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HomeMy WebLinkAbout034-1027-80-000 County: St. CirOIX Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Sanitary Permit No: 579099 Safety and Building Division INSPECTION REPORT (ATTACH TO PERMIT) State Plan ID No: 2581162 GENERAL INFORMATION Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. City Village Township 034-1027-80-000 Permit Holder's Name: Parcel Tax No: Melissa Larson TOWN OF SPRINGFIELD Section(Town/RangelMap No: CST BM Elev: Insp. BM Elev: BM Description: ' 66,r 12.29.15.190A TANK INFORMATION ELEVATION DATA STATION BS HI FS ELEV. TYPE i MANUFACTURER ; CAPACITY Gsl~ Benchmark :3.3& 1,613 /625 Septic I tr: t Lw r Dosing Alt. BM , 1 ' W" [^D 2 750 ~3?A~ Bldg. Sewer W GK• ( St/Ht Inlet a J 3 e Hoof lding A) St/Ht outlet 3 •34 /La • G3 TANK SETBACK INFORMATION en o Air Intake ROAD Ot Inlet / 9G 5 TANK JO P/L WELL BLDG/ Z /OS ( DtBottom 11,47 73• SS..~ z 7-3 y `o r Header/Man. ,~(p ODZ'yr Dosing 6CP '579 7 /fir 7 /oar Dist. Pipe g /d L ' Al 7 i Aeration Bot. System /61 -7 L Holding Final Grade ! ~Q 3 , 4 PUMP/SIPHON INFORMATION Demand St Cover /D ~ Z !0l • ~o Manufacturer GPM Model Number Z41 T-To 160 91 'yrg ~-/P TDH Lif~ ,'d Friction Loss 4 System -3 ad TDH 9. z t1 ~99 n ~ IZ . g3 1' • Forcemain Lengt 7,t Dia Z I I Dist. to Well / Z SOIL ABSORPTION SYSTEM Liquid Depth BEDITRENCH Width Length / No. rench PIT DIMENSIONS No. Of Pite Inside Dia. LEACHING Manufacturer: DIMENSIONS (10 75 P/L BLDG WELL LAKE/STREAM CHAMBER OR SETBACK SYSTEM TO INFORMATION / UNIT Model Number: Type ystem: goo / /V 0 ✓ 7 a/ r x Hole Size x Hole spacing/ Ven Air lnta DISTRIBUTION SYSTEM o%l M Distribution I y I/ I// _ v '3 1 IHeader/Manifold) C pipe(s) 3 / v T ,5 Length 73 S Dia Spacing a Length_ Dia X Pressure Systems Only , xx Mound Or At-Grade Systems Only ,a Mulched xx Depth of xx Seeded/Sodded SOIL COVER Depth Over I pth Over Topsoil P~•- C"s 0 No Yes Q No Bedlfrench Center -7.7 d/Trench Edges _ L~ ~ Inspection #1: Inspection #2: COMMENTS: (Include code discrepencies, persons present, etc.) Location: 1037 CTY RD W/~ 1.) Alt BM Description 2.) Bldg sewer length E i t f eye d! ' ~~b a -amount of cover= Plan revision Required? 0 Yes No Use other side for additional information. Date Insepctors S nature Cert. No. SBD-6710 (R.3/97) ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF EXISTING SEPTIC TANK(S) This is to certify that I have inspected the existing septic and/or dose tank presently serving the following residence: (Street adds ess) Q -7 C TY U0 _ located at: 1/a, 5r- 1/4, Section a , Town ~ Range Lrt;)_W, Town of Zip _ St. Croix County Wisconsin. Upon inspection, I certify that I have found the tank(s), to the best of my knowledge, will conform to the requirements of Comm. 84.25, mid it (they) appear(s) to be functioning properly. Most recent date of inspection or service( 1 Did flow back occur from absorption system? Yes No (if no, skip next line.) Approximate volu e or length of time: gallons minutes Tank Capacity: Construction: Prefab Concrete Steel Other Manufacturer known}; 7 Age of Tank , f knew( / PernZit nu3 r (if n) tNz- (Litensea lumbe gnature) (Print Name) 4~o (Title) (License Number) MPRS (Date) Form to be completed by licensed plumber (Dept of Commerce Chapter 5 and s. 145.06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin Administrative Code) Rev. 9/2008 ~ P 3~xxrtr~.T County ~ r`° l Industry Services Di n 1D j < D ; OCT 012015 1400 E Washingto e $ t nary Permit Number (to be filled in by Co.) P a P.O. Box 7162 $ ST. CROIX COUNTY Madison, WI 5370i62 c~ IMMUNITY DEVELOPM NT Sanitary Permit Application State Transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit Z5 / is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to the Department of Safety and Professional Services. Personal information you provide may be used for secondary Project Address (if different than mailing address) purposes in accordance with the Privacy Law, s. 15.04(1 (m), Stats. I. Application Information -Please Print All Inf mation /21 Properly er's Name / Parcel # Property 10 S-7 )e~ Owner's Mailing Address Property Location /ate Govt. Lot Ci State Zip Code Q Phone ✓Number p Section ~ Z 1 W A I t4 l- S l '7(~ ~S0b' T,)5 N R/ irEcloeon H. Type of Buildin check all that apply) Lot # / ®.1 or 2 Family Dwelling - Number of Bedrooms CK-D -,7- Subdivision Name ❑ Public/Commercial - Describe Use 'r. W4G Block # El City of El State Owned - Describe Use CSM N ber El Village of Z 7 Town of III. T e of Permit: (Check onl one box online A. Complete line B if a livable A. ❑ New System 09-1kplacernent System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS System/Component/Device: (Check all that apply) p ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade K Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device exp am V. Dis rsal/Treatment ea Information: Design Flow (gpd) Design Soil Application Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation / Rate(gpdsf) / -O o 33 ✓ I Az VI. Tank Info Capacity in c Gallons ~ 0 Total # of 0 Gallons Units Manufacturer w U ; N New Tanks Existing Tanks 14•~ 1 r. 1 a U =n rig w C7 fi OL- Septic pc.l3aldieg-+anlc s/vf~ ~G f fC~/~ i ❑ ❑ ❑ ❑ Dosing Chamber x 0 l ! r i ❑ ❑ ❑ ❑ VII. Responsibility Statement- I, the undersigned, ass r bility installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plum s S' MP/MPRS Number Business Phone Number Todd L Sinz MP139462 715-736-1994 Plumber's Address (Street, City, State, Zip Code) VIII un /De artment Use Only KApp,,,,,d Permit Feel Date Is ed Issui ent Sign rven Reason i l T (OZ5 lo S lS IX. Cond1±R?flE*(Reasons for Disapproval 3) Co 9 r dl~ ,5 r0 .r G-~ 4. 'Septic tank, effluwtfttter an'd _ [Y~ n w~ ~ dispersal cell -must ail be servleas tainerl r 'ti GGC' ~ ~ - P as per manaS Alan provided bI►Plumber. r ( L / 2. `Rb'setback req trK st.t tl tteined 61~. -5 64,,- 4-b a. ct c to comp ete p ins or the system and submit to the oun tjJoply on paper not less than 81/2 x 11 inches in size G SBD-6398 (R03/14) ®V5 Tcl / Z6 -,C '\J t f s w 9ti ARr.+ra~r DIVISION OF INDUSTRY SERVICES 10541 N RANCH ROAD D \P HAYWARD WI 54843 S Contact Through Relay P S hftp://dsps.wi.gov/programs/industry-services www.wisconsin.gov SIONScott Walker, Governor Dave Ross, Secretary August 03, 2015 CUST ID No. 139462 ATTN: POWTS Inspector TODD L S1NZ ZONING OFFICE TL S1NZ PLUMBING INC ST CROIX COUNTY SPIA E5609 708TH AVE 1101 CARMICHAEL RD MENOMONIE WI 54751-5520 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/03/2017 Identification Numbers Transaction ID No. 2581162 SITE: Site ID No. 815417 Melissa Larson Please refer to both identification numbers, 1037 Co Rd W above, in all correspondence with the agency. Town of Springfield St Croix County NW1/4, SE1/4, S12, T29N, R15W FOR: Object Type: POWTS Component Manual Regulated Object ID No.: 1548646 Maintenance required; Replacement system; 450 GPD Flow rate; 20 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, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Please see corrections made to the plan in red. The corrections are all based on the limiting factor being 20 inches. Thanks. 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. y s TODD L SINZ Page 2 8/3/2015 Sincerely, Fee Required $ 250.00 This Amount Will Be Invoiced. When You Receive That Invoice, Carl J Lippert Please Include a Copy With Your Wastewater Specialist, Division of Industry Services Payment Submittal. (715)634-5035, M-f 7AM - 12PM WiSNMT code: 7633 carl.lippert@wisconsin.gov cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484 , Monday - Friday 8:00 am To 4:30 pm I MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Melissa Larson Replacement sewer. Owner's Name: Melissa Larson Owner's Address: 1037 Cty Rd W Downing Wi 54739 715-308-4553 Legal Description: NW1/4 SE 1/4 S12 T29N R15W Township: Springfield County: St Croix Subdivision Name: Na CONDITIONALLY Lot Number: Na Block Number: NapROVE.D DEPT OF SAFETY AND Parcel I.D. Number: jSIg6NAL SERVICES PKOFEE DIVISION OF INDUSTRY SERVICES Plan Transaction No.: Page 1 Index and title Alf Page 2 Data entry , ~r Page 3 Mound drawings SEE RFESPON ENCE Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Tank specifications Page 9 Plot plan 1"= 40' Designer: Todd L Sin License Number: MP139462 Date: 07/21/15 Phone Number: 715-235-2644 Signature: De d 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) Page 1 of 9 Mound and Pressure Distribution Component Design !,)eslnn VVorKS-neet Site Information or (I 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. j 450.00 Design Flow (gpd) 6.00 Site Slope 100.00 Contour Line Elevation (ft) ~p Depth to Limiting Factor (in) 0.40 In-situ Soil Application Rate (gpd/ft2) Distribution Cell Information 75.00 Dispersal Cell Length Along Contour (ft) = 6.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ft2 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? Y =~1 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) 4.00 - Orifice Spacing (ft) = 11.84 ft2/orifice 2.00 Forcemain Diameter (in) 40.00 Forcemain Length (ft) Does the forcemain drain back? Y 93.00 Pump Tank Elevation (ft) c . ?u 3.25 System Head (ft) x 1.3 6.52 Forcemain Drainback (gal) 7.79 Vertical Lift (ft) 67.38 5x Void Volume (gal) 0.55 Friction Loss (ft) 73.91 Minimum Dose Volume (gal) 0.00 In-line Filter Loss (ft) 24.90 System Demand (gpm) >64 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 x 1.00 1.50 x x 1.25 2.00 1.50 x x 3.00 2.00 x 3.00 x Gallons/Inch Calculator (opt onai e Treatment Tank Information Total Tank Capacity (gal) 1000.00 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Huffcutt Concrete Manufacturer gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 641.00 Dose Tank Capacity (gal) Lifetime Filter Filter Manufacturer 15.26 Dose Tank Volume (gal/in) LT1/8 Filter Model Number Huffcutt Concrete Manufacturer Project: Melissa Larson Replacement sewer. Page 2 of 9 Mound Plan and Cross Section Views T J Observation Pipe K:f. .5• L A W :F '•l. - B I 4-1 e L- Mound Component Dimensions A 6.00 ft E n H 1.00 ft K B 75.00 ft F 9.50 in z ft I0.~ c+t(, V D tWqin G 0.50 ft J Z~~ 7`l 450.00 (ft2) Dispersal Cell Area fi (ft) Basal Area Available 6.00 (gpd/ft) Linear Loading Rate 7.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade a(ft) ► •//JIJJ///rI////rliiiirJiiir... F Dispersal Cell i0+45f(ft) Lateral I (ft) - Invert Dispersal Cell Elevation IE D .:3 _ 4 ~ 1 s. , 100.00 (ft) Contour Elevation 6.0 % Site Slope Geotextile Fabric Cover Shading Key a T Dispersal Cell See lateral details on 0 ®Topsoil Cap A Q- 1.5 ft Page 4 for number, 20 /rr/f// Subsoil Cap a o;c size, and spacing of R laterals. Laterals are ASTM C33 Sand F Tilled Layer = m 0.5 ft Lateral equally spaced from the distribution cell's Aggregate o centerline in the * 'A distribution cell (AxB). Project: Melissa Larson Replacement sewer. Page 3 of 9 End Connection Lateral Layout Diagram Laterals centered over the A & B dimension . Turn-up Mball valve or cleanoutplug p I All laterals are identical l~ X` Holes drifted on the bottom of the lateral equally spaced S Force main connection via tee or cross to manifold at anv point. Laterals Morcemain Sch 40 PVC per SPS Table 384.30-6 Number of Laterals 2 Orifice Diameter 0.188 in Lateral Diameter 1.50 in Orifice Spacing (X) 4.08 ft Lateral Length (P) 73.44 ft Orifices per Lateral 19 Lateral Spacing (S) 3.00 ft Orifice Density 11.84 ft2/orifice Lateral Flow Rate 12.45 gpm Manifold Length 3.00 ft System Flow Rate 24.90 gpm Manifold Diameter 1.50 in Total Dynamic Head ft Forcemain Velocity 2.54 ft/sec It-1-10 Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and SPS 316.300 WAC j 4 in. min. Disconnect Tank component is properly vented Alternate outlet location Forcemain diameter Huffcutt Concrete Manufacturer 2 in. Capacity 641.00 Gallons Volume 15.26 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 24.66 376.34 B 2.00 30.52 C Pump off elevation (ft) C 4.84 73.91 93.88 D 10.50 160.23 Total 42.01 641.00 D IF _J Dose tank elevation (ft) 3" Bedding un er tank. ~ 93.00 Alarm Manuafacture SJE Rhombus Alarm Model Numbe Tank Alert AB Duo Pump Manufacturer Zoeller Pump Model Numbe BN151 Pump Must Deliver 24.90 gpm at ftTDH Project: Melissa Larson Replacement sewer. / 1,41,> Page 4 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name T L Sinz Plumbing Inc. Phone 715-235-2644 POWTS Regulator's Name St Croix County Zoning Phone 715-386-4680 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 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450 ftz 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 ears Effluent Filter Should inspect and clean at least once eve 3 ears Pump and Controls Test once eve 3 ears Alarm Should test month) Pressure System Laterals should be flushed and pressure tested eve 3 ears Mound Inspect for ponding and seepage once every 3 years Other Call T L Sinz Plumbing for your service needs. 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: Melissa Larson Replacement sewer. Page 5 of 9 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, R. 10/12), SSWMP Publication 9.6 (01/81), and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01, R. 10/12)] 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, 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 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. Puma 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 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 BODS, 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 cfu/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. Contingency Plan 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 condition. 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 9 • PUMP PERFORMANCE CURVE = TOTAL DYNAMIC HEAD/FLOW MODEL 1`51111521153 PER.MINUTE AFFLUENT D DEWATERI G 14 /5 113 12 40 MODEL. 151 152 153 35 Feel Nelers .Gal, Liters Gal. Liters Gal. Ulers 10 152• 5 1.5 50 189 69 261 77 291 SO 10 .3.0 45 170 61 231 .70 265 t = 1St 15 4.5 . 38 - 144 .53 201 81 231 20 8 164 34 1~ 61 52 129 42-r. 159 25 :fi• 30 9J _ 2Y....,.: 87 33.,, . 125 J5 90,7 - - - 22 85 15 1 1t, 4 . ; !0`' . 12.2 . 38 tt..(11,6m) 44 h. (13.4m) t0 _ Shut-off Head; 30 ft-.0-1,M) 2 5 01!5088 10 . 20 30 4 50 70 80 90 100 GALLONS !o to lie 1ao 200 ' 240 21110 3 0 360 FLOW PER MINUTE 014e0+A .::Model 151 hl1©:d:el.:.:1:52] 153 CQNSULT,.FACT'QT( E,4R SPECIAL. APPLICATIONS 67132 J Ire ' 4 Se 3 27132 1.~e • Timed dosing panels available: • Electrical alternators, for duplex systems, are available and a „a 3 27132 supplied with'an alarm: e e e ~i 3 2713; • Variable level control switthes are available for controlling ® 3 lit single phase.systems. I r' • Doubie;piggySeck variable level float switches see available for varlable level long and short cycle controls. I I I - • Sealed QWik•Box available for outdoor installations, See FM1420: I • Over 130•F, (54eC.) spatial quotation required.' tt tuts 12 ve 1s111sZ1t0--m0 Control Seleetlon !Se I model velt$-ph • Mode Am ; elni le: Duplex s ve N151 115 1 Non ~ 6.0 i .2 or 3 ~ SN1S1 115 i,, ,.Aut6 ; 8:0 Included 2or3 E151 230 1 2 or 3 sK20e4 BE 230 1 Auto':': 3,2 Included 2 or 3 sKZau Nt62 115 1 Nor' 8.5. 1 2 or 3 BN1.52 115 AUtoa,5 Included 2or3 E152 . 3 1 4,3 2 or 3 BE152, 3 4.3 ::Included 2 or 3 N15 2or3 BN153 11 1 Auto:. IQA5 r ?dncluda 2 o r 3 SELECTION GUIDE E153 230 i Non 5.3 :1 2 or 3 BEi53 30 1 Auto: 3.3 Inolttded 2 or 3 1. Single piggyliack.Variatile level floavswitch or double piggyback variable level float e cAUTi .N switch, Refer to FM0477, All Instellatlon'ef controls, protection device; and wiring should be done by a qualUfed 2, See FM0712.for correct model of Electrical Alternator E•Pak, licensed electrician. All electrical and safety codes should be followed Including th/`most 3. Variable level control switch 10.0225 used as a control activator, specify duplex (3) recent National Electric Cede (NEC) end the Occupational Safety and HealthAyt (OSHA) or (4) float system: W RED DESIGN For unusual con~itlons a reserve Safety #actoris engineered into the design of every. Zbd1,iJr.pump; MAIL TdnP.O. BOX 16347 Louls0le; KY 40256.0347 Manufacturers ot.. SHIP T0; .3649 Cane Run Road Loulsville, KY 40711.1961 UMAY c (502) 718.2731 1 (800) 928-PUMP (1//Ql/TY~ ,/rNCE h.trp:/IWWWSAdIN.OtIm P4UMf' + FAX (502) 774.3624 r•`-. All finHtc rRARrvnrl. I 49' 42.5' 6.5' 3' 39.5' ty 4.5' 2' D • (A N UI - Z ut r m A w w a 20' 2' a Z ON ID -co < m d = d d m D c3 D D N N n Z D N nO £ rTl X D ko Z ;u bcl orr~ m n nz m ti D A N E 47 £7 m D n t7 C -i Ll Zto ty%n C-) M cO Ei ~ r n -1 rz Z C-) T. 0 1 nnZ rv m m tJc - Ow 0 C3 v~-0 = ° 5.25' o n am Arm - - Z n u ° A ° 0c: z --1 ;0:1 Qe m n m m m to o H A A Dm Llm W A N -4-4 DC `m n = o y o v < yc: '9 1 z r=r A M 1:3 ❑ ;u czi v r- _ m m r zm Im n O° £ m o < c _ m w m D .Z-. m n N .-O n N .-O D m < n r D m p r"9 ty p v N Z 1 39.5' 9.5' q M E3 A D £ o r 36.5' D { z vzi u ci o d = r .ZI Z A W D O M, t7 .X A 44-1f, , m o~ ~o N v m D z ~Z N ~ D C cn H o D • r M 0 n ~ D (7 mm d D Z PROJECTi 4154 123rd STREET 2 § y N.P.C.A. CERTIFlED PLANT 1,000 GAL. LOW PROFILE HUFFCUTT CHIPPEWA FALLS, WI 54729 R ;m & PUMP, SEPTIC, (715) 723-7446 w (800) 924-1516 9 1 ~l MEMBER OF: N OR HOLDING TANK C 0 I C R E T E. I n C FAX (715) 723-7111 w www.huffcutt.com NATIONAL do WISCONSIN PRECAST CONCRETE ASSOCIATIONS mo~ 55' 47' 3' 44' S' 2' dA D N N N 21 Z N r m w w z .r, D 20' 2' N 1 N ru ° a ~ A Z 0~ ~0 ~ Gt O O m ty = ty ty 3 D 0 a a m D bd X D 0 £ m rrr_ 71 r fTt £ n m o .2 E m -1 ztjtyA _ 1 3' r c') > z in `~0 O V V Q~ M> D c-) w V Z -u -u _ 91 v II II II 5'75, C'1 C7 (is (71 ° D N zZl r3~Y n n z m ;u d city q m° ~ ~ z m ° a ° ° m D 3 c o r n m rz na 45' 10' ~rmi m m m <m 42' X: N A Dm mr m~ ti ° n cz ~m ZI ° 3 w DA 0y t7 f'1 z mm Mtd ty ti D , 77 td Oil m D - N t7 c~ 9 --1 m < z ° m aw~ Dd G) aw ma = 13 i7 c ° z ° z~ r I -0 m m r Y m ty° A A mA ro ty N z A m D ul 0 V) -1 0 m N m ° N; ~m I < m Z~ N m n ~cL' D A (Am W ° z N v r m -i ~ C3 ° 1 z y o m z tJ D z 7K F - - w , o a c W M ° D D 0 z m 7K ; N ~ > D N m tj 0 z ® - r A D - r9 z f*1 t7 _ ~ rv ro m - 40 z r iC 78' D i - - < m C3 ;;u m 2 I 72' - - =4 1 I'l C3 m w L_-~ rn I 67' - - L-------------------g- PROJECT= 4154 123rd STREET o N.P.C.A. CERTIFIED PLANT 600 GALLON HURCUTT CHIPPEVA FALLS, VI 54729 PUMP, SEPTIC, (715) 723-7446 x (800) 924-1516 m MEMBER OF: rS OR HOLDING TANK C 0 n C R E T E. In C FAX (715) 723-7111 x www.huffcutt.com m NATIONAL A VISCDNSN PRECAST CONCRETE ASSOCIATIONS i s ze5 o o 1 kA ~ ~pp 6 *16 CS ti tllz FIL- 340 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer n Q_\\'c'-Q'_~' Mailing Address b C 06-kn \ V~ V SH 73 Property Address W Jo\,~n\,\Z) ;S y 7 3 (Verification required from Pl g & Zoning Department for new construction.) City/State Parcel Identification Number o34- IW_]- 8 0- ow LEGAL DESCRIPTION Property Location 1/4 , 1/4 , Sec. , T N R W, Town of Subdivision Plat: Lot # Certified Survey Map # , Volume , Page # Warranty Deed # (before 2007)Volume , Page 4 Spec house ❑ yes ❑ no Lot lines identifiable ❑ yes ❑ 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 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 year expiration date. I/we certify that all statements on thiAm are true to the best of my/our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a warr ty deed recorded in Register of Deeds Office. Number of edrooms_ S~ l 0 i S i 15 A 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) Wiseansin Niartment of Safety and Professional Services 1of 31 J 6 SOIL EVALUATION REPORT ~ Pam L of Z OCT 012015 in accordance with SPS 383, Wis Adm. Code County • At~r~ h per not less #Mn 8112 x 11 inches in size. Plan must ind4sl~, t and horizontal reference point (BM), direcdon and Parcel I.D. - acs v rent sloe, • o orth arrow, and location and distance to nearest road- 0 3Y " d p pe R by V Date Please Pt7/1>f all %t7fOllli36m. Personal kdonnadon you provide may be used for secondary purposes {Privacy Law. s. 95.04 (9) (m)). Property Owner Property Location ~oZ T a T+l R i S V-. Govt Lot / V ~d 1145L<114 Property Owner's M ' Address Lot Blo -59 C? ~ G3 Ci<y Sfatie Zip Ude Phone Number E)Cdy ®vllage own Nearest Road 0-434- GJ c~I>s ~3ag- Y tom- E3New Construction t Residential / Number of bedrooms Code derived design flow rate sd GPD Replacement Public or commercial - Describe: Parent material Flood Plain elevation ff applicable $ General corsgrdat r 2 An o,.A,4j Ca-q Boring and reoommendatlorrs: v F-(1 #ng Pit Ground surfaceelev. /tI a D 8 Depth to limiting tam 3 in Soil Appkabon Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistmrce Bouridaryr Roots GPD/fEr in. Munsell QU. SZ Cont Color Gr. SZ. Sh. *81#1 'Efi#2 d3d f sl l5 "L~~ a~ q~ Boring Boring # 2- Pit Ground surface elev. ft Depth to limiting factor rn- Soa Apokation Ram ~ Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW in. Murrill Qu. Sz. ConL Color Gr. Sz. Sh. 'Etf#1 *EfW a~ D Yi~3lz A-W o PE w~ 3 D- ax 3 S'ZZ Ov ',Al t` wi5~ rw. ?L p- D- ur o., o r,< t TT- 136-0000D 5 4P, - r t5 r"n~ ,v13 /oy 3 -a 05'r Effluent #1= SOD > 30 ~E 220 mg1L and TSS >30:5 150 mglL ` Effluent #2 = Bop, :S 3o mg1L and TSS < 30 mg1L - CST Name {Please F* W; Veldt soil jbStj,,, Number t ` Data Evatu~fiioru Corrd/ucled Telnephone Number 1 (71 Address " o t2 G ~f d l,~f l 4755' 5 ~ ~ 0 7 % seC SBD-833orR07n3z Property Owne fBorirnxg Parcel ID # Page of Boring # Ground surface elev. ~0O-Q ft Depth to limiting factor in. Sots ApplicaWn 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 ~g oW 3 2- - br-6, : I - bx~3 F~a2s-r~ ~5~ ❑ Boring # 4 .:1 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/fF 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- 0 Soil Apprication Rate Horizon Depth Dominant Colo Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz_ Sh. *Eff#1 *Eff#2 ' Effluent #1 = BODS > 30 < 220 mg& and TSS >30 < 150 mg& * Effitient #2 = BODS < 30 mg& and TSS < 30 mg& SBD-83330 (807/13) d L ;n AG LO 0 C04 Q) ?h ~ Lr ~ \ C: LO .,sue cr2 co ~ T N `O CO- z~ L czi~l ell- qo eel obs~ i i ~o