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Home My WebLink About020-1481-09-014 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 592299 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 EUGENE & AMY COULTER TOWN OF HUDSON 020-1481-09-014 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: 6-5T' 07.29.19.3065 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark 7.5 ►1Z. /off 5 Dosing Alt. BM g,- .I .O •r ~ t ~ Bldg. Sewer Holding St/Ht Inlet • L /OI_ TANK SETBACK INFORMATION St/Ht outlet TANK TO P/L WELL BLDG. ent Air Intake ROAD Dt Inlet Septic Dt Bottom Dosing 7 Sa / / / Header/Man. 4.71 Aeration Dist. Pipe 4.1 /usel Holding Bot. System 614 la PUMP/SIPHON INFORMATION Final Grade * 7 01 . -7 Manufacturer Demand St Cover • Z , l e- GPM Model Number Ili tSZ 3 CoAnp..., r- l~3• $.a tom TDH Lift _ Friction Loss System He TDH Ft Forcemain Lengthl Dia. Dist. to well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. 01~{enches PIT DI ENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS t SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION Typ y stem: CHAMBER OR y.. UNIT Model Number: 'V 1 DISTRIBUTION SYSTEM AOA- Header/Manifold Distribution ix Hole Siz /I Ix Hole Spacing Vent to Intake / Pipe(s) LDia_ Length Dia Z Spacing X 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 b7 Bed[Trench Edges ` Topsoil ~ Yes E] No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ~7 Inspection #h2: Location: 1054 AUTUMN OAK LN G ~ 1.Q o ~IQ1~ V 1.) Alt BM Description t4 2.) Bldg sewer length = / t+ - amount of cover Plan revision Required? ❑ Yes Y°S"o I ) ? Use other side for additional information. _ r' SBD-6710 (R.3/97) / Date Insepctos gnature Cert. No. County r e~ I Safety and Buildings Division . , t 8 ' - K 201 W. Washington Ave., P.O. Box 7162 S 'tary Permit Number (to be filled in by Co.) P Madison, V4 53707-7162 A %113 ilk yu- r 44 5gZ2 79 of VSanitary Permit Application ransactionNumber ac ~ W is! Aden Code, submission of this form to the app ov e t f t ` l +r [tainutg a sanitary permit Note: Application forms for state-owned aro Project Address (if different than mailing address) theartmwt of Safety and Professional Servies. Personal information you provide may be used for secondary purposes in accordance with the Myacy Law, s. I5.04 I m , Stats. ST Cl~ L4 L Application Information - Please Print All In rmation t64105~1 xa,11104 perty' Owner's Name ,4 az I # ems. /Z Pr rty Owners Mailing Ad fds Property Location Govt_ Lot + Crty, State ' Zip Code Phone Number 1= , Section "'s T~•' N> R~Eo w II. Type of Building (check all that apply) Lo 4rle 1or 2 Family Dwelling -Number of Bedrooms Subdivision, Name j~ QAf loo . CL~if JS j ❑ Public/Commercial - Describe Use j all, ' ❑ City of 4 ❑ State Owmed - Describe Use CSM Number ❑ ViRage of ) Town of Iii. Type of Permit: (Check only one box on line A. Complete line B if applicable) f A' cw System 11 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 Owner i i IV. T e of POWTS S stem/Com onent/Device: Check all that a Q El Non-Pressurized In-Ground 11 Pressurized In-Ground El At-Grade Mound > 24 in. of suitable soil ❑ Mound < 24 in, of suitable soil ❑ Holding Tank ❑ er Dispersal Component (explain) _ ❑ Pretreatment Device (explain) 1 n ~a< V. Dis rsal/Trea ent Area Information: 4, Design /Flow (gpd) Design Soil Applicati dsDispersal Area Req ' (sflz Dispersal Area Qropo, (s System Elevation r., ;s" l'1.1► G' :`e ~'.r.. t- a fir` / ~VL-TTa~nk Info Capacity in Total # of Manufacrtmer Gallons _ Gallons Units ° New Tanks Existing Tanks Septic or Holding Tank * Y r i nosing chamber -7- 2 VII. Responsibility Statement the undersigned, assum nsibility for installation of the PORTS shown on the attached plans. Plumber's Name (Print) Plumber's ato6e MP/MPRS Number Business Phone Number Plumber's Address (S4RC Cny, Sint tZipCod&) f~ oune artment Use Only Permit Fee Da Issu Issuing. t Signature proved Reason for Denis G `f V . ~ 15~ 1 7 ~ DL Condititns I iB approval 3 . ~(bJ tril'i~2f ai cell C1tJ~ a~ be YB R'ICcPS ! [+Sf ~l~'.~"'~ J ' per 7W; nS plan praoided by plwnber. ~er d 2. AN'*etbtAR:K'ral c~enlrs must.,to inainVirf-i axe- G tip-ct~ n per wic" coda I'ad ris;", I. Attach to complete puns for the system and submit w the County only on paper not less than S in- z I1 inches in size SBD-6398 (R 11/11) System PLOT PLAN PROJECT Amv Coulter ADDRESS 484 A Tracev Lane Hudson Wi 54016 NE 1/4 SW 1/4S 7 IT 29 N/R 19 W TOWN Hudson COUNTY ST. CROIX SYSTEM ELEVATION 108' 4/11/17 3 DATE BEDROOM CONVENTIONAL AT-GRADE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1 .0 ABSORPTION AREA 456 # of chambers none BENCHMARK V.R.P. Top of survey iron ASSUME ELEVATION 100° Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark I Scale = 1/4" = 10' oi. Property Line 1 Acre Lot Autumn Oak Lane 106' 1 08' Grading is to be done to divert 104' 1 run-off awa) from system wale Well is to meet all WDNR B-2 Pro 3 setbacks - 3 Bedroom B 10% Huffcutt House Slope Combo Area 15' below Tank system is to remain ` undisturbed B-1 Swale B.M." 326 Property Line 2_0 A x7arF1'r DIVISION OF INDUSTRY SERVICES 2331 SAN LUIS PL STE 150 GREEN BAY WI 54304-5211 S > < Contact Through Relay P http://dsps.wi.gov/programs/industry-services `y;6 www.wisconsin.gov _ Scott Walker, Governor Laura Gutierrez, Secretary April 25, 2017 APPROVE r OF SAFE' OUST ID No. 226900 ATTN: POWTS Inspector f' 'OFE SSIO lAU SHAUN R BIRD ZONING OFFICE BIRD PLUMBING INC ST CROIX COUNTY SPIA 1432 120TH ST 1101 CARMICHAEL RD NEW RICHMOND WI 54017-6409 HUDSON WI 54016-7708L CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/25/2019 Identification Numbers Transaction ID No. 2936111 SITE: Site ID No. 837368 Amy Coulter Please refer to both identification numbers, 1054 Autumn Oak Lane above, in all correspondence with the agency. Town of Hudson St Croix County NE1/4, SWIA, S7, T29N, R19W FOR: Description: Mound System (3 Bedrooms - New Construction) Object Type: POWTS Component Manual Regulated Object ID No.: 1702676 Maintenance required; 450 GPD Flow rate; 26 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Ver. 2.0, SBD -10691-P (N.01/01, R. 10/12), Pressure Distribution Component Manual - Ver. 2.0, SBD-10706-P (N.01/01, R. 10/12); Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s. 145.06, 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 ollingr a soil sample between the hands. If it rolls into a 1/4- inch wire SHAUN R BIRD Page 2 4/25/2017 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. • 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 • Tank Installation to follow all manufacture's recommendations. • 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 pad is located. 2. The bottom of the tank is located more than 150 feet horizontally from where the servicing pad is located. • 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 This Amount Will Be Invoiced. 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.vanderleest@wisconsin.gov SHAUN R BIRD Page 2 4/25/2017 the site is too wet to prepare If it crumbles site preparation can 12roceed If the site is too wet to prepare, do not proceed until it dries. • 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 • Tank Installation to follow all manufacture's recommendations. • 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 pad is located. 2. The bottom of the tank is located more than 150 feet horizontally from where the servicing pad is located. • Verify property line(s) prior to installation. • Pump Floats to be set and verified per approved plan Anv 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 h 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. 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.vanderleest@wisconsin.gov Cover Page RECEIVED Shaun Bird APR 13 2017 Bird Plumbing Inc. INDUSTRY SERVICES 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 4/11/17 Owner:Amy Coulter Location: NE1/4 SW1/4 S7 T29 N,R19 W 1054 Autumn Oak Lane Hudson Manuals Used: Mound Component Manual Version 2.0 (N.01/01, R. 10/12) Gal~ 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 n Shaun Bird Signature r' License number 226900 Page 1 of 9 System PLOT PLAN PROJECT Amv Coulter ADDRESS 484 A Tracev Lane Hudson Wi 54016 NE 1/4 SW 1/4S 7 /T 29 N/R 19 W TOWN Hudson COUNTY ST. CROIX SYSTEM ELEVATION 108' 4/11/17 3 DATE BEDROOM CONVENTIONAL AT-GRADE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1 .0 ABSORPTION AREA 456 # of chambers none BENCHMARK V.R.P. Top of surrey iron ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark Scale = 1/4" = 10' Property Line 1 Acre Lot Autumn Oak Lane 1 06' 108' Grading is to be done to divert 104' run-off away from system wale Well is to meet B-2 all WDNR Pro 3 setbacks B-3 Bedroom 10% Huffcutt House Slope Combo Area 15' below Tank system is to remain undisturbed B-1 Swale B.M." ~ 326' Property Line 2_0 Mound System Cross Section and Plan View Dimension Feet .A A J j 1) B A D D •YYL•YYY 1 1.1K.. Y• KK•1K•L•1.1.1..• K Y1.1.1.1.L•1.1.1•Y1.1.1.1•L•L.L•1.1.1K.LK.1.1K.1.1• •1• •1 r f•hr•r !Y•f•f•~I•f• Y•r•r•hf•r•hr•r•r•!•r•f•r•1V•rY•~•~•~•hrY•rNY4•r•r•1•r•rY•r~ fYY r~Ht1YLK•1K• 1.1 1 1•LK L 1.1.1.1 1 Y1 L YL L L 1.1.11111 K 1 1 LK L 1K 1 Y1 1 1•L•1•ti•L•1 L• ';I A I. r-r• •f•r r hr•r rYY•r•rY•r r•f•r•J•r•JY•hhhf r K r•J•r•h!Y r-r•r•r•rY ' f••Y•1l1 111 L 11.1.1.1.1.1.1.1.1.1 L L•1.1•YY1.1.1•'.•Y 1 1.1.1.1.1K• 1•Yr1111f ~ , f•f•f•J•M•r•hr•r•r•!•rM•hr•JM•r•rM•hf•hrM•f•f•r•r•fy!•f•f•r•r•r• ~ VVV"' KKKKKj+y~~' 1~1+1.1K•1.1.1.1.1.1.1K•1.1•YIKKKKKKKK•YIKKKK•1•YYY1f1f ?75y~ry~,y(~•tiftiKKK•L• -'y 1 ~r1 Yti•1~:1•~tr111YL Y•r•rYY•rYYV•!M•r•r•r•r1J~r1ryf~ltil1fir1Jif•rM•r•f•r•r• J•r+T•JY•r•rY•r•r ~I fY•hfYY•f•h• 1.1.1K•1•Yt•1.1.1•YYL•1.1•• 1.1.1.1.1.1.1•Y1.1.1.1.1.1.1.1.1.1 F ht•r•hr•r•r•r•r•hr•r•r•r•rvhr•hhr•r•hhr•r•r•r•hhr•r.hr•r•hr•r•r•hr•hr•hr•r•r•r W i 1- . l G I H i l a I I . 1 J r i _ I K L ~N - - - - - W K s-~ B Z L Sloe 0% = I ~ Topsoil = ASTM C-33 =Clean aggregate = 4 in. sch. 40 pvc r•r•r• Cap Material sand fill 1/2 to 2 1/2 in. dia. observation pipe Geotextile G H Fabric_ J1J1J ! rtijl 1 1 D E f Ft Contour Plowed Surface Slope Direction ~i 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. 10/071gj Page 0 Perforatea Pipe Detail End View Pertoeo+eC ` ' A Y PVC Pipe KOtes LOCalea on 8altom, eAan v Are Eouotfy Spocea ~9t e ^ S+ a PVC Force Main i' % trlAST "OLL PASXT ve ceneAcC ;Cn PVC Manifold Pipe L4 S~~ Cisfrie?ylon Noe Distribution P+Pe Layout P 1 Ft. R 3 Fj. X Inches Signed: Y Inches Hole Diameter -"/S Inch License Number: Lateral Inch(es) Date: Manifold 2+ Inches.:. Force Main 7, Inches y # Of holes/pipe L Z Invert Elevation of Lateral S' Ft. i Septic-Dose Wank Cross Section And Pump Performance Specifications an Tank Manufacturer Pump Manufacturer 29't Tank Model Number s Pump Model Number j j a ! 2- ToaTk Capaciy+ o,> S Max. Bury Depth Alarm Model Number L_ i/ Switch Type LZLFilter Manufacturer r Total Dynamic Head (MH) - Feet Filter Model Number Elevation Head Distal Pressure 3 - Network Lass G Minimum Pu np 'erformsnce Required Force Main. Loss QrPIv . 3 Ft TDH Total f Outlet Manhole Min. 4" Above Grade With Manhole Min. 4" Above Grade Locking Device. TaW Manhole Securely Mounted With Locking Device < b" Below Grade Sealed Watertight W esth proof Junction Box Fiiushed Grade " - no Vent Min. 12" Disconnect Above Grade Means With Vent Cap y<~ >.~t'<'.'<'< :'<~<tt's'i •i'a'<' 'ai~::a> as<,<.'><i sal i ,ai `,`i ~>`,`>a: >a>a Outlet Filter Wet Bade Inlet A y4„ < Switch Settings and Reserve Capacity > Weep Tank Volume GPI B Hole . volume Galimension Inches D A > (reserve) Off Elevation C (alarm) $ ; 2 0 m Ft Bona (dose) C D Elevation (dead) D Ft > 9 -7 Total ' -r-------- < . a i <'a <'i < + •~i ~><y~ys <i'i .L' i>: i a'a'a a'I. - a a >a><>a><f<> a<><>la'a>s <'a'<>i { <><a<>sia<'i i <anion>t'<',.a'a>I<'aa<a<>t'a>t>i <>s <ai a> > ~`>j<,<, TION: The dOSe.tauk is bedded and beck filled in accordance with the GEC INSTALLA specifications Maximum depth of bury as. specified by the manufacttmr ma n not manufacturer's product.approv have an effective locking device (padlock) be exceeded without prior approval. , Manhole covers exposed connected tank with watertight fittiags, and , to installed- Piping at the inlet. and outlet is of approved material, laid on stable sod to vent seating or saig~ The force amain is with C Sch. 40 PVC to bridge the tank lies with NEC300 and Comm 16.2:8. excavation and the sleeve is sealed watertight. -EIeCUical sesviae comp Page Of tnrr~ te(~ 02105 U ~ TOTAL DYNAMIC HEAD/CAPACITY PER MINUI HEAD CAPACITY CURVE EFFLUENT AND DEWATERING r cn MODEL 152/153 MODEL i 152 153 u I FEleters Ga _ Liters G01. ,Liters 50 I 5 1.5 69 201 77 291 153 10 3.i 1 61 231 70 265 12 40 152 15 4.6 53 201 61 231 0 20 J 6.1 1 44 167 52 197 , _ 25 7.6 34 129 42 I 159 30 Q 8 30 9.1 1 23 87 33 125 z I ;2 85 0 35 Q 20 40 12.2 1 i 11 42 I 0 4 13.4m) I j Lock Voive. 138.0 Fi. f,11.6m1144.0 Ft. ( D145M 10 f 1 I 0 20 40 60 80 100 GALLONS LITERS 0 160 240 320 - 3 27/32 80 ~ I I FLOW PER MINUTE 3 27/32 CONSULT FACTORY FOR SPECIAL APPLICATIONS 1 _ ` QQ 3 27/32 • Timed dosing panels available. I 1 • Electrical alternators, for duplex systems, are available and supplied with , an alarm. • 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. - • Sealed Qwik-Box available for outdoor instaftations. See FM1420. • Over 130°F. (54°C.) special quotation required. 12 1/8 - i 1521153 Series / ' I T Control Seiection ~ /8 152!153 MODELS 5 I Model vorts-Ph mode s Sim ex Du lex N152 115 1 Non 0.5 1 2 or 3 _L SK2064 BN152 115 1 Aura 8.5 Included 2 or 3 E152 230 1 Non 4.3 1 2 or 3 BE152 230 1 Auta 4.3 Inclosed 2 or 3 N153 115 ? Non 10.5 t 2 or 3 SELECTION GUIDE BN753 115 1 Auto 10.5 included 2 or 3 back variable level float E153 230 1 Non 5.3 1 2 or 3 1. Single piggyback variable level float switch or double piggy BE153 230 1 Auto 5.3 Included 2 or 3 switch. Refer to FMO477. , CAU710N 2. See FM0712 for correct model of Electrical Altemator E-Pak. All installation of controls, protection devices and wiring should be done by a qualified 3. Variable level control switch 10-0225 used as a control activator, specify duplex (3) licensed electrician. A9 electrical and safety codes should be followed including the most or (4) float system. recent National Electric Code (NEC) andthe Occupational Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL TO: P.O. 80X 16347 Louisville, KY 40256-0347 Alanukcfwers SHIP T0: 3649 Cane Run Road ~7 `ra ® Louisville, KY 40211-1961 L/TY 1C4WV9 5111CE /8179 (502) 77&-2731 - 1 (800) PUMP http:llwww.zoeller.com fQ" FAX (502) 774--3624 O Copyright 2000 Zoeller Co. All rights reserved. C/o, 019 1 ' POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE)INFORMATION SYSTEM SPECIFICATIONS owner Septic Tank Capacity al ❑ NA Septic Tank Manufacturer ❑ DESIGN PARAMETERS Effluent Filter Manufacturer IJ ❑ NA Number of Bedrooms ❑ NA Effluent Fitter Model ❑ NA Number of Commercial Units NA Pump Tank Capacity 6j 3 v al ❑ NA Estimated flow (average) _:~'47Z'> ayda Pump Tank Manufactur9KA ❑ NA Design flow (peak), (Estimated x 1.5) alld . Pump Manufacturer ❑ NA Soll Application Rate L2 Ud tW Pump Model ❑ NA Influent/Effluent Quality Monthly av'erage' Pretreatment Unit Pf WA Fats, Oil & Grease (FOG) 530 mg/- ❑ Sand/Gravel Filter ❑ Peat Filter sinfectio Aeration 0 Wetland Biochemical Oxygen Demand (BODs) 5220 mg/L ❑ Mecha Total Suspended Solids (TSS) 5150 m /L ❑ n ❑ Other. Manufacturer Pretreated Effluent Quality ')ff~ Monthly average" Dispersal Cell(s) Biochemical Oxygen Demand (BODs) S30 mg/- ❑ In-ground (gravity) ❑,4n-ground (pressurized) Total Suspended Solids (TSS) s30 mg/L ❑ At-grade .Mound Fecal Coliform (geometric mean) s104 cfu/100ml ❑ Dri ine ❑ Other. Maximum Effluent Particle Size Y inch diameter values typical for domestic (non-cornmerclat) 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 -4-year(s) (Maximum 3 yrs.) Pump out contents of tank(s) When combined sludge and scum equals one-third (Y,) of tank volume ~,iar(s) (Maximum 3 yrs.) Inspect dispersal cell(s) At least once every . j ❑ months ye Clean effluent filter At least once every ❑ monthsyear(s) Inspect pump, pump controls & alarm At least once every ~ ❑ monthyear(s) ❑ NA Flush laturals and pressure test At least once every _ j ❑ month year(s) ❑ NA kxt>er At least once every ❑ months ❑ year(s) ❑ NA F13-1t. 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 licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Inspector, POWT'S 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 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 (1S) 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_1ncal or pressurized POWTS components, pretreattment components, and any other maintenance or monitoring at intervals of 12 months or less shall be performed by a certified POWTS Maintainer. A service 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 conod4trations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. Page of START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other dwnlcais 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. in the backup of the s surface excess wastewater f will l During power outages pump tanks may fill above normal highwae creii'velS. When power discharged to the dispersal cell(s) in one large dose, overloading the and may re Operator P nor to restoring power fl tnit. Y a Se to e Servicing To avoid this situation have the contents of the pump tank removed b p 9 to e the controls to restore normal levels effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating pump within the pump tank. Do not drive or park over, or otherwise disturb or compact, Do not drive or park vehicles over the area within s and dispersal cells. tank 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 perfomma e s and ip the life of the foundation POWT•drap~: e antibiotics; baby wipes; cigarette butts; condoms; cottowa; grease; degsherbi; dental fmeat loc scraps; medications; oil; Painting products; (sump pump) water; fruit and vegetable peelings; gasoline; pesticides; sanltary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanentiy taken out of service the following steps shall be taken to insure that the system is properly and safety abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code:. • Ail piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption systelm. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result In the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the ruleti in effect at that time. C] A suitable replacement area is not available due to setback and/or soli limitations. Barring 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 failure of the POWTS a soil and site evaiuatlion must be performed to locate a suitable replacement area. if no replacement area is available a holding tank may be installed) as a last resort to replace the failed POWTS. Mound and at-grade soil absorption systems may be reconstructed in piece following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. <<WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE O~ A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER s k Name S ;1 c,v ~)I~7 / r Name ` S 01- Phone 7 l; - L j /p b Phone 7J - c~ y.S~ rip SEPTAGE SERVICING OPERATOR PUMPER LOCAL REGULATORY AUTHORITY Name Name Phone 8 Phone 7j This document was dratted in compliance with chapter SPS 383.22(2)(b)(%d)&(f) and 383.54(1), (2) & (3), Wisconsin Adminis~ Code, N ta M t o` 1~{j~fi t ~ i Uii ! 1 t i t~~yl~ I. 1'3'tt~ 7 t i i i i i 47 p P f y 10 O a _ o L, E i= P t i i of ~ a ~ i9 N H h 1 D - v S Q ( ` Z co ~ Q U Q LU c^ L4) CD 0 i 1 I- Q clq 45,038 SQ. FT. 1.03 ACRES - ► 04 y_ N85-06'07"W - - 332.87' _ LOT 14 o Q o 44,181 SQ. FT. 0 0 0 1.01 ACRES' i t. yn N o0 {911.2} o I ~ II N87'49'26"W 326.15' ~ LOT 13 U~ C? 44,731 SQ. FT. 'c•► 33' 33' N . ...r.~., Lo I ST. CROIX COUNTY SEPTIC TANK MAINTENANCE ikGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer / Mailing Address f ? ^ 'j" t Property Address (Verification required from Planning & Zoning Department for new construction.) City/State Parcel Identification Number LEGAL DESCRIPTION Property Location 1/a _ 1/a Sec. , T f._ -N R W, Town of f~-~ / Subdivision , Lot # Certified Survey Map # Volume Page # Warranty Deed # 1 d A t k~ , Volume Page # Spec house yes no ~ Lot lines identifiable y no 11f/ SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping 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 wastie 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 fiill of sludge. I/we, the undersigned 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 k.aowledge_ Uwe am/am the owner(s) of the property described above, by virtue of a w76"Y deed recorded in Register of Deeds Office. Number bedroos fr ~ ~ X11 ,1I ATURE OF APPLICANT(S) DA ***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 Gffice and a copy of the certified survey map if reference is made in the warranty deed. 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