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032-2000-90-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 572880 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)]. Permit Holder's Name: City Village X Township Parcel Tax No: Somerset Pray, Damian & Denise Somerset, Town of 032-2000-90-000 CST BM Elev: Insp.BM Elev: BM Description: Section/Town/Range/Map No: /b 0. 0 I Do . o Ivc ✓'ii x co c house @ sic/111g 36.31.19.468F TANK INFORMATION # t N6-5 : IN L4' — b 2t t i y - ELEVATION DATA/ TYPE MANUFACTURER '1L ' "' CAPACITY STATION BS HI FS ELEV. . Aar ,' Septic Benchmark , ail 'DO,D (boo —[j ` Dosing Alt. BM_ 1 / • D 4c/ CONIC( 3 .Q G g .5 Aeration Bldg.Sewer Fj ur e ' J 'a/ , ._ I D � q I .1- im St/Ht Inlet I b 2 ' I St/Ht'IIuflet l TANK SETBACK INFORMATION -- , TANK TO _P�L� WELL BLDG. Vent to Air Intake ROAD n e ��, Septic �� I b I I Dt Bottom 15 15 >5 s l5 too I g co , Dosing / Header/Man. 8 3 ' '1. I .0.'4 99.23 Aeration ( Dist.Pipe $,3 8 y 9,4•I 9,4, Holding _Bot.System 9.25 R3•t5 — 9.35 93./45 Final Gradebg PUMP/SIPHON INFORMATION 01 5-D T 7• L/ Manufacturer Demand St Cove � � q -I S ZU2 GPM ( \ 'Cr) • 1 Model Number N 53 V TDH 'Lift Friction Loss System Head TDH Ft a. 21 --' —1 i Co Forcemain Length I Dia. rr Dist.to Weli 4,v.[4N 0- 15 2 > 0' S rose SOIL ABSORPTION SYSTEM BED/TRENCH Width / Length, � / No.Of Trenches PIT DIMENSIONS No.Of Pits Inside Dia. (Liquid Depth DIMEN DIMENSIONS `/�/ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturerm L+ / / _a INFORMATION '�System: ^ l I1 \ CHAMBER OR 77 /�jL /� I N 1 Of V K-V UI v b� �1/ LI l J�VI I V/1 UNIT Model Number: j?v)CAL— -/ S DISTRIBUTION SYSTEM >5r np f+-9h L VI4- S;ctk ac- hctS( (� Header/Manifold ) Distribution x Hole Size x Hole Spacing Vent to Air Intake (.{ Pipe(s) ,,,/p( Length �, Dia / I Length Dia Spacing Y v L.1 / e� S SOIL COVER hi/ 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 ;� BediTreReh Edges i opsoll • K Yes No Yes IS No COMMENTS: (Include code discrepencies,persons present,etc.) Inspection#1: / / Inspection#2: / / Location: 736 Parent Street Somerset,WI 54025(SE 1/4 SW 1/4 36 T31N R19W) metes&bounds Lot Parcel No: 36.31.19.468F 1.)AIt BM Description= � 14fAr. LcVe� �x15:'J/t �JySk - Cl �s I"-' s 2.)Bldg sewer length= 15 t U c-0_ _ ,.,6(D f/ -amount of cover--2J o f �o✓�'r� �e cm�'/'tt� �✓ . Plan revision Required? Yes o 2 25 / �1 Virb A,// 1 2 :8 1-�Use other side for additional information. J Date Insepctor's S• , Cert.No. SBD-6710(R.3/97) Ir PLOT PLAN PROJECT Damian Pray ADDRESS 736 Parent St. Somerset Wi 54025 SE 1/4 SW 1/4S 36 /T 31 N/R 19 W TOWN Somerset COUNTY ST.CROIX SYSTEM ELEVATION 93.0/92.9 5' below grade 3/16/15 3 BEDROOM DATE CONVENTIONAL IN-GROUND PRESSURE CONVENTIONAL LIFT XXX HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 451 # of chambers 22 BENCHMARK V.R.P. Bottom of siding ASSUME ELEVATION 100' Filter BEAR Filter ❑ BOREHOLE O WELL *H,R,P, Same as Benchmark All piping shall be SDR 30/34, within 10' = 40' 1 PP g Scale is 1 of tank,piping shall be Schedule 40. 66 unless otherwise P j noted 5, B l S ' 0% Slope B-2 IIII 11-110 1....12.11 Vents 6' I }— 4771 2-3' X 4 , cells with>3' spacing Huffcutt Combo Tank 30' 15' � e &/ B-3 25' Old system is to be `M 30' 1 pumped and buried 25' Existing 2 Bedroom House 30' T41 110- • 20' jl/128' Property Line imp Vent 128' Property Line >6„ LQuick4 Standard of Cover eaching Chamber ith 20.0 ft2 of Area .6ft^2/pair of end caps 4' Long Grade at System Elevation 0 • 34' V A Parent St. i Safety and Buildings Division --- Pt ) ,§{• t 2 0 1 W.Washington Ave.,P.O.Box 7162 Sanitary permit Number(to be filled in by Co.) �. t" l !' Madison,WI 53707-7162 j �y 5. 72 5 •5(Di ST.CR' -'1=d•-i,7, PMENT) uNyIN 0 • •' State Transaction Number ao�►►�� Sanitary Permit Application aJA- thaccordance with SPS 383.21(2),Wis.Adm Code,submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note:Application forms for state-owned POWTS are submitted to Project.Ad ess(if different than yl tiling add css) the Department of Safety and Professional Servies. Personal information you provide may be used for secondary / /// (� ��fl� purposes in accordance with the Privacy Law,s.15.04(1)(m),Stats. 5 7p3L� p a_r G"� ` I. Application Information-Please Print MI I r iron u-'t"�� Property Owner's Name ) Parcel# D� rU-cu-,_ (Pr _ Lo 3g-r 02,000 -70 - Property Owner's Mailing Address j Property Location 1 3 0 P A4A 3� ' Get.Lot ( 4 LA P City,State ' IfCZiip/Code j Phone Number i �Xl 1,,51,(.) 'A, Section 3 6 50 •mef ' W I �7 0d'S I T3/ N; R/761'1°0 II.Type of Building(check all that apply) of# .r 2 Family Dwelling Number of Bedroo : Subdivision Name 1 t✓li Block# m ❑Public1Comercial-Describe Use G-CePA- ❑City of ❑State Owned-Describe Use j GSM Number ❑Village of Z 1),,5 - ct L s, W I 1/ r-- 1 ( ( rS Townof�pllLPl III.Type of Permit: (Check only one box on line A. Complete line B if applicable) 2 a n.4. 1< A. ❑New System • Replacement System El!) Treatment/Holding Tank Replacement '-ement Only # ' Other Modification to Existing System(explain) B. ❑Permit Renewal ❑Permit Revision j ❑Change of Plumber h7. Permit Transfer to New List Previous Permit Number and Date Issued aI Before Expiration j Owner W.Type of POWTS System/Component/Device: (Check all that appl c l -1 a tdr-L nvt'&n: /'�( Ion-Pressurized In-Ground ❑Pressurized In-Ground ❑At-Grade ❑Mound>24 in.of suitable soil L�Mound<24 in.of suitable soil rj'��,v..l�t�/-�-''j°o_`C� Pk 5 ❑Holding Tank ❑ er Dispersal Component(expiai !T 0 Pretreatment Device(explain) L l�C 1/1 Cry V.DispersaVTrea ent Area Information: / ei�Gc/ / Design Flow(gpd) Design Soil Application Rate(n, dsf) Dispersal Area Required(st) I Dispersal Area Proposed rs7 I System Elevat VI.Tank Info 1 Capacity in Total #of Manufacturer ( ? I : Gallons Gallons Units 1� t- ;f)o v 1 m ^ , 'v I New Tanks ': Existing Tanks ri I c I °: `' " 2 1 1-/ CCUti 'c.. J I rn o H r� _ I --�a,-- — 1 Septic or Holding Tank � ,fjy,-„7 ��(,�.{�[ ,0 ,/x IJ Dosing Chambe ��l ( i/�fir•` �^ 1 L VII.Responsibility Statement- I,the undersigned,assu r esponsibility for installation of the POWTS shown on the attached plans. Plumber's Name(Print) ' Plumb . gnature ,I MP/MPRS Number 1 Business Phone Number —c ( 70 6 U0 �/J J�Cr Plumber's Address/ire re State,Zip Cod.�/ — 1 `� �f / .._5 a_ I-2z,)z-4 ct /tYie_e_<.Y 777_,/,64. 2 (t, r&/ 7 V . ountv/Department Use Only Approved ❑ srsapprove+ Permit Fee 1 Date Issued ! Issuine��ent Siaiure hC I f ❑ to- riven Reason for Denial $ ` 3 / `� IX.ConditiM§ K so ffor Dis pproval Ilk 1. Sept dank,effluentt'i ter ands \ 1# ,0 I A J dispersal cell must all be services/maintained OL.,0 6L.(64-e—.__ k ' as per management plan provided by plumber. 2. kyeq lrernents mus bet#naiMairied as perappNcebls aodei ordkinneq. Attacb to complete plans for the system and submit to the County only oa paper not less that-8 1/2 x 11 inches in size SBD-6398(R 11/11) Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 3/16/15 Owner: Damian Pray Location: SE1/4 SW1/4 S36 T31 N,R19W 736 Parent St. Somerset System type: In-ground absorbtion system(conventional) Manuals Used: In-ground absorbtion system (version 2.0) Pressure Distribution Manual (version 2.0) Page# 1. Cover Page 2. Plot Plan 3. Chamber Cross Section 4-6. Maintanance and Contingency Plan 7. Filter Specifications Sheet 8. Dose Tank Cross Section 9. Pump Curve 10.-12. Soil Test Signature License num•-r#226900 PLOT PLAN PROJECT Damian Pray ADDRESS 736 Parent St. Somerset Wi 54025 SE 1/4 SW 1/4S 36 /T 31 N/R 19 W TOWN Somerset COUNTY ST.CROIX SYSTEM ELEVATION 93.0/92.9 5' below grade 3/16/15 3 BEDROOM DATE CONVENTIONAL IN-GROUND PRESSURE CONVENTIONAL LIFT XXX HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 451 # of chambers 22 BENCHMARK V.R.P. Bottom of siding ASSUME ELEVATION 100' Filter BEAR Filter ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark All piping shall be SDR 30/34,within 10' Scale is 1" = 40' of tank,piping shall be Schedule 40. • 66' unless otherwise A5 0% Slope noted B-1 45, B-2 13' `�j Vents LL 30}— 2-3' X 46' cells with>3' spacing Huffcutt Combo Tank 30' 1415' ►El B-3 25' B.M. * 10' Old system is to be 7,4N. 30' pumped and buried • 25' Existing 2 Bedroom House •� 30' , 4 20' 128' Well Property Line Vent 128' Property Line >6,, LQuick4 Standard of Cover eaching Chamber with 20.0 ft2 of Area .6ft^2/pair of end caps 4' Long 34" Grade at System Elevation V V Parent St. Cross Section of Infiltrator Quick 4 Leaching Chamber Typical cross section for 2 of 2 cells Quick 4 Standard Leaching Chamber with 20.0 ft2 of Area P er Chamber 5.6ft^2 pair of end plates To be >1 above grade Finish grade elevation Typical Installation 98.0' op Vent Grade Vent 3' 4" 3' x/30/34 Septic Tank � 5 Long. 5 Long. Grade at System Elevation 3 6" Grade at System Elevation Spacing 5' 2-3' X 46' ' Cells Same on other end Observation tubeNent At end of cell A B 11 chambers per cell System elevations: A_93.0' B 92.9' POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION SYSTEM SPECIFICATIONS Owner .1) l Tank Manufacturer //-. ❑ NA C N\-C I eT r Permit# g,Septic ❑ Dose ❑ Holding Volume:/tiro (gal) Tank Manufacturer:/�Ti � ❑ NA DESIGN PARAMETERS . ' Number of Bedrooms: 2_ ❑ NA ilt Septic.Dose ❑ Holding Volume: 6 3 p (gal) Number of Public Facility Units: NA Vertical Distance Tank Bottom(s)to Service Pad: / ) (ft) Estimated(average)Flow (gal/day) Horizontal Distance Tank(s)to Service Pad: 3 0 (fl) Specific servicing mechanics must be provided if vertical is>15 feet or Design(peak)Flow=(estimated x 1.5): 3 4,37-.) (gal/day) if horizontal Is>150 feet. Specific Instructions to be provided on back, In Situ Soil Application Rate: (gal/dayift2) Effluent Filter Manufacturer: ire__ ❑ NA Standard(Domestic)Influent/Effluent Monthly average Effluent Filter Model: Fats,Oil&Grease (FOG) s30.mg/t_ Pump Manufacturer: 0,.p71 Q�� ❑ NA Biochemical Oxygen Demand (BOD5) s220 mg/L ❑ NA pump Model: /�� S 3 Total Suspended Solids(TSS) 6150 mg/L High Strength Influent/Effluent Monthly average Pretreatment Unit (FOG) >30 mg/L Manufacturer A (BODs) >220 mg/L A ❑Mechanical Aeration 0 Peat Filter (T SS) >150 mg/L ❑Disinfection 0 Wetland Pretreated Effluent Monthly average i 0 Sand/Gravel Filter ❑Other. (BOD5) s30 mg/L Soil Absorption System (TSS) , 530 mg/L A • round(gravity) ❑in Ground(pressure) ❑ NA Fecal Conform(geometric mean) 5104 /—❑At-Grade ❑Mound Maximum Effluent Particle Size ) in dia. ❑ NA ❑Drip-Line ❑Other: Other: 4AA Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency When combined sludge and scum equals one-third(3')of tank volume Pump out contents of tank(s) ❑When the high water alarm is activated At least once every: 3 '71^1 month(s) (Maximum 3 years) ❑ NA Inspect condition of tank(s) year(s) ) ❑month(s) (Maximum 3 years) ❑ NA Inspect dispersal cell(s) At least once every: 13.year(s) / / rynonth(s) ❑ NA Clean effluent filter At least once every: ! ears) "7 Q,month(s) ❑ NA Inspect pump,pump controls&alarm At least once every: ,�- ar(s) ❑month(s) 0 NA Flush laterals and pressure test At least once every:. • ❑year(s) ❑month(s) ❑ NA Other: At least once every: ❑year(s) Other: ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and soil absorption systems shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Inspector, POWTS Maintainer or Septage Servicing Operator (pumper). Tank inspections must include a visual inspection of the tank(s)to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and a check for any back up or ponding of effluent on the ground surface. The soil absorption system shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface, The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any treatment tank equals one-third ('h)or more of the tank volume,the entire contents of the tank shall be removed by a Septage Servicing Operator (pumper)and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code: components, pretreatment units, All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized and any servicing at intervals of 512 months,shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 30 days of completion of any service event. GMW-005(02/05) 1 Page of START UP AND OPERATION I products, solvents or other For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting p chemicals or sediment that may impede the treatment process and/or damage the soil absorption us system.If high concentrations are detected have the contents of the tank(s)removed by a Septage Servicing Operator(pumper)prior Pump tanks may fill above normal highwater levels prior to startup or due to pump failures. Start up or restoration of power under these conditions is not recommended, as the excess wastewater will bedischarged to the soil absorption system in one large dose causing an overload that may result in the backup or surface discharge of effluent and damage to the system. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator(pumper)prior to restoring power to the pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls until normal effluent levels are restored within the pump tank. System start up shall not occur when soil conditions are frozen at the infiltrative surface. Do not drive or park vehicles over tanks or the soil absorption system. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the treatment arette'butts, condoms, cotton swabs, degreasers, dental floss, tanks and soil absorption system: acids, antibiotics, baby wipes, cig gasoline, greases, herbicides, meat diapers, disinfectants, fats, foundation drain (sump pump) discharge, fruit and vegetable peelings, asoline, gr scraps,medications,oils,painting products,pesticides,sanity napkins,solvents,tampons, and water softener brine discharge. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with s. Comm 83.33,Wisconsin Administrative Code: • All piping to tanks,pits and other soil absorption systems 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 Servicing Operator(pumper). • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another 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 lt the rules eed for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply effect at the time of their permit issuance. A suitable replacement area is not available due to setback and/or soil limitations. If the soil absorption system cannot be bilitated and barring advances in POWTS technology,a holding tank may be installed as a last resort. ❑ 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. ❑ and Reconstructions aof bsorption sh systemsm s comply with the Nrules in effect at tha t time.�oval of the biomat at the infiltrative WARNING TREATMENT TANKS, PUMP TANKS, AND HOLDING TANKS MAY CONTAIN POISONOUS GASSES OR LACK SUFFICIENT OXYGEN TO SUSTAIN UFE. NEVER ENTER ANY TANK UNDER ANY CIRCUMSTANCE. DEATH MAY RESULT. ESCAPE OR RESCUE FROM THE INTERIOR OF A TANK MAY NOT BE POSSIBLE. ADDITIONAL INSTRUCTIONS: POWTS INSTALLER POWTS MAINTAINER. Names try- .7V/p Name��b/��_ Phone -74/---021/4 y,7 Phone 7/J---.--, .2V- /f r- ` ��.6 _ SEPTAGE SERVICING OPERAT (PUMPER) LOCAL REGULATORY AUTHORITY L cti� Name SA ( /d/� �/ Name �CT� �'f / Q 7/J. 3 �r�- !J Phone /�--d.��— 5! O Phone This document was drafted by the staffs of the Green Lake, Marquette and Waushara County POWTS regulatory agencies in compliance with sections Comm 83.22(2)(b)(1)(d)&(f)and 83.54(1),(2)&(3),Wisconsin Administrative Code. +3 N � { FILTER CARTRIDGE INSTRUCTIONS *0 4 � Installation .'*� k �� T.. STEP 1 Dry fit the filter case onto the end of the outlet pipe to ensure it is , -, centered under the access opening. If not then either insert more pipe into the e ti, tank through the outlet or solvent weld (glue) additional pipe onto the outlet Pipe. .,r STEP 2 While the case is still dry fitted on the outlet pipe, measure the length of 3/4-inch pipe needed to brace the filter to the tank end wall if utilizing the optional supplemental side support. If side support method is not utilized, proceed to step four. STEP 3 For installations utilizing the optional supplemental side support: solvent weld the 3/4-inch pipe onto the filter case. If side support method is not ,,"' If utilized, proceed to step four. STEP 4 Solvent weld the filter case onto the outlet pipe. Insert the filter f cartridge into the case, pressing down until the filter locks into the bottom of , the case. STEP 5 If a VRS switch is utilized' insert into the filter and lock by turning clockwise 90°. Maintenance I. The effluent filter should be cleaned every time the septic tank is serviced. _ § s� : 2. Open the outlet access opening to inspect the tank and filter. _ "�, 3. Pump the septic tank completely, making sure to remove the sludge ' . 3' layer on the bottom of the tank and not just the scum and effluent. - 4. Once the effluent level has been lowered below the invert of the } outlet pipe, firmly pull up on the filter handle to dislodge the `', cartridge from the case. 5. Slide the cartridge up and out of the case for cleaning. i ‘ - 6. If a VRS switch connected to an alarm is present, the switch ¢ �, should be removed by turning counterclockwise 90° and cleaned 0 with water only rc � sue' +- . 7. While holding the cartridge on its side (large flat surface facing =,. '. .'4..':',''" down) over the access opening, rinse off the cartridge with water x only, making sure all septage material is rinsed back into the tank. µ,op, , ^ ,..4 x°� I 8. If VRS switch is utilized, replace by inserting into filter and , turning clockwise 90°. e , r 9. Insert the filter cartridge back into the case, pressing down until ',7 .- ku , , the filter locks into the bottom of the case. *s �«,.._ V .V .„ ,.;- -.` 10.Replace and secure the access opening on the tank. SEAR ONSITE”FILTER CARTRIDGE-FIVE YEAR LIMITED WARRANTY ., SEAR ONSITE."Filter Case-Lifetime Lirnitee Warranty 1 w t ` t f K >tt. ` ,'i i; }N.,i t' '•3` Gay..GS�,�d?:44�� "y. 4 +"7 1 gv 341. 5... j��' #if if Yti ,•tlr,:-,i one+ �1 'L. �', a4 r,` 'f7''K s r� ug ,gy'�bSf ..^z- - roxti �r- • s t a k;` r a r Xx fi�`r' � rU : "a �" ���r �`�"� x a �a 5, .r .� ",Iuk`"�' �. .. ;:v x.T�':a `w�^'4;• 't �5r .1. ''�'"�*"d'r d,�nma�i,��s 4,,,"�'e'a,,�,:.S�,� d. ,.T..vtr�, �'.:ra..i,n�..v. w r .-,4. Septic-Dose Tank Cross Section And Pump Performance Specifications ____ Pump Manufacturer L-Y�� Tank.Manufacturer 1-�,,�� ----_— Tank Model Number �� 6 G 6_ Pump Model Number 5 ti r 53--- _ =r—= Alarm Manufacturer U e�¢u�r S,l S ! Total Tank Capacity /uz�/ 3 u Alarm Model Number /-3 r/ _-- Max.Bury Depth ' Switch Type e -- Total Dynamic Head(TDH) - Feet Filter Manufacturer r:I�(Z --`—`�4 Elevation Head Filter Model Number °—_ Distal Pressure — Network Loss ____ ------- Performance Re uired Force Main Loss Minimum Pump ' q -- Z GPM'j @ /O, 7 Ft TDH Total .� _----_- ______ l Outlet Manhole Min.4"Above Grade With Manhole Min.4"Above Grade Locking Deuiee. Inlet Manhole IN Mounted With Looking Device < 6°,Below Grade Sealed Watertight Weather-proof P Junction Box Grade `- .r. ..w �.+ .r w . . . 1 - r • .� .' ..r "s.' Finished � � I -_'�-''--"_"=--� Vent Min. 12" { Disconnect Above Grade -. Means With Vent Cap i; S I),!i�,Y>i�i s i.3 1,I >•Y•i :,:i:!i i1i/`i') i_ ... -_.. If >Y s•i I.,a1 3•.af'!!I`i,•I rill aY.' Outlet ,n +` ..___ --.. - Filter ---...�,_�� II ill■ Inlet Baffle mo=w Inlet t---"`� =� `vr s and Reserve Capacity '`' Weep ` Switch Setting . � ' Tank Volume = GPI B II ;:, Hole • Dimension. Inches Volume Gal. ,:.: e)A! MO 36 - . (reserve) Off Elevation C I .„•: I : • (alarm) $ 2 3 O 2�, p Ft Bottom (dose) C Q?� r �� � ,� :i Elevation. .': (dead) D ��,�' D ■r■ ' 3 1,t Total /a, .. ,; ,,: .:`i rf-5-r>-iT1 . Ts-i� ';`'`' <a. 'i.l c'al`l�,'3/,,,�.<.�,.�i i,l t'!'i a'i'a'a'a`i . a..`.` ,x.:, ..yf.,ai,i)a.a.`�_ �.i.:l l.a,'i`..:.i s i i i!..! i.:.:,'i.:::::::.:.:Y:l..t..,:.:>i i.:.;,:a e GENERAL INSTALLATION: The septic/dose tank is bedded and back filled in accordance with the manufacturer's product approval specifications. Maximum depth of bury as spec ified by the manufacturer may not be exceeded without prior approval. Manhole covers exposed to grade to the effective watertight fittings,loacnka installed. Piping at the inlet and outlet is of approved laid on stable soil to prevent settling or sagging. The force main is sleeved with 4" Sch. 40 PVC to bridge the tank excavation and the sleeve is sealed watertight. Electrical service complies with NEC 300 and Comm 16.28. Page of 02/05 Li I)7.-L, L'1'.!.-":,'): r:L.', ,....., 7 iEAD C T' :•'ACIl :;,,,..RVE 1 , , I - . . ., > 1 i 1 1 2---; i--- — , . . ._ i.J.`1 GALLONS ' l'0. 1 '.._% 1 ____ ,,,-q,'• --. ..._ ,,:,,, ;'''..57'', ir'''-' 7 L.CVq L.:1"? V[,',■,,T: 009897 i, ,".- ',■•.p,„,,,'----.,: z ,,-,,,, - Variable level float switches available. Variable level long cycle systems available. 1-- ___ Available with special cord lengths of 15, 25, 35 and 50'. Alarm systems available. Duplex systems available. 1 , ,, .. --'Lr'lli,--7-7...--.:7---.----,"-1=---':::: ---' ,_,41 L-.... 515858 --, , ----1_ ,..... . Single Seal I Control Selection Listings ■ -- -I- 1 - 1--- Model 1 Volts ' Phase Mode ' Amps , Simplex , Duplex CSA UL , 1. Integral float operated mechanical switch,no external control h)guired. Ms3/55 8.M57/59 1 115 i 1 1 Auto 97 I 1 mi--y--' 2. Single piggyback variable level float switch or double piggyback variable level I -- N53155&N57/59 i 115 i 1 ' Non 9.7 2 3 or 4&5 float switch.Refer to FM0477. 'BN53 115 Y 1 . _ - - 3. Mechanical alternator`M-Pak"10-0072 or 10-0075. 115 ' N Y i r,BE53157 7 no , 1 1 Auto 4.8— • -y---v---, 4. See FM0712 for correct model of Electrical Alternator. 1 D53/55&D57/59 230 1 : Auto 4.8 ; 1 i Y Y 5. Variable level control switch 10-0225 used as a control activate.,with Electrical E53/55&E57/59 t 230 I 1 i Non 4.8 , 2 i 3 or 4&5 : Y Y Alternator(3)or(4)float system. *Single piggyback switch included. .17176 ATATO-N-71 For information on additional Zoeller products referto catalog on Piggyback Variable Level Float Switches,FM0477 Electrical Alternator,FM0486;Mechanical Alternator,FM0495;Sump/Sewage Basins,FM0487,and Single Phase - - Simplex Pump Control/Alarm Systems,FM0732. . . . .. ... , For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. -— — MAIL TO: P.O BOX '6'247 l. '‘t .., Louisville.KY 4025oiLjiii. Manufacturers of z, . i 'lt 0.) .-„,..- 'ill SHIP iii3e64K9yC4a0n2e17.u1n96R1oad 6 azaziry PUMPS 5/1/CE isyg ...,-/ Aym Arty, ".17 (502) •1(8001 928-PUMP http://www.zoeller.com ''',- F-LI/Arzr L LI. FAX(502)774-3624 ©Copyright 2002 Zoeller Co.All rights reserved. ST. CROIX COUNT'' SEPTIC TANK MAINTENANCE AGREEMENT' AND OWNERSHIP CERTIFTCAT1N FORM. Owner/Buyer AA-N-c.`r r Mailing Address "7 3 Tq f So in tv S (A A , 0) S Property Address (Verification required from Planning& Zoning f)epatt:nent for new construction) City/State — Parcel ldentificat otl Nttiaher 6,3- -p0__-."fir: .__ LEGAL DESCRIPTION Property Location -S %'� , v r ` cc;. 3 6 'I` 3/ N �R �u� �, , Town of sf�inL'tS ___.__--- Subdivision , Lot # Certified Survey Map # Imo :, Page tJ Warranty Deed# Vc.luttic Page It Spec house yes d Lot line.: identifiable jorno SYSTEM MAINTENANCE AND OWNER CERTII1C.ATION Improper use and maintenance of your septic system could result in its pr.mature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, it needed,by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in§(.:omm. 8:3.52(1) and in Chapter 12-St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning&lon!.ng Department a certification form, signed by the owner and by a master plumber,journeyman plumber,restricted plumber or a licensed pumper verifying that(I)the on-site wastewater disposal system is in proper operating condition and/or(2) after inspccsion and pumping(if necessary),the septic tank is less than 1/3 full of sludge. 1/we,the undersigned have read the above requirements and agree to rnairrtam the private sewage disposal system with the standards set forth, herein., as set by the Department of Commerce and the Department.of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completes t and returned to the St.Croix County Planning& Zoning.Department within 30 days of the three year expiration date. I/we certify that all statements on dr.- form arc. true to the best of ruy/our k uowledge. live am'arce the owner(s) of'the property described above, by virtue of a war arty deed recorded in Register of Deeds Office. N ber of bedrooms /3 SINN RE OF APPLICANT(S) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning&Zoning Department. *** Include with this application a recorded warranty deed from the Register of Deeds eds:".:liffice and a copy of the certified survey map if reference is made in the warranty deed, (REV.08/05) • Property Owner Parcel ID# I Page of 3 Boring# ❑ Boring qJ /� J pit Ground surface elev. [ 0+ `� ft. Depth to limiting factor 7/Z in. ' Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 o i/ /U,Wz - S/ , � ,f k- (J--- , b /C) 3 'f-, ,0 e6 s os / .•0 , Boring# ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 ❑ Boring Boring# Ground surface elev. ft. Depth to limiting factor in. ❑ Pit _ r Soil Application Rate Horizon ')epth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 'Effluent#1 =BODS>30<220 mg/L and TSS>30<150 mg/L .Effluent#2=BOD5<30 mg/L and TSS<30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SB0.8330(8.6/00) • . , , ... 560223 STATE BAR OF WISCONSIN FORM 2 - 19i-2 WARKAN 1 Y 0 I-:1--A, DOCUMENT NO. 1 - '19 ATT. vot_ _..,..., _Ptic :._ ..., . . ..... PEGISTERS Ur-TICE ,. Renee A. Reyer , Deborah J . Kinn_ey_ ,_ ST CROIX M.,VV1 and Cherie L. Kobs _ y , , JUN 2 1997 . . conveys and warrants to _Damian Fray and_Dan_ise Pr_ay, ' i A( 8:30 A. \.• , . husband and wife, , as altrIvivorship marital 1 . ., ?,. property, . ■ , roggistei ot Do ,.:, ..,. g , THIS SPACE RESERVED FOR RECORDING DATA A .. . ii NAME AND RETURN ADDRE:.:S ■.: i. the following described teal estate in St . Croix County, , /gaz_di jaxar.4ee_e--- State of Wisconsin: .. 1 vifN, , ij 1, Id 032-2000-90 4 1; PARCEL IDENTIFICATION NUMBER ;I Part of the 8E1/4 of SW1/4 of Section 36, Township 31 North, 4il , Range 19 West, St . Croix County, Wisconsin, described as follows : Commencing at a point which is 33 feet North and 432 feet East of r " the SW corner of said 5E1/4 of SW1/4, which is the point of beginning; thence East 66 feet; thence North 128 feet; thence West 66 feet; thence South 128 feet to Point of Beginning. , i i, : ,..., - 7.E ------ Ems is lac,L homestead property.-it&x (is not) Exception to warranties: itk Easements , restrictions and rights-of-way of record, r, ,., if any. =,* , Z May 7 Dated this day of ,A.D., 19 9 . r i ,, n 1 .g.....„, (,) As-,411),./ (SEAL) 2.-- iV0131-44-(r) Kf , 0.1—i.,H.rcet,L.C) ._a_dbkgt-AL.) q, • Renee A. Reye . Deborah J. kinney z,.---,,,,, . . -CZ kotc_c.- (.- 1:2-. A c2 (SEAL) .! , il — (SEAL) - , Cherie L. Robs ;. . , II , AUTHENTICATION ACKNOWLEDGMENT , 4 ',1V4i r-- Signature(s)___Raue-eA- Re_y_e_r„ — State of Wisconsin, I Deborah s, eborah J. Kinney, Cherie L. Robs t 1 f..- authenticated 1/ 11r)--) uthenticated thi4s day of May , 19 97 Personally came before me this day of :! , 19 ,the above named .. li . !! . Kri.. 1..7aTIg1---and ,..,' TITLE:MEMBER STATE BAR OF WISCONSIN . (If not, • anthorized by§706.06.Wis.Stats.) ___. to me known to be the person who executed the foregoing ,- instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY 4 Attorney Kristina Ogland .-,.. Hudson, WI 54016 _ Notary Pablic. County.N.,Vis _,- ' (Signatures may be authenticated or acknowledged. Both are not My commission is ivvmanent (If not, mat,' expiration dale I it,essary) _____ I,3 1•_ N3--oIlIcrson“tpingin.. ...,,..pshoWdil■-f;rwoorp,tart!Sclo....0,c1,-,gr.,,v, srArt BAR or WISt,INS1N 4V.sc.o.,,,:..A.,9,PL,q. WARIZANlY OFFD Form No 2- 1982 . , _ — - Property Owner Parcel ID# Page of Boring# ❑ Boring (� `) 1 l� ' in Ground surface elev. ft. Depth to limiting factor in. 1 Pit Soil Application• � App Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 *Eff#2 I o'/ /4 /z- -- ,q' ,,1..- / r -- i 6 /0 2- .�y of /14,517 ,y - _ c/ a..z,,a , fi l e 471 i .47 3 ��/il /, y� . as� rro/ ?v , 7 /44 . Boring# ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots - GPD/ff in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 Boring# ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon "lepth Dominant Color Redox Description. Texture Structure Consistence. Boundary Roots GPD/ff in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. *EH#1 'Eff#2 • Effluent#1 =BOD5>30<220 mg/L and TSS>30<150 mg/L 'Effluent#2=BOD5<30 mg/L and TSS<30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330(8.6/00) Soil Test Plot Plan /1 Project Name Damain Pray Sha j,:ird Address 736 Parent St. .%/ Somerset Wi 54025 if TM #226900 Lot Subdivision Da e 3/16/15 SE 1/4 S W 1/4S 36 T 31 N/R19 W Township Somerset El Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Bottom of siding System Elevation 93.0/92.9 *HRpSame as Benchmark 66' 5, 0% Slope „ , B-1 45' B_2 13, Scale is 1" 40 Ti 8'►[ ■p■ ■ unless otherwise noted 30' 25' 15 B-3 DW B.M. * 10' ST Failed 30' 25' Existing 2 Bedroom House •i 30' , • 20' a 128' Well Property Line 128' Property Line V V Parent St. i