HomeMy WebLinkAbout030-2056-30-000 I
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No
(ATTACH TO PERMIT) 597372
GENERAL INFORMATION State Plan ID No
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)] 2937847
Permit Holder's Name: City Village Township Parcel Tax No
ROBERT DYBVIG TOWN OF SAINT JOSEPH 030-2056-30-000
CST BM Elev: Insp. BM Elev: BM escription JrAijw W1 1 Section/Town/Range/Map No:
27.30.20.553
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic LE V - 1 P IF / l Benchmark /1' /1 Ll
/X, 160,0
Dosing bmbb (lot I IttB kit Xj 3 Ss 100,19 ,
F I L111L.. Pal to k CJ Bldg. ewer 10 C/o, 33
Hnldiap IIN' r U m 1" (0 Ht Inlet 7
YJ St/Ht Outlet
IIL TANK SETBAC I ORMATION
TANK TO P/ WELL BLDG. Vent to Air Intake ROAD Dt Inlet
Septic '52-V / Dt Bottom
Dosing Header/M.A.
era
Aerate Dist. Pipe '
Holding Bot. System / / 7•
PUMP/SIPHON INFORMATION Final Grade
Manufacturer 01 - Demand
v
GPM , Lld
Model Number
TDH Friction W System Head , T41 ~7•
Forcemain Le Dia of Dist. to well 1
SOIL ABSORPTION SYSTEM AVYVV14CCI 01_ eC ~j A,
' r
BED/TRENCH Width d hIT DIMES No. Of PtInside Dia
Liquid Depth DIMENSIONS q ` 12 L_3~ / \ a
SETBACK SYSTEM TO P/ BLDG J WELL LAKE/STREAM LEACHING Manufacturer:
INFORMATION Ty f ystem CHAMBER OR
J 6 f~ J~ UNIT Model Number:
en, C
DISTRIBUTION SYSTEM r
eader/Manifold' Distribution L Hole Size
N - I j x Hole Spacing Ven o Air Intake
9 I~L Pipe(s) l rS lH ~tsr J
Len th Dia Len th Dia Spacing
-2 101011k,
SOIL COVE x Pressure Systems Only xx Mound Or At-Grade Systems Only 004,
Depth er Depth Over xx Depth of p xx Seeded/Sodded xx Mulch d
Bed/Tre C Bed/Trench Edges > f Topsoil ) f Z
f '^7 ` ;}G~Yes No Yes No
COMME S: clude code discrepencies, persons present, etc.) Inspection #1: / I 1 VIC+169 Inspection #2:
Location: 1354 EGARD ST 0-190- i
1.) Alt BM Description= r L 1 SPS ~L 1~>,Azw1 • v C)/t -Pm) ILL, ~
2.) Bldg sewer length = f D (\t P
- amount of cover
7H2''o~ Covelr on 00k Plan revision Required? C Yes No
Use other side for additional information. _ L~
SBD-6710 (R.3/97) Date $/Insepct Signature Cert. No.
Ilk
County
Safety and Buildings Division C. -e
C~ )
Q / 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.)
S P ,SUN Q `l 2'0d 1 1r M C417-7162
'5~9 7 37Z
_ g7 Ct01X COUNTY
uENELOPKENT State Transaction Number
^M~}
anitary Permit ~rl Z937S`f
In accordance with SPS 383.21(2), Wis. Adm. Code• submission of this form w mental unit
is required prior to obtaining a sanitary permit. Note: Application forms for state-o" ned r... submitted to Pro Address (if different than mailing address)
the Department of Safety and Professional Servies. Personal information you provide may be used for secondary purposes ~p
in accordance with the Privacy Law, s. 15.04(1 )(m), Stats. '~~O~Cf C<
1. Application Information - Please Print All In r ion
Property Owner's Name
. ^ I Parcel #030 ~ / 5 ,_5/- . CG C .r
Property Owner's Mailing Addres' Property Location
Govt. Lot
City, State Zip Code Phone Number
Section
/fLT7 ~Z~s T N: R IF:~r;,'
If. Type of Building (check all that apply) Lo
~I or 2 Family Dwelling -Number of Bedroo s Subdivision Name
Block #
❑ Public Commercial- Describe Use /
❑ city of
CSM Number Village of '•l f j- I
❑ State Owned - Describe Use
C X Town of 36040VE r 4- n OW& (0 1 ft
111. Type of Permit: (Check only one box on line A. Complete line B if applicable)
A.
❑ New System , Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain)
B. ❑ Permit Renewal ❑ Permit Revision List Previous Permit Number and Date Issued
❑ Change of Plumber ❑ Permit Transfer to New
Before Expiration Owner
IV. Type of POWTS System/Component/Device: (Check all that apply)
n_ I
❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil
❑ Holding Tank ❑ Z r Dispersal Component (explain) ❑ Pretreatment Device (explain)
V. Dispersal/Treat ent Area Information:
Design Flow (,-pd) Design Soil Application R gpdsf) Dispersal Area Require sf) Dispersal Area Prop e~ System ElevatLpff
V . Tank Info Ca acity in Total # of Manufacturer
Gallons Gallons Units v
Ne\\ Tanks Existing Tanks 3 .9 5
WA6 t,
Septic or Holding Tank ,g
Dosing Chamber
VII. Responsibility Statement- t, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans.
Plumber's Name (Print) Plumber's Signature MP/MPRS Number Business Phone Number
Plumber's Address (Street.. City, State, Zip Code)
VIII. ount •/De tment Use Only /7
X pprovcd sapprov Permit Fee D;le Issuing A t Signature
iven Reason r Denial S '
-7 V/__~
IX. Condi eason for Disapproval \
.Must k"VWM4fK*VWC'M
1*0lf #WAp tNti! Ow pror4ftd by plumber.
ll •
2. ~~k` ~rM,ul:t,e I~Iattt~ rc,Ed
IN PW sopkah coft / treiirl arm. d dt •S ~p a
Attach to complete plans for the system and sub it to the County only o paper notleless sth 8 l2 x I 1 inches in size
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~ati7.tir DIVISION OF INDUSTRY SERVICES
Fes- F`A'T
3824 CREEKSIDE LN
HOLMEN WI 54636-9466
Contact Through Relay
` 0 5 2017 http://dsps.wi.gov/programs/industryservices
, JUN 'V I
Ito' www.wisconsin.gov
~~ossro Scott Walker, Governor
Laura Guti6rrez, Secretary
June 02, 2017
CUST ID No. 225410 ATTN: POWTS Inspector
PAUL R KOEHLER ZONING OFFICE
COUNTRYSIDE PLUMBING & HEATING INC ST CROIX COUNTY SPIA
321 WISCONSIN DR 1101 CARMICHAEL RD
NEW RICHMOND WI 54017 HUDSON WI 54016-7708
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 06/02/2019
SITE: Identification Numbers
Robert Dybvig Transaction ID No. 2937847
1354 Edgard St Site ID No. 797308
Town of Saint Joseph, 54017 Please refer to both identification numbers,
St Croix County above, in all correspondence with the agency.
NE1/4, SW1/4, S27, T30N, R20W
FOR:
Description: Three Bedroom GSF Mound System / Sloping site
Object Type: POWTS Component Manual Regulated Object ID No.: 1703516
Maintenance required; Replacement system; 450 GPD Flow rate; 36 in Soil minimum depth to limiting factor
from original grade; System(s): GSF Mound Component Manual, (8/16); 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 CONDITI
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 APPR
requirements. DEPT OF 5
No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s. 145.06PROFESSION
stats. E)IMSION OF INDO
The following conditions shall be met during construction or installation and prior to occupancy or use:
Reminders
• A sanitary permit must be obtained from the county where this project is located in accordance with the ErE CORR
requirements of Sec. 145.19, Wis. Stats.
• Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with
the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats.
• A state approved effluent filter is required. Maintenance information must be given to the owner of the tank
explaining that periodic cleaning of the filter is required.
• All POWTS component piping material shall be SPS 384, Wis. Adm. Code compliant.
• The area within 15' downslope of the dispersal cell shall remain undisturbed. Vehicular traffic, excavation or
soil compaction is prohibited in this area.
• 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.
PAUL R KOEHLER Page 2 6/2/2017
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.
• The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS
occurs in accordance with this chapter and the approved management plan under s. 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.
• The owner is responsible for submitting a maintenance verification report acceptable to the county for
maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized
in the POWTS.
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.
SiOerard erely, Fee Required $ 250.00
This Amount Will Be Invoiced.
M Swim When You Receive That Invoice,
POWTS Plan Reviewer, Division of Industry Services Please Include a Copy With Your
(608)789-7892, Mon - Fri, 7:15 am - 4:00 pm Payment Submittal.
jerry.swim@wisconsin.gov WiSMART code: 7633
cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm
PAUL R KOEHLER Paee 2 6/2/2017
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.
• The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS
occurs in accordance with this chapter and the approved management plan under s. 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.
• The owner is responsible for submitting a maintenance verification report acceptable to the county for
maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized
in the POWTS.
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.
erard M Swim When You Receive That Invoice,
POWTS Plan Reviewer, Division of Industry Services Please Include a Copy With Your
(608)789-7892, Mon - Fri, 7:15 am - 4:00 pm Payment Submittal.
jerry.swim@wisconsin.gov WISMART code: 7633
cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm
I
GSF WI MOUND DESIGN PROGRAM
INDEX AND TITLE PAGE
Project Name: ROBERT DYBUIG
Owner's Name: ROBERT DYBUIG
Owner's Address: 1354 EGARD ST
HOULTON WI
Legal Description: NW 114 SW1/4 S27T30R20W
Township: STJOESPH
County: ST CROIX
Subdivision Name: VILLAGE OF HOULTON
Lot Number: 3 Block Number: 6
Parcel I.D. Number: 030-2056-30-000"''' g -Y
Plan Transaction No.: AND
Pagel Index and title VICES
Page 2 Data entry STRY SERVICES
Page 3 GSF mound drawings
Page 4 Lateral and dose tank
Page 5 Distribution media
Page 6 System maintenance specifications
Page 7 Management and contingency plan
Page 8 Pump curve and specifications
PAGE 9 I PLOT PLAN
PAGE 10 SOIL TEST
Designer: PAUL KOEHLER License Number: 225410
Date: 5/26/2017 Phone Number: 7152462660
Signature:
Designed Pursuant to the
GSF Mound Component Manual (N. 08/16), and
SSWMP Publication 9.6 Design Pressure Distribution Networks for STSAS (01/81)
GSF Mound Version 1.10 Pagel of 10
GSF WI MOUND DESIGN PROGRAM
DATA ENTRY
Site Information
R Residential or Commercial Design Number of Bedrooms (optional)
450 Design Flow (gpd)
1.0% Site Slope
96.30 Installation Contour Line Elevation (ft) 120.00 Contour Length Available (ft)
36 Depth to Limiting Factor (in)
1.0 In-Situ Soil Application Rate (gpd/ft2) EFF #2
Distribution Cell Information
B43 Unit Used
6 Cell Width (ft) 3, 4, 5, 6, 8, 9 or 10 61 = Dispersal Cell Length (ft)
2.0 Dispersal Cell Design Loading Rate (gpd/ft2)
2 Influent Wastewater Quality Are the laterals the highest point
in the distribution y
Pressure Distribution Information network? Enter Y or N
e Center, End or No Manifold (Pump to Gravity)
0 Lateral Spacing If N above, enter the elevation (ft)
1 Number of Laterals of the highest point. u
0.125 Orifice Diameter (in) (e.g. 0.25)
1.9 Estimated Orifice Spacing (ft) = 11.81 ft2/orifice
2 Forcemain Diameter (in)
250 Forcemain Length (ft) Does the forcemain drain back? 0
88.3 Inside Pump Tank Elevation (ft)
6.50 System Head (ft) x 1.3 40.78 Forcemain Drainback (gal)
r ' 8.58 Vertical Lift (ft) 47.71 5x Void Volume (gal)
1.00 Friction Loss (ft) 88.49 Minimum Dose Volume (gal)
16.08 Total Dynamic Head (ft) 12.77 System Demand (gpm)
Lateral Diameter Selection Manifold Diameter Selection
in. diam. options choice in. dia. options choice
0.75 1.25
1.00 1.50
1.25 x 2.00
1.50 x 3.00
2.00 x x
3.00 x
Gallons/Inch Calculator
Septic Tank Information Total Tank Capacity (gal)
1000 Septic Tank Capacity (gal) Total Working Liquid Depth (in)
Wieser Manufacturer gal/in
Dose Tank Information Effluent Filter Information
600 Dose Tank Capacity (gal) Pol lock Filter Manufacturer
11.82 Dose Tank Volume (gal/in) 525 Filter Model Number
Wieser Manufacturer
Project: ROBERT DYBUIG Page 2 of 10
GSF WI MOUND DESIGN PROGRAM
GSF MOUND DRAWINGS
Mound Plan View
i r
J' 3
i
A 5
W
3
B
K
K
L
Mound Component Dimensions
A 6.00 ft E 12.72 in H 1.00 ft K 7.84 ft
B .00 ft F 7.00 in 1 6.63 ft L 76.68 ft
D 12.0 G 0.50 ft J 6.07 ft W 18.70 ft
366.00 (ftz) Dispersal Cell Area 770.36 (ft2) Basal Area Available
7.38 (gpd/ft) Linear Loading Rate 6.10 (ft) 1/10 B Obs. Pipe Placement
/l
Finished ~v
Grade 98.88 (ft) *
n4 G H 97.88 (ft)
F Lateral Invert
Dispersal Cell
~
97.30 (ft) Elevation
Dispersal Cell
3
Elevation' 3
96.30 (ft) . < ;
Contour"'.
Elevation 1% Site Slope
Shading Key Typical Dispersal Cell
1 Topsoil Cap ro a See Page 5
2 Subsoil Cap o C 2 ft Geotextile
3 I ASTM C33 Sand Fabric ► -
4 Tilled Layer m
5 GSF Media N F 5 lz~ IT 0 0.5 ft 1
A
See details on page 4 for number, size and spacing of laterals.
Laterals are located in the 4" gravity distribution pipes as shown on page 5.
Project: ROBERT DYBUIG Page 3 of 10
i
I
i
GSF WI MOUND DESIGN PROGRAM
LATERAL AND DOSE TANK
End Connection Lateral Layout Diagram
Place Appropriate Lateral Diagram From Right Below
• = Turn-up w/ball valve or deanout plug
P
X '
Laterals & force main of PVC Sch 40
1 st orrifice located at Z Orifices point up except every (per COMM Table 84-30-5)
5th one points down for
drainage.
Numbers of Laterals 1.00 Orifice Diameter 0.13 in
Lateral Diameter 2.00 in Orifice Spacing (X) 1.95 ft
Lateral Length (P) 59.25 ft Orifices per Lateral 31.00
Lateral End (Z) 0.75 ft Orifice Density 11.81 ft1/orifice
Lateral Spacing (S) 0.00 ft Manifold Length 0.00 ft
Lateral Flow Rate 12.77 gpm Manifold Diameter N/A in
System Flow Rate 12.77 gpm Forcemain Velocity 1.30 ft/sec
58.5 Pump Off Height 12 in
Dose Tank Information
Locking cover with vraming
-label and locking device, and
Electrical as per NEC 300 sealed ,watertight
and Comm 16.28 VIZriC i .............._.T^ ~
4 in. min.
Disconnect ,
/ . Alternate outlet location
Tank component is properly vented Z
i
- - - ~ ~ -
er
- L Forcemain diaz in
Wieser Manufacturer ti',
Capacity 600 Gallons A
Volume 11.82 gal/inch Vlkephole or
anti-siphon deice
B
Dimension Inches Gallons
A 29.2748808 346.0291 j
8 2 23.64 Pump off elevation (ft)
C 7.48654053 88.49091
D 12 141.84 i _ 89.3
Total 50.7614213 600 D_
Dose tank elevafion (ft)
Min. 3' Bedding under tank. 88 3
Alarm Manufacturer SJ ROMBUS
Alarm Model Number I PS PATROL
Pump Manufacturer GOULDS
Pump Model Number WED 5
Pump Must Delivery 12.77 gpm at 16.08 ft TDH
Project: Page 4 of 8
GSF Distribution Cell Media Layout
Cell Width (ft) OSidewall to Lateral (ft)
Distribution Cell Cross-section Arrangements
Drag appropriate drawing to space below.
J
D
6 ft Vide B43
G~
Component Legend /J
r
fit; E ASTM C33 Sand/Mound Sand
A42 or 643 Module
Lateral
Turnup (contained in Turnup Enclosure)
Distribtion Cell Pland View Layout - Typical
6 ]Cell Width - A (ft) 61.00 Cell Length - B (ft)
15 B43 Modules Required per Row
15 B43 Total Modules Required
End Connection Later Layout Diagram
Drag appropriate drawing from left to space below.
FORCE MAIN
4 FT WIDE
END
CONNECTION
Project: ROBERT DYBIVG Page 5 of 8
GSF WI MOUND DESIGN PROGRAM
SYSTEM MAINTENANCE SPECIFICATIONS
I
Mound System Maintenance and Operation Specifications
Service Provider's Name COUNTRYSIDE PLUMBING 1P1hone 715-246-2660
POWTS Regulator's Name PAUL R KOEHLER Phone 715-246-2660
System Flow and Load Parameters
Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in
Estimated Flow - Average 300 gpd Maximum BODS 30 mg/L
Septic Tank Capacity 1000 gal Maximum TSS 30 mg/L
Soil Absorption Component Size 366 ft` Maximum FOG 10 mg/L
Maximum Fecal Coliform 10E4 cfu/100 mL
Service Frequency
Septic and. Pump Tank inspect and/or service once every 3 years
Effluent Filter Should inspect and clean at least once every 3 years
Pump and Controls Test once every 3 years
Alarm Should test monthly
Pressure System Laterals should be flushed and pressure tested every 1.5 years
Mound Inspect for ponding and seepage once every 3 years
Other
Miscellaneous Construction and Materials Standards
1. Observation pipes are slotted and materials conform to the standards, have a watertight cap, and are secured in a as
shown in the Eljen mound component manual.
2. Dispersal cell media conforms to Eljen products approved for use with the Eljen Mound Component Manual approved
August 2016. Eljen media is covered with the manufacturers geotextile fabric.
3. All gravity and pressure piping materials conform the requirements in the state code.
4. Tillage of the basal area is accomplished with a mold board or chisel plow.
S. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost
penetration.
Lateral Turn-up Detail
6 - 8" DIAMETER
LAWN SPRINKLER
FINISHED GRADE- - -
THREADED
LATERAL ENDS AT LAST 4" PERFORATED PIPE CLEANOUT PLUG
ORIFICE WHERE VARIABLE 4" END
LENGTH CLEANOUT BEGINS CAP LONG SWEEP 90 OR
TWO 45 DEGREE BENDS
SAME DIAMETER
AS LATERAL
DISTRIBUTION LATERAL LATERAL CLEANOUT
Project: Page 6 of 8
Mound System Management Plan
General
This system shall be operated in accordance with SPS 82-84 Wis. Adm. Code, and shall maintained in accordance with its'
component manuals Eljen Mound Component manual August 2016 and SSWMP Publication 9.6 (01/81)] and local or state
rules pertaining to system maintenance and maintenance reporting.
No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death.
Septic and pump tank abandonment shall be in accordance with SPS 83.33, Wis. Adm. Code when the tanks are no longer
used as POWTS components.
Septic or pump tank manhole 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 a tank or component.
Septic Tank
The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of
the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank
and outlet filter shall be assessed at least once every 3 years by inspection.
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 continuously. Intermittent filter alarms may indicate
surge flows or an impending continuous alarm.
The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid
volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel
shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge
accumulation in the tank.
The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if
such products are used they shall be approved for septic tank use by the Department of Commerce.
Pump Tank
The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to
verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary-
Mound and Pressure Distribution System
No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound
shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic
(other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the
infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather
installations (October-February) dictate that the mound be heavily mulched as protection from freezing.
The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each
lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be
compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is
required to maintain equal distribution within the dispersal cell.
Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the
owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent
monitoring,
Contingency 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.
If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be
immediately repaired or replaced with a component of the same or equal performance.
If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired
or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged
absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system
into proper operating condition.
See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider.
Project: Page 7 of 8
il~
50 HZ Wastewater
APPLICATIONS MOTORS
Specifically designed for the following uses: • Fully submerged in high-grade turbine oil for lubri-
• Homes • Schools cation and efficient heat transfer.
• Farms • Hospitals • Class B insulation
• Trailer courts • Industry Single phase (50 Hz):
• Built-in overload with automatic reset.
• Motels • Effluent systems • All single phase models feature capacitor start
SPECIFICATIONS motors for maximum starting torque.
•'/3 and 112 HP - 16/3 SJTOW with bare leads.
Pump: • 1-1'/z HP - 14/3 STOW with bare leads.
• Solids handling capabilities. 3/4" maximum Three phase (50 Hz):
• Overload protection must be provided in starter
• Discharge size: 2" NPT (STD.)
unit.
• 2" BSPP (optional) • '/-1'/2 HP - 14/4 STOW with bare leads.
• Capacities: up to 120 GPM • Designed for Continuous Operation: Pump ratings
• Total heads: up to 84 feet TDH are within the motor manufacturer's recommended
• Temperature: working limits, can be operated continuously with-
104°F (40°C) continuous out damage.
140°F (60°C) intermittent. • Bearings: Upper and lower heavy duty ball bearing
• See order numbers on reverse side for specific HP, construction.
voltage, phase and RPM's available. • Power Cable: Severe duty rated, oil and water resis-
tant. Epoxy seal on motor end provides secondary
moisture barrier in case of outer jacket damage and
to prevent oil wicking. 20 foot standard with option-
al lengths available.
• O-ring: Assures {aositive-sealing against contami-
nants and oil leakage.
METERS FEET
100 ; _ , . , , ~ , _ _
30 SERIES: 3885Z
- SIZE: 2" SOLIDS
90
RPM: 2900 50 HZ
WE10HH € HP: COMPOSITE;
25
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0 0 s." _ . GPM
0 10' 20 30 40 50 60 70 80 90 100 110 120 130
A
0 10 15 20 25 m3/h
CAPACITY
PAGE 2
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213M AMID 1S
POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page I of
FILE INFORMATION SYSTEM SPECIFICATIONS
Owner Septic Tank Capacity 0t9 gal ❑ NA
Permit # Septic Tank Manufacturer ❑ NA
DESIGN PARAMETERS Effluent Filter Manufacturer ~'j Cry ❑ NA
Number of Bedrooms ❑ NA Effluent Filter Model 2 ❑ NA
Number of Public Facility Units *17 NA Pump Tank Capacity gal ❑ NA
Estimated flow (average) 3Pn. gal/day Pump Tank Manufacturer L t-J., i. -Z ❑ NA
Design flow (peak), (Estimated x 1.5) gal/day Pump Manufacturer 11_'d11f ❑ NA
Soil Application Rate gal/day/ftz Pump Model X;69 ❑ NA
Standard Influent/Effluent Quality Monthly average* Pretreatment Unit ❑ NA
Fats, Oil & Grease (FOG) S30 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter
Biochemical Oxygen Demand (BODS) <_220 mg/L ❑ NA ❑ Mechanical Aeration ❑ Wetland j'~
Total Suspended Solids (TSS) <150 mg/L ❑ Disinfection 4WOther: ~ ,
Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA
Biochemical Oxygen Demand (B0D5) <_30 mg/L ❑ In-Ground (gravity) ❑ In-Ground (pressurized)
Total Suspended Solids (TSS) 530 mg/L ❑ NA ❑ At-Grade ❑ Mound
Fecal Coiiform (geometric mean) 5104 cfu/100ml ❑ Drip-Line ❑ Other:
Other: ❑ NA
Maximum Effluent Particle Size YB in dia. ❑ NA
Other: ❑ NA Other: ❑ NA
Other: ❑ NA
*Values typical for domestic wastewater and septic tank effluent.
MAINTENANCE SCHEDULE
Service Event Service Frequency
Inspect condition of tank(s) At least once every: 11 month(s) (Maximum 3 years) ❑ NA
year(s)
Pump out contents of tank(s) When combined sludge and scum equals one-third (Y3) of tank volume ❑ NA
Inspect dispersal cell(s) At least once every: ❑ month(s) (Maximum 3 years) El NA
1.7 a year(s)
Clean effluent filter At least once every: ❑ month(s) 11 NA
I A J
/ 4K year(s)
❑ month(s) ❑ NA
Inspect pump, pump controls & alarm At least once every: Ik year(s)
Flush laterals and pressure test At feast once every: month(s) El NA
& year(s)
Other: ❑ month(s) NA
At least once every: ❑ year(s)
Other: 'Q 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 (Y3) 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 chapter NR 113,
Wisconsin Administrative Code.
All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment
units, and any servicing at intervals of 512 months, 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.