Loading...
HomeMy WebLinkAbout026-1165-09-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 578920 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: Marek Construction, C/o Todd Marek Richmond, Town of 026-1165-09-000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: ?3 22.30.18.1275 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER ~,nq S CAPACITY STATION BS HI FS ELEV. Septic : Benchmark t,J Z5d 3 gG.7 73.3 A . BM ~ - 39 t ~5 IT"/OO 3.37-1 Aeration Bldg. Sewer L • z ~S 7 Holding St/Ht Inlet 577 9a, S Z 5 ~a • TANK SETBACK INFORMATION St/Ht Outlet J TANK TO P/L WELL BLDG. to r Intake ROAD Dt Inlet Septic Dt Bottom Dosing Header/Man. Aeration Dist. Pipe • 9 q • 1 716 lc7 • 7 Holding Bot. System S. 747--7 PUMP/SIPHON INFORMATION Final Grade Manufacturer DeP nand St Cover Z. I7 I Model Number '7 TDH Friction Loss System He TDH Ft Forcemain a. Dist. to Well SOIL ABSORPTION YSTEM BEDITRENCH Width Length No. Of Trenches / PIT DIMENSIONS No. Of its Inside DA___ Li Depth DIMENSIONS ' Z2- ` fQ /~!/J1 SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: P; INFORMATION CHAMBER OR t' ' Type System: UNIT Model Number: 35 37' f 14 A)1 Jr- 4-( Spa DISTRIBUTION SYSTEM a 3b srz - ~5 Header/Manifo)d / Distribution x Hole Size x Hole Spacing ent t it intake Pipe(s) 1Length_ C1 Dia Length Dia Spacing e \ d r S SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth xx Seeded/Sodded xx Mul hed BedlTrench Center / Bed/Trench Edges Topsoil es No es 0 No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: Location: 1448 129th Street New Richmond, WI 54017 (NW 1/4 SE 1/4 222 T30N R118W) Lundy Meadows Lott 9 Parcel No: 22.30.18.1275 1.) Alt BM Description = r' "'6J G 4f6d e J LJ / S~, fe w S 2.) Bldg sewer length = 1( - amount of cover 60, - cxSLSL._ Y Plan revision Required? ❑ Yes ~ IA I- Use other side for additional information. 00 SBD-6710 (R.3/97) Date Insepis Signat Cert. No. S .Q rdp ~ of 3 a ~r s V v j ~ r Q s ~,eH ~D n GfGt,~ y ~ ti~ Q~f (a"J~ County Safety and Buildings Division _ X ;gyp D: 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.) p 0604- -Madison WL53V 1625 7 E, r O of State Transaction Number anitary Permit Applica ion In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate govemmental unit is required prior to obtaining a sanitary permit Note: Application fortes 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 secondary purposes in accordance with the Privacy Law, s. 15.04 1 m , Stats. J 12-UL I. A lication Information - Please Print All Information Property Owner's Name Parcel # Property Owner's Mai mg Address Property Location / o al., Zg I Z75 Govt. Lot • City, State Zip Code Phone Number Af0 C-y,, Section G ©I7 71r z z -,rO ucle one) 1015-0 K l a(, ndv-0 2 2 II. Type of Building (check all that apply) Lot T 3 N;. R E ore # 0i-or 2 Family Dwelling - Number of Bedrooms Subdivision Name 6/, Block /v /L,9 Q / ❑ Public/Commercial - Describe Use /C - ❑ City of bdst_ C4 ❑ State Owned - Describe Use L CSM Number ❑ Village of ICJ t ~Z'! 2-~ Town of =C III. Type of Permit: Check only on box on line A. Complete line B if applicable) A. 'New System ❑ Replacement System El Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) ❑ Permit Transfer to New List Previous Permit Number and-Date Issued B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber Before Expiration Owner e C AJQ IV. Type of POWTS S stem/Com onent/Device: Check all that apply) _ C' 7 Ion-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain' El Pretreatment Device (explain) V. Dis ersal/Treatme Area Information: Design Flow (gpd) esign Soil Application Rate(gpds Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation 00 42 S C) ~7 8 _ VI. Tank Info Capacity in Total # of Manufacturer B c 6 U v Gallons Gallons Units -o New Tanks Existing Tanks w c d u Ci✓ 1L w U h h w w C7 P. Septic or Holding Tank / -7 } l x Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) - Plumb 's Signature MPIIGIPftNumber Business Phone Number 10 1 Plumber's A ess (Street, City, State, Zip Code) VIII. un epartment Use Only pproved Permit`Feee Date sue C Issuing t Signature eason for Dent $ ✓ ' & 7 7i3 h.J 1X. ConH911(poplNES lRe.asons for Disapproval.p r _ eQ 1. Septic tank, effluent filter and 3) PJ O (D J.` 1I4 dispersal cell must all be services /aintained as per management plan provided by plumber. Y"'4w A Tvl ctLAI- w 2. All setback requirements must be•mairttaitied as per applicable code i ordinances. Attach to complete plans for the system and submit to the County only on paper not less than 8 t2 x 11 inches in size SBD-6398 (R. 11/11) n k P (-A-AJ VeO m rb~ kph nF 2 "d,~ L N .ti 0 had e 1 • i CONVENTIONAL COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Owner's Name: o., Owner's Address: Z cf8 Legal Description: /V ~Z S %t~ Z + -7 Township: /2 (C lll40, County: C D Subdivision Name: Lot Number: q 1 Parcel ID Number: 0 Z L oe Page 1', Index and title 4AA, e/~Off Page 2! Plot Plan Page 3, System Sizing & Cross-Section pu/!1~ ftrty~ Page 4 Filter Specs Page 5 Maintenance Information PiE.~Z C ~A~uscS~ ceosf Page 6, Management Plan Page 7I St. Croix Cty Septic Tank Maintenance Form Page 8! Warranty Deed Page 9 CSM or Plat Attachments: Soil Test & House Plans Designer/Plumber:~ftqL ~ j~prV License Number: Z 77,6 f4 f 7 Date: Phone Number 77 - Signature Designed pursuant to the in-Ground Soil Absorption Component Manual for POWTS Version 2.0 SBD-10705-P (N.01/01). Page 1 I o F y f~~ /noz -1~ P 2 Q F ~ o Oh r k°~ V L eV .ti pL ~ 0 0 pour s or 2- Family Dwelling In-ground Soil Absorption System (2-cell Conventional) Daily Wastewater Flow (DWF) _ # of bedrooms x 150 gal/day/bedroom = gal/day Design Loading Rate (DLR) or Soil Application Rate= ~0 -gpd/ftZ (per SPS Table 383.44-1, 2, or 3) - Required Distribution cell area DWF ~ Q gal/day . DLR gpd/ft ft _ Z 2 ft - - # Chambers I - Chambers -Required Distribution cell area ~ ft unit ESA / Chamber Manufacturer and Model: ~A) / (fIL4 4-o/-zQcj-(C I r L~ 5 Actual Distribution cell area = Required cell area ftZ + " ftZ/ unit EISA End Cap Pair= "2 _ Foe dl e-&I c'!YD'S ~Dr Cross-Section In-ground Soil Absorption System (2-cell): 4" Schedule 40 PVC vent pipe with vent cap 12 inches minimum 12 inches minimum 72inches Soil Cover Trench 1 Sys- tem Elevation inch Chamber Height c SY-Sft Trench 2 System I' ~ Imo- Elevation -~ft ~ ft Trench Separation Leaching Chamber Width ft to limiting factor Plan View In-ground Soil Absorption System (2-cell): Trench 1 Modify ft header/ ft design as Leaching Chambers 0 needed. _ Trench 2 4 inch Header ~ ~ sin. 30 ft with end camps Draw O for a Vent and for Observation Pipe abolv~! The~witl be located ♦ - ft from the end of the cell. Vent pipes shall be Schedule 40 PVC and extend at least 12 inches above finished grade. Observation pipes that extend above finished grade must also be 4 inch Schedule 40 PVC. Page of IMOMe @ 111 / fi - MW M IM. ~ A series The original ZABEL® Disc Dam Filter was patented in 1959. The 12" series filters have been filtering wastewater longer than any filter in the wastewater industry. In 2000 Zabel made the best even better by introducing a complete redesign of the original with more great features and finer levels of filtration. A 100-12"m Series The A100-12 is the commercial filter chosen by more engineers and installed in more localities than any other filter on the market. The reliable performance and flow rates from 3000-6000 gpd allow this filter to be utilized in almost every application. The new ZABEL Versa-CaseTm is available with built-in reducer and outlet hub that accepts either 4" or 6" SCH 40 pipe. The A100-12 Series is also popular in many areas for residential use due to its high quality effluent and large capacity. Independent research has shown the A100-12 decreases TSS by 50-90% and CBOW by 20-40%. rA Filtration Available lengths 20", 28" & 36" A300-12TM Series Long heralded as the ultimate grease trap filter, the A300-12 provides 1/32" filtration and has been shown to reduce FOG by as much as 50-98%. The A300-12 is also used for onsite wastewater systems which require a finer level of TSS removal, such as laundromats and dog kennels. As with all ZABEL Filters extra filter cartridges are available to speed service time and allow offsite cleaning of the used cartridge. 41~ 1/3Z"Fiitration Available lengths 20", 28" & 36" A600-12T M Series The newest addition to the ZABEL Filter line incorporates the proven performance of the disc dam design with the finest level of filtration available on the market. The 1/64" filtration of the A600-12 provides optimal filtration levels for those unique applications with very fine particulates and suspended solids. Every A600- 12 Series filter includes the exclusive SmartFllter® Alarm switch to alert the owner of required maintenance. 1/64"FIIbration For further technical Information: Available lengths 20 , 28y'& 36 Oak www.zabelzone.com 050103-244 START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents $ of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. 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 POWTS MAINTAINER Name NO & IZ G L S pN Name Phone S- Z 7 3 7 T Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY v~1 jr Name s~Nf 4-A +e -0 ^-L/ Name •.!~T 601X 2 Phone 7-3 t~ Phone - Vlv90 This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d)&(f) and 83.64(1), (2) & (3), Wisconsin Administrative Code. POWTS OWNER'S MANUAL MANAGEMENT PLAN ~j FILE INFORMATION SYSTEM SPECIFICATIONS Owner Septic Tank Capacity I ZOO al ❑ NA Permit # Septic Tank Manufacturer (ti.) f ES C-(Z ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model ❑ NA Number of Public Facility Units J>~I NA Pump Tank Capacity E3 o 0 al ❑ NA Estimated flow (average) Vag gal/day Pump Tank Manufacturer Lo I6S6= (Z ❑ NA Design flow (peak), (Estimated x 1.5) (odd gal/day Pump Manufacturer ~ 0 (AL0 ❑ NA Soil Application Rate al/da /fts Pump Model ❑ NA !=dard Influent/Effluent Quality Monthly average* Pretreatment Unit ❑ NA Fats, Oil & Grease (FOG) 530 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BODE) 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 (BODE) 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 cfu/100m1 ❑ Drip-Line ❑ Other: Maximum Effluent Particle Size Ye in dia. ❑ NA Other: ❑ NA Other: ❑ NA Other: ❑ NA ❑ NA *Values typical for domestic wastewater and septic tank effluent. Other: MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once ever y: ❑ month(s) (Maximum 3 years) O NA 9 ear(s) Pump out contents of tank(s) When combined sludge and scum equals one-third (Y3) of tank volume ❑ NA Inspect dispersal cell(s) At least once every: 3 ® mont year(s)h(s) (Maximum 3 years) ❑ NA Clean effluent filter At least once every: 13 month(s) ❑ NA ® year(s) Inspect pump, pump controls & alarm At least once every: ❑ month(s) 13 NA 3 IN year(s) Flush laterals and pressure test At least once every: ❑ month(s) ❑ NA I year(s) 13 Other: At least once every: ❑ earth(s) ❑ NA Other: ❑ NA MAINTENANCE INSTRUCTIONS ` Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: 9 Operator. Tank Pta9e Servicing Master Plumber; Master Plumber Restricted Sewer; POWTS inspector; POWTS Maintainer; Se 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 ponding of effluent on the ground surface. The dispersal call(s) 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 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 months, 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 (4/01) ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP. CERTIFICATION FORM Owner/Buyer T~ tv r_< Mailing Address 106 'Fox 2_2 rl,`J 1~ ~G Lr~t e U Property Address ~4$ 12-9 OLL S4-( (Verification required from Planning & Zoning Department for n construction.) City/State Parcel Identification Number Duo - 11&5 - 0'7-LEGAL DESCRIPTION Property Location N lCt %a , Sec. T 30 N R-LLW, Town of n (G444o nlP Subdivision L- t d V 1111-6~ A-6 d U Js Lot # . Certified Survey Map # , Volume , Page # Warranty Deed # Volume , Page # _7 Spec house no Lot lines identifiable 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 §Comm. 83.52(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 (1) 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 Commerce 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 thi0florin are true to the best of my/our knowledge. I/we am/are the owner(s) of the property described above, by virtue of a wa ty deed recorded in Register of Deeds Office. Number of bedrooms SIGNATURE 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 Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) State Bar of Wisconsin Form 1-2003 8 0 7 2 1 5 9 Tx:4053436 WARRANTY DEED 960901 Document Number Document Name BETH PABST REGISTER OF DEEDS ST. CROIX CO., WI 08/01/2012 12:48 PM THIS DEED, made between William B. Stock EXEMPT#: NA ("Grantor," whether one or more), REC FEE: 30.00 and Todd Marek J TRANS FEE: 351.00 ("Grantee," whether one or more). PAGES: 1 Grantor, for a valuable consideration, conveys to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Recording Area Croix County, State of Wisconsin ("Property") (if more space is needed, please attach adde dum): Name and Return Address Lot 14, 15, 16, 19, 21, 23 and 31, Lundy Meadows, Lot ,Whitetail Meadows KRISTINA OGLAND ESTREEN & OGLAND This is not homestead property. 304 Locust Hudson, W154016 026-1165-09-000;026-1165-14-000;026-1165-15- 000;026-1165-16-000;026-1165-19-000;026-165-21- 000;026-1165-23-000;026-1165-31-000;026-1160- 13-000 Parcel Identification Number (PIN) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except: easements, restrictions and reservations, if any, of record. Dated P q-1 -;~,D 17.&'1 ?i' . (SEAL)BY: (SEAL) * *William B. Stock (SEAL) (SEAL) * * AUTHENTICATION ACKNOWLEDGMENT I . Signature(s) William B. Stock authenticated on d STATE OF ) ) ss. COUNTY ) *Kristina O land TITLE: MEMBE STATE BAR OF WISCONSIN Personally came before me on , (If not, the above-named authorized by Wis. Stat. § 706.06) to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. THIS INSTRUMENT DRAFTED BY: Kristina Ogland. Estreen & Ogland 30.4 Locust Street. Hudson. WI 54016 Notary Public, State of My Commission (is permanent) (expires:_ (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED C 2003 STATE BAR OF WISCONSIN FORM NO. 1-2003 * Type name below signatures. INFO-PROT Legal Forms 800-655-2021 www.infoproforms.com 1 of 1 04/21/2015 17:15 FAX IM004 ago-a" h r , atrr7rrr-~;tRl 6Jr' 5 16~ " r \ -to 120-6 y~ • r:. ~ i X65 I. Iasi oil iu 'I] n 'N oj~,j " - E~j yy1 JO bi It 00 Nil TVW ~ x EN ~~g~ ~ 1 ,ink r. ~ f ~ •~~~i f~$Iif~g' W ,1400 3.p416 L 3 ~ n~ ~ 1 5 ..9 f~l 1g~~i. p Hill; Ll 44 05% Fo 4 10' E Joa.aa'. ~1 `\r p29 21 46 t• sib °=1s~~ ~ \ E~. ~ , ` \ k yyyy1 6 ~i1 \ N r: " `0 l ~OPF~ 1'3 3~. POW v b w a bD is ~reJr+v T' HN 196 \ ~tcr t~~ Z~~~y riI ~ 8 »~i 33ok ~ 3 ~ c'11;}-~ ~ ,q3 E e.~ ~ . ~ ~i ~y``•<< w LJk u C r.L ~U ~•Y X+~'• Y' IN F._~ ~•tNE`t,ti yr :(sl )Q Jq I'll Z, v, `i ar .s$• y f ! , ` I.4 , h ry _ q / •lS lin / t .41 04) Iva b T +a~ awl r• ~ tY ~ [ ,Z9'tG.9Z _ rs rSS' •,gf'Z.S1 • ' yq; M.Oti[Y,O(JN •[)'R•rar J CZ'Zn> `,v.S!•Z "I iilf]llh\ N II!il? ~;'fC illc%fr- 1 Combina[io.n Septic Tank acid PLNP CHAMBER CRO55 SECTION AND SPECIFICATIOMS VEWT CAP. WEATHER UOOF JUWr_TIDQ BOX y'C.i. VEWT PIPC APPROVED LOCKING 10' FROM DOOR, MAIJHOLE COVER wt ~ wAR►~t 1u G L.A. 8 EL. . 'AmDOWOR FRESH coi.~~u~r `~sP P IF@ AJ~R IUTAKI S l~0-r I i Y /illJ I 1 - I . Ia'MIN• - -t INLE T PROVIDE I +,•11 'AIRTIGHT SEAL v APPROVED JOUJT Z}~g~ d Iii APPROYED J01►1T W/C.I. PIPCDR Tank construction I I I I W/C.2:. PIPE4-+W shall comply with I II ALARM TLHR ()'3.15 and.33.20 a I (I I I • ~ I oIJ C I I • I PUMP --j 1%, OFF 0 COAICRETE ~sZ BLOCK RISER EXIT PERMITTED OIJLy IF TAWK MAWUFACTURER HAS SUCH APPROVAL BFODIUG 51pr(c F 5PECIFICATIOMS DOSE LA LK MAUUFACTURCR.: W 2'2EZ (2GkJCRJn-1; 1JUMESER OF DOSES: PER 0.+.y TA1JK SIZE: - Z tt-1 GALLOWS DOSE VOLUME ~L~~ ALARM MAwuFACTURCFZ: ~5.~-L Cl1ZO SL(~5`1 1~ IMCLUDING 6ACKFLOW: 4 ` 7 . 2 GALLON5 MODCL QUMBER:- IQ[ Hw C ITIES: A= r~ IWCHCS OR ._,C GALLOWS SWITCH T7Pt: / y` B = Z IWCHES~OR L.' ~G(~LLOLIS PUMP MAMUFACTURER: __f- 0 APA _ --INCHES OR ?ALLOUS MODEL FJUMpER: Cs SWITCH TYPE: INCHES 09 6GALLOlJS 2 JJ_ Ore= PUMP AMD ALAP rj.ARE TO OL MIMIh1uM•DI5CHARGE RATE OpM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE OETWCEiJ PUMP OFF AWO,DISTRIBUTIOM PIPE.. rEET t- MIUIMUh1 MET-WORK SUPPLY PRESSURE ; ~ . . O FET FEET OF FORCE MAIN - X =LL.L1.Fi 10o/CFRICTIOIJ FACTOR..__~____ FEET TOTAL DYNAMIC HEAO = FEET As per-manufacturer.- RPR-12-2005 16:28 FERGUSON ENT HUDSON 715 386 6144 P. 01 NGOULDS PUMPS Submersible Effluent Pump PE liitYt•Jt1►uMp SPECIFICATIONS MOTOR FEATURES Pump - General: General: ■ Corrosion resistant • Discharge:1'A" NPT • Single phase construction. • Temperature: 104°F (400C • 60 Hertz ■ Cast Iron body. maximum, continuous when • 115 and 230 volts t Thermoplastic impeller and fully submerged. • Built-in thermal overload pro- cover, • Solids handling:'/" tection with automatic reset. ■ Upper sleeve and lower maximum sphere. • Class B insulation. heavy duty ball bearing • Automatic models include a • Oil-filled design. construction. APPLICATIONS float switch. • High strength carbon steel ■ Motor is permanently Specially designed for the • Manual models available, shaft, lubricated for extended fDllowing uses: • Pumping range: see PE31 Motor service life. • Mound Systems performance chart or curve, • .33 HP, 3000.RPM ■ Powered for continuous- Effluent/Dosing Systems PE31 Pump: • 115 volts operation. • low Pressure Pipe Systems • Maximum capacity: 53 GPM • Shaded pole design ■ All ratings are within the • Basement Draining • Maximum head: 25' TDH PE41 Motor working limits of the motor. • Heavy Duty Sump/ PE41 Pump: • .40 HP, 3400 RPM ■ Quick disconnect power Dewatering • Maximum capacity: 61 GPM • 115 and 230 volts cord, 20' standard length, • Maximum head: 29' TDH • PSC design heavy duty 10 SJTW with PE51 Pump: PE51 Motor. 115 or 230 volt grounding plug , • Maximum capacity: 70 GPM • .50 HP, 3400 RPM Complete unit is heavy duty, Maximum head: 37T DH • 115 and 230 volts ■ portable and t is ea compact. METERS FEET •PSC design ■ Mechanical seal is carbon, 40 ceramic, BUNA and stainless PEST MODELS: K31, Peai, Put steel. 35 ' j ' ! I I HP..33, .ao, .so ■ Stab lw steel fasteners, 10 2 GPM - f I 1! 'AGENCY 3o ea : ' . ! ' ,i I I LISTINGS .j I 1 Fr z 25 ~F ! ~ i ~i 20 Tested to UL 778 and l! i I!;! j I r. I I ; j j I CSA 222108 Standards . i- 15 - By Canadian standards As3ociaoon l i I I I I File +V11365a9 ,10 Goulds Pumps is ISO 9001 Registered ; 0 10 20 30 40 50' 60. 70 GPM 8o 0 5 10 15 m3/h Goulds Pumps ® 2004 ITT Water Technology. CA.PACrrY Effective June, 29" inc. SPU1/41 <& ITT Industries Quiclk4 Plus Standard Chamber Side and End Views 1 48" (EFFECTIVE LENGTH) % ~ 34" R Quic*4 Plus All-in One 12 Encap Front, Side and End Views 13" 8" INVERT 8" INVE T 5.3" INVERT -18.2" 33" a Quiclo4 Plus All-in-One Periscope QUICK4 PLUS ALL-INANE PERISCOP (360-SWIVEL I 12.7 INVERT QUICK4 PLUS ALL-IN-ONE 12 5" ENDCAP Quick4 Plus Standard Chamber Specifications Size (W x L x H) 34" x 53" x 12" (86 cm x 135 cm x 31 cm) invert Height ` 0.6", 5.3", 8.0", 12.7" (1.5 cm, 8,4 cm, 18.5 cm, 22,6 cm). Effective Length 48" (122 cm) INFILTRATOR SYSTEMS, INC. STANDARD LIMITED WARRANTY (a) The structural integrity of each chamber, end plate, wedge and other accessory manufactured by Infiltrator ( "Units"), when installed and operated in a leachfield of an onsite septic system in accordance with Infiltrator's instructions, is warranted to the original purchaser ("Holder") against defective materials and workmanship for one year from the date that the septic permit is issued for the septic system containing the Units; provided, however, that if a septic permit is not required by applicable law, the warranty period will begin upon the date that installation of the septic system commences. To exercise its warranty rights, Holder must notify Infiltrator in writing at its Corporate Headquarters in Old Saybrook, Connecticut within fifteen (15) days of the alleged defect. Infiltrator will supply replacement Units for Units determined by Infiltrator to be covered by this Limited Warranty. Infiltrator's liability specifically excludes the cost of removal and/or installation of the Units. (b)THE LIMITED WARRANTY AND REMEDIES IN SUBPARAGRAPH (a) ARE EXCLUSIVE. THERE ARE NO OTHER WARRANTIES WITH RESPECT TO THE UNITS; INCLUDING NO IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE (c) This Limited Warranty shall be void if any part of the chamber system is manufactured by anyone other than Infiltrator. The Limited Warranty INFILTRATOR does not extend to incidental, consequential, special or indirect damages. Infiltrator shall not be liable for penalties or liquidated damages, including Ioss of production and profits, labor and materials, overhead costs, or other losses or expenses incurred by the Holder or any third party. systems inc. Specifically excluded from Limited Warranty coverage are damage to the Units due to ordinary wear and tear, alteration, accident, misuse, abuse or neglect of the Units; the Units being subjected to vehicle traffic or other conditions which are not permitted by the installation instructions; failure to maintain the minimum ground covers set forth in the installation instructions; the placement of improper materials into the system containing 6 Business Park Road • P.O. Box 768 the Units; failure of the Units or the septic system due to improper siting or improper sizing, excessive water usage, improper grease disposal, or improper operation; or any other event not caused by Infiltrator. This Limited Warranty shall be void if the Holder fails to comply with all of the Old Saybrook, CT 06475 terms set forth in this Limited Warranty. Further, in no event shall Infiltrator be responsible for any loss or damage to the Holder, the Units, or any 860.577.7000 • FAX 860.577.7001 hird party resulting from installation or shipment, or from any product liability claims of Holder or any third party. For this Limited Warranty to apply, the Units must be installed in accordance with all site conditions required by state and local codes; all other applicable laws; and Infiltrator's installation instructions. 800.221.4436 a t (d) No representative of Infiltrator has the authority to change or extend .this 'Limited Warranty. No warranty applies to any party other than the WWW.infiltratorsystems.COm original Holder. g The above represents the Standard Limited Warranty offered by Infiltrator. A limited number of states and counties have different warranty requirements. Any purchaser of Units should contact Infiltrator's Corporate Headquarters in Old Saybrook, Connecticut, prior to such purchase, to obtain a copy of the applicable warranty, and should carefully read that warranty prior to the purchase of Units. I R I tla . I J1 1 F~ 5. 6 - «.I?~ o' •os t .a¢ WO~r e " y~ ~P~1 ~ ~..~:.SS ..e.v,~#.-Jib... ..~44aHUl ~i:L~.!.d 4~li,'rw.f!+.x!~..w.Irt.a:w.ar.Y.a.Gn .-r.. u...~.•.~aw w.M. U.S Patents: 4,759,661; 5,017,041; 5,156,488; 5,336,017; 5,401,116; 5,401,459; 5,511,903; 5,716,163; 5,588,778; 5,839,844 Canadian Patents: 1,329,959; 2,004,564 Other patents pending. - Infiltrator, Equalizer, Quick4 and Quick4 Plus are registered trademarks of Infiltrator Systems Inc. Infiltrator is a registered trademark in France. Infiltrator Systems Inc. is a registered trademark in Mexico. Contour Swivel Connection is a trademark of Infiltrator Systems Inc. © 2009 Infiltrator Systems Inc. Printed in U.S.A. PLUS0510101SI-2 } SOIL EVALUATION REPORT Page If WisconsinDepar~mentof'Commerce Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel percent slope, scale or dimensions, north arrow, and location and distance to nearest road. ab Please print all information. evie_ Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ZZ Property Owner Property Location ic/< ♦~~c.~ T-' c// .t~/ Gt . Govt. Lot 11 S 02T30 N R E (o W Property Owner's Mai ' Address Ic B lock # Subd. Name c M# City fate p Code Phone Number ity ❑,yVllageT ~J Nearest Road J J < i 44 New Construction Us A Residential / Number of bedroom Code derived design flow rate /J GPD ❑ Replacement Public or mercial - Describe: Parent material > Flood Plain elevation if pplicable ft• General comments and recommendations: ~ Boring Boiling # 01 0 Pit Ground surface elev. ✓ J ft. Depth to limiting factor - 120 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDAf •Eff#1 •Eff#2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 2- M-30 .3 A 0- 10 I~ ®Boring # BPitoring Ground surface ele ft. Depth to limiting factor / D 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 Z. l6 - l C- L 2 l i -~ra scri • Effluent #1 = BOD > 30 < 220 mg/L and T >30 <11 ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Nattte (Please Print) fur CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 5017 - f~ Q 715-246-4516 Property Owner _ Parcel ID # Page of F3_1 Boring # ❑ Boring A Ground surface elev. 1 ft. Depth to limiting factor in Pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots •E GPDfT in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 0 1D~ 3~z - S 4-- , 5 c F 2 ❑ Boring a Boring # ❑ Pit Ground surface elev. ft. Depth to limiting factor in Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots •Eff#1 GPD/fF'Eff#2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Boring # Boring elev. ft. Depth to limiting factor in. C] Pit Ground surface Soil ication Rate F1 Roots GPD/ff Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots 'Eff#2 in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. i Effluent #1 = BOD; > 30 < 220 mg/L and TSS >30 < 150 mgll. ' Effluent #2 = BODS 130 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. seD-3330 (R.6/oo) Soil Test Plot Pla Project Narhe William Stock/Steve Dalton Sh Address 1748 112th St. New Richmond Wi 54017 66STM #226900 Lot 9 Subdivision Lundy Meadows Date 8/11/03 N 12 SE 1/4S 22 T 30 N/R18 w / Township Richmond Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Survey Iron System Elevation 88.6/88.2 *HRPSame as Benchmark Alt. BM Top of 2" Pipe @ 100.2' Alt. B.M. *B.M. 90' 258' Property Line Scale is 1" = 40' unless otherwise 91' S' noted ' 6% 93 Slope -1 Please note: Installer must verify all lot lines and setbacks 5' before installation. 30' B-3 Please Note: Tested area may not be suitable for 5' desired building area. Check system location B-2 before excavating. o o M