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HomeMy WebLinkAbout026-1175-03-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 488030 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Miller Homes of Hudson, LLC I Richmond, Town of 026- 1175 -03 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: / Ov ' GS i 30.30.18.1403 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER cg s CAPACITY STATION BS HI FS ELEV. Septic 'S ,•1 Z 5 Benchmark F ln�.,�, Alt. BM Foon. �s ( • Lb 'i 7. CvZ Aeration Bldg. Sewer /1•z7 9Z, g 5 Holding St/Ht Inlet I Z. z(, TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic S I n I / >3 _ Dt Bottom Dosing Header /Man. 12.45 C rI• - 77 Aeration Dist. Pipe Z. 5F 'T / V - f Z Holding Bot. System c, 7 a /3. y , PUMP /SIPHON INFORMATION Final Grade 7.Z6 Y7• a Manufacturer Demand St Cover GPM F \� 4f0,)-L,_ (o • 21b 9 g' �Z Model Number '1 7. TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED /TRENCH Width Length r I N.. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS z 7 fe cep SETBACK SYSTEM TO P/L JBLDG IWELL LAKE /STREAM LEACHING Manufacturer. INFORMATION CHAMBER OR Type Of System:( Q ' 3 3 Q UNIT Model Numbed �+ 7 i� J ter. t t d E DISTRIBUTION SYSTEM Z3 �Z3 Header /Manifold , / Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Lje.5 0 II Length $ Dia 4 Length - Dia \ Spacing �' % �� c— SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Z 46e — C. Depth Over / Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed /Trench Center ( -3 Bed/Trench Edges \ Topsoil es No Yes No COMMENTS: (include code discrepencies, persons present, etc.) Inspection #1: i / inspection #2: I / Location: 914 131st Avenue New Richmond, WI 54017 (SW 1/4 SW 1/4 30 T30N R18W) Willow River East Lot 3 Parcel No: 30.30.18.1403 1.) Alt BM Description = C °U, (f L.-w� ,g � o��S o 2. Bid sewer length = Ao� n� ) - amount of cover = 17 / 6-57- T �' OJIs a•C4� 1'Q,,•� -e, • �J�P�ne, e.. . e �n.�S � ✓; s; b (.a... J Plan revision Required? Yes XNo 3 Use other side for additional information. _ _.J ��' — — 5- ___ - — Date Insep or's Si ature Cert. No. SBD -6710 (R.3/97) Safely and Buildings Division CountyC CEO Ix I Washingt J ` adison, 1 537 D San i ry Permit Numbu (ta be filled in by Co.) o f resin 608 266 -3 f51 0 Department of Commerce Z State Plan I.D. Number Sanitary Permit A h n DEC ---- -- in accord with Comm 83.21, Wis. Adm. Code perso info ti you provide OUNT Proj may be used for secondary purpo Privacy s15. Xm) ST CROIX C e Address (if different than mailing address) ses 1. Application Information - Please Print All Information eta w Jf .'cam- •�` i 1 Lot a Block a Property Owner's Name 5 A vK M I C C 2 /< e. S' Propem Location Property Owner's Mailing Address Ro x /S 5 " J y , s !� v., Section Z O City, State Zip Code Phone Number �( 03 1� s / 3i(o ZIto`J T O N; RI5— :EcleW „Q.f a w i LfQ � II. Type of Building (check all that apply) STo ` ' L I d rte- Subdivision Name CSM Number ,t 1 I or 2 Family Dwelling - Number of Bedrooms "/ UJ t LLo W,u `,r �,4 ❑Public/Commercial- DcscribeUse U` s� ,I E ��' ❑ City _❑Villageµsuownshipof ❑ State Owned - Describe Use - C> - _ 40 Z _ — m -oG0 1II. Type of Permit: (Check only one box on liae A. Complete line B if applicable) ❑ Other Modification to Existing System A ' New System ❑ Replacement System ❑ Treatment/Holding Tank Replace Only List Previous Permit Number and Date Issued B. ❑ Permit Renewal [] Permit Revision ❑ Change of ❑permit Transfer to New Before Expiration Plumber I d. (f W;�� ZZ -t• Z3 C i.a..al.Iod S [V. T of POWTS S em: Check all that apply) - z - 1 s't C il ❑ At Grade ❑Single Pass Sand Filter El Non - Pressurize [I Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable so d In - Gnstructed Wetland ❑Pressurized In Ground ❑Holding Tank C] Peat Filter [I Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter )Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) V. Dis rsaVrreatment Area Information: Dis 1 Area Required (sf) Dispersal Area Proposed (sf) System Elevation Design Flow (gpd) Design Soil Application Rate(gpdsf) 5, �. ( 0 Z Manufacturer Prefab / Site tee ibex Plastic VI. Tank Info Capacity in Total Number Concrete Constructed Glass Gallons Gallons of Units New Existing �p1 o l �r 5 5 Tanks Tanks Septic or Folding Tank an (Z �o d �S - ✓ Aerobic Treatment Unit D osin g Chamber VII. Responsibility Statement L the undersigned, assume responsibility for installation of the PONM shown on the aatta nheed P plans. Number Plumber's Name (Print) Plumber's Signatu MP/MPRS Number Busess t � o r �_wzs 1 7/j` 760 - zs 2- Plumber's Address (Street, City, State, Zip Code) �' 1, J 0 14U Kim V a/jt '-c� I \rltl Count ' /De artment Use Onl Groundwater Dat Issu d Issui gent Si r (No Sanitary Permit Fee (includes Approved ❑ D pproved She Fee) 31D CO 12- 1 Z_ 65 ❑ Own Giv n for vial i}:. Conditions of Approvat/Reasons for Disapproval ./ARC M f SYSTEM OWNER: l3, IJJt l MJS� S 1. Septic tank, effluent fitter and O V\2t.�� �r7tn.��dcJ✓� - dispersal cell must all be services I main%i 9A as per management plan provided by pkir JW. I Z. Attach complete plan, (to the County only) for the systan on Paper not iess than al/2 x I inches in size SBD -6398 (R. 01/03) L1• , � N IV M ' N N z o r `.1 ui r 41 N cr J �. J h N M J' 79 J1 z rt � 3 4 r ' nr o r D n r N � 3.1 VWsoonsal Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Attach complete site plan on paper riot less than 81/2 x 11 inches in size. Plan must !c include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. _ - n percent slope, scale or dimensions, north nearest road. PQ t Please print it infer r�itb6QY E ® R 'awed by ate Personal in* mavon you provide maybe used secondary p (Privacy taw. 15.04 (1) (m)). Property Owner . A - tiO " 3uJ 30 Q r t W two 1/4 1/4 S T b N R E( W Properiy Owner's Mailing Address 1. 1 OFFICE t # Block # Subd Name ar CSIM 116w Atma Zip Code Phone Number ❑ City ❑� T Nearest Road ( ) _ _ I New Construction Use: Residential / Number of bedrooms Code derived design flow GPD ❑ Replacement ❑ Public or commercial - Describe: — Perot material 0 �-cJ - .ra -�-� Flood Plain elevation if applicable 1113 ft. General comments and wandetions: s s4, e_tp,aw 102. 2 9, rift Boring q e a # a Pit Ground surface elev. � �! ft. Depth to limiting factor In. Sol Rate Horizon Depth Dominant Redoc Description Texttme Stnx�u re Consistence Boundary Roots G Mff In. Munsetl Qu. Sz Cont. Color Gr. Sz. Sh. 'Efl#1 (01 1 2 -3,/ j z l 2 -3U s —_ J s • I. ® Boring # Boring Pit Ground surface elev. I 3. R Depth to ibniting fain in Sol Rabe H Depth Dominant Redox Description Texture Shictue Consistence Boundary Roots PD Gff in. Munsell Qtr. Sz. Cont. Color Gr. Sz. Sh. •Ef1#1 '0192 I L Zr, 1 S r / S • Effluent #1 = t30D > 30 220 mg& and TSS 15r f ,TM)IL • Effhterd #2 = BOD 1 30 mg& and TSS 130 mglL CST CST� Nu mber ' Telephone Number Address Gate Evaluation Conducted r Property Owner I Parcel ID # Page of Boring # ❑ Boring _L _L Z Pit Ground surface etev. ft. Depth to li niting factor in. Soti Rate Horizon Depth Dominant Color Redox Description Textrue Structure Consistence boundary Roots GPDHf° In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Efr#1 I - Eff#2 f C -12 �v ►� �Z S 2 /rtl�r GS Z1''' S Z 1 s /y S 2 k Fr ' / ❑ Ong # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to ftbV factor in. soa Ram Horizon Depth Dorr*mt Color Redwc Desaiption Texture Struct" Consistence Boundary Roofs GPDM In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'E01 'Eff#2 Boring # ❑ Borng ❑ Pit Ground surface elect. ft. Depth to Nmithrg factor In. Soli Rate Horizon Depth DwdnantColor Redox Description. Texture Structure Consistence Boundary Roofs GPM in. Munsell Qu. Sz. Cont Color Gr. Sz Sh. 'EM - Eff#2 Effluent #1= BOD, > 30 < 220 mglL and TSS >30 S 150 mgll. ' Effluent #2 = BOD, < 30 mgll. and TSS 1 30 myl. The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608- 2648777. seoaawneboo> Soil Test Plot Plan Project Name David Railsback Shaun Address 845 133rd Ave New Richmond Wi 54017 CSoff #226900 Lot 3 Subdivision Date 12/12/02 SW/NW 1 /4S W/N W 1 /4S 30/31 T 30 N/R 18 W Township Richmond r - ] Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Survey Iron System Elevation 102.2/99.8' *HRPSame as Benchmark Alt. BM Top of Steel Fence Post @ 104.0' Alt 370' Property i e B.M. B 110' 8% B -2 Please Note: Tested area may not be 20' 90, Slope B -1 104' suitable for desired building area. 105' Check system location before excavating. Soil test was done to satisfy 106' Zoning Requirement. 30' B -3 216' Property Line ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer 1" l LL,Ere.- zV1&,E P-- �D S Mailing Address w l Property Address 91 (Verification required from Planning & Zoning Department for new construction.) ®2(o —IaS S— City /State /t/" R , e _� m e«Q c.y I Parcel Identification Number o Z ( - J o I LEGAL DESCRIPTION Property Location S W 1 /4 , W 1 /4 , Sec. 3 � © , T 30 N R /1-f SDown of v'4 YLC o Subdivision UJ I_L. a w R\ Vis 4: a4 -57'" , Lot # 3 Certified Survey Map # 7 78 3 7 e7l , Volume /D , Page # 1` Warranty Deed # 7 S' 2_. , Volume 2 7 Z-C , Page # z Sfi Spec house yes no Lot lines identifiable yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as alreatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on this form are true to the best of my /our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms /Z F APPLICANTS) DATE ** *Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * ** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) U. 2 7a42t5 2 - P 25y '�26 State Bar of Wisconsin Form 2 -2003 KATHLEEN H. WALSH REGISTER OF DEEDS WARRANTY DEED - ST. CROIX CO., WI Document Number Document Name RECEIVED FOR RECORD 01/05/2005 01:00PN WARRANTY DEED THIS DEED, made between David H. Railsback a /k/a David H. Railsback II and EXEKIT # Arla J Railsback, husband and wife ( "Grantor," whether one or more), REC FEE: 11.00 and Miller Homes of Hudson LLC a Wisconsin Limited Liability Company TRANS FEE: 2115.00 ( "Grantee," whether one or more). COPY FEE: CC FEE: PAGES: 1 Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant Recording Area interests, in St. Croix County, State of Wisconsin ( "Property") (if more space is needed, please attach addendum): Name and Return Address Lots 2, 3, 4, 6, 8, 10, 12, 19, 21 and 22, Plat of Willow River East in the Town of Richmond, St. Croix County, Wisconsin. r -- -6 026- 1088 -95- 000:026 - 1091 -70 -000 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated December 30 2004 (SEAL) (SEAL) * * David H. Railsback (SEAL) (SEAL) * *A4J. 4tb)k AUTHENTICATION ACKNOWLEDGMENT Signature(s) David H. Railsback and Arla J. Railsback husband and wife STATE OF ) authenticated o ember 30 2004 ) ss. I COUNTY ) * Kris tina Ogland Personally came before me on TITLE: MEMBER STATE BAR OF WISCONSIN the above -named (If not, to me known to be the person(s) who executed the foregoing authorized by Wis. Stat. § 706.06) instrument and acknowledged the same. THIS INSTRUMENT DRAFTED BY: * Attorney Kristina Ogland Notary Public, State of Hudson. WI 54016 My Commission (is permanent) (expires: ) (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED © 2003 STATE BAR OF WISCONSIN FORM NO. 2 -2003 * Type name below signatures. INFO- PROT" Legal Forms 800- 655 -2021 www.infoproforms.com W i (low 12: ��✓` F_*sl - 1e7 3 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Pa of FILE INFORMATION SYSTEM SPECIFICATIONS Owner S,44, A:/4< Permit # Septic Tank Capacity Z 5 O gal ❑ NA Septic Tank Manufacturer (.Vcp �Sd+/ ❑ NA DESIGN PARAMETERS �ffluent Filter Manufacturer ::� j , ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model f L —'S Z �' ❑ NA Number of Public Facility Units NA Pump Tank Capacity al V NA Estimated flow (average) e SO ,C Pump Tank Manufacturer gal/da al /da �• CK NA Design flow (peak), (Estimated x 1.5) (, p p gal /day Pump Manufacturer 0 NA Soil Application Rate 0 -7 gal /day /ft2 Pump Model 91' NA Standard Influent /Effluent Quality Monthly average* Pretreatment Unit Z NA Fats, Oil & Grease (FOG) 5_30 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD _5220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) _5150 mg /L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BODO _530 mg /L ?[ In- Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) _530 mg /L ❑ NA ❑ At -Grade ❑ Mound Fecal Coliform (geometric mean) 510 cfu /100ml ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size Y in dia. ❑ NA Other: ❑ NA Other: ❑ NA Other: ❑ NA * Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: ❑ month(s) (Maximum 3 ears) ❑ NA ears) y Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA Inspect dispersal cell(s) At least once ever ❑ month(s) y' (Maximum 3 years) ❑ NA 3 ❑ year(s) Clean effluent filter At least once every: ❑ month(s) ❑ NA Z I$year(s) Inspect pump, pump controls & alarm At least once every: ❑ month(s) ❑ NA ❑ year(s) Flush laterals and pressure test At least once every: ❑ month(s) ❑ NA ❑ year(s) Other: At least once every: ❑ month(s) year(s) year(s) ❑ NA Other: ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third (Y or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of s12 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. START UP AND OPERATION Page of For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or ottier chemicals that may impede the treatment process and /or damage the dispersal cell(s)., If high concentrations are detected have the contents of the tank(s) emoved b 1 y a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levjils. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the bell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. f Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33; Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. . e < < WARNING > > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name M,' I..0— A ' .b Name Phone 7 1$ 7( Phone SEPTAGE SERVICING OPERA (PUMPER) LOCAL REGULATORY AUTHORITY Name Name Cke) �( ('oJ� -� u Phone Phone � � ' 3 � _ � ( p This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d)&(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. START UP AND OPERATION Page of For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and /or damage the dispersal cell(s).. If high congentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater lev .01s. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cells) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33; Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name .A o 'A a,— I' Name Phone 7 1r — p - a 4 LS_ Phone SEPTAGE SERVICING OPER ( PUMPER) LOCAL REGULATORY AUTHORITY Name Name �jT. C(�D roJR It Phone Phone This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d) &(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. /� /LG t"2 f�pr1'l�S /� /LLo� 2lrJm -✓• ��T �T� .� R t ` -9 i rM 0M c*4 STANDARD CHAMBER L — — 52 " - -- - - - -- — —— Quick4 Standard Chamber - - 48 - -- - - -- - - - - - -- — IFFFECTIVE LENGTH) 8" will �� _IM _ SIDE VIEW SEC ION VIEW i MultiPort End Cap .- _. .. i - - - -. 34" - -- -- - SII': Vii - TOP VIEW FRONT VIEW I I i Quick4 Standard Chamber NominaLSpecifications Aultiftrt End Cap Nominal Specifications Size (WxLxH) Y r r.34 "x52 "x12" S ize (WXLXH) 34 "x16 "x12" Effective Length e" %'�'^ 48" i nvert Height 8" or 1.25" Invert Height'`" 8" I l r Vr >� INFILTRATOR SYSTEMS INC_ STANDARD LIMITED WARRANTY �<. 'v ••� w .hamb. e c. Dlae, w!,oge and other, accessory m.ut IJr., rrst I I l i , ...b , . ,rvl1t; ?n: n"l nL wlh lifllratOr'. inslrtrcto, s "",I I 'I n' C .rr I, n: it t rP. C1ale ih:ll the SCf1IiC perm 15 ssl e(1 IW ihr. - nnr per' o, alrn�'ci Me law..he warranty Period will hegn ultt the r I • I(1 't to ,, II 810 , — t,og lit it, I. .c,,lv ct I e l Unis'or Units dl . oc ry l II -r cr �. �I ,�.�a • �,rra rul�ll:tl ti rlI ;IJrr 1 A ll '! It C �r�t �� S R IFS & VFRC ARr r OR I I� SYSTEMS INC 'N r ; "r I\ •,[ �'JA.tRAN nES CAF MFnCHAN:ARII I'V C)ft rI Itil i � r I lif lJr. ,I tre fn: [ ;�Strn [ <(Irr t)v. i r - 1 �, Innitri,tnr .l ll nr Environmental Onsite Wastewater Solutions" � 0 r:f CnS15. of hf•r I .. ., h� t) .11 I[ 1.11 i,l if rJiie lr)t n oa l)-jitiol, wt r 6 Business Park Road • P.O Rox 7 68 ^r1 ,L.IL... S.r. iCt pf`5 IhP I I I � fi t ,P rL rrLr r � Old Saybrook, CT 0647,5 r.„ 860 577 -7000 • FAX 860- 00 i Jlnl r.,,�st Ie« nr darna�e le 11 iti de. Il 1 l 800- 221 -4436 ,h'U )arty I-o . I v nrl P. , r i, I ,- I vt� i, ,rnf ,elerd I�t, 1 r. I ✓v.. I I . It , I'll I ICJ �r. 5 48ri. 5.336,017, 5,401, ( raients Rending. S daA lder are reglstrrf'd trademarks of Infiltrator $yrlelns r _ d ,'ldrh' n In '.'14 valor - >VSIP.n s trh: LAnxlco. C011our, Contnut swivel Connection Mcrol ,arn ,_� t,.d mSoarsd..r.K, ti la-� <Gul. OuICkPlnv aFCVCLFOOnveq . in, of Infillrmor systems Inc Co 2003 Infiltrator Sysbam Inc ! ,n � 776 /"o r SEE Eggs EA a�lerEElri -a� :DNgK4} 4 OTA L7TT �\ u4•w:t 2fCrC2ES 1 r 1] - r`` '\ 1 I 161.E37[li.t •, D c I `• �'C 1 • t �• civ.r•.s 711 I r . :1 LOT 2' �4tJ}.r � ul .0 3 ' 1 I ` c vw 1 rr f �. a I L4T : ',•t1Q 212.tCfC.r ........... !.. nn tcn rc• ... ....... . � n `�, /J �`� � • y,' ` usru�n srllsrrc ' I v:wf. •yw' I __ > � � .�.� /n� �c T, a.• ktx _uvr:r A EA / ,' l :�`� � � � r l2'Jrl'Y� r�js `i / ' -t -IIN • C, EfSR2m'_ ;� �\ w• " Mi H.I':L .0 i. i �. ,,r -L' /,' . -. 'r '\'. �'•, LOT 5 11,M.sq,1. - ('- \ 127 fEa LOT LOY 20 \ ` ryb ;.rat e•^ J Wr1U t+ SS 4cnj� yl I ..-`'^ .. .,'' - cx.•n-r.: -s T+c-a aa� .OT 16 1. lOr �' - •1� r11`CF�4 1 I 9`.T4T�` � -1 / • 'L r „ r ..�' .{1 1 !',,7TU q.ft'' �/ ;� �,}J ,� f, F;! r..,fl �' � •, i It r�: / ''I ., t�M 177 L • OT'1� ' + \:: '• ./r .t 9AE4 y ' LOT IG :y s _AT 12 ._1 �� • 4 �) \ �,.''C / / r I .. Pr,4C�M _ ' d,...:.y -�c A J Gl1�IV., I "Y / r 1 E.urOPS , rIVCUt�IE���I -- L ;'T 1 r .• i LOCATION SKETCH I •' LilY . tp, v r • , ,� .\ l : _ ter• � , a rsr� - ,� !!)) V Fl1',T 1 4,0 . I r.t .•ur�q dll.: E nr_•rn:.r. tu. MIL LER Call I im Hen 1 &Associates for more details. 800 221 ( FOLD KV Information deemed reliable but not guaranteed. Jim Henry & ASSOC18teS - J Polyok PL -525 Support Stand Should you feel it necessary to add additional support to the PL -525 filter, use a six -inch Schedule 40 or SDR 35 pipe to extend from the base of the filter to the bottom of the tank. The extention pipe needs to be anchored to the filter housing with one or two #1.0 X 112" SS screws. e - - -- Anchor 1 -2 Stainless steel screws through housing and into pipe. Use #10 X 112" 6" Schedule 40 Pipe Pipe rests on bottom of tank - --