HomeMy WebLinkAbout026-1288-01-000
VVIISCOnSIn Ceparhnent cif Commerce PRIVATE SEWAGE SYSTEM Couny: St. Croix
Safety and Budcmtl r. visor
INSPECTION REPORT Sar tay Permit Nc
GENERAL INFORMATION (ATTACH TO PERNIIT) 584773
State =pan ID No: Personal intomiatior you provide may be used for secencary ourpeses (=rivacy Law•, s 15.04 j(mjl 2710692
Permit I to der's Name. City Village -ownship Parcel l ax No
Mack,yn Homes LLC TOWN OF RICHMOND 026-1288-01-000
i Si BM Ele: n5p BM~~ BM Cescr of or Sect on ToNniRange'Ma,> %n
26.30.18.1444
TANK INFORMATION ELEVATION DATA
TYPF MANUFACIURER r,,%4S CAPAC.TY S-ATION BS HI FS ELEV.
Septic J T~ Benchmark 7,6 /&)p t /Q Z)C~ 41
Dosing ~6 ur"p -7, Alt. BM
Aeff*en f
Bldg. Sewer Ir? ~ .
rl-i
r,'I
Holding StiHt Inlet ' ~ 9S
TANK SETBACK INFORMATION Stint Outlet
TANK TO P;L 'X-LL BLDG. an it Irlake. ROAD Dt Inlet
S~-
Sept c , ! NA- 27 Dt Bottom /13 , ~1
~•oo
Dosing / NA- Z-7 / e 1 HeaderlMan. 5.6 T7,
Aeration Dist. Pipe
5.6 'i 9 ":T
loldmg Bot. System
PUMPISIPHON INFORMATION Final Grade b 166 . °i
Panufacturer Demand St Cover /,b lei 3.9
Model Number 24, 3
TDH Li Friction Loss Systern HH i T DH Ft
r
Forcemain Lengfn Dia. Dist Ic Well
l3~ Z
SOIL ABSORPTION SYSTEM
BED)7RENCH 'wcth Lerath No OyTYenr.t PIT DIMENSIONS No Of Pits Inside Dia _iquid Depth
DIMENSIONS
12- q~yCc, L!`1Je `
SETBACK SYSTFM TO P/L BLDG f WELL LAKE;-STREAM LEACHING Manufacturer: I,--,
INFORMATION T f Syste t N CHAMBER OR
y y' ~d UNIT Mcdet Number:
rvy- 5) (J~7
DISTRIBUTION SYSTEM I
Header.+Mandc :1 Distribu-ion / x I tole Size / x Hcle Spacing / e Air Irt e
Length Dia en tth Gia z Soacing +3Z fr
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only R rw
Depth Cwei Deoti Over xx Deptn of xx SeedediSodded x:? hlul_hec
Bed'T•ench Center Eed'Trench Edge_ Topsoil
Z ` 1 / 1'es No -Yes E] No
COMMENTS: rlrclude code discrepencies. persons present, etc.) Inspection #1: 49 / 7 rplnspertion #2/ l
Location: 1394134THAVE/
1.) Alt BM Description
2.) Bldg sewer length = 36
- amount of cover = /
Plan revision Required? Yes T~
J'
Use other side for additional information.
SBD 6i10 ;R 3197 Date Insepctor'(JSignalu Cert. No
a
Muni"
Safety anc Buildings Divisior. f 10 0
201 W. Washington. Ave., P.O. Box 7162
Co.} f
Madison. W. 53707-7162r~'nermi: umber (to be ti ted W. by
;oUNTY 8~E -773
~ itary Permit Application StaieTrimsa=uNumba
In az:c~ntlanct alb SPS 38321(?), Wis. Adm. Code, submission of this furor to the appropnate governmental unit 7,-7 f U to ) Z
I,. required prior to obtaining a sari*.arv permit Note: Application fomts for state-owned POWTS arc subrmtred to R o~ect Address (if di$er~t than mailing addrtssj
the rh:oarment of Safety and Profe~ sional Saviors- _ rrsonal information you provide may be used for sewn
pumn:.es :n au ordance M:h Jte Priv Law, s. Stats. I 1 el I icy n
1. Application Information - Please Print All Inform_ati 1 I rjC
Piinvrly puTUer's Name / Parcel li
,V
Property 0,%='s MadIng l~r dress pr - t oca1 ;o11 _ 1 v C ' ivy
City Still r Govt. Lot
ZIP Cod Phone Ntm:ber
ll Pe ofBui{ding (chtxk that apply) c _ Lot J`~N; R
41 er vv
o1 2 Farr Iy Dwcllin; - N lbw of Bcdroo I SubdiK,,Namc
'
oic eb Bloaic f .
Pubitc/Commereial - Des -nbe Use
~ L-
J 1~✓`
D City of
I ❑ State OwTUd - Descnoc Use CSM Number nV of
_ or l
~7,% ru
III. Type of Permit: (Check only one box oa line A. Complete line B if applicable)
A-
15ea System C Replattment System I Trratment/lIotdins Tanis Replacement Only
Crtha Modification tG Existing System (explain)
$ C Pentut Renewal ] PCr1Mt Z=vision D Change of ?lumber Perm -it Tr -J q , *ious Permit tiumber and Date Issued
~Bef rr = ❑ .tusfa to ticvv
- --zpirarion Owne:
1V. Type ofPOWTS System/ComponenyDevice: Check s[1 that a ly)
17 D ?von-P-essu izGd In-Ground Presst road L1-Ground Cira3e Motmd _ 24 ur of suitable soil D Mound < 24 it. of suitable soil !
D Holding Tank D `fiber Dispersal Com:-rnier:t 'explain Pretreaarnent7evice (explain I
V. Dis usalrire meat Area Information:
Design Flow (bpd) TDes:gn Soil A1lplicapon Ratet dsi) Dis rsal Puce R uued (s Dis
ul persal Agra Proposed sY~ S, em~Elevarioo
VITank Info I ~ Capacity i:w -
Total # of blanufacdrrer -
Gallons Gallons Units
Slew Turks 8 I auks = v
N/ ~►I,~~ f M~ lit/ i U q= s _m w
C 5;tic ur iiol Taac h
d-
i ~
:Ysinet~errber - - K i
VII. Responsibility Statement- L the undersigned. a esponsibility for installaaun of the PORTS sbown on the attached
Pliunber's .game } pl plans.
Ignature kelw. RS Number Business Pbone Number
ee l L 7 cT~~?_~
en's Address (StreG C • State. Zip r',
VIII ountv,'De artment Use Only
Date
4p sued
~ provet I)isapptuved Pe.^rrrit Fee ,/nw Issuinc . 1 Sigrtattr>t
easoo for . 5 Z5 /V
IX. Coaditjo Pbi w4-*6tl grMt4w*i$aPproval t -
'dlYpt3rxsi rain tr,aac all ~,Is r ntmrml 3 ; ne.{.~
ss per menep6mem plain prtr/ided by pitmil r. LJ i
2. AN *Wnck regWmmw t,t must br MrArielfd 1
aper rfpk A'- cc&/ofditlaAW. i ~.~of'w►-•~tOrl
Amch m wmpiac p(am for IDe systr~ and sub to the County only a paper not kess than 8 m x 11 ise6es;n sin
SBD- 6398 iR 11111) av- I ^ e'~ w OL~W
'j P f
5~ 4 d o f ret- A-lq4 O~ ra 1 AAw G L .
PLOT PLAN
PROJECT Macklvr. Homes LLC ADDRESS 18665 Irvine Wav Lakeville Mn 55044
NE 1!4 SE 1/4s 25 'T 30 N!R 18 W TOWN Richmond COUNTY ST. CROIX
SYSTEM ELEVATION 98.9'
DATE 5/9/16 BEDROOM 3
CONVENTIONAL IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630
HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 900 of chambers none
BENCHMARK V.R.P. Top of 2° pipe ASSUME ELEN ATIOV 100' Filter Lifetime Filter
❑ BOREHOLE O WELL -11.R.P. same asbencimark
529' Property Line
2% dope B-3 Scale = 1 /4" = 10'
98.5'
B.M.' 3 acre Lot
98.9'
99,
Area 15' below system is to
B- 1 8-2 remain undisturbed
Gradi ng is to be done to Huffcutt Combo Tank
divert run-off away from
system i
All piping shall be ASTNI SDR 30;'34, within
10' of tank, piping shall be ASTM F891
4q, Wel l is to meet all WDNR Setbacks
}
Pro 3 pi ank is to be properly bedded
Bedroom ► and provided with lockdown
House cover= +17, ,r _ r= rr,i ;,r
IabFl
i
494' Property Line
134th Ave
L^
T'_r' nY SERGIVISION OF INGLS' JICES
2331 SAN LUIS PL STE 150
GREEN BAY WI 54304-6211
Contact Through Relay
p S r nttp1/dsps wi.gov,~prograrrs/indistry-services
wwvr.wisconsin.gov
Scott Walker, Governor
Dave Ross, Secretary
hfay 13, 20.6 CONDITIONALL
APPROVED
77Y.- PO J3' 7:S Inspector
CUST ID No. 2269;0 .7 DEPT OF SAFETY
PFF OFESSIONAL SER
SHAUN' R BIRF) 7ONTNCT OFFICE -
""J'J OF INDUSTRY
BIRD PLtAMiN(jIN'C ST CROIX COUNTY SPw "
1432 120TH ST 1101 CARMICHAEL RD
NL1k' RICHNIO ND WI 5401?-6409 HUDSON WI 54016-7208 ~ Z
CONDITIONAL APPROVAL - It
PLAIN APPROVAL EXPIRES: 05.13;2018 r Identification Numbers
Transaction Il) No. 2710692
SITE: Site ID No. 824209
Macklyn Horr.es I.I.C Please refer to both identification numbers,
Lot 1 Stone Run above, in all correspondence with the a,encv.__,
Town of Richmond
St Croix County
NE 1/4, SE 1/4, S25, T.3 OX. R 18W
Lot: 1, Subdivision: Stone Run
FOR:
Description: At-Grade (Ne%v Construction - 3 Bed:oorns)
Object Type: POWTS Component Manual Re-ula=' Oh cct lD No : I r~ii 1'h
Maintennnce required; 450 GPD Flow rate; 36 in Soil minimum depth to limitir 'ac'cr tr: rl o i_i ral ; : ade: S ::e:n; s
At-g-ade Component Manual, Versiun 2.0, SBD-10814-P (N.0,%07, R. 1 12). P L~:;tri' -u'•,:~ p n nt .`'.:,.,,il -
Ver. 2.0, S130-IO706-P (N.01.01. R. 10.,'12); F.fflucntFilte-
I ne submi tal described above has been reviewed for conformance with appli; able
and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This sti~tern a t;> he c r
and located in accordance with the enclosed approved plans and with am component manual(s) reference,'
T'lte owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all co
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,
Mats.
The followin, conditions shall be met during constt-uction or installation and prior to occupancy or use:
• Page 4 - Orifices per Lateral = 45 Orifices
• Preserve dispersal area -)r'or and during corstructior to avoid disturbance, compaction and use of the site.
• With new construction; it is recommended rot to activate the pump in the dose tank until the tanks are pumped
prior to homeowner occupancy.
• NN'astewater ;enerated from contractors cleaning of equipment and tools and'or left over construction
rroducts shall not be discharged into :he drains discharging to the private onsite wastewater treatment svstem
(POWTS). Waste generated shall be properly disposed of on-site or off site.
• Any tall brasses, leaves and shrubs shall be cut short and removed prior to tilling the surface for installation to
prevent mating under the dispersal area.
• Prior to construction of the dispersal area, check the moisture content of'-he soil to a depth of 8 inc'r°5
Smearing a:Id_compacting of wvet soil will result in reducing t••re it `'tration capacity- of the son. Proper soil
moistt re content can be ceter pined by rolling a soil sample between the hands. If it roll's into a 14- inch wire
SHAD it BIRD Pate 2 S C 16
r-. do not
pa I
the site is too vvet to prepare. If it cr.irrhlc;, s teTr~_)araticn can proceec. If the si e ~s ?on ct to pre.
proceed until it '"Ties.
• Divert surface water from POWTS Area.
• All piping shall conform to SPS Table 384.30 and SPS 'Table 384.30-f
• Insulate building sewer beyond 30 feet per SPS 382.30 01 )(c)
• Tank Installation to follow all manufacture's recommendations.
• Verify property line(s) prior to installation.
• Final elevations of pump off., purr.p on. and invert of distribution pipe; need to be verified.
• Areas that are occupied with rock -ragments, trey roots, stLinps ant bot:lders recuce the amount of soil
a%an le for proper treament If no other site is available, -rocs in the basal area of the at-grade must be cut off
at ground level. A larger fill area is necessary -.vlren any of the above conditions are encountered, to provide
sufficient infilt-ative area.
• SPS 383.54(1)(e) The management plan for a POWTS shall specifica:ly adcress the servicing mechanics of an
aerobic or anaerobic treatment tank or a holdin, tark ,.,he-,' either of the fbllo~kjig conditions exist:
L The bottom of tl c tank is located more than l Feet below the elevation where the sericing pad is located.
3. The bottom of the tank is located more than :50 feet hori;7antai',v from where t`.re servicing pad is located.
ON-mer Responsibilities
• The current ovvier, and each subsequent owner, shall receive a copy of this letter including inmctsons rela'in.,_
to proper us and maintenance of the system. Owners shall receive a copy ofthe appropriate opcruti cr.
maintenance manual and!or owner's manual for the POWTS described in this approval SPS 383.541, 1 i
• in the event this soil absorption system or any of its component parts malfunctions so as to create a :1,_Li I
hazard, the property cwTer must follow the contingency plan as described it.. the approve 1;lar:s.
A ropy of the approved plans, specifications and :his letter shall be on-site during consmtction and open to
inspection by authorized representatives of the Department, which may inc'.ude loca: inspectors. All permits
required by the state or the local municipality shall be obtained prior to commencement of
constructioivinstalla`.iort,"opera ion.
In g=ranting this approval the Division of Industry Senices reserves 1.ic right to require changes or additions should
corditior.s arise makLig them necessary for code compliance. As per state stats 101. 12(2), nothing in this review
shall relieve the designer of the responsibility for desigaintr a sate building, stnrcture, or component.
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the add% s
on this letterhead.
T1re above left addressee shall provide a copy of this letter and die POWTS management plan to the owner and am
o_hers Who are responsible for the installation, ope-ation or maintenance of the POW'TS.
Sircerely. 1 ee Required S 250.00
This Amount Will Be Invoiced.
When You Receive That Invoice,
Tim Vunder Leest Please Include a Copy With Your
Private Sc-o a_e Plan ReVieWe- . DiVil:ion of Industry Services Payment Submittal.
(920)492-22 14 , Monday - Frida}, 6 am To 3: i0 pm WiSN'TART code: 7633 ~
tvander:ees* ~z^.visccn~in ~~uv
cc: rd%~ M A ;'a\ ]or, Vlrastevcater Specia:ist, ]5} 04-= 1S1 . Mcnda., - Frida_ s:oo aCr To =.3o pin
the sae is too wet to arena-_ if it crumbles. site rreraration car r)-oceed..t the sit i_ tic, we*. to prerare. dry -lot
pro" -_d until it d.-ies.
• Divert surface water from POWTS Area.
• All piping shall cor.fo_m to SPS Table 384.30-3 and S?S 'I able 354.,-
• Insulate building sewer beyond 30 feet per SPS 38:.30 (11)(cl
• Tank Installation to follow all manufacture's recommendations.
• Verify property line(s) prior to installation.
• Final elevations of pump of; pump on. and invert of distribution pipe, need to be verified.
■ Areas that are occupied with rick fragments, tree roots, S: Irnps and b0:iide-s reduce the: amou ::)f soil
calla ?1C for pr-,pe "-atmet If no ot"Ier sltc is avall3Ae. trees in the basal area of tie a'-`racie must he cut ct_
c.' ~-_ound lever. A lar2_.- f11 a: ea :s necessx- whey am )i the above conditions are eoco'unter_ed, t0 p'Ovide
sZ-J::Iert infiltrative area
• SPS 38354(1)(e) The rnana_emem plan for a POW TS shall specifically address the selricin_, mechanics of an
aerobic or anae-o'oiz treatment tank o: a holdin_ tank where either of the following conditions exist
1. ~e bottom of the tank is located more than . s feet b~lnw -ne_elevati0r. Whe- `Lie servicing pad is locate=
I '1C ,oiiorr of-lie tar 7) `9 1 1: _ 1°
Owner Responsibilities
• The current owner, any
to proper use and maintenance of the system. Ow iers shall receive a cope of the appropriate operation anc
maintenance manual and or owners manual, for the PONS described in this approval SPS 38354(1).
• In the o cm thi soil a-sorptior_ ~-ygtern nr ant e.`r.~ _omponem parts malfunctions so as to create a health
hazard, the a( copy of the apprct'ej :J lLs, Sp° 1I:c3tioL5 Lr-:.. Jtt sit Je oL-sL~ jl:771i: CDISt_ ]C:i~_~ I T?
inspection .o`, authorized representatives of the Depart-ncrt, which may include loca; irsp_ctors. A-I )e- Tc
requi ed -v the state or tnc local municipa:i-,I shall be obta:ned prior to commencement of
c anstruction, installation, operation.
in wanting :his approval the Division of Indusr_N Services reserves the right to requi-e changes or additions should
condition arise making them necessan for code compliance. As per stale stats 101.12(2). nothing in thisreview
shalt relieve tie designer ofthe responsibility fo- designing a safe banding, strruc:.ue, or component.
laquir-es concerning this correspondence ma) be made to me at :he telephone number Lsted below: or at the address
:;n this lette_head.
n: above ie= addressee shall provide a copy of this letter and the PO'"'TS management plan to the oATner and ar..
otners who ae responsible for t-he installation. operation or maintenance of the POWTS.
Sin_-erely / Fee Required S 250.00
This Amount )Will Be Invoiced.
When You Receive That invoice,
Vander Leest Please Include a Cop) With You.
Private Sewage Plan Reviewer , Division of Industn Sc-vices Pav^.ieat Submittal.
! 214 ;Monday - Fridatib am To 3:30 pm 9_0)492-2 WiS TART code: ! ~2'
wander ,ucs:a,liscors n oev
cc: E.d«xir ? Ta,'.o-, tiff a.+.:,~ate. Sp:c,a_.st. (7L 1 ri~ta% 8:1`10 arr. To 4 :3G pT
Cover Page
Shaun Bird
'ICES
Bird Plumbing Inc.RVICES
1432 120th St.
New Richmond Wi 54017
715-246-4516
Date: 5/9/16
Owner:Macklyn Homes LLC
Location:NE 1/4 SE 1/4 S25 T30 N,R18W Lot 1 Stone Run Richmond
Manuals Used: At-Grade Component Manual version 2.0 SBD 10854 (N. 03/07)
Pressure Distribution Manual version 2.0 SBD 10706-P(N. 01 /01 R. 10/12)
Page#
1. Cover Page
2. At-Grade Plot Plan
3. At-Grade Cross Section
4. Pipe Cross Section/Pipe Layout
5. Pump Chamber Cross Section
6. Pump Curve
7-8. Maintance and Contigency plan
9. Filter Specifications
Attachments: Soil Test
Shaun Bird
Signature '
License number 22 9
;VLD
'016
Page 1 of 9
PLOT PLAN
PROJECT Macklvn Homes LLC ADDRESS 18665 Irvine Wav Lakeville Mn 55044
NE 1/4 SE 1/4S 25 /T 30 N/R 18 w TOWN Richmond COUNTY ST. CROIX
SYSTEM ELEVATION 98.9' 5/9/16 3
DATF BEDROOM
CONVENTIONAL IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE 'L'ANK SIZE 630
HOLDING "TANK SIZE LOAD RATE .5 ABSORPTION AREA 900 # of chambers none
BENCHMARK V.R.P. Top of 2" pipe ASSUME ELEVATION 100' Filter Lifetime Filter
❑ BOREHOLE O WELL *H.R.P. sameasbenchmark
529' Property Line
2% Slope B-3 Scale = 1/4 " = 10'
98.5'
B M 3 Acre Lot
98.9'
99 Area 15' below system is to
B-1 B-2 remain undisturbed
Grading is to be done to Huffcutt Combo Tank
divert run-off away from
system
All piping shall be ASTM SDR 30/34, within
10' of tank, piping shall be ASTM F891
Wel I is to meet al I WDNR Setbacks
Pro 3 Tank is to be properly bedded
Bedroom and provided with lockdown
House covers with approved warning
labels
494' Property Line
134th Ave
L~~
At-grade System Sloping Site Cross Section and Plan View
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L t-- 1 /6 B W ' z
----------------------------------~i -
B -
L % Slope T 2
1- 1 = Plowed r r; = Clean aggregate 0 = 4 in. sch. 40 pvc
1 { r~r~ 2 in. dia.
16_ , basal area to 2 X1.1 observation pipe
Lateral with 2" "Topsoil Cap
aggregate over pipe
{ Observation Pipe
Geotextile = a C7 v with Cap
Fabric
PMq
ti:; tiftifti. i Ft Lateral Invert
r.:. r•r r r r:r•r•r•r• - Topsoil Cap
/ y _ y 1 1 1 ti 5.•1.1.1• L•1 L 1 1 1•L•1.1.1.1
.l.j...f•l.f.j. j. j. j•r•j•r•r•r•j•t.r•j•r•
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~~~'~~,-~'`•r••Lr~?..r'1••-. l' r•j' 10 ~ Ft Contour Lr'r•
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•.•5.:~•1~1•L•1.1.1.1.1 ~ 1 1•
Plowed Surface
C
Slope Direction
GENERAL INSTALLATION: The at-grade area is staked out along the desigri contour. Existing
vegetation is mowed and raked off the site. The basal area (L x W~ is staked out and 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.. The A x B area is
covered by clean aggregate deposited overhead by a backhoe., Special care must be used when
placing the aggregate to minimize compaction of the plowed surface. After.the topsoil cap is placed,
the entire at-grade is seeded and mulched to promote vegetative growth, limit erosion and protect
from freezing. The observation pipes are perforated in the lower 6 inches and secured in place.
03/05lgj Page J of _
Pressure Lateral Layout
One Lateral - End Manifold
.4 Threaded
Cleanout
Force Main Lateral Turn-up - 0 Plug
i
X
L Long
Sweep
90
Bend
CCR EC~~O~J ;tE~GED
SSE CORRESPONDENCE
c5 r C^ cx-iti/ Pressure System Construction
Distribution Nemork Specifications
Lateral Diameter _ In. Laterals are constructed of Schedule 40 PVC -42 Orifice Diameter 51-3 Z In. pipe. Orifices are drilled perpendicular to
x Orifice S acin In. the pipe with a sharp drill bit and face down.
L Lateral Length) Ft. Lateral turn-ups terminate with a threaded
Force Main Diameter cleanout plug and are enclosed in a 6-8 inch
Force Main Length Ft. diameter lawn sprinkler valve box accessible
from finished grade.
• • • • • Grade p
6-8 Inch Lawn
Sprinkler Valve
Box
r
03J05 lgj Page of
Septic-Dose'fank Cross Section And Pump Performance Specifications
Tank Manufacturer Pump Manufacturer
rank Model Number OG_ Pump Model Number _ C
Alarm Manuf Awn
TMoax Bury Depth rty ~ - ^ Alarm Model Number
Switch Type 'AA
I Filter Manufacturer L', Total Dynamic Head-(TDDHH) Feet
Filter Model Number r~ ElEv on Head ' y -
ressure
N k Loss
- Minimum Pump Performance Required Force Main Loss
Z GPM Q Ft TDH Total
7
(tttet Manhole Ivfiin. 4" Above Grade With anhole ~in. 4" Above Grade
Locking Device. Inlet Manhole ~ With Locking Device
K 6" Below Grade Sealed Watertight Securely Mour;~i
weatiaer-proof
Junction Box
- Finished Grade r - -
Vent Min. 12" Disconnect
Above Grade Means
With Vent Cap
Outlet Filter - - - -
Inlet inlet Bale - - - -
r,
`twitch Settings and Reserve Capacity /a
Tank volume 5- GPI Weep
B
Dimension Inches 'Volume Gal. Hale
(reserve) A, _ 4116
C
(alarm) B 2_ tiff Elev on
(dose) , J 971 _ Bottom
(dead) D /3
D Elevation
Total q Ft
. 1'::1 . <'1'<'< a ::I 1 i .>i t: al,>,l;l<.1.•l 1i i ,`<i :l <•.•<'<•1 . f:. s :GENERAL INSTAiLLATION: The sq*c/dosa tank is bedded
and back filled in accor~ with the
manufacwces product approval specifications. Mum= depth of buiy as spot ified by the manufacturer may not
be exc Widlout POoc approval. Manhole covers eaposad 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 mud the sleeve is sealed watertight. Electrical service complies with NEC 300 and Comm i 6.28.
C
02/051 LI Page of
TOTAL DYNAMIC hEAD/CAPA,ITY
PER NWUTE
FHEAD CAPACITY CURVE EFFLJENT AND DEWATERING
col DEL 1 52!153
MODEL 152
W W ,
Liters
Liters Gc.
~ I Fee; I Meters (;a.-
5 1 j -69 261 77 291
153 Imo- ; of 231 i- 0 265 1
t 0 I 3. i
12 40 152 I j 4.6 53 2C1 61 231
I ` 20 i 6 , qy 167 52 197
J ~ 30 25 7.6 34 129
9. 42 159
` I 125
-j I ` 30 t I [ 31, 1 3,1
85
8 3` 1 - I 22
I
a~ J
20 - 11
40 12.2
Lack VCive j 33.0 'c i. 1 1.5-n) 44.0 Ft. i' 3.4 J
4- - - orasa 10 I
0 100
20 40 60 80
t* F r`b
GAL-CNS -1-'^
JTERS H_ V - 160 24-0. 320
7
FLOW PER MINUTE
/ I ? 2!32
CONSULT FACTORY FOR SPECIAL APPLICATIONS
• Timed dosing panels available.
Electrica4 altemators, for duplex systems, are available and supplied with e,, alarm
• Variable level control switches are avaitable for controlling single phase i
systems.
• C=blle piggyback variable level float switches are available for variable -j II
level Itxlg and short cycle control s. I
Sealed Chvik-Box available for cutocor insallabons. See FM1420
• over 130°F. (54°C.) special quotation required
152f153 Series
Control Selection _ I l
1521153 MODELS ' S 1/8
4del YoCs•ph Mode Am Sim es Du lex l 7
t k ` r
N152 115 Nor 8 5 , r 3 SK2064
3N152 115 t ALM e5 Irduded 2 or 3
E152 ,230 1 Non 4.3 1 2 or 3
Indu'ed
SE152 2301 Auto 4.3 2or3
N153 115 t Non 10.5 11 2 SELECTION GUIDE
bl- v~rir,nre level roa
BN!53 115 1 to 10.5 ln&c ad 2 7, or 3 - or 3 pa variable level That sentch adoutble P59Y
E153 230 1 Non 5.3 1- SinglePI93Y
BE153 230 1 Aup 5.3 incl 2 of 3 swath. Refer to FM0477.
L CAUTION 2. See FM0712 for correct model of Electrical Armrnator E-Paw. r du ex
3. Variable level control sw*ich 10.01225 used as a conbDi activator, spec i P t.
All inSWIii on of controls protection devices and wi:fng should be done by a qualified
4aosed electrician. AY electrical and safety codes should be followed including the most or i4) boat system,
anal Satery and Health Art (OSHA}
recent Nadona! ErecVic Code (N EC} and the Octupati
RESERVE POWERED DESIGN
For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump.
- - 1NWL TO: P.O. BOX 16342
- - Louisvitb,KY 402560347 u2ndaCdrersof..
Z 3 SHIP T0: 3649 Czne Run Rcad qp
` r uq~/Ty pL6fIPS .]/NCF I~✓iJ r
a ` 8.73 KY 40211-28-P
a a PUMP ~LI:~+O- 2502;; 77FAX (502} lai PUMP 774 hitpJ/www zoeller.oom
CC Copyright 2000 Zoeller Co. All rights reserved.
6V49
POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of
ILE INFORMATION SYSTEM SPECIFICATIONS
Owner Septic Tank Capacity gal ❑ NA
Permit # Septic Tank Manufacturer NA
DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA
Number of Bedrooms ❑ NA Effluent Filter Model ❑ NA
Number of Public Facility Units 41A Pump Tank Capacity 3
D_ r. a, ❑ NA
11
Estimated flout (average) 3aVda Pump Tank Manufacturer P ❑ NA
Design flow (peak), (Estimated x 1.5)
aUda Pump Manufacturer L ? A
Soil Application Rate aVday Pump Model l1 f L ❑ NA
Standard Influent/Effluent Quality Monthly average' Pretreatment Unit
Fats, Oil & Grease (FOG) 530 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter
Biochemical Oxygen Demand (BODs) 5220 mg/L ❑ NA O Mechanical Aeration ❑ Weiland
Total Suspended Solids (TSS) 5150 mg/L ❑ Disinfection ❑ Other
Pretreated Effluent Quality Monthly average Dispersal Cell(s) O NA
Biochemical Oxygen Demand (BODs) 530 mg/t. ❑ in-Ground (gravity) ❑ In-Ground (pressurized)
Total Suspended Solids (TSS) 5:30 mg/L A lA pdAt-Grade ❑ Mound
Fecal Coliform (geometric mean) 510° cfu/100ml ❑ Drip-Line O Other.
Maximum Effluent Particle Size K in dia, ❑ NA Other. ❑ NA
Other. NA Other. ❑ NA
'Values typical for domestic wastewater and septic tank effluent Other ❑ NA
MAINTENANCE SCHEDULE
'F Service Event Service Frequency
Ilnspect condition of tank(s) At least once every: month(s) (Maximum 3 yep m) ❑ NA
!Pump out contents of tank(s) When combined sludge and scum equals one-third (l~} of tank volume ❑ NA
Inspect dispersal cell(s) At (east once every: ❑ month(s) (Maximum 3 years) ❑ NA
ear(s)
month(s)
-lean effluent filter At least once every: / y ❑ NA
ear(s)
inspect pump. pump controls & alarm At least once every: l month(s) ❑ NA
J ear(s) ,
i=lush laterals and pressure test At least once every: ❑ month(s) NA
ear(s)
At least once every: o month(s) NA
NA
MAINTENANCE INSTRUCTIONS
!Inspections of tanks and dispersal cells shall be made *by an individual carving 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 visrual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of
~,ombined 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
I-egulatory authority.
INhen the combined accumulation of sludge and scum in any tank equals one-third or more of the tank volume, the entire contents of
the tank shad be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin
Administrative Code.
.III other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units,
and any serv'dng at intervals of 512 months, shall be performed by a certified POWTS Maintainer.
A service report shall be provided to the local regulatory authority within 10 days of completion of any service event
9~ ~
Page of
START UP AND OPERATION roducis or other chemicals ttjt
For new construction, prior to use of the POWTS check treatment tank(s) for the presence of Painting p
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.
System start up shall not occur when soil conditions are frozen at the infiltrative surface.
During power outages pump tanks may fill above normal highwater levels. When power is restored o> the excess wastewater will bo
discharge of effluent.
discharged to the dispersal cep(s) in one large dose, overloading the cell(s) and may result in the backup prior to restoring power to the
To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator
restore rower levels
effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to within the pump tank. the area within
Do not dri4or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact,
15 feet down slope of artiy mound or at-grade soil absorption area.
Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWT$:
antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain
(sump pump) water, fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting productls;
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 propel y
and safety 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 property disposed of by a Septage Servicing Operator.
• After pumping, all tanks and pU, 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 compront
replacement system;
❑ A,suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption systelm.
The replacement area should be protected from disturbance and compaction and should not be infringed upon by requirled
setbacks from existing and proposed structure, lot lines and wells. Failure to prated the replacement area will result in the need
0 a new soil and site evaluation to establish a suitable replacement area Replacement systems must comply with the ruie~ in
effect at that time.
❑ A~ suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a
holding tank may be installed as a last resort to replace the fatted POWfS.
A Tpe site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a sort and site evaluation
must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be ins;alledl as
ai last resort to replace the failed POWTS.
IV found and at-grade soil absorption systems may be reconstructed in place following re-ifval )f th-e bio^Iat at tf e infltrative
' ---surface. Reconstructions of such systems must comply with the rules in effect at that time
ccWARNING>>
SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT
ENTER X SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A
PERSONIFROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE.
ADDITIONAL COMMENTS
POWTS INSTALLER POWTS MAINTAINER
Name Name
Phone fJ 1 Phone
SEPTAGE SERVICING OPERATOR 11AP£R LOCAL REGULATORY AUTHORITY
Name yL e ;~Grr Name C1~1
Phone - ~{U Ie - Phone 1 J v
This document was drafted in compliance with chapter SPS 383.22(2)(b)(1)(d)&(f) and 383.54(1), (2) & (3), Wisconsin Administrati+re Code.
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ST. CROIX COUNYY
SEPTIC TANK MAINTENANCE AGREEMENT
AND .
OWNERSHIP CERTIFICATION FORM
Owner/Buyer 0 e't A
Mailing Address
Property Address 4-/ 3 5 4
(Verification required from Planning & Zonmg Department far ne construction.)
City/State Parcel Identification Nizaber p!- coo
LEGAL DESCRIPTION
Property Location,/(/,!~' 1/, ,S 1/4 , Sec. TAN RW, Town of sic
Subdivision Lot # /
Certified Survey Map # volume Page #
Warranty Deed # Volume , Page #
Spec house yes no Lot lines identi5able~ no
SYSTEM MAINTENANCE AND OWNER CERTIFICATION
ftnixopm use and maintenance of your septic system could result in its premature failure to handle wastes. Proper
maurtm a nc consists of pumping out the septic tank every three years or sooner, -d 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 Plarming & Zoning Department a certification feint, signed by the
owner and by a master plumber, journeyman plumber, restricted plumber or a licensed purger 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.
Uwe, the undersigned have road the above requirements and agree to maintain the private sewage disposal system with the
standards set forth, herein, as set by the Departnoent of Commerce and the Dc.?partrncnt of Natural Reaourcm State of Wisconsin.
Certification staring 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 throe year expiration date.
Uwe certify that all statements on form are. true to the best of my/our knowledge. Uwe amlare the owner(s) of the
property described above, by virtue of a deed recorded m Register of Deeds Office.
2
Number of bedrooms
`~SIGNAWFRE OF APPLICANT(S) E FATE
***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Deparanew.
Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if
rcfctencc is made in the warranty deed.
(REV. OW
?,a,~ge 78 Test, Town of chmond,
(Doge 47-3 in the St. Croix County
Fast 114 Corner
5•ection 26--30-18
Est. From Ties
i:ERTIFIEC, .SURVV- A,MAP h ~ !
&7.9 VCiL ,4,:? 9 PAC! 2452
1309.58'
166.97"
6,25.19
-70
U' LS
ua rc;~age o.
31
59.6_9_ o
CIO
129,201 esq. ft. ° O_to ~i
2.97 acres.. `QA
4, t L.9.0 -.991.0 ~
'CO
O Q; 2 to r~ tiE~Q ~s e. N89 55
O cv rn / { ~ Orernage ~ 39.45
" Ease,mcnt
1 sq. `t. o '1-)88,955 sq. ft.
acres 2.04 acres
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104,067 sq. ft. i ° o v
2.39 acres
-1f~4.95" _--106.97"- - ' Cif ~ o ~ v-Y r.
75.9.77
pry Cl 1V~2
icy
759.9.3'
i73-'l J215-Oa'
-185.
N 89'52'26 W 358.00' i
iL14
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L ~Q
o - LOT 3 ~f
~ D_SURVEY MAP
w 90,649 sq. ft. L10LUVF 7, PAGE 4X6 z o, ;I
° 17,330 sq. ft.
O ° 2.08 acres
c~ 1.78 acres
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