HomeMy WebLinkAbout020-1419-30-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
(ATTACH TO PERMIT) 592267
GENERAL INFORMATION 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:
TREVOR & RACHEL WEBB TOWN OF HUDSON 020-1419-30-000
CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No,
20.29.19.2661
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic ~w Benchmark
CcrAb(,5 L4 ~017(0 (3,:N
BosrtgtA,~- I~' f,, Y _50 Alt. BM LAS i 5 p d-~ J~
Aeration Bldg. Sewer
< r 13 U,2
~k
Holding St/Ht Inlet
SyFttOglet
TANK SETBACK INFORMATION
TANK TO P/L WELL BLDG. Ven to Air Intake ROAD Dt Inlet
Septic } T Dt Bottom Q
Dosing Header/Man. 1 v ~n
Aeration Dist. PipeI14~'~/SIu { D
y;
Holding Bot. System ,
PUMP/SIPHON INFORMATION Final Grade 1
Manufacturer Demand St Cover
GPM V •C
Model Number 93
TDH Lift Friction Loss System_Head, TDH Ft
Forcemain Lengt~ Dia. / I Dist. to well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length n(~ -rNo. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS I
i7- ~7 i'
SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer
INFORMATION CHAMBER OR .fir t iI~ Y~
Type Of System: 7 I JT % UNIT Model Nunber:
/'L/ /-0
DISTRIBUTION SYSTEM y jC , r~
Header/y Distribution x Hole Size ix Hole Spacing Vent to Air Intake
/ it Pipe(s) ~3
Length Dia l Length Dia Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over ) BedlT Depth Over xx Depth of xx Seeded/Sodded )D (Mulched
Bed/Trench Center ren gem E s Topsoil
Yes No es No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2:
Location: 653 CHEBEK LN _
_ 1 L'T~c-- CMG
1.) Alt BM Description -
2.) Bldg sewer length= c~ b(
- amount of cover = L4 7 "
Plan revision Required? ❑ Yes ❑ No
Use other side for additional information./
SBD-6710 (R.3/97) Date Insepctor's nat Cert. No.
R.ECEIVED
r[17~4.~tr. i(~J 4 ~JTI►u'J~Ct1 - (J~
~ ~I\ 2 1 7 Indu, Ser ices ivision County -
1 I 1400 E Washington Ave ~r ~~2o1X
' Pg P.O. Bos 7162
S, CROIX COUNTY Madison. Sanilary Permit [number (to he tilled in by Co.}
Madison. W1 SJ707-?162
^ MUNfTY DEVELOPMENT "'6
Sanitary .Permit Lj'r1jt1%:t-A ratrsacii Number
I In accordance with SPS J83.21(2),- , Obis. Adm. Code. submission :..,at t ill
is required prior to obtaining
the a s ttulary permit Note: Application forms for state-owned POWTS are submitted to dress (ifdtr&wnt than mailing address)
j Department of'Satety and Professional Services. personal information you provide may be used for second
I_pumoses in accordance Nvith the Privacy Laws,. 1=.04(1 gri,)• Slats,
1. Application in€ormation - Please Print A11 Inf ma n ~/y£+~EK jA4tl~
Property"Owner-s Name `
~ Parcek n
~~6'uaa fCREN_ f~ Lc~ d'/3 tai 4 alt
Property Owner"s lvlailing Address ~
Property Location ~jo . a 1 .
l v.,E Govt. Lot
( City, 5txte
lip Code Phone Number I V. Section ,70
.ilw/ la.
l ,~''uA,soa~ ~ae6 (circle one)
T N. R '
If. Type of Building (cheek a}I that apple) Lot
--I ) o
t or 2 Family Dwelling- Number of 13edmotns,~ _ Subdivision Name
- t
r ~j5~~' G71E.a~
PublicCGammercial - Describe Use Olt eA f31oel: u
W W>>C~ VW I Felt t'r
❑ State Owned - Describe Use ) CSM Number P-V~, or
(j 2 ~ 4- F -lowrsl of ala SOA)
11t.'1'ype of Permit- (Check only nc box on line A. Complene B if applicable)
A. f
?Yew=S\:stern ❑ Replacement System ; Tr~tmentlhiatdinu'iank Replacement Only ❑ Other 'Modification to Existing System (e?cplain)
R ❑ Permit Renewal ❑ Permit Recision j ❑ Change ol'Plurnter ❑ Permit Transfer to New--ist Precious Permit AtumhcT ut~ 1}ate lssucd
Before Tispirttioa { Owner
1\~. Type of 1'Q\\'TS System/C:omponent/Oeyiee: Check ati that agptti-)
j Non-Pressurir~d tn-Ground Pressurized In-Ground ~ rte-Grade ❑ brtoutu 34 in. of suitable soft ❑ ivtotmd <24 in. of sttit<•tblc: soil
❑ Holditrg `Can{; ❑ t)thcr pispersat Component texpiain'J _ 0 Nretrcauttent Device (cspiainj
~ [}is crsallTreatmcnt Arcs information: -
Design Flow (gpd) Design Soil App`liication EWte(gpd ~ DispersatQArea pRccluired (st)Dispersal sArgea?Proposed ( System Elevation
%T Tank Info - - Capacity in
Toisl ~ of ; Manufacturer
Gallons Gallons Units ~
T
Nov Tanks E,min, ranks Z>
r
s7plle Ur Alieh~
f_ ®T3CJ f J6~c~i2 L~a~~G.tEr& i' J
Dosing Chamber
7 ~c'a ~SO ( n it ao _T-
b71. Responsibilih, Statement- 1, the undersigned, assume responsibility for installation of the NOWTS shown ou the atGtched plans
Plumbers Name (Print) j Plumbers Surat re I RIPS Number Business Phone Number
7JS 7e7 -.5s76
~ Plumber's Add
ress (street. City,- State, "Lip Cole) )
IV 4~ 17 Y8 __,5r
Vill ounty/De artment Ilse Only
Approved ❑ Disa wed--°-~ Permit Fee Date sued I Issuing r nt Signature
1 15. OD 77
(n••-ner it Reason fbr Denial
I X. Condit'
I k . se tAtO' b.frt'►sapproval
I{ 415tN8t-,w Cell r: w to kyPuVo l~.lft{I~i^g • ?
E 'U P!r.''W` pkn ptq Tided by plumber.
2. 'At soil C lti4~ P AW.tle t;4ntfirAd
trs per 90*1109 CO& / ttlinanae~.
Attach to complete plans for the system and submit to the Cnunh-ntq nn paper not less thatn 3 L? x t t ierches in sire
SBD-6398 (R. 08/14)
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4 s Address:
Legal Desptoi: S ~E~ ate, 9
Lot ~..u~3~r: Y 1LC31?t
Number7 -Block ?dumber:
E3arl L D. NT'mber;
Page 11E
:gage 3
Page 4
Page -5
" Pa~f ~ 3a ~a _ it
Page 7 f~
Page 0
age 3 ~ / r F" < F✓~ Zi~eWl yea J-1 vh f
T a a of g ero -1 aNw 1,-.z x ' _ _Yc e =ber /%A- D?sl.?
Da -a: .3 - 36 -moo/ 7
Deaigaed Pz ai z r the Following PO's tam-canen,~Ix/. znuaj aid S1
i-Gio d Soil Absc~ i-or, Component MTe-Imil fOl PO-777-S- (77g, 2.0) SM Q 7^5 r- Eij. Oi Iv I)
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W p 0 y v oo ° n 1\
0 90
u 1 V h
qt~
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ti C v
GCS}1(l 1±~S".-'iO \l SEP i IC T AsiKIPUMP G,-iAMIE~ i~" E= ' !Gi
t<~1
D 1 VIIING 13 ; a SCA, I .1 Q
fRIMLGRADE A&..i4t4LciUS_r&GUVER -
Woac ground surface away from 1 ioecs, Os a" Eli 25 (i) ° f8}; ti,Ens _R7, PNT-_ Pin- mannote(s}iorgrooerd,~tnaga} I _ '~Qz;~r,.
f 5L7IQ1!iC_j ='ti Sin flr ~ S1 a.. 3ISC ~fi~i;:
pursuwa to SPS Si~+.j. jf Q
f ~ ~4(,~tC-iii : I~,'*.G ~1•ijy;
f~` 3(;i! Dtt~iGS~itlit~ / f L if~> r`-r~ii %~t7tla~i~rasn8~ss3rP.~
{r $I} 0q
! f
! { C•4 n1Cnt ~'-1 A-.
a~~ i:'rtt'rats
'UMMIM4 Box
t ! I S 1 i Y ' ixiln.7. 1_1 ii hevg
. t ~ l~ i •ii ~ - : - E.tgai~=u =i-arc II3v:ltan
I : r It^ i f
I [_p rt rI -
18" rri!r Ei rti;Ar ttol`i
S J
B01-tO OFiNLEICm--ateLt41=~,nF
d t _~-ice -i i I~ 1
~ t._! f'--'.- ~ ~=,,Pr{.!f'•':rrl/fll. r'r! f Jiei~ is f
/!f 1l if l}i ».r
ff!
LE /f:` Illfll/f/rr~rflff!//~'f.; C
~V f i . _ 'rIllflf f//IFitjl/~ r,/ff/Jf! t
iJl -ire~lfrfr,ryfrfrr~<yy l
~rJlffr~f /l. f~lf!fj//f/f1/fJri !lf/!r! fl
r~°/G i= ~~~irrl~r'e%!rll.~!.rf~..«lirt<J~ r<:7-;•Sii< t d
4, INN =_1 PE B ! ~
i== o; ~ ) APPROJED EFFLUBb F F t'_ = cc UENT7 Q=: Di3
t ~•tiUtRE}? flI3 flLTri.ct ' •K `~l ~ . ' t •r ~ ?!Vv = t ~
- tr_----t
iijill'`IFMI-.IM OF 3s UIF ^`J'i t I'"l,_ ~ `am LSEEDS iI ~I,.f NG BEI NEe~ -'r, K
~;h ? F HI e Tlt f. LMP RAD
f
1
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Tank, MiaRt1TU&(WC°r GJf SEeE ~4rJGrCcFE t,t~; ({'t~ff~ td$SiEYG"^.tEi ?lr3ii} ~6C3 °?ii !
Sep&Purap tank -I nodel f~?5fl~7 'r~ number Ulf dpHy tons S.~7y 9. ?
ti✓2,,f~ / actual dose <iflltu'i sl
Alamn tClanu ar i rar S. X t/` i-<} U S
da i model riumber 7-,fAl/K Aeg-,zt I i-OrCenSir; kwon. ma
JG Of tiQG-l.ct-vitch ?ci_t32S sDsc, ( .3s 9.43
/g%jc~llFia.~t G<L . ? {IiUri?e (gJtD??v) (total doss volume - volume of ior~=.rnair} /~7v. 9 - S. 7
_ I
Luflueati. pti Cl3 rtlartUt'Iz C'tLlr@t ~'J "L L ~r<
[ dfluaant put-,o r odel riurlbe? f .~a TANK r• a ~e ~'.I I i
~?&eI1~~ c~D}.~t; ctcrli: O •S~ li3Cil^cS ~~i. r~3~t0eia
'OfillfrittlCli t u, P t~154s~aiga iate (Gi3M tar m ilD^a€ t30lfw t~iaitrs~ _i[1Gid2s = 3'.?.aZ t:Qt}G15 ti t
C! t YiDeaL i"2i~$SLtiT4Er 7..5' lMss - aTc1, J salfolls (B)
~Ierfical 19-t (Pufnp of IO CllStrti3LdG t lat6r2i} S. a 011 1 Wit abo' =a a.& bottom I.i ches = I gallons (9)
s siam heed (distal pressure X -1ie.°i 1
t ! -'S Ir rI'NMRSIDi°Ij PUMP CIWI kNiS£P S?£11FICA.10, 4& ~
rriciian toss in i€io iorcemair.,~Sx. r F = y E
ui3l dynamic head (IDIn") ~Cei1 $G
_ ? tiil#IG t`,°ui~.t!'l « t•:7?rltOrlyrrvi Fi1Gl'i ~~ar/c?
I
TOTAL DYNAMIC HEAD1FLOVV
i u PU1iP PERF CE CURVE Q^ 7
tl~ PER MINUTE
110- MODE 15111 2I153 EFFLUENT AND DEWATERING
14 -J
45-
40. 3
MODEL 151 152 ~ 153
a I ^eet I revelers Gal. 'tilers ! Gnl L
s rers G31_ Utm
1.5
l a0 189 ( 69 I 201 77r
V `
!
y6 l 19 .i 45 174 of 231 7G 2U
s f ~ l 15 r o 39 14.t 53 1 201 87 ?
y
20 61 11D Y 167
52 197
1 I i ? f 25 7.o I 1
208 # 63 i 34 129 # :2 1$9
6-~ S -
30 ~ 9-'1" n 125
75 ! g Z~ I 10.7
~ f
_ - - - _ 65
40 12.2
J 12
l
aQit (9.1mZ fl.01.5.1 kin. (13.4m)
Shut-O'
1 at450$9
y 1
yodel 151 Models 152 1153
~ .~Q ~ 31 40 ..1 r7 r0 eC cti
t{r'-+LLOt7S i
,l J S2p 156 ?!'s y. a!-;
PLC :y ::IiFl;i=
i I;d ~ r 3715
3 ,;a
° limed nosing panels available. _t-
Electrical alternators, for duplex systems, are available and
supplied with an alarm.
lfariable level control snitches are available for controlling
single phase systems. t
• Double piggyback variable level float switches are available
for variable level long and short cycle controls.
Sealed Qwik-Box available for outdoor installations. See
Ft'Ui1420.
• Over 130`F (54°C) special quotation required. r
1 i
592444 SK2634
151?1521153 MODELS _Contro_l_ Selection
tlodef j`VOttS-Ph Mode Amps !Simplex Duplex
Ut51 115 N n 6.Q 2or3
1iN151! i1a 1 r.uxo ~&Q tncuded ar3 ~
E551 23Q i ilon j 3.2 i 20r3- 4--.
8E15i?. 9 i Auto a 2 Inct=.d=d 2 or 3 Easy assembly"
Ui52 125 l tkn g 5 1 _ 2 .r 3 (pump S d:<chefue r:pe
8Ni52 its t Auic $ K included or s a r i v , sot in tided.)
E .5^ 230 ^icn 4.3 1 T 2 or 3\
B 2 23D Aufa 4 3 to uded or 3
4153 ! 115 1 Non 7 j,5 ✓
_1
BNi53 15 1 l Auto - 105 Ir uded_ Zor3
153 230 %'Gn S 3 n Or a ft}
] r
BE753 i~23Q 1 Auto , 5.3 1 1n.,.ud..d 2 or 3 \ A~~~~ ~ 1
1. Single piggyback variable level loat santch or double piggyback variable level
float sa.ictt. Refer to Ff;10~t77. Deduces potential clogging by debris.
of f durable, bricks under the pump.
2. See FIN0712 for correct model of Electrical Altemalor E-Pak, Replaces
r~fade , noncorrosive ASS.
3. Variable level control switch 10-0743 used as a control activator. speciN duplex Raises pump 2" off bottom of basin.
(3) or (4) float system. Provides the ability to raise intake by adding sections of 1 h"
6 CAUTtOiN or 2" PVC piping.
Attaches securely to pump.
Accommodates sump, dewatering and effluent applicstions.
NOTE: Matte sure float is tree from obstruction.
For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump.
£f Copyright 2008 Zoeller Co- All rights reserved.