HomeMy WebLinkAbout032-2135-20-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division ~
INSPECTION REPORT Sanitary Permit No:
579023 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:
Dulon, Christopher Somerset, Town of 032-2135-20-000
CST BM Elev: Insp. BM Elev: BM Desccri'tion: SectioNTown/Range/Map No:
8• ebv4o% - 23.31.19.1198
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic r
EX It Ott ti J l Benchmark/ A3
5 14 Dosing Jh~ Alt. BM
6 -rat
Apratinn Bldg. Sewer
Holding St/Ht Inlet
TANK SETBACK INFORMATION St/Ht Outlet
TANK TO WELL BLDG. Vent to Air Intake ROAD Dt Inlet
t 1WA_
Septic 36 Z i Dt Bottom
Dosing Header/Man.
Aeration Dist. Pipe
9a'• s
14. -1 Holding Bot. System qS. Z
5•~ 94•~
Final Grade
PUMP/SIPHON INFORMATION °J7 • Z.
Manufacturer Demand St Cover 77.7
t 1 GPM (r^ ' ~J l ~.3 .
Model Number X I
TDH Lift Friction Loss System Head TDH Fjt
Forcemain Length Dia. Dist. to Well
SOIL ABSORPTION SYSTEM
BEDITRENCH Width ~ Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Dept
DIMENSIONS V• 7S c3 `
SETBACK SYSTEM TO / P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer:
INFORMATION CHAMBER OR
Type Of System:
J'Z UNIT Model Number:
DISTRIBUTION SYSTEM 7. $ X 3
Header/Manifold I/ Distribution Tole Size x Hole S acing Vengto Air In ke
Pipe(s) /(J6
Length 7~ Dia Length Dia Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only (%.s !tNo
Depth Over Depth Over xx Depth of xx Seede dded jxx Mulched Bed/Trench Center Z • 4Y Bedrrrench Edges Topsoil s ® No COMMENTS: (Include code
discrepencies, persons present, etc.) Inspection #1: Inspection #2:
Location: 672 205th Avenue Somerset, WI 54025 (SW 1/4 NE 1/4 23 T31 N RI 9W) Whitetail Trails Lot 19 Parcel No: 23.31.19.1198
1. Alt BM Description 15 =
a
~ 5
2.) Bldg sewer length = r
- amount of cover = t S
Plan revision Required? v Yes No
Use other side for additional information.
Date I'nature Cert. No.
SBD-6710 (R.3/97)
connri~
q„ ty and Buildings Division
201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled is by Co.)
ison, WI 53707-7162
N
State Transaction Num
jOM Sanitary permit Application
in accordance with SPS 38321(2), Wis. Adm. Code, submission of this form to the appropriate governmental trait
is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to Project Address (if different than trailing address)
the Department of Safety and Professional Servies, personal information you provide may be used for secondary 4:5
oses in accordance with the privacy Law, s. 15. 1 m , Stars.
L A lication Information - Please Print All In, tion parcel #
property ow=' Name 03
- a l 3~
property Location l l
property Owner's Mailing Address
,
~ Govt. Lot - I
Zip Code Phone Number Section Z3
City, stow lc o I
Sfl (t^- i ~((1 T j l N; RE V 1
II. Type of Building (check all that aPPIY Lot Subdivision Name
l
or 2 Family Dwelling - Number of a
❑ Public/Commercial - Describe Use L❑~city of
CSM Number ❑ Village of _
❑ State Owned - Describe Use wn of t 4-7575 ~
III. Type of Permit: (Check only ne box on line A. Complete line B if applicable)
A. ❑ Other Modification to Existing System (explain)
❑ New System Replacement System ❑ Treatment/Holding Tank Replacement Only
List Previous Permit Number Date Is ued
B. E] Permit Renewal El Permit Revision ❑ Owner 3b570 Change of plumber [I Permit Transfer to New 11 Z- / 03
Before Expiration
IV. of POW PS S stem/Com onent/Device: Check a I that apply)
in Ground Pressurized In-Ground At-Grade r- Mound 2:24 in. of suitable soil ❑ Mound < 24 in. of suitable soil Non- C.~
❑ Pretreatment Device (explain) ~Z
❑ Holding Tank ❑ Other Dispersal Componem (explain) / Q
V. Dis rsaLrrrea ent Area Information: Dispersal Area proposed (sf} System Elev n /
Design Plow (gpd) Design Soi Application dsf) Dispersal Area Rc~uired (sf) Perna
Capacity in Total # of Manufacnirer
Tank Info ° 2
6 U ~j
Gallons Gallons Units 3 ;r
New Turks Existing Tanks 5
L/... ~ R, U 'vt v~ :i. Ci
v
Septic or Holding Teak 000 NN
Dosing Chamber ~ 3
VII. Responsibility Statemen 1, the undersigned, ass a ponsibility for installation of the POWTS sbown on the attached plans.
Plumber's Name (print) Plum gnature MpRvIPRS Number Business Phone Number~/
Plumber's Address (Street. City, State, Zip Code) s
-0 - Net,
untv/De artment Use Onlv
DesapProv Permit Fee Da Issue Issuing rnt Signature
Approved
Reason for Den
IX Conditi ai 1NSOns for Disapproval,
~ 3 A6 a,
ptic tank, eftlu>srtt filteranct
1Se
dispersal cell must all 0 !e[ O / maintainer! (
as per management plan provid~td by plumbeft Dom, L, `'7~,wrG..
i
A's~ ~Q4r!~'Rments mew m~Mein~ld.
~ ~ cods l oldirnlltons.
Attach to cumpkte plaaa for the system aad sabatin to the County only ties paper not less t6un 8 tit i ] 1 inehes m sue
SBD-6398 (R. I1/11)
PLOT PLAN
PROJECT Chris Dulon ADDRESS 672 205th Ave Somerset Wi 54025
SW 1/4 NE 1/4S 23 /T 31 N/R 19 W TOWN Somerset COUNTY ST. CROIX
MPRS Shaun Bird 226900 DATE 7/13/15 BEDROOM 3
CONVENTIONAL IN-GROUND PRESSURE CONVENTIONAL LIFT XXX HOLDING TANK
MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE 630 DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .4 ABSORPTION AREA 1125 # of EZ Flows 22.5
BENCHMARK V.R.P. Top of survey iron ASSUME ELEVATION 100' Filter Zabel A-100
❑ BOREHOLE O WELL + H. R. P. Same as Benchmark
SYSTEM ELEVATION 95.4/94.1/92.7 T below qrade
Alt. BM Top of Lath C 102.7' Plans Designed Using 1A
P Conventional Powts
Manual Version 2.0 M'
489' Property Line 60' M.
3-3' X 75' ells with >3' Spacing 10' B_3 Vents
90'
Huffcutt Combo Tank B-1 B-2
14% lt\,6Y
30' Slope t"
a
rn
Pro 3 EZ- Flow cells 75' long to be installed between existing
Bedroom chambers. Failure due to defective chamber design
House and gophers filling the chambers. Existing system has
no volume and is not be saved.
Please note: Using same septic tank, and lift station. Also using the
same pump and pump calculations. No changes are to be done.
Using paperwork on file.
C)
Cover Page
Shaun Bird
Bird Plumbing Inc.
1432 120th St.
New Richmond Wi 54017
715-246-4516
Date: 7/12/15
Owner: Chris Dulon
Location: SW /4 NE1/4 S23 T31 N,R19 672 205th Ave Somerset
Manuals Used: In-ground absorbtion system (version 2.0)
Page#
1. Cover Page
2. Plot Plan
3. EZ Flow Cross SejF
4-6. Maintanance and y Plan
7. Existing Septic TanSignature
Lic
ense number # 6 0
PLOT PLAN
PROJECT Chris Dulon ADDRESS 672 205th Ave Somerset Wi 54025
SW 1/4 NE 1/4S 23 /T 31 N/R 19 W TOWN Somerset COUNTY ST. CROIX
BEDROOM
MPRS Shaun Bird 226900 DATE 7/13/15 3
CONVENTIONAL IN-GROUND PRESSURE CONVENTIONAL LIFT XXX HOLDING TANK
MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE 630 DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .4 ABSORPTION AREA 1 125 # of EZ Flows 22.5
BENCHMARK V.R.P. Top of survey iron ASSUME ELEVATION 100' Filter Zabel A-100
❑ BOREHOLE O WELL *H.R.P. Same as Benchmark
SYSTEM ELEVATION 95.4/94.1/92.7 3' below qrade
Alt. BM Top of Lath (-a 1027 Plans Designed Using IA
Conventional Powts
Manual Version 2.0 M'
489' Property Line 60' M.
3-3L'X 75' ells with >3' Spacing 10' B-3 Vents
90' il&j
B-1
Huffcutt Combo Tank B-2
14%
30' Slope
c0n
Pro 3 EZ- Flow cells 75' long to be installed between existing en
Bedroom chambers. Failure due to defective chamber design
House and gophers filling the chambers. Existing system has
no volume and is not be saved.
Please note: Using same septic tank, and lift station. Also using the
same pump and pump calculations. No changes are to be done.
Using paperwork on file.
10
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ST. CAOIX COt1NT`i/
SEPTIC T A-NK NIAIN I ENANC , Y LAG FEAMEN T
AND
t_)W?`IF_RSIIlIy ~]E?;I~'IT[ l(' t'IIt N FORM
Owner/I3tt yer
M~tilin~ Address 6 7 ~ 02 OS f,'> ~'V"C-~ ~~n-~_✓'
Property Address Ak (Venircation required ]Zorn Planning Zoning Department for crew atnstitic, tan.) 1
City/State - - - Parcel I(Ientiiitcal:ion 'N in ibex
LEGAL DESCRIPTION
Property Location ,
Sec. 3 _ T N t: W, 'Town. 01 G ~J Subdir ision
C'et-tified Survey I'Vl[ap #
Warranty Deed # 6) pager
Spec house yes nu 1.ot line: identifiable ves tarn
SYSTEM MAINTENANCE AND OWN It'.YY (TATT.11('A'1'IO
ftnproper use and maintenance of your septic system could result in its prmiature iaiherr'. io handle wastes. Proper
maintenance consists of purnpirat; out the septic tank every three years or sooner, it needed, by a licensed pumper. What you pw iuio
the systern can affect the function of the septic tank as a treatment stage in the wasie disposal system. Owner rnaiatenanee
responsibilities are specified in §Corrun. 83.;2(1) and un Chapter 12 - M. Croix. County :"anituy Ordinance.
The property owner agrees to submit to St. Croix County PlanninL' d'r LoW.ng; 1 "opartment a ccitification form, sighed by the
owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper ve3~i-fying; that (1) the. on-site
wastewater disposal system is in proper operating; condition and/or (2') after 1nSj,)0 :iOn and pumping (if necessary), the septic tank is
less than 1/3 fall of sludge.
I/we, the taidersign.ed have read the above rmuiremexrts and agrec to niairtain die in ivate sewage disposal system with the
standards set forth, herein, as set by, the Department of ("orrunerce and the Dry m-trr,ent of'Natural Ke80alIGeS, Stutc of wiscotrsirr-
Certification stating that yore septic system has been araaintained must be complete- t and a-ot:urrred to the St. Croix County Planuinh &
Zoning Departartent within 30 darns of tile three, year exti.iration date.
1/we certify that all statements oil t s forma ar(, truc to the best of illy/oua k uowledge. Uwe andare the owner(s) Of il.te.
property described above, by virtue of a wrait), deed recorded in lzeg,ister of Der, is Office.
Ni ber oI' bedro
- -
SIGMA (1R.1? APPLICAN 1'(S)
t)A r►,
,,.**Any information that is misrepresented may result in the sanitary permit being o:voked by the Ptalliting & Zoning Depaa7nmut.
Include with this application a recorded warranty deed from the Register of I>t < ds ,Afice and it cope of the certified survey ntap if
reference is rtaade in the warranty dyed.
(REV. 08/05)
POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of
FILE INFORMATION SYSTEM SPECIFICATIONS
Owner 14 Tank Manufacturer: ❑ NA
Permit # C `,65eptic ❑ Dose ❑ Holding Volume; Dtro (gal)
DESIGN PARAMETERS Tank Manufacturer: ❑ NA
Number of Bedrooms: ` j ❑ NA ❑ Septic se ❑ Holding Volume: (gal)
Number of Public Facility Units: A Vertical Distance Tank Bottom(s) to Service Pad: (ft)
Estimated (average) Flow : 3470 (gal/day) Horizontal Distance Tank(s) to Service Pad: (ft)
Specific servicing mechanics must be provided if vertical is 515 feet or
Design (peak) Flow = (estimated x 1.5): (gel/day) if horizontal is >1 so feet. Specific Instructions to be provided on back.
In Situ Soil Application Rate: (g,Vdaye) Effluent Filter Manufacturer: P7 P ❑ NA
Standard (Domestic) Influent/Effluent Monthly average Effluent Filter Model: r~
Fats, Oil & Grease (FOG) !530 mg/L Pump Manufacturer: Biochemical Oxygen Demand (BODs) s220 mg/L ❑ NA ❑ NA
Total Suspended Solids (TSS) 5150 mg/L Pump Model: ACK2
High Strength Influent/Effluent Monthly average Pretreatment Unit
(FOG) >30 mg/L - Manufacturer.
(BOD5) >220 mg/L NA ❑ Mechanical Aeration ❑ Peat Filter
(TSS) >150 mg/L ❑ Disinfection ❑ Wetland
Pretreated Effluent Monthly average ❑ Sand/Gravel Fitter ❑ Other:
(BODs) 530 mg/L Soil Absorp' n System
JSS) 530 Fecal Cofrform (geometric mean) 5104mg/L NA nd (gravity) ❑ In-Ground (pressure) ❑ NA
❑ At-Gra ❑ Mound
Maximum Effluent Particle Size in dia. ❑ NA ❑ Drip-Line ❑ Other:
Other: NA Other: ❑ NA
MAINTENANCE SCHEDULE
Service Event Service Frequency
Pump out contents of tank(s) en combined sludge and scum equals one-third (3~) of tank volume
❑ When the high water alarm is activated
Inspect condition of tank(s) At least once every: r' LJ. a Isi(s) (Maximum 3 years) ❑ NA
Inspect dispersal cell(s) At least once every: El month(s) (Maximum 3 years) ❑ NA
Clean effluent filter At least once every: month(s) [I NA
ear(s)
t(s) ❑ NA
Inspect pump, pump controls & alarm At least once every: ear(s)
Flush laterals and pressure test At least once every:. ❑ month(s) NA
❑ year(s)
Other: At least once every: ❑ month(s) NA
year(s)
Other: NA
MAINTENANCE INSTRUCTIONS
Inspections of tanks and soil absorption systems shall be made by an individual carrying one of the following licenses or certifications:
Master Plumber, Master Plumber Restricted Sewer, POWTS Inspector, POWTS Maintainer or Septage Servicing Operator (pumper).
Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks,
measure the volume of combined sludge and scum and a check for any back up or ponding of effluent on the ground surface. The soil
absorption system shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent
on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate
notification of the local regulatory authority.
When the combined accumulation of sludge and scum in any treatment tank equals one-third ('X) or more of the tank volume, the entire
contents of the tank shall be removed by a Septage Servicing Operator (pumper) and disposed of in accordance with chapter NR 113,
Wisconsin Administrative Code:
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 30 days of completion of any service event.
GMW-005 (02/05)
Page of
START UP AND OPERATION
For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products, solvents or other
chemicals or sediment that may impede the treatment process and/or damage the soil absorption system. If high concentrations are
detected have the contents of the tank(s) removed by a Septage Servicing Operator (pumper) prior to use.
Pump tanks may fill above normal highwater levels prior to startup or due to pump failures. Start up or restoration of power under these
conditions is not recommended, as the excess wastewater will be=discharged to the soil absorption system in one large dose causing an
overload that may result in the backup or surface discharge of effluent and damage to the system. To avoid this situation have the
contents of the pump tank removed by a Septage Servicing Operator (pumper) prior to restoring power to the pump or contact a Plumber
or POWTS Maintainer to assist in manually operating the pump controls until normal effluent levels are restored within the pump tank.
System start up shall not occur when soil conditions are frozen at the infiltrative surface.
Do not drive or park vehicles over tanks or the soil absorption system. Do not drive or park over, or otherwise disturb or compact, the
area within 15 feet down slope of any mound or at-grade soil absorption area.
Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the fife of the treatment
tanks and soil absorption system: acids, antibiotics, baby wipes, cigarette' butts, condoms, cotton swabs, degreasers, dental floss,
diapers, disinfectants, fats, foundation drain (sump pump) discharge, fruit and vegetable peelings, gasoline, greases, herbicides, meat
scraps, medications, oils, painting products, pesticides, sanitary napkins, solvents, tampons, and water softener brine discharge.
ABANDONMENT
When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly
and safely abandoned in compliance with s. Comm 83.33, Wisconsin Administrative Code:
• All piping to tanks, pits and other soil absorption systems shall be disconnected and the abandoned pipe openings sealed.
• The contents of all tanks and pits shall be removed and property disposed of by a Septage Servicing Operator (pumper).
• After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil,
gravel or another inert solid material.
CONTINGENCY PLAN
If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant
replacement system:
❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system.
The replacement area should be protected from disturbance and compaction and should not be infringed upon by required
setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result 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 the time of their permit issuance.
~A suitable replacement area is not available due to setback and/or soil limitations. If the soil absorption system cannot be
rehabilitated and barring advances in POWTS technology, a holding tank may be installed as a last resort.
❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation
must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a
last resort to replace the failed POWTS.
❑ 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
TREATMENT TANKS, PUMP TANKS, AND HOLDING TANKS MAY CONTAIN POISONOUS GASSES OR LACK
SUFFICIENT OXYGEN TO SUSTAIN LIFE. NEVER ENTER ANY TANK UNDER ANY CIRCUMSTANCE. DEATH MAY
RESULT. ESCAPE OR RESCUE FROM THE INTERIOR OF A TANK MAY NOT BE POSSIBLE.
ADDITIONAL INSTRUCTIONS:
POWTS INSTALLER POWTS MAINTAINER.
Name
Name`~~« `Z ~!2
Phone ?/J Phone
SEPTAGE SERVICING OPERATOR PUMPER LOCAL REGULATORY AUTHORITY
Name Name f /
Phone r _ Phone
This document was drafted by the staffs of the Green Lake, Marquette and Waushara County WTS regulatory agencies in compliance with sections
Comm 83.22(2)(b)(1)(d)&(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code.
ST. CROIX COUNT'S ZONING
I
CEET1F1cAT.ZpN STATEMENT
FOP UTILIZAg'ION OF AN EXISTING SEPTIC TANK
to certify CL
::;ez-ving the that I have inspected the septic tank
C
'Section p i e s e. t7 t: 1- Y
S~-J
N
, Section ` residence
n er
N- w
• ---t' ----,Ow
t_he tank Upon inspection, I certify t
be in hat I have t c~ui~c:l
t'unctionin good condition, and it a
9 properly. Ppears to
t~~t time serviced;
1? i.d flow back Occur
from absorption system?
NO (1 f n o
Approximate volume or :Length of time,.
Ipacity:/b z~ gallons
c:'onstruct.ion: Prefab Concrete
`y.----- Steel
1lirzuft (If known) Other
Aj e Its known
J na.~ure)
Ce,c, %
(Name) Please rint
{License Number)-----
It e
to be completed b
Statutes} or ]Licensed licensed plumber
Code) (S.145.06, htisc~~tzs.ir]
( 113 Wisconsin Administrative
Plumber (applying for sanitary Permit Certification:
In accepting the above statement regardi existin
condition, I certify that the t
cunditi n, rfy is of I ank to HR 83 he g septic t:L L
st- of my knowledge w:tl -
irZspect-ion 1ng ove utlet baffle Adm. Code (except
1.'or.
Name 3
- Signatu
MP/MFRS
M ; LOT 21
LET 0 - ~ '
132,339 SOFT LOT 4 I
1 9 lJJ,809 SQ. FT CERTIFIED3 SURVEY MAP {
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08 ACRES N ,3:019 ACRES VOLUME $ PAGE 214$
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. j I T-Of -WAY 2d6'M AVENUE
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BENCHMARK--R.R. SPIKE I
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UNPLATTEp LANDS LOT 3
AR"31S TAT CERTIFIED SURVEY MAP
w 588.45'03"W "soz7i'4="E VOLIJAiE-4 ,PAGE 113 -
W S98'45'03"W 502'12'41"E
W SD8'45'03"W S$0'22s'19'W
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W S
Ryan Yarrington
From: Taylor, Edwin - DSPS <Edwin.Taylor@wisconsin.gov>
Sent: Monday, July 06, 2015 3:09 PM
To: Ryan Yarrington
Subject: RE: Replacement system
I'd put an at-grade over the existing system (10' x 75') since they already have a pump - would be an ISD.
Or I'd put new trenches in at stepped elevations with drop boxes no more than 12"-18" below grade following
contours between the existing trenches - leave the existing plastic in the ground.
From: Ryan Yarrington [mailto:Ryan.Yarrington(&co.saint-croix.wi.us]
Sent: Monday, July 06, 2015 1:43 PM
To: Taylor, Edwin - DSPS
Subject: Replacement system
Hi Ed,
Shaun is looking to replace this system page 10 has the system layout. He says that half of the system is filled in from
the size of the louvers and that the back half is completely filled due to gophers. He wants to go in between the existing
chambers and 6 inches below. He would not have the 3 foot horizontal separation between the existing chambers and
the new chambers.
I mentioned 2 other options: remove the old chambers or test another area. Shaun has mentioned that disposal of the
old chambers then becomes an issue and soils/contours are not necessarily conducive to another area.
I said I would check with you.
Thanks
Ryan Yarrington
St. Croix County land Use Specialist
715-386-4680
1
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County. St. Croix
Safety and Building Division 411, ~
INSPECTION REPORT Sanitary Permit No: 430570 0
GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No:
Personal information you provide may be used for secondary purposes [Privacy Law, x.15.04 (1)(m)].
PemWt Holders Name: City Village X Township Parcel Tax No:
P.C. Collova Builders InC. Somerset Township 032-2135-20-000
CST BM Elev: Insp. BM Elev: BM Description: Lo- j- No:
100, D for v V - I Corfu 23.31.19.1198
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
I
Septic - Benchmark
h 10C)o (n I 01.2 ado '
Dosing Alt. BM %
1V ' Y
Aeration- Bldg. Sewer 3
Holding , A-1 on St/Ht Inlet
TANK SETBACK INFORMATION St/Ht Outlet
/
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD DtInlet
Septic / i Dt Bottom
3
> sv "04. t1 30/ 3D -79 , 1
Dosing He der/Man.
Aeration Dist. Pipe
Holding ot
F. ystem 1. ~o tt+~~
3 -7. a cr fyv
inal Grade 'A.
PUMP/SIPHON INFORMATION ~t.o5 7 y
Manufacturer ` Demand St Cover ( f t
GPM
Model Number 7010 -rbp Cfnu.ty, (at;,, t 5.roo
52- -Z- ~ . to
TDH Lift Friction Loss System Head TDH 9 Ft
Forcemain Length Dia. Dist. to Well
/ q
fib r,;~ H. .s 5•.5a 95.
SOIL ABSORPTION SYSTEM
EDITRENCH IMENSIONS Width Length No. Of Trenches 3 PIT DIMENSIONS No. Of Pits Inside Dia. Would Depth
B D
j DIMENSIONS NA (Am be 5 ' n fir.:' ~
SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer.
INFORMATION CHAMBER OR
Type Of System: Yl(' 1.v I 4;0/ UNIT Model Number
1i G n GAT 1~')
DISTRIBUTION SYSTEM
Header/Manifold Distribution ix Hole Size x Hole Spacing Vent to Air Intake
i it pipe(s) ~
Length Dl- Length Iti A • Dia L ~ Spacng
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over Depth Over xx Depth of xx Seeded/S ed
Bed/Trench Center
Yes No Yes No
COMMENTS: (Include code discrepencles, persons present, etc.) Inspection #1:12'._/ 64 /0* - inspeelierE#01---1------
Location: 672 205th Avenue Somerset, WI 54025 (SW 1/4 NE 1/4 23 T31N R1 9W) Whitetail Trails L0ot019 ♦'V1 Parcel No: 23.31.19.1198
1.) Alt BM Description = G (A*RA (LI QIu~M~ ~^`'k'd' twt eo Q(aw" hall. ~ p rl,► 4G u,,
Bldg sewer length = ?w V yyVVj)0"d 1 (ti&AWL efil fit +%W 6DiI A4,,p a,-k
- amount of cover = q 11 ^ f YLO T 14
/\3) (o~ ►~11v~ti~1~} t 64&v- UW cAfw -sc "kwbv~ ~°y"I~t the
Plan revision Required? ~ Yes [~No ~ I
Use other side for additional information.
- Cert. No.
Date I sepctor :,jnature II
SBD-6710 (R.3/97)
I
CROSS SECTiON AND SPECIFICATIONS
SEPTIC TANK E PUMP CHAMBER
WEATHERPROOF APPROVED
4++ CI VENT PIPE 12" 19IN • AgOV E GRADE JUNCTION BOX HOLE COY ER
> 25' FROM DOOR. WINDOW OR WITH CONDUIT W/ PADLOCK S
FRESH AIR INTAKE WARNING tADEL
FINIS HED GRADE 4" MTN •
K a
y C• z. o aw °a +s. D. t8~ «~~a•
IN.
INLET
GAS- .
wATER TIGHT SEALS SCUT i jot uTs WiIN
A ~ED
F I LT ER- ; ALM PIPE
•
9 ' ON ,IDS IL
APPROVED
PIPE 3' C j + OFF
Offo SOLID
SOIL p~3MP OFF ELEV. D
i
UNDER TA"
3 a APPROVED BEDDING UCONCRETE PAD
SPECIFICATIONS ~I J
SEPTIC / DOSE XUt,5EFt DOSES DAY:
INCLUDING
l4ANUFACTURER: GAL. 1305E V{5L1ltSE FLOW SAC 1
TANK - GA
i S; SEPTIC GAL. CRES = D GAL. 14~ig 2~L
TANK SIZE DOSE = ~ SN
CAPACZTI£S= A .2 INCITES = ?j GAL-
ALARH MAM,iFACTURER - 8 = 2a4l
MODEL IMMSER INCHES SNITCH TYP£: C CAL
13 5 .
PUMP MAMJ2'AC1ZIRER: D x ;HCtiES =
![BER : ' 1 ' 15.23 WAC
M;fig •1YPE= AS PER Z LiJR
g ALARM iJC
GPK~ punP WIRZ FEET?.y
DISTgISUTI(M PIPE . • - uT
~ EQU=RED DISCHARGE RATE ~Z FE£,T. c2•~ .
R
VERTICAL DIFFERENCE EXRMFT;10'0 PUMP OFF AND • gRICTION FACTOR • _ fE`
+ MINIMUM NETWORK SUPPLY •F T
F££T FORCIIN TOTAL DYNAMIC HEAD
+ ~/(1 D I AM 5TH
JrO / PUMP LENGTH `Z .
j TANK' LIQUID
INTUMAL DIMENSION
LICENSE TiZ1MBrg"
SIGNED:
:188
i
TOTAL DYNAMIC HEAD/CAPACITY
HEAD CAPACITY CURVE PER MINUTE
EFFLUENT AND DEWATERING
MODEL 152/153
W MODEL 152 153
~Uj
50 Feet Meters Gol. Liters Gol. Liters
153 5 1.5 69 261 77 291
12 40 10 3.1 61 231 70 265
15
15 4.6 53 201 61 231
= 20 6.1 44 167 52 197
L) 30 25 7.6 34 129 42 159
a 8 30 9.1 23 87 33 125
0
20 35 10.7 22 85
o 40 12.2 11 42
4 Lock Volve: 38.0 Ft. (11.6m) 44.0 Ft. (13.4m)
10 o~4soe
I
0
20 40 60 80 100
i GALLONS
LITERS 0 s 1/4
80 160 240 320 _ 3 27/32 4 5/8
FLOW PER MINUTE
3 27/32
CONSULT FACTORY FOR SPECIAL APPLICATIONS _
4
• Timed dosing panels available. ® 3 27/32
• Electrical alternators, for duplex systems, are available and supplied with
an alarm.
• Variable level control switches are available for controlling single phase
systems.
Double piggyback variable level float switches are available for variable i
I level long and short cycle controls.
• Sealed Qwik-Box available for outdoor installations. See FM1420.
Over 130°F. (54°C.) special quotation required.
i I
152H53 Series 12 1/8
Control 5 n
1521153 MODELS
Model Volts- Mode Amos Sim lax Du lax 5 t/8
I N152 115 1 Non 8.5 1 2 or 3
8N I52 115 1 Auto 8.5 Included 2 or 3 sK2oe4
E152 230 1 Non 4.3 1 2 or 3 f
BE152 230 1 Auto 4.3 Included 2 or 3
N153 11 1 Non 10.5 1 2 or 3
BN153 115 1 Auto 10.5 Included 2or3 SELECTION GUIDE
E153 230 1 Non 5.3 1 2 or 3 1. Single piggyback variable level float switch or double piggyback variable level float
BE153 230 1 Aura 5.3 Included 2 or 3
switch. Refer to FM0477.
A CAUTION 2, See FW712 for correct model of Electrical Alternator E-Pak.
AM installation of controls, protection devices and wiring should be done by a qualified 3. Variable level control switch 10-0225 used as a control activator, specify duplex (3)
licensed electrician. All electrical and safety codes should be followed including the most
recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA} or (4) float system.
RESERVE POWERED DESIGN
For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump.
MAIL TO: P.O. BOX 16347
Louisvilie, KY 40256-0347 Manufachrersof..
O SHIP T0: 3649 Cane Run Road
law Louisville, KY 40211.1961 Q~rr,0Lw.-9 SdCE X999
(502) 778.2731. 1(800) 928-PUMP
httpaAvww.zooller.com PUMP FAX (502) 714-3624
0 Copyright 2000 Zoeller Co. All rights reserved.
y
Wisconsin Departrnerrt of Commerce SOIL EVALUATION REPORT Pape l d
Oiviabn of safety and euildngs
in accordance with Comm 85, IM1Rs. Adm. Code
Courriy Cho t~X
Affadi aorwode offs plan an paper not bit than 8112 x 11 inches In size. Plan must
inctrde. but not irrrited to vertical and horizontal reference point (BM), direction and Parcel I.D.
wrc no -1 slope. scale ord nwmk % nortir allow, and location one dslance to nearest road. 03 2 - 2,1 3 S-2 D'd d J
. P/aase print all Wonmdion. _ Date
PsrswW kftn M= you podde nwy b* dfor IN. s.15.04 (1) (m)). Ix S~
IL, C o/lD+~c~.. _ CAWL 1 1M T3/ N R E(
Owrnera Address ' R ; - Lot # Mock # Subd Name or CSW
i ❑ city O ViNapa Torn Named Ros4
New Corisin Lion Usell4teddenlial / Nrmrber of bedrooms Code derived design lbw rate - GPD
❑ Replaowwd ❑ - Deaaibe:
Parent metedei It Plain devetion If applicable ty-~ tt
Gerwal
and.emewn
M Boring # ❑ B
Pit Ground mollece elev.! s • R Depth ID §T&W factor ~v im Sd Application Rats
Holt= Depth Dortrirrerrt Color Roft Deser"M Taxkn Struchrre Carter" Boundary Roots GPQW
im Mixed ChL Sz. Cont. Color Gr. Sz Stn. 'Etflll 'EfflR2
3 -
i
I
Bodrq
Pit GMWW surface eiaf. ,S • Jr R. Depth to wnWQ factor in sal Awicesm Rats
ttorhm Depth Dm*wnt Color I Redox Descrow Taxbre Structure Corwidenoe Bourxlwy Roots GPDW
in. Mnsraet Qu. SL Carty. Color Gr. SL Sir •Eftk1 'E1I#2
~ - L lZ ~ s Cr rw ~ S . ~
AI)X
j u r
• ebm t IN a am > 30 220 nnlL and < 150 ffq& ' Olklent #2 = Bps 130 mplL and ris , 30 mplL
CST F%M Prim" SiDrtature d~leer
,Sxg~ el 21 -
Addi'= 01, Deis EvAAekn Condrxled Tekphorra Number
I
I ' 1
Pmp" Owner Parcel ID # Page of
F7-9 A Bainp # ❑ eorkv
Pit Gmm s tsm elev. ftl R Depth b knNkv bdw //0 in- Sol Apt*allon Rate
Hcml m Depth Dominant Cola Redox Description Texture Struchre Consistence Botsdary Roots GPM
in. Hensel Ou. Sz Cont. Color Gr. Sz. Sh. 'm TIM
-ly lOv,)h 5 rAfe- c-5- a ,s- ,
/4 - i3 51 ✓ 1 S
3 3- o .s si a N 11
D
❑ Pit QUM auriece siev. R Depth to miting fader fa -SR -moieft Rafe
Haunt Depth Dominant cow Rsdac Dsecriptim TaWm SUucture Cons(sW" Soun"y Rods GPM
h Muneel CkL ft Cont. Color Gr. Sz. Sh. 'EW 'EllM
F-1 ~l~ ❑
❑ Pk Gmurx! asiaoe elev. iw Depth to uniting iscfur In.
Sai kwm*n Role
Rouen Depth Dominant Calm Redm Desm"m. Team Struchse Corasidwm Saadary Rents GMW
In. Munsel tau. Si Coft Color Gr. ft Sh. `E1f 1
i
EMuW In BM,:,, 30 < 220 nVL and TSS 21,30;5150 nV L ' Ettluertt 92 = BODE 30 nglL and TSS 130 nVL
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
j teed material in an alternate format, please contact the department at 608.266-3151 or TTY 608-264-8777.
serw>opu~eof
Soil Test Plot MiOO
Project Name P.C. Collova Bldrs. Inc. Address P.O. Box 489
Somerset Wi 54025 Lot 19 Subdivision White Tail Date 4/20/03
SW 1/4 NE 1/4S 23 T 31 N/R19 W Township Somerset
Boring Q Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of Survey Iron
System Elevation 95.7/92.5 *HRpSame as Benchmark
A
Alt. BM Top of Lath @ 102.7' M g(J
489' Property 60' M.
10' B-3
~ 99'
I 97'
25'
i 30'B-1 4535' B-2
95' a
Pro 3'
Bedroom 14%
House Slope
i
0
M
M
i
I
u
Q