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HomeMy WebLinkAbout018-1087-79-000 0 0 2 § g ■ ¢ 2 » T @ E z Z } k § § co cp I c m Q:' ° 8 / 2 k q i` $ a� ] 8 2 2 @ OD� k o E _ �_ C (D ® > , k . CO = g� C co ° 4 ` K § � 0 8 8 I� n r CO) a a § ic & % \ o o o k �- _ ƒ 5 v $ o % \� I { CL Z . - ■ � e � . § & \ 5 §§f f £2 / 2. -It . °§ a % 2 i . CL D \ E ® ■ a \ 8 I � § 9 CD ■ j q ha 2 E § 2 2 § y 2 . � 7 � } # : . a. cE@> k «&r)� c 8 -0 /%K ��� C �- �3 3 6 am_$ £ ch E , �m�o � CD -CD / & >\ -3 > @2�2 k . q@§§ ; Qkmi / . � CD � \� 2 0 / §$ { 0 * f \ Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 479219 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)}. (��� = T�14wS • ��,� Permit Holder's Name: City Village X Township Parcel Tax No: Kruger, James I Hammond, Town of 018 - 1087 -79 -000 CST BM Elev: Insp. BM Elev: BM Des ption: � Section/Town /Range/Map No: 1 0115. a� .7� .� = m f 20.29.17.699 0 0 C' TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark laon Alt. BM _-- Bldg. Sewer St/Ht Inlet TANKS BACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. F V ntake ROAD Dt Inlet 132-) Septic r t i , Dt Bottom Dosing K 4 " Header /Man. Aeration Dist. Pipe Holding Bot. System PUMP /SIPHON INFORMATION Fn � „�,;{,� �e �?-�+ -- ab / Manufacturer Demand St Cover wt ►4 1 C—,._ GPM two Model Number - 3 , �.3v , Z( �. 2( Z71, TDH Lift , Friction Loss System Head TDH Ft 3 9.0� 3.q- s 3.30 11 c .12- (a cemain Length I Dia. �n Dist. to Well $b SOIL ABSORPTION SYSTEM ' 1 M Q , dffEb0H Width Length No. Of PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth �VM ENSIONS r Z I c 1. SETBACK SYSTEM TO -f P/L T BLDG WELL LAKE /STREAM LEACHIN acturer. INFORMATION T e Of S ste C CHAMBE N. YP J Z3Z� > T M. umber: DISTRIBUTION SYSTEM T'o No. (I L-- Header /ManifoI4 tr Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) 11 7 3 � �a 3 - ' L 2— Length � "S �Q ° 'pia I /'L Spacing 3' � � ' SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil ,,,, pp�� � Yes �� No (� Yes [� No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1:�_ !s/ Inspection #2:J ( Location: 1650 86th Avenue Hammond, WI 54015 (SE 1/4 NW 1/4 20 T28N R17W Oaks Lot 79 Parcel No: 20.29.17.69 9 1.) Alt BM Description = . 2.) Bldg sewer length = — ) > Ray at - amount of cover = 42 -9 + IV t y��,¢� 3) �Cr.�e� � -�� �• � (fie --. - -- - - __ _ - 2 Plan revision Required. Yes � I Use other side for additional informat"i No on. — _ - Date Insepctor's Signature Cert. No. SBD -6710 (R.3/97) Safety and Buildings Division Co` C: ' 201 W. Washington Ave., P.O. Box 7162 -, 5T- - I C1�/1 Madison, WI 53707 - 7162 Sanitary Permit Numb (to be filled in by Co.) ant of Comme rce r (608) 266 - 3151 I f q Z j 9 Departm Sanitary Permit Application REC lan1.4. Number A l l In accord with Comm 83.21, Wis. Adm. Code, personal ' lion you pr ide L3 11 310 may be used for secondary purposes Privacy L s m) i r Pr t-Addre s (if different than mailing addres I. Application Information - Please Print All Information �, AUNTv I (per . V 1p o Owner's Na me V Lot # Block Property Owner's M ailing Address Property "Location -) � r 3 a� � 5c '/a, /,Section y� City, S to Zip Code Phone Nuum j W1 (� ' 1GtJ tr' I E ,` (circle T N; R 1 o W II. Type of Building (check all that apply) a tv $ t ,,_../ � S bdivision Name CSM Number 4 or 2 Family Dwelling - Number of Bedrooms ❑ Public/Commercial - Describe Use ❑ State Owned - Describe Use - ❑City_❑Village`PTownship of 'Yl f►" 10 III. Type of Permit: (Check only one box on line A. Complete line B if applicable) Qm A. - ' 0-4Iew System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B. ❑ Permit Renewal ❑ Permit Revision 11 Change of Q Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. of POWTS System: (Check all that appl — I'Non Pressurized In- Ground ' "oum > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Lwdmg Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) V. RgersaWreatment Area Information: - Design Flow (gpd) Desiga Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area P r ed (sf) stem Elevation r . q�� , VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks I Tanks Septic or Holding Tank i �) f tc� �� Aerobic Treatment Unit Dosing Chamber 1'- V VII. Responsibility Statement I, the' l tttidersi ed, assume 'ty for kotallation of the POWTS shown on the attached plans. Plum is 1ja me )' Phtmber's S' re P P un . iber Business Phone Number kfb Pl n w l paber'� A ddre qs (Street�, Stat e) . VIII. Cozen /De ent Use Onl Approvgd ❑ Disapproved Sanitary Permit Fee (' Ludes Groundwater Date Issued Issuing Agent Sigffiture (No Stamps) S»rcharge Pee) Oz ❑ Owne Given Reason for Denial 7 J IX. Conditions o VApprov al SYSTEM OWNER, 1 Septic tank, effluent filter and dispersal cell must all be serviced /maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code /ordinances. t71 -tSilL . Attach complete plans (to the County only) for the system oil paper not less than 81/2 I � es in s QRTI_F,'�QR (R fl1 /f),Al e Page,,,-Of 4 rL ja TOO aF LR SrAK� r r� l �RAd/ t .7.7 AcRr PARLtL r B 3. y3 xerjAcmf s 97. ' , .41 W10 El re: AT Y LLe✓ STAAt J x 87 ,cocsc cr�t , Aas �� auao .trs re*rI c /asof yre P�. -Con4# rA+MK. SY,f . Ei . - 97. S � a.✓ 9), 6 co.0 soy, / I4 t v - 9 / /►a L \ 6�RAAE/ �/ .jC6SurA C.d. i p a. n.la r ��►o /e S �o � !J eSN �S`• 6L b `ARet! (L4f'���SAG✓ OROPstta ' + Qs/idd4/AY 2l C� PY . 4` Safety and Buildings 4003 N KINNEY COULEE RD commerce.wl.gov LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 i sco n s i n w ww.co www.wisco isconsin.gov 4 tc of Commerce Jim Doyle, Governor Mary P. Burke, Secretary April 26, 2005 CUST ID No.3412 ATTN: POWTS Inspector HERB J PELKE ZONING OFFICE PELKE PLUMBING ST CROIX COUNTY SPIA N6298 STATE HWY 25 1101 CARMICHAEL RD DURAND WI 54736 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/26/2007 Identification Numbers Transaction ID No. 1131145 SITE: Site ID No. 697370 James Kruger Please refer to both identification numbers, 86TH Ave above, in all correspondence with the agenc Town of Hammond St Croix County SE1 /4, NW1 /4, S20, T29N, R17W Lot: 79, Subdivision: Hammond Oaks 1ST Add. FOR: Description: Four Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 1014721 Maintenance required; 600 GPD Flow rate; 31 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 /01), Pressure Distribution Component Manual -Version 2.0, SBD- 10706 -P (N.01 /01); Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. 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, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Approval Requirements: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD - 10691 -P (N.01 /O1) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD - 10706 -P (N.01 /01). co" • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal A'1 are prohibited. ARTM ON OF • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption' area. chs. NR 811 & 812c SEE COIF • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. HERB J PELKE Page 2 4/26/2005 • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat • Comm 83.22(7) 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. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 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 a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 J Fee Received $ 175.00 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer II , Integrated Services WiSMART code: 7633 (608)789 -7893 , 7:45 am - 4:30 pm Monday -Friday cbratz@conunerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 r S FF cFi 4, o V FO 2 o ZOOS � jz � Private On -Site Wastewater Treatment System (POWTS) Index and Title Sheet Owner: Project Name and System Type ,7A &oz" 5Y Anawaw 60,y rs Location: Street Address .✓ .10� a7 & 7 64 Lo r 19 A.Y„►a.r� oA,rs / s " r �A.o �i rye,✓ Legal Description Township /County Contents: Page 1 //f/r06X ANO �r« S,wrr Page 2: o r Page 3: G ao.t f - .5 ri..✓ ,o.✓v ..� �/.�.✓ d f /lo r,.✓o Page 4: �,o� 1,o rs�r,�a �e�'•� r Page 5: �t -Pr.� „�,� /��.YP l�.vy o�.� Cirosl • �e� r...� Page 6: Page 7: Oo �✓ r o .v,✓r.� f �,�.✓w,.�. �,o.✓ ,vslirE , ✓r a�.,✓ Page 8: 11 Ir !r Ir I1 Page 9: Attachments: lzjr.!�.A r Al ED MMEI2CE . EY � �' � D D Plumber/Dr: Signed: :SPOND 1NGS Credential Number: , o - -?y/.z Date: G�SED .SBA - /06 ? / -P /f�u.,�D �o�yPo.vr.✓r /�q.✓avL ~ G>'s.ro = SQ - /o �o� •i° aoe Als rill w r...J e- re.' /�.e•.ra�� �r de'.c J/" ,.0 p Pagc_,L_of 9 L �w 9so 96.0 97 a Q. N. - rw of Ga sr,�� A I / CAAd f .7.7 AcR� Pw,ttrt r e$l A Corsi/. B 3. V3 SsTDwc rs �rcr / • B./'J.: 9X d � Rego EL ftG A7 Y 1 L a� S r,4 7 x $7 .?a7 X /dS / i7eu.vo JrJ f d;`1 /ase /7fo Q� tondo MA / Ec • ' 97. S or � / 97, o co•� ro4,� / � /� /.�llJdt r �� t lJ. • 9g. / / /I 104, Y" sc�e,/eb �•o• , p� r b aPe s op S t � /Q pd. C CG4�Q'��`SAL ✓ �RdP�Jto ,0lj,dd.IAY GAst�t6 � L. r 7? „sNfO 1 i V I I I 1� �14 �• M R R R . L r_ • .1 1� � IN C4 13 td (" k o• a t • r, pd Pd H col Cd 01 H Rf 0. 'd . 0 Q- R �: , a V M �,( � � x • o v n` t f k d A d ro i NZ, z � � c � o i Z ^ ►C yC cn 'd '� ~ � O �ZHr (T (T f1 rr Z . it ..H k k h � ` ('1 a tT � q w'" r XI V O y t Jkj M ly h Z o • td C ro � a C O � M a Page S Of 9 SEPTIC TANK E•PUMP CHAMBER CROSS SECTION'AND SPECIFICATIONS ..c 'Su. f'o. _ 4 Cl. VENT PIPE 12 MIN. ABOVE GRADE WEATHERPROOF ?' /p� FROM DOOR, WINDOW OR JUNCTION BOX APPROVED FRESH AIR INTAKE WITH CONDUIT MANHOLE COVERS W/ PADLOCK 3 f /a� -fNdo WARNING LABEL ae y dfiv - JAWAC - 1 ,_ 4 n MIN. 18" IN. INLET �► WATER TIGHT SEALS GAS z A,6E1 __4 A TIGHT , /APPROVED .4 Sao Fia rex A SEAL ; JOINTS WITH APPROVED , , ALM APPROVED PIPE PIPE 3' _ T _ 3' ONTO ONTO SOLID C ' ON SOLID SOIL SOIL' RISER EXIT PUMP OFF ELEV. &e FT. OFF D PERMITTED ONLY IF TANK MANUFACTURER HAS APPROVAL, 3 APPROVED BEDDING UNDER TANK CONCRETE PAD SPECIFICATIONS SEPTIC./ DOSE* TANK MANUFACTURER: G/iEsew, ar`rr NUMBER DOSES PER DAY: ,5; 8.7 !) . t TANK SIZES SEPTIC /a?So GAL.' DOSE VOLUME INCLUDING tiz. y I y = DOSE 7so GAL.. FLOWBACK: 1,?s8 GAL. ALARM MANUFACTURER: ,s 7; �'; /tNo.ya�s CAPACITIES: A = 3p INCHES = _ y83 GAL. MODEL NUMBER: SWITCH TYPE: /'9E.ecy..r �� / secs. B = 2 INCHES = 3za GAL. PUMP MANUFACTURER: �''"'� .�droRayo C = INCHES = iag.8 GAL. MODEL NUMBER: So f'o . SWITCH TYPE: Z�;;"r,4eaA D.= _$_ INCHES GAL. REQUIRED DISCHARGE RATE a GPM PUMP E ALARM WIRING AS PER ILHR 16.23 WAC VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE . FEET .+ MINIMUM NETWORK SUPPLY PRESSURE . . FEET + Igo FEET FORCEMAIN 1 - � FT /100 FT. FRICTION FACTOR .; s FEET TOTAL DYNAMIC HEAD - L,/ T FEET INTERNAL DIMENSIONS OF PUMP TANK: LENGTH Si!r ; WIDTH BD ; DIAMETER LIQUID DEPTH V8 a. HYDROMATIC HYDROMATIC • Bronze V, ionAvailable Typical Application' ig capacity sump /e ffluent, Sewage — -- Typical Application* Sewage, Dewaterin Capacities to 120 GPM (7.5 I /s (opacities to 140 GPM (8.8 I /s) Heads to 28 h (8.5 m) _ Heads to 28 N (8.5 m) Electrical 11SV, la, 9.5FLA, 60Hz; 23011 le, 4.7F LA, 60Hz Electrical 11SV,1e, I2FLA, 60Hz; 20011, le, 6.8f LA, 60Hz; Motor 4/10 HP split phase w /thermal overload protection, 230V, 1 e, 6.OF1A, 60Hz; 20OV, 3e, 4.1 FLA, 60 Hz; 1750 RPM 230V, 3e, 3.5FLA, 60Hz; 460V, 3e,1.8FLA, 60Hz; Minimum Recommended Simplex = 18" (457mm); _ _ 575V, 3e, 1.4FLA, 60Hz Sump Diameter Duplex = 30" (762mm) Motor (single phase) -1 /2HP Split phase w /thermal overload Automat¢ Operation Diaphragm pressure swdch (manual available) protection, 1750 RPM; (three phase) -1 /2HP Materials of Construction (lass 30 cast i ron polyp 1750 RPM I mpeller Thermoplastic n on - clog Minimum Recommended Simplex = 24" (609.6mm); Discharge Size 2" (50.8mm) Su mp Diameter Duplex = 30" (762mm) Solids Handling 1.1/4 (31 .8 mm) Automatic Operation Diaphragm pressure switch (single phase only) Power Cord 10' , OW, (20' optional) (manual av Superior Features • Carbon /Ceramic type 21 mechanical seal Materials of Construction (lass 30 cast iron • Oil filled motor w /automatic reset thermal Impeller Th ermoplastic non -clog overload for maximum protection Discharge S ze 2" (50.8mm); 3" (16.2mm) opfianal • Upper and lower single row ball bearing construction Solid Handling 1 -1 /2 " (38.1 mm) • Piggy -back plug available for easy maintenance Power Cord 1 e 10' , STW -A(20' optiona 3e - 20', STW -A and replacement Superior Features • Carbon /Ceramic type 21 mechanical seal • Oil filled motor w /automatic reset thermal overload for maximum protection • Upper and lower single row ball bearing construction • Piggy -back plug available for easy maintenance and replacement 9 30 'b i. tZ *1 Switch 10/1 b z 20 SP50 & SP50AB � I I z 3 0 -- - -- - - -I -- _ -- -- _ - - -- ZP40 ------ I �'— I P 1 Oi 0 Capacity -U.S. G.P.M. 0 20 40 60 80 100 120 1 40 liters /Second 0 2 4 6 8 t POWTS OWNER'S MANUAL AND MANAGEMENT PLAN FILE INFORMATION SYSTEM SPECIFICATIONS Owner Septic Tank Capacity .?S gal ❑ NA Permit # Septic Tank Manufacturer ❑ NA Effluent Filter Manufacturer Ea ❑ NA DESIGN PARAMETERS Number of Bedrooms 100 droom p NA Effluent Filter Model A � /oo E3 NA Number of Commercial Units - NA Pump Tank Capacity 7Sa [03 NA Estimated flow (average)* yoo al/da Pump Tank Manufacturer [3 NA pump Manufacturer Ily OA ono r c ❑ NA Design flow (peak), estimated x 1.5* Gdo g a l/da y Pump Model sP yo ❑ NA Soil Application Rate /, O al/da ft Pretreatment Unit RT NA Influent/Effluent Quality (NA❑) Monthly Average** p Sand/Gravel Filter ❑ Peat Filter Fats. Oil & Grease (FOG) < 30 mg/L p Mechanical Aeration p Wetland Biochemical Oxygen Demand (BODO ❑ Disinfection ❑ Other: Total Suspended Solids (TSS) 5 220 mg/L Manufacturer: Model: 5 250 m Dispersal Cell(s) Pretreated Effluent Quality E3 Monthly Average * ** ❑ In- ground (gravity) ❑ In- ground (pressurized) Biochemical Oxygen Demand (BODO 5 30 mg/L p At -grade W Mound Total Suspended Solids (TSS) 5 30 mg/L 0 Dri line ❑ Other: Fecal Coliform (geometric mean) <10 cfu/100m1 ❑ Leaching Chamber Manufacturer Maximum Effluent Particle Size 1/8 inch diameter Model Laying Length/Chamber *Wastewater Flow Verification and Calculations: Soil Application Rate _ gpd /ft 2 Area Req. ft a i (Other than bedroom based) Infiltrative Surface/Chamber- ESIARsting ft Minimum Number of Chambers p Aggregate Design Flow/Loading Rate= f} min ** Values typical for domestic (non - commercial wastewater Materials: all materials must comply with WI Adm. Code and septic tank effluent. COMM84 and be installed per manufacturers specifications ** *Values typical for pretreated wastewater. and approval letters. DESIGN CRITERIA ❑ "Wisconsin At -grade Soil Absorption System, Siting, Design & Construction Manual" (Converse et.a1.1990) ❑ "Wisconsin Mound Soil Absorption System: Siting, Design & Construction Manual" Converse, J.C. and E.J. Tyler. Publication 15.22 tion S stems" Publications 9.6 r_3 "Design of Pressure Distribution Networks for Septic Tank -Soil Abso rP Y ❑ "Design of Conventional Soil Absorption Trenches and Beds". R.J. Otis - ASAE Publications 5 -77 and "Design Manual - Onsite Wastewater Treatment and Disposal Systems ". EPA 625 /1 -80 -012 October 1980 ❑ SBD - 10570 -P (8.6/99) "At -Grade Component Manual Using Pressure Distribution" ❑ SBD - 10567 -P (8.6/99) "In Ground Absorption Component Manual" ❑ SBD - 10705 P (N.01 101) "In Ground Soil Absorption Component Manual" Version 2.0 p SBD - 10628 -P (N.6/99) "Recirculating Sand Filter System Component Manual" p SBD - 10656 -P (N.6/99) "Split Bed Recirculating Sand Filter System Component Manual" ❑ SBD - 10572 -P (8.6/99) "Mound Component Manual" JgJ SBD - 10691 -P (N.01101) "Mound Component Manual" Version 2.0 ❑ SBD - 10595 -P (8.6/99) "Single Pass Sand Filter Component Manual" ❑ SBD - 10657 -P (8.6/99) "Drip -line Effluent Disposal Component Manual" ❑ SBD - 10573 -P (R 6/99) "Pressure Distribution Component Manual" JX SBD - 10706 -P (N.01 /01) "Pressure Distribution Component Manual" Version 2.0 ❑ Drip -line Effluent Dispersal Component Manual for Multi-flo Onsite Wastewater Treatment Units El MAINTENANCE AND MANAGEMENT MAINTENANCE MONITORING SCHEDULE Service Event Service Frequenc Ins ct condition of tank(s) At least once eve ❑ months 3 ear(s) (Maximum 3 s.) Pump out contents of tank(s) When combined sludge and scum equals one -third (1/3) of tank volume months ears (Maximum 3 .) A least once eve El () (Maxi Inspect dispersal cell(s) t e Clean effluent filter At least once eve M months ❑ ear(s) Inspect pump, pump controls & alarm At least once every ❑ months 3 Mf ear(s) ❑ NA Flush laterals and pressure test At least once every ❑ months W ear(s) p NA Valves At least once eve ❑ months [I ear(s) NA Other: At least once eve E] months [71 earls) ❑ NA Page 7 of START UP For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. OPERATION The property owner is responsible for the operation and maintenance of the POWTS and submission of required reports. The quantity and quality of the wastewater stream will affect the performance and longevity of your POWTS. The installation of water - saving appliances and fixtures along with prompt repair of leaks reduces the wastewater volume. Also the brine or waste from water softeners, iron removal units, other clear water treatment devices and foundation drains should be discharged to the ground surface whenever possible. Note: this does not include laundry waste, showers, dishwater, etc. This system is designed to handle domestic strength wastewater, however the disposal of food based greases and oils, vegetable /fruit peels and seeds, bones, and food solids such as those produced by a garbage disposal should be minimized. Toilet tissue is the only paper that should be discharged into the system. Other non - biodegradable items such as baby wipes, tampons, sanitary napkins condoms, cigarette butts, dental floss, and cotton swabs should not enter the system. Chemicals such as petroleum products, paint, disinfectants, pesticides, antibiotics, solvents, etc., should not be flushed into the system as they can seriously damage your POWTS and contaminate your drinking water supply. Maintain a regular steady flow by spreading laundry washing throughout the week. Avoid vehicle traffic over all system components. Compaction of snow over the dispersal unit may cause it to freeze up. ❑ Valves Valves shall be operated in the following manner: Alarms Alarms should be tested on a regular basis by the home owner. If an alarm sounds, contact an individual licensed to service POWTS, There is normally a 1 day reserve under regular operating conditions, however water should be conserved until any problems with the system are corrected to prevent back -up of sewage into the dwelling or surfacing. INSPECTIONS Inspection shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Maintainer or Septage Servicing Operator (per the attached Maintenance Schedule). I Septic Tanks Component Tank inspections must include a visual inspection of the tank to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any backup or ponding of effluent to the ground surface. Access openings used for service or assessment shall be sealed and/or locked upon completion of service. Any defects shall be promptly corrected. Exposed openings greater than 8 inches in diameter shall be secured with an effective locking device to prevent accidental or unauthorized entry into the tank. When the combination of sludge and scum in any tank exceeds one -third (1/3) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with Chapter NR113, Wisconsin Administrative Code. The outlet filter(s) shall be inspected and cleaned to remove any accumulated solids according to manufacturer's specifications. Provisions are to be made to retain solids in the tank. Filter cleaning may be necessary at more frequent intervals than stated in the maintenance schedule to keep the system operating. Pump Chamber /Treatment Tanks Component The inspection must include a test of all electrical equipment such as pumps, alarms and floats. A visual check must be made for leaks, backups, surfacing, missing or broken security devices and other hardware and the condition of any filters. Any service needs or repairs shall be promptly taken care of ❑ In- Ground Gravity Component Dispersal Cells The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Ponding at depths greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. Page__&_of 9 i Mound, At- Grade, In- Ground Pressure The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Ponding greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. The pressure distribution system is provided with an opening at the end of each lateral to be used for flushing. The laterals should be flushed at least once every three (3) years. Pressure checks of systems with multiple laterals should be done to ensure that equal distribution of effluent is occurring to promote the longevity of the system. REPORTS Reports for maintenance, inspection, and monitoring shall be submitted in accordance with COMM 83.55 Wisconsin Administrative Code. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to ensure that the system is properly and safely abandoned in compliance with Ch. COMM 83.33, Wisconsin Administrative Code. - All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. - The contents of all tanks and pits shall. be removed ;and properly disposed of by a Septage Se: r acing Operator. - After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or other inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. Q� The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. <<WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTIAN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROIM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name elxld ^rZier /P- 3V /Z Name 6 r OAK! AwVd .✓ Phone 21 4 7 ,? - S.T Phone 7 1.r 4 7.7 - a SEPTAGE SERVICING OPERATOR (Pum er 4w,,,1,,< sr.✓ LOCAL REGULATORY AUTHORITY Name LA Len S T oix ? �ri.✓� Phone Phone S 8L - yG 80 K: \WPDATA\Efl\POWTS OWNER'S MANUAL.doc Page_2_of J_ 400 WPM/ Maintenance The interval for servicing septic tanks is set by state and local code. Throughout the United States there is a wide difference of opinion on what this interval should be, but most regulatory agencies suggest two to five years. The Zabel' filter, which does not increase the frequency of servicing for the tank, should be cleaned when the septic tank is normally inspected and pumped. However, our filter Is virtually self- cleaning. The continued action of the anaerobic organisms on the Zabel filter causes lodged particles to disintegrate and fall to the bottom of the tank. If your filter contains a SmartFilter'm alarm, you will be notified by an alarm when the filter needs servicing. To service the filter: `Servicing any Zabel filter should only be done by a certified septic tank pumper or installer. Locate the outlet of the septic tank. t '' r Firmly pull the filter handle and slide the cartridg6 out s; Remove the tank of the :1 and pump the + 'Note: A tee handle may h'& .3 necessary to pr to be used it the rrrer , t ; any solid ! below ground level to escaping to th Contact Zabel for info when the f ` handles rem a s While holding the_. t:Ot ti(il the access operlin @ x '#' Insert the filter cartridge with frallr , back in the careful to rinse all sure the lilt b proper) 'Note: It is not neceS comp letely I "spotless' The Mom P Y aides in the pretreatme be left on the filter. (If n �► may be disass Replace t NSA MADE IN USA The product(s) shown are covered by one or more of the following patents: U.S. 5,762,793, 5,580,453, 5,591,331, 5,759,393, 5,683,577, 5,582,716, 5,779,896, 5,593,584,5,795,472,5,736,035, 4,710,295, 5,382,357, 5,482.621 U.S. Des. 386,241, 349067, 4605501,5098568, Des. 309007, Australia: 134440; Canada: 2,135,937; Israel: 111574; New Zealand: 264824, Other Patents Pending Call for a free ZABEL ZONE An Onsite Wastewater Magazine 1- 800 - 221 - 5742 • Website http: / /www.zabel.com A100/300.1•M,61499 Wisconsir;DepartmentofCommerce SOIL AND SITE EVALUATION Page 1 of 3 bivision of Safety and Buildings in accord with Comm 83.05, Wis. Adm. Code ' Gustum Septic Service Attach complete site plan on paper not less'than 8%: x 11 inches in size. Plan must FPaLrce lI.D.# include, but not limited to: vertical and horizontal reference point (BM), direction and St. Croix percent slope, scale or dimemsions, north arrow, and I dWance to nearest road. APPLICANT INFORMATION - plea . '�A-0 t a ". 1 0i Personal information you provide may be used for tlary pum- (PrivacyWw, s` !.04 (1) (m)). Date u �Z �S Property Owner Prrperty Location Humbird Land Co oration _ G04 Lot n/a SE 1/4 NW 1/4 S 20 T 29 N,R 17 W Property Owner's Mailing Address c rf a L.ot., Block # Subd. Name or CSM# 3 32 Minnesot Street, East 140 .�;, n/ _ H ammond Oaks.JM Additio -- City State �'ip,.C„ode Phondl<tldtW City ❑ Village MTown Nearest Road Saint Paul MN 5. 01' t+1�s "` Hammond 160Th Street New Construction Use: ❑ Resi tial tiVufiaof s 3 ❑Addition to existing building ❑ Replacement ❑ Public or coeaFd scribe Code Derived daily flow 450 gpd Recommended design loading rate .5 bed, gpd/ft2 .6 trench, gpd/ft Absorption area required 900 bed, f? 750 trench, ftz Maximum design loading rate .5 bed, gpd/ft2 .6 trench, gpd/ft Recommended infiltration surface elevation(s) along 97.0' contour ft (as referred to site plan benchmark) Additional design / site considerations BM 2 = 97.2' Parent material ground moraines Flood plaii n elevation, 'rf applicable n/a ft S- for system Conventional Mound In Ground Pressure AT - Grade System in Fill Holding Tank for system 1 S ® U ®S ❑ u El ®U El ® U ❑ S ®U ❑ S ® u SOIL DESCRIPTION REPORT Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPDIft n9# in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed :Trench 1 1 0 -9 10yr3 /2 none sil 2msbk mvfr as lf,lm 0.5 0.6 2 9 - 10yr4/4 none sil 2msbk mfr cw if 0.5 0.6 Ground 3 17 -25 7.5yr4/4 none gr. sil 2msbk mfr cw - 0.5 0.6 elev _ 97.2' ft 4 25 -31 7.5yr4/6 none gr. sl 2msb mfr cw - 0.5 0.6 Depth to 5 31 -38 7.5 r4/6 1. c2 -3d 10 7/2 De - - p Y 7.Syr5 S gr. sl 2msbk mfr 0.5 0.6 limiting l '----------- factor 31" -- Remarks: 1. Bands of 7.5yr4/4 sl. 2 1 0 -9 10yr3/2 none sil 2msbk _ mvfr as 1f,1m 0.5 0.6 2 9 -15 10yr4 /4 none sil 2msbk mfr cw if 0.5 0.6 Ground 3 15 -25 7.5yr4/4 none gr. sil 2msbk mfr cw - 0.5 0.6 elev - 96.1' ft 4 25 -36 7.5yr4/6 none gr. s 2msbk mvfr cw - 0.5 0.6 Depth to 5 36 -42 7.5 4/6 1. c2 -3d 10 7/2 - - p 7.5y 7.5 /8 De gr. sl 2msbk mfr 0.5 0.6 limiting - - - -- factor 36 6" " Remarks: 1. Bands of 7.5yr4/4 sl. CST Name (Please Print) Signature Telephone No. Tom Gustum � 715 -658 -1344 Address Gustum Septic Service Date CST Number Ref# N13450 937th St., New Auburn, W1 54757 2/29/00 227618 1174 PROPERTY OWNER: Humbird Land corporation SOIL DESCRIPTION REPORT Page _ of ._ 3 PARCEL I.D.# _ _ _ Gustum Septic Service - Depth Dominant Color Mottles Structure GPDi'It� Horizon in. Munsell Qu. Sz. Cont Color Texture Gr. Sz. Sh. sistenct: Boundary Roots — Bed � T cnre h 3 1 0 -10 10y r 3 /2 non sil 2 msbk mvfr as if im 0.5 0.6 2 10 -15 10yr4/4 none sil 2msb mfr cw if 0.5 0.6 Ground elev 3 15 -24 7.5yr4/4 none gr. sil 2msbk mfr cw - 0.5 0.6 972 ft 4 24 -34 7.5yr4/6 none gr. sl 2msbk mvfr cw - 0.5 0.6 Depth to c2 -3d 10yr1 /2 limiting 5 34 -40 7.5yr4/6 1. 7.5yr5/8 gr. sl 2msbk mfr - - 0.5 0.6 factor Remarks: 1. Bands of 7.5yr4/4 SL Ground elev Depth to limiting factor - -- - - - - -- -- - - - - -- Remarks: Ground — elev Depth to limiting - - - - - - -- - — factor Remarks: Ground- - - -- - - - - -- -- - -- - -- - - -- -- -- - - - - -- - —= elev Depth to limiting - - - - - - -- - -- factor Remarks: _— — � /Qh'1/YJoj9ty vu'KS r7'da'17�.'a.� 6�s'1 d; /rqm mond �1 Coy t vi- NiV 7,2 y Ai ca � 6 �t en = E Q (V 6M � lao, 7e P / o r G,, c n .�iA K ' L e m roue n d 1= R f ytl�oc✓ SIX � At igs S c-t l P 45 e 9,6 F —3 --- 07/06/04 TUE 09:44 FAX 715 386 4686 ST CRX CO ZONING Z001 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMI3NT ` AND OWNERSHIP CERTIFICATION FORM Qwner/Buyer J eers (t,� Pte' Mailing Address 10 9 4 - d aV41N f- \/ Propwty Address Lo� ft r)A �S G 5 o AT , (Verification required from Planning Department for new construction) Citylstate Parcel identif Number Cl I - 7 J1 0 0 - 0 ftcat Y LEGAL—DI ESCREPTIO N Property Location 511=� %4, t4 t+J '/4, Sec. "22 . T a fl N -R L 1 W, Town of h Subdivision 'nk4 y C4L Certified Survey Map # - - -� - Volume . . Page # Warranty Deed # '� �-7 Volume . Page # Spec house)(' yes no I,et lines identifiable ss no �Y SYSTEM MADUFNANCE Improper use and mMutenaneeof your septic system could result in its prc=wm failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three yearn or sooner, if needed by a licensed pumper. What you put into the system e= affect the lltuctiou of the septic tank as a treatment staip in the waste disposal system. The property owner aVVu to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterplumber, ummymanplumber, restridWplumber or a licensedpumperverifyieg that (1) the on -site wastewaterdisposal system is in prow opetating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Vwe, the umderaigned have read the above nQuimmeats u d agree to maintain the private sewage disposal system with the standards set forth, herein, as set by an Department of Commerce and the Depariffient of Natural Res ourm, State of W isconsin. Certification stating UtYm septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 da year expiration date. A PLICANT DATE O )E2 RT�+TCATION we) =tW that Ali statements on this form are true to the beat of my (our) knowledge. 1(we) am (are) the ownel(s) of 'bed above, by virtue of a wanuty deed recorded in Register of Deeds office. SI P APPLICANT DATE 000.0: Any information that is mis- represented may result is the sanitary permit being revoked by the Zoning Department. ****#* s Inelude with this application: a stamped warranty dead ftm the Register of Deeds office a copy of the ealified tutvsy map if eefet*noe is made in tha wwanty deed r TA �:. •f } l= M s - J' Cou�R�OPu a vx a © 16' o I 7 ad t04 1 1 �-� 5 1 �' U; 2797P 262 7 9 4 2 Ata 5 STATE BAR OF WISCONSIN FORM 2 - 199(5 WARRANTY DEED KATHLEEN H. WALSH REG D Document Number ST. CROIX COWI This Deed, made between Merlin Land, LLC, a Minnesota Limited RECEIVED FOR RECORD Lia bility Company -- 05/05/2005 10:50AH MARRAHTY DEED Grantor, and James L. Krueger and Jennifer L. Krueger, husband and E 84P'T = wife _ -- -- — " _ _.___� �.__-- -- -_-- REC FEE: 11.00 TRANS FEE: 173.70 COPT! FEE: CC FEE: Grantee. PAGESs 1 Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in SL Croix County, State of Wisconsin: Recording Area Name and Return Address Lot 79 Iatnmt:nd_ Addition Subdivision,Town of Hammond, St. Croix Wisconsin 019 -1087- 79-)0 Parcel Identification Number (PIN) This is not homestead property. (ix) (is not) Exceptions to warranties: Subject to notes, easements restrictions,covetmnts and rights of way of record, if any, including but not limited to those for drainage,water retontion,ponding,and or utilities as may be shown on the plat of Hammond Oaks l st Addition Subdivision recorded in Vol. 8 of Plats, page 25, St. Croix County, Wisconsin The warranties of this deed, either expressed or implied are limited by the grantor to the grantee, or anyone in the chain of title, to the consideration expressed berein, that being the sum of 557,900.00. Dated this 25th day of April _ 2005 Merlin Land,LLC w r + b y President e _A ustin J. Baillon AUTHENTICATION ACKNOWLEDGMENT STATE OF WISCONSIN ) Signature(s) Ramsey . County. ) _. Personally came before me this 25th day of authenticated this _day of __. -. April 1 2005 the above named Aust J. BaIHon TITLE: MEMBER STATE BAR OP WISCONSIN to me known to be the person(s) who executed the foregoing (lfnot, Ins t and ,aclrn� ledge the same. authorized by § 706.06, W is. Scats.) / %�a K� THIS INSTRUMENT WAS DRAFTED BY ON Paul A. Ba illo n, Attorney at Law ` Paul A. Baillon I Nora PcIbllo-Nfrr»st7ta Notary Public, State of W' mcorMasa111009 S Irlat (Signatures may be authenticated or acknowledged. Both are not My Commission is perm t not, a expuahon tc: may ,,) January 31 - 2010 ) .Names orpersons signing in any capacity should be typed or printed below their signatures WARRANTY DEED STATE BAR OP WISCONSIN PORM Ne. 2 - 1995 rNFORMATION PROFESSIONALS COMPANY FOND DU LAC, W1 SM -655 -2021 Acr es ` tx� It .l' UT ?$ 1.!O des -t- ' C U � 1 Of RA r o O tlfi r c P 1 j 1 , J i Com` -,, �OT 7& MEN T 1.57 Acres ER % � : ms' s 68194 sq. ft 1 107 9.00 O;P --- S77 01 Ul N88*2 P 6'E 247-74' 2167 52# 28 � 42().14' 0 71 w Isl 6 r; , 5 2,62' in z S Iwo. 0 ft o C 30' OR 0 EASEMENT NJ z z LOT 78 1> o j 'pj 588*55'02 57 71' 1.92 Acres Ir 83873 sq. ft AM S88'55'02"E N r 69.73 LOT 79 ry z 2.68 Acres 116775 sq. ft Sl C) 39, Co C) ?"W I I 9� A V A-1 LOT 80