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Home My WebLink About036-1099-50-000 (2)Wisconsin 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)) Peril Holder's Name: City Village Township James & Genevieve Richert I TOWN OF STANTON CST BM Elev: Insp. BM Elev: BM Desrdpmmk Pt), n r i� l// (YCM_V 0cj TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic �x`14 +5 O IOO Dosing 1 54 9,yjs 750 Aeration TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake Septic Dosing ` t t 15, cfi � Aeration Holding PUMP/SIPHON INFORMATION f{/` ! julli"40- Z( Manufacturer /i e� r L.O Demand FU Model Number i1 i (�/Ft TDH [rift. Fdc�n Lo14s` System Head r FJ� TD a Forcemain Le th ` O Dia •� Dist. to We I 57 STATION BS HI FS ELEV. Benchmark .3 c6 I V3.0 160 J Mag Bldg. Sewer , SUHt Inlet ff St/Ht Outlet 8.5 YY. Ji7 Dt Inlet 33 ti.? 7 Z Dt Bottom (2. • ( Header/Man. 1 l0 r �s Dist. Pipe Bot. System Final Grade S over Tors N�k P9;k, L.0-6 T7. o SOIL ABSORPTION SYSTEM `l. 5 -1- 4 5 jff-Z Floi BED/TRENCH Width . Length�� I No. Of Trenc PIT DIMENSIONS No. Of Pits Inside Liquid Depth DIMENSIONS �� SETBACK INFORMATION SYSTEM TO P/L 5 BLDG WELL LAKE/STREAM LEACHING CHAMBER OR UNIT Manufacturer: h'I I'A T Of System: Y7;m ry % %� 5_7 r ' 3b Model Number: �I4=116�> DISTRIBUTION SYSTEM � PVK*td UP Header/gani Length 1 old Dia Distribution x Hole Size x Hole Spacing Vent to Air Intake Twti Pipe(s) Length Dia Spacing SOIL COVER x Pressure Svstems Only xx Mound Or At -Grade Svstems Only Depth Over ��77 Red/Trench Center / 5- 2 Depth Over \ Bed/Trench Edges ) 1 xx Depth of Topsoil xz Seeded/Sodded xx Mulched L J J ` I x !Yes ■ No COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1: inspectio`n-#2: ) Location: 1826143RD ST t p.r}51 d'{. F-1Gs/,Q ^� //� - Dam -r��.x/ ��s 1 / 1.) Alt BM Description = VOt{, 1wt� W-u- 2.) Bldg sewer length = f, , Y 1 P f -amount of cover=C—0�k(�N�f7r^ 1f �S OVI NDr`� Evj •O /h• Plan revision Required? ]Yes No 1 Zinsepctor' / 1, SBDfi710 (R.3/97) Use other side for additional information. _ �1 Date Signature Can. No. ALA I r -SAA i i J n 7 fl � I Z Z tIrWuslry Services Division1400 UN 22 2020 T E Washin on Ave P.O.6ox.�62 Sanitary Permit Number (to he filled m by Co.) Madison, WI 53707-716 T (J k County Comm o rmit Application State Transaction Number In accordance with SPS 383.21(2). Wis. Adm. Code. submission of this form to govemmenml wit 7 is required prior W obtaining a sanitary permit. Note: Application forms for slatc - PG fitted to Project Address (if different than mailing address) the Departwnl Of Safety and Professional Services. Personal information you provide may he used for secondary purposes in accordamx with the Privacy Law. s. 15.0411 m Stats. 1820 143i0 Street 1. Application information- Please Print All Information Property Owner's Name V? Y parcel R James& Genevieve Richer �•4 036-1(N9-504100 Property Owner's Mailing Address Property Location 1826 1434 Street Govt. Lot SE %. SW A Section 31 City. State Zip Code Phone Number New Richmond, W'I 54017 (circle one) T31N R17Eorr & Vz) /�. C W IIType of Building (check all that apply) Lots Subdivision Name ® I or 2 Family Dwelling- Number ol'Bedrooms � 5 ❑ Public/Commercial - Describe Use Hook's Addition Block a ❑City O! ❑ State (honed - Describe Use ❑ village of CSM Number ® town of Stanton Ill. Type of Permit: (ChurclIZ-butv one box on line A. Consoles. line B if ... livable A- ❑ New System ® Iaeem ill .System ❑ TreaanentMoldin Replacement Only g Tank R.p Y ❑ Other Modification to Foisting System (explain) B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New I.,ist Previous Permit Number and Date Issued Before Expiration Plumber Owner of POWTS S stemJCom nenUDevice: Check all thatapply) 21"-PreSSurind Inrrround ❑ Pressurised In -Ground ❑ At-kirade ❑ Mound> 24 in. of suitable soil ❑Mound <24 m of suitable wit HoldingTank ❑Other Dispersal Component lexplain) ❑Pretreatment Device (explain) V. DispersaVrinatment Area Information Design Flow (gpd) Design Soil Application Dispersal Area Required (sf1 Dispersal Area Proposed (st) System Elevation 450 Rale(gpds0 643 675 I 9522' 07 VI. Tank Info Capacity in tbl Gallon Uallons I.nits T. i c 2 Nm Tanks F�i3ing Tanks �v zy h G Septic or Hulding'rank 1000 IOW 1 unknown Dosing Chamber 750 750 1 Wieser Concrete VII. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber c Name (Print) Plum .' n f� MP/MPRS Number Business Phone Number John Schmitt 17 �/1 J.��" 223760 715-760.0486 Plumber's Address (Street, Cry. State, Zip ('.We) 586 Valley View 7"rail, Somerset. W 154025 V�rI}II. Count /De artment Use Onl t 1K Approved ❑ Ihsa Prong Fee �a ss rig �gcnl Si ai Own -ivm n for nemal s �� eIIs o M Conditions o pprov al & ^e aC - n 3� Ski a�t � rt�0 STEM OWNER: Septic tank, effluent filter and dispersal cell must be.eentced%rn,Qintained rfJ fp Pr9Viclt Sr °'�� r-w as per management plan provided by plumber. ( l' a rS 2. ec more rim or Me ipmn od wamdt Me o Waer vo les IuvR 14al1 ivrhsv s' <, 1a�slperapplicablecodel�lnances. }/Sho-�iv tR�c�)'"'"YM•t�l�1�L�r-��_ SYSTEM PLOT PLAN Richert 3 Bedroom Septic System Pro)ed Address: 1826 143rd Street BM1 Symbol:A BM Elevation: 700.0w' BM Description: Comer of concrete slab at backdoor BM2 Symbol: Q BM Elevation: 102.64' BM Description: top of comer post on white fenoe Slope Gradient of Tested Area: (4%) Well Symbol (d applicable) Notes: See Plat Map for complete map , C0?V Design Flew: flow Attach design flow calculations for �" I��IY/� commercial pans: Pipe Materials i ASTM Standard Scale: f„ = 50, Tables 384.30-3 & 384.30-5 0 50 75 100 /' SCH 40 PVC IASTM- 02ae5 2' SCH 40 PVC pipe ASTM- D17as 3034 r PVC pipe ASTM-D3034 2.5 aP 1�ro, peYEW4Y oP Dam `.\ Well w (9Ta) EXIMeft W. `\�\ Deck 3 Bedfnw \ CREW,, I w• �` `� \\ BMt �Existing 10 Imo\ - T. Sep)4;tank �%\ ExisliAg \ \ �o be a AAdo �� `\\ Pmpoaed VUSP760�2 \\ �\ Tank WLLOWRIVER \ \ a. 1W T1- 3'%45' EZ Flow Trench El. - 95.22' r T2- 3'X45' EZ Flow Trench E). = 95.22' T3- 3'X45' EZ Flow Trench El. a 95.22' sQ Wa Elevation 979' 80 feet 2" pvc Faroe main CONVENTIONAL COMPONENT DESIGN INDEX AND TITLE PAGE Project Name: Richert 3 Bedroom Replacement Septic System Owners Name: lames & Genevieve Richert Owner's Address 1826 143rd Street New Richmond, WI 54017 Legal Description: SE1/4, SWl/4, S31, T2931N, R17W Township Stanton County: St. Croix Subdivision Name: Lot Number: Parcel I.D. Number Plan Transaction No. Hook's Addition V 036-1099-50-000 Block Number Page 1 Index and title Page 2 Plot Plan Page 3 Existing Tank Certification Page 4 Dose Tank Specifications Page 5 Tank Anchoring Page 6 ' Pump Specifications & Curve Page 7 Dose Tank Cross Section Page 8 Effluent Filter Information Page 9 System Sizing & Cross Section Page 10 EZ Flow Information Page 11. Management and contingency plan Page 12 Septic Tank Maintenance Agreement Page 13 & 14 Warranty Deed Page 15 CSM or Plat Attachment 1 Soil Evaluation Report Designer: John Schmitt Licnese Number: MPRS 223760 Date: 6/20/20220 Phone Number: 715-760-0486 Signature: /ems JLL�/ In -Ground Soil Absorption Component Manual Version 2.0 SBD-10705-P (N. 01/01) Page 1 SYSTEM PLOT PLAN Richert 3 Bedroom Septic System Project Address: 1828 143rd Street BMt Symbol:. BM Elevation: 10000' BM DescriptionComer of concrete slab at backdoor BM2 Symbol. L BM Elevation 102.6W BM Desorption: top of comer post on white force Slope Gradient of Tested Area: (4%) Wall Symbol fit applicable) Notes. See Plat Map for complete map Design Flow: 450 GIRD Attach design flow calculations for commercial plans: Pipe Materials / ASTM Standard Tables 354.30-3 & 384.30-5 4' SCH 40 PVC Droe ASTM- D2865 2' SCH 40 PVC pipe ASTM- D17a5 30344"PVCiPpe ASTM-D3039 nRVIWY Garage Well I Existing vial Decks 3 Bedroom B4W, House Existing 10 1 Sep)&tank r \e Existing 85� M ` '` be ab'ando � � � Piopysed WLP76( V Tank V+4LLOW RIVER � a 1W I ea2 MW _ 1 r i ri M% Ti- TX45' EZ Flow Trench El, - 95,22' T2- 3'X45' EZ Flow Trench Ef. = 95.22' T3- 3'X45' EZ Flow Trench El. - 95.22' V, Flood Elevation 979' 19797 8D feet 2" pvc Force main 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) 1826 143rd Street located at: SE y4, SW '/4, Section 31 Town 31 N, Range 17 W, Town of Stanton , 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 SPS. 384.25, and it (they) appear(s) to be functioning properly. Most recent date of inspection or service 6 Z C Did flow back occur from absorption system? Yes_ No (if no, skip next line.) Approximate volume or length of time: gallons Tank Capacity: loon Construction: Prefab Concrete x Steel Other Manufacturer (if known): Age of Tank (if known): _ Permit number (if known) ! (1411JI John Schmitt eensed Plumber Signature) (Print Name) MPRS 223760 (Title) G -rS-to (Date) minutes (License Number) MP/MPRS Form to be completed by licensed plumber (Dept of Safety and Professional Services Chapter 305 and s. 145,06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin Administrative Code) Rev. 2/2012 Page 3 w m 4' CAST -A -SEAL TOP VIEW INLTjr-lt L _ OUTLET d 4 N a In I �- PUMP PAD TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS WLP 750—M R TANK SPECIFICATIONS DIMENSIONS: WALL: 2 1/2" BOTTOM: 3' COVER: 4" MANHOLE: 24" I.D. PRECAST CONCRETE RISER HEIGHT: FLAT COVER 54' O.D. OUTSIDE DIAMETER: 84' O.D. BELOW INLET: 42" O.D. LIQUID LEVEL: 37' WEIGHT: 6.150 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 /10 (OTHER 'STATES SEE CHART) LIQUID CAPACITY: 20.28 GAL/IN HOLDING TANK: ACTUAL CAPACITY: 790 GALLONS OUTLET HOLE PLUGGED LOADING DESIGN: 8' 0- UNSATURATED SOIL TANK CAN BE USED AS: SEPTIC/ HOLDING/ PUMP OR SIPHON COVER: MIX DESIGN /8 NO FIBER) TANK: MIX DESIGN #10 STRUCTURAL FIBER) CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WiESER CONCRETE DRAWINGS SUBMITTEDII FOR APPROVAL APPROVED BY: _ APPROVAL DATE: _ PRODUCTS NEEDED BY: W W L70 U] Cm,t Co DD � N M W� W a0 B� 9 TANK ANCHORING CALCULATIONS Tank Dimensions and Data depth below inlet invert (in) um depth of soil cover (ft) 541 Height (in) 84 DiameterLength (in) NA Tank Anchor Calculations 6150 Ibs Weight of tank and cover 1.2 Safety factor 6811 Ibs Weight of anchor required 21.2 in Soil cover req.for anchor or 1.7 yd3 Concrete counter weight Page 5 rn W LJ - g 20 x U 15 zQ 4 0 a 10 0 2 5 0 GALLONS LITERS 0 PUMP PERFORMANCE CURVE MODELS 53/55/57/59 aoeNr 10 20 30 40 50 60 160 FLOW PER MINUTE ' t .r Variable level float switches available Variable level long cycle systems available Available with special cord lengths of 15', 25', 35', (50' 230V only) Alarm systems available Duplex systems available 1. Integral float operated mechanical switch, no external control required. 2. Single piggyback variable level float switch a double piggyback variable level float switch Refer to FM0477. 3 Mechanical aftenator'M-Pak' IM072 or 10-0075. 4. See FM0712 for coned model or Electrical Alternator, 5. Variable level control switch 10-0215 used as a control activator, w4h Electrical Alternator (3) a (4) float system. SW a Sal Cemml Selection Nodal WAS Phase Mode Amps Simple. I skittles CSA UL M53(558M57r55 - n5 t Aulo 9.7 1 1 Y Y N0558 N57759 115 _ No 9.7 1 3u/85- Y --Y� ' BN53 ' Eli quto 9.7 _ `Acto 9.7 v N- y 9 - ' BE5357 230 aslo 40 y y 053155 is 057159 230 Alto 4.8 1 y y HWi E57159 230 , Assn 4a 2 3a485 V Y snye Vly�yuo-w amwi nluwuu. For mtemaecn on addoonal Zoeller products refer to rvlabg on PggtLack Vanessa, Level Float Switches, FMil i Elee tmal Allemata. FM0496: MCMancal Mematar, FMDr 95; Sump Sewage easrs. FM0487. and Srgk Phase Sai PUMConooYAMrm System. FW732. TOTAL DYNAMIC HEAD/FLOW PER MINUTE EFFLUENTAND DEWATERING MODEL 53155/57/59 Feet Meters Gal. Liters 5 1.5 i 43 163 10 3.0 34 129 15 4.6 19 I 72 Shut-off Head: 1 19.25 ft.(5.9m) r 7i�s sys I I f0116 � I I I 33eT "Easy assembly" tpu no & damage Pore � Muded ) Reduces potential dogging by debris Replaces rocks or bricks under the pump Made of durable, noncorrosive ABS Raises pump 2" off bottom of basin Provides the ability to raise intake by adding sections of 11/im a 2' PVC piping Attaches securely to pump - Accommodates sump, dewatedng and effluent applications NOTE: Make sun aoa4 is fires from obstruction. For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. 0 Copyright 2011 Zoeller Co. All rights reserved. Page 6 PAGE 5 OF 6 SEPTIC / PUMP TANK SPECIFICATIONS (No Scale) 4'0 Vent Pipe -10 N item amidny 12" Min. or 2.0 fl acove Established Floyd Elevation (typical) IMPORTANT: Anchor tank(s) as necessary pursuant to SPS 383.43(8)(g) Finished Grade CAPACITIES @ 20a28� galfin Depth (in) Volume (gal) A 18 365.04 B 2.0 40.56 [C] 5 101.40 D 12 243.36 4 Eiectrcal must comply % mth COMM 16 and NEC 300 Weatherproof and in Box Y Liquid A Depth a { Pump*Pump Tank Liquid Level = 37 in 1—a— G Force Main Diameter = 2 in //,— t Seal n Hole 80 3' Appmved Bedding Material Beneath'ank Force Main Length = ft Force Main Void Volume = 13.04 gal v d 7 X go [C] Total Dose Volume TDV = 101.40 gal/dose v Extend manhole nser as necessary. Appmoed Locung Manhole with Warning Labe; Attached (typical) 4' Mn. or 2.0 fi eba e Established F1oad Elevstion (typical) .I � APproveE Joints w AwcwPim3sAran eNW G ww rce Main ltyp'mr+ Filter* `Install and maintain pursuant to manufacturer's instructions. PUMP -OFF ELEVATION = 93 ft INSIDE BOTTOM ELEVATION = 92 ft 110011 3.22 + Min. Supply Head = 0 ft (SX total lateral void volume < TDV < � 0.2X design flow) + FM Friction Loss = .74 ft + (force main drainback volume) + Fitting Loss` = .5 ft *([min. supply head x 0 3] * fitter lose) MIN. PUMP DISCHARGE RATE = 0 gpm i = TOTAL DYNAMIC HEAD 4.46�ft PUMP TANK: Volume = 750 gal Manufacturer: Wieser Concrete Pump Manufacturer: Zoeller Pump Model: 53 (Sea attached pump ranre.) Controls/Alarm Manufacturer: SJE RHombus Controls/Alarm Model: AB Float switches containing mercury are prohibited. SEPTIC TANK(S): Total Volume = 1000 gal Manufacturer(s): Unkown Install approved force main filter pursuant to manufacturer's instructions. Filter Manufacturer: Sim/Tech Filter Model: STF-100 atsl�lff FI�J LTPRESSURE FILTER INSTALLATION & SERVICE INSTRUCTIONS ER 1455 Lexamar Drive Toll Frw 888-999d290 017i,r 231-582-102(1 Boyne City, M149712 Far 231.582-7324 Emad a purr ib,nnr<yh mn Web uuu fag ,wtW,_.,.m INSTALLATION: When installing an STF-100, screw filter into discharge port of any pump that has a 2' National Pipe Thread. Pumps with a smaller discharge port maybe adapted to fit. When installing an STF-100A2 a tailpiece and male adapter will need to be added to the inlet end of the filter (end opposite of the cap) to the desired height and a 2" union will need to be added to the outlet end (the end closest to the cap 8 on the side of the filter). Always install the filters in a position where they can be easily serviced. "Always use caution when starting threads to avoid cross threading". Plumb force main into the 2" sch 80 PVC union. "We recommend that the union remain together during gluing to Insure that glue or cleaner does not ruin O-ring or sealing surface". For hest performance, If,) check valve s mslalled it should only he after the outlet of the filter SERVICE: Service of filter screen is dependent on usage as every system Is unique. For most residential systems we recommend inspecting the filter within the first year to determine the necessary service intervals for the filter. In high volume systems we recommend inspection within the first 6 months to determine necessary service intervals for the filter. Once the service interval is determined it should be consistent unless something changes in the system. Always inspect the filter screen for any damage or corrosion and replace if necessary. If our STF-101 service alarm switch has been installed and adjusted properly it will alarm when the filter requires service. It should be serviced no less than when periodic pumping of the septic tank and pump chamber is performed. Servicing will be more frequent if using any one of our optional fitter socks (600 micron, 150-190 micron, and 100 micron). Check your local health department for septic system servicing recommendations. If the screen becomes clogged before the periodic pumping requirements, a high level alarm or light will indicate the need for service. If system is equipped with a "pump on light" that stays on longer than normal, this also may indicate a need to service filter. To service filter screen, unscrew the 4" cap. Pull filter screen from canister and wash out thoroughly in appropriate location with proper protection. In some cases an additional filter screen allows quicker service allowing the dirty filter to be washed later at the shop. Note that in cold conditions the filter cap may be difficult to remove. Keep the filter in a warm area or pour warm water over the cap before removing. Once the fitter is installed in the tank it maintains a stable temperature and removing the cap will not be a problem. If the system is equipped with our Service Alarm Switch, the filter screen does not need service until the Service Alarm Switch activates a light or audio alarm. We still recommend that the filter be inspected once a year for damage or corrosion. NOTE: The total dynamic head loss of the system must be increased by 0.5 feet of head to overcome friction loss through the filter. SERVICE ALARM SWITCH The alarm switch is available in three pressure ranges, low head, medium head, and high head. Installation is simple, on SIMITECH FILTER systems, remove 1W plug from base of filter chamber and connect tube fitting. Next, run the tube up into the tank riser and connect to service alarm switch. The alarm switch is fastened to the side of the riser via the nylon strap provided. Run alarm wire to alarm box. The service alarm switch can be wired with its own alarm or with the high water alarm. Pressure adjustment is made by removing the end plug, and inserting the 7132 allen. Clockwise increases pressure. One turn equals approximately 3 PSI. The low head alarm switch comes factory preset at 8 PSI and is completely field adjustable within it's range (3 to 24 PSI). We recommend the use of a ball valve when using an alarm switch. Once you have installed the filter and alarm switch, the ball valve can be closed off to simulate a plugged filter so that you can make sure the alarm switch is working correctly. "'"TRY OUR LID/SCREEN REMOVAL WRENCH. Our wrench holds filter lid firmly and hooks screen for easy removal and Installation. Made of PVC plastic. WARRANTY All products are warranted against defects in material and workmanship for a period of two years from the date of purchase. In no event shall GAG SIMlfECH FILTER, INC. be liable for any consequential damages or any labor, material, freight or expenses required to replace, correct or reinstall the product. GAG SIMITECH FILTER, INC.'s liability is limited to repair or replacement of the part. All warranties are void if the product has been improperly modified, applied or installed, subjected to misuse or abuse. Except as stated herein, there are no warranties expressed or implied, including the warranty of merchantability or warranty of fitness for a specific purpose. EFFECTIVE September 13, 2005 Page 8 IN -GROUND DOSED -GRAVITY DISPERSAL AREA Uniform Elevation Trenches with EZ1203HP Bundles 3-ft Trench (down -sizing credit) min. 17 cI C (typlcan TYPICAL TRENCH cover SOIL COVER CROSS SECTION VIEW 17 (No Scale) min. trench deem L (typical). ' System Elevation =95.22ft. (typical)Provide minimum 3 ft separation between trenches. TYPICAL TRENCH (Show location of inlet / outlet pipe connection on plan view.) PLAN VIEW (No Scale) 4,0 Obse at. plpe shall be M9aled st rync on belwean Iwo unite. 10 Perforated Lateral Observation Pipe (typical) (typical) (iv . r- — — — — — — — — — ----- ;0� --------- B= ft (typical) INSTALL PER TRENCH m 4 10-ft bundles @ 50 ff EISA/unit = 200 ft' + 5-ft bundles @ 25 ft EISA/unit = 25 ft' OBSERVATION PIPE DETAIL (No Scale) S. Type or - sip Gap (loose) <"m WC pipe Top of pipe to lepnMale al or above Wshed grads (All 1W-1/j' X 6" Slots Q 5b aped Anchoong D icv ft A=3.0 ft ji'l t (typical) EZ1203H Bundle (typical) (mfd try Infiltrator Systems, Inc.) Install pursuant to manufacturer's instructlons. —RnW Grade (Miched a seeded) — Topcud Cover (rren. 1 loot) n6laahnn surface -0 m w O T = Proposed EISA per trench = 225 ft' Required Infiltration Area = 643 ft' Distribution Method x 3 ✓ trenches = Proposed Total EISA = 675 ft branched manifold El Installation Instructions for EZflow Systems in Wisconsin Wisconsin Department of Commerce, Safety and Buildings Division, has reviewed the specifications and/or plans for this product and determined it to be in compliance with chapters Comm 82 through 84, Wisconsin Admin. Code, and Chapters 145 and 160, Wisconsin Statutes. All sites must meet the Site & Soil Conditions & I ovations & Isolation distances as noted in local regulations. The approved products are 1203H (3-12' bundles with pipe in center bundle in 5' or 10' lengths) and 1203HP (3-12' bundles with pipe in each bundle in 5' or 10' lengths. A single pipe bundle contains a four inch perforated pipe sur- rounded by EPS aggregate and is held together with poly- ehtylene netting. A single aggregate bundle contains aggregate only and is held together with polyethylene netting. Materials and Equipment Needed • EZflow Bundles • EZfiow Geotextile Fabric • EZflow Internal Pipe Couplers • Pipe for Header and Inlet • Backhoe/Excavator Installation Instructions The instructions for installation of EZflow products are given below. This product must be installed in accordance with state rules defined in chapters Comm 82 through 84, Wisconsin Ad- ministrative Code, and Chapters 145 and 160, Wisconsin Stat- utes, as well as the local health department's current design manual. After the local health department has determined sizing, configuration, and layout for the EZflow systems, stake or mark with paint the location of trenches. and lines. Be careful to set correct tank, invert pipe, header line or dis- tribution box and trench bottom elevations before instal- lation of pipe bundles. 2. Remove plastic EZflow shipping bags prior to placing bundles in the trench(es). Remove any plastic bags in the trench before system is covered. 3. This product must have geotextile fabric that meets re- quirements of s. Comm 84.30 (6) (g), Wis. Adm. Code, installed directly on top of the product and extending down along the sides of the product to a point at least six inches from the bottom of product. 4. When installed in a trench, the trench should be dug to a width of 36 inches. This not only saves labor in excava- tion, but also provides better load -bearing capacity after backfilling is complete. EZINFILTRATORlow- by 5. The Absorption area (SF) necessary for a given site shall be sized based on maximum daily sewage flow (GPD) and the Permeability for the site. If certain criteria is met, the EISA sizing can be used in Wisconsin, resulting in a 40% smaller drainfield. 6. Place EZflow tundle(s) in the EZflow configuration ap- proved by system design permit specified for the particu- lar site. The top or center -most bundles containing pipe are joined end to end with an internal pipe coupler. Any additional aggregate only bundles that may be required, should be butted against the other aggregate -only bun- dles and do not require any type of connection. 7. The top of each GEO cylinder contains a filler fabric pre - manufactured in between the netting and aggregate. The fabric is inserted to prevent soil intrusion. The installer shall make sure the the GEO is positironed upward and is in contact with the fabric contained in the adjacent cylin- der before backfilling. 8. The EZflow Drainfield Systems should be installed in a level trench in all directions (both across and along the trench bottom) and should follow the contour of the ground surface elevation (uniform depth), with all continuous adjoining 10-foot cylindrical bundles placed end to end, with central bundle distribution pipe interconnected, without any dams, stepduwns or other water stops. 9. The trench top shall be graded such that water will not pond. Backfill should be seeded or sodded immediately after completion to reduce erosion. 10. EZfluw EPS bundles are flexible and can fit in curved trenches as may be necessary to avoid trees, boulders, or other obstacles. 11.EPS aggregate is lighter than water, therefore, it might be expected that natural buoyancy forces would tend to cause EZflow assemblies to float out of ground when pending occurs. Field experience has shown, however, that this is not a problem when systems have a minimum of 6" of soil cover as recommended by manufacturer. 1203H-GEO Are r Material .......................................................................................... Page 10 PAGE 4 OF 4 In -ground Dosed -Gravity Management Plan IMPORTANT: The owner of this in -ground dosed -gravity system shall be responsible for its perpetual operation and maintenance pursuant to requirements of SPS 382384, Wisc. Admin. Code. Pursuant to SPS 383.52 (2), Wisc. Admin. Code, this system shall be considered a human health hazard if not maintained in accordance with this approved management plan. Furthermore, all inspection and maintenance activities shall be performed by a registered POWTS Maintainer in accordance with SPS 383.52 (3). Wisc. Admin. Code. Maximum Dispersal Area Operating Limits: Design Flow = 450 gpd; BOD5 5 220 mgL"; TSS 5 150 mgL-'; FOG <- 30 mgL" Inspection Checklist INSPECT EVERY 3 YEARS o type of use o age of system o nuisance factors (i.e. odors, user complaints, etc.) o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.) o material fatigue (i.e., leaks, breaks, corrosion, etc.) o solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (i.e., distribution / drop boxes) o neglect or improper use (i.e., exceeding design capacities, prohibited activities, etc.) c extent of ponding in distribution cell prior to dosing o dosing Irregularities - if applicable (i.e.. pump re -cycling, float switch settings, etc.) o electrical components - if applicable (i.e., wiring, connections, switches, controls, timers, alarms, etc.) o distribution lateral or lateral orifice plugging (measure lateral distal pressure - compare to design specification) c surface discharge of effluent or sewage back-up into structure served Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary) o Septic and dose tanklsl shall be pumped by a certified septage servicing operator licensed under s. 281.48 Wis. Stats. when the volume of solids in the tank(s) exceeds one-third (113) the liquid volume of the tank(s) or as required by local ordinance. Disposal of contents shall be pursuant to NR 113, Wisc. Admin. Code. o Effluent niteri s) shall be inspected every 3 years and shall be cleaned when necessary to remove any accumulated solids according to manufacturer's specifications. A servicing period will always be greater than 12 months. System maintenance reports shall be submitted to the proper local government unit in accordance with SPS 383.55 Wisc. Admin. Code. Report any component failure or malfunction to: Name of individual or company: John Schmitt Phone: 715-760-0486 Local government unit: St, Croix County Community Development Phone: 715-386-4680 Local government unit address: 1101 Carmichael Road, Hudson, WI Zip. 54025 Any defective part of this system shall be repaired, replaced, or removed pursuant to SPS 383.51 (1), Wisc. Admin. Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 383, Wisc. Admin. Code. No product for chemical or physical restoration of the POWTS may be used unless approved by the department in accordance with SPS 384, Wisc. Admin. Code. Contingency Plan In the event that any failed treatment component of this POWTS cannot be repaired, it shall be replaced pursuant to a plan submitted to the appropriate agency for review and approval. A failed in -ground dispersal component may be abandoned and replaced by a code -complying dispersal component in a pre -determined area of suitable soils. System Abandonment If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wisc. Admin. Code. Page 11 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer James & Genevieve Richert Mailing Address 1826 143rd Street, New Richmond, WI 54017 Property Address 1826 143rd Street City/State (Verification required from Planning & Zoning Department for new construction.) New Richmond, \N LEGAL DESCRIPTION Property Location SE '/, Parcel Identification Number 036-1099-50-000 SW v. , Sec. 31 , T 31 N R 17 W, Town of Stanton Subdivision Plat: Hook's Addition _ Lot # 5 Certified Survey Map # Volume Page # Warranty Deed # ��93g (before 2007)Volumc 113(0 Page # 5fT Spec house ❑yesEho Lot lines identifiable [3yes❑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 a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in $SPS. 383.52(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 andlor (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 Safety And Professional Services 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. Uwe certify that all statements on this form are true to the best of my/our knowledge. Pwe 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 3 'SIGNATURE OF APPLICANT(S) 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 011ice and a copy of the certified survey map if reference is made in the warranty deed. (REV. 04/12) Page 12 /d0 71004' h` b0 i� gryp0 a d0 / W , e �OOp �hJV� 900 y2/ P3 82 p� �� 6 = 87°21' B7°2t(+� 0 e O o° a o.� Ilk a a �. 0.00. O' ti 00 lb L i raja O and Sd aBdde ds00/3' Bto2\ o ory� dd. P4 dd dd dWd O� fy 0 0 _ R 6 a 87021 Ad Y a900 �O 1/ /4d - 'yS, O� Elevation Data 20 �, '?B ♦ 1 1017 May 20, i960 9urtaoe level B High rater mark 977.08 •g� ^ { '\ Eetimoted Low Water Level 974.50'•. 0 Elevations carried from U.S. Goo. Survey 0 a - B.M. number A-50 (1934) Elev.997' 86 00� B3 N A 01 19. 21' 9po 140. 00' 000 1. A 90e N B8047 W o - r" 90 y i �` 33' � a C51 aoao-r3s SOIL EVALUATION REPORT ntv �-L co _ - sac^ �a6�lx_ev en f :ar rjySyyQ1� _ _ �rc Vae"If N •. _ Please print ' very n,-he'! �AmaS & i„tAn�ti:evF ;:..rant=u trnp"5 :!al'- y]r85c 18Z^, 141A Sheet tiler. cecu,�.;�� 'ae e.•,� - :� .r -- ----- :�.-.,: - -.�..:.; ac -..•.j.- -------- a�. - i — ie t��; Ps�r aaa- �x ___ _. -.... •yc•t:Z^n CECrq 'jpm:.. d-ii -' - I 0_11 IUD.-'ylj p¢ng ' , at- 9s• 2Z 2 � = �_, c:n ^.,,. m• ^„ �.a�,r �.� as ._t -._ _... - I ' 0� Prooeay Owner RiChert, James & Genevieve _ Parcel ID # 036-1099-50-000 Page 2 of 4 Boring # Bp'IRp Flt Ground s Bfaoe a ev �, . t 100.6n - Dept. o Lmrtma facto, Ir Sor App ICa,:en Pate Horizon Depth Dominant Color Redox Desc•Ipuon 7ex;.,-c struclure Consistence Boundary Pools GPD W .n MunseD Ou Sz Conl ,^.olor Sz Sp E"- 1 0-16 10yr3/3 none sI 2mgr rnvfr as 2m,2vf 0.6 1.0 2 16-38 10yr3/2 none sl 2msbk mfr gw 2m,2vf 0.5 1.0 3 38-48 10vr4/4 none sd 2msbk mfr q.v Ivf 0.4 0.6 4 48-52 7.5yr4/6 none Is 0sg mi _w ----- 0.7 1.6 5 525296 10yr6/4 none s 0S9 ml ---- •----- 0.7 1.6 �— 017r.2Z M e,a.r Boring # 9cnng Pit G'ound surface eev rr Depth to hmil;rg fami, .n Sod 4pptwUon Rafe -lonzon Depth 0". nan! Colo, Redox Drscnpnon Texture Structure Consistence Bo.:ncie-y Roots GPDrll m Munsell Ou Sz Cont Color 3r Sz Sh Fpir 'E"Z 4L m I Boring # Bo _ _ _ _ ., r. Effluent 41 = 80D,> 30 c 220 M91L and -,SS -30 < 150 mgd ' ENiuen; A2 = BCD. c ? -g L ana TSS < 30 mg _ : ha Uepartnxnr of Cvnmcra•nar. ryr.lopporlor t,.:n;rr inners an.i cmpu�-cr i�•,:.sCr, I a,:I<t.rorr Io.ICcr;a-Cn:eo•or n.ed mslanal nt an ahrrna:r Ibnnrt nlc r,r ontlazr ih,. d.g�. ulmenl .d nna_^nn-; 1' i � � ; i S nn.ti._i,y.X___ St Croix County, WI Conducted for James & Genevieve Richert 1826 143rd St. New Richmond, Wl54011 Legend PID 036.1099-50-000 SEll4 SWIM S31 T31N R17W Lot 6 Hook'S Addn ty�n (w 1,1 ;'t Cnme, of ulnr.reIe slab al bdGk 1"". k' Ad _ t"' 01113 77'I op of comer post on Mule is ncn ai Town Of Smith Last Lot come) Conducted by. Thomas J Sc I 9 I loud F luvotwn of 979' was by .- L'-1 ST' �t venfred 9euonl al- nkvalron ui saucy monument or bndtle deco yr 11101 5%28i 020 rry 11 ynn. 41 r'nurry v b 11try:hat ',. Iranalortnnl rbr ::Icv.ilron to nM 1 BIND AVF R! 143RD Sl. (W \ "•.,, rLU' \^tell sel bark o-r Afi')1-1000 \ Jll ] :< „•.. fit-.' 1 '� of r S'c:alu!'I'_ 40' '"i .\ 7 93 -+• •�-•�.r. u zo 40 sou � •V •`•\ .`•` i:. /(. 11 1L14 I r bt: r-tinb: r I:i �: rl .I -3.: Hilly .1114 WILLOWRIVER •\. �• 4 N m 1 Nr' a• i�aekl� �r "" Q • Y .1 + WILLOW � 1 i r SI f.. 9 uon t:msrl. nimEa rma�� ..wleea'n eq i 91VIp1t�'QgfCq, WIM'(IXIAN1�Y91®f111C •.. :IXF111i IIN�ysa1k1Y 0IIK