HomeMy WebLinkAbout018-1010-00-100
Nsconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No-
GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: 592199
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)].
Permit Holder's Name: City Village
TOWNTownship
OF HAMMOND Parcel Tax No,
Robert & Anita Stanke
018-1010-00-100
CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No:
I (%-r 05.29.17.77B,78B
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic
or Benchmark
Dosing Ga V Alt. BM 4,),d A- 161' 5
Bldg. Sewer f
Holding St/Ht Inlet
\
TANK SETBACK INFORMATION SVHt Outlet
TANK TO LeIrP/%_ WELL BLDG. Vent to it Intake ROAD Dt Inlet
Septic g/ 3$ _ Dt Bottom lb 1 1 Z. C3 3
Dosing IV/ t Q 139'1 I L14 1 Header/Man. Z. 4 16L
7 I .
Aeration Dist. Pipe Z•
lbZ.!
Holding Bot. System
/D/. Z
PUMP/SIPHON INFORMATION Final Grade
'7 rd 3 . ~
Manufacturer 2oe~~ Demand St Cover
GPM J OJ 3-1 161-5
Model Number Sid iN I SZ 40 r 5- o 99.
TDH Lil, Friction Jos t System Head TDH 14, It as 3.
Forcemain Lent Dia, Dist. to Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length No. Of Trenche PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS S~ e
VV r+
SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer:
INFORMATION CHAMBER OR
UNIT Model Number:
Type f 0 v 135 $-7 1-7,q
DISTRIBUTION SYSTEM
Header/Manifold Distribution Z x Hole Size x Hole Spacin Ven o it Inta
Length Dia_ L Length (s `d Dia Z Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over Depth Over xx Depth of xx Seeded/Sodded jxx Mulched
Bed/Trench Center / , 95 Bed/Trench Edges ` Topsoil 1 es ❑ No Yes ❑ No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: S //16/ / Inspection #2:
Location: 1144 170TH ST al,, ~t/ CL: %.J 1 ~,r QG~ - j
1.) Alt BM Description U~lOA,3JIIOrt W- (,J -C/
2.) Bldg sewer length = 115Nz e L, O ~ ~/d f
-amount of cover = ~a~i it ^11, .1
Plan revision Required? ❑ Yes o ,b 1
Use other side for additional information. 1
tur
Cert. No.
SBD-6710 (R.3/97) Date InsepJgna
County t
1 Safety and Buildings Division
< 8 U E„ 201 W. Washtn " n P J '
s , Box 7162
;7 _V Madls+-ynrt n7 Sanitary Permit Number (to b- filled in by Co.)
~a r;~jtJt
Sanitary Permit Application State Transaction i ru_ her
In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit ` ! ! L
is required prior to obtaining a sanitary permit Note: Application forms for state-owned POWTS are submitted to Project Address (if different an mailing address)
the Department of Safety and Professional Servies. Personal information you rovide may be used for secondary
oses in accordance with the Priv Law, s. 15.04(1) m), Stats. L
n
L A fication Information - Please int All nformation
1,7
Property Ownerr's1Name Parcel
gypeBui~lding Address Property Location
Govtt
Zip Code Phone Number 14 y, Section
lc on
T N; RE W
heck all that ap lot #-Number of Be ms r Subdivision Name
tBlock
❑ Public/Commercial - Describe Use L1,C.~r1M C
❑ City of
❑ State Owned -Describe Use/ r CSM umber ❑ Village of
i
12 Town of .64
Iii. Type of Permit: (Check only one box on line A. Complete line B if applicable)
A "rt
Q Ncw System acement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain)
- I
B• ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date issued /
Before Expiration Owner
IV.,T of If System/Component/Device: Check all that a 1 J
Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Glade ound 24 in. of suitable sod round < 24 in. of suitable soil
❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain)
V. Dis rsal/Treat ent Area Information: gle
Design Flow (gpd) Design Soil Applicati ate dsf) Dispersal Area Requ' s Dispersal Area Propose System Elevation
2) It v l~ VJ`
d i
VL Tank Info Capacity in "Coral it f Manufacturer
Gallons _ Gallons Units
New Tanks Existing Tanks
0
Septic or Holding Tank
Dosing Chamber
VII. Responsibility Statement- I, ndersigned, assume p sibility for installation of the POWTS shown on the attached plans.
Plumber' a (Print) F Plumber's e MP/MP,RS /Number Business Phone Number
Plumber's Add
ressS rty: S r , Code)
i
55
VIII. ntv/De artment Use Only /
i
Approved Permit Fee Date Is ed r_ Issuing Ag ignatire
t~ Reason~Sf{aO~rr~Denial 6617' /
T
IX. Conditi i l! pprova]
2 `aiic~~~r.i+~a~Mr~rM+frElirs~d
«1W ropk" C04MI~. `v♦.~l.e,
Attach to complete plans for the system and submit to the County only on paper not less than 8 1rz z I1 ioches in siu
SBD-6348 (R. 11/11) J Grl'~~~'
System PLOT PLAN
PROJECT Robert Stanke ADDRESS 418 7th Ave Clavton Wi 54004
NE 1/4 SE 1/4S 5 /T 29 N/R 17 W TOWN Hammond COUNTY ST. CROIX
SYSTEM ELEVATION 101.0' 1.5' sand lift 11/12/16
BEDROOM 3
DATE
CONVENTIONAL AT-GRADE CONVENTIONAL LIFT HOLDING TANK
MOUND XXX SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630
HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 456
# of chambers none
BENCHMARK V.R.P. Top of 3/4" pipe ASSUME ELEVATION 100' Filter Lifetime Filter
❑ BOREHOLE O WELL *H.R.P. same as benchmark
170th St. Existing 3 20 Acres Parcel
Bedroom
House
b
Well
O T~
1
Scale = 1/4" = 10'
6
3
Huffcutt Old tank is to be
pumped Tank is to be properly Combo p P and
bedded and provided Tank buried ~dert dind is to be done to % with lockdown covers 1 ivrun-off away from
system
with approved
B-1
warning labels
B-2 100'
99.5'
99'
B - 3 ~ 4% Slope
98'
Area 15' below system is
to remain undisturbed B.M.*
300'
Property Line
L-~
7 J~~
r
o-VART1fEV DIVISION OF INDUSTRY SERVICES
5~ fog 2331 SAN LUIS PL STE 150
ooh GREEN BAY WI 54304-5211
m
Contact Through Relay
SP
http://dsps.wi.gov/programs/industry-services
9ti w www.wisconsin.gov
16'~X ~o ssrorAScott Walker, Governor
Dave Ross, Secretary
November 29, 2016
CUST ID No. 226900 ATTN: POWTS Inspector
SHAUN R BIRD ZONING OFFICE
BIRD PLUMBING INC ST CROIX COUNTY SPIA
1432 120TH ST 1101 CARMICHAEL RD J,(L,
NEW RICHMOND WI 54017-6409 HUDSON WI 54016-7708 ~
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 11/29/2018 Identification Numbers
Transaction ID No. 2829274
SITE: Site 11) No. 832753
Robert Stanke Please refer to both identification numbers,
1144 170TH St above, in all correspondence with the agency.
Town of Hammond
St Croix County
NE1/4, SEI/4, S5, T29N, R17W
Subdivision: 20 Acre
FOR:
Description: Mound System (3 Bedrooms - Replacement)
Object Type: POWTS Component Manual Regulated Object ID No.: 1657074
Maintenance required, Replacement system; 600 GPD Flow rate; 18 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 Cod
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(l 0), 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.
• 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. All loose organic material to be removed from mound area.
• Prior to construction of the dispersal area check the moisture content of the 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 rolling 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.
• Abandon Existing System per SPS 383.33
• _Pump Floats to be set and verified per approved plan Any changes may result in pump resizin2 to meet
TDH and GPM Specifications.
• Divert surface water from POWTS Area.
t
SHAUN R BIRD Page 2 11/29/2016
• 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)
• Tank Installation to follow all manufacture's recommendations.
• Verify property line(s) prior to installation.
• Well setbacks to meet chs. NR 811 & 812.
• 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.
• 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 locate,?.
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
c onstruction/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 $ 250.00
1_;2/__ P
Z; 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.vanderleestp,wisconsin. gov
SHAUN R BIRD Page 2 11/29/2016
• 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)
• Tank Installation to follow all manufacture's recommendations.
• Verify property line(s) prior to installation.
• Well setbacks to meet chs. NR 811 & 812.
• 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.
• 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.
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 $ 250.00
Z; This Amount Will Be Invoiced.
l 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.vanderleestg wisconsin.eov
Cover Page
Shaun Bird `y
Bird Plumbing Inc. AND
1432 120th St. :'ZVICE S
New Richmond Wi 54017
715-246-4516
Date: 11/11/16
Owner:Robet Stanke
Location: NE 1/4 SE1/4 S5 T29 N,R17 W 1144 170th 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. 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 Specifications and cross section
Attachments: Soil Test
Shaun Bird
Signature
License number 2 900
W ` Page 1 of 9
NOV 1 5 2W
System PLOT PLAN
PROJECT Robert Stanke ADDRESS 418 7th Ave Clavton Wi 54004
NE, 1/4 SE 1/4S 5 /T 29 N/R 17 W TOWN Hammond COUNTY ST. CROIX
SYSTEM ELEVATION 101.0' 1.5' sand lift 11/12/16 3
DATE BEDROOM
CONVENTIONAL AT-GRADE CONVENTIONAL LIFT HOLDING TANK
MOUND XXX SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630
HOLDING TANK SIZE LOAD RATE 1 .0 ABSORPTION AREA 456 # of chambers none
BENCHMARK V.R.P. Top of 3/4" pipe ASSUME ELEVATION 100' Filter Lifetime Filter
❑ BOREHOLE O WELL *H.R.P. same as benchmark
170th St. Existing 3 20 Acres Parcel
Bedroom
House
Well
O
Scale = 1/4" = 10'
Huffcutt Old tank is to be
Tank is to be properly Combo pumped and
bedded and provided buried Gradind is to be done to
Tank divert run-off away from
with lockdown covers
system
with approved
B-1
warning labels
g-2 100'
" 99.5'
99'
B - 3 4% Slope
98'
Area 15' below system is
to remain undisturbed B.M.*
300'
Property Line
Mound System Cross Section and Plan View
Dimension Feet
A
B
1T e sJ
r f r r, 1i`}?rrti:,:ti:1:1.ti:ti:ti.ti:1.1.•..1.,:}.ti.,.,.1. D
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ftiJ•~ •r.f•r• 1 1 1 1 1 Y1.1•\•1.1.4.1•Y1.1~1.1• f•r:f:~ r•J•J '
41 1 1.1.1.1.1.1.1.1. 1:1.1.1• '
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J~l~f~f~f~f~J1f~f~J1f4~ r1i1rN1i111~4 r1ii:~:~i1.1• • r•Jtir1
W f r~f~f:r:r:f:J:l:f:t:l•f.r.r.f.r.f. J.f•f.J.r.r~r11ti~1~ti:~:1:1:1.YYY1.Yti11:4~:Y
r.f.f.f.f.r.r.f.f.f.f.r..r.r.f.f ' F
r
G
. ! ~S
i Z
H
~O
r,
I
t QQ
c'
- I
U
J
i
K
11 K 6
W°
K -T B I
Z q_ -
L Slope %
- 7 = Topsoil = ASTM C-33 t r~~ = Clean aggregate
Cap Material sand O = 4 in. sch. 40 pvc
fill 1~Y1~1 %2 to 2 %2 in. dia. observation pipe
Geotextile G H
Fabric
Jtirtilti •
f~~~.<r F
r=r=, r•t
i"J ~Q ~ r t~
D
E
9 l J 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 1/4 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.
10/07 lgj '
Page ~ of
Pressure Lateral Layout
Two Laterals - End Manifold
4 Threaded
Cleanout
Lateral Turn-up Plug
Manifold
M
* X
L \
Force Main Long
Sweep
90
Bend
l
Distribution etwork S ecifications Pressure System Construction
Lateral Diameter Z In.
Manifold Diameter Z In. Laterals are constructed of Schedule 40 PVC
Orifice Diameter all In. pipe. Orifices are drilled perpendicular to
X Orifice Spacing) ,Z 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 2 In. diameter lawn sprinkler valve box accessible
Force Main Length Ft. from finished grade.
Grade
6-8 Inch Lawn
Sprinkler Valve
Box
Page of
03/05 lg;
i
Septic-Dose Wank Cross Section And Pump Performance Specifications
Tank Manufacturer Pump Manufacturer
Tank Model Number Pump Model Number
Total Tank Capacity Alarm Manu€actiu'er
Max. Bury Depth Alann Model Nun3ber . Z_v
Switch Type G
Filter Manufacturer 1 , Total Dynamic Head (I'DI-~ -Feet
Filter Model Number VI? Elevation Head_ U
Distal Pressure _5~1 62
Network Loss
Minimum Pump Performance Required Force Main Loss -Z
Q GPM S Ft TDH Total S,
Outlet Manhole Mm 4" Above Grade With Manhole Min. 4" Above Grade
Locking Device. Inlet Manhole With I.,ociizing Device
< b" Below Grade Sealed Watertight Securely Mounted
Weather-proof
Junction Box
Finished Grade
i rr
Vent Min. 12" Disconnect
Above Grade Means
With Vest cap
Outlet Filter i _ _ _ _ _ -
Inlet haslet Baffle - -
A yk»
Switch S!tg R and Reserve Capacity
Weep
Tank Volume - _~r GPI Hole
B
DimensiOII Inches Volume Gal.
moo-
(reserve) A s~ .
Off Elevation
C
2 Bottom
(dose) C s ~ -
X.
(dead} D D Elevation
Ft
Total > ; > >
in accordance with the
GENERAL INSTALLATION: The septic/dose tank is bedded and. back filled
manufacturer's product aiproval specifications. Maximum depth of buryas. specified, by the manufacturer may not
to have an e$octive locking device (padlock)
be exceeded without prior approval. Manhole covers exposed grade t fittin and
installed. Piping at ttze inlet and outlet is of approved material, connected to the tank with watertigh gs,
laid on stable soil to prevent SeWng or sagging. The force roam is sleeved with 4°' Sch• 40 `PVC to bridge the tank
EieexriCal seFVice mplies with NEC 300 and Comm 16.2-3.
excavation and the sleeve. is sealed watertight.
pie of
02/45 LT
TOTAL DYNAMIC MEAD/CAPACITY
PER MINUTE
HEAD CAPACITY CURVE EFFLUENT AND DEINATERING
i
N MODEL 152/153
~ i MODEL i 152 153
w w
MU, L~ 50 r eet Meters Col. I Liters I Goi. ,Liters
1 5 1.5 69 j 251 77 291
40 , 10 I 3.1 61 231 I 70 265
12
15 4.6 53 201 61 231
0
20 6.1 44 167 52 197
i ~
v 30 25 7.6 34 129 1 42 1159
z 8 I 30 9.1 11 23 87 I 33 125
20 3I i , - ! 22 s5 i
0 40 I 12.2 i i 11 I 42 i
r
4~ ccK Jaive: j33.0 ri. (iL6-n);44.0 Ft. ('14
j 10 D16506
i
0
20 60 80 100
GALLONS
jf 6 1/4
LITERS 0 80 160 240 320
3 27/52
FLOW PER MINUTE i I 1
27%32
CONSULT FACTORY FOR SPECIAL APPLICATIONS _
• Timed dosing panels available. J C 3 2'/32
• Electrical alternators, for duplex systems, are available and supplied with e
an alarm.
• Variable level control switches are available for controlling single phase
systems.
• Double piggyback variable level float switches are available for variable
level long and short cycle controls.
• Sealed Qwik-Box available for outdoor installations. See FM1420.
• Over 130°F. (54°C.) special quotation required.
I
12 '1/5 -1 ,-11 1521153 Series
L I
152H53 MODELS Control Selection I ~ I I
Model I Votts-Ph Mode Amps Sim lex Du Iex > > /8
N152 115 - Non 8.5 1 2 or 3 I
BN152 115 1 Aura 8.5 Included 2 or 3 T SK2064
E152 230 1 Non 4.3 1 2 or 3
.Inclu:ed 2 or 3
SE152 230 Auto Al
N153 115 1 Non 10.5 1 2 or 3
BN153 115 1 to, 10.5 Inclu.'.ed 2or3 SELECTION GUIDE
E153 230 1 Non 5.3 1 2 or 3 1. Single piggyback variable level float switch or double pggybackvariable level float
BE153 230 1 Auto 5.3 Included 2 or 3 switch. Refer to FM04T7.
o CAUTION 2. See FM0712 for correct model of Electrical Altemator E-Pak.
All 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. Ali electrical and safety codes should be followed including the most Or (4) float system.
recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA).
RESERVE POWERED DESIGN
For unusual conditions a reserve safety factor is engineered into the dr - ,
MAIL TO: P.O. BOX 16347
Louisville, KY 40256.0347 Manufaciurersof..
SHIP TO: 3649 Cane Run Road
Louisville, KY 40211-1961 Q!/fiUTY PUMPS S.rcf /999
wii.•,ii~ (502) 778-2731 1(800) 928-PUMP
http:llwww.zoeller.com AflAhO LQ FAX(502) 774-3624
0 Copyright 2000 Zoeller Co. All rights reserved.
POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page.of
FILEINFORMATION SYSTEM SPECIFICATIONS
Owner l Septic Tank Capacity al NA
Permit Septic Tank Manufacturer
NA
DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA
Number of Bedrooms [3 NA Effluent Filter Model p NA
Number of Commercial Units NA Pump Tank Capacity al p NA
Estimated flow (average) gal/day Pump Tank Manufacturer NA
Design flaw (peak), (Estimated x 1.5) al/d . Pump Manufacturer
❑ NA
~Se
Soil Application Rate L' altda /fe Pump Model ❑ NA
Influent/Effluent Quality Monthly average Pretreatment Unit ?dAA
Fats, Oil & Grease (FOG) 530 mg/L ❑ Sand/GMvel Filter ❑ Peat Filter
Biochemical Oxygen Demand (BOD.) 420 mg/L ❑ Mechanical Aeration ❑ Wetland
Total Suspended Solids (TSS) 5150 m /L ❑ Disinfection ❑ Other.
Manufacturer
Pretreated Effluent Qualrti Month average" Y Monthly Dispersal Cell(s)
Biochemical Oxygen Demand (BODS) S30 mg/L ❑ In-ground (gravity) ❑ j round (pressurized)
Total Suspended Solids (TSS) s30 mg/L ❑ At-grade ound
Fecal Coliform (geometric mean) S10` cfu/100ml ❑ Dri ine ❑ Other.
Ma)dmum Effluent Particle Size Y. inch diameter Values typical for domestic (non-commercI4 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 --R ❑ months ar(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 --9j months ar(s) (Maximum 3 yrs.)
Clean effluent filter At least once every ❑ months ar(s)
Inspect pump, pump controls & alarm At least once every -3 ❑ mon r(s) ❑ NA
Flush laterals and pressure test At least once every 3~0 month r(s) ❑ NA
Ofher. 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
SerVk*Q 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 fitters, m nical or pressurized POWTS components, pretreattment components, and any
other maintenance or monitoring at i ervals of 12 months or less shall be performed by a certified POWTS Maintainer.
A servlcg 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 conceAtrations are
detected have the contents of the tank(s) removed by a septage servicing operator prior to use.
Page of
START UP AND OPERATION thElt
nk(s) fr the presence of may c alt(s). If high concentrations are de detected have thercontents rso of thia
For new construction, prior to use of the POWTS e and/or damage the dispersal treatment
impede the treatment process a
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 be
discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent
To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to 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. 11
Do not drive or park vehicles over tanks and dispersal cells. 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 performance and prolong the fife of the POWT
antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drapn
(sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting produc ls;
pesticides; sanitary napkins; tampons; and water softener brine.
ABANDONMENT
When the POWTS falls and/or is permanently taken out of service the following steps shall be taken to insure that the system is properlly
and safety abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code:.
• Ail piping to tanks and pits shell be disconnected and the abandoned pipe openings sealed.
• The contents of all tanks and pits shall be removed and properly 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 fined with sail,
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 compli.pnt
replacement system:
❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption systeim.
The replacement area should be protected from disturbance and compaction and should not be infringed upon by requirjed
setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the neled
for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the ruled in
effect at that time.
❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technologN a
holding tank may be installed as a last resort to replace the failed POWTS.
The site has not been evaluated.to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaiual on
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.
4'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.
<<VVARNING>>
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 O~ A
PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE.
ADDITIONAL COMMENTS
POWTS INSTALLER POWTS MAINTAINER
Plane la~~
Name
Phone iJ Phone Jr /
SEPTAGE SERVICING OPERATO PUMPER LOCAL REGULATORY AUTHORITY
Name
61A. Name
Phone n 5 Phone J
This document was drafted in compliance with chapter SPS 383.22(2)(b)(1)(d)&(f) and 383.54(f (2) &'(3), Wisconsin Administrative Code.
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ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer
Mailing Addresi44ca Property Addretion required from Planning Zoning Depart:nent~for construction.)
City/State Parcel Identification Number
LEGAL DESCRIPTION
Property Location ~ Y. S ec~S , T2- 9 N R j) W, Town of
Subdivision- , Lot #
Certified Survey Map # Volume , Page #
Warranty Deed # .,Volume page #
Spec house y no Lot line, identifiable yes no
SYSTEM MAINTENANCE AND OWNER CERTMCATION
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, 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 waslu 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 ism proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is
less than 1/3 full of sludge.
Vwe, 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 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 Deeds Office. wa76
Number of bedrooms
SI A 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 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. 08105)
E; IV E
f .
Wisconsin DepartmerorC'i SOIL EVALUATION RE MCV3F8AYBF9D6 Page of
Division of Safety and Ings
ST C E C'X Coll jTjn accordance with Comm 85, Wis. Adm. Code County C '
Attach co~~►►PP}}~~JPI$`b►AkPe~Ti 8 1/2 x 11 inches in size. Plan must \
include, btrE'Vtd~MW to: vertical and horizontal reference point (BM), direction and Parcel I.D.
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. +
Please print all information. Revie by Date
Personal information you provide may be used for secondary purposes (Privacy Low, s. 15.04 (1) (m)).
Property Owner Property Location
Govt. Lot 1 /4 1 /4 S T N R E (or
Property Owner's Mailing Addr Lot # Block # Subd. Name or CSM#
1L)
City State Zip Code Phone Number ❑ City ❑ Village ~'7o Nearest Road
C
70
❑ New Construction Use: Residential / Number of bedroo Code derived design flow rate _ GPD
replacement Public or commercial - Describe:
ft.
Parent material ~a~ Flood Plain elevation if applicable ^11)4
General comments
and recommendations:
~ J ' l'&t 4System Elevation I
System Type/ 4//,
M Boring # Boring _C
LQ Pit Ground surface elev. _I_ 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
ng# ❑ Boring
Pit Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
i
Effluent #1 = BOD- > 30 < 220 nWL and TSS >30 < 150 mg& ' Effluent #2 = BOD. < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) Signatu CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address Date Evaluation Conducted Telephone Number
1432 120th St, New Richmond, WI 54017 ~--1 715-246-4516
Property Owner _ Parcel ID # Page of
Boring tt Boring
J Pit Ground surface elev. I ft. Depth to limiting factory 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
16
Boring # ❑ Boring
F-1 ❑ pit Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 `Eff#2
Boring
Boring # Ground surface elev. ft. Depth to limiting factor in.
F-1 ❑ Pit
Soil Application Rate
Horizon ')epth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 "Eff#2
Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mgA- ' Effluent #2 = BOD5 < 30 mg/- and TSS < 30 mg/L
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777.
SBD-8330 (8.6/00)
Property Owner Parcel ID # Page of
Boring # Boring 2 0,97 4 apit Ground surface elev. ft Depth 9 - Sod Application Rate
Floriaon Depth Dominant Redox Description Texture sbwu re Consistence Boundary Roots GPDM
in. Munsell Qu. Si. Cont. Cola Gr. Sz. Sh. 'Etf#1 'Eff#2
2- -2011 o !o C'i A&Jkkl
.3 -~t~ l G1 . l 4// Al - 2 • .3
Boring # ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting fade in. c,,~ Application Rats
Q
Hortm Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
I
Boring # ❑ ~ Ground surface elev. ft. Depth to W dting factor in.
❑ Pit Sol Application Rate
Horhm 'lepth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/!F
In. Munsell Qu. Sz. Cont. Coin Gr. Sz. Sh. 'EH#1
Effluent #1 = BOD6 > 30:S 22o 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 treed assistance to access services or
need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777•
sawuto t~>
Soil Test Plot Pla '
Project Name Robert Stanke Sh Bir
Address 418 7th Ave
Clayton Wi 54004 6ATM #226900
Lot Subdivision Date
NE 1/4 SE 1/4S 5 T 29 N/R17 W
Township Hammond
❑ Boring Q Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of 3/4" pipe
System Elevation TBD *HRpSame as Benchmark
Scale is F = 40'
unless otherwise
Existing 3
noted Bedroom
House
100' 20' 60' Well
100'
T
Overfl~ 20'
100'
B-2 70' B-1
30' 99'
5 , B-3
10 98'
170th ST. 300 B.M.* 4% Slope
Property Line