HomeMy WebLinkAbout030-2121-80-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
GENERAL INFORMATION (ATTACH TO PERMIT) 592169
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)j. State Plan ID No: 2782253
Permit Holder's Name: City Village Township Parcel Tax No:
McCormack Classic Construction TOWN OF SAINT JOSEPH 030-2121-80-000
CST BM Elev: Insp. BM Elev: BM Description. Section/Town/Range/Map No:
1106-1.0 1M 6iGrT 30.30.19.990
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION S HI FS ELEV.
• o I67. / /a a . /
Septic ` Benchmark
dAl
/600
. *j
Dosing Alt. BM
D a
Bldg. Sewer
Holding q- 9Z.
t Inlet
~O
TANK SETBACK INFORMATION St/Ht Outlet
TANK TO P/ t
WELL BLDG. V it intake ROAD Dt Inlet
Septic ZZ ' Dt Bottom
Dosing d ZZ f Header/Man.
Y s3 /bz. 2.5
Aeration Dist. Pipe
73/6 z, z
Holding Bot. System 8B Al. 3
Final Grade O
PUMP/SIPHON INFORMATION 3 /10 Z
Manufacturer zOe Demand St Cover I GPM 19 - 1/ 15 Model Number /51 7 24 d ' `t5. z
o . 8 /aa .3
TDH Liftt Friction Loss 0, Head TDHI
Forcemain Length Dia Dist. to Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length No. Of,Zrench r IT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth CV i DIMENSIONS, Jj P_
SETBACK SYSTEM TO P/L BLDG f WELL LAKE/STREAM LEACHING Manufacturer:
INFORMATION Type O/~S~tem: /Q 1_7 73 CHAMBER OR
Y'a J UNIT Model Number:
DISTRIBUTION SYST M Lb454.,.
Header/Manifol Distribution T
0 Hole Size x Hole Spacin V Air Int
Pipe(s) 1
Length Dia / - 67 IL ength Dia Spacing '
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only 'W
Depth Over / Depth Over xx Depth of 1XX Seeded/Sodded xx Mulched
Bed/Trench Center 1 Bed/Trench Edges Topsoil , J/~.
`1 '°'S No Yes No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2:
Location: 376 132ND AVE ^ On` / .•TTJ~ /
1.) Alt BM Description ~OJ'«• l ` Pf O i~
2.) Bldg sewer length= -amount of cover = / ;7 1
46 v-.- eL P/4 ('i
Plan revision Required? ❑ Yes <No
L_ 5
Use other side for additional information. .
SBD-6710 (R.3/97) Date Insepct s Signatu Cert. No.
I~ECEIV'EC~
- - et 't , , J
~tirU ?aJ~ 1
OCT J 20 16 ftulustn S C'ou,1;,
QS I #f?0 i 41,~shin tun~ve
$ i' rl E3o~ ~
S ST. CROIX COUNTY 16-2
j Sanltan Pcmit NumbL (ta a: '_i h~- Co.) -
uD1V1MUNITY DEVELOPMENT iuladisOll X153,70i 12
Sanitary Permit Applicat1eq, '~~F p ' tc'I'ratisactu,n ysrnher-
aceordance with SPS 383?1(3), Wis- Adm Code, submission of this ; it n ~j$ ~j~ ~J '3
cyuin l prior to ohtauuag a saaitan permit ,vote. Aophcatial Corms for ua c u„neu [ t t n -
De!lartment of Safety and t rot~seu,na! Service,. Persona! information oral
you Provide p. m Qp O_ie t Address ~l.? dt,;eiem than mad addtessl -
.ores it, accordance with j! 'e Pn,acear, s_ I5U-1{ OEm'} Stays _ 74
_ ~PPhc ttion Information mezse Print ll Information.
3a ,fin
roperty Owners Name - f F - -
tsars. G~c ssie ~aA)SrIZue- rio.~ " L 9 3~IJ4I- w
if ens OWner's Mailing Address - ----_j-------- _
p Propene t o catio ,
State- A r Go, Lot
I Zin C:odc~ - ['hone Number - ~ ~ -
fs, SE Section
_ %PfiitLsa,) 1S 7(.O " I circle on
~ e'.
ti. T'ti•pe of Building check all that apply) N_ EZ~ fit'
,9I or'-- Family Ucscl-it;6 -1`'unihcroi Bedrooms 3
` i Suhdir-ision h ne
t3!oe!
6~ 4D yNE" c 7u44 y
` ❑
Pubhe(Commert,iai Describe Lise
' o t
L StateO3sned/DescribeUyr CS!,1\mnher - E.ir}n~rt
o, r , : , ~Sr ,%asEP,N
III. l jpc of
Permit; {Checfi 01
111 one bos on line .Complete line B it'apptfcxbie} - - -
- -
Vre3r System I L Rep!ar~n3ent System ❑ Treatmentlliolding Tan[; Re lacer Only
I p ❑ Other vlod:iicat,on to FsiStine System (explain)
B. I Permit Renewal C Li Pennit Re; ision. List Pre, loos Permit \utnber and Datc
1s Chanac of 1 lumber Permit Tratas.er to tic, s;uto
Before Expiration 1 Os,mcr
i _
tl 'hype of PO\t'"I_S STstemfC2!! onentfDcrtcc (Check all that ably,) - -
❑ Non-Pressurized In-Ground 0 Pressurized In-(,round 1 At-Grade Mound . it,. et ,mtab!e soil Mound ,n. o, :unsnle sei! - -
-LL I-loldin~ Tank ❑ Other Dispersal Component 7 Pretrwtmcnt D,
ice (explain) _ i•
V. Dis ersalti'reat ent ,_ca Information:
DeSlgn Flow (Upd} ! Design Soil Application a[c(spdsf)
I Dispersal .Area Rec!ttir stl 1 Dis at Area Pr , y;ed ( C _
pers ~ Lon. Go„lTOV4.
VI. Tank In o + /D t cirr~
P Total = Of Nlanulitcturei
Gallons 1 Gallons ( Units
Ke«Tanks ti~isunc'1'auk, f Y - ' J - _ - I ~
1 ~ , l
t f y
t
l
j000
Do t Chatn[>cr . 1 _Gs~frrrs~2 ~O~J C4d !'E
Gad - 400 rt - -
1' I I Responsibility Statement- h the undersigned, assume responsibility for installation or the POD` TS shmi n on the attached plans-
Pltunbers iName {Prnril Plumber` i atuic 4IR Number Bus ness Phone Number -
~I an
-/,0.aE~,eF w ,?3/3yC 17is G72 -S.7[G
'lumber's Address {Street, Cm ;State Iii? Code) - = -
/ Go? 98 SSr_ rrr a?S
Z- Sy C
IJ -
VIII, County/Department Use Oniy J0.
Pcnnii i=cc Date sued Issuing Signlh,
k
! .3;.71 ,Ot De/l.al
r frS. -
f ondit„dfb~r :ti Ceflrm`ustittlltoer{Sappro~a! t Jl~ ~a , asons 'lt
as per management PI um*. VI&AOW Q u,. a , /K4s e..~
2. All setback reuulreme mt; .t at2Gitiid r
as per applicable c0r~ m , 4 ~~e~Yl .
attach to complete plans for dye system and sut,mtt to if., Cnnnt,' ont, on pattern i Joey then s 7r_- x 1 inches in size
Cep :
wee.. ,tom wj urM:
S33I}-6398 (R. 08114)
5 tt`` S a LX
6 paj Ax- 4 r.J.
0
- a
a
V y i
nti ~
M
sus ~t ti
\ ' o try . ~ ` 4u
4
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e NO
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i~kY ART
-~rOX DIVISION OF INDUSTRY SERVICES
2331 SAN LUIS PL STE 150
'i GREEN BAY WI 54304-5211
Contact Through Relay
http //dsps.wi.gov/programs/industry-services
www.wisconsin.gov
?ol
Scott Walker, Governor
Dave Ross, Secretary
CONDIT L
October 06, 2016 APP 7 ,
DEPT OF
CUSTIDNo. 231346 AT"TN: PO WTS Inspector PROFESS10
JOHN HERBERT PELKE DIVl4t t'r's`a:3
ZONING OFFICE
PELKE PLUMBING ST CROIX COUNTY SPIA
N6298 ST HWY 25 110 1 CARMICHAEL, RD
DURAND WI 54736 HUDSON WI 54016-7708
SEE CC-'!
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 10/06/2018 Identification Numbers
Transaction ID No. 2782253
SITE: Site ID No. 829512
McCormack Classic Construction Please refer to both identification numbers,
132ND Ave above, in all correspondence with the agency.
Town of Saint Joseph
St Croix County
NWI/4, SE1/4, S30, T30N, R19W
FOR:
Description: EZ-Flow YVlound (3 Bedrooms - New Construction)
Object Type: POWLS Component Manual Regulated Object ID No.: 1626936
Maintenance required; 450 GPD Flow rate; 24 in Soil minimum depth to limiting factor from original orade;
System(s): EZflow Mound Component Manual, (R. 7/12), 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.OI(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 POWTS dispersal 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,
JOHN HERBERT PELKF Paee 2 10/6/2016
The distribution pipe being inserted into the 4" corrugated pipe located in the EZflow product shall have
one out of every five orifices installed at the 6 o'clock position. The remaining four orifices shall be installed at
the 12 o'clock position. The laterals shall drain fully after every dose.
The lateral turn-up ends shall extend out past the exterior end of the cells at both ends. "The observation pipes
shall be located in between where bundles come together. These requirements must. be followed so that the
aggregate bundles will not be damaged during the installation process
• Divert surface water from POWTS Area.
• All piping shall conform to SPS Table 384.30-3 and SPS Table 38430-5
• Insulate building sewer beyond 30 feet per SPS 38230 (11)(c)
• Tank Installation to follow all manufacture's recommendations.
• Well setbacks to meet chs. NR 811 & 812
• Verify property line(s) prior to installation.
Pump Floats to be set and verified per approvedIrtn. rOnv c la tai<~es may result in pump resizina to
meet TDH and GPNM Specifications.
'This system is to be constructed and located in accordance with the approved plans and with the "Pressure
Distribution Component Manual for Private Onsite Wastewater 'Treatment Systems Version 2.0" SBD-10706-P
(N.01/0 1).
• This system is to be constructed and located in accordance with the approved plans, and the "EZflow Mound
Component Manual " (R.7/12).
• 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 furound level. A laraQr fill area is nccessar,, when any ofthe above COrlditio r!S are encountered, to provide
sufficient infiltrative area.
Owner Responsibilities
• "The current owner, and each subsequent owner, shall receive a copy ofthis 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 POW TS described in this approval SPS
383.54(1).
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.
JOHN HERBERT PELKE Page 2 10/6/2016
• The distribution pipe being inserted into the 4" corrugated pipe located in the EZflow product shall have
one out of every five orifices installed at the 6 o'clock position. The remaining four orifices shall be installed at
the 12 o'clock position. The laterals shall drain fully after every dose.
• The lateral turn-up ends shall extend out past the exterior end of the cells at both ends. The observation pipes
shall be located in between where bundles come together. These requirements must be followed so that the
aggregate bundles will not be damaged during the installation process
• Divert surface water from POWTS Area.
• 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)
• Tank Installation to follow all manufacture's recommendations.
• Well setbacks to meet chs. NR 811 & 812
• Verify property line(s) prior to installation.
• Pump Floats to be set and verified Der approved plan Any changes may result in pump resizing to
meet TDH and GPM Specifications.
• This system is to be constructed and located in accordance with the approved plans and with the "Pressure
Distribution Component Manual for Private Onsite Wastewater Treatment Systems Version 2.0" SBD-10706-P
(N.01/01).
• This system is to be constructed and located in accordance with the approved plans, and the "EZflow Mound
Component Manual " (R.7/12).
• 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 cutoff
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 apps oval SPS
383.54(1).
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
c onstruction/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.
JOHN HERBERT PELKE P, ue 3 10/6/1016
Sincerely, Fee Required $ 250.00
Fee Received 250.00
Gae,~ Balance Due 0.00
Tim Vander L,eest
Private Sewage Plan Reviewer 9 Division of Industry Services WiSMART code: 7633
(920)492-2214 , Monday - Friday 6 am To 3:30 pm
ti~~l.vanderleestu~viscc3nsin,tio~ ~I
ln~ anhd- e '`age
()ed Name= / riQ.YA c rc C~~ A.ssrc ~a n+~ r~u c rso,~ 3 , /
eavime s Name: !j to Jr
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olumees
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igm , agy e fir; .I a
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Parm! LD.
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CO ~flSllti+ 101\1 SEPTIC T Ai IiQPUMP CHAMBER I --CTj0j\1 9
:`RAVE ING NOT i 0 SCALE)
- -
MANHOLE RISERCO:COVER
EWA GRADE -
(slope ground surface -away from {psi S: ~S 3 84.25 [-f) sr a, {idip~R i Atli i s -VS Vent ,9 i:l3iin018(S~ IOr_L'r002idE$Srt$,C~.'8~ f _ _ }i47F?
y as nac e'_sa-, j
zT2? .t s Pursuant tss SPS 3a3.--'.3(~}(g}
l - lr j r<t=ri~?nom ~itod ~~v~e:i i
/rr I _P0:2d
3ulLClNG SEWER adend..tsnrm3s rm- s
~ ff t r
t
! {pSf $2.30 (11))
_L=C T RIGt _ D~~vad La Arta i en ei_
f t JuiqCi7*oi3 sox n `s ! "(h ti{<rtirt~ :at rslaw.s i
i I I i 1 {Tgri>~11
F f t it:diCaI rat cmrmiv t;L7. L
! SPS 376 c»d N--SO ! !
4 _ 14 45l$QI{.t115Li ^ D+._ ,t.°.eiiD'~
3 tI MANHOLz
Mir,
90= iQi. U ii.LE C1 s CFiatenl
1 ~ {cr~fr^t2LrFi':c1]_.._ 1 _"fN~ 1 r°~lffr/.r.,.-r~ilfflJ/iJi`rr'>ri or,] 'rrlrlf%:rrrr~Y-~~ ~ ~
{ ~v. , i'~ljffr/f!/f/lllltlrrOJj/I//fJJA l'r~ll',%/11.f{~
+rti<f Y - 1 { ~ _)rl/J/I1If.'/„~ 4c J//i'il./%.s ~//lrfr'/!r//'~
t'"! I i~fjf/1/lfr~ a Ca; ; ~1Jlft~llJ ' {IJJJII,.~ iK {
! •~'~illtrfJ/!/'•Uffi~!!l//!r//IIjfJ~~YjJfJ/J.r f!/' =
1 I Iflllilr/!I/l. ~l'T'«~~lt lliliGil i. i!1 'i
rifslRsFLOP, ?
ONVL6fii
Flt T ERE s1i 3 L- -
fise Drft.3+0i.9) a??!ROVE{,1FUL-iter"r1Ll,ER
iililNIMIIUiv OF ZY OF SUIT LE BEEDDIKG Uhl= RAD
I
3`aeltli«anl~aciur=r G~/6.SE~ Co.Je.i r DWI (daiiy-wasteufaipri[o~-1
i
Seo:iclPuma talk model 1,00014 CO Number of daily dose: .S: y 'Yle
!Ct'1E I actual nose ,=olwrnal
lafisli ailufar.2 re 5, yc _ fstd.~113wS
Alarm model Ru mber Ti9r9t!< f~L ~rcT ~ Corr aural YrnlLlrn JS //o tX .14 3
l'r+i i208t St IiIG!? /~G'~ v~ t rd G ':c?f;8 as vOtU1??6 I1oF?S
(10fal dose 1,01 me - aliuma o forcemai3j /d p• L ` = Ba G
Effluent l=ni1p 1od21 ililtill~E? Uivip T PINK CFst'f•'iCr1! IES
asar,le abode alarm .?4 incr)Ie. = 33L-Nallol}a
e- f Alarii iioat above on fioat ~ ir?F~ii2S = .3.3 iallonS (Cj !
itdiillinum oun, P discharcle rare _GPMi)
ODIM fort measuymeni G. 0 incbas = 2, !j Canons iBl
Veliica4 lift (pump Off to disiribult on lateral) q 3 Off loat above iani: bottom It. huhas = 1311 I gallons (R)
.Z 5" SySierit Read (distat pressure n 13 feeti, J- 3- TANK DIMENSIONS `PUMP GHAi0M5'F SPECIFICATIONS
ricJon ioss in the Toacemain. Ao x Q/y
A,
Mai dynarnic head DH) / g✓ ~ .^cZCS13 /San I'~tidtn ~y
I
Undo' tlCf}i(`i 3.1 t,alloq;w Dal Il?Cr 74
I
zl
u~w TOTAL DYNAMIC HEADIFLOW
PUMP PERFORMANCE CURVE PER MINUTE
MODEL 151/152.1153 EFFLUENT AND DEWATERING
5D- 1
I
i 45_ a5 t t -
MODEL j 151 152 153
F_ee 2fe{ GaS, Liters Gal. Lsr rs 1 Gal. i Aers• -
- ' ---r i- _
4q 35 62 - - - _ $ E',' 89 c9_ 26 71 _ i 411
'
0 "
G 3Q 45 70 61 i 231 70 265
4.6 38 -,44 53- 1 21' j 61 231-
20 6.. 29 ! 170 3% 167 52 197
r
i
f I 5 ~ _ C, 15 29 A2 199
2
9" i j 2"s 87 33 1 5
30.7 22 1 85
C J %e.2 11 I 2
- Snuk r1i Head, 39 fL 381_ (I t.arn) -
1 44 ft. t13.4in1
1C..
0145085
i
Model 151 Models 1521153
n 40 0 7 a„ 91 Xr."
G A; _
LO%S - r <
-r r-
FLO', d '"JGTc - _ I
,•,-rap
i
• Timed dosing panels available.
Electrical alternators, for duplex systems, are available and
supplied with an alarm.
• Variable level control switches are available for controlling
single phase systems. i / -
• Double piggyback variable level float switches are available
for variable level long and short cycle controls.
• Sealed Qwik-Box available for outdoor installations. See
_ t
F1U1420. = - - -
Over 130°F (54'C) special quotation required. -T s. x 4151 ;7 l
15111521153 MODELS Control Selection
Model Volts -ph triode Amps Simplex Duplex
N151 1115 1 Non 60 1 20 31 BN151 115 - Auto 6.0 included 2 or 3
E 51 230 1 Non 3 1 2 ar 3
BE 51 230 1 Auto 3.2 Included 2 rn 3 "Easy assembly"
N152 115 1 Ncn E.5 1 - a ' ipUTM, & discharge p;pe
13N152its Auto ' 8.5 Included i 2a-3
-E Y-
152 2 _
B 15Z ` 2 1 Noy r- a 3 i of 3
h- 30 1 Auto f 4.3 included 2 or 3
N153 115 1 Non 10's 1 2 or 3
BN153 i 115 1 Auto 10.5 included v or 3
f _
} E 53 23^v 1 Neon 5.3 1 2 or 3 Std .
1 BE153 230 Auto 3 included 2 w 3 t ~ r
1. Single piggyback variable level float switch or double piggyback variable level
Refer to FM~t77. Reduces potential clogging by debris.
float switch. Ref
Replaces rocks bricks
2. See FM0712 for correct model of Electrical Ailemalor E-Pak. Made of durable, under the pump.
, noncorrosive ABS.
3. Variable level control sxiich 10-0743 used as a control activator, specfiv duplex Raises pump 2" off bottom of basin.
(3) or (4) stoat system. Provides the ability to raise intake by adding sections of 11/2"
or 2" PVC piping.
La CAUTION Attaches securely to pump.
Accommodates sump. dewatering and effluent applications.
NOTE: Puke sure float is free from obstruction.
For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump.
O Copyright 2008 Zoeller Co. All rights reserved.