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HomeMy WebLinkAbout040-1318-00-036 Wisconsin Department of Commerce Safety and Building Division PRIVATE SEWAGE SYSTEM County: INSPECTION REPORT Sanitary Permit No. St. CCOIX GENERAL INFORMATION (ATTACH TO PERMIT) 592209 Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(1 State Plan ID No: Permit Holder's Name: 2873372 Creative Homes City Village Township ' 12- Parcel Tax No: OF BM Elev: Insp. BM Elev: BM Description: 8allk TOWN OF TROY 040p No: 00-036 ( ~s~ Section/Town/Range/Map No: TANK INFORMATION t 11.28.19.2111 TYPE ELEVATION DATA r, e'(,j _ MANUFACTURER S CAPACITY STATION BS HI FS ELEV. Septic 1 Benchmark I /Z' /OT71 Z- 6@mrrg 4 7SU Alt. BMW 7u Z. 16.9 + L1v Bldg. Sewer Holding Y St/Ht Inlet TANK SETBACK INFORMATION * l2 ~67y, St/Ht Outlet TANK TO P/ WELL BLDG. ent to it intake ROAD Dt Inlet Septic 3 ~ Z Dt Bottom Dosing '93 -451ok, Header/Man. Aeration Al 16 . 3 _ Dist. Pipe • Holding I Bot. System 16 PUMP/SIPHON INFORMATION ~ Z 3 ~g Final Grade Manufacturer 71 L/ Demand St Cover Model Number ` GPM 3. /~87 2 f . _P /O~j/. Z 1 TDH Lift 4-0 ` 71 Friction Loss System Hea TDH guy 3 Ft. Forcemain Length Dia.2 Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. O Trenc DIMENSIONS <J' / PIT DIME SIONS No. Of pits / Inside Liquid Depth SETBACK SYSTEM TO P/L INFORMATION BLDG WELL LAKE/STREAM LEACHING Manufacturer: Type System: _ CHAMBER OR UNIT Model Number: DISTRIBUTION SYSTEM Header/Manifold + f`~ p t Distribution Pipe(s) x Hole Size x Hole Spacing V Length Dia r Length -7 Dia s, a Airln e SOIL COVER spacing x Pressure Systems Only xx Mound Or At-Grade Systems Only r Depth Over Depth Over )lx Bed/Trench Center Bed/Trench Edges Depth of xx Seeded/Sodded Topsoil I xx Mulched No No COMMENTS: (Include code discrepencies, persons present, etc. Inspection #1: /7 Inspection #2: S / Location: 723 MOUNT CURVE CT, 1.) Alt BM Description = i.,j 7e, oll + p 2.) Bldg sewer length = L f Zs - amount of cover = f v~ 5 d- L.D S o Plan revision Required? [ l Yes No Use other side for additional information. y,. ign SBD-6710 (R.3/97) Date , Insepctor's Signature Cert. No. . i A' J Court <`D Safety and Buildings Division ty K ^ i`s rf 201 W. Washington Ave., P.O. Box 7162 Sant i yd l tary Permit Number (to be filled in by Co.) Madison, W1 $3707-7162 r S CO IXUY~'' FIZZ " 2 r-4 L)5 E J arutary ermlt Application State Transaction Number accordance with SPS 3 83.21(2), Wis. Adm. Code is , submission of this form to the appropriate governmental unit is required prior to ob a r _ tatntng ng a sanitary Permit Note; , pplicat the Department of Safety and Professional Servies. Personal icon f ormsno state-owned POWTS are submitted to Project Address (if nfe You Provid may be used for secondary different than mailing address) PMDOSLS in accordance with the Privac Law, s. 15.04 1 m), Stets. L A lication Information - Please print All Informatio Z r Property Owner'~Name r P 0 t Parcel # kToPerty Owner's Matting Address 6 4 0 00 -63 ~ ) r'-• Property Location City, State Zip Code Govt Lot Phone Number Section H. Type of Baiidmch all that apply) T Icircic on g ( LO N; R __L_- f4E ~ 2 Family Dwelling - Number of Bedroo ~ Subdivision Name 61G mot, . Blo ❑ Public,Commercial - Describe Use / .a^ ❑ City of t ❑ State Owned - Describe Use CSM Number ❑ Village of f X 75 d C own of 7 / III. Type of Permit: (Check only one box on line A. Complete line is if applicable) System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ® ❑ Other Modification to Existing System (explain) B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ p List Previous Permit Number and Date Issued Before Expiration Permit Transfer to New IV. Type ofPOW I'S System/Com onent/Device: Check all that a 1 Owner 01 ❑ Non-Pressurized lit-Ground ❑ Pressurized In-Ground ❑ Al-Grade 4Qimd 124 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ er Dispersal Component (explain) , V. Dis rsal/Trea ent Area Information' ) ❑ Pretreatment Device (explain] Design Flow (ppd) Design Soil Applicab Dispersal Area Req (s Dispersal Area Prop os (s System Elevation UC VL Tank Info Capacity in Gallons Total # of Manufacturer New Tanks Gallons Units Existing Tanks • m v J Septic or Holding Teak 1 f`h~ o o- I ) .o 'm ~ Dosing Chamber VII. Responsibility Stateme 1, the undersigned, • e responsibility for installation of the POWTS shown on the attached plans, Plumbar's Name (Print) Plumb S gnature MP/IvIPRS Number Business Phone N ber Plumber's Address (Street, City: State, Zip Coc~ej G ! J l f t\j VIII ouaty/De artment Use Only Approved 7`9w p Permit Fee Date Is ed $ Issuing Agee azure iv en Reason for Denial / 2 ZZ DL Conditi sons. or DisYpproval ~~n~ 1 ept.. rk, el hxn: tt e ti•_ " pens„ cell rust all be c s nth- 3) Et6 per?,w.agemen! plan pi c,iided by pluinbe>. 2. 11NI r r9et~t,{i~ar~enrs must to r:;aintr•. ir;ed ~l,^,ke~►.Q. ~ as W 1rwAot" s c4de /,:rdinance3. Attach to complete plans for the system and submit to the County J J p per not }eys tLao 8 rrz z l I iocltg1in stye SBD-5398 (R- 11/11) T~ c•vv~p~ ~^.it SrX rp•/a,Q, ~•Ge+'~l System PLOT PLAN PROJECT Creative Homes ADDRESS 707 Commerce Drive Woodburv Mn 55125 NW 1/4 NW 1/4S 11 /T 28 N/R 19 W TOWN Troy COUNTY ST. CROIX SYSTEM ELEVATION 1086.0 12/7/16 BEDROOM 4 DATE CONVENTIONAL AT-GRADE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE 765 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 600 # of chambers none BENCHMARK V.R.P. Top of 1.25 survey pipe ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark Mount Curve Court 1 Acre Lot Well is to meet all Scale = 1/4" = 1 p' WDNR setbacks Pro 4 Bedroom House Property Line Property Line Huffcutt Combo Tank B-117B Tank is to be properly bedded and provided with lockdown covers with approved warning labels 7% Slope Area 15' below ❑ B-1 17C system is to remain undisturbed Grading is to be done to divert run-off away from system B-117A❑ B. Property Line 1084' 1085' 1086' i ~ ~ PPAP.T.t F~ f /5r o~ DIVISION OF INDUSTRY SERVICES y 2331 SAN LUIS PL STE 150 GREEN BAY WI 54304-5211 Contact Through Relay 911 S' G~; hftp://dsps.wi.gov/programs/industry-services "R www.wisconsin.gov O S ~S'SlOti A1' Scott Walker, Governor Dave Ross, Secretary ' December 15, 2016 AP. CIJST ID No. 226900 ATTN.• POWTSInspector ' T OF C) r' 31( SHAUN R BIRD ZONING OFFICE C' : r IN r. BIRD PLUMBING INC ST CROIX COUNTY SPIA 1432 120TH ST 1'101 CARMICHAEL RD NEW RICHMOND WI 54017-6409 HUDSON WI 54016-7708 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 12/15/2018 Identification Numbers Transaction ID No. 2873372 SITE: Site ID No. 833963 Creative Homes Please refer to both identification numbers, 723 Mount Curve Court above, in all correspondence with the agency. Towm of Troy St Croix County NWl/4, NW1/4, S11, T28N, RI 9W FOR: Description: Mound System (4 Bedrooms - A'erv Cc:'! Object Type: POWTS Component Manual Regulat.d Object JD No.: 1676153 Maintenance required; 600 GPD Flow rate: 24 in Soil minimum de th to limitin factor from original rade; 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. All loose organic material to be removed from mound area • Divert surface water from POWTS 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 b rolling a soil sample between the hands. If it rolls into a 1/4- inch wire f SHAUN R BIRD Page 2 12/15/2016 the site is too wet to prepare. If it crumbles site preparation cane proceed If the site is too wet to prepare do not proceed until it dries. • 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. • Pump Floats to be set and verified per approved plan Any changes may result in pump resizin2 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 mail-itenance 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/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 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 tin vanderleest c wisconsin.aov SHAUN R BIRD Page 2 12/15/2016 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. • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building server 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. • Pump Floats to be set and verified per approved plan Any chances may result in pump resizinc to meet TDH and GPM Specifications. • Areas that are occupied with rock fragments, tree roots, stumps and boulders reduce the amount of soil avaiia[iie for proper treatment. if no other site is available, trees in the basal area of the mound must be cutoff 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/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 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.vanderleestRwwiscons in. Qov Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 12/7/16 Owner:Creative Homes Location: NW1/4 NW1/4 S11 T28 N,R19 W 723 Mount Curve Court Troy Manuals Used: Mound Component Manual Version 2.0 (N.01/01, R. 10/12) Pressure Distribution Manual Version 2.0 (N.01/01 R. 10112) Page# 1. Cover Page 2. Mound Plot Plan 3. Mound Cross Section 4. Pipe Cross Section/Pipe Layout 5. Pump Chamber Cross Section 6. Pump Curve 7-8. Maintance and Contigency plan 9. Filter Specifications and cross section Attachments: Soil Test f" Shaun Bird Signature e License number 2 900 RECEIVED Page 1 of 9 DEC 0 8 2!1 INIDUSTRY SEH'i' IC"E System PLOT PLAN PROJECT Creative Homes ADDRESS 707 Commerce Drive Woodburv Mn 55125 NW 1/4 NW 1/4S 11 /T 28 N/R 19 W TOWN Troy COUNTY ST. CROIX SYSTEM ELEVATION 1086.0 12/7/16 BEDROOM 4 DATE CONVENTIONAL AT-GRADE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE 765 HOLDING TANK SIZE LOAD RATE 1 .0 ABSORPTION AREA 600 # of chambers none BENCHMARK V.R.P. Top of 1.25 survey pipe ASSUME ELEVATION 100° Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark Mount Curve Court 1 Acre Lot Well is to meet all Scale = 1 /4" = 1 p' WDNR setbacks Pro 4 Bedroom House Property Line Property Line Huffcutt Combo Tank B-117B Tank is to be properly bedded and provided with lockdown covers with approved warning labels 7% Slope Area 15' below ® B-117C system is to remain undisturbed Grading is to be done to divert run-off away from system B-117A❑ B.M.* Property Line 1084' 1085' _ ~j 1086' Mound System Cross Section and Plan View Dimension Feet J A i 1 B T t fti 1J1f1• 1.111.1•\•1fS~l~tifti:ti. J•f. tif1t1 1 11tif1.1.1.1.1.1.1.1.1• D A \ L.1 1.1 fY J1J:i~.t. J.J.J.f.J.J.J:Ir: r:l:l:f1;:r: :f1r~:ti:ti.ti:ti: •11 5n •~L 1 Jf~ 11J::r:r:r:'ti.1.L:Yi1111r1r111r1r1r f1J}fY~JY1J1J1.1.1.ti. ti. yrti.1 4. J 1.1~1111ti~11 •f '4;' 'J.......J:r:J:J1• 1:1: J1f.f.r . .JYti:1f4ti.1..M1:1 ti:lfif:r~1:r:r:iY:r.fY.J.f:f:J1 ti yf:tiJ:1.J.JrV.~`F}•:J:f~t.J1JY ' W r.r.f.J.J:1:1:1:J:J~f:T1i:'L.1. 1.1+111.1f~f:f:l~l:f.!~f~J~~.fiJ: y1:f•+4•J: 1 1 1~ E f.J.Jy1r:t:l:.••:f:f:J:f:f:J:fLr1.1.t.1.ti. J•JjJyf.J.1' ' `rl - ` J•J•J•f•J•J•J?J~J•f•f1fyf F r i Z : .S I i H . - I i r° J i - K 7 7 - - - - - - - - - - - - K___ l B W s. z - L Slope % _ 7 =Topsoil = ASTM C-33 Cap Material = Clean aggregate = 4 in. sch. 40 pvc sand fill Y•f.f. %2 to 2 %2 in. dia. O observation pipe Geotextile Fabric G H RZO •j4~M1. ~1tir1:y:hf1J4J. . •JY f.f•f.J•f•f•r:?.t -0 U D E 10-- 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'/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. 10/071gj Page 3- of Pressure Lateral Layout Two Laterals - End Manifold 4 Threaded Cleanout Lateral Turn-up Plug Manifold M t X Force Main L Long Sweep 90 Bend 7a Distribution Netw rk S ecifications Lateral Diameter Pressure System Construction Z In. Manifold Diameter Orifice Diameter Laterals are constructed of Schedule 400 PVC s, 3 - In. pipe. Orifices are drilled perpendicular to X Orifice S acin In. the pipe with a sharp drill bit and face L ateral Len ~P down. Ft. Lateral turn-ups terminate with a threaded M (Manifold Length) Ft, ceanout plug and are enclosed in a 6-8 inch Force Main Diameter In. diameter lawn sprinkler valve box accessible Force Main Len Ft. from finished grade. Grade 6-8 Inch Lawn Sprinkler Valve - Box U Page of 03/05 lgj i Septic-Dose Tank Cross Section And Pump Performance Specifications Tank Manufacturer Pump Manufacturer Tank Model Number Pump Model Number A J / 3" Z- Total Tank Capacity S Alarm Manufactuaer v~ Max. Bury Depth Alarm Model Number L- L.--. Switch Type Fitter Manufacturer Total Dynamic Head (TDH) - Feet Filter Model Number i Elevation Head Distal Pressure Network Loss , Minimum Pump 'erforrnance Required Force Main Loss GPtv1 Ft TDH Total Outlet Manhole Min. 4" Above Grade With i Locking D". Inlet Manhole ~ ~itanhole Min. 4" Above Grade < 6" Below Grade Seated Watertight Securely Mounted With Locking Device Weather-proof Finished Grade Junction Box s Vent Min. 12" Disconnect Above Grade Means With vent cap Outlet Filter lnlet t Inlet Baffle - 14, A Switch Sett ngs and Reserve Capacity Tank Vohnne = GPI weep Dimension: Inches Volume Gal. B Hole (reserve) A a . (alarm) B : 2 Off Elevation c (dose) C 77 /07 < > . Bottom D D Elevation Total GENERAL INSTALLATION: The septic/dose tank is bedded and back filled in accordance with the manufacturer's product approval specifications. Maximum depth of bury -4 specified by the manufacturer may not be exceeded without prior approval. Manhole covers exposed to grade have an. effective locking 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 went settling or sagging. The force main is sleeved with 4r Sch. 40 PVC to bridge the tank excavation and the sleeve. is sealed watertight.: Electrical ice mplies with NEC 300 and Comm 16.25. Page of 02/05 LI TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE HEAD CAPACITY CURVE EFFLUENT AND DEWATERING MODEL 152/153 ! 153 LJ MODEL 152 50 Feet Meters Gol. I Liters I Gal. , Liters 3 5 t.5 69 251 i 77 291 40 10 f 3.i 61 231 1 70 255 12 152 Q 4.6 53 201 1 61 231 1 6.1 - 44 167 I 52 197 c~ 30 25 7.6 34 129 42 159 8 1 30 1 9.1 I 23 87 i 33 125 o I _ 22 85 20 11 I 42 p 40 12.- I I I ) 4 Lock wive- j 38.0 i 1 L5m1 44.0 Q. ('14m, G 14506 i 10 i 0 20 60 80 100 GALLONS LITERS I - /a O 80 160 240 320 _ 3 27/32i-__..;.~_1 FLOW PER MINUTE 3 27/32 CONSULT FACTORY FOR SPECIAL APPLICATIONS Timed dosing panels available. O 3 27/32 • Electrical alternators, for duplex systems, are available and supplied with e j an alarm. Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable J___-- level long and short cycle controls. • Sealed Qwik-Box available for outdoor installations. See FM1420. i--- I • Over 1304F. (54°C,) special quotation required. I~ I 1521153 Series 12 1/8 152!153 MODELS Control Selection 1'~ i I Model Votts Ph Mode Am s Sim lex Du lex i N152 115 1 Non 8.5 t 5 1/8 2or3 BN152 115 1 Auto 8.5 Included 2or3 s~06t E152 230 1 Non 4.3 1 2 or 3 BE152 230 Auto 4.3 Inc. . 2 or 3 N153 115 1 Non 10.5 t 2 or 3 BN153 115 1 Auto 10.5 lnclu:ed 2or3 SELECTION GUIDE E153 230 1 Non 5.3 1 2 or 3 1. Single piggyback variable level float switch or double piggyback variable level float BE153 230 1 Auto 5.3 Included 2 or 3 switch. Refer to FMO477. p CAUTION 2. See FM0712 for correct model of Electrical Aftemator E-Pak. Ali 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. All electrical and safety codes should be followed including the most or (4) float system. recent National Electric Code (NEC) andthe Occupational Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL TO: P.O. BOX 16347 Louisville, KY 40256-0347 Manufacfurersof.. " SHIP TO: 3649 Cane Run Road 7p u Q~/QL/TY/ llWll ,-//NCE 917 Q T ® Louisville, KY 40211-1961 /7 (502) 778-2731 • i (600) 928-PUMP httpJ/WwwzoeiJer.com PUM! L O FAX (502) T74-3624 © Copyright 2000 Zoeller o. All rights reserved- 6 F 0 1) 1 ~POWTS OWNER'S MANUAL & MANAGEMENT PLAN Pa 9e -_of FILONFORMATION SYSTEM SPECIFICATIONS tj so PerrneiEr l Septic Tank Capacity S al ❑ NA Septic Tank Manufacturer NA DESIGN PARAMETERS Effluent Filter Manufacturer Number of Bedrooms Aa Effluent Fitter Model ❑ NA Number of Commercial UnitsPump Tank Capacity Estimated flow (average) al Pump Tank Manufacturer NA Design flow (peak), (Estimated x 1.5) Pump Manufacturer ❑ NA Soil Application Rate Pump Model Inftuent/Efftuent Quality Monthly average' Pretreatment Unit Fats, Oil & Grease (FOG) s30 mgt ❑ Sand/Gravel Filter ❑ Peat Filter Biodhemical Oxygen Demand (BODS) x220 mgt ❑ Mechanical Aeration ❑ Welland Total Suspended Solids (TSS) s150 m /L ❑ Disinfection ❑ Other. Pretreated Effluent Qual" Manufacturer ~Y CA Monthly average" Dispersal Cell(s) Biochemical Oxygen Demand (BODS) mg/L ❑ In-ground (gravity) ❑ In-ground (pressurized) Total Suspended Solids (TSS) 530 mg/L ❑ At-grade round Fecal Coliform (geometric mean) s10` cfu/100ml ❑ Driine ❑ Other. Maximum Effluent Particle Size Y inch diameter values typical for dornesbc (non-commercial) wastewater and septic tank effluent- MAINTENANCE SCHEDULE values typical for pretreated wastewater. Service Event Service Frequency Inspect condition of tank(s) At least once every ❑ months (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 ❑ months r(s) (Maximum 3 yrs.) Clean effluent filter At least once every ❑ months ear(s) Inspect pump, pump controls & alarm At least once every ❑ months r(s) ❑ NA Flush laterals and pressure test At least once every y2 ❑ months ear(s) ❑ NA Otfter 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 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, m nical or pressurized POVVTS 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 servic,0 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 POVVTS 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 concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. 0r 9 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 bye 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 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. Y 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 life of the POWT:r: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat: foundation dra(n (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting productls; 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 propeoy and safety abandoned in compliance with chapter Comm 133.33, Wisconsin Administrative Code:. • Ail 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 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 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 compli.ont 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 requirjed setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the nHed for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rule] in effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitabons. Barring advances in POWTS technology 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 evaluatlion must be performed to locate a suitable replacement area. if no replacement area is available a holding tank may be installed[ as last resort to replace the failed POWTS. m4ound 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 O~ A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWfS INSTALLER POWTS MAINTAINER Name /j Name Phone --7 Phone Z1-)';~ j SEPTAGE SERVICING OPERAT PUMPER LOCAL REGULATORY AUTHORITY Name 7?11 A- IYI)AA I"' Name CC- Phone / Phone / f~ This document was dratted in compliance with chapter SPS 383.22(2)(b)(1)(d)&(f) and 383.54(1), (2) & (3), Wisconsin Administrative Code. { C-4 a, O. 11 a 3 fi} t~ t 4 1 i 7 .t 6 i o ~ f 3 FF s rv'~ { I T l OQ Q / v / C / D C C1 h st N C~ C / ~ i v/ y~ 4 Q ~ co c v Q U c~ w C\j i G NU Ht tiVV 1/ U~- Ht N 1/4 Ut- titer I I, INCLUDING LOT 2, CERTIFIED SURVEY MAP, RVEY MAP, VOLUME 9, PAGE 2427, DOCUMENI T C55 3.521 ACRE 22,706 S.F, 01 87*30-r,527 E: 26E R 7 N 80,000, 53 6.96, a w i R=80' 46 co - " r.0 0000, 00 3 - WP ^^~.,e p1A CC, .021f 61 C6 04 7 T 43 34 .00 1°226 ACRES w A M 3,407 S.F. 35 36 a cr) B °a° pg f~ 143,704 003 ACRES .4wa eePy°®tl'..M ` I S.F. 360009 00®` w .325.57, rC" @ f p°' ~l 37 1400 ACRES 43,561 S.F. '~^k' kn~Aaw k 43 ~y a 9 ,065 ACRES 1.096 ,38 SaFa 47,76 a °52 oe ter . lsg 00PA is 76",30, 60 42 41 a 1 184 ACRES 1,001 ACRESI ~ R Jul 5 1,553 S.F. 1AQ~4 ACRES ~43,5~9 ~Ftl ~ ~ C - b ~ 133 ~ ACRES ce R ° 43.741 S.F. a . d 4,353 ~ S.Ftl a z z w 37Z4p m~ 5 ° 172.00' d ° 213,,00@ CREST UFO N 90000'00" W 58049 qq, gg ,*q p~igg pig ~ 5BQ.®9!---- at ST. CROIX COUNYY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address C? `7 Property Address (Verification required from Planning & Zoning Department for new construction.) City/State Parcel Identification Number D - I31 Ss 6C) 6 3~,0 LEGAL DESCRIPTION ~ L- __W, Town of 4 Property Location ~1/4 , ~,~'J 1/4, Sec. t4 ~ , T f N R~ Subdivision Lot # Certified Survey Map # , Volume , Page # Volume Page # Warranty Deed Spec house 6111 no Lot line, identifiable yes o 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, it 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 wasir 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 staring 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. Uwe certify that all statements on form are true to the best of my/our k riowledge. Uwe am/are the owner(s) of the property described above, by virtue of a deed recorded in Register of DmLs Office. Number of bedrooms SIGNATURE OF LICANT(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) N3h3S _ Q rc - r 4 ; a g & ).OJ1 d0 S"1"11H 9~ 10u1 l ros b 61 i Wo 91o~bG IM'NoGnnH 13DS 6051 :13W3SVB - w~~.-~ ~s`g< ,eg3vo=~~ g~> f A`I I~,I '1.~O6 fifi6 '30VtlV=J f z ~ A36 « ~ w $ n ~ s" s 5 8 n 2' $ $ m Ono J/~ ~iAws) lNnoW Gn- 1d D6 119L ONVAIl ltl101 - :SNOISI O Emmw> AH~oa~c[^§mSe~=s W u pqopq i ~ ~ i a = & LOCI 1331 213ddf1 6('1 :A9 NMVbO g o N w oin x= Ca B pS~f K=g Ea .".m k. 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