HomeMy WebLinkAbout030-2059-80-000 (2)n R• PRIVATE SEWAGE SYSTEM St. Croix
s,mp.m arumeo ie.nn INSPECTION REPORT Sandaryp.rrruw 6249T1
GENERAL INFORMATION (ATTACH TO PERMIT) pan 1n Nn.,
P,ar,,ml inbimwen mu ,Nu m" m um ++Ipr wA Lawa1ewHLanni
Rana Holeefe Hem, cy vlPga M1anSh;p
Daniel Jr and Kay Whaley TOWN OF SAINT JOSEPH P T,,N o 030-205MO-000
1, ww sM so. E O eK °": SH nRo»n 2].30.20 575
TANK INFORMATION ELEVATI NOATA
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SYSTEM PLOT PLAN
Whaley k*J`4 Bedroom Septic System c.e g em m N
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SYSTEM PLOT PLAN
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CONVENTIONAL COMPONENT DESIGN
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INDEX AND TITLE PAGE
Project Name
Whaley O Bndrol Replacement Septic System
Owners Name
Daniel &Kay Whaley
Owner's Address
1327 Main Street
Hooter, W150002
begxl Description
NW1/4, NE1/4, S27, T3014, R20W
Township
St Joseph
County
St. Croix
Subdivision Name
NA
lot Number
21 Block Number
Parcel I.D Number 030-1059E0,U0o
Plan Transaction No.
Page 1 Index and title
Paget Plot Plan
Page Exiting Tank Certification
Pages Proposed Septic Tank Specifications
Pages Effluent Filter Information
Page System Suing &Cross Section
Pagel EZ Flow Information
Page Management and contMgency plan
Page Septic Tank Maintenance Agreement
Page 10 Warranty Deed
Page 11 CSM or Plat
Attachment] Sell Evaluation Report
Designer John Schmitt Llmese Number MPR5223760
Date 8/28/2020 aL/ Phone Number )15-)600486
Signature. �974.�Gf
In- round Sall Absorption Component Manual Version 2.05B610705-P IN 01/011
Page 1
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) tan Main street Rounon, W. woes located
at: Hw y,, RE /, Section 27 , Town 3e N, Range 20 W,
Town of St 3oespM1 , 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 9'%�(— 1O
Did flow back occur from absorption systemo Yes_ No_
(if no, slop next line.)
Approximate volume or length of time: gallons _ minutes
Tank Capacity -2000
Constiuctiom Prefab Concrete x Steel _ Other
Manufacturer(ifknown) unanown
Age of Tank (if known} unknown
Permit number (if known)
zn x rs x nsaints
(L ensed Plumber Signature) (Pnn(Name)
MPRS 223760
(Title) (License Number) MP/MPRS
4-aq-a�
(Date)
Form to be completed by licensed plumber (Dept of Safety and Professional
Services Chapter 305 and s. 145.06, Wisconsin Stamtes) or licensed disposer
(NR 113 Wisconsin Administrative Code)
Rev 2/2012
a'^ T-A-UA rA CAST -A -SEAL
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FLIER W RAFFLE
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W320-MR
TANK SPECIFICATIONS
DIODSIN
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MET M WTFr 9111F1£ AM HL1
w6 mm. SLE OETK ro
(07KFf STATE$ SEC aMr)
AM CMAam aW QILA
LALM X9 9'-V IMSATWATF➢ 5dL
MM c IN of E IS
SF = / MuuM / rLV W SCNW
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COP WSTgI MM{S MrtKT YESR MgiF1F
FOR APPROVAL
�AL Mn
POLYLONF-
reaim.�r..,�`.
PL-525 Effluent Filter
PL-525 Filter
The PL-525 Film, la rated for 10.I00 GPD (gallons per day) making it one of the largest filters In Its class It has
5Z linear feet of 1/16" fdtrahon slats lout the Polylok Pf a the Polylok %525 has an automatic shutoff bell
installed with every filter When the filter u removed for ilea ing, the ball will Rest up and temporarily shut off
the system so the effluent won't leave the and. /
Features 1/I h" Filtration Slots
• Features
for 10,000 C:PD (gallov per day) aWmSxeM
30,000 GPD tOptlo'"0
• 525brmarfretof1/16" 9pilo A...or r'Pvc
•Accepts 9"and B'SCHDIO PIPI F Flonxwk
• Built anOeo gas detor
bm • Aualn shut-off hall when filter us removed
• Alarm wonsed bty oxa a
win o
• Accepts PVCe:tewm handle.
1'L-335 Installation,
Ideal for residential and waste flows up to in and comDmes, Ft
Hill nPer dalY( GPD gallons `a"
) balem Les
1 1coute the outlet Of the septic tied
2. Remove the tank cover and pump tied drerewry
3 Glue the filter housing to the 4" or 6" outlet Pipe It
the filters not centered order the access opening ire
Polylok career] k lok or piece of pipe to center filter
4 Insect Ne PL-5Zfilter into its moving.
5 Replace Ford scome theseptic tank cover
[It 2r afaimename
The F1,525 Effluent Filters will operate illusorily Inn
several years under normal commons More requiring
deanmg It is recommended that he finer be, cleaned
every time the tank is pumped, or at least every three
years If the Installed filter contains an optional alarm.
the owner will be notified by an alarm when the filter
needs servsung Serveung should be done by a cenNled
sepm tWt pumper or installer
1 Locate the outlet of the septic tank
2 Remove rank cover and pump sand it necessary
3 Do not use plumbing when finer is removed
4 Pull P1,-5M cartridge out of the hoosmg
5 Hose off filter over the septic tank Make sure all
effects fall beck Into topic tank.
6 Wert me filter statistical back into the Musing making
sure the file r property aBgned and completely ineseral
7 Replace and secure sal tank cover
r
KnHP tPly¢
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classes, .
ShuriMt San
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r isk, Lan 4 Bul re For, imp tPvally av
IMSe,,m11 oFw,sd ard,I,w. ofalli aguake
Polylok.1m. 3foufield Blvd Wullingford,CT OM92 IDit Free: 872]65,9565 Fos.Q 1194.8514 waw.polylok.com
IN -GROUND GRAVITY DISPERSAL AREA
Uniform Elevation Trenches with EZ1203HP Bundles
3-ft Trench (down -sizing credit)
A� ._
ro
aMcTwl.l xa.trA.r
Unknown. Wasal Concrete
sgxk rWlgvuny.!
-2000 py 320 pa _ � _ W
PdNok
enrxrxr.eeu• 525 `
17 TYPICAL TRENCH
CROSS SECTION VIEW
Imp T — ..-J..' . (No Scale)
/ ✓
sntIm n-94.3 rt
(bpluimi) X Pm,xi mmimum3X
sepemWn EeMaen trenctres
TYPICAL TRENCH (Show dceuan almlel i ovum Ape conrei8on on plmo )
PLAN VIEW
OB FVATION PIPE OETNL
w
(No Scale) 4-0
�0 :
Perbmted Emenil
tiP
Od"Ulmmsundw
fl
(lYPlail)
—---------- --- --- ---T
—------------ �--------
(Nxri
m
8U
fl
W
r B=
PIPI
X
O
INSTALL PER TRENCH
T
(n111121Il
A
9 10.11W im@MN E1 uN1=450
fl.
(mm WI.us 3nwn. IR)
IKm Wuuoxc�ub.w.enc�
4 SflWMea®25N EISWUIi1=�R'
- Prop au EISA µ+b - 450
fl+
Repu ml lnfIaaEyl Area= 878 M nist iDWOn Med.od.
x 2 trendies = Proposed Tolal EISA= 900 K �oninched mandold 0
Installation Instructions for
EZJtowSystems in Wisconsin
.............................................
Wareham Debarment of Commerce, Safety and Buildings
Chiral has reviewed the specifications; and/or plans for tars
product and determined d to be in compance rota chapters
Comm 82 through 84, Wisconsin Admen. Code, and Chapters
145 and 180, waconslo Statutes All area must meet tee Sri
8 Sal r ndAm= x Locator= x Isolation distances as noted in
I reguletons
no approval products are Iel (3-12' bundles mM pipe in
center bundle in 6or lo' lengths) and Igp3HP (3-12' bundles
wl pipe in each bundle in 5' or 10' lengths
A singl tape bundle contain a tour inch perforated pipe sul
oundad by EPS aggregate and is M1elo together wM poN-
ehtylene nothing A single aggregate bundle contains aggregate
only and is held merger with pnlyemypne netting
MHeMeb nM Equipment Needed
• EZflmv Bundles
• EZ11cw GeWeable Fabric
Eanow Internal Rise Couplers
• pro for Header and Inlet
• BackM1oe/Excavator
Ineteltedpn habuogons
The instructions for mstallahon of Utow products are given
below Thx product must be metalled in accordance wth state
mks defined in chapters Comm 82 through 84, W smnsrn Ad-
mmisirame Catle, and Chapters 146 and 1 W, Wisconsin Stat-
utes, as well as the local heal depalime it's current design
manual
1 After the Iecal theabb department has determined sai
computation, and layout for the EZPow systems, stake
or mark wM pant the lexcaton of trenches and Imes Be
careful at set coned tanoinvert pipe,header meordu-
btautron box and trench bottom elevations before i
also of pipe bundle.
2 Remmre pasts Battery shipping bags prior to placing
bundles in the trencM1(es) Remove any plastic bags in the
trench before systm is covered
3 This product most have governed fabric that meets re -
sunscreens of a Comm rive 30 (q (q), Wiz. Marc Code,
msfslled directly an tap of the product and extending
down along the sides of me proud an a point at last six
inches!tern the bottom of product
4. When re aped in a turner, the iren&i should be dug to
a wtlth of 36 inches, This not only some labor in vecava-
Wn but also aware boner evaporating caBwN after
backnbmgia complete.
VAEZf ioww
av .maPeaee
..............................................
5, The Absorption area (Set necessary for a given stle shay
to s¢ed based on maalmum lout savage flow, Bi and
me Permeability for Me site d certain undone is met, the
EISA sizing can be used in Wttonsrn, nor In a 40%
smaer drimmald
5 Face EZPow knoll in the Utow corRigumtion al
pmval by system design permit appeal for Me sal
r site The top ow mMar-most bundles containing pipe
are joined end to end wl an ingra l Pipe coupler. My
Wadi aggregate only bundles Mat maybe required,
mould be butted against the other aggregate -only bun-
dles and do not require any type of cannecllon
9 The top of each GEO rylin for remove a fiber more pre-
fanNacwradrnbetwean Me honing and aggregate me
ebrrc is inseded to prevent sod intrusion The installer
shall make sure Me Ue GEO is performed upxard and is
Iconw tact M me faba ric ntacid in the adjacent gdrn-
ber before something
B The EZPav oranhek Systems thatud be rratelled in a
level trench in all dammons (bob across anal along Me
bench bottom) and should better de contour of he ground
surface Wromer (unlMm del aft al cumbrous
pane g II) -fort cyhndnal bundles placed end to end
mM coming burcYs disbibuhon pqc interconnected
x+Mout any dams, steNicarm or show wa er stops
9 TM1e trench by shall be graded such that water will not
pond BackfJl should be seeded or sodded nomatlmteN
after comp oven to reduce apson.
10, EZfow EPS bundles are Pexlde irk can fit in arved
trendva as may be necessary to avoid trees, Whose or
other obstacles.
I I EPS aggregate is lighter than water, therefore, it might
be expected that nomped buoyanl forces sixi two to
cause EZtow assemblies to Pot out m ground ro en
pending occurs. Flood egrenence has theme, M1awerer,
Nat this is not a problem when systems have a minimum
of 6' of sal cover as recommended by manufaMrer
..........................................................................................
Page 7
PAGE 4 OF 4
In -ground Gravity Management Plan
IMPORTANT:
The owner of Pis m9rouna gravity system mall be reasonable for na perpetual operation and maintenance pursuant to
requirements of SPS 381 Wlsc. Admin Code Pursuenl g SPS 38352(2), Wise: Admin Code, this system shell
be compared a human health naaent 11 not maintained in accordance wor We approved management plan.
Furthermore, all Inspection and maintenance weaken shall be performed by a registered POWrS Melnialno in
acc kiln with SPS 383 52 (3), Wsc Admen. Code
Maximum Glossarial Area Operallno Limits:
Design Flow w 600 gpd; SODS 5 220 Mi TSS S 150 mgL''; FOG 5 30 mi
Inspection Checklist INSPECT EVERY 3 YEARS
type of use
o age of system
nuisance tenon (I e. adore, user complains, etc)
• mechanical malfunction (Le, pumps, vahms, strictness floats, etc)
• member fetlgue (i e, leeks, breaks, common, etc)
• sobtl5 volume in anaerobic treatment tanks) and any distribution sppurtenamobb (I.e, distribution I drop boxes)
• neglect or Improper use (I a exceeding design capacities, prohibited with Pit
• extent of panning In distdbubon cell prior to dosing
dosing imeguladtles- if applicable a pump re -cycling, float swiion settings, etc.)
elecincal components if applicable(I a, sang, connections,switches, controls, tlmere, alarms, etc.)
distribution lateral or lateral office plugging (measure lateral distal pressure— Compere to design specification)
o surged discharge Of effluent or sewage back-up Into stmnure Served
Maintenance Checkllst MAINTAIN EVERY 3 YEARS (or colon necessary)
Septic and doze gnklal shall be pumped by a common septage servicing operstor licensed under s. 281 " Who
Stars. when We volume of solids In We tai exceeds anHM1lyd (1/3) We liquid volume Of We tands) Or
as required by local Ordnance Oispoesl of contents shall be pursuant tin NR 113, W lac. Admen. Code.
o Effluent gHansl shell be Impede d every 3 years and Shell be neaned when re cssry to remove any
Metedsolidsac dmgtomanVacturcesspecmcebms Aservlong penecetll always be greater than 12
months
Sy i maintenance noon shall as examined to We proper label government One In accordance wall
SPS 383.55 WI¢ Admen Cede. Period any component Mlure or magunctan to:
Name of individual or company Schmitt B Sons ExcavaBng,Inc. php.re 715-760-0486
Local government unit St- Croix County Community Developement phone. 715-386-4680
Local government unit address 1101 Carmichael Road, Hudson zip. 54016
Any degnive pan of this system shall lea repaired, replaced, or removed pursuant to SPS 383 51 (1), Wise Admen
Code. Repair or replacement of felled or malfunctioning components shell comply with BPS 383, What Admen. Cabe
No product for chemical or pi renovation of the POWrs may be used unless approved by the department in
accordance with SPS 384. Wife Admen Code
Continaencv Plan
In the event that any tailed treatment component of this POINTS cannot be repaired it shall be replaced pursuant to
a plan submitted to the appropriate agency for review antl approval Afailed In -ground disposed component may be
abandoned and replaced by a code -complying dispereal component In a predetermined area W sulMble soil.
Svegm Abandonment
If use IN this POWI S is discontinued It shall be abandoned in accordance Wth SPS 383 33, Weed. Admen Code
Page 8
ST. CROM COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
..,,,.Daniel & Kay Whaley
MulroRAdd¢ss 1377 Main Street, Houlton, WI 54082
Pmomy AdWmt; 1377 Main Street
Ive li mo muvM fiom NMI%&Iumnyl Wmm fw mm wmrmal
.i.s.Houlton,WI P„ttIdm.emimonNmnlxf030-2059-80-000
LEGAL DESCRUTwN
NW NE 27 30 20 St. Joey h
PlopenyLwuon_ ,_Y.,Sm _.T NR_W, toxn of P
Swan slon Pm' , IAf x 21
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sw•IroieeOnDlo la bm iem�r ble pye.pm
SYSTEM MAINTENANCE AND OWNEII CERTIFICATION
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