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HomeMy WebLinkAbout004-1089-20-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: Safety and Building Division .St. Croix INSPECTION REPORT Sanitary Permit No: GENERAL INFORMATION (ATTACH TO PERMIT) 579050 Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)j. State Plan ID No, 25$1 Permit Holder's Name: City Village X Township Parcel Tax No: Zimmerman, Greg & Joanne Cady, Town of 004-1089-20-000 CST BM Elev: Insp. BM Elev: BM Description: % , Q ►/p ~ v , 6+ P~ Section/Town/Range/Map No: 36.28.15.571 11 TANK INFORMATION fAl ELEVATION DATA TYPE MANUFACTIVINZ 1~ `V PA CITY STATION HI FS ELEV. I ID. Septic y Benchmark -J k- D .O ! Dosing ` 0 ~ Alt. B, V7 I`_ ~ I. b qZ.Bn Bldg. Sewe Ho ding FDt t Inlet99~, 75 TANK SETBACK INFORMATION t Outlet 4in P/ WELL BLDG. Vent to Air Intake ROAD let lD S 7, w I ~~I D tBottom ~ 1 i ~ 1 ~ Head r/Ma 2' L15 D . Aeration Dist. Pipe 07. 64 ~a 3 , / Ho Bot. System 13.1 2,6' Final Grade PUMP/SIPHON 1 INFORMATION Manufacturer Demand, ly 15 115~ GPM Oh Model Number M I TDH Lift Frictio oss System Head n ' n TDt^ F f~ G I FWjS orcemain Len h Dia. Dist. to Well 1 ~ nk ave~e. SOIL ABSORPTION SYSTEM BEDITRENCH Width IengtL75' No. Of/~r n h PIT DIMEN S No. Of Pit Inside Dia/ Liquid Deptty / DIMENSIONS (-P SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION T CHAMBER OR y e f y t b, \UNIT Model Number: . m ly'V Gi 61 YA DIST ON SYSTEM Head an Distribution C~ 11 x Hole Size )(Hole Spacing Vent to Air Intak Pipe(s) J Length Dial ✓ LDi a Spacing-IL SOIL COVER x Pressure Systems Only xx Mound Or At-Gra 11, S _ystejnq RnIji, ept Over Depth Over jxx Dep th of ee xx Mulched rench Center Bedlrrench Edges soil es No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 9 / ! ~y ~ ) Inspection #2: Location: 39 320TH ST Spring Valley, WI 54767 (NW 1/4 SW 1!4 36 T28N~15W)- ac~"Lot S ~(~,®k r / Parcel No: 36.28.15.571 1.) Alt BM Description *Jtfmkv~ 2.) Bldg sewer length AsiAIw. 1(1 Q p amount of cover f ti lv~M+YI~/IL Plan revision Required? ❑ Yes No - -1 Use other side for additional informatf n. SBD-6710 (R.3/97) Date a I o s Signature Cert. No. Safety and Buildings Division County St. Croix 201 W. Washington Ave., P.O. Bo e7162 j Sanitary Permit Number (to be filled in b U +t~t ps 12- 2015 Madison,Wl 7 ] 62 by Co) ) ST, CROIX cOUNTY !5,7 D,5 C) Sanitary Permit Application State Transaction Number In accordance with SPS 383.21(2), Wis. Adm_ Code, submission of this form to the appropriate govemurental unit Z S• 163 ~o is required ; to obtaining a samlary permit. Note: Application forms for state-owned POWTS are submitted to Project the Department of Safety and Professional Services. Personal information you provide may be used for secondary Address (if different than mailing address) purposes in accordance with the Pfivany Law, s. 15.04(1 m), Stats. 3 2Z4 C J L Application lnforma ' - Please Print All Information Property Owner's Name Parcel Greg Zimmerman / "l o~y a o o Property Owner's Mailing Address Y I xi 39 320' Street it; ocanc 5?~ Govt. Lot City, State Zip Code Phone Number NW '/4, la'/4, Section * 3 r Spring Valley, WI 54767 TAN; W Westu°) 019 1s IL Type of Sanding (check all that apply) Lot # U X1 or 2 Family Dwelling - I3umbef of Bedrooms 3 46 tock# 26 r4-, This propose-system will serve one 3 bed6om Na City of residential Home. CSM Number ❑ Village of (Q k / 5 / l 0 c/t C X Town of Cy Ili. Type of Permit: (Check only one boa on line A. Complete line B if applicable) A. New System. Replacement System TreatmentfHolding Tank Rat Only Other Modification to Dusting System (explain) x B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner 11 " A 5,Z, )V. T of POWTS S em/Com nent/Deviee: Check all that apply) i Non-Pressurized la-Ground ❑ Pressurized hWffound At-Grime Mound > 24 m. of suitable skull X Mound < 24 in. of suitable soil / Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) / V. Dis rsal/Trea nt Area Information: Design Flow (gpd) Design Soil Application Rate(gpds Dispersal Area Required (sf) Proposed (s system Elevation 450 gpd .6 750 s ft 2,3~Oj~ 102.47' VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units 10-8 New Tanks Existing Tags m Septic Tank x 700 2 Lewis Bjork, LLC x Lift Tank x 700 1 Lewis Bork, LLC x VII. Responsibility Statement- I, the nadersigaed, awe respeadbility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) PI MPIMPRS Number Business Phone Number Lewis Bjork t~fl ' 253976 715-231-7375 Plumber's Address (Street, City, State, Zip Code) E7818 County Road E Menomonie WI 54751 "Of VIII Con rtment Use Only igo#we Appv Permit Fee Date Issued IssuZ: en Ream for a~ 3 l3 I S Ix. condt teas son for Disapproval efYltlent filter and r*A r .tlisperral cell must all be services I rhaintair4eti riper management plan provided byplurfOr.; 2. Ah'st ctc regWMMeM must be.inadrttxir s : as par appl fe`iwde / ordinanM. j i ~r ' tk ~ ~q f s4 ~ i ~ ~ I rJ co a @5 i n~p ab 1 NO, r 0 y 9-1PART.h{E~ DIVISION OF INDUSTRY SERVICES ~o10541N RANCH ROAD y PHAYWARD WI 54843 Contact Through Relay S ` hftp://dsps.wi.gov/programs/industry-services S www.wisconsin.gov G 0 ~0~~'ssror Scott Walker, Governor Dave Ross, Secretary July 31, 2015 CUST ID No. 253976 ATTN. POWTS Inspector LEWIS C BJORK ZONING OFFICE LEWIS BJORK LLC ST CROIX COUNTY SPIA E7818 CTY RD E 1101 CARMIC14AEL RD MENOMONIE WI 54751 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 07/31/2017 Identification Numbers Transaction ID No. 2581036 SITE: Site ID No. 815403 Greg Zimmerman Please refer to both identification numbers, 39 320TH St 6 O , l _ og a~ _c)-z, c above, in all correspondence with the agency. Town of Cady St Croix County NW1/4, 9*/4, SA, T28N, ROW FOR: 5XJ 3(. 15 Object Type: POWTS Component Manual Regulated Object ID No.: 1548607 Maintenance required; 450 GPD Flow rate; 16 in Soil minimum depth to limiting factor from original grade; 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.01/01, R. 10/12), SSWMP Pub. 9.6; 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 code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stars. The following conditions shall be met during construction or installation and prior to occupancy or use: 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. I s r LEWIS C WORK Page 2 7/31/2015 Sincerely, Fee Required $ 250.00 Fee Received $ 250.00 Balance Due $ 0.00 Carl J Lippert Wastewater Specialist, Division of Industry Services W iSMART code: 7633 (715)634-5035, M-f 7AM - 12PM carl.lippert@wisconsin.gov cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484 , Monday - Friday 8:00 am To 4:30 pm Lewis Bjork LLC l MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residentia! Appiif,,t[ton INDEX AND TITLE PAGE Project Name: Greg Zimmerman- Replacment Mound Owner's Name: Greg Zimmerman Owner's Address: 39 320th Street Sprin~Vally 54767 Legal,Description: NW SE 35 28 13 W Township: Cady County: St. Croix Subdivision Name: - Lot Number: - Block Number: COI£ALLY Parcel I.D. Number: APPROVED Plan Transaction No.: DEPT OF SAFETY AND PROFESSION: AL SERVICES Page 1 Index and title DIVISION OF INDUSTRY SERVICES Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tan Gd Page 5 System maintenance 1 i ESPONDENCE Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Plot plan Page 9 plot plan legend Page 10 Attchments : Effluent filter / septic & dose tanks /manhole Page 11 Soil report Designer: Lewis Bjork License Number: 253976 Date: 07/17/ ;L Phone Number: 715-231-7375 Signature: Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01/01), and both SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01) Version 7.0 (R. 03/2012) Pagel of 11 t r Mound and Pressure Distribution Component Design }~.4,prbra ~~t.;rk~taF~e. Site Information r,; Residential or Commercial Design Note: Sand fill (D) calculations assume a _ 300.00; Estimated Wastewater Flow (gpd) Table 383-44-3 in-situ soil treatment for 1.50 Peaking Factor (e.g. 1.5 = 150%) fecal coliform of 36 inches. 450.00 Design Flow (gpd) _ 4.00? Site Slope 100.801, Contour Line Elevation (ft) 16.00 1 Depth to Limiting Factor (in) 0.60 In-situ Soil Application Rate (gpd/ft) Distribution Cell Information 75.001 Dispersal Cell,Length Along Contour (ft) = 6.00 Cell Width (ft) r 1.00; Dispersal Cell Design Loading Rate (gpd/ft) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution y Pressure Disribution Information network? r $ e Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation (ft) 2 Number of Laterals - of the highest point. 0.188 Orifice Diameter (in) - ' 3.75 Estimetea Orifice Spacing (ft) = 11.25 ftz/orifice ---2.00 Forcemain Diameter (in) 275.00 Forcemain Length (ft) Does the forcemain drain back? Y _ 80.00 f Pump Tank Elevation (ft)r 3.25 System Head (ft) x 1.3 44.86 Forcemain Drainback (gal) 22.30 Vertical Lift (ft) 67.47 5x Void Volume (gal) 4.15 Friction Loss (ft) 112.32 Minimum Dose Volume (gal) 0.00 In-line Filter Loss (ft) 26.21 System Demand (gpm) 29.70 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 - 125 x 1.00 1.50 x - x - - 1.25 2.00 1.50 x x 3.00 2.00 x _ 3x .00 Gallons/inch Calculator (optio teal: Treatment Tank Information Total Tank Capacity (gal) 1400.90LSeptic Tank Capacity (gal) Total Working Liquid Depth (in) Lewis Bork LLC jManufacturer [ J gaUin (enter result in cell B49) Dose Tank Information Effluent Filter Information 700.00 Dose Tank Capacity - (gal) lorencom Filter Manufacturer 16.85 Dose Tank Volume (gal/in) Blo tube Fitter Model Number Lewis Bjork LLC i Manufacturer Project: Greg Zimmerman- Replacment Mound Page 2 of 11 y v Mound Plan and Cross Section Views 1/10 B Observation Pipe Q J K i A W t O B Q z L Mound Component Dimensions A 6.00 ft E 22.88 in H [A7.92 ft K 10.74 ft B 75.00 ft F 9.50 in T ft L 96.47 ft D 20.00 in G 0.50 ft J ft W 24.83 ft 450.00 (ft) Dispersal Cell Area 1267.76 (ft) Basal Area Available 6.00 (gpd/ft) Linear Loading Rate 7.50 (ft) 1110 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 104.26 (ft) • H J 1 102 47 ~ • F Dispersal Cell 102.97 (ft) Lateral (ft)- Invert Dispersal Cell Elevation E D 100.80 (ft) Contour Elevation 4.0 % Site Slope Geotextile Fabric Cover Shading Key m fl :Dispersal Cell See lateral details on ® Topsoil Cap c 1.5 ft ti . • . Page 4 for number, size, ❑ Subsoil Cap 0 o and spacing of laterals. ASTM C33 Sand Laterals are equally Tilled Layer = 0.5 ft Typical Lateral F spaced from the Aggregate I distribution cell's centerline in the A * distribution cell (AxB). Project: Greg Zimmerman- Replacment Mound Page 3 of 11 r I End Connection Lateral Layout Diagram Latera#s Meted aver the 15,11, Ell dtrnenswm E P • = Turn-up wlasll gales or cl®enoutptug AM laterals mZ al X Holes drMed on the bottom of the er e9%aft Force man lon vu tee or cross to m xwow at arms Do t Laterals= a force+m Sch !Q Pvc- per SPS TaWe 384 30-6 Number of Laterals 2 1.50 in Orifice Spacing (X) ft Lateral Diameter Orifice Diameter 122..6688 in Lateral Length (P) 73.53 it Lateral Spacing (S) 3.00 it Orifices per Lateral Lateral Flow Rate Orifice Density ft 2/orifice 13.11 gpm Manifold Length it System Flow Rate 26.21 gpm Manifold Diameter Total Dynamic Head 29.70 ft in Forcemain Velocity ft/sec Dose Tank Information Locking cover with warning label and locking device and Electrical as per NEC 300 and --i wed watertight SPS 316.300 WAC Disconnect ~ R in. min. Tank component is properly vented Alternate outlet location Lewis Bork LLC Manufacturer Forcemain diameter Ca 700.00 Gallons -II 2 in. Volume 18.85 gal/inch A Dimension Inches Gallons Weep hole or anti- A - B siphon device 21.18 399.18 B 2.00 37.70 C C 5.96 112.32 Pump off elevation (ft) D ~ 80.67 8.00 M 00 D 3" Bedding un er tank. Dose tank elevation (ff) 80.00 Alarm Manuafacturer SJE RomBus { Alarm Model Number j520-002A Mont gi, hes, (:C3P1~i~iSlCiit~ Pump Manufacturer IZohler may not, be use( ir; Pump Model Number 153 4" " this -,y;,<,w Pump Must Deliver 26.21 gpm at 29.70 ft TDH Project: Greg Zimmerman- Replacment Mound Page 4 of 11 Mound System Maintenance and Operation Specifications Service Provider's Name m _ Lewis Bork LLC ~ Phone 715-231-7375 POWTS Regulator's Name ~ St. Croix Count w. Y. Phone , 715-386-4840 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1400 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Inspect and/or service once eve 3 ars Effluent Filter Should inspect and clean at least once eve 3 ars Pump and Controls Test once eve 3 years Alarm Should test month) Pressure System Laterals should be flushed and pressure tested eve 1.5 ears Mound Inspect for pondinq and seepage once every 3 _years c.:?inter; Lewis Bjork for Pumping • Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap. and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to SPS 384.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished Grade 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Greg Zimmerman- Replacment Mound Page 5 of 11 Mound System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General This system shall be operated in accordance with SPS 382-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD-10691-P (N.01/01), SSWMP Publication 9.6 (01/81), and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N- 01101)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with SPS 383.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. The ump Tank pump (dosing) tank shall be inspected at least once every 3 ears. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary- Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BOD5, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD5, 30 mg/L TSS, 10 mg/L FOG, and 104 efu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating conditions. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Pretreatment Units The information and schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment units or disinfection units are attached as separate documents and are considered part of the overall management plan for this system. Project: Page 6 of 11 06/09'2015 08:02 7152317376 LEWISBJORKLLC rput 17 Y1t7L a U3 ~ ul PUMP PERFOCURVE MODEL 151/152/153 1 46 163 . 12- Q , 35 ~ 10- v 3 $ 2 161 2D 15 4 1a. a' 10 20 30 40 50 60 70 80 90 100 GALLONS E. ERS 0 40 80 120 160 200 240 280 320 360 FLOW PER MINUTE 014508 E b "C z ~ 1 Nil Q l ~ J J Plot Plan Legend 1 4" PVC ASTM D 3034. 42"Min. Cover where snow is not removed. 2 24" inside diameter plastic manhole brought min.4" above surrounding grade. /plastic covers screwed down with safety net 3 Precast concrete septic tanks. 4 Effluent filter location. 5 No used 6 Precast concrete dose tank. 7 12-2 OF-B Power conductor. 14-2 OF-B alarm circuit conductor. Both wires are UL listed A-2057 8 2" PVC ASTM D-2665 -09 Schedule 40 Pipe Force main. 9 4" PVC ASTM D-2665 -09 Schedule 40 Pipe . Entering and exiting concrete tanks min 10' in length. 10 Carlon All weather pvc junction box. UL listed # A-241 11 treatment/dispersal cell 12 Inspection wells Project: Zimmerman Page 9 Effluent Filters Biotubel* FT Series Base Inlet Effluent Filters (FT) OrenccP Biotube~' FT Series Base Inlet Effluent Filters remove about two- thirds of suspended solids from effluent, helping extend drainfield life. They have the flow area of a full-size filter in a small package for short septic tanks. Biotube`" FT Series Base Inlet Effluent Filters are installed on the Schedule 40 or Type 3034 outlet pipe of a new or existing tank. They come with a filter cartridge, PVC housing, and an extendable PVC handle. An optional overflow plate is available for 8-inch (200-mm) models, to prevent effluent from bypassing the filter if it clogs. • 8-inch (200-mm) nominal filter diameter • 14-inch (356-mm) filter height, standard • 22-inch (559-mm) housing height, standard • 1B-inch (3-mm) or 1/16-inch (1.5-mm) filter mesh available • Corrosion-proof construction • Extendable handle • Easy to clean ~ • Optional overflow plate available • Optional float elbow available for high-level alarm assembly • Nigh-level alarm assembly ordered separately (see "Float Switch As- Biotubel FT Series Base Inlet Effluent Filters semblies" in the "Product Ordering Information" section of this catalog) Sample Product Codes* • FT0822-14B - Biotube'' FT filter, 8-inch (200-mm) diameter, 14-inch (356-mm) filter height, base inlet • FT0822-14B-FSO - Biotube`" FT filter, 8-inch (200-mm) diameter, 14-inch (356-mm) filter height, base inlet, overflow plate installed For the fill range of standard options, see the "Product Ordering Information"section in this catalog. PAGE 38 FOR A DISTRIBUTOR NEAR YOU, VISIT US ONLINE AT • • ACT-PRD-GOP-1, REV. 1.2 PLC. ~ L1 LV69L OVILEt ° nun" o sew= - - - ft FXIM a o~ 0 r 72A 6" i 7211 SECTION A--A END VIEW 1" 36-0 iso LB 700 4 mm TANK. SPECIFICATIONS f 4' REDFI>" COIF. VALLS V RE8f01L48 CONC. COVER A ° A I• REDfORI." B CONC,OTUM "m*& .r ac PRECAST RLSER sasT ounce • Sr ML LENGTH re OSL WIDTW 72' as I DUET ftfVM& it OUTLET DiVE1M 38' "=LEVEL) 18.85 GMLMS PER VERTICAL BrCH DOW TANK. FOR USE AS NW/SEPTB:,/IGLUM TANK. MORE DfORIMTM AVAILABLE CONT M LEWIS H.EStIC 64-0 720 PLAN VIEW TOP SLAB L E W I S B J a R K, L L C NOT TO SCALE AUGUST M 2812 MDIOMOME, WI MA%M BY: .1CP 7-1o 1 i I Tuf-Tite Riser System Tuf-Tite makes a full line of Risers and accessories for Pre-Cast applications. ' Riser Lid - with Molded-in gasket. _ Available in 12",16", 20" and 24" diameters. Green Only. Concrete Lid - with handle. Use the Safety Pan to cast your own concrete lids. Safety Lid - May be used in place of concrete lid. Fits 24" Riser Pan only. Black Only. Safety Pan - Safety PanTM available for 16", 20" and 24" Risers. Green Only. 6" Tall Riser - For septic tanks. Stackable in 6" increments. Available in 12",16", 20" and 24" diameters. 12" Tall Riser - For septic tanks. Stackable in 12" increments. Available in 20" and 24" diameters. Black Only. Tank Adapter Ring - For mounting riser or lid to tank when casting-in is not an option. ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer G R E G Z I M M E R MA N Mailing Address 39 320TH STREET, SPRING VALLEY, WI 54767 Property Address 39 320TH STREET (Verification required from Planning & Zoning Department for new construction.) City/State SPRING VALLEY Parcel Identification Number 60 y OW d 6 o U LEGAL DESCRIPTION sW AM* Property Location NW '/4 ,'/4 , Sec. 36 , T 28 N R 1 5 W, Town of CADY Subdivision Plat: , Lot # Certified Survey Map # , Volume , Page # Warranty Deed # (before 2007)Volume , Page # Spec house ❑yesOno Lot lines identifiable ❑yesE]no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §SPS. 383.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (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 Safety And Professional Services and the Department of Natural Resources, State of Wiszonsin. Certification stating that your sentic svstem bas been maintained must be comnleted and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on this form are true tot best of my/our knowledge. I/we am/are the owner(s) of the property described above, by virtue of a warranty deed recorde in Register of Deeds Office. Nu r of bedrooms NATURE 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. 04/12) RECEIVED p 1) Wisconsin De rce~ q sb 901E EVALUATION REPORT Page I of 3 Division of Sa 2321W ST. CROIX COUNTY in accordance with Comm 85, Wis. Adm. Code County St.Croix AttQWh0*K;y*r~ ess than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertica'T~15a horizontal reference point (BM), direction and Parcel l.D ~~11 O - ~,;td -006 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. V C LI - V~i Please print all information. Revi by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). V" 1 $ j Property Owner Property Location s 3 Greg & Joanne Zimmerman Govt. Lot IW1W 1/4 1/4 S T 28 N R 13 E (or))WW Property Owner's Mailing Address Lot # Block # Subd. Name CSM# 39 320th Street - - Part of 89 acres city State Zip Code Phone Number []City []village ■ Town Nearest Road Spring Valley WI 54767 ( 7j5-459-6891 320th s Cady 0 New Construction LlseE] Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD El Replacement El Public or commercial - Describe: N/A Parent material Loess cap over Till Flood Plain elevation if applicable NA ft. General comments Loess cap over dense till , consistent across proposed mound area. Propose install a (6'x100') rock cell mound and recommendations: 1.7' sand fill lift mound on the 101' contour , ORIGINAL P 1 Boring # 11 Boring 1 k I ~ p El Pit Ground surface elev. 101 ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-4 7.5yr3/3 sil 3fgr mvfr cis 2f .6 .8 2 4-10 7.5 r3/3 sil 3fsbk mvfr cs 2f .6 .8 3 10-16 7.5yr4/4 sil 2msbk 1nvfr gs if .6 8 4 16-20 7.5yr4/4 c2d 10yr6/2, 5yr5/3 sil 2msbk - - - - - 5 20-36 5yr5/3 scl P2 Boring # © Boring 100 16 ■ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *042 1 0-5 7.5yr3/3 sil 3fgr mvfr cis 2f .6 .8 2 5-9 7.5 r3/2 sil 3fsbk mvfr cs 2f .6 .8 3 9-16 7.5yr4/4 sil 2msbk mvfr gs if .6 .8 4 16-24 7.5yr4/4 c2d 10yr6/2, 5yr5/3 sil * Effluent #1 = BODS > 30:< 220 mg/L and TSS >30 < 150 * E Nu t = BODS < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) i -fttwLe CST Number Lewis Bork 253976 Address Date Evaluation Conducted Telephone Number E7818 County E, Menomonie WI 54751 7-14-2015 715-231-7375 ~ J Property Owner Zimmerman Parcel ID # / Page 2 of 3 [P3] Boring # 11 Boring / 0 pit Ground surface elev. 100 ft Depth to limiting factor 17 ✓in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff42 1 0-5 7.5yr3/3 - sil 3fgr mvfr cs 2f .6 .8 2 5-10 7.5 r3/3 - sil 3fabk mvfr gs 2f .6 .8 3 10-17 7.5yr4/4 - sil 2msbk mvfr gs 1 f .6 .8 4 17-24 7.54/4 c2d 10yr6/2, 5yr5/3 sil 2msbk _ _ Boring # Boring ❑ o pit Ground surface elev. ft. Depth to limiting factor i Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fg in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 Boring ❑ Boring # Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. 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