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HomeMy WebLinkAbout032-1086-70-110Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal Information you provide may he used for secondary purposes [Privacy Law, s 15.04 (1)(m)] TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO P+L WELL BLDG. Vent to Air Intake ROAD Septic Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM I� .'Ily St. Croix I 032-1086-70-110 .31.19.418F-10 STATION BS HI FS ELEV. Benchmark Alt. BM Bldg. Sewer SVHt Inlet SVHt Outlet Dt Inlet Dt Bottom Header/Man. Dist Pipe Bot. System Final Grade St Cover BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO JPIL JBLDG WELL LAKE/STREAM I LEACHING Manufacturer. INFORMATION Type Of System: CHAMBER OR Model Number. DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipes) Length Dia Length Dia Spacinq SOIL COVER x Pressure Svstems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over m Depth of xx Seeded/Sodded xx Mulched Bedfrrench Center Bed/Trench Edges Topsoil Q Yes Q No Q Yes 0 No COMMENTS: (Include code discrepenc]es, persons present, etc.) Inspection #1: Location: 1865 37TH ST 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = Inspection #2: Plan revision Required? ❑� Yes ❑� No Use other side for additional information. SBD-6710 (R.3/97) Date Insepctofs Signature Cen. No. Safely and Buildings Division County J U N 0 3 2120 201 . Worst ir4ton Ave., P.O. Box 7162 Sanaay Permit Number (to be filled ro by Co.) Co J��jMa son. wl my LJ 2 �83 as St, Croix rani PPlication Sete Tramaetica Ntmbcr In accordance with SPS 32321(21 Wis. Adm. Cade, submission of this fmm to the eppmpaiete govemmmtd Unit 1 — is required prior to obtammg a samusy permit Note: Application forms for stir-ormed PoViM we submitted to Project ff HIM ent 1han addle$) the DeQaronent of Safety and Professional Servis. Personal information you provide may be used for socorwI y PUMOM m axadaoce with the Privacy law, s. 15,04(1)Cml Santa /Addma L Application Information -Plase Print AB information Property owners Nam ma�Aew s«, k�s��, NEx P� g 6.3Z- /086- 7d.-//0 Property Owners Madmg Address Property Lotion .? . I . 86s- 37S- if , (lost. IA S E v., NE 3t, Section2 city, state ,/, T Somee.reo- ziipGode Phone Number W1 , J /62,- 7is- .2Y9- 35/9 T 31 N: R �9(�ior� IL Type of Building (check an that apply) IAAIi I or 2 Family Dwelling -Number of Bedrooms SubdivisionName Blot ❑ Publm Commercid-Describe Use _�— S ❑ City of ❑State Owmed-Describe Use CSM ❑ Village of Nomei 8a10 G Town of Omt TULType of Permit (Cheek only one box on line A. Complete Use B Kippliable)o A ❑New System ,� lacematSystem ❑ThatmenIflolftTank Replacement Only, ❑ Other MD&&MmtoEMMiagSY*M(COW) B. pP ❑permit Revision ❑ Change ofAvmber Permit Transfer to New list Previte PemitNmpber and Date issued Owner0 �1 of POWfS S m/Com oentMevice: Check all that apply) KtPressu iced in -Gram l ❑ Prtssu wd in{'iramd ❑ At -Graff ❑ Mound> 24 m. of sink sod ❑ Mound <2Ain. ofsmtaHe sort Hddimg Took ❑ Other Dispersal Comp mt lam) ❑ Preh h w Device (explain - V. Dispenalfrreatment Area Information: Design Flow (Ud) DesiV Soil ion Applws 606 0.7 Dispersal Ara Required (sit 8s7. i Diapers I Area Proposed (sf) 00 System Elm*im 89.9 VL Tank Info Capacity in Total a of hteoufacmm Gallons G"" Unit / lr/ (�a tyto L J (�) al1 a] New Took. Tanta i SepbovNoldmgTmtc npllfrotor eekf Dosing CbambQ VU. Responsibility Statement- 1, the undersigned, assume responsibility, for installation of the POWTS shown on the attached plans umber's Nameman Pl366 Plumber ignatrve ��..u* WMPRSNumber Busum Phone Number Uri 4:4MC)I 231-71Y 7/l-2y��2a3 n Plumber's Address (Street, City, Strtq Zip Code) . 398- /4011 a tpe 5o f'+t�rc r- 1l sya�s VIII. Co"YADMartment Use Only' Approved ❑ Disapproveed�d // Permit Fee s b' Date blued �/% Agent Sib} eu/ e .%) ❑ Owner m.hwDenial v V �--- DL Conditions of Approval/Reaaom for Disapproval �) l� t 1 i t� 5 �= YSTEM OWNER: Septic tank, effluent filter and dispersal cell must be serviced /maintained as per management plan provided by plumber x A Sl�rl ��I as per applicable codelorQA41ft1M3?V'anr100arYai�n„M4,�'4a Mpai]�tfao a ® sin �l/ SBDfi398 (R I i/11) o: I 0.6 I)Lr ceek (1 CONVENTIONAL COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Owners Name: ///C. fi 04 Ter,' o eSl-e- Owner's Address: IO 6S �% t'i .f//` T SorrreS1T Gyr syozr LegalDescrption: S� �S� �r YE,S/ .5-er— ,3Z, 7-'3/ tV Township: ScMC�le'e-- County: Clo i.+C Subdivision Name: Lot Number. Parcel ID Number. D 3 Z - 10 86- 70 - //0 Page 1 Index and title Page 2 Plot Plan Page 3 System Sizing Page 4 System Cross -Section Page 5 Filter Specs Page 6 Maintenance & Management Plan_ Page 7 Septic Tank Maintenance Form Page 8 Warranty Deed Page 9 GSM or Plat Designer/Plumber. 13f t ai )a.14eP11 License Number Date: 6 — �- ��.ZD Phone Number Signature O'� 313/Y 715-- 9Z0 - 0 Y TY- Designed Pursuant to the In -Ground Soli Absorption Component Manual for POWTS Version 20 SBD-10705-P (N.01101). Page 1 /-roes f e,,-- Sop -r,'c s/1z;.,q T,?,,ot Sj.lfr/" yoo y�/x C2, a8s� ���� = s3szx �,s>k�,_ /;z5Z 6 P/G�1neoQ Use Fk-r;4 ^j 100ofOl we ICr Tak ,poi/ Zoc C C //S 6©o y'e / lRe. d4r 25373pe/ --®Y4.i Pz s�s- ©- 7 so 1/ Rafe _ axe teolca erac 957./'*m:,? p14 q n cao 2 S-OZ- EZ 1203- — 3'xc r., etch toaA" /9�,- /203- /b' .SO 2 = 900 /e45,7Z1.2a3-/o- :p4d/ SOIL ABSORPTION SYSTEM DETAIL / GRAVELLESS LEACHING UNIT Page_of_ Project Name: L l d e y, No. of Cells / Per Cell 3 ft Call Width / /� O Total No of ?6;'Z /.ZO.3- AI 9 a n Cell Length 7ps6 sq ft EISA Per Cell a Cell Spacing it Total EISA Mamdactunw Model Lavine LenaM EISA Rating InOttrator EZ7203i4-5it S.0' 25.0 EZ1203H-10ft 10.0' 50.0 Gravelless Leaching Unit Manufacturer. -7-� ,r t/ti f o Gravelless Leaching Unit Model: 25- /6 9s n TyV ca Cross Section Finished Grade 'ft .......� ..5�. SI in :.'• 1. 12 in 6 K in I .................... Observation Pipe with approved cap or vent -r Soil Backfili l ` Geotextile Fabric O /- 8 n Inflltrative Surface O I� 87�6ft Limiting Factor Slotted and Anchored Vent/ ..... Observation Pipe with Cap ................... Plumber/Designer Signature: tv— fwl`l License # 2 3 / 3 Y Date: !l - / 2 1 �J"I'^" � ' y�',�ti [�',�y�}l � �1'� l , • - n�� � il"""'� `� � ��� _ • - ii �' �l �t III � �r��'L`'i' .'n� 'Lh.�1rIi���i11p4..,iF, '4t 1 {f51 �'f' ,fa�.,rnn�iaira�, - ��.. /i � 1 i 1 Cry. ,;h.lmrlSlxu.raNri�wtld:�n�2AF,lu}m}i u.,., i . vtr tiN"�����iry�,akHr:� 't` r td,i�5f'ytrMp� ^ 0 W O W 1 1YYIr d t v L.;v 1' 1 "i r I,t;}, _ 0.Ul W uj O w T DS � PS Governor Tony Evers Dawn Crim, Secretary Department of Safety and Professional Services Division of Industry Services Plumbing Product Review 4822 Madison Yards Way P.O. Box 7162 Madison, Wisconsin 53707-7162 Phone 6D8-266-2112 Web hawfidsos.wi.ggv Email dsps@wtsconsin.gov TTY: Contact Through Relay June 7, 2019 Revised Infiltrator Systems Inc. Government Affairs Department 4 Business Park Road PO Box 768 Old Saybrook CT 06475 Re: Description: Sewage Tanks, Thermoplastic Manufacturer: Infiltrator Systems Inc. Product Name: Holding, Pump, Septic or Septic/Septic Model Number(s): IM-1530 (Total Capacity 1,787 gals., Working Capacity 1,537 gals., 44.0' L.L., 34.93 gai z 6.0 In. to s 48 in. Depth of Bury, 736-1 gpd When Used as a Septic or Septic/Septic Tank Based On a 3 Yr. Service Interval for Residential Wastewater), Tank Dimensions: 175.6 in. L x 61.7 in. W x 54.5 in. H) eSLA ID: PP-042000060-PTOPHTC The specifications and/or plans for this plumbing product have been reviewed and determined to be in compliance with chapters SPS 382 through 384, Wisconsin Administrative Code, and Chapters 145 and 160, Wisconsin Statutes. The Department hereby issues an approval based on the Wisconsin Statutes and the Wisconsin Administrative Code. This approval is valid until the end of June 2024. This approval supersedes the approval issued on March 12, 2014 under product file number 20130413. This approval is contingent upon compliance with the following stipulation(s): ➢ When used as a septic or septic/septic tank the working capacity is 1,537 gals. ➢ When used as a holding tank the working capacity is 1,765 gals. ➢ This tank must be designed to withstand the pressures to which it will be subjected. ➢ The manufacturer shall keep, at the manufacturing plant, a set of plans and specifications bearing the department's stamp of approval. The plans and specifications shall be open to inspection by an authorized representative of the department. ➢ When this product receives wastewater from dwellings and is used as aseptic tank, it will produce an effluent quality with a maximum monthly average value for BOD5 greater than 30 mg/L but less than or equal to 220 mg/L, TSS greater than 30 mg/L but less than or equal to 150 mg/L and F.O.G. less than or equal to 30 mg/L. ➢ When this product has an effluent filter installed in an interior wall, the space between the top of the interior wall and bottom of the tank's cover must be sealed with a material that will withstand the environment in the tank and prevent waste from passing over the interior wall. ➢ These tanks shall be fitted with locking manhole covers in accordance with s. SPS 384.25 (7) (h) Wis. Adm. Code. The manhole cover must be secured to the riser using screws which are not standard or Philips head to be considered an effective locking device. ➢ These tanks shall bear warning labels, that are visible after installation, that conform to s. SPS 384.25 (8). SBD-10564-E (N.10/97) File Ref: 20190125.DOC Infiltrator Systems Inc. June 7, 2019 Page 2 of 2 eSLA ID: PP-042000060-PTOPHTC ➢ The tank is not recommended to be installed where saturated soil or seasonal high groundwater tables are indicated between the bottom of the tank and the ground surface. ➢ Bedding and backfilling shall be in accordance with the manufacturer's published instructions. v This product is approved to use the following: - The tank provides one inlet port and one outlet port. - Inlet and outlet pipe diameters are 4-inches, the pipe shall be SCH. 40 or SDR 35. - Inlet/outlet pipe water tightness is provided via the use of an elastomeric gasket, Serco Septic-Tite gasket. - Electrical connections which perforate the riser shall be made in accordance with the manufacturer's published instructions. - Compatible risers include 24-inch diameter riser products such as the Infiltrator TW-Riser, EZ-Set by Infiltrator, Polylok, Tuf-Tite in addition to 24-inch diameter HDPE and IPEX Ultra Rib PVC Pipe. Maximum riser height shall be in accordance with the manufacturer's published instructions. See attached documentation. The department is in no way endorsing this product or any advertising and is not responsible for any situation which may result from its use. Sincerely, Glen W. Schlueter Plumbing Product Reviewer Department of Safety and Professional Services Division of Industry Services Bureau of Technical Services (608) 267-1401 Phone glen.schlueter@wi.gov E-mail 7:45AM-4:30PM CDT M-F Work Hours Infiltrator IM-Series Septic Tank General Installation Instructions BEFORE YOU BEGIN Infiltrator Water Technologies' tanks must be installed according to state and/or local regulations, which supersede the manufacturer's installation instructions. If unsure of the installation requirements for a specific site, contact the health department or permitting authority. The IM-Series referred to in this document includes the IM-540, IM-1060, and IM-1530 models. 4 WARNING: IMPLOSIONS MAY CAUSE SERIOUS INJURY ❑ IM-Series tank ❑ Excavator ❑ Access pat lid(s)' 0Shovel ❑ 10 screws per lid' O Level ❑ 2 inlet/outlet gaskets 0 5-inch-diameter (125 mm) (included) hole saw ❑ Inlet/outlet tees' ❑ Utility knife []Tape measure ❑ PVC pipe glue with primer ❑ Pipe, risers, etc. *tee and I'd inclusion varies by ❑ Socket wrench state/province INSTALLATION SITE SELECTION 1, Do not install the tank in vehicular traffic areas. The tank is designed for non -traffic applications. 2. The allowable soil cover depth is 6 to 48' inches It 50 to 1,200 mm). '18-inch (450 mm) max. in Florida for Cat. 3 IM-Series tanks; 48-inch (1,200 mm) max. in Florida for Cat. 4 IM-Series tanks; 36-inch (900 mm) max. in Massachusetts, New Hampshire, North Carolina, and Oregon. 3. The tank shall not be installed where the subsurface water level outside the tank exceeds the height of the outlet pipe saddle. See page 4 illustration. EXCAVATING AND PREPARING THE SITE 1. Unless buoyancy control measures are required, the excavation width and length should be 18 to 36 inches (450 to 900 mm) larger than the tank on each side or sized as necessary to ensure proper backfill compaction, as outlined in Steps 5-10 of'Backfilling the Tank" in this document. See Infiltrator IMSeries Tank Buoyancy Control Guidance document, available online at www.infifratorwatercom, for specific excavation requirements when installing buoyancy control measures, 2. Excavation depth shall account for the 55-inch (1,375 mm) tank height. Also account for 4 inches (100 mm) of bedding (f required) and cover depth (permissible cover depth is 0.5 to 4 feet 050 to 1,200 ni of soil). Note: If the water level outside the tank exceeds the height of the outlet pipe saddle, tank structural integrity may be compromised. See page 4 for maximum allowable subsurface water elevation guidelines. 3. Inspect bottom of excavation to verify suitability of native soil for tank installation. Soils with large, protruding, or sharp stones or other similar objects that may damage the tank are not suitable. 4. The tank may be installed either in suitable native soil (see Backfilling the Tank section) or a minimum 4-Inch (100 mm) layer of well -graded granular soil having particles less than 3 inches (75 mm) in diameter, or maximum 0.5-inch (13 mm) diameter crushed stone. S. Create a uniform, compacted, level surface to ensure that the bottom of the tank is evenly supported. Verify that the installation surface is flat. yr yv.m.w INSTALLING THE TANK 1. Inspect the tank for damage before installation. 2. If the tank inlet and outlet penetrations are not drilled, drill holes using the drill AUGUST 2015 4riNFILTRATOR" tanks points provided at each of the inlet and outlet ports according to the applicable Inlet and Outlet Hole Locations section of this document. The inlet and outlet may be drilled on either the sides or ends of the tank, as required based on applicable codes and site conditions.' Indiana, Kentucky, Oregon, West Virginia, and certain Florida and Texas tanks are factory -drilled. 3. The gaskets supplied with the tank are compatible with Schedule 40 and SDR 35 pipe using a 5-inch-diameter (125 mm) hole saw. 4. Install the rubber gaskets at the inlet and outlet. S. Using all four of the tank's integral lifting lugs, lower tank into excavation. 6. Slide the inlet and outlet pipes' through the gaskets. Soapy lubricant may be used to slide the pipe in. 'For North Carolina, the inlet pipe shall be a straight pipe with no tee. 7. Horizontally position the tee 1% inches (40 mm) from the access port rim, allowing the tee to fit into the recess in the access port lid (see detail). 8. Install lids and risers (see Installing Risers section) as necessary. Rotate lid over access opening until it indexes to tank and drops into position. _ PoSIIIONTFF I b in (40 mm1 FgOM 1gnT PoM PCCE.S^r PCQ! RIN WSNET A=1M OF w 1.10 T/,NI(WNL LWI( IHETTEE IIIFICOO SNgVNI IMEPoOR nVNLKI Ixr510, IMb-0. ANO IIAt Sill): 551n (1,5i5 mm) BACKFILLING THE TANK Note: Infiltrator tanks do not require filling with water prior to backflll placement. Water filling and backfilling to the tank mid -height is required if the tank is left in either an open or backfilled excavation that may fill with water from rain or other sources. 1. Backfill with suitable native soil (max. 3-inch (75-mm) stone diameter). it native soil is unsuitable, replace unsuitable traction with suitable soil. it suitable soil is not locally available, contact Infiltrator for assistance. 2. Suitable soil shall include soil textural classes defined in the United States Department of Agriculture soil triangle. Suitable soil textural Gasses are based on the tank installation depth, as measured fmm finished grade to the top of tank. a) For a tank soil cover depth of 0.5 to 2.0 feet 050 to 600 mm), auiteble sole textures include: Io a v ar 0 u.aab a�sl+el. I�aurxaex r.-rar I.u: For aW Wa alsbe tMn 50% MM dgdw ariadir aapl is aa-19, , lrao,r Waa t@:M bl-1@RJR b) For a tank soil cover depth that is greater than 2.0 feet and up to 4.0 feet (600 to 1,200 mm), suitable soil textures include: 3. Backfill should not have stones greater than 3 inches (75 mm) in diameter or excessive clods that do not break apart during placement and compaction. Backfill must be capable of occupying the spaces between the tank ribs and beneath the haunches. Note: Rounded screened aggregate (e.g., pea gravel) is not a suitable backfill. 4. Standard field soil classification methods shall be used to determine the soil textural class. Note: Under most circumstances, the determination of soil dilatancy will not be required. Dflatancy shall be determined in the field using a test that does not require specialized equipment, per ASTM D2488, Section 14.3. Complete instructions can be found at www.inffhratorwatercom 5. Place and compact soil by walking -in beneath the haunches of the tank. 6. Place backfll around the four siclawalls in an alternating manner, so that the backfill height along the four sidewalls is maintained within a 12-inch (300-mm) tolerance. 7. Do not backfill top of tank before sidewalls are completely backfilled. 8. Continue to place backfill along the sidewalls in 12-inch (300-mm) IHts. Place backfill between the ribs on the sidewalls such that the space between the ribs is completely filled with soil. 9. Compact backfill material either by waling -in, hand tamping or mechanical compaction (includes backhoe bucket). If mechanical compaction is used, such as a walk -behind tamper or backhoe bucket, a single pass is recommended. Compact each lift prior to placement of next lift Compact backfill from tank walls to excavation sidewalls. 10. Complete backfilling and grade the area. 11. A minimum 6-inch (150-mm) depth of suitable soil must be placed over the top of the tank. The balance of backfill placed to finish grade above the tank may be either suitable or unsuitable soil. 12. Establish a strong stand of erosion -resistant vegetation. Note: Grade to prevent the backfilled excavation from filling with surface runoff. If the water level In the backfilled excavation exceeds the height of the outlet pipe saddle, tank structural integrity may be compromised. MOUND BACKER- FOR MINIMUM 9' SOILCOVER POSITIVE DRAINAGE F • ;�.�I�i�l�llllllll����� � 1 � SOILBENFATH WWNCHES 1lr- (45p900 mm) I•----•-{ VA-Im a11own W raWmte BACKFIU JNG PROCEDURE SHORT AND LONG-TERM GROUNDWATER CONTROL it may be necessary to implement groundwater control measures during tank installation. Maintain dry conditions by expanding the excavation to create a short- term groundwater collection sump for temporary placement of a dewatering pump 0 needed. Long-term groundwater control measures such as underdrains and interceptor trenches may be sensible if the site is amenable to construction of a control system and such systems are not prohibited by regulation or law, and the tank location is not subject to flooding. Properly installed underdrains and groundwater interceptor trenches may prevent the need for tank buoyancy control measures. INSTALLING UNDER SHALLOW GROUNDWATER CONDITIONS Buoyancy control measures may be required 0 the Infiltrator tank is to be installed with less than 12 inches (300 mm) of soil backfill cover, and where the water level outside the tank has the potential to rise 30 inches (750 mm) or more above the elevation of the tank bottom. Otherwise, no control measures are required (see Table 1). The need for buoyancy control measures must be determined based on backfill cover depth and height of water outside of tank above the tank bottom according to Table 1. Refer to Infiltrator IM-Series Tank Buoyancy Control Guidance document for more information. Table 1: Tank models' and conditions regWrtng buoyancy control' foil cover abovetank' Wow Might above a in I1110 mrld to Above 12 in tank bottom 12 in Poo mmf Poo mm) Above outlet Do not hatY Do not kratall Pipe sadde 36 in (900 mm) to All models None Outlet pipe saddle4 301n (750 mm) to RA-153a None 36In (900 men) Less alan30 In None Nab g50 mm) 1. IM-540, IM-1060 arid IAt-1530. 2. See Infiltrator IM-Series Tank Buoyancy Control Guidance for detailed information an the use of controls. 3. No controls are requited tot soil cover depths exceadeg 12 in (300 mmf. 4. The tank shall not be Installed where the water Ivml outside the tank exceeds the height of the outlet pipe saddle. Follow Table 4 guidelines. INSTALLING RISERS 1. Compatible risers include 24-inch (600 mm) diameter products such as the Infiltrator T W-Riser, Haiti by Infiltrator, PolyLok®, Inc., and Turf -Tole® Corporation, in addition to 24-inch (600 mm) diameter corrugated HDPE and IPEX Ultra Rib® PVC pipe. Follow Infiltrator's IM-Series Tank Riser Connection Guidance. 2. In Oregon only, watertightness testing shall include filling with water at least 2 inches above riser connection, with no more than 1 gallon leakage per 24 hours, per OAR 340-073-0025(3). INSTALLING PUMPS AND RELATED EQUIPMENT Pumps may be supported on a stable, level 1606-inch (400x400-mm) platform positioned on the bottom of the tank. One 1606-inch dock or two 8x16-inch (200 -mm It 400-mm) side -by -side docks may be used. Limit dock height to account for pump height and liquid levels during pump cycles. Blocks) should be placed below an access opening arld level upon the tank bottom. For two docks, orient them perpendicular to ribs on the tank bottom, l present, for stability. Installation of products such as electrical conduit and wiring, pumps, water level control equipment, valves, siphon equipment, etc. shall be in accordance with the product manufacturer's instructions and compliant with applicable state or local rules and regulations. Appurtenances shall be fastened to the tank riser system and not the tank body or access opening rim. Where possible, appurtenances shall be installed to facilitate maintenance and repair access via the tank access openings. Note: Prefabricated pump vaults may be Installed. GENERAL SPECIFICATIONS • Failure to comply with installation instructions will void warranty. • Prior to ground disturbance, check for subsurface obstructions and utilities in conformance with applicable requirements. • Operating water temperature shall be less than 100' F (40° C). • In cold conditions, handle and baclfiil tank with care to prevent impact damage. • Tanks are not fire resistant. Store away from ignition sources. • Removal of structural bulkheads is prohibited; removal of locking dips on the IM- Series tank mid -seam connection is also prohibited. • Only suitable for potable applications if the tank bears the NSF/ANSI 61 certification mark. Otherwise, tank is recommended for use in septic, rainwater/ stormwater storage, holding, and pump applications, or other non -potable uses. • Infiltrator tanks shall not be installed above ground. Contact Infiltrator if the 6-inch (150-mm) minimum soil cover depth cannot be met. Table 2: Nominal Volume Chart Height' Total liquid volume in tank at indicated height IM-540 IM-1060 IM-1530 in cm U.S. Gal Liters U.S. Gal Liters U.S. Gal Liters 1 3 3 11 3 11 17 64 2 5 8 30 13 49 34 128 3 8 14 53 28 106 51 192 4 10 21 80 46 174 68 256 5 13 29 109 65 246 94 357 6 15 37 141 86 326 122 463 7 18 1 46 173 107 1 405 152 573 8 20 55 207 129 488 180 681 9 23 64 243 152 575 212 802 10 25 74 279 176 666 245 928 11 28 84 317 200 757 280 1061 12 30 94 356 225 852 312 1182 13 33 105 396 251 950 351 1328 14 36 116 437 277 1,049 387 1463 15 38 127 480 303 1147 422 1597 16 40 138 523 330 1249 464 1756 17 43 150 566 357 1351 500 1892 18 1 46 1 161 611 384 1454 537 2 034 19 48 173 656 411 1556 575 2177 20 50 186 702 438 1658 614 2322 21 53 198 749 465 1760 652 2468 22 56 210 796 493 1,866 690 2,612 23 58 223 843 521 1,972 729 2,758 24 61 235 891 549 2,078 770 2,914 25 64 248 940 577 2184 808 3,058 26 66 261 988 605 2290 847 3208 27 69 274 1 038 633 2,396 887 3,356 28 71 287 1,088 662 2,506 928 3,513 29 74 300 1,137 691 2,616 968 3 665 30 76 313 1,185 719 2 722 1,007 3 814 31 79 326 1,233 747 2,828 1048 3 966 32 81 338 1,281 775 2,934 1087 1 4113 33 84 351 1,328 802 3,036 1,126 4,262 34 86 363 1,375 830 3142 1165 4410 35 89 375 1,421 857 3,244 1,204 4557 36 91 387 1 466 884 3,346 1,242 4,701 37 94 1 399 1 511 911 3 449 1,280 4 846 38 97 411 1,555 938 3,551 1,318 4,988 39 99 422 1,598 965 3 653 1,355 5131 40 102 433 1,640 992 3,755 1393 5,272 41 104 444 1,681 1,018 3,854 1,430 5,412 42 107 455 1,722 1 044 3,952 1,466 5,550 43 109 465 1,761 1,069 4,047 1,502 5685 44 112 475 1,799 1,094 4141 1,537 5,817 45 114 485 1,836 1,118 4,232 1,572 5,950 46 117 494 1,871 1,142 4,323 1 604 6,070 47 119 503 1,905 1,165 4,410 1638 6,201 48 122 512 1,938 1,187 4,493 1,667 6,310 49 124 520 1,970 1 208 4 573 1 697 6 422 50 127 528 1,999 1,228 4,648 1724 6527 51 130 535 2,027 1,247 4720 1749 6621 52 132 542 2,050 1265 4,789 1,766 6684 53 135 547 2,071 1,278 4,838 1,777 6,726 54 137 551' 2,087 1287 4,872 1785' 6758 1. Height measured from lowermost inside surface at bottom of corrugation in tank. 2. The total capacity of the IM-540 tank is 552 gallons; the total capacity of the IM-1530 tank is 1,787 gallons. INLET AND OUTLET HOLE LOCATIONS Drill height marks are provided on all Infiltrator tank models to guide inlet and outlet hole drilling. A single drill height mark is provided at each end or side port on IM-Series tanks (example illustrated below). Holes may be drilled at the end or side inlet and outlet locations, as allowed by Table 3: Inlet and Outlet Hole Locations' state and/or local regulations. The drill height mark indicates the center point location for the hole saw. The pilot drill bit on the hole saw should be positioned at the center of the drill height mark to align the hole saw properly. Table 3 provides drilling and invert information by regulatory jurisdiction for the installation of 4-inch- (100-mm-) diameter pipe. Jurisdiction' Inlet Drill Outfit DNII Invert Drop Inlet Invert Haight (in) [mm] Outlet Invert Hei 9 LI u' htand Liquid id Locetlon Location (in) [mm] Above Inside Above Bottom of Tank' Excavation Base° Level in mm ( ) I a f All All All 3.00 [76] 47.00 [1,994] 47.20 [1,199] 44.00 (1,118] I.I End End 3.00 [76] 47.00 [1,994] 47.20 [1,199] 44.00 [1,118] All Side Side 3.00 [76] 47.50 [1,2071 47.70 [1,212] 44.50 [1,1301 Side End 3.50 [89] 47.50 [1,2071 47.70 [1,2121 44.00 [1,1181 End Side 2.50 [64] 47.00 (1,9941 47.20 [1,1991 44.50 11,130] 1. Indiana, Kentucky, Oregon, West Virginia, and certain Florida end Texas tanks are factory drilled. 2. Invert heights are measured from the lowest interior surface at the bottom of the tank to the Invert. 3. Invert heights are measured from the base of the excavation to the invert. 4. State, provincial, and local regulatory requirements supersede Table 3 information. IM-Series Tanks: Maximum Allowable Subsurface Water Elevation ximum allowable water vation outside of the tank responds to the outlet e saddle invert Infiltrator Water Technologies, LLC (`Infihrator") INFILTRATOR' SEPTIC TANK LIMITED WARRANTY FIVE (5) YEAR MATERIALS AND WORKMANSHIP LIMITED WARRANTY (a) TNa la ted wananty is extended an BN and user p1 an Infiltrator Tsnk A Tank marwlectured by InW or, when Installed and operated in awodance wnh Infiltnitor's Inalal4tlon instructions and local regulation by. llcamed wistalln, Is warrarHed to you: fit agelnat defective rreterlals and workmanNlp for five (5) Years after Installation. Infiltrator will, at Its option, (I) repair the defecbw product or (III replace the defective malwaN. Ineltrator's Eabay, spa ficaEy ucludes the war of ramovel and/or InstWtbn of the Tank lo) In order to exardw Ile wammy dghts, you must nosy Nmrator In wmfw at IN porppate headquartan in Old Saybrook, Connecticut within fiftean it 5) days of the alleged defect (c) YOUR EXCLUSIVE REMEDY WITH RESPECT TO ANY AND ALL LOSSES OR DAMAGES RESULTING FROM ANY CAUSE WHATSOEVER SHALL BE SPECIFIED IN SUBPARAGRAPH In) ABOVE. INFILTRATOR SHALL N NO EVENT BE LWLE FOR ANY CONSEOUENTIAL OR INCIDENTAL DAMAGES OF ANY KIND, HOWEVER OCCASIONED, WHETHER BY NEGLIGENCE OR OTHERVIISE. SOME STATES GO HOT ALLOW THE EXCLUSION OR LIMITATION OF INCIDENTAL OR CONSEQUENTIAL DAMAGES, SO THIS Lka1TA- TKxv OR EXCLUSION MAY NOT APPLY TO YOU. THIS WARRANTY GIVES YOU SPECIFIC LEGAL RIGHTS AND YOU MAY ALSO HAVE OTHER RIGHTS WHICH WARY FROM STATE TO STATE 44 THIS UNITED WARRANTY IS THE EXCLUSIVE WARRANTY GIVEN BY INFILTRATOR AND SUPERSEDES ANY PRIOR, CONTRARY, ADDITIONAL, OR SUBSEQUENT REPRESENTATIONS, WHETHER ORAL OR WNrTEN.INFILTRATOR DISCLAIMS AND EXCLUDES TO THE GREATEST EXTENT ALLOWED BY LAW ALL OTHER WARRANTIES, WHETHER EXPRESS OR IMPLIED, OR STATUTORY, INCLUDING ANY WARRANTY OF MERCHANTABILITY, FINESSE FOR A PARTICULAR PURPOSE AND ANY IMPLIED WARRANTIES OTHERWISE ARISING FROM COURSE OF DEALING, COURSE OF PERFORMANCE, OR USAGE OF TRADE. NO PERSON (INCLUDING ANY EMPLOYEE, AGENT, DEALER, OR REPRESENTATIVE) IS AU ORQXDTO MAKE ANY REPRESENTATION OR WMRANTY CONCERNING THIS PRODUCT, EXCEPT TO REFER YOU TO THIS LIMITED WARRANTY. EXCEPT AS EXPRESSLY SET FORTH HEREIN, THIS WARRANTY IS NOT A WARRANTY OF FUTURE PERFORMANCE, BUT ONLY A WARRANTY TO REPAIR OR REPLACE (a) YOU MAY ASSIGN THIS LOTTED WARRANTY TO A SUBSEOUENT PURCHASER OF YOUR HOME Ill NO REPRESENTATIVE OF INFILTRATOR HAS THE AUTHORITY TO CHANGE THIS LIMITED WARRANTY IN ANY MANNER WHATSOEVER, OR TO EXTEND THIS UNITED WARRANTY. (g) NO WARRANTY OF ANY KIND IS MADE WITH REGARD TO ANY PRODUCT, COMPONENTS, DEVICES, MEDIA OR TREATMENT UNITS WHICH ARE MANUFACTURED BY OTHERS AND ME INSTALLED IN M INFILTRATOR TAN(. USE OF THESE PRODUCTS ME AT YOUR OWN RISK. m) THE NFLLTRATOR TANK IS DESIGNED TO BE BURIED UNDERGROUND. NO WARRANTY OF ANY KIND IS MADE IF YOUR TANK IS NOT BURNED UNDERGROUND AS SPECIFIED IN THE PRODUCT'S 04STALLATION INSTRUCTIONS. CONDITIONS AND EXCLUSIONS Three ers twat. wrdbon , or applications over winch Inlfibator has no control. Defect, or protlnu as a resu t of auck conditions or applications are not the raeponabily of InRtratce and ere NOT Opwered under this warranty. They include failure to hates the Tank In accordance with Instruction, or appecade rasf story requirements or guidance, aaerWg 1M Tank contrary to IN, nataaatbn Mbuceons All! dlepuhq of chemirala or other math ale comber, to normal tank usage. The above repraade IAe Standard Umitod Warranty offered by lofiltrator.A limited number of states and counties have dfterad warranty rpukemenb. MY pvchaer of a Tank aboud combat lesXrat0e$ corporate headw.rten In Old Saybrook, Connecticut, prior to such purchase to obtain a copy of the applicable warranty, and should careful read that warranty prior In the i vohase of a Tank. �� / Park Flowed P.O.O. Box Box 7 Old Saybr0000 k, CT BSPTI S-T(Dp •Fax BeOSTT-T001 860- INFILTRATOR* +-BDo-zm-4+x water technologies WWW.WdVWatdrWatw.p Polyldr is a trader ak of PIfiyL4k, etc TUF-TTIE Is a fagbbnd I adennk o 0 MI5 1fOdar Whir Ta XxaosI e, WON rly6 reserved. Printed In U.aA Distributed By: E,778; S.M.801 Canadian PYwAt 1,320.9W 2,p ,W Other patents Pending. Infiltrator, Eouaszer, 0d 4. ark in Rumor heNalor Water Tsrh olag ee H a rapsnaed oWarrak W Mexko. nd StraighLLorh era tlsdbnerW d IniBaror Wear TMvalogies. IS a tradernark of Fol Inc. TANn1 (615-01 A TOP VIEW m No IMq RC LEsa PORT m1NaA WRNLOCNNG LopR P ORABB INLETTFE rR01 WfREE0mAn0 lET � N.Nugepft USUP DE PER KR L OJDE Flap xNll%2RN UPWRT SECTIONA-A 1 ALL DJU MNG DIMENSIONS IN INCHES(MILLIMETERS] OR AS NOTED 2. EXTERIOR OF ACCESS OPENING IIO INCLUDES THE F01LOMING WPRMIND IN ENOLISN. FNENCN 65PANISN.-OWGER DO NOT ENi POISON GASES - S TANK MARKINGS WILL INCLUDE MANUFACTURER Nisi MODEL NUMBER, LI000 `A—IY, LATE OF FACTURE MAXIMUM SUIRWL DEPTR, INLET, MU OUTLET MAXIMUM NMLLL DEPTH IS 40 in 11,21R TI S MINIMUM SURIOL OEPTI M F N1 I152-1 &. TANK ISFORNON-TRAFFICgFR1GTIX10 1 MRSEMES 1S 1a PIS S OUTLET TEE IS COMPATIBLE TH WIAN EFFLUENT FILTER a LENpTN TO WIDTH RATIO IS2&11175&RNCH LENGTH 101.T-NCN WIDTH. 28I ICLESSPoPTRIY to OR camrwous r UO ELtSiaREnIG TER 4i81Ri NET MN INIFAIOR PIPE PENElTi Si Di "ll IIF1W}ETMP ITRPI DE INIETI WRET MP ENO NEW 60METRIC VIEW TNZIIALP �? 6 INIFPNW 9EAN CLW Mall EM LWEL(AP LINNBOTIOM MlF ® MONFIGHT SEAM SECipN BETAI IINS EXTEPOR fBE1F MEXWI QINB &JpPogT SECTION B - W TOP VIEW ACCESS PORT, RIM 13a1 CONIINUCUS r 1D EIASTCMFIIC OUPPET RCET NK TEE INTFAKM ® PIPE P.EIEGTION SECTION DEEM BERM CLIP frvP! YF1NG51RM mPT TNILTOP MMF .L IRS 13 -NKBOTTf/A HUF ® MQFIE30NT SEAM SECTION DETAL ENDNEW SECTN)N 8-IT SECTIONA-A' BAFFLE DETAIL NOTES 1 NL IXUWNG DIMENSIONS IN WCHESIMIWMETERS AS NOTED 2 EATERKNOFA EBS CPENING LO INCLUDES THE FOLLOMNG WARNING INENSUFH. FRENCH & SPANISH'DNEGER OO NOT ENTER: POISON GP£ES- 3 TANK MMKINGS WILL INCLUDE. MANUFACTURER NSME. MODEL NUMBER, LIQUID CAPACITY, DATE OF MANUFACTURE, MMMUM BURULL DEPTH, INLET, AND OUTLET, 6. MAXIMUM BURNT, DEPTH IS AS In[1,21S MRS 5. MINIMUM SMALL DEPTH IS S in 1152 PI S. TANKISFORNON�ITPFFICA KOAT10NS T. HRBPA .JB^ & OUTLET TEE IS COMPATIBLE W. IOU EFFLUENT FILTE0. Y. LENGTH TOWIDTH MT101S 2.81(115&INCH LENGTH/BNI 1 T-CH WIDTH -28). 10 FREE VENT AREASETWEEN TOP OF RIFFLE MALL MD BOTTOM OF TOP WFLE SLOT 1385n' 11. Ski WALL THICKNESS 15 O 31 h 0 mRS SISE INIET, OJTLET(1YP) ISOMETRIC VIEW ph-11 INFILTRATOORR M-15M 9CNnp mmeMSepN Talk ConSyMbn 1a1 7iI n Z Z Z z •z z Z Z Z Z z Z z ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ O a _ ❑ ❑ ❑ 3 � � o 0 Q N ❑ ❑ ,. ❑ ❑ ❑ ❑ z z z z z z Z Z M �•_ W W W_ N W ❑� ❑17� ❑ ❑❑ ❑❑ ❑❑ a M'! ►: it I t► • �et..,W MaiimgAd&m % t�f 65- - 3 20" Sf 0�7e se r GUI S/Q2S— PropetiyAd 37-t S SomePs•er lil/� SfQZs CMr/&m .Some�s�f �. t Pawl Went&catmNmmaber D3Z-/086 %-//a PropedyLocation S F v., iYE Y., sec, ?' Z , r 71 xit /c1 W, Town of S rn e,,rt 7 — Sebdivis on . -- - CerflUM Survey Map # Warrenty Deed-# Spec house Yes Voh®e , PqP #k Vohllne _ Page # IatTmesi5abb (E� no _ii_ li_--1�It��t� fj� ._\.71 f •• il.�t• =._its! f Lot o Im4nmpwuwandmai¢tcomucead-ywersepticsy mwoidieF&iRlsPIfadmetDhendiawastes-.huPec aam ofpz matheaeptiemaicevQythteeyeatsorsarask;¢axded,yyah�edpomPaL What YOU PUtiUbD the system Gan aff=lfttcfimdonofftmstticmnkasatstagei dewasadbgmWsyskm Chvlw respon s ilnTdi= are spwzfrod is §Cam- 93-W) and in Chapter 12- St Qvois ComatySnaexy ptXm m ix The property ownw agmers to s a '- to St ovmaraad by a mastarphtmbm jnomeymanphmib wastewater disposal system is in proper %mafwg a less than I/3 fall of sledge - wing &ZooivSD%m mmotacettificefimfi m,s4pwdby8ee mroraiiotnsedpmgwvarifymggot (1)toon-aft afar inspectimand pr=Vft(iy),theseptietankis Ifwe: the bane read Bee above tequioemet ad agree to maintain &a private sewage disposal system with the `�•_dmL-_- M.brtkhmataassaby--DePattmeatofComm¢seandTheDqwMzotoft4amalBesomces.SoncafWsswns-m. Cerefrcac=statiaEtbatyour septic systembus been m mmmstbeco=,leftdmdesmmedtoBeeStCroix County Planning & Zoning DegarGneat sFitbia 34 days of the Bttee year eapnaton dart- _ I'we catify that all slaftmeWs an 6* hm am tome to &a beg ofoyfoor imowledipL JTAmmmokethe owner(s)OfMe property described above, byvntmofawsaamydoedre mRoSWN dDOO&pffim „„ � i iim, - r s/_?//a0 DATE ""Any taftionatim#=is nggcp=mftd may xamkmEecmmluypc I b=WtefoizdbytcPJmn pS&ZoniAS "• -:-:_de wim this apPlicebm a recorded ma®tydead fxtm68 Regi &wM-Deeds Ogee and eoWof•Ibe certified stsveyMOP if is made is &m wan igy doe& ti'-- le8/tl_s ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF EXISTING SEPTIC TANK(S) This is to certify that I have inspected the existing septic and/or dose tank presently serving the following residence: (Street address) 37'"4-f)z- located at: S&c Ya, NE '/a, Section 3 z , Town 3 i N, Range / 9 W, Town of 50—mr"fe r , St. Croix County Wisconsin. Upon inspection, I certify that I have found the tank(s), to the best of my knowledge, will conform to the requirements of Comm. 84.25, and it (they) appear(s) to be functioning properly. Most recent date of inspection or service o G f OP 4201q. Did flow back occur from absorption system? Yes No_ (if no, skip next line.) Approximate volume or length of time: gallons minutes Tank Capacity: O o o . / Construction: Prefab Concrete x Steel Other Manufacturer (if known): GUe e /fit Age of Tank (if known): Yeef Permit number (if known) 83 G Q /✓/'ran /4iile7/ (Licensed Plumber Signature) (Print Name) Oc-t- 0 � 0?6/9 o23 /3// (Title) (License Number) MP/MPRS L—/—,o2� (Date) Form to be completed by licensed plumber (Dept of Commerce Chapter 5 and s. 145.06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin Administrative Code) Rev. 9/2008 Parcel At: 032-1086-70-110 Valid as of 06/16/2020 02:46 PM Alt. Parcel #: 32.31.19.418F- 10 Owner and Mailing Address: MATTHEW J & JERI A KOESTER 1865 37TH ST SOMERSET WI 54025 Districts: Dist# Description 5432 SCH DIST OF SOMERSET 1700 WITC Abbreviated Description: Acres: 3.259 SEC 32 T31 N R19W PT SE NE FKA CSM 6/1667 BEING CSM 22-5382 LOT 1 TOWN OF SOMERSET ST. CROIX COUNTY, WISCONSIN Co-Owner(s): Physical Property Address(es): " 1865 37TH ST Parcel History: Date Doc # vol/Page Type 05/31/2007 851645 PR 04/13/2007 848458 22/5382 CSM 04/13/2007 848457 OC 04/13/2007 848455 oC more... Plat Tract (S-T-R 401A 1601/4 GL) Block/Condo Bldg ` 5382-CSM 22-5382 032-2007 32-31 N-19W LOT 01 2020 Valuations: Gass and Description Acres Land Values Last Changed on 04/18/2019 Improvement Total G1-RESIDENTIAL 1 3.2591 56,300.001 153,100.001 209,400.00 Totals for 2020 General Property 1 3.2591 56,300.001 153,100.00 209,400.00 Woodland 1 0.0001 0.001 0.001 0.00 Totals for 2019 General Property 1 3.2591 56,300,001 163,100.001 209,400.00 Woodland 1 0.0001 0.001 0.001 0.00 2020 Taxes Taxes have not yet been calculated. Key " Primary HE EN[ 0 Wis. Dept of Safety and Professional Services JUVDII �TB�LU ION REPORT yy� Page } Division of Safety and Buildings 0 m nu.4[w'L olfttt�t�v - n, urue c� �f 9'{,1. g 6. .. Attach complete site plan on paper not less man r- a1 �rd_R^="r• n must include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dirtrensions, north arrow, and location aril distance to nearest road. Please print all information. Personal wrormation you provide may be used for secondary purposes (Privacy Law, s. 15.O4 (1) (m)). r County S f r C r0 / Parcel LD. '0_ ��� 0,32 — /0 86— Re _ by Date 6 /(p Property Owner -r- Aff/)el,✓ d"7er/r �OeJf'e� Property Location O GoALotSG 1/4N61/4S32T3/ N R// a(or0,, Property Owners Mailing Address /865- 3-7is Sf Lot # Block # Subd Name or CSM# City - State Zip Code Phone Number Sornerer $Y025 (7iS) 2VL L1I ❑ City ❑Village JRTown Nearest Road Saw+er f -77t'4 -X, ❑ New Construction Use: ❑ Residential / Number of bedrooms �_ Code derived design flow rate OD GPD ® Replacement ❑ Public or cornmerclal - Describe: Parent material 6 " t W iJ 4 Flood Plain elevation d applicable fL General comments .Si Sfe#'1 /CL. �f 9, 8 G� , h 0.7 L a • /: , fro to and recommendations:Boring y © # ❑ Boring®' Pit Ground surface elev. 1`� 3 R Depth to limiting factor in. - SalApplication Rate Horizon Depth in. Dormnant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. nce Boundary Roots ' GPD/ft 2 fF#1 ff#2 t 6-11 6)YR �/k N sZ rnPr as 2 Co Or j/ o, 7 S-Y/? I'ki /Y Z- m dk c cry 2 c4 046 O r 8 YT /DYIP 5/4 IQ SIL 6, c a, fln 0 r 6 o r b /2 7Af / AIA 049 0.1 /. 6 a.q .So 0 Borirg If ° Boring93 s m Pit Ground surface elev. ' fl. Depth to limiting (actor 20 in. Sod Application Rate Horizon Depth in. Dominant Cobi Munsell Redox Description Qu. Sz. Coat Color Texture Structure Gr. Sz. Sh. onsistence Boundary Roots GPD/ft 2 fl#1 ' fl#2 0-8 /ORS SL /m ., M4,r s I o.Y O,-7 2 S-17 SYR L mrsk cw Ire 0, 6 0,8' 3 i14 Y I6YR IN iY Si'L ,6k. MIP cu.,, 1 of Or 6 0,8 `l 3y-m 7,SiR$/ NA MS OS — — 0-1 1,6 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (pkapse P,nt) Signature CST Number F7fJGrl lCtrnc l/ 2e 3� Address Date Evaluation Conducted Telephone Number SW'- /9v�CLUe -'ffw,-ter w1 5ydaf 5-I/-2O 715--,2V7-3203 —,-_ SHLL63V(Kl 1/11) Property Owner At ffA*W L/"T6O,' 1'(OCS1t'ee Parcel ID# ©J 2- IOU- 70-110 Page 12 of 3 a N Boring # �s Ground surface elev. I J � o R Depth to limiting factor > /9 6 in. Pit Sad Application Rate Horizon Depth in. Dominant Color Munsed Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz Sh. onsistence Boundary Roots GPD/lt 2 ff#1 02 0- C/ /DYR z /y* Im,401 IM O, y 10, 7 I S-0 `11- �� L -rk , cW M 0,6 Orb ? I7-36 /01 6 Nf 514 mssk MP. C-6v i 0,6 O, 8 026 75TR i6IVA m S O 1- Bonng # ❑ Boring ❑ Pit Ground surface elev. R Depth to limiting factor in. Sod Application Rate Horizon Depth in. Dominant Color Munsed Redox Description Qu. Sz. Cont Color Texture Structure Gr. Sz- Sh. nsistence Boundary Roots GPD/ft ' 6#t ` tf#2 Boring❑ # Boring ❑ Pit Ground surface elev. R Depth to limiting factor in. Snd Atn Rate IKa Redox Description Qu. S7 Cont. Color Effluent #1 = BOD , > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD , < 30 mg/t and TSS < 30 mg/L The Dept. of Safety and Professional Services is an equal opportunity service provider and employer. If you need assistance to access services or need material in an altemate format, contact the department at 608-266-3151 or TTY through Relay. sawpwtaunrp Property Owner /r/Q r/Ilow �-T6Irl YoCS>ParcellD# ©3 Z' `D86' 70-110 Page .2 of 3 Boring # ❑ Boring 4 ® pit Gmund surfaceelev. / ✓ I 0 fL Depth to limiting factor > /� 6 in. - Shc Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz Cont Color Texture - Structure Gr. Sz. Sh. noe Boundary Roots GPD/R 2 ff#1 ff#2 0- q /DYR a S4 /msbk /7YA, //yj 0, V 0, 7 -I? S- i/ rk mpr CGS M 0,6 0S 3 )7-36 /DYR f N Sr"L mssk rfiP C- 9 pr 6 0, IF 36-126 7,SM %A14/nS 0 — Or 7 114 Boring# ❑ Boring ❑ pit Ground surface elev. fL Depth to limiting factor in. Sod Toolicatbri Rate Horizon Depth in. Dominant Color Munsefl Redox Description Qu. Sz. Cont Color Texture Structure Gr. Sz. Sh. 7onsistence Boundary Roots GPD/ft ' tff#1 ff#2 ❑ Boring ❑ Pit Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ Sod Ao� ofira Redox Description Cu. s7 ConL Color Effluent #1 = BOD ,> 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD , < 30 nxA and TSS < 30 mg/L The Dept. of Safety and Professional Services is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, contact the department at 608-266-3151 or TTY through Relay. SB0$330 (all/11) Form-STC- 104 AS BUILT SANITARY SYSTEM REPORT OWNER ////�//�tu> S�rTOWNSHIP/7 Oh7t/.'SG. SEC.,Zg� T,LN-R/�W ADDRESS �{ fs,2jf0oX yroYST. CROIX COUNTY, WISCONSIN �L1Jr1LfL�Q� `"' �$G S �OeZ`J SUBDIVISION LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of ILHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM ,y 11D1,1 // hf INDICATE NORTH ARROW PUMP CHAMBER Manufacturer: Pump Model: Elevation of inlet: Liquid Capacity: Pump/Siphon Manufacturer: Pump off switch elevation: Alarm Manufacturer: Bottom of tank elevation: Gallons per cycle: Alarm Switch Type: Number of feet from nearest .property line: Front, O Side, O Rear, © Ft. Number of feet from well: Pump Size i Number of feet from building: ` (Include distances on plot plan). 80IL ABSORPTION SYSTEM Bed: X Trench: Width: /„z r Length: — �l _ Number of Lines: Area Built: 6 Fill depth to top of pipe: Number of feet from nearest property line: Front, ® Side, O Rear, Pt abz Number of feet from well: �%� /�0 // Number of feet from building: '[ (Include distances on plot plan). SEEPAGE PIT Size: Number of pits: Diameter: Liquid depth: Bottom of seepage pit elevation: Area Built: Has either a drop box O or distribution box O been used on any of the above soil absorbtion sytems? (Check one). HOLDING TANK Manufacturer: Capacity: Number of rings used: Elevation of bottom of tank: Elevation of inlet: Number of feet from nearest property line: Number of feet from well: Front, O Side, O Rear, 0Ft. Number of feet from building: Number of feet from nearest road: <4' DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS P.O. BOX 7969, MADI$OM, WI 53707 IRCONVENTIONAL ❑ALTERNATIVE (� ❑ Holding Tank ❑ In -Ground Pressure ❑ Mound SAFETY & BUILDINGS DIVISION BUREAU OF PLUMBING s.r. Pi.n LD. wmoe. Dr nugnenl NAME OF PERMIT HOLDER 4DORE55 OF PERMIT MOLDER 54025 INSPECTION OAT �;3(� Matthew Koester Rt. 2, Box 48, Somerset, W1 a�� BENCH MARK(Permsm rNemom pint) DESCRIBE IF DIFFERENT FROM PLAN REF. PT. EIf V.: BTREF.PT,ELEV- SE NE, Section 32, T31N—R19W, Town of Somerset Neme of Plumlyr: MPIMPRBW Nn CnunW SP.1M PLrmn NPinYr 79183 Byron Bird, Jr. 331B. St. Croix SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIOUIOCAPACITY TANK INLETELEV. TRNK OUTLET ELEV. ARHDE LAB vpOV10ED LOCKINOCOVER MOVIDED'. r. / S,� C, YES ONO DYES NO REDOING VENT DIA VENTMAT HIGN WA lf1ABE '.ROAD. ROIERTv ELI. BUILDING VN TO FRESH 41R INLET ALARM LS" FEET.FR,LINT . N) OYES NO ❑YES ❑NO EARESi"-.. =.tL DOSING CAMBER: MANUFACTURER BEDDINQ LmU1DCAPACITY P(1MPMIIOEL PI'MP.SIPNONMANUTAl1UNkn WARNING LABEL P IDEO LODBMOGEDCOVER ❑4E5 ONO YE NO ❑YES ONO GALLONSPER CYCLE: PDMP nrvD NT OLS OPERATIONAL NUMBER OF vNEFHTv L BUILDIN(: qIR NLET EN (DIE FERENCE BETWEEN FEET FROM DYES 'ONO NEAREST- PUMP ON AND OFF) SOILABSORPTION SYSTEM. Check thesod moistureat thedepth of plowing (r'. _r. w Mn ' FORCE An NInI +ND M.NKwr. or excavation, Ilf soil can he rolled into a wire, construction shall cease until MAIN the soil is dry enough to continue.) CONVENTIONAL SYSTEM:UID .10TN LENCrrH rvn Of DIsrR vrP[ SPnCft, COVER iNS'ruL Urn Pits 0 PTH DEPTH BE6irRENCH DIMENSIONS /� S 3 THfNL"Is F L�TEIHAL PIT GRAD LDEP-H 7 MILL OEPTN UI TH PIPI DISTH PIPE R. PI MATERIAL NO DI H .NUMBER OF PROP TV L'NJE�� WELI ♦ BUILDING' NT TOEREBN AIN INLET' BELOW PIPES�LI Sovlim`(ER EIFV INI11 LEv NU /Ey /V Pip*, FEET FROM O L I �� ((/ S •LE! ` :NEAREST. 61/ MOUNDSYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE.SHOWELEVA- meets the criteria for medium sand. TIONS MEASURED. OYES ❑NO IL COVER TEXTURE pf NLInNI N r MAHRI HS DIISEIIVATIONWFLLS OYES ONO ❑YES ❑NO DFPTHOVER 1RfNCN BED DEPTN9VfN iHEN6f MfU H[PMOf IlIp50a 111UH4U aFl Ufn MULCHED CENTER EDGES ❑YES. ONO OYES ONO ❑YES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: WIDTX LENGTH NO LATENAL SPACING (:NAVEL UFPTM XELIIW PIPI FILL OE TN+eOVE COV N ..BED/TRENCH TRervcHEs 'DIMENSIONS r. ELEVATION Af DISTRIBUTION INFORMATION 'OMME NTS: Sketch System on Reverse Side. PLANS DI LHR SBD 6716 (R. 01 /B21