locoing coves with warning
_ label aro ko:krig device and
waled vraleNgn;
Electrical as per NEC 300 and e I
SPS 316 30C WAC t in ruin
Disconrect -1-
Tark component is properly vented i - Alternate outlet '
location
Forcemain diameter
Weiser Concrete Manufacturer 1.5 in.
Capacity 603 36 Gallons
Volume 16 76 gallinch A
Weep hole or anti
llons R siphon device
A 1894 1749
D mension Inches F201.12
B 2 00 33.52 C pump off elevation ill)
C 3 06 51.23 t 94 00
D 12 00 D
t ot
al 36 00 03.35
Dose tank elevation itt)
r edd.ng Md f3ackbll As Per rvlacu!arhuer 93.00
Alarm Manufacturer SJ Rhombus _ j
Alarm Model Number SJE 1011421
Pump Manufacturer Zoeller
Pump Model Number BN1S1
Pump Must Deliver 16 48 gpm at 19 38 ft TDH
Note Switches containing mercury may not be used in this system.
Project REVISION - Garlend & Sharon Fregine 2 bedroom replacement me Page 4 of 9
Uflow"" Distribution Cell Media Layout
3 00 Cell Width (ft) 1.50 Sidewall to Lateral (ft)
Distribution Cell Cross-section Arrangements
-ftWde t
Component Legend
SR1 7A Bundle - 5 It or 10 ft lengths
4,17 SRI-12A or EZ 1201A in 5 ft or 10 It lengths
ia1
SR3-1211 or EZ 1201 P or SR3-12H in 5 ft or 10 ft lengths
O 4" Perforated Distribution Pipe With Pressure Lateral Inside
Turnup Enclosure - - - - - Pressure Lateral
Bundles are covered with approved geotextile fabric as per the their product approval
Distribution Cell Plan View Layout - Typical
3 C0 Cell Width - A (ft) 100.00 Cell Length - B (ft)
Center Conractron, Lateral iayoi:! f)iagra.m
Force Main
F3 ft Wide l -
Lnd_-------
Connection-~
Project REVISION - Garlend & Sharon Fregine 2 bedroom replacemert mound Page 5 of 9
Mound System Maintenance and Operation Specifications
Service Provider's Name James K T hornpson _ Phone i'715 248-77671
POW IS Regulator's Name SL Croix County Zoning Dep I J Phoneli5j 386-4680
System Flow and Load Parameters
Design Flow - Peak 300 gpd Maximum Influent Particle Size. 1?8 in
Fstimated Flow Average 200 gpd Maximum BODS 220 mg/L
Septic Tank Capacity 1000 gal Maximurn TSS 150 mg/L
Sod Absorption Component Size 300 ft` Maximurn FOG 30 mg/L
Type of Wastcw% Domestic Maximum Fecal Coliform >10E4 cfu;100 mL
Service Freauencv
Septic and Pump Tank pInspectfOr Or service once every 3 years
Effluent Filler inspect arid clean as necessary at least once every 3 years
Pump and Controls ery 3 years
Alarm periodically
Pressure System uld be flushed and pressure tested ever 3 years
Mound onding and seepage once every 3 years
Miscellaneous Construct ion and Materials Standards
1 Observation pipes are slotted and materials conform to Fable SPS 384.30-1. have a watertight cap
and arc secured n as shown in the FZflow Mound Component Manual Ver August 20, 2007.
2 Dispersal cell media conforms to LZflorv products approved for use with the EUfow Mound Component
Manual Ver. August 20, 2007. Media is covered with ar approved geotextile fabric.
3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis. Adrn Code
4. Tillage of the basal area is accomplished with a mold board or chisel plow.
5 The mound structure and other disturbed a•eas will be seeded and mulched to prevent sail 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
Lateral Ends at Last Orifice Where
Variable Length Cleanout Begins
I.ong Sweep 90 or Two 7. 7,
45 Degree Bends Same
CZflon Synthetic Media Diameter as Lateral
, : 1 83 Feet
Distribution Lateral Lateral Cleanout ~I
Project REVISION - Garlend & Sharon Fregire 2 oedroom replacement mound Page 6 of 09,
Mound System Management Plan
Pursuant to SPS 383.54, Wis. Adm. Code
General
This sys.en hall he prraled r. ac o dance wnh SPS :382 84 Wis Adm. Code. and shal' ma hlained in accoufai,e : rd rti
comucror t manuals 'F/ of ^vk:urrd Cori orent t.9a1ual 820x07 . Pies
sure Dslldocticn Component Manual Ver. 2.0 oHD 13106-P.N
0'.j7 i and SSlisv1P Publication 9.6 pct 81;.1 and local o• state rules pertaining to system maintenance and ma clenari recorting
Septic and pump lank abandonment shall be r accordance with SPS 383 Wis. Adm Code when the larks are no orger
used as POW 18 components
Septic or pump lank manhole risers. access nsers and ravers should be inspected for water tightness and soundness Access
openings used for service and assessment shall be sealed walertigm undo the completion of service. Any opening dee.•rec ursoa,il
deferlve or subject to far lure must be replaced. Exposed access openings greater than 8 inches in diameter shat be sutured by an
effective locking device to prevent accidental or unaulnonzed entry into a lank or comporen:
Septic Tank
The sordid tank Out be ma:ntamed by an individua, cert tied to service septic tanks under s. 281 48. Stats. The :;ontents 0` the
septic tank shall be disposed of in Accordance with 1 "3, Wis Adm Cafe The operas condition of the seirrw tark anti out et fife,
steal I b0 assessed at yeast once every 3 yea's by inspection
Too culler filter sha-l be cleared as necessary to ensure proper operation. The filter cartridge should not be removen unless
provisions are made to salam solids in the lank that may slough oP the filer when removed Bog: its enclosure. If the 4:ker is equ•pped
w th an alarm the filler shall be se1•iceu if the Alarms activated contiruously. Inte rmllent filer alarms may indicate surge flows re an
mpending continuous alarm
I he septc tank shalt have Cs c::atents removed when the volume of sludge and scum jr Cie tank exceeds 113 the liquid voiwne of
the lank. 14 the cdnlerts of the tank are not removed at the lure of a menma' assessment. mantenance personnel shall adv se the owner
as to when the next service needs:(; tee performed to maintain less than maximum scum and smttge accumutalron in the lank
The admtion Of L•ro.ogical or chemical add'twes to enhance scptc tang performance is gereraty not required. However. if such
prroducts are used they shall be approved `or septic laid use by the Wisconsin Department of Commerce
Pump Tank
Tie dosing ipumpi 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 filler is installed within the lank it shall be vspected and serviced as necessary. If the hAce main has a
weep hoe, it should be noted if it s func:ionai (Iunro pump operation. and if rot 1 should oe cleaned.
""No one should ever enter a septic or dose tank since dangerous gases may be present that could cause death.
Mound and Pressure Distribution System
No trees or shrubs should be ;.lamed or the mound. Planfings may be made around the mourd's cermeter and the mound stall ce
seeded and mulched as necessary 10 prevent Pros or) and to provide some protection from trust penetration traffic loiter thar fox
vegetative matntenance;i on the mounb is not recommended snce soil compaction may hinder aerator of the r•filtrative sw4ace within
the mound and snow, comoai in the winter will promole frost penetration. Cold ,weather mstallaLoos (October-February) dictate foal
the mound be. heavily mulched as protection from freezing
Influent quanty rote tire mrurd system may not exceed 220 nig4 SOD„ 150 mg1L I SS. and 30 m iL FOG for septic lank effluent or
3o hT31 SOD.30 mgrl I SS, 10 rngi . FOC. and 10" cfu+10 mL for highly treated effluent Influent flow may not exceed maximum
cosign flow strolled in the perm] for this installation
The pressure. disthoubi system s provided with a flushing roi,ht at the end of each lateral, and it is recommended that each lateral
be flushed of accumulated sol as at least once every 3 years. Wrien a pressure test is performed it should be compared to the Initial test
when the. system was installed to determne f ors` re elcgumg has occurred arid if orifice caeartng is required to maintain equal
tristrroution within the dispersal cell.
Observation p,pes wnh:n the dare.rsai bet shall be checked tar effluent bonding Pohding levels shall be reported 10 the owner, and
any levers above t inches considered as an irmencing hydraulic: failure requiring admuona'. more frequent nionitorl
Contingency Plan
If the septic tank o' any of its components oecome defective the tank or componentshad be repaired or replacea to keep the system
r pfcpei operating condition
If the dosing tank, pump pump controls. alarm o• related wiring becomes defective the defective cemponmrt(sj shall be unmedtxi
ier4red or replaced .vdh a component of the same or equal nerfomyacce
If [tie mound component tails to accept wastewater or begins In discharge •waslewate• to the yrrund surface. it will be repaired or
replaced in its present 'ocatiop by mcreasnrg basa, area if toe IeaRage occurs or by renicmng biologically ciegged absorption and
dispersal media. and related piping. and replacing said componems as deemed necessary in berg the system into proper operatca
conditon
See Page G of this plan for the name and :elupnane l iuer of your 1o:d, PON.'TS regulator and service prdmder
Project. REVISION - Carlend & Sharon Fregine 2 bedroom repiacement mound Page 7 of 9
'SI`I PUMP PERFORMANCL CURVE
MODEL 1517521153 701 AL DYNAMIC HEA (FLOW
w PER MINUTE
"1 4, EFFLUENTANDDEWATERING
- I I- ` -
- MODEL ' 157 152 153
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Y. I > 15 50 t99 S9 261 n Tn
2 Si : --~~II-+'~ ID 30 45 in
8t _ 231 JO .t$
\~II T' t5 d2 1Y $3 w 131
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25 42 1*
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w'"1` Model 151 Models 1521153
/G.St3~yf. p.nf;n mamdfxl~.~e sego
CONSUL:' FACTORY FOR o
SPECIAL APPLJCATIONS
dosing Tuned Panels available
• Electrical anernarors , for duplex systems. are available and
supplied wth an alum. _
• Variable lend control switches are available for controlling -ak q.
Single phase systems..
• Double piggyback variable level tloet svvdches are available ~Y~--- '---1 s for variable level long and short cycle controls.
• Sealed Owk-Box available for outdoor instillations see
FM1420 7-
• Over 1304F 54'C.
( ) special quotabore required
r r
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RESERVE POWERED DESIGN
F or unusual conditions a reserve safety factor Is engineered into the design of every Zoeller pump-
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Eau 6+//t! SE.Crdlx C'~y(.J
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e it
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_ _ _ G/i~ Vts E.
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(uunly
Safety and Buildings Division St. Croix
Q ~ ` 201 W.'e:rashinglon Ave.. P.O. Box 7162, Nanitan Nmm Nnntber lux he filled in hyC,1
p Madison. VVI 53707-7162
S
JAN 2 9 2018
State Irm aclinn Numhct
.silwry Pen ilt Appllcc n
In I fnue xen N~prH jyiJ~~ v;n .r\<(IN reru}4}. v 61611. n 1 On. 11,1 I x1 n o 'wrill llul tuill fO5()472
h I uu J pnol r Cu m .t. nn I e. ppG tli 1 I .Ins fur .I a:-oa neJ I U11 IN re submitlN to
llir 15.:61 ~mov .I N;da.. ;ni I P,.Tc...... ..1 N, , I-... P"', w -f )061 lifer nk mus ht. u.; J lorseeondam I r l..l .Wdrreii III dLilllcmait than mailing addrel
Ixiu ""Ilt.ca ruth ih. Inrn la•.c. I I Nix, 25~Q Z5~ Ave
L Application InformationNe Print \II Information Same
N. C
Gat lend R Sharon I reeine 1108-1067-IQ-000
I'ropen!' I),iw,%k, me %dJrc.,
2548 24[1 Ave. av 1. I ~N _
Cil)'. "utic /41 Code Phone Numha SF. NW Section 23
iordc onci
1Voodville.AVI 5.1028 (715)698-2804 t 28 N. R 16 1.orw
ll. Type of ftmldmi (check all that apply) I.m I.
®I o1 . l;nnih I) u• _ Aun$.-r el liedmomc Subdrvi;ion Name
I \:I
~cQ a t nlrr., Na
❑ Ptrf'LcCanun. vi Uc+: nb, LI,c _ U
Cn t roof
❑ NI:.I, I hence(- Ueae nlr I 1'141 A161611 ❑ village of
l
e
k /Cp y~pJr~fY L~ ®'fewr.el Fall 6an-
3 l..eXx-
111. Type of Ixa•rrniC (Check only one box on line A. (•o etc line li if applica .k
\ ul ❑ Other Nlodlll -Itrm h- f'sinn s-lenx icp
s Iahli
Ncw NWUU Rc;>lucuni nl J)nlom rcatn 611.1 Lxhy,r un flu r '
` - hit Itrcviouv I cmul Nurnhcr unl Date 1,,ucd
It. ®1',161111 Renexal 111'enun Rex I", It r >;r ❑ unut l5(;m,ter In New
3cli:ac I q>:ran.•il I111WT
I%'. hp e of POA% I'S Sy+ICm1C omponCIIIA .ice 1(-heck I that aPplvl _ - _
I11If r., .17A i4csur ,,.I In-i.n::ua ❑ \t-made xlu..na-".'I III nr suwble ,,if ®'band<: 24 ill. ofmlilallc it'll
f lln, wA ❑ 1.111,1 JComponent IeipAli::; n 19el:ealmtnt Ileu:e (eiPlain) - -
Dispersal, freannent Area Inf,rumlitm: PotsI ok rtllucnl lilts: to he installed e1 ST "1111"1 -
I n I I,.p d h It_•P,101 Ds Per il VI ea Rapnted ..I', Di per xl Are,, 1 ,op ed (,I NN 'toll I] r thou
1 o ( I 1 tt. As] %I-( '3 i Nand 104.511• at 30" above
31111 ( rl)d (L6 ( iP t ll na0xe soil oOo I sc. II Sdb x00.00 SL I. l„ %9102.00" contour
xac.•cm
tuff, I',:ul ;d \lanulaclurcr
\'1. Tank ' I -
f~al6m. callans Cnns - Y
N. •n I. I.
. r. r
hldr is Jl, SC.7 ~ ~v ,
N,. -.:rz .y "~a~ +otnl 1000 1 / It1'ies •r CoI rctc
bob , LAW 600 - I tbmhin.won S I : VC
1
VII Itespollsihdlty Statcmu I mr IoWrIfiwd, ar.umr r,ipunv - 'ur inanllalion trl'the I'/N\lS Amrrn un Ileallarhed pl:lxts.
1•Iuod u , Nem, I I'nn; i '.:nth /Nib intml,: AI AtPRS Number Bu ur. s Mimi, Number
Jame. K. Ih0lnp.on A,12~m - \1PRS 300-11 (715)248 7767
kluwbcl'z \;Idr: ~.INV;; t.(iP. ?tar, /qx ('ode.
340 Paulson I.aka I ,me. Osceola- AV -I 54020 f
It'll. (mmll l)eplrtment l se MIN-_
Penun fcc U:ac -1-10-1 1 I': um ❑en: Sienalurc
I1 'i f]b . 00 /
_Lr' 1 u t'1 I. ..1':rmd~.l Oouul /
riteaartxs for Disapproxal Y / G
I ..Ittp(r tank, emmm, li te• crht
tAtiptr:.}I cei rust at bg3-1t dW i~lt 19•lgc~95- d"fti~-t" M. r A °la"`•"
ts;w aar.ayamtrt: plan po noted by VlurnOr.. G.~f~ a r` L lx
k n~isrIttrws mlatue l wnhr rut \ ! I II W ~o~y f
2. AY tttblr
•perpgimbltwet/cnhnartt. blr~ yy4 e tL lie. exbti~~~^
Witt. lu rempMr plml. (ar the e..rtm :mJ whmit ro Ihr 1 616161,, 61611) url l,pt, not Ie« than a I x I I mchtx in>ifr - -
NIiU-hi4ti (R. Il:Ili
C a~In>.
RECEIVE Safety a s Buildings Division DI. Croix
DS 201 W Was mgton Ave P.0 Box 7162 -
bnni:v< I'ennlt 11 nd ,r (h, he lillod in by C'o.'r
pS F E F~ ~ , ~ ~ 11 ~ Mac son, VVI 537,07-7162
~~~O~~
T CRUIX COUNTY _ n f 638
'rI tII:.::,9,,,,\Inll,<I
!TIHN#'PEW Application
In Ii.w I\12 1l, -Wnl l J uLnn. I n Ilhi t.rnl Ih 'IIIt I 1 rtw ul'Junit 1656471
pur I...... ht imn~l ulluel nut \ I ll,.. I nl-rnr:t;I 1, .11 a:II1IN%I ulnnlll Jto Ir l:a,lJJrs.iil JilLrenl lhan mailm;;aJJrcssi III: 1, pu'Im
m nl Arl t, vIJ I'I I I vl7 Aa I I tr..m i I Imab.v, . r 1 m h. n:.J Ilr ond.uv '
I•uq in I::•v-fw Nwh ow I rlxa x' law Ii' it nr. Sallie Z5~$ ZS Ll
1. Application Information I'laar_e Print All Inl'ormalion
(,.mend r- Sharon I regine - 1108-106'-10-1 It K) IIT nvcc. lh, oar'. INLolhlr Vd,''-w.. Pnq.tm 1,-,11011
ti Abl: lip led. Ihon<'umber SE NW ,,S non
14ondt,illa.l; 1 54u24 , ki,
(715098 2804 I ?'C c It 16 r. ,
11. Tlpe of Rwldux, (check all that appI.N I ,I
I I ' bam;;. Uu;llin~ Aum. r.. t'IS: droonn 2 :,obj" o'n ''sore
Na
1
Na I
i I'uhicc Cenuna'cmi 1)c.:rlbc I'.c
CIt:
IIb •c of
slalc(pand D:,cnhe sc rl'd\;:nIL, %
X ~w ~'ti~a J of ::,r F:m Galle
111.1\.pe of permit (Check unk one hut, tin line A. Complete line R if a q ) r~ X
Xe•.eSc>t:m ~N it.plaeenit~,l $).I.nt Inu~l ll~l.h t6 I-0_cd'. jxiL ():,la ~lllherAleddic:mm~ln lclvhng Sa'alem(eVplairl)
Iia 1'I m'nw> I'cnnd ''umber :nnl hale IxutJ
It I'crwl :.n✓: al ' .rout i~:, r.i:~n `cr 'i frnut l rannlcl to \ee
k, la: I..pv:ui.•n no
R'.'f~'pc ul'POA1'1'S St,ctcm~ComponrnVDccicc: (C'1, 'k That appla)
nl-I'mcsurimJ lo-GnRO41 ITT. ..:.un L I .•urtl '•.t-Grade \Iouna 1 to of>urt..j Ie .cli of 1LnmA 1 m. of 'unable ,,it I '.lokb::q'.w6 Othrr U~y:.
(...in p. o'-i :,cyd.lini I'reve:um;nt iJe+is ICCPI.un)
it Information: ` d v: r I KAN [ o~ 1'I-1'~ effluent lillci to Ix! ulsirdl(I I; orllrt
VU.r Uihlln:nal!'lt realme D en.tnA u ~ Area
~ . na n:. ILi ll:. ule ei
':'.I I,deli P >-,I Vea Rnp,ird I<t'-_ Unp,:re:l. b:.I I,,po<.d.,h I:
1.11 Gpd .y it. AS I AI ( ".amt / d It) io all 30" abot,c
100 61)(1 0 r G_p(_Usd II nalit,c loll 1oU.00 T 1001111 $,q FI. 0 102.00' contour
VIi rata I(Infp C.Ip InP. _ L:I:J of 'd.rnnL,aprcr
Gallon, U-dlon< I lnl. ///~~1 o P o
lira ,sr. .r IT VI-.
_ w IOf~ SZS J -
dl
'elr"i"^` N"i 1000 IUUU I \VicsuConcrt;
_ i,:r:A GOU ('00 I ConiltutalionSI1PC
VII. Recpmisihilila slalemenl- . the under.i:npd. a>snmt• I•rcp I'nr ia,Ldlali...$o l lu. 1-0N I :S ,bo,rn nu Ift...unehed ph. m.
i'lu i \.ocli ::ri I'hn eu: , I 'ItIII \unlbtti Rrum Ih n:Nnnlbe,
]ally ti. Thompson - t A1Pk\;pn_`l (?1.) )t% ''V?
I'll .n h.. (•h, \t.It. n.L
JU Paulson Lakc Lane. Osceola. 1VI i-11120 1 .4
VIII <ou ntdlkpa it nla•nl I wonh
mn f :e I nim _..u sir"'of
lppn c:1 ~ ,aw-+r /t r:r n It. f..n f
n z'n.rTG : n 1::..: I for Ikmal r
IX. Conti 7l~~Igyss+gli~Rcaconr for Uihapprm al \ Ce.•.b i ti JUL, o!ti
1. Septic tank, erliviril flits, *m%i ) M 1 1 1 1
disper- ;:I call must all~^.u.~h..-_r.y:!n)~c Gt1-rc.t- l.-) l Puu:
as per management pldn prcriillo:l by pltambor.
2. AN setback requUemnles must lie n4rlt ineli
WC_ G.IOat'~` r
as per sppicebls omllt rtli~s.tlil7. J MID
w.,r1. to ,.anpltn pl.m. bn I., tdrm and.ubmn In Ihr (''.lull, h nn...... oat Ir.a than a V: x I I mOI" m .v.
SRD-<"t, Is ',K 1 ill',
DIVISION OF INDUSTRY SERVICES
_ 10541 N RANCH RD
1' D 'a HAYWARD WI 54843-6462
Contact Throuch Relay
S P p kttpl~csps:wi.gov+P•ograns+ rcustry-services
S v.Ynv '.v ti!:O')tirtt gov
Scott Walker, Governor
Dave Ross, Secretary
January I I, 2016
CLS I' ID No. 10021 A7TV: POIFIN ln.srerlor
JAMES K I HOMPSON Z0NI\G OFFICE
ACE SOIL & SITF F VALUATIONS S I CROIX COIINTY SPIA
,40 PAULSEN LAKE LA 1101 CARMICHAEL RD
OSCLOL.A NVI 540'_0-5411 HCDSON W1 54016-7708
CONDITIONAL APPROVAL - -
PLAN APPROVAL EXPIRES: 01 11;2018 Identification \umbers
Transaction ID No. 2656472
SITE: I Site ID No. 820453
Garlend & Sharon Freginc please refer to both identification numbers,
2548 25TH A%c above, in all correspondence with the agency.
Town of Fail (ialle
St Croix Counh (o
SL I >I. NW 1i-1. S2:a, 128N. R~
FOR:
Object Type: POWTS Component Manual Reculated Object ID No,: 1582343
Maintenance required; Replacenicnl sxmtem; 300 GPD Flow rate; Svstenlls): Ull Mound Component Mail (R.
12); Effluent Filter
The submiltal described abos'e has been reviewed for confixnancc with applicable "isconsin Administral Codes
and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed
'Ill located in accordance with the enclosed approved plans and pvith any component manuallsl rctcrenced above.
the owner, as defined in chapter 101 Ali 10i, Wisconsin Statul is responsible for compliance with all code
requirements.
No person roaN engage in or work al plumbing in the state unless licensed to do so by the Department per s.1.15.06, P.O.W.
Aals. Coll th
The following conditions shall be met during construction or installation and prior to occupancy or use: P RC
• A copy of this approval letter and index sheet shall be attached to plans that correspond with the copy on file
DFPARTIdENI OF
%%tlh the Department. Changes to the approved plan must he submincd l6r review and approval. Failure to DI ~SAWY
propel attach the a royal and al pave to plans that match the co v on file with the De arimcm may result
in enkwcement action orders . 1-15.10. Stat.
E COHRES
• 'I his system is to be constructed and located in accordance with the approv'od planes and the "Mound
Component Manual lix Private Onsilc 11 aslcw'atcr Svs:ems Version' 0" SBD-10691-131N.01r01. R. 10: 12).
• This system is to be constructed and located in accordance with the approved plans and with the "Pressure
Distribution Component Manual for Private onsitc Wastewater IYeatment Systems Version 2.0" SRD-10?06-P
(N.01!01).
• Prior to construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches.
Smearing and compacting of wcl soil will result in reducing the infiltration capacl of the soil. Proper soil
moisture content can he dclermined by rolling a soil sample between the hands. ]fit rolls into a 1 ~4- inch wil
the site is too p%et to prepare. If it crumbles. site preparation can proceed, If the site is too wet to prepare. do not
proceed until it dries.
• Abandon the existing system components per SPS 383 .33
i
Iq~1C<f. IIIIiCIP9'~A • :'era I'1 iia,
I The system was designed to meet the influent quality defined a) SPS 383,f 1u if a i The qualify of inl'.ucw
discharged into a PO W TS treatment or dispersal contponenf amsisting in part of in sat soil shall be equal to or
less than all of the fbllowin':
1. A monthh average of 30 nw, 1. fats, oil and grease.
2. A monthly average ol'220 mi-,'L, BOW.
3..A monthly average of 150 m,, 1, TSS.
• SPS 383.5-I0, if b) (b) The servicing frequency of an anaerobic treatment tank for a POW TS shall occur at least
when the combined sludge and scum volmne equals 1 of the Tank volume.
• The inspection, maintenance and servicing reports shall be submitted to the governmental unit within 30
calendar da)s from the (];tie of inspection, maintenance and servicing.
• The owner is responsible for the operation and maintenance of the private ensile wastewater treatment system
IPOWTSj in accor: ance with SPS 3,93 and the approved management plan
• The owner of a POW TS shall be responsible R6r ensuring that access opening covers remain locked or
secured except lirr inspection, cexhmfon, maintenance or servicing purposes.
• Owners shall receive a copy of the appropriate operation and maintenance manual and or owner's manual for
the Pf Ak I S dexribed in this approval.
• Provide a copy of the approved POW" 1'S plans and this letter to the owner.
Prohibit vehicle irall-c ar,i oil disc ibance withm I5 feet of°t'tc downslopc cd.,c of Ilse nwund pursuwtt to
-Mound Cowponent Manual Version? U" SIM IJlti41-P (N_OI OI. R. 10 12)~
r1 copy of d:c upnnrvcd plan, '.l:cciEcafocs and this letter wall be on-rile During construction and open to
inspection by aufhorizcd represent awes of ;hc Dcpartment. which may include local inspectors. All permits
required by the state or the local rnmiicip; lity shall be obtained prior to commencement of
constructioninstallation operation.
Ir. granting this approval the Division of hidustN Services reserves the right to require changes or additions should
conditions arise making them necessary Ibr code compliance. As per state stars 101. 12(2), nothing in this review
shall relieve the designer of the responsibility liar 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 ol'this letter and the PO W'I S management plan to file :111d MI\
others who are responsible Ibr the installation, operation or maintenance of the P( Ak I Sr
Sincerely, LS Fee Required S _'50.00
Fee Received $ '_50.00
Balance Due S 0.00
Ldwln A Ta)]or Wastewater Specialist , Division WiSNIAR I code: ?633
15)04-3484 , Monday - Friday 3:00 am "fo 4:30 pm
edwin.lavlord wisconsin.gov
EZflow1) MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN
Residertal Application
INDEX AND TITLE PAGE
Project Name: Garlend & Sharon Frogine 2 bedroom r accrnent vloird
Owner's Name. Garlend & Sharon Fregine
Owners Address 2548 25th Ave, Woodville. VV: 54028
Property Address. Same
Legal Description: SE1l4 NWlA Sec 23 T 28N . H 16W
Township: Eau Gallo
Courty. St. Croix
Subdivsion Name Na
Lot Number: Na Block Number. Na
ParcelI D. Nurnber. 008-1061-10-000
Plan Transaction No
Page 1 Index and title
Page 2 Data entry
Page 3 EZPow mound drawings
Page 4 Latera. and dose tank
rr
Page 5 DistricuLon media : ~ ;Y
Page 6 System maintenance specifications
Page 7 Management and contingency plan,
Page 8 Pump curve and specifications oY 'i , .
Page 9 Sate Plan ,t iiul o NG
NDF.N E
Designer J m T ompson License Number 30021
Date: 2i29i 5 ~ Phone Number: {715) 248-7767
Signature i
Designed Pursuant to the
I tTRow Mound Cornponenl Manual Ver. August 20. 2007,
SWIV..P Publication 9.6 Design of Pressure Distribution Networks for ST-SAS {01;81] and
S1
Pressure Distribution Component Manua! Ver 2.0 SBJ-10706-P (N 01101. H 10112;
EZffow Mound Version 3 0 (R 311/12) Page 1 of 9