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Home My WebLink About018-2017-14-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No GENERAL INFORMATION (ATTACH TO PERMIT) 584717 State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 2687796 Permit Holder's Name: City Village Township Parcel Tax No: Oevering Homes, LLC TOWN OF HAMMOND 018-2017-14-000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: `~i4mf, lw b7M T~ y~i 0EFE2 ~•~c Qo,P. , # Z 35.29.17.1135 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic (.o4~,4 6~--~ Benchmark Dosing wArZ 8-.4 - D Alt. BM Aeration ~ Tim k,9' 611:70, Bldg. Sewer Holding SUHt Inlet TANK SETBACK INFORMATION St/Ht Outlet O T TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic r r > Dt Bottom Z Dosing w w A µ ^ " v Header/Man .A G. s /O4,/ Aeration Dist. Pipe 2 Holding Bot. System /C Z - 5Y fR'~ PUMP/SIPHON INFORMATION Final Grade 3 ~pyz Manufacturer Z_ L7 6- ~L le 0- GPM CVE-je Demand S Cover ow TL-,~~ /az 9S Model Number Al ~OAMU9 TDH Lift ZD~~ Friction Loss System Head TDH O Ft V. Z. By ~u ~2 /os, So ~cn.5y Forcemain Length I Dia. V Dist. to Well n 71 SOIL ABSORPTION SYSTEM BED/TRENCH Width Length 1 No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION Type Of System: , CHAMBER OR A tO (IWMAD 1~ ' A//~ UNIT Model Number. _ DISTRIBUTION SYSTEM ~J /V /v Header/Manifold Distribution ix Hole Size x Hole Spacing Vent to Air Intake Pipe(s) r 1 u ? / Length - Dias Length ZI +ZIJ Dia_ Spacing --/3Z • ~SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of u xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges ! Topsoil q Yes E] No Yes ~I No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: > G!' D Inspection #2: Location: 1902 66TH AVE go 1.) Alt BM Description = (~F f va✓~~/ ~ Wl ~i~r ~~i _ / 2.) Bldg sewer length = #tQ ~S (r~~ 4 e-Ddy XOT 0,85~e lJ - amount of cover A0,40 ,77A Plan revision Required? Yes No Use other side for additional information. ~`/•-'1 ~/,Tti Date Insepctor's Signature Cert. No. SBD-6710 (R.3/97) PLOT PLAN PROJECT Oeverina Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017 SW 1/4 NW 1/4S 35 /T 29 N/R 17 W TOWN Hammond COUNTY ST. CROIX SYSTEM ELEVATION 102.3' 2.5' sand lift DATE 3/16/16 BEDROOM 3 CONVENTIONAL IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK XXX 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 MOUND SEPTIC TANK SIZE HOLDING TANK SIZE LOAD RATE 1 .0 ABSORPTION AREA 456 # of chambers none BENCHMARK V.R.P. Top of 3/4" pvc pipe ASSUME ELEVATION loo' Filter Lifetime Filter ❑ BOREHOLE O WELL * H. R. P . same as benchmark All piping shall be ASTM SDR 30/34, within 10' of tank, piping shall be ASTM F891 Property Line BHP 5 1 Slope p 1 90th St. WelI is to meet all B-2 Diversion Ditch WDNR setbacks B-1 1 B. M. 99. ' BH 2 13 99' BHP 1 Slope area 15' below system 0 is to remain undisturbed Scale = 1/4'1 = 10' 2 Acre Lot Huffcutt Combo Tank Tank is to be properly bedded and provided with Iockdown covers with approved warning Pro 3 labels Bedroom Ho use Property Line Safety and Building isio County n 201 W. Washington Ave B 7162 Sanitary Permit Number (to be filled in by Co.) Madison, W1 53707- 1 COUNTY -7- SqM v COMMUNVTY ® Permit Application Sta~Transy~acrionNumbe/r In accordance with SPS 383.21(2), Wis. Aram. Code, submission of this form to the appropriate govemmental unit f -7~ ~G is required prior to obtaining a sanitary permit Note: Application fors 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 f purposes in accordance with the Priv Law, s. 15. 1 m , Stats. o / C ` - J ! ( ~l~ L Application Information - Please Print All Information 6 Property Owner's Name Parcel # Property Owner's Mailing Addr _ Property Location 35.,.Rq „ 0, 35 r1 i 141. f _ > > ° Govt Lot City, State Zip Code Phone Number 50/., Sec Moo, 'L IC cu e one) T N; R( orW all that appl Lot if II. Type of Building (ch "eL ye, or 2 Family Dwelling - Number of Bedr Subdivi on Name 0& Ot~'4'L-• Block a f; ❑ Public/Commercial - Describe Use City of ❑ State Owved - Des be Use CSM Number ❑ Vi of I 02.5 COP, of 1 'n x OJ III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A" System 11 Replacement System ❑ Treatment/Holding Tank Replacement Only El Other Modification to Existing System (explain) B• Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner IV. Type ofPOWTS System/Component/Device: Check all that apply) ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound 24 u of suitable soil ound < 24 in. of suitable soil ❑ Holding Tank ❑ Otber Dispersal Component (explain) ❑ Pretreatment Devi explain) r V. Dis rsal/Treat nt Area Information: e 1 Design Flow (gpd) Design Soil Applicati (gpdsf) Dispersal Area Re " ed (V.f_j) Dispersal Area pose sf) Sy ern Ejryvation VI: Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units o = New Tanks Existing Tanta f~ a s Septic or Holding Tank T. Dosing Chamber VII. Responsibility Stat ent- 1, the undersigned, ass a ponsibiiity for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber' S" ature MP/MPRS Number Business Phone Number Plumber's Address (Street City., State, Zip e) VIII . County!De artmeut Use Only Approved ❑ Permit Fee Date sued Issuing. Signattue 9 ❑ NQMV,ea Reason for Denial )x Conditii ~1 06 ASSitgons for Disapproval 3 I 5eptirtank, effluent filter and 164 -~04.~-.111__/,/L s !bd Cder disper~. ,i cell must all be sericas ! m~, ntairec: as per mr agernent plan provided by plumber. 2. d411.'jw ap k! I~entsAnust to ildiM~iried as coda / ordlllm ms. J ~r AA- d.C/ O ✓r,` Attacb to complete plans for the system and submit to the County, only on pa not less tbao 12 x l2 incles ' siu n SBD-6398 (R 11/11) R7=trE~1,_. , DIVISION OF INDUSTRY SERVICES 10541 N RANCH RD HAYWARD WI 54843-6462 t Q 1~ Contact Through Relay 3 S Phttp://dsps.wi.gov/programs/industry-services www.wisconsin.gov °ssroN~~% Scott Walker, Governor Dave Ross, Secretary April 14, 2016 CUST ID No. 226900 ATTN: POWTS Inspector SHAUN R BIRD ZONING OFFICE BIRD PLUMBING INC ST CROIX COUNTY SPIA 1432 120TH ST 1101 CARMICHAEL RD NEW RICHMOND WI 54017-6409 HUDSON WI 54016-7708 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/14/2018 Identification Numbers Transaction ID No. 2687796 SITE: Site ID No. 822515 Oevering Homes Please refer to both identification numbers, 1902 66TH Ave above, in all correspondence with the agency. Town of Hammond St Croix County SW1/4, NWI/4, S35, T29N, R7W FOR: Description: Mound, 3 bedroom residence Object Type: POWTS Component Manual Regulated Object ID No.: 1593821 Maintenance required; 450 GPD Flow rate; 6 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); 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 DEPT OF P 0FESSI~ requirements. r,IVISION OF 1h No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06t stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is not designed for and may not be sited on a concave slope. t~~- 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. • See corrections in red on the plan. • Chisel plow to a depth of 12" to 16" per the Interpretive Determination. • The maximum finished slope of the down slope toe of the mound surface shall be equal to or less than 4:1 per the Interpretive Determination. • The force main is to be installed in the downslope area (see plot plan). The trench for the force main may not be wider than 12 inches per Mound Component Manual. SHAUN R BIRD Page 2 4/1472016 • Surface water drainage shall be diverted away from the system area per Mound Component Manual and the Interpretive Determination. 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. • Materials shall conform to the requirements of SPS 384. • Maintain well and waterline set backs 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 This Amount Will Be Invoiced. When You Receive That Invoice, Please Include a Copy With Your Patricia L Shandorf Payment Submittal. 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 SF AUN R BIRD Pane 2 4!142016 • Surface water drainage shall be diverted away from the system area per Mound Component Manual and the Interpretive Determination. Reminder • The orientation of the mound system must be such that the Iongest 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. • Materials shall conform to the requirements of SPS 384. • Maintain well and waterline set backs 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. I2(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 S 250.00 This Amount Will Be Invoiced. When You Receive That Invoice. Please Include a Copy With Your Patricia L Shandorf Payment Submittal. 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 awisconsin.gov cc: Edwin A Taylor, Wastewater Specialist, (715) 6334-3-484, Monday - Friday 8:00 am To 4:30 pm Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 3/16/15 Owner:Oevering Homes Location: SW1/4 NW1/4 S35 T29 N,R17 W 1902 66th Ave Hammond Manuals Used: Mound Component Manual Version 2.0 (N.01 /01, R. 10/12) Pressure Distribution Manual Version 2.0 (N.01 /01 R. 10/12) Page# 1. Cover Page 2. Mound Plot Plan 3. Mound Cross Section 4. Pipe Cross Section/Pipe Layout kTIONALLY sR®VED 5. Pump Chamber Cross Section 7AFETY AND 6. Pump Curve NAL SER . CES 7-8. Maintance and Contigency p n J U ICE 9. Filter Specifications and cross ction Attachments: Soil Test EPO, acNc _ Shaun Bird Signature_ License number 226 Page 1 of 9 PLOT PLAN PROJECT Oeverina Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017 SW - 1/4 NW 1/4s 35 /T 29 N/R 17 W TOWN Hammond COUNTY ST. CROIX SYSTEM ELEVATION 102.3' 2.5' sand lift 3/16/16 3 DATE BEDROOM CONVENTIONAL IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1 .0 ABSORPTION AREA 456 # of chambers none BENCHMARK V.R.P. Top of 3/4" pvc pipe ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark All piping shall be ASTM SDR 30/34, within 10' of tank, piping shall be ASTM F891 Property Line BHP 1 % Slope 1 90th St. WelI is to meet all B-2 Diversion Ditch WDNR setbacks El B-1 1 00' B.M.A 99.81 BHP 2 99' BHP 1 4% Slope Area 15' be I ow syste m is to remain Scale = 1/4" = 101 undisturbed 2 Acre Lot Huffcutt Combo Tank Tank is to be properly bedded and provided with lockdown covers with approved warning Pro 3 labels Bedroom House Property Line Mound System Cross Section and Plan View Dimension Feet J A B I a D a, S I 4 4J1r r 1 1r r4r J r4r4:1:1~!~::11141 ' ' E r•r•1111f-.•1.1.1•.•141.1.:.1.11111.1- f f-r•f•r111r•f•r•f114` 1.1ryf1:l:ti:ti A Ir4.1r1.111 : .1 : .5.1::.1.4.1.4.1.1.1.1.•..... 1.1.1.1.4.1, 1.1•S•: S:t,t-1.1.1.1.4.1.1.1.1• .1.1.1.1.1.1 ' - f•J•f•r•r•d•r-r•r-r•r•r.Y•f-r•1.:.r•r•r•:-r•r.l.` : r.r-1.1.1-r•f•1 1.1. ~ ~ {~}~/.~[.-1•`.-1• 1.1.4.1.11'~r4r4~4•t-4.4•L.4.4.4.4.'S,f~~`~(~~•4.1.1•L• - - 11'tij•T. 1r11~'l1ry ..1.1.1.1.1. r. r.r.r.J.f•J'n'•r.l.J.r.r.r.r ' •stir'1.x1:1.1.1.•..4.11:1:1:1.1. L.1.4:'l:ti:S r•r•r.r.r.r.r•:.r.r.r.r•r.r.r-r-r-r.:.:.rti.rrS.:r1..rti•rti•::ti-:rti•lrti-r:1-=r1.%11.~1ti•:rti-:r4.::1.r.1•:.1•r.4•:.1-r.4-r.1-r.1-1. 1.1.1.:.4-1. L.1.L.1.4.1.1.1.4-r.4.:.4•r . F 111 J V W I I r S G T- `T H /10 I I 1 I I J 1 1-7 l I K 3 L 131, -K-T B Z L Slope % 40 1 = Topsoil = ASTM C-33 = Clean aggregate = 4 in. sch. 40 pv-c Cap Material sand fill 1/2 to 2 1/2 in. dia. 0 observation pipe L_ Geotextile G H Fabric r.:.:.r.1 F . . . .4~ti~tP•': - ( l ! .R r I t •r-1.1.1.:.1•: •r.'D E Plowed Surface Ft Contour Slope Direction GENERAL INSTALLATION: The mound area is staked out along the design contour. Existing vegetation is mowed and raked off the site. The mound basal area (L x W) is plowed with a moldboard or chisel plow. Plowing may not proceed if the soil is wet enough at the plow depth to form a 1/4 inch soil wire when a sample is rolled between the palms of the hands. ASTM C-33 quality sand is placed immediately after plowing. Sand is placed with a tracked machine keeping 12 or more inches of sand under the tracks or is placed overhead by a backhoe. Special care must be used when placing sand of less than one foot thickness to minimize compaction of the plowed surface. After the topsoil cap is placed, the entire mound is seeded and mulched to promote vegetative growth, limit erosion and protect from freezing. The observation pipes are slotted in the lower 6 inches and secured in place with rebar or a closet flange. 10/07lgj Page of 1 Pressure Lateral Layout One Lateral - Center Manifold Oo "1' t Threaded Cleanout Lateral Turn-up Plug I - X Long L A- Force Main Sweep 90 Bend /0 Pressure System Construction Distribution Network Specifications I..,ateral Diameter In. Laterals are constructed of schedule 40 PVC Manifold Diameter In. pipe. Orifices are drilled perpendicular to X (OrificeSpacing) the pipe with a sharp drill bit and face down, L Lateral Length) 917 yet. Lateral turn-ups terminate with a threaded Force Main Diameter In. cleanout plug and are enclosed in a 6-8 inch Force Main Length Ft. diameter lawn sprinkler valve box accessible from finished grade. • • • • • Grade 77 6-8 Inch Lawn Sprinkler Valve -1► Sox • - 1 J j !f d 10 " r/ Page of r i Septic-Dose Tank. Cross Section And Pump Performance Specifications Tank Manufacturer - Pump Manufacturer Tani: Model Number Q Pump Model Number Pj Total Tank Capacity 3 Alarm Manufacturer (1 J Max. Bury Depth Alarm Model Number Switch Type ' Filter Manufacturer TOW Dynamic Head (TDH) - Feet Filter Model Number Elevation Head J Distal Pressure Network Loss Minimum Pump performance Required Force Main Loss 3, 3 ' GPME Ft TDH Total _ Y z z' Outlet Manhole lvfin. 4" Above Grade With Manhole Min. 4" Above Grade Locking Deice, inlet Manhole With Locking Device < 6" Below Grade Sealed Watertight Securely Mounted Weather-proof Junction Box - ♦ Finished Grade r s + s ~ ~ .r. Vent Min. 12" Disconnect Above Gracie Means With Vent Cap Outlet Filter Wet Baffle X. - Inlet A- 1/4" A Switch Settings and Reserve Capacity Weep Tank Volume GPI B Hole X. Dimension. Inches Volume Gal. (reserve) A. Off Elevation C (alarm) B 2 g 71 -3 Ft (dose) C / Bottom (dead) D < < D elevation Ft Total ~<;<>< a , < a>~YS,`~; ',~,'>y>~S~ + ,)<.,.<i.Yl a>~ ,>fY<•i>a>~ ~>t>a> <i>i ,>,>t a'< . a < < • 1 < GENERAL INSTALLATION: The septic/dose tank is bedded and back filled m manufacturer corder may not manufacturer's product approval specifications. Maximum depth of bury as specified by t be exceeded without prior approval. Manhole covers exposed to grade have an effective locking device (padlock) installed. Piping at the inlet and outlet is of approved material, connected to the tank with watertight fittings, and laid on stable soil to prevent settling or sagging. The force main is sleeved with 4" Sch. 40 PVC to bridge the tank excavation and the sleeve is sealed watertight.: Electricalice o mplios with NEC 300 and Comm 16.2:1. page of 42105 LJ Cam- TOTAL DYNAMIC HEAD/CAPACITY ~~~PER MINUTE HEAD CAPACITY CURVE C~ EFFLUENT AND DEWATERING MODEL 152/153 MODEL i 152 153 w i 50 / ( reef I ml ers Gal. I Liters I Gal. it Liters 5 1 J j 69 261 77 291 ~ 70 n 265 j 1 IL,/ 10 i 3.1 61 231 12 40 152 15 4.6 I 53 j 201 j 61 231 0 20 6 , 44 157 I 52 1 197 w _ 25 7.6 34 129 i 42 1 159 a 8 30 I 30 I , 23 87 1 33 125 II I I 35 22 b5 c I 20 I j i i 11 4L 40 12.2 r- i O F-- 1 z _4m) ack Valve. 1 5m) 1j44.0 Ft- 41 r ciasoa ~ 10 i 0 80 100 20 0 60 GALLONS 5 / LITERS 0 80 160 240 320 _ 3 27/32 FLOW PER MINUTE Ii 27/32 1 CONSULT FACTORY FOR SPECIAL APPLICATIONS _ ~p 3 27/32 • Timed dosing panels available. with e r L Electrical alternators, for duplex systems, are available and supplied an alarm- Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable level long and short cycle controls. • Sealed Qwik-Box available for outdoor installations. See FM1420. I • Over 130°F. (54°C.) special quotation required. 12 11/6 - Lo 1521153 Series I I I i 1 1521153 MODELS Control Selection 5 1/6 Model Volts-Ph Mode Am s Sim lex I Qu lex N152 115 1 Non 8.5 1 2 or 3 I _-1- sKZOea BN152 115 1 Auto 8.5 Included 2 or 3 [ E152 239 1 Non 4.3 1 i 2 or 3 *ie"11 BE152 230 1 Auto 4.3 Inclu ed 2 or 3 N153 115 1 Non 10.5 1 2or3 SELECTION GUIDE 8NI53 115 1 Auto 105 Included 2 or 3 piggyback E753 230 t Non 5.3 .3 It 2 or 3 1. Single piggyback variable level float switch or double variable level float BE153 230 t Auto 53 Included 2 or 3 switch. Refer to FM0477. A CAUTION 2. See FM0712 for correct model of Electrical Attemator E-Pak. All installation of controls, protection devices and wrong should be done by a qualified 3. Variable level control switch 10-0225 used as a control activator, specify duplex (3) licensed electrician. All electrical and safety codes should be followed including the most Or (4) float system. recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL TO: P.O. 9OX 16347 Louisville, KY 40256-0347 Manufacturers of.. L SHIP T0: 3649 Cane Run Road /7 pp Louisville, KY 402] 1-1961 Q~tL/TY / UMPS ✓~NCE ~~Jc/ (502) 778-2731 - 1(800) 928-PUMP f7lJ/►'/` FAX (502) 774-3624 l/www•zoell er.com http 6 Copyright 2000 oeller Cq All rights reserved. ~~r W HEAD CAPACI"TY CURVE iorAl- DYNAMIC IIF~,tajcswacliv _ MODELS "140/4140" PER MINU(t 31/s EFFLUENT AND DEWAIERING Ft. Meters Cal. ltrs, -1 + /a 14 45-... 5 1.52 81 X64 ~/I oT a 10 105 84 318--- 12 * _ IS a 57 76 288 140,4140 10 6.10 68 257 35- - - - - 112 - n ,/2 ,on 25 J.b2 tp--- - 59 223 30 9.14 49 185 35 10,67 38 7 25- N 8 4D 12.19 21 79 r7 45 1},72 I 5 L~ I9 i 7 d Ln,~q pwr --7 15 4 3/16 G _ @ l f -SK7524A 10-- 2-- 0.. _ 4 5/a I► -_ONS 10 -h--- U.S_ GALL 30 i 1rFa 20 ZS' ~ - ~ ?o____. 80 eo too t to v-- l~ 3 2/80 e ti0 240 0 FLOW PCH MINUTE 320 400 axwm C F - - VZ - n 1/2 Mn CONSULT FACTORY FOR SPECIAL APPLICATlO~IS ~ • an alar alarmm. attemators, for duplex systems, are available and supplied with an . 16 ,}/u _ Mechanical alternators, for duplex systems, are available with or without 1 _ alarms. • (.OrltrOl alarm systems are available for 1 Phase Pumps used Sed in simplex jJIU1 t 5/,6 system. See FMO732. , - stcts2an ' Variable level control switches are available for rbr1tro11ing single phase systems. • Double Piggyback variable level float switches are available for variable level long cycle controls. • Sealed Ov ik-Box available for outdoor installations. See FM 1420. 1. S' le P SELECTION switch GUIDE • Over 130°F. (54T.) special quotation required. mRefer to variable level float switch or doltftle piggyback variable rev( gyback • Refer to FM0806 for 200° F. applications, switch. Refer ~ FM0477. 2- Mechanical aNerrtator M-Pak 10-0072 or tU~W75. 3. See FMO712 for coned model of Electrical Altemator E-Pak. 4. Variable level cwltmI switch 10-0225 used as a wrttrol activator, specify duplex (3) 140 Se. nes - , lbs. 41 ;e1;~ i3 lb- or (4) that system. 140(4140••• YODELS - - - - _ Cor" Selection -Yodel Yodel V N140 N4140 115 1 - - H1on Duplex 15 0 t or 1 & 55 ~ w E140 E4140 230 "1 Non 75 - tar1 &5 2ar3R4 BN140 BN4140 115 1 Nat 155 10 1 &5 2 or 3 & 4 4 CAUTtiN~ BF.140 BE4140 130 t Non 75 1 or 1 & S ~l installation of controls, protection devices and wiring should be done 2 ar3 & 4 by a qualified licensed electrician. All electrical and safety codes should be followed including the most - - recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL 10: PO. Box 16347 - / tore, KY 4025&0347 ~ y SLOP TO: 3649 Cane Run Road a+IAacGaers o(. . O~~~r//~/ lsv LotaswOe KY 40211-1961 napJ/wwws(xlrer cam )WA-607 l0 (502) 7/8.2731.1(600) 928-PUAIP PLa B ~vcE /9s7J - FAX (504 774-3624 c Copyright 2001 Zoeller Co. All tights reserved. - - 1 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page . of FILEiNFORMATION SYSTEM SPECIFICATIONS Owner ` Septic Tank Capacity al ❑ NA Permit # Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer 4 ❑ NA A Number of Bedrooms ❑ NA Effluent Filter Model ❑ NA Number of Commercial Units Pump Tank Capacity 1 4 , al ❑ NA Estimated flow (average) ? avda Pump Tank Manufa er' .17 ❑ NA Design flow (peak), (Estimated x 1.5) ~ Z7 qaVday- Pump Manufacturers f~ ❑ NA Soil Application Rate , al/ da /ft2 Pump Model - ❑ NA Influent/Effluent Quality Monthly average` Pretreatment Unit NA Fats, Oil & Grease (FOG) S30 mg/L ❑ Sand/Grgvel Filter ❑ Peat Filter Biochemical Oxygen Demand (BODJ 5220 mg/L ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 m /L ❑ Disinfection ❑ Other. Manufacturer Pretreated Effluent Quality ❑ NA Monthly average" Dispersal Cell(s) Biochemical Oxygen Demand (BODS) S30 mg/L ❑ In-ground (gravity) ❑ In.-ground (pressurized) Total Suspended Solids (TSS) 530 mg/L ❑ At-grade ound Fecal Coliform (geometric mean) 510` cfu/100m1 ❑ Driine ❑ Other. Maximum Effluent Particle Size Y inch diameter Values typical for domestic (non-commercial) wastewater and septic tank effluent " Values typical for pretreated wastewater. MAINTENANCE SCHEDULE Service Event Service Frequency as(s) (Maximum 3 yrs.) Inspect condition of tank(s) At least once every `j ❑ months ' ti! 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 L311 months year(s) (Maximum 3 yrs.) Clean effluent filter At least once every ❑ months (s) Inspect pump, pump controls & alarm At least once every ❑ month r(s) ❑ NA Flush laterals and pressure test At least once every ❑ months Aear(s) ❑ NA Other: At least once every ❑ months ❑ year(s) ❑ NA Other: At least once every ❑ months ❑ year(s) ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, 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 on the 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 accumulation of sludge and scum in any tank equals one-third (Y,) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with ch. NR 113, Wisconsin Administrative Code. I or pressurized POWTS components, pretreattgment components, and any The servicing of effluent filters, mecnrca other maintenance or monitoring at iritervals of 12 months or less shall be performed by a certified POWTS Maintainer. A servicO report shall be provided to the local regulatory authority within 10 days of completion of any service event. START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. L Page of START UP AND OPERATION For new construction, prior to use of the P damn ehthe dtreatment tanW(s for the presence of painting products or ispersal cell(s)) if high concentrations are detected have therconten'ts lof thi; may impede the treatment process and/or g tank(s) removed by a septage servicing operator prior to use. -System start up shall not occur when soil conditions are frozen at the infiltrative surface. restored excess wastewater During power outages pump tanks may large above noai er oading `theecell(s) tand may resu tin the ba kup olr surface discharge of efflulebltt.. discharged to the dispersal cell(s) in dose, ov to the To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet dawn slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance disinfectants; erelong t life fof the oOn dm antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; rd raW (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting p pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compl.on replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption systeim' The replacement area should be protected from disturbance and compaction and should not be infringed upon by requitled setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the npe~ for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the ruled in effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technologN a /holding tank may be installed as a last resort to replace the failed POWTS. the site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed) as a last resort to replace the failed POWTS. d and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. <<WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO O ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE O~ A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name A-11 Phone SEPTAGE SERVICING OPERATOR PUM ER LOCAL REGULATOR AUTHORITY Name Name ' Z,- Phone Phone 1 J This document was drafted in compliance with chapter SPS 383.22(2)(b)(1)(d)&(f) and 383.54(1), (2) & (3), Wisconsin Administrative Code. n ~3 1 ~ ( 1~ i - >rW 7 M i ' a £2211 ;I i r r.~i'~ Il , { t y rl t. f ~ I i O ~ O ! I O ~ j t i , I~ J I Q / o Q N tl O C y I II 3 Z~ CL - U 1 0 CQI i I i C I i ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT ` OWNERS"P CERTIFICATION FORK[ Owner/Buyer Q2~~ Mailing Address Property Address (Verification required from p] anning & Zoni City/State ng Dep nt for now construction.) _ ParcelIdentificat - Number n )~I 'On LEGAL DESCRIpTION - `fir= Property Locatio,15 See, T ~tl N.~ W, Town of Subdivision Certified Survey Map # - - Lot ~'Warranty Deed Volume , Page # J ? Volume Page # Spec house yes no - Lot lines identifiable SYSTEM A AINTEN CE yes no AND Q'a'NER CERIMICATION groper use and maintenance of maintenance consists of your Septic systern. Pump ng out the s could result in its premature failure to the System can affect the function of the tank every three years or sooner, if needed, by a licensed pumper- §Cornu~. 83.52 0) stage in the waste disposalsystem. What You put into and in Chapter 12 - St. Croix Coup Cwner maintenance t3' Sanitary Ordinance. owner and by a master plumber, submit to St Croix County Plan wastewater disposal system is ink Proper Plumber, restricted lug & Zoning Deponent a ce less than 1/3 p per opera i P tuber or a licensed rtifca (1) form, signed by the full of sludge. cendition and/or (2) after inspection an~er verifying that (1) the on-site pumping (if necessary), the septic tartlc is standards I/we, the undersigned have read the set tbrth, here alaave requirements and agree to Certifications orffi in, as set by the D maintain the g' that our septic s system of Coxnrnerce and the Private sewage dis os Zoning Deparhimut within 30 days of the has been Department .'Natural Resources, State al system of Wisco in the three year maintained expiration datemust be completed and returned to the st_ Croix Coup , I/we certify that all statements on County Planning & ffi/ Property described above, by virtue of a form are true to the best of rn W ~y deed recorded in Re y/off knowledge. I/we amlare the owners) of the Number of bedrooms gister of Deeds Office r~- TGNAT OF .APPLICANT(S) fl ny information that is misrepresented DATE may result in the sanitary permit being revoked by the Planning & toning Department- Include with this application a recorded warranty deed from thegister of Deeds Uffi reference is made in the warranty deed, ce and a copy of the cerhifed survey map if (REV. 08105) 1.95 Ac.S r 79 100 N 06`4836 c 1 71.92' 184.261 344.68' co l~ N 88`24'Q9" E i p ICS C N 88`24'Q9" E 384,81' zu b= c' : 2003.83' 183.98 ~ ' 220.63' C' a 164.18 ; C~0o ~ - ir- :r U E LOT 1~ z ' N) 72162 S.F. CY) Q I r' ---j 1 66 41- LOT 14 LOT 13 i N I f 73290 S.F. 1 718,39 S.f . 1.65 Ac. CP. 1.68 Ac. ~64 Q 10 a j co 1 i (-0 r E 4 1 04- r~ f ~i S 89°25'10" W r 60-00' I t N 00'34'50' 0 0'- S 89"25'10" W- 148.82' LOT 3 E~ CROIX HILLS W 1 /4 CORNER, SEC. 35