HomeMy WebLinkAbout014-1050-95-005 PGa~S -~~-lo L~ ':00 F/XV, &/L: do
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
(ATTACH TO PERMIT) 589727
GENERAL INFORMATION State Plan ID No:
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)] 2725066
Permit Holder's Name: City Village Township Parcel Tax No:
Deanne Duvall & Nathan Delong TOWN OF FOREST 014-1050-95-000
CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No:
1
.r/A/~ G~ D'0 .{i`p~7~k 5! DE 24.31.15.378
SAVnE boo , c7t?
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark C-71,16 Ire- W1 103 40 C5
. c
Dosing (&j44DA Alt. BM
Aeration Bldg. Sewer 7 /Ly
Holding St/Ht Inlet /U3• SS 77 f7 -76
TANK SETBACK INFORMATION St/Ht Outlet
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet
Septic 715V' v1A 1"L Dt Bottom d •SS `7, / ~g
Dosing i[ s k W q u Header/Man.
A03. `~,$9 g•lo6
Aeration Dist. Pipe
.ss y 89 fig. ~b
Holding Bot. System
/o3.sS 3.SS
PUMP/SIPHON INFORMATION Final Grade
l03• r3 ~S +g gd
Manufacturer Demand St Cover
GPM v / (D3•S 14Z. 35'
Model Number J 3~
TDH Lift Friction Loss System Head TDH Ft
SS 0•(o y
78 ( 1~.1/ Ilsgo 3 112-5
S
(0 rp W/ 00f11)
Forcemain Length Dia.~ Dist. to Well
2 ~14 >ti TP /
~~z /6,~v ZS. '~7 Z .OS
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS
SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer:
INFORMATION CHAMBER OR
Type Of System: UNIT Model Number:
DISTRIBUTION SYSTEM GV
Header/Manifold Distribution Ix Hole Size x Hole Spacing Vent to Air Intake
w Pipe(s) , - u ~ •15-b `
Length Dia~,~f Lengths '5'7 ~
Dia_ Spacing ~ Z
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over Depth over xx Depth of xx Seeded/Sodded xx Mulched
Bed/Trench Center > / M Bed/Trench Edges G Topsoil ~1
Yes No Yes ~ No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2:
Location: 3109 205TH AVE P(,0(4/ 606)1 V TO (ASED 70 6ff<S6L PL f w
1.) Alt BM Description =
2.) Bldg sewer length = ZTV r 4 P,CC7~ N~/l w S~G'
- amount of cover = / 4 -Iva I-Apire-D
Plan revision Required? Yes No
Use other side for additional information 10
Date fise,ctor's Signature Cert. No.
SBD-6710 (R.3/97)
Industn Services Divisi Counn-
RECEIVED I l00 E Washington S caix
P.O- Box 71 Cttan• Permit Num;b~o be tilled in by Co.)
vladison, Wl 53707-ria JUN 2 8 2016 'Z -a
ST. CROIX , (~Y fransaction ivumber
r~r~tItt~,~~~AAll''~` r~ p~i'Crt'1~211 f p;~11caii0n
In accorh4iihCPl~StWk#T - is.~thii` Code- submission of this farm to the appropriate soremmental .it Z 7 Z
is required pFfor to obtaining f
a sanitan permit- Note: Application i'orms for state-owned POt1TS are submitted to Project Address
if different than mailing address)
the Department of Safety and Processional Services- Personal information you provide may be used for secondan `
pu oses in accordance with the Privacy Lair- s. I5-04(1)(m). Stats- ~i Tp
a p lication information - Please Pr' 11 Information (J! a~S rid ~v~.
j i'FOpeny O.rncrs Name
Parcel = 1
/44AWrt r ot/ l/At G 6Z o.J 6 Q 1 q_ )056 --qs- U o c
Prope-m Owner's iMailina Address
I - Property Location
vlr. ~
(-in, Slate Govu Lot
Gip Code Phone Number WW SW :d. Section a7'/
v✓O YLEu/GGE Z-)z Sf~7,~,5' ~js 338 - 80 3,7 (circle ones
€I. Type of Building (check all that apply) Lot f N: R /S
~R-i or2FamilyDwellins-Number ofBedrooms Subdivisipn\anie
i
ok o~ Block
I ID Public./Commercial - Describe Use
I I Slate Owned -Describe (Jse CStM Number -YiHime Of
To..nof /4-64 eSI-
i
t€?. i ype of Permit: (Ctieelc only one ho-, on line Complete line B if applicable)
f
{ ~ ❑
ly\ew s'°stem Replacement System El Tank
TreatntentiHolding Tank Replacement Only
❑ Other NNtoditication co Existing Syslcm (explain)
II ❑ Permit Renen•al ❑ Permit Revision El Chanoe of Plumber El Permit Transfer to Neer List Previous Permit Number and Date Issued I
,
Before Expiration l Owner
IV. I i
Type of POWTS System/ComponentMevice: (Checlc alt that apply)
J Non-Pressurized In-Ground ❑ Pressurized in-Ground gAt-Grade ❑ tk-lound > 21 in. 01-Suitable soil ❑ :ylomhd < 24 " -L
in. c,`'suitable soil W~6
HoIdin_ Tank ❑ Other Dispersal Component (explain)
❑ Pretreatment Device (explain)-
- Dispersal/Treat, ent Area Information:
Desi2r- ;Flov,.- (gpd) Design Soil Application Rate
(_p Dispersal Area Required (s>) ~ Dispersal Area Proposed - ~ S Mem Elevation
$b y //.7s Gavra4n o
90.6 Fo 1 Lo r,!
t F ant: Cnfo Capacity in Total = of \fahntfacturzF { t y
Gallons Gallons Units -
Tanks ' i
Existing Tan;; 5 3
J , J J
sep~ic or R.'4 H
DOO 1 ~OdO /£SE2 ~a.uLit! t~ ^v I ! ! v
Dosing Chamber _
I 660 _ ~ Goo / rt » ~ ~ ~ ~ j ~ I
1I Responsibility, Statement t, the undersigned, assume responshbihh• for installation of the POWTS shown on the attached plans.
Plumber's Name (Print) Plumbers Signature MP/ S Number Business Phone Nmmber
i AlEh) r /YOiei o?ay/ 9 9 7i5 9~,?- S'iSS
Plumber Address (Street- Cin°, Slate-Lip Code)
D. ~oX /O ~6GF.vX /.I ~ y73o
F'_I ounty Department Use Only
Approved Permit Fee Date ssu d issuina. t Si_natur
L n en Reason for Denial S K/ I I
s Condi$YBd'WS@~Reasons for Disapproval t t
1,''Sept!a tank, effluent filte* and 3 Cd an,D . A✓ 2 j
disper :::i cell must all bej~.FtvRlcv ! MaRjkr_..1~ l
as per management plan provided by plumber, dUe- A^ exee4" ~ e. m,
I
M 2. `,dill rr~ .rrlurRk~te r.'laBit 66d
as Per.ppNosbis pods / allim f
Attach to complete plans for the system and submit to the Counh- only on piper not less than 3 ir_ x I I inches in size
SBD-6398 (R- 08/14)
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r4x7 all ti;_ DIVISION OF INDUSTRY SERVICES
10541 N RANCH RD
HAYWARD WI 54843-6462
Q Contact Through Relay
P j http://dsps.wi.gov/programs/industry-services
S www.wisconsin.gov
c
\lL;siov;;t Scott Walker, Governor
Dave Ross, Secretary
June 16, 2016
CUST ID No. 224199 ATTN: POWTS Inspector
KENT HOKE ZONING OFFICE
H&H PLUMBING LLC ST CROIX COUNTY SPIA
PO BOX 10 110 1 CARMICHAEL RD
COLFAX WI 54730 HUDSON WI 54016-7708
CONDITIONAL APPROVAL -
PLAN APPROVAL EXPIRES: 06/16/2018 identification Numbers
Transaction ID No. 2725066
SITE: Site ID No. 825310
Deanne Duval and Nathan Delong Please refer to both identification numbers,
205TH Ave above, in all correspondence with the agency.
'Town of Forest
St Croix County
NWI/4, SW 1/4, S24, T31N, R15W
FOR:
Object Type: POWTS Component Manual Regulated Object ID No.: 1607554
Maintenance required; 450 GPD Flow rate; 38 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,
stats.
The following conditions shall be met during construction or installation and prior to occupancy or use:
Reminders
• Pursuant to outlet filter product approval stipulations, maintenance information must be given to the owner of
the POWTS explaining that periodic cleaning of the septic tank outlet filter is required. The access opening
used to service the filter shall terminate at or above finished grade with a watertight cover.
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
c o n structi orn/instal latiorr/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.
KENT HOKE Page 2 6/16/2016
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
Carl J Lippert
Wastewater Specialist, Division of Industry Services WiSMART code: 7633
(715)634-5035, M-f 7AM - 12PM
carl.lippert@wisconsin.gov
cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm
H&h Plumbing LLC
i
KENT HOKE Page 2 6/16/2016
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
Carl J ippert
Wastewater Specialist, Division of Industry Services WiSMART code: 7633
(715)634-5035, M-f 7AM - 12PM
carl.lippert@wisconsin.gov
cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm
H&h Plumbing LLC
Private Onsite Wastewater Treatment System
index and Title Page
Project Name: 10
NfANIVC .414O,41- fi IN,RN A/: 6a„ 1G - -
1=G/l ASE PatJ T ~ FbJ S
Owner's Name:
Owner's .Address: yrt,/S /`7A/N Sr UN I
a ~E~,~~E wl sy~ar STgy ~6
lS 338 - 8a3,? ; ~CLcs'
Legal Descriptions !~1 St✓ y 3~ /s w
Municipality: Tower y e, C-07 of CONDMMLLY
County. Sr ~itoix
DEPT OF SAFETY AND PROFESSIONAL SERVICES
Subdivision Name: DIVISION OF INDUSTRY SERVICES
LotNumber: Block Number.
Parcel I.D. Number.
Paga I 1A ?Ex ri f"lE Sf/ E; SEE RESPONDENCE
Paget f'lar I- L1g1,1
Page 3 ~i1o/~SS - Ec r io li"i.v L/iE/✓ o~ /V v L?,~'AO6'
Page 4 b-JPE ~ArEic,9~ ~~4 Y6ur'
Page S~P;~c T.g,J/C l~urr.~ ~ilA~`1L;E~ ~itoss SEG r/o,✓
Page 6 ~ur>P ~EitFO~triA~LE L uAc~E
Page 7 ~owTS OG/.yEiz S /`~R/J/+AG t ~A„/A.~Eis*E.y r` "f- A-1
Page 8
Page 9/c T~~Rr~ rE.v~.~cF //jo. - - -
Name of Designer: 1 E/VT /r E License Number: /IA- o?.?y/ 99
signature: Date: Z - L - e?GlG
Designed Ppursuantpto t/hte Fallowing POWTS CComponentManual and -55 ,05 8I-85:
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COMBIN ION SEPTIC rANKI UMP CHAMBER SECTION on
(3RA411IitiG NOT TO SCALE) S 9
FINAL GRADE MANHOLE RISER 2 COMER
(slope ground surfac.: Remy from J fPers.`'S 3 fi41,L5 (i) 4 (8)j - G'Ve e [cviP0 R1 AH i
/manhole(s) for prone; drainage) 1 >1o5~iror;
Building Ai3CilOF 11Ct5} as c7cC°sgaPf
- _ Pursuant m FI'3(.
an"V
% / ~ EsL=i3r~n_~ : trod ~a
r~lie^ (o r`' 171"c1.
ral
j BUILDING SBAIE ~a nhcl~ r:'s_; - -
i f der f} j: 30 (i , ~ Ian: _p
;
/ _ c3 aC
i ~l.i=C i~'„lCP,L kn~rav ' ~ ana irien're)e
I . / JUIdC 1,0N 80 ` ` i th 4irertino L=aet _._c5_ '
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`!y ircl root canl:i~ ;.3r .l ! ! ~ r } I ~ ~ S'r53Yc _nd t4:~?~G
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MANHOLE
} f"~! 801-101,1.- OF u4LET iiae~d a•cLeLenj _ ~ l pcoo:r;• ~~iti
~ t ~ ` -J i = -r 1-' i ~ t:aci cwt i ^ i 1
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I/ice/z,/a.~..,RVc
' t j
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! - . ! /L T % ~ llL . ,:t ; A! nP,i, i FLOAT j
41 VILEr' pip;: FILTEFED ors APPROVED EFFWEitt 1 ~ILTEP, EF=LUEt r J v;~,
' REQUIRED ON! OU REi
1011\IINUiili OF Y OF SUITABLE BEDDING BEENEA T H I ANK
PUMP PrLrl 1
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Tank i ianufaci:urer
Lr//E".SE'.t La.✓C.tEl6 Dtii'1!- (ie8i(v 1Y85icwai0r Tl04i'; y..sb 20rJ
Septic/Pump tank model ono%ao Number off daily doses 4 /?410
(D! vF 1 actual dose volume)
AiaFn manufaciurer S J-. , ~Ho ,~4 S
Hiaii t model numb-cr TANK 4z -,L s- / Forcenain volume y, / x
! p Oi iZOai 51i~i[Ct2 73' x • lL 3 !
/~ELNAv/GAL rclual dose volume (gallons)
(folal dose volume -volume of forcamain;
1
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rf1ueni pump manufacturer Z/rnS- G/,eo r I
Eiiluent pump model number 9"- //,,y PUMP TANK CAPACITIES
Reserve above alarm inches = .35.2 gallons .21 f0inimum pump discharge raia (GPiiil) 3~ 3,2 !.Alarm float above on float .2inches = .'s vallons (C)
_
OnIO:-f float measurmsn -.L.L incises = 9~.?al[ons (8} . _ 1
t~ert#cai lift (pump oil to disir#but#on lateral) 7. o Off float above Tani: bottom 7. S Inches = 1,4s-7 gallons (A)
3-5 systen head (disial pressure X "I.3 feet)
i TAW DIMENSIONS c PUMP CHAIMER SPE0190Ai It3N5 j
Friction loss in the fOrcemaiWj- x. o1/ z .4
I otal dynamic head (TDI-1) 2 L engti;t /So Width 811
Liquid depth 3G " Gallons per inch 14.74
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tPerformance GPM a Head Dimensions
Solids Size Running Amps/ 1Shut Off Cord Weight
Item Model Listing (S} HP Volts (dia. In.) Walls H X L X W (fn)
509209 9EN CIA-RF cCSAus 4110 175 3!4° {ft) PSI Length (Ibs)
9.0/920 8D 70 60 45 25 32 74 20' 27.5 9.75 9.6 6.6
509210 9EN-CIA-RF cCSAus 4/i0 ii5 3/4' 9&920 80 70 60 45 25 32 14 30' 28.5 9.75 9.6 6.8
509207 9EN!IM CCSAus 4110 115 314` 9.0192D 8D 0 60 45 25 32 i4 2D' 26.5 9.15 9.6 6.8
509206 9EN-C1M cCSAus 4170 715 3!4° 9.0/924 80 70 60 45 25 32 14 30 27.5 9-15 9.6 6.8
Cover
Epoxy-coated cast iron
Motor Housing Flow - Liters/Minute
Epox/-coated cast iron 0 50
Impeller Material 100 150 200 250 300
Thermoplastic Elastomer 35
Impeller Type Non-clog 11.0
Volute Epoxy-coated cast iron 30 10.0
Power Cord SJlW 9.0
25 8.0
Mechanical Shaft Seal NitrNle with carbon and ceramic faces a) 20
7.0
Fasteners 5tainiess Steel ~
Shaft Steel a 15 5.0
~ 5.0 Bearings f Upper sintered sleeve and lowar ball bearing 4.0 a
30
s .o
T 1.0
D o. ;
0 20 40 60 80
Flow - Gallons/Minute
LmL'arG 1ri°Q
P.O- Box 12010
Oklahoma City, OK 73157-2010
Phone: 1.800.701.7894
Fax: 1.800.678.7867
Inc,
www.LittleGiantPump.com Little Giant: is a registered trademeark of Frankklln Electric Co., Inc.
Form 996193 -07111
S rr=-! Vii, ;4,_ r31tl'-::.N= ?P =P,
Gtr )am(M t f Tea ' S_ - Cat-.S
i .~ermjt ATNAJ ( { Sepr~C CHpaCIi:
r ( ( Septic TanlclvianuZaCiLt=_ /4oO M i
-„r- 1 G✓/~sd4. Lack.
c=uernFilter \nant,Ba ~r 1 ORE.Jto
'umber of Bedrooms (1 Opgpd/bedroom) ( 3 { Fzluent Filter Model
1 weber of Ca i FTcBa,z - /y'el t
mmercial units i ; ( Pump 'Tank Capacr-L-3= j G ao 021 v
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=-~urileted 2VeraE L 1
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00 ;ailday V/4--SE2 oNC
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Qualit _ retrep-mient Unit
(C1 ~.1} WonthIyAvmge m sue.
! a;_ oil Grease {FOG) 0 Sand/Graval Filter M ,Peat?=iite,
3iocl`mical OnygenDemand (3005) i 30 mJZ- C? aJechanicaI Aeration ~ I 'Wujand
+
Total Suspended Solids (T SS) < 2_~0 ma/' I 0 Dis-nzction ® 0d1Ie I
1 < 100 taJL 1v?ade±_
pr2Scated---__IuevjQu21 I ' \ 5011 Ab-Oration Component Eliv;i)
(tom tiro Mantii!Y eraae
I Biochemical 0"Cy"en Diems
and SOD- i r ice- aund (gmvity)
< 30 rn t Ln-lound (pressuri_eu;
1 ± o-:aI Suspended Solids (TSS) =7i ?tee iviOLrlrj
` Fecal COlharnl (geometric- mean) 30 mgr ❑ Drip-l=ine ; -1 gihei
Ivlatin <10 clarylo0ml CI Dispersal Unit--NIanu-acnrer
i I_ Iii E~?uent I~z*ticle Size i/u0 . i
{ Inch dlanetzr Ln Aggregate Cell(s) zviodel
v__n==- =e=s:
Soil Dispersal
F_ a (1;_SA) or
~IN
L _nolication rate= Area Zeouirzcl = tTrz;3cll _Width) i -
i=nits or Toa , r Length a= i ranciiC>>
C? esign oI Pressure Dist ibuaan Networks for Septic Tanlc-Soil ~ bso iron Svstenls-? o -
C? "iCC! Ioz.tzch iviound Cor,~ponentivlanual° Version 1? + al catio;I , o (SSlutti~? iuia:IUai i
1 rlav. \+iotitld Component-Mianual- Version 01201200
Xr S23"" - 3005=-a (Z-11I2) =r' -Grade Grado C
OinD4neilil\12nlla1 USL~a 'rcSs.i:irDiSis bulioTi Version 2-0
0 S~+BD - 10705-P C N-01101) 'L-i Ground Soil Absornfion Component \rian~l= ersion 2_p
I JJ D -1069? P l'i-pL /01) `Mound ComponentMlanual=' Vemion'_0
j 5BD - IObS%? \ Z-6!99) `'Drip-line E Iuent Disposal Component Iv3antal` J
$f SBt7 - I0706-a (r4_0UDI):'Pressure Distribution Component \Iani?aI~ Version. 2.0
C Other-
tee- E ? cn~
`'-'-,:p *ISpect alic(s), i lspect dispersal cell(s), elder! i~lter S r_'eL R+: _c7
I At leas once every 13
i lnsrect ruTO & ouno controls , elarln_ pretreaLnent unit mouths igg! S yea3 0 Other -
ltsh grid I Yu. least once even _ M- mo.Tdis II•~ C]
pressure zst laterals - 'ears
{ _zt least once ever _ i-j
montlls 3 years 7111 A
-4 IRIT 5-11 el
_t° tor nee=: copstrucuorL oriorio use of the POINT
p=ill-Un` arOQUWS or other chemicals that mw. impede file treatment process andlor damage the dispersal celIt'st t; the presence Of
~re ae.eCtird afro the CflDtflIlt'S of iheitllllC(s) remotied b a se PQe 1 t I h cm-Ictfl
servicing 0psmior-orior to use.
5vsten scarf u E) at occ
E) sr_~ n ur bvhen soil conditions are To_en aL the in-fi tra-61 e S -ac=_
he =moor[' oUgle-., responsible 1`or ine operation and maintenance oY ine 0-V%r S Sand submission O rcquirtd reports- The quanily
Z'I'd OUP-ii--Y Of the :rastavVter stream will affffecr the pe_ribrmance and longevity ofyour POW T S_ The installation o_ water saving
auptiances and 'iffiXtures along with prompt repair or leaks reduces the wasteiva-ter volume- ]so the brine or waste from liatei
o~tcners_ iron removai unitS_ other clear water treau`nent devices and foundation drains should be discharged to ine ground surface
\viienever possible. Nbte_ this does not include laundry waste, showers, dishwater etc_
is SVSeIP_ is designed to handle domestic stren~ ii tvasteC:°ata however the disposal OS roo 7 based leases and OIiS,'sveaciableliTilIi
pees and seeds, bones, and food solids such as those produced by 2 garbage disposal s110uld be minimized- Toilet bsse is the only
Paper =hat should be discharged into the system. ,Other non-biodegdable items suer as baby wipes amoons_ sanitarv napkins
canGOrns7 ci-aret`te bu s_ dental floss, and cotton sv.rabs should not enter the system. Chemicals such as ozu, izum product paint
Page 7 of 9
isir;ectants_ pesticides, antibiotics, solvents: etc- should not be hushed in o the _rystem as tiles can seriously damage your POW' t S
and cont<-nina.e Join- drinking -later supple.
v?aintain a -regular steady flow by spreading laundry -washing throughout she creek. Avoid vehicle t a>^cc over all system components-
Compaction of snovu' over the dispersal wit may came is to freeze up.
Kc --I- EQK-S i~,' Tw=A yp,I ^3PP~rI : Inspection shall be ;Wade by an individual carrying one ofthezollo;~s-I_a licenses or
certi cations: A/laster PIu nber_ lWaster Plumber Restricted Sep ar_ PONY 'S -Ad or Seniage 5ertricing Ope,aor feet tine artachec
ilrzaintena-Ice SciledLIlt}_ `'mill insnections must Include a visual i<iSpeCdOn oI the i Rr& tG identctr zny in-Iming or broken +?ardwara,
ideuti-fiRr any cracks or leaks= measure she volume o= combined sludge and scum- and check forate- backup or BondinL- or effluent to uie
-round surface and test all electrical equipment such as pumps and slats. J=rt.- de?zcts shall be pronluthj corected Exposed openings
Em-eater than S inches in diameter shall be secured wide e?iective locking devices to prevent accidental or unauthorized env the tan ik-
hen the combustion oTSludge and scum in any tank exceeds one-fhrrd (113) ormore of the Tank voirmie_ the entire contents o- tile
ta,-ik shall be removed by a Septage Servicing Operator and disposed of in accordance ?.vilh Chapter NR113, i lissonsir_ Adrninis~t-a=ive
Code.
The autiet -filter(s) shall be inspected and cleaned to remove env accumulated solids according tr mart=fkctu_re-s specifications. Soiies
,~:ashee =on :lie filter shall Toe fctahned in the tank. FI_t°. CfAan%i~ II 2 OE 12Cess-a a G 5?E_u : t i tie-J21S -diamn S 3icu _n
-Maintenance schedule to keep tie systenn operatinz.
_ --,s should be tested on area laf basis bar the boTgv C'' IIv an Lci _ 50"2ds, coniC1 ap, iridilpI ti! !?Cc.LSE~ l? jEP 741€ Q' ,
-he_e is norm ally a 1 day reserve under regular operating con ails. however :later should be conserved until any problems vh the
s_V'-'LC _L a, r. corrected to pre,,lep_t back-up of sewage into 7_he dwellin=- or stII2cing.
P% When the P0RITS Tails andlor is permaneirly taken out o- see vice the falllov&g steps stall be tekeP to cnSFlrc
17at file system is properly and safely abandoned in compliance with Ch. SPS 3883.33, Wisconsin .'-ti_dmini-tiative Code.
- H piping to tanks and pits shall be disconnected and the abandoned pipe openings seale2-
- The contents ofall tanks and pits shall be-removed and properly disposed of by a Septage Servicing Jnerator_
- titer putnpin& all tanks and pits shall be ex-cavated and removed or weir covers removed and the void space shed. -witi1
SOUL gravel or other inert solid material.
Cz:~,NTENTG- {,i4pr.; ?L-ar'ir irthe POINTS MIs and cannot be repaired the ~iilosaing measures have been, or must be ;alter:- to pr0i7,i-z
a code conipli`nt replacement systern.
t suitable replacement area has been evaluated and may be nr~ilized fibr the location of
a replacement soil absorption sN stem.
The replacement ama should be protected :9'om disturbance and compaction and should ?ot be i, 3iiged upon by. regnirec
setbacks from existing and proposed structure, lot lines and veils. Fails- to protect the rai3iaceme a :ea render i= unusabi e.
Replacement systa,~ts must comply vaih the rules in effect at the time ofzplaca3±art
'tom. A suitable replacement area is .non available due to setback and/or soil limitations- Pa_*ring adval-jces in 1PO"AM technology a
holding ilk may be installed as a last'esort to replace the :ailed POSITS.
1 The site has not been evaluated to identify a suitable replacement area upon fa luzz of the POMITS a soil and sine evaiuatior.
must be performed to loci a suitable replacement area,- Ti no replacement area is available a holding lank m?y be instal lec",
as a last resort to replace the failed PO NTS_ -
u Mound and at grade soil absorption systems maybe recons- acted in place following removal oIthe biomat atthe inril ative
sur4t CL - Reconstructions of such systems must corrlply r`lY `the rules In erTCct at that Vie,
a_!.
v ~ti.:::I ~ , . ~1• : °1~ ~ S ~ ~C C' @Jl';!•"~ S~i'E~ lr , 1: =1 T^ 1'i.~~~3.1`~
TANK
-r"- - - --tyz~ -
D11KCUL UP,
PuIRITS'_~ ~ ~_.LEER POW err=N ?s7-NE,
Name /«,v r //O K45
~rB- a,~ yi99 ~ Nos-I~ /l~N r oKE lwrr~a~~ e
Phone 71S 941 2 - `//ASS / none 71S 941.7 - y/SS j
SHE 2 Gu ' V i.S74r-_ -13 a
S{if=eas-,8r}mil airs' N01JN1 ~~v~r¢` _--,----j! i°GR A-'
+L $
?NTtime l? gency
f Phone Phone 745 3,941 - J,~/,Fd
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