Loading...
HomeMy WebLinkAbout008-2015-13-005 7-Z7-1( # f' dv j ~P iz -To Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 5$4769 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 2697375 Permit Holder's Name: City Village Township Parcel Tax No: Kevin & Tiffany Peterson TOWN OF EAU GALLE 008-2015-13-005 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: 54m,5 1 /do•o~ 1 N 945L, 13, CtJDo~ 19.28.16.589A TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic W Oa Benchmark ~0~ Dosing Alt. BM ' ~wr v0 Aeration Bldg. Sewer 45 °c fig. ~Y f~. /O w ~CN~D g R~7"ui3~ Holding St/Ht Inlet R,oN•t How (gyp pQ 7L (0 00 TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic > sz) % 4114 + s t Dt Bottom / QS ~S Dosing ¢ Header/Man. /Z\ p~ I Aeration Dist. Pipe (Z) 1 101.3$ / Duo 100.3z Holding Bot. System (L ial.3 7 9f 6y Fin I Grade PUMP/SIPHON INFORMATION (9 !°l.35' ±0 v Ia.3 Manufacturer i Demand ISt Cover pn QU 7 GPM h S.T. GY~i~Cl~7L/p Qg.~~ ?r• 6 j( Model Number / 7ZS ~Q 9Q Gf'I ns (ati v3.2 y3 0 TDH Lift Friction Loss System Head TDH Ft •oS 4.76 157-17 Z 47.1 -Q rd . 8 .04 9S.Z 1 -1 Forcemain Length Dia. Dist. to Well oD 74 ~//~f Q~rn Lz) /6/.38 / 38 SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits nside Dia. Liquid Depth DIMENSIONS Oo SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: n UNIT Model Number: DISTRIBUTION SY TEM Header/Manifol "V ~t Distribution ix Hole Size x Hole Spacing Spacing Vent to Air Intake Pipe(s) pp .1 1//6`s Length Dia Length D' Sf Dia 1 •S Spacing 3 SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over EB~djroencIn h ver xx Depth of xx Seeded/Sodded Mulched Bed/Trench C ter Edc es ? u Topsoil Yes No Yes rV No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 7 G~ Inspection #2: 7-Z 7-1& Location: 2120 21ST AVE (.9`0,0-~ / C~IS~L 1.) Alt BM Description 2.) Bldg sewer length = fi ~Q -A,'/)l ,Q ~(f SEAT ~L~ amount of cover = ~ ~V¢✓ CS i`~Iw/fIR ItTIVM m~ / c)v(a TD &NLyuse- d.pGIff , 3. Plan revision Required? ❑ Yes * No j / ~ - Use other side for additional information. Date Insepctor's Signature Cert. No. SBD-6710 (R.3/97) I RECEIVED MAY 1 Industry Services Division , Couni< t I zQ i d 1400 E Washington Ave -5,r c /la/X S P.O. Box 7163 S Lary fnmit Number (lo be filled in by Co.) $g ST. CPOIX COUNTY Madison. WI 53707-71b2 ~ 'COMMUNITYDEVELOPME ~jg 7 ~p saciion Number Sanitary Permit Application State ~mai f In accordance with SPS 333:21(2), Wis. Adm_ Code, submission of this form to the appropriate governmental unit ~ 9 73 / is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to Project Address (if different than ling address) the Department of Safety and Professional Services. Personal information you provide may be used for secondary - _purposes in accordance with the Privacy Law, s. I5.040)(m). Stats. Z6 ! A 1. Application Information -Please Print All Informati Property Owner's Name 1 Parcel it~(G y •7 s / xi U AE rE~c soN O LCD Propem• Owner's iklailing Address Property Location' y, -o ~E OAit ST. /~~r e--Y3 Govt. Lot City: State Zip Code Phone Number /V4/ , S6✓ !4, Section 19 ~ALDrd/,J CJ r y _ oyo,~ (circle one) T N: R A E or w IL Type of Building (check all that apply) Lot tj! Subdivision Name X1 or 2 Famil}• Dwelling -Number of Bedrooms 6L ~ Blocl. ~1"~IRd/EtJ /1'GitES ❑ Public/Commercial - Describe Use ]~~f )-AJA` q✓N.. CSNI Number /6Z7 ❑'~itt of ❑ State Owned - Describe Use I A r r ✓ ~d1 7.7 GZbZ. (M Town of ~Au ~7i1LtE 46 /y 1 III. Type of Permit: (Check only one box on line A. Complete line B if applicable) ,New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B• ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued/ Before Expiration - Owner IV. Type of P6WT5 System/Corn onent/Device: {Check all that apply) 1 97 Mjw( ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade Xylotmd > 24 in. of suitable soil ❑ Mound < 24 in. of su' able soil ❑ Holding Tank ❑ Other Dispersal Component (explain ❑ Pretreatment Device (explain V. Dis ersal/Treat nt Area Information: Design Flow (gpd) Design Soil Application e(gp n Dispersal Area Requir (sf) Dispersal Area Propos (st S - 1 EI at n ro-t Sao 1.6 o• 56D GOO APO 999' .99a VI. Tank Info Capacity in Total a of Manulacturer Gallons Gallons Units New Tanks Existing Tanks WQ~A 1 -v Septic or Heldin Fens J Dosing Chamber 75a - 7So l VI 1. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POIVVTS shown on the attached plans. Plumber's Name (Print) Plumber's Sig lure VIP/ 4af~RS Number Business Phone Number ~~'~r /9loaE E a~y~99 yiss Plumber's Address (Street. City. State. Zip Code) 101/ 7i4 I~~ ox /D 4OL ocxx CJI- S5'73o VI . CountVI a artment Use Only pproved ❑ Di Permit Fee DL at Issued Issuing gent Sign rc A $ ~ A ❑ Owner r_ -R/ ' 7 Z l n Reason .Denial ~o ~ ~lQ IX. Condi" 0 "ifiCReasons for Disapproval t ;$eptia`tahk; etfltntfdte. and A. ajQ : ncintare Wsti cell must all be seraces1 E sc`ptlt m~agement plan pro tided by plumber. / A w' 2.IILi~"t+ must e rstatntztnei as per aWkWo code / ordinances. ~ d _ aJ 4„ ~ of ~~Ra tA attach to complete plans for the system and submit to the County only on page no less than 3 112 x I t inches in size SBD-6398 (R. 08/14) ti 0 o ~ ku ~i c ® o *Y a v ~ ~ y k ` ~ ~ 0 \ O ~ ~ V V V e e Si v v - Qp- ti n 5 0 ~ ti op v a a V J _a~rnx~ T+r\f DIVISION OF INDUSTRY SERVICES o" 2331 SAN LUIS PL STE 150 c?~ \P GREEN BAY WI 54304-5211 t S I Contact Through Relay P {I http://dsps,wi.gov/programs/industry-services www.wisconsin.gov ~OssrorNScott Walker, Governor Dave Ross, Secretary April 27, 2016 CUST ID No. 224199 ATTN: POWTS Inspector KENT HOKE ZONING OFFICE H&H PLUMBING LLC ST CROIX COUNTY SPIA PO BOX 10 1101 CARMICHAEL RD COLFAX WI 54730 HUDSON WI 54016-7708 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/27/2018 Identification Numbers Transaction ID No. 2697375 SITE: Site ID No. 823175 _ Kevin Peterson Please refer to both identification numbers, 21 ST Ave above, in all correspondence with the agency. Town of Eau Galle St Croix County NWl/4, SW1/4, S19, T28N, R16W FOR: Object Type: POWTS Component Manual Regulated Object ID No.: 1597054 Maintenance required; 600 GPD Flow rate; 26 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 requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • Follow contour with cell of mound. • Fence off 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 CONDIT wastewater treatment system (POWTS). Waste generated shall be properly disposed of on-site or qpp off site. DEPT OF S • Any tall grasses, leaves and shrubs shall be cut short and removed prior to tilling the surface for PROFESSION installation to prevent matting under the dispersal area. OIV IS iOb 21 • 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 1/4- inch wire, the site is too wet to prepare. If it crumbles, site preparation can proceed. If the site is too wet to prepare, do not proceed until it dries. SEE- 0, }kk _ KENT HOKE Pa=e 2 4/27/2016 • Divert surface water from POWTS Area. • 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) • Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Tank Installation to follow all manufacture's recommendations. • Verify property line location. • Final elevations of pump off and invert of distribution pipe; need to be verified for proper pump sizing. • This system is to be constructed and located in accordance with the approved plans and with the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems Version 2.0" SBD-10706-P (N.01/01). • 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 mound 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. • Owner Responsibilities:SPS 383.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. SPS 383.54(1). A copy of the approved plans, specifications and this letter shall be on-site during constriction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely Fee Required $ 250.00 Fee Received $ 250.00 Balance Due $ 0.00 Tim Vander Leest Private Sewage Plan Reviewer, Division of Industry Services WiSMART code: 7633 (920)492-2214, Monday - Friday 6 am To 3:30 pm tvanderleest@wisconsin.gov cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm H&h Plumbing LLC Note: Effective January 1, 2012, all codes under the jurisdiction of the Division of Industry Services (formerly Safety & Buildings) will be modified. Code references with prefixes starting with "Comm" have been replaced with "SPS" to recognize the relocation of the Division of Industry Services from the former Department of Commerce to the Department of Safety & Professional Services. Additionally, all IS (formerly S&B) codes have been renumbered and addressed in a "300" series. For future reference, the Wisconsin Commercial Building Code will be addressed by SPS Chapters 360-366. KENT HOKE Paee 2 4/27/2016 • Divert surface water from POWTS.Area. • 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) • Owners shall receive a copy ofthe appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Tank Installation to follow all manufacture's recommendations. • Verify property line location. • Final elevations of pump off and invert of distribution pipe: need to be verified for proper pump sizing. • This system is to be constructed and located in accordance with the approved plans and with the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems Version 2.0" SBD-10706-P (N.01/01). • 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 mound 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. • Owner Responsibilities:SPS 383.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. SPS 383.54(1). 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 constructioniinstallation operation. In granting this approval the Division of lndustry 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 S 250.00 Fee Received $ 200 Balance Due S 0.00 Tim Vander Leest Private Sewage Plan Reviewer, Division of Industry Services WiSMART code: 7633 (920)492-2214, Monday - Friday 6 am To 3:30 pm tvanderIeest@wisconsin.gov cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484 , Monday - Friday 8:00 am To 4:30 pm H&h Plumbing LLC Note: Effective January 1, 2012, all codes under the jurisdiction of the Division of Industry Services (formerly Safety & Buildings) will be modified. Code references with prefixes starting with "Comm" have been replaced with "SPS" to recognize the relocation of the Division of Industry Services from the former Department of Commerce to the Department of Safety & Professional Services. Additionally, all IS (formerly S&B) codes have been renumbered and addressed in a "300" series. For future reference, the Wisconsin Commercial Building Code will be addressed by SPS Chapters 360-366. • J X09 Mr. 71 lu 0p add/ age ~At a w.~, tJ I sy0o ~ le4j .L ZA a S?' G /l o/ X page- PW f ~i1JlT6s! y` Y I E S/4<EEJ' PAP CRoss-SEGri„~ ! l~~A.J ~~~'rJ of ~tou~lQ AND Pap Y..RVICES FW-5 /ANK /~u~+.o ~if'Agd 2 Goss - sEGr~e~ ' SERVICES ago 6 ~L~ras,~ 6"E2FosZi7A.JG6 Gu~t1F !='ag ~OcJ3'S OcJ~lE•'t~5 rliP.~csAG /'9i~nJA&6i°tE~1T ®LA.J ynnin rwiE - -ate ~ 1YG TE/C r'•Jfolt~-fA ~ia~ Desigmed _ " to the Fallowing PO C;on. pan Mgt iAr_.an-va i and- p s,- s o f a~: /`f ed,.,, J t6~yP6~~.,,r d~~.L [lEitsi6a 20 .SAO-/D6 It-P ~ffel,/ _ _ ~/L~S.Su2~' IfLI.~?.'"rLll~~J19~' --~o.+yPs~vE.r3~-l~.Q',JcrilG ll~it-Siav -!8'•2-j6~G~-/~ Ol~6I O'l 0 o~ ~k o ~ n' M Z o Q ~ a v \ u O yS ~ ~ Q o 14 = 40 ~ c \ ~Q r \ v a 14 ~ z r ~ e v Q \ ti n { 1 ha Q Y V ~ b M 00 C . rr v W ~t a - o ' o ~ ~h h Q o w PC \ ~ n• o 04 .0 P4 o k eo kkd C _ 1 a .x `1 a x po p h 4-31 o' 43 - ~ t 3 1_P < h C~-i 14 40 •E-i" Qk3p _ Q M* V1 : . w . ° P4 M 0 1- u c a _ nC I \ -i 1 0 its o - •Q - vi 94 ri v Q . V2 A -.t d I OG V2 V; 42 v ? sa` z -y CL @ m W it+ fj+ l++ 1~:. ~ V p ' tA v . o w 0 vin P+ Q vvv b ~ \ x i u NZ_ o J v ` V N p rl b ~ - IV) 'PQ ` O\Al i h v x v Qo 11 a E•---- r ~ ~ a O HHHH tI~Ihi ~ . W _ H 1.1 L L 1J 0 W W ^ 01. 0\ .94 U3 H L) 1 M) x~ wPavoX?i COMBlN1;TION SEPTIC TANKIPILIMP CHAMBER -SECT ION jJ~ • s 9 (DRAWING NOT TO SCALES j FINAL GRADE MANHOLE RISER 2 COMER - - - i R%AP0R t AN i : {slope ground surface away from (pe1S.PS 3 84,25 (7) (8)3 -O vent ?ip- manhole(s) torproper drainage) 1 >sidiai tc;tor anlc(s) as necwsa", '•~"roiin.cr_tr,aho,.F-- pursuant von SPS383.•".3(a)(g) Estabrisna Rood aa7vi iQ. rtCcl? / - aGpfOV2C 1 c' „tead nanirQie rrzs necas~ro. J BUILDING SE41'ER 'ia^ntr-p (perk 8290 (19}} i APRmveij LQG;if1Q rti:'n(iQl_ r. i L..-rRlCi~L a I sth 4i~arrti~ JUNG ~as1 ;`tacked { TiON 80; Ejectrir,-l rau_l compiy EPS 316 ar,d ME-CSGG ~ f 11 fi -Establish--d =lard Fis alion ilAA, [nin. ;,intrtiOLE 80-i 01M 0>:tt•ILE-1 (itm:edelevalion) WL! T cAP ~iiiriiifij /fi/i r/Ird~-1 ©!LE„uo r/f!f/%/lrft//r//ilifl/fr jlll:r% /i FLOAT Rki Fro8~.~-/yrs c I i } ALA l _•.I I F/L TE/l - ON FLOAT i' q"WILEi PIPE i F TERED t i ~e ~ - a`F FLOAT 1 (fee orLafsL=) APPROVED EFFLUEttIT FtL i ER - EFFLUENT REQUIRED ON' OUitc 212v = iti11NIMUitil OF Y OF SUITABLE BEDDING BENEAT H i T ANK PUMP PAD i Iank,Mianufaciurer klle sex e/Aodlte_r6 LDWF(daily wastewaterflow) 6a0 GPD Septic/Pump tank model _ 1,4ro 1,756 Number of daily doses S. S ~ /8 P. (WIF / actual dose volume) Alarm manuiacturer T. E. QNo ~>sy s Alarm model number 7'i ,,V,< 4z -ar / Forcemain volume d6.9 6' ,x . iz3 i ype of r7oai switch /~lEt,y, I -'A Actual dose volume (gallons) (total dose volume -volume of forcemain) / 3 7 - ,?6.9 Eiluen: pump manufacturer Li rr[ r r Effluent pump model number 9E/yy.6~,y PUMP T ANK CAPACITIES Reserve above alarm d 9 S inches = Y7S sgalions ! Minimum pump discharge rate (GPM) 3 y, 3.2 Alarm float above on float W. o inches = Gallons (C) ~ On[Ofi' float measurment 8. S incites = 13 7 gallons (B) Vertical lift (pump off io disidbution lateral) Off float above tank bottom 8.o inches = gallons (A) system head (distal pressure AX 1.3 feet) 3 3 i ANK DIMENISIO14S & PUMP CHAMBER SP=CIFICA nOMS Friction loss in the forcemain Total dynamic dead (TDI;) Length /SS Width 86 Liouid depth y.8 "f Gallons per, inch /././,2 111 U 0" _ rUl ❑ m 9ENH-CIA-SFS 9ENH-CIA-RF 'l 9ENH-CIM 10 L Dimensions Performance GPM EHeal Solids Size Running Amps/ 5 10' 20' Cord Weight H X L X W (in) Item Model Listing (S) HP Volts (dia.In.) Wafts PSI Length (Ibs) 509239 9ENH-CIASFS cCSAus 4/10 115 3/4" 9.0/1045 70 60 50 19.5 20' 38 12.90 10.45 8.07 509240 9ENH-CIA-SFS cCSAus 4/10 115 3/4" 9.0/1045 70 60 50 19.5 30' 39 12.90 10.45 8.07 233 9ENH-CIA-RF cCSAus 4110 115 3/4" 9.0/1045 70 60 50 30 10 45 19.5 20' 38 11.03 9.53 6.74 509 509234 9ENH-CIA-RF cCSAus 4/10 115 3/4° 9.0/1045 70 60 50 30 10 45 19.5 30' 39 11.03 9.53 6.74 509231 9ENH-CIM cCSAus 4110 115 3/4° 9.0/1045 70 60 50 30 10 45 19.5 20' 37 11.03 9.53 6.74 509232 9ENH-CIM cCSAus 4/10 115 9.011045 70 60 50 30 10 45 19.5 30' 38 11.03 9.53 6.74 Cover Epoxv-coaled cast iron;' Thermoplastic Flow - Liters/Minute Motor Housing Epoxy-coated cast iron 0 50 100 150 200 250 300 Impeller Material Thermoplastic Elastomer so 15 Impeller Type Non-clog Volute Epoxy-coated cast iron 40 Power Cord SJTW 10 E Mechanical Shaft Seal Nitrile with carbon and ceramic faces m 30 m Fasteners Stainless steel u O Shaft Steel = 20 Bearings Upper and lower ball bearing 5 = On SFS models 10 0 0 Franklin Electric o 10 20 30 40 5o so 70 so P.O. Box 12010 Flow - Gallons/Minute Oklahoma City, OK 73157-2010 Phone: 1,800-701.7894 Fax: 1.800.678.7867 www.LittleGiantPump.com Form 996247 - 08/ 12 T %r'L ;irl a :~sller~.=S r*!_~r LJ 4~i-,i'!E~ ltih G_itl,'tamSr' r `g.-tijW '^•"_?iv?L5iG1"T Cu=c6ia^rRt ~'r-{;tins j Otizter CIr so.J I ( Septic T anlc Capacitz j o ~I Mt N. j Petit _ t 1 Septic Tank- anuiacturer ! ~i~sfn Comic. SxE1r -P 114TH T j j Esluern Pilfer Manufacturer 3 I 6)A"e-o t i V Number of Bedrooms (I00gpd/bedroom) } ( ~Zluent Filter ivtodel L\urnber of Conmerciai Units ( i Pump Tani; Ca acity l 7.f -6 gal r_ I'l! i rat-mated ;lox (averaee) Pump T anti l+dlanu actuicr 3 \i j l~00 ~alldav j i ~✓/fSfir ~o ✓c. j' a .iz j j D 51 1oiv e Pump l alauI2cP=1@r L/ r~cE G/,~,,,r So estimated. - ~ j 1.0 0 ~ t- !fir i1r gal/day Pump Model , ; F ppiICatioII Rate Q g - ( 9evy- G/"y + t ~trent/Et, uent Quality (p I~r:~) , ivlonthl3~!?vera°e It Pretreatment Unit ( :,M N-) i Fats. Oil Grease (FOG) < © Sand/Gravel f=ilter p Peat Filter 1 Biochemical O;iygenDemand (BOOS) 30 m1rj C =rechanical neratioa 4'atiand i otal Suspended Solids TSS 2_10 melt Q Disinzction l < 150 IIfL Manufacture- Pretreated F ---'511411t Quality (0 NA) ( Monthly Average Soil Absorption Component (El NA) Biochernicai O.wgen Demand t' r ~r-ground (gravity) M In-ground ( OD;) < pressurized", I C' 3a m--/-f Total S MI At `g ade i9 t\1iound ( Suspended Solids (TSS) Fecal CoIiform (geometric mean} 30 mJL E3 Drip-lute in Other. X10 ci rl100ml 0 Dispersal Units Ivlanut&Cturer ! ltiiahimurn Efrluent Particle Size 1 11u inch diantetmr 0 Aggregate Cell(s) Model j Soil Dispersal (EISA) or DM= rnnlicadon rate = AseaReouired _ (T ranch -VN''idth) Units or Total Lene-th of Trenchis) ~a _ o = Lao = L ' = oa °Ssc C~~~Ta•~s~ El `'Design of Pressure Distribution Networks for Septic 'I'onic-Soil Absorption Sy stems=- Publication 9.6 (SSW M-P lvianuai) j 0 -'!CC Flowtech Mound Component l4anuaI7 Version 1.2 ; 'EZ love- found Component IvianuaI'° Version SP-012007 SBD -100°x,! 'P (_R I/12) =A L-Grady Component ivianual Using Pressure Distribution = Version 2.0 ( M SBD -107D--P (N_01101 j 1 ) ` Ground Soil Absorption Component VIanu3l7Version 3.3 j RrS$D - !0691- .P (NUYO1) -Alound Component Manual- version 2.0 G SBD - 106- ` _ I 07 _ (tZS/9o grip-line Effluent Disposal Component IvtaIIUal' X SBD - I0706-P NT-01/01) `Pressure Distribution Component Manual" i,ersion 2.0 0 Other - zT ' I jeer ce ~~Z ' Be_ rco s ecrzte-,c , p aspect ~nl.{,1. ,aspect dI eral cell(s), clean meter (At least once every: 13 months g{ 3 yearsLz Other - +nspec_ pump pump controls, alarm, retreatinent unit least once every- L°+ motrtlts ©NA I ilt ~ ~ ears ! Fluh one pressure test laterals (rtt Ieast once ever=: ~ months ))?tl 3 years p Nri ARD' U,P 4-v' S' For ne'kt construction, prior to use of the POWTS check treatmen-t anl: 5 for-the presence oS . psinting-products or other chemicals that may impede the treatment process andlor damage me dispersal cell(s). If high concentrations are delected halle the COntentts o? the tank(s) removed by a septage servicing onerator 13riorto use. ?iSie M Start Lp Shaill not occur when soil conditions are frozen at lie In?ItratIVe s(LiaCc. ?e propert< owner is responsible for the operation and maintenance ofthe PO titTS and submission o required reports. The quantity ai?a QL21iY{ of the wastewater stream will a5ect the performance and lonaetrity ofyour PONNITS_ The installation of water saving apaiiatnces and fixtures along with prompt repair of leaks reduces the wastewater volume. Also The brine or waste ;tom water seteners_' t Iron remaxial units, other clear water treatment deices and foundation drains should be discharged to the ground surface vvhenever possible. Mote: this does not include laundry waste, showers, dishwater, etc_ This system is designed to handle domestic strengh vvaste«ater, noxt.-ever the disposal of good based eases and oils. veggeiable/fruit peels and seeds, bones, and food solids such as those produced by a garbage disposal should be minimized_ Toilet tissue is the only paper that should be discharged into the system. Other non-biodegradable items such as baby Avipes, tampons, sanitary napkins condons; cigarette butts dental doss, and cotton swabs should not enter the system. Chemicals such as petroleum products, paint Page 7 of 9 a e isir<fectants. pesticides, antibiotics, solvents, etc- should not be flushed into the systern as they can seriously damage your POD 13 arid, eonta..inate y ux- drinking water supply. .v? amtain a regular steady flow by spreading laundry washing throughout time week Ovoid vehicle trafc over ail system, components. Compaction of snow over the dispersal unit may cause it to freeze up, t5 ,,C iiO S i t pFY WC : Inspection shall be made by an ind-n~iduai carrying one of the fbflowa-mg licenses or certi cations: Master Phumnber_ iv%aster Plumber Rr;stdcted Sewer, PO"TITS Maintainer or Septage Serivicing flpe-afor per the a Cached Maintenance Schedule}. 1 aWt insneetions must include a visual inspection of the tank to ident y any miss; mg or broken hardtiwar e, identi---'~, any cracks or leaps, ;;measure the volume of combined sludge and scurn and check foram, b - ' v - aclLun o-aondmn of effluent to the .Ci47m_*nd surface and test all electrical equipment such as pumps and alarms. An. defects shall be promptly corrected. Exposed o openings greater -than an a inches in diameter small be secured with effective locking devices to prevent accidental or unauthorized entry the fan l;s_ . When the combination of sludge and scum, in any tank exceeds one-third (113) or more aftbe t8nk volume, the entire contents o= time tank shall be removed by a Septage Servicing Operator and disposed of in accordance -with ChapterNRl I", Wisconsin fi dmninistrat' e Code. The outlet filter(s) shall be inspected and cleaned to remove any accumulated solids according to manufacturer's specifications. Solids . %ashed roan time filter shall be retained in the tank. Filter cleaning may be necessary at more ~que~ ~~~ais Than sued in the maintenance schedule to keep J !he system operating_ rUarns should be tested on a regular basis by the borne owner. T=an alarm sounds, contact ar individual licensed :v service POl~1 T S. 1 here is norm atiy a I day reserve under regniar operating conditions, however water should be conserved until any problems whim the s .tnm ac corrected to prevent back-up of sewage into the dwelling or surfacing. A3APO 7'`Il'sTNr Yv hen the POxVTS fails and! - or is permanently taken out of service time following steps shall be Talten to ensure, that the system is properly and safely abandoned in compliance -mitFr P S '383.33, Ch S_ Wisconsm±dmnimir-talive Code. - A-11 piping to tanks and pits shall be disconnected and time abandoned pipe opemmin~s sealed- - The contents of all tanks and pits shall be.removed and properly disposed of by a Septage Servicng p c7emaior_ After pumping, all tanks and pits shall be excavated and removed or their covers removed and soii gravel or other inert solid material. the mid space filled with -NI F -N EN PLAN: 1-C the POWTS ;ails and cannot be repaired the following measn_res have been, or rust be taken, to proNd de a code compliant replacement system: l; suitable replacement area has been evaluated and may be utilized ,%rthe location of a replacemment soil absorption system. The replacement area should be protected from, disturbance and conmpacfion and should not be iimfiringed upon by required setbacks from exi C a and proposed structure, lot lines and wells. Failure to protect the replacement area render it unusabl e. Replacement systeras must comply with the rules in effect at the time of replacement El A suitable replacement area is not available due to setback and/or soil limitations- tmarring advances in POV TS technology a holdine tank may be installed as a last resort to replace the failed PO V 1'S. 13 The site has not been evaluated to identify a suitable replacement area upon fair of tike POMITS a soil and site evaluation must be performed to locate a suitable replacement area. Ii no replacement area is avaiable a }molding tank may be installed as a last resort to replace the failed POWTS. Cl Mound and at grade soil absorption systems may be reconstructed in place following removal of the biomat at the iniilvative surface- Reconst melons of sack systems must comply v.7th the r c*.les in e?iect at that t-.me. :.r. -uIZ=`- OVOT , tl H- Mit~ T. H _ lY~S_~F`l i Lfi..J~t:SL 1 ~v'S~ j 7- et ' c r' ~•.(±7~~ _.,~~r1 W 2~ F~.`•.'..ym`i. r'` 0 5 (Z.j 7--E R A 5- -F F1117C, ~F I ~'-i r.. ~ -.t...i • :.~J ~la\Y7....d ~~~I.:YJ~~ :L1V ~7 V~ H Fi 7~ US. =F, <+._U-k 0_ _ a -W x ?r Z-3=~PI C-2Jlz;L+i 0 )?c POf%tr="S ENSI-U- LEE, 3 j ,lame /~EN T tia me ~e-,j r 6&4r elV Fly L"Ly-* u Phone 7/S 96~ - ;iiSS Pirrone 71S /9'6.7 - y/sS SEPTACESP,R?U-Mr12nP-f?P rORrramper)-U.rr ~voUAJ aX -iMHOM i lti7ame r. Citc,x 9.6 Agency .5 Zo~.~,c officE I Phone Phone 7/,r 38 G - f l8 0 Pane 8 m3= 9 % E-i luenr filters improve the penomiance of nevi, or er sting gr2vi , ' a ^4 f3 .I f septic systems and extend drainiield Ire by reducing the 2rrount of solids discharged to she drainrield. Fl=Series Biotube eflueni a ~ # ; x F x fillers are used in new or existing tanks. Filters include a 4-in. r l3iotube Filter cartridge, PVC housing, and e)iendable RIC ~ i handle. Bioiube filters have a higher flOLV area than other effluent filters on the market, so they don't have to be cleaned as often. i yew, t Sturdy tubular design resists crushing and warping, makJng installation and removal easy. g and worpmg, making f t fl Bois 7/8-in. and 1/'16-in. Filtration are available to conform to local regulations. k" _tQ o Optional float bracket allows attachment of float stem for tank level ala m floats. -x ° Optional rlOw modulation plate restricts flow from tank to prevent ' H5 horn washing out to the drainfeld when a large volume of water enters the tank. l Models to fit Type 303LF or Schedule 40 outlet pipe are _ available. - ;a See "Selecting a Bioiube Effluent F=ilter" on page 12 to choose the right ;flier for the system's flow rate. 'a ---~~~:w Orenco also manufactures comp, ercial-size Bioiube filters withSQ`""-36 4-in. diameter, acheduie0 8-, 12-, and 15-in. diameters for design flows u F P to 8,000 ppd. ~Fi Irrf0'-" .-3G diameter, ASTn!( 303-- Contact Orenco for details. The base inlet finer is a shod 8-in, diameter effluent filter for Use in ` f k residential applica ons where extended time behrve en cleanings ~ is needed.; (V(F1 A-Y 5F r L float elbow allows a T"Ioat to be a«ached to the base inlet filter io activate a high-level alarm. Can be used instead or the float bracket on new filters, or can be retroiitted in the field F. to e ;fisting meets- F► 0822-1 ~'.5 ~ 8-if3. diameter, raDiiom inlet I j I! 0822-14B-ESd 8-in. diameier, Oofiom inlet, includes overlo!n+ pIate i' - E F ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Ce! /V Mailing Address j PropertyAddress Z l Zd 2 t C5- YqLe--., C. (Verification required from Planning & Zoning Department for new construction.) ~ ~ 3 - coo 5 City/State[} Vj Parcel Identification Number C 45 LEGAL DESCRIPTION Property Location i' 'L,_ 1/4 , <L 1/4 , Sec. T N R W, Town of Subdivision Plat: ~~6-- t l,`Vz- PC 'k~~S , Lot # Certified Survey Map # 'tom `7 [ 6 , Volume 7-7 , Page Warranty Deed # (before 2007)Volume , Page # Spec house l]yesEarrb Lot lines identifiable ❑yes[]no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §SPS. 383.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Safety And Professional Services and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on t 's 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 w anty deed recorded in Register of Deeds Office. Number o bedr ms 0 u N"_ / FI / 6 S ATURE OF APPLICANT(S) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 04/12) z~zm0 O-pr1}A m A D p0-~me A r Z pAcDa~D Z mDz D O O ~ 39'-0" Z O 8'-0 " 4'-0 " 71-0" y mm - - A ri w p Z 3•a-•-r' e--i.o=xM.:...... A r A o m d - D O ° - p ° D w i d 3 o. r w = 2s•-4" ~ 0 5 - ; d uiiunuiini -i p DO N A o! - 17111111111 G m m z A o o = 3 ~ a -011 e'er" m A 0. o 0 N pE ......6'.p- o b m = n 3=Jh D O O ~ b 04 1 m= o- - A A O b - - o'. 7 4'-0" 29'-0" 6'-0. 4'-0" 20 3%4" 14' PAGE TITLE: FOUNDATION PLAN DRAWN BY: Scott Gunnufson ° CLIENT CONUCT INFO: 3 SCALE: 115-828-7761 NAME: KEVIN a TIFFANY PETERSEN sghomedes i gn9yahoo. com GELL:651-581-2818 EMAIL: ktppetereeneyahoo.com DZOAZcnZmO O A r b A m ~ A D p O A m e A ~ r m z m z z M z ~z D O Oz p 39.-0.. Z O N B'-0' 4'-0° 21'-0° m A ~ N 3'-9V 4'-9%" 4'-9W 13,-OW, O O C O' A D O y P A U) - 6 - - { m 1' 3 II ~ N ~ s 5" J O r S Ll w = 9 X5'9 O n q V 3 -0" r~ 3 4-315" o MTr ~ ~ Dm = N o ~ m N 6" STEP GWN _ LE° ~ N p x Z Z W w a a O O Z = A O a 6. 6.. d_ O 3 sp m n d .AT _ w p Hill 1 O ° m O S 0 tl1 ~ A b zo'-los5" 16'_11„ ~ bo o = - = w ~ r D 24'-0" 4.-- d A Gl ~ p O r D w ~ e w - - 4~ { - d m MUD ooM O w A a N nun...::.:::::n:nujunuiu uuwennu - A A O O b i 20' O" = 315.. _ I . 14' 815" O 4•_0` 29'-0.. 6•-0l PAGE TITLE: FIRST FLOOR DRAWN BY: Scott Gunnufson I CL/ENT CONTACT WAF 3 SCALE: X15-828- 161 NAME--KEVIN d TIFFANY PETERSEN sghomedes t gngyahoo, com CELL: 651-581-2818 EMAIL: ktppetersertegahoo.com woo•ooye muas~aza i~l °71Vw3 8181-L85-159''173 'IO- ~-I'g~~ woo-ooyefi,~u6lsapawoy6s N38Zk31Ad kNb'=HI1 ? NIAE4>43wVN l9LL-8Z8-~lL 'OJN/ -tOVJN001N3/70 uosjnuunr) ljo08 g Nmv~!ia ~00~~ CINO~~S :3711 3~Jdd ~~11 A~-~ _ m F- 0 0 MUMMA, o-,el ''9-G t~ ~ ~p o = o - m b 4 a m v O '9 v T-1 m Y 4 O v U N O T n v ~ v Z ° m m m „O-,LZ _Z O m O Q LL U L Q z Q } Z p F U 00°U ~ QQLU O UWtu z a 0 ~w UO w0 p w z Z Z - R O - Q