Loading...
HomeMy WebLinkAbout030-1057-60-050 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No GENERAL INFORMATION (ATTACH TO PERMIT) 589748 State Plan ID No Personal information you provide may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)]. 2733354 Permit Holder's Name: City Village Township Parcel Tax No Oevering Homes, LLC TOWN OF SAINT JOSEPH 030-1057-60-050 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: i 8 M 1 C---ZT 23.30.19.201 E-10 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic ~~G J Z Benchmark F J 2 /Q6 aoo 13 M 1 3.J Io3 3 Dosing nn Alt. BM 644A, 'w 01._ -7 c p 14' 666 j AL" j Bldg. Sewer Holding SUHt Inlet 12.4 (70 19 TANK SETBACK INFORMATION St/Ht Outlet Et_ TANK TO P/L WELL BLDG. ent Air Intake ROAD Dt Inlet Septic 75 ►n /~tT Dt Bottom / ZS Dosing 7 -76 / /v A- 2 S/ 7 I Header/Man. /-7 Aeration Dist. Pipe 7 Holding ( Bot. System - z8 /oa•5 PUMP/SIPHON INFORMATION Final Grade di rQZ • Manufacturer Demand St Cover ~ p aeJL,- GPM rak. CaJ 7.4 TS- 1 Model Number 60,~ I-5Z Zqi / z C6 m. d-. TDH Li f 5 Friction Loss System He d TDH t Z.Z. IT Z Forcemain Len t / Dia.z , / Dist. to Well J j a /v SOIL ABSORPTION SYSTEM BED/TRENCH Width Length / No. Oflren es PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ' Z ~y~ //e s SETBACK SYSTEM TO V P/L / BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR r Ty System: z5 63 AA- UNIT Model Number: t .1 J DISTRIBUTION SYSTEM Header/Manifold ID istribution if., Ix Hole Size x Hole Spacing / Ve to Air Intake Pipe s) Q , 1/ v~ Length Dial Length D~ Dia ~ Spacing 3Z Z SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded es xx Mulched Bed/Trench Center Bed/Trench Edges ` Topsoil t ❑ No s ❑ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: y~%~/ Ins tion #2: Location: 709 N BAY RD ~ i 1.) Alt BM Description = f 2.) Bldg sewer length = Z S G rt n~ ,~g~" ~OG Ova. < -amount of cover = 3G 0.~ aSt~L_ Plan revision Required? ❑ Yes ❑ No L0?1~~" Use other side for additional information. J 0 Date +Inseloctor"s ature Cert. No. _k - SBD-6710 (R.3/97) System PLOT PLAN PROJECT Oeverina Homes ADDRESS 1433 Cernohous Ave Suite A New Ri chmond Wi 54017 SE 1/4 NW 1/4S 23 /T 30 N/R 19 W TOWN St. Joseph COUNTY ST. CROIX SYSTEM ELEVATION 100.8' 6/29/16 3 DATE BEDROOM CONVENTIONAL AT-GRADE XXX 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 1.5" pipe ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark North Bay Road Scale = 1/4" = 10' 459' Property Line All piping shall be ASTM SDR 30/34, within 10' of tank, piping shall be ASTM F891 Grading is to be done to divert run-off away from system Well ai~ °to meet all WDNR setbacks ~ B-2 50' Pro 3 B-1 Bedroom 1011, House 100.8' 100.5' B-3 Huff t Combo Tan ' S 120' N B.M.* 100, 4% Slope Tank is to be properly Area 15' below bedded with lockdown system is to remain undisturbed j rR~ritpproved 330' Pro ert Line RECEIVED ~~tyl Safety and Buildings Division .f i I K 201 W. Washington A% P.O. Box 7 Sanitary Permit Number (to be filled in by Co.) oCOUNTY ol)( L Madison, Wl f OCJyZ~VR 1 UNI4 N uc Transa on Number Sanitary Permit Application , , In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit Note: Application forms for state-owned POWTS are submitted to roje Ad ess if different than mailing address) the Department of Safety and Professional Servies. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, s. 15.04 1 m , Stats.~ ) f~ I. Application Information - Please Print All Information Property Owner's Name Parcel # Property Owner's Mailing Address Property Location P3. 3j0, OIL - J Govt Lot City, State 4 el Zip e Phone Number j., Section C~,•~ N; R ircle o / C L~ L~ or R' II. Type of Building (check all that apply) Lot # or 2 Family Dwelling - Number of Bedrooms Subdivisio Name VL AS G~ Bloc ❑ Public/Cottunercial -Describe Use _ OV ❑ City of S VVGMITl'U1 ❑ State Owned - Describe Use Dla^C ' CSM Number 4 -777 t 96 ❑ Village of 12 / ' J Town of X - 6mk Vol - II P, - q V3 f. Type of Permit: (Check only one box on line A. Complete line B if applicable A New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) i List Previous Permit Number and Date Issued B- ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New Before Expiration owner IV. Type of POWTS System/Com onentlDevice: Check 1 that a 1 ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground -Grade ❑ Mound 24 in. of suitable soil ❑ Mound < 24 in- of suitable soil ' A TC ✓Q' ' D 12 1 ❑ Holding Tank ❑ Other Dispersal Component (explain ❑ Pretreatment Device (explain) V. Dispersal/Treatment Area Information: J De Fl w (gpdd) Design Soil App1i atigy Rafe(,-,pdsf) Dispersal Area Requued fl Dispersal Area Propos ~n - f// 4 VL Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units tvew Tanks Existing Tanks C/ t C 1 11~ le fi r E n., U Septic or Holding Tank i Dosing Chamber VII. Responsibility Statement- the undersigned, assu r possibility for installation of the POWTS shown on the attached plans P1 Name (Print) Plumber' i ature W/MPRS Number Business Phone N er Zz7 Leh l Pbunber's Address (Street, City; State, Zip Code VIII is `j /,!I Zoe 4 if v) 'Count- e artn Use Onty roved roved Pe 't Fee Date ueAd Issuing Ag en Denial $ I I IX. Conditio> , 5 9Ons for Disapprov 3 v~lopcr ~n a~ Y 1. Septic tank, effluent filter and s hGiMt~W~le,' WrfH iS ►1~t Okla, dispersal cell must be serviced / maintained as per management plan provided by plumber. r M(A"fi,d/] I 2. All setback requirements must be maintained as per aPRfiQS111lJe:CQ4&1~ ~fl2t'$Stem and submit to the County o pa ~p F, 0 tlgry inCY& l7~il~ -7j "15 ill P*rfc~ 015, "7tovmf, SBD-6348 (R. i I/11) S %(60 Zone a ii ~S . Pro e~-k ~3~, JW b~\wN1. to,o 1 > ~YO~ 1a~d ~►5'NYbu~Ce. ~ 10to0~~z, L~ Yty~i~c5 0. 1unc~ vu QcrM /rtirF~r DIVISION OF INDUSTRY SERVICES 2331 SAN LUIS PL STE 150 GREEN BAY WI 54304-5211 I i DS Contact Through Relay P http://dsps.wi.gov/programs/industry-services S ` www.wisconsin.gov P' ~Ossrw Scott Walker, Governor Dave Ross, Secretary CONE July 07, 2016 AP DEPT OF CUST ID No. 226900 ATTV: PO WTS Inspector PROFESS11 Gl"ViSION OF Ih 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 SEE COR PLAN APPROVAL EXPIRES: 07/07/2018 Identification Numbers Transaction ED No. 2733354 SITE: Site ID No. 826246 Oevering Homes Please refer to both identification numbers, 709 N Bay Rd above, in all correspondence with the agency. Town of Saint Joseph St Croix County SE1/4, NWI/4, S23, T30N, R19W FOR: Description: At-Grade eSSYstem (3 Bedrooms - New Construction) Object Type: PC3'dd1 S Component Manual Regulated Object ID No.: 1611738 Maintenance required; 450 GPD Flow rate; 37 in Soil minimum depth to limiting factor from original grade; System(s): At-grade Component Manual, Version 2.0, SBD-10854-P (N.03/07, R. 1/12), 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 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, stars. The following conditions shall be met during construction or installation and prior to occupancy or use: • Preserve dispersal area prior and during construction to avoid disturbance, compaction and use of the site. • With new construction; it is recommended not to activate the pump in the dose tank until the tanks are pumped prior to homeowner occupancy. • Wastewater generated from contractors cleaning of equipment and tools and/or left over construction products shall not be discharged into the drains discharging to the private onsite wastewater treatment system (POWTS). Waste generated shall be properly disposed of on-site or off site. • Any tall grasses, leaves and shrubs shall be cut short and removed prior to tilling the surface for installation to prevent matting under the dispersal area. • Prior to construction of the dispersal area check the moisture content of the soil to a depth of 8 inches. Smearing and compacting of wet soil will result in reducing the infiltration capacity of the soil. Proper soil moisture content can be determined by rolling a soil sample between the hands. If it rolls into a 114- inch wire, the site is too wet to prepare If it crumbles site preparation can Droceed If the site is too wet to prepare do not proceed until it dries. SHAUN R BIRD Page 2 7/7/2016 • Divert surface water from POWTS Area. • Well setbacks to meet chs. NR 811 & 812. • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building sewer beyond 30 feet per SPS 382.30 (11)(c) • Tank Installation to follow all manufacture's recommendations. • Pump Floats to be set and verified per approved plan. Any changes may result in pump resizin2 to meet TDH and GPM Specifications. • Verify property line(s) prior to installation. • Final elevations of pump off, pump on, and invert of distribution pipe; need to be verified. • Areas that are occupied with rock fragments, tree roots, stumps and boulders reduce the amount of soil available for proper treatment. If no other site is available, trees in the basal area of the at-grade must be cut off at ground level. A larger fill area is necessary when any of the above conditions are encountered, to provide sufficient infiltrative area. • SPS 383.54(1)(e) The management plan for a POWTS shall specifically address the servicing mechanics of an aerobic or anaerobic treatment tank or a holding tank where either of the following conditions exist: 1. The bottom of the tank is located more than 15 feet 'below the elevation where the servicinzpad is located 2. The bottom of the tank is located more than 150 feet horizontallv from where the servicinog pad is located Owner Responsibilities • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval SPS 383.54(1). • 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. 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. Tim Vander Leest When You Receive That Invoice, Private Sewage Plan Reviewer, Division of Industry Services Please Include a Copy With Your (920)492-2214 , Monday - Friday 6 am To 3:30 pm Payment Submittal. Tom.vanderleest@wisconsin.gov WiSMART coder 7633 cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484 , Monday - Friday 8:00 am To 4:30 pm SHAUN R BIRD Pale 2 7/7/2016 • Divert surface water from POWTS Area. • Well setbacks to meet chs. NR 811 & 812. • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building sewer beyond 30 feet per SPS 382.30 (11)(c) • Tank Installation to follow all manufacture's recommendations. • Pump Floats to be set and verified per approved plan Any changes may result in pump resizina to meet TDH and GPM Specifications. • Verify property line(s) prior to installation. • Final elevations of pump off, pump on, and invert of distribution pipe; need to be verified. • Areas that are occupied with rock fragments, tree roots, stumps and boulders reduce the amount of soil available for proper treatment. If no other site is available, trees in the basal area of the at-wade must be cut off at ground level. A larger fill area is necessary when any of the above conditions are encountered, to provide sufficient infiltrative area. • SPS 383.54(1)(e) The management plan for a POWTS shall specifically address the servicing mechanics of an aerobic or anaerobic treatment tank or a holding tank where either of the following conditions exist: 1. The bottom of the tank is located more than 15 feet below the elevation where the servicing pad is located 2. The bottom of the tank is located more than 150 feet horizontally from where the servicing pad is located Owner Responsibilities • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval SPS 383.54(1). • 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. 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 r'e'sponsible for the installation, operation or maintenance of the POWTS. Sincerely, _ Fee Required $ 250.00 This Amount Will Be Invoiced. Tim Vander Leest When You Receive That Invoice, Private Sewage Plan Reviewer, Division of Industry Services Please Include a Copy With Your (920)492-2214, Monday - Friday 6 am To 3:30 pm Payment Submittal. Tom.vanderleest@wisconsin.gov WiSMART code: 7633 cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm L Cover Page -:OVED AFETY AND Shaun Bird "AL SERVICES Bird Plumbing Inc. ;STf2Y SERVICES 1432 120th St. New Richmond Wi 54017 ~z :ESPONDENCE 715-246-4516 Date: 6/29/16 Owner:Oevering Homes LLC Location:SE 1/4 NW 1/4 S23 T30 N,R19W 709 North Bay Road St. Joseph 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 t Signature- License number 226900 V RECEIVED jUL 05 2016 i' E,}5 b ~14/ Paae 1 of 9 System PLOT PLAN PROJECT Oeverino Homes ADDRESS 1433 Cernohous Ave Suite A New Ri chmond Wi 54017 SE 1/4 NW 1/4s 23 /T 30 N/R 19 W TOWN St. Joseph COUNTY ST. CROIX SYSTEM ELEVATION 100.8' 6/29/16 3 DATE BEDROOM CONVENTIONAL AT-GRADE XXX CONVENTIONAL LIFT HOLDING TANK 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 MOUND SEPTIC TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 900 # of chambers none Ilk BENCHMARK V.R.P. Top of 1.5" pipe ASSUME ELEVATION 100, Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark North Bay Road Scale = 1/4" = 10' 459' Property Line All piping shall be ASTM SDR 30/34, within 10' of tank, piping shall be ASTM F891 Grading is to be done to divert run-off away from system Well meet all WDNR setbacks B-2 50' Pro 3 101, B-1 Bedroom House 100.8' 100.5' ❑ B-3 Huffcutt Combo Tank 120' B.M.* 100, 4% Slope Tank is to be properly Area 15' below bedded with lockdown system is to remain covers with approved undisturbed warning labels 330' Property Line At-grade System Sloping Site Cross Section and Plan View . E Dimension Feet I L•1•L•'.•L•1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1•'L•'L••L•'.•1•L•L•1.1.1.1.1.1.1.1•L•1.1.1.1.1• I A ti J•J•J•J•J J•~ J•••J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•'r•'r•'••'r•J'J'J•'r'J'J'J•J'J'J•J• I 1.1•L•1•L•L 1•L L 1•L•L•1.1.1•L•1.1.1•L•Y1•L•1.1.1•L''S~''L'1'1'1'1'1'1''L°1'L•L'1'L'ti'' J•J•J•J•J•J•J•J•J•J•J•J•J•J•1'•1'•J'J•J'J'•'••••J•J•J•J''r'J''r "r'J''r'•r"7"J'J'J'J'J•J•'r°J• 1•L•L•1.1•L•1.1•L•L•1•L•L•L•1.1.1•L•L•L•1.1•L•L•L•1•L•L•L•1.1•L•L•1.1•L•1.1.1.1.1.1• I B :•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•;•J• I •L,1.1•L•,L,L,L•,L••.,1•••,L,L•'.•'L•1.1.1•'.~1.1.5.•L•L•5.•1.1.1.1.1.1.1.1•L•1.1.1•L.L 1•L•1• J•J•J•J•J•J•J•J•J•J•r•J•J•J•J•J•r•J•J•.•J•J•J•J•J•J•J•r•r•J•J•r•r•r•r•r•J•J•J•;•J•J• 1/6 B I fLflfLiLfL~LfLfLflfLfLf1r1f1f1j1fLfLj1r1f1f1f1r1f1r1f1r1r1r1f1j1j1f1r1f1••,LrLflfLjlfl• 1 I 1.1.1.1•L•L•1.1.1.1.1.1•L•L•1•L•1.1.1.1.1•L•1.1••.•1.1•'L•L•'.•1.1.1.1.1.1.1.1.1.1.1.1• I J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•; •;•J•J•J•J•J•J•J•J•J•J•J• W A 1.1.1•L•1.1.1.1.1.1.1•L•1.1.1.1.1.1•L•1.1•L•L•1.1.1.1.1•L•L•1.1.1•L•1.1•L•1.1.1.1•L• I I J,;.;•;.;.J.;.;.;.J•;.;.;.;.;.;.J•;.;•;•;.;.;.;.;.J.;.;.J.;.;.; •;.;.;.;.;.;.;.J. L•1•L•1.1•L•1.1.1•L•1.1.1•L•1.1.1•L•1.1•L•1.1.1.1.1•L•1•L•1•L••.•L•L•1.1••.•1.1•L•1•L• J•J•J•J•J•J•J•J•J•J•J•J•J•r•J•J•r•J•r•r•J•J•J•J•r•r•J•r•J•;•l•r•r•J•r•;•J•r•r•J•r• D 2.0 J~J~J~JtiJtiJ:l~%J~'rtiJtirtiJtil~JtiJ~J~J~J~J~;~J~JtiJ!JtiJ~;~J~JtiJ~J~J J~J~' J~J~J1JLJ1J•J•~ I L•1.1.1••.•L•L•L•1•L•1••.•L•L•1.1.1•L•L•1•'L•L•'L•1•••'1'L'L'1'1'1'L'•.•5''1'L'L•1''L•ti'•1'1• •J•J•J•r•J•J•J•J•J•J•;•J•J•J•J•J•J•J•r•J•J•r•J•r•J•r•J•J•J•r•r•J•J•J•; •;•J•J•J•J•J• I E 5.0 I 1.1•,L•L,,L,L,,L•,L•L,1•,L,L,1,L,1.1,L•1,1,1.1•,L,1,L•1'••,1.1•'."t•1.1 •'L •'L•1•'L•1•L•1 •L•1•'L• ' J•J+J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•;•J•J•J•J•J•J•; •;•J•J•J• I L•L•L•L•L•1•L•L•1.1•L•1•L•L•1.1.1.1•L•1.1.1•L•L•1.1.1.1.1.1•L•1.1.1.1•L•L•1•L•L•1.1•. ~•J•J•J•;•J•J•J•J•J•J J•J•J•J•J•J•J•J•J•J•J•;•;•J•;•J•J•J•; •;•J•J•J•J•J•J•J•;•J•J•J• 1.1•L•L•5,•'L•'.•L•'.•'.•'L•'.•L•L.'..L.L•S.•L•L.L•1.1.1.1•'.•1.1.1.1•'.•1.1.1.1.1•L•1.1••.•1.1• I F 0.5 I J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•J•.`•J•J•J•J•1'•J' 1.1.1.1.1.1•'.• L•1.1.1•L•1.1.1.1.1.1.1 I 1•;.1•J.1•J•L•J••J.1•J1. •J•J.•;.•J.•J'•J.•J.•;.•J.•J••J••J.L•J•.L•J•.1•J..1•J..1•J..11•J..11•J..11•J..11•J.•1L•J.•11•J..11• 1•J•L•J•L•J•1•J.1•;.1•J.1• • I G l.r 1.1•L•1•L•1.1• 1.• 111111111111111O l 1 E 1/6 B i W P 7 E -1 B L 40 % Slope - = Plowed :~jti• = Clean aggregate = 4 in. sch. 40 pvc _ basal area J1/2 to 2 1/2 in. dia. observation pipe Lateral with 2" Topsoil Cap aggregate over pipe Observation Pipe Geotextile G With Car) Fabric r •J~J~J~.••J J°J:•/ Ft Lateral Invert L•••1.1•L•L• ;•;:J•;•;•; •J• J•J:J•r•J•J.J J J Topsoil Cap L•L L L 1.1.1.1.1• 1.1.1.1.1.1.1.1 L 1.1 J J J J•J J J J J J•J•J•J•J•J•J•J J J J•J L L•1 1 1 1.1 1 L• 1 L•1.1 1 1.1.1 L 1.1.1 1 J J J J J J J•J J Fi ~J J J+J;J J J J•J~J J, J~J J, J; ' Lr: L•L L 1.1.1 L L• L • .1.1•_1 1 1 1• 1~ Ft Contour L L 1 S• 1 1•L• L 1 1.1.1 L 1•L•1 1 1•. •_:1 ' J!J~J J J:J:J•J•J•;•J•J•;•J•J J J J - 1.1•L•L•1.1.1•L•L•1.1.1.1.1• T D Plowed Surface ~ I C I Slope Direction GENERAL INSTALLATION: The at-grade area is staked out along the design 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. 03/05 lgj Page of Pressure Lateral Layout One Lateral - End Manifold 4 - Threaded Cleanout Lateral Turn-up No Plug Force Main i X L Long Sweep 90 Bend Pressure System Construction Distribution Network Specifications Lateral Diameter In. Laterals are constructed of Schedule 40 PVC Orifice Diameter Z_ In. pipe. Orifices are drilled perpendicular to X (Orifice Spacing) 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 '2__ 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 Q 6-8 Inch Lawn Sprinkler Valve Box 03/0519j Page of Septic-Dose Tank Cross Section And Pump Performance Specifications Tank Manufacturer Pump Manufacturer E Tank Model Number r Pump Model Number Alarm Manufacturer Tota T Capaci , ` ~ l ank ty j Max. Bury Depth C. Alrm Model Number Sy pe n C _ Manufi~ TI Dynamic Head (TDH) -Feet Tota Filter cturer - Filter Model Number Elevation Head - Distal Pressure Network Loss a Minimum Pump rerformance Required Force Main Loss 3 GPM @ 't TDH Total Outlet (Manhole Min. 4" Above Grade With Manhole Min. 4" Above Grade Locking Dekiee. Inlet Manhole With Locking Device < 6" Below Grade Sealed Watertight Securely Mounted Weather-proof 1 Junction Box - - - Finished Grade Vent Min. 12" Disconnect Above Grade Means With Vent Cap Outlet Filter Inlet Inlet Baffle ~i - - .~t - - - - - - Switch Sett;ngs and Reserve Capacity A Tank Volume = /J GPI Weep Dimension; Inches Volume Gal. B Hole (reserve) Ai J 4 7, (alarm) B : 2 j Off Elevation C e 7l Ft (dose) C Bottom (dead) D I3 r D Elevation Total Ft GENERAL INSTALLATION: The septic/dose tank is betided and back filled in accordance with the manufacturer's product approval specifications. Maximum depth of bury as specified by the manufacturer may not 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. Electrical service complies with NEC 300 and Comm 16.28, d Page of 02/05 U P~ TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE HEAD CAPACITY CURVE EFFLUENT AND DEwATERING ct~I MODEL X153 1 oD 152 153 W W W 50 F c2t k4eters ( Go!- Liters I at, Uters 69 ' 261 77 291 I 153 ---1 10 j 3.i 1 61 231 70 265 , 12 40 52 15 4 6 ` 53 I 201 61 231 ° 20 -i 6.?~ 44 167 I 52 1 ?97 30 25 7.6 34 129 42 159 a 8 30 j 9.1 I 23 87 33 1 125 ' 35 j - - _2 85 20 1 42 40 12.2 o j ",ck 'Joive: 13B,0 :c. (I 1.5m1 ~ 44.0 Ft. L ciasoa 10 j 0 20 40 60 80 100 GALLONS o 1/4 LITERS 0 1j 160 240 320 JJ 27/32-r--~-* FLOW PER MINUTE CONSULT FACTORY FOR SPECIAL APPLICATIONS • Timed dosing panels available. J 27/32 i Electrical alternators, for duplex systems, are available and supplied with e an alarm. • Variable level control switches are availab~e 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. j • Over 130°F. (54°C.) special quotation required. i 1 I I I ~ I 152153 Series 12 1/e 1-IJ 1521153 MODELS Control Selection Model Volts-Ph Mode Am s Sim lez Du lex ' 1/8 3 N152 115 1 Non 8.5 1 2or sK2asa 8N152 115 1 Auto 8.5 IncluJed 2 or E152 230 1 Non 4.3 1 2 or 3 BE152 230 Auto 4.3 Inclined 2 or 3 N153 115 1 No 10.5 1 2or3 SELECTION GUIDE BN153 115 1 Auto 10.5 Inclu;ed 2 or 3 E153 230 1 Non 5.3 1 2 or 3 1. Single piggyback variable level float switch or double piggyback variable level float BE153 230 1 Auto 5.3 Inclutled 2 or 3 switch. Refer to FM0477. o CAUT10N 2. See FM0712 for correct model of Electrical Altemator E-Pak. All installation of controls, protection devices and wiring 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. BOX 16347 Louisville, KY 40256-0347 Manu(actu a sof. . SNIP TO; 3649 Cane Run Road n c o rZIAUTY f'111fll 5/NCE ~9✓9 Louisville, KY 40211-1961 Z~J (502) ) 778473l- 1(800) 928-PUMP httpJ/www.zoeUer.com 'Jt'u"'P LO FAX(502)T74-3624 © Copyright 2000 Zoeller Co. All rights reserved. POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION SYSTEM SPECIFICATIONS Owner o P/1r. Septic Tank CaPaci tY al ❑ NA Permit #D Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms j ❑ NA Effluent Filter Model ❑ NA Number of Public Facility Units 4-NA Pump Tank Capacity al ❑ NA I Estimated flow (average) r gal/day Pump Tank Manufacturer ❑ NA i Design flow (peak), (Estimated x 1.5) ~J gal/day Pump Manufacturer ❑ NA Soil Application Rate ai/da /ftz Pump Model ❑ NA ! Standard Influent/Effluent Quality Monthly average' Pretreatment Unit A Fats, Oil & Grease (FOG) 530 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD5) <_220 mg/L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) <_150 mg/L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BODE) 530 mg/L ❑ In-Ground (gravity) ❑ In-Ground (pressurized) Total Suspended Solids (TSS) 530 mg/L `NA ~t-Grade ❑ Mound Fecal Coliform (geometric mean) 5104 cfu/100m1 ❑ -Line ❑ Other: Maximum Effluent Particle Size in dia. ❑ NA Other: NA Other: NA Other: NA "Values typical for domestic wastewater and septic tank effluent. Other. NA IAINTENANCE SCHEDULE Service Event Service Frequency inspect condition of tank(s) At least once every: _~i ❑ month(s) (Maximum 3 years) ❑ NA ear s I.Pump out contents of tank(s) When combined sludge and scum equals one-third (X) of tank volume ❑ NA !inspect dispersal cell(s) At least once every: 4 month(s) (Maximum 3 years) ❑ NA 7L4 year(s) ❑ (.lean effluent filter At least once every: ear(s)onth(s) ❑ NA Inspect pump, pump controls & alarm At least once every: ❑ month(s) ❑ NA jKyear(s) 1:lush laterals and pressure test At least once every: ❑ month(s) 11 NA .year(s) Dther. At least once every: ❑ month(s) NA ❑ year(s) ` ether. 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 ,.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 ivisually 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. When the combined accumulation of sludge and scum in any tank equals one-third or more of the tank volume, the entire contents of {:he tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, land any servicing 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. Page of 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 th~jt 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 the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluenlt. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the 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 down slope of any 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 : in antibiotics; baby wipes; cigarette butts; condoms; cotton swabs, degreasers; dental floss; diapers; disinfectants; fat; foundation dra~ (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting produc%; 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 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 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 compliant replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the nEled for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the ruI0 in effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technologl/ 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. Mound 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. <<WARNI NG>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE 01= A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name Name Phone 7 Phone SEPTAGE SERVICING OPERATOR P PER LOCAL REGULATORY AUTHORITY Name ~J Name Phone /j - "L Phone 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. ( r) ~W _ tx N i ! P `Il ii j ~ i,1 S17 i \ ~ 731111 i l 1 ~ ~11~tt~ i >i f 47 f7 ~ P ~ i O O O 1 Y r i o0 Q a CD N o Q v L Q I co z 3 g F w I_ fi'•,i I i i ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Bayer • l Mailing Address Prope rty Addre'si J~- (Verifcation require planning ong Department for new construction.) City/Stat _ Parcel Identification Number -05 LEGAL DESCRIPTION yProperty Locatiorf' _ y4 ,Sec. N R VIJ- W, Town of Subdivision Lot # _ Certified Survey Map 7 , Volume' page Warranty Deed # C) -7-1 U - i Volume Page # Spec house yes no Lot lines ident~abl yes no SYS ~ EM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of our maintenance consists of our the y septic, system could result in its premature failure to handle wastes. Proper pumping septic tank every three years or sooner, if needed, by a licensed pumper, the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maint`en ntc you put into responsibilities are specified in §Counn. 83.52(1) and in chapter t2 - St. Croix county sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification fo owner and by a master plumber, journeyman plumber, restricted plumber or a licensed iTn, signed by the wastewater disposal system is in proper operating condition and/or (2) after inspection and per verifying that a the on-site less than 18 full of sludge. Pumping (if necessary) the septic tank is I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been .maintained, must be completed and returned to the St- Croix County Plannin Zoning Department within 30 days of the three year expiration date. g & Uwe certify that all statements ou this form are true to the best of my/our knowledge. I/we am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms ~TGNAT OF App l~< I LICANT(S) -~--1~ DATF. ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & "Coning 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. 08/05) Y z oCg c 3 3eg C g. '~4~ p, m o OI G ID, e 1~~2 o k~- a e' J, W Q _ f o J 4 W - J Y r w _ Q_ LLJ 1`~ z z, O'. a Q. J W J ISM z r O ~o b O ~fi m~~s O toy, ~o ~ =~z QI a. R r S? c t ~d~ N YY aI ° G', boa z a r o. y z - y ii I I ~ I A 6 0"I rot :kM SNm _ i I ~jh Q Fnz v~ I - -T - y`e Q a PIT CIA C r 9 PO $9 o 1 - L - I I - - Jul i I~ • - miw. ®ne'6 $j I x gg o° Y J tu- Ln W w U- y ~e L. O Z ao § 6Y 3 ai 4 Q St c e N Ohl a'. G z. mi t 5 uIm1:llK:G %'b~yY.'dJ 4 u 0 I i I x _ 'I I~ 9 9 !r 4F 2 a a. RECEIVES sT -tea i JUL 0 7 2016 EHOZPFQSMKRVA ' SOIL EVALUATION REPORT Page of , Wisconsin De~artmen o g Division of Sta~' T - ENTaccordance with Comm 85, Wis. Adm. Code oMMUNITY LOPM County f y 7`- Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. i,~,_~ r ✓ - Please print all information. R b Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). NOMP Property Owner Property Location E~ e~ r7 ! , ens ? Govt. Lot _ 1 /4 N 1 /4 S 3 T N R ( E (or ~N Property Owners Mailing Address I _ Lot # Block # Subd. Name or CSM# n } r State Zip Code Phone Number ❑ City ❑ Village own Nearest R ad OC, 5q ui ~ I( r~ - c".' r: NJ '30 1 14Z - New Construction Use: Wesidential /Number of bedrooms Code derived design flow rate GPD ❑ Replacement Public or commercial - Describe: Parent material " Flood Plain elevation if applicable. ~Y ft. General comments and reconunendations: System Type / System Elevation 7 Bori El Boring IT ~ # Pit Ground surface elev. ft. Depth to limiting factor 7) Zin. 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 h. Boring # C] Boring a F4 Pit Ground surface elev~G~ Q~ ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 f 4d A1141, Effluent #1 = BOD. > 30 < 220 mg/L and TSS >30 < 150 ' Effluent #2 = BOD, < 30 mg& and TSS < 30 mg/L CST Name (Please Print) CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address r Datof uation on cted Telephone Number 1432 120th St, New Richmond, WI 5401 ri 715-246-4516 Property Owner _ Parcel ID # Page -Z- of 5 Boring # ❑ Boring pit Ground surface elev. DOr ft. Depth to limiting factor 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 2-- 3- .7 - c .S- 01 w .3 /V 24 F-1 ❑ Boring 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 F-1 Boring # ❑ pit Boring ❑ Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon ')epth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 M6100) Property Owner _ Parcel ID # Page 2- of ❑ . Boring # Boring 71 pit Ground surface elev. Wi ft. Depth to limiting factor Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Boring # U 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 F-1 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon ')epth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (8.6/00) Soil Test Plot Pi 03 Project Name Oevering Homes S n Bird Address 1433 Cernohous Ave Suite A New Richmond Wi 54017 TM #226900 Lot 1 Subdivision Date 6/29/16 SE 1/4 NW 1/4S 23 T 30 N/R19 W Township St. Joseph ❑ Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of 1.5" pipe System Elevation 100.8' *HRpSame as Benchmark North Bay Road 459' Property Line 3 Acre Lot Scale is F = 40' unless otherwise noted B-2 50' 101' ❑ B-1 100.5' ❑ B-3 1 20' B.M.* 100, 4%/. Slope 330' Property Line