HomeMy WebLinkAbout020-1306-50-000 (2)To PRIVATE SEWAGE SYSTEM
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INSPECTION REPORT
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GENERAL INFORNATION ATTACH TO PERMIT)
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James
8 Brenda Behan
TOWN OF HUDSON
020-1306-50000
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29.19.1527
TANK INFORMATION ELEVATION DATA
MANUFACTURER
WALRY
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TANK SETBACK INFORMATION
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SYSTEM PLOT PLAN
Se
Behan Belirootn Septic System
PrµdAM�' Mpewrm � mv4nMobYOxb
as OM
IBNWi BM FMIO0 v gwMON3 6wd
M Oee nen'. igarwmMav ry Te0bv9b f6]BdOASUE BWe: Q
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Q BM BMdbwINn M.01' ''ep1 Rt�gb .VrMpm
Ceeupion Lr'p upXcdnenbnNJvmw pp
Po MrMbnlolieeMMe YrTI Ipr
Wen 0lmpq (nepplotle
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Existing 12k52'
Rack B Pipe BOG ^
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CONVENTIONAL COMPONENT DESIGN
Residential AppLcalion
INDEX AND TITLE PAGE
Project Name:
Behan 3 Bedr0om Replacement septkSystem
Owners Name
James &Brands Behan
Owners Address
222 Orlok Lane
Hudson,WI5102S
Legal Description:
SE1/e, SEILA, 529, T29N, R19W
Township
Hudson
Counts
St. Crow
SubdWloon Name:
Humblyd Hills 3rd Addition
Lot Number:
SO Black Number
Parcel I.D. Number 020-13IW50000
Plan Transaction No.
Page 1
Index and true
Paget
Plot Plan
Page
Existing SeptIC Tank Specifications
Pages
Existing Tank Certification
Pages
Effluent pater Information
Page
Milne Information
Pager
System Siding &Goss Section
Page
UNpw lnfmmauon
Page
Management and contingency plan
Page 10
Septic Tank Maintenance Agreement
Page 11
Warranty Dead
Page 12
CBM car Plat
Attachment I
Wl Evaluation "Pon
Designer: John Schmin Lanese Numbee MPM22370
Date: 11/30/2020 Phone Number: 315J660111111
Signature: '�%/e) �/C l!'l!✓V
In -Ground SOH Absorption Component Manual Version 205BD-TWOS-P IN, 01/O1I
Page 1
SYSTEM PLOT
Behan 3 BeEroom Se Septic System wee^ P'°" '°° °°O N
PAPdrep°ee +>:°ex. M. awcaeeopnw«MMe.MM
dxwM IHM
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eMa °ymed,p BM FM,nlm. aver rwnrorwm. urx.gw o w w w
x pee^lprypn i «qk WmllYm.�' repx PF {p utYOYM
sxpe°mMmmr«Mp.re. I.�MI 10'
vul s�,.�mim•wnew�
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T1-Pmpm TXMUF TWIN EI.N1.10'
n- PmpmeO 0'k70' U Fe Tm B�11e
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e 2UQ0 nng Ly TlMnM Ma
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SPI AND BUILDINGS DIVIKI
[OmmPfCe.WLgOV
Plumpnp PI All
PG. Orr saes
i scons i n
MWIwn, Wwmneln 53701.2656
Tit: CnnIXr Through RNµ
Dw mud
Wmnwrp
Jim DµM, Dewrne.
Rk J. WrunWpNbwr
February 16, NIP
WEEKS CONCRETE PRODUCTS
MY WEEKS
1892215TH STREET
NEW RICHMOND WI 5W17
Re. Oaecdfion SEWAGE TANKS, CONCRETE
Manutx mr WEEKS CONCRETE PRODUCTS
Product Name SEPTIC, HOLDING, OR PUMP
Model Numher(s). 1000
(491N. LL, 21.76 GI 66IN.MAX OEPTH OF BURY 511 G P D. WHEN USED AS
SEPTIC TANK BASED ON A 3 YR. SERVICE INTERVAL FOR RESIDENTIAL
WASTEWATER,. TANK DIMENSIONS. 84 IN, L X IN WX"IN, H)
Product File No: 20100040
The specifications offer plane for this plumbing product have been revaswed and determined to he In compllanbe with
chapters Comm 82 through 84, Wleansan Adminlstral Code, and Chafers 145 and ISO, Wisconsin Statutes.
The Department hereby Issues an approval based on the Wisconsin Statutes and the Wisconsin Adminlarative Code. This
approval Is valid until the antl of JUNE 2015.
This approval Is comingent upon compliarce with the following stipulatlonts).
This tank must be designed to withstand the pressures to which it will be subjected.
The manufacturer must keep at the manufaClunng plant a set of owns and specifications bearing the dapanmern'a
stamp of Senn al. The plena and specifications must be open to lrnpection by an authorized representative of the
Minuteman.
When his Product receives wastewater from dwellings and is used as a septic lank. it will produce an effluent quality
wins a maximum monthly average value for BODS of greater Nan 3o ml and less than or equal to 220 mI TOO. or
greater than DO III Or lase than or sOual t0150 mWL TBS. and F O G. Of less than 30 NAL.
Approval is Issued for this product as MIN Mluivalenl to a Spur OW6I water closet when the fixture dram N Madison
in the vertical position The design mseu and Intent of A. Comm UK (5) (c) and e120 (5) (n), Was, Aom. Cook. which
Purpose water cloceb to dxherge through a minimum aamerer 3- tlran pica or Ohirg and Me bowl t0 conlmm to ANSI
SandardAn2A9.2M. The Intent of the rode is mal since th,s pmduO provadas the ume IUMbnal Podormeae ea water
cows that meet ANSI Standard At 12.19 2M.
BEDDING: Bsdding meteriel shall bat us to provide a Minutes M dog surfep. A min. o144nch base of
AM or granular bad On top Of a spurt and pONOTI base 16 recomm daft. The tank should not bear On mCb. Sites
with high ground water tables should have spactally deslgad bedding. Solls should that romPacted under the tank.
This approval supon a eB the approval Issued on 4/21/P005 under product file number 2005D106, This approval letter shall
be incorporated with your previously approved plans and/or speci(tati0ns approved under product file number 20050106.
As of May 15. 20M a copy of a successful water tightness teat report for thin product must be AVAILABLE FOR
INSPECTION AT THE MANUFACTURER'S PLANT prior to this product being used ate a POWTS holding or treatment
tank In Wisconsin.
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,
Jean M MacCublim. CST
Engineering ConsultanWPlumbing Product Reviewer
Commerce, Safety 8 SulMlrgs Div., PO Box 2658: 201 W Washanglan Ave.: Madison WI 53703 2658
Phone: 608-2881O1 Fax 00O 207486: E mall Jeen.Me uMnOwlaconsin 0ov
IN Im51£ IN 10IV) File eel'. f(pagPaWC
ST. CROIX COUNTY ZONING OFFICE
CERTIFICATION STATEMENT
FOR UTILIZATION OF EXISTING SEPTIC TANK(S)
This is in certify that I have inspected the existing septic and/or dose tank
presently swing the following residence:
(Soccer address)722 0060e lane located
at: $ N6 Y., SE y., Section ar , Town 29 N, Range is W,
Town of Nuaaon , 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)
appears) to be functioning properly.
Most recent date of inspection or service / a -IF - Z (7
Did flow back occur from absorption system? Yes_ No_
(if no, skip next line.)
Approximate volume or length of time: gallons minutes
Tank Capacity: IN
Construction: Prefab Concrete x Steel _ Other
Manufacturer (if known): west
Age of Tank (if known): Waste
Permit number (if known) zasass
John Schmitt
(L' nsed Plumber Signature) (Print Name)
MP U3750
(Tide) (License Number) MP/MPRS
/a- y-a1P
(Date)
Form to be completed by licensed plumber (Dept of Safety and Professional
Services Chapter 305 and s. 145.06, Wisconsin Stemtes) or licensed disposer
(NR 113 Wisconsin Administrative Code)
Rev. 2/2012
Plat AK
PL-525 Effluent Filter
PL-5B Filter
Thee SZ Filter Is rated for 10-M GM(MUOM per day) making it m of net largo filter In its [lux. It firs
525liner fed of 1/16- filtration all Like fire Polylok pill the Polylok MZ fife an automatic Wutteff ball
metalled with every filter. victim the filter u removed for cloning, due will float up and tempoearily shut off
thesyxwn so Overall won't leave the tank.
Feature .
•Rat 1m l0V()DGIN(gallonsper day)
• 5n firrear Feet of 1/16" filtration.
• Accepts Cand 6" SCHn An pipe.
• Hutt In gas dWemm.
• Automatic shuwH but when finer is removed.
• Alarm atteealkllty.
• Accepts PVC estemmn handle.
P45u Installation.
Ideal for residential and commercial weak flows up to
SOdOffi gallmu per day (GPD)
1. LocOk the outlet Of the septic tank.
2 Remove the feNl cover and pump tank drle[eseary.
3 Glue the filter housing to the 4" or a outlet pipe If
iMfgurklwt centered under theaao opemngue a
Polylok Extend k Falk or piece of pipe to center Llkr
4, known the PL-525 filter Into On flondent
5. Repko and se me the septic tank cover.
PL-its Maintenance.
The PLSTI Effluent Filters will operate efficiently for
severral years under normal conditions More regmring
cleaning It is recommended that the filter he cleaned
every time tM tank u pumped, or at least every than
year. If the hatalled filter contains an optimal alarm,
fire owner will be notified by an aWm when the filter
rteedaeavldng.5wvuing Bh dMdonebyacedfiOE
septic unit pumper or Wkller
1 Locate the outlet a the st unit
2. Remove tents cover and pump tank d necessary.
3 W not use plumbing when filter is removed
4, pull PL525 cartridge Out of the housing.
5 Hose off filter over the septic tank. Make sure all
solid. fall back into cept[ tank
6 tioN 1fie Ntw [mtridge M[k inns lhefiouang making
sure the Etter is property aligned end compkkly hen¢ i
y Replace and secure eaptic unk ewer
06" Filtration Slots
nknns.ita
30,0E0 GPD 1 Ancil O
� 1' we
F.mWmxWle
II.rt6M
101311
525 un..r Ft.
till/16'
PlLrnton sm
All
SLHn 40 in
® xaa� at�rra46
a�0 rest
5haox e.11
piece a luk^
"It LM f 9ml fill en.mel Wly, at
IMSmuaOM Witch and Ilex Outlines sense
Polylok Inc. 3Fsirfidd Blvd 111a ingfard,l III Toll Fez 8717659565 Fw 2o3.284014 rmw.polylok.com
mi Akeul ait N pN.ama VMwa. Ln...Nr. pr aa.m.
nxen.m cwmw. rmd.m N'anleMa oa.yadwww.
JAMP�
EBB GP
LVEpfd:C110N
NAroIE
The Bud ROn Valve'" Is designed to split flows to septic
fields Or systems A addition lO the advantages of longer OW PORT
life and easier usbllalim tt Is the meet Wali< health safe arcemeafig it"" available far wastewater disposal
appnudons. The use has aerolutely ro ontact with
wastewater due to the valve's luk-proof and external
operating characteristics. The change O er from onedrainage field to another can be accomplished In less thanP IN TORT
mute by simply turning the valve without digging or
contact with wastewater.
The Bull Run Valve Is available in 4- sch 40 put
and Is suitable wherever septic disposal systems
- Incommercial, Industri 1, and
resused
idential applications.
(OPERATING THE VALVE
PIYd
The direction contrd handle should be notated
Na 3
Up direct effluent W one e
of rp
screw Tahe
We wool: ds After remov ng Nlmadically
at the to U the riser Nbe, Me valve handle can
YY
0
Valve
be fumed with the valve key furnished.
inNooedBULL
No ]
RUN VALVE
deep¢
Complete Valve NI[
O
Sepec
Ever triers
Contains
Td
1. Bull Run Valve body
3 38" Valve Key
J. fuser Cap Adapter
DIy
aIt01�Y
a Watenlghl AIXHs Up
cmr
MKI�SER
II RUN V�vt sezw w/ CAST coven
BRVOIRISER - a"
SRVKEY36
BULL RUN VM-v key As'
ADJUSTABLE TO 38" HIGH
Page
IN -GROUND GRAVITY DISPERSAL AREA
Uniform Elevation Trenches with EZ12O3HP Bundles
3-ft Trench (down -sizing credit)
Weeks
sure, Tm.l.)wini
mull. Tell Vam.l.k
1000 0
—0
PoMok
eie minea�
Em.entPheams 525
Provide minimum 3 A
separation between trenome;
OBSERVATION PIPE DETAIL
-44
(No Scale) 4"0
10
Performed leterel
mn
Ob"MMH
R
(typical)
--_
Madl
mW
mml
O
INSTALL PER TRENCH.
Bundle
MPep al)
1" bundles aSpR EEvVunt=350
q,
(maM lre.mv sylpn..Vc)
A
+� SR buMIea�251r EISAhnil=�
fl'
.urn.w.�mmmm�rtea..r. imwmo,.
v Proposed! EISA per
R' Remied lnfimelon
Area =643 W
EmftibU4on Mednod:
x 2 trenches = Proposed Toal EISA = 700 re branched mandold
RESET
Installation Instructions for
EZ*v Systems in Wisconsin
..............6....6.6...6.....6.....6...6...
W ominsin Department of commerce, Sarery And BuhAngs
Dome has redewetl the spell bons and/or plans for the
wool and dekrmmed d to be in mmpl at wth Naples
Comm 82 through 8 h W sin Admn Code, and Chaprers
145 and 160, Waconsn Sttal All sues mum meet Me Sete
th &I COnefflaths 8 Loos 8 eolimr, doences as noted in
Pool repulatiae.
The approved products ore 1203H (3-12' bundles vats ON in
rnmer bunde In 5' or 10' lengths) And 1=HP (317 bundles
oath ON in each bundle in 5' or 10' Anglhs.
A argk pipe Puller conbire a four Thm Pe fimmA Plpe sur-
rounded by EPS aggregate and Is held to9ebrer will pdy-
ehtyPne neNng. A single aggregate bundle unmans aggregate
orhy all is held together wth poyMhylem netting
Mabdab aM Equipment Needed
• Uflow Bundles
• Uflow Geotextile pond
• EZnow Intend] Pipe C piers
• pipe for Meader end trial
a.dMoe/3xawMr -
In"law inebac s
The insbucho s for ininsktion of EZflow pobi we given
below. The product mum be ei lP In accordance nth oak
toes definat In chapters Comm 82 though Ba, Vvywarsn Atl-
mdnlsbabre Cork, and Chapters 145 and ISO, Waosmin Sim-
utes, as wall ss the Peal heath debarments current design
man"
I After Polaroid health deperbnem has ditermdned s ime,
mlfigurabon, and layout for the Uflow systems, st,se
or mark win Pant the mrstwn of lrenchss aif toes He
careful P set comic: tank, Inred pipe, header line Or III
Mbubpn box and bench bottom akwbons before InI
lahon of pips bundles.
2. Romon park Ullow shipping bags pnar k phymg
bundles In to trerch(es). Remone any PI of rn Me
March before waken is covered.
3. This product mum haw geatexse bistro Ms theme re -
Poisonous of s. Comm th1hK (6) (g), All Add] Cade,
rebuffed directly on top of the product and exkndlrg
down song the sues W the prof to a Pant At erect six
Indent horn Me bodom of product
4 When insWW n a trend, Me trereh sMuIC be dug M
a width of 36 inches This not only fares labor in fox ere -
bon, but sin ismodes better loadboring opaity affair
badefill'mg is complete.
........................ 6.6.6.................
d*EZf ,oww
5. The Absorption Area (Sf) neuasry for a given ate shall
be small ball on mwlmum ball sewage flow (0PD) and
the Permeability for the Me, If ratan Nteda a mM, the
EII song can be used In Wrsoman, resuldng in a 40%
smaler dranfieW
B. Pla s F2flmv bumbeds) in the Uflm canfigumM1on ap-
Pmwd by Arden deign pemut specified for the particu-
lar site The top or cenkr-mint bunt contmning pipe
are pored And to ell wM an Internal piPo coupler Any
additional aggregate only bundles that may be requaed,
would be humid aganst Me otter aggregate-oMy bun-
dles will do not require any type of connMlon,
'/ The top of each GED cylinder cantons a filter fabre pre-
anufctiInbidw n the nettig all aggregate. The
boom Is inserted to Prevent loll intmaon, The iretmler
shad make sure Me this GEC is PosMPred upward and is
rmtect wild Me fabm contaned in the adjacent ryln-
1
Par Nome Peckfilmg
8. The Uflow Dmnfield SysPms should bed Inotelled in a
lewd harts in al directors (boll amas end song the
trend bottom) and should fodWw Me contour of the ground
suifece Mershon (uniform depth), wM Al commmos
wil 10-foot rylndncd] bundles PPaed ell Pend
wM central bonder dalnbAon ON interconnected,
Whom any dams, twood wars or Other aster Mctx
9. The trend top shal be graded such that water vall not
pond Sabot sMUW be seeded or s iddM Immommi
after completion to reduce erosion
10. Uflow EPS bundles we III ail of by In carnal
Pori as may be rebating, P awd beds, boulders, ar
other pbsfeclee
11 En aggregate a lighter than water, Merefors, at might
be expected Met matured buoyancy forms mount tend to
use Ufm sssembhes to flow out of ground when
pending occurs I Awfor nce Fes shoran, hoverer,
MM IMs is not a pmbbm Man sesbms more a minimum
of B' of sold cower as reommendM by transxturer.
................ 6.......................
Page 8
In -ground Gravity Management Plan PAGE 4 OF 4
IMPORTANT -
The owner of his i"hound gravity system shall be chancellor for ib p rs etuel maratm and maintenance pursuant to
requirements 0 BPS 382-384, Wisc. Admin Cade. Pursuant to BPS 383.52 (2), Mac. Admin. Code. this system Shell
b s considered a human room hazard if not maintained in accordance mm his approved management Man.
Furthermore, all inspection and maintenance activities Shall be performed by a registered POINTS Melnbinrt In
accordance with BPS 38352 (3), Wisc. Admen. Code
Maximum DISPOrbillArs Carnahan Limits:
Grolier Flow, 450 Spud; BOD15220mgL''; TSS5150mgL"; FOG 530 bill
Inspection Cheokllsl INSPECT EVERY 3 YEARS
n type of use
o age of System
nuleana factors b a odors, user complains, etc)
all mechanical muncton (i.e, puma, velvao ewtchs, pals, etc)
m"hM fatigue(I e., leeks, Meaks, compete. silt)
c wilds volume In anaerobic teabnem perils) and any"6d wepPorterianids) g e., distribution l drop tons)
o ailed or Wonder use (be. mceedng dsign®pantos, pMiMb screitls, es)
c elders d pending In distribution all pror to donng
daring Irreguoul. a applicants 10. pump re-TyGing, door switch Savings. etc.)
cab mi Components -d applicable (ie.,wiring, wnnemione swithes, commit. harry all eh.)
die "b laealonlateraloffm Mugging (meewre 19ere1 Distal preswre-compere la dagipn aedflcaton)
o surece discharge of effluent OF several dai Into structure Served
Maintenance Chockllat MAINTAIN EVERY 3 YEARS (or when racesuary)
• SONIC and don snk(el shall be pumped by a candled aptege servicing operator Ilconsed under a. 281.48 Wle.
State. when the volume of solids In the lands) encwda onHhlyd (1*) pre liquid volume M the Iank(e) or
as required by local entrance Disposal or contents Shall the inherent to NR 113, WIec Admin Cade.
• Effluent glW of Shell be inspected every 3 years and shell be banned when necessary to remove any
accumulated wilds ecconing a manufacWrels Specllcations. Aaervldng period vall Seel be greater than 12
months
System maintenance nporta shall be submitted a the proper lent government unit In accordance with
BPS 3413.55 Mae. Admin, Coda Report any component resume or multifunction to:
Named individualorwmanv Schmitt8 Sons Excavating, Inc. phone 715-760-0486
Local government unit St. Croix County Community Developement phone 715-386-al
Localgaernmem unit address. 1101 Carmichael Road, Hudson zip. 54016
Any defective pert of this system shell be realreq replaced, or removed pursuant W BPS 383 51(1), Wll Admin.
Code Roped or replacement of failed or malfunctioning computable shall comply with BPS 383, Mac Admin. Code
No product for chemical or physical restoration of the P0WT8 may be used unless approved by he department In
accordance with BPS 384, WIsc Admin. Code
Contingency Plan
In the event that any felled treabnent component of the POWS cannot aid repelead, it Shell be replaced pursuant to
e Man sudnladto the appropriate agency for review and approval. AfaiWi"g nddieperealcomponslmeyM
abandoned and replaced by a codemmdrng baseball component In a pre-detenmmed area of suitable cols.
System Abandonment
If use of his Poul is discontinued, it stall be abandoned In accordance wide BPS 3B3 33. Wsc Admin. Code.
Page 9
ST. CRM COUNTY
SEPTIC TANK MA UTfENANCE AGREEMENT
AHD
OWNERSHIP CERTIFICATION FORM
aeDMS James & Brenda Behan
bLIIIIry AGd,en 722 Oriole Lane, Hudson, WI 54016
Pmp AE 722 Oriole Lane
IvenSwum mparte u® Plo.uq a ]mhy Rpmm rm mv.aumstlrn)
Cirylsnu Hudson, Wl,„uIM„dfimIWnNlll,W020-1306-50-000 _
= wcf l� ,A, SE ti S . 27 T 28 NR 19 w. Town of Hudson
SuMlvaion Plp: Humbird Hills 3rd Additlon wg 50
CMsurvey pY Volme .Page M_
W- BrtE• /Ol7(9i>5 (Woo 2W)VolumeP.Sc/
Spa 6�mepp� Yw lhn ami5.b4BY••Ow+
SYSTEM MAINTFNA a ry
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melmw.�... w.nu.NwmPlre om,sew„kmotm.+r �. nu.m,oa.w.vrcm.a.M.umm,eP�w. wwrwvw lmo
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m.pwmmuo ew wvinm In Osrsam s01 eoi Iv eli.pe. u . s\ cml. euwlr s.mmy galverc<.
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rmwr PWutirem �lretlewm.m w;�so eenoru.ln nm e.pmorc mw.
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DATE
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PRIVATE SEWAGE SYSTEM
Saetr.m ewuy. w.a,ua
INSPECTIONREPORT
GENERAL INFORMATION (ATTACH TO PERMIT)
SNOCKI eRYI N L 6 BRENDA O U SON eqa wane
�dD.tUBY
'rJazz, I
TANK INFORMATION FI FVATFnu nerA
ouary
ST. C9dOIE
sa
vn
268656
Gen
In
TYPE
MANUFACTURER
WACITY
STATION
HI ^HI VV
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( ) 5 C,
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raj
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Dol
1 p rw. 6
?2 3-P'
Aeration
Mfg Smear
51,54,O'
Holtll
se /JKiMet—
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TANK SETBACK INFORMATION
SUN(Dunet
4.f5'
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PUMP/ SIPHON INFORMATION
Final Grade
Manufacturer
Demand
la
Model Num
TOH
n
Ldt Ft
force
LagIM1
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TIONSYSTEM
BED/TRENOL
win"LOGI
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INFORMARON
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UMIB Y
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COMMENTS: (Include code discrepancies, persons present, etc)
I.0(:ATION: NUOEON.27.29.191f, SE, SE, ORIOLIE L-AdNE�
�r�ic..lan..it 5�'�cQ�rJC�pef'-i<1rNtU
Plan revision reewred) El Yes E NO
Use other side for additional information
5BD-61DIR 0591)
Gert rlo
I `66^N Sm �� I SOIL EVALUATION REPORT am
N, r ' h ewM b Comm e5, w4em Coae Of 1 z
t • PrpleSelMal $¢Irxae In Bmmm Sol ienp, Mc
•Ym. IXmpbb eM pbon pePo,rgibu Nn a9n 111nOmaln.w Oaf
County St COMMMJULeNMASSI',
wrlbleM eMmnYl Mennm paM IBM161nMMana
pwmao M 5".b Of dwo,owM, roMw au, am lMOSM, am abYm n"Man meal
perN110
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0
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Soil Test Plot Plan
Protect Neme 4/ " shlmch ByroJr.
Address a/15'-rra f��f
CSf3479
LotjLBubdlvielon/�4..,' ,5(/„ei Aeate ,g
S�t14, 114"S,LT�LNIR&W Township ACle;,
❑ Boring p Well PL Property Line C unty
* BM orVRP �Aseume El edon loo R�i a", gg-L
System Elovedon*HRP
9a 41,
�a;
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