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HomeMy WebLinkAbout030-2112-70-000 Wisconsin St. Croix Department of Commerce PRIVATE SEWAGE SYSTEM ~OUn`y Safety and Building Division Sanitary Permit No: INSPECTION REPORT 592107 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)] 2746749 Permit Holder's Name: City Village Township Parcel Tax No: Travis Goltz TOWN OF SAINT JOSEPH 030-2112-70-000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: 30.30.19.924 TANK INFORMATION ELEVATION DATA TYPE MAN EfO', ,IX r-APACITY STATION BS HI FS ELEV. dfiA Septic A( Benchmark b ' C;D l v vI 1 Dosing -I Alt. BM M Bldg. Sewer 1 L l.~ ~ttt t 1(0.o S t Inlet SUHt Outlet Q / V TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic ! ~ + Dt Bottom -7 2., • !l Dosing ~"^j • Head Ma AI 2.) Aeration ( Dist. Pipe 'Y~f 3 I Hold ng Bot. System / S Final Grade / ,J PUMP/SIPHON INFORMATIO j S zg I 4616nd St Cover.fi Manufacturer GPM I IV Model Number bh f J~ N V 0-1 System Head TDH_ •,Ft r TDH LI/, Friction Loss Forcemain Length Dia. tJ Dist. to Well SOIL ABSORPTION SYSTEM 0f rj~ ~V BEDITRENCH Width 11-engtl~~ No. Of iF en el es IVICTEY^ 13 PIT DIMENSIONS No. Of Pitt Inside Dia. Liquid De DIMENSIONS 12- 11 1 1 SETBACK SYSTE TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Typpgf of h t 1 ! ,n r fk 44 UNIT Model Num : DIST UTION SYSTEM rIOYa-1'~ Heade Mani Distribution x Hole Size x Hole Spacin2-1 Veto Air Intake Length Dia Length Dia Spacing _2n~ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only y- Depth Over Depth Over xx Depth 7eded/Sodded w.Mulched Bed/Trench C to Bed/Trench Edges Topsoil I~! by `~es No Yes No /''~~/,n J COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 1 C) Z. ( ~a inspection #2: Location: 1315 WHITE EAGLE WAY ^ "PLU". It&Y-Town Use& bL Vl 1.) Alt BM Description WFL n i n s~{cti 0n 2.) Bldg sewer length= p~vnnb-cr ti) SU b1~1~ -amount of cover PU"^~ P Luy bc ~~ti►~ o~ cover on all @ -Pinlr~ o~ro~ci~ ~ Plan revision Required? Yes No Use other side for additional informatidn. I ( ~ 7 , Insepctor's Signature Cert. No. SBD-6710 (R.3/97) Date 07$ county r~ j ')l4 Safety and Buildings Division ) < n EC d V 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be tilled in by Co.) S f Madison, WI 53707-7162 a- AUG 1 512 ST. cR0i$d0Permit Application Transaction Number In accorc mmumw Mnom%E t, submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary pem~ u~ ~ ``t'' ote: Application forms for state-owned POWTS are submitted to Proj Address (if different than trailing address) the Department of Safety and Professional Servies. Personal information you provide may be used for secondary I11. C /~15 ~stJlhAt~ 4, purposes in accordance with the Privacy Law, s. 15.04(1) m), Stats. E' L Application Information - Please Print All Information Oct c) Property Owner's Name Parcel # r_ 036 - ~ldi Property Owners Mailing Address Property Location j 6 , 36,' , , 6 it (SbpvL Lot 6 ~cL VM_ AA.-s City, S Zip Code Phone Number ry+ Section f / J crrclc o H. Type of ilding (check all that apply) Lot T_S N; R/ or W r 2 Family Dwelling - Number of Bedmo Subdivisi n Dame Block # ❑ Public/Commercial - Describe Use 1~.• J ❑ City of ❑ State Owned - Describe Use CSM Number ❑ Village of own of TIL Type of Permit: (Check only one box on line A. Complete line B if applicable) a A. f4ew System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. List Previous Permit Number and Date IS ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New Before Expiration Owner W. Typ~ ofPOWTS System/Com onent/Device: Check all that a I D • 0 ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ er Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dis ersal/Trea ent Area Information:, TV- Design Flow (gpd) Design Soil Applicat f) Dispersal Area Requ' (sf) Dispersal Ar6 opo s Syste Ei VL Tank Info Capacity in Total # of Manufacturer Gallons Gallons units 0-0 New Tanks Existing Tanks t o ° a m I 1 Septic or Holding Tank Dosing Chamber 26Jd 1 6, 4&) j VII. Responsibility State - 1, the undersigned, ass r ponsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Prv) Plumb s orate MPlMPRS Number Business Phone Number Plumber's Address (Street, C ; tate, Zip , ounty/De artment Use Only pproved Permit Fee Date sued Issuine . t Si Pau" J-V 1 N S 11,00 en Reason for Denial ' DL Condi ason . or D' approval 03? L dial, Coil mutt at be etat9ses , naintgrtes, Gam, ~"at as per rnWapo"°M plan Provided by plumber. / 2 AN stl4M~t ~s "KW be meiMz fined n pet sppolglbMR code / erdiurim. " t S r8 ~•~G Attach to complete plans for the system and submit tot County only oa paper not less than 8 tr z l l inches Nsh SBD-6398 (R. 11/11) System PLOT PLAN PROJECT Travis Goltz ADDRESS 6037 Summit Court South Coffaae Grove Mn 55016 SE 1/4 SW 1/4S 30 /T 30 N/R 19 W TOWN St. Joseph COUNTY ST. CROIX SYSTEM ELEVATION 96.4' 7/31/16 4 DATE BEDROOM 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 survey iron ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE (DWELL *H,R,P, same as benchmark Property Line (not to scale) 94' 95' 95.4' 96 Property Line Scale = 11 - 10' B-2 5% Slope * Grading is to be done B.M. Pro 4 to divert run-off )edrCom B-3 away from system /Area 15' Below ouse system is to remain b undisturbed Huff `w Combo Tan B-1 WO Tank m properly and prove with Well is to lockdown meet all WDNR Property Line (not to scale) covers with approved setbacks warning labels To White Eagle Way l DIVISION OF INDUSTRY SERVICES 2331 SAN LUIS PL STE 150 GREEN BAY WI 54304-5211 S Contact Through Relay P http://dsps.wi.gov/programs/industry-services s t www.wisconsin.gov Scott Walker, Governor Dave Ross, Secretary CONDITIONAL August 09, 2016 APPROVED DEPT OF SAFETY OUST ID No, 226900 ATT1V: POWTS Inspector PROFESSIONAL SEJ SHAUN R BIRD ZONING OFFICE DIVISION OF INDUSTRY BIRD PLUMBING INC ST CROIX COUNTY SPIA 1432 120TH ST 1101 CARMICHAEL RD NEW RICHMOND WI 54017-6409 HUDSON WT 54016-7708 SE~ CONDITIONAL APPROVAL - PLAN APPROVAL EXPIRES: 08/09/2018 Identification Numbers Transaction ID No. 2746749 SITE: Site ID No. 827273 Travis Goltz Please refer to both identification numbers, Lot 7 White Eagle Way above, in all correspondence with the agency. Town of Saint Joseph St Croix County SE 1/4, SW1/4, S30, T3 ON, RI 9W FOR: Description: Mound (4 Bedrooms - New Construction) Object Type: POWTS Component Manual Regulated Object ID No.. 1616597 Maintenance required; 600 GPD Flow rate; 24 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Ver. 2.0, SBD -10691-P (N.01/01, R. 10/12), Pressure Distribution Component Manual - Ver. 2.0, SBD-10706-P (N.01/01, R. 10/12); Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • Preserve dispersal area prior and during construction to avoid disturbance, compaction and use of the site. • With new construction; it is recommended not to activate the pump in the dose tank until the tanks are pumped prior to homeowner occupancy. • Wastewater generated from contractors cleaning of equipment and tools and/or left over construction products shall not be discharged into the drains discharging to the private onsite wastewater treatment system (POWTS). Waste generated shall be properly disposed of on-site or off site. • Any tall grasses, leaves and shrubs shall be cut short and removed prior to tilling the surface for installation to prevent matting under the dispersal area. • Prior to construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. Smearing and com ap ctina of wet soil will result in reducing the infiltration capacity of the soil. Proper soil moisture content can be determined by rlling a soil sample between the hands. If it rolls into a 1/4- inch wire, the site is too wet to prepare. If it crumbles, site preparation can proceed. If the site is too wet to prepare. do not proceed until it dries. SHAUN R BIRD Paee 2 8!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. • SPS 383.54(1)(e) The management plan for a PO WTS shall specifically address the servicing mechanics of an aerobic or anaerobic treatment tank or a holding tank where either of the following conditions exist: I . The bottom of the tank is located more than 15 feet below the elevation where the servicing pad is located 2. The bottom of the tank is located more than 150 feet horizontally from where the servicing pad is located. • Pump Floats to be set and verified per approved plan. Anv changes may result in pump resizina to meet TDH and GPM Specifications. • Areas that are occupied with rock fi-agments, tree roots, stumps and boulders reduce the amount of soil available for proper treatment. If no other site is available, trees in the basal area of the mound must be cut off at ground level. A larger fill area is necessary when any of the above conditions are encountered, to provide sufficient iifiltrative area. Owner Responsibilities • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval SPS 383.54(1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely,, Fee Required S 250.00 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.vanderleest@wisconsin.gov cc: Edwin A Taylor, Wastewater Specialist, (7I5) 634-3484, Monday - Friday 8:00 am To 4:30 pm SHAUN R BIRD Pace 2 8/9/2016 • 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. • SPS 383.54(1)(e) The management plan for a POWTS shall specifically address the servicing mechanics of an aerobic or anaerobic treatment tank or a holding tank where either of the following conditions exist: 1. The bottom of the tank is located more than 15 feet below the elevation where the servicing pad is located. 2. The bottom of the tank is located more than 150 feet horizontally from where the servicing pad is located. • Pump Floats to be set and verified per approved plan Any changes may result in pump resizina to meet TDH and GPM Specifications. • Areas that are occupied with rock fragments, tree roots, stumps and boulders reduce the amount of soil available for proper treatment. If no other site is available, trees in the basal area of the mound must be cut off at ground level. A larger fill area is necessary when any of the above conditions are encountered, to provide sufficient infiltrative area. Owner Responsibilities • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval SPS 383.54(1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/op eration. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101. 12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 ~j 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.vanderleest@wisconsin.gov cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm Cover Page Shaun Bird Bird Plumbing Inc. r 1432 120th St.~;_ ` New Richmond Wi 54017 715-246-4516 ~c Date: 7/31/16 Owner:Travis Goltz Location: SE1/4 SW1/4 S30 T30 N,R19 W Lot 7 White Eagle Way St. Joseph Manuals Used: Mound Component Manual Version 2.0 (N.01/01, R. 10/12) Pressure Distribution Manual Version 2.0 (N.01/01 R. 10/12) 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 Curve 7-8. Maintance and Contigency plan 9. Filter Specificati ns and cross section Attachments: Soil t I Shaun Bird Signature i License numer 226900 s RECEIVED Page 1 of 9 ,,JG 0 3 201 iMUSTRY SERVICES System PLOT PLAN PROJECT Travis Goltz ADDRESS 6037 Summit Court South Cottaae Grove Mn 55016 SE 1/4 SW 1/4S 30 /T 30 N/R 19 W TOWN St. Joseph COUNTY ST. CROIX SYSTEM ELEVATION 96.4' 7/31/16 4 DATE BEDROOM 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 survey iron ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark Property Line (not to scale) 94' 95' 95.4 96 Property Line B-2 Scale = 1/4" = 10' ° 5% Slope B.M.* Grading is to be done Pro 4 to divert run-off g - 3 ❑ away from system Bedroom Area 15' Below House system is to remain undisturbed Huffcutt Combo Tank B-1 Tank is to be properly and provided with Well is to lockdown meet all WDNR Property Line (not to scale) covers with approved setbacks warning labels To White Eagle Wa y I Mound System Cross Section and Plan View Dimension Feet J r 1 A r B J T L.L•L.L.L• . r L ti.L•iL:lL.ti: . D r JtijLYL•L• •L•L.L:L1~1?titllll1tifif~f:l:J:lir:r:J:t:F:i:t:rsJ:1:J:fLJ:lyf~1~f A r r.rtir1r.:.:.f•ryr. . L L L L LJLrLrLrL.LrL.L•L.L• +•L•riJ1 1f1• briJ:f.f.r~f:r:f~r. r~ftil rti'fi1'lLJL L 'L.L.L.'L.L.L.1.4:ti.1:~.:tir •1:1:ti:ti:tii`J '.:r +•f•JY.r.f:f,r:: L.L.t.LJ1J J~'-•ti 11ti.\•L.L.\.1:ti:~:1:ti11~1~5~•r •r.r•r.r.r.f E ••L•\•L•L•L•L•L•L•L•L• : ::1:~1:f.J.f.JY.JL.r.r.r.r.J.rY.J.f•f.J.r.r.f•J.r.f~ :rL?1"L~L~L~]Ly~y.~yy •L.L.YL.L• 'I L L L L.t.L•L•t.L•YL•L•L•L•L•L•L•L•L•L•L•L•L•L• rL+ r.r.r.J.I.J•+.J•+:J.f.J.r.MJ W r.r•r.+.l.r•l~f:J.r.l:f.isr.r.f.f.....r.r.f.J.J.J.J.f.r.f.r.r.r F , IS, r, r r G r :T" r: r H D r r I r- I D r _ J 'L K L w 6~2 K _T B 1 Z L 40 Slope - =Topsoil = ASTM C-33 r~..r• = Clean aggregate = 4 in. sch. 40 pvc Cap Material L sand fill ' - , •L~1K 1 1/z to 2 %2 in. dia. observation pipe Geotextile G H Fabric F / Ft . ...E Plowed Surface Ft Conto 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 i chisel plow. Plowing may not proceed if the soil is wet enough at the P 1 low depth to form a /4 inch soil wire when a sample is rolled between the pal ms 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 track s or is laced overhead b placed a backhoe. Y Special care must be used when placing sand of less than one foot thickness to min' imize compaction of the lowed surface. p 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 are slotted in the lower 6 inches pipes and secured in place with rebar or a closet flange. 10/07 lgj Page of Pressure Lateral Layout Two Laterals - End Manifold 4 Threaded Cleanout Lateral Turn-up - ► Plug Manifold M X L Long Force Main r Sweep 90 Bend 0rt Distribution Netw rk Specifications Pressure System Construction Lateral Diameter .2- In. Manifold Diameter In. Laterals are constructed of Schedule 40 PVC Orifice Diameter 9-/3 In. pipe. Orifices are drilled perpendicular to X Orifice Spacing) / _ In. the pipe with a sharp drill bit and face down. L (Lateral Length) Ft. Lateral turn-ups terminate with a threaded M (Manifold Length) Ft. cleanout plug and are enclosed in a 6-8 inch Force Main Diameter In. diameter lawn sprinkler valve box accessible Force Main Length Ft. from finished grade. 90 • • • • • Grade • • • ~j 6-8 Inch Lawn Sprinkler Valve Box Page of 03/05 lgj Septic-Dose Wank Cross Section And Pump Performance Specifications Tank Manufacturer Pump Manufacturer Tank Model Number ! ` -0 /-7572 Pump Model Number Total Tank Capacity ~d 5' 7 Maim Manufacturer Max. Bury Depth ' Alarm Model Number FSwitch Type Filter Manufacturer Total Dynamic Head (TDH) - Feet Filter Model Number Elevation Head Distal Pressure . j Network Loss 7 Minimum Primp Performance Required Force Main Loss 3 ~ 3 GPM , Ft TDH Total outlet Manhole Min. 4" Above Grade With Manhole Min. 4" Above Grade Locking Device. Inlet Manhole With Locking Device < b" Below Grade Sealed Watertight Securely Mounted Weather-proof Junction Box Finished Grade Vent Min. 12" Disconnect Above Grade Means With Vent Cap Outlet Filter --r..~~ - - - - - lnlet inlet Baffle - Switch Setgags and Reserve Capacity A Weep Tank Volume = GPl Hole Dimension: Inches Volume Gal. B (reserve) A .2 Off Elevation C {alarm) B : 2 34 . q Ft > (dose) C . ~ ~ ; Bottom ovation (dead) D j.3 D < . > Total / Ft GENERAL INSTALLATION: The septktdose tank is bedded and back filled in accordance with the manufacturer's product.approval specifications. Maximum depth of bury as specified by dw manufacturer may not be exceeded without prior approval. Manhole covers exposed to grade have an. effective loetCing device (padlock) installed. Piping at the inlet and outlet is of approved material, connected to the tank with watertight fittings, and laid on stable soil to prevent settling or sagging. Tlie force main is sleeved with C Sch• 40 PVC to bridge the tank excavation and the.sleave.is sealed watertight. Electri service complies withNEC304 and Comm 16.23. Page of U2105 IS PUMP PERFORMANCE CURVE w PUMP PERFORMANCE CURVE PUMP PERFORMANCE CURVE SUMP I EFFLUENT MODELS w EFFLUENT MODELS 319", ilz"&3/4"SOLID PASSING CAPACITY 318u, 1/2to & 314ee SOLIDS PASSING CAPACITY 53155 13 MODEL 48 57159 12 76 98 1371139 74014140 151 152 153 4 130 191 JR Gal. Liters Gal. Liters Gal. Liters Gal. Liters Gal. Liters Gal. I Liters Gal. Liters Gal. Liters Gal. Liters Gal. Liters 29 110 43 163 38 144 50 189 12 273 93 352 86 32fi 50 189 fig 261 77 291 22 83 34 129 30 114 40 151 61 231 79 299 80 303 45 170 61 231 70 265 3 12 10 38 19 72 14 53 30 114 45 170 64 242 73 276 38 144 53 201 61 231 1z - - - _ _ _ 17 64 25 95 3fi 136 66 250 29 110 44 167 52 197 3 1s 8 30 59 223 16 61 34 129 42 159 11 4186 49 185 23 87 33 125 34- 28 106 11 42 n 60 18.3 32 105 76 21.3 80 24.4 0 90 27.4 - - - - - - - - - - - - - - - - - - - 3 100 30.5 - - - 95110 33.5 2 120 36.6 - - - - - - - - - - - - - - - - - - 90 - - 130 39.6 - - - - - - - - - - - - - - - - - 2 85 Shut-off Head: 18 ft. S.Sm 19.25 ft. 5.9m 18 ft. 5.Sm 25 ft. 7.6m 23 ft. 7.0m 26 ft. 7.9m 50 ft. 15.2m 30 ft. 9.1 m 38 ft. 11.6m 44 ft. 13.4m 0 a 2 84 165 4165 75 22 70 1fi3 16114161 163/4163 165/4165 185/4185 186/4186 188/4188 18914189 191 oo 4163 Gal. Lilers Gal. Liters Gal. Liters Gal. Liters Gal. Liters Gal. Liters Gal. Liters Gal. Liters 2 65 100 379 61 231 61 231 58 220 145 549 145 549 45 170 93 352 61 231 61 231 - - 58 220 140 530 140 530 45 170 1 60 85 322 60 227 61 231 - - 58 220 134 507 135 511 45 170 41651 4889 79 299 59 223 60 227 - - 58 220 128 484 131 496 45 170 16- 55 70 265 57 216 59 223 - - 58 220 122 662 125 473 45 170 140 41 62 235 55 206 58 220 85 322 58 220 116 439 120 454 45 170 "a 45 170 46 172 &112 70 285 58 220 104 394 109 413 45 170 66 1 45 4188 20 76 33 125 51 193 58 220 90 341 97 367 45 170 15 57 32 121 58 220 1 269 85 322 45 170 - - 9 34 52 197 51 193 69 261 45 170 12- S - - - 45 170 26 106 51 193 45 170 35 - 31 117 2 8 34 129 45 170 - 16 80 - - 30 _ _ - 4 15 8_ 25 4185 - 20 - - ftft.(20.1m) 73 ft.(22.3m) 114 ft.(34.7m) 91 ft.(27.7m) 110 t1.(33.5m) 137 fL(41.Bm) 98 6 20- t4 1 4 009922 z A CAUTION Model 185/4185 should not be subjected to 48 z 63,$5 76 37 less than 30 feet TDH. 0 7,59 139 NOTE: For Pump Performance on Model 112, Industrial column GALLONS 10 20 30 50 60 70 80 90\ 100 110 120 130 140 150 explosion proof pump, see FM0219. LITERS 0 80 0 240 320 400 480 560 1 FLOW PER MINUTE w SEWAGE AN D MODEL 211 264 266 267 268 27014270 282/4282 284/4284 29214292 293/4293 294/4294 295/4295 '.1 111 1 GI I L11. I 4m 128 484 128 1~' 127 Is "1 6" 1. 11 1 11, DEWATERING za ao 11 1. 1 11 n 11 1. - 1. 1 2~1 21, 1. .1 1. .1 11 1~ 1~ 112 121 25 7~ 1~ 1. 6 11 2. 75 12 11~ 5r- 72 82 3io 121 - - - - - - - 22 - - - - - - - - - - - - - - - - 21 7 - - - - - - - - - - - - - - - - o - - 2065 7r 2'1 r 12111 2.---9, p 18 60 009904 w = 55 U_ 16 50 z z 0 4 45 293 O 2~ 40 PUMP PERFORMANCE CURVE I 35 10JI i ~ SEWAGE MODELS i 11 30 a 25 I I 2" SOLIDS PASSING CAPACITY 266, 282 1270 20 267, 6 1 1 4 5- 11 ~ I 5- A CAUTION 2 264 292 4 nat be 28 294 295 Model 293/4293 shouId 0 subjected to less than 1 15 feet TDH. 10 20 30 40 50 60 70 80 90 100 110 120 130 140 150 160 170 180 190 200 210 220 23 CALLON~ LITERS 0 80 1 240 320 400 480 560 640 720 800 FLOW PER MINUTE © Copyright 2003 Zoeller Co. All rights reserved. 6 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Pa9e_of FILEZNFORMATION SYSTEM SPECIFICATIONS Owner j 4) ,L2. Septic Tank Capacity S al ❑ NA Permit Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer p NA Number of Bedrooms ❑ NA Effluent Filter Model p NA Number of Commercial Units 1. )M NA Pump Tank Capacity at ❑ NA Estimated flow (average) od Pump Tank Manufacturer Nq 74 Design flow (peak), (Estimated x 1.5) 6G'gaKdff- . Pump Manufacturer s 4A--l 0 NA Sol! Application Rate v aVda /ft2 Pump Model 5',) ❑,NA Influent/Effluent Quality Monthly average' Pretreatment Unit Fats, Oil & Grease (FOG) -30 mg/L ❑ Sand/Grgvel Filter ❑ Peat Filter Biochemical Oxygen Demand (BODS) 420 mg/L ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) -150 m /L ❑ Disinfection ❑ Other. Manufacturer Pretreated Effluent Quality )KNA Monthly average" Dispersal Cell(s) Biochemical Oxygen Demand (BODS) 530 mg/L ❑ In-ground (gravity) ❑ In-ground (pressurized) Total Suspended Solids (TSS) s30 mg/L ❑ At-grade Mound Fecal Coliform (geometric mean) -104 cfu/100m1 ❑ Drip-line ❑ er. Maximum Effluent Particle Size Y inch diameter Values typical for domestic (roe commerdaQ wastewater and septic tank effluent- Values typical for pretreated wastewater- MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every ❑ months 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 ❑ month ear(s) (Maximum 3 yrs.) ❑ months ear(s) Clean effluent filter At least once every Z7 Inspect pump, pump controls & alarm At least once every ❑ monUisj4+ear(s) ❑ NA Flush latkrals and pressure test At least once every ❑ month ear(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 carving one of the following licenses or certifications: Master Plumber. Master Plumber Restricted Sewer. POWTS Inspector, POWTS Maintainer, Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, Identify any cracks or leaks, measure the volume of 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 (Y,) 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, mnical or pressurized POWTS components, pretreatgment components, and any other maintenance or monitoring at i4ervals of 12 months or less shall be performed by a certified POWTS Maintainer. A servicg 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 painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concet_atrations are detected have the contents of the tank(s) removed by a septage servicing operator prior.to use. 7~ / //J Page of START UP AND OPERATION For new construction, prior to use of the POWTS Check treatment tank(s) for the presence of painting products or other chemicals thElt may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of thO tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will 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 effluenlt. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to tide 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 veils. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the pertomiance and prolong the life of the POWTr: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental foss; diapers; disinfectants; fat; foundation drapn (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting produci0; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safety abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code, • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and 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 falls and cannot be repaired the following measures have been, or must be taken, to provide a code compiirpnt replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by requitled setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the ncled for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the ruler} in effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology/ a _holding tank may be Installed as a last resort to replace the failed POWTS. -Ir+-- M site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation m be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installedl as last resort to replace the failed POWTS. Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. <<WARNiNG>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE Oj A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name Name Phone SEPTAGE SERVICING OPERATOR PUM R LOCAL REGULATORY AU'T'HORITY Name _7_291 ~ Name J_21~1111 _2 Phone Phone/ This document was drafted in compliance with chapter SPS 383.22(2)(b)(1)(d)&(f) and 383.54(1), (2) & (3), Wisconsin Administrative Code. ,W N P P ~ ! lit M P } ttrr r' ~r t t dri f t - Z r 1 M R O Q P N-~-~-- - P O P } r FF it _ t..LI U._ r - a f N Q f h ~ V N C o I' 3 Z m Q U { a ~ 0 1 i I~ H. W.L.. -it; i 899.$ (25. Yt) 585.33 `49-E. 9 "E 174,15* 586.88' 1 412.73' 71,63'- n 7'05'E 26$.4$" 1 y GOLF' EASEMFN NE NORTH 1 /2 117.31' X SECTION 30 + aD n' 1 rn ~ n. a 131047 Sf 145.14' a 3 01 ACRES 133254 S_E.. 3 06 ACRES w w b ~ 98.63' C3 J r S84'44'5E LL- 268,50, J RBp. 136742 Sf i n 314 ACRES 0 W C.i W CD N22`30'14'E C38 < 2 7.50' W g 43 _ ST. CROIX COUNI-y SEPTIC TANK MAINTENANCE.,kGREEMENT AND OWNERS CERTIFICATION FORM Owner/Buyer - J S1~1 Mailing Address , Q -7 ~ r~i 4-Ltfor Property Address (Verification required from Png & Zomennew c lion ) City/State Parcel Identification Number LEGAL DESCRIPTION Property Location ,,-"`--v Y4 , Sec.: T -3 ON R W, Town of Subdivision Lot # Certified Survey Map # Vc Auzne Page # Warranty Deed # Volume , Page # Spec house yes no Lot line;; identifiable yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper rnambenance consists of pumping out the septic tank every three years or sooner, ii' needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the was to 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 foray, signed by the owner and by a roaster 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), less than 1 /3 full of sludge. F ( the septic tank is I/we, the undersigned have road 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 Departniont within 30 days of the three year expiration date. I/we certify that all statements on this fo are true to the best of my/our knowledge. I/we am/are the owner(s) of the property described above, by virtue of a deed recorded in Register of Demis Office. Number of bedrooms SIGMA VPLICANT(S) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) ~q dl~sTt,o. Ird36Cx'ikv5'lmt1319^=3iinm SiSi I F. ii ! i At 5~NEQIGE3~ Z170'D V::Q!3 Y SIAVNl E - so_ona~sy.oo -_r~a I 4i > , g tr - i lit_ I ~ I I, I~ ~~f 1, h l I Il 1 I l l ICI 11 I I~ r 1 ~ ~Ilf I I, ~~'I ,j 1- = ~ I I ~Iy 1 - it I I I - I I ~I ~II III 11,\~ ,-rn III I I I I I 111 ~ , ~r I , I III I II Ili . I I I Iii I i I II~~ _ ~I 11 ~ _ ~I ~ I~ I 1. 7 111 I ~.1 X111 ~li ~ ~ d9 ~ yy Z li III 111111 ~ Idly I I Ilq~►I~,,I l I I 1111~I LL- i ~ 1 i t I III IE\~*,L I I II x ~.~aLl~ ILi__ lu L w 11 IL Z'd dSZ: LO 9l LZ Inf wa©e:ea 5I©ZfLlf9~ Q3(tI3~32i