HomeMy WebLinkAbout004-1028-60-100Wisconsin Department of Commerce
Safety and Building Division
GENERAL INFORMATION
Personal information you provide may be used for secondary
Pernik Holders Name:
Ted Anderson
TANK INFORMATION
PRIVATE SEWAGE SYSTEM
INSPECTION REPORT
(ATTACH TO PERMIT)
[Privacy Law, s.15.04 (1 Nm)]
City Village Township
TOWN OF CADY
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/ PUMPISIPHON INFORMATION
K
a�
TDH Lift I Friction Loss ( System Head t l uH rr
ie ti.1.4 3,zS q.L�
�Forcemam�Lengur�D Iwra.4 f I�..�o.........��� c
00 ovwTln\t nATA
STATION ,ATF
&
Fj;
FS
LEaV•
nchmark
1
D /
Alt. BM
Bldg. Sewer
I re
St/Ht Inlet
,
St/Ht Outlet
Dt Inlet
Dt Bottom
p
�4
Header/Man.
Dist Pipe
2,&
Bol. System
0
al>rade
,
t Cover
BE •_ • •—_ _Width
ENSIONS
• — • - _ - —
-Lea (
No. T Aanelles
PR DIMENSIONS
No. Of Pits
Inside Dia.
LiquidDepth
SETBACK
INFORMATION
SYSTEM TO
I PIL IBLDG
1WEd
LAKE/STREAM
LEACHING
CHAMBER O
UN
ufadurer
Type Of System: /�
ti
%
J
Model r.
YrV r
Header/Manifold ' f)
Distribution [ I !
1 %Z"'
x Hole Sim 414
!VA,
x Hole spacing
�•
Vent to Air Intake
Dia L
Lennggth�� Dia Spacing
Length
1 .
papal p1,er
Depth of
xx Seeded/Sodded
xx Mulched
Syr
Bedrf Center (^'
BedlTrench Edges
Topsoil
Im
Q y� O No
Yea No
.
If
COMMENTS: (include code discrepancies, persons present, etc.) 'Nspection ut: 1' 'r ^J inspection
Locatlon: 423 325TH ST
1.) Alt BM Description zliff-t1r"'prW
2.) Bldg sewer length = 0531
- amount of cover = 3111,
1 wit
Plan revision Required? ❑0 Yes 0 Na
Use other side for additional information. ` ttt"' IIIYYY ttt
Date Insepct1s Signature Cert. No.
SBD-6710 (R.3197)
9t S f,,. - I -fP4 A 15M - d9a 1- tela
VIE
Safety and Buildings Division
County G�O�
`04 20215nt
01 W. Washington Ave., P.O. Box 7182Sanitar,
Madison, WI 53707-7162
Permit Number (to be filled in by Co.)
:, XC
�o Y19�7
-`"` Cr Ix
`" e17r1it Applicatio
State Transaction Number
b'✓ Z �O d I —C�
In accordance with SPS 333.21(2). Wis. Adm. Code, submission of this form to �� �priarc Bo is
Project
Address (if different than mailing address)
is required prior to obtaining a swtry permit Note: Application forms for swcownedT� are submitffd to
the Dcpattrnent of Safety and Professional Services. Personal information you provide may be us dry
in accordance with the Priv LEE S. 15. 1 in Stus.
� �f � � �y 5 �' JC t
L `
1. Application Information — Pkese Print All labrmation
Property Owner's Now
Parcel M 1
(304
property Owner's Meiling Address
�i a5 3Zb�,4i1 SE�u l�
Property Location 1 43 6
12 z s? . i s v
Govt Lot
1/s �l /4 Section 1 Z
City. State
Zip Code
Phone Number
WrL
-715- — '
'p (ClfCle One)
T CA N; R 1 - West
a a
11. type of Ek s (cheek all that apply)
Subdivision
1 or 2 Family Dwelling — Number of Bedrooms 3
Public / commercial — Describe use
KW40—
Block a
❑ City of
Na
State Owned -Described use
Illage of-Ti1�fJ /� �,
CSM Numr6?q
p)
Town of
III. Type of Permit: (Cheek only oat box on line A. Compkte line B if appliabk)
A.
New System
Replacement System
Treatment/Holding Tank Replacement Only
❑ Odner Modification to Existing System (explain)
B.
[Ipermit RetKwal
❑ Permit Revision
❑ Change of Plumber ❑ Permit Tro tsfer to New
List Previous Permit Number and Data Issued
Before Expiration
Owner
IV. Type of POWTS System/CompooeaUDevkt: (Cheek all that apply)
Non.Pressuriud In -Ground ❑ Preswrittd In -Ground At -Grade Mount >_ 24 in. of suitable soil Mound < 24 im of suitable sot 1
S�f
Holding Tornio ❑ other Dispersal Component Iexplain) mt Preucaesn Device (explain)
V. DbtpernIfTrestmentArea Information: C —
Design Flow (gpd)
Design Soil Appliation ale(gpdsQ
Dispersd Area Requn sf)
D7ispe I Arcs Is0
System E
`ibl
4S�
1 a.(o
MSo7SD
4 3E
Vl. Tank Info
C� in
'row
0 of
MeauNcturer
H
V
M6
Units
y^� 1 ,
1.0 •/ l N
S
Esistina Tilts
N� TIWts
y
eG
U
Septic Tank
1060
9.
Tro l�r
K
Lift Tank
540
1 AL
''
V ill. Responsibility Statement- 1, the ■ e for lostaftdon or the POWTS sbowa oo the !"ached plans.
Plumber's Name (Prim)
Pl S'
MP/MPRS Number
253976
Business Phone Number
715-231-7375
Lewis Bork
Plumber's Address (Street City, Stue, Zip Code)
E7919 Cots" Road E Menomonie. 54751
Vlll. County/Department Use Only
Approved ❑ Disapproved Permit Fee 1 IssnittlgAp ignature
�7S,00 3 Z Z
❑ owner Giver
IX. C rov a�oa for Dlaap al / _ 6
[�
1. sewic It
disparseIt It must trrvetr�tifm�ssi�d , - ` (Ah �yxf
y "a nyfg�eR ent own I f W ided by plumber (,p� ri
0.NlaatOPPsllRebMtOdslOfdIiiniaiam M mIMbNIW- a
�D IQki d'STin' "tG G{Ldtkto/ !/►t�ll �tv �i
ICN
^ ittAflo� �l 1 - ✓+�% L
SBD-6398 (R. I I(11) �/ A11 cov J v KS " h r^k TGI,
k
/lelln-
�i'
G"t' 3� 3
CHECK BOX AS APPLICABLE.
HECKBOX ASAPPUCO&E.
PAGE 2 OF
SOIL
EVALUATION
sale: �" - ao
eD
e° LY
SYSTEM
SITE MAP
°
ao
LOT PLAN
PROJECT NAME:
7o,
DESIGNFLOW 4so GPD
T�
&"
Apech design flow calculations for commercial plans.
PROJECT ADDRESS: JZS-� �
N
Pipe Material / ASTM Standard (Tables 38844.30 ��384.3G3)
(,J'rV4
BM Symbol'
M
BM Elwtlbn: 100
" -
9B^uar�' 9e>ror._1
Force Main:I �%�
BM IMr.APt M
A t Ah 1, , Q�'
Wr��1'...
Q\Af
IMPORTANT:
Bloppa Ondls %(%)
Well Symbol (11 ePPWuble): p
)
Iedloete noon ey
anwlnp ann.or
Show ground elevation contours at suitable htervals.
Of TeBMO MM:
on the eppropA4 Fe.
T. K,,A, Z539- 6
opgN sd
'1&4@L
1►S4e
t'd3�c,4�.1St,U�S Al( i LI L -71M
FFA
May 21, 2021
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 2023-05-21
Plan Review: PWTS-05210107 I -C
LEWIS C WORK
E7818 County Rd E
Menomonie WI 54751
SITE: Ted Anderson
405 325th street
Town of CADY
St. Croix County
Total Amount: $250.00
Descripdox: 450 GPD Q Bedrooms - New Comrrmcdoe)
Maintenance Required
DIVISION OF INDUSTRY SERVICES
2331 SAN LUIS PL
GREEN BAY WI 54304-5211
Contact Through Relay
http J/dsps.wi.govlprograms/industry-services
www.vAsconsin.gov
Tony Even - Govemor
Dawn Crim - Secretary
Conditionally
APPROVED
DEPT. OF SAFETY AND PROFESSIONAL
SERVICES
DIVISION OF INDUSTRY SERVICES
SEE CORRESPONDENCE
Pressure Distribution Component Manual — Ver. 2.0,
SBD-10706-p (N.01/01, R 10/12)
Mound Component Manual— Ver. 2.0, SBD-10691-P
(N.01/01, R 10/12)
The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes
and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be
constructed and located in accordance with the enclosed approved plans and with any component manual(s)
referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance
with all code requirements.
No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s. 145.06,
scats.
The following conditions shall be met during construction or installation and prior to occupancy or use:
• Preserve dispersal area prior and during construction to avoid disturbance, compaction and use of the site.
• With new construction; it is recommended not to activate the pump in the dose tank until the tanks are
pumped prior to homeowner occupancy.
• Wastewater generated from contractors cleaning of equipment and tools and/or left over construction
products shall not be discharged into the drains discharging to the private onsite wastewater treatment system
(POWTS). Waste generated shall be properly disposed of on -site or off site.
• Any tall grasses, leaves and shrubs shall be cut short and removed prior to tilling the surface for installation to
prevent matting under the dispersal area. All loose organic material to be removed from POWTS Dispersal
Area.
• Divert surface water from all POWTS Areas.
• Prior to construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches.
Smearing and compacting of wet soil will result in reducing the infiltration capacity of the soil. Proper soil
moisture content can be determined by rolling a soil sample between the hands. If it rolls into a 1/4- inch wire,
the site is too wet to prepare. If it crumbles, site preparation can proceed. If the site is too wet to prepare, do not
proceed until it dries.
• All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5
• Insulate building sewer beyond 30 feet per SPS 382.30 (11)(c)
• Well setbacks to meet chs. NR 811 & 812
• Tank Installation to follow all manufacture's recommendations.
• Verify property line(s) prior to installation.
• Pump Floats to beset and verified per approved plan. Any changes may result in pump resizing to meet
TDH and GPM Specifications.
• Areas that are occupied with ruck fragments, tree roots, stumps and houlders reduce the amount of soil
available for proper treatment. If no other site is available, trees in the basal area of the mound must be cut off
at ground level. A larger fill area is necessary when any of the above conditions are encountered, to provide
sufficient infiltrative area.
Owner Responsibilities
• The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating
to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and
maintenance manual and/or owner's manual for the POWTS described in this approval SPS 383.54(t).
• In the event this soil absorption system or any of its component parts malfunctions so as to create a health
hazard, the property owner must follow the contingency plan as described in the approved plans.
A copy of the approved plans, specifications and this letter shall be on -site during construction and open to
inspection by authorized representatives of the Department, which may include local inspectors. All permits
required by the state or the local municipality shall be obtained prior to commencement of
construction/installation/opemtion.
In granting this approval the Division of Industry Services reserves the right to require changes or additions should
conditions arise making them necessary for code compliance. As per state slats 101. 12(2), nothing in this review
shall relieve the designer of the responsibility for designing a safe building, structure, or component.
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address
on this letterhead.
The above left addressee shall provide is copy of this letter and the POWTS management plan to the owner and any
others who are responsible for the installation, operation or maintenance of the POWTS.
Thanks,
r%wi r/.�U o�eeaf
POWTS Plan Reviewer— Wastewater Specialist
Department of Safety & Professional Services I Division of Industry Services
email: tim.vanderteest(2rwisconsin.gov
Cell: 608-516-6134
PAGE 1 OF 6
Mound Plan
Index & Cover Sheet
Component Manual Design References:
Version 2.0, SBD-10691-P (N.01/01, R. 10/12) & Version 2.0, SBD-10706-P (N.01/01, R. 10/12)
Pg 1 of 6 Index & Cover Page
Pg 2 of 6 Plot Plan
Pg 3 of 6 Mound Cross -Section & Plan View
Pg 4 of 6 Distribution Network Specifications
Pg 5 of 6 Pump Tank Specifications
Pg 6 of 6 Management Plan
Attachments:
Enclosures:
Pump Curve
POWTS Application for Review
Tank s)
Soil Evaluation Report & Site Map
Effluent filter instruction
Project Name / Description
Owner Name(s): TE AuLsn.3 Phone: I`5 -
Owner Address: 40S 326th Sf(Wr Zip:
Project Address: 3 25-104. S)r•
Govt.Lot: SW 1/4 of SE 1/4, Section t2 T ZB N-R tS EQor W�C
Township: CA County: is - GiC-o��
Project Parcel ID #: 1 cc){- IOLB- (a0 - cco
Designer Information
Designer Name: Lewis Bjork Phone: 715 -231 -7375
Designer Address: E7818 County E Menomonie WI Zip; 54751
E-mail: lewisbjork@yahoo.com
CorW/tlorelly
License Number: 253976 APPROVED
DEPT. OF SAFETY AND PROFESSIONAL
SERVICES
Remarks: DMSION OF INDUSTRY SERVICES
�r. 1/..-I t.., Z t
SEE CORRESPONDENCE
Signature: Date: -IS' ZOL
Onglnal signature required on each submitted copy.
CHECK BOX AS APPLIfJJLE.
SOIL EVALUATION Scale: V a 40•
SITE MAP I 40 Bo ea
PROJECT NAME:
10=
f5r�d1 �y
PROJECT ADDRESS: aZ5'� fArui-
//��//�� N
am SynWor + BM EWvmWn: I W FT
NJ
BM O*WAPaon
w4kwp north w
Slope GrWWntN (,� wee Symod IN eppllcabie), O �rw r rhos
or aaWAna: _L0 oe"eopreMy ar
�q�drwJl
FF 3�. c�,w«�+
�, oft6moi. ►ft.
SgAic�
w h.I�rz,
"�Ii.At.
I IS'i'
HECK apX ASAPPUCABIE. csr 34 3
SYSTEM PAGE 2 OF 6
LOT PLAN
DESIGN FLOW `lSa GPO
Attach design flow calCulatlons for Comneroal plans
Pipe Materiel I ASTM Standard (Tables 384.30-i88 384.30.5)
SWWy Se»r4_/ 5-zGc
FrcMain. /6A4 0&
IMPORTANT
Show ground ebvadon conbus a cult" intervals.
ZS39-1 6
c�peN sd --
�Q5
cp' 9e�
0.5' TO 2.5' WASHED AGGREGATE
(min. 6.0' beneath disttibutbn pipe - min.2.0'
over distrbu don pipe and covered with
approved synthetic fabric)
Lj ASTM C-33 SAND FILL
min. 0.5 ft
T-
Plowed Surface
SINGLE -CELL
MOUND DISPERSAL AREA
DRMIN. 8.0' OF TOPSOIL COVER
min. 1.0 ft
r--a
F-- A=�._n �I
Surface Con
Elevation = TM ft
(Show force main, manifold, and flush valve locations on plan view.)
Dft
E= ft
System Elevatbn = t O( ft
Lateral Invert Elevation = ta-if ft
CROSS SECTION VIEW
(No Scale)
7k
10 % Slope ,
PLAN VIEW
(No Scale)
0 Schdl 40 11 0- 5} 2 tt 7
•PVC Lateral J
(typo �•q ( (� t
l - — — e — — — — — --- — — — — — — — — — — — — obaervatfon
L--------------------------------------------------J
13 It
8.71 1•y3 I = _jzq_ ft K =
Bend as necessary to follow contour
DOWNSLOPE TOE
L= 93.6ft
Prohibit disturbance and vehicular traffic
within 15 feet of downsbpe toe.
Reset Page
4.3 ft
(rYDWA
I.3
D
0
m
W
0
rn
DISTRIBUTION NETWORK SPECIFICATIONS
(No Scale)
FLUSH VALVE DETAIL
(No Scab)
Orifice in — ` ` Valle Box Lateral Spacing
Cent Head Teatingof Thre"�p (insulation optional) S = .3 n
(optional) /
I `I Shield orifioo for
Ball Valve I \ gas applcatbns
(Mortal)
i �f \
N�. � ` � 1� I Lateral Length (P) _ -IX, ft
y�
+ plow plea'
oplbnal)
'•J 80Schdl40 /
PVC Mardold
Z. '0 Schdl 40
PVC Force Main
(Slope to pump tank
r- for drsln. a )
First Offte
(typical)
/f Lasersk 10 be level 1
` —ht� sc40 PVC Lateral 0 = 1 • J in
(typical)
Number of Orifices per Lateral =
Onloes -*-" apaced.
( a) OR b) below)
a) AZjL alaq bosom of lateral Flush Valve J Orifices equally spaced
b) -a along top of lateral Assembly along bottom of lateral
widr every _ b ttok (typical - see detal) �
fwxV down Last Odke ` Q
LATERAL INVERT ELEVATION = .17 ft (typical) Orifice Spacing (X) = 4g in
(typical)
(types) Orifice Diameter = in
OBSERVATION PIPE DETAIL
(No scab)
Screw -Type or
:'
sip Cap Poobl + +
Finished Grade
(mulched ti seeded)
4*0 PVC Pkm :.
Top" Cover
Top of pipe to terminate
(min. 1 foot)
at or above IYrishtad graft '
(4) 114'41 x 8' slots
apart
Andw tg Devoe :':
Infiltration
Surface
Orifice Discharge Rate = . G6 gpm
Number of Laterals = Z
Lateral Discharge Rate = gpm
TOTAL DISCHARGE RATE = ;i GPM
(types) First Orilloe
(typical)
i--- x-I END MANIFOLD
Check
(t'pkal) � CONNECTION
applicable box.
7
MwWold
First Orifice (fter Pipe optional) D
(typical) G)
I--- x--}-xrz X/2 I--x I --m
(typkel) (t1 ")
Mantua a CENTER MANIFOLD n
(riser pipe optional) CONNECTION tT
PAGE 5OF6
yq
(4
rl
ID
SEPTIC 1 PUMP TANK SPECIFICATIONS
(No Scale)
.-0 pant PPO
> 10 it from
Building
ElecMcal moot comply Mh
O
12' Win. or 2.0 1l above
SPS 316 and NEC 300
Extend rryrxtde data n nataswry.
/ —
Eotablshed Flood Elevalon
WeelharMod
(lyplw)
Junction Box
U
Approved
Awed Woking Manhole
IMPORTANT: v° t'
witty blaming cabal AUW ad
Q
q
Anchor Lank(s) as necessary
pursuant to SPS 383.43(Byg)
--conduit
a Min. or lo2.on aDwtt
EtltebYot+ed Flood Ebrelbn
(yplcal)
`
� Akdghl Beal
•
Fini"d Grade
Quk, Deoonned
CAPACITIES ® 12.5 gallin
Depth (In)
Volume (gal)
A
as
3oz-
B
2.0
023
[c]
7
6
D
10
*Pump Tank Liquid Level in
Force Main Diameter =..�Q in
18' Kn.
• ilYdnU
1
I
yyaep
Hole
Approved Joints wlp+
Approved Pipe 3 A onto
A
Solid Ground
(NDicel)
I_ I__
aeti
e
�=an
ICl
PUMP -OFF
Pump
�_on
T.• 8 f1
ELEVATION = Mae
D
INSIDE BOTTOM
�� �,,,
*
ELEVATION = �� ft
Force Main Length
3' Approved Badding
= ft
66.1
Force Main Void Volume = �• gal
[C] Total Dose Volume (TDV = gal/dose
(5X total lateral void volume <_ TDV s 0.2X design flow)
+ (force main drainback volume)
MIN. PUMP DISCHARGE RATE _ JIT, 0`13 gpm
PUMP TANK:
Volume = '641) gal
Manufacturer: Manufacturer: V�IIP-ro PENN
Pump Manufacturer.
Zoeller
Pump Model: N152aaawwwo
(See Attached Pumpcunea
Controls/Alarm Manufacturer:
sommo�
SJERombus Wall
Controls/Alarm Model:
AB
Float switches containing mercury
are prohibited.
R.r eth Tank
,v FVerticaal Head= kin
+ Min. Supply Head =
2.6�tt
+ FM Friction Loss =�
ft
+ Fitting Loss" =
.1 S ft
�?—
'(min. supply head x 0.3)
= TOTAL DYNAMIC HEAD =
SEPTIC TANK(S):
Total Volume = gal
Manufacturer(s):
Install approved effluent filter at the septic tank outlet
immediately upstream of the pump tank inlet.
Filter Manufacturer: Orenco
Filter Model: FT-0822-14B
PAGE 6OF6
Mound Management Plan
IMPORTANT:
The owner of this mound system shall be responsible for its perpetual operation and maintenance pursuant to
requirements of SPS 382-384, 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 Maintalner in accordance with SPS
383.52 (3), Wisc. Admin, Code,
Design Flow = N5D gpd; BODS S 220 mgL"'; TSS <_ 150 mgL"; FOG 5 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., leeks, 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 (Le., exceeding design capacities, prohibited activities, etc.)
o extent of ponding in distribution cell prior to dosing
o dosing irregularities (i.e., pump re -cycling, float switch settings, etc.)
o electrical components (i.e., wiring, connections, switches, controls, timers, alarms, etc.)
o distribution lateral or lateral orifice plugging (measure lateral distal pressure - compare to design specification)
o surface discharge of effluent or sewage back-up into structure served
Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary)
o Septic and dose tankis1 shall be pumped by a certified septage servicing operator licensed under s. 281.48 Wis.
Stats. when the volume of solids in the tanks) 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 flltertal 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.
o Distribution laterals shall be flushed once every 3 year or when necessary.
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: Lewis BjorrkFamily Septic Service Phone: 715-231-7375
Local government unit: ds?• c&1y ,ilPhone: -K o" -1191P
Local government unit address: Af%1&A Uf-c ZIP: sl(7r7
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.
Continaencv 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 mound dispersal component may be
re-oonstructed within the originally approved area after removal of all failed components.
System Abandonment
If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wisc. Admin. Code.
0 %cries Effluent Pumps Zoeller Pump (ompam
hops. www.zocllerpump.s.cotmen-naprcducts.'sump-effluent-pumps cl..
50
141 45
12 40
35 152
10
30
J
Q
�a 6 20
15
4
10
E
5
151
PUMP PERFORMANCE CURVE
MODEL 151/152/153
0
10 20 30� 40 50 60 70 80 90 100
GALLONS
LITERS TJ
0 40 80 120 160 200 240 280 320 360
FLOW PER MINUTE
2'2P2018, 10,05 AM
l„f5
INFILTRATOR
tanks
The Infiltrator IM-540 is a lightweight strong and durable septic/pump tank.
This watertight tank design is offered with Infiltrator's line of custom -fit
risers and heavy-duty lids. Infiltrator injection molded tanks provide a
revolutionary improvement in plastic tank design, offering long-term
exceptional strength and watertightness.
Protecting the Environment with Innovative Wastewater Treatment Solutions
inn-540
Features & Benefits
• Strong injection molded
polypropylene construction
• Lightweight plastic construction
and Inboard lifting lugs stow for
easy delivery and handling
• Integral heavy-duty green lids that
interconnect with TVV" risers and
pipe riser solutions
Structurally reinforced access
ports eliminate distortion during
installation and pump -outs
Reinforced structural ribbing
offers additional strength
Can be installed with 6" to
48" of cover
Can be pumped dry during
pump -outs
• Suitable for use as a pump tank
or rainwater (non -potable) tank
No special installation, backfill
or water filling procedures
are required
INFILTRATOR
CIS
Maintenance Instructions
t.eeo-
BiatuW Effluent Filter
How to Clean Your Effluent filter
To ensure your effluent filter is functioning properly, it should be inspected every year. Under normal conditions, your
effktent filter will function for several years before cleaning is necessary. The filter should be cleaned when it becomes
clogged enough to restrict normal flows out of the septic tank At a minimum, the filer should be cleaned whenever the tank
Is pumped.
Most people prefer to have a septic tank service provider take care of filter maintenance and cleaning. You can find e
septic tank service provider in the Yellow Pages, under 'Septic Tanks & Systems' Or you can contact your county With
department for a list.
li you with to inspect and/or clean your effluent filter yourself, be sure to dress properly. Wear full-length parts and shirt,
shoes, gloves, and goggles or glosses. Then follow these instructions:
Remove the access lid to your septic tank by unscrew-
ing the stainless steel lid bolts with hex head wrench
provided. if your lid is above ground, R will be Baby to
find. If 0 is buried below ground, find the marker that
indicates its location.
2 Remove the filter cartridge by grasping the tee handle
and lifting it out of its housing (see photo U.
3. Spray the cartridge tubes with a hone to remove any
material sticking to them (see photo 2) Ensure the three
orifices in the optional flow modulation plate inside the
filter are clear of any debris. Make sure the rinse water
runs beck into the tank, but do not allow solids material
to fall into the open finer housing.
4. Frrnly piece the cartridge back into the housing.
5. Some etfluertfilters come with analarm thetactivates
when the filter needs cleaning. If you have an alarm,
check to make sure it is working by lifting the float
with a stick An audible horn should sound. The alarm
panel is normally mounted on the side of the house or
in the garage.
Now ff your effluent finer doesnt have an alarm system
and you would like one, call your local septic system
installer.
6. Record the dote thetyou inspected and/or cleaned
your fiker on the form that follows. If you checked the
alarm or made any other observations about the tank
or system, include that information under `Notes'
1. Attach access lid by placing it on the riser, matching
the openings in the lid with the bolt catches. Insert lid
bolts into catches and tighten with hex head wrench
provided.
photo f. Remove the After cartridge by frRing it out or rrs
housing.
Pho[p S. Spray the carbidya tubas with a hose.
rar►fr ml
a" u. ran
►yasar4
Table 2: Nominal Volume Chart
W,
w
Height'
Total 9quld voluane in tank at indcated height
IM-50
IM-1060
IM-1530
M
cm
U.S. cw
Lftni
UA (W
I'll
U.S. Gal
Lite"
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 1
13
29
109
65
246
94
357
6
15
37
141
86
326
122
463
7
18
46
173
107
405
152
573
8
20
55
207
129
488
180
681
9
23
64
243
152
575
212
802
10
25
74
279
176
686
245
928
11
28
84
317
200
757
280
1,061
12
30
94
356
225
852
312
1192
13
33
105
396
251
950
351
1,328
14
36
116
437
277
1,049
387
1.463
15
38
127
480
303
1147
422
1,597
16
40
138
523
3%
1249
464
1.756
17
43
150
566
357
1,351
500
1,892
18
46
161
611
384
1454
537
2,034
19
48
173
656
411
1,556
575
2,177
20
50
186
702
436
1658
614
2,322
21
53
198
749
465
1,760
652
2,468
22
56
210
796
493
1 866
690
2.612
23
58
223
843
521
1,972
729
2.758
24
61
236
891
549
2,078
770
2 914
25
64
248
940
577
2,184
808
3.058
66
261
988
805
2,290
$47
3,208
27
69
274
1,038
633
2,396
887
3,356
28
71
287
1 1.088
662
2,506
928
3,513
29
74
300
1,137
691
2 616
968
3 665
30
1 76
313
1,185
719
2722
1007
3.814
31
79
326
1.233
747
2.82E
1,048
3 966
32
81
338
1,281
775
2934
1,087
4,113
33
84
351
1,328
802
3,036
1,126
4,262
34
86
363
1.375
830
3142
1165
4,410
35
89
375
1,421
857
3,244
1,204
4,557
36
91
387
1,466
884
3.346
1,242
4 701
37
94
399
1,511
911
3,449
1 M
4.846
38
97
411
1,555
08
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
1,393
5,272
41
104
444
1681
1.018
3. WA
1.430
5,412
42
107
455
1,722
1,044
3.952
1466
5 550
43
109
465
1,761
1060
4,047
1502
5,685
44
112
475
1799
1094
4141
1537
5.817
45
114
465
I'm
1,118
4,232
1,572
5,950
46
117
494
1 1,871
1142
4 323
1,604
6,070
47
119
503
1,905
1,155
4,410
1,838
6,201
48
122
512
1.936
1187
4,493
1,687
6.310
49
1 124
5
1,970
1208
4,573
1.697
6,422
50
127
528
1,909
1 228
4,648
1,724
6,527
51
130
535
2,027
1,247
4.720
1.749
6,621
52
132
542
2 050
1,265
4,789
1,766
6,664
53
135
547
2 071
1,278
4,838
1 777
6,726
64
137
561'
2,087
1,287
1 4,872
1 1,7862
6,758
1. Height measured from lowermost Inslds surface at bottom of corrugation In tank.
2. The total capacity of the IM-640 tank is 552 gallant; the total capacity of the IM-1530 tank is 1,787 gallons.
U
-
O
0
CL
DECK
10x40
11
VAU_'!:)
DINING
11 x 13
TJ
'JA 77.
KITCHEN
11 x 14
Up
I
u
n � I
1 H .
II II '
-----��-----i�------, t,- FALL
II I
U
vk1 W,
GREAT ROOM
22 x 15 —
P Tw
I CH
12 +x b,� i
6)
MA5TER
BEDROOM
11 x 13
SrI�VR M5TR , 4
4 � 4 BATH
x 5
/2
Ba7H
b x 6
CL05
LNORY Ix 10
bxI
1� III I
IL-JII I ?------
Ol xL
wl" )
+L -
Lx9
ASON 1
9x
H1Y
t - j Z/t
4 L t
9 x L l_
Hl'd9 b x �
Gl x it
WOONGG
?J31SYW
i ----T- -
! � d
Qx=
WOOS 1yM49
Apr
TiYH
of l
�lxll Slxll
N3H71b1 9NINIQ
Cy'1M�. Ci"MA
•.r t
'd
t ,
Ol x Ol
YAC
CIO x of
ih3Q
ST. CRO UNTY SANITARY SYSTEM File*:
Use Only
OWNERSHIP/ADDRESS FORM Cno[edW021
Community Development Department will utilize this information to provide the property owner with
information regarding operation and maintenance of your new or replacement sanitary system! This
information will be provided as part of our ongoing efforts to protect public health, your well, groundwater,
surface water, property values, and county resources. Once approved, this completed form and educational
information will be sent to you by email.
Owner/Buyer
Ted Anderson
OWNER/BUYER INFORMATION
Mailing Address 405 325th St
City/State/Zip Knapp, WI 54749
Phone Number (reouired)715-308-0917
Email Address (required) 4wwNA (Sh C
Parcel Identification Number 004-1028-60-100
(found on the property tax bill)
NEW SYSTEM: LEGAL DESCRIPTION r
Property Location SW 1/4 , SE 1/4 , Sec. 12 . T 28 N R 15 W, Town of Cady
Subdivision Plat: none Lot #
Certified Survey Map # 1336he Volume 31 Page # 6'? a/
Warranty Deed # Y (693 (before 2006)Volume :Zaa Page #�_,
Number of bedrooms 3 Spec house 0 yes ■ no Lot lines identifiable 0 yes 0 no
OFFICE USE ONLY
New Property Address 7 2,3 '& 25 ^ /
(Verification of new address required from Community Development Department for new construction.)
3 1 23i Zi
(Staff Initials) (Date)
This form must be submitted with oil Private Onsite Water Treatment System (POWTS) applications.
Nov System: Include with this form a recorded warranty deed from the Register of Deeds Office and a copy of the certified
survey map if reference is made in the warranty deed.
Community Development Department — Land Use Division
715-386-4680 St. Croix County Government Center 715-245-4250 Fax
cdd@sccwi.gov 1101 Carmichael Road, Hudson, WI 54016 www.sccwi.00v
C�- P
M,AY 11 2021 t
Wisconsin Department of Coirrimarce SOIL EVAL ATION R PORT
Divialon of Safety and SuMdkii
htleppetdMlOe]Illth Comm B5, Wis. Adm. Code
County
Attach oomplete sne pan On paper not leas tltan 81/2 x 11 Inches In size. Plan must
include, but not limited to: vertfal and horfzontail reference point (BM), direction and Parcel I.D.
percent elope, scale or dimensions, north arrow, and location and dslence to nearest road. Q^
Please print all Information. Re by
M.r.
Page of 3
=
Personal nformeuon you provide may be used for secondary purposes (Privacy Lew, ■, 15.04 (11 (mi). I•12ar ?'o2
Property Owner Property Location
Aw3vSotJ Govt Lot S W 1l4 bE 1/4 S ♦ �, T � N R (S EE((or)W
Property (� r s Mail s Lott Block q Subd. Name or CSW
k,rry amfe up t oae P none numver LICAy f VVlage WTown Nearest Road
v+l: i sgigct "1lS -091 ' A 3 "T
1-1
O New Construction UseE] Residential / Number of bedrooms Code damned design flow rate sm GPD
Replacement Pullout or oommeroaall - Describe:
Parent material lAt&i gis 1 �� Flood Plain elevation H applicable R
Genenal ocrrmatts ,-_�� -� I
and recommertdauons: SAyi�ll I 14 �Al
Sol "�� gf zr3; Ln� Lr- +°:� P Lx 1.
B-1 gorarg0 ❑ Boring
El Pit Ground surface elev. _ A. Depot to limiting factor.
SoN ication Rate
Honzon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots
In. I Murrell pu. Sz. Coot. Color I Gr. Sz. Sh I I I 'EnNt 'Effg2
PJ 4. G— + 24 L 2F- C. 1.0
RT-L Q-W 154t.4v I eel 13m,L6e I " I es I zr. es Ord
El Bon tV Wr
it Ground surface elev. A. Depth to limiting factorl-. Cltll OrfnIlCArlrn IW\A
WWIIFTRT�F
Qu. Sz. Cont, Color
I_-_�
Et krenl a1 - BOD > 30 S 220 mWL and TS5 >30 < 150 - E t - tdCNJ � :w nVL and r Jb < 3U rrWL
CST Name (Please Print) CST Number
Lewis Bork 253976
Address Deft Evaluation Conducted Telephone Number
E781H County E Menomonie Wl 54751 311 -1,3- 715-231-7375
li 2 3
Property Owner Parcel ID M _ + � Q�.p 1 4 �• �10Page of
it Ground surface elev. fl. Depth to limiting factor Im ,_ ----
•Colorw■�
drip
M
MIM.,
FIX
MM
# Bonng - Rplt Ground surface elev.. R. Depth to limiting factor _ in.
B()ia�g M g Boring
• Pil Ground surface elev. R. Depth to limiting factor in.
Sol Aodintion Rate
Qu.Sz. Cont. Color
ME
lhaw�
• Effluent 41 • BODO > 30 < 220 mWL and TSS >30 c 150 mg& ' Effluent M2 - BOO, < 30 mglL and TSS f 30 mgfL
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an altemate format, please contact the department at 608-266.31 S 1 or TTY 608-264-8777.
seo-Kuot„1 cR 0.001
CHECK BOX AS APPUCARi. CHECK BOX AS APPUCAW. Est �� 3
SOIL EVALUATION Scale: 1" `40' ❑ SYSTEM PAGE 2 OF �o
SITE MAP PLOT PLAN
PROJECT NAME: fD, DESIGN FLOW: A{sa GPD
� ,� , , Aflach design flow cokxda jwm for eorraoMW plain
PRWECTAADDREES& 32,5.44% MoWW / ASTM SWiderd (Tads SM.303 d W.305)
am &/WAG am owslon: 100 F�T� N Sarw.ry 9AM+r — - z"
'f' FormMYn�
BM OdalpYorc IMPORTANT:
8'Yas{Aa N WONSyned (a AppAcaboy Q �*w d v � Show ground elewbn conkxn at s iWb InWV§b.
ZS 39-1 6
oeofa
J4 —
lips/
All
L - 71CO
N
f
4
Negative
(Concave)
Positive
(Convex)
ram•
..ram ���• ��l�
S1 a60;)�_couNnr
NO. 641917
STATE SANITARY PERMIT
qZ3 3Z5 tIN s+
RRdN�* b- PR Up,
PLUMBEF
TOWN OF
SEC- I 2_9T
AND/OR LOT
BLOCK --
SUBDIVISION
CHAPTER 145.135 (2) WISCONSIN STATUTES
(a) The purpose of the sanitary permit is to allow installation
of the private sewage system described In the permit
(b) The approval of the unitary permit is based on
regulations In force on the date of approval.
(c) The unitary permit Is valid and may be renewed for a
specified period.
(d) Changed regulations win not impair the validity of a
sanitary permit.
(e) Renewal of the sanitary permit will be based on
regulations In force at the time renewal is sought, and that
changed regulations may impede renewal.
(f) The unitary permit Is transferable.
History: 1977 c. 169;1979 c. 34,221; 1981 c. 314
Note: If you wish to renew the permit, or transfer ownership of
the permit, please contact the county authority.
ISSUING OFFICER - DATE
, V UNLESS RENEWED ]
23 /'ZZ.
AIN VIEW
THAT DATE
VISIBLE FROM THE ROAD FRONTING THE LOT DURING CONSTRUCTION
SBD-06499 (RI 1/20)
LJ ORIGINAti A L
CERTIFIED SURVEY MAP
PART OF THE SOUTHWEST QUARTER OF THE
SOUTHEAST QUARTER OF SECTION 12.
TOWNSHIP 28 NORTH, RANGE 15 WEST,
TOWN OF CADY, ST. CROIX COUNTY,WISCONSIN.
North 1/4 Corner
Section 12-28-15
w Aluminum Cap
� la
i0
IU-)
N Ito
p I M Fd 1" Iron Pipe
Z 1.34',S89'19'360W
U?
O
o w I 1 � �fence
LO � b ` 24't
,o 0 opv dwy
LOT 2, CSM
VOL.11 PG.3093
(S8872'45"W)
N89'19'36" E
1290.880
61 soil
tests
441,390 sq.ftGo .
1003 "' Mig 10.133 acres
0 Z I dz incl. r—o—w
`•" I I fence
0
0
Z
w 13'7.17'
�I
-
�.rn
Ln
AIM
N
i t
0l0
mI
Z
South 1/4 Corner
Section 12-28-15
Aluminum Cap
S8919'36"W
LOT 1
1299.99' —
UNPLATTED
LANDS
1! MAY 03 2021 I
nt
Csm-aoa1-035
PREPARED FOR:
Ted W. Anderson
405 325th Street
Knapp, WI 54749
Lot corner c
is 23' E.
and 42' N
(1338.36') of fence corner
1338.44'
ce
428,732 sq.ft.
9.842 acres
excl. r—o—w
1337.16'
Eacp parcel on this map is subject to State and County
I s, rules and regulations(i.e. wetlands, minimum lot size,
ccess to parcels, etc.). Before purchasing or developing
any parcel, contact the St. Croix County Zoning Office
and Town Board for advice.
YV'JIM A,
N8
* / OPANDT
s-M
k'Z46
Lot 1 is zoned R-1, Residential District, which allows
,l{..1 principal dwelling per 10 acres; therefore, 0
additional lot splits are available while zoned as
R-1. Please contact the Community Development
Department for more information."
UNPLATTE_D
LANDS
NE comer
of SW/SE
U_NPLATTE_D
LANDS
DRAFTED BY:
Joel A. Brandt
JB Surveying LLC
r-r A I r. 1^ ern'