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HomeMy WebLinkAbout018-2021-17-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: Safety and Building Division St. Croix INSPECTION REPORT Sanitary Permit No: GENERAL INFORMATION (ATTACH TO PERMIT) 592225 Personal information you provide may be used for seconds State Plan ID No: o ry purposes [Privacy Law, S.15.04 (1)(m)]. 2099796 Oevering Permit Holder's Name: Homes City Village Township Parcel Tax No: TOWN OF HAMMOND 018-2021-17-000 CST BM Elev: Insp. BM Elev: BM Description: r , ~ < Section/Town/Range/Map No: 08.29.17.1298 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing. Alt. BM Aeration 1 Bldg. Sewer Holding St/Ht Inlet q TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent lio Air Intake ROAD Dt Inlet Septic Dt Bottom Dosing Header/Man. Aeration Dist. Pipe t~ Holding Bot. System PUMP/SIPHON INFORMATION Final Grade Manufacturer ems 3 5 w, Demand St Cover r..e cJ~ q GPM i...: _ t. { , ~(~✓v Model Number TDH Lift Friction,Loss System Head / TDH v f • yB• Forcemain Length Dia. _ r Dist. to Well ' SOIL ABSORPTION SYSTEM BED/TRENCH Width Length ? No. Of Trenches DIMENSIONS PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth SETBACK SYSTEM TO INFORMATION P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: Type Of System: CHAMBER OR UNIT Model Number: DISTRIBUTION SYSTEM S [LH e ader/Manifold Distribution x Hole Size Pipe(s)x Hole Spacing Ve t® Air Intslfe ength Dia Length Dia Spacing 3 i SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over 1xx Depth of Bed/Trench Center Bed/Trench Edges Topsoil Seeded/Sodded xx Mulched ,Yes No ~J Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ' Inspection #2: Location: 1644 102ND AVER o 1.) Alt BM Description = 2.) Bldg sewer length = ? /O - amount of cover = d j f W/, n a,~j 6 V,-_ Plan revision Required? Yes Q No *y'~~~~ n~ r / f Use other side for additional information. J L(s : ">t ~ J SBD-6710 (R.3/97) Date Insepctor's Signatures Cert. No. r i 2 County r f r 201 W. Washington Ave., P.O. Box 7162 Sani pin Nt,mbet (to be filled P in by Co.) -~i Madison, W1 53707-7162 t ~4. n S 2 S it C; `8T `Njsu §VPpllcatlon State TransacionNumber In accordance with SPS 383.21(2), Wis. Adm" Code, submission of this form to the appropriate governmental unit ~j is required prior to obtaining a sanitary the Department Safety and Pro permit Note; Application forms for stake-owned POWTS are submitted to Project Address (if Brent than mailing address) rd fessiconal Servies- Personal information you provide may be used for secondary uses in accordance with the Priva Law, s...15.04 1) m), Stats. L A lication Information -please print All Inform Property Owner's Name I ~j Parcel # Property Owner's Mailing Ad 11 o e Property Location Cam' Stale 1 ~ City, ) Zip Code Phone Number Govt Lot Section II Type of Buil ding (check all that ap T Z Co Lot# __N; R`,[_ ~L mW amity Dwelling -Number of B ' ooms / e Solid' sion Name ❑ PublidCommercial - DBscribe Use d k ~ Bloc r ~ ❑ State Ow d - ~ ol~u., ❑ City of ~C Describe L)e CSM Number ❑ Village of 12- ~r 9 d Tovvn of III. Typ of Permit: (Check only one box on line A. Complete line B if applicable) A. p~. . aw System ❑ Replacement System ❑ Treatmeat/Bolding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. ❑ Permit Renewal Q Permit Revision ❑ Change of Plumber ❑ P List Previous Permit Number Before Expiration Permit Transfer to New and Date Issued Owner IV. ofPOu TS S stem/Com onent/Device: Check Il Mat a Iv ❑ Non-Pressurized 1_Ground ❑ Pressurized in-Ground ade ❑ Mound > 24 in of suitable soil ❑ Mound < 24 in- of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain)_ t Area I L1 Edm'ant Device (explain) V. I}is ersaUTreat n nformation: Deli Flow (gpd) Design Soil lication Rate I-.- ~p (gP Dispe Area Required (if) Dispersal Area proposed (s S L/ ,Flev~n/ VL Tank Info Capacity in J•( Total # of ~ Gallons Gallons Units anufacturer New Tanks Existing Tanks .m U t, U Septic or Holding Tank / T t f , .a m Dosing Chamber VII. Responsibility Statement the undersigned, a e r ponsibility for installation of the POWTS shown on the attached plans PI s Name (Print C Pl er S ature W/MPRS Number Business Phone Number Plumb ~s (Str eet City; State, Zip J - ountv/De artment Use Only 1 f J~ pproved tsapprove Permit Fee Date ue ffff Issuing t Signature ❑ Oeason for enial -ID 3 DL Condi asong-for Disapproval 1. )eptl tank, ei~lt nt 11 * t+n, ro ✓ 40 0m,pem-ii cell must all be set_Ir >s ! rn~ +M4 r J as per rnar.3cemen! plan plo rlderl Gy plurnbea. 2 AN tblrak ret .i,,irm tents mbar be maint, inn d r as per i>WNcWA axle / c:niinanr,R._=. M~ip! fnq -,}a , Attach to complete plans for the system and submit to the County onl oa paper not less than 8 t2 z I1 inches in size SBD-6398 (R. 11/11) Axe. ~k System PLOT PLAN PROJECT Oeverina Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017 NE 114 SW 1/4S 8 /T 29 N/R 17 W TOWN Hammond COUNTY ST. CROIX SYSTEM ELEVATION 93.8' 1/23/17 BEDROOM 3 DATE CONVENTIONAL AT-GRADE XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 900 # of chambers none BENCHMARK V.R.P. Top of survey iron ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark B .M.* ~~~Property Line Scale - 1/4" =10' 2 acre lot Well is to meet all WDNR setbacks 200' Grading is to be done to divert run-off away from system r 94.5' 93.8' B-3 92.5' B-1 r; Sloe Huffcutt Combo Tank 7% Slope B-2 Area 15' be~ow system is toy r main Tank i to be properly bedded and undisturbed provid d with lockdown covers with Pro appro d warning labels B Broom ouse 444" Property Line `.;1 102nd Ave DIVISION OF INDUSTRY SERVICES 2331 SAN LUIS PL STE 150 3 ! Q S+ GREEN BAY WI 54304-5211 P j Contact Through Relay S http://dsps.wi.gov/programs/industry-services www.wisconsin.gov ~SSION AL Scott Walker, Governor Eric Esser, Acting Secretary January 31, 2017 CUST ID No. 226900 ATTN.- P0WTSInspector SHAUN R BIRD Ct F BIRD PLUMBING INC ZONING OFFICE 120TH ST ST CROIX COUNTY SPIA 1432 WI R NEW RICHMOND WI 54017-6409 HUDSON WI 54016-7708 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 01/31/2019 Identification Numbers Transaction ID No. 2899796 SITE: Site ID No. 835159 Oeverinz Homes Please refer to both identification numbers, 1644 102ND Ave above, in all correspondence with the agency. Town of Hammond St Croix County NE1/4, SWl/4, S8, T29N, R17W FOR: Description: At-Grade (3 Bedrooms - New Construction) Object Type: POWTS Component Manual Regulated Object ID No.: 1690135 Maintenance required; 450 GPD Flow rate- 38 in Soil minimum de th to limitin factor from original rade; System(s): At-grade Component Manual, Version 2.0, SBD-10854-P 1/12), 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, stars. 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. • 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 the site is too wet to prepare. If it crumbles. site preparation can proceed. If the site is too wet to prepare, do not proceed until it dries SHAUN R BIRD page 2 1/31/2017 • Divert surface water from POWTS Area. • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building sewer beyond 30 feet per SPS 382.30 (11)(c) • Tank Installation to follow all manufacture's recommendations. • Pum Floats to be set and verified era roved lan. Anv changes ma result in um resizin to meet TDH and GPM Specifications. • 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 at-grade 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 ad is located. 2. The bottom of the tank is located more than 150 feet horizontally from where the servicing ad 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/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. Fhe 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, Please Include a Copy With Your Tim Vander Leest code:ubmittal. Private Sewage Plan Reviewer, Division of Industry Services Payment ent Submittal. 1. (920)492-2214, Monday - Friday 6 am To 3:30 pm 7633 tim vanderleestnwisconsin.2ov SHAUN R BRD Page 2 1/31/2017 • Divert surface water from POWTS Area. • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building sewer beyond 30 feet per SPS 382.30 (11)(c) • Tank Installation to follow all manufacture's recommendations. • Pump Floats to be set and verified per approved plan Any changes may result in pump resizing to meet TDH and GPM Specifications • Verify property line(s) prior to installation. • Well setbacks to meet chs. NR 811 & 812. • Areas that are occupied with rock fragments, tree roots, stomps and boulders reduce the amount of soil available for proper treatment. If no other site is available, trees in the basal area of the at-grade 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 specifica__y 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 servicine ad is located. 2. The bottom of the tank is located more than 150 feet horizontally from where the servicing ad 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 PO WTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, FRequired$ 250.00 Will Be Invoiced. Tim Vander Leest ceive That Invoice, Private Sewage Plan Reviewer , Division of Indus Services a Copy With Your Payment Submittal. (920)492-2214, Monday - Friday 6 am To 3:30 pm WiSMART code: 7633 tim.vanderleestawisconsin Gov - Cover Page J4 IV 26 2(x l~~1. FF~Vlc ES Shaun Bird ,.I,. Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 1/23/17 Owner:Oevering Homes Location:NE 1/4 SW 1/4 S8 T29 N,R17W 1644 102nd Ave Hammond Manuals Used: At-Grade Component Manual version 2.0 SBD 10854 (N. 03/07) Pressure Distribution Manual version 2.0 SBD 10706-P(N. 01/01 R. 10/12) Page# 1. Cover Page 2. At-Grade Plot Plan 3. At-Grade 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 Attachments: SoiJO Shaun Bird Signatu re License number Page 1 of 9 System PLOT PLAN PROTECT Oeverina Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017 NE 1/4 SW 1/4S 8 /T 29 N/R 17 W TOWN Hammond COUNTY ST. CROIX SYSTEM ELEVATION 93.8' 1/23/17 3 DATE BEDROOM CONVENTIONAL AT-GRADE XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 900 # of chambers none BENCHMARK V.R.P. Top of survey iron ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark g M * Property Line Scale = 1/4" =10' 2 acre lot Well is to meet all WDNR setbacks 200' Grading is to be done to divert run-off away from system r 94.5' 93.8' B-3 92.5' B-1 Huffcutt Combo Tank 7% Slope B-2 Area 15' below system is to remain Tank is to be properly bedded and undisturbed provided with lockdown covers with Pro 3 approved warning labels Bedroom House 444" Property Line 102nd Ave i At-grade System Sloping Site Cross Section and Plan View E 1 _ Dimension Feet 1- •1 1 L•1.1 L 1.1.1 L L•1.1 1•L•1.1 1 1.1.1 1 1.1.1 L 1.1.1 L 1 1.1.1K•1.1•L•1.1.1.1• I A - r r•r•r r r•r•r r r r•r r J•r•r r r•r•r•r r•r•r•r r•r•r•r r r.r•r•r•r•r•r.r.r•r.r. 1•L•1.1.1.1.1.1.1 L 1.1•Y5.•1.1•'L•L•'L•1.1•'L•1•L•1.1.1•L•1 L L•1.1.1.1.1.1.1.1.1 1•L 1 rti 1?L~'L tirti:'L:Lr''•'j•j'j'r•r.r.'r•r.r.'r.r'r"r•r•r•r•r•r•r.J•j•r•r•r•r•j.j.j.j.j.j.j. i l•r•J•r.r•J•r•r•j:'r.'•1.1'1'1'1'1'1'1"1•••'1''L•1'1''L'1'1•'L•1.1•'L•'L,S~•1•'L•1•1•1•1•1•L•1 B 1 1.1''•''~'L.1.1.1.1•L'{?ti~L?ti~ti:ti ti~'ti: tir,r•r•r.r,r,r.r.• j•r'j'j'j'r',•'r•r•r'r•r•r'r' -~•1'•J•r•r•r.J.J•r•r.r•r• 1•L•L•1.1.1.1.1•Y1.1•'L•ti•1.1•ti•1.1.1.1.1.1.1.f 1.1.1• 1'•r•.••r•r•r•Ar•r•r•J•r•r•r•r•r•r•r•r•r•r•r•r•r•r.r•r•r.r•j. 1 1.1.1.1.1.1.1•lftiftif~'f•;"''•S'•1.1'1.1,1'1.1'L'1''L'1.1•L•1•1.1.1.1•1•1•1.1.1•1.1 I .~~•r•r•r•J•r•r•J•J•r•J• r•r•r•J-r•r•r•r•r•J•r•J•J•r• 1.1.1•L•1.1.1•L.1.1.1•S••1.1.1.1•L•L•1•L•1•L•1.1• 1• r•r•r•r.r•r•J•r•J•r-rY•r• 1/6 B W 1 `.~•r•r•r•r•r•r•r•r•r.r.r.r.r.r.r.r.r• 1• 1.1•'L•L••.•1.1.1.1.1.1.1.1.1.1.1 1.1.1•L•L•1.1.1•L•L•1.1.1.1• j•r•r•AJ•r•r•r•r•r•1'•r•r•r•r•r•r•r•r•r•l•r.r• I j,r,r, 1•L•1•L•1.1.L•1.1•L•1.1.1.1.•,.ti,•1.1.1.1.1.1.1.1.1.1.1 S A f 1.1.1 ti tirlrLjLfl:lrti': •r'r•r'r•'r..•.'r"r,r.r•r•'r•J•r•r•r•r•r•r'r'r•r'•j•r•r•J•r•r•r•r• / 7 ' r•r•r•r•r•r•r•r• 1.1'••''L"1'1'1'1'1.1•••'1.1.1.1.1•L•1.1.1.L.1.'L.1.'t.1.'L•'L•1.1.1• I C 1•L•1.1.1•L•1.1~L~ti:ti:ti~{,~•r•r•r•r•r•r•r•r.J•J•r•r.r•r•r.r•r.r•r•r•r•r•j.j•j.j.j.j. 1. 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Existing vegetation is mowed and raked off the site. The basal area (L x W) is staked out and 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.. The A x B area is covered by clean aggregate deposited overhead by a backhoe. Special care must be used when placing the aggregate to minimize compaction of the plowed surface. After the topsoil cap is placed, the entire at-grade is seeded and mulched to promote vegetative growth, limit erosion and protect from freezing. The observation pipes are perforated in the lower 6 inches and secured in place. 03/051 ' Page of Pressure Lateral Layout One Lateral - End Manifold f-- Threaded Cleanout Force Main Lateral Turn-up Plug i go - X L Long Sweep 90 Bend Z ! r Pressure System Construction -C 9,0 Distribution Ne ork S ecifgio ns Lateral Diameter In. Lat erals are constructed of Schedule 40 PVC Orifice Diameter .s/ 3 2 In. pipe. Orifices are drilled perpendicular to X (Orifice Spacing) In. the pipe with a sharp drill bit and face down. L Lateral Length) Ft. Lateral turn-ups ternunate with a threaded Force Main Diameter In. cleanout plug and are enclosed in a 6-8 inch Force Main Len Ft. diameter lawn sprinkler valve box accessible from finished grade. Grade Q•:•: . 6-8 Inch Lawn Sprinkler Valve Box 03/05lgj Page o~ Septic-Dose Wank Cross Section And Pump Performance Specifications Tank Manufacturer Pump Manufacturer v - Tank Model Number Pump Model Number S _Total Tank Capacity Alarm Manufacturer Max. Bury Depth c Alarm Model Number 121- 7 Switch Type < ~C vt Filter Manufacturer Total Dynamic Head (TDH) -Feet Filter Model Number r~ Elevation Head Distal Pressure 2 Network Loss Minimum Pump Performance Required Force Main Loss GPM: @ j , 3 Ft TDH Total 117 Outlet Manhole Min. 4" Above Grade With Locking Dewice. Inlet Manhole 7 l Manhole Min. 4" Above Grade < 6" Below Grade Sealed Watertight Securely Mounted With Locking Device Weather-proof L Junction Box Fnt#fshed Grade r ` t! i Vent Min. 12" Disconnect Above Grade Means With Vent Cap Outlet Filter - - Inlet inlet Baffle - - - - - - A Switch Sett~gs and Reserve Capacity Tank Volume = / GPI Weep g Hole Dimension : Inches Volume 1. X- 406 (reserve) A 3 7 (alarm) B 2 c~ Off E evation C (dose) C . 7 3 Ft ; Bottom (li:lead) D • < • D Elevation Total : Ft GENERAL INSTALLATION: The septiadose tank is bedded and back filled in accordance with the manufacturer's product approval specifications. Maximum depth of bury as specified by the manufacturer may not be exceeded without PTior 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 prevent nettling or sagging. The force main is sleeved with 4" Sch. 40 PVC to bridge the tank excavation and the sleeve is sealed watertight. Electrical s~ervice~mplies with NEC 300 and Comm 16.28. 02/05 U* Page of _ TOTAL DYNAMIC HEAD/CAPAC'JT HEAD CAPACITY CURVE PER MINUTE EFFLUENT AND DEWATERINC U) MODEL 152/153 w U,, MODEL 152 t 53 50 - Feet 1 Meters I Go!- Liters I Goi. Liters 153 5 15 69 1 251 77 291 12 40- 1 10 1 3.i I 61 231 70 265 ° a 5 4.6 53 I 201 61 231 W 11 IS: I C-) 30 20 .I 6.1 44 167 52 197 Q g 25 7.6 34 129 42 159 30 1 9.1 I 23 87 i 33 125 2 I O ~ ! I i 40 ~ 12.2 ~ 11 42 4 i 10 I It L Lock vaive: 135.0 44.0 Ft. ('3.4m) 014508 o 20 40 60 80 100 GALLONS LITERS 0 80 160 240 320 6 1/4 3 27/32 FLOW PER MINUTE I ^ l ~ CONSULT FACTORY FOR SPECIAL APPLICATIONS 27,32 • Timed dosing panels available. i _ Electrical alternators, for duplex systems, are available and supplied with ' 27/32 an alarm. Variable level control switches are available for controlling single phase 1 systems. • Double piggyback variable level float switches are available for variable level long and short cycle controls. - • Sealed QvWk-Box available for outdoor installations. See FM1420. • Over 130°F. (54°C.) special quotation required. 1 ' I I 1521153 Series 12 11 /s L 152H53 MODELS Control Selection ill i 1>-~ I Mode! VOli4•Ph Mode Amps Sim lex Du Iex N152 115 1 Non 8.5 7 2 or 3 i S t /o aN152 115 1 Aura 8.5 Induded 2 or 3 E152 230 1 Non 4.3 1 2 or 3 SK2064 SE152 230 Auto 4.3 Indu ed 2 or 3 N153 115 1 Non 10.5 1 I 2 or 3 BN153 115 1 Aura 10-5 Incfu'.ed 2or3 SELECTION GUIDE E153 230 1 Non 53 1 2 or 3 SE153 230 1 Auto 5-3 Included 2 or 3 1. Single piggyback variable level float switch or double piggyback variable level float switch. Refer to FM0477. o CAUTION 2. See FM0712 for correct model of Electrical Aftemator 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. AD electrical and safety codes should be followed including the most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). or (4) float system. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL TO: P.O. BOX 16347 Z IP TO: Louisville, 3KY 40256-034 Manufacturersof SHIP T0: 3649 Cane ane Ru Run Road ® Louisville, KY 40211-1961 hftpJ/www.zoe1Jer com FAAX (502)1774-3624 p4i ~O f~2177 X 928 PUMP © Copyright 2000 Zoeller Co.,1ll fights reserved. POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION Owner / SYSTEM SPECIFICATIONS Septic Tank Capacity Permit # I O NA Septic Tank Manufacturer El NA DESIGN PARAMETERS Effluent Filter Manufacturer Number of Bedrooms El NA 0 NA Effluent Filter Model Number of Public Facility Units ❑ NA l NA Pump Tank Capacity ❑ NA j Estimated flow {average} al v gal/day Pump Tank Manufacturer NA i Design flow (peak), (Estimated x 1.5) gal/day Pump Manufacturer Je Soil Application Rate ' at/da /R2 Pump Model . J ❑ NA Standard IMluentlEffluent Quality tY Monthly average Pretreatment Unit Fats, Oil & Grease (FOG) 530 m L A ❑ Sand/Gravel Fifter ❑ Peat Filter (SODS) 420 m /L Biochemical Oxygen Demand g [J NA 0 Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg/L El Disinfection 0 Other. Pretreated Effluent Quality Monthly average Dispersal Cell(s) Biochemical Oxygen Demand (BOOS) 530 m ❑ NA g/L ❑ in-Ground {gravity} ❑ In-Ground (pressurized) Total Suspended Solids (TSS) 530 mg/L 4-Grade Fecal Coliform (geometric mean) 5104 cfu/100m1 ❑ Mound ❑ Line ❑ Other iMaximum Effluent Particle Size Other. 313 in dia, 0 NA 0 NA Other. A Other: 11 NA "Values typical for domestic wastewater and septic tank effluent Other. ❑ NA IAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) ❑ month(s) At least once every: ears (Maximu7m3 e ars) ❑ NA (Pump out contents of tank(s) When combined sludge and scum equals one-third (X) of tank volume ❑ NA Ilnsped dispersal cell(s) At least once every: month(s) --S ear(s) (Maximum 3 years) ❑ NA (:.lean effluent filter At least once every: p onth(s) Inspect pump, pump controls & alarm At least once every: 0 month(s) f=lush laterals and pressure test ear(s) DNA At least once every: month( s) ether. ear(s) NA At least once every: E-1 mar(s) ) ether. ❑ year(s) NA NA MAINTENANCE INSTRUCTIONS (Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: aster Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must linclude a visual Inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of iz:ombined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be ivisualJy 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 I-egulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third or more of the tank volume, the entire contents of I:he tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. IAII other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, land any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. Jk service report shall be provided to the local regulatory authority within 10 days of completion of any service event. j~ ~ Page of START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals theft may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of tho tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will ble discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluenlt. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area withln 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$: antibiotics; baby wipes; cigarette butts, condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins, tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is propetly and safety abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code eompli*nt replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by requirjed setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rule$ in effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. `Fhe site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed) as a last resort to replace the failed POWTS. und 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 OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name ` Name Phone JJ Phone ^ V SEPTAGE SERVICING OPERATOR P PER LOCAL REGULATORY AUTHORITY Name Name 69'il 17 ^A Phone Phone J This document was drafted in compliance with chapter SPS 383.22(2)(b)(1)(d)&(f) and 383.54(1), (2) & (3), Wisconsin Administrative Code. (V ~7 P P ~ P 3 j1!• t] l : 31~I/ 'i I i! tJ. 1lntR_ i I I ~o Q i / oS'k %f) t c o N h Q D C l O C U Q c 0 Q a F- I U LU r- Cr I I f ST. CROIX CO(TNTY SEPTIC TANK MAENT ENANCE AGREEMENT AND O~NERS.I~.IP CERTIFICATION FORM Owner/Buyer ~ Mailing Address Property Addres (Verification requu- d fro City/State _ m Planning & honing Dep for newCOnstruction-) _ LEGAL DESCRip TION Parcel Identification Number PrOPerty Location S % l c ~V , Sec. Subdivision. TN R d w, Town of Certified Survey Map C Lot# ! l Warra.uty Deed # Voltune t t - L{ page # Spec house Voluble SYSTEM yea no ' page # •r A T Lot lines ideat~ab7 ENA NCE AND OWNER CERTI DY, no ~proPer use and rnainte C---ATOIV nanc :tee consists of Hance °f' Your the system an erect ofpumpin septic system co respO biliiies are s the function of the, ep ePtic - tank every three Y. arseoo~sooner, Premature failure to ha specified in §cumm. tic tank as a treatment sta a if needed, by a lice ndle Wastes. Prop 83.52(l) and in C b nu the waste lisp nsed o hapter l2 - osal system 0Wner ma" wh at yon put into St. Croix county er caner andThhy e prpPe1tY owner agrees to subrrtit to St. SAY Ordinance. 'maintenance °~tewatex asterplumberCroix c disposal is iu Journeyman plng mnber ounty Pla less than I/3 Proper o , restricted bring & L°nMg De condition a licensed full of sludge. peratiand/orlu~er or p a e= a ce tci tii n form, signed by the e I/we, the (2) `ter Inspection and ping (fneces the on-site standards undersigned have rY), the set torch, here' read the above septic tang is Certi fcatiori sta~& in, as set by the b requirements and "gee to Zoning I? that your Septic sYstez~arhnent of Commerce and the ""ta'r' the private se eparhnent within 30 has been niaintained Department of Natural wage disposal syste tJaYs of the three ear must be completed ural Resources, State iri with the I/we certify y expiration date, and returned to the St_ of Wisco in. Property described bothat Croix CountyPlann- Ing & vea statements °u ' bY virtue of a q, s form are true e the best of Y deed recorded in Register kuowlede.e. Number of bedrooms of Deeds Office. am/are the owner(s) of the . IGNAT OF APPLICAM%r- - ***Any information that is misrepresented may result in the s DATE h2Clude With this a anitary pelt bein reference - pplication a recorded W g revoked by the planning & ode in the warranty deed.. deed from the ester of Deeds ring Department. (REV. 08/05) Office and a copy of the certified survey reap if 3" W 444.00' 150.00' 144.00' 6.29 2s4 90'/V X3,12 0 S16'69' UNPLAT- -J0 T z 255 .50, s 15 LOT 16 O C,t 6,600 5.F. 1.53 Ac. Q 66643 S.F. 1.53 Ac. LOT 17 ~ 88542 S.F, ~ 203 Ac. LOT 18 =1041.14 O 1043.14 O Cn 64066 S.F. : - 112~ 00 1.93 Ac. xw~ -~c41.14 ~U j~. 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S 4 ~ l i I I "E Y 1 'xi i I ~ a l i G S awu~a a~mn I m i I ~a I ff I i5f I wrv3a a3xnrn 1 vi,n m~,avrv ~yy 2 8B b ?e E tU o p e TIN 'pill a 8 g v o sg o 5 LLs~ a~" 5 = m ¢ N Cl) a ~ Q ~ = 8 3§§&~3~ 9Nw ~~aa~pQ~ ~ ILL yyg ,y{by m ~ tl~ d 4 f~efi F w ~ I ~ I ww c z Z UQ ~Y ¢ R 3g m I o5~ r, 1 kk I I L Pe~ I ~ 1 1 Y8 I s19rn'a arM a3nrnsxc ~ ' Trvn~awt b 1 1 ~ , I I ss I I I I O o z I Qg I I e II I d ;i i S8 I I p I I 1 I I I I I I I S I I I I 1 ozu ssmieyyxyyi I I I' y I I ~~u 1 1 3° „ b cc', I I ~ ` I I I 0 I ~ I I I i A I I o.. - 1 S b I I I tO se 1 1 I I II I ~ I I I I I I I a al I.1 _ I I ~ b I' A I I z,. e I i P - i..~ - tl I I ~ II I1 I I I s 1 r S e - I r l I I 1 I I $ I i I __I ISM I Z _J L__J I I 14-' 1 i f I I , I I I ~ I I :.r ssssmu +n r~ x yr ~ ~ ~ I I sari of , I I 1 I S 1 I zn e x 1 I I - - I 1 RI I I 1 I I I ~1 I I I i i 1 r 1 I . n vm mua3~vw ~ 9 g ~Jb ~'s Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of 3 Division of safety and Buildings in accordance with Comm 85, Ws. Adm. Code Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must County ~7 TG3 1")4., include, but not limited 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. 4 -2,6 2f 1 -7 --066 Please print all information. ( Revie by Date Personal information you provide may be used for secondary purposes (Privacy Law 5.04 (1) (m)). ~z Property Owner Pr erty Location ` (e- 0 Got. Lot L-- 11430 L)1 /4 T2 N R ~E (o W Prly ownees~M~a/ Address JUN 1 3 20 Lo q# Block # sybd. Name or CSM# City State p Code Phone N'rtX ` ~p• L / ~7 gT IX COUNTY ❑ ity// ❑ Village Town Nearest Road New Construction Use.A Residential / Number of bedrooms Code derived design flow rate `-0 GPO ❑ Replacement Fj ❑ Pu is or commercial - scribe: Parent material Flood Plain elevation if applicable General comments and reoormxindations: System Type System Elevation F-1 Boring # Boring J C 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 7 2-]#❑y Boring y , F ,~1 Pit Ground surface elev. R. Depth to limiting factor 0in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Clu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 t t=-r- ~~.s 1 ~ t r , s/ c_ t b e • Effluent #1 = BOD > 30 < 220 mgIL and TSS >30 < 150 rng/l ` Effluent #2 = BOD 130 mg& and TSS < 30 mg/L CST Name (Please Print) Si CST Number Bird Plumbing, Inc. Shaun Bird i 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 5401 6"--,2^ 715-246-4516 Property Owner ~~11 parcel ID # Page of Boring ® Boring t r 1,31 - pit Ground surface elev. ft. Depth to limiting factor in. Soil licetion 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 j r C) 4.4 70 Boring # ❑ 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. 'Eft#1 'Eff#2 Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Iepth Dominant Col Redox Description. Texture Structure Consistence BoundaryRoots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 r Effluent #1 = BOD5 > 30 < 220 mg/L, and TSS >30 < 150 mgA- ' Effluent #2 = BODS < 30 mg/L and TSS 130 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. SB"330 (R4W) Soil Test Plot Plan / Project Name Oevering Homes LLC Shau it Address P.O. Box 179 ' New Richmond Wi 54017 CS M #226900 Lot 17 Subdivision Hammond Hills Estates pate /2/07 NE 1/4 -SW 1/4S 8 T 29 N/1117 W Township Hammond Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Survey Iron System Elevation 93.8' *HRpSameasBenchmark B.M. 255' Property Line Scale is 1" = 40' unless otherwise noted Please note: survey was not complete at the time of testing, installer must check all setbacks 00' prior to installation. B-3 5' 3 0' 40' 40 94.5' B-1 20' 7% Slope 92.5' B-2 444' Property Line 102nd Ave