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010-1003-20-000
. Croix sconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St afety and Building Division Sanitary Permit No: INSPECTION REPORT 515088 0 GENT , INFORMATION (ATTACH TO PERMIT) State Plan ID No: Person ir:ormation you provide maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: 010-1003-20-000 Warner, Scott Emerald, Town of CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: 01.30.16.17 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURE CAPACITY STATION BS HI FS ELEV. ark * ,71 ~q Z' /Od Septic n. FAlt.BM l~J F;$ /oac> Dosing P, f. i If 60 Bldg. S ewer . `r Holding St/Ht Inlet 7. Og St/Ht Outlet 7 Z5 TANK SETBACK INFORMATION J TAN_KT O P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet 11.64 7 y z Septic Dt Bottom lQ • ~l Header/Man. ! Dosing Aeration Dist. Pipe Holding Bot. System 3. Final Grade PUMP/SIPHON INFORMATION Manufacturer GP nand St Cover I 4tA~ LJ• C> ..eJa• I Model Number JJ 3 5 0 ~~J • TDH Lift Friction Loss ESyste ad TDH Forcemain Length Dia. Well SOIL ABSORPTION SYSTEM 3. (rZ PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth BED/TRENCH Width Length No. Of Tren hes CHAMBER ~ OR DIMENSIONS 1___ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION w UNIT Model Number: Type System: 9 • ~'L~. DISTRIBUTION SYSTEM vent to Air Intake Distribution x Hole Size x Hole Spacing =mot t4_ O /f Header/Manifold t" Pipe(s) Length Dia Length Dia Spacing a SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over jDepth Over ]x.D,,ept1 of xx Seeded/Sodded xp Trench Ed F-,1 Yes [1 No Bed/Trench Center Edges COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: (,0 / 361 Inspection #2: / / / ~,Parcel No: 01.30.16.17 Location: 2658 170th Ave. Glenwood City, WI 54013 (SW 1/4 SE 1/4 1 T30N R1 6W) 40 acres Lot G `i 1.) Alt BM Description 2.) Bldg sewer length - amount of cover = Plan revision Required? [f Yes E] No I_ I- - _ Use other side for additional information. L _ - Cert. No. Date Insepctors Signature CBD-6710 (R.3/97) commerce.wi.gov Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 t - C P-o lee i ;co n s i n Madison, 5 ~ 2 Sanitary Permit Number (to be filled in by Co.) Department of Commerce 5/5 b State Transaction Number Sanitary Permit Application In accordance with s. Comm. 83.21(2), Wis. Adm- Code, submission of this form to the appropriate nmental unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are Project Address (if different than mailing address) P submitted to the Department of Commerce. Personal information yougy} be used for seconds ~5 ; -7n'T (~~L purposes in accordance with the Privacy Law, s. 15.04 1)(m), Stats. tt / 1. Application Information - Pleas It All Information Property Owner's Name / Parcel # _ JUN 3 0 2009 4 t.') e~ 6- Plii 0 10 b.3-Do Property Owner's Mailing Address ST CROIX COUNTY Property Location 61 t PLANNING & ZONING OFFICE Govt. Lot City. State Zip Code Phone Number J~ 21(~ S tt l y,_ Section lo 5- I T T / (circle one) 9 Sy ~j' r~ C V T v N R E orb II. Type of Building (check all that apply) p ft Lot # Subdivision Name 1 or 2 Family Dwelling -Number of Bedrooms'' II 7v~M.i er 16,jS C_ Block # ❑ Public/Commercial - Describe Use ❑ City of CSM Number El Village of - El State Owned -Describe Use 'Town of '6 Me tt x' 75 e~ III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. J<New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) List Previous Permit Number and Date Issued B. El Permit Renewal ❑ Permit Revision El Change of Plumber ❑ Permit Transfer to New Before Expiration Owner IV. Type of POWTS S stem/Com onent/Deviee: (Check all that a I ) ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dis ersal/Treat ent Area Information: Design Flow (gpd) Design Soil Application R e(g ds Dispersal Are Required Dispersal Area Propose (sf) System Elevation Vl. ank Info Capacity in Total # of Manufacturer y Gallons Gallons Units New Tanks Existing Tanks ; / {{//(,(1~.~c 7IL V o N/ NGxC/& 61 a. U n 'A w CD Gi Septic or Holding Tank ; 1 (,tf J1~ Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Sign ture MP/MPRS Number Business Phone Number _71.5lam- Plumber's Address (Street, City, State, Zip Code) . L 47I-So3`? 117/ &r L" te. r. VIII. Coun /lle artment Use Only 2`"k-1 = 2 Permit Fee Date issued Issuing nt Signature Approved isapP~rvv]e $ / OC. ❑ en Reason Denial lD IX. Conditions ofAwl/Reasons for Disapproval SYSTEM R: 3)6 ors}ftOwS 1. Septic tank, effluent lifter and //t~ dispersal cell must all be servkes / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained ac, o comp ete p ans or the system and submit to the County only on paper not less than 8 1/2 x I I inches in size SBD-6398 (R. 02/09) Valid thru 02/11 HARDINA SEPTIC SYSTEMS f MFRS/CST 824825 Et.i rc copy 7 Q I z a ti - o - 1- 5'oc QFr s; wit y. G0 -9 Is- 3 3ri~ •t y~ ..j 4 'T~AtIE~cC Sr-T~~~ z m ~v 6.%L~-241CAS?'.1"ao IO k ~O, Q ~ 6zc -Pa f-C c-L HARD NA SEPTIC SYSTEMS A MFRS/CST 824825 dill = !-~a~2 L'~~ . («C - f - LJ " o l 95-(~7 s ~ s - t~ d F-v^ ficn ~c lab ';,,„Jt; -7-Ad K _ IM t p q T C A t lEq- / z o ra3~us~'~ ►~s s~('~ac ~ ~ o } SAM 0 l v`i~ ~ f \T TA f-CC-L. A PC T 14 Safety and Buildings 10541N RANCH ROAD commerce.Wl.gov HAYWARD WI 54843 Contact Through Relay n s i n www.commerce.wi.govJsb/ www.wisconsin.gov ' Department of Commerce Jim Doyle, Governor Richard J. Leinenkugel, Secretary June 23, 2009 CUST ID No. 824825 ATTN: POWTS Inspector ROBERT J HARDINA ZONING OFFICE HARDINA SEPTIC SYSTEMS ST CROIX COUNTY SPIA 477 170TH AVE 1101 CARMICHAEL RD TURTLE LAKE WI 54889-9187 HUDSON WI 54016 CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 06!23/2011 f . ~T 1 c^P1n I" 1 Y aas a L.LIoil ID No. 1V I0J. Site ID No. 748749 SITE: Scott Warner Please refer to both identification numbers, 2658 170TH Ave above, in all correspondence with the agency. Town of Emerald St Croix County SW1/4, SE 1/4, S1, T3 ON, R16W FOR: Description: Mound, 3 bedroom residence P,Q, Object Type: POWTS Component Manual Regulated Object ID No.: 1229204 Cvrtdi Maintenance required; 450 GPD Flow rate; 70 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Version 2.0, SBD-10691-P (N.01/01), SSWMP Pub. 9.6 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes AORpAR 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 SCE C09 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: Key Item(s) • 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. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • The designer proposes to install a state approved effluent filter to achieve the requirement of wastewater particle size. Pursuant to outlet filter product approval stipulations, maintenance information must be given to the owner of the POWTS explaining that periodic cleaning of the effluent filter is required. The access opening used to service the filter shall terminate at or above finished grade with a watertight cover. Reminder • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per COMM 83.44(6)(a)2. • Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual. • Surface water drainage shall be diverted away from the system area per Mound Component Manual. ROBERT J HARDINA Page 2 6/23/2009 1 • Materials shall conform to the requirements of COMM 84. • Maintain well and waterline set backs per COMM 83.43(8)(1). Consult the Department of Natural Resources for well setbacks and other regulations and exceptions. 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 cons truction/instalIation/operation. In granting this approval the Division of Safety & Buildings 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. Beginning October 1", 2008, small wastewater holding tanks with estimated flows less than 3,000 gpd that are based completely on approved POWTS component manuals must be submitted to the appropriate governmental unit and will no longer be accepted by the Safety and Buildings Division for review. Please refer to s. Comm 83.22, W;c Adm Code for further;-,f6n1 tinn 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 to the owner and any others who are responsible for the installation, operation aintenance of the POWTS. Sincere] Fee Required S 250.00 ' Fee Received S 250.00 Balance Due $ 0.00 Patricia 'L Sha dorf POWTS Plan ReviewW, Inte rated Services WiSMART code: 7633 (715) 634-7810, Fax((715) 34-5150, M-f 7:45 am - 4:30 pm pat. shandorf@wiscorisin.go'v cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726-2544, Friday, 7:00 A.M. To 3:30 P.M. MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: WARNER Owner's Name: SCOTT WARNER Owner's Address: 2728 CO. RD. S EMERALD WI 54013 Legal Description: SW,SE,S.1,T.30, N-R16W Township: EMERALD County: ST. CROIX Subdivision Name: Ada , Lot Number: N/A Block Number: N/A on Parcel L.D. Number: 001-1003-20-000 ~TOFCOM CE ,FEI`l Plan Transaction No.: Page 1 Index and title ~ESPONDEN Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Plot Plan Page 9 Soil Data (a,b,c) Designer: Robert Hardina License Number: 824825 Date: 06/02/09 Phone Number: 715-986-2508 Signature:, j~ Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SD13-10691-P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) Version 4.0 (R. 04/03) Page 1 of 9 Mound and Pressure Distribution Component Design Design Worksheet Site Information (r o c) R Residential or Commercial Design Note: Sand fill (D) calculations assume a 300.00 Estimated Wastewater Flow (gpd) Table 83-44-3 in-situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150%) coliform of - 36 inches. 450.00 Design Flow (gpd) 4.00 Site Slope 95.75 Contour Line Elevation (ft) 30.00 Depth to Limiting Factor (in) y 0.60 In-situ Soil Application Rate (gpd/ft2) Distribution Cell Information r 75.00 Dispersal Cell Length Along Contour (ft) = 6.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ft ) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? Enter Y or N (c or e) ' e Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation (ft) 2 Number of Laterals of the highest point. 0.188 Orifice Diameter (in) (e.g. 0.25) 3.75 Estimated Orifice Spacing (ft) = 11.25 ft2/orifice 2.00 Forcemain Diameter (in) 120.00 Forcemain Length (ft) Does the forcemain drain back? Y 82.50 Pump Tank Elevation (ft) Enter Y or N 3.25 System Head (ft) x 1.3 19.57 Forcemain Drainback (gal) 13.25 Vertical Lift (ft) 67.47 5x Void Volume (gal) 1.81 Friction Loss (ft) 87.04 Minimum Dose Volume (gal) 18.31 Total Dynamic Head (ft) 26.21 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 x 1.00 1.50 x x 1.25 2.00 1.50 x x 3.00 2.00 x 3.00 x Gallons/inch Calculator (optional) Treatment Tank Information 805.00 Total Tank Capacity (gal) 1000.00 Septic Tank Capacity (gal) 37.00 Total Working Liquid Depth (in) WEEKS Manufacturer 2176 gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 805.00 Dose Tank Capacity (gal) Best Filter Manufacturer 21.76 Dose Tank Volume (gal/in) 1`10-8 ( Filter Model Number WEEKS Manufacturer Project: WARNER Page 2 of 9 I Mound Plan View 1/10 B J Observation Pipe K W - B : 3._. r . 41 L Mound Component Dimensions A 6.00 ft E 8.88 in H 1.00 ft K A17. ft B 75.00 ft F 9.50 in I 6.93 ft L ft D 6.00 in G 0.50 ft J 4.80 ft W ft 450.00 (ft2) Dispersal Cell Area 969.46 (ft) Basal Area Available 6.00 (gpd/ft) Linear Loading Rate 7.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 98.04 (ft) G I H F Dispersal Cell 96.75 (ft) Lateral Z - Invert 96.25 (ft) 3 Dispersal Cell ( t Elevation ❑ 4 95.75 (ft) Contour Elevation 4.0 % Site Slope Geotextile Fabric Cover Shading Key Q -T Dispersal Cell See lateral details on 1❑ =Topsoil Cap o a 1.5 ft Page 4 for number, size, ® Subsoil Cap N o Q and spacing of laterals. ASTM C33 Sand 2-1 F Laterals are equally © ® Tilled Layer y 0.5 ft Typical Lateral spaced from the 5 r: v 5 distribution cell's Aggregate 0 centerline in the A - distribution cell (AxB). Project: WARNER Page 3 of 9 End Connection Lateral Layout Diagram Laterals centered over the A & 8 dimension +=Turn-up vdball valve orcleanoutplug p ,I All laterals are identical IE X-3~ Holes drilled on the bottom of the lateral equally spaced Farce main connection via tee or cross to manifold at any point. Laterals & force main of PVC Sch 40 (per COMM Table 84.30-5) Number of Laterals 2 Orifice Diameter 0.188 in Lateral Diameter 1.50 in Orifice Spacing (X) 3.87 ft Lateral Length (P) 73.53 ft Orifices per Lateral 20 Lateral Spacing (S) 3.00 ft Orifice Density 11.25 ftZ/orifice Lateral Flow Rate 13.11 gpm Manifold Length 3.00 ft System Flow Rate 26.21 gpm Manifold Diameter 1.50 in Total Dynamic Head 18.31 ft Forcemain Velocity 2.68 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and Comm 16.28 WAC 4 in. min. Disconnect _ Tank component is properly vented E- Alternate outlet location Forcemain diameter WEEKS Manufacturer 2 in. Capacit 805.00 Gallons Volume 21.76 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 18.99 413.32 B 2.00 43.52 Pump off elevation (ft) C C 4.00 87.04 83.50 D 12.00 261.12 D Total 36.99 805.00 E lz~ Dom se tank elevation (ft) 3" Bedding Aer tank. 82.50 Alarm Manuafacturer SJ RHOMBUS Alarm Model Number 101w _ Pump Manufacturer ZOELLER Pump Model Number BN 152 Pump Must Deliver 26.21 gpm at 18.31 ft TDH Project: WARNER Page 4 of 9 Mound System Maintenance and Operation Specifications Service Providers Name ROBERT HARDfNA Phone 715-986-2508 POWTS Regulator's Name L ST. CROIX CO. Phone 715-386-4680 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450 ftz 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 ears Effluent Filter Should inspect and clean at least once eve 3 ears Pump and Controls Test once eve 3 ears Alarm Should test month) Pressure System Laterals should be flushed and pressure tested eve 1.5 ears Mound Inspect for ponding and seepage once every 3 years Oth( 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 mound 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 mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished Grade 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: WARNER Page 5 of 9 Mound 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-10691-P (N.01/01) and SSWMP Publication 9.6 (01181)] 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, Slats, 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 feast 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 113 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. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound 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 mound 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 mound be heavily mulched as protection from freezing. Influent quality into the mound 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 BODE, 30 mg/L TSS, 10 mg/L FOG, and 10° 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 6 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 mound 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 removing biologically clogged absorption and dispersal media, and related piping, and replacing said 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: WARNER Page 6 of 9 Page 1 of 1 w W PUMP PERFORMANCE CURVE LL MODEL 151/152/153 50 ~ l 1 45 153 12 40 r~ 35 _ 10- 152 `a 30 Z 0 8 151 25-- , J < 15 ti 10 G 5 -7 F Lr - i ~ 1 GALLON 10 20 30 40 50 60 70 80 90 10 C S ITERS g' 11(; 160 200 240 280 320 360 F'"U'.'.' E'ER 014508A -76 http://zoeller.thomasnet.eom/imageresizer?image=a0001216 jpg&quality=100&size=100&I... 6/2/2009 SAFETY AND BUILDINGS DIVISION commerce.wi.gov Integrated Services Bureau INSPECTION REPORT 13 East Spruce Street Ste Chippewa Falls, WI 8 106 i 54729 729 s c o n sin www com (715) 726-2544 Department of Commerce Richard J. Leinenkugel, Secretary Date of Inspection: May 27, 2009 Plumber Name and Address: Project Name: Warner Robert J. Hardina, MPRS 824825 Use: Residential 477 170th Ave Legal Description: SW, SE, 01, 30,16W Turtle Lake, WI 54889 Parcel Number: 010-1003-2(WWCE,VED Subdivision: na Certified Soil Tester Name and Address: Municipality: Town of Emerald Robert J. Hardina, CST 824825 County: St. Croix JUN 05 2009 Plan ID Number: na ET CROP ~ E Owner Name and Address: Sanitary Permit Number: napUWN0* Scott Warner Wastewater Flow: 450 gpd 2728 Cty Rd S Persons Present: R. Yarrington, B. Hardina Emerald, WI 54013 This investigation was requested by the Certified Soil Tester in response to a county investigation that indicated a possible seasonal saturation condition in the upper 12 inches of the sandy loam glacial till substratum. Two soil pits were reviewed to determine their suitability for a subsurface treatment and dispersal system. The most logical place for infiltrating water to perch in this type of soil profile (silt loam over sandy loam) would be in the lower part of the silt cap or the upper part of the horizon below. If saturated for periods of time of more than a week, this would be evidenced by the formation of redoximorphic features. My review of the soil profiles did not reveal any discernible iron concentrations (redox features) and thus it is my opinion that soil conditions would be suitable for a below grade system. However, as reported by the county, the soil structure is poor to nonexistent below approximately 24-30 inches. I am in agreement with the county observations in this regards. A below grade system would need to be installed very shallow (e.g. 12 inches) to take advantage of more permeable conditions and better soil structure. A system installed at a greater depth would need to be very large (0.2 gpd/ftz) and the cells spaced further apart to take into account the massive, slowly permeable till below. This approach is not recommended but technically would meet standards. In consideration that a shallow below grade system - cover material would likely reo,uire a pump tank and cells would need to - Distribution laleral be at different elevations, it may be a better idea to in- Distribution cell stall an at-grade or six-inch sand lift mound system to ` take advantage of the complete depth and volume of soil above the slowly permeable substratum. An above grade T , u system would take full advantage of the most permeable"` Original grade surface and biologically active soil horizons and provide more Ylo"ed aze~ than adequate vertical distance for wastewater to move y laterally away as it moves downward in the soil. My Water movement away from an recommendation for this site therefore is to use an at-grade at-grade system and eventually or low profile mound system. into substratum soil. Leroy Jansky RPSS,`Wastewater Specialist cc: ® County ® Plumber ❑ CST leroy.jansky@wisconsin.gov E-mail ® Owner ❑ Other 715/726-2544 Voice 715/726-2549 Fax ST. CROIX COUNTY WISCONSIN _ ZONING OFFICE o I1 M r u p - rn~r. ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road ::x= :T Hudson, WI 54016-7710 " (715) 386-4680 FAX (715) 386-4686 Page % of ! COUNTY ON-SITE VERIFICATION FORM S~lS ~t Inspector: Date: Parcel ID Number Cie', - /y,3 - Zc~ crc Property Ow Tier Property L ocation cunt. Lot 5jJ 1da S I T 36 N R /(v E t e Property Ovoner°s rdai ling Address Lot d Block A &"W. Name or CSkv Z n C /-?W City date pCode PlionreNumber ❑CitY ❑Village crwn Nearest Road avtConstruc6on Usa: ❑ Residential f Numb?r of bedrooms . Cade derived design flow rate.................... GPD ❑ Replacement ❑ Public or commercial - Describe. Parent material F a~i Plain elevation if applicable General comments ~ 1, and rc~cammendaCions: C Wr C ~t^~..1 r V t ; r, S~} t ~f~fc f/t`~ C ••t'~:.v ❑ Boring # ❑ Bcting Pit Ground surface euv. ft. Depth to limiting factor in. Sal Application Rate Horizon Wpth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD4, in. Munsell Ou. Sz. Cont. Color Gr. Sz. 5h. 'Eff#1 'Eff42 3 .7 Conditions: Soil Survey description: gt'~- © 2- ~P~~ L Notes: FEE: J Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of 2 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County ST. CROIX Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. 001 1003-20-000 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all intionnation. Review by Dat Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 0156161`1 Property Owner Property Location SCOTT WARNER Govt. Lot SW 1/4 SE 1/ S I T 30 N R 16 E (or)~W Property Owner's Mailing Address Lot # Block # Subd. Name or CS 2728 Co. Rd S N/A N/A N/A City State Zip Code Phone Number ity Village ■ Town Nearest Road EMERALD WI 54013 ( 7) 5-265-4442 170th AVE E] New Construction Use[D Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD 11 Replacement ❑ Public or commercial - Describe: Parent material OUTWASH Flood Plain elevation if applicable ft. General comments RECOMMENDED SYSTEM ELEVATION : M UND ON 95.75' CONTOUR and recommendations: F Boring # D Boring o pit Ground surface elev. 95.67 ft. Depth to limiting factor 75 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 1 0-15 10YR3/3 -0- SIL 1MSBK MVFR GW 2M .4 .6 2 15-32 10YR4/4 -0- SIL 2MSBK MFR CW 2F .6 .8 3 32-75 7.5YR4/6 -0- SL 0M MFR N/A N/A .2 .6 2 Boring # Boring 95.25 75 Q 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 1 0-14 10YR3/3 -0- SIL 1MSBK MVFR GW 3M .4 .6 2 14-30 10YR4/4 -0- SIL 2MSBK MFR CW IF .6 .8 3 30-75 7.5YR4/6 -0- SL 0M MFR CW N/A ••2 .2 ' Effluent #1 = BODS > 30:< 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signat CST Number ROBERT J HARDINA r~ 824825 Address Date Evaluation Conducted Telephone Number 477 170th AVE. TURTLE LAKE WI. 54889 5-1-09 715-986-2508 Property Owner WARNER Parcel ID # 010-1003-20-000 Page 2 of 2 3 Boring # Boring 96.50 75 ❑ Q 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 1 0-16 IOYR3/3 -0- SIL 1MSBK MVFR GW 3M .4 .6 2 16-34 IOYR4/4 -0- SIL 2MSBK MFR CW IF .6 .8 3 34-75 7.5YR4/6 -0- SL 0M MFR CW N/A ..2 .6 F 4 ] Boring # LJ Boring 96.5 75 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/fg in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-15 10YR3/3 -0- SIL 1MSBK MVFR GW 3M .4 .6 2 15-34 10YR4/4 SIL 2MSBK MFR CW IF .6 .8 3 34-75 7.5YR4/6 -0- SL OM MFR N/A N/A .2 6 F Boring # Pit Boring 95.25 70 Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fg in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-16 10YR3/3 -0- SIL 1MSBK MVFR GW 3M .4 .6 2 16--33 10YR4/4 -0- SIL 2MSBK MFR CW 1F .6 .8 3 33-70 7.5YR4/6 -0- SL OM MFR N/A N/A .2 .6 i * Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mg/L * 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-83301' st (R.07/00) HARDINA SEPTIC SYSTEMS MFRS/CST 824825 Lj 4e Fly _ c-,er-r7 L) A) _ A a 2 qq o - J . d CA - ca¢7 fJ 'TE. 'f~ W / I - - o 03 'o ~ T V4 AMMS Viewer Page 1 of 1 AM B tee- ~ aye AJ 2 Am C2 - 90 + Fm sae 77, .a SE SvU sa 1• SW- E 1'N E N F R., 1§!-+ MaB se FL Y FnB . . 17FITH;W Lan d ,ue,., .G Lcm http://w,,w.landinfo.co.saint-croix.wi.us/website/LRPortal/ARCIMS/MapFrame.asp?PIN= 5/13/2009 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer 6),4 Qft1 Q Mailing Address Property Address- 130' e' ErTE QR ' 5-510 13 (Verification required from Planning & Zoning Department for new construction.) City/State GwIF L~. I Parcel Identification Number /L16 3 'ao ~cxx~ LEGAL DESCRIPTION Property Location , W „5_ 'I4 Sec. T N R W Town of tG~ ~Cjj Subdivision Z 1 > Lot # Certified Survey Map # Volume , Page # i~akranty"# l &U Wgl~~ yi:A , Volumz ~ Page # Spec house yes no) Lot lines identifiable &S ; no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §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/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 of the three year expiration date. I/we certify that all statements on this form are true to the best of my/our knowledge. I/we am/are the owner(s) of di, property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Numb of bedrooms_ S/ 1lo SIGNATURE OF APPLICANT(S) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. Include with this application a recorded 'kvarranty 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) .0.9.9 'Id0 - ♦ ~L Q O w N r. it 3 I I ~ M z I T o J ,I ?w ~ w ILL _v I v I tr1 w c~¢ G i tz w 4-j ~ x ~I~ I V i I I ~ N I X U O I ~ C Y I ~y I I? Y G Vl i ~u1 I I 1-- LL t' J _I om l__-'I loo N Q I.`' Z L ~ n~ U °3 Zw i~ W 3 J c m oo e I i e Y v 0 o z ¢ SVB H91H w Z C O V a`"a <7 W ~OV o ~ c w O ~ V 41 C 1- O ~ v ~ OO I- S~ O a • ~ X V/ p °a 0 3 < J lU I I ~ 3 X a~p 1 v ~ ~I of ~m o ° E z 31 O" Q x I c ~ ~ ~ VJ ~V O O ~13 U d; !Y ~ OL ~ Ip '17 C v u • o ~ W~ Wm ~ v m m v L v N w v Q V c 0 I F- O oilN 11 I w a ~~i Q i n0[ o 0 L I m m I ~ ~ ~ ra w E 3 6 pm pm O 3 E E //yy\\ x X E LU w ~ V Q m m r cu CO I I - ~ I i R C C- >Z N ~ Y ~ c O v - W ~ w C ~ O c c O Q ¢ d O O 3r Lu 5 V a W? p( Y~ E 31 mx wip o f W N Z, I W fl- Q , O FN wX I fl[ ~ _ E _ O Z Q 1 H N - ' I a 3 w a° 75 cwt c ~ - °;s O s IDI > 53A'13H5 ~ T Y v oC i w Lu W V E f x Ul 2 N ` 0 4- ' 3¢ F- I O F_ 3 E u o It i ~ T m4 ~m o 1~ 3 O O Qm I O ° ~ _ ~ L O ® 30 00 6) O _ Avtie~nv - c N a ~ a commerce.wi.gov Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 sco n S i n Madison, WI 53707-7162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce Sanitary Permit Application State Transaction Number tt' In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form 49i late r tal unit is required prior to obtaining a sanitary permit. Note: Application forms, te- WTS are Project Address (if different than mailing address) submitted to the Department of Commerce. Personal information you provide may e used for secondary 1.1 67 tt A 0 u oses in accordance with the Privacy Law, s. 15.04(1 (m), Stats. , 1. Application Information - Please Print All Information KECEWED 5qL l Property Owner's Name Parcel # c, Property Owner's Mailing Address Property Location ~ , - ~-W 1 S SING & ZONING 0111C Govt. Lot City, State Zip Code Phone Number S [y V<, ~j Section CMa Z (J i 0~ - t4 ~LT~N; R~ EoreV~ II. Type of Building (check all that apply) b Lot # 1 or 2 Family Dwelling - Number of Bedroo s Subdivision Name 5 - Block # ❑ Public/Commercial - Describe Use ❑ City of ❑ State Owned - Describe Use CSM Number El Village of \ 4 Town of C4 C IZA i- J III. Type of Permit: (Check only one box on line A. Complete line B i plicable) A. & New System El y Replacement S System ❑ TreatmentlHoldin T Re ce nt Onl ❑ her Modific lion to fisting System (explain) B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumb ❑ P it Tran r N w L revious Perm t Number d Date Issued Before Expiration Own IV. Type of POWTS System/Component/Device: (Check all that a 1 ) 4 Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil A plication Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation 7so `71,0 q I ,75 VI. 'l'ank Info Capacity in Total # of Manufacturer Gallons Gallons Units ti u New Tanks Existing Tanks F ° 0. Uo ~ y v) 4i. C7 0.. Septic or Holding Tank 00 o f V t 57 k Dosing Chamber o dv 1 1 •T VII. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Si nature MP/MPRS Number Business Phone Number Plumber's Address (Street, City, State, Zip Code) VIII. County epartmcnt Use Only El Approved ❑ Disapproved Permit Fee Date Issued Issuing Agent Signature El Owner Given Reason for Denial IX. Conditions of Approval/Reasons for Disapproval Attach to complete plans for the vste nd submit to the Co ty only I per not less than 8 1/2 x 1 I inches i size SBD-6398 (R. 02/09) Valid thru 02/11 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of 2 Division of Safety and Buildings P in accordance with Comm 85, Wis. Adm. Code Coun--CROIX Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must ` include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. 164j-1003-20-000 \J percent slope, scale or dimensions, north arrow, and location and distance to nearest road. it Please print all information. Reviewed Date Personal information you provide may be used for secondary pur o acy Law, s. 15.04 (1) (m)). h Property Owner Property Location ■ SCOTT WARNER Govt. Lot SW 1/4 SE 1/4 S I T 30 N R 16 ©r® Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 2728 Co. Rd S 'Jukyt % E N/A N/A N/A City State Zip Code Ph ity Village Town Nearest Road EMERALD WI 54013 ( 715-265-4442 170th AVE El New Construction Use Residential ! Number of bedrooms 3 Code derived design flow rate 450 GPD FlReplacement ❑ Public or commercial - Describe: Parent material OUTWASH Flood Plain elevation if applicable 444- General comments RECOMMENDED SYSTEM ELEVATION 91.75 and recommendations: 1❑ Boring # 11 Boring 7 Pit Ground surface elev. 95.67 ft. Depth to limiting factor >96 in. Soil A lication 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 1 0-15 10YR3/3 -o- SIL 1MSBK MVFR GW 2M .4 .6 2 15-23 10YR4/4 -o- SIL 2MSBK MFR CW 2F .6 .8 3 23-96 7.5YR4/6 -o- SL 2MSBK MFR N/A N/A .6 1.0 2 Boring# Boring 95.25 >100 Pit Ground surface elev. ft. Depth to limiting factor in. _Soil lication 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 1 0-14 10YR3/3 -0- SIL 1MSBK MVFR GW 3M .4 .6 2 14-30 10YR4/4 -0- SIL 2MSBK MFR CW IF .6 .8 3 30-100 7.5YR4/6 -o- SL 2MSBK MFR CW N/A .6 1.0 i I * Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD5 < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) S ~ CST Number ROBERT J HARDINA ✓ `t~, 824825 Address Date Evaluation Conducted Telephone Number 477 170th AVE. TURTLE LAKE W1. 54889 5-1-09 715-986-2508 ,4 o J Property Owner WARNER Parcel ID # 010-1003-20-000 Page 2 of 2 FTI Boring # [D pit 96.50 >108 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 1 0-16 10YR3/3 -0- SIL 1MSBK MVFR GW 3M .4 .6 2 16-34 10YR4/4 -0- SIL 2MSBK MFR CW 1F .6 .8 3 34-108 7.5YR4/6 -0- SL 2MSBK MFR CW N/A ..6 1.0 ❑ Boring # LJ Boring Cl Pit Ground surface elev. ft. Depth to limiting factor in. Soil A lication 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 F-1 Boring # Ground surface elev. ft. Depth to limiting factor in. Pit Soil A lication 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 < 220 mg/L and TSS >30 < 150 mg/L * 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-8330Test (R.07/00) HARDINA SEPTIC SYSTEMS AA MFRS/CST 824825 r6 L1' l.r s a d r9.11 S rrE , .330.f 1 i IN-GROUND SOIL ABSORPTION DESIGN INDEX AND TITLE RAGE Project Name: WARL Owner's Name: Srr'ti -i-tt L,J A Q4_f- Owner's Address: 1-2 7 3 Y Ca ;A? S LJ~ JL/C?I~ ~tZ4EC,-AL1) Legal Description: Ste, > "7. 30 /V LJ Township: E ryj e: ~}I L1 , County: Subdivision Name: iJ Lot Number: - Block Number: Parcel I.D. Number: C~ Plan Transaction No. Page 1 Index and title Page 2 p Le , g LAA Page 3 .5z.t Arv5 (Zt.:L` 5U, Page4 140"5 Page 5 - Aq It- c9455 Scc Page6 ;;>c5r --rAJ►c At'`•':-rv Page 7 Q Lx l-, 4 u 2i' E, IVA44 g M A,JA F.EM,,.t7` - AAI` {?t1.~ Sill BATA ~ r1i'~~ Designer: -Ro3trQ C_ r )A License Number: Date: 05/21107 Phone Number- ) Signature: - Designed pursuant to the In-ground Soil Absorption Component Manual for POWTS Version 2.0 SBD-10705-P (N.01/01), Page 1 of `y t c Soil Absorption System Cross Section 9 ft 4" Schedule 40 Final Grade PVC Vent Pipe With Vent Cap )-,2, ~J ft Leaching ~ Chamber ft System Elevation ft_ ft Soil Absorption System Plan View ft tft { ft Leaching Trench 1 Vent Or Observation Pipe Chambers 4" Dia. Trench 2 Header Leaching Chamber Specifications Manufacturer And Model iE~FI L" i" L~~- ~Ji,~ 1 lC q EISA Rating 42D_ sq ft per chamber Soil Application Rate b_ gpd/sq ft gpd Design Flow , Soil Application Rate : QV EISA = 3 Chambers 2 rows ofJz- chambers each. Page of r SEPTIC TANK AND PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS Locking cover with warning label. Access Electrical Proof Junction Box . opening, not top of cover, Electrical as per NEC 300 and Vent Pipe must extend at least 4" Comm 16.28 wAC > 12" above grade above finished grade. Access opening, not top of cover, must extend to + Maximum Cover over Tank a point no greater than 6" i below finished grade. 23` Min. Opening - Disconnect 18" min. Alternate outlet I vocation 23" Min_ Force Main Diameter roved Opening App I ^ Building effluent filter orce Main Length .IrJZ d sewer < to 118" particle size A Weep hole or anti siphon device: B C v-- z C Pump off aev- 3 ; Dose Tank Elev. ~yr • ' Bed and backfill tank according to manufacturers specifications Anchor tank as necessary to negate buoyant forces. Note: All pipe and vent materials comply with Comm 84. Tank Manufacturer: L.J E~ kf Doses Per Day: ,5' Tank Sizes: Septic t b 0'0 Gallons GPD/ # of Doses: ~ gallons Pump VU Gallons Backflow: / Lt gallons Gallons Per Inch: QI) 74? Total Dose Volume: gallons Liquid Level: C3 Required GPM: b Pump Manufacturer: Dimensions Inches Gallons Pump Model: -f j~ A B 0 p Alarm Manufacturer: C- - D ~YG, Alarm Model: I D I Total Vertical Difference between pump off and distribution pipe Minimum Required Supply;Pressure (0 for dosed conventional) =L - Feet of force main x 970friction factor / 100 = 2,33 Total Dynamic Head s~s`i' SAFETY AND BUILDINGS DIVISION Plumbing Product Review commerce.wi.gov P.O. Box 2658 Madison, Wisconsin 53701-2658 isconsin Department of Commerce Jim Doyle, Governor Mary P. Burke, Secretary January 10, 2007 WEEKS CONCRETE PRODUCTS RAY WEEKS 1832 215TH STREET NEW RICHMOND WI 54017 Re: Description: SEWAGE TANKS, CONCRETE Manufacturer: WEEKS CONCRETE PRODUCTS Product Name: SEPTIC HOLDING OR PUMP Model Number(s): 800 LOW PROFILE; (37.0" L.L., 21.76 GAUIN., 84" MAX. DEPTH OF BURY, 386 G.P.D. WHEN USED AS A SEPTIC TANK BASED ON A 3 YR. SERVICE INTERVAL FOR RESIDENTIAL WASTEWATER) Product File No: 20070005 The specifications and/or plans for this plumbing product have been reviewed and determined to be in compliance with chapters Comm 82 through 84, Wisconsin Administrative Code, and Chapters 145 and 160, Wisconsin Statutes. The Department hereby issues an approval based on the Wisconsin Statutes and the Wisconsin Administrative Code. This approval is valid until the end of January 2012. This approval is contingent upon compliance with the following stipulation(s): • This tank must be designed to withstand the pressures to which it will be subjected. • The manufacturer must keep at the manufacturing plant a set of plans and specifications bearing the department's stamp of approval. The plans and specifications must be open to inspection by an authorized representative of the department. • When this product receives wastewater from dwellings and is used as a septic tank, it will produce an effluent quality with a maximum monthly average value for BOD5 of greater than 30 mg/L and less than or equal to 220 mg/L TSS, or greater than 30 mg/L or less than or equal to 150 mg/L TSS, and F.O.G. of less than 30 mg/L. • This product is approved to use the following: - Two inch schedule 40 PVC cast in riser for electrical wiring. - Pipe materials constructed in conformance with Table 84.30-2 or 84.30-11, Wis. Admin. Code poured into tank cover or access cover. - Department approved effluent filter designed to be installed in a four inch diameter tee with extension and installed in accordance with the product approval for the filter including a properly sized and located access opening for service and maintenance. - Department approved EZ Set and Polylok Inc., 24" riser cast into the tank cover. This approval supersedes the approval issued on 06/02/2004 under product file number 20040269. his approval letter shall be incorporated with your previously approved plans and/or specifications approved under product file number 20040269. The department is in no way endorsing this product or any advertising, and is not responsible for any situation which may result from its use. Sincerely, Jean M. MacCubbin, CST; Engineering Consultant--Plumbing Product Reviewer Commerce; Safety & Buildings Div. PO Box 2658; W Washington Ave. Madison WI 53703-2658 Phone: 608-266-0955; Fax: 608-283-7456; mail: Jean.MacCubbin@wisconsin.gov SBD-10564-E (N.10/97) File Ref: 07000502.DOC r:: f)- 1 T' 1 W PUMP PERFORMANCE CURVE _ u- MODEL 151/152/153 50 - j ,N 45 153 40- 10 35 152 ~y 30 0 8- . _151 25 J t- 0 N. 6._; 20 15 . 10 l 5 a 10 20 30 40 5b 60 i0 80 3'0 100 GAL-ONS fT RS = C ~2'', 160 200 240 280 320 63 0 FLOW PER MINUTE 014508A http://zoeller.thomasnet. com/imageresizer?image=a0001216. j pg&quality=100&size=100&... 5/12/2009 INGROUND SOIL ABSORPTION 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 be maintained in accordance with its component manual [In-ground Absorption Component Manual for POWTS Version 2.0 S13D-10705-P (n.01/01) and SSWMP publication 9.6 (01/81) and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic tank 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 and 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 113 the liquid volume of the tank. If the contents of the tank are not removed at the time of the triennial assessment , maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maxium 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 Dept. of Commerce. Pump Tank The pump tank shall be inspected at 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. Soil Absorption System No trees or shrubs should be planted on the absorption area. Plantings may be made away from the cell's perimeter, and the area shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than foot or for vegetative maintenance) on the area is not recommended since soil compaction may hinder aeration of the infiltrative surface within the system and snow compaction in the winter will promote frost penetration. 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 shall be immediately repaired of replaced with a component of the same or equal performance. If the dispersal area fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Replacement in a suitable area nearby is also an option at which point a diversion valve will be installed between the old and new systems to allow dispersal cell rotation at a schedule to be determined at the time of cell replacement. .a