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HomeMy WebLinkAbout020-1437-14-000 (2) Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No (ATTACH TO PERMIT) 597315 GENERAL INFORMATION State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)] Permit Holder's Name: City Village Township Parcel Tax No TONY & JENNIFER JENKINS TOWN OF HUDSON 020-1437-14-000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: 22.29.19.2719 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER _ CAPACITY STATION BS HI FS ELEV. E tI&M W A► Septic /;1/ j Benchmark Dosing Cj/,( r Qkl ~i+ Alt. BM ~g /O -Iq . 9 V O. Aer Bldg. Sewer tafir-En Z1, olding St/Ht Inlet TANK SETBACK INFORMATION St/ t Outlet nx' A 79 IF(o TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet 9,25 J, Septic J Dt Bottom 04 1- &(o ' n Dosing) Header/M 7 Aer ion Dist. Pipe Holding Bot. System 4 I ,q _ PUMP/SIPHON INFORMATION , nal Grade Lt. i5 CJ► r/ O . ~ Manufacturer lo-e Derpand St Cover v I,A1, O~,,I //yn• Model Number 5 Glrp 3 CV TDH Lgf j Friction l_ ~S.yystem Head. TD Ft -J ' • 1. Forcemain Len h Dia. t ! Dist. to Well 01 A511 I F I SOIL ABSORPTION SYSTEM BED/TRENCH Width ~ Lengt r No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Dept DIMENSIONS D9 1 0--- 1 SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer. ' INFORMATION CHAMBER OR Type 6,f System: r 1 UNIT Model Nu r.' ` DISTRIBUTION SYSTEM Header/Manifold P Distribution IX Hole Size Ix Hole Spacing Vent to Air Intake ipe(s) Length Dia L ength Dia Spacing V SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over r Depth Over \ jxx Depth of xx Seeded/Sodded xx Mulched JA BedlTrench Center Bed/Trench Edges ' r I Topsoil C Yes ! No Yes o COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 809 HERITAGE CT p I J\ C, V 1.) Alt BM Description 2.) Bldg sewer length = - amount of cover ~ \ ICI Plan revision Required? El Yes xVo Q0 r Use other side for additional informatiodd. SBD-6710 (R.3/97) Date ~jl W,,ep ture Cert. No. `ltit 112 r 1t1' ~ . County , Safety and Buildings Division St. Croix 1 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.) D RECEI r I MadisgQ WI 53707-7162 -mit Applic 7d State Transaction Number In accordance with $T ission of this form to the appropriate governmental unit Na is required prior to o taming a sanitary p lication forms for state-owned POWTS are submitted to Project Address (if different than mailing address) the Department of Safety and Professional Services. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, s. 15.04(1)(m), Slats. Same 1. Application Information ease Print All Information Property Owner's Name Parcel # Tony & Jennifer Jenkins 020-1437-14-000 Property Owner's Mailing Address Property Location 809 Heritage Crt. Govt. Lot City, State Zip Code Phone Number SE _''/o, SE Section 22 (circle one) Hudson, WI 54016 (715) 222-8135 T 29 N; R 19 W II. Type of Building (check all that apply) Lot # ❑ 1 or 2 Family Dwelling - Number of Bedrooms 4 14 Subdivision Name CA..wX Block# Kell Estates ❑ Public/Commercial - Describe Use Na ❑ City of ❑ State Owned - Describe Use CSM Number ❑ Village of 3 Z6 3-201-LO ,~n~t.,a Na ❑ Town of Hudson III. Type of Permit: (Check only one ox on line A. Complete line B if applicable) ZC r•~ A. ❑ New System X-lGeplacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) List Previous Permit Number and Date Issued B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New Before Expiration Owner 463286 issued February 22, 2005 IV. Type of POWTS System/Component/Device: (Check all that apply) Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in, of suitable soil Holding Tank ❑ Other Dispersal Component ain) ❑ Pr treatment Device (explain) V. Dis ersal/Treatm t Area Information 60 filtr or Quick 4 Standard Plus cham rs & 3 air end caps Design Flow (gpd) Design Soil Application RWA(fpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf} System Elevation 600.0 Gpd 0.5 Gpd/Sq. Ft. 1,200.0 sq. ft. 1,215.60 sq. ft.. 96.00' VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units a B U Y New Tanks Existing Tanks 'no y Y Septic or Holding Tank Na 1,260 1,260 1 Weeks Concrete X Dosing Chamber 750 Na ~ 750 1 Wieser Concrete X VII. Responsibility Statement- I, the and rsigned, assum responsibility for install ' f the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's S' not 7MPRS PRS Number Business Phone Number James K. Thompson 30021 (715) 248-7767 Plumber's Address (Street, City, State, Zip Code 340 Paulson Lake Lane, Osceola, WI 54020 VIII. unt /De artment Use Only Issuing nt Signatur Approved to Permit Fee Date ssu71-7 X $ n 4 5 /a ner iven Reason for De{ IX. Condi. Rea%n s !RS Disapproval 1. eptr, r , Er t xsn,, P. uisperv<,i cell must all be sn_tc et ss,per gW.apmen' plat pto dued by plu,nbe;. N of Ipp~N011b1r Ood~ ! ;:(ililfi2fORi. Attach to complete plans for the system and submit to the County only on paper not less than 8 1/2 x 11 inches in size SBD-6398 (R. 11 / 11) ® Say / eV4le, 4&C,, 7 - ~~l'f1 s~LB 8R~ ~4.,'+Ea~r /it" J / rd/ E.s `mss s~.cro;x (2bv '-0/ O Pc/o~o -/SJ3J-15~- at b Croa•r{~ r T o •F WG Pau fb st d ctro%i u.n vrr ~ cJ,-,rPcr&. /cLJC ~,r,3E~ ~ " ~/t<-Err~,clc.f af. 3'x83's~„aed tc~tlt I ~ 017 c rcvt b[ = 9G,~~ oPoscc~ ~res~ r `c c P. rc. k*ct Q° ~ v ~v ~ ' ~,~r ! ^ B' PJp~C~ Ct•}~ essi ~c„c re f(~~~tobe.d':s435em6rtd,~ y c...~r-PJSo.+tiR~~P~..~ CJ ~a~c!tv+~ .N +a ^ ~ -A-'y ~nq 4.) "'e5 zoo rc,,, d'sPe'saf~ee(/• ~oJlorlClS4~c 61eJA)I ✓0 1 ✓ L `q-y`Sfs.~rd~~..~fws. xn{./br~udl 3r, n1. , sKr~~ c c e J1 ~ a~ G.•a do Q f S.T o...Elc ~ c ~.3/. L~ 1\~y► ` e r /f in {icricC Dios Rot avotp/y c.yrc~u ~cd 50' Sctbafrowr wc//. 7rn++c~ nur~6c~.t ddo~d rf yc,3f: n'r~r5w/ ~•E.a:.4(I (.Pf C,'ned cue } So' 1~ rCro~n Syl~ar►t artA. e.c.!!r•r•60 i'c, r'[-k.scd 6yufao{otJrcr3te.~ C ~ .1 _L AU I Conventional POWTS Index & Title Sheet Project Name: Jenkins 4 bedroom Repl Conventional Dispersal Cell Owners Name: Tony & Jennifer Jenkins Owner's address: 809 Heritage Crt., Hudson, WI 54016 Site address: Same Project Location: Subdivision: lot 14, Plata of Kelly Estates Legal Description: SE1/4 SE/4, Sec. 22, T.29N., R. 19W., Tn. Of Hudson, St. Croix Co., WI. Parcel ID 020-1437-14-000 Page I Index and Title Sheet Page 2 Site Plan Page 3 Dispersal Cell Sizing Calculations Page 4 Infiltrator "Q-4" Standard Plus Chamber Cross section Page 5 System Cross Section Page 6 Pump Chamber Calculations and Cross Section Page 7 Pump Curve Page 8 Distribution Box Cross section Page 9 Septic Tank Maintenance Agreement Page 10 Certification for Utilization of Existing Septic Tank Page I 1 System Management Plan Page 12 Parcel Map Page 13 Warranty Deed Attachments: Soil Evaluation Report Mater Plum a icted Service: James K. Thompson, DSPS Credential 430021 Signature: V=-" Date: Page 1 Of 13 Design pursuant to In-Ground Soil Absorption Component Manual for POWTS, version 2.0 SBD-10705-P (N.01/O1) -Sod eda /ua &c,, /o, E .Q~l''r1 ~G8 n ,sf..Cro~x Gy uJ/, ~J %oc./. 0020 -/y3J-/y- adz /lirr (aa9 C '04.414 + r o ~,we l/ Pro~.udrero(au,„a„~ ~,•rlocr,5s./cc./1. EX.3f! v_r~~ v Tt.rt<-Erra+a~cJ af. 3'X8.!',ya,aE.t.✓ cv6!! I ~ o.t pry CM~1~''; ¢'N~,/d-~,fiVf.7wr~~ t W Zl c rcvl be ~ 9G,w,~ opos.c.d ~resar ~ P. ~c. kwc,rv,in I v t v 83 ~ ~ 'r ~ Br P/ofoaed tt1re.tsi ccncre~ . tobe•~~sa35ewi.b/ld,z~ ~ ~ ~ P CJ ~erta+.~ciCvr~rti.N ~ 1 ~"1,3F~ 4.w.c,,5iJAo ~~(.yv~ O(~;j~3R./CFI/. ~ 17 p.~~p►~V's~~•~ 'i<J~.l~ iJ~~ io8.o7' d+444,-Jf1 e~//. uCJ1 /en s, z, t a~ 3'e !.o'b~w/ E My 7•ti~s~iai~i c~ : 41"x4'd ! /00 zs `J.t"; E.. ~ ~ ~'Y ✓ e 9l 3yi S.f. owtltb a 9G,0 tr, SKrf4 C l e /t G r~ 1t 4 S T, o- ~E f?.34 c + / sinfirr~c1 dossnor`dvyly cy re~u~iGd 6o'4rtbact'Frowr we.!/. 77?, L A.tA. All tot 4,.4es are ~ So wtur~6cct~cnde,~cd if yc,~'t.:n~u~,7p•rsa/ ~'ra»~ Sytl6rrt aeut. ecrl~'y,6a 4G /Y-,tied 6yutta~dirci3leq V•/✓c. I Jenkins 4 Bedroom Dispersal Cell Sizing Calculations 1. (4bedrooms)(100 gallons estimated flow)(1.5 design factor) = 600.00 Gpd design flow 2. Infiltrative capacity of native soil = 0.5 gpd/sq. ft. 3. Absorption area required: 1,200.00 sq. ft. 4. Absorption area as proposed:_ 1,215.60 sq. ft. (60 chambers + 3 pair end caps) Infiltrator "Quick 4" = 20.00 sq.ft. EISA per chamber, Infiltrator "Quick 4" end caps = 5.20 sq.ft, EISA/pair 1,200.00 sq. ft. -(3 pair endcaps)(5.20) = 1,184.40 sq. ft. 1,184.40 sq. ft./20.00 = 59.22 chambers required Number of trenches: 3 A 20 chambers per trench (60 chambers total) Trench width: 2.83' Trench length: 80.00' Trench spacing: 9.00' on center Total system area w/ 6' trench spacing: 21.00'x 80.00' Pg. 3 of 13 INFILTRATOR" The Quick4° Plus water technologies Standard Chamber Quick4 s The Quick4 Plus Standard Chamber offers maximum strength through its two center structural columns. This chamber can be installed in a 36-inch-wide trench. Like the original line of Quick4 chambers, it offers advanced contouring capability with its Contour Swivel ConnectionTM which permits turns up to 15-degrees, right or left. It is also available in four-foot lengths to provide optimal installation flexibility. The Quick4 Plus All-in-One 12 Quick4 Plus Standard Chamber Benefits: Endcap, and the Quick4 Periscope • Two center structural columns offer increased stability and superior strength are available with this chamber, • Advanced contouring connections providing increased flexibility in system configurations. 'Latching mechanism allows for quick installation • Four-foot chamber lengths are easy to handle and install • Supports wheel loads of 16,000 Ibs/axle with 12" of cover Maximum Strength£ ~ I' II Quick4 Plus Standard Chamber ~ ~ ) 4 L a Specifications, Size Quick4 Plus All-in-One 12 Endcap Quick4 Plus All-in-One Periscope 34"W x 53"L x 12"H Benefits: Benefits: (864 mm x 1346 mm x 305 mm) • May be used at the end of chamber • Allows for raised invert installations Effective Length row for an inlet/outlet or can be • 180 directional inletting 48" (1219 mm) installed mid-trench • 12" raised invert is ideal for serial • Mid-trench connection feature allows applications Louver Height construction of chamber rows with 8" (203 mm) center feed, as an alternative to inletting at the ends of chamber rows Storage Capacity • Center-feed connection allows for 47 gal (178 Q easy installation of serial distribution systems Invert Height Certified by the International 0.6" (15 mm), 5.3" (135 mm), • Pipe connection options include Association of Plumbing 8.0" (203 mm), 12.7" (323 mm) sides, ends or top and Mechanical Officials (IAPMO) APPROVED in oft `i Soil Absorption System Cross Section nos 95.0 w~zs~f t 4" Schedule 40 Final Grade PVC Vent Pipe With Vent Cap p , O ft Leaching Chamber -4-- J6`0 ft System Elevation 3 ft ft Ib ` ft Soil Absorption System Plan View 3 ft 3 ft CP ft Leaching Trench 1 Chambers 4" Dia. Trench 2 Header Vent Or Observation Pipe Trench 3 Leaching Chamber Specifications' Manufacturer And Model : iH t~~ EISA Rating 20,0 'sq ft per chamber Soil Application Rate a S gpd/sqft foGt1,() v, S" gpd,Design Flow Soil Application Rate 20, C2 EISA = 6 O Chambers 3 rows of Zo chambers each. Page of 50`43 Jenkins 4 bedroom Dose Conventional Pump Chamber Calculations 1. Force Main: 2. Total dynamic head (per inspection report) Diameter 2" Min. supply pressure 0.00' Length 45' Vertical lift 5.29' Flow rate 40.00 gal./min ± Friction loss 1.49' Friction loss 1.49' (45')(3.30 ft./100ft.) = 1.485 ft. Total dynamic head = 6.78' 3. Pump selection: Manufacturer: Existing Zoeller Model number: BN53 Pump will discharge approx. 39.0 gpm @ 6.78' TDH or 3.978 ft./sec. flow rate 4. Dose chamber: Wieser WLP750MR - 37 00" n 20.28 gal /inch 750.36 gal actual) A) One day holding capacity: 20.00" = 405.60 gal. B) Alarm setting: 2.00" = 40.56 gal. C) Dose volume: 5.00" = 101.40 gal. (600ga1.)(.20) + (.164)(45') = 127.38 gal. Max. Dose D) Reserve storage: 10.00".=..202.80 gal. TOTAL 36.00" = 750.36 gal. Velocity in forcemain must be 2 to 10 ft/sec Dose Tank Information Locking cover with warning label and locking device and` sealed watertight Electrical as per NEC 300 and - SPS 316.300 WAC 4 in. min. Disconnect y Tank component is properly vented F-- Alternate outlet location Forcemain diameter Wieser Concrete Manufacturer 2 in. Capacity 750.36 Gallons _T Volume 20.28 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 20.00 405.57 B 2.00 40.56 C Pump off elevation (ft) C 5.00 101.43 93.08 D 10.00 202.80 Total 37.00 750.36 D D♦ ose tank elevation (ft) Bedding And Backfill As Per Manufacturer 92.25 Alarm Manufacturer SJE Rhombus Alarm Model Number JB Plu ger XL Pump Manufacturer Zoeller _ Pump Model Number BN 53 Pg. 6 of 13 TOTAL DYNAMIC HEAD/FLOW W rU- PUMP PERFOR ANCE CURVE PER MINUTE MODEL 53/ 157/59 EFFLUENTAND DEWATERING 6 20 MODEL 53/55/57/59 _ Feet Meters Gal. Liters 15 5 1.5 43 163 0 4 10 3.0 34 129 ~ 10 15 4.6 19 72 2 008887 Shut-off Head: 19.25 ft.(5.9m) 5 3718 83!18 45/8 1112 -11 12 NPT 0 I T 1 0 20 30 aO 50 37/8 GALLONS k LITERS 0 80 160 FLOW PER MINUTE 4 I CONSULT FACTORY i ! FOR SPECIAL APPLICATIONS I I • Variable level float switches available. I I • Variable level long cycle systems available. • Available with special cord lengths of 15', 25', 35' and 50'. I Alarm systems available. louts i I • Duplex systems available. ! I I -r 3 3132 S K858 sin weal control Selection Ustin s SELECTION GUIDE Yodel Volts Phase 'Mode Am Sim ex Duplex CSA UL 1. Integral float operated mechanical switch, no external control required. U5365 & M57159 115 1 Auto 9.7 1 - Y Y 2. Single piggyback variable level float switch or double piggyback variable level N53/55 & N57/59 115 1 Non 9.7 2 3 or 4 & 5 Y Y float switch. Refer to FM0477. BN53 115 1 Auto 9.7 - Y Y 3. Mech 115 1 Au anical afternator'M-Pak' 10 0072 or 10-0075. • BN57 to 9.7 N Y 4. See FM0712 for correct model of Electrical Alternator. • BE53157 230 1 Auto 4.8 TYYY--iyy- D531M & D57/59 230 1 Auto 4.8 1 _ 5. Va riable level control switch 10-0225 used as a control activator, with Electrical E 55 & E57/59 230 1 Non Alternator (3) or (4) float system. • Singe piggyback switch included. CAU N Forinformaton onaddhmal Zoeller products refer locat4ogon Piggyback variable Level FloatSwilches, FM0477; All instillation of controls, protection devices and wiring should be done by a qualified Electrical Alternator, FM04U; Mechanical Alternator, FM0495; Sump/Sewage Basins, FM0487; and Single Phase licensed electrician. All electrical and safety codes should be followod including the Simplex Pump ControVAlarm Systems, FM0732. most 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 18347 - `-O® LIZ la49 4028-034Manu(acNrers of.. Ii1P 0: 3849 Cane Run Road lp vil KY 40211.1981 QUgI?Y http:1Avww.zoe11ercom LO. I~SS02)L7u 82731 1(800) 928 PUMP _ FAX (502) 774.3624 © Copyright 2004 Zoeller Co. All rights reserved. uj"" -9d 91 A3HS:3113 99_,2-5Z~-008 20OZ 'NV 'A32J 80oz A2fvnNVI :31Vo 09/-'?g IM 'N008 N3QIVW 'OIAMH Sfl 91/.CM z\ O 1MS:J.B NM"(1 31380000 13531M wf1NbW OIld3S `L 31V4 ON X321 G = „X3lVOS = 00\ X09 N011f19l8iS1(J 310H 9 V) X m --1 N~ I_ o - co 1= a co Jo O 0 !ry^ o m w` V ! J O\ M m V) 1 Q z W J W Z F- O oa I Z CDo 0 t~U W W ~ J d Z - ( N\ r-IC'4 \\n\\\\A a 0 S 6 ~ W I W p_ W 0 C-) N N 01 ~ W\0\7~ ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Tony & Jennifer Jenkins Mailing Address 809 Heritage Crt. Property Address Same (Verification required from Planning & Zoning Department for new construction.) City/State Hudson, WI Parcel IdentificationNum.ber 020-1437-14-000 LEGAL DESCRIPTION .Property Location SE '/4 , SE '/4 , Sec. 22 .I.. 29 N R 19 W, 'T'own of Hudson Subdivision Plat: Kelly Estates , Lot # 14 Certified Survey Map # N a , Volume N a _,Page # N a Warranty Deed # (before 2007)Volume , Page # Spec house ElyesEho Lot lines identifiable 0yesE] no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if 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 §SPS. 383.52(l) and in Chapter 12 - St. Croix County Sanitary Ordinance. "fhe property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the 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 Safety And Professional Services and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on this orm are true to the best of my/our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a war my deed recorded in Register of Deeds Office. Number of bedrooms 4 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. (REV. 04/12) P,i. 9~ ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF EXISTING SEPTIC TANK(S) This is to certify that I have inspected the existing septic and/or dose tank presently serving the following residence: (Street address) 809 Heritage Cr., Hudson, WI 54016 located at: SE y4, SE 1/4, Section 22 , Town 29 N, Range 19 W, Town of Hudson , St. Croix County Wisconsin. Upon inspection, I certify that I have found the tank(s), to the best of my knowledge, will conform. to the requirements of SPS. 384.25, and it (they) appear(s) to be functioning properly. Most recent date of inspection or service January 18, 2017 Did flow back occur from absorption system? Yes No X (if no, skip next fine.) Approximate volume or length of time: Na gallons Na minutes Tank Capacity: 1,260 gallon Construction: Prefab Concrete X Steel Other Manufacturer (if known): Weeks Concrete g of Tank (if known): 12 years, installed 02/22/05 ';ircensed mit number (if known) 463286 s---- James K. Thompson Plumbe Signature) (Print Name) MPRS MPRS #30021 (Title) (License Number) MP/MFRS November 28, 2016 (Date) Form to be completed by licensed plumber (Dept of Safety and Professional Services Chapter 305 and s. 145.06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin Administrative Code) Rev. 2/2012 is eti Dose Conventional Septic System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General The conventional septic system shall be operated in accordance with SPS 382-384 Wis. Adm. Code, and shall be maintained in accordance with component manual SBD-I0705-P (N.01/01). All local and/or state rules pertaining to system maintenance and maintenance reporting shall be complied with. Questions on the operation or maintenance of the system should be directed to the installing plumber, Jim Thompson at (715) 248-7767 or the St. Croix County Zoning Department at (715) 386-4680. Septic Tank Septic tank servicing mechanics comply with SPS 383.54(l)(e). Septic tank to be located within 150' of service pad, with bottom of tank to be 15' below service pad elevation. The operating condition of the septic tank and outlet filter shall be assessed at least once every two years by inspection. The septic tank contents shall be removed when the sludge and scum in the tank exceed 1/3 the liquid volume of the tank. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code, by an individual certified to service septic tanks under s. 281.48, Stats. If the contents of the tank are not removed at the time of a biannual assessment, maintenance personnel shall advise the owner of when service will be needed to maintain less than 1/3 scum and sludge accumulation in the tank. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated. Septic tank manholes risers, access risers, and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8 inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No individual should ever enter the septic tank as dangerous gases may be present that could cause death. Septic tank abandonment shall be in accordance with Comm83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. The addition of biological or chemical additives to enhance septic tank performance is generally not required. If such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Puma Tank The pump (dosing) tank shall be inspected at least once every two years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed at the pump discharge, it shall be inspected and serviced as necessary. Soil Absorption Cell Trees or shrubs should not be planted directly on the soil absorption system. The area above and around the system should be seeded and mulched as necessary to prevent erosion and provide some degree of frost protection. Traffic (other than for vegetative maintenance) over the system is to be avoided. Soil compaction may hinder aeration of the infiltrative surface within and above the system and will promote frost penetration during cold weather months. Cold weather installations (October-March) dictate that the system be heavily mulched for frost protection. Influent quality into the system may not exceed 220mg/L BOD5, 150 MG/L TSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flow specified in the permit for the installation. Observation pipes within the dispersal cell shall be checked for effluent ponding. Pending levels above 4 inches indicate an impending hydraulic failure requiring additional, more frequent monitoring. Effluent flow shall be alternated between dispersal cells on a two-year schedule by use of diversion valve. Effluent to be diverted from new cell to old Drainfield at 4 year anniversary of new system installation. Old drainfield to be utilized for a 2 year period. Effluent dispersal to be alternated between systems on a two year rotating basis thereafter or as needed to prevent pending of effluent within dispersal cell. Continuncy Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. Excessive pending within the dispersal cell will be eliminated by installing a new soil absorption cell to bring the system into proper operating condition. Pg. 11 of 13 c4o ~w ~co os~ SOtso ION, zon ,ao o~ X81 6 „Wol- loTON !JVI- .10 4-ft 4%% -ftm q-0 cl C.S i - J7 cl Wisconsin D I&nt of Safetyp ofessional Services Page 1 of 3 Division of Industry Services I- f S IvIV Kt:PORT In accordance with SPS 385, Wis. Adm. Code County St. Croix Attach comrt*te plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limite o: vertical and horizontafikNince point (BM), direction and percent slope, Parcel I.D. scale or dimensions, north arrow, and location and distance to nearest road. Pcl #020- 1437-14-000 Ref#2466 Please print all information. Review by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)). Property Owner Property Location Jim & Tiffany Kissinger Govt. Lot SW '/4 SE S 22 T 29 R 19 E (or) W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 809 Heritage Crt. 14 na Kelly Estates City State Zip Code Phone Number ❑ City ❑ village ® Town Nearest Road Hudson WI 54016 ( ) Hudson Heritage Way ❑ New Construction Use: ❑ Residential/ Number of bedrooms 4 Code derived design flow rate 600 GPD ® Replacement ❑ Public or commercial - Describe: Z" x Parent material Glacial Outwash Flood Plan elevation if applicable na ft. General comments and recommendations: Site suitable for In-ground POWTS with 0.5 gpd/sq/ft. design loading rate. Suggested system infiltrative surface elevaton to be 96.00'. Existing dispersal cell elevation = 91.34'. 1❑ Boring # ❑ Boring ® Pit Ground surface elev. 100.70 ft. Depth to limiting factor >107" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ft2 In. Munsell Qu. Az. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-36 10yr3/3 none sl/Is fill na na cq 2vf1f na na 2 36-44 7.5yr4/6 none gr sl 1 msbk mfi cw 0.4 0.6 3 44-57 7.5ry4/4 none Ifs Osg ml cw 0.5 1.0 4 57-85 7.5yr4/6 none Ifs Osg ml cw 0.5 1.0 5 85-107 10yr5/4 none fs Osg ml 0.5 1.0 2❑ Boring # ❑ Boring lit ® Pit Ground surface elev. 100.50 ft. Depth to limiting factor >102" in. _ Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ftz In. Munsell Qu. Az. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-23 10yr3/3 none sl/Is fill na na ci 1vf,f na na 2 23-58 7.5yr4/6 none Ifs Osg ml cw - 0.5 1.0 3 58-102 10yr4/6 none fs Osg ml 0.5 1.0 * Effluent #1 = BOD, > 30 :5 220 m L and TSS > 30 150 m /L * Efflu nt #2 = BOD, > 30 220 m /L and TSS > 30:5 150 m /L CST Name (Please Print) Snature CST Number James K. 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