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HomeMy WebLinkAbout026-1290-16-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division Sanitary Permit No: INSPECTION REPORT 597419 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)]. Permit Holders Name: City Village Township Parcel Tax No: Oevering Homes LLC T TOWN OF RICHMOND 026-1290-16-000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: (~U, 00 1 l~/ 22.30.18.1469 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURE CAPACITY STATION BS HI FS ELEV. Septic Benchmark loq. Dosing riQ Alt. BM tJV Aeration Bldg. Sewer .5 7 ov3 ~c.~'lYke Q~ Holding St/Ht Inlet O 9L/lo TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic gee t 3 133/ 71W' Dt Bottom f Lc co p0.1- 7 Dosing l ~ yV 13 ao) Header/Man. 7.0 ~q0' ~"0 ~ V Aeon Dist. Pipe 7 O f Holding- Bot. System Final Grade PUMP/SIPHON INFORMATION Manufacturer Demand St Cover 18' 10 6 GPM TZ CV Model Number 00 TDH Lif, Friction Loss System Head-3 TqH Ft Forcemain Lent t! Dia. it Dist. to ell f( SOIL ABSORP ON SYSTEM BED/TRENCH Width E Len th 7 I No. Of Trenches P No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/11,j BLDG WELL LAKE/STREAM LEACHING Man facturer: INFORMATION CHAMBER OR Type 61t System: UNIT- DISTRIBUTION SY M Header/Manifold /J Distribution ( Ix Hole Size Ix Hole Spacing Vent topA.iirr,~Innta0.l3 C~ <r/ \ Pipe(s) on1L~ ~ / "q, t r4f U 1 11-ength ~ is L Lenngth Dia SPacing SOIL COVER x Pressure Systems Only xx Mound OrAt-Grade Systems Only Depth Over 6 F Depth Over xx Depth xx Seeded/Sodded xx Mulched Bed/Trench Center / Bed/Trench Edges Tops es No s No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: P&tJ Inspection #2: Location: 1413 129TH ST aw "k, 1.) Alt BM Description= P rv clip C., ir$ ~Locc 2.) Bldg sewer length= CCU,," -0 Qc5 rtl+a, - amount of cover = As If l.~ T fi Plan revision Required? ❑ Yes ❑ No Use other side for additional information. f Date Insepctor's Sign ture Cert. No. SBD-6710 (R.3/97) N" da 17 -~Y ~4 Coun =°~j Safety and Buildings Division ~ E A ~ v 1 1 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.) fU Madison, W1 53707-7162 177 5 Ka sti Y ` A K 1 State Tra nsaction Number Sanitary Pe,-- 2VP2TDZ In accordance with RS 38321(2), Wis. Adm. Code, submission of this torn re tai unit is required prior to obtaining a sanitary pemrit Note: Application fors for state-owned POW7~ ar -01 to Project Address (if different than mailing address) the Department of Safety and Professional Sen ies. Personal information you provide may be used for sewn n purposes in accordance with the Privacy Law, s. 15. m ,Scats. L ~ wpw- L Application Information - Please Print Ia o / ! ~ Property Owner's Name Parcel # n ` ~l~ J' ; rU Property Owner's Mail' oss A Property Location 15 J ~`1 Govt. Lot ~'rt3, Scare Zip Code Phone Number < ) cycle o T = N, R I IL Type of Building (check all that ap _n Lot / or 2 Fatmly Dwelling-Number of ooms s 1 Subdivision Name ak ~ Bloc ,C~~ ✓ ' ❑ Public/Commercial-Describe Use ❑ City of ❑ State Owned - Describe Use P CSM Number ❑ Village of e 1 Town of IIL Type of Permit: (Check only one box on line A. Complete line B if applicable) A' A. System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) List Previous Permit Number and Date Issued g, ❑ Permit Renewal ❑ Permit Revision El Change of Phrmber 11 Permit Transfer to New lr Before Expiration Owner IV. Type of POWTS System/Component/Device. Chec all that apply) Q J ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground At-Grade ❑ Mound 24 im of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dis rsal/Treat nt Area Information: Design Flow pd)~/J Design Soil Application Rate(gp Dispersal Area Required (st) Dispersal Area Proposed (sf) S evation VL Tank Info Capacity in Total # of Manufacturer o Gallons Gallons Units o g v ti New Tanks Existing Tanks = o- S - m Septic or Holding Tank e i Dosing Chamber A I VII. Responsibility S went- 1, the undersigned, a m . responsibility f",;-. t3l:ation of the POWTS shown on the attached plans Si7, e ~ Q Z ~ her's Name (Print)' Plum s ignature MP/MPRS Number Business Phone Number Plu b~ Address (Str eet Cl- , State, Zip V " unty/De artment Use Only _ IssuSignature Pproved Permit Fee Date s4//7 S / ''J ~ iven Reason for Dcniat / LX Conditi Masons;,~p r Dis pproval d ar,ec &%nt itlf@ n..~ 3 uispems,i Cell must all be 5 zr: rcps !rr t .rte 3s per Mir.39ement plzn p. ,u tided by uiumber. ` 2 `J I; Wk ncct;lw~csnt mtr3t be to ur ir;ed I A,P6c)%^AT-;oA 1l_ 4w W I ii P36t ! c(dinaim, Attach to complete plans for the system and submit the County only s paper not less than 8 m2xlliachesiti size /t / (f I/A !%~'~t~ w~ ~I ~~J• SP,D-6398 (R. 11/11) 446 System PLOT PLAN PROJECT Oeverina Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017 SE, 1/4 SE 1/45 22 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX SYSTEM ELEVATION 98.0' 6/21/17 3 DATE BEDROOM CONVENTIONAL AT-GRADE XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE •5 ABSORPTION AREA 900 # of chambers none BENCHMARK V.R.P. Top of survey iron ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark Property Line B. M Scale = 1/4" = 10' Well is to meet all WDNR setbacks 97' 98 99' Area 15' below system is to remain B-1 undisturbed 4% Slope Grading is to be done to divert run-off away from 0 B-3 system B-2 Pub ; r'1 ` t Tank is to be properly bedded and provided with lockdown aq' covers with approved warning labels Huffcutt Combo Tank Pro 3 Bedroom 459' Property Line House 534' Property Line 129th St. ~~EP~R? fiyT~ DIVISION OF INDUSTRY SERVICES n 2331 SAN LUIS PL STE 150 GREEN BAY WI 54304-5211 Contact Through Relay 3 http://dsps.wi.gov/programs/industry-services ~7\ 4~ www.wisconsin.gov Scott Walker, Governor Laura Guti6rrez, Secretary p _s "Y ED July 20, 2017 'F SAFETi S S 1 NA, SE GUST ID No. 226900 ATTN: POWTS Inspector SHAUN R BIRD ZONING OFFICE BIRD SELF STORAGE ST CROIX COUNTY SPIA 1432 120TH ST 1101 CARMICHAEL RD NEW RICHMOND WI 54017-6409 HUDSON WI 54016-7708 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 07/20/2019 Identification Numbers Transaction ID No. 2973144 SITE: Site ID No. 840336 Oeverinlz Homes Please refer to both identification numbers, 1413 129TH St above, in all correspondence with the agency. Town of Richmond St Croix County SEI/4, SE 1/4, S22, T3 ON, R18W FOR: Description: At-Grade Q Bedrooms - New Construction) Object Type: POWTS Component Manual Regulated Object ID No.: 1716324 Maintenance required; 450 GPD Flow rate; 36 in Soil minimum depth to limiting factor from original grade; System(s): At-grade Component Manual, Version 2.0, SBD-10854-P (N.03/07, R. 1/12), 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. • Prior to construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. Smeariniz 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, 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. SHAUN R BIRD Page 2 7/20/2017 • Divert surface water from POWTS Area. • 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) • Tank Installation to follow all manufacture's recommendations. • Pump Floats to be set and verified per approved plan. Anv chanl4es may result in pump resizing to meet TDH and GPM Specifications. • Verify property line(s) prior to installation. • Well setbacks to meet chs. NR 811 & 812. • 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 at-grade must be cut off at ground level. A larger till area is necessary when any of the above conditions are encountered, to provide sufficient infiltrative area. • 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. 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 PO WTS. 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.vanderleest0awisconsin.gov SHAUN R BIRD Page 2 7/20/2017 • Divert surface water from POWTS Area. • 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) • Tank Installation to follow all manufacture's recommendations. • Pump Floats to be set and verified per approved plan. Anv chances may result in pump resizinc to meet TDH and GPM Specifications. • Verify property line(s) prior to installation. • Well setbacks to meet chs. NR 811 & 812. • 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 at-grade 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. • 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. Owner Responsibilities • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval SPS 383.54(1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 This Amount Will Be Invoiced. When You Receive That Invoice, 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:6/21 /17 Owner:Oevering Homes Location:SE 1/4 SE1/4 S22 T30 N,R18 W 1413 129th St. Richmond Manuals Used: At-Grade Component Manual version 2.0 SBD 10854 (N. 03/07) Pressure Distribution Manual version 2.0 SBD 10706-P(N. 01/01 R. 10/12) Page# 1. Cover Page 2. At-Grade Plot Plan 3. At-Grade 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 Attachments: Soil Tes Shaun Bird Signature License nu 226900 n! Page 1 of 9 System PLOT PLAN PROJECT Oeverina Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017 SE. 1/4 SE 1/4S 22 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX SYSTEM ELEVATION 98.0' 6/21/17 3 DATE BEDROOM CONVENTIONAL AT-GRADE XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 900 # of chambers none BENCHMARK V.R.P. Top of survey iron ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark Property Line B. M. Scale = 1/4" = 10' Well is to meet all WDNR setbacks 97' 98' 99' Area 15' below system is to remain B-1 undisturbed 4% Slope Grading is to be done to divert run-off away from ❑ B-3 system B-2 Tank is to be properly bedded and provided with lockdown covers with approved warning labels Huffcutt Combo Tank Pro 3 Bedroom 459' Property Line House 534' Property Line 129th St. ~o n At-grade System Sloping Site Cross Section and Plan View - - - - ~.1 -77,17 - - E Dimension Feet 1132 L L ~ L L ~ L L•L ~ L L•~ ~ ~•~•L ~ ~ ~ ~•~•L•~ ~ L ~•L L L L•L L L ~•L L I^ i fL~Ldy 'L~LjL?ti:tirLj~?Lfti~L SjLrL~Lrti ti ti 'L~ti LJL~LJL~LlL~L~L~LJLlS.iLlL:ti:'L~'~.!'L :'J J•r•r•J•J•r•!•r•r•r•J•J•J•J•J•J•J•J•!•J•J•J•J•J J•r•J•J•J•J•J•J•J•J•J•r•r•J•J•J r ~ ~•bL•L•~■L•L•~•L•L•L•L•L•L•L•L•L•L•L•L•,L•,ti•L•L•~•L•L•L.•L■L■'.•L•'L•L•L•L•L•'.■ti•L L rti ti ti'L:S~jti:.'.~ti~ti~'L~ti•''y~ti,ti:'L:~tir,~r•.~:~~ tir~':Lr~LrLjL?LfL?LjL~L~LrLrL .I B '.;,•J•J•r•r•r•r•r•r•r•r•r•r•r•r•r•r•r•ra••Ar•J•J•r•r•J•J•J•J•J•J•J•J•J•r•J•J•J•J•r r 1/6 B L ~ ~•L ~ L•~ L•LK•L•L•~•L•L•L•L•L•L•L•L•L.~•'L•~•L•L•L•L•~•L•L•L•L•~•'.•~•'ti•L•~•~ ~ 'I I . ~ Jti L?t ti?ti:5.~tijL~ti•'L~L~%'.:ti:ti:.'.:'L%ti~'L~L~ti~ti ti~L~L:'L:'L:'L~1~'L~ti~1~ti L~'.1tijti ~jti~~?~!Lr'~ L ,;...J r J•J•J r r•r•r•r•r•r•r•r•J•r•J•r•r•r•r•r•r•J•r•r•r•J•J•J•J•J•J•J•J•J•J•r•J•J•r ! , C r r~r r~11rL1tiJti1~1'tiltiftiJtil~rtir ~r ririJ~r J~J~r ! r~J1J:j11'~Jtir~l~J~r~r r r ~•~•~•~•~•L~~,~,~,L•,ti,.ti,~.L•~•~.~.~.~.L.L•'L.S~.L*p L■ I ~ ~•L•~•~ ~•~•L•~ ~.~.~.L•~ L rL W A •.••r•r•r•J•J•r•r•J•J•J•r•J•r•!•r•r•!•!•r•r•J•r•J•r•J•J•J•J•J•J•J•J•J•J•r•r•Jrr r• L•L•L•L•L•L•L•L•~•L•L•L•L•L•YL•L•L•~,~,,L•,L•~•L,L,~•~,L•~•~•~.~L.L.~•~•~•~•L•L•L•~•L `I D 2. 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J~JL P LJL%LJS 1rL~LJL~L~L~LiL~L~L~~JtiJ1J•rrS,JL ?'•i!ti ~rti ti ~r~ L E 1/6 B i W E B L Slo e L - - = Plowed .Z = Clean aggregate 0 = 4 in. sch. 40 pvc basal area rtirti 1/2 to 2 1/2 in. dia. observation pipe Lateral with 2" Topsoil Cap aggregate oopipe Observation Pipe Geotextile G With Cap Fabric , Ft Lateral Invert •r• J~J~r%J%r~l~r~J~J• Topsoi l Cap J ~'•!•J•J•J•r•J•r•J r•J J•J J J•J•J•J•J•:•!• i~y ti•L L■L.L.S,.L.~ N ~.L. ~ ■L. ~.ti. ~.•L•4• ~ ti•'~ h y ~ I V J•~'•r•r•J•r•J J•J•~ Fi J 1 r•J, !•!•J r J•r r, r, ~:r r: _ti ~ i . ~.~.~.L.1.~.L V• Mr -t ■~•j ttr,~r,•r•J•J ! r•r~ 0 Ft Contour ;•~•L _L'ti',~,.iL,.a,'r•• tir ~.J.J.J•J•r R M • :J:J:J:J:r.J•J•r•!•J•r•!•J•J•J•J'! . .J.J•J•r•r~~ti~ " Plowed Surface _ C Slope Direction GENERAL INSTALLATION: The at-grade area is staked out along the design contour. Existing vegetation is mowed and raked off the site. The basal area (L x W) is staked out and 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. The A x B area is covered by clean aggregate deposited overhead by a backhoe.. Special care must be used when placing the aggregate to minimize compaction of the plowed surface. After the topsoil cap is placed, the entire at-grade is seeded and mulched to promote vegetative growth, limit erosion and protect from freezing. The observation pipes are perforated in the lower 6~inehes.and secured in place. 03/05 lgj Page A- Pressure Lateral Layout One Lateral - End Manifold .4 Threaded Cleanout Lateral Turn-up -0. Plug Force Main X - - L Long Sweep 90 Bend l s n e Pressure System Construction Distribution Network Specifications Lateral Diameter In. Laterals are constructed of Schedule 40 PVC Orifice Diameter 3 z 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 Force Main Diameter 2-. In. ceanout plug and are enclosed in a 6-8 inch Force Main Length r Ft. diameter lawn sprinkler valve box accessible from finished grade. • • • • • Grade • • • • ' a::;:.:;:::: 6-8 Inch Lawn Sprinkler Valve Box L~ 03/05 1 Page of gl Septic-Dose Vank Cross Section And Pump Performance Specifications Tank Manufacturer Pump Manufacturer Tank Model Number Q Pump Model Number To#al Tank Capacity CUt~ Alarm Mane Ll s 1~ Max. Bury Depth eel' Alarm Model Number Switch Type - ' Total Dynamic Head (TDH) - Feet Filter Manufacturer Filter Model Number Elevation Head Distal Pressure Network Loss Minimum Pump erforrnance iZ ' ed For= sin Loss ' GPM: @ Ft TDH Total sa 3 Outlet Manhole Min. V Above Grade With Manhole Min. 4" Above Grade Locking 1Je~ice. Inlet Manhole With Locking Device < 6" Below Grade Sealed Watertight s ~ly Mounted -per -`i Junction Box -now Finished Grade - - -4, 1 Vent Min. 12" Disconnect Above Grade Means With Vent Cap Outlet Filter y - Inlet Inlet Bale ~ - ~ Switch Setgngs and Reserve Capacity IY, Tank Volume = ,5'" GPI Weep f< Dimension: Inches Volume Gal. B Hole (reserve) A;- 406 02 j 730 Off Elevation C (alp) B 2 (dose) C pt Bottom (dead) D: 4P D Elevation Total - F, Ft < a < 1 s:f • < f i t 4 t L t to{)L t < < < { tai>< f 1 c •.a a>t < a • • •a a . .a < < a < • < < a < < ♦ < s a • < < . i <aa> a>f t <>4 a><aa 1l;Y > ><t<> <>t)a> a Y > • 4~ ) S ! > ><)•1<>t>:Y ~i~>{! . C•) ! 1 a a>< a 4>{>t a < t{ a t a 4 L a t a L t t t L t l{ t t>t 1.1•i <•1 <'t•~ ~+>t t•1>s>1>s i GENERAL INSTALLATION: The septic/dose tank is bedded and lark filled in accordance with the manufacturer's product approval specifications. Maximum depth of bury as speed by the manufscUirer may not be exceeded without prior approval. Manhole covers exposed to grade have an effective locking device (padlock) installed Piping at the inlet and'oudet is of approved material, connected to the tank with watertight fittings, and laid on stable soil to prevent settling or sagging. The force maim is sleeved with 4" Sch. 40 PVC to bridge the tank . excavation ahd the sleeve is sealed watertight. Electrical service complies with NEC 300 and Comm 16.28. 02105 U Page R~ TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE HEAD CAPACITY CURVE EFFLUENT AND DEWATERING ^ U) MODEL 152/153 , MODEL 152 153 M WW 50 Feet Meters Gal. Liters Gol. Liters 5 1.5 69 261 77 291 153 10 3-1 61 231 70 265 12 40 152 15 4.6 53 i 201 61 231 20 .i 6.1 44 167 52 197 30 25 7.6 34 129 42 159 a 8 30 9.? I 23 87 i 33 125 0 35 7 - - 22 85 20 I 11 42 40 12.2 , o z i L^ck Valve: X32.0 ri. (1?.6rn)144.0 Ft. (13.4rn) 4 olasos 10 l I 1 0 20 40 60 80 100 GALLONS i-- 51/4 LITERS 0 80 150 240 320 _ 1 ~t~ 3 27/SZ--Y---~-I"'a 5/8-1 FLOW PER MINUTE 1 1- I 3 27/32 CONSULT FACTORY FOR SPECIAL APPLICATIONS _ ® 3 27/32 • Timed dosing panels available. • Electrical alternators, for duplex systems, are available and supplied with an alarm. • Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable level long and short Cycle Controls. - • Seated Qmk-Box available for outdoor installations. See FM1420. i • Over 130°F. (54°C,) special quotation required. 12 1/8 r u 1541153_ Series 1521153 MODELS control Selection 5 1/8 I Model volts-Ph Mode Am s Sim lex Du ia N152 115 1 Non 8.5 1 2 or 3 sxzoss SN152 115 1 Aura 8.5 Included 2 or 3 ~ - E152 230 1 Non 4.3 1 2 or 3 BE152 230 1 Auto 4.3 Indu eel 2 or3 N153 115 1 Non 10.5 t 2 or 3 SELECTION GUIDE BN153 115 1 Auto 10.5 Included 2 or 3 back variable level float E153 230 1 Non 5-3 1 2 or 3 1. Single piggyback variable level float switch or double piggy BE153 230 1 Auto 5.3 Included 2 or 3 Switch. Refer to FMO477. o catmoN 2. See FM0712 for correct model of Electrical Alternator E-Pak. AU 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) Gcerrsed 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. kWL TO: P.O. BOX 16347 Louisville, KY 40256-0347 Manutacturersof.. ` SNIP T0: 3649 Cane Run Road , Q~J77,9ZMPS 7~vCE Zo Louisville KY 40211-1961 PUMP CO. f FAX (502) 73624 P ht1pJ/www.zoeUer.com © Copyright 2000 Zoeller Co. 11 rights reserved. b 0 - 9 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of ILE INFORMATION SYSTEM SPECIFICATIONS Owner Q,, ) Septic Tank Capacity l ❑ NA Permit # Septic Tank Manufacturer ❑ NA 3ESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model ❑ NA i Number of Public Facility Units A Pump Tank Capacity l ❑ NA j Estimated flow (average) 3r7-) g al/day Pump Tank Manufacturer ❑ NA 1 Design flow (peak), (Estimated x 1.5) gal/day Pump Manufacturer ❑ NA Sal Application Rate aUda !flZ Pump Model 13 i Standard Influent/Effluent Quality Monthly average Pretreatment Unit Fats, Oil & Grease (FOG) 530 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BODs) 5220 mg/L ❑ NA D Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) :5150 mg/L ❑ Disinfection ❑ Other. !Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BODs) 530 mg/L ❑ in- round (gravity) ❑ In-Ground (pressurized) Total Suspended Solids (TSS) G30 mg/L -Grade ❑ Mound Fecal Coliiform (geometric mean) 5104 cfu/100ml ❑ Drip- ' e ❑ Other. [Maximum Effluent Particle Size Ya in dia. ❑ NA Other:. ❑ NA [Other: Other: NA "Values typical for domestic wastewater and septic tank effluent Other. ❑ A IAINTENANCE SCHEDULE Service Event Service Frequency ❑ month(s) linspect condition of tank(s) At least once every: 3 ears (Maximum S years) ❑ NA (Pump out contents of tank(s) When combined sludge and scum equals one-third (Y~) of tank volume © NA (inspect dispersal cell(s) At least once every: ❑ month(s) (Maximum 3 years) 13 NA 0-year(s) .;.lean effluent filter At least once every: i r t 0 months) O NA Inspect pump, pump controls & alam} At least once every: -45 yeoar s}s) ❑ NA ❑ NA Flush laterals and pressure test At least once every: ❑ month(s) year(s) Dther. At least once every: ❑ month(s) ❑ NA 6ther: ❑ 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 ixmbined 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 I-egulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third (3a) or more of the tank volume, the entire contents of j:he tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. IAII other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, Land 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. 70~~ Page of START UP AND OPERATION ntin ro ducts or other chemicals th4t For new construction, prior to use of the POWTS check treatment tank(s) for the presence of pal g p may.impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of thO 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 ble discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge ~o To avoid this situation have the contents of the pump tank removed by a Septage Servicing Opp prior effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump contras to restore normal levels within the pump tank. the area withln Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, 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 Iife of the POWT$* antibiotics: baby wipes; cigarette butts; condom ; cotton swabs; degreasers; dental floss; diapers; disinfectants-, fat oun and rain (sump pump) water, fruit and vegetable peelings', gasoline; grease; herbicides; meat scraps; medications; oil; painting proqs; 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 propefily and safety 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 fails and cannot be repaired the following measures have been, or must be taken, to provide a code compilOnt replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement so!absorption systelmd The replacement area should be protected from disturbance and compaction and should not be infringed up by requitle the setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result ink NIA ed for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply effect at that time. with ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWfS technaogtr a holding tank may be installed as a last resort to replace the failed POWTS. The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaiua> on t be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed) as la 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 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 O 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 L Name Name pµ, r` Phone Phone - j ;rot SEPTAGE SERVICING OPERATOR MPER LOCAL REGULATO Y AUTHORITY Name, NamI~M' Phone PhonThis document was drafted in compliance with chapter SPS 383.22(2)(b)(1)(d)&(f) and 383.54(1), (2) & (3), Wisconsin Administrative Code. T I W . N a 4 A C7 j - ~1 E s I b (y t.~:j ~ 'I U, 8 ~ C6 t m ~ N V ~ C Q V Q COP v ~7y~~ Z 3 0 0 -0 U N ~y o I V ST. CROIX COUNTY _ SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERS1UP CERTIFICATION FORM Owner/Buyer Q>°v~✓; ice , Mailing Address l PrOPeI-ty AddireS City/State (Verification required from planning & Department for new constnzetion.) ' Parcel Identification Number d- LEGAL DESCRIfjoN U-Ip-- a--N-7v Property Location ya , Sec. L / - - > N Rte, Town of Subdivision l 1 t Certifed Survey Map # Lot # l l~ . Volume Warranty Deed # Page # ,Volume r--- e Page # Spec hous no yes SYSTEM Lot lines identifYabk yes no ENANCE AND OWNER CERfTFICATION Improper use and maintenance of your s maintenance consists ofP mg out th ePtic system could result in its pre the system can affect the function every three yeazs or sooner f mature failure to handle wastes. Proper responsibilities are s ied in of the septic tank as a treatment stage ' eded, by a licensed ~ P Per. specified in §Comm. $3.52(1) u1 ale waste ty What you put into and in Chapter 12 - St. disposal system. Owner maintenance The ro Croix Conn P pert' owner agrees to submit to St. ` Sani tary Ordinance. owner and by a master plumber, ours Crow CountyI'Iarrryiri g & Zonin De wastewater disposal system is inJ yman Plumber, restricted plumber or a Icensed Department a that ( (1) ca 1) the on-site than l/3 full of spud eg. t Proper operating condition andlor less {2} alter inspection verifying and pumping (if necessary), the septic tank is I/we, the undersigned have read the standards set forth, here above requirements and a ree to Certification soon u, as set by the Department of Co g Main' the private sewage disposals stem g that your septic system has been nunerce and the Department of Natural Resource y with the zoning anon ment that ithin 30 days of the three maintained must be completed and re State of Wisconsin. year expiration date. fiirned to the St_ Croix County planning & Uwe certify that all statements on property described above, by virtue nta w form are true to the best of my/our knowledge. I/we am/are the owner(s) of the ~d3' deed recorded in Register of Deeds Offi. Number of bedrooms-ce IGNA OF APPLICANT(S) / ***Any information that is misrepresented may result in the sanita DATE Include with this application a recorded warrant ~ permit being revoked by the Planning & Zoning Department. reference is made in the':warranty deed, 'deed from the Register of Deeds Office and a copy of the certified survey map if (REV. 08/05) LUNDY'S MEADOWS .,~,.Fxxa,i W i LOT 30 f~ LOT 31 i LOT 32 LOT 33 i \ OF l' IRO Pi~ I ,96.60' f ELEVATION 968.0 i \ BLOCK DIST - 1 9.80°------ X --K _ L _ _ _ _ - - - - 199,09 X522' 66" 178.58 ®RAlNAC;E 28245 0 67.19 s_i _ 23OUTLOT 1 2123-18, 1 119.45° g EAscwmT 26&3f° _ 42.10" 0.10 ACRES §695 _ 5r89147101 7W 429.85' (4,531 SO. FT.) 50 f j 64 3 TO BE DEEDED I TO ADJOINING r r I 56~~3 $ I r-: ~LAND OWNER ®i N R r yt / Ian: r~ co_ V r~ti^ 4j~ uy A 2 i 40' LOT 14 ~k 2.07 ACRES - ----_---QF-- 7 so. L.B.O. = 966 5 LOT 15 3t LOT 16, . § + t 1.82 ACRES ~ 2.16 ACRES 29.85'11 $ `#6'S0E' ~ "c~ CV r~ BENCH (NARK: C4 179 206 SQ. FT.) (9.'5,977 SQ. FT.) 544 `TOP OF t" s L B. T. 966.5 P4 I r IRON PIPE, 09 LOT 17 ^ iy ELEVATION 964.0 G9 1.98 ACRES "i ob 0 G...re I r o I (86,420 SO. FT.) ,4, (A to N wr Zc4 ....................II.. (sa9's6°aS"E 354.E H89°46'04"E 35, DRAINAGE 273.13 EASEhIENT nil N88`15'91"E 409.83' t 129TH STREET 4 688'95'11"W 409.83 t e LOTCRES 8 213 A (92,620 S0. FT.) t 6 t / 31: 11 z ...................t~~ N85'59'35`E 428,92' n-r -1 ~t f 670 N € an W In r LL HiS , ~ Ln se. o Q w L~ °x o of r n 10, Lil Y 2 ' 8i ~ I r w LU III ~ 1 --j _ I~~rTr I a ~ 4 t ol z s~=r~ Ol I Q~ LdUl!tu 1 J~ w c 81 Q - 7),,~t. Z ,I I I I z 0 A J w b yy ~ J lit I Y a l O ~ Q e ii h z RaQ~~ O ai y ZI OI, o 3< al R St a ti N 01 R N k Z Y z - 7IN ~i"- O~ 9 it OBI N ocl u: ~I NI 3 ~I I Pt _ ~ Oil SIX/:PiM~Yl15PZi I ''ifa ~'A - - - -sue -t _ i I I - - - - o l P2'G: SFNLLYIPYAi " Q i4 I 9 ig o - A I r ~ ~ -t o I 1 ~y ; a - I i I I II I I I - - _ ~ NPG ~ r~vn ®vaa Y~~ 3~~ ~ i 4~y oo ~ g w y o ILJ) m g $ 6 dip E ~ y 2 _ O 01 ` R Gi n ~ng8 X13?5 mi & ° Y ~I, o 1 T) i N ° rrz t ~~9 ~ I3~~ ~ LIB 88 l0WKN 9. Yl YIIO ~ ~ i i i R i * 6 « fii a vl m~ 4 - ~ sl D LLJ 4 Y~ x: YL4 Ire 1 I i 1 'DT FOVF fG .Z S _-,f y k ~ y......__.._. _ RECEIVED n. 11 f I JAN 0 191 Wisconsin Department of Commerl CR, SOIL EVALUATION REPORT Page of Division of Safe'y and Buildings 4 ZOW'i -----inaaeordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but 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. Z Please print all information. R •ewed 6y 7( Date / Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). b Property Owner - Property Location E ( ) Govt. Lot '114 S T36) N R/ Property Owner:; Mailing Address Lo # Block # cg-ul)d. Names CStat# L, City State Zip Code Phone Number City Villa e *54 TTowrl" Nearest Road New Construction Use~Residential ( Number of bedrooms Code derived design flow rate _ _ GPD ❑ Replacement ❑ Public or commercia Describe: Parent material _ Ittl / Rood Plain elevation if applicable General commerts and recommendations: Boring F_/1 # Boring g )1 pit Ground surface elev. ~ ft. Depth to limiting factor LJ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDN in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 I _ n i i F-al R Boring # ❑ Boring 0-ft- Pit Ground surface elev. 7, Depth to limiting factor ~ in. Soil Application Rate Horizon Deptn Dominant Color Redox Description Texture Structure I Consistence BoundaryRoots GPD/ff in. Munsell Qu. Sz. Cont. Color I Gr. Sz. Sh. 'Eff#1 'Eff#2 L" I it <1 2- I l~ 51 C I r rl , k_ ~,vi i - rl 1 1. 1., y ht i f Eff uent #1 = BOD > 30:S 220 mg/L and TSS >30 < 150 mg/L ` Effluent #2 = BOD < 30 mg,', and TSS < 30 mg/L CST Name (Please Print) Signa CST Number Bird Plumb'ng, Inc. Shaun Bird °l 226900 Address Date Evaluation Conduc ed Telephone Number 1008 192nd Ave, New Richmond, W1 54017 ~ 7 715-246-4516 a Property Owner _ Parcel ID # Page of Boring # ❑ oring isi pit Ground surface elev. ft. Depth to limiting factor j 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 ~-I T, :rar' 3 I ~ 1-)-I.~ K.- l 'S r31 u~ `~~iJS & Sc_ i r>7 ❑ 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#2 171 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 Effluent #1 = BOD- > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD, i 30 mg/1- 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-8330 (R.6A00) Soil Test Plot Plan Proje*ct Name Environmental Holdings LLP Shaun d Address 706 19th St. Y/ Hudson Wi 54016 CSr111(04 #226900 Lot 16 Subdivision Lundy's North Date 1 S 1/2 SE 1/4S 22 T 30 N/R18 W Township Richmond Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Survey Iron System Elevation 98.0 *HRPSame as Benchmark Alternate Benchmark Top of 1/2" Pipe @ 100.3' Alt.B.M. 175' B. 282' Property Line 70' 97' 98' B-1 0' 4% Slope I F, 40' B-3 59' Property Line 50' B-2 15' Please note: soil test may not be suitable for owners desired Scale is 1" = 40~ building location, Soil 534' Property test was done to unless otherwise Line satisfy zoning noted requirements, please verify system location before excavating.