HomeMy WebLinkAbout018-1087-80-000
Nisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division Sanitary Permit No:
INSPECTION REPORT 592271
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)] 2926720
Permit Holder's Name: City Village Township Parcel Tax No:
MYRON & LINDA KEMPEN TOWN OF HAMMOND 018-1087-80-000
CST BM Elev: Insp. BM Elev. BM Description: Section/Town/Range/Map No:
q9. 3 Z G~T• 20.29.17.700
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
fny~
Septic in w Benchmark
1 Alt. BM 11
Dosing `tom e✓~ fc •-7 C~5
labor Bldg. Sewer
Holding St/Ht Inlet / x
~
TANK SETBACK INFORMATION St/Ht Outlet
TANK TO P/L WELL BLDG. ent Air Intake ROAD Dt Inlet
W eat"
Septic t,4 2'4 Dt Bottom M. 1:2.
Dosing J ~p z 31P Header/Man.
Aeration Dist. Pipe Z q q
Holding Bot. System 3
Final Grade
PUMP/SIPHON INFORMATION /40.
Manufacturer Demand St Cover I zC1 ~ GPM cS
a
Model Number i kJ 50 ~3 9 *7• 7
TDH Lift Friction Los System Head T DH t (J
It. 1 3,4 14, So ZJr
Forcemain Length Dia... H Dist. to Well
SOIL ABSORPTION SYSTEM 2
BED/TRENCH Width Length No. O Trendies PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS 1%, -75 O-
SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer:
INFORMATION CHAMBER OR
Type Of System: s~ UNIT Model Number:
DISTRIBUTION SYSTEM Ootpk_
Header/Manifold) ~r Fsngth tributiony x Hole Size I x Hole Spacing Vto Intake
.5/~ pe(s) / Z 3Z ~.Length 7 Dia Dia Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched
Bed/Trench Center • Bed/Trench Edges Topsoil I Yes ❑ No -Ayes No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 71)IAIII-7 Inspection #2:
Location: 1647 86TH AVE C aJ ate, ~ js-L
1.) Alt BM Description = L
2.) Bldg sewer length= ;z-4 - amount of cover = g (1
Plan revision Required? ❑ Yes No -a/
Ise other side for additional information. / 1 - -J
Date Insepctor's Si ture Cert. No.
6710 (R.3/97) 11
5v -c)7 _.._O cour~5t~
1 Safety and Buildings Division
O T11 t' 201 W. Washington Ave., P.O. Box 7162 Sani
f tar}' Permit Number (to a filled in b}' Co.)
Madison, WI 53707-7162
ix COUNW
Sanitary Permit 1 A,„.1. State Transaction Number
t
In accordance with SPS 383 .21(2), Wis. Adm. Code, submissii Zr is required prior to obtain* a sanitary permit Note: ApplicaY r v w i are submitted to Proje f
Address (if different than mailing address)
the Department of Safety and Professional Servies. Personal information you provide may be used for secondary
REposes in accordance with the Priv Law, s. 15.04{1) m), Slats.
L Application Information - Pl a Prin I I.-forma ' n
Property Owner's Name L. I Parcel # % 6 i
Property Owners ailing Address
~ ~ Property Location ~ 0. ~ . ^7 oC j
(Govt of
Crry' State
Zlp Code Phone Number Z~7
Section
II. Type of Building (check all that apply) Lot # T N, R or W
❑ 1 or 2 Family Dwelling-Number of Bedrooms t Su sion Name
Block # ~ ~
ok
El Public/Commercial -Describe Use
❑ City of
❑ State Owned - Describe Used CSM Number ❑ Village of
75 wn of
ill. Type of Permit: (Check only one box on line A. Complete line B if applicable) 2
A.
ystem ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain)
B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued /
Before Expiration onn
I
IV. T of POWTS System/Com onentlDevice: Check all that apply) ❑Nnn-Pressurized In-Ground ❑ Pressurized )n-Ground ❑ At Grade Mound 24 in. of suitable soil ❑ Mound
< 24 in. of suitable s
❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain)
V. Dis rsal/Trea ent Area Information:
Design Flow (gpd) Design SoiT Application Dispersal Area Requir ( tp Dispe sal Area Pro ~c System Elevation
Ali ~ 0 • ~ e1"~' ~ Ei ~ ~j
VL Tank Info apacity in Total # of Man- a-
Gallon-, Gallons Units
o
New Tanks Existing Tanks I l m o U
U yr I o `C
Septic or Holding Tank
Dosing CUamba
VII. Responsibility S went- i, the undersigned, a in responsibility for installation of the POWTS shown on the attached plans.
Plumber's Name
~ . , ~ (Print) Plumb 's gnature MP/MP Number Business one N
Pi 's Ad Less ty: State, Zip )
unty/De artment Use Only
pproved ❑ Permit Fee Date ued Issuing. Signature
Owner ea", for Denial S & . 40
)x Condi 'axons for Disapproval 7` ,
1. $epttalark, crfl~ne tiftt3 <snii ✓1 r
dispep.--so cull must all be s_t :lc, s ' roi lntg q~
Ga rre c.►Jl~-•f~.~!
js' r, per ggemen! plan pro riasli by N Iwnbe .
2.
- f'! l11~ l F 1$i1Sf:" It E~
M per lppAwhW w6t / adt111U143.
Attach to compiete plans for the system and submit to the County only oa paper not less than 8 i2 z I I inches in size
SBD-6398 (R 11/11)
System PLOT PLAN
PROTECT Mvron Kempen ADDRESS 755 154th St. Roberts Wi 54023
SE 1/4 NW 1/4S 20 /T 29 N/R 17 W TOWN Hammond COUNTY ST. CROIX
SYSTEM ELEVATION 97.0' 3/14/17
BEDROOM 4
DATE
CONVENTIONAL AT-GRADE CONVENTIONAL LIFT HOLDING TANK
MOUND XXX SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE 765
MOLDING TANK SIZE LOAD RATE 1 .0 ABSORPTION AREA 600 # of chambers none
BENCHMARK V.R.P. Top of green stake ASSUME ELEVATION 100' Filter Lifetime Filter
O BOREHOLE O WELL *H.R.P. same as benchmark
86th ave
Scale = 1/4" _
10'
Area 15' below
3 acre lot system is to remain
undisturbed
352' Property Line
2`f Pro 4 Bedroom
9 5 House
96, uffcutt Combo Tank
97' Tank is to be properly
bedded and provided with
lockdown covers with
99, approved warning labels
B-4
B-1
6% Slope Grading is to be done to
divert run-off away from
system
-2 13 B-3 B.M. 554' Property Line
Z_-~'~
`~otisAR7tzE'~TO DIVISION OF INDUSTRY SERVICES
2331 SAN LUIS PL STE 150
v~
GREEN BAY WI 54304-5211
' eli < Contact Through Relay
P / http://dsps.wi.gov/programs/industry-services
www.wisconsin.gov
Scott Walker, Governor
Laura Gutierrez, Secretary
April 04, 2017 c 'F° a
APT OF S.~
CUST ID No. 226900 AT7'N: POWTS Inspector
SHAUN R BIRD ' `o:~IO -
ZONING OFFICE N OF E'~ N`
BIRD PLUMBING INC ST CROIX COUNTY SPIA _
1432 120TH ST 1101 CARMICHAEL RD
NEW RICHMOND WI 54017-6409 HUDSON WI 54016- 7708
CONDITIONAL APPROVAL _
PLAN APPROVAL EXPIRES: 04/04/2019 Identification Numbers
Transaction ID No. 2926720
SITE: Site ID No. 836746
Myron Kempen Please refer to both identification numbers,
1647 86TH Ave above, in all correspondence with the agency.
Town of Hammond
St Croix County
SE 1/4, NWIA, S20, T29N, RI 7W
Subdivision: Hammond Oaks
FOR:
Description: Mound System (4 Bedrooms - New Construction)
Object Type: POWTS Component Manual Regulated Object ID No.: 1699107
Maintenance required; 600 GPD Flow rate; 24 in Soil minimum depth to limiting factor from orieinal grade-
System(s): Mound Component Manual - Ver. 2.0, SBD -10691-P (N.O1/01, R. 10112), Pressure Distribution Component
Manual - Ver. 2.0, SBD-10706-P (N.01/01, R. 10/12); Effluent Filter
'The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes
and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed
and located in accordance with the enclosed approved plans and with any component manual(s) referenced above.
The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code
requirements.
No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06,
stats.
The following conditions shall be met during construction or installation and prior to occupancy or use:
• Preserve dispersal area prior and during construction to avoid disturbance, compaction and use of the site.
• With new construction; it is recommended not to activate the pump in the dose tank until the tanks are pumped
prior to homeowner occupancy.
• Wastewater generated from contractors cleaning of equipment and tools and/or left over construction
products shall not be discharged into the drains discharging to the private onsite wastewater treatment system
(POWTS). Waste generated shall be properly disposed of on-site or off site.
• Any tall grasses, leaves and shrubs shall be cut short and removed prior to tilling the surface for installation to
prevent matting under the dispersal area. All loose organic material to be removed from mound area
• Divert surface water from POWTS Area.
• Prior to construction of the dispersal area check the moisture content of the soil to a depth of 8 inches.
Smearing and compacting of wet soil will result in reducing the infiltration capacity of the soil Proper soil
moisture content can be determined by 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.
kkk
SHAUN R BIRD Page 2 4/4/2017
All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5
• Insulate building sewer beyond 30 feet per SPS 382.30 (11)(c)
• Well setbacks to meet chs. NR 811 & 812
• 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 servicin ad is located.
2. The bottom of the tank is located more than 150 feet horizontal) from where the servicing ad is located.
• Tank Installation to follow all manufacture's recommendations.
• Verify property line(s) prior to installation.
• Pump Floats to be set and verified per approved plan Anv changes may result in pump resiz~eet
TDH and GPM Specifications.
• Areas that are occupied with rock fragments, tree roots, stumps and boulders reduce the amount of soil
available for proper treatment. If no other site is available, trees in the basal area of the mound must be cut off
at ground level. A larger fill area is necessary when any of the above conditions are encountered, to provide
sufficient infiltrative area.
Owner Responsibilities
• The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating
to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and
maintenance manual and/or owner's manual for the POWTS described in this approval SPS 383.54(1).
• In the event this soil absorption system or any of its component parts malfunctions so as to create a health
hazard, the property owner must follow the contingency plan as described in the approved plans.
A copy of the approved plans, specifications and this letter shall be on-site during construction and open to
inspection by authorized representatives of the Department, which may include local inspectors. All permits
required by the state or the local municipality shall be obtained prior to commencement of
construction/installation/operation.
In granting this approval the Division of Industry Services reserves the right to require changes or additions should
conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review
shall relieve the designer of the responsibility for designing a safe building, structure, or component.
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address
on this letterhead.
The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any
others who are responsible for the installation, operation or maintenance of the POWTS.
Sincerely, Fee Required $ 250.00
This Amount Will Be Invoiced.
~m When You Receive That Invoice,
Please Include a Copy With Your
Tim Vander Leest Payment Submittal.
Private Sewage Plan Reviewer, Division of Industry Services WiSMART code: 7633
(920)492-2214, Monday - Friday 6 am To 3:30 pm
tim.vanderleestnwisconsin.gov
SHAUN R BIRD Page 2 4/4/2017
• All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5
• Insulate building sewer beyond 30 feet per SPS 382.30 (11)(c)
• Well setbacks to meet chs. NR 811 & 812
• 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 nad is located
2. The bottom of the tank is located more than 150 feet horizontally from where the servicing pad is located
• Tank Installation to follow all manufacture's recommendations.
• Verify property line(s) prior to installation.
• Pump Floats to be set and verified per approved plan. Any changes may result in pump resizing to meet
TDH and GPM Specifications.
• Areas that are occupied with rock fragments, tree roots, stumps and boulders reduce the amount of soil
available for proper treatment. If no other site is available, trees in the basal area of the mound must be cut off
at ground level. A larger fill area is necessary when any of the above conditions are encountered, to provide
sufficient infiltrative area.
Owner Responsibilities
• The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating
to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and
maintenance manual and/or owner's manual for the POWTS described in this approval SPS 383.54(1).
• In the event this soil absorption system or any of its component parts malfunctions so as to create a health
hazard, the property owner must follow the contingency plan as described in the approved plans.
A copy of the approved plans, specifications and this letter shall be on-site during construction and open to
inspection by authorized representatives of the Department, which may include local inspectors. All permits
required by the state or the local municipality shall be obtained prior to commencement of
construction/installation/operation.
In granting this approval the Division of Industry Services reserves the right to require changes or additions should
conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review
shall relieve the designer of the responsibility for designing a safe building, structure, or component.
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address
on this letterhead.
The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any
others who are responsible for the installation, operation or maintenance of the POWTS.
Sincerely, Fee Required $ 250.00
e11117" This Amount Will Be Invoiced.
When You Receive That Invoice,
Tim Vander Leest Please Include a Copy With Your
Payment Submittal.
Private Sewage Plan Reviewer, Division of Industry Services Wyment S code: 1. 7633
(920)492-2214, Monday - Friday 6 am To 3:30 pm
tim.vanderleest@wisconsin.gov
Cover Page
Shaun Bird
Bird Plumbing Inc.
1432 120th St.
New Richmond Wi 54017 -
715-246-4516
Date: 3/14/17
Owner:Myron Kempen
Location: SE1/4 NW1/4 S20 T29 N,R17 W 1647 86th ave Hammond
Manuals Used: Mound Component Manual Version 2.0 (N.01/01, R. 10/12)
Pressure Distribution Manual Version 2.0 (N.01/01 R. 10/12)
Page#
1. Cover Page
2. Mound Plot Plan
3. Mound Cross Section
4. Pipe Cross Section/Pipe Layout
5. Pump Chamber Cross Section
6. Pump Curve
7-8. Maintance and Contigency plan
9. Filter Specifications and cross section
Attachments: Soil Test
Shaun Bird
Signature
License number 22690
Page 1 of 9
NO jSTIPY S P P
System PLOT PLAN
PROJECT Mvron Kempen ADDRESS 755 154th St. Roberts Wi 54023
QE 114 NW 1/4S 20 /T 29 N/R 17 W TOWN Hammond COUNTY ST. CROIX
SYSTEM ELEVATION 97.0' 3/14/17 BEDROOM 4
DATE
CONVENTIONAL AT-GRADE CONVENTIONAL LIFT HOLDING TANK
MOUND XXX SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE 765
HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 600 # of chambers none
® BENCHMARK V.R.P. Top of green stake ASSUME ELEVATION 100' Filter Lifetime Filter
(
I_J BOREHOLE O WELL IH.R.P. same as benchmark
86th ave
Scale = 1/4" = 10'
Area 15' below
\1 3 acre lot system is to remain
undisturbed
352' Property Line
Pro 4 Bedroom
House
95'
96 Huffcutt Combo Tank
97' Tank is to be properly
bedded and provided with
lockdown covers with
99, approved warning labels
B-4
B-1
6% Slope Grading is to be done to
divert run-off away from
system
B-2 ~
B-3 B.M. 554' Property Line
Z- D
Mound System Cross Section and Plan View
f
Dimension Feet
1777 777
J
A A
1 _
B
1
~J
iK•1•Y1•YYi•ti:ti.ti.ti.ti.ti:ti:ti:1.1.L.•a:1.L•Y1:\.L=1:1. D
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A 1,_, 1K•1KK• 1~ Y 1rL.1•L•1.1•SJL 1 J J:J:1:1:i: l.!• J ! f J,
?•fY• 1•Y1• J•••j1! f1• L~LK•LK• f•J•J•!.!a
L•i•1?Y1 i1?iYK•^L?'r• L 1•L•L•1•L-1rL• 1.1.1?L.L.1.1-L- i. J.l.lY
?:r{iy?' •f.f.f.l:'i. •?:?i?`l.J..f.Jtiftir1 {?4='ti?S.{. 1• f
l.Ji rLfti•1K•Yf J t ti•1.1?1?1.1•i•1•S•i•1.1.1•YL•Y 1.1.1. 1 E
:l:r _
f.l.f.rtiw' 1. 1.1.Y1.1.1K:T?ti.ti.~eti': r
f•f JYYY.l. 1?L•1 1.1 1.5.111 ?1?i?1?1?1?5?111111 r Jy?~? f fY.f.
4c f~r~fY,f:IiA-1-Y1.1•Y1.1?5?S?i?1•~1?i?1Jti?\ 1r~?11r.r.f.J.r. 1?1?1.1j • r
f.J.f. iq~' L • i.1 1.1 : '.:1
Y•f•J.J•J•J•J.J•J•J------
~ff~r•J~J~l~lLryJJ~ftl111f1%+ifyf1r•t~t~f~f~fL•f:1:r
~v'
i F
1
Z 1 G
H
1 -
I -
i
I
1
a~-
J
1
t.
K
3
7 7
L ~f
B 1
Z
L Slo e %
a =Tops 'I
o= A$TM C-33 =Clean aggregate = 4 in. sch. 40 pvc
J•r• .
Cap Material LLLJ sand fill '?Y1?L O
1/2 to 2 % in. dia. observation pipe
Geotextile G H
Fabric
J•f1f ~f1l1ltr`JSl1fyf•
. . J •
.:r 1fi i 1fL r F _.L
D
Ft Contour Plowed Surface
Slope Direction
GENERAL INSTALLATION: The mound area is staked out along the design contour. Existing
vegetation is mowed and raked off the site. The mound basal area (L x W) is plowed with a moldboard or
chisel plow. Plowing may not proceed if the soil is wet enough at the plow depth to form a 1/4 inch soil wire
when a sample is rolled between the palms of the hands. ASTM C-33 quality sand is placed immediately
after plowing. Sand is placed with a tracked machine keeping 12 or more inches of sand under the tracks or
is placed overhead by a backhoe. Special care must be used when placing sand of less than one foot
thickness to minimize compaction of the plowed surface. After the topsoil cap is placed, the entire mound
is seeded and mulched to promote vegetative growth, limit erosion and protect from freezing. The
observation pipes are slotted in the lower 6 inches and secured in place with rebar or a closet flange.
10/07lgj Page of~
Pressure Lateral Layout
Two Laterals - End Manifold
4 Threaded
Cleanout
Lateral Turn-up Plug
Manifold
M
X
L Long
Force Main > Sweep
90
Bend
f
Distribution Ne ork Specifications Pressure System Construction
Lateral Diameter y In.
Manifold Diameter In. Laterals are constructed of Schedule 40 PVC
Orifice Diameter $r3 Z, In. pipe. Orifices are drilled perpendicular to
X Orifice Spacing) - y In. the pipe with a sharp drill bit and face down.
L (Lateral Length) Ft. Lateral turn-ups terminate with a threaded
M Manifold Length) Ft. ceanout plug and are enclosed in a 6-8 inch
Force Main Diameter In. diameter lawn sprinkler valve box accessible
Force Main Length 0 Ft. from finished grade.
Grade
6-8 Inch Lawn
Sprinkler Valve
Box
Page of
03105 lgj
Septic-Dose 'dank Cross Section And Pump Performance Specifications
Tank Manufacturer Pump Manufacttuer
Tank Model Number ? ~-b Pump Model Number J L
Total Tank Capacity Alarm Mauufacbu~' ~ eLANr
C,
May
. Bury DeP ~l Alarm Model Number ✓
Switch'I~pe ~I~G
Filter Manufacturer Total Dynamic Head (TDH) - Feet
Filter Model Number j Elevation Head
Distal Pressw a
Network Loss
Minimum Pump Performance Required Force Main Loss
GPM Ft TDH Total
Outlet Manhole MUM r Above Grade With
Locking DeWioe. inlet Manhole Manhole Min. Above Grade
< 6" Below Grade Sealed Watertiaht Securely Mounted ' hocking vice
Wester proof
Junction Box
o - - - Fitxished Grade - - - . .
t`
Vent Min. 12" Disconnect
Above Grade Means
With Vent Cap
i>
Outlet Filter
inlet 4..-_. inlet Baffle
•
A
Switch Set*p and Reserve Capacity
Weep
Tank Volume GPI
Hole
Dimension; Inches Volume Gal. B
' (reserve) A .S
(alarm) B : 2 . Off Elevation C
g 7t Ft
(use) c t 's ► Bottom
D Eleon
(dead) D
-X 3a
Ft
Total ; ~ : <
>t> > > > 1 > > Y > > >•Y > Y Yt>tY) >t> > 1 f a . •:>:l <•i .>t> >t><>• a>t•<>< ~>t>~ ~ s ~ ~•t• i>a>{>t>t>< t <>l t>a
a < a a < < < a < { t t a < , < < < t a t i < t a a t < < { a <•<>i ti it>a
< ''IO
bedded and back fined in accordance with the
t tank is
dose
GENERAL IINSTALLA N. 'The,
Maximum th of b as specified by tire manufacturer may not
.
manufacturers t.90proval specifications P m5'
be exceeded with~ou Odor approval. Manhole covers exposed to gcado have an etoctive locking device (padlock}
installed. Piping at the inlet and outlet is of approved material, connected to the tank with watet ijOA fittings, and
wdh 4" Scha 40 PVC to bridge the tank
is sleeved
laid on stable soil to prevent suing or W90* The €oree main
excavation and the.sleeve-is sealed watertight. Electncal.semce complies withNEC300 and comm 16.23.
Page of
42/0 IJ
t
TOTAL DYNAMIC HEAD/CAPACITY
HEAD CAPACITY CURVE PER MINUTE
EFFLUENT AND DEWATERING
CIOd MODEL 152/153
ol- ILA, MODEL i 152 153
50
Feel ; Meters GoL I Liters i Col. Liters
5 1.5 69 251 77 291
!2- 40 2 10 3. i 61 23170 265
15 4.6 53 201 61 231
30 20 -1 6.1 44 167 I 52 197
8 25 7.6 34 129 42 159
30 9.1 I 23 87 33 125
3
20 5 0. - - 22 55
40 T 12.2 1 1 11 42
i i
I 10
4-1 Lock Voive: 133.0 "-L (1 1.6.,)144.O Ft. (114,n)
014506
D I
20 0 50 8,0 100
GALLONS
LITERS 1 e 1
0 80 160 240 320 /4
- 3 27/32-1 -~---"1_4 5/8-
FLOW PER MINUTE 1
i
CONSULT FACTORY FOR SPECIAL APPLICATIONS 2/32
limed dosing panels available. O 3 27/32
Electrical alternators, for duplex systems, are available and supplied with I T
an alarm. I -r-
Variable level control switches are available for controlling single phase
systems.
Double piggyback variable level float switches are available for variable
level long and short cycle controls. III
Sealed Wk-Box available for outdoor installations. See FM1420. ~
Dver 130°F. (54°C.) special quotation required. 1 f l
152J153 Series 2 tIR l`
1521153 YODELS Control Selection Ell
triode! votts•P11 mode Ami)s Sim ex Duplex 1152 115 1 Non 8.5 1 2.r 3 I 5 1 /5
-r
aN152 115 1 Auto 8.5 Included 2 or3 s1¢os4
E 552 230 1 Non 4.3 1 2 or 3
BE152 230 Auto 4.3 Included 2 or 3
N153 115 1 Non 10.5 1 2 or 3
BN153 115 1 Auto 10.5 Inclined 2o,3 SELECTION GUIDE
[E153 230 1 Non 5.3 t 2 or 3 1. Single back variable level float switch or double back variable Level float
SE153 230 1 Auto 5.3 Included 2 or 3 Pi99Y Pg9Y
switch. Refer to FM0477.
o cAU noN 2. See FM0712 for correct model of Electrical Alternator E-Pak.
Alt 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, spec4 duplex {3'
licensed electrician. Al electrical and safety codes should be followed including the most
recent National Elect is Code (NEC) andthe 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 70: P.O. BOX 16347
Louisville, KY 40256-0347 Manufactu,rersof, .
Lf`/a SNIP 70: 3649 Cane Run Road ~ pqp
Louisville. KY 40211-1961 ,Q1I4L/Ty/'OMp3 ~//aCE ~iJJvJ a
d ~VMP !O. I~2J 778-2731 - 1 (600) FAX(502)774-3624 PUMP
hitpJ/www.zoeUer.com
0 Copyright 2000 Zoeller Co. All rights reserved.
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POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page__of
FILEINFORMATION SYSTEM SPECIFICATIONS
owner
( Septic Tank Capacity S al ❑ NA
Pemtit Ir` Septic Tank Manufacturer ❑
DESIGN PARAMETERS Effluent Filter Manufacturer 0 NA
Number of Bedrooms ❑ NA Effluent Filter Model ❑ PTA
Number of Commercial Units Pump Tank Capacity al NA
Estimated fk>tnr (average) al/da Pump Tank Manufacturer
Design flow (peak), (Estimated x 1.5)
ayd . Pump Manufacturer ❑ NA
Soil Application Rate , gal/dayffe Pump Model Z. ❑ NA
Influent/Effluent Quality Monthly average' Pretreatment Unit
Fats, Oil & Grease (FOG) S30 mgAL ❑ Sand/Gravel Filter ❑ Peat Filter
Biocttemlcal Oxygen Demand (BODE :5220 mgt ❑ Mechanical Aeration ❑ Welland
Total Suspended Solids (TSS) 5150 m /L ❑ Disinfection ❑ Other.
Manufacturer
Pretreated Effluent Quality 3W Monthly average" Dispersal Cell(s)
Biochemical Oxygen Demand (BOD,) 530 mg/L ❑ In-ground (gravity) ❑ In-ground (pressurized)
Total Suspended Solids (TSS) 530 mg/L ❑ At-grade _P410und
E Fecal Coliform (geometric mean) 510' cfu/100ml ❑ Driine ❑ Other.
Ma~dmum Effluent Particle Size Y. inch diameter • Values typical for domestic (non-c«rvnerciaq wastewater and
septic tank effluent.
Values typical for pretreated wastewater.
MAINTENANCE SCHEDULE
Service Event Service Frequency
Inspect condition of tank(s) At least once every ❑ months ear(s) (Maximum 3 yrs.)
Pump out contents of tank(s) When combined sludge and scum equals one-third (Y,) of tank volume
r Inspect dispersal cell(s) At least once every ❑ months or(s) (Maximum 3 yrs.)
Clean effluent fitter At least once every ❑ months year(s)
Inspect pump, pump controls & alarm At least once every ❑ months ear(s) ❑ NA
Flush latbrals and pressure test At least once every ❑ months ear(s) NA
e
Other At least once every ❑ months ❑ year(s) NA
Other At least once every ❑ months ❑ year(s) NA
MAINTENANCE INSTRUCTIONS
Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following li nses or
certifications: Master Plumber, Master Plumber Restricted Sewer; POWTS Inspector, POWTS Maintainer, Septage
SerVkhV Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken
hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up
or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels
in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the
ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority.
When the combined accumulation of sludge and scum in any tank equals one-third (Y,) or more of the tank volume, the
entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with ch. NR
113, Wisconsin Administrative Code.
The servicing of effluent filters, m nical or pressurized POWTS components, pretreattment components-, and any
other maintenance or monitoring at irltervals of 12 months or less shall be performed by a certified POWTS Maintainer-
A servigg report shall be provided to the local regulatory authority within 10 days of completion of any service event
START UP AND OPERATION
For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other
chemicals that may impede the treatment process and/or damage the dispersal cell(s)- If high concebtrations are
detected have the contents of the tank(s) removed by a septage servicing operator prior to use.
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START UP AND OPERATION
For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals thElt
may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of thO
tank(s) removed by a septage servicing operator prior to use.
System start up shall not occur when soil conditions are frozen at the infiltrative surface.
During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will b;e
discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent.
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 within
15 feet down slope of any mound or at-grade soil absorption area.
Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the fife of the POWT :
antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental foss; 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 propety
and safely 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 property 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 fined 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 compliipnt
replacement system:
❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption systeim.
The replacement area should be protected from disturbance and compaction and should not be infringed upon by requirled
setbacks from existing and proposed structure, tot lines and wells. Failure to protect the rep acement area will result in the neled
for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rulel in
effect at that time.
17 A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technologN a
holding tank may be Installed as a last resort to replace the failed POWTS.
The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation
must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installedl as
a fast resort to replace the failed POWTS.
(Wound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative
urface. Reconstructions of such systems must comply with the rules in effect at that time.
r<WARNING>>
SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO MOT
ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE 01 A
PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE.
ADDITIONAL COMMENTS
POWTS INSTALLER POWTS MAINTAINER
s Name
Name
Phoree
?j J ' -C Phone L///lj
SEPTAGE SERVICING OPERATOR (DUMPER) LOCAL REGULATORY AUTHORITY
Name Name 1 B r
Phone 7/ j - pZ -5 Phone
This docuntentwas drafted in compliance with chapter SPS 383.22(2)(b)(1)(d)&(f) and 383.54(1), (2) & (3), Wisconsin Adrninis~ Code.
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ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE.AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer L
r
Mailing Address
Property Addret , t ;
(Verification required from Planning !&Zonin epartinent for new construction.)
City/State Parcel Identification Number
LEGAL DESCRIPTION
Properly Location %4 7
, Sec. , T N RIl W, To of ce Al
id`r!i✓~
Subdivision
Lot #
IL
Certified Survey Map # Vc plume , Page
Warranty Deed # Volume - , Page #
Spec house yes Ono Lot line., identifabl yes no
SYSTEM MAIN'T'ENANCE AND OWNER CERTIFICATION
Improper use and maintenance of your septic system could result in its premature faihue to handle wastes. Proper
maintenance consists ofpurnping out the septic tank every three years or sooner, ii= needed, by a licensed pumper. What you put into
the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance
responsibilities are specified in §Comm 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance.
The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the
owner and by a master plumber, journeyman plumber., restricted plumber or a licensed pumper verifying that (1) the on-site
wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is
less than 1/3 full of sludge.
I/we, the uadersigimd have read the above requirements and agree to maintain the private sewage disposal system with the
standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin.
Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning &
Zoning Department within 30 days of the three year expiration date.
I/we certify that all statements on this form are true to the best of my/our knowledge. Uwe am/are the owner(s) of the
property described above, by virtue of a wa; 60 deed recorded in Register of Deeds Office.
Number bedrooms V/
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SIGNA OF APPL CANT(S) DATE
***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department.
Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if
reference is made in the warranty deed.
(REV. 08/05
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LOT 81
1.99 Acres
6486 sq.' ft
LOT 80 B
-2.95 Acres N
128412 sq. ft W
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92' 554.37'
1312.25
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