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HomeMy WebLinkAbout018-1015-90-500 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: 589741 Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)] 2730811 Permit Holder's Name: City Village Township Parcel Tax No: Daniel Ruud TOWN OF HAMMOND 018-1015-90-500 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: 1v~ ,v \1 08.29.17.116E TANK INFORMATION ELEVATION DATA TYPE MANUFACTURERi CAPACITY STATION BS HI FS ELEV. Septic / i tv ' Benchmark r FJL7EE.~-I~ /ZsZ) Al 5-Z 105 2 h9a Dosing r6p*h pump, -5, 7SD Alt. BM Bldg. Sewer -7~ Inlet 8,3 81, t/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet ~ tb M 011 I Septic Dt Bottom 2 ^ V r) 12 ~ Dosing Header/Man. . Aeration Dist. Pipe Ho ing - Bot. System Final Grade PUMP/SIPHON INFORMATION Manufacturer D ~ ~ GPM Demand St Cover 0 f~ j5 0l, ~2 Model Number b \J. ,-5 ^ x/ TDH Li Friction L~ss System Head 2 J 5C T `2- 1 Ft MI` Forcemain Length, Dia. ~ j Dist. to Well J SOIL ABSORPTION SYSTEM G BED/TRENCH Width Length No. Of Tfewho& PIT DIMENSIONS No. Of Pit Inside Dia. Li uid De th DIMENSIONS Zt 1 010' / / q p SETBACK SYSTEM TO 1 ~J P/6 BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Ty OfSyst Eta: I h / UNIT N Model Number: DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size / r Ix Hole S facing VAir Intake Lengttl-`®~ - Di~ L ngth .~~a Z I Spacing . 5 SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only 'Pev Pplo4ibnl Depth Over FBed/ Over I~ 11 xx Depth of / xx Seeded/Sodded xx Mulche Bed/Trench Center rench Edges Topsoil l ~J / L Yes No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: n In pe on #2: J w e i1 ~v~ i ~S~inl l ecl i ns pec h ~}I'1 L 5 Z0I ~o C Location: 1064 170TH ST Ct ill Si (~,5 l 1.) Alt BM Description ~`'jb ~V VL ~J"-- 2.) Bldg sewer length = 1 I - amount of cover = b(\ CW Plan revision Required? 'Yes 1 No Use other side for additional information. Date ffiepctors Signa ure Cert. No. SBD-6710 (R.3/97) d c - -23 {~~~ara~E:vTO Count Industry Services Division O 8 2016 1400 E Washir ton Ave ~S P ~q JUL P.O. BOX 7 Sanitary Permit Number (to be filled in by Co.) s?Q~ kST. CROIX COUNTY Madison, WI 741 FFS„~,, w~ , hAMUNITY DEVELOPMENT 3SCD ~JJ ~D Sanitary Permit Application ~TOG~yq State Transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate govemmema. _A AS 27 3 01 ( t is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to the Department of Safety and Professional Services. Personal information you provide may be used for secondary Project Address (if different than mailing address) purposes in accordance with the Privacy Law, s. 15.04(1)(m), Stats. &A4 1 ~o 1. Application Information - Please Print All I ation Property Owner's Name Parcel # l L v0/9 lol.~_ ~'o- SOd Property Owner's Mailing Address roll j~ Property Location J rl I . 17~ I / L a D Govt. Lot r city, to Zip C e Phone Number s~ '/4, /(fC'/4, Section p (circle ON) T p~ q N R/7 E orN 11. Time of Building (check all that apply) Lot # 1-or 2 Family Dwelling - Number of Bedrooms J Subdivision Name ❑ Public/Commercial - Describe Use 6k. lh AA, Block # 'R ❑ State Owned -Describe Use i!+El City of CS Number, ❑ Village of /O / *fd- 1 o /y.~ CeC~.K~ '!1 fV / own of III. 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 xplain) B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued. Before Expiration Plumber Owner IV. Type of POWTS System/Component/Device: (Check a at apply) ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground Cj4li t-Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) °[TPretreatment Device (explain) V. Dis ersal/Treatmen rea Information: Design Flow (gpd) Design Soil Application Dispersal Area Required (sf) Dispersal Area Proposed ( System Elevation t~0 Rate(gpdsf) Vl. Tank Info Capacity in Y cb Gallons Total # of Manufacturer ro U °p o New Tanks Existing Tanks Gallons Units ` ; a U 'v"~ r- C-n w C7 P, Septic or )dulding4ank / ❑ ❑ ❑ ❑ Dosing Chamber El ❑ ❑ ❑ VII. Responsibility Statement- I, the undersigned, ass a espo ' il' or installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plum is S' MP/MPRS Number Business Phone Number 11f Todd L Sinz MP139462 715-235-2644 Plumber's Address (Street, City, State, Zip Code) E5609 708th Ave Menomonie Wi 54751 VIII oun /De artment Use Only XApproved Permit Fee Date sued ww Issui gent Signat e X O iven Reason for nial $ 05 711-T11 IX. Cond/Reans fo Disapproval 1:.. us Tt k, afflusnt , er on ~alsperssl cell-must all a seivlCvs 1 m1n_ta& ~ f tJ~7F'~ as per trtaregement plan pro✓ided by plumber. ;A 3 tatb zi equirer•.tents must, WMalnta!&l as per *Wlicnble code / 041113111M. p lt- Attach to complete plans for the system ands bmit to the Co my only on paper not less tl an 1/z x 11 inches in size SBD-6398 (R03/14) ~~J g/4b i o \Vl z M 0 [ ~copy ~oti21,RT+fp DIVISION OF INDUSTRY SERVICES on 3824 CREEKSIDE LN Uc~ D HOLMEN WI 54636-9466 3 j+ K Contact Through Relay P~~~+++ http://dsps.wi.gov/programs/industry-services 92~~ S www.wisconsin.gov ~o ssroNN Scott Walker, Governor Dave Ross, Secretary July 01, 2016 CUST ID No. 139462 ATTN: PO WTS Inspector TODD L SINZ ZONING OFFICE TL SINZ PLUMBING INC ST CROIX COUNTY SPIA E5609 708TH AVE 1101 CARMICHAEL RD MENOMONIE WI 54751-5520 HUDSON WI 54016-7708 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 07/01/2018 SITE: Identification Numbers Daniel Ruud Transaction ID No. 2730811 170TH Street Site ID No. 825944 Town of Hammond Please refer to both identification numbers, St Croix County above, in all correspondence with the agency. SETA, NEIA, S8, T29N, R17W FOR: Description: Four Bedroom At-grade System / Sloping site Object Type: POWTS Component Manual Regulated Object ID No.: 1610407 Maintenance required; 600 GPD Flow rate; 36 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/O1, 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. CON The owner, as defined iii chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code Al 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, DEPT O1 PROFESS) stats. DI iS00N OF 11 The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.19, Wis. Stats. C e*', • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated cour..ty official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per SPS 384 product approval conditions. • The area within 15' downslope of the dispersal cell shall remain undisturbed. Vehicular traffic, excavation or soil compaction is prohibited in this area. • 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. TODD L SINZ Page 2 7/1/2016 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. • 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). • 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. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. 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. Sincerel Fee Required S 250.00 This Amount Will Be Invoiced. erard M Swim When You Receive That Invoice, POWTS Plan Reviewer, Division of Industry Services Please Include a Copy With Your (608)789-7892, Mon - Fri, 7:15 am - 4:00 pm Payment Submittal. jerry.swim@wisconsin.gov WiSNL RT code: 7633 cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm 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. TODD L SINZ Page 2 7/1/2016 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. • 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). • 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. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. 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. Sincere' Fee Required $ 250.00 This Amount Will Be Invoiced. erard M Swim When You Receive That Invoice, POWTS Plan Reviewer, Division of Industry Services Please Include a Copy With Your (608)789-7892, Mon - Fri, 7:15 am - 4:00 pm Payment Submittal. jerry.swim@wisconsin.gov WiSMART code: 7633 cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm 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. RECEIVED JUN 2 3 2016 - 6_ RESIDENTIAL AT-GRADE DESIGN INDEX AND TITLE SHEET Project Ruud Sewer Owner Daniel Ruud Address 1280 3rd St Hammond Wi 54015 715-781-1219 01TIONALLY Legal Description SE1/4 NE1/4 S8 T29 R17W 'PROVED Township Hammond County St Croix : SAFETY AND ONAL SERVICES Subdivision Name Lot No. MUSTRY SERVICES Parcel ID Number 018-1015-90-500 Plan Transaction Number PONDENCE Index sheet Page 1 Calculations Page 2 At-grade drawings Page 3 Laterals and dose tank Page 4 Specifications Page 5 Management & contingency plan Page 6 Pump curve & specifications Page 7 Plot plan Page 8 Certif d Survey Map Page 9 i Designer Todd L Sinz License Number MP139462 Signature Phone Number 715-235-2644 Date 06/21/16 Designed pursuant to: At-grade Component Manual for POWTS SBD-10570-P (R.6/99), and both SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST - SAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01) Version 5.0 (10/05) Pagel of 9 II PRESSURIZED AT-GRADE DESIGN Flows and Site Data Entry. r Residential or commercial? 400.0 Estimated wastewater flow (gpd) 600.0 Design wastewater flow (gpd) 5.00 % Site slope 99.50 Contour elev. below lateral (ft) 36.00 Depth to limiting factor (in) 0.60 In-situ soil application rate (gpd/ft^2) Distribution Cell Information 1 Influent wastewater quality 10.00 Linear loading rate gpd/ft 10.00 Effective absorption width (ft) 10.00 Max. effective width permitted (ft) 100.00 Aggregate length (ft) Pressure Distribution Data Entry c: Center or end lateral connection 21 Number of laterals 0.156 Orifice diameter (in) e.g. 0.25 1.50 Estimated orifice spacing (ft) 2.00 Forcemain diameter (in) 3.62 Forcemain flow velocity (ft/sec) 60.00 Forcemain length (ft) y Does forcemain drain back? 86.00 Pump tank elevation (ft) y Are laterals at highest point? 4.55 System head (ft) x 1.3 NA 13.00 Vertical lift (ft) 9.8 Forcemain drainback (gal) 1.58 Friction loss (ft) 79.5 5x Lateral void volume (gal) 0.00 In-line Filter Loss (ft) 89.3 Minimum dose volume (gal) 19.13 Total dynamic head (ft) 35.4 System demand (gpm) Lateral Diameter Selection Gallons/Inch Calculator Pipe diameter Design options Design choice Total Tank Capacity (gal) 1 in Total Working Liquid Depth (in) 1.25 in - Gal/in (enter result in cell G46) 1.5 in X 2 in x x Treatment Tank Information 3 in x 1250 Septic tank capacity (gal) Huffcutt Concrete I Manufacturer Effluent Filter Information Dose Tank Information Lifetime _ Filter manufacturer 758.0 Dose tank capacity (gal) LT9 1/8 :Filter model number 16.9 Dose tank volume (gal/in) Huffcutt Concrete Manufacturer Project: Ruud Sewer Transaction Number: Page 2 of 9 AT-GRADE PLAN VIEW ~D-t 1/6 B Observation pipes (2 typical) A 10.00 ft D B 100.00 ft t-- 7 1 /6 B 16.67 ft C 12.00 ft W T C D 5.00 ft E 2.00 ft L 110.00 ft B W 22.00 ft A x B 1000.00 ft^2 L E- Cap T pica) obs. pipe. 0= Total aggregate cell A x B 6", and anchhoreder securely- Plowed area L x W 6" AT-GRADE CROSS SECTION Svnthetic fabric cover >f 101.33 ft Finished grade Lateral elevation invert elev. 100.00 ft t- Observation pipe at aggregate toe E j. 5 % Slope Surface contour gg.50 ft C A and system elevation ! D = 12 in. topsoil and subsoil \ over aggregate and tapered to toes. Plowed layer below L x W = 6 in. aggregate below pipe(s), and 2 in. above pipe. Project: Ruud Sewer Transaction Number: Page 3 of 9 PRESSURE DISTRIBUTION AND DOSE TANK Lateral Diagram - Center Connection P I X ~ 12, x?2 a Lateral. force main of PVC •Dr-h 40 Last hole drilled next to erns cap l.per C:Or': M Table 84.10.51 Hole--dulled ,n t he bottorn of the I veral, equall~spa,_Yd • = Turn-up -.4ball Nealve ori;leanoutplug Lateral Specifications 0.156 Orifice diameter (in) Center Lateral connection point X 1.50 Orifice spacing (ft) 2 Number laterals 33 Orifices/lateral P 48.75 Lateral length (ft) 17.7 Lat. discharge rate (gpm) 2.00 Lateral diameter (in) 2.00 Forcemain diameter (in) 35.4 Sys. discharge rate (gpm) 60.00 Forcemain Length (ft) 19.13 TDH (ft) Typical Pump Chamber Layout Approved manhole cover with Weather-proof warning label and locking device junction box Final grade 1 4" disconnect --i-- Tank component is Alternate properly vented outlet location 18" min. Electrical as per NEC 300 and 01_~ Approved outlet joint Comm 16.28 WAC Tank full w Inches Gallons JA Provide 1/4" c A 25.6 432.1 weep hole or C Alarm on antisiphon B 2.0 33.8 B device. C 5.3 89.3 Pump on p D' 12.0 202.8 87.00 ft C Totals 44.9 758.0 Pump off D Bedding under tank 86.00 ft Zoeller Pump manufacturer SJE Rrhombus Alarm manufacturer N152 Pump model number Tank Alert Alarm model number Project: Ruud Sewer Transaction Number Page 4 of 9 At-grade System Maintenance and Operation Specifications Service Provider's Name T L Sinz Plumbing Inc. Phone 715-235-2644 POWTS Regulator's Name St Croix County Zoning Phone 715-386-4680 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1250 gal Maximum TSS 150 mg/L Soil Absorption Component Size 1000.0 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Inspect and/or service once eve 3 years Effluent Filter Inspect and clean at least once eve 3 years Pump and Controls Test once every 3 years Alarm Should test monthly Pressure System Laterals should be flushed and pressure tested every 1.5 years Mound Inspect for ponding and seepage once every 3 years Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30-1, have a watertight cap, and are secured in as shown in the at-grade component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The at-grade structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. 6. Areas within 15 feet of the downslope toe will be protected from compaction. 7. All other construction details are as per the at-grade component manual SBD-10570-P (R. 6/99). Lateral Turn-up Detail Finished Grade 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Long Sweep 90 or Two 100.00 ft 45 Degree Bends Same Diameter as Lateral Project: Ruud Sewer Transaction Number: Page 5 of 9 At-grade System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD-10570-P (R. 06/99), SSWMP Pub. 9.6 (01/81), and Pressure Distribution Component Manual Ver. 2.0 SBD- 10706 (N. 01/01)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1 /3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. At-grade and Pressure Distribution System No trees or shrubs should be planted on the at-grade. Plantings may be made around the at-grade's perimeter, and the at-grade shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the at-grade is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October- February) dictate that the at-grade be heavily mulched as protection from freezing. Influent quality into the at-grade system may not exceed 220 mg/L BOD5, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD5 30 mg/L TSS, 10 mg/L FOG, and 104 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the at-grade component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by renovating the biologically clogged absorption and dispersal media, installing new piping, and replacing other components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Ruud Sewer Transaction Number: Page 6 of 9 PUMP'PERFORMANC.CURVE TOTAL DYNAMIC HEAD/FLOW MODEL 1 5 1 11 5211'53 PER MINUTE so EFFLUENT AND DEWATERING 144s 1 3 12 Io MODEL. 151 152 153 36 :Peal Meters '1'- -.Gal, Lters Gal. Lien G21. Liters 10 152•: 5 1:5.. 50 189 69 261 17 291 JO 10 J.0 45 170 61 231 70 265 1 2b 1S1 15 4.6 Je - 11453 201 81 231 V s 20 6 1 : 29 t10 44 167 52 197 1 '20 `25 7.6 16 61 - , 34 429 42 159 Jp 9.1 23 87 533.x. 12S 1S r- 35 10.7 _ _ 22 85 \ 1 Fr, 40.''-. 12.2 11 42 1 Shut-off Head: 30 ft. (9. I'm) 36 h. (11.6m) 44 K. 13,Im) V S o+4soae 0 10 . 20 30 40: 50 60 70 . 80 90 100 GALLONS LITERS 40 10 1 0 160 200 - 240 280 320 - 380 FLOW PER MINUTE 014509A Model 151 Models..:1,52.053 C©N$ULT,FACTQR.Y OR ' s fl32 8 SPECIAL APPLICATIONS . . 3711 411 327132 eve • Timed dosing panels avallable: • Electrical alternators, for duplex systems, are available and 3711 3:,132 supplied wlth'an alarm, TA; Variable level control switches are avallable for,controiling 323132 single phase .systems. • Double;plggyback variable level float switches are available , for variable level long and short cycle controls, Sealed Qwlk•Box available for outdoor Installations, See FM1420, • Over 130eF. (WC,) special quotation required. 1 S11i3ZH 53 ;Series n 111+1 +i 17e 1$1111V93•.Md Control Selectlon Model volts4h Mlde'c: Am o Strh lax Duplex s vu to N151 115 J...: ..Non 8:0 1 2 or 3 BN151 115 1.. Auto 6.0 Included 2 or 3 E151 230 '.1 Nen . 77 3:. 1 2 or 3 BE151_ 230 1 Auto'': Included 2 or 3 SK2w sK2084 N152 115 1 NoA 8.5. 1 2 or 3 BN152 115 :AO►o' 6.5 Included 2 or 3 E152 230 1 NoA , 413 2 or J B 1 230 Ulo'.. .:4,3 Included 2 or 3 N15 11 105:;, 2or3 BN153 115 . 1 Auto . 10.5 Included 2o r3 SELECTION GUIDE E153 230 .1 Non:::'= 5.3 .1 2or3 BE153 30 .1 Auto 5.3 Inellfded 2 or 3 1. Single piggyback.varlable level float switch or double piggyback variable level float e CAUTICIN switch. Refer to FM0477, All Installation of controls, protection device; snd wiring should be done by a qualified 2, See FM0712 for correct rnocel of Electrical Alternator E-Pak, licensed electrlclan, All electrical and safety codes should be followed Including thrinost 3, Variable level control switch 10 0225 used as a conlrol activator, sr duplex I l) recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA) or (4) float system RES.~RVE`POW, RED DESIGN For unusual conditlons`a reserve581[ety factor is engineered into the design of every Zoeller pump MAX TO, P.O. BOX 16347 Loulsvllle, KY 40256.0347 Manufacturers of.. SHIP TO: 3649 Cane Run Road //77 ~p Loulsvilla, KY 40211.1961 4"zIrr FUAIG9 SlNCE 1Y,7 y m (502) 778-2731 - f (800) 928-PUMP hOPM A"W409111I.cam FAX (502) 774.3674 71__....1..41 none 7-1Io. r'~ all r!,Hfq rmsnrvrtd. I I-J .T N4 o ~ 9 i ST:"CROIX COUNTY SEPTIC TANK MAINTENANCE, AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer to h I Wcwt yl Mailing Address "2 U 7j r `j vm 1 3 S. t i Property Address ~41 1 T (Verifcation required from Planning & Zoning Department for new construe ' City1State a.t,, d L J Parcel Identification Number ®I 500 LEG DESCRIPTION Property Location Sec. T _a_N R l 7 W, Town of Subdivision , Lot . Certified Survey Map # J O o I C7 , Volume Page # Warranty Deed # Volume , Page # Spec house yes no Lot lines identifiable yes no YT 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 i the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County 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 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 Planning Zoning Department within 30 days pf the three year expiration date. I I/we certify that all statements on thi orm are true to the best of my/our knowledge. I/we am/are the owner(s) of the property descried above, by virtue of a w my deed recorded in Register of Deeds Office, Number of be oms SIGNATURE OF APP ANT(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 snap if reference is made in the warranty deed. 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Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. q percent slope, scale or dimensions, north arrow, and location and distance to nearest road. / Q Please print all information. Revie by Dat Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ~ f Property Owner Property Location C✓ Govt. Lot 15,6- 1 /4 1 /4 T L N R E or) W AXE- Property Owner's Mailing Address Lot # Block # Subd. Na CSM# 7 C d `J-~ ' 3 05yvx .s6 LZ sir City State Zip Code Phone Number ❑ City ❑ Village own Nearest Road ru /70 'ht S Lew Construction Llse:B4Besidential / Number of bedrooms Code derived design flow rate GPD ❑ Replacement Public or commercial - Describe: Parent material Flood Plain elevation if applicable Al /A ft. General comments K f~ and recommenclations: System Type -'/4 System Elevation 4 -A-✓' Boring # ❑ Boring Ft c [R 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 -37 JQ ' qf-" Boring # Boring Pit Ground surface elev. 9 r ,ft. Depth to limiting factor / in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 Effluent #1 = BOD. > 30 < 220 mg/L and TSS >30 < 150 mg& ' Effluent #2 = BOD, < 30 mg/- and TSS < 30 mg/L CST Name (Please Print) Signa CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date valuation Conducted Telephone Number 1432 120th St, New Richmond, WI 54017 715-246-4516 Property Owner _ Parcel ID # / Page of E Boring # El Boring r J pit Ground surface elev. ~1v ~7 ft. Depth to limiting factor 3 7 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 Z Z^ 7 ❑ 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 ❑ Boring ❑ Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ Pit 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 = BOD5 > 30 < 220 rmf/L and TSS >30 < 150 mg/_ • 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 (RAM) Property Owner _ Parcel ID # / Page of Boring # ❑ Boring { r~ J P..Pit Ground surface elev. r ft. Depth to limiting factor in. N*Eff#l 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#2 0 f 2 3 Z l J - ✓ + A114 --Z o 7 4L Z~ ❑ 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 ❑ 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 Effluent #1 = BOD, > 30 < 720 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BODS < 30 mg/- 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) P roject Name Ron Bonte Soil Test Plot Plan Shaun Bird Address 1070 170th St. Hammond Wi 54015 CST 226900 Lot 3 Subdivision Date 10/25/15 SE 1/4 NE 1/4S 8 T 29 N/R17 W Township Hammond Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of 2" pipe System Elevation TBD *HRpSameasBenchmark Scale is 1" = 40' unless otherwise 428.8' Property Line noted 45' B-3 100.5' 14 -bl-n -AL 25' 99.5' 90' B-1 0 B-2 5% Slope 40' B.M.* 150 S 170th St` I~