HomeMy WebLinkAbout040-1289-30-000 (2)smryse emuugoofc,"miidsiml PRIVATE SEWAGE SYSTEM
INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT)
St. Croix
smi,dimenri 830303
ludo NO
..IPm ANNm¶
William B Tammy O'Connell an wl.pe Teri TOWN OF TROY
No
P a D40-1289-30-000
ern eN.sup
so Ea.
To empoa
IonrtuveAdv naP No
18.28.19.1647
TANK INFORMATION ELEVATION DATA
TYPE
MµUFRCTURER
CAPACITY
EATON
95
HI
FG
GOES
Sepllc
SeMOTUM
Doi
M BE
BLN Brvar
TANK SETBACK INFORMATION
Srml ousel
TANK TO
PAL
WELL
BLOC
Neiux hess
ROAD
De hold
Septic
BISi
Breen
rwamene
oal Pro.
H+ItiM
See BYeum
POMPSIPHON INFORMATION
HeIMw
Manow"er Demand
lGi
BICoar
Lose
Seems, R.w
roN Fr
IsWiddidell
LldTl
ae
Joeewn
SqL ABSORPTION SYSTEM
do
meNsimalls
MM®R OR
Led
DISTRIBUTION SYSTEM
NONE
SOIL COVER z Pressure Sledded. Only is Nodded a A4Uraae B..Nms adly
Nei
Lodi
nomma
.InNodded
edi coldAsi
Ei
TelN l
L, lee
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COMMENTS pndcae rmaauvapedcds pciadnapreeem, em) mspenlmtl Inspenlon P2
Lw0<d368 ENGLISH CT
I )AN BM Gemp)Idn=
2) Side sewer kvpldannsi
PUT Lesson Required? [Yes I,No
Use o er side Nretl aonel lnlonnmlon
saoeTld lR Mid
Lee simple Signals. red ",
�, G3
memR
Rtfmv aaaa -33
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Aw
212020
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nl.eym, ve WM-7102
6>30303
EtC ��ri mit ApplicatiOne7
asks Tennant, Nome¢
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m mwniry,eml
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Al setback Ins m¢mene must be memro��eX
9ROb398 (R0111)
SYSTEM
O'Connell 4 BmrOBetlroom Septic System
ce
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Copy
CONVENTIONAL COMPONENT DESIGN
INDEX AND TITLE PAGE
Project Name
O'Connell 4 Bedroom Sell System
Owners Name
Willem& Tammy O'Connell
Owner's Address
368 English Court
Hudson, WI 5e016
Legal Description:
NW1/e, NE1/e, S18, T28N, R19W
Towel
Tro'
County St
Stool Name Eri Estates
Lot Number
3 Block Number
Parcel 1. D. Number 010-1289-30000
Plan Transaction No.
Page 1
Index and title
Page
Plot Plan
Page 3
Septic & Dose Tank Specifications
Pages
Effluent FlNer Information
Page 5
Dose Tank Cray Section
Page
Pump sperofloations&Curve
Page)
System Sizing &Cross Section
Pages
EZ Flow Information
Page
Management and Contingency plan
Page 10
Septic Tank Maintenance Agreement
Page 11
Warranty Deed
Page 12
C&M or Pat
Attachment]
Soll Evaluation Report
Designer John Schmitt
Llcnese Number. MPRS 223260
Date 9/20/2��0200/
Phone Number: )15-96(EWS
/
Signature -�flfl �//C//Cchl
InGroundSol Absoptlon Component Manual Version 2.0500.10705A IN. 01/01)
part
SYSTEM PLOT PLAN
O'Connell aB =M Saptip Sp
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<' CAST-
A -SEAL a CAST
-SEn!
a� II
FILaR aBAFFLE
fir_-- ----------' —s4
WLP1200/800—MR
TANK SPECIFICATIONS
UMENSONI
WNl, T
BOTTOM S
CO E 8'
MANHOOE N' EO PRECAST CMCRETE PoSR
NEKNT, m
mlI ww
BELOW INLET N'
UWID E W
INDGKF. BOTTOM 14800 LBS
COWR al TO LAC
INLET AND ONIET.
CAST -A -SAL BOOT CB EWK GASR
INLET AND CUTLET 5A AND PLTEA
01SCM9N. SEE DETNL CIO
(O1 STATES SEE CXµi)
uwD cMAc TY' AA us GAL/N (SFnC)
1 24 GAE/ (PUMP)
LOADING DEIN: 8'-0' UNSATURATED SOIL
TANK CAN BE USFfl AC
SEPTC / KOIpNG / PUMP UR WHOM
GORIER MIX @ M iB (NO FIBER)
TANK MIX DESIGN p (WM FIBER)
CUSTDAZED TANKS:
FOR CUSTOM TAMS CONTACT WESER CONCRETE
A� ALL
�AL MET
ffiK NEEE➢IP GY.
736
POLMOK
7* Zile
PL-525 Effluent Filter
PL-525 Filter
The Pt Filter is rated for 10,000 GM (ga0ons per day) making It one of fire largest filters in its class 11 has
51l5l,wargelofl/16-filhahonslob lukethe Polylok PI,Mthe Polylok P B has an automatic shut-off ball
Walled with every filter wh°ii the filter a removed for damning the ball will lira! up and temporarily shut off
the system an the effluent won't leave the tank -
l eamrer
• Rated f er 10A00GM (gams perd°y)
•5z underfeed: of 1/16'Wooden
• Aarpls4" and 6" 9CHT)Wpipo
• Built in gas deflector
Automatic shut-off ball when filter is removed
• Alarm acressibilaty
AttepLe PVC extemmn handle
PL-52. InrtelLhon
Ideal for residential and commaaW waste flows up to
10,000 gallons ner day (Goer)
l Locate the outlet of the ceptic said,
2. Remove line taNe enter and pump tank dnecessary
3 Glue the filler housing to the 4" or 6" outlet pipe If
the filter is not scored under the access npenng use
Polylok E, tend & Lok or piece of pipe to center filter
4 Insert the PL535 filter into me housing
5 Replace and secure the septic bunk cover
PL Kv M1la�nhn
The 1`1,525 Effluent Fdmr, will operate efficiently for
several years under noumal conditions before requiring
cleaning It is recommended that the filter lee cleaned
every time the tank is pumped, or at loodevery three
Years If the mslalled fitter real so optional a arm.
the owner will be notified by an alarm when the filter
needs semcmg Servicing should eve clone by a cer ified
airline tank rumors or installer
1 Locate the outlet of fire aspic took
2. Remove tank cover and pump tank if necessary.
3 N not use plumbing when filter is removed
4 Nil PL-525 cermdge out of the housing
5 Hose off filter over the seen: h us Make sure all
roods fall back into septic took
6 Fear me More mrmdge back into the housing naked
sure Me filler isr aFerly aligned aM completely nswrmd
P Replace and secure tern: tank ¢ever
D
n::evt. r rve
l/16"Filtration
GP
Store
Resume,
lommalm
525 ar Ft
al/l6'
Flleeh°n51°u
® xanaxa ere as
Defector
a .I.
P°lymknbel aueeeialnwean
iFe SmuiFYx�riniAma elenn mw ert�ingo-lo,
Palylok, Inc 3Fatield Bit Wallingford, Cl' 06492 Toll Free 977 765 950 For 203,2848514 wwu.palylak.com
page 4
PAGE 5 OF 6
SEPTIC / PUMP TANK SPECIFICATIONS
(No Scale)
.� t� 17ii 'W.."....P'u� a,.., mm%1®®.e®eee
MPOgTMIC
Moor tends) Is Meese,
pursuant 1 5113 383 43(5)(g)
CAPACITIES® 22.24 gavin
Depm pnl
Volume all
A
18
400.32
B
2.0
44 ae
[C]
fi
133 44
0
10
za2a
Pump Tank Liquid Level = 36 In
Force Main Diameter = 2 In
8600 R
INSIDE BOTTOM .
ELEVATIONB500
= R
Force Main Length = 100 ft
c+op� aaaire wwi&NrMT
Force Maln Void Volume = 16.3 gal
Vertical Head=
11.00
ft
+ Min. Supply Head=
0
ft
[C] Total Dose Volume TDV = 13344
galldose
+ FM Friction Loss=
194
ft
mm lox i lawm wee voNme< TDV. o 2x a grnv,)
. tfaro min drenti volume)
+Fifting Loss' =
0
ft
'0^In Wier he'd o3)
MIN PUMP DISCHARGE RATE= 20
gpm
= TOTALDYNAMICHEAD=
12.94
ft
PUMP TANK
Volume = 800 gal
.............. Wieser Concrete
SEPTIC TANK(%
Total Volume = 1200 gal
Manufacturerfs):
Pump Manufacturer: Zoeller
Install approved effluent (liter at the spoke tank outlet
Pump Model 53 Isee ewmm v.� ar) immediately upstream of the pump tank inlet
ControlslAaml Manufacturer SJE Rhombus Filter Manufacturer. POlylok
ComrolslAann Model: AB
Filter Model 525
Float fiviftches containflno mercurf am onchibled,
PUMPPERFpiMANCECURVE
MODELS SL555]I59
TOTAL DYNAMIC HEADIFLOW
PER MINUTE
EFFLUENTAND DEWATERING
MODEL
53/55/57/SB
FeN
Melon
GI
IMa
5
IS
<3
IE]
10
]o
�
tY0
�13- a6
YMaA H®tl
I9
1P
18]563Bn
eo 130
FLOW PER MINUTE
CONSULT FACTORY
FOR SPECIAL APPLICATIONS
r
VenaLL Nvel Alai ro+Vfies evaiMdM
Varable anal Mg grlesyslpns areiMLk
AWWUO wM SFeay sp0lergrMtl 16.]S, A (W lYNga))
earn severe arelaNe
OopeyS"e "wileNe
SELECTION GUIDE
I Impel year beer dAI bar de,'mn vnur dy,,d
291191e 099AIC, venbk End Ma wa v ewne d"nedda' AH96 kel
Iffir ReknoThE I
K 1pM]p r Tw75
e BnaMaapk wrmrmq'q IXMI®IMsrnu
s Nvwkmwnegewn�oonswaaaamkd qnr xn
Ekmelunrvinewmmur
lead
veye
mebb
mary,
raw
im,mi,
cameeelee
FTt
L
r.,eaa= Aar.. r I
waw
'E YNWM'r
pgauv AN
OF I TONAL PUMP STAND PIN 10 2421
Redeem domnom mSing SY doom
g Mmrvy or Mub under lM Fear
Made of durede,wPamperernARS
Pampererwlmwwmnavn
Plwuea me MAN to beer, make by admryaxdm of 1W
RESERVE POWERED DESIGN
Fw Nnuwelwntitia+na rem eMary MMoraaRB0Mme3Yao Naaegr aes'mYInaEMpury
0 content for anmi. (y, Al farm ra.k w.
iA
TYPICAL TRENCH
PLAN VIEW
(No Sr Ie)
IN -GROUND DOSED -GRAVITY DISPERSAL AREA
Uniform Elevation Trenches with EZ1203HP Bundles
3-ft Trench (down -sizing credit)
TYPICAL TRENCH
CROSS SECTION VIEW
WPmvzaminrmum3ft
(No Soale)
OBSERVAnory PIPE
DETAIL
^^`ter
sepaaeon eenveemrencbes.
Im+u'raawrmmleV uulletgceconrrer.Mnm vlar xer) .�.mmruo..o
evm
a"0
Pertoated Lateral
lypwa0
I S= 90 rt
mdl
INSTALL PER TRENCH:
9 10-flbumaes@!ABEISNund= 45 M
# 5fteundee@25RE1Womt= 0 fl'
=PmooaeEElsApere = 460 rt
= oe:e...am
10 X
nn.
Itygmll
IImaO
T
rA=30ft
D
1 Irvw®o
G)
In
Ca
EZ1203H Rundle
0
ryp v)
M
I�4MImvw Spbrrc.lrcl
(P
IrcW yaeN b mavrlatd=e2rvPcfr¢
Re9ulrerllnflleaem AnIa= 867 k Disblbubon McNod:
x 2 trenches = Proposed Total EISA = 9 IP branched manifold 0
Installation Instructions for
EZflow Systems in Wisconsin
.................. 6........... 6...........
Wsccnam Nominal of Commerce, Sefetg and Buamngs
Dereon, has reviewed Me speslflca term ardor pans for has
product and tormented it to lu in wmpiarrce Arm candleas
Comm 82 through 84, wismnam Admin Cade, and Cha pars
145 and IGOr Merchant Stratec. AH sides must meet the $
8 ieQJ C d nns 6Leathers It added distances as noted In
lama regulations
The approved products are 12MH (3-I m Wndles wdh pipe in
center ml in 5or 10' lengths) and 1 X SHP (31m bundles
with ppe in der bundle in 5' or I Or MngNs
A single pipe bundle mMans a four inch pedoceted pipe sur-
hounded by EPS aggregate ant IS held together wM poly-
ehtylene neNng A single aggregate ounce contend aggregate
buy Said ,a hold together wM poysiddene naming
Materiels eM Equipment Nwded
• Explore Bundles
• EZflow Bealetllle Fabtic
• donne, Inti Frpe Cropland
• Pipe for Header and Inlet
• Backhoe/Excavator
Insfalbbon Instructions
The mstuctlons for Installation of EZflow products are given
beel This conduct must be rnsurand ro accordance wdh stab
rules deHnN an chapters Comm 82 through 84- Audi pa -
consider CMS, and Crackers 145 and 160, Wisconsin Stert-
cap as well as the local hough department'a current design
manual
I After the meal north deparrmem has derenc ned arzmg,
conngunhon, and layout tar the Minor systems, stoke
ar and nth prim the location of renches and finds Be
oral to set mmad tank, mart pipe, header lire or ma -
Human box and tench bottom Shor tom before Inaal-
latan of pipe bundles
2 Remave all EZflow shipping maps poor to placing
Nntlles in the trenches) demand any plazec bags is the
tenon before sy4am,z revere6
3. This accrued must hand geok4k fabric that meets to-
quremaofs of s Comm 84 W (6) of Ws Atlm Code,
installed men on top of the product and extending
dorm along the sides of M1e product to a point a1 kart six
caches from Me bottom of product
4 Men applied in a trench, the tench should be dug to
a width W 35 inches This non only saves labor m e.cava-
lion, but also across better tract-beannA :rmaoty after
backfiling,z complete
4%EZfloww
...............................................
5 The Structural at(S9 maxisan for a green site Shall
be series bassi an mmrmlan dairy sawxge ilma (BAD) and
the Petmporai y for to site a carman rnbna Is met, the
EISA aiding can the usW in wismsn, neunmg in a 60%
smaller drunfied,
S Plate EZfipw buridle(s) In the UPow wnfiguaeron cep
prored by ayriam dasrgn parent specified for the parecv-
ar site The top or center -most bundles social pipe
are joined end to end wom an Home pipe coupler Any
addieorsl appeal only hundred Met may be requ and
should be buffer appear the other Bilingual bun-
dles and do not require arty type of mnneNan
7 The top of each GEo cyender mMans a finer fable pro-
anutacturedmbeNrean MsrwMng antl aggregate The
farm is mutLLN to prevail sou Intension The installer
fall make sure the Me GEG is pertiioned earned antl is
in contact with the Iodine contained in to adjacent qpn-
der before draclihIng
B The E2flaw pnpAeld Systems should be rnstalkd in a
level saran in all tlirechans (rant arras and ahng Me
trench bollom) and slwuld follostreconburofthegro.cad
surface Standard (umtmm depth), wrin all continuous
adpning 10.1wt ryLMrcal bonded placed end to and,
sae mental WMIe dsmtWtwr, pipe intermnnecled
awthout any dams. supreme; or other antes stare
g, The sheroh top shall be gMetl such Mat wNe yell not
pond Backfill should be ssetlN or sodded immesdatly
after compleed to reduce emsim
10 F2Aow EPS buntl@s are fleable and can M an owned
teaches is may be to a mid tads, boulders, or
othe malaees
11. EPS aggregate a ugMer than water, Mera ads, 4 might
So e.pxhd that return currency fmrss would tend to
cause EZflow aurannads to ficat out of parl when
pending occurs. Field erposal M1az awn, however,
Mat this is not a problem when sysMms have a minimum
of b• of sot cow as recommended b/ manufacturer
..........................................................................................
Page B
PAGE 4 OF 4
In -ground Dosed -Gravity Management Plan
IMPORTANT:
The owner of thus nground bceatlyravity system shall be responsible for its perpetual cpstation antl maintenance
pursuant to requirements of SPS 382384, Wisc Admin Code. Pursuant to SPS 38352 (2), Wisc Admin, Code, the
system shall be considered a human health handed if not maintained in accordance mlh this approved management
plan, Funhermore, all inspection and maintenance actual shall the performed by a registered PO S Malingerer in
accordance min SPS 383 52 (3), Wisc. Admin. Code
Maximum Dispersal Area Ovegral Limits:
Design Flow= 600 gpd; BOOB 5 22o ml TSS 5150 nl FOG 5 30 mi
Inspection Checklist INSPECT EVERY 3 YEARS
= type of use
age of system
nuisance (arm d a Word, user comments. ad I
mechanical mishunc or 0 a, temps val wraches. floats, etc )
matedalfatigue (I e, leaks, breaks, corrosion, etc)
mlldavolume In anaerobictreatment tank(e7 and any disNbutbn appurtenamods)( a distribution I drop bone)
neglect or Improper use (re, exodest design musical prohibited adrvNee, etc)
oextent of cracking distribution call than to aonrg
aoamg lnegmarhiea-u applicable V S. pump re-cyamg, float switch seXmge etc)
odiscounts components -If applicable (its. wiring. connections, ons, switches. cobases, alarms, etc.)
dlonfidA n lateral or lwerel office plugging (measure latand distal pressure— compare to design specification)
c surface discharge of small w sewe9e back-up into structure served
Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary)
o Seotic and does tanklel shall be pumped by a cenifed septage servicing operator licensed under a 281.4E Wis
Stars when blue volume of solids In the wings) exceeds one-third (tnl the liquid volume of Me tank(c) or
as required by loom ordlnence, opposed of contents shall be pursuant to NR 113, Wisc. Admin Code
o EMuwt Rupert shall be inspected every 3 years and shall be deened when necessary to remwe any
accumulated solve according to manu(actureis spec?catlons. A servicing period sul always be greater than 12
months
System maintenance resume shall be submitted to the proper local government unit In accordance with
SPS 383.55 Wisc Admin. Costa. Report any component failure or makfuncgon to
Name of Individual or company. John Schmitt Phone. 715-760-0486
Local government unit St. Croix County Community Development phone 715-386-4680
Wcalgwemmemumtaddmas 1101 Carmichael Road, Hudson, WI 21p, 64025
Any dekCnve pan of this system shall be recall replaced, of removed pursuant to SPS 383 51 (1), Wlec Admin
Code Repair or replacement of failed or malfunctioning components shall comply with SPS 383. Mao. Admin. Cape
No predum for chei or physical natural of the POWTS may be used unless approval by the department in
accordance Wm SPS 384, Wisc Admin. Code.
Contended" Plan
In me event that any fall treatment component of this PORTS canner be repaired, it shall be replaced pumanl to
a plan submined to the appropriate agency for review and approval. A failed in -ground shipment component may be
abandoned and replaced by a wdemmplymg normal component in a pre-deletmines area of suitable soils
System Abandonment
If use of the PORTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wisc. Admin. Code
ST. CROIX COUNTY
SEPTIC TANK MAIN IENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Ownermanr William O'Connell & Tammy Bannach-O'Connell
Mailing Address 368 English Court, Hudson, WI 54016
P persyAdJ,viug368 English Court
rv[a,Imal,n rmialme rTm %urvnp 8 )�xaanp Ikpv,mpx ldnewmWrvttion I
o.S.Hudson, Will Pastel ldcmillralmnNumlxr040-1289-30-000
LEGALDEgCfDjTTON
PmvenrL Lion NW v.. NE %. Sac, 78.T 28 NR 19 w. Taws or Troy
Su(bsiviin,n Plat English Estates 1"M 3
Cmlifial San" MAPS Ydume �, Pggeg �—
warranty Deeds III o`t10 (Iscf 200'OVulune —,Pages
xral mme Dyr.G]an I.taim uwR.Nt BrnOm
Impala, ureaW munwantao, iaw met xixum.vulY rt[vn �n iuprtmuv<IUlwe la MWk vu4a tmpv
alrymrinpaw Ne rmutdNn<r. ahrsreuavarnn. ilmhd. 4YelianM N^Prwlm Yaa Minn
IM1ts -n ep�I u4lummurlh apse xatlei ¢Jiapylrryem. IMnn mirvoume
re>ryN nnnnwe quad �n 9xr5 )e15ANwye (loon l}.rl emi.a nFnnvY (,Niawm
lTt r^Sm)awilvpanmrvdnn insCnvmna,i PlannmeBY^^na H<mm^'m eninmm Mn,.ngn,Jlr lit
:mJMe 'at rlumiv.num<rmwi rlumiv mu�aJ Mumnnmaa.nutJ pamp..nirylnpliallllu. m.we
v Ji let,I ryvun i. in pups nPvaune <aaJnion vtrw131 ativ uupenum uW rv"•r ne arrueeuvy\ Jw etgx' IM is
a'aO N1i II u19Wpe
slit unJenitlned hale rW Neen,"teymr[m[nu Spd'aase m mmnwin Ne Inoue uxxtle nny dryvem wso Ne
wnJwJs set lJM,tmm.0set try lie lkrynmml OrServY And Prurdwnvl 4 1,cs and 0, Dcysrusim nNewal Ream
ud(N ntl dwl Ynw veu[aYfkm Wlnn ma alma munhmmrin JwJ mumeYmlie f. Cmix
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