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HomeMy WebLinkAbout181-4130-00-000 Wisconsin Department of Commerce County: St. CCOIX PRIVATE SEWAGE SYSTEM Safety and Building Division Sanitary Permit No: INSPECTION REPORT 592262 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No:' yp Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. f le Permit Holder's Name: City Village Township Parcel Tax No: WL & ASSOCIATES PETERSON VILLAGE OF SOMERSET 181-4130-00-000 CST BM Elev: 777~~v: B Description: Section/Town/Range/Map No: 1 0V > -G' 34.31.19.1107 TANK INFORMATION ELEVATION DATA TYPE MANUFACT CAPACITY STATION BS HI FS V. ,IN Septic oV, Benchmark ! ^ i V 1.J l f \N t 1l i/ 1 I Ifs L Dosing f a 1 Alt. BM r Bldg. Sewer t "(I.~ .i10 Ht Inlet I t ` ~ /Ht Outlet TANK SETBACK INFORMATION a ASS , TANK TO P/ WELL BLDG. Vent to Air Intake ROAD Dt Inlet - Septic to ^D~ 1 to Dt Bottom Dosing c 9 / Header {Aro v Woo Aeration Dist. Pipe O Holding Bot. System Final Grade PUMP/SIPHON INFORMATION fol Manufacturer Demand St Cover GPM L J G 1~' v 1 Model Number TDH Li Friction Loss System Hea~ TDH Ft Ioo~ Len( Dia. 2.( Dist. to Well Forcemain i- I 1V SOIL ABSORPTION SYSTEM BED/TRENCH Width Le No renches PIT DIMENSIONS No. Of Pi Inside Dia. Liquid Dep DIMENSIONS t vL SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREA LEACHING Manufacturer: INFORMATION ] CHAMBER OR Type \ ` ~V Y ` UNIT Model Numb . 1v\ V (1JI~Y/\ ~ ~ i DISTRIBUTI N SYSTEM Header/ Distributio X Hole Size x Hole Spacing Vent to Air Intake I ` Pipe(s) 1 40V ~ i~ V / fflb ~I{7 Length Dia \ Length Dia 1 Spacing /2, SOIL COVER X Pressure Systems Only xx Mound Or At-Grade Systems On y Depth Ov Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Tren Ce ~p v r` Bed/Trench Edges >1? ~l Topsoi ti -,Ives L No i~ s [J No COMM S(Include cJe iscrepencies, persons present, etc.) Inspection #1: j®I13I20J7 Inspection #2: Location: 576 180TH AVE 1.) Alt BM Description A, u ly2.) Bldg sewer length " ~ ir\ cJ~-~l VKA. SOW S *5 ?q - amount of cover = Z aov \X q,0 Plan revision Required? Yes No Use other side for additional nformatio L D to Insep s Signature Ce t. No. SBD-6710 (R.3/97) 2°~ T TOE County ~ ~ 4 ) i' Safety and Buildings Division A~ Sanitary Permit Number (to be filled in by Co.) 0 S K A ter ~01 W. Madison, Washington WI Ave., 53707P-.O.7162 Box 7162 ~F~"3SIOvAlS'. catioiiI State Transaction Number saffi Aofd' In accordance with SPS 383d1~! ode, submission g z 3 i s required prior to obtaining a sanitary permit Note: Application for ject Ad Tess (if different than mailing a ress) the Department of Safety and Professional Servies. Personal informs purposes in accordance with the Privacy Law, s. 15.04(1)(m), Stats. 1. Application Information - Please Print All Information QO - OC Property Owner's Name Pared # Property Owner's Mailing Address Property Location 3 /T7 8 -f 3.4 c e /V City, State Zip Code Phone Number Govt. Lot Q ~t' U /O e~ •r E/<,'/., Section 3 S T N; R /r 9 (circle oil Eo II. Type of Building (check all that apply) Lot # El 1 or 2 Family Dwelling - Number of Bedrooms Subdivision Name pK, LBlock # ❑ Public/Commercial - Describe Use O evi of State Owned - Describe Use Number ag e of X So~'►errzt- III. Type of Permit: (Check only one box on line A. Complete line B if applicable) a ~r A. 9New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. El Permit Renewal' 11 Permit Revision El Change of Plumber [I Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner IV. Type of POWTS System/Component/Device: Check all that apply) ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade Pd- Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dispersal/Treat l/Treat ent Area Information:, Design (gpd) Design Soil Application Rate( sf) Dispersal Area Requir~~~ Dispersal Area Proposed System Elevation 7U 0,6 V N..2 f 3 0 98, S8 VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units o New Tanks Existing Tanks P. V to 60 Septic or Holding Tank / v1 D /d p~ f~ f~ f tl Dosing Chamber 641.0 r C Ol. Zv/Cf(/' VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POtVTS shown on the attached plans. Plumber's Name (Print Plumber' ignature MP/MPRS Number Business Phone Number 13r 1 /Q 2 313 / 41 7Z YT- 3Z-03 Plumber's Address (Street, City, State, Zip Code) 3 98- l92 a vc S6 ~•r~ w~ Silo VI ount /De artment Use Only Iss uing ent Signature Approved El Permit Fee YDat~essueM :-7: 1$ 440. M 7 even Reason for Denial 1X. ConditlbY'easons for Disapproval ~ t n 1.lptirs kar+k, eiflcrt. INter rt~i 3 ~(,r t3lslier• ~t cell must all be yriivk-s! ma nt~fti. ns;per ilWagement plan p,ariderf bvby p'lumbe:. a,(~, ; ti ~rC~~► OFir'~1rr . 2. 'AN t't+eiCtlr~enY4'm~rst trk r a:rrt, ir;e : / n per #Xiiwbh c436? / ; rdinil1Nm. Attach to complete plans for the system and submit to the County only on paper not less than 8 1/2 x 11 inches in size SBD-6398 (R. 11/11) W Name W v.TB~a f~ Gl~ ~CJ Brian Pamell Address 77~~ ` ~~i G+z c it/ CS i 231314 L /DO• Beucbmark i . Bencbmark2 ❑ Soil Boring IF- i_ 1 Suitable Area I"=40'S ale o° i t ! i ' ! f i 1 ! "i1 i 1 1 ! s t f f # f t f f ( S I if { 1 f 3 ~ i 1 ~ 1 t t ~ ~ ~ ! # ~ ! # ,1 FT, ii ! f ii! 1 I i i 1 ! j{! l i f f! 1~ ,t I I N. 1 ! t I t I co 'Y I J-T 1 I I IT i p P`',7~~E~4 f DIVISION OF INDUSTRY SERVICES i ti / \ On 10541 N RANCH RD HAYWARD WI 54843-6462 Contact Through Relay http://dsps.wi.gov/programs/industry-services ry-services www.wisconsin.gov ~ssE0x5ro~~ Scott Walker, Governor Dave Ross, Secretary November 17, 2016 CUST ID No. 231314 ATTN: POWTS Inspector ZONING OFFICE BRIAN J PARNELL ST CROIX COUNTY SPIA 398 192ND AVE 1101 CARMICHAEL RD SOMERSET WI 54025-7209 HUDSON WI 54016-7708 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 11/17/2018 Identification Numbers Transaction ID No. 2798236 SITE: Site ID No. 830798 _ WL & Associates Peterson Please refer to both identification numbers, 180TH Ave above, in all correspondence with the agency. Town of Somerset St Croix County SE1/4, SE1/4, S34, T3 IN, R19W CONi:)6J Ic';-i FOR: Description: Mound, 3 br res pppROV Object Type: POWTS Component Manual Regulated Object ID No.: 1635148 [)EpT OF SAF Maintenance required; 450 GPD Flow rate; 29 in Soil minimum depth to limiting factor from original graoR&F10NP.L Mound Component Manual - Ver. 2.0, SBD -10691-P (N.01/01, R. 10/12), Pressure Distribution Comp,VJ§I1~u0F IN Ver. 2.0, SBD-10706-P (N.01/01, R. 10/12), SSWMP Pub. 9.6; Effluent Filter , The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Co s and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be const and located in accordance with the enclosed approved plans and with any component manual(s) referenc ove. SEE CORK ESP The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with I code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per x.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Key Item(s) • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • Maintain all SPS 383 setbacks per table383.45-1. Reminder • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per SPS 383.44(6)(a)2. • Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual. • Surface water drainage shall be diverted away from the system area per Mound Component Manual. • Materials shall conform to the requirements of SPS 384. BRIAN J PARNELL Page 2 11/17/2016 • Maintain well and waterline set backs per SPS 383.43(8)(i). Consult the Department of Natural Resources for well setbacks and other regulations and exceptions. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construct ion/instal l ation/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 Fee Received $ 250.00 Balance Due $ 0.00 Patricia L Shandorf WiSMART code: 7633 POWTS Plan Reviewer, Division of Industry Services (715) 634-7810, Fax: (715) 634-5150, M - F 8:00 a.m. - 4:45 p.m. pat.shandorf@wisconsin.gov cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm BRIAN J PARNELL Page 2 11/17/2016 • Maintain well and waterline set backs per SPS 383.43(8)(i). Consult the Department of Natural Resources for well setbacks and other regulations and exceptions. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of 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 Fee Received $ 250.00 Balance Due $ 0.00 Patricia L Shandorf WiSMART code: 7633 POWTS Plan Reviewer, Division of Industry Services (715) 634-7810, Fax: (715) 634-5150, M - F 8:00 a.m. - 4:45 p.m. pat.shandorf@wisconsin.gov cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm MOUND AND PRESSURE DISTRIBUTION COMPONENT ENSIGN Residential Application WIM AND TITLE PAGE pfw;ed Nan- VVL & Assorts Person E owner's mane: WL & A Owner`s 17788 83rd Ave N L"Ple Grove MH 55311 Legal DesaWm 8 E-SE-~sec34-T3I-mow Tom: Somerset County: ST Croix Subdly Name: .LLY Lot Number Block Number D Parma I.D. Number 0321097-3D-M ! , = AND ~~I2VICES Plan Transaction No.: &Y Sr--RViCES Page 1 IrKISK and title Page 2 Data entry L, P~ 3 Mound drawings J N D E. E Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan 2(P Page 7 Pump curare and speaHications Page a Pkrt Plan Page 10 Sod Evan Designer Brain Parnell License Number_ 231314 Delp- Phone Number. 715-247-203 Signature: Desioned Pumuarnt to the Mound Component Manual for POWTS Version 2.0 SBD-10691-P (N. 01101, R 11112), and both SStWMP Publication 9.6 Design of Pressure Distn'bution Netw dm for ST-SAS (01181) and lure D"+s ft*on Component Manual Ver. 2.0 SBD-10706-P (N. 01101, R.10112) Version 7.0 (R. 11112) Page 1 of 9 Mound and Pressure Distribution Component Design Design Worksheet Site Information (R or C) R Residential or Commercial Design Note: Sand fill (D) calculations assume a 300.00 Estimated Wastewater Flow (gpd) Table 383 44-3 in-situ soil treatment for 1.50 Peaking Factor (e.g. 1.5 = 150%) fecal coliform of 36 inches. 450.00 Design Flow (gpd) 13.00 Site Slope i-' A60 ontour Line Elevation (ft) Depth to Limiting Factor (in) In-situ Soil Application Rate (gpd/ftz) Distribution Cell Information 75.00 Dispersal Cell Length Along Contour (ft) = 6.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ftz) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? Enter Y or N (C or E) E Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation (ft) 2 Number of Laterals of the highest point. 0.125 Orifice Diameter (in) - 2.50 Estimated Orifice Spacing (ft) = 7.50 ftz/orifice 2.001 Forcemain Diameter (in) Q60.00 Forcemain Length (ft) Does the forcemain drain back? Y 88.00 Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 9.79 Forcemain Drainback (gal) 10.42 Vertical Lift (ft) 67.32 5x Void Volume (gal) 0.81 Friction Loss (ft) 77.11 Minimum Dose Volume (gal) 0.00' In-line Filter Loss (ft) 24.72 System Demand (gpm) 17.73 Total Dynamic Head (ft) =Diameter ection Manifold Diameter Selection choice in. dia. options choice 1.25 x 1.50 x tx 2.00 ~ x - 3.00 2.00 x 3.00 x Gallons/Inch Calculator (optional) Treatment Tank Information 1000.00 Total Tank Capacity (gal) 1000.00 Septic Tank Capacity (gal) 57.00 Total Working Liquid Depth (in) Wieser Manufacturer 17.54 gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 600.00 Dose Tank Capacity-(gal) Ploylock Filter Manufacturer 16.76 Dose Tank Volume (gal/in) PL 525 Filter Model Number Weiser Manufacturer Project: WL &Associates Peterson Page 2 of 9 Mound Plan and Cross Section Views :Y........... J . . T 1/10B : Observation Pipe 1 K O F51 A W I:...... B . ~ I .".lJ"•° ° L Mound Component Dimensions A 6.00 ft E 16.36 in H [A1.00 ft K 8.30 ft B 75.00 ft F 9.50 in 1 ft L 91.59 ft D 7.00_ in G 0.50 ft J ft W 23.10 ft =X150_00 (ftz) Dispersal Cell Area '1429.30 _(ftZ) Basal Area Available 6.00 (gpd/ft) Linear Loading Rate 7.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 100.38 (ft) H .,/11111/l1lr '1 11//l1J///r.- G . . F Dispersal Cell 99.08 (ft) Lateral 98.58 (ft)-► - Invert Dispersal Cell [3:::::: Elevation E D " . 4 98.00 (ft) Contour Elevation 13.0 %Site Slope Geotextile Fabric Cover Shading Key CL I - Dispersal Cell See lateral details on 1❑ 0 Topsoil Cap o i 1.5 ft T Page 4 for number, size, 0 Subsoil Cap w o ❑5 *0 I and spacing of laterals. / Laterals are equally ©0 ASTM C33 Sand :a Z F spaced from the Tilled Layer y 0.5 ft Tvpical Lateral N51J distribution cell's © [ Aggregate o centerline in the A distribution cell (AxB). Project: WL &Associates Peterson Page 3 of 9 End Connection Lateral Layout Diagram Laterals centered osier the A & 8 dimension • = Turn-up ntbsii valve or cleanoutplug `I E P Ala laterals are identical Holes drilled on the bottom of the lateral equally spaced S Form main wnneadon via tee or eross to m.Wold at ano point_ Laterals Morcemain Sch 40 PVC per SPS Table 314.30-5 Number of Laterals 2 Orifice Diameter 0.125 in Lateral Diameter 1.50 in Orifice Spacing (X) 2,53 ft Lateral Length (P) 73.37 ft Orifices per Lateral 30 Lateral Spacing (S) 3.00 ft Orifice Density 7.50 fe/orifice Lateral Flow Rate 12.36 gpm Manifold Length 3.00 ft System Flow Rate 24.72 gpm Manifold Diameter 1.50 in Total Dynamic Head 17.73 ft Forcemain Velocity ~~2:52 ff/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and SPS 316.300 WAC 4 in. min. Disconnect Tank component is properly vented Alternate outlet location Forcemain diameter Weiser Manufacturer_ 2 in. Capacityl 600.00 Gallons Volume 16.76 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 21.20 355.29 B 2.00 33.52 C P♦ ump off elevation (ft) C 4.60 77.11 ' 88.67 D 8.00 134.08 D Total 35.80 600.00 I F Dank elevation (ft) 3" Bedding sin er tank. 88.00 Alarm Manuafacturer RJS Rhombus Note: Switches Alarm Model Number jtank alert i containing mercury may not be used in Pump Manufacturer !Goulds this system. Pump Model Number LP 51 Pump Must Deliver 24.72 gpm at 17.73 ft TDH Project: WL &Associates Peterson. Page 4 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name Brain Parnell Phone 715-247-3203 POWTS Regulator's Name ST Croix County Zoning Phone 715-386-4680 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450 ftz Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Inspect and/or service once every 3 ears Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once eve 3 years Alarm Should test monthly Pressure System Laterals should be flushed and pressure tested eve 1.5 years Mound Inspect for ponding and seepage once every 3 years Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to SPS 384.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished Grade \ ~1 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lon Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: WL &Associates Peterson Page 5 of 9 Mound System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General This system shall be operated in accordance with SPS 382-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD-10691-P (N.01/01, R. 11/12), SSWMP Publication 9.6 (01/81), and Pressure Distribution Component Manual Ver. 2.0 SBD- 10706-P (N. 01/01, R. 10/12)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with SPS 383.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BODS, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD5, 30 mg/L TSS, 10 mg/L FOG, and 104 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Pretreatment Units The information and schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment units or disinfection units are attached as separate documents and are considered part of the overall management plan for this system. OWk4ER I Papa V t? Brian Parnell Address I;r; 88 - CST 231314 Benchmark 1 kZ- (vGP~O-- 1:,--Z' /L 0 Benchmark ❑ Soil Boring 1_ 1 Suitable Area 1~" - 40' SCals o ~ ! 1 f 1 loI I~ I t , } I I i i Imo} t i i' 011, i 5 l } t# ! f 3 I t f t F!-11 i IN f -T- I -rz ~ t i 11 1 f i ' } ! 1 in 1 F- -I ! 1 i n~ A- ' . / G,.c GO LDS PUMPS Submersible Effluent Pump PE SPECIFICATIONS MOTOR FEATURES Pump -General: General: a Corrosion resistant • Discharge: 11 NPT ° Single phase construction. o ° 60 Hertz ® Cast iron body. • Temperature:104 F (40K) 115 volts a Thermoplastic impeller and maximum, continuous when fully submerged. ° Built-in thermal overload pro- cover. • Solids handling: 'h" tection with automatic reset m Upper sleeve and lower J ' y maximum sphere. • Class B insulation. heavy duty ball bearing • Automatic models include a ° oil-filled design. construction. APPLICATIONS float switch. • High strength carbon steel ® Motor is permanently • Manual models available. shaft lubricated for extended Specially designed for the • Pumping range: see PE31 Motor service life. following uses: performance chart or cure. • 33 HP, 3000 RPM ® Powered for continuous • Mound Systems • 12.0 Maximum amps operation. • Effluent/Dosing Systems - M Pump: m All ratings are within the • Maximum capacity 50 GPM ° Shaded pole design • tow Pressure Pipe Systems working limits of the motor. • Basement Draining • Maximum head: 25' TDH PE41 Motor in Quick disconnect power • Heavy Duty Sump/ PE41 Pump: • .40 HP, 3400 RPM cord, 20' Standard length Dewatering • Maximum capacity: 60 GPM ° 7.5 Maximum amps heavy duty 1613 SM with • Maximum head: 29' TDH ° PSC design NEMA 5-15P, three prong, = PE51 Pump: PE51 Motor. 115 volt grounding plug. • Maximum rapacity: 70 GPM • 50 HP, 3400 RPM n Complete unit is heavy duty, M imum head: 37' TDH • 9.5 Maximum amps portable and compact. • PSC design m Mechanical seal is carbon, _ ceramic, BUNA and stainless METERS FE ~ 4 - F i I MODELS- PE31, PE41, PE511 steel. - r- f is Stainless steel fasteners. PE51 - - ' - F i ; i HR 33_40, _50 35 10 z GPM ; - GENCY LISTtNGS i i - t 30; PE41- Fr - - - S _ t _ IT I j t 25 ` PE3T r- 1_ P C US V ! - t - Tested to UL 778 and } , 2~1~ - _ , CSA 22.2 108 Standards - - o ► ` _ _ - By Caracron Standards Association - --r j e #LR3a549 }Q 15 W t - i - - . - - ' - Goulds pumps is ISO 9001 Registered. F- D, I =--i! - - q_-r_-__ 10 - - c - - - -r 5, j 30---- 0 O..._ ^ 1,0 20. ~c- 0 0~w:0_ _ 50 S 60 70 GPM 80 0 5 10 15 mh Goulds Pumps CAPACITY 9 K) 2002 Goulds Pumos POWTS OWNER'S MANUAL. & MANAGEMENT PLAN Page . o, FILE iNFORMATmN SYSTBYI' CATIONS Owner / 0[ d e f fCl ~ ~C/ j. a -r Septic Tank Capacity /6)00 al O NA Permit # h /T Septic Tank Manufacturer ll ('e Se,- 0 NA DESIGN PARAMETERS Effluent Filter Manufacturer o / Lo c, 0 NA Number of Bedrooms 3 0 NA Effluent Filter Mode( SZ 5 0 NA Number of Public F` uc ty Units 0 NA Pub Tank Capacity ~ 6d) i 0 MA Estimates) flow (average) D d Pump Tank Manufacturer 6V21 r"- 0 NA Design flow (peak), (Estimated x 1.51 O gay Pump Manufacturer Cj p U. ~dS ~~rn t DNA Soil Application Rate 0.6 d ffe Pump Model ~r 0 NA Standard Infinent/Efflrent Quality Monthly average* Pretreatment Unit .0 NA Fats, Oil & Grease (FOG) 530 mg/L 0 Sand/Gravel Filter 0 Peat Filter Biochemical Oxygen Demand (BOD3) 5220 mg/L 0. NA 0 Mechanical Aeration 0 Wedand Total Suspended Solids (TSS) 5150 mg/L 0 Disinfection- 0 Other: Pretreated Effluent Quality Monthly average Dot Celt(s) _0 NA Biochemical Oxygen Demand (BODJ . 530 nng/L 0 In-Ground (gravity) 0 in-Ground (pressurized) Total Suspended Solids (TSS) S30 mg/L O NA 0 At-Grade Mound Fecal Coliforn (geometric mew) 5104 duu/100mt 0 Drip-Line 0 Other: Maximum Effluent Particle Size Y in dia 0 NA Other. 0 NA Other C] NA Odw_ 0 NA Other *Values typical for domestic wastewater and septic tank effluent. DNA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: 3 0 mor"h(s) (Maxbo urt 3 yeas) 0 NA Pump out contents of tank(s) When combined skrdge.and scum equals one-third of tank volume 0 NA Inspect dispersal cell(s) At least once every: ~ y~ (s1 lwRaudtrtrart 3 years) 0 NA Clean effluent fitter At least once every: mss) sl ❑ NA nspect pump. Pump controls & alarm At least once every: ~y mordh(s) ©NA :s- 'aierals and pressure test At least once every: 0 month(s) ❑ NA D year(s) 0 month(s) At (east once every: 0 year(s) ❑ NA Omer. D NA I MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual canying one of the following flcenses or certifications: Mash Plumt>err, Master Pkrmber Restricted Sewer-, POWTS hnspecdor. 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 scorn and to check for any back up or ponding of effluent an the ground surface. The dispersal call(s) shall be visually inspected to deck the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The pondirig 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 or more of the tank volume, the entire contents of the tank shall be nwwroed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pmt units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Mme. A service report shall be.provkied to the local regulatory authority within 10 days of completion of any service event. 1 START UP AND OPERATION Page of For new construction, prior to use of Ow FOWTS check trestrimnt tank(s) for the presence of painting products or ether chemicals . that may enpede the treatment process arWor damage the dispersal If high iceirtrations are detected have the contents of the 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 ced(s) in one large dose, overloading the ceft(sl and may result in the backup or surface discharge of effluent. To avoid this situation have the carts of the pump tank ra n ived by a Septage ServWmg 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 calls. Do not drive or- park over, or otherwise- disturb or compact, the area within 15 feet down slope of any mound or at-grate sot absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: arrmflniotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dual floss; drapers; d'rsinfectaMs; fat; foundation drain (sump pump) water, fruit and vegetable pew; gasonme; grease; herbicides; meet scraps; medications; oil; painting products; per; sanitary napkins; tampons: and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shaft be taken to insum that the system is property and safety abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • Aft piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shaft be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall• be excavated and ro n nfed or their covers removed and the void space fr7bdi with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot to repaired the following measures have been, or must be taken, to provide a code compliant repiacernernt system: ❑ A suitable replacerrment area has been evaluated and may be utilized for the location of a replacement soft absorption system. The replacement aired should be protected frmm dbtuibanee and rxsnpactiorn and should not be infringed upon by rimed setbacks from. existing and proposed structure, lot Ones 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. Repiacamernt systems must empty with the rules in effect at that time. ❑ A suitable replacement area is not available dine to setback andfor sad limitations. Bening 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 far'lure of the POWTS a soil and site evaluation must be performed to beats 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. ❑ Mound and at-grade soil absoiption systems may be reconstructed in place following remove of the biomat at the infinitive surface. Reconstructions of such systems rrnust comply with the rules in effect at that time. < <WARNWG> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR ~~NT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE FOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMtiIENTS POWTS VISTALLER POWTS MAWAVIER Nacre t, .l ct~•t~ l( Name Phone2,Y 7' Z O Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name Phone Phone This document was draf:e_~'- _ rc iance with chapter Cormn 83.22(2Hb)(1)(d)&(f) and 83.54(1), (2) & (3), Whemsar Administrative Code.