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040-1152-40-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 578901 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: Fraser, Donald &Arvonne I Troy, Town of 040-1152-40-000 CST BM Elev: Insp.BM Elev: BM Description: Section/Town/Range/Map No: (.,y-6.-7 r 3 65T 23.28.20.588 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. S 3 dos. ,7 . Septic Benchmark , orL j c6La /Z5d 11 bOo 700.7% G95. Dosing Alt.BM n Bldg.Sewer 95 A,- �- - l�t 5•$3 7aO Holding St/Ht Inlet .7.5 9q• 29 TANK SETBACK INFORMATION St/Ht Outlet 7. 9 45", 0 TANK TO P/L WELL BLDG. kylaflito Air Intake ROAD Dt Inlet 13• 6 6-73, 79 D Septic Dt Bottom 17.3 ( (01T'Y / ""ff Dosing / 7— Header/Man. . •D4 ���L5 Aeration Dist.Pipe 7• bQ (V 5 • L Holding Bot.System Final Grade PUMP/SIPHON INFORMATION c. e�- F: �� �Z. !o g�'�� Manufacturer O� t� Demand Aad St Cover 3 6 7,6Z-33 Model Number / 45 0 TDH Lit �I Friction Los ' S�'tem Head TDH Ft sa. 3 Forcemain Len the/ Dial i/ Dist.to Well /r f w5 SOIL ABSORPTION SYSTEM ' .1 L +- 1 5 • 4-L BED/TRENCH Width I Length No f Trenches PIT DI EI II SIGNS No.Of Pits Inside Dia. Liquid Depth DIMENSIONS -750 rl i SETBACK SYSTEM TO P/L BL G WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION Ty Of System: CHAMBER OR UrI �r�, 5 /6 /(�7, -,7561 UNIT Model Number: DISTRIBUTION S STEM 5e,4k, Header/Manifol Distribution x Hole Size x H le Spacing Ven Air I ake P'p Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over I 7/Trench th Over xx Depth of r( xx Seeded/Sodded u ,, xx Mulched Bed/Trench Center Edges Topsoil 1 Ed No LJ es [ No COMMENTS: (Include code discrepencies,persons present,etc.) Inspection#1: / / Inspection#2: Location: 156-158 Cove Ct. atf'sh Bar)River Falls,WI 54022(Gov't Lot 1 23 T28N R OW) St.Croix Beach Lot 2s�3 Parc IN 2 8.20.588 1.)Alt BM Description= 1 2.)Bldg sewer length= 12— � �"-� S G le L S -amount of cover= �1 Plan revision Required? ❑I Yes No L, -- —7 I Use other side for additional informati n. Date InsepctAgnatur Cert.No. SBD-6710(R.3/97) +.o' County Q l 1. Industry Services Division S+' ���� 1400 E Washington Ave Sanitary Permit Number(to be filled in by Co.) C-s f (� C x 7162 l ei \ P.O. `� + n 7-7162 5 7 ,r)_in A,,, 7'..._w `c. q\3 �,eN `.. \. ___ Q 1 State Transaction Number s� cc� ary Permit Apps 2y U 3 (8 b`f In accordance wt 3E .21(2),Wis.Adm.Code,submission of this form to the appropriate governmental unit is required p' raining a sanitary permit. Note:Application forms for state-owned POWTS are submitted to Project Address(if different than mailing address) the Department of Safety and Professional Servies. Personal information you provide may be used for secondaryj. Q� /�, 5 fly'' ,{� purposes in accordance with the Privacy Law,s.15.04(1)(m),Stats. ISO ovei,C+`7 11 lµ' I. Application Information—Please Print All In� Parcel# MO" 1161•4 #V 00:3 Property Owner's Name I toroad 4.t v\I t y r w l e 'R a s e)/ 23 . ZS . ZO . 5`8i-5 68 Property Owner's Mailing Address Property Location ---------._ IV) box& S5'ree S.E, � i� .p 503 �' Govt.Lot 1 City,State Zip Code Phone Number / /<, Section 23 W11hhc o c ovS , I•A N, 55`f 19 ((a12) 37 9 — 9(i5 T 2� N R n circle onRY/ II.Type of Building(check all that apply) LO�b�' r �� Subdivision Name 1 or 2 Family Dwelling—Number of Bedrooms /24AC*49.Welk-- Block# ❑Public/Commercial—Describe Use ❑City of CSM Number ❑Village of ❑State Owned—Describe Use VTown Ip of ►r0 VX 75v c Z n - c�D ;^R--- z III.Type of Permit: (Check only one bp on line A. Complete line B if applicable) b,ti,p� X A. ❑New System Vf Replacement System ❑Treatment/Holding Tank Replacement Only ❑Other Modification to rsting System(explain) List Previous Permit Number and Date Issued B. ❑Permit Renewal CI Permit Revision ❑Change of Plumber ❑Permit Transfer to New Before Expiration Owner IV.Type of POWTS System/Component/Device: (Check all that apply) ❑Non-Pressurized In-Ground %Pressurized In-Ground ❑At-Grade ❑Mound>24 in.of suitable soil ❑Mound<24 in.of suitable soil ■ „.----• % A_______ ❑Holding Tank ❑Other Dispersal Component(explain) ❑Pretreatment Device(explain) V.Dispersal/Trea ent Area Information: 1'`,K' 4 a / Design Flow(gpd) Design Soil Application Rate( dst) Dispersal Area Required(s " Dispersal AArrea Proposed(s /S�ystem�yElee�vation—671.,7? J/ VI.Tank Info Capacity in Total #of ranur ero i Y " , 9 Gallons Gallons Units ' .44,%4•f'• f3 °' U ;? V y New Tanks Existing Tanks W V6 4 .reed O `a U w Qi a Septic or Holding Tank /2 �(-0 /cc I Al iµj es t;L'' ! X rn :;� - - 50o l Ao r W es c o VII.Responsibility Statement-I,the undersigned ume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name(Print) umber' Si a re MP/MPRS Number Business Phone Number .Pou4 CS S�c`the✓ � � 22 s Y S I (71s)cies-SSYq Plumber's Address(Street,City,State,Zip Code) / N e13o gy5-41 s4-reek t Rivf,r Pada s , t4.r 5V01 VIII. ounty/Department Use Only Permit Fee Date/sued sued Issuing: t Signatur roved ❑Disannroved $ 77 J/ 4/2 /C en Reason for ial GJ, oo J IX.Condi6Ma1 MOWN�easons for Disapproval 3` 6)0., j,Y` � ft S CO 1. Septic tank,effluent all be se ) G 14.1 ` ,,b r�.�km dispersal cell must all be services!maintained t .�-` r n t-"� as per management plan provided by plumber. 2. All setback requirements must be Maintained tt as per applicable code/ordinances. Dt,�—A,OJ14— INWSF� 4,14.4, Attach to complete plans for the system and subm to the County only on paper not less than 81/2 x 11 inches in size SBD-6398(R0313) p(o ( nn Cj CiO6 1 ovn 66in d k 11 ,Tec(/ , G r�ry DIVISION OF INDUSTRY SERVICES �ro� 3824 N CREEKSIDE LA �� HOLMEN WI 54636 S \ Contact Through Relay P ;': K www.dsps.wi.gov/sb/ S, w www.wisconsin.gov SStoNA�Sw Scott Walker,Governor Dave Ross,Secretary October 29,2014 CUST ID No. 225451 ATTN:POWTS Inspector PAUL CJ STEINER ZONING OFFICE STEINER PLUMBING&HEATING ST CROIX COUNTY SPIA N8230 945TH ST 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/29/2016 SITE: Don&Arvonne Fraser Identification Numbers 158 Cove Ct Transaction ID No.2463804 Town of Troy, 54022 Site ID No. 806744 St Croix County Please refer to both identification numbers, S23,T28N,R20W above,in all correspondence with the agency. Plat: St.Croix Beach,Lots 2 and 3 FOR: Description:Four Bedroom Drip-Irrigation POWTS w/pre-treatment Object Type:POWTS Component Manual Regulated Object ID No.: 1506172 Maintenance required; Replacement system; 600 GPD Flow rate; 28 in Soil minimum depth to limiting factor from original grade; System(s):Drip-line Dispersal Component Manual, SBD-10657-P(N.03/07,R. 1/12); (1)White Knight WK-40 Aerobic Treatment Unit,Effluent Filter 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. CONDITI The owner,as defined in chapter 101.01(10),Wisconsin Statutes,is responsible for compliance with all code APPR requirements. DEPT OF S No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, PROFESSION stats. DIVISION OF IND The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders "AIL am/ -i • A sanitary permit must be obtained from the county where this project is located in accordance with the ..O►' SEE CORR: requirements of Sec. 145.135 and 145.19,Wis.Stats. • The application for a sanitary permit shall be accompanied with documentation that the master plumber or master plumber-restricted service who is to be responsible for the installation or modification of the POWTS, has completed approved training on the proposed POWTS technology or method or has documentation that approved training will be provided during the installation of the POWTS. • The application for sanitary permit shall be accompanied with legal documentation of all the components requiring servicing at an interval of 12 months or less shall be recorded on the deed for the property.If this is not present,a sanitary permit cannot be issued. • 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. Stats. PAUL CJ STEINER Page 2 10/29/2014 • Both NI 4 WF€O Tanks shall be securely anchored per manufacturer's specifications and also sec.SPS 383.43(8)(g),Wis.Adm. Code.If there is a conflict between them,the code requirements shall tank precedence. • The activities relating to evaluation and monitoring POWTS components after the initial installation of the POWTS in accordance with an approved management plan shall be conducted by a person who holds a registration issued by the department as a registered POWTS maintainer. • A state approved effluent filter is required.Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required.Access to the filter for cleaning must be provided per SPS 384 product approval conditions. • The existing POWTS shall be properly abandoned per SPS 383.33,Wis;Adm. Code. • 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: • 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. • The owner of the POWTS shall be responsible for ensuring that the operation and maintenance occurs in accordance with this chapter and the approved management plan under SPS 383.54(1). • 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. • 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. 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 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 ff on this letterhead. ' The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any -'1 others who are responsible for the installation,operation or maintenance of the POWTS. S{ncerely, Fee Required$ 250.00 ' This Amount Will Be Invoiced. erard M Swim When You Receive That Invoice, POWTS Plan Reviewer,Integrated Services Please Include a Copy With Your '''"-- ---,460.4789-7892,Mon-Fri, 7:15 am-4:00 pm Payment Submittal. jerry.swim @wisconsin.gov WiSMART code: 7633 cc: Edwin A Taylor,Wastewater Specialist,(715)634-3484,Monday-Friday 8:00 am To 4:30 pm t V STEINER M 2014 PLUMBING-ELECTRIC-HEATING INC. -- N8230 945th Street River Falls, WI 54022 715.425.5544 I Fax 715.425.8818 I steinerinc.net Don and Arvonne Fraser 110 Bank Street SE Apt 503 Minneapolis, MN 55414 Site Location: Lot 02/03 S23 T28N R20W 158 Cove Court Saint Croix Beach PN„t.1 Town of Troy, Saint Croix County, d to Table of Contents p.N. Index and Title Page Page 1 I Data Worksheets Page 2 £ 1 p�NGE System Cross Section Page 4 System Installation Page 5-8- System Maintenance Page 9-10 System Management Page 11-12 Pump Tank Cross Section Page 13 Pump Specifications Page 14 Pump Curve Page 15 Filter Specifications Page 16-18 ATU White Knight WK40 Page 19-23 Plot Plan Page 24 Master Plumber: Paul C.J. Steiner, MP#225451 X YEez,kyz, Paul CJ Steiner September 24, 2014 24 HOUR DEPENDABLE, QUALITY SERVICE Y t FIELD FLOW . Job Description: Don andAivonne Fraser : Contact Paul Steiner .. Prepared by Pahl S$einer(7144255544mo Ica.siefueoa erlocitst'. r Date: Mohttay,'SeP ember22 2014w. . 7-r. , Please fill in the shaded area's and drop,down'menus ' _ VVQrkti1 e6t i initidVi7Nr';l l9 r°.,.r,'wx.,s-tires tee.M'�'�Y�.3:2;. Y�.. .,gA,rftr .Y :'v3bejt-��.F&a.f1?,tk>'�. Total field Total Quantity of effluent to be disposed per day 600 gallons/day / Hydraulic loading rate _ 08 gallons/sq.ft./day J Minimum Dispersal Field Area 750 square ft. Total Dispersal Field Area . .750:square ft. Flow per zone .- Number of Zones + ''' 1 zone(s) _ Dispersal area pitt zone :'.; 750 square ft. Clgtise line spacing bbtyrepnVASTEFLOW lines 2 ft. Choosy n ittr spacing be Teen WASTEFLOW emi 2 ft. Total linear ft.pbr 47513t(minimum required) 375 ft.per zone _Total number of emittd'fa"a zone 188 emitters per zone , ''" ow elect Wasteflow dripline(16mm) Vastefl PC-1/2ptf dripline Pree at the beginning of the dripfield x. :..20 psi Feet ottleadigthe beginning of the dripfield 46.2 ft. What is the'hety kattper emitter in gph? 0.53 gph Dose flow per zonte ' _ 1.66 gpm Note: A few States or Counties require additional flow for flushing. Please check your local regulations Flush velocity calculation below Is for PC dripline. Classic dripline requires less flow to flush than PC. Please refer to Geoflow's spreadsheet"Design Flow and Flush Curves"at www.geoflow.com or call 800 If required,choose flush velocity 0 8 ft/sec How many lines of WASTEFLOW per zone? 1,4 lines Fill in the actual length of longest dripline lateral `40 ft. Flush flow required at the end of each dripline 0.37 gpm Total Flow uired to achieve flush velocity 5.18 gpm Total Flow per zone-worst case scenario 6.84 gpm Select Filters and zone valves Select Filter Type Vortex Screen Fdter Recommended Filter(item no.) AP4E 1 5F n Screen Filter 0-2 Select Zone Valve Type Nine- Recommended Zone Valve(item no.) 0 0 Dosing Number of doses per day/zone: t';„.-p4g,doses Timer ON.Pump run time per dose/zone: 30.11 mins:secs Tuner OFF. Pump off time between doses 1:29 hrs:mins Per Zone-Pump run time per day/zone: 6:02 hrs:mins All Zones-Number of doses per day/all zones 12 doses/day 7a ,c,Wasteflow Design Spreadsheet V.2014G 9/23/2014 2 of 24 PUMP SIZING Job Description: Don and Arvonne Fraser Contact: Paul Steiner Prepared by: Paul Steiner(715)425-5544 monica.steiner@_s Date: 9/22/2014 Please fill in the shaded areas and dro. down menus Pressure losses may be grossly overstated,particularly if designing with WASTEFLO' The letters on the diagram(right)match the letters in section 2 below. 'Worksheet-Pump Sizing Section 1 -Summary from Worksheet 1 Flow required to dose field 1.66 gpm Flow required to flush field 5.18 gpm Flow required to dose&flush field 6.84 gpm Filter AP4E-1.5F No.of Zones 1 zones Zone valve - Dripline Wasteflow PC-1/2gph Dripline longest lateral 40.00 ft. Section 2 i Ft of head - I Pressure A. Flush line-Losses through return line Select Pipe from dropdown menu PVC schedule 40 Select Flush Line Diameter 3/4"inch Length of return line 70 ft. Equivalent length of fittings 5 ft. Elevation change.(if downhill enter 0) 5 ft. Pressure loss in 100 ft of pipe 6.03 ft. 2.61 psi Total pressure loss from end of dripline to return tank 9.5 ft. 4.12 psi B. Dripline-Losses through Wasteflow dripline Length of longest dripline lateral 40 ft. Minimum dosing pressure required at end of dripline 23.10 ft. 10.00 psi Loss through dripline during flushing 1.13 ft. 0.49 psi Total minimum required dripline pressure 24.23 ft. 10.49 psi A+B. Minimum Pressure required at beginning of dripfield CALCULATED pressure required at beginning of dril 33.75 ft. 14.61 psi SPECIFIED pressure at beginning of dripfield(from t 46.2 ft. 20.00 psi Great!SPECIFIED Pressure is greater than CALCULATED Pressure requirement.Go to next step C. Drip components-Losses through headworks Fitter 4.0 ft. 1.75 psi Zone valve pressure loss(not in diagram) - ft. - psi Flow meter pressure loss(not in diagram) - ft. - psi Other pressure losses ft. - psi Total loss through drip components 4.04 ft. 1.75 psi D. Supply line-Minimum Pressure head required to get from pump tank to top of dripfield Select Pipe from dropdown menu PVC schedule 40 Select Supply line diameter 2" inch Length of supply line 70 ft. Equivalent length of fittings 5 ft. Height from pump to tank outlet 5 ft. Elevation change.(if downhill enter 0) 0 ft. Pressure loss/gain in 100 ft.of pipe 0.11 ft. 0.05 psi Total gain or loss from pump to field 5.1 ft. 2.20 psi Total dynamic head 55.3 ft. 23.95 psi Pump capacity* Field Flush Flow 6.8 gpm 23.95 psi -Field Dose Flow 1.7 gpm 'Filter Flush Flow -gpm - psi -' Pump Model Number Voltz!Hp/phase * Note: Pump capacity flow assumes flow in dripline does not change during a dose cycle. With Wasteflow Cla For more accurate flows please see Geoflow's Flushing worksheet. If you need assistance designing for this additional flow,please a. See Geoflow flushing worksheet or Geoflox,lincCWVKLILOVeW a9Re$� M8§rt Revised 3 of 24 System Cross Section r:tom `f;e5 , — i Eleu�fions 1 , Co i l W, �s F4 G A 1 � i, h- y � Y"; -. 77' • 677. 61 a l ' Ca?7. 3.2. r Co 4 . 74 I C296. y4` PVC C 9'(9. /(o .;1',1,1".. G ` 8 — B ' - . 64.f. _47 Cs ' —loWfp PVC la - dipineodopler. Ir� Iboh and adeooa Glued No l 'jI 374`s�filling. ? , GEO IS conlrolen cared lo�I i ,Flow meter Ioalionoq ---, ti ■ L,I Place downstream of Met —1_11-1 3I . H L— fl Supply Ina 1 .11 II Pump look Flea nosh �-.Film ��,�, l valve I kr Q //����/ Re, t.. Rosh!alum .y �� F riP. r .^F;' ncl+: I. ! 1 Not to rcoa .s a'p ms Ld: .a"Ss.: etfim 'c f 4 of 24 SYSTEM INSTALLATION 1. INSTALLATION GUIDELINES All Geoflow drip systems require: o -Filtration with 120 mesh/130 micron o -Filter flush valve o -Field flush valve o -2 Air vents in each zone All Wasteflow Classic drip systems requires pressure regulation Handle your dripline and components with care. nano-ROOTGUARD®is temperature sensitive. To assure a long life, store the dripline out of direct sunlight in a cool place. o All dripfield construction shall be done in accordance with Local rules and regulations. o Protect the site prior to installation. Construction traffic and material stockpiling can change the soil profile. Fence off entire dripfield prior to any construction. No utilities,cable wire, drain tile,etc shall be located in dripfield. o System is not to be installed when ground is wet or frozen. When the moisture in the soil is near the plastic limit (soils will ribbon and not easily crumble),it will be prone to smearing. o Prior to construction note if any water is accessing the location of the dripfield.Dripfield should not be located at the low point of a site. Divert all downspouts and surface waters away from dripfield. If a curtain drain is to be used be sure it is serviceable and properly screened. o Excavation, filling and grading should have been finished prior to installation of the subsurface drip system. Be sure to minimize soil disturbance when clearing and grubbing the dripfield. Preserve as many trees as possible. Use light track equipment for tree removal and grind out roots to below dripline depth rather than fully removing the entire root. o Be sure you have everything required for the -3 installation before opening trenches. Pre-assemble I 1 as many sets of components as practical above a ground and in a comfortable place. Compression c- c or Lockslip adapters should be glued to PVC tees, L � riser units should be pre-assembled,and the sub main manifold with tees can be re-assembled and l� Loop dripline around trees used to mark the beginning and end of WAS'1EFLOW lines. o For particularly tough soil conditions,soil moisture the day before opening trenches or installing WAS'1'EFLOW. Remember it is much easier to install the system in moist soil.The soil should be moist but still allow the proper operation of the installation equipment and not cause smearing in the trenches. The soil surface should be dry so that the installation equipment maintains traction. o Mark the four corners of the field. The top two corners should be at the same elevation and the bottom two corners should be at a lower elevation. In freezing conditions the bottom dripline must be higher than the supply and return line elevation at the dosing tank. o Install the dosing tank. It is critical that the tank is waterproof. If installing a riser,check that it is watertight,and the entry and exit ports are completely sealed. In freezing conditions the 5 of 24 dosing tank should be at the lowest elevation of the entire system. Lid should be placed at grade and water should be able to shed over it. o Install zone valves; solenoid or hydraulic index valves. o Install the PVC supply line from the dosing tank,up hill through one lower and one upper corner stake of the dispersal field. Please refer to your State guidelines for depth of burial. o Paint a line between the two remaining corner stakes. o Install the Geoflow WASTEFLOW dripline from the supply line trench to the painted line, approximately 6" to 10" deep as specified. Upon reaching the painted line,pull the plow out of the ground and cut the dripline 1'above the ground. Tape the end of the dripline to prevent debris from entering. The tubing expands in warm temperatures and contracts in cold temperatures. If installing during the warmer months,be sure to allow some play in the tubing so it will not pull out of the fittings when it gets cold. Continue this process until the required footage of pipe is installed. Geoflow dripline must be spaced according to specification (2 ft.is standard). Depth of burial of dripline must be consistent throughout the field. Take care not to get dirt into the lines. o If the system is looped,install the looped ends with Geoflow plain tubing or flex PVC. If in a cold climate be sure to pitch these slightly so they do not hold water and freeze. The loops are to be installed on the outside of the measured field. o Install the supply header with tees lined up at each Geoflow line. Hook up the Geoflow lines to the supply header. Do not glue WASTEFLOW dripline. Lockslip Fittings Installations i) Hold the fitting in one hand and position the tubing with the other hand. ii) Move the sleeve back,and push the tubing onto the exposed stem as far as possible. iii) Push the sleeve out over the tubing and thread the sleeve onto tubing,as though tightening a nut to a bolt. Hand tighten. Do not use tools. - iv) Test the connection to make sure the sleeve threads have gripped the tubing tightly. o Install the filter headworks between the field and the pump tank on the supply line. Insulate the box in freezing conditions. When using an open bottom headworks box,place a rodent barrier down first. This can be made from bricks,paving stones,chicken wire,3 layers of filter fabric or a 6"minimum depth of 1"gravel. Support the pipes entering and exiting the headworks with gravel. o If using a pressure regulator,install it downstream of the filter headworks,just ahead of the dispersal field,on the supply line. Although the pressure regulator can be buried directly into the soil,it is preferable to install it inside a small valve box for easy access. *Insulate the box in freezing conditions. o Install the floats in the dosing tank and wire up to the timer control. The timer control should be set to pump no more than the design flow,do not set to match the treatment capacity. o Install the pump. Fill the dosing tank with fresh water and turn on the pump. Check for flow out the ends of all of the Geoflow lines. Let the pump run for about five minutes to flush out any dirt. Shut off the pump and tape the ends of the lines. o Dig the return header ditch along the line painted on the ground and back to the pre-treatment tank. Start the return header at the farthest end from the dosing tank. The return line must have slope back to the treatment tank, septic tank or pump tank. 6 of 24 o Install the return header and connect all of the Geoflow lines. Care must be taken not to kink the dripline. o Install air vacuum breakers at the highest points in the dispersal field. Use pipe dope or Teflon tape and hand tighten. Use a 6"minimum depth of 1"gravel below the boxes to keep rodents out. Insulate in freezing climates. o Install a ball or solenoid field flush valve on the return line to the pretreatment or pump tank unless a pre-assembled Wasteflow Headworks is being used. If a Headworks was installed on the supply line, connect the return line back through the Headworks box. Support the return pipe before it enters the Headworks with gravel. If using electric solenoid valves,connect the valve common and an individual output wire to the solenoid leads using watertight electrical connectors. o Allow glue fittings 1 —2 hours to set. Open the field flush valve and turn on the pump to flush lines then close the valve and check the field and all piping and connections for leaks. Turn off the system o Check filters and valves for construction debris. o Turn on the pump and check: • Pressure at the air vacuum breaker(s) against design pressure. • Check the pressure in the WASTEFLOW Headworks. It should be five psi or higher. • If pressure gauges are on each side of the filter,note these for benchmark differential pressure across the filter. If using a manual valve for field flushing, crack it open until at least one PSI is lost or design pressure is reached and leave in that position. o Flow rates from flow meter or draw down on tank. Compare to design flow. o Wet spots in the field. If any sections are particularly wet,determine if they are caused by faulty connections, drippers or shallow burial. o Check that solenoid valves are functioning. Close the internal manual bleed after flushing the system. If solenoid will not close, first dean the solenoid with caution not to lose small spring, and if this fails,open the bonnet and clean the inside. o Establish vegetation cover as specified. o Provide owner with final as-built diagrams flow,measurements and pressure readings at startup. o Provide controller records at startup,including elapsed time meter,pump counts,secondary override counts,high water counts and primary float counts. o Solenoid Valve Installation and Operation • Wrap male adapters with 2 wraps of Teflon tape and thread the adapters into the valve inlet and outlet 1 turn past hand tight. CAUTION: over tightening may cause damage to the valve. The solenoid is located on the downstream side of the valve. • Flush the laterals by opening the internal manual bleed lever on the downstream side of the solenoid. Turn the flow control stem fully open (counterclockwise) for flow control models. • Check that solenoid valves are functioning. 7 of 24 TABLE 2. SUBSURFACE DRIP INSTALLATION METHODS NO'IE: Disturbing the soil may affect the pore structure of the soil and create hydraulic conductivity problems. Please consult with your soil scientist or professional engineer before making the installation technique decision. INSTALLATION METHOD* ADVANTAGES DISADVANTAGES a)Hand Trenching* •Handles severe slopes and confined areas •Slow •Uniform depth •Labor intensive •Disrupts existing turf and ground •Back fill required b)Oscillating or vibrating plow. •Fast in small to medium installations •Depth has to be monitored closely Use the type that inserts the •Minimal ground disturbance •Cannot be used on steeper dripline directly in place,not one •No need to back fill the trench slopes(>20%) that pulls the dripline through •Requires practice to set and operate the soil. adequately •Tends to"stretch"pipe.Shorter runs are required c)Trenching machine:Ground Hog, •Faster than hand trenching •Slower,requires labor Kwik-Trench, E-Z Trench* •May use the 1"blade for most •Disrupts surface of existing turf installations •Back fill required •Uniform depth d)Tractor with dripline insertion •Fast •The installation tool is designed tool-see diagram 2. •Little damage to existing turf because of specifically for this purpose. the turf knife •Minimal ground disturbance •Does not stretch drip line •Adaptable to any tractor e)Tractor mounted 3-point hitch •Fastest.Up to four plow attachments •Suitable for large installations only insertion implement with reels •A packer roller dumps back soil on top of the pipe * Installation methods are left to the discretion of the contractor and/or the engineer. Other installation methods may be used as long as care is taken to protect the tubing —_ and the soil. \\ N �M Rd., 1 ' Diag.2 Installation Tool 31`mYaa•s1mawwwa!'.•a \�UEaaBYAylai•alie w. MCYYSYwai er wl:aa•aY41ar •II!Yi11a41!� L f::iw.., .i t rid�..ow 8 of 24 SYSTEM MAINTENANCE The best way to assure years of trouble free life from your system is to continuously monitor the system and to perform regular maintenance functions. For large systems or systems with a BOD > 30 mg/1 automation of maintenance is essential. Inspection and maintenance should be performed every six months. ROUTINE AND PREVENTATIVE MAINTENANCE o Clean the filter cartridge. This may be done with a pressure hose. Vortex screen filter cartridge should be cleaned from the outside inwards,while the discs in the disc filter cartridge should be separated and then cleaned. If bacteria buildup is a problem,we advise first trying lye,and if the problem persists, soak the filter cartridge in a chlorine bath-a mixture of 50% bleach and 50%water. o Open the field flush valve and flush the field for 3-5 minutes by activating the pump in "manual"position. Close the flush valve. On automatic solenoid valves the manual bleed lever should always be in the closed position and the dial on top should be free spinning. This allows it to open when pulsed electrically. Clockwise rotation closes valve. o With the pump in the"manual" position, check the pressure in the drip field by using a pressure gauge on the Schrader valve located on the air vents and by reading the pressure gauge located in the Wasteflow Headworks box. The pressure should be the same as shown on the initial installation records. On systems with manual flush valves,close the field flush valve completely and then open the valve slightly until there is a 1-2 psi drop or design pressure is reached. This will allow the field to drain after each dose to prevent the manifold lines from freezing. o Remove the lids on the vacuum breaker and check for proper operation. If water is seen leaking from the top of the vacuum breaker,remove the cap of the vacuum breaker and press down on the ball to allow any debris to be flushed out. Be careful not to come in contact with the effluent. o Turn off the pump and reset the controller for auto mode. o Periodically remove and clean the air vents, field flush and filter flush valves. o Visually check and report the condition of the drip field,including any noticeable wetness. o Treatment and distribution tanks are to be inspected routinely and maintained when necessary in accordance with their approvals. o Record the elapsed time meter,pump counter,override counter,high-level alarm and power failures. This information can be obtained from the controller. _ I! 9 of 24 HOME OWNERS GUIDE FOR CARE AND MAINTENANCE OF GEOFLOW DRIP DISPERSAL FIELD A drip dispersal system has been installed on your property for the subsurface dispersal of the effluent from your home. The drip dispersal system consists of a series of/z"diameter drip tubing installed at a shallow depth of 6-10"below the ground surface. It is designed to effectively disperse the treated effluent in the ground with a combination of soil absorption and plant uptake. Your drip dispersal system will function for many years with only minimal maintenance being required,provided the following recommendations are followed: o Establish landscaping(preferably a grass cover)immediately. This will stabilize the soil and allow for the grass to take up the water. o Do not discharge sump pumps, footing drains or other sources of clear water to the system, except for the effluent discharge from your treatment system. o Maintain all plumbing fixtures to prevent excess water from entering the dispersal system. o Do not drive cars,trucks or other heavy equipment over the drip dispersal field. This can damage the drip components or the soil and cause the system to malfunction. Lawn mowers, rubber wheeled garden tractors and light equipment can be driven over the drip field. o Do not drive tent stakes,golf putting holes,croquet hoops etc.,into the dispersal field o Contact your service company if your high water alarm should sound. The pump chamber is sized to allow additional storage after the high water alarm sounds but you should refrain from excessive water usage (i.e.,laundry) until the system has been checked. o After a temporary shut down due to a vacation or other reason,the treatment plant ahead of the drip field filter initially may not function effectively,resulting in the filter blocking. Refer to maintenance guidelines above to clean the filter. Contact your service company if you notice any areas of excessive wetness in the field. In most cases, this is usually caused by a loose fitting or a nicked dripline and can be easily repaired. Note: There may be some initial wetness over the dripline following the system's installation. This should cease once the ground has settled and a grass cover is established 10 of 24 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of - FILE INFORMATION SYSTEM SPECIFICATIONS Owner Dort Fr.C4 er Septic Tank Capacity a 5-0 gal ❑NA - Permit# Septic Tank Manufacturer NOV Otis ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturers, -tech ❑ NA Number of Bedrooms Y ❑ NA Effluent Filter Model 57-F .. /00A.2. ❑NA Number of Public Facility Units , • ---. ❑ NA Pump Tank Capacity .5 o gal ❑NA Estimated flow (average) t so gal/day Pump Tank Manufacturer fie y we.$co ❑ NA Design flow (peak), (Estimated x 1.5) 6 C gal/day Pump Manufacturer ,Z,c>eler' ❑ NA Soil Application Rate . O gal/day/ft2 Pump Model /y r ❑NA Standard Influent/Effluent Quality Monthly average* Pretreatment Unit ❑ NA Fats, Oil & Grease (FOG) 530 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD5) 5220 mg/L ❑ NA Mechanical Aeration ❑Wetland Total Suspended Solids (TSS) 5150 mg/L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑NA Biochemical Oxygen Demand (BOD5) 530 mg/L ❑ In-Ground (gravity) ❑ In-Ground (pressurized) Total Suspended Solids (TSS) 530 mg/L ❑ NA ❑ At-Grade ❑ Mound Fecal Coliform (geometric mean) 5104 dull 00m1 Drip-Line ❑ Other: - Maximum Effluent Particle Size N,in dia. ❑ NA Other: ❑NA Other: ❑ NA Other: ❑ NA *Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency ❑month(s) (Maximum 3 years) ❑ NA Inspect condition of tank(s) At least once every: ❑year(s) Pump out contents of tank(s) When combined sludge and scum equals one-third (Y3)of tank volume ❑ NA Inspect dispersal cell(s) ❑ month(s) s) At least once every: / 0 yearls) (Maximum 3 years) ❑ NA ❑ month(s) ❑NA Clean effluent filter At least once every: a, ,J55 year(s) Inspect pump, pump controls& alarm At least once every: / ❑ monthls) fa year(s) ❑NA ❑ month(s) ❑ NA Flush laterals and pressure test At least once every: / ,0 year(s) Other: ❑month(s) ❑NA At least once every: ❑year(s) Other:N- >. t NT Vt/K" D N tT w.5EE PACE 20 0 F Z ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. 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 to check for any back up or pending of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any pending of effluent on the ground surface. The pending 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 tank equals one-third (Y3) 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 NR 113, Wisconsin Administrative Code. - All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 mdnths, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. . GMW(441) 11 of 24 • Page of START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tanks) 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. - During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed,by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. 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 POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump)water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides;sanitary napkins;tampons; and water softener brine. 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 chapter 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 Servicing 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 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 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. ❑ 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 CONTAIN 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 FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER n j� POWTS MAINTAINER }�/ L Name 51e//1 per Nam un b//L9 l/vC Name 5A//1;Rr r/Lt/li v/n:9 If/C- Phone 7J j - ,LI/,z s-r 6'5 yy Phone 716 —s fz r ^ 53'W4' SEPTAGE SERVICING OPERATOR(PUMPER) LOCAL REGULATORY AUTHORITY Name Darrell Dunn Name 5t Croi> Ca taJ y Zcwij Phone 7/5' y2 s" ' a,s' Phone 7/6- _88 6 - 616,16 This document was drafted in compliance with chapter Comm 83.22(2)(b)11)(d)&ff)and 83.54(1),(2)&(3),Wisconsin Administrative Code. • 12 of 24 Pump Chamber Cross Section Vent Electric J. Box Inlet Supply to System A Return Line goes back to the septic tank. A Alarm —? X Approx. 60" Dia. X B A+C=12.27g Per In C A f Pump D Off Flev_ 695.7 1 Pre-molded Pad NOTE:All pips in and out of the tank have factory seals. Specifications Tank—Manufacturer: Norwesco , Material: Poly ,Size: 500 gallons Capacities: A— 28 "or 365 Gallons B— 2 "or 27 Gallons C— 4 "or 49 Gallons D— 10 "or 96 Gallons Alarm—Manufacturer: Tank Alert , Model: HW101 , Switch Type: Float Pump—Manufacturer: Zoeller , Model: 145 , Switch Type: Float Total Dynamic Head: 50.3 Ft. Pump Discharge Rate: 6.8 GPM Timer Sequence - TORK Model # E103B NEMA 3R Total Daily Effluent: 600 Gallons For every 2 hours the timer will . Number of Doses: 12 per Day go off and run for 2 minutes. Dose Volume: 50 Gallons Note:See pump curve for additional information. Pump and alarm are to be install on separate circuits. 13 of 24 /7 ��!! �/ SECTION:2.20.045 QU4L/TV PUMPS 5NLTE /,9M y!%f/?4 FM1502 i / p"//,�/ /(1, f � '• 1211 Product information presented • L., '",./ /2' /= /-�\� m Supersedes here reflects conditions al lime i j / - -.I P c 0710 of publication.Consult factory 1:, ...- r c _ _f- ? l - regarding discrepancies or inconsistencies. MAIL TO: P.O.BOX 16347•Louisville,KY 40256-0347 visit our web site: SHIP TO: 3649 Cane Run Road•Louisville.KY 40211-1961 www.zoeller com (502)778-2731•1(800)928-PUMP•FAX(502)774.3624 COMPARE THESE FEATURES 140/4140 & 145/4145 Cast Iron Series Durable Cast Iron construction Model 140 features a Non-Clogging engineered (For Pump Prefix Identification see News & Views 0052) thermoplastic vortex impeller design and passes'/" spherical solidsy- Model 145 features an engineered thermoplastic single vane impeller design and passes'/ spherical solids FOR SEPTIC TANK-LOW PRESSURE PIPE (LPP)F • Motor-60 Hz,3450 RPM,oil titled,hermetically AND ENHANCED FLOW STEP SYSTEMS sealed,automatic reset,thermal overload protected Available in both single or double shaft seal designs EFFLUENT • Carbon/Ceramic mechanical shaft seals OR DEWATERING PUMPS • Assembled with Stainless Steel bolts SUBMERSIBLE - ."7“:0 • Stinless Steel lifting handle 1 NPT DISCHARGE • Upper sleeve and lower ball bearing running in bath of oil .. _-� 20 ft.UL Listed Neoprene cord with molded plug cap r \ and ground wire' �� 1 " r' e , F oriel BN140 ,, Model 140 1/: NPT vertical discharge IA - and BN1 5 and 145 • BN and BE models include a variable level float 44 s. a- single Seal $ Single Seal r Pumps i Pumps switch and 1'/2"X 2"PVC adapter fitting - t- � ' Operates al temperatures to 130°F(54°C)in effluent 1 �.4. or dewatering applications Corrosion resistant powder coated epoxy finish f _ f -- �' - • _. R Note: The sizing of effluent systems normally requires 4-4--;::-.4-4-..i-, ! -. ` ! - ,,1 variable level floal(s)controls and properly sized basins n . _-,p,,,,,,,,,,. ..,•........... ,.r • `- ' _ 4, to achieve required pumping cycles or dosing timers with a nonautomatic pumps. :x -� C US ' ti5ode1414Q _.../....._/Z �. \ \ T'tld'ur st°nd".duu"e i1I-}i r,7 d ;a l - Pumps ;POWDER L LL / / LfI144i/7 z COATED �:; MAIL TO: P.O.BOX 16347 TOUGH" Louisville,KY 40256-0347 ' i , ;'C4+ rG SHIP TO: 3649 Cane Run Road I - Louisville,KY 40211-1961 (502)778.2731.1(800)928-PUMP MODELS AVAILABLE -r 4 ' FAX(502)774-3624 •Automatic(Models BN€BE) t • Nonautomatic ) It:'-'=4,''', 1 "'w " Manufacturers of,. . •1 HP,1 Ph 115V or 230V(140!4140) } 12; •Y.HP,1Ph 115V 1145/41451 27" UAL/Tr PUMPS 5/NCE �B 9 ©Copyright 2011 Zoeller Co.All rights reserved. 14of24 • 1 / PUMP PERFORMANCE CURVE TOTAL DYNAMIC HEAD/FLOW Single Seal Design MODEL PERFORMANCE PER MINUTE Weight 43 lbs. EFFLUENT AND DEWATERING 65,16 '0 455 MODEL 140/4140 145/4145 Feet Meters GN. Ulm Old Liam �> � (/�:i : 10 3.0 80 303 60 228 �' 41// 1 It I 66 15 4.6 73 276 56 213 ePt�'^ is- s 20 6.1 86 250 53 201 `'.\`1Ri', 25 7.8 69 223 49 186 ,'=' 1112 n trz 1 40 '1„■. 30 9.1 49 185 45 171 + 1 40 122 28 108 35 133 50 152 _ _ 26 99 i 65 60 18.3 16 61 0 SMAO9 Head: 501.(152m) 74 t.22.6m) 0- b ,_ m ► I. z,3 a - a is I IIL 150090 I.,I ,ii I l Wf�\Y n - 4s„ 40 � _- - *MN II I SKI 524A _- 6 i 1651 1401 4140 4140 0 10 ai 70 ■ a 60 70 03 10 06{5010 MAI 4 m 103 r6 40 Double Seal Design PLOW PER MINUTE Weight 63 lbs. CONSULT FACTORY FOR SPECIAL APPLICATIONS -- 375 5516 —•- • Electrical alternators,for duplex systems,are available and supplied with an alarm. —r<Se • Mechanical alternators,for duplex systems,are available with or without alarms. • Control alarm systems are available for 1 phase pumps used in simplex system.See FM0732. ��;., 32931 - • Variable level control switches are available for controlling single phase systems. j�•� ;� I • Double piggyback variable level float switches are available for variable level long cycle controls. gS i k' " • Sealed Qwik-Box available for outdoor installations,See FM1420. • Refer to FM0806 for applications above 130°F(54°C). 11-' 11 t'Z 140/4140&14514145 MODELS-SINGLE PHASE Control Selection 1 - Model Model Volts Mode Amps Simplex Duplex um N140 N4140 115 Non 12 1 or 3 E140 E4140 230 Non 6 1 or 2 3 e a BN140 BN4140 115 Auto 12 * --- 1b 11 8E140 BE4140 230 Auto 6 * --- ���'I N145 N4145 115 Non 13 1 or 2 3 i A.Ill4111111-11M1{, E145 E4145 230 Non 6 1 a 2 3 SK15248 BN145 BN4145 115 Auto 13 * --- BE145 BE4145 230 Auto 6 * -- SELECTION GUIDE *Single piggyback switch included. 1.For automatic use single piggyback variable level float switch or double OPTIONAL PUMP STAND PIN 10.2421 piggyback variable level float switch.Refer Reduces potential clogging by debris. 0(17 to FM0477. Replaces rocks or bricks under the pump. . 0% 2.See FM1228 for correct model of simplex Made of durable,noncorrosive ABS. "Easy assembly" control panel. Raises pump 2"off bottom of basin. ^� ` ``In 3.See FM0712 for correct model of duplex Provides the ability to raise intake by adding ! °. �I�� control panel. sections of 17/ or 2"PVC piping. i Attaches securely to pump. °{� IA CAUTION I Accommodates sump,dewatering and `" _o '?r Al installation of controls,protection devic«andwiringahould effluent applications. ' be done by a qualified licensed electrician.All electrical and NOTE:Make sure float is free from obstruction. safety codes should be followed Including the most recent National Electric Code(NEC)and the Occupational Safety . and Health Act(OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. ®Copyright 2011 Zoeller Co.All rights reserved. - 15 of 24 R) W W R) H r 0 Tdi w bd 0 \ ... V1 d ' ' 3 O 7J ' V) M (A z H T1 Q n v u ti 3 13 I 1--+ xi m m D D v)n D In -1 Z r D o CO 73 m z° N I —I f ) 0 fl C o -< R) M 1--1 D r /� r N rri o td w w - AD � in DA t7 ` DdfM -° m - � Z 0 ` -Ir3o ° D IlP1z m N -1 tr*444 r) CD (/) D c o � AP" IU --I ft P I16of24 1 17 of 24 <ax bYd Efr. Description 1.5"BioDisc BioDiscTM filters are placed between the pump and drip field to trap debris from entering the dripline. The filtering medium, consisting of a stack of discs piled onto a sturdy nylon support, filters suspended matter from the flowing water stream. Geoflows discs are specially treated with Geoshield® for wastewater applications. Ideal for single family homes. • b0\<to last! Features � `\t\s' -ater Geoflow's disc filters are built to stay cleaner longer. A {<§ C�Oo particularly large surface area coupled with Geoshield®,an <a `5- antimicrobial that inhibits the growth of bacteria on the ir these filters are robust and designed to perform with biologically active water. A single filter is often used in single family home applications. Sold separately or Joa pre-assembled in an easy snap disc headworks. ✓ce 30):1d1 2"BioDisc Part No. BioDisc-150FM BioDisc-200FM Inlet/Outlet 1.5 in. MPT 2 in. MPT Flush port 0.75 in. MPT 2 in. MPT Max. Flow Rate 30 gpm 40 gpm Max. Rec. Daily 600 gpd 1500 gpd Flow Rate Max.Temp. 140 oF 140 oF Max.Pressure 116 psi/270 ft. 145 psi/335 ft. Dimensions 10.5"x 13.5" 26"x 12.2" At, Filtration 150 mesh 150 mesh Available in pre-plumbed headworks or sold separately. . • Patent Pending - • BioDiscTM is a trademark of A.I.Innovations. • Geoshield® is a registered trademark of A.I.Innovations. Geoflow,Inc. Tel 415-927.60001800-828.3388 Fax 415-927-0120 www.geoflow.com Product Sheets-2011 Filter DiscManl2H31.indd 18 of 24 1.5" BioDisc Filter Specification Flow vs.Pressure The BioDisc-150FM filter body and discs shall be 4.5 molded of polyethylene resins. The disc shall include Geoshield®anti-bacterial compound to protect the 4.0 --filter element against slime build-up. Filtration shall be 150 mesh/100 micron. The two piece body shall 3.5 be capable of being serviced by untwisting and shall j include an 0-ring seal.The seals shall be manufactured from Nitrilo rubber. The inlet and outlet shall be 1.5 N inch MPT. The OF disc filter shall be part number o BioDisc-150FM as supplied by Geoflow,Inc. L 2.0 a n- 1.5 — — — - 1.0 0.5 t L 0 10 20 30 40 50 60 70 80 Flow(gpm) 2" BioDisc Manual Filter Flow vs.Pressure Specification The BioDisc-200FM filter body shall be molded 4.0- �� from reinforced polyamide and the filter discs shall 3.5- be made of polyethylene resins. The disc shall include Geoshield® anti-bacterial compound to 3.0 protect the filter element against slime build-up. 0 2.5— — Filtration shall be 150 mesh/100 micron. The two piece body shall be capable of being serviced by y2.0- untwisting and shall include an O-ring seal. The seals a1.5- ___L_—_-__ shall be manufactured from Nitrilo rubber. The inlet and outlet shall be 2 inch MPT. The OF disc filter 1.0- shall be part number BioDisc-200FM as supplied by 0.5—= — — Geoflow,Inc. I 5 15 25 35 45 55 65 75 55 95 105 115 125 Flow(gpm) Geoflow,Inc. Tel 415.927.60001800.828-3388 Fax 415.927.0120 www.geoflow.com (II)MANUFACTURER'S GENERAL SPECIFICATIONS: White Kniaht Microbial Inoculation Generation(MIG) Device: 1. The MIG device itself shall be manufactured from a rotationally molded single piece HDPE outer plastic housing. 2. The MIG device's housing shall have an internally partitioned ballast area in the base of the unit that is easily fill able with ballast material in the field. 3. The internal ballast partition shall serve as the primary anchoring member for the fine bubble diffusion mechanism. 4. The internal fixed film media shall be of a clog resistant design that allows for the in service cleaning of the fine bubble diffusion membrane without disassembly of the MIG or requiring its removal from the tank. 5. The location of the inoculating matrix shall be in the vertical path of flow just above the fixed film media of the MIG and easily removable/ insert able into the flow path while in operation. Inoculant: 1. Any bacterial inoculant employed shall hold well-documented records of historic performance in the field of biological remediation of heavily contaminated soils. 2. The biologically active components of the inoculant shall be listed with the American Type Culture collection. 3. The genome of the biologically active components of inoculants shall be known. Specific genes produce specific enzymes that regulate biochemical reactions,control rates of growth,the metabolism of substrates including consumption of complex hydrocarbons and nitrogen. 4. The inoculants shall be well documented as environmentally safe and non-hazardous to public health. 5. The introduced bacterial cultures shall possess a ravenous appetite for simple and complex organic carbon compounds and nitrogen and be capable of explosive population growth under favorable conditions. 6. The introduce bacterial cultures shall possess characteristics that are typical of organisms evolved to dominate seasonal environments and are tolerant of a wide range of temperatures. 4 19 of 24 Air SUDDiV: 1. Air shall be supplied to the MIG by an external 115-volt AC single-phase linear air pump incorporating the manufacturer's supplied Control Panel. 2. The Control Panel shall be UL listed,equipped with an audio/visual alarm system that senses the loss of air pressure and optional high water sensing contacts in a NEMA 4x enclosure with a pump run elapsed time meter. 3. Air supply pumps may be located in either an outdoor weather resistant enclosure or in an indoor protected area. 4. All relevant electrical work must comply with the appropriate electrical codes. 5. Air supply lines shall be installed in such a manner that provides protection from damage due to frost heave,vehicular and/or foot traffic. Deployment: 1. MIG installation shall only be provided by a manufacturer's trained and certified provider in conformance with the manufacturer's guidelines and under the appropriate regulatory requirements. 2. The MIG shall only be placed in structurally sound watertight vessels. 3. MIG Vessels shall provide for a minimum of 1.5 days residency time of the total estimated daily flow of wastewater from the property and in any situation no less than 1000 gallons in volume. 4. The outlet of the MIG vessel shall be equipped with an acceptable effluent filter. 5. All MIG vessels shall have acceptable service risers to facilitate monitoring and maintenance. 6. All MIG systems must employ a subsurface effluent dispersal system of appropriate size to handle the daily flow from the property being served when functioning properly. Service&Warranty: 1. A comprehensive service and manufacturer's component warranty program shall be provided to the property owner for each MIG installed. 2. Service of the MIG shall only be conducted by manufacturer trained and authorized providers in compliance with regulatory requirements and at a minimum of 6-month intervals. 5 20 of 24 (III)White Kniaht Technical Specifications&Drawinas Model Numbers and Typical Applications WK-40Rntial applications WK-78Large residences and small commercial applications WK-lxx Larger, custom designed, or municipal applications Treatment Unit Specifications Model Maximum Minimum #of Size of Minimum Recommend Approx # recomme Tank Size Media Media Air Pipe ed maximum Diffuser nded (gallons) Towers Tower size number of Air Flow BOD (dia"x bedrooms (CFM) loading height") (lbs/day) WK-40 4 1000 1 16"x 1/2 5 1 27.5" WK-78 6 1000 2 16"x 3/4" 8 2 27.5" WK- Varies 1000 Varies 16"x 44" 3/4" varies Varies 1xx Air Supply Specifications • Model Pump Output @ Watts Amps Volts Pump Basin Dimensions # Model # 2 psi Dimensions (CFM) WK- Thomas 1.58 38 0.9 115 6.83"x8.09"x 13"Hx24"Lx 40 5040A 7.79" 16"W WK- Thomas 3.2 92 2.1 115 8.94"x 7.05"x 13"H x 24"L x 78 5078S 8.59" 16"W WK- Call for specifications lxx 7 21 of 24 Controller Specifications Model # Voltage Amps Failure Alarm Type Overload Switching Max sensing protection _ (amps) WK-40 115 8 Pressure drop Visual and 8 Normal/ +/or float A4 le Sam only_ WK-78 115 8 Pressure drop Visual and 8 Normal/ +/or float Audible Silence only WK-lxx 115 Varies Pressure drop Visual and varies Normal/ +/or float Audible Silence only White Knight MIG Tower Drawing 1^ PVC PIPING FIELD ADJUSTED TO HEIGHT 1/2'PVC Pip. y 12.00 t� INSIDE ■ LA ZIP TIES TO=OMB I' �����. MODEL 5040 or 50711 ii111∎,< 1/4. THICK NALL LIMP RIP PO@ < i is I05 500 INOCULANT PACKET .;..;1;,.t 112"PIPIEB ovvvmmvo ...0i 1l, 54x 1" ID TUBULAR MEDIA in SECTION 1 IUS FILTER FLEX DISC - I) SECTION 1 FINE BUBBLE DIFFUSER SIN. DIAMETER - ��' SECTION 2 /. tlAt . �L=Jk� 1.5" DIA. BALAST COMPARTMENT PLUG �,`�A�4i;'i 10 X 1.50' `-.I.�' PILATED WRAP EQUALLY SPACED 1/2" PVC VERTICAL CROSSECTION SECTION 2 ""'TAMMY' Mon. 8 _ 22 of 24 (IV)Typical Residential Installation Diagram Typical Residential Installation 4 4 / 3 • *M ••, 8 .• ,0• 5 6 NNNN NNNNN NNNN NNNN NNNN." NNNN 1. 115 volt electrical supply through Alarm Panel to Air Pump 2. Air pump installed in weather tight basin,outdoor location 3. '/" ID plastic air supply line 4. Service riser for monitoring and maintenance 5. White Knight Microbial Inoculator GeneratorTM 6. Effluent Filter 7. System Alarm Panel 8. lOS5OOTM Inoculant Packet 9 23 of 24 r a 1 E ; a i x rot I I a . A 3 R E Y L R.'. 7 a y A s R } " a' 'Ai k 2 4;g.. g 5 , I o "c5 Y i §1& z � ' $1 r_' i,d .1 - t g mW igt i ; F e S F I Y e t I ', tk-1. 1 a A.3 Sample images from the collage tool's"menu" Page 148 ■ ST.CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Do >t fl V 0#VN€ 4/Asa--et. Mailing Address I/O 0099l/F‹. ST SL: 414-4 3 f• JT _�`' 4/ Z s �r" �� Property Address /5e ‹.-46 t/ c0 arc c T , Alvosov A/Ts 40/47/6 MIPSO(Veriificcatio411--nrequired om arming&Zoning Department for new construction.) 9 City/State ii/ Parcel Identification Number 5 A 9 Ate 17" s Ff LEGAL DESCRIPTION Property Location Go '/<, '/4,Sec. 23 23,T 21N R A O W,Town of /Roy • Subdivision Plat: ,Lot# Certified Survey Map# ,Volume ,Page# Warranty Deed# (before 2007)Volume ,Page# Spec house 0 yes D no Lot lines identifiable 0 yes 0 no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner,if 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§SPS.383.52(1)and in Chapter 12-St.Croix County Sanitary Ordinance. The property owner agrees to submit to St.Croix County Planning&Zoning 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 inspection and pumping(if necessary),the septic tank is less than 1/3 full of sludge. I/we,the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth,herein,as set by the Department of Safety And Professional Services and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed 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 this form are true to the best of my/our knowledge. I/we am/are the owner(s)of the property described above,by virtue a warranty deed reco ded in Register of Deeds Offi . Number of bedrooms 4 SIGNATURE OF APPLICANT(S) DATE ***My 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 Office and a copy of the certified survey map if reference is made in the warranty deed. (REV.04/12) 1 11111111111 111111 1111 Tx:4241403 Document Number Document Title IlI1I1I 861 1010056 St. Croix County BETH PABST AEROBIC TREATMENT UNIT (ATU) ST CRo CO DEEDS SERVICING AGREEMENT RECEIVED FOR RECORD 04/06/2015 11:26 AM EXEMPT #: 1�1 (IA State YUpnn.e e Plan Transaction,Number- REC FEE: 30.00 • Ff 5 er PAGES: 2 Name—(Owner) Typed or printed Being duly sworn,states, under oath,that: I. He/she.is the owner/part owner of the following parcel of land located in St. Croix County; Wisconsin rec rded in Volume 64, 7 Page Document Numbe: „Dan_s.ht. Croix County Register Of Deeds Office: 6.o ter 4e7 / Recording,Area A parcel of land located in the 1/4 of the '/ of Section rizme and Return Address Q.✓A4. .v 0Y-�Rvo FRASER , T .2 N -R 2 o W, Town of /IQ 04144,k Sr 744/ , St. Croix County, Wisconsin, being Am/A/EA Pa.(t s 0/554f-f 4/ duly described as follows (include lot no. and subdivision/CSM or detailed legal description): L-I- a (, ji'tc 4, Parcel Identification Number(PIN) Agreement Date: 04O—//50_ • "THIS PAGE IS PART OF THIS LEGAL DOCUMENT-DO NOT REMOVE" This information must be completed by submitter: document title,name 8 return address, and PIN(if required): Other information such as the granting clauses,legal description, etc. may be placed on this first page of the document or may be placed on additional pages of the g.° 8( .t aty l Sieppmeeigentlds one page to your document and$2.00 to the recording fee. Wisconsin Statutes, 59.517. RECEIVED ED MAR p2 7 2015 As an inducement to the county to issue a sanitary permit for a POWTS equipped with an Aerobic Treatment Unit on'the RYabove-described prop er , w agree to do the following: 1. Owner agrees to conform to all applicable requirements of Comm 83, Wis.Adm. Code relating to Aerobic Treatment,Units (ATU) and the maintenance requirements for the proposed POWTS (Private Onsite Wastewater Treatment System)technology, If the owner fails,to have the POWTS and ATU properly serviced in response to orders.issued by the governmental unit or the Department of Commerce to prevent or abate a human health hazard as described in s. 254.59, Stats., the governmental unit(Town) may enter upon the property and service the tank or cause to have the tank to be serviced and charge the owner by placing the charges on the tax bill as a special assessment for current services rendered. The charges will be assessed as prescribed by s.66.0703.Scats. 2. The owner agrees to maintain a contract with a licensed POWTS maintainer for the life of the system. The POWTS maintainer will perform periodic inspections and maintenance as required by the manufacturer and the Department, including,but not limited to:the blower,electrical controls, and treatment unit operation and sludge depth. These inspections are to be scheduled every 6 months for the first two years of operation and yearly thereafter. 3. The owner agrees to contact the POWTS maintainer immediately upon any malfunction of the treatment unit and to maintain the unit so as to not create a human health hazard as described in s.254.59,Stats. 4. The owner recognizes that the county, Department of Commerce, or POWTS maintainer may make periodic inspections of the Components to complete performance monitoring of the unit. 5. The owner or the owner's agent agrees to report to the department or designated agent at the completion of each inspection,maintenance or . servicing-event in a•manner specified by the department or designated agent within 10 business days from the date of inspection, maintenance or servicing. 6. This.agreement will remain in effect only until the county office responsible for the regulation of POWTS certifies that the aerobic'treatment unit no longer serves the property. In addition,this agreement may be cancelled by executing and recording said certification with reference to this agreement in such manner which will permit the existence of the certification to be determined by reference to the property. 7. This agreement shall be binding upon the owner,the heirs of the owner,and assignees of the owner. The owner shall submit this agreement to the Register of Deeds, and the agreement shall be recorded in a manner that will permit the existence of the agreement to be determined by reference to the property where the Aerobic Treatment Unit is installed. 011/ A L(s)-Please PjipL45E/2 Subscribed and sworn to before me on this date: gRvoovtA✓4:- 5, icR4sFi2 .p1 tanzed Owner's Sign- - 3- L7- /5 0.2-0 � „� �' Notary Public dla Governmental Unit Official Name,Title-Please Print My Corn ssion Expires //3///9 Governmental Unit Official Signature Drafted by: Personal information you provide may be used for secondary purposes(Privacy Law s. 15.04(1)(m)) ;� •, KAY LYNN FOSTER 11 NOTARY PUBLIC—MINNESOTA ,�,;,� My Commission Expires Jan.31,2019 "THIS PAGE IS PART OF THIS LEGAL DOCUMENT—DO NOT REMOVE" This.information must be completed by submitter: document title,name&return address, and PIN(it required). Other information such as the granting clauses,legal description, etc.may be placed on this first page of the document or may be placed on additional pages•of the document. Note: s e 8�1 s one page to your document and$2.00 to the-recording fee. Wisconsin Statutes, 59:5:17. St.Croix County �i° � STEINER PLUMBING•ELECTRIC•HEATING INC. N8230 945th Street River Falls, WI 54022 715.425.5544 I Fax 715.425.8818 I steinerinc.net April 6, 2015 To: Ryan Yarrington—St. Croix County Zoning From: Paul Steiner, MP #225451 RE: Don and Arvonne Fraser 158 Cove Court Hudson,WI 54016 Ryan, Please accept this letter as an agreement for Steiner Plumbing& Electric Inc. to provide two years of service inspection for the new White Knight treatment system. If you have any questions please feel free to contact us at(715)425-5544. Sincerel /1.1114eviii° 'aul Steiner Owner/President 24 HOUR DEPENDABLE, QUALITY SERVICE Go Wisconsin Department of C 1ee,. SOIL EVALUATION REPORT Page 3 of 2( Division of Safety anc0144 iV� 1(Q��accordance with Comm 85,Wis. Adm. Code County 571 .' aft t, Attach complete site plan p ep 'r not, �lek x 11 inches in size.Plan must include,but not limited to:Jer_tica cCh•.-_t I reference point(BM),direction and Parcel I.D. percent slope,scale or dim n `` V, arrow,and location and distance to nearest road. /Sake print all information. R sewed biy Date Personal information yousrovide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). te: ._ I Property Owner Property Location DOA rbto s e( Govt.Lot 1/4 1/4 A2:5 T N R„ f tit)Viii Property Owner's Mailing Address Lot# Block# Subd. Name or CSM# PO Bar, ": 1e) t,3 /3 .. c: fit);a B t City State Zip Code Phone umber ❑City_ ❑Village ,,Town Nearest Road i ll�i�. Vol f -I ' i q I {i otf .) .. 77111 % _ / I # /O❑ New Construction Use:❑X L`Residential/Number of bedrooms F Code derived design flow rate t.. O 6 GPD [Replacement ❑ Public or commercial-Describe: Parent material Flood Plain elevation if applicable ft. General comments ` � =and recommendations: \ t t(I(.'41-c-mo..�;_./ '4'<..1 .4- f >c ( Boring ,_4-1 Boring# J ❑ Pit Ground surface elev.0 ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. *Eff#1 `Eft#2 • i 0 —.5" l0YA73/ . Ai 0 ri.y • Li l 9,2 frkt - AA L 3F 0. . 8 . 3 -10 )DYR 3/ �' t ,1 . 3 /0-4110fli. /' oje51 a. m5hk Iry :t, / c'` , /.a y .2l-�36 .5 Y R . . ox i>$ ,i.)/µ .-. _c s ,, F 01 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/ft2 in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 • I *Effluent#1 =BOD$>30<220 mg/L and TSS>30<150 mg/L •*Effluent#2—BOD <30 mg/L and TSS<30 mg/L CST Name (Please Print) Signature D CST Number 'Pava .s S-Ve, , �.�C 22.sYs 1 Address Date Ev a ion Conducted Telephone Number IA 230 -ts . tZ>`v k WI ,'s(4o27.- 1b f,2 /y C7,5)L -s5 tiq.� r, ; " P A EC EIVEI9eIL EVALUATION REPORT ' Wisconsin D ment of Commerc Page / of Division of Sa ety sac c2o[d With Comm 85,Wis. Adm. Code - J LL JJ �F Attach complete site plan on paper not less than 81/2 x 11 inches in size.Plan must County 5-' cpo! }' include,but not limited to:vertical 811,IQR®)>I(Q Parcel I.D. point(BM),direction and 1 percent slope,scale or dimerMicktionfterottLlecitifend distance to nearest road. G}W' // j._1 - 4/e. -L f10 Please print all information. Reviewed Date Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). -,• G14-kjk.L.— 1 /0/7/I L. Property Owner Property Locatio%.-2 / ah. Fr Gkstr Govt.Lot 1/4 /tJ 3/4 S423 T ,v2g N RaO -C Property Owner's Mailing Address Lot# Block# Subd. Name or CSM#, l 1,0 52+.:41/4., 5k-reek 56"; ,t + 503 z/s 5i Croix 8 ea. t City State Zip Code Phone Number ❑City ❑Village Town Nearest Road M;ivrneaVplIS 1 MI,.1 1 '514 Iy 1 ((t1z)?-7 el-q(isi Teo y I Sf CVy A f r ❑ New Construction Use:RI Residential/Number of bedrooms 1/ Code derived design flow rate La 00 GPD [ I Replacement ❑ Public or commercial-Describe: Parent material Flood Plain elevation if applicable ft. General comments and recommendations: :->-)45. �yS 4' 1 I✓C 1) i e' d ,-- CU' 4,i 4,-t - t� 3 3 '(<) 1 yLw�b� `{- i ' I Oft ` fit%-"`• (i(4-t.' T° _$'`L`:f/t_e?Aj L,/(2,7-1/4 . y� lBoring# ld Boring � c� S ❑ Pit Ground surface elev.! I^.J ft. Depth to limiting factor -3 / in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft? in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 / (�-3 /0 ye t/a Ajoit0 5il aa,�, gr Aiv4'r C w 3vfr a G . 1 62 S-/l l b WI Y/� J1, 1 / 44 !r'i/(� Alt, f r C 10 /1,,t 1' w - j• v 3 1/ay /o yR fly g '5A I b„ abh m Yi r c •s i All . 5. 11 D y a y-3? 7,re V* -Fs f ht set oh cs 1 . f I a 0 Bedyexi,6- 30 .._ Boring# ❑ Boring 766 ,DI 1,;( Ground surface elev. 6. 1 qr ft. Depth to limiting factor 3 ag. 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 1 O y /D Y 3/2 Nona- sad a m g r ,'t v rr 6 to 3v-i f G , g a y- 9 An? % 5'/•/ /.rNs6qc 4,vre Cs 1vc •I : 5" /,o 3 9- "/ /0f'/? 0 car s/ /h+ sd,1 it, ✓r C5 1,--#' 4' , 5 /, o I/ / -3210 or 4/ _ fs I * r.6 is 4" 1 — — . .s" J. o *Effluent#1 =BOD5>30<220 mg/L and TSS>30<150 mg/ *Effluent#2=BOD5<30 mg/L and TSS<30 mg/L CST Name (Please Print) Si. C N mbar IV U(( Ci Sfe /�Ai e322.3— / Address to Evaluation Conducted Telephone Number Ng,Z3 D 7z/5 Fit )7 /Je— fiz.Ills WI llf. .7s if Y;',1;°r�,��. 1 s . Property Owner 2)it / f Parcel ID# Page of 3 3 Boring# Boring t9 t ❑ Pit Ground surface elev. /f!.7 ft. Depth to limiting factor CZ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fg in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •Eff#1 *Eff#2 IMMIJO ' 2 NIMENIMMEIMPIIIIIMIWIFiril a 6 i laill MIA INN- ' i i . 8 3 S 1F ,. MiIi ■ 5 49 c.v../gy Gk — ......... _ ..._. / Boring# Boring / {� ? ❑ pit Ground surface elev.c.P / ft. Depth to limiting factor ✓ 6 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fr in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. • *EMI' 'Eff#2 I ®- 9 io113/z AJoh. siI 4.1m lr mvtr C 3v-ll •(, . 8 .- Ai-1 11) 11 31A 5; I G2rr shit mv4v CS / v I i _1 . 2 3 9-If lo 41411.G S P2msbh m✓-1 v cS 1c . to 1. 0 1 y I4.-36 10 YR 0 -Fs alms . 2 . 3 21 Boring Boring# Ground surface elev.700. Depth limiting❑ Pit ft. De th to limitin 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 J o -3 /b YR 12 A1ane Si) ..? n, c4k, )vCr cu) 3v-rf . G 2 OZ. 3- 8 jo )'R 3% s i l i 1 s hh lh v cr s l v��' .I . agedrock y3 8 ->t'� l0 Y,e',/� si/ ,►.�sbi �r ��. s J �' ---- Rock TN Th8 is • ,✓" /V1a be -;/1 , /�Ir4mss. 8441 x/h Nom = < =Effluent#1 BOD < < < 30 220 m�q and TSS 30 150 mg/L Effluent#2 BOD5 30 m and TSS 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. 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