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HomeMy WebLinkAbout026-1306-00-050 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 592242 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village Township Parcel Tax No: Mike & Tracy Renn TOWN OF RICHMOND 026-1306-00-050 CST BM Elev: Ins p. M Elev: BM Description:/ M Section/Town/Range/Map No: OUP (N/( G5T 18.30.18.1657 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic W i ~ 7, Benchmark S i Z 3 . /63.19 10ei-ILA, -1 Dosing 7 r Alt. BM / tr a pL 3 rf, b Bldg. Sewer e C 1177 ng St/Ht Inlet 5.75 ~3. s TANK SETBACK INFORMATION St/Ht Outlet TANK TO 1 , PP/.LL WELL BLDG. Vent to r Intake ROAD Dt Inlet Septic x / Dt Bottom 13.1 c/o Dosing q0 Header/Man. ^ -7• 4 cir~lr. L CJr r Aeration Dist. Pipe 9r 93•C1 Holding Bot. System i1 r PUMP/SIPHON INFORMATION Final Grade ' Manufacturer Demand St Cover GPM 'r Y 45 /d ` Model Number (&j TDH Li,~o Friction Loss System Head TDH~ 1 Forcemain Le4tZ5 , Dia.' Dist. to well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length if I No. Of Trenches PIT DIMENSIONS No. Of Pits nside Dia. Liquid Depth DIMENSIONS - 1 SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufactur~ k,,. - 1i INFORMATION CHAMBER OR ,1- Type Of System:~+ ^ 17.' 4 a /~O UNIT Model Number: ) ~ DISTRIBUTION SYSTEM Z•1-TZ,=-e-9•+ Header/Manifoll/ Distribution x Hole Size x Hole acing Vent to Air Inta e Pipe(s) 1~, SO 1, Length jr_ Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of Seeded/Sodded jxx Mulched Bed/Trench Center I Bed/Trench Edges Topsoil xx ` Yes No es No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 1535 97TH ST 1.) Alt BM Description = / 2.) Bldg sewer length - amount of cover = Plan revision Required? ❑ Yes No 1-7 Use other side for additional information. Date Insepctor's Sig ture Cert. No. SBD-6710 (R.3/97) -AN -610 6J I= r% Industry Sen-ices Division County - 1 140 E tl'ashington Avc 4~'/r'olx = MAR 0 7 201, P.O. Box 7162 ~sanitan Permit Number (to be idled in by Co_) Madison ~L~S37a 716 . CROiX COUNTY r ZZ ST t 4 5~ t-i N allUary Permit Applic State'I'ransacti n Number I In accordance with SPS 383.31 (2), it; is. Ades. Code, submission of this fo pyropnatc governmental unit is required prior to obtaining a sanitary permit Note: Application forms tb* state-okmed POW'TS are submitted to Project Ad icbs (ii diCfereni than mailing address) the Department of Safcty grid Professional Services. Personal informaaion you provide may" be used for seconthu)° u uses in accordance with the Privnev Law. s. 15.W, (1)(m). Slats. 1. Application Information -Please Print All altion 4t J T Property Owner's Name Parcel # clo __4 44 Y Property Oxner's Mailing Address Property Location 893 411,zGoef l4ioct lcdi2/oE _ Govt. Lot City, State Zip Code Phone Number 'l,, section /a l circle ones rl.D,So.t/ G J.~ ya/G ! 7i5 789.x" 'r N = R If. Type of Building (i5heek all that apply) J t_cu it _ I or2 family Dwelling- Number of Bedrooms v_ { SuLxisian Name t Qk tilack M difE l.?~E.vs oFGJilco«~ ,~itJ~r4 L6 ❑ Public/Commercial -Describe, Use 0 state O.vned - Descritx Use tq CSR9 Lumber age'nf 2 i- Geal ZZ a-Z2 G F j Ill. Type of Permit: (Check ly one loos; online A. Complete line 13 if applicable) , New SyS[cmy j Li Rcplacemem System J TreatmenUl-iolding Tank Replacement Chi{v ❑ Other kloditication to Existing System (explain) i 1 nsii'r to I.ist Previous Permit Number, and Date Issued ❑ ; {`few B. ❑ El Permit Renewal Permit Revision Change of Plumber El Permit Tra Before E'xpiratirin ~ y Onrer IV. Type of PO`VTS Syste o po ;tfDv iee: (Cheek all that apple) Non-Pressurized In-Ground 0 Pressudzed In-Ground DAL-Grade Q Mound x'24 in. of suitable soil ❑ Mound < 2d in. of suitable shit ❑ Holding "rank 11 O ter Dispersal Component Pretreatment Device (explain) V. Dis ler.;alfl'reat Ant Area Information: Design Flow (gpd) Design Soil Application Rate(gp .ij1 DisArea Required f, 1 Dispersal Area Praposed (s System Elevation `'I. Tank Info Capacity in Total - of~ Manufacturer GutlYS Gallons Units j 1 { New Tan" Existim.'ranks So,>ric or r~k GY .J .a f /w so { t t/ ~JG ~E7'1r Dt»ifi~ C{runbcr ' 7S4 VII. Responsibility Statement- 1, the undersigned, assume responsibilitt° for installation of the P0V1rfS sttoti+n on the attached ts8nns Plumber's Namc (Print) Plumbers turn , - -i MPl S Number Business Phonc Number -.5.7f.G Plumber's Address (Striz, City, Stag. Lip Code) ,fit/' G~98 fir. "VIII,ountylDe artment Use Only A roc"cd j Permit Fee I Date sued Issuing ent Signature pp Dig innroc 13 t el Reason for Dentate y ontfit ^.tc~ fi>~sagProm tf et 4fxil. V c k t ce"'must all a s~i leis ! rn~ (nt_6 r e~ 3I ~ ~ all ve a tg pis peg gW.agenUtrit plan p'u idded by plumber. 2. , AN eigI 1l4?t".llIM 1FMJ`3E. Cll ' i td tit.` If E 2 ~ / ~ Ca v I as per twXlf MNS c46? I 4111n0l s. II Alluch to cokuprote puns for the system and submit to the county only on paper not J. than s 1'1 11 inches in si &4$dt/ t t&&QA"A.A~~ 14) - ~ ~ SBD-cries (R. 0sr14) ~ /an192, y Sao ~b t.L CL%.jct- ZoaO S°a' Q 45 4nL Q3 -.x 'WN ,R c3 \ 40 Q1 v V V J1 ~ ~ 3 4t ~ ~ tr `Q ~1 r ~ t ~e aO om ~ a< ~s ~ V M R ° - O 7~ ice: ~ O` ` O ~ t V q C C O it 43 V u © V4 4r W 3 V E J ✓ , I DY p _ 17 F ~ stem . ~.tJEaJ~ Dres Name: Legall De-sadptiov. /R. ;red limicipalitT- T 9--4,3--oi _ !G/><isro„riJ umiy: .5`7; fidosX ?bii S°sD°3e: ~tG.JS ofi~cc~.i di~c~c } of ber: I~ro Block Number: Parcel L D. l T ber. Pager Paget G"z®r A,d~~ Ckoss~ -S5 e,-.i _r,,,,i 1j"Co Page `~,e~~r~Dr>A~aa~+v /J f Pap !J CJ GVPPJ f of G! s .V ~e~f y dA eaY `cb CF{! y Y°l~Jr Page c Page A~i~CA =tir eofDesigaer: oyj T; e ?u ber 7 D~ gned fit. - ±to -.e Foilo g POW component T/Imaal aad ~ P5 ~ 1-8-5: D F `i Soil DMALIO A C~ -P (N. Oliol) I-N 40 ® a - o cr, v R q v v 3 ~ w e K k' r fj~ 11 t!- ~ ay r V Aq' ~ ~ ~ f: 1~. h t M~ O o r ! r~ a a x ~ w v oa ter' v n Ly Lr 4 u y 3 IN3 D r ~ ~ W ~2 i ~ m 3 74 W k Q~ ? o v t a a ~ C01MBINA ION SEPTIC T.ANK.101 U iIP CHAit B VISEC T ION! cF 7 i (DRAWING NOT TO SCA-1-9 MAN ISER an COVER in x . 1 3 841a251 j 1(8)) ~ r. c_ ~ Its°DF,~ ArvT j {shoe ground surface away from M1 e' n 11 rt._ ~A r+ I18rti1tSi8(S) for i3Ff3t}et dl3irt2Uis} :1-1 a aulj dMt~ rici QF imri{C(S) as 7cCccS2 j 12` - Pursusnt to SPS 333A"3(2 -)t ' j r ~ v~'12•'JfL=il~ . ILaC ~~tcLO.^. i i r'+ f j ~yFlT at ~.L:1E+ p1SGl9 »?.'£S it8C5& r.•, j $UILDi{dG cY1+EK Vt-u can r ' ids' 82 3t? {9J1 r j F Ansaued Larva iL,'2nho1_ fr ~ _ JLl?4cIiOti fan $:.£6slri?I£td8d 1 ?r>a1r? r.nsi carne i 3?5BIGandNEGv$c 2Z) it shove ~ i = f - -i:~trf~?;sd riaad ~I_+aaticn R I: R w 1 cii;;iti'r,4= ~8" r€?i[L fj 1- t nccD r= ~L 1 j I,V` 1 60=~i'i1f,1QFINLET Crs;et!>u'--.rganj = i ~ f { s _t i rv~~sfrll f~1r/ilrt~frrr+.srrii,~ 'if~ff f r fie ffr ri, : ' t i s- ~ i ~,~~rr~f~rrrrrrrrf~`~frfrr~ I~ffflffrl z-s 3 ~Jrlllf~/CxF' /rrtllff/.' `Jfllrl/f,ll § F-/t~ lffl~I~./1'11.r.Cr~fff~rJtrrf-lilLf T/f~11!' rI ~l FLOAT I. ~ ~lLFE>Z ' I-._ t, ~ ~~0'rtFL4nT 4'!NLF1 pip;: Eptt; F7 ! ur~atiNPR0eE7Lili` F IL£,~ -Orr =f 7,tT EFF ~ ~ FC~t31REt7 Oh` iNJiE.cl `r l': ~ elav = ~ ' 1 _ _ _ ~ _ mss; _ _ .mss. < a = ---C4 _~..a •R F 1 NiIfq li°diU101 riF'3" 0 SGTABLE °EDD 1M 3 i'i!-:-P i`i rAN!'1 c c•r,~ j' r~ i i i r / Tan"', 3 ianuiauturer &LX --x c'-0nl fiY.,r•i'E' {t ~~S8tIv t~7cR&i84?~ iEl OC+i GHQO 90D Semac[Pumo tank model /L,: o17J-,6 Niumber of daily doses S Y At. S (UNOF 12c{ual lose vulumM Ala;m 17 anufacturaF S, J. I-F fSuS r :darns model hummer Ts9 Vft mix r I F orcemairi voi:lme e14. 1 /La 9.143 I ype G! Poet st-Atch ~r E"G tlr9~/ Y. A.Gival dosa voiumi e (gallops) //,0.9 (folal dosa vo{ume - 1cl{IMS of fortar'1i sin) / 3 7- X74. iill12ni pump manuti ciurar •Z4 Ed t ex i~ Effluent pump model nun, ber /6"1 PUMP T; INK CAPACITIES I s' Sr alio7s = Reserve above alarm dl?-.ir inches =-Z7 N,lialmmn pulp d€schange rail; (0-MAj po Alant float above on Tidal e2 InG't`te5 = 2 «il0?~s {C) On[O-if foal measurrrlernt _ incises = !37 <alioits {E? I Veriicat lift (pump oil to disirlbuuun lateral) 5-.o Ott flok above Tani: bottom ~Lo Inches = I gallons (A) system head (distal pressure n [ feet) P, P WHO r f KI(IIli:1_NSIONS ° , c1k4. OHANBER 1F4 A IONS Friction loss in the forcemain /6o x 61 s X 6 it rr 1 vtBS dyn: c head ls4gii? f~5 iatn aG rr Liquid dep"tll ya 3aiiO,96 p8, i ch 14. /W i TOTAL DYNAMIC HEADIFLOVd z PUMP PERFORviANCE CURVE PER MINUTE 7 MODEL 151/152/153 EFFLUENT AND DEWATERiNG I~ G' 1 1 I( ! l° ' - 45 $s'a3_ I p MODEL t ~ i51 ~152 I 153 Fe V ,meta-~ Ge1. Ler3 Gad, LMs Sal, ; Liters 7e~ I ' ( ( +5 o 189 69 i 251 77 t 291 } in_ 55 176 231 T~TO s 2u5 ! i 15 a 3& ! tk 53 _41 61 I 23; 99 1 6.f 1i0 4 44 76; 92 197 l I ` j ! 23 s 7-6 16 91 34 ~r 129 42 159 ! I 1 I ~G S - 23 j 37 3 125 :7 1 107 1 12.2 1 - I - 11 i 42 o shut4f Hem: 30 1(9.9m) _ 36 ft. {11.fim) 44 ft. (13Am) o f V l I 1 j 01493 ! M Gw!3.4fJ5 C - LriERS 6 44 tSp Y2; YSO t_ ~0 2:33 36G - 1 1.a 4 51a --j FLOW PEI ,.INUTE .1W3 • Tinted closing panels available. Electrical alternators, for duplex systems, are available anti supplied with an alarm. Variable level control switches are available for controtlinc single phase systems.` ri 1 Rouble piggyback variable level float switches are available for variable level long and short cycle controls. Seated Qwik-Sox available for outdoor installations. See :airs 12 V3 i ° Over 130`F (54°C) special quotation required. <tYtS -f "r 59 _ SK2444 SK2!`:ti 151110153 MODELS control Selection oae# i rloits~n t+ratie + Amps Stmpiex Duplex 4151 1,5 1 plod 1 6,0 l 1 2or3 9N151 115 7 Auto 6.0 - lnduded 2 cr 3 E1 4 1 i Non 32 1 orw BE151: 230 r 1 Pulu 3.2 included 2 or 3 " :as} r assembly" W152 115 1 l 40~ 85 1 2a•8 a (Punv & d scfrarcn BNi52 113 i r1~to 8~ Included 0r3 nitindWed.) F152 234 NO 43 1 2or3 BC152 234 r?llt 4 lr'G,.Ucil t Cr 3 ( 4 N153 115 r j Pion 103 1 70; 3 BN153' 115 f Auto 10.5 Included 2 or> _ c153 234 1+lo~ o' i 2ar3 tI 3 5E153` F?5 Auto 5-r, 20-2 1 1. Single p;ggybark ..,affable level float switch or double piggyback variable level goat switch. Refer to F1,04177. Reduces potential clogging by debris. 2 See "t1z0?12 for correct model of Electrical Alternator E-Pak. Replaces rocks or bricks under the pump. fviade of durable, noncorrosive ASS. d 3. Variable lavel control snitch 10-0743 used as a control activator, spat f duplex Raises pump 2" off bottom of basin. 13) or (4) float system. Provides the ability to raise intake by adding sections of .I X2" !A CAUTION f or 2" PVC piping. Attaches securely to pump. Accommodates sump, dewaterino and effluent applications. NOTE: Make sure float is free from obstruction. ! J For unusual conditions a reserve safety factor is engineered into the design of e`!ei v Zoeller pump- 5 Coayngl l 2C08 Zoeller Co. Ail rights reserved, f.o (l. .y, S, {ti' t`l%P" S F"I °6 z,.r, b;_.:At P,Ir P A 1`1 t. v N i . t~ T- a ° c aY+.tf C `~7-.:'ll! Ot;Frier Septic l ank Capacity Al ty a': C i" i PemlitTF Septic tank Nl ianuracturer i I.IJl Co . C NR D-EE.IYCrI77 "a It QenY I --r el+lanufacturer ~e7 E s C NIA ~1Number of Bedrooms (100- d/bedroom) ( Efr7uen; Filter ;vtoziei i f~ fp Cl -NIlk i~tumber of Commercial Units Pum t 1 t p Tank, Capacity 7-C-0 Ml ®NA _ Estittlated flow (average) Pump -anic Manufacturer ai f£sElt eO.Jt,,t. C NA yno j/dav Design flow (DW estimated x 1.5 i Pump Manufacturer Z4afLGE~t !=1 NA A i 4 0® gal/day + Soil application Rate allda~' ?c' Pump lilodel C NA { lilfluentSif luent Quality (L i+i~ } I itllonthly erag~ Pretreatment Unit ( 19 NA) Fats. Oil Grease (FOCI) i C Sand/Gravel Filter p Peat Filter < 30 ma L !Biochemical Oxygen Demand (BOD-) [ C Mechanical Aeration t,,,,i"' Wetiand Total Suspended Solids (TSS} = 220 in: i C Disinfection C Other~ t ivlanufacturar: ibiodel: is -!:50 m1 L - Pretreated Effluent - - ! Soil t bsorpiion Oor?lpo;ent (f? 1K! A-) Quality {9 f`A) ivloneltiy Avera_e F ! Biochemical oral Oxygen Demand (BOD;} C In-ground (gravity} C in-ground (pressurized'} t ~ 30 mg,I- 0 A -Made t IOLnLI Suspended Solids (.TS3} < SO m ( ; vioun Fecal Coliform (geometric mean) t - El Drip-line © Other: i Flo ctylotlmi Verrical Distance Tank Botton-t to Service Pad: Vlaximum Effluent Particle Size I/8 inch diameter Plarizontal Distance Tank(s) to Ser=ice Pad: qq ne sa?UnitIY10g.rN s?v_^: /6l,FJL7~.tAF'oit. C' fA/G!t '/Pf 2./. G~✓i/N~a°w.$ f~?R:. Soil Dispersal End Cap (Dispersal Unit EISM or U E, FF ppli prior, ;ate = Area iceouired - EIS = (Trench ; ricitiil ='r un'sts or Total Length ofTrench(s) C "Design of Pressure Distribution Networks }or Septic Tanis-Soil Absorption Systems" P=ublication 9.6 (SSil ?vianual) C `CC Flowtech Mound Component (Manual" Version 1.2 C 'EzFlow !Mound Component lviar l" 'v'ersion, "3/2012007 ~ C SIrD - 10254-'? (i;-,.?f;?} ":';`-Grille Component iviunual lisin4 Pressure Distribution" Version-2.0 0SBD - 10705-P (N.01/01) In Ground Soil =ibsoiTtiori Component i+l Version 2.0 0 SED -10691-P (N.0V0 "M o wi d Component Manual" Version 2.C i C SBD - 10657--P (R-6!999)"Drip-line Effluent Disposal Component `wianua?", 0 SBD - 10706-P C .0I/0 t) "Pressure Distribution Component Manual" Version 2.0 C Other - .1_. _iF-'T_✓i,^tc~... ~-'vl: ~ Sri''.-,. ~..-.,-~..`~.j -.s.~- - 5.:;~sl .r t..t.. ~ ,:;~-..~.:.s.._.-."~t`J.-. 1 servicc- se-,,Ice Frequency ?iiirhprtnspect !:,!lie(s), inspect dispersal cell(s), clean filter ( ilk r least once evei~r: igl3 months M 3 gears p Other - inspect purr & pump controls, alarm, pretreatment unit ( At least once every: El _ moo lis 9 3 years ~t NA F'lusii as d Pressure test laterals A! leas! once every; r~, months C 3 years Bf NA ,"rt: For new construction, prior eo use of the PO WTS shade treatment tank(s) for the presence of painting products or other cbernicals that may impede the treatment process and/or damage the dispersal cell(s). If hull concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. Systern: start U-a shall not occur c St3ii :=.F,'++gE? S . '4 'i S3~°i r 2 Ix MItVe slu_ -::C".:. The property of{Jn;rr is responsible for the operation and maintenance of the PO-WT S 2nd SubnnisSion o?'r-equired repa ts_ The Quantih., and quality oftlie waste-rater stream .gill affcct the perform uAice and longevity of your P'MVTS. rlie installation ofvratvr-sa:tFa appliances and ft%tures along alith prompt repair, of lenks reduces the waste%later volume. Ad so the brine or waste from water softeners- .ion removal units; other clear water treattt eut devices %tid foundation drains should be discharged to the ground surface ,whenever possible. Note: this does not include laundi-, waste.. sho-tvers, disl?water, etc. This systetn is d65i_n t0 handle domestic S`•.Fengtll v.SiSir178i$r, hCtii24e2' the Cihs705r;I O food J&sec, greases ar:d /415,-vv~et$61 /rrUh°t peels and seeds, bones, and food solids such as Chose produced by a -arbage disposal should be minir !zed. ='oisei tissue is the only paper that shau3d he discharged into the system. Other non-biedegradable itemts such as balm wipes; tampons; sanitary napkins condoms, cigarette butts, dental floss, and cotton swabs should not emer the system. Chemicals suc'L' as petroleum products, paint, Page ,f of 2