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HomeMy WebLinkAbout024-1015-80-200 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 597336 GENERAL INFORMATION State Plan ID No Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)] 2928282 Permit Holder's Name: City Village Township Parcel Tax No: KYLE DELANDER TOWN OF PLEASANT VALLEY 024-1015-80-100 CST BM Elev: Insp. BM Elev: BM Description: `Yj Section/Town/Range/Map No: L 09.28.17.85B TANK INFORMATION ELEVATION DAT TYPE MANUFACTURE-Fit--- CAPACITY STATION BS HI S ELEV. IN L Septic u / rL y Benchmark 5 ms le time t q 01 Dosing 0 Alt. BM /00 Co M6 Gary+~n„ FILTep- b-f-e-h* nv- Bldg. Sewer AL _71 /01.7 t net St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt Bottom C4 , 1 10, 15 Dosing Nh- Header an. 1v3 'v TJ , Aoff t= Dist. Pipe 10 3 . Bot. System `0^. 7 HeleiinI'l- ~ G Final Grade PUMP/SIPHON INFORMATION Manufacturer Demand St Cover am 1~ 0y Gl LTW GP V I' T Model Number 6N )Sx /o`,?. TDH Lift Friction oss System Headlj, rD /yt Ft ' ,f ' r" FOfcemaln Lengt L y Dia. 2 1I Dist. to Well NA SOIL ABSORPTION SYSTEM &ED BED/TRENCH Width Len th r r No. Of PIT DIMENSIO No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 164 15 / SETBACK SYSTEM TO I J P/L BLDG J fffW~~WEEELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of S s em: w ' Nft I---- UNIT Model N ber: DISTRIBUTIONS STEM OV Header/Manifold &J kU Distribution 1'~_ r x Hole Size / 1 Tx Hole Spacing V to Air Inta/k~e J Pipe(s) "✓l Z f v/ZI ll~(Gl~i 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 pez xx Mulched Bed/Trench C to , Bed/Trench Edges Topsoil s No s No COMMEN t (Include co a iscrePencies, persons present, etc.) Inspection #1: Inspection #2: S~ ~1GU 4 Za17 q Locatio~ 3CTY RD Z N Pr Wt ~ ~bl- n . 1 n lt,'tEY 1 S 1 ~ @ I m CI, a/N I 1.) Alt BM Description = n - ` 2.) Bldg sewer length = 01 r Id C - amount of cover = 1 ~1It 6A C~V~L o~ ak i Plan revision Required? ❑ Yes y No I W Use other side for additional informati n. Date Insepc or's Signature Cert. No. SBD-6710 (R.3/97) `r County I r~ J Frr~~ ~1 Safety and Buildings Division < D 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.) 7 P n Madison, Wl 53707-7162 - t r StiadTIansactron Number ermit A~' ~y In accordance PS3831-21(2), Wis. Adm. Code, submission or is required prior to obtaining a sanitary perrmt Note; Application forms for state- ?roject Address (if different than mailing address) the Department of Safety and Professional Servies. Personal information you provide may be ubw oses in accordance with the Priv Law, s. 15. 1) m), Stats. y L Application Information - Please Print All Informatio Property Owner's Name i Parcel # lob Property Owner`s Mailing dress Property Location q a g . IT Q53 Go Jiwr city state Zip e Phone Numbers Section J 7~tircle JL J C'L 27 f/- F/- Type of Building (check all that apply) Lot Subdivision Name Block# u 1 or 2 Family Dwelling-Number ofBedroom4 ) ❑ Public/Commercial - Describe Use 1 ! - ' ❑ City of _ ❑ State Owned -Describe Use CSM Number El Village of _ - Town of . Jam- \J t lII. Type of Permit: (Check only one box on line A. Complete line B if applicablep Z a A' System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only I ❑ Other Modification to Existing System (explain) B. ❑ Permit Renewal ❑ Permit Revision I ❑ Change of Plumber I Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration owner ' W. Type of POETS System/Component/Device: (Check all that apply~_ ~S t f ❑ Non-Pressurized In-Ground ❑ Pressurized hi-Ground ❑ At-Grade u Mo and > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Componcnt (explain) - Pretreatment Device (explain) V. Dispersal/Treatment Area Information: Deign Flow (gpd) Design Soil Application Rate(gpds~ Dispersal Area Required' (s Disp pal Area Proposed (s System Elevation ~VL Tank Info Capacity in Total i # of Manufacturer ~Y Gallons Gallons Units New T~ anks Existing Tangy a U ( w L i i Septic or Holding Tank { _ p f Dosing Chamber I • / VII. Responsibility Statement- I, the undersigned, a e responsibility for installation of the POWTS shown on the attached plans. Plt~tt 's Name Tn.0t) ,$ltim s Signature MP/MPRS Number Business Phone Number ,a , 5 ✓ _ r``------ _ L ~ ~ c~ T~~ eta'- l`~ Plumbts Address (Street, City; State, c9de Court apartment Use my Approved 0 Disapproved,` Permit Fee Date losued Issuing ant Signature r ❑ Owner Given Reason for Denial - IX Condtti~ axon or D's pproval -T--~ 1 Sept tank, eitltssreT t~ir~ W ions i ri G mt uispercai cell must ON ..s."-2L • as per rnar.3gemen! plant ptu+iderl by Nluinber. z. Au'nelta4rk I as per twIR czxlir :rdi ulncn.~. Attacb to compiew plans for the system and submit to the County- only on paper not less than S to z I1 inches in sire SBD-6348 (R. 1 Ii 11) System PLOT PLAN PROJECT Kvle Delander ADDRESS 1723 Redhead Ave Baldwin Wi 54002 NE 1/4 NW 1/4S 9 /T 28 N/R 17 W TOWN Pleasant Valley COUNTY ST. CROIX SYSTEM ELEVATION 103.0' 3/23/17 BEDROOM 4 DATE CONVENTIONAL AT-GRADE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE 765 HOLDING TANK SIZE LOAD RATE 1 .0 ABSORPTION AREA 600 # of chambers none Ilk BENCHMARK V.R.P. Top of 1.5" pipe ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark Cty Rd Z Scale = 1/4" = 10' 0VIeii is to meet all VV IvR setbacks 350' Pro 4 Tank is to be properly bedded and provided Bedroom with lockdown covers with approved House warning labels Huffcutt Combo Tank ~I Grading be do ivert r away 2 po to BB-- ~03' 102' Area 15' below system is to remain 618' Property Line B-3 101' undisturbed 7% Slope B.M.* 100' a ~RrAsE~s DIVISION OF INDUSTRY SERVICES % \\U r 2331 SAN LUIS PL STE 150 _ GREEN BAY WI 54304-5211 t QI Contact Through Relay F http://dsps.wi.gov/programs/industry-services www.wisconsin.gov Scott Walker, Governor Laura Gutierrez, Secretary M t :_`VED April 11, 2017 OF SAFE i l CUST ID No. 226900 ATTN: PO WTS Inspector rESS'ONAL SE 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: 04/11/2019 Identification Numbers Transaction ID No. 2928282 SITE: Site ID No. 836928 Delander Please refer to both identification numbers, County Rd Z above, in all correspondence with the agency. Town of Pleasant Valley St Croix County NE1/4, NW1/4, S9, T28N, R17W Lot: 1, FOR: Description: Mound System (4 Bedrooms - New Construction) Object Type: POWTS Component Manual Regulated Object ID No.: 1700155 Maintenance required; 600 GPD Flow rate; 24 in Soil minimum depth to limiting factor from original trade; System(s): Mound Component Manual - Ver. 2.0, SBD -10691-P (N.01/01, R. 10/12), Pressure Distribution Component Manual - Ver. 2.0, SBD-10706-P (N.01/01, R. 10/12); Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s. 145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • Preserve dispersal area prior and during construction to avoid disturbance, compaction and use of the site. • With new construction; it is recommended not to activate the pump in the dose tank until the tanks are pumped prior to homeowner occupancy. • Wastewater generated from contractors cleaning of equipment and tools and/or left over construction products shall not be discharged into the drains discharging to the private onsite wastewater treatment system (POWTS). Waste generated shall be properly disposed of on-site or off site. • Any tall grasses, leaves and shrubs shall be cut short and removed prior to tilling the surface for installation to prevent matting under the dispersal area. All loose organic material to be removed from mound area. • Divert surface water from POWTS Area. • Prior to construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. Smearing and compacting of wet soil will result in reducing the infiltration capacity of the soil. Proper soil moisture content can be determined by rolling a soil sample between the hands. If it rolls into a 1/4- inch wire, SHAUN R BIRD Page 2 4/11/2017 • 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 • 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. • Tank Installation to follow all manufacture's recommendations. • Verify property line(s) prior to installation. • Pump Floats to be set and verified per approved plan. Any changes 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/instal lation/operation. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 This Amount Will Be Invoiced. When You Receive That Invoice, Please Include a Copy With Your Tim Vander Leest Payment Submittal. Private Sewage Plan Reviewer, Division of Industry Services WiSMART code: 7633 (920)492-2214, Monday - Friday 6 am To 3:30 pm tim.vanderleest a.wisconsin.gov SHAUN R BIRD Page 2 4/11/2017 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 • 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. • Tank Installation to follow all manufacture's recommendations. • Verify property line(s) prior to installation. • Pump Floats to be set and verified per approved plan. Any changes 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 conceming 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, Tim Please Include a Copy With Your Vander Leest Payment Submittal. Private Sewage Plan Reviewer, Division of Industry Services Pa WiSMART yment S code: 1. 7633 (920)492-2214, Monday - Friday 6 am To 3:30 pm tim.vanderleest@wisconshi.gov Cover Page Shaun Bird Bird Plumbing Inc. ;VICES 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 3/23/17 Owner:Kyle Delander Location: NE1/4 NW1/4 S9 T28 N,R17 W Lot 1 Cty Rd Z Pleasant Valley 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 Specifications and cross section Attachments: S il, Test Shaun Bird Signature License n ber 226900 Page 1 of 9 hIAR 2 4 l i•l rr-1 f 1 ~ f.... System PLOT PLAN PROJECT Kvle Delander ADDRESS 1723 Redhead Ave Baldwin Wi 54002 NE 114 NW 1/4S 9 /T 28 N/R 17 W TOWN Pleasant Valley COUNTY ST. CROIX SYSTEM ELEVATION 103.0' 3/23/17 4 DATE BEDROOM CONVENTIONAL AT-GRADE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE 765 HOLDING TANK SIZE LOAD RATE 1 .0 ABSORPTION AREA 600 # of chambers none BENCHMARK V.R.P. Top of 1.5" pipe ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark Cty Rd Z Scale = 1/4" = 10' Well is to meet all WDNR setbacks 350' Pro 4 Tank is to be properly bedded and provided Bedroom with lockdown covers with approved House warning labels Huffcutt Combo Tank Grading is to be done to divert run-off away from system B-1 B-2 103' 102' Area 15' below system is to remain 101' 618' Property Line B-3 undisturbed 7% Slope B.M.* ~ 100' Mound System Cross Section and Plan View i i Dimension Feet J a A 1 i B t T •1lfL: r1r:r~•: ~M1ry?~?:?Lf:rL~L~i~ti:t:l. 1.1.1.1•L~ti~tirl~irti~~~ir~1i; yJ r.r.f.r.r.r.r.r.r.r.r.r.r A L.'.11:1:L•• .1~1?L:L:L:Lrt~L~h:ti: f.f.r~lyf.f. LjLjLj1• ' r. r. 1 1 1 YL L 1.L?ir1?tirM1~ti:1r;ry:y~1:~~y~~?y:y?'? f~f~ryf1r•• r•r•r•r•r•J•r•r•r•r•f•r•l•f•r•r•r•r• 1 ~?~'1'1' r~'1'y'~' 1 1 1.111:\:1r1:ti.1.1.1.1.1.1.1.1. r•f•r E •F•r•r•r•r•r••. 1 1.1.1.1.1.1.1.1. r r•r•f . r.r.r.f•r. r.r. L 1:1~ti~ti:l: tir1:1: Lr•1 r r r•rv.f•r.r•r•r.r•r•r. 1 i L•L• / .rtir.1 1.1.1.1.1.1. • 1 1 W 40 1 F 1 r 1 H I I 1 r r 1 J S. r 1 K y'C7{ L W K- 7 B S~I Z z~~ L Slope i - 1 = Topsoil ASTM C-33 = Clean aggregate = 4 in. sch. 40 pvc Cap Material sand fill 1/z to 2 '/z in. dia. observation pipe Geotextile G H Fabric S 5~ 5~-ir ,l t 1. . .1.1.1. t•1•L•Y ' vv .r.f.r.r.r.f.r..:.:~; D E Plowed Surface Ft Contour 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 secured in place with rebar or a closet flange. 10/07 lgj j Page of Pressure Lateral Layout Two Laterals - End Manifold 4 Threaded Cleanout Lateral Turn-up Plug Manifold M X I L Long Force Main Sweep 90 Bend 37e et-- ~cZ ~rrl Distribution Network S ecifications Pressure System Construction Lateral Diameter 2 In. Manifold Diameter In. Laterals are constructed of Schedule 40 PVC Orifice Diameter L In. pipe. Orifices are drilled perpendicular to X Orifice Spacing) 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. ceanout 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 6-8 Inch Lawn I Sprinkler Valve Box Page of 03105 191 j Septic-Dose Wank Cross Section And Pump Performance Specifications Tank Manufacturer Pump Manufacturer - Tank Model Number 'D Pump Model Number ~AV Total Tank Capacity 63- Alarm Manufacturer /i? Max. Bury Depth Alarm Model Number Switch Type Filter Manufacturer TOW Dynamic Head (TDH) - Feet Filter Model Number j Elevation Head Distal Pressure Network Loss / l Minimum Pump Performance Required Force Main Loss 6 GPM Ft TDH Total Outlet Manhole Min. 4" Above Grade With Locking De`aice. Inlet Manhole Manhole Min. 4" Above Grade < 6" Below Grade Sealed Watertight Securely Mounted With Locking Device Weather-proof Junction Box - - Finished Grade Vent Min. 12" Disconnect Above Grade Means With vent cap .,Y (Wdet Filter -r.~ i - - - - - - Wet Baffle - Inlet Switch SettaRngs and, Reserve Capacity A Tank Volume = GPI Weep ' B ' Hole Dimension Inches Volume Gal. (reserve} A l- 1~ J~J Z7. j (alarm) Off Elevation C B 2 (dose) 1,27 Bottom (dead) D D Elevation Ft '•i< Total ~ t- ~i > ; > ) , Y<;a~<,< < < 1 i t { < < { i < 1 a < < { < i . < < < < t < t t t < i t s < t < a :Y{><>l>t>:: < < < :Yt>: <>:l:><>,><~ ; >`>~>:t>> ,':l){>a 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 manufacturer may not be exceeded without ptior approval. Manhole covers exposed to grade have an effective locking device (padlock) installed. Piping at the inlet and outlet is of approved material, connected to the tank with watertight fittings, and laid on stable soil to prevent settling or sagging. The force main is sleeved with 4" Sch. 40 PVC to bridge the tank excavation and the sleeve is sealed watertight. Electrical service complies with NEC 300 and Comm 1b.2:i. Page o 02/05 L7 TOTAL DYNAMIC HEAD/CAPACITY HEAD CAPACITY CURVE PER MINUTE EFFLUENT AND DEvdATERING cr) MODEL 152/153 w MODEL 152 153 w w M 50 1 feet Meters Gol. Liters I Col. ; Liters 153 5 1.5 j 69 251 1 77 291 40 10 1 3.1 1 61 231 70 265 12 152 15 4.6 53 I 201 I 61 231 0 20 -i 6.? 44 167 ' 52 197 30 25 7.6 34 129 42 159 z 8 30 9.1 L 23 1 87 33 ' 125 zs5 20 3 - o I 40 I 12.2 ! 11 42 4 Lack Vcive: 138.0 i. 11. 6-n) 44.0 FL ('14,m) ciasoa 10 0 20 60 80 100 GALLONS /w LITERS 0 80 160 240 320 _ 27/32 I * 5/8---~ FLOW PER MINUTE CONSULT FACTORY FOR SPECIAL APPLICATIONS ! 2~/,2 • Timed dosing panels available. 3 27/32 Electrical alternators, for duplex systems, are available and supplied with a t an alarm. j ----r • Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable -F-~ level long and short cycle controls. i • Sealed Qwik-Box available for outdoor installations. See FM1420. • Over 130°F. (54°C.) special quotation required. I i L 1521153 Series 12 1/'8 1521153 MODELS Control Selection Model Volts-Ph Mode Am s Sim lex Du lex 5 t/8 N152 115 1 Non 8.5 1 2 or 3 i BN152 115 1 Aura 8.5 Included 2or3 1- i Imo- sK2064 El 52 230 1 Non 4.3 1 2 or 3 SE152 230 Auto 4.3 Inclu;ed 2 or 3 N153 -1-5-11 Non 10.5 1 2 or 3 BN153 115 1 Aura 10.5 included 2or3 SELECTION GUIDE E153 230 1 Non 53 1 2 or 3 1. Single piggyback variable level That switch or double piggyback variable level float LBE153 230 1 Auto 5.3 Included 2 or 3 switch. Refer to FM0477. & CAUTION 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 TO: P.O. BOX 16347 ville, KY 40256.0347 Manufacturersof.. sue' Louis Q SHIP T0: 3649 Cane Run Road Louisville, KY 40211-1961 Z a$~ Vim` ~ ® Q!!QL/TY PUMPS ,.5%NCf /~9.~19„ m <; r= (502) 778-2731 • 1 (800) 928-PUMP http://www.zoeller.com L Iff. FAX (502) 774-3624 © Copyright 2000 Zoeller Co. All rits reserved. ~ V- f/ 1 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILEINFORMATION SYSTEM SPECIFICATIONS Owner ; Septic Tank Capacity ~ - ~ al NA Permit # Septic Tank Manufacturer _ NA DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms L' ❑ NA Effluent Filter Model ❑ NA Number of Commercial Units. Pump Tank Capacity al ❑ NA Estimated flow (average) f Q Ada Pump Tank Manufacturer A Design flow (peak), (Estimated x 1.5) gal/day Pump Manufacturer Soil Application Rate ❑ NA l~ aUda /ftz Pump Model ❑ NA Influent/Effluent Quality Monthly average' Pretreatment Unit ❑ NA Fats, Oil & Grease (FOG) Sap mg/L ❑ Sand/Gravel Filter ` ❑ Peat Filter Biochemical Oxygen Demand (BODS) :5.220 mg/L ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 m /L ❑ Disinfection ❑ Other. Manufacturer Pretreated Effluent Quality Monthly average" Dispersal Cell(s) round (pressurized) Biochemical Oxygen Demand (BODS) S30 mg/L ❑ In-ground (gravity) ROMther: Total Suspended Solids (TSS) s30 mg/L ❑ At-grade ound Fecal Colifomt (geometric mean) S10` cfu/100m1 ❑ Dri ire Maximum Effluent Particle Size Y. inch diameter • Values typical for domestic (non-commercial) 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 (Y,) of tank volume Inspect dispersal cell(s) At least once every c ❑ months ar(s) (Maximum 3 yrs.) Clean effluent filter At least once every ❑ months ear(s) Inspect pomp, pump controls & alarm At least once every ❑ months ar(s) ❑ NA Flush lathrals and pressure test At least once every ❑ months ear(s) ❑ NA Other: At least once every ❑ months ❑ year(s) ❑ NA Other: 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, me.jmcal or pressurized POWTS components, pretreatgment components, and any other maintenance or monitoring at iritervals 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'zlntin„roducts or 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. 1'9 J 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 thrlt may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of thN 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 by 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 the 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 life of the P0VVT$: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation dralin (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 propejly and safety abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • Ali 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 su)il, 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 compli;ont replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption systelm. The replacement area should be protected from disturbance and compaction and should not be infringed upon by requhled 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 ruleti in effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technologl/ a holding tank may be Installed as a last resort to replace the failed POWTS. The site has not been evaluated to identify a sultable 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 At ast resort to replace the failed POWTS. ound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative face. Reconstructions of such systems must comply with the rules in effect at that time. <<WARNiNG>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE O~ A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name Phone L-2- 1 - C S~ Phone SEPTAGE SERVICING OPERATOR UMPER LOCAL REGULATO AUTHORITY Name Name r Phone r 1 J - Phone S This document was drafted in compliance with chapter SPS 383.22(2)(b)(1)(d)&(t) and 383.54(1), (2) & (3), Wisconsin Administrative Code. a7 W N r~: - ~ fig 1 f a i; j,( 2 I 7f, ~ f t~ r - i. i ~ f I 1 _ M v O of ' t O j { I 7 1 ri a I r _r 0./` c °a Q c U~ ~ N V p I I 3 ` O m 4 ~ t~ w { l ST. CROIX COUNTY SEPTIC TANK MAINTENANCE iGREF%IENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address e. Property Address t- (V ffication required from Planning & Zoning Dep anent for new construction) City/State Parcel Identification Nut-aber /0 LEGAL DESCRIPTION F r . ` Town of :c f. n Property LocationA~~ Y. ,~L~.~.~'/d ,Sec _ T N __W, Subdivision I i~ 1 Lot # Certified Survey Map # Volume Page # Warranty Deed # Volume , Page # -r ' Spec house yes i a Lot lines identifiable yes ? no F SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result m its pri-mature failure to handle wastes. Proper n amtenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pun;per. 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 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. Vwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with y standards set forth, herein, as set by the Department of Commerce and the Deparrrraent 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 this form are true to the best of my/our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number'of becOooms 1 z YGN er-APPLICANT(S) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Depart awnt. ' a x 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. 08/05) 85L&IBE5IL "Hd vlors M,a H- I01 Tms 7~ns voted auz KV'ld19AH1 N" ~vuxarrlo~ vc~n • a~nwvd-uvue ~ ivuL~msaa -0iM-39Vd ~ ~ ~ o e o M 0 0 _ uxoad I ~ ~ ~ II ~ a~ i r z ? x~ a.. - " - q~l ~I ~Il ' II. I it i ill O O U°8 ell ` i I I I I ~8 ~ I I ni I I I I ~ I 4 I - I I ® •t- I . ~ ga j Ili, 'I ~ I 's I i I ~ ill ~ n t r ig. Ful W 6 q I 3h I I ara I LI 'I A. 'Uce I v8 I ` i a II I I I I l _ _ - - k - as - - ' N 89L6-TSE S1L'Hd yip u~ sv~x ~oI cps I-S-mao z Nd'Id NOIZdQNf103 iw~xawwoo axon a~~wvd-ulnw.~Glm AomBYd § I ; I ~~N~QIS~2I 2i~MIH'I~Q 0 0 uxald a f SY` 1~€ ~I I Z I° o ~ o Z 0 I Q i 6', agg S e i I - A ~ I III I I ' - o - e I it ~II ~O 4 ~ ~i 3 S I~ 'i I I I I MCI , a' u, I r~~~A I li II I ; .I of ` I ' I O o I ` it I! II , e I - - - - - - _ 1_+ I I I I -~~GlE '1C~S REGEVVED Wisconsin Department of Commerce qC1 T h SOIL EVALUATION RE XAAvZKV 3PW 'age _ of Division of Safety and Buildings 'L'101 2`(T in accordance Comm 85, Wis. Adm. Code Attach complete site plan on papeof eyy In size. Plan must nry~ . ( include, but not limited to: v6 U&irri~rrence~ M), direction and Po ( Parce11.D. C percent slope, scale or dimensions, north arrow, and location and distance to nearest road.. J r~ Please print all information. Review by Date Personal information you provide may he used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). , s Property Owner Property Location 4 Govt. Lot it /t 1 /4 /4 S, T N R E ( W jq 4,el 4,3 Property Owner's MAddress Lot # Block # Subd. Name or CSM# City State Zip C e Phone Number ❑ C❑ Village T Nearest Road _ l ew Construction Llse; E esidential / Number of bedrooms Code derived design flow rate GPD ❑ Replacement &ublic or commercial - Describe: Parent material ` Flood Plain elevation if applicable ice-' hL ft. General comments and recommendations: System Type 1 ] 7_/ e, y LI y r - System Elevation F 1] Boring# F1 Boring Pit Ground surface elev. 2 , 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 Z Boring # Boring Pit Ground surface elev. C 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 s ~l f ~f s" t1~6 l r r Effluent #1 = BOD. > 30 < 220 mg/L and TSS >30 < 150 ' Effluent #2 = BOD, < 30 rrYA and TSS < 30 mg/L CST Name (Please Print) S- re CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1432 120th St, New Richmond, WI 5401 715-246-4516