HomeMy WebLinkAbout040-1303-00-065
-°~r'ty St. Croix
;.Cscorsir Department o' Commerce PRIVATE SEWAGE SYSTEM
Safety and Bwlc ng D'vision INSPECTION REPORT Sanitary Perm i No: 579077
I:ATTACH TO PERMIT) state Plan ID No 2592093
GENERAL INFORMATION
Persr.,al information you provide may he used for secondary pu poses [Privacy Law, s.' S C4 1),:m)j Pace{ Tax Nc
City vi'la9e Township 040-1303-00-065
Pe-mit Holders Name TOWN OF TROY
Oevering Homes Inc. _ ,~t;or„towr,RargvvapNo.
CST BM Elev Insp 8h" Elev B1.1 Desc ption: 22.28.19.1800
e
TANK INFORMATION ELEVATION DATA
ELEV.
CAPACITY SIA.TION BS HI FS
N1FNl.'FACTUtR
TYPE
/ Benchmark ` 16' '_1
Septic
(i' y b 1
t3esm f Alt. N1'.
Bldg. Sewer
Aeratio+~- 1, ~
1 SI!Ht Inlet
Holding
St1Ht outlet -
TANK SETBACK INFORMATION
PI L Bi_'JG Vent to a Intake ROAD Dt Inlet
TANK TO P. L
U
Septic Dt Bottom ~ ` (pS
Header!Man. /
Dosing r pg-~ f D
Dist. Pipe lc S
Aeration
Bot. System ~0g 7j , i D~ Holding
Final Grade
t
PUMPISIPHON INFORMATION
Demand St Cov -7
Manufarturer „ . GPM , t
r 3
leggy 5.5
Model Nurnt:er Al
rl I=- J f
TDH Uf Friction LO S System Head TDO -Ft
Forcemain Lengtp Dia. Dist to'dve,.
Inside Dia Uquid Depth
SOIL ABSORPTION SYSTEM
BEDlTRENCH b':dtn ength No Of Trenches PIT DIMENSIONS No. Of Pits
DIMENSIONS t5' P1L BLDG ',HELL LNKEISTREAM LEACHING Manufacturer.
SETBACK SYSTFM TO CHAMBER OR
INFORMATION Type Df System UNIT Model Numbe-:
DISTRIBUTION SYSTEM x Ho e spacing vent tc Air Intake
Oistr oution t x Hole size
HeaderMarr'cld k b r
r yc Pipe?s1 .11 7 7,Lf '
5v
Leng'h_ ~t Dia_ L' length( Dia 7/' Spacing -
SOIL COVER x Pressure Systems Only xx Mound or At-Grade systems only
Depth Over r x). Depth of xx seecied,Soddec xx MZY, Death Over i > r~A Topsoil ves No ]Z Yes No
6ed,Trench Center- Bed, I -ench Edges
Inspector #1: SpeCiion #2: lO'-
COMMENTS: (Include code discrepencies, persons present. etc.} D t'k- n ~el~ L'''AY
Location: 692 HERITAGE PASS
oll r Q; fob'. i
1) Alt BM Description =i71 1~ j(1 C-. ~f M `e- li'CrLt C41
1 I 2.l, Bldg sewer length amount of cover =1 G~L~ LO(/14L~~ ~(f/ tt/~'iLltirlt✓~ !!~3IG~A G IJ; ~1 ` ^fL,~ 1~'! ,K C~ctr✓~ fi""
7 /X
Plan revision Required? ( Yes _ No
D i' Inseppcfors Signature Cert. No
Use o D
they side for additional information. ~1~--
Date
S813-67 10 ;R 3197}
11V Af r- T-i I V L- LOP Count V
" Safety and BILdincls Division
D S Q 15 201 '06t. Washington A.ve., eti 7 _ Sanitary. Pe mit Numb- (to be filled in by Co )
Madison, V':I 537 7-7162
11 IX ~OUN7Y~~ 7 3~ 7 S'q -7-7
NT -
Sarut.ary Permit Application StateTransaaion"`r qr
In accordance wilt SPS 38321!2), Wis Adm. Cede, submission of this fb m to the appropriate govem.-ncntal unit
is required prior to obtahuny a sanitary percut- Note, Application Unis [or state-ovmed PUWTS are submitted to Project .Address (if ciidercut than mailing; addtcss)
the Department of Safer) and Professiuoal Service. P_rsonal information you provide mar be used for scconday
purposes in w,:a-damt wi h the Privacy Lau. s.:5.C4(l llm , Seats. -
I. Application ]nformation Please Print All Infor lion L7 Ile/ 1 t A A
Property Owner's ?game Parcel 4
D~~~Pr 0 J16 -13153- 60- 6
P operty Owner's Mari mg Add[es i?opem Location
City, Stott n lip Code Phone Nu nbel ~5 r -r Z
sectior.
LAI- T N; P. G'rR'
Pr
II. Type of Building (check all that apply) Lot k
r 2 Family Dwelling Number of Bedrooms Subdivision Name Block
PublidCorttmerc:al - Describe Use t~y
! wh. ❑ City of
❑ State Owned - Describe Use P CSM Number ❑ village of
x Y ~Qwn of -
III. Type Permit: (Check only one box on line A. Complete line B if applicable)
Ncw System n Replacement System ❑ Ticatinent.lHolding Tank Replaccmcot only (1 ether Modification to Existing System (explain)
us Permit Number and Date issued
B. ❑ Ptxmit Renewal G Permit Revision ❑ Change of Plumber Q Permit Transfer to New K-fd
Before Expiratior. pvnQ l
IV. Type of POW"I S Systena/Component/Device: (Check all that apply)
1 !,Ion-Presstaizcd "round ❑ Pressurizrd Ir.-Ground At-Grade ❑ Mound > °4 tn. of suitable soil< 24 in of suit
able soil
Holding Tank U Other Dispersal Cotuponen: (rxplatn)--- ❑ Preveauncrit Device (explain)
~Y. Dis ersalirrrea t Area Information-
Jesign c _
Flow (gpd)
D esim Soil Applicaton fit gp Dispersal Area Reeu ( Dispersal Area Pr ;sf? /%stem Elevation l
o
ICJ _ G J~ ✓
GO
NT Tank Info Capacity in Total s of J Manufa-wer
era btu Gal: ores Lents n b „
Ncw'I'auks Fxum" Tanks m U
\ ~ u 4 B~ u i s 'd .d
U rA v
.44,
Septic or Holding Tattle
VII, Responsibility Statement- 1, th undersigned, assu ponsibility for installation of the PORTS shown o the ttaao J ched plus
Plume nt) f Pltmmt+ey. VI WiWRS Number Business Phone lVunrbet
?lumber's .Address (Street, City, State. Zip Code -
VIJL County/De artment Use Oniv
pproved Disapprov Permit Fee Date ucd Issuing. I Sig.ixturt
nrr t.,vm Rcasoc for S G zS. m 9 ~/S
tal
Tk Cooditi7~pyyWWasons fo7:!alpprcival is3 1. Septic lank, eMuw* INlw l4
dispersal Cell must aM ha atanttcas I maintained )A6(M4R6tl--. A YWNe b,,.) AX-5
as per managermnt plan provided by plumber.
2. Allwobaek ragtd*ff wft rqt mt b@'tTontain*d i (yl 7ra► ice-
as per appYQabb coda / QrdIl mm, JI 1
Atucb to wmplde pb m fa: the system aced submit to the County "a] per not less than b i 11 acbcs in
S~ rYloeJ} oar ■ /r~~wts}-- ~e. ~/~l_i` 144- Ale ~1.1,~,
SBD-6398 (K 1 I r I I) 4W Ka tt~1 ~ ~G r I d~ CJ
oGl
PLOT PLAN
PROJECT Oevenric -tomes ADDRESS -4~3 Cer-o.:s Avg S it; . dew Hich 'cnd'A; 4 17
S 1,4 SF 1. 4S 22 "1' 2N.-R 19w Troy COUNTY ST. C=tiiX
SYSTEM ELEVATION ' C3.8 0' san^ ittt!~~ J G( 4
} DATE'S _ BEDROOM
CONVENTIONAL IN-(.ROUND PRESSL'Ri CONVENTIONAL LIFT HOLDING TANK
MOUND yICY SF;1'"ITC 'L.1\Ii 125 hallons LIFT TAT SIZE DOSE TANK SIZE
SI7.F v
HOLWNG TANK SIZE LOAD RA'I ABSORPTION AREA of chambers
BENCHM1R1: Tr-, 1'2° steel CanJu't ASSUME ELEVATION 190' Filter L1t1.t131C Filter
i
RORFII':,LE 'WELL 'H.R.P. sa -asb~-4rchma-k
Scaly = 1 A = 10'
P rty Li ,
1 12 _;r: rsi rig ! to be home tl
' rJ run-off ?vo,! y from 4;.`_;tem T9.'tk; IS tU b8 p:'"Uperl j' bGddE
i andprovided with iockdo%wn
s,.i approved warning 1-abels
i
s, lope Pro . apdroam Hc- use
Tank
~ Heritage Pass
r. ea I ` t, c'~X sti. JT r r
1 I~I tell s to meet 131 1
is t^ rema!rn ,~D^Pse tbK,
Una i l -'DeC
r
' `3='T`~ DIVISION OF INDUSTRY SERVICES
10541 N RANCH ROAD
0 t HAYWARD WI 54843
5 Contact Through Relay
http:h`dsps.wi.goviprogramslindustry-services
,r
~w.w.v Wisconsin gov
Scott Walker. Governor
Dave Ross, Secretary
September 01, 201
C I1S1 ID No l ;'i\ Po i,`1 T.S Inspector
SHAUN R BIRD /(-)NING OFFICE
BIRD PLUMBING INC ST CROIX COUNTY SPIA
1432 1 0TH ST 1101 CARMICHAFI. RD
NEW` RICHMOND \Vi 5401 HI-;DSON Wl 54016
CONDITIONAL APPROVAL
PLAN APPROVAL ENPIRES: 09/01/20171 Idemilication Numbers
Transaction ID No. 2592093
SITE: Site ID No. 816617
Oeverin« Homes Please refer to both identification numbers.
692 Heritage Pass I above. in all correspondence v%ith the a`,cnco,
Totivn ol'Trov
St Croix Countv
SE 1.'4. SL 1 4. S22. T33N. R19NV
FOR:
Object Type: POl4`TS Component Manual Regulated Object 1D No.: 1553102
%Iaintenance required; 600 GPD Flow rate: 17 in Soil minimum depth to limiting factor from original grade; System(s):
Mound Component Manual - Ver. 3.0. 5BD -10691-P (N.01-01, R. 1012), Pressure Distribution Component Manual -
Ver. 2.0. SBD-10706-P (N.0V01, R. 10 121): Effluent Filter
The submittal described above has been reviewed 1br conformance with applicable Wisconsin Administrative Codes
and Wisconsin Statutes- The submittal has been CONDITIONALLY APPROVED. This sN-stem is to be constructed
and located in accordance with the enclosed approved plans and tivith any component manual(s) referenced above.
The owner, as defined in chapter 1101.0h. 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.
stats.
The I611m%im`, 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
constructioniinstallationr'operation.
In granting, this approval the Division of Indusur Services reserves the right to require charge., or additions should
conditions arise makin- them necessary 1`6r code compliance. As per state stats 101.12(3), nothing in this review
shall relieve the desi;.ner of the responsibilin for designing a safe building, structure, or component.
Inquiries conccr-ning 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 anv
others who are responsible for the installation, operation or maintenance of the POW I'S.
Yt:AtA R LARD PUC ` *1 1 15
Sincerely, Fee Required S 250.00
This Amount Will Be Invoiced.
Whcn You Rcccive That Invoice,
Carl J Lippert Please Include a Copy With Your
Wastewater Specialist. Division of Industr Services Pa%mcnt Submittal.
1 7 1 51634-503 5 . %,I-f 7AkT - 12P\1 WIS\,1ART code: 7633
cart. hppcm A "bconsi ygm
cc: Ldp Ari A -Myh. Wa,m"wer Specialist. (715) 634-3144. R4onlg - Friday. 810 wn To 430 pm
Cover Page
Shaun Bird
Bird Plumbing Inc.
1432 120th St.
New Richmond Wi 54017
715-246-4516
Date: 8/16/15
Owner:0evering Homes
Location: SE 1 /4 SE 1 /4 S22 T28 N, R 19W 692 Heritage Pass Troy
Manuals Used: Mound Component Manual Version 2.0 (01/31)
Pressure Distribution Manual Version 2.0 (01/31)
Page#
1. Cover Page
2. Mound Plot Plan
3. Mound Cross Section
4. Pipe Cross Section/Pipe Layout
5. Pump Chamber Cross Section LY
C~;T: v OVER
6. Pump Curve ApPR
7-8. Maintance and Conti enc Ian -I T OF SAFETY ADO ^:a
g Y P VICE
t ~ is"JFESSIOGU 51RY SFFV1CES
9. Filter Specifications and cross ection lO
fl OF 1
Attachments: Soil Test
Shaun Bird -
Signature-
License numbj,226900
i.
Page 1 of 9
PLOTPLAN
PROJECT Oeverrna H.cmes ADDRESS 1433 Cernol-cus Ave Suite A New R chmond 'v'Ji 74J17
SE Ira SE 1. •4s 22 !T 28 `!R 19 W TOWN Troy COUNTY ST. CROIX
l'STEM ELEVATION 103.6 1.6 sand •ift! _ I , BEDROOM
DATE
CONS 10 NAL IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK
XXX 1255 caI`unS LIFT TANK SIZE DOSE. TALI; yi7L
-M)UND SEPTIC 10N1K SIZE -
1.0 ABSORP'T'ION ARE: COO ~ of chambers eon6?
TTOI,DItiG TANK 5I%r: LOAD R.1.1'F.
BENCIMARK t,R.P. Tcp of 1;2'• steel cc-nduit 301~LN11 HJN IMN loo' Filter L_i ,-ni le i it?_r
BOREHOLF "'11,1, :11. R. It. same as tenctimar'
L'
Scale - : 411 10,
be >5' frorl P.L.
B.H A
Property Line ac re. ot
10 21• Gr=ding i3 to be done to divert Tank is to be properly bedded
1 j!1' run-ofja',iay from 3 Stem andprovided'with lo3kdown cnv,~ r3
1 a, it` approved %,ti'arin ing labels
Pro 4 Bedroom
U
~1 - House
Q 1 5
B 1 y~ ~1
1
E_? Huffc,utt Do rnbo
p Tank
Heri'age Pssa
Area 15' below sVstern Scale= 1/4" 'WelI is to rneet al I
= 10
v 10 i° to remain WDNR setbacks
undisturbed
Iviound System Cross Section and flan \",7
1 - Dimension Feet
l1
l I - - h - jv
_ - -------------l~
1---
For" i!
3 ~ t~ ~ ~ it - mil... iihti,•[vall~?li t'ile'
L - J
- ` l cats 1 S ut• i ac e ~'--T-
,p; [~tr. tI iI
ill.
lal1011 IS IllO',~ed and ral:Q(, c l 1110 ilte. I he 'lu 1.1114 ha5Ci, al'e:: 1 IS pll~.~ed ~ti ltll <l mol~Ii~~ lyd .;1"
chisel plr.~~. Pfc~~~in~ lna~ not hto~:ce.i if 1hC soi! i~ .~'et eno~_l~~h a, tlie )it)\\' depth to form a Inc h ,coil Ir_
~:n a sample is rolled het"wcn the palnls of [lie ila]]c1S. AS•I1I qualit~' sarll+. is nlaeed inullLdiatel\
h
;111':;' {ll011 in` . San. ! is '>IacC'd ',\"Ill a h'ac~e.~ 1TY.l~I'l let litepal~ 12 Or MOI-C ltll'tICS Of sand LllldCI- the track, 01"
i~ placed k1~,,-hca3 b% a backkoc. Sl'Cciai care !Must be used +hln placing sated A' less than one nom
tl-,A-knc s to Irlnlnl 7c C011111action of ;ht plkw'cd surl•act. :11tet i11" 10~1;o11 CX) is plaCCO. the '-Ttu-i n°,OLInd
"CCtttl! :end walclltd to promo's tit,Ct ill`.': C.rl)v d). hmil ero»ioll '.lied protect Troll] Il'C /ell'. I 1C
A-ervation p pes sre Slotted :n the loner 0 Inches and scored in place 'Lh rebar or a closet tlanue.
.1
Pressure Laterai Luvout
t •ICauuul
Lit'
- - - - i'' i
I o r,: V LJ I 1owcep
~)l•1
f ietld
Distribution N owtir I, Specifications - - -1'ressur t. Svt k.111 ion
I~'tanitnld Utamzter ln. ! k lteral are ci?nslrucled «C Scnedule lei I'Vi
061-ice l ,cOrm cs are drilled perpendicular
-
061-ice Diameter ptl
ln• tl:e 1, .\itn a ,harp drill bit and I•ac
L (L atc:•al Lenythi Et., Leticia! turn-ups tertlliuatc •~ith a t[l:cadec! I
i-_ l.iCatloul pll.l~ and a e1lCltl ed J1 it I ~~alilll~Id t.cll`~t11► /
~ It di~tmet.~r la«n ~pr~nkler •~al~e hu,r' at:e_ssihlc
- - - l t 17wil ittiisinec' ,-aide-
r-,
f
I,l;rtl~
Septic-Dose Tank Cross Section And Pump Performance Specifications
Pump Manufacturer
Dank Manufacturer
I Pump Model Number 4
rank Model Nt nber L. i - J ' ,
Alarm Manufacturer ~.-Y ~G Y±~ f
Tank Capacity
Tote: Depth A arm Model Number ,v1 II
ax. BIB 1
SwntchType
Total Dynamic Head (TD-1)_ Feet
Filter Manufacturer
TiterModel Number Elevaton Head
1 - --j <r - - -
Distal Pressure -
- ~ N etwork -Loss
- -\4'nimum Pump Performance Required Force Main Loss - - - _ -
G- p1_-U Ft TDH o~ jtotat
`I
I
Cutlet Manhole Min. 4" Above Grade With Manhole M:1:. 4" 'khov, C; , de
locking Device. Inlet Manhole Securely Mounted With Locking 1 )evit-;e
6" Below Grade Sealed Waterti>;ht
Wea-,her-proof
Junction Box r
~ s
Finished curade
i Vent Min. 12" ;i;cr~ncct
y Above Grade ti1r: n
With Vent Cap
r
- r Outlet Filter M - - - A
Inlet Baffle F ` 7 - - - - -
F: ~ s an d Reserve Capacit}o eep
r ! Switch Settin$
Tank Volurne GPI :.3 Hole
D r o . Inches Volume Gal. ~
'~--(rt4e: ~~ej _ Off Elevation C :1
C. , (alarm) B 2 Ft _ Bottom
(dose) G D Elevatioll
(dead) D ---1 1
L
Total
bedded and back filled in accordance with the
GENERAL INSTALLATION:
spThe ecifications. tank is
lU of bury ade havspecified by lockingudevice (psdl not
cturer's roduct approval specifications. lviaxImu depth
manu
without prior approval. vianhoie covers exposed ith watert ight t~tian.!
be ex aceeded p
installed. Piping at the inlet and outletsagging. approved material, connected to the tank vv~
to revent settling or The force main is sleeved with 4" Sch. 40 PVC to brdg~ thr ?any
laid on stable soil p lies with NEC 300 and Comm i6.:ti.
excavation and the sleeve is sealed watertight. Electric a1 service comp
Page _ y--- °f ' -
CONSULT FACTORY FOR SPECIAL APPLICATIONS
_ ~:..t ~3~ : to ; , ~,~a~ :.,-,i. _ : , _ _ -
3CI2 ie':c :c.^ii Jl a'l:i?C F5 jfg ?v:3 1>C t: G C' ! 'y nr
J~blr. piycjUo:.n r8'iF. P.' 21 ,
5 nay
model VoltsPh_: MoCe _ NTt ` Tiex
r t.,
30 ?c-_ _ e~ -
ON GUIDF
.I a ,1 a e5 d.T w'r~q h. C bE nz Ly
~ - a arc safety ccde .hr...,b oe ~ -
RESERVE POWERED DESIGN
Z~l'" PUMP CD. _
y
POWTS OWNER'S MANUAL & MANAC-cMENT FLAN 'age
FILE INFORMATION SYSTEM SPECIFICAI IONS
Owner Septic Tank Capacity
NA
Permit # Septic Tank Manufacturer p NA
DESIGN PARAMETERS Effluent Filter Manufacturer - t 7 NA
Number of Bedrooms , ❑ NA Effluent Filter Model ❑ NA
Number of Commercial Units EI NA Pump Tank Capacity al ❑ PIA
Estimated flow (average) aUda Pump Tank Manufacturer
Design flow (peak), (Estimated x 1.5) gal/day Pump Manufacturer ❑ NA
Soil Application Rate % -7 aUda /ft2 Pump Model U NA
InfluentlEffiuent Quality Monthly average' Pretreatment Unit
❑ SandlGrgvel Filter n Peat Filter
Fats, Oil & Grease (FOG) 530 mg/L ❑ Mechanical Aeration U Wetland
Biochemical Oxygen Demand (BODS) _220 mg/L ❑ Other.
❑ Disinfection
Total Suspended Solids (TSS) 5150 m /L Manufacturer
Pretreated Effluent Oualdy '--RINA Monthly average" Dispersal Cell(s)
Biochemical Oxygen Demand (BOD5) x.30 mg,L ❑ In-~ground (gravity) L In-ground (pressurized)
Total Suspended Solids (TSS) <30 mglL ❑ At-grade ~~`i,rtclund
Fecal Coliform (geometric; mean) 510` cful100ml ❑ Drip-line ❑ Other.
Maximum Effluent Particle Size Yr inch diameter Values typl a! fc cornr;C.; (non comm~rcia:) vrastewate end
septic tank eMuerd.
Values typlca' for pretreated wastewater
MAINTENANCE SCHEDULE
Service Frequency
Service Event
Inspect condition of tank(s) At least once every < montns, -41year(s) (Maximum 3 yrs.)
Pump out contents of tank(s) When combined sludge and scum equals one-third (Y,) of tank volume
inspect dispersal cell(s) At least once every L7 months ,ear(s) (Maximum 3 yrs.)
Clean effluent filter At least once every ❑ months ar(sj
- - -
Inspect pump, pump controls & alarm At least once every ❑ months~ce an(s) O NA
❑ months ear(s) ❑ NA
Flush laterals and pressure test At least once every
other. At least once every ❑ months 177 year(s) O NA
Ocher. At least once every ❑ months 173 year(s) ❑ NA
MAINTENANCE INSTRUCTIONS
Inspections of tanks and dispersal cel'i.s shall be made by an individual carrying one of the following licenses or
certifications: Master Piumber, Master Plumber Restricted Sewer, POWTS Inspector-, POWTS Maintainer, Septage
Servicing Operator Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken
hardware. Identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up
or ponding of effluent nn Use ground surface The dispersal cell(s) shall be visually inspected to check the effluent levels
in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the
ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority
When the combined accurnutation of sludge and scum in any tank equals one-third (y,) or more of Use tank volume, the
entire contents of the tank shall be removed by a Septage Servicing Ope.mtor and disposed o` u• accordance with ch. NR
113, Wisconsin Adrninistrative C:ocie
The servicing of effluent filters, rnechanical or pressurzed POVVTS components, prctreattment components, and any
other maintenance or monitoring at !c:ervats of 12 months or less shal:, be performed by a certified POWTS Maintainer
A service report shall be prcviar!l t:, th,- hN I -eculatory authority within 1 C, days o` completion of any service event.
START UP AND OPERATION
For new construction, prior to use of the POWT S check Lreatrnent tank(s) for the presence of painting products cr otlf'-f
chemicals that may impede the treatment process andlor damage the dispersal cell(s) If high concentrations are
detected have the contents cf the to-k,(s) removed by a septage servicing oaerator poor to use
Page ` -
START UP AND OPERATION
For ;iev~ cons'ruction, nrior to use of they POh'~. i ti heck treatrnent tanks} folhigh co~cert at ohs nairtirig detected have Cher n~e i~t~ft
.
lay rnpede the treatment process andior damage the d,spersa, cell(s)
;anK(s) removed cy a septage se•vicing operator r•or to use.
System start up stlatl not ot:Gur when sui, coed Lions are frozen at the irti'aratlve surface
i. L
Jur.ng power outages pump tanks may till above nGrmai high'.vater ;eve s. `Iv'hen power is restoed the excess wastevrater will will • 1!
dol
discharged to the d spersal cell(s) in one large dose, overloading the (x.'1(5': and tta e Se" result ri icin n the Ope ed rator or suprior torface restori dischngarge Of power
to
' o avoid Wis sit,iatmn have the contents of the pump tan'K removed by o SeF 9 the pump controls to restore normal levE s
cf"luent pump or contact a Iluwoer or rGNArTS Maintainer to assist in me lually operatino
with n the pump tank
Do not drive o, park venlcles over tacks and dispersal cells. Do not drive or park over or othervriee disturb ni compact, the area t'
17 feet aown slope of any mound or at-grade soy' absorptior area the Reduction or elimination o` the followinq from the wastewater-
r» tr dam mav egreasers;) dova e tai fl eoss lf o miancs,ad siprolotant"h life`of the en d fat: jndat
antibiotics baby wipes; cigarette butts; condorri cotta rease; herDicides, neat scraps; nedicators-. o1 pa'rt~nq produc
(sump p.rr-tP) water' fru`t and vegetable peelings sasoline; F
cesticides san'ary napkins, tart pons, va water seftPr,e: yore
ABANDONMENT
`:`.,'hen :re L 'CV1TS ~a',Is a id'cr is perranentiy taker out of service the follow;rig steps sna.l be tai <,n 'o ins-re gnat the sys:e n :S
and safety abandoned in compliance wit" chaptei Comm 83 33, 'W scors.n Administrative Code
µ,l1 piping to tanks and pits s',.all be drs.:nnrected and ;r,e abardoned pipe openirgs seaiFrl
• he contents of all :anks and p'ts shall be removed and piuperly disposed of by a Septagc
• After purnping. ail tanks and pits shal' 06 excava'ed and removed or their covers removed and the void
gavel or another inert solid material.
CONTINGENCY PLAN
it '.he- POIAIT S fails and oarr•ut be repaired tho fohovang measures 'lave been. (;r must ht~ taken, to provide a cone c_,xopi
iep'azernent system
❑ suitable replacement area has been evacuated and may ne utlizeo fcr We location or a replacement soil aosorption syst urbance
Lli
upon
infri
cLon
he replacement area shou',d be sit uctureolot lirrles and wells. railu eato p ctectt theorreplacen ert area e~l resultbin the ne r-
setbaf'<s from existing and proposed
for a new soil and site evaluation 'n estabhs^ a suitable replacement area, Rep acernernt systems must como!y with the rulef it
effect at that tine.
❑ A suitable replacemer', area is not ava table due to setback andlor soil lirnitatt_)ns. 3arring advances in POVdTS technology
~iobding tank may be installed as a last resicr. 'o replace the fai,ed Po v i S
~ c a soil and site ev~nu:,t o
I he site has not peen evacuated to 'de'itify h suitable eplacemert area Upon failure of the PO1VT, nk rray e - .'at e
7nius' be perforrr,ed to ovate a su;taole replacement Brea if tic reolacemertt area s avai able a holcing ri
2t last resort to replace the failed :)CiA I
t0cund ano at-grade soil absorpton systems may be reconstructed in pace following rernaval of t^e bi ^ia: al 'h-, intl'tr +
`-slirface Recoils' ruc:ticns of such systems mist cnmply with the rules in effect at that Brio
-WARNING>>
SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES ANDIOR INSUFFICIENT OXYGEN. DO NC
ENTER ASEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE O):
PERSON FROM THE INTERIOR OF A TANK MAY BE DIF=ICULT OR IMPOSSIBLE.
ADDITIONAL COMMENTS
POWTS INSTALLER ^ T POWTS MAINTAINER _
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Phone Phone
SEPTAGF SERVICING OPERATOR fP MPER~, LOCAL REGULATORY AUTHORITY
Name
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SOIL EVALUATION REPORT Page of 3
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DeAe EvaliMion Cartaucled Telephone
Address Ulbricht & Ass9ciates 7- Zp - -)c v 3 7t S' 77A- 3Y l Z
Priv t
2812 10th Ave.
Spring Valley, WI 54767
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j I urLe P FOR "4 PPRo x 2 yo A G.C s
6;4~vh j oyp - /0,9
0Y0 /0-000
gyp • /t~~~ 2-0. 06v
0y0 •~o8lr' G0 •'101
D y4 log 70 DM)
t.. _ yC /okln 80 'Oro