HomeMy WebLinkAbout030-2161-18-000
m Iiof:aronen: nr Co-rmeo.e PRIVATE SEWAGE SYSTEM St. CrOIX
S::h.P::::ul Hud_ing Giv s ,n
INSPECTION REPORT samtary?ermara
584729
GENERAL INFORMATION iA TACHTOPLHMITj State PanDNar
Percr~I ""'x !ll ur v>.:nr.l.hI IT :r r-a'nre__n.ry per..-c_(Pn:'acy Laxi IS :14 lUti.ii 2674358
^nrmll ~Ic'om'°. Nmm~ City 'Aaan I:nvn-•ip Van:el lax NO_
Allen & Koreen Theisen TOWN OF SAINT JOSEPH 030-2161-18-000
.'IVA11'., n p _%I r. 111-11 P, ripli.rr:uun Im.'!Ra-oa'1.1.•p V:
U D rj\j- 24.30.20.3201
TANK INFORMATION Z ELEVATION DATA
TYPE MANIJFACT'JRE ~N'C1V D CAPACITY StAIION BS HI FS LLLb'.
Septic: Rerrhm, r<
Ucsing I . V IV, U,\ h I All. LIM ] JJ l.~J CJ
n \f L U b dg. Se'.ver -
l
~I It Ouicl / ~ p
TANK SETBACK INFORMATION =J Y/ 5.
I
TANK TO P1 _ SriFli BLDG. 'Jen: le Alnh.ts ROAM D: Inlc:
Scptrc 1 Ut Bull" 19
UCSing Heade,;Wan. '
~varan Disl. Pipe US IDI.5
B::I systom 13-15
j 1
{ S /
PUMP/SIPHON INFORMATION Final Grade r ~5✓ 1 C ~ 7
/
M1'anufaC!.-;re'y T Demand ver,
("I rwl
Model Number r~r -ll • li~~''~. ~lJll.O
rUH 1 $ C)) Fnclio{: Lyys~ System Hrl, /l lUl I~' 1I FI
=nrcemain Lenc1M~ ~Ir //E)o /7 I I 1M IT, Vtva G
SOIL ABSORPTION SYSTEM i IC
BED!TRENCH IN, / Lar,51 f 7 r Na. O' '•"iP'- PIT_D~AICNSIONS fsa. C7 P h s 1o C Lique Deptlt
DIMENSIONS IU//1 1K L -
SETBACK SvSTEM TO BLDG IVEI I LAKC+STREAIA LEACHING E:lxl.J.Icturcr
INFORMATION CHAMBER OR
Tv;,c mu ~ ~ J I1~ UNIT hlii,:el NUmlIt':
i
16 IBUTION SYSTEM
: 1.tr:ni^:,In D fih Oc x Hale S2 r Hde. spacing ':'ent to Air hljoi _
~ P
r
I lj s 7
Le Jtl Jia 2 I SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only - j~
UeLih G'r Dep'h e cr _ I 'aeF'h of \ I e?ecd: i I:r:f +x is^etl
R:1 ~.r h.,.-de' VL 1 Flr, drir r E.Llu:: I / Z- ✓YCS Vo Yes N:r
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COMMENTS: 71neWdC Cede discrepernes, l:efscns present. etr. i Inspuc:ion r.l ;o1j1o -e.77-_ Inspection N2: IIJ' (I 1..~ ~ , l /
Location: 279 1415i AV Plow I-WaU0A), &°-'P! /
i
SO11.S f~-Ryr 54 ul, 1e1p
~~.~l,d IlS
1.) Alt UM Oescriptirn = 111i9L W l.~ S('y4 C~yM, p Ptowt'/ HA-4'7
2..: Bldg sewer length
.amrnml Of COvcr - i ~~~1~((111~ `+l t~ 111 a In J~Pr.
1 1.
I Ian revision Rugmre0 Yes ill No
Use ether sr.fe fcr acdiEOral in ormal or."" ,
We I <c{...t q ~ sL;re Corl. Na
I", :R 315?I
iror
RECEIVED Safety and BwldingsDlvlsron Count~
1 D ` l\ 201 W, Washington Ave.. P.O. Box 7162
S` Sannan Permrc Number one be filled in by Cc.;.
PS' APR 2 Madson, VJl 53707 '1E2
5Fg7z1
ST~CRnIXCOUNTY
anaaunNumtie6
:.0MMUI f14C9~E IT Application ale To
In azuedance. with SPS 39:: 21`^ Wis Aden Cud:, submission oC this fn:m In the appropriate guve:tun It ^_J (o U5 Q
is required prior to obtaining a sanitary perlm: Nora. Application firm for stwcKownod PONTS are suhmin Project Address (if different than mailing addressr
tilt Depaarnent of Safely and I roitssional Se-, rs. Personal nnforma:IOO you providc may be used for secondary
PwµaSes in acwrdans with the Privacy aw1( (140
I Nn:!, Scat.. / /bc,
I. Application Information Please Print All Infarmatin~r( J'~ I/"17 SIFT/
Property Owner's Nettie Faruel k
f _;~~lEn) ~i~tZF Et=y ~le: ~°.:£-1~% U3d - 2f (o ~g_ cSbC~
PrepcM Owner's Nfaiiing Adorers Property Location / `
1cy y. 36. ao.3at 1 a -7,6 l \CI
Uri ~-fa OuVl. Lot _
i:its. Scar Zip cock !`bone Number
Syl/ 1,.. 5 E' Section _
!/viJsoti VIII 5`10/6 ox)
,(aide on,e~•11. 't'ype of Building (check all that apply) Z Lot : _ .I 30 N: R 2CJ E ~i or FaauiN Dwelling, - Number of 3edmom+ J
Subdivision Name
6k ad ALA~ JSQ ul r. " - - T1tti RDS colt- S"i RCICx
1'rlbf iUConunercial - f x-scribe Use
Ci9'of
E Swic Owned- UqceritM Use < 'M Number r Village of
RTowiz of.
I[I. Type of Per.mit: (Check on y one box on line A. Complete line B if applicable)
A New System KcPlaccmem System a 'I=Hnrcnt ioldme Tank Replacemrnt Only Other Moditicatfin ur Ecisting System (explanj
Permit Ronerwi l Fcrm - Reviour, 11 Ohanec of plumbs n Derma TumSfa tc Ncw List PIevious Permit Number and Dole Issued
Before Expimion Owner
IV I•ype of PORTS System+( omponenLDev ice tCheck all that apply)6 O aJ
Non-Pros>u.IZCd hrGr mid ❑ !'rases 2ec hr-crtound I- At-triode yq Mound 124 in. ofsuirable sort J Mound < 2,1 in of suirable sort
Ll Iioldinc Tank Odrer D!spcrsal Componau (extilwa. ❑ pretreatment Device (explain)
N Dispersal lrea ment Area Information:
Lk inn apes `Tdi Desngr. Soil .\POh~xrio amend E'• Dispersal Area Req d isf Dispersal :vu }'ropnse <'1 Suslem Elcvauun
'i50 1 •k i ti50 IV-- I y5U V.j o_p.(7
y. Tank Info Capacm' N la
Toud bo k of MagyQfa;.[ur ~ c r 1 V
_ Ga:kmc Galnms Units
New 7anL F,w_amF -aaxs
♦ u r;r Elolamg TsN: --5e 1 E:
L SIRI LL9n1 CI F~ - v
N II Responsibility Statement- L the undersigned, assume r espousibrbq forfirr iasmp. atinn r r tiro I OR TS shown on for artached plans.
1 lumhv's Name '}'nnY1 Plumbers Si • hire
r , s~/ / umoer Business prime Norther
Plumber's Address (Streci, Ciiy, Sulie, Zip 'Xde` L L i l
Z-gl VIIIC11)ment Lse Ooh
PProvcd )PerrnilPDar_ sued Iswnarure
i. i.. r i r hems $ &o 1q Z 7h
M. Cooditra'66-WPA f{VPi VReasons for Disapproval
1 sect:: to k c r. r.'tr- n.1 3~ ~~~;~-;o~S iA. a l` ea,K.•Q LQ--C~t3 Gtw-
0 /n e V+-
2. as per na agerr~nt pi rn, L!,:lr!It.ubev afl,<tt- br.!1 ~S pe.('a I tNbe.c.~k.~1r;~e~q~ui~renen s must bu r. ant ir,ad 1
p ~f IR cod'! ! cfdi •tAdr,23.
:\Ibcb to eamplefe plain for the xrnrem and set mil to the County riot} on paper pot less than 8 t: a 11 iorha
ST-ID-6398 (K I I A 1)
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DIVISION OF INDUSTRY SERVICES
10541 N RANCI I RD
HAYWARD WI 54343-6462
D S P 7I Contact Tsrough Relay
S httpiicsps.wi_gowprograrrmsandusty-serv -ces
vv,-,v wisconsin gev
Scott Walker, Governor
Dave Ross, Secretary
March 11, 2016
('USI ID No. 22,'.4.1. AM POWIShtapeclnr
JFFFF.RY V FOX ZONING OFFICL
JIJ I I'OX CONTRAC-I ING k SFPI IC INC ST CROIX COUNTY SPI!A
PO BOX 565 1101 CARMICIIAFI.. RL)
DRFSSFR WI 14009 HLDSON kkI 54016-7708'
CONDITIONAL. APPROVAL
PLAN APPROVAL EXIII14VS:03;1Ir2U18 Identification Numhcr,
Transaction ID No. 26?4358
SITE: Sit'. ID No. 821.661
;Allen & Noreen Pheisen Please refer to both identilicatiun numbers,
141 St allow, in Al corr_espuudrnce w ith the agency.
I own ofSaint Joseph
St Croi\ County
SW 14, SE1'4, SJ1. 130N, R2011'
FOR:
Description: Mound. ; hr re,
Object Type: PO%k I'S C'onnponeni Aiarual Rcrulutca Ohlect ID No.: I * ~S8880 C,r
Maintenance required; 150 GPD Flow rata 28 in Soil minimum depth to limitin, fnelor from original grade: Svstemisl.
Mound Component Manual - Vcr. 2.0. SBD -I Oh') 1-11 1N.0101, R 10`12). Pressure Distribution Component Nlanual-r-1--
Ver. ?_0, SBO-10;0h-P tN.01 `01, R 10!l2). SSIVMIP Pub. 9.6: Effluent Filter D '
QRQ-I-
I he s tbmitt:d described above has been rcvicwrd for conformance with applicable \4 isconsin Administrative Co `In' t111S10A~,
and Wisconsin Statutes. The submittal has been C'O\'DITIONALLY APPROVED. I l•is system is to be construc'fed
arc located in accordance with the enclosed appruved plans :lad with any component manual);st relcrenced above. _
The owner. as defined in chapter 101.011 , 10), kk isconsin Statutes, is responsible for compliance with all code o~-
requremems. -
\o person may engage in or work at pluutbin, in the slate unless licensed to do so by the Dcparmienr per s. 145.00, -
Aat,.
The following conditions shall be met durin, construction or installation and prior to occupancy or use -
hey Item(s)
• In the event this soil absorption system or am of its component parts malfunctions so a, W create a health
hazard. the property owner must iollow the contigcency plan as described in the approved plans. In addition the
owner most insure that the operation, maimenance and nnonitorin , duties as described in section VI If of tl:c
nnound component manual are complied with A copy of this information must he Liven to the ow:rer upon
completion of the project.
• Care must be taken to prc,crw the bench mark durrnr- consruction or reaethluhed prior ;o plovung.
Reminder
• The orientation ofthe nnound,}stem must be uich Ih::t the lonacl dimension is oriented along Cie surface
contour per SPS 383-44(6)o i-1
• Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Alanual.
• Surface neater drainage shall be divered away from the system area per Mound Component Mann-l.
• Materials shall conl6mi to the requirements of SPS 384
Malwain hell and w'alcrlinc set backs [,C: ,PS "S.4 i(S iti I ( ons,dt :he Departnicnl of Vatural Resources Kir
well setbacks and other resulations and exception,.
Anchor tank as necessary to ne,mle buoyant forces per SPS 383.43(811g1.
A cope of the approved plans, specifications and this letter shall be on-site during am,tra6un and open to
inspection by authorized representatives of the Department, which rimy include local inspectors. All permits
required by the state or the local municipality shall be obtained prior to commencement of
construction! installation operation.
In granting this approval the Division of Industn Services reservcs the right to require changes or additions should
conditions arise making them neccssar\ for code nnnphince. As per state stals 101-13i2l. nothing in this review
shall relieve the dc,igner of the responsibility for designing a safe building. structure, or component.
Inquiries concerning thic correspondence may he made to me at the telephone number listed below. or at the address
on this letterhead.
I he above left addresscc shall provide a copy of this letter and the POWTS management plan to the owner and any
others who are respUn>ible for the imtallation, operation or maintenance of the POW 'I S.
S_ incereIN Fee Required S 2%00
_ This Amount ill Be Invoiced.
\tihen You Receive Ihat Invoice,
Please Include a Copy With Your
Patricia L Shandorl Payment Submittal.
PUAPTS plan Reviewer _ Division of InJuan Scrt Ices WiSMART code: 7633
I>i6347810, Fav Iil6;4 110,\1-P 8.00a.m.-4-4>p.m.
pat.shandorfa wnconsm.eo< L--__. I
cc Edwin A I ivlor, Wastewaicr Soecialisl. i7 l i1614-3494 , Monklm - Friday 8 00 am To .1 to pm
JFI-II F tr
• Nlaintuin -,veil arc watcriin - ,e- beci, per SPI' 4 4;oSp:;. Cvi uli the I)cnar:m n: c,- NU ur l i.aource> R+:
well scthack: and o0wr rc_ulntion, and cxccntion`,.
• Anchor tank as ncccssan to negate buoyant forces per SPS
::ony o- the approved plats. specifications and this latter shall be on-site during conAruc:ior and oper to
inspection by authori/ed rcpresenrativ of the Department. which may include local inspectors. All Permits
rcuuircd Da' the state or the local nttuticinalip shall be obtained: prior to commcncemznt or
-
c onstructi otv installation `operation.
In ranting this approval the Division of Indunn Services reserves the sight to require changes or additiuns shouk'
conditions arise ntakine them necessarc for code compliance. As per state stats 101.12(?). nothing in this review
s`mll relieve the deswner of the responsibiiitc for desi_min, a safe building. structure, or component.
inquiries concerning this correspondence may he mad; to me at the telephone number hstec4 below. or at the address
on this letterhead.
be ahove left addrossce shall p; ovidc a cop< of this ictler and the PO WTS management plan to the owner and am
others who arc responsible for the installa:iue. oncra:wn or rminwnanec o= tit- POW 1S.
Sinecrcl.% i ce Required S 250.00
This Amount lit Be Invoiced.
\\'hen You Receive That Invotc.
Please Include a Cone With You:
Patricia 1.. Shandorf Payment Submittal.
POw'I'S Plan Reviewer. Division of 1:Idustn Service, VAS iS,AgAKT code: ?C,??
17'.5) tu4-?570. Fax: C l i j 6-;4-5 15G . 1,1 - f 5:00 a.m. - :-14 p.m.
pat. shandorfra,wisc onin.,ov
cc : d\<:c A Tnvlot. \\';is:ca iV r lh-emit. i? 1 `i G .A-:.:5 . Monda\ - Frid^ X:00 am To 4: 1! lint
MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN
Resider?iai Aap<;afor.
INDEX AND TITLE PAGE
Project Name Allen & Koreen Pheisen
Owner's Name:
Owner's Address. 349 Cty Rd E
Hudson WI
54016
Legal Description: SW114 SE1/4 S24 T30N/R20W
Township: St. Joseph
County: St Croix
Subdivision Name. Orchards of St. Croix
Lot Number. 18 Block Number: OVEl3
~FETY AN"
Parcel I.D. Number: t $ER~"~
AL ,~-._r
Plan Transaction No.: ;1}
Page 1 Index and title
Page 2 Data entry
Page 3 Mound drawings NpL r
y> ESPO
Page 4 Lateral and dose tank f i
Page 5 System maintenance specifications
Page 6 Management and contingency plan /
Page 7 Pump curve and specifications
Designer: Jeff Fox License Number. MPRS 223242
Date: 02/22116 Phone Number. 715 491 3458
Signature:-
Designed Pursuant to the
Mound Component Manual for POWTS Version 2 0 SBD-10691-P (N. 01/01. R. 11/12), and both
SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01181) and
Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01, R. 10112)
Version 7.0 (R. 11112) Page 1 of 7
Mound and Pressure Distribution Component Design
Desigr boor-..sheet
Site Information
f R or C1 R Residential or Commercial Design Note. Sand fit (O) cal Mh
aon. as sume a
300.00 Estimated Wastewater Flow (gpd) Tabla 383-01-3 e,-situ sod treatment for 1
1.50 Peaking Factor (e.g. 1.5 = 150%) real coororm or « 36 o-,cnes, I
450.00 Design Flow (gpd)
8.00 Site Slope
100.00 Contour Line Elevation (ft)
28.00 Depth to Limiting Factor (in)
0.40 In-situ Soil Application Rate (gpd/ft2}
Distribution Cell Information
75.00 Dispersal Cell Length Along Contour (ft) = 6.00 Cell Width (ft)
1.00 Dispersal Cell Design Loading Rate (gpd/tt2)
1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point
in the distribution Y
Pressure Disrbution Information network? Enter Y or N
;;C cr E'r a Center or End Manifold
3,00 Lateral Spacing (ft) If N above, enter the elevation (ft)
2 Number of Laterals of the highest point.
0.156 Orifice Diameter (in)
2.50 Estir:aled Orifice Spacing (ft) = 7 50 ft2/orifice
2.00 Forcemain Diameter (in)
60.00 Forcemain Length (ft) Does the forcemain drain back? Y
93.70 Pump Tank Elevation (ft) Enter Y or N
4 55 System Head (ft) x 1, 3 9.79 Forcemain Drainback (gal)
6.56 Vertical Lift (ft) 67.32 5x Void Volume (gal)
733 Friction Loss (ft) 77.11 Minimum Dose Volume (gal)
0.00 In-line Filter Loss (ft) 32.31 System Demand (gpm)
12.44 Total Dynamic Head (ft)
Lateral Diameter Selection Manifold Diameter Selection
in, dia. options choice in dia. options choice
0 75 1.25 x
t00 1.50 x x
1.25 2.00
1, 50 x x 3.00
2.00 x
3.00 x
Gallons/Inch Calculator (optional)
Treatment Tank Information Total Tank Capacity (gal)
1000.00 Septic Tank Capacity (gal) Total Working Liquid Depth (in)
Wieser Manufacturer gal/in (enter result in cell B49)
Dose Tank Information Effluent Filter Information
600.00 Dose Tank Capacity (gal) lifetime Filter Manufacturer
16.72 Dose Tank Volume (gal/in) 8 Filter Model Number
Weiser Manufacturer
Project alien & Koreen Pheisen Page 2 of 7
r
i Mound Plan and Cross Section Views
1i_1~B cbserved an Ppe .fl''•' _1
K T ,rs,'.: T
W 1.
fi
,13I I
L
Mound Component Dimensions
01 78.00 in G 0.50 it J 4 74 ft W 20.36 ft fl:
1
0
450.00 (tie) Dispersal Cell Area 1171.86 (ft°) Basal Area Available
6.00 (gpolft) Linear Loading Rate 750 (ft) 1110 B Obs. Pipe Placement
Mound Cross Section View
Aggregate Dispersal Area
Finished Grade 102A6 (ft) > t
F cinp.11 cal 101.17 (ft) Lateral
100.67 (ft)--*l - Invert
Dispersal Cell r '
Elevation
cAi
)~.~,r1`<>?. .~.~?~.11?wn A .w ;N.i t?,.
] X11) 1 a? )>'i )'CS S r < -
100.00 (ft) Contour Elevation
8.0 % Site Slope
Geolextile Fabric Cover
Shading Key $ - Dispersal Cell See lateral details on
Topsoil Cap ° '.5 fl 1 Pape a for number, size
and spacing of laterals.
C2] Subsoil Cap Laterals are equally
ASTM C33 Send
„ F spaced from the
41
Tilled layer 2 0.5 It rwi ~l Leterel I distribution call's
Aggregate 'i;'r- ^;::.cr.c...:i•:.,, distcantedIne in Me
ribution call (Ax5).
A
Project alien 8 Korean Pheisan 4441 Page 3 of 7
/7010
/T -7Dee INV t==ot cz,,.o'=ew
End Connection Lateral Layout Diagram
arrasoenlee ov-P ma In •.Turn-upwlbe ll.eetoeo+oteenoutPlug
l-
ARlaterala an lMntlul jEX--II Hol•s dl4*d on the bottom o116r lateral
aouallq spaced
votes main OOnneotlon via too Or artist to manifold at ant aolrA.
Laterals Voroernaln Sch 40 PVC per SPS Table 3114.30-6
Lateral Diamoter in Ortfico Spacing (X) It
Number of Laterals Ift Orifice Diameter 13.30 in
Lateral Length (P) It Orifices per Lateral Lateral Spacing (S) ft Orifice Denslly ft2/or~ce
Lateral Flow Rate gpm Manifold Length ft
System Row Rate gpm Manifold Dlameter in
Total Dynamic Head r'orcemain Velocity ft/sec
Dose Tank information Locking cover whh warning
rebel and locking device and
sealed wetertlgm
Elsoblcal to per NEC 300 and 41n. min.
SPe 318.300 WAC Dleeonnect
t-- Alternate outlet
Tank component le property vonied tocatlon
Forcernsh dlamater
Manufacturer 2 in.
Weiser
C acct 600.00 Gallons A
Volume 16.72 gallinch weep We or en4
Dimenslon Inches Gallons 1 B elptlon device
A 18.37 307.21 C Pump oft stevatlon ft
B 2.00 33.44 94.81
C 4.61 77.11
D - 10.90`. 182.25 D
Total _ . 35.89 6~•~ p ~k areveuon h
3" Bedding un er tank. 93.70
Note Switches
Alarm Manuafacturer ! Rhombus
containing mercury
Alarm Model Number may not be used in
, .
this system.
Pump Manufacturer
Pump Model Number 'BN151
Pump Must Deliver 32,31 gpm at 12.44 ft TT~Df H
%Z 3J~3 INV ZS:CT 4TCZ•L0'=p%X
Mound System Maintenance and Operation Specifications
Service Providers Name Jeff Fox Phone 715 491 3458
POWrS Regulators Name St. Croix Cty Zoning Phone
System Flow and Load Parameters
Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in
EstimatedFlow - Average 300 gpd MaximumBOD5 220 mg/L
Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L
Soil Absorption Component Size 450 ft` Maximum FOG 30 mg/L
Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL
Service Freauencv
Septic and Pump Tank Inspect and/or service once every 3 ears
Effluent Filter Should inspect and clean at least once eve 3 ears
Pump and Controls Test once ever 3 ears
Alarm Should test month)
Pressure System Laterals should be flushed and pressure tested eve 1.5 ears
Mound Inspect for ponding and seepage once every 3 years
Miscellaneous Construction and Materials Standards
1. Observation pipes are slotted and materials conform to Table SPS 384.30-1. have a watertight cap,
and are secured in as shown in the mound component manual.
2. Dispersal cell aggregate conforms to SPS 384,30 (6)(i), Wis. Adm. Code.
3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis. Adm. Code.
4. Tillage of the basal area is accomplished with a mold board or chisel plow.
5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion
and help reduce frost penetration.
Lateral Tum-up Detail
Grade \
Finished 'Z4 . .
6-8" Diameter Lawn Threaded Cleanout
Sprinkler Valve Box Plug or Ball Valve
Distribution
Lateral
Sweep 90 or Two
egree Bends Same
Diameter as Lateral
Project: alien & Korean Pheisen Page 5 of 7
Mound System Management Plan
Punwrd to 8P8 363.54, Wls. Adm. Code ith This "stem" be operatad In accordance with BPS 38224 Mee. Adm. Code. wid Grist OsMbu9on maintained m oCo rrid a cast VRD'
2A SBO~
mamas tSBG10891-P (N.o1Jo1, A. 11112), SMIvP Publication 9 6 (01181), and Pressure
10706-P (N. 01101, R. 10112)) and local a' 6te rules pertaining to system meaftunen and maintenance renorti,g.
No one should ever enter a septic or pump tank mined dangerous geaee may be present that could cause death.
Septa and pump tank abandonment shall be In accordance wM SPS 383.33 Wk. Adm. Code when the tanks are no longer dead as
POWTS eomponerds enen
Septic or pump tank manhole Miles, access Mears and covers should to inspected for water tightness and soundness , Access op gs
ches In diameter opening deemed
scouted by an effective locking
moat be replaced. eF gtosed access perngs greator complation of wMerf. Any
subject to service
davka to prevent accidental or unauthorized envy Into a tank or component
gaoto Tenk
The sphk tank shag be mentaaed by an WaDvldual calmed to eewce aptc tanks under a. 261.48, State. The contents of the Septic tank
Meg be dlepoesed of in sooardana wain NR 113, Wis. Adm. Code. The operating condition of the septic tank and a" filter shall be aaseesad
at keel erns every 3 yamre by inspection.
The outlet Aker deg be donned as necesemry to ensure proper operation. Ths Ater cartridge should not be removed unless provisions
are made to retain bald, In the tar* that may slough ofr the fetal when removed from its ancfasurs. If the I9W Is equipped with onslerm, 9e
fRW shell be serviced If the alarm Is activated continuously. InlermMent filter alarms may indicate surge Rave or an Impendkng continuroUt
alarm.
The septic tank efhol have Its contents removed when the volume of sludge end scum In to tank a=ced, 113 the Ilgvid vokime o the
tanK. Hthe "mama of the tank are not removed at the time of a triennial eaoeeoment, maknenanrs, personnal shell advise the owner of when
the need service needs to to performed to ma;nteln lea than maximum scum and sludge aeeumulaton In the tank
The addition of blekglcul or chemical addWers to enhance septic tank performance Is generally not required. However, it much products
are used they shell be approved for septic tank use try the Department of Commerce
Pumn Tank
The pump (dosing) tank shag be Inspected at least once every 3 y eaaw PL switches, alarms, and pumps shall be tested to verify proper
operation. If an affluent Offer is Installed within the bank it sham be Inspected and serviced as nooessary.
Mound £OkSA YI~IR
No trees or dvtlDe should be plaided on the mould, Plai" may be mode eland the moud-a perimeter, and the mound and be
seeded and mulched mar necessary to pmord erosion and to provide some prole g from boat perwV**n. Traffic (ether each for vegetable
mmntarence) on to mend Is not recommended akhoe sal compaction may hndrw narration of the nNbative surface when Vw mood and
snow compaction In tits wilder will promote treat penatraton. Cold weather unumeaone (October-Febnnry) dktata that the mend be heartily
mulched as protection from imaging.
Influent quality into the mound system may not wooed 220 mgrL BOD, 180 mgiL TS3, and 30 mg& FOG or septic tank affluent of 30
mffL BCD, 30 mgr, TSS, 10 mglL FOG, and 104 WIN mL for highly treated effluent. Infuent flow may not exceed moolmum dealgn mow
specified In the permit for file installation.
The preenas dleibuton system N provided with a flushing point at tho and of each lateral, and it Is recommended that each lateral be
Ohshod at accumulated solids at least once every 18 months. When a pressure test Is performed If should be compared to the Sdael lest when
the ayarem was Ir ftellad to determine II orMce clogging has occurred erd if orte" cleaning Is required to maintain equal dlatrlbutlon within the
dispersal call.
Observation pipes within the drAnpereel eel shag be checked for effluent ponding. Pending laver, shag be reported to the owner, and any
kvsle above 6Inches considered as an Impending hydraulic lature requlling additional, more frequent monitoring.
If the septic tank or army of h eomporwms become defoctva the tank or component dell be repaired or replaced to keep rte system! In
proper opera" condition.
If the dosing renk, pump, pump mnodg, alarm ar related waahg become defective the defaoWe componerd(e) and am ion
repaired at replaced with a eamponert of 9e same or equal performance.
If the mound component fella to sccept wastewater or begins to discharge wastewater to the ground urr ace. R will be repaired or npkcoa
in ms' present location by Increasing basal stem If toe leakage occurs or by removing biologically clogged absorption and d'npereal media, and
ref Se piping, 5 of thiropiedng said s pwn for the name and telephone number of YOU( autftodo0POthe WTSaregu latcr and seMoe~ovid er~ as deemed Elmitheralmad Units
manta and morionagemont and morel hence nfor c Overall men ddevicall, ement plan or Ia rob)c treatmem units or disinfection
ynTs are information
aedsperele do of
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2!)Vd XV ZS:CT `;TOZ'LO'=eN
INSTALLATION INSTRUCTIONS
• - PL-5251PL-625 FILTER
-L-5251pL-625 FEATURES & BENEFITS
4 ~ -
Fea'alres L Berm ft:
- e Rated for 10,000 GPD
f o PL-525 = 525 Linear Feet of 1/18° Filtration
PL-625 = 625 Linear Feet of 1132° Filtration
#tfld 1
PL-M PL-625 &Accepts 4' and 6' SCHD. 40 pipe
he PLb251625 aHuerit FNW sftot>!d operat3e elliclerilly o Built in Gas Deflector
-jr several years under normal conditions before oAuiornatic Shut-Off Bag when Fiber Is Removed
x}uiring deening. it Is recommended that the filter be
leaned every time the tank is pumped or at least every o Alarm Accessibiitty
free years. If the Installed filter contains an optional ACeepLs PVC Extension Handle
larm, the owner will be notified by an alarm when the o
Iter needs servicing. Servicing should be done by a
ertified septic tank pumper or installer.
7, =F
zECOMMENDED PRODUCTS
Polillok PVC Filter ExIlension Handle
`
A 3' "tc
r nn
Fft~ Alae*n Pa~wt and
Risers Riser Covers Extend & L,OKm Mar SafatY scream SMW
your Poyok E?IwW 8 Lok* Polylok sab* screens Switch More brkQ Psepdic mrtic cover to grade. Is a a. a use t by d'°d'en PoM* for dam op
and sohrtlm an t that Gan can extend *an smv &Q your mar easier the inlet or outlet pine arW end puts fa6°`9 Wo open and audible rbtiftt On of
ekni- or Septic rare swing by of aWwMstalla 9iter a am baflla tank ~ ~ g atar and tank
~F.~'' g to And tarilc tlon s snap. serviclng-
entrence Fits 3' and C pipe
Fora full list of POM& pro(JUCS please visit our web site at www.)otj►lok.can
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ST. ROIX COUNTY
SE HI* TANK MAXITNANCE A(;REE\-1ENT
AND
ff OIA~NERSII-N' (:Ii.RTIF'I('ATION FORM
OvVner/ Buyer
MailingAddrr„s ~Yy_ I~LQ._C
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(Vcrificatinn rcycitc<i from Planmtf}; & Zoning llc1,11 Iment far uc•w constntction.)
Cityititaic Hok/k (/I / I'VZT Parcel ldcutif-calion Number
LEGAL DESCRIPTION
Property Location V1,15 ~V N
R 1A, 'town ol'_ S~CU~
Subdivision Yiat: _ 0L(hv;T15Ste , Lot4 It,,
Certified Survey Afap fl , Volume Pave 1,
Warranty Deed!;* _ (before 2007)1 plume pope
Sreu house ❑ye%Uo hncs idcul;fiable ❑ycs[Ino
5YS'ITNI MAINTNNANCE AND ONN NG:R CERTHICATIOiN
Improper arse and maintenance of }oar septic sysicn: couiU result in its prclualuic faihne to handie wastes. Proper
mamten:mec collmsls o` mmnping out 11•e sepr w tank every three.. }'ears :x sour•.cr, i nredcd, by a license:i pumper. W ha. you put into
the system can aMet all, funclion of the <ephe talk as a f enlrnent stage in the waste disposal system. Owner nhainteeancc
responsibilities are ;pccified in aS°S. 310.52(I) and in Cihapler 12 -tit. Croix Collwy Sanitary Ordinance_
Thu property owner agrbes to sabmil to St. Croix Court;' Planning & Zowng, DepaCaoent a certification form, signed by the
owner and by a master plumber, jonrnoyman i)!umbrr, restricted plumber ors licensed Inaupcr verifying tfat (I) the on-sire
wastewater disposai system is in proper ol•.erating condaion ardioi (2) after insrcction and punhpiag (if necessary), the septic tank is
less than 113 full ofs;udge,
I/wc, the undo signed have read the above rcquireuwa:s and agree to maintain the private sewage disposal system with the
standards set forth, herein, as set by tie Department pPSalety And Notcssional Scrvice., and the Department of Natural Resources,
Socc of Wisconsin, Cenilication staling that your septic system has bear maintained roust be completed and returned to the Sr. Croix
County Piannfng & Zontng Dcparrincat within if) dws of the tiuroe year expiration dale.
h'we certify that all statements on th fori i are true to file best of myrinur knowledge. Uwe amdnw the owner(s) of ihc.
properly described above, by virtue ofa war aarv dt.uJ recorded ;r. Rcgisler of llccds Office.
Number of hedroonis _:Z'
SIONATURF. OF APPLICANT''5) DATF
-Any mhonnation that is misiepres;ried may resulr m at, sanitary permit being revoked by Iho Pianningk Zoning Departnheal. x«.
Include wilt this application a -ecoidcd warranty deed from the Register ofDccds Otticc ant a copy ot'dre cciririzd survey map :f
reference is made in the wanan'y decd
(REV. 04d 2)
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S P SOIL EVALUATION REPORT
S 3epa-tmer, c' Sa'ely arJ Profess
::ra' t3
Div Sion of Safe;p and Bji~dveys Page 1 of
' In accorcanc=_ v if. Coma i35. 'JCs Adm. Cole Geo Tech Soil & Site Eva:uaticn, LLC
Attach corrlplete site part or paper not ess Thar E(% x 11 inches c s'2e. P'an mull
include. but nor limited to vertical and'io•¢ortai reference po.nt iDlVi. direction and St. Croix
p0'cenl slOCe, scale or dnners ors. ricer avrw, arC iacat,~m and dstance to rea•esl road. Parcel 1 D - -
Please print all information. D 3 V - L/b/
F
Persona riNria:ica'i 9n rov,Cp ra•' Ce :r7 f.;'sr.CG-:•la".'DU OgrS ;Pn'eac'/Laa'.5 15f.A ;tj:roil Reviewed By Date
Property Location
IIA,RTI•AAN HOLIES Govt :m_ S'v^J114, SE114, S24, T30N. R20VJ
P•operty Owner's v1a0iig Acdrass Lot # Bic-..k# Subd. Name or CSW#
144 RYAN DRIVE #102
- 18 NA ORCHARDS OF ST. CROIX
CIy State 2m Ccde Phone Number - r- - -
City Village f_ Tb,vn Nearest Rcad
HUDSON '.•':+I 540'0 715-3771555 St...bse h
V 141 STAVFNUE
New Cens;ruC9or Use Resident al i Wrn.^.er of he[:r0oms 4 _ Code denvetl design floc; late 600 GcC
Redacemert Pubic o' c :mmOrnal Ceser be. NA
Pa ent ma;O mi LOESS OVER TILI
Flocs plain olevaron..(applicable NA ry,
!,=cerol cemments Reguhes ar 8' sand Ill rre;:nd compener. L'p'uoo edge ur Cistrib,aion cell to he irsta IeJ along the flagged 100.J0' gru.md
and recommendations C0nt0u'. :ftix mi,nl basal SLR = il.L left 21 i, 1.1ax'n1Jr17 tq, r
design s'Coe at flagged conlou%
Lt LLL I Q
7-6
ATD L4C
M! 63E ~R C V H iSJ~tM
❑ Soong # - Botha
P'1 Ground smace elev 100.00 Depth Ic Ilmiang factor 28 ,n i.
cii App,:cation Rale'
r'orie::n Depth Carinant Color Redox Cesc6ptio•r Texture S;rucLve Consistenc Boundary Roots 3 GPD_ +Q'
n. Muasel! Qu. Sz Cort Color Gr. Sz Sh. - -
'E`f++t •Lrla2
1 0-6 1GYR 31'2 LOAM
2 6-28 7.5YR 3,4 _ SL
3 28-38 ~ 5YR $'4 C2,F-D /.5YR SII3
_SL /.5YR 5'6
-
E bwing # Ho'ing t,
Pit G'ound st.rface elev. 98.20 Sv
h Ceplb to lim I ng facto' ,n. -
Ilonzon Depth Dorn:rart Color Redox Descri or - - Soil Appl~Ceaon Rate
p•' Textu.•e Structure Consistence Boundary Roots GPCifI'
in Ivtunse'I uu^u. Sz. Cont. Color ~ Gr. Si Sb.
~Ef'utT •EN#7
1 0-9 IOYR 3:2
- LOAM 1 M SDK ',IV R I CS I 2F 0.4 0.6
2 9-26 1OYR 4,i4 SIL 1 C ABK MFR GS IF 0.4 0.6
3 30 7 SYR 414 r SICIL 1CASK MF1 I CS I 1F I 0.2 I 0.3
.1 30-50 I 5YR 313 -t-' I FSL 0M T MFI - I 0.2 I 0.5
P(loaf L.,j
-1 ~sT~ rc~ f~IL FHk T
Free :vater r 48-.
E(Suer't = P,OD~> 3~ < 220 :nl'L and TSS >30 < 153 •n ?L • FHluenl #2 - BOD < 30 mg+L and TSS <_30 mg+L
CST Name :Pease Print: Signature - CST Number
William J Bergh 227819
Address 3eo Tern Scil & Ste. Eva'Lanan, LLC - - {--I" _
'1091 301h A•.•enue Ctipcevra Fa'IS. :'I 54729 IJ Ja'e _va't.a ;nnduUed relachone tJUmber
6.1+2005 715 577-6838
PI;;~eli Owner HARTMAN HOMCS
Fav:al,D# Page 2 -of 3
Bo•ing # Bo lig -
Pit Ground su•faco elev. 100.00 ft. Dep!h to limiting factor 29 ,n. - -
SciApp'icallon Rate
•to•izor Uep-- I Cominant Cclor Redox Descr~plion Texture Structure Cons :stence Bounoary Roots GPD;ft'
in k1unse4 Ou Si. Ccnt. Cclo• Gr. Sz. Sh.
'Lfla' ~E'In2
i- I 0-10 10YR 3/2 LOAM 1 Pl SBK MVFR CS 2F 0.4 o.6
1 -
2 10-25 I 10YR 4!3 S!L I 1 M SBK + MFR GS IF i 0.4 ' 0.6
3 25-29 I lOYR 4!2 SIL 1 M ABK MFR I GS I IF 0.4 i 0.6
4 29-50 2.SYR 3,,4 I CID 7.5vR n;~
7.5YR 4/6 FSL I OM I P1FI I 0.2 0.5
rt-
Bourg ~ I
❑ &tring # Fd
Ground surface elrv - It Depm :o 'imdmg factrr in.
oil Apphcalion Ra
i;omon Ceplh Domh:ant Color Re-ox )escrli Texture Sn:cture (Consistence' Boundary Roots GPC:ft=
in. Munsell Cr,. Sz. Cont. Color Gr. Sz Sh. -
~'t1'kl •I II=2
fi -
Rorng
M'r° If - Pd
Gourd surface elec. fl. Depth to aim tiny factor ur ~ -
Sod Acpl'cal or, Rave
Horzon DePlh Dorn hart Color Redox Uerrip; or Texture StnlUure Consistence Boundary Roots GPD;'ft'
i❑. Mussel' Cu. Sr Con! Color Gr. Sz. Sn -
'Effxl -EM2
Effluent #i =90D,.> 30 < 220 m iL and TSS 32 50 w:l!L . C•' i.en; d2 =ROC tr
The I lcparl m nt of S I';. a ni ! n+la uma Sei is c r9u:11 opporicnio >crvice prop idrr and :n;rlowl% lr %ou o:r.l assisl:uux In
a1'ctti uv:r.~srnu.r.u;.,:~jl:-ran z!trrn,LC llnIrul.ar;IU~l the:Ir r.,ll~,ylr.a;C,IA.nr,,frilil or ("Il'Ihr.-feh l2r.a,.
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GEO TECH, LLC ORCHARDS OF ST. CROIX 1
Yi +sn uri 1109130TH AVENUE JO8SITE INWRMAT10%
CHIPPEWA FALLS W1 54729 HARTMAN HOMES SW-SE-24-30.20W LOT #18
y i n ei n ro. r" d , H 141ST AVENUE ST. JOSEPH TOWNSHIP i
i°` ^ t IS 23 S:h J% 88fl Ja_.Si
I+cuLTON wI Si cROtX, WI PLOT PLAN
- - 1'",r -L ::8.9:11, 55 1-C -I --j