Loading...
HomeMy WebLinkAbout018-1001-10-400Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)I. Chad & Jessica Waldorff I TOWN OF HAMMOND CST BM Elev: Insp. BM Elev BM Description' JYN IL TANK TYPE MANUFACTURER &t5 CAPACITY Septic I ' Zr� 3 , ! 16W e Dosing ( S • a rr tos d Holding TANK SETBACK INFORMATION Po ik/ to "C- 525 TANK TO P/ WELL BLDG. Vent to Air Intake ROAD Septic t-7`I z, Dosing i p.,� � TMIS 33 3 \ Aeration Holding PUMP/SIPHON INFORMATION r(,,, 0tjA,1JA r Z3•bl Manufacturer 1 f N f� Demand CtPM Model Number 'i `(� r TDH L FrictionOLo -17-7 SysteLn'. 1 r TDHj. 14 Ft Forcemain Le tth.t Dian .+ Dist to Well 131s, SOIL ABSORPTION SYSTEM , In ELEVATIONDATA STATION BS Zr HI t FS ELEV. too Benchmark /03 �M Alt. BM Bldg. Sewer 96. 9 St/Ht Inlet ,7 L St1Ht Outlet Dt Inlet Dt Bottom l0.7 9i.S Heatler/Man. Dist Pipe 3 b8 17 . OZ Bot. System Ll, O ��11 I Ci 7 Final Grade St Cover / r er� /&Z 97. BEDrrRENCH ftd4 Lang t t NO-8r-Aenehes I Q PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 2-15 O SETBACK SYSTEM TO P/L IV IBLD6WELL LAKE/S REA EACH G Manufac rer INFORMATION eGMO'y C MER OR I Type Of System.r.+,. M e O I b` t s 1 I, to Gs odel umber' U IT DISTRIBUTION SYSTEM Header/Manifold I U 1 Distributio t I /t r PIPe(s1 - 12 x Hole Size S s1 x Hole Spacing 1 Vat Air ke ✓ Length Dia Length Dia Spacing 2 3 L 1 SOIL COVER Gn -_ J 1 i XA-x Pressure Svstams Only xx Mound Or At -Grade Svstams Only I,, totem Wr 7.r D€QRreaer-- Depth Over xx Depth of tt xx Seeded/Sodded xx Mulched B&" r' enter I Q n+ Bed/Trench Edges J 2 rt Topsoil �, I�1 yes G No YesU No COMMENTS: (Include code discrepencies, persons present. etc.) Location: No Address Ava abl.J@�twac5 4- LLla.j✓tS 1.) Alt BM Description = 7` r 2.) Bldg sewer length - amount of cover = � ` �/ 5, a -a 7 7 Plan revision Required? Yes * No Use other side for additional informati SBD-6710 (R.3/97) (� i i-1 -20 Date iZc00itM I Inspection #1: �9.�� Inspection #2. t 01--1 6/j y U 4� J� Insepctofs Signature Can No. SR4-avici 3a7 OCT 042019 Industry Services Division 1400EW 'gtonAve Cowry ST. GRo1X 41 _' P.O. 71 �, Sanitary Permit Number (to be filed in by Co.) = Madison -316 713 Sanitary Permit Application State Ta satins Nuinber In accordance with SPS 38311(2). Wis, Adm. Code, s ltmiuim of this form to the appropriate governments] alit qy f % 1 s - 0 919i�! 7 pp- C is required prior to obtaining a sanitary permit Not-.. Applicator, fnmu for maw -owned POWTS are mil nimed to Pm*t dress (ifdiBensa than mailing address) the Department of Safely and Professional Srnioes. Penud information you provide may be used for purposes in accordance with the PrivaLy law, s. 15. 1 m Stets. �1 I 1 / Z s {•{'1 .SY���r 1. Application Informndon - Phase Print All feformation INr Properly Owner's Nilrne Parcel Y 0,4AAb 4 WAt-boRFF 0)9-l00t- 10-4� Property Owner's Mailing Address Properly Loalipd , 4so s'KAYEAA& — , GovLLot 5E %� ._%, Section 01 City. State Zip Code Phone Number `LDw (N UIi 5400Z (tuck owl, v T Z-'j N; R E or 11. Type of Bending (cheek all dirt apply) La Y �tor 2 Family Dwelling- Number of Bedrooms 3 Subdivision Name 6k we Block NA r ❑ PublidiCon mend - Describe Use Fj ❑ Cityof 11 Site Owned- Deserrbe Use CSM ❑ Village of Number W 3, Z5 >r 5o V I e, Py !) q7 )6 To%n of +4A,vvua IIL T it (Check only nee box on lone A. Complete line B if spplgabk) A. XNew System ❑ Repaownent System ❑ TreamlentMoldmg Tank Replacerncm Only ❑ Other Modifiabon to Existing Sysam (explain) B• ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer m New List Previous Permit Number and Dane Issued Before Espir m Owner IV. Tvse of POW S S om sent/Device: Check all that apply) , �" ' ❑ Noo-Pressoriad IrFCxnmd ❑ Nezu'zod to -Ground ❑ At-Gmde ❑ Modad > 24 in. of suilabiesoil ) Moun < 24 ut of su'nabk soil Q ❑ Holding Tank �Otlter Dispersal Component ex lain ie- S '^��•sexplain) de" V V. Dis reatissial Area lnllb tioa: Design Flow (gpd) Design Soil Applies = Rater Af5V Dispersal Ara Rextuired (s Disposal Ara Proposed System FJevarion yR� 0.s 26z•50 (� 212.s0 Pi VL Task Info Capacity in Total Y of Mamrfac[naerjj Gallons Gallons Units E o 75r, Nov Tks E.M%Tdr $Lpb -4kd&Br— I o0lD kom IESE I esizi, .aster 4r,iD VIL asibility Statenneal- I, the andersigaed, assany, respo far installation of the PO sbwn on the alb"ad pax PI etne m) Plumber' i MP/MPRS Nmlber Businss Phone Nanber Ewe e/<c Plijagr's Address (S City, Sate, Zip Code) ion l -C9. VII a rtme"t Use Only proved Permit eeJe S 4! Date /Q lsw' Sigeaaue Ivan Reason for s �� f 1 IX. Condit soaQtr Disapproval .. a. can: n e- cn, •,J_,• L 3 ' , J eilspet::v ern must all) .'i1S •! - 1 ` `e•y"a , 1 , aper inarxyamen: plan c u dcel .r: plumcv , �t 1ie'er r1� f ^ "A" � 2. ANr&*w* rdac,Llreraerl:e mudt Ln .r V Al..il I . K PK apFdalbl� urei5 I : M:;�Inn61. rt,t., �--- Aaaea ro e0mpdee alws nor tls a)ab stun aaMrn b nr f:aonry stray rr pp as b dv i Ir 211 leebn is s4e SBD-63918 (R. 09114) -q 0 11 Plot Plan PROPERTY OWNER: LkAD AI ::k-sslc q A. IA}ALMRpF TZ9N. RI7W Tok/A/ 3F I{AA AeAp Lr ST CROtX CatASTV, +Ji5:DA5PAi Zo� Srms;er pig Jnat_ 10-4aD -&-sticGab Wwl— M U : 7�5'FRcN SEPtIC t}uK i O i g Jaf �c *o9N _n �ii f wAtKan; a,S Site location: uvb= Page M.af I& L -1 1" = 40 Ff. (except where noted] EJ=taddroe pit Q = Land bor,.vA y0. 014 f North �S-{^jp.+ee nwce _J , pV �J , f. n �0ao Od' a, s %ti y ;Copy (,70' TO R-O,,N 2aS sr, PAGE -- 10 v-Zq September 3, 2019 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES:2021-09-03 Plan Review: PWTS-091901788-C MARY JO HLIPPERT 28497 King Arthur's Court Danbury WI54830 SITE: Chad and Jessica Waldorff 2051h Street St. Croix County Town of Hammond SE - NW Y4 - S1— T29N — R18W FOR: 10541 N RANCH RD HAYWARDM 54843 M Gonad TWog• Rely I41plk".W.� www.ws•awin.gw To" Er-Osawnor Down CdM-!•or•1•ry CONDITIONALLY APPROVED DEPT OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES C': SEE COKRESPONDENCE Description: Mound Component Manual — Ver. 2.0, SBD- 3 Bedroom Mound — 450 GPD — New 10691-P (N.01/01, R 10/12) Construction - 6" to limiting factor— Pressure Distribution Component Manual —Ver. Effluent Filter - Maintenance required 2.0, SBD-10706-P (N.01/01, R. 10/12) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders • This approval is subject to the conditions of the Interpretive Determination approved for this site on September 3, 2019. • The building sewer shall be installed/insulated per SPS 382.30(11)(c) • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. • A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. Owner Responsibilities The current owner, and each subsequent owner, shall receive a copy of this letter. Owners shall also receive a copy of the appropriate operation and maintenance manual(s) and be responsible for ensuring that POWTS is operated and maintained in accordance with this chapter and the approved management plan under s. SIPS 383.54(1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 301.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Cec� )? CeCe (Elizabeth) Rudnicki Wastewater Specialist/POWTS Plan Reviewer, Division of Industry Services (608)400-3186 elizabeth.rudnicki@wisconsin.gov Project Name: Owner's Name: Owners Address: INDEX AND TITLE PAGE CHAD M. & JESSICA A. WALDORFF (SAME) 450 5TH AVENUE BALDWIN, WI 54002 Property Address: 205TH STREET CONDITIONALLY APPROVED DEPT OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SEE CORRESPONDENCE Legal Description: SE NW S 1 T 29 N R 18 W Township HAMMOND County: ST. CROIX Subdivision Name: NA Lot Number: 4 Block Number: NA CSM#: 16/4347 Parcel I.D. Number: 018 - 1001 -10 - 400 Plan Transaction No Page 1 Index and title Page 2 Data entry Page 3 GeoMat 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 Date: Signature: Vj[ 1,, Page 9 Tank cross sections Page 10 Plot plan Page 11 Soil test Page 12 " Page 13 " Page 14 Aerial Page 15 Interpretive Determinatio Page 16— Report(attachment 3 pgs /O M5. ) ZY License Number. 1859-007 Phone Number. 715-426-1775 Designer St fnr ,�VIU FL H I /a State of Wisconsin Approval Stamp: D 1859 ;RIVER FALLSVJ r� �a Pursuant to the Synergy Systems L.L.C., GeoMat Mound Component Manual (Edition 1, 2017), (N. 4/17), 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. 01101, R. 10/12) GeoMat Mound Edition 1, 2017 Page 1 of 76 v/ Mound and Pressure Site Information R Residential or Commercial Design U ISD Required? 300.00 Estimated Wastewater Flow (gpd) 1.60 Peaking Factor (e.g. 1.5 =150%) 450.00 Design Flow (gpd) 5.00 Site Slope (%) 97.38 Installation Contour Line Elevation (ft) / 6.00 Depth to Limiting Factor (in) ✓/ 0.90 In -situ Soil Application Rate (gpd/ft 120.00 Contour Length Available (ft) Ism utiom Cell Information 3. 5. Cell Width (ft) 25, 6.5 or 9 75 Only 90.00 Designer Input Cell Length (ft) 2.00' Dispersal Cell Design Loading Rate (gpdfflz) 1 69.231 Dispersal Cell Length Required (ft) 2 Influent Wastewater Quality (1 or2) Center or End Manifold Number of Laterals Lateral Spacing (ft) Forcemain Drainback (gal) Forcemain Filter Loss (ft) Forcemain Diameter (in) Forcemain Length (ft) Inside Pump Tank Elevation (ft) Orifice Diameter (in) (e.g. 0.25) Estimated Orifice Spacing (ft) _ System Head (ft) x 1.3 Vertical Lift (ft) Friction Loss (ft) Total Dynamic Head (ft) 5x Void Volume (gal) Minimum Dose Volume (gal) System Demand (gpm) Diameter Selection Are the laterals the highest point in the distribution r- network? If N above, enter the elevatan ft of the highest point Does the forcemain drain back?0 6.65 ftz/orifice 70 15 Manifold Diameter Selection in. dia. options 1 choice 1.25 1.50 2.00 ---- 3.00 Manufacturer Information Treatment Tank Information Effluent Filter Information 1000.00 Septic Tank Capacity (gal) ILifetime Fitter LLC Fitter Manufacturer Wieser Concrete Products, Inc. Manufacturer ILT 1/8 Filter Model Number Dose Tank Information Gatkmaflnch Calculator (optional) 650'001 Dose Tank Capacity (gal) Total Tank Capacity (gal) 17.00 Dose Tank Volume a�n) Total Working Liquid Depth (in) Wieser Concrete Products, Inc. Manufacturer gain (enter result in cell DoseTankVolume) Project CHAD M. 8 JESSICA A. WALDORFF Page 2 of ffi ay B. . . . . . . . . . . . . . . . . ... . ... . n3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A 3.25 1 ft E in B 'Ift ' - 2- in D 1 212H25 in G 0.50 ft 292.50 1 (ft) Dispersal Cell Area 5.001(gpd/ft) Linear Loading Rate H 1 ft K ft 1 12-0 ft, I IN ft J 8.37 ft w 23.52 ft 1363.24 (fl?) Basal Area Available 9-00 (ft) 1/10 B Obs. Pipe Placement GeoMat Dispersal Area Observation Pipe "at' 12" ASTM C 33 sand as Observation Distribution Cell required for Geo Mat component GeoMat + 12" ASTM C-33 sand 101.09 Finish Grade Cover Material 99.96 Lateral Invert Elevation F 98.88 Dispersal Cell Slope 5.0 Elevation E Contour Elevation 97.38 Tilled Area �17 Forcemain In situ soil In situ soil Topsoil Cap 2 Subsoil Cap 3 0 ASTM C 33 sand (F) 4 0 ASTM C 33 sand (D) 5 0 Tilled Layer 6 0 Geo Mat See details on page 4 for number, size, and spacing of laterals. Project CHAD M. & JESSICA A. WALDORFF Page 3 of 16 z4t Center Connection Lateral Layout Diagram • =Turn -up w)ball calve or deanout g ices point down laterals & force main of PVC Sch 40 P Number of Laterals 2 Orifice Diameter Lateral Diameter 1.50 in Orifice Spacing (X) Lateral Length (P) 44' -6A6 ft Orifices per Lateral Lateral End (Z) NA It Orifice Density Lateral Spacing (S) 0.00 ft Manifold Length Lateral Flow Rate 11.85 gpm Manifold Diameter System Flow Rate 23.69 gpm Forcemam Velocity 11wAmy coca unb Ilummg bdcl. loclinu Jc�in•aW comer UuM ..':II ' 14 tn.A M•v J�IF'I\II i1M1 I iniJlnl fcJ.4 . .. .. ... .. ____ ,"ournclil 1'I I��J�I,xll 1'ir� / I�.Ix�dAJII ♦dl�e \\Ic�lr„mllcv. .our. � ,, Ir.d ywY.1N � clllucm hlnp dim�J Iq.ue:vl.wua FoMetnaY1 dIN INEr Inlrl 1'f11r11J 2 In. No...uq � � I r \\r\nua �,ry ua light Ra.lcl •�.rr•.•un.l •r Sim / Tech Filter"'"'""" STF 100 1/16 dhgh xatr:Aanny-. 1' I'mnptMlbwl• iPenlp oli 1ln:u• pump Dimension Inches Gallons A 23.65 402.13 B 2.00 34.00 C 2.58 43.87 D 10.00 170.00 Total 38.24 650.00 S t 4 Pump off eleva (ft) 91.83 Wieser Concrete Products, Inc. Ca ac1 Volume T5 0—'o 17.00 Fitter Manufacturer Sim / Tech Fitter Fitter Model Number ISTF100 1/16 Alarm Manufacturer ISJE Rhombus Alarm Model Number JAB Tank Alert Pump Manufacturer Franklin Electric / Little Giant Pump Model Number 19EN SERIES Pump Must Deliver Ej5aprn at 13.36 ft TDH Note: Switches containing mercury may not be used in this system Dome talk elevation (ft) 91.00 gaVnch Project CHAD M. & JESSICA A. WALDORFF Page 4 of )C WA 325 Cell VAdth (it) 1.63 Sidewall to Lateral (ft) Distribution Cell Cross n-section Arrangements C Distribution Pipe With Pressure lateral L..J Orifice Shield Tumup Enclosure — — — — — Pressure Lateral GeoMal is covered with approved geotextile fabric as per the their product approval. DiWbution Cell Plan View Layout - Typical 325 Cell VVldth -A (ft) 90.W Cell Length - B (ft) Center Connection Lateral Layout Diagram ------------------------------- s.m co..r..w.wu.am oeuldmm ue.a @ amke vow Pp qi Kam F�IY4a1Ne Fbk Hi.wwSvlot�/Pow taFer L Ilmr'YYl 1 0 Topsoil Cap 0 Subsoil Cap j 0 ASTM C 33 sand (F) 4 ASTM C 33 sand (D) 5 0 Tilled Layer 6 Geo Mat See details on page 4 far number. sl2e, and spacing of laterals. Project: CHAD M. & JESSICA A. WALDORFF Page 5 of VC " Service Provider's Name H&H PLUMBING Phone 715-962-4155 POWTS Regulator's Name St Croix CountySPIA - ZoningOffice Phone 715-532-2156 System Flow and Load Parameters Design Flow -Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow -Average 300 gpd Maximum BODS 30 mg/L Septic Tank Capacity 10DO gal Maximum TSS 30 mg/L Sal Absorption Component Size 292.5 fe Maximum FOG 10 mg/L Type of Wastewater Domestic Maximum Fecal Coliform 10E4 cfu/100 mL Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Other Service Frequency Inspect and/or service once every 3 years Inspect and dean as necessary at least once every 3 years Test once every 3 years Should test periodically Laterals should be flushed and pressure tested every 3 years Inspect for poncling and seepar once every 3 years Miscellar eous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SIPS 394.30-1, have a watertight cap and are secured in as shown in the Synergy Systems GeoMat Mound Component Manual Version 1, 2017. 2. Dispersal cell media conforms to GeoMat products approved for use with the Synergy Systems GeoMat Mound Component Manual Version 1, 2017. Media is covered with an approved geotextile fabric. 3. AN gravity and pressure piping materials conform to the requirements in SIPS 384, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mad board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent sal erosion and help reduce frost penetration. Lateral Tum-up Detail Diameter Finished Threaded Cleanout Lawn Sprinkler Grade Plug or Ball Valve Box Lateral Ends at last Orifice Where Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Lateral Cleanout 1' *4 Feet Project: CHAD M. & JESSICA A. WALDORFF Page 6 of % V4 Mound System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General This system shall be operated in accordance with SPS 382-84 Ws. Adm. Code, and shall maintained in accordance with its' component manuals [Synergy Systems L.L.C., Geomat Mound Component Manual version i, 2017, Pressure Distribution Component Manual Ver. 2.0 SBD-107WP (N. 01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. Septic and pump tank abandonment shall be in accordance with SPS 383.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8:nches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. The contents of the septic tank shall be disposed of in accordance with NR 113, Ws. Adm, Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the fitter shall be serviced if the alarm is activated continuously. Intermittent fitter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 113 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner as to when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Wisconsin Department of Commerce. The dosing (pump) tank shall be inspected at least once every 3 ye Tank years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. If the force main has a weep hole, it should be noted if it is functional during pump operation, and it not, it should be leaned. ' No one should ever enter aseptic or dose tank since dangerous gases maybe present that could cause death."" Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installatiors (October-Febmary) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BOD., 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOO,, 30 mg/L TSS, 10 mg/L FOG, and 104 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 3 years. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice togging has occurred and if office cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan if the septic tank or any of its Components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. Ifthe dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced N its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: CHAD M. & JESSICA A. WALDORFF Page 7 of V 2.4 9EN SERIES - 4110 HP 9EWM-SFS ml-OW EFFLUENT PUMPS e A � o 04114 9O!UA-SFS ra� 2651an 1a5�^ eAT n.33O11 20.49 an 9%, — 9FN C1.1 RF 9.6^ tm 2534_2438m 17.Dan t 1 �. Z43aan_ 17 w LPN a 30 1Ca ISO m 2% AO calm Eaoxy-coated ca5� IfON - —. _. ° EMotorHw ft E -coated — i I cast trdrl —__ —.. I ,—i.. _ _. ° �Ilrtetfal __! ThermoP4aticela.4amer --; -- m —{——EPM-coatedcast iron -- zMedladd3bRSe� trkwdhcarbonariddceranc' f tans JJ or - 4 F�ew9s S[a¢Ilessteel- --- -- IWper sintered sleeve and lower — _.-- ---- --- s II Po _tbat bearing_ ---.� 5 _ t SIFW " SJTOW On SFS raft —i I � 'm3o�tu�,wv2-tm� 51 ° fAmdR-iN r f0 m N Wlt. rF, ® Franklin Electric Ncal ljDO..7m ml I NNFAMmN L= 146" 1 i TOP VIEW (A_.9111'd� 4" VENT OUTLET WLP1000 650—MR TANK SPECIFICATIONS DIMENSIONS: WALL: 3" BOTTOM: 3" COVER: 5" MANHOLE: 24" I.D. PRECAST CONCRETE RISER HEIGHT: 54 V2" O.D. LENGTH: 146 O.D. WIDTH: 84" O.D. BELOW INLET: 43' O.D. LIQUID LEVEL: 38" WEIGHT: BOTTOM 14.940 LBS. INLET AND OUTLET: 4" CAST -A -SEAL BOOT OR EQUAL GASKET, CAST -A -SEAL BOOT OR EQUAL INLET AND OUTLET BAFFLE AND FILTER: WISCONSIN, SEE DETAIL 010 (OTHER STATES SEE CHART) LIQUID CAPACITY: 26.32 GAL/IN SEPTIC) 17.00 GAL/IN AMP) LOADING DESIGN: 8' 0" UNSATURATED SOIL MN TANKS: WILL HAVE ONE VENT OVER OUTLET AND WILL HAVE TWO VENTS IN COVER OVER INLET TANK CAN BE USED AS: SEPTIC/ HOLDING/ PUMP OR SIPHON OR SEPTIC/SIPHION CUSTOMIZED TANKS: TANKS CAN BE CUSTOMIZED CONTACT WIESER CONCRETE TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS 0 ml i 0 W H� W � Y�to co Y 04N M e I O 00 Plot Plan Page 16 oF r�o PROPERTY OWNER: C 1+1+D M. JEssvA .A, Y = 40 FT. Lesw (except where noted) Pin: �! Y CSM //�/�/3�/7�u nF t+tE NW`%415EC U=badchoepit T2gN,'?"?W . IOUALE K ONll , S7 ['QDIX CDI.eNTy WISCONSCJ)Q =hand ber�.vG 205`K6 S-rr�EeT' 018- 1001- 10-40p Z0.010 }F 5 m omit p11-4- {OW F*AjeE 'q Wisconsin Deparhrlent of Safety and Professional Services Division of Industry Services SOIL EVALUATION REPORT Page 1 of 4 m aw>r vainz min arc aoa, rrrs. rwm. wue Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference pant (BM), direction and nt slope, pencepe, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Personal Information you provide may be used for semndary purposes (Privacy Law, s. 15.04 (1) (m)). County ST. CROIX Parcel I.D. 018 - 1001 - 10 - 4O0 Reviewed by Date Property Owner CHAD M. & JESSICA A. WALDORFF Property Location Govt. Lot --- SE 114 NW va S Ol T 29 N R 18 Property Owners Mailing Address 450 5TH AVENUE Lot # 4 Block # — I Subd. Name or CSM# V 16, P 4347 City State Zip Code Phone Number BALDWIN, WI 1 54002 1 ( 715 ) 760 - 1760 dy Village ElTown Nearest Road 205TH STREET 0 New ConsWclim Use(D Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD ❑ Replacement F1 Public or cormnerce! - Describe: Parent material sandy loam till Flood Plain elevation 9applicable NA ft. General comments and recommendations: Interpretive Determination required for site as there is No A+4 soil conditions. On -site w/Ryan Yarrington, Zoning Specialist. Site needs final approval from CeCe Rudnicki, State of Wisconsin D.S.P.S. Wastewater Specialist. Mound System w/2.50 ft. sand fill — Pretreatment GeoMat System Boring # [3Boring QPit Ground surface elev. 98.84 ft. Depth to limiting factor 10 in. Sol Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots I GPDM 'ER#1 'Eff#2 1 0-10 IOYR3/2 — sil 2f-msbk ds as lvf-m 0.6 0.8 2 10-16 10YR5/3 m1p7.5YR4/6 sil Ifpl mvfr as — 0.4c 0.6 3 16-30 7.5YR3/4 mip7.5YR5/8 sl (hn mfi 02 0.6 some gr. 2 Boring # Boring 98.85 7 ❑ Pit Ground surface elev. 11 Depth to limiting factor in. Sot Application Rafe Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont- Color Texture Structure Gr. Sz Sh. Consistence Boundary Roots GPDfff 'Eff#1 'Eff#2 1 0-7 10YR3/2 — sil 2f-msbk mvfr — 0.6 0.8 2 7-14 10YR5/3 mid7.5YR4/6 sil Ifpl mvfr — 0.4c 0.6 3 14-24 7_5YR3/4 m1d 7.5YR5/8 sl Om mfi -- _ 0.2 0.6 some gr.<I% Effluent #1 = BOD > 30 < 220 mq& and TSS >30 < 1 so mg& ' Effluent #2 = BOD < 30 ng4- and TSS < 30 mg/L CST flame (Please Prnt) Si CST Number MARY JO HUPPERT ollister's Soil Testin &Desi 224832 Address Date E Conducted Telephone Number 28497 Icing Arthur's Court, Danbury, WI 54830 08 - 15, 2019 715-426-1775 T SBD43301Rj17/13) Ply Owner _ WALDORFF, Chad & Icssica Parcel ID # 018 - 1001 -10 - 400 P 2 4 w Of ❑ Boring # U Boring 97.84 - ❑ Pit Ground surface elev. ft. Depth to limiting factor 6 in. Sol Applicabon Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ff -Efr#1 -Ef#f2 1 0-6 10YR3/2 sil 2f-ms&abk mvfr 0.6 0.9 2 6-14 10YR5/3 mId7.5YR4/6 sil 1 fPI mvfr — 0.4c 0.6 3 14-20 7.5YR3/4 m I d 7.5YR5/8 sl 0m mfr — _ 0.2 0.6 1-1 Boring # H Boring Pit Ground surface elev. ft. Depth to limiting factor in. ®® =EMES ' Effluent #1 = BOD, > 30 1220 ffv& and TSS >30 � 150 nV& Effluent #2 = BOD, < 30 RxyL and TSS < 30 mq& SeD4U30("7/13) Pam. (Off' Plot Plan Page 3 of Y PROPERTY OWNER: C kAb M. 1 -TESSv-A .AWALtORFF Legal Dese iption: L24 U CSNt /l L434W, sF X, nF T+IE NW `�4 sF1 OI 21M, R17W I Told.(, DE 4AAAfA i)N4 ST MoIX COUNT 4 WISCONSt/j 013- 1001- 10 -4 00 �91 I fi 0 \1 Site location: h� !4 01 8 ©�iiw— NOMii PICI- DID FWJLS uNe)_ 1' = 40 Ff. (except where noted) 1] =bad&m pit t..l � hgrd loarex-, 20.0/0 ^<,tFS d+� %—w , Gw"Nn 08 Z 1.ud.Pu�au Iop. � �vPRac. sr p+,�•• 13 of Zy 114 ki s::. (''ROIX COi NTF- SEPTIC I'AN C NIAINTENNANCE AGREEMENT 1ND OWNERSHIP CERTIFIC'A1ION FORA Owncrl3uve VailingAddress ,t (Verification required Fran Planning & .0 r new cotts[ruction.l -- - 3-A •!tt-Stoic A+M,_W �-_ _ Parcel Identification untber C��' �t=��—LJjop f.ECAL DESC'R11"UM:N Pr )pen} Location % ' AM is . Sec.4 , T Z_I N R__LJ_R%. Toum of_ f]�� Subdivision Plat: Lot= Certified Sun•cv Map 4 _ ti arrann• Deed # Spec houseDyesuc, _ Volume— __—_ Paoe a (before 2007)Vulunie . Page,; Lor lino idemirable❑ytsOno St,STL•-yt I-ENANCL AND OWNF;R CERTIFIC MN mnr.�pn u,� .:;;,: mantcnance of )out :optic utem :ouW result m n+premetmc!ailing to hundic wastes. Proper ulatntenancr •.,ns,.ls of punq,mg oul IN septic tank vver,: three years or sooner. it needed by a kenwd pumper. What you Poi into ncc ;);t,.m .ten aifecc O/c hnmtimt of the xpuc tank as a ucatnieni star ul the waste disposal system. (Iwner maintenance rcauwtcthilrtrcs ,+.ir cper,; wd in �SPS 3%:.>'_0) and in Chapter 12 - St. Ctoi.: Coony San4ory rlydinance. Tho cnopem n•imvr a�ne� to submn to Se C'rom Corm, Planuin_ & Zonutg Department a ecniliamou ;onn, signed by the oc.;ty+ and n. a master phnnbrr fmm�eyuan plumber. restricted plumber or a licensed pumper verifying ihnt (1) the an-sitc :atew•alrr disposal system is in proper operating_ conditiat atnLor Co atiei inspection and pumping (if necessmvt. thr scphc tank is I mil 1'3 full al a'udee I ,x, the :mdcru red hate read the aN4+vr icw,u vniaY., and a_rer to ntauraua the',-katc smogs diawsal sy;tt-ri t:cL •i_ -i:mdar,;t •vt lanh. In rem. as Set b) ific Dcnanmeni n: tiaicty .Ltd pu,frstunwi Srn irca amf the I iep:wnem of \ainni: Rrs.n:r.i . tits+c if Scnn5511 emfcatmn stadnr +hat sour septic h sum has `d-yeti maintained mlt$! IK l'l,lllple{(YI and IetnmC.t to She li i Oi,: t ,•unl) f'laanni 8 7•mnia Department witinn iu days of the thre. oar vapiraGon date i +cr certify that all statrmat[s on/thissm are tnie to the best of mvi'ottr knoaledec. Uw•e am/arr ihr oo.nerls) ofimpert;• described abort by ; Irtac of a lvdeed recorded in Register of Deeds Of c, Number of bet[rooms Sl(' .4 f RE OF API' \;`iTf 51 DATE —"Any u,i Inx n that is misrepresented may result in the sanitary permit being revoked by Lite Planning & 7onin_• Deponmrnt. Include ,Nth t •is application a mcrn'dml warranty deed from the R�.g �s,cr .,f t)ceua n cc and n : upl ur+hc fi.-d =v; gee mnF it reference is made in the wananty deed (REV. 04/12) 3 NOTE: ALL HEADERS TO BE Q .. ITo' a'o' WW I PLY WO UNLESS 'o' a o' a'o' 70' ID'a' d-T OTHERWISE NOTED U ... ...lo _ .. TYPICAL 0' BADETtENT WALL. IR° OIETWA ♦ mll POLY VAPOR VAPOR BARRIER BAT INBYATION i O' CONCRETE FOUNDATION WALL ADPNALT DAMPPROOFING i .................p.,n•+.yey.....-...-..........- N............. ............._._.••••••• -4 . i 1-- �"""'-• f3 TYPICAL PERIMETER FRAMING. yg(' - OOM i RI] BAT IN ATION a MTI POLY V.B. b a Q VY DRYWALL TAPED 1 OAN Q - ROOM ', TYPICAL BADEMENT BOOR: i o FAMILY A 4' CONCRETE DLAD c/a RBRE MEW REINFORf.EMRIT : ,-----• :�mwntpw �•••••� smlmm::nlw •• :. w -.. .... ....-... ... ...- - - f i pp T'd• E 6 mil POLY VAPOR BARRIER ya- !.......................... ' ]' RIGID INDULATION COMPACTED GRANULAR FILL j ! i.................. ._... .. nlgY HEGHANI A i p - _; i .. I I I� JI OFFICE _ _ _ 4 a L a • j Q L ....-.......i ............� :.............:'�.......... ................._.. :. i i UNEXCAYATm Q I A i i................. ... _ ..... _...__._...... _...... __..._.__...._• r •DRAWING AND DIMENWKS ARE FOR D•O' 7 ]9• REPREBEIJTATpN ONLT PLEADS CONDULT YO.IR LODAL S IILDING b NDPECTOR abi OR CONTRACTOR. A Wisconsin Department of Safety an foes Civision of Industry77 7 C `1 Ain RA I F 0a- SOI EVAIIIATION EPORT Csr aMR - 30 S Page I of 4 ra .na, •vrs. mum. woeSp. U J eVsauuajr2t Attach complete plan on papernot Less n 8 inches in size. Plan must include, but not lim' to: ve� �point (BM), direction and percent slope, scale dime CPdion and distance to nearest road. tom Se DlRint all information. Personal information you provide may be used for secondary purposes (Privacy Law, a. 15.04 (1) (m)). ST. CROIX Pacel .D. Ol - 1001 - 10 - 400 Rev' by Date %O 4 Property Owner CHAD M. & JESSICA A. WALDORFF Property Location GovL Lot — SE 1/4 1141 Ol T 29 N R 18 E (or)W Property Owners Mading Address 450 5TH AVENUE Lot # 4 Block # — I Subd. Namd or CSM# V 16, P 4347 city State Zip Code Phone Number BALDWIN, WI 1 54002 ( 715 ) 760 - 1760 ity ❑ V Ilage own Nearest Road 205TH STREET QNew Constnlction UseE] Residential ! Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement ❑ Public or cernmeercial - Describe: Parent material sandy loam till Flood Plain elevation if applicable NA ft General O4f"ff10f1ts and recommendations: Interpretive Determination required for site as there is No A+4 soil conditions. On -site w/Ryan Yarrington, Zoning Specialist. Site needs final approval from CeCe Rudnicki, State of Wisconsin D.S.P.S. Wastewater Specialist Mound System w/2.50 ft. sand fill -- Pretreatment GeoMat System Boring # 0 Boring M Pit Ground surface elev. 98.84 ft Depth to limiting factor 10 in. Sol ication Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ff 'Eff#1 I 'Eft#2 1 0-10 10YR3/2 — sil 2f-msbk ds as lvf-m 0.6 0.8 2 10-16 10YR5/3 mlp 7-5YR4/6 sil 1 1pI mvfr as 0.4c 0.6 3 16-30 7.5YR3/4 mlp 7.5YR5/8 sl Om mfi 0.2 0.6 some gr. 2 goring # Boring 98.85 7 ❑ pit Ground surface elev. ft. Depth to limiting factor in. Sob Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDRf 'Eff#1 'Eff#2 1 0-7 10YR3/2 — sil 2f-msbk mvfr — 0.6 0.8 2 7-14 10YR5/3 mld7.5YR4/6 sil Ifpl mvfr _ 0.4c 0.6 3 14-24 7.5YR3/4 mld7.5YR5/8 sl Om mfi 0.2 0.6 some gr.<1 < < mgn _ ant r as >.w < f ac1 M9/L - tmuenc sz = b .w ane r .xf mgrL CST Name (Please Print) S' CST Number MARY JO HUPPERT ollisters Soil Testin &Desi 224832 Address Date EvaVation Conducted Telephone Number 28497 King Arthur's Court, Danbury, WI 54830 08 - 15, 2019 715-426-1775 Property Owner WALDORFF, Chad & Jessica Parcel ID # 018 - 1001 - 10 - 400 2 4 Page of 3 t'J Boring Boring # ElpitGround surface elev_ 97.84 ft. Depth to limiting factor 6 — in. Sc iApplicabon Rate Horizon Depth in. Dominant Cola Munsell Redox Description Qu. Sz Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/fF 'Eff#1 I `Eff#2 1 0-6 10YR3/2 -- sil 2f-ms&abk mvfr -- -- 0.6 0.8 2 6-14 10YR5/3 mld 7.5YR4/6 sil 1 tpi mvfr 0.4c 0.6 3 14-20 7.5YR3/4 m1d7.5YR5/8 sl Om mfr - 0.2 0.6 Boring # U Ong Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/fF 'Eff#1 I 'Eff#2 ❑ Bong # Boring - Pit Ground surface elev. ft. Depth to limiting factor in. Soil Aoolication Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDfff 'E##1 I 'Eff#2 Effluent #1 = BOO, > 30 < 220 m L and TSS >30 < 150 mglL Effluent #2 = BODE < 30 mgA- and TSS < 30 mg/L SBn-81 W (R61/131 Plot Plan Page 3of Y PROPERTY OWNER: C N-AD M. 13EsSIGA A. WALrnoRr-F Le6a1 Description: 4 CSM /(e113qY- u nF t+1E NW ` t SEe- 01� 'f2gN� R�'fW T810A) OF #AMMONI\ ST CROIX COUNTY wisr-ONS14 Z06-14 xRp;eT OIs- l Col- 1D-LI 00 Site location: e, IV i r = 40 FT. +mot where noted) El =6addroepit Q : K&^.A boruvG 20.0/0 j"-tf5 --G NOMO PIL7- (OW FWJM UNE� Y snf 45 tj �GIDD�oo.09 /tpVem. wfo' TO R-O-"/ ZOS sr, .1 rl I li rl r rl 1 �I 11 r rr QUA r ) i } 1- t G'J."iARS I r l I � iYOG