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Home My WebLink About018-2001-10-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM FSanfta Safety and Building Division St. C oix INSPECTION REPORT ermit N o: GENERAL INFORMATION (ATTACH TO PERMIT) 589790 Personal information you provide may be used for seconds u State Plan ID No: ry p rposes (Privacy Law, s.15.04 (1)(m)] 2746661 Permit Holder's Name: City Village Township Oevering Homes Parcel Tax No CST BMEIi TOWN OF HAMMOND 018-2001-10-000 ev, Insp. BM Elev: BM Description: ( f~ ~ I ~ Section/Town/Range/Map No: TANK INFORMATION ~J 14.29.17.874 ELEVATION DATA TYPE MANUFACTURER CAPACITY 2. t STATION BS HI FS ELEV. Septic ttJ~t" rJ 3 J t Benchmark Dosing 7 2 • 10Z-4 /60 Alt. BM rl~ GOJ' 3~~ - Aera lii&r 7 Bldg, Sewer ro Holding §t/Ht Inlet * !a, 3 g~- z TANK SETBACK INFORMATION ESystem ot. TANK TO PL WELL BLDG. Vent Air Intake ROAD Septic ~ ~ Dosing 50 1 Aeration 9'• g' rj• p ' '7 Holding `•5 99• g 3 3 99• PUMP/SIPHON INFORMATION Final Grade C Manufa cturer 16o , Demand St Cover Model Number GPM~h W GO i.~ •t/ /Q .9 ~7 r TDH Liftf% Friction Los System Hea TDH t I to Z70 Forcemain Length Dia Dist. to Well C SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. rench s DIMENSIONS Q PIT DIME SIONS No. Of Pits Inside Dia. Liquid Depth SETBACK SYSTEM TO P/L BLDG WELL INFORMATION LAKE/STREAM LEACHING Manufacturer: TYp ystem: //tt CHAMBER OR QJ 3 G 3'~p UNIT Model Number: DISTRIBUTION SYSTEM f33 1 anifo~ / to , Header/M Distribution 6 Pipe(s) + Z x Hole ize ` / 1 x Hole Spacing 1dr- Ver Air In LengthDia Length Dia Spacingt 7 ~ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over e, Depth xx Depth Bed/Trench Center / x of xx Seeded/Sodded xx Mulched 1V Bed/Trench Fdges Topsoil es No 1 Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / V Inspection #2: Locatlon: 928 193RD ST 1.) Alt BM Description = C~. a: s l►-a / S d 2.) Bldg sewer length = 15 ~••i - amount of cover = t\6),- • / die l ~ Plan revision Required'? Yes k "No L4 Use other side for additional information. SBD-6710 (R.3/97) Date Insepctor's ature Cert. No. ~r 1 S Safety and Buildings Division r 201 W. Washington Ave., P.O. Box 7 162 Sanirarv Permit- N umber (to be filed in by Co. I gU Madison, Wl 57D7-7162 AG I i C fot,le i L t d State Transaction Number QMMUNl gRit Application In accordance with SPS 383.21(2), Wis. Adm mission of this form to the appropriate goverurueuud unit ~r fY s is required prior to obtammg a sanitary permit. Note' Application forms for sme-owned PORTS are submitted to Project Address (if different than ma ling address) the Department of Safety and Professional Servies. Personal information you provide may be used for sewn purposes in accordance with the Prix - Law, s. 15. 4(I) m), Stats. ^ I. Application Information - Please Print All I z r f Property Owner's Name cefl1; Lac~at, Property Owner" s Maing Ad s Plo m ~ on , ! ' f ft- "t '.r 1 m fl d `i k J I I Par7 Govtt City State Zip Code Phone Number Section , ~y/y`'1., II. Type of Building (check all that apply T N: R or RJ r 2 Fancily Dwelling - Number of Bcdroo~ Subdivision Name Jr At, ❑ Publie!Commercial -Describe Use j _ ❑ City of CAD ~ 0 State Owned - Describe Use CSM Number ❑ Village of ~ Jw ~ ` llf. Type of Permit (Check only one box on line A. Complete line B if applicable) A- ew S stem ❑ Replacement System Y I ❑ Treatrnent/HOlding Tank Replacement L Only Other Modification to --xtstino System (explain) --i B• ❑ Permit Renewal ❑ Permit Revision i ❑ Change of Plumber Permit T ransfer to New Litt reviocu Permit Nlunber and Date Issued ` Before Expiration Owner IV. T of POWTS S stem/Com onent(Device: Check all that awl-Y) p L~) ❑ Non-Pressurized In-Ground ❑ Pressurized In-Grotmd ❑ At-Grade ❑ Mound ? 24 in. of suitable soil Mound < 24 it., of suitable soil Ll Holding Tank Ll Omer Dispersal Component (explain)--__ ❑ Pren-caunent Device (explain] _ c -I V. Dis ersal/Prea ent Area Inmapacrtym 7 k- Des Flow (gpd) Design~Soil Ads fl Dispersal A. Req (s, Dispersal Area Propose s System Elevation ~ VL Tank Info 'Loral # f manufacturer Gallons Gallons Units i New Tanks Firnv Tanks + = - I ~ v rn" ~ in Ayf I Ard Septic or Holding Tank - f I t i 1Tosin9 G'Laml,zr VII. Responsibility Stateme - L the undersigned, a " me responsibility for installation of the PORT'S shown on the attached plans. j Plum s Name (Print)J' Pl~ut9Jler's Simatt re 1,4PWP S Number j Business Phone Nunn i Plumber's Ads ( get, rty $tatc, Ztp 44,1 V1W r ^ County/De artment Use On] Approved Permit Fee ,,,r . ~iYM ` I Issuing t Sipature eason for Dcnc S y~ w LX. Conditii tins for Dis prova) n 1. ."or: tai*, edh*nt liter i`t f J~11 t~ rat/at dh Mai tell must all ¢2-VdX& s ! mt~inta4nec 3) ws psr nWagement plan provided by plumber, 2. bil k veqy0emwft must be maintfitisd ss pW gNic" Code I ordinsltoaa. pe(AM t~-- Attach to complete plans for the system and submit to the Qo/m~ty odp oa papv not less than 8 12 x l l inches Ln site SBD-6398(R 11/11) '44A I\6-.A^ G` O a.J1~Vt-r''Sr In/ti Vrvt'° System PLOT PLAN PROJECT Oeverino Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017 NE 114 SW 1/4S 14 /T 29 N/R 17 W TOWN Hammond COUNTY ST. CROIX SYSTEM ELEVATION 100.6' 1.6' sand lift! 7/28/16 BEDROOM 4 DATE CONVENTIONAL AT-GRADE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE 765 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 600 # of chambers none BENCHMARK V.R.P. Top of pvc pipe ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE 0 WELL *H.R.P. same as benchmark B.M.x 100' 498.92' Property Line 99, B- Ali B - B / 98, 193rd St. 97' Area 15' below B-A~ system is to remain 8% Slope undisturbed lease note: B-B was placed in a its proper location, also the bed is 75' long and fits on the contour of 99.0' All dimensions have been confirmed in the field and nescessary adjustments have been made. 3.17 Acre Lot Tank is to be properly bedded cEu tCoom o k and provided with lockdown covers with ° approved warning labels Pro 4 Bedroo House Gradi g is to be done to divert run-off away from stem ' Well is to meet all WDNR setbacks Scale = 1/4" = 10 !w: ~Vy Lo `~taF-r~rr, DIVISION OF INDUSTRY SERVICES rte., 233, SAN LUIS PL STE 150 GREEN BAY WI 543(]4-5211 DO Contact Through Relay http://dsps.wi.govlprogramslindustry-services www,wisconsir gov J~kfoh Scott Walker, Governor Dave Ross, Secretary August 08, 2016 _ V i I C3 i> CUST ID No. 226900 ATTN. PO11'7S' lnSpector SHAUN R BIRD ZONING OFFICE BIRD PLUMBING INC. ST CROIX COUNTY SP1A 1432 120TH ST 1101 CARMICHAEL RD NEW RICII~IOND WI 5 40 1 7-6409 HUDSON WI 54016-7708 CONDI'T'IONAL APPROVAL F ldentification Numbers ~ PLAN APPROVAL EXPIRES: 08/08/2018 1D No. 2746661 Transaction SITE, Site ID No. 827258 _ Oeverina Homes L Please refer to both identification numbers. 928 193RD Stabove, in all correspondence with the a«enc~Town of Hammond St Croix County NE 1;4, SW 1 A, S 14, T--,9N, R 17W FOR: Description: Mound System 114 Bedrooms - NeA Construction) Object Type: POWI-S Component Manual Regulated Object ID No. 16165_ S Maintenance required; 600 GPD Flow rate; 17 ut Soil minimum depth to Ir.in-factor from ori-,inal Grade; System(s): Mound Component Manual - Ver. 2.0, SBD •10691-P (N.01101, R. 10,, 12), Pressure Distribution Component Manual - Ver. 2.0. SBD-10706-P (N.01101, R. 10/12); Effluent Filter The submittal described above has been reviewed for conformance with applicable \k isconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. 'This system is to be cons ructed and located in accordance with the enclosed approved plans and with am 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 x.145.06. stats. The following conditions shall be met Burin, construction or installation and prior to occupancy or use: • Preserve dispersal area prior and during construction to avoid disturbance, compaction and use of the site. • With new construction; it is recom-nended not to activate the pump in the dose tank until the tanks are pumped prior to homeowner occupancy. • Wastewater generated from contractors cleaning of equipment and tools and;or left over construction products shall not be discharged into the drains discharging to the private onsite wastewater treatment system (POWTS). Waste generated shall be properly disposed of on-site or off'site. • Any tall grasses, leaves and shrubs shall be cut short and removed prior to tilling the surface for installation to prevent matting under the dispersal area. • Prior to construction of the dispersal area check the moisture content ofthe 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 rollinL, a soil sample between the hands. If it rolls into a 14- inch wire, the site is too we pare. If it crumbles site preparation can proceed. If the site is too wet to prepare, do not proceed until it dries. SFivt"N R Btxr, PaEe 2 8"S "_016 • 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)ic) • Well setbacks to meet chs. NR 811 K 812 • Tank Installation to follow- all manufacture's recommendations • Verify property line(s) prior to installation. • Pump Floats to be set and verified per approved plan. Anv changes ntav result in pump resizing to meet TDH and GPM Specifications. • Areas that are occupied with rock fl-aQments, 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 o;f at --i-cund Ievel A larger fill area is necessary when any, of the above conditions are encountered. to provide suftlcient infiltrative area • SPS 383.54(1)(e) The management plan for a POW i S shall specifically address the semcing mechanics of an aerobic or anaerobic treatment tank or a holding tank where either of the following conditions exist: 1. The bottom of the tank is located more than 1_ feet below the elevation where the servicutg pad is located. 2. 'The bottom of the tank is located more than I ~0 feet horizontally from_whcre the servicing pad is located. O'%vner 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 owITaer's manual for the POWTS described in this approval SPS 383.54(1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. A copy of the approved plans, specifications and this letter shall be on-site durin, construction and open to inspection by authorized representatives of the Department, which may include local urspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction; installation'operation. In ~m-anting 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 concernin, 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 C- This Amount Will Be Invoiced. v When You Receive That Invoice, Tim Vander Leest Please Include a Copy With Your Private Sewage Plan Reviewer , Division of Industry Services Pavment Submittal. (920)492-22 l4 , Monday - Friday 6 am To 3:30 pm WiSMART code: 7633 tim.v anderleest ~i-w isconsin.gov SnkUN R BIRD Page 2 S,'9'2016 • 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) • Well setbacks to meet chs. NR 811 & 812 • Tank Installation to follow all manufacture's recommendations. • Verify property line(s) prior to installation. • Pumn Floats to be set and verified per approved plan Anv changes may result in pump resizinz to meet TDH and GPM Specifications. • Areas that are occupied with rock fi•agrnents, tree roots, stumps and boulders reduce the amount of soil avallab':e for proper treatment. If r.o other site is avalable, trees in the basal area of the mound must be cut o at around level. A larger fill area is necessary when any of the above conditions are encountered, to provide sufficient infiltrative area. • SPS 383.54(1)(e) The management plan for a POWTS shall specifica]y address &,,a servicing mechanics of art aerobic or anaerobic treatment tank or a holding tank where either of the following conditions exist: 1. The bottom of the tank is located more than 1 feet b low the elevation w~tere the servicing pad is located. 2. The bottom of the tank is located more than 150 feet horizontally from where the servicing nad is located. Owner Responsibilities • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval SPS 383-54(l). • 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 continency plan as described in the approved plans. A copy of the approved plans, specifications and this letter shall be on-site during, construction and open to inspection by authorized representatives of the Department which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of c onstruction'installation/operati on. In granting this approval the Division of lndusty 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 TI / / This Amount Will Be Invoiced. When You Receive That Invoice, Tim Vander Leest Please Include a Copy With Your Private Sewage Plan Reviewer, Division of Industry Services Payment Submittal. (920)492-2214, Monday - Friday 6 am To 3:30 pm WiSMART code: 7633 tim.vander] eestgwisconsin. gov Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St.' New Richmond Wi 54017 715-246-4516 Date: 7/28/16 Owner:Oevering Homes Location: NE1/4 SW1/4 S14 T29 N,R17 W 928 193rd St. Hammond Manuals Used: Mound Component Manual Version 2.0 (N.01/01, R. 10/12) Pressure Distribution Manual Version 2.0 (N.01/01 R. 10112) Page# 1. Cover Page 2. Mound Plot Plan 3. Mound Cross Section 4. Pipe Cross Section/Pipe Layout 5. Pump Chamber Cross Section 6. Pump Curare 7-8. Maintance and Contigency plan 9. Filter Specifications and cross section Attachments: Soil Tes Shaun Bird Signature License numb r 26900 Page 1 of 9 PROJECT Oeverina Homes System PLOT PLAN NE 1/4 SW I/4S 14 IT 29 ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017 N/R 17 W TOWN Hammond COUNTY ST. CROIX SYSTEM ELEVATION 100.6' 1.6' sand lift! 7/28/16 CONVENTIONAL DATE BEDROOM 4 AT-GRADE CONVENTIONAL LIFT HOLDING TANK MOUND M SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE 765 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 600 # of chambers none BENCHMARK V.R.P. Top of Pvc pipe ASSUME, ELEVATION 100° Filter Lifetime Filter BOREHOLE O WELL *H.R,P. sameasbenchmark B.M.* 498.92' Property Line 100' B- 99' B - B 9 8 193rd St. 97' Area 15' below System is to remain B A undisturbed 8% Slope lease note: B-B was placed in a its proper location, also the bed is 75' long and fits on the contour of 99.0' All dimensions have been confirmed in the field and nescessary adjustments have been made. 3.17 Acre Lot Tank is to be properly bedded Huff mbo Tank and provided with lockdown covers with approved warning labels Pro 4 Bedro m House Grading is to be done to divert run-off away from system Well is to meet all WDNR setbacks Scale = 1/4,, = 1 Q' Mound System Cross Section and Plan View ~ Dimension Feet J i - B , J ^ D rvvYr~ a.tY4r'trrt:iri'a:{:~~ti`~Z^ry,'.~ Y iiY. i'. ri`r~}~i~~'"~i : ♦ r-} v r J{:{ wt a♦ r r r {y.r 1rii'{iii`i'-r~i'.~{~-'•ti`{ 5r~ {.v L., , y rvti rtir ♦ w. ti ♦ v ♦ t i .Cri. Yi'Y ' • _ i F G 1 ~ H (.O 1 i J .7~ 2-- K 7 7 w 7, K T_ B 1 Z 41 L Slope % - 1 = Topsoil = ASTM C-33 al { =Clean aggregate O = 4 in. sch. 40 pvc ;I Cap Materi sand fill {•r.:; '/2 to 2 '/z in. dia. observation pipe Geotextile - ---f-- Fabric G H F .D (7 Ft Contour Plowed Surface Slope Direction GENERAL INSTALLATION: The mound area is staked out along the design contour. Existing vegetation is mowed and raked off the site. The mound basal area (L x W) is plowed with a moldboard or chisel plow. Plowing may not proceed if the soil is wet enough at the plow depth to form a''/a inch soil wire when a sample is rolled between the palms of the hands. ASTM C-33 quality sand is placed immediately after plowing. Sand is placed with a tracked machine keeping 12 or more inches of sand under the tracks or is placed overhead by a backhoe. Special care must be used when placing sand of less than one foot thickness to minimize compaction of the plowed surface. After the topsoil cap is placed, the entire mound is seeded and mulched to promote vegetative growth, limit erosion and protect from freezing. The observation pipes are slotted in the lower 6 inches and secured in place with rebar or a closet flange. 10/071gj 2 C Page J of - Pressure Lateral Layout Two Laterals - End Manifold 4 Threaded Cleanout Lateral Turn-up 0 Plug Manifold M Force Main - L Long Sweep 90 Bend Distribution Network S ecifications Lateral Diameter Pressure System Construction Z In. Manifold Diameter In. Laterals are constructed of Schedule 40 PVC Orifice Diameter J~'j~3Z In X Orifice Spacing) ter pipe. Orifices are drilled perpendicular to In. the pipe with a sharp drill bit and face down. L (Lateral Len Ft. Lateral turn-ups terminate with a threaded M Manifold Len th Ft. cleanout plug; and are enclosed in a 6-8 inch Force Main Diameter Z. In. diameter lawn sprinkler valve box accessible Force Main Length j Fl. from finished grade. Grade 6-8 Inch Lawn Sprinkler Valve Box Page of 03/05 lgj i Septic-Dose Tank Cross Section And Pump Performance Specifications Tank ManuActurer P Tank Model Number S^J ' Pump Model Number /t J J 3 Total Tanis COY f Alarm Maanufacduer < Max. Bury Depth Alan. Model Number L- c/ Switch Type c~ t • Filter Manufacturer Total Dynamic Head (TDH) - Feet Fitter Model Number j o Elevation Head Distal Pressure Network Loss Minimum Pump f erfi mancc Required Force Main Loss GPIV4 Ft TDH Total Outlet Manhole la 1 Manhole Min. in. 4" Above Grade With 4" Above Grade Locking Device. Inlet Manhole With Locking Device < 6" Below Grade Sealed Watertight Securely Mounted weather--proof Junction Boot - - - Finished (',trade - - . Vent Min. 12" Disconnect Above Grade Means With Vent Cap a Outlet Filter - - - - - Bade htleet Wet A ` Switch Settings and Reserve Capacity weep p Tank Vokm2e = GPI $ Role Dimension Inches Volume Gal. (reserve) A' (alaast) B 2 Off Ele on C 96, Ft (dose) C $ 136 Bottom (dead) D D Elevation Total„ s Ft GENERAL INSTALLATION: The septicldose tank is bedded Wd bark filled m accordance with the pth of bury as specified by the manufacturer may not product.apixovai specifications. Maximum de be exceeded without prior *Trovel. Manhole covers exposed to grade have as effective looking device (padlock) installed. Piping at the inlet and outlet is of approved material, conneced to the tank with wawrfi& fittings, and laid on stable soil too prevent sMIMg or . The force main is sleeved with C Sch. 40 PVC to bridge the tank excavation and the .slemve. is sealed watertight , Electric se~+ice Iles vvitlt NEC 304 and Comm 16.23. Page of 42/05 U TOTAL DYNAMIC HEAD/CAPAC'TY HEAD CAPACITY CURVE PER MINUTE EFFLUENT AND DEWATERING N MODEL 152/153 W W MODEL I 152 t53 ! W 50 feet j Meters G0 . i Liters G01 Liters 153 5 1 5 1 69 251 77 291 12 40 152 to 3.1 61 ` 231 I 70 265 o 15 4.6 53 201 I 61 231 = I 20 - 6.1 i 44 167 52 197 30 I- 5 7.6 I z4 129 i 42 159 8- 30 9.1 I 23 87 33 125 i C, 01 - - I 22 tip - 20' 35 o j 4C 122 O- - j i 4-I _„:k voive. j3°.0 (e?.Cn144.0 Ft. ('34 10 - c.+sas 0 20 6,0 80 10C CALLONS LITERS S 114 0 80 160 240 320 3 2,j32 ~s 5 FLOW PER MINUTE j 3 27/32 CONSULT FACTORY FOR SPECIAL APPLICATIONS - • Timed dosing panels available. ® 3 27132 Electrical alternators, for duplex systems, are available and supplied with an alarm. i Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable 7 - ,1 level long and short cycle controls. j t Sealed Qwik-Box available for outdoor installations. See FM142C. i j • Over 130°F. (54°C.) special quotation required. I I i 152/153 Series t_ 1521153 MODELS Control Seiection )I j I Model Votes-Ph Mode Amps Sim ex Duplex N152 115 1 Non 8.5 1 2 or 3 ---I BN152 115 1 Auto 8.5 Included 2 or 3 I j sKZOSt E152 230 1 Non 4.3 1 2 or 3 I SE152 230 Auto 4.3 Inclu:ed 2 cr 3 N153 115 1 Non 10.5 i 1 i 2 or 3 BN153 115 1 Ato 10.5 Inclined 2o;-3 SELECTION GUIDE Ets3 ?30 1 Non 5.3 1 2 or 3 1 Single piggybad. variable level float switch or double piggyback variable level float BE153 230 1 Auto 5.3 3 Included 2 or 3 switch. Refer to FM0477_ o CAtmoN 2. See FM0712 for correct model of Electrical Alternator E-Pak. AO installation of controls, protection devices and wiring should be done by a qualified 3. Variable level control switch 10-0225 used as a control activator, specify duplex (3) licensed electrician. AB electrical and safety codes should be followed including the most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). or (4) float system. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL T0. P.0 Box 16347 Louisville, KY 40256-0347 Mam-4-turrlsof. SHIP TO: 3649 Cane Run Road /7 ~7p s- Louisville. KY 40211-1961 Q//QUTY P!/dfFS ,y'nvcf ~~i1~1 v ® ,502) 78.2731.1(600) 928-PUMP httpJ1wwwsoe8er.comi p4i !O. FA 1'502) 774-3624 - (D Copyright 2000 Zoeller Co. All rights reserved 6 t) 7 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page_____-ot FlLEINFORMATION SYSTEM SPECIFICATIONS Owner (A Septic Tank Capacity I~ al ❑ NA Permit # Septic Tank Manufacturer NA DESIGN PARAMETERS Effluent Filter Manufacturer Z6- p NA Number of Bedrooms ❑ NA Effluent Fitter Model ❑ NA Number of Commerttal Units NA Pump Tank Capacity al NA Estimated flow (average) 41()(1) gday al/ Pump Tank Manufacturer NA Design flow (peat), (Estimated x 1.5) aVd Pump Manufacturer ❑ NA Soll Application Rate aUda /ft2 Pump ModelC03 NA -L2 _q A2 ~ Influent/Effluent Quality Monthly average' Pretreatment Unit 049- Grease (FOG) s30 mg/L ❑ Sand/Greve( Filter C1 Peat Flter Fats, Oil & ❑ Mechanical Aeration ❑ Wetland Biochemical Oxygen Demand (BOD.) 420 mg/L Total Suspended Solids (TSS) 5150 m 1L ❑ Manufacturer ❑ Other. ~6 Manuurer Pretreated Effluent Quality PQN ' Monfhly average" Dispersal Cell(s) Biochemical Oxygen Demand (BODs) 5.30 mg/L ❑ In-ground (gravity) In round (pressurized) Total Suspended Solids (TSS) s30 mg/L ❑ At-grade Mound Fecal Coliform (geometric mean) s1W du/100m1 ❑ rip-line e17 Maximum Effluent Particle Size K inch diameter values typical for domesbc (non-convnerciaq wastewater and septic: tank effluent. values typical for pretreated wastewater. MAINTENANCE SCHEDULE Service Event Service Freq ncy Inspect condition of tank(s) At least once every ❑ mon[ ear(s) (Maximum 3 yrs.) Pump out contents of tank(s) When combined sludge and scum equals one-third (y,) of tank volume Inspect dispersal cell(s) At least once every 'h'13 months ar(s) (Maximum 3 yrs.) ❑ month ear(s) Clean effluent filter At least once every Inspect pump, pump controls & alarm At least once every ❑ months ear(s) ❑ NA Flush fat6rals and pressure test At least once every ❑ months r(s) ❑ NA Other At least once every ❑ months ❑ year(s) ❑ NA other At least once every ❑ months ❑ year(s) ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer POWTS Inspector; POWTS Maintainer, Septage SerVkft Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, Identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the Immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third (X,) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with ch. NR 113, Wisconsin Administrative Code. The servicing of effluent filters, m nical or pressurized POWTS components, pretreattment components, and any other maintenance or monitoring at irlervals of 12 months or less shall be performed by a certified POWTS Maintainer. A servicfi report shall be provided to the local regulatory authority within 10 days of completion of any service event. START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of paintin products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high cono6n.trations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. Page of START UP AND OPERATION other chemicals th~~t For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when sal conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess Wastewater will ble discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of affu To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring pow the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb of Compact, the area within 15 fleet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POW 5: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation dra (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting producils; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is propeiiy and safety abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of ail tanks and pits shall be removed and property disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN if the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliont replacement system: ❑ A suitable replacement area her, been evaluated and may be utilized for the location of a replacement soil absorption systei n. The replacement area should be protected from disturbance and compaction and should not be infringed upon by requitled setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the nejed with the nAee in for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a j holding tank may be Installed as a last mart to replace the failed POWTS. The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a sob and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed) as a last resort to replace the failed POWTS. Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative urtace. Reconstructions of such systems must comply with the rules in effect at that time. <<WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO MOT j ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE O~ A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS - POWTS INSTALLER POWTS MAINTAINER Name Name 3 Cu.. Phone ! S Phone SEPTAGE SERVICING OPERATOR PUMPER LOCAL REGULATORY &UTH2gg Name 0- Yy? Name Phone Fhone 'J C~ rO This document was drafted in corrvliance with chapter SPS 383.22(2)(b)(1)(d)&(f) and 383.54(1), (2) & (3), Wisconsin Administrative Code. F r' ~faG'y' a .l 1 - iF 1 I ` I - lliiij! ~ 11i e f ~ i I I i i i I N v O q P I O ~ -m - j J LJ I 11 { c o ~ N ~ Q I v ~n Q/ Q F~ Q I yr O 3 Z ~ o U w o ~ r- I I I II - ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Dee>~; 1(~ - Mailing Address _ L_. Property Address (Verification r equrred from Planning & & Zoning Department for new construction.) City/State Parcel Identification Number,/ LEGAL DESCRIPTION Property Location %4 / " 4 " T'-- -N -~W Town of , Subdivision Lot # Certified survey map # IZ - Valarne pie # _ Warranty Deed # , Yoltulie - Page # ----Spec house es no - l,ot lines identiftabl ye no SYSTEM MAINTENANCE AND OWNER CERTIFICATIQ2\i Improper use and maintenance of your septic system could result in its premature failure maintenance consists of PumP~out the the system can affect the function °f the Septic tank every three years or sooner., if needed, by a lice handle wastes. Proper pumper. responsibilities are specified in Co tank as a treatment stage in the waste disposal system. owner maintenance What you put int<, runx 83.52(1) and in Chapter t 2 - St. Croix C"ourlt Sanitary Ordinance_ The property owner agrees to submit to St. Croix County owner and e a master owner e, 'o Planning & Zoning De wastewater disposal ~n plumber, restricted lu g partment a certification form, signed by the ng condition and/or rber or a licensed pumper mper verifying that (I) th system b riti , o Proper operati e on-site less than 1!3 full of sludge. (2tr) after inspection and pumping (if necessary), the septic tank is Uwc, the undersigned have read the above to standards set forth, herein, as set by the De 9uirements and agree to maintain the private sewage disposal system with the Cemdard se sorting that your septic system has ment Of Commerce and the Department of Natural Resources, State of Wisconsin. Zoning Department within 30 da s of the maintained must be completed and retiuned #o the St_ Croix County Pianrrin y s year expiration date. gXc I/we certify that all statements on this fon are true described above, by virtu of a watt e to the best of my/our knowledge. I/we am/are the owner(s) of the deed recorded in Register of Deeds Office. Number of bedrooms IGNAT OF APPLICAN (S) - , F r~ DA ATE ***Any information that is misrepresented may result in the sanitary Permit being revoked by the Planning & 'Lorin D * Include with this application a recorded warranty g ePartment. reference is made in the warranty deed deed from the Itegisier of Deeds Office and a copy of the certified survey map if (REV. 08/05) U -t LOT 9 \ \ 1. s5 Ac. OD M _ 135304 S. 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