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HomeMy WebLinkAbout040-1303-00-061 . Croix ,)nsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St qty and Building Division Sanitary Permit No: INSPECTION REPORT 592300 r ENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: 2936115 ersonal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)] City Village Township Parcel Tax No: ermit Holders Name: 040-1303-00-061 TOWN OF TROY OEVERING HOMES LLC . CST BM Elev: Insp. BM Elev: BM Description: Section[Town/Range/Map No: G 22.28.19.1796 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt. BM ~f Aeration Bldg. Sewer Holding SUHt Inlet St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt Bottom Dosing Header/Man. Aeration Dist. Pipe Holding Bot. System Final Grade PUMP/SIPHON INFORMATION Manufacturer Demand St Cover GPM Model Number S. 9~• aw ~ TDH 11-ift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM CHAMBER OR Manufacturer: INFORMATION Type Of System: UNIT Model Number: DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length 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 ] Yes E] No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: '7 7 Inspection #2: J Location: 213 WALNUT HILL WAY 4 d . {L) . 1.) Alt BM Description = P/ O t.v 40 r c- 2.) Bldg sewer length = - amount of cover = All 14 ~ +~tiJ~ /Vlm~t. v`~ St1 n Plan revision Required? ❑ Yes ] No Use other side for additional information. pate J1 Insepctors Signature Cert. No. SBD-6710 (R.3/97) County ) 21 s}° Safety and Buildings Division 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.) K Madison, Wl 53707-7162 g O k 2 3 rj~ ~ f JT9X9XDGDT4XC State Transaction Number SQ unit In accordance with SP , , is required prior to o i t Note: Application forms for state-owned POWTS are submitted to Project Address (if different than mailing s) the Department o an Professional Servies. Personal information you provide may used for secondary urposes in accordance with the Privacy Law, s. 15. 1 m , Stars. _ / ~f` ~1 t L A lication Information - Please Print All Information Parcel # Property Owner's Name - ` f Property Owner's Mailin Ad Property Location Q f h 0 I f , lJ +k~ r r^,t> -j-'_-1 ~`t c? Govt Lot C Stare i Zip Code Phone Number Section v` f le on ~J , /nz f.. C . TN> R E II. ype of Building (check all that apply) LO Subdivision Name _or 2 Family Dwelling-Number of Bedrooms OK dD B /v j ❑ PubliclCommercial - Describe Use -t ❑ City of CSM Number ❑ Village of ❑ State Owned - Descri~e Use ~ Town of 'K k S7 0a III. T of Permit: (Check only one boa online A. Complete li le B if applicable) A. System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) List Previous Permit Number and Date Issued ❑ Permit Transfer to New I / B. ❑ Permit Renewal Revision ❑ Change of Plumber Before Expiration Owner IV. Type. of POWTS S stem/Com onent/Device: Check all that a 1 ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade and > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ er Dispersal Component (explain) Pretreannent Device (explain) V. Dis rsalfTrea ent Area Informati Dersi Flow (erpd) Deist'ga Soil Applic on dsf) Dispersal Area Requir sf) Dispersal Propo (sf) System Elevation j 1L ! I 7,J I f VL Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units U o y a`> v, New Tanks Foisting Tanks 1 M; Septic or Holding Tank Dosing Chamber rr VII. Responsibility State t- L the undersigned, responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print PI's gnature MP/MFRS Number Business Phone Number ,_>/k" IX Plumber's Address Street, City: State, Zip Co /0 VIII. Connty/De artment Use Oniv Permit Fee Date sued Issuing. t Signature pproved S Given Reason for Denial 0 7 (o t~ ' approval r n Ix Cond oqg 'p C $t <.Yill° Itlff@oT re y ~ j,., ~ 1~► O~/~ ►~"`'~I u seer s+i cell must all be _icps ! r ite,; e 3' t` r as per r: ar:3gement plan pit, ncerl by plumbe : 'w_6 / ' ~a,1 ✓IA.✓~t~.< 2. All setback regLjt-.mer,-- M1r;t X- rtt'iced r A.JL 4,),A!^- ax per applict-ibli vader crd u~~ri ' . "1 1 OI+~~ SBB-6398 (1L 1 1/11) Attach to complete plans for the sysiem and submit Co Ij.C/V G~TC-~i~" only per not less than A8 I2 z 11 i es in si e a _ 1 J V1441. t System PLOT PLAN PROJECT Oeverina Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017 SE 1/4 SE 1/4s 22 /T 28 N/R 19 W TOWN Troy COUNTY ST. CROIX SYSTEM ELEVATION 97.3' DATE 6/4/17 BEDROOM 3 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 steel fence post ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark Tank is to be properly bedded and provided with lockdown covers Walnut Hill Way with approved warning labels Well is to meet all WDNR setbacks Grading is to be done to divert 286' Property Line run-off away from system Pro 3 Bedroom House B-2 -1 97' 317' Property Line 96.3 Huffcutt 1 Acre Lot Combo Tank ' B.M.* B-3 93' Scale = 1/4" = 10' 9% Slope Area 15' below system is to remain undisturbed 160' Property Line o x7.ti1~~ DIVISION OF INDUSTRY SERVICES 2331 SAN LUIS PL STE 150 GREEN BAY WI 54304-5211 r j D Contact Through Relay -services http://dsps.wi.gov/programs/industry www.wisconsin.gov , Scott Walker, Governor Laura Gutierrez, Secretary June 27, 2017 ,JPRO ED CUST ID No. 226900 ATTN: POWTS Inspector 7 SAFETY DN!, L SE ZONING OFFICE L SHAUN R BIRD ST CROIX COUNTY SPIA 1432 120TH ST 1101 CARMICHAEL RD NEW RICHMOND WI 54017-6409 HUDSON WI 54016-7708 CONDITIONAL APPROVAL r PLAN APPROVAL EXPIRES: 06/27/2019 Identification Numbers Transaction ID No. 2961024 SITE: Site ID No. 837369 Oeverina Homes Please refer to both identification numbers, 213 Walnut Hillway above, in all correspondence with the agency. Town of Troy St Croix County SE1/4, SETA, S22, T28N, R19W FOR: Description: Mound System Q Bedrooms - New Construction)- Revised Site and Soil Test Object Type: POWTS Component Manual Regulated Object ID No.: 1702683 Revision; Maintenance required; 450 GPD Flow rate; 28 in Soil minimum depth to limiting factor from original rg ade; 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 Cedes 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, SHAUN R BIRD Page 2 6/27/2017 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 manufactures recommendations. • SPS 383.54(l)(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 servicinipad 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. SHAUN R BfRD Pan 2 6/27/2017 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 Anv chances may result in pump resizin2 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. SHAUN R BIRD Page 3 6/27/2017 Sincerely, Fee Required $ 85.00 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.vanderleesta wisconsin.-ov Cover Page P ECEIVED JUN 2017 'JO;' -FRY SERVICE Shaun Bird Bird Plumbing Inc. 1432 120th St. ✓ New Richmond Wi 54017 715-246-4516 C Date: 6/4/17 Owner:Oevering Homes Location: SE1/4 SE1/4 S22 T28 N,R19W 213 Walnut Hill Way Troy 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 Specificati sand cross section Attachments: Soil st Shaun Bird Signature License numb r 226900 Page 1 of 9 System PLOT PLAN PROJECT Oeverina Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017 SE 1/4 SE 1/4S 22 /T 28 N/R 19 W TOWN Troy COUNTY ST. CROIX SYSTEM ELEVATION 97.3' DATE 6/4/17 BEDROOM 3 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 steel fence post ASSUME ELEVATION 100° Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark Tank is to be properly bedded and provided with lockdown covers Walnut Hill Way with approved warning labels y~► Well is to meet all WDNR setbacks Grading is to be done to divert 286' Property Line run-off away from system Pro 3 Bedroom House B-2 B-1 97' 317' Property Line 96.3' Huffcutt 1 Acre Lot Combo Tank 95' V B.M.* B-3 93' Scale = 1/4" = 10' 9% Slope Area 15' below system is to remain undisturbed 160' Property Line r Mound System Cross Section and Plan View - - Dimension Feet A J I - B 7 1 t 1 1 D 1 L T :;::rtiftirti;yrr~ry ;r1r.f.;:fr{:ti:`•%~? a 1 1 1 1 E '{{~~~Y'~~..}}[[.. iylt~fiJifyrylitiriiLf~r~l~l~Jyl~!~r:if:l1f:l:f:l:l:f~f~f:liJ:d:r~\}~~(.' ~/JI A r 'rirLr1111i~'~•f• : .f.f.f.f.f.f•T•f~fyflfl?lryfyf .f:j~:~~l~J:~'~J1fyr f4%~f~l~f~l•f•f•f•f•f•fY•. •f•f •f•f •f•f•f •f•J•f •f•f•f•f% I F W i G 1 I H 7 L I I 3 . J S r ` L W K- 7 B Z L Slope % 1 = Topsoil = ASTM C-33 Clean aggregate = 4 in. sch. 40 pvc L -.j Cap Material sand fill 1/2 to 2 %2 in. dia. observation pipe Geotextile G H Fabric rr ~r1ryryrylyrLr1r:... F ~yyy 1 1 1 3 LL f f1:til 1 / l 1t D E 7 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 seF4ired in place with rebar or a closet flange. ~z 10/07lgj Page of Pressure Lateral Layout Two Laterals - End Manifold 4 Threaded Cleanout Lateral Turn-up ► Plug Manifold M X L Long Force MainI Sweep 90 91 1 Bend r L r 't J.. r C Distribution Network S ecifications Pressure System Construction Lateral Diameter `I In. Manifold Diameter L_~ In. Laterals are constructed of Schedule 40 PVC Orifice Diameter 7 In. pipe. Orifices are drilled perpendicular to X Orifice Spacing) r 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) 4-~ Ft. cleanout plug and are enclosed in a 6-8 inch Force Main Diameter In. diameter lawn sprinkler valve box accessible v Force Main Len th Ft. from finished grade. Grade 6-8 Inch Lawn Sprinkler Valve Box f Page o 03/0519) r i Septic-Dose 'dank. Cross Section And Plump Performance Specifications Tank Manufacturer Pump Manufacturer fur' Tank Model Number Pump Model Number Total Tank Capacity Alarm Manufacturer e c,Q Max. Bury Depth Alarm Model Number t,~ v Switch Type Filter Manufacturer Total Dynamic Head (TDH) - Feet Filter Model Number j Elevation Head Distal Pressure . Network Loss ' Minimum Pump Performance Required Force Main. Loss GPM1 Ft TDH Total . Outlet Manhole Min. 4" Above Grade With Manhole Min. 4" Above Grade Locking Device. Inlet Manhole With Locking Device < 6" Below Garde Sealed Watertight Securely Mounted Weather-proof Junction Box Finished Grade - - _ Vent Min. 12" Disconnect Above Grade Means With Vent Cap Outlet Filter Inlet Baffle ' • - Inlet B A. y4» Switch Settings and Reserve Capacity • Weep Tank Volume GPI : B Dimension: Inches Volume Gal. (reserve) s- 3 (alarm) B 2 3 Hole Off Elevation C Ft < Bottom (dose) C , 5 7~ ;r:• D ' 3 D Elevation Ft Total A*------ < < { < < a < a < < < < < < a < < < < a a a < i• <>:<•i : a•<>a•a><>: >a it<~ + Y:•~>~ s>a>:: > ):;ra s :a i~~;t 1 t < f ai :s•i )<>~>~i~> ,Y+ :>•>jYa><>a>i><>: <><•a><>a>a><!<>:< <>:< <•t><>:a mwith the GENERAL INSTALLATION: The septic/dose tank is bedded and back flned in b accordance ay not manufacturer's product approval specifications. Maximum depth of buryas spec by manufacturer be exceeded without prior approval- Manhole covers exposed to grade have an effective locking device fittadloand installed. Piping at the inlet and outlet is of approved material, is sleeved with 4 40 pVC to bridge the tank laid on stable soil to prevent settling or sagging. The force excavation and the sleeve, is sealed watertight. Electrical srvicenplies with NEC 30Q and Comm Page of 02/05 Lx TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE HEAD CAPACITY CURVE EFFLUENT AND DEWATERING tr1 MODEL 152/153 MODEL i 152 153 I UJ LO Meters Go!. L Sp r eet Meters Go!. Liters Gol. Liters 5 1.5 1 69 261 77 291 153 10 3, ; I 61 231 70 265 12 40 152 15 4.6 53 1 201 61 231 p 7p -I 61 1 44 107 I 52 197 _ 30 25 i 7.6 34 129 42 i t59 Q-) 8 30 9.1 1 23 87 1 33 125 0 35 { - - 22 85 20 42 40 172 1 I 11 p ~ Lock vaive: X33.0 1 b-n)144-0 Ft. m) 4 - Gi4508 I 10 J 0 100 20 40 60 80 GALLONS ~ LITERS p 80 160 240 320 _ 3 27/32 I ~ ~ I FLOW PER MINUTE 3 27/32 CONSULT FACTORY FOR SPECIAL APPLICATIONS _ `I \ 1 3 27/3z • Timed dosing panels available. Electrical alternators, for duplex systems, are available and supplied with I 1 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 Wk-Box available for outdoor installations. See FM1420. • Over 130°F. (54°C.) special quotation required. 12 1/a 1521153 Series q--r l I I 152!153 MODELS Control Selection 5 1/8 Model lfolts•Ph Mode Am s Sim lex Du lex i N152 115 1 Non 8.5 1 2or 3 SK2064 BN152 115 1 Auto 8.5 Included 2or 3 [ - E152 230 1 Non 4.3 1 2or 3 BE152 230 1 Auto 43 Inclined 2or 3 N153 115 1 Non 10.5 1 2or 3 SELECTION GUIDE BN153 115 1 Auto 10.5 Included 2or 3 variable level float switch or double piggyback variable level float E153 230 1 Non 5.3 1 2 or3 1. Single piggyback BE153 230 1 Auto 5.3 Included 2 or 3 switch. Refer to FM0477. p CAUTION 2. See FM0712 for correct model of Electrical Alternator E-Pak. 3. Variable level control switch 10-0225 used as a control activator, specify duplex (3} All installation of controls, protection devices and wiring should be done by a qualified licensed electrician. An electrical and safety codes should be followed including the most or (4) float system. recent National Electric Code (NEC) and the 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. BOX 16347 Louisville, KY 40256-0347 Manufacturersof.. SHIP TO: 3649 Cane Run Road 71NCE ~.9.~i9 u Louisville, KY 40211-1961 QL(AUTY PUMPS Zo Hw'® 502 778-2731.1(800) 928-PUMP http://Www.zoeller.com FAX (502) 774-3624 © Copyright 2000 Zoeller Co,,'All rights reserved. C'7' POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILEINFORMATION SYSTEM SPECIFICATIONS Owner Septic Tank Capacity al ❑ A Permit # Septic Tank Manufacturer NA DESIGN PARAMETERS Effluent Filter Manufacturer , ' rum ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model i ❑ NA Number of Commercial Units. NA Pump Tank Capacity v al ❑ NA Estimated flow (average) > al/day Pump Tank Manufacturer NA Design flow (peak). (Estimated x 1.5) gal/day Pump Manufacturer NA Soil Application Rate 1.2 al/da /ftz Pump Model ❑ NA Influent/Effluent Quality Monthly average' Pretreatment Unit ;RQNA Fats, Oil & Grease (FOG) S30 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BODS) 420 mg/L ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) s150 m /L ❑ Disinfection ❑ Other. Manufacturer Pretreated Effluent Quality Monthly average" Dispersal Cell(s) Biochemical Oxygen Demand (BODS) 530 mg/L ❑ In-ground (gravity) In-ground (pressurized) round Total Suspended Solids (TSS) S30 mg/L ❑ At-grade Fecal Coliform (geometric mean) s104 cfu/100ml ❑ Dri ine ❑ Other. Maximum Effluent Particle Size Y. inch diameter Values typical for domestic (non-cornmerciaq 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 of tank volume Inspect dispersal cell(s) At least once every ❑ month ~ ar(s) (Maximum 3 yrs.) Clean effluent filter At least once every l ❑ months ear(s) Inspect pump, pump controls & alarm At least once every ~ ❑ months 5-year(s) El NA Flush lat6rals and pressure test At least once every f " ❑ months ear(s) ❑ NA Other: At least once every ❑ months ❑ year(s) ❑ NA 15-0--C 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, 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 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, mechinical or pressurized POWTS components, pretreattment components; and any other maintenance or monitoring at iritervals of 12 months or less shall be performed by a certified POW-T'S 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 concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. - - 9 Page of START UP AND OPERATION e pr hElt For new construction, prior to use of the POWTS check dispersal atmt cell(s). for high concentrations are detected have thercontenlt~s ~oftthO may impede the treatment process and/or damage 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. s. When pow restored During power outages pump tanks may fill above overloading1the cell(s)land may resu tin the ba kup orr surface discharg ao efflulenltt.. discharged the dispersal cell(s) in one large restore normal lev i of ls avoid this is situation have mbr contents of the pump or POWTS Man ainer to remove assistin y maually operating the pm pocontrolsoto restoring effluent pump or contact a Plalu within the pump tank. compact, the area within Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or comps 15 feet down slope of any mound or at-grade soil absorption area. the Reduction or elimination of the following from the wastewater stream may improve the perfo rma a s, d ipreo~ag s fali:eof fiat oOn d WT13: diapers; antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting producils; 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 propel y 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 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 falls and cannot be repaired the following measures have been, or must be taken, to provide a code compliilint replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by requirled 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 ruled in effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technologi/ a ,/bolding 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 evaluai~on 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 place following removal of the biomat at the infiltrative pe, 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 OI A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name's . Name rf/' Phone J Phone ~`i° ~ SEPTAGE SERVICING OPERATOR PER LOCAL REGULATORY AUTHORITY Name % Name ~ f Phone Phone f This document was drafted in compliance with chapter SPS 383.22(2)(b)(1)(d)&(f) and 383.54(1), (2) & (3), Wisconsin Administrative Code. rt. N t_ cl, n P i ; j7! r r' rr~ t i S _ t THI j,l Iiiri~J1 a 4 V O ~ P O L 1 t0 S ~ ri oa ti c N ~ v D D ~ a , ti c C~J y Z ~ 3 Q LLI k ~1 Property Owner _ Parcel ID # Page of 11 Boring FS-1 Boring # E. Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 r 1-7 ~3 L.t 1 .7011 ❑ Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ❑ Boring Boring # Ground surface elev. ft. Depth to limiting factor in. F-1 ❑ Pit Soil Application Rate Horizon ')epth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/l_ ' Effluent #2 = BOD5 < 30 mg& and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SOD-8330 (x.6100) Property Owner - Parcel ID # Page of FS-1 Boring,, El Boring E. pit Ground surface elev. Depth to limiting factor in. Horizon Depth Soil i Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPDM Rate D/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. _ 'Eff#1 •Eff#2 r a Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Horizon if lication Rate Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Horizon 'lepth Dominant Col Redox Description. Texture Structure Consistence Boundary Sal Application Rate in. Munsell Qu. Sz. Cont. Color' Roots GPD/ft Gr. Sz. Sh. 'Eff#1 'Eff#2 'H- ' Effluent #1 = BOD, > 30 < 220 M91L and TSS >30 < 150 mg/L • Effluent #2 = BOD, < 30 mglL and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (8.6/00) r~ Soil Test Plot Plan j Project Name Oevering Homes Shaun Bii Address 1433 Cernohous Ave Suite A New Richmond Wi 54017 CSTM # f Lot 61 Subdivision Walnut Hill Farm Date 6/4/17 SE 1/4 SE 1/4S 22 T 28 N/R19 W Township Troy Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of steel Fence Post System Elevation 97.3' *HRPSame as Benchmark Scale is F = 40' unless otherwise Walnut Hill Way noted 286' Property Line Pro 3 Bedroom House B-2 B-1 317' Property Line 97' 1 Acre Lot 95' ❑ B.M.* B-3 93' 9% Slope 160' Property Line County Safety and Buildings Division = 1 201 W. Washingt ~n Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.) Madison, Wl 53707-7162 E' r~S U State Transaction Number { anitary Permit Application APR cmlt rgy~ 7 a 1 ca 5 383.21(2), Wis. Adm. Code, submissiou of this form to the appropriate °O°emDe ( 1 tin Address (if different than mailing address) prior to obtaining a sanitary permit Note: Application forms for state-owned PO the Department of Safety and Professional Servies. Personal information you provi 1 < ; oses in accordance with the Privacy law, s, let. 1 m), Stats. L A lication Information - Please Print All Informa Parcel it property owner's Name t . L s fi7r,~vi ~ . ' Property Location 61, 17 Property Owner's ling Address City State ` Zip Code Phone Number > Section G j _ irclc o T N; REorW 1 II. Type of Building (check all that apply Lot j J Subdivision Name or 2 Family Dwelling-Number of Bedroo ❑ PubliclCommercial - Describe Use ❑ City of r CSMNum ❑ illa<~of {I ❑ State Owned - Describe Use / Town of t,; 1 111. Type of Permit: (Check only one box on line A. Complete line B if applica ) a w~ A. ❑ Other Modification to Existing System (explain) System ❑ Replacement System Treatment/Holding Tank Repl t Only List Previous Permit Number and Date issued B. ❑ Permit Renewal ❑ Permit Revision ange of Plumb ermit Transfer to New Before Expiration 1. D 1/V C~ W. T of POWTS S stem/Com onentlDevice: C ❑ Non-Pressurised In-Ground ❑ Pressurized In-Ground de ❑ Mound > 24 iii. of suitable soil d < 24 in. of suitable soil ❑ Holding Tank ❑ Otber Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dis rsaiPTrea ent Area Information: s System Elevation i Design Plow (a Design Soil Applicati (gpc f) Dispersal Area Requ" (s Dispersal Area Pro Manufacturer VL Tank Info Capacity in Gallons Units ° Gallons o U C a~ 3 y m c~a New Tanks Existing Tanks :7 1 W o v~ _ C~ ~ U cn v c or Holding, Tank Seen ~ Dosing Chamber L~ VII. Responsibility State nt- 1, the undersigne a responsibility for installation of the POVM shown on the attached plans. Plumber's Name (Print) P J s Signature MP/MPRS Number Business Phone Numb lumber s Address (Street, City, State, Zip Co ' VIII unty/De artment Use Only Issuing . t Signature f Fee D a Ise a Approved ❑ Disapproved Permit Owner Reason for Denial (Te UV DL Condib '994asons for Disapproval 3 ~t ~J 1 Septi- tank, E 91 Itn- and _s. 'r., 'tit ec w 3 V~I~~G i . CA l oe n~ 't3.s crisper as.per „laragemer- c!an ppOided by plumber. 2. M * r wrar ems her r: &M, it i; as per vWkctlb 9 Cod! / a4 mnm. Attach to complete plans for the system and submit to the County only onpaper not less i2 I I inches in , a 4V, i N SBD-6398 (R- 11/11) System PLOT PLAN PROJECT Oeverino Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017 CE 1/4 SE 1/4S 22 /T 28 N/R 19 W TOWN Troy COUNTY ST. CROIX SYSTEM ELEVATION 100.7' 1.2' sand lift! 4/11/17 BEDROOM 3 DATE CONVENTIONAL AT-GRADE CONVENTIONAL LIFT HOLDING TANK MOUND 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. 1/2" steel conduit ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark Walnut Hill Way Old fence Well is to meet all WDNR setbacks l ro d o Property Line Ho Area 15' below system is to remain B-1 undisturbed Huffcutt Combo Tank Grading is to be done to divert run-off away from system Property Line 4% Slope B-2 Scale = 1/4" = 10' 100, 1 acre lot B - 3 Tank is to be properly bedded and 99. provided with lockdown covers Property Line with approved warning labels 99, 98'