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HomeMy WebLinkAbout018-2013-12-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No (ATTACH TO PERMIT) 597302 GENERAL INFORMATION State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)] 2932346 Permit Holder's Name: City Village Township Parcel Tax No: WILLIAM FLETCH 7 TOWN OF HAMMOND 018-2013-12-000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: CIS. 3 G'S 08.29.17.1113 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURE CAPACITY STATION BS HI FS ELEV. Septic I (tG ~N r y ,~a' 0 ,1 Dosing W; Alt. BM Bldg. Sewer % S t Inlet f, ! , St/Ht Outlet TANK SETBACK INFORMATION TANK TO 'Y V 6/~ WELL BLDG. Vent to Air Intake ROAD Dt Inlet oo~ Septic Dt Bottom ' I V G 8' 2.2 Dosing n Head n•"I/ Q ' r Aeration Dist. Pipe 2.-]L 0, Holding Bot. System 7. q / PUMP/SIPHON INFORMATION Final Grade Manufacturer Demand St Cover GPM Model Number ~A TDH Frictio . ss~ System Head .O T[ t T p V Forcemain L y Dia. Dist. to well OF GAruAo-. aLk SOIL ABSORPTION SYSTEM BED/TRENCH Width B j Lengt ) No Tre ches PIT DIM/ENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO BLDG WELL LAKE/STREAM LEACHING Manufacturer INFORMATION T S stem: CHAMBER OR YP V YZ r 20 ` / UNIT Mod umber: DISTRIBUTIONS STEM L L f v Head a if II Distribution x Hole Sized x Hole Spacin~ , Ve to Air Intal~ Pipe(s) /J~ CI ILength Dia Length "t Dia_n Spacing U SOIL CO ER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth f xx Seeded/Sodded Bed/Trench Cen Bed/Trench Edges Topsoil ] 6~1 la / G Yes N es No COMMENT (Inc a code discrep .ties, ~pe~rspo1ns present, etc.) I pection #1: 7/2-1/1-7 Inspection Location: 1009167TH ST V\"`1 nod- inS'k~► , 1.) Alt BM Description= Cali- 2.) Bldg sewer length - N►j - amount of cover = 4T, 9 cover on 4,k% C ~a.nS ~OGkS Plan revision Required? Yes No Use other side for additional informati n. Date I ctors Signature Cert. No. SBD-6710 (R.3/97) F{o~"~'roF County f ~1 - r Safety and Buildings Division ✓ f'~ ✓ 1~ 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.) C. Madison, Wl 537 A / ~ftEIV 5~730Z_ Sanitary Permit Application APR' > StafcTransactionNumber In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form 10 the appropriate governmental unit is required prior to obtaining a sanitary permit Note: Application forms for state-owned PG DROKWU lem mess (if different than mailing address) the Department of Safety and Professional Servies. Personal information you proviA UW PMENT purposes in accordance with the Privacy Law, s. 15.04(1) m), Stars. `!f f a L Application Information - Please Print All In lion ! L 16 'd Property Owner's Name Parcel # Property Owners Mailing Address Property Location CJr~ V 17 1 11 :3 Govt Lot C ' State Zip Code Phone Number,. 3 t 141 ~ j - i4, Section T LT/ N, R or W H. Type of Building (check all that app)-__:? Lot _il Subdivision Name or 2 Family Dwelling-Number of Bedro ( ~t ❑ PublicJCommercial - Describe Use ❑ City of ❑ State owned - Describe Use CSM Number ❑ Village of of 57 Oil Ill. Type.of Permit: (Check only one box on line A. Complete fine B if applicable) A. ~ew System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) I B. ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued / ❑ Permit Renewal ❑ Permit Revision Before Expiration Owner IV. Type of POWTS System/Component/Devi e: Check all that a } ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil t ❑ Holding Tank ❑ Other Dispersal Component (explain) Pretreatment device (explain) • 1 V. Dis rsaVrrea ent Area Information: Design Flow (gpd) Design Sail Applicati f) Dispersal Area Requir sf~ Dispersal Area Propose s~ System Elevation 1 VL Tank Info Capacity in Total # of Manufacmnirer ? Gallons Gallons Units U d New Tanks Existing Tanta ee 2 U h V, cq C7 Septic or Holding Tank Dosing Chamber f.. VII. Responsibility Statem t- L the undersigned, assn ponsibility for installation of the POW'TS shown on the attached plans. Plumber's Name (Print) Plumber' azure MP/MPRS Number Business Phone Number 6 &V Plumber'g Address (Street, City State, Zip Code VIII.. un"e artment Use Only Permit Fee Date sued Issuing. t Signature Approved ❑ pprov S Z ex> I ✓ r eason for Denial $ L TV, DL Condltitn§' fi i pproval ~ s 3, La,t.cll 'a,n~ 5 l-e, /~0/~ (dull-~C. difopernr i cell must all be ski ttssr= 5 R e Y .19 per Manigemen`: plan pm daed flyby plumbel. 2. "1411 4ftW* reNVet:'mn-ts muutm ma;nt. 111A,1 ~e ate, as per PKk4 A c46!, l zrdltnancra. 1 Attach to comphxe plans for the system and submit to the unty only on paper not less than Sir z 11 inches in size SBD-6398 (R. 11/11) I System PLOT PLAN PROJECT Bill Fletch ADDRESS 1025 170th Ave Hammond Wi 54015 SE8 1/4 SE 1/4S 8 /T 29 N/R 17 W TOWN Hammond COUNTY ST. CROIX SYSTEM ELEVATION 97.5' 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 fence post ASSUME ELEVATION 100' Filter Lifetime Filter EIBOREHOLE O WELL *H.R.P. same as benchmark Property Line Scale= 1/4" = 10' 97' 96.5' B-1 7% Slope 1.7 Acre Lot Tank is to be properly bedded and provided with lockdown covers with approved warning labels B-3 293' Property Line Grading is to be done to divert run-off away from system B- 95' Pro 3 Bedroom Area 15' below system is to House remain undisturbed 472' Property Well is to meet all WDNR setbacks Line 167th St. aR1.a~ DIVISION OF INDUSTRY SERVICES 2331 SAN LUIS PL STE 150 GREEN BAY WI 54304-5211 Contact Through Relay t3'1 S P S http://dsps.wi.gov/programs/industry-services www.wisconsin.gov Y \ l ~OF~ssro ? s~~~ Scott Walker, Governor Laura Gutierrez, Secretary April 24, 2017 i p f CUST ID No. 226900 ATTN: POWTS Inspector 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 54016-7708 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/24/2019 Identification Numbers Transaction ID No. 2932346 SITE: Site ID No. 837346 Bill Fleteh Please refer to both identification numbers, 1009 167TH St above, in all correspondence with the agency, Town of Hammond St Croix County SEl/4, SE1/4, S8, T29N, R17W FOR: Description: Mound System (3 Bedrooms - Replacement) Object Type: POWTS Component Manual Regulated Object ID No.: 1702476 Maintenance required; 450 GPD Flow rate; 29 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Ver. 2.0, SBD -10691-P Manual - Ver. 2,0, SBD-10706-P (N.01/01, R. 10/12); Effluent Fill. The submittal described above has been reviewed for conformance with applicable W isconstn Adn-iuustrauve Co'::. and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be construe and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 10 L01(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.14.5.06, 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 rng a soil sample between the hands. If it rolls into a 1/4- inch wire, SHAUN R BIRD Page 2 4/24/2017 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(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 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 around 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 playas A lop_ of'th,. ttppio,,cd 1,ki i ~ ~.C.i1i~ llwn- and 1hi, lctl t-r S}i'ri~l be t7(l-Slle dl!rln constrUdion aInd open io 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 stars 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 Wyment S code: 1. 7633 (920)492-2214, Monday - Friday 6 am To 3:30 pm tim.vanderleest cr wisconsin.gov SHAUN R BIRD Page 2 4/24/2017 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 horizontallv 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 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.vaiiderleest@wisconsin.gov Cover Page APR.] 3 2011 WDUSTRy S~RVI(~T~ Shaun Bird ' Bird Plumbing Inc. A N 73 1432 120th St. .J I F S New Richmond Wi 54017 715-246-4516 Date: 4/11/17 Ow ner:Bill Retch Location: SE1/4 SE1/4 S8 T29 N,R17W 1009 167th St. Hammond Manuals Used: Mound Component Manual Version 2.0 (N.01/01, R. 10/12) Pressure Distribution Manual Version 2.0 (N.01/01 R. 10/12) Page# 1. Cover Page r 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 se~io~ Attachments: Soil Test Shaun Bird Signature License number 2269 r Page 1 of 9 PROJECT Bill Retch System PLOT PLAN ADDRESS 1025 170th Ave Hammond Wi 54015 SE8 1/4 SE 1/4S 8 /T 29 N/R 17 W TOWN Hammond COUNTY ST. CROIX SYSTEM ELEVATION 97.5' 4/11/17 BEDROOM 3 DATE 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 fence post ASSUME ELEVATION 100' Filter Lifetime Filter O BOREHOLE O WELL *H.R.P. same as benchmark Property Line Scale= 1/4" = 10' 97' 96.5' B-1 7% Slope 1.7 Acre Lot Tank is to be properly bedded and provided with lockdown covers with approved warning labels B-3 293' Property Line Grading is to be done to divert run-off away from system B- 95' Pro 3 Bedroom Area 15' below system is to House remain undisturbed 472' Property Well is to meet all WDNR setbacks Line 167th St. Mound System Cross Section and Plan View 77 !7~77: Dimension Feet J A : i B - 5 JiJY~hr JY4N~11~1dSl.r: ♦.t.ti.y.•.. ltJ~r:fLf,J:Jyf4 ~J-t r f. Lf\.1.1.1.1.M1.1.1.4. E D l~ A ' : J.J.r.J.f. 7.1.1-Y1.1.t.ti. 1.1.4.4.5.\-1•~•t-t tir1•~ti 1r1f Yir. ~L.1ll:.J.JLr~f1l~%~f:t4r}itti 1.~.ywti.1J:'ti.\ ' ~I 1.1.1.1.1 •:'NY1J•J.J.J.f.r.J.f.J.J•r. 1 1 1 1. JYY•J•r fhrlf•.Jt.ti.'L.S~.~KK-YJ~riJ.f.r.FhM:f.r f.f.J. •1-~•~• JV•yj 1:L.ti~'4.11t:4? . f.•1.1.1.1 •tif.r. SItiJ•f•f.?g, hJK?•yr1.5g4gi1.....rYti•1:1:''y: 1JYY•J• 1'L'•'••4• 1.1.1. J.JYY•J•J•rY•J-f-r.f.JyJLiLJtif4r. ~"1•''~r'• ~~YJ J 4.1.YY4.1~tir•\:111=1w11%\n.JyJyfLr` .~r.J.f for:JYH..1.tiK.1-1.1.Yti.1.t.L111'~rti.ti•1. J - Lf1ryr L •fY•J•r•J•J•J•JY•lY•l•J-r. 1'11 1.1~11~1JYY.r.J.r.J• ~rlrtiflr W Y .f.J.J.f.f.J.J1J-f. 1.1.1+..1.1.1.1.1.y.trti~trti.1.1.1 ti.L.~.~:1rtJ ' J•r•r.r•r•f.J•r•J-r•J.J•l•l•f•J-J-r•l•HJ•f•J•JyJ•f•f.J ' F Z G x 1. I K 7 7 7 1 K B 1 W _ r -77 Z L Slope % Topsoil = ASTM C-33 = Clean a e ate g g O = 4 in. sch. 40 pvc F Cap Material sand fill r.J.J. 1 Y1~ti %2 to 2 %2 in. dia. observation pipe Geotextile G H Fabric F Ft D . - JFt Contour Plowed Surface Slope Direction GENERAL INSTALLATION: The mound area is staked out along the design vegetation is mowed and raked off the site. The mound basal area (L x W) is plowed with ao oldboar orr chisel plow. Plowing may not proceed if the soil is wet enough at the plow depth to form a'/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. 10/07 lgj Page / of Pressure Lateral Layout Two Laterals - End Manifold 4 -'T'hreaded R Cleanout Lateral Turn-up Plug Manifold M Force Main L s l Long Sweep 90 Bend Distribution Network S ecifications Pressure System Construction Lateral Diameter In. Manifold Diameter Z In. Laterals are constructed of Schedule 40 PVC Orifice Diameter j / In. pipe. Orifices are drilled perpendicular to X Orifice Spacing) W In. the pipe with a sharp drill bit and face down. L (Lateral Length) Ft. Lateral turn-ups terminate with a threaded M (Manifold Length) Ft. cleanout plug and are enclosed in a 6-8 inch Force Main Diameter in, diameter lawn sprinkler valve box accessible Force Main Length Ft, from finished grade. Grade •••••••.:j 6-8 Inch Lawn Sprinkler Valve Box L Page of 03/0519) j Septic-Dose Wank Cross Section And Pump Performance Specifications Tank l~iinzufactw'er Pump Manufacturer Tank Model Number LID Pump Model Number rJ J S L Total Tank Capadt3' b 3- Alarm Manufacturer ti er G 5 Max. Bury Depth Alarm Model Number L v Switch Type f')-r Filter Manufacturer Total Dynamic Head (TDH) - Feet Filter Model Number Elevation Head /0 Distal Pressure 0 Network Loss Minimum Pump f erformance Required Farce Main Loss l 7 GP Sa Ft TDH Total j , Outlet Manhole Min. 4" Above Grade With Locking Deice. Inlet Manhole Manhole Min. 4" Above Grade < 6" Below Grade Sealed Watertijzht Securely Mounted With Locking Device Westhff proof { Junction Box - a~ rr i s r . s FWshed Grade Vent Mm. 12" Disconnect Above Grade Means With vent cap Outlet Filter h. let inlet Bale - > • Switch and Reserve Capacity A Weep Tank Volume = _ir. GPI Hole B Dimension: Inches Volume Gal. (reserve) A' •a : : > Of f Elevation + (alarm) B : 2 y Ft ` (dose) C - > a , Bottom (dead) D 13 2' D Elevation Total Ft ~S~a~ '<•a < a <,<fs a < < < + + a a . a < . a : < < a < s,<,a a-a < s s s < e ~`:~:~,j:~r~>~i s~>~:~: i~fa>a:•ra>:>:>::>: a>:~: •:>s•:a :v; a s a> r> a,>, >'Y<><3<~ ~ Y`,~r; i f f 1,> r 1 f > a r a << < < s < f a a < i < • f < a < { a < < < • t < a + <•a>~ <>a s < 1 < GENERAL INSTALLATION: The septic/dose tank is bedded and back filled in accordance with the manufacturer's product.approval specifications. maximum depth of bury as, specified. by the nwaufacturer may not be exceeded without prior approval. Manhole covers exposed to grad have an. effective locking device (padlock) and installed. Piping at tl~ inlet and outlet is of approved material, connected to the tank with watertight fittings, laid on stable to bridge the tank SOU to prevent settling or sagging. The force grain is sleeved with 4" Sch. 40 PVC laid ontson and the .sleeve, is sealed watertight. Electdcal seFVice complies with NEC 304 and Comm 16.2:3. excava C page of 02/05 IJ TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE HEAD CAPACITY CURVE EFFLUENT AND DEWATERING Ln MODEL 152/153 Z MODEL i 152 t5 w r W 5o Feet l Meters Gal. Liters I Gal. Liters 153 5 1.5 1 69 261 77 291 40 10 3,1 61 231 70 1265 12 152 15 4.6 53 i 201 61 231 _ 20 .I 6.1 44 167 I 52 197 i v 30 25 7.6 34 129 42 159 z 8 30 9.1 1 23 87 I 33 1 125 20 3; - - i 22 85 40 i 1'2.2 I 11 42 4-j j lock Voive: 138.0 =i. (11.6n)!44.0 ft. (13.4m) ! 10 or4sos 1 ~ 0 20 60 80 100 GALLONS 6 1/4 LITERS 0 80 160 240 320 _ 3 27/32-1 -~----"('~-s 5/8 I I FLOW PER MINUTE j 3 27/32 CONSULT FACTORY FOR SPECIAL APPLICATIONS j _ • Timed dosing panels available. OO 3 27/32 • Electrical alternators, for duplex systems, are available and supplied with j an alarm. • Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable i level long and short cycle controls. ! • Sealed Qwik-Box available for outdoor installations. See FM1420. ! ! • Over 130°F. (54°C.) special quotation required. i ' 2 '1 / 5 r- 1521153 Series ' . ~---r- 1521153 MODELS Control Selection I ! I I I Model volte-Ph Mode Sim ex Du lex j 5 1 /6 N152 1 i 5 1 Non 8.5 1 2 or 3 ! 8N152 115 1 Auto 8.5 Included 2 or 3 { 51k2W4 E152 230 1 Non 4-3 1 2 or 3 BE152 230 Auto 4.3 Inclu;ed 2 or 3 1153 115 1 Non 10.5 1 I 2or3 SELECTION GUIDE BN153 115 1 Auto 10.5 included 2or3 E153 230 . 1 Non 5.3 1 2 or 3 1. Single piggyback variable level float switch or double piggyback variable level float BE153 230 t Auto 5.3 Included 2 or 3 switch. Refer to FMGAITT v cAU not 2- See FM0712 for correct model of Electrical Alternator 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. All 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 T0: P.0- BOX 16347 Louisville, KY 40256-0347 ManActurersof. - SHIP TO: 3649 Cane Run Road Louisville, KY 40211-1961 Q!/E1L/~yPUMPS S''m- Iggg" (502) 778-2731.1(800) 92&-PUMP httpllwww.zoelier com FAX (502) 774-3624 © Copyright 2000 Zoeller Co- All rights reserved. POWTS OWNER'S MANUAL $ MANAGEMENT PLAN Page FILEINFORMATION SYSTEM SPECIFICATIONS Owner Septic Tank Capacity al ❑ NA Permit Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms [3 NA Effluent Filter Model ❑ NA Number of Commercial Units Pump Tank Capacity at 13 NA Estimated flow (average) S' altda Pump Tank Manufacturer _ ❑ NA Design flaw (peak), (Estimated x 1.5) ayd . Pump Manufacturer ❑ NA Soil Application Rate L 7 I/d 1W Pump Model ❑ NA Influent/Effluent Quality Monthly average' Pretreatment Unit Fats, Oil & Grease (FOG) 530 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD,) 5220 mg/L ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mq/L ❑ Disinfection ❑ Other. Pretreated Effluent Quality Monthly average" Manufacturer Dispersal Celt(s) Biochemical Oxygen Demand (BODS) 530 mg/L ❑ In-ground (gravity) ❑ ground (pressurized) Total Suspended Solids (TSS) 530 mg/L ❑ At-grade ound Fecal Coliform (geometric mean) 510' cfu/100m1 ❑ Drip-line ine ❑ Other. Maximum Effluent Particle Size Y, Inch diameter • e Vanes typical for domestcc (non-car,rr,ercJat) 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 ❑ month ear(s) (Maximum 3 yrs.) Pump out contents of tank(s) When combined sludge and scum equals one-third (X,) of tank volume Inspect dispersal cell(s) At least once every 3 ❑ month year(s) (Maximum 3 yrs.) Clean effluent filter At least once every A j ❑ months r(s) Inspect pump, pump controls & alarm At least once every ❑ month year(s) ❑ NA Flush latsrals and pressure test At least once every R-C months r(s) 99 NA Other: At least once every ❑ months ❑ year(s) 14 NA 00w r At least once every ❑ months ❑ year(s) ❑ A 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 (n) 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 1 T3, Wisconsin Administrative Code. The servicing of effluent filters, m ncal or pressurized POWTS components, pretreattment components, and any other maintenance or monitoring at i ervals 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 conc6ntrations 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 chemicals thElt 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. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will bie discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluenlt. To avoid this situation have the contents of the pump tank removed by a Septage, Servicing Operator prior to restoring power to to effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream) may improve the performance and prolong the fife of the POWTD: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting produc*; 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 propely and safely abandoned M 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 still, 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 complispnt replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soli absorption systelm. 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 neled for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rule. in effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technologN a holding tank may be installed as a last resort to replace the failed POWTS. X-rh,&,sIte has not been evaluated to Identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed) as a last resort to replace the failed POWTS. />Z- and at-grade soil absorption systems may be reconstructed in place following removal of the blomat 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 NIOT 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 Name Name Phone J Phone SEPTAGE SERVICING OPERATOR (PUMP EM LOCAL REGULATORY AUTHORITY Name ZIP ~ Name Phone Phone 76 00 This document was drafted in compliance with chapter SPS 383.22(2)(b)(1)(d)&M and 383.540), (2) & (3), Wisconsin Admink tr ive Code. `W N a ttd,3 o. t J tt. i t I 1 I I. 3 ~O h m v .r o f!) o e ft's cq T P O ° I a -o - a co J( / /d i= J t L 06 C C O ~ N Q H ~ D Q a ~ S, CC) z Z 03 O ~ Q F= U f o to e✓ N t -158, left dy S79 ! c~ 1.98 Ac. )T 3 os, 'D 8 S. F. 4 Ac. =1025-00] W 5160, =1027.00 3. N ~IX LOT 11 r 80567 S.F. 1.85 Ac. 0 • / 6 ~ ro`1/ "o°`~ ~4 35y h~ ~ ~ 9s, ~a E LOT 12 N 89.35'14 E 230.17' / f 70672 ~;r o 1.62 Ac. z LOT 14 0 r Q 70135 S.F. C L N 89'04`20° E 471.73' 1.61 Ac. i ST. CROIX COUN1'Y SEPTIC TANK MAINTENANCE.AGREEMENT AND 0Vn%1FM [P CERTIFICATICIN FORM ~ r Act" OwnerBuyer ~L r Mailing Address Property Address (Verification required from Planning & Zoning Departe for new construction.) City/State Parcel Identification Ninaber f C7 / LEGAL DESCRIPTION Property Location 5E 1 /4 '/4 , Sec. , TN RL2 Town of Subdivision Lot Certified Survey Map # Volume , Page # _ Volume , Page # Y 7? Warranty Deed # no Lot liner identifiable !yes no Spec house Ae-s Cl/ SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature fail= to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, -d needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system Owner maintenance responsibilities are specified in §Comm 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system ism proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1 /3 full of sludge. I/we, the 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. Uwe certify that all statements on form are true to the best of my/our knowledge. I/we am/are the owner(s) of the property described above, by virtue of a deed recorded in Register of Deeds Office. Number o~ bedrooms SIGNATURE OF APPLICANT(S) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. 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