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HomeMy WebLinkAbout010-1036-10-030 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 582001 GENERAL INFORMATION State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.1 5.04 (1)(m)]. 2604376 Permit Holder's Name: City Village Township Parcel Tax No: Jake Arvey TOWN OF EMERALD 010-1036-10-030 CST BM Elev: Insp. BM Elev: BM Description: 1 ` Section/Town/Range/Map No: O b r1R ( Q `W C' 15.30.16.216B-03 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. 3.'1i /a3.~ ~ b a Septic Benchmark v j fr- 614• /a~0 3.~~ X03, ~or7. na Dosing 3. /M , Q~ Alt. BMr _ T Bldg. Sewer Ll T5 cFq 'S7 Ir. I t' Cp- 4n' AA- Holding St/Ht Inlet TANK SETBACK INFORMATION SUHtOutlet 7,83 9'5'• 57 TANK TO nP 1~ WELL BLDG. ent Air Intake ROAD Dt Inlet Septic y so + _ I.A _ Z 5.1 Dt Bottom - 14 7z - Dosing Dosing /In _ Z$ Header/Man. .1 & J Aeration ~ Dist. Pipe Holding Bot. System 375 97 PUMP/SIPHON INFORMATION Final Grade Manufacturer Demand St Cover a ~ GPM 3•a'~' /a~ Model Number PM S !SZ ~`~Caw~v~fv ~o~,~ lp•S • 33 TDH Lift 9 Friction Loss Sy stem -3 Head TDH~ /Ft +Z .LS Forcemain Length Dia. + Dist. to Well A/4-- 75 Z SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT DIM NSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO V P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type stem: > UNIT Model Number: f ~ V(Q- ~~/(Q'. DISTRIBUTION SYSTEM Ali% Header/Manifold ~I Distribution Z I Ix Hole Size I ( x Hole Spacing I~ VenNo Air I ake Z-6 s Pipe(s) Q 5 J Z Length Dia ' Length ~A Dia r Spacing Z SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only ~....r Depth Over Depth Over \ xx Depth of xx Seede d/Sodded xx Mulched Bed/Trench Center /.7 Bed/Trench Edges Topsoil Yes [k No Yes Fd~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 1581 250TH ST` 6 1010147 riev 6M4- ' ` / G .Q. IA- 1.) Alt BM Description 'B~,J 2.) Bldg sewer length = / - amount of cover = t R,.r,~ s 4- n 4 Z o+~. c~.. Plan revision Required? Fs-1 Yes ❑ No Use other side for additional information. v SBD-6710 (R.3/97) Date Insepctor's rgnatur7 Iff Cert. No. HARDINA SEPTIC SYSTEMS - l'RS/T 824825 DA Y- G A.3A1L 4~4 w-L- _i. c~ K_~,vv-kLr3.__w~Rn'E~t S~x►cS - . - - N-- ~ci - - - - - ,tip= _ - - - ' - - : cam: _ - - - = - = - . ~ EIVED ULD Coun u ' ' ~ 1 fJ Safety and-eerrtd;,f-I'vrar ty . C ~ t S P 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.) Ol COUNTY Madison, WI 53707-7162 NI1'Y DEVELOPMENT 5 ~2~~1 Sanitary Permit Application _State+T~ransaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit or q3r is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to Project Address (if different than mailing address) the Department of Safety and Professional Servies. Personal information you provide may be used for secondary u oses in accordance with the Privacy Law, s. 15.04 1 m , Stats. 158] 7-T1I► 5 1. ~ Application Information - Please P n 11 Information -71 J v Property Owner's Name Parcel # JAY-c Ae c~1D-bat -b3 Property Owner's Mailing Address Property Location 's. " 0, l 16 7111 I kart M1r- Govt. Lot City, State Zip Code Phone Number A)6_ Y< - ,J C"' /V /4, Section E Jh4 &&AL S C.J 1 13 (,5 _1 b?k circle one) II. Type of Building (check all that apply) Lot # T_ 36 N; R ILC E orb or 2 Family Dwelling - Number of Bedrooms Z ' Subdivision Name as 0 Block # ❑ Public/Commercial -Describe Use / SV hh77 704 ❑ City of ❑ State Owned - Describe Use 1 V ' J 701 Numbe ~Q 7 ❑ Village of IX DUN ~r' WD !-4-Townof F14,e_, X ALl III. Ty Check only one box on line A. Complete line B if applicable) 'New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. El Permit Renewal El Permit Revision ❑ Change of Plumber El Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner IV. Type of POWTS System/Component/Device: (Ch e5 a ❑ Non-Pressurized In-Ground 11 Pressurized In-Ground El At-Grade k Mound > 24 in. of suitable soi ❑ Mound < 24 in. of suitable so I El Holding Tank El Other Dispersal Component (explain) ent Device (explain)- . 'l V. Dis ersal/Treatment Area Informatio • -oo lJ Design Flow (gpd) esign Soil Applicati Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units r New Tanks Existing Tanks U .2 1 72 a` U 31 y on w C7 Z Septic or Holding Tank V~ tyo L LM i T Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plum er's Sign re MP/MPRS Number Business Phone Number 1~ ~ 2~ bra ` a5 ` Plumber's Address (Street, City, State, Zip Code) X 71 76-t A V E TQ t L-- LA kE L-) i VI . Con a artme se Onl Approv ❑ Disapproved Pe it Fee vi> Date Issued Issuing Agent Signa e Owner Given Reason for 1 Z5 I S IX. Conditions of Approval/Reasons for Disapp 1 ell AU-f Alt (:r/ Z S&iW~ SYSTEM OWNER: l 1. Septic tank, effluent filter and dispersal cell must ~e_ervipr / meintand / as per management plan tprovided by plumber. Cun~'/fr~/1f ill S ntaiAed as per appllC Q codRIFdlA nces,the system and submit to the County only on papeU,POtJt~thyo $1(i 1 nches iqsjge Q I SBD-6398 (R. 11/11) W ~l f S P1,44 4tirAxT~r~T DIVISION OF INDUSTRY SERVICES >7P r ° 10541 N RANCH ROAD HAYWARD WI 54843 3 f S`) Contact Through Relay P S' % http:Hdsps.wi.gov/programs/industry-services 9 ~Gw www.wisconsin.gov ~O ssror+aLS~ Scott Walker, Governor Dave Ross, Secretary September 25, 2015 CUST ID No. 824825 ATTN.• POWTS Inspector BOB J HARDINA ZONING OFFICE HARDINA SEPTIC SYSTEMS ST CROIX COUNTY SPIA 477 170TH AVE 1101 CARMICHAEL RD TURTLE LAKE WI 54889-9187 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/25/2017 Identification Numbers Transaction ID No. 2604376 SITE: Site ID No. 817149 Jake Arvey Please refer to both identification numbers, 2481 160TH Ave above, in all correspondence with the agency. Town of Emerald St Croix County NE1/4, NE1/4, S15, T30N, R16W FOR: C®C1® Description: Mound, 2 bedroom residence Ap Object Type: POWTS Component Manual Regulated Object ID No.: 1555555 ®Ep'r 01 Maintenance required; 300 GPD Flow rate; 32 in Soil minimum depth to limiting factor from original grade; System(bFESS Mound Component Manual - Ver. 2.0, SBD -10691-P (N.01/01, R. 10/12), Pressure Distribution Component Manua- N of Ver. 2.0, SBD-10706-P (N.01/01, R. 10/12), SSWMP Pub. 9.6; Effluent Filter I)NIS1® The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes r„ 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. SEE 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, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Key Item(s) • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • The bottom of the distribution cell shall be level per the Mound Component Manual. The "D" dimension shall be a minimum of 8". The maximum finished slope of the mound surface shall not have a slope ratio steeper than 3:1 per the Mound Component Manual Reminder • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per SPS 383.44(6)(a)2. • Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual. • Surface water drainage shall be diverted away from the system area per Mound Component Manual. BOB J HARDINA Page 2 9/25/2015 • Materials shall conform to the requirements of SPS 384.10. No fixture, appliance, appurtenance, material, device or product may be sold for use in a plumbing system or may be installed in a plumbing system, unless it is of a type conforming to the standards or specifications of chs. SPS 382 and 383 and this chapter and ch. 145, Stats. • Maintain well and waterline setbacks per SPS 383.43(8)(i). Consult the Department of Natural Resources for well setbacks and other regulations and exceptions. 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 Fee Received $ 250.00 Balance Due $ 0.00 Patricia L Shandorf POWTS Plan Reviewer, Division of Industry Services WiSMART code: 7633 (715) 634-7810, Fax: (715) 634-5150, M - F 8:00 a.m. - 4:45 p.m. pat.shandorf@wisconsin.gov cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: AVERY Owner's Name: JAKE AREEY Owner's Address: 2481 160TH AVE EMERALD WI 54013 Legal Description: NE,NE,S.15,T.30N-R16W Township: EMERALD County: ST. CROIX Subdivision Name: NA Lot Number NA T~C}°`~-LY Block Number: N-A Parcel I.D. Number: SA►F F-3''r p,~3 V5 Plan Transaction No.: `D P R ~f1G' 'S Page 1 Index and title Page 2 Data entry Page 3 Mound drawings oy©EN Page 4 Lateral and dose tank ~iZR E ' Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pu dflre-a d specifications j Page 8 pan 1" = 40' IJ o Page 9 Page 10 Att. Soil test Designer. Robert Hardina License Number: MPRS 824825 Date: 08123/15 Phone Number: 715-986-2508 Signature: Desig Pursuant to the Mound Component Manual for POWTS Version 2.0 SBD-10691-P (N. 01/01, R. 10/12), 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, R. 10/12) Version 7.0 (R. 11/12) Pagel of 10 Mound and Pressure Distribution Component Design Design Worksheet Site Information (R or C) R Residential or Commercial Design Note: sand fill (D) calcx,lations assume a 200.00 Estimated Wastewater Flow (gpd) Table 38344-3 in-situ sal treatment for 1.50 Peaking Factor (e.g. 1.5 =150%) fecal coliforrn of 36 inches- 300.00 Design Flow (gpd) 6.00 Site Slope 97.05 Contour Line Elevation (ft) 32.00 Depth to Limiting Factor (in) 0.40 In-situ Soil Application Rate (gpdKe) Distribution Cell Information 60L~`01 00 Dispersal Cell Length Along Contour (ft) = 5.00 Cell Width (ft) Dispersal Cell Design Loading Rate (gpd/ft?) Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution E y Pressure Distrbution Information network? Enter Y or N (C or E) a Center or End Manifold 2.50 Lateral Spacing (ft) If N above, enter the elevation ft2 Number of Laterals of the highest point. 0.188 Orifice Diameter (in) 2.92 Estimated Orifice Spacing (ft) = 7.14 felorifice Z-6-0-11 Forcemain Diameter (in) 40.00 Forcemain Length (ft) Does the forcemain drain back? =y 90.00 Pump Tank Elevation (ft) Enter Y or N 3.25 System Head (ft) x 1.3 6.52 Forcemain Drainback (gal) 7.18 Vertical Lift (ft) 53.77 5x Void Volume (gal) 0.66 Friction Loss (ft) 60.29 Minimum Dose Volume (gal) 0.00 In-line Filter Loss (ft) 27.53 System Demand (gpm) 11.09 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection 6 ~~(e %i in.. dia. lions choice in. dia. options choice 0.75 1.25 x 1.00 1.50 x X 1.25 2.00 1.50 x x 300 2.00 x 3.00 x GallonsAnch Calculator (optional) Treatment Tank Information 627.00 Total Tank Capacity (gal) 1000.00 Septic Tank Capacity (gal) 42.0 Total Working Liquid Depth (in) HUFFCUTT Manufacturer 14.93 gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 627.00 Dose Tank Capacity (gal) LIFETIME Filter Manufacturer 14.93 Dose Tank Volume (gaUn) LT 18 ` 1Fltter Model Number huffcutt Manufacturer Project: AVERY Page 2 of 10 Mound Plan and Cross Section Views 1 1/10 B J : Observation Pipe Q K . 5.4.y.i.S,4.4.L.4.ti.t.y.YL.y.1.4. L.Y4.L.L r-rKK•S. i•r•r.r.r.r.r.r•r•r r•l.J•r.r.r•r• .r .J• L•4•S•YS•bY4•S•S•4•t•S.t. YYY ~....•..i. YS.IKKK.I+YY1.4• S.r l•.••l•r-l•r+r.r•r•1-J•l r•Ar• r.r•r. 1+i.1.t....y.1.1.SK..•..•. r.r• 4KK '.J•'.. r•1M•rK.f. r.l J•l•J.r•lK.r•t h Y4K.4+'..YY1 S S S r•••+l• 4•i•S-4.t•SKK S+ •L=S ti S S S. J.NNJ.l,J.l l l J J l•• I• J•l4Nl•NJ.l•J•rY• 4J+l• S 1 1KK 1 S S 4 SKK•• 1•L+L.i.i A 11•Yi•Y1•'•.•YS.1•Y1.1•i•1•i•S• YSK?4 Sl•'. 1.••J•l•r•l.l•l•f•.r•j~•J.J•l• Rl•r•l•• - •a•r•l•J•l•rY•r•l•J•J•r•r•r•r•J•r•r• K•1•S•S•S-1KK•S•SK.4K• L. _ _ W L.bi•L.1.i•S.S.4.S.L.i.4.L.4.;.1.1:~ i 4~ti S:~l~r-J-rS S:•.J.r.l.r.r.J•r.r-l.~.r r r i+:• _ _ _ - 4-i.S•;. S-4-- - -i+4.4K•S i•4•tK•S• r :..................."-_...._..-_......._.....1:... : g : : . _ . . . L Mound Component Dimensions A 5.00 ft E 9.60 in H A4.56 ft K 7.33 ft B 60.00 It F 9.50 in z ft L 74.65 ft D 6.00 in G 0.50 ft J ft W 17.21 ft 300.00 (fiz) Dispersal Cell Area 759.15 (if) Basal Area Available 5.00 (gpd/R) Linear Loading Rate 6.00 (ft)1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 99.34 (ft) No .JJf!!J!,!!, r.. H J!!flfJJJf J!lf,JJ,l.. G !III/fJI/f/I!!/! !!!/111!!!1/!fi - F Dispersal Cell 98.05 (ft) Lateral 97.55 (ft) -11o. = = Dispersal Cell Invert Elevation D 4 Y 4 { 97.05 (ft) Contour Elevation 6.0 % Site Sbpe Geotextile Fabric Cover Shading Key _a- Dispersal Cell See lateral details on Topsal Cap B. p .•r-; r•r.J•r J. 1.5 ft age 4 for number, size r-r rJii Y-I-JN' Y- ~J_iJ1M-r 2 s'• ; • • Subsoil Cap 0 o and spacing of laterals. i• 4.4.iJtiJ[ jLP• J..~•.r.j ASTM C33 Sand e 1° l=? ,`''{{r't r r r• :-,r t1~r Laterals are equally R 1 .Std 1•S 4 L•L•• Tilled Layer e 0 ft r'r. Typcal Lateral : t~~j1f F spaced from the r•r.i+i.,•.r•r•r•r.r•J•r•r=r distribution cell's r- Aggregate d• ~ ~t l:liJ1l:r:r.nsi•t.1•i}:r S•L K• O Y1-i•~.•1~4.4.1•L 4centerline in the distribution cell (AxB). Project: AVERY Page 3 of 10 End Connection Lateral Layout Diagram Later centered over the A & dgrter~sion F P • =Turn-up ~edt~all valve or cleaopitplu9 AN laterals are klemacal IF X 1 Holes dried on the bottom of the later 1 egoa ft spaced S Face mgt Cion trig we or Cross to manifold arty . Laterals Mor~nawt Sch 40 PVC per SPS Table 384.30.2 Number of Laterals 2 Orifice Diameter 0.188 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.93 ft Lateral Length (P) 58.60 It Orifices per Lateral 21 Lateral Spacing (S) 2.50 It Orifice Density 7.14 fe/orifice Lateral Flow Rate 13.76 gpm Manifold Length 2.50 ft System Flow Rate 27.53 gpm Manifold Diameter 1.50 in Total Dynamic Head 11.09 ft Forcemain Velocity 2,81 ft/sec Dose Tank Information Loddng cover with warning label and loddng device and Electrical as sealed watertight per NEC 300 and - } SPS 316.300 WAC Disconnect 1 4 in. min. ---iii---- T&* component is properly vented F--- Alternate outlet location huffcutt F~emain diameter Manufacturer 2 in. Capa 627.00 Gallons Volume 14.93 gaUnch A Dimension Inches Gallons weep hole anti- B siphon device A 25.46 380.08 B 2.00 29.86 C .04 60.29 Pump off elevation (ft) C 2 4 -t _ F- ---8-81 D 10.50 156.77 90 Total 42.00 627.00 D Dose tank elevation (ft) 3" Bedding un tank. Alarm Manuafacturer SJE RHOMBUS Note: Switches Alarm Model Number tank alert containing mercury Pump Manufacturer zoeiler may not be used in Pump Model Number bn 15 this system. Pump Must Deliver 27.5 pm at 11.09 ft TDH Project: AVERY Page 4 of 10 Mound System Maintenance and Operation Specifications Service Provider's Name ~ Harding Phone 715-986-2508 POWTS Regulator's Name CROIX CO phone System Flow and Load Parameters Design Flow - Peak 300 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 200 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 Mg/- Soil Absorption Component Size 300 fiz Maximum FOG 30 mg/- Type of Wastewater Domestic Maximum Fecal Coliforrn >10E4 cfu/100 mL Service Fr+epuencv Septic and Pump Tank Inspect and/or service once pyery 3 years Effluent Filter Should inspect and dean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test month) Pressure System Laterals should be flushed and pressure tested qyery 3 years Mound Inspect for pondin and seeps once everv 3 rs Other 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. Ali 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 Lona Sweep 90 or Two 4ree Bends Same Diameter as Lateral Project: AVERY Page 5 of 10 Mound System Management Plan Pursuant to SPS 383.54, Nils. 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, R. 10112), SSWMP Publication 9.6 (01/81), and Pressure Distribution 10706-P (N. 01/01, R. 10/12)] and local or state rules pertaining to system maintenarice acid ant Manual Ver. 2.0 SBD-maintenance No on e should ever enter a septic or pump tank since dangerous gases ma be re ng Septic and pump tank abandonment shall be in y present that could cause death. 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 used for service and assessment shall be sealed watertight upon the corn of service' Any tightness and soundness- Access iv en or opening subject to failure must be replaced. Exposed access deemed unsound, defective, or device to prevent accidental or unauthorized en openings greater than 8-inches in diameter shall be secured by etiective locking try 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, Stats. 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 fitter shall be assessed at least once every 3 yeses by inspection. The outlet fitter shall be cleaned as necessary to ensure proper operation. The fitter cartridge are made to retain solids in the tank that may slough off the filter when removed from its en . Ifs filnot be removed ter is unless provisions filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms equipped with an alarm, the alarm. may indicate surge flows or an impending continuous The septic tank shall haw its tank If the contents of the tank are not contents removed at the time of a triennial sludge and min the tank exceeds 1 /3 the liquid a volume owner the when the next service needs to be performed to maintain less than maximum scum and sludge accumulation shag advise the owner of The addition of biological or chemical additives to enhance septic tank performance is u accumulation iedthe tank. are used they shall be approved for septic tank use by the generally not require. However, if such products Y Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent fitter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Oft bution 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 installatioru (October-February) dictate that the mound be heavily mulched as protection from freezing. Influent qualitythei ,mound system may not exceed 220 mg/L BOOS, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 30 mg/L BODs, 10 mg/L FOG, and 104 cfu/100 mL for specified in the permit for this installation. highly treated effluent Influent slow may not exceed maximum design flow The pressure distribution system is provided with a flushing point at the and 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 dogging has occurred and if orifice within the dispersal cell. clearnin9 is required to maintain equal distribution Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported the levels above 6 inches considered as an impending hydraulic failure requiring additional, more to poorer, and any frequent monitoring. Corttinaerrcv Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the proper operating condition- If eep system in tank, pump, pump repf the dosing or aced repl with a controls, alarm or related wiring becomes defective the defective component(s) shall be immediately If the mound component of the same or equal performance. component fails to accept wastewater or begins to discharge replaced in its' present location by increasing basal area 9 toe leak o~rs by tester to the ground surface, it absorption repaired or media, and related piping, and replacing said components as deemed necessary to rebring the sem moving ys into Pm won and dispersal perating condition. See Page 5 of this plan for the name and telephone number of your local POWTS emulator and service provided Pretreatr The information and schedule of mane nent Units units are attached as nagement and maintenance for Pretreatment devices such as aerobic treatment units or disinfection separate documents and are considered part of the overall management plan for this system. Project: Page 6 of 10 U) O W uJ UJ PUMP PERFORMANCE CURVE MODEL 151/152/153 50 14 45 153 1 40 35 u-j 10 15 c~ 30 - 1611, > 8 25 151 H 0 20 15 4 o~ . 10 2 5 ----N 0 10 20 40 50 00 70 80 90 100 GALLONS LITERS 0 40 80 120 150 200 240 280 320 360 FLOW PER MINUTE 014508 HARDINA SEPTIC SYSTEMS WRS/CSzT82 825 lot- i ~ - 3 ter Installation and Maintenance Inductions step I Ory fkthe tier case arb the of det pipe Saftindw drab ftkL EmuOe ft is o~,aa dbectivundutle access %mdo . (Ifoutlet pipe is *emly k a hoed pa dW% ad Ndonat ptomajr need to be added) StSP2 If the additional 31410esidesupporlandthetwo' Alm e=Wortw QIlhtleThecam isstli drylktodw de P%M meaweand art Ysthedole4O pnrcpipetothe b*& neededtaeraDmW *=nthe hubs that are pre-molded into the case theside Ali aM the Irrsirktloorcftssd~ Wem pipe b"the hubs thatart:pm-nwk eda ftt ham 3 Soawavseldthe emewtheardetpipe. hunt taelitarcartrint Ow case pressingdowa en the cartrklp until k kicks ift place at the bottom of trim seep 4 Ms>fiR ft a vertical mead swgdr InseresrrN I into the hale p" Id" kbo "atop of tbeti w. Prey straW t down until it kKft into place 3) PAmandm access id efthetarAL Note: To enwe undedrablesaft elo natenatthetaakand &**the drain iitdd. the tank should be pumped a* wd the kW of dlbmt hs bobwtbe autk kMel afthetmdc 4 T4re"Oft hefllW car- ilea fian **ft aw% pmt upl an t1* * 1 ft afthe r, I i ftm hlo It from the case. (Ifubiift awe* read swkcb. retnoaai afmAtch Is ap donaq 3) t skganardmary i etheir~oarcartric~eww 6ydvisibieseptaie maawialisrenro+red_ 4) Plaoethe li tertacu back into the fiftwcase pressing down on the carrriaie until It bds info place, s) WaoethneaooessMd baolcantothetankerrsrrriogtt~stxrae. titet➢aefliDeri~asa Q~iweiiahedrwrra~r UietiweftwUC wartanfttlie 1w*me*fs ar , -oft iiaeaarwalasetbrt4n+diuaaf u u,.:.td..rar o..~u. +~a.rr rr.Sao.r.aa a w~wueewac~cuea ftwwm ~t ~i~ee+anlestMe tae arrriMS~oeae vrooess 0aenae to Wa.asinceadser waaidowt.ii~e aratae rri aor 6ec~oree0 ~u~rwana.~aearp~~wo~.ctwotnld~~y»4ored - peap~vfllwoiatt~is.rana~.tnF~ae~leerasaaaeseow;„rr6ordw~r,~y~araurs bdk Wdaraoessq,w,AWC0StL Guam Illeft" llnoeer5@~71 ~f C d Izi ~T C S G>uA2E, - 010 6 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer A k E ARV E Mailing Address T :T a (D A +U- Wi Property Address 250 (Verification required from Planning & Zoning artment for new construction.) City/State Parcel Identification Number dJ jQ3G~ ° I U D 3c'a LEGAL DESCRIPTION Property Location dG, %4 , A/C, %4 , Sec. 15~'- , T S 0 N RW, Town of Eh~ 4t AL Subdivision Plat: , Lot # ~ Certified Survey Map # 00 2 l q , Volume , Page # 9 Warranty Deed # (before 2007)Volume , Page # - Spec house n yes n no Lot lines identifiable n yes n no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three y expiration date. Uwe certify that all statements on is form are true to the best of my/our knowledge. I/we am/are the owner(s) of the property described above, by virtue of a an ty deed recorded in Register of Deeds Office. Nu er of bedrooms C SIGNA APPLICANT(S) 9zg/ 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. 09/07) vV nc i' Page f,lvisk'n o ~a e(v no i. COU'ilNl wP'° `ach cGmpieic sn iar ~~usl _ s dh.!fiE rCll ) Ill~r' a iu t t ['^i I. l al :f°i Pf i.IG'i'l (j e2. «a f' ,~;CpGS'tp ° Parcel ' D pp ~Pr_Fil. shope• scab.. i!?.. a'CS".' a .'i V R (o Al r%e-- r\#,,3 14N 15 T34> ZAP crCSM# _I•_ t, ,lil / It , VMlag@ Iokn/n 'Nearest ~npd ~ - - - - Ccc.k de..sijn i!nv' APO p General; CC`Irll i5 1 1 Is ~ 75 .5~►w4 1Ip4J` 5 w.~ G. I 9 Zoe... ~ , / /,~.'"S ~r ,)m r illniun ?rtci in. - Sod A,ppf!cation Rat, 6.1S1_ h OU19f~ )tS ?.N r . c . } - 40 s l~s - S AV. L 3 a / - n t I F tl' ! r~'I t - _ 1.-)u ~D/ Pate L - ft ion a e _ onsis 'cc ~Csn!tndary ! Roots r 1_ - r - y i - - - - _ - 5 I OIFsb l( !m Fr Cw I M f c. L rn FY- W i I O F! f, (p , i j ! I f ! 1, I N ~ II' ~ - V Ln I Page L-J, Bo in I 3orinq Soil Application ('ate - nn~ nsist ,ce hounciam r. t_ GPO/;~ o ~olf~ ir, De -0, -I o Ana h. - # ',f#2 - ~ i f Mf ; i ! s I + A ~ r + 1 i';~C y r' s ~ ooil f~p~llication Pale oth n c >I ~I~c . iRnurdery P.oots~ GAD/fit --G ill CI. 3,clc..~s1 -i.1 2 I 1 i I i + s w i + wring O"I'e 1. `actor in. _ ~oii Explication Pate - - - - n/ft-- , t.;ionsl~i~l~ 'Pounca y R.oa~s CP_ es -1on7on i~eh'I) a ono I n ~ Sur r. ' u 1selk 5 i I - s - 1 d, k + , p < '10 IYIg/L a!1d SS < 2"Q'ilg ~~olI mci-u'I'i-,I CC'+r.0 Suring n n~ - - C~ o~-iohr: ,'aCior_--in. Q- e 3 Apolication Rate - - 1r. ;r. , onslstance Sound2rV i Roo-- CPS/it a ILI, i i la YIZ,q bOi tii Cq ~ ~ _ rra Sail Hplir..ation Rate , : UCti ig ,nsist°'iCE 1bounda,-v I F OOiS ! G~CJf , - k i ; f Foring rn1 ~1 i J ,,'I a - i soii Ap'liCaiion Ra ; "o ES~ i r- iE ° sonsisicncr_ t oundary Foots GPD~ft "'flu nsel; i ! f i 1 1 Efflu 9G r.1g/I_ an -5S = r -iq/ ~r_ ire f,~• i i A 2niL SIG, ;'M Lo i 1'R. I lv tp~ .o° - _ r _ pRo~E r r ¢ , apt r+~'k, +4 95.g6 0 1- -7, t Aul _ - 1w hk~ Ell rS Q lot l r- j 1 + i w ' Y _ J , - A Y - , , E - 7 I i + ! i 4 i , I I I ' + f i • _ i i , i j , a + 1 + j d 7 E ~ I s ( t - Y I , • 1 -1 f _ j r 1 ! I 4 ~ j r : j I : , i ! - ( I ~'.,,zt z~. - qrA ~ ~ _ S _JI ~ ~ t ° T3>i `d a•;z,-_=t! j~i+`.-.~ n - al.G- __.SiVP t - l.. _ t _-:.a .1: GPI } e. e t Y _ SvGca~ Q (pry t €oSL)xas~~ 6i3 II Q d r -S. 13 97,~s flcciiar R2te / n I ~,I f rs ~1 •IY ' - ~s.~-- S • _ L- F S tia 1.~. yet ~ r : G 1Y.y E fit.. $ FSi ~Rale -Ilit2 S : - s -,_l - _ - - - f 0 - ` Irr,., t Page ' 2SC V j 94 Aloobcation Rate ! ,$N 5% t-F'I7i:i L : rY7 . 4 ' 331 1 ; i { .w: , llcalu;n Rate } r i { }czuon Pete . i i : c Pop 3,631 ~f Ai N~x4 dec. rs, T3LtJt t t tl q To iD 4-L P% t%40LV- e- + 4" ~ S r la1,19 V-VA 97. DS' b 97.r~ s r 97, os 1~ t Vol mot. 4ts to