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HomeMy WebLinkAbout040-1271-20-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division Sanitary Permit No: INSPECTION REPORT 578997 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: 4 22- Permit Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 2-5-5 / '7 2 Holder's Name: City Village X Township Parcel Tax No: McNulty, Tim & Shelly i Troy, Town of 040-1271-20-000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: 20.28.19.1499 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt. BM Aeration Bldg. Sewer Holding St/Ht Inlet St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt Bottom Dosing Header/Man. Aeration Dist. Pipe Holding Bot. System Final Grade PUMP/SIPHON INFORMATION Manufacturer Demand St Cover GPM Model Number TDH Lift Friction Loss System Head 75H Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: UNIT Model Number: DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth over -17 -Depth of Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil T Yes [jd No [3 Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 453 Windy Hill Road Hudson, WI 54016 (NE 1/4 NW 1/4 20 T28N R1 9W) Troy Wood Lot 23 Parcel No: 20.28.19.1499 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = Plan revision Required? ® Yes Fr~ No L -1 Use other side for additional information. Date Insepctor's Signature Cert. No. SBD-6710 (R.3/97) R p` ^~n Y ~o a op t a Z ~ ~ ~ ° ~ ~ ~ w O ~ ah n w ~ w o ~ 4u 1 a tiw ° I " b Its x ~ ae ` a' ' z o I'~ pact( Industry Services Division County 1400 E Washington Ave L/ta/X _ 62 Sanitary Permitt'Number (to be fi' llleed] in by Co.) PA 1 REQ t~ l 7 7162 / 997 Sanitaxy Peet Ica A State Transaction Number In accordance with SPS 38321(2), Wis. Adm. Code submis"~ WaGGifib*""riate governmental unit 2,5 co L4 is required prior to obtaining a sanitary permit Note: $ 1 W ® i PI'S are submitted to Project Address (if different than mailing address) the Department of Safety and Professional Services. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, s. 15.04(l)(m), Stats. 1. Application Information-Please Print All Information V53 V1.✓/Y /LC /0. Property Owner's Name parcel f Tiy~ S Eu r'l~i✓u~rrv b D' 12"11-20-066 Property Owner's Mailing Address Propertq Location -0 8 G/JA.✓0 /0!1 E ST L.✓. Govt. Lot (a I qQ `a) City, State v~ Zip Code q Phone Number PVC Section ,?O G✓,,60'O.Bu / % / 11/37 17e Y- 94 83 (circle on T a8 R. R i9 ~o H. Type of Building check all that apply) i t r Vt or 2 Family Dwelling - Number of Bedrooms y Subdivision Name _ / 040 Blaclt N b \ G Q FubiirJCommercial - Describe Use ~'Eit7 of Q State Owned-Describe Use CSM Number 44-Aflage of 1191)(21, D 0 n 1) CELL- ~ Town ofP-le .0 Y Ili. T er tz heck only one box on line A. Complete line B if applicable) ONew System Q Replacement System Q Treat ment/Hotding Tank Replacement Onty Q Other Modification to Existing System (explain) B- Renewal Q Permit Revision ❑ Chance of Plumber List Previous Permit Number and Date led ❑ Permit Transfer to New / Before Expiration Onner 0 ni-D 0 D -7-o IV. Type of POWTS System/Component/Device: (Chect. all that apps Q Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-G Mound 24 in ofsuitable soil Mound <24 in. ofsuitablesoil Q Holding Tank ❑ Other Dispersal Component {explain) - retreatment Device (ea-ptain) V. Dis rsalfIrmatment Area Information: Design Flow (gpd) / Design Soil Appiicati rp&f) Dispersal Area Requ sf) Dispersal Atea Propos6a System Etee" rd4,t.. ~ Gao 70 Q Ga$, 98.0' 9,76 . Tanis Info, pacity m Total # of Manufacturer Gallons Gallons Units 4 J U New Tanks EdatRaTualm ° in y in ~ c Septic or so - ,?sa l✓/FS C C Ld.rc,c rS 1-- casing Cinnabar 750 - 7So / fir " VII Responsibility Statement- 4 the undersigned, assume responsibility for installation of the POWTS shown on the attached plans Plumber's Name (Print) Plumber's IVIPAMMS Number Business Phone Number Z~~ ~ 7/5' d 7,7-~5744 Plumber's Address (Street, City, State, Zip Code) 98 <r. 111WY a?S ,©u tA.do CJI Sy73G VI .CDun- /IDe artment Use (3n Approved ❑ v~ Pe it Fee n 1 Date Issued issuing Agent pan ❑ O~ rven Reason for ial IX. Core yp=easons for Disapproval 1. Septic tank, effluent filter and JJ JJ l V`~ dispersal cell must be serviced /main®s as per management plan provided by plumber. 2. All setback requirements must be maintained / 1 dA nn ~2 ~6 as P" appldra /brdinances, Attach to complete plans for the system and submit to a Coun _ only on paper not less I rthan 8 v2 a 11 inches in size J f~epi~( o SBD-6398 (R. 08/14) Qtir~xrtgy DIVISION OF INDUSTRY SERVICES 2331 SAN LUIS PL STE 150 ~oI 9R GREEN BAY WI 54304 3 0 # Contact Through Relay http://dsps.wi.gov/programs/industry-services `9ti w~ www.wisconsin.gov O'ssro- °w¢ Scott Walker, Governor Dave Ross, Secretary June 12, 2015 CUST ID No. 231346 ATTN: POWTS Inspector JOHN HERBERT PELKE ZONING OFFICE PELKE PLUMBING ST CROIX COUNTY SPIA N6298 ST HWY 25 1101 CARMICHAEL RD DURAND WI 54736 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/12/2017 Identification Numbers Transaction ID No. 2554222 SITE: Site ID No. 813553 Tim & Shelly Mcnulty Please refer to both identification numbers, 453 Windy Hill Rd above, in all correspondence with the agency. Town of Troy St Croix County NE1/4, NW1/4, S20, T28N, R19W FOR: Object Type: POWTS Component Manual Regulated Object ID No.: 1539809 Maintenance required; 600 GPD Flow rate; System(s): Mound Component Manual - Ver. 2.0, SBD -10691-P (N.01/01, R. 10/12), Pressure Distribution Component Manual - Ver. 2.0, SBD-10706-P (N.01101, R. 10/12); 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. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all codEof-2~ requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s. stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders Pursuant to outlet filter product approval stipulations, maintenance information must be given to the owthe POWTS explaining that periodic cleaning of the septic tank outlet filter is required. The access opused to service the filter shall terminate at or above finished grade with a watertight cover. • The pump chosen for the design is at the limits of its capacity. If the total dynamic head is calculated to be higher at the time of construction, a pump that meets or exceeds the system demand will need to be installed. It is recommended that the actual pump-off elevation be determined when the dose tank is installed to establish vertical lift and TDH pump demand early in the installation process. The County POWTS inspector will verify adequate pump capacity upon inspection. Performance specifications (pump curve) for the employed pump shall be made available at the job site upon inspection. • As per the Mound Component Manual, activities shall be limited in the mound area. Vehicular traffic, excavation and soil compaction are prohibited in the basal area and 15 feet downslope of the basal area. • The orientation of the mound system must be such that the mound's longest dimension is perpendicular to the direction of the slope. • This POWTS dispersal component and septic system shall follow all setback requirements per s. SPS 383.43(8)(i), Wis. Adm. Code. JOHN HERBERT PELKE Page 2 6/12/2015 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. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of 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 on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 r Fee Received $ 250.00 I` Balance Due $ 0.00 Rachael E Huempfner POWTS Plan Reviewer, Division of Industry Services WiSMART code: 7633 (920)492-7726, M-f 7:45 am To 4:30 pm rachael.huempfner@wisconsin.gov cc: Pelke Plumbing & Well Drilling Inc Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm Note: Effective January 1, 2012, all codes under the jurisdiction of the Division of Industry Services (formerly Safety & Buildings) will be modified. Code references with prefixes starting with "Comm" have been replaced with "SPS" to recognize the relocation of the Division of Industry Services from the former Department of Commerce to the Department of Safety & Professional Services. Additionally, all IS (formerly S&B) codes have been renumbered and addressed in a "300" series. For future reference, the Wisconsin Commercial Building Code will be addressed by SPS Chapters 360-366. Treatment $ystcm L,3dm and Iffle Pa& e oviumesNomw it n A ' 444,0 A4 . psi at 9- 9is3 • fir. ~Rd~X 3onditionally • - PROVED LoMmmbm ?3 JF INDUSTRY SERVICES 2/15 Alp RRESPONDENCE PW2 or d°t wad • ---BOSS- ~KGFf,D.J / 96Aw1 llJEl✓ G~ ~10wiJQ Pbp4 o eiaE 4.1 rJc .zAa z,, s+o& r .1 P riG r ~!~✓1C f u ,~JYiPn►d t Gltoss - SfG 1-ie.J ` Pap 6 Lane Psi i~ t? !i ti :t as •ti P W 99 61. AEA Xafait.~sr TiaDw1 No esigaw. To y.✓ LiewmHumbm ,V- ajaye Daft; .5--.5- Dedpod ID66POW01 9PO~ CoupiumthfinuW ! esps 91-85: ~a.9Gra►d+ ~a.rs®er►K.~, r ~.✓arrt lJe~ias~sR, ?.G+ ,Sd.®-/©6 9~ J~' C e~~.~o~~ Ilk c ti `fit ~ a ~ `Q Z n r\ ~`4 y O 1• p ~ \ p e U~' ~ 'moo ~ t r ~ e o i ~ e its ~ a « 4 ~ , a J h R ~ a w n u ~ t~z A V1 n W ~ hh~l t O tht b 3 i ° '4 ~ Qo~r e < a • • e • •.~s • a • • O `1. R ~p T -AUN-w- SL ftf S 4 = N boo td ~0. 4y~.~ - ` t 9NR Z Q ~ n 54 P, t~ s i s ~ n ZIA k b tiCO Q ~ 4b e o w z y ; w 'k k 00 a~ K Ip ~ a a w a ~ o ` zs K ti ~ 1 h O 'y • c ti o a 01 . = - Page S Of 9 SEPTIC TANK 9-PUMP CHAMBER CROSS SECTION'AND SPECIFICATIONS 4" Cl VENT PIPE 12" MIN. ABOVE GRADE 3 MTHERPROOF /'0. FROM DOOR, WINDOW OR JU tCTION BOX APPROVED FRESH AIR INTAKE WITH CONDUIT MANHOLE COVERS W/ PADLOCK S /~J~t-~rV~A WARNING LABEL 4 " MIN. IOU N. INLET i 6 WATER TIGHT SEALS GAS- i ` ,BES r TIGHT i i vAPPROVED G-/o A SEAL i JOINTS WITH APPROVED LM APPROVED PIPE PIPE B i ON C PUMP OFF ELEV. FT. -j- OFF RISER EXIT D PERMITTED ONLY IF TANK MANUFACTURER • - 3" APPROVED BEDDING UNDER TANK HAS APPROVAL CONCRETE PAD SPECIFICATIONS SEPTIC./ DOSE- TANK MANUFACTURER : NUMBER DOSES PER DAY: TANK SIDES: SEPTIC 1.7j-,d GAL DOSE VOLUME INCLUDING 3 /y7 DOSE GAL.' FLOWBACK: /.?,g .GAL. ALARM MANUFACTURER: CAPACITIES: A u _ jo INCHES 3 .AY-214-..UAL. MODEL NUMBER: lwmc Amen ~ SWITCH TYPE: ..49.gsLe4#4 B = 2 INCHES a 3A.? GAL. ' /c A? MP MA~NU~FAC~TURER: 2+d~t4~'("~ C = Aa. 3NCIiES - 99 GAL. yPU•~•_ MODEL NUMBER : a/ f SWITCH TYPE: /JELN.iw/GIL 1} c 1.0 INCHES GAL. REQUIRED DISCHARGE RATE - gg, GP PUMP 9 ALARM WIRING AS PER ILHR 16:23 WAC VERTICAL 'DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE . /f-d FEET + MINIMUM NETWORK SUPPLY PRESSURE . . . . . . .3•-.s'k/~; . . . FEET + ..:...,..9. o ' . FEET FORCEMAIN --X 1 FT/ 100 FT. FRICTION FACTOR . 24 T FEET TOTAL DYNAMIC HEAL) = ? FEE INTERNAL DIMENSIONS OF PUMP TANK: LENGTH SS a ; WIDTH 8o N ; DIAMETER LIQUID DEPTH 'N l r" ➢"'Ow Ext£E,os e?a; usE Za EL[ rA 16".? 40.-00 TOTAL DYNAMIC HEAD/FLOW PUMP PERFORMANCE CURVE PER MINUTE MODEL 15111521153 EFF AND DEWATERING 50 14 153 MODEL 151 152 153 12 40 Fast I mow* oal cm. Lras Gat. u em 365 15 50 69 261 77 291 10 tl ° 10 10 170 ei 231 70 265 30- 75 4.8 38 144 53 201 61 281 8 25 151 20 81 29 110 44 167 52 197 g 7.6 61 34 129 42 159 30 9.1 - = 23 87 33 125 n1pT 4"~ a 35 10.7 22 85 4 15 40 122 - - 11 42 10 shu-N . 301L .1m) 3811.111.&1F 44R (13.0t) 1 0145= 2 5 01 Mod 51 Models 152 1153 10 311$ 40 56 eb 10 80 N 1 1! 6 fly 8 7192 GM IM UTM 0 40 AV-40 166 260 240 2k 16 360 3718 450 3718 4518 FLOW P13iNlbk!(E 014606A ez; e a - e. - 3718 370 w w~o - 3 L ,,,r ® i 374 i 3716 • Timed dosing panels available. • Electrical alternators, for duplex systems, are available and supplied with an alarm. f i I • Variable level control switches are available for controlling I single phase systems. f • Double piggyback variable level lost switches are available j for variable level long and short cycle controls. • Sealed Qwik-Box available for outdoor installations. See 11111% ~ 1211 I FM1420. i • Over 130°F (54°C) special quotation required. T I 41{5M 5318 =11163 Swig-d SK2444 sK2054 1SIM0153 MOOMS control sekethm Model W RB-Pb " Amp Simplex Moo N151 tt5 1 riot 6.0 1 2 or3 BN151 its 1 Aub 6.0 lndxw 2 or 3 E151 230 1 Non 3.2 1 2 or 3 BE151 230 1 Auto 32 Included 2 or 3 fl N152 115 1 Non 8.5 1 2 o' 3 'Easy assembly- N152 115 1 Auto 8.5 included 2 or 3 (Pt" & rot eKftbed.} E152 230 1 NM 4.3 1 2 or3 BE152 230 1 Auto 4.3 1nGuded 2 or 3 N163 115 1 Non 10.5 1 2 or 3 ON153 115 1 Aub 10.5 Included 2or3 E153 230 1 Nan 5.3 1 2,3 BE453 230 1 Aub t 5.3 Included 2 or 3 1. Single piggyback variable Ism float switch or double piggyback variable level ~ _ ~ ~ i. _ • . y float switch. Refer to FMG477. ° Reduces potential dogging by debris. 2. See FMO712 for correct model of Elecrical Aftemator E-Pak. a Replaces rocks or bricks under the pump. 3. Variable level control SwltM 'IN743 used as a control activator, spe* duplex a Made of durable, noncorrosive ABS. Raises pump 2 off bottom of basin. (3) (4} float system. Provkies the ability to raise intake by adding sections of 111° or 2" PVC piping. 4 c urtoN 11 Attaches securely ""•1 to Nn~~rr,r~ t - ;3,x` i s ° > N-C- C' n; Ci -§ICG rF ➢ itdtrlr $s'. to G' to JC'?'3 z.' CF 3~F'it~^ " d c, s Accommodates sump dewatering and effluent applications. c bwc i ~ Ali e!ni s c , w id v r , ,V!~,,, t Owuld b.- ,chin."'arc €rdudhi ho ,1Fa..k razz r1 t: a1a .r:W. 4> VNIE a .c im C k N41c ! Safott ann. fi .:i! NOTE: Make woe float is free from obsbuedon. rav S~a EY:~i~. For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. 0 Copyright 2008 Zoeller Co. All rights reserved. POWTS OWNER'S MANUAL AND MANAGEMENT PLAN FILE INFORMATION SYSTEM SPECIFICATIONS Septic Tank Owner Ny Capai o DNA Permit # Septic Tank Manufacturer K4-aea. 0 NA DESIGN PARAMETERS -Effluent Filter Manuf chm ,iSEsT 0 NA Number of Bedrooms 100 m Effluent Filter Model f - /a La NA Number of Commercial Units Pump 21 Tank Capacity so Ci NA Estimated flow (average) yao da Pump .Tank Manufacturer Es~~ 6'I. 0 NA Design flow (DWFj estimated x 1.5 6GO Cho R!M Manufacturer G'o ELtst NA Model DNA Soil Application Rate A 0 Eydayfe Pretreatment Unit (If NA) InfluenvEflluent Quality (0 NA) Monthly Avenrge 0 Sand(Gmvel Filter 0 Peat Filter Fats. Oil & Grease (FOG) 5 30 mg/L 0 Mechanical Aeration 0 Wetland Biochemical Oxygen Demand (BODs) 220 mg/L 0 Disinfection 0 Other: Total Suspended Solids (TSS) Manufacturer: Model: MLIL < 150 Pretreated FfFluent Quality (0 NA) Monthly Average Soil Absorption Component (l3 NA) CI ~ ~m►d (gravity) 0 Ir"gtound (pressurised) Biochemical Oxygen Demand (BODs) -5 30 mglL d At-grade 18(lvhound Total Suspended Solids (TSS) 5 30 mg/L 0 ine 0 Other. Fecal Coliform (geometric mean) <10 cfu/100m1 ❑ DiDrip-I spersal Units Manufacturer Maximum Effluent Particle Size 118 inch diameter Q AMPWft Cell(s) Model Calculations: Sail Dispersal (EISA) or WF Apglic 'on rate = Area Required -i- (Trench Width) Units or Toted I.enath of Tmw. sl 84 DESIGN CRITERIA 0 "Design of Pressure Distribution Networks for Septic Tank-Soil Absorption Systems" Publication 9.6 (SSWKV Manual) 0 "ICC Flowtech Mound Component Manual- Version 1.2 • -allow Mound Component Manual" Version 8120/2007 • SBD -10854-P (R. 1II2) "At-Grade Component Manual Using Pressure Distribution" Version 2.0 0 SBD -10705-P QC01/01) "In Ground Soil Absorption Component Mamiar Version 2.0 }I{( SBD -10691-P (N.01101) "Mound Component Manual" Version 2.0 0 SBD -10657-P (8.6199) "Drip-line Effluent Disposal Component Manual" Ad SBD -10'70&-P (N.01101) "Pressure Distribution Component Manual' Version 2.0 © Other - MAINTENANCE MONITORING SCHEDULE - MAINTENANCE AND MANAGEMENT Service Event Service FrequeM Runpraspm tan s inspect dispersal cells clean filter At least once every: CT 13 months 3 0 Other - InMRSt & um controls, alarm unit At least once months Mr3 ears t3 NA . pump p- pretreatment Flush and pressure test laterals At least once : p months 3 years p NA START UP AND OPERATION; For new construction, prior to use ofthe 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 cells). If high concentrations are wed 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. The property owner is responsible for the operation and maintenance o€the POVM and submission of required reporm The quantity and quality of the wastewater stream will affect the performance and longevity of your POWTS. The installation of water-saving appliances and fixtures along with prompt repair of leaks reduces the wastewater volume. Also the brine or waste from water softeners, iron removal units, other clear water treatment devices and foundation drains should be discharged tD the ground surface whenever possible, Note: this does not include laundry waste, showers, dishwater, etc. This system is designed to handle domestic strength wastewater, however the disposal of food based greases and oils, vegetable/fth peels and seeds, bones, and food solids such as those produced by a garbage disposal should be minimized. Toilet tissue is the only paper that should be discharged into the system. Other non-biodegradable items such as baby wipes, tampons, sanitary napkins condoms, cigarette butts, dental floss, and cotton swabs should not enter the system. Chemicals such as petroleum products, paint, pap 7 09 disinfectants, pesticides, antibiotics, solvents, etc., should not be flushed into the system as they can seriously damage your POWTS and c onhunmate your drinking water supply maintain a regular steady flow by spreading laundry washing throughout the week. Avoid vehicle traffic over all system components. Compaction of snow over the dispersal unit may cause it to, fines ter. ECT#ONS dE MAIN'TENANCE: hgmotion shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Maintainer or Septage Servicing Operrear (per the attached Ma aftence Scitedule~ Tank inspections must include a visual inspection of the tank to xlwtifj nay missing or broken hardwares identify any cracks or "leaks, measure the volume of combined sludge aid scum and check for any backup or pooling of effluent to the ground surface and test all electrical equipment such as pumps and alarms. Any defer shall be promptly corrected. F-xposed openings greater than 8 inks in diameter shall be secured with effective locking devices to prevent accidental or unauthorized entry the tanks. When the combination of sludge and scum in any tank exceeds one-third (1/3) or more of the tank volume, the entire contents ofthe tank shall be removed by a SMOV Servicing Operator and disposed of in ice with Chapter NR113, Wisconsin Administrative code. The outlet filter(s) $11$11 be inspected and cleaned to reprove any accumulated solids according to ma nif c urees specifications. Solids washed from the filter shall be retained in the tank. Filter cleaning may be necessary at more fiequent intervals than stated in the maintenance schedule to keep the system operating. Alarms should be tested on a regular basis by the home owner. Han alarm sounds, contact an individual licensed to service POWTS, There is normally a I day reserve under regular operating conditions, however water should be conserved until any problems with the system are corrected to prevent back-up of sewage into the dwelling or m fwnig. DORM When the POWTS fails andlor is permanently taken out of service the following steps shall be takeit to ensure that the "MCm is properly and safely abandoned in compliance with Ch. SPS 383.33, 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 proWly, disposed, of by a Septage Servicing Operator. - Afier pumping, all tanks and pits shall be erww4led and removed or their covers removed and the void space filled with soil, gravel or other inert solid material. CONTINGE= .Aa: If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: C3 A suitable replant area has been evaluated and may be utilized fior 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 replacemW area render it unusabl e. Replacement systems must comply with the rules in aftba at the time of r+eplacemwrt. C3 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 fined POWTS. The site has not been evaluated to identify a suitable replacement area. Upon failure ofthe POWTS a soil and site evabovion must be Pwftmexl 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 him= at the infiltrative surface. ins of such systems must comply with the rules in effect at that time. <<WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTIAN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR, IMPOSSIBLE. ADDITIONAL COMMENTS PO INSTALLER POWTS MAINTAINER Name ~N Etr6 e?3/3w~ Name ,T/ g1 E~,~ ear /+lt Phone / 7?- "46 Phone 7/S 67 - S"•?d6 SEP'f'AG9 SERVICING OPERATOR - .r.,r~►d LOCAL REGULATORY AUTHORITY Name Sway , r o. aJl~,at d F Plane Phone f 400 Pap-8 of 9 c v m L hT~ m G o o c a @°T ~ ; amsn ~ r gig ? G .O.s O n d Z m n ~ m r3 / ~ C ~o R -a S~ fi^t Q !A fi A W N ~ ~t C ~ A.1 ID o+ ? may?.. ~ m f0 f + 7 7 V a e Fula ~ ~M ~ ~ t=j m~p s~if^II ly ~~.G u. s~.. am m oc mono =r CD g m m o m w m m i K m m~~ za~~o 2: : n m 0 O y° S3. P'.~' to -p to M M ,s: m '6 a a. w cr -a So$ go SL m as ~ N Z W {q n p 10 f2. G Q" 3 Q R cm o a.'6 T ~ ~ a 8. c v $ 3 o ^ ass m saa ru T. R ~ m CD 71 _ A q o -4 g Rroofam~s 1Tl ro Oil 6.1 r~ ° m 3 m O c!i _ 3m c= _ g- Q r m o a 3f 3 g a n '6 'O (L N 4t A l R. K Ca:7 L. ..a.. ~ Ufa { a® T,. CROrx (_,0t,-,,~TTY SEPTIC T.ANYQ' TA'FN` FN' ki'~C'I ACJREEMENT 4AL %S l r2t Addjccss ~ U 3 °1 Grnvlc FUG' t s+ L n e f WwAo r m &j S-S-1 °l '~r~ ~etl ° dclie 5 3 Inl~.ic c~ l ~ac Ud S0Y-7 ~/S S C4 U I G (v^F: < <,h ,ar0 , ?'Cx~UIT" "CpII L~(dFLt`J.121C &)x^a! I ] ~C~Itt L.T, h1. 't ~7 IL(?. ~T~' ..021?~:T1iCtSL?il. ldccati 1cation, Natnbcr L GAL DESCRIPTION Property Location a , 4 , Sec. T N R -W, Town of Subs ivi ;10il Lot Certified Sure ev) tap _ j Volume , Pa e# N arr S an tY Deed P yes no Lot ?i1 s idt-mifiable yes no SYSTENT NT I\`TE ANC E AND OWNER CI` RTWIC'ATION tn;prop ,ISC and rt:i2 rt rrCt of your Septic svstcrl could result t, its premature fa lure to handle %vaste Propa Inaull auce consist"; of p uapint out thF s ptic tank ever} three pears ox sootn(rl. 1f ri-eded, by a Itcensed pumpeT. What you put Into t2 sytt i ':1.;+ afi i 7 it.Ilc` on ,o dl 1~11ti t i3k as a trec,.TIY1z lc titagC 111 L}iC S4 ',t:', disposal ;V =tet22 OV+ er mairi nance p~~rlsil 111tie. arm. spc~ci,led in 'a `onun ^:?r i t aml i,t t l:apt r .4 - S*. t , oiK t cunt tianltary t.)sdinall e. htc pt ills ty w tie ut tot's to air[ snit t< 5t. ('rols Coluity F'tarminiz cC-. Zoning t~epairtrrer . a ~-i_ic'ation form, sib r t ed y t',-,t ova Alen and by 1 rester ' -,nbez tz>I,tn~ ,t.iart plarnbe~r, restrietedphilu>el o, a ljct:nsed "pumper v(~r,;f-yiup that 1) tIle on-site 34tc',' i t disposal S, 1~z „ p op;r opc'--, ung co ditio;3 ails: or Q1 aft-'r inspection l?ld hulnpinc {If 7 the S ;1'1 IC-SS th'R IrJ tlT1. t). t t~ ci..te } l< d17O °tg12h~.rTCI1iS at,d a .reC to ru nn'tak" tie 111IvatC Sets a uispoS l yt tc 1 .x.;113 the ll ::'C I t s`Orsr - I1t.IC,I11 3S St t L :u De par;Tnel"t 0: r €yI'1_lie,t'C a11d <:1? Dcpalll-1111 of ,N1t'F:raal IiCSolart, state o W ScoI>CIn ' (li. f 3tIi3I. St'Iti;7{* til'tf you" : t.pil~ SVS'em 11":15 beer, mainlt:alic'd must fie i'nrnnleted and returned al the szt Croix Cot111t~' Tc..:i Dt'partment t17:h1u1 30 d i s o i,e Three v,,ar } ati lti d31?,. v:e tot 1 y' tl li 111 slatt Il o t i1S form are Cllr to t le be"t of 111viour ! w)vlcd,t~, I'R t` aLn' is tflv wo,,- er{s} Llf the pmiperty t1e4t;.Tl~c.,l a7flS I.I , It1L"'~ ,3 Ln..r32}te deed . ,,'cc r&d in Rte,uister of Deeds t}tl"i<'e, . Nuniber of bedroom. ATURF DATE Any 11iFov-,,I tt;.on tlll:t may zc' nk in the TCt.C1K;'d t)~,'t}ie PfH.tiil131`.? S, ~.t) 1ltl.i? I.~i:~~2itT17t'Tit. Include v °ith this applicatioli a r worded vvarrant} lieed rnn t Rtpislrr ant Tc,ecd Office and a copy of tl,e certified curve; neap ieference is made in the warraniy deed, t1 EV, O8,''(i=} WINDY HILL ROAD 8=231.00.1 L=12#.44'1 1 , / ~ I x /tea/~/ / I UQ 9 / rn 23 ~ M I I , 52 81 SQ. Z. Z 3 PROPOSED HOUSE r. 25 • \ siOG\ \ \ N 58T45'02"W 205.22' NORTH LEGEND o DRAINAGE DIRECTION x =1MRE FLAG SEr ® =WOOD HUB SET AT OR VY OFFSET OR ON BUILDING EXTENSION FOUND V OUTSIDE DIAMETER IRON PPE . . . . . . . . . SETBACK LINE 12' UTILITY EASEMENT i, Ty R. Dodge, Wisconsin Professional Land Surveyor, hereby certify that this survey was prepared by me or under my direct supervision and is correct to the best of my knowledge and belief. ELEVATIONS SHOWN ARE NAVD 1988 DATUM. iCCORMACK tXASSIC CONSTRUCIM LOT 23. TROMOD s 10r :.r._ IMM reodrls SYI W'~' STAKEOUT PLAN m~ tlo .:Z b j x - N 2 (TU Sy V ,5 ~n z~33 tP ym H Z ~ D m H tl ~ ~ r 0 D W D o ~ tl O K = Cp ow1P s F~ <P LLy ~R ~ I Ty>~ ff`#TV i I 1 A o~ A p Alf ® ~ b z ®EMMA 4t _ D OM WINGSPROVtDEp BY: PROIECT OESCRiPT[ON: CRIPTH)N M DATE THESE DRAWINGS ARE THE P0.pPRtEARY WORK PRDOUR ANp m m McCormack Classic McNulty House MOPE 0.IYOFMeCORMgCKCUS5I000N6TRUCTON,DEVEAPEp ~..R o Construction Ad&- FOR THE P.KfSA1S{yE USE OF McCDRNACK CLi55[C 573 176M Avc CONSTRUCTION. USE Of THESE DRAW WGS AND CONCEPTS VI Hp6son•WI fi901fi CONrA1NED THEREIN WITHOUT THE WRITTEN PERMISSION pF 115) 160-2211 • McCORNACK CLASSIC CONSTRUCTION 15 PROHTBt1ED AN. 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D M ~ W ¢ rv ONV 1:)nW d )IVOM OV13MOVd 4141 A& SONIMM Ms 31+0 AS O IV 530 :NOLtdiV]530 LO3fow :AS O3mCTkW S`JNIMVVO LJ E a .ilL l•.Et I 9/1 LAt IL~ o ~ 4 M Z g vs1-.t C + .rzt-S ,a1o-s B .Ul tl•b Wisconsin Department of Safety ar Division of Industry Services SOIL EVALUATION REPORT Page / of - J''''hi ' a ckond~il~ewitil SPS 383, Ws. Adm. Code County Attachcompl~tet~'pWn on pap LK61;M iA inches in size. Plan must ST. ~it oJX include, but not limited to: v ga~b5dloM11Yak hMBM), direction and Parcel I.D. 2-0-00D percent slope, scale or dimensions, north arrow, and location and distance to nearest road. V Please print all information. R Date Personal information you provide may be used for secorwary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location T-Zoy ~t r ul r cart. Lot lilr 114 /J 114 S,?o T d8 N R (0a Property Owner's Malting Address ;10?-33 Block # Subd. Name or CSW X43 S B 14. 10K woo) City State 7-1p Code Phone Number ge ElTown Nearest Road s*/ O/Jd3y~Y AIAI S/a9 (GS ) o?L - d83 ito S3 G/.rer New Construction t1sejX Residential / Number of bedrooms ~Y_ Code derived design flow rate COO GPD Replacement n Pu bric or comrnerew - Describe: Parent material 0-cu o„&"c S~~,oY Lo a•a ri1 L Flood Plain elevation if applicable iYA tt. General comments and recommendations ~~u'~~ ~Owrs/ 1q,1o L/Fry y~o .r1aBE/ oo~s✓ 6aass l"/ELB, fLECoi+!/'1E.~D S.L~1. • 98.0 onJ p76 Lo.vToua/ y°,o Gai✓CgvE• DEFLEGr/o~~ a Boring # D Bo" ® Pit Ground surface elev. 97e ft. Depth to limiting factor p? 9'- in. Soli iration Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots PD in. Munsell Qu. Sz. Corti. Color Gr. Sr- Sh. 'Eff#1 'EfW d - Z, -,Ye 4 5 o2 v n li /o Y.t s13 6 h CS 3 y-.ty .sY.t y/,/ sjk r cs - . L N,trAuY .1Y-34 /a YE s/ .7 7.eY.~ s/G ~s/z .t k rr, n w G NEq u goring # 0 Boring F~] © Pit Ground surface elev. 95. 7 ft. Depth to limiting factor m? 9 in Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Stnuctcue Conswtence Boundary Roots GPD/fF jlk in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'EM 1 '01#2 oYa 'i 3 - as ?Or- 4e .9 Si/ Gs mil'- G 3 /o ra Y/,1 - S" / .2 rr sb - . G 8 y a/-a ~sY~ /Y - /s s M^ w - TA- 4 S 9-See /o Ya SlS/ r~a~ sYIZ ,$-/,R . - 5/ 4 ' Effluent #1 = BOD > 30:s 220 mglL and TSS >30:S 150 mgn #2 = BOP ,:s 30 mgfL and TSS 30 mgfL CS Name O'lease Michael J. Hassett signature CST Number 1503 Esior-way St. - AAML3!~ Address Eau Claire, WI 54701 Data E Telephone Number 715-834-8610 715-577-4383 OZO/s, CST, MFRS-224974, D-1152 sen'8330(R07/13) ProPerhrOwner ,Sit~sttY /i/1/Wt tY Parcel ID# Page of 3 [3 [S Bonng # Borft Pit Ground surface elev. YZ 3 8. Depth to nrttiting factor SO ia. Son Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDR in. Munson Qu. Sr- Cont Color Gr. Sr- Sh. *801 *Eff#2 - v .P 8 15' 116 YA lS-.?3 /o ra a K 4k k o c .73-3o S, y Zo S 3e-y Id rIV r .?d Sra S fS3 Sd -I ~ - - y G ❑ Boft # Borkv Pit Ground surface elev. ft. Depth to NTKvV factor in. Son ' n Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDff in. Munson Qu. Sz. Cont. Color Gr. Sz. Sh. *Eft'#1 'Eff#2 Boring # soft L~1 8 Pit Ground surface elev. R. Depth to Urniting iador in. Sal cation Rate Horizon Depth Dominant Color Redwr Description Texture Structdae Conslatenoe Mmxkry Roots GPD h Munsell Qu. Sz. Cart Color Gr. Sz. Sh. *M1 *0#2 Effluent #1= BODS > 30:5 220 ffV& and MS >30:5 150 mQ& * Effluent A = BOD.,<_ 30 mg& and TSS 30 rrQ& 1- ProperiyOwner / f.Si✓ ttY A&/yat rY Parcel ID# Page ~g;i 3 131 Boring # Boring 2 Pit Ground surface elev. 96.3 ft. Depth to limiting factor .30 in Soil Application Rate Horizon Depth Dominant Colo Redox Description Texture Structure Consistence Boundary Roots GPDff in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. *Eff#1 *Eff#2 o~ l^t v . 8 1 .3 13 S . L a 9- /s a A Z-S~ 1 6 5 1",e4 3 /s-.?3 /o ra y - -3i l a .a `k e P. c G 8 Y 3-30 s. Y 3- 1 a shk Z / o 5 3a-VY /11 r ry3a~ 3-114 -fLV-5-13 F-I M Boring # Lt Boring Pit Ground surface elev. fL Depth to limiting factor in. Soil ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDiff' in. Munsel! Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#! "Eff#2 ❑ Boring # Boring Pit Ground surface elev. ft Depth to lirni ing factor in. Soil A icafion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIfF- in. Munsel! Qu. Sz. Coat. Color Gr. Sz. Sh. *EIMI *092 * Effluent #1 = BOD, > 30:5 220 mgtL and TSS >30:S 450 mgtL * Effluent 112 = BOD5 c 30 mglL and TSS 30 mg1L sea.x~sornovta~ f {I" a- ~ _ 4~e r 0 e a - ~ N ~ Q ~ rA _ yaw W i ~ ~ v` No a I Mo 1 1 N A `1 M rN 1 r w o 1 0 L I1 w a a ~ ~ o r u ~ n r ~ o ~ y 4\ n IA O w \ ~ o a ~ y 7 I Z In a a 1 n *1 n ^~i 1 ~ tA. zL e ~w