HomeMy WebLinkAbout018-1099-40-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. CI'OIX
Safety and Building Division
INSPECTION REPORT Sanitary Permit No
GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: 597355
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)] 29'550335
Permit Holder's Name: City Village Township Parcel Tax No
BRIAN & JEANNE HUNT TOWN OF HAMMOND 018-1099-40-000
CST BM Elev: Insp. BM Elev: BM Descrip n: Q~ Section/Town/Range/Map No: ~#el Aw d64 09.29.17.850
TANK INFORMATION ELEVATION ATA
TYPE MANUFACTURER 1 CAPACITY STATION BS HI FS ELEV.
Septic t N . If 0 D _ Benchmark
to
Dosing O ~uMn r s" Alt. BM
- f 10 - Bldg. Sewer 401X'? o Ing S Inlet ?11,15-.6
S" ~fll1s p, ~2 , 2 J~
TANK SETBACK INFORMATION C S St/Ht Outlet
TANK TO WELL BLDG. Vent to Air Intake ROAD Dt Inlet
Septic ® y Dt Bottom
Dosing Header/ 2q'•~~Cj
• J►, 1 .
Aeration Dist. Pipe
3.~ 4
Holding Bot. System
Final Grade
PUMP/SIPHON INFORMATION
Manufacturer
Zoo Lv- Demand St Cover
GPM in Amp qq. r/
Model Number b N ` rA
TDH LiftT• Fricti n s System Head~•~ T •q,Ft
V (Q
Dist. to well
Forcemain LengttllC ) Dia.~1 1 1 F I
SOIL ABSORPTION SYSTEM
BED/TRENCH Width e~_, Lengt No. enches 7111 ENSIONS No. Of Inside Dia. Liquid Dept
DIMENSIONS I 57 k&k_e_~ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STRE LEACHING Manufacturer:
INFORMATION T Of tem CHAMBER OR
UNIT Model Num r:
yp QN0 19' 11051
DISTRI ON SYSTEM
Head an'rfoldl _ , IDist'i(bution , 1 Ix Hole Size It x Hole Spacin ` V to Air In k
Length Dia Length Dia_ Spacing , 3A0 1
U
SOIL C E t x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over Depth Over xx Depth of xx Seeded/Sodded Iched -A.
Bed/Tre c Ce Bed Trench Edges 1~ Topsoil 2. i
s E] No
COM TS: Include code cre encies, persons resent, etc. Inspection #1 f "a' r
P P ) Ins ct e n'#24*:
Location: 1048 174TH S~~
CIL-
1 Alt BM Description = Orj &q- L~- I "
2.) Bldg sewer length = 1LI t YAKA
- amount of cover = ~G P1W
- V ~s
Plan revision Required? Yes 10 No AA
Use other side for additional informaf
SBD-6710 (R.3/97) Q late Insepctor Signature Cert. No.
s} County
r 7 Safety and Buildings Division _ j
11 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.)
S a C~uN P Madlso¢l, UN1 5 07- 62
Sanitary Permit Anp+~1t_aLiv,_,< Le Transaction Number
In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit 1,- r
17
is required prior to obtaining a sanitary permit Note: Application forms for state-owned POWTS are submitted to Project Address (if different Than mailing address)
the Department of Safety and Professional Servies. Personal information you provide may be used for secondary
oses in accordance with the Priv Law, s. 15.04(I)(m), Stars. ~z'
1. Application Information - Please Print All Information Q t 1"
Propeny-gwnerIs Name Parcel #
l ~
( ~'1 tf l" _ 0C 0~7_ - ltd 7
Property Owners Mailing Address Property Location
C~7,~ t~.$f 5 V
C Govt Lot
21, State Zip de Phone Number Section
~4 1 Z ~',,~.;z_., J Ems( t _ T C- (I N, R (c Eor
CI. Type of Building (check all that apply Lgt-# "
2 Family Dwelling -
Subdivision Name
-Number of Bedrooms` ) ` I
0
Block #
0 PublicJCommercial - Describe Use
i b... . v~-._ ❑ City of _
0 State Owned - Describe Use CSM Number ❑ Village of
-7 p~ l Q Town of
111. Type, of Permit: (Cbeck only one box on line A. Complete line B if applicable) a I
A. S Ystem ❑ Replacement System
❑ Treatment/Holding Tank Replacement Only I Q Other Modification to Existing System (explain)
~
JI
B• ❑ Permit Renewal El Permit Revision 0 Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued
Before Expiration Owner
W. Type of POWTS System./Component/Device: (Check all that a 1 y - "
r J g
i0 0 Non-Pressurized Holding Tank In L1 - Other Ground Dispersal Pressurized
I
e (explain) 24 in. of suitable s°fi
Component ln-G (explain) vAt-Grade ' tmd 24 in. of suitable Pretreatment soil Dev❑ice Mound
V. Dis rsaUTreatment Area Information: Dfs'gn Flow (gpd) Design Soil Application Rate(..-~Sist) isrsea equirs1 ispersal Area Pr posed (VL Tank Info Capacity in
Total # of Manufacnuer
Gallons Gallons Units V
New Tanks Exiting Tanks i ~y c I v y m
Septic or Holding Tank 1 1 r-4,
TS')
t i
Dosing Chamber - -I 7 17
VII. Responsibility Statement- Zthfund'e-ign
ity for installation of the POWTS shown on the attached plans.
Plumber's Name (Print) MP(MPRS Number Business Phone N er
L Pliun er Address (Street City, Sta
teN Countv/De artment Use OApproved ❑ Disapproved- Permit Fee Datgissped Issuing~4gentSignature
/ 1 /
0 l
Owner Given Reason for Denial i
IX. Coaditi ason , or D' pproval i ! ('e✓ e .
1.:.S i tark, e~ OM' W r >
a%pe <s,i cell ! IuSt all be a>rJC?s !_n+'s..+nta; sc /
1 M.
as per ~nanayement plan p c, Ide 1 by plumber. 1 cn CAF G`J Cf ti~
f 2. AM 71~* recUreC^.enYS fllU'St be 1".'~c'i'nt; Ir;E
a$ Wf 9W§G btls radtn 1.;Mirnn01
Attach to compiele plans for the system and submit w the County only on paper not less than 8 1rz z 11 inches in sir J
SBD-6398 (R. 11/11)
System PLOT PLAN
PROJECT Brian Hunt ADDRESS 1415 Broadwav St. #23 Hammond Wi 54017
NE 1/4 SW 1/4S 9 /T 29 N/R 17 W TOWN Hammond COUNTY ST. CROIX
SYSTEM ELEVATION 98.4' 5/11/17 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 steel fence post ASSUME ELEVATION 100' Filter Lifetime Filter
❑ BOREHOLE O WELL *H.R.P. same as benchmark
386' Property Line
Scale = 1/4" = 10'
Well .to meet all WDNR setbacks
qo~ 97.4'
ro B - 1
B oom
us •
.
Huffcutt Combo
1.5 Acre Lot
Grading is to be done to B-3
divert run-off away
from system 7% Slope
Tank is to be properly bedded and provided with
lockdown covers with approved warning labels
Area 15' below
361' Property Line system is to remain
undisturbed
B-2
95
98 97' 96'
B.M.*
174th st.
' ~RTUE
_v- DIVISION OF INDUSTRY SERVICES
r ~
2331 SAN LUIS PL STE 150
GREEN BAY WI 54304-5211
Contact Through Relay
v S http://dsps.wi.gov/programs/industry-services
www.wisconsin.gov
~5sro~~ti Scott Walker, Governor
Laura Guti(?rrez, Secretary
May 23, 2017 ' PPP
F S
CUST ID No. 226900 ATTN., POWTS Inspector
s!) '
SHAUN R BIRD ZONING OFFICE
BIRD PLUMBING INC ST CROIX COUNTY SPIA
1432 120TH ST 1101 CAR-MICHAEL RD
NEW RICHMOND WI 54017-6409 HUDSON WI 54016-7708
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 05/23/2019 Identification Numbers
Transaction ID No. 2950335
SITE: Site ID No. 838444
Brian Hunt Please refer to both identification numbers,
1048 174TH St above, in all correspondence with the agency.
Town of Hammond
St Croix County
NEI/4, SWI/4, S9, T29N, R17W
FOR:
Description: Mound System Q Bedrooms - New Construction)
Object Type: POWTS Component Manual Regulated Object ID No.: 1708038
Maintenance required; 450 GPD Flow rate, 24 in Soil minimum depth to limiting factor from original Srade;
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 ;i
• With new construction; it is recommended not to activate the pump in the dose tank until the tanks are puwiiped
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
b
SHAUN R BIRD Page 2 5/23/2017
wet to prepare do not
the site is too wet to prepare If it crumbles site preparation can proceed. If the site is too
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(I)(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 chances 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 S 250.00
16eaf 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@wiscornsin.gov
SHAUN R BIRD Page 2 5/23/2017
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 resizina to meet
TDH and GPivl 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 p; rmits
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
,Zw &ev- This Amount Will Be Invoiced.
When You Receive That Invoice,
Tim Vander Leest Please Include a Copy With Your
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@wisconsin.gov
Cover Page
Shaun Bird
Bird Plumbing Inc.
1432 120th St.
New Richmond Wi 54017
715-246-4516
Date: 5/11/17
Owner:Brian Hunt
Location: NE1/4 SW1/4 S9 T29 N,R17W 1048 174th 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
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 Specificatiohs and cross section
Attachments: Soil T t
tea,
Shaun Bird
Signature _
License number 226900
"1' ` Page 1 of 9
System PLOT PLAN
PROJECT Brian Hunt ADDRESS 1415 Broadwav St. 423 Hammond Wi 54017
NE 1/4 SW 1/4S 9 /T 29 N/R 17 W TOWN Hammond COUNTY ST. CROIX
SYSTEM ELEVATION 98.4' 5/11/17 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 steel fence post ASSUME ELEVATION 100' Filter Lifetime Filter
❑ BOREHOLE O WELL *H.R.P. same as benchmark
386' Property Line
Scale = 1/4" = 10'
Well is to meet all WDNR setbacks
97.4'
Pro 3 B-1
Bedroom
House
Huffcutt Combo Tank
1.5 Acre Lot
Grading is to be done to B-3
divert run-off away
from system 7% Slope
Tank is to be properly bedded and provided with
lockdown covers with approved warning labels
Area 15' below
361' Property Line system is to remain
undisturbed
B-2
95
98 97' 96'
B.M.'
174th st.
Mound System Cross Section and Plan View
Dimension t ~
i
A
J
B
D
i
4 4.4.4.4.4.4.4.4.4.4.1.1.1•.
1 1
1.1.4.4.4.4.1•.
1 1.1•
1.1.1.1.1.1.4.4.4.1.1.1.1. .
1 1 1.1.4.1.1. .
1 L 1.1.1•°.•
I •r•!•!•J•J•J•J•J•J•J•J•J•J•r•r•r•J• .
!•!•J•J•J•J•J•!•!•J•J•
f•f-f•••r•f•r•r .
1.4.4.4.4• •4.1j1f1.1.1.L•1.tftf4f1.4.4.1.1.L.4.4.4.1t1~1:tirti: ti~trlfLftijtrtr1:1:1:ti:l:Srti~t~• 1.4.1:1.1.1.1• '
•T1!•f•J•J• I
A E
i
•~\~1~1:1:1:1:1ri:i:ti~y~
L 1
tier.
r•i~r~i1i1i~i:i•f•r• •
i1•ii4•iii~i~r~i:i:it•?:
F C
W
r_.
i
C".
G
Z S
H
I
I
i
r
i J
r
i
K
L
W 1.
K- i B 1 z
L Slo e %
1 = Topsoil = ASTM C-33 = Clean aggregate = 4 in. sch. 40 pvc
Cap Material sand fill 1/2 to 2 1/2 in. dia. 0 observation pipe
L -A
Geotextile G H
Fabric
! ;'rr
~r J f1.4.4.1. F ~ ~ rt
r J J •r•r•J•J
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.
10/071gj Page 5 of _
Pressure Lateral Layout
Two Laterals - End Manifold
4 Threaded
Cleanout
Lateral Turn-up Plug
Manifold
M
X -
? L Long
Force Main Sweep
90
t' Bend
Distribution Ne ork Specifications i Pressure System Construction
Lateral Diameter In.
Manifold Diameter In. Laterals are constructed of Schedule 40 PVC
Orifice Diameter 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. cleanout plug and are enclosed in a 6-8 inch
Force Main DiameterL In. diameter lawn sprinkler valve box accessible
Force Main Length ! Ft. from finished grade.
Grade
6-8 Inch Lawn
Sprinkler Valve
Box
Page of
03/05 lgj
j
Septic-Dose Wank Cross Section And Pump Performance Specifications
Tank Manufacturer Pump Manufacturer
Model Number Pump Model Number
Tank
Total Tank Capacity !7 Alarm Manufacturer
Max. Bury Depth Alarm Model Number
Switch'lype
Filter Manufacturer , A Total Dynamic Head (TDH) -Feet
Filter Model Number { ? r Elevation Head
Distal Pressure
Network Loss r'
Minimum Pump performance Required Force Main Loss
L ) GPM! I Ft TDH Total
Outlet Manhole Min. 4" Above Grade With
Locking Device. Inlet Manhole Manhole Min. 4" Above Grade
< 6" Below Grade Seated Watertight Securely Mounted With Locking Device
Weather-proof
Junction Box
- Finished Grade
Vent Min. 12" Disconnect
Above Grade Means
' With Vent Cap
yt ...r<>. iiri 'i 'a'<' i i r s r`. r > . r . > s • >
Qutlet Filter --~i -
Wet Baffle __4 i - - - -
Wet
A
Switch Settings and Reserve Capacity
GPI Weep
Tank Volume
' B Hole
Volume Gal.
Dimension Inches
(reserve) A
B 2. p Ele on C . .
(alarm.
r Ft
(dose) C - _ % Bottom
(dead) D Devion
. 1 l
Ft
Total
:;i.. .r.
c a < . < < < s s><y.y<rsr.y yya'..`i `>~s<:`~~ '<r a'~<y~'s'<'i ~'si < +'•'s's'i i < • <'i X.
GENERAL INSTALLATION: The septioldose tank is bedded and back filled in accordance with the
manufacturer's product approval specifications. Maximum depth of bury as specified by the tmufacturer may not ock)
be exceeded without Prior Wmval. Manhole covers exposed to grade have an effective locking de adl and
installed. Piping at the inlet and outlet is of approved material, connected to the tank with watertight fittings,
laid on stable soil to prevent settling or sagging. The force main is sleeved with 4" Sob. 40 PVC to bridge the tank
excavation and the sleeve is sealed watertight. Electrical service complies with NEC 300 and Comm 16.23.
~7,
Page of,
02/05 U
TOTAL DYNAMIC HEAD/CAPACITY
PER MINUTE
HEAD CAPACITY CURVE EFFLUENT AND DEWATERING
MODEL 152/153 Z
II MODEL i i52 I 15~
w
L'J
50 Feet ; Meters I Gal. I Liters I Col. Liters
5 1 5 I 69 251 77 291
153
10 3. ; 61 231 I 70 265
12 40 152 '15 4.6 53 201 61 231
f
52
w 6.1 I 44 167 197
30 25 7.6 34 129 I 42 5y
~ 30 9.1 23 87 i 33 125
Z 8 i i ! ,i 50 li
20
Q
o _ 40 i 12,2 11 ~ 42 !
~ ` _xK Voive: 133.0 i. (11.6m1'i44.0 Ft. ( 3.4
014508
I~ 10
'I
i
I
0
20 G 60 80 100
GALLONS - - 6 1/4
LITERS O 80 160 240 320 _ 27/321
FLOW PER MINUTE
3 27/32
CONSULT FACTORY FOR SPECIAL APPLICATIONS
3 27/32
• Timed dosing panels available. a
Electrical alternators, for duplex systems, are available and supplied with I
i
an alarm.
• Variable level control switches are available for controlling single phase
systems.
• Double piggyback variable level float switches are available for variable -j- it
level long and short cycle controls.
• Seated Qwik-Box available for outdoor installations. See FM1420.
• Over 130°F. (54°C.) special quotation required.
i~
152J153 Series 12 1/5 -1 ~I -r
1521153 MODELS Control Selection
I a t/o
Mode! Volts-Ph Mode Am s Sim lex I Du Iex
N152 115 1 Non 8.5 1 2 or 3 I ! SK2064
BN152 115 1 Auto 8.5 Inciuied 2or3 t
E152 230 1 Non 4.3 1 2 or 3
BE 15,2 230 1 Auto 43 Included 2or3 1
N153 115 1 Non 10-5 1 2or3 SELECTION GUIDE
BN153 115 1 Auto 10.5 nclu-ied -r 2 or 3~
E153 230 1 Non 5.3 1 ~ _ 1. Single piggyback variable level float switch or double piggyback variable level float
BE153 230 1 Auto 5.3 Included 1 2 or 3 switch. Refer to FM0477.
most 2. See FM0712 for correct model of Electrical Ahemator E Pak
Ali installation of controls, protection devices and wiring should be done by a qualified 3. Variable level cor r
licensed electrician. All electrical and safety codes should be followed including the or (4) float Syster
recent National Electric Code (NEC) andthe 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 70: P.O. BOX 16347
Louisville KY 40256-13341 Manufacturersof..
- SHIP 70: 3649 Cane Run Road ~7 L~ X70
Zo _ e Louisville KY 40211-1961 QlldL/TY! UMPS J/NCf ~~JO
a p (502)178-2731.1(800) 928-PUMP
Nf'IIMP Cl1_ FAX (502) 714-3624
http;//www.zoeller. corn
O Copyright 2000 eller Co All rights reserved.
I POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page-of
FILEINFORMATION SYSTEM SPECIFICATIONS
al NA
Ee:rrt Septic Tank Capacity
Septic Tank Manufacturer ❑ NA
DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA
Number of Bedrooms'! ❑ NA Effluent Filter Model r ❑ NA
Number of Commercial Units _ NA Pump Tank Capacity al ❑ A
Estimated flow (average) 7- al/day Pump Tank Manufacturer NA
Design flow (peak), (Estimated x 1.5) f gal/day- Pump Manufacturer 7 ❑ NA
Soil Application Rate r! al/da /W Pump Model 103 NA
Influent/Effluent Quality Monthly average' Pretreatment Unit
Fats, Oil & Grease (FOG) 530 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter
Biochemical Oxygen Demand (BODS) 420 mg/L ❑ Mechanical Aeration ❑ Wetland
Total Suspended Solids (TSS) 5150 m /L ❑ Disinfection ❑ Other.
Manufacturer
Pretreated Effluent Quality Monthly average" Dispersal Cell(s)
Biochemical Oxygen Demand (BOD5) S30 mg/L ❑ In-ground (gravity) qJn-ground (pressurized)
Total Suspended Solids (TSS) 530 mg/L ❑ At-grade ?rd
Fecal Coliform (geometric mean) 510` cfu/100ml ❑ Driine 11 Other.
Maximum Effluent Particle Size Y. inch diameter Values typical for domestic (non-commerclap 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 r(s) (Maximum 3 yrs.)
Pump out contents of tank(s) When combined sludge and scum equals one (Y,) of tank volume
Inspect dispersal cell(s) At least once every ❑ month s-- ar(s) (Maximum 3 yrs.)
Clean effluent filter At least once every ( ❑ months- r(s)
Inspect pump, pump controls & alarm At least once every ❑ months r(s) ❑ NA
Flush latierals and pressure test At least once every ❑ months ar(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, mechinlcal or pressurized POWTS components, pretreattment components, and any
other maintenance or monitoring at irftervals 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 concentrations 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 bo
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 thle
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 POWT,I3:
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 productls;
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 properly
and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code,
• All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed.
• The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator.
• After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil,
gravel or another inert solid material.
CONTINGENCY PLAN
If the POWTS falls and cannot be repaired the following measures have been, or must be taken, to provide a code compliant
replacement system:
❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system.
The replacement area should be protected from disturbance and compaction and should not be infringed upon by requitjed
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 rules/ 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.
-?",site has not been evaluated to Identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation
r must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed, as
a last resort to replace the failed POWTS.
Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative
su a . 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 ANDJOR 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 `j j j~~ Phone "_r L
SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHOR
Name
'
Phone Phone
This document was drafted in compliance with chapter SPS 383.22(2)(b)(1)(d)&(i) and 383.54(1), (2) & (3), Wisconsin Administrative Code.
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ST. CROIX COUNI'Y
SEPTIC TANK MAINTENANCE _,kGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer
Mailing Address Q~~
i
Property Address`-
(Verification required from Planning & Zoning Departs t fq new construction.)
City/State Parcel Identification Nut-aber
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LEGAL DESCRIPTION
Property LocationrJ '/4 , Sec. I , T N R ! f W, Town of
Subdivision Lot #
Cerdfiied Survey Map # , Vc lume , Page # _
Warranty Deed # Volume r--. , Page #
Spec house yes l / Lot lines identifiable 6es 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 tbree years or sooner, it 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 was tie 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, signet} 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.
Vwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the
standards set forth, herein, asset 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 Deparhment 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.
_ Num r of bedrooms*---'
J,i;oll 7
SIGNATURE OF APPLICANT(S) DATE
***Any information that is misrepresented ncay 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 Ufce and a copy of the certified survey map if
reference is made in the warranty deed.
(REV. 08/05)
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Wisconsi 'Dlnm'erc~e SOIL EVALUATION REPORT Page of
Division o nd Buildings
(ST - "LO
M n`~ in accordance with Comm 85, Wis. Adm. Code Coun
Attach complele~6~t~ plain on of les than 8 1/2 x 11 inches in size. Plan must
include, but not lim' t~ ntal reference point (BM), direction and Parcel I.Q.
percent slops , north arrow, and location and distance to nearest road.
VNx Revie ed by Date
Please print all information. t _
Y Y secondary purposes (Privacy Law, s. 15.04 (1) (m)).
Personal information you provide may be used for seconds
Property Owner Property Location
/ r r Govt. Lot r/ 1 /ic. 14 S; T Z;IN R/ E( W
Property Owner's Mailing Ad %W Lot # Block # S . Name CSM#,,
City State Zip Code Ph Number ❑ City C] Village Nearest aW
O-New Construction Use: [?~-Residential / Number of bedrooms Code derived design flow rate ya GPD
❑ Replacements ❑ Public or commercial - Describe:
Parent material . , Flood Plain elevation if applicable
General comments
and recommendations:
yFf k
System Type /Syi! r ~2 ll System Elevation
Boring # IE]~ Boring
Pit Ground surface elev. ~ ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
2 fi ~t j r
Z
-r+^, i
Boring # ❑ Boring
® Pit Ground surface elev.
ft. Depth to limiting factor "i 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
31z- j- dv-i 1 J
s
Effluent #1 = BOD. > 30 < 220 mi and TSS >30 < 150 mg/L ' Effluent #2 = BOD, < 30 nvA and TSS < 30 mg/L
CST Name (Please Print) Si re CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address ( Date Evaluation Conducted Telephone Number
1432 120th St, New Richmond, WI 54017 ' 7 715-246-4516
Property Owner _ Parcel ID # Page of
M Boring # ❑ Boring
Eg Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
-FI o 21 AM 0
7
F-1 Boring # ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
Boring # Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
F-1
Soil Applicab Rate
Horizon ')epth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/fF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2
Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mgA- • Effluent #2 = BODS < 30 mg/- and TSS < 30 mg/L
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777.
SB0.8330 (8.6/00)
Property Owner _ Parcel ID # Page of
Boring # Boring
Pit Ground surface ft. Depth to limiting factor in. Soils Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. /Munsell/ Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
Boring # ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Soil APPlication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
F-1 Boring # ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Horizon ')epth Dominant Color Redox Description. Texture Soil ication Rate
Structure Consistence Boundary Roots GPD/fP
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
Effluent #1 = BODS > 30 -1220 m91L and TSS >30 < 150 mg/L ' Effluent #2 = BODS < 30 mg/_ and TSS 130 mg/L
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777.
seo-8330 trt.rvoo>
Soil Test Plot Pla
Project Name Brian Hunt S
Address 1415 Broadway St. #23
Hammond Wi 54015 ; CSTM #226900
Lot 40 Subdivision Pheasant Ridge 1st Da re 5/11/17
NE 1/4 S W 1/4S 9 T 29 N/1317 W Township Hammond
Boring 0 Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of steel fence post
System Elevation 98.4' *HRPSame as Benchmark
Scale = 1/4" = 10' Scale is F = 40'
1.5 Acre Lot unless otherwise 386' Property Line
noted
B-1
B-3
7% Slope
B-2
361' Property Line 95
98' 7 96'
B.M.*
174th st.
Wiscinsin Department of Commerce SOIL EVALUATION REPORT Page _ of
Division of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code
County c C
Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must
include fiat not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D.
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. A0 l Q CJC/~'
Please print all information. viewed by Date
.
Personal information you vide m y be used (ors nd purposes (Privacy Law, s. 15.04 (1) (m)) I 54 1 fl,
Pro pert y Owner Property Location
_ I I I' L,) Govt. Lot L_ 1145k 1 1/4 S T 2 % N R E (or(-W)
Property Owner's Mailing Address Lot # Block # Subd. Name or CSM#
`hw + k_(cig T✓-I dd
(C`I r C) ° 1 Imo-' 4 0
City State Zip Code Phone Number ❑ City ❑ Village fiU Town Nearest Road
W-1
L ~t t
Ej4 New Construction Use: [~a Residential I Number of bedrooms Code derived design flow rate GPD
❑ Replacement ❑ Public or commercial - Describe:
Parent material Flood Plain elevation if applicable fl
General comments j_ 0 L c" .//r r f
and recommendations:/ /
V ~I 44JJ - / n feJP
v T
Q C/
❑ Boring #
cal Pit Boring
~ _60_ ft. Depth to limiting factor---- in.
Ground surface elev. 9(c
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDtfF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
2_ 12 - 36 1b Jt_ '~bk rr~ c) r _lt
14 C>
c_( 4 -i~ ( 511 C Z J y C. L_ aEiY
Boring # Boring
pit Ground surface elev. 7 J~ ft. Depth to limiting factor _ 1 CJ - in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
r
d! 10 .1 r- 3 5 f I 1 Y- it
7 I-Z
YY)
Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg1L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) ig ature ST Number
25330
Address Date Evaluation Conducted Telephone Number
Zll
Property Owner(-L 6-- r ~~q l`~ Il 'V U jI Parcel ID #
- Page of
Boring # C-
F, 5-1 ❑ Boring
Cis a~ J~
°®•pit Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
1 C~ l 2 (Ow i 1 ~mr#bK m~ r l ( KJ
Z 12- C Sc. 2n c C -
10 c l 2i'YlSY ti' c - ~l
-5 J6 Boring # ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Soil A lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft'
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
❑ Boring
Boring # Ground surface elev. ft. Depth to limiting factor
El Pit in.
Soil Application Rate_
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
` Effluent #1 = BOD5 > 30 < 220 mg/L and TSS >30 < 150 mg/L " Eff luent #2 = BODS < 30 mg/L and TSS < 30 mg/L
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777.
SBD-N330 (R.07/00)
t
Property OwneruSrt~m lr U4 Parcel ID # Page of
Boring # ❑ Boring O
Pit Ground surface elev.Q_-_ 50 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
1 0-12 (Q Sr I Zwbk
2 r2_ 50 ZW bk r C -
Boring # Boring
F-1 ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil A lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#l 'Eff#2
❑ Boring
❑ Boring # Ground surface elev. ft. Depth to limiting factor---- -in.
❑ Pit Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence BoundaryRoots GPD/ftZ
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
Effluent #1 = BOD5 > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777.
SBD-6330 (R.07/00)